Permit (39) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00033
TE°G. D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017
Parcel: 1 S135BC01100
Jurisdiction: Tigard
Site address: 11131 SW GREENBURG RD
Project: Jump Sky High Subdivision: None Lot: None
Project Description: TI-includes new snack bar,(3)offices,reception desk and party host station.(Climbing wall,redemption center&
arcade by others.)
Contractor: ROBINSON CONSTRUCTION Owner: GREENBURG SPACE CENTER LLC
21360 NWAMBERWOOD 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 02/14/2017 $90.00
Occupancy Grp: A-3 Occupancy Load: 877 Permit Fee-Additions,Alterations, 02/14/2017 $393.11
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/14/2017 $47.17
Stories: 1 Height: 0 ft Plan Review 02/14/2017 $255.52
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/14/2017 $157.24
Value: $20,150 Info Process/Archiving-Lg$2.00(over 02/14/2017 $16.00
11x17)
Floor Areas:
Total Area: 64691
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $959.04
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
952-00 010 throug !AR 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.
/ / ' I
Issu d By: — / I/ , 4_
r �il
I i Permittee Signature: / / . I /�
J
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 Applicatio e�r
Commercial FOR OFFICE USE ONLY
FED 1. t (,01/ Received
Permit No.:ibi /,
Cityof Tigard Dated
g � ?�
"I III13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie twtswipra�
_ Phone: 503.718.2439 Fax: 503 59$1910 Date/B 9M►� I It Other Permit:
TIGARD Inspection Line: 503.639.4175 .7!",:,,,", Date Realign-Er Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
4 a r u *.,ro & "sem-` `` s
n.... . „Z .4 .a . 4 ,,T�r� i r,'. .,. w... G a . ..- . YiY ,, A ` r:5 l .$l l L1$'
�, ,.,. Baa � � rum ». <
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearst dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
of �A ORj O tta,y y w i ` work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
;11{ JobalfiE IN ,dit fi I , trw LU .klrIoN 1. Total number of floors:
Job site address:11131 SW GREENBURG RD New dwelling area: square feet
City/State/ZIP:TIGARD,OREGON 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:SKY HIGH SPORTS Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
INTERSECTION OF SW GREENBURD RD,TIEDEMAN AVE,AND SW NORTH
DAKOTA ST Other structure area: square feet
Subdivision: Lot no.:1S135 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.:1100 equipment,materials,labor,overhead,and the profit for the
'- .g work indicated on this application.
. „# . . `.... . o...�. € ', :'f .`, ,- r .. <* i valuation:
$20,150.00
INTERIOR TENANT IMPROVEMENT OF EXISTING SPORTS FACILITY.
Existing building area: 64691 square feet
INCLUDES A NEW SNACK BAR,(3)OFFICES,A RECEPTION DESK,
AND A PARTY HOST STATION.BY OTHERS:KLIME WALLZ,REDEMPTION New building area: 64691 square feet
CENTER,ARCADE
i s ��*.w�. -.. .1".F , '..
Vti
Number of stories: 1
vA ..m Type of construction: IH-B
Name:SKY HIGH SPORTS-ELIZABETH KRAMER
Occupancy groups:
Address:11131 SW GREENBURG RD
City/State/ZIP:TIGARD,OREGON 97223
Existing: A-3,B,M
Phone:(503)924-5867 Fax:( ) New: NO CHANGE
Business name:CIDA,INC. Structural plan review fee(or deposit):
Contact name:BREANNE ROCKWELL FLS plan review fee(if applicable):
Address:15895 SW 7211D AVE SUITE 200 Total fees due upon application:
City/State/ZIP:PORTLAND,OREGON 97224 Amount received:
Phone:(503)226-1285 Fax::(503)226.1670 ' a i k 1
E-mail:breanned@cidainc.com Commercial and residential prescriptive installation of
r A V ` ��c # ` ' A roof-top mounted PhotoVoltaic Solar Panel System.
,,� -IT- r' ,.4` r .. - � ...,.. . . 4.... . ,,. .. <. Submit two(2)sets of roof plan with connection details
Business name:ROBINSON CONSTRUCTION CO and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
Address:21360 NW AMBERWOOD DRIVE Permit fee(includes plan review
$180.00
and administrative fees):
HILLSBORO,OREGON 97124
Phone:(503)645.8531 Fax:(503)645.5357 State surcharge(12%of permit fee): $21.60
CCB lic.:63147 Total fee due upon application: $201.60
®/ This permit application expires if a permit is not obtained
Authorized signature: et r 'W �coati
within 180 days after it has been accepted as complete.
V * Fee methodology set by Tri-County Building Industry
Print name:BREANNE ROCKWELL Date:02/09/17 Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 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: $
(1) 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 03/03/2011
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
■
T l c A R D Building Permit Review — Commercial - No Land Use
Building Permit #: uL Pav 1 —cmc 3
Site Address: I i 13 I S vi C-,(T6' j C2 ct - Suite/Bldg#:
Project Name: h S PO(-LS
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: +eCL( TL (1€AA; S )rick.. bc, r-' , 3 (6-1 �,
dE� r� C1nct ec1( - hOSt- SZ n
Existing Business Activity: (Xi S 1117, — N`) (.41(4
Proposed Business Activity:
Verify site address/suite#exists and active in permit system.
f zr River Terrace Neighborhood: ❑ Yes /7 No
/21 Zoning: l C
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: /1'.l 0" t"-^ Date: 2-/1 U / 1 1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: d-/'y//
Site Plans: # 3
Building Plans: #
Building Permit#: [f-Enter building permit#above.
Workflow Routing: Planning L —PeAa t C_prr,«dinater er Building
Workflow Sign-off: Er 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: C—
By Permit Technician: Ci� CetCfa Date: .//7
I:\Building\Forms\BldgPermitRvwCOM NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released:
Notes:
Revisions (after Building Su ittal only)
Revision Notice 1: D•to Sent to Ap. : ant:
Revision Notice 2: Date ,ent t. ''pplicant:
Revision Notice 3: Date S .. Applicant:
❑ SDC Fees Entered: (ash Co Trans D• ax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ■ Yes ❑ N/A
❑ OK to Issue Pe it
Approved by Per 't Coordinator: Date:
I:\Building\Forms\BldgPennitRvw_COM NoIandUse_070915.docx
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: u.-P50l 7 –000 3 3
Contact Name: &ie . Q, Celet Phone #: t —lags
Business Name: C'eAltk Appt."Date/Time: Z /7 & /0;00
Site Address: ONj J tf. L, A Bldg/Su��#:
Project Name: S/,e `,i^ d �
Project Description: (3 ,,tG., hiic cv_I / 5N-4,4e ba,,-- e747S?„i 44.4-4, h4j L , )4
Existing Use: 4-3New Use: .4_3MMD Required: 0 Yes ❑ No Related Record#:
GENERAL INFORMATION
Class of Work: LI Occupancy Group: Type of Construction: J
Type of Use: Occupancy Load: Oregon Specialty Code: O
SPECIFICS
Number of Stories: I 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: X16`1 l 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: trier Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors: '
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Caks Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ dee, I TO,
$ CO DC Prov Rvw,COM TI—Ping
$ s , Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ 7, 12%State Surcharge
Project Valuation $ Z. �Z lan Review,Structural
/
Up to$4,999 $0.00 $ 5 7. Ian Review,Fire Life Safety
$5,000-$74,999 $90.00 $ 1 joil Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ 'Other:
Date/Time: $ �'r' 1�QTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
7,1 .
. . Transmittal Letter
etter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Dan Nelson DATE R CEIVED:
DEPT: BUILDING DIVISION CEIVED
MAY 2 2017
FROM: Bre Rockwell CITY OF TIGARD
BUILDING DIVISION
COMPANY: CIDA, Inc. /
PHONE: 503.226.1285 ``} By.1_,_.,_
RE: 11131 SW Greenburg Rd //
BUP2017-00033
(Site Address) \ , (Permit Number)
Sky High Sports
(Project name or subdivision name and lot nu •,-r)
%
ATTACHED ARE THE FOLLOWING
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: Sl.l
Cross section(s) and det.,isWall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. / 3 Engineer's calculations.
3 Other(explain): Steel ramin Information (Spectrum Sports)
i
REMARKS: Spectrum Sports change the climbing wall system used for this project. Attached are
steel frame specifications, structural c culations, and revisions to sheet S1.1. Please contact
Curtis Gagner (CIDA) or Tim Spengler(Allstructure Engineering) with any questions.
d
FOR OFFIC USE ONLY l'
Routed to Permit hnician: , Date: -`5,- l`7 initial` .x
Fees Due: es ❑ No Fee Description: Amotziit Due:
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ENo [' Done
Applicant Notified: Date: 5`)j� 7 Initials: 477.
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
I