Permit (153) CITY OF TIGARD BUILDING PERMIT
IN1 '
COMMUNITY DEVELOPMENT Permit#: BUP2017-00298
t 1 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2017
Parcel: 2S102AC00700
Jurisdiction: Tigard
Site address: 12550 SW MAIN ST 120
Project: Stumptown Escape Games Subdivision: None Lot: None
Project Description: TI for existing tenant. New partition walls in office space.
Contractor: PRECISION HOMES&REMODELING Owner: DOLAN&CO LLC
9655 SW SUNSHINE CT,#700 BY FLORENCE T DOLAN
BEAVERTON, OR 97005 4523 NE DAVIS ST
PORTLAND, OR 97213
PHONE: 503-350-3942 PHONE:
FAX: 503-350-3944
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 11/14/2017 $91.00
Occupancy Grp: B Occupancy Load: 27 Permit Fee-Additions,Alterations, 11/14/2017 $225.80
Demolition
Dwelling Units: 0 12%State Surcharge-Building 11/14/2017 $27.10
Stories: 0 Height: 0 ft Plan Review 11/14/2017 $146.77
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/14/2017 $90.32
Value: $10,000 Info Process/Archiving-Lg$2.00(over 11/14/2017 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $584.99
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 enter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may .tain a copy of the rules or direct questions to OUNC by calling 503. 2. 987 or 1.800.332.2344.
Issued By; /�� Permittee Signature: /tt
_dj„
Call 503.639.4175 by 7:00 a.m.for the next available inspection e.
This permit card shall be kept in a conspicuous place on the job site until co etion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City Of Tigard Received /
INg '� DateB �/ Permit No.: 41 1
'll 13125 SW Hall Blvd.,Tigard,OR 9s d s ' r i r
I M Plan Review
Phone: 503.718.2439 Fax: 503.598.1960DateB i . Other Permit:
T I GA R D Inspection Line: 503.639.4175 NOV Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov �l 4 Notified/Method: - / ? IMI Supplemental Information
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❑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
WAROMm O g: tt �' t work indicated on this application.
I=11-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
s <.
. *t <t .< Total number of floors:
Job site address:12550 SW Main Street New dwelling area: square feet
City/State/ZIP:Tigard Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:120 Project name:Stumptown Escape Games Covered porch area: square feet
Cross street/directions to job site:SW Burnham St Deck area: square feet
Other structure area: square feet
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Subdivision: Lot no.:12540 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S102AC00700 Indicate the value(rounded to the nearest dollar)of all
3VZ, equipment,materials,labor,overhead,and the profit for the
`;., ,'`k``.` .,;t ` .. r,t, 6' 1 ��a1° e AP , f '' ,� work indicated on this application.
Demolishing existing partition walls,adding new partition walls Valuation: $$10,000.00
Existing building area: 2716 square feet
New building area: 2716 square feet
Ast
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"t; .. . .. <>. ....,. Bala .1 :. ;� ..'e �e ,.y.:.::�~`,.� F Number of stories: I
Name:Matt Hutchinson Type of construction:
Address:12550 SW Main Street Occupancy groups:
City/State/ZIP:Tigard OR 97223 Existing:
Phone:( ) Fax ( )
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Business name:Precision Commercial Construction etit",x:,:^,``",.., ..i„ '.,-' x ' , ? , ,s entowi•u, w: `
Structural plan review fee(or deposit):
Contact name:Veleta Gee or Ross Hayes
Address:9655 SW Sunshine Ct.
FLS plan review fee(if applicable):
City/State/ZIP: Beaverton OR 97005 STE 700 Total fees due upon application:
Phone:(503)350-3942 Fax::( ) Amount received:
E-mail:veleta@precisionhomesbuilding.com 'a t • fr
,
; » Commercial and residentialprescriptiveinstallation of
„`.�. , .i$.. , �.�.. , .Pia' rep `: ...W< ,....>. ` .Y,.. : . , :,„. .,,_ aA roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Precision Commercial Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:9655 SW Sunshine Ct.STE.700 Solar Installation Specialty Code checklist.
City/State/ZIP:Beaverton OR 97005 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)350-3942 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:174274 r,
Total fee due upon application: $201.60
Authorized signature: ,{-�', This permit application expires if a permit isnot obtained
U/�1�1� within 180 days after it has been accepted as complete.
Print name:Veleta Gee Date:11-14-2017 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
71w COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: / ,,/0 ..'17-1.1074"
Site Address: 12550 S1ry IV)Cit (Y) if , Suite/Bldg#:
Project Name: S ill y»t9-totA,/,-- Es C 61/2-e.. 6761 rae,S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Tr) tbr Ti . 0-en--)0 ext-i -- ec4c"fi h ur, wc.I I I1
ac/J , 11 pUrhtio,-i weer ) Is
Existing Business Activity: (A3 V» r i t .
Proposed Business Activity: --(- j
Verify site address/suite# exists and active in permit system.
yi River Terrace Neighborhood: ❑ Yes X No
A Zoning: M V C 13 I)
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
)21 Confirm no land use required.
gi Business License:
Exists: ❑ Yes gNo,applicant notified to obtain business license
Notes:
Approved by Planning: 4") Date: I I l I L) / (1
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: // ,i,h 7
Site Plans: #
Building Plans: ##
Building Permit#: r building permit#above.
Workflow Routing:ring ❑ Permit Coordinator ❑ Building
Workflow Sign-off: I�''S�i -off for Planning(include notes from planning review)
Route Application Documents: I - iilding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: 40-et,--7 .---- .__- Date: // t% 7
I:\Building\Forms\B1dgPermitRvw COM NoLandUse 060116.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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: El Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
1111
11C Over-The-Counter (OTC) Building & Fire Protection System Permit
i.„\,<t, PP oitit`trerit Checklist
Permit Record#: p#20 J -v i� cscy. s ,cam,Contact Name: a rp _
Phone #: SZ/3- 3s�_3��
Business Name: �
�•a✓ fia,,,.Q Amr l i�C� Bldg/Suite #:Appt. Date/Time: ////LI/i-7 &._., /0:cr,
�a
Site Address: . d sz.✓ A,a`w S dR'�J A,10Project Name:
� � 7-c. Esc. j. New Tenant? 0 Yes g"‹.--
Project Description: ,,c � 6,40.5
l� e."vit eivti7...1, hy Ne.,,,, 61/ant_
Existing Use: New Use: 0A2,
MMD Required: 0 YeS /5— Related Record #:
APPLi cnuesT::S IFC RsIPORAIATTOlsr
GENERAL INFORMATION
Class of Work: 1 f r Occupancy Group: b Type of Construction: _
Type of Use: Occupancy Load: I Oregon Specialty Code:
SPECIFICS 7 g° p ty ?.�j
Number of Stories: I 1 Building Height:
Number of Dw Units: I .Z. g I I Mixed Use: I 'NI
Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Z„7 16j Accessory Structure: Covered Porch:
Basement: Garage:
Total Square Footage: Carport: Deck:
SETBACKS Mezzanine:
Sideyard Setback-LeftSideyard Setback—Front
Sideyard Setback Right I Sideyard Setback—Back
CONSTRUCTION I I
Exterior Walls: Openings Protected:
N: S: Firewall Separation:
; N: S: Occupancy Separation:
W: E: W: Access.Parkin aces:
REQUIRED ITEMS g S p
Fire Sprinklers: Y10 Fire Alarms:
Sprinkler Type: Smoke Detectors:
Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Para et:
Hazard Group: Battery Calcs Provided: P
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $J c ()op [ , ' , , !_':,,,,,''. .z. 7.,D114
$ q DC Prov Rvw,COM TI—Ping
DC Provision Review Fee for $ -?- •86 Permit Fee—Add,Alt,Demo
COM TI(effective 7/1/2017) $ • 12%State Surcharge
Project Valuation $ _, Plan Review,Structural
Up to$4,999 $0.00 $ 0 . Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ 4, Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
Building Staff: $ Other:
$ � er:
Date/Time: $ TO AL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12550 SW MAIN ST 120, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00298
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor