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Permit BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2006 -00115 1 41 DEVELOPMENT SERVICES DATE ISSUED: 4/14/2006 Ail 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S136CD-02200 SITE ADDRESS: 07850 SW DARTMOUTH ST ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG Project Description: ADD (6) HEADS RELOCATE (6) REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: UNK : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,200.00 Owner: Contractor: COSTCO WHOLESALE CORPORATION PATRIOT FIRE PROTECTION INC ATTN: EXCISE TAX DEPT 111 4708 NE MINNEHAHA ST 999 LAKE DR VANCOUVER, WA 98661 -1843 ISSAQUAH, WA 98027 Phone: Contact #: PRI 360- 699 -4403 FAX 360 699 - 4485 FEES Reg #: LIC 70822 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 4/14/2006 $62.50 [TAX] 8% State Surchan 4/14/2006 $5.00 [FLS] FLS Pln Rv 4/14/2006 $25.00 Total $92.50 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 than 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 -e1 • - ough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calli nt 503 -246 -60' '/ r 1- 800 - 332 -2344. Issu d By /At _ , ' : Permittee Sign. - "4 j t yd�- -< Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. 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. . 7■FrO P.'41k/e?0,;C-+INACYZAJII\-. cos(xia _ Fire Protection System ^^ • -- !!' qr � ct` .: 1. 1,e wit; g>;1 �. ct ` - g it;I e11 J ' Building Permit Applica, • i.. - ' fi t p. l o ` ol c 1 : i ., c�N t. i = �, : F � Il.. _ ' '. - A UWA Y C,{ .L . V / 4 A«�k . x -h u s • M City of Tigard �� Q � O Received � /�/� �/ �� � �� Date/B i __ PerrmtNo.: od��b-d•'r :�I 13125 SW Hall Blvd., Tigard, OR 97223 Q a Plan Review y Phone: 503.639.4171 Fax: 503.598.1960 Q ii - i i 4,.,' . 4, 4 Date/g �V. Other Permit: Inspection I I ection Line: 503.639.4175 ��. / i � P „ 4 � a Date Rea 0 � 4 , �i7 El See Page 2 for Internet: www.ct.tigard.or.us •. Notified/m L,,Aa , � 7� I r , , Supplemental Information I n .cv... , d.;� ."Ai'- ':°k.� • � ' b Y � ''":-�r�,�rtX t.: •'•n ° PA'S' .m.'r;4 t�s��e•�« «- •,��`ntv ^"' r ,+�'R�' >a +:.�s.:..�•.a•:�;;n ^.r .;,� ` _ , .µ.ms.•. • ; +;. e4 r 7 { a :;t1 , ' ' TYPE, OF, gdfil '*'�;:' 4 zar= X= *.4 f a Iki - �., ... m: �.r P i f' f6 . ^ i^� `ue # . � t6 REQiJIR >DA Ti1:$1. , P AR'I ILYDWET £ t wry - .ax ',�' �:�Cr::' a•:.. - t* , ^..f�'.?:�w,. � .. .,. :i.atskc. —x .a•� > :... �G - ❑ New construction ❑ Demolition NPermiLfe6s•�a[6 ased on the value of the work perform O Indicate the value (rounded to the nearest dollar) of all )Addition /alterationheplacement ❑ Other: it ■ `{ '(�p i ii ' a. - . 'T ° s or, overhead, and the profit for the Y ?F Y'1"� +{• t r +a'.•aax =x+'r. . Y�' •areer- xeSSU.u*•3"w:aL•e?,'Jrg• ;rs'?,` Y x`: q • •-*ts=#s ' .. a' ° "'^: 4%: , W 1- Y, WO- t . t' • e. • ' n ,l \ i , ? '° r CA1aEGO,....UF CONSTRUCTION' • -� ; ; .. ' 44� , rt �..; .' $ cation. • n.- xsc:+cu.m..w,�^ . da$' L... � :t;�- �,.. ❑ 1- and 2- family dwelling , jeCommercial /industrial I o n: El Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: • / . 1 1 X 4- , iN : i V .TOB io,r4 e1ND irdwiON` �'A ` `' a , Total number of floors: •i _ }`: sfi-,N,u_ ,a-' r . - t .r•_ � Job site address: 7g r • •/ D,esz-' m n-.t RD New dwelling area: square feet — City /State/ZIP. •j tt -, (Z,Dr ©K_ enz Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 6,=S l r cti Covered porch area: square feet • Cross street /directions to job site: Deck area: square feet Other structure area: square feet . REQUUUED 'DATAe:COMMERCIAUUSE;CHECKLIST. • Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax m /parcel no.: Indicate the value (rounded to the nearest dollar) of all .K�,,," ;tee R Y P _ I � .: w,. r1el. equipment materials, labor, overhead, and the profit for the y {tr: pX it =w "' a- t, ,. 'DESCITUN OF WORK ' i , application. "':N:v {� = . � - �„ +�.� work indicated on this .•,L*c:.•�.•.s'•.�'x-i'A'_3. tr.!3,: '.. :tti^9aF.+ sin+ �Y> aa` 8. 1�aY:• 17G' �: i, 3S. e- Valuation: S i ZC.7t:7 A E. >e A �( FE Existing building area: square feet New building area: square feet ;, . ni _ !y`l' iiz �e.a, . "."A(ty.,- _ y''_, i,�; •,,_ t, �,e.7 " -.- ,. ERTYi;OWNER`•='°' - ,` +`. o s. ti • �i ® 5 TEIV AN T. r i gf . r : , ; �s - " , .r, li i Number .�. "vn y4 %:s-5 _ - .. - .. ...a ::. w� x_. a. 44 ::3 :'•�n"'•:'1 >:..: ^.a•ti�. cc" .. .... .. 3',',.tfx.. °by'al. .,..., :;,; ber of stones Name: , - -r-c.„.„(2) Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: aM IC, Phone: ( ) Fax: ( ) V' � New: (��� 6--v—P. 1. •, .. �,• ,, APPLIC 0 . i .. u J ,, . . , 'CONTA xP ,k .. - r�� .1'., _, � y. ,n.w,,,....3a. � ?� ® CT ERSON bt � m �.;: mow, -. „._7,� ,:� ; �• �.: <.•; .' , . • • ; -. .. _ . ,�; , �w":.�w. _. _., -»,u ,.,. ,. .e�N'r. � .!�'�i +.a',�^. ' #'1 ' , :_ _ ... t s' • .+N Business name: ` � A - t �I ('jl 1 �_ (� � -- ".. _ Q ., �_4r;x: ;.,;-, .c,s�= z�tior.,- ,:.a:14:a..:..... .. _.b,�;r�;'���4:,�•. -�;'. ° . -.. Y�KCy GT' i tV L - MI contractors and subcontractors are required to be Contact name: JecF �-.1 �(� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 170E5 k(,E M t t� A ` . 1 / -}A S'T jurisdiction in which work is being perfo �� t the U t• (C c�uv W/_ a ( �v` applicant is ex empt RECEt t, <• a i easons City /State /ZIP: ji , ,{ app ' Phone: 6 �i — '440� Fax: : iC O)69�— " =, nC E -mail: ��) N APR 4 2oOU y. - v.i m ..z• .. � •a.1 �,. -. • ++N:* YJ' G ivsi f- �.°•�.t, •.„_,'„,, ,, (i'N E . •,„ - ;, C , ,q -.:*,/ a ?.'pis ' y'i":.'t• h'•' ':.i,:f.;, ,w,- N CO_NTI'RACTOR � ; ,-f < of•t4st , � tit q,rke $,�; _laxr, Or AGAR© :... � .. . �� �••' �.> �.: �,�. �:_ CITY Business name: A (Zl c) F ..e..._ , ':; sw �a,F' „I��Q ; . .� , ; = : ;. ...,. , .'@ , TT�-FEES •; .',;;,• >_,:+• x - Address: a I; ' K; ='' ,. r ._ a, . s - a Please refer to fee schedule. City /State/ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received q/� CCB lic.: — 7082.2 '� a L�. 5 -D Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ,J E COLS— i k-3 S Date. 3 /p Oct.. • Fee methodology set by Tn -County Building Industry Service Board i I \ Budding \PennitsWPS- PennbtAop doc 12/03 440- 4613T(1 I /02/COM/WEB) • k _ City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Descnbe� 1 itiD lYe.r� a , �` , ' r ixs, '% a .:.`„ . " �r, 0 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. - ❑ Alteration El 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: - +eriC" %' R�4*'A� - , ',�T: :�e:A .� 5S a +w. �+!so,+•++ � � +ter - �> >,•• J, '"[: -ti •-k • ;m• en :'��7' i°ff 'rz �,.,.��,?,.. �� �;� _ . = Y,i�nWC. r. y }�c.¢w,!y. =!."Y5+°';X; '^'Tq��u ?.,xw�.:.vr +�a±; +ar° - •a4R:;`. -: "i'" #'�i;'�c__ ; e5 .% t •: _. a,°e- .:X „7.- :i.a- `fi:'L.' ,�.'` e a. 4.�� -_ ,�#,. •�. •,:; " sue' .� >Mr'.�2`„J, mw•�iA� - =�2 :: ^".F �Y�. i-?- xa �icv;.,•�'.. "*J':, .'£: n � ry' c��b r•���'£r;.�"ern; le a+ •Y`�5? ,'a- �`aU,`: �- •i +g:;;�_� _., ,a ,. �' �y,.�i.-.: �;�K3. '�;'.; >. 3 . , r ✓ot ; .l�,.�• " , r S. ; 1 S i ;°. r , y"t� • a� ,, � Y , �° ? s',�'';$.�': , ,,rt sx » . :fi.,.r -s ; a. ={A. Cooaisi`erci<al S , rmkle �;, ., a _ � i - �_ e4 ,. =l.. i , n � ti.r >, � "� 7M wc?°.� „ � �; �tt t �,.;h�i � .x' rt""G;r+r• +` �i�,gi * " sr -. -•!'<.;xy, - Y er 'A Z :9% Ea 'L j �*K ��xr' N''+r ,I: -- t:,;.w2 s�. �, r- ''{,.5. •�,r .f, q� ^ .s "� n_Y.�;.:' „c�';;,;r+..�., ! S'h _,`,•• k':'�'�,.,. „«'+�'".i^r., ,;��� ` �` 5�����7,+ rr ,�.'�"..r,•�'�:y��.e�`. - 'K' ='•:a; ; ❑ Wet ❑ Dry • Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ ;]% - :_i4.. . kw.? ;"a'.. f+rth -- r.•3Ga.�..x.9k4,.- a, fai ..:x .:.ns k r,;.... e•.,•�',.' • .3r�+, -. •:a 5�+: . �. t ,�. ,. :� tp.m i�`e' ��,.�;' „�:.; a "`" ^'� a "', ry �r r a ^.'•':� °= i�,ri»..:µ: "` x,''fie'_:w�"r +,:���; ?B) ' ype I '' 9,od, I±'aa'e' 5uppressaonsSystem n . .�; 1 ,, ..0 : : ;�`• i�x � :,�_::; x� - ��::,, r. ,1 Hood Project Valuation: $ ^it vr,� 3 u � - ;',K. lxGS �;� s' " "ts a , •�+ .,'�. .:?�v �,Y n,• `•,;,, v, ii .,� �n!•: s�"`r - + � .,r• &T°- �c a ....:n.. h �.. <.., _r i�`fi4" � ekk _ _ iLIT• ,+� 3 ' fi r + • �, w .'r y : ' �%'�- 'K',W -I. .i� ': Uf'� -�, ." � t �4 t ° F� - �A' tl � A `�.s ":.- >v. P't. r T'�'^ y't. M. E''"' �,,,'H . ''11 �';'r ,,',,55., ��f�sk ^ , % .'P P.:4 , .2 �qi= 't�'.�d-? t �. ;a'�•fi ' Kai 'r . �,.� .+'6s� 6 " '��tf?, - �S ' t Ft tx:- b ;- ,M1srle i- ,3,b.;:, -.: ' r. 1 " "H. - tt'V - rt" ekril > ., , :.�v �. , sc�:E '? ♦, ^ �.r i ` . <`V' '`e'c ✓ t s�'•.:..° , A r „1.5 'A }r ■ Y+ as 'r �� §r .r4T•1 C` .�: � bTMd= .�- i`sjµµ,�t r'vaeY+ akevi' i:';✓� h �..e.t�i'.y� ri�• %, •. a. - m aA.7tL:z;;..•.` ' P 2 §' z, ,+•., -' ;1. °°,-F1re A1$rffi va:, -"„` wv`+'_' 'd' er eg�j: 1 : r i *14 1 . , "gy ,4**, ,r "`,^c'«;y.x , .: .5 "fi ✓" ,,•H7+�" >' { ,..�.t r 7,!;k Sr•, t:.;' = ^2 ::+7"6,W • i n w.,#= �. �• , ,e +:�i � ,yy3�C ; :T; , vx:�Y. t^ �:.; a} R; w�a����[cK *nit �2c ",54�T;s•:a:?�? � :..s : `�v�s �'- r.,�x_ -, ^.. •Y•. _. _., a� '`��. Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ •;?; .:: , N�,�qe #:,+T': ;�^�:� §kta 'y � 4 r •-aq+ t "�' -,,, �r t s"v �, ,. ^ - �,..;. r;,'•' ,,'!ai`.�:.�> Y'4<a .�,,, - ;}: , �i ' }; ....a' ,. r. r t"- ��„- `N.}.,,�fi'"1;�:� � a� �” r ;',y� a " �d `,� ai'7 ^'!:e-.";5.. 7 :. ". - i * " .t. �,- •x •,...;pi ' :,a i".1C' -:� ; , .v t r... .rv2T"'.;-;,: i v;.' ^'r. ..t :'.}'•%. a 'i;t n• d .,+3"wr r <=,'"i'. yl•a, °!E�"iv ?:�.e: r: "".i�,.'�,��gEC ,.�,'A, t - , €'twf'4, �• + L.n�� „k.�,.'�°�n' �� �. ; +=n� C,.,��. U• $� �� +,:, r�. Jcl��* � = 5: }4 ` 4' . �� i'hi .M . : .4 n 1.. K%.s3': �`: °.�'�” .i"i:'' :t ; t'k�,'^°4�'.:,'"i . r4 M1^ 7•.,a •. I))a�:Resiiienhal'Spriiik]er, Sfand �lon � .F- -iax� : ;.,, � ; v �:.K x:A« ..,.nn�rt.,t"•X >• �a.� v� �i:+ro.. ;.m>,evti +�': v`sR•H •,:?$.:u' r+-. z�"...,_.;;, a37, d•;:°.' �N� �J n'-' r. �. r' �t� ..r':�yaka'b€41.ip! :: -Jr; ��r "•. '� `�� i +�'mor , � Square Footage: Permit Fee: 0 to 2,000 $187.50 .41.0 'Z A:t„•$' "o 2,001 to 3,600 $232.50 ' ` `ti<< 3,601 to 7,200 $292.50 7,201 and greater $381.50 :a,.., : .t ,.,.�,,�• °_�=` :, = °:�,� 1`:' Sprinkler Project Square Footage: sq. ft. Project Valuation Subtotal (A, B & C): $ Permit fee based on valuation (see attached chart): $ a,5 ab Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ S OO FLS Plan Review 40% of Permit Fee: $ TOTAL: $ 9.i Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. l:\Building\Perrnits\FPS- PermitApp doc 2 CITY OF TIGARD ., BUILDING DIVISION PERMIT #: BUI�'200600115 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2006 Phone: (503) 639 -4171 ' A II i ?# Inspection Requests (24 Hrs.): (503) 639 -4175 . 14- 1.IL INSPECTION WORKSHEET FOR DATE: 13/24/2007 TIME: 7 :00AM PAGE: 71 SITE ADDRESS: 071.350 SW DARTMOUTH ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COSTCO DESCRIPTION: ADD (6) HEADS RELOCATE (6) OWNER: COSTCO WHOLESALE CORPORATION, PHONE #: CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360.693 -4403 Inspection Request Scheduled For: Date: 8!24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 054576.01 5503 -222 -6001 N Corrections /Comments /Instructions: g� \ .(Th Z --6 .- --1( --- - c e � , .:_..-.._...„ )?5.___ \ ., , ,, 0 .1/4 Li ..) ( . , f s 6, 7.7 „ .... ______ .../ (1T.Ci'l Il4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED v Inspector: Date: Phone #: (503) 718- CITY OF TIGARD ( -e2-0D ((2 - ®®1 1 BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171ri�Nul)p�if lI Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: qO I -7)/ b '*--- ) TIME: PAGE: SITE ADDRESS: 0 o 6 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: C 9. DESCRIPTION: OWNER: C__06 4'C/O PHONE #: CONTRACTOR: p v0 V b Q, Il - PHONE #: 3(0,O CAll ®L( Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 9 .-lei rjoi-i , . 1/,.;,,, j Corrections /Comments /Instructions: 4 NJ 0 VV "‘? q e_,J 1-4/1" YV\f-._/ ' ( a c OP -1-1.A.A. do...J-1e . • ® La-Al r7/10 - R-:/"‘AJ SC Q ___ .„ 0 ' k,c t ..( c 9_,," ,-.. v‘......t , ' 1/4„,..... --- k . N ,- - 1"..._- - 0 , — t- k e Si, , ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IPA. FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date:-/ l / 7 Phone #: (503) 718 - 7 4 t i 1