Permit � n CITY OF TIGARD BUILDING PERMIT
3 " COMMUNITY DEVELOPMENT Permit#: BUP2015 00168
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/26/2015
Parcel: 1 S136CD02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Fuel Facility Subdivision: PALMER ACRES Lot: 3
Project Description: Installing(4)signs on fuel facility canopy. 8/26/15:Reprinted permit to change contractor from Fastsigns to Span
Construction.
Contractor: SPAN CONSTRUCTION &ENGINEERING INC Owner: COSTCO WHOLESALE CORPORATION
1841 HOWARD ROAD PROPERTY TAX DEPT 111
MADERA,CA 93637 999 LAKE DR
ISSAQUAH,WA 98027
PHONE: 559-661-1111 PHONE: 425-313-8100
FAX:
Specifics: FEES
Description Date Amount
Type of Use:
Class of Work: T Permit Fee-Additions,Alterations, 08/26/2015 $119.33
ype of Const: Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 08/26/2015 $14.32
Dwelling Units: 0 Plan Review 07/02/2015 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 08/26/2015 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,002
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $213.21
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:� Permittee Signature:
Ca I .639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial K IC IVEP f0k (1I I1( I I NI tt\
City of Tigard Received Le Q�� =L ' JS-
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan
Date/B , D�l��
C Phone: 503.718.2439 Fax: 503.59 .1 0 3 0 2 15 Date/B : ig". 7 ars' Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris'. ® See Page 2 for
Internet: www.tigard-or.gov , ,-,: Notified/Method: �
/kJ/ " , i Supplemental Information
-6n9 TYPE OF WORK � /`' REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ®Other:Signage equipment,materials,labor,overhead,and the profit for the Ze
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®CommerciaUindustrial
Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms: g
JOB SITE INFORMATION AND LOCATION Total number of floors: op
Job site address:7850 SW DARTMOUTH New dwelling area: square feet
Cits
City/State/ZIP:TIGARD OR 97223 Garage/carport area: square feet U
Suite/bldg./apt.no.: I Project name:COSTCO FUEL FACILITY Covered porch area: square feet Oct
Cross street/directions to job site:PACIFIC HIGHWAY 99 x SW DARTMOUTH ROAD Deck area: square feet W
Other structure area: square feet 4'
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed. 'Q■
Tax map/parcel no.: 1S136CD02200 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Installing(4)2'-6"x 8'-6"signage on 102'x73'New Fuel facility Canopy Valuation: $2001.50
Existing building area: square feet
Ci 0 New building area: 3,774 square feet
PROPERTY OWNER ❑ TENANT Number of stories: 1
e:COSTCO WHOLESALE Type of construction:
dress:999 LAKE DR Occupancy groups:
City/State/ZIP:ISSAQUAH WA 98027 Existing: M
Phone (425)313.8100 Fax:( ) New: M
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
`6 (Please refer to fee schedule)
Business name:MG2 Structural plan review fee(or deposit):
Contact name:Megumi Matsumura
FLS plan review fee(if applicable):
SJ Address: 1101 Second Ave,Ste 100
Total fees due upon application: $91.44
CitylState/ZIP:Seattlem WA 98101
4 Phone:(206)962-6604 Fax::( ) _ Amount received:
E-mail:megumi.matsumura @mg2.com J��—�s'7/ ' L PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR /g.7f/2____ roof-top mounted PhotoVoltaic Solar Panel System.
Business name: astsigns S ( 54(,-�, Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
ddress: 11525 S Pacific .ightway /el/ krW 4 /? f ' _Solar Installation Specialty Code checklist.
`e ifl City/State/ZIP:TIG ' %,OR 97223 / Permit fee(includes plan review
i and administrative fees): $180.00
Phone:(503)244-:.1 &Er(_GA,_I _/( 1Fax.( ' ) State surcharge(12%of permit fee): $21.60
CCB lic.:#1: 97 2 t-P 7 a/6
t Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: me ten,' pla7SU rn IA ka Date: 4/15-4 o/5 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46I3T(I I/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7850 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00188
Chip Barnett
Violation Summary:
Inspector Contractor