Permit (27) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017-00079
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2017
Parcel: 2S 113AC01201
Jurisdiction: Tigard
Site address: 7331 SW BRIDGEPORT RD
Project: Ways and Means Oyster House Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: Fire alarm modifications
Contractor: T&L COMMUNICATIONS INC Owner: BV CENTERCAL LLC
PO BOX 87387 ATTN: FRED BRUNING
VANCOUVER,WA 98687-7387 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 360-737-9725 PHONE:
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/13/2017 $134.48
12%State Surcharge-Building 06/13/2017 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 06/13/2017 $53.79
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 06/13/2017 $2.00
Occupancy Grp: A-2 Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/13/2017 $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: Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $211.41
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 952-0%'-0090. You may obtain a copy of the rules
or direct questio 4.?OUNC by calling 503.232.1987 or 1.800.332.2344. '
Issued By: C{/ �J'g Permittee Signature: A
li
Call 503.639.4175 by 7:00 a.m.for the next available inspecti •ate.
This permit card shall be kept in a conspicuous place on the job site until c• letion of the project.
Approved plans are required on the job site at the time of each pection.
Building Permit Applica
P...r s u _a® FOR OFFICE USE ONLY'
Fire Protection System ,c,
Received Permit No.: %�/0/ ez t/ 4p
Cityof Tigard aA� Date/B : .=.)
ii1
lig13125 SW Hall Blvd.,Tigard,OR 9']9'24, a it u!1 Plan Revi
I Phone: 503.718.2439 Fax: 503,48,,V60 Date/B : ,djg OtMiellpi
Other Permit:
Inspection Line: 503.639.4175 / d�)f- t m`2_ 179 Date Ready/By: j� Jure VI See Page 2 for
T I G A R D Notified/Method: Gr 4j- rt;/ Supplemental Information
Internet: www.tigard-or.gov • sA �_,
13(J il,P yGi DIVISION 0 E- ,14.4. Leifir
TYPE OF WORK REQUBIED DATA:1-AND 2-FAMILY DWELLING
0 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
CATEGORY<OF CONSTRUCTION' work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7331 SW Bridgeport Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:J3 Project name:Ways&Means Oyster House Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Valuation: $5,600.00
Fire Alarm Tenant Improvement
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0� APPLICANT 0 CONTACT PERSON NOTICE
Business name:T&L Communications,Inc. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:Larry Bushaw under ORS 701 and may be required to be licensed in the
Address:PO Box 87387 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:Vancouver,WA 98687 apply:
Phone:(360)737-9725 Fax: :(360)737-9648
E-mail:office@tl-communications.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:T&L Communications,Inc. Permit fee:
Address:PO Box 87387 State surcharge(12%of permit fee):
City/State/ZIP:Vancouver,WA 98687 FLS plan review(40%of permit fee):
Phone:(360)737-9725 Fax:(360)737-9648 (Due upon application submittal.)
CCB lic.:67787 Total permit fees:
� � ta` Amount received:Authorized signature: fO40Uk)0(la This permit application expires if a permit is not obtained
Print name:Larry Bushaw Date:5 l\$ 1ii within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
AO.
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City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: Number of alarm devices:
® Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
❑ 11+ heads: Plan review required and ® 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System(Complete A,B,C or Das applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
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: $ 5,600.00
D.) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
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 (12% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
C:\Users\Larry\Downloads\FPS_PermitApp.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7331 SW BRIDGEPORT RD, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00079
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor