Permit (50) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11111 . COMMUNITY DEVELOPMENT Permit#: FPS2017-00084
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/10/2017
Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7331 SW BRIDGEPORT RD 102
Project: Ways and Means Oyster House Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: Fire suppression for Type I hood.
Contractor: ALLIANCE FIRE SAFETY SERVICES LLC Owner: BV CENTERCAL LLC
PO BOX 215 ATTN: FRED BRUNING
DUNDEE, OR 97115 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 503-781-9342 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/22/2017 $102.20
12%State Surcharge-Building 06/22/2017 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 06/22/2017 $40.88
Class of Work: ALT Type of Const: VA Info Process/Archiving-Sm$0.50(up to 06/22/2017 $6.00
Occupancy Grp: A-2 Height: ft 11x17)
Stories: 1
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $161.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,000.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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-i 01-0090., • .y obtain a copy of the rules
or direct questions to OUNC by calling 503.232. •; :00.332.2344.
Issued By: Permittee Signature:
W
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.
• Building Permit Application °
Fire Protection System C ,
vEnCity of Tigard 11►►`�" Received -f
DateBy: 7 I / Permit No.: `✓Pljab/7 �' gy
13125 SW Hall Blvd.,Tigard,OR 97223 f
1R' Phone: 503.718.2439 Fax: 503.598.1960 JUN p 1 DaPlteBy: l r� t�Otber Permit:
T i G n R D Inspection Line: 503.639.4175 CI Date Ready Iuris: See page 2 for
Internet: www.tigard-or.gov
�u' N 11-
Notifi I�7 ISupplemental Information
�N
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
53/ JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site addresssw bbridgeport rd New dwelling area: square feet
City/State/ZIP:97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Ways and Means Oyster 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.
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 work indicated on this application.
hookup and charge new hood fire suppression system Valuation: $$3,000,00
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER C. TENANT Number of stories:
Name:Ways and Means Oyster House Type of construction:
Address:
Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
® APPLICANT •
New:
El CONTACT PERSON
NOTICE
Business name:Alliance Fire Safety Service Ilc All contractors and subcontractors are required to be
Contact name:Mark Pinnella licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:991 se Oak St jurisdiction in which work is being performed.If the
City/State/ZIP:Dundee,Or.97115 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)781-9342 Fax::(503)217-5768
E-mail:markp@alliancefireservices.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Alliance Fire Safety Services lie (Please refer to fee schedule)
Address: same Permit fee:
City/State/ZIP: State surcharge(12%of permit fee):
Phone: FLS plan review(40%of permit fee):
( ) Fax:( ) (Due upon application submittal.)
CCB lie.:205062 Totalpermit fees:
Authorized signature: y ' MPOP Amount received:
I .. ,
This permit application expires if a permit is not obtained
Print name:Mark Pinnella Date:6-2-17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
r:1Building\Permits\FPS-PermitApp 031016.doc 440-46131(11/02/COM/WEB)
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:
0 Addition or 0 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
0 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 D as applicable):
A.) Commercial Sprinkler
Sprinkler Type 0 Wet 0 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: $ 3000.00
C.) Fire Alarm
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
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\Mark\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 102, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00084
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor