Permit A CITY OF TIGARD
' � i ; A DEVELOPMENT SERVICES F'ERMBUILLDING PERMIT
TF'98 -0347
DATE ISSUED: 10/19/98
PARCEL: 25112DD -00800
SITE ADDRESS...: 15670 SW UPPER BOONES FERRY RD
SUBDIVISION • ZONING:C —G
BLOCK • LOT . JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. :ALT FIRST • 1537 sf N: S: E: W:
TYPE OF USE... :COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST. :5N CANOPY...: 1748 sf N: S: E: W:
OCCUPANCY GRP. :M TOTAL : 3285 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 14 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?:N MEZZ ?:N REQD SETBACKS REQUIRED
FLOOR LOAD : 60 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET..:N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 73333
Remarks : Remodel existing service bays into additional convenience store area
and remove /replace existing canopy.
Owner: FEES
CHEVRON USA PRODUCTS CO type amount by date recpt
6001 BOLLINGER CYN RD BLDG L -1114 PLCK $ 183.95 JDA 08 /27/98 98- 308664
SAN RAMON CA 94583 FIRE $ 113.20 JDA 08/27/98
98- 308664
PRMT $ 355.00 JSD 10/19/98 98- 310096
Phone #: 510 -842 -9500 5PCT $ 17.75 JSD 10/19/98 98- 310096
PLCK $ 46.80 JSD 10/19/98 98- 310096
Contractor: FIRE $ 28.80 JSD 10/19/98 98- 310096
MENG— HANNAN
5906 SE 122ND AVE
PORTLAND OR 97236 -4607
Phone #: 761 -5290 $ 745.50 TOTAL
Reg #..: 000472
-- REQUIRED ACTIONS or 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 Framing Insp
applicable laws. All work will be done in accordance with Insulation Insp
approved plans. This permit will expire if work is not started Gyp Board Insp
within 180 days of issuance, or if work is suspended for more Susp Ce i l n g Insp
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- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Signature Issued R
Permittee Si ` — vY
9 Y .� __
++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + ++ + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Commercial Building Permit Application Recd By a
Date Recd � - �' - 9
13;25'8W �'IALL BLVD. Tenant Improvement Anil- Date
to P.E. - l`
TIGARD, OR 97223^ dl , fa to DST �o /�, f 9 y y
(503) 639-4171 q� 1 0 Permit #�j/.>/f Cf$ -G3
• ot\ Print or Type Related SWR #
`1 \it y Incomple
ill egible applications will not be accepted Called
p,t t) C S' -'s
Name of Development/Project Existing Building k New Building ❑
Job ,/�,� y517i9e-E (,'N6v"
Address Street Address /S470 Suite Building
5 w u MR Booty ES i5eV IL J( Data
Bldg # City /State Zip Existing Use of Building or Property:
/ 2 jj 62 9 703.5' r S S nct T Pa d.)
Name
Property rgCD te- YsPA(.lc Proposed Use of Building or Property:
Owner Mailing Address Suite r tl S .T t* l rr 57-gF
`4 AS A No. Of Stories:
City /State Zip Phone 231.)e. w �
� AS {�t3zV�
Sq. Ft. Of Proje t: 101 7�
Occupant Name f i�yr t iLig
yt-t 6 JS Fl.gDt)� ,O
Occupancy Class(es)
Name � _ J/� 0 1- .
Contractor ( 7 Type(s) of Construction
Prior to permit Mailing Address Suite �/' �/
issuance, a copy Will this project have a Fire Suppression System?
of all licenses Yes ❑ No Ml
are required if City /State Zip Phone (AD
A)
with Di
A witsabilities Act A „ y ¢pr►
expired in C.O.T. ( ) _ /1Vr
database Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
Project $ 00 J Y „ 40
Name Valuation 0 ace, d'° e 3 /
Architect 4pp�TZDE(�1 C,o,e� Plans Required: See Matrix for number of sets to s bm
Mailing Address Suite on back / l �
WSW bT� (6
City /State Zip Phone ' I hereby acknowledge that I have read this application, that the information
aJ ig4 M 02- 17080 <044.--C4'44- given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
Signature of Owne • g: Date
Inv
Mailing Address Suite d Ai D e. 2 7- 78
Contact Person Name Phone (.5 03)
City /State Zip Phone A R e Rt - n�,�� S'• / Z G7 l
FOR O (14x)580 - e29i
FOR OFFICE USE ONLY
indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use: ' ' '
Accessory Structure 0 Foundation Only 0 Alteration Y(
Repair 0 Other 0 Notes:
Description of work:
Reim a ivy_ e fS7 xi a- Se1eVf CF ZRYS TIF:
I .4 m gri..0 0 oxi UnoJ1 Exite 57 G '
C144-12 ( - i3
Note: Site Work Permit Application must precede r ccompany Building
Permit Application
I: \COMNEWTI.DOC (DST) 5/98
,
• • +A.
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
. ,
piatoRovi 0;4004ta.r.pupor.vtoort$A
application pr..A0: the appftation must contari the
4604.4' of the giiii66,6§160 000itri§.1.4:6 kofor0;0106: will be conducted
Aft6e0lOn).fiti66.(:
additional plan sets for distribution purpoes (Copy for Cant raotor, City,,
Washington County, Tualatin Valley Fire & Rescue)
TYPE OF SUBMtTTAL Plans KEY:
Submitted::. •
S (Private) 1 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
Otft***.•
;.:
it)
. ,
P:At:
NOTES:
--- •
. ....
•
I: \dstsVnaxtrix1 .doc 07/06/98
uloqP- 0 3 C /4 e
CITY OF TIGARD
• EXPENDITURE REQUEST
This form is a multi -use form. Appropriate receipts and documentation must be attached to this
form. Approved request due Tuesday 5:00 PM to A/P for checks by Friday (week opposite
payroll only).
VENDOR NO.: DATE: 9/3/98
PAYABLE TO : REQUESTED BY: Jill Aldrich
MI,SSCEELANEOUS:EEXPENDIIVRES:. ::: ;i :.: ?
Date Description, Invoice No., etc. Account No. Amount
8/27/98 Receipt number 98- 308664 Move $53.03
29- 0000 - 433000
To
29- 0000 - 432000
Money applied to plan review to
be applied to permit
TOTAL 53.03
Mileage 32.5(t
APPROPRIATION BALANCE: AS OF: PURCHASING:
APPROVALS:
(IF UNDER $50) Section Manager/Professional Staff
(IF UNDER $2500) Division Manager
(IF UNDER $7500) Department Manager
(IF UNDER $25000) City Administrator
(IF OVER $25000) Local Contract Review Board
. EJ�o
sob sm.) uP &> s s Fitaact A
SUBJECT: ACCESSIBILITY 9t- 03
BARRIER REMOVAL IMPROVEMENT PLAN
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 percent
(25 %).
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $ 50'
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ 12 GtO
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: $ S
(c) An accessible route to the altered area: $
, �
(d) At least one accessible restroom for r
each sex or a single unisex restroom:
(e) Accessible telephones: $ 1
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of value computation $
re.apeeeo.ee.ame
•
•
Page No. 1 CASE HISTORY FOR CASE NO BUP98 -0347
CHEVRON USA PRODUCTS CO
15670 SW UPPER BOONES FERRY RD
03/09/99 -
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
. Code Sent Done Done Date By
•
•
BUPA810 Roof Nailing inspection / / / / 12/14/98 Wood frame roof over existing'metal roof PASS TLP 01/26/99 TLP
per plans.
BUPC005 Application received / / / / 08/27/98 RECD GEO 09/02/98 GEO
BUPC008 Permit created / / / / 09/02/98 DONE GEO 09/02/98 GEO
BUPC012 Plans routed to Plans Examiner / / / / 09/02/98 SENT GEO 09/02/98 GEO
BUPCO24 Plans Approved by CPE / / / / 10/09/98 APPR RDP 10/09/98 RDP
BUPCO26 Approved Plans routed to DSTS / / - / / 10/12/98 - APPR JHF 10/12/98 JHF
BUPC090 (F) Ready to issue / / / / 10/12/98 Needs to identify contractor prior to DONE DEB 10/12/98 DRA
issuance. -
BUPC100 (F) Issue permit / / / /' '10/19/98 • PASS JSD 10/19/98 DST
BUPC520 Mechanical Permit Required 10/09/98 / / / / 10/09/98 RDP
BUPC530 Electrical Permit Required 10/09/98 / / / / • 10/09/98 RDP'
BUPC565 Plumbing Permit Required ' 10/09/98 / / / / 10/09/98 RDP
BUPC705 Foot /Found Insp 10/09/98 / / 11/30/98 PASS TLP 11/30/98 TLP
BUPC705 Foot /Found Insp 12/10/98 / / 12/10/98 Front of building left & right footings PART LN 12/10/98 J *H
• approved Remaining not ready.
BUPC705 Foot /Found Insp / / / / 12/18/98 footing column pads for mech. room PASS TLP 12/18/98 TLP
BUPC725 Slab Insp / / / / 01/27/99 SLAB AREA -UNDER CANOPY PASS .TLP 01/28/99 TLP
BUPC740 Framing Insp / / / / '01/05/99 front exterior face non structural metal PASS TLP 01/05/99 TLP
studs...•
plywood interior face 'plans show
exterior need revision from a/e of job
BUPC740 Framing Insp / / / / 01/19/99 interior framing. PASS TLP 01/19/99 TLP
BUPC750 Insulation Insp / / / / 01/04/99 PASS TLP 01/04/99 TLP
BUPC750 Insulation Insp / / / / 02/12/99 ceiling insulation PASS TLP 02/12/99 TLP
•
BUPC760 Gyp Board Insp / / / / 01/26/.99 . . PASS TLP 01/26/99 TLP
BUPC762 Susp Ceilng Insp / / / / 02/12/99 PASS TLP 02/12/99 TLP
BUPC792 Misc. Inspection / / / / 01/04/99 gas line for automotive fuel under PASS TLP 01 /04/99 TLP
ground and vapor recovery system...
•
•
•
Page No. 2 CASE HISTORY FOR CASE NO.: BUP98 -0347
CHEVRON USA PRODUCTS CO
15670 SW UPPER BOONES FERRY RD
03/09/99
Action Description 'Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code _ Sent Done ' ',Done Date By
BUPC802'Final Inspection / / / / / / Per Julia Hajduk, notify her for review 03/05/99 JT
prior to completing building final
(Condition #2 of her minor modification
letter)
3/5/99 per Julia H., ok to release C /O,
with a 30 written statement stripping to
be completed within 30 days.
3/5/99 received written statement from ,
Meng - Hannan Const., stripping to be
completed withing 30 days. ,
BUPC802 Final Inspection_ / / / / 03/03/99 per TLP, fin approved, entered by JMT PASS TLP 03/05/99 JT •
•
BUPC950'(F) Issue Cert: of Occupancy / / / / '03/03/99 - MAIL 03/08/99 JT
and a copy at'will call for Ed Peters,
contractor
•
•
•
•
•
4
•
•
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP � �� i
Date Requested 3 AM PM L� BLD C �
Location
/ 5 (00 1ZQ ■ & Y)11L' Suite MEC
Contact Person /l Ph 379 e.7 PLM q' 8 0 3 do
Contractor Ph SWR
: UILDING 1 Tenant/Owner ELC
- - '.�1u • all ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Notes �a- .� O
Slab C ) SIT
Post h Beam
Ext Sheath/Shear n 9 N 6 � // • 7
h (� 9(F ��j
Int Sheath /Shear
Framing
Insulation
Drywall Nailing i /W-g za 7 /�:_�� — +�
Firewall
Fire Sprinkler a i " / i . /�/Sr�/�
Fire Alarm
Susp'd Ceili , /
Roof - I I . it � V ■ 1 fr 4
P .. C RT FAIL
' LUMBIN - it ''i
• 9 • :eam '
Under Slab 41/1E�
Top Out
Water Service IIMIWIIIIIIII
Sanitary Sewer . "g!
P rains M '' ire
; .
'' PART FAIL n
MECHANICAL IllikW
Post & Beam
Rough In
Gas Line
Smoke Dampers - '
Final
PASS PART FAIL 1
ELECTRICAL A / !�
Service __ _ -;
.
Rough In
UG /Slab 11111111WM 0
Low Voltage r,[P
Fire Alarm / �/ /
•
Final 11 /
PASS PART FAIL .`
SITE 111 41-' ` U
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: [ I Unable to inspect - no access
Fire Supply Line
ADA 1Aif
Approach /Sidewalk
Other Date '3 /)/ 4 "'" — Inspector Ext
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.