Permit (11) 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
■ Transmittal Letter
13125 SW Hall Blvd. •Tigard, Oregon 97223 •503.718.2439 • www.tigard-or.gov
d=or.gov
TO: D
DEPT: BUILDING DIVISION
AUG 10 2n„-
FROM: 1� �L S�G�CJ CITY OF TiGARb
COMPANY: BUILDING DIVISION
PHONE: 71
EMAIL:
RE: 7255 SW Dartmouth Street,Tigard,OR 97223 BUP2022-00178
(Site Address) (Permit Number)
Planet Fitness-Tigard, OR
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Additional set(s)of plans. 3 Revisions: Structural drawings
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. 2 Engineer's calculations.
Other(explain): \
REMARKS: u,Ck-LA r 0, c -S UJ 4AYL- 5 V�
cam- ✓, 16-11
Route o Permit Te cian: Date: Initials:
Fees Due: s No Fee Description: Amount Due:
4
i
{
Special
Instructions:
Reprint Permit(per PE): Yes No Done
Applicant Notified: ate: Initials:
711 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00178
Date Issued: 8/8/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DC04600
Jurisdiction: Tigard
Site address: 7255 SW DARTMOUTH ST
Project: Planet Fitness Subdivision: 1995-013 PARTITION PLAT Lot: 3
Project Description: TI for new tenant:New partition walls,finishes,and casework.
Contractor: DEACON CONSTRUCTION LLC Owner: COMMERCIAL NET LEASE REALTY, INC
901 NE GLISAN ST STE 100 450 S ORANGE AVE, STE 900
PORTLAND, OR 97232 ORLANDO, FL 32801
PHONE: 503-297-8791 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 08/08/2022 $7,083.95
Occupancy Grp: A-3 Occupancy Load: 390 Demolition
12%State Surcharge-Building 08/08/2022 $850.07
Dwelling Units: 0 Plan Review 07/13/2022 $4,604.57
Stories: 0 Height: 0 ft Address Fee 08/08/2022 $50.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 08/08/2022 $434.00
Value: $1,300,000 Plan Review-Fire Life Safety 08/08/2022 $2,833.58
Info Process/Archiving-Lg$2.00(over 08/08/2022 $106.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 08/08/2022 $17.50
Total Area: 0 11x17)
Accessory Struct: 0 Metro CET 08/08/2022 $1,560.00
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $17,539.67
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 are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may o rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332
Issued By: Permittee Signature:
II 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.
_„W
Building Permit Application
Commercial FOR OFFICE USE ONLY
City 25 Of Tigard Date/By- 'Via/pi— Permit No.: /3L/a)0 /.,�i1�
" 13125 SW Hall Blvd.,Tigard,OR 97223� Plan Review - � Q`p �W
Phone: 503-718-2439 Fax: 503-598-19G0�EC E I VE D Date/By: 7— , i Related Permit:
TIGARD Inspection Line: 503-639 4175 Date Ready/By: / Jul s. ® See Page 2 for
¢n Internet: www.tigard-or.gov JUL 1 1 2022 Notified/Method:d �t Supplemental Information
'�-�Atdpc'I ttofl QS-�/ /6 v�)�
0 t I\PF; or NV0121i 12EQ1_'IRED DATA: 1-AND 2-I 4 MlLV"DWELLING
1 1 I Permit lee are based on the value of the work e Ibrmed.
❑New construction I-1 I ter w iti�nt I
— 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 CONS IRE(I WN work indicated on this application.
illw I-and 2-Family delling [A Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms: 3 90 '0
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE; INFORMATION AND LOCATION Total number of floors:
Job site address: 7255 SW DARTMOUTH STREET New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.4: Project name: PLANET FITNESS -TIGARD, OR Covered porch area: square feet
Cross street/directions to job site: CORNER OF SW DARTMOUTH AND Deck area: square feet
SW 72ND AVENUE Other structure area: square feet
REQUIRED DATA:COSIMERCIAI:LSE CIIECKI.IST
ISubdivision: Lot 4: 3 Permit tees*are based on the value of the work performed.
"' Tax map/parcel#: 1 S 136DC04600 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DES(lOt lION OF WORK work indicated on this application.
GO
Valuation:
ti INTERIOR TENANT BUILDOUT/UPFIT FOR PLANET FITNESS, $ 11 ,,
A INCLUDING NON-LOAD-BEARING PARTITION WALLS, FINISHES, Existing building area: 22,268 square feet
CASEWORK, & MECHANICAL, PLUMBING, & ELECTRICAL RETROFITS New building area: 22,268 square feet
h� ❑ PROPERTY OWNER I%! TENANT Number of stories: 1
,<t, Name: BRAVO FIT- DAN AFRASIABI Type of construction: II B
Address:15171 BANGY ROAD Occupancy groups:
Z City/State/ZIP: LAKE OSWEGO, OR 97036 Existing: M (Mere.) W/ NON-SEP. B & S-1
)4 Phone:( 714)269-7579 Fax:( 1 New: A-3 (ASSEMBLY) W/ B & S-1
❑ AI'I I l(ANT ® CON"1 AC 1 PERSON BUILDING PERMIT FEES*
"Please refer to fee schedule)
Business name: MJM ARCHITECTS
Structural plan review lee(or deposit):
Contact name: BRIAN DOHERTY
FLS plan review fee(if applicable):
Address: 2948 SIDCO DRIVE p
Total fees due upon application:t`L I ,i d.57i
City/State/ZIP: NASHVILLE, TN 37204 OE/v.44 lir , It
Phone:( 615)244-8170 Fax: :( )
4/ Amount received:
E-mail: b.CIOYtelty�rT1J1112rcI1.corn PAOTovoE I \IC SOLAR PANEL S\STE\I FEES*
a a'x.l, /t, ,C�/,,,.�
onffiICrcial and residential prescriptive installation of
��, ,� roof-top mounted PhotoVoltaic Solar Panel System.
c,t.. .. `..::„•,(#a a 3b s�€..!;:sfsa a I �
�:,y Business name: iaC"vL o 4 &.an --e ih Submit two(2)sets of roof plan with connection details
,) C/ � and fire department access,along with the 2010 Oregon
Address: w, it,/E 6—4::et t ‹� Solar Installation Specialty Code checklist.
Gilt-- O .
) Permit fee(includes plan review
City/State/ZIP: ) LC� (/°� L $180.00
and administrative fees):
Phone:CIA ) �" . (3/Ly Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 7l/� �li�
( Total tee due upon application: $201.60
Authorized signature: K f` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 17a V\ ,�. r,1tC( Date: Y` / ( / � * Fee methodology set by Tri-County Building Industry
a J Service Board.
I:\Buildine\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-461 3T(1 1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 " Accessibility: Barrier Removal Improvement Plan
op
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] $
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 $ N/A
(b) An accessible entrance: $ N/A
(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:A Building\Permits\BUP_CODM_Permit:lpp.doc Rex.03/05/2019 (�
(1
I
City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
TlcaD Building Permit Review — Commercial - No Land Use
. trie- .r
Building Permit #: iledvaik 0)i 7g
Site Address: 725-5- S w ppierryt°Li`(NSuite/Bldg#:
Project Name: FLA KiVr- S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1- .- •
Existing Business Activity: SA ce s
Proposed� Business Activity: ilv()�p2 1-�(!-TA G 4vlv"e^r'1 r
12 Nerd site address/suite#exists and active in permit system.
LJ-lver Terrace Neighborhood: ❑ Yes i1 No
❑, ZZcOng: Till (I
11 tted Use: es ❑ No ❑ Spec Space
Ataill Co firm no land use required.
Business License:
Exists: ❑ Yes CNo,applicant was provided a business license application
Notes: NO EA&'1 ASS fA Jc c Nam- i i (r O
, eye i A1t/Ivuoe,
Approved by Planning: /,. - Date: q/(( /2?—
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved 1
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: r building permit#above. �,,,�
Workflow Routing: B'�1 tinning Li Permit Coordinator Ik1uildmg
Workflow Sign-off: ®'�' off for Planning(include notes from planning review)
Route Application Documents: PBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: "7„,,a,,,,,,,1"....,,,,, - Date: 70741
I:\Building\Fomis\BldgPermitRvw_COM_NoLandUse_111819.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: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\B1dgPennitRvw_COM_NoLandUse_111819.docx