9930 SW WALNUT PLACE r
9930 SW WALNUT PLACE
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Of
CITY OF TIGARD
OREGON
Owner: Circle K. Corporation Permit No. 6524
/ Address:
(� Building Address: 9930 SW Walnut Street
Occupancy: B2 Land Use Zone: CG Bldg. Type--IN—
Comments: — 1�
l
Certificate is hereby given this 27tH day of February , 1987
that said building may be occ.-upied and that it complies with all
requirements of the Building Code for the City of Tigard, as approved
by the Tigp_rd City Council.
Fire Dept Budding in -
i
Building Official
Poet Certificate in Conspicuous ?lace
i
INSPECTION NOTICE
City 0 Tigard Building Department f
P.O. Box 23397
Tigard, Oregon 97223
Pnone: 639-4175
Type of Inspection
Date Requested Time ��.._ A.M.__�_P.M. F
Address _` ' '. - S�� G/�r Lll�L�_7 Permit #
Lot
owner
Builder
The following Building Code deficiencies are required to be corrected:
Presented to -----.---- l-J Approved
Inspector — ❑ Disapproved
Date -- ---
CALL FOR REINSPECTION
❑ YES 0 NO
4w
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 2- Z _ Tams
-- 3C � 77 A.M. P.M.
Address �
Permit
Owrn.r
Lot #
Builder
The following Building Code daficiencies ere required tom—b'e-cected:
Presented to
APproved
Disapproved
Date
CALL FOR REINSPECTION
YES ❑ NO
I
MOM HUI HU PRUH110 � (1IS1� IC �
P.O. BOJ( 127 0 TUALATIN, OREGON 97062 a PHONE 682-2601
CIRCLE K. GROCERY February 23, 1987
3104 Turner Rd.
Salem, Or•+g on 97302 21482- 1
253A -236-000 Insp. Type RAF
Dear Circle K Corporation,
This is a Fire and Life Safety Plan Review and is based on
the 1985 editions of 4he Fire and Life Safety Code (UBC ) ,
Mechanical Fire and Life Safety Code (UMC ) , Uniform Fire
Code (UFC ) , and other local ordinances and ragulatioos.
Approval of submitted plans is not an approval of omissions
or oversights by this office or of non•-c:omoliance with any
applicable regulations of local government.
Suhmitted plans are approved for construction subject to the
above noted items being addressed.
If we may be of any assistance to you in the future, please
feel. free to contact us at 649--8577.
Sincerely,
Gene Birchill
Fire Prevention Bureau
MF260 OCCUPANCY I-ILE 1-13T FEB 2S, 1987 11 10: 15
TUALATIN RURAL FIRE DISTRICT Page 1
KEY SCREEN
1. Name CIRCLE K GROCCRV
2. Zone-Occ #: 252; -236-000 5o. Special Sortl :
3. Address 9930 SW WALNUT S1 TI 6. Special Sort2:
4. Ccrgory 7. Special Sort3:
BASIC SCREEN
1 . Occ Phone (50:3) 620--0420 16. Census Tract: 319. 0
a 2. Manager Lori Harris 17. Code Edition: NONE
3. Phone (503) 620--0516 18. Bldg Va1ue $00, 000
4. Mail -- Apt#: 19. Content Ve'l ' 43, 000
5. Addross : 9930 SW Walnut St. 20, Other Value- $0
6. Cty, St, Zp : Tigard, Oregon 97223 21. I30 Claes 3
7. Bldg Owner Circle K Corporation 22. UBC Occl/f't 22 B-P. 2000
S. Phone ( 50 ' 5BI-656b 23. Fire Alrm Sy: NONE
9. Suite--Apt: 24. Alarm Syst #: NONE
10. Address : 3104 "burner Rd. 25. Prop in Ust, Y
11 . Cty, St, Zp: Salem, Oregon 97,10' 26. Date Built 7 -01/01/70
12. Emrg Contct: 27. Date Renodel :
13. Emerg Phone: P3. Pround Area 2, 000
14. Ins Type/`1o: INF / 02
15. 901 Occ Use. 512 Market, grocery store
FIRE PROTECTION SCREEN
1. Alarm Shutoff Location NONE.
2. Power Shutoff Location I-S, IN REAR HALLWAY
3 Water Shutoff Location O--N, AT STREET
4. P itural Gas Shutoff Location: NONE:.
5. FDC Location NONE
6. Sprinkler Control. Lotation NONE
7 Stand ripe Location NONE
8. Attic Access Location NONE.
9. ;especial. Hazard Type Code 00 NONF
10, Special Hazard Type NONE
11 . Special Hazard Location NONL
12. Water Source Location HYDRAN1
13. Stairwau/Vert Shaft; Prot Y/N: No stairs not enc. / # vert shaft - 0
CONSTRUCTION SCREEN
I Const dupe `)0 V-•N 16. N Prop Line
2. 17. Wall Prot
3. Basmt Area 0 10. L•' Prop Line !
4. Total Area 11000 19. Wall Prot
5. # Stories 1 20. L Prop Line /
6. Height- ft: 15 21 . Wall Prot
7. Inter Colrrn: 50 MASONRY-UNK 22. W Prop Ling !
8 Roof Const 11 WD TRUSS 21-1. WaI1 Prot
9 Roof Cover 04 ORD ONKNO 24, Area Wal :
10, Roof Area 0 25. Area Wal :
11 UBC Occ2/ft: / 26. Area Wal :
l;:' UDC Occ3/ft: / 27. Plan Loc : 0
1 ,3 UBC Occ4/ft: / 214. Misc
14 Auto SP Use:
15, Auto FA Use:
CITY OF TIGARD 639 4171 6529
BUILDING PERMIT 639-4115 Insp. Lino 2�1 pp,T ll,ruasy 19 ��-
TAXMAP ZZ LOTNO. --SUBDIVISION
Circle K. Corp. — 9930 Std wainat St.
OWNER_-- _. JOB ADDRESS _� ?
ustrom Const. Co. Ina.
BUILDER STATF REG NO. _______EXP.DATE
BUILDER'S PHONE
ARCHITECT ---_-_,- -_-- --- PHONE —OTHER
STRUCTURE f .l NFW IBJ REMODEL L i ADDITION REPAIR MODE Ll OTHER DEMOLITION
--- I
RESIDENCE 11 COMM ❑ EDUCATION I i IND I RELIGIOUS ACCESSORY ( 1 GARAGE I OTHER FENCEbz r
OCCUPANCY LAND USE ZONE BLDG.TYPE 5`" FIRE ZONE PLAN CHECK BY '--" HEAT
I
Rewdiel/upgrade existing convenience store, all ver aot;roweu Plans. ire + ceilin};, new :,'y:A:,
Ivarem and ele.ce work. hech* permit rMyd, j
1
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT NO STORIES 1 AREA 24UU „ NO.BEDROOMS VALUES,,;
BUILDING DEPARTMENT _ _ SETBACKS 'RC'11 INAMY PEAR see LEFT SIDE SNIGHT SIDE
Permit 265.UO _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL. APPLICABLE COOLS AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 112.25 WORK, WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _a _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PrRMITS.SEPARATE PERMITS REQUIRED FOR SEWED,PLUMBING AND HEATING.
State tax ;L '•Ab
-y��7-� — ---- SDC—
Total _ API LICANTOFAGENT - - ----
—�--
Prepd. ` a PDCM
Bal.Due
Receipt No. _f U✓ A�pf�€gg - --- - - PHON�—
15�_
Issued
..,a._..:..s.-..+x_A.ds+:Sw..Ma...t r...,.,.r.S.w.r..:,...;.,. ._ .,., ,,.,.......-.... .s...r�LJ11�k.A31�" .�..e..,.r.s,.:.w.w...J�...,..:.w...rr.,a,.a...a.a._..�.-.-... ,.. _.-.... .. ._ ..,_-.... ..
DATE INSP. TYPE INSPECTION KS PLUMBING DATE
Contractor a / ,6024/2
Permit No. ��3
Fixture
Final
-- - HEATING 7
Contractor ,y -
____ -._M_. _---_— ---- Permit No.f/G 04
Gas or OII
-
Rough-in
Final
- — -------- _ SEWER------ -- --
Final
DRIVEWAY ,
Final ---�— -
Storm Drainage
(Rain Drain)Final
Sidewalk -
Curb&Street Final -
Approach
BLDG.DEPT.FINAL CERTFICA PORARY NCY CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
1
rr
CII i �.JfI11/�1"IaLJ' IY1 Receipt#___ l
MECHANICAL PERMIT'
Nernit #
Description
Table 3A Mechanical Code oTY PRICIE AMT
City of Tigard —
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397 _
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU 6.00
incl.ducts&vents
Furnace 100,000 BTU +
2) incl,ducts&vents 7.50
Narre of Development Floor Furnace
3) incl.vent 6.00
Job Address Suspended heater,wall heator
Address 4) or floor mounted heater 6.00
fax Let Map No Vent not Incl.In
_ 5) appliance permit - 3.00
Lot Block Subaivi,ion - 4
Name;o,name of business) - Repair of heating,refr ig.,
b) cooling,absorption unit 6.00
MaillnAddress
g —--- - Boiler or comp to 3 HP
phone
Owner 7) absorp.unit to 100,000 BTU 6 G0
cityistato 'Y---- f - - Boiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU j 11.00
Name 9) Boiler or comp 15-30 HP
absorp.unit 1/2-1 million 15.00
� - ' � Boiler or compto 30-50 HP ---__ -_-
M,-ling Address Phonn —
10) absorp.unit 1 -1.75 million 22.50
Contractor city state �� --ZipBoiler or comp to 50 HP
11) absorp,unit 1,750,000 BTU 31.50 —
State Regist•ation No. City Bus.Tax No. 12) Air handling unit to 4.50 —
10,000 CFM
I hereby acknowledge that r have read this application that the inforr iation given Is 13) Air handling unit - 7.50
correct,that I am the owner or authorized agent of the owner,that plan,submitted are In 10,000 CFM +
compliance with State laws,that I am registered with the State Bulldr(s'Board,that the Non portable —
number given Is correct. If exempt from State registration lease iv-rest on below). 4.50
9 ( P 9 P 9 1 ) evaporate cooler
Vent fan co
15) to a single n tcted —v 3.00
-------.__ ---------_-.- -__._ Ventilation system not -
16) included in appliance permit 4.50
17) Hood served by 4.50
mechanical exhaust
Signature(c wrier or a lent) Date ) Domestic type
Describe work CJ addition 11 alteration (] repair rI 18 incinerator - — - 7.50
to be done residential ❑ non-residential F_1 Commercial or industrial
Existing use of — 19) type incinerator 3000
building or properly-._- — _—_ 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
building or property -__ - 21) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural gas f-1 LPG ❑ electric s❑
22) More than 4-per outlet
"Q-TI-Ce SUB-TOTAL ,r.`
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- —
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ---- --- --
WORK IS COMMENCED. TOTAL
Special Conditions
Date issued _..__ -_--- by-_--_-_
•� I�
0 Ai
10
CITY
OF T1GARp
ADD r�
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+ mak": ;���'�' �, ,. - Y".�dwt. ._ +� .�,�.. .- ,$-• ��-:� * ; ..�. ..._._,__.__ .,..ANW&F
Plan Gheck No, /- y C-
13125 SW Hall Blvd. Permit No. :_ t�=q
CITY OF TIGARD 639-4171DATE-��� 'y-7Itl_L_
BUILDING PERMIT Insp. Line 639-41;3 �
/- z-150 Z�
P.O. Box 23397 Tigard OR 97223 TAAMAP LOT NO. —SUBDIVISION __-
OWNER �i•2G� A'f Gp,��r7/�' /J✓I JOB ADDRESS
BUILDER i���M C��ST �. ��C• STATE REG.NO. 'eXP,DATE
BUILDER'S PHONE 3,6 1—.el �S —�—
ARCHITECT— �'� �� �� �J 10- PHONE —_— ___OTHER
STRUCTURE ❑ MFW 0 REMODEL ❑ ADU+TION _ U REPAIR ❑ MOVF _U OTHER D DEMOLITION
❑ RESIDENCE 11 COMM ❑ EDUCATION L] IND U RELIGIOUS (J ACCESSORY U GAIIAGE U OTHER O FE NCF
OCCUPANCY LAs�NG USE ZONE ,��__BLDG.TYPE FIRE LONE PLAO CHEC-01 BY __HEAT
SEWER PERMIT N —
UCC.LOAD FLOOR LOAO HEIGHT— NO.STORIES I AREA 4/uG NO.BEDROC(MS-----VALUE vAll
BUILDING DEPARTMENT
-- SETBACKS FRONT lea...-(e'L�_ RE� •-d�-T-'�--IEPf'SfOI RIGNTSIIIE
Pe*^NI Crto THIS PERMIT IS ISSUED SUBJECT TO THE REOULATIONS CONTAINED IN THE BUIL0IN(1 COOP ZONINC..
AMULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY A4REII0 THAT THF
E"AnChock 1 Z- 2..,j WORK WILL BE DONE IN ACCCROANCE WITH THE PLANS AND SPECIFICATION!WAD IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERWJT 000 NOT WAIVE
PL Ck.Fki REfiTRKITIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 6USaNI'SS
TAY PERMITS.SEPARATE PERMITS REUUIREO FOR SEWER,PLUMBING AND HEATING L
State Tax c,,
T.1.1 APPLICANT OR AGENT
PDCI
Prep(1.
Bal.Due R melpl N ADDRESS
Issued Elis .— APDroBY
SSDC ---
soc —
POC — r Receipt #
SEWER CONNECTION $ Date Pd:_,�
SEWER INSPECTION S Amount rd:
SE41ER SURCHARGE b
Comments:
wrr a
SION PERMIT APPLICATION COF TI G AR D Date r1_1).1s:..:S, 19 No. 08
The applicant hereby anplw% for a permit tnr the work indicated or as shown in the accompanying plans and
specifications. )
SIGN LOCATION ADDRESS: ` �� , - I ..lJ L� ' r /'') t
APPLICANT: Owner..---_.- Lessee1177 1! Authorized Representative
NA'VIE COMPANY � 1 Tel.
PROPOSEDSIGN:— Freestanding _ Wall 1... Projecting -- —_Other
SIGN DIMENSIONS r _:X.,.:r AREA HEIGiHT — _ WALL AREA _—
PROPERTY FRO14TAGE COST ZONING DISTRICT ILLIJMISJAT!ON
MATERIAL --:- ' - _— _ COLOR _-
COPY DRB
EXISTING SIGNS. Freestanding Wall —. Projecting Other —
rOMMENTS: __��----- --_---- __.—_
All sign pormits must be accompznied by a scale drawing and p'ot
plan. If work authorized under a sign permit has not been completed
within ninety days after the issuance of the permit, the permit shall
PLANNING DEPARTMENT bettvme null an Vdi�d.,..--
Permit Fee ! C Ot _ I
6
Approved Applicant's Signature
Receipt No f "2_.
Renewal Date -- drrm Tqlephone —
�wJIMw
THE CIRCLE K CORPORATION
2175 Lancaster Drive NE • Suite 15 • Salem, Oregon 97303 • (50) 581-6566
10K
CONVENIENCE FOOD STORES
October 21, 1975
Russel. Au.gtin
13uilding Official
City of Tigard
P.O. Box 23557
Tigard, Oregon 97223
Dear 61r. Austin:
In reference to ,your letter dated September 1.9, 1975, please be
advised that concrete curbing has been placed a sufficient distance
from the fence between the Regal Station and Circle K Store #0572
located at 9930 S.W. Walnut, Tigard.
Sincerelv,
i
Ma.rilin L. Larson
Of flee Manp ger
I
BUILDING PERMIT APPLICATION TIGARD DATE_.�U_LALJ%t 2`,__ is ._.' 5556
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 245-9553
OR AS SH(-),VN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
.�
OWNER Lircle ti L=L�r+� JOB ADDRESS 93U alp loLOT NO. 2�Q
aluut St. _ t-zu
Seattle WA 9811KR0HITECT
ENCINEER
BUILDER A'Sullivan -L�ltl"_ UCticilxADDRESS 1 D-L 4v 1;j;; :erggp Sta DESS-INER
STRUCTURE ❑ NEW !AREMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL_ ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE fij COMM ❑ EDUCATIONAL ❑ GOV'T FJ RELIGIOUS ❑ PATIO IA CARPORT ❑ GARAGE f7 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY B-2 LAND USE ZONE C--G BLDG.TYPE _LN_FIRE ZONE __PLAN CHECK BY __!�_Ckl HEAT
Remodel of fascia on existinx buildil n jwr approved
— -plans to specs.
Gall for inspection before Mamin$ is cayerel.
SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES 1 AREA NO.BEDROOMS VALUE 61000.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Perrnit• _ 56.50 __ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _36.73 WORK WILL BE DUNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 93.23 RESTRICT'VE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE SEPARATE PERMITS REGI�IRED F R SEWER,PLUMBING AND HEATING.
State Tax 2.26 1 t
SDC
Toterr/c...------
- -- - PDC# APP A AO T -
BY _ C
Approved-- BOL Receipt No. ADWE38 )N•/ —�M,7�Tu►Z s1l PHONE r; S
DATE INSP. TYPE INSPECTION REMARKS PI UMOING DATE
Permit No.
Rough-in
Fixture
Final
HEATING
contractor
Pvmit No.
_--lGar or Oil
Rough-in
SEWER
AFinal
DRIVEWAY
Storm,Drainage
(Pain gain)Final
Sidevvelk
Curb&Street Final
Approach
8LDG. DEPT.FIN a L TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY F nal
Ldndicaping
7oninq Findl
J
Address ��'- C��. l 'l ,� Permit No.
Permit charge_____`__�_�
Owner �;��,� , ,( ' � Connection fee
Paid by
Typo of building ,. Date connec{-ed
Service rate Inspection fee :jS
Contractor 'Paid by— Date
Size of connection 's Asseosment Paid
1,1
t�.
CITY OF 'rTGARD
//ll /r
APPLICATION FOR SIGN PERMIT
nwm —_.�_ 41'"-.4 '� �Li11lS� _PERMIT Mc)
ADDRESS �-
tBL_ �P_� ' `' PERMIT FF-,_ /(:'�-' _
1 — _CJ E,.1L
TEL.
MANUrACTURER
ADDREaI o�_. —
_ ^
PECTTONS REQUIRED
_ EREC'TORS(L
_ � ---- — —
ADDRESS _ � .y'G�2�-011 A.
_! FOOTTNa
- -
TEL. NO. �. It= r�� - � _—FTNAT.
EKY MAK APPLICATION
_ CI _ _ _192EMAL INFORMATION
ALTER
MOVE
TYPE-0 CZT17.N
-ROJECJNr_ PLOT PLAN
POLE mmTNATTnp,j
GROUND SlIOW SIGN LOCATION
_ _
ROL
ALL
' -2 O P
BOTTOM --- m
AREASo F'r.
PROJECTION_ _ -- _ FT.
SUPPQRZ—
FIRE ZONE
SIGN_ TO__TIE_PAS' EN :IF ) AND S -HRT I) Hy — t � U / "b
�2VF.11_ llPPORrS 1L� 1`IT IS HEREBY
.SHAT TF TH .-I APf-WATTC
_J3f1VI.U.__ULE SI(_N W1 T.I. cnNFnRD4 Tu _ r
THE
SIGN CODE, VOT.EIM}: V. L111C, I (M7q N
ElliTZ�I_ALS(11_�'Tii _ORDINANCES_ GE THE CITY-
e f �� ^ l�1pXrMvM 5� c« . e ire n �
r
--5 75 v /s
- I 1�
APPROVED CHIEF BUILDING OFFICIAL,
BY
=MINIM o
PERMIT TO CONNECT
Tigard. Sanitary District
,F' 3� L� �
PERMIT N° 1381 DATE 2 -7
PERMIT IS GIVEN TO ,ice —._�•((,� -ii+�.4„� d�„, �'!'�w�`�e.
OF
f
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT fr 4a t�t
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEF. PAID ;.. . .�:.. .....,,,,,,,,,,,,,,.TIGARD SANITARY DISTRICT
'5 ple B
i
CONNECTION INSPECTED AND APPROVED
---------Dato Superfateudent
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