11555 SW DURHAM ROAD STE A-1 ADDRESS:
_HISS 3w r20
Sk & ,9--1
i:\records\microflm\targets\b,jiIding.doc
Inspection CITY
O(Re IGAp EMILDg 4G INSPEC7ION NOTICE
uSrness Phone: 639-4171
Inspectir,j:__
Footing —SuSP Ceiling
Foundation Sprink. Rough-in Appr/Sdwlk
Post/Beam Strutt. g r
Plbg. Underslab Mech. Rough-in Fireplace
Top Plbg, To Out Elec. Rough-in
Post/Beam Mech. San. Sewer rFINAL:
Gas Line -Bldg.
Plbg. Underfloor Rain Drain
Alarm Framing -Plumb.
Watbr Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. -Mach,
/Date Reque,,ted: / Time: -Elect.
Address: AM _PM� .-� `
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
T
7T``
l .CLr
Inspector:
_ APPROVED
4DISAPPROVED _APPROVED
SUBJECT T�ABOVE
—Call For Reinsp. Te
TIPIE
CITY OF TIGA,RDCER OCCUPACATNOF
CY
COMMUNITY DEVELOPMEN'T E�.%M T PERMIT 0. . . . . . . .. BUPI�'5 Oi296
0 (, ) qN
13125 dW Hall Olvd.Tigard,Cragon 97223o8 0 171 DATE ISSUED: 09/0!!/95
PARCEL 2G 19
SITE ADDRESS. . . : 11555 SW DURHAM RD #A--I
SUBDIVISION. . . . i WILLOW BROOK PARK 70NI1qGaC-(;
BLODK. . . . . . . . . . I LOT. . .
CLASS OF WORK. iALT
TYPE OF USE— tCOM
OCCUPANCY GRP. s82
OCLUVIANCY LOAD07
TENANT NAME, 04AWAT 1E;N COVE RESTAURONT
Remav-kvt Tanont, Improvement Hawaiian Cove Rostaut-ant
Owner :
DURHAM/99 ASSM
23e033 150TIA ISE
MONROE WA 9F272--0000
Phone #t iL067947945
Contrectort
CPC & SONS INC
lt?aft SW FAIRFIELD
BEAVERTON OR 970e5 -0000
Phone #o 150.3-644-6900
Ron #. . 1 56514
This Certificate cortifies that the above referenced building or portion
thereof has been inspected for complJance with the Tigard Do-tilding. Code
for than group and division of or_cttpmnc.,y and use for which the Pbove
referenced permit was iss.--ted, sand OCCUPAM-y 0.4 hereby gr ant 02d.
�f'F
AV,i n)IN9 09k Ph'CT0R 11-. C L
PO'iT IN CONSPICIJOUS PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 64175 Business Phone: 639-4171
� ( .lam-�C��--' ------------
Inspectiow_ 7—
Susp. Ceiling Sprink. Rough in Appr/Sdwlk
Footing Fire lacs
Foundation Plbg, Underslab Mech, Rough-in P
Post/Beam Struct. Plbg. Top Out
Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer
Gas Line Framing 0Plbg. Underfloor Rain Drain
um
Alarm Water Line
Insulation
Underflr. Insui. Shear Wall GYP• Bd•
-Elect.
Time: AM PM
Cate Requested:_
Address: S ��---
Permit #/ b
Builder. /TItZ_�rs' �_l
THE FOLLOWING CORRECTIONS ARE REQUIRED:�n
-- 6g Pio �} -7J
= -- -` '
Ile
49,'
--------- -
--------------------------------
Date:
Inspector: J-- -- -
LApV'AOVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OI: TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Roc-O-Phone): 639-41115 Business Phone: 639-4171
Inspection: 1 L "t�.._e
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Pibg. Underslab Moch. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Di Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Sheo.r Wall Gyp. Bd. TecT
Date Requested: / 3/r ` D Time: AM PM
Address:__L_�
Builder. K Permit uY LC `75 d ��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Le
aft
f
Inspector: ,r :�T- /�4 f_ DatejF^�
_APPROVED _DISAPPROVED 2APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDINra INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639 4175 Business Phone: 639 4 1
Inspection: _
Footing Susp. Ceiling Sprink Rough-in Appr/ Ik
Foundation Plbg. Underslab Mech. Rough-in Firopl e
Posi/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.
Post/Beam Mech. San. Sewer Gas One Bldg.
FramingPlumb.
Pibg. Underfloor Rain Drain
Alarm
Water Line Insulation -Mech.
Underflr. Insul. Shear Wail Gyp. Bd.
-Elect.
f '% Time: AM PM
Date Requested:_
Address:_
Permit
Builder: _
THE FOLLOWING CORRECTIONS A-tC REQUIRED:
Inspectur. Date:
COVED _—D'SAPPROVI"D _APPROVE[) SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING
INSPECTION
iness NOTIPhonCE
1 �1
Inspection Line (Rec-O-Phone): n
Inspection: A r/Sdwlk
Susp. CE fling Sprink. Rough in PP
Footing Fireplace
Plbg. Underslab Mech. Rough-in
Foundation P
Plbg. To Out Elec. Rough-in FINAL:
Post/Beam Strict. -Bldg.
�
San. SewEr Gas Line
Post/Beam Mech. -Plumb.
Rain Urain Framing
Plbg. Underiloor Insulation -Mech.
Alarm Water Line
-Elect.
Shear Wall GYP• Bd
Underflr. lnsul. AM PM
Date Requestedl1
15 �L =^-�- ----
Address:1 -------
- 3_3 e Permit
Buitder.
G
THE FOLLOWING CORRECTIONS ARE REQUIRED: _
_ i—
"' Date: .--
Inspector: 4PPROVED SUBJECT TO ABOVE
�}f�ROVED ,DISAPPROVED
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE 171
Inspection Line (Rec-O-Phono): 639-4175 Business Phone: 63
Inspection: L
S rink. Rough-in rlSdwlk
Footing Susp, Ceiling
Sp
rink.
Plbg, Underslab Mech. Rough in Fireplace
Elec. Rough-in FINA::
Post/Beam Struct. Plbg. Top Out LinBldg.
Line Post/Beam Mech. San. Sewer Gas .Plumb.
Rain Drain Framing
Plbg. Underfloor -Mech.
Water Line Insulation
Alarm �--� -Elect.
Underflr. Insul, Shear Wall � —
Time: _AM PM
Date Requested:___
Address --- f �-9
7�G Z,-(i Permit #' S�_
Builder" t
y _----
TIiE FOLLOWING CORRECTIONS ARE REQUIRED^
---------------
— Date:
Inspector --
7_7
OVED
DISAPPROVFD APPROVED SU9JECT TO ABOVE
Cat! For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Pho ie): 639-4175 Business Phone: 639-4171
Inspection: _ �� L�� �"
Footing Susp. Coiling Sprink. Rough-in A �r/
Foundation F'
Plbg, Underslab Mech. Rough-in Firepla,e
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San, fewer
Gas One -Bldg.
Plbg. Underfloor Rain Drain rami
�- -� -Plumb,
Alarm Water Line Insulation
-Mech.
Underflr. Insul. Shear V/al
Gyp. Bd. ..Elect.
Date Requested:`_ S (Q Sr
Time: AM � pM
Address: � � _`.� __._ �/�,( /� � 1�--✓y. /�-�
Builder: _ _
----�=•
Permit #: 5--0 `? fio
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
-LfiPfrROVED DISAPPROVED _APPROVED SUBJECT T J F-,BOVE
--Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Bus" ess Phone: 639-417
Inspection:
Footing Susp. Ceiling Sorink. Hough-in Appr
Foundation Plbg. Underslab fvlech. Rough-in Fireplace
Post/Beam Struct. C-Md. To-py Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Sas Line Bldg.
Plog. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Hequested:_`iz/J-U �' Time:_xAM PM
Address: - fi
Builder. ��_ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ � Date
L
=IZPP�ROVED `DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (He(:-O-Phone): 639-4175 Cusinesc Phone: 639.4171
Inspection:
Footing Susp. Geiling Sprink. Rough-in _ PP
A r/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fire lace
r P
Post/Bearn Struct. Plbg, Top Outec_Rou n FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
-Mech.
Under}Ir. Insul. Shear Wall Gyp. Bd.
-[lect.
Date Requested: Time:-&tl PM
Address: -` C-C..A1, �l�Yl_;
Builder: t ;P — ?��{ �]
Permit tt:E �
THE FOLLOWING CORRECTIONS AHE REQUIRED:
Inspector:
Date:--____1
APPROVED __DISAPPROVED APPROVED SUBJECT TO ABOVE
--Call For Reinsp.
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # _
Permit # _ E=L-r �'�---031
Phone (503) 639-4171 Date Issued
CITU OF TIGARD FAX (503) 684
TDD No. (503) 6E34-24-27 772 Issued by
Inspection (503) 639-4175 _
1. Job Address: ilo�.�bro�� r nit% P(�ark. 4• Complete Fee Schedule Below:
Name of Developii,entt_�__j _T. Number of Inspections per permit allowed
Address .�•� iJu-VVvb ,--wA I Service included. Iteros Cost!ea) �rSum
City/State/Zip Q 1r OVL. �1 L-? 4a. Residential-per unit 4
nn-- ION w It or lana $11000
Name (or name of business) d4!W411A& 0tVL L Each ion thereof
f sq It or
+ portion thereol $25 7U t
Commercial 17 Residential❑ Limited Enet,Ay $2500
Each Manul'd Home or Modular ?
Dwolhng Service or Faoder $88 Do
2a. Contractor Installation only: 4b. Services c•' Feeders
�' - ,�^c Inatallnlion,alteration,or relocation 2
Electrical CorAractof 200 amps or lees Woo 2
Addre s 201 amps to 400 amps fen oo 2
401 amps to MO wraps $120 00 2
city art State UL• Zip -I l r _ 60 amps IU 1000 amps ;leo no 2
Phone No._ �V3_ 1 over 1000 amps or volts 5340 00 2
Contractor's license No. neconnect only $5000
Contractor's Board Reg. No. r�
g 4c.Temporary Services or Fesdere
Installation,alteratio or relocation 2
Signature of 9,usr. El c'n_L_f�'+'" Z-71-1 200 amps or less $5000 7
License No. 0 ' 201 amps to 400 amps $7500
_ Phi 0.� 401 amps to Boo ampa 110000
Over 600 amps to low volts
2b. For owner Installations: see b stave
4d. Branch Circuits
Print Owner's Name_ _ New,alteration or extension par panel
Address ��' _ a)The tea for brarw.h arcuils with
purchees of service or Poodsr Ase.
city___J/ Stat@ Zip----.---- Fad branch circuit
$500
Phone No:' ^. b)The lea lot branch atcu4s without
The-Kstallation is being made on property I own which ie pmshaee of service or Atredar Ave. ,
� Ftral branch oriel $3500 ?
flot intended for sale, lease or rent. Each additional branch circuit $5 on
Owner's Sig neture _ 4e. Miscellaneous
(Service or feeder not included) '
3. Plan Review section (if required): Each pump or irrigation drde $40 00
Each sign or oulhne fighting $4000
Signal circu l(s)or a Iimiled energy
Plea.•nherk appropriate item and enter fee In section SB. panel,anaration or extension $4000
4 of mor.-. residential units in one structure Minor Labels(10) cion oo
Ser,fce and feeder 225 amps or more
System over 500 volts nominal 41.Each additionel inspection over
Classified area or sliucture containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Per inspection $3500
Per hour $5500
In Plant $5500
Submit 2 sets of plans with application where any of the above —^
apply. Not required for temporary construction services. Jr Fees:
So. Enter total of above iops $
NOTICE 5%Surcharge(.05 X total fees) $
S.Z2S
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR flan Review if requirpd(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED ❑ Trust Account N $
Balance Due $
eadbnr.Lv44c,xra err
v
CITY OF TIGARD -- REC',EYPT OF PAYMENT RFC UIPT NO. 95-2690222
CHECK AMC)UN*T 110. 2115
NAME : HAWAIIAN COVE 14ESTALJI-IANT CARIA AMOUNT 0. 00
ADDRESS s 11555 SW 011RHAM RD lAL.DR 0 PAYMENT DATE ("IA/09/95
T13ARD OR SUBDIVISION
97224--
PURPOSE OF PAYMENT AMOUNT PA I D PURPOSE OF PAYMENT AMOUNT PAID
---—------ -------
I r r'T R I CAL. PE 1011 T 105.00 ST. BUILD PFP 5. 25
11.555 SW DUR14AM RE #A--I
rl C'95-0314
iotAL AMOLINT PAID 11.el 5
CITY GF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Holl Blvd.Tigard,Otpon 67223.6166 (503)636-4171 PLUMBING PERMIT
11*I%Mi�I T #. . . . . . . . F'LM95 -1211 EC
39-4171 DATE ISSUED: 08/08/95
PARCEL: 2 a 1 l0DC--IDk"r400
,,ITC ADDRESS. . . : 11555 SW DURI-IP11 RD #fig--1
SUBDIVISION. . . . : WILLOW BROOK PARK ZONING: C—G
ULOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 16
C%LAGG OF�WORK. . :ALT_— GARBAGE DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :CGM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1
OCCUPANCY CARP. . -B2 FLOCR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . :
ST'OR I E:S. . . . . . . . : 1 WATER HEATERS. . . . . . s l CA7 CH BASINS. . . . . . .
FIX•TURES-----_..-._--__.__..-_ LAU14DRY TRAYS. . . . . . t 517 RAIN DRAINS. . . .. .
SINKS. . . . . . . . . . :4 URINALS. . . . . . . . . . . . : GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . .
TUB/SHOWERS. . . . : SEWER LINE' (ft ) . . . . :
WATER CLOSETS. . : WATER LINE. (ft) . . . .
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . .
Roin r-ks : Tenant Mad : hawaiian cove re,3ta,.ar^ant
Owner: —.__._____.____________.___.__________._____________-•-- FEES ---______________
CPC & SONS, INC. type amoulit by date recpt
12200 SW FAIRHE:LD PRMT $ 63. 00 B 08/08/95 95--268964
PICK 1 15. 75 B 03/08/95 95 -268964
BEAVE.RTON OR 97005-0000 5PCT 3. 15 B ('1c 8/08/9.5 95-268964
ptyone #i:
REED PLUMBING
11484 SE 90TH AVE:. #1.1121::6
PORTLAND OR 97266 _-____—_____ .
r-Iione #: 81. 90 'TOTAL
Reg ##. . : 58916
REOUI RED INSPECT IONS
This permit is issued subject to the regulatioes contained in t.)e Top—out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all ocher RP/flack f law Pr-e v
applicable Laws. All Mork Mill be dune in accordance with Finall n s peL t i a n
approved plans. This persit will expire if wor6 is not started
mithin 15e days of issuance, or if work is suspended for more
than 18@ (ays.
Pet-mi t t e e S i.q rn a t u r,p
Ca l far• inspection — E39--4175
(3ity of Tigard PLUMBING PEPMIT• APPLICATION Plarck/Rec. #
13125 SW Hall Blvd. Permit # M
Tigard; OR 97223
(533) 639-4171
MINIMUM $25.00 PERMIT FEE +ST. SURCHARGE
Now Single Famlty R"idengy Onk
F] 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00
Job `rj 0 3 BATH HOUSE$225.00
Address arrw _ a. Fere includes all plurrbinq fixtures In the dweiiing and the f1,st 100 feet
( 6/►fi Uo e. Z.?2yof water service, sanitary sewer and stone sewer. See fees below.
""""•""""'""°" FIXTURES QTY PRICE AMT
Sink 9.00 C
r"`.M... rt... Lavatory 9.00 -
Owner Tub pr TuWShuwef Ccrnb. g,QO
"' Shower Only �... 9.00
Water Cloxet _ 9.00
r'!" M bt-i Dishwasher 4.00
Occupant V N Garbage Dhposal 9.(10
W-wq ""' Ph- Washing Machine 9.00
&2-s 5 s C.1 zu a/:y A4/ Floor Drain 9.00
e"'"• A' VftW Heater 9.00 Cy
Laundry Room Tray 9.00
Urinal 9.00
Other Fixtures (Specify) 9.00
9.00
Contraor ^-
\\ �� t 7 �► 900 --
1
I I Sewer 1St 100' 30.00
°"r's'".r""° Sewer -ea. Addit 100' � 25.00
Water Service let 100' - 30.00
I her,by howledge that I have read this application, that the Water Service ea. Addle. 200' 25.00
infomrletlb given Is correct, that I am the owner or authorized agent of -- - -a
the owner, that plans submitted are In compliance, with Stite laws, that Stone 8 Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Hoard, that the Stom•r R Rain Drain Addle. 100' 1.5.00
number given is correct. (If exerrept from State registration, please
give reason below,) Mobile Home Space ?5.00
11 Back Flow Prevention C.
( rL __2 Device or Anti Pollution Device f 9.00
!w^"["W ��� °'" _ Any Trap or Waste Not -
_ Connected to a Fixture 9.00
Describe work new Q addition aReration repair 0 Catch Basin 9.00
to be done residential v non-residential 1$t Insp. of Exist Plumbing 40.00mr
Specialty Requested Inspectiuns 40.00/hr
Existing use of M --
building rpropertyL2 S A Le_.- Rain Drain, single family dwelling 30.00
y �. ,.
Residential backflow prevention
devices 15.00
Proposed use of
building or property L 51 A U ILIA _ -
"(Excsp!residential backflow
preventfon devfcos)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
t�I
PERMITS BECOME VOID IF WORK OR CONSTRUCTION -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE ,/
CONSTRUCTION OR WORK IS SUSPFNDED OR ABANDONED ----- -
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS 1_S
COMMENCED. PLAN REVIEW 2546 OF SUBTOTAL /3)
Special Conditions TOTAL
_
_- Date issued D-��by ���AA✓!'V/.1/1
Ar umulative Sewer Tally
Address: �v��5 ���- �� if �'''�>4 This PLM#: PLM %��b��$ —
aFixture Value Previous Previous Credits Capped Fixtures Fixtures New New
# Value Capped off value added # aeded total #s total
I Count off Ars count value values
Baptistry/Font 4
Bath - Tub/Shower 4
Jacuz/Whpl 4
Cuspidor/Water Aso 1
Dishwasher - Commer 4 4/
Do nest 2
Drsnking Fountain 1
Floor Drain - 2 inch 2
3 inch 5
4 inch 6
Garbage Disposal 16
Dom Ito 3/4 HP)
Comm Ito 5 HP) 32
Ind lover 5 HP) 48
Oil Sep (Gas its) 6
Shower - Gang 1
Stall 2
Sink - Bary--- _.M 2
Bradley 5
Commercial
Service 3
Washer, Clotnes 6
Water Ext 6
Water Closet 6 I —
Urinal 6 —+
TOTALS
Total fixture values: divided by 16 EDU
HISTORY
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLN1# EDU# SWR#
PLtJI# EDU# SWR# PLM# EDU# S1VR#
PLM# EDU# SWR# PLM# EDIJA' SWR#
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M
A
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V � �
CITY OF' TIO- ARD - RECEIPT OF FIAYME-14T RFCF I PT NO. t 95-21-6964
CHECK, AMOUNT t 81.. 90
NAME RF-"ED, STEVEN B. CPSH AMOUNT 0. 00
ADDRESS t 11484 FvF 90TH AVE. NO. 1026 F-,AYMENT IDATf.' t 08/0A/95
PORTLAND, OR S(JSD T V I fi I CIN t
9722-6--
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE: CSF.. PAYMENT AMOUNT PATV
PL.UMBINS PERM . . _. 63. 00 ST.� BUILD
_PL:R ___�.._ �__..3' .1.�.
PLON CHECK FE 1;'5. 75,
1 1555 SW DURHOM RD. G�I...M 95-01811
tOTAL AMOUNT FSA I i)
WASHINGTON
COUNTY.
OREGON
September 7, 1995. �(
SEP 11 1995 1
Charles Trisciuzzi
14964 SW Old Scholls Ferry Road #H-302
............................
Beaverton, OR 97007
RE: Hawaiian Cove Restaurant
1 i 555 SW Durham Road A-1
Tigard, OR 972,24
Dear Mr. Trisciuzzi:
The Washington County Department of 'Health and Human Services has obtained the plans for the
proposed Hawaiian Cove Restaurant to be located at 11555 SW Durham Road A-1 in Tigard, Oregon.
It is our understanding that community water and community sewer will be utilized at this structure.
The following is understood to be planned with necessary changes and conditions for approval noted:
1) The plans show a dishwasher. 1t is assumed to he a commercial model. Machine or water line
mounted thermometers must be provided to indicate water temperatures of the wash and rinse
cycles. These thermometers must be accurate to +3 degrees F. The dishwasher must be
capable of reaching proper wash and rinse temperatures. If chemical sanitizers are used they
must meet the requirements of 21 CFR and be dispensed in proper concentration. An accurate
test kit is required to test sanitizer concentration of the final rinse.
2) The plans show a two compartment culinary sink. It is recommended that one compartment
be designated for meat and the other compartment for vegetables. Please be aware that this sink
can not be utilized for noncompatible uses such as handwashing or mop washing. This sink
must waste indirectly to the shown floor sink.
3) 'I he plans show a utility mop sink. Please supply a mop hanging device so mops and similar
floor cleaning equipment can be cleaned and hung between uses.
4) There must be a handsink desa nated h each of the food or drink preparation and food or drink
dispensing areas. Handsinks are shown in the kitchen and service areas.
5) All handwashing sinks including the restroom handsinks must be equipped with dispensed soap
and dispensed sanitary towels or approved hand drying devices. Common (cloth) towels cannot
be used to dry hands. If disposable towels are used, easily cleanable waste receptacles mast be
conveniently located near the handwashing facilities. The handwashing sinks must be equipped
with hot and cold tempered water. If self-closing, slow-closing, or metered faucets will be used,
they must be designed to provide a flow of water for at least 15 srconds without the need to
reactivate the faucet.
Department of Health & Human Services
155 North First Avenue
Hillsboro, Oregon 97124
WIC Nutrition Plan: (503) 640-3555 Administration & Planning: (503) 693-4402 TDD: (503) 648-8601
Health Services: (503) 648.8881 FAX: Clinic 693-4522/Administration 693-4490 Environmental Health: (503) 648-8722
Page two
6) The restaurant plans indicate seating for 90. Two restrooms are shown with a to',al of two
toilets and two handsinks. This number of fixtures is adequate for indicated seating.
7) The restrooms must meet all the requirements as described in the 1987 Oregon Food Sanitation
Rules for design, construction and operation. Be aware that restroom doors must self-close and
that there must be at least one covered waste receptacle in the women's restroom.
8) The dishwasher, food preparation sinks, icemaker, and any other piece of equipment utilized to
hold food or ice in that is equipped with a drain must waste indirectly. Where air gaps are
required, the distance between the bottom of the waste pipe and the top of the floor sink or
drain must be at least one inch or two waste pipe diameters whichever is greater.
9) Any refrigeration unit which does not come equipped with an evaporator pan for its liquid
wastes must have its liquid wastes drain indirectly to a floor drain or floor sink.
10) Floor sinks and floor drains must be located so they are accessible for cleaning and
maintenance.
1 1) All floor, wall and ceiling surfaces must be smooth, durable, sealed and easily cleanable and
in a light color.
12) Where walls and ceilings are painted, high gloss paint is recommended. It is also highly
recommended that walls behind cooking and dishwashing equipment and the mop sink be
covered with durable, washable backsplash.
13) If acoustical ceiling tile are utilized and they become soiled and can not be cleaned then
replacement will be required. A washable ceiling surface is recommended for food preparation
and cooking areas.
14) Carpeting in the wait/service area is prohibited. Smooth, non-absorbent floor covering such as
vinyl, tile, or the equivalent extending 30 inches on each side of the wait/service area is
required.
15) Self-service is not indicated. If there will be self-service, please contact this office for
additional information.
16) Base coving at least four inches in height will be needed on all wall/floor junctures that require
wet mopping.
17) Any gaps in floors, walls, or ceiling around plumbing or electrical work must be filled in to
prevent rodent and insect access and entrance.
181 Exposed utility lines and pipes can not be installed horizontally on the floor.
19) All lamps over or within food storage, food preparation, and food display facilities and facilities
where utensils and equipment are cleaned and stored shall be shielded, coated or otherwise
shatter resistant.
Page Three
20) Each refrigeration unit not equipped with an accurate built-in thermometer, must have a spirit
stemmed thermometer located on the top shelf or door.
21) A metal probe thermometer accurate to+2 degrees F must be provided to assure attainment and
maintenance of proper internal cooking, holding or refrigeration temperature of potentially
hazardous foods.
22) Each hot holding facility storing potentially hazardous food shall be provided with a numerically
scaled indicating thermometer accurate to +3 degrees F, located to measure the air temperature
in the coolest part of the facility and located to be easily readable. Recording thermometers,
accurate to +3 degrees F, may be used in lieu of indicating thermometers.
23) Where it is not practical to install thermom-.tors on equipment such as bain-maries, steam tables,
steam kettles, heat lamps, cal-rcd units, or insulated food transport carriers, then the product
thermometer must be availshle and used to check internal food temperatures.
24) If perishable foods be reheated, a method to reheat this food to 165 F withir 30 minutes
rnu,t be provided. Steam tables, bain maries and crock pots are not allowed for rapid reheating
or cooking of foods.
25) If perishable food will be cooled then a method to rapidly cool this food must be provided.
Commercial air cooled refrigerators or ice baths are recommended for coaling foods. When
foods are cooled in the refrigerator, *hey must be cooled in shallow containers no more than
four inches deep with food no more than three inches in depth in (lie container. Perishable food
must be cooled from 140"F to 45°F or less in no more than four hours.
26) All equipment must be installed so as to be moveable or properly sealed to facilitate proper
cleaning.
27) Storage shelves must be smooth, impervious, and easily cleanable. Unfinished wood is not
acceptable.
28) To minimize manual contact of foods, please provide and utilize handled scoops and other
appropriate utensils.
29) Food may not be stored tinder exposed or unprotected sewer lines or water lines, except where
automatic fire protection sprinkler heads may be required by law.
30) All storage of food, food containers, and single service utensils must be on shelves at least six
inches above the floor except where storage is on wheeled platforms or four inch high sealed
bases. Metal pressurized containers need not be elevated.
31) All floor mounted equipment, unless readily movablo, must be sealed to floor, installed on a
concrete or otherwise smooth base at least four inches high, or elevated on legs to provide at
least a six inch clearance between the floor and equipment.
Page Four
32) Be aware that all food or food items in the facility which are within customer reach and are not
prepackaged, must be protected from customer contamination by a sneeze shield or other
approved means. Please see the NSF pamphlet that is enclosed for information on sneeze shield
requirements.
33) If food delivery is planned then deliveries must be made in approved company vehicles with
approved equipment that will keep products at proper temperatures.
34) Outside storage areas or enclosures must be large enough to store the garbage and refuse
containers and must be kept clean. Garbage and refuse containers, dumpsturs and compactor
systems located outside must be stored on or above a hard, nonabsorbent surface such as cement
or machine-laid asphalt that is kept clean and maintained in good repair.
35) Your plans indicate seating for more than 30 patrons. You will need to conform with the
Oregon Clean Air Act designating smoking and nonsmoking .areas. For ,your convenience, a
copy of this Rule is enclosed.
36) A grease t, 1p is shown. A maintenance schedule must be developed and followed to prevent
grease from going down the sanitary sewer.
37) All plumbing must meet the requirements of the City of Tigard and the Oregon Uniform
Plumbing Code.
38) This facility and .!s operation must meet all the Oregon Food Sanitation Rales and Statutes.
39) All employees must have current Washington County Food Handler's Cards. For information
call 640-3460.
40) A preopening inspection must be conducted by our Department prior to license approval and
operation. Please contact me at 648-8722 at least one week prior to operation to schedule this
inspection.
If any future changes are necessary, it will be required that those changes be approved by this
Department
Very truly yours,
HEAL"f AND HUMAN SERVICES DEPARTMENT
Toby Harris, R.S.
F,rivironmental Health and Sanitation
TH:aat
Enc:
c: Tirn Bunnell
City of Tigard
MECHAN I CAI_ERMI1/
CITY OF TIGARD PERMIT #. F . . . . . c MEC95-0. 39
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/07/r9*1
13125 SW Hall 81A.Tigmrd,Oregon 97223.0199 (503)1139-1171
PARCEL: 31311ODC-00400
SITE ADDRESS. . . 113'-55 SW DI P)AAM RD #S. 1c@
SUBDIVISION. . . . : WILLOW BROOF, PARE: ZONING;: C--G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 16
CLASS MOF^WORK. . :ALT FLOOR FURN. . . . : EVAF' COOLERS s l
TYKE OF' USE. . . . :COM UNIT HEATERS. . : VENT FANS. . .
OCt;UPANCY GRP. - :B2 VENTS W/O AF'PL: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERSd'COMPRESSORS HOODS. . . . . . . 11
FUE=L TYPES---,------------- 0- 3 HP. . . . . DOMES. INCIN:
: /UPS/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPU'-: BTIJ 15-30 IA!`'. . . . : REPAIR UNITS:
FIRE DAMPIERS7. . :N 30--50 HP. . . . : WOODS•T'OVES. . :
GAS PRESGURE. . . a M 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS---------- AIR HANDL T NG UNITS OTHL R UNITS. : 1
TURN ( 100K I1TU: t:: 10000 cfm:c G(-iS OIJT1_ETS. ::�
FURN )=100K% BTU: ? 10040 cfm:
Remarrks : meclaa.iical 1 pond witl•r O shafts and fans, gals piping and water lieater-
Owners -.___..__ ________. _.___..__.__---__._.._.._-_-__.___.____.______.____-•• FEES
I4AWOIIAN COVL type amount by sate rQcpt
11555 A-1 DURHAM RD PRMT f 36. 50 JD 08/07/95 95-268983
PL.CK $ 9. 1:3 JG 08/07/95 95•-268983
KMU" CITY OR 97224•-•0000 5PCT f 1. 83-1 JD 08/07/95 95-266`n7
Phone #.- E43--3309
0011 t Y•act or-. ---------------------------------
FIRE'
•'-_------_.._-__. ..--..........__...._._----_fIRE' EXTINGUISHER SERVICE CTR
' 0 BOX 1391
DEAVERTON CSR 97075
(=Hone #a 643 -3309 47. 46 TOTAL
_i #. . . 069384
------- REOUIRE:D INSPECTInNS
.his permit is issued subject to `gyp regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore, Specialty Codes and all other Mec::han i ca l I n s p
applicable laws. Ci-)l work will he done in accordance with Shaft In:ipec:tion
approved plans. This permit will expire if work is not started Hood Inspection
within 188 days of issuance, or if work is suspended for more Duct Inspection
than 181 days. Mi Sr. IrrSpeCt .1
Final 1TISPecti011
:all fo-t,-- inspection - 639--4175
City of Tigard �M NICAL PERMIT Planck/Rec. #
13125 SW Half Blvd. / ,.A PLICATIC)N Permit # _
Tigard, OR 97223 f el rnec q-"-.0 -2 ;of
(503) 639-4171
escnpuon
JA )A ,I yt L p&L Tab* 3A Mech•mical Code CITY PRICE AMT
.lob S 5s: _ 11 Perr— gee -0-
Address L a —-
iKC i f Z 2) Supplemental Permit 3.On
«» « Furnace to - --
1) incl. ducts S vents 6.00
Owner2) incl. ducts &vents 7.50
•• - —Pivot urance'- ---
3) incl. vent 600
heater, wals healer -
-r,� 4) or floor mounted heater — 6.00
'„
OCCUPatiten noT mcTTn
1115515,Y5) appliance permit —� 3.00
f epair o eating, re
• t, ” ZZ 6) cooling, absorption unit 6.00
Boiler- r comp, ea pump, air cond. -
�_,44 111t7) to 3 HP; absorp unit to 100K BTU 5.00
++
Boiler or comp,ai pump,air con.
�� �L[ 8) 3-15 HP; absorp unit to 500K BTI 1100
Contractor � —�—
Boiler or comp, lieat pump, air cond.
9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
��;�� p •"" ��I
Boiler or comp, heat pump, air cond..
Q y 10) 30-50 HP, abso.p unit ,-1.75 mil BTU 22.00
hereby actcnow ge t at ave tea }iti+-s--3-p-p kation, t a� the Boiler or compTieat pump, air con .
information given is correct, that 1 am the owner or authorized 11) >50 HP;absorp unit 1 75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with `-`Air`handlnig uni o
State laws. that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State it an ing unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
-'
Non portaBle —�
14) evaporate cooler 450 5 O
— —� Vent tan connected
15) to a single duct 3.00
r--
en i a ion system no
161 included in appliance permit ^� 4.50 i
Hoodservedy _ o
i1 44 17) mechanical exhaust I 450 tI
escri ^w rev &(�
n alteration t_) repair ommercia or in us nal --
to be done resideon-residential O 18) type incinerator 30.00
_xjsF sting`-use o i Other i.e., woo cove, water sb
bui,ding or property _.� Q19) heater, solar, clothes dryers, etc. 450 I
Proposer' use of 20) Gas piping one to four outlets e 2.00- Z
buildino �Ir oroperty ,�� ___ _
er outlet
p (each) I 2.00
Type of 1jr,1 -oil ( 21 More than 4-� natural gas LPO 0 electric Q
--- OT --_- _ - r
Minimum Fee $25.00 SUBTOTAL )
PERMITS BECOME VOIC IF WORK OR CONSTRUCTION r,
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR ------ -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL q.1
AFTER WORK IS 0OMMENCED --
TOTAL r
Special Conditions
— __ -��_�__---__�.._�a Date suedby
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CITY OF TIG#ARD RECEIPT Of" PPYME'N't RECFlr:,T NO. 05—P68983
CHECK AMOUNT a 47. 46
N(IME: C. P. G. & SONS, 114C. CPSH AMOUNT a 0. 00
AT)DRFsS a 12POO SW VAIRFIFL ) PlYMFNT B147C s Otl/07/?.)5
SLAVER TON OR Sl.)Fkl)T V I G I 13N
9,70051—
V,URP09F OF PAYMENT AMOONT PAID PURPOSE OF: PAYMENT AMOUNT PAID
SO ST. BUILD PER 1. 83
Pl..AN CHECK FE 9. 13
11.555 SW DUPHAM RD A- I
' filrpt. AM0UN*r Poll)
47. 46
CITY CIF TIGARD PL`PM I TU I. .. J. . . : 8UP115--0296
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/07/95
13126 8W Hall Blvd.Tigard,(Dragon 07223.8199 (503)1113"11A 1
PARCEL: 2S 1 1 ODC-00400
SITE ADDRESS. . . ' 11355 SW DURHAM RD ##A--1
SUBDIVISION. . . . : WILLOW BROOK PARK ZONING: ['-•-G
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . . 16
_
_._ .
-----------------
.
_.(r
REISSUE:DUP FLOOR ARF•AS-----------• - i_XTERIOR WALL. CONSTRUCTION
C'_ASS OF WORK. e ALT F I RsyT. „ . . :2400 sf N; S: E: W:
TYPE OF USE. . . :COM SECOND. . . : sf GROTCCT OPENINOS?---- ---- ---
TYPE OF CONST. :5N THIRD. . . . : sf N: S. Et W:
OCCUI-nNCY GRP. :L1O 1"OTAL- ----: c:4012) s f ROOF CONST; FIRE RET?
OCCUPANCY LOAD:97 BASEMENT. - sf' AREA SEP. RATED:
C1-OR. c 1 HT. : 13 ft GARAGE. . . : sf OCCU SEF. RATED: .1HR
PSMT^:N MEZZI:N REOD SETBACKS----------- REUUIRED
FLOOR LOAD. . . . : 125 p s F LEFT. f't. RCHT: f t; F I R SF'KL: SMOK DET. . ;
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDILP ACC:Y
BLDR1453: BATAS., IMF' SURFACE: F=ARO CORR: PARKING:
VALUE. a : 5000
Remarks : Tenant Mod : hawaiian cave restaurant
Owner. ___ . ._-.._.__..__._._.____.__.-____......___ _._.__ _..__.__..__._____. _.______. FEES
TIJRHAM/99 ASSOC type amount by data recpt
;003 150T14 SE PRMT $ 50. 50 JD 08/07/95 15-226B984
PLCK $ 32. 83 JHF 07/24/95 -
MONROE WA 9827:'-0000 FIRE. $ 20. 2C) JHF 07/24/95
Phone ##: 206-794--7945 SPCT t 2. "3 JD 08/07/95 95 c6898
Contr,actor..
CPC & SONS INC
1;''c00 SW FAIRFIEI_D
BE:AVERTON OR 97005-0000
Phon& #: 503 -644-6900 t 106. 06 TOTAL
Peg #. . n 56514
--- _-_- REQUIRED I NSPEC:I`I ONS -_---
;hiC permit is issued subject to the regulations contained in the F'r-ami nq 1115 _
Tigard Municipal Code, State of Ore. Specialty Codes and all other I n y u l a t i on !lisp
applicable taws. All work will be done in accordance with Gyp 0oar-d Ins:p
approved plans. This prre;t will expire if work is not started S u s p C e.i I n g I n s p
within 160 days of issuance or if work is suspended fcr more Final Irrspec�tion
than 180 days.
Fermi t: tee al. , „ ,
Tssuo
Call f'oi inspection - 639--4175
SEWER CONNECTION
CITY OF TIGARD CRMIT
PERMIT #. . . . . . . : SWR9C--Q13i.,"
COMMUNITY DEVELOPMENT DEp AF#`1'iNT DtiTE: T GSUED: 013/07/9 a
13125 SW Nall Blvd.Tigard,Orogon 07223.0199 (503)039-1171
PARCEL: Ls11Onc--00400
S I TE ADDREGS. . . : 1 15515 !�W DURHAM RL; #A-.. 1
SUBDIVISION. . . . : W I LLOA BROOK PARK ZONING: C—G
BLOC1',. . . . . . . . . . . LOT.. . . . . . . . . . . . . .. 1.6
TENANT NOME. . . . . :HAWAIIAN COVE. RGSTAJRANT
USA NO. . . . . . . . . . : FIX7'URE UNI"fS. . . : lc:
CLASS OF WORK. . . :A.._1` DWEI_.I_..ING UNITS. . : 1
TYPE OF USE. . . . . :COM NO. OF BUILDINGS:
!',;STALL TYPE. . . . :BUSWR IMF''ERV SURFACE. . s : s;f
Remarks s Tenant Mods hawai lan cove restal_ir-ant
Owner . _. _..__.----__._._____�___ _. _.___.____...___ .____.___—__.... ______.__-- rEES
SBC R SONS, INC. type amo�.int by date recpt
i.�200 5W FAIRFICLD PRMT ! ii''0rT. 00 JD 08/07/95 95-2G8964
BEAVER-fON OR 97005 -00001
Phone #: 7503-644--6901
Contractors
CPC a DONS INC
1-200 SW F(IIRFIELD
BEAVERTON OR 97005-0000
F'I?one #,, 503-•G4.4 6`ILI0 fi ?r ml�, ITIS TpTfll...
Req #. . : 56514
_----- - RLOU I RELD I Nf:PEC:T I ON5 _.___..__. ..
This Applicant agrees to comply with ail the rules and regulations S e w e r I n s p e c t i on
cf the Unified Sewage Agency. The peroit expires 188 days from
the date issued. 'ihe total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the a:curacy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a 'Tap and Side Sewer" Permit and the Agency will install a lateral.
Pe r m i L t o e I,e
I S s 1_r e cJ
Call for inspection 639-4175
CITY OF TIGARD -- RECEIPT OF RHYME"NT RECEIPT NCII. 05—E,689S4
CHECK AMOUNT a e2053. 03
NAME C. P. C— & ISONS, INC. CASH AMOUNT a 0. 00
t4DDRF-:sS a 12200 SW FAIRFIELD PAYMENT DATE a Oe/07/95
BEAVERTON np SUBDIV1910N
97005--
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
N13 PERM SUP95-0r,"96 50 ST. BUILD PER P. 53
REWER USA 14WP95-025.12
1. 1555 SW DURHAM RD 00-1.
TC11AL AMOUNT PAID P253. 0,73
• RECEIVED
�► � S� ! 9gS AUG 0 FROM C.P '
2 199 .C. & SONS INC.
TO JAMES FUNK � El E AENERAL CONTRACTING 8 B!.OG. �1MAINT.
�� L/�:�h1h�N1►y;j/6APML[VT 12200 S.W. FAIRFiELD
F
BEAVERTON, OR. 91005- /�AG�AI►ArU COVE QCS7AI�,zAi�r
LIC. BONDED INSURED
115$5 5-w• PL.149/4 M e P A-I Phone 644.6900 Voice Pager 243.0726
T k l S_ ! S f? 12 E SPd N c o�YDt-cK 26--9r'-
I
CC-C 55 131 Y AL( A RSC' AS SNACL fie A CCCS5184c TD Plseiar+i . c.�_ 4
AIS �iI'-'L .r� . �1"G�/� RESTRoolati�_}rAs rde N a.
2. E �C 101 -m-4 ` �# 3 A P P%-Y O i s
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tAJICL IrjS-rALL PJ Plc,'-/CLAf Oven eACu EXiT
yL/ r biAISLE S Lu! CL haovIZE TO COMPO !"
STrl,l.0 t �tiLAL ONLY ,bOL" bI vi .01 Nc WAcc. -
2 C" XIT Xloo ►2..1 WILL AE ;(CY L0c ,WlW (; AINA f=IZCe To
cJ (,�rltiC w14 " L-I tV6, IZATION or tmN/NG relirce 6ylf7-lNc
WILL )4A 116'. A SIGN AGo ,e 57A'i1tvc T I41S Poo4 ? o
IZ C Al A i N C'AW Q ti L d C W GN p LA,it I tN G f a 1�k..S I 'N p S s ),co ug c
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Wv-ktk E" )(aweak 1kAIJ " Ou �fijgS It/t P,41(AYVIR �
a
July 26, 1995 CITY OF TIGARD
OREGON
Durham/99 Assoc. Ltd.
23803 150th St. S.E.
Monroe, WA 98272
Re: HAWAIIAN RESTAURANT
11555 S.W. Durham Rd. A-1
FC6-86C BUP95-0296
The plans have been reviewad for conformity with applicable codes. Please submit
the following items for completion of the plan review process:
Site Work
1. Provide a site map of the project, include property lines, parking layout
with accessible parking for persons with disability, grade and access
route to the blailding.
Accasaibility
All areas and facilities of Group A occupancies shall be accessible to persons
with disability [OSSC, Ch Ater 311 .
Two restrooms are required and both shall be accessible to persons with
disabilities [Section 3108 (b) ] .
All required exits shall be constructed providing accessible means of
egress in the same number as required for exits by Chapter 33, Table 33-A
for persons with disabilities (Section 3107(a) ] .
All doors with controls and hardware shall be of the type providing
accessibility to persons with disabilities [Section 3109 (c) I . Hardware on
doors shall be lever or other shape not requiring tight _grasping,
pinching, or twisting to operate. Controls shall require a force no
greater than 5 pounds--force to activate [Section 3109(c) ] .
Provide 1 parking stall for persons with disabilities. All parking stalls
Ar e�,, designated accessible f,)r the disabled shall be no less than 9' wide. At
least one shall be desi3nated van accessible, and have an adjacent access
1P,?I/ aisle on the passenger side of the vehicle not less than 96" wide. Other
N accessible spaces shall have an adjacent access aisle 72" wide [Section
{{ 3104-U-2, 2b, 2c] .
Doors accessible for persons with Disabilities shall have an 18" wide
maneuvering space adjacent to the latch side of the door [Section
3109 (.1) 3, Table 31E and Figure 25] . Doors having closer and a latch shall
have a latch side approach of 18" on the pull side and 12" on the push
side for a front approach [Section 3109(1-3) and Table 31F] . The doors to
the restrooms, office, kitchen and the front door may not comply. Provide
a floor plan with the door size and swing illustrated.
6. The site plan shall address the accessible parking space, off load aisle,
markings, signage and accessible route to the building and to the public
way.
13125 SW Hal! Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2712 — -
Durham/99 Assoc. Ltd.
July 26, 1995
Pg. 2
/ Provide a cross section of the cashier stand. A portion of the cash stand
shall not be more than 36" high and not less than 36" in length (OSSC,
Section 1109(w) 31 .
e/i Provide a cross section of the stage showing height and accessibility,
slope of ramp, surface finish handrail, etc. .
r�. Describe item #52 and provide cross section showing accessible
requirements.
Fire and Life Safety
The exiting system does not comply. Provide two exits a distance apart
equal to not less than one-half of the length of the maximum overall
diagonal dimension of the building area to be served (OSSC, Section
3303 (c) J .
2 Provide a type 40 BC fire extinguisi.er within the kitchen area and a 2A
type within the service area (NF'PA l0, Table 3-3 .1 and 3-2 .11 .
Clearly indicate all required exits, except the main entrance, with
illuminated exit signs. Provide secondary power to one lamp in each
fixture (Section 33141 .
The width of aisles leading to required exits shall be provided from all
portions of the tenant space. Provide a 44" wide aisle front to back,
cross aisle and aisle to the exit corridor (Section 3315 (a) !b) 21 Some
adjustment is necessary for a proper aisle to the exit corridor.
Structural
i
Every page or sheet of a set of plans containing drawings and
specifications required to be prepared by a State of Oregon licensed
engineer must_ be stamped, signed, and must have the expiration date of
that engineer's license by his signature. OAR 820-10-620 and ORS
672.•130(2) .
Exit doors from a Group A occupancy having an occupancy load exceeding 50
shall be provided with panic hardware. Exception: Key-locking hardware
may be used on the main door when the main exit consists of a single door
or a pair of doors if there is a readily visible and durable sign on or
adjacent to the door stating "THIS DOOR TO REMAIN UNLOCKED DURING BUSINESS
HOURS. " The sign shall be in letters not less than 1" high on a
contrasting background. When unlocked, the single door or both leaves of
a pair of doors must be free to swing without operation of any latching
device. The use of this exception may be revoked by the building official
for due cause. The unlatching of any leaf shall not require more than one
oparation.
Mechanical
Y Toilet rooms shall be provided with openable exterior windows or a
mechanically operated exhaust system capable of providing a complete
change of air every 15 minutes (Section 705 (b) ) .
2. Provide an updated cross section or. the canopy hood, fire shaft and
exhaust system above the roof.
Durham/99 Assoc. Ltd
July 26, 1995
Pg. 3
3 . Each room provided with an exhaust system shall have air supplied to the
room equal to the amount of air to be exhausted (Section 2003 (i) ) .
4. The exhaust and make-up air systerns shal` be interconnected by an
electrical interlocking switch (Section 2003 (1) ] .
S. A fire extinguishing system shall be provided for the grease hood. In
addition, protection shall be provided for the enclosed plenum space above
the hood filters as well as in exhaust ducts serving the hood (Section
2004 (b)2) .
a. The fire extinguishing system shall be interconnected to the fuel or
current supply so rho- utilities are automatically shut-off when the
system is actuated (Section 2004 (4)c] .
b. A testing of the shut-down phase of the protection shall be
performed prior to approval.
6. Provide a Type II hood above the commercial dishwashez, and duct to the
exterior [Section 2003 (a) ] .
7. Provide a mechanical plan for review a,d approval prior to issuance of a
permit. Illustrate size and location of all roof-top units. Subriit an
engineer' s calculations for additional loading of rafters or trusses.
8. The heating/ventilation system must provide 5 cubic feet per minute (cfm)
of outside air per occupant with a total circulation of not less than :.5
cfm per occupant in all .)ort.iann of the building (UBC Sections 605 and
7051 .
Please include these corr.ectiolIS And required additions to the plans and subm,.t
3 copies of the re,,ised plans. if you need to discuss any of these items, feel
free to call.
Sincerely,
James Funk
Plans Examiner.
bup95-0296/pc6-86c
Durham/99 Assoc. Ltd
July 26, 1995
Pg. 3
3. Each room provided with an exhaust system shall have air supplied to the
room equal to the amount of air to be exhausted (Section 2003 (i) ] .
4. The exhaust and make-up air systems shall be interconnected by an
electrical interlocking switch (Section 2003 (1) ] .
5. A fire extinguishing system shall be provided for the grease hood. ill
addition, protection shall be provided for the enclosed plenum space above
the hood filters as well as in exhaust ducts serving the hood (Section
2004 (b)2) .
a. The fire extinguishing system shall be interconnected to the fuel or
current supply so the utilities are automatically shut-off when the
system is actuated (Section 2004 (4)c] .
b. A testing of the shut-down phase of the protection shall be
performed prior to approval
6. Provide a Type II hood above the commercial dishwasher, and duct to the
exterior (Section 7.003 (a) ] .
7. Provide a mechanical plan for review and approval prior to issuance of a
permit. Illustrate size and location of all roof-top units. Submit an
engineer' s calculations for additional loading of rafters or trusses .
S. The heating/ventilation aystem must provide 5 cubic feet per minute (cfm)
of outside air per occupant with a total circulation of not less than 15
cfm per occupant in ail portions of the building (URC Sections 605 and
705] .
Please include these corrections and required additions to the plates and submit
3 copies of the revised plans. If you need to discuss --,.y of these items, feel
free to call.
Sincefely,
James Funk
Plans Examiner
bup95-0296/pc6-86c
,1
'i
CITY QF TIGARD BUILDING PERMIT
f"�ERM I T #. . . . . . . : >8U1o9 5 0,'7c)
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 1217/P6/95
13125 8W Hall Blvd.Tigard,Oregon 97223.6199 (803)839.4171
PARCEL: cs110DC--1210400
SITE ADDRESS. . . : 115T75 SW DURHAM RD #S. 120
SUBDIVISION. . . . : WILLOW BROOK PARK ZONING: C--G
)LOCI'.. . . . . . . . . . : LOT. . . . . . . . . . . . . . 16
REISSUE: FLOOR AREAS _ ___... ____ EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. sALT FIRST. . . . : sf N: S: E: W:
TYPE OF USE...—COM SECOND. . . : Sf' PROTECT OPENINGS"--_____...
TYF'E OF CONST. :5N THIRD. . . . : sf N: S: E: We
OCCUPANCY GRP. t Be' TOTAL--------t 0 sf ROOF CONST : FIRE RET'?:
OCCUPANCY LOAD: BASEMENT. s s F AREA SEP. RATED
STOR. : 1 IAT. : ft GARAGE. . . : S OCCU SGP. RATE=D:
BSMT' : MEZZ'': REOD SETBACKS
FLOOR LOAD. . . . : ps f 1-,.EFT': ft RGHT ft FIR SPKL:Y SMGK DET. .
DWELLING UNITS: FRNT: ft REAR: ft NIR AL_RM: HNDICP ACC:ly
PEDRMS., DATFIS: IMF' SURFI`-CE: PRO CORR: PORI'.INGI
VALUE. $ : 1200
Remarks : install fire SI..rppr eIiSion' system
Owner: - _._._.__..___.._.__._._._..__.._._.___.__________________________ FEES
HPMAIIAN COVE type amot_tnt by date rer_pt
115x5 A--1 DURHAM RD PRMT $ 25. 00 S 07/24/95 95-268416
FIRE $ 10. 00 B 07/24/ri5 95--2G8416
KING- CITY OR 97224 -01210111 5PC:T $ 1. 125 B 07/24/95 95-268416
F'hcrne #: 643--3309
nt ract or s ----•—_--_________________....__--
FTRE EXTINGUISHER SERVICE CTR
PO PDX 1391
BE=AVERTON OR 97073
Flhonp #: 643 -330'7 $ 36. 25 TOTAL.
Rp1T #. . : 069384
REQUIRLD INSPECTIONS
is pereit is is:,ued subject to the regulations contained in the Sprinkle- Firal
:yard Municipal Code. State cf Ore, Specialty Codes and all other Fire Alarm Insp
applicable laws. All work will be dose in accordance with Misr-,. Inspect : c,n
approved plans. This perait will expire if work is not started Final I n e pec_,tion
r'ithin 180 days of issuance, or if work is suspended for sore
IN days.
,M A4A4
Issued By .
Call for inspection — 639-4175
• J'.tly 25, 1?
FROM G.P.C. & SONS INC.
GENERAL CONTRACTING & BLDG. MAINT.
rC : i,IR. ,JI:.. F'J 4K /C OTTY. C. TI BLDG12200 SAY FAIRFIELD
Qc-, 14AWAIIN COVE: 2CS�ALu2nwt'
BEMVCfiTO'•;, 0.2 970C3
115'5-5 4S Li /0 u/Z k(A m � ,�� A -�l LIC. CONDED INSURED
L"ir of r. I'.�n c; Phone 644.5900 Voce Pa"er 243.0726
TlG�artp O,� Mope Vole
1226
First I want to thank you for your help. Second, after our meeting- here
are ;he i`ems that are nee.iei. In -)ur building permit application "Ve are doin;
the followin ?; In exhistin; restroom •nye are removin;• the interior nartitions to
accomidatP 60" circle. ''la are rQmovin-= 15" toilet , instal.1 new 13" A. F. F.
handicapped t-sF:at. 'le are :covin; exhistin; vanity cabinet to ?ive room fir.
.0A code k. rte. F. new sin-le lever .faucet. .'le are removin�z exhistln;
2'6" door enl3r;e openir.; for new 3' 0" ; 6'8" 'oor with sin;le lever handle and
in(lic.ator vacant_occupied. ;1e are installin; grab bars to code. "otal for the
resaroom uptradde i 1265.00 ;e are build in new wall separati.n, dinin; area
from kitchen and partition walls for riew plumbin,' fixture.; and electrical
outlets for fixtures in kitchen area. labs sill be build with metal studs 25
7-ale3 1/2" 16" oc with lj'" sheetr�)rk each side. Also .ve do the kitchen area
floor coverin;, our bid for that is •`2950.00 l.ectrical Cost is ,`1650.00
211imbin ; cost is '1300.00 Therefore, our total cost of improvement or up;Trade
up to this point is X7665. 00 pl,xs now ,,ie have to relocate one entry door to 35'
or 36' apart, this will cost them another ."450. 00 This "grin.;s the total of our
pri j, ct t0 ,115, �0 'ur c int,r.actor' s Is val'.ie X19530.00
TH.;*'rri V J,
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CITY OF TIGARD RUC CIPT OF PAYPlF'--,NT RECV-.lV"T NO. :95--26P416
CHECK PMOUNT s 36. 11.1.5
NAME s FIRE EXTINGUISHER CASH AMOUNT s 0. 410
ADDRESS t SERVICE CENTER PAYMENT DATE' r 07/24/95
IP1970 SW 19T ST. SUBL)11.)1 S I ON
BEAVERTON, OR 97005--
PURPOSE OF PAyMF7NT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
A_16'1'LDING PERM 25. ola ST. BUILD PFR1. PS
FIRE LIFE SAFEY PLON CK 10. 00
11555 DURHAM Rn. A--I 81JP 905-0,279
TOTAL AMOUNT PAID 3h. Eft.
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PLA 61
# /fir C Date:
APPLICA R PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639-4171
DATE: '� 7 ' / PERMIT # 131t Pq Q.2 7 If
Valuation:Amt. Paid: Permit Feer— Z> r
��/ 40% Plan Check Fee: 4 `
Balance Due: c7' T� 71.�� / 5 State Tax:
Plans must be submitted to the Building Division before installation. Three sets of the lot 3
G a5
plan, showing the layout and the location of the nearest hydrant is required.
New Installation:— _ Addition: Repair: _ Alteration:
Complete: Partial: Exitway: Basement: Hood & Vent:`
Spray Booth: IN EXISTING BUILDING: )C IN NEW BUILDING:
NUMBER & STREET: I I a- ) Dk,l'r!,a"" 9J.
NAME OF BUILDING or BUSINESS: u&/f— _
NO. OF STORIES: OF BUILDING: OCCUPIED AS:
TYPE OF SYSTEMS: Wet:— (K Dry:_ Combination: Ck0'It ICA
STANDPIPES: OCC.HAZP,RD: Light_^ ORD.GRP.HAZARD 1_ 2_ 3_4,—Extra
DENSITY _ GPM/Ft2 DESIGN AREA— ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: "K" FACTOR TEMP. RATING_
OWNER: ADDRESS: _
CONTRACTOR:_ w 5ebi;ce C64-le r
PLANS DRAWN BY: ADDRESS: /2A /0 Sa' / i0
REMARKS: f, A a.or U',.442 Ler
APPROVED permits includes only work described above and/or on plans and specification bearing the same
permit number and will comply with all applicable codes and ordinances of the City of Tigard.
SPRINKLER C,..,- IPANY: ' ' �Lp� (( PHONE: s fit )
SIGNATURE Of \PPLICANT:
BUILDING DIVISION: _
PERMIT VALID FOR 180 DAYS
n:Ue{mmu,u�rco'm,
Community Development ELECTRICAL PERMIT APPLICAVON
13125 SW Hall Blvd.
Tigard, OP. 97223 Planck/Rec. #
Permit #
Phone (503) 639-4171 Date Issued -Qtr S
CITY OF TIC;�.RD FAX (503) 684-7297 issued t iy �, -- —
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development I Number of Inspections per permit allowed
AddressI `�- Ste! �7 �,1 A� Service included Items Cost(ea) Sum
City/State/Z_ip_ 4a. Residential-pn unit 4
1000 ey it or Nee $11000
Name (or name of business) 14A Each eddt ere f oq t' or
podwn 1Mrool 625 00 1
Commercial Residential❑ Limited Energy $2500
Each Manurd Hone or Mcdular 2
Dwelling Service or Feeder $88 00
2a. Contractor Installation only:
4b.Services or Feeders
/ '� �, ., . / Installefion,alteration,or relocation 2
Electrical contractor — J�lZ/ll 200 amps or less $8n00 2
Address _. � 201 amps to 400 amp@ $8000 2
City PhLn� State Zip `- 401 amps to 600 amps $12000 2
801 amps to 1000 amps $18000 2
Phones No �Q ( _ Over 1no0 amps or volts $,94000 2
Contractor's License No._ �_ �� Rsconned only s5000
Contractor's Board Reg. No. f ON r' 4c. Temporary Services or Feeders
Inelallaban.altsrabon.a relocation 2
Signature Of Supr. Elec'n t ton amps or loss $5000 2
License No.•S! -rSLZ_ Phone No..Z 201 amps to 400 amps —� $7500 2
401 amps to 600 amps $10000
Over 600 amps to 1000 volls
2b. For owner Installations: see•b•above
4d. Branch Circuits
Print Owner's Name New,alleramon or extension per panel
Address e)Tie tee for hrarch circuits with
City _ State Zip purchase of servks or boder W. 2
Phone No. Fac+ branch circuit _ $500
b)Tho Ire lot brnnch circuile without
The, installation IS being made on property I own which Is purchase of ssrvks or bedH Apo. 2
irstnot intended for sale, lease or rent. FFa(;tro l pdditlonat hranch Ca $$500 _ 2
branch circuit $5 00
Owner's Signature _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (i/ required): Each pump or irrigation circle $4000 2
Fadi sign or outline lighting T— $4000
Signal circuits)or a limited energy 2
Please check appropriate Item and enter fee In section SB. panel,alteration or exlarwon $4000
4 of more residential units in one stnicfure Minor Labral@(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable In any of the above
as described in N E C Chapter 5 per wArwhon $3500
Per hour _ $5500 _
In Plsrnt -- s55 nn
Submit 2 sets of plans with application wirers any of the above --
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $
NOTICE ---
5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION subtotal $ '—
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for —7-"-
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONFD FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED ❑ Trust Account N
Balance Due $
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. 05—R67698
CHECK AMOUNT a 5e. 00
NAME a SUNRISE SIGNS LLC CASH AMOUNT a 0. 00
ADDRESS t DAVID W SWOFFORD PAYMENT DATE a 07/06/95
2900 SW 219TH 81-DG 335 SUBDIVISION
HILL SBORO OR 97123—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT V'AiD
ELECTRICAL PERMIT 40. 00 ST. BUILD PER elm
LAND USE APDL S'GN FERMI 10. 00
1A555 SW DURHAM RD
H(IWAIIAN COVE RESTAURANT
JOTAI_ AMOUNT PAID 58. Ivio
1111. .
Cqmfne ci Iuil I' at' n
'City of Tigard ' / --
13125 SW Hag EIN41
Tigard, OR 97223/ 0 o��$ti -�' ; �/
(503) 639-4179
;obsite Address:
1' o Office s• nl
Tonant: _1,44-2411Au e67AA&Jsuite# Al __
Valuation: 706'-0 S-Ooo % Planck,'Rec
Permit it FagJ74 r r'1 2 9r�
Owner: 0%4UA?,JM U-e1- I A-'CtA -L--fry—_— Map & Tl.
Address: W 7Y —5c�i l3A i��`1. 13C VIb._ ARProvals Reguirud
0 -- 2.01 Planning
Phone: 2,z z 3vol _ Engineering
23 Imo`' . ✓E {'1Urvroc, Ulf Other _
Contractor: —C p 6 SQuS 1IUC,
�^ F�rwc
Address: Z z O O S w Ykx /SCA
Ute, J
Type of const: T /
tualrc 32 O 1 z2 (a Occupancy crass: Z
Phone: ,S 0.3 6 00
Spdnklerec"r Yes No
Contractor's license #_ 05-LLI I/ _
(attach copy of current Oregon license) Sq. ft. cif project: 2-900
Contact name & phone: CA&IT P/�!I)N1/a� _ Stor! 1s 2nd, etc.) . _
Prop used use:
Arch itect/Englneer.
Prewivus use: aw,6 SVIYA1, 51ivre-
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone: — ---- __ 11-1
JOB DESCRIPTION: —C1fAk(,*K WAIS-' _�olE� 7�fl Kc-SIA.L"NIf-
32. olzz6
Applicant Signature & Phone number
Received by: Date Received: zR �i
Permit# Account Description Amount Amt. Pd. Bal. Due :0, `
Bldg. Permit (BUILD) —�' �- 9 _`c '-j V/
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) z yam`` ✓
Bldg:
Plumb: _-
Mech: _ _
�� ✓
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
iii:' -��- -- - �, -
Sewer Connection (SWUSA) '� f✓
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF•O)
Water Quality (WQUAL)
Water Quantity (WOUANT)
Fire Life Safety (FLS)
Erosion Cntri Permit (ERPRMT)
Erosion Planck'1)SA (ERPLAN) .�
Erosion Planck/COT (EROSN)
L ... 3
TOTALS: —"-
30&o�
W
CITY OF T I GORD - RE'-'CF I FST oF PAYME N r RFCE I PT NO. a 95.-21Fa
CHECK AMOUNT
c IAMt-- CPC OND SONG, INC. CASH AMOUNT : ►t+.'
,DVRFSEy 12200 SW FAIRF'IELD PAYMENT DATE a 06/i?8#
E_1FFIVE:.RTON, OR SUBDIVISION
t-rl.IF2posu ot- r'AY'MFNT AMOUNT PAID PURPOSE OF' PAYMENT AMOUNT PAID
f'l_AN CHLCK FE 6--86C. 3P. 83 FIRE LIFE SAFF Y PLAN CK p0. p0f
1,1555 UW DURHAM Ill) P I.
-ro,f ry. AMOUNT PAID _ _.. _. ._..� 53. rte,,