Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00314
COMMUNITY DEVELOPMENT DATE ISSUED: 9/23/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136CD-02200
SITE ADDRESS: 07850 SW DARTMOUTH ST ZONING: C - G
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: COSTCO
Project Description: TI. Construction of new cooler /freezer and island cases, and rearranging warehouse racking.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: 2HR S: 2HR E: 2HR W: 2HR
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 4,064 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 30 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 424,066.00
Owner: Contractor:
COSTCO WHOLESALE CORPORATION KEY MECHANICAL CO OF WASHINGTN
ATTN. EXCISE TAX DEPT 111 19430 68TH AVE S
999 LAKE DR SUITE B
ISSAQUAH, WA 98027 KENT, WA 98032
Phone: Contact #: PRI 503 - 231 - 8731
FAX 503 - 236 -5848
Reg #: LIC 00093479
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 9/11/2008 $1,025.34
[FLS] FLS Pln Rv 9/11/2008 $630.98
[BUILD] Permit Fee 9/23/2008 $1,577 45
[TAX] 12% State Surch 9/23/2008 $189.29
(additional fees not listed here)
Total $3,931.94
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 than 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 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246 6699 or 1.800.332.2344.
Issued B,,o< i tecraittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspectio hattbb . 1 ess day
This permit card shall be kept in a conspicuous place on the j. _ until co • -bon of the project.
Approved plans are required on the job site at the time of each inspection.
=.) "? c ) Se-6 DNR--tM O (717-1
BuiPiing Permit Application
Commercial L' , FOR OFFICE USE`ON Y , '
Received
City of Tigard �, Datels ' A t J Permit No.: 1 i. .._ t —CO ° 13125 SW Hall Blvd., Tigard, OR 97223 _ e � A r
r1 Phone: 503.639.4171 Fax: 503.59 • , t D
P an cJe a�fl Other Permit:
TIGARD Inspection Line: 503.639.4175 - Date Remy /Byt � �� /T �� ® See Page 2 for
Internet: www.tigard -ocgov Notified/Method. 7 I 1 U, - Supplemental Information
.) i i TO e m 2,+r 41 t 91A
—
TYPE OF WORK -MO) REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction Okile +l�ron0 W 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 AtV11/4\IG equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building 1:1 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
,lob site address: 7850 SW DARTMOUTH ST New dwelling area. square feet
City /State/ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg./apt. no.: Project name: TIGARD, OR- CLR/FRZR RAIDL Covered porch area: square feet
Cross street /directions to job site: SW PACIFIC HWY (99W) & SW DARTMOUTH ST 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.: I S136C.D02200 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.
\EMOLITION OF EXISTING SALES COOLER/FREEZERS, ISLAND CASES AND Valuation S 424,066.00
. GRESS DOORS.
Existing building area: 145,824 square feet
CONSTRUCTION OF NEW SALES COOLER/FREEZER AND ISLAND CASES.
REARRANGEMENT OF WAREHOUSE RACKING. New building area: 145,824 square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: COSTCO WHOLESALE Type of construction: 111 -B
Address: 999 LAKE DRIVE Occupancy groups:
City /State/ZIP: ISSAQUAII, WA 98027 Existing: M
Phone: (425)313 -8100 Fax. (425)313 -8114 New: M
® APPLICANT .' CONTACT PERSON NOTICE
Business name: MULVANNVG2 ARCHITECTURE All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name. JOHN COURT under ORS 701 and may be required to be licensed in the
r++ jurisdiction in which work is being performed. If the
Address: 1 110 112 AVE NE, SUITE 500
applicant is exempt from licensing, the following reasons
City / State/ZIP. BELLEVUE, WA 98004 apply:
Phone: (425) 463 -1360 I Fax: : (425) 463-2002
E -mail: john.court@mulvannyg2.com
CONTRACTOR
Business name: KEY MECHANICAL BUILDING PERMIT FEES*
(Please refer to fee schedule)
Address: 19430 68" AVENUE SOUTH, SUITE B Structural plan review fee (or deposit) / � 5' 2
City /State /'LIP: KENT, WA 98032 - / 30
FLS plan review fee (if applicable)
hone: (253) 872- 392 Fax: (253) 872 -7398
Total fees due upon application: f (p i�� *
1 GCB lie.: 609 1 7 4 1
.n�tw�� Amount received.
miff Authorized sign re: 41§ � /' /� // This permit application expires if a permit is not obtained
/ 7 within 180 days after it has been accepted as complete.
Print name: Russell H. Hazz - • Date: 9/9/2008 * Fee methodology set by Tri- County Building Industry
p �} �� Service Board.
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