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Permit CITY OF TIGARD BUILDING PERMIT - l ' PERMIT #: BUP1999 -00526 4 "00� DEVELOPMENT SERVICES DATE ISSUED: 01/07/2000 -- -- ,.� 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11834 SW PACIFIC HWY PARCEL: 2S10166 -00301 SUBDIVISION: TIGARD ROAD GARDENS ZONING: C -G BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 2.500 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: sf ROOF CONST: FIRE RET ? OCCUPANCY LOAD: 26 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 14 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: 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: $ 126,000.00 Remarks: Remodel interior and exterior of an existing service station. . Owner: Contractor: EQUIVA SERIVCES/TEXACO PACIFIC NORTHERN ENVIRONMENTAL 3800 ST HELENS RD 1081 COLUMBIA BLVD. PORTLAND, OR 97296 LONGVIEW, WA 98632 Phone: 503 - 225 -4223 Phone: 360 - 423 -2245 Reg #: LIC 00078140 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PLCK GEO 12/20/199c $494.98 99- 320263 Plumbing Permit Required Foot/Found Insp FIRE GEO 12/20/199 $304.60 99- 320263 Reinf Steel Insp PRMT BON 01/07/200C $761.50 00- 320999 Framing lnsp 5PCT BON 01/07/200C $60.92 00- 320999 Gyp Board lnsp . N A L Susp Ceilng Insp (additional fees not listed here) Final Inspection Total $1,872.00 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 -1987. You may obta' • - • j1jjese rules or direct questions to OUNC by calling (503) 246 -1987. • P" rmitee ---= *IIK,` - ignature: .�� L 'i r Issued By: / - u / / , Call 639 -4175 by 7 p.m. for an inspection the next business day • • CITY OF TIGARD Commercial Building Permit Application Plan Check# I2 flG _ ics125 iW HALL BLVD. l Recd By i &) � ate Recd I7r % — TIGARD, OR 97223 -x 7:2„,..... Aate to P.E. 12- � TIGARD, (503) 639 -4171 _ _ . — ate to DST 1/ '{1 VZ' Print or Type Permit # Oci Pl9?q oa OP Incomplete or illegible applications will not be accepted Related # Called cD /O (S Name of Development/Project Job 1 tG O Existing Building iE(New Building 0 Address Street Address Suite 1184 54 A 'frc ti 1)l Building Bldg # Ci /State Zip Data T I Atc f 0 12, Existing Use of Building or Property: Name Property LQV(Vpc S rtViej; /T xI 4/S5 sTATfaM, Owner Mailing Address Suite Proposed Use of Building qr Property: 380 T. t i,F,rlS W. GAs sT�r10 �n-d City/State Zip Phone � �NV(�fi1Ge STt�s No. Of Stories: t'dt2TI,PrND,OK `(129 u -4223 e146 • Occupant Name Sq. Ft. Of Project: - - M X / 1/4 00 j $32 5. t= . Name / P/4C F'c Nor -it.teL,) I ' O ccupancy Class(es) . Contractor t--A ---6 En V I ro n. rvl eh TAI M • Prior to permit Mailing Address Suite Type(s) of Construction • Issuance, a copy (� of all licenses O g I u fig' iC. Imo' y N are required if City/State' Zip Phone Will this project have a Fire Suppression System? b. _ expired . . . ' pl. t�(o3?' Y23;2215 - ... Yes :4�;:..i . _�.',w ..,.,. ,,. database U fe �J . 9 3a- ❑ . 4 : NO''; • Americans with Disabilities Act ADA , • . O reg n ConsL,Cont. Board MI . ( ) .J. � , � .. _ E. ate '` Q Valuation X 25% = $'1I' O'I�' "-° Partici ation; �� " l �O i 2 �� t Complete Accessibility Form p Name Architect vs gvM 1 ivi , Af'- t Tic Project $ Nui PYNRSE•f � � P Valuation ' 2 , 07,—P Mailing Address Suite lUrD NW FKoNT 5Sd Ian Required: P See M for number of sets to submit �7 City /State Zip Phone P � c h ) on back [og.TIANp OR 17S 22.3- 5044 Engineer Name i I hereby acknowledge that I have read this application, that the information IN1Z6 rirt,41 TNIG . given is correct, that I am the owner or authorized agent of the owner, and Mailing Address Suite that plans submitted are in compliance with Oregon State Laws. IOf50 sW •tfrifVS AVE Signature of Owner /Agent Date p City /State Zip Phone q / ( '`241 144t Z3 /g// _fa' f.T�p4�lb 0t °J72L3 (0 - I14.4- Cont (Perrson Name Ph e Indicate type of work: New O Addition 0 Demolition 0 0 !edit/1)4 ,L 003 - i21 - s944- Accessory Structure 0 Foundation Only 0 Alteration . Repair 0 Other 0 FOR OFFICE USE ONLY Description of work: /TL# Ma FEMoni✓L iNT - io . 0 5.- ler1~giot2 p I Land Useb 1 1 .4 p ,�iy; _ / Notes: oaf, �( Parks: Estimated # of Employees TIF: \ , lobV ACV ro Ee Ye �v- U s w-t t,/: .Ql. If the above figure Is not supplied at the time of application, the city will A,/ in M►�D -``� culate the fee based upon the number of parking spaces. Note: Site Work Permit Application must precede or accompany Building (6V PPuJ - tt l g Permit Application 1:1dsts■forms1comnew.doc 5/10/99 _ sct COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX • ;Iar)Re9tew1:00 . ands : >;; . on::: .. >::. ;:: <:::::::. >: ; ..:::' ..:; : <.:;. <::.:::: ' .. > :...:::::.:.::.:.:::.::.} :app :ca..ion..... For an e1actrt 1 sublnitfal,..the: .. hcatian . � e � : . �.: ...' :...:.: .. .}.. :::.:: :. :::::} � ; :::.;': <;.:: }::. } }:; ?�:i:.i:::•' +"Y::i %� "��:; :�.: t.:j. ?r:: }'i::i %: }: ;: {i:: }i:: {:• } }: • `::::::::ii:: }:i:::::::):': <:; tro...::<:::: t:::::}: >:: i1;:<: ?:: <: >::; : 0#6:4stng �lat ri,1: §et'ur : ar rev 058.l be :4 : :::i 3 fter:.::: lan e t t a :::a :: ~oval .z> <.::: .: ::E ca ine :: >. } ;> o::; . ' .,,,,:,:r.. ,: > <; .;. <.:.... p >:. :+• }:: :. } }:.: , o. }:. }:• },: >:}!' :.: }.;.:: 11t.:c t�tac#: : a: a :.06661 c ire u :i h.. PAP:. ::::�:::._:t.:::.�::.�:::... �s #:::.�:. ... .......:...::::::. ad:. 41::0 nnt::.plan.:;sets.for,distrlb.. ot1..:ur uses C.o or:<' >:' ::::'.: ; ;:;:::< >:: »;::< »::::::: >f::;::: .:::. �:: r::..:..::. �:::::.:..<. � ::::::.:::::::}:::. �:. �:::::. �::::. �.,.:. �.::. �::::. p::::.. pa:::. �: :.�:f.::.:.:.:.�:.:::::�:.:..:: �o ....r..a!�ta�r :.C.i . ..... ..... >a h r� �ltt.. >�:o.0 .............a .:..; .e.. &:.:lies : u .:::::<:«<::>:>:;::::::::.>:.: i:;:«:::<::<::: i::}} i::::::::::,: i.}:.}:.}}: .:'..;:::::::. }. }':::::::. }:::. v..r....v:. qtr.:: rN+: r: ,.::::r..::::.�Yx..:....; }::::: �::.:.r.,p::::::::: �::.:: ;;:::. �t ..:::.::::.::.:.........n:...e ........ r.............:,...:;::::.:. �:::::::::::. ::.}.::. �:> :.:. }:.:::.:::.�:.;..;::.:::.:. • TY PE ..X.1.7.... M+} arro �i ^: ?i r:ii i: r.'• i s .. .. .,.........::......: �ansr >'r> �''�': KEY: • S (Private) S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) • 3 F = Fire Protection System • • M (New or Add�or Alt) +, .. 1 • M _ � Mechanical ' .. • • B &• M (New.or:Add) 1. ;. P = Plumbing • P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition • B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building Midintediaindegenine • ................. .r........ r •: ? �: • : } }i:i: }:4....:4;i:i }iii �iii:< ;.i v }} //{i:Qi:�::i::i }4i 1 :Ai: :i4 }: ?4 •i: L4 "; :!i ii:4 }:• }i }i: }•: ...�. : 1.�JI�:iM ?.:� lYf �t' '�':ti::•i }ii:i } :;i::wn..: � v: .: NOTES: � ° ��' <:': < > >: ;::i;;i <:::«::<::;:::::� `; },;:;{:';i::i::';: is� :; >::`; > ..... :: :,.: <::ii >:;; %':;�;::fi. �: iii:;::: � �<::: isii: >' <:«: >::ii::::. }:.:: }:.;:: }::: �::.:<.: . };:. };::.:. }::.; } }.:::.::..:'. � : ,::::::.: �. � ::::::::::::.:.::. � :::............ -• I:ldstslforms\rnatrxcom.doc 10/29/98 ' 04/07/2000 Activities fo Case #: BUP1999 -00526 2:52:20 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To - Done By Disp. Level By Updated Notes _ BUPC005 APPlication received 12/08/1999 BON RECD No Hold GEO 12/20/1999 • BUPC008 Permit created 12/20/1999 GEO DONE ` No Hold GEO 12/20/1999 BUPC012 Plans routed to Plans Examiner 12/20/1999 GEO DONE No Hold GEO 12/20/1999 BUPC015 Plan Review Ltr. to Ofc. Svcs. 12/21/1999 No Hold RDP 12/21/1999 To Office Svc. BUPCO24 Plans checked /approved by PE 01/05/2000 RDP DONE No Hold RDP 01/05/2000 BUPCO26 Approved plans routed to DSTs • 01/05/2000 RDP DONE No Hold RDP 01/05/2000 BUPC530 Electrical Permit Required 01/05/2000 01/05/2000 • No Hold RDP 01/05/2000 BUPC565 Plumbing Permit Required 01/05/2000 01/05/2000 No Hold RDP 01/05/2000 BUPC705 Foot/Found lnsp 01/05/2000 01/05/2000 01/20/2000 TLP PASS No Hold AKJ 01/23/2000 canopy footings - BUPC716 Reinf Steel lnsp 01/05/2000 01/05/2000 No Hold RDP 01/05/2000 BUPC740 Framing Insp 01/05/2000 01/05/2000 02/22/2000 TLP PASS No Hold AKJ 02/22/2000 • BUPC760 Gyp Board Insp 01/05/2000 01/05/2000 02/09/2000 TLP . PASS No Hold AKJ 02/09/2000 behind cooler BUPC762 Susp Ceilng Insp 01/05/2000 01/05/2000 03/24/2000 TLP FAIL No Hold AKJ 03/26/2000 1) slack wires missing 2x4 lights . 2) elec insp not done B UPC799 Final Inspection 04/06/2000 TLP PASS No Hold AKJ 04/06/2000 BUPCO29 DST post - review completed - 01/07/2000 KJP DONE No Hold KJP 01/07/2000 BUPC090 Ready to issue 01/07/2000 KJP 'DONE No Hold KJP 01/07/2000 BUPC100 (F) Issue permit 01/07/2000 BON DONE No Hold - BON 01/07/2000 B UPC750 Insulation Insp 02/03/2000 02/03/2000 02/03/2000 TLP PASS No Hold AKJ 02/03/2000 behind cooler BUPC750 Insulation Insp 02/28/2000 02/28/2000 02/28/2000 TLP PASS No Hold AKJ 02/28/2000 BUPC725 Slab Insp . 02/29/2000 TLP PASS No Hold AKJ 02/29/2000 on site slab reinforced steel BUPC760 Gyp Board Insp 03/01/2000 TLP PASS No Hold AKJ 03/01/2000 all sheetrock complete BUPA990 (F) Issue Cert. of Occupancy 04/06/2000 TLP DONE No Hold JMT 04/07/2000 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 l , � , Z�O S Date Requested (0 AM PM BLD I Location i (q 39 ea( Suite ME WOO OOD ( r d Contact Person 17l't7 Ph 300 7 2) i 2000-0 00 (40 Contractor Ph SWR fU1C61R, Tenant/Owner -PJ/a ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: , G / Slab SIT f ?7 9""" o6(, -2f -2 Post & Beam Ext Sheath /Shear Int Sheath /Shear //_� ��yy�� Framing 11 V `�� vt.� a') © �,�-✓ � Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ' PART FAIL • BING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL IIECHANICAC) Post & Beam Rough In Gas Line Smoke Dampers r-Th la) PART FAIL '' RICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA )I Other oach /Sidewalk Date C / / Inspector � Ext (J) PART FAIL DO NOT REMOVE this inspection record from the job site.