Permit 7q:!!, CITY OF TIGARD BUILDING PERMIT
II
COMMUNITY DEVELOPMENT Permit#: BUP2015 00292
k Date Issued: 10/14/2015
TIGARD 13125 SW Hall Blvd ,Tigard OR 97223 503 718 2439
Parcel: 1S135BC01100
Jurisdiction: Tigard
Site address: 11131 SW GREENBURG RD
Project. Jump Sky High Subdivision• OAKBURG Lot: 27
Project Description: TI-Raise trampoline platform framing,add new partial height walls
•
Contractor: ROBINSON CONSTRUCTION Owner: GREENBURG SPACE CENTER LLC
21360 NW AMBERWOOD DR PO BOX 91305
HILLSBORO, OR 97124-9321 PORTLAND, OR 97291
PHONE, 503-645-8531 PHONE
FAX' 503-645-5397
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 10/14/2015 $88 00
Occupancy Grp: A-3 Occupancy Load: Permit Fee-Additions,Alterations, 10/14/2015 $225 80
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/14/2015 $27.10
Stories: 1 Height: 0 ft Plan Review 10/14/2015 $146 77
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/14/2015 $90 32
Value $10,000 Info Process/Archiving-Lg$2 00(over 10/14/2015 $8 00
11x17)
Floor Areas:
Total Area 0
Accessory Struct 0
Basement 0
Carport 0
Covered Porch 0
Deck 0
Garage 0
Mezzanine 0
Total $585 99
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 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 r 1 800 332 2344,
Issued By: Permittee Signature: '
(--t VAA'4)
i 't •39.4175 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
Commercial RECEIVED FOR OFFICE USE ONLY .
III City of Tigard DRa1e/B Received %/iy i5 A Permit No 6.1.PAD/5 F_2
'I 13125 SW Hall Blvd,Tigard,OR 9722 CT 14 2015 Plan Review '
Phone. 503.718 2439 Fax 503.598.190 Date/B ! REM Other Permit
TIGARD Inspection Line 503 639.4175 CITY OF TIGARD Date Read /B"y ���1�ll��� lone S See Page 2 for
Internet www.tigard-orgov BUILDING DIVISION �yN//o�tified/-Miethod�l/d/y ,/1t. Supplemental Information
Ora�-14)41J6 /rvG Qu e, y" -,4/�/w� ou l Lt_ VLL'-
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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 ❑Other: equipment,materials.labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling III Commercial/industrial Valuation: $
Iii 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: 11131 SW GREEN81/R6 RD New dwelling area: square feet
City/State/ZIP: 116AKD, OKE60N /7223 Garage/carport area: square feet
Suite/bldg./apt no.: Project name: JUMP SKY NIGH Covered porch area: square feet
Cross street/directions to job site: LOCATED AT THE I NTEp.SrcreN Deck area: square feet
of SW GREENPURG AP MVO SVV 71 EDEMAN Other structure area: square feet
N Vg • REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: I/00 Permit fees*are based on the value of the work performed
Tax map/parcel no.: I S 13515(, Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application. _
RAISING 'ME TRA-MPoLirvf
PLATF o9M Valuation: $ 10, 000
FP-AM IN6 AND ADDING NEV/ PA1211 1 LLC IG
Existing building area:61,011 square feet
WAI ,S• New building area: square feet
❑ PROPERTY OWNER a TENANT Number of stories: I
Name: JUM 'P y NI(�I Type of construction: g
Address: 1 113 1 SVV GIZEEN8vlz G IzD• Occupancy groups: A 3, AA
City/State/ZIP: TIGARD/ ORFGDN g7Z23 Existing- AA 3, M
Phone:(425) 35q . rj 2 to Fax:( ) New:
II APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: IQR I NL, Structural plan review fee(or deposit):
Contact name: TgA LV NP FLS plan review fee(if applicable):
Address: 15895 SW 72N0 Ave: SUITE Zoo
City/State/ZIP: POJr tfr7W, 0JZEGans 97229' Total fees due upon application:
Amount received:
Phone:(643) 2Z4. I Z8 5 Fax: :( )
E-mail: "-q r4( e c t d A lit t• con i b rea nn e d 6 crda ioairo PHO�OVOLTAIC SOLAR PANEL SYSTEM FE S*
CONTRACTO Commercta and residential prescriptive install •on of
- T. R — __ roof-top mown Photo Voltaic Solar Pan •ystem.
Business name: "ego.8/ j7T. 1I e_TZ<JAJ Submit two(2)sets oof plan wit •inflection details
J and fire department acces , .lo :: ith the 2010 Oregon
Address: c)/ 5[P.0 ,& Llj /41 I-/3f, t_t) ob -2)2• Solar Installation Special! os• checklist.
City/State/ZIP: AL/ L. AOilL) a2 99 vA3 Permit fee(in ryes plan rev:. $180.00
a t administrative fees):
Phone:(5Z35) 6 t 5= ¶5 3/ Fax:( ) State su • arge(12%of permit fee): $21.60
CCB lie.: (5/Y 7 Total fee due upon application: $201.60
Authorized signature: 'D .teamo D This permit application expires if a permit is not obtained
���'///! within 180 days after it has been accepted as complete.
Print name. ggEANNE OA y M ON Date: /0/111/* * Fee methodology set by Tri-County Building Industry
Service Board.
I\Building\Permits\BUP-COM PermitApp doe 02/24/2011 440-4613T(11/02/COM/WEB)
: .....
:.
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 per-cent(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\B11P-COM PermitApp doe 03/03/2011
1,1 $ City of Tigard
v COMMUNITY DEVELOPMENT DEPARTMENT
C
T�1GAR;>D Building Permit Review — Commercial - No Land Use
Building Permit #: 6�09-0 i S- a 0 ?-s y
Site Address: ///3/ SCt) -r-� u /Pd Suite/Bldg#:
Project Name: C l(m
(Name o cP omimercial b sit �ss occu v-tn the space If vacant,enter Spec Space.)
Planning Review
Proposal: T 4 ---lgr ..e,r -7 • .7"...2S 9 /da-iVh. • ' 4116,16 eLO 4919-gr7„..
�w._i.. _ 0! - - . I ,"_ .n_�..J►is e_ '
/ t ,�j
Existing Business Activity: lh"fir- 711-Pr` ,)irk.PA /L
Proposed Business Activity: if //
verify site address/suite# exists and active in permit system.
/6 'ver Terrace Nei jhbor�hood: ❑ Yes ❑ No
/oiling:
i/Yl UL:-- /
/ermitted Use: IL/J Yes ❑ No ❑ Spec Space
�.nfirm no land use required.
Yes
Business License:
Exists: Yes ❑ No, applicant notified to obtain business license
Notes:
Approved by Planning: \ � � Date: 10,/'t/4S—
Revisions (after Building Submittal only) Revicwer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: lol'•/ %5
Site Plans: # —
Building Plans: #
Building Permit#: Enter building permit# above.
Workflow Routing: ❑'Planning g L�� Building
Workflow Sign-off: ❑'Sign-off for Planning(include notes from planning review)
Route Application Documents: ErBuilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: 6 _
By Permit Technician: 6III Cd ce:4 i Date: SOH/j
I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_070915 docx
Permit Coordinator Review
❑ Conditions "Met" prior to issuance of bt.tding permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submitta •nly)
Revision Notice 1: D Sent to Applicant:
Revision Notice 2: late 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 ❑ N/A
Parks SDC: ❑ 'es ❑ N/A
❑ OK to Issue Cermit
Approved by P rmie t�rdi or: Date:
:\BuildingForms\BldgPennit Rvw_COM_NoLandUsc_070915.docx
Building Division
T I G A R D Over-The-Counter (OTC) Building Permit
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: itc3 Type of Construction:
Type of Use**: [ jt( Occupancy Load: Oregon Specialty Code: 7cDtiL
SPECIFICS
Number of Stones: t Building Height: Mixed Use:
Number of Dw Units: I 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: 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: $ (O, FEES DUE
$ �, .)DC Prov Rvw,COM TI—Ping
$ �j. ermit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 2. , 1 12%State Surcharge
Project Valuation $ Mar Plan Review,Structural
Up to$4,999 $0.00 $ G'Naj Ian Review,Fire Life Safety
$5,000-$74,999 $88.00 $ Info Proc/Arch,Lg(over 11x17 $2.00)
$75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $351.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ • Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ • e
•. er:
Building Staff: $ Oth•r:
Date/Time: $ 1=� , TOTAL FE DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured s re. uni ��
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling ;iil,T—=ait eration;DEM=demo;NEW=new;
QTR=other(use'_for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_B U P_070115.docx
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
11131 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00292
Jeff Grove
Violation Summary:
Inspector Contractor