Permit (238) CITY OF TIGARD BUILDING PERMIT
111-. . COMMUNITY DEVELOPMENT Permit#: BUP2016-00350
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 12/27/2016
TIrAR17 9
Parcel: 2S101 BB01400
Jurisdiction: Tigard
Site address: 12008 SW GARDEN PL
Project: Skyhook Fitness Subdivision: CROW PARK 217 Lot: 2
Project Description: Interior alterations due to change of occupancy.
Contractor: OWEN GABBERT LLC Owner: ICON OWNER POOL 1 WEST LLC
3811 N BORTHWICK AVE BY RYAN
PORTLAND, OR 97227 PO BOX 460169
HOUSTON,TX 77056
PHONE: 503-701-1407 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: DC Provision Review,COM TI-Ping 12/27/2016 $224.00
Occupancy Grp: Occupancy Load: Permit Fee-Additions,Alterations, 12/27/2016 $1,030.65
Demolition
Dwelling Units: 12%State Surcharge-Building 12/27/2016 $123.68
Stories: Height: ft Plan Review 12/27/2016 $669.92
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 12/27/2016 $412.26
Value: $90,000 Info Process/Archiving-Lg$2.00(over 12/27/2016 $6.00
11x17)
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $2,466.51
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 0 throug- 5 R 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.
Iss ed By: #, Permittee Signature:
Call 603.639.4175 by 7:00 a.m.for the next available inspectio; ./ate.
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 RECEIVED FOR OFFICE t sl: ONl.1
City of Tigard Received
g Date/B : btanirejlal PermitNo.: map,�/4„�35-o
13125 SW Hall Blvd.,Tigard,OR 9722
2 2016 Date/BPlan iew AM
= Phone: 503-718-2439 Fax: 503-598-1 Date/B : � sai� ® Related Permit:
T 1 G A R D Inspection Line: 503-639-4175 �+�^\ �y t Date Rea,l'�r" Juris: ® See Pae 2 for
Internet: www.tigard-or.gov CI f d� �/ �t � � Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 0 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: $
Accesso buildin Number of bedrooms:
❑ ry g ❑Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7Z C k.' /7'ei1 /c/ New dwelling area: square feet
S [ am
City/State/ZIP: Olf,, , 7 7Z a 3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: (:/,4(y X100 l. SS L Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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
DESCRIPTION OF WORK work indicated on this application.
I-4VA itti dtet, a0126 6 ,4co___ ,4-ii/. ":73.144___--
s Valuation: $ l®
�/ J Existing building area: square feet
New building area: square feet
ROPERTY OWNER "TENANT Number of stories:
Name: e. 4.1.. _� i` Type of construction:
Address: /t16� 5� .-r�e.�i e- //-- -; Occupancy groups:
City/State/ZIP: /� '
�`2�/!� , �C < � y7 Existing:
Phone:O �?J`a/J � Fax:( ) New:
APPLICANT �l/ 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: S (Please refer to fee schedule)
-3� r�` � � � Structural plan review fee(or deposit):
Contact name: r
/ ___
/�/' `" ' FLS plan review fee(if applicable):
Address: l(1 tUySC �� ��r.
City/State/Z1P: , , E'er r I 1 , 97-a
/ Total fees due upon application:
�} Amount received:
Phone:( 9)5 / /._,,, 7_ ,✓ Fax::( )
E-mail: `- t ! PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: V6 3 , ,_ , 4,,,,, Submit two(2)sets of roof plan with connection details
Address: ") (4,4,- // and fire department access,along with the 2010 Oregon
/. . ,..1_„0,,,, Solar Installation Specialty Code checklist.
City/State/ZIP: ./ az d Permit fee(includes plan review
® j ' and administrative fees): $180.00
Phone:6C� ( )
� )??-2_�,��/ Fax: State surcharge(12%of permit fee): $21.60
CCB Lie.: / Total fee due
upon application: $201.60
P
Authorized signature: �� y This permit application expires if a permit is not obtained
f.
6/ r� --'- ..46--- ----------- within 180 days after it has been accepted as complete.
Print name ie„.._..;? � Date:��//f7/:& * Fee methodology set by Tri-County Building Industry
f [ Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111
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] $
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): $
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
1111 City of Tigard
' COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - With Land Use
,w.
Building Permit #: 16 u p pip ) 6,-003 S�
Site Address: / GCS 45 ,.S i.) (Lki it.i // CZ--' Suite/Bldg#:
Project Name: S k i )i u 3 kc. `, .}-y, .ss
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: r' ;
.Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: El Yes No
'Land Use Case#: IA W1 0.. c Ito' - (LOO 31,x;,
L 1 Plans Match Approved Land Use:
0-Site Plan El Landscape Plan El Other:
El Urban Forestry Plan ❑ Elevation Plan
A I . Building Height: Maximum Height Actual Height
Conditions Met: El Prior to Submittal ❑ Prior to Permit Issuance
li ,,/
04 license:
Exists: ❑ Yes 'No,applicant notified to obtain business license
I .''-Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified .E;I No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: ('Y C ((c,,l;,.u,, Date: I — ? 14a
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: /,2/y/�
Site Plans: # 3
Building Plans: #
Building Permit#: B'Enter building permit#above.
Workflow Routing: a-Planning Id'Building
Workflow Sign-off: ❑, 'Si n-off for Planning(include notes from planning review)
Route Application Documents: LJ Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ` ___....z.......0....., _ Date: /fr 97 6
I:\Building\Fonns\B1dgPermitRvw_COM_W ithLandUse_060116.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (en •achments) per engineering conditions of approval and plat(not -.ical on SDR/CUP)
❑ Water Quality/Qua sty Facility:
Assess Water Quali ee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fe= -lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑
❑ NOT Approved by.Engineering: Date
Notes:
Approved by Engineering: I -:
Revisions (after Building Su s ittal only) Reviewer Date
Revision 1: ❑ Appr..ed ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes: No S p C- e r }'DT" r i s v lks C
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
LI OK to Issue Permit
Approved by Permit Coordinator: Date: 1 a - 7-/(o
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_070915.docx
III City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
i Appointment Checklist
Permit Record#: `6t t. Q �-b I to 00 3 S7�
Contact Name: 0_,..,.,Q Phone #: 5 ,-1-3.),7- ,' _7�
Business Name: `� Appt. Date/Time:d[ � to:00 /a/
Site Address: )9LDO$ c...` ` a 7
��Q Br g Suite#:
Project Name: t
Project Description: -- �„„ �� w �
T �_�lu , - zs ,3-44,,,,iAtli, /Yll✓hO 4,vrl / f t.-0,3741 O7Z- 1.S- t et4"1-. ,60-:
Existing Use: '3 New Use:
MMD Required: X Yes J ,Q b G ofcakftwIRelated Record#:
GENERAL INFORMATION
Class of Work: Occupancy Group: Type of Construction: i
Type of Use: l®, Occupancy Load: I Oregon Specialty Code: /LS
SPECIFICS
Number of Stories: r Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: I D Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: qv...... Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Caks Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor: Q
Total Project Valuation: $ iD
tofc)
$ % I Prov Rvw,COM TI—Ping
$ 1 WE/Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ MirOy 12%State Surcharge
Project Valuation $ j Plan Review,Structural
Up to$4,999 $0.00 $ IIIP*FL„ Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ • to Info Proc/Arch,Lg(ovei1 11x17$2.00)
$75,000-$149,999 $224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ . 4„1 TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12008 SW GARDEN PL, TIGARD, OR, 97223 February 13, 2018 at
3:14:07 PM
Record Type: Record ID:
Commercial - Building BUP2016-00350
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor