Permit CITY OF TIGARD { ; a ! BUILDING PERMIT
COMMUNITY DEVELOPMENT Waal Permit #: BUP2010 -00127
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/11/2010
Parcel: 2S102AA01100
Jurisdiction: Tigard
Site address: 12035 SW PACIFIC HWY A
Project: Tigard Auto Stop - Brake Team Subdivision: Lot: 0
Project Description: Removal of approximately 1/4 of structure for intersection realignment. 1/25/11, reprint to aadd to project
description. Tenant moving to 12047 SW Pacific Hwy.
Contractor: KERR CONTRACTORS Owner: TIGARD AUTO STOP PARTNERS
PO BOX 1060 2829 RUCKER AVE STE #100
WOODBURN, OR 97071 EVERETT, WA 98201
PHONE: 971 - 216 -0050 PHONE: 503 - 796 -2887
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 06/11/2010 $619.25
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 06/11/2010 $74.31
Stories: 1 Height: 0 ft Erosion Control 06/11/2010 $26.00
Bedrooms: 0 Bathrooms: 0 Erosion Plan Review CWS 06/11/2010 $8.45
Value: $40,000 Erosion Plan Review COT 06/11/2010 $8.45
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $736.46
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet: 1 Ersn Cntrl 681 -4444
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- 001 -0010 throu h OAR 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.
Issued By: Permittee Signature'
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. o
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.
f r V
CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT Permit #: BUP2010 -00127
s Date Issued: 06/11/2010
44 GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S102AA01100
Jurisdiction: Tigard
Site address: 12035 SW PACIFIC HWY A
Subdivision: Lot: 0
Project: Tigard Auto Stop - Brake Team
Project Description: Removal of approximately 1/4 of structure for intersection realignment.
Owner: FEES
TIGARD AUTO STOP PARTNERS Description Date Amount
2829 RUCKER AVE STE #100 Permit Fee - Additions, Alterations, 06/11/2010 $619.25
EVERETT, WA 98201 Demolition
PHONE: 503 - 796 -2887 12% State Surcharge - Building 06/11/2010 $74.31
Erosion Control 06/11/2010 $26.00
Erosion Plan Review CWS 06/11/2010 $8.45
Contractor: Erosion Plan Review COT 06/11/2010 $8.45
KERR CONTRACTORS
PO BOX 1060
WOODBURN, OR 97071
PHONE: 971- 216 -0050
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $40,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $736.46
Required: Required Items and Reports (Conditions)
1 BUP Ersn Cntrl 681 -4444
Fire Sprinkler: 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 a • .. • . •proved 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. • NTION: Oregon law requ' ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 '01 -0010 through OAR 952- 1 -0100. Y ay obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is - ued By: �\ PermitteeSignature: `
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.
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Building Permit Application iIo�d _ �� F.er>1T
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Comercial RECEIVED 4 1 7 Y ,
t r ()i I Q �,, t , w 4 , ��, �ti,;�
s Receive /_ /0 / � 4o u QaOlD� eJG/
Ci of Ti and CS
No.:
131 SW Hal Blvd., Tigard, OR 97223 JUN 1 0 c 01 P a Review
! ∎: ' ' . II Phone: 503.639.4171 Fax: 503.598.1960 DateBy: Other Permit:
,. I)
Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: Juris la See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: //( ` Supplemental Information
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 Valuation: $
❑ Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
fM5 JOB SITE INFORMATION AND 'LOCATION Total number of floors:
Job site address: /2o 5 .g) /�! r e e-- (�y y _ New dwelling area: square feet
City /State /ZIP: 74 q72 �3 / Garage /carport area: square feet
Suite/bldg. /apt. no.: til Project name: 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: Lot no.: 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.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
*4274 l .� /'. _ Valuation: $ I/4441.40
s �R.�P� 6lJ
/_ / ) b /_ 2 Existing building area: square feet
New building area: square feet
❑. PROPERTY OWNER ❑ TENANT Number of stories:
Name `b Rya trop & .& -6- Type of construction:
Address: AT go -- fi ko,y ✓Z tA-ut. , g_ reD Occupancy groups:
City /State /ZIP: t , (t) ?f__T 1.0 di c z go 1 Existing:
^
Phone: (�S) 7% %- 2,gg 7 Fax: ( ) New:
• ❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: ti, All contractors and subcontractors are required to be
Contact name: ��� 'sv" - licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( 0 ) 073 S 5":22_,. Fax:: ( )
E -mail:
•
. ,CONTRACTOR .
Business name: kt'/lr c BUILDING PERMIT FEES*
Address: eb , d()x /OW
(Please refer to fee schedule)
^00T / , 7e7 Structural plan review fee (or deposit):
N
City /State /ZIP: C ( / L `
Phone: l ib a j1( Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: 7599 v i Alit Total fees due upon application: j� 14 Amount received: `t' 706 .
Authorized signature: d /�/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Felootk �kage Date.4/0 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Perrnits \BUP -COM PennitApp.doc 10/0149 440- 4613T(11 /02 /COM/WEB)
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Building Division
: .
Accessibility: Barrier Removal Improvement Plan
,TIGAR D'
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): $
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l:\ Building\ Permits \BUP -COitt PermitApp.doc 06/25/08