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Permit CITY OF TIGARD { ; a ! BUILDING PERMIT COMMUNITY DEVELOPMENT Waal Permit #: BUP2010 -00127 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/11/2010 Parcel: 2S102AA01100 Jurisdiction: Tigard Site address: 12035 SW PACIFIC HWY A Project: Tigard Auto Stop - Brake Team Subdivision: Lot: 0 Project Description: Removal of approximately 1/4 of structure for intersection realignment. 1/25/11, reprint to aadd to project description. Tenant moving to 12047 SW Pacific Hwy. Contractor: KERR CONTRACTORS Owner: TIGARD AUTO STOP PARTNERS PO BOX 1060 2829 RUCKER AVE STE #100 WOODBURN, OR 97071 EVERETT, WA 98201 PHONE: 971 - 216 -0050 PHONE: 503 - 796 -2887 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 06/11/2010 $619.25 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 06/11/2010 $74.31 Stories: 1 Height: 0 ft Erosion Control 06/11/2010 $26.00 Bedrooms: 0 Bathrooms: 0 Erosion Plan Review CWS 06/11/2010 $8.45 Value: $40,000 Erosion Plan Review COT 06/11/2010 $8.45 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $736.46 Required: Required Items and Reports (Conditions) Fire Sprinkler: Parapet: 1 Ersn Cntrl 681 -4444 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 throu h 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: Permittee Signature' Call 503.639.4175 by 7:00 a.m. for the next available inspection date. o 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. f r V CITY OF TIGARD BUILDING PERMIT a COMMUNITY DEVELOPMENT Permit #: BUP2010 -00127 s Date Issued: 06/11/2010 44 GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102AA01100 Jurisdiction: Tigard Site address: 12035 SW PACIFIC HWY A Subdivision: Lot: 0 Project: Tigard Auto Stop - Brake Team Project Description: Removal of approximately 1/4 of structure for intersection realignment. Owner: FEES TIGARD AUTO STOP PARTNERS Description Date Amount 2829 RUCKER AVE STE #100 Permit Fee - Additions, Alterations, 06/11/2010 $619.25 EVERETT, WA 98201 Demolition PHONE: 503 - 796 -2887 12% State Surcharge - Building 06/11/2010 $74.31 Erosion Control 06/11/2010 $26.00 Erosion Plan Review CWS 06/11/2010 $8.45 Contractor: Erosion Plan Review COT 06/11/2010 $8.45 KERR CONTRACTORS PO BOX 1060 WOODBURN, OR 97071 PHONE: 971- 216 -0050 FAX: Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 1 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $40,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $736.46 Required: Required Items and Reports (Conditions) 1 BUP Ersn Cntrl 681 -4444 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 a • .. • . •proved 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. • NTION: Oregon law requ' ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 '01 -0010 through OAR 952- 1 -0100. Y ay obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Is - ued By: �\ PermitteeSignature: ` Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. (et.„-,-,,,,, Building Permit Application iIo�d _ �� F.er>1T m Comercial RECEIVED 4 1 7 Y , t r ()i I Q �,, t , w 4 , ��, �ti,;� s Receive /_ /0 / � 4o u QaOlD� eJG/ Ci of Ti and CS No.: 131 SW Hal Blvd., Tigard, OR 97223 JUN 1 0 c 01 P a Review ! ∎: ' ' . II Phone: 503.639.4171 Fax: 503.598.1960 DateBy: Other Permit: ,. I) Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: Juris la See Page 2 for 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 Valuation: $ ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: fM5 JOB SITE INFORMATION AND 'LOCATION Total number of floors: Job site address: /2o 5 .g) /�! r e e-- (�y y _ New dwelling area: square feet City /State /ZIP: 74 q72 �3 / Garage /carport area: square feet Suite/bldg. /apt. no.: til Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. *4274 l .� /'. _ Valuation: $ I/4441.40 s �R.�P� 6lJ /_ / ) b /_ 2 Existing building area: square feet New building area: square feet ❑. PROPERTY OWNER ❑ TENANT Number of stories: Name `b Rya trop & .& -6- Type of construction: Address: AT go -- fi ko,y ✓Z tA-ut. , g_ reD Occupancy groups: City /State /ZIP: t , (t) ?f__T 1.0 di c z go 1 Existing: ^ Phone: (�S) 7% %- 2,gg 7 Fax: ( ) New: • ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: ti, All contractors and subcontractors are required to be Contact name: ��� 'sv" - licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( 0 ) 073 S 5":22_,. Fax:: ( ) E -mail: • . ,CONTRACTOR . Business name: kt'/lr c BUILDING PERMIT FEES* Address: eb , d()x /OW (Please refer to fee schedule) ^00T / , 7e7 Structural plan review fee (or deposit): N City /State /ZIP: C ( / L ` Phone: l ib a j1( Fax: ( ) FLS plan review fee (if applicable): CCB lic.: 7599 v i Alit Total fees due upon application: j� 14 Amount received: `t' 706 . Authorized signature: d /�/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Felootk �kage Date.4/0 * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Perrnits \BUP -COM PennitApp.doc 10/0149 440- 4613T(11 /02 /COM/WEB) 1 • sa Building Division : . Accessibility: Barrier Removal Improvement Plan ,TIGAR D' 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 per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering: [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): $ • l:\ Building\ Permits \BUP -COitt PermitApp.doc 06/25/08