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R 0 E K 3 toe* L tytl� - gp�•.`�TAa�E hOdL F f .-' ` NGS l._ OC ATtf-jP`� 5U5-TF_C'T - .e • t�r�NC. �- 13 .1 � G 12 VA C Ulla M N � A D 25 PLUM a �k oR FtEc. � SuPERMSpk - Su,� <-T -ta WE�►VTtt ; I EA w/ yb' V ACuum ►-lose Ei4 rtRS-r A%D k iT - GY Ow1VER 13 LIFE L1Ne \N/ FLat�'T5 �,�, SL ° W/ 3 JrL10ATJr I SKS M M j Q � � 1 3 �+ Q WIDE p�tr x,51' C _) p) N5 5 R5 N MTC W/ a -ALL No� C \0ND60LD u W YF Lr& E ^ .. i W � a 114 o S.W. PAc + 1FIt HiGNwA••� +� T I_ I+ LINE I - - - - - - .__-____._.. _. .—-.-_ ._ .. _ G , 2 � I 7F� L YE`�T. WAL.I_ TIGAR1a, oREG*04 4-- -3 �� A VA,45 1 '4 :-,D f,�, E P Tf'i '~ �- .M£N t G i QST �'� f H X -- � I�11 a��>+ �,�� A U o�� I , A1,v 03 0 i7�� o/�: S2tr� S.a Ia(0 � PbRTL?*AJQ g ?2oz c_�t e u 5 d5S �i 4 tit i Lv DATE Say _ t � �, ' i , � • ' 1�1FiXli�l,a��'� Kbr3 �kl`� OD MNY SL -:-+1 DW F I L a F ,• , • 1 , �� ALE5 MA 'N q E I ---- D��TK m A�tKERs TY�►1CA rk T E K�� 1�. - A •hit r �� \ f IDE I t : rr)� t _.� C'.� �, �N f111 i� V F j" L.A 1_. A4 R i r n t be complete t ,,,� Building mus, }, CoN�CEFTZ D� c�- 4 M according 10 city codes ar ` final inspection made before Ir I�, ---- occup�anc�. Y y � S.� L... ! `� I k I~ I� ro R��H T AIS7 ��n 1 p �, „ f `� A A -(,,0 5 &P- 4 0 U15� v,e c As-r j CITY I*JF TlGARD I "' - // CO►.lCR1:Z �* t;,t,,p, E SvACC RS . �"► E ►aAKS MT �1 �TEQwATE Vl..15,\ , f-t r • 1 , e • // / .Y i k / , _. .. t f r , r I I TA t)L tr � � I 1 _- SPAINC_i.( Nr - _ �' A uti bN Vr, LINE i L Qt�P-1H T ��c► t>e5S I MIN SLOP. t r�E t.o Oo D N ._ C 1 ( �_ r ` r - `fir---- ♦ _ .. - ,,�..+ �� . ' 11. 1 tit- — — __ _. _.. , .. .r' •y'� r..-tr— / E •, ,y _..____ ' O TI RD APPROVED F-OR $ -Cv .,ONS I RUC I SUN QAC] b 1_I S - -. CITY O F T 111% RA �/' 0� 9� i I _ ; •,'. DRESS _LIW�I.�d ! , , aV I jp X11 PERMrr NO. SITc ADDRESS-T 17 C R055 5ECTION S BY to poll �----= �? N � I Ll D INkL lR JL R7 A .200 ad • 4 P� a) rne. rr9 �o�.i� ren 'x`�, `mac' �°` .. VALIDITY` OF THIS PERMIT ! UA �1 �. �'� L. LER IS CONTINGENT ON APPROVAL OF _ 1 ' r t h ;`-L-f;�. . CONSIRMION AS REQUIRED qY Co Ii O �'�1 � CD t�l B`4 1 I � TASkNOVEk n, �p •. ; 1 `� t 1.. NCa t1J L' E�, O tR S 4"9.L151; . 6130 sT *ATIiP. SAVPut3 51 G �o H\N r 101 � . ,a�x•�.�- '`� � w- - - c w R •� - TO v 0 IRAQ THQj , « A, R P ORrGrlr L 1 NC,OLN 11 `( , P\F - D. �. �. c.� �F - �5 ;Np►�,��E ! �, REc1R.cv-x AtioN �tp Ncc -- SC VA 4o �C - #4S � - ScM 414 UN De PCWL l , .---- �, a Ate. - g • r T - ,� 140 L M K D. - G, R, \-4. 71U%. ►.f0 - `7 7 - �Z-5 � � � �-� tO SANITARY S LWf64q BY 0W#4rL* 1 :? ,.I. s vi I... F t 1: I' I: t,.; I...I .i: .:,I...I►,J;..:; , u.•1 , t 5 t R 1 r r,f _ Ad s. .110 II ��IItII11� I111 � 11 , I , I , IN Itl �� ti� lllll� I Itlllltllll �t'�I � III1111I'1 � 111 IIi � I ! It1111 Itlllll Itllr; � Itllltl ltf � l � l Itl Ili 111 ��! ; � 1 111 Jill 11WWI 1 T11 I�� Iill 111 111 111 111 III NOTE : IF 'THIS M ICROF 11_MEU - I 2 3 -- 4 .. 5 6 7 S 9 ib 11 12 , DRAWING TS LESS CLEAR THAN THIS NOTICE , IT 1S DUE TO THF QUALITY OF THE ORTGINAI. ' DRA�IING, CIE; 62 H LJ 90 S? bZ �`Z ZZ 1? 0"y f>I el J 91 SI bi EI ? I I I 01 6 9 1 9 S b C r' 1 "wL*w I I I I I I111111111111111111111 +►►1CIIIIItIII 111111111 ttitlltit11111y111�lllll�lltl 111111111 Ittit�t!t ttt�l�t�� +t1I1111 111`11111 Iltlllll II�11t11R 1111 111111111 IIII�IIIIIIIi1111tIJfIl1I011111111IIIllllrlllllllflllllllll slrtlll I t11111111111IIIllll�illlJliil�1111�1111�1�,�1111111111111�ILUI1111 11460 SW PACIFIC HIGHWAY I i C L Q �T' +� air MBEr II► ■r ie► W � SIGN PERMIT PERMIT #: SGN90-0048 DATE ISSUED. . . . : 07/09/90 EXPIRATION DATE: 01/09/92 PARC.EL. . . . . . . . . .. 1S136AD-06507 ZONE. . . . . . . . . . . . BUSINESS NAME. . : WAYSIDE INN SIGN LOCATION. . : 11460 SW PACIFIC HWY APPLICANT/AGENT: STEVE MCDONALD BUSINESS TAX NO: 90-2808 SIGN: PERINANENT (X) FREESTANDING (X) FREEWAY ( ) TEM:?ORARY ( ) WALL. ( ) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS. . . . . . : 7' X 10' TOTAL SIGN AREA. . . . . . : 70 sq.ft. WALL AREA. . . . . . . . . . . . . sq.ft. WALL PACE (DIRECTION) : NA SIGN HEIGHT. . . .. . . . . . . 30 ft. PROJECTION FROM WALL. : in. ILLUMINATION. . . . . . . . . : INT DESCRIPTION OF SIGN: Permanent, freestanding 7' X 101 , 30' high, illuminated internally, plex and metal, replac existing sign and satisfies SCE 3-83 MATERIALS. . . . . . . . . . . . : PLEX, MTL EXISTING SIGNS. . . . . . . : 2 ELECTRICAL PERMIT REQUIRED: YES BUILDING PERMIT REQUIRED. . : YES ADMINISTRATIVE EXCEPTIONS. : N/A COMMENTS: PERMIT FEE: $ 25.00 APPROVED BY: 114 DATE: DATE: 07/09/90 oar v� ► w �► +w er w w SIGN PERMIT PERMIT (1: SGN90-0049 DATE ISSUED. . . . : 07/09/50 EXPIRATION DATE: / / PARCEL.. . . . . . . . . : 1S136AD-06501 ZONE. . . . . . . . . . . RUSiNESS NAME. .: WAYSIDE INN SIGN LOCATION. . : 1.1-460 SW PACIFIC HWY APPLICANT/AGENT: STEVE MCDONALD BUSINESS TAX NO: 90-2808 •-.-_- s1GN: PERMANh;NT (X) FREESTANDING ( ) FREEWAY ( ) TEMPORARY ) WALL (X) ELECTRONIC ( ) OTHER ( BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS. . . . . . : 4' X 36' TOTAL SIGN AREA. . . . . . : 144 sq.ft. WALL AREA. . . . . . . . . . . . . eq,ft. WALL FACIE (DIRECTION) : N SIGN HEIGHT. . . . . . . . . . . 't• PROJECTION FROM WALL. : ten• ILLUMINATION. . . . . . . . . : I14T DESCRIPTION OF SIGN: total on 6,0:)0 sq ft wall, internal illumination, Permanent, wall sign 41 X 361 , 144 sq ft Alex and metal, Copy: Wayside Inn. 14ATERIALS. . . . . . . . . . . . . PI F::, MTI. EXISTING SIGNS,. . . . . . . : 2 ELECTRICAL PERMIT REQUIRED: YES BUILDING PERMIT REQUIRED. . : NO ADMINISTRATIVE EXCEPTIONS. : N/A COMMENTS: PERMTT FRS: $ 35.00 APPROVED BY: V I DATE: 07/09/90 � �o 18•. I I I WAYSIDE �INNM> �►.�r.►G wrr�-I rtes VOI Tr- LJUhyt�r�l 23 A' 3 I fly OF rL- „ I 70/16 ��\V��I� u ALJ 11 11 11 11 11 11 L� f t - , 'V _ [I L- II _ y y Permit No. S('-rA) CITY OF TIGARD v SIGN PERMIT APPLIC'AT'ION Tlie applicant hereby applies for a permit for the work indicated or as shown in the acacq�anying plans and specifications. SIGN IACAT`ION ADDRESS: �/• ZCNING - NAME OF BUSINESS: /l /�l/C!/� �/V/v ��/ - APPLICANT/AGwr: '> /U f,(�MI'ANY: �C'�'i/ .�/�l/t ` PfiC�(E: Z-�17�-� Zhe City of tigard imposes an annual Busing Tax which mist be kept current on all persons doiaxt business in the City. Do you pr�ntly have a current business tax? YES (� ) NO ( ) U.L. Label �%/� PROPOSED SIrN: (Che-k as many as apply) PF.IMNEZIT' (✓) FRIIsrArmlrrG ( ' ) I I-QF.PMY ( ) TEMPORARY ( ) WALL ( ) EIIEMMMIC ( ) BILLBOARD ( ) BAI[AON ( ) SIGN DIMENSIONS: X __.._--_--__-- EXPIRATION DATE: 'IC7M SIGN AREA (Sq. Ft.) : - WALL AREA (Sq. Ft. -- WALL FACE: — IMGI-fr (rt) : - PROJEMON FROM WALL: 'I'YP-Ei Ti J I MIMTION: YES ) NO ( ) V 7J MATERIALS: _ i L _ EXIST-M SIGNS: _ ►.' �a_.„a �L•' ,.. -- __-.- ADMINISTRATIVE ED(M'I'ION: N/A ( ) APPROVES ( ) HOW MUCO__ % AREA ( ) HEI®-fr ( ) o 14EVM: ---- -- ---- - -- -- -- KARR ING DEPAR'IMETIT _ All sign permits must be accanpxnied by a scale Ppxmit Fee: drawing and plot ll.an. If wr-)rk authorized under Receipt No: a sign permit has not been conpletod within ninety Anjtxved ,__- days after the is:�x-)e of the permit, the permit Date: -�- shall beoomi null and void. EL,DC`IRICAL PETtMIT I CEI7IZFy 'MP`_I AM 'INE rLx::ORDED OWNER OF THE RB�UIRED: YES ( ) NO ( ) PROPEF (1,R M,?Gwr'AU06RIZED BY THE OWNER. BUILDING PENha`I' v — i'I7QUIRiD: YES ( ) NO ( ) Applicant' Signature cp/BKMPIM Ir Address Telephone N:\WOIZD\CYMFV\ Permit Noss✓N `�C `'-/ CTI'Y OF T_IGARD SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plants and specifications. '/ SIN WCATION ADDRESS: f 0 s.Ge/� QAC. At; ZONING: NAME; OF BUSINESS: - �- AI'PL1CANr/Ac;E�lr: �1G1 /V a.� C�ANY•.-.��I,�ey1Lge�[> PlR,`iVEE• G'�G��17� The City of 'rigarri imposes an annual Busine_;s Tax which mLst be kept current on all persons doing business in the City. Do you pr t1 have a current Y• s tax? YES NO ( ) U.L. Label # s�C PROPOSED SIGN: (Check as many as apply) PE FIQWINr , ( - ) FREESTANDING { ) FREFMY ( ) TEMPORARY ( ) WALL ( v)` 19 DCrRONIC ( 1 OIiM ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS: _ EXPIRATION DATE: 'Wy.rAI, SICK[ AREA (Sq. Ft.) : --- WALL AREA (Sq.') Ft..) : r�z cJ ctr — WALL FACE: _ ---- I1EIG1JT (Ft) — — - PRa L-(TION FROM WALL: --_� IUBMINeMON: YES '(- ) NO ( ) TYPE: COPY: I-L, l k�110 I ✓' MATERIALS: ---- EXISTING SI - _. — - ---- ADMINI:S [WIVE EXCEIMON: N/.A ( ) APPROVED ( ) HOW ML"i AREA ( ) HE IGlfr ( ) - c1�AtENI`S: MANNING DEPAKIMFSIT _ All. sign permits must be aca_xq)anied by a 'scale - getn it Fee: — drawing and. plot plan. if work authorizcxl under Rea�ipt No: a sign permit has not been completed within ninety AWroved By: c9-tys after the issuanx� of the permit, ;he pPzmi t - - shall bec mie null and void. ELDCTRICAL PERMIT I CERTIFY 'THAI' 1 I,,IM RDOORDED OWNER OF THE RBQU RID: YES ( ) NO ( FROPERTX OR AtQ Z BY TI',E OWNER. BUILDING PERMIT _ `�✓ `� ��/ 1�f�/b RLIQ(J]RED: YM- ( j NO ( ) At Pli.cant' Signature --- f cp/[IKMPFPMI' Address - Telephone N:\RAM\C MDEV\ OF' TfO.)f-.T PECCIPT (IF F`4kYMFJ+l f-'KX.J--".rF'T 640. .2 0 1 1.5 1 b AMOUNT ,;,C;1. 0C+ k SECURITY E-AAAAS, INC, L.A :M (41,10UNT Cl. ocl f 04,ES, 3 47N!7- `iE 1".,Tl-1 AITNUE F44YIIENT M4TE." f.V3,' 1 f3t,I RD V)I�-,I ON PORTLAND, OR ?- -7.�2-14 P 0 1: E 0C �E OF PAYMENT �MOUNT' Ft��lb PAYMENT Amoi.q.jr F-jrjji.. ;11.1 9cl--oo4f-'.1 2t, a 0 t-1 90-0049 00 rfl'T(it- otic.o.wa r-,�-vai 0 r 10 X11► ! r w iXxximXx CITY OF TIGARD 639.4171 Jugs 6074 BUILDING PERMIT DATE -.— ,_— -_ 19 TAXMAPi.';1-36�LOTNIT��.�6��_ SUBDIVISION OWNEF*4e ways iuc [Motor lna JOBADDRESS 11460 SW Pacific iii tav8 BUILDER STATE REG NO. ----- —. • _.�.___ ------------EXP-DATE BUILDER'S PHONE .Z N (r. 7 t ARCHITECT__ _ _ __. __- PHONE OTHER STRUCTURE 11 NEW REMODEL ADDITION ['j REPAIR C . MOVE OTHER 1 DOMOLITION RESIDENCE COMM EDUCATION 'ND RELIGIOUS ACCESSORY I GARAGE O.HER ❑ FENCE OCCUPANCY LAND USE ZONE Lt, BLDG TYPE FIRE ZONE__FLAN CHECK BY 1;1..1: HEAT— c,rattin6 pemit to remove apprOADIately 1tt;u cue yLls6 ut eaxti, iron peoperty. .)ust con ru ab-q -ve prow ueti , u ree s to be p ree o . rt. SEWER PERMIT M OCC.LOAD FLOOR LOAD HEIGHT NO STORIES AREA - NO.BEDROOMS VALUE BUILDING DEPARTMENT —7 SETBACKS FRONT J REAR LEFT SIDE _ RIGHT SIDE. _ Perm_ it 1'�U•Ut' ItH�IS PE9MIT IS ISSUED SUBJECT TO THE RECIILATIONS CONTAINED IN THE BUILDING CODE, ZONING 10.00 _]THIS AND ALL APPLICABI E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI.Ck.FireRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTFIACTORS TO HAVE CURRENT CITY BUSINI:SS TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 4 v&j SDC— Total 144 a du _ PPL]GANT OR ADEN T PDC Prepd. ��Ur I;. iI r -_- Bal.Due 144„SU Receipt No.1 -�— ----- Issued BY--.,_ Approved By D"TE INSP. TYPE INSPECTION �� — REMARKS PLUMBING _T DATE Contractor No _. ---- ____ ._—_ ----------- Rough in --- Fixture - -- - Final HEATING - --- —_—____ Contractor - ----- Permit No. - - Gas or Uil -- Rough-In - - - Final SEWER _- - Final — _ -- DRIVEWAY - -- -- _ Final -----`- - _ Slorm Drainage i-- (Rain Drain)Final Sidewalk _ rApproach _BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCYCERTI-ICATE OCCUPANCY INSPECTION NOTICE City of Tigard Building Department P U. Box 2339' Tigard, Oregon 91223 Phone:639-4175 Type of Inspection Date (Requested_ — _�__ /�/ _ TIM A.M.� /J P.M. A►ldress --- D LCL I�Gc/ V _ Permit #7 Owner_i—L�' �f _ Lot W Builder The following Building Code deficiencies are required to be corrected: Iff Presented to r —_ —-- -----— 4—t6p►oved Inspector -------------- - - ---- � 1 Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO ■ ■ m ■ ■ � ■ ■ BUILDING PERMIT APPLICATION TIGARD UA'-E ,1e __' 3034 l THE UNDERSIGNED HLREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INUICATcD BUILDER PHONE 7_'32-4.3.72 ON AS SHOWN AND APPROVE[ IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWN"7 PHONE OWNER' 'aysido Mufur InnJOBADDRESS 114(j0 5(J P?cific LOT f ARCHITECTF �t ENGINEER BUILDER `',6Curity Sino ADDRESS 4.56 9E 12t1_I -P,V• .i!GiU DESIGNER STRUCTURE_ ❑ NEW _❑ REMODEL -�❑_ ADDITION ® REPAIR ❑ RENEWAL El FIRE DAMAGE ❑ DEMOLITION r RESIDENCE I COMM (1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT' ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE 1 o(,(',UPANCY LAND USE ONE -BLDG.TYPE _ _ FIRE ZONE_-_— PLAN CHECK AY ----HEAT _ _ Relocate sign. Footinr� Inl3nect<<�r, re�wiTt3ii.� `--- - --- SEWER PERMIT N OCC.LOAD FLOOR LOAD HEIGHTNO.STORIES AREA NO.BEDROOMS VALIJEX r OnO ---—_ -- - ------ - —- i BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit w I)(_) c.� ,�.- --- - THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICA9LE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTPACTORS TO HAVE CURRENT CITY BUSINESS State Tax . 2Q LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. `+ SDC -- Total a.20 PDCN APILICAN 0 AR "'— BY P1 Approved I Receipt No. ` ADDRESS !' Z-7 PHONE k , v x I 7 DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE ea Contractor 7 AN + L XiPermit No. Rough-in Fixture Final HEATING Cont.actor Permit No. Gas or Oil RoughAn Final SEWER Final DRIVEWAY Final Storm Drainer (Rain Drain)Final Sidewalk Curl)&Street Final Aw;vroach BLDG, DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CE'PTIFICATE OCCUPANCY Final Landscaping Zoning I mal PErmit 1-1-l"lit rhargo i ri nti o c t i o i r u 3 Paid by dil t e Paid I I City of Tigard INSPECTION REQUEST I for INSPECTION TIME: PERMIT NO. : DATE: ? 117Z-"Z DATE ISSUEr OWNERS NAME : ADDRESS: � ' ti� — ,"ON TRACTOR ; 3 ' E ST : Air ❑, Water visual 0 , t_abriratory ❑ I ?ESULT: Approved Disapproved C Pendin ❑ SKETCH: 7zECTOR DATE NOTE Attach supplemental lest data beret?] 1 CITY OF TIGARD P.O. Box 23397 12420 S.W. Main, Tigard, Oregon 97223 L� August 109 1977 7 / Z� Mr. Way Lee cam_ 5210 S.F. 26th Avenue Portland, oregon Dear Mr. Lee In response to a request by Tom McDjnald, I am once again pro- viding a status list of outstanding items that require resolution in regard to your development. 1. Installation of unfinished sidewalk sEction on 69th Street, 2. Installation of tll.ree sty-eet lights as per your plan prepared by P.G.E , 3. Completion of dr;_veway off end of 69th Street to r: cr,nect into the existing parking. 4. completion of driveway connecting to Pacific Highway. 5. Submission of an approvable signing and paver^ent striping plan. 6. Amending (as per your request) the landscape plan. 7. Submittal of one mylar as-build drawing on all public improv-ments. 8. Installation of a 1" C1Hss "C" asphaltic concrete overlay on 69th Street. You have been granted a temporary occupancy permit for the first two floors subject to satisfactory resolution of outstanding deficiencies. No further occupancy will be allowed until items 1-6 inclusive have been c,_�mpleted. Items 7 and 8 can be completed as rapidly as desired but are not immediately necessary to attaining occupancy as these items normally follow acceptance action by the City. Both items must be complied with before the City will release your performance/maintenance bond. Page 2 Mr. way Lee August 10, 1977 ou have temporarily satisfied the for the record, y virtue of Additionally, to con- requirement for gyred into2betweensyourself{and tthe City an agreement entere st rust the street at a future date upon notice from the City o du so. posted to Assure installation o Also, a landscape bond ha.. been p allows for occupancy'. required landscaping which temporarily prior to the final ac This landscaping work must be completed p you should make bonds. Therefore, y lan and ceptance and release of any oval of your already submitted p arrangements to attainuse the plantings to occur. It is, My then to expeditiously ca nderstandithat you have stated a desire to amend ble toland- Ig" larY, upon scape plan that has been suin�i ated that theff isiGeVnplall, as changes. Mr. McDonald has u should be considered which proposed landscaping is how:►, Q on that basis as your official 'site P lan and we are `uceeail'" the Design Review it satisfactorily meets conditions inipo.ed by Beard. occupa- cy handlink; of items 1-6 will allowpleasFan rallow us Expeditious our , -11di.ng. permit for ouebyeattendingto these unresolved matters.inder f to assist y Very truly yours, Bruce P. Clark City Administrator cc: Engineering , .Building planning Tom McDonald BPC/pr 2 Ll Avoid Verbal Messages 11_1 CITY OF TIGARD To:b VIZ tj 'U(.E From: ^ JcHK� subJects SAY LjLE QMr-LI K)cc Date.- TO ate:TO Oc_c UPA Qd y) 7 C , nr r-ken c- a' skb,--,I(a.Q fir 2PP►-e.,:.( ) . 6' S�'t!.0 4 Vtc11c`1 �h_t^ C G i 7.n e-C 1a(rw._t, �G.n1, C) I �rcOrK�. .^��1r C (�ov��i f ,% d.I� e! 11- . I�.�rv��^ tCl• 1� c� [ r4" � CS T It I b /1 (� M r1 „L., C,vto,,c' tS ► rpbtlrG. 17�v f `, Telt �E' SIA .crZ-a. S c _J4ac c P4 CO�M� *1otot bt 7Love , w w w w Bond No. U98 69 56 CITY OF TIGARD PERFORMANCE BOND KNOW ALL POEN BY THESE PRESENTS that WAY LEE, GENERAL CONTRACTOR, INC. as Principal., and UNITED PACIFIC INSURANCE COIAPANY , Surety, are jointly and severally held and bound unto the City of Tigard, Oregon, in the sum of Thirteen Thousand One Hundred and no/100thsDollars ($13,100.00) for the payment of which we jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns firmly by these presents. THE CONDITION OF THIS BOND IS SUCH: That whereas the Principal herein has made application to the City Engineer of the City of Tigard for a permit to do landscaping at the Wayside Inn located in Tigard, Oregon_!_ NOW THEREFORE, if the Principal herein shall Faithfully and truly observe the terms, provisions, conditions, stipulations, directions and requirements of said permit and shall in all respects, whether the same be enumerated herein or not, faithfully cot,ply with the same and shall assume the defense of, indemnify and save harmless the City of Tigard, its officers, agents and employees from all claims, liabilities, loss, damage or injury which may have been suffered or claimed to have been suffered to persons or property directly or indirectly resulting from or arising out of the operations or conduct of said Principal or any subcontractor in the performance or conduct of the work under said permit, and shall. in all respects faithfully keep and observe all of said terms, provisions, conditions, stipulations, direct'uns and requirements, then this obligation is void, otherwise it shall remain in full force and effect. WITNESS our hands and seals this 27th day of _ July . 1977 WAY LEE, GENERAL CONTRACTOR, INC. By -�CJ '' J UNITED PACIFIC INSURANCE COMPANY By �� _- --- -- Gail A. Custer, Attorney-in-fact UI�7ITf?.D I'_� CIFYC TN�UR,ANC-'-TCOIULPANY HOME OFFICE, TACOMA, WA HINGTOry POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, That the UNIT LD PACIFIC INSURANCE COMPANY, a corporation duly organized under the laws of the State of Washington,does hereby make,consututs and appoint GAIT. A. CUSTER of PORTLAND, OREGON-------------------------- Its true and lawful Attorney-in fact,to mike execute,seal and deliver for and on its behalf,and as its act and deed ANY AND ALL BONDS AND UNDERTAKINGS OF SURETYSHIP---------------- and to bind the UNITED PACIFIC 11,13URANCE COMPANY thereby as fully and to the same extent as ;f such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of the UNITED PACIFIC INSURANCE COMPANY and sealed and attested by ono other of such officers,and hereby ratifies and confnms all that its said Attorney(s) in fact may do in pursuance hereof This Power of Attorney is granted under and by authority of Section 37A of the By-Laws of UNITED PACIFIC INSURANCE COMPANY which provisions are now in full force and effect, reading as follows. SECTION 37A — ATTORNEYS-IN FACT SECT ION 1, The Board of Directors, the President, or any Vice President or Assistant Vice-Pres dent shall have power and authority to (a) appoint Att., net's-in-fact and to authorise them to execute on behalf of the Company,bands and undertakings,recogn;zances,contracts o1 .ndemn;ty and other writings obligatory in the nature!hereof,and(b)tc remove any such Attorney in fact at any time and revoke the power and authority given to him. Sf CTION 2. Attorn-ys on-fact shall have pxxver and authority, subject to the terms and limitations of the power of attorney 'sued to them,to execute and deliver on behalf of the Company,bonds and undertak;ngs,recognizances,contracts of indemnity and other writings obligatory ;n the nAlure thereof. The corporate seal is not necessary far the validity of any bonds and undertakings,recogn;zances,contracts of indemnity and other writings ohl-gatory ;n the nature thereof. This power of attorney is signed and sealed by facsimile under and by authority of the following Resolution adopted by the Snard of Directors of UNITED PACIFIC INSURANCE COMPANY at a meeting held on the 261h day of October, 1971,at which a quorum WAS present,and said Resolution has not been amended or repealed. "Resolved,that the signatures of such directors and officers and the seat of the Company may he affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or cert;hcate bearing such facsimile signatures or fAcs;m;le seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be val-d And binding neon the Company ;n the future with rest'ect to any bond or undertaking to which it ;s attached" IN WITNFSS WHEREOF,the UNITED PACIFIC INSURANCE COMPANY has caused these presents to be signed by its Viceirresident,and its corporate -,_: 1 goal to tie hereto affixed,this -_hday of_ I� _197L UNITED PACIFIC INSURANCE COMPANY Still STATE OF Washingtonl L' 1•"'' --- — Vr 'resident -- _'OUNTY OF Pierce 1 as On this_ 17th day of _May Iq 77,personally appeared__ WM. J. COTTER to rine known to be the Vice President of the UNITED PACIFIC INSURANCE COMPANY, and ocknowledoed that he executed and attested the foregoing instrument end affixed the seal of said corlK,rntion thereto,and that Section 37A,Section 1 and 2 of the By Laws of said Company and the Resolution,set forth therein,are still in full force O My Commission E%pitat Januar 1, — 19 78 ,.•".�• fid//_ Notary Public in and for State of WaShT nntc fl ----- ;}4r Residing at Tacoma Keith Johnson Assistant Seuetary of the UNITED PACIFIC INSURANCE COMPANY, do hereby crrtrfy that the above and fnregn;ng is a true and r-ortect copy of s Pnvver of Attornee executed by said UNITED PACIFIC; INSURANCE COeePANY,which ;s still in lull totes and effect. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the;gal of said Company thi day of 8DU.1431 ED 7.72 1(�1z1,�' srstani Secretary c r r � 1 WASHING'TON COUNTY i ADMINISTRATION BUILDING— 150 N. FIRST AVENUE HILLSBORO, OREGON 97123 t POARD OF COMMISSIONERS HAY MILLER,Chairman VED DEPT.OF PUBLIC HEALTH 811 L.HLOOM HARRY A.KEMP VIRGINIA DAGG 11977 Director.Public Heelth Servlc., ROOMMILLER M.DURIS JUl^ 1 nECEIVFr 1503)648-W81 RICHARD C.HEISLER CITY Of- T;GARD J U L 1 t July 15, 1977 +„ CrownGunite !2000 S.W. Torquir. Rd. � Sherwood, Oregon 9714 RE: Swimming Installation Wayside Inn Gentlemen: It has come to our ationtion that you have started construction on a swimming pool located at 19705 S.W. Boones Ferry Rd. According to our records, the plan review for tle above mentioned pool is not complete and so no construction permit has been Issued. The Stare of Oregon Swimming Facilities Cc le (Chapter 448-020) , and the State of Oregon Uniform Plumbing Code (GIO) make It very clear that a constructlon permi! must be obtained before any work hegins on the installation of a limited use swimming pool . In the future, If any construction is started before a construction permit has been issued, legal action will be taken. If you have any questions regarding the above, please feel free to contact William Ross at 640-3481 . Very truly yours, WASHINGTON COUNTY DEPARTMENT OF PUBLIC HEALTH Harry A. Kemp, Director, Health Services Michael F. Sandberg, R.S. , Supervisor Environn>ontal Health and Sanitation MFS:wr:ah cc: Way Lne j Orale Haller, Architect Aregon State Health Division, Swimming Pool Section ty of Tigard I District Attornny 1 I BUILDING PERMIT APPLICATION SOF TIGARD DATE ,��"` `"77 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE__ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHON- — Waysi da I r,nc 11460 :31:1 Paci f .L ,Ir", LOT NO.__ OWNER J05 ADDRESS HOME ADDRESS ARCHITECT ENGINEER BUILDER ADDRESS ro role 6 ln?noc. CI DESIGNER _ STRUCTURE ❑NEW 'D REMODEL ❑ADDITION v ❑REPAIR CIRENEWAL AFIRE DAMAGE � ODEMOLI ION ❑ REES�IDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS PATIO ❑CAR PONT ❑GA.RAGE ❑STORAGE Lr-:SLAB ❑FENCE QB OND IOND OMOVING [-]CONDIT-IONAL USE DDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS QCCUPANCY________LAND USE ZONE _r'LDG TYPE FIRE ZONE. PLAN CHECK BY HEAT.__-_`_._._ t;rrat. 'x6 xQ_ pratrl ot Iquipmodh bldg. ,all jar_-appr,.)vrad carie YA E BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ING Plnn Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HFRENY AGREED THAT THE `- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANF)IN COMPLIANCE WITH S-Ib-total 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 '•QQ LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total IU-40 BY T"-ANI OR AGENT - Approved tw Receipt No m! AODREis _ PHONE .•--__ --_—_ _-.. _._.._... ...._._.s..... _._,....._.........a.....,....__r..............-�_.._::-a.J.,.......uw«��.+b:.+rruar�rs.raw.r+w.r..wetw6;.�s-.wi.errs..u..+u�w.:, ......a.i.....r.....:..._..�...e........„...,.....»au.. W s W ■I► Iw �r Ii1 a lul UATE INSP TYPE INSPECTION REMARKS PLUMBING DATE Contractor _ Permit No. Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Rou h in _ _ Final SEWER _ Final DRIVEWAY Final --^-- -- Storm Oraina _ -- —_- (Rain Drain) Final — Sidewalk Curb&Street Final _ Approach BLDG DEPT.FINAL TEMPORARY CERTI 'ICATE OCCUPANCY Final CERTIFICATE OCCUPANCY — — � ` r_ Landscaping r ` ` Zoning Final \ i ALL, = wn u ui h Q p > W N U0, J z f 0 i O coUuwi � wU •� Cl g �' 3 w � zw N �N• L Q O zC7 � � i of w ❑ w Uj Z O O Z 7 w ° Uj z O Q C� I meZCUt7 Ocr a a Q 0 w0¢ W H ° ^ I F H p y Z W 1 ? t_ f Foz I u O I u ° ° V h 0 ¢ 1I w LL � 2 CIL' ' i Z a LL 0 _ Q 0 vi Q Q w w IKr u wO2 LLI QJ U p 'ZUv1ZUQ7 1&0Q CJ J Ci z w N � zOQ ¢ � � o u U Qz � � � N 2 0 U .fa-. W U1 Z R J zZ & 0 0C z LL. v V W 2 C-I Q tiQ- � QwU ¢ Z V Q I u! a F W W a ,�Y ¢ Q 1 w cr F O ¢ u, � IJKO 1 T. LL a ¢ W v iozoa O rna F u, I Q u! w ° Ua 7 N U.1 4A W a f N u. ¢ Q C7 �V vuC C, "i F C� Ni DI 0 O Ui CO ~+ H� � > a �i vfas: wIV v �_ H 4 w u! H tit z w O Q 20Qa a Q ? x O M. o I F F O uluWw a o ° w a ,� C.1 r o� yac°, W0 1 tr C) Q V K > Q n I u ` zcivwa F u L I O O u, :!1 f N o L � F C � C z� 0. K ` tA LLl ° i ml u Y H W ..1 7 � '1 O F �CA w0 _lulu , CL. n. u z �' vi ¢ 3 Q ¢ -j CL_ Q u C) o [ ) --- 0 w f u1 p w Cc'-* QUj O f ... CC I C) IN ul d I w U. o r V 0 2 0 w O u C, L, cr I 1 I t I "I l Cl ? to u' ,III c I o x V) a w 7 ° > v Q u' a w z, v Q U c „ Ir 1 C r l U a L, 0 Uo in i ci t I BUILDING PERMIT APPLICATION 10 f TIGARD DATE _� ' ,q ~� 4 4 THF UNDERSIGNED HEREBY APPLIES FG'' APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE, fi- �4f�t�Q OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF_ `'�'e4� _ LOT NO_�_� _. OWNER __z Low � JOBADDRESS 114t)U ';.ALJ io-'ap fIc 14YwA)MEAVDRESS ARCHITECT ENGINEER BUILDER t 'llalfl L�Ufll i' :.urlL�tDgESS i, c:J.�: ti. • i''N1 lc DESIGNER �'�9�:,"ZQ4�] STRUCTURE F&INEW_ ❑REMODEL ❑ADDITION C1 REPAIR ❑RENEWAL _ []FIRE DAMAGE ❑DEMOL ON ❑ RESIDENCE ❑COMM DEDUCATIONALY ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEV4 ❑COUNCIL APPROVED ❑SIGNS _ OCCUPANCY—_—_LAND USE ZONE BLDG TYPE .FIRE ZONE__ PLAN CHECK BY HEAT_=== _ n:9t, a swim pool in accordance to baht the-structural pa.ane and ell6Hplall on +—th City . Vence to be brill! Pround Poul to City standards prior to Pilling „ tt.�+� R1,3 11ti°�ii�l r�6errw�i A_ > 951 U111 Iia rraga airnd_ — OCCa.LOAD__,_ FLOOR LOAD__ __}IEItiHT_ __ _^�Q RIES AREA ___.__jyQ,gEORO_gM$ VALUE 7� _Q � BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 44.010 `- --THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ING Plan Check REGUI ',rIONS AND ALL A"PLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THS., THE WORK WILL BE DONE IN 4CCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total ALL APPLICABLE COUE4 AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - —'_-- RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax .1. 32 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 45. 32 By � _ - ---- --_------ APPLICANT OR AGENT - — - -- --— Approved Receipt No- - ------------ ADD ES5 DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE J� 7 — Contractor Permit No. Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil — Rou h in Final SEWER final___ _ DRIVEWAY I- — -- — Final --- — — — Storm Dreina�e__ — (Rain Drain) Final Sidewalk ^� Curb&Street Final — __-- -- Approach �--- — — AI_DG DEPT. FINAL TEMPORARY CFRTIFICATE O�CUPANCY Final CERTIFICATE OCCUPANCY — Landscaping ` ' Zoning Final w Z W I V W S W N ouj z J I z ~ 3az p `x, J �I , Na2 � u' rn l vI 0 C, q� (� o m z r w r r_ u-, 9 CI _l � 2Wv U7 to = a a ,, lopp2 .lr CIO w wl w V El El > �_ az � a w C) CA V �wpt7 O .� I z It I O a r 2 �� 2 m - a�uZ a I'♦ a ¢ w �� F- V 2 = In II > LLJ W O V' Ill y O AJ ►- Npya a 9 Q /NQ1 0 1 Q r Q W o ma � I eon ro 1,1 LnX,�. o z (\ W Z iQ -1 Y LI p r wva Ci O 2 O a _ z `° zQ � J 0 z w � u, oZoa a x rI uaz7 � r �•� �' Q w �) U Z '� I w v, zay z � 1 l 0 413 Q o n Q -iI a! ul 11 CL ui o h U; W a Q CJ Q 1`� Qcr pzw ' a W N Q. UCA I I- u, r p Y 7 ❑ j 2 1i p WO1�- e � O r Q Q 3 Q p w Q Q 1 a ►- r u11� ! � HO � � h � /� } 7Q j LLl a z Q Q Q�, U � UO' N � 1 W J ¢ a N , ,l hC •' p d V w T a ,f El cwi I V V Cal p °' -' o F 7` fn w CC � O p O Z ` p E) ` 1 B m a O Q u F Q Q ^ tJ LL } s u t7 Hai '^� N ut lli z J O 7 O Z W W h W y 5 d Z i p 2 ui , F � aW � za > * r ynZ WF- s! 0. U L z ° �] N h 0 � QOJOa C) Q Ou a W a rQ ; Q u 2 r w rzoawna U W n' ~ x QOJa rN .T C ) h u W ayaUu, �7 W F' Q a n -JYaut C, _ Z J 1 Q 7 H Q a l~ W .6 ra O l U) Iwo 1W U CL a I C) A uz (n ~ QQa0 3r Q c Ul C,> > %V m p OIL) F.. W a O a. ud e� � ) O uuj u p 1 C7 �. -J O ) L:) in y C l h n �! wo d5 00 zI V a i v I t Q } v, a O p v ffl F U1 c w O E cm z N .� ` Ic )� O c HI c ►�� G � I p � ■ SEWER PERMI . -5 3- -,7 uf� Ml 12167 Unified Sewerage Agency of Washington County CITY OF --Tigard-.- _ DA E _- 5-13-77 OWNER : _ Way W. Lee PHONE :_ OWNER 'S ADDRESS. TYPE OF INSTALLATION: [:]BUILDING SEWER ®BUILDING SEWER AND SIDE SEWER 118 room Motel & T1PE OF OCCUPANCY: 1 w/kitchen [j]NEW ❑ SINGLE FAMILY COMMERCIAL ❑EXIST . (PRIOR TO 7- 1 -70 ) ❑ MULT . RES. ❑ INDUSTRIAL FIXTURE UNITS____ DWELLING UNITS PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR INSPECTION, PLEASE REFER TO THE PERMIT NOMBER. THIS APPLICATION EXPIRES IN ONE--HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL BE PORFEITED SHOULD EXPIRATION OCCUR. FEES: PERMIT FEE g 50. CONNECTION CHARGE 34, 500. SIDE SEWER INSTALLATION --e`5-L OTHER ISSUED PIY TOT $ 34.550. / APPLICANT ATF SEVVER PERMIT NV 12167 ADDRESS OF STRUCTURF_-1,J.46Q 5W Pacifiic Hwv. TAX MAP _-_ TAX LOT SYSTEM LOT BLOCK- OF ' APPROVED BY S DATE ISSUEBY DATE REMARKS Sewer Permit only 118 room motel h 1 w/kitchen �z .00 � . r� dc- E `� � X G7 - � � �� " �<o�/�.� � �9•� 2 - /, `. y/, syr' --- b:S�� •� /�d?ov-:k ✓dao a9,�8�� 2 41 y v ev f 11 '`r TL Jib- ��/� L eG r ' ■ ■ A,�1[)R, S5 C6NNECTION CHARGE COMPUT^TI<„ SHEET P 1 . COMMERCIAL , DRY INDUSTRIAL , F 3LIF STRUCTURES , CAR UlASR, MANUAL CAR WASH, AUTOMATIC LAUNDRO`IATS, -TC : A. BUILDING AREA SO. FT. - 1 500 =^� DU B. LOT AREA ACRE x 4 C . FIXTURE UNITS FIXTURE UNITS 16 = DU 2. SPECIAL SERVICES : ELEMENThRY SCHOOL STUDENTS s 17 = _ DU HIGH SCHOOL & COLLEGE_ STUDENTS s 10 = —D U HOSPITALS - GENERAL _ BEDS DU CONVALESCENT/REST HOMEBEDS 2 DU _ SLEEPING ACCOMMODATIONS WITHOUT KITCHENS `��'_ ROOMS 2 - .S5' DU CDM['I F N T S: ,_- ----�-�- TS S� I e , - � l 1 a { �- SEWER PERMIT AOW Unified Suwarage Agency of Washington County CITY OF-77/0-4-au DATE -A—a 0-'�• 0WNLER : _ PHONE : OWNER 'S ADDRESS: S��-� D S W / y*l SDad "Po 4 + Q 20 TYPE OF INSTALLATION- )0 BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCYr X NEW ❑ SINGLE FAMILY COMMERCIAL ❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. L: INDUSTRIAL FIXTURE UNITS _ DWELLING UNI TS _. 40OJ . � PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY ',ITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . THEN CALLING FOR INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE—HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILT_ BE FORFEITED SHOULD EXPIRATION OCCUR. FEES: PERMIT FEE CONNECTION CHARGE e*ro n� SIDE SEWER INSTALLATION �jr�� ISSUED B`.' OTHER Q�jr�„/1/I/�M✓�• �!� CKo TOTAL APPLICANT DATE SEWER PERMIT N? ADDRESS OF STRUCTURE " TAX MAP TAX LOT SYSTEM L 0 T BLOCK ` __--_-- 0 F APPROVED BY DATE — i ISSUED BY � DATE REMARKS— w w w w w w w 1w 1w �■t April 19, 1977 Mr. Way Lee 52101 S.K. 126th St. Portland, Oregon 9120' Deer Mx. Lee: Per your agreement of December 20, 1976, the newer permit charge is due and payable. Please mail check to City of. Tigard at which time we will .Issue your penni.t. Sincere, I.T. Walden building Official Building Department City of Tigard f7onsouction Inspection & Related Tests (Carlson Testing,_Inc. P.O Box 23814 Tigard, Oregon 97223 Phone 1603) 841-4114 REPORT OF CONCRETE TEST SPECIMENS Date Molded: _ A-1 19 Job. No. Client: L rim eaalm-HaDonalti __` —_ -.----__-- -------------- Pro iOct:—Naw�side inn _-_- - --- - -----_�.__�._ —_— ---- Address: _ t'rALZA, )r 1LContractor: Sub-Contractor: "namiiiaD`_�?_:�1:i Sub-Contractor: Concrete Supplier: __14-w- ' 1066aral Cast by: 11• weather: Temp. high: .---_—Temp. low: _-- Location of Concrete Placement: Raw` tal-tee 1ac1nt hA.1 —.-- Strength Requirement: PSI 0 28 - days Slump- Cement lump Cement Type: T No. of socks:------- 'JS — Entra+ned Air Admix, Amount: ;._irlB.�fl�- Brand: Pi,w1". __ Admix, Amount: _.___�1�-_-.,-__Brand: k7A.1 Coarse agg. sire: bt -Type! Fine Agg. Size- ltld,z--- -- speeimen specimen Test p Register Date Dote Total Area Unit Load Report No. Type Days Number Reed. Tested Load _ PSI No. r, X60 E Remarks: -- -- +-.r * ----- — Denell D.tender P.E. Construction Inspection & Related Tests Carlson Testing,Inc. MAY - CITY r �- P.O. Box 33814 Q Tigard, Oregon 07223 REPORT OF CONCRETE TEST SPECIMENS Phone (603) 641 4114 Date Molded: _, 19_x'7 _ Job. No. Client: _— 0 , Project:_L►'d.Vyi : d.J !1'151 -- -- — Address: T$mde Ureml Contractor: ;hrin ;er1®'u'L'-- McDcrield _._ Sub-Contractor: Concrete Supplier; Rrusn T®ltlt= Cast b Weather: _ -- "''t"-:; — --- ---- Temp. high: —{ Temp. low: --- -- ----- Location of Concrete Placement: _._ 3a4Eltr ijuid' Strength Requirement: _ 3000 PSI @ " _ days Slump: .._ Cement Type: S No. of sacks _ - Entrained Air % Admix, Amount: _ o: .,fsik,,_Brand: �� _.. Admix, Amr-unt: _-------—__—_Brand; _ 't'.�'-.i•"::i -yl?; ¢! Coarse agg. size: -_—_ S ,j Type: —_-- _ �F --- Fine Agg. Size: — Specimen Speclmon —� Torr R Ropifrer Dnte Uota Total Area Unit load Report No Type Doyr Number Roc'd. Towed Load PSI No. A 3146 4, 113 r,0*)V 26.,')Q 4000 31 ra,2" 3390 3 f -- E - - _ F Remarks: r,O, r:;�• ,J�iadv.0 ---- - — --- Donell D. Zander P E. 'onstruction Inspection 9 Related Tests Carlson Construction Consultants, Inc. Of Oregon P.U.Box 23814 rigard,Oregon 87223 REPORT OF CONCRETE TEST SPECIMENS Phone(6031 84141;4 Date Molded: _ 4-1 --- , 19-`7_ Job. No. U-425 Client: _ (;hrietcirlwar. 1)(; w.ld Const,, Cg` -- ------ --- Project: 00,.V3Wt g Ir'Al Address: _ '11-Tal`0., OVA01111 - - - — —_-- ---------- -- Contractor: Sub-Contractor _--_--Concrete Supplier:Supplier: EQu lslt3a?sl -- ---`-._._-- C:,st by: - .- Weather. Temp. hig!r _-- -� Temp. low: Location of Concrete Placement: h''�"" L:�•F.;'t? C^•tt'i; �•A I - Strength Requirement: _ _ _— — PSI :f _ days Slump: Cement Type: _ No. of socks:----. Entrained Air Admix, Amount: 1 • Brand: _ _ Admix, Amount: -_ _4____--__ Brand: '''r tau �lti�Clc� Coarse ogg. size: r_ Type: __ r(uGlw _ -- Fine Agg. Size: . Specimen Specimen Test P Register Date Data Total Area Unit Load 'Report No. Type Days Number Recd. Tested Load PSI No. ..0 Y 5 C 2F 54140 --i' -- p �^ E F Romorks: QU Ix 011 T-4,0-I'd Derrell D. Zander P.E. C'onstmt•tr,m Inspection & Related Tests Carlson Testing,Inc. P.Q. Box 23814 Tigard, Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone (503) 6414114 Date Molded: _--,� __.. 19 Ti _ Job. No. Client: _-_ Dcar�sld Project: Ede4}talde. Y11r1----- -- - - ------ ---- -- --------- - - - Address: - Contractor: _ nhX!jLstana an Unn ina1r _ Sub—Contractor: Concrete Supplier: _ U008 Cost by: Weather: _ Lb4IStY Temp. high: -_ °�`�_ Temp. low: - Location of Concrete Placement: .__ lioc Strength Requirement- - �ILis2!zPSI H da s Slum Cement Type: Y No. of sacks: �+ Entrained Air Admix, Amount: -- ou-ink — Brand: -- i'�� -_ Admix, Amount: Coarse agg. size:..._._______ a?. Type: - _ kI1.,; j,j, Fine Agg. Size: _-Bldg, Specimen Specimen Test! Register Date Date Total Area Unit L000 Report No. Type Days Number Recd, Tested Load PSI No.- 16 A 6 x3.2 OOJ 213.21 i24016 C D 2 , t E F Remarks: gel Denell D. Zander P.E. 1W Constnictioll 111SI)ection & Rcldlc(l 'F('NIV Carlson Testing,Inc. P.O. Box 2.3814 Tigard, Oregon 97223 RE-PORT OF CONCRETE "EST SPECIMENS Phone (503) 64'14114 Date Molded: — 41 19 77 Job. No. ___QP225 Project: Address: Contractor: —_ ChriateME&A Sub-Contractor: Concrete $jpplier: i rsanfl ALL(IjIVY81--___Cost by: D, V., Loach. Weather: Temp. high: Temp. low: Location of Ccncrete Placement- Strength Req, ..einent: PSI 0 rydays Slump: Cement Type: No. of sacks: Entrained Air Gari un hP.-)a III 4D Admix, Amount: 3 011,1111111k a Brand: P9_W-&i__ Admix, Amount: Brand: 0 1 1 9 '-k I Coarse agg. Type: ----ft1UM1_---Fine Agg. Size: Specimen Specimen Teti A Register Dare f* D::: Total Area Unit Load ReportNo, Type Days Number Recd. Tested Load PSI No. 15 A 6 x 12 ____U4Q_ &-4 _A& 46,000 —23,,27 1625 32 15 B _ua A-4 d-3 60.000 28,27 2.120 32 C 28 5149 —4--4 4---2 D 514-A A—A 28,27 E F Remarks: 90W Of 'PAOPVd Denell D Zander P.E. r■r �w w � � w is wo "un^trurvinrr hrspection & Related Tests Carlson Testing,Inc. P.O. Box 23814 Tigard, Oregon 97223 Phone MOW 641-4114 REPORT OF CONCRETE TEST SPECIMENS CP Job. No. Date Molded: - 19 -- C ti�rit�''�on�etn��4�I»na�d Client: >rrtyrside Inn — - --------- Project:__ ----- -_ "_" Address: f�1L'1L8'rA!f�wfl-�r%�101.7�"�•Cl Sub-Contractor: Contractor: -- — - t.Crta6� P1.811?t3 Cast by: Concrete Supplier: -- (:.latti' Tem low: ----- Weather:_ Temp. high: _ _�--__ P Location of Concrete Placement: _ Strength Requirement: - -- PSI @ days Slump' - Cement Type: No. of sacks: ___-_ Entrained An )% _Brand: Admix, Amount: Brand: -- - Adm;x, Amount: _ -' — 3/4tt Coarse Ogg. size:_ T e:— ------_Fine Agg. Size: - - - _._..._ YP ------ -- Test Reiter Date Dote Tofel Area Unit Load Re000 Specimen Specimen 9 9 Recd. Te+wd Leel PSI _ No. — No. type Dote Number _ ;at)9`f 56_ s�' Til --- 90tl rsna 28-2', aR 3 --� g t :tZya0Uf? •,a, 4211 — )i 11" 41401 E F Remarks: s•�: 1:'4.i-fir 'A Tigard tit 1. Deoell D. Zander F.E. 1 Construction Inspection T Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT—0-F-CONCRETE TEST SPECIMENS Phone(503)6414114 Date Molded: 1 2E1 19_x_- Job. No. Client: Project: WwV do Inn Address: TifigxA, 01-490D Contractor: Sub-Contractor: Concrete Supplier: J-1036 111110191 Cost by: Weather: Temp. high: Temp. low: ----. 1,cc�:tion of Concrete Placement! lilo%llh floor. eaLmt_ha1i!,___ Strength Requirement: PSI 0 23 days Slump: Cement T ype: No. of sacks: Entrained Air Adm i x, Amount: Brand CrAl a I u in eih-Luvi J au Admix, Amount: Brand: Coarse agg. size: 3/4" Fine Agg. Size: o, Specimen Specimen Dot D Register DTotal Area Unit Lood Report No. Type Number Ro.'d. T.:::d load PSI No. 6 It 12 A JU i--.A21.) v.u 500 -22 _'2)QiS2 B 90,000 3—;r) Al—A C r_ U.2,14-- 4-25 D 1A E Remarks: is Gi*#t ot Thipod Llenell D. Zander P.E. Construction Inspection 9 Related Testi Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23914 Tigard,0,egon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)641-4114 Date Molded: _- 3-28.�__.— , 19 ??..__ Job. No. CP—L>25 Christenonn—MaDonnid Client: Project:_ Wr�rsida Inn Address: _ Tigard, OrWrt Contractor: _Cbrisimmrari-KeDonald Sub-Controctor: Concrete Supplier: _Ro4n Island Cast by: _1)e w, T4i011 Weather: _ cloudy Temp. high: Temp. low: Location of Concrete Placement: I'vbbxthl floor" oamt 'wAl('' Strength Requirement: ___ —__"Oo`' PSI 0 _._..�H days Slump: Cement Type: _t _—__ No. of sacks __-__ __� Entrained Air Admix, Amount: Admix, Amount: Hol wi1t'•tar Brand —_ Coarse agg. size: 3/4n _. -----Type:__- ----__.._-. QA 6L�:!'11�L_ --Fine Agg. Size: — J 1 0) •� Spe_imen Specimen Test P Rgleter Date Date total Area Unit Load Report No. Type Days Nun+ber Rec'd. 'to,-ad Load PSI No. 14 A 6 x 12 3 5097 3-29 3-31 56,500 .`W027 20OU ;R 1413 7 5098 3m22 4- 14 C 2E3 �C�Q 3-2? 4,41; E F Remarks: . Denell D. Zander P,E. AMA 1 )isovoioii htsheclion & Relalecl Tesis C.arls®nTesting,Inc. P.O- Box 23814 Tigard, Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Pitons (603) 641-4114 Date Molded: --, 19 Job. No. _ Chris�enaelen-MoDoa�,3d, T�nc.o Client: .--- -- %4nide Ian - - - Project: Tigards Oregan Address: _ Christauem.NaDaaakU, TLt3a Contractor: Sub-Contractor: Rose Island ^end and Graved De We Leach Concrete Supplier: — Cast by: BMW ------- �- 54 Weather: -- Temp. high: Temp. low: Wecnt half, 4-d) fln(!r� Location of Concrete Placement: _ - 3000 - - - 28 411 Strength Requirement: __ — _ PSI rdays Slump: �1 3k Cement Type: _— _ No. of sacks: — Entrained Air _-$- Caloillrn Chloride Hot weetmr Admix, Amount: _ B and: Admix, Amount: Brand: 3/4" ratt""I Bldg Coarse agg. size:___._ __---TYPe --- ------------------Fine Agg. Size: Specimen Specimen Test P Register Dots Dote Total Area Unii Load Repot Mo. Type Days Number Rec'd. Tested Load PSI Ho. 13 A b 3. 12 7 5074 1-28 4. 1 760000 28.27 2690 26 13 B 2 8 !iG(5 3. 28 4-22 133 c 00O 28.27 41041 33 13 C 28 75076 3-28 4-22 1290000 28.27 4562 35 1 D _3 5077 3--28 148 38,000 29 e 27 1340 24 I E F Remarks: 001 C ity of Tigatt eek. Construction Inspection & Related Tests (�`/arlson Construction Consultants, Inc. Of Oregon P O,Box 23814 Tigard,Oregon 9722:3 REPORT OF CONCRETE TEST SPECIMENS Phone(503)641-4114 Date Molded: 3-25 19 Tr Job. No. z CP',a25 Client: 1:xtX'1*4@LUiell_XN,,Onujljt Ino Project:_ MYsXde .11W Address: ')'i(mrds Ol•GeCfAkl Contractor: GhriGtOntf0;a, '49DG, a ILI_Sub•Contrartor: Concrete Supplier: ta'a® !17.11111 Cost by: Weather: n�`GRY1X _ _y _ Temp, high: _ "¢ Temp. low: Location of Concrete Placement: '042"; hv'L7, Strength Requirement: D�'�' _ PSI (a _- days Slum Cement Type: --__ _ No. of socks:..-.— .,+:�_- Entrained Air Admix, Amount: - ► Brand: t's�.KIM X11. 0rkrlttjmix, Amount: 1 cii 1Aja,, • Brand: Coarse agg. size:_ w�('-_ ---Type: ---- _�'�t��d,3.>A,� _ _Fine Agg. Size: . Specimen Specimen Test P Register Date Data Total No. Type Days Number Reed, Tested Load Area lJ^it Load Report PSI No. A x: ?,t riL 4 t s?3 l 76 0430 26 2 C E -1140 F Remarks: ._- y�1i � "AMybyi.�j benell D.Zander P.E. t "onstruction .Inspection 9 Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 Phone(503)641-4114 REPORT OF CONCRFI E TEST SPECIMENS Date Molded: 19--71— Job. No. 9P-22'!-_ Client: Ohrietetulen• Coawld, rna, -_-_-- ----- ----------_ __ Project: Address: �8)Cds�t -- --- ----- – --- —_---- Contractor: LhriaIsne111n' 5tnDausild—. Sub-Controctor: Concrete Supplier: Room Tolima Cast by: -- M. L.emOh – Weather: 31A0YTemp. high: . 34 Temp. low: --- Location of Concrete Placement: +_41h-f1ialor. -- Strength Requirement: .$001 PSI @ -�__ days Slump: --- Cement Type: -_ No. of sacks:---. 51--- Entrained Air _ Admix, Amount: __ —_----- Brond:DnI ,��1 ' , -Admix, Amount: _.11101 railer Brand: --- Coarse agg. size: 3/4'1 - – Type: - Jlatur&j --_—___-Fine Agg. Size: -- -_.----91da•— Register Oote Date Total Area Unit Load Report Specimen Specimen TestP p PSI No. No. Type Days Number Recd. Tested Lead _ 1 A 6 13 B 28 t' 28 �- C D E . F Remarks: _ of g1j#&I#- Denali D.Zander P.E. IF W 111t1w Construction Inspection& Related Tests Carlson Testing,Inc. P.O. Box 23614 Tlprd, Ors"n 97223 REPORT OF CONCRETE TEST SPECIMENS Phone (503) 641-4114 T7 Date Molded: 19 Job. No. r.1 Client: Project: Address: Tlsaxe oregoa Contractor: Sub-Contractor: Concrete Supplier: Nokia Cost 6y: Weather: Temp. high: Temp. lcw- Location of Concrete Placement: Strength Requirement: — PSI @ — days Slump: Cement Type: No. of socks: Entrained Air Admix, Amount: Brand Admix, Amount: ---Brand: Coarse agg. size: —Type:_- --.Fine Agg. Size: Spvc,men Speelmom Test P Register Data Data Total Area Unit Load Rep.,, No. Type Days Number Rec'd, Tested Load PSI No. B C D E F Remarks: 0'r Denell D.tender P.E. f'onsrrucrion inspection 9 Related Tests Carlson ConstructionConsultants, Inc. Of Oregon P.O.Box 23814 Tigard,Jragon 97223 REPORT OF CONCRETE TEST SPECIMENS Pltone(603)641-4114 Date Molded: . 3-18 197_ Job. No. Client: G w4ato a&n—MCW"Mld Project:_W-_Wide =an Address: _fit-G"IFpy1-_ — - ---- _ Contractor: Sub-Contractor: — Concrete Supplier: Ha,�g Island Fiend_Mill gz,av,ok _-Cast by: _._. Weathe 7 C101__ -i Temp. high: . 47 Temp. low: Locatior of Concrete Placement: �_ �_ Strength Requirement: — PSI (d -_ A days Slump: 11 _ Cement Type: _ 1 No. of sacks: — Entrained Air . Admix, Amount: __ 1% _ Brand: Calailiam QlarijAeAdmix, Amount: . Brand: Coarse agg. size: 4ir Type: Fine Agg. Size: Specimen Specimen Test Register Date Doh Total Area Unit load R,port No. Type Days Number Redd. Tested Load PSI No. A i Z 12 r 8-27 --AQ- "- __In"n till C2A 4 — __ 211 D ,11S --211.22 E Remarks: At Denell D. Zander P.E. R.' mom JUN Construction Inspection & Related Tests Carlson Tilesting,Inc. P.O. Box 23814 'Tigard, Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone (503) 641-4114 Date Molded: 1 19-- Job. No. Cl ient: Project: Wayaldr- It 3 Address: Tigardo Orngon Contractor. F,, Sub-Contractor: Concrete Supplier: Cast by: txFi X' Weather: Temp. high: Temp. low: Location of Concrete Placemant: Strength Requirement, PSI 6 days Slump: Cement Type: No. of sacks: Entrained Air Admix, Amount: Brand: Admix, Amount: ___._Brand: Coarse agg. size:------ --..----Type- Fine Aqg. Size: Specimen Specimen Test 0 Re Q,9 to, Dot* Dn Total Unit Load Report No. Type Days Number Reed. To ted Load PSI No. A— B C D E Remarks: Denell D. Zander P.E. 'or.etruction 1 'Pectien 9 Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 87223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)641-4114 Date Molded: — 1-17__--, 1977 Job. No. Client: Chrietenmon ,K,-!t _ Project:--- apaiide_7nn Address: - Tom►-- Uragou Contractor: Sub-Contractor: Concrete Supplier: —�os+e�-:;s►ax , � QMy0} Cast by: . gymta��.� Weather: Cheer Temp. high: _-_ 40 T �,Qrr��ttivf3Rlno t.� Location of Concrete Placement: Strength Requirement: apUi1 — PSI P .___P11 __ days Slump:.____—___��^r^� Cement Type: _ j; — No. of sacks: -- "} _ Entrained Air 9b Admix, Amount: _j�,_ Brand:_Qaa ai,wn4 dWmix, Amount: - Brand: _— iCoat se agg. site: ��t- ----Type: , . ---_- .Fine Agg. Site: Spe.imen Specimen Test p — Register Date Date lotel Area Unit Load Report No. Type Days Number Recd. Tested Load PSI No. B --i— 4.2- 781_1211 _ 93oOOO 9A 3291 22 C VIA 497!1 211 °' Dr, , E F Remarks: ____fit-_ - — r a !)wiell D 7andei 1' F w w SIR' ■r 11! a► w M' w lonstruction Inspection & Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 2.3814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)641-4114 Date Molded: �" .__ , 19_77_._ Jub. No. Client: _—'Sehristat��en-�iOT)�1t�ralii_-- ----- - ------ _--.---------- -----. . Project: - - - - ----_ —ltrJrs+i"-Lan-- - ----------------------_- - Address: Tigard,-Ur3guu Contractor: _ :Lxia$ ___ _. "U6-Contractor: Concrete supplier: 4 Cost by: P" De-2iMAGIP Go re:, tompo rA Weather:_1cilAFiT __ — .__ Temp. high: i4A Location of Concrete Placement: ___.__TbJ r:d_ _ � Strength Requirement: _3t L1lL _ PSI (d -_ X1 --- days Slump: Cement Type: No. of sacks•_. r Entrained Air Admix, Amou, t _ Brand: admix, Amount: _�(p � Brand: Coarse agg. size: /4t!_—_—,Type:- uat,glml, ---Fine Agg. Size: Specimen Specimen Test A Register Dot. Dote Total Area Unit Load Report No. Type Days Number Rec'd. Tested Load PSI No. A 6 x 12 -- - 3=23 50,0w 28,22 B 4."' - 1- C r _ 1L _ E F Remarks: _eel 907 of tJigftrd�__�� Denali D.Zander P.E. onstntction Inspection do Related Tests Carlson Testing,Inc. P.O. Box 23814 T gerrl, Ore{lun 8.223 REPORT OF CONCRETE TEST SPECIMENS Phone I5031 641 4114 Date Molded: — 3=11 , 19_.T7 Job. No. a-225 Client: (lbrfs�E, nAwiy .Karjjnald Project: WW@iekrj To _ -• Address: Tiggpd, OXWV12 Contractor: AiQ"nloird Sub•Controctor. Concrete Supplier: _ Cosf by: ;y n a:..,..0... Weather:_—._ OV'NTOde — Temp. high: — 4.5 Temp. low: —� Location of Concrete Placement: __ Souond docks cart. ons. —_--_�— Strength Requirement: :000. _ PSI Et 26 days Slump: Cement Type: — No. of sacks: 5__ Entrained Air Admix, Amount: 19�i Brand: __QA1QJ��_ChLiyi mix, Amount: . lly'W kaiyr Brand: Coarse agg. size:—_� " _____ _ Type: —_�SlJt d1S`b11..____— Fine Agg. Size: _—._-___ RI-dr Specimen Specimen Test I Rep,suer Dnte Dote Total +Area Unit Load Report 40. Type Days Number Recd. Tested Load PSI No. b X 12 7 491 A— 71 .UO —__I.f_ 1Q� 13 0 i)O; :2a2.511c) 1 11)C -3� L31sc!U0 _2 4633 30 i_1 28 4921 1 31448 _ 0 28.21 4720 E Remarks: ._ Donell D.Zander P.E. instruction Inspection 8i• Related T,,ssa Carlson Construction Consultants, Inc. Of Oregon P.U.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone M-03)841.4114 Date Molded: 3"11 , 19=__ Job. No. CI'-•225 Client: _ ChrfefenaPn-ftD91Wd_. Project:—_KU1111ide TIES Address: _218a.rda D Igen __ -- ---— ---- ----- Contractor: .(: s'iR4 nr e1—YiDO .al,L_ -_ Sub-Contractor: Concrete Supplier: Rnao T81y�i,__ Cast by: Weather: _._..._ Overcast Temp. high: 45 Temp. low: _- Location of Conr.rete Placement: — Sec4orA dock. (A8[J'1i 9.nd Strength Requirement: ___,3000 _— PSI N ��' _ days Slump:_ 51t Cement Type: .—��—_ -- No. of sacks: Entrained Air Admix, Amount: —'�-- Brand:CalviUM Chlorid. Admix, Amount: �io�; W Or.-__Brand: Coarse agg. size: 3/4tt __ __Type: 1141 P,L1L`,�11_ Fine Agg. Size: Specimen Specimen Test(! Register _ Date Date Total Area Unit Load Report No. Type Days Number Recd. Tested Load PSI No. 10 A b .x 12149 -1 8 —151 > 50 18 - —10 _C 2d. _.14920 10 D 23 49L1 3-14 48 _ 28e27 E F Remarks: - Der911 D.Zander P.E. ' oastruction Inspection & Related Tests Carlson Construction Consultants, Inc. Of Oregon PO.Box 23814 T igerd,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone 1503)641-4114 3-9 77 Date Molded: , 19 Job. No. Client: Christer..son—MCDOnald, I=2, Wayside Inn Project:—__ _ --- Address: - Ti.dard, Oregon __ Christertsen.-MoDoual d Contractor. _ Seb-Contractor: ROBS Island Stead and Oravel D, W, Lei*ok.i Concrete Supplier: _Cast by: _ CIondy 48 Weather: — _ Temp. high: _ --- Temp. iuw: Sc�rond west half',of Concrete Placement: 3000 t tj ,q ra 6trength Requirement: _ PSI @ --_ days Slump: f Cement Type: __ �� No. of socks: Entrained Air Chla.rid.e Admix, Amount: ---.- ---- Brand: __ _ Admix, An,ount: ._.__ Brand: .'/�' ru.l F13 0Lq Coarse agg. size: - --_----Type: — Fine Agg. Size: —_-___.--_-- Specimen' Specimen Test E Register Date Date Total Area Unit Load Report No. Type Days Number Rec'd. Tested Load PSI No. 9 A 6 1.2 1 4065 346 gT,UCJ 28,21 34-40 .l7' 9 B 28 41346 4--6 1300000 28,2'x' 5305 9 9 C re 057 4-6 1;20500 28,2? 5395 29 D E F Remarks =_~i, r iF T2Qf:a�J --- el Denell D.tender P.E. AZ mors. Inspection 9 Relot-d Tests Carlson Constructi Consultants, Inc. Of Oregon P.O.Box 23814 T ipard,Oregon 37223 Phone(503)641-4114 REPORT OF CONCRETE TEST SPECIMENS Date Molded: 3-9 19 7L_— JoL. No. Client: Christenson-MoDonald o I-: ----- - -- -- -- -- Project:- We�yside Iriri -- Address: Tigard, OrOV -- -- — Contractor: Christenson-McDonald Sub-Contractor: — — -- — Concrete Supplier: .ROsB Island $aa:d ut�d— Irt 'rp Cost by: �— D. We LdE'_'h Weather: —_Gi° - Temp. high: Temp. low: --_— ��t3o><ld --- Location of Concrete Placement: —" a,riRt half._ Strength Requirement: 3cloo PSI @ 28 days Slump: Cement Type: _ i -- —_ No. of sacks._ --- Entrained Air % Admix, Amount: Brand.lie.].G itUD C1110rid'.r'Adroix, Amount: Brand: Coarse agg. size: 3/4"_-.__ _Type: ---N -t1aral----. — -Fine Agg. Size: .__ -r oteUAL-- — TUnit Load Report Specimen Specimen Test P Repisnr Date Dote Area PSI t/o. No. Type Days Number Rac'd. Tested Load — y A 6 X 12 7 86 a —16 000 28.27 0 11 — B ak,66 "..., 28* ,r - r C 28 4W'1 - D r• F -- Remarks: Denell D.tender P.E. w Construction Inspection & Related Tests Carson Construction Consultants, Inca Of Oregon P.O.Box 21914 Tigard,Oregor,97223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)641-4114 Date Molded: 2-25 , 19 77 Job. No. 0-184 Client: . 8e4PewAY Storee, Inc. Protect: Safeway Story if3A3 ---- Address: Tigard, Oregon E. Carl .`.Meets Const- CEJ, Sub-Contractor: --" I Contractor: __ _ Concrete Supplier: Willamette Cost by: Ja D. ZILRldex Weather. Oyeroalt t —_— _ Temp. high: 3 fi`r,l�i`-'4t� — Location of Cnncrete Placement: __G�und »J.AL, montr Anxra.nae :AdQwA,'Ak ev.wt enty-ancie. Strength Requirement: 300 -.— PSI @ days Slump —3" Cement Type: [ No. of sacks: %k —Entrained Air 9i Admix, Amount: Hot water BtAdmix, Amount: :t G�►IaS�1.tu1 obricie: — _.Brand: 10 Coarse ago. size:.----_._3114rtCJrs'�v�z'a,� —! Pe: -- - -- ---—_Fine Ago. Size: Specimen Specimen Test P Register Dote Date Total Unit Load Report No. Type _ Days Number Recd. Area Tested Load PSI No. A 6 x. l a 7' 47 38 ?x.27 2550- B 4759 r..IC; l 2)eiPIT D E Remarks ��': Cil1e.E1,r bia�:tr Denell D.Zander P.E. '7onstruction Inspection & Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 t igard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(603)641-4114 Date Molded: 2-24 , 19 _ T, aob. No. Client Chranaen—MoTnnlr.lA P•oject:__W9Z9Ijda_Zau' Address: _ m7g'du ut•e��. Contractor. _Sch3'{®4eneien�lt°•�DQnnt� Sub-Contractor: _ Concrete Supplier: _ Houn irl••r,r1 r,nrad nrd (3 t Cast by: Weather: Temp, high: .__. Temp, low: Location of Concrete Placement: ___j •q-M2d ritt.� H�ry__ _ q r t fir, t� tarn n i Strength Requirement: PSI 9 ____._j_ days Slump: Cement T ype: s No. of sacks: _— Entrained Air Admix, Amount: ___ _ Brand:CrAltiiurn C.'h c,rj Admix, Amount: . ;; ld.,t;_Brand: Coarse a 99• size:.- -- -- --TYPe:.-------??a� ;l — _.Fine Agg. Size: Specimen Specimen Test III Register Dat Dote Total Unit Load Report No. _ Type Days Number RecArea d. Tested Load PSI No. 8 A 6 12 7, .2 2 ,21- 'j-3 -.7 ao l?Dij 6 C 28 4127 D E F Remarks: __1121 i!1 V ctf 2'iQtx�� r1 DeneC U.tender P.E. ,:onstrxction Inspection B Related Tests Carlson Construction Cons'ultantsq Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 Phone(503)641-4114 REPORT OF CONCRETE TEST SPECIMENS 2-18 T7lbN77 -2P5 Date Date Molded: — 1 19--- a . o. Client: ..__ ChristOAO G wayside Ian -_-- - Address: U64149 _ -- ---._., -------...�_ --—— Contractor: Christenemn-NODO all __Sub-Contractor: _ -------- -- — T ♦ if 4w•.ln,h Rose xelatld �it�rlc9 grad Cx�Y Cost by: —�• ��- - Concrete Supplier: — — _— — — - -= 8 _ Temp. high: .— 49 Temp. low: —_—_ ----- Weather: _._ Booboo 11 to 18 ifs Elt_-t aoLunc�_f'Loor Location of Concrete Placement: — — 3011n _ PSI � 28_— days Slump: -- --�--__— Strength Requirement: ------ Y No. of socks: Entrained Air Admix, Amount: Brand: Cement Type: — -- --- Caloiiva CL -oridlilAdmix Amount: P-01 �141"Or -Brand: _---- -- 1 �0 �-- r 31411 Type )gi*I�Llrl�. -- Fine Agg. Size: Coarse egg. size: __—__ - - -- -- --- — -- —� -'Total Areaeport Specimen specimen Test! Repittr Date Det° No. Type Deys Numb• Rac'd. Tasted Load asay7 A 6 z 12 1 4687B 28 4686 3•-,1c0 C2ti 468 3=18 DE F Remarks: OQ! Ctq of Ti,gardiL_ 18 ra.a._DOD12 --- --- Denali D.tender P.E. � � t Instruction inspection ® Related Testa Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)641 4114 Date Molded: 2-18 , 19 7 i _ Jo6. No. Client: _ ChrI8tWeeu-X0DoaaIe). Project:— Wayelde IzW Address: —Tigard, Oregon Contractor: .ChriNU112421-149}onitld Sub-Contractor: Concrete Supplier: $ate Island 9t►ndl ALnd D ® Cast by: _S,. bi S ez tAn Weather: Temp, high: 49 Temp. low: Location of Concrete Placement: 'SQv ;l.Ctii 11 to, Lv Strength Requirement: 3000 PSI @ days Slump: Cement Type: No. of sacks: 54' Entrained Air Admix, Amount: x='slt ak,) Brand: Cale)ltim Chlaritigkdmix, Amount: 902 NM gar Brand: Coarse agg. site: __3/4'x_-- --- TYPe - --- ---H4*111'MA-- ---Fine Agg. Site: Specimen Specimen Test p Register Date Date Total Unit Load Report No. Type Days Number P.ec'd. Tested Load Area PSI No. T A 6 x 12 2-25 8'1 ,nCrr� 28,27' 3080 15 7 B 28 4688 4143 140000 28a21 _49N 1 I C 21 _ 416� 3-"t8 1 7 26-27 a D E F _- I Remarks: 00: QIIX of Tigard. hlaw. n�Yrc., Denell D.Zander P.E. January 27, 1377 Mr. Way Lee General Contractors, Inc. 8210 S.}: . 26th Avenue Portland, Orcgon 97202 Dear Mr . Lee: This is to inform you of four yet to be satisfied condi-- tions of the Plauninp Coimnission and Dmnil;rn Review hoard approvals. I . PLANNING COMMISSION A. "S.W. 69th Avenue be developed cru it 60 ' right-of- way to city cor.uriercial street standards . The location for continuance through to the triangle, to be approvod by the Diroctor of Public Vlorl s . " The public Work'*; Directors recommendation is to improve .� .W. 69th Avenue throughout the entire dedicated area to assure conformaiiae pith the Tigard Trianj;]_e iluvol.op- hent Plau . J. "A traffic light to State highway Division standards be placed at the intlarsrtction of d .W . 010th Avenue a,ud 60V . Pat;ific Aigl.way, if the Highway Division warrant study determines that it is necessary ." Please see attti:c►aed letter from tue State x1ii.gttway District i+nginoer. U . DESIGN REVlEW BOARI) A. "Ixeewn via the secondary accesc3 point onto S.W . Pacific Highway be limited to tine motel complex only . ' A number of options are available. As I mentioned in rr;y letter of December 20, 1976 a 1 ' access control strip is one option of sattefyinj; the condition . ii . ".Signing and striping program be developed subjeet to staff approval regarding directing traffic to S.W . b9 th Avenue utAd not onto 8 ,W , b,aci f is 1.iighway via the secondary access drive . " Ni.tnimal mention is made on the submitted site plan l.)ut 1W joupffm Way Lee January 27, LN77 it !ti inadequate to satisfy the condition . Now that the ,Mate highway uiviNion warrant study con-- eludes that signalization is indeed necessary at this point the timing of the signal placement becomes crucial so as uuC to hold up the issuance of occupancy permits- or other final City approvals. Pant city practice has been to enter into a three way a;�reement with the City, develol cr and t1he Oregon Transportation Commission . Please contact us as to your course* of action. Richard Daniels Associate Planner Iw:®f ►.ncloswuree.: Director Puulic '.forks duildinF Wficial Construction Inspection Or Related Tests Carlson Construction Consultants, Inc, Of Oregon P.O.Box 23614 Tigard,Oregon 97223 RFPORT OF CONCRETE TEST SPECIMENS Phone(503)641.4114 1 Date Molded: —�17 , 19_ —_ Job. No. _ �ri'"'22 Client: GhriatOnren—NoAonald, Tno, _ Project. Wayside ZntT ----- Address: -Tigard, Oregon Contractor; 0hriGteneea—McDonald _ Sub-Contractor: Concrete Supplier: _ 'fJJJV ette Cast by: D. bis lApanh Weather:_ C1Attt y _ _ Temp, high: — 50 Temp. low: Location of Concrete Placement: ..__ ?<)(t hang lisle V13-17, 11MIS P/13-141 lino9,113 14y lkn e ('j a• a�� Strength Requirement: {U00 PSI @ 28 days Slump: Cement Type: A No. of sacks: _ Entrained Air 96 Admix, Amount: �Brand: Admix, Amount: _Brand: Coarse a 1 " 99, sirt+: _ --TYpe:. ---- Ila n.ral ---- Fine Agg. Size: ----- �i�a —3 - Specimen Specimen vTest 0 Pegister Data Date Total Area Unit Load Report No. Type Days Ilumber Rat'd. Tested Load PSI No. f A C x !2 4?P1 1-.,18 -12 ' 10 28.2. ?2Bq — Ei 6 8 2s 4324 _ 1.--16 P. 120;500 28,2"T 4260 14 6 C 4 4.3 23 1. 0 2-14 1-21,1000 2.8,2„'1 4280 1 D E F Remarks: _ CO: (AIX nf 1111airld 1 Denell D. Zander P.E. W W toll !� r Ilw 'oust-uction ln:pection & Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23914 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENSPhone(603)9414114 -- ------- 1 -17 -- IT CP-225 Date Molded: ____ _ , 19 Job. No. _— ) Chrintansan-wleDone.ld, Inc. Client: —-------- - -- --- —_�_—� Wayside InN Project: Tigard, Oregon Address: i,'brieteneon�NoD�nsld Contractor: _—__ Sub-Contractor. _—__--_- �fitllaairelte Concrete Supplier: _�— —__Cast by: Cloudy rp Neather: ___—___ _____ Temp, high: Temp. low: Pooling line lime 13-1.' r line N/13-241 lire E/13--14, 1106 C/13--14,, Location of Concrete Placement: Strength Requirement __.._..._..-.— PSI 0 days Slump: Cement Type: - .__� No. of socks: Entrained Air Admix, Amount: .------- Brand: —_ _ Admix, Amount: _-_ _-__ Brand: natural Coarse agg. size: __ —_____Type: -- -Fine Agg. Size: -_ Specimen Specimen Test P Re0leter Dote Date Total Area Unit Load Reporl No. Type Days Number Recd. Tested Load PSI No. A 6 x 12 4323 1-18 1-24 '10 0L)a 28,,27c)-- 6 - g 28 4324 1-18 2-14 2Fe21 — 6 C 7.8 4325 1 10 - 2-14 ---- 26e21 � - D F t=,a: J�,ty oY �'�g�xti1 Remarks: . •l Denell D. Zander P.E. VIII f!` Itis ff WJUN F r• W �! :;onstruction Inspection & Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 Phone(543)641.4114 REPORT OF CONCRETJE TEST SPECIMENS Date Molder: __ __ , 19 — Job. No. C.tr�.s4.tauat�r:wibta�aterlld Client: --- Wayreitde Inn .----- Tigard, Ore+gan Address: ----- - -- — - — �. -- t:t�.r�sr2aenl��n.��M+aL►.�ata7�1., Contractor: _ xray Sub-Contractor: —_ __ —_—_—._.------- Rome lelmid 5und andtixa��a�..tl. �r i),. %ondF,x Concrete Supplier. - _- _Cast by: _ T►.riam1e 5 Weather: Temp. high: - Temp. low: I'cs1le fao7tinja C!"I' a&1',ll 8, E 'TF and {70 )EF 4r 6► 71 10 and .110 Location of Concrete Placement: _ 3000 26li�1f Strength Requirement __._--- -----_--_ --- PSI @ — days Slump: -- .--- -- --_--_—.—.� Cement Type: No. of sacks: —._ _ Entrained Air Admix, Amount: — _—__ Brand: ___ Admix, Amount ________---_- Brnnd: - -a Coarse agg. size: !: ----------Type:. - — - - - .Fine Agg. Size: - ------- - Specimen Specimen Test P Register oaf e Dote Tote Area Unit Load Report No. Type Doyc - Number Reed. Tested Lead PSI _ Nn. 5 A 6 x 12 1-11, 1-1 q 84,000 28.27 2970 6 5 B 2B jv72 1 -13 2 p+ .138000 .0.27 4880 13 C 2a 4213 1-13 2.- 41 500 28.27 5000 13 C� E —_ F cr. Ta givzc1 .3101g a Dept., Remarks Denell D.Zander P.E. `:onstruction inspection B Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 Phone(603)6414114 REPORT OF CONCRETE TEST SPECIMENS ---- — 112 Date Molded: -- 19_ Job. No. ._—_--- Chr�.ael�asnemn�allor�a3.d Client: —.._— --------- --- ----------- Wayeide Inn — ----- ----- —------ ProIect:__� -- -- -- --- _ Tigard j Oregon - ---- -------------- -- — Address: — – Christenagen•-NoAovald, Ino- Sub Contractor: —__ --- Contractor: --.-- — Rose Islimd Svxid And OrilvVI i�. �� s�ndi�r b Concrete Supplier: Cast y: f Arissle Temp. high: —_. 46 Ter,ip low: --•— Heather: Coal. footj"m 07 snd Be E 7 and Be P' 1, L, 9s 10 and z:l Location of Concrete Placement: —__ -- 26 3000 Strength Requirement: ------ PSI S --- ------ days Slump: ----- zw'A Entrained Air -� Cement Type: —__ —. No. of sacks:_.__------- -- hot water Admix, Amount- Admix, mount Admix, Amount: ___ Brand -- Fine Agg. Size: ._ --� — Course agg. size:_.. Date --- _— --- `Total Area Unit Load Report F_ Specimen Specimen Test P Register Cate PSI No. — No. TYPE Days Number Recd. Tested Load — � -- ^g 6 x 12 7 42`i 1 V � l�°19 84�000 28.27 �'•9`�Q `5 A t� B �>S 4272 ] 13 2-9 20.27 5 - C .8 4273 I.._��^ 24� 28.2 F D oe a Tigard. .131LI,X. Dept- --- Remarks: _._ ---- — Denell D. Zander f.E. RA MALM� construction Inspection QI Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 Phone(503)841.4114 REPORT OF CONCRETE TEST SPECIMENS J 111 Datc Molded: . _ 19 Job. No. _ r,;p.n225 ;:iarf.rt�ert�on t�c�alc+:ux].d Client: --- - ----- --.. — - ---- .. — ------- W, e.lca4 Inn Project:f- J_ ----- — --_ ----- ------ — r .gct.z•cl, ()rein AJdress: iristeneeta-,Nol)omkl Contractor: Sub-Contractor: Concrete Supplier: Roae ;sIvind end sma ("ra al - _– D, D,LA oder Cast by: 13s3'ait:Za► Tem Weather:��—� 'Temp. high; _.. p• low: - �;41.. fn0tin4is 0, ii. 1 CF oris 5 and (S U119; R, 7v 81 q, 10, vind Location of Concrete Placement: — a f 4aU P,r~otia 12--15 on AR wt),,1 Irclat' a or, A 1ta, 8 tc1 10 I.Inar, Strength Requirement: .__.—__—... PSI @ " days Slump: Cement Type: No. of socks: ") Entrained Air _ 3n " afT)r Admix, Amount: —.Brand: Admix, Amount: .._- Brand: _ - z�.tt f�r xt;xoa. Pl.dgr Ccarse agg. size: ---__-- - Type:___—.,- _ Fine Agy. Size: Specimen Speeirrmen Test p ?epister Dots Date Total Area Ur,it Load Report No. Type Days Number Rec'd. Tested _ Load _ --_ PSI No; 5 B �2f) 4258 (_110 .101,000 ;28.21 3570 12 C u28 4r'S ,,.1-, -1 1.000000 28, 21 3540 12 D E F Remarks: ____ ----- - Denell D.Zander P.E. a s Iw� a a a a a on:erection Inspection 9 Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23914 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)841.0114 Date Molded: i-4.1 -- , 19_ k� Job. No. _—_ V-225 Client: _ Christeneen -MoDonalrl Project:—_ftyside Inn — ----- ----- ----- — Address: ._Tigardt Or. . n - __— —_—_-- -------. Contractor: -Cbrlstense:n-NoDonald, Sub-Contractor: Concrete Supplier: Boss Island Sand and Oravel Cast by: De 1►._Zvs►dcr `Heather: __. Ori>R�1e Temp. high: 39 _ Temp. low: — Location of Concrete Placement: — Cole •toting• Cs E, F, Id on-1-t3.nd 6 lin®i H. 3.0, l�.d !.l.i_ wall-footing_12 15 cin A ��<J� n Strength Requirement: -_ _-�-__ ____________ ._ PSI fd ._-._.�`_ days Slump: Cement Type: -------------_ _--- -}----- _-__-- No. of sacks: __-- 'tL—_-- Entrained Air _--� Admix, Amount: __- C CdA*ax Brand: _______-_— Admix, Amourt: __ __....___., ._..,Brand: Coarse o 1 t 99• size: - ---TYPe:- Tr#,1yE'+E141 ---. Fine Agg. Size: -- +-------- Specimen Specimen Test P Renlster Date Date —Total Area Unit Load Report No. Type Days Nk,.aber Recd, Tested Load PSI No. g A 6 s 12 7 425"1 1-1 1. 18 7 5.00'1 29,27 26 50 - 'j B 28 4258 1•=13 2M8 2a.27 9 C 28 4259 113 2-43 28 21' D E F ftemark5 oat MY of T1 laYd — ------ -- -- -- — I hl Denell D.Zander P.E. instruction Inspection & Related Tests Carlson Construction Co asuitants} Inc. Of Orogon P.O.Bax 23614 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)641-4114 Date Molded: 1'5 , 19 77 Job. No- Cl ient: o.Client: Chrinlen len4kDonAW, Inc,, Project._ b�gyside Inn Address: _ Ticut, Oregon ---- — --- Contractor: �ill'r1s1ens9n—xODaakLdL Iuv, _� Concrete Supplier: $Os■ Italsind_Sand rand L3ravel _ Cast by: _ ❑_ ]]_ Lrnr Weather: Temp. high: Temp. low: _ Location of Concrete Placement: _- 12 brie nort>b to south. Strength Requirement: , 3000 PSI @ 28 _ days Slump: Cement Type: S _ No. of sacks: 51 ___— Entrained Air Admix, Amount: , Brand: Admix, Amount: Band: Coarse ogg. size:_ __ -11"--Type:- __ -- i�t.$'i f'a -- _-_ Fine Agg. Size: Specimen Specimen Test P Register Dab Date Total Area Unir Load Popoff Na. Type Days Number Rac'd. Tested Load PSI No. 4 A 6 z 12 _ 7 4232 1-12 q2 g 000 28,27 3250 � 4 B 28 4233 2.2 23,,27 D E P Remarks: _ got City of T SS01 Bldg- agil. Denell D Zander P.E. W All 11r1w � 11WA l ,or truction Inspection & Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)6414114 1--? ` l Dote Molded: . r 19 Job. No. Client: �:hrietensen--- 1 *c �1.nA1,d, Xnao _ Project; >dasyn#da Inn �'igard, Oregon Address. — ------- ----- - --------- ---- c�hrietenssen'-Nayonald, XSrse Contractor; _ Sub-Contractor: Concrete Supplier: - HOBO 1i1anr1 Setid Md Grattro) Cast by: Weather: Temp. high: __ Temp. low: 12 IinQ 1t01rth t.0 a ita.th., Location of Concrete Placement: Strength Requirement: PSI0 -�_ days Slump: 9 Cement Type: No. of socks:_—__ Entrained Air _ a�- Admix, Amount: _ _ _ Brand: Admix, Amounts __-__..___-_—____Brand: rt '3.lra > Coarse ogg. size: - —i --- Type: �1ilU�il '�BA - Fine Agg. Size: --- — ► -- ,pecimen Specimen Test o Register Date Dote Total Area Unit Load Report No. Type TDays Number Recd. Tested Load PSI No. 4 A 7 42.12 1-12 "l-E000 28,,27 :3250 4 4 B 28 22 1,44 o 500 28,,27 3130 11 4 C 28 42,,4 2-,2 ).412.,(KOa A,27 3020 11 D E F Remarks: tt?. Denali D.Zander P.E. W W Construction inspection N Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)641-4114 Date Molded: 19–l"', Job. No. OP-225 Client --_ Chri steneen-KeDicn ►ld t Inc. Project:---V side Inn -__� -__ .._----._- ---------- Address: —Tigard, Orion rontroctor: ---_ 1108 _ —_ -- Sub-Contractor: Chri t1ormon-MCDCCUAld. Into Concrete Supplier: :WId Anel Q L2A III___Cast by: D. W. Lpach Weather: __ Cloudy Temp. high: — 4$ Temp. low: _ X11 1'ar: 4 4)Uo aerie Zip-da.Location of Concrete Placement: ___ •�II 'frength Requirement: - -- - 00101 ___---_--_-- --_-- PSI (m _—_ _is days dump: Cement Type: ___ _ ____. _.__ ___ No. of •ccks:----rr' —__.�__. Entrained Air . _. % Admix, Amount: __ _— Brand:_._—__-__._.________... Admix, Amount: --_—Brand: Coarse agg. size: _� t ___ Type: 1'*+1':r41__- _ __ _Fine Agg. Size: Specimen Specimen Test p Register Dote Date Tetal A ea Unit Load Report No. Type Days Number Rec'd. Tested Load PSI No. 3 A F x 12 7 4229 1-in 1-:11 58,0(10 26.L?L 2050 ' — 0 2$. 4.2aa 1-5 28.21 2$ 4231 1_5 D E F- —}- Remarks: —1 x lindcr 1S-Z --AG T1mr H'---age—=— --- -- ----- ------ — ----- oiu-- 1' f u ! uEci--k�1c �JeW --—4_ �� _ ------ -- - -- -- ----- oil --- - — ---- -- - --------- ---�� Denell D. Zandar P.E. i i .onstruction Inspection 9 Related Testi Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97273 Phone(503)641.4114 REPORT OF COMCRETE TEST SPECIMENS Date Molded: 19 _ Job. No. Ckt><•ie�erxzeze,:._%7e';i:�•svrt:lci,, �1x , Client: _._—-- - --- _ -- ---- - -------- -- ------- F'sVoide Ttin ——- — _— Project: -- -- - 9'xgurd, Oregon Addrrss: -- — -- H+�,y� 1,03f:Raxx.t�'ienane>'--R�;:,�:cx11d, ?:azs�•. Contractor: -_ Sub-Cuntractor: Rome a.n),.-Md. Sara i fMrl V:-Avel Iraaoh Concre-e Supplier: _ -- Cosi by: — Weather. Clat3til _-_ _---_-._-_ Temp. high: Temp. low: Location of Concrete Plocement: �•l?(`(-i til .(r, Strength Requirement -- -_-- - _ - -- -_ - PSI -- days Slump:,_ _ Cement Type: _- No. of sacks: -__ Entrained Air % Admix, Amount: _______ Brand: --__ __---__ __-_ Admix, Amount: __ _ Brand: I. Fyi;rtri'l Coarse ogg. size: ype: -- - - - - Fine Agg. Size: Specimen Specimen Toot QD egister' Date Date Totol Area Limit Load Report E__-No. Type DaysN�mber_ Rae'd. Tested Load PSI No. A 6X ]2 ! 422 "x!2.,C(K.) 2Fk�e"X ]Q0r>(1 4U 10 3 C 28 V23). 15 1 E1';'000 2b 41 3000 10 D F F Remarks: C'ylindery Pay. Bo At>.m-giedc; Denell D.Zander P.E. !� �► ! U, F! rw Construction Inspection B Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone 1503)641-4114 Date Molded- 1229 , 19 16 Job. Na, _ CP•-r^•, 5j Client: ChriattFneen-11620MI101.r Ptolect.___I'Voidce Inn _-- -- -_----_ - --- Address: Contractor: Sub-Contractor: Concrete Supplier: aoup Ifplw.d EeAd rn.,, r�4.:�'t Cast by: L, i10 ZA41,219 Weather: _2,�ye'1' Temp. high: - 46 Temp. low: Location of Concrete Placement: _Pnotiw r f': tom 6 .1".Wo to .ry 11ne, S;s Fit F [trill H: or► a X7.ne e, .lines, r Strength Requirement: � r__..._.T__—___--__ PSI a _________ days Slump: ______ _�— Cement Type: _.___. 1 ____._._T_ No. of soclis « _ _ Entrained Air Admix, Amount: Brand: — _____-_ Admix, Amount: -- - _Brand: -------- Coarse agg. size: _�j ' ---Type:--1e�13� i i'i`' _-_-_.._ Fine Agg. Size: - ='-tom, Sper.men I Specimen Tat P Register Dote Date Total Are. tUio Load Report No. Type Days Number Rec'd. Tested Load _ PSI No. A 6 x 1.c !)101 1-5 `a` VWCI 20,2o k B 41'76 141x000 49%; C 019 26 40�(7t)t) 28 2'; 4950 D E ' F Remarks: ;j •s'. Denell D. Zander P.E. 'onstruction Inspection 61' Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 Phone(503)641-4114 REPORT OF CONCRETE TEST SPECIMENS 12-29 16 Date Molded: 19 Job. No Client. ------- WVvido Inn Project:— Tigurd, Oregoa Address: Contractor: Inu, Sub-Contractor: Concrete Supplier: Ross lalwa k1tvvi,l tirtid Cast by: D. Do Zander Weather: Clear Temp. high: 46 Temp. low: Location of Concrete Placement: Footings side from 8 Une to ig JjnLj 01 1, F and H on 3 line and 4 IiM" —---------- f Strength Requirement: TO PSI 6 days Slump. 4" Cement Type; No. of socks: Entrained Air Admix, Amount: __Brand: Admix, Amount: -------Brand: Conrs- agg. size:.___. 49 -Type:--- Fine Agg. Size: - Bldg,, -Specimen Specimen Test P Register Date Date Total Area Unit Land Report No, Type Days Number Ree'd Tested Load PSI No. 2 A 6 a 12 T 4177 12-30 1-5 990500 28.27 3520 2 2 B 28 4178 12-30 1-46 28.27 2 C 28 4179 12-30 126 28.27 D E IF Remarks: _ cc: City of Tigard Denell D. Zander P.E. IW muqffw Ii ':onstruction Inspection & Reluied Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 1 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(603)641-4114 :12..,23 Date Molded: , 19—' _.e Job. No. CI72'�.11'�0tAQ1027t•°�OII()MB�.C�.r _ �C , Cl i en t: _ ------ -- -—-- -- —__—_—— --- Project: Wmyside Inn — Address: Tigard, Orem -- �`__ -------__-_-- 1�dY 1'(89 — Sufi-Contractor: �:Xsx4°4:auae�ra'"�a;lonal.(?, Contractor: —� ----- - — Concrete Supplier: Rose Island saw ttiUd Orkw2l Cost by: D^ Wu i•naoh Weather: ___ Cloudy —_ Temp, high: __- Temp. low: _— Location of Concrete Placement: __Footing line is `W 8 and .A to Ky C()1,vn i'001,'kng 71no arl'a P t3nd 3 to 6 _ ----- — 3??OPSI 0 __.pct_ cloys Slum Strength Requirement: --—. p: --------- -- -- Cement Type: r No. of sacks: __ t Entrained Air Admin, Amount: Brand: _ Adn.i,, amount: -Brand: as �, l:�rs;�n r•,5;1. ' Coarse agg, size:-___ .—.Fine Agg. Size: _ _- -- -- Specimen Specimen Test 0 Register Date Date Total Area Unit Lood Report No. Type Days Number Reed. Tested Load FSI No. 1 A 6 a: 12 11 4)34 -12-30 84tOOG 20.27 I B 28 4135 � �� 1570000 28e2•f 1 5'550 ---- 1. C ?E3 4]!?` 1-20 26 -- D ----- 4 E F Remarks: VA' 4d )31dAqr. =De It. -- - — Deneil D. Zander P.E. onstrt+etion inspection 9 Related Texts Carlson Construction Consultants, Inc. of Oregon — -- P.O.Box 23814 ' Tigard,Oregon 97223 Phone(503)841-4114 REPORT OF CONCRETE TEST SPECIMENS CITY OF IIPP,-) 12 23 76 Dote Molded: —, 19 — Job. Nn. Chria•tsuiaen.-- 4cDenald.r Inc.. _ Client: Wmyside Ina-4 Project: — Tigarcl t Oregon -- Address: — — W&Y Lee i;t�,rFl�tenn�n •�Sa:,C�or�:�,lu. ` Contractor Sub-Contractor: Ron, Island "nd Orave.41 Cost by Concrete Supplier: w ,,rh,• �Cloudy -- Temp. high: 4� _Temp. lows Foisting lies 2 to a krld .A tc RI cola, ftotkng line J and a Location of Concrete Placement: - B and 3 #,o 6:. — —.— I �tt 3001.1 28PSI @ 2dors Slump: Strength Requirement —_ Cement Type: I No. of sacks: _ Entrained Air Admix, Amount: Brand: Admix, Amount: Brand: -- Coarse agg. size: _..____ Type: ----- --------Fine Agg. Size: — — Area Unit Load Report Specimen sperItnen Test P Register Data Date Total PSI Na No. Type Days Number Recd. Tested Load _ 1 A 6 z 12 '� 41:4 12-30 8Q t OOO 1 B 28 4135 'ig.27 1 C 28 4136 1 :20 28 2' D — E F Remarks: no. Tigt>vd B14, .UPr-t— Denali D.tender P.E. RITTENHOUSE -ZEMAN & ASSOC. GEOLOGY & SOILS ENGINEERING 80505.W.CIRRUS DRIVE • BEAVER(ON,OREGON 97005 • (503)644.9141 13240 NORTHRUP WAY • BELLEVUE,WASHINGTON 98005 • (206) 746.8020 December 22, 1976 W-1279 Way W. Lee General. Contl-act:or , Inc. 52.10 S.E. 26th Avenue Portland, Oregon 97202 Re: Footing Inspection and Design Alteration Wayside Inn, Tigard, Oregon Gentlemen: On December 17, 1.976 , Mr. Bill Warren of Christensen- MacDonald Inc. , contacted our office and requested a footing inspection of the proposed structure. Upon our arrival, it was noted that the proposed design of the footings was to construct the footings on the surface of the existing fill and then backfill around them with sand or gravel.. This design was not considered acceptable :,,y our office, especially the footings in the area of fill slopes. To ensure bearing and to avoid exposure of the footings if any erosion took place, our office recommended that the footings from the east ;stairwell footing south, the entire south footing and the west stairwell footing south, be deepened a minimum of 12 inches . This design change recommendation was approved by Mr. Ken Cole, Archit_ct, of Ken Cole and Assoc. On our last visit to the site, December 20, 1976 , I , Way W. Lee W-1279 December 22 , 1976 Page Two the contractur had deepened the footings irA the area mentioned previously and was compacting the bottom of the trenches. Our office approved the footing exca- vations and gave the go-ahead for construction. The contractor will notify our office when the interior colum:i footings are ready for inspection. If you have any questions , please contact the undersigned. Respectfully submitted, RITTENHOUSE-ZEMAN & ASSOC. Jer M.' rssUITs Engi eerriin g Te chnician Gar E Rit , P.E. Pr sident JMS/dg cc: E.T. Walden RI1 TENHOUSE - Z.EMAN & ASSOC. FOUNDATION AND SOILS [NOINlFRINO, GEOLOGY I ^^7 I pecember 20, 1976 Lee C/0 General Contractors 210 SE 26th Avenue p�, rtlsnd, Oregon 97202 RC : Prupo!:.ad Uaya:i^a Inn t Sew©r Connection Permit F'cs 1 p ; r Mr. Lae: I have considered your request to obtain a building permit without socuring a sewer connection permit at this time. letter, I am advising you and instructing the Building Official to defer collection of the sewer connection permit tfefee forence 120the days efter issuance of the building permit. The St�,er permit Fee is an administrative act and is performed solely at this office' s discretion, The foe and permit is deffered in recognition of the FAS tantial interest costs thet uould be borne by you in advance of the time you will be ectuve ly in need of a neer connection. In ret�_rn the City Expects quelity iworka.anship e, -.ng to r_,_o Ir,d sPEeeY J;0-IlEiMErtation of all conditions of approve !. If Foch lois not occur, the aQPto cti�orkction ordGrpermit shell beend ifsued L,111 to ir.:r:di a rely reor. i red e P until the ccuer Pe:rr,it is issued. pest reccrd of c - scientious -C-solution of problEM.e allo4a the City tc r_x: :=nd this court=_ey to you and I trust that this F;pject will be a credit to both you and the City. Very Truly Vours, use p. c.k City Adm, ,ist:ator EPC :bg F cknowl ed;ed Signature � � e 11TY TIGARD DATE 12 "70"' BUILDING PERMIT APPLICATION F . ' fHF UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK. HEREIN INDICATE=D BUILDER PHONE OH AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNERPHONEr LOT NO.- OWN P O.-OWNEP jay W. baa JOB ADDRESS s'1460 SU PaCiN , H'JYRfOME ADDRESS ARCHITECT P", ,Jlcj Inc. 3000 Lewis & Flar , 'F: �091%R BUILDER L, ADDRESS STRUCTURE KCINEW ❑REMODEL ❑ADDITION C3 REPAIR ❑RENEWAL _ ❑FIRED,AMAGE ❑DEMOI_. ION ❑ RESIDENCE {COMM [:]EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PA rIO ❑CAR PORT ❑GARAGE [:]STORAGE[ SLAB ❑FENCE ❑BOND [I MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY� _LAND USE ZONE I---7+ BLDG.TYPEIRE ZONE.-c-_ PLAN CHECK BY_-„"_____— HEAT L'c '..LJrm"1110 .► 4 story 1'.0 untt mn,Lum inn all per plans & spec, preparau by halt Cole Acct:.�c. rs .architect shoot A-1 thru A-10-t�-1� F-Plh1 and ',-1 thrL; 3-6 dated 10-29- .'b. Altace per All building Croda d noted rsquiromsnts for fire protectiono Tris otermit is for Ouilding structure uiily abd OL :upancy is SULIJOCt to fulls illiftg all .11 requiiemen s. anfTecap ngi� sewer Term a • sue aperttan ,� QQC. LOAD FLOOR_-QAD- dl!3 .__.HEIGHT.._ dO,ITQBLUd ARE#13-Lif'iwanDROOMS VAL4 0'=_ O+QO(0) BUILDING DEPARTMENT SET BACKS FRONT 60 4 REAR 604 LEFT SIDE �+ RIGHT SIDE Permit ISS69 0!J --- -—� PREPAID THIS PERMIT IS ISSUED SUBJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ING Plan 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 Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE Of THIS PERMIT DOES "NOT WAIVE RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CI f Y BUSINESS State TeX 'a6. LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 1942, 58 By APPI.IGAN1 OR A('.fN1 Approved ^� Receipt No. ,i�/�y �7 � u' ��-�'Z'�-'f ..t...J c�.,.,,.-....✓�-E:,.+. o--k � �'.v... �-�!' ,�/�� 7; Fiti • ��+ri�.e ua.�.¢�.�.�'�. DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE -23 ,/�� ;4�,✓1/ 1,, ontractor oe ermit No_e� y ♦ �J .�, _� Rough in— Fixture Final — ` HEATING _ c Contractor yell,t ,r1'P ,,s_!' ._ Permit No. or Oil _ ;c �� -, � rc�,� t Rouoh•in -- -- - - Final SEWER Final _ 1 �� i f]_.� - - — DRIVEWAY - Final Storm Drarna�e (Rain Drain) Final Sidewalk f l� Curb&Street Final A roach_ BLDG DEPT FINAL TEMPORARY CERTIF;CArE OCCUPANCY CERTIFICATE:OCCUPANCY Final ® � Landscaping Zoning f anal ,41, v „ ,IRF.�'`�,t•'f17i'.iif�}f�VHF.t��f?? '� .�'' ...�. i{f, �} `i� '.. .. rr:. •:;: ;`, = ;, 712 2 7 7 56 -C,. mA,.dj c,4 o4 to p M�,� 3 //7/77 ' �C /_JCu l L G 14a �G -E� 3.r .31 Awl7 a 7/77 ' A177 ?17!/77 ' S/S/77 .�f� /,�:�. �-3'40/t� �r T(3 -Aw � OCCOPANcy .nc�► �� Z-� Lw-ea e-vf .t-,..-7-1-elc� i I I F-- vI OW i W z � '� I v0 � � o � a U o �---' I LI ° w v o C/) Z Q v " C) 04— > G C7 Wct w co CL OW OC n j Q W G a In G u z v cc --j v Q ..+ W W h w� Z V) w W I 3 n W W Y U F- (r k U El w rr Q cN) 2 I �' N . -0 4?CL a ^ cr 10- 0 Ll O• a > I _ i 0 VV o a t N v � P v "Z C? > n � 0 j o W W I V E W f" 1] cA a uCL a_ o " Z N z rn w w z o e., � ; u d Ov zF w U0 ca . Nt N i �d o t7� p� p r U) QzOw w z W W \� 1- J� F Q 41 z o a ¢ !� �_ o w Oz o C 1 \ ° a �\`l x. 0 cr W w aww z u �"'1 p � ¢ w z u! O o w w ~ yO �� iW 'V1 ? N I O a � ~ a F o o w a ¢ w o Y u ~ 2 , Cl o a } I a M zaLLo1d u �\ W Z Q J v W N 4 r� '00, � � d � � � ° z � Nzaa Q z w NI vznz d ,h � tt Q - �� O v u Q , o U Z U z � � ZpH �pa LJ W C) Q w � L) I . F- u N For 'R W u' d �c-�1 3 o 'O W d F w Y Z 4 l_J jIII 2 G C) cr Q cr O Cn J� Q O cr N Q 7 w < z u' Q w "' 7U G L n () K0 u'S, 4 ¢ a o 2 W 0J tia `L j Q w u Q F � � o � W �+ ❑ U N [i ` WUczo .1 0. O H (n OZ p C� ma � dVH 11C Q �Ir U Ul F z LLI v J 1 zOy 10, z W eZ. z z °_ Q ul 1 � w w L H [� ui i z ynz wF C) d U a J C7 Y 2 LL '—" NWmUQ ^ Q. Q Q n47 F 2, rr < wa V C O W ` I 0 O m V) 1 � J JF C.7 N F ( f Ctl wdya. Uui `� e w 0 `� a -j 94 o V 1 I 7 J z m( W y W CL C� L a d O1 . � w T- W O Iul Q a ° CV / Mf nnl }t O u ¢ d u' F _ C" U C, -r O a ( � o N I o 0 -11 ✓ L d u, �� U �) u Ll1 W y o a o r \ C:�_ z Q z o c y ":I a C') car § ! `' °! 1 n �( \ C) U, vt ouj u UI ' L', Q ? R w I U I C :, v L v ' Ct z °d ►, L a Q' o f a Q' C I o a t L)C' C `I �j, u I ml ` E c to n c I W �' a e H m +ir W W W ar ! s ■r w I -1 i RITTENHOUSE -ZEMAN & ASSOC. -- -� - —GEOLOGY & SOILS ENGINEERING _- 8050 S.W.CIRRUS DRIVE • BEAVER ION,OREGON 97003 • (503)644.9141 13240 NORTHRUP WAY • BELLEVUE,WASHINGTON 98005 • (206) 746-8020 December 15, 1976 W-1279 Way W. Lee General Contractor, Inc. 5210 S. L. 26th Avenue Portland, OR 97202 Re: Final Compaction Report, Motel Site, Tigard, Oregon Gentlemen: We have completed the inspection of the fill em- placement on the subject site. Our inspection was limited to the building area only. Prier to placing fill, the contractor stripped all. organics and topsoil from the site. Fill was then placed in hnr? ontal, 1 foot lifts and compacted by dozer and sheepsfoot roller. Loaded equipment was also routed over the fill when possible. The fill material consisted of a pit run, gravel. On our final visit to the site, December 1, 1976 , the contractor had surveyed in the building location. The fill in the southeast corner was not extended out far enough to allow a minimum setback from the top of the slope. Th- footing in this area should be deepened to ensure bearing and a minimum setback of 2 feet from the base of footing to the face of the slope. The fill is considered capable of supporting the proposed structure. An allowable bearing capacity of i I i I • i I Way W. Lee W-1279 December 15 , 1976 Page Two 3000 psi may be utilized for design purposes. If you have any questions, please contact the undersigned. ' Respectfully submitted, RITT.ENIJOUSE-ZEMAN & ASSOC. Jerry M. Sessums Engi eer.ing Teghni.cian Ga 'y F,. , i tenhouse, P.E. ' Pre ident JMS/dg cc: E.T, Walden RITTENHOUSE - ZEMAN & ASSOC. FOUNOATION AND BOILS 6NGINFEP1INO, GFOLOOY W i t t t r � N I I Parking I COCOS I i Fill Controlled by RESIAURANT I PROPOSED Ritlenhowe—Zeman & STRUCTURE I Assoc. Parking harking — — N � I I I I SITE PLAN SCALE 1 - 1101 O _20U 100 Rif TE NHOUSE - ZEMAN & ASSOC. PLATE I 110N ANO nf)IL• aNO1Nt[RINO. O[OLOOM �P ew t W- Nnvamher 29, 1076 Wray W. Lee General Contractors, In.;. 5210 S.E . 3Gth Aven,.ie Portland, Oregon 97202 Dear Mr. Lee : We are in roceipt of your, acknowledgment letter regareinb the planning Commission action of November 16, 1976 in approving a conditional use hermit to .allow a four story motel on S.W. Pacific highway. In the return copy you havo nx)diPied condition #4 pertaiAing to the traffic signal at d .W . 693„h Avenue and 3 .W . Pacific ►iighway. The planning Co► d"S.018ion dict not address the method of financing the Sign-Aliza.tion as you have so modified and although a, local imPr--trement district in one r►►ethod, numero%v4 others exiwt , The 111&:,ning ;;c>rsniiasion firmly believed ths.t a traffic signal at that. location was imperative to protect the public ' s safety if an intensification cif lRad use was to be granted , Your addition to that condition specifying th..+ funding mechanist., is inappropriate and unacceptable. unelosod is a fresh copy of the acknowledgment letter for your signature. In regards to the funding of the traffic signal please contact thIP4 office at your ear1i(,)Rt convenience. Sincerely, ftichurd DanielR Associate Planner RD: of hnc . cc: City Manager , Building Official November �U, 1976 Way W. Lee General Contractors, Ina. 6210 S .E. ?6th Avenue Portland, Oregon 97dU 2 .near Mr. Lee: Plearie Ge advised that thea 114ard .Planning Gommiusion at their regular meeting of Na-)vsinber lo , 1976 approved your request for u conditional use permit to locate a four story motor ho..el on .W . Pacific lfighwRy north of 8.W. 6Uth Avenue. This approvkl is suoJect to satisf tir ing the following, c0n,1it10%;A: 1 . The ►iccess onto O.W. Pacifis rligh�vay be corohined w1 th, the existing Mobil access point and be deai`;ned for rirl►t turn only into and out of the site w ltb approval ')f tt►e atat6 tlighway Division . 2 . Primary access to the motel be provided on B .W . 89th Avenut wlti, the parking lot dliveway connertinV to it on the south. 3. S.W . 69th Avenue be develpped on a 601 right-of--way to City cotmercial street standards. 'f.he} location for continuance through to the triangles to be approved by thea !)Irector of Public Works. 4 . A traffic light to .`hate Highway oiviaton itandards bri placed at the int�rvection of 8 .4 . 60th Avenue and G .W . Pacific Highway if the highway division %,rarr,-inc study determines thpt it is uecommary. 6. This approval In for one bui ldli w : ith a maximus of 411' In heirht of four (4) iterie*-%. 6 . The secondary acceeR point (between Vobll. and Waysikle Inn ) will not he desljjnateed by a Ri Ln encouraging its lase aR lin entrance point . With the oreception of condition 4, which is dependent on State aij,hway Division: qar t.lon , a re,,,ised site plan Incorpora- ting the conditions must be approved by the Planning Director prior to filing for R building pearniit . Nay 9 . Lee iovomb*r JW , 1976 n Frage 2 if we ce►u v,-v of any further assistance t.Aoaset do not howitate to contact me at this office. ' ,slacerely. Iticnaru +.ra.nirals Aisociato Planner (to,of OC: Uuildini, Official Ww. Oiebel--8tato ?ia-y . AvIntoli L-trectur }Jui)llc SIorVrg :dotes: The folj,owing acknowledge meet wuut tier receivud h} the City of Tigard wIti3ltt fourteee?n (1,1). clays of your receipt of thin letter. Failure to return this achnoe~ledgiaeut rfwy retsult in action by the City .)f i igstr6. I Uereby acknowle dto tisis letter doe.umuntiva the action of U.* Tihard I'lanu inw Cc,,uitnirsa luta . I liav%e recce i ere,► and read t'.j in 1Mtteer aur,: I acroo v) the der„imion here documeuted and to al'ide by auy terms and/car conditions attached. na tur+t .;as t e> es ► ■lr lir [11111M MR BUILDING PERMIT APPLICATION SOF TIGARD DATE 11-22-76I9 1176 UNDERSIGNED HERESY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE UR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONE _ 4"'k .^, LOT NO. OWNER JOB ADDRES44§4 SL' PSCOIC HIiJy-HOME ADDRESS ARCHITECT ENGINEER BUILDER 110 ADDRESS DESIGNER 3F� CL�11"' r "�• STRUCTURE LJNEW ❑REMODEL_ ❑ADDITION C3 REPAIR nRENEWAL_ ❑FIRRE DAMAGE_ ❑DF.MOLI1,„14 ❑ RESIDENCE COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO^❑CAR FORT ❑GARAGE E.1 STORAGE❑SLAB []FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW LCOUNCIL APPROVED_ _nSIC-:S OCCUPANCY_ _LANG USE ZONE �,-3 �..BLDG.TYPE�-1hr�IRE ZONE_ PLAN CHECK BY HEAT-- 1'2 1 EAT, <_!4t chleco; fg,., w1anrs prepared by Ken Cale & Assuciates fur 4 story mat.4* ,,:Lode firg saftey, rterutu>re, sa moche 6 Plumbing. Note This is nut, a 016 . ilex. OCC. LOAD__ FLQQR LOAD_ HEIGHT NO.S)QRlRS__- AREA _113-BEDROOMS VALE t spa!OC�� BUILDING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit — --- —� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZE G Plan Check 943•n( REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1 HE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THc ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- RESTRICTIVE COVENANTS. CONTRACTOP AND SUB CONTRACTORS TO HAVE CURRFN.- CITY BUSINESS State Tax LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total ; BY - -- ------- -- APPLICANT OR AGFN f Approved Rech lit No. ADDRESS . .. .. ._.,... ...w...,...i....w......�......u-...�w..+a...rY.e. .w.nw....a....r. ....r,..wnww�.,..,...._.w..,...is.;ir.r..,.., _... .. .. DATE INSP. TYPE INSPECTION REMARKS PLUMBING 3 �? DATE r / Contfactor L Permit No. Fixture F,ral HEATING Contractor Permit No. _ Gas or Oil Rou h-in Final �- SEWER -- _ Final -' -- DRIVEWAY -- ---- Final Storm Drainc9 _ I (Rain Drain) Final --------•- Sidewalk _ Curb$Street Final �9LgG DEPT. FINAL TEMPORARY - A roach — ` CERTIFICATE OCCUPANCY CERTIFICATE pCCUPANCV -' Final Landscaping — Zrning Final t C7wZw 1 w 4 II zZr > �; o _jrLL Nov C � uiF QO > I `C ul n p � Jzh O Z 1, w U UJ I f_ I N N = z a zUU) oz r� C_ 1 w El �� > NI 0 � 2 � lu Z Lill Z 0 0 I = =moQ O O Oz Q T 2I mw `= aU ? ° q g w w d- Lit a. Z U � NpNdd T Z N ¢ C1 > �\�7 3 - Cl li Q Z ul O C ) u! a.m �QI _zau 0SC rJ O rs > +•.I Q� - r) ` Q Q m w Qyu w � C7 Uw FZY. 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Q 7 z O a 6 J� t F H NCluj 2UW W O V u � C� W • , r z H > F w p O z T O '^ ► y V O -a' L" Q Le! a- V Q W Q p F O � + W Q Vl fi1 Cl)U C) Q Lt > a 0 c u = " z � V > ui O 'u r O Y' a F- J0. F. �. LL [ U. W 2 m a � QzW n a -10 u d � a ; Q¢ =i i R_ Q w 0 Q } > Q ul CDC, r u UUl C U j O, 9 _ cr cl a a l 0II ONr40 ui d I u, V _t n Cl C) �+ j i O F C t a •�' u S Q 1• 7 O f•l C u ui cr Ll Vl Q. W I Cl 1 N n W C u fC i W Z 2 Q; m c u .y u i s' t O O Q e O I U v 0 7 cl ae Y o > i Q I ° ° a^ C �, DEPARTMENT OF o BUILDING CODES DIVISION PLANS REVIEW SECTION LABOR & INDUSTRIES BLDG. • SALEM, OREGON O 97310 0 Phnne 503-378-8009 Mr. Way Lee November 16, 1976 General Contractor 521.0 S.E . 2fiith Street Portland, Oregon. 97201 Re: Wayside Inn, Tigard, PR #1528-76 We have received ( 1 ) set of plans for the referenced project. However, before the fire and life safety review can be completed ( O.R.S. 479.155) the following additional information is required: ( x ) Additional set of plans ( ) Plot plan, showing site of construction ( ) Floor plan. ( ) Cort,plet:e cross sections ( ) Elevations showing three views ( ) Declaration of value of proposed construction ( form enclosed) ( x ) Plans Examination Fee ( See enclosed fee schedule ) ( x ) Amount of fee is $ 754.89 Balance due is $ 754.80 ( ) Declaration of Value and fee for each building. Unless exactly alike, buildings must each be on a separate Declocation of Value form, with the plans examination fee computed fr-r each Declaration of Value. Please note that these plans will be held uniil the foregoing information is received. If you have any questions, please feel free to contact thi:- office. Sincetely, yrr ere 11G d .E. or land / Chief, Plans Review •6ection GEM:ds t 11 ILI�IIL.UJL Lll�l/11V CY /�JJVI.. LJ UNDATION AND MOIL SNOI/J4KgIN0. 06OLOOV • 1 $$Soo S /SHO AVSN'JS 111140 NORTHRUP WI 1 ►OIITLANG. OR[GON 97131 bCLL[VII[. WASHINGTON 98005 (901) S10•)Oes I A►/ILIA'!f OFFICES IM MOfT PNINCIOAL CITIR/ WEEKLY PROG,?ESS REPORT LOT W. O.. DA TF.!Ll - 1 / - I LOCATION— h!�`/< I i7 r T_1.1KI�- 1 rr"1-' ' 1 � �'- ��1� `r tt 1=_ r�,`=► . �nl j"'� MONDAY :Ili_j1 L-15 S!►J TUESDAY WEDNE-SDAY__ �I HT1' +t'f'_ {�A�� ►�Ir-r �I I 1 .rr r_, 'i t? l t 1 �L ) �• ) . T-T-- 7 f F - r 0 F_ r- T -T....1• r�1�1~ ��l--il1=rte �t �[] OJr1 �r Rr.l f,� 1 �1� ItJ �`I t..1�' `.!:1•` tl".I THURSDAY FRIDAY SA'T'URDAY (�rz r-Ir' r; �t.� a- nF ILL, 'Tlrl/I r IL L_ I I �� 1= 'r s CAPf1,1.` SIGNED- - I DEPARTMENT OF COMMERCE-PLANS REVIEW SECTION ROOM 376,STATE OrFICE BUILDING, PORTLAND 97901 NOTICE OF PLANS REVIEW /: �If '�,�((_�IT�HIS IS NOT A BUILDING PERM17i Iding ? Aq:rez!__LI12�/ Building rC( �G'� �r r r - No. C,1}a�=?A 1!t CC ddress ounfy I Occupancy __/�.= ' /fd+�y/� Const._,Z50W4r --_`_Sound Value j0�t�-��Plen Fee Architect ` �Qr-��/�1( �?/ _. � New Bldg, Addition ❑ Alteration ❑ Date P.eceived Owner -� S1iJC Address . ,.�G ' � Data Reviewed Storks 16&&V_. Area /.��.1�L/_L�/ Attic /L�,f Fire Wells I;AOP,_ Fire Escapes r Mein Fir. Bisement Ht. Stops P .�L _ Exits� ti�ft. � /� Tot.Width A Stairs s9=- Vert. Shafts !/�- ''�/ Tf1,S__ rinklers -- yy� p --K/ /- Man. Alarm J� S.P. /- _ Ext. _ G:__ Ht. Dot -' /f1Y D�� Floor No Yes Area Covered Int. Site Ext. Class No. &�L0- Ceiling � _Roofe�W Str, Members A& Type Area Covd. Wall cover �srl'J- /- Htr, rm, encl. _1��L� Type flue __/y��,— Ext, i♦;(. Type Htg. System %f Fuel ZUIV.—4i The submitted plans have been reviewed for conformity with fire protection statutes and regulations of Oregon admin- istered by this office. Items No. checked on the enclosed list are applicable. These items and any specially noted provisions must be incorporated into the project to meet current fire protection regulations. Approval of submitted plans is not an approval of omissions or oversights by this office or of noncompliance with any applicable regulations of local government. REMARKS: .�,L�i�_�'�y/E' 2 Examined by Copies to: l�r ,Q� � _:i _- /t/ ras�9 ,�y '�j+--�Y- SP•96585.814 DEPORTMENT OF COMMERCE-PLANS REVIEW SECTIO, NOTICE OF PIIAN' REVIEW ROOM 976,STATE OFFICE BUILDING,PORTIAND 97701 r. (THIS IS NOT A nuuoINf- MIT) Building _ 1GT�tis /J/L� � t14 !, �r No, 78uiidin7 �dfcss /CJ _FSC'e__i�rzs' D ��ld-'F��'e�� _/ii✓�., ��Q/.�/�Ecz.�_/Gf��4�' r o��tYYI��Y41.�"'�_. i DEPARTMENT OF COMMERCE-PIANS REVIEW SECTION NOTICE OF PLANS REVIEW 976,STATE OFFICE BUILDING, PORTIAND 97201 Buildin I (THIS It NOT A BUILDING PERMIT, Building -- _- No. ._ County / Occupancy ConatA • 6rY��i✓/L/��N .YIa`Yy/ / ---Sound Value_.._� Plan Fee Architect ��-ly��Z ��Q� r New Bldg. [] Addition ❑ Alteration ❑ Date Received Owner .� fiQf �/E/�/ Address 45Z;2-� `--� Date Reviewed Stnries _ _ Attic _/ Fire Wells_�_, Man ement r_jtK Stops —Fire Eecepes�,_ E _+'T� _ft. Stairs / ers Tot,Width Vert. Shafts _ rinkl Closed CI`- - — Men. Alarm __ S,p, _ `/ / Fxt. / Ht. Det. ._ / _ ' Covered Int. Site Ext. Gees No. type Area Covd. -- Roof Sir. Members wall cover Htr. rm, anti. Type flue - _ Type Htr). System The submitted plans Ihave been reviewed for conformity wit ire protection statutes an istered by this Office. Items No. regu a tons oregon amin- _ _ _ checked on the enclosed list are applicable. These items and any specially noted provisions must be incorporated into the project to meet current fire protection regulations. Approval of submitted plans is not an approval of omissions or oversights by this office or of noncompliance with any a plicable regulations of !oval government. REMARKS: Exanlinqcl b PPS SP•26585814 NTATF OF OREGON h(e!4 I.((e Safety DEPARTMENT 0F ('(IMMEK('F Maw. 1(.-�mw Nunrhi i /j—_2&' PLANS REVIEW SECMON I CHECK MARKED REGULATIONS, IN ADDITION TO ANY RECOWREMFN'IS Af PF,ARING ON THE ATT.'1'11F1) RRV]F,W N(YI'10E, MUST BE INCORP )RATFD INTO THIS I'ROJFCf9'. Approval of rabsolNed plow does not consUllute approval of any omisalor-s or oversights nor of arncompllance w•Ilh an' irpplicable rreplsiiom of leeal me's gaeai that may exceed State raasrlrements. 1. Structure required to be Type throughout due to ([) an it, (n height) (LI occupancy) (Fire Zone (1). 2 One-hour fire resistance rating required for all interior ryrnstructlon. 3 Ail living units required to be completely mparal^l by one-hour fire resistive construction. i. Exit corridors require separation from any other area by one-hour fire resistive construction. i).rm assemblies of interior openings to corridors are required to lir,ve a fire resistance rating of not less: than 70 Iminnte9 slid !,just be self closing or automatic-closing. Itellgl,.ts in corridors require wired glass set to fixer] (steel) framing. See ;973 State S0.4metw;+1 SWialty Code, Sections 32114(h) and 4308. r Storage rooms, closets, latoratoricw, shops and areas of similar hazard re(prhe separatuu( from other areas by at I �ast one-hour fire resist'.ve construction. Furnam and holler rrx-ms require one-hour fire resistive construction All vertical openings such as stairways, trash chute, etc., require full enclosure of ( 1-hour) ( 2-hour) fire re- tancr. Access ways to such shafts requ)re self-cloning and latching Class 14 fire door assemblies ( 1-hour rated) ( I%-hour rated). 0. Attic areas require draft barriers as per Sec. 3205, not exceeding anch 3000 square feet. (9,000 square feet where sprinkler protection provided.) 9. Voids created by ceiling-floor systems require draft barriers not exceeding each 1,000 s(lrrare feet. 10 Building projections such as balconies, eaves, overhangs, etc., require fire protection as per 1973 ,hate Struc'.irrnl �pc•clalty Code. Section 1710, 11. F/ire stops, blocking or framl..g members pierced for utility runs rerlulre parking to equal Inc resistance p for lu such piercing. Wood frame construction requires firestopping of hoth vertical end horizontal draft openings :it maximum Intervals of 10 feet. 12. C'orrkfors require at least 8 feet in clear width. Drinking fountains or other equipment may not operate In ,a man- ner which would obstruct the. minimum 8-toot width. 13. Corridors serving patient bedrooms require at least A feet In width 14 Corridors require smoke barrier partitions with doors at 150 f(icit intervals. 15 Fstt doors from lobbies, corridors and rooms with potential occupancies of 50 or more arc required to swirg in direction of exit travel. 16. F.xlt doors from lobbies, corridors and assembly areas require panic hardware. I 7, Ilaidwarc to- all doors is required to be of simple type having no provisions for locking against egress, with oh vious method of operation. Flush bolts other than listed automatic are not accep'able i IB Al least 44" (Inches) In clear wldth, without projections, is required for exits and patient room doors thrmigh i which patients must be transported in wheelchairs, stretchers or beds. a 19. Sleeping rooms require it least one window readily openahle frorn inside without sperinl tools and providing a clear opening of not less than 720 square Inches with the least dimenrlon not less thnn 22 inches. Maximnri per mitted height to bottom of opening from floor is 48 Inches. (Ref: !;Cr. 1304) 20 Surface flame spread rates of walla and ceilings, minlr'aim requirement stairway-25, corridors—.75, othr, dams 22.5 f Sec. 4203) 21 Combustible aroustical material required to be secured v ith •staples or equivalent met illic holders or a hent resist- ant adhesive ei )able of withstanding 1000'F. for one-half hour. 22. All curtains, drapes end similar furnishings are required it, tip noncombustible or rendered and maintained flame- proof. 13 Willi standard spacing, rows of orals toetween aisles may nc►t exec,"I 14. Rows of seats opening onto :utile:. -it orw rind Zudy may not exceed 7 seals. Also we continental spacing, Sec. 3313-3314 24 Standard seat row spacing must providi: a spam• of at least iL inches from the back of one seat In the Punt of tier osis: forward proj'xtlon of the .seal Immediately behind 25. Posting of capacity of arsirmbly areas as railed is required by State Structural Code, Sec. 3301(]t IR�ellvaling, cookinr, air coerrdhioning fast similar service equipoise are rertuired It. be approved Pend lesicd by .r nationally recognized testing sawn". such as tl.L., Inc., and to be intalled in compliance with agenc%'s specifi cations and rerngrtbcd safe practic-ea. Thr installation of ventilation systems is required to be In substantial cur formity with the 1973 Medisnical Safely Gude. Corridors are not acceptable for toe as supply of return air plenums. 7.7 A deist crllectiori syMeon in rruuired L:r shop arras for nonporiable machines emitting or producing deist- (Ref_ Sec 1008) Ihist collection equipment to be Located outside ort building or in one-hour separated room equipped with aulro)mallc sprinkleR 28v.'A S M.E approved press or relief valves are required for all water heaters, installed either in separate wab i ' ml port or In port for hot water line. Shutoff valves may not be located between Ys water tank and relief v;lvr 9 A firefighting water stupply is required within 500 feel of building that is capable of producing 5011 gpm (mini return) for 10 minutes for each 5,000 square feel of floor area within building up to a maximum of 500 gpm for 3n minutes, or provide a 8,000 to 15,000 gallon reserve water supply as required. All Interior wet standpipes at least 2 inches in diameter located and equipped as per `;ef 3804 are required. Couplings and connections required to be Arnerican National Standard Thread. Where standpipes are served by sprinkler pip Ing, see 1973 NFPA Pam~ 013, 3-7.7. :11 Approved autocratic sprinkler proteftion throughout occupancy Is required 32 Approved automatic rprinMers are requtred over and under stage and in nil auxiliary areas, including dressing roosnr, sloreroroms slid workshops. (Sec. 3602? 3:1 Stage I 00 ventilators displacing of least 5% of stage fkwr arca, operable ov hand from singe floor and by fusible link or other hent activated device, an required. (Sec. 3901-OR) 14 Are approved fire alarm syhtem conforming to 1972 NFI'A Pamphlet 072-A with signals audible throughout build- ing and manual alarm mending statforw ndjaoent to exit- from each floor or area are rrquired. 39 Approved electrically supervised combustion detection of the ionization type is required for all patient rnorrr .1G All exit dame and access wad's thereto are requlrrd to be identified by repprovcd electrically Illuminated signs sciveo by two chcuits with one separate, from all other circuits. 1Sec 3312) 37 An emergency power system is requited fur the ( ) gymnasium ( ) auditorium t 1 building to maintain exit ilhewlr..alion far not less than ono-half hour In event of public utility failure. 38 fluo—scent light fixtures installed on combtertibie sterfnces are required to be U.L., Inc., tepproved for such i otint ing, or Installed to provide at lenst I% inch air space between the fixture housing and combustible material. 311e C'on;orrnauce lvith all requirements for the remov,,l of architectural barriers to the handicapped is re•luired ;we applicable parts of 1973 State Structural Safety Cade, Sections 1711, 1712, 1713, 3302, 3303, 3305, and 3300 and fable No. 33A. NOTES: 1. local regulations or insurance standards for most favorable Insurance credit mov, and often do, exceed these minimum State requirements. 2. This revkw duet trot covet;O.S F.A. (O.S.11 A ) regidatenns, 3. This inview does not cover Medicare-Medtcald regulation.;- 5-75 BUILDING PERMIT APPLICATION Co Y TIGARD DATE 11-1-76 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONIC 121 OR AS SHOWN AND ,APPROVED IN THE fiffgN�IGJ �/A`�AND SPECIFICATIONS. �oTNOP�NE OWNER 'Y Lh+b JOB ADDRESS Ii'JtIEP]SC11 iC ♦llr, • HOME ADDRESS - — ARCHITECT�2827- Cra BUILDER 'T 1 ►1 F�r1lROn fr ENGINEER _ rrp�tt Me �. w illiIbbNESS DESIGNER Kan �•P rrSTTRUCTURE ONEW ❑REMODEL ❑AUDITION ❑REPAIR _ [:]RENEWAL ❑FIRE DAMAGE ❑DEMOL. .ON O fR--E1SIOENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO []CAR PORT ❑GARAGE []STORAGE[]SLAB []FENCE OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED CISIGNS OCCUPANCY _LAND USE ZONE.___ BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT_ 1 grading pormlt to fill 6 cut por p6so &hest nl :lata i9 Octe 76 1,y ' KQn Cp1es E noinaored fill under bldul aLw_& tq by eudaervived b tested by _ jar royod testing Isi?, approx_900U cM Ydee fila 9Ei�L413tL FLos2BJ..nAD __ HEIGHT __ND STORLE.:---_____ AREA NQ,AEl2R2QML_. - VALtJ.k`-��QI�n• BUILDIN�G-—DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Parmit I I 000 THIS PERMIT IS ISSUED SUBJECT TO THE REGUI.ATIONS CONTAINED IN THE BUILDING CGDE, IND Plan Check REGUI_AT;ONS AND ALI APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THA. THE - - -- —�� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DO.S NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 'r0 HAVE CURRENT CITY BUSINESS State Tax 3e 60 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total :23.60 BV -- APPLICANT OR AGENT Approved 1,I Receipt No. ADDRESS ...n1�.1.W'b._.._..yy,.....,..n ....4.......aW.4.'r....J._..=+WW11Wi.+.wwu..liM��r•�.i�4W+Wr'.-...____–.�—..e.i'IrW.e ice.—..._,.._ __ r._..�.ua._.rMia:`i13.YifYIW._..�.._ .w_..6Wi...4 i _ - 1 -UA INSP. TYPE INSPECTION REMARKS LRh BING DATE ,—�_-- __ "_ Fixture Fi-ial HEATING Contractor — 7 ' Fermit No. — Gas or Oil _ ------ t oughin------- inab - -- -- — --- SEWER Final _ _ -- �_ Dr-1%-WAY --_-- —�_ Final — _ Stolm Drainage_ t (Rain Drain) Final Sidewalk — — Curb&Street A roach BLDG DEPT. FINAL TEMPORARY CEnTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY — — Landscaping Zoning Final I i I �7w2' wy I u 1 S.y OCI NI ` dm d m N II ^• W pOw J71- z iU W a N U I I N J W o0� �n r, �1 I < O 7OUO z ►) Ocj u L.I > N O 7 Q ui Z � ` -j (D _ aI m > cr wwQu W 2 ° m wa O W Ila >_ F- 1 ` ri z p i 12 Q ur 0 C7 Q wl Z F I I C. l I > > o w LL O r G O w ODc) H Q O m d m Z u u V1 2 u m > a 2QuopQ fn a 't m Q V Q U, " L 2 Q V w v �� OZQ42rl r j I �I Q z :1) L p U \ u N 7 Q N z , Q O V w U ? ` ui znyNG6 I 7 U Ul cr O C I a �1 i t• Lt) eFt{ 0 ul n. `I n CL , w Ul LO ¢ J z w I` u N v 3 I wvd,� "' s t Z 0 W ui � y � W I z �L w 7 Y Z a ❑ > Z O '�'� � Q C O Q p W N 7 I 7O ,y i v) rJ a F Z u' z l ~ uiw 7 c~) 0. 3 J n p ¢ ` w I �O co t—: = ui Q' m O d u r Oxa I CI ovcL ¢ $ F- ((1 LL all a Z4 IS p aa � Nvi � Q W w F z w COiqOQW '- a a u 2 O C� N f O � QquiO � `C_ LQ Q V d > Q p LL F zmUww 7' w 4 'S a v cr vi a IL 7 u, Iw0Ju) u a U; Q > � a w m O u r U 21 O Q ) o a [ I n n F o � Q � W Q w� p l u; cr �` G Y CIO I p z > >. o o O; 7 O Q Z ci Q 5, r a a 31 � � lu Gi W cr f1 �1 r, N, 7 \ O 0 wl CJ v) Q w 7 d > P y Q U. a w U c y y Cil F C) c',I �` wi [�' -- �, E uu N n i O 1-, III �, c l v o o I > cr lil �I o1C- or tuber 26, 197's Mr. Way Lee 5210 S.E. 26th Ave. Portland, Oregon 97211 Re: Way Lee Subdivision Dear Mr. Lee: To date, items relevant to the public improvement porton of the project requiring your attention are: 1.) Installation of recnining sidewalks. 2.) Installation of reflectotized stripes on the roadway barricade. 3.) Installation of three (3)• streetlights, as per the approved P.G.E. layout. 4. ) Sutxiittel of one myl.rr as-built dr.awil,e- 5.) Installation of 1" ClA.s.s "C" A.C. overlay The City Will y-,.)ce-d to tentatively accept the project upon, completion and inspection of items one (1) through four (4)1, listed above, and upon su`,Auittal of a one year mfintenan.ce bond or subciittal of s letter stating your desire to continue the existing; performance bond through the required maintenance period (i.e. i.n lieu of submittinz a separate_ maintenance bend). Such "tentative s. ceptance" officially establishes the beginning and ending dates of the year long maintenrmse period. final acceptance of the project by the City Will subsequently occur upon completion of the overlay and expiration of saic.', mpinten�-nce period. Please be s ere that itEro five (5), listed above, must be completed prior to expiratio!a of said maintenance period. Should you find any of this confusing, plese contact me and I will try to clarify o•:r acceptance pr-,+cedures further. hr. Amberg, your e-liineer, can also be of help hereinre3ard. Very truly, John 5. Hagmanl Supt. , Engineering Livision cc: Mr. Thonai Amberg file a r� I I W O J LL N ~ K� 3 U O` conO1 Ln car t a 01 U) cin n U CD z Q LL !c L6 Cl N o 0 4 O G � a � m m _ I r w p r rn 8 a> o U CJ Q i n $ g € � �4 '0LL a ul _ y� d ¢ Q N ar p ^� Cj t T 111 Q U7 w 0 R+ o ° —� M F- I W ; c' g g Q C O N L I W Wrn � maRo+ m LL m uj m . r < r N 10 a CL � o a I Q Q 4 ^� w "'l v � N � CD a � � V w 1 S 'e z w �_. ❑ �_ ,� Cc: o �y nay m Q cn W Q v 8 u` IRIt `Lu C z r U) z C) Z 0 w V z �V'1 '1 1 . City of Tigard INSPECTION REQUEST or I 'SPECTION TIME: _ DATEATC ISSUED �IVNI=RS NAME : _ ADDRESS: S T . Air ❑, Water ❑ , visual , Iih„rn�nFy (� FFSUL.T. Approve Disapproved U Pending ,�'� ��' T�_s✓.� Dom, SPECTOR DATE 1N0TF. : Attach supplemental fest dots beret] for inspections cai.1 639•-4175 CITY OF TIGARD 639.4171 DATE x_19 BUILDING PERMIT C' P.O. Box 23397, Tigard OR 91223 TAXMAP -..-__Li LOTNO. SUBDIVISION _ \Vi - lyl G>r L)i_ r'. JOB ADDRESS OWNER I BUILDER STATE REG.NO. EXP.DATE BUILDER'S PHONE ARCHITECT` _ PHONE____--OTHER -- STRUCTURE O NEW ❑ REMODEL ❑ ADDITION Cl REPAIR O MOVE OTHER C) DEMOLITION O RESIDENCE O COMM O EDUCATION CI IND O RELIGIOUS ❑ACCESSORY [3 GARAGE OTHER ❑ FENCE (X;CUPANCY _ �_LAND USE ZONE BLDG-TYPE FIRE lANF PLAN CHECK BY HEAT _ — !-` rz.> > is� •cam e M� r' r-u R-r► �� G= A a u r:max Y: L) 6, G� R - "►' , 1 n�Q -� rr2 1:- L;;!7- T-cam SEWERP_ERMITI -Q,L Ic -- OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGIIT SIDE Permlt—_ _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING; REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE -- -- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI CAL F __- RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE 0ERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. Slate Ta, SDC - Totel ��C C APPL-(CANTOR AGENT - - POC11 Plepd _ _ -- ---- - - --- - -v Ftecelpl No ADDRESS PHONE Bal,�Due < .-- - — IuuedBy_._._- ---_ _.__Approved SLsm S0C Poc -- — SEWER CONNECTION 5EUER INSPECTION Sf_WLR SURCHARGE S o m m e n t e: —_------ t a ff "� s "'T Oi.TE BUILDING PL-RMIT APPLICATION .-.°=�a C �i Y � PERVIIT FOR THE WORK HEREIN INDICATED BUII_DERFHONF___..�..-�--- -- THE UNDERSIGNED HEREBY APPLIES FOR �, LOT NO_ OR AS SHS '� AND APPROVED I� THE ACCOMPANYING PIANS AND SPECIFICA-TION •J N E R �_I �/.�� ✓'V/ F.%, -'- 111 �� ,tom e -14 FIRE DAt.1nr,E LJDEMC 0 ''t UILDER �prREPAIR- ❑RENEH'AL ❑ -_ _ .--_-- -- -- RJ ,. prk ❑AUDITION. _... TRUCTURE_. ONEW ( _ LGE l_J SILPAGF L. 15LA6 1 IF f r iMM ��E C�hCrV'T NFI riilQUSI]PATIO • CAR PORT 7 nF.51ULNCE HE AT.' B v FIRE 20NE_ ____� -�- rCCUPANC� LAND U` DUNE BI_DG_TYPE .�_,�_�-_. _�. . _P RMIT F I."I rR �c. NEIGH fSIDE NO S fOARIGHT IES _ ARE A C: LC?n� _ - --_ 6 i1lDt"vt., :.:.IAF'Ir EN-1 I CKC F•AUNT REAR t EF p31rt11t SJQ� pEpr"IIT IS ISSt1ED rUBJECT TO THE REGULATIONS CGtiT4iNED IN THE BUILDING r('aE :�ULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY (;OMPLI THAI 1E S AND Pion Chock II__ _ _ ._ NCE T NAIVE --_ HK WILL ENCODES`'ANO AORDINANCES iTH E THENSSSUANCECIOFC THIS PERMIT ',�I!H Sub total l AP SUB STHICTIVE+�TENPIhMITSOWEOUIREDRFORt`EWER ptkiN'BCNG AND HEA TINQURREN7 CITY BUSINE55 r v Tax Mj� N5E Sr. Total # 9V APDUCANI Oq AGENt -• - __� Receipt No 4pproved SDC -.__ � _ ._._._....___._---•-- - --- SEWER CONNFCTION $_•,_ .-- SEWER 1N5 :CTION SEWER SURCHARGE ____ U e� tV rr T. 9i CI 'r,J 4• d 1--'J tJ 4 I r C N +J a d u (ej G o a o o u rn c� f.r 7. 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