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11000 SW 121ST AVENUE 11000 SW 121.ST AVENUE - Or N°- � J .< City of Tigard Building Dep"tolt �1y,5 ow gall Blvd. Tigard, Oregon 97223 inspection Line (RAC-O"Phone)s 639-4175 gv.sinevs Phones 639-4171 Inspections lootl_ng P1bQ• und•rslab Hoch. Rough-in hMr/Sdwlk Pound. Plbq. Top Out Gas Line ,=d, Post/Beam Struct. San. S•w•r framing Insulation 'Plumb' Post/Beam Hach. Rain Drain / L • Gyp. ad. Mater Plbg. Underfloor C��//� P14 �� Times hM Date P*qusst•ds 1O Permit Address s /V Builders --� TBE pOI.LONIMO CORRRCTIOIIS ARE RBQUIRRDs 1 Dates Inspector: .-I-�hPPROWD _ DIShPPPOVED hPPROVRb SUUJECT TO ABOV11 Call for Reinap. CITE' CSF T I GARD CERTIFICATE OF COMMUNITY CIEVELOPMENT DEPARTMENT OCCUPANCY 13125 SW Hall:slvd.Tigard,Oregon 07223.6100 (503)8394171 PERMIT #. . . . . . . j MST940, DATE ISSUED: 12/13/94 PPRCELc IS134CA--00600 SITZ ADDRESS. I t 01710 73W 1 C7.I 73T AVE SUBDIVISION. . . . t Z ON I NG.P-4. 5 BLOCK. . . . . . . . . . I Lo T.. . . . . . . . . . . . . I CLASS OF WORK. -ADD TYPE OF UqE. . . c BF OCCUPANCY ORP. %R3 U%,_'UPANCY LOAD-. 116 4 TENANT NAME. . . : Rem nark st REMODELING GARACA" INTO 4 BEDROOMS ANL, ADDING A I\ir-.W GARAGE PATH w , Owner' . ------ WJ.PJLk3ON PRov-spricF; PC) BOX E,4'7 HILLSBORO OR 971a4 640. Cont V'act ov-I WINDSOR. PROPERTIES LTD r-"O T30X 647 mt i..,sscjrw OR 97124 Phone #: 640-1757 Rplj 4b. , c 50014 OCCUPWIC-Y of the above i-efer-elic-ed building is hel-eby givell, arld ("pl-tifiv the comp) iaylce with the Gtato Of Oregon Specialty Codes for the group, accl.,iparic.,yq and use Llt)dPt' Whil..'h the )-efet-enced perm ' was issued. -vT 4i JILDIN(i i0f,. L i ,f1 AL POST 1 N CONSPTCUOUS PLACr F- �'Y OF T I GAR® PLUMBING PERMIT CI F'hIZMI. T #. . . . . . . : MST94-Illi::':1-'_._ DATE ISSUED: 06/14/94 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCE=L: 1S 134CA--0060-0 517E ADDRESS.. . . . 11k'100 SW 1j�_*1ST AVE SUBDIVISION. . . . : 70N I NG: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . ,. . . . . . . . . . ------------------------------------------------------------------------- :L.ASS-nF WORK. . :ADD 'SARBA( : UIOPOSALS. . :0 FYPE OF USE. . . . :SF WPSFIING MHCH. . . . . . . :Iz1 BALKF-LUW PRE.VNTRG. . :0 UCCUPANCY GIRD. . : R3 FLOUR DRAINS. . . . . . . :N F . . . . . . . . . . . . . . :0 i1'UK1LS. . . . . . . . .. 1 WH I'LR HLA FERS. . . . . . :k1 L:A i UH NHS1N`bi. . . . . . . :0 hTXTLIRES- -___._ ._____.-__•-_ Li4UNDRY TRAYS. . . . . . :0 GF RAIN DRAINS. . . . . .. 1 SINKS. . . . . . . . . . :0 GREASE TRAPS. . . . . . . :Qi LAVFYFORIE:S. . . . . ..2 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE: (ft ) . . . . :0 W(A TLl1 LLOSETS. . : 1 WOTER LINE ( ft ) . . . . :17 UISHWHSML-.Rb. . . . :0 RAIN DRAIN (ft ) .- - :0 Remarks : RL;MODELlNG GARAGE INTO 4 BEDRO0115 ONO ADDING P NEW G11kAUE PASTH 1 HFA(:' OWNER; -_________.____..___.__ _.____,.._._._.__.__. _..___._._-----_--._--FEES---_____._____-_.._. WINDSON PROPERTIES PPRT $ 140. 50 SW 06/06/94 94- 2531`: P CJ BOX 647 BPL.C: $ 91. 33 SW 06/06/94 94-•2531.3c, B51-'i_ $ 7. 03 5W 06/14/94 - HILI._S'BURO OR 97124 MPRT R 25. 020 SW 06,1 Ob/94 94i::'b`r Ii'-) I!hone #: 640-1. 155 M1-'L( t.. i-:t) bW 0b/ 14/94 4 - IY15PL 1. 2b SW 06/ 14/94 - Plumhinp C'antra(._to,• i 'PR T k 40. 00 SW 06/14/94 - � -C F��PC ! 2. 25 SW 06/14/94 Nam 1..� �(L, � ��•C 1 1�•`'t-•`'LC; / .l�2�, C i t u ! -------- REQUIRED I N51`EL J i UN`s This permit is issued sub.,)!lct to thy. ret,.- ulations contained in the Ficlard Municipal Foot/fol.Ind Insp Building Final Code. S3tate of Ure.. Specialty Codes and all F,ost/BPAm Str•uet; Erosion Control other applicable laws. All work will be done Post/Beam Mechan _- in accordance, with _�porovpd plans. This PLM/Under Floor permit will expire if work is not started Mechar• ical Insp _— withi.rl 18171 days of issi_lanc_e, or• of work is Pll.1mb lop Out suspPncled for more than 180 days. Framing Insp _ ins ;1 a t i o n Insp ------ ---- - .., Gyp Board Insp Rain drain In p Mechanical Final Plumb Final c)1.1thott, c! L;ontr•ac_tor Signature Cali foi, inspection - 639-4175 Intractor Notes :-- r Residential Building Perrnit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 972.23 (503) 639-4171 _ K--q , Jobsite Address: Office Use Onl Subdivision: __ Lot # Planck/Rec # - Valuatio 41--c-) 22-3-- / ` / Ferrnit # Owner:7(J�'/t,��.',C�YL Y'C -7T/�";'7 C/ 7�i' Reissue of Address: ��k ick V ? Map & TL #� 0'� " Approvals Required F'hune FIanning Contractor: IC.)1/",�off J�'''f�'/rY7�7/ � ��z-� Engiriering Address: ) I >��.�r� T? �L,i 'Aher _ Items_ Reeaulred Phone: � _�� Subcontractors Contractor's .cense # .'l.._.cLL� � (attach copy df current Oregon license) Trus-- Details _ +, Contact name & phone: f--'/ 7 ZAJI'[li i� Other ff Subcontractors: 11 � Plumbing: /�L�l�/i�C 1"✓L y��/ .. d Mecnical: (attach copy of current OR Contractor's L! n ) Arc hltc±cUEngIneer: Address: r Phone: C� lf�;�,��tI JOB DFSCRIPTIC' ��' ' '+�" �/ /� [ A J-jo c /A)1 Applicant Signature & Phone nu Received by: — _ Date Received: r Permit Account Description Amount Amt. Pd. Bal. Due �1 �011 3 Bldg. Permit (BUILD) 4_5�- �yy.J2 Plumb. Permit (PLUMB) y j�. •+ / � �'�--- Mech. Permit (MECH) Z ,✓✓ / / 7 G*,y} State Tax (TAX) /0, S3 Bldg: Plumb: ;1 . 2 Mech: Plan Check (PLANCK) Bldg: q1, 33 Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIE=-MTI Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Ouality (WOUAL) Water Quantity (WQUANT) Fire District (FIRE) Erosion Cntd Permit (ERPRMT) Erosion PlanckAJSA (ERPLAN) Eroskrn Planck/COT (EROSN) TOTALS: CITY OF T I GARD PERMIT 2 2 COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . .. . . : NST04-L7101 13125 SW Hall Blvd.Tigard,Oregon 97223*8190 (503)639-41171 DATE ISbUED: 06/14/94 PARCEL: 113134CA-1641600 S11-E ADDRESS. . . : 11000 SW 121ST AVE SUBDIVIbIUN. . . . : ZONING: R---4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . BUILDING REISSUE: DWEL.LING Ura i,rs: ,.- BASEMENT. (71 s CLASS OF WORK. :ADD BEDRMS:5 BATHS:2 GARAGE. . , . . . . . . . :440 Sf TYPE OF USE. . . :SF 1--'L.00R REOUIRED TYPE OF CONST. :5N FIRST. . . . .0 st LLF- T. . -.0 ft RIGHT. :5 ft OCCUPANCY GRP. :R3 'SECOND. . . :0 Sf FRONT. :20 ft REAR. . :0 ft �:,10 H.E ES. . . . . . . : I THIRD. . . . :0 s HEIGHT. . . . . . . . : 16 ft S f SMOKE DETECIORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 20000 PARKING SPACES- 41 Rema"kst RE110DELING GARAGE INTO 4 BEDROOM r) AND ADDING A NEW GARAGE PASTH 1 RED, PLUMBING S 1 NKb. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACF',FLOW PREVNTRS. . -.0 LAVA r ON I Eti. . . . . :� WATER HEATERb. . . -0 *T RAP'S. . . . . . . . . . . . . . :0 i ULA/SHOWLRS. . . . : 1 LAUNDRY T'RAYS. . . -0 CATCH BASINS. . . . . . . :0 WAT'ER CLOSETS. . : 1 SEWER LINE (f7t ) . :0 GREASE TRAPS. . . . . . . :0 DI 9HWASHERS. . . . :0 WATER LJNE (ft ) . -0 OTHER FIXTURES. . . . . ..171 GARBAGE DIEP. . . :0 RAIN DRAIN (ft ) . -0 WnSH ING MACH. . . -0 SF RAIN DRAING. . I MECHANICAL., FEES FUEL UN I I' HT RS. . :0 type amm-int by d�*t e V,ecpt /U 04 S V�N';S . . . . . ..0 BPRI $ 140. 50 SW 06/06/94 94-253131.4 MAX !NPUT.0 BTU VLN . 1--$4Nb. . : I 13PLU $ 91. 33 bW 0b/06/94 94-253 13'.- FURN < 100K . . :0 HC10DS. . . . . . :lb B5PC $ 7. 03 SW 06/14/94 – PU R N I V,0K K . . - I t 4 U 0 1)L.3 T 0 V E c.-,. -0 MPRT t -15- 00 SW 17.16/06 i 94 94-25313'- FLOOR FURN. . . . :0 CLO DRYERS. : 0 MPL.L $ 6. 25 EW 06/14/94 BOIL/CMP < 3HP:0 UTHER UNITG -0 M 5 P C $ 1. 25 SW 0 fi/14/9 4 G(4S OUTLETS:LA PPRI* $ 45. 00 SW 06/14/94 Owripy� .- $ E. i25 SW 06/14/991 WINDbON PRUWERT ILS P U LAO Y 6 4/ HIt.A..S8UR0 UR 971E4- Vfihuris� #*. 640-115b Contractoi- lt WINDSOR PROPERTIES LTD PO BOX 647 1411-1.-SRCIRO OR 9712-14. Phone 640-1195 Reu 52014 $ J 11. F 1 TOTAL.. `his permit is issued sublect to the regulations contained in the ------- REQUIRED INSPECTIONS Tigard Municipal Code, Statt of Ure. Specialty Codes and all other Foot/fol-Ind Insp Gyp Boar-d Insp applicable laws. Ail muJ will be done in accordance with approved P'015t/Seakln CStt-ijCt Rain Ot-a.in Itisl-.) clans. This persit will expire if work is nct started within 188 Post/Beam Mechan Mechanical Final "-ks of issuance, at, if work is suspended for more than 180 --sPL.M/Under-f I ocit- Pll.imb F inal Mechanical Insp Bl-tildiTig Final ei�mittee SignAtl-trp r'll.imb Top Otit Erasion Contrnl FrAminq Insp 75upd Emyr ln;Ltlaticiy) Insp fnr inspect ivii -- 6-3q--417`= • t TU A LATIN VALLEY TIRE & RESCUE AND BEAVERT©N FIRM; DEPARTMENT 4755 SM. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2538 September 27, 1994 Protech Fire Protection, Inc. 2901 S.W. 153rd Drive, Suite 114 Beaverton, Oregon 97006 Re: Adult Foster Care Home 11000 S.W. 121st Tigard, Oregon 5988C-146-000 Gentlemen: This is a Fire and Life Safety Plan Review and is based on the 1991 editions of the Uniform Fire Code (UFC) and those sections of the Uniform Building Code (UBC) and Uniform Mechanical Code (UMC) specifically referencing the fire department, and other local ordinances and regulations . Plans for the above captioned project have been .reviewed and are conditionally approved subject to the following items: Plans will ba forwarded to City of Tigard Building Department for pick up. Prior to making a special trip. this office would advise contacting said building department to assure plans have been trans.fe.rrerf, 1 . Heads located in the living room and adjacent bedroom (in the lower right hand corner of the building plans) are over-spaced. This Plans Examiner would suggest that heads be stubbed to center of the rooms (left and right) to correct this situation. 2 . Contact City of Tigard Buildin- Department to request .inspection prior to covering of all piping systems. 3 . Contact City of Tigard Building Department to arrange for inspection appointments. -working"Smoke Detectors Save Lives Protech Fire Protection, Inc. September 27, 1994 Page 2 Approval of submitted plans is not an approval of omissions or oversights by this office or of ;ion-compliance with a;i✓ applicable regulations of loca . government. If I can be of any further assistance to you, please feel free to contact me at 525-2502 . sincerely Gene Bi.rchill, DFM Plans Examiner GB:kw / cc: city of Tigard Building Department ✓