Permit q CITY OF TIGARD BUILDING PERMIT f
- -'- 2 COMMUNITY DEVELOPMENT Permit #: BUP2012 00197
T1 c ARD' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/17/2012
Parcel: 1S136CD02200
Jurisdiction: Tigard ,-
Site address: 7850 SW DARTMOUTH ST
Project: Costco Subdivision: PALMER ACRES Lot: 1 -3, PLL ,
Project Description: Pharmacy remodel
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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 •
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 10/17/2012 $67.00
Occupancy. Grp: M Occupancy Load: DC Provision Review, COM TI - LRP 10/17/2012 $10.00
Permit Fee Additions, Alterations, 10/17/2012 $347.48
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 10/17/2012 $41.70
Bedrooms: 0 Bathrooms: 0 Plan Review 10/17/2012 $225.86
Value: $18,000 Plan Review - Fire Life Safety 10/17/2012 $138.99
Info Process /Archiving - Sm $0.50 (up to 10/17/2012 $1.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $832.53
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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- 0010 throng A\ -001 -1 190. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ....
Is ed By: � � P ermittee Signature:
t. 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.
;i+
Building Permit ApplicaWED
Commercial FOR OFFICE USE ONLY
7 , Received �AMMA Permit No.: �►
City of Tigard p r T 1 2012 Da ,� : P� i f... _ u�l
13125 SW Hall Blvd., Tigard, 22
Date
� Plan BRey: view ►� , 16 t ( , : rPemiit: •
Phone: 503.718.2439 Fax: 50 11Vtii ADn D
T t C it D Inspection Line: 503.639.4175 Date Ready/By: curie: El See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information
: ' ': REQUIREDDATA, :,1= Ai•ID.2-FANIILY .
• .: TYPE :OF WORK•.,... ...:: ... ..
❑ 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: equipment, materials, labor, overhead, and the profit for the .
. CATEGORY' OF CONSTRUCTION . wo indicated on this application.
Valuat: : $
❑ 1- and 2- family dwelling &Commercial/industrial •
❑ Accessory building ❑ Multi - family Number o edrooms:
❑ Master builder ❑ Other: Number of ba • .oms:
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JOB .SITE INFORMATION AND LOCATION Total number of flog -
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Job site address: T, Mob wore o 9-€sv 514/ bolpriotten1/4 5.r. New dwelling area: square feet
City /State/ZIP: - [,Crr €12. z Z3 Garage /carport ar- \ square feet
.,
Suite/bldg. /apt. no.: Project name: WA A C , Covered por area: sq
� �Qyyir 1e� '-'- feet
Cross street/directions to job site: Deck ar..: square fe" .
m(rogeb 0(91. E)- C ( b90...tu.lrrt Othe structure area: square feet
A'- \e ` U f • REQUIRED DATA:,COMMERCIAL'USE CIITCICLIST
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
DESCRIPTION OF WORK work indicated on this application.
-- Valuation:- ,tfOtB - - - -- -- --
Existing building area ietiO10� square feet
A>✓HM
New building area: Q square feet
PROPERTY OWNER • . TENANT • Number of stories:
Name: C p t.V1^o1,-,t Type of construction: 4Ifiii, Can - y R►E 1 WI
Address: q2gs0 gid aitltiUL' 1,51■ Occupancy groups:
City /Stale /ZIP: 1-- g,� t 1:94e. 1:94e. Z3 cli I Z' Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT 0 CONTACT PERSON • BUILDING PERMIT FEES *.
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Business name: /� (Ple refer to fee schedule) -
1.-��1 0��� `' '04^,t Structural plan review fee (or deposit):
Contact name: --M 1AMMl,Nv
FLS plan review fee (if applicable):
Address: ea 2.619 Stf 6- Vt'U`gytaElr..- %r•• .
fees due upon application:
City /State /ZIP: - rit..4� �� a 4 2 -7__
1 l Amount received:
Phone: (563) (Q$ u l —cy t" I Fax: : (5 CZCD -CER 1— ,
SOLAR PANEL SYSTEM FEES*
E mail: 4.4,rlWt
Q.),'1/4" m4A'11.1tr't Comma ial and residential prescriptive installati.n of _
CONTRACTOR ^ - roo - m. nted Photo Voltaic Solar Panel em.
Business name: A� i'�•a'l� -- Subi l
mt two ( es of roof p lan with co. ction details
m.d fire depattm • access, along w' • a 2010 Oregon •
Address: Solar Installation Sp 'ally Cod- ecklist.
City/State/ZIP: Permit fee (inclu. . . review $150.00
y and adm' • ` Ira; - fees):
Phone: ( ) Fax: ( ) State surchar: - 2% of permit fe- $21.60
CCB lib.: 56 355 fee due upon application: $201.60
Al i
Authorized signaturet�, ' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete. ■
Print name: . -i ,.‘, e. - Date: i (5)(l 6,2 * Fee ee I3
methodology set by Tri- County Building Industry
I:\ Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(l l /02 /COM/WEB)
s._ • Building Division
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Accessibility: Barrier Removal Improvement Plan
T IGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to :
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ 1a ,tea
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the •
following order:
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(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
. x
i \ (,t1 A (c_ , ,
L \Building \ Permits \BUP -COM PemnitApp.doc 03/03/2011
q Building Division
Plan Submittal Requirements
TI G A R D Commercial & Multi - Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
- G. Finished floor elevations. • -
2. EROSION CONTROL PLANS AND DETAILS. 14 1A
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape -ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan. ANA
/C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan,
F. Seismic bracing detail for suspended ceiling. sJ A
G. Roof plan, iJ
H. Exterior elevations. ►l(A
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet..)
K. Deposit - based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
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1:\ Building \Permits \BUP -COM PenrutApp.doc 03/03/2011
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Building Division
Plan Submittal Requirement Matrix
T I GA R D Commercial & Multi- Family - New, Additions or Alterations
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• Type of Submittal .. # of Plans .
eludes new 'additions and alterations: - ''Re q uuedat
� � } q
Subiriittal .- .
Demolition Permit 3
(site plan required showing location and square
footage of all buildings to be demolished) N1P
• Site Work - - 3 • •
(must include location of all accessible parking) N,1�
Plumbing (site utilities) 2 --ll
r_\
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Building 3
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Fire Protection System 3
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Mechanical 2
Plumbing (building futures
g� g ) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue), if applicable.
1
1: \Buildin \Permits \BUP -COMI PermitApp.doc 03/03/2011
Et
It
Building Division
Development Code Provision Review
T,IGARD Commercial Projects - No Associated Land Use Case
Building Permit No: dcA P 96 1` —00 /5'7 ,Expedited Review
Plan Submittal Date: (D// 7 // z
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 \AGIYlSSy D(U/NiQ.tS at 503 - 718 - 142? or YYl0X1 SSO @tigard- or.gov)
❑ Zoning C, Permitted Use Yes ❑ No ❑
❑ Land Use Required: Yes ❑ No 1E1' (explain below)
Notes: WO MOdny o F use a• ad di 1 CU Io0■-
1 x w maw) rexv. ockei at CoSI-co
7 1 Approved ❑ Not Approved Date: 10 in 112
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert@tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Pct ,( Occupancy Group: Type of Construction:
*Type of Use: CriZA Occupancy Load: Oregon Specialty Code: 2_6(()
SPECIFICS
Number of Stories: Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback — Left Sideyard Setback — Front
Sideyard Setback — Right Sideyard Setback — Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ Cis,, FEES DUE
$ Or, • DC Prov Rvw, COM TI — Ping
$ • • DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ ,„1,Vd s- Permit Fee — Add, Alt, Demo
Project Valuation. Planning LRP $ ( 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ ?,41/1 s Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ 1 5 Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ lfisc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time:
$ 632 = TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \Building \Forms \OTC - BUP.docx 07/01/2012