Permit a
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a COMMUNITY DEVELOPMENT Permit#: FPS2013-00125
T[GARO 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439
Date Issued: 09/18/2013
Parcel: 25101 BA00101
Jurisdiction:
Site address: 7500 SW DARTMOUTH ST
Project: Tigard Retail Center,Retail#2 Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Fire alarm for building#2
Contractor: E C COMPANY Owner: WAL-MART REAL ESTATE BUSINESS TRUST
PO BOX 10286 2001 SE 10TH STREET MAIL STOP 5570
PORTLAND, OR 97296 BENTONVILLE,AR 72716-5570
PHONE: 503-224-3511 PHONE: 479-273-4000
FAX 503-295-3012
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/17/2013 $134.48
12%State Surcharge-Building 09/17/2013 $16 14
Type of Use: COM Plan Review-Fire Life Safety-COM 09/17/2013 $53 79
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 09/17/2013 $4 00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/17/2013 $5 00
11x17)
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: Automatic
Pull Station Required: No Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $213.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation. $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $5,600.00
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 : -0090. You ma obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1 800.332.2 4.
Issued B ermittee Signature: 44W�46-
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.
V
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
Received
City of Tigard DateB ; �, j// Permit No• oy, _e)O a
;� ° 13125 SW Hall Blvd,Tigard,OR 972*C5C)1C441.C)0 Plan Revtew Phone 503.718.2439 Fax: 503.598. DateB . ". Other Permit• `•� !,, -QUU .
Inspection Line: 503 639 4175 (- cL Date ReadyBy Q la See Page 2 for
T I G A R D Internet. www tigard-or.gov 1\6 Nonfie. . hod /f�r1 M1 Supplemental Information
N V / // 10 / • ey 417211 I /
TYPE OF WO ((��,` � REQUIRED DATA:1-AN I i-FAMILY DWELLING
®New construction ❑De� `t fPl k 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ i-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
7600 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:1600-SW Dartmouth Street New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Walmart Retail Bldg#2 Covered porch area: square feet
Cross street/directions to job site-99W/Dartmouth Deck area: square feet
Other structure area: square feet
/� REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Q Subdivision: l 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
°O DESCRIPTION OF WORK work indicated on this application.
too Install a fire alarm system-core and shell only,no tenant Valuation: $$5,600.00
Outbuilding,Retail Building#2 Existing building area: square feet
New building area: square feet
1'- ® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Walmart Stores Type of construction:
Address:2001 SE 10'"Street Occupancy groups:
City/State/ZIP:Bentonville,AR 72716 Existing:
L Phone:(479)273-4567 Fax:( ) New:
1 ❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name:EC Company All contractors and subcontractors are required to be
I Contact name: Eric Puskas licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:2121 NW Thurman jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97296 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)224-3511 Fax: :( )
sp), E-mail:ericp@ e-c-co.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: EC Company
(Please referu,fee schedule)
Permit fee:
Address:2121 NW Thurman
City/State/ZIP: Portland,OR 97296 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)224-3511 Fax:( ) (Due upon application)
CCB lie.:49737 Total permit fees: 204.41
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name:Eric Puskas Date:8/28/13 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board
1\Buildmg\Permits\FPS-PermuApp doe Rev 01/05/2012 440-4613T(I 1/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7500 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2013-00125
Chip Barnett
Violation Summary:
Inspector Contractor