Permit CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit#: BUP2021-00135
Date Issued: 8/2/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S1260000300
Jurisdiction: Tigard
Site address: 9374 SW WASHINGTON SQUARE RD R05
Project: Peloton Subdivision: None Lot: None
Project Description: Tenant improvement for new tenant including new facade,interior paritions,floors,ceiling,lighting and mill work.
Contractor: AXXYS CONSTRUCTION GROUP INC Owner: PPR WASHINGTON SQUARE LLC
4101 NICOLS ROAD SUITE 100 BY MACERICH RET
EAGAN, MN 55122 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 877-588-8080 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 07/28/2021 $1,287.15
Occupancy Grp: M Occupancy Load: 42 Demolition
12%State Surcharge-Building 07/28/2021 $154.46
Dwelling Units: 0 Plan Review 06/17/2021 $836.65
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 07/28/2021 $274.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/28/2021 $514.86
Value: $130,000 Info Process/Archiving-Lg$2.00(over 07/28/2021 $98.00
11x17)
Info Process/Archiving-Sm$0.50(up to 07/28/2021 $12.00
Floor Areas:
11x17)
Total Area: 0 Metro CET 07/28/2021 $156.00
Accessory Struct: 0 Tigard CET-Non-Residential-Admin 07/28/2021 $52.00
Basement 0 Tigard CET-Non-Residential-AH 07/28/2021 $1,248.00
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,633.12
Required: Required Items and Reports(Conditions)
1 Special Inspection(see plans)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 thro�ugghh, ec OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344
je
Issued By: H y V vV�w Permittee Signature:
OwAppU at`t,a .
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 _ it
RECEIVED Ill t, tll 1 1( 1 i �► (f.l
Cityof Tigard RJ 1 1 1 2021 Received `,, / —p�
a 131 SW Hall Blvd.,Tigard,OR 97223 t Date/By: `�' i v/ 2/ 496 Penult No.13WOit)Zf V61 35
gar t Plan Review b
C Phone: 503-718-2439 Fax: 503-598-j'OF TIG1\RD Date/By: `• 2 D _a) Related Permit:
i I G A R t) Inspection Line: 503-639-4175 I, 1 l y • Page[�{�{S{� Date Read/. Janis. Seep e2for
Internet: www.tigard-or.gov Notified/Method: 7/1'1i /�"T�'� Supplemental Information
N
,e+7••,r IL4•( 45
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction E 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.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9374 SW Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#:R05 Project name:Peloton Washington Square Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Washington Square Road Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
, Subdivision:Washington Square Mall Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#:1 S 1260000300 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.
anew
Tenant Improvement in existing"w"occupancy budding(fully sprinkled)up to tenant vertical lease line. Scope to includeValuation: $ 130,Q��
exterior facade,interior partitions,floors,ceilings,lighting,mill work,HVAC Distribution,and plumbing fixtures. Existing building area: 2,761 square feet
emolition of exterior facade.interior parfitions.HVAC,plumbing,and electrical equipment. New building area: square feet
0 PROPERTY OWNER ® TENANT Number of stories:Level 1
y Name:One Peloton Type of construction:Tenant Improvement,Exterior Alteration
Ilt4Address:125 W. 25th Street, 11th Floor Occupancy groups:Mercantile
City/State/ZIP:New York, NY 10001 Existing:Yes
' Phone:( ) Fax:( )
New:
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Paroline &Associates (Please refer tojeeschedule)
Structural plan review fee(or deposit): gr.'j, ,41
Contact name:April House FLS plan review fee(if applicable):
Address:3617 SW Charlestown St Total fees due upon application: T 3 701G•�7
City/State/ZIP:Seattle, WA 98126 t /
Phone:(206)478-0844 Fax::( ) Amount received: i
E-mail:permits@parolineassociates.com PHOTOVOLTAIC SOLAR PANEL SYST�M FEES*
Commercial and residential prescriptive installation of
CONTRACTOR i_ roof-top mounted Photo Voltaic Solar Panel System.
Business name:f(3B'. 4(:)'7(1(CAS C( YU(, ( ' Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Li!%C)\ k)'rC_ ,"\ ? G�� e\( \ Solar Installation Specialty Code checklist.
City/State/ZIP: cot.-,V " )O cS`Z Z.Z. L� Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( State surcharge(12%of permit fee): $21.60
CCB Lic.: Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtaiaed
within 180 days after it has been accepted as complete.
Print name:Of.„......_1 /�Date: �/ 7//g ," * Fee methodology set by Tr-County Building Industry
Service Board. ��y
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) 3` /-`‘".44
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
114 N Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • wAN w.ti t and-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Pemuts\BUP_COM_PemutApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies -fully dimensional, drawn to scale and labeled with:
A. ® map&tax lot# ® project name ® site address ® suite number
® zoning ® applicant name ® phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing derail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
1:\Building\Permits\BUP_COM_PennitApp.doc Rev.03/05/2019
City of Tigard
q
1111 COMMUNITY DEVELOPMENT DEPARTMENT
i
7IGAKD Building Permit Review — Commercial - No Land Use
Building Permit #: e 1,1,P 2-0 Z/ -D 0 135
Site Address: C 3 ?&/ s 0 LA)4 c .hai-Dhi S pk,M ' Suite/Bldg#:
Project Name: P Lo-t-O ,j
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1,'/, Azk0 .1"
Existing Business Activity: << — 6777:e/1t-t? r2 ;1
Pro.4 sed Business Activity: // / / //
VA Ve 'fy site address/suite# exists and active in permit syst5m.
4101 'ver Terrace Neighborhood: ❑ Yes V No
oning: Ailt C_
Fat ermitted Use: V Yes ❑ No ❑ Spec Space
I�d onfirm no land use required.
6L1 Business License:
Exists: ❑ Yes No,applicant was provided a business license application
Notes:
Approved by Planning: — "—LL� ---� Date: e/f�--2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (V 2,/
Site Plans: #
Building Plans: # J
Building Permit#: 42—Enter building permit#above.
Workflow Routing: g"Planning ❑ Permit Coordinator ceding
Workflow Sign-off: gl--Sign-off for Planning(include notes from planning review)
Route Application Documents: wing: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: i 4,, c't,.--) Date: ‘,//7/?1%
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx
Permit Coordinator Review
0 Conditions "Met"prior to issuance of building pe it
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to App ant:
Revision Notice 2: Date Sent to A;. cant:
Revision Notice 3: Date Sent to 'pplicant:
❑ SDC Fees Entered: Wash Co rans Dev Tax: 0 Yes 0 N/A
Tigar. rans SDC: 0 Yes 0 N/A
Par SDC: ❑ Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit •rdinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
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Branden Taggart
From: #Building Permit Technicians
Sent: Wednesday, July 28, 2021 5:38 PM
To: April House
Subject: RE: Peloton Building TI Permit: BUP2021-00135 - 9374 SW Washington Square Rd.
April,
Additionally, we will need the contractor's CCB license information before we can issue this permit.
Thanks,
Branden Taggart
7ICity of Tigard
2=`. Senior Permit Technician
Community Development
tidiAti
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
From:#Building Permit Technicians
Sent: Wednesday,July 28, 2021 5:37 PM
To: April House<april@parolineassociates.com>
Subject: RE: Peloton Building TI Permit: BUP2021-00135 -9374 SW Washington Square Rd.
Hi April,
The Building permit for Peloton at Washington Square Mall is ready to issue now. The balance due is $3,796.47, and I
have attached an invoice above for you to reference. These fees can be paid online now at https://aca-
prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number BUP2021-00135 under the Building
tab. There is a 3% service fee for credit cards, but e-checks do not have a service fee.
Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this
permit and make the approved site copy set of plans available for pick up.
Thank you,
Branden Taggart
alli w City of Tigard
I. 2 I.; Senior Permit Technician
Community Development
IrSW
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandenttigard-or.gov
1
From:April House<april@parolineassociates.com>
Sent: Friday,July 23, 2021 10:41 AM
To:#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov>
Subject: [CAUTION: SUSPECT SENDER] BUP2021-00135: Peloton Building TI Permit
Warning!This message was sent from outside your organization and we are unable to verify the sender.
Team,
Well,that would be helpful,sorry about that. Permit#_BUP2021-00135:Peloton Building TI Permit 9374 SW Washington Square Road
Thanks,
APRIL HOUSE I PROJECT MANAGER
PAROLINE&ASSOCIATES I PERMIT CONSULTING
3617 SW CHARLESTOWN ST I SEATTLE WA 98126
206.478.0844 I WWW.PAROLINEASSOCIATES.COM
From:#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov>
Sent: Friday,July 23, 2021 10:34 AM
To:April House<april@parolineassociates.com>
Subject: RE: [CAUTION: SUSPECT SENDER] BLDG-2021-02785:
Hello April,
Please provide the correct permit number and site address.
Thank you.
Dianna L. Ornelas
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From:April House<april@parolineassociates.com>
Sent: Friday,July 23, 2021 10:14 AM
To:#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov>
Subject: [CAUTION: SUSPECT SENDER] BLDG-2021-02785:
Hi Team,
Checking in on permit BLDG-2021-02785:
We are running up against our construction schedule timeline and we will soon need to stop permitted work until we obtain BLDG permit.
Can you assist?
Thanks,
APRIL HOUSE I PROJECT MANAGER
PAROLINE&ASSOCIATES I PERMIT CONSULTING
3617 SW CHARLESTOWN ST I SEATTLE WA 98126
206.478.0844 I WWW.PAROLINEASSOCIATES.COM
2
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
3