Permit a CITY OF TIGARD BUILDING PERMIT
PERMIT #:
COMMUNITY DEVELOPMENT DATE ISSUED: 9/3/2008 -00307
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136AD-06504
SITE ADDRESS: 11462 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: AMERICAS TIRE COMPANY LOT: 003 JURISDICTION: TIG
PROJECT: DISCOUNT TIRE
Project Description: Monument sign.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 73 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: Y REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 8,000.00
Owner: Contractor:
DISCOUNT TIRE ES & A SIGN AND AWNING CO
4026 W. WHITTON 1210 OAK PATCH ROAD
PHOENIX, AZ 85019 EUGENE, OR 97402
Phone: 602 - 272 -9356 Contact #: PRI 541 -485 -5546
. Reg #: LIC 163470
FEES
REPORTS
Description Date Amount REQUIRED ITEMS AND
Total
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 than 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 these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/ 411W
Issued By Ai - - 'ermittee Signature: r /
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.
• 13ni4ing Permit Application .
Commercial FOR OFFICE USE ONLY
City g
Ci}� of Tigard RECEIVED Received Permit No.: ',�Jyam 7
`
• 13125 SW Hall Blvd., Tigard, OR 97223 [ Plan Date B Date B : . Re ` • / J
Phone: 503.639.4171 Fax: 503.598.196 P - 3 C uu , _ i r Other Permi
L � � ` kris: ® S e e Page 2 for
T I G A R D Inspection Line: 503.639 Date Ready : g
Internet: www.tigard my O F TIGARD Notified/Method: 776 Supplemental Information
TYPE DIVISION
YPE
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 CI Commercial/industrial Valuation: $
❑ Accessory building CI Multi-family Number of bedrooms:
❑ Master builder i, Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / / y G Z S cu PA_ Ft c gen.) y New dwelling area: square feet
City /State/ZIP: erl C vk l CYL 9 7 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: n CC v a, *}- �
�! Covered porch area: square feet
Cross street/directions to job site: i✓ ✓ � -^ v' 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.
N 4 2 -ilJ OA) u . Pv e.e C
i T J l N l Valuation: $ W- cX�
I `r , S 4 1/? 7` Existing building area: square feet
- �G � J ��� New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Dr 5 COu wT Ti R Type of construction:
Address: 4 0 ( w EC k t T - rov .„) Occupancy groups:
City/ State/ZIP: f OL o�, >C A ?5O I S Existing:
Phone: (607_1 '1,- -( Fax: ( ) New:
"j APPLICANT ❑ CONTACT PERSON NOTICE
Business name: a aiMIMERWEE �IIJ4 N ,-.4 All contractors and subcontractors are required to be
Contact name: eptact C_-,‘ u licensed with the Oregon Construction Contractors Board
S under ORS 701 and may be required to be licensed in the
Address: y 8 7S S W Cif 1L ( -.C-4 /4-1-,_ :a Ve..- jurisdiction in which work is being performed. If the
? 0035
City/State/ZIP: b �,q-v �"br� '1L- applicant is exempt from licensing, the following reasons
� \ apply:
Phone: ( 503) 0,20 3 O 7 O (�?l Fax:: ( )
E -mail: �
CONTRACTOR
Business name: � '> TA Si- 8 4 , „,_ BUILDING PERMIT FEES*
Address: 1-L I O 0 A_ l e - -- 1— (, O (Please refer ( to% schedule)
Structural plan review fee (or deposit):
City/State/ZIP:
v 6 Q
(� (l ) 4 5 � t , �Z FLS plan review fee (if applicable):
Phone: t Fax: ( )
CCB lic.: I rc 3 in 0 Total fees due upon application:
Amount received:
Authorized signature: �/ / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: C I Date: ? 4/0g * Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 2/23 /07 440- 4613T(l I /02 /COM/WEB)
„ \.
• e ,
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
•
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
•
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: BUP2008 -00307
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/3/20013
Phone: (503) 639-4171 �f �l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/5/2008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 11462 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: AMERICAS TIRE COMPANY LOT #: 003 TYPE OF USE:
PROJECT NAME: DISCOUNT TIRE
DESCRIPTION: Monument sign.
OWNER: DISCOUNT TIRE, PHONE #: 6012719356
CONTRACTOR: ES & A SIGN AND AWNING CO PHONE #: 541- 485 -55546
Inspection Request Scheduled For: Date: 9/5/2008 Pour Time: 12:00
Code # Inspection Description Confirm # Contact # Message
?05 Footing 075102 -01 541 - 868.1752 Y o ,>P-0'�
97( 2 ?5
Corrections /Comments /Instructions:
1
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
\��; Inspector: / Date: I 51efii Phone #: (503) 718- e2-k.3r0