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12000 SW MAIN STREET •wu.'Me�rerw..wraw...,r'...v. F+�..,�.....�r.WMW+\.w'vww✓«.W_+�N.++�'�.0^.+.N,�y. .,.a�+y..4.yrm..:..:».,.,.r.w...r....,�....r•'w�'IM�fM'SWM'M4MlwWV'..YrJrNi'eWbWs:I+:w.wJM'ynMRM�+�vIW+N�^'+M�+��Ii�NM�M"N�RM�F�MMa14WWMMFlM.�4�M.'wx��k r:..w. i N co C) O to f 3 r� to to d ( d x' IA� 17-91115 NIVW his 00077 Or am"!�' [.�f ^l"� •'L •pe,.,,`'�'1 ,. �y `- p i� fit„_ ,,,'(,,i a�.�Q d'- � _"`_:z.ot� .!Yn...,��a�•w' .mr �I�.rt. G1 � r { max - , � t o u��i � G. •z ,g,4�'�a 1 I ��4 o04'b c " U v � . Cd 04 PQ " W �' '� ` 'b 7 t f � M u CC 41 !!! W b o ji O �: - ► u n ff~ o� c«, U �, ro ' u Iou 1 w .-q 'I.' ice. .D '" \�. a Ye "�• �1 1 rp 0004 QS I _ u cd tj ur O V ON ', * ` �'• va ,.•`{z seg. �r �11� � e9r�*1` ¢�.r( s WO ,� >A �y CONSOLIDATED FIRE ANO RESCUE Weshlro7ton County l=ire District No.1 City of E'esverton Fire Department Tualatin Fire District �* FIRE MARSHALS OFFICE (503) 52E-2469 POSTED; OCCUPANT CONTRACTOR BLDG. PERMIT 0 PROJECT NAME PLAN REVIEW 0 LOCATION JURISDICTION: 1= Be. 2= Du, 3= K,C. 4= Ti. 5= '.7u. 6= Sh, 7= Wi, 8= CC 9= WC 0= PIC COVER FINAL, SPECIAL, FOLIAW-UP/REINSPECTION ATTEMPTED FINAL ❑ Framing ❑ Se?arat.ion Walls ❑ Sprinkler System ❑ Shaft ❑ Fire Damper � (Overhead/Underground) t Alaim System U Hood' Extng Systems ❑ Conference ❑ Spray Booth ❑ Ceiling Cover ❑ Other Dace: � ,�` _ �� Inspector. INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4.175 Tvpe of Insppttion CJ2 Date Requested Time—A.M.2P.M. Address Permit #'3 Owner Lot 0— Builder The foil OJI, 130-ding Cade deficiencies are required to be corrected-. Z_ Presented to o4i!F Approved Inspector Disapproved Date CA U FOR REINSPECTION r-I YES 0 NO L TUALATIN VALLEY FIRE AND RESCUE FIRE MARSHALS OFFICE •� �rn�rr� 4755 S.W.Griffith Drive • P.O. Box 4.'55 • Beaverton,Oregon 97076 • (503)526-2235 April 1989 Gary L. Haagen 2100 N.W. 133rd Portland, Oregon 97229 RE: Haagen Chiropractic Clinic 12000 S.w. Main Street Tigard, Oregon 97223 Dear Mr. Haagan: A fire and life safety plan review was conducted on the above captioned project for compliance with the 1985 editions of the Uniform Building Code (UAC) , Uniform Mechanical Code (UMC) , and the Uniform Fire Code (UFC) , as amended by Washington County Fire District No, 1's Ordinance 86-1. Plans are conditionally approved subject to the following items: 1. xit Door Hardware: All doors shown on the drawings must he openable from the inside for immediate exit at all times without th? use of a key, special knowledge, or effort. UBC Sec. 3304 2. Exterior Exit Door: Hardware for the exterior doors and key operated deadlocks may be permitted where thew is a sigii posted on or over the door reading, "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" in letters riot less than one-inch in height on a contrasting background. UBC Sec. 3304 3. Firestopping: In all wood framed walls and partitions, firestoppi.ng consisting of 2-inch nominally-sized lumber or other approved materials must be installed at all floor and ceiling levels. Penetrations in this prescribed firestopping to accommodate 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. Mechanical Plans Required: Plans referred to and examined by this office contained no plans for heating or air conditioning systems. Unless electric baseboard heat is employed, complete mechanical system plans for the MIAC equipment and duct work must he submitted to and approved by this office prior to installation. UBC Sec. 302 Gary Haagen April 19, 1989 Page 2 5. Mechanical Equipment Approval: All. heat producing and electrical equipment and ap,.liances installed in conjunction with the construction or occupancy of this project must be approved by Underwriters Laboratories, Inc. or other nationally recognized testing agency and installed in accord-ince with the testing agency's specifications. UMC Sec. 502 Please note: If no mechanical revisions are being made, disregard th• above 2 items. 6. Address Required: The tenant space number must be prominently displayed on the street front where it is readily visible to drivers and officers of responding fire apparatus and other emergency vehicles. UFC Sec. 10.2C8 7. Eire Extinguisher Requirements: Not less than one (1) approved fire extinguisher(s) with rating of not less than 2A10B:C shall be provided for each 1,500 square feet of floor area or fraction thereof. The travel distance to an extinguisher from any portion of the building shall not exceed 75 feet. UFC Standard 10-1 8. 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 construction and must. be made available to building and fire inspectors for reference during required construction inspections. UBC Sec. 303 9. 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) upon completion of construction and prior to occupancy of the tenant space. UBC Sec. 305 1.0. Certificate of Occupancy Required: Prior to the use and occupancy of the project (space) , a certificate of occupancy or other written instrument of approval must be obtained from the City of Tigard Building Department. UBC Sec. 307 SPECIAL NOTICE: DEVIATIONS FROM THE SUBMITTED AND HEREBY CONDITIONALLY APPROVED PLANS DURING '."HE COURSE OF CONSTRUCTION, EXCLUSIVE OF THOSE NECESSARY TO COMPLY WITH FIRE SAFETY REQUIREMENTS AS LISTED HEREIN, ARE PROHIBITED WITHOUT THE WRITTEN AUTHORIZATION OF THE WASHINGTON COUNTY BUILDING DEPARTMENT NND THIS OFFICE:. t Gary Haagen April 19, 1929 Page 3 APPROVAL OF SUBMITTED PLANS IS NOT AN APPROVAL OF OMISSIONS OR OVERSIGHTS BY THIS OFFICE OR OF NON-k;OMPLIANCE WITH ANY APPLICABLE REGULATIONS OF LOCAL GOVERNMENT, If I can be of any further assistance to ,you, please feel free to contact me at 526-2502. Sincerely, Gene BirWi �l/ Deputy Fire Marshal GB:kw cc: Tigard Building Department (/ John Runckel CCITY OF TIRD OREGON April 12, 1989 Gery L tiaagan 2100 N.W. 133rd Place Portland, OR 97229 Project: Haagan Chiropractic Clinic, AP 89079). 1200( SW Pacific Highway Dear Mr. :iaagan: Plans for this project were reviewed for conformity with applicable codes, and are approved, subject to clarification or inclusion of the following iteme. 1. New walls shall be constructed as indicated on the revised plans. 2. All doors shown on the plan must be openable from the inside for immediate exit witnout the use of a key, special knowledge or. r.`fort. If any changes or &Odttions will be .made to the plumbing or mechanical system, please submit plane show ng the changes. Separate permits will be required for any such work. You may get the building permit for the project at your convenience. If you have any queut:ione, or if we may be of assistance, please contact us at any time. Sincerely, cim Jaqua( - Plans Examiner 13125 SW Nall Blvd.,P.O.Bax 23347,Tigard,Oregon 97223 (503)639-4171 -------------- A I31.1J*LI):I:N(*.-o PERMT T CITY OF T I GA RD CITYOFTWARD I:4*-.':Pr1T'T NO . : BLAR90791 COMMUNITY DEVELOPMENT DEPARTMENT 13125S.W Hall Blvd.PO Box 23397.,rigfird,Oregon 97223.(503)639-4175 )1,Y11 L:. :1.5F.AJEA.) I/1.e./(39- NT tj , 1:)m r NU lij�gq-79-k 0 11 ADIA-fl:':1!5 . 1. 0 15W r'TV*.'4. -+--,H-'.v 1,11,1 MOV, L(1'T P I PFV) 9W.", 5011.: 51.4(:)1•'1:1 I:NL.; N 11::64 1 1 G;I< L.AN D I I'.i : 1. 01 i;i j1:ZF'.' MIA : 1,756 1 F NON 1 1;::A R NO I;;:IA)P0(R45' : LXI WAI L ('1(:)W0' : V . l'Yl:,I:.: VN NO N !.'I j::: W 1-001) N 1ii F: W 11XI(.it,, (^lNI*:A') : 1.260 J. 1 'S T :1.r.?6 0 POW (.101`415 1, 1:1 F TPE: H.: 11-? yl-.':!*l A611A NO 1.4611 ,1) I I Ill . , 1 .1 NO .31:41:) (:1(.:(:;1.1 G' . lilci:V,A P, 7 NO 14,-N I. 11 NC) 1:: 1!;r'i - -1 ll.; I.X)AD 5 F .134i: SOPKIL 1:47 NO I'd III 'Ii I it F L Ow G,V,M I)l [I I, ( Jj y''I'PIK'. : fort!:: (1CICU.157 YL;!i t-Lil�11'i NUI 0 41Y1:1. 50 W N ;'.100 (114 11!), I`cl V' lo.l (I.., I't 0t) I-+V.1 I W 1116 W 1 0 E 171 c)I- i4.I'l 9 Its.1;9 e.1 R C II'Mil 1`41 G IAAI-,,� 1; 0 1 1.)1:11M N T R A C F,1-4E.11:1 n1l.1) d+:10:3 . 41:1 T 0 R I 01A L. rill U.j t;. This permit is issued subject to the regulations contained in Title 14 of the TMG. State of Oregon Specialty Codes.zoning regulations and all other applicable codes and ordinances, and it Is hereby Ull,1.1 PF.A) .1 0SPE;A"1 .1. agreed that the work will be done in accordance with the plans and specifications and in compliance with all applicable codes and F IY)M f 11-A.; ordinances The issuance of this permit does not waive restrictive 01*11.0N covenants Contractor and subcontractors shall nave current city business tax permits Phis permit will expire and become null and void if work is not started within 180 days or if work is suspended or 'jt.145J-A;:'.ND CLAA-1:1I abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to Mum all required inspections are requested and approved. 01, Permitd,Signature' el-2VIR (,C Issued By !I' J II I T ON (13� -.1.1 1 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB(.)VE I • I I I , 1 11 J --t -- --j i --•--'-'r-- N60 WA - l4w CT _"_ - - -- L4EAO ��NIN�IL � , V7 ,y (Arm J N•CT�1L Jf sts Nwj pock` ww- LrAO 6464, -- — , I ; i _ _ .. I - L._1_ I f Wim\ TUALA la VALUY PRE. M!40SiML tI�F 3" APOAC)v f) . . . . . : . APPPOVAL cir PLA 49 ig NOT W.APPROVAI. 6MIkgl 4jA 01 r'Vrmoj*HTA. ATL POST STREET "�E�'ESS t:��,-��t� uil in. mist be �o, 71 ted 108.SIT 06 ina inve(hor cl C,i 0 cc pa icy I;Fi .._ ... _. ......� Vo Ic N cel i EX 1T-_ If l V-r pr -t- -.. �. ..�.ssr:•_-�aar-��nln.+rwn� �.•�^.x.^r_-�-.-.,.. _-_._..�.,._.x......._.4..._4.-...'-"^�..'�. _...__...- _ _ Permit No. SP 89-37 CITY OF T1.;ARD SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the accoaprnying plans and specifications. SIGN LOCATION ADDRESS: 12000 SW Main St. ZONING: CBD __ NAME OF BUSINESS: Haagen Chiropractic APPLICANT/AGENT: owner COMPANY: PHONE: 643-6747 The City of Tigard imposes an annual Business Tax which must be kept current on all persons doing business in the City. Do you presently have a current Business Tax? Yes ( X) No ( ) U.L. Label A !_ wtasswzasswsswwsssswswsssswsssa:swsesz=wwsasvwzswaazwea tw:rss�t�ew:r�srszaa=ssssiz+�szsnwwzzz PRCPOSED SIGN: (Check as many as apply) PERMANENT ( X) FREESTANDING ( ) FREE14AY ( ) TEMPORARY ( ) WAIL (X. ) ELECTROi4IC ( ) OTHER. ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS: x 18 inches_ EXPIRATION DATE: TOTAL 3TGN AREA (Sq. f-) : 75.6 sq. ft WALT. AREA (Sq. Ft.): 7�A sq_ ft• WALL FACE: norriwest _ - _— HI.TGHT (ft): _n a PROJECTION FROM WALL: n a ILLUMINATION: YES ( XT NO TYPE: floodliq}tts COPY: Haagen Chiropractic Cii.nic MA'l`ERI 1--: p ei x- — - — - EXIST1NG ST0,NS: ^_ l tees an�c ng sign PDMINTSTRATTVE EXCF,PTION: F/A ( ) APPROVE[ ( ) HOW MUCHX AREA ( ] HEIGHT [ ] COMMENTS: z-._sc ss._s:a s=e:aas:_:x-.s.-L saa ac-^-�- `�z:sazazaza--xa=�=sss==-wzz�ac==�.^..m:zazaazazwza—x PLANNING DEPARTiIENT _ All. sign Permits must L•e nerompanted by a scale drawing, Permit Fee:- 25.00 _ and plot plan. If work authorized under a sign permit Receipt No:_ 103.158 has not been completed within ninety days after the Approved By. Jerry Off i:3sunnce of the permit, the permit shall become null Date: 3-22-89 and void 4- FLECTRICAI. PERMIT I CF.R.TTFY T1iAT I AN TV RECORDED OWNER OF THE PROPERTY REQUIRED: YES ( ) NO ( X ) OR Ali AGENT AIITHORIZEU BY THE OWE. _ l BUTLOING PF.RMI1' REQUIRED: YhS ( ) NO ( X ) Applicant's Signa tu e _ -7(/ A dress /�, ��Z�Z�. cl -�� e ep iTonc- ,.V.11719D/nnv t) Permit No. SP 89-36 CITY OF TIGARD SIGN PERMIT APPLICATION 'Pie applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 12000 SW Main Std; _ ZONING: Cgp _ NAME OF BUSINESS: _Haagen Chiropractic APPLICAW AGENT: owner —_ CONPANY: _ PHONE: 643-6747 The Cicy of Tigard imposes an annual Businecs Tax which must be kept current on all persons doing business in the City. Do you presently have a current Business Tax? Yes ( x) No ( ) U.L. Label 11 _ asaa--as-_aaase------aaaaa-aaanaa�aa------aaaaaaaaaaaaaaaaaaaaaasoaaasaaaaz�saaaQasaa-----a PROPOSED SIGN: (Check as many as apply) PERMANENT ( X ) FREESTANDING ( ) FREEWAY ( ) TEMPORARY ( ) WALL ( X ) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS: r. 18 inches EXPIRATION DATE: "TOTAL SIGN AREA (Sq. Ft. _: ___A9.6 sq• ft WALL AREA (Sq. Ft.) : 532 si . ft. WALL FACE: _ southwest HEIGHT (ft): _ n/a PROJECTION FROM WALL: n a ILLUMINATION: YES ( NO X ) TYPE: CGPY• Haagen Chiropractic MATERIALS: PTFX ---- EXISTING SIGNS: - and freestanding-.sicui ADMINISTRATIVE EXCEPTION: N/A [ 1 APPROVED [ ] HOW MUCH _% AREA [ ] HEI^HT [ ] COMMENTS: PLANNING DEPARTMENT All sign permits must be accompanied by a scale drawing Permit Fee: and plot plan. If work authorized under a sign permit ReceiptN- os--Z — has not been completed within ninety days after the Approved By: J- P_T -` issuance of the permit, the permit shall become null Date: —3 -8and void. FLF,CTRICAL PERMIT I CERTIFY THAT I AM THE RECORDED OWNIT OF THE PROPERTY REQUIRED: YES ( ) NO ( X) OR AN AGENT AUTHORIZED 8)f THE OWNZR. BUILDING PERMIT REQUIRED: YES ( ) NO ( X) Applicant's .Ignatu P 1_/77 0 ::51W //0 y e� V 3 >t7 Address i . / elep one 1 II f. v+ All, r4441 M 47 } 1 i -- hQ _ 61? `& X _ APPROVED FOR ('0W5 i AUCTION ! CITY OF TIGAARD PERMIT 3Fj 3 SITE ADDRESS/�(�Q�-...SW��"—`C, T17LE 5f L rirJez _DATE...._ SY'. t1 X if PIIINIED ON NO 1000N Ctf ARPIIlle .. -i._ - ....*.,,..,. '�P;' %aar."rr.:"-'w naKt:tV,'�RY•�1tat Z - - - -Al _ ` r- 17 7 - 1 1 _ _ rr.«..wYs...ri+i..r........+r.+•.,AM'�""''.".......+r.._.....t _ w.+ ,M,..w.•w«.+►`..+•.w.+^.«.w.�r.w.•....w,. d 1 1 r„ . I SCALE'I ( �_ ;7 ArFRc)VE,D AY: OR.AWN 13Y .. UA-1E QM�NAilll�� `�"►1r+iivitl�l�i�'ivivr.r+s'+a +'+t"a+'.w.w.ryp'+.,�e.+w+�..�_..,,.., � I - „b CITY TIGARD Au gust '''i 77 SIGN PERP�iIT F►r� !IC�4TION of Date � "' , 19_ No. The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 12000--,9 -W- bid n APPLICANT: Owimr Lessee Authorized Representative Columbia Neon NAME,^.OMPANY r;"ef;c.'`' .one er Tel. - -- - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - -- - -- - - -- - PROPOSED SIGN: Freestanding —._ Wall :X Projecting Other F' SIGN DIMENSIONS x �} . AREA 1F s • f t HEIGHT WALL AREA PROPERTY FRONTAGE COST 200 ZONING DISTRICT G.:. ILLUMINATION no MATERIAL p l ass COLOR dark_ brown COPY -heron , oneer Savings DRB EXiCTING SIGNS: Freestanding Wall Projecting ...._ Other COMMENTS; 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 ANNING DEPARTMENT beco �cll irtd v?fd. PL Permit Fee 'f C_ M !� r''�/ Approved _ N.F. Applicant's Signature ecei t No __^ RRenewal Date Address e7` 7 Telephone e (gym; ^ �. ^ rn, C• f 10 CITY OF TIGARv IV CY a�$ OREGON ,•.jp,. _- i. Otarler:.Oregon pioneer Savi.ngs..& Loan permit No. 1336Ic1 Building Address---12000...S1 .................................... ................ N. Certificate is hereby given this......�9... ..day of 'tjne . .. ... . .... .. 11) _7 T. I, that said building may be occupied andIV " that it complies with all requirements of r the Building Code for the City of Tigard, ! �r as approved by the Tigard City Council. Building Inspector 1 A,,, SCJ»; Ati7 y�' �� ^�!!Y+:••fi'� ':':{dl` S,,h,-� L•' � a�,' .°!.' �:�in F5 ! '� '^//'r" 'h•/ � d'�oj`7� '�f'k` u .� E, SIGN PERMIT APPLICATION COF TIGARD Date Junco 10 . 19 71--. No._1 70 The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: _ 120 )0 �9 -W , bfai n S treat APPLICANT: Owner Lessee Authorized Representative 7olurnbi n N oll NAME/COMPANY _Urngc' n I'1 annp _ Tel - - - - - - - - - - - - - - - - - - - -- - - - - - - PROPOSED SIGN: ITFreestanding Wall -; Projecting Other SIGN DIMENSIONS _JJLX X :; ' AREA � f�(�� -�j'-' HEIGHT _ WALL AREA PROPERTY FRONTAGE COST "��L ZONING DISTRICT �ILLUMINATION none MATERIAL Plastic' COLOR rel; is COPY —ren ' oneer �Izvin rs EXISTING SIGNS: Freestanding Wall Projecting Other DRB _ COMMENTS: All sign permits must be accompanied by a scale drawing and plot plan. If work authorized under a sign permit his not been completed PLANNING DEPARTMENT within ninety days after the issuance of the permit, the permit shall becomq,null and void. Permit Fee iu 1p. -- Approved ,E. Apa icant's Signature Receipt NO. _ z RAnewal Date , �r1: r �� .-j 1 , 's3 Adct3 Telephone . -wwetl,.�.►iltiYurrwi_.dr.p. .ur,....,cwarr..� _ — - aL1..u�Si+.YUWMYYYau... w...... �.,.+�-....+...�.....r.....w_... ._...u.....vw.4r...Jw•iYY'AWl1.ui.-cla..... l� r City of Tigard INSPECTION REQUEST .f o r INSPECTION TIME: __ PERMIT NO. :______ DATE: L//3/ >> DATE ISSUED :—I--.,/ OWNERS NAME ' —_ „��, e� ADDRESS: CONTRACTOR TEST : Air p, WateV, Diisapproved 61U01 p , Lab-oratory p RESULT: Approved C Pending 0 SKETCH: ATE[O // NSPECTOR DATE- [NOTE ' TE: ,Attach supplemental teff data beret '!.�' �9!''IMI�.kV( ►� w..c.. r/IIti- ..;.I' MY...',N'.. VIF�ni�11MM'.M,t.i4"4'M+li� 'lM+.: wKH'rMl�+a.'I"�`'""r�V.,1"+"iA '�'IMAI�..►w+...a..., SIGN PERMIT APPLICATION COF TIGARD Date Al'r3l 19N 77 � o.� The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 12OU S .W . Main Stroet APPLICANT: Owner Lessee Authorized Representative NAME/COMPANY Oregon l"ianeer Tel. PROPOSED SIGN: Freestanding ___X Wall _ Projecting Other SIGN DIMENSIONS _-.f "AREA 40 sq• f t HEIGHT ri' WALL AREA PROPERTY FRONTAGE COST 400 ZONING DISTRICT SLI- ILLUMINATION Jri Ce;na l MATERIAL Stj (:t rnctal and II tic COLOR !�r'owri and ivory COPY ')regon Ploneor "av�inh rinch–��c>gca DRB 0c;L .12 76 EXISTitiG SIGNS: Freestanding —A- Wall Projecting Other COMMENTS: 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 ate" Approved td.F . A�i a it's Signature ReceiptNo�—�-- — - -- I Renewal Date ____ ___� Address Telephone Construction Inspection &Related Tests Carlson Testing,Inc. P.O. Box 23814 Tigard, Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone 16031 641.4114 Date Molded: _ -j 31 , 19 Job. No. CP^-,2N Client: Pook ay,id Giiady Project:_ '�SlA�'1�z12ax S3it!.r FG Ghaca Luui Address: _T1,C,' 2xi-. _QJa0X1 Contractor: _ Prank C. Ralph ph 8: 1,ozi Sub-Contractor: Concrete Supplier: _Wi 11atnett _ Cost by: Weather: RRiAla Temp. high: Temp, low: Location of Concrete Placement: _ Ur•v Strength Requirement 3000 77% PSI @ _ Ia _ days Slump:. Cement Type: I: _ No. of socks. Entrained Air Admix, Amount: Brand: Admix, Amount: —_--Brand: Coarse agg. size: .__ ,;111 _ _Type: - IJ'A111Mi ___Fine Agg. Size: Specimen Specimen Test P Register Date Deb Total Area Unit Load Report No.. Type Days Number Reed. Tasted Load PSI No. A .__. B -_ • r $9 0 50c) ,,. 3170 C —_ a 2 7 3110 U D ,F� r'� 16 1,"2A 1000 r r , 220 5 E F Remarks: Denell D. Zander P.E. i t _ y d V G ++ a) ll WO f'J �O N C 'u1 �_ rl •� (j 41 b C j [77 1•q II 1,; r_ .3 °c p ►-�x O rd J .na � Q o +- tri In ca tri ci CA c3 •. a p .4 (J c, rl t a d p� ro lu Eu;d fu 17 °r° .o Lca z m u Ln Ln tu tu O N CU cn tu a✓ (J [ 1 iot,_ ll fl j { 'u n d 3 ,r- 7 ro '� c] c] o q J w �, � •7 u � c v, ., •� c ;• u t,• 1 f' rr. w v rJ a 'r' .3 ,—0 1�� O)nstmction Inspection&Related Test; Carlson Testing,Inc. P.O. Box 23814 Tigard, Oregon 87223 REPORT OF CONCRETE TEST SPECIMENS Phone 18031 841-4114 Date Molded: _— 19_ Job. No. — Pe�Q1c mid Or4y Client: Oregon Pioneer swFinge '��Iwl Project: Address: Tigard, Orog n -- — -- Ftn4nJ- Q,, Ralph & Sonm Contractor: — __ Sub-Contractor: _. Concrete Supplier: ¢.'If3lTefi ^ — Cast by: n ' s plr:.b7X° Weather. _ — —� __ Temp. high: Temp. IoW: tt.:tuw'%�'f.on ?xA111. Location of Concrete Placement: 2b Strength Requirement: _. PSI @ --- days Slump: Cement Type: No. of sacks:_ Entrained Air Admi; , Amount: _. — [hand: — __ Admix, Amount: __ Brand: Coarse agg. size: --- Type:- - ---- -- - – --._Fine A.gg. Size: -- -- Specimen Specimen Test P Register Dote Date Total Area Unit Load Report No. Type Days Number Recd. Tested Load PSI No. A r' .>� t r Qi :3". 8j a tt� coon 28,2`( t:r <� B e.'.�i 1.]0,500 28,25 x `✓� 10-0.!0 0 ? C 497' 3 000 29 D E F Remarks: ---_---- — ---_--�-___—�_ rt^: tltly' V nigra 1-71P ------ _.-- -� ---- R IF Denell D. Zander P.E. I Constrwction Inspection B Related %rests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 RVPOR1 OF CONCRETE TEST SPECIMENS tf Phone(603)6414114 i iiia. A 7' Date Molded: -2' _ ZO 19 _ Job. No. Client: _ Penkt Q1rwcy Antrfcr ::.nxe� Project: Oregon r ioneer Sayi.nge and Long Address: _11gard, Oregon --_-- Contractor: .._ Frar!k f_'' Ha13111 ,1s &` rje A� Sub-Contrar.tnr: --- Concrete Supplier- �taMe� � _. Cast by. - 3' �,'.1tid;97 Weather: __ i'zrt1W �: — ------._-.— __ Temp, high: Temp. low: Location of Concrete Placement: Strength Requirement PSI fd -=_� ___ days Slump: Cement Type: No. of sacks: L,', ' Entrained Air Admix, Amount: Brand: Admix, Amount: Brand: Coarse agg. size:--- -- ---Type: ----- - - ---_ _ Fine Agcl. Size: Specimen Specimen TestP Register Date Date Total-- — Areu fUnipt.Load Report No. Type Days Number Rac'd. Tested Load 51 No. -- A 6 Y. 3`'11 3-17 59tonU . 8a2E ? B 26 41381 3- 3.A �-7 11 "0'.� 28 2' --- _ �,. qz,, 3 4 500 416" 3 D 28--— --- _ 4385 3 41 4-7 1.22 P300 '8 a 2? ,e.1 yt E --- - - — F ,J Remarks 5141 City of TJ.g&ria Prank C, Denell D. Zander P.E. NIVAI, —1 let 1'"Islywl BUILDING PERMIT APPLICATION 1I Y TIGARD DATE— 3-8-77 rl THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEPCIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE—__ LOT NO. x IiZC�� r c�91n "� • HOME ADDRESS OWNER reQun Pioneer JOB ADDRESS ARC ITECT Jid%-)iiu,j9 A. Losin ENGINEER BUILDE ADDRESS�1ac h SrL9LJy ` wL'')`:• DESIGNER STRUCTURE NEW ❑REMODEL ADDITION []REPAIR ❑RENEWAL [:]FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE xLJCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STOF.AGE❑SLAB ❑FENCE —OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED— ❑SIGNS HEAT _OCCUPANCY LAND USE ZONE BLDG.TYPE—L __—.FIRE ZONE— PLAN CHECK BY "c:ul�,Bti. eft�ul+� ,tuxy t;L7tiperi:�.al bldg• all POr plansd. :��awr'A�• as �>cr� raxa�cj �Y thru 7 arch. eshoet IME mhcsat, III— shoot 111,1 f and sheet 1120: 6 CIQ[3• gCC�QAQ ��• , FLOOR LOAD. r, HEIGHt �� - NQ 8-1E6____E�EA-__—_NQS@ RR9QMc VA1 UE � . n BUILDING DEPARTMENT SET BACKS FRONT REAR 10 LEFT SIDE— 70 Y RIGHT SIDE � Permit —_ "7� — k THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 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 WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax +e LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total Y t By APPI ICANt OR AGENT i Approved ♦{ Receipt No _.. ` - -- AooREss ---P ONF �UATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE ontrsctor ,3 J =Lt�c - u•� *� ^�_ __ Permit No.,-'IHoUgh-in/f, ' y j2zzz _ iy Finnalal ----- II HEATING Contractor /� O/ S• /7/ Permit No. 7 Gas or Oil Rough-in Final SEWER _ Final _ ^DRIVEWAY _— Final ��--- - --- Storm Drainage (Rain Drain) Final LAa reet Final _ I;LDG DEPT FINALTEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY _ — Landscaping �. Zoning Final t uj u. � p v m H wI I }.� T _ 1,- L13 Cl N) ° _i w, (� C ZwF Ln vl = d of zO 0z , CJ C7 ' NI o a w W F J > - t Z ✓. w z w V 2 m G ] O z 0 q d cr m U3): ,4 Q ¢ U z a 1^� a Q a o s = z � � � Icr cr W Z z rcr Llrul � � QF O2 W Q Q � QtyQ Z i 4 aQ m ul 2 T.4 YO z jNZ Q W < Cl ta7 z i ! I 24 L) ) H � c1F a Cl o �• LL Nz_ az _t [) V u u 7 1 J p C, H � Qw � ¢ wa [ � R CL a � zw �`v^ p c7aIu z aC) cr= C ul v CW yZaLL 1 /� Q H 1 > Z G w O y Yd b Q � z w o -r T � . O u Q 0 2 u,l 1 cr O J yOa :0) j w Qg u C G a a :1 r O c UJI [¢� w I r t~i cd1 0 C1 <' Ia n a' ► O ° o m10Q ° H a > _ C I c .� a 7 o N au V, F Q f o h t� dWz LL. c. . } v _r l �•- F Q LL w FI Z W U, c 0 a d m ? I m 6 I F N Cl Z U w w lU } Q z 5 D �) N F U Oj N QOw0Q J :G e 0 a w a c, F o I j� W a L Ln LU I 4 C) Q U J c 0 = LL d > d -1 r a Vwa ) a- � � � o z C7, f - o Lauf- o f - IL J cr.iCL CL �' �� u! 7 0�UC) M F VI 0 -1 n. H � � a a: v a \ < > u, 't j 7 F CAuiu wn?, ° c ! Vi n l 5. Ll w 7 �foo�CC f �o9 ! � , I 2. l . C „ w M 7 � aU. u CL w C1 J u f t�� m u O r o -- UNIFIED 7UNIFIED SEWERAGE AGENCY NO. 11683 WASHINGTON COUNTY DATE 3-8-77 CITy OF APPLICATION FOR SEWER CONNECTION PERMIT OWNER: Otegun Pioneer Savings & Loan OWNER'S ADDRESS: ____---_--__._ .. STREET ilp CItY STATE BUILDING SITE: LOT-_----__-- BLOCK ADDITION TAX LOT NO. TYPE OF OCCUPANCY C., mmr4rr-.is _--.--------- ADDRESS --__ 12 DaC SU ------- DWELLING UNITS___ __ 1 — ___ FIXTURE UNITS SURCHARGE IF APPLICABLE _ PERMIT FEE --- 5759 ____ INSPECTION FEE TOTAL DEPOSITED (NEW) (EXISTING) BUILDING SEWER SYSTEM KNN'b Fenno Crook The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPL_ICANT.,t,.,91_0'_'�,,4 SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINL SIZE ----- INSTALLER RECEIVED712 X BY- 7" (AGENCY ORITSAG2� T) COMMENTS: - Bldg, #1336 This Application and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration occur. 27- , S i r Ff el-rL.t_ lt�l Ar'.2. �° VAN OOMELEN 4 LOOIJENOA. Structural / CI Il Engineers Project, L r sr, _ r.", Shoo No. 4.- I Client, Daft, 102.-M-*74e ho*, No. 20 : 11060 T WAVE, ►.Vern T I a. %T Alp a� ?r Q' Q. r � p e� MW IV L. VAN DOMP.LEN e< LOOIJENGA. Structural / Civil Engineers , Project: By I ---. WwW No. Clients Date, -- Project No. �inoaor.� Ap W%U4 Z,3 �c .14 = 8.2 Z K a,,[AAL- �z20✓4 x q,�� i�3 ��r Z �.��u &YP, F)t7 4K 4 �iz I.V ► xl"/�,�3 + I�+x .oi x9�bZ - .3SK (AL 2- A35. Al taws zo P .►4 = 2,8 L 4 ' lrr p rso Dk tWee TU2a 10(o VAL Io Ini ra.8 S®'s 4 mr 6 400 � ( �,w.,. �a-w•.st 0'� VV r 1 � ' 4 VAN DOMELEN i LOOIJENGA. Structural / Civil En9lnaor• Prom s T'llrA�R r1. Poe No_._i_._•— Client � C Qah� ld— L•7(! hoNct No. X0,4 =r18 ./(/ 'V,�F:A M h I1� � 1♦� C ' 4 .c. !�? ,_ I r fir, .: b�► 4 i 1 9 � - T4V.L !s I A I x .44r IL r'rV x. �qZ ?rCl MvM's Lou) IML 4 X. 12 O2 eye A-l01/9 Zri1 l.J46 M = 6 .c , t ort I 1 o it, ./ U a $ M x t'52, ,t. �QZ s✓ ,11c � z1 274,%�'' 8 '9 q7 Ci(i.77 SFO 34po .7 v a r pI ll tAAm rj'/aK ZI CAM 17Csr? /bM r.. 8,7►c �� l0 rt. � �. •i � ��l ,41� • 7� s �dQ ►IJ SI�Ax. I� J& 4 z5 K 211 s .[v(v�� -v 1=v2 bYbY- o•S' �pL= ,5D G4M�6� 4 8c;xlQal,q I2 s II /,� x IZ x 2'�r�%1Nrd s x"16 7 :i, 9 VAN DOMELIN IOOIJINOA. 6huetural / Civil Engineers Client, Deft ---• -- Pre! No a ya : , A t S.81 G lit --► Axys *Pb A —r OVA" i, Mal x .tp x �( a 3.54 "c `�L ar jo 4 Op x, IZ J am. 1/3 x X 31-x 12.2 2� vm z k r 3 -7 S ' 4 Mb s 2,22 »c'S + i/SK ,3f x SZ II,I t• q ��1 % ik M►� ,��►��.� $ V9y¢ j.T 1� ,� 1 t 'b It -9) _. I s0 Q ,83x5 2 T*7 + 11K4=-4L Ki13 : 12.43�, (p K 1.5 x1O'IC 1A4 o,71- 471 f' :�i,�7-��+-G+�D-4�c�9ts' xl1 a .o217 " z4Kl.bKlOt),W ro�4a.�t 1540 OREGON PIONEER SANINGS January 1.1, 1977 Bureau of Building City of Tigard Oregon RE: Tigard Branch Oregon Pioneer Savings & Loan Gentlemen: The number of employees for the above bra:-,ch shall not exceed four. In the event that we do expand our requirements in the future and employee more than four persons of both sexes, we shall conform with section 11.05, Uniform Building Code, 1.973 Edition, which requires a separate water closet facilities when employees excee3 four persons and are of both sexes and install an a3ditional toilet room at that time. Sincerely, � �A� � Charles Di.bert Senior. Vice President CD/lo Main Office: 401 S.W. Fifth avenue, Portland, Oregon 97204 503/226-6666 1. DEPARTMENT OF COMMERCE—PIANS REVIEW SECTION W ^� I ROOM 376,STATE OFFICE BUILDING,PORTLAND 97201 NOTICE OF PLANSREVIEW 1 (THIP If NOT A BUilDll G PERMIT)1 Building >�1{_l,t^/v %�1L^/`/L_1:L�.1��YLL3/1�� f LC/J/`J C�/J YL —i'. L LLIIf�_ No. / / Building Address CountyIVZ1.L://�.q_ Occupancy L- t�/� Const �' /\/1 # II - C a i wnd Value ��_ plan Fee c i/Zf1%�)/ , Architect ��C�/ -_ New Bldg. ($�Addition © Alixrntlon [] Date Received Uwner LLE PIC CVL /Z .i {r __ Address '.t1�L_a LI\,( _L t/ �3� /— Date Reviewed / " ✓ �J Stories1 �L/1lLC `.C. Attic .,.1_r/_VL___Fire Wells —L_ Area r= /V C' Fire Escapes A'-V-L. _ Exits ff. // Main Fir, Basement Ht. stops Tot.Width Stairs Vert. Shafts LlaiL-_/--___ Sprinklers 11_/ /l1/l��L. Man Alarm _ P N C S.P. LX_t. � Closed Closed �+�N�o��yes Area Covered Int. Sixe Est. Fxt.NL'A L`.—/---.. Ht. Det. AI 1�/_'_./�&'_ - Floor 1�.I'Ik .- Coiling ' !l, '-' ,/ I 011,31 �,, �No._ Type Area Covd, L.L�L-- Roof�1.L L,/• Sfr. Members��c.L-U -Will cover _v.Y_�S�L_/LLl%�_.-. Hit. nn. nc4./ _/ /t-%/Vr2. Type five NCNL T t Ear. t. Type Htg. ..System em Ci"Ylr'L•/7 /1i/� Fuel 1 I C�_. In I The submitted plans have been reviewed for conformity with fire protection statutes and regulations of Oregon admin- istered by this office. Items No. checked on the enclosed list are applicable These items and any specially noted provisions must be incorporated into the project to meet current fire protectiun regulations. Appruval of submitted plans is not an approval of omissions or oversights by this office or of noncomniiance with any applicable regulations of local government. I j REMARKS: 1L11�1 Lam_ L11�L il/vL/ /_ _:tJr i / / />i_ //v /�J:-.y _W CryL/Z//V-C 1�L_ nL1lZVI-1[1L /%t_-'I1 1L1V r=, //"1/'i/, /11-1 JT;� L _--- _. YV e r In r/ Vii, La /'r�1S�L I — /'�/)/�/.5" /-J/"1/= /7 /' --L/1/7!? r- rl �_ �i_ L//�/>T I i=-/J. _;i�L�,7� c'i I c'` 1'!•I� 1)/,/w/- AAIIJ %l/11 X 04L- :/ Examined by Copies to; L / ' 661/ 14 dv ,. PRS-2 SPa2695414 i i� wi t f RTATR OF OR&A;ON w Fill.f4 I.Je Safely DEPARTMENT OF' ('(►MMh;l CE Maur, ltv rew Nundu r PLANS REVIEW SECTION CHECK-MARKED REGULATIONS, 1N ADDITION TO ANY REQU-11EPAEN'1S APPEARING CIN THF; REVIEW NO 710E, MUST BE INCORPORATF;D INTO THI: t' om-T Approval of sabsaltted plana does not eonsfltote approval of any omissions or oversights nor of aioocompliance with ant appuaable reculatMrs of Meal tlovonmsal tbal quay exceed State reodrements. 1. Structure required to be Type throughout due to g ([_l arra r Q] hetghl) (I) occupancy) (Fire Zone (1). T One-hour fire resbAance rating required for all interior construction 3 All living units required to be completely separated by one-hour fire resistive, construction 4. rxit corridors require separation from any other area by one-hour fire resistive construction. 5 Dom assemblies of interior openings to corridors are required to have a fire resistance rating of not less limn zn rninutev and must be. self-closing or automatic--closing. Relights in corridors require wired glass set in fixed (StcelI framing. See ;873 State Structural Swialty Code, Sections 3394(h) and 4308. f,, Storage rooms, closets, laboratories, shops and areas of similar hazard require separation from other areas by at boast one-hour fire resistive construction. Furnace and boiler rooms require one-hour fire resistive construction 7 All vertical openings such as stahways, trash chutes, etc., require- full enclosure of ( 1-hour) ( 2-hour) fire re- !:rtanc• Access ways to such shafts require self-closing and latching Class B Lire door assemblies ( 1-hour rated) ( 1%-hour rated). 8 Attic areas require draft barriers as per Sec. 3205, not exceeding each 1,000 square feet. (9,000 square feet where sprinkler proteti-tion provided.) 9 Voids rrested by ceiling-floor syntems require draft barriers not exceeding each 1,000 square feet. in Building projections such as bn!eonles, eaves, overhangs, etc., require fire protection as per 1973 State Strurtrn-Ill Specialty Code, Section 1710. ✓I 1 Fire stops, blocking or framing members pierced for utility runs require packinp, to equal fire resistance prior to such piercing. Wood frame mristmetion requires firestopping of I•oth vertical and horizontal draft oprmmif;s nt maxi mum intervals of 10 feet. 12 ('nrtidors require at least 8 feet in clear width. Drinking fountains or other equipment mny not operate In a man nor which would obstruct the minimum 8-toot width. 13 t'orrldors serving patient bedrooms require at least 8 feet In width. 14. Corridors require smoke barrier partitions with doors at 150-foot intervals. 15 Exit doors from lobbies, corridors and rooms with potential occupancies of 50 or r, ore are required to swi.-Ig in direction of exit travel. 16. Exit doors from lobbies, corridors and assembly areas require panic hardware. J.t7 Hardware for all doors is required to be of simple type having no provisions for locking against egress, with ob- vious method of operation. Fluah bolts 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 wheelchairs, stretchers or beds. 19 Sleeping ror,ms require at least one window readily openable from inside without special tools and providing a clear openlig of not less than 720 square Inches with the least dimension not less than 22 Inches, l4aximurn per- mitted height to bottom of opening from floor Is 48 inches. (Ref: Sec. 1304) 20 Surface flame spread rates of walls and crilings, minimum requirement stairway--25, corridors-75, othe+ rnmS - -225 (Sec. 4A3) 21 e'omlrur;ible acoustical material required to be. secured with staples or equivalent metallic holders or a hent restst- nnt ndhesive capable rf wlthFtnnding 1000'Fr for one-half hour 22. All curtains, drapes and similar furnishings are required to be noncombustible or rendered and maintained flame- proof. 23. With standard spacing, rows of seats between alsles may not exceed 14. Howl of seats opening ordo aisle:. -it on- end :wily may not ezr eed 7 seats, Alae gee eoadinental api cingr Sec. 3313-3314. 24. Standard seat row spacing mud provW6 a space of al least 12 inches from the back of one seat In the f.oral of the most. forward projection of the seat Immediately behind 25. Posting of erpw ty of aliaernbly arras as noted I% required by State Structural Code, Ser- 3301(j) 26. Ideating, 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 agenc%',z t,rtspec ifi cations and recognized safe practices. The inslatfan of ventilation systems is required to be In substantial coni plenums furmity with the 1!173 Mechanical Safety Code. Corridors are not acceptable for use as supply or return air 27 A dust collection system is required for shop areas for nonportable machines emilUng or producing dusts. (lief: Sec t 008) Dust collection equipment to be located outside of build automatic sprinklers �g or in one-hour separated room equipped with X28. A S M.E. approved prrasure relief valves are required for all water heaters, installed either- In separate wati., .ulk port or In port for hat water Ilene. Shutoff valves may not be located between a water tank and relief valve. 24 A firefighting water supply is required within 500 feet of building that is capable of producing 500 gpm (mini- mum) for 10 minutes for each 5,000 square feet of floor area within building up to a maximum of 500 gpm for 3n minutes, or provide a 6,000 to 15,000 gallon reserve vete., supply au required. 31). Interior wet standpipes at least 2 inches in diameter located and equipped as per Sec. 3814 are required. Couplings and connections required to be American National Standard Thread. Where standpipes are serve by sprinkler pip- ing, see 1973 NFPA Psmphiet /13, 3-7.7. 31 Approved automatic sprinkler prvAection 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. 5602) 33 Stage roar ventilators displacing at least 5% of stare poor a:ca, openable by hand from stage floor and by rusible link or other heat activated device, are required. (Sec. 3901-06) :14 An approved fire alarm system conforming to 1972 NFPA Pamphlet 072-A with signals audible throughout build- ing and manual alarm sending stations adjaoemt to exits from each floor or area are required. 35. Approved electrical.y supervised combtu;tlon detection of the ionization type is required for all pat:e►st rnom 36 All exit doors and access ways thereto are required to be identified by approved electrically Illuminated signs serve,, by two circuits with one separate from all other circuits. (Sec. 3312) 37. An emergency power system is required for the ( ) gymnasium ( ) auditorium 1 ► illumination for not less than one-half hour in event of public utility failure. building to maintain cell 38 Fluorescent light fixture; installed on combustible surfaces are required to be U.L., file., approved for such i nunl- ing, or Installed to proviee at least 1% Inch air space between the fixture housing and combustible material. 39. Con;ormanee with all requirements for the removal of architectural barriers to the handicapped is required Seo aPPlicable parts of 1979 Slate Structural Safety Code, Sections 1711, 1712, 1713, 3302, 3303, 3305, and 3306 and Table No. 33A. NOTF,S: 1. iAwal regulations or insurance standards for rnost favorable insurance credit there minimmay, and often do, exceed um State requirements. 2. This review does not rover O.S F.A. (O.S.H.A.) regulations. 3 This review does not cover litedicare-Medlcsid regulations. 5-7 r► F�4 Address C)cc cam, Permit No. Permit charge 2�2077 � Owner 2c,.,�„ i,��t , , , �.� " Connection fee Paid by C�iol � tic �. �1cj?• Type of building L.4�lj1}y(reLC;c,�f% Date connected _ Service rate C,� Inspection fee 3 5- Contractor Contractor Paid by date Size of connection Assessment Paid 2 Won,Ms8s88 8 d UJ In LL7 ri N M C7 Lei G M O LL C N �i1 J O 4 t1 pc � z aU. H � a _J qnV' Up LL 1 r61` 'r (' I f� LL O v o U J N O wo i a, d h Hinr O ,U ❑ L) O d r g d E 'v J z Y V C Hu C O N ro LU m ` m m `, LL N y E Z m coro O v T. Z I a O 4. 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