Permit CITY OF TIGARD BUILDING PERMIT
.1114
COMMUNITY DEVELOPMENT Permit#: BUP2018-00162
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/26/2018
TIC.;ti 1T[� g Parcel: 1S136AD05800
Jurisdiction: Tigard
Site address: 11465 SW PACIFIC HWY
Project: Shell Gas Station Subdivision: None Lot: None
Project Description: Remove existing non-conforming freestanding sign and install new freestanding sign out of ODOT right of way and
behind property line.
Contractor: RAMSAY SIGNS INC Owner: PACWEST ENERGY LLC
9160 SE 74TH AVE 3450 COMMERCIAL CT
PORTLAND, OR 97206 MERIDIAN, ID 83642
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 06/26/2018 $271.43
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 06/26/2018 $32.57
Dwelling Units: 0 Plan Review 05/24/2018 $176.43
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 06/26/2018 $91.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 06/26/2018 $7.50
Value: $12,367 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $578.93
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,/
Issued By: /itZe i/11 w[co���� Permittee Signature: /ems' 7�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicatiop,ECEIVED
Commercial j� l• rOROI 11( 1 1 ,.1.()N1.1
City of Tigard MAY 21 2[118 •
Received
®Llir7 Permit. N. ' •,�Yv2
III 'l 13125 SW Hall Blvd.,Tigard,OR 9722 "�
a Phone: 503-718-2439 Fax: 503-59�.'} t r� D Revs Related Per j(�o2(f/,�0oa,
1 , Inspection Line: 503-639-4175 1.1 0�TIGARD Date Ready/By: Ei See Page 2 for
ruris:
r 0
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/industrial
Valuation: S
❑Accessory building 0 Multi-family Number of bedrooms:
��, �
0 Master builder Cher: `rr Y"CJtS Sl Number of bathrooms:
JOB SITE INFORMATION AND:CATION Total number of floors:
Job site address: t 14 6.5 SVS PaU fi GHi New dwelling area: square feet
City/State/Z:IP: T, an A n( C'1.2-1. Garage/carport area: square feet
Suite/bldg./apt.#: Project name: SI.1.4.1) 6.6,4 Si-of 1,pr Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
`
5,.ttAtie.0 1 Oar• 0 I i t4 toy' S" P( Ct fi'c Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: J Lot#: Permit fees"are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ 11,31.1. 4 V
it 14\s-L i N e fTQ,Q.S Ilkikl S 1e--l- (S 0 T d o+ '1~` Existing building area: square feet -
R(j\N1 ir hAb i r.d pfurea/1ivg give.,, New building area: square feet
[11-PROPERTY OWNER t(II 0 TENANT Number of stories:
Name:(J40.1 )t ..v - Pecs.-ij'.J ' er '�\.IL () Type of construction:
Address: 3t-J �C�, 65144 Occupancy groups:
~�r'l
City/State/ZIP: /1.L0►..(I�„ e2!^J7 Existing:
Phone:( ) Fax:( )
New:
0 APPLICANTCONTACT PERSON BUILDING PERMIT FEES*
(Please refer toleeschedule)
� ^
Business name: 1�ms ( S1 6 /� , C/Structural plan review fee(or deposit): f 24
Contact name: L -cc. t<t s 1r ciL,
Address: CI t G O 5E 14ii-� A�� FLS plan review fee(if applicable):-
City/State/VP: Po- -1 d (X g1 (e Total fees due upon application:
Phone:603) 37g -Q() i 2.. Fax::( ) Amount received:
E-mail: I jS 6-^ _ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
`wc� � �' , Commercial and residential prescriptive installation of
CO. CT OR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: �( S r,l . � Submit two(2)sets of roof plan with connection details
r O CC(.��,1-1—h- and fire department access,along with the 2010 Oregon
Address: (0 J v. Solar Installation Specialty Code checklist.
City/State/ZIP: Q u 4 V n g-ThD, Permit fee(includes plan review $180.00
Phone:(so )31 _ non_ Fax:( ) and administrative feesZ
State surcharge(12%of permit fee): $21.60
CCB Lie.: (p341,2_,
Total fee due upon application: $201.60
Authorized signature: �y_/j�?I�N This permit application expires if a permit is not obtained
(/ r� yC within 180 days after it has been accepted as complete.
Print name: Lisp, K j ). e Date: Sri i-1 I � y 'e Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BIJP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
Building Permit Applicati I _; ECEIVED
Commercial 1.0R0141( i• t sl.()NIA /� jj
City of Tigard MAY 2 I Receive�� 1.r.,' Permit N ul yl!/f�Ot.
- IYI �+ nth Date/B -�/2 y��
1111
x 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revs ,
Phone: 503-718-2439 Fax: 503-59&}A�Q y OF
g�y�,A g�IIt Date/By: — , Related Pe �j(/ ��QLj p
T 1 G A K D Inspection Line: 503-639-4175 (,11 1 V i 1 d V f�rilt Date Ready/By: Juris: !a See Page 2 for
a Internet: www.tigard-or.gov 1 r - Notified/Me al: 1 i Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
r. Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
o 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
'�
❑Master builder [[�C1Cher: creks si,6y.., Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 114(e S Syq_ P�Lt H c New dwelling area: square feet
City/State/ZIP: 1 , O/1 A�` v ( C 11-1 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: S1.) to S t-rj'((f1 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Tr.ttAzeth e 0 I r (oS sw P'&ci fi°t_ 1Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 Lot 4: Permit fees*are based on the value of the work performed.
Tax map/parcel 4: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF/WORK work indicated on this application.
av-e enc 1St ht3Y1-Certftprvvi t'r fl'e.e..517�, , , ,5�l1,� Valuation: $ 'Z 3(.1. it
0 Existing •building area: square feet
R( it j 4 p- a i�q,�ivg L r , y New building area: square feet
[I�PROPERTY OWNER ❑,TENANT Number of stories:
e
Name:Q- t j _ Pe�.c_11444 - e ^ O O Type of construction:
Address: 3LF c-p ��; ^ �
651, Occupancy groups:
City/State/ZIP: AA,('�,,-, ^,t Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name: j�n m�cuti l (Please refer to fee schedule)
Structural plan review fee(or deposit): /7 (1.3Contact name: ►w`~
Lis-a. K1hv...CJL
FLS plan review fee(if applicable):
Address: CIt GO SE -1(-
_i- /�h I g- zo Total fees due upon application:
City/State/ZIP: OY T C , v
Phone:(SO, ) 37 ic -00 t Z Fax: ( ) Amount received:
E-mail: hscas PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
` , Commercial and residential prescriptive installation of
CONT CTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: TZ,Ct1tM.s r, . . Et tr Submit two(2)sets of roof plan with connection details
Address: �+, Cw:2 and fire department access,along with the 2010 Oregon
"I (0 S E _�I- . Solar Installation Specialty Code checklist.
City/State/ZIP: r v u i csi M (12D GPermit fee(includes pian review $180.00
(S03)31 D _ owl_
Z Fax:( ) and administrative feesL
Phone: State surcharge(12%of permit fee): $21.60
CCB Lic.: (p 3 412_,
Total fee due upon application: $201.60
Authorized signature: r This permit application expires if a permit is not obtained
'� J within 180 days after it has been accepted as complete.
Print name: LA SA K IN Klee Date: SI i 7 I 1 y * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
a Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov
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: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 123'7%.1
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: 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: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM PermitApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
III
q Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional,drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
0 zoning ❑ applicant name 0 phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the"Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans,details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\,Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11 I' Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • Ntww.tigard-or.gov
Type of Submittal #of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing(site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing(building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval,the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County,and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
Z4
Jay Kinnee ()DDT 1 P .0VY\L -
From: NELSON James A
Sent: Tuesday, May 01, 2018 4:17 PM
To: 'Jay Kinnee'
Cc: Lisa Kinnee -Cascade Signs & Neon
Subject: RE: Shell 11465 SW Pacific Hwy Tigard Or
Hi Jay, survey marks look fine. Please ensure all signs are removed from right of way.
Original Message
From:Jay Kinnee<IayC cascade si�ns.com>
Sent:Tuesday, May 1,2018 11:42 AM
To: NELSON James A<James.A.NELSON@odot.state.orus>
Cc: Lisa Kinnee-Cascade Signs& Neon<lisa@cascade-si;ns.com>
Subject: FW: Shell 11465 SW Pacific Hwy Tigard Or
Original Message
From:Jay Kinnee [mailto:lay cascade-signs.corn]
Sent:Tuesday, May 01, 2018 10:29 AM
Subject: Shell 11465 SW Pacific Hwy Tigard Or
/ 1 ° !
5°3
City of Tigard
IIId• COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: , t t r'cZ7/f -00/6 f,Z
Site Address: /// _.5-Set) "e9 /P..a /hut Suite/Bldg#:
Project Name: -5 e.- C --S s 79-77 0 AJI <S/6.A/
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ll -
Proposal: RI'+\CF,i i 13t'r NA-CoNiv 11.y .cfet3141ng .S. 'in1``f�11 net.%) Trc4 iJij i yh
t4uf al- 0001 Ica,/ } Itkp,,( (If X1.7 / ft.
&(7- Ty site address/suite# exists and active in permit system.
Din
River Terrace Neighborhood: ❑ Yes Lid" No
D4and Use Case#: .J 0 LO ig -000 2_q
Pl.. ,s ' atch Approved Land Use:
[1 Site Plan ndscape Plan ❑ Other:
—/ �J -Urban Forestry Plan Elevation Plan
LIQ :uilding Height: Maximum Height ZO Ac r al Height 18
m nditions Met: ❑ Prior to Submittal V Prior to Permit Issuance
lSQ Business Licen
3xfists: Yes ❑ No,applicant notified to obtain business license
Lr( Public Facilities
Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified lid No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: Date: S--z 4-1S)
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (/r
Site Plans: #
Building Plans: # s
Building Permit#: nter building permit#above.
Workflow Routing: Planning L ngineering ?PermitCoordinator � Building
tiWorkflow Sign-off: Sign-off for Planng(include notesfromplanning review)
Route Application Documents: Er Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �' A -i Date: — ,Z2C-.)11—__
49-- hhe4›(114Jtfi -
I:\Building\Forms\B1dgPennitRvw_COM_WithLandUse_060116.docx
Engineering Review
❑ Slope at building pad: ��
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
E Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes effr-No
Assess Water Quantity Fee in-lieu: ❑ Yes 'in- No
LIDA Facility on lot: ❑ Yes L-No
E l NOT Approved by Engineering: Date
Notes:
Approved by Engineering: A4 Ike- 44—, a Date: ,/,/ 65
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
%Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
'SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes ' N/A
Parks SDC: ❑ Yes N/A
OOK to Issue Permit
Approved by Permit Coordinator: 'w Date: (p14 1 1 8
I:\Building\Forms\BldgPernutRvw_COM_WithLandUse_070915.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 _ Transmittal Letter
r 1()A F,n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: __ DATE RECEIVED:
r
DEPT: BUILDING DIVISION
Z
ED
JUN 13 2018
G
FROM: r6' Gi C—e,,
CITY OF TIGARD
COMPANY: t, S riNS / J - .r,;NJ BUILDING DIVISION
PHONE: (511 'a 7 —(Mc); By: 8`T;
RE: ;5u) / 7 t 7 gk ?cl l r.°'-co 164A
(Site Address) (Permit Number)
S
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Tec cian:/Date: S-) 3Initials: "'�
Fees Due: ❑Yes � Fee Description: Amount Du
Special
Instructions: /
Reprint Permit(per PE): ❑ Yes No t/ ❑ Done
Applicant Notified: Date: Initials: I,
pp td`ii1/
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc