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Permit (6) 1111Ill 1 CITY OF TIGARD BUILDING PERMIT I COMMUNITY DEVELOPMENT Permit#: BUP2019-00235 Date Issued: 09/30/2019 T t G A R u 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115BA00100 Jurisdiction: Tigard Site address: 16200 SW PACIFIC HWY N Project: Planet Fitness Subdivision: None Lot: None Project Description: Renovation of storefront to add windows at north entrance for new tenant. Contractor: SD DEACON CORP OF OREGON Owner: TECOLOTE RESOURCES INC 901 NE GLISAN ST SUITE 100 KELLY'S LEGACY LLC, ET AL PORTLAND, OR 97232 BY HESSLIN HOLDINGS INC 23421 SOUTH POINTE DR STE 270 LAGUNA HILLS, CA 92653 PHONE: 503-297-8791 PHONE: 503-764-7595 FAX: 503-297-8997 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 09/30/2019 $1,709.95 Demolition Occupancy Grp: B Occupancy Load: 0 12%State Surcharge-Building 09/30/2019 $205.19 Dwelling Units: Plan Review 08/26/2019 $1,111.47 Stories: Height: ft DC Provision Review,COM TI-Ping 09/30/2019 $406.00 Bedrooms: Bathrooms: Plan Review-Fire Life Safety 09/30/2019 $683.98 Value: $200,000 Info Process/Archiving-Lg$2.00(over 09/30/2019 $22.00 11x17) Info Process/Archiving-Sm$0.50(up to 09/30/2019 $17.50 Floor Areas: 11x17) Metro Const.Excise Tax 09/30/2019 $240.00 Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $4,396.09 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. A.4-Issued By: , i��' ✓ Permittee Signature: �, Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 76— This permit card shall be kept in a conspicuous place on the job site until completio of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial EA M Y FOR OFFICE USE:<)NEI Cityof Tigard 7 aZ z / ' __.. /7 —(J(J/$ ; � t)atat➢v� i' i III a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan ReReview • Phone: 503-718-2439 Fax: 503-598-1960 JUL 2019 t)atc/t3q: $" '— ) J' Related Permit: T 1 G A R D Inspection Line: 503-639-4175yy. ,.y,P., s, ,.„ Date Ready/By: loris: ®Sec Page 2 for Internet: www.tigard-or.gov CITY Y ?., " i ik-,i "tSti✓ NotiftedlMethod: �� 1 c /, _ Supplemental Information 9�ll° illy, t,lViSI )3€�? �/ TYPE OF WORK RE. IRED DATA:t-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 xi Addition/alteration/replacement 0 Other: ` equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 0 1-and 2-family dwelling CKI Commercial/industrial Valuation: $ 0 Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION `total number of floors: Job site address:` j7-00 543 )4C/ 514,4&___ Yv New dwelling area: square feet City/State/ZIP: Tigard/Oregon/9724 Garage/carport area: square feet Suite/bldg./apt.dJ: j'I / Project name: Planet Fitness Covered porch area: square feet Cross street/directions to job site: Deck area: square feet — Corner of SW Pacific Hwy and Durham Road Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot If: Permit fees*arc based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax snap/parcel#: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Tentative Improvement to existing facility to operate a 24/7 physical fitness Valuation: $ 1,500,000 business.Work to include but limited to, new plumbing,electrical, Existing building area: 25,440 square feet mechanical, and fire suppression work. New building area: square feet 0 PROPERTY OWNER ® TENANT Number of stories: 1 M'� ��s� �� Name: Town Square Fit LLC Type of construction: Ill- B Fully Sprinklered _ Address: 15171 Bangy Road — Occupancy groups: A-3 City/State/ZIP: Lake Oswego/OR/97035 Existing: Phone:( 503) 764-7595 Fax:( ) New: 0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* — (Please refer to fee schedule) Business name: Town Square Fit LLC ---- ---- Structural plan review fee(or deposit): Address: Contact name: 15171 Gary Van Drew -- FLS plan review fee(if applicable): Bangy Road Total fees due upon application: City/State/ZIP: Lake Oswego/OR/97035 - --.:— r — Amount received: s Phone:( 503) 764-7595 Fax::( ) t PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* �i E-mail: gvandrew5@rnsn.00111 Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Deacon Construction Submit two(2)sets of roof plan with connection details . _a. and tire department access,along with the 2010 Oregon Address: 901 NE Glisan St StE 100 Solar installation Specialty Conde checklist. City/State•/ZIP: Portland/OR/97232 Permit fee(includes plan review $1$0.00 and administrative fees): 503) 297-8791 Fa. ( ) State surcharge(12%of permit fee); $21.60 G Phone:(CB Lie.: 212549 Total fee due upon applit atian: $201.60 Authorized signature: - This permit application expires if a permit is not obtained fittiwithin 180 days after it has been accepted as complete. Print name: Jarrod Fos�e [Date: 7/24/2019 i * Fee methodology set by Tri-County Building industry __.._.. Service Board. I:113uilding\Permits\BUP_COM_PermitApp.doc Rev.04/21/20I4 440-4613T(I I/02/COM/WEB) City of Tigard 101Cq COMMUNITY DEVELOPMENT DEPARTMENT T1cARD Building Permit Review — Commercial - With Land Use Building Permit #: 61 Pot—O/ -96 I R.-- Site Address: /( ' 2 00 .//0 Ave/4 l' iou Suite/Bldg#: Project Name: S (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 7'/_ )1j ka i4 Verify site address/suite# exists and active in permit system. \ 11��. er Terrace Neighborhood: ❑ Yes IV No nd Use Case#: Mt'l 5 °I 9 66)c'66)c'IQ Plansatch Approved Land Use: ��// Q IMSite Plan V'l c dscape Plan4ther: 4f* rban Forestry Plan \1vation Plan I VI wilding Height: M mum Height �S Actual Height '/' TA Conditions Met: ACJ Prior to Submittal ❑ Prior to Permit Issua if Business Licen . Exists: L Yes ❑ No,applicant notified to obtain business license cblic Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake Notes: Approved by Planning: \._ — % Date: 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: 7 . / Site Plans: # �, Building Plans: # Building Permit#: \'p-=nter building permit#above. Workflow Routing: 1 lanning 1ngineering L 'ermit Coordinator wilding Workflow Sign-off: •►Sign-off for Planning(include notes'from planning review) Route Application Documents: P Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: / / By Permit Technician: /,L1.44 411 4 Date: ____7/5I / / I:\Building\Forms\BldgPennitRvw_COM_W ithLandUse_060 1 16.docx Engineering Review Slope at building pad: 2 Gz 12'PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit .-%1C Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) a Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes D"No Assess Water Quantity Fee in-lieu: ❑ Yes IY.No LIDA Facility on lot: ❑ Yes LNo ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: 7/J J/9 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ 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: 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: V7SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ,L,EI, /A Tigard Trans SDC: ID Yes LN/A Parks SDC: ❑ Yes re N/A K to Issue Permit 007Approved by Permit Coordinator: 4/ Late: I:\Building\Fonns\B1dgPennitRvw_COM_WithLandUse 070915.docx