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FPS2022-00112 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2022-00112 13125 SW Hail Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/15/2022Parcel: 1S136CD02200 Jurisdiction: Tigard Site address: 7850 SW DARTMOUTH ST Project: Costco Subdivision: PALMER ACRES Lot: 3 Project Description: Fire alarm permit:(1)new strobe in new hearing booth.Affidavit submitted. Contractor: FIRE SYSTEMS WEST INC Owner: COSTCO WHOLESALE CORPORATION 600 SE MARITIME AVE#300 PROPERTY TAX DEPT 111 VANCOUVER, WA 98661 999 LAKE DR ISSAQUAH, WA 98027 PHONE: 360-693-9906 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 08/15/2022 $77.99 12%State Surcharge-Building 08/15/2022 $9.36 Type of Use: COM Plan Review-Fire Life Safety-CUM 08/15/2022 $31.20 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 08/15/2022 $0.50 Occupancy Grp: Height: ft 11x17) Stories: 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: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Tota 1 $119.05 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $1,460.00 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 M3.639.4175 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 Fire Protection System RECEIVEb FOR OFFICE USE ONLY City of Tigard q Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 15 2022 Date/By: .. Plan Review = Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ON Other Permit: Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juds: 0 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information A6F V4`AK . R1G(2OIRCD"DAIIA 1 A1Vl1,.. AI►tTfI✓y' ❑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 z � work indicated on this application. CA 1 (ibl>Y. l�il;lttllJ I I+b1Y ❑ 1-and 2-family dwelling A—Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: .; C3 Total number of floors: Job site address: 76 SZ> C ��a� ��--��Jr — New dwelling area: square feet City/State/ZIP: Garage carport area: square feet Suite/bldg./apt.no.: Project name: tK.,GggCovered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet �D DATA:CUM��t�S'I' Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 1d61Cilabl+ "t3 ," *bK work indicated on this application. Valuation: $ 4,p rti.J Existing building area: square feet New building area: square feet !E1 O#�VI+iER ❑ h�Al1C"' Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: AI'PI.ICAlV I ] ONTA C 'PER3©AI NOTICE Business name: - All contractors and subcontractors are required to be Contact name: v licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed.If the City/State/ZIP: applicant is exempt from licensing,the following reasons c` apply: Phone:( ) _ Cl c"& Fax::( ) E-mail: u C+DN'i R l C r)<t BU*;b*(;IPERMiT"FEES* Business name: "er erto feescheQrtte P Ur/P Permit fee: Address: State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) Due upon application submittal. CCB : '� 7 3 Z Total permit fees: Authorized signature: - ------'---"—�- " Amount received: This permit application expires if a permit is not obtained Print name: Date: ls'l Z within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\FPS-PermitApp_031016.doc 4404613T(1 1 i0JCOW W EB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information 77777777, Describe'work'#o beone , ;. 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: Number of alarm devices: 1 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: Y. "'eF' A ercil Spitler Sprinkler Type ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ Suppression S stei Hood Project Valuation: $ C.) Eire AUM, Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: I $ ) Residential pqtilcY0( titldAlotkc� yste00 Square Footage: Permit Fee: 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 rr Sprinkler Project Square Footage: sq. ft. Tire'Protection Peiritanit Project valuation subtotal see A,B &C above): $ Permit fee based on project valuation see fee schedule): $ Permit fee based onsquare footage see D above): $ State Surcharge 12% of ermit fee): $ FLS Plan Review 40% of ermit fee): $ TOTAL: $ 1:ABuilding\Permits\FPS_PermiL,App_031016.doc 2 City of Tigard Permit No.: PRS)714—Cy/0, 13125 SW Hall Blvd.,Tigard,OR 97223 e Phone: 503.718.2439 Fax: 503.598.1960 Date Received: rhy)iL I � Inspection Line: 503.639.4175 Internet: www.tigard-or.gov By: c FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERA �Q IVE OR TENANT IMPROVEMENTS AUG 15 202Z (MAXIMUM OF 5 DEVICES WITHOUT PLANS) CITY OF TIGARD Project Name: Costco Hearing Booth Occupancy: M Job Address: 7850 SW Dartmouth St,Tigard, OR 97223 Suite: Contractor: Fire Systems West Phone: 360-693-9906 Valuation of work: $ 1,460.00 Type of System: (check one) ❑■Required ❑Non-required (check one) ❑Automatic ❑Manual ❑■Both Total number of devices added or moved under this permit process is 5 total per tenant space. Number of Proposed Smoke/Heat Detectors: To be Added(max 5) 0 /To be Relocated(max 5) 0 Number of Proposed Manual Alarm Stations: To be Added(ma.5) 0 /To be Relocated(m.5) 0 Number of Proposed Notification Appliances: To be Added(max 5) 1 /To be Relocated(max 5) 0 1, Walt Ovenstone Oregon Construction Contractors Board No. 49732 certify the following is true and defines the scope of work for this project: a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction. b) All notification appliances are located in accordance with the current state-adopted NFPA-72. c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having jurisdiction. d) Exposed wiring will not be covered until inspected. e) Final approval shall be subject to on-site tests and inspections. f) Voltage drop is adequate to operate all appliances. g) Battery supplies are capable of supporting the system modifications. h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications. In addition, I understand the following is required: • Submit(3)copies of a sketch showing the area of work within the building's structure. • Building fire protection system permit. • Electrical permit. • A copy of this document with a copy of the sketch attached shall be available for all inspections. Walter Ovenstone Digitally signed by Walter Ovenstone Signature: Date:2022.08.12 10:10:27-07'00* Date: 8/12/22 Print Name: Walt Ovenstone I:\Building\Forms\FireAlarmAffidavit_071514.docx Page 1 of 1 Costco Tigard 7850 SW Dartmouth St S�/c Or �e4c Tigard, OR 97223 O-Ob 1 cam, &J r-146 t4iIII`I-eZ-" 6'-A-6 6 C- I-D fQ lf—� RECEIVES AUG 15 ZOZZ CITY OF TIGARD BUILDING DIVISION Ify yl �q j5 ZZ Z '05 0 . NOTE: LAYOUT START POINT INOTE. EE 181 A601 FOR SIGNAGE LOCATIONS 0 L NOT E-ALL TRADES.. MAKE NO PENETRATIONS INTO PENETRATION RAT 0 PREFABRICATED BOOTH EXCEPT FONEITIRINKLNER AS APPROVED AND INSTRUCTED AT BOOTH CEIU BY THE MANUFACTURER III i NOTE: EXISTING FIRE SPRINKLERS REQUIRED PHARMACY IN HEARING CENTER BOOTHS 9-0"TYP 3(r'x 48"ADA - CLEARANCE 1H -fl HEARING CENTER II II T EYEWASH rr II I 509 12 i 2 ! I I Oj 136 0 4"MI N II CLEAR ALL SIDES OF BOOTH, 5 a CARPET INSTALLER NOTE TYPICAL AREA OF CARPET- AT SHOLD PROVIDE CARPET UNDER ALL CASEWORK-SEE 8 t ASH SERVICE COUNTER SEE CASEWORK CLOSURE PIECE REDUCER ACCESSIBLE SALES BOOTH % BETWEEN 36"1 24'D x 34'li A I AND WALL 22� LEGEND RELOCATED o A509 is CASEWORK MOUNTED SECTION AT SURFACE MCARPET BASE CART RAIL OUNTED TRANSITION 4.). SUSPENDED OVERHEAD SIGN u ii HEARING CENTER ENLARGED PLAN ll)—S—CALE1/4'=I.-011 1219 C,V,l--Z4 �j Cg d-o-/;619 r-1g,,c0-1-4t4,, st-Ad-136- (N)