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M.-, ?.,„ ..,'"'; .. �+ IF THIS DOCUMENT' IS LESS I I � I I I � • � I � � • •I «,.� �� � I � I I I I ( ( � I - • iiii � il � � l i I �. 171 I I 1 �� ) I ( 1III1Ti111111111IIIIIIIIIIII1111111IIIIIIIIII �t (” ( ( I T ( I I I I I IIII III I OCTOBER12-6 19 LEGIBLE THAN THIS NOTATION, --,--__ 6 IT IS DUE TO THE QUALITY OF — _ -� No.Je THE ORIGINAL DOCUMENT. �1, 8Z 8Z LZ 9Z + Z bZ E Z i��Z O��Z 8�T 8I LT 4Tt' EIT ��9IIII111911 IIIIIII I IIIIIIIIIIIIIIIIIIIIIII , . ;::: ., ,. :� .�. .\ . � � � , J ..o..`fn.r ._. _— I CITY OF TIGARD OREGON November 23, 1992 Beverly EnterprAses 14145 SW 105th Tigard, OR 97224 SLA F' Re: 14145 SW 1051.1 Permit # -MC 92-0005 Dear Sirs: On 1/14/92 a permit: was issued for the above project. As of this date, there is no record of any inspection having been recorded. Please advise the Building Division of the status of this project as soon as possible so that the file :;.ay be kept current. Please note that any permit without activity for over 180 dayts becomes void. If you need additional time to complete the project , please contact this department so an extension can be discussed, Sincerely, Brad Roast Building Official Notice.R 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 — -- BUILDING PEF.Ml-r tin"OFTIFARD PERMIT #. . . . . . . . EAUP'92-00V*.:) Cffy()F V COMMUNITY OEVELOPMENT DEPARTMENT CC0190" DATE ISSUED: 01/14/92 13126 SVV H&I Wvd P.O Dox 223397,TigaM,Oregon 97223(600)8304176 17- el b b R 1. Z'. t I t 5 9W 1 0 54 SUI,DIVISICIN. . . . : ZONING: R--1c' PLnCK. . . . . . . . . . .. LOT. . . . . . . . . . . . FLOOR EXTERIOR WALL CONSrRLJCTION GLASS OF WORK. :ADL FIRST. . . . : 128 s N: 3: F: W. TYPE OF U13L. . . :C,0M SECOND. . . : S-F PROTECT OPEN I NGF ?-- 1YPE OF CONST. :5N THIRD. . . . : s N: S: E: W: OCCUPANCY GRP. :Bi -FOTAL-------: 1 8 S f ROOF CONST:B FIRE RET? : Y OCCUPANCY LOAD: BASEMENT.: s AREA SEP. RATED: 1HT. :8 1TOR. : I Ft GARAGE- -. S f OCCU G�ZP. FIA CED- BSMr? .-.N MEZZ?:N REED SETBACKS---- REQUIRED-- FLOOR LOAD. . . . :50 psf LEF T: -ft RCI 1T ft F I R 1;P K 1-: r3 M 0 K t-;r-T. . DWELLING UNITS: FRNT.- ft REAR: ft FIR ALRM: HNDICP ACC:Y MDRMS: PATHS- IMP GLJF?Fn(.-,F: PRO CQRRi PARKING: VALUE. 4) : 350 P.emarks : Add 8 X 16 ft c-ailopy/avining At e,<ter-iov-. Owner: Alk6mll"& FEE5 BEVERLY ENTERPRISEE3 type amol.tnt tiv date t'&Cpt TIGARD EARE CENTER Pplyll, 1. ---'5. Q'@ ,'*LH 01 /03/92 2214BG 14145 SW 105TH PLCK $ 16. 2',5 ,'GLH 01,103/92 E121488 TIGARD OR 97223 FIRE $ I V.). 00 JLH 01. /,03/92 1466 i-'hone #.- 639--1144 5F-ICT F -Ar-71b GLH 01 /03/92 22.1408 5' NOT ON FILE r11ona 52. 00 TOTPL REQUIREE INSPECTIJNS Phis permit is issued subjtct to the regulations contained in the Foot/F(,;und Irisp Tigard Municipal Code. State of Ore, Specialty Lodes and all other Fr-aminq In-,p appliNabi e laws. All work will be done in accordance with Roof T16ki I n q I ri s ij approved nlers. This permit will expire if work is not started Firial Inspection within 168 days of issuance, or if work is suspended for Rare than 180 days. fcisijed Call for inspection 639-4175 TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT 4755 S.W. Griffith Drive• P.O. Dox 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2538 January 9, 1992 Beverly Enterprises Tigard Care Center 14145 S.W. 105th Tigard, Oregon 97223 Re: Smoking Area Tigard Care Center 14145 S.W. 105th 6188B-047-000 Gentlemen: This is a Fire and Life Safety Plan Review and is based on the 1988 editions of the Fire and Life Safety Code (UBC) , Mechanical Fire and Life Safety Code (UMC) , Uniform Fire Code (UFC) , and other local ordinances and regulations . Plans are conditionally approved subject to The City of Tigard Building Department requirements and the following items: 1 . Automatic. Sprinkler Plans: Plans referred to and examined by this office contain no provisions for the alteration or installation of automatic sprinkler system. Not less than, three sets of plans .for the installation shall be submitted to this office for approval prior to installation . UBC 302 (b) 2 . Approved Plans on Job Site: One set of approved plans bearing the stamps of the building department issuing the construction permit and this office must be maintained on the project site throughout all phases of construction and must: be made available to building and fire inspectors for reference during required construction inspections . UBC Sec. 303 3 . Required Occupancy Certificate: Prior to the use and occupancy of the project (space) , a certificate of occupancy or other written instrument of approval must be obtained from the building department issuing the construction permit . (IBC Sec. 307 ^14nrkln`"Smoke Detectors Save Lives Beverly Enterprises January .9, 1992 Page 2 If I can be of any further assistance to you, please feel free to contact me at 526-2502 . Sincerely, Gene Birchiil Deputy Fire Marshal GB:kw cc: Tigard Building Department ✓ Note: This proposed construction has already been built . Deputy Fire Marshal John Dalby noted it as unpermitted construction and advised that City of Tigard should charge double fee. 35-0 Ro�'X$; a r• Al y ©/r/�e `U/V C9 / CITY of TlPAPD ' i �/ � �UG9•�-pcx�S No s%des t MA MICE NOl-AN APPROVAL OF i inf , Z 1 CCAo� i I � I I I i I y�4 Nar a'�01� fTO1TY�0(", p1�` Y i i � yrs yXy t4. i 13125Swliaut1yd. PLNCK/RECT CITY OF Z I C ARD PO 13�,='-3397 PER-1I T COMj%tUjNI"11' D[N E.LO[',%1[;tiT t)Ei ART11E,NIT .5prd,Oregon 97W L— (503)639-4171 DATE ISSUED JOB ADDRESS: �� 5 1 :_ TAX MAP/LOf _�'�l 1-0 SUB: LAND USE: VALUATION: A, �:SG OWNE� J SPECIAL NOTES NAME.;---be V 6\ »�PrR ISSUE OF: -- ADDRESS: Same LAST REISSUE: _ — FLOOD PLAIN/ PHONE: 6 39- 1 VA y _ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: 1)2CJ7"��� PLANNING: ADDRESS: _ ENGINEERING: FIRE DEPT: PHONE: __ OTHER: NO 'T//" "L - CONTR. BOARD A: EXP DATE: _ ITEMS RE UQ IRED UBCONTRACTORS: PLUMB: ____��___ LIST/SUBCONTRACTORS: MECH: BUS TAX: ___-- ARCH ENGINEER CALCULATIONS: NAME: ----__-_-_ _-- TRUSS DETAILS: �– ADDRESS: _ __ OTHER: PHONE: —PROPOSED BLDG.BLDG. USE: S n-lnkti� COMMENTS: 1 t: r �.� :'',��.t� ct 1►teiL^C�ir�� Ft,�l`►d�.i r APPLICANT SIGNATURE Received By: _ _��`_ Date Received: _rl�P — PERMIT ACCT r DESCRIPTION AMOUNT MOUNT PD. BAI_. DUE 10-432 00 Building Permit Fees - 10-431 00 Plumbing Permit Fees _ — 10-431 OI Mechanical Permit Fees _ 10-230 01 State Building Tux (5%) _ Building Plumbing Mechanical 10-433 00 Plans Check Fee -- Building _ Plumbing Mechanical 10-230 06 Fire ----- —6) ' — 30-202. 00 Sewer Connection - 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees _ — — 25-448-04 Industrial TIF Fees - 25-448-06 'Institutional TIF Fees - 25-448-03 Office TIF Fees — - 25-448-01 Residential Traffic Fees 2.5-448-05 Mass Transit TIF Fee_ _ 52-449 00 Parks System Dev Charge (PDC) -_--- 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) —. 24-445-01 Water Quality (Fee in lieu of) - 24-445-02 Water Quantity (Fee in lieu of) — TOTAL -- WE ME&IWO-Almmamm mmm CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO. 92—,22 1480 CHECK AMOUNT 0. 00 WIME TTGARD CARE CENTER CASH PMOUNT s 52. 50 i.WDRESS 14145 SW 105TH PAYMENT DATE s 01 ,r03/92 SlJSDTVlGIoN 1-jujARD, OR 97224— PURPOSE OF PAYMEN1 AMOUN r PA t 1) PURPOSE OF PAYMENT AMOUNT PAID PLAN CHECK FV' 5 25. 00 TUAL(ITIN VALL 10. 09) ST. BUILD PFR OITAL AMOUNT PAID 52. 50 INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard_ Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plt.y Tsndorfloor Watur Line r, Gyp. Rd -Koch. Date Reques,.eds �-y _ -Time; Address s�L�L/� I1� / ,Permit #i THE FOLLOWING CORRECTIONS ARE REQUIREDS Inapectocs _.� PPROVEO _- DISAPPR043D _` APPMWRD NUMCT TO ASM _Call Pot PAinep. INSPUCTION_JOT City of Tigard Building Department -sf Blvd. Tigard. Or�'d 97223 1312 gall Blv639-4175 Business ?hone: 639-4171 Inspection Line. (Rec-O-,Phone): -- Inspections. _ A r/Sdwlk plbg. Underelab mech. Rough-in PP Footing FINALS Plbg. Top Out Gas Line_ Found. -' _Bldg. S ' Poet/Beam 9truct. an. Sower Framing plumM. Rain Di+in Insulation Poet/Beam Mach. _Neth, Gyp. Hd. Pltg. Underfloor Water Line PM Addreeaa_._ �A 7.� ,✓ __ Builders THX 'pOLLOWING CORPEC"ONS ARS RRQUIRV-D= — —�-----'moi_ Inei.ectors — _DISAPPROVRD APPROVSD 5URJRCT TO A PROVRD ___ _� Call For ReineP. BUILDING PERMIT TYOFTIIFARD C11YOFTIOND ' COMMUNrTY DEVELOPMENT DEPARTMENT MOM iDERMIT #. . . . . . . 13125 SW Hidl Blvd. P.O.Bcvt 23397,T19MM'Or"M 97223(603)639,4176 SITE ADDRESS. . . : 1,4145 SW 1015TH AVE PARCEL: 2S .ZONING: ._)UBD I VISION. . . . : SWANSON GLEN BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .54 FLOOR AREAS------------- EXTERIOR WALL CONSTRUCTION .- REISSUE: FIRST. . . . :: sf N- S: E: W: _LASS OF AORK. :ALT D. . . : PROTECT TECT OPEI\IINGS?-------- ---- TYPE OF USE. . . :COM SECOND. . . : sf N- S: E.- W: TYPE OF CONST. :5N THIRD. . . . : OCCUPANCY GRP. :Bo Sf ROOF CONST: FIRE REI-? : ,-- TOTAL.-------- ,1CCUPANC'Y LOAD: BASEMENT. : sf AREA SEP, RATED: STnR. : 1 [AT. : 14 ft GARAGE. . . : s OCCU SEP. RATED: BSMT?:N MEZZ?:N RECD SETBACKS---------- REQUI LEFT: ft RGHT: f FIR (3PK1_: CMOK DET. FLOOR LOAD. . . . :50 Psf FRNT: ft REAR: ft FIR ALRM:N' HNDICP ACC:Y DWELLING UNITs: IMP SURFACE: PRO CORR:'Y PARKING: BEDRMS- BATHS: VAL UE. $ I000 Remarks : Add non--rated door for noise control in east corridor. non—rated. Owner. FEER r ecpt type amount by !-Rt e BEVERLY ENTERPRISES) 1.4145 SW 105TH AVE PRMT $ 25. 00 JLH 08/22/91 — PLCK $ 16. 25 JLH 081221r1 — FIRE $ 10. 00 JI-H 08/2,1/91 — 11GARD OR IS P C T 1. 25 JLH 08/2-2/91 — Pt-ione #: 6,?9-11.44 L-ON'TRACTOR NOT ON FILE 1_- 11QT1e 52. 50 TOTAL Ue q # REUUIRED INSPECTIONS This permit iy jisued sut)ect to the regulations contained in the Fram inq ITISP ligard Municipal Code, State 0: 0', Specialty Codes and all other Gyp) Board Iri",p applicable laws. All work wil. he done in accordance with Final Inspection approved plans. This permit will expire if work is not started within '80 days of issuance, or if work is suspended for mare thin 180 days. r M i t t e t I a t 1_1 r e T s t-ted By Call for inspection 639-4175 A C.t T Y OF T I GARD- — RE.CE I PT OF PAYMF'N T REC:E"I PT NO. :91-216578 CHOCK AMOUNT s 0. 00 I L lht� BEVERLY E:NTL.RPR I SES CASH AMOUNT : :=8. 25 1' P'AYMEN'T LATE: a 08/22/91 I' :14145 SW 1.0`,TF! SUBDIVISION � TIGARD, OR 97224— I' F.'i!� i► ;f OF PAYMENTAMOUNT PA 1:D PURPOSE OF PAYMENT AMOUNT P011) iii i r I 1 1 hIC+—PERM �� Gil.�..E`U1Lll PER____.._ .. .... 1. `.+ �a 1- 26. 23 k / VCS o? Ilpp,,;le I►e / ,�.n�1 Senn,.�i1 �,;.r n,R! I�:1 I e Al An, id lIo•rn I'1 Ne•n,Nl,�1- Fr�v1IY' -130'' R -Z d (rnx ^1 1� cam--- V W► 3 3 Our:,15 p `iGt ,n a7 3 3 �Lol, f rti zGlt�S 3' z rrph l7 room NJ /d/_ /oam Znun 1 /,porn llnonr 11 No("!r3 J`l(1 1,j I I ' I(nom I rleen+9 t — , 1 ..6111 ifk Cll � � ) v '� u Y l s,I IIUO��� Sar /� �trurr'.z7 LCllslf>J�� x J 7 I r„ �3 1tJIlt.Rt1H YAtfey VIN MOSOL WICK(loon, tro P'PM-3VI::� . . AC] 1 3 _, S CONUT'ONAWY APP0PN/E0. . . . . . . porgy, .3 t "y AN&15 NOT Mt APPROVAL OF 'S[Ei. LETT�R Coil CITY OF TIGARD > 3 Approved..................................... ....... ...............�' 3. foo,+ ,gyp CpnJltipnAily Approved........................ I 1 J 4411'3.1 ,p Cor only the 0n ,z 1b di r V PERMIT NO. . . . . Seo lettor to.Follow . ... ... -u-.-4�1 Attnrh Fl c DLI'bill , 3 .Joh Addre•;; ,Date: ._ )(r.lthen By: Cori.: Lnundrl yw Itl c-1n)6) �r -�np►,I�� �� iR7C fyMrC. f: 5 C.s� TUALATIN VALLEY FIRE & RESCUF AND BEAVERTON FIRE DEPARTMENT • 4755 S.W. Griffith Drive • P.O. Box 4755 • Beaverton, OR 97076 • (503) 526-2469• FAX 526-2538 August 19, 1991 Beverly Enterprises 14145 S.W. 105th Tigard, Oregon 97223 Re: Tigard Care Center 14145 S.W. 105th Tigard, Oregon 61888-047-000 Gentlemen: This is a Fire and Life .Safety Plan Review and is based on the 1988 editions of the Uniform Fire Code (UFC) and those sections of the Uniform Building Code (UBC) and Uniform Mechanical Code (UMC) specifically referencing the fire department, and other local ordinances and regulations. Plans are approved subject to the City of Tigard Building Department requirements and the following items: 1 . Approved Plans on Job Site: One set of approved plan.: bearing the stamps of the building department issuing the constructior permit ar.d this office must be maintained on the p..oject site throughout all phases of construction and must be made available to building and fire inspectors for reference during required construction inspections . UBC Sec. . 303 2 . Required Occupancy Certificate: Prior- to the use and occupancy of the project (space) , a certificate of occupancy or other written .instrument of approval must be obtainer the building department issuing the construction permit . UBC Sec. 307 3 . Recommendation: This department would recommend that each leaf of the doors being installed across the corridor, as proposed in your plans, swing in "Worklnj"Smoke Detectors Save Lives Beverly Enterprises August 19, 1991 Page 2 opposite direction of each other. . This is based on smoke controlled door assemblies as specified in Uniform Building Code Section 1002 (b) . The reasoning behind this is that exiting is required in both directions. Please note this is not a requi.remPnt but simply a recommendation. If I can be of any further assistance to you, please feel free to contact me at 526-2502 . Sincerely, ` ene irchi 1. Deputy Fire Marshal GB:kw cc: Tigard Building Department CITY OF TIGARD RECEIPT [IF PAYMENT RECEIPT NO. -91-216,E 1 1 CHECK AMOIJNT - 0. 00 tlpME S TIGARD CARE CENTER CASH 01%10UNT 26. 25 "DDRIF SS r 14145 SW 105TH PAYMENT DATE t 08/ 114/91 SUBDIVISION TIGnRi), OR 972c_4•-- i 'UH 'OqE OF PAYMf--'NT AMOONT PAID PURPOSE OF PAYMENT AMOUNT PAID ! 'I VIN CHECK FE 16. 25 'rUALATIN VALL 10. 00 ' ' 26. 25 1) AI. AMOUNT w INSPECTION NOTICE City of Tigard Build-ing n.p.rte...lt 13125 BW Ball Blvd- Tigard, Oregon 97223 Inspection Line (Rec-o-Phhone): 639-411775Businose Phone: 639-4111 Inspection:_ Footing Underelab Nec - n Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing Poet/Beam Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line Gyp. Bd. --Hoch. � --lil �Timet 11M PN Date Requested: Addrees: L `j Permit #8 Builder: CI /Ice THE FOLLOWING Cop"CTIONS ARE REQUIRED. vo 92 Inspec rt_ __ Date-.--- — APPROVED DisAPPROVICD APPROVED SUBJECT TO ABOVE Call For Relnep. If' ry env INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Orogon 972.23 Phone: 639-4175 Type of Inspecti7a�ae� _P.M. Time A Date Requested /a 2 L rf- Address _ Permit Lot — Owner___.. — Builder be corrected: The following Building Code deficiencies are required to -- -- -- - -- -Approved Presented to C L Disapproved Inspector _ Date ' ALL FOR R IN P, TION LJ YES r] NO —CITY OF r*ARD AprrwPed Condltlortally Approved. . _. ..... ...... ............ ...... For n.dy the lvcr c. G^Ycrib,�d in: 1 PERMIT NO. r^ / r^ See letter to:Follow........ .. ... ....................... .. .I L `Coy Attrch.................. ..... ........... ....... _I I Job Addre,'s: .> " tVAI.AlM VALLEY FIRE MARSHAL OFFICE AFF11%)VED. . . . . . . . . . . . . I . . . . . ri QY' Datb: _y/9lRJ CONVITIONALLY APPilOVED . . .. ..13r, --- APpRn,IAL f-'!--%ANS 0 NOT AN APPi70VAL OF ONiSti1C.,N" r VERMGHTB. sec ? _J LETTE 7� 11t.ta.i:n DATE Ex I s-n N R6F� T C s��►I� i CITYOF T','3ARD .. `ur,I.... ..... .............I.. ... ........ .[ ]: ..... cccey T I L /G fT VJAI.AlR) VA: EY FIRE MARSHAL OFFICE . . . . . . . . . . . . . . . . . . . �J CONOITlOpFFiA�Vt:DNALLY APPROVED.. . . . ..� APPROVAL rr!--"LAN9 19 NOT AN APPROVAL OF 011&`,ON .,f)VERSIGHT9. SC[ :D LETTE DATE x ,s-T-I Iv� REQ� o-�� K��z�►�rJ N PQoPoSbo c��b� aP�"' �1' �� pdoc w� . y r��ta�� s►.� COOI&E is �e,m Sswuo,a , T► c:? f�R� �A d�: C, �Nc�(� W C w q� l �.rtlAC� Ceolre is Fe�� sTA*i0`� � � N [No. 720a2 - V1nrl ---$2953'3 ." lid 297 Ib. Production suinbss $ 81 301b Storage 51,1113182 34 optional No.72083 _ b4,�k !or tiller or Base I ✓ ' 10 No. 72084 Vinyl $341250 aX1 534 Ib. Production sUmiels 30 Ib. Storage_ No 7 $364219 I ' No 71085 design and price to fit your 6 t. Please call TOLL-FREE. :; �•��:: . .. °: "" X. LEER ace WALK IN COOLERS & FREEZERS • REFRIGERATED WAREHOUSES �) �achllZes 8c �ISpel'istsl's COMBINATION COOLER - FREEZERS Custom Uesign,s To Meet Your Needs We can help you select the right model at the inht price. ON 24.2 deet Immediate shipment — delivery In 10 days No. 4,�{ E • With or without No. relrigeration system c • Over 175 different sizes • Economically priced. T� 46.0 p "1 �.�''` 1400, deet Low-Boy Hgh•Boy - -�-- 220 Lbs. No (NSF Storage 430-1,040 Standard features: No Capacity Lbs. Storage • 4" class 1 foamed•in•place urethane Insulation 200-400 230-1,710 • 26 gauge stucCtl Qalvalume inioriot and exterior • Cam lock fasteners bs./24 Hr. Lbs. Capacity • Constructed for cooler or freeze, application with TH Capacity Per 24 Hrs. antbcondensate heat wires in door and door frame • Door opening 36" x 70" with right or left swing 69.! _ • FI ring loaded cam lift hinges and safety release latch 341, Call Call • Double se door gasket Doub �l/ • le wsep door wiper assembly J TOLL FREE TOLL FREE • 16 gauge floor or vinyl screed for Ilooriess units No Light fi,dure essembl, pilot light with switch, thermometer For Design For Design . Partihnn walls N(, & Pricing & Pricing • Acct�-•°ties _ • Properiy sized and nalariced wfngerabon systems SEP 07 '90 11:42 LEER hIANUFACTURING mov 180 11069 '+ e v u 1111101574 (N) ^� ! INC ` 6 •, •;,�r: .'+ Vi10-cent fMm A OSHAp' N1 1M' 'T`med Oleetlo not more than thlokneaa Indicated, formed from taMyenele Component "•1:'�.'tl'• Qw 4*0 0*41n Component 9UC•11e•1.Oe at•nomlMl den UtY of 2.0 Put.M t1ddl 7tatlRhee `fy Milan 400 �1MYI detralopla • r(nl IOemkd plNlle at the tnlcknoe h4calvd,formed from"C1_1.$p Component A and e"n "C1.1 Cantipwnt A and e"el•nominal denalty of 1,0 pef. e In 11dI ►t/IM1M X10 1 '�1 i Wa 4DU*'fftV%L BLVD . L90K FOR CLASSIFICATION MARKING ON PRODUCT Rilple" g106760 dated April 14, 1919. µluio�t �; ,,►feeee Underwriters Laboratories Ino.• �>etc nuolalue :L.fr tiY• i ;d ra tyr.y.•�rrl��P+✓4+�sy •s- Llv' ' s k'� •b yF.li,�p • _:j-',Z7r MA , f �v• � 0 1►� `�\4_Zr�Qryn•10 ���t �f \I1� 1 ;r' i' i�' Tj'�'gm '-' n,� �- l� iCh`.(tl'Oi s�yv CCRTIFICATF ;:• o U UNDERWRITERS LABORATORIES INC. s• {t NOR rHSR(N1K-IL SA?(1 A Il1.ARA.1-.A C 8274 yy =4 RE56-ARI.N-t-RIAM&F PARK.NG �.o J•IJs MLLV11.1.1;,NY f 1 nd'Penden.f.,not-(or-p-frfm•ganl2atiMlfestingfor publicsafety }n! il a»z Mb224 �tw — . . Ittt ��rr `' ,• ItK mamdacturrr, whosename K>lrears Itrlow tS gtarldied undrr the [:IaAsilicautrl SrrYitr d l'ndrrwri(rrs ' _- (lasatltdl as u, F f �ZdSC-]S_ Rfd1�►C - ;r- I:danaunto,Ina.,as lumnlung ---- 19t1c�4 -- _ tach Iters ucundarum•r is dr•n•lon VLlt:71fi14,_characte -._- -�-- i'•.. almholit d to is%or this cenifiotr for the 4ulk shrpmrlu d mal l det(xibevl hr1oK as its rrptesrmenun that �W such malrrral is -nanufmiured to compliance with thr rrgnirrrrrerrls tslablished by Itrrdrrwtitrrs Iabrratairs -ti.•._ {1K..IM thu Hass nl pradu<Y. •• --.t +7 11"w Narrr al - _-- - —._--_Iatelul-- 102-49 ga1loc16 Qr�S ('analog No 905 ari+ �w ��p�� deo 1idP 65E tete.�.1_f� 25, smoke 250 —— ,�_th ckt j4w 2&, erg----'— y y``( (:lessid — City and a1i1RttRI ND err Mann(act u rn1 1. �R Bill of llescrip —1. tm c 44��j ' 24 — _ arkng No. Y of C mlaittet - - Va (:rty arra - ------ iiebOflr _ Y. —Stair Shipped --.N� ;itx s�. V�•' Chip liylr:-_._ 9/27I69 Si}tm•r1. V'Ii/' 1' �,s'' ,� t 16��A��Y� ?�+�,��;-.� i�.:TF.t�ty`•.K�•"•}a•'4iD� � v�� M � 9-1,4«+RH�re�,ii"s� it:,..,�'}•*�bD��A.���+����1R;.�'.^•.awA��'fir.+rirR�.i.�.�A.4,.4+v«sS�e�E .r i i--I le A l p Q,A 2C • I i I � I I• 1 C P Di)* i .y � W f i h z.4W BeA��►W cvCLD SIolmq \ �1 I I j ► l,o (�'RLQ L:_.(��t L-716� �Ioo2 Ex�r 70 D�NN,�� �aorr• i I ESC lT TO A LL- t I I I j / N T F N C C �,XISrIN(o Cc>`,1t5e I7 x ST�QA�` P2 o n o s c 0 tJ ts--i Lx I ' T a I 3 2- 3 - --- — -- --- -� �/ ry - —, ,=, Ayr(ox zz ��rtc►,t� f��s�` E"vcu _'_�°�,�' ()E5r CVC, p` '- / r^ rrr IH lloora 7e (t�nrn 71 (la^anrwn /,..anr�! /a orn'XY ���I' i I(!I eam /t.,om /�.nnr / /IOorn rU /(oe rrr ri Iloorn rq IlMnllr 'ir 1•� , z ,l'1: T rurn.r. 3 � , . Jalw�ut.r.r 0 Ltnls '� 3 2 11011rnzs Rrn.na7 on.r l F r��r/ n xi AiMvrl A5 ` I r l oony 6 7.�urt 7 /lcx+nr Q l�eom 11 roo or I} {{ i } i. I Itnf,Irl1 n�^h,I t ,—� (f.rn rll l k �41> I; � �r 41csrU��� i-�� z J • vFF�ccs ���.51� oj to >Z, UIllw /} � �nurrr,z7 1i�1?�.ui51��•' 3 ' C � 4'A(..y, ,_ �f�.�� II gof m 34 r norm ,� '_ u � ,?nnr,(sLlr�. I vr�r•rdr3 � I . _ � r•n ll" � Tug J � IycJ71 'cI 3 �S� I R no I cQ'1d' 34 p 4. kil DLr,�r(rl r 3 Y" \ �I�w fee2 �/y C r Mort Mor L- 3'0 CITY OFTIFARD � 1.)EBUILDING r1ERMIT TWARD RMIT T'#. . a . . x x , BUP,90-0278 COMMUNITY DEVELOPMENT DEPARTMENT 0*100" FIRIM. VIERNI 1' a. : BUP90-0278 13126 SW Hell Blvd. P.O.Box 23397,T19wid,Ongon 97223(T*1,4332"YDATF*-* ISSUED: 09/226/90 SITE ADDRES11-3. SW PARCEL: 2S]. ZONING-. DLOCK. 1:'-,'EISSUE: FLOOR ...... EXTERTOR WALL CONSTRUCTION - CLASS OF WORK. :ALT FIRST. Sf N E W T'YPE OF' USE. . . *COM SECOND...: s F'ROTECT TYPIF OF CONST. -5N THIRD. . . .. . f N S: E, W:: (JCCUP,ANCY GRP'.. -L42 TOTAL.......... 0 f ROOF' CONST-- FIRE RE T? OCCUPANCY LOAD.- BASF.'IMEN'T . is f AREA SEP. RAT ED: STOR. » I HT. :14 ft GARAGE—. :: Sf OCCU SEP,. RATFD-. 1HR B S M T? 14 IIEZZ?iN RECID SETBACKS------ F1.0 0 R L 0 A D. . . . 250 )Sf LEFT: ft RGHT: ft FIR SV-,KL-. SMOK DET. . : DW,r.-.AA.ING UNITS: FRNTg ft REAR: ft FTR ALRM.-Y FINDICV, 4)C(.'-.Y D F:1)R 11 S BATHS: 111V1 SURFACE.- [.,RO GORR:Y PIORK 1146 1 kenia-rk.s:: Replace 14 E V E R L Y E 1-4 TE R P,R 18 E 6 type A B)0 Lt 1-1 t by date rec p t. 1.41.45 SW .1-05TH AVE I---,A Y 11 $ 1.06. 06 JLH 09/13/9(3 20475'.) P,R MT 1i 150. 50 TIGARD OR 9*7223 VIL-C1.1% t :3r. 83 1`1i(717e #:: (..,39-1144 FIRE $ 20. 20 Loritrac,ta- r-- CONTRACTIC)IR NOT ON FILE ....................... $ 1.06- 0(:, 1'0 T AL R e RE*()UIRED INSPECTIONS This permit is issued subject to the repulAtions contained in the F(:)ot/FoLtiid Ivisp __._.,•_• ._.._„_•._.••_•,__.__.•__.__,. Tigard Municipal Code, State of Ore. Specialty Codes and all other ;31 a b .1 yi%p applicable 1,ivs. All wirk will be done in accordance with F-rami,rig Iiisp approved glans. This permit will expire if work is not Starteo 1.1-1sp within 180 da,Ys :)f issuance, or it Wk is suspended for sore Gyp Boa-rd Iiisp tillin 18P days. SUSP Cei.1VIQ IIISP 1:1.1spectic1).1 1'!dt 3. 1 ri!-:i.)e c-t i o ri ......... Signativre.- ... ....... In --ted Ely: ............ ................ C a1 1. f cj-r i rin,r)e(-,ti o 11 639-•4:17:5 1S 4� l(I i +- September 26, 1990 Beverly Enterprises dba 14145 SW 105th Tigard OR 97224 Re:--Add" - ._, 14 Gentlemen: This is a Fire and Life Safety Plan Review and is based on the 1988 editions of the Fire and Life Safety Code (UBC) , Mechanical Fire and Life Safety Code (UMC), Uniform Fire Code (UF'C), and other local ordinances and regulations. Plans are conditionally approved subject to the following items: Firestoppingi In all �. )od framed walls and partitions, fir,�stopping consisting of 2-inch ► iminally-sized lumber or other approved materials must be installed at all floor and ceiling levels. Penetrations in this prescribed firestopring to accommodate wiring, plumbing, and other similar utility runs must be packed with noncombustible materials in an approved manner so as to pravent the passage of flame [ IUBC Sec. 2516 ]. 2. Approved Plans on Job Site: One set of approved plans bearing the stamps of the building department issuing the construction permit and this office must be maintained on the project site throughout all phases of construction and mus" be made available to building and fire inspectors for reference during required construction inspections [ UBC Sec. 303 ]• 3. Required Occu anc Certificate: Prior to the use and occupancy of the project space , a ce— rti cate of occupancy or other written instrument of approval must be ot ' ained from the building department issuing the construction permit [ UBC Sec. 307 ]. If I can be of any further assistance to you, please feel free to contact me at 526-2502. Sincerely, Gene Birchil l , Uepoty Fire Marshal/Plans Examiner GB:bjl:4623e cc: City of Tigard A CITY OF TIGARD OREGON September 25, 1990 Lin Neff Tigard care Center/Beverly Enterprises 14145 SW 105th Avenue Tigard, OR 97224 Project: Kitchen Remodel, BUP90-0278 14145 SW 105th Avenue Dear Hr. Jeff: The plana for this project were► reviewed for conformity with applicable codes, and are approved. Please submit plans which show any changes or additions to the mechanical or plumbing systems. Separate permits are required for any such work. Thtz walk-in unit is required to h^ve a pre-fabricated component seal from the Stace of Oregon Building Coders %gency. O.S.S.C. Ch. 50. You may got the building permit for the project at your convenience. 5f you have questions, or if we may be of assistance, contact us. Sincerely, 44— u� Ln J a Plans Examiner FAX (503)684-729'/ I 13125 SW Hall B!vd.,PO Box 23397,lignrd,Oregon 97223 (503)639-4171 ----- . 503)639-4171 ----- WALK t]rL`&W."Ore Mia. PEIVQC/MCT # CITY OF TIGA RQ ups P.O.Pox 23397 rgora OveDon omaPERMTT # G� /1) / (SOJ)p39 41)t COMMUNITY DEVELOPMENT DEPARTMENT I DATE ISSUED JOB 10DRESS: �`�� � �� IC ah TAX MAF ILOT — SLJB V11II.BI ON: LAND US>:: OWNER _ r SP9C EAL NOIFS NAME: (/ Lt yt,e e.. ri i.�o c>� . icl ci •n'(�*. j C „f, REISSUE OF: _ ADDRESS: /`/(�l S _ II�.ST RELssxE: 7'L Z __ FLOOD PUUN/ ['cNjgc? LiN /�4 ) F — SSaS aW.. LAND: PHONE: APPRV COMIRACIM PIANNRC - AD0RESS: FIRE E)TI'T F; - ��L rls RDovn BUILDERS D AEm if: EXP DATE: _ =/ BiS TAX: _ hRgYElg WEV CALCMIATIOKS: DAME: TRUSS DE320IS: — ADEPESs: OREER: PHONE.:. -- _ MMB: PFMITT f- ASI' it D]SCRIF'TICN ANDOUr AMaW PD. PAL- DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees _ 10-431 01 Meclonical Permit Fees _ —_--- 10-230 01 State Baildirxx Tax (5%) — BLdlding -.--- — Plumbing 10--433 00 Pla S C v-ck Fee 7: Building Plumbirs _ — Meeh �- 30--202 00 Sewer motion --- 30-444 00 Sewer Inspection ---- �- 51.-,448 00 Street S)s DeV Chart- (SDC) 52--449 00 Parim system Dev Cha -ge (PDC) -- 31--450 00 Stcn-m Drainage Sy-+: DeV Chzg (SSDC) -- — —__--- 10-230 06 Fixe' APPLTCAW SI i — Rec:eived By: c zev- Date Received: �J .ef/3587P.WPF crry (IF T113ARD RFCElr-,'T OF r.,P,YMLN'T PECCTrT NO. 90-4104759 C,HF ' AMM INT c t()6.Ot ASH AMOUNT Q. C'- NAME , BEVERLY ENTERPRIGE"GE", 'S v,AYMEN'T DATE s 09/i-,3/9(i ADDRESS . f)f.(A,- TIGARD CARE c.'ENTER c:LJLAD I V T 9 1 ON 14145 S.W. 105TH AV :NUE. 'j'.10ARD. OR 97224- VURF'USE OF PAYMENT AMOUNT PA I D F-'IRPO'SE OF PAYMENI AMOUNT PAID 50. ST. F-.IUT.I-.rJ PL"' EMILDING PERM CHECK FE 9--7,5C 2.0 71 TUALATI N VAL. PAID 06. C.16 P.0-Irm 2:11,17 CITY OF "f IGARD PLUMBING 'a12' W H&U RtvJ- Tig3rdi� �hold Ortiz Reg WA(Ion e+Conda plumbing PERMIT 7 � buskw%or must be property owner/operator not hiring outside IW . ` ]"6r/ Nart1e d Deveirrprrrerhl Plumbing Permit No. LTzV ORS°W°"-2a 1410 CK". PRICE AMT. Job *TUW Map.No. Addreu FUTURES Lot Blocft SubdMsi' sh* 7.50 or rwryrss — Lavatory 7.50 Tub or TublSthower Comb. 7.50 Ml-uhhg mdress Shower Only —` -- 7.50 W aler 0sw 7.50 Owner / tale "----- �P --. _ - 7.50 _ Dishwasher - - Washing Machine J 7.50 ame 7.50 Floor Dram - - - 1 7.50 — Ing ress Phone WalerNesler_—_ �- _ — Lsundry Room Trs y Occupant Ck"/Stab zip Urinal _ 7.50 _ Othar FIMM(Sped'y) --- — _ 7. 0 ------ e L G 9 7012. Phone 7.50 I c. U S"�/1l t i' __— -- — - 760 - ---- Ctlritfittl>r i /+ C MISCELLANEOUS V 1 __ sewer 1N 10� X0.00 ---- Stab � 415.00 }To tees sW~-g-Adm.100 -- - ( �pv) Wdw Srvloa 1 at 11110 -_-- Waller Srvla ea.AddN.�' 15.00 1 hweby eelae0rrbdge Ilial t Arne read thM,,000 oaton.111WOO i'""W ton - given is Cal, t Mtal 1 anj regMhx'*.i with Ow S&M1 Builde'a FloarA.and*Me storm a Min Drain 1 aL 100' 30.00 - hew a State pkmT"'r' rare evd tw nurnbere gh"ere COMM twl M15.00 pltirb"wrortt wr tN ,in eotx+rtii. a wM gVGmere MWA8100 ori Or*- 8lrxtn a P rdrh LXek+Addax i o0' ---- gon Pvvhnd`"-a, rows 447 end 093 and applbalrM oodes fond than MoCM Home Speos ---- --- 2S 00 - - r»help w9 b&4.4: hnlese k w"dd undM OR.g A0.1 (><wtterttpl fiam —Back Flow Ptevwtllcxr 5tatt repMrelkrR►wiieatY tiMe rsaeon bMDM MvIOe or MtMPobsA' n Deviae //0NF:cl1MNEM-I fw gby M*Mhal I men Mw arrnw d ft WaMly do- for /bNTrep or WeMte Woe tlurR+sO ebahrle.r taltlfi beton I Ptopoao b etalu 111 pbmbMtp 7 qqI ratan hM arid MIY poplMa t70A �pg11er110'r�d a1 lde.taeae 611 rent AOlew0e4 t0 a Pd1IPe t.IMch Ifaeln It b2sPW Nr AMw.d PMrnb"waren an 16.00 rNn _ atbu td.Ad~ X00 tMn Ala ,Haft new o eeaKlon o .11awa+ �r.Pd►p 15.x0 - JdAdm n use of bjos ig or vowty twice � Uma latuect rxa,.ee r� .�• . �ICA,,rt OF OCCUPANCY C�g'TI � CITY OF TIGA" OREGON Owner: —._.—_T> 1rs1i-4-4c.xa-re�-ksl_eTni.tedr Permit No00 Address: —44(12 an ------_ Building Address: Occttpan-ey: r-i I.tmd 11se 'Loner 12_-- Bldg. Type-__ - Cotttmcntr3: _°aet Win�_�d�itiun-ulus the Certificnte is hereby given this_3 rd day Of l9_"- that said building may be occupied and that it contplics with all of the Building Code for the City of Tigurd, as approved requirementsg by the Tigard City Council. Fire Dept, Building Inspector Budding Official IPost Certificate in Conspicuous Place ••/•.,s.Ktt-w q'wiaw.y,., �',P,�:may," ` F"'xy':r�+�Yi'�i�'� r ~�' '� 7iP' r CITY OF TI6A RD WASHINGTON COUNTY,OREGON December 26, 1984 Tigard Care Center 14145 SW 105th Tigard, Oregon 97224 Dear Sir(s): On October 29, 1984, an inspection was conducted for comnletion of an addition to the "East Wing" of your building. There was a correction noted at that time requiring the new doors opening into the corridor comply with the following: 1. The doors and frames are an approved 20 minute Idbled firedoor assembly. 2. The doors be self-closing. 3. The doors shall have a smoke gasket around the jamb. These corrections must be completed and an inspection requested within ten (10) (lays. Your cooperation will i.), appreciated. Sincerely, Brad Roast Building Inspector (BR:cs/0873P) cc: Tualatin Rural Fire Department R.A. Gray Construction 11445 SW Tiedeman Tigard, Oregon 97223 -- PH:539 4171 12755 S.W. ASH P.O. BOX 23397 TIGARD,OREGON 97223 ENVill w INSPECTION NOTICE City of Tigard 6uilc,,ing Department 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection ,----- A.M. Time Date Requested / t,1 Permit #�'1`1-t• — /�r .� •sem-. Address _��� Lot Owner_.L�50" -- Builder The following Building Code deficiencies are required to be corrected: I is! � " [] .4pproved Presented to r Disapproved Inspector _ _— ' Dale — ____--_.----- CALL FOR REINSPECTION C�. YES V1 NO INSPECTION NOTICE City of Tigard Building Department 12420 S.W.Main St. Tigard,Oregon 97223 I hone: 639-4171 wne: I Typo of Inspection Date Requested— �- m ,r---- — Ti A.M. P.M. Y - -- Address --/�/ z Permit #— Lot er Builder ree following Building Co le deficiencies are required to he corrected: Presented to Approved Disapnrovmd Inspector Date CALL FOR REINSPECTION [n YES ❑ NO SO I 101 1t s1®RF B UILn:NG PERMIT APPLICATION TIGARD DAZE_ AU�upt 7 THE UNDERSIGNED HEREBY APPLIEc.FOR A FERMI-i FORT HE WOI1K HEREIN INDICATED BUILDER PHONE _ L x_47 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER No PHONNE j - JOB ADQI'IESS Ih ib 5 'i Itt�___-._— __ l ►i�1 - OWNER _Li,.;,_ird C�ry_1 + Q� _ ARCHITECT ENGINEER BUILDER rvray AD_D_RESS 1144 111 Tiede-tailDESIGNER — STRUCTURE _❑ NEW [".!W REMODEL _❑ ADDITION ❑ REPAIR �❑ RENEWAL 0 FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE WccoMM L EDUCATIONAL 0 GOYT El RELIGIOUS ❑ PATIO ❑ CARPORT El GARAGE ❑ STORAGE ❑ SLAB❑�FENCE '--FIRE ZONE_ PLAN CHECK BY 1 ►,r' HEAT OCCUPANCY .�:is—LAND USE ZONE 11-12 BLDG.TYPE__ — - "0e491L Vine - �_ -- I* Aciclition" Const. single fitQrY addition. --- Ail ;ger approved planx and Code Rcquireiaenta -- Fire 'yate a Lu he excendeid ech. o'er lit Reel I. _ SEWER PERMIT M OCC.LOAD FLOOR LOAD 4 --- HEIGHT 16.4- NO.STORIES ;'lll AREA NO.BEDROOMS _VALUE 44.999 '+ --_ — BUILDING DEPARTMENT SETBACKS FRONT ,y*e REAR - LEFT SIDE RIGHT SIDE Permit •'' _ THIS PERMIT IS ISSUED SUBJECT TO THE REGVLATIONS CONTAINED IN THE BUILDING CODE,ZONING REGULATIONS AND ALL AI"PLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI IHE Plan Check •'� WORK VYILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CCMFLIR.NCE 7It1;Ia WITH ALL. APPLICABLE CCOFS AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE 102.40 RESTRICTIVE COVENANIo. CONTRACTOR AND SUB CONTRACTORS TO HAVE CIJRRIcNT CITY BUSINESS -- (CENSE.SEPARATE PERMIT REQUIRED FOR SEWER,PLUMBING AND HEALING. State Tar, i 0,2G --_ __I SDC Total 1 ' >4A-P�LICANT OR AGE PDCq NT —µ -- BY ----- Receipt No — -.-. PHONE ADDREt3S Approved REMARKS M61NG DATE DATE INSP. TYPE INSPECTION toc. Rough4n ll Fixture Final HEATING V7Contractor -11 L Permit No. Gas of Oil Rough-in Final SEWER Final DRIVEWAY Final Storm Drainage lRain Drain)Final Sidevalk Curb&Street Final Approach CERTIFICATE 0 Ct]�P CY Final J.VKPT. 11"Ifif EMP 6 IjAR Y CE 11 ICATE OCCUPANCY Landscaping II Zoning Final >♦ MEM,4w W e� x/1.7 t3UILGING PERMIT APPLICATION TIGAFID �fj3q— OWNER PHONE H THE UNDERSIGNED HEREBY APPLIES FOR CM.PANYING PLANWAND SP CIFICA TTION3. OWNSBUILDER Z ti, L LOT NO._ Of;AS SHOWN AND APPROVED IN THE.+C + r- ADDRESS 1T - gRCHITECT � pr�NER�i<yA ENGINEER - �- - -% �� DESIGNER -- ADORE SS ,l 7 _ —~ _ But ER REPAIR 0 RENEWAL ❑ F1R_ A AGE ❑ Ts`-t�01_ITIOI tiElA00EL ❑ ADDITION ❑ — - J STRUCTURE _❑ NE`N �� -- STORAGE � — NCE CC ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ `ORT ❑N CHECK BY ❑ Ti A�� F ❑ RESIDE �. / :PLA -------L�.. C BLDG.TYPE: LAND USE ZONE .] pwii?ANCY � SEWER PERMIT M _------ —' /�- ' �J AREA' NO.BEDROOM `�..,_. 0 HEIGHT (/�'� NO.STORIF�S ___ OCC.LOA FLUOR LOAD ,n LEFT SIDE �`- RIGHT 51DE _ _ _ REAR BUILUIN DEPARTMENT SET BACKS FgONT `- 1t THIS PERMIT 15 ISgUALL APP CABLOTHE REGULATIONS C CODES AND ORDINANCES',IAND IT ISHHEREBY IAGR ED IXATt1TP t�rtn REGULATIONS ANWITH THE PLANS AND h ck G G v WORK WILL HE DONE I CODES ACCORDANCEORDINANCES. THE ISSUANCE OF THISPERMIT DOES NS AND IN OT WA1V Plan C WITH ND ALL APPLICABLE RESTriCTIVE COAN SITS REOUIR TOR AND SUB CONTRACTWIS TO HAVE C ; D FOR SEWER,PLUMBING AND HEATING.11RRENT CIT`( PUS�Nt LICENSE,SEPARATE Mate Tax �Q i Z SDC— — — ---- Total PDr'$ A,PPLI--CANTUR A— C+— ENT Y RecniplNO. gpprov _---- SsDC 50C — POC - " SEW,—ER CONNECTION C$EWER INSPE_CT10N 3 — SEWER SURCHARGE. S _--- C-,, mon}g ; __ JtIP � MAW July - - ,y x#900 �ILDING PERMIT APPLICATION TiGARD HATE— THC- UNDERSIGNED HEREBY APPLIES FOV A PERMIT FJR THE WORK HERFIN INDICATED BUILDER PHONE _ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT INO. ER pHONE`,3 • . •. Ilii Y,, ('tet L� OB ADDRESS 14!45 S.: 105th �-�— OWNER fi,:►z41�,a -- -ARCHITECT - - I _ ENGINEER BUILDER R.A. (,ram_ ADDRESS 11445 Std T'iedema" _ - DESIGNER STRUCTURE ❑ NEW ❑_REMODEL ® ADDITION ❑ REPAIR ❑ RENEWAL ❑_FIRE DAMAGE _ ❑ DEMOLITION ❑ RESIDENCE Ck COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB Fl FENCE OCCUPANCY T--! _LAND USE ZONE !�'!Z BLDG.TYPE 5-i}ir• FIRE ZONE PLAN CHECK BY - _HEAT_�__ - — ort Ll'UCC +'itcl,Pn acid iCiou.. to esie in buiil�iinrs ueT___ - SEWER PERN41T N -------- _ OCC.LOAD FLOOR LOAD 6!1 HEIGHT 12 NO.STORIES I AREA 2901 NO.BEDROOMS VALUE 20.OUO. - BUILDING DEPARTMENT SET BACK!; FRONT REAR - LEFT SIDE— RIGHT SIDE Permit 14�THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND AL!. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 111E Plan Check " 1.311 WORK WILL BE D^Itis IN ACCORDANCE WITH fHE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NGT WAIVE ft"1 t a"t- 7?6.20 RESTRICTIVE ',%jVEN,ANTS CONTBACTOr AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS ACQUIRED FOR SEWER,PI.UMBING AND HEATING. State Tax 5.0 SDC- _ 2:03.62 — - Total — --- pDCN APPL ICANT OR AQENT By 4=t- — -- ---_ Recelpt No. Approved B x 1 I -DATE INSP. TYPE INSPECTION REMARKS PLUMBING - DATE - Contractor Permit No. w - .. Fixture Final — --�^ — HEATING - Connecta• I _..�. Permit No. %_as or Oil -_ i Rough-in Final SEWER Final - -- w - — --- - DR IV 'Ay -- --- - F nal----- -- -III -- Sturm t>ral wits -,- ----- (Rain Drain)Final -�----- Sidewalk ^---- -- _ Curb&Street Final I - - Approach _ BL.jG. DEPT. FINAL TEMPORARY CERTIFICATE QCCUPANCY Fina' CERTIFICATE OCCUPANCY ---- - —- _ - r L;ndscaping Zoning Final - - _ -- f T T� fl T ID RUlfl [ � JR � pgDttRa P O BOX 127 • TUALATIN, OREGON 97062 • PHONE 682.2601 TIGARD CARE CENTER one 1`, 1984 1820 S W Vermont St-eet; Portland , OR 9700 9157- 1 342P-047- 000 Dear [3ever l y Entpi•pr i sps 2) This is a Fire and Life Safetu Plan Review and is ba,-,ed on the 1982 edition of the State of Oregon Structural Specialty Code and Fii,e and Life Safety Code (UBC ) And the 1982 edition of the State of Oregon Mechanical Specialty Code and Mechanical. Fire end Life Safety Code (UMC ) and loc-al ordinances 1.009) This building at present is over the 311owable area Sinr_e the proposed additions are minor in nature they ur; ll be allowed Therefore any future additions will nCe be allowed without area separation walls 25) Attic areas with a maximum clear vertical height; of 30 inches or more require a minimum access opening of 22 inches by 30 inches wide Section 3205(x ) 20) Exit doers from lobbies corridors and assembly areas require panic ha-dware USC Section 332.1 ( f ) 119) The stor:49e and handling of compressed gases shall comply with the Uniform Fire Code ( UDC 511 ) 213) Not less than one npproved fire extinguisher with a rating of nct less than 2-A 10-D: C shall be provided for each 1, 500 sq rt of floor area o - fraction thereof The travel distinre to an exting1jisher from any portion of the building shall not exceed 75 ft (UFC Standard No 10--1 ) 11 ) Exit corridor; require separatic,n from any other areA by one--hoer fire rc ; istive construction UPC Section :.?304g ) T ITIUMIM 1 ®/ � NiU� tii HU P ��_ U IrUl�l� � � JI � IT Ilr� �U R 1 L P 0 BOX 127 • TUALATIN. OREGON 97062 • PHONE 687.2601 12) moor assemblies of interior openinos to corridors are regljired +o hav9 a fire res istani_e rating of not Iess than 20 minutes and ryius`; be self-closing OT' automatic closing. Relights in corridors require wired glass set in fixed atP11l framing Sep 1974 State Structural Specialty Code, Section 3304( h ) 50) Extend automatic sprink ler• protection to the foIIo;_ing areas East wines and kitchen addition & submit not less than 3 sets Of spT•ink l er plans 1006) Extend approved electrically supervised fire alarm and det- ectio,i system to new additions Audible alarm devices shall be audible thrOUg hoot the building UBC 1009 1007 ) In Gioup I occupancies when occupant load excPeds 50 pErsons a separate circuit is requi.red for exitway lighting When the occupant load exceeds 100, A sep irate source of supply is required 1003) Provide 5/8" Type X gypsum hoard on walls and ceilings of both East wing addition and kitchen addition. UBC T hle 5-C 1002) Provide ane-hour rated fire assembly for door between dining room and kitchen UBC 503( c )4 If you des .ire a conference regarding this plan review or if you have quc+stions, please contact Gene Birchill at (503) 682-2601 S=;"a y, Dallas A► lee Fire Prevention B,jra-Au OCCUPANCY FILE LIST JUN 19, 1984 13.26:03 TFFM1260 PACE I TU61-A1I1,- 1, <NEY INFGRMATIONi Arraignment Code E225C <CONSTRUCTION INFORMAI`;ON> <FTRE PROTELTION IPFORMATION> --- FMZ-Occupancy Number aI Hazard Class `110321 1 Flo,r C.onstruc t-ion 5,WOOD a UBC Dcc Class 1 11 34:B-O,I:' ��'�� Floor Covering 3,TILE 2 J Roof •'onstruction I.WUOD hNM 3. Bus-Occ Name 4 Address 4.-.hoof '.overlriji` 2,CLASS C 4• 4 -----------------------------/' 5. P.,.e Type METAL 5• 4 6. Mester Roos Enclosed TIGARD CARE CENTER 6. Herting 13ystes TYPO OAS 1 tntertor finish (qpe 6,NUNCOMOUSr 7 Number of Stairs 0 1411K SW 10` B Stairway Enclosed N pASl l'' INI 0NMA1 ION S Exterior Finish lup■ 2.WOOD 9 Structure Column NUNL y Number of t Shafts 0 ts 1. Occupancy Phone 50:3-639-1144 10. Construction Type V•-N 10 Vert 4 Manager's Name M Phone 11. Total square Peet. t, 25282 11. <tle stops 3 -- ------ 12 Ground Area Sq Ft L 25282 12, Alarm Shutoff Loc I-W 2- Tenn-i, WA-4O, -- ::i Basement ii ft 0 13 Power Shutoff Loc I-W 14. Building Height - 24 14 Water Shutoff Loc O-NE G53Ogf9.' 15 Nat Gas Shutoff Loc 0-9 1'+ Numbar of Stortec 1 Pvainess Mailing Address 16. Building MITip '•�'� _1780000 16. Fire Dept Cann Loc 0-NE 17. Contents Value 150000 17. Sprinkler Control Loc : 0-NE ------------------- 4 �_-� 18 Other Value 0 IS. Type of Spr System WET i" W 10°• it eii. 19 Ins Duildinp 175000p i9 Number of Heads 133 v. UH 9;'' 3 - Contents 190000 20 Sprinkler Supervised. Y -•�•+ 2U. :21 Occupancy Square !rt 0 21 Hazard Classif 1 Owner's Name, Phone 1, Addriss 22 Ceiling TYPO OYPBUII 22 Anti-Freese Syst®Pr em N --------------------------»-- 23. Wal] Framing ,, 5,W000 23. Area Covered by 100 24, Stand Pipe Site 0 7 Beverly En�terprises _._ 3 6 5M-2AS=TOI-- 39 Int/Est Stand Pipe NONE 26 Water Available HYDRANT 9 27 Attic Access Lac I-NEB 10 1970 S W Vermont Street - -- 11 Portland. "001 77200 <Bscl1RITY I MATlnN)O 12 eropIrty 1n Vee YES -'_�"�"'-- _ -- —---'- :d"" iSO-T.7ses`" - +.1— 'I dlnrm�8ysc y`pa ACTT ! 14 Census Tract 308 2 Alarm Numhar 34H 15 Code Edition Used 1963 3 Alarm Commant Code AUTOMATIC 'bite ■DTII" - O1-OI-67 4. Guard IlecuMMY sit•vice : NURSE 17 Date Remodeled - - 9 plane .503-693-0982 It Insp Typo/Month 1Ni /09 6 Watt.hman nr_DutY y In nr"Prrty TUyr- TNGTITUTION 7 r"o"e (903) 6:;3.09SE� 2u BPS,, tai Har TUPr 0%Y(111-14 N guard Dnp!, N +al Hara,d 1 9 Guard Dull 'Ilslner Name l-E 27 Misr Number 1 0 10 D pne Nl1N C««C!««Ctotel number of nccupancras lt,ted is THE UNDSASIGNEO HEREBY APPLIES FOR APEHMIT FOR THE WUHri HLIILIN IN!)Il AIkU bUILUL'RP`fUr��_�1��iz Or, A5 SHO1Vtl AND APPROVED IN THE ACCOMPANYING PLANS AN" SPECIFICATIONS. OVINEn?tbrl��l=,=-.�- LOT 1110_�1= i_... /7 � .C_ ,. JOB ADDRESS _./ -f3 —5 :;el �CJ,.J � / ARCHITECT ENGINEER < S�.-/��-,�t!'7�;/l�Dk51G VER STRUCTLIRE ONEW _QFIESInCEL RAODITION - QREP-IR ❑RcNE%'JAL ❑FIRE DAMAGE ❑OEMOLIT RESIDE"ICi Cf-,. CIEDUCATIONAL LJGOV-T ❑RELIGIOUS[]PATIO C7CAR PORT ❑GARAGE U STORAGE LJSLA3 ❑FEI CCCUP•�f:•:Y�= `LAND USE ZONE ' _Bloc.TYPE = PLAT`CHECK fly _ HEAT _ T SEWER r.ERMIT �J,1 4S.��t�0� _ FLQ9R LOAD HE Gl_�IT �i._ NO.;�QR ES AREA- F NO. BEQgQOnIS V�gLUE- a 51)ILCIN G OEPAR FMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE vY_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ION 1 ;-:in Check I �� C7 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES• AND IT IS HERESY AGREED THAT K.)RK WILL BE DONE IN ACCORDANCE WITH THE PLANS AVD SPECIFICATIONS AND IN C0).1PLIANCE N At,*- APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT Wt — RL iTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HA\IF CURRENT CITY BUSIr ;a t+! Tex d'2 LICENSE. SEPARATE PERMITS REQUIRED FCR SEWER, PLUMBING AND HEA'iNG. .7 Total SDC I ti # r--� �_. PDC f�('t�C_L' { •—y'�'�' � ._ ' •� Receipt No. APPLICANT OR AGENT gpp�u•;� I /r' `� nn�nE'S5 - Hon SDC - $ PDC - g-� # pJ %!�v �� • / ~I .S O SEWER CONNECTION $ SEWER INSPECTION $ SEWER SURCHARGE $ Comments : A/o ��� �EQb — C._ N/'/.;S /si/ �i"�r Svc/ .� '=-/,S - i.� r7 CITY OF TIGARD—12420 S.W.MAIN —TIGARD,OREGON 97223 RECEIPT DATE AMOUPILS -1-� --------- - �����G601LARS (� � C)/ CASH: NAME: HECK: ADDRESS:_- 0 OF FOR: _ __- ACCT. i PEi HITS SURCHARGE _AMOUNT -_--- S SEWER BILLINGS 40-364 BUSINESS LICENSE 05-337 PLUMBING PERMIT 05-332 $--- MECHANICAL PERMIT 05-332 _ ___ -------- -- BUILDING PERMIT 05-333 SEWER CONNECTION 40-363 SEWER INSPECTION 40-365 SYSTEM DEV.CHARGE 25-366 -- PARK DEV.CHARGE Ail 30-361 PARK DEV. CHARGE #2 30-368 ZO NG ADJUSTMENTS 05-362 - -- TOTALS RECEIVED BY: PERMIT NUMBERS ASSIGNED: Number` Amount Amount NumWr Amounf —•- - NumWr - $ $ _- S— ------- S— RECEIPT # 18 6 8 4 it r !how. DATES-Z--�----'19f� BUILDING PERMIT APPLICATION TIG RK TIDE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR T��iE WORK HEREIN INDICATED 5UILD'cR PHONE OWNER PJf�O�NE � sff LOT NO. .701 J IV CIF+!�S SHOWN AND APPROVED IN THE:.C(;OIf ACCOMPANYING PLANS APECIFICATIONS. J OWNF.P� 1by j' `'OBA_Df'l DRESS A P.-Al , ARCHITECT ENGINEER 1 DESIGNER (sWY%0(' BUILDER - V to" a� _ ADDRESS - STRUCTURE NEW _❑ REMODEL _.__M ADDITION ❑ REPAIR Cl REN6W❑AGAR ❑EFIRES ORA UE .0-DEMOLITION RESIDENCE COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS Cl PATIO ❑ CAR POR ❑ RE PLAN CHECK BY ���j ^�~ BLDG.TY?E RE ZON OiGiiPANCY �1-Lf►ND USE ZONE -' - SEWER PERMIT M / NO.BEDROOMS '! VALUE�.'bo ' G.-HEIGHT O NO.STORIES AREA �� --- OCC.LOAD FLOUR LOA _ RIGHT SIDE LEFT SIDE BUILDING DEPARTMENT BET BACKS FRONT -�-------- —_------ � CGDE,ZOP1:N3 Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING ,� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE /�O.z WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE Plan Check WITH All APf`LICAHLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE ONTRACTOR AND SU Sutrtotal �r RESTRICTIVE COVENANTS. CS CONTRACTORS TO HAVE CURRENT CITY 6USiNeSS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUCti181PJG AND HEATING. ;State Tax I SDC_ "pI tal .— PDCN APPUCANT OR AGENT - --- IV - -- – — PHONE --- Receipt No. ADDRESS ,nproved SD_ c - PDC SEWER CONNECTION $ -- SEWER INSPECTION $ --- SEWER SURCHARGE $ BUILDING PERMIT APPLICATION TIGARD DATE-,. JUnS 11 _,19_82 4103 THE UNDERSIGNED HEHEBY APPLIES FOR A PERMIT FOR THE WORK HEREIN IN. ICATED BUILDER PHONE 639-1144 OR AS SHOWN ANC)APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICA'i;ONS. OWNER PHONE OWNER B4V6r14 T*AOT NO. 303 281-10A � ter�risalfPBADDRESS 14143 S.w. 105th Ave. ARCHITECT BUILDER OtI1llar - ADDRESS_ Above ENGINEER `DESIGNER Otlmar STRUCTURE ❑CNEW L7 REMODEL _❑_ADDITION ❑ REPAIR _ ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM 11 EDUCATIONAL O GOVT ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT 11 GARAGE 11 STORAGE ❑ SLAB❑ FENCE OCCUPANCY N-1__LAND USE ZONE A-12 BLDG.TYPE FIRE ZONE__—PLAN CHECK BY K HEAT`_-� Qounotxwt detached storage btLildL" for Tigard Cars aslnter u _Y dans and SEWER PERMIT# OCC.LOAD - FLOOR LOAD Cbns.HEIGHT_ 10 NO.STORIES 1 AREA 252 NO.BEDROOMS VALUE 1800 BEl UILDINQ bEPARTMENT SET BACKS FRONT 31 REAR- B LEFT SIDE RIQHT SIDE 7 Permit 25.00 _ — _— -- - ----- - - 7 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 16.25 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE Subtotal 41.25 WITH ALL APPLICABLE. CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 1.00 LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER.PLUMBING AND HEATING. total 42.25 SDC- PDC# APPLICANT nq AGEhIT By dm j - --- - - -- Approved H Recelpt No. ------- --- ADbR -...-------- PHONE I IIA i i r PLUMBING DATE - DATE INSP. TYPE INSPECTION REMARKS _-- --- Contractor _ Permit No. -- -- Rough in - - Fixture Final _ HEATING f Contactor Permit No. Get,or Oil Rough-in -_-__— - - Final - --� ----- —__� -- --- ;EWE R - - Final - — — — DRIVEWAY I -__ - —`-- — Final --__- --- - -- Storm Drainage - -- "- - l----- (Rein Drain)Final -_ - Sidewaltr '------ -- -- Curb&Street Final --- --- ---- Approa(h _ ---- - CERTIFICATE OCCUPANCY Final _ HLth,. DEPT.FIN '- —CERTIFICATE OCCUPANCY — Lendw aping i Zuninl;Final CITY TIGARD DATE__!_D— _. 19 Nn /7 &/ OUll_DING r L WIT APPL_IC,A TION OF `.SIF LINM RSIGNED HEREBY ADPL IES FOR APERMIT FOR THE WORK HEREIN INDICATED EIVILDERPH°NE V✓N_R PHONE,__... I+ AC SHOWN ND APPROVF7 IN THE AO ACCOMPANYING PLANS AND SPECIFICATIONS. WNT Fi _ --- c �B ADDRESS �L�I�, W% D.S^ _'HOME ADDRESS — —••HO ARCHITECT ENrINEER rr��vEW ❑RE MODEL____ADDRESS _ ______- �� DESIGNER TR1RE iU �DITION OHtPAIR DRENEWAL OF IRE DAMAGE ❑DEMOLITION NCC- rrAllm OEDUCATIONAL ❑GOV'T—ORFLIGIOUSDPATIO ❑CARPORT ❑GARAGE ❑STORAGEI�SLAB [:)FENCE MOVING OCONDITIONAI. USE ODLSIGNREVIEW �- []COUNCIL APPROVED - ❑SIGNS _— 4 E ZONE /V�BLDG TYPE _.��� IRE ZONE�/ .PLAN CHECK B� HEAT—_. t_AND USE ---_ ^ r J A a ✓'� F l 4S?3.J.4�?__�__�� E I H f .�ll____�-��_ �� BUILDING DEPARTMENT SET 6ACKS FRONT REAR —_LEFT SIDE ` RIGHT SIDE mit — 7H15 PERMIT' IS ISSUED SUBJECT TO TIIE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Flan Check —_ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub local ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVF COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS talF 78x LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. 1 [jY .PPI ICANT OP AGENT iptroved Receipt No vHONE —— — -_-- A0 E55 — i I i 1-7 BUILDING PERMIT APPLICATION OF TI�AR,D DATE y L19 ER PHON�.J�-- THE UNDERSIGNED HEREB`r APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATEC� O�ERPHONe , — OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT NO. -- ( 1L)Ard I JbBADDRESS 1414.., -lb id:jtP1 St. HOM.EADDRESS OWNER ARCHITECT ENGINEER _— ADDRESS _ dSIGNER DUILDER --- ❑FIRE DAMAGE ❑DEMOLITION ;-TRUrTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONGITIONAI.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _ OCCUPANCY I- LAND USE ZONE C-3 BLDG.TYPE J f1r.FIRE ZONE_ L PLAN CHECK BY l tW HEAT to ex far lush: Ft8 n ins �,illl:,.lu story dinging room existing structure all p . p I+,:eparwd by Robert F. Lasch Plotes Vhia permit in baarad on iietaliatluTl u.' a.11 ,J rud sprinkler sy9tem and all other vire requirements. i 4UT1Crut IT 20 E 1 AREP144MS._1NO,ffEUROOVALQL . OCCyLQA.�_----FL4JL�-45?l� ------- - RIGHT SIDE _BUILDING DEPARTMENT SET_BACKS_FRON'T REAR LEFT SIDE _ Permit _ `32,00 YHIS PERMIT IS ISSUED SUBJECT t0 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 46.100 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AIJD IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH SUb total ALL APPLICABLE CODES AND ORDINANCES. THF. ISSUANCE OF TENS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. State Tax Total 14:3. -.% BV _ APPLICANT OR AGENT Approved tW Iii,cwpi Nn - ADDR S I _ REMARKSPLUMBING DATE DATE lNSP. TYPE INSPECTION ggintrOctor .may Permit No. 2- 1 Rou h-in -- Fixture LU — t< Final HEATING -- Contractor Permit Nc. Gas or Oil — Rou h-in _ _ Final SEWER _ Final --- --- DRIVEWAY Final Storm Draina Rain Drain) Final__ — Sidewalk Curb&Street Final __— ._..— _— -- 6P h BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final PERMIT TO CONNECT Tigard Sanitary District N lop PERMIT N? 961 D WE PFRMIT IS GIVEN TO A P ,) Q FS OF i TO CONNECT A— ----— --- ----------- TO THE SYSTEM OF TIGARD SANITARY DISTRICT AT 4 ��• ---- ---- ----- THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL Ci')N- NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN CGM- PLETF.D. PERMIT FEE PAID $.... .........................TIGARD SANITARY DISTRICT IU %V— .!2� CONNECTION INSPECTED AND APPRO"ED - - — _ Date Superintendent I J AMA a t Address ` ! ------- Permit No. `7 ✓ _ — Name of Occupant —_ Permit charge Connection fee—_ Paid by ---—------------ — Date connected Type of Building� Inspection fee--- _ - -- Service Rate --_— Paid by Date___- Contractor -_—_ —_—_-- _ Assessment_ _- Paid Size of connection.—__. -- - W INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _ �� _ Date Requested --- Time A.M. P.M. r (^ Address =_ ` �� `�L 1 F , Permit #_ r� Owner� `Y C ` ` Lot # -- Builder �J The following Building Code deficiencies are required to be corrected: 1 n Approved Presented to i Inspector —_ [..� Disapproved Date CALL F REINSPECTION C=1 YES NO