9460 SW TIGARD STREET-2 s t
ADDRESS:
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� 0 � P.O. BOX 121 • TUALATIN, OREGON 97042 • PHONE 682.2601
KEY RANK OF ORF ON (SUITE 102/103) February 3, 1987
Suite 102/103
9460 S. W. Tigard Street
Tigard, Oregon 97223 21076•- 1
253B -340-002 Insp. Type RAF'
Dear Vandomelen L.00i ,)enga,
This is a Fire and Life Safety Plan Review and is based on
the 1985 editions of the Fire and Life Safety Code (UBC ) ,
Mechanical Fire and Life Safety Code (UMC ) , Uniform Fire
Cade (UFC ) , and other local ordinances and regulations.
Loading dock sides other than trULk access side shall be
equipped with guardrails as per UBC Section 1711
Not les, than one ( 1 ) approved fire extinguisher
with rating of riot less than 2-A: 10-B: C shall be
provided for each 1 , 500 square feet of floor
area or fraction thereof. The travel distance to an
extinguisher from any portion of the building shall not
exceed 75 feet. UFC Standard 10-1
Exit doors shall be openable from the inside without the use
of a key or any special knowledge or effort. Manually
operated edge or surface mounted flush bolts and surface
bolts are prohibited. UBC 3304( c )
Approval of submitted plans is not an approval of omissions
Or oversights by this office or of non-compliance with any
applicable regulations of local government.
If we may be of any assistance to you in the future, please
feel free to contact us at 682-2601 .
Submitted plans are approved for construction subject to the
above noted items being addressed.
Sincerely,
Gene Birchill
Fire Prevention Bureau
MF2b0 OCCUPANCY FILE LIST FE13 13, 1987 9: 00: 00
TUALATIN RURAL FIRE DISTRICT Page I
KEY SCREEN
1 . Name KEY BANK OF OREGON (SUITE 102/ 103)
;?.
Zone--Occ #: 253B -340-002 5. Special 5orti
3 Address 9,160 SW TIGARD ST TI b. Special Sort2:
4. Category 7. Special aorta:
BA51C SCREEN
I. Occ Phone 16. Census Trart: 319. OP
Manager 17. Code Edition: 19115
3. Phone 18. Bldg Value $ 136, 000
4. nail - Apt#: Suite 102/103 19 Content Val 'KO
5. Address : 9460 S. W. Tigard Street 20. Other Value $0
6. Cty, St, Zp : Tigard, Oregon 97P2;.i 21. ISOClass
7. Bldg Owner Green Valley Development 22. UBC Occ1/ft 22 B-21 6000
0. Phone P3. Fire Alrm Sy :
9. Suite-Apt: 24. Alarm Sys>t #:
10 Address P5. Prop in Use N
11, Cty, St, Zp : 26. Date Built 3 -03/05/06
12. Emrg Contct: 27. Date Remodel : 02/01/87
13. Emerg Phone: 28, Ground Area 8, 400
1.4 Ins Type/Mo: IN1= 12
15. 901 Occ Use: 911 DUilding under constructi
FIRE PROTEC"F ION SCRE[_N
1. Alarm Shutoff Location
2. Power Shutoff Location
3. Water Shutoff Location
4. Natural Gas Shutoff Location:
5. FDC Location
6. Sprinkler Control Loratian
7. Stand Pipe Location
S. Attic Access Location
9 Special Hazard Type Code
10, Special Hazard hype
11 . Special. Hazard Location
12. Water Source Location
13. Stairwau/Vert Shaft; Prot Y/N:
CONSTRUCTION SCREEN
I . Const Type 50 V--N16. N Prop L. ir1e 40 /20 ASSUMED PROPERTY LINK
2.
17. Wa11. Prot 00 NO WALL. PRCITECT IUN
3. Basmt Area 0 1El. 5 r'rop Line 5 /10 PROPERTY LINE
4 Total Area 1.9. Wall Prat 1:' 1 HOUR WALL NO OPENINGS PER
5 # Stones 2 20. C Prop Lirip 70 /30 CENTERLINE OF STREE=T
6. Height-ft 24 21. Well Prot 00 NO WALL PROTECTION
7. Inter Colmn 00 NONE- 22. W Prop Line 99 / 10 PROPERTY LINE
B. Roof Const .'O rrrL UNCLA 23. WaII Prot OU NO WALL r,RUTEC'rION
9 Roof Cover 13 HETAt- 24, Area Wal : NONE
10 Roof Area 8, 600 25. Area Wal :
11 UBC Occ2/ft: / 26. Area Wal :
12. UBC Or_c3/ft: / 27. Plan Loc :
13. UDC Ocr4/ft: / 28. Misc
14. Auto SP Use:
15 Auto FA Use:
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INSPECTION! NOTWE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
7�pe of Inspection
Date Requested Time A.M. P.M.
Address _ L C 7i". Permit #
Owner
Lot #
Builder '� G
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector
Disapproved
Date
CALL FOR REINSPECTION
YEs D NO
6485
CITY OF TIGARD 6339.4171 y_ -1
BUILDING PERMIT ] TAXMAp DATE 1LOy NO. SUBDIVISION
--
Green Valley uevelo{>�eta - _ JOBADDRESS
9460 Sw T��urrl St.
OWNER -- — ------ —
BUILDER A COnstructirun _ STATE REG.NO. EXP.DATE
BUILDER'S PHONE ___—__$3.�"�►. --
ARCHITECT _VAn.1)Qftalen/l.00ijPn9u- PHONE -=-*453 OTHER
STRUCTURE I I NEW r.( REMODEL I ADDITION i REPAIR MOVE OTHER DEMOLITION
1. FIFRIDENCE �,' COMM EDUCATION IND RELIGIOUS [ ! ACCESSORY I GARAGE 1 OTHER I I FENCE
OCCUPANCY LAND USE ZONE BLDG TYPE jJ FIRE ZONE PLAN CHECK By.%j HEAT
Uondtrcut tecranl GtlrtlitiCjjtitlr) All ;p r jjVVrVVed plans and code requirer�lrnts.
Subject to 'fii I:V review. Tenant: t,-LY P. r14t
SEWER PERMIT qJ(}UU
OCC.LOAD _FLOOR LOAF"' HEIGHT 2L• NO,STORIES_ AREA JUUU NO.BEDROOMS VAL
BUILDING DEPARTMENT r,rr -l:r��ta —__
__ a SET 8.4CK5 FRONT RFAR LEFT SIDE FIGHT SIDE
Permit 42aSi1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
-- _ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4(1.63 _ WORD WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS DERM1T DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 2.5U
13Y.63 SDC—
Total APPLICANT O AGENT
--- -------- PDCN
Prepd. _�� •
---• --- - Receipt No �j'r1 ADDRESS hI1�)NE
Bal.Due _ _______ 13� ✓
Issued By __Approved By
_�_. -_ _
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
5 _8 42' �yJ�ia<r /fi' ��< Contractor --
r Permit No -- ---
s— Ro,jgh in
Fixture
Final
HEATING
Contractor
Permit No
Gas or OII
Rough In
Final �-
-^ SEWER
Final
DRIVEWAY —
Final
�� -__- ---- _--- Storm Drainage -
(Rain Drain)Final
_ --^-- � Sidewalk --
--
Curb d Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCC�PANCY Final
CERTFIC:ATE OCCUPANCY �^ }��
Landscaping
Zoning Final
or inspections call 6:19•-4175 /�,� ^�
PERMIT N0. `�''
CITYOFTIGARO 639-4171DATE / la --
BUILOIN4 PERfAIT
P.O. Box 3391, Tigard OR 97ZZ3 TAXMAP _ LOTNO. SUBDIVISION
OWNER / e4, Col e D/ �e JOB ADDRESS
:UILDER'S
UILOER STATE AEG.NO. '14 EXP.DATE PHONE 3 l'— /41
AACIIITECT_ 4' U I LGA C ��� _ PHONE ��"' 4"dS 3 _OTHER
STRUCTURE O NEW REMODEL O ADDITION ❑ REPAIR O MOVE O OTHER () OF_I.IOLITION
❑ RESIDENCE COMM ❑ EDIY'ATION ❑ INO O RELIGIOUS O'ACCES OAY U GARAGE, (.) OTHER (] FENCE
----ter
OCCI IPANCY -.L� LAND USE ZONE BLDG.TYPE /1/ FIRE 2'-ON( PLAN CHECK BY �'r I/£AT
SE'WEA PERMIT 0. 24140—flf-:0800ms
OCC.LOAD FLOORLOAOI Q",j,C HEIGHT Vit/ – NO.STORIES/� AREAOO VALUE 1&/ ,
BUILDING DEPARTMENT f' (' R LFfT SIDE RIGHT SIDE
SETBACKS FRONT RA���I,'
Par"* C,2 – THIS PERMIT IS ISSUED SUaJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODh ZONING
REGULATIONS AND ALL ArPLICABLE CODES AND ORDINANCES.AND IT IS HERESY AGREED THAT THE
1P1&n Chock / Q, (� WOVIK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WdTN AU APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
HC11F _ Z S L� RESTW!''fIVF.COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TA.K PERMITS.SEPARATE PFRAOTS REQUIRED FOR SEWER,PLUMBING AND HEATIN(L
r' 1IVVSDC _a,, (0APPIJCANTOAAGENTPOCI
Rec&lpt No
- -------- laaue4 By_ _ --Approved y_.
SSDC --- 5
50C - — RECEIPT b
POC -� - DATE. PD. ---
SEWER CONNECTION $ AMOUNT PD —
SEWER INSPECTION S
SEWER SURCHARGE S
.ommentn;
I
Wil
December 23 , 1986 (CCITYOFTI6ARD
OREGON
25 Years of Service
19611986
Calibre Construction
9115 SW Burnham
Tigard OR 97223 re : 9460 SW Tigard St .
Dear Sirs :
On December 22 , 1986 a final inspection was conducted at the above
referenced address . The final was for the building "shell" . The follow-
ing items were noted , which require immediate attention , ,as two tenants
have already occupied the building :
1 . The firewall along the rear(east ) wall. is not complete .
Approximately one food at each end of the wall is missing the
gypsum boar -1 on the inside face .
2 ... The landscaping and parking lot striping is not completed (which
is required prior to occupancy) . In lieu of completing the
landscaping and striping , a bond may be posted to cover :he
cost of completing the work . The bond is to be submitted to
the city planning department .
3 . The parking stall and sign( please see attached page ) for the
handicapped must be completed . Please note , the proposed loca-
tion of the parking stall will not be acceptable as it would
require climbing an incline , which is in excess of the allowable
slope for a ramp. It would appear the only accessible location
would be on the front (west ) side of the building .
Your immediate attention to these corrections will be appreciated .
If you have any questions , please call. me at 639-4171 .
Si.ncergly ,
Brad Roast
Assistant Building Official
BCR/jdo
13125 SW Hall Blvd.,PO.Box 23397,Tigard,Oregon 97223 (503)639-4171 ----- --
3107-3108,31-A.31.8 UNIFORM,0111XW41 CODE
dw typeof accessible element shall comply,the following nut inwm requirements
are established:
1.Parking spaces:See Table No. 31-A.
2.Parking signs:Section 3108.
3.Passenger loading spaces:One.
4.Entrances:One.
S.Drinking fountains:One each flo-)r.
6.Telephones:One(accessible and amplified)
7. Windows-One.
R. Assembly areas:Sec Table No 31-It.
ne o
Sec. 3108. (a)Parking space required by this scc•ion shall tx identified by u
sign centered at least 4 feet above grade,nrar the required parking space.The sign
shall be marked with the i,tternational Symbol of Access and shall have the
following words in at least I-inch hieh letters.
-Parking with D.M.V. Disabled Pork otaly. Vlolatosa subject to
iowrina tntder ORS 111A29 1467.935) "A a fine up to $250
t under ORS $ju,¢4(478.9301. the
Put Reason: Statute was changed effective I/I/86. ter
for ,K
TABLE NO.31-A
PARKING REQUIREMENTS
MM tMU1Ka10 N LAT MOWED NUMBER Of ACCESSISLE 9FACE5
-- Ito SO I —__�-
51 to 100 2
101 to 200 3
20110300 4
301 In 500 5
5W to 700 6
For each additional 20U spacer or
fraction thereof,one additional space
6aceptioo:Parlor`facilities at Portland International Airport.(ORS 447.213) _
TABLE NO.31.0
AUDITORIUMS,THEATERS AND RELATED FACILf11E8
aeltlt i
0-50 2
50.500 4
500 + 5'b l v�5f
bi7.f
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Orcgon 97223
f hone: 639-4175
Type of Inspection / 44, _
Date Requested _,57 b� Time-IJ-7- A.M. P.M.
Address �.�,/� Permit #_
L.G !� C �L-
Owner ___ _ Lot #
Builder - ---...- ---- ---_. -_
\The following Building Code deficiencies are reouired to be corrected: ;VevtlF,,0N
�� c I HAA��1Zgf L off £=TAI. 1t
rE
n.(2) -r _� _, T WL.".
of `--en• 77"t Le ,:2� ,woe_C r v
—0c,
�_'%c'yc.,;UE_____1�1�':c,t?/iti � �'�.�F'E_'<�,_Q✓:...�-rBl�.
Presented to [1 Approved
I nspertor ,�z! ZDiupproved
Date
CALL FOR REINSPECTION
,� YES EJ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: G39-4175
Type of Inspection
Date Requested -_ - _ Time A,M. P.M.
Address `"r y� U
-� z+'�'�'� ---_. _-- Permit #'_�' ✓ �_
Owner
_- Lot
Builder --
�J
The following Building Code deficiencies are required to be corrected:
1
L..> c'c'r I /Li C I—iP F O/Q
Presented to —�
—_ _ ----- >11Approved
Inspector ---- _--- --��51'�/ e ( Diss
- _. -- - -- pproved
Date
CALL FOR REINSPECTION
DYES /NO
w�s•rrr._ti�_. ... ... __-....... � -... v�rs��.1►-r.y.....n...n�w�.o.r...�r.r r.r.r.a.r.r.s.��.w sem.r.w.w.
CITY OF TIGARD 639.4171 6398
BUILDING PERMIT DATE°_ovei1ber 14 19 86
TAX LOT N0. 1809 .SUBDIVISION
OWNER ��_y�eJOB ADDRESS
V460 SW Tigard St.
BUILDER Uswey,o Drywall STATE REG,NO. EXP DATE
BUILDER'S PHONE �� _._
ARCHITECT PHONE OTHER
STRUCTURE l NEW Ljt REMODEL ADDITION REPAIR M01 OTHER DEMOLITION f
I 1 RESIDENCE }t`7 COMM 1 ! EDUCATION ( ! IND RELIGIOUS ACCFSSOF I I GARAGE OTHER FENCE
OCCUPANCY a;j LAND USE ZONE BLDG.TYPE 5..: FIRE ZONE PLAN CHECK BY :•� HEA T
Construct teu-4nt tuouitfcati,on all per a;�Proved Airs crud code reguireweuts.
1'euaitt: UNwe};o Drywall offices. yes 06339 fur new const.
81bg, ;permit retid.
SEWER PERMIT A
OCC.LOAD FLOOR LOAD HEIGHT NO STORIES l A_REA2(�UU NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit __ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check _25.03 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_— _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPAPATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1.54__
SDC--
Total 65•W
PDCM APPLICANttJAOENT
- —�--�—-—
Prepd.
Receipt No/ i' % ApDRE§S PHONE
Bal.Due
-- - -- Issued by Approved By—_—
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
® Permit No.
e4, f —�G � ( Rough In
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb R Street Final
Approach
BLDG.DEPT.FINAL CERTF TEMPORARY
TE NCV CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
CITY OF TIGARD 69.4171 OAT[
BUILDING PERMIT TAX MAP -� T No. U SUBDIVISI _
OWNE JOB AGGRESSi-
-
' STATE REG.NO. _ P.DATE
BUILDER
BUILDER'S PHONE
PHONE _. -.--__OTHER --
ARCFIITECT ' _-
STRUCTURE (d NEW Cl REMOOEL� ❑ ADDITION Ll OTHER L7 OfMOl.I11U�+
/ ❑ REPAIR ❑ MOVE
CrFTESIDENCE ❑ COMM Cl EDUCATION ❑ IND ) RE
LIGIOUS ❑ACCESSORY [I GARAGE ❑ OTHER G FENCE
OCCUPANCY 1/1N0 USE ZONE BLDG.TYPE .J_1J+/---FIRE ZUNF ``` PLAN CHECK BY �rL HEAT—
SEWER PCRMIT s I �C -
'l
OCC..LOAD - FLOOR LOAD -AEIG fG Sff^IES I AREAS ',yU LINO.BEDROOMS yAW OIJL__-
BUILDING DEPARTMENT t'f R� {�- LEFT SIDE RIGHT SIDE
SET SACKS FRONT
Permit THISIT tS ISSUED yUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING.
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT tS HEREBY AGREED THAT THt
Pian Chock WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND 9PECWlC'AT10NS AND IN COMPLIANCI
WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE Of Tests PERMIT DOES NOT WAIVt
Fke — TAX RPEA rTMITS SEPARATE PERM TS REQUIRED FOR SEWER.CONTRACTORS
LUMB IMO AND NEAnNTO HAVI QEMT PTY BUSINESS
Stale Tax
--- _`_ SOC—
T _
-- -- - -
UI'al Ppt•t(;ANTOR AGENT
- POC'.t1 A
Prepd.
——_---- Receipt No ADORES;
Hal.
- -- --- -
Laced Br__.___--- _-Approved r__---
SUC -
SEWER CONNECTION 5
SEWER INSPECTION f \7�- —
5CWER SURCHARGE
Comments: - - ------------ -----
i
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r;Ty OF TIGARD ME ;HANICAL PERMIT Receipt#
Perrnif #
Description
Table 3A Mechanical Coce CITY PRICE 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
Name of DevelopmentFloor Furnace
3) incl.vent 8.00
Job Address -- - ---- 4) Suspended heater,wall heater j.l 6.00
Address L
i or floor mounted heater
'� c.,� � ,. � ,� , i , ----------
Tax t.ot M p No. 5) Vent not incl.in 3.00
Lot Block Subdivision appliance permit
Name;or name of business) Repair of heating,ref r ig.,
6) cooling,absorption unit 6.00
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp.unit to 100,000 BTU
City/State Zip 81Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name ) Boiler or comp 15-30 HP
9 absorp.unit 112-1 million 15.00
Meiling Address Phone 10) Boilor or comp to 30-50 HP 22.50
/ ; �N` r, absorp.unit 1-1.75 million
Contractor City state Zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No City Bus.Tax No 12) Air handling unit to 4.50
10,000 CFM
Air handling unit
I hereby acknowledge that I have read this application that the Information givens 13) 10,000 CFM a 7'50
correct,that I am the owner or authorized agent of the owner,that plans submitted ani in — —
compliance with State laws,that I am registered with the State Bullders'Board,that the 14) Non portable 4.50
number given is correct.(If exempt from State registration please give reason below) evaporate cooler
Vent fan connected
-- --- 15 to a single duct 3.00
- Ventilation system not -
16) Included in appliance permit 4.50
17) Hood served by 4.50 --
mechanical exhaust
Signature(owner or agent) bate 18) Domestic type 7.50
Describe work ❑ addition ( I alteration f 1 repair r I _ incinerator
to be residential esidential C7 non-residential
. 1 g) Commercial or industrial 30.00
Existing use of type incinerator
building or properly _ ) Other i.e.,woodstove,water 4.50
Proposed use of 20 heater,solar,clothes dryers,etc.
building or property J�t• < jb5 e _ 21) Gas piping one to four outlets 2.00
Type of fuel - oil I I natural gas 14y LPG f 1 electric f
22) More than 4-per outlet
fYOTLCE —
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW zr; OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- -
WORK IS COMMENCED. TOTAL
Special Conditions
Date issued by
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INSPECTION NOTICE 1�
City of Tigard Building Department
P.O. Box 23397 /-
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection — —
Date Requested - Time ____ _.— A.M. P.M.
Ad—ess
Owner
Lot #
Builder _.. — ----- --The following Building Code deficiencies are required to be corrected:
I't Approved
Presented to
Inspector __fir •..f' — — ---- -� Disapproved
Date —
CALL FOR REINSPECTION
❑ YES C� NO
APPLICATION - STREET IM' OVEMENVEXCAVATION COPY TO,
OR[L.,gANCE NO. 74-14
(INSTRUCTIONS ON SEPARATE SHEET) 1-1c ArJi
APPROVED IN APPLICATION NO.: 273 -
NOT APPROVED ❑ (:I I Y (J I IGARD, OREGON FEL AMT. s 105. 20
PENDING FEE PMT. ❑ CI 11' HALL RECEIPT NO,
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY __- -___- DATE
PENDING AGENCY ''OK" ❑ Application and PFoKrrss Record �
MAINTENANCE. BOND
PENDING INFORMATION ❑ FOR .STREET IMPROVEMENT/EXCAVATION As NFUUMED L�
ANNl1Al_ (�
PENDING VARIANCE ❑ EXPIRATION DATE:
PERMIT NO.: - - DATE ISSUED: -- -----L—__1 -- BY
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTAL(_ .
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT (`.i;lihrp Cc+ I.QQl�prrryrf nr�!q 14l.l`i ^.1 . I'Mr-n1►F1 n qt. 'Cigm.rd OR 619-614F
NAMS - - — ADDRESS CITY -PH'O14E
CONTRACTOR 1 _ _
NA�- ADDRESS --CITY" —TTTSFa
PLAN 13Y i` 'pir:`A '1531,, _ .b' Hall -10-1. it nl rlf OR 97223 63q-3453 _
NAME ADDRESS c IT V
ESTIMATED IMPROVEMENT 'TOTAL VALUATION ( COST): $ p
DOLLARS
(2� EXCAVATION DATA: -�v FOR nRFIcE usr:p_! MIN.
0.04 x s _-±_—r
STREET — _ DESCRIPTIONPROGRESS & INSPECTION STATUS_
NAMESURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE B"
TYPE LENGTH WIDTH DEPTH ITEM IN QUANTITY
_ e — STREET —
_-- -_ - -- P E N D _
INSPEC•
R TON
E --—
E
ESTIMATED STREET OPENING DATE S
ESTIMATED STREET CLOSING DATE: __ ___ / E
r)W, STREET
(3) SECURITY NO. SECURITY AMT: $ ' _ CLOSED
TTF
SURETY CO.: _- (Iy R- - ,,N _ l FINAL -- -
CFNTIFIFD C HEC(•. CASH ] BOND INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL -- SPFCIAL PROVISIONS / CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. „
CURB ' • r":IAi� _
116
--
(5) NOTE THE CITY OF 'TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR rHE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PE.RTINENI TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE DATE I
MEMORANDUM
CITY OF TIGARD, OREGON
TO: All Employees September 19, 1996
FROM: Accounting
y
SUBJECT: Personal Phone Calls
Effective immediatiately, we reque-,t that only personal long distance phone
calls be recorded on the long distance phone logs. Note that the phone log
sheet has been revised . Each personal long distance phone call should be
recorded on the log sheet including the date of the call. The log sheet
should then be sent to Accounting on the first of each month. Please
discontinue the use of the old phone log sheets . You will continue to be
billed for• the cost of long distance personal phone galls .
If you have any questions, please call Accounting at ext. 326.
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CITY OF TIGARD
Washington County, Oregon
NOTICE OF FILIAL ORDER - BY HEARINGS OFFICER
I. ConceL,ning Case Number(s): SDR 16-86 and SL 8-86
2. Name of Owner: Green Valley Development
3. Name of Applicant: Same
Address PO Box 23755 City Tigard State OR Zip 972.23
4. Location of Property:
Address 9460 SW Tigard St
Legal Description 2S I 2.AB lot 1800
5. Nature of Application: Request for Sensitive Lands & Site Development Review
approval to allow for landform alterations within the 100 year flood plain
and construct an 8,-OOT sq. ft. industriaa1 building & related facilities on
property zone TP ZIn ustria Park).
6. Action: _ Approval as requested
XX Approval with conditions
Denial
7. Notice: Notice was published in the newspaper, posted at City Hall
and mailed to:
XX The applicant & owners
-RX- Owners of record within the required distance
-XIL_ The affected Neighborhood Planning Organization
_XX-. Affected governmental agencies
B. Final Decision:
THE DECISION SHALL BE FINAL ON September 9, 1986 UNLESS AN APPEAL IS FILED.
The adopted findings of fact, decision, and statement of condition can be
obtained from the Planning Department, Tigard City Hall, 13125 SW Hall
Blvd. , P.O. Box 23397, Tigard, Oregon 97223.
9. Appeal:
Any party to the decision may appeal this decision in accordance with
18.32.290(A) and Section 18.32.370 which provides that a written appeal
may be filed within 10 days after notice Is given and sent.
The deadline for filing of an appeal is IjU P.M. Sept. 9th, 1986.
10. Questions: If you have any questions, please call the City of Tigard
Planning Department, 639--4111.
0257P
I
BEFORE THE HEARINGS OFFICER
FOR THE CITY OF TIGARD
IN THE MATTER OF THE APPLICATION)
FOR A SITE DEVELOPMENT REVIEW ) No.
AND SENSITIVE LANDS PERMIT; )
Craig Helmer, Applicant. ) SDR 16-86, SL 8-86
The above-entitled matter came before the Hearings Officer
at the regularly scheduled meeting of August 14 , 1986, at the
Tigard Civic Center Town Hall Room, in Tigard, Oregon; and
The applicant requests Site Development Review and a
Sensitive Land Permit to construct an 8 ,400 square foot industrial
building and to allow land form alterations in the Fanno Creek
flood plain, property located on Tigard Avenue, property more
specifically described as Tax Lot 1.800 , Map 2S1. 2AB, City of
Tigard, County of Washington, State of Oregon; and
The Hearings Officer conducted a public hearing on August 14 ,
1986, at which time testimony, evidence and the Planning Department
Staff Report were received; atirl
The Heal ngs Officer adopts the findings of fact and con-
clusions contained in the Staff Report, a copy of which is attached
hereto, marked "Exhibit A" and incorporated by reference herein.
NOW THEREFORE IT IS HEREBY ORDERED that SDR 16-86 and SL 8- 86
be and hereby are approved subject to the following conditions :
1. UNLESS OTHERWISE NOTED, ALL CONDITIONS SHALL BE MET
PRIOR TO ISSUANCE OF BUILDING PERMI'T'S.
Page 1 - SDR 1.6-86 , SL 8-86
2. Standard half-street improvements including concrete
sidewalk and curb shall be installed along the SW Tigard Street
frontage. Said improvements along SW Tigard Street shall be
built to minor collector street standards except that the curb
shall. be located 22 ' from centerline and a streetlight shall be
installed adjacent to the common driveway.
3. Five (5) sets of plan-profile public improvement con-
struction plans and one (1) itemized construction cost estimate,
stamped by a Registered Professional Civil Engineer , detailing
all proposed public improvements shall be submitted to the
Engineering Division for. approval.
4 . Sanitary sewer plan-profile details shall be provided
as part of the building improvement plans.
5. Construction of proposed public street and site grading
improvements shall not commence until after the Engineering
Division has issued approved public improvement plans. The
Division will require posting of a 100% Performance Bond and
the payment of a permit fee and streetlight fee. Also, the
execution of a street opening permit shall occur prior to, or
concurrently with the issuance of approved public improvement
plans. SEE THE ENCLOSED HANDOUT GIVING MORE SPECIFIC INFOR14ATION
REGARDING FEE SCHEDULES , BONDING AND AGREEMENTS, (Contact John
Flagman 639-4171) .
6 . Additional right-of-way shall be dedicated to the Public
along the SW Tigard Street frontage to increase the right-of-way
Page 2 - SDR 16-86, SL 8-86
4
i
to 30 feet from centerline. The description for said dedication
shall be tied to the existing right-of-way centerline as established
by Washington County. The dedication document shall be on City
forms and approved by the Engineering Division. DEDICATION FORMS
AND INSTRUCTIONS ARE ENCLOSED.
7 . Joint use and maintenance agreements shall be executed
and recorded on City standard forms for all common driveways.
Said agreements shall be referenced on and become part of all
applicable parcel Deeds. Said agreement shall be approved by
the Engineering Section. JOINT USE AND MAINTENANCE AGREEMENT
FORMS ARE ENCLOSED.
8 . No grading, filling, or landform alteration shall occur
on the property prior to approval of the necessary grading plans
by the Engineering and Building Inspection Division, (contact
John Hagman) .
9 . The applicant shall submit a revised site/landscaping
plan for Planning Director approval which includes the following :
a. Revised parking plan for the property to the north.
b. Vegetative screening between the parking area and
Fanno Creek.
C. Trees in and around the parking areas consistent
with Section 1.8 . 100 . 110 (a) of the Community
Development Code.
d. Dedication area for greenway purposes.
10. The Greenway dedication area shown on the Site Plan
approved by the Planning Oirector shall be dedicated to the City
on the enclosed form. (Contact Keith Liden 639-4171. )
Page 3 - SDR 16-86 , SL 8-86
t
C
11. Necessary permits shall be obtained from the U.S . Army
Corp of Engineers prior to commencement of any work on the site.
12. Work within the 100 year flood plain shall occur only
during the period between April 30th and October lst or at other
times approved in advance and in writing by the City Engineer.
13. All parking areas shall be paved.
14 . Any signs placed on the property or building shall
require a sign permit prior to installation (contact Deborah
Stuart 639-4171) .
15. All landscaping materials shown on the approved land-
scaping plan shall be installed prior to occupancy.
16. This approval is valid if exercised within one year
of the final approval date.
DATED Lhis day of Auqust, 1.986 .
HEARINGS OFFICER
APPROVED
BETH MASON
1
t
i
i
Page 4 - SDR 16-86 , S1, 8-86
CITY OF TIGARD 639.41 i 1631- 3
BUILDING PERMIT DATE _._ 196
(rlA�1D Sttdley UevelopmenCXMAP 2� —"b LOT NO _.]IM__SUBDIVISION
OWNER _ _ JOB ADDRESS _9t6U_ L .Ste ___
BUILDER _311UIY GonsC.,9115- SN Burnham STATE REG.NO. EXP.DATE
BUILDER'S PHONE 684"3626 `
ARCHITECT PHONE _.--OTHER
STRUCTURE NEW I 1 REMODEL ADDITION REPAIR MOVE �! 1 OTHER DEMOLITION
I I RESIDENCE I h COMM 1 EDUCATION IND RELIGIOUS ACCESSORY GARAGE 1 1 OTHER FENCE
OCCUPANCY LAND USE ZONE BlDGTYPE _FIRE ZONE__ PLAN CHECK BY HEAT
(,ra in., .uii j, bjLL, ciily l al I�-t Y ►iturUv(.L' -
SEWER PERMIT#
OCC.LOAD FLOOR LOAD _ HEIGHT NO.STORIES AREA NO.BEDROOMS VAIA)L
BUILDING DEPARTMENT_ ET BACKS FRONT Tice RF�R; Lars LEFT SIDE RIGHT SIDF
Permit _92. ,l THIS PERMIT IS ISSUED SUBJECT TO THE RE 5ULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 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 _ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State rax 3*IU
Total 96.1V APPLICANT OH AGEyf
Prepd.
Receipt No. Yi ADDRESS HANE
Bal.Due _ __ X11_
Issued By Approved By____.___—
..._.�.aYYnr.wu. : —LtY�J.Y.rr...w..iw.4.w- .. '.` N....s."._i.N..:✓FJrr" •..•�..••�.-..• -.. • '6.YhuWHMr..-. ••ice..-_•� +L `-s.Jiil�.�-.�.u..W..JLL+»«w_ _
DATE INSP. TYPE INSPECTION REMARKS' PLUMBING DATE
r contractordr
Permit No. 3-7
Rough-in
Fixture
Final --- _--'
--- ---- HEATING
Contractor
Permit No.
Gas ot OII -
- --- ,__�— ---- --- — Rough-In
Final
--- --- _ SEWER --- ----- ----
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
CITY OF TIGARD 639.4171 DAT6339
BUILDING PERMIT Ef►��tember_____��6
TAX MAP 281-2AB LOT NO. _1800 SUBDIVISION
OWNER ''n Valley pevelnt JOB ADDRESS _y4�'{) ti Tigard
BUILDER __ _fk- mooIT
—_ STATE REG.NO. .— EXP.DATE
E
BUILDER'S PHON �
ARCHITECT Van UomeLen 4 IAGNINeinlri_ PHONE _-221"4453 _ OTHER
STRUCTURE NEW L 1 REMODEL ADDITION REPAIR MOVE I HER DEMOLITION
1 1 RESIDENCE S COMM I I EDUCATION IND RELIGIOUS ACCESSORY GARAGE OTHER F ENCE
OCCUPANCY LAND USE ZONE BLDG TYPE to FIRE ZONE PLAN CHECK BY HEAT '
C:ow.truct all r,MLul warehouRe, all per approved plans and code requirements.
wits, office an mliown). Subjoct to TOL, review.
SEWER PERMIT N 29759 (ldu) ,-,iven credit for 1 du on site permit V6313
OCC.LOAD FLOOR LOAD cone HEIGHT la NO.STORIES 1 AREA u4UU NO BEDROOMS VALUE04.ou,,
_-BUILDING DEPARTMENT_ f SET BACKS FRONT d 45 RFAR 730 LEFT SIDE t' RIGHT SIDE
368.UU --
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
` REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 369.20 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
P1.Ck.' ireU 217.20 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�� 12 TAX PERMITS.SEPARI T&P IIS�REQUIRED FOR SEWER,PLUMBING AND HEATING
Stale lax _ •
.iso (24 units)
Total 10181.12 APPLICANT OR A(Sf t:,
Prepd. 541.28
---- -----_ ----
Bel.Due 645.(14 Receipt No. ADDRFSs
Issued By__-.__-.---__-.Approved By_____.___._____.
-�..:..iu.a.+.-'u �..rr.«.�W++4�..rv.....�........,._.a.-...w«,..... _..........w........... -...w._...;.c..«..`..._...s._-...._,........-.r.:.��....a..r n.�. - .- _.__ ..
DATE INSP. TYPE INSPECTION REMARKS v PLUMBING DATE
Contract0L
Permit No.
s` PF e
" 719! tit Final
" HEATING
12- zCf T Q s- c �?tJ,Ci c. �� �' Contractor'lJ !Q 3 3 f/L-- s L
Permit No '7 o
Gas or OII
Rough-in
Final -- --- ---_ _-
y .T ne _ SEWER
-� AR Final
DRIVEWAY
Final
_— _---_— —J
Storm Drainage
(Rain Dialn)Final
Sidewalk
Curb&Street Fir al
Approach
BLDG.DEPT.FINAL CERTFTEMPORARY
EMP OCCUPANCY CERTIFICATE OCCUPANCY Final
landscaping
Zoning Final
CITY OF TIGARD 639.4171 ( DATE
BUILDING PERMIT
�TJ _
TAX MAP LOT NO. SUBOIVISIQN
OWNE _ JOB ADDRESS
BUILDER 1 r _-- STATE REG.NO. _EXP. ATE
BUILDER'S PHONE /1�
ARCHITECT �__—__ PHONEil 4fe7 OTHER----
STRUCTURE/ 43-'NEW ❑ REMODEL f] ADDITION ClREPAIR Cl MOVE ❑ OTHER L7 DEMOLITION
Cl RESIDENCE COMM Cl EDUCATION Cl IND Cl RELIGIOUS ❑ACCESSORY Cl GARAGE ❑ OTHER ❑ FENCE
OCCUPANCY _LAND USE ZONE BLDG.TYPE __ .---FIRE ZANF—PLAN CHECK BY HEAT —
0010,
SEWERPERMIT N
OCC.LOAD — FLOOR LOAD NEIG'TIT"'- `� OflIES AREA _- NO BEDROOMS VALUE).2 /C�
r �_ ^
BUIIAING DEAflTM
PENT SETBACKS FRONT i. E LEFT SIDE RIGHT SIDE
Permit — U THIS PERMIT tS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HERESY AGREED THAT THE
Plan Check 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
P1 Clk F" RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
—
749 TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER.PLUMBING AND HEATING.
Stale Ta< _
SDC- -
TOlat APPLK:ANT OR AGENT T v
PDG
re
Receipt No ADDRESS _-
Bal.Due
_-�- Iscued By_._______
SSDC --- $
SOC
POC - --
SEWER CONNECTION 8
SEWER INSPECTION f
EWER SURCHARGE 5 —
ammente:
/ARCO-IMUDEN
BUILDINGS
i!'�'►i:PC+.T�:P?�4� R E V ISL;LJ _- —&-zi-86
DINE
PLEASE DESTROY A=LL R�
DATE : August 19 , 198E
JOB NO. : 49E91
FOR: G=reen Valley Development
AT: Ticrare , nrecon
Get,t l emen:
This letter certifies that the above mentioned '"arco-Prude-^.
Building System has been designed in accordance with Varco--Pruden
standard design practices which have been established based upe_
pertinent procedures and recommendations of such organizations as
AISI , AISC, AWS , MBMA , ASTM and rBC.
The structural integrity of the framing systems and components
fabricated be Varco-Pruden have been checked by the undersigned
Professional Engineer.
Varco-Pruden has been issued a Certificate of Approval Number 636
by the Board of Building and Safety Commissioners of the City of
Los Angeles as an approved Fabricator of Structural Steel . Varco-
Prud?n has been issued License No. 256149, Classifications B-1 ,
SC-43 , and SC-51 for General Building, Sheet Metal , and Structural
Steel by the State of California Contractcrs License Board .
Varco-?ruden is an approved steel fabricator by the International
Conference of Building Officials Report No. FA1240 .
This letter certification does not apply to the design of the
foundation or Other components supplied by others , further , it is
understood that erection of Varco-Pruden furnished items shall be
in strict compliance with pertinent documents furnished by Varco-
Prude.n.
Specifications, Data and Dimension Charts, and Calculations are
attached.
Sincerely, REDIPEO�f�,/o
V RC - RUDFN UILDINGS
Jelry L. Leatherwood , Jr. , F. F. OREGON
Enoineerincr Alanaaer 7y�'C�gRp 14 1o,S
JLL,/rpt �C �fAi��`�,
VARCO-PRUDEN, PC) BOX 1824. TURLOCK, CA 95381 TEL. (209) 634.8516
A UNIT OF AMCA INTERNATIONAL CORPORATION
■
1 Y Y r
lmn � HUI HE PHIRIN MINH
P.O. BOX 127 • TUALATIN. OREGON 97062 • PHONE 602.2601
GREEN VALLEY WAREHOUSE #2 August 5, 1985
9460 SW TIGARD ST TI
CITY OF TIGARD 18949- 1
2536 -340-000 I.i s p. Type R:-,F7
Dear Van Domelen Looijenga,
This is a Fire and Life Safety Plan Review and is based on
the 1982 editions of the State of Oregon Structural Spe-
cialty Code and Fire and Life Safety Code (UDC ), the State
of Oregon Mechanical Specialty Code and Mechanical Fire and
Life Safety Code (UMC ) , Uniform Fire Code (UFC ) , and other
local ordinances and regulations.
Not less than one ( 1 ) approved fire extinguisher
with rating of not less than 2-A: 10-D: C shall be
Provided for each 3, 000 square feet of floor
area or fraction thereof. The travel distance to an
extinguisher from any portion of the building shall not
exceed 75 feet. UFC Standard 10-1
Provide fire hydrant location so that no part of a commer-
cial building is more than 250 feet from a hydrant. UFC
10. 301 ( f )
Submitted plans are approved for construction subject to the
above noted items being addressed.
Approval of submitted plans is not an apprOVAI of omissions
or oversights by this office Or of non-cor,pliance -;ith any
applicable regulations of local government.
This structure ( or tenant space ) has not receive] final
inspection and is NOT approved for occupancy .
If you desire a conference regarding this plan review or if
you have questions, please feel free to contact me at (503)
682-26()1 .
Sincerely,
Bob Hunt
Fire Prevention Bureau
MF260 OCCUPANCY FILE LIST AUG 7, 1986 16: 07: 57
TUALATIN RURAL FIRE DISTRI' Page i
KEY SCREEN
1. Name GREEN VALLEY WAREHOUSE #2
2. Zone-Occ #: 253B -340--000 5. Special Sorti :
3. ,address 9460 SW TIGARD ST TI 6. Special. Sort2:
4. Category 7. Special Sort3:
BASIC SCREC=N
1 Occ Phone 16. Census Tract: 319. 02
Manager 17. Code Edition: 1985
3Phone 18. Bldg Value $ J36, 000
4 Mail - Apt#: 19. Content Val $0
5. Address 20. Other Value $0
6 Cty, 5t, Zp : 21. ISO Class 3
7. Bldg Owner 22. UBC Occl/ft 22 B-2/ 8400
8. Phone 23. Fire Alrm Sq :
9. Suite-Apt: 24. Alarm Syst #:
10 Address 25. Prop in Use N
11. Cty, St, Zp : 26. Date Built 8 --08/05/06
12. Emrg Contct' 27. Date Remodel :
13. Emerg Phone: 28. Ground Area 8, 400
14. Ins Type/Mo: INF / 12
15. 901 Occ Use: 911. Building under constructi
FIRE PROTECTION SCREEN
1 . Alarm Shutoff Location
2. Power Shutoff Location
3. Water Shutoff Location
4 Natural Gas Shutoff Location:
5. FDC Loc--. ion
6 Sprinkler Control. Location
7. Stand Pipe Location
8. Attic Access Location
9 Special Hazard Type Code
10 Special Hazard Type
11 Special Hazard Location
12. Water Source Location
13 Stairway /Vert Shaft; Prot Y/N
CONSTRUCTION SCREEN
1 Const Type 50 V-N 16. N Prop Line 4 /20 ASSUMED PROPERTY LINE
c 17. Wall Prot 0 NO WALL PROTECTION
3 Rasmt Area 0 18. S Prop Line /10 PROPERTY LINE
4 1ota1 Area 8, 400 19 Wall Prot: 1 1 HOUR WALL NO OPENINGS PER
5. # Stories 1 20 E Prop Line 7 /30 CENTERLINE OF STREET
6. Height-ft 24 21. Wall Prot 0 NO WALL PROTECTION
7 Inter Colmn: 00 NONE 22. W Prop Line 9 /10 PROPERTY LINE
8 Roof Const 20 MTL UNCLA 23. Wall Prot 0 NO WALL PROTECTION
9 Roof Cover 1:3 METAL 24. Area Wal :
10. Roof Area 8, 600 25. Area Wal :
11.. UBC OCC2/ft / 26. Area Wal :
12. UBC Occ3/ft / 27. Plan Lor :
13. UDC Occ4/ft: / 28. Misc
14. Auto SP Use:
15. Auto FA Use:
;
i
CITYOF TI(—IRD No. 15244
12755 S.W. ASH /T.� .
P.O.SOX 23397
TIGARD,OR 97223 / Date
r
Name
Address 1
l-ot Subdivision/Address
– JBIock/Map
----- -- Check
Permit Ws Bldg. Plumb — Cash — —�
Sewer Other Other Rec. By
l�f
Acct. No. Description Amount
10.432 Building Permit Fees
10-431-600 Plumbing Permit Fees_ _
10-431.601 Mechanical Permit Fees
10-230.501 State Bldg. Tax
j 10.433 Plans Check Fee
30-443 Sewer Connection
30.444 Sewer Inspection
51-448 _Street Syst. Dev. Charge
52.449.610 Parks I Syst. Dev. Charge
52.449.620 Parks Ii Syst. Dev. Charge _
31-450 Storm Drainage Syst. Dev. Charge
10-430 Business Tax
10.434 Alarm Permit
---
10.227 Ball
10-455- Fines -TrafficlMisdlParking
10.230 CPTH Traffic/Misd/Vic. Asst.
10.456 Indigent Defense _
30.122.401 _Sewer Service/USA P
10-122-402 Sewer Service/City 30% _
30 123 Sewer SevicelCity Malet.
30125 Unmatched
31-124 Storm Drainage _ i
40 4 cr
Banoft Prin. Pymt.
40.471 Bancroft Int. Pymt. Y
tOTAL
DEPT.
PL f 11
,r�C
/ a / BUILDING RECEIPT
NAME: -/J d (' C`}r��/ DATE:
ADDRLSS 6 LOT # b SUBDIVISION -
ACCT. 11 DESCRII''r[ON
10-432 Building Permit Fees
10-431-600 Plumbing Permit F"es $ -_-
10-431-601 Mechanical. Permit Fees
10-433 Plans Check Fee $ __ 5
10-230-501 State Building Tax $ _
30-443 Sewer Connection (20%) $
30-202 Sewer Connection (fitly)
30-444 Sewer Inspection $ —_
51-448 Street System Dev. Charge (SDC)
52-449-610 Parks I System Dev. Charge (PDC) $ _
52-449-620 Parks II System Dev. Charge (PUC)
31-450 Storm Drainage System Dev. Chrg (SSDC) $
10-230-505 TRFD (95%)
10-435 TRFD ( 5%) $
10-1130-506 Washington County Fire N1 (95%)
I o A35 Washington County Fire N1 (5%)
10-220 Amart/Wedgewood $ _
TOTAL $ S y z 0
(Separate Check for Leron 1ieights $150.00) .
(br/1214P)
CITY OF TIGARD 639.4171 DATE
BUILDING P RMIT
TAX MAPS� j A I..OT NO. �21 SUBrNVIS10N
OWNER �/� JOB ADDRE.,S
BUILDER - STATE REG.NO. _/ EXP.DATE _ —
BUILOER'S PHONE
/) J �'
ARCHITECT�j4tY,Lr PHONE S-� =� :�--OTHER --
STRUCTURE I'NEW ❑ REMODEL ElADDITION C1REPAIR ❑ MOVE ❑ OTHER C1 DEMOLITION
❑ RESIDENCE COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY ❑ GARAGE IJ OTHER n FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE_ __FIRE ZONE=_ _PLAN CHECK,BY u- HEAT_,,_____
zz
/� �:c.�KG
SEWER PERMIT/ ZA-7 S 1 l l�cCeC`/r -
OCC.LOAD FLOOR LOAO ��rY`L.HEIGHT--2at— NO.STORIES _ I AREA (,'G�Nr7.BEDROOMS VALUE `� r
BUILDING DEPARTMENT SET BACKS FRONT REAR `.�'-,SU LEFZ SIDE to RIGHT SIDE
Permit S,6, THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT I HE
Plan Chock WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE.
WITH ALL APPLICABLE CODES AND ORDINANCES. THE IS.GIANCE OR THIS PERMIT DOES NOT WAIVE
PI.CIL F" O RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAI(PERMITS.SEPARATE PERMITS REGUIRED 1 OR SEWER,PLUMBING AND HEATING.
2"7
Stale Tax / ;L 194
Total Total / 2 A ICA TOR ENT 7 , tai
Prepd. JPDC# L,1_1
Bal.Due r
Receipt No. ADDRESS
Issued By _ _-APProved By
SSDC $ --1`Od.r1U 1
sac /fid- 9 ► • --
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EWER CONNECTION Sf_7_� U�
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t_WER INSPECTION S
SEWER SURCHARGE S ,1zU
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Comments:
H.
for inspections call 639-4175 now
CITY OF TIGARD 6 9.4171 DATEt9--
BUILDING PERMITI J
P.O. Box 23397, Tigard OR 97223 TAXMAP '?` LOTNO. �L SUBDIVISION
OWNER_1..1f�i� � L"lt+.o�i•� J00AUDR -_
BUILDER ` •- STATE REG.NO. EXP.DATE
BUILDER'S PHONE _ �-, -
ARCHITECT z PHONE J S _OTHER—
STRUCTURE NEW ❑ REMODEL ❑ A041TIO14 Q REPAIR ❑ MO E ❑ OTHER n DEMOLITION
(:1 RESIDENCE COMM ❑ EDUCATION C1IN ELIGIOUS ❑ACC RY C1 GARAGE ❑OTHER ❑ FENCE
BLDG.TYPE_' FIRE ZONE=� PUN CHEaCK BY HEAT
OCCUPANCY ��LAND USE ZONE _
SEWER PERMIT I :HEIGHT
_ _-- -
OCC.LOAD (rC�yvC FLOOR LOAD _ NO.STORIES A E��yU N0.BEDROOMS VALUE:/ 33, 70
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit j U THIS PERMIT IS ISSUED SL184ECT TO THE REGVLAIIONS CONTAINED IN THE BUILDING CODE,ZONING
--- REGULATIONS AND ALL APPL 8LE CODES AND ORDINANCES_AND IT IS HERESY AGREED THAT THE
Plan CAecIt J L5 , L) WORK WILL BE DONE IN ACCO NCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AN RDINAN'CES. TH ISSUANCE OF THIS PERMIT DOES HOT WAIVE
PI Ck FW" �z � O 2 U R RICTIVE COVENANTS.CONTRAC AND SUB C NTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX RMIT8 SEPARATE PERMITS REOUI FORS ER,PLUMBING AND HEATING
State Tax_ C1 6 Z /
SOC- / ' --
Total P ANTOwA, GE l
POC#
Prapd. l� �l I �o Rs >
Receipt No. NE
Bal.Due _ l roVd —
SSDC
Issued By- _-/,pP
suc
P D_C
SEWER CL3yNECT10N S
5CWER INSPECTION
sE:WER SURCHARGE S
47�@Cammenta;
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VAN DOMELEN / LOOIJENGA & ASSOCIATES
Consulting Structural Engineers
X933 9w KELLY avE / Pf-jRTL.ANO. OREGON 97201 (5031 222 4453 t
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