11995 SW PACIFIC HIGHWAY 1.1995 SW PACTEIC HIGHWAY
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CY 1 OF TIGARD
M1•.,•1OKANDUM
TO: Wayne Lowry, Finance Director
FROM: Br_dd Roast: Building Official
SUBJECT: Sewer permit refund
DATE: August 14, 1987
I am asking that you refund $1, 100.00 for sewer permit #34050( 1101)" NW
Pacific Highway) as it was incorrectly charged to the building.
Please make the refund to: Mr. Duane � ivis
24203 NE 59th Ave.
Battleground WA 98604
-570
q y C)
1\/ 1,,,.Ncn E 1A1 r
BUILDING PERMIT APPLICATION DATE_--_ 19 �gd'4
THE UN')ERSIGNED HEREBY APPLIES FOR A PERMiT FORTH E WORK HEREIN INDICATED BUILDER PHONE 206-6871 1
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATION. OWNER PHONE —_
3 �r
OWNER JOB ADDRESS ".19 45 S PaCi ii.it' I j • LOT NO. 1 '..1 -5'�L mil L
ARCHITECT
ENGINEER
BUILDER Dunnir Davis ADDRESS DESIGNER �
--- - —_s�1:S:.OrGan__nth_
STRUCTURE EJ NEW L?( REMODEL ❑ ADDITION I:1 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE EYCOMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE CR BLDG.TYPE --N—FIRE ZONE__PLAN CHECK BY 196 HEAT
i'Tenant. madifi.ctation for dental affic4� nl.l ewer an9roved
-poj:4 .�m,,,r I Tenants G. �entr� Plba ? gni Y_
SEWERPERMITM 34050(10u ) ? 3 tra�rs
OCC.LOAD FLOOR LOAD _ HEIGHT NO.STORIES AREA 15%.BEDROOMS VALUE '1296
BUIL DING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit _ 2-91 .50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 163.48 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
TRrD WITH AC.. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
SUb-total 100.610 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
12.58 LICENSE..SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEAIING.
Total 528. 16 SDC—
PDCN APPLICAN70RAGFNT ^�
By 264 .08
Receipt No. _
Approved 264.0e ADDRESS -- V PHONE --
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. �x
m
Rough-in
Fixture
�� — ----— Final
_ _ 1_ HEATING
Contractor
Permit No.
Gas or Oil
Rough-In
Final
- -- SEWER Y---
Final
DRIVEWAY
Final
Storm Drainage
(Rain Draii7)Final
Sidewalk
Curb&Street Final
Approach
13LDG-DEPT.FINAL TEMPORAR`r CEFtTIFICATF_—OCCUPANCY `
CERTIf1CATE OCCUPANCY Final
Landscaping
Zoning Final
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P.O. PDX 127•TUALATIN,OHEUON 97062•PHONE 682.2601
August 11 , 1987
Mr. Duane A. Davis
242.30 N.E. 59th Avenue
Battle Ground, WA 98604
Cgar Mr. Davis,
RE: Dentist Office
11995 S.W. Pacific Highway
This letter is to clarify our plans review of August 6, 1987 and to
confirm our conversation of August 11, 1987.
Item 1 of our plan review indicates that liquified petroleum gas is
not allowed within this type of an occupancy. That is, the use of
liquified petroleum gas is allowed, but the storage of the tanks is
not allowed within the building. Therefore, I am enclosing copies of
the diagrams from NFPA 58 which indicate acceptable installation
locations fpr LP gas tanks as it relates to buildings and property
lines. The installation is to be made in accordance with NFPA 58 and
Installed by an Oregon licensed LP gas installed. The piping must be
Installed and tested in accordance with the Uniform Mechanical Code,
1985 edition.
I hope this will assist in the further development of this project.
If I can be of any further assistance, please do not hesitate to call.
Very truly yours,
WASHINGT ?f ;,,
COUN�Y FIRE-DISTRICT NO. 1
L ew,H. JO
A�sist�it� d Marshal
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cc: City of Tigard Bldg. Dept. (/
Inspector Ray
Gene Birchill
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WASHINGTON COUNTY FIRE DISTRICT NO 1
20665 S.W. Blanton St. • Aloha, Oregon 97007 • 5031649-8577
August 6, 1987
Mr. Duane A. Davis
24203 N.E. 59th Avenue
Battle Ground, WA 986014
Dear Duane,
RE: Dentist Office
11995 S.W. Pacific Avenue
Tigard, Oregon
A fire and life safety plan review was conducted on the above-
captionid ppo,ject for compliance with the 1985 editions of the Uniform
Building Code (UBC), Uniform Mechanical Code (UMC), and the Uniform
Fire Code ((QFC) as amended by Washington County Fire District's
Ordinance 86-1.
The plans are approved as submitted with the following conditions:
1. Gas Outlets: Gas line referenced on the last page of the
plans under Item I: If natural gas, it shall be plumbed and test-
ed as required Uniform Mechanical Code, 1985 edition. If this gas
Is liquid petroleum gas, it is not allowed in this type of an
occupar cy.
2. Exterior Exit Door: Hardware for the exterior doors and key-
operated deadlocks may be permitted where there is a sign posted
on or over the door reading, "THIS DOOR MUST REMAIN UNLOCKED
DURING BUSINESS HOURS" in letters not less than one inch in height
on a contrasting background.
(UBC See 3304)
3. Firestopping: In all wood-framed wall and partitions, fire-
stopping consisting of 2-inch nominally-sized lumber or other
approved materials must be installed at all floor and ceiling
STOP FIRES -- SAVES LIVES
Mr. Duane A. Davis
August 6, 198;
Page 2
levels. Penetrations in this prescribed firestopping to accom-
modate wiring, plumbing and other similar utility runs must be
packed with noncombustible materials in an approved manner so as
to prevent the passage of flame.
(UBC Sec. 2516)
4. Fire Extinguisher Required: A fire extinguisher, having a mini-
mum rating of 2A-10B:C must be placed in an accessible location
within plain view.
(UFC Sec 10.301 (a))
5. Medical Gases: If medical gases, such as nitrous oxide, are to
used, they are to be installed in accordance with Uniform Fire
Code Article 74, Division 2.
6. Approved Plans on Job Site: One set of approved plans bearing
the stamps of the Tigard Building Department and this office must
be maintained on the project site throughout all phases of con-
struction and must be made available to building and fire Inspec-
tors for reference during required construction inspections.
(UBC Sec. 303)
7. Inspections Required: Inspection and approval of construction
by a representative of this office is required: (a) prior to the
cover of any new framing elements following the installation of
all utility runs which will be concealed within wall and partition
cavities; (b) up-n completion of construction and prior to occu-
pancy of the tenant space.
(UBC Sec. 305)
8. Certificate of Occupancy Required: Prior to the use and oc-
cupancy or other written instrument of approval must be obtained
from the City of Tigard Building Department.
(UBC Sec. 307)
If I can be of any further assistance to you, please feel free to call
me at 649-8577.
Sincerely.
TUALATIN FIRE DISTR
• r
Gene Birchill
Building Official
ssw
cc: Tigard Bldg. Dept.
Inspector Ray
for inspections call 639~4175
PEQM17 N0.
CITY OF TIGARO 639.4111 DATE ' z —t9—
BUILDING PERMIT35-D G' r ic,� suoavlsloN
P.O. Box 23397, Tigard OR 97223 TAX MAP _' LOT NO. ,r --
sw psc
OWNE -• � � ,,-,� JOB ADDRESS
BUILDER _[/L L / _,/ �_- --- STATE AEG.NO. EXP.DATE _ _---•--
aUII_OF.A'S PHONE �'�C'C) -
PHONE— OTHER -
ARCHITECT, ._.._ --------------
STRUCTURC O NEW _ (J,REMOOEL ❑ ADDITION O REPAIR ❑ MOVE ❑ OTHER C) DEMOLITION
0 RESIDENCEOOMM ❑ EDUCATION C] IND ❑ REUC.IOUS, U'ACC.ESSORY U GARAGE O OTHER ❑ FENCE
F. *� FIREWNE_,_�..PLANCHECKBY HEAT
OCCUPANCY S '•__LAND USE ZONE BLDG,TY.E _u: ��_� .,--_--------------
SEWER PERMIT/, /C�J^Y> .. - - -- -
.STORIFS AREA 6 NO.BEDROOMS VALUE
OCC.LOAD FLOOR LOAD HEIGHT NO
� _L.�.�[ --
BUILDING U RT MENY SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
P*-not _ Z S j-S U THIS PERMIT IS ISSUED SUBJECT TO THE AEGULATIONS CONTAINED IN THE BUILDING COOS, ZONING
AEGUj ATIONS AND ALL APPLICABLE CODES,AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE
FUACheck / WOItK WILL BE DONE IN AOMROA14CIE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WfTH ALL APPLICABLE CODES AMC'ORDINANCES.THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PLS Fri U (o RESTR�CTWE COMANM CbMTIIACTOA AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAXPERMTT'ffi_SEPARATEZAP
MITS REOUIREO FOR SEWER.PLUMBING AND HEATIN0.
Stele Tax / Dth
Told Z � sem- ICANT OA AGENr
Prepd. r7 Ism ?c{ �4 _� �� r w \ Z c)6�C9 �S 7�V_ ss•6
Receipt No A00AFSS f����v c U,01 1 l_'�SN ��f.c,cl p"ON!
641.Due
Issued By _--_----ApP(0vsd By
S lic - S
OC - — RECEIPT #
OC - - DATE PD._
CWER CONNECTION S _ AMOUNT PD.
r.WCR INSPECTION 4—� —
-WER SURCHARGE
Immente :
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : 7` G U
PIAN CHECK APPLICATION DATE RECEIVED: �`•� 7 �' j
P.O. Box 23.397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, edition.
PLOPERTY OWNER: ) OWNER'S ADDRESS:
CONTRACTOR: l� Ji y-rr� TELEPHONE: J
JOB ADDRESS: � (fC(� levy c1 LOT NO. 6 HAP:
DESCRIPTION OF WORK: _ . -4n 0—*j r-yl1 0
Approvals Required �� SPECIAL, NOTES
OPlanning Dept. O Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
C) Fire District O Sewer Availability
O Other
��Of. er
Items Requiredd
OList of. subcontractors)
(0ousi ness Tax T.v�e,✓� � w
'0 Calculations (J
OTruss Details
0 Parking Plan
OLandscape Plan
/U Cher �C
COMMENTS
City of Tig.Ld Building r1-.partment
BY:
IT
SIGN PERMIT APPLICATION COF TIGARD Date —__, 19_x_ No. � '�.d�.f�.
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: 11995 Sw Pacific HighL.#ay
APPLICANT: Owner X Lessee Authorized Representative Ue nX Purke
NAME/COMPANY Zeneral Business s ams3 Tel.
PROPOSED SIGN: _ Freestanding x ' Wall Projecting - Other
SIGN DIMENSIONS 3 y 9 AREA 24 84- Ft- HEIGHT `1 ' WALL ARE,
PROPERTY FRONTAGE COST $520« ZONING DISTRICT C ILLUMINATION
MATERIAL plastic; COLOR 01us & UU
COPY E;enural Husiness Systeme G.FJ.� _DRR_______
EXISTING SIGNS: Freestanding Wall _. Projecting Other _
COMMENTS: -
change cupY
All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
within ninety days after the Issuance of the permit, the permit shall
PLANNING DEPARTMENT become null and void.
Permit Fee _ $10.00
Approved Applicant's Signature
Recei 1 0.--_- 1199.:, SLI Pecific Highway r 'a- iaG1
Renewal Date Address Telephone
1
SIGN PERMIT APPLICATION COF 0 I G A R D Date �" 2 , 19 YL No.
Ths applicant hereb,• applies for a permit for the work indicat3d or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: _ �� gf'S SW JPAcjflc UJy
APPLICANT: Owner_ Lessee _ Authorized Representative Deatiy e _
NAMEXOMPANY _-' XaG f?,. t,�, - _ SrSi.r--,�� Tel 3o (el
PROPOSEDSIGN: Freestanding -x—._ Wall � Projecting -----Other
SIGN DIMENSIONS xI' _ AREA A&Y_Y7__ HEIGHT _�`f'r"_._ WALL AREA
PROPERTY FRONTAGE _ COST �'
o � _ ;6r\"NG DISTRICT !9_?`1__JLLUMINATION _4 _..
MATERIAL __- �L�s.—_— COLOR __ 1 ���i4-
COPY _:'e>MO&G 4m s,4)2 _% c)rSiv.►1"_ _ �r, S. $, _DRB_
EXISTING SIGNS: Freestanding ___. W?II Projecting _ Other
COMMENTS: r __
All sign permits must be accompanied by a scale rarawing and plot
plan. If work authorized under a sign permit har,not been completed
within nn
ety days after e isyaance of the permit, the permit shall
PLANNING DEPARTMENT become II d void. \
Permit Fee a,
Approved
Applicant's Signature `--�
Renewal Date �` Address Telephone "r���
F FROM
TO:
DENNY "J" PURKEY
C
Ir", O IF 1:a * . r ' * * * GENERAL. BUSINESS SYSTEMS
GBS * 11995 S W. Pacific Highway
* Tigard, Oregon 97223
Phone, (503) 620-3061
,MESSAGE 4
�,I lKff( T DATE
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SIGNED
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Address �_ (�l Permit No. ,f�
Name of Occupant� Permit charge -_
_- -_-------___�-_�_�----_-_-___-- Connection fee
----- -- ------... - --- Paid
- - -—- - --- -- Date connected.
Type of Building �,(� i4 � Inspection fee___-__ I
Service Rate_
�:�__----�_ _-_ Paid by _ Date----
Contractor
ate---Contractor -- ___---_- Assessment Paid
Size of connection-_-_42 1�1
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