Permit Support Document City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Request for Permit Action
V O 1 D
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97 t E
NEtrw.tigard-or.gov
TO: CITY OF TIGARD NOV 15 2021
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD
Phone: 503-718-2439 Fax: 503-598-BUIDINCONSCKgPermits@tigard-or.gov
FROM: ❑ Owner ❑ Applicant ❑ Contractor ‹Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual)
Mailing Address:
City/State/Zip:
Phone No.:
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
n INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: g4/9 --C30402/
Site Address or Parcel #: �-�- ej_iii.)11,77/4/v .
Project Name: C, /I'tu , r„1J�G-1N5
Subdivision Name: Lot#:
EXPLANATION: /hi/ PCu. 4 Jy'fc.../
‘.L4J /V, f r i.1. C ,V yvt,T %P �; /. ,. �y.�../
Signature: --?7F-S 2 Date: /7//2/
Print Name: f 4':s)
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
Route to Sys Admin: Date// l 1/ By Route to Records: Date By
Refund Processed: Date By Invoice Processed: Date By
Permit Canceled: Date k\`' j�� By l,.N Parcel Tag Added: Date By
I:\Building\Forms\Rey PermitAction_12U518.doe
Building Permit Application
Y�, R‘{ �Y t,
Commercial ut ' f 1 1 :., �/�FOR OFFICE USE ONNLrY�f�/� 7
City of Tigard Sr Received /0 /S`(/2 <� `emu( 26--t/ / /9
1114 "- i / Permit N
13125 SW Hall Blvd.,Tigard,OR 97223 3 2020 Date/By
r g Plan Review
Phone: 503-718-2439 Fax: 503-598-19 f( Date/e Related Permit
g Y
TIGARD Inspection Line: 503-639-4175 ii Y O i GAF Date Ready/By: Suns See Page 2 for
. Internet: www.tigard-or.gov ti-'''"i 3(1. r ...y 1, "a"^s t Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:I-ANI)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.
Valuation: $
El1-and 2-family dwelling ®Commercial/industrial
❑Accessory building ❑Multi-family ik 0
Number of bedrooms:
❑Master builder ❑Other: I 0 Number of bathrooms.
JOB SITE INFORMATION AND LOCA'fI Total number of floors:
Job site address:9585 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:Cinema Drive-Ins Covered porch area: square feet
Cross street/directions to job site: Sears Parking Lot Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST'
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
Building a 47' x 26' aluminum truss structure, which will have a textiline Valuation: $� 00(1 ,y
blow through screen. The truss structure is wind rated at 40mph with the Existing building area: 1 square feet
screen on, and 105 mph with the screen off. ' 7[Ii4 -g,�,,, ,.� New building area: square feet
PROPEI T Yr OWNER,,`, ;INNN 1 TES Number of stories:
Name:MS Portfolio LLC Type of construction:
Address.9800 SW Washington Square Road Occupancy groups:
City/State/Z1P:Tigard, OR 97223 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT: L] CONTACT PERSON 1.,ip' ;BUILDING,PERMIT FEES* i p1}i
Business name:Cinema Pop Ups (Please'refer to fee schedule) d ,ep�'
Structural plan review fee(or deposit): 4,
Contact name:James Samson
FLS plan review fee(if applicable):
Address:11333 Iowa Ave
Total fees due upon application:
City/State/ZIP:Los Angeles/CA/90025
Amount received:
Phone:( 310)479-2410 Fax: :( )
F-mail rjsamson@kilburnmedia.com PIIOTOVOLTAIC SOLAR PANEL SYS` EMF'FES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Cinema Pop Ups Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:11333 Iowa Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Los Angeles/CA/90025 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 310)479-2410 Fax:( ) u
State surcharge(12%of permit fee): $21.60
CCB Lie.: Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:James Samson Date:9/3/2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
T l c Ko Building Permit Review — Commercial - No Land Use
Building Permit #: 5UPPZn2.O -04)��g
Site Address: t15'65 WoisItV151 c /j. Rd, Suite/Bldg#:
Project Name: etne Dom/-1146 ✓✓''
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Tf hf)pc t iv1 UtACIO9( 11'ader
Existing Business Activity:
Proposed Business Activity:
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: El Yes No
iSt"Zoning: Ma C/
Permitted Use: 'Yes ❑ No El Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes X. No,applicant was provided a business license application
Notes: ND � act reAullul-�r T46rd OU-tct h pnrwi .
Approved by Planning: ('�'� Date: 10 r K19,0
Revisions (after Building Submittal on y) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: Cl Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (fiely.fe2o
Site Plans: #
Building Plans: #
Building Permit#: [enter building permit#above.
Workflow Routing: E Planning ❑ Permit Coordinator l uilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: 4:I-Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: ,
By Permit Technician: //jne�' Date: 0//67,�20
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 1 1 8 19.docx
Perm' oordinator Review
❑ Conditions "prior to issuance of building permit
❑ Approved,NOT Re ed: '.ate:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Appljtit
Revision Notice 3: Date Sent 'plicant:
ElSDC Fees Entered: W h Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
`- Parks SDC: ❑ Yes ❑ N/A
❑ OK to I e Permit
roved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NolandUse_111819.docx
WO CURTAIN-TYPE TEXTELINE
MAY USE LADDER SCREENS(BACK SIDE)ONLY GENERAL NOTE_
TRUSS FOR STICKS DEPLOYED DURING MOVIES, 1.ALL COMPONENTS ARE VERIFIED FOR A
CONNECTING FRAMES �'` OTHERWISE TIED BACK AT SIDES TEMPORARY LATERAL FORCE OF 0.2G.
300 MM BOX TRUSS 2.WITH THE SCREEN INSTALLED, THE
f STRUCTURE IS VERIFIED FOR A MAXIMUM WIND
(OR 12" EQUIVALENT) �/
ITy
SPEED OF MPH. IF THE WIND SPEED IS
P. i' " �� RECEIVED EXPECTED TO EXCEED 40 MPH,THE SCREEN
�I � I SEP 3 202Q MUST BE REMOVED.
,jj \\ ko, A 3.WITH THE SCREEN REMOVED,THE TRUSS
f{ �. ° STRUCTURE IS VERIFIED FOR THE ASCE 7 16
�� j �" c; Ya` "{ CODE REQUIRED BASIC WIND SPEED FOR
i'‘.\\i;,.
�(yl�, Q ,� ► e '`' PORTLAND,OR OF 96 MPH.
I `�� 4.ANALYSIS WAS PERFORMED ACCORDING TO
' /` ,�oil �� THE 2018 INTERNATIONAL BUILDING CODE AND
\. �`, l THE 2015 ALUMINUM DESIGN MANUAL.
` \ , ,, T, EXTELINE PROJECTION 5.FOR THE AUGUST/SEPTEMBER 2020
10111Arly.,� \���'�� �, SCREEN W AREA 14.3 X 7.9 INSTALLATION IN PORTLAND,OR ONLY.
I ALL DIMENSIONS ARE IN METERS.
N. . .„-- k. ----.. , 4, , , ,,«,--G, N s:64k)
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v,, al 04, (0\4 1.
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401‘.
,; 85530PE
RATCHET-STRAP 3,500 LBS
BALLAST AT END OF EACH ,� �� ,
it'
ISO VIEW OUTRIGGER,TYP.6 PLCSj"
SCREEN SUPPORT PIPES 4,t2' ;
WIRE ROPE(MIN INSTALLED AT T.O.TRUSS t$81E'
SWL=2,000 LBS STRUCTURE TO ALLOW FOR
14.6 FOR ROPE AND ALL RAPID SCREEN REMOVAL IN t -.;'2/7:r%1
_ > HARDWARE) HIGH WINDS
PULLED TAUT 3 STAMPED 08/13/2020
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^ CLAMP 1.5"SCH.40
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ELEVATION VIEW
SCH.40 PIPE BRACES SIDE VIEW
PLAN VIEW AT 45 DEG TYP.
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Cinema Drive-Ins—Washington Square Mall (Proposed)
Applicant:James Samson—Cinema Drive-Ins LLC El
- Proposed Parking Space
9585 SW Washington Sq Rd (ADA and Standard)
Portland, OR 97233 ffi `" }
Zoning: General Industrial 2 (IG2)Tax Lot#: Not Available — - Screen Structure
(503) 639-8860 (Site) (310) 479-2410 (Applicant) CEP 3 2020 (See architectural drawing)
Elevation: 232 ftA
BUCI( F (C `� a
N
CI [Y OF TIGARD
Approver! by Planning
7 /�QY�(k �, .a. ®ate: 0 2c�
/6. /'" Initials: