Permit � } . `r n CITY OF TIGARD BUILDING PERMIT
'�`.I:. `., COMMUNITY DEVELOPMENT Permit #: BUP2010 -00046
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/20/2010
Parcel: 1 S136CD01001
Jurisdiction: Tigard
Site address: 11747 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Chevron
Project Description: Construct new canopy, fueling facility and new office. Demo work done under BUP2010- 00162.
Owner: FEES
CAIN PETROLEUM INC Description Date Amount
4512 SW KELLY AVE Permit Fee - COM - New Construction 07/20/2010 $594.22
PORTLAND, OR 97239 12% State Surcharge - Building 07/20/2010 $71.31
PHONE: 503 - 546 -3535 Plan Review 07/20/2010 $386.24
Plan Review - Fire Life Safety 07/20/2010 $237.69
Contractor: CDC Bldg Review, COM 07/20/2010 $143.50
DOUBLE R PRODUCTS/DEL J INC CDC Plan Review, COM 07/20/2010 $143.50
901 NW E STREET CDC Plan Review, COM - LRP 07/20/2010 $42.00
GRANTS PASS, OR 97526 Erosion Control 07/20/2010 $40.00
Tig -Tual School CET - Non Residential 07/20/2010 $93.50
PHONE: 541-476-1387 Erosion Plan Review CWS 07/20/2010 $8.45
FAX. Erosion Plan Review COT 07/20/2010 $8.45
Specifics:
Type of Use: COM
Class of Work: NEW
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 1
Value: $47,500
Floor Areas:
Total Area: 187
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,768.86
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet: No
Fire Alarm: No Protected Corridors: No
Smoke Detectors: No Manual Pull Stations: No
Accessible Parking: 1
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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Issued By: Permittee Signature: 0 /7 Z../ Cf5 — � O</
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 /`I r( a40 F — X 0.3 g
Commercial � � ` - 1 ; 1 OI( 0 1 1 I( 1 J'l O VA' 11 `
CI of Tigard �, • S - D a teBed Permit No.: I I • f
III
13125 SW Hall Blvd., Tigard, OR 97223 ** Pl Review 1 ".
Phone: 503.639.4171 Fax: 503.598.1960 MAR 1" 2013 Date/ : 4 j infar (d Other Permit: AQ�Q OD j(B
I I (; A It 1): Inspection Line: 503.639.4175 Date Ready ■ y: _funs: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method Supplemental Information
CITY OF i IGA?D
TYPE litDING REQUIRED DATA: :I= AND 2- FAMILY.DWELLING
14 New construction 54„p' -t 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: $
❑ 1- and 2- family dwelling 1g Commercial /industrial
❑ 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: ( 1 74' 1 6 G t -t-+ ' New dwelling area: square feet
�c. �,
City /State /ZIP: —r £ p K 9 7 a-2 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: t Project name(d n eh iro et Covered porch area: square feet
Cross street/directions to job site: Af j 1 1 a l - Deck area: square feet
`% Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Lot no.: ( (� p ( Permit fees* are based on the value of the work performed.
"�' 1 S (� Indicate the value (rounded to the arest dollar) of all
Tax map /parcel no.:
equipment, materials, labor, over d,ar�d� th rofit or t
- DESCRIPTION OF WORK work indicated on this application. Killoatt' Q
•`7��. =1:.".a..-....- � >..r ._ n _ _ 1 P a ob 7 6 Valuation: $ (
•L:6a-� —� c. ce -- - C�V�C.r /JCW
eQ rof77 i -'t1CQ(- ( `n< i (I 1 , .1 . ofc 1P2 Existing building area: square feet
�' New building area: square feet
- PROPERTY OWNER .0 TENANT , Number of stories:
Name: e / ' A P.L4 le u pirt S v Type of construction:
Address: 4 6 6[.0 Occupancy groups:
City /State /ZIP :O t- ` /GLa d r p 7 3 rr' Existing:
Phone: ( 5 Z 3) 5 Q6 -35 Fax: ( ) New: •
APPLICANT . , ICONTACT PERSON NOTICE
Business name:! PL`s All contractors and subcontractors are required to be
// licensed with the Oregon Construction Contractors Board
Contact name:
4 0 e - 1 I uvvv' e--( under ORS 701 and may be required to be licensed in the
Address: (3 3 S 5 t j to Ie -r4 / 5..6_ 2. I jurisdiction in which work is being performed. If the
City /State /ZIPO r a n � Q applicant is exempt from licensing, the following reasons
t g7a�`S a ppl y:
Phone: (g ) 3,29-5 Fax:: (S63) 3 .27- S 41-54.
E -mail: ? �p ic� n" i n t' c,„0,,,„ S4 ' 4 e.
/ � . C pp ONTRACTOR '
Business name: '---0,0(.412 I G 1t Troj „G f'S BUILDING PERMIT FEES* ,
Address: Cj 0
• (Please refer to fee schedule) a , p 1 g� S tructural plan review fee (or deposit): 5 6 2 T
City /State /ZIP: 6 r Q A. "1 re, 6.., t O i_ q
Phone: ( (�' 7 �Q , 13 8 Fax: ( ) FLS plan review fee (if applicable): A 3 -7, &
CCB lic.: 0 432. Ii-!1l Total fees due upon application: Q
Amount received: �� j 5
Authorized signature: This permit application expires if a permit not obtained
it has been accepted as complete.
� � within 180 days after lete.
p p
Print name Ave_ K/1 !M pp e__( Date: 3 /(t t U * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
, TIG,RD'
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 \BUP -COM PermitApp.doc 06 /25/08