Permit (212) CITY OF TIGARD BUILDING PERMIT
. .
' COMMUNITY DEVELOPMENT Permit#: BUP2016-00346
13125 SW Hall Blvd.,Ti Date Issued: 12/14/2016
T r.t tL�L and OR 97223 503.718.2439 9
Parcel: 2S 101 BB01400
Jurisdiction: Tigard
Site address: 12008 SW GARDEN PL
Project: Skyhook Fitness Subdivision: CROW PARK 217 Lot: 2
Project Description: Interior demolition only: Demolition of a demising wall.
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: DEM Type of Const: Permit Fee-Additions,Alterations, 12/14/2016 $164.96
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 12/14/2016 $19.80
Dwelling Units: 0 Plan Review 12/14/2016 $107.22
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 12/14/2016 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $6,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $292.98
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 cooi.of-the�s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
Permittee Signature: I"/
.639.4175 by 7:00 a.m.for the next available inspe ion da /
This permit card shall be kept in a conspicuous place on the job site until comple ion of the p4.
Approved plans are required on the job site at the time of each inspection.
t Building Permit Application
Commercial 1.08 OFFl( l t si oyl
City of Tigard Received �-y�
'�, Date/B : _ / f(,t Permit No.: /I k—W
13125 SW Hall Blvd.,Tigard,OR 97223 ' t- W
Ih
= Plan Review
Phone: 503-718-2439 Fax: 503-598-196 CO.
Date/B : Related Permit:
T 1 G A R D Inspection Line: 503-639-4175 • Date Ready/By: Ea See Page 2 for
Internet: www.tigard-or.gov , t\I\., Notified/Method: EM Supplemental Information
TYPE OF WORK
o ii',,.‘0,.., �1�1k REQUIRED DATA:1-AND 2-FAMILY DWELLING
xi
❑New construction ❑Dem �a '? Permit fees*are based on the value of the work performed.
e t' Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Oth gtie' equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONS LION work indicated on this application.
El1-and 2-family dwelling Commercial/industrial Valuation: $
D Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION U` AND LOCATION Total number of floors:
Job site address:/ZOOS 510 />/a-C'� New dwelling area: square feet
City/State/ZIP: ��1RC01 V g / I*7 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: 5/- // L F j ee.5LT c - , Covered porch area: square feet
Cross street/directions to job site: ,l 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
�,, ,I^/ / Q;DESCRIPTION OF WORK work indicated on this application.a
1 I$ , (� l�ki, G✓z2�( /�♦ /ice 4 / iij,� Valuation: l0; t
✓✓ tor 1����
_ *-;_ T,�.,.,. ,_�, �., • _ Existing building area: square feet
f ' e,0 '� New building area: //SZ5 square feet
11
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address:
Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
❑ APPLICANT 0 CONTACT PERSON
BUILDING PERMIT FEES*
/
Business name:,54/Z6.
z ce 5 s ,c. (Please refer to fee schedule)
plan review fee(or deposit):
Contact name: �„z444,, I ��'/fi _
Address: /0] ,10 t �' / FLS plan review fee(if applicable):
City/State/ZIP'':w(( l / Total fees due upon application: '
Phone:(y )32 121/� Fax::( ) ______—
PHOTOVOLTAIC
received:
E-mail: '��� i4 a J�j PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
/CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: I,�., % Submit two(2)sets of roof plan with connection details
(// L� and fire department access,along with the 2010 Oregon
Address: )1S 4 ccu„ �) 4,/ Solar Installation Specialty Code checklist.
City/State/ZIP: it
ceti / ''/l� 1 Y Permit fee(includes plan review
�vy �� "�1 � � and administrative fees): $180.00
Phone:(503) TO/ _/.10/ Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lic.: .L I
Total fee due upon application: $201.60
Authorized signature: y s, / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Printname: .,� (
�_0r,�4.24 . Date: /�7��e-��/� * Fee methodology set by Tri-County Building Industry
?Ud Service Board.
I:\Building\Permits\BUP_COM_PerntitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
I
City of Tigard •• COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family Additions or Alterations
T I GA RD 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): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
q Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T I GA RD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. D map&tax lot# ❑ project name 0 site address 0 suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PemutApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ ` Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire &Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014