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8865 SW CENTER STREET ADDRESS: saw i lrecordslmicroflrriltargetslbuilding.doc INSPIMPON0 -IMIP3City of of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223`` Inspection Line (Rec-O-Phones 639-4175 Bueines■ Phones 639-4171 Ina„„ectl-onc�----- ------------ ---�. Fcoting Plbg. Underelat, Mach. Rough-in Appr/Sdwlk Found. Plkq. Top Out Gas Line FINAL: Poe!/Bepm Struct. San. Sower Framing -Bldg./ Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mach. i Date Requested: � / /� Time: !AM Addreas �L.y rj /, ,'i. C i L Permit #: Builder: THE FOLLOWING cORRECTIoas ARE REQUIRED: Inspectors_ X APPROVED DISAPPROVED p APPROVED SUFJRCT TO ABOVE Call For Rainep. INSPECTION NOTICE -, City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Ins,iettion d d _ Time-( A.M.—._ P.M. Date Requested_ Address _r' �� V �' Permit C� l.�' — Owner � att `�!'�� Lot Builder The following Building Code deficiencies are required to be corrected: 7A Presented to -- —.-� _ --- Approved Inspector --. — .) Disapproved DateL -- CALL FOR REINSPF,CTION [:1 YES f-] NO INSPECTlr�N NOTICE City of Tigard Building Department F.Q. Box "3397 [� Tigard, Oregon 977.23 Phone: 639-4175 / Type of Inspection .74' ��, - ` ✓G���C Date Requested Time�_y A.M._ P.M. Address _._ 6 �Qiv Permit #.-?U Owner Lot # I Builder The following Builrliiig Code deficiencies are required to be corrected: Presented to _ (�1 Approved Inspector _ Disapproved Date gz C)— C� CA LI POR REINSPECTION F—) YES C-A NO COOK CONSTRUCTION CO ; "i0?6456504 CONSTRUCTION CQ FAX (503) 845-•6304 DATE 8A`i A G :TIME_ E T- PAGES INCLUDING COVER SHEET FAX TBS I S rSI UN FROM: COOK CONSTRUCTION CONTENTS! MEMOI IF CA4-A, w� o- 016`4) C�M� �Su I�,�t--� C�l�ci..,� tv�K-- i�--�4�1�-/4�►•all�t' . (,CNFRAI CONTRACTORS 5123 N.W. KAISER KOAD PORTLAND, OR.tGC)N 97229-2253 229-2253 (503)645-5761 COOk CONSTRUCTION CO 150764'56504 P. 02. z�sp�g,�,�*ssT�x >rA►Ac pA= M1"mtx 684-7297 structural Plumbing �Mechanlcal Pax retest Must be received before Bc00 am for same day inspections ,Zype of Inspect ion► Permit number � 0i -1- - Job Addres s t General Contractor i W ' F hone Aubcontractor► ` _ _ Phone #t Date of Inspection, � Requ4sted fort D(AM PM �4, 3p .. Lb F1► p�?.",� Tt.�iu ( wscM IP. L%. 1t�-Nt Nk�3 P � � � ormaFibn must be rovidw, far inepectiann r uesr• r�,if'lt►ir Type of inepections Permit: Number: Job Addre•at _ General Contra-to>r x Phone 44 ^_ 6ubaontractors Phone #t Date of Inspection► Requested for: AH PM All information must be provided for inspection request. �� NkV�. ky.� �Q�t'�►-�M^-- CYC Pte. �t T�'K�_11F�D 1�C .r �w PRTW't' OR TYPE � �_ OREGON August 17, 1990 Scott Cook Cook Construction Company 5135 N: W. Raiser Road Portland, OR 97229 Projects Dr.. teider Office, BUP90-0249 8865 S. N. Center Street Dear Hr. Cooks The plans for this project were reviewed for conformity with applicable codes, and are conditionally approved. Please submit plans which show changes or additions to the mechanical or plumbing systems. separate permits are required for any such work. Changes or additions to the medical gas systew in the building will be installed in conforinance with the Uniform Fire Code, Article 74 Div. II. You may ge., as building permit for the project at your convenience. If you have questions, or if we may be of assistance, contact us. Sincerely, im J a q u Plans Examiner FAX (503)684-7297 13125 SW Hall Blvd.,P.O.Box 23397,Tlgord,Oregon 9-11223 (503)639-4171 - — - CITYOF TIGMARDBUILDING PERMIT PERMIT ". . . . % BP9 U0-0249 COMMUNITY4 DEVELOPMENT DEPARTMENT one" FIRTH. PER111T N. u BUP,90-0249 13125 SW Hail Mod P.O.Sm P=/,TlgaM,on poo 91 7 DATE ISSUI::1).- 0811*7190 v34TE ODDRES5. ii©(t--) SW CIENTER S1 PORCEI-c SUBDIVISION- - : ZGNINUi 1:41..0 CI K. . . . . . . .. . L.u*r. . . . . . . REISGUE". FA-eoR Ex,rERIOR WALL CONSTRUCTION CLASS OF WORK. -!ALT FIRS' . . . . : 1610 'ri f N, G: I T'YK'E 0F' USE. . . -CON SECOND. . . c S f PROTECT OPE: TYPE OF CONST. -5N THIRD. . . . - 15•f Fla S2 E W OCCUPANCY GRP. -.B2 161.0 S f ROOF:' CONS!*a FIRE RLT?: OCCUPANCY LOAD: 16 BASEMI.-'1-4 T» f AREA ROTEDu S T 0 R. « 1 HT. -. 12 ft: GARABEK. . . I Sf OCCU SEP. RATED: DSMI?.-N 11 E Z Z'.'.-N REOD FLOOR LOAD. 50 Psf L EF T i ft RGHTs ft FIR SPKL:N SMOK DEBT'. . -14 DWELI ING IjN'CTS-. F:RNT« ft REARi ft FIR ALF(MaN HNDTCP 0(*,(*',-y I.."[.*1)R V1 L;« 1401 HS c I M P SURFACE PRO UORRcN PARKING i VALUE. 1.5000 Renia-(+s,., Remove. c.,cinst-ri.trt interio-r pa-, titions ivi dental offices. 0w)-le-r .. FEES COOK CONSTRUCTION CO. t."r)e a n)c)ctrl t k7 y (late reept 51.2S N. W. KOISER I'MAD 1::,(1 y 11 $ 62 31..7. 0 El .TI-11 08/15/90 r?03729 PRMJ $ :1.1.0. 50 PORTLAND OR 97229 1-11 CK $ 71. 83 Phone Na (.�45-5*763 FIRE $ 44. 20 rr I.-.IAYII $ 0.00 J1._H 08/J 7/90 C'0014, CONST RUCTION CO. PAYM $ W. (40 PLI... 08/11/90 ";125 13. W. KAISER STREET VIORILAND OR 97229 Phone 0- 645-5763 23P. 06 TOTAL.. F;tug 0. 3371.3 REQUIRED INSPECTIONS This permit is issued subject to the regulaticns contained in the F-rAniiriq Insp Tigard Municipal Code, State of Ore. Specialty Codes And all other 111-ILIlAti011 Inisp dop)icable laws. All work will be done in accordance with Gyp Boa-rd Irisp approved plans. This permit will expire if work is not Started SMSF) Ct-:i *lllq 111sp within IN days of iisitance, or if work is suspended for more F'iiial Iiispection than J8 days. 01 Call for inspection 639--4179 TUALATIN VALLEY FIRE & RESCUE: oil AND BEAVERTON FIRE DEPARTMENT 4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503) 52624(9• FAX 5262538 August 16, 1990 Cook Construction Company 5125 N.W. Kaiser Road Portland, Oregon 9 729 Re: Dental Office Remodel Dr. Richard 7,eide.r 8865 S.W. Center St. 5.989D-009-002 Gentlemen: This is a Fire and Life Safety Plan Review and is based on the 1988 editions of the Fire and Life Safety Code (UBC) , Mechanical Fire and Life Safety Code (UMC) , Uniform Fire Code (UFC) , and other local ordinances and regulations. Plans are conditionally approved subject to the following items: 1 . FirestopIn all wood frames walls and partitions, firestopping consisting of 2-inch nominally-sized lumber or other approved materials must be installed at all floor and ceiling levels. Penetrations in this prescribed firestopping to accommodate wiring, plumbing, and other similar utility runs must be packed with noncombustible materials in an approved manner so as to prevent the passage of flame. UBC Sec. 2516 2. Medical Gas Systems_ If medical gas systems are to be extended or altered, then they shall be tested in accordance with Uniform Fire Code requirements and cross testing shall also be accomplished. A member of this department shall witness ail testing of medical gas piping. 3. Address Revuired: The tenant space number must be prominently displayed on the street fro .t where it is readily visible to drivers and officers of responding fire apparatus and other emergency vehicles. UFC Sec. 10.208 "Working"Smoke Detectors Save Lives Cook Construction Company August. 16, 1990 Page 2 Note: If address is already posted, please disregard this item. 4. Approved Plans on Job Site: One set of approved plans bearing the stamps of the building department issuing the construction permit and this office must be maintained on the project Bite throughout all phases of construction and must be made available to building and fire inspectors for reference during required construction inspections. UBC Sec. 303 5. Required Occupancy Certificate. Prior to the use and occupancy of the project (space) , a certificate of occupancy or other written instrument of approval must be obtained from the building department issuing the construction permit. UBC Sec. .307 If I can be of any further assistance to you, please feel free to contact me at 526-2.502. Sincerely, Gene Birchill Deputy Fire Marshal GB:kw cc: 'Tigard Building Department V CITY C FI TIFA RD► IID COMMUNITY DEVELOPMENT DEPARTMENT raly,i.. . A PLUMPING VERMIT 13125 SW MWl ONd P.O.6M 23397,TlqaM,0"M 97223(503)630-4175 r.,T:.--,.R11TT a. . . .. . . . .. 1--ILM90-44144 F1W---7—T74—'47- 639 417t DAIL ISSUED: (%J 8/I`j '.)0 I`)ITE' ADDRESS. . . I SW CL.NTER ST PARCEL: IS135DD-04600 SUBDIVISION. . . . a LONIN6-. C—P PLOCK. — . . . . . . .. .. LUT. . . . . . . . . . ., . . I CA-ASS OF WORK. . :ADD GARBAGE DISPOSALS— r, MOBILE HOVIL' SPACE'S. TYPE OF USE.:. . . . t com WAGHING MACH. . . . . . . BACKVLOW PRFVNI'RS. . O('XUPAN(,'Y GRP— :B2 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . .. . 51 OR I ES. . . . . . . . .. WATER HEATLRS. . . - . -, MICH BASINS., . . - - . , 1.A(JNDRY TRAYS. . . . . . » SF RAIN DRAINS. . . . . SINKS. . . . . . . . .. . ..3 UR I N A LS. . . . . . .. . . . . .. GREASE TRAVIS. . . . L A V Al 0 R I US. . . . . I OTHER FIXTURE' S. . . . TUB/SHOWERS. F;r.-:WER LINE WATER (,L.OSET�;. . » WATER LINE: (fit) . . . DISIHWASHERS. . .. .. r, RAIN DR0111 (ft) . .. . . Ottle-l' RP d e,,,,i OwnerFEES DR. RICHARD ZEIDER type a mj Lt ri t by date rt.? pt: 8865 SW (,FNTER ST PRMT s 30.00 PLCK 1; 7. "'50 TJGARD OR 97C23 5PPCT $ 1. 50 n e ff I PAYM $ 39. 00 JLH 08/15/90 ----------- NOR f HWEST CFL:.NTRAL PLUMPING 1.9645 SW Dl-()Nl'(:)N RD ALOHA OR 9*7007 0000 Og 5013-591-8911 $ 39. 00 TOTM REOUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Tcip---aL1t Irisp Tigard Municipal Code, State of 0". Specialty Codes and all other Firial. Iri%pec.,tion applicable laws. All work will be dome in accordance with approved plan3. This perpit will expire if work is not started within 186 days of issuance, or if work is suspended for more than 180 days. .... ................ Permi.t;tee SiqYla4tk-1-rer ........... IsSUed By ............. ....... ....................... CAll fo-r ilispeeticiii -- 639-4175 -:ITY OF TTGAPI) PUEIPT CF PAYMENT RECEIPT NO. q,)-''0 '037,29 NAME, r COOK CONSTRUCTIC"IN CA%l AMOUN'r n 0. ADDRESS 5125 NW P.44SEP PI) PAYMENT DATE SUBDIVISION F-'nRTL..ANr), OR 97229- PliPr'1313E OF' PA(MEN'r AMOUNT PAIL) PLIPPOSE OF PAYMENT F4111JUI IT P6[D ET._ITCF,f T FIT,TI—E(Ill I 11).50 Fl-AN CHEC.F FE9-715C 71.rl.37, S''T. PLOU) PEP 5 T1_IALAT.11\1 VALL 44. 2() II 886!5 SW C. ENTEP �3T ' UP. ZEIDEP II TWAL AMOUNT PAID 27.2.06 CITY OF TKA 13125 S.W.fan ens PIAN (MOM HEM 11PPI,I TIC)rl RD P.U.No+c 2JdC7 PLAN CHEM liptxd Oregon VTI7J ) (.50.7)eg 639-4171 PEE Tr " COMMUNITY DEVELOPMENT DEPARTMENT ='E ISSUED JOB ADDRESS: C,9, G� �V C'f;f-�._5�----- `FAX MAP/LaI. SUB: _ LOT: __-- LAND USE: CAVER SPBCCTM-. Nor IZFTSSUE OF: _-,- _ LAST RELS` UE: ADI]PI ESS: -- __ SIMJTIVE LAND: _- -- PHONE: �2 PI�1[RIING: __� Q NAME: C•Q7 4! i G N J[y o_ ,)K) _ E?GINEMM: — AUIZ SS: _r BUJ 1L�rtS '(�'� FIRE DEPT MMDERS DUARD #: --- ow am: I=/• : BUS Tax: AR911ENGINEER CAI.CIAATIC KS: -- NAME- -_- _ TRMS DEMnS: _ ADDRESS: c0m: PHONE: - - — OCHMEQ'S: d 47*,- ' - -- PZANS• PERMrr f AOCT I DE9CIi7FTIC1ri AMr f r AMC.)Wr PD. BAL. DUE 10-432 00 Building PeT it Fees /,/z _- 10-431 00 Pltmmbirg Penait Fee✓ 10-4E31 Ol Mechanical Permit Fees 10-230 Ol State Building Max (5$) - Building -_ Plaanbing - Me-ch _ 10--433 00 Plans dx2�ck Fee Plumbing _ Medi 30-202 00 Sewer Omxw--tion _- 30-444 00 Sewer Inspec'ti.al -_--- -- - 51-448 00 Street Syst-on Dev C3urye (SDC) -- 52-449 00 Parks System Dev Charge (PDC) ^.- 31-450 00 Storm Drainage Sy---t Dev C htg (.SS [)C) _ 10-230 06 Fire Tam 6.;2 RDC APPISCAW SICJQdY�I'RE _ ReceivedRy: _ / �- Date Received: _ 1 S of/3587P.WflF i CITY OF TIGARD /5/.36- PLUMBING P[-:R M IT 13125 SW HALL BLVD. P. Cl. BOX 23397 Applicants must hold Oregon Registration to conduct a plumbing T IGARD, OR 97223 busiomi,rx must be property owner/operator not hiringoutside help. — (503)639-4175 Plumbing Permit No. Ar1dr - _ ooxmnoon LA) a ORS 814-21.610 DUAN. PRICE AMT. Job Tax Lot Map.No. --- - --- - Address __- - FIXTURES int E]bc* Subdivision Srhk -- -- — 7.50 - ane or nae of business) Lavatory - ^-_ _-_ 7.50 Tub or TubfShower(-4wnb, 7.50 SMOM ess hower Only- -- - 7.50 Water Gose) ---- 7.50 Owner Gly/State Zq _------ - Dishwasher 7.50 --�- Phone Garbage0isposal -- - — 7.50 -- arae WashkV Machine -- - _ -7.50 floor Drain 7.St) resp Phone Waley Pleader 7.50 • t_aurdry Room Tray — 7.50 Occupant City/State - zip --- Urinal 7.50 Other Fkk—(Specify) --- 7..r0 )e �i'�[ 7.50 P1 7.50 C.ontractert /� MISCELLANEOUS - _ oty Bum.Tax No - ----- -- — '� 3 L/ � Sews:1 st t lb' 30.00 tale��- Sewer-ea.Addit_100' 15.00 _ (Residential) Water Service 1 st 100' 20.00 hereby aclanowbdge that t have read this appliadlon.that the khkxmation -Water Savros ea Arlclit Xb' - 15.00 9hren is correct,that 1 am regls{ered% t the State BukWs Board.and also Storm 6 Rain Drain i st 100' 30.00 - he"a State PltxmbkV license tltet the members given are correct,that all - -- pkxnbkV w.xk Brit be done In accordance wtth a Viielo rte pxwfsions d Ore. Slonm 6 P.cin Drain Addk.I Do, 15.00 /Ion Rev[sa d Sta4Res Chapters 447 and 093 and applicable codes and that Mobile Flame Space 25.00 no help will be employed unless licensed under ORS 123.(t exempt hom -- State regisl e*-.please 7-reason below). BackF w Pnvvwv6 lion Device 750 140MEONN ERS-I hereby certify the I am the owner d ro the pperly de- -- sat od shove.at vA id►loa.irxh 1 propose b make a plumbktg kwtalladm for Any Trep or Weare Not my own use and this property Is not bekhg orxsstrtx]ed t w sale.Iwo or rens. Connected to a Fixture 7.50 Catch Basin 7.50 - - ---- — dnep.of I-".Pk xhKi-inq 40.00 Per W. ---- ---- --- Specially ReQueeted Inspections _ '40.00 Per 1M. Arlin Drain, Single Fam. Dwi.q. 15.00 ,AUTHOM7FO SIGNATURE Dale -- -- Oesc d"wror1c new C3 addition(3 Idferntion❑ repair❑bto e dome residential non-n"Identiel nc1doin —j 0 use of MINIMUM PERMIT FEE 25.00 lot ttldllp or prop erty_____ _- -- SUB-TOTAL _ h�fU"U"of T._-- _____--___-- - ------_---- 5%5% SURCHARGEGE- --- _-- Overly 25% PLAN REVIEW Tfth permit beoornee nuN ens trotd tf work a orxhetrvollon auoadt eA V nut oorhh° TOTAL roehoee,with4h 190 deysor M,or.dihntdlnxr or work4a etwpwvW or elHndcxwA fix a podod of 180 drys in and Irw after Uo k le oorrm"onced. ltr CILKL OUNO(T10NS_- — - Ogle Issued ^_ by - ---- _--- :lTY OF TIGARD RECEIPT OF N. YMENT RECEIPT NO. 2 C):"71 CAAECIt. AMOUNT 0") NAME t NW CENTRAL N.A.MDUACi CASH AMOUNT a 0.OC) A D V FIE s S I PAYMENT DATE AL-OHA. OSe SUT31)I V I s I ON 1-1-1PPOSE OF PAYMENT OF FAYHEM AMOUNT PAID F,172�j F-t Tr-r:3�. F E, 7 50 144 ST . BUILD rER j 5,O ,�,D65 SW CEN TCF ST TOTAL AMOUNT PAID Ir m i s N„ 3P 88-149 CITY 01- f1GARD SIGN PE:RMI-I APPI,I CAI I ON Tho applicant. hor-oby applies fur a permit. for the wor-k irufic,+trld ,ir is shown in (Aw accompany i riq plans and specifications . SI(GINI OCATL(iN AUE►Rf `i 8865 SW Center St. 7ON1NC; C—P NAME OF 13U!3[NF.SG: Dittman, Arderson and Ward & 2eider APPLICANT/AGENT : Jerry Scott_ _ COMPANY: Siqn Craft PHONL 639-4910 The City of Tigard imposes an annual Business Tax which must be kept curr-ont on all persons doing business in the City. Do you presently have a current Business Tax? yea PROPOSED SIGN: (Check as many as apply) PI:RMANE:N1 (XX FREESTANDING (XX) FREE WAY ( ) TEMPORARY ( ) WALL_ ( ) Fl-KCI-RON1C ( ) Ol HER ( ) BILLBOARD ( ) IEAt I OON ( ) SIGN DIMENSIONS: 514" x 418" _ _ EXPIRATION DATE: TOTAL SIGN AREA (Sq. Ft, ) : WALL AREA (Sq, Ft.. ---- WALL_ FACE: -- HEIGHT (ft) : _7c '_1_ PROJECTION FROM WALL: WA ILL_UMINAIION: YES ( T NO ( X ) TYPE: _ COPY : 8Q65_ ATI'ORNEYS_AT LAW ...1rJartl��_-__D�Lit?�$t. MATERIALS: cedar EXISTTNG SIGNS: one ADMINIS-FRATIVL EXCEPTION: APPROVED [ ] N/A [X] ARLA ( I HLIGin [ HOW MU(:H % COMMENTS: Two sided sign will r_ eplace__small freestandipq sign_at._southeast corner ofprppert�_^ PLANNING DEPAIlTMI::NI Als 'Iign pI-rmits mu•;t Lsr ,4cr(1111f)'usiod by .+ alr ,ir ,A, , n,1 hCrin.i L E e $25.00 and plot plan 1 f wor+ ,tu thoi i ,till ;sudor + s still I - lit, 1 .._ _ Receipt No 101176 has not boon compIvIod within ninoty d,iys ,4flor thr Oppr-oved Fly : DS i!ssuarice of thr pormsi I , I1w por-mi I ;h,�l l hrr umr rn,l l Dal 10/20/88 turf vnill I I I I:I k 1 s'.AI 1'I ILMI 1 I ' E RTIFY THAT I AM THE RECO A1F0 OWNF R OF THE PRol'I.RT Y 11-1 y1111"1 a Yl :s ( ) Nu ( X ) OR AN AGENT AUTHORIL BY l (11)11 I)IIU(. !'1 I:MI t P (,)1)1111 It YI ( ) NO ( X ) App ir,anT ' ;:i4rJ6,4Lur V r %Idd rr�s s 1 r l, t.E)�ucce CITY OF TIGARD, OREGON REQUEST FOR ACTION TO: Engineering Division FROM: _ Planning Division DATE: F, LIZ The information checked below is needed regarding the following parcel or parcels: Owner: Address: Tax .-ot(s) : _ Date of Annexation: BC # G THE FOLLOWING INFORMATION IS NEEDED BY: / Z 2- _ [ ] Right--of--way location [ ] Verification of survey legal description [ ] Verification of property lines Determination of a vision clearance problem [ ] Engineering comments for [ ] Identification of parent parcel. [ ] Identification of easements ht/3723P �1 t D !'..J _S .. ...._. .,... .•,mow«..-��.,_ ry, ..e. s4 :n ,., .•a.,y.- s .... _< ...- .n..,,.. ,.- ,.... . ........r...«�--., r ,.r.,.,.,.,y........... ,.-..,...,...,... .. .._ dw 1 ATTORN ttt } i J I 1 LAW - Derryck Ean Tj ( Roerr F, ndcrson -► DeLoris S B . N. Ward f +, 1 m m DENTIST Mm 00 D ;Qcf) > o • M Richard 0 -.40 i �� 'o��� l�ry� ."� I �'t. `� •..�;.,�ry � I � :.. y�/� �. �'!.�� � � �r,Y����`�Mwr"�,a."'.. �F°�..,f �"., j�"..���....v� .r4e_y..M/7 /•�1 � ��,,,� 1 �,.� °+t4.•�� I ti� ��.�»._.. ( i�^I� �� .. "w.d d '' t •}* #' � �� �.t ��""'� i� � '., ..,ar�y'�`. .� 1,.�',�y�t t �; i4,� :��.•�.� l �w' r• �-.J' �� M',r ��+ ,f�►�.�T,��� � .1.,....-' - 14, mile araft r 8865 SW Center Street 6013 S M+ wVF1NtIA41 40, TfelAU0,OR 01221 AWA 6*Oil 1 of 4 Sign proposal for i Addresis Sketch no. .,� �_��' , cry _. :. _. __�..__._._.__ . Representative .. 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