11465 SW PACIFIC HIGHWAY-1 ......,�.. ......._....,.......,. �............._�,.,.......,.�.w.:...,._......:«.........:.w�...�...r.....:.�«..rw...+....+.�..�w....-..�.w�++w.wwM.alr��.rn.W�i+ �_ .. �w+�'t7YM�Mr,IWitMNM'AVMSItiY
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11465 SW PACIFIC (hgl�WCll� -
INSPEt'P ON NOTICE
City of Tigard Building Depattatont
131.2.9. SW Hell Blvd. Tigard, Oregon 97223
Inspection Lino (Rec-O-Phone) 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. UnderalaL Hoch. Rough-in Appr/Sdw k
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plb,3. Underfloor Water Line Gyp. Sd. -Hoch.
Date Requeetedsy -72-- Pimet �AN PM
Address: 7.CI'j ta�rmLt #t -2 -&
Builders ��c _� 3y/
TNR FOLLOWING CORR2 .'TONS ARE REQUIRED-
--
— —_
InspectVr
Dater
—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
iNSPECTIOH NOTICE
City of Tigard Building DepArt„'nt
13115 an Ball Blvd. Tigard. ovagon 97223
Inspection nQo�(Rec-O-Phone): 6 -4175 Business Phone: 639-4171
Irepection:
Fcx)ti:.g Plbg. Underrinb Mech. Aourh-ifn APPr Sdwlk
-eound. Plbg. Top Out Gas Line FINAL:
pent/Besam Struct. Ban. Se++ei' Framing -Bldg.
Post./Beam Mech. Rain Drain
Insulation -plumb.
Plbg. Underfloor NateLine Gyp. ad. -Mach.Time: �AM�
Date Aequentedt � PN
i
Permit is L
Address t
Builder
THE FOLLOWING :70RRECTIONS ARE REQUIRE D.
1 j J
.i: � 444
al —
Inepe.aor r_
APPROVED DISAPPROVED —•_ APPROVED SUBJECT 'f0 Aww7
Call For Reinsp.
}SIS PEt:T�QN�7QT I CE
City of Tigard Building Department
1.1125 SW Hall Sled. Tigard, Oregon 97223
Inspection Line (Rea-o-Phone)= 639-4175 Bueineee Phones 39-4171
InspmationI
`— r BdWlh
Flbg. Underelab � Koch. Rough-Ln 1►PP
Found. Plbg. Top out can Ilse Muil
Poet/Beam 8truct. San. sewer Framing
-sl
Poet/Beam Mech. Actin Drain
Ineuiation -plumb.
Plbq. Underfloor Water
/Line Gyp. Bd.
-mch.
Date xAy,ieeteds_
Addrees:_-
Bu1l.der:
_..-
THP FOLLOWING CORRECTIONS ARE REQUIREDt ---�
✓ =8OV
r�Y
Inspector: ------—
l
APPROVED DISAPPROVED APPROVRD NUBJE TO
Call For Reinsp.
CITY OF TIGARD RECEIPT OF PAYMENT RECFip'C NCJ.
C t4ECJ� AMOUNT a 42. 50
CAryl AMOUNT s '0. 00
NAMF: s BLAZE Fit( N CFiYMFN1' DATE a 04!'If+".7
ADDRL-.\",+ s po BOX P5357 SIJBD I V 191 ON
Ga'C)f)1'L_1.1N13, OR 97225—
PURP0,5E. OF L-nYMENT
faMC)Ur4T PAIDPURPOSEOFf�AYME-PJT F',MC1l.JN'f F�FaiD `
191..1 I L.D I NG PERM
ST, BUILD OER I. ?5 �
i
I
f
TEXACO STAT 1014
11 ►'/`3 qw f"'AC:i F I C: HWS` �.
4�
TOTAL_ AMOUNT PAM C
i
t -
�.
CITY OF TlGrAR Wrf A4
COMMUNITY DEVELOPMENT DEPARTMENT �,� � l. . . . . k ERM 1 C
11125 SW HWI Blvd. P.O.EkW 23347,Tiprud,OreWi W72V(603)839.4176 PERMIT' #. . . . . . . : 1 U! 9 —4�rtl!W
c:, 39- 41 71 DATE ISSUED: 04/06/92
:;ITE ADDRESS. . . : 11465 SW PACIFIC 1414Y PARCEL : 151 ,6Ar`
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
-------
REISSUE: FLOOR AFEAS— ---- --— EXTERIOR WAI_t_ UONSTRUCT I ON-
CLASS OF WORK. :ALT FIRST. . . . : 1370 sf N. S: E: W:
TYPE OF USE. . . :COIh SEI,OND. . . : sf PROTECT" OPENINGS?—__..-__.___-_.__.
1 YPE OF' CONST. :2N THIRD. . . . e sf N,-. S: E: W:
OCCUPANCY URP. :Etc TOTAL — -- : 1370 s f ROOF CON T:A FIRE RET?:Y
rJCCUPANCY LOAD: BASEMENT. : sf AREA SER. RATED:
STOR. : 1 HT. : 14 ft GARAGE. . . : sf (.DCCU SEP. RATED:
13SMT":N MEZZ?:N READ SETBACKS-----__.-._ REQ1!1RED--.____-_.—_ ______
FLOOR LOAD. . . . : 125 ps f LEFT: f t RGHT : ft F I R SPIML:N rMOY. DET. . :hI
DWELLING UNITS: FRNT:50 ft REAP,: ft FIR ALRM:N HNDICP ACC:Y
13FA)RMS: B11THS: I11P SI-1RFACr: PRO CORR:N PARK I NG:
VALUE. $ : 20000
Remarks: Construction of rew 48ft by 28ft steel canopy. Carnopy misst be not les,,
than 50 ft from trig c. enterlinF of Paci.fic, HWY.
Owner: __________--.--...-.-----__...__.______.____._...__..__ _____.._.__.________ FEES
1'F.XACO USA t ype amc1'.Int by date reept
1.800 SW FIRST AVE PRMT f 140. 50 JLI-I 04/06/92 —
PLCK % X31. 33 JLH 03/30/92 253E
PORTLAND OR FIRE $ 56. 20 J1_H 03/30/92 :::253f-
i-'hone #: 21,25•-4223 5PCT $ 7. 03 .7LH 04/06/92 -
i,writ ractOr: ___ -_._.-__-_._._ .r__...._____._.. .---•--.____
PEMCO
PCI BOX 11569
�10H I l_AAND UR 97211
pti on e #. r E3;S _'151 $ 21)5. 06 TOTAL
Reg #. . - 43740
------_. REOU I RED T WJ-,ECT I CINS
This permit is issued subject to the regulations contained in the Foot/; c1u n d I.1a p
Tigard Municipal Code. State of pre. Specialty Codes and all other St ri.1c Steel Ins p
applicable laws. All Mork will be done in accordance with Framing I n s p
approved plans. This permit will expire if work is not started Final Inspection
within 18@ days of issuance, or if work is suspended for more
than 18@ days.
remittee 5i.gnat .lrt . G��.: /
IiA
Lsslied By :
Cal 1 f'or in-:pect ion — 639-417..5
__J
WE 1w 9 m
CITY 01'.' TIGARD RFC EIPT OF I.",IAYlylt:NT RECEIPT NO. 9 Z" 6 7 3
CHECK AMOUNT 147. 53
vinmE. c RITCHEY, LARRY CASH AMOUNT Z 0. 00
F-,()YMC-,'N I DATI: : 04/06/92
SUBDIVfSICN
OF PAYMENT AMOk IN T V'A I D pUppOE;E OF PAYMENT PMOUNT PAID
plill-DING PERM 140. 50 SLIrLD PER
usn
tl4l..,.5 Sw pAr,1171,C HWY :It 13 1
-r(]T(-)L. AMOUNT PAU) 147. 5.3
CITY OF TIGARD
OREGON
April 2,1992
Larry W. Ritchey
Permit Consulting Services Inc.
122 S.S. 27th Avenue
Portland, OR. 97214
proje ,,;% Texaco Canopyr quP92-0079
11465 SW Pacific Highway
Dear Mr. Ritchey:
no far this project have been reviewed for conformity
Plans and calculatio
with applicable codes and are approved- The only item to note is that the
om the
plot plan was not of sufficient
detail to Y tThatnajasurene t mist o the distance rbe not
canopy to the cent obsite copy of
hw
less than 50 feet. This dimension has been noted on the j
the approved plane.
The permit for this project may be obtained at your convenience. If you
have qulsti.ons, car if we may be of ass.intacIce' please contact. us.
Sincerely.
I•.
I:
i.m Ja
Plans Rxami.naRr.
Thl (503)604-7297
13125 SN Hall Bt/d•,P.O.Box 23397,11(,ard,Oregon 97223 (503)639-4171---
��GSC
131PLNCK/RECT #
15 SW Flall blvd.
CiTir OF TIGARDPO Box 23397
PERMIT #
1 ieud,Oregon 9111)
COh4MUNIT'lt DEVELOPMENT DEPARTMENT (-W)639-4171DATE ISSUED
1 S c,� �} C I f--( #W�/ TAX MAP/LOT ,��%3(v �� —�0
JOB ADDRESS: __L'
LOT: LAND USE:
SUB: __ --- -
VALUAT ION:
SPECIAL NOTES
OWNER
C�fs'� REISSUE OF:
NAME: -�+��-�
_ 1 ��G'C LAST REISSUE:
ADDRESS: -
-Y r,7- JID _ FLOOD PLAIN/
SENSIFIVE LAND:
PHONE:
APPR01'ALS RE UIREO� ,�� 4E�r
CONTRACTORy
a/P�'
PLANNING: �F� .�'� F ''r�C' Nlti
NAME:
ENGINEERING:
ADDRESS:
���„�� ,��'- `�_7 � 1 � _ FIRE L EPT
OTHER:
PHONE:
-r —
CONTR. BOARD #: �'3 7 %r- EXP DATE:
ITEMS REUUIRED
SUBCONTRACTORS: PLUMB: --
LIST/!UBCONTRAC70RS:
MECH: BUS TEX:
CALCULATIONS:
ARCH/ENGINEER
_ — ------_— -- _ -
TRUSS DETAILS:
NAME- _ -__---__----
OTHER: ----
ADDRESS: _ _ ------- --
PHONE: t5tPROPOSED BLDG. USE:
COMMENTS: �_--
� 1�7U4
Ic
A'
AR'rLiCANT IGNATURE
Received By: Date Received: ��-
PERMIT 9 ACCT b DESCRIPTION AMOUNT AMOUNT UD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit. Fees
10-230 01 State Building Tax (5%) 1.D-3 '
Building
Plumbing _^
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
10-230 06 Firedlo
--_ -
30-202 00 Sewer Connection
30-444 00 Sewer Inspection _
25-448--02 Commercial 11F Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev 'hrg
(SSDC)
24- 445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.WPv
•
CITY OF TIGI)RD FECTIPT OF PAYMENT RECEIPT NO.
CHECK AMOUNT 147. 5,75
NAME a RITCHEY, LARRY CASH AMOIJNT 0. 00
ADDRESS a PAYMENT tNaTE 03/30/92
SUBDIVISION
P(IRPOSE OP PAYMEN1 AMOUNT PAID PURPOSE OF PAYMF--'NT AMOUNT VIAID
VALL
TEXAM f-aiTATION CANOPY
11465 SW PACIFIC HWY
i,o*rAL. AMOUNI PAID > 14 7. 53
SIGN PERMIT
PERMIT #x SGN92-0040 DATE ISSUED. . . . : 03/2G/992
EXPIRATION DATE: t95/c%/ /-
PARCEL. . . . . . . . . : 1S136AD-•05800
ZOfjE. . . . . . . . . . . . C-G
BUSINESS tjMa. .: TEXACO
SIGN LOCATION. . : 11475 SW fACIFIC HWY
AL`PLICANT/AGENT: DAVE WHITE
BUSINESS TAX NO:
aaaaaaenm-.a aseszasaaarvrs.zs.a.=a__. --
SIGNS FREEWAY ( )
Pi3RMANENT (X) FREESTANDING (7C)
TEMPORARY ( )
WALL ( ) ELECTRONIC ( )
( ) BILLBOARD ( ) BALLOON
OTHER ( )
SIGN DIMENSIONS. . . . .. :
TOTAL SIGN AREA.. . ...: 69 sq.ft.
WALLAREA.. . ...... . .. .: sq.ft.
WALL FACE (DIRECTION) : NA
SIGN HEIGHT. . ... . . . . . . 20 ft.
PROJECTION FROM WALL.: in.
ILLUMINATION. . . . . . . . . : INT
DESCRIPTION OF SIGN:
PERMANENT FREESTANDING SIGN. 6' X 6' X 5.6' X 6' X 2 - 69 SQ.!'T
MATERIALS. . . . . . . . . . . . 'STEEL PLEA
EXISTING SIGNS. . . . . . . 1
ELECTRICAL PERMIT REQUIRED: YES
BUILDING PERMIT REQUT.RF.D. . : YES
ADMINISTRATIVE EXCF.PTIONIS. : N/A
PERMIT FEE: $ 35.00
N
l
APPROVED BY: -- -- �_
DATE: 03/26/92
-1'■1'■NI"11l 1a
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• I _ Alr✓A 170GAMWI
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11184..*LfT'Aco•.1c Ar
Rles�VI± OMOO—
^,.I ' �'� I 1.10,.11Aovtlw r.
n tRr 1000 a"',/0
4100 tAcw/rw rra
Urileeded A
y' S-olf serve 0300 10
14ow Offering �
super Unleaded
0■0'0
Diesel
.. ,-.,_... --...-_-.---. —�. --_.._.— I"11-✓If\t MRN( /+/�
1 Nrwru✓1Y 1. (• v
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r:r 'fi- � 3 f•::::;•�� 7.�Ou R�c,n rlv.,ryrn , _ .
1 �', �•• '(•: COWME rt RMll tlIrAN•:;{ '.'• I roM
Com"It/M1t Ir;*,M,t
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`�'l�• �:.••r. /p0tl111 rwf■OA rt�{� + �i 0.IA11 ••�
'e •l.: .R►qtr
'1• r.•••-.- /tn Ar t'.1'rlar lRuM 9^� I
• - row MXA.OArIOat 8140■% .! Rt1AR
1,•• .#....� � 1 � 111ao'o
y $Mrs R
gt
\�� l �-T,?�. �V': .i•k j.1.yt� x •� : 1V.l�lrt�{y�
CIRicI ova”IOIAI/O.1fIOM Ot/K AXd~W'•tlY//pY�uO+/�IdM�/,p�
i
JUS T��;;�ca Sign �+L::'J: AN DTEG0
31Ir'f 'T
39;,:_l FIARNEY ST, SU:LTE 202 1
S,:in Diegor C) 921.10
114Y : � �f No. 2 -:?:L (6:1.9) 543•-122'2 of ,L
CLI E--N'T Blaze Sjqns
L_OCAT.10N: Tig-AT•ci , 0R'
WIND; Ba<<ic): Wi.nci = >?0 m1:�h
qs. = 1.7 psf
Design Wind Pressures'.
2(3.6 psf
0 - 40' 30.9 p s f ,h
40 r.0,
60 ' -10038 . 1 ps'f � N
IOC --.1.", O' 4'.2 0 psf r
°0
�pErJ �
D l,4 N1
`� �1�PIiUv1;D
764 Y rrrY OF 7><cna�n
3131/9s l 7 /I--
DATE:: 31.-vicar--92 JOB Te-oacn Sa.gn SEI SAN 1:11:E00 SHEET
935 Hornet' '202 2
Sian Isiego, GA 92110
No. 222 -21. (619) 543-12222 o
AI;E::A F'OF;(:E AF;M MOMENT F'IE]GIHT
s i.g n 38.,; 1.099 10 1 1,59 1:1.636
1:?oleo 1.1 .4 v:'5 8,50 2765
1.425 1.4401. 1.0. 1.1.
FOOT:I:NG
1001L. F'FiE SSI.)f'F.. -= IV50 ,. _. x%00 PS)F /Fl
(UpC TABI...E 29-B UAI_UE 2, I"'ER F0CIT N0TF' 4)
F 1.425 LBS FI 10. 11. FEET Fs = 0 FEET
609 58
A - 2.34 .. F'' / (S1. X F.0 - 7. :1.9
A ( :l. ( 1 4 .3 r., X N / A 6. a.2 F-
�k<*k<W*?k*k<W?k�'�k%:�k?k.iF.*:F:?I�.*:4�*�K*.�'.*�'.�.%V.�•.*�k
C0L..UMN
TUBE'. STE:E L -. ASTM A500, GRADE:. B
?> 1.4401. XI. /( 1. ,33x1'4000) 5.4 @ 0 .0 1='r 6.0 "TUPE w== 14 .` #/.rt: t':=0 . 1FF •
M1:N:FMl.1M
a
IN
Permit
CITY OF TIC-ARD
SIGN PMUT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accrepanYing Plans and -,pec.;ifi-cat.ions.
SIGZd LOCATION ADDRF'�..aS: jig�05, ��� ����L (, ZONING: — —
NAIL OF BMIN03S: ��A CeD ,2q—'P-`Jq670 _
APPLICANT/AGEPFI'-.�
OCMPANY: Z S/l�� F'J toN>;:
The City of Tigard imposes an annual Business Tax which must ba kept current on all
pexsais doinj b Lsi.ness in the City. Do you presently have a current business tax?
YES NO ( ) U.L. Label ,# : -
PROPOb'FD SIGN: (Check as many as apply)
PEW&N NT FRE. MNDIJG FP104AY ( )
ITMPCI ( ) WALL ( ) LIBOIT4VIC ( )
OTHER ( ) BILUBOAM ( ) BALL" ( )
SIGN DIMENSIONS: �1 0 _ �'` — EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.) -
WALL
t.) :WALL AREA (Sq. Ft.) : _--
WALL FACE:
HEIGHT (Ft) :
PnWECrION FROM WALL: —
II.IlMNATION: YFS ( ) Nn ( ) TYPE: &Q r"A —
OWY: _ �• 61kS 119?!MATERIALS: —
EKISTING SIGNS:
AEK NISIRATIVE E(CITTION: N/A ( APPRWM ( ) HOW MM __-_-%
AREA ( ) HEIGHr ( )
PLANNING DF�?ARTMFNT _— All sign permits must be acompanied by a scale
Permit Fee_ `P Under
_ drawiM and plot plan. If work authorized
«, a sign permit has not been ocElpleted within ninety
oeiut
Re -No:(.
�_ days after the i�quance of the pecm.it, the permit
'�--
Datshall becanull and void.
e_._ 3 —��_---- me
ELEr,RICAL PFI34I r I CF�2TIFY THAT J AM THE RB-XMED OWHER OF THE
RF�[JIR)~D: YFS (�NO AGENT ACTIIiOPIJI BY THE M4ER• ,
WILDING RPD:PM4rr� — --- —_
RB7jjy NO ( ) Afiiplicant's Signature
235 SA,-Z
CP(111WLFM1' Address Telephone
N:\W0W\CTM V\
SIuN PERMIT
PERMIT N: SGN92-0041 DATE ISSUED. . . . : 03/26/92
EXPIRATION DATE: 05/26/92
/ PARCEL. . . . . . . . . . 1S136AD-05800
ZONE. . . . . . . . . . . C-G
BUSINESS NAME. . : TEXACO
SIGN LOCATION. . : 1..45 SW PACIFIC HWY
APPLICANT/AGENT: DAVE WHITE
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( )
OTHER ( ) AILLBOARD ( 1 BALLOON ( )
SIGN DIMENSICNS. . . . . . : 2.6' X 3.4'
TOTAL SIGN AREA. . . . . . : 50 eq.f.t.
WALL AREA. . . . . . . . . . . . . 848 sq.ft.
WALI. FACE (DIRECTION) : S
FIGN HEIGHT. . . . . . . . . . . 12 ft.
PROJECTION FROM WALL. : 8 in.
ILLUMINATION. . . . . . . . . : INT
DESCRIPTION OF SIGN:
PERMANENT WALL SIGN. 2.6' X 14' = 50 SQ.FT
MATERIALS. . . . . . . . . . . . . dN/PLEX
EXISTING SIGNS. . . . . . . :
ELECTRICAL PERMIT REQUIRED: YES
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE. EXCFPTTONS. : N/A
PERMIT FEF.: $ 25.00
APPROVED BY: j
DATE: 03%26/92
Permit No. S66 Tx - 41
CI'T'Y OF TIGARD
SIGN PERMIT APPLICATION
Me applicant hereby applies for a permit for the work indicated or as shown in the
accunpanying plans and specifications.
SIGN LOCATION ADDRESS: O'k/I Ami rl e /•%% 7,OKING: _C, _
NAME OF BUSINESS:
APPLICANT/AGENT: OL Lr T,`' al7MPANY: j%f� ,E 37Q�.'-�_ PHONE: 4�&Jg6l
`i2ie City of Tigard imposes an annual Business Tax which mist be kept current on all
persons- doing business in the City. Do you presently have a current busine._,s tax?
YES ( ') NO ( ) U.L. Label — -
PRDPOSED SIGN: (Check as many as apply)
PERKANENP FREES'PANDING ( ) FREEWAY ( )
TTIP'ORARY ( ) WALL (X ) EIMRONIC ( )
MEM ( } BIITBQARD ( ) BALLOON ( )
r
SIGN DIMENSIONS: ,,2 G- 'x /Y ' �,� ` D„�M/ EVIRATION DATE:
TUPP.L SIGN AREA (Sq. Ft.) _
WALL AREA (Sq. Ft .) :
WALL FACE:
fiEIc-d-CP (Ft) 01-1;;711e)
P12 X=1ON FRCI MU,:
MUN INATION: YES (k/) NO ( ) TYPE: -COPY:
EXISTING SIGNS:
AEMINISIRATIVE EXCLYTION: N/A ( ) APPROVED ( ) HOW
C MMENTS -
AREA
PLANNING_DEPA ZIM MAll y �-i
ign pexn�its mi%t be anied by a scale
Permit Fee: — drawing and plot plan. If wank autho.:ized under
teoei t,No: - S - a sign permit has not been ccmpleted within ninety
AApproved �A _ days after the is�-uanc of the rmit, the permit
Date: _ a �6 `l _. shall beccxw. *iul] and void.
E11)=CAL PEE44IT I CUMFY WAT I AM THE REUDRDIT) MTER OF THE
RE7JIRED: YES NO ( ) PROPERTY OR AN AGENT AUTHORIZED BY 7!WF C"aI_
BUILDING PERMIT - ---. ----- -
RA•KJ RED s YES ( ) NO __ CCC lrant-s Signature
cp/BICMPERMT Address Te.]ephone
N:\WCM\(UMF.V\
ea
� .rte ' • .�`
VA- DIA
/ rl
T ,OI co I
i
-- CPx6PY -NORTH ELEVAYION
DIS•
CANOPY-SOUTH ELEVATION
7 � DIA -
A I�I'ROVED
CITY Ol: TIC 1 RD
CANSY -WM F_I.EVA110M4 7��i7' �C��_.Mooe/
-rg�2
i
f
J.
MEDFOFIO • • :
MEDFORD.OR 97501 15011779 oil(ll
PORTLAND •
ti
OF PAYME.N1 lf:-f NO, V 49
CITY Qt- TIOARD AMOUNT
0110UNT n 0.013
1.4 A 11 L a vq"(A;lT SIONS Or AM f.,V,
r;fA,fjjv-,N,l*
1'I;IE2TC AND,PoPkE.Si" �,.O. Box ps�An7 139UTID'.(VISTON
OR 2'5
9,7225—
IMM.1141 PAID
i:M(ll IN T PA 11) PURPOSM, M: PAYME'I
pi,q'iV,USF� OF PAYMC-441'
Irl.AN LHFr-K FE R561 00 f- 92 44*'4 1
-F(m 35.00
IUN m-� ,3p
P.)TAL 0110UHT PATI)
CIT1(O
TIOARLQ
7!��
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Heil Blvd. P.O.Box 7,3397.Tig&M,Oregon g7M(6W)G.IW4i 75 i:
PERMIT #. . . . . . . .
41DA-r 17 ISSUED, 04108191
PARCEL: 1G136AD--
PI)DRESS,- - - '- 11465 SW PAC I1'-'Ir- HWY ZONINGi
;UBDIVISION. - - - : UIT. . . . . . . . . . . . .
LULK. . . . . . . . . . :
MOBILE HOME SPPCES-
" ASS OF WORK. . :ALT GARBAGE DISPOr�SAI-S.
LWASHING BACKFLOW FIREVNTRS. -
Y WE LJF UbE- COM
MACH. . . . TRAPS. . . . . .*. . . . . . . .
)CCUPANGY GRP. . : FAA FLOOR DRAINS. . . . • • • CATCH BASINS. . . . . . . :
7"TO R I E 5. . . . . . . . : WATER HEATERS. . . . . . SF PAIN DRFIINS. . . . . :
LAUNDRY TRAYS. . . . . . : GREASE TFRAPS. . . . . . . ..
URINALS. . . . . . . . . . . . ..
"SINKS. . . . . . . . . . 1
OTHCR FIXTURES. . . . . :
- - - - I SEWER LINE (ft ) . . . . :
rUB/SHOWERS. . . . 2 WATER LINE (ft ) . . . . :
WATER CLOSETS- - 9 RAIN ORAIN (ft ) . . . . :
1)1 bHW"�3HE HS. . . . !
r;,Mav-ks ' REMOVAL OF F;LJMP PUMP, AND FLOOR DRAIN FEES
1moi.mt by date T,ecpt
Ljwner: type
TEXACO PRMT 4, P5. 00
1. 1,465 SW PACIFIC HWY 175PCT 1. *2!_5
26. ,:,5 ji-H 04/0E1/917AYM
1- 10ARD OR 9722,s
Phone 01
P- / NE G BLVD COLUMBIA ------------------------------------------
PORTLAND OR c)7214 .='6. 25 TOTAL
Phone #:
43740 REQUIRED INSF-1ECTIONS
-eaulations contained in the Fina tispec!ti0y)
aeroit is issued subject to the - es and all Othtr
igard Municipal Code, State of Ore. Specialty Cod
nDlicablt laws.
All work will be done in accordance with
git will expire if work is not started
itbin 180
lop-royed plans. This per of issuance. or if work Is susoended for fore
s
than ISO days,
)pt-m i t t ee
Ir'st-led BVI 639-4175
fur- inspection
CITY OF TIGARD
PLUMBING PERMIT 13125 SW HALT. BLVD.
P. O. BOX 23397
Applicanh must hc4d Oregon Registration to coodm:t a plumbing TIGARD, OR 97223
business or must be property ownyloperator no B,iring cwtside help. (503)639-4175
bP^ -
--E, )t f-C _0 Plumbing Permit No. --- —
Addre Dosmption
"r //' C( [J OHS814-21-610QUAN. PRICE MAI.
Job Tax Lot Map.No. -
Address FIXTURES
Loi ilkncic Srbdrvlsbn �`---- -- -.�-
Sink 7.50
ams or namess - Lavatory --- 7.50
Tub or TubfShower Comb. 7.50
a�7Rlirss.+ —
�- Shower Orny 7.50
Owner City/Stale 2,p -- WalerCbsC - _ 7.50
Dishwasher 7.50_
Phone Garbage Uisposaf 7.50
N" ---- Washkg Machine _ 7'.50
Floor Drain 7.50 _
g� Phone Water Neater 7.50
Occupant —�— t aurdry Hoorn Tray-- 7.50 _
p City/State zip
Urinal 7-50
ams Phone Other Firhxes(14—ty)� — 7.50
as•�� �., z4 !Phone
7-50
(A)Mractor gw,state Dp ��_ 7.50 _l—
T L 4+J�J 4 N►G Q 7--�I4- MISCELLANEOUS
City Sue.Tax No. $e1r 1$11 W 30.00
.,tats Board"^'v' le t,kxnbws—Mir--Tic.M.- Sewer-ea.Addit 100'-- — 1500
(Hesxbntiaq Water Service 1 st 100' 20.00
I hereby advxnvledge thet 1 have road this applicatim OW the Irdonnatior, Water 3er6oe on.Ad M 2W' -- --- 15.00
gr~is oorred.that t am registered with the State GL%kWs Board.and ata Suras 6 Rain Drain t st.109 30.00
have a State Pknnbk►q ioense that Ifne mxr#rers Q"n are oorreM that an -- -
pkmntwq work will be done kn accordance with"Scat"pm wons of Oro- Storm b Pyn Drain Addif.100' -_ 15.00 -
Qon Revised Statutes Chapters 417 wxl M aril applicable codes at KI that MobMe Fiore Spam 25.00
no help wN be empi ed" -s Mooned under ORS G (M erempt from -- - - --
Stab registration.Ptak"give reason below). Back Flow Pravenbon
NEOW,4CnS-1 hereby oertily Ov d I ora the owner of the Progeny de-
Device a M6 PolhAion Devi,e 7_50
OM
arsnbed above.nt wtridn location i propme b maks a o'wT"r Q k*%Kadon for Arty Trap or W ass Not
M own rue and tido proporty Is root bdnp constrvdrd lot safe.lease or rent. Connected to a Fizhxe - 7.50
Catch Basin 7.50
inap_of F_rdel.Pkrntuhg 43.00 Per K.
Specially Requested kupeWons 40.00 Per K.
Mbar.d Pkanbkhg within _---an Existing 81d11 15.00 min.
AAILM"IM u SfGNATVF+c_ _ oats New Bldlh-or MAH.Addlflon - — -25_00 min.
Daarxibo work new❑ addition[] altemtkm❑ repels F.] �plj i 15.0b
9�� tasidential F1 non-meldenfielF] _ --
Fxtstkv use of
$25.00 minimum SUB-TOTAL
k k+ U"01 5% SURCHARGE
0rPi0f 't'- - _ ---- ----- - - _ ... --- 25+k PLAN REVIEW
-----
Thfa pw mit be nornea rvA and void if work at orxutruorbn arrthxsrltad k not torn- TOTAL
www*d wtlhfrl 100 daye,or K owwftw%n or wont is WAVerdod or dwswkrned for
a;rwlcA of 180 days rd any 6nw ate wock Is oormwcmd
111"CIAL.C47MCtT IONS --
Ogle lasuec! thy --
I
hFCEIPT No'
i
CI'T'Y OF T I GARD i�E"C.� It Or.' 6'R4"ME NT t.,AEC K AMOUNT s r" I
CASH AMOUNT s �• ��
11AME: RITCMEY, I—ARRY pAYMENT DATF s 04/08/91
F�DDRE`r,S s pCS OC;CCIUNI SuBD M S I ON
I
AMCI!;I IT PA I D F-ti1J12E='OSE. UF' PAYMENT AMOUNT PAID
PURPOSE OF PAYMENT
UMt�INO F'E4�M^ F'C.M91-00,x`3
i.
STATION i✓'1._UMEa I IVL3
f 1JIM I T
SW pAC 7 F I C: 1-
(1Mf)l.IN1' PAID ._ .._ ._)
c'b. 25
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MACKENZIE ENGINEERING INCORPORATED
CIVIL_ • STRUCTURAL • TRANSPORTATION SHf. I OF �—
0690 SW BANCROFT S1 REET • PO BOX 69039 r 1McNENDE EN6iNEFRIHO iNCORPORATEO
PORTLAND.GREGON 97201-0039 • (503)22^'9560 0FAX(503)220-1285 I 0 iW2ALy FlnHT9RE9ERVE0
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MACKENZIE ENGINEERING INCORPORATED
CIVIL • STRUCTURAL • TRANSPCRTATION SNT _l OF .
0690 SW BANCROFT STREET • PO BOX 69039
PORTIJINO,OREGON 97201-0039 • (503)224-9560 • FAX(503)228-1285 O ,��RIGHTS RESERVED ORmw`�D�
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PORTLAND,OREGON 97201-0039 • (503)224-9560 0 FAX(503)228.1285 I �GIENLE ENOINEERV;,j rNCORRORATEO
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0690 SW BANCROFT STREET • PO BOX 69039
PORTLAND.OREGON 97201-0039 • (503)224-9560 • FAX(503)228.1285 MACKENZIE ENGINEERING INCORPORATED
1"I ALL RIGHTS RESERVED
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MACKENZIE ENGINEERING INCORPORATED JOB NO. 19 OW I
CIVIL • STRUCTURAL • TRANSPORTATION SHT. 1/ OF
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PORTLAND,OREGON 97201-0039 • (503)224-9560 • FAX(503)228.1285 MACKENZIE ENGINEERM INCORPORATED
® 1991 ALL RK➢NTS RESERVED
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DATE --
-- JOB NO.
MACKENZIE ENGINEERING INCORPORATED
CIVIL • STRUCTURAL • TRANSPORTATION SMT. _ 3 OF -�
0690 SW BANCROFT STREET • PO BOX 69039 MACKENIIE ENGINEERING INCORPORATM]
PORTLAND,OREGON 97201-0039 • (503)224.9560 0 FAX(503)228-1285 0 1291 ALL R*KT9 RESERVED
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MACKENZIE ENGINEERING INCORPORATED JOB NO. 1011
CIVIL • STRUCTURAL • TRANSPORT/TION SHT OF
0690 S.W BANCROFT STREET • PO BOX 69039 _
1991�LL RIGHTS RESERVE
?ORTLAND.OREGON 97201.0039 • (5031224-9560 • FAX k5031228-1285 MACRENDE ENGINEEPNG INC 1RPORATED
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1
CITY OF TIIS
OREGON
July 3]. , 1991
Mr. Jim Valentini
11465 SW Pacific Hwy
Tigard, Or 97223
Dear Mr Valentini,
This letter is in response to your inquiry as to whether the floor
drain in your above service station lube area, can continue to be
connected to the sanitary sewer system.
T"he answer is yes, if is used only to drain the floor when washed
down to clean the occasional drip or spill of oils, solvents,
antifreeze, gasoline, etc. . . , associated with normal lube and oil
type services. The floor drain is not to be used a waste oil,
solvent, antifreeze etc. . . , disposal system, those waste products
must be disposed of in a proper manner.
It is recommended that an approved oil/water separator be installed
on your system to provide further protection of the sewer system.
If you should choose to install such a device, please contact the
city regarding installation permits, and procedures.
The source of my answer is from the Unified Sewerage Agency, of
which the City is an agent. I have been notified that the Agency
use does not presently require an industrial waste discharge permit
for the above usc, but reserves the right to do so in the future.
Please rill me if you have any further questions.
Sincere+ ~-7
Brad Roast
3uilding official
cc: USA
13125 SVJ Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 --
and Marketing Int, tBUU:�W1rs1 venue
suite 200
rolNa111.1 0P -ci'201-5'125
-,,y
May 24 , 1991 / V
RE' ENt1__=F'EDE L RRGULATIONS
• FZNAT, RUI_,E-NPDES PERMIT APPLICATION REGULATIONS
FOR STORM WATER DISCHARGES
SERVICE STATION BAY �RAI:i$
aim Valentini
11465 SW Pacific Hwy
Portland, OR 97223
63-183-36^
Dear Mr. Valentin!.:
You will recall that Texaco Refining and Marketing Inc. ("Texaco")
determined it would plug the lube room drains at service stations
connected to sanitary sewer systems in order to eliminate any risk
of a prohibited discharge of untreated nonstorm water discharges,
spills, and improperly disposed wastes, particularly used oils,
into the sewer system. Several dealers challenged Texaco's
decision in this matter and requested an alternative to the closure
of the lube room rumps and drains at their. stations 991rch had pursuanteen
to
scheduled by Texaco to be completed by March 25, stem
the subject National. Pollutant Discharge Elimination 5y
("NPDES") Permit Application Regulations for ublished Storm
theer
Discharges, a summary of whicwa in the Federal Register on
Environmental Protection Agency ("EPA")
November 16, 1990.
In response to the challenge, Texaco will postpone the plugging
tof
the drain for a period of sixty (60) days in order to pe
affected retailers to seek and obtain a writt-n acknowledgment from
the .local sewer system that i-t will continue to accept all liquid
wastes disposed of in the lube bay drains at the particular service
station. Please furnish such acknowledgment
that san sanitary sewer system
local governmental entity which operates
handling the discharges and waste presently disposed of in the lube
bay drains.
Notwithstanding receipt of appropriate documentation, it will still
be your responsibility as the dealer to test the
to sump and EPA
discharges and to monitor the lube sumps p
regulations.
Fwoog on 8 rredrlior of(duo.
May 24 , 1991
Page 2
I trust that the foregoing is a suitable alternative to Texaco's
proposed actions to plug the lube drain at your subject service
station. Please furnish the documentation requested within the
next sixty (60) days. Thank you for your courtesy and cooperati.c-
Very truly yours,
1 �
.A. Price � 5
JAP:cam
rc: TCF
BUILDING PERMIT APPLICATION TIGARD DATE ts.: 5058
1-l-IE UNDERSIGNED HEREBY APPLIES FOR A FERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCON,PANYING PLANS AND SPECIFICATIONS. OWNER PHn
LOT NO. D ^.+--
OWNER (c:xt�cuy JOB ADDRESS t _ _ ble3u;ku
ARCHITECT f?L Webb. Arc.-lit.
ENGINEER Z92_9432
PUILCER 1ilAkctleY C�srl'sli . ADDRESS X 53.5[ 18t U. Uji OESIGNER -�
STRUCTURE Cl NEW UREMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL 11 ;:IRE DAMAGE ❑ DEMOLITION
O RESIDENCE ® COMM ❑ EDUCATIONAL ❑ GOYT ❑ RE'.IGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE 0 STORAGE [I SLAB❑ FENCE
OCCUPANCY -J- _LAND USE ZONE - �� �' BLDG.TYPE FIRE ZONE PLAN CHECK BY � H— HEAT_^ --
---- lnte iur__rrnad_eLof exis-ov-virm-fir - - - Y
-- to "Salva" Aren,
SEWER PERMIT#
OCC.LOAD M FLOOR LOAD 75 HEIGHT NO.STORIES 1 _ AREA 1344 NO.BEDROOMS _ VALUE.ti,a jU.
BUILDING DEPARTMENT SETBACKS FRONTi REAR LEFT SIDE RIGHT SIDE
Permit 56,50 �Ty1a PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGUL:.TIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 36.73 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL ArPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 93.23 RESTRICTIVE COVENANTS. CONTR!C,TOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED� FOR SEWER,PLUMBING AND HEATING.
Stale Tax 2.26 t }
SDC- 1
Total 95.49 .__ . (_\By Cz ,
PDC# APPLICANT OR AGENT
Receipt No. i 1. ,)
Approved I)ck _ ADDRESa PHONE
DATE INSP. TYPVE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Fixture
Final
HEATING
Contrnctor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
k
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
1 Final
CERTIFICATE OCCUPANCY
Landicaping
Zoning Final
CITYOF 71 ARD No. 0030
� 12755 S.W. ASH
P.O.13OX 23397 Dat6,l(L
` TIGARD, OR 97223
Name
Address bw
Lot Block/Map SubdivisionlAadress r, —
Permit M's Bldg. Plumb Cash C c�C�
_ _ _ _ hh
Sewer _ — Other Other ? By
Acct. No — Descrlptlon Amount— �I
10.43_2 Building Permit Fees
10.431.600 Plumbing Perm+.t Fees
10-431-601 Mechanical Permit Fees —
10 230 501 State Bldg. Tax -
10-433 Plans Check Fee
10.435 Other Licenses & Permits
30-443 Sewer Connection
30.444 Sewer Inspection
24.448 Street Syst. Dev. Charge
_25.449.610 Parks I SEst_Dev. Charge
25-449-620 Parks II Syst. Dev. Charge
31 450 Stone Draina0" Syst. Dev_Charge — _-
10-430 Business Tax _
10.434 Alarm Permit
I 10-227 Bail
10 455 Fines • TrafficlMlsdlParking aT
10 230 � CPTA TrafficlMlsdlVic. Asst.
10.456Ind1gent Defense
30-446.40_1 Sewer Service/USA
30.446-402 Sewer Service/City
31.447 _Stor_m Drainage
40.475_ Bancroft Prin. Pymt__— — —
40.471Bancroft Int. Pymt. _—
10-451 Other Charges for Services —_
TOTAL c;.• I
DEPT. ''
fps
A
I
THE UNDERSIGNED N�:HEUY AI'r'LIES FUIt APL-HNIII I-UH ITIL 1V0Itn IIC_IIl114 Lu
OR AS SROM AND APPROVED IN THE ACCOMPANYMIS PLANS AND SPECIFICATIONS. OV114EI`0110i'l
LOT No 5
mac.. >ad AooR�ss 114V� S v n�., tee.._ 11 1 1 _�/' t'
lU NEW
,� Q�ENGIN�.Eit 1
pp�� _i OESIGN�p
3Tf/UCTEIgE _ YEW L']IRk"MIIOEI 0-%oolrlos _ ❑RBP:IR ORENF',•/AL - C3FIRE DAMAGE ❑DEMOLI
r n"100'CC IRCOMM ClEOUCATIONAL CIGOV'T ❑RELIGIOUS CIPATIO []CARPORT CIGARAGE O STORAGE❑SLAB OF
Clr.C_V!ar__Y LANO USE ZOITE 0LOG.TYPE 5N _ PLAN CHECI; BY
HEAT_
- r'60e lion \i ser rr r�"n•�- T�I�` t.t/,�mm.��;;�.�� �� �A
L E 0-
-BEDROOM
SEW R RERMIT
S;C�l�9P _Dg�,04D HEIGHT NO,STORIES 1 AREA I �`I�L NO.BE�gOOA+S VAt l►
I 77
y'11L41ti',DEPAR fMENT — SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
I t�k i THIS PERMIT IS ISSUED-SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, Z
^ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TNA
T WORK WILL BE DUNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COhIPLI>,N:E
15J'1I�fAI '�" ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF
THIS PERMIT OOPS NOT
_I RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTEN
CONTRACTORS TO HAVE CURRENT CITY BUS
e`dfI! Tdx n F' LICENSE. SEPARATE PERMITS REOUIRED FCR SEWER, PLUMBING AND HEATING.
Tuul SDC -
r--- _� PDC# I C IK \/F t3fi
APPLICANT OR AGENT
A;:pruvFtJ I t, Recelpr Nu.
Tr1nR FSSSIX
DC (Storm)
-�`= I�• Its - Z— �s'�-/ ,
PDC — S _ _
SEWER CONNECTION it
SEWER INSRECTION $ --
e, 7�
SEWER SURCHARGE S "9AL �c� SO 744
Comments : _ n�ec'Ij Lo