Permit Support Document (42) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
■ " COMMUNITY DEVELOPMENT Permit#: FPS2021-00097
TT G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ' Date Issued: 6/6/2023
I Parcel: 1S136CD02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Subdivision: PALMER ACRES Lot: 3
Project Description: Fire sprinkler. New sprinkler heads and piping in remodeled produce cooler.
Contractor: HYDRO TECH FIRE PROTECTION INC Owner: COSTCO WHOLESALE CORPORATION
15218 NE CAPLES RD PROPERTY TAX DEPT 111
BRUSH PRAIRIE, WA 98606 999 LAKE DR
ISSAQUAH,WA 98027
PHONE: 360-256-2816 PHONE:
FAX: 360-256-2817
FEES
Description Date Amount
Specifics: Info Process/Archiving-Lg$2.00(over 02/28/2022 $8.00
11x17)
Type of Use: COM Info Process/Archiving-Sm$0.50(up to 02/28/2022 $34.00
Class of Work: ALT Type of Const: VB 11x17)
Occupancy Grp: M Height: ft Permit Fee-COM 02/28/2022 $177 52
Stories: 1 12%State Surcharge-Building 02/28/2022 $21.30
Plan Review-Fire Life Safety-COM 02/28/2022 $71.01
Additional Plan Review 05/30/2023 $45.00
Commercial Sprinkler System: Misc Administration Fee 07/25/2023
Sprinkler Required: Yes Sprinkler Type: Dry $45.00
Standpipe Required: No Hazard: ORD1
Density: .385 Design Area: 1500
K Factor: 05.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $401.83
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $10,000.00
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
Issued By: Permittee Signature:
al 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.