Permit (19) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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I . COMMUNITY DEVELOPMENT Permit#: FPS2019-00121
Date Issued: 10/02/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7329 SW BRIDGEPORT RD
Project: Regal Cinemas Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: Fire alarm. Removing(2)beam detectors,running wire,and adding(9)ceiling smokes.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: BV CENTERCAL LLC
7324 SW DURHAM RD ATTN: FRED BRUNING
PORTLAND, OR 97224 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 503-641-2222 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/25/2019 $209.80
12%State Surcharge-Building 09/25/2019 $25.18
Type of Use: COM Plan Review-Fire Life Safety-COM 09/25/2019 $83.92
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 09/25/2019 $2.00
Occupancy Grp: A-1 Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 09/25/2019 $6.00
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 $326.90
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $12,433.04
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 •et forth . OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC • .�-Iling a..23, :87 or :00.3 .2344. /
Issued By: 4
Permittee Signature:OYA11 /1 AOrd AO
/ Call 503.639.4175 b 0 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 ^ 1.---N,, fir—
Fire Protection System
City of Tigard SEP 19 2019 Received t l pr-•,,�/6.) /�,// Ya/ ) J
11111 . ® 13125 SW Hall Blvd.,Tigard,OR 97223 PlateBy: N d✓l/( / /�
,� Plan Review u
Phone: 503.718.2439 Fax: 503.598.1960 '-- �' .,`D DateBy: 9 - 1 9 Other Permit.
TIGARD Inspection Line: 503.639.4175 G,.,_,,..,_t6‘1O DIVBION Date Ready/By: orris: HI See Page 2 for
Internet: www.tigard-or.gov .ti ted/Meth...g I Supplemental Information
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
®Addition/alteration/replacement ❑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: $
CIAccessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7329 SW Bridgeport Rd New dwelling area: square feet
City/State/ZIP:Portland, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:#652 Project name:Regal Cinemas#652 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.
Valuation: $12,433.04
- Remove beam detector(2)
- Run wire Existing building area: square feet
-Adding ceiling smokes(9) 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:
la APPLICANT ® CONTACT PERSON
NOTICE
Business name:Performance Systems Integrated All contractors and subcontractors are required to be
Contact name:Katie Harbaugh licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:7324 SW Durham Rd jurisdiction in which work is being performed.If the
City/State/ZIP:Portland, OR 97224 applicant is exempt from licensing,the following reasons
apply:
Phone:( )5036412222 Fax: :( )503641 1464
E-mail:katieh@psintegrated.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Performance Systems Integrated
Permit fee:
Address:7324 SW Durham Rd
City/State/ZIP:Portland, OR 97224 State surcharge(12%of permit fee):
( )5036412222 Fax: FLS plan review(40%of permit fee):
Phone: ( )5036411464 (Due upon application submittal.)
CCB lic.:1-27520- 024----5,,,2 `L/ 7�� ��' Total permit fees:
Amount received:
This permit application expires if a permit is not obtained
Authorized signature: ��
-ie:Katie Harbaugh Date:9/19/2019 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
;\FPS-PermitApp_031016.doe J 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: 9
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:
Removing 2 beam detectors and adding 9 ceiling smoke detectors - also, running wire.
Type of System (Complete A,B, C or D as 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: $12,433.04
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: $
J:\_Permit Information\Permit Information-Katie's\Tigard\Fire Protection System A}phcation Form.doc