Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IN = COMMUNITY DEVELOPMENT Permit#: FPS2020-00132
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/4/2021
T t G A R C� 9 Parcel: 1S136CD02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Wholesale,fire alarm upgrade Subdivision: PALMER ACRES Lot: 3
Project Description: Upgrade existing fire alarm system,sprinkler monitoring,duct detec monitoring,and full notification.Replacing old
sprinkler monitoring system
Contractor: ADT LLC Owner: COSTCO WHOLESALE CORPORATION
7989 SW CIRRUS DR PROPERTY TAX DEPT 111
BEAVERTON, OR 97008 999 LAKE DR
ISSAQUAH,WA 98027
PHONE: 503-469-7241 PHONE:
FAX: 503-469-7110
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/04/2021 $419.52
12%State Surcharge-Building 01/04/2021 $50.34
Type of Use: COM Plan Review-Fire Life Safety-COM 01/04/2021 $167.81
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 01/04/2021 $8.00
Occupancy Grp: M Height: 20 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 01/04/2021 $16.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $662.17
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: t L.,
`�U� V��Call 503.639.4175 by 7:00 a.m.for the next available inspection n date. �`i�`W^
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit ApplicatioRECEIVED 13-12_1 1 -
Fire Protection System DEC 16 2020 FOR OFFICE USE ONLY-
Received 'L` `�) Permit No. �tb7— 3
City
of Tigard e Ci.— ZO rvv 001 2
III • 13125 SW Hall Blvd.,Tigard,OR 9722aC1TY OF TIGARD Date/By:
R view A
Phone: 503.718.2439 Fax: 503.598.��pILDING DIVISION Dale,By: la-a F'e�.a Other Permit:
1 ® See Page2foe
tli ,�Ril Inspection Line: 503.639.4175 Date Ready! y �4+�-f�.
t[T
Internet: www.tigard-or.gov Nonfified/Method'.i { — Supplemental Information
Ot.i7V-i.v!Lai -!- IJr.'.) -. ,.
�' 1' ;, I l TYPE OF %%ORK REQUIRED DATA: I.- Ie -
-AND 2 ? i LVD$ �
O 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: Upgrading fire alarm system equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRLJ4TTION work indicated on this application.
Valuation: $
❑ I-and 2-family dwelling !0:1 Commercial industrial
Number of bedrooms:
❑Accessory building ❑Multi-tamily
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address, 7850 S.W. Dartmouth St-Costco Wholsale Tigard New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Costco Wholesale,fire alarm upgrade Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Dartmouth&99W 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.
Upgrade existing fire alarm system, sprinkler monitoring, duct detec monitoring, Valuation: 35,000
and full notification. Replacing old sprinkler monitoring system. Existing building area: 151,306 square feet
New building area. square feet
El PROPERTY OWNER Yi TENANT Number of stories:I
Name. Costco Wholesale , Type of construction:l l-B
Address: 7850 S.W. Dartmouth St Occupancy groups:M
City/State/ZIP: Tigard,OR 97223 Existing:M
Phone:( 503)639 0811 Fax:( ) New:
M APPLICANTCDNTACT PERSON Et . "
Business name:my city of Tigard online Accela name: ncholas@brainpowerinc.net All contractors and subcontractors are required to be
Contact name: Nicholas Hage licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: PO Box 310 jurisdiction in which work is being performed.If the
City/State/ZIP: Gladstone, OR 97027 applicant is exempt from licensing,the following reasons
apply:
Phone:( ) 503.421.2444 Fax: ( )
E-mail: nicholas@brainpowerinc.net (also my log-in for city of Tigard Accela)
CONTRACTOR BUILDING PERMIT FEES*
Business name: ADT Commercial Permit
+`fttfizi sedate
Permit fee: 419.52 (see p2)
Address: 9350 S.W. Nimbus Ave
State surcharge(12%of permit fee): 50.34 (see P2)
Cin/State/ZIP: Beaverton, OR 97008 FLS plan review(40%of permit fee): 167.81 (see P2)
Phone:( ) 503-469-7113 Fax( ) (Due upon application submittal.)
CCB lie: 196560 Total permit fees: 637.67 (see P2)
Amount received
Authorized signature: Nrc.7o Fr, [•/ ,z Lit! , 7
J V o L I z �" This permit application expires if a permit is not obtained
Print name: Nicholas Hage Date: 12-8-20 —I within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:,Building\Pemtila\FPS•PermiiApp_h31016.doe 440-413T11 I/021COMVEBI
1
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done;
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: n/a (existing) Number of alarm devices: about 140
® Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3)copies of sketch showing area
to existing of work within building structure of work within building structure
system
❑ 11+heads: Plan review required and ® 6+ devices: Plan review required and
(3)sets of plans. (3) sets of plans.
Additional description of work:
Upgrade existing sprinkler monitoring to new addressable panel &full notification
Type of System (Complete A,B, C or D as a s u licable):
A.) Commercial Sprinkler
Sprinklci 1 ype ❑ we, ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
B.) Type I Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $35,000
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Nee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A,B & C above): $35,000
Permit fee based on project valuation (see fee schedule): $338.92+80.60=$419.52
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $419.52 x 12%=$50.34
FLS Plan Review(40% of permit fee): $419.52 x 40%=$167.81
TOTAL: $419+50+167= $637.67
1,VI3uilda,g\YermiisVFPS_pcnnitApp_04101 o.doe 2
RECEIVE � FOR OFF�-12 1(° �`'
Electrical Permit Applicatio ICE USE ONLY
Received\A�`'w \ ��� Z Q
' City of Tigard DEC1 q Uate/B-. ` IL°....20 `M F,.m t P. .10 Lo'00 ✓ et
.-1'1 13125 SW Flail Blvd.,Tigard,OR 97223 UC 6 2ULO
g Plan Review Related Permit:� ��,Q{4)".�A"32
Phone: 503.718 2439 Fax: 503.598.196 Uate/B
Inspection Line: 503.6394175 UITY OF TIGARD Ready Datei3y. ® See Page 2 for
TIGARD Internet: N'W W.ligard-or gOV Ne5lied/Melhod Supplemental Information
BUILDING DIVISION'
TYPE Of WORK PLAN',REVIEW
❑New construction ®Addition/alteration/replacement Please cheek all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑ Other. where the available fault cur rent 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at ISO volts or 0 Floating buildings. t
less to ground.or exceeds 14,000 0 Commercial-use agrieulmral
❑ I-and 2-family dwelling ®Commerclal!mdustrlal ❑Accessory building
amps for all other installations. buildings-
❑ Multi-family ❑ Master builder ❑ Other: 0 Fire pump. 0 Installation of t 50 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
- .- 0 Addition of new motor load of system.
Job#: Job site address:7850 SW Dartmouth St. 100IIP or more ❑'A "E "I-z','t-3
Cit /State/ZIP:Tiard, OR 97223 ID Six or more residential units. occupancy.
y 9 ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Costco Wholsale Tigard ❑Hazunluus locations ❑Supply voltage for mote than
❑Service cur fouler 600 cups or more 600 coifs nominal. I
Cross street/directions to job site: FEE SCHEDULE
Dartmouth/Hwy217/Hwy99W Description ow- I Farh I Tina]
New residential single-or multi-family dwelling unit.
Subdivision: Lot 4: Includes attached garage.
1,000 sq.ft.or less 168,54 4
Tax map/parcel/1:
La.add'I 500 sq.ft or portion 33,92 1
DESCRIPTION ION OF.:WORK Limited energy,residential
75.00 2
Replacing existing 24volt fire alarm system with new system, sprinkler monitoring,
(with above sq.It.)
Limited energy.multi-family 75.00 2
duct detector monitoring, notification throughout. residential(with above sq.ft.)
Renewable Energy 0 See Page 2
0 PROPERTY OWNER ® TENANT Services or feeders installation,alteration,and/or relocation
Name:Costco Wholsale Tigard 200 amps or less 100.70 2
Address:7850 SW Dartmouth St. 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard, OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( )503.639.0811 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
t ;CANT Acr F, f4 (l1. Branch circuits—new,alteration,or extension,per panel
'- �r= --- .x.l A.Fee for branch circuits with
Business name:my city of Tigard online Accela name: nicholas@brainpowerinc.net above service or feeder fee, 742 2
each branch circuit
Contact name:Nicholas Hage B.Fee for branch circuits without
Address:PO Box 310 bra service or feederfee,first 56.18 2
branch circuitit
City/State/ZIP:Gladstone OR 97027 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( )503.421.2444 Fax: : ( ) Each manufactured or modular 67.84 2
nieholas brain owerinc.net dwelling,service andlor feeder
Email:
@ p Reconnect only 67 84 2
W.,, CONTRACTOR .. Pump or irrigation circle 67 84 2
Business name:ADT Commercial Sign or outline lighting 67.84 2
Signal circuit(s)or limited-enerbry ® see Page 2 24v Fire 2
Address:9350 S.W. Nimbus Ave panel,alteration,or extension
City/State/ZIP:Beaverton OR 97008 Each additional inspection over allowable in any of the above
Additional inspection(1 hr mu)) 66.25/hr
Phone:( )503.469.7113 Fax:( ) Investigation(I hr min) 90.00/hr
Email:JSchuh@adt.com Industrial plant(1 hr min) 78.I8/hr
Inspections for which no fee is 90.001 hr
CCB Lic.:196560 Electrical Lie.:CLE595 Suprv.Lic.:4274LEA specifically listed(9'hr min)
Suprv.Electrician signature,required:5'cte.e.E Q.. Subtotal 75
Print name:Steve R. Runkle Date:12-8-20 ®Plan Review Required(25%of permit fee): 18.75(fire life safety)
-f 2- LI (—� / State surcharge(12%of permit fee). 9
Authorized signature:N/ D/, ligge 5 /i 0 3 , L I e 1 —1 TOTAL PERMIT FEE. 102.75
This permit application expires if a permit is not obtained within 180
Print name:Nicholas Hage Date:12-8-20 days after itbas been accepted as complete.
* Number of inspections allowed per permit.
I Madding\PermitslELC_PermitApp_ELR_ERE.doe RCN tX/I7/2015 440-4615TtI I/05/COM,WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: ,; ; "��r Fiw1, SCHEDULE
oescnprion I pry. I Each I Total I
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 00 70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* I00 kva fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of25kva:
System*
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25./hr
charged at an hourly(1 hr min)
Inspections for which no fee Is 90.00/hr
speeitical lv listed I/hr nun)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: S75.00 allowe Subtotal(enter on Page >_
(SEE OAR 918-309-0000) Number of inspechous allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
• Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I'..\Building\Permita\ELC_PermitApp ELR_ERE dot.Rev 06/17/2015
F 1
y ` .
Branden Taggart
From: #Building Permit Technicians
Sent: Monday, January 4, 2021 3:18 PM
To: Nicholas Hage
Subject: RE: Costco Wholesale: FPS2020-00132 & ELR2020-00138 - 7850 SW Dartmouth St
Attachments: Invoice.pdf
Hi Nicholas,
The fire alarm permit for Costco is ready to issue now. The balance due is$662.17, and I have attached an invoice above
for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number
(FPS2020-00132) in the Record Number field, and click Search. Once paid, please notify us at
TigardBuildingPermits@tigard-or.gov, and we will place this permit and the approved site copy set of plans in our open
Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through
Thursday. We are closed on Fridays. No appointment is necessary to pick up.
Regarding the status of low voltage permit ELR2020-00138,this permit application was included with the Fire Protection
System fire alarm permit submittal, and we issue both of these permits at the same time when the Fire Protection
System permit is ready to issue. In the future,you can choose to create the low voltage permit online instead of
submitted both applications to us for review. Once the fees for FPS2020-00132 are paid, we will issue both permits.
Thanks,
Branden Taggart
o City of Tigard
i a Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brande nt@tig and-o r,gov
From: Nicholas Hage <nicholas@brainpowerinc.net>
Sent: Monday,January 4, 2021 10:08 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Re: Costco Wholesale - 7850 SW Dartmouth St
Warning!This message was sent from outside your organization and we are unable to verify the sender.
Hello, can someone let me know the status of ELR2020-00138 (Costco on 7850 Dartmouth)?
The online portal says "Ready to Issue". Please let me know if anything is missing or need me to
do.
1
Thanks,
Nick
On 12/16/2020 6:08 PM, #Building Permit Technicians wrote:
Hi Nicholas,
Thank you for your recent permit submittal.
This submittal has met the requirements needed to begin plan review. We will contact you for
payment, if applicable, or when the permit is ready to issue. Please allow 4-8 weeks for processing.
Tina Escalera
Permit Tech Assistant
City of Tigard I Community Development
13125 SW Hall Blvd.Tigard, OR 97223
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If
requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public
Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative
Rules "City General Records Retention Schedule."
2