15750 UPPER BOONES FERRY ROAD-1 � ,
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OF OCCUPANCY
Ct�►�I�I
CITY OF TIGARDOREGON
i,
Permit No. 880938 si,r
PacTiust
1^• Owner: t Or 97204
111 SW 5th Ave. Suite 2950 Por land,
l Address:
Fei Rd•
Buildin Address:
Bldg. Type_ 5—N
Occupancy:__-3 Land Use Zone:
,
Tenant: Rocking Horse Da
Comments: _ N
19 12th dayof Set er ,
,,, Certificate is hereby given this - r
that said building all
may be occupied and that it complies with ved
of Tigard, as approved `,
`
requirements of the Building Code for the City L
requirP.me it?
a ' v by the Tigard City Council. 44 !
f Building Inspector
Fired
Building official
Poet Certificate in Conspicuous Place -
�� py —.., gip,6. � � `.l.� I"^ a ,dl�l,�' �.�ep�llA;►:. �i,�. y err r y��r�. ,�r wN .'��t:°�,rq �� , �,
Y0;" �, `0�., j1�",y 111 ��,R�' '�t .r v y��l�R}�--�.���r n�''^�,,�,.�i!��� 1�'. j'��.,���1 P"��h� <`I r�" ' "�';5"'ari,- �"�'j�l QV •'��I�'.b� _ �
3�ti ?I" a,,..l jll ',,� i y-i. � tir}•NQS .<ofrlr'.�r., ( ��:��� °,Mt �'„ � 1` ti.,dp iptij�t.. � w
,� •7v
f
I
{ PREVENTION BUREAi.) q C
DFFICF- OF FIRE:: MARSHAL �4 5 J 7
INSPECTION NOTICE
OWNER ------ ---- DATE / —
OCCUPANT'' 600;;'J= �/�/ �� God '
_OCCUPANCY__
LOCATION J P C l/. (//7�Frf �j��i✓e�S /4�".E'.v} �r r /
YOUR AT,ENTION IS CALLED TO THE POLL)WING FIRE SAFETY OEFICIENCIESI
1 �
Z.A� /ae-:� _
FAILURE TO CORRECT THE ABOVE CONDITION! Wl TralN gAv% WILL MAKE VcJ LIAPLE TO '-R0-
__ FcUTIp.N 5510ULC RVi
RESULT FROM SUCH CONDITION! YOU MAY BE U4PlE FOR DAMAGES TO AE R!'CNl ,ROh[Rtv �ROV13�ONS O�
Ong 471 Igo
By
WASHINGTON COUNTY FIRE DISTRI(:T 41 rlRt MAPSIHAL
20665 S.W. BLANTON STREET
ALOHA,ORE(;ON 97006 649.8577 PRESENTED
FORM 900 A[I
•r
Washington County Fire District No. 1
City of Beaverton Fire Department
Tualatin Rural Fire Protection District
.C'
Jitne 16, 1988
A.S.I. Heating h Air Conditioning
17555 S.W. 65th Avenue
Lake Oswego, Oregon 97035
RE: Rocking Horse Day Care School
15750 S.W. Upper Boonr_s Ferry Rd.
Tigard, Oregon
Gentlemen:
A fire and life safety plan review was conducted on the above captioned
project for compliance with the 1985 editions of the Uniform Building Cade
(UBC) , Uniform Mechanical Code (UMC) , and Uniform Fire Code (UFC) as amended
by Tualatin Rural Fire Protection District's Ordinance 86-5.
Plans are approved conditional to the following items:
1. Approved Plans on Job Site: One set of approved plans bearing the
stamps of the Tigard Building Department and this office must be
maintained on the project site throughout all phases of construction
and must be made available to building and fire inspectors for
reference during required construction inspections. (UBC Sec. 303)
2. Inspections Required: Inspection aLi approval. of construction by a
representative of this office is required: (a) prior to the cover of
any new framing elements following the installation of all utility
runs which will be concealed within wall and partition cavities; (b)
upon completion of construction and prior to occupancy of the tenant
space. (UBC Sec. 305)
3. Certificate of Occupancy Req-aired: Prior to the use and occupancy of
the project (space) , a certificate of occupancy or other written
instrument of approval must be obtained from the City of Tigard
Building Department. (UBC Sec. 307)
SPECIAL NOTICE:
DEVIATIONS FROM THE SUBMITTED AND HEREBY CONDITIONALLY APPROVED PLANS-DURING
THE COURSE OF CONSTRUCTION, EXCLUSIVE OF THOSE NECESSARY TO COMPLY WITH FTRE
SAFETY REQUIREMENTS AS LISTED HEREIN, ARE PROHIBITED WITHOUT THE WRITTEN
AUTHORIZATION OF THE WASHINGTON COUNTY BUILDING DEPARTMENT AND THIS OFFICE.
A.S.I. Heating & Air Conditioning
June 16, 1988
Page 2
If I can be of any further assistance to you, please feel free to con,.act me
at 649-8577.
S incerel.y,
TUALATIN FIRE DISTRIC
Gene Birch 11
Building Official
20565 S.W. Blanton Street
Aloha, Oregon 97007
GB:kw
cc: Tigard Building Dept. L-'
District Inspectors
CMECHP
ANICAL ET
WMI
ITY®F TIGrARD "P.1t 1::.E,PMII' NO. : ME(380940
civ6FTI(74RD
COMMUNITY DEVELOPMENT DEPARTMENTOpFOUN
I)Al-l;-;: xssuu): 6/1-el/SH
13125 S.W.Hall Blvd-P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175
PP1M - PMT.NO. 880938
1.5730 SW UPR BOONES FE AWY PI)
TAX VIAP-1/1-OT SUS: OPEII.AJIS! BI-J5J:NE:5S PAPK
LAND USE: 11 BLD(.*, 0 L.T : HK :
1-131' 51ZE :
WOPK CLASS : Al-.*T*.'--:RAT 1 ON ITEM: NO : NO
FILIANACE. <100K A:I'.P HANDI.-W <11.0
'TYPI--: ' E-UL)CATIONAL. I::'L)PNACE 1.00k+
C'ONST . TYPE:: VN AIR HANnLP 10K
FL-(:)UP F*tJl4NA(.,F-' EVAF). COOLF--':P
L)CICUP .G14P. HEATER VENT' FAN
VIENT VENT . SYSTEM
No . STOPIELP : HOW
DWEL.I... .'UNITS : wiFIFa :11INCiNERATOR(DOM
DI-P/COMP 1.5-301-4P XNC1NEPA'TOA(COM
FULL TYPE GAS 191L.P/cOMPPEEPAIP UNITS
MAX . ]:NPLJ*T' 100000 HI-WCOMP 30-f-HP Ul"l-WER
Fl:"E' DMP PS NO
HiGH PHESS7 NO GA!ii OUTLETS 1.
LOW YE S
PEMARKS :
e4l'"kllt Mild :
y fir:hrlcl:l.
U POWTVIL1211t FE-ES :
W pr-KPI'll"I
N $10 . 00
E PLAN PE'VJ:j.-.*:W
R w.t 7.50
Lo - 0()
t;'—50
$60 . 00
STATE: TAX -
OTHE N 413.50
C
0 AS1 W."ATiNG,
N
T Aril HEATTW"o
R 1-'?!5-535W 65TH
A L a k Ir? D a;W gm� I
C .10 0 1:4 97 0 3 4
T 1-*:'I--IONI;-.: 6j3-q-9583
0
I:*'G:I:!--,TPAT:I'(.)N NO, 29938
TOTAL 591 . 00
- .
Inis permit is issued subject to the regulations contained in Title 14 PrmiplNO
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances. and it is hereby
agreed that the work will be done in accordance with the plans and (.';AS I INE::
specifications and in compliance with all applicable codes and MI*.C I-I A IN CL SY!jT(::.M
ordinances The issuance of this permit does not waive restrictive FA:N A L.
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void It work Is not started within 160 days or if work is suspended or
abandoned for a period of 180 days any time after wok has
commenced. It shall be the respor.sibility of the permittee to assure
s!I required inspections are requested Find approved
Permittr
- i� fure
C—
Issued By ';z'tX )
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOF TIIFARD
OREGONJune 10, 1988 \� �
i
Greg Hosler
A°I Heating h Air Conditioning
17555 SW 65th Ave
Lake Oswego, OR X7035
PROJECTS: Rocking Horse Day School, MP 880940
AM International, MP 880934
15750 Pod 15770 SW tipper Boones Ferry Road
Dear Greg:
Plans for both projects are approved, subject to the addition of a hood and
fan in the kitchen of the Rocking Horse Day School. Please submit a letter or
drawing, to indicate this has been added to the project.
The permits for these projects are ready. If you have any questions, or if we
may be of assistance, contact us at any time.
Sincerely,
G
im Jaqua
Plans Examiner
ht/5294D
cc: Eric Talbot, Mackenzie/Saito
13125 S\&'Hall Blvd.,P.U.Box 23397,Tigard,Oregon 97223 (503)639-4171 - -------- --
C'TY OF T'FARDx)LUME3i'N(:; PE P.M.11'
CIAC, PERMIT' NO. : 1-4-880939
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 91223,(503)6394175 DATE ISSIDE V: 6/ 9/BE)
PRT14. IM-1-1'."Ift) IM90930
JOR ADOWSR : 1.5750 SW UP14 1A)UNES FERAY RD
TAX MAP/L.OT SUB: 0IRE*.(.,(:)N BUSINESS PARK 11 BL-00' 0 LT: F.M :
I AND USE:
LOT STZE:
ITEM: NO ; NO
WOPK MASS : ALTERATION WATER CLOSET 0) TRAP
USE TYPE: EDUCATIONAL UPINAL BKFLOW PRVNTA
C.ONST .TYPE: VN LAVOPATOPY I TWAP PRIME
E3 Tue SHOWEP GWEASE 'TRAPS
DISHWASHEP
GAREW.'&.: D1SI-')(:)SAI—
NO .STORIES ; 1. 4ALSHING MA(:,HINF-' 1.
OWEL.L.UNITS ; LAUNI)AY TRAY HILDGAMAIN (DIA
DRAIN 1.
SINK 6 SEWER (F*'r)
WATER HEATEP P 'A'ORMMAIN (F'T'
OTHER
REMARKS:
TcAinatnt Mad , Pt:)c:.,kiri9 H(3r%e I)AY
DrIe :km difl-1wPuhr, f1r' P,Ilik
FEES :
W Pt r,i.i t P E.,1-4 M I'T
N
E
R FIXTURES
STATE TAX
C OTHEP 41*31 .87
0
N REA NHARDT JOHN E
T RE" INHARDT PL UMBINU
R
A PODI.)X 1.P9
C
T NcRwbs.7#r-U OR
0 PHONE (503) eit:,-10-373-14
R
I PEGISTPATIUN NO . 1.870 TOTAL: !11,6!9.75
This permit is issued subject tc the regulations contained In Title 14 RECEIP"T NO.
of the TMC. State of Oregon Specialty Codes. zoning regulations
and all other applicable codes and ordinances. and it is hereby PE.(;UIRED INSPECTIONS;
.agreed that the work will be dons in accordance with the plans and PLB. UNDEPSLAD
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive PC)IJGH----'EN
covenants Contractor and -,ubcontractors shall have current city I PL". TOP(JUT
business tax permits This permit will expire and become null and C.-PAS LINE.
void it work is not started within 180 days.or if work is suspended or F:!.NAL
abandoned for a period of 180 days any time after work has
commenced It shall ht the responsibility of the permittee to assu e
all requirer4 inspectiuns are requested and approved
Permitte,.-Signature
Issued By-
CALL FOR INSPECTION 639-41175
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVF
�n MACKENZIE ENGINEERING INCORPORATED LF—FU EM OF TMIR C12M TTR�1L
IIII �I MACKENZIE/SAITO&ASSOCIATES, P.C.
0690 SW BANCROFT STREET PORTLAND.OREGON 97201
("(13)224 9560 (503)22.49570
Date: June 8, 1988 Project Number 287450,001 _
To:
Cal
Attention: Jim Jaqua —
I 1
Project Name: Rocking Horse 7ar,re School
U
Please find attached: --sh drawings V
XX_ plans W
samples
specifications
_ copy of letter
— change order
_ details
calculations
Number of copies: Description:
bluelines of plans & details 1 of I revision
For your use
_—.. For your review
For approval
As requested
REMARKS:
Copy to-
Signed:
o Signed: Eric Ta I bot/rck _
Mailed
.,,x Delivered
_ To be picked up
If enclosure!are nol 1e notedkmdfy notify us of ones
8 L
01U)ING
(
NO.
22DI:ah:RM1:'T'
711F
COMMUNITY DEVELOPMENT DEPARTMENT E)
'J.1 I.M
I iqnrd.Oregon 97223,(5o3)639-4175 p,p-j: W9
M . PM*T .NO -
i 3125 S.W.Hall Blvd.RO Box 2339
HOONES F Ell-my [41) 1) L I
ta ia W U I" -,ON FW41<
.. Ci 1.1 S
0014 At
-1-AX MAPF/I OT 5 0
I AND U(IF : VAI t.01 ION: eta FAUNT' : PE-AP :
FX.ZV- LFT..I 1:41GHT
ALTERATUIN WAI L. CoNS
W
t.15
WORK C1 Wi ! NO- 0" : E
E:0LJCA1 IONAI N
No EWTHS:
GONST -TYPE:' VN W.
N:
OCCUP .1-DAV) 1.00 r 115 0
3*150 noai�;, GON"31' . A F IRE RE-.1*7 Y 1
1. 15,11 AREA SEPAW,I` NO HATE"D :
NO -STO"" RND WAI I HR
UC(" AR? Y F.-C�'
HEJ(11--1 t :3 C• ."w)
I-4A5E.',MEN'Y'7 NO IT NO At ARM'? YF-!'
MU-.:2.-Z A N I N E7'? NORIULAI:VELI"? YF--!�'
Fl-OUR L.OAD: F:LOW(GPM) ---UUW12--hLLL-
L
12 En 1
I-4QCP ALS',KO'34,� -Y ci --------
-IE-A'J 'YPE GAS,— 1
PLAN (�.;HEUK BY : 'Jtl" UE- -
HE-1,S., NO .
I AbT
i hart.
.
I",I%,I 1-I't, M r.)CJ . D;AY.. ...... ------------ ------- -------
——-------------.........
$260 -50
T $1.69 - 32
0 J:,jAf:.�T VIL.AN 14kVIEW $1.04.PO
E !-,-I ATE: TAX
R . . . I
1:)V.,,VE:1 OVIMEKNI C',1-1AWGK5 :
C1-101WARD
0 nra.-EN 5 DC, !.,TPE%'
N CONG P DL11 P-f 5 3
TT <
R :1 1 I.
A 1:) 9,120-.1
C I LYTAI.
T J.-A-IONE
0 NO 0
R ..... RECE.'J.PT NO
................
1 his permit is issued subject to the regulations contained It,TRIP 14
of the TIVIC. State of Oregon SpecieltY Codes,zoning regulations
and all other applicable codes and ordinances. and it is hereby
11 be done in acuordance with the plans and 51-AD
agreed that the work will compliance with all applicable codes and F'P AM N G'
specifications and in ce of this permit does not waive restrictive INSUL.ATION
ordinances The issuance ors shall have curreW city Gyp . BOARD
covenants contractor and subcontractors
and become null and *.,N(.)
business tax permits This permit will ex work is suspended nT jUSPE
void it work is not,3tarted within 180 days Or if t1.1 HF
abandoned for a period of 180 days any time after work has
commenced It shall be the reSponsibilit% the permittee to assure FJNAL
all required inspections are requested a, approved
-r:L I', la.r M
07
;e,rmi atlite
issued By
K (3THER THAN DESCRIBED ABOVE
SEPARATE PERMITS REQUIRED FC�R WOP
CITY` OF T'FARD *1 5
EWEP PE14M1�'y-
' No.
Cl)Y OF TWARD
COMMUNITY DEVELOPMENT DEPARTMENT MOON
13125 S.W.Hall Blvd..P.O.Box 23391,T.jprd.Oregon 97223.(503)6394175 ISSUED: 6/ ".5/88
M . PM T .NO. (3809,38
J 0 1�4 ADDRESS -IW t - BOUNES FE-PPY Pr) USA NUMIF-JEA: -5 15 (3 1
L
V .)Pn
'Y'A'X MAI;:'/L-OT SUB: OWE0,10IN INP.-iINESS
Yr-IX Me
I--FOAN D 0 UP 5 E P"I< 13: BLDG E) L'r:
LCYT
SEC'TION: rwp: 14NG:
WOPK C-LASS : ALI-E-PA-1-InN
USE TYPE: EDUC;AY10NAL.
ijilgr-c))01111 t(:) cI:)M):I-y with flkj':l
Age.-IrIc!4 ' "'11:1- thr'A L)1-1:1.41J. d
J'he 1:)e-rmit exI:):j.l-eM 1r!() (jKyjj; Fr cirri the cliftt"
r1ifillid Wi.3.1. bWAi. 'ThV t0tia.1
antee the (�)Vhrinit W0xr):kr"Pl% . Jhe Agellt'y ch:iefl; I-)(:)t
I c-)t y the 1.ac: al-I 1:141 tjj(e• tq:l-d IF-1 owe r 3.a t r,,j.,&.1. I*f -IOLI
lcic�lll.tmd rat. thim }g 4:?wrelr
ler
the (11-flit'll.11cn qivvAil . I-F n(:)t Mill 10(Zated , the i.r1 lat.tr•chlr�nllrt 1a. .1 .I., qj I.,HL
"I'Mr.) fl,,md Side S
)ewc'""' 1,11*4 Aganc!y wj.:I.'. j.rijiltig.l.j. ac t I
ilk IF? lit.l.
----------
INS'TAL.L.. BUILL)TISIG SEWE14
IMPERVIOUS A14EA:
UNI.-TS : AIR IMPIA)VEME.N'T YES
DWE-1 I INC, UNITS !
NO- OF 01 D U 51
ffkc'Y r 1.1%
PEPIVIII,
N
(-'0NNIF:UT':10N
$3,300 . 00
LINF: 'UAP INS'TAL.L .
(.YTHED
0 G'P r-.*'E:N 1,10WAPI)
N
T H L.- GREEN (MNSTRUCITON
R
A i.i. iw r IFTH
C Pa r t I ian d (114 97POA
T PHONE. (,*j0zj) pej-0()p
0 .0
R PEGIS'TPrj'rTf-Ii,, HU, !,reel,
V
ra'I'AL : 0()
This permit Is issued subject to the regulations contained in Title 14 I'MCEIP'T NU.
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes And ordinances, and it is hereby r4i"QUIREI) INSPECTIONS
agreed that the work will be done in accordance with the plans and SEWER
specifications and in complianct, with all applicable codes and F XNAL
ordinancEs The issuance of this permit does not waive restrictive
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 s ispended or
abandoned for a period of 180 days any time after Work has
commenced. It shall be the responsihility of theriermittbc to Assure
all required inspections are requested and approved.
Permittee gnature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLAN CH[CK APPLICA-110N
PLAN CHECK # ____
CITY OF TWA RD e-;�r
C11yrATIFARD PERMI-1 #
OEI KV)
COfAMUNrTY DEVELOPMENT DEPARTMENT OREGON DATE fSGUF63
13125 SW I W1 Wvd- P.O.flw 23397,TiqW,Oregon 9727.3(503)839-41 75
JOB ADDRESS: L TAX MAP/LOT
�5 7�(p� L
LOT: LAN
U USE
,UB:
OWNLR SPECIAL NOTES
NAMF: &C .......
ADDRESS: I-AST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE: APPROVALS REQUIRED'
CONTRACTOR PLANNING:
NAME : ENGINEERING:
--._._T--
ADDRESS: FIRE DEPT ........
OTHER:
EkITEMSITEMSLIRED
PHONE: I _L
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: CALCULATEONS.
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: OTHER:
COMMENTS: r C, /�v '®r
z6m
G'dt
1A A I 6L G'
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. RAL. DUE
10-432 00 Building Permit Feas
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing
Moch
10-433 00 Plans Check Fee
Building
Plumbing
Mech
30-441 00 Sewer Connection (20%)
30-202 00 Sewer Connectiun (80%) ),V-0
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SOC)
52-449 01 Parks I System Dev Char-go (PDC)
52--449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 05 TRFU (95%)
10-435 00 TRFD (5%)
10-230 06 Washington County Fire 01 (95%)
10-435 00 Washington County Fire #1 (5%)
10-220 00 Amart/Wedgewood
TOTAL 00
REC #
APPLICANT SIGNATURE
Received By : Date Received:
ht/3587P
. .. .:.:.....'t:..:y•;.,....www.ws.a.w„.e�.«..un..ru.v.........*r....—...,...wr.,...,,w...,
,r...• •..1+orti•«..e.,.�..,.....—.. .w-.r.w.,•w«w.».«..«w............w.•..w•w•r.M•>.�
Washington County Fire District No. 1
City of Beav--rton Fire Department
Tualatin Rural Fire Protection District
June 1, 1988
Mr. David Williams
Mackenzie/Saito & Associates
0690 S.W. Bancroft Street
Portland, Oregon 97201
RE: Rocking Horse Day School
15826 S.W. Upper Boones Ferry Rd.
Dear Mr. Williams:
A fire and life safety plan review was conducted on the above captioned
project for compliance with the 1985 editions of the Uniform Building Code
(UBC), Uniform Mechanical Code (UMC), and the Uniform Fire Code (UFC) as
amended by Washington County Fire District No. 1's Ordinance 86-1.
Pursuant to our conversation on Friday, May 27, 1988, the plans have been
conditionally approved subject to the following items:
1. Alarm System: Submittal of plans for the installation of a fire alarm
system. Alarm system arust be installed per 1979 Edition of NFPA
Pamphlet 72A. Plans must be submitted and installation completed
prior to occupancy of this day care center.
2• 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)
3. Exit Doors: Exit doors shall be openable from the inside without
special skill., or knowledge. UBC 3304(c)
4. Exit Sims: Based on the building's occupancy load of 84 people, exit
signs will be required as stated in UBC 3314.
S. Insulation Flame Spread: The insulation, including breather papers
and vapor barriers which are not in contact with the upper surface of
the ceiling and under surface of the floor, as the case may be, must
have a flame spread rating of not to exceed 25 and a smoke development
classification of not greater than 450 as measured on the Stciner
Tunnel Test scale referred to as UBC Standard No. 42-1.
(UBC Sec. 17.13)
Q I
David Williams
June 1, 1988
Page 2
6. . Landings at Doors: There must be a floor or landing on each side of
all doors. The floor or landing must not be more than one inch lower
than the threshold of the doorway unless serving access for the
physically handicapped. (UBC Sec. 3304(h))
7. Interior f_nish: Interior finishes shall not exceed flame spreads of
25 for s,airways, 75 for corridors, and 200 for other area. Smoke
density of materials used shall not exceed 450. (UBC Chapter 41)
8. Fire Alarm Plans: Plans referred to and examined by this office
contain no provision for the alteration or installation of fire alarm
system. Not less than three sets of plans for the installation shall
be submitted to this office for appr:Dval prior tJ installation.
(UBC Sec. 302(b))
9. Fire Extinguisher Requirements: Not less than one (1) approved fire
extinguisher(s) with rating of not less than 2AIOB:C shall be provided
for each 1500 square feet of floor area or fraction thereof. The
travel distance to an extinguisher from any portion of. the building
shall not exceed 75 feet. (UFC Standard 10-1)
10. droved Plans on Job Site: One set of approved plans bearing the
stamps of the Tigard Building Department and this office must be
maintained on the project site throughout all phases of construction
and must be made available to building and fire i ectors for
reference during required construction inspections. (UB(.' 303)
11. Certificate of Occupancy Required: Prior to the use and occupancy of
the project (space) , a certificate of occupancv or other written
instrument of approval must be obtained from tb• City of Tigard
Building Department. (UBC Sec. 307)
If I can be of any further assistance to you, please feel free to call me at
684-8577.
Sincerely,
WASH�D1gTON COUN F E DISTRICT NU. 1
Bert arker
Fire Marshal
20665 S.W. Blanton Street
Aloha, Oregon 97007
BP:kw
cc: Tigard building Dept.:,.
District Inspectors
CITY OF TIGARD MECHANICAL PERMIT Receipt# �yy�(��__.____
Permit# G
Description
Table 3A Mechanical Code _,--_ CITY PRICE AMT
City of Tigard C 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd. '7 It,
----
P.O. Box 23397 �� 1,t -f/" 2) Supplemental Permit 3.00
Tigard, OR 9722:1 ---- -- ---
639-4175 1) Furnace to 100,000 BTU 6.00
_
incl.ducts&vents_ _
2) Furnace 100,000 BTU + 7.50
incl.ducts&vents_
Name of Development 3) Floor Furnace - 6.00
incl.vent _
Job Address 5G�iamL 4) Suspended heater,wall heater 6.00
Address - or floor mounted healer
Tax Lot fdwfRws' v+c ap No - �— 5) Vent not incl.in 3.00
appliance permit
[of Black Subdivision -
Name(or name of business) 6) Repair of heating,refr ig., 6.00
ccolinq,absorption unit
Marling Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp.unit to 100,000 BTU______
cityrstatp Zip 8) Boiler or comp to 3 HP-15 HP 11.00 Z#()
absorp.unit to 500,000 BTU _/�► _
Name
) Boiler or comp 15-30 HP 15.00
absorp.unit'z-1 million
Mailing Address P ne t 0) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million_
Contractor Cy state '
j6;!;-7-*zip `� -visa 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU _
=_C2SN/�zly QZ — Air handling unit to - ^ Y
State Registration No City Bus.Tax No 12) 10,000 CFM 450 --
Air handling unit_ 7.50
I hereby acknowledge that I have read thi.;application that the information given is 13) 10,000 CFM i
(.orrect,that I am the owner or authorized agent of the owner,that plans submitted are in --- `-- -` —
compliance with State laws,that I am regisi3red with the State BuildersBoard,that the 14) Non portable 4.50
number given is correct (If exempt from State registration plesse give reason below) — evaporate cooler
Vent fan connected 3.00
15) to a single duct I� r7G
-__- _ _-_-----___---- Ventilation system not 4.50
16) included in appliance
17) Hood served by / 4.50 rS�
mechanical exhaust
Signature(owner or agent) _ toallf 18) Domestic type 7.50
Describe work U adMoWn alteration [ l repair n incinerator
to be done residential !71 non-residential Fl - t 8) Commercial or industrial 30.00
Existing use(ittype incinerator — ___ _ _- —
a
building or properly . 20) Other i.e.,woodstovr3��2 4.50
heater,solar, etc. S
Proposed use of --'�� ----- -- —
building or property___ __---_ _ _.__ __—_—__ 21) Gas piping one to four outlets 2.00 �.Qa
Type of fuel- oil 1 1 natural gas I I LPG [I Plectric I_) _
22) More than 4-per outlet
NOTICE SUB-TOTAL i
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - - 416 SURCHARGE
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%O
DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
_ 17�SQ
ABANDONED FOR, -1ERIOD OF 180 DAYS AT ANY TIME AFTFR - -- -
TOTAL
WORK IS COMMENCED - _ - --
Special Conditions
_. Ilam issued ._ by -----
i► 1!6
CITY 0i" TIGARD PL.UiA RI NG �� Pall M
APsAk nla � �d Orr, R�;Uaoon to co.xW a - .,robins PERMIT
business or must be�* '*1'e ONrixfc•Xratrx nae n -Inn CAAWle help. Ei-93 75
tier.CI OVNII(444
I,� �,W PARS I,l Plumbing Permit =1
I.�u.41n1ei 13t•��t_o N f p OstCtk�lon - - .
job 003 814-711410 DUAN. PRICE AMT
Addreu i rnu t a �,t.p ra -
r FIXTURES
..01 nxxt�Sutdivlabn -- - --
ri p so �f5,4y
jr nsrs►s
R iv L
GEI+EkgL *I N c- Tub at TubfSlwwer Comb 7 50
�W -- -- --- ----
Coa✓TAMGtCK ShowerOr.y _ 150
-
Clalaer :Mala I,p wale+ck.'sel v' _ - �'- ?so Ll5,GG
1=L.�1Ll.1h ,� t 1ZL�,_\J �77u4 C4shw&shot —Phone _ --- 50
Garbage Dspcsal 750 -
Nsme 1 u Nav*v Mactv,wl ✓ 50 t 7,5 U
(y�,tK � c 11ttz�t 7a� Sctll;y� FborDram ✓- - - - _I_ - _750 730
1'4Llrnp res! P 1
Wallow Hea1M ✓ -_ - '� I SO I y u V
157�t S.v IAPVI-itJ8 QLP-- L 2Nt' R_O� LjL"Room Tray l'0
OCcupin!
1 - x'722 Unr'il - ... 150 ---"-
an V QIt w F•xttxes(Speahr) - _
7 5p
ess P1xxu -�--
0atrtractuv CllylStala no
------ - _-- - ,rl - -
kL W BU K G L h t c. . ti 2 t 31—_ MISCELLANEOUS
Cly Fx,e Tar No sew«,at 100'
I ----- ------ - - - — __-
w RIcTs&3WO 6. States ks-Lx.No �•�«414.ALM ,uo_�`_ ,_ 1 s o0
;fr lwthaq W alar Swvlpe 1 ss 100 20 JA
11"Or" It'af I Raw read fns KTACarior.,11.411 fw1 111101'lnatkr0 Water Se."+tce ea AA_dr1 AX 1500
Q W re Oor-PAX.'x'411 I xn regrstered w1h the :.uuMder's aitard,and aha Storm&Ran OrwO t st 100' - - _- .3000 _
Iwe a ^aria rkrrrftV kArwo 1w f»iwoery f110^sn are corn li, that,w
pkortbrq--vtt ani be(,line in acooManco wor app4crbtie proykwyw of re. Skim i P-in Orw_+Ad4N 100' 15 At)
2w R4vesrd Stsion Cj%IV4 rs u 1 b d !1,and apph-abla oofee and rhM MobrW Morne Sped- - - 2500
no help we be wMN;;,7v d w,10"kw%sed Ar4w ORS N. (i 03,wnpl from ---- ---.
Stall Oeaee,T1re mason tw1--v). Hach Flow Provw%lort
HOMECAVNERS-I hwvblr aWNy rws I vn the rwwwlr of M prtlpwtj i► _Devtoe or Arm'I:4LAgn Osco f so
Oated above.M V~10C 000 1 p-XIAa 10 make It lkrtkV krlaitildO l kr Any Trap or W aala Not
my 0001 ere serf tiW F.fv V"is not b-rtnp oonsrudad b sale,kris or rent Canrw:Md to a Fbtlk" 7 SA
Cased Hash 15050
-y. ..r E-4" P%-h- -- --- 10,X Per Hr
-- �-j!"l�PAWwftC Inapoclrona ---- - 40 JO'Per 1.10 i
Eur"gldp.
/y.Q an s G0 mw0
`SIGNATURE Odo Na01s Bldg.at&Ad. Add'alurl J� 26.00 nrr0
Oeecrtbe waAt r ow p addd*n O nttKstbn(] rapaM[] 3 11 irk i 5.1.0
_1Q_b�40t`A r'tltxl«rtiAl(1 nOf1-f9-tk?�rtha! - — --
:-me N
y�u }'u1N fZieV%4W '!_ `t A>♦, -
vaTY - ----— - w°TAi
.65
T'h%pot O*=r44 ftA s1.0 WU A M+cart ar crAMWAftR ani W-nd 11 rel aorri.
:wr�Id
'V**V 6W"r-trerv+_"-r -:At tL arab-OW or*W%dnned Mfr
4 fasrind 01 40 I'll"d cur 7R.a alar .+xtl v ru+4?�tee.
1�1 MACKENZIE ENGINEERING INCORPORATED Pt,[E-TUC'L� 0I
(� MACKENZIE/SAITO&ASSOCIATES, P.C.
0690 SW BANCROFT STREET PORTLAND,OREGON 97201
(503)224-9560 (503)224-9570
Date: .1-1ay 23,_1988 V_ Project Number. 287450.001
To: City of Tigard
Attention: Jim Jagua
Project Name: Rocking_Horse Daycare @ O.B. 11 "D"
Please find attached: shop drawings
plans
samples
specifications
copy of letter i
change order
details
calculations
Number of copies: Description:
sheet 1- fo- 1 revision_no. 1...5/17/K_) _
xx_ For your use
For your review
_ For approval
As requested
REMARKS:
Copy to: _.---—- – ---- _
Signed: Bill Bai ley/rck
__ Mailed
xx- Delivered
To be picked up
It*"CIOSu.eS Will not 01 noted, e,neiy notify ua of once.
CITYOFT167ARDPLAN CHECK APPLICATIONCOMM c� PLAN CHECK q
UNITY DEVELOPMENT DEPARTMENT
1312S SW 14A FjW P.o. Cf1YOFTIOA- RD PERMIT N
8m23n�•T19aw.Onwon 97M(SM)M41 OREGON / • DATE ISSUED
JOB ADDRESS: 1_ •) L) —
SUB: _ ` S 7 TAX MAP/LOT 2
LOT:
VALUATION: ! '�p ----r�----��_ LAND USE:
CANER1� t h 2•
NAME: ��{ -r-.p < r�lt) D —SPECIAL NOTES --'—
ADDRESS: Su11' �q�0 REISSUE OF:
LAST REISSUE:
/ — FLOOD PLAIN/ `—'---
PHONE: Z r - SENSITIVE LAND:
CONTRACTO APPPOVALLSS .RR0UIIRED /"no
a'
NAME: PLANNING: % lr
ADDRESS:
ENGINEERING:— ---
FIRE DEPT �—
OTHER:
PHONE: _.-
ITEMS f2EUIRED
ARCH/ENGINEER LIST/SUBCONTRACTORS:
NAME: BUS TAX: —'---
RESS: c-
CALCULATIONS—
TRUSS DETAILS:
/---- — _ ��—f----- PARKING PLAN:
PHONE: — LANDSCAPE PLAN—
COMMENTS: "--1 �l/ drS
PERMIT M ACCT N �i--�
'•�x� 10--432 00 DESCRIPTION
Building Permit Fees AMOUNT AMOUNT PD. BAL. DUE
_ 10-431 00 Plumbing Permit Fees
10-431 01
Mechanical Permit Fees
10-2.30 01 State Building Tax (5x)Building
Plumbing
Plumbing _
Mech
10-433 00 Plans Check Fee
Buildinq /b9 j '3
Plumbinq
Mech _ -
30--443 00 Sewer Connection (20X)
30-202 00 Sewer Connection (BOX)
30--444 00 Sewer Inspection --
51-448 00 Street System Dev Charge (SDC) "--
52-449 01 Parks I System Uev Charge (PLIC)
31-450 00 - — --
52-449 02 Parks II System Dev Charge (PDC)
Storm Drainage Syst Dev Chrg (SDC _
10•--230 09 1Rf-D (95X) ) ---
10-435 00 TRFD (5X) D,1-1 -----
10-230 06 Washington County Fire N1 (95X) _
10--435 00 Washington County Fire k1 (5x)
10-220 00 Amart/Wedgewood
� T07A1_ -'-`_—
REC
APPI_ICAN SIG ATURE —
Received By:
ht/3587P — � Data Received: � '