Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
irpCOMMUNITY DEVELOPMENT Permit#: FPS2022-00018
Date Issued: 3/31/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB01400
Jurisdiction: Tigard
Site address: 7376 SW DURHAM RD
Project: Providence Pharmacy Subdivision: None Lot: None
Project Description: Fire sprinkler permit-Add and relocate sprinkler heads to accommodate new tenant wall and ceiling. 6/30/22:
jj REPRINT to change address.
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Contractor: RED HAWK FIRE PROTECTION Owner: PACIFIC REALTY ASSOCIATES LP
3801 NW FRUIT VALLEY ROAD ATTN: N PIVEN
VANCOUVER, WA 98660 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-984-3712
PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/15/2022 $209.80
12%State Surcharge-Building 02/15/2022 $25.18
Type of Use: COM Plan Review-Fire Life Safety-COM 02/15/2022 $83.92
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 02/15/2022 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 02/15/2022 $12.50
11x17)
Misc Administration Fee 06/30/2022 $45.00
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD1
Density: .1 Design Area: 1500
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 $378.40
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $12,500.00
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 952-001-0090. You may obtain a copy of the rules
Issued By: Sre, osisic54, �n / Permittee Signature: 4 3/(4a-' �
r✓ rLr7
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.
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
`� N. COMMUNITY DEVELOPMENT Permit#: FPS2022-00018
Date Issued: 3/31/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S113AB01400
Jurisdiction: Tigard
Site address: 7374 SW DURHAM RD
Project: Providence Pharmacy Subdivision: None Lot: None
Project Description: Fire sprinkler permit-Add and relocate sprinkler heads to accommodate new tenant wall and ceiling.
Contractor: RED HAWK FIRE PROTECTION Owner: PACIFIC REALTY ASSOCIATES LP
3801 NW FRUIT VALLEY ROAD ATTN: N PIVEN
VANCOUVER,WA 98660 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-984-3712 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/15/2022 $209.80
12%State Surcharge-Building 02/15/2022 $25.18
Type of Use: COM Plan Review-Fire Life Safety-COM 02/15/2022 $83.92
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 02/15/2022 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 02/15/2022 $12.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD1
Density: .1 Design Area: 1500
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 $333.40
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $12,500.00
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 952-001-0090. You may obtain a copy of the rules
Issued By: Edgaroto-Nla.ldos�.a4.o- Permittee Signature: ye.2 a.ppLi_ ,a LPw
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 RECEIVED CI
Protection System FOR OFFICE USE ONLY
City of Tigard FEB 12022 DR may:/ 0 i2z 'Yr i Permit Fled 2 lCZ-WV/(3
, II i • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
■ OF TIGARD Va' I y-�2 l 06-Permit:
Phone: 503.718.2439 Fax: 503.598.196(�,,ITY Date/Bv:
Ic3�Kn Inspectiontern : wLw. 5�03.63 175 $UILDINGDIVISIO�I� R / Jut.... See Supplemental
Internet: www.ti -or. v 9otified/M Supplemental Informeage 2 for fion
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 El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ❑X Commercial/industrial Valuation: S
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7 37 4 SW DURHAM RD. New dwelling area: square feet
City/State/ZIP: Portland, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Providence Pharmacy 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: I 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.
Add and relocate sprinklers heads to Valuation: $ 12, 500
accommodate new tenant walls and ceilings Existing building area:19990 square feet
New building area: 19 49 0 square feet
0 PROPERTY OWNER 2 TENANT Number of stories: 1
Name: Providence Credena mail order Pharmacy Type of construction: VB •
Address: 7 3 7 4 SW DURHAM RD. Occupancy groups: B
City/State/ZIP: Portland, OR 97224 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON
NOTICE
Business name: Red Hawk Fire Protection All contractors and subcontractors are required to be
Contact name: Brent Cullinane licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 3801 NW Fruit Valley Road jurisdiction in which work is being performed.If the
City/State/ZIP: Vancouver WA, 98660 applicant is exempt from licensing,the following reasons
apply:
Phone:(3 8 0) 9 8 4—3 712 Fax::( )
E-mail: r h wkf brentc@ ed a p corn
CONTRACTOR BUILDING PERMIT FEES*
Business name: Red Hawk Fire Protection rPrcasercrermreesc/sedurel
Permit fee:
Address: 3801 NW Fruit Valley Road State surcharge(12%of permit fee):
city/state/ZIP: Vancouver WA, 98660
FLS plan review(40%of permit fee):
Phone:(3 6 0)9 8 4—3 712 Fax:( ) (Due upon application submittal.)
CCB lic.:21915 7 Total permit fees:
Authorized signature: 1//_ 79( / Amount received:
I(/`''✓ 1' This permit application expires if a permit is not obtained
Print name: Brent Cullinane Date: 1/31/2 2 within 180 days after it has been accepted as complete.
*
Fee methodology set by Tri-County Building Industry
Service Board.
L:\BuildingTermits\FPS-PmnitApp_031016.doc 440-4613T(I 1/02/CAM/WEB)
P
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:
0 New system Number of sprinkler heads: 8 4 Number of alarm devices:
❑x Addition or ❑ 1-10 heads: Affidavit required and 0 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
❑x 11+ heads: Plan review required and 0 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 a. .licable v
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes 0 No
Hazard Group Existing @ ORD . Hazard
Density Existing @ 0 . 10— . 20
Design Area 1500 sq. ft .
K. Factor 5 . 6K
Sprinkler Project Valuation: $ 12, 500
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: $
D.) Residential Sprinkler (Stand Alone System)
JSquare 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: $
I:\Buitdiog\Permits\FPS PemiltApp_031016.doe 2