12645 SW PACIFIC HIGHWAY Q
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%ST . ANTHONY " 8NI CATHOLIC CHURCH
% 4X8 BE-4A4
12645 S . W . PACIFIC HWY ,
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F 0 U t\,l D AI l r� �,Y� �i � TA / L PORTABLE CLASSROOM BUILDING - N
O SITE RELOCATION
S l/ 141 L
PLACE ON PERMANENT Cr NCRETE FOUNDATION
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CTION
' f APPROVED
CO
r a i i CITY OF TIOARD
SITE ADDRESS-----, •.
PERMIT ' . _
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w ... A LOCATION CONTRACTOR
,�-Di.
EMMERT INTERNATIONAL
FOUNDATION PLAN
11811 SE HWY 212. CLACKAMAS ORE09
KCAL[: APPROVED UY.
t I � ._.. I DRAWN BY [�
DATL: REVISED r
•
SCALE : 1 / 4 ' -
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PH . * 685 - 7191
DRAWING NUMBER
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DRAWING IS LESS CLEAR THAN
THIS NOT IGra ;-—IT IS DUE TO
THF QUALITY OF THE ORIGINAL
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12645 SW PACtt'IC HIGHWAY
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INSPECTION NOTICE
City of Tigard Buildinq Dapartment /
13125 R11 Ball Blvd. Tigard, Fn 97223
Inspection Line (Rec-G-Phone): 639-4175 ese Phone: 639 171
Inspection:_ �_ ��•L�1�V i/r� lri/l _�
Footing Plbg. Undnrelab M h. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Cas Tine FINAL:
Poet/Beam Strurt. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drdin Insulation -Plumh.
Plbq. Underfloor Water Line Gyp. HA. -Hoch.
Date Requested, L' 1�� _Timet q,uAli 1
Address: 1; '4-O_C-��kc �(J•��/ Permit #i ( � _
Builder: &YVI Pau Vlt^ , �--- � 6�
THE FOLLOWING ODRRECTIONS ARE REQUIRED,
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Inspect)r:
----- _— _. Date: �a
PPPROVZD _ DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Cell. For Reinsp.
INSP9:t- ION NO1I.91
City of Tigard Building Department
13125 Sid Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-•O-Phone): 639-4175 B&.:sineee Phone: 639-4171
Inspection:__ �----- _� —
Footing Pibg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Mg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insolation --Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech. ��� �'►'^
Data hequestodt CI • �l_____` __Time: __AM
Addr.,st-1��e 4fi �G-C�� K /- �.._ Permit It 1 Lit 7 _
Builder:�, 'ILWY v, ---
THE FOLLOWING CORRECTIONS ARE REQUIRED:
all—
T7-
Inepectort �d Date, a J
\! APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
IITT" Call For Reinep.
CATYOFTIGARD
CffYOFTWAIM
COMMUNITY DEVELOPMENT DEPARTMENT aemoioa
13125 SW Hdl Blvd. P.U.Box 23997,Tip M,o..00n 97223(boa)6.39 176 F''L U M P I NG PERMIT
9 -4171 DATE ISSUED: 10/01/91
`:i 1 T E. ADDRESS. . . : 12645 SW PAC I F I C HWY PARCEL: cS 1 O2BD•-00100
'::,UbDIVISION. . . . : NO. TIGARDVILLE ADDITION AMEND. ZONING: R-1
81-OCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :5,_
CLASS OF WORK. .r :ADD
GARBAGE'DISPOSALS. . : MOBILE HOME SPACES. :
[YPE OF' USE.. . . . :REL. WASHING MACH. . . . . . . : AACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . :R1 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . , CATCH BASINS. ,, . . . . . .
FIXTURES-•--_------------ LAUNDRY TRAYS. . . . . . . SF RAIN DRAINS. . . . . .
(SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . .
LAVATORIES. . . _ . : OTHFR F=IXTURES. . . . .
1-UB/SHOWERS. . . . ; SEWER LINE (ft ) . . . . . 150
WATER CLOSETS. . : WATER LINE. ( Ft ) . . . . :
D l SHWPSHE RS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : connect exisitnq convent to sewer,, sewer Fees pt-eviol_11sy pai(I.
Owner: - ___ _ __.___.__.---._.___._--•-- __ _....._.___._._._._.__ FEES
ST ANTHONY' S _._..___ cype •-amol.rnt by JaLe r ecr)l
1L:645 SW PACIFIC HN'Y PRMT f 45. 00 PCR 1O/01/91
5PICT 2. 25 PCR 10/01/91 -
TIGARD OR 972(:3
[='hone #: 639-•;979
Cont r act or-: -..______________._____--_--.__---
RAYPORN' S PLUMPING
17645 SW JURGENS RD
T UALAT I N OR 97162 -_.______________________-------__.__-.._.
Pli on e #: 503--692-41:39 $ 47. : 5 TOTAL
Rey #. . : 4411O
--- ---- REOUIRED INSPECTIONS -----_.._
This pet-sit is issued subject to the regulations :ontained In the Sewer Inspection
T;gard Municipal Code, State of Ore. Specialty Codes and all other Mi sc. Inspec•t i on
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work 1s not started
within 180 days of issuance, or if work is suspended for more _
than 180 days.
i ev—mittee Si gnat _Ire • fc''�t
Call for inspection - 639-4175
■
C:TY OF TICARD - RECEIPT OF PAYMENT RECEIPT NO. :91-2180:3f.?
CHECK; AMOUNT : 47.,-5 I
HAMF- RAYBORN'S LPLUMRING CASH AMOUNT t
hUDRESS 17645 SW JURBEN G RD PAVME:NT DATE :
SUBDIVISION .
TUALATIN, OR. 97062-
PURPOSE OF K,VMENT AMOUNT PAID PURPOSE. OF PAYMENT AMOUNT PAID
►'t.UMBINO PFRM 45.00 57. BUILI, PER 2.25
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1:_b 45 1W PACIFIC HWY
TOTAL AMOUNT PAID -- - - -) 47.25
Augu,3t 5, 1986 C'7YOfIMRD
OREGON
25 Veors of Sen4ce
1961-1986
Muriel Mendonca, Principal
St. Anthony's School re: Building Permit Fees
12645 SW Pacific Highway
Tigard OR 57223
Dear Ms. Mer,donca:
Please be advised that waiver of building permit fees only applies to tax-supported
institutions and then only if all work is done by rhe employees of that institution.
This regulation is per Chap.14 of the Tigard Municipal Code.
Also, regarding that classroom that was moved to your site--you must receive a final
approval from !oth this department ai,d the Tualatin Rural Fire District before a
certificate of occupancy mai be issued.
If you have further questions, }lease contact me pt your earliest convenience.
r
Very truly youI's,
Edward T. Walden
Building (office].
13125 SN!Mall Blvd„P.O,Box 23397,Tigard,Ofegon 97223 (503)639-4171
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CITY OF TIGARD 639.4171 DATE�G. 4 tg$6
BUILDING PERMITTAX MA ' LOT NO. 100 SUBDIVISION
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OWNER Archdiocese of: PtAd---St. Anthony's (:hUrCh/!JF6 6DRESS 12(ifil�'?aci�--FI��;3111.1►N
BUILDER Kirsner Cons tructio! L=.t 9250 3W WlsahingrFA4 gyp.NO. EXP.DATE --
244-0006 Pt LTIC
RUILDER'S PHONE -
ARCHITECT hone PHONE OTHER -- -
STRUCTURE NEW REMODEL 1-i ADDITION Ii REPAIR MOVE OTHER — DEMOLITION
RESIDENCE COMM i + EDUCATION IND i$. RELIGIOUS ArrE6SORY GARAGE OThIER FENCE
O(_-(;UPANCY LAND USE ZONE .BLDG.TYPE FIRE ZONE PLAN CHECK BY THEAT
-- I.sise 11at ruvf oil �"6U ort toot 9YF.tei% on bearinT; u io wras at each c2ud-•- " Gila
On j0i,SL1q CIOU.C.
SEWER PERMIT N -
OCC.LOAD FLOOR LOAD HEIGHT NO STORIES AREA NO.BEDROOMS VALUE L,i;UU
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 62x30 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 40.63 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERW i DOES NOT WAIVE
PI.Ck.Flre _ RESTRICTIVE COVENANTS. CONTRACTOR NND SUB CONTRACTORS TO HAVE CURRFNT CITY BUSINESS
-- TAX PERMITS SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 2.50 ..../ / .•-'
SDC- .• l.v
Total 1.05.03 APPL CI ANT OR AOE -- -
-" PDC#
Prepd. PHONE aG"-
Receipt No. > i(�yX ADORE86
Bal.Du,
-- -' Issued By_ Approved fay
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DATE( INSP. TYPE INSPECTION REMARKS PLUMBING DATE
i,!contraclor —_
Permit No.
Rough-in -
f� Fixture
Final
HEATING
-- - - Contractor
-- ---------- --- Permit No.
Gas or Oil
-- ---- -- -----_�__------- ---- Rough-in
- ------------------ Final
-- ------ -- �_— SEWER — —
_ ---- - Final
DRIVEWAY – --
_.�--_� _ -------- Final
-- -- ------.T— ----- Storrn Drainage —
(Rain Drain)Final
Sidewalk
Curb&Street Final
-- -- — -- Approach 1
'- BLDG.DEPT.F NAL CERTFTEMPORARY NCY CERTIFICATE OCCUPANCY FinaICATE l
Landscaping
-- -------_.-----� — -_.__...- -- —
Zoning Final -
II
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1HWJ N Rao( pR,�h�ING ��
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BrALE: AS NOTW APPROVED BY: DRAWN qY
DATE: ' 2 O REVISED
IOL-AN
I�.I�� VG� �GcNST�CUG?►oN ING, DRAWING NUMBER
X250 5W W�++gNi��GToN t�R. R�f2TL..�r�t7, /�' 1
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now
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BY�fI-,cV Fx I Wi'i N GO►-i RI►t?a 1 .
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�"S No'T�E•� APPROVED BY: DRAWN BY
SCALE:
REVISED
13 ATE: .�--�— --
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� DRAWING NUMBER
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St.Anthony's School
12645 S.W. Pacific Highway
Tigard,Oregon°1223
July 31, 1986
Doris Hartig
City of Tigard
P.O. Box 23397
Tigard, Oregon 97223
Dear Doris,
The moving of the portable at St Anthonj' s
is complete Lnd all requirements have been met.
Because we are a non-profit organization
please refund the Building Permit fees of $93.01
paid 9/4/85 on invoice #7162.
Thank you for your consideration in this
matter.
Sincerely,
Muriel Mendonca
Principal
MM:all
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.417
Type of Inspection
Date Requested_A J �s Time A.M.'—, P.M.
Address Permit #. �
Owner _— _ Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
1 --7 -too—
I
�ie�
Presented to — _ ❑ Approved
Inspector -- Dfapproved
Date — -
CALL FOR REINSPECTION
(a YES ❑ NO
BUILDING PERMIT APPLICATION TIGAHD DATE " 5521
THF- UNDI_RSIGNED HEREBY APPLIF-S FOR A PERMIT FOR THF WORK HEREIN INDICATED BUILDER PHGNE ''22-1 ' I4
OR AS SHOWN AND n PPROVED IN 1 HE ACCOMPANYING PLANS ANO SPECIFICATIONS. OWNER PHONE
C AVNER St• AnC hr.*,ny'b Sch<JO_B ADDRESS 12645 SW Pes-S f tc HW'
ARCHITECT
_ 11R11 SE Hwy ell", ENGINEER
BUILDER Emmert: indubrrial ADDRESS t:lackOMAb, SDR DESIGNER
STP"�TURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITII.Y
C1 1,,SIDENCE ❑ COMM ❑ EDUCATIONAL El GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE 0 STORAGE ❑ SLAB❑ FENrc
OCCUPANCY __-LAND USE LONE —BLDG.TYPE 5N _FIRE ZONE PLAN CHr-CK BY __rT- Hr AT Gab
Fvusidm imi for r late PuKim building per apr+rov-r? Anda .-1rfi r<•dn, semi
SEWER PERMIT N
OCC.LOAD FLOOR LOAD _ HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
_ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit `''`•r'1t '_ THIS PERMIT IS IcSUFO SUBJECT TO THE RECIULATIONS CONTAINED IN THE BUILDING CODE, ZONING
2S.9) REGULATIONS A,VD A,LL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Pian CheckWORK WILL OF DOME IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Ik ;r)-- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF TH13 PERMIT DOES NOT WAIVE
5(V-WX v 17.x4.0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
// 1 7A LICENSE.SEPARATE PERMITS REOUIRi7D FOR SEWER,PLUMBING AND HEATING.
St(i ,ax
Total
91.01 SDC;-
{ 1' 1�_.____. i' I N•1.
PDC# APPLICANT OR AGENT
By _
Receipt No. PHONE
Approved _ *Pd RA 7162. 9/• /+ �,i, ADDRESS -� --
MR
DATE INSP._TYPE INSPECTION REMARKS PLUMBING DATE
ljv�onlractor—
Permit No.
flotigh-in
Fixture
Final
HEATING
Contractor
Permit No
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainap
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
—BLDG.—DElFT. TEWI;61RAiii CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
ILandscaping
gizoning Final
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�' I�'� ►sr�..ic SEI' 1985
�yCITY OF TIGARD
PLANNING DEPT.
BUILDING PERMIT APPLICATION TIGARD DATE ,_ J'ARC 2!J 54 "'A
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. —
OWNER Wit. Anthony's JOBADDF;cSS li.645 31+ Paciiic
ARCHITECT -
P. 97223 ENGINEER
BUILDER Kiranes (;or, rtre[ion ADDRESS 9251)x_ Was i tun DESIGNER
STRUCTURE [] NEW 1$ REMODEL. _ L] ADDITION ❑ REPAIR_ ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMCLITION
I I RESIDENCE n COMM [)� EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS -U PATIO D CARPORT F GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY i11 ik 1 LAND USE ZONE 9!!�i—BLDG.TYPE _ itI FIRE ZONE_ PLAN CHECK BY __ACR HEAT
r4model of existing convent to iat floor educational
facility and 2nd floor youth group tacility per a1yroved— _
-----— - ---flans --
SEWER PERMIT N —
OCC.LOAD FLOOR LOAD 40 HEIGHT__— NO.STORIES 2 AREA 6420 NO.BEDROOMS h VALUE 22 pUUU.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit iS1..50THIS 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 99. 13 __ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
�Er -- - WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
b 1•UO_ RESTRICTIVE COVrNANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 6•Io
Total 318.73
c:2 PDCM PPL CANT OR AGENT
--_.. --
By
----- - -
Receipt No. ADDRESS-� �------- -- --PHONE -
A roved Lich
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DATE INSP. TYPE INSPECTION REMARKS II PLUMBING DATE
Contractor
No.
;71S ;1"u
Flxtura
Fine'
11:'ATING
Parma
No.
—
or Oil
ii grvighin
Final
SEWER
Fiviet
DRIVEWAY
Final
Storm Drainer
"in Drain)Final
Sidev.ilk
Curti&Street Final
-- Appropch
DEPT. FINAL —TEMPORARY — rhf1FICATF OCCUPANCY
CERTIFICATE:OCCLit'liliCY I L Fin,-1
rib o 86
L.,odunping
,�,7onino Fine'
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tMEN HRt PRUME MtWt
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P 0 BOX 177 UALATIN. OREGON 97061 • PHONE 687-7601 • RUSSELL WASHBURN, CHIEF
November 29, 1983
St. Anthony's Church
9905 S.W. McKenzie Stroe(
Tigard, OR 97223
tention: Rev. Herbert Wheatley, O.F.M.
Re: Portable Classroom adjacent South to main School District
(253A-284-000)
Dear Rev. Wheatley
The Fire District is willing to allow the presence of the tem-
porary, portable classroom as it is presently situated, for the
remainder of the 1983 - 1984 school year.
If the use is continues+, for the 1984 - 1985 school year, the
District will insist that corrections be made (see letter dated
November 14, 1983 , addressed to St. Anthony's Parish) regarding
its location to the main school structure.
All other items shall be complied with in the above noted letter.
Sincerely r, /
<\1
t -t-
Gene Birchill
Deputy Fire Marshal
GB:ind
cc: City of Tigard
Planning Department
I �U
City of Tigard
Building Department
r
®� ' I IRS �' OI � CIIOU KIRIN
ICfl �� IIU � U �fl � �
P.O. SOX 127 • TUALATIN, OREGON 97062 • PHONE 682-2601
S7 ANTHON'r '4, I EMP C1_AEl-'IPO0M N_,vemb er 1 4, 1`r%,3
9905 �3W MCKE-NZ.lE 1TRE=E_T
T I OAP D, OR 97223 1-.023-- 1
253A--284 -000
Dear G7 ANTHONY 'S PE+R ISH
This is a Fire and Life Safety Flan Peviel-;; and i _, based on
the 19812 edition of the State of Oregon Structural
Specialty Code and Five and Life Safety Code ((JBC: ) and the
19E3;7 edition of the State of Oregon Mechanical Specialty Code
and Mechanical Fire and Life Safety Code (UTC ) and local
ordinances.
The temporary classroom building was placed within 15 feet
of the main structure As per the 1992 Edition of the State
Structural and Fire and I. ife S3fetl; Code there should be not
less than 20 feet between these twa structsres
As the temporaT•y lassrOOm is positioned rivi.j, either the
wall facing the new structure shall be of riot less than one
hour fire resistive construction or the windows in the main
structure- facing the temporary classroom shall be fixed 3/4
hour firF:, resistive assemblies
Since this i ; referred bcl as a temporary structure the Fire
District is interested in just how long y-nu anticipate it to
be in use at this site Dependent nn tl-c Length of time;
the Fire District will make a judgement call on the above
requirements
Not less t:h-1 on? approved fire extinguisher
with a rating of not: less that. 2--F ICA–B: C shall be
provided fo. each 3. 000 zq ft of floor area
or fraction thereof The travel dist -ince to
an ertin.:,uisher frim an,j portion of the building
shall net exceed 7t Ft (UFC Standard No 10-1 )
KMA WI■r�ii � .W up
1 " ' 1
®'� I � fl �flll (1 HUI. HE PHIR1101 MIRY
P.O. BOX 127 a TUALATIN, OREGON 97062 • PHONE 682.2601
Install handriitl _ on exterior stars that cOnply LAth
7,ertion ;3'_,'"-6( 1 ) cif the t_IDc'
Provide an a,proved manually operAted 1or_aI fire
alarm system "Jac 911 )
If you desire a conrervnce regarding this play, revier or
if you have questions, please contact Gene Dirchill at
(503) 602-2601 .
5 pare
t✓ irchi
Fire Prevention Bureau
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BUILDING PERM;TAPPLICATION TIGARD DATE oet. 12 19 b3 4623
THE'UNDEHSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORK HEREIN WDICATED BUILDER PHONE 639-4979 —
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER t. , nthonY SchonS•OBADDRESS 126145 SW racificIi "waY
ARCHITECT
f3UILDER F.:m+erC industrial C ENGINEER
�V ADDRESS 11L111 fi� Nvy 311, l'itd DESIGNER
STRUCTURE ❑ NEW MMEMODEL 0 ADDITION 11 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE [ DEMOLITION
RESIDENCE I I COMM RbLEDUCATIONAL F7 GOV'T O RELIGIOUS 0 PATIO D CARPORT ❑ GARAGE ❑ STORAGE f.] SLAB❑ FENCE
OCCUPANCY k.—A_LAND USI:ZONE _C—�_BLDG.TYPE _Wj_FIRE ZONE PLAN CHECK BY 1-Tt't._HEAT _—
ove in 18 a GO terap4)%4ry clasarom lrrtildin-;. Alen b.rtilc;tr,,,;
i.s iii place# it is to raaut all minimcm raquirerKrits ft.)r 4tricUtiral.
tica life safety.
SEWER PERMIT N
OCC.LOAD FLOOR LOAD _HEIG_H_1_ 1: NO.STORIES 1 AREA r NO.BEDROOMS _VALUE S+(1�)t}
BUILDING DEPARTMENT SETBACKS FRONT — REAR LEFT SIDE_ RIGHT SIDE
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. 3�. _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS 010 SPECIFICATIONS AND IN COMPLIANCE
F-
WITH ALL APPLICABLE CODES AND ORDINANCES. THF ISSU.rNCE OF THIS PERMIT DUES ►JOT WAIVE
Sub-trial )•33 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACIORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATIN '.
State Tax _ 2*U2 _ r--
SDC--
Total
_�_-- --
PDCN AP LICANT OR"GENT
By a tw
Receipt No.
Approved ADDRESS PHONE—
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor ---
G�. Permit .
Rough-in
�,,/� ��'•* �,liL --- — — Fixture - ._--
Finnl
-- - --- ._—.�. �-------_.. -- - -__ HEATING
Contractor'
--- - - — -- ----------- - Permit No.
--- - -- ---- _.--.—_-- ------
Gas or Oil
Final
— -------- — SEWER — --
Final
DRIVEWAY I
Fine'
- - --- - Storm Drainage
— (Rain Drain)Fine;
— S idewel k
Curb&Street Finnl
---- - —. Approach
- 1 ------
P'1. "R!_ TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping -—-- — -
Z)nmg Finnl
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STATE FIRE MARSHAL--4-LANE REVIEW L -SION NOTICE OF PLAN REVIEW
ROOM 376. STATE OFFICE BUILDING, PORTLAND 07201
OWN 1e NOT A NUILOIN'O PERMIT)
Building L/bT�R�r ,"drd4o—$'r I�N117{�v� rb.•!—/2G4S-S,V-�i u/.� r�iQ� o. _/9..��_72
County JI/4S eZ�—_ Occupancy —__ const._..ffi"87 R!Sound Value 7?00 __Plan Fee lf'
Architect !/CTs r IJk6J S New Bldg. [j /Addition
Alteration [� Date Received
Owner SFA NV Ade s.'!po_L__— Address l� Z S'�;�AC!yY! �_v1flDate Revlawad
/ E J
Stories � Area 2 /__-/T----�.."AHIe ._L�./� Fire Walls���Fire Escapes /�l�N__Exits�___.__/ F _H.
�! MAIN FLP /y{{ NT ATO[■ Tnf YWI[TN
Stairs —/�Lv€.. Vert. Shafts i 7yn / �Sprinkler s! �►K�►lam N.an Alarm WMA—f 5 P.
--- Cl 04PI! / CL(.`1In ��j�O Y[{ p INT •I![ all
Ext.111 _Mt. Det. I 1� /.�-�f-�!�L�— Floor fY_�� Calling r 'r--460�Roof/1JC/ �' Sir Member
1 // / T
i Pr AR[A OVO +�� p wo fro, a
ctAsa / N =N� l� a' Type flue_ � .— lyFle Htg. System—$#!!�O4_ Fuel
Y
Well cover /f.—Y_. Ht rm. encl. _ ./y ___
The submitted plans have been reviewed for conformity with fire protection StOLOPs and regulations of Oregon admin-
istered by this office. Iterris No. 2t✓''���_121¢,IJ 7-�z 1?�-1—'Z�'3��—�� --
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. A_rproval of submitted plans is not an approval of omissior ; or
oversights by this office or of noncompliance with any applicable regulations of local government.
I�FMARKS: Jr/�.�1L_C✓F./Q- �rS F/M�L�i� �/ RARE/ df _!-2%101
2101K'!k;4J
O _y7lic ilddl!�!._ a�1L ,b /1 h' T/, r �' .2'PJ_'f-_/��P-� �� rs,$-_._i��'P-red
Q �x4 s_r�d �'¢ Rd
is c..&r 141'o 11, 8/iit!Kc-d b di Pp Jva rAvto. -
_ s!!,4 A ��k014kaR�(Afc SAS// r
UHCt/r�v� 3L?YUe¢L�St�t l�'/�P2� 9LA!►�hN����'r�- -2 'fI
C. WALTER STICKNEY 5.4/rot Exarrtined by
STAT[FIRE MAReNAL
see cNURCN eTREET N 1
tiALEM OREGON 973tC f�'P�� � e-# tedlrl
nrM.T Copies to:__ !._._._
STATE OF OREGON
OFFICE Or STATE FIRE MARSHAL Plans Review Number 7y
CHECK-MARKED REGULATIONS, IN ADDITION TO ANY REQUIREMENTS APPEARING ON THE ATTACHED REVIEW NOTICE,
MUST BE INCORPORATED INTO THIS PROJECT.
Approval of submitted plans does not constitute approval of any omissions or oversights nor of noncompliance with
dny applicable regulations of local government that may exceed State requirements.
1. Structure required to be (L/Type I► (Z /Type 11) throughout due to (L/ area) Q_1 height).
d- 2. One-hour fire resistance rating required for all Interior construction.
3. All living units required to be completely separated ty one-hour fire resistive construction.
4. Exit corridors require separation frcm any other area by one-ho it fire resistive construction.
V 5. Fire resistance of doors of interior openings to corridors required to equal 1-3/4" solid core doors. Relights in
corridors require wired glass set in fixed (steel) framing.
6. Storage rooms, closets, laboratories, shops and areas of similar hazard r^quire 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 sta!rways, trash chutes, etc., require full enclosure of (L/ 1-hour) (Z7 2-hour)
fire resistance. Access ways to such shafts require self-closing and latching Class B fire dour assemblies
(/,' 1-hour rated) (L/ 1-1/2-hout rated).
8. Attic areas require draft barriers as per Sec. 3205, not exceeding each 3,600 square feet. (9,000 square feet
where sprinkler protection provided)
9. Voids created by ceiling-floor systems require draft barriers riot exceeding each .,000 square feet.
10. Building projectinnr such as balconies, eaves, over.;angs, etc., require fire protection equal to interior ceilings
with all openings protected as required for ceilings to prevent r -sage of fire into building voids and attics.
y I1. Fire 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 draft openings at
maximum intervals of 10 feet.
V 12. Corrido•s require at least 6 feet in clear width. Drinking fountains or ether equipment may not operate In a
manner vhich would obstruct the minimum 6-toot %idth.
13. Corrtdr,rs serving patient bedrooms require at leas' 8 feet In width.
14. Corridors require smoke barrier partitions with docble swing doors at :50-foot intervals arranged so that each arod
housing more than 35 patients is divided into at least •wo compartments,
L 15. Exit doors from lobbies, corridors and rooms with potential or,cupancies of 50 or more are required to swing In the
direction of exit travel.
✓'lo. Exit doors from lobbies, corridors and assembly areas require panic hardware.
br/17. Hardware for all doors is required to be of simple type having no provisions for locking against egress, with
obvious method of operation.
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 wheelchairs, stretchers or beds.
19. 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
permitted height to bottom of opening from floor is 48 inches. (Ref: Sec. 1304)
�.- 20. Surface flame spread rates of walls and ceilings, minimum requirement: stairway-25, corridors -75, other
rooms -225. (Sec. 4203)
1. 21. Combustible acoustical material required to be secured with staples or equivalent metallle holders or a heat
resistant adhesive capable of withstanding 1000°r. For one-half hour.
SFM- 101
• w w
2 2. All curtains, drapes and similar furnishings are required to be noncombustible or rendered and maintained flameproof.
23. All auditorium seats are required to be securely fastened to the floor.
24. Rows of seats between aisles may not exceed 14. Rows of seats opening onto aisles at one end only may not exceed
7 seats. (See continental spacing, Sec. 3313-3314)
25. Seat row spacing, back to back, required to be at least 33 inches, or 27 inches plus thickness of seat back and
inclination of back..
26. Pnsting of capacity of assembly areas as noted is required by ORS 479.195.
L- 27. Heating, cooking, air conditioning and similar service equipment are required to be approved and listed by a
nationally recognized testing agency, such as U.L. , Inc. , and to be installed in compliance with agency's
specifications and recognized safe practices. The installation of ventilation systems is required to be In substan-
tial conformity with the 1970 U.B.C. , Volume H. Corridors are not acceptable for use as supply or return air
plenums.
28. A dust collection system is required for shop areas for nonportable machines emitting or producing dusts. (Ref:
Sec. 1008) Dust collection equipment to be located outside of building or in one-hour separated room equipped
with automatic sprinklers.
29. Pressure relief valves are required for all water heaters, installed either in separate water tank port or in port for
hot water line. Shutoff valves may not be located between a water tank and relief valve.
30. A firefighting wate, supply is required within 500 feet of building that iq capable of producing 500 gpm (minimum)
for 10 minutes for each 5,000 square ter, of floor area within building up to a maximum of 500 qpm for 30 minutes
or from 5,000 to 15,000 gallons of stored or static water. (Ref: ORS 479.200)
31. 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 piping, a 1-inch reducing orifice is reaulred at the hose valve connection.
32. Approved automatic sprinkler protection throughout. occupancy Is required. Piping to be flushed of debris, with
certification of flushing submitted to this office.
i
33. Approved automatic sprinklers are required over and under stage and in all auxiliary areas, Including dressing
rooms, storerooms and workshops. (Sec. 3802) Sprinkler feed piping required to be flashed of debris, with
certifict.tion of flushing submitted to this office.
34. Stage roof ventilators displacing at least 5% of stage floor area, openable by hand from stage floor and by fusible
link or other hent activated device, are required. (Sec. 3901 -06)
3`. An approved fire alarm system with signals audible throughout building and manual alarm sending stations adlacent
tr exits from each floor or area are required.
36. An approved electrically supervised combustion detection of the ionization type is required for all patient rooms.
37. All exit doors and access ways thereto are required to be identified by approved electrically illuminated signs
served by two circuits with one separate from all other circuits. (Sec. 3312)
3P. An emergency power system is required for the ( ) gymnasium ( ) auditorium ( 1 building to maintain exit
illumination for riot less than one-half hour In event of public utility failure.
l 39. m-orescent Itpht fixtures installed on combustible surfaces are required to be U.L., Inc., approved for such
mounting, or i istalled to provide at least 1-inch air space between the fixture housing and combustible material.
NOTE: Local regulations or insurance standards for most favorable insurance credit may, and often dr), exceed these
minimum State requirements.
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CITY U' TIGARD
114" S W. Mmlo flroo
,.GARD. 0XV00N M37
APPLICATION FUR BUILDING PERMIT
New Construction ❑ Demolish ❑ Addition ® Remodel G Move D
ZONING _ DATE ISSUED u'6'72BUILDING PERMIT
)ATE RECEIVED "�` BUILDING FEE S �0- No.
D,; PLAN CHECK $
-'�'27�jT�
iyOTHER $ VALUATION S 71WO
.-
TOTAL S ��'il_ RECY IPT No. t�,(/S
TWO SETTS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT 1_ j l _ MAP #_ " av CENSUS TRACT a-1 JOB 1
%rchitect or Engineer_____ 1 , •.r 'r. .ti,t m, ______`
Address _i _ _—Phone_��
Address_ _�__ ca.•� `'+,� ____�_ _ _Phone - _I
Builjer! __..�.
Address Phone
BUILDING USE Sinqle Res. ❑ Multi Res. ❑ Comm. ❑ Industrial❑
,)CCUFANCY "#ROUP N-i. of Stories_____ 'Dotal Height��_ ' _ Area of Lot . +v ac
Type of Construction t)._Z*:)(=D.X)QA V Floor Area A --- 1_;'LAj 2_ r.(hx)
Set Bac'.: : Front___ Hack____ L.Side_ R.Side__ _—
Private Sewer Pipe Sizes_ _ Sewer Septic Tank C7
Anter Service Pipe Size___-_ Storm Sewer ❑ D!tch ❑ Drywe11 ❑
c t reet and Curb Requi remer.ts __ „____
Iriveway width+ _ —No. of Parking Spaces
SEPARATE PERMITS REQUIRED FOR SEWER. AND PLUMBI4G
SPECIAL INFIRMATION
AUURESS ASSIGNED.• .���.��ruifl. sw..
FIELD CHECK BY -� _�..—_. �s DATE 1`
PERMIT APPROVED BY.<_L,_�L-_ _
It is understood that all work will Qonfot-n+ with applicai.le co.les and ordinances
of the State of Oreyon and the City of Tiqard, ore(lon, aml 1.1,at the building will
not be occupied until a Certificate of Occupancy has been issuf'.l by the City of
Tigard Buildinq Inspector. 1 11
S-Fa o tP_P*cant
FEE DATE
LOCATION ,,?,— UW1vr;R� }moi �•� �:6=i
JOB # r � ars `�'��L2 EPLMBE'R PF, I�?I i EE -
SEWER P RMI �. c4,x _ FEE.._._ _ 'ITT-AN C PERM T —
DA.T-T—_ BY-"' DATA
EXCAVATION/FILL AIR CONDITIONING
FOOTINGS FOUNDATION VENTILATION _
FORMS SPRINKLER SYSTEM
SLABS _ MASONRX FLUES
REINFORCING STEEL ---�----�_ FIRE DOORS/EXITS _
STRUCTURAL STEEL � � _GA_RAGE FLOOR
_ PLUMBING R I �� � _ DRIVEWAX_
.� ROOF./PLASHINC.' n' SEVER
FRAME ��. w
—_ y._._ _ STORM DRAIN
LATH/WALLBOARD PARX.ING
HEAI'.ING_ _.__ FENkJ
USCHEEN __,..... _
wA cR HEATER FINAL
���� C ,, \ � CLY.GGv W J- �
� r
Address _� 2(?-��(�� ,ate Permit No.
Name of Occupant 7 Permit charge
Ct
---- — ---- — - _—. Paid by
- Date connected f' /V �.
Type of Building_- }4 Inspection fea
Service Rate /ASr ram,+ ►Qr_* a.vv'y Paid by Date
Contractor Ice'- •s o sycUAils- r Assessment_-- paid
Size of connection
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
Data Requested 2i,"5'- - Time A.M. P.M.
Adcress A 219 Lt 5 Permit
0-,ftinei Lot #
Builder
The iollowing Building Code deficiencies are required to be corrected:
Presented to 71-Appr,,,,d
Inspector Disapproved
Date
CALL OR REINSPECTION
F] YES L] NO
�mn��