Permit 114 CITY OF TIGARD BUILDING PERMIT
e 4
' COMMUNITY DEVELOPMENT Permit#: BUP2015 00186
T I(JARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/30/2015
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7216 SW DURHAM RD 200
Project: Game Day Media Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 25-27,2:
Project Description: TI for new tenant: Wall demolition,and enlarging existing restrooms.
Contractor: DURUS CONSTRUCTION LLC Owner: PACIFIC REALITY ASSOCIATES LP
15806 UPPER BOONES FERRY RD ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-320-8601 PHONE:
FAX: 503-244-4318
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 06/30/2015 $75.00
Occupancy Grp: B Occupancy Load: 302 DC Provision Review,COM TI-LRP 06/30/2015 $11.00
Permit Fee-Additions,Alterations, 06/30/2015 $917.70
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 06/30/2015 $110.12
Bedrooms: 0 Bathrooms: 0 Plan Review 06/30/2015 $596.51
Value: $74,500 Plan Review-Fire Life Safety 06/30/2015 $367.08
Info Process/Archiving-Lg$2.00(over 06/30/2015 $10.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,087.41
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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• • i r. or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili, Notificati•• =nter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co• • re rules or direct questions to OUNC b' .Ilin! 03.232.1•:7 or 1.:••.332.2344.
Issued By: /� ittee Signature: ■
410,11:639.4175 by 7:00 a.m.for the next available ins section d:
This permit card shall be kept in a conspicuous place on the job site u til comple•of the project.
Approved plans are required on the job site at the time of ch ins. *•n.
City of Tigard
III N COMMUNITY DEVELOPMENT DEPARTMENT
I
T �, D Building Permit Review — Commercial - No Land Use
Building Permit #: diAPA0/ S"` ='«P
Site Address: 7216 SW Durham RCS, Suite/Bldg#: 200
Project Name: Game, Dav Med i o,..
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -Th - of. - e.nacrt 1eloca+1 ng +corn • susi*Q. in Same, CAnYeX
Existing Business Activity: pi(,P,
Proposed Business Activity: off;r P�
N(/Verify site address/suite# exists and active in permit sys m.
River Terrace Plan District ❑ Yes gin No
/Zoning: 1 —VD
ermitted Use: dYes No Spec Space
� CI
no land use required.
O(J Business License:
Exists: ❑ Yes No,applicant notified to obtain business license
Notes:
Approved by Planning: -Ti m �+✓h r b D��Y ! Date: 6 13 0( 5
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: fo`3 /s -
Site Plans: # A/
Building Plans: # 3
Building Permit#: g---E er building permit#above.
Workflow Routing: ring ❑ Permit Coordinator 174-130—ding
Workflow Sign-off: -off for Planning(include notes from planning review)
Route Application Documents: g: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: .07I
By Permit Technician: _ ' � ,..,-- Date: 6/r0//5---
I:\Building\Forms\BldgPermi tRvw_COM_NoLandUse_031015.docx
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:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_031015.docx
:l s 41 Building Division
Over-The-Counter (OTC) Building Permit
f I G A R D Check List
Project Description: TI
GENERAL INFORMATION
Class of Work*: Occupancy Group: Type of Construction:
Type of Use**: Occupancy Load: ) Oregon Specialty Code:
SPECIFICS
Number of Stories: t Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: _ Carport: _ Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front ,
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: 1(t Fire Alarms: Smoke Detectors: _
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 74-p0 FEES DUE
DC Prov Rvw,COM TI—Ping
$ ( ,C o DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ IF45....)
12%State Surcharge Up to$4,999 $0.00 $0.00 $ 4) Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ 7 C 3 Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ 10,Cf Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 27r44JroTAL FEES DUE
*TYPE OF USE: COM=comrrigial;CMS='TOmmercial antirialtructuitIr
**CLASS OF WORK ACS= e,. s ;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
0111 fe_ walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.docx
Building Permit Application • . . •
Commercial :. FOR OFFICE l'sE o\L1
, � Received � /
City of Tigard Q� j;t. ' Date/B / 411A7 - •r1�� • _ I r .�
114 13125 SW Ball Blvd.,Tigard,OI�9V!'l3 Plan Review Y
Phone: 503.718.2439 Fax 503.598.196 t! �01� g,•��iS � Other PAL Page 2 for
Inspection Line: 503.639.4175 w,`t �7 R�O Date Ready ' g
TIGARD Internet: www.tigard-or.gov .�/ G•IA61^ ON Notified/Method: / �4/]�� Supplemental Information
O` 9`v`S`
l l 11 • it I'lp+I �Lt .... j) t J 161 ....ire ilii! -'(E
)t
❑Demolition Permit fees'are based on the value of the work performed.
❑New construction Indicate the value(rounded to the nearest dollar)of all
■ 'Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
ai ... work indicated on this plication
Valuation: S
❑ i-and 2-family dwelling Commerlciallmdusttial
Number of bedrooms:
❑Accessory building 0 Multi-family
❑Master builder Other: Number of bathrooms:
5 p.%, 1 3 r, (,,< - Total number of floors:
E, C�' New dwelling area: square feet
Job site address: l c) 1)��Q�M/%
City/State/LIP:. 71 A;, -e& 6,CZ- '7 7 ZZ` Garage/carport area: square feet. .
Suite/bldg./apt.no.: Project name: 610„4"&k.b"1V M Covered porch area square feet
Cross street/diredions to job site: Deck area: square feet
1 Other structure area: square feet •
.. 1 :'til;I I, ii:"( l 1.; ,1a /i:. rat[
1 Subdivision: I Lot no.: Permit fees*are based on the value of the work performed
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead and the profit for the .
! (.)1\,; , vrprk indicated on thus. ltcxttt
6,14. rarempromilmeriy, . Valuation: $ ._7 5-010 ,. -
Existing building area 3 Z square.feet _
Pant aw e�ciS thl V`e-SIN-o" ^
New building ding acre square feet
. .
•! 5 ;' "Number of stories: -
"Name: �OILT�v Type of construction: \.r ' _
Address: 1 ) SL3 : u QtG• p Occupancy groups: . : .
"City/State/ZIP: 'gdr,t ... - 9`l : g .a- 2
Phone: wet) (Q7aQ Fax: a ) ' +-77.S . • New: r d-- S.-.
Business name" ' Structural plan review fee(or deposit):
C
Contact name: t ✓1 h11V t ice.„ FLS plan review fee(if applicable):
Address:
Total fees due upon application: _
City/State/ZIP:
-�r�,V _ Amount received:
Phone:(,3 T
) '1.e� I Fax::.(. ) • .E-mail: 'Y• • .A A-.4 s a 0. "- '. If" Commercial and residential prescriptive installation of
,):::t -.CI()It' roof-top mounted Photo Voltaic Solar Panel System.
Business name: -f^ Submit two(2)sets of roof plan with connection details
cb
Vt(•V N CBS T11 V'V ' and fire department access,along with the 2010 Oregon
Address: y� Solar Installation . cral Code checklist_
r�QGl� 7 /4-C.-4',-7 Permit fee(includes pier review $180.00
City/StaterIIP: /4..., ��`' ( and administrative fees
Phone: V I�Fax:( ). State surcharge(12%of permit fee): $21.60
CCB Iie.: /S 5 isi , Total fee due upon appication: S201.60
This permit application expires if a permit is not obtained
Authorized signature: ��r1 within 180 days after it has been accepted as complete-
Date: /f ee • Fee methodology set by Tri-County Building Industry
Print name: -�� � �� W �' _ Service Board
. _-.-..•...-. AAA A<19T/I t/Al IC`(l?A/WFRf
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
7216 SW DURHAM RD 200, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00186
Chip Barnett
Previous corrections have been completed
Violation Summary:
Inspector Contractor