Permit CITY OF TIGARD BUILDING PERMIT
III _ ' COMMUNITY DEVELOPMENT Permit#: BUP2014-00307
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/15/2015
Parcel: 1 S 134BC00300
Jurisdiction: Tigard
Site address: 12268 SW SCHOLLS FERRY RD
Project: OrangeTheory Fitness Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: TI for new tenant.
Contractor: JR ABBOTT CONSTRUCTION CO INC Owner: FW OR-GREENWAY TOWN CENTER LLC
307 SE HAWTHORNE AVE., SUITE 150 PO BOX 790830
PORTLAND, OR 97214 SAN ANTONIO,TX 78279
PHONE: 360-597-2036 PHONE:
FAX: 503-293-2400
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 01/15/2015 $1,589.15
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 01/15/2015 $190.70
Dwelling Units: 0 Plan Review 12/31/2014 $1,032.95
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 12/31/2014 $635.66
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 01/15/2015 $299.00
Value: $180,000 DC Provision Review,COM TI-LRP 01/15/2015 $44.00
Info Process/Archiving-Lg$2.00(over 01/15/2015 $18.00
11x17)
Floor Areas:
Total Area: 2961
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,809.46
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 t. • :• •AR 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 :y: iffr 0&/gbd-40 Permittee Signature: X J
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
Commercial � � FOR OFFICE USE ONLY
Received City of Tigard 061
DateBy: brit /'f Permit Nop7r C�—c03,7
• 13125 SW Hall Blvd.,Tigard,OR 9722 Plan R
III I
�� Date•B ' e ill '`" Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 e� �-� ��r� - i
T , h D Inspection Line: 503.639.4175 �C �7 p Date Ready : H See Page 2 for 1 Internet: www.tigard-or.gov O 1104% ptifiedMethod: ifs S Supplemental Information
i t4_ Sfcf�^�
TYPE OF WORK''L``i 110 REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑DeMali 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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: S
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12268 SW Scholls Ferry Road New dwelling area: square feet
City/State/ZIP:Tigard,OR,97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:T.I.Orangetheory Fitness Covered porch area: square feet
Cross street/directions to job site:Located in the Greenway Town Center Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Interior Tenant Improvements Valuation: $$180,000.00
Existing building area: 2950 square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name:S&H Fitness,LLC d/b/a Orangetheory Fitness Type of construction: Interior T.I
Address:248 NE 64th Place Occupancy groups:
City/State/ZIP:Hillsboro,OR,97124 Existing: . Group A
Phone:(949)697-8935 Fax:( )
New: Group B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:S&H Fitness,LLC d/b/a Orangetheory Fitness
Structural plan review fee(or deposit):
Contact name:Stefan Klemm
Address:248 NE 64th Place FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Hillsboro,OR 97124 �j Ga.C,/
Phone:(949)697-8935 Fax: :( )
Amount received:
E-mail:sklemtGorangetheoryfitness.corn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
rt
Commercial and residential prescriptive installation of
-NE CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: A 6 � Cam,r,<,,,C 7--,,,0 Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: laity 6€- ( �'��,,t-� 01_ fit- i� Solar Installation Specially Code checklist.
City/State/ZIP: - T La tJ- o2 7 a/ a Permit fee(includes plan review $180.00
and administrative fees):
Phone: ) c9/ 5- c9.400 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.: (04;4, Total fee due upon application: $201.60
Authorized signature: fg.2,40.- ' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: S-fe P4-1 kle,rt M Date: t 21/4t//y • Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Perrnits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)