Permit ,, CITY OF TIGARD BUILDING PERMIT
1111 '1-' CO MMUNITY DEVELOPMENT Pe rmit #: BUP2012 -00022
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/31/2012
Parcel: 1 S 136C D02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Subdivision: PALMER ACRES Lot: 1 - 3, PLL
Project Description: TI: New offices in existing office space.
Contractor: CENTREX CONSTRUCTION INC Owner: COSTCO WHOLESALE CORPORATION
8250 SW HUNZIKER RD PROPERTY TAX DEPT 111
TIGARD, OR 97223 999 LAKE DR
ISSAQUAH, WA 98027
PHONE: 503 - 684 -0443 PHONE:
FAX: 503 - 620 -6692
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 01/31/2012 $256.22
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 01/31/2012 $30.75.
Stories: 0 Height: 0 ft Plan Review 01/31/2012 $166.54
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Sm $0.50 (up to 01/31/2012 $0.50
Value: $12,000 11x17)
Plan Review- Fire Life Safety 01/31/2012 $102.49
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $556.50
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 U " ' Notification Ce er. Those ru es 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 OUN • by ca ing 503.232.19: ' or 1.8 A'' 332.2
Issued By , / ' Permitfee S \ \ _ _ _`
-4175 by 7:00 a:m: for the next available inspection da \
This permit card shall be kept in a conspicuous place on the job site until completion : the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial / FOR OFFICE USE ONLY
City of Tigard O Date/B / 1, Permit No.: l
III , r
° 1312 SW Hall Blvd., Tigard, OR 97 .?� V Pl R ev i e
C .: Phone: 503.718.2439 Fax: 503.i 1 le' Date/B : ' - -51--r Other Permit:
T 1 G A R D Inspection Line: 503.639 �\ y Date Ready /By: El See Page 2 for
Internet: www.tigard- or.gov \k \v �� l. `S S ...` Notified/Method: t • r Supplemental Information
; ,, " S . e I ; ,'' ' - TYPE OF, WQ . ` n i ,` ' REQUIRED DATA; 1- AND 2- FAMILY DWELLING
❑ New construction ❑Rilttiition 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: equipment, materials, labor, overhead, and the profit for the
�'n 4',- . ':.., '� °` " +i "' CATEGORY OF "CONSTRUCTION_ work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial/industrial Valuation. $
❑ Accessory building ❑ Multi- family Number of b ooms:
❑ Master builder ❑ Other: Number of bathr. , I s:
•4.° 'j ;G? ; Jill SITE INFORMATION' AND ,LOCATION. Total number of floors:
Job site address: 7850 SW Dartmouth New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage /carport area: ,quare feet
Suite/bldg./apt. no.: Project name: Costco Wholesale Covered porch area squ. : eet
Cross street/directions to job site: Pacific Hwy Deck area: square feet
Other strut., e 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.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
,.„' n * e . DESCRIPTION OF-WORK - work indicated on this application.
tenant improvement - make large office into three smaller offices Valuation: $ 1 C Q�Q
Existing building area: 140000 square feet
New building area: 0 square feet
;, '' ` El, PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Costco Wholesale Type of construction:
Address: 7850 SW Dartmouth Occupancy groups:
City/State /ZIP: Tigard, OR 97223 Existing:
Phone:( ) Fax:( ) New:
.0 ,44 -7.',,.;',,,,,' �,; k APPLICANTS : ❑. CONTACT PERSON - BUILDING PERMIT FEES* •
Business name: Centrex Construction Inc. (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Jimmy Severson
FLS plan review fee (if applicable):
Address: 8250 SW Hunziker Rd
Total fees due upon application: /537,p,�
City/State/ZIP: Tigard, OR 97223 '�
Phone: (503) 684-0443 Fax : : (503) 620 -6692
Amount receive
E -mail: jimmy @centrexconstruction. net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES
•'. Commercial and residential prescriptive installation of
• .CONTRACTOR .. - .
roof -top mounted Photovoltaic Solar Panel System.
Business name: same as applicant Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State /ZIP: Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lit.: S.723Sr & 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: Jimmy Severson " Date: 1/31/2012 * Fee methodology set by Tri Building Industry
Service Board.
I:\Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T( 1/02 /COM/WEB)
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: V C )t Q22 xpedited Review
Plan Submittal Date: 1 31/ 10 8,T7
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact i4 F" id_ at 503 - 718 - 01162- 7 ,�orr @ tigard- or.gov)
❑ Zoning C-6 (,0i) Permitted Use Yes IE No ❑
❑ Land Use Required: Yes ❑ No 11" (explain below)
Notes: 4/ Gha�,c�t Oic UdC,
Ll�' Approved ❑ Not Approved Date: /—
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN