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Permit
C ITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00360 COMMUNITY DEVELOPMENT DATE ISSUED: 11/5/2008 TIGARD 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: COSTCO Project Description: Adding and altering (53) sprinkler heads. 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: 3N sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 84,000.00 Owner: Contractor: COSTCO WHOLESALE CORPORATION MASTER FIRE CONTROL INC ATTN• EXCISE TAX DEPT 111 12125 SE HWY 212 999 LAKE DR CLACKAMAS, OR 97015 ISSAQUAH, WA 98027 Contact #: PRI 503 - 655 - 6992 Phone: FAX 503 - 656 -0782 Reg #: LIC 55377 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 12% State Surch 10/29/200E $63.59 [FLS] FLS Pln Rv 10/29/200E $211 96 [BUILD] Permit Fee 10/29/200E $529.90 Total $805.45 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 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or dire questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By. � Permittee Signatur -: 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. erco ` - -7e W 11,W, Fire Protection System ;s' f' Building Permit Application I OR OFFICE. USLONIY City of Tigard Date/B d fV Mu -vrA Permit No f► A . l v 13125 SW Hall Blvd , Tigard, OR 97223 ' P lan Review- ., I d Irlll�`ti©o �. ' _` ' Phone: 503 639.4171 Fax: 503.598.1'400 , Daze /B [M,r; U In s pection Line: 503.639.4175 n Date Ready : �� See 'age 2 for N. • TIG AIiID �,,, L�l" Internet: www.tigard- or.gov w ' =:. , Nonfied/Method: 1 I Supplemental Information TYPE OF WO fc1�� e.S\. REQUIRED DATA: 1- AND-2-FAMILY DWELLING a "Yr r ❑ New construction ❑ D 1�'9 � Permit fees* are based on the value of the work performed. g� �Indicate the value (rounded to the nearest dollar) of all Ntd Addition /alteration/replacement ❑ equipment, materials, labor, overhead, and the profit for the CATEGORY OF •CON 1 43S\ UCT,ION . work indicated on this application. 11 I- and 2 -family dwelling XJ Commercial /industrial Valuation $ 11 Accessory building El Multi-family Number of bedrooms: El Master builder ❑ Other Number of bathrooms: ' ` ' JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: -7 355 5/) DAe (. ,StrP_,€_.4.- New dwelling area square feet City /State /ZIP: 'r ) _J Q / q 2b Q2e_j O n 97 22-3 Garage /carport area square feet Suite/bldg. /apt. no.: Project name:• 1 ; - G re Covered porch area square feet Cross street /directions to job site: 0A 24. n,o ,Ai.„... S ree.R. 7 Coo fee-- Deck area square feet p o ` C_; C'; t` 1t,J y _ Other structure area: square feet z . COMMERCIAL- USEICHECKLIST` - 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 DESCRIPTION OF WORK a work indicated on this application. T f\.1-G 1 1 e ` vkl S r i f� \O�� l'-&/'-' Valuations- $ 1 / / �1L v7� Nv� 136•5 (\ r e-e-te /1 5li S 1 C0o[ a / 0/4n `/ ice/ Existing buildmg area: ( square feet L New building area: square feet I „❑ _PROPERTY OWNER , , 0 TENANT Number of stories: Name: Type of construction �` a I I Address: Occupancy groups: . City /State /ZIP: Existing: - , • t, f • M /' Phone: ( ) Fax: ( ) w ' / c New: ry `I!W ri lS , ❑ APPLICANT - , . I CONTACT PERSON ' NOTI Business name: All contractors and subcontractors are required to be Contact name. licensed with the Oregon Construction Contractors Board CJ under ORS 701 and may be required to be licensed in the Address: � -6`� C jurisdiction in which work is being performed If the applicant is exempt from licensing, the following reasons City/State/ZIP: / � /� apply: Phone ( ) 6 v � Fax::( ) E -mail. L/` . n CONTRACTOR . : BUILDING PERMIT FEES *, Business name: d,Y\ P.5 k.. `; re Co n k-r01 ZINC, _ (Pease rejer'to fee schedule) _ I Permit fee: Address: ( Z I Z3 5/6- 8,..,) y Z l Z ` ' - !(J City /State /ZIP: C 1 GLC- Z L b &5 / O dZ _ 9 101s- State surcharge (8% of permit fee .- 7I FLS plan review (40% of permit fee): /] 1 Phone: (SO 65 s b99 Z Fax: (S' (, S"(o 0 '7 e 2, (Due upon application.) Ott.. p 6' .l . I CCB lie.: 55 3 1 1 Total permit fees. _VU 1(S �` l Authorized signature Amount received. f>'' c. .. ; 'It J This permit application expires if a permit is not obtained Print name: m id A 2 I CI e. v / de -A C.-r- Date /d - Z.9 - 08 within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board i \ Budding\Pemllts\FPS- PennnApp,doc 03/23/06 440 -4613T(11 /02 /COM/WEB) I City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ® Addition El 1 -10 heads: No plan review required. Alteration 11+ heads: Plan review required. El Repair ['� Number of sprinkler heads: `J �' Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) , Commercial Sprinkler ❑ Wet El Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - 'Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D :) Residential Sprinkler (Stand Alone System) , Square Footage: Permit Fee: 0 to'2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (8% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 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. I: \Building \Permits \I PS- PcrmitApp.doc 2