Permit BUILDING PERMIT (/
C I TY O F T I G ARD DATE I ISSUED: 8/29/9b
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 291 10DB- 00600
SITE ADDRESS...: 15348 SW PACIFIC HWY
SUBDIVISION : WILLOW BROOK FARM ZONING:C -G
BLOCK LOT •10
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:NEW FIRST • 12517 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 719 sf PROTECT OPENINGS?
TYPE OF CONST.: 3N ... . 0 sf N: S: E: W:
OCCUPANCY GRP.:B2 TOTAL : 13236 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 134 BASEMENT.: 0 sf AREA SEP. RATED:2HR
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:1HR
BSMT ?: MEZZ ?: REQD SETBACKS - REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 800000
Remarks: 13,236 sq. ft. retail tire store and storage racks (high- piled)
Owner: - FEES
LES SCHWAB type amount by date recpt
PO BOX 667 PLCK $ 1418.95 JD 03/26/96 96- 277469
FIRE $ 873.20 JD 03/26/96 96- 277469
PRINEVILLE OR 97754 TIF $ 6456.00 JDA 05/31/96 OFFSET CR
Phone #: 541- 447 -4136 TIF $ 16158.00 JDA 05/31/96 OFFSET CR
PRMT $ 2183.00 DST 08/29/96 96- 283412
Contractor: 5PCT $ 109.15 DST 08/29/96 96- 283412
L S CONSTRUCTION CO EROS $ 208.00 DST 08/29/96 96- 283412
LES SCHWAB TIRE CENTERS OF ORE ERPC $ 67.60 DST 08/29/96 96- 283412
PO BOX 667 ERPC $ 67.60 DST 08/29/96 96- 283412
PRINEVILLE OR 97754
Phone #: 541-447-9162 $ 27541.50 TOTAL
Reg #..: 061280
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 Re i n f Steel Insp
applicable laws. All work will be done in accordance with Masonry Insp
approved plans. This permit will expire if work is not started Framing Insp
within 180 days of issuance, or if work is suspended for more Insulation Insp
than 180 days. Firewall Insp
Gyp Board Insp
Susp Ceilng Insp
J Final Inspection
Permittee Signature:�
/ � �/� _ _
Issued By: . - 1. , /,r
Call for inspection - 639 -4175
1
Commsrcial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
f
Tigard, OR 97223 i) 1'J
l o
(503) 639-4171
vp_ , R 1/141(11 1 i 31 1 & 'All& ID bil' Als
Jobsite Address: g L IAI, faOrn - 111€9 •
Office
Tenant: Suite #
: n 77 3 :if . -,
, PlanCk/Reb# ::::: ::::::]:::::: ::::: Cr(
Valuation: 4- ?)()9 60/0
1) V 10 4'il =
Permit -# 7
:::-::': _ ::::'' -)--"
Owner: L.Q_. 011/4•4b 7 1Y7., Civr1 T-VIG , ::;: : , m ar3:8 1-i: #: :: , ' zq 11)Do,
Address: 7.0. 'R/ WI Approvalt:ReqUited:.:
e :::: Planning 1 515 - : : m 5 .. ,... ,e ;
: , , '`' : - , , :,p : „
Phone: C l (41) +41 11(i2-- .:: :
Engineeririg:
Other
EL_:1,:;::': :::, ' : :,=-...::::
, i
Contractor: 4 Aryie — l- . _ . ( ()V ' /,'
ecoltr 1 5C
Address: 44tn at? 4IWP'
1 0 . eo.& (At
Type of const: jg N
V t trit2U . '. . ''1 . -
Occupancy class: 11 4 &2-
Phone: *-4441e-
Sprinklered? aap No
Contractor's License # (01S0 /b - I 2 - 1(te
(attach copy of current Oregon license) Sq. ft. of project: M '2
Contact name & phone: Lac mom icktel - -i1frie Story (1st, 2nd, etc.) 2-
).,,,,, Proposed use:1
Architect/Engineer: i\by-,,rt J . \61,j 41;t ersnal
revious use:
Address: fri 6, 1-63.41
Note: Plumbing & mechanical plans
laoilld CIZ . 11102, must be submitted at time of
i building permit application.
Phone: Cifl_) " - (10'g(, i .
(---; ' ; ! ' 4-
JOB DESCRIPTION: geAl IlYZO or.e,, —13124A10 5(vvit.j CA f -
--- - 71)
(fiectAic AL peanA Cz co em a m. 0, wiit (ail_ urrat(44j, let liaLL
-ID sar- )14 a cetz4-1-).
1 .
, 6M,1-4A-1=-
Ap' ic. t Signature & Phone number _ -
r )_________,
,,----- 772/________/ 0
Received by: Date Received: _
L_
M
Permit # Account Description Amount Amt. Pd. Bal. Due - --r
q(o " Bldg. Permit (BUILD) �1�3�
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) /d 9, c t, l�
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
' 7 W R 119'b1 z Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIP (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
oo
Erosion Cntrl Permit (ERPRMT) 070f/ 66 -?og
Erosion Planck/USA (ERPLAN) 6o P 6/
Erosion Planck/COT (EROSN) 6 t 60
TOTALS: 1 1 5/
�' °� >� o �'/
ad
Permit #: a uf46-o 155 5(,016-o/..2 $ / PL11i 6 x'
F �� 153�f� SLR 41/1/ � �c46 -ea 7p
Address: ?a c i `
UI ! y Z
Issued by: Date: S 9,46
� • 5g 1
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential . uildin :, electrical, echanic s , a: , s umbin • s. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
Y ,C0 1. I own, reside in, or will reside in the completed structure.
lir 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
X Intl before or upon completion.
n 3A. My general contractor is
I I (Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
V 11� 3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
(Zwwlo
(Signature o permit ap licant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
Information Notice to Property Owners
About Construction Responsibilities
Note: Thc, in/ ir,nurion Notice to Property Owners about Construction Responsibilities
.va; clz'i •c iu,u'c: by t; ' Construction Contractors Board in accordance with ORS 701.055(5).
If yout Ow P . ofitra for to cen,stnlct a new home or make a substantial improvement to an existing structure,
you can prevent many problem., by `'eing aware of the following responsibilities and areas of concern.
EMPLOYER RESPONSIBILITIES:
If } nu hire persons not registered w ith the Construction Contractors Board to do labor in constructing or assisting in the
construction or in►pto\ement;' ,f rc•idential structure, you will, in most instances, be ruled to be an employer and the people
you hire will be employees. As the employer, you must comply with the following:
•
Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages at the time employees
are paid. You w ill he liable f,v he tax payments even if you don't actually withhold the tax from your employees. For more
information. call the Oregon Dept. of Revenue at 945- 8091.
Unemployment insurance tax: As an employer, you are rcquifed to pay a tax for unemployment insurance purposes on the
wages of all emplo} ees. For more information, call the Oregon Employment Division at the Department of Human Resources
at 378 -3524.
Workers' compensation insurance: As an emplo }er, you are subject to the Oregon Workers' Compensation Law, and must
obtain workers' compensatic_a insurance for your employees. If you fail to obtain workers' compensation insurance, you may
he subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, .
call the Workers' Compensation Di.. fsion at the Department of Consumer and Business Services at 945 -7888.
U.S. internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be
liable for the tax payment ever: if you didn't actually w ithhold the tax. For more information, call the Internal Revenue Service
at I -800-829-1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements
that may be brought to your attention through inspections.
Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for
accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be
re -done.
Time to supervise employees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough -in and finish
trades, and to notify building officials at the appropriate times so they can perform the required inspections.
If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309 -5052,
503/378- 4621). The Board is located at 700 Summer St. NE Suite 300, in Salem.
prop-ow n.pm4
1 /94
•
Page No. 1 CASE HISTORY FOR CASE NO.: BUP96 -0153
LES SCHWAB TIRE CENTERS INC
15348 SW PACIFIC HWY •
09/17/97
•
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BUPC007 Application received / / / / 03/26/96 RECD JD 12/09/96 TLP
BUPC008 Permit created / / / / 04/02/96 PEND B 04/02/96 BON
BUPC010 Check for prcl. restrict. / / / / 04/02/96 APPR B 08/14/96 JDA
BUPC015 Plans routed to Plans Examiner / / / / 04/02/96 1p2a PEND B 08/14/96 JDA
BUPC018 Plan Review Ltr. to Ofc. Svcs. / / / / 06/05/96 LP2A PEND DS 08/16/96 DS
BUPCO20 Revised Plans Received / / / / 08/05/96 LP2A PEND DS 08/16/96 DS
BUPCO24 Plans Approved /Routed to DSTa / / / / 08/16/96 LP2A APPR DS 08/16/96 DS
BUPC090 (F) Ready to issue / / / / 08/26/96 PASS JMH 08/27/96 JDA
BUPC100 (F) issue permit / / / / 08/29/96 PASS JDA 08729/96 JDA
BUPC460 Devel review cond. met / / / / 04/04/97 PASS JDA 04/04/97 JDA
BUPC705 Foot /Found Insp 08/16/96 / / 11/12/96 approx 70% PART GS 11/12/96 GES
figs
BUPC705 Foot /Found Insp / / / / 11/22/96 OPAS TLP 12/19/96 TLP
BUPC705 Foot /Found Insp / / / / 12/19/96 FOUNDATION PASS TLP 12/26/96 BT2
BUPC716 Reinf Steel Insp / / / / 11/27/96 grout for 1030A PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp 08/16/96 / / 11/18/96 PASS TLP 12/09/96 TLP
BUPC727 Masonry Insp / / / / 11/22/96 PASS TLP 12/19/96 TLP
BUPC727 Masonry.Inap 12/24/96 / / 12/23/96 APPROVED AS NOTED: TOP OUT RAKE WALL APP GL 12/24/96 RB
BETWEEN SALES /LOUNGE AND ALIGNMENT/
OFFICES. 4' LIFT AT 8' FROM MANAGERS
OFFICE TO CENTER OP WAREHOUSE.
4" LIFT AT 4' FROM PARTS DOOR EAST WALL
NORTH AND SOUTH WALL BAY COLUMNS.
BUPC727 Masonry Insp / / / / 12/26/96 MASONRY REINFORCEMENT PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp / / / / 12/04/96 REINFORCEMENT PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp / / / / 12/06/96 PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp / / /. / 12/26/96 # -1- no one on site work shut down DIS KS 12/26/96 KBS
BUPC727 Masonry /nap / / / / 12/09/96 PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp / / / / 12/11/96 PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp • / / / / 12/12/96 PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp / / / / 12/17/96 REINFORCEMENT PASS TLP 12/26/96 BT2
BUPC727 Masonry Ynsp / / / / 12/30/96 PASS TLP 01/15/97 TLP
BUPC727 Masonry Insp / / / / 01/08/97 PASS TLP 01/16/97 TLP
BUPC727 Masonry Insp / •/ / / 01/03/97 PASS TLP 01/16/97 TLP
_ BUPC727 Masonry Insp / / / / 01/07/97 PASS TLP 01/16/97 TLP
Page No. 2 CASE HISTORY FOR CASE NO.: BUP96 -0153
•
LES SCHWAB TIRE CENTERS INC
15348 SW PACIFIC HWY
09/17/97
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done .none Date By
BUPC727 Masonry Insp / / / / 01/06/97 PASS TLP 01/24/97 TLP
BUPC740 Framing Insp / / / / 02/11/97 interior walls PART TLP 02/12/97 TLP
BUPC742 Roof nailng Insp / / / / 01/24/97 01/24/97 TLP
BUPC742 Roof nailng Insp / / / / 01/22/97 PASS TLP 01/24/97 TLP
BUPC742 Roof nailng Insp / / / / 01/28/97 PASS TLP 02/03/97 TLP
BUPC758 Firewall Insp 08/16/96 / / 02/19/97 PASS TLP 02/19/97 TLP
BUPC760 Gyp Board Insp / / / / 02/19/97 PASS TLP 02/19/97 TLP
BUPC762 Susp Ceilng Insp / / / / 03/14/97 SPRINKLERS NOT COMPLETE UPSTAIRS APP GS 03/14/97 GES
BUPC799 Final Inspection / / / / 03/26/97 monitor system report PART TLP 03/27/97 TLP
not in no co until received
BUPC950 (F) Issue Cert. of Occupancy. / / / / 03/31/97 04/15/97 JT
BUPC960 Case Pinaled / / / / 03/31/97 PASS TLP 03/31/97 TLP
•
•
r '4 Igi •
.„
P age No. 1 CASE HISTORY FOR CASE NO.: BUP96-0153 v
LES SCHWAB TIRE CENTERS INC q(1"/
15348 SW PACIFIC HWY v
�„0 COY
04/01/97 r ��
Action Description Req/ Schd/ End/ Action Notes � Disp By Update Upd
Code Sent Done Done Date By
BUPC007 Application received / / / / 03/26/96 RECD JD 12/09/96 TLP
BUPC008 Permit created / / / / 04/02/96 PEND B 04/02/96 BON
BUPC010 Check for prct. restrict. / / / / 04/02/96 APPR B 08/14/96 JDA
BUPC015 Plans routed to Plans Examiner / / / / 04/02/96 1p2a PEND B 08/14/96 JDA
BUPC018 Plan Review Ltr. to Of c. Svcs. / / / / 06/05/96 LP2A PEND DS 08/16/96 DS
BUPCO20 Revised Plans Received / / / / 08/05/96 LP2A PEND DS 08/16/96 DS
BUPCO24 Plans Approved /Routed to DSTs / / / / 08/16/96 LP2A APPR DS 08/16/96 DS
BUPC090 (F) Ready to issue / / / / 08/26/96 PASS JMH 08/27/96 JDA
BUPC100 (F) Issue permit / / / / 08/29/96 PASS JDA 08/29/96 JDA
BUPC460 Devel review cond. met / / / / / / 04/02/96 BON
BUPC705 Foot /Found Insp 08/16/96 / / 11/12/96 approx 70% PART GS 11/12/96 GES
ftgs
BUPC705 Foot /Found Insp / / / / 11/22/96 OPAS TLP 12/19/96 TLP
BUPC705 Foot /Found Insp / / / / 12/19/96 FOUNDATION PASS TLP 12/26/96 BT2
BUPC716 Reinf Steel Insp / / / / 11/27/96 grout for 1030A PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp 08/16/96 / / 11/18/96 PASS TLP 12/09/96 TLP
BUPC727 Masonry Insp / / / / 11/22/96 PASS TLP 12/19/96 TLP
BUPC727 Masonry Insp 12/24/96 / / 12/23/96 APPROVED AS NOTED: TOP OUT RAKE WALL APP GL 12/24/96 RB
BETWEEN SALES /LOUNGE AND ALIGNMENT/
OFFICES. 4' LIFT AT 8' FROM MANAGERS
OFFICE TO CENTER OF WAREHOUSE.
4" LIFT AT 4' FROM PARTS DOOR EAST WALL
NORTH AND SOUTH WALL BAY COLUMNS.
BUPC727 Masonry Insp / / / / 12/26/96 MASONRY REINFORCEMENT PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp / / / / 12/04/96 REINFORCEMENT PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp / / / / 12/06/96 PASS TLP 12/26/96 BT2
BUPC727 Masonry lnsp / / / / 12/26/96 # -1- no one on site work shut down DIS KS 12/26/96 KBS
BUPC727 Masonry Insp / / / / 12/09/96 ' PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp / / / / 12/11/96 �' T Y OF PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp / / / / 12/12/96 Z 4 " A RD PASS TLP 12/26/96 BT2
BUPC727 Masonry Insp / / / / 12/17/96 REINFORCEMENT }' ' PASS TLP 12/26/96 BT2
.' 11. .
4
BUPC727 Masonry Insp / / / / 12/30/96 rite C PASS TLP 01/15/97 TLP
BUPC727 Masonry Insp / / / / 01/08/97 DAt . 4 __ PASS TLP 01/16/97 TLP
BUPC727 Masonry Insp / / / / 01/03/97 a PASS TLP 01/16/97 TLP
BUPC727 Masonry Insp / / / / 01/07/97 PASS TLP 01/16/97 TLP
Pa0 No. 2 CASE HISTORY FOR CASE NO.: BUP96 -0153
LES SCHWAB TIRE CENTERS INC
15348 SW PACIFIC HWY
04/01/97
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
•
BUPC727 Masonry Insp / / / / 01/06/97 PASS TLP 01/24/97 TLP
BUPC740 Framing Insp / / / / 02/11/97 interior walls PART TLP 02/12/97 TLP
BUPC742 Roof naiing Insp / / / / 01/24/97 01/24/97 TLP
BUPC742 Roof naiing Insp / / / / 01/22/97 PASS TLP 01/24/97 TLP
BUPC742 Roof naiing Insp / / / / 01/28/97 PASS TLP 02/03/97 TLP
BUPC750 Insulation Insp / / / / / / 04/02/96 BON
BUPC758 Firewall Insp 08/16/96 / / 02/19/97 PASS TLP 02/19/97 TLP
BUPC760 Gyp Board Insp / / / / 02/19/97 PASS TLP 02/19/97 TLP
BUPC762 Susp Ceiing Insp / / / / 03/14/97 SPRINKLERS NOT COMPLETE UPSTAIRS APP GS 03/14/97 GES
BUPC799 Final Inspection / / / / 03/26/97 monitor system report PART TLP 03/27/97 TLP
not in no co until received
BUPC960 Case Finaled / / / / 03/31/97 PASS TLP 03/31/97 TLP
•