15599 SW 116TH AVENUE STE M ADDRESS:
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CERTIFICATE OF
CITY OF TIGARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : BUP9 p -vb 171;
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839-4171 DATE: ISSUED, !.A7/29/94
PARLE1_t 2!a110CD--00101
S.( 1-11-: ADDRESS- -. 15599 SW 116TH AVE #S. .M
5UBDIVIE310N. . « . t KING CITY ZONING:
L.11...00K. . . . . . . . . . a LUT. . . . . . . . . . . . . e
CLASS OF WORK. :ALT
TYPE OF USE:. . . :C011
OC:C;,U1'3ANCY ORP. :S2
OCCUPANCY LOAD t S
TENANT NAME. . . :DR. JE:NSE:N
Remarks : Dr. Jensen- tenant improvement, 001') i_ipgradec.,
ROBERT TOP I AS
15599 SW 116TH AVE
PORTL. P1\1D UR 97205
Phone i1': 34-090!"
Cont r Act ort
ARMS S & OSSOC I ATES
yi F3: SF 13TH iPwS
Phone Or 232---0817
Re(j 1t. . « 44,1'73
Occupancy of the above v,e VereTwed building is hereby given, and cera• i f i es
the uomplianre with the State Of Oregon Specialty Codes for thea group,
acc l.tpanc:y, and use oncler which the referencted permit was issued.
1 LW i 114SPE LTOR
UILDINU OFFICIAL.
POST IN CONSPICUOUS VILACE
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 P'LUIvIB I NG PERMIT
PERI,,IIT #. . . . . . . : PLM94 V,I2r)
DATE ISSUED: 07/05/94
PARCEL.: L'S110CD -0010:
SITE ADDRESS. . . : 15599 SW 116TH AVE #5. M
SUBDIVISION. . . . : PING CITY ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :ALT ----GARBAGE DISPOSALS. . : _. µ110B I LE:- 110M.E�SPACES.
:
TYPE OF USE. . . . .COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . :BL FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . : 1 WATER F1EATE.RS. . . . . . . CATCH BASING. . . . . . . :
FIXTURES-- -- ------------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . :2 URINALS. . . . . . . . . . . . . GREASE 'TRAP'S. . . . . . . .
LAVATORIES. . . . . : OTHER F"IXTURES. . . . . :
TUB/SHOWE:.RS. . . . : SEWER LINE (ft) . . . . :
WCJER CLOSETS. . : WATER LINE ( ft) . . . .
DISHWAtiHERS. . . . : FAIN DRAIN (ft ) . . . . :
Remarks : Dr,. Jensen— tenant improvement, Ar,0 -tpgrades
Owner: - - ._..______._....._____.._._ _.___..__________ FEES
ROBERT T'OBIAS type amoUnt by date r-el-,pt
15599 5W 116TH AVE: P'RMT 1, 25. 00 JG 07/05/94
5P'CT $ 1. 2, JG 07/05/94 -
IDORTLAND OR 97205 P'LC:K $ 6. `5 JG 07/05/94 -
Phone #: 234--0905
Contractor:
P''OWLR PLUMBING CO
PO BOX 23144
TIGARD OR 57281 __._______.______---_--___ .—.__—_.--_
P'h o n e #: 244-1900 $ 32. 50 TOTAL
Reg N-. . : 52378
REQUIRED INSPECTIONS ._..._._..____.._.
This pet-sit is issued subject to the regulations contained in the Top—oitt Insp _
Tigard Municipal lout, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This perert will expire if work is not started
within 180 days of issuance, or if work is suspenued for sore
than 180 days.
r. Pet-mittee 8ignatt_tt.
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J Call for inspection - 639-4175
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t-,C)Wr--.H P1.110111[NO (AMPONY UOYA 6-MJLJNI
W)l p() BOX '3 44144 � yoll-141
I J.Ijj:iRD, 1110-.00N !:3111411 1 V I fa'1 ON
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City of.Tigard PLUMBING PERMIT Pla.nck;F%i. #
13125 SW'Hall Blvd. APPLICATION Perm!t #
Tigard, OR 97223
(503) 639-4171 Des phon
eu
OaS 814-21-610 OTY PRICE AMT
AM—
Job FIXTUIIFS
Address �—
avatory 750
-TuF w . ower m .
Shower Only 7.50
"°' Walm CAosel
Owned irwasNo-r- 50
,a ge ispos
_ aslung Madrn� o 7.50
•"••,"""• T ol^or-Trani --
Water Heater .5V
u ry m ray71.
OrcUpantj � \ 1 I I L- urinal -— — 7.50
w '^ udlof Fixtures(_pea ) a0
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7.50
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Contractor _'Q � MISCIUANEOUS �-
1
a rJ Sewer I st 100'
Y�Z9.oCy r..T-f 1. Twrrr-ea.;Ml� lou.
a 3 SZ 14(02- ate,9;rv" 1st loo' 0.00
re y acknowl thataveren ns ap rcat�on-that the WatAr Service ea.Adrft 200' 15.00
Information given is correct,that 1 am din owner or nuthodred agent of
the owner,fiat plans submitfiv.]are In comptinnoe with State laws,that I Storm R Rain Drain 1st 100' 30,00
am ragistared with Ih"Constrxicfion Contrartoer Board,that the number Slone d Rain Drain Add'd. 100' 15.00
given Is correct. (If exempt from State registration,plans"give mason _
below.) Mobile Home Space 25-00
ata- owmvrint�ori
i,-k, Cka (p'Zy-y Device or Anti Pollution Device 7.50
�'nsi""""' Any rap or este of
Connected to a Fixture 7,50
DnsMbe work new addition Q alteration repair Catchas 50
to be done residential n non-msldnnlial 0 _
L �{--_ Insp. of Exist Plumbing per hr
40-00
Specially Rnquostod Inspections per hr
Existing use of Rain Drain.single family
brdlding or Property dwoli
ng 15.00
ntial bickflow prevention ----
----�-�!�.r� a 15.00 _
Proposed use of devices
building or property �'
ri ( zcepf rest enba scow
ri prevention devices)
>- NOTICE Minimum fee$25.00 SUBTOTA:
J PERMITS BECOME VOID IE WORK On CONSTRUCTION Sx SURCHARGEA
AUTHOnIZED IS NOT COMMZNCED WITIIIN 180 DAYS,On IF
CONSTRUCTION OR WonK IS SUSPENDED On ABANDONED
W rOq A PEnIOD OF 180 DAYS AT ANY TIME AFTER WOnK IS I't_AN REVIEW 25X.Of'3UBTOTAI =-=
a COMMENCED.
TOTAL 32 Sa
Special Con^fitions -
—�---- Date iss"Od by
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Power Plumbing Co,
P.O. Box 23144
Tigard, OR 97281-3144
(503) 244-1900
FAX 2c 7-3941
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LICENSED • BONDED • INSURED
' Power Plumbing Co.
P.O. Box 23144
Tigard, OR 97281-3144
(503) 244-1900
FAX 297-3941
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LICENSED # BONDED • INSURED
Power Plumbing Co.
P.O. Sox 23144
Tigard, OR 97281-3144
(503) 244-1900
FAX 297-3941
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LICENSED • BONDED • INSURED
INSPECTION NOTICE
City of Tigard Building Department
13123 BW Ball Blvd. Tigard, Oregon 97223
Insper_tion Line (Rec-O-Phone)t 679-4175 Business Phone: 639-4171
Inspectionr_
Footing Plbg. Underalab Mp_ch. Rough-in
Found. ^lbg. Top Out Gas Line I:,Ait
Post/Beam Struct. San. Sewer Framing FBldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line C� Gyp. Bd. -Hoch.
Date Requested: (]( —c� c7 I�"I Times Q AM
Address, J�—L_ 1 �'�- Permit
Buildert_ K M.-J
THE FOLLOWING CORPBCTIONS ARE RF.QUIREDtvo-C e—
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Inspec'ort Date:_
.4-- JIPPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97123
Enepection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inapection•` _ _
Footing PlIxj. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINALs
Post/Ream Struct. San. Sewer Fanning -Hldq.
Poet/Ber_m Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfioor Water Line Gyp. Rd. -Hoch.
Date Requested: s AM PM
Address: yZ ! �0� � us — \ PermL ft9 Li: 0 7 L,
Builder: �.V► \� �c7 ul/L. % 3,) C)Q I D
THF FOLLOW1No oDRRECTIONB ARE REQUIREOs
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Insoectort
APPROVED _�DISAPPROVRD NPPROVRO SUBJECT TO ABOVE
/� / Call For Reinsp.
INSPECTION NOTICF
City of Tigard Building Depaartakent
l3i2s aw Ball Blvd. Tigard, Oregon 97
Inspection Line (Rec-O-Phone): G39-4175 Busineea ZP :
-4171
Inepection• —
Footing Plbg. Underelab Hach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gae Line `IINALs
Poet/Beam Struct. San. Sewer Framing - 1,B a9•
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hech.
Date Requestedt L Times AH PH
Addreaas �7—I G rm t is - 7
Builders�.I�L'V1 / �OC I r_
THE FOLLOWING CORRECTIONS ARS REQUIRED: C i
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Inapectors -- - Dates _
APPROVED _�---DISAPPAOVED APPROVED SVMTE('T TO AR15vrt
r•ri 1 P��r Rr•Lnnp.
INSPECTION NOTICR
City of Tigard Building Depart—Int
13125 SII Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 6, -4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINnL:
Poet/Beam St.ruct. San. Sewer / Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water/Line Gyp. -Meeh.
Date Roquested: �/' ` � Time: _�AM PM
`a5 t� Ave —Time:
a f' e l
Addreses 1�. 9 LJ Permit 1s C LZ—
Du Llders Pd 3�- O Y/ 7
TBE FOXZ"XNG CORRECTIONS ARE REQUIRROs
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i
RfriEU DTSAPPROVRD APPROVED SUBJRCT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Bol.lding Department
13125 SW Ball Blvd. Tigard, Oregon 97223 -
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection: --
FootingPlbq. Ifidorstl�ab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. TOP Out Can Line FINALt
Post/Beam Str[nct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Wate
-
r
j Lineg (/ Gyp. Bd. -Hoch.
Date Requeetedt_ ! G' //- / TiM/t(7 —AM PM
Addresas s/ t Pa9 it 1t 2e/—of 2
Bulkier: / 77 / L It m ,21/1 6)z"
-V2. �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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tnepectort Date- 7 A r
I/ED DISAPPROVED APPROVED SUBJECT TO A�
Call For Reinsp
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:. _
rooting Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Cas Line 1IK11Ls�'
Poet/Beam Struct. San. Sewer. Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -:tomb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested: (D -Cs i I �'Airaet� [�rif11K (� PM
Address: I .�5a� 1 lQ PIM-i it,t L 1-
Builder: 4 Uwze_r �1u_ ,yyb o uc1- I9 n_
"M 11OLIAWI CDRRECTION.4 ARE REQUIRED: �^
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APPROVED DIPROVMD APPROVED SUBJECT To AROVE
Call For Reinap.
�NSPECPION NOTICE
City of Tigard Building Department
13225 SW Hall Blvd. Tigard, Oregon 97223
Ina pr Line �ec-O-Phone): 63 -4175 Busineas Phone: 639-4171
I •pections � � L'
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gaa Line FINAL:
Pout/Beam Struct. San. Sewer Framing -Bldg.
�R
Poet/Beam Mech. Rain Drain Inaulation -Plumb)
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Dats Requeeted:�// Time: _ PM
ti
Addr"fla: Permit 1:
Hui
THE. MELLOWING CORRECTIONS ARE REQUIRED: 11
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Inspector:
APPROVED DISAPPROVED APPROVED SUBJECT TD Aar"
—__Call For Reinsp.
CITY OF TiGARD BUILDING PERMIT
PERMIT' #. . . . . . „ : LAUP940174
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0-1 /05/94
13125 3VV Hall Blvd.Tigard,Oregon 97223*8199 (5T�P�94171
417 1.
PARCEL: 2Sl10CD--l_Z11Zl103
YL ADDRESS. . . : 15599 SW 116TI-4 AVE #S. M
''-SUBDIVISION. . . . . KING CITY ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
REISSUE. FLOOR Ai*RFAS----------------- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :ALT FIRST. . . . :770 sf N: S: E. W:
TYPE OF' USE. . . :COM SECOND. . . : sf PROTECT'
TYPE OF CONST, , 5N THIRD. . . . : sf N- S.- E. W:
OCCUPANCY GRP. :B2 TO*T'(',L----------: 770 sf ROOF CONST: FIRE RET? z
OCCUPANCY LOAD:8 BASEMENT. : sf AREA SEP. RATED:
'31 DR. : I [IT. : 16 ft GARAGE. . . : sf OCCU SEP. RATED:
BSMT" : MEZZ? : REUD SETBACKS- REQUIRED_.__....._._____.__._.__. _ ___.._.
F=LOOR
EOUIRED----
FLOOR LOAD. . . . : P'i f LEFT- f t RGHT: ft FIR SPKL: SMOK DET. .
DWELLING UNITS: FRNT. ft REAR: ft FIR ALRM: HNDICP ACC:Y
DEDRIVIS, BATHS: IMP, SURFC-lC11:0 PRO CORR: PARKING:
VALUE. $ - 7100
IRemar-ks 9 Dr-,. Jensen- Leriant improvement, ADA 1_tpgi-ades
Owner-.- FEES
ROBERT TOBIPS type ai"01-tnt by date r-ecpt
15399 SW 116TH AVE PRM), t 68. 50 06/14/94 94-253472',
PLCK $ 44. 53 06/14/94 94-253475
PORTLAND OR 97,205 FIRE $ .'--,7. 40 06/14/94 134--253475
't_Tionp 4: ;7.34-0905 5PCT $ 3. 43 06/14/94 94--253475
Or-
j�RMES & ASSOCIATES
11083 SE 13TH #_-
PORTLAND OR 9720L
Phone 232-OA17 $ 143. 86 TOTAL
peg #. . : 42173
------- REOUIRED INqP'ICT IONS
This permit is issued subject to tie regulations contained in the rraminij Insp
Tigard Municipal Codj, State of 0-e. Specialty Codes and all other Gyp Board Insp
applicable laws. All work will to done in accordance with Si-i s p Ct. i I r-1 g I n s p
approved plans. 'his permit wi!l expire if work is not started Final Inspection
within IS@ day, of issuance, or if work is suspended for more
than 18@ days.
cr-ruittee Siynatl,r,
Call for inspection 639-4175
L I Ty I It J I HARD PF 111I PT Of" ["A YMI.-N) III 1A IIII Nit. .''t
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Commercial Building Permit_Application G
City of Tigard
13125 SW Hall Blvd.
Tigard, ON 97223 -
(503) 639-4171
Jobsite Address:
Tenant: 7 dl1:,� Suite*
_ Office Use Only
Valuation:
Planck/Rec #
�' � "��
Permit it
Owner: LL_L� L ,_ ll LL IZ4. Map& TL#
Address: ~- L f .` 1''1 t I_� Approvals Required
Planning_
Phone: 2 J Engineering
Other
Contractor:
Type of const: r J
Occupancy class:
Phone: _
Sprinklered? Yes �No
Contractor's License # 12-7 �� 3
(attach copy of current Oregon license,) Sq. ft. of project: _
Contact name & phone:— '- t^)t'V Z-Z `n817 Sto 2nd, etc. �v
Proposed use:
Architect/Engineer:
Previous use: ,"Cy
Address:
Note: Plumbing & mechanical plans
must be submitted at time o'
building permit application.
Phone:
JOB DESCRIPTION: 1 kyU(-- V C�
f'��Pr i�Q 1r.�.1��,�3L.�i�sTi rA.�_ C-C 1 L►►J �s-- ---
5 C)Pi .7
Applicant ign e- & Plibne umber
Received by: _ _ Date Received:
�r)) Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) _ 3 L/'3
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP) _ _—
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) _
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0) _
CL
Water Quality (WOUAL)
Water Quantity (WOUANT)
,'— Fire District (FIRE)
J
Erosion Cntrt Permit (ERPRMI)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
l
- "%e JUN-02-'94 THU 11:06 ID:CITY OF KING CITY FAX N0:503 639-37?1 4476 P01
I Post-It'brand fax transmittal memo 7671Not p.gas 0
7b Fre N —;2-._
Co. � Co. 1 t
KING CIT) ,A
Dap-t.
Phony
tl_ r,q Fax
16300 SM.. 116th Avenue,King City,0M90n 1171:! l �32—j 7-7
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BLJILDSNG P 'RM -
T _r ZL1'F', T' rATTCDN
DATE�=1V 7y KING CITY BUSINESS LICENSE A-,21.73
NAME OF APPLICP.NT��i+f«
E;ZNO.F
ADDRESS PHO',
�Q � � �^� )
NAME AND ADDRESS OF PROPOSED IMPROVEMENT -1-al
r� r QST-�►�)
y PHONE NO. Z-.
3_- zoic
NAME OF CONTRACTOF. / ---tr5 PHONE NO. _7_ 3 Z - �
ADDRESS X08_ LICENSE NO. Y Z/?3 YPP'
TYPE OF CHANGE? OR IMPROVEMENT FOR WHICH PERMIT ISQ
RE UESTED.
DESCRIBE BRIEFLY - ATTACH A COPY OF THE PLAN OR DRAWING OF PROPOSED
PROJECT_
SIGNATURE OF APPLICANT
*APPROVED APPLICATIONS ARE VA1LTD FOR SIX MONTHS ONLY*
NOTE: Oregon Homebuilders Law requires that all person, who contract for work on
a residence be registered with the Buildern Board which means the
contractor is bnrded and insured on the .ijb site. Por your protection, be
certain your contractor in registered by calling the Construction
Centracrors Board at 1-503-378-4621 Extension 5000.
-- _!FW OFFICE USE ONLY `
APPLICATION RECEIVED BS' p � —
APPLICABLE FEE RFrETVED � - _ rONDITI0N5 rr_. ,q
V1 APPROVED BY __ -�-
— ----- _DATE
N
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pemit mus lso ® obtained from the Cit of
Y T'igatd Department of
•� Cotuauni ty Development Yes N.,
J
J CITY OF TIGARr INSPECTION REPORT
This project has beer
Comments ---
innpected ar-d: AFFroved Denied
Signature bat?
(Building inspector Please return one copy to King City) ��
JOB V� `►
ARMES AND
• ASSOCIATES, INC. SHEET NO _- -- OF- --
CALCULATED BY -. DATE
CHECKED BY DATE -
SCALE-NAL ---
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Key: Blcnck = Fxlsting Features W p,,►-�-5 CCjCRtDcrt
Blue = Lossee Improvements �vV
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ADAAG 11, 12 1991 UNIFORM BUILDING CODE
,4401nlrw slope shall Y
not exceed 1:20 slope= Y:X
where X is a level plana
walk street
Figure 11—Measurement of curb ramp slopes.
flared side
10
//X Is less than 48
then the slope of dw Pared id
ae Ftar+dasides
shall not exceed 1:12 �
Ptentino or other
non-walklnp surface
ii
n
w Returned Curb
J
Figure 12—Sides of curb ramps.
604.46
I
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MINIMUM STATE STANDARD
SINGLE -- DISABLED PERSON
PARKING 'SPACE
PARKING tM D.M.V.
1, DISAELED PEXAT ON.T
VKX-AT0RS SL13ACT TO
,T• TOWING UNDER
ORS EILG20 AND FINE
UP TO $250 LHOER
ORS RL615
VA1 ACCE :,BLE � OR20-68.D
q' 30° Typ•
i Painted —
Stripes
2' Typ.
17'
N � rI: A-
24'
N min. '
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PAVEMENT STENCIL WHITE
BLUE BACKGROUND AND
N
BLUE PAINTED CURES OPTIONAL