Permit TIRD � F'LRMI # PER C'TMO� ijJ • BUP90 —IL
C ITYOF TWARD
COMMUNITY DEVELOPMENT DEPART - WI T 171 O REGON / DATE I ISSUED: 02/04/91
13125 S* Hall Blvd. P.O. Box 23397. Toted, Oregon 97223 (503)639 -4175 /
SITE ADDRESS...: 11747 SW PACIFIC HWY PARCEL: 1 S 136CC- 010'Z! 1
SUBDIVISION • ZONING:
BLOCK - LOT •
+
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION- -
CLASS OF WORK. :ALT FIRST • sf N: S: E: W:
TYPE OF USE...:COM SECOND...: sf PROTECT OPENINGS?
TYPE OF CONST. :5N THIRD sf N: S: E: W:
OCCUPANCY GRP. :B2 TOTAL 0 sf ROOF CONST:A FIRE RET ?:Y
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOR.:1 HT. :12 ft GARAGE...: sf OCCU SEP. RATED:
BSMT ?:N MEZZ ?:N REQD SETBACKS REQUIRED
FLOOR LOAD •125 psf LEFT: ft RGHT: ft FIR SPKL:N SMOK DET..:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:N PARKING:
VALUE. $ : 75000
Remarks: Construct new canopy, replace pump islands, remodel interior sales
area.
Owner: FEES
CHEVRON USA, INC. type amount by date recpt
11747 SW PACIFIC HIGHWAY PAYM $ 379.05 JLH 11/21/90 207028
PRMT $ 358.00 / /
TIGARD OR 97223 PLCK $ 232.70 / /
Phone #: FIRE $ 143.20 / /
5PCT $ 17.90 / /
Contractor: -- PAYM $ 372.75 JLH 02/04/91
CONTRACTOR NOT ON FILE
Phone #: $ 751.80 TOTAL
Reg #. • :
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Foot /Found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other S t r u c Steel Insp
applicable laws. All work will be done in accordance with R e i n f Steel Insp
approved plans. This permit will expire if work is not started Slab Insp
within 188 days of issuance, or if work is suspended for sore Framing Insp
than 188days. Insulation Insp
yp Board Insp
Susp Ceilng Insp
Final Inspection
/ Permittee Signature: A•--
Issued By:
Call for inspection — 639 -4175
i
CITY OF TI �,�SW PK/ # �� — ' 8
P.O. Sox 23397
(A RD r, o
COMMUNITY DEVELOPMENT DEPARTMENT 6J°-"" P II�QT ���0�
DATE ISSUED
•
JOB ADDRESS: 11747 SW Pacific HWY, Tigard, Or. MIX MAP/LOT /5 " 16 Ti 0 /(X I
SUB: - IAT: LAND USE:
VALUATION: 75,000
owNER SPECIAL NOTES . •
NAME: Chevron USA. Inc. RELSSUE OF:
ADDRESS: 1301 5th Avenue, Room 2900 IAST REISSUE:
Seattle, Wa. 98101 •. •FIOODPLAIN/
Cn.ntart : non Forsman SENSITIVE LAND:
PHONE: (206) 62R -5266
APPROVALS
CONTRACTOR PLANNING: RDQ ll /a Ma
NAME: Th a tiET�12"11 / /E0 _
ADDRESS: FIRE DEPT
OTHER: .
10NE= .TEEMS RB IRFD
. B U M M E R S BOARD I: . E P D A T E : LIST/SUBCONTRACTORS:.
BOS TAX:
ARCR/ENGINEER CAL LA 1 t S:
NAME: ROBERT H_ LEE & ASSOr INC TRUSS DEFAMES:
.ADDRESS: 1520 140th Ave. NE, Suite 200 Oft:
Bellevue. Wa. 98005
Contact: Steven Freeh
PHONE: (206). 746-4677 / Sr- S'/v, Bile ,, .°. , Cb m
S /IS - anc r y - , /44 °6 / 01 %, oL 8
NTS:ldnrk includes interior remodeling or existing sales area, new canopy
Pump Islands, Dispensers and drive slab, new landscaping & irrigation for existing
planters &.new 400 amp, 120/240V, single phase electric service.
SOBCONTRACTURS: PIS: ' MDCH:
PERMIT I AOCT # DESCR3PITON AN4D13NT AMOUNT PD. BAL. DOE
- 10-432 00 Building Permit Fees � 2 L5 00 — ,z5
. .10 -431 00 Plumbing Permit Fees
;107431,01 :Mechanical Permit Fees —
.10 -230 01 State Building Tax () — :=1M707
- . Building /7, 90
Plumbing
Mech
10 -433 00 Plans Check Fee .16444 C j, g S
Buildin 2 3,Z , 7 0
Plumbing
Mech
30-202 00 Sewer Connection —
30-444 00 Sewer Inspection —
S1-448 00 Street System Dev Charge (SDC) --
52-449 00 Parks System Dev (barge (EEC) . — ..
3
-
1-450 00 Storm Drainage Syst Dev Chug (SSDC) — _--
10-230 06 Fire /43,,z0 /4 /, 2a
TOTAL 179 4,5
APPLICANT SSIG ATURE ' /// 3 — 1) , 7
Received. By: - ,% Date Received: /1 a / -1
,ef /3587P_WPF
3/7/00 Activities for Case #: BUP90 -00350
3:47:24 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC007 Application received 11/21/90 JHJ 1/2/91
BUPC010 Plan check deposit paid 11/21/90 JHJ 1/2/91
BUPCO20 Plan check by 12/19/90 JHJ PASS JHJ 1/2/91
BUPCO30 Fire District review 12/18/90 EWB PASS JHJ 1/2/91
BUPC040 Check for prcl. restrict. 11/27/90 RP PASS JHJ 1/2/91
BUPC090 (F) Ready to issue 12/28/90 JHJ PASS GES 1/2/91
BUPC705 Foot/Found Insp 2/12/91 GS APP GES 2/12/91
BUPC100 (F) Issue permit 2/4/91 JLH PASS JLH 2/4/91
BUPC960 Case Finaled 5/21/91 GS VOID GES 5/21/91
BUPC007 Application received 11/21/90 JHJ 1/2/91
BUPC010 Plan check deposit paid - 11/21/90 JHJ 1/2/91
BUPCO20 Plan check by 12/19/90 JHJ PASS JHJ 1/2/91
BUPCO30 Fire District review 12/18/90 EWB PASS JHJ 1/2/91
BUPC040 Check for prcl. restrict. 11/27/90 RP PASS JHJ 1/2/91
BUPC090 (F) Ready to issue 12/28/90 JHJ PASS GES 1/2/91
BUPC705 Foot/Found lnsp 2/12/91 GS APP GES 2/12/91 •
BUPC100 (F) Issue permit 2/4/91 JLH PASS JLH 2/4/91
BUPC960 Case Finaled 5/21/91 GS VOID GES 5/21/91
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