Permit rf CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-00191
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2015
Parcel: 2S103DD01200
Jurisdiction: Tigard
Site address: 13970 SW PACIFIC HWY
Project: Chevron Subdivision: MELROSE Lot: 8-Jul
Project Description: Replacement of existing freestanding sign.
Contractor: DOUBLE R PRODUCTS/DEL J INC Owner: CAIN PETROLEUM INC
901 NW E STREET 4512 SW KELLY AVE
GRANTS PASS, OR 97526 PORTLAND, OR 97239
PHONE: 541-476-1387 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 08/24/2015 $104.12
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 08/24/2015 $12.49
Dwelling Units: 0 Plan Review 08/24/2015 $67.68
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/24/2015 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $186.79
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=or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ' — Permittee Snature:
a 03.639.4175 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 Applicatia ECEIVEP
Commercial l OR OFFICE USE ONI.I
JUL 6 2015 Received
City of Tigard Dateiv : zwzg-
. Permit No
• 13125 SW Hall Blvd.,Tigard,OR �F TIGARD Plan Revie ��� / I
I Phone: 503-718-2439 Fax: 503- �T DateB : ,per r Related Permit An
TIGARD Inspection Line: 503-639-4175BUILDI�G DIVISION Date Ready : Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 7 //� Supplemental Information
�3 Lr yyytjt�r9
❑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
work indicated on this application.
❑ 1-and 2-family dwelling CI Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
Total number of floors:
Job site address: /S4 7d S( 1 f/t i(/iv? New dwelling area: square feet
City/State/ZIP: 7/4 Ala /o Garage/carport area: square feet
Suite/bldg./apt.#: Project name: c p vg1Qo J $!61N 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#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
Valuation: $
REPtAGE CX 67f/"4J S AJ $ 2,000
Existing building area square feet
New building area: square feet
ilk 2–PROPERTY OVR ❑ TENANT Number of stories:
Name: 70 M ,4I N Type of construction:
Address: L/Si . 5 y� le-61441 Occupancy groups:
City/State/ZIP: poe,' t 0 vR. Existing:
Phone:( ) Fax:( ) New:
❑ APPLICA ❑ CONTACT PERSON BUILDING PERMIT FEES*
,,.•i8 ,v a+��1eae rdtm t0afia seYinlel
Business name:
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone:( ) Fax::( ) Amount received:
E-mail:
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel Syst-
Business name: DOu g yappOGTf Submit two(2 ets of roof plan with corm-- 'on details
— and fire departure access,along wi s . e 2010 Oregon
Address: co N.hp. tV T. Solar Installation Spe C•, ecklist.
City/State/ZIP: (-f juju tS P' $ , of c-1 c16 Permit fee(includ •an $180.00
and . mistrative fees):
Phone:( shin y 76. I$Y 7 Fax:( ) State su •.'ge(12%of permit fee):
1.60
CCB Lie.: yQ q 3z.
Total fee due upon application: $201.60
Authorized sigraturei This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 0Av6 Qo(/4oN Date: 1.4'. 241$ * 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
Iill
■
• Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
H(-'''■R lI 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] $
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