Permit CITY OF TIGARD BUILDING PERMIT
:� s COMMUNITY DEVELOPMENT Permit#: BUP2022-00231
Date Issued: 11/3/2022
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY
Project: Triangle Ill Subdivision: None Lot: None
Project Description: Landlord work: Conversion of a storage space to a fitness center. Scope of work includes demolition, new walls,
door relocation, and new finishes.
Contractor: WALEN CONSTRUCTION Owner: G&I X TRIANGLE CORPORATE PARK LLC
20915 SW 105TH AVE BY DRA ADVISORS LLC
TUALATIN, OR 97062 ATTN TAX DEPT
575 FIFTH AVENUE 38TH FL
NEW YORK, NY 10017
PHONE: 503-718-6680 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 11/01/2022 $789.69
Occupancy Grp: B Occupancy Load: 5 Demolition
12%State Surcharge-Building 11/01/2022 $94.76
Dwelling Units: 0 Plan Review 09/20/2022 $513.30
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/01/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/01/2022 $315.88
Value: $57,752 Info Process/Archiving-Lg$2.00(over 11/01/2022 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,829.63
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 ti I Lion Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090.0.You may obtain a copy of the rules or direct questions to OUNC by callin 503. 2.1987 or 1.8 0.332. 344.
Issued By: 74_,�P /I (p �/ r4 Permittee Signature: ( 'r�,
(((���"`�����` Call 503.639.4175 by 7:00 a.m.for the next available inspectio d e.
This permit card shall be kept in a conspicuous place on the job site until comp t n of the proje
Approved plans are required on the job site at the time of each inspection.
'Building Permit Application
Commercial FORon.it 1 t tile. tlyl.)
City of Tigard RECEIVED Received
Date/By: Cr tilj-- — Permit No.:pj- 1rx l�_lee 2f 13 I
NI • 13125 SW Hall Blvd.,Tigard,OR 97223 1 2022 Plan Review {JW* �` wa`iJ
• Phone: 503-718-2439 Fax: 503-598-1960SEP 5 _p1,„ 2Z Related Permit:
Ilate/By:
T I G A R I, Inspection Line: 503-639-4175 Dale Ready/By: ]iris: Eli Page 2 for
Internet: www.tigardor.gov CITY OF TIGARD Noti etho
� I Supplemental InformInformationB1111 WING DIVISION
TYPE OF WORK REQU D DATA:I-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 ❑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 0 Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 177 Z.Z.1 S w lyv(r-s p I<IN y New dwelling area: square feet
City/State/ZIP: T t"\Cv -t t t 6 e_ CL — 7_3 Garage/carport area: square feet
t
Suite/bldg./apt.#: Project name: ¶Y1 aw t,1„- I I I FOSS ( Mw Covered porch area: square feet
Cross street/directions to job site: V` :( Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the'nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
y DESCRIPTION� " OF WORK work indicated on this application.
�y
IN pY k 1 n(iU P [1 DANIA 114-1 ,✓1, ,,-t),.V W;,l\\S 1 • J Valuation: $ S l / JZ . 0
i Existin building area:
VO Ok al1YN 1 CA Vi A Y�-eA� fin\S I„Li .1' g 8 q�q square feet
-�` r-S. ctf- ux �5 .1411 i i ZA..4z� New building area: [J�q` square feet
PdtOPERTY OWNER ❑ TENANT Number of stories: 1 ( l
Name: r;Y. S(A.)-1-% (,/,`/k1N11 J al 4 v)61 0 n a,(‘-t- Type of construction: ' —
Address: (it S "1-)S Sw eltAtyl k Yv t )Y. Occupancy groups: `J
City/State/ZIP: 10,e Nkke,yAin , • 'TUOK Existing:
Phone:(MIS) (4,C.‘Cr _ kb Fax:( ) New:
ICI..APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: Ct,(i -PM 1..., (Please refer to fee schedule
Structural plan review fee(or deposit):
Contact name: f\p‘s..A c,yN t,,RC L�� \ "
Address: I S 1 S S G W G�{W AV.C.„ 1 'S U I) 10 C� FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: 'o srR Ir.lnd 1 0?.- GibZ i 1'
Phone:( sn 22,? 11
S Fax::( )
5 Amount received:
/ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: S C �h�J Lk try? (. •�� Commercial and residential prescriptive installation of
CONTRACTORC roof-top mounted PhotoVoltaic Solar Panel System.
Business name: w a1-e� c. n S• vvr L 0\il Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 2.0 01 I C vJ CI `0 C"J 1'1r. we, Solar Installation Specialty Code checklist.
City/State/ZIP: rvA Cn\A-h 0 al--0 1.0Permit fee(includes plan review
)- and administrative fees): $180.00
Phone:( 3) (p22 6O1�/Z—CI 00`Z Fax:( ) State surcharge(12%of permit fee): $21.60
Z
CCB Lie.: Z J S 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.
Print name: L/�f ea S Date: 1 I S i 20-)Z * Fee methodology set by Tri County Building Industry
Service Board.
I:(Building\PermitslBUP_COM_Pen itApp.doc Rev.04/21/2014 440-4613T(II/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
114
. Accessibility: Barrier Removal Improvement Plan
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] $ 5 4-i J L
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\Pem its\BUP_COM_PemdtApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 Plan Submittal Requirements
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# ❑ project name ❑ site address ❑ suite number
❑ zoning El 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 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
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
/11 " 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 requited.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County,and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Perrnits\BUP_COM_PemiltApp.doc Rev.03/05/2019
11111 City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T,cA D Building Permit Review — Commercial - No Land Use
Building Permit #: , to 7 -,Uc -T j
Site Address: ?)221 clA) & Suite/Bldg#:
Project Name: W1GINlyle
: fgtncsS c */ Wridt5'
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review Proposal: T( al&a s-[ -to f111eiSS C•vvfCr at k24c Yr;h4 eflOD(.
Existing Business Activity: C6Li c.e
Proposed Business Activity: a
Verify site address/suite# exists and active in permit system.
El River Terrace Neighborhood: ❑ Yes No
Zoning: -11NV
'ermitted Use: 7=iYes ❑ No El Spec Space
*Confirm no land use required.
ABusiness License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes: NO exifif eu (4071%
Approved by Planning: Date: !/!siaz__
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: q/j/in,
Site Plans: # Itch
Building Plans: # 3
Building Permit#: [rater building permit#above.
Workflow Routing: Planning ❑ Permit Coordinator L9'l'Tdg
Workflow Sign-off: lil---',5gn-off for Planning(include notes from planning review)
Route Application Documents: g: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: '`'e" � Date: 'l•/fS7
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_09072022.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Received 0 Does not apply
O Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A 0 Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ Yes ❑ N/A ❑ Deferred
LIDA Fee: 0 Yes 0 N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Fonns\BldgPennitRvw_COM_No LandU se_08162022.docx