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Permit
FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT m ~ Transmittal Letter T J G A R t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Edgardo Maldonado DATE RECEIVED: DEPT: BUILDING DIVISION '� '%i RECOVED FROM: Jason Karam JAN I 0 2(122 CM Of T IGARD COMPANY: Process Design,LLC BUILCING DIVIS'CN PHONE: 775.846.4793 By: EMAIL: Jason@process-pdx.com RE: 15575 SW Sequoia Pkwy 1 (e Vv F'202►- 2 15 (Site Address) (Permit Number) Gold's Gym T.I. (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: _ Description: Additional set(s) of plans. 1 Revisions: Field Revisions Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Suspended Ceiling Replacement,Cardio Deck reconfiguration,additional spa seating FOR OFFICE USE ONLY Rout to Perm' echnician: e: ) - c)jQ - cza. Initials: �}- Fees Due. Yes Not Fee Description: mount Due: d�, 1-J r p) . $ 9'67 $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes °�No ❑ Done Applicant Notified: bey"Date: `/]/\L(1'?--- Initials: �'� iFNxf#ti.d:t 43lt dN H. t4laW SHskN lLu.._aHuu+. x«vysSwre. i::• 1 .•• a.. ,#.as =.s.4{ <.... tlikaae.waswaarr : u {.t.>r. ! e .a.3aw nr.n+4aai t.tu{-p.Mxln.+ixird a r .+.ae4y 1r4.e s... CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2021-00215 Date Issued: 11/2/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DD01600 Jurisdiction: Tigard Site address: 15575 SW SEQUOIA PKWY 180 Project: Golds Gym Subdivision: PACIFIC CORPORATE CENTER Lot: 4 Project Description: TI to remodel fitness center Contractor: VANOSDEL CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES PO BOX 1057 ATTN: N PIVEN BATTLE GROUND,WA 98604 15350 SW SEQUOIA PKWY#300 PORTLAND,OR 97224 PHONE: 360-687-8636 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB Permit Fee-COM-New Construction 10/12/2021 $1,954 37 Occupancy Grp: A-3 Occupancy Load: 360 12%State Surcharge-Building 10/12/2021 $234.52 Plan Review 09/16/2021 $1,270.34 Dwelling Units: 0 DC Provision Review,COM TI-Ping 10/12/2021 $434.00 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 10/12/2021 $781.75 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 10/12/2021 $22.00 Value: $355,000 11x17) Metro CET 10/12/2021 $426.00 Cash Over 10/12/2021 $3,550 00 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $8,672.98 Required: Required Items and Reports(Conditions) 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 through 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. Issued By: j-Ho-LLy Va-e De Wege Permittee Signature: Ok,Apv- i.e-a1Lo-vt. 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 13- / 1102— Commercial RECEIVE I IORolFl( I: I 511O\I.\ City g of Tigard ReceDate/By: q ived '\(p`,Z\ N Permit No.: v �Vp2oZk—oo2S 1` IIIII r 13125 SW Hall Blvd.,Tigard,OR 97223 v" p 0 7 2021 Plan Revie ,A'Z,. _ ot�7 �l Related Permit: Phone: 503-718-2439 Fax: 503-598-1960 Date/By: T I G A R I) Inspection Line: 503-639-4175 ^ Date Ready/By: un ® See Page 2 for CITY OF TIGARD Notif• ethod:7 i �� % Su lemental Information Internet: www.tigard-or.gov / 1 PP 9IJILDINIG nil/ISIS 1 -.� , _ .. %Yi. TYPE OF WORK REQUI'ED DATA:1- D 2-FAMILY DWELLING O New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all O Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 0 Accessory building 0 Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 15575 SW Sequioa Park New dwelling area: square feet City/State/ZIP: Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.#: Suite a8o Project name: Gold's Gym Tenant Improvement Covered porch area: square feet Cross street/directions to job site: Located on corner of SW 72nd and SW Upper Deck area: square feet Boones Ferry Rd inside the Pacific Corporate Center. Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Suite 18o Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: zS11zDDo1600 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. Tenant Improvement to remodel existing fitness center. No change of occupancy Valuation: $ 355,000 or additional square footage is proposed. Existing building area: 21,000 square feet New building area: 21,000 square feet 0 PROPERTY OWNER 0 TENANT Number of stories: 1 Name: TGD Fitness Type of construction: III-B Address: i8600 Woodinville Snohomish Rd NE,Suite 100 Occupancy groups: A3,B,M City/State/ZIP: Woodinville,WA g8o72 Existing: A3,B,M Phone:( 206)679.6453 Fax:( ) New: A3,B, M 0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Process Design Structural plan review fee(or deposit): Contact name: Jason Karam FLS plan review fee(if applicable): Address: 504 NE Brazee Total fees due upon application: City/State/ZIP: Portland,OR 97212 Phone:( 775 ) 846.4793 Fax: :( ) Amount received: I E-mail: jasonQa process pdx.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR ! roof-top mounted PhotoVoltaic Solar Panel System. Business name: T30 9tj'y� , ' t r OSdG\1 Ut Ul''�C 56e.l C O^>l. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon M Address: �1�J % o v 1 o' 1 Q Solar Installation Specialty Code checklist. City/State/ZIP: �/i CTI(00"b WA 0 6 Permit fee(includes plan review $180.00 Yz 1 and administrative fees): Phone:('Z )'j t — \f I(f Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 2t c0e1 iii Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. —.Dntaty syineu 4,Jason naiam Print name: DN c=us, Date: 9/2/21 * Fee methodology set by Tri-County Building Industry Je „ K/ ♦ E= aon©process-pd, ,,, Service Board. ason Karat 0 Pfttess Design CN=Jason Karam 1:\Building\Permits\BUP_COM_Permittl".a41c7°ItL2V1.302172172014 440-4613T(1 I/02/COM/WEB) RECEIVED r- 7 2021 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT F TIGARD " Accessibility: Barrier Removal Improvement P a DIVISION Commercial & Multi-Family - Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-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] $ $355,000 MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ $88,750 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: $ $88,750 (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): $ $88,750 I:\Building\Permits\BUP_COM_PemvtApp.doc Rev.03/05/2019 •. RECEIVED SEP 0 7 2021 City of Tigard • COMMUNITY DEVELOPMENT DEPARTIMit TIGARD Plan Submittal Requirements BUILDING DIVISION Commercial & Multi-Family - New, Additions or Alterations TIGARD 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# 0 project name 0 site address 0 suite number 0 zoning 0 applicant name 0 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 detail 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. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019 RECEIVED SEP 0 7 2021 CITY OF TIGARD City of Tigard • COMMUNITY DEVELOPMENT DEPARTME T3urLuING DIVISION !pi = a Plan Submittal Requirements Matrix Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov Type of Submittal # of Plans (Includes new,additions and alterations.) Required at Submittal Demolition Permit 2 (site plan is required showing location and square footage of all buildings to be demolished,erosion control plan and tree protection,if applicable) Site Work 3 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 3 Fire Protection System 3 Mechanical 2 Plumbing(building fixtures) 2 Electrical 2 Solar Photovoltaic 2 (Requires check list for prescriptive installation. If not prescriptive installation,engineering is required.) Plan review is dependent upon submittal of a completed application and plans. r Examiner will contactapplicant request After plan review approval,the Plans Exam e the app ca t to eques additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington County, and Tualatin Valley Fire& Rescue),if applicable. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT cr� D Building Permit Review — Commercial - 1\o Land Use TIBuilding Permit #: ';,VP 2oz\- oc Z 1 S Site Address: 15 3S-- 3btJ SeQUI0A plc Suite/Bldg#: 1 O Project Name: &ok,DS ('1lvi (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 'ay'/NW' tilmovC~ Existing Business Activity: 111 oa,e. 61ticl9e Y (it 1 evir Proposed Business Activity: it I/J Verify site address/suite#exists and active in permit system. ver Terrace Neighborhood: CIYes No Pcz'ion ng. - r L�1 permitted Use: Yes ❑ No ❑ Spec Space Confirm no land use required. L�Business License: Exists: ❑ Yes Po, applicant was provided a business license application Notes: Approved by Planning: 7,4/- Date: 40'Al Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1 Building Permit Submittal Original Submittal Date: a\1\-z1 Site Plans: # 3 Building Plans: # 3 Building Permit#: R'Enter building permit#above. Workflow Routing: C-Planning ['Permit Coordinator ['Building Workflow Sign-off: [ /Sign-off for Planning(include notes from planning review) Route Application Documents: R Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: \1 \)an\ew J"' Date: a l(p(Lk I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx Permit Coordinator Review (Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes N/A Tigard Trans SDC: 0 Yes N/A Parks SDC: 0 Yes N/A OK to Issue Permit Approvedby Permit Coordinator: Date: oi I i kQ 110�M ( I:\Building\Forms\BldgPennitRvw_COM_NoLandUse_111819.docx