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Permit q CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2015-00372 13125 SW Hall Blvd.,Tigard OR 97223 503718.2439 Date Issued: 01/14/2016Parcel: 1S126CA00300 Jurisdiction: Tigard Site address: 9385 SW GREENBURG RD 100 Project: Rose City Barbell Subdivision: FAIRVIEW PLACE CONDO Lot: 20 l Project Description: TI for new tenant:Converting existing retail space to a gym. Adding a bathroom and storage room. Contractor: COLLECTIVE CONSTRUCTION LLC Owner: SFP-F LLC 5543 NE GOING ST ATTN: PROPERTY TAX ACCOUNTING PORTLAND, OR 97218 PO BOX 5350 BEND, OR 97708 PHONE: 616-422-5837 PHONE: FAX Specifics: FEES Description Dale Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions.Alterations, 01/14/2016 $498.03 Demolition Occupancy Grp: A-3 Occupancy Load: 97 12%State Surcharge-Building 01/14/2016 $59.76 Dwelling Units: 0 Plan Review 12/31/2015 $323.72 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 12/31/2015 $199.21 Bedrooms: 0 Bathrooms: 0 Investigation Fee 01/14/2016 $90.00 Value: $28,080 Investigation 12%State Surcharge 01/14/2016 $10.80 DC Provision Review.COM TI-Ping 01/14/2016 $88.00 Info Process/Archiving-Sm$0.50(up to 01/14/2016 $1.50 Floor Areas: 11x17) Total Area. 0 Accessory Struct. 0 Basement 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,271.02 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. You may obtain a copy of the rules or direct questions to OUNC by callingg��1111503.232.1987 or 11 800 332.2344. Issued By: 1��f rnritt ties ignature: 09lf6Ba979.4175 by 7:00 a.m.for the next available inspection date. � s�-- 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 CI Received Of Tigard Permit No.: Date13125 SIN Hall Blvd.,Tigard,OR 97223 ( Plan Review Phone: 503-718-2439 Fax: 503-598- \ Date/ByRelated Pennie Inspection Line: 503-639-4175 {', Date Rea mds ® See Page 2 for Internet: www.tigard-or.gov 0.rY,�6J \` Notified/Meth /� ` Supplemenlal Information hIt lana( TYPE OF REQUIRED DATA:I.AND 2-FAMILY DWELLING C]New constructionI r Permit fees"are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all OkAddition/alteration/replacement � ) equipment,materials,labor,overhead,and the profit for the CATEGORY OF ION work indicated on this application. $ ❑ I-and 2-family dwelling UQCommercial/industrial Valuation: ❑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: 3 y S(J &pFCh&p g, New dwelling area: square feet City"State'ZIP: / r e.lzl ©/c q w zs- Garage/carport area: square feet Suite/bldg./apt.#: Project name: PIC Covered porch area: square feet Cross street/directions to job site: �, - µ Deck area: square feet Other structure area: square feet ` b" ^rm REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision 1 Lot y Permit fees*are based on the value of the work performed. `, -a Indicate me value(rounded to the nearest dollar)of all Tax mapiparcel#: '� i' /V o�A equipment,materials.labor,overhead,and the profit for the DESCRIPTI N 4 WORK work indicated on this application. eA0 LO !p On h('(C I'np� 7✓"'ICGr 41'U/n Valuation: $� �j/eipvt /�I8 ©2f D Existing building area: 7 J 7 square feet New building area: square feet C] PROPERTY OWNER �7 /,TEN))ANT Number of stories: 1 Name: Al fC X C/Ci ' r^ Mj��a N! C/cf/tC Type of construction:Po.`t k^qy has CYnLq-b(� Address: Occupancy groups: City/State/ZIP: Existing: Phone:(603) 704` 4 7hZ Fax:( ) New: ❑ .APPLICANT CONTACT PERSON BUILDING PERMIT FEES` Business name: Cpl/(,c i�,f-e 49ns -15 -we 1017 LC Mlgiaiv mferro ke se6eAnfe Structural plan review fee(or deposit): Contact name: i OS Address: �jrY NE 6'o)rz f'.�- FLS plan review fee(if applicable): City/State/ZIP: p 'vitan( C/- Total fees due upon application: Phone:((r l6 )yZz` x$3'7 Fax: :( ) Amount received: E-mail: V4/fi CC ollet6 66 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES" CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: Co���C r V e Ce h '-CD CJ I0V7 G Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: rj ,S y3 'f/ Gof S,- Solar Installation Srecia6r Code checklist. City/Stale/ZIP: Po4-1171-yJ 792 / Permit fee(includes plan review S180.00 7 and administrative fees): Phone:(�,.//i ) Sr S�J Fax:( ) State surcharge(120�o of permit fee): $21.60 CCB Lic.: 17go -11-23 Total fee due upon application: $201.60 Authorized signature: ��`f,� t This permit application expires if a permit is not obtained / within 180 days after it has been accepted as complete. Print name: �° r©S Date: /z //s ' Fee methodology set by Tri-County Building Industry Service Board. I:Building,Permits BUP COM PennitApp.doc Rev.0421 2014 4404613T(11 02 COM WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti ,a� rd-or.gov REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. (1) Even 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 readih.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 tweet)-five percent(25°,.). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: 111 MULTIPLIER (25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: 121 S 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 S (b) An accessible crurancc $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: S (c) Accessible telephones: S (0 Accessible drinking fountains:and, S XX'hen possible,additional accessible elements such as storage and _ alarms: $ TOTAL (shall equal line [21 of Valuation Computation): $ 1 Budd,,, Prmm.',lit P to VI_P�nnit.App.Juc Ida . ';I8/2014 City of Tigard COMMUNITY DEVELOPNIEN'I'DEPAR-INII?NT Building Permit Review — Commercial - With Land Use Building Permit #: aver—C� �7a. Site Address: Suite/Bldg#: �oy Project Name: SP (V amc of cummcrcia sines ucntpying the spncc. I f eacant,cntcc tipcc tipucc.) Planning Reivieew / Proposal: /-e-z 1 7` J/H/J�Dvi�/It T �Sr Yllui /I zll%7� �ve•rifv site address/suite# gists and active in permit s)Ste �����,� Over Terracc Neighborhood: ❑ Yes No and Use Case #: /YJ,�J�,,'0/,S- (Inb!-j 9 � Ilr7 flat Match Approved land Use: pp p e/f�G(G Fd4 /f�tte Plan JJtkpruiscape Plan �T l)ther: q�/ [/ Orl!'rban Forestry Plan IJAIevation Plan L Building Height-. Maximum 1 leight z,?L')! Actual I Ieight g j Met. ElPrior to Submittal ❑ Prior to Permit Issuanc�tinclitions siness Licen" // Exists: IIQ Yes El No, applicant notified to obtain business license OPpublle Facilities Improvement (PFI) Permit: �� Required: El Yes, applicant was notifted 11A" No applied For: ❑ Yes ❑ No, stop intake Notes: Approved by Planning: Date: 31 S Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ _Approved ❑ Not_lpproved Building Permit Submittal Original Submittal Date: /,4131 Site Plans: E-In �building Building Plans:Building Permit#: permit# above. �,_� Workflow Routing: �J I'lanning �neering VJ Permit Coordinator P-- u dtding Workflow Sign-off: Si n-off for Planning(include notes from planning review) Route Application Documents: Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: C 't i✓U w By Permit Technician �r ceek, 1:\Building%Fors\BldgPennitRvw_COM_W ithlandlJse_070915.dtxx Engineering Review ,B Slope at building pad: f'k 19T I P tj jy I t.I 110 6j ❑ PPI permit#: ❑ Conditions "Met"prior to issuance of building permit ❑ Fasements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) ,RT—Water Quality/Quantity Facifity: Assess Water QuaGh- Fee in-lieu: ❑ Yes .2� No Assess Water Quantity Fee in-ficu: ❑ Yes Z�No LIDA Facility on lot: ❑ Yes j? No ❑ NOT Approved by Engineering: Date Notes: E4Le wortt< `jNb,,r� &-r3gtrL t'u(nJ 14 lNS-bIL $Ute1iNt-I . Approved by Engineering: kjV-, W H ITS Date: �* Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 3: ❑ approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review n/0TZE c^✓ f/2.0N f I�L6v ❑ 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: Dare Sent to applicant-. Revision Notice 3: Date Sent to Applicant: SDC Fees Hntcred: A\ash Co Trans Dev Tax: ❑ Yes /.� Tigard Trans SDC: ❑ Yes /A Parks SDC: El Yes N/A ?.111-40K to Issue Permitpproved by Permit Coordinator: Date: I: Building,Fonns Bld0ermitR%W-COM_With landUu_070915Awx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9385 SW GREENBURG RD 100, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2015-00372 Jeff Grove Violation Summary: Inspector Contractor