FPS2021-00131 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2021-00131 ' r, r4 tfpv
Date Issued: 11/22/2021
T F r,A It ) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 136CD0220
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Wholesale Subdivision: PALMER ACRES Lot: 3
Project Description: Fire alarm permit-adding 4 notification devices.AFFIDAVIT SUBMITTED.
Contractor: DELTA FIRE&COMMUNICATION Owner: COSTCO WHOLESALE CORPORATION
601 NE 157TH AVE. PROPERTY TAX DEPT 111
PORTLAND,OR 97230 999 LAKE DR
ISSAQUAH,WA 98027
PHONE: 503-358-8542 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/15/2021 $91.44
12%State Surcharge-Building 11/15/2021 $10.97
Type of Use: COM Plan Review-Fire Life Safety-COM 11/15/2021 $36.58
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 11/15/2021 $0.50
Occupancy Grp: M 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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $139.49
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $2,000.00
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: l y ` `an �� Permittee Signature: 1 + \y�
l/ fie. JOI V' i '.
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.
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CITY OF TIGARD FIRE PROTECTION SYST ,,
t . . COMMUNITY DEVELOPMENT Permit#: FPS2021-00
T I C;A IZ IT) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/22/2021
Parcel: 1 S136CD02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Wholesale Subdivision: PALMER ACRES Lot: 3
Project Description: Fire sprinkler permit-reconnection 4 sprinkler heads.AFFIDAVIT SUBMITTED.
Contractor DELTA FIRE&COMMUNICATION 601 NE 157TH AVE. Owner: COSTCO WHOLESALE CORPORATION
PROPERTY TAX DEPT 111
PORTLAND,OR 97230 999 LAKE DR
ISSAQUAH,WA 98027
PHONE: 503-358-8542 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/15/2021 $112.96
12%State Surcharge-Building 11/15/2021 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 11/15/2021 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 11/15/2021 $0.50
Occupancy Grp: M Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: ORD2
Density: .2 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $172.20
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,450.00
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: } \ \ l r 1 ,C Permittee Signature:
J
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.