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9735 SW SHADY LANE-5 + I I-Ot J t­l6-l% 4Z etU�_;INEG I I >�rXA � �, I a ��-I - f I III / i � � -- --� l i -- --- _ - _- - � _- I � I ____- i •',, : ,.""• s :, - , - � I I amu! JJ N� �Nr+✓1� I I t- .:tet,2 t �- _ '-'"! 1 r 10, .�► -...�.,. --- ,.., -,. -,� � � ' '_ _ r_ ' � i — — - - _ � _ � I _ _ _ _ _ _ _�_ I ,� + � _ r ..�_ -- --- I 4► 0.7 - I ��I�T J•-t TO i✓ 121�G�F'T-I�,J �XJ�1✓I I t=k�1`'1 2 1xvTOF',2 1 s C� - Ij UA . a X No��= I• �:'t_-14�CJ GEI I_IN� �F'`�h �-�: \/�'��I� ��.-�.- �:/f M�I�IS I�I�...� � j O 0 cc REFLECTED CEILING PLAN Z, � >TiUi' �:F � ���� , U. -- TIL-E.. FLOOR PLAN ( ► WALL SYMBOLS_ � �.. 1 /4 1 —C 1 / 4� 1 e0" -- }— existing wall z F._-= � J existing wall removed W z REFLECTED CEILING PLAN SYMBOLS 2 ,� dl� -- - — ______�_ � new wall: 3 1 /2' metal studs 24" o.c. S/8" gyp•bd. ea. side -rc) p" �S Uj / �— RC� OM FINISH SCHEDULE DOOR SCHEDULE ��IM� �I-rH -A01 r�rr � -- c _sem. existing lay in 2X4 ==--� track lighting I fluorescent fixture C recessed wail washer: .._ '�- existing fixture to be light on open side 00 WALLS D0 DOOR FRAME - �- _NJ removed or relocated `� NAME — FLR ASE CLC REMARKS SIZE T - - }______ FIRE HDW �J DETAILS NOTES >= I hvac supply air grille No. N S E W Na TYPE MAT. FIN. ' MAT. FIN, RATG TYPE new or relocated lay in "' I klAlr•I!� ( P I P I F'- I P• I G- I PB- I h v a c return air grille - -_- _-- - QGT ___-- _ Ott >ix�TU INiA.I N — 5 x fluorescent fixture ._-.-. "d P - - `/. c.."..�.. _ Nle + sprinkler helsc; �D�' LOU0 G- I P$- I LT - r z ♦� pendant hung --- - - 9�--2� - - - - ' exposed o s e d beam �U5 o r incandescent fixture p I�It-4 •- recessed incandescent exposed ductworkXA�M 4 G-I ' ��� NUI � 5S c,.,_I �- -- - � --WAor ---- -ro _- k-.401,4,---- --- - -- I __-._ Z i OFT IABD W 0 /Z�I.�X.�T�t� F Approver)................................ ......................... - - ! � � ✓f�-� I CondltionnIlly Approved..........................................p-r ■ l., ► - I For only tho wnr!c as co did �"1LLY_.d. 'j ' M OJ PERMIT fJO. , lay _� y h 1!110 Secs Intte In: ollovr. ............... 1 --•--- ^ - ��I I TU( 2 r r Attach................. ............................'I 1: ' 2 ix�r - - _. - - - a( U I -_. _. -- Joh Address: _�� - - U L - � ----. ;.�- rlizOJ LG In _ _ rT .. 2 - h-1 ��, ��,t.� ��- � : _� -- --- _ �_ �_ _ _ _ �Ia �r.�..ac�-rte � ��� �t •f'H I RD REVISIONS KEY PLAN -- - _ - - ---- s.. �D SHES• ! �� I r��..a.,d.T�p >=zv r�� �v� I i no scale C-1 Bigelow, Pattern: TI2200 , Color: #4397-56930 " �XST- 1V F4;M 1i-4 - - -- - /� Bluestone. _.__--_-- ( . , PUtn runner, 'n:anied!au duty, su"e"d. rlt.'1 db I: nre ata Y: � _ 1 Cr„s •unn.r, sueeor:.d by vert runners ar "Peer :rp=. ••ann.re. SV-1 Tarkett, Optima, #05859 . C) Provide habil':sr UP bet~ all 9 w*,i at aer•netar and not attaceed .3 -- - eal. Angie, i - - - - -- RB-1 Flexco, 1113 Blue, toeless. - - ---- O Nange• sys:re :s p.g!n ri:!,in /• of par•nle:er - --- -- - -- --4i a:ari' �ne,g fys:In, :: seq•n .rh,n S aNt a1 per!Mter and within � '_-- _"'-"... ------- 4�4 .IL N/1! GYP n:erset: on :2 ts. +ids tec�r,d :o vin r„nner P-1 Miller, 5421W Overcast. I Y / 3 L7' STEL . ern •p'ayon In 'egr9os `ii” fee- othe• at an angle ,o: eaceadfnq AS psgr,es r •r:. :^e N"-q glare Srace it iz .. s.c. sen ray C' ftrst at lace ,Ater", brae :ocst!on. PL-1 Wilsonart 111 570-6 White. .� At hangers ,bre •,an ::s out of plusie, provide to.nter,loee ha..,,.._ PL-2 Wilsonart, #D359�-6 Lavane?e. y: m W -_-- WT. e� era 0 FACE aF DATE I �► lt�►-J i�p�-,�v o&HT WJL1. Imo- GOf�RI".� 'QNl71M® ¢ EXISTIN3 SILL eT�. rh.r, ,anger -„ ,et pdseib,e due :p pbs:ruc:,pns. prnv!oe a trap.:, PL-3 Formica #872 Moonstone. � ) � -FUAJ14IN VILLEY FIRE WRSI1,4L OFFICE JOB NO, or edu'va;sAt device. 'raoers susbena,ons *or Soars excaed!ng 46 Inches PL-4 Formica #880 Thistle. L• S44T oV-�-r"slt?a ��4arM Vtc S C- 0,::7P " Ah40 a70U1`�4D C.HIfi1M � "Mal; pe A lln,aa0 of pack-to-neck 2/a inert cold rolled ,:Martnols. ol-+J r Ir-iJy_ a>��s +�vF� . . . . . . . . . . , �� DWN. >M_ CHK LK Qeenner_!on devices ee rte suvcor-!nq construe:;an snail be capae,e or [� FIF.1 iT -�M�`f e'. - L-iC HT I WHM.r� f�Ft�'' 'a DIGHT C:OiVDITIONALI_Y APP00VE-D . . . . . . .7 I carrytnq net :ese :hart :oo po noes. `.Jll-L � I VATr� G�'f� yPON�IJ-l�j LI HT �UT1-2 t:;).z 7 `� c q ,Nr�-f''1 �dOM bGy©!Q Ir•(I G,pf- �lJl APPROVAL U� �L�,I'J9 IS NOr iN APPROVAL OF 10 �! nt .11vte Butner! T F-,o l�,j. 0MISSIONS Tri OVrHSIGHTS TO MATC4J U�X.SW PR Abit-,R!1.. Mf. A. k+}:.n ' nursed'ata duty' mseension Sys`aan. 11 ►a. naMgert "holt !e TO ILQ•1pALL at:ac:+ad :e :rte jr•d ewers eitnin 1 'ne,es of Seen :orner of Sae- r !7Ur�lL-� E��G.A-r-') C701✓l� l -•� ��•r-IW.I,... l,�ll-rI.--I -'WCC ;jf r t-HEDLETtER f"•:Sera. tandew ixtures may use coaeedn rids. y _r FI ` n oree signing :ass :Mn 56 pounds reouire Mo 1? IS, SlAcr �rlbH I l�+ F �'�I I �{T r� LI G�'r f7t"�� ---. He I.,; :!', •im r, 10usin to "no ,tructure above. ,r. 7' � C• ----^-- r'xrrre !n Secns of -6gpounds Shall be lu000r:ad direc:l �V1 '� I'I -�� !P-'1 -� IV �i LW .4Ci"-IC.a_ q"• 1 -�- Abd... ��. l lrr-l-i- -,- r�l�►-�I -1-.�� P,a.Hcl- � L_1 G►-�-r�,) D� 7 Alt ,ij•.t!nq !+-tures snsl: be positively attached "o one ca,l,nq a� `, 1 ' T ate+ ,1 ` MINE SEALANT t SIDE. a4LL1/e'�� ,SlLH. Shady I1�'I�I I+�F Qdl �1�^leis'li 1 f�/Or`-1�. 9735 SW rGenLane -� i� �� i l L L_L, I(_)�4 S170o'.:• ,ind Third Floor Genera! \ �. 1 of 2 OF TWO SHEETS IF THIS NOTICE APPEARS(4.FARER THAN THE DOCUMENT,THF, DOCUMENT iS OF MARGINAL,QUALITY. T , 19rI n�ic���c 11i ,n I(I (IIIIIi! NI iI!I!i!IIiNA ► Illilil�!IIii ! liIIIII�!i!II{I llli!1►ililil 1 !11(+Il�lilll I !;►I I!(ti�,r l iiI{t{I�I{liI I I{IiIII�IIi{± I (ilil{I�I(I{ I{I i II!I!�II!I!I! IIIIIII�!II11! IMrN MADE IN p+ltlq rT _ IIIII111111111111111111!!!III!!11!!i!�IIIIIIIIIIIIIIIII!IIIlIIIIIII IIIiII!lllliil!1!IITIII{Ill!illlIIIIIII!I!!!!!I!1fll!IIIIIiI!flIIII!iIiIIIIIIII!i►!!!IIIIIl1IIIIlII!IlIIIIIII!llli!1111lII!illl! uilllllllluilll!!!I!Ilii!!;i!111111,�!!!11!nIilllnl!!!ll!IIIlIIn!IIII!I11,1111II,Ilillullilllll� o in a_� ac cp� � a► • v r C \ ► 1 E jj ; a► _ c rsL Fv, L NGrt � �5 p v wo L _. .. ._ rcc)PY0P CITY OF TI-CiARD - u - C • r S E lr E B , vApproved .............. ................................� U At 19Cr ` o ` onditionally Approved ......... ........ ..• wt• _• For only tho wcrk ?.gAeScribr� - g � K g PERMIT NO. w .. (a� � o a 6 n a r- ...... .............. ............ ... See letter to: Fc�i,o ........[ . )LLZ-tC_.Il;... Attach ... ... . 4 1: ---�-- Job A s : " Z O By., -�' ......_.._o__ Date: •- ptFVQSER U E—rhI �., CL - --- - h1 TS — v 0 -o° 14 IL 'J - _Isi Z � o C- I i— f - V- Al rJ - N EW ui __ 1 1 N j c ~ FL 1 'fit l i O W N r +--- -- -- ac a' z - _ a .�� R E M.ov F *P—�1 a @^; � -- ----- �� � ►� E MARSHAL OFFIC L/ _ F7 APF R0 r D . . . . . . . . . . . . . . . . . . . [ I NP- C070i"r103NALLY APPROVED . . . . . . . ❑ C Q 0. 7 � •JEvV TM-) ( L,E- '' rI ! _ �� APPROVAL Or: PLANS IS NOT K4 APPROVAL OF 0 � L. 1`�Q Wr (=���/ _.._. _ t I GP�;SS!i:�tiS OVERSIGHTS. SEEAT 'D LETTER . . . . . A�. �. R� u,.F Rte- �.', ------ �..� �rIL - � z. �x��♦T1Nls> � t� ,�.�.� r t� �vE FtE !� � s I `l. At LL �`I�C VV 1..r v c� Aa 1Qv L.. �1 L !ry r-? rJ I N I N N (J �- I L E.X Z)UC.T'. i <x J cy� <r �` �+1�, r��IV\ 7 v1 ��N� 1 W V C�N� 'LCV C F N� Z S� -•� !`� ` `d VI 0 J kA r DATE:- SC A L E: . K ATE:SCALE: K S1VVN DRAWN SY= -4A- �. JOB NO T 4 T-- L AVIS N1 0 R-1-�t SHEET NO. AA 9735 SW Shady Lane Third Floor General J 2of2 MMT CO IF THIS NOTICE APPEARS CLEARER TITAN THE DOCUMENT, THE DOCUMENT IS OF MARGINAL QUALITY. �g MICfZT4"i1 .�l� L L) I ( illll � llllill IIlIII ! � ! III ! Ii ' IIIIIII ! ; II ! i � ! I ! I ! II ! I ! I ! I ! 1i i Ils � l i lilli ! ! ; f ! t I i I it ! ! i ` i I i i l i � i IJill , I i � i I I I ' I I I i I ! I sl I I 1•s ! INCH i I IIt , IIi II . Jill11 III t IIIlIII Ili III f II , 11 IIIII � IiIIIIIItJIIt ; f An IN CN INA 1 � � I �$. 1 ! 3 " 4 R i 1 11 1 13 14 f ti tl it 11 ZO ��I -- � � - ill ili�lili�I�ll�li�lllll��l�l�lillll�l�l!Illi�lill�ll(i( llilliilillililillllliii�ii(llilliliilillilil'i'ii "i I" ��I ttil �ti�i t lilt ii� t� �"� !!,I!! 111lililllilllilllil!(" illlllllililililillll'"!'Illl�'Il"IIlI'Illillflll111I111 Iflll tr �! 1 t illlfl+illllll lll'IIllIIIIliiill�llll111111+111111111111, w I .yi q ADDRESS: 7.0 L I�ack w kat-t -FObi r I i { I r i i i f � 1 r i i:\records\microflm\targets\huilding.do:; w � Pepe No. 1 CASE HISTORY FOR CASE. NO,: ELC96•n?Oi2 YORKE A CURTIS 09735 SW SHADY LN 05/04/98 . Action Description Req/ Sr_hd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ....... .............................. .... ......-_....--------------- --- ---- •-- -------- --- I ELCCO01 Application received 12/04/96 / / 11/26/96 PASS JSD 12/04/96 PHN ELCC003 Permit created 1?/04/96 / / 12/04/96 PASS JSD 12/04/96 PHN ELCC500 M Issue permit / / / / 12/04/96 PASS JSD 12/04/96 PHN ELCC700 Ceiling Cover 12/04/96 / / / / 12/04/96 PHN ELCC720 Wall Cover 12/04/96 / / / / 12/04/96 PHN ELCC799 Elect'l Final 12/04/96 / / / / 12/04/96 PHN i n t ,. r ,. a M:.1n.M3!!.'C.(YYjYlle'/1\::::i Nv9f rf......Wa.+w•... j OM mj_�. CE=RTIF'ICAT'E OF ` C' ���RA CEiYOFflE ID OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT oeseua Pr_Rm I'Y #. . . . . . , s SUP91 19125 SW HO BW P.O.Sm 23W,Tlasd,Oregon o?2ap(W;l VD-41n- LINTE t M710/92 --- SITE. ADDRESS. . . i 9735 SW SHADY L14 0 ,. 10 PAKEL: 1 i l o�E3D-0rb:3Er+i� SURD I V I Ii I ON. . . . s 70N 1140 t C-_O BLOCK. . . . . . ► LOT. . . . . . . . . . . . . 1 CLASS OF WORN.. t ALT TYFIE± OF' USE. . . ICOM OCCUPANCY GRP. s Cly I � OCCUPANCY L.OAL?t TENANT NAME. . . :PERRY CLINIC Remarrkst 'Cenarnt Imprs Remove, add wells doors for offices, waiting vs, etr., i Owner: HOZ L. INTERNATIONAL, INC. OROSVF_NOR CENTER. SUITE ?700 HONOLULU HI 91-813 � tshune #: YORKE & CURTIS 101 P5 SW BEAVE RTON HWY BEAVE=RTON OR 97001 Phune Os 0;46--21,E�3 ` Rey IE. . s 35644 Occuponry of the above r•eFerenc.t*d bui ldirlg is hereby yi ver1, unci certifies the compliance with the State Of CJr•rogon Specialty Codes for the group, ar.Cr.1 aincy, and Use under which the referenef-d permit Was issmed. LIREDEPARTMENT ! _.DIN[ YA 'fTOR PnG3T IN CONSPIC!!OUS P1_.ACF ,�t 3 1i 'll'w!�' 'tvr pw!■vr i r City of Tigard BuildLn9 Depertasst 13125 RM Rall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-PlIgne)T 639-4176 Business Phones 635-4171 inspect ton --- -- - Frxrting plbg. Underslab Mech. Rough-in AppA/1/dMlk FrnsnA. F1bg. Top Out Gas Line Poet/li0am Strucr. San. Sower Fram.ng i post/Beam Mech. Rain Draln Insulation -Plumb. Plbq. Underfloor Nater Lino Gyp. Bd. -Neoh. Times 11M PM Date Requested: s Permit f:_(/�L�•' Builders TRE FOLLOWING 001 CTIONA ARS RWDI Inspectors Dates_ Z UL -��LM - �"PRO^/RDV DISAPPROVED APPROVED SUB•TF.CT TO ABO112 Cell For Reinap. • Riga l IN vq� TUALATIN VALLEY FIRE & RESCUE C4 ��` AND BEAVERTON FRE DEPARTMENT_T FIRE MARSHALS OFFICE: �►� (503) 526-2469 POSTED OCCUPANT r 1 i l ► ru _ CONTRACTOR - BLDG. PE; 11T 0 " 0" -- G� 1 //vl C, PLAN REVIEW 1t PROJECT NAME \ LOCATION 'V JURISDICTION: 1= Be. 2= Dur 3= R. -. 4Q._5-R- Tu. 6= Sh. 7= Wi . 8= CC 9= WC 0= HC COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINe -}' ❑ Framing P❑ Se aration Walls ElSprinkler System ❑ Shaft ❑ Fire Dampers rr (Overhead/Underground) ❑ Alarm System ❑ Hood Extng Systems LJ Conference { ❑ Spray Booth ❑ Ceiling Cover ❑ Other`_ i ello ro c To .1L)D 7 19 Q LI"?iA 6�6)TJ�U,U C-L' j A.'r 1140 12 4d "kc a --'y" � - 9w. Nh I G a{ E'i c401) I J bi -- 50 111"f 9"1 L f` c—,g.,j 6,e P-07%1* [� v�ut, 1 .� Duf} L � �e 1 , . c I In ���� �U� OT r H DP to: InBpactor: I�w �73 �✓-IS �. EL Y JrTo ,Iti.• CITYOFTIGARD f. COMMUNITY DEVELOPMENT DEPARTMENT oRmo K 13126 SW Hall Blvd. P.O.Baa 23307,TlOud,01MUM 07223(603)6944176 PLUMBING EE.131`1ZL__ PERMIT #. . . . . . .. : DLM91 --0161 6+39-4171 DATE ISSUED: 09/16/91 i SITE ADDRESS— : 9735 SW SHADY LN #S. 101 PARCEL: 15135BD-00300 SUBDIVISION. . . . : ZONING: C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : ---------•---------------.____--_.----__._______---.___.____ r CLASS OF WORK. . :AI-T GARBAGE DISPOSALS. . : MOBIL-E HOME SPACES. : TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACI,FLOW PREVNTRS. . : OCCUPANCY GRP. . :Bc? FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . . STORIES. . . . . . . . :3 WATER HEATE:RS. . . . . . : CATCH BASINS. . . . . . . . FIXTURu.S--------------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . : 51 NKS. . . . . . . . . .. : 1 UR I NALS. . . . . . . . . . . . . GREASE -I-RAPS. . . . . . . . LAVATORIES. . . . . : OTHER FIXTURES. . . . . : TUB/SHOWERS. . . . : SEWER I.. I NE (ft ) . . . . : WATER CLOGETS. . : WATER LINE (ft ) . . . . : DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Remarks : Add one sink I]wner: -___.___..---.._.___..___._.---------____.__.___._.- --.---._._..____.._.________- FEES - -- ---__----•___-- HA7_F.L INTERNATIONAL, INC. t}ope amol_tnt by date recl)t GROSVENOR CENTER, suiTE 2700 PRMT 11 25. 00 BCR 09/16/91 0 5PCT E 1. 25 SC F2 09/16/91 0 HONOLULU HI 97813 Phone #: _- �y3 1 Cont Tactor.; ASSOCIATED PLUMBING COMPANY PO BOX 301362 PORTLAND OR 97230-•9362 _------------ Phone #: 1,56-1665 � c6. 25 TOTAL Req #. . - 57890 REQUIRED INSPECTIONS -------- This permit is issued subject to the regulations contained in the Top-ol_tt Insp Tigard Municipal Code, State of Ore. Specialty Codes and all othar Final Ins pest i ort applicable laws. All mirk will be done in accordance with approved plans. This pr,mit will expire if work is not started within IN days of issuance, or if work is suspended for more than 188 days. Permittee Signat1ar•41' I d B : Call for- inspection - 639-4175 i 7777 T :. MW AV Mi rk AA- .. —APO w. ::. , r rw 4nr�tw •nwq�1^"...,q -b,rwx,�. !! i i r Spm MO. 1 CASK HISTORY FOR CASE NO.: PLM91-0161 HAZRI, INTSRIIATIONAL, INC. 09735 SW SHADY LN Unit: 101 05/05/99 A,tianDeacription req/ sold/ sad/ Ac!.ian Notes Di.mp By update Upd cods sant DMO Dana Data >r; -------- ---------------_----------- -------- -----'^ --------------------------------------- ---- --- -------- - - 1 i1 I PiM:00i Application received / / / / 09/16/91 BCR 09/1e/91 JIM PLMC007 Application recedved / / / / 09/16/91 PCR 09/16/91. JLH j pLMC060 (P) Ismue permit / / / / 09/16/91 PASt PCR 091%6/91 JIM PMC060 (F) Inoue permit / / / / 09/16/91 PASS BCR 09/16/41 JIM L YLMC725 Tap-out Inmp / / / / 09/18/91 PASS M9 09/19/91 MRS PIMC725 Top-out ]nap / / / / 09/18/91 PASS MS 09/19/91 MRS PL14C799 Final Inspection / / / / 10/01/91 PASS MS 30/03/91 MRA PLMc'99 PinAl Inspection / / / / 10/01/91 PASS MS 10/03/91 M129 PLMC800 Cama Finaled / / / / 10/01/91 PASS MS 10/03/91 MRS PtWsoo Came Pinaled / / / 10/01/91 mm rASS MS 10/03/91 MRS i i �i I '.y.. A s• 1 `y CITY OF TIFARD WYOIt:TWOM BUILDING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT F:-FRMIT #. . . . . . . : BUP91 -0193 j 13125 SW F1dl BW P.O.Ha 23147.Tip M,Oregon p7223(SM)6:'hW4175 +'. j — - ---ice :•+T'i —f)F7E ISSUED: 08%12/91 1 SITE ADDRESS. . . : 9735 :SW 5HADY LN *S. 101 PARCEL: 1 S 1 35PD-hO,3OO SUBDIVISION. . . . : ZONING: C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . • ------------------- -- REISSUE: FLOOR AREAS -__._______ EXT'ERIOR WALL CONSTRUCTION CLASSY OF WORK. :ALT FIRST. . . : 1.x'00 sf N: Ss E: W: TYPE OF USE. . :COM SECOND. . , . s PROTECT OPENINGS?----------- I YPE ---- ---- IYPE OF_ CONST. :5-1 HR THIRD. . . . : 155.7 s f N: S3 FF:: W: OCCUPANCY GRP. :BE, TOTAL----: 2.757 f ROOF CONST: FIRE RET? : OCCUPANCY LOAD: BASE:MENT. : sf AREA SEP. RATED: s,rof?. :3 HT. :38 ft GARAGE. . . : sf OCCU SEP. RATED: BSMT?:N ME Z Z?:N REDD SETBACKS---- REQU I RFD---_---- --- ------- FLOOR LOAD. . . . :50 ps f LEFT: ft RGHT: ft F=IR SPKL:N SMOK, DET. . s N DWELLING UNITS: FRNT: ft REARS ft FIR ALRM:N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORKY PARKING: VALUE. $: 11000 Remarks : Tenant Impr: Remove, add walls & doors for offices, waiting rm, et( Owners ____________________ .___.__.____......___ __.___--------__-_-- FEES HAZEL INTERNATIONAL, INC. type amol.int by date recpt GROSVENOR CENTER, SUITE 2700 PRMT $ 86. 50 JI._H 0.7/2:6/91 215769 i F'LCK $ 56. 23 JLH 07/26/91 215769 i HONOLULU HI 97813 FIRE $ 34, 60 JLH 07/26/91 215709 Phone fie: SPCT $ 4. 33 JL.H 07/26/91 215769 Cant ract or s _••---.._._----___-_--_-...___-.-.__--_- YORKE & CURTIS 10125 SW BEAVERTON HWY BEAVERTON OR 97005 _------_--------------------_---_-___- Phcne #: 646-2123 $ 181. 66 TOTAL Rey #. . : 55644 - ----- REQUIRED INSPECTIONS ---__--- This perait is issued subject to the regulations contained in the F'ra m i n y Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other I r1 s u 1.at i on Insp applicable laws. All Mork will be done in accordance with Gyp Board Insp approved plans. This perait will expire if work is not started SI_is p C e i l n g Insp •iithin 168 days of issuance, or if work is suspended for tore Final Inspection than 168 days. Perm i t t e Si gnxt Ure: T s s u e d B y : Call for inspection - 639--4175 S 1 C� v Page No. 1 CASG HISTORY FOR CASE NO.: DUP91-0193 HAZEL INTERNATTONAL, INC. 09735 SN SHADY Tai Unit: 101 05/05/98 Action Description Req/ Schd/ Rnd/ Action Notes Dimp By Update Upd lode gent Dene Dane Date By i BUPC007 Application received / / / / 07/26/91 08/01/91 JHJ DUPco07 Appli.cation received / / / / 07/26/91 08/01/91 J11J BUPcolo Plan check deposit paid / / / / 07/26/91 00/01/91 JHJ f�f nUpcolo Plan check deposit paid / / / / 07/25/91 08/01/91 J4J V I1UPCO20 Plan check by / / / / 07/31/91 P JHJ 08/01/91 JHJ '.BUPCO20 Plan check by / / / / 07/31/91 P THJ Oe/01/91 JHJ BUPC030 Fire District review / / / / 07/31/91 APPR RMB 08/01/91 JHJ OUPC030 Fire District review / / / / 07/31/91 APPR RMB 08/01/91 JHJ IIUPC040 Check for prcl. restrict. / / / / 07i f./91 NTIF VRG 08/01/91 JHJ IIUPC040 Check for prcl. restrict. / / / / 07/26/92 NTIF VRQ 08/01/91 JHJ BUPC090 (P) P.eady to issue / / / / 08/01/91. REDY JHJ 08/01/91 JHJ OUPC090 (P) Ready to issue / / / / Oe/01/91 RRDY JHJ 08/01/91 JHJ BUPC1.00 (F) Issue permit / / / / 08/12/91 PASS JLH 08/12/91 JLHey�s, BITPC100 (F) Issue permit / / / / 08/12/91 PASS JLH 08/12/91 JIM �! BUYC740 Framing Insp / / / / 09/12/91 DIS G9 09/12/91 Mr ! BIJPC740 Framing Inep / / / / 09/13/91 PART G9 09/16/91 GRS BIIPC740 Framing Inep / / / / 09/12/91 deadend cor+ ♦ other items ree lint: D1.9 GS 09/12/91 TLP I BUPC?40 Framing Inep / / / / 09/13/91 ok except plumbing wall PART GS 09/16/91 GHS RUPC760 Gyp Board Insp / / / / 09/16/91 DIB G.0 09/16/91 cus BUPC760 Gyp Board Inap / / / / 00/17/91 DIS GS 09/17/91 GA9 NUPC76o Gyp Board Insp / / / / 09/19/91 APP G9 09/23/91 GHS BUPC760 Gyp Bo.:x'd Inep / / / / 09/16/91 DI9 G9 09/16/91 GRS BUPC760 Gyp Board Insp / / / / 09/17/91 DI9 G9 09/17/91 GES BUVC760 Gyp Board Inep / / / / 09/19/91 APP (39 09/23/9) GHS BUPC762 Sump Ceiing Inep / / / / 10/04/91 DIS GS 10/09/91 'TRS y1 BUPC762 Sump Coling Inep / / / / 10/10/91 DI9 GS 10/11/91 Gb5 ` �1 BITPC762 Sump Ceilnq Insp / / / / 10/14/91 DIS G9 10/15/91 GES BUPC762 Sump Ceiing Insp / / / / 10/16/91 APP GS 10/18/91 GES 13UPC762 Sump Ceiing Insp / / / / 10/04/91 DIS G9 10/08/91 QRS BUPC762 sump Ceilnq Inap / / / / 10/10/91 D18 G9 10/11/91 GBS ' BITPC762 Sump Ceiing Insp / / / 10/14/91 holes in corn wall Dig G9 10/15/91 GRS I BUPC762 Sump Ceilnq Insp / / / / 10/16/91 pend Bloc APP GS 10/18/91 (IRS RUPC799 Final Inspection / / / / 01/27/92 DTI G9 01/29/9-2 GR9 BUPC799 Final Inspection / / / / 01/30/92 DIS G9 02/05/92 GRS BUPC799 Final Inspection / / / / 02/10/92 APP G9 02/10/92 GRA 9UVC950 (F) Issue Cert. of occupancy / / / / 02/10/92 PASS JLH 02/14/512 JLH OUPC960 Case Finaled / / / / 02/10/92 APP GS 02/10/52 GRS e. r .3 arks IFFIRM1.11.1-1-- TUALATIN VALLEY FIRE RESCUE AND BEAVERTON FIRE DEPARTMENT 4755 S.W. Griffith Drive • P.O. Box 4755 • Beaverton,OR 97076• (503) 526-2469• FAX 526-2530 August 6, 1991 r Yorke 6 Curtis, Inc. 10125 S.W. Beaverton-Hillsdale Hwy. Beaverton, Oregon 97005 Re: Perry Clinic I 9735 S.W. Shady Ln. 5989A-307-004 Gentlemen: I This is a Fire and Life Safety Plan Review and is based on the I 1988 editions of the Uniform Fire Code (UFC) and those sections of the Uniform Building Code (UBC) and Uniform Mechanical Code (UMC) specifically referencing the fisc department, and other local ordinances and regulations. Plans are conditionally approved subject to the City of Tigard Building Department requirements and the following items: 1 1 . Approved Plans on Job Site: One ret of approved plans bearing the stamps of the building department issuing the construction permit and this office must be maintained on the project site throughout all jphases of construction and must be made available to building and fire inspectors for reference during required construction inspections. UBC Sec. 303 2 . Required Occupancy Certificate: 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 building department issuing the construction permit. UBC Sec. 307 If I can be of any further assistance to you, please `eel free I to contact me at 526-2502 . l Sincerely, Gene Birchill Deputy Fire Marshal GB:kw cc: Tigard Building Department "Working"Smoke Detectors Save Lives k �.T­77..... ............ ........... 4W 3//9/(7v - e v ' TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT 4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2538 March 8, 1990 Yorke & Curtis 10125 S.W. Beaverton Huy. Beaverton, Oregon 97005 Re: Perry Clinic & Time Share 9735 S.W. Shady Ln. Tigard, Oregon Gentlemen: This is a Fire and Life Safety Plan Review and is based on the 1985 editions of the Fire and Life Safety Code (UBC), Mechanical Fire and Life Safety Code (UMC), Uniform Fire Code (UFC), and other local ordinances and regulations. Plans are conditionally approved subject to the following items: 1 1. Exit Door Hardware: All doors shown on the drawings must be openable from the inside for immediate exit at all times without the use of a key, special knowledge, or effort. UBC Sec. 3304 2. Firestopping: in all wood framed walls and partitions, firestopping 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, Grid 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 3. Approved Plans on Job Site: One set of approved plans bearing the stamps of the building department issuing the construction permit 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 "WorkMt"Smoke Detecton Save Lives _., VF1171-V-717' Yorke & Curtis March 8, 1990 Page 2 Bf 4. Required Occupancy Certificate: Prior to the use and occupancy of the project (space), a certificate of occupancy or other written �r instrument of approval must be obtained from the building department issuing the construction permit. UBC Sec. 307 Jf I can be of any further assistance to you, please feel free to contact me at S26-2502. Sincerely, Gene Birch 11 Deputy Fire Marshal GB:kw cc: Tigard Building Department Ankrom Moisan 1 i, t rNot , a` EL rapper CTD. e%r wr i it Aniv CRYOF,WARD GOMMUNtTY DEVELOPMENT DEPAIMARENT 13125 SW J+A Blvd P.O.Fkw 23397.T4&-d,Or*9W 47223(5031,&39.175 CITY OF TIGARD - BUILDING PERMIT f ! PERMIT N. . . . . . . : BUP90-0059 PRIM. PERMIT M. : BUP90--0059 DATE IS.UED: 03/06/90 • :,ITE ADDRESS. . . : 9'735 SW SHALL LN PARCEL: 1S135BD-00300 SUBDIVISION. . . . : ZONING: C-G BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ------------------------------------------------------------------------------------ REISStfE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :AI.T FIRST. . . . : of N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : of PROTECT OPENINGS?---------- TYPE OF CONST.:5-1HR THIRD. . . . : of N: S. E: W: OCCUPANCY GRP. :B2 TOTAL------: 0f ROOF CONST: FIRE RET?: OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED: STOR. :3 HT. :40 ft GARAGE. . . : of OCCU SEP. RATED: BSMT?:N MEZZ7:N REQD SET3A:KS--------- REQUIRED-------------------- FLOOR LOAD. . . . .50 psf LEFT: ft RGHT: ft FIR SPKL:N SMOK DET. . :Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:Y HNDICP ACC:Y BEDRMG: BATHS: IMP SURFACE: PRO CORR:Y PARKING: Remarks: Add & move doors on first flr Corr. 107, NE corner. Owner: •---------------------------------- ----------------- FEES -----•--------- YORKE & CURTIS type amount by date recpt 1� 10125 SW BEAVERTON HWY PRMT $ 80.50 PLCK $ 52.33 / / BEAVERTON OR97005 FIRE $ 32.20 O _ to/I Phone i#: 646-2123 5PCT $ 4.03 / / 00 PAYM $ 84.53 JLH 02/22/90 107492 Contractor: -------------------------------- PAYM $ 84.53 JLH 03/06/90 YORKE & CURTIS 1.012.5 SW BEAVERTON HWY BEAVERTON OR 97005 ------------------------------.-_------ Phine t: 646-2123 $ .169.06 TOTAL i Reg #.. : 55644 ------ REQUIRED INSPECTIONS --•----- This permit is issued subject to the regulations contained in the Framing Insp ( Tigard Munir:ipal Code, State of Ore. Specialty Codes and all other Insulation Inep aprticable laws. All work will be done in accordance with Gyp Board Insp approved ,)lane. This permit will expire if wc�k is not started Susp Ceiing Insp ! within 180 days of issuance, or if work is suspended for more Final Inspection than 180 days. I Permittee Sig•tature: 'dYiu� Issued By: Call for inspection - 639-4175 y 1 , q i OIL 1 Page No. 1 CASH fiIS'MVY FOR CAGB NO.: BUP90-0059 I YORRE 6 CURT'a 09735 SW SHADY iii Unit: 101 ` i 05/05/98 Action Description Ren/ Sciui/ Fnd/ Action Notes Disp By Update Upd code Sent Dane Dcme Date BY N SUPC007 Application received / / / / 02/22/90 RECD JIM 03/05/90 JHJ BUPc010 Plan check deposit. paid / / / / 02/22/90 PAID JLH 03/05/90 JTIJ RUVCO20 Plan check by / / / / 03/05/90 PASS JHJ 03/05/90 JHJ BUPC030 Fire District review 02/22/90 / / 03/01/90 PASS GB 03/05/90 JHJ BUPC080 All fees paid / / / / 03/06/90 PASS JIM 03/06/'0 JIM BUPC090 (F) Ready to issue / / / / 03/06/90 PASS JHJ 03/06/90 JHJ BUPC100 (F) Issue permit / / / / 03/06/90 PASS JIM 03/06/90 JLM BUPC750 Framing Inap / / / / 03/08/90 APF GS 03/29/90 BMR BUPC760 Gyp Board Inap / / / / 01/12/90 APP GS 03/29/90 BMR BUPC799 Final Inapection / / / / 10/08/90 APP ,S 10/08/90 GES 1 r 1 ,j IT,+..-...rY •tpI-r•,. .,. .-,M- ..,.w # Ytyry, .+'n: x . INSPFCTION NO-T-ICF. City of Tigard Building Department P O. Box 23397 Tigard. Oregon 97223 Phone: 639-4175 TYPe of Inspection Date Requested �_- t.Y— -----_._ Time A.M. P.M. Address --_ Owner Permit a( .�" Lot # ►t_ 88__-_/�I/L Builder The fq(lowing Building Code deficiencies are required to be corrected: C- .�4/v1-, �(- ill t k — r ckc � � — -7 z G 3 �1 i r .�.loll — C� C ;e Presented to --- Inspector - - App,'oved Date ❑ Disapproved _ w CALL FOR RF,INSPECTION h. ❑ YES ❑ NO iY i r OF OCC-UpANCy C y� CITY OF TIGARD OREGON +� Samaritan Medical Mall 881410 i Owner: .mood Permit No. � ~ � Address: 9735 SW Shady Lane Tigard, Or 97223 'r4• \ ' Bdlding Address: 9735 SW Shady Lane 1 { 'cru ancv: B-2 1, p Land Use Zone: Bldg. Type v1HR ._ Comments: First Floor Remodel _ Certificate is hereby given tris 24th day of May _ 19 89 that said t wilding may be occupied and that it complies: with all requirements of the Building Code for the City of Tigard, as approved by the Tiga-d City Council. ` Fire Dept. C � ildiag iaspec � P e Buil Offic!al l Post Certificate is Conspicuous Plane — — 6' Z��.F Nyx {4x.rx wy r nw r.NW.�k" wa.rs •+4��.ruMasiMb.n�M%i.i/�iKI+w{' w1Y^iry ,&, TUALATIN VALLEY FIRE and RESCUE FIRE MARSHALS OFFICE f (503) 526-2469 POSTED: OCCUPANT (J c'?GtU .�`�/�i rt�,1���7 _/y V-��I C&( l CONTRACTOR BLDG. PF,RMIT 0 g IC PROJECT NAME _�"� t /OC?� /L1rIU�✓^ PLAN REVIEW 11_ LOCATION JURISDICTION: 1= Be. 2= Du. 3= K.q. 4= Ti.. 5= Tu. 6= Sh, 7= Wi. 8= CC 9= WC 0= MC COVER / FZN '� SPECIAL FOLLOW-1JP/REINSPECTION ATTEMPTED FINAL i C ❑ Framing ❑ Separation Walls ❑ Sprinkler System { ❑ Shaft ❑ Firc Dampers (Ov-rhead/Underground) ❑ Alarm System ❑ Hood Extng Systems ❑ Conference i ❑ Spray Booth ❑ Ceiling Cover ❑ other f t, Date: Inspector: :► w Lir. .. , ..... .. .,... , _ � -- — -- T167A ML�:C:NANI:C;A1_ PE'RMI:T CITY OF RF�E::RM7: r NO. : MEBH1A1%' Ctrva ncAtro COMMUNITY DEVELOPMENT DEPARTMENT DAI V: I lSSUE::U 10/ Z1/86 13125 SM Hall Blvd.,P.O.Box 29997,Tigard.Oregon 97223.(509)6:94175 1•'I:t:I.M. PM f .NO . 0671 A 10 JOB ADDRESS : 9735 SW SHADY LN 'T'AX MAP/LOT SUE) (::[:)(.)D SAM MI I.) UN T R L-1 BIK : f I...ANn USE : LOT S I7.E: � ITEM: NO: NO WORK CLASS: AL-T ERAT ION F"LIRNACE 0.00K AIR F•IANU(. 1-4 <1.0 t USE TYPE: COMMERCIAL FURNACE 100K•1 AIR HANI:L.R 1.0K CONST . 'TYPE. VN F LOUR F U11NAGE:: E::VAP .C:(:)(JI-EP ✓f OLCUP.GRP. : 132 HEA T'ER VEN r FAN f.. VENT VE:N'T . SYSi'T'LM i 13L.R/COMP <:51IP HOOD t NO- STORIES: BI_.R/COMP :3••-1.`51AP INC:3:Nk::RAI'OR(DOM 1 DWELL.UNITS : BLR/COMP 1.:5--:301-1P INCINE::RATOP(COM FUEL TYPE: CAS BL..R/COMP :30---50HP RIH:PAIR UNITS P MAX. INPUT 611-II/COMP 50•+-HP OTHER F IPE DMPRSi7 YE:Si GAS PIPING OUTLETS HIGH F)PE:SS7 LOW VPF:S5"/ YES � I)I:::MAIgKS . Itellftocle7l. 1.14! e!x:i. :;t.:i n( HVAL tay!at"m atncl ilLdLl nc�w vent, (lanai O Cinu(i Sitt.mar•itan Herail.thT F:ntwr• PEPMT T ii:1.0 . 00 1 W 97:3.5 5W Siliracly I-ane! PLAN PEVIE::W $1.0 . 00 N F ri.(iar(i OR 97223 F"IXI'URES $30 . 0o R STATE: TAX $2 . 00 (:)'T HER N MAPKMAN INC i q 9955 SES ASH SI' A Part1and OR 9721.6 + I T PHONE' (1,503) P55-91923 i 0 RFGisTRATION NO. Markman I r(7'rAl_. : $50. 00 R J Q RF.::C:F_•:I P'T' NO. fjD / ! This permit is issued subject to the regulations contained in Title 14 -••-•-••••-••-•-•-••••••-•••••-••-_„_....____...___ of the TMC. State of Oregon Specially Codes,zoning regulations RE:6Il.)IREU INr;PF:C;I IONra i and all other applicable codes and ordinances, and it is her3by agreed that the work will be done in accordance with the plans and GAS LINE specifications and in compliance with all applicable codes and MF�CI IAN(wl._ . SiYSI'F:M ' ordinanceq The issuance of this permit does not waive restrictive VINAL. covenants. Contractor and subcontractors shall have current city business tax permits. This permit will expire and become null and void if work is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any time after work has commenced, It shall be the responsibility of the permittee to assure Fill required inspections are requested and approved Permittee Signature Issued By _-”- --_ l'f1G TNA;P;;-uYT--rnN_f."R��••_fai'1�i SEPARATE PERMITS REOUIRED FOR WORK OTHER TI LAN DESCRIBED ABOVE i rr; r torr' S'. y.....•�' . t F.+ . r. 3 Page no 1 CASH HISTORY FOR CAST: NO.: MRCH91412 r f{gp LTH BN'I GOOD SAMARITAN 09775 SN SHADY LN 0f/0B/99 hatim Deeariptim Req/ echd/ Cued/ AcLian Notes Diep By Update Upd Cade fent Eons Dcue Date By . _4 ------- ------------------------------ -------- -------- -------- ----------------------- ------ --- ---- --- -- --- 1 I 1� MRCM028 FINAL / / / / 05/24/09 APPR OS 04/02/90 MAN i P 1 i I i. • ,}, ,\.I _ _ .�T-_. _ .Y-._ _vl._._ _ _ _ _ � A'C-_ _} _ _ _ _ __ ___.Y�-.'..:::amu:( •` ( �f P�fflw�I i • t.- -. • •••- • - • •- we Mour—oare7aice• • o+ m •••• • • -'' ' :{'! .e fes[ ?I � • 1/ • • e_. r -•;T•'t :?S• ' h � } -I .r. 1 • • 1 +l..i,•'�i: � J/- r:ti.- \�`` i\J/,%- :. ri f��J1.•.'� r�.� �VivC��J/ .,.'..,... t•.'-�j �� � :�- � •b 3 M�`��/^��" '.i�i�`/f 2t.•'+--.��l�'•� _1 +_JYy �?y�1{� ��r z:x-j. - .T:'Y �= a•-1 _�%- INSPECTION NOI SCE - City of Tigard Building Department P.O. Box 23397 Tigard,Oregon 97223 Phone: 639-4175 Type of Inspection _-- -------�`_ -- � Time_ A.M._ P.M. Date Requested_---__ --) -- ( C, l CI 77 _2 C- �- �� Permit # — Address ' Lot Owner # Builder _ The followir:g B.rilding Code deficiencies are required to be corrected: h j Approved i Presented to �] Disapproved Inspector 1 / { Late CALL FOR REINSPECTION YES ❑ NO , ` s � w FIRE PREVENTION BUREAU OFFICE OF FIRE MARSHAL 32242 INSPECTION NOTICE OWNER--- _. DATE OCCUPANTOCCUPANCY___' LOCATION VOUR AT 717.04TION IS CALLED TO THE FOLLOWING rIRE SArF TY DE rICIFNCIES: t lye � 4­ �t.;, VAILURE TO CORRECT THF ABOVE CONDITIONS WITHIN 7A-% WILL MAKE YOU LIAPLE TO PROSECUTION SHOULC FIRE RESULT FROM SUCH CONDITIONS YOU MAY PE LIABLE rOR DAMAGFS TO PERSONS OR AFROCERfa UNDER PROVISIONS OF ORS 470 I90 BY_ III. , [... WASHINGTON COUNTY FIRE DISTRICT#1 ( FIRE MARSHAL 20665 S.W. BLANTON STREET ALOHA,OREGON 97006 6494t17PRESENTED To FORM 900 40 t I' I ME AL i {fit,• . ANKROM MOISAN ASSOCIATED ARCHrrFC-M MEMORANDUM It DATE: PROJECT: (5)wp SSM P<R) t7kr J 0"V--Q lc*lAr'l, NIA .L' 116A" "666L SUBJECT: L1✓:TJ' . f-CCF-I Vet-) lTr)P � FM M1�, &6*3E 6I�ZC Gt,� FI R� 16M � fL 1. DPrT�D $/r-1 l�8 RECORDED BY: r AIEETING LOCATION: �- PHONE CONVERSATION: (� COMMUNICATION PARTICIPANTS NIP- JIM TA-�7 U^ , c%{`�') o f 1'1&p'f LV Jim I-eM L4 P- , AN*-P-G M /`rid S iarN ITEMS DISCUSSED: I c.Pn,ufp Jl M J7 -M eAN offid-#E �rfi -►�DP- s 1 V 1�- {moo I NT-e . Pre:. fe;f2- ON TZfiC- !'1� )S P't1J® FZ- 1 Sc+�VU LF- (O^MD '120/o$) ANr) A sxp3sETVFNF M'Ha►JE M p� . TPZ�V A W-As SM b TJ PA-1-1 "V F-/r N C--c SP<1Q-`'J RAE J I pSNI£r`1'rs �iTR T f�Pti CSI00-P- PVO- P. 16d el , A rJ b t 7-'f' A-TGl p--p-I Do r- (I 151,) rn,30 P,(P* ti 0 T- N FA A f-4 . Mfx. 151KtilL 1, S Ifi5-M Z RC-- pGCF- S W IN G PT DOOP- 162- P; corJ"s I t.1 I m b 1f EA)TI T-11 D o rjzr- &-xI S T- i a 0 fluftyus 1 0a Fx S t b 2 Pt 1 16 i 9 o�N 0 1�2 C At-RE A S � O F= (3) FPt R•S o F i Distribution: 2--PARTICIPANTS [a-PROJECT FILE E] OTHERS ANKROM MOISAN ASSOCIATED ARCHITECTS 3223 SW Front Avenue,Portland,Oregon 97201 (503)224-7117 L T n" sy.. . a.M ... .w „w.,r. Mme,.y. ....,�,,,..�,. ..,�...• .,�.r^w.,. �.. .•�. 1 w r / - CL E- v,S UL °L '� d � r � s � . moo � w � d � ol ' a b lb $ Q d- > dLR o sD Lk 111 r �1 i D ZZ W 8 OL l 1�w W z \ Q � CL �04 f CONSOLIDATED FIRE AND RESCUE Washington County Fire District No. 1 `1 City of Beaverton Fire Department r++� Tualatin Fire District o - � FIRE MARSHALS OFFICE (• r.y t•� V August 9, 1988 c�T J � Jim Taylor Ankrom Moisan Associate Architects 3223 S.W. Front Avenue Portland, Oregon 97201 RE: Revisions to Good Samaritan Medical Center 1 t: Dear. .Jim: Review of the, revised plans indicates the following corrections need to be made: 1. Doc,r #161B added to the corridor. 'l 2. Door 0162 shall swing in the direction of egress. 3 . Door 01619 shall be on a magnetic hold open. Y' 4. An additional door, similar to 4161B, shall be added at the detail symbol or someplace in the area oP the detail symbol_ 9 over. 4 in corridor 133/121. This door was asked for during preliminar-' discussions of development of this area. This door shall be alsc be held open on magnetic hold opens. 5. A direct outside exit. someplace in the vicinity of office 0143 or consult 0131, shall be added. If I can be of any furthor assistance to you. please feel free to contact me at 526-2502. b } . Sincerely. Gene Birchill Deputy Fire Marshal (;B:kw cc: Tigard Building Department District Inspectors 4155 S.W.Griffith Drive • P.O.Box 4755 • Beaverton,Oregon 97076 • (503)526-2469 f r .•t }1j1 � `l. Tf i4-il - •- �i�K!.L.:21��—`� • ^tea, 7+V' f�,. r•�: +,, � 'i( fes`-- - - '.i::.' �S`YY.•.ti - __ _ "�l'-:r:.C.Y- _:.-L:•Y_�.:'•:-S:• _ _ _i 3.:�� _ ! ` OF OccvpAivC, CITY OF TIGARD L' EGON { ! - r - •- Owner: •• - • 1 • •.� •1 No.Address: 1015 NW 22nd, Portland OR _ .,J••. .� orf..- • 7210 Building Address: 9735 SW Shady Lane Bldg. Type- Occupancy: B2 Land Use Zone: 5-1 hr.tenant: Gresham Optical , first floor l lfhrr#t Certificate is • • • • hereby given this day of that said building may be occupied and that it complies with requirements of the Building Code for the City of Tigard, as approved lik by the'rigard City Council. Fire Dept. Building Inspector Building Officialr t �' _ r'f. Tj Post Certificate In Conspicuous Place r36 fr.•�i.I!l,. � .. �;? Tv�`,r"'�t�( � -� � �t (( t;} y �► �f .fes;. �' .t y� `:1� . �El�c Ji i �� -,f V V' .. ✓t^} ` i 't-, •.L�/ -� � .. ,r.� '#-1�� �... L�{Z+ . j�.- S x.:i :: � __`•-� � �. ... t/! 'l � Jaz'• �� 1 s7r..`•R,� j•. 1^+ tis r _� .e."•f�' J `�--. - -':3`"- �.;� :-rf��.+"��7rf" _�Ss. .�..'• .� � `'^�_ . .�+-r{ - - - li FIRE PREVENTION BUREAU OFFICE OF FICC Pl!ARSHAL 37907 INSPECTION NOTICE OWNER._ ----- DATE _ -- OCCUPANT Shrliiie'/7�N />1NGl_, OCCUPANCY __. $ LOCATION 9735 S . J/)r1�y Liv v OUP ATTENTION IS CALLRD TO THE FOLLOWING FIRE SAFZT+YADEFICIF_NCIESI c IJ f FAILURE TO CORRECT THE AROYF CONDITIONS DAYS WILL MAKE_ YOU LIABLE TO PROSECUTION SIIOULO r nF RESULT FROM SUCII CONDITION! YOU MAY BE LIABLE FOR DAMAGES TO PERSONS OR PRO15LRTy UNO6R P1{OVISIONS OT ORS 470 100BY ^ ds. , - ` ,/- i' i WASHINGTON COUNTY FIRE DISTRICT H1 FIRE MARS AL 20665 S.W. BLANTON STREET j ALOHA,OREGON 97003 6498577 PRESENTED ro_—. fORM 000 AO 1 AS 1 { II i „ y —T. BUILDING PERMIT CITYOFTIGA RD P[.ftMl'1' N(]. BU(3E1141() CITY'OfT AaD COMMUNITY DEVELOPMENT DEPARTMENT DATE' 15SU D: 1/22/88 13125 S W Holl Blvd.P.O.Boy 23397,Tigard.O egon 97223.15031639-4175 P ft I M. PMT.NO. 8E91 A 10 1 Il 11� A1AWL!:,!i 9/;5;3 SW SHADY I..ANE :. I AX MAL';I O I SLID . (?,Cl(:)D SAM MU:D C:NIP LT : SK I. !1N1) (ISI:. : Lot S1 ZE : IIAI..11ATION: to 8"5 ,( 00 SETBACKS c at FI:'4ONT . PEAR: W(JRK CLASS : ALTEPATION INAIEI. I... UNITS : LEFT: PICH'T : LISE: TYPE:: C:OMMFwPCIAL_ NO. DEDPOO1`15 : EXT , WNI L Cl.)NS'T CONST . TYPE'.: V 1.HR NO. DATI-IS : N : S : E : W: � OCCUP.GRP. : Be 1:440T . OPE::N I:NG!-i : pI OCCUP.LOAD 160 N: S : E:: : W: TOTAI... APFA : NO.STORIES: :3 1ST: 1.0500 1:30(11 CONST : FIRE PEI”? HE 1:GHT : 2ND: APE::A 'SEPAR7 RATED: BASEMENT,? NO 3RD: OCC:I.1P . SEPAP7 RATED: ;!y MEZZANINF-7 NO BASEW T i FLUOR LOAD: 12,15 CARAGE : FIrAi: !aPPKI-117 NO ALARM7 i 1 F1 Ow((:iPM) DE'TE.:C:T7 YES I � I-iEA'T' i'YPE: (:SAS I•-ID(:P.ACCE'SS7 YES CORR7 YES J PLAN CHECK BY : jhj f REMARKS: F*J..r!at. Tir• r•F+m13cls-e]. . [:hetnSe i.rt wEt1.119 , etc. REISSUE: OF NO. I-AST REISSUE 9 � FEES : O Coot] S6tmar•i.1.o.n I•Iceal. r.11 E::n t.l r PERMIT $3430.00 W IP739 Sw 51•1rt.cly L.-Etrtp PLAN PEVIEW $252.20 N E l iclard (114 97P2:3 I`:CRE: DEPT •1:39 20 P S'TAIE TAX 111119. 40 OTHER —–-- -- — DEVELOPMENT CHARGES : C YORKE ROB SDC:Its ropm) O N YORKE: AND C:LIRTI:S C ONS TW.1C:1'.T.ON SDC(STPEET ) T 1.0.1.�5FIF:AVF'rtVON--•1-I:I'I.,L.SDAI...k:: 1AWY PDC(* 1 A BRIAVer•11,1)11 OR 9'700`_5 PREPAID < •407 . A10> T 11-HOW. (:303 1 646--212 3 p NE(:;ISI RATION MI . Yorke TOTAL. : A1407 . 40 R J RE( EIPr NO . 3a�� 7 This permit is issued subject to the regulations contained in Title 14 of the TMC, State of Oregon Specialty Codes,toning regulations REQUIRED INSPECTIONS and all other applicable codes and ordinances, and it is hereby FRAMING agreed that the work will be done in accordance with the plans and INSl.L.ATION specifications and in compliance with all applicable codes and GYP T�(')ARD ordinances. The Issuance of this permit does not waive restrictive covenants. Contractor and subcontractors shall have current city SIJSPF:ND.CE11—ING business tax permits.This permit will expire and become mull and FINAL void if work Is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any time after work has ` commenced. It shall be the responsibility of the permittee to assure all required inspections are requested and approved Permittee Signature � I s Issued By — - C:ALL FOR INSPECTION SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE u ,�.. ..�„�K ., ., �,... ,,. ...�.. �,�. t .„ r. .,.,,,,�. _,. .. • ..+ :r,, ,., ,v�w• •ter*' ,,.y M ,n., a` Page No. 1 CASE HISTORY FOR CABS NO.: BUPSB1410 HIfA1,'I'H gTP 000D SAMAPITAN �J+ 09715 Bp SHADY IN I Req/ gc {/ End/ Action Notea Diap By Update Vpd Action Deocriptian Date By y� code Sent Done Done I . A� 0e/01/e9 APPR 09 04/02/90 MAN BLIPM006 F{IAMIMO APPR BCR 04/02/90 MAN BUPM006 FRAMING, 09/19/88 10/10/98 PART 09 04/02/90 MAN BUPM006 FPAMTN, PART GB 04/02/90 MAN BUPM006 FRAMIN. APPR 08 04/02/90 MAN BUPM006 FRAMINF) 11/04/88 APPR 69 04/b2/90 MAN BUPMQ06 FRAMINr 11/20/98 APPR 68 04/01/90 MAN PIIpMoo6 FPAMI NO PART U9 04/02/PO MAN BIIpMooB GYP. buARD / / / 10/17/89 PART OS 04/02!90 MAN BIIpM00B oYP. BOARD APPTI G8 04/02/90 MAN BUpMooB OYP. BOARD / / ! ! 11/15/90 / 11/15/88 APPI' Gs 04/02/90 MANPM SU008 OYP. BOARD pARI JHJ 04/02/90 MAN BUPM012 OTHEP' 09/09/es APPP BCR 04/02/90 MAN OUPM02S 8U8PEND.CRILING / ! / ! 08/19/98 PART 08 04/02/90 MAN BUPM025 SUSPEND.CEILING / / 09/27/88 PART 09 04/02/90 MAN '. BUpM025 SUJPRIa.CEILING / / / / 09/30/88 APPR 08 04/02/90 MAN OUPM025 SUSPEND.CEILING / / / / 11/09/99 APPR GS 04/02/90 MAN BUPM025 SUSPEND.CHI LING 11/70/98 APPR JHJ 04/02/90 MAN B[IPM02S 8U9PfiND.CEILINO / / J / 12/22/88 APPR BcR 04/02/90 MAN BUPM025 BUSPMM.CBILINO / / 12/28/88 AppR 08 04/02/90 MAN 1 BUPM929 FINAL / / / ! 05/24/99 / APPR 04/02/90 MAN RUPMTOI APPLICANT / 07/15/89 / / F i 3! t r l CITYOF TIFFMO !uly 21, 1988 OREGON � Jim Taylor Ankrom Noisan Associated Architects 3223 SW Front Avenue Portland, OR 97201 PROJECT: Good Samaratin Health Enterprises 9735 SW Shady Lane, BP 881410 Dear Jim: The plans for this project have been reviewed for conformity with applicable codes, and are approved, subject to the revisions discussed July A, 1988. As the project progresses we will address day unresolved issues. We exp,,-t to receive revisions showing the addition of a rated door in Corridor 162, adjacent to Exam 160, and the change of Door 170B to swinging from sliding. Door 16.1 will be changed to a rated door. We will contact yoU regi.rding any other items about which we have questions. If you have any questions, or if we may be of assistance, contact us at any j time. f Sincerely, Rim Jaqua Plans Examiner ht/6053D i M 13125 SW Holl Blvd.,P.O.Box 23397,llo—d,Oregon 97223 (503)639-4171 - 5 7 , e AMOOM MOISAN ASSOCIA'T'ED ARCHrrFM MEMORANDUM CG -Ter 4 BW rvhl4 DATE: July 20, 1988 PROJECT: GSMM/Tigard - Remodel SUBJECT: Revisions Necessary for Permit ( see attached plans) RECORDED BY: Jim Taylor s MEETING LOCATION: ® PHONE CONVERSATION: w/ Jim Jagua, City of Tigard Plans Examiner 2:00 p.m. COMMUNICATION i PARTICIPANTS: ITEMS DISCUSSED: 1. Door 170 -B changed, from pocket door to swing door; door will swing into waiting area from hinges at west ( left side on plan) as per phone confirmation wi'.'h John Santa at 3 : 00 p.m. today. 2 . Added door at corridor ( 162) to be 20 minute rated with closer and magnetic hold open tied to ( 2) additional. smoke detectors at corridor ( 162) as shown on Electrical Plan E-1. j 3 . Addition: Door 1.61 needs to be '20 minutes rated with closer. r t 4 . Addition: Door 176 and 146 need only to be 20 minutes rated with closer; no magnetic 'gold open necessary. � 5 . Issues of additional door at corridor_ 133 between rooms f ( 129) and ( 130) instead of door 1.46, and inclusion of door( s) at ( 143 ) will. not delay approval for building permit and, will be resolved next week when Gene Birchill (Fire Marshal) returns from vacation. 6. Permit can be picked up by Contractor this afternoon. Cost is $407. 40. B41524QM.TO1 f Distribution: PARTICIPANTS X❑ PROJECT FILE OTHERS _Ms . Pam Allen, Mr. Rob Yorke, Dr. John Santa ANKROM MOISAN ASSOCrATED ARCHITECTS ' 3221 SW Front Avenue,Portland,Oregon 97201 (503)224-7117 .t 4 77- f N t yy,4 7 , CONSOLIDATED FIRE AND RESCUE Washington County Fire District No. 1 City of Beaverton Fire Department �e Tualatin Fire District FIRE MARSHALS OFFICE July 18, 1988 to � i Jim Taylor Ankrom Moisan Associated Architects I 3223 S.W. Front Avenue Portland, Oregon 97201 RE: First Floor Remodel j Good Samaritan Health Enterprises 9735 S.W. Shady Lane 1 Tigard, Oregon 97223 Dear Jim: A fire and life safety plan review was conducted on the above captioned j project for compliance with the 1985 editions of the Uniform Building Code (UBC) , uniform Mechanical Code (UMC) , and the Uniform Fire Code (UFC), as amended hN Washington County Fire District No. 1's Ordinance 86-1. \ 1 Plans are not approved. Please revise and resubmit with the following items corrected: 1. Separate Areas: Meeting held May 3, 1988, agreements were made to separate the areas into 3,000 square feet segments or smaller (approximately 30 occupants or less per area) with automatic closing intervening 20-minute doors in the corridor system. It was also my impres,ron that each one of these segments, with exception of the optical pharmacy, was to have n direct outside exit (in the case of the northeast and s„uthwest corners, the horizontal exits through 1 stair towers were acceptable). I These agreements wEre made in lieu of providing 1-hour fire resistive j corridor construction with Automatic or self-closing 20-minute door: assemblies to the corridor as required by UBC Sec. 330.5(g&h) Either correct the following items or the corridor shall be constructed in accordance with UBC 3305(g&h) a) Door 0176 is to exit into a portion of the corridor which b will not be under control of a separate tenant. b) Outside door was to remain for office 143 or an optional, door to be installed. I i 4755 S.W. t;riffith Drive • P.O. Box 4755 • Beaverton,Orcgon 97076 • (503)526-2469 ( , �' w ^� +7f""' � . ,. - .. � .. .. -. ..*In .. ,.. ,... . , ,t 4 .Ytl way'"t'^ •+r^�" "� •N f _ tl Jim Taplor .July 18, 1988 Page 2 I jc) An intervening automatic closing corridor 20•-minute labeled door assembly was to be placed in the corridor along the I { area of room 130/129. Another alternative to the situetion would be to fully sprinkler the building and provide smoke detection throughout the corridor system. 2. Door Activation: Double doors opening into doors 133, 18_ 1 A and 170A shall be either self or automatic by detection of. smok . UBC 3309. 3. Exit Door Hardware: All doors shown on the drawings must be openable from the inside .for immediate exit at all times without the use of a key, special knowledge, or effort. (UBC Sec. 3304) 4. Exterior Exit Door: Hardware for the exterior doors and key operated deadlocks may be permitted where there is a sign posted on or over the j door reading, "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" in letters not less than one-inch in height on a contrasting background. (UBC Sec. 3304) 5, Double Door Hardware: Where exit doors are used in pairs, approved automatic flush bolts shall be used on the secondary leaf. The door having the automatic flush bolts must have no door knob or surface mounted hardware. The unlatching of any leaf must not require more than one operation. (UBC Sec. 3304) 6. Sliding Door: Doors serving an occupant load of 10 or more persons shall be of the swinging type. Door 0170B shall be changed from a j sliding to a swinging door. UBC 3304(b) i 7. 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 HVAC equipment and duct work must be submitted to and approved by this office prior to installation. (UMC Sec, 302) 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 throuir►n,it all phases of construction and must be made available to trilding and fire inspectors for reference during required construct coci inspections. (UBC Sec. 303) 9. Inspections Required Tnstiection of construction by a representative e.r ;s offIce is reouire1: (F ) Niior to the cover of any new framing elewei:ts f,.)1lowing ''he inatalln.' .on of all utility runs which wiA be c,,nce,sled wit!�in. wall ant! rnlitition cavities; (b) upon completion of construction a d p. ar to ,ccupancy of the tenant space. (UBC Sec. 305) _.r-. -:.,a r,.. • --. . ;. .•,.•,:..i f.r W ri1r�►' Ri.u+�r. .t!. ni4a�i1 sl�nicrstviaiu'- i Jim Taylor July 18, 1988 Page 3 • I 1 10, Certificate of Occupancy Required: Prior to the use and occupancy of the project space) , a certificate of occupancy or otter 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 THE COURSE OF CONSTRUCTION, EXCLUSIVE OF THOSE NECESSARY TO COMPLY WITH FIRE SAFETY REQUIREMENTS AS LISTED HEREIN, ARE PROHIBITED WITHOUT THE WRITTEN AUTHORIZATION OF THF WASHINGTON COUNTY BUILDING DEPARTMENT AND THIS OFFICE. i If I can be of arty further assistance to you, please feel free to contact me j at 526-2502, Sincerely, i Gene Birchill Deputy Fire Marshal. GB-.kw ,t r"! Tigard Building Department: ✓ District Inspectors F Good Samaritan Medical Mall. York & Curtis Construction er S I � �I f •r s �5 hl� x n.. li YV ..»IV�1 T°R. '•'�' ,� ".'11'Aih• 1'Y'�.V�M'N+I.{41' n r P a First Floor-- rus?iam (,{.1ir_al5 9 3 0 ,. CITY OF TIGARD 639.4171 DATE l 19 86 BUILDING PERMIT 1i00d •aMritan ilealtli Lilter'arises TAX MAP __ - LOTNO. SUBDIVISION OWNER JOBADDRESS 9735 0.1 Shady Lane_—___ „ ► BUILDER joorki Coni- . STATE REG.NO. -_ - _-_ _EXP.DATE _ - BUILDER'SPHONE ARCHITECT t' `10isaQ PHONE _._ OTHER STRUCTURE _ ! ' NEW REMODEL ADDITION I REPAIR C MOVE L OTHER DEMOLITION RESIDENCE COMM EDUCATION IND RELIGIOUS ' ' ACCESSORY ( I GARAGE I OTHER FENCE OCCUPANCY 04LAND USE ZONE +t--BLDG TYPE _ FIRE ZONE PLAN CHECK ElY _HEAT ,_;, l,onntruct tenant Mott iLiza+tlor;--tirrit floes---tor i.reshato Uptir_al, all per api,rovej plans aw-' coca]retiui[ > $nta .5.ul.t iect to L. Mori— SEWER r a a�u{ra�r: SEWER PERMIT# OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES 3 AREA `61u NO.BEDROOMS VALUiPo BUILDING DEPARTMENT __ SETBACKS FRONTu,,a, REAR3 i nnr LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN T14E BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF. Plan Check 40 3 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCF PI.iiW( 11 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVI re 25,U0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tex SOC -- ) Total 130*0 3 APPLICANT OR AGENT - - PDC# Prepd. �— ---- --- Receipt No 1 J ADDRESS �PHON Bal.Due 136,63L_ Issued By -.Approved By- IY I r s S:xaY " F1. „pppp,4 M`J't a tc t r ( ,f .1�"""�'i g+ M�- • -�^+. ♦..�,�...:µ�.^.�..«y ..,RA, ,..w ,. .- ,.•r .,... �„e v .pwi, w. .'AV. �. ...aw i.4 P 5' -- ---_ — —Y — PLUMBING --_DATE DATE INSP. TYPE INSPECTION REMARKS Contractor _ y — --- — - --1-- - --- Permit No Rough in Fixture ---------- ------------- final HEATING 6� tGonlraclorR/ - Pa.rnit NoL4 Q Gas or 011 ------- ------------ ------ Rough in -------- - - -----------_-- -- --- Final — SEWER Final ----- — DRIVEWAY - ---- -- ----- ---- Final �---- ------- — -�--- — Storm Drainage , (Rnin Drain)Final t Sidewalk -- Curb A Street Final —�-- Approach BLDG.DEPT.FINAL CERTFTEMP OCCRY UPANCY CERTIFICATE OCCUPANCY Final - Landscaping Zoning Final 4 c r St f 'i S k i �- � _'I..S -� SL3••� � ,it �.'`ypBlS..� .LS4� �,` � _ _4 - _ _ ��'/// _� - ^ 1 _ .' -,�.•.,:::� r..::'•-s_iae:: -ee•:-r�_tos:• :e�:_t:��n:•:nrs»cxrmra,•su.�.sam-=rsrw+a+etw_-_`asnr.•rc^ravw=_-�-ac'c::..-' ::'•.._-..Y.. .-` - - -- - - OCC-U'- PAIVCy \ ' t OREGON r Owner: • Resources Permit •9735 SW Shady Lane • • �x 9735 SW Shady Lane Building Address: Occupancy- 3-2 Land Use Zone: C-G Bldg. Type 5-1Hr. Comments: 1985 day of July Certificate is hereby given t1lis 30th that said building may be occupied and that it complies with al' requirements of the Building Code for the City of Tigard, as approved vi by the Tigard City Council. Fire Dept. ctor Building Official . 4: Post Certificate1 Conspicuous Place n A A w 7 :w., K_M,,,r. p,,,r,... M..�v�vhn �f. t... - ..... ,,,... ♦ rMr ,.�M �.. �`,n.,w wp�r sn w �P I INSPECTION NOTICE City of Tigard Building Department 12420 S.W.Main St. N Tigard,Ore n 97223 Phone: 9 4171 Type of Inspection --- J i'S TI A.M. P.M. Date Requested_ �.— Permit # Address — �— Lot #, Owner Builder t The following Building Code deficiencies 9!e required to he corrected: f I -- -- - w I I i Presented to Approved Inspector Disapproved Date CALL FOR R UNSPECTION ❑ yrS k7fNO f k, ICIkrr-E OF OCCL7pI�TA , CITY OF TIGARD fx. OREGON OR.ner. Carbarn Permit No. 5 255 address: 9735 SW Shady Lane Building:address: 9735 SW Shady Lane } - C-G ld T, e =.j Oceunancy. B 2 Land Use Zone: __ B g _-p pp Comments: Construct tenant modification. ist Floor. j�C► Tenant GOOD S".ARiTAN CARE CENTER. s 15th day of N,ay . 19 85 . ,.- Certificate is hereby given this that said building may be occupied and that it complies with all ` requirements of the Building Code for the City of Tigard, as approved }" by the Tigard City Council. Y a + Fire Dept. d g Inspector F E;N — ', � Building Official i - Post Certificate in Conspicuous Place y, .J — — ; L " ire si .rMf• 1 y, Y r ,_ �.,w✓_...�._....•.✓..s.,,.r.rM,•.A+r,MwrM�an+Trrwr4nernw Vr%m+rtr✓.wwMn,.......... _—r 19 � BUILDING PERMIT APPLICATION TIGARn DATE�� 5353 646_2123 THE UNDEPSIGNED HEREBY APPLIFS FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _ OR AS SHOWN AND APPROVED IN T HE ACCOMPANYING PLANS AND SPECIFICATIONS. O%NNER PHON 228-4431 LOT NO. ��-- i OWNER _ Gaayco ka+aUutces JOBADDRESS 9135 Sw• bi"WY LAUD ARCHITECT ��– ENGINEER BUILDER 'fork Construction-- ADDRESS 10125 SW fi►tn. Nary. DESIGNER STRUCTURE ❑ NEW 00 REMODEL r] ADDITION LJ REPAIR 0 RENEWAL O FIRE DAMAGE ❑ DEMOLITION IRESIDENCE ® COMM ❑ EDUCATIONAL C7 GOV'T 0 RELIGIOUS 0 PATIO 0 CARPORT O GARAGE 0 STORAGE O SLAB FENCE B-2____LAND USE ZONE C-t► BLDG.TYPE 9-101001RE ZONE ._ PLAN CHECK BY BCIt HEAT OCCUPANCY ___ _ _ — _ 'Tenant C.Ii.fi.C. Construct tenant aud£f£cation (nos–structural) per approved plans. Fi.r9►.._F1nor —_ --- SEWER PERMIT N _. OCC.LOAD FLOOR LOAD 5U HEIGHT NO.-STORIES I AREA 4 02 NO.BEDROOMS VALUE 2�OQ. BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 32.5U 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 21.13 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE Sts ull 13.UV WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 1.3U -- SDC– Total 61.93 PDCM APPLICANt OR AGENT ey cz Receipt No. Approved BOIL ADDRESS - - ----�—, PHONF r f ,4 fi dor �'. {, ,i• t a ,i't ,if'. ��yti , - •4 Q'.�-- �`�X14 ik ray '�' fi r'� �r n! a'k t A ra�� kZ,Y�'�, '�t?"•i w �Inf p n F .1 A�'�h,•i y -.1 } "1 i C t,�1V}r r{gg1ff,{{ -�' 4 d , � ' ;,�,ti,,"d )• fi 1U .yr+ ..wr,'• .j. �. -„ ».,.�,..,,..-wrry,> 4WALMLA L „ .. ,..., r N,« r4IlrtM.. ,�, ..,A RA '+s •►•.'� �r 7' tl i� NII 1 DAYS INSP. TYPE INSPECTION _REMARK8 — -�-- PLUMBING �- DATE ^� Permit No. Rough.n Fiwtura Find Contractur permit Nu. - Ors or Oil _—. Final SEWER - Final DRIVEWAY Final ----------- � r. SturM Drainage (Rain Drain)Firel ---__ I S-dewal k Curb&Srreet Final —- --�`�' Or.CtJPANCI APDrnach _ ■.DG. uEP7.RINnL { TEMPvPARY —T CE-Of k:A7 � ' Final r ICMR I IFICATE OCCUPANCY I Landeetiping Zoning Final r, tI :a I i x tF 1 a i , r I, .Y .e. 'e.-- f f. I N Niel --------------- ji��YG�hkMjrkjl4fi LtL41�.,1:15 L.P'C�^71:7, niVLX'J+tiap�ad' I 1�IFIUt►�- 5 2 5 5 BUILDING PERMIT APPLICATION TIGARD DATE__t AXSJI. l�— TILE UNDFHSIGNED HEREBY APPL.IC:;I.OR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _ilk 711 d OR AS SHOWN AND APPROVED IN 'I I IE.ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ LOT NO. OWNER Carbarn Co. JOB ADDRESS 9735 SW Shady Lane IS1-3 _ ---- IU125 S1; Beaverton Hills ARCHITECT ENGINEER BUILDER bertaard h Kinney ADDRESS_n_V[n K 97005 dale DESIGNER_—_ - -- _ _ t STRUCTURE (7 NEW LI REMODEL Ci ADDITION ❑ REPAIR El RENEWAL [3 FIRE DAMAGE F-1DEMOLITIONI I, [IRESIDENCE &COMM El EDUCATIONAL ❑ GOVT C] RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE Fl STORAGE ❑ SLAB FENCE_ OCCUPANCY �1_.—LAND USE ZONE C—G _BLDG.TYPE ZONE PLAN CHECK BY =�R _HEAT — Construct tenant modification per approved plana let floor SEWERPERMITM OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES 3 AREA 4013 N0.BEDROUMS VALUE 5*UU0 BUILDING DEPARTMENT SETBACKS FRONT REAR _ LEFT SIDE RIGHT SIDE ? Permit 50.50 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 32.63 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE I WITH ALL APFLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVEi 2U.20 RESTRICTIVE COVENANTS. CONTRACTOR -AND SUB CONTRACTORS TO HAVE rURRENT CITY BUGINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State tax 44 2.02 S` SDC Total 1u5' PDCM APPLICANTO AGENT --- Receipt N0. ( Approved aCRib ADDRESS PHONF i tl I I i F. ' r " 5 t�jt: n44 t Q' iw f? 7 :,{.�' .,• _ 1 �.. �r,, -ref nr,r-,1*. •+,/vyw -- ,"�•fpte....,, .,v n. ,r.r,n.,.,,>.'+�+:wr pwt -w'r:., .f.,`w, "'Mf' +hk l��►�r. +", � d t. :1 DATE INOP TYPE INSPECTION REMARICS PLUMBING _ DATE Ile 25� do Rouph-r, I n F,ttura Final — HEATING Contractor Permit No. --- - Gas orOil —� SEWER Final •DRIVEWAY Final -- ----- Storm Drainage (Rein trai(t)Final 5-dewal k Curb 8 Strret Flnnl Apprnach CU DO. Dt:, T. ptN t. TdMPC1RARY �J CERTIMICAIEOCCUPANCY Final .' .t I IPIr A7TF OCCUPANCY ! _ Landscopw-i l —L 2nnina Fined � tti CW IiGY ��" 1 4 V� • _ t „�a• W-- `s�'t I � r ft CATE OF OCCLTpANCy y CITY of TIGARD OREGON Owner: Ga pd Samaritan Permit No.4974 Address:_ 9735 SW Shady Lane ' Buildii.g Address: 9735 SW Shady Lane 1- Occupancy: B-2 Land lise Zone: C-G Bldg. Typey-IHR P Comments: Good Samaritan Care Center - 1st Floor. Certificate is hereby given this 5 th day of December that said building may be occupied and that it complies with all + c = requirements of the Building Code for the City of Tigard, as approved by the Tigard City Council. r. Fire Dept. #ding Inspector Building Official Pont Certificate in Conspicuous Place 5 f ' J � /� ���\ .•ppm /'�_. - -_� _ � -- _- • - r t I .... _...- .... {. .. _ ... ..,,_-. ,,.... .+.. nr,vr n.�lwYa•.r4gM4exi's ner n..vr;mNr'd•hwaPAkFW9i+7flYRYi.Mr..si:n.slar� i. ,TON�. WASHINGTON COUNTY FIRE DISTRICT NO. 1 rid 20665 S.W. Blanton St. • Aloha, Oregon 97007 • 5031649-8577 DIST I October 23, 1984 11r. David Vanada Ankron-Hoisan Associated Architects 1732 S. F. Ash Street Portland, Oregon 97214 f Dear Mr. Vanada: Re: Good Samaritan Immediate Care Center and Medical Mall l 9735 S. W. Shody Lane ► Confirming our telephone calls of Tuesday, October 23, an inspection was i made of the remodeling work which has been done to date in order to accom- modate the aforecited occupancy. We find that your clients are moving in and preparing to open for business while a number of deficiencies with respect to fire safety regulations remain outstanding. y In this regard I am enclosing a copy of our Inspection Notice No. 21324 which has been mailed to the contractor. Please refer to the second and fifth paragraphs of my letter of plans review dated August 1 , 1984, which was directed to you. Concerning the issue of the installation of sprinkler heads over the door assembly which provides access frcm the clinic's waiting room to the public corridor in lieu of the installation of a 20-minute door assembly with wired glass relights, we find this as an acceptable alternative to the provisions set forth in Section 3305 of the Uniform Building Code ` and no doubt we discussed it with members of your firm. Unfortu+iately, there seems to be no documentation. This letter should suffice. That is, as long as the doors are "smoke-tight" the automatic sprinkler heads will provide the necessary degree of fire resistance; i .e. 20 minutes accord- ing to U.B.C. Section 3305. i While I was conducting this construction inspection I made some other observations concerning the condition of the building. Referring to your drawings, door assembly no. 115 is in a severe state of disrepair. f E' •- P , STOP FIRES —SAVES LIVES , .r. ��,.. y..yNR,. -...w . « a. w r•Yom,! ✓� .»a, �.... .+.«,i,a,r..r...y � 5 4 AAA 3— Mr. David Vanada October 23, 1984 Page 2 4 l This is a required fire-rated smoke and draftstop door assembly having a rated and labeled fire resistance of 20 minutes. It has been severely damaged and cannot perform that function any longer. Accordingly, it must be replaced. Please call this to the attention of your client. We touched upon it with the client's representative at the time of our inspection but I don' t recall having advised him of what actually needed to be done. One other observation I made during the course of the inspection was that door assembly no. 117 (again referring to your drawings) which leads from the clinic to `_he south stairway does not close properly. This is a required one-h)ur fire door assembly with the prescribed 450° temperature end point rating. 1"he door assembly must self-close and latch in order to provide the prescribed degree of fire protection. I mentioned this to your client's representative but mention it again here for reinforcement. Please do whatever is necessary to bring about compliance with minimum fire safety requirements as contained in our letter of August 1 , our Inspection Notice No. 21324, and as mentioned in this letter. If further clarification is necessary or if I can be of service in any other way in bringing out a swift abatement of the hazards , please let me know. ' 'Sincere yours, 4 WASH ETON C U1 Y FIRE DI RI T NO. 1 W i tui e / Fire Prevention Officer jcc cc: Rob Yorke -,Ed Walden i is J t ` FIRE PREVENTION SUPCAU 0 ^ OFFICE OF FIRE MARSHAL f it INSPECTIO14 JCINCE � OWNErte, y J DATE_ . OCCUPA �l.Itl pCCUPANI,Y v LOCATI r' YOUR Al fFN TIONL 92 i. ig v K, FAILURE TO CORRECT THE ABOVE CON DI110 S WITHIN DAYS WILL AUE YOU LIAPL� `O e'ROSECUT S�IOULC` r.IRE I RESULT FIMOM SUCH CONDITIONS YOU MKY PE LIAPLE�DAMAGES TO PERlO 1,,.011,41{OPERTY UNC rnavl 10 ! or ORS ,,. IoD 9v ...A l ' WASHINGTON COUNTY FIRE DISTRICT N1 FiwE MARSHAL 20966 S.W. BLANTON STREET ALOHA,OREGON 97006 649.6577 PRE" a TO 010*M •eo Ao t I 1 1� ww--� �" S a �► t� C to R ,. - --r u.r M. 8'Q-'Ogt- --- t BUILDING PER IT APPLICATION TIGARD DATE _ te.._' 4� Q THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OWNER PHONELDER E ORAS SHOLNWAND AOPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT NO.P.��- - - - OWNER JOB ADDRESS 9715 sw Shady Ln _ Bvtn 97UU5 ARCHITECT Aaron/:biaan ENGINEER BUILDER Itarnard & Kinney ADDRESS IU 125 SW Hytne Ilillanale DESIGNER - 231-7117 STRUCTURE El NEW _ El REMODEL 1 l ADDITION ❑ REPAIR C3 RENEWAL 11 FIRE DAMAGE_ ❑ DEMOLITION ❑ RESIDENCE ❑ COMM Cl EDUCATIONAL [:1 GO_V'T C3RELIGIOUS ❑ PATIO Cl CARPORT C] GARAGE f7 STORAGE O SLAB❑ FENCE OCCUPANCY d"Z LAND USE ZONE C"L BLDG.TYPE V-1118 FIRE ZONE PLAN CHECK BY HCR HEAT _ � . ,.` Construct interior Remdel Bron atructursl) * exterior canopy to existing q Bldg# per approved plans I at floors _! SEWER PERMI U"il01000 OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES 1 AREA NO BEDROOMS VALUE _ BUILDING DEPARTMENT SET BACKS FRONT ��4 REAR 4 T SIDE P.�t.�.e.,RIGHT-GiaG. Permit 373 out) THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINcU "i THE BUILDING CODE, ZONING .4S REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE 2�z Plan Cherk WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 1 I6v�2Q WITH ALL APPLICABLE CODES AND ORDINANCES- THE ISSUANCE OF I-HIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS i 14+92 LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. State Tex 179,57 SDC- - - -- Total APPUCAIVT R� AGENT BY �- — Receipt No. - –� - � �• .. l.�Z Z 1 ADDRESS PHONE A J PProved _ ---J 3 .,ipKj xlt r C, ! TO 2 �, a ✓r, �y I1 M < <,, h � 'h �ri'�G T� r! :x k ill Y I 0 51 4c,�w� id .{�.:� Bbl ! 1 RRMARK/ PLUMBING DAT! ii4 DATZ Hop. TYPt INIWVCTION —! _ _ r L?1 1� Pam t N "y Fixture Y _ -mit' _ ---_ _. - ----- -- Fi��i HEATING � _ - _ _. /I Contrartor Aa- Ps it Nn. --•----- ------._— Gey a qd ,rlxiph � VrAl SIEWER Final - -- - bRIVEWAY Final -�-- ----- 4 Storm Drunapn -- _ (Aein')rain)Finale �- + - - _ i^,u•b ry Street Final Approach }ILtX3.DEPT.FINAL TEMPORARY _ — CfrRTIFtCAI G OCCUPANCY 1({-inal CF_Wr'vIUATE OCCUPANr:Y - -- '' Lendscopinp -- Znning Final .� 1kR'. s^"•P ,.. . ,.....,; .r.., �,..vn..,,,.R.fav�..w....1. ;u. ^„`7M-. v.. T..,. .. .�.. ..+r.�n '.►r,#.,.. ..,'Mrw",+`^^h M v� t t r�/yf� X41" pr� APPLICATION TIGARD — 4 09 BUILDING PERMIT A DATE .. ----'f,.lr'�l ,14 THE UNDERc-!GNED HEREBY APPLIES FCR A PERMIT FOR 1-IiL WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OOW N�PHONE_ OWNER [arhel I a It:y�JOB ADDRESS — -- ARCHITECT _ ENGINEER Clark GUILDER R•A• Cray rn. ADDRESS I''�'�• ilax_23_`�lt'i --DESIGNER--- 14, STRUCTURE NEW G1 REMODEL ❑ ADDITION ! U REPAIR ❑ RENEWAL [-IFIRE DAMAGE E l DEMOLITION !_1 RESIDENCE [I COMM ❑ EDUCATIONAL_ L-3GOV'T C1RELIGIOUS 11 PATIO L-1CARPORT ❑ GARAGE ❑ STORAGE El SLAB❑ FENCE FIRE ZONE__. PLAN CHECK BY `iwh HEAT OCCUPANCY L LANO USE20NE — _BLDG.TYPE !- _ -_ Tenant "Odification for �;uare i) CQ. , all rer Pl -IMS anti cOde . _ - lot Floors Orth BtAe• v!.) nLtl ,h{n:? or TnechnniC81 . - _- SEWER PERMIT N — OCC.LOAD 1.} FLOOR LOAD HEIGHT NO.STORIES _ I AREA I. NO.BEDROOMS VALUE,"fI BUILDING DEPARTMENT SETBACKS FRONT I'I N 'REAR LEFT SIDE RIGHT SIDE Permit _ 3 I • 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 7.5.o l WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE —` " •cy WITH ALL APPLICABLE CODES AND ORDINANCES. THE !SSUANCE OF THIS PERMIT DOES NOT WAIVE 9f�6•Fatal ' �.1_.. RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS t It t LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax _ SDC— Totai .�+ --- -- PDCNAPPLICANT OR AGENT `y dwh — Receipt No. J ADDRESS PHONE Approvtd ' S r ti. bf .n REMARKS PLUMBING DATE DATE INSP, TYPE INSPECTION - Contractor 06 _ - Permit No. Rough-in - ---- - "e�� •--- -- ----_.-_.._ ..- - Fixture Ile _ . - __ - -- ----- Final HEATING i ,� -- - - — Contractor Permit No Gas or 011 - - Rough-In - S _ Final - - SEWER _ Final -----'-" " . -.- - ' DRIVEWAY - - __--_- Final -- - Storm Drainage, --- ---- (Rein Drain)Final - _ -- Sidewalk --- --�-- _ Curb 6 Street Final -_ - --- Apnroech - CERTiFICATY'pCc U>ANCA Final _ IL DO.DEPT.FI JrtL �cr ;TWJCAM OCCUnAW. �07 1 �� "" `� 4`lendsraF nn II 2�inq Finel--- F f: t.. 4 1" B. 1 I 4 • S MAIN FLOUH NANTITION. DATE .,119 tat 3736 „ 13UILDING PERMIT APPLICATION TIGARD ER PHONE G.f�3 7 -�i . 1 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED nWNER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFIGATIONS.tHX LOT NO. OWNER Tarbell JOBADDRESS- 9731 5W Shady Lane ARCHITECT Koch.Sacha d t<Ihitaker - ENGINEER BUILDER H•A: GTAy , ADDRESS p•q. [jOX 23516, 7iGar�t)ESIGNER STRUCTURE _ 11 NEW J REMODEL ❑ ADDITION ❑_ REPAIR El RENEWAL _ ❑ FIRE DAMAGE, ❑ DEM:LITIOP� ❑ RESIDENCE fel COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT El GARAGE 1.1 STORAGE ❑ SLABO FENCE NCE N FIRE ZONE PLAN CHECK BY _ e tW HEAT OCCUPANCY j-1 LAND USE ZONE _Q— BLDG.TYPE -- - -- -- p-�xfiitione per approvers plan by Fire District #'1 dated ------- I SEWER PERMIT tf -- OCC.LOAD FLOOR LOAD `_,O HEIGHT N0.STORIES ---- AREA --- NO.BEDROOMS VALUE —BUILDINGEPARTM _ DENT — SETBACKS FRONV L AV WEAR LEFT SIDE RIGHT SIDE Permit wl3.00 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 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANO SPECIFICATIONS AND IN COMPLIANCE a WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total 1 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax •`' SDC- _ Total - -- 62!j,Z 2 _ PDC;N APPLICANT OR AGENT BY _-_ P1 -- Receipt No. i - PHONE Approved u �L1Wf1 ADDRESS -—- ! 1 t 1 t:. t� r�rif drfi5iXu`f,W,� i°fit11 ! i r a o ' UMtINd DAT[PL DATE INSP. TYPE INfPtCTiON R[MARKf _ Contractor .----�- Permit No. Rough-in ,- - - �-_- -_------- Fixture _ - --__-- Final �- HEATING g Contractor Permit No. Gas or oil - _ Rough-in - _ --- — final -- ---- SEWER -- - Final t - DRIVEWAY -- - - _ Final Storm Mainagr (Rain Drain►Final !- Sidewalk -- Curb&Street Final - --- -- Approach - - MILM DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY final CERTIFICATE OCCUPANCY Landscaping u I Zoninq f al 0 ............ OeO4�,W.I. ., avant = l,,t 1.,,or t to �st:l 3170 11 61dy. - T TIGARD DATE __2,Z7/ --- BUILDING PERMIT APPLICATION BUILDER PHONE _-�------- i 14DERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN ECIFI INDICATED OWNER PHONE 1«3 8 THE IrflX LOT NO. LDa T.1!•�.a OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS ` OWNEfPcEiflCi9l ant moure �BADDRESS 97'- SLI �hRr�y �Li—"'__ARCHiT Thomas & Grainer ENGINEER 1 T i t7H r c DESIGNER �_„_- - ADDRESg1.'1_:I�oX-•- 6 a+�G'�--._ __ BUILDER".A. Gra LDnstr• _ _. ❑ ADDITION ❑ REPAIR 0 RENEWA-_. __ FIRE DAMAGE ❑ DEMOLITION STRUCTURE X'NEW ❑ REMODEL _ -- . COMM ❑ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑Aj ABC] FENCE ❑ RESIDENCE I ;i-1 H r FIRE ZONE 1 PLAN CHECK SY - �!" LAND USE ZONE �-�'� BLDG+TYPE — OCCUPANCY ---- _ Construct tenant modifications_ P� Tenant - Terbell Co- ( ntire_lst ilonr) -_- plans rld node and review by Wash. Co• Fire District rrrf : u DAT[ INSP. TYPE INSPECTION REMARKS _ PLUMBING DAT[ Contractor Permit No. -- Rough-in _ Fixture —_ -- Final t F i nal HEATING 07 Contractor —�---- Permit Na. —' Gat M Oil — Hough-in Final -- SEWER Final —�_ - DRIVEWAY Final Storm OrainW J (Rain Drain)Final —-- Sidewalk __. Curb&Strnet Final Approach y BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CEIFMRY IC 'E OCCUPANCY v — - --- �+ 'Z landscaping Toning Final `fX`rf �`•� al All 4':. -.Fr .. _ N y el�u 9,015, -Te.�+.�. .3131 • i BUILDING PERMIT APPLICATION TIGARD DATE THF UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 639.6127 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICP,TIONS. 1'�" LOOT No, 2UWNER NE iSl•3S>a OWNER Urenderaal tI00re_Q09ADDRESS 9735 Sw ,hady Lane ARCHITECT s re nQ'r' ENGINEER BUILDER I .A. Grp► 6 (ia. _ ADDRES$ p•V• I:�3H : 3516 • Tigard DESIGNER STRUCTURE_ ® NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL _❑ FIRE DAMAGE O DEMOLITION A RESIDENCE LILCOMM P- EDUCATIONAL ❑ GOV'T [I RELIGIOUS O PATIO ❑ CAR PORT ❑ GARAGE C STORAGE ❑ SLAB❑ FENCE GWkI HEAT- OCCUPANCY — OCCUPANCY B-2 LAND USE ZONE _ __-BLDG.TYPE g•1Nr FIRE ZONE 2 PLAN CHECK BY _ Tenaat • U.S.Dept. Agriculture. Construct tenant modifications per plains 6 code,, ar,d review by Wash. Co. Fire District No. 1 (West half of 2nd floor). y Separate plumbing and mechanical permits required. SEWER PERMIT M --- OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA 4560 NO.BEDROOMS •" VALUE -- BUILDING DEPARTMENT SET BACKS _FRONT REAR LEFT SIDE RIGHT SIDE Permit 142.00 TH{S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 71.00) '00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL. BE DONE IN ACCORDANCE WITH TH' PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal 21.1.00 _ RESIRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS �— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax .�•fib f Total 119.68 PDCq APPLItXNT OR AGENT Apprcowed Receipt No.IiWH ADDRESS -- - - PHONE y - ' I t M � Ft a Ft y I II �a�1. P A ,I- S ■(ir {" r u - ;r 'T 'tp,r, +r. w.: !f .., x a•..�.•. � ..,r^.......ce T`o., .,....., .. r•OT.. � w � ,�. + .R.t.,� M- i M.t ...yr �^r.•�« C L C � i p.i Y• � -wa f1AR1t�NMM� _ REMARKS PLUMBING DATE DAT[ INSP. TYPE INSPECTION - ---- Contractor Permit No. _ Rough-in F ixturt Final — HEATING -- Contractor Permit No. Gat or Oil Sough-in Final s[wER 1 -- Final J DRIVEWAY Final Storm Drainage �. IRain Drain)Final _•_ Sidewalk — --' Curb a Street final — Approach _ -- — --� �.DG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE CCCUPANCY Landsnaping �' 7n ung Final 'i. Yi N „ N. 41 f r�a ��' 1 5�� ..� •� � - tt4y„,�_-. .fly hi?.�,'� N t