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Permit
1, _,r; CITY OF TIGARD BUILDING PERMIT ` a 1 s ;..• COMMUNITY DEVELOPMENT Permit#: BUP2015-00285 TIGARD 13125 SW Hall Blvd ,Tigard OR 97223 503 718 2439 Date Issued: 10/15/2015 Parcel: 1S 136CD02200 Jurisdiction: Tigard Site address: 7850 SW DARTMOUTH ST Project: Costco Subdivision: PALMER ACRES Lot: 3 Project Description: Food court alteration-(building)enlarge walk-in cooler&food prep area Replace and relocate equipment Contractor: KEY MECHANICAL CO OF WASHINGTON Owner: COSTCO WHOLESALE CORPORATION 19430 68TH AVE SO PROPERTY TAX DEPT 111 KENT,WA 98032 999 LAKE DR ISSAQUAH,WA 98027 PHONE 503-231-0731 PHONE FAX 503-236-5848 Specifics: FEES Description Date Amount Type of Use. COM Class of Work: ALT T Permit Fee-Additions,Alterations, 10/15/2015 $1,407.95 ype of Const: IIB Demolition Occupancy Grp. M Occupancy Load: 12%State Surcharge-Building 10/15/2015 $168 95 Dwelling Units: 0 Plan Review 10/05/2015 $915 17 Stories: 0 Height: 0 It Plan Review-Fire Life Safety 10/05/2015 $563.18 Bedrooms: 0 Bathrooms. 0 DC Provision Review,COM TI-Ping 10/15/2015 $351.00 Value: $150,000 Info Process/Archiving-Lg$2 00(over 10/15/2015 $18 00 11x17) Info Process/Archiving-Sm$0 50(up to 10/15/2015 $20 00 Floor Areas: 11x17) Metro Const.Excise Tax 10/15/2015 $180 00 Total Area. 0 Accessory Struct 0 Basement' 0 Carport 0 Covered Porch 0 Deck 0 Garage 0 Mezzanine. 0 Total $3,624 25 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 Ut , Notific- .n 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 OU C by calling 503 2 1987 or 1.800 332 2344 \ Issued By: •ermittee Si natur•: ilk gmi 4 Call 75 by 7:00 a.m.for the next available ins. do date. This permit card shall be kept in a conspicuous place on the job site until c.mpietion.f the pr.'e, Approved plans are required on the job site at the time of each nspecti. . .. 'uildi ig Permit Application Commercial RECEIVED FOR OFFICE USE ONLY GG 11111 City of Tigard Date/Bea 0 r Permit No oul 6/�J'06)pSA 13125 SW l iall Blvd.,Tigard,OR 9 j 5 20i� Plan Review 0►�l Phone 503 718 2439 Fax 503 59160 Date/B i ,�_t�I� `� Other Permit TIGARD inspection Line 503 639 4175 n+ Y OF TIGARD Date Read'' /` Juns 0 See Page 2 for Internet www tt°'trd-or.(ov CIT O Notified/Method /6/4/10-137 — Supplemental Information b b BUILDINGDIVISI r— ,i+.Z(d 8,ti 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 't ®Addition/alteration/replacement ❑ Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ASo ac.° ❑ 1-and 2-family dwelling ®Commercial/industrial 1:1 Accessory building Ill Multi-family Number of bedrooms: 2 ❑ Master builder 111 Other: Number of bathrooms: p JOB SITE INFORMATION AND LOCATION Total number of floors: i Job site address:7850 Dartmouth New dwelling area: square feet City/State/ZIP:Tigard,Or 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Costco#111 Covered porch area: square feet VO Cross street/directions to job site: Deck area: square feet r 1 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 5• Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the �,i DESCRIPTION OF WORK work indicated on this application w Enlarge walk-in cooler Valuation: $ \:,; 1 Existing building area: square feet jiNew building area: square feet ® PROPERTY OWNER ® TENANT Number of stories: Aki Name:Costco#111 Type of construction: 1 Address: Occupancy groups: 4 City/State/ZiP: Existing: Phone:( ) Fax:( ) New- ‘4.1 ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* C�I Business name: Key Mechanical (Please refer to fee schedule) �I Structural plan review fee(or deposit): Contact name: Bill Zornes FLS plan review fee(if applicable): Address:4655 NE 190th Lane Total fees due upon application: City/State/ZIP: Portland,OR 97230 ri- Amount received: #/ 470,35— -.1 Phone:(503)231-0731 Fax: :(503)236-5848 f —"-► I PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: BZornes @keymechanical.com QN1uA/N(4,C4 K¢ Ai4 Nl '; Y ,e�„l„ Commercial and residential prescriptive installation of CO TRACTOR roof-top mounted Photo Voltaic Solar Panel System Business name: Key Mechanical Submit two )sets of roof plan with connec'e a etails and fire depa + ent access,along w' • e 2010 Oregon Address:4655 NE 190°'Lane Solar Installatio ecialty #. checklist. City/State/ZIP: Portland,OR 97230 Permit fee(inc...-s plan review $180.00 . admi fees): Phone:(503)231-0731 Fax:(503)236-5848 e surcharge(12%of perih' fee): $21.60 CCB lie.:0093479 Total fee due upon applicati . $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: Ray Merryman • Date: 10-5-15 Fee methodology set by Tn-County Building Service Board I.\Building\Permits\BUP-COM PermitApp.doc 02 4/.111 440-4613T(1 I/02/COM/WEB) 1 ` City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT TICAiU Building Permit Review — Commercial - No Land Use 01 Building Permit #: lr -u Pc:90/ .o o� Site Address: 19gc7j S ) 21„."-,,,,,,,,z4 ,,S)/ Suite/Bldg#: Project Name: Oejsi% D (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review // j / Proposal: ] ,e_ Gt .ao/A in n�-)r)/�,r. /12 - A.)Of Dn/ . Existing Business Activity: (QS- ©c77:P,(I�l ae l'P ‘/ Proposed Business Activity: /1 II /t la Verify site address/suite# exists and active in permit syst 7. /hi,' ver Terrace Neighborhood: ❑ Yes LVJ No IVitted oning: 0 ('erm Use: 7 (2 Yes ❑ No ❑ Spec Space nfirm no land use required. Business License: Exists: Yes ❑ No, applicant notified to obtain business license Notes: Approved by Planning: 1 _ Date: /b/Sh 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: /0/51/'D Site Plans: # Building Plans: # '1j Building Permit#: 12—Enter building permit# above. Workflow Routing: 2 Planning g---Permit Coordinator l2r Building Workflow Sign-off: B-Si n-off for Planning(include notes from planning review) Route Application Documents: (]" Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technicia : Date: /o/5-//S I\Building\Forms\BldgPenniiRvw_COM_NoLandUsc_070915 docx a Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes i /A (rin Tigard Trans SDC: ❑ Yes !'N/A Parks SDC: ❑ Yes E.'N/A ASK K to Issue Permit / Approved by Permit Coordinator: ate: o/s/ I\Building\Fonns\BldgPennitRvw_COM_NoLandUse_0709I 5.docx 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 BUP2015-00285 Jeff Grove Violation Summary: Inspector Contractor 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 BUP2015-00285 Jeff Grove Violation Summary: Inspector Contractor