Permit _ CITY OF TIGARD BUILDING PERMIT
r1 COMMUNITY DEVELOPMENT Permit#: BUP2015-00281
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/16/2015
Parcel: 1 S136CD02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Subdivision: PALMER ACRES Lot: 3
Project Description: Demolition of existing optical center and construction of a new 760 sq.ft.optical center.
Contractor: PACIFIC NORTHERN ENVIRONMENTAL Owner: COSTCO WHOLESALE CORPORATION
1081 COLUMBIA BLVD PROPERTY TAX DEPT 111
LONGVIEW, WA 98632 999 LAKE DR
ISSAQUAH,WA 98027
PHONE: 360-423-2245 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/16/2015 $2,048.19
Demolition
Occupancy Grp: M Occupancy Load: 8 12%State Surcharge-Building 12/16/2015 $245.78
Dwelling Units: 0 Plan Review 09/29/2015 $1,331.32
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 09/29/2015 $819.28
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 12/16/2015 $351.00
Value: $255,492 Info Process/Archiving-Lg$2.00(over 12/16/2015 $16.00
11x17)
Info Process/Archiving-Sm$0.50(up to 12/16/2015 $15.00
Floor Areas: 11x17)
Metro Const.Excise Tax 12/16/2015 $306.59
Total Area: 760
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,133.16
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
(bdo in accordant ith 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
. ATTENTION' Oregon aw requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
01-0010 through OAR 952- - You may obtain a copy of the rules or direct questions to OUNC by ccaalling 503.232.1987 or 1.800.332.2344
ed By: / 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.
Building Permit Application �q
Commercial
City of Tigard Received
Date/13y / PermitNo.: _
v 13125 SW Hall Blvd.,Tigard,OR Plan Review i `
>s Phone: 503.718.2439 Fax: 503.598.196tq Y Date/By \� 5 1; Other Permit:
Inspection Line: 503.639.4175 \�`` O� ` `0 Date ed/Metho Jur s: See Page 2 for
Internet: www.tigard-or.gov Q\ Notified/Method: `"� Supplemental Information
TYPE OF 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
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
$
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation:
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB 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: square feet
Suite/bldg./apt.no.: I Project name:Optical Remodel,Costco Wholesale Covered porch area: square feet
Cross street/directions to job site:Optical Center inside of warehouse 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.
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.
The work includes,but is not limited to:demolition of existing optical center, Valuation: $255,492.00
construction of new 760 SF Optical Center(including mechanical,electrical, Existing building area: 145,824 square feet
plumbing and fire protection systems) New building area: 145,824 square feet
® PROPERTY-.OWNER ® TENANT Number of stories:
Name:Costco Wholesale Corporation Type of construction: V-B
Address:999 Lake Drive Occupancy groups:
City/State/ZII': Issaquah,WA 98027 Existing: M
Phone:(425)313-8100 Fax:( ) New: M
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
refer to ee schedu
Please le
Business name:MG2
Structural plan review fee(or deposit): $1,331.32
Contact name:Christina Puzon
LS plan review fee(if applicable): $819.28
Address: 1101 2nd Ave,Ste.100 I
City/State/ZIP: Seattle,WA 98101 Total fees due upon application: $2,150.60
Amount received:
Phone:(206)962-6624 Fax::( )
E-mail:Christina.Puzon@MG2.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name: PNE Corporation Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1081 Columbia Blvd. Solar Installation Specialty Code checklist.
City/State/"ZIP:Longview,WA 98115 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 360)423-2245 Fax:( 360 )423-2272 State surcharge(12%of permit fee): $21.60
CCB tic.: 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:Mostafa Ahanchi Date: 9/25/2015 * Fee methodology set by Tri-County Building Industry
Service Board.
Authorized Agent for Costco Wholesale
440-4613T(]1/02/COM/WEB)
a
Building Division
Accessibility: Barrier Removal Improvement Plan
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] $All Accessible
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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:
(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): $
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard
COMMUNITY DEV]-LOI'MEN"I"DEPARTMENT
C
Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: M_o Sc-i JLn�no Suite/Bldg#:
Project Name: C6s_�c0
(Name of commercial business occupying the space. if vacant,enter Spec Space)
Planning Review
Proposal: 0 9 fi('C (rx'10
Existing Business Activity: no CO 61(1
Proposed Business Activity: C - C-1
Verify site address/suite# exists and active in permit system.
--P—River Terrace Nei hborhood: ❑ Yes lie No
Zoning: 6
Permitted Use: 4� Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: t� p h tZw ='/��G�y�n� Date: 9/30 11
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: ::71 p�G/
Site Plans: #
Building Plans: #
Building Permit#: rzi, ,rater building permit# above.
Workflow Routing: an,i!29 ermit Coordinator ui uig
Workflow Sign-off: _gn-off for Planning(include notes from planning review)
Route Application Documents: a ding: original permit application, site plans, building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: v� �� Date: �✓�%�1
I:\Building\Forms\BldgPumitRv A,_COM_NoLandUse_070915.docx
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
'Tigard'Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
OK to Issue Permit
01
Approved by Permit Coordinator: Date:
I:\BuildingTonns\BldgPennitRvw_COM_NoLand Use_070915.docx
MG2 Corporation
1101 Second Ave,Ste 100 206 962 6500
Seattle,WA 98101 MG2.com
TRANSMITTAL r"'ECEI /ED
SEP 29 2015
To City of Tigard
13125 SW Hall Blvd CITY OF TIGARD
Tigard, OR 97223
BUILDING DIVISION
Attn Branden Taggart Date September 28, 2015
Phone 503.718.2449 Project Tigard Optical Remodel
Fax Project Number 95-1840-22 08
From YsaBella Licciardi Number Of Pages Incl. Cover Page
Cc Christina Puzon
Send Via FedEx Priority Overnight - By 10:30am
Re Tigard Costco Optical Remodel
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Cd o cc
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Description o "t o car
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3 Sets of Signed and Stamped Drawings (Architectural, X X
Structural MEP
3 Signed and Stamped Project Manual (Scope of Work, Specs, X X X
etc
3 Signed and Stamped Structural Calculations X X X
1 Check in the amount of$2,150.60 X IX
1 Building Permit Application X X
1 Commercial Application Checklist X I X
Notes
Branden,
Please find attached the required documents for the building permit submittal for the Costco
Wholesale Optical Remodel project in Tigard, OR. We have enclosed three sets of signed and
stamped drawings, calculations, and project manuals, along with the required applications and
a check for the fee as discussed. Please let me know if you have any questions.
Thanks.
YsaBella Licciardi
ysabella.licciardi@mg2.com
206.962.6692
Privileged and confidential information: the information in this document is intended only for the
use of the above named recipient. Any wrongful review, dissemination, distribution or copying of
this communication is strictly prohibited. If errors occur in transmission, or enclosures are not as
noted, please notify us at once.
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 - C of O
BUP2015-00281
Jeff Grove
Violation Summary:
Inspector Contractor
FOR OFFICE USE ONLY—SITE ADDRESS: geco I d a-77-/
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11
IN
Transmittal Letter
r,c,n It D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Branden Taggart DATE RECEIVED:
DEPT: BUILDING DIVISIONI 4 ;:--:i # t,t
L3 4201E
FROM: Christina Puzon
litI:Y Li - ,,.....,ARD
COMPANY: MG2 3 '..nii.',1 L.,Vi:S:0 N
PHONE: 206.962.6624 By.
RE: 7850 SW Dartmouth, Tigard, OR 97223 BUP2015-00281
(Site Address) (Permit Number)
Costco Wholesale Optical Remodel �V
(Project name or subdivision name and lot numb-
ATTACHED ARE THE FOLLOWING IT .k S: AI
Copies: Description: Copies: Description:
3 Additional set(s) of plans. Revisions:
3 Cross section(s) and detail . Wall bracing and/or lateral analysis.
3 Floor/roof framing. Basement and retaining walls.
Beam calculations. � Engineer's calculations.
Other(explain):
REMARKS: Detail 9 En ged Plan: Revised pre-test area layout; added dimension at door 5B;
Updated Optical Equipm• t List and Casework Legend; Revised Elevations 2 & 3 per floor plan
Revised Floor Materia in Finish Schedule; Updated height of Window#1 per approved Submittal#3
FOR OFFI E USE ONLY
Routed to Pe • t Technician: Date: 2-1 'A',1 l 6 Initials:
efscij
Fees Due: t -s I 1 o Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: C///2/57N4 Date: 02.2;x,/'j(, ,/ Initials /
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
MG2 Corporation
1101 Second Ave,Ste 100 206 962 6500
Seattle,WA 98101 MG2.com
TRANSMITTAL
To City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223
Attn Branden Taggert Date February 3, 2016
Phone 503.718.2449 Project Costco Tigard, OR Optical
Remodel
Fax Project Number 95-1840-22 61A
From Christina Puzon Number Of Pages 21 Incl. Cover Page
Cc YsaBella Licciardi
Send Via FedEx Priority Overnight - By 10:30am
Re Costco Wholesale Optical Remodel:
Permit BUP2015-00281 Revision
Submittal
ar 3 v
✓ d
D 36 al
01 7
eS g h"ti
IIEcE'17 O 11'
Qty Description o u LL u cc d
3 Sets of wet stamped drawings X X
1 City of Tigard Transmittal Letter X X
Notes
Branden,
Please find attached the drawings sets to show the revisions that have been made to the
project since the permit approval. If you have any questions, please contact Christina Puzon at
206.962.6624, or christina.puzon@mg2.com.
Thanks.
Privileged and confidential information: the information in this document is intended only for the
use of the above named recipient. Any wrongful review, dissemination, distribution or copying of
this communication is strictly prohibited. If errors occur in transmission, or enclosures are not as
noted, please notify us at once.