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10500 SW GREENBURG ROAD-4 I Ii w f}Rj '-fS •'y - i� �� '+.} •. �{�` ill I F y T' 111 L G� .y..•' /�1 !' ,; YID•'.� III I "' ��yy11ff T III rh r, J. l , ,�:• ,ra'�: r In zit^ I" �+ :tee'.-:. !1� l S•�' 3 vJ'"7r i lfl' ,a a w' i~ 4j1;'t t ray T.,i: Y•�'. I �r ,e a d r I ldlllll o �r L �- Jl _ O T ----�— _.-w....._... E 111 1 �1 0 P IX i ll!11�;l'il All t � ISI 13 � I 11 i I O T Illl SUBS -� . -� ► � o IIS I'I l�l� - - ► i i o a MOD r cllllll 1 , t _ - 1 I ! 1 , I I!l j t I e I I� I t I Ill1;l r IIII a Ill,il r � I Il�l�'l II I I ti I ' � � a •'t I r j j � I 1 1 t . I1 1 I , I I , I Il� I I t E • J � t r 1 JY T]taC 'date II I S - - ,..,.��.. ' 1 � ____J � •--L � _.� it Illilj� llYi Q f• s , l , w , 04A&), _U y X � MG(-)��� Ott �� Z � I I 9r 7 � r:: S �.Tom. U�/ t� -RII c� P scw a _ T H Fes_ , 1911111 . 'y7 u' fA , Jam- UF-�, Ctifl� r e � ' PT. PM�j. 3�fo C�k' 1 /ZjQ;M, �-R4/k %ll�f�(J �' �. �, �► ° '�>N/ All 5 UX 1# Goth lv(M41P 0A) o ! S Q'-6PALL , �f, cA�s. I r. PM5 3�Co �� Al IrX��3 >p Y� P�t4.�T IGC) f'C,I� 8 M�PROPOSAL I oA f�1�p. �T� �3�c,vG ° F�u� . Dart 10500 SW Gree►nburg Road Tnrg 0.5µ4n s me so+e aooeIt'll,,y Cw, Rarnsay Sl , 1 Ufa P�U �b an d Celi r U ecaf en y w wn Its enareiy ;x en part a n crx�snuc Iepn la .GtJ J� Po 1 Of 7 K aonWxteC ural author!teA by r.wnei RAMSAY SIGNS IPI sc"ff y _ 1 �a of„tea �•wcstfw..rr� M 1� �HAMMAQAd a ... Ol at !II If this n to'�_ e appears clt.� cr• • the I�I document, the docu Aent is of nmarginal glralit . y 3/4/97 e I � � II � � IIIIII IIIIIII � IjIIIIi 1111111 IIIII I � IIIIIII 1 1 1 1 1 1 1 i ' I I I ' • � � � � II I I II II i I ► I I . INCHMMADE I I I II I I I I I III I lij ! IIIII I IIIjIII i l l i IIII I I ( i I I III Ali loll II II ( IIIII IIII � ililllllll � cm Z 3 � IIIIIIIIIII�IIIIIIII{IIIIIIllllfllll!!IIIIIIIII�III�IIII�IIIIIIIillllllllllll�lllli�lllllllll�Illilllllflillt lllllI, e Illill i II II I I fil�l ll IIII I I I I I I IIII I IIIII 111111 II4IllllllllII IIIIIIIII I IIII III I I 1I,1 11I1 111127 1 I I I I I II II II III. a, 'I.11 11I III I �I II I II I I IIIII I 111113 RI IJ, I Illi 'Ill �l ll UTILITY ROOM SPECIFICATIONS _ VACSTA;il 2 n VACSTAR 4 UTILITY ROOM SPECIFICATIONS ENTALaUUMVAcSTm VACSTAR 5 b VACSTAR 8 DENTAL OFFICE VACUUM SYSTEM PLUMBING SPECIFICATIONS REMOTE WATER CONTROL VALVE AIR/WATER SEPARATOR MARK BOX IF THIS OPTIONAL MARK BOY IF THIS EQUIPMENT IS INCLUDED OPTIONAL EQUIPMENT ' 4 With PVC glue. y4" SOLDER IS INCLUDED u. • Install "P"trap with clean-out to VENT TO GUT SIDE \ 4" MINIMUM\ TYPE UNION 1 Mount wall bracket to wall and bottom of Air/Water Separator. VENT TO OUTSIDE • +. Install second "P" trap 22" TO WALL CLEARANCE ,' ,y � , Insert clamps as sownh t 2" (A;1 \ C 2 Secure Air/Water Separator to wall • Note that both traps can be bracket with clamps P _ rotated for maximum 2 (A) 22 <C �I 'l4" SOLDER ` t 3 Connect Air/Water Separator to conservation. Vent TYPE UNION (D,ms�ss, 5 Install flexible tubing \`12" ` • VacStar 2, VacStar 4& VacStar 5 v! between Air/Water Separator and 12" 12 S`' installation5—use 3" x 2" 1 '/.." I D gravity drain line(or, IV 11 coupler to connect to 2" vent ' open drain If required b local OR I��� �_ pipe I i , code) q Y 1 26„ 19" - OR t 30" MINIMUM • VacStar 8 installations—connect I I� 18"U � ! C'_EAF�ANCE directly to 3" vent pipe 1" MNPT x '/,," MGHT adapter for TO FLOOR use with VacStar 2& VacStar 4 INFORMATION FOF, OVERHEAD PLUMBING INSTALLATION 30- 12 Ile MAIN LINE RISER TO MAIM LINE RISERS FROM DENTAL UNIT J �; � f MAKING Reduce to '/1" from Main Line TO MAIN LINE TURNS 900 ELL =' Diameter. \. I 1 �d 45' ELL 45 Y OR SLOPED TEE 12 CLEARING PUMP AN OBSTRUCTION �----OR —� TERMINATION 450 ELL AT PUMP ALL DIMENSIONS FOR LOCATION OF INTAKE, D)not c-se 90°elbows except where main line J EXHAUST AND WATER ARE MAXIMUM DISTANCES terminates at vacuum pump Use only 450 elbows 7 ALL DIMENSIONS FOR LOCATION OF INTAY.E, ALLOWABLE tc make turns in main line If pipirg is diverted to DENTAL UNIT EXHAUST AND WATER ARE MAXIMUM DISTANCES� ALLOWABLE. ear ars obstruction.DO NOT MAKE A TRAP. Maximum height from riser trap to main line is 10 feet. EXHAUST TO SEWER dREMOI—E CONTROL PANEL W ITH GAL GE ! EXHAUST TO SEWER MARK BOX IF THIS OPTIONAL EQUIPMENT • Vent to outside with 2" diameter vent pipe. (Use -—- i IS INCLUDED c-, r=, • Vent to outside with 2" diameter vent pipe. (Use open drain only if required by local code.) � � ❑�� � open drain only if required by local code.) • 1 1h," ID Irap to connect to sewer line • Terminate tee with F VC slip x3/4" female NPT * 1112 ID trap to connect to sewer line fitting RISER �/ I Run tubing from main vacuum line to Remote • Terminate tee with PVC slip x 1" female NPT �. Control Panel(Model No 53060)for connection to fitting • Exhaust may be installed on either right or left �P1�. „.k; vacuum gauge Use only '/.,- Polyflo' #44P or '/.," side of VacStar • Exhaust may be Installed on either right or left Qfp _ "t' ' ' I copper tubing side of VacStar <B; INTAKE FROM MAIN LINE MAIN LINE INTAKE FRC%1 MAINLINE • Terminate pipe with PVC slip x 3/a" f - P P p female NPT fitting _- i • Terminate pipe with PVC slip x 1" female NPT fitting • Intake may be installed on either right or left side of VacStar RI • Intake may be installed on either right or left side SEA of VacStar WATER SUPPLY � �� --� � :� � . T. 1 . ��.- I o - BRANCH LINE © WATER SUPPLY • '/a" copper tubing • T4 112" f ! `�" • i/z" copper tubing PP 9 Terminate withfemale NPT shut-off valve ?4�I ,^ � �� � r/. • Water supply may be Installed on either right or ,; • Terminate with lh," female NPT shut-off valve /� Watersupply may be installed on either right or S �/� -�- MAIN LINE left side of VacStar � •;�!;� ; ,�"-��. / � left side of VacStar PIPE SIZING INFORMATION INFORMATION FOR SUB_—FLOOR PLUMBING INSTALLATIONS USFD CFM MAIN LINE BRANCH LINE RI TF \ \'� MAIN LINE BRANCH LINES BRANCH LINES RISERS USED CFM DIAMETER DIAMETER [NM.ETER70 �- NFNL f \ SUB-FLOOR OVERHEAD SUB-FLOOR MNN�»�E 4� ELL VACUUM VacStar 2 18 1" ID I" ID 1° ID 1/2" ID _ MAKING ~- TERMINATION TURNS I MAIN LINE MAIN LINE TO BRAiV(:H VacStar 4 30 11/4" ID 11/4" ID 11/4" ID 112" ID ��• �. AT PUMP LINE VacStar 5 36 1'/4" ID 11/4" ID 1114" ID 112" ID CLEARING _ BRANCH (C f VacStar 8 60 1 '/z" ID 11/z" ID 11/2" ID 1/2" ID - AN OBSTRUCTION LINE BRANCH LINE—45° ELL PUMP �- Slope piping '1," for each 10 feet of run towards pump. PUMP C sui�Dental Unit Manufac- Use PVC Schedule 40,or, Copper Type M turer's Guidelines for correct Do not use 901 elbows except where main line Do not use 90° tees Use sloped tees or Do not use 900 tees. Use long radius reducea size and'leight of Some low volume flow sta.ions(for example a dedicated hygiene room), terminates at vacuum pump Use only 4511 elbows Y's when main line is 1 '/4" ID or smaller. TY's when main line is 1 lb" ID terminatk,)n of vacuum line may require an in-line vacuum relief valve Consult factory for advice to make turns in main line. inside lun,•tion boot. VACSTAR • - PLUMBING DENTAL VACUUM SYSTEM DEALER DRAWN THIS VACSTAR MODEL 10500 SW Greenburg Road BY CONTRACTOR DOCTOR Cellular Plus DENTAL OFFICEIS BEING INSTALLED 4 of 7 DATE - DRESS ADDRESS -- C i VACSTAR 2 (-7 VACSTAR 4 ADDRESS -- _ - - ---------- PLUMBING SPECIFICATIONS CITY/STATE L] VACSTAR 5 '? VACSTAR 8 CITY/STATE CITY/STATE Air techniques, Inc. PHONE SCALE PHONE (CHECK APPROPRIATE BOX) - HONE -- - n 70 Centlague Rock Road, Hicksville, NY 11801 --_ - If this notice at)pe'll•s clesu•er than Ilse docunienc, the document is of m;u•gin-1l quality. 3/4/97 W j IIIII� IIIIIII IIIIIII� IIIII I IIIIIII� IIIIIIIiIJIIIIIIIIIIIII IIIIIII� IIII111 IIIIIjIIIIIII I IIIIIIIIIIIII I IIIIIII IIIII I IIIII I I i l I l l l l l l l r INH MADE IN CHINA AI I I I c I I I I I I I l l IIIII I I I I I I I I I I I I I I III [ ; 1 ! t I I l l IIIIIIIIIIIII►IIIIIIIIII►lllllll!!II'll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIU�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlIIIIIIIIIIIIII111111111IIIIIIIilllllllllllilllfllllllll(IIIIIIIIIIIIIIIIII�IIIIIIIIIiIIIllllll �' 3 114 U 27 � f fi it r, 12� ! N A x I 4 tu To I cQ � L_. Y..00M �, 19 K f + CTIA6 T*w. D ApprovedCITY i �;+ ( ... .... QP TI 'ARD Seel,, By-Pic) . 3a Mzo r� 00 SW Greenhurg Road _ .. ._. Cellular Plus .. .... ---__. If this notice appears clearer than the document, the document is of marginal quality. 3/4/97 '1111+ I+� + III+I► II+!+I+I ►!+ I+il +I +Iill�lllll I IIIIIIII�IIIIII IIIIIIIIIIIII ( ( III!jlllllll I Illllll � ljlli ! IIIIIIIItllll I IIIIIIIIIIiII I IIIIIIIIIIIIiII I fill Ili !I) I t INC t ME E IN CHINA cm (1 t t, t t t ��I�IIIIIIIIIIIIIIIIIIIIII!II!III�IIIIIIIII�IIIII111111111111111111111111�lIIII1111�111111111�111111111�111111111�11111111111111!III�l1Il11111�111111lII�IIIIIIIII�IIIIIIIII�IIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII�III IIIIIIIIII�II�III�IIiI-II�IIIIIillllllllllll!!Illlliffl' I V�f Z l�'f l��1. C' *1�hi�•,I D TSS f'�I C�P�, �..0 ri 0►tel c•,T'R �"r"i�J I-•1 �' -- 2 ALL. %�I.AZ I h�l� ►J O F� Y 1 I T H It,l 12 n P C�oU i . T �,. 6iHbt.vt St)I'1JEGT TO IMPp.GT r.lG E�_� FZ��,I�r�'p,•-�r aYl l�r� _Treµ. 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JOB NO Cellular Plus ,_-. _.� "120 71 6 of 7 ( . 1 LC7v✓ 2 X 4 ✓A L.L w/ 8'+ �'�`('P R5D '� �"irIC SHEET NO . K If this notice appeal's clew l-er 111,111 the document, the document is of marginal quality. 3/4/97 IIIIIIIIIIIII IIIIIII' IIIII I lllllll�lllll l lllllllllllllll IIIIIIIIIIIII I IIII!jl+ llill 1 iIl(III,IIIII I IIIIIIi+IIIII I IIIIIII III I I I I I I I i ' I INCH MAD@IN CHINA I I I I I I I I I I I I ( I IIII IIIIIII IIIIII � '"2 ' t t t It 11 t t Y24 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIUI!lllhllllllll IIIIIIIII NIIIIIIIINIIIIIIIIIIIIIHIIIIIIIINNIIIIIIIIIIIIIiIIIIIIIIIIIIIfIfillilllllllglllllll�flfft ,Ea orJ-G7 0F-, 70 tJ�7'FZ45i7-10N. T '771 2 Lf',Z -7 R w IT N11J 12" op Poo fz,,:�, oP-. +1 OTHER L oc^T to t.15 I M P*c1 I- To 0YPsum 0ac,-,Fac> -ro P1E USFC) Ar OA. 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GEILI►JC-� A1`lp LI�N�"IT�k�. ;�,;' --- - - --- �JOBNO -1�vJ _- r 92 C 7 ) �__,�,� 10500 SW Greenburg Road SHEET NO P I?�D �.� �IC�E ' � �• .{ Cellular PIU ', LDV✓ 2 y r✓�L I, yt// Pj' !�Y P �D M%*-,H �If�"g - 1 7 of 7 �' t� Fin)12_ L 4 f PJ I —_ _— •— If this notice appears clearer than the document, the document is of marginal '111a1ily. 3/4/97 III � IjIIllljlj 1 � 11N4' 111111111111I11111Jill 111111,11i111i1111l1I1111 ! jl11111IIIIIIII � i1111IIIIIijIIIIIIIIIIIIIII � IIijlIIIIIIIIIIIIIiIII I � III� !111111IIIIIIII111111 .�; INCH I MADE IN CHINA41 I24 X �IIIIII Illltlttitllttlllt►111111!IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIlIIII IllflIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlIIIIIIIIIlIII I!IIIIIIIIIIIIIIIIIIIIIIIlIIIIIIIIIlIIIIIIIIIIIIIIIIIIIIIIIIflllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111 a 114 '1 Jill 111111110 �i TT ADDRESS: ,x •YI ` , / A �l/u 1A r `i i i i i is\recorris\,-nicroflm\targets\building.doc i I I i ,. — .. RD OF CITY OFTIGA WYOF TWARD CER11FICATE COMMUNITY DEVELOPMENT DEPARTMENT #OCCUPANCY 13125 SW HmH Blvd.P.O.Box 23397,T19mM,Orapn 97223(5W)U DATE I SSUI.�1)p Q)I/15/9 SITE ADDRESS. , . 1 10500 SW GREENDURG RD PARCEL ISIMBC 01004.. SUBDIVIS.TON. . . , t LINCOLN CEWER (XIM1. BLDG BLUCK. . . . . . . . . . j LO'T. . . . . . . . . . . . . I rYpF OF usF. . . tcom Nt OCCUPANCY 13RP. -H;? OCCUPANCY LOAD IJ2 • TENANT NAME:. . - i DP. SAKLOFSKY RemArkst T'enaTit Yfflprg Add int partitiova, p1mg, etr for new dental officer, BRIM 6AK1_.M:'SKV 10500 GW GREENIAURG 111) TIGARD OR 972'R3 Phone #o Contv,givtorc DOUG WARDELL REMODEL'ING 4074 FIR DELL DR BE FMIJ.'.'M OR 97302 Ph o i -ie #t 364-7401 R*M #. . x 49141 Occupancy of the above, referpured building is hereby pJven, And vertifivirf the compliance with the Gtate Of UreUon Specialty Codes for the gral-Apt orc ancy, and use t.mder which the reffir-anved permit wat4 issmed. F I Rl". MEN7, POILDINU INSP E'U'rOR BUILDING OFFICIVIL. POST IN CONSPICUOUS PLACE. . INSPECTION NOTICE City of Tigard Building Depart 13125 SW Hall. Bl.vd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639--4175 Business Phone: 639-4171 Inspection:_ d� �Jv�L --•� — —"--- Footing Plbg. Underalab Mech. Rough-in Appr/Sdwik Found. Plbg. Top Out Gas Line FILIAL: P' Post/Roam Siruct. San. Sewer Framing B1C3. Poet/Beam Hoch. Rain Drain Insulation -Plumb. //;at"/ Plbg. Underfloor water Line Gyp. Bd. l .-Nech. Date Requested: 9�� - 1 Time= AM PM Address: /d S OU f�/ - Permit #t r?,, ,_3, Z Builder.: —_ -- THE FOLLOWING CORRECTIONS ARE RRQUIRED: Al ZAA Inspector: Date: I APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE city of Tigard Building Department 13125 SW Ball 9lvd. Tigard, Orc-gon 97223 Inspection Line (j;;ec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: If Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk , Found. Plbg. Top Out Gas Line INAL:) Poet/Beam Struct. San. Sewer Framing -Bldg. 71. Poet/Beam Hoch. Rain Drain Insulation -MacP?.umb. 1 Plbg. Underfloor Water Line Gyp. Bd. h. Date Roqueeted:_ ( 1 li� Time: _ AM PH Address:— /1/V wl.� _ Permit i `,! Builder: TUN FOLLOWING CORRECTIONS ARE REQUIRED: y Inspects /� Dates d PROVED DISAPPROVED — APPROVED SUBJECT TO ABOVE s Call For Reinsp. S { f J INSPECTION NOTICE City of Tigard Bulldi-ng Department - 1a125 SM Ball Blvd. Tigard, Oregon 9722.3 Inspection Lire (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections -- — Footing Plbg. Underslab Mech. Rough-in Appr./Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Liners Gyp. Bd. -Mech. Date Requested: --'L�!\J Timet _ - AM PM Address: ermit Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: i i y Inspectors l G� _ Dates 91 <AAPPROVED —_ DISAPPROVFD APPROVED SUBJECT TO ABOVE Call For Reinep. L INSPECTION NOTICE city of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inapectlons,_ -- 9 Foottn Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewwr Framing Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line GYP• Bd. A1�r�L�R //- �-� _ Date Requested: Time: ' J "�Ydr"mit #:_(�T "� Address: �� Builder: TBE FOLLOWING cokRECTIONS ARE REQUIRED: A .b inspectors ots`---.C -+G---- Dates '9,3 + A-- �PPROVED _ DISAPPRO1!XD ` APPROVED SUBJECT TO ABOVE _Call For Reinsp. i As y � 3 �I INSPECfI N NOTICE nt: City of Tigard Building De Partme97223 � 13125 Sit Ball Blvd. Tigard, Oregon Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:--,._--- a" rooting nspection:--,._--- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk FINAL: Pound. Plbg. Top Out Gas Line t, Framing -Bldg. pont/Beam Struct. San. Sewer A. Insulation Poet/Beam Mech. Rain Drain i - t plbg, Underfloor Water Line Gyp. Bd. -mech. ` Times Date Requeated:__ Permit —_--- Address: { s Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED. r Inspector -�( - T APPROVED DISIPPROVED ' APpttOVF.D SUBJECT TO ABOVE �C//—Xall For Reinap. .. V. rY IF f P INSPECTION NOTICE City of Tigard Building Departmant 13125 SW Ball Blyd. Tigard, Oregon 97223 G Inspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4171 Inspection: ' Footing Plbg. Underslab `Rech. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. ///vvv__c7yil= Date Requestudt � Time: _� _AM PM Address: U ��C �+-� Permit 1:. Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: v A4 t t �;l t InspectortC�� -- ----- Date!. I APPROVED DISAPPROVED VPD SUBJECT TO ABOVE Call For Reinnp. r t . I ' 1 r 1 INSPECTION NOTICE ! - city of Tigard Buildtng Department 13: -w Ball Blvd. Tigard, Gregor. 97223 Inspection Line (Rec-O-Phone): 639-4175 Businoss Phone: 639-4171 I,:spection: r � rooting Plbg. Underalab ech. Rough-in Appr/Sdwlk Gas Lino FINAL: Found. Plbg. Top Out Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Koch. Pain Drain Insulation -Plumb. Plbg. Underfloor Watnr Line Gyp. Bd. -Koch. I \� Times AM �PK Date Requested: 12 _.Lv 2'�" i J" )U J, //n4_�1, Address: v Builder:. I THE FOLLOWING Cr3RRECTIONS ARE REQUIRED: / t __ - - --Q' - 1 -- 1 1' 1-iepector:.- <_�51_------ __ nate:---.-- APPROVED DISAPPROVED 1PPROVFU SUBJECT TO ABOVE. Call For Reinap. �p - i q _ INSPECTION NOTICE - City of Tigard Buili.in9 De ✓�i� � 131,25 Sit Ball Blvd. Tigard, Or n 97223 �•� /(��f Inspection Line (Rec-O- one): 639-4175 Bueinese Phone: 639-4171"'/•'^' Inspect ion:^ �SU �/���7GC"�! (C�//•�-! C Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Lire FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. C Date Requested: L !� _ Time: AM _ PH Address: �L�l r �Q(�I[J�({ ' .rlts P rmIt 2- ' ��[] Builder: -7 q�------- ----- —_— THE FOLLOWING CORRECTIONS ARE REQUIRED: r 7_i �� tC■ Inspector: Date---- APPROVED —_ DISAPPROVED APPROVED o,dJECT TO ABOVE Call For Reinsp. 1 LL ry 2 �I i 1 INSPECTION NOTICE City of Tigard Building Department 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone): 639-4175 Business Phones 6394171 Inspection: i Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. �Plbg. Top } Gas Line FINAL: Poet/Beam .Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mech. Date Requestedi Times AM (J !'.ddreset PM �n �Y ' �1G� _ Permit # E ' � 'yI — THE FOLLOWING CORRECTIONS ARE RF.QUIREDS sf —-- - - - d Inspector: � - --- Dates 1 � ' APPROVED DISADPROVBD APPROVED SUBJECT rO ABOVE Call For Reinsp. i i i e J �ptIN Yqt TUALATIN VALLEY FIRE & RESCLIF t ANI) BEAVERTON FIRE DEPARTMENT j FIRE MARSHALS OFFICE (503) 526-2469 FP STED OCCUPANT CONTRACTOR .s;��.�r�s / L l f71 '�� _ BLDG. PERMIT 1t�� PROJECT NAME PLAN REVIEW 0 LOCATION JURISDICTION: 1= Be. 2= Du, 3= K.0( 4= Ti"% 5= Tu. 6= Sh. 7= Wi, 8= CC 9= WC 0= PSC COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAI I Framing Separation Walls Sprinkler Syst�m Shaft Fire Dampers (Overhead/Underground) El Alarm System El Hood Extng Systems u Conference ` Spray Booth Ceiling Cover Other C4 { j 1 b I S I i I i I i i I Date: Inspector: I LK u r 1 ^I fy} r -1 !f 1. PT►N � T iJAI.ATIN VALLEY FIRE & ew;SCti>a AND _ BEAVERTON FIRE DEPARTMENT 1 FIRE MARSHALS OFFICE 3c. (503) 526-2469 POS OCCUPA.IT CONTRACTOR 1215 6"y HLDG. PERMIT 0 PROJECT NAME / PLAN REVIEW 0 LOCATION - �)�..) i( 1 n.► r' U r� JURISDICTION: 1= Be. 2= Du. 3= R.C. = ,)i 5= Tu. 6= Sh. 7= Wi., 8= CC 9= WC 0= MC COVER FINAL SPECIAL ,FIOLLOW-UP/REINSPECTION ATTEMPTED FINAL ❑ Framing ❑ Separation Walls ❑ Sprinklei System ❑ Shaft ❑ Fire Dampers (Overhead/Underground) ❑ Alarm System ❑ Hooci Extug Sr;stems ❑ Conference ❑ Spray Booth ❑ C-piling Cover Other _ 10 Ju� - --- _T11 M! i r r Deter 4�( Inspector: �1'lJ- �� ( ' 9 ��� r MSPECTION NOTIQE ' city of Tigard Building DePartA3ent 13125 Bii Ball Blvd. Tigard, Oregon 97223 I d Innspection Line (Rec-O-Phoneys 639-4175 BusineaPhone: 639-4171 Inup<action: -- -- Footin �Plbg. Underslab Nech. Rough-in Appr/Sdwlk --__ Found. Plbg. Top Out Cas Line FINAL: IPost/Deem struc•t. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Nech. Time: - P"• �Z- AN Date Requested: � -- Addresa:_ ��(� Permit f: + �1Z Builder:— _. THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:_ -- Date: 127 APPROVED DISAPPROV3D APPP.OVED SUBJECT TO ABOVE call For Reinsp. } .y F e ----- -- --- - -- MECHFshI I CAI_ i a F'ERNI I I 'y CRYOFTIGARDUYO1AiDPERMIT . . . . . . . MEC92 0334 i {r" COMMUNITY DEVELOPMENT DEPARTMENT ovum ,t 13MBWh9lWd. P.O.Elm 2=7,TOW,ureponq7819MOS)404116 DATE: ISSUED: 12/15/92 , SITE ADDRESS. . . : 10500 SW GREENBURG RD PARCEL: 1S135BC-01006 i SUBDIVISION. . . . : LINCULN CENTER COI-,IL. BLDG ZONING: BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . . CLASS—OF—WCIKK.v. :ALT FLOOR—FURN. � . ..+ EVAP—COOLERS: TYPE OF USE. . . . :CONI UN I'I HEATERS. . : VENT FANS. . . : OCCUPANCY GRI' . . :P2 VENTS W/O ADPL: VENI' SYSTEMS: SIORIES. . . .. . . . . : BOILERS 101YIPRESSORS HOODS. . . . . . . FUEL 'f YF' i---—_ ------- 0-3 HP. . . . : DOMES. I NC I N: : /GAS/ / / 3-15 HF. . . . : COMNIL. INCIN: MAX. INPUT. BTU 15-30 IAP. . . . : RE.1=' 4IR UNITS: 1 FIRE DAMPERS?. . :IV 30--50 HP. . . . : WOODSTOVES. . : � GAS PRESSURE. . . :1- 50* HP. . . . : CLO DRYERS. . : � NO. OF UNITS--------------- AIR HANDLING U1 1 TS OTHER UNITS. : FURN ( 10014, L-+-f'U: (- 10000 (2-1-m: GAS OUTLETS. -. FURN > =100K BTU: > 10000 cfm: 1 Remarks: Tenant Impr: Remodel int, add partitions, redo HVAC system. Owner. ___---- FEES DOUG WARDELL REMODEI_JNG tyvie amoLint by date recpt j PRNI"I $ 25. 00 JHJ 12/15/92 15/92: 92-234 k 1 PLCK $ 6. 25 JHJ 12/i5/S12 92-234 SPCT $ 1. 25 JHJ 12/15/9c 92-•234 Phone #: i Contractor: -----__.__---._.____---.----__- ___-- SALFM HTNU & SHEET METAL, INC. P. O. PDX 12005 SCILElh OR 97309 Phone #: $ 3 :. 50 TOTAL Reg #. . : 01505 ---- REQUIRED REQUIRED INSPECTIONS — - --This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and ail other Heating Unt Insp applicable laws, All work will be done in accordance with Cooling Unt Insp approved plans. This permit will expire if work is not started I)Lic:t Inspection within 180 days of issuance, or if work is suspended for more Final Inspection than IPA daj, _ 1 Permittee Signat'-Ire • �(' l6 — 1 s s 1-i e d H v : i C611 for inspection — 639-4175 �J • f CITY OF T I G3ARD — RECEIPT OF PAYMEN`f RECEIPT NO. a 92-234679 ICIAErK AMOUNT 3 32. 50 114AMF: a DOUG WARDE:I_L REMODEE_INCA CASH AMOUNT a 0. 00 ODDRI=_SS a 4874 FIR DE:.4.l. DR `E PAYME=NT DATE" a 12/15/9,= SURD I V 161 ON a Sf LV,.M OR 97302-- s 'URPOSF OF' PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID E ` ;+IECHANICAI. G'E 25. 00 ST. BUILD PER 1. 25 t ALAN CHECK FE 6. 21 5 ' MF.0 92-0334 '.0500 SW GREENBURC, RD 'i GTAE_ AMOUNT PAID — - —> 32. 50 i `I I r j CITYOFTIFARD CrFYOF � COMMUNITY DEVELOPMENT DEPARTMENT «e�ooN 13126 SW HWI Blvd P.O.Ba 23397,Tip M,Oreow 97223 1603)639-4176 P'ERMI'T #. . . . . . . .. P'LM92-0168 639-4171 DATE ISSUED. 12/09/92 t SITE ADDRESS. . . = 10500 SW GREE:NBURG RD PARCEL: 15135BC-01006 SUBDIl'I5ION. . . . : LINCOLN CENTER COML_ BLDG ZONING: BLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . CLASS OF WORK. . :ALI GARBAGE DISPOSALS. . : MOBILE: HOME SPACES. : TYPE UF USE. . . . :COM WASHI14G MACH. . . . . . . : DACKFLUW PREVN TRS. . - 1 OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . . : 1 TRAPS. . . . . . . . . . . . . . . s STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . : F I X T ORES- ---__._________ LAUNDRY 'TRAYS. . . . . . : SF RAIN DRA l 145. . . . . : S I NKS. . . . . . . . . . :6 URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . . LAVNTURIES. . . . . : 1 OIHEYR FIXTURES. . . . . :4 TUB/SHOWERS, . . . : SEWER LINE ( ft ) . . . . : WATER CLOSETS. . : 1 WATER LINE (ft ) . . . . : DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Remarks : Tenant Impr: Add int partitions, plmg, etc for new dental office. Owner-,e _.__________._.___.________________.___________.___.__._._____.___ FEES MEI.-VIN MARK type amoLInt by date recpt PRMT $ 112. 50 JH 12/09/92 - PLCK E 28. 1;3 JH 12/09/92 - 5P'CT $ 5. 63 JH 12/09/92 - Phone #: Contractor: JUDSON' S INC U P. O. BOX 12669 t SALEM OR 97309 -------------------- .__._______--___-_ Phone #• E 1 46. i'6 T'O'TAL Req #. . . 34604 REUU I RED I NSPE:CT I ON5 ----- - This permit is issued subject to the regulations contained in the Top-01.1t Insp — -_ Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection f applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more �__ than 180 days. __ Permittee Siynati_�r e : y ---- ----- _._�_ -- _ - IsaUed By :+ Call for inspection - 639-4175 tF to CITY Cj*-*)F TIFARDcff 1 Ai � ' 4 COMMUNITY DEVELOPMENT DEPARTMENT 0"GKM 13125 SW HWI 96d P.O.Hat 23397,Tlp�d,OnOq+0223(5IXf)B'a 4175 . F11_E:MGT. TXT file not fo�_tnd _ — PLUMBING PERMIT PEF\hII i' #. . . . . . . : PLM92-0113 DATE ISSUED: 12/09/92 SITE ADDRESS. . . : 10500 SW GRE.ENBURG RD PARCEL: 1S135BC-01006 SUBDIVISION. . . . : LINCOLN CENTER CO1y1L BLDG ZONING: BLOCK. . . . . . . . . . . LOT. . . . .. . . . . . . . . . . . . --------- CLASS OF ------ CLASS-OF WORK. . :ALT _---GARBAGE D I SP 05AL a. . : 140B I LE HOME SPACES. : � TYPE OF USE. . . . :LOM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. - :B2 FLOOR DRAINS. . . . . . . : 1 TRAPS. . . . . . . . . . . . . . : STORIES. . . . . . . . WATER HEATERS. . . . . . : 1 CATCH BASING. . . . . . . : F'IXl'URES- --__.__-_-__- LAUNDRY 'TRAYS. . . . . . SF" RAIN DRAINS. . . . . . M S I NKS. . . . . . . . . . a E, URINALS. . . . . . . . . . . . GREASE TRAP'S. . . . . . . . LAVATORIES. . . . . : 1 OCHER FIXTURES. . . . . :4 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . : WATER CLOSETS. - : 1 WATER LINE (ft ) I DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Remarks : Tenant Impr: Add int partitions, plug, etc for new dental office. OWNER,., MEl_VIN 11AHK PRhIT $ 112. 50 JH 12/09/92 - PLCK E 28. 13 JH 12/09/9c' 5P'CTT $ 5. 63 JH 1,2/09/92 - t Phone R: ► k I Plumbing Contractor Name Address: C i t y e_ s�Leri S t a t e Zip:._.1_73,a�- Phone#:�Se r� -Y/5t Plumbing _----- - REDU I RED INSPECT IONS This permit is i �st_ted subject to the reg•- t.(lations contained in the Tigard Municipal Top-or.tt Insp Code, State of Ore. Specialty Codes and all Final. inspection _ other, applicable laws. All wort( will be done ---- in accordance with approved plana. This - permit will expire if worm is not started within 1130 days of i s s t_t a n r_e, Or if work is suspended for more than 180 days. x IL At.t orizecl PiLimbinq mon rac orignaTtr-e_ Call for inspection - 639--.175 i Contractor Notes, _..�__�..-... I 1 } 1.. I e,yivr 1 � 1qyi ywr-:� � � Y�(diLLTii'iA1N�.q..IYMM" S'.iYn%'M'.•�51. 15:'i4 4"�fM R ��'W !. �... i '.11( i l ��',;pB!i.� .T �♦ S§'n....Tgp(./'^W ,"W t � �! yi NMI '1 CITY OF T I CARD — RECEIPT OF PAYMENT RECEIPT NO. a 92-0'34475 CHECK AMOUNT s 146- 26 NAME s .JUf.)SON' S INC. CASH AMOUNT a 0. 00 � ADDRESS a PC) DUX 1 c 669 PAYMENT DATE a i r'10c7'/9 SUBDIVISION a M SAI—EMs OR 97309--- PURPOSE' OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID PLUMBING PERM 1 l r-'. ,0 PLAN CHECK FE `28. '13 ' 1 ' ST. BUILD PER 5. 63 4 TIGARD DENTAL. CLINIC, 1054 0 SW GREENBURG RD ~'r TOTAL AMOUNT PAID — _ —> 146. 26 L V' 77 i CY y1I y4 r+ F 5 S f p �. h a " j •7; �C4 0 �e A. BUILDING PERMIT C137YOFTIFARD �CffyOFMRP FE^'RhIIT #, . . . . . . : BIJF'92- 1332 COMMUNITY DEVELOPMENT DEPAINT .. \ om M" 131268WHWIBtd.P.O.Bam23W,TIgEd,OroWn91 me � 71 \___ DATE ISSUED: 12/08/92 SITE: ADDRESS. . . : 10500 SW URE ENBURG RD PARCEL: I S 1;35BC-01006 SUBDIVISION. . . . : LINCOLN CENTER COIyIL BLD(ZONING. BLOCF.. . . . . . . . . . . LOT. . . . . . . . . . . . . . REISSUE: F=LOOR AREAS---•_.._.._-_____. EXTERIOR WALL CONSTRUCTION— CLASS OF WORE',. :ALT FIRST. . . . : 123 :' s f N.- S: E. W: TYPE OF USE. . . :COM SECOND. . . : s f PRO-[ECTTYPE OF CONST. :5N THIRD. . . . : s f N: S: E: W: OCCUPANCY GRP. :B2 TOTAL----•-1— -1: IL32 s f ROOF CONST : FIRE RET ;' :Y OCCUPANCY LOAD: 12 BASEMENT. : sf AREA SEP. RATED: ST'OR. : I H'T'. : 15 ft GARAGE. . . s f OCCU SEP. RATED: BS1�1T'':N ME Z Z?:N REG1U SETBACKS----_—-- REOU I RE:D---_—--------------_----_ FLOOR LOND. . . . :50 p s F LEFT: ft RGHT: ft FIR SPKL:N SMOK DET. . :N DWELLING UNITS: FRNT: ft RE-.AR: ft F=IR ALRM:N HNDICP ACC:Y mfr BEDRPIS: BATHS: IMP SURFACE; PRO CORK:Y PARKING: VALU(=. t : 34000 Remarks : 'Tenant Impr: Add int partitions, plmg. etc for, new dental office. Owner: -_.___.__.___.____._________—___.____..___._____.___________-__- FEES BRIA14 SAKLOFSKY type amount by date recpt 10500 SW GREENBURG RD PRM- s -11. 0O JH 12/08/92 — F'LCK $ 137. 15 JLH .1 1/16/922 92—•233715 ' TIGARD OR 9722:3 5FICT $ 10. 53 JH 12/08/92 — Phone if: Contractor,: •--------------------------._.--- DOUG WARDEL_L REMODELING 4874 FIR DELI_ DR SE SALEM OR 9730r Phone #: ?,64--7401 $ 358. 70 'TOr'AL Reg #. . : 49141 REQUIRED INSPLCTIONS This permit is issued subject to the regulations contained in the Framing I n s p _ Tigard Municipal Code, State of Dre. Specialty Codes and all othzr Insulation Ins p applicable laws. All work will be done in accordance with Gyp Board Insp approved plans. This permit will expire if work is not started S u s p C e i 1 n g T n s p within 180 days of issuance, or if work is suspended for more Final Inspection than 180 days, Permittee Signature : Issued B y Call for inspection — 639-4175 i 1'• ---------- SE.WERpPWHY1..CTION 4'I�KI'IJ I #. . . . . . . . SWFly.-1-035, ti CITYOF TIFA, i t rig I'�:iULu: lc/�ir3i9 Cf1YOF1�6i14RD COMMUNITY DEVELOPMENT DEPARTMENT S I I t Ste.g01: 2 r' 1I 1 RD F,ARCEL: 1 S 1;SBC-01006 SL1Hi)IVISICIN. . . . LIVC LII CENTER (--LIhIL BLA)f3 ZONING: BLOCK. . . . . . . . . . : LOT'. . . . . . . . . . . . . . TENANT NAME. . . . . :DR. BRIAN SAKL..OFSKY USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 16 CLASS OF WORK. . . :ALT DWELL I IVC:; UN ITS. . : 1 TYp'E OF USE. . . . . :COM NO. OF BU I LD I NGS: 1 INSTALL TYPE:. . . . :BUSWR Ily►--'E:RV SURFACE. . : Remarks : Tenant- Impr: Add int partitions, plmy, etc for, new dental offi,;e. � 4 Owner: - ________-_________.______..___.__.____.-_._________.w_____._.-- FENS - ----- - -- MELVIN MARK type amol_int by bate r er_pt PRlhl- $ 2100. 00 JH 12/08/92 - Phone #: 'd Contrac.tor: CONT'RACIOR NOT' OIV FILE ti F'h o n e #: $ 2100. 00 TOTAL Reg #. . . ----- REWIRED INSPECTIONS ------ This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeits' if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so lora , he installer shall purchase a "Tap and Side Sewer" permit and he R enc y will i 9 all a lateral. Permittee iynati_tr•e :� I s s 1..i e d B Y Call for inspection - 639-4175 a 3 G 1'I Y Of I ]uARD RECEIPT OF PAYMENT RECEIPT NO. 02-2,3 C14ECK AMOUNT a 2381. 55 NAME a WARDELL, DOUG CASH AMOUNT a (A. 00 � ADDRESS a PAYMENT Dn*rE c 12 08 9 i SSUBDIVISIO14 a PURPOSI OF r`AYMI-:NT AMOUNT RAID PURPOSE OF PAYMENT AMOUNT PHI D BUILDING PERM 1 T Ti 5T. 9Gi RER 1 � GLWE"R USA 2100. eel i OR. SAKLOFSKY 1 0WO SW GRE:ENBURG TOTAL AMOUNT PWI D - -- _ > 2321. 55 � f i '.f k M 7 1 CITYOFTIFARD j CffYOFflRE1OCCUPANCY COMMUNIYY DEVELOPMENT DEPARTpA T e>Mnooaa PER I T M. » , . . . . : liliFa9'-0.3I 1 i 13126 SW HM Bbd.P.O.Bac 23107,T40d,onpon 97?0.,");j3P41?8 ITE AT)DETE a!3. . » e l V.I!500 SW ( ffE--E'NBURG RD PARCEL: 16135BC--01006 ( L1k1E3I V 161 C)Id. . . . a LA NC::ll1._N C:E,NT'FY R C0141 BLUL. !ON 1 NO a CLASS OF WORK. a 1'1L. f TYPE OF USE. . .. t COM OCCUPANCY GRP. a B2 0(7('lJPi-►NCY LOAD:66 s I ENANT NAME. . . a BL I MP I E SUBS Remorkea 'Tenant: Impr•a Add int' r pmr•tit,ionn, kitc.-hen, aadjaRcont offires. ttL..XMPIE SANDrLYNN, IMC. 10500 SW BRE EN)91.R0, BU I IT'. B T I OARD OR 9'7223 Phone #a Cont•rant or t I._BN CONSTRUCTION, INC. 19373 NE VAL.KINt; LANE Nf"WBE RG OR 97132 Phorie if a 53f3...6353 Reg #. . t 65769 Ucc:mpaanc.y of theabove refnrenc:ed bUs )ding is hereby given, alld Ler-titi.ear the romplianc-p with tyles State Of Urprinn 9pnc:ialty Cosies for than grol.cp, occ!lu ancy, and PLI-ldor which the V.-Pforenced permit was issued. FIRE" Dr-,P '1f?TME:14T' 1-D1I-dr IPd'SP cTtlk r _.._..._....___.._.. _. . E:itJ E 1_Ii I NLS pT' fa POST IN GONEM I CIA.)I lad F-11-AC:E 1 INSPECTION NOTICE City of Tigard Building Department 1.3125 SW Ball Blvd. Tigard, Oregon 97223 K Inspection Line (Ree-O-Phone): 635-4175 Business Phone: 639-4171 e a Inspection:^_ --- - ; Footing Plbg. Underslat Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing (� -Bldq.� Post/Beam Mech. Rain Drain Innulation -Plumb. Plt�o+. Oaderfloor water LineJ' Gyp. ed. ( -Mech. Date Requested:: ^� .� _ Time: AM PM Permit Builder:__— THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 { Inspector: ------_—_—T—, Dater Z r 9 z- APPROVED - - DISAPPROVED _//PPROVED SUBJECT TO ABOVE ___cell For Relnsp. s '�`». ,.,. -.w:.w.Mn•.✓ ��1YTi{usa.......,... ...,.. .,, ,...w,.....�,,,....>...p4..+m«e.,-neM..+Aw,*k.a...+o.w«..,. .wn,,.,...:.:.�w.+:+J . 4PT:N v,�e TUALATIN VALLEY FIRE & RESCUE Sp �� AND BEAVERTON FIRE DEPARTMENT FIRE MARSHALS OFFICE I (503) 526-2469 POSTED: , . t OCCUPANT CONTRACTOR BLDG, PERMIT 0 y PROJECT NAME /PLAN REVIEW 0 LOCATION JURISDICTION: 1= Bz. 2= Du. 3= K.C. 4= T ,=—Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC COVER i� FINAL, SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED F1NAL •�` i El Framing Separation Walls Sprinkler System i Shaft El Fire Dampers (Overhead/Underground) i El Alarm System El Hood' Extug Systems U Conference Spray Booth Ceiling Cover Other i I k f i Date: 4j r Inspector: 71-I ► J •}. Y City of Tigard PLUMBING PERMIT Planck/Rec. # _ 13125 sw Han Blvd. APPLICATION Permit # PO Box 23397 Tigard, OR 97223 (503) 639-4171 .,. escnpu(x, ORS 81421-610 QTY PRICE AMT , Job l)STO0 iirC) ei f / FIXTURE Address .r 1 50 r c' ✓Oy u1/� avatory 50 t « u a TT lower Comb. 7.50 J 00e, r �a. L ( Shower Only 7.50 S O" rju ate—Closet Owner / ' i 2 U W K, e . 2df 110 i washer 7.50 Garbage Disposal- 0'e ispos.0'e ''/ 2 21 Washing M_'a:.hine — 7.50 ft ,. ere. kxx rain 50 Water .50 7•'� Laundry Room—Tr—ay Occupant Unnal 7.50 ... ap rJther ixtures(Specify) 50 e,LA ./ SO 1' 7.50 MISCELLANEOUS Contractor Sewer 1st 100' _ 30.E .. .. - wor-ea. t. 100' 15.00 r,cLWater Sqrvice 1 st 100• 20.00 i hereby ackricy edge that I have read this application. that tile Water Service ea.Addit.200' 15.00 1 information given is correct,that I am the owner or authorized agent of q the owner,that plans submitted are in compliance with State laws,that I Storm&Rain Drain 1st 100' 30.00 __ 8 am registered with the Constriction Contractors Board,that the number Storm 6 Rain Drain Addit. 100' 15.00 given is correct. (If exempt from State registration,please give reason MotHle Home Space 25.00 below.) Back w Prevention Device or And-Pollution Device j 7.50 S- ' y Irap or Waste Not Connected to a Fixture 7.50 i -TWs—cn-b—ow—oT nowAddition 0 alteration repair 0 0atch Basin 7.50 to be done reside dal Q non-residential --To 00 tf Insp.of Exist.Plumbing per hr 40.00 Specialty Requested Inspections p r hr Existing use ofm rani nsFartu building or property dwelling 15.00 Residential backflow prevention devices 15.00 Proposed use of i building or property '(Except residential ac !ow prevention devices) NOTICE 56 'Minlmun,Fee$25.00 SUBTOTAL - PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED I FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25R OF SUBTOTAL COMMENCED. TOTAL Special Conditions 11:1te issuod by �.mivan+r rrfviw.Lv 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 a November 30, 1992 Doug Wardell Remodeling 4874 Fir Dell Dr. S.E. Salem, Oregon 97302 Re: Brian Saklofsky Dental Office t 10500 S.W. Greenburg Rd. 5989A-301-004 Dear Sir: This is a Fire and Life Safety Plan Review and is based on the 1988 editions of the Uniform Fire Code (UFC) and these sections of the Uniform Building Code (UBC) and Uniform Mechanical Code (UMC) specifically referencing the fire department, and other local ordinances and regulations. Plans received for the above noted project have been reviewed and are conditionally approved, subject to the following: Installation of the medical gas must be in conformance with Chapter 74 of the Uniform Fire Code, 1988 Edition (copy enclosed) . 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. 208 Not less than one (1) approved fire extinguisher(s) w' th a rating of not less than (*) shall be provided for eacn (**) square foot of floor area or fraction thereof . The travel distance to an extinguisher from any portion of the building shall not exceed 75 feet. UFC Sec. 10. 303 (*) 2AlOB:C, - Light and Ordinary Hazard 4A10B:C - Extra Hazard 3 000 - Light Hazard 1, 500 Ordinary Hazard 1, 000 - Extra Hazard i "N'orking"Smoke Detectors Save UV" i w PPF ;r Doug Wardell Remodeling November 30, 1992 Page 2 i Note: Where flammable or combustible liquids are used, "B" ratings of extinguishers may need to be higher and travel distances shorter. See requirements in National Fire Protection Association Standard 10-1. • j Approval of submitted plans is not an approval of omissions or oversights by this office or of non-compliance with any applicable regulations of local government. r If I can be of any further assistance to you, please feel free to contact at 526-2501. in erel , Y ar er i Fi Ma shal BP:kw cc: Tigard Building Department � r I 1 r rF, I NS PTECIION_NOTICE City of Tigard Building Department 13125 Ss Ball Blvd. Tigard, Oregon 9.x23 f Inspection Line (Rec-o-Phone): 639-4175 Buetnees Phone: 639-4171 Inspect ions _ --- Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINAL: Post/Beam Struct. Can. Sewer Framing -Bldg. i Post/Beam Hoch. Rain Dra.n Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested:.. C__�� — Mime: _- AH PH _ Addcose: '. d - erL #i� .. , Builders• .21.22Z OF 4- ;00L- _--.-,-._ _ — �► THE FOLLOWING CORREc.TIONS ARE REQUIRED: i 111 inspector: _ Date,— APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE 6 Call For Reinep. ? . 9xn„. •, •.,. ,; ,.• .._ .,, .,... ;.,,,.. ,. „ ,.., .• a. ...w. ., ..,..n.,•icn.:aVN1AgiFiNAog4n: 1 1 1 J f<< `.�i�+i�-' � i�.�,ntt�a�1�' `:... .,..,y,.y,,..:nrrc:•aG...,is.,.,,.. ... �..:, .. .. ... JJ �61wL.....•..,w. reo•rrs.:++Mw.<4•w,«ner�o..,.o-.,..i ...... .• ,^ . SIGN PERMIT . k PERMIT #: SGN92-0165 DATE ISSUED. . .. s 11/25/92 EXPIRATION DATE: / I PARCEL. . . . . . . . . : 1S135BC-01006 ZONE. . . . . . . . . . . . C— p BUSINESS NAME. . : BLIMPIE SUBS & SALADS SIGH LOCATION. . : 10500 SW GREENSURG RD APPLICANT/AGENT: BILL KIfAR BUSINESS TAX NO: ram==xs,c=cc.o-.zzz=mmamax xc....ssv==..===azr_==axe-c==vaz r_acx�xxm.sz===c=c.�x xcc====xz _ SIGN: PERMANENT (X) FREESTANDING ( ) FREEWAY ( ) TEMPORARY ( ) OA.LL (X) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS. . . . . . : 2' X 13' TOTAL SIGN AREA. . . . . . : 26 sq..ft. WALL AREA. . . . . . . . . . . . . 963 sq.ft. WALL FACE (DIRECTION) : W SIGN HEIGHT. . . . . . . . . . : 2 ft. PROJECTION FROM WALL. : 8 in. ILLUMINATION. . . . . . . . . : INT 1 DESCRIPTION OF SIGN: PERMANENT WALL SIGN. 2' X 13' = 26 SQ.FT r, MATERIALS. . . . . . . . . . . . : METAL/PLASTC l EXISTING SIGNS. . . . . . . : 0 ELECTRICAL PERMIT REQUIRED: YES ° 1 BUILDING PERMIT REQUIRED. . : NO I ADMINISTRATIVE EXCEPTIONS. : N/A I I PERMIT FEES $ 25.00 APPROVED BY: � t DATE: 11/25/92 I { I fix•_A. .. i i; 4 .r. . . vl Permit Ato. 5A `�� /GS cTTY OF TTGM0 SIGN PERKIT APPTAI=CN x The applicant hereby applies for a permit for the work indicated or as shown in the eying plans and spaci.f ic:atians. SIGN 10 A71CU Ate;: C Ck� S c. Munn: NMlE Cr BUSUIEESS: _ 1 N1�: E. S� r35 f 5ALr},p5 ___ • CICMPANY: 4/'fS,Y X'60 PES: - 5� The City of Tigard iapose_s an annual Business Tax which must be kept current on all persons doing boas irtiess in the City. Do you presently have a current bush s tax? YES (v NO ) U.L. Label _ !l�067� SIGN: (Check as many as apply) PERMANRIT ( �) FRE6'TAIIDIIr ( ) FREEWAY ( ) 117hpK W ( ) WALL EMCIR NIC ( ) B11LBOARD ( ) BAUDCH ( ) F SIM MOMICNS: Y X /3 MMnMTICN DATE: .` ,, Try, atcm Amm (sq. Ft.) cv d' WAU, AREA (Sq. q(r-�_'5 'Oe N►u, FACE: HE3XM (Ft) f FRM SIL: 1d" . YES (1/) NO ( ) TYPE: WWt) COPY: I9MMALS: _ M e EKISITIG SLC+TM: 1 'L TIVE EXCEPT ON: N/A ) APPROVED ( ) fm Kj-ji � AMM HUGHr CEM ENiS: All sign permits must be accoupani-ed by a scale drawing and plot plan. If wank authorized under HK*dpt NO: gRa a sign petmi4 has not been cacupleted within ninety days after the issuance of the permit, the permit Date: 11 - ----- shall beoome null and void. EL8CIRICAL PEREQT I CERrM 1HAT I AM THE R80ORDED OWNER OF THE RHQUIREDYES U : YES NO PROPERTY �®CR AN AGENT AUIlMZED BY THE OWNEW. � + B[lIMM PANT ✓u/ _ _ RHQCTLRFD I YES ( ) No (� Ape icant-s Signature y r r � : i I I w i X J J � N ? I Alii►ItO>Vt;n " CITY nC TIGARD Date 1L- ,�-�L i,� 5r Mar `-2/ .p, �.wW.w•'ev,..vxr r �;<n..t c•.1t4 u.', •..,,.. . .,....,_.. .. ..•.._.• .......,,.w..... .. ......... ...... .. •.-.. - ...,. 4t I i� .yY• CITY OF TIGA►RD OREGON November 2.3, 1992 G Doug Wardell Doug Wardell. Remodeling 4874 Fir. Dell Drive SE Salem, OR 97302 Project: Sakiofsky Dental Office, BUP 92-0332 10500 SW Greenburg Road, Suite 8 Dear Mr.. Wardell: The plane for this project were reviewed for conformity with applicable i codes, and are conditionally approved. Plans for changes to the tenant mechanical system not shown on the submitted plans will require additional review. The storage closet for the compressed gases is required to be of one-hour fire-resistive construction with a one-hour rated smoke and draft atop assembly door. For more specific information refer to Uniform Fire Code Article 74, Division II. o• You may obtain the building permit for the project at your convenience. A list of required inspections is printed on the permit, as is the telephone number to call for inspections. If you have questions, or if we may be of assistance, please contact us. j Sincerely, r .Jim Jaqua Plans Examiner FAX (503)684-7297 ff ` 4 4 t' E 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2712 -- ----- ?; ':reAYi�"of•.iR^�1K'k?rrtei.,�lY::rtyiru�,:yr,1..:r.:._•na;.ru�txr►4.+^n•..,;:.... •._.., ,M,, � ar.rl.ID,iN<Wxt7r.3R7.YC40FAF,�tl9'ay.'r-::x•n.,...- --� .�,��` i `. i4�r�•nP r' W s 1' rr L.�;(f^ Y -.r S .4: F. t ':d --.:r �•k.:. M4�L'{^'3..� �P f� �^�f'�^4j("1 Y�, ' . !lam' $ "'fin i( ✓.. 1J 7 r+� I' 4' i I n ' r M 1 I e I r f r t ' 1 •.. , w. .. ..,�w.�� rinrRww,rases .� r+�:1i�..�,n 1vraMY���.iWtMi.�i,�ifSWrf.�ii� ty ak�I� rriti Nic. 1 1 � c I TY OF I T GA PI) RECD T E'T C)F E='A VMENT RECE:I PT NO. a90 CHECK AMOUNT : 0. 00 NOME : RAMSAY SIGNS CASH AMOUNT : 213. 00 ADDRESS : PAYMENT DATE 11 /19/92 SUBDIVISION E PURPOSE OP PAYMENT AMOUNT PAID PURPOSE= OF r,AYMLNT• AMOUNT PAID 4 'iL;N�F'ERMET FW f;GN9e--1E',: .__ ___.-__' a. is?0 —...•_ .. ..._ .__. ____..._..__ TOTAL flM0UJ',!r r5. 00 _ a r 13125 SW Iiau nNa. PLNCK/RECT # _�=5�C-1 _ CITY OF TIG-ARD PORoxZ3397 PERMIT # COMMUNITY DEYELOPMEIN'C DEPARTMENT TYrar4�e600977Z3 (503)63"171 DATE ISSUED JOB ADDRESS:�D 7©� re,�'bU • `� �•y TAX MAP/LOT SUB: _ LOT: LAND USE: VALUATION: C��Y OWNER SPECI * T( �ED rp I SUE ** NAME: '� .a -L RE ISS � /';f�. � _� ° �c ADDRESS: _ LAST REISSUE: FLOOD PLAIN/ PHONE: " �/ ,��� `� -� SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED 1 NAME: PLANNIP'G: ADDRESS: LA,Lf z' ENGINEERING: FIRE DEPT: _ PHONE: '� `'�L- V/ 2 V-12/ - OTHER: CONTR. BOARD : 1/lL- EXP DATE: ITEMSRE UQ IRED SUBCONTRACTORS: PLUMB• LIST/SUBCONTRACTORS: _ MECH: BUS TAX: _ CH ENGINEER CALCULATIONS: NAME: _ TRUSS DETAILS: ADDRESS: _ OTHER: PHONE: PROPOSED BLDG. USE: L L COMMENTS: :' I i LICANT SIGNATURE 1 I keceived By: �" �� Date Received: r.......—, ............ _,».:n awewV'wl1�HsMe„rl..Yk+eW4MA1#6M1+,.'JCvlie..,pv,... .. :".•TNtf'iM1/'W�fY�Rt4'• .. .:. ....... ttl fi PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. 3A1_. DUE 10-432 00 Building Permit Fees ?J/,U6 g,Z-:Ojg&_ 10-431 00 Plumbing Permit Fees 10--431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building Plumbing _ Mechanical 10-433 00 Plans Check Fee Building • Plumbing Mechanical S X51?, 70 5,Z Zl,ss c� 10-230 06 Fire _ 30-202 00 Sewer Connection Z& , O 30-444 00 Sewer Inspection _ 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees S nN I 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448--05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL ; 58� 3.Z 5-5 nm/3587P.WPF I 7 i. CITY OF' T I OARD RECEIPT OF PAYMENT PE CE IPT NO. 0 92-c"3317 1" CHECK, OMOUNT a J37. 15 NAM WARDE LL, DOUG REMODEL.•!INIG CASH nmato T - 0. rbm � ADDRESS 0 PAYMENT onTE= o it/1E-/9r' SUBDIVISION 9 PURPOSE OF PAYMENT AM01INT PV41D PURPOSE OF Pfd`;MENT AMOUNT POID ---------------------- D PLAN CHECK FE 1,37, 15 j Y 1 BRIAN SAKLOFSKY, DENTAL OFFICE 10500 SW GRE:ENSURG � TOTAL AMOUNT PAID 137. 1 t i i r ,a'.7 IAF++ INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 kV Inspection Line (Rec-O-Phone)s 639-4175 Bua nese Phone: 639-4171 Inspections Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top out Gas Line FINAL: poet/Beam SLruct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. —� Dates Reyueet�ed.'sTimes AM; (,--)y � --- PM Address: I �Q� l +�CU_yl.( — Permit I: BuildersA ill �:J((�JjL6a6lJ1j THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors. ) Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. Lam' F.. C11YOFT11FARD C.IiY�11�rA1� COMMUNITY DEVELOPME��i DEPARTMENT MECHANICAL ERMI ` 13126 SW Hen Blvd.P.O.Bot 23397,Ted,Onpon 97223(603)6.94.4176 PERMIT # • MEC9 -0276 639-4171 DATE ISSUED: 11/12/92 SITE ADDRESS. . . : 10500 SW GREEN8URG RD PARCEL: 1 S 1;35SC--01006 SUBD I V I S I OIJ. . . . : LINCOLN CENTER COML BLDG ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . CLASS OF WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERS: TYPE OF USE. . . . :COI',I UNIT HEATERS. . : VENT FANS. . . : OCCUPANCY GRP. . :B. VENT'S W/O API'L: VENT" SYSTEMS: STORIES. . . . . . . . : 1 BWLERS/COMPRESSORS HOODS. . . . . . . : FUEL TYPES-------------- 0-3 HP. . . . : DOMES. I NC I IV: - /GAS/ 3--15 HP,. . . . : COMIvIL. INCIN: MAX INPUT-.60000 BTU 15-•30 HP. . . . : REPAIR UNITS:2 � FIRE DAMPERS?. . :N 30-•50 HP. . . . - WOODSTOVES. . : GAS PRESSURE. . . :L 50+ HP. . . . : CLO DRYERS. . : NO. OF UNITS---•---•-•----- A I R ITANOL I NG UN I T S OTHER UNITS. TURN t 100K BTU: i- 10000 cfm: GAS OUTLETS. : FU FAN ) -100K BTU: > 10000 c f m : Rpmarks : Tenant Impr: Add inti partitions, kitchen, adjacent offices. Owner: -.-----------------.--____--_-_.___.-__-_--.-_--_-_.-.---_ FEES III 1IrIV,1E= SANDYLYNN, INC. type amount by date recpt PRM-f $ 25. 00 JH 11/12/92 - PLCK $ 6. 25 JH 11/12/92 - 5FICT $ 1. 25 JH 11/12/92 - Phone #: Contractor: SUN--A I RE SYSTEMS, INC F'O BOX 231268 TIGARD OR 97281 _.------------------------_- -___-__- Phone #: 624-6061 $ 32. 50 T'OT'AL Recl #. . : 70034 _------ REQUIRED INSPECTIONS ----- - This permit is issued subject to the regulations contained in the Mechanical Insp _ Tigard Municipal Code, State of Ore. Specialty icacs and all other Duct Inspection _ applicable laws. All Mork will be done in accordance with Final Inspection approved plans. This permit will expire if work is not stsrted within 180 days of issuance, or if work is suspended for sot,- than or,than 180 days. Perot t.ee ignatur,-r' : f � Call for inspection - 639-4175 _�i�r. <Rhi4.: t CITY OF T I GARD -- RECEIPT OF PAYMENT RECEIPT NO. t 92-233656 ` CHECK AMOUNT 321. 50 NAME t SUN•-•A I RE SYSTEMS CASH AMOUNT t 11A. 00 ADDRass t PAYMENT DATE t 11/12/98 � SUBDIVISION x PURPOSE OF PAYMENT AMOUNT PA 1 I) PURPOSIE OF P()YME'NT AMOUNT' PAID MECHANICAL. PE� 25. 00 FLAN CHECK FE_. 6. 23 ST. 13UILD PER 1 . 25 i 0 �I I of_IMPII<+ 0 10 500 SW G-REE'.NOURG TOTAL_ AMOUNT PAID 32. 50 I i I i i 1 i �yy I i I F : i (4 ci �~ R ��i A \ I , 4 yNIN o 4 ev m ••1 3 AN �l I 46��� // So -56 d k90 'A MD :3 J,A N��1 ?J _ r'1 S+s � �•.It �".MYIk:dNW�d+MW',Siflk4icMriR-•�:r>:��M+u ,i�t..1:a..e,y.r,-,mr:a..x�wv+.�•.......... .n+:*maL'i+G'. .. y� l��y� �y�,��},�F— - ''•[) Pr INSPECTIONNOTICE i City of Tigard Building Departon--nt � 13125 SN Ball Blued. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busi.ress Phone: 639-4171 InP�,wction: ____ --- --- — Frnting Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: post/Beam Struct.. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line ( Cyp. Bd. - ech. Date Requeated: ` h 2— Time: /,\ AM PM Address:1C-'1 S��1 P`rmit i s Y Builder: THE FOLLOWING r�RRECTIONS ARE REQUIRED: t �y r' ,�; 1 1 , Inspector: � ---�-v---_.._.__, Date: APPROVED DISAPPROVED APPROVED SU^JECT TO ABOVE Call For Reinap. a a1;N Iwy INSPECTION NOTICE City of. Tigard Building Department 1.3125 RU Ball Blvd. Tigard, Oregon 97223 -4171InnPection Line fRec-0-Phone) 639-4175 Business Phone: 539 Inspection: -- ------ --_ _---- Footing Plbg. Underslab Hech. Rough-in Appr/Sdw1k Found. Plbg. Top Ou'it`, Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Wuter Line Gyp. Bd. -Hoch. Date Requested:_ Z Times AN PH Address: C S l` Permit #:. Builder: i THE FOLLOWING CORRECTIONS ARE REQUIRED: i — - 1 i f i i Inspector: Date: X--APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE XI CallFor P.einsp. I milli a 17 CITY OF TISARD — RECEIPT OF PAYMENT RECEIPT NO. :92-233327 F CHECK AMOUNT a 2100.00 NAME a LYNN N1NCaHAM FAMS CASH AMOUNT a 0.00 ADDRESS : PAYMENT DATE. a 11/02/92 � SUBDIVISION : I PURPOSE. OF PAYMENT: AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID _ A SEWER USA 2100,00 a ;.4 0 t BLiMPIE. L 10500 SW SRFENBURD TOTAL. AMOUNT PAID - — — 2100.00 r n� r r ` Pt IN �q< TUALATIN VALLEY FIRE & RESCUE , AND ` BEAVERTON FIRE_DEPARTMENT _ FIRE MARSHALS OFFICE s t� (503) 526-2469 POSTED: i9 4R OCCUPANT CONTRACTOR v __ -BLDG, PERMIT i1 PROJECT NAME PLAN REVIEW L0C7+.TION JURISDICTION: 1= Be. 2= Du. 3= K.C.( = J5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL ow Framing ❑ Separation Walls ❑ Sprinkler System ❑ Shaft Fire Dampers (Overhead/Underground) ❑ Alarm System ❑ Hood' Extng Systems ❑ Conference j ❑❑ Ceiling Cover ❑ Other Spray Booth — i 1 i I r P Inspector: /J =1 Date: f INSPECTION NOTICE City of Tigard Building Department 13125 Sw Ball Blvd. Tigard, Or-gon 97223 Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171 Inspection: rooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: i, Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. �" -Nech. i Date Requeetodt—,W= ._ __—Time: &__AM PN Address:_ ^f Permit I � Builder: TME FOLLOWING CORRECTIONS ARE REQUIRED: r�C�fn a� ri I � �I Inspectors_ _ Date: f E _____APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE, Call For Reinsp. 1' p . {s, v! , l TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRF, DEPARTMENT 4755 S.W. Griffith Drive • P.O. Box 4755 • Beaverton, OR 97076 • (503) 126-:.169• FAX 526-2538 I October 29, 1992 • Albert R. Kenney Jr. , P.E. 9500 S.W. Barbur Blvd. , Suite 111 Go Portland, Oregon 97219 Re: Blimpie Subs and Salads t 10500 S.W. Greenburg Road, Suite B 5989A-301-003 Dear Mr. Kenney: This is a Fire and Life Safety Plan Review and is based on the 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 fire department, and other local ordinances and regulations. 5 Plans are conditionally approved subject to Tigard Building Department requirements and the following items: 1. 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. 1.0. 208 i 2 . Not less than one (1) approved fire extinguisher(s) with a rating of not less than (*) shall be provided for each (**) square foot of floor area or fraction thereof. The travel distance to an extinguisher from any portion of the building, shall not exceed 75 feet. UFC Sec. 10. 303 (*) ;:AlOB:C - Light and Ordinary Hazard { 4A10B:C - Extra Hazard 3 , 000 - Light Hazard 1, 500 - Ordinary Hazard 1 , 000 - Extra Hazard Note: Where flammable or combustible' i liquids are used, "B" ratings of extinguishers may need to be higher and travel distances shorter. See requirements in National Fire Protection Association Standard 10-1. "Worklnp"Smoke Detectors Save Lives j i.;. _ e':.. ....:-. .:.r M;.-Fi.t'r.I,/+Y':'�.'1�gi''F �ada'•�F'.:L)S:'rT-tY { , , L fi,e 'ti Atds.l,,..,a.�..,-..,.,..w i.. r..r«r.mw+rc... ,n rt ,.,5r..r, .::, ,, •, ..: . .......... . :.,,...., ....,.. .. .. .. ,. ... Albert R. Kenney Jr. , P. E. October 29, 1992 Page 2 3 . If this building is protected by an automatic fire protection or required fire or smoke detection system, not addressed on these plans, contact this office before 1 proceeding. Demolition, new construction, or changes in HVAC could alter or eliminate protection from these life ; ■� safety systems. 4 . Check with the Building Department for hood, duct and f' make-up air requirements for the ovens being installed. Approval of submitted plans is not an approval of omissions or oversights by this office or of non-compliance with any applicable regulations of local government. 6r If I can be of any further assistance to you, please feel free to contact me at 526-2469. 1 Sincerely, y Bradley N. Wanamaker Deputy Fire Marshal BNW:kw / cc: Tigard Building Department LBH Construction, Inc. i i i I i i i I i is i 4- xr;--- - •,. :.r.b:,,, .. ., u,R;rr.sraara.; wrsaa'f�+�sartwai�k�t,\R�mb.,. .. -.. ,� jr A 4L .: .. Y 9a aryN i d i 111111 CITY OF TIGARD OREGON October 29, 1992 Albert R. Kenney, Jr. PR Consulting Engineer/Planner 9500 SW Barbur Boulevard Portland, OR 97219 Project: Blimpie Subs, Offices, BUP92-0311 10500 8W dreenburg Road, Suite B Dear Mr. Kenney: The revised plans for this project, which add an exit in the seating area near the kitchen, arra approved. The exit separation now complies with code requirements. The revised plans, however, did not show dimensions for the exterior landing for the added door. Please submit a landing detail which shown compliance with Oregon Structural Specialty Code Sec. 3304(1) & (j) . The requested detail for the landing may be submitted by FAX, should that be convenient. The building perm.tt for the project has been issued. If you have questions, or if we may be of assistance, please contact us. Sincerely, 1 Jim Ja } Plans Examiner FAX (503)684-7297 I 1312;5 SW Hall Bbd., Tlgard, OR 97223 (503) 639-4171 TDD (503) 684-2772 4° f6 s 0 =1 7e�t�: St 1C 9 •I,T a'ti QTS.� 'h i CITY OF T I GARD RECEIPT OF' PAYMENT RFCF I P T NO. s 92-233PP3 � CHECK AMOUNT s 238. 113 NAME s LHH CONSTRUCTION CASH AMOUNT s 0.00 d ADDRES)G s PAYMENT DATE 10129I9P 5!JSD I V I E310N 4w II PURP0% OF F,AvMi:N1 AMOUNT PAID PURPOSE OF= PAYMENT AMOUNT Pulp BUYLp]NC; ____ _..._ __..._._. _.._._. ....._.._..._.._.__.—_._.—.__...._. F�ERM 1�2.�0 pi_UMFlIN13 PERM 60.0Q GI. BUILD PER 10.63 PIAN CHECK FE 1rr.00 'I �I - f I� I RLIMPIES I 10500 SW BREENBURG TOTAL. AMOUNT POID — — —) 238. 13 r. 47 ff i CITY OFT I GA RD 4m SEWER CONNECTION TWORD COMMUNITY DEVELOPMENT DEPARTMENT 04106M PERMIT 18126 SWIWIBlvd. P.O.Bw23397,71pud.Orepon97223(W3)639-�176 PERMIT #. . . . . . . : SWR92-"0•,31 -- 639-4171 DOIE:: ISSUED: 10/28/9, ' SITE ADDRESS. . . : 10500 SW GREENBURG RD PARCELe 1S135BC-01006 SUBDIVISION. . . . : LINCOLN CENTER COML BLDG ZONING: BLOCK. ,, . . . . . . . . : LOT. . . . . . . . . . . . . . TENANT' NAME. . . . . :BL 1 MG I ES SUBS & SALADS USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 13 CLASS OF WORK. . . :ALT DWELL 114G UN ITS. . : 1 TYPE OF USE. . . . . :COM NO. OF' BU.l'LD I NGS: 1 e INSTALL TYPE. . . . :BUSWR I IhPE RV SURFACE. . : a s f Remarks : Tenant Impr: Add int' r partitions, kitchen, adjacent offices. w Owner.: _____--- ---------.-------______-_________ ------------------- FEES BLIMPIE SANDYL-YNN, INC. type amount by date recpt PRINT $ 2100. 00 JF-1 10/28/92 — Phone #: Contractor: ----•--------------------------- CONT RACTOR NOT ON FILE __________ I�'hone #: $ 2100. 1710—TOTALv--_. '. Reg #. . : e REQUIRED INSPECTIONS ----- -_ i This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days from _the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from --- 'he distance given. If not so located, the installer shall purchase �i- a "Tap and Side Sewer" Permit and the A ency will install a later 1. Permittee Signature : — �. Issued Fly : ----- Call ,—Call for inspection — 639-4175 4,. • _ a ITY F C O TIGARD AND BUILDING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT + PERM I T #. . . . . . . : BLJG9c:-031 1 18126 BW Hall Blvd. P.O.Bar 23367,Tlp M,Oregon 0727.3(603)8344176 --A- 6:. 9-4171 DA'fL TSSUED: 10/28/92 S I TE ADDRF,GS. , , 10500 SW GRF_F_NBURG RD PARCEL: 1 S 1:35BC-01 wlV'.lE: SUBDIVISION. . . . : LINCOLN CENTER COML BLDG 7.ONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . REISSUE: FLOOR AREAS— --_— -- - EXTERIOR—WALL.`CONSTRUCT'IOIV— CLASS OF' WORK. :AI_T FIRST'. :2682 sf N: S: E: W.- TYPE -TYPE OF USE. . . :COM SECOND. . . : s f PROTECT' OPENINGS'?-------------- TYPE PENINGS''------------TYPE OF CONST. :5N THIRD. . . . : sf N: S: E: W. OCCUPANCY GRP. :Bim' TIJ FAL----- : 2682 sf ROOF' CONST: FIRE RET? :Y OCCUPANCY LOAD:86 BASEMENT. : sf AREA SEG. RATED: STOR. : 1 HT. : 15 ft GARAGE. . . : sf OCCU SEP. RATED: � BSIr1T?:1V MEZZ% :N READ SETBACKS-•----------- REQUIRED------_.__.___—__.___.__ FLOOR LOAD. . . . : 100 ps f LEFT: ft RGHT: ft FIR 5PKL:N SMOK DET. . :N P DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HIVDICP ACC :Y BEDRMS: BATHS: IMF' SURFACE: PRO CORR:Y PARKING: a VALUE. $: 21500 Remarks: Tenant Impr: Add int' r• partitions, kitchen, adjacent offices. 6 Owner: -------------------------------------- .__._______.________ FEES ___—•—•----_--___ BLIMPIE SANDYLYNN, INC, type amount by date recpt — PRMT $ 152. 51ZI JH 10/28/92 - PLCK $ 99. 13 JLH 10/14/92 232674 I Phone #: 5PCT $ 7. 6.E J1-1 10/28/92 Contractor: LPH CONSTRUCTION, INC. 19:373 NE CALK I NS LANE. NEWBERG OR 97132 --------_-----------•--------------------- Phone #: 538-6353 f 259. 26 TOTAL Reg #. . : 65.769 REQUIRED INSPECTIONS --------- This pertit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other I n s U l.a t i o n Insp applicable laws. All work will be done in accordance with Gyp Board Insp approved plans. This pernit will expire if work is not started S u s p C e i i n g Insp _ within 198 days of issuance, or if work is suspended for tore Final Inspection than I88 days. Permittee Signati_1re ; I s s i_I e d By : Ball for inspection — 639-4175 i s s _ �Y •i Oa` . .. r. . /: . CITYOF TIFARD C"WMAROD .COMMUNITY DEVELOPMENT DEPARTMENT MGM 13126 8W HWI Blvd. P.O.Bax 23397,TOW,Orgpn grrM(503)639.4176 PLUMBING PERMIT PERMIT #. . . . . . . : PLM92-0166 639-•4171 DATE ISSUED: 10/28/92 SITE ADDRESS. . . : 10500 SW GREENBURG RD PARCEL: IS135BC-0.1006 SUBDIVISION. . . . : LINCOLN CENTER COML. BLDG ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . CLASS OF WORK. . :ALT GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : � TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW F'REVNTRS. . : OCCUPANCY GRP. . -B2 FLOOR DRAINS. . . . . . . : 1 TRAPS. . . . . . . . . . . . . . . STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . . I CATCH BASINS. . . . . . . : r LAUNDRY "TRAYS. . . . . . : SF RAIN DRAINS. . . . . : SINKS. . . . . . . . . . :5 URINALS. . . . . . . . . . , . . GREASE TRAPS. . . . . . . : 1 LAVATORIES. . . . . : OTHER FIXTURES. . . . . . 6' TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . : WATER CLOSETS. . .- WATER LINE (ft ) . . . . DISHWASHERS. . . . RAIN DRAIN (ft ) . . . . Remarks : Ienant Impr. Add int' r pa;,titions, kitchen, adjacent offices. Owner: ---- --__.___._.___._--•--___________._____.._ ____._____.__.___._ FEES BLIMPIF SANDYLYNN, INC. •type amof_cnt by date recpt PRMT $ 60. 00 JH 10/28/92 - F,LCK $ 15. 00 JH 10/28/92 - 5PCT $ 3. 00 JH 10/28/92 - Phone #: Contractor: - MICHAEL AND CO. 15575 SW 74TH AVE TIG(4RD OR 97224 Phone #: $ 78. 00 TOTAL Reg #. . : 67877 --- - -- REQUIRED INSPECTIONS ------ This permit is issued subject to the regulations contained in the Rof_rgh-in Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Top-okit Insp applicable laws. All work will be done in accordance with Misc. Inspection ^� _ approved plans. This permit will expire if work is not started Final Inspection __ I within 188 days of issuance, or if work is suspended for more than 180 days. l' 7 Permittee S i g n a t f_f r e : Issfaed By : _ %✓ �� Ca11 for inspection - 639-4175 f OIL i ' .. foil- •.' -' u CITY OF TIGARD OREGON October 22, 1992 Albert R. Kenney, Jr. PE Consulting Engineer/Planner 9500 SW Barbur Boulevard r Portland, OR 97219 Project: Blimpi.e Subs, Offices, BUP92-0311 10500 SW Greenburg Road, Suite B Dear Mr. Kenney: The plans for this project were reviewed for conformity with applicable codes and can not be approved as submitted. The design occupant load for "Blimpie Subs ani Salads" is 64, based on Oregon Structural Specialty Code Table 33-A. Seating for 54 is shown on the plan. For this occupancy, two exits are required with d minimum distance apart of one-half the length of the maximum overall diagonal dimension of the area served. Sec. 3303(c). Although the number of exits is adequate, the spacing between them is not. A possible solution would be to use one-hour fire-resistive construction for the corridor through the office portion of the space being developed. �I i We also will need plans for the new plumbing and mechanical systems to be installed. These plane may be submitted by the sub-contractors who will be i doing the work when they apply for. permits. I The building permit for the project may be issued as soon as an acceptable resolution of the exit requirement is submitted. If you have questions, or if we may be of assistance, please contact us. Sincerely, Jim Jaqua Plans Examiner FAX (503)684-7297 i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 — .y i u CITY t13111SwFi.nBW. PLNCK/RECT # (J _ Z 7G.OF Z IG.ARD ���OBor 3vru_3 PERMIT N�� COMMUNITY DEVELOPMENT DEPARTMENT (50))639.4171 DATE ISSUED I • I JOB ADDRESS: /0,!�On S.W. C4REEN81aq RD.- d _ TAX MAP/LOT w SUB: LOT: LAND USE: VALUATION: Z f 6-6n OWNER / SPECIAL NOTES NAME: B1-1,u,-3u-: 5An,DVle�&Al IW--- REISSUE OF: ADDRESS: 10SDD Sy 4,fead" - 93 . _ LAST REISSUE: PoRiLt&,a C9 9701� — — FLOOD PLAIN/ t PHONE: Z - �Z3z SENSITIVE LAND: i , CONTRACTOR APPROVALS REQUIRED 1 � { ( / NAME: _ �{ �n�.�i lclC� PLANNING: G ADDRESS: ' 73 A-yI:- L'f�1�f��s `�/�—. ENGINEERING: Adel 6l ����7f 3Z_- FIRE DEPT: I PHONE: _ S3,z 2 3 OTHER: — CONTR. BOARD #: 65 6� EXP DATE: ITEMS REQUIREDO' SUBCONTRACTORS: PLUMB: /VIL Ca _ � � LIST/SUBCONTRACTORS: MECH: 41e� BUS TAX: ARCHIENGINEER CALCULATIONS: _ NAME: AL.3¢.2_i K. ,�aP� JIt. F' _ TRUSS DETAILS: ADDRESS: S OTHER: PHONE: PROPOSED BLDG. USE: COMMENTS: 7 / 41 APPL NT SIGNATURE Received By: Date Received: /C Z - .."""'^•'*W)IRT•'tl•11AM Ntyv'.V.:gmYns..11 . n r Llpl!f 1 I.. I PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT' PD. BAL. DUE 10-432 00 Building Permit Fees /S.Z.S c'7 I 10-431 00 Plumbing Permit fees 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building Z(05 Plumbing 3Jo Mechanical 10-433 00 Plans Check Fee _ Building �1, /3 _ Plumbing LSA Mechanical 10-230 06 Fire �Z-70-33/ 30-202 00 Sewer Connection Z,& a 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees _— • 25-448-04 Industrial TIF Fees _ k 25-448•-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52.-449 00 Parks System Dev Charge (POC) 31-450 00 Storm Drainage Syst Oev Chrg (SSDC) _ 24-445-01 Water Quality (Fee in lieu of) 24-445--02 Water Quantity (Fee in lieu of) s TOTALS ?,9?7,26 nm/3587P.WPF 41 IMF J .'S 1 I 1 CITY OF 7I Cf1RU RECEIPT CIFPAYMENT RECEIPT NO, 192-232674 CHECK AMOUNT s 99. 13 � NAME: r LBH CONSTRUCTION CASH AMOUNT a 0. 00 t; PAYMENT DATE r 10/14/92 F fADDRESS 3 SUBDIVISION c IPURPOSE OF PAYMENT PMOUNT GA 10 PURPOSE OF PAYMENT AMf�Ulta i i W I U f pI...AN GHEC:K FE' is k. E (AL IMPIE � t o.`30o SW GREENBURG TOTAL AMOUNT PAID I a � y •a. -p r � 7 t w s k e Yr hr r $ we rn 4 a f �i 00 N Lr' '"`'; 1 ao r {rn�. yW cd p O a'U f l •.� W r �, ,a O , �,,' r l CcLn cd � } 10 ` OZ 04 wo 4, oto �► in wto V � onyU CD �y 1-0 H �ON ., to b N 'ti to I +� py ; PQ o 43 j 4��er� i.� ' •�' '*-1.0F_2_��4 4 s- r '' ♦ ' �.. yam, '+ '�" f tv !f i .;..,.F�x;n,q.�,4.ykftlk.k., ,i�l+ .><a•te&IM"r`iLA?wru'.rk �.o- :,r,.,,ro.,.,.. �, -n:�. � 7".Vnw�nriR ', I X91 isx� a �4h1 I l 4 INSPECTICN NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-41775 t Type of Inspection )-L-) 1 C' ) I Date Requested J Z y" �L_ Time A.tJI. P.M. Address l �'�'(�'Diyl��11('�IT -s. Permit Owner C' C f J Lo: # Builder ;^� )"71 ?'n P i�CS t�l–� -- — • The following Building Code deficiencies are required to be corrected: IC�;n : LX) GrUC/nktit 4 gp_L J,L, 7IC) Z SN Presented to , ___ Approved Inspector _L� Disapproved Date CALL FOR REINSPE'C770N ❑ YES I-I NO �_ I