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11652 SW PACIFIC HIGHWAY
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME* �_� PERMIT NO. :.�
DATE: 1,,LA2i'176 DATE ISSUED ;_._IZ I
OWNERS NAME : ,.► �-+
ADDRESS:
C 0 N T R A C TOR
T*E ST : Air p, Water❑ ;Visual 0 , laboratory p
RESULT: Approved Disapproved C
„ PP PP , Pending [j-
SKETCH.SKETCH. 1
/ 1 I
INS E TOR DATE
CNOTE: Attach supplemental test dot h,&ret fl
1
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I
City of Tigard
INSPECTION REOUEST
for
INSPECTION TIME : PERMIT NO. :
I DATE: DATE ISSUED:__1_L
OWNERS NAME :
JADDRESS : OF
CONTRACTOR �C !
TEST: Air O, Water Visual Clf, Laboratory p
RESULT: Approved fs' , Disapproved 0 Pending p
SKETCH: C-L�[.uG'c �_�t i •�. +�
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I INSPECTOR DATE
LN0TE Attach supplemental toot data hereto,
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BUILDING PERMIT APPLICATION F' TIGARD TATE_ � ' —76�_. I
THE UNDERSIGNED HEREBY APP' IES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE---
OR
HONE _OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE---
LOT
HONF _ —LOT NO.
OWNER ichu1.It- fZCR. JOOADDRESS "Ut')2 `-iU PGCa.flf: Iit,,Y-MMEADDRESS
ARCHITECT
ENG NEER
BUILDER Dav'ttdS�'-hultz ADDRESS ��ob r1eirtin DESIGNER
&3
STRUCTURE & NEW ❑REMODEL ❑ADDITION C3 REPAIR ❑RENEWAL ❑FIRE DAMAGE [:]DEMOLITION
❑ RESIDENCE .I000MN; ❑EDUCATIONAL ❑GOWT ❑RELIGIOUS❑PA fi'7 []CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
OCCUPANCY F LAND USE ZONE BLDG.TYPE _._FIRE ZONE_ PLAN CHECK BY 1w _ HE.AT�-'OS
Const. 2 vtory aPf,to blciQ all ,uri,an:1r��J, raci tJ,� t;�br i1, �rtin
!host 1 thru 8 Ince 1 $host Tax Msp15k-3Fil~L, Tax Lot 1') JQI �1Ag0
64 pl imbinQ units
C)QC_LQAD S�—Bs � IILUNU Jo 1b.HEIGHT . Z _—��Q S ARIES AREA ��JG
__ _—NO,BEDROOMS_ _�IA �lFA�OQO
BUILDING DEPARTMENT SET BACKS FRONT 4 j REAR 40 LEFT SIDE 40 RIGHT SIDE ;j
Permit .368*0101
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check _ 1 b4•pL REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREB" AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND iN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAl!!F
—" HESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT nITY BUSINESS
State Tax 16,:)b LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATIN(J.
Total 569o56
ey ,
-- - APPLICANT OR AGENT ......i _
Approved I Receipt No. t ( j
TibFA
-
i
i
Y
A ! / tINU! i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING � DATE
Contractor
/ Permit No. O J71
/ 4ei4 _ Rough in
n{ t— Fixture _
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rou h in
_-_ nal
— -- — _--_ SEWER /J* 70
--- ---_
Final
DRIVEWAY—_--- --
Final
-- — Storm Drainage _
—__ (Rain Drain; Final
Sidewalk
Curb&$fret• Final
— _ A roach _
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY —
CERTIFICATE OCCUPANT Y I Final _—
C (- L andscaping
Zoning Final
11111111
UN I I I--- D Sl'*'VVI-* RA(":")' E AGENCY NO. 106171
DATE 10-11-76
,JVASHINGTON COUNTY
CITY OF--- Jii- 'rd
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: Sh Schultz Office
,DWNER'S ADDRESS: -—
STRrLT
ZIP
BUILDING SITE: LOT-- BLOCK ADDITION
TAX L'-,'7 NO. TYPE OF OCCUPANCY __commercial
ADDRESS -__11552 SW Pacific Htj
DWELLING FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEE00- 00 INSPECTION FEF - 50--Q—O TOTAL DEPOSITED
-.-'--'
(NEW) (EXISTING) BUILDING SEWER SYSTEM _ Fanno CrFek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
A"PLICAN
SEWER PERMIT
ITIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE INSTALLER
RECEIVED BY
(AGENCY OR ITa AGENT)
COMMENTS-
This Application and permit expires in one hundred and tvventy (120) days.
The amount paid will be forfeited should expiration occur.
I L D 11._VVERAGE AGENCY NO. _-A"'I 0
TY DATE __ _.10-11-76
WASHMG71 ON CICIUN'
CI I-Y Ol" Tigard. __
APPLICATION FOR SEWER CO[\JNFC*I-ION P LJ 3 M I T
OWNER: Schultz at Office
OWNER'S ADDRESS:
STREET
CITY STATE ZIP
BUILDING SITE: LOT—' BLOCK ADDI I 10N
TAX LOT NO. -- .1500 'T'/PE OF OCCUPANCY
ADDRESS . 11652 SW Pacific Hwy .
DWELLING UNITS FIXTURE
SURCHARGE IF APPLICABLE ------
PERMIT F F E _13_1110D- - INSPECTION FEE 90_.0D_ TOTAL DEPOSITED _23512.11fl_
(NEW) (EXISTING) BUILDING SEWER SYSTEM --f—prain C_r_..?sk
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
�' / .��
APPLICANT-�-e- z-11
SEWER PERMIT
I HIS PERMIT AUTHORIZES CONNECTION 10 THE SEWER SYSTEM.
IJN" -IZE .- INSTALLER - -
RECEIVED BY---
(AGLNC'Y OR ITS AGFNf)
This Application and permit expires in une hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
�•4x �/cfoU
DATE
ADDRESS--//
CONNECTION CHARGE
COMPUTATION SHEET
1 . COMMERCIAL , DRY INDUSTRIAL , PUBLIC STRUCTURES, CAR UAS.9, MANUAL CAR
?� ryy-Xi WASH, AU-J�I�F.TIC. LAUNDROMATS, ETC :
A . BUII.D;NG ARLA
-�_ SQ. F T. 1500 -��CJ _ _ DU
k ;?. 111T 'RLA
ACRE x 4 - � S�i DU
C . FIXTURE UNITS
FIXTURE UNI"f5 16 = DU
2. SPECIAL SERVICES:
ELEMENTARY SCHOOL STUDENTS a 17 = DLI
e
HIGH SCHOOL & COLLEGEy STUDENTS = 10 = nu
HOSPITALS
HOSPITALS - GENERAL BEDS 7 - DU
1'
CONVALESCENT/REST HOME BEDS - 2 = �DU
SLEEPING ACCOMMODATIONS
WITHOUT KITCHENS ROOMS - 2 = DU
f� +� ---.�_...
COiIMENTS: /� /i � O = 14 Y --._7� ' — '�3c -7)
�3S
Esc _ DATE
^r
ADDRESS���}_.�.L�i
CONNECTION CHARGE
COMPUTATION SHEET
1. COMMERCIAL , DRY INDUSTRIAL , PUBLIC STRUCTURES, CAR WASFIO MANUAL CAR
WASH, AUTOMATIC LAUNDROMATS, ETC:
A . BUILDING AREA
t� 7 S0. FT. 1500 = �i OU
B. LOT AREA
E
ACRE x 4 — �, _DU
C. FIXTURE UNITS E
a
FIXTURE UNITS 16 OU
2. SPECIAL SERVICES:
ELEMENTARY SCHOOL STUDENTS i 17 = Liu
HIGH SCHOOL & COLLEGE STUDENTS 10 = DU
HOSPITALS — GENERAL BEDS = LIU
CONVALESCENT/REST HOLE BEDS 2 = DU
SLEEPING ACCOMMODATIONS
WITHOUT KITCHENS _ ROOMS 2 = DU
COMMENTS: � ,i �/S� ! `'�`7.3
s t• � �
DEPARTMENT OF COMMERCE—PIANS REVIEW SECTION NOTICE OF FLANS REVIEW
ROOM 376. STATF. OFFICE.- BUILDING,PORTLAND 97201
�'' TH7 If NOTA BUILDING PERMIT! 7�
Building` .��LLI_� ���Cl �ll�tf sJt1 /!+'���1C%�� No. 1 _fL
0
Building A ,^ �
County�1� � Oyycc��up��ancy —_� Const.. .Sound Value-�- e ,�Plan Fee LL1l�/ _
Architect /JN �1.FJ�C.l�7/X�i /—�� New Bldg. Rrr AAd�dddi�itti-ionn U Alteration n Date Received . ��•��++f! �1'��
Owner �z�1`_a� s �/�_ Address/a� L�iy��r�'� �1_r _ Date Reviewed
Stories TED AreaW2/2 — ZVIZ Attic I/��� I'/t
Main Flt. Basement Ht. Stops Fire Welb. _Fire Escapes 11//s EExits / Tot.Width
a..C[_�_ff.
Stairs / � Vert. Shafts /��S Sprinkler __X./ '— / Man. Alarm, � S.P. !��,11— _
�, Closed Closed q Y Area Covered Int. Site!''.`ER`f�
Ext. _�x_445 — Ht. Det. _--/��—_ Floor /Ceiling I/� Roof 19l�AStr. Members
Class//�� Nf Type Area Covd.
Well cover lel'1QC Hfr. rm. encl. wG� Type flue—ZZU _. Type Hfg. System —�/.5 Fuel
Ext. 1
The submitted plans have been reviewoed for conformit with fire�jRirrotection statutes and regulations of Oregon admin-
istered by this office. Items No. __Q�� _/- WfrL_
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
oversiqhts by this office or of noncompliance with any applicable regulations of local government.
REMARKS: 1 PsrYLr�S.,�iPst�_�irY1 �'
_T�•�r�JJit--��FRR�.�r��_�
A .%rtlYtsLJ.tt��
�?'C�`?.�.�Y� ��f�.E'��.��s:�z1�Gj�i•Eis•�i-u� - �Y�'_fAc�.r�t'�E�
Examined by
to:
Copies
PPS 2 p -
r' 4 SP'26585.814
DEPARTMENT OF COMMERCE—PLANS REVIEW SECTIONIlr
ROOM 376,STATE OFFICE BUILDING,PORTLAND 972Q1 NOTICE OF PLANS REVIEW
�! � �/.� ,/7��-,,J (THIS IS NOT A BUILDING PERMITS
Building S�S.ehill!ZLYC�1
Building Address No.
No.Al /
1.4 �l�'�A '1 GLS-ll�i .c3Cc _Zal.
• ���Trs��rx..>�.��rc-�.�_�_v4srll�.�r+���ii�.%C Gf�.�e►r�rr��;d_
1•
STATE OF OREGO1V
Fire& Lite Safety ,�
DEPARTMENT OF COMMERCE Plans Review Numbcr.I ....
PLANS REVIEW SECTION
('IIF.('K MARKED RF.(;IlLAT10NS, IN AUDITION TO ANY RFQ1PREMENIS APPEARING ON THE ATTACKED
ItI:VIEW NOTICE, MAST 13E INCORPORATED INTO THIS PROJECT.
Approval of submitted plans does not constitute approval of any omissions or oversights nor of noncompiiance with any
applicable regulations of local government that may exceed State requirements.
1. Structure required to be Type throughout due to t[7 arca)
(p height) (❑ occupancy) (Fire Zone LD.
2. One-hour fire resistance rating required for all interior construction.
3 Nil riving units required to be completely separated by one-hour fire resistive construction.
4, Exii corridors require separation from any other area by one-hour fire resistive construction.
5. Boor assemblies of interior openings to corridors are reoulred to have a fire resistance rating of not less than 20
minutes and must be self-closing or autorr,atle-closing. Relights in corridorsrequire wired glass set in fixed (steel)
framing, See 1973 State Structural Speciclty Code, Sections 3304(h) and 4308.
6. Storage rooms, closets, laboratories, shops and areas of similar hazard require separation from other areas by at
least one-hour fire resistive construction. Furnace and boiler rooms require one-hour fire resistive construction.
7. All vertical openings such as stairways, trash chutes, etc., require full enclosure of ( I-hour) ( 2-hour) fire re-
si!tance. Access ways to such shafts require self-closing and latching Class B fire door assemblies ( 1-hour rated)
(/
1%-hour rated).
R./Attic areas require draft barriers as per Sec. 3205, not exceeding each 3,000 square feet. (9,000 square feet where
sprinkler protection provided.)
9,/4oids created by ceiling-floor systems require draft barriers not exceeding each 1,000 square free
10/tulding projections su-;, as balconies, eaves, overhangs, etc., require fire protection as per 1973 State Structural
Specialty Code, Section 1710.
11./Kre stops, blocking or framing members pierced for utility runs require packing to equal fire resistance prior to such
piercing. Wood frame construction requires firestopping of both vertical and horizontal dreit openings at maximum
intervals of 10 feet.
12. CorridoTs require at least 0 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 8 feet in width.
14. Corridors require smoke harrier partitions with doors at 150-foot Intervals.
15. Exit doors from lobbies, corridors and rooms with potential occupancies of 50 or more are regn:ired to swing in the
direction of exit travel.
16. Exit doors from lobbies, corridors and assembly areas require Panic hardware.
17/Kardware for all doors is -coulred in be of simple type having no provisions for locking against egress, with ob-
vious method of operation. Flush '.volts other than listed automatic are not acceptable.
18. At least 44" (inches) in clear width, without projections, Is required for exits and patient room doors through
which patients must be transported in whe.elchRlrs, stretchers or beds.
10. Sleeping rooms require at least one window readily openable from inside without special tools and providing a
clear opening of not less than 720 square Inches with the least dimension not less than 22 Inches, Maximum per-
mitted height to bottom of opening from floor Is 48 inches. (Ref: See. 1304)
20. Surface flame spread rates of walls and ceilings, minimum requirement: stairway-25, corridors--75, other rooms
---225. (See. 4203)
2'I Comllusiible acoustical material required to be secured with staples or equivalent metallic holders or a heat, rE'ltst-
ant adhesive capable of withstpnding 10%10°F. for one-half hour.
22. Ail curtains, drapes and similar furnishl:gs are required to be noncombustible or renciered and maintained flame-
proof.
'I
23 With stand.,r d spacing, rows of sent5 between aisles may not exceed 14. Rows of seats opening onto aisles at c.e
end only may not exceed 7 seats. Also see continental spacing, Scc. 3313-3314.
rovide a space of at least 12 inches from the back of one seat to the front of
!4. Standard seat low spacing must p
the most forward projection of the seat immediately behind.
25, p sting of capacity of assembly areas a:, noted is required by State Structural Code, Sec. 3301(;).
?Ii Ile,,ting, cooking, air conditioning and similar service equipment are required to be approved and listed by a
nationally recognized testing agency, such as U.L., int., and to be Installed in compliance with agency's specifi-
cations and recogniz^d safe practices. The Installation of ventilation systems is required to be lnlsuarareturnc air
fortuity with the 1073 Mechanical Safety Code. Corridors are not acceptable for use as supe Y
plenums.
27. A dust collection system is required for shop areas 'or nonportable machines emitting or producing dusts. (Ref- Sec
loon) Dust collection equipment to be located outside of building or in one-hour separated room equipped
automatic sprinklers.
re re
ed for a
ther in separate
2JportM or Import for hot waterrlinie. Shr toffavalves may not be installed
pressure located betweenawaterr tiank and relief valve tank
21). A firefighting water supply Is required within 500 feet of building that is capable of producing 500 gpm (m►ru-
mum) for 10 minutes for each 5.000 square feet of floor area wtthin building up to a maximum of 500 gpm for 30
minutes, or provide a 5,000 to 15,000 gallon reserve water supply as required.
:i0. Interior wet standpipes at least 2 inches in diameter located and equipped as per Sec. 3004 are required. Couplings
and connections required to be American National Standard Thread. Where standpipes are served by sprinkler pip-
ing(, see 1873 NFPA Pamphlet #IS, 3-7.7.
31 Approved automatic sprinkler protection throughout occupancy is required.
32. Approved automatic sprinklers are required over and under stage and in all auxiliary areas,including dressing rooms,
storerooms and workshops. (Sec. 3802)
33 Stage loaf ventilators displacing at least 5% of stage floor area, openahle by hand from stage floor r.nd by fusible
link. or other heat activated device, are required. (Sec. 3901-08)
'14 An approved fire alarm system conforming to 1972 NFPA Pamphlet M72-A with signals audible throughout build-
ing and manual alarm sending statluns adjacent to exits from each floor or area are required.
;ifi, Approved electrically supervised combustion detection of the ionization type is required for all patient roams.
iii %Il exit doors and acct�.s ways thereto are required io he identified by approved electrically illuminated siRns served
by two circuits with one separate from all other circuits. (Sec. 3312)
31 eme,genc•y power system is required for the ( ) gymnasium ( ) oudltorium 1 ) building to maintain exit
illumination for not less than one-half hour in event of public utility failure.
38. Fluorescent light fixtures installed on combustible surfaces are required to be U.L., inc., approved for such mount-
ing, or installed to provide at least 1'A inch air space between the fixture housing and combustible material.
39. C`onformntiec with all requirements for the removal of architectural ban lers to the handicapped Is required. See
applicable parts of 1973 State Structural Safety Code, Sections ;711, 1712, 1713, 3302, 31,03, 3395, and 3308 and Table
No.33A.
1
NOTES: 1. Local regulations or insurance standards for most favorable insurance credit may, and often do, exceed
these minimum State requirements.
2. This review Foes not cover O.S.F..A. (O.S.H.A.) regulations.
3. This review does not cover Mee..1care-Medieald regulations.
I
5-75
I
i
ADDRESS_ //G�L -_ PERMIT 140.
_ PERMIT CHARGE none `
OWNER , � �,� CONNECTION FEE ',�rV°'� —f
PAID BY
TYPE OF BUILDING -rr G DATE CONNECTED
SERVICE RATE —
� INSPECTION FEE _W7' '
–
CONTRACTOR _ PAID BY DATE
SIZE OF CONNECTION ASSESSMENT � PAID
i
I