Permit CITY OF TIGARD BUILDING PERMIT
I ---II
a ' COMMUNITY DEVELOPMENT Permit#: BUP2015-00036
T l(;ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2015
Parcel: 1 S 136C D02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Fuel Facility Subdivision: PALMER ACRES Lot: 3
Project Description: Installation of new fueling facility, 18 fueling positions with 102'x 73'canopy,
Contractor: ROBINSON CONSTRUCTION Owner: COSTCO WHOLESALE CORPORATION
21360 NW AMBERWOOD DR PROPERTY TAX DEPT 111
HILLSBORO, OR 97124-9321 999 LAKE DR
ISSAQUAH,WA 98027
PHONE: 503-645-8531 PHONE: 425-313-8100
FAX: 503-645-5397
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ADD Type of Const: IIB Permit Fee-Additions,Alterations, 08/24/2015 $4,331.26
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 08/24/2015 $519.75
Dwelling Units: 0 Plan Review 03/10/2015 $2,815.32
Stories: 0 Height: 0 ft DC Provision Review,COM New-Bldg 08/24/2015 $175.50
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM New-Ping 08/24/2015 $175.50
Value: $658,579 Info Process/Archiving-Lg$2.00(over 08/24/2015 $106.00
11x17)
Info Process/Archiving-Sm$0.50(up to 08/24/2015 $75.00
Floor Areas: 11x17)
Metro Const.Excise Tax 08/24/2015 $790.29
Total Area: 0 Parks SDC Improvement- 08/24/2015 $1,835.00
Accessory Struct: 0 Commercial/Industrial
Basement: 0 Parks SDC Reimbursement- 08/24/2015 $330.00
Carport: 0 Commercial/Industrial
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $11,153.62
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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
952-0 - 010 throug' •'R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5' . .1987 or 800.332.2344.
Iss ed By: ` 4010 I / Permittee Signature:
Call 503.639.4175 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.
t , r_ •
8uildtn2 Permit Application
Commercial RECEIVED IO120111( I l `I O\1 1
Received t.110'iJ 5-..000 •
FEB 2 3 2015
III - City of Tigard Dates ► Permit No /Oi
'1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review J ��
Phone: 503.718.2439 Fax: 503.598.196 Date/B : ► Other Permit:•
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/B : turfs: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISIO Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed. 1
Indicate the value(rounded to the nearest dollar)of all
❑ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the —Q
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial
Valuation: $ �p
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: F
Job site address:7850 SW DARTMOUTH New dwelling area: square feet
(
City/State/ZIP:TIGARD OR 97223 Garage/carport area: square feet
if
Suite/bldg./apt.no.: Project name:COSTCO FUEL FACILITY Covered porch area: square feet
Cross street/directions to job site:PACIFIC HIGHWAY 99 x SW DARTMOUTH ROAD Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: IS136CD02200 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. O4.e. ADi2,. .))
NEW FUEL FACILITY(18 FUELING POSITIONS)WITH 102'x73'CANOPY Valuation: $$13 *(os$) 527
SITE WORK-CURBS AND PARKING STRIPING Existing building area: square feet
WATER QUALITY IMPROVEMENTS New building area: 3,774 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: l
Name:COSTCO WHOLESALE Type of construction: IIB
Address:999 LAKE DR Occupancy groups:
City/State/ZIP:ISSAQUAH WA 98027 Existing: M
Phone:(425)313.8100 Fax:( ) New: M
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:MULVANNYG2 ARCHITECTURE - .eya� �, EENViNT (Please refertnjeeschedule)
`
Structural plan review fee(or deposit):
Contact name:ADRIAN HO
IZYRN W EI 120&oh).1orn FLS plan review fee(if applicable):
Address: 1110 112th AVENUE NE 50-2) Lc:`4S 6531
Total fees due upon application:
City/State/ZIP:BELLEVUE WA 98004
Phone:(425)463.1689 Fax::(425) 1889
Amount received:
E-mail:ADRIAN.HO @MULVANNYG2.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:ROBINSON CONSTRUCTION CO. Submit two(2)sets of roof plan with connection details
l and fire department access,along with the 2010 Oregon
Address:21360 NW AMBERWOOD DRIVE Solar Installation Specialty Code checklist.
City/State/ZIP: HILLSBORO OREGON 97124-9321 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(42 )-453 3380-+ SQS..ieM.4353P Fax:(xs3) &LI5 `-5N --7 State surcharge(12%of permit fee): $21.60
CCB lie.:63147
\,. -
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: ' ■. �' �4, _ _ Date: � 1 * Fee methodology set by Tri-County Building Industry
- • Service Board.
l:\Building\Permits\BUP OM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
' / _ 46-6,-12-
City of Tigard ` Lot � � l
IPI
~ COMMUNITY DEVELOPMENT DEPARTME NT JJ
N.
T I G A>zD Building Permit Review — Commercial - With Land Use
Building Permit #: +73 u P a v/45-- 0 00 3(o
Site Address: g s3) uiltiK J/= Suite/Bldg#:
Project Name: Cke) ) cvc.i.
(Name of commercial business occupying the spa If vacant,enter Spec Space.)
Planning Review /f /
Proposal: ,1�.k.1 '7� 'A /.v l �X 3 caylC -S 4? kviri 4
erify site address/sui • #exi. . and active in permit system.
/and Use Case#:
Gum v/3 Lfxv<
Ia Plan/Match Approved Land Use:
)cite Plan IQ ndscape Plan ❑ Other:
wLfl Urban Forestry Plan [ Elevation Plan i
ilding Height: Maximum Height s! Ac 5A1 Height (p ��
_ 1p� nditions Met: ❑ Prior to Submittalrior to Permit Issuance
NP'��
VBusiness Lice e:
xists: L/J Yes ❑ No,acfi
fe Public Facilit' Improvement(PFIppli)ant m
Pernotiit: ed to obtain business license
Required: Yes,applicant was notified ❑ No Applied For: ❑ Yes No, stop intake
i
Notes: /jS.2p - • i. 1 • �, _/ • _ . A• ,e, =.
Approved by Planning: ' Date: 3 -/S
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ,l/1-1//iii
Site Plans: #
, Building Plans: #
Building Permit#: Enter building permit#above. ,—,�
Workflow Routing: Planning Engineering i2r eermit Coordinator 'Building
..
Workflow Sign-off: Sir-off for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: (11 D[ t ._ ,, Date: r/,/j
L:\Building\Forms\BldgPermitRvw_COM_WithLandUse 0204I5.docx
I
Engineering Review
El Actual Slope:
ir-PFI Permit#: N � � ., T •041
Cl Conditions Met
NOT Approved by Engineering: Date Z/Z6 t5—
Notes: Ambo 1ZA 1 -/' T' 12-11d-a4154 : /U £ L1 pFl
La-�
7-1 Jws /14/E:r
Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
®II/Irs
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
rApproved,NOT Released: gliedtAiO a f a4 Date: 3 LS '
Notes:
5/3 r -e-4%y- 2 t
Revisions (after Building Submittal only)
Revision Noticc 1: Datc Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
)<DOK to Issue Permit
Approved by Permit Coordinator: I Date: A'
I:\Bui Iding\Forms\BldgPermitRvw_COM_W ithLandUse_0204I 5.docx
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
7850 SW DARTMOUTH ST, TIGARD, OR, 97223
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS -CofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
January 24, 2017 at 9:08:37
AM
Record ID:
BUP2015-00036
Inspector:
Chip Barnett
Contractor