Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
; - COMMUNITY DEVELOPMENT Permit #: FPS2011 -00123
Date Issued: 10/20/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 Parcel 2S113AC01201
Jurisdiction: Tigard
Site address: 7315 SW BRIDGEPORT RD
Project: California Pizza Kitchen Subdivision: Lot:
Project Description: Add anti- freeze loop to serve new exterior dining canopy, add (5) new fire sprinkler heads
Contractor: CROSSFIRE SPRINKLER CO Owner: BV CENTERCAL LLC
17400 SE 82ND DR ATTN FRED BRUNING
CLACKAMAS, OR 97015 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 503 - 210 -5506 PHONE
FAX: 503 - 210 -5538
FEES
Description Date Amount
Specifics: Permit Fee - COM 10/11/2011 $123 72
12% State Surcharge - Building 10/11/2011 $14 85
Type of Use: COM Plan Review - Fire Life Safety - COM 10/11/2011 $49.49
Class of Work: ALT Type of Const: IIB Info Process /Archiving - Sm Sheet (up to 10/11/2011 $2 00
Occupancy Grp: A -2 Height: ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required' Yes Sprinkler Type Wet
Standpipe Required: No Hazard. LT
Density 0 Design Area: 0
K Factor 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type.
Pull Station Required Smoke Detectors Req
Battery Calcs Provided Cut Sheets Required:
Total $190 06
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation. $4,710.00
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
issua or if work suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Uti y Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules
o direct questions to OUN by Cali ' or 1.800 332 2344.
I ued By: , � Permittee ignature: ' 4L
Call 503.639.4175 by 7:00 a.m. for the next availab e n ion 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 F OR OFFICE. O NLV `
City of Tigard J eed / p g �A Permit No • :6A0 .OD a
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' Pho ne: 503.639.4171 Fax 503 598 1960 OC T 1 1 1
20 Date /B • Other Permit
r
7IGARD Inspection Line 503.639.4175 Date Ready /By )uric ® See Page 2 for
Internet www.tigard - or.gov CITY OF TIGARD Notified /Method Supplemental Information
BUILD IC ( i f
m.: � v�11�0
r WOR O , `�A.� s1tE IJiItEp I?A`t'Ac i -ADD i= iAZYriLYrnWE1.LIrit.
❑ 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
'-w ,,= r �u . _ l .. �, � :� ;;l am,i .� : work indicated on this application.
:;: ,'. a . . „ GATEGOR O C OAST TJ( ON' ,
��;:� =,:.' =`. �` t ' a..��� -� , �,:. ..�, .. Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms
INF
` O ttiVIA T iON ` 4 AND `e"' ` ° ` Total number of floors:
- -- ,IOB�SIT , ,OCATLC?N. ' ; '
Job site address: 7315 SW Bridgeport New dwelling area: square feet
City /State /ZIP: Tigard, OR Garage /carport area: square feet
Suite /bldg. /apt. no.: Project name: California Pizza Kitchen Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQt/1 DATA: 00141117fR414, Ciifi -KL iST ir
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
Z .; ;Y ? , „e it work indicated on this a
,,DESCRIPTION; OF WORKc . application.
Add Anti - Freeze Loop to serve new exterior dining canopy Valuation: $$4,710.00
NEW SPRINKLER HEADS = 5 Existing building area: square feet
New building area: square feet
:< i ce; , : F �, , ; x
PROI?EIR O ER';; , ° ` W ”' , - „® = EN , ,�,AR Number of stories:
Name: California Pizza Kitchen Type of construction:
Address: 7315 SW Bridgeport Occupancy groups:
City /State /ZIP: Tigard, OR Existing:
Phone: ( ) Fax: ( ) New:
tkS ;,r” � a � � �� , y ,
' ® AP , , , - T , ; E'%- t. l C UNTAC'T�PERSQiV:• ° ..�. Z k
Business name. All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CON', C O .:, ` 'BUII•:AINGPERMITFEES
Business name: Crossfire Sprinkler Company {P/evse refer rofee;cke
Permit fee:
Address: 17400 SE 82 " Drive
City /State /ZIP: Clackamas, OR 97015 State surcharge (12% of permit fee):
FLS plan review (40% of permit fee):
Phone: (503) 210 -5506 Fax: (503 t 5 : (Due upon application.)
CCB lic.: 174746 /) � Total permit fees:
Amount received: /1 Authorized signature: / � ��
� i -- - This permit application expires if a permit is not obtained
Print name: Timothy A`Bishop Date: 10/7/11 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
1 \Buedmg \Pcrmrts \FPS- Perm.tApp doc 10 /01/09 440- 4613T(I I /02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
eiiitit
1.) El New 2.) Modification to sprinkler heads only:
0 Addition ig] 1-10 heads: No plan review required.
Z Alteration 0 11+ heads: Plan review required.
El Repair
Number of sprinkler heads: 5
Additional description of work:
T
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4.r.) ;1 I'l Alit iiliZ%,:l " '',,kalillillil10%; , ' tv,:70gintz61144.41-2.;
!1
m , ,r:iftc "'olit; , '; Alier:06 v:: -,,,, 1.1*ANIM ;'<.,MA; -•;=. ;',, ',10
D Dry
Additional Standpipes l W et
Information: Hazard Group LIGHT
Density
Design Area
K. Factor 5.6
Sprinkler Project Valuation: $ 4710
,s- ,-- :AL6. : ., -, —<„,nerr.: --mz-- - , ,,,i, m=' - =
:.; B 41T3yipflt 7 HqQ4Atre Suppression :, 4:,, , Ne4tAlizaik , : , r';',A!, <:`,641r;Z:t1IIMM,
Hood Project Valuation: $
,itamile"ri
44 :*i
Cy il0 Alarm
', 4111111Kiii 4
F
Submittal shall Battery Calculations El Yes
include: Individual Component El Yes
_ Cut Sheets
Fire Alarm Project Valuation: $
16:11%42;t44'AR.
'' .": ,-:::-' -:, 'PP.,: "-.--k' „ ,i'"tiitWv- ' „t' :,' suatAMMtaiTQI:
1- .B.)21teidtgrti4f:'Spiiiiklei(Stalfctitlijrie„*Siem : 0111011101160 - k
:: 'A ,,, „ ` •;:,:,., ,:e9ill •o*NAWLP„i,, :
Square Footage: Permit Fee: 1„i, :.,,,, ',1•101111111PS:jr4*,
0 to 2,000 $198.75
mmolimig,:;,R,
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.
WW;Rtilgliol ..2
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: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
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