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Permit CITY OF TIGARD BUILDING PERMIT I a COMMUNITY DEVELOPMENT Permit#: BUP2021-00136 Date Issued: 7/12/2021 Tr G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136AD04000 Jurisdiction: Tigard Site address: 11513 SW PACIFIC HWY Project: Infinity Golf Subdivision: VILLA RIDGE Lot: 7 Project Description: TI modify tenet space to make room for(6)golf simulators,kitchen&bar,and(3)separate restrooms. including (1)ADA restroom Contractor: L AND A CONSTRUCTION Owner: MCLELLAN ESTATE CO 2321 NE 111TH AVE 707 OLD COUNTY RD PORTLAND, OR 97220 BELMONT, CA 94002 PHONE: 360-566-3406 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 07/07/2021 $1,105.95 Occupancy Grp: A-3 Occupancy Load: 129 Demolition 12%State Surcharge-Building 07/07/2021 $132.71 Dwelling Units: 0 Plan Review 06/17/2021 $718.87 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 07/07/2021 $274.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/07/2021 $442.38 Value: $100,000 Info Process/Archiving-Lg$2.00(over 07/07/2021 $4.00 11x17) Tigard CET-Non-Residential-Admin 07/07/2021 $40.00 Floor Areas: Tigard CET-Non-Residential-AH 07/07/2021 $960.00 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,677.91 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 calling 503.232.1987 or 1.800.332.2344. Issued By: H044,Va.vvDe 11ecje Permittee Signature: 0rvAytpa-�n,' 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 13.. 0 Sri Commercial RECEIVED FOR OFFICE USE ONLY City of Tigard C V 1eigy O,p/7/2441 Permit No.. BUP2O2! o0I36 ,.- `. 13125 5W Hall Blvd.,Tigard,OR 97223 t, 1 ( q PlanRcview t . 60JUN or 021 �. / / Related Permit: Phone: 503-718-2439 Fax: SU3-598-19 Da c By: �! /�/ Inspection Line. 503-639-4I75 Date Rea y: / / 1 -lam Sec Page 2 for T I Ct A R t7 Internet: Line: ard-or.gov CITY N 1(GAfiD Noti ethod: w Supplemental Information BUILDING DIVISION r� ».4 x 2t, xt lMaga r)r u' . it , G.,l ,,- c RFQuiRF.t)I).4TA:1-Ax1I)2-F.1MILl DWELLING > -i-,-Sl'"` `.,a�a't'llNraic , ,_ =wee ,low»e: ..aw.... - ,. ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration!eplaccnuut ❑Other: equipment,materials,labor,overhead,and the profit for the i hr�� t , € a , �r f0 p0 - .»wt, a ,, . ..Y.Tniw� �;.iTE xy , ,`etiaI°a"t t€ st ar rx"vi � work indicated on this application. • v.r�w asasrc ae�..E.... . a ,r��:c e.,_a:.,s. maszran..., slrs..,.._......� .x...�.� Valuation: $ ❑ 1-and 2-family dwelling Al Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: - - T JOB SITE INFORMATION AND F O ., - 'I'R Total number of floors: Jibs to address: ',5'CS 5• - •VtgC,t, e t ,� vA w New dwelling area: square feet C ity/State/ZIP: ',Q Ip+r9 oe q"�123 �t Garage/carport area: square feet , Suite/bldg./apt.#: J Project name: z ,-�•L { `Q. Covered porch area: square feet Cross street/directions to job site: �14,„C.l 4),e_ W) • C.; Deck area: square feet 1'S'., A t/' Other structure area: square feet - `}-r Subdivision: Lot#: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map'parcel#: 000 equipment,materials,labor,overhead,and the profit for the . 4 ti „�. 1V t „,, , rglvei to work indicated on this a.•lication. 1-_ p � .,...a,,,..AN fi+1.A .8.e, fit ,�,� :? .er�mLz &kz u br1 lJ� TM is egt.,-(r- Valuation: $ tyD •.. • �� r•ti Existing building area: L(.4•`3 square feet I ^ New building area: �'6? square feet 1 LI atomic.'Y OWNER pii. M N:ANT .,l„47,it Number of stories:i 1 _ J l � j t, l `ys Type of construction: le - 1 vEll•xa- � j ,a.ddress: t`5(o S s 144- (J y 1 Occupancy groups: I I City/State/ZIP: 1'o.4-1q Q . Q` V .l Existing: * -• r P I nl , --_- 7 Se,p - q!'.. )Z Fax ( 1 New: Q LI x ,1 s rr ar rw a e s s ,..», p ; J» rr I.r � M LCANI := 11t9; @. ' a, e '' r _ a w� . o'° .' _ ( . a,,,-- 1� .!_- - .- _ s Ya� e . i b0. 7,F.r a. . d2 m el .. - b � d L— Structural plan review fee(or deposit): 8. 8'7 Contact name: l illtJ V.—.% l b2 FLS plan review fee(if applicable): Address: +l G S t�.„._"((��d( c'4.L U C. 1or•�1�\w•v at l T Total fees due upon applicatio , City/State/ZIP: - Amount received Phone( 3) S68- f-{ '3Z Fax::( ) . I, mall o i ,L . ,' ^es, KF�� ��1 s� C'�A�GdPe��. - :�* a ,� �,, arm Commercial and residential prescriptive installation of _ ,. �� !:a rx e�_8t .. r .:.. .. fas�xs x w,a 4. ' N. A«.„ -, ,:, r s m ,,g,, t t~z roof-top mounted Photovoltaic Solar Panel System. C Business name: i,_c (._o►�S"1w - Submit two(2)sets of roof plan with connection details �+ �n and fire department access,along with the 2010 Oregon Address: 7 7�j 2.7 N' p•‘or:,r UL , `,-7�� Solar Installation S,ecialty Code checklist. \„S\K70r` 91 12 ( — Permit fee(includes plan review City/State/ZIP: //� ��7 1 ('l and administrative fees : $180.00 -I Phone:(503) S!'f '' L C l Fax:( ) 1 State surcharge(12%of permit tee): $21.60 CCB Lic.: 2,2031, ` I. Total fee due upon application: $201 MO Authorized signature: ,i This permit application expires if a permit is not ohtained within 180 days after it has been accepted as complete. I Print name: Ali e../1 to HER t a It� 10. /41 * Fee methodology set by Tri-County Building Industry 4 Date: Zt Service Board. i,Building\Pemiits\BLIP_COM_PermitApp.doc Rev.04/21/2014 440•-41613711/02/COM/WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 i Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations TIGARD 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] $ ` Dw. vO MULTIPLIER(25°A)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: $ lXp' (d) At least one accessible restroom for each sex or a single unisex restroom: $ 00c (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): J (t 000 is\Building\Permits\13IIP_COM_PcnnitApp.doc Rev.03/05/2019 City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT 11111 e Building Permit Review — Commercial - No Land Use TIGARD Building Permit #: BUp22(-a) (3G Site Address: 11513 SW Pacific Hwy Suite/Bldg#: Project Name: Infinity Golf (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Tenant improvement; change of use from eating & drinking establishment to indoor entertainment Existing Business Activity: Eating & drinking establishment (Vine Gogh) Pr-,posed Business Activity: Indoor entertainment (indoor virtual golf) Et t •rify site address/suite # exists and active in permit s stem. fir' 'vet Terrace Neighborhood: ❑ Yes U No 2 .ning: C-G ermitted Use: U Yes U No U Spec Space �1/Confirm no land use require L Business License: I Exists: ❑ Yes L No, applicant was provided a business license application Notes: Approved by Planning: ,��_ Date: 6C//02i 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: OG/15/2.021 Site Plans: # 5 Building Plans: # 3 Building Permit#: EPEnter building eermit# above. Workflow Routing. aPlanning L`J Permit Coordinator Building Workflow Sign-off: ©`Sign-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: / By Permit Technician: /A-"1710 Date: 44/7/202/ I\Bu ilding\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx Permit Coordinator Review 14 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: SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes fN/A Parks SDC: ❑ Yes ,gN/A ZOK to Issue Permit Approved by Permit Coordinator: Date: (012(12,0 u L'Building\Fortes\BldgPemlitRvw_COM_NoLandUse_]1 1819.docx