Permit (56) CITY OF TIGARD BUILDING PERMIT
N..' COMMUNITY DEVELOPMENT Permit#: BUP2017-00244
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2017
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9493 SW WASHINGTON SQUARE RD A03
Project: Play Live Nation Subdivision: None Lot: None
Project Description: TI to change space from retail to computer gaming center.
Contractor: MARKET CONTRACTORS LTD Owner: PPR WASHINGTON SQUARE LLC
10250 NE MARX ST PO BOX 847
PORTLAND, OR 97220 CARLSBAD, CA 92018
PHONE: 503-255-0977 PHONE:
FAX: 503-255-4979
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 09/26/2017 $1,105.95
Demolition
Occupancy Grp: A-3 Occupancy Load: 62 12%State Surcharge-Building 09/26/2017 $132.71
Dwelling Units: Plan Review 09/06/2017 $718.87
Stories: 1 Height: ft DC Provision Review,COM TI-Ping 09/26/2017 $226.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 09/26/2017 $442.38
Value: $100,000 Info Process/Archiving-Lg$2.00(over 09/26/2017 $26.00
11x17)
Metro Const. Excise Tax 09/26/2017 $120.00
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $2,771.91
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 are set forth in OAR
952-001-0010 through OA' •52-001-0090. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 1,7AL
Permittee Signature:
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 _ '
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223
AUG 2 2 2_017 Date/By: (� /7 PermitNo.: �wA ��l� t�
Plan Re
Phone: 503 718.2439 Fax: 503.598.1 w Date/B Other Permit-.
Inspection Line: 503.639.4175 �t � i:? t!t iReady MM D�f r -dno 37
TIGARD Date y: 1 iris: RI See Page 2 for
Internet: www.ti=ard-or.*ov D DIVISION
S" O Notified/Method: g
�' � �������''��� ��ll�!..?I�,.f1ti� ���� Supplemental Information
AileeGfitsatOr '-
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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
wei5
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 5 SW Washington Square New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:A03 Project name:Play Live Nation Covered porch area: square feet
Cross street/directions to job site: Deck area:
square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 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.
Modify existing space into a new computer gaming center.Provide new finishes Valuation: $5100,000.00
per schedule.Remove existing finish and prep to receive new finishes.Provide Existing building area: 1,942 square feet
electrical lighting,switching and outlets. New building area: n/a square feet
❑ PROPERTY OWNER I ® TENANT Number of stories: I
Name:Steven Davey/Play Live Nation Type of construction: I I-N
Address:3838 Fairhaven Drive Occupancy groups:
City/State/ZIP:West Linn,OR 97068
Existing: M
Phone:(503)929-9151 Fax:( )
® APPLICANT New: A-3
® CONTACT PERSON BUILDING PERMIT FEES*
Business name:David Olson Architects (Please refer/ofee schedule)
Contact name:Nathaniel Rivera
Structural plan review fee(or deposit):
Address:470 Wald FLS plan review fee(if applicable):
City/State/ZIP: Irvine,CA 92618 Total fees due upon application: 4 7/g. g7
Phone:(949)450-0093 Fax: :(949)450-0094 Amount received:
E-mail: nathaniel@olsonarchitectcom PHOTOVOLTAIC SOLAR PANEL SYSTEM F
CONTRACTOR Cot- ercial and residential prescriptive inst. ion of
roof-lop unted PhotoVoltaic Solar P• System.
(� Submit two(� ets of roof plan w connection details
Business name:mai1�.7— e04�7-4.
Address: �Q and tire departmen -cess,a = <2with the 2010 Oregon
(0A s O /1�rL /LICt/)C -57-: Su/ur ln.ctu//u/ron Specie • oi/ checklist.
City/State/ZIP: /or k d �2,�� / Permit Ice(i udc,pI tii Teva 1
(/ administrative fees :, S14(1.OU
Phone:(S-03 )5 7' C7f il Fax:( ) 2 L
State s charge(12`%of permit fee): 521.60
CCB Iic._6,i,,,, 2fi0 p..
etal tee due upon application: .!01.6
Authorized signature: This permit application expires if a permit is not at
within ISO cI txs after it has been accepted as complete.
Pi int name: c LJA. Date: 1 k Fee mcthtululo p tier 1-i. i i-( ,tint IttiddimL Industry
SenieC Ilo:u,l
1. 19iHWnu !'crniii• Ill i'-( "NiPcnui(.VI).JO, ('''1 MI 1 :lu-1h1_`111 1 ' ( r i\i A\i I t
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
1111 g
T1cARD Building Permit Review — Commercial - With Land Use
(I,
Building Permit #: I P?,t 7 -co a.4 ti
Site Address: 94)93 00 /,0,44 ,n ne__ Suite/Bldg#: 7190
Project Name: PI L.IV-' 1-77 1y^--
(Nam ff commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 77/ h Pk) 7L lJ 71"
/Verify site address/suite#exists and active in permit syste .
rver Terrace Neighborhood: Cl Yes NJ No
and Use Case#:
M 1111 aev7-- (--x), -9-
a Plans atch Approved Land Use:
Site Plan '(b� andscape Plan 1,C]) 0lther:
{{��,,
R rban Forestry Plan ORlevation Plan
'4 Building Height: _Maximum Height 2&D Actu Height &,Yi h,'
01 j •nditions Met: ' h'rior to Submittal r Prior to Permit Issuan
lI Business Lice e:
Exists: Yes ❑ No,applicant notified to obtain business license
OVPublic
Facilities Improvement(PFI) Permit:
Required: LIYes,applicant was notified ALJ No Applied For: ❑ Yes ❑ No,stopi
Notes: n take
Approved by Planning: �_ , Date: S' Mr
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 9'4
CP /7
Site Plans: # 3
Building Plans: # 3
Building Permit#: 0-Enter building permit#above.
Workflow Routing: Er Planning lj e ' L I errnit Coordinator Building
Workflow Sign-off: El-Sign-off for Planning(include notes from planning review)
Route Application Documents: LTBuilding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: , ,�....u.- _ Date:
I:\Building\Fonns\BldgPernutRvw COM_WithlandUse 060116.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met 'or to issuance of building permit
❑ Easements (encroachm- i ts)per engineering conditions of approval and plat (not typical o -i '/CUP)
❑ Water Quality/Quantity Fac i' :
Assess Water Quality Fee in-lie . ❑ Yes 0 No
Assess Water Quantity Fee in-lieu: U Yes 0 No
LIDA Facility on lot: 0 _ 0 No
0 NOT Approved by Engineering: Date
Notes:
Approved by Engineeri •: Date:
Revisions (after Buil.' g Submittal only) Reviewer Date
Revision 1: 6 Approved 0 Not Approved
Revisio• : 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
O Conditions "Met"prior to issuance of building permit
O 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:
1DC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 5 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes Q N/A
OK to Issue Permit
il/K
Approved by Permit Coordinator:
Date:4qh/t-?----
I:\Building\Forms\BldgPermitRvw_COM_WithlandUse_070915.docx