Permit FIRE PROTECTION SYSTEM PERMIT
fa CITY OF TIGARD
_.: COMMUNITY DEVELOPMENT Permit #: FPS2009 -00088
Date Issued: 09/18/2009
Ti GARD 13125 SW Hall Blvd , Tigard OR 97223 503 639.4171 Parcel: 1S136CD02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Subdivision: Lot: 0
Project: Costco
Project Description: Relocate 2 1/2 in fire line water main near new roll -up door
Owner: FEES
COSTCO WHOLESALE CORPORATION Description Date Amount
PROPERTY TAX DEPT 111, 999 LAKE DR
Permit Fee COM 09/18/2009 $62 50
ISSAQUAH, WA 98027 12% State Surcharge - Building 09/18/2009 $7 50
PHONE Plan Review - Fire Life Safety - COM 09/18/2009 $25.00
Contractor:
AFP SYSTEMS INC
19435 SW 129TH
TUALATIN, OR 97062
PHONE. 503 - 692 -9284
FAX 503 - 692 -1186
Type of Use: COM
Class of Work: FPS Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type
Standpipe Required Hazard
Density' Design Area
K Factor:
Commercial Fire Alarm System:
Fire Alarm Required Alarm Type
Pull Station Required Smoke Detectors Req
Battery Calcs Provided Cut Sheets Required
Total $95 00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation
Residential Square Footage
Fire Alarm Valuation
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 Not on - -r Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100 You may obtain a copy of th- rules -
or dir questions to OUNC by calling 503 246 6699 or 1 800 332 2344
• f �I 1
I ued By: I Permittee Signature:
• RI r. 41! _ ■.I■
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.
,
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Building Permit Application ,: . '' .:- . FOR OFFICE USE ONLY .'• ,, " ' .., : ' , ,,
City of Tigard Received ,•-,
• ° 13125 SW Hall Blvd Tigard OR 97223
Phone 503 639.4171 Fax. 503.598.1960
III , , Date/B r /5 e )•• at Ao , Permit No 4D3, dodo :'
ther Permit
Plan Review
.t- Date/B O
, . .
TIGARD Inspection Line 503 639 4175 • Date Ready/By El See Attached Checklist for
Internet. www tigard-or.gov t Notified/Method we, Supplemental Information
iy: , ;:reti,t;;;: ,- '*:1,FAFIrt , -;'-:40-4 1 ,110Witr6ipii6iiiieft;214:.%1,12PAA'Ait ''''''' i ;V: DATA-4- AND 2=FAMIEY'DWELLING-'
:
El New construction 0 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 0 Other: equipment, materials, labor, overhead, and the profit for the
,4- CA TEPOR 9t CON R
.43,P .,;Va,9044-:,:qmgla:,- ,; work indicated on this application
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Valuation: $
CI 1- and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
El Accessory building E) Multi-family
Number of bathrooms:
El Master builder CI Other:
',1 1" , 't =- 16hi 'iNFoRmA„r 41-66-41:1604.;„;4r,iii,:,,:,,,,-;',7: Total number of floors:
-;' - = - ._,:, ', ` , : ,, - --„,- , , - ,„,--,, , , ,3 , 2 , 1-m., , , , ,,,, , ,, ‹.,•.-,,,,, ,, f1 "'":!0%:4 ';;;;;'„, ":'-':::"..
Job site address: 7 50 6 t j Podtx p■oorK 61. New dwelling area: square feet
City/State/ZIP: il crikytm OK Cj _i2 Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: e xert _ 0 i Isat4) Covered porch area: square feet
Cross street/directions to job site: ac ) Deck area: square feet
Other structure area: square feet
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Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no :
equipment, materials, labor, overhead, and the profit for the
.v), ..., " -- ":";,' V: `'-'"V.4-r
i„oFscRipuorsy9P4W9Iy...c,,, K "i-,4 : - ' '.:,' '''4"T:7: ' 7: work indicated on this application.
r. RcAocA-A 21 7.- AN-44, Nyi 4--- iitE CC Valuation: S itta
00-1- 0 F ujA .? 0 p k)evo -7vootZ Existing building area: square feet
New building area: square feet
,, : t>ltr,,lg ,. , , ,'5101 , - ,_,,,,, , _ -, ,
- ,4 4 1 1AterROPERTV'OWNERt% ' ,,' N; ' 7 " - ' '. ' g - - , v , Number of stories: I
'';', ''-AS V"i `'', :".. ' . '''.: Att4E:',1qa '":4"
Name: 6etyy\E i z e , i f Dav g- - Type of construction:
Address: Occupancy groups:
City/State/ZIP: . Existing: - 7 4 -
Phone: ( ) Fax: ( )
New:
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Business name: AFP SYSTEMS INC All contractors and subcontractors are required to be
Contact name: y )ALPL (6 s licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 19435 SW 129 AVE. jurisdiction in which work is being performed. If the
City/State/ZIP: TUALATIN OR 97062 applicant is exempt from licensing, the following reasons
,
apply:
Phone: (503) 692-920 Fax: : (503) 692-1186
81
E-mail: 3 @, Apf sys , C 0 rn
6
CO , :Tas --„ 7,:r. 't.: '.::-'' 711,15T,;!'zli, i4
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Business name: AFP SYSTEMS INC
'Petiln: iee.iliali'AlkagitAit:4.':i
Address: 19435 SW 129 AVE.
Structural plan review fee (or deposit):
City/State/ZIP: TAULATIN, OR 97062
Phone: (503) 692-9248 Fax: (503-) 692-1186 FLS plan review fee (if applicable):
c5'ti Total fees due upon application:
CCB lic.: 0067534
Amount received.
Authorized signature: ( It e.,.,,...
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------ This permit application expires if a permit is not obtained
r
within 180 days after it has been accepted as complete.
Print name: , - Date:-1"")_09 * Fee methodology set by Tri-County Building Industry
C1
Service Board.
1 \Building \Permits \BUP-PermItApp doc 03/21/06 440-46 I 3T(11/02/COM/WEB)