Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00140
T E ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/13/2017
Parcel: 1 S134BC00300
Jurisdiction: Tigard
Site address: 12284 SW SCHOLLS FERRY RD
Project: Cyclebar Subdivision: None Lot: None
Project Description: TI for new tenant. Tenant is finishing space to be used as a spin cycle fitness studio.
Contractor: CSDI CONSTRUCTION INC Owner: FW OR-GREENWAY TOWN CENTER LLC
6353 SUPPLY WAY PO BOX 790830
BOISE, ID 83716 SAN ANTONIO, TX 78279
PHONE: 208-338-5973 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 07/12/2017 $2,585.75
Demolition
Occupancy Grp: A-3 Occupancy Load: 89 12%State Surcharge-Building 07/12/2017 $310.29
Dwelling Units: Plan Review 06/06/2017 $1,680.74
Stories: Height: ft DC Provision Review,COM TI-Ping 07/12/2017 $357.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 07/12/2017 $1,034.30
Value: $345,000 Info Process/Archiving-Lg$2.00(over 07/12/2017 $64.00
11x17)
Info Process/Archiving-Sm$0.50(up to 07/12/2017 $15.00
Floor Areas: 11x17)
Metro Const. Excise Tax 07/12/2017 $414.00
Total Area: 3459
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $6,461.08
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 -re 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 calling 50 !or 1 . .234 .
41°..Is ued By: / / I Permittee Signatur 11111,
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.
That
uilding Permit Application
Commercial ��� I.OR O11I( 1 CSl:ONI 1
Cityof Tigard {!+r Received i
131SW Hall lvd.,Tigard,OR 972B.r Plan Revie ��! ��'' ennit No.: �ry��,��/t��/ ' �L7
'� I Phone: 503.718.2439 Fax: 503.598.1960 v p 2 �Q1i Date/By: .� other Pemdt J� (r 1JJ 0t / (tyr)c,
T 1 G n R I> Inspection Line: 503.639.4175 Date Ready y /Y / , -furls: See Page 2 for
Internet: www.tigard-or.gov �`''���+ ea NNoltified/Method:CR/1 J 77,:e, Supplemental Information
711: r v^gs` '�++§- r # .".: d � '1-s V , Vt CtO1- P 1"
E'IF 1 i`,151, x , At4M�. - .. +Q(1RE6 DATA:I-AND 0-010,y „Lill.INIG
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
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
r= r'`k -»"" v ; . ,1, work indicated on this application.
raai _.r. .�. `,41., f-L.. t 1 `admx E t' <
S.x .1. f. �cY a.
. ' } ,.v _
❑ 1 and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
' P{ ,ii ` � r ,� t; 'O - Total number of floors:
Job site address: 12284 SW Scholls Ferry Road New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 \,` Garage/carport area: square feet
Suite/bldg./apt.no.: A Project name: CycleBar 2 ' Covered porch area: square feet
Cross street/directions to job site: / % Deck area: square feet
6 i
/ � Other structure area: square feet
%O' -V41
Subdivision: Greenway Town Center ;t ,,,14 i' Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1 S 134BC00300 ' 'r,P Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
, , ,. - + _ti :i'I -gg...,474":1.
:, work indicated on this application.
Commercial tenant finish out of an existing 3,459 SF lease space Valuation: $ 345,000
to be used for a spin cycle class fitness studio. Existing building area: 3459 square feet
New building area: 3L59 square feet
€jt a t $ � y t f'gktf Number of stories: 1
N Name: JP Green Type of construction: IIB
Address: 135 W.Martin Street,Suite 201 Occupancy groups: A-3
City/State/ZIP: Raleigh,NC 27601 Existing: A-2
Phone ( 208) 340-2221 Fax ( ) New: A-3
�� e ��t .
I. t 0.,::.-",,,,!,-4-
el ig' Y-Ik
* :` r' a Hirt.. -. . . .._ x , ',,,s0, L ' , s ,s R z Hd `-ii$.-g ,} a[.„-:na °,u
.. a.�
IA
Business name: CDS Development Structural plan review fee(or deposit):
Contact name: Helen Mapplebeck
A FLS plan review fee(if applicable):
.ay Address: 14901 Quorum Drive,Suite 310
City/State/ZIP: Dallas,TX 75254 — Total fees due upon application: i.ifi ( .?'-
Phone:(214 ) 461-9659 Fax::( ) Amount received
*itrffirAINEE-mail: hma. a lebeck@cdsdevelo a ment.com 'i W � 7 6
" ,-„,?,-1,1!=:;," - .-n �j �;,, 1� .-- - Commercial and residential prescriptive installation of
" n , �. :� _ 1 *e '�-" y_„- .' _..- a:34'..1 ; roof-top mounted Photo Voltaic Solar Panel System.
Business name: '-$43.• 6 )/ oi)yrEve moo,) / ( Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 6 353� c§�,i11,Nto - Solar Installation Specialty Code checklist.
City/State/ZIP: /det, 7 // Permit fee(includes plan review
tY / /S� $180.00
and administrative fees):
Phone:(pe,in 33 . 5975 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 10.5– d4(
Total fee due upon application: $201.60
Authorized si e: This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name: Helen applebeck Date: 5-18-17 * Fee methodology set by Tri-County Building Industry
Service Board.
L:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
III
T l c A R D Building Permit Review — Commercial - With Land Use
Building Permit #: ,940,20)7.--a)/4o
Site Address: t1:2-89 1,.3 5C.A.AOLLS FS ZV`) R O Suite/Bldg#: A
Project Name: C Ykkjckf
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review -\1
Proposal: awlh � .c) l ►'t
c � &'
-.1/\&'-? of i,l" - C, (AS-RCA �f 5p c C.L2
aS5 �}e5 S-tudi o
Verify site address/suite#exists and active in permit system.
® River Terrace Neighborhood: El Yes Ca No
Land Use Case#: M MIY2O I-1 -Gd 0'7 C7
Plans Match Approved Land Use:
LN Site Plan IliA Landscape Plan El Other:
Urban Forestry Plan O Elevation Plan
o4 Building Height: Maximum Height Actual Height
Conditions Met: ❑ Prior to Submittal El Prior to Permit Issuance
["Business License:
Exists: 4 Yes El No,applicant notified to obtain business license
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was(l�j notifiedY� l No Applied For: ❑ Yes 1:11 No,stop intake
t Notes: {'�c a-ex,or c a U 'I no Cc �- U►'l S c�9p \J (
ckApproved by Planning: `.t�p,4,4.19/„Ae_ Date: (, /(Q/ (7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved El Not Approved
Building Permit Submittal
Original Submittal Date: ` -ii 7
Site Plans: $/ /1
Building Plans: # 0
Building Permit#: E.1.-ST---iter building permit#above.
Workflow Routing: �i'lanning 4 r Engineering Coordinator -Building
Workflow Sign-off: Si ff for Planning(include notes from planning review)
Route Application Documents: [ u Wig. original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: r ` /, Ar) '114 .r,,dr, G a / ..E - C'.I*1
By Permit Technician: ,,-^ - Date: W7
I:\BuildingForms1BldgPermitRvw COM WithlandUse 070915.docx
Engineering Review
2--Slope at building pad:
0
2'PFI Permit#: N
Er-Conditions "Met"prior to issuance of building permit foo Co.•J 4-i`r-i � Pte- (1,,..,,,, ,„f:1
Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP)
[ Vater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 2-"No
Assess Water Quantity Fee in-lieu: ❑ Yes 0.--No
LIDA Facility on lot: ❑ Yes 121-"No
❑ NOT Approved by Engineering: Date
Notes: /0 1-$tAt_4 04-4,1 Gr414 u!LS M - Ail-tcr- r4C.C.8 4 S per_ /OM> Weir
%►S'+ -9M'C. . Pc MAA y ' 'Racjj£it i f3 7
Approved by Engineering: I(. a.. __. Date: jo /2,-/'7
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:
‘ZeDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ►.4►`/A
Tigard Trans SDC: ❑ Yes C`- N/A
Parks SDC: El Yes ►n/N/A
OK to Issue Permit
Approved by Permit Coordinator:
"f ---------Date:
I:\Building\Forms\B1dgPermitRvw_COM_W ithlandUse_070915.docx
CDS
Consolidated Development Services
TRANSMITTAL
TO:
City of Tigard Permit Center
Attn: Debbie Adamski
13125 SW Hall Blvd.
Tigard,OR 97223 RECEIVED
503-718-2450
MAY 222017
FROM: Helen Mapplebeck CITY OF TIGARD
DATE: May 18,2017 BUILDING DIVISION
I'ROJECT: Cyclebar—Greenway Town Center
12284 SW Scholls Ferry Road,Suite A
Tigard,OR 97223
Re: Interior Tenant Finish Out
Project# C160534
Qty. Item
1 Completed permit application
1 Completed Commercial Checklist
3 Sets of plans(1 wet signed/sealed)
1 Plan review check for$2,371.98
If you should have any questions,please let us know.
Regards,
Helen Mapplebeck
Property Development Coordinator
CONSOLIDATED DEVELOPMENT SERVICES
14901 Quorum Drive
Suite 310
Dallas,Texas 75254
Office: (214)461 9659
Cell: (214)385 0122
Fax: (469)916 7375
email: hmapplebeck(c�cdsdevelopment.com
CDS—Consolidated Development Services
14901 Quorum Drive•Suite 300•Dallas,TX•75254
Phone: (972) 850-0816•Fax: (469) 916-5375
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12284 SW SCHOLLS FERRY RD, TIGARD, November 21 , 2017 at
OR, 97223 12:58:55 PM
Record Type: Record ID:
Commercial - Building BUP2017-00140
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor