Permit Support Document (40) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
71
It H. COMMUNITY DEVELOPMENT Permit#: FPS2021-00096
T I G AR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 I A ( Date Issued: 6/6/2023
®�_ Parcel: 1 Tigard
02200
,' Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Subdivision: PALMER ACRES Lot: 3
Project Description: Fire alarm. Rewiring and revised layout of the fire alarms in and around remodeled produce cooler.
Contractor: ADK ELECTRIC INC Owner: COSTCO WHOLESALE CORPORATION
9000 NE 90TH STREET PROPERTY TAX DEPT 111
VANCOUVER,WA 98662 999 LAKE DR
ISSAQUAH,WA 98027
PHONE: 360-546-5155 PHONE:
FAX: 360-576-6975
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/30/2023 $123.72
12%State Surcharge-Building 05/30/2023 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 05/30/2023 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/30/2023 $4.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/30/2023 $6.00
11x17)
Building Misc Fund(copies/prints) 05/30/2023 $2.75
Commercial Sprinkler System: Additional Plan Review 05/30/2023 $45.00
Sprinkler Required: Sprinkler Type: Misc Administration Fee 07/27/2023 $45.00
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: No Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $29081
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $4,500.00
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
Issued 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.