Permit (30) CITY OF TIGARD BUILDING PERMIT
1 ' COMMUNITY DEVELOPMENT Permit#: BUP2019-00065
T i i�A p.1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2019
Parcel: 1S 1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD
Project: Peloton Subdivision: None Lot: None
Project Description: New 288 sq.ft.microstore kiosk adjacent to Starbucks kiosk Y04.
Contractor: SCHEINER COMMERCIAL GROUP INC Owner: PPR WASHINGTON SQUARE LLC
18965 BASE CAMP RD STE Al PO BOX 847
MONUMENT, CO 80132 CARLSBAD, CA 92018
PHONE: 719-487-1600 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 04/08/2019 $955.35
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: B Occupancy Load: 4 12%State Surcharge-Building 04/08/2019 $114.64
Dwelling Units: 0 Plan Review 03/21/2019 $620.98
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/08/2019 $243.00
Bedrooms: 0 Bathrooms: 0 Plan Review Addl-Fire Life Safety 04/08/2019 $1.00
Value: $80,000 Info Process/Archiving-Sm$0.50(up to 04/08/2019 $10.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,945.47
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. Y may obtain a co.y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
r
Issued By: / f Permittee Signature: 7, (_ .
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 I oR 011 I( 1, 1 SE ON1.1.
City of Tigard I V �"'} Rate,13y: 3 i/ el , — Parmit No.: Prom ore )6.63
11 13125 SW Hall Blvd.,Tigard,OR 9722 -”" Plan Re%iew
■ Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 Date/By —�7'
i i 1,t) Inspection Line: 503-639-4175 MAR 1 8 2019 Date Ready/B
y: L , / ,/ j 0 see Page 2 for
Internet: www.tigard-or.gov *intiA.A/,+4t: / Supplemental Information
CITY OF IGARD L-M til ; r r
TYPE 08: py �'
ING DSiON REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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 IN Other: kiosk in mall _ equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: S
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9585 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Togard, OR 97223 Garage/carportarea: square feet
-s --
Suite/bldg./apt.#: Project name:Peloton 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
TIFIICRIFIEDBI 00 WORK work indicated on this application.
Retail kiosk within shopping mall for a high-end Valuation: S 80,000
exercise equipment company Existing building area: square feet
New building area: 288 square feet
0:PROPERTY OWNER El TENANT Number of stories: 1
Name: Peloton Interactive Type of construction:temporary structure
Address: 125 W 25th St, 11th Floor Occupancy groups
City/State/ZIP: New York, NY 10001 Existing: M
Phone:(866)679-9129 Fax:( ) New: M
t APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: Peloton Interactive (Pledge refer Mfseschedrek
Structural plan review fee(or deposit): fi
Contact Warne: Nicholas DeRosa FLS plan review fee(if applicable):
Address: 125 W 25th St, 11th Floor �r� )
Total fees due upon application:' ( ; i e 8'
City/State/ZIP: New York, NY 10001 Y"'
Phone:(866) 679-9129 Fax::( ) Amount receive :
E-mail: PHOTOVOLTAICSOLARMULSYSTSMPESEk
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: TBD Com/ I ,�/ Submit two(2)sets of roof plan with connection details
r ej"1r A1G/ Cerr1tn''f Co / and fire department access,along with the 2010 Oregon
Address: i i`7 .,ej /Q J�.,7,, 81, (,rte, ,,4_-/ _Solar Installation Specialty Code checklist.
!1 "` v Permit fee(includes plan review
City/State/ZIP: y 4, ry -"-Zi/ $180.00
(,j�►/ �/ f and admitnstrative fees):
Phone:(7j e ) n2-7- i(4,00 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie,: /14416—►-r .t 7!/;I Total fee due upon application: $201.60
Authorized signature: ....c.'�+�G/ __-.j�7 —___ This permit application expires If a permit is not obtained
/Jf, ` within 180 days after it has been accepted as complete.
/*' c%o/s j'�, * Fee methodology set by Tri-County Building Industry
Print name: / 6U //G 116,,ret-____ Date: 3/89//7 Service Board.
I:tBuiiding\Permits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(l1/02/COM/WEB)
_
•
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IAccessibility: Barrier Removal Improvement Plan
■
Commercial & Multi-Family - Additions or Alterations
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) Accestihle drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shal(equal line 121 of Valuation Computation): $
T:\Bwlding\Permits\BUP_COM PemritApp.doc Rev.11/5/2018
Branden Taggart
From: Tabitha Todd <tabitha@expresspermits.net>
Sent: Friday,April 5, 2019 6:47 AM
To: Branden Taggart
Cc: #Building Permit Technicians; info@expresspermits.net
Subject: RE: Peloton kiosk: BUP2019-00065 - 9585 SW Washington Square Rd.
The general contractor is:
Scheiner Commercial Group, Inc.
18965 Base Camp Rd., Suite A-1
Monument, CO 80132
We are working on getting the fees paid. I will let you know when it is completed. Thank you!
El Express Permits
• COMPANY
TabithaTodd
VP/COO
ICC Certified Permit Technician
(0) 877.908.9008
(M)440.465.6952
From: Branden Taggart [mailto:brandent@tigard-or.gov]
Sent: Thursday, April 04, 2019 5:17 PM
To: Tabitha Todd
Cc: #Building Permit Technicians; info@expresspermits.net
Subject: RE: Peloton kiosk: BUP2019-00065 - 9585 SW Washington Square Rd.
Hi Tabitha,
My co-worker,Julie Drinkwater, called and left a voicemail with Nicholas DeRosa at Peloton yesterday to inform him that
this permit is ready to pick up. The balance due is$1,324.49, and the permit fees can be paid online now at
https://aca.accela.com/TIGARD/Default.aspx or in person between the hours of 8:00 a.m. and 4:30 p.m., Monday
through Thursday. We are closed on Fridays. If you pay online, please notify us at tigardbuildingpermits@tigard-
or.gov. Also, we will need contractor license information prior to issuing this permit. Please let me know if you have
questions.
Thank you,
1
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: e4, -j/J.- _,'-
Site Address: '7S 5-7,tits ,, 7 / : � �f Suite/Bldg#:
_C
Project Name: /4-Zi141/
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review 11
Proposal: geA,tt ; L ;y,,s'k A . 'opP'i "Awl( f f. a 11Oi\- �c'l i°-Cti2,{e- zi,„(,,,,t,-F C)A„?A
y
Existing Business Activity: VA
Proposed Business Activity: l ul. :_ 06
Verify site address/suite#exists and active in permit system
LJ1' ver Terrace Neighborhood: ❑ Yes I NoN
ICY Z ning: fr‘V 1. ��
ermitted Use: LTJ" Yes CI No CI Spec Space
R' Confirm no land use required.
[IXt siness license: _��
Exists: ❑ Yes [ No,applicant notified to obtain business license
Notes: I11,11) z3 71`4. rte,; r4 ft lc-,-k,k.
Approved by Planning: LyvatviL
(jfJe.
Date: 1'(f
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: j
Site Plans: #
Building Plans: #
Building Permit#: [7-nte uilding permit—#above. _
Workflow Routing: lanning EI' it Coordinator —Btiii ng
Workflow Sign-off: gn-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: / MO Date: )..(`/1
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 060116.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:
CJ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes CSN/A
Tigard Trans SDC: ❑ Yes CYN/A VParks SDC: ❑ Yes 'N/A
OK to Issue Permit L�
Approved by Permit Coordinator: Date: 3 2 q4I
I:\Building\Forms\BldgPemiitRvwCOM NoLandUse 070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9585 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2019-00065
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor