Permit CITY OF TIGARD BUILDING PERMIT
✓1. COMMUNITY DEVELOPMENT Permit#: BUP2020-00003
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2020
TIGARD 9 Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY A
Project: Anytime Fitness Subdivision: 1994-028 PARTITION PLAT Lot: 2
Project Description: Landlord work prior to TI for façade remodel.
Contractor: CSI CONSTRUCTION COMPANY Owner: SN PROPERTIES PARTNERSHIP
17721 NE RIVERSIDE PKWY, STE.A 1121 SW SALMON ST
PORTLAND, OR 97230 PORTLAND, OR 97205
PHONE: 503-907-0070 PHONE:
FAX: 503-907-0077
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 02/06/2020 $842.40
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Building 02/06/2020 $101.09
Dwelling Units: 0 Plan Review 01/13/2020 $547.56
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 02/06/2020 i $102.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 02/06/2020 $62.00
Value: $65,000 11x17)
Info Process/Archiving-Sm$0.50(up to 02/06/2020 $49.50
11x17)
Floor Areas: Tigard CET-Non-Residential-Admin 02/06/2020 $26.00
Tigard CET-Non-Residential-AH 02/06/2020 $624.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,354.55
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 Noti'cation/C&nter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. Yo may obtain a copy of the rules or direct questions to OUNC by caijin 503J32.i987 or . 00.332.2344
Issued By: ' �. ideie4ii Permittee Signature: �i \\,i
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 A .
Commercial FOR OFFICE USE ONLY
City of Tigard DateBy: Permit No.: (�(��
IVED l� r� ` /OLAI ?O O
1111 Isa 13125 SW Hall Blvd.,Tigard,OR 972.+ Plan Review
Phone: 503-718-2439 Fax: 503-598- ,1 Date/By: •�7 Related Permit:
T 1GARD Inspection Line: 503-639-4175 Date Ready/By: f Juris: la See Page 2 for
, Internet: www.tigard-or.gov JAN 13 2020 Notified/Method: 1/3 4 J 7 I Supplemental Information
u,a v kr v Svva. a
\ \0� TYPE O - 7 g'_ �, �, " "e,. , 0y S, a ,ay awv\ i'
Permit fees*are based on the value of the work performed.
❑New construction Demolition
Indicate the value(rounded to the nearest dollar)of all
xl Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
414yS`ASA t 400 w 41 work indicated on this application.
El1-and 2-family dwelling IXCommercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder Ill Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION v 2v A vy�0 Total number of floors:
Job site address: 16200 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP: Tigard, Oregon I""1: r Garage/carport area: square feet
�J
Suite/bldg./apt.#: A Project name:.-Tigard Town-Sq Phase II Improv- I-nts Covered porch area: square feet
Cross street/directions to job site:SEC of SW Pacific Hwy &SW Durham Road Deck area: square feet
Other structure area: square feet
1I1 7ATA:COMMERCIAL-USE CHECKLIST
Subdivision: Tigard Towne Square Lot#: 1900 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 2 S 115 BA 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.
Facade remodel for Building A(Anytime Fitness) Valuation: $ 65,000
Existing building area:A(Sa MM 2v/9 — Zq- 6,710 SF
change
New building area: square feet
PK] PROPERTY OWNER AIRY" ❑ TENANT%,,. Number of stories: 1
Name: SN Investment Properties, LLC Type of construction: "A" =VB
Address: 1121 SW Salmon St., Ste 500 Occupancy groups:
City/State/ZIP: Portland, OR 97205 Existing: A3
Phone:(503 )973-0205 Fax:( ) New: No change.
6,44,1\vv E APPLICANT (id CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Benner Stange Associates Architects, Inc.
Structural plan review fee(or deposit):
Contact name:Tom Fallon
Address: 80 SE Madison St., Suite 430 FLS plan review fee(if applicable):
City/State/ZIP: Portland, OR 97214
Total fees due upon application: t 7 -,
Phone:(503 ) 462-1423 Fax::(503 )670-0235 Amount received:
E-mail: tfallon@bsaarch.com ,, PHOTO►VO O L\ P NEL STElt1 FEES*
vv� vAk Commercial and residential prescriptive installation of
��A�V�' CONTRALTO
����� 2� ����'! roof-top mounted Photovoltaic Solar Panel System.
Business name: Out to bid v0(c( tri(h. r y L Submit two(2)sets of roof plan with connection details
,�� � rJ �/1 and fire department access,along with the 2010 Oregon
Address: t"11Z( N �t�{rct G1f W()(/1 l�{y1 C it Solar Installation Specialty Code checklist.
City/State/ZIP: ?Dr t(a vt Ct , Dr ((w'JJ66 12 U Permit fee(includes plan review $180.00
and administrative fees):
Phone:(se-2,) q 01—0i)1 0 Fax:(6 q 7) 6 D I— 0 071 State surcharge(12%of permit fee): $21.60
CCB Lie.: 16 s ✓Ci Total fee due upon application: $201.60
Authorized signature: 2.....(., `� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Print name: O�y f //ate Date: r �� ZQZ b 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
T I G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: ozinkv -00(103
Site Address: 16100 SV/ PuciC,2 IL
r Suite/Bldg#: A
Projectliaaql Ivars t � IM r,�n S
, ,
Name:
(Name of commercial business occupying the space. If vacant,enter Sp c pace.)'
Planning Review
Proposal: I "t�'e�- At t 71-i' �ii-ai}
M Verify site address/suite# exists and active in permit syste .
T aver Terrace Neighborhood: 1 CI Yes No
and Use Case#: hNlo(ct--OoO21-
Tr Plans/Match Approved Land Use:
[ Site Plan 4 L ndscape Plan ❑ Other:
0-Urban Forestry Plan D7Elevation Plan r
LE uilding Height: Maximum Height _!J Ac l Height
[ Conditions Met: ❑ Prior to Submittal Lid' Prior to Permit Issuance
Lbd" Business Licens :
Exists: [Yes ❑ No,applicant was provided a business license application
[ "Public Facilities Improvement(PFI) Permit: —/
Required: 0 Yes,applicant was notified [ 'No Applied For: ❑ Yes ❑ No, stop intake
Notes:
Approved by Planning: , C9yiik Date: 1-1 3`0Lo
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: iV
Site Plans: #
Building Plans: k,� �E
Building Permit#: nter building permit#above.
Workflow Routing: I�Planning [gineering L5""I'CYInit Coordinator 111-1Suilding
Workflow Sign-off: ig-"*S'ign-off for Planning(include notes from planning review)
Route Application Documents: is — wilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician:
„`-'e Date: 04-0
I:\Building\Fonns\BldgPermitRvw_COM_WithLandUse_111819.docx
Engineering Review
C Slope at building pad: 2 /o
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [ No
Assess Water Quantity Fee in-lieu: ❑ Yes C7'No
LIDA Facility on lot: ❑ Yes EKNo
❑ NOT Approved by Engineering: Date
Notes:
4001
Approved by Engineering: ��,,,>f 4,4
Date: V/22/202 )
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:VS �DC Fe Entered: Wash Co Trans Dev Tax: ❑ Yes L3�N/
/A
Tigard Trans SDC: ❑ Yes I /A
Parks SDC: ❑ Yes k"J N/A
OK to Issue Permit
Approved by Permit Coordinator: 04 Date: J127"/")"0
1:\Building\Forms\BldgPermitRvw_COM_WithLandUse_1 118 19.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recoPni7Pd by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it .rovides hel,s the review .rocess and re .'nse to ow- .ro'ect.
/11 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
i ,c;;t r t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • wsyw.tigard or •oy
TO: —�
DATE RECEIVED:
DEPT: BUILDING DIVISION ■
--6sez-,6Ycti. , con
APR 6 2020
FROM: Thomas F. Fallon CITY OF TiGARO
COMPANY: Benner Stange Associates Architects, Inc. / BUILDING DIVISION
PHONE: 503.462.1423
RE:
16200 SW Pacific Highway, Suite CC) BUP2020-00003I 0fl0 4—
(Sue Address)
Tigard Town Sq.Ph II Improvements
(Project name or subdivision name and lot num or
Ni
ATTACHED ARE THE FOLLO I � 'l►o.
Co.ies: Descri.tion: '! *
m Descri'flow
Additional set(s)of plans. / See attached
Cross section(s)and details. Revisions:
Wall bracing and/or lateral analysis.
Floor/roof framing.
Beam calculations. Basement and retaining walls.
Other(explain): Engineer's calculations.
REMARKS: Permit drawings di. of have metal furring for fiber cement siding o/brick-added to
set-Revisions C ou.e. De to B 2 • 2.1, 1 • 4.1, 1:: 9 • .,
evise orien a on o - I . f I ,- - - - T. •
-
' 'e' ig t supports • .
Routed to Permit Techn cian: Date: FOR OFFICE USE ONLY
Fees Due: �j Initials: )_
� No Fee Descri.tion: Amount Due:
SIMEMPIENIMIIMEEMOIM■
IMPAZOIRallillIMI
i
Special $
Instructions:
R-.rint Permit .er PE ; �
A..licant Notified.: / Date: ' No Done
BuildineForms 1 TransmittalLetter-Revisions 061316.doc