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11515 SW DURHAM ROAD-3 a� � � ee► n � C � rycn H I.- (D (D cr C t V1 E rt (D d C C a h r+ r as a a rt to N. . c. .�f r r ti 11515 S14 DURHAM ROAD '�" CUMIPM TENANT MODIEIC'ATMAS '�"— .. .. a.. .. AL�.. INSPECI ION NOTICE City of Tigard Building Department P O Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection -- Oate Requested - Time 'r A.M. P.M. /address L yz PermAt #� 2_y Owner 41 1 '&61 c __ Lot # Builder __ � FS'T �✓U!!2 _ ---- _ The following Building Code deficiencies are roquired to he corrected: re CIO Presented to 4 Approved / Inspector n _ ❑ Disapproved Date __. — 'ALL FOR REWSPF,CTtON ❑ YES C1 NO ' �.,M •ur ��/—�' ��`�\i�'�.��.+v Ali^� V v_�,NM'`'''wa'�:-�✓-�,►_� ��.cf -_-.-. / �� .\ I ,�'i 1 ►"� '�'�1114' 3»• !° L i J�^+ r L`�r 11 '��` r�2� ,t+... 'i' '�"'%1�'^^ fit.:'r 7q ll: _� A�'.� ��#/ re #' �;�n B'_�'�•�;,'� w.l.,, / „�.. �Mr +; AIA 'q `.115 II t•. £ «E. -.; �/'' _'I�' `�~SR � t 1 — J RIROAW A.CI A�C•97�". ..... Ln 10 c �+ 02 Cd _ s Ol H h 0 Cd .. �. do a ) 0 to °. H Cc 04 o a HQ AL ccIf ul tiler (/ Ar u pU3 C ¢ \ in 1 1 to KC L(1 vow r, o 00 a � 1i .0 v :•� c� '` _ x4j � Cd "T yr �Yt+l1�•v!! f� �il14 ".:'fu '4 ' ♦M. 4 .w ihh +1 t ,s yil� 11 N x9 1'r � Illlls 41 ++ts� t3Fh c'.'S.�h rAil tffy ti;ir dli wKh ••• �..i '•7��N Y��f •1� -�K5 �d7 �id J �pi 7�G✓. +��,, �71"E( ., .. N ,' ' .'.-A tA� ��2,�,� INSPECTION NOTICE City of Tigard Building Department P.O. Box 23337 Tigard, nregon 07223 , A"M / Phorn~ 6J9 4175 roll' Type of Inspection __ —Y Date Requested Ti'me/ A.M. � �i�t//r1G►rn Permit # Address Owner UP*, # ----- Builder _ �—• _-The following Building Code deficiencies are required to be corrected: _ A J - Presented to _ __ __ Approved Inspector j Disapproved Date ---—L�— 3 el CALL FOR REINSPECTION D YE• 0 NO CITY OF TIFA R / Ml:.' PEPMJ:I* (CITYOFTMRD PEWMI'r NO. ME-:881.767 COMMUNITY DEVELOPMENT DEPARTMENT 13125 S,W Hall Blvd..P.O.Box 23397.Ticra,, Oregon 97223.(503)1,Ill 4175 111,:� DA11: '[SiSUEE). 1.Cl E)" I)H+M . Ppff . ADD14F."G5 - 1.153.5 SW I.A.)WHAM AD B E TAX MAP/I 04' SUP : WTI 1-011AIRP0(a1% S1.1E0.19C.SS MARK L.'T UV : I AND IVA.:.. : L.,07' !'117 F T. I F,M: NO: NO - WC)PK CILAL.01 . AlAi:;PA1,10N Fl.)PNACA.: 0. T (100K A I-IANE)L.,R <10 USE 'T*YPF.:, . (.1('1MM1!.::6 C1TAl 11-:1)RINIA1111E I OOK4- AT 1:4 HANDL.A I OK C-01451 . I YI:Al-.: : VN FA. C)C)P 1:1*tJPNACF. 11VAP COOL-Ell OCANJP . GRP : OP HE A11-J4 VENT FAN VIE'N'T, Vl:-::N*I' , SiYSTEM UL.P/(:,OMP <31-11P 1. HOOD NO. 51OPTI-:5 : ll. 1:.41-8/cC1MP 3-451-111L, TNC,*I NEPATDR(DOM DWE.U.- UNI 1'5 : ISI1._P/(::OMI-1 1.5-'.501-11:) 1 NL:I:NEPA 1*OP WOM I:!'UE:1-. *TYPE G A ti 1311-Al/CLOMP 30-5011-1P WEPAIP UNII'S MAX INPUT 90000 91 P/C(JMI'., 504+1P 0'rHER VINE: IJIMPPS'? GAS P110INC, OUTI-ETS I.-ITC1,11 PRE.,5E17 PI:JIAPK!5 : ienlil.l-lt MCI(J : Of- 01-11.1 1:1-Ffice 0 W 01.44HAM 99 ASSCH"', PEKRM:11-11, $10 . 00 N r'_ 3k10:3 .1.3011-1-11 PLAN REVIEW ill 6.2 5 E R M(NPOEK WA 98271F FIXTUPES $ 11-t) . 00 C)II.-IONS (206) 194---.5704 S TA T1= 'TAX $ OTHP44 C 0 N T IA . V -A C . TNC'. . R A F312P N . F . PP.ND S'T' . C P cit 1-1,1.in n(J C)14 97r.:132 T O PHOW:. (50-S) 239-11:11P.2 R P C,'11-.VVP AT 3.0 N NCI . I--I V A I"O'TAL. : ill;3 P- 0 This permit is issued subject to the regulations contained In Title 14 PFi'C;E:[PT NO. of the TMC. State of Cregon Specialty Codes.toning regulations and all other applicaNe codes and ordinances. and it is hereby PRQ1.11PED :(NSPE-':C,'1JC)N5 agreed that the work will be done in accordance with the plans and MCKC.HANCA.. . SY!-Y1*C-.M specifications and in compliance with all applicable codes and F:1 NA L. ordinances The issuance of this permit does not waive restrictive covenants Contractor arid subcontractors shall have current city business tax permits This permit%vIII expire and becqme null and k is not started within 180 days,or if wor*1sakispendeclor a andone for a period of 180 days an ter work has I commencek It shall be the responsibility ;M�, Ilmllttee to assure all required inspections are requested froved tnitle" ignature 1j-; ufrd By CAI 1- 1: (a Cl -I.NSPP-C'F I f IN 639.--,,qt 75 /fSEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE Mir 1''1 J� Poll It 0 I I , i ` I Rv J L I I ' i APPROVED FOR CONSTRUCTION CITY OF TIGARD PERMIT NO9lWtVSITE ACDPESOCALIE! ORA WN ��,SI.S�.�1/ I — ------- -� p�,� HVAC I N , wcvscc lot [}RAKING NJId/C4 4W MAJ11111111FAiRM I'LLIM11ING PEAMIT C NTY OF T'17A PEPMIT NO . : PL-1381.766 RD COMMILINIT" DEVELOPMENTMENT DEPARTMENT 001100" DATE ISSUED. 10/ "3/913 13125 S.W Hall Blvd..P.O.goy 23397,Tigard.Oregon 97223.(503)6.94175 PATM . PMT .NO 66 1. 7FA ,)(')F.4 ADDREKSS : 1.1.515 511WI D1.1PI-4611,111 WD B. E LU I rAX MAP/ OT SB: Wil-LOWSPOOK MUChINESSS F"ARK LJ : LAND LKAi' '. I.C)T SIZE : ITEM: NO: N('.): WOPK (.X.AS!7 : ALAIT.PAIXON WATEP L 05E:T 2 TRAY" USE- Tyl:*11: : ('10MMEW'TAL URINAL_ 1191KFLOW UIPWIVIR (.1.1171INST . 1 Yl:)I!*' VN LAVC)PATORY P TPAP PRIMIXIP 82 TUB 51-10WEP ("OPE-ASE: T'PAPS NO. I WASHING MA(:,F-I]:NF:: WELL .UNIT'S . LAUND11Y 'TRAY BLDG. DPAIN I DIA DPAIA I INK 3 SEWED (FT) WATEP HE ATER I STOPM/PAIN (FT OTHFA I PEMAWKS : rriorila.iit Mod : Dr nathiatcAri Wit]. cjffieiis C) DURHAM 99 ASSOC P F.P M YT $ V) 231103 1,50TIA N L MONPOL, WA 9(1ale FA:XTI IRE'S R 1:)H('.)NF:: (POO) 79,11 `5.70 1 SIATEK TAX 3 . 7 f.i 0 THEA $11113 . 75 C1HFLI L)MS SCOLIP 0 N 141:1 LUMS MECHANI`Z!11. r t-31' :.1W 1*1-1('.IPNF:.' A I r-'(j I-t 3.Alld Oril 97211.4 C T P H C I N L (.`5 0 31-418815 0 TOTAL : 11111191 .30 NO. le6 This permit is Issued subject to the regulations contained in Title 14 of the TMC, State of Oregon Specialty Codes, zoning regulations PrEQUIRED INSPEUTIONS ina all other applicable codes and ordinances, and it is hereby PL.B .1JN1:)F-.A4!:iLAr3 agreed that the work will he done in accordance with the plans and PCH 110-1-1 N specifications and in compliance with all applicable codes rind ordinances The issuance of this permit does not waive restrictive (ITHE"111111111 covenants Contractor and subcontractors shall have current city V111-11191 IT)POUT business tax permits This permit will expire and become null and F-1.IN A L void if work is not started within 180 days.or if work is suspended or abandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to assure all required inspections are requested and approved Permittee Signature *Wh J.r..1 F)C)ri I Issued By m1k) I-L FOR-11L51 I. -6a9=41j-.5 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CONSOLIDATED FIRE AND RESCUE Washington County Firs: D!s!r.( No. 1 City of Beaverton Fire Department RAj Tualatin Fire District FIRE MARSHALS OFFICE SeptemGer 22, 1988 Paul Challancin Durham 99 Associates 32803 150th S.E. Monroe, Washington 98272 RE: Dr Rothstein Willowbrook Business Park - Bldg. E 11545 S.W. Durham Road Tigard, Oregon Dear Mr. Challancin: A fire and life safety plan review was conducted of the above captioned project for compliance with the 1985 editions of the Uaiform Building Code (USC) , Uniform Mechanical Code (UMC) , and Uniform Fire Code (UFC) as amended by Tualatin Rural. Fire Protection District's Ordinance 86-5. Provide one fire extinguisher wf.th a rating of not less than 2-A:10-B:C. Submitted plans are approved for construction subject_ to the above noted items and compliance therewith. 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 gover�iment. If you desire a conference regarding this plan review or if you have questions, please feel free to contact me at (503) 526-2503. S ince rel G Bob Hunt Deputy Fire Marshal. BH:kw cc: Tigard Building Department Mackenzie/Saito 4755 S.W. Griffith Drive 0 P.O. Box 4755 • Beavei;,)n,Oregon 97076 • (503) 26.2469 811.1111-01NIG PE'PlIvill' CIlyOF TIGA RD NO. : Bt.11[3817EA k CITYOFTIGARD COMMUNITY DEVELOPMENT DEPARTMENT I ,I,""S W Hall Ellyn P 0 Box 23397 Tigard Orrgon 97223 (503)6394175 LATE XSSUED: 9/13/as J 0 1.-$ ADDI-41'r-SS : 11:515 SW DUPHAM PD H E I AX MAP/1...01, 13LJB WIA.1OWBROOK DUSINESS PARK LAND USE . VOI.AJA11ON: tY 20 ,000 SE'_TBf4CKS P'PONT : 11EAP: WORK t:'.LASS : 61 TVAArXON UWII;:I.l- I-JN1'TG : I F.F'r: AT G,H'T' LjE;F1 114yprl] I"X'T WAL.1. CONST : "OOMS .- COMMEACSAI NO. BI: OF CONS T . I PE: VN NO.BATIAS : N S . W S R PP0'I' OPI;i.NlNGG 25 N: S : W: TOTAL. APFIN; NO , S TO R1 E 51 . I I.S*T : 1230 ROOF 11:1ONST : A F:'tRl'--- RE"I'le YES I : :16 2ND: APLA SF.7PAP'? NO PATEA: NA BA(-'iEMF:NT'7 NO 3PL): OCCUP. SEPAP"? N('.) RATED : NP ZONTNE:7 NO BOSEEM'T Oil L.OAD: 1.25 1-`1PIE. 1511:441<1 147 NO Al._AAM'? NO F'L..ow mrm i DE:1'IF.0 T'? NO 1, TYPES' ; GA! 1.11)(A) AGCI:.:Sd5'? YE.5 :ORR? No 1:1-AN CHE CK BY - jhj PRMAPKS . TwIlhLilt, M1.1cl Di F1n i.115i t.H19 t1 On't-11, n-l'+ic.c,± Al;JSGUE OF NO. I AST REISSUE 0 W i:)wnivm 99 iis!3nc 111140 . N 23003 150TH PI-AN RFS: IEW 1111191 . 33 E M(14140r. W A 913 E-2 iF Dl*--I-"T* R $56.20 t P06) 7911---,1701 S;TATE: TAX (:)11••111:P DEVEIA)PMEN1 N T WE:51WOLID C-OPPOPAT10N SIDIC( STREET ) A R *'4 N" . 0;J0 !;iW M(:j(.jI:)'Y M A4111 C a r 972011. PPEPAJ.D < 111147 . ".13> T Elp--2000 0 (503) P= R I REG USTPAIT.ON NO . 3339 TOTEM.. . 11111I A 7 . 15P This permit Is issued subject to the regulations contained in Title 14 PI;:.'CE:LPT NO 1,0 0 Al"I 1 of the TMC. State of Oregon Specialty Codes.zoning regulations 0 (AS and all other applicable codes and ordinances, and it is hereby 11SISPEX.-TTINS agreed that the work will be done in accordance with the plans and FrIAMING specifications and In compliance with all applicable codes and r.NFitJl AT.11:ON ordinances The issuance of this permit does not waive restrictive GYP- r.3lOAPU covenants Cintractor and subcontractors shall have current city business tzx permits This permit will expire and become ritill and 51LISPIEND.CEUL.ANG, void if work Is not started within 180 days.or if work is suspended or P*1.NAL. abandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to assure all required inspections are requested and approved Perrnitt Signature I, Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE M W Mir xffjuqu�MAKWJLMWX�WWMW�� CITYOFPLAN CHECK APPLICATION T167ARD rz'4.\6 PLAN CHECK COMMUNITY DEVELOPMENT DEPARTMENT 170, ITYPERMIT H -5C6 _ 11125 SW14WIBW. Pp.ix.,23997 r OREGON DATE ISSUED ww,0r"i 97713(509)&w4175 JUc3 ADD RE�S: L •W. k �n TAX MAP/LOT 5118: I V 1F�rLrr R Alegi LOT: LAND USE: -- VALUATION: C�WNER SPECIAL NOTES NAME: �xj&j� U6 /r.1C1 RETSSUE OF: ADDRESS: Icy nL �.1A1 LAr�c 1 I -" ----_ --T---� ` LAST REISSUE ft FLOOD PLAIN/Z SENSITIVE LAND:-77- S"?04 - APPRO_VALS REQUIRED CONTRACTOR PLANNING: _ NAME: �� T`sl >U ENGINEERING: ADDRESS: _ FIRE DEPT - - [l.�i.(_►o f)Tl_ ---- OTHER: -- —_ PHONE: ?_'ZZ ITEMS REpUIRED ARCH/ENGINEER, LIST/SUBCONTRACTORS' _ '3US TAX: _ NAME: �I ��L1� L Grp rAI�. 04F CALCULATIONS ADDRESS: (�Tpyp > W, �,IC l nPr _ TRUSS DETAILS:—_ ']2 !r;; z a I PARKING PLAN: P �4_ c7r�- LANDSCAPE PLAN HONE: OTHER: COENTS: ccTN�rt I MMNL4� PERMIT N ACCT b DES(:RIP-!ON AMOUNT AMOUNT PD. BAL. DUE _ 10-432. 00 Ruildinc Por•mit Fees 10-431 00 Plurnbin<:I Permit Fees - - __ 10-431 01 Mechanical Permit Fees 10-230 01 State B1.rildiny Tax (5%) R 1.1 i 1.d i.ng Plumbing - Mech _ 10-433 00 Plans Check Fee B u i!d:i ng - Plumbiing Mech 30--443 00 Sewer Connection (20X) 30-202 00 Sewer Connection (Pn%) - 30-444 00 Sewer Inspection 51--448 00 Street System Dev Charge (SDC) - --- 52-449 01 Parks I System Dev Charge (PDC) 52-449 02 Parks II System Dev Charge (PDC) — - 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 10-230 09 IRFD (95X) — — - - !0--435 00 RFD (5X) 6,20 - 10-230 06 Aashinrton County Fire pl (95X) 10-435 00 Wa3hington County Fire M1 (5%) i 10-220 00 Amart/Wedgewood - TOTAL REC 11 APPI..ICANT STGNATURr. Received By: Date Received: WIN m NOW — MECHANICAL PERMIT CITYOFTIFARD ( r PERMIT NO. MF1391191 �ITYOF BARD COMMUNITY DEVELOPMENT DEPARTME14T DATE:: ISSUE:D: 6/22/88 13125 S.W.Hall Blvd,.i'0 Box 23397,Tigard,Oregon 97223.(503)6394175 PRIM. WMT .NO. 88 1191 ,JOB ADDRESS : 11315 SW DURHAM RD TAX MAP/LOT SUP : W:I:L..l..(:]W13F't(:)(:)K F31.1rS'LNIii:SS PARK I-T : SK : LAND USE: LUT SIZE : T.TEM: NO : NO: WUPK CLASS : ALTE:riATION FURNACE 4100K AIR HANULR (1.0 USE: TYPE : COMMERCIAL FURNACE 100K+ AIR HANDI_.P 10K CONST . TYPE: VN FLOUR FUPNACL LVAD . C1001_.11:R OCCUP . GAP. : B?_ HEATER VENT FAN VENT VENT . '_iYS1E.14 BLP/COMP (3HP HOOD NU. STORIES : 1 BLP/COMP 3--15HP INCINI.PAT(All(DOM DWELL .UNTTS : 13LR/COMP 13-30HP INCINE:PATOR(COM FUEL TYPE ELI---'C . EILP/COMP 30-50HP PE:PAIR UNITS 1 MAX. INPUT BBA/COMP 50+HP OTHER FinE DMPRS7 GAS PIPING OIJTL.ETS H.:GH PPESS7 PE MARKS . PPv:I.t1I:I.ori of imxa9lti.rlg fnyeitram rt 1a a(Ill1p . `N 'I ON 1.4-.V 1.I:::W $4. 00 N E FI X.'T'1.1 PF!ii $6. 0 0 R ':I , "I II-1X $ .130 cir1u :11 BEWLErY DON N BEW1_.IF:'Y MEC 14AN7 C'AI. N T POPr:tx 1661. R A 80Mv4111"tclrt 01i 9700".5 Cr PHONE (50:3) f,:�h-.• _ .. O RE:GIS'TPA'TION NO. BelrwLey • , ,«.,r an R - -- -- — RECEIPT NO. This permit is issued subject to the regulations contained in Title 14 " " " " "' " ""r of the TMC, State of Oregon Specialty Codes. zoning regulations REQUIRED INSPECTIONS and all other applicable codes and ordinances. and It Is hereby MEC:HANC:L . SYSTEM agreed that the work will be done in accordance with the planspnd FINAL. specifications and in compliance, with all applicable codes and ordinances The issuance of this permit does not waive restrictive covenants. Contractor and subcontractors shat: have current city business tax permits. This permit will expire and become mull and void if work is not started within 190 days,or if work is suspended or abandoned for a period of NO days any time n'ter work has commenced. It shall be the responsibility of the permittee to assure all required inspections are requested and approv,sd Permittee Signature Issued By / ::AI I . F(IP INSPECT XON 63yt•-417"5 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE S m W C' r, 4 .pk h ,a. �` y F: .,SPR .•+�.n. "r. ,��.o-"'wr.. •`a �.� iyH � �„"'��yFry,r�•+r• ,' 'Cw ,,.^y•�rlarl�a4yhl,I a'",� .ABY lh�yl��'�`_'� � v �`�+ti f//�fY �( 1 �y,^r f � J��,y�I�gT,,�= rg7i�y4'�'� � •, i.�,.�y.,,'W ��y�I� r�� I.r� �^4<<, � ! t of � '�-AIIIM'•�hr1111�`,.1NA� N r "Am��j�/t�,r=111 '•�AIIR �"!Y '11� /11111 "rill � �AnR', ,,��,,,,�1!• '� a nN4 � A y � �4 + 'rill ►iN` ,.�t�n�►,. .�;� n � r , ti Ir °Y� z a ' NLn ,1 \ +� ` rn O E d cd L N a d 3. l1�J r z 3 cn o do to 14 ; �' o to N N +n ., p ti Fa Q p 4J r , Pl V A u1 I~ > p al F•�1 rn 3t a oro ON N tan �. �1"�• I "iYl�••YY'L,VE�py'7pp•�pj wG.j�,yl�, •I:t S.4—. .. _ � �•`, �'� 1 7 1 d ■r a ` i I IIS i J P.O. BOX 127•TUALA'rIN,OREGON 97062•PHONE 682.2601 I �I September U, 1987 Bewley Mechanical Systems, Inc. P 0 Box 1661 Beaverton, OR 97075 Gentlemen: RE: Alternate Business Systems Willowbrook Buslness Park, Bldg. E 11515 S.W. Durham Road The mechanical plans reviewed for the above-captioned project are approved by this department contingent on ',he following items. 1 . Mechanical Equipment Approval: All. heat producing and elec- trical equipment and appliances installed in coniunction with the construction or occupancy of this project- must be approved by Underwriters Laboratories, Inc. or other nationally recognized testing agency and installed in accordance with the testing agency's specifications. (UMC Sec. 502) 2. Automatic Shut Down: If this equipment is supplying more than 2,000 CFM, it shall be provided with automatic shutdown by means of smoke detection, (UMC Sec. 1009) I J. Approved Plans on Job Site: One set of approved plans bearing the stamps of the Tigard Building Department and this office must be maintained on the project site throughout all phases of con- struction and must be made available to building and fire inspec- tors for reference during required construction inspections. (UBC Sec. 303) 4. Inspections Required: Inspection and approval. of construction by a representative of this office is required: (a) prior to the cover of any new framing elements following the installation, of all utility runs which will be concealed within wall and partition cavities; (b) upon completion of construction and prior to occu- pancy of the tenant space. (UBC Sec. 305) p, I E Bewley Mechanical Systems, Inc. September 11, 1987 Page 2 If I can be of any further assistance to you, please :eel free to call rr.; at 649-8577- Sincerely, 49-8577.Sincerely, TUALATIN RURAL ETRE PROTECTION DISTRICT Gene B i rch i l l Building Official SSW cc: Tigard Building Department Inspector Ray 1 � / CITY OF TIGARD MX-7HANICAL PLANS CORRECTION LIST ,glTF�ni�lT/vE l�us/�vFSs SYST�r-r JOB ADDRESS: SIZE OF BUILDING: l15-15 5-w 0u CONTACT PERSON: OCCUPANCY CLASSIFICATION: t�Eiv L Fa' /hEc h��1.c4/ Sys s Z1 ADDRESS: PO k-JA 16611 nom/ �< �,� TYPE: OF C STRLY-TION. TELEPHONE: a.26- (o/SSS^ REVIEWED BY:etvo" DATE: 6MIA) BUILDING PERMIT #: PEIVIT #: MECf 11VJICAL FQUTPMENT _j�(�f' C`NF/�I FE/�E� f'F�y s4 FE/��"v" � �Qp/-��-�,r�c-.�.rc�� ar'C/') <t. S A y proposed locations of mechanic- ipmrfit ad�inc 'iiny/a��itonal loads y - r �on existing building structure? YES' NO V es engineer or architect of 'o submitted sty •d plans showing location f. yes, has engin � IIx _�-of equipment, so inspector can verify all locations. NOTE: drawings must show written dimensions. / �c F1 RE RATED COMPCNVENTS j �E!/1EuJF� AA �� f=/S C., ec:y A76�dl Ir. Does building contain any of the following fire rated components? Fine rated roof ceiling, floor ceiling assemblies, occupancy separation, area separation, fire rated corridor construction or any fire resistive construction due to size. location, 1 type of use, or fire flow requirements of building? YES NO If yes, provide details of all proposed damper locations to be reviewed by the building department and fire marshal to verify code caTpliance(submit 3 sets of plans) . VVWLATION How much air is being moved per occupant per minute/per area per hour? much fresh(outside air.) is being replaced by unit into return air? NOTE: Plans examiner to verify compliance per type of occupancy, 1985 UBC. DUCT YJgRK If non-listed ducts are being used, verify type of supports, spacing and type of Mterials being used. (j If listed ductwork being used, submit manufacturer's specifications on proper install- ation procedures. Flame spread/classof ductwork being used. Nl7TE': If material used has label attached to product--showing type of material, support location, class of ducts, then no spec. sheets need to be submitted. c_ RCIAL HOODS __Wh required, hoods shall be installed at or above all comnen-ial type deep fat f �rs, boilers, fry grills, hot top ranges, ovens, barbeques, dishwashing machines, a any similar equipment which produces caTparable amounts of steam, smoke,grease o heat. s a Type I hood required for the type of equipment being used? YES NO standard requirements for Type I hoods: A. Must be constructed of galvanized steel, stainless steel or other material approved b, Building Official.. R. Every hood shall be fastened with non-combustible supports. C. Every joint and seam shall be substantially tight. D. _.Lnts and seams shall be made with a continuous Liquid tight weld or braze made on external surface of the (Mrt system. E. Ducts serving a Type T hood shall be enclosed in I hour fire resistive cotist.nictitm and 2 hour_ fire resistive construction in types I & Il fire resistve buildings. Enclosure separation is 3" rninimurn and 12" mtiaxinum from duct. F. Minimum clearances from combustible construction 18" or 3" if combustible m►terial A is protected by 1 hour fire resistive construction. G. Make up air required to roan provided with exhaust systan for Type I hood. Provide specifications to be reviewed by building department. Mechanical plans correction list page 2 CU ME.RC IAL RX)D;(CONT. ) H. Approved fire extinguishing equipment shall be provided for the protection of duct systems or hoods. Type II hoods to be reviewed for compliance under Chapter 20, 1986 UMC. GAS PIPING --GENERAL REQUIRFMFNTS If medium or high pressure lines used, approved presourc regulator-; required. A7V . Verify type and ]-)cation B. Minjinum 60# test required on all medium or high pressure systems. Verify all gas piping sizing required for system. _ V-2rify all shutoff valve//s and electrical disconnect switch lcoations. yr��,®/'ti1�MTfl0RTANT I N S T R U C T 1 0 N S C I�e,r/;rfP ea l READ CAREFULLY 1. Has fire department checked plans to verify all applicable codes? '/,415S 1. Effective November 13, 1986 Administrative Rule 806-10-120 states that non-exempt buildings, 4000 or more square feet or more than 20 feet in height from lowest floor to the highest finish ceiling are required to be prepared and stamped by an architect or engineer registered in the state of Oregon. - All mechanical equipment .installed .in interior of building to meet ccxnbustion air requirements of Chapter 6, 1986 Uniform Mechanical Code. 4. All mechanical equipment(heating and cooling) shall meet all applicable requirements of Chapters 1-20, 1986 UMC. Any listed applicances installed on job site must have manufacturers installation requi.rem:*nts submitted to our office in triplicate before issuance of pe.n-nit. KEY 'PO NOTATIONS INDICATES ITEM CVM. R4S WITH CODE. REQUIRFI-Ems RMDINDICATFU CORRECTIONS REQUIRED TO CONFOW W,,TII CODE RF)QUIRFMFWI; �j. _ INDICATES ITEM IS NOT REQUIRED BY CODE ^J_Q,INDICATES ITEM IS NOT APPLICABLE `IO THIS pROJECT .S INDICATES ITEM NOT SHOWN I r �r i I i 9.t' 1 1 yr 1 I UN K U MU IVI LSI IV U 1'lz_' z)W tt Applicants must hold Oregon Registration to conduct a plembingPF R M IT Vera CP 973 business or must be property owner/operator not hiring outside help. 639.4175 Name of D�m�rokslxWril --�Ll1Ji�l��rY'y r. � •.r`r�'�`-�— PlumbinµPermit I,.>. ,539/_ ass _ _ Dex:nphon * LA Job ORS 814.21-610 DUAN. PR ;E AMT. Tax Lot Map No. v Address tis/S 5 w D4,h.,s, led Ld Bkxi* SubdivIslon FIXTURES _ - --- \\ '1 Sink - 7.50 Noma or name o siness Lavatory 1._ 7.50 S pb �� i1V-- TuborTub/ShowtrCmb.a1 inr7.50 _ Shower Only 7.50 Owner Elev.F zip Water Gloset - 7.50 C j r Cs pry Dishwasher - 7.50 Phone -'-- - -- Garbage D*spcsal 750 Naris / Washing Machine -- _- - 7.50 - -- - I a ��_ Floor Drain_--- - - - - 750 ai i� rase Phone Walor Heater Y _ - -- 7.50 5b OCCUpan1 City/Slato '--- Laundry Room Tray_ - - 7.50 - Urinal 750 amq -- OlherFiztures(Specify) - _ 7,50 i rng rens 7.50 A4111 ? /�10 __— --— — 750 Cotttrector City/Stele - 750 Y' 1_l1C ('� l MISCELLANEOUS 1 City Bus. Tax No. Sewer t st 100' 3000_ tete�clDs. ar tete-Plumbers Bus.Lic.Noo Sewer-ea.Addit.100' (Reskiential) Nater Service 1st 100'+ __ 20.00 I twrebY acknowbdpe that I have read Clic application,"1 the Information Water Seryios ea.Addii.W -15.00 given is coned.that 1 am regis(ered with the State B*riklerlt Board,and also Storm 6 Rain Drain t at.100' — 30.00 - he"a State Plumbkrg lioenee that Cie numbers gN-en aro coned,that all — plurrlbirsg work will be done in accordrnoe with applicable provisions of Ore- Storm 6 P,}n Drain Addit.100' - 1500 --- gon Revised Statute•Chapter 447 and 643 WWI applkable codes and that --- no help will be errpkryed melees Ibxuwd under ORS 693.(It exempt from Merle Horne-fie State registratgn,please give reason below). Bac*Flow Prevention --- - -- HOMEOWNERS--I Mroby cerWy Cwt 1 am the owrser M the property de- E*dios or M6-Polkrlion Device 7.50 vent» above,at wtkh bcadon I prtpoee to maks a plunbktq inelakisdon br - ---- - - h MY 0%-use end V*prvperty Is not b*V acxWKK*ed for sale,base a GwrrneCied rent. Co Trap d Wavle Not to a F'ixtvre _ 7.50 Catch Basin_ _ 7.50 -- ksap.of Exist.Plurnbing - -- 40.00 Per Hr. - _ �alfy Req WW In"cilkxu 40.00 Per Hr Aller.of Pkrnbksp wMfsh -- �7 i -[ an ExW*V Bldg -- 15.00 min.— --- A VE I NATURE- Dab Bkfg.or Build.Ad&tbn 26 01U rein. ' L2a.in e farinl -- ----- ---- Detsabe work new g addition❑ aftembon[] repair❑ 11ir>� It -� be done residential n non-residential n - -- Esdsting u"of - -- txAf Wv or property bMPOW U40 of 9011-TOTAL _ CSO ot PppY NOTICE -- TO AL This permit baaxrwe null and vokl0 won*1x ooneouation auftruad is not oortr - merroed W"in ASO d"jcr$IoerrlsMcVw or Morkis*npwvW or dmndm ed lex a Perbd of 100 6"at rry flaw 116W work Is oorrMr nosed. at°lr�lAL OOMARlpttl!-_ Date Issued _ 7 T.— 'ry OCD-4ee 111 rat w. sIr s � i Lids'® P.O. BOX 127•TUALATIN.OREGON 97062•PHONE 682-2601 41! IR August 17, 1987 Mackenzie/Saito and Associate 0690 S.W. Bancroft Street Portland, OR 97201 Dear Sir: HE: Alternative Business Systems (Willow Brook Business Park, Bldg. E) 11515 S.W. Durham 14e have reviewed ,our blue prints for the proposed remodeling at the above location and they are approved sut.ject to the following require- ments. 1. Approved Plans on Job Site: One set of •approved -fans bearing the stamp of the City of Tigard Building Department and this office must be maintained on the I):-o.ject site thr )ughout 111 phases of construction and must he made available to building and fire inspectors for reference during required construction in- spections. (UBC Sec. 30.3) ?. Inspections Required: Inspection and approval of construction by a representative of this office is required: (a) prior to the cover of any new framing elements following the installation of all utility runs which will be concealed .,ithin wall and partition cavities; (b) upon completion of construction and prior to occu- pancy of the tenant space. (UBC Sec. 3G5) 3. Certificate of Occupancy Required; Prior to the use and oc- cupancy or other writter instrument of approval must be obtained from the City of Tigard Building Department. (UBC Sec. 307) SPECIAL NOTICE: DEVIATIONS FROM THE SUBMITTED AND HEREBY CONDITIONALLY-APPROVED PLANS DURING THE COURSE OF CONSTRUCTION, EXCLUSIVE OF THOSE NECESSARY TO COMPLY WITH FIRE SAFETY REQUIREMENTS AS f.ISTED HEREIN, ARE PROHIBITED WITHOUT THE WRITTEN AUTHORIZATION OF THE WASHINGTON COUNTY BUILDING DEPARTMENT AND THIS OFFICE. Mackenzie/Saito and Associates August 17, 1987 Page 2 PLEASE NOTE THAT WE HAVE PROVIDED A REFERENCE FOLLOWING EACH REQUIREMENT. THIS NOTE INDICATES THE APPLICABLE CODE AND SECTION THEREOF IN WHICH THE REQUIREMENT IS CONTAINED. U.B.C. , U.M.C. AND U.F.C. REFER TO THE UNIFORM BUILDING, UNIFORM MECHANICAL AND UNIFORM FIRE CODES RESPECTIVELY AS ADOPTED AND AMENDED BY W SHINGTON COUNTY FIRE DISTRICT NO. 1. PLEASE CONTACT THIS OFFICE IF THERE IS ANY RE- QUIREMENT WHICH YOU QUESTION OR DO NOT UNDERSTAND. STAND. If we may be of any further assistance, please Bio not ;iesitate to call or write. Very truly yours, TUALATIN RURAL FIi1E PROTECTION DIS'rRICT We x rt s a�shingtdn County Fire District No. 1 Assistant Firi Marshal ssw cc: City of Tigard Tualatin Fire District Inspector Ray BUILDING PERMIT APPLICATION DATE __ ts_ QAi. 7 THE UNDERSIGN HEREBY APPLIES FOR A PERMIT FOR T iE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ 11 a 1.i :;W Ourtlatn Rd. LOT NO. OWNER � .rL,-�rn1�1�7 �OBADDR�SS � ARCHITECT BUILDER WO8tWoOdENGINEER ADDRESS _ DESIGNER Mackenzie _ STRUCTURE ❑ NEW DOEMODEL [ ADDITION 11 REPAIR_ ❑ RENEWAL [.a FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE f$COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE U STORAGE U SLAB❑ FENCE OCCUPANCY _ - LAND USE ZONE BLDG.TYPE FIRE ZONE T PLAN CHECK BY HEAT-- Tenant EAT__Tenant modificatlon, all per apl?! vFad plans. Subject to Fire Dunt. approval. _ ` onaant s Alternative 3usiness SystaM 3. Bldg. E/ Willowbrook Plumbing and mechanical Parmits required _ SEWERPERMIT# _ OCC.LOAD FLOOR LOAD i HEIGHT NO.STORIES AREA N0.BEDROOMS VALUE BUILDING DEPARTMENT —` —�— - -- --- SETBACKS FRONT REAR _ _ LEFT SIDE_ _ RIGHT SIDE PermitF244,06 50 - THIS PERMIT ; ISSUED SUBJECT TO Tt,E REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND URDINANCFS, AND IT IS HEREBY AGREEU THAT THE PlanCh,)ok73 WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 3ub•total 60 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE '►F THIS PEPMIT DUES NOl WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO H<,VE CURRENT CITY BUSINESS Stale Tax3LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING TotalSDC— �,rPDC# APPLICAN OR AGENT By63 edd3 Receipt No.tA�RES9 -- / PHONE i DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE - t- js C ✓ >ti i�� Contractor C� 07 Sri - j Permit No. -- —�� Rough-in Y---- �� J C Fixture Final HEATING Contractor Permit No. Z A4 T 11 � Gas or Oil t Rough-in - �U/ 7��C�� f-itf s�r✓'a�t�__ e Final -- -�---�-�7�� SE W E R nal -- �— DRIVEWAY Final arm Drainage 1,7 tl (Rain Drain)Final Sidewalk Curb 0 Street Final Apprc BLDG.DEPT.pl'aAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY nal ___— — Lendsceping Zoning Final j 3 i i i JLlwCITYOF'TIGARD 639-4171 BUILDING PERMIT DATE OWNER-----f') TAX MAP _� I-io'1OT NO. . V,--'SUBDIVISION JOBADDRESS I �5�� tJ :bQ)(2+lr*ll BUILDER —_-'C C-'27-N _-, STATE REG.NO. EXP.DATE BUILDER'S PHONE J2C'E C PHONE 2- _OTHER STRUCTURE ❑ NEW -REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER ❑ DEMOLITION ❑ RESIDENCE 's'COMM ❑ EDUCATIO14 ❑ IND ❑ RELIGIOUS ❑ ACCESSORY ❑ GARAGE ❑ OTHER C) FENCE OCCUPANCY LANOUSEZONE �` _ BLDG. (tt ' FIRE ZONE_ PLAN CHECK BYs✓Z HEAT AN T- ltk P It A 1-i - �, -- -- ---- -�- - C E n r) SEWER PERMIT N i` OCC.LOAD FLOOR LOAD HFIGr1T NO.STORIES / AREA 3 k'o NO.BEDROOMS VAL �s +' BUILDING DEPARTMENT SET BA(..KS FRONT HF_A_R _ LEFT SIDE RIGHT SIDE Permit -�_Z 9 0 THIS PERMIT Iw ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING ;JkEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AVD IT IS HEREBY AGREED THAT THE Plan Check y 6 3 WORK WILL BE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE -rR,(y0 -y WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE: OF THIS PERMIT DOES NOT WAIVE PI.Ck.Fire Z RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO I,!AVE CURRENT CITY BUSINESS 3 3 J TAX PERMIT S.SLPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax Total --- 1 i� SDC- ) a ` �� `�� pCLc_` Y PDCM APPLICANT OR AGENT --/-f Prepd. 1.S/`� 2 `7 5- ,d Receipt No. ADDRESS —"`� PHONEIssued By __Approved By__- _ CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : S-G C_ PLAN CHECK APPLICATION DATE RECEIVED: 7 P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: This is to certify that the attacoed _3 sets of plans have been submitted for plan check pursuant to the Oregon Struct,iral Code and Fire & Life Safety Code, c5` _ edition. PROPERTY OWNER: OWNER'S ADDRESS: CONTRACTOR: �� TELEPHONE: S `-* .JOB ADDRESS: ��S �- S� 'tA ,��''^1 LOT NO. &cMAP:/,7 DESCRIPTION OF WORK: Approvals Required SPECIAL NOTES Manning Dept. O Reissue O Engineering Dept. () Flood Plain/Sensitive Lands <�f'ire District O Sewer Avaiiability O Other Other Items Requited () List_ of subcontractors C) Business Tax '`� Calculations 0 Truss Details O Parking Plan OLandscape Plan 0 Other COMMENTS: City of Tigard Building Department wA .w rlRE PREVENTION BUREAU OFFICE OF FIRE MARSHAL 342.713 INSPECTION NOTICE OCCUPANT N04^/Clri L� OCCUPANCY LOCATION �/5 J' u/ ✓ksf//l�'� 1 �b�i�iV/N®�� YOUR ATTENTION IS CALLED TO THF FOLLOWING FIRE SAFETY OEFICIFNCIESI �/y FAILURE TO COwRCCT THE ABOVF CONOITIONS WITl.111 DAY] WILL MA"* 4OU LIABL':-T9, ��OSECl/TIO.N //V�OULf� RESULT FROM YUCK CONDI ftONS YOU MAY BE LIABLE FOR DAMAGES TO PF.RlONF.'RO�/j�L. EROVISION! OF ORS 479 Ion BY ` F—^'t.. WASHINGTON COUNTY FIRE DISTRICT#1 FIRE MA SFIAL 20665 S.W. BLANTON STREET P�ESENfED ALOHA,OREGON 97006 649.8577 - FORM 000 - 40 �� .d4�\` 4�1• �i .. ��";'.".."�«:.�,,,,►`--f.�.,,en ,� ° 4j -- �'�y °'4ud w �1,�� ^�'•i.y '�!x • `\ �•*�wa,'-YK�:.�` ,remit ,�,,;!�� ' e7.de��wly:` M� ( vt �� d. OZIN\ M �fA�,� ,�IU", 'P' p� A • •� •Q"Y,• ~AIIW ?)•�f..,/'�Mh Ahh�N�• �1111•A"` %?}j � fr� j�� '`�`�,�y� ��^ � ,f��•h� �1�. 1� '•�(. ASM. i',��i �•• {+ gag ` `,�Kt ,�`,-'�` •7�:;�AN`;'�t `1%y ��* �G1`�'`�1�•:; �n��^>!�pf,�"M."�1..,'<111�^1••'/,r��111�' �e�' ` � ti �ry•di� ITY 'o aw Tpp,, ,g ow 41 � u o 1, � ,, l �► H u U .+ , ci w Z bD a q .. tolar ;,',. ''� V M� ro v "y" CD U fir✓ °21 r 1 ul Ai rn o ; t o : ' , M1.; •ti a to 10 'j� i�Y. � � � ;; ori .o d � �, ,�)•,.,��, 4� Gr It t� e ; ,•,�I�a � ,1'1}�.?��";�: 'ilCfKiCc�. ilu�•.t.•�i'diC•+�,an,y '.=' Fi [. -- ��,��,ktz 4lg, ' ,�";_' .��,'-'� - �r�� o. •�,tee,' op i r {. -Ilk' •x�...• �{/'.•1:��. .�-, ••, 61 1 41, �` � � � flRO1� G110U DIS � � IC I 4 ' lUfl �fl11U RU �fl � � � P.O. BOX 127 • TUALATIN, OREGON 97062 • PHONE 682.2601 ESTATE PRESERVATION February 4, 1987 11555 S. H. Durham Rd. Tigard, Oregon 97224 20755— 2. 342C —110-004 Insp. Type RAF Dear Durham 99 Associates, This is a Fire and Life Safety Plan Review and is based on the 1985 editions of the Fire and Life Safety Code (VBC ), Mechanical Fire and Life Safety Code (UMC ) , Uniform Fire Coep (UFC ) : and other local ordinances and regulations. 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 ar.d surface bolts are prohibited. UBC 3304(c ) ;there double uoors are used for exit doors, the second leaf shall be equipped with automatic flush bolts. Not less than one ( 1 ) approved fire extinguisher with rating of not less than 2—A: 10—B: 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 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. Review of submi. *ted mechanical plans indicate no violations. Submitted plans are approved for construction Subject to the abuve noted items being addressed. ■ 1HRIM HUI Rt PURIM, KIRIN P.Q. BOX 127 • TUALATIN, OREGON 97062 • PHONE 682.2601 1 . 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 i I i I I w l� e � +■► is .w INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phoney 639-4175 Type of Inspection ' --C — Date Requested Time_____A.M._�—P.M. Address 5Lt� �Cs��- s� --- Permit Owner_ s{/r•✓A/ ldM _ �'TG T_JL Lot BuilderThe following Building Code deficiencies are required to be corrected: PretP•,ted to nspaetor —_—__�/ ' ' _-- ------ - Dicapprowed Date CALL FOR REINSPECTION ❑ YES 1=7 NO m CITY OF TIGARD VC-CHANICAL PERMIT Receipt# 1 q 4f1- Permit //f Description Table 3A Mechanical Code CITY PRICE All City of Tigard - --- 13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00 P.O Box 23397 — - - --- -- Tlgard, OR 97223 2) Supplemental Permit 3.00 (339-4175 Furnace to 100,000 BTU — 1) incl.ducts&vents 6.00 2) Furnace 100,00 BTU + _ incl,ducts&vents 7.50 I — Name of OevNopment - 3) Floor Furnace I 0 1 L4.c.). incl,vent 6.00 Job Address Suspended heater,wall heater — Address �1/ j, .!� I,� 4) or floor mounted heater 6.00 Tax Lot Map No 5) Vent not incl.in —^ - it 3.00liance perm Lot Block Sublivislon app _ Name(or name of business) 6) Repair of heating,refr ig. - ;_ cooling_absorption unit 6.00 Owner Matilri Ph Address c one 7) Boiler or comp to 3 HP - I ' absorp,unit to 100,000 BTU 6.00 Citylslate Zip — 8) Boiler or comp to 3 HP-15 HP absorp.unit to 500,000 BTU 11.00 Name — Boiler comp 15-30 HP /'1 -- '�r er o��/rr'.3 r r• 9) absorp..unit -1 rtillien 15.00 Mailing Address ne 10) Boiler or comp to 30-50 HP Contractor t- absorp,unit 1 -1.75 million 22.50 citylstate Zip 1.1) Boiler or comp to 50 HP 11t(7 /. j , `?T" - absorp.unit 1,750,000 BTU 31.50 State Registration No. City Bus.Tax No, 12) Air handling unit to 10,000 CFM 4.50 I hereby acknowledge that I have read this application that the information given is 13) Air handling unit correct,that I am the own or authorized agent of the ow ier,that plans submitted are In 10,000 CFM + 7.50 compliance with State laws,that I am registered with the:tarn Ruilders'Board,that the 14) Non pnrtable number given Is correct (If exempt from State registration please give realer below). evaporate cooler 4.50 — - 15) Vent fan connected to a single duct 3.00 16) Ventilation system not included in appliance permit _4.50 —� 17) Hood served by mechanical exhaust 4.50 signature towner or agent) Lime Domestic type — - Describe work F-1u addition ❑ iteration ❑ repair ( i t 8) incinerator 7.50 to be done residential ❑ non-residential a. Commercial or industrial - Existing use of 19) type incinerator 30.00 building or properly i- _ 20) Other i.e.,woodstove,water - Propused use of heater,solar,clothes dryers,etc. 4.50 building or property ---- 21) Gas piping one to four outlets 2.00 Type of fuel- oil FI natural gas I I LPG f-1 electric L 1 -- - - 22) More t:.an 4-per outlet NQTICE — ------- - -- -. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON SUB-TOTAL STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE DAYS, OR IF CONST.-IUCTION 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. ;OTAL ' Z, Special Conditions -- - __—.` -- —----- Date issued - by— 6461 CITY OF TIGARD 639.4171 DATEJatnuary 6 tg87 BUii_DING PERMIT 1 AX MAP _LOT NO. _ SLIRDIVISION OWNER_ r��99 Ass+Cotes __ JOB ADDRESS SW Wrilam Rd. 16-0 BUILDER W138tw0041 Gots*•_ STATE REG.NO. EXP.DATE BUILDER'S PHONE PHON 24-'!5711 iIiCICe11L'1l/SAitO E _ - _-- OTHER ARCHITECT'.�._.__��_-- _-__ STRUCTURE 0 NEW REMOUEL_ ADDITION EJ REPAIR MOVE OTHER L, DEMOLITION RESIDENCE X ❑ COMM FI EDUCATION IND ❑ RELIGIOUS ACCESSORY GARAGE OTHER L FENCE OCCUPANCY $d LAND USE ZONE Lt` BLDG.TYPE 5 _FIRE ZONE PLAN CHECK BY i`'Tt HEAT y�1B ,,i.struf�t Vvnant maditicatiun all aye- approved plane and code rey:riremenl.es Sbbject to Lice t ,s,.; r 1 Llt review , SAI L14CL.euxi� "Wit t2kW4.0Q . (AULed SEWER PERMIT M elrrutbin6 & mech. permits required r:ss ti OCC.LOAD FLOOR LOAD 40 HEIGHT 2(y NO.STORIES3 AREA Ills, NO BEDROOMS VALU119� �Et T BUILDING DEPARTMENT !.f f' pl _ _ SETBACKS FRONT REAR ays LEFT SIDE RIGHT SIDE -� Permit Ik4u.5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODF. ZONIt 9l.ss REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT T E Plan Check WORK 'HILL BE GONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAT,ONS AND IN COMPLIAN F .5 6120 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT COES NOT WAIVE PI.LTc re RF"TRICTIVE COVEN ANI S. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS --- TAX 1'F.PMITS.SEPARATE PERMITS REQUIRED OR SEWER,PLUMBING AND HEATING. 5•b� 1 i State i ax SDC - � �- Total y j•G S — PDCM Ap�LICANT A 14NT } 1 Prepd. Receipt Nqf,`,' ADDRESS PHON Bel.Due all Issued By_-----Approved By-- Ww r w w DATE INSP. TYPE INSPECTION — EMARKS PLUMBING DATE Contracto — 2,3�y J-11-9 Percnit Rough-in Fixture -- --- -- ---- 2'y Final —�— HEATING Contractor L+ -- -- Permit No. ( _ Gas or OII Rough-in Final — - SEWER �— � — -- -- Final —� — — ------ — — DRIVEWAY -- - --__— -- — -------— --------- — Final Storm Drainage (Rain Drain)Final -------- - ---- � _.— Sidewalk -- -- --- Curb 8 Street Final -- --- --- Approach BLDG.DEPT.FINAL CERTFICATE TEMPORARYOCCUNCY CERTIFICATE OCCUPANCY Find Landscaping Zor ng Final i dill ;r r t rITY OF TIGARD 1639.4171DATE 'ILDING PERMIT �ti.�•�� _ Q TAXMAP LOTNO. SUBDIVISION OWNER )V(1 A-M 14f l A SC o c A rt4 JOB ADDRESS 1515 SUI DU11241 A A-1 FM BUILDER — Ili FE'S �l!�G D CO(LP STATE REG.N0. EXP.DATE BUILDER'S PHONE Z'?iZ' 2 p6 Q I � `�� OTHER_ARCHITECT STRUCTURE ❑ NEW ! REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER Cl DEMOLITION Cl RESIDENCE w COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY Q GARAGE Cl OTHER ❑ FENCE OCCUPANCY —�2-LAND USE ZONE -fr—BLDG,TYPE FIRE ZONE----PLAN CHECK BY iiZ • NEAT—, a SEWER PERMITM d�L� 1��st �r11 ✓ /L�'� ISI ��'�/�G'�/ ��`�� q OCC.LOAD FLOOR L D yO HF.iGH u NO STQAIES AREA NO.BEDROOMS,--- VALUE 1 _BUILDING DEPARTMENT SET BACKS FRONT 1 REAR F' P," r' LEF :.'DE RIGHT SIDE Permit V THLe N:iTto1.I"r% ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZONING - RIEQULAtIMda AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE F--'o z: heck 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 'Pl.Ck F.•a RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS — TAX PERMITS.SEPARATE UERMITS REOUIRED FOR SEINER,PLUMBING AND MEATINOL ate Tex (� Impl. APPLICANT OR AGENTrepd. Recelp ADDRESS PHONE Due ._ Issued T pproved By ---- SSDC --- $ S 0 C POC SCWER CONNECTION b ,EWER INSPECTION f SEWER SURCHARGE 5 , [:.�mmenta - - l t CITU' OF TIGARD MECHANICAL PERMIT Receipt# _- Permit# �1 &;acrlpilon City of Tigard 1 Table 3A Mechanical Coda QTY PRICE AMT -� — -- - -- 13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00 P.O. Box 23397 ----- �- — — Tigard, OR 972.23 2) Supplemental Permit 300 639-4175 Furnace to 100,000 BTU 1) incl.ducts&vents 6.00 Furnace 100,000 BTU i 2) incl.ducts&vents 7.50 Name of Developma it 3) Floor Furnace 6.00 incl.vent Job Address —Suspended baster,wall heater Address s/ 4) or Iloor mounted heater -- 6.00 Tax Lot Map No ��• 5) Vent not incl.in appliance permit 3.00 Lot Block Subdivision _ Name(or nameof mass 6) Repair of heating,refrig., 6.00 __cooling,absorption unit ailingAddress Owner ane 7) Boiler or comp to 3 HP 6.00 abs,)rp.unit to 100,000 BTU _ city state Z;p--- -8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU Name 9) Boiler or comp 15-30 HP absorp.unit 112-1 million 15.00 Melling AAdress Phone Boiler or comp to 30.50 HP . 10) absorp.unit 1 -1.75 million 22.50 Contracto, cityistate `- Z;p — Boiler or comp to 50 HP 11) absorp.unit 1,750,000 BTU 31.50 State Registration No City Bus.Tax No Air handling unit to� 12) 10,000 CFM 4.50 I herebyAir handling unit^ �- acknowledge that I have read this application that the Informeti�n given is 13) 7.50 correct,that I am the owner or authorised10,000 CFM 4 agent of the owner,that plans submitted are in — --M compliance with State laws,that I am registered with the Slate BuildersBoard,that the. Non portable number given is correct.(If exempt from State registration please give reason below) 14) evaporate cooler 4.50 15) Vent fan connected 3.00 to a single duct Ventilation system not 16) included in appliance permit 4.50 17) Hood served by mechanical exhaust 4.50 signature(owner or agent) [)are Domestic type Describe work [jaddition F] alteration [Arepair I i 18) incinerator7.50 to be done residential fJ non-residential ❑ Commercial or industrial - 19) type 30,00 Existing use of — YP incinerator building or properly _ _ Other i.e.,wocdstove,water Proposed use of ?0) heater,solar,clothes dryers,etc. 4.50 building or property - _ ---�— -- 21) Gas piping one to four outlets 2.00 Type of fuel- oil F_l natural gas [I LPG ❑ electric ❑ —--- - - 22) More than 4-per outlet NOTE � -- -- - THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- — SUB-TOTAL STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5&/0 A.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 I ------ _ WORK IS COMMENCED. TOTAL Special Conditions ------— Date issued -- ------------by- mss 4 7� ■ �� J11• Receipt# CITY OF TIGARD MECHANICAL PERMIT Permit#.. Description Table 3A Mechanical Code QTY_ PRICE AMT City of Tigard 13125 S.VV. Hall Blvd. 1) Permit Feo 0 -0- 10.00 P.O. Box 23397 Tigard, OR 97223 2) Supplemental Permit 3.00 539-4175 — Furnace to 100,000 BTU 1) incl.ducts&_vents 6.00 Furnace 100,000 BTU 2) incl.ducts&vents 7.50 Name of Development i— J 3) Floor Furnace -� 6.00 ,t, incl.vent Jab Address 4 Suspended heater,viall heater Address �� G ' r ) or floor mounted heater 6.00 Tax Lot Map No --- Vent not incl.in 5) appliance pormit 3.00 Lot Block Subdivision - Name(or name of business) Repair of heating,refr ig.. X1t _0-ko _ '9 1 A f Sr- C- 6) cooling,absorption unit 6.00 Mailing Address Phone _ Boiler or comp to 3 HP Owner - Ire. 7) absorp.unit to 100,000 BTU 6.00 - Boiler or comp to 3 HP-15 HP city;state z,p ;10 Z fit', 8) absorp.unit to 500,000 BTU 11.00 Name Boiler or comp 15-30 HP 9) absorp unit 112.-1 million 15'00 Mailing Address Phone 101 Dudor or comp t:)30-50 HP 22.50 2 7 j �� abso;p.unit 1 -1.75 million — Contractor Cily!State Zi Boiler or comp to 50 HP Zip 11) absorp.unit 1,750,000 BTU 31.50 State Registration No City Bus.Tax No 12 Air handling unit to 4.50 10,000 CFIA I hereby acknowledge that I have read this application that the information given is t 3) Air handling unit 10,000 CFM 1 7.50 correc,that I am the owner or authorized agent of the owner,that plans submitted are in — — ------ — rxwmpliance with State laws,that I am registered with the State BuildersBoard,that the14 Non portable number given is correct.(If exempt from Stale registration please give reason below) ) evaporate cooler 4.50 I _ Vent fan connected '-- 15) 3.00 a single duct j 3.00 -- - - Ventilation system not 16) included in appliance permit 4..,0 17) Hood served by 4.50 mechanical exhaust Signature(owner or agent) -- ------ -- ---- — Date Domestic type 16) incinerator 7.50 Describe work ❑ addition D alteration repair I I to be done —,residential ❑ non-residential 19) Commef tial or industrir' — 3000 Existing use of type incinerator building or properly 20j Other i.e.,woodstove,water 4.50 - -- -- heater,solar,clothes dryers,etc. Proposed use of ----.-- —_ building or property -- - --- 21) Ga:;piping one to four outlets 2.00 , '\' I Type of fuel- oil [I natural gas I I I_PG I electric, 1 --- 1 22) More than 4-per outlet _NOTICE SUB-TOTAL. THIS PERMI r BECOMES NIJLL. AND VOID IF WORK OR CON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S&10 486 SURCHARGE �',"y DAYS, OR IF- CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUS-TC,TAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - -- WORK IS COMMENCED. TrJTAI_ Special Conditions -- -------_--_ ___ - Date Issued by r enr ... • ..a � ,ur1� tale Iri1..�.I7Pr►IVI�..HL� �'CI'i1V1! 1 � � '� Permit N DeswlPtlon _ City of Tigard Table 3A Wetter"Code OTtr rates AMT --- _ 13125 S.W.Hall Blvd. 1) Permit Fee .0- ,0, imp P.O. Box 23397 -- Tigard,OR 97223 2) Suppiemarttal Permit 3,00, 639-4175 11 Fumaoe 10100,000 BTU Ind,duds&vents a 00 2) Furnace 100,000 BTU + Incl.duds&vents 7.50 Nam.of 00"101-wit 3) Floor Furnace - -aLT� incl.vent — 6.00 Job Address ��p r 4) Suspended heater,wall heater Addressor lloormountedheater - 6.00 Tax t.of Map No. -' 5) Vent not Ind.in t.a g� sem, appliance permit 3.00 HOwner me(w name d Wsk»ss) 6) Repair of heating,refrlg., cooling,absorption unit _ 6.00 "Address Ph" 7) Boller or comp to 3 HP 6.W l- absorp.unit to 100,000 BTU 2- / r� ZIP Boiler or comp to 3 HP-15 HP — 8) absorp.unit to 500,000 BTU 11.00 w ��-" Boiler or nDmp 15.30 HP 9) �y$4 S absorp unit 1/z-l million 15.00 10) Boller or comp to 30-50 HP �� altimp.unit t-1.75 fThIlon 22.50 rswas zo 1 i t3olkr fx comp to 50 HP L!lZiC C7'75� aboorP.uM 1,775010006TU 31.50 —+L coy eass.Tyr;No. 12) AltltaW&V"to 10,0190 CFM 4,50 hereby rctv,omledQe sm I hm road wy VW ru W tWM@Ma1 0N*n is 13) Air handling unit 7.50 Formol If+at I ar ow vM 0 or arehwftrd it"M of 010 0-W.9W Plana MAwfted we in 10,000 CFM + reelaMrW e�h r+e tIKeN tic*lsre t�oerd. r r,e Non portable r ovw kt oanrx.(M sr+0 tram tarts replstrs0on Prow plw naerx,below). 14) evaporate 000ler 4.50 15) Vent fan connected 3 -- v _ to a single duct. —�~ 00 16) Ventilation system not 4 Included In appNance permit 17) Hood served by , -- mechanical exhaust or gals ------- ()�� ❑ odmon ❑ [] n'M�r L7 t5j Indnera ofoft fYPe — 7.50 { rsNdentl�d ❑ noR'm�� 94' 1 g) Commorcki or Industrial E>rletlnp use of i -type Irlcinelator 3000 Wlft or fxovv1y_�._______ — 20) Other I.e.,woodstove,water Pmpmw use of heater,solar,clothes dryers,etc. 450 btlldrTp or fly -7---- ,CrO 21) Gas piping one to four outlets ____ Type of fuel - oil O nature) On O LPG C� electric —._ 22) More than 4-per outlet THIS PERMIT BECOMES NUI) ANt' VOID IF WORK OR CON. SU&TOTAL �n &TRUCTION AUTHORIZED IS NOT C01,4MENCED WITHIN 190 .4%SURCMAP0111111 DAYS, OR IF CONSTRUCTION GA WORK !; SUSPENDE7 OR ABANDONED FOR A PERI))r)F'18019AY,AT ANY TIME AFTER - PLAN REVIEW 2S%CW SMYOTiAIL WORK IS COMMENCED TOTAL 1� 'Vidal CondMbns I P.O.Sax 23397 CITY OF TIGARD PLUMBING 13175 SM ►»1 Blvd. Applicants must hold Oregon Registration to conduct a plumbing T� M 97223 ��R M IT 639175 busine ss(x must be properly owner/operator not hiring outside help. NanaJ r• lopm/e)nt� Plumbing Pennil No. _Q( Address Description NA� � OS814-2110UlI OI1AN. PRICE AMT. Job Tax LM Map.No Address -- FIXTI NRES L.at Block Subdivision ------- -- --_- -- - Shtk -_ - -- -� 7.60 -- Name or name of business) Lavatory _ a 7.50 — -__ Tub or Tub/Shower Comb - - 7. Wiling50 Address --- - Shower Only -`- --^ I} _ 7.50 Owner Clty/ tate - —Zip Water Closet - -,---I -4• T 7.50 _`- Dishwasher 7.50 ------ Phone Garbage Disposal- 7.50 --- Name -- Washing Machine - -_ - --—7,50- Floor .50Floor Drain - ---- - - --- 7.60 a�ing re Ss Phone Water Heater 7.50 /State Zip Occupant City Laundry Room Tray 7,50 P Ci -- -- -- --- - -- - Urinal _ 7.50 _ aPhone Other Fixtures(Specify) 7.50 7.50 J-K p Address ��Phone 7.50 �,F Mao Contractor /State ��( I 0 _ _ MISCELLANEOUS _ City Bus Tax No. Sewer 1 at 100' 30.00 0 u no o '/,6 ---------- -- - - State Bkiplr Board No. tate Pkimbers Bus.Lk.No Sewfw-ea Addy 100 -A 15.0(1 ---- (Residential) `— `1 G 16~ Water Service tat 100' -- - T -20.00 I hereby acknowledge that I have read this applicatkxt,that the Information Water Service ea.Addit.2W - 15.00 - given is coned,that I am registered with the State Builder's Board,and also Storm 6 Rain Drain 1 st 100'- 30.00 ve haa Stale Pkxnbktg Roense that the numbers given are cored,that all - - -- --- plumbing work will be done in accordance with applicable provisions of tire.. Storm&P:1n Drain 4ddil.100' 15.00 gon Revised Statutes Chapters 447 and 693 and ap>lkabie codes and that Mobile Wine Space 2500 no help will be employed unlwks licensed under ORS 693 (tf exempt from ----- - -- -- - State registration,plowus give reason below). Back Flow Prevention( H014EOWNERS-I hereby certify the►I am the owner of the prrg". de- Device or Anti_Fbltulion Device- -- -- -7-50 - wxibed above,at whkip location I propoes to make a pkxnbft Installation for Any Trap or Waste Not my(y vn use and this p x ty is not bektg omutructed for sale,tease or rent Co necled lo•Fixture Catch Basin 7.50 -_ �--- lisp of Exlet Plumping -�_.- `--- 40.00 Per Hr. _ - --- -- -- ----- Specialty Requested Inspections - 40.00 Per Hr -__ --_. --�-- Akar.of Pkrnbkq wId* an F_xfs*V Bhfs 15.00 min. AUTHORIZED BI(3NATURE ----- DaM Nov Bldg.or Build.Addition-- —_v_ 26.00 min. ` -----•— Bait) Rain, 4t11i—Y_ -- Dearxibe work rtew❑ addition❑ tlidteration❑ repa!r 1-) clwelIirg 15.00 119 be_dcn — residential(-1 _nor(-residential jam— - - F_xWng utse of hAkWV or property -_-- -- --------------- -- -- Via-TOTAL G_-C:-? O( P1'p�pear3 utia of _ WlICF1A110! _ _ cVv NOTK7E -- - --- - - �- d Tom - t CO - TCN petmM beoomes tuff and+cold M work or ometruoMon authofixed la not coin U O rrertoad*11116100 otyaAr N oand uco m or work N suspended a aberda►ed la a,porlod d 180 days of"ems atter work N namrnenosd. Date Issued _-- _- ---_- by OCO.480(I 1 rily rev oto 2�� 13125 -3)t�]Applicants mushold Oregon CITY OF; 11GARCPLUMBING -1 Registration Ell to conduct a plumbing PERMIT Titer CR 91223 / business or must be property owner/operator rwt hiring outside help. 639-4175 Address Plumbing Permit tJo.- �r_L� L rDeaa,pfx, -_ _k 4- Job Taxlof st"5L ,t [` rFIXTURES 814-21$10 DUAN. PRICE AMI Address Map.No. LDI BAR c dbw..,ion - --- 7.50 Name o name oT�ua,,ass -- - -2_3U Lavatrxy ar --mss• - Tub or Tub/Shower Co int), Shower Only 7-50 ` Owner CIly-date-- --- - __ -- - - - zip Wetor Closet Dishwasher - Garbage Disposal 7.50 Name — Washing Machine --- - 7.50 Floor Drain ai mg Address- Pone Water heater -----' - --- — 7.50---- 7.50 _ 7.so .Sd Occupant Cffy/Slate ZP Laundry Room Tray - 7.c� - 7.50 - - ' -_- _ Urinal -- - -- — ""-- ame — -_ Phone Other Fixt=(Specify) 7.50 -- ng rase Photo JAkd - - 7.50 s� __.. 7.50 Contractor CMy/✓tate --- zip —--- — — ----_-- 7.50 --- MISCELLANEOUS MISCELLANEOUS — City Bus Tiu Nc Sewer 1st 100'_ 30.00 tai j�-- tate s s. _Sewer-ea.Addit.tory- — --15.00 - (Resalen6 31) Water Service 1 st 1 W' - —.__.. _ -20.00--- I hereby acknowledge that I have reed this appNc*-.n,that No Information Water Service sa.Addd.XD' 15.00 - Sivren is oohed,thal 1 am reglslered with the State BtAMer's Board,and also — havii a State Plumbing somas that the numbem given are txxrod.that an Storm R Rain Drain 1 st.100• 30.00 -- pkmibing wok will be done in aocorttsrae with sgAIcabie Pitooff ons of ore- 51am 3 titin Drain Addn.100' -- 15.00 —. g0n Revised Sletuta.s Chapters 447 and 893 and appNcatvle viek and that no help wiq be employed-rows Nm**d under ORS 89l (n exempt from MoblNi Home Space —�- - 25.00 `- State reglatratan,pisses give reason below)- Bad*Flow Prevention - HOMEOV641FRS-I hereby oerwy Nut I on,the own, o.the PrT"dn- aylvi or"-PoNufion Device 7.50 *crtbed above.a l;NMch lorason t propos*b,,,*a owt*p Inslsilation hx -- -- --- my own use and thi*Nraperty in not bekq omw miled for*ale,base or rent Any Trap or We"i,Not OW-41C sd b a 19xhxs 7.50 40.00 Per Hr --- SPedsiti Requested Inspectlens --40.00 Per Hr - -- Alter.of F��niwnp wkfNn --- - __�_ an Exla*V Bldg. 15.00 min. -- Date New Bldg.or Build.Addition_ 26.00 min— Describe work new - - �njt%_Mg1e falli. Y _ t -- f_] addition L� alteration repel'[] X11' r �_��dtxte residential f 1 -_-_ntxt•res al t -� -u _.-._ _ _1�.!x► - F'rf,st;ng use n,' ---- bUli�hQtxPraperty _- ----------------__. _ --- --- FN 0Md U"of - -- OWTOTAL a maulnin nr*1.041,,il eeoca-»a nun.nd wfa "Criark"r -------'2��2 �/tee t/. — ��! _ ZS manoad wltlltkt 1St1 c`wvaa N oa =Wt 00111 n ft*WUt*d is not con- -- e ri kid M 1St) mdnx lion or IMmk M Mopend*d of 460ndened for de"@1 any t�aifier work le aetrirneraoed aMt7f�11 C)01/[ffTq� Date Issued by • r o•,c .o• 37 P•,c o ,oi l A,c r•,u �.,c. .4 C Fl 1,+ t •o a■` Q 4 1 Zh r CL 771 � 1 � � � •..��..� ._.111��. � � f 11 a 1 rZ�=+IJ .(7•,fl �O•�i�r .O�,�i � .O•.a— A•,i .0 ALJ .o•Al i , '"i � G f�� - ��G��, C��Y.� �� r C� e � Sin w t �' \ �i �. Cn'� $�� N L✓ i� l �` /\ ('� 1 \ /? �h � 'L/ `��/ �;�