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10925 SW PACIFIC HIGHWAY 10925 SW PACIFIC HIGHWAY 'u .n 4. U Q1 CL �J 1 �.1. �: • t 1. V it r 7 � 'd I IL 4 �� ,, ra^r .r. .•a.^n•ss•taacr.¢ :r t �!f !�,.�f 11 ti V\ INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection __ Date Requested.--�' ` l _� Time — A.M. P.M. Ad.lress ? s« Permit Ownrr — '{.� Lot # BuilderThe following Buildir•g Code deficiencies are required to be co ted: / r Presented to _ _ _.__ Approved Inspector _ ❑ Diswaroved Date --- L F .REINSPECTION C 1 YES 0 NO INSPECTION NOTICE City of Tigard Building Department 12420 S.W.Main St. Tigard,Oregon 97223 Phone; 639-4171 Type of Inspection _ ,P.M. 3 Time A M. Date Rayuescegd -� 4€ Address 1160 /�— '."lwe Lot — Owner Builder _ -� The following Building Code deficiencies are required to be rorrected: Icd s -- �— pproved Presented to —— - _ [� Disapproved Inspector —--- —L Date CA LL REINSPECTION [71 YES 0 NO ASPECTION ivo-rICE City of Tigard Building Department 12420 S.W. M iin St. Tigard,Opgon 97223 Phopn'S'639-4171 Type of Inspection Date Requested----- / a_. A.M. ' Address !��5 /�. �� r` Permit ?* Owner / Lot # _ Builder The followin Building Code deficiencies are required to corro cted: Presenter, to Q Approved Inspectcr /� Disapproved CALL FOR REINSPECTION Qf YES U NO i INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Kine: 639-4171 Type of Inspection Date Requested—_ Time A.M.--P.M. Address Az__ p,mit Owner Lot # Builder The following Building Code deficiencies are required to be corrected. f� Presented to Approved Inspector Disapproved Date CALL FOR,'ES I LJ 'ES REIN' SIGN PERAPPLICATION or T I G A R D mw- MIT applicant hereby applies for a permit for the work indicatw] or as shown irr the accompartY'ny ISI "'' ,rrul specifications. q SIGN LOCA' ION ADDRESS: n t✓U tVB.t,� ( r Authorized Representative APPLICANT: Owner t.c�sc -- Tel. ._�.----- - NAME/COMPANY113[�1.c1-- rc ' 1 " ---- _ _ _ - _ - - - - - -- - - - - _ - - - - - - - -- - - - -- - - - - - - - - - - -Wall - Projecting —Other -- - PROPOSED SIGN: ��ree jun -X-- �— /�' WALL AREA 2i, b X i AREA HEIGHT SIGN DIMENSIONS r--�'r's'¢-- COST zk `� ZONING DISTRICT ILI_UNIINATION PROPERTY FRONTAGE - ----- ^1/ ' '1•' MATERIAL `_� �,� 7„. i_ R ------- f{n r4.'+cf� �,. /--Y.�s�..�_�."1 _ )RE3 _ COPY EXISTING SIGNS: Freestanding -- Fall Prol.:cting _ other - - COMMENTS: _ l,ai/Lrz�- "1�-�f+• - _ 1 All sign permits must be accornpa;ried by a scale drawing and plot plan. If work authorized under a sign permit has not been completc�l within ninety days after the issuance of the permit, the permit shall PLANNING DEPARTMENT become null and void. Perritt Approved Appli ,1is Signature -3"I elephone Rene Address S �y � G✓ yh 3r i4,swport my Resltuassnt 5323 BUILDING PERMIT APPLICATION TIGARD DATE—A.1' i1 22 -1985 TI IE UNDERSIGNED HE-.EBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE �— OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _-- LOT -- OWNER p&CifiC Const Rest.JOSADDRESS 10935 ARCHITECT ENGINEER BUILDER ADDRESS _ — DESIGNER _ STRUCTURE 0 NEW EX REMODEL �❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ OL•MOLITION ❑ RESIDENCE MCOMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 0 GARAGE ❑ STORAGE ❑ BLAB D FENCE OCCUPANCY x'�`C t USE ZONE .r� BLDG.TYPE AFI 'ZONE PLAN CHECK BY ET*1 __HEAT_� _�._ —'Teur:.,at vk..Uifi._atiun all per %.wcovred plans and codes requirowantS `v subject to 'I:RiD Fire Life Safety Review SEWER PERMIT# inquire Plumbing & Mechanical Permits—,_— -- OCC.LOAD FLOOR LOAD _HEIGHT _ _ N0.STORIEF_I AREA NO.BEDROOMS ..» VALUES09 BUILDING DEPARTMENT SET BACKS FRONT'TF, PLANSAEAR LEFT SIDE RIGHT SIDE Pnrr,Iit _ 26MU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN IHE BUILDING CODE,ZONING �— REGULATIONS AND ALL APPLICABLE COUtb AND ORDINANCES, AND IT IS HEREBY AC REED THAT THE Plan Check i`�3** •95 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS A.NU SPECIFICATIONS AND IN COMPLIANCE TkiF'1; WITH ALL APPLICABLE CODES AND ORDINANCES. THL ISSUANCE OF THIS PERMIT DOES NOT WAIVE #� 113.20 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURR-AT CITY BUSINESS -- yJJENSE•SERAT P ITIS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 4 1 1.32 I RAc p o" _ -- — 'SDC— Total 591.41 -"- --� PDC# APPLICANT OR AGENT - IfAl. U'.: pp Y �1� �___ Receipt No. 1t %0ufi. ­ Approved 6 _ DA)i-. 'NS? TYPE INSPECTION REMARKS PLUAASING I DATE 1�!.L ------- - -- Permit No. hough-in Future — HEATING _ Permit No_ -��7 � .- Gas or Oil Rough-in to 7- -- � — —` GEWER Final DRIVEWAY Storm nralnage ---- ---- (Hain Chain)Final �— Sidewalk — Curb&Street Final --- �� :. -- - — ---•- .— _— Approach �- St.DG. DEP;FFly,AL- TEMPORARY C EPTIFMA.'I'E LICCUP4NCY II final CCRTIF:^.ATE OCCUPANCY `- -- — Landscaping Zoning Final --- CITY OF TIGARD REQUISITION TI(,ARE), OREGON THIS IS NOT A PURCHASE ORDER , NO 15013 PLEASE ORDER THE FOLLOWING P.O. NO. --,Vp SUGGESTED �SUPPLIER: NAM // DATE--- STREET DELIVERY TO -- nzrT JADDRESS —- -- CITY d 'LIP CODE DATE NEEDED — ACCOUNT NO. QUANTITY DESCRIPTION �+♦-= UNIT PRIG AMOUNT —� er SPECIAL INSTRUCTIONS TOTAL AMOUNT ruRE APPkOVED T. IIE APPRJ ciYY REcoAOER I Jun& 24, 197C 11 lucrd, Iregon M23 F,c,,ir Nr. Leo: iUt' 'i'Ct: lub: V,1935 SU 59th Permit P197 Plank 1"C'uSIB UndOr YjUr requiret"rnt to camplptn the I?ndscaninc, Per plena, f--jr subject drab t3rior to ismumnco of jr'CUt.1fl11C '/ pezM.I.f .. The City of, Ti and mcc.aptm your check for J°-,000,00 in lieu cX tic f-amplet,id work. This money mill Lie held in a trust accuunt , untillauc3i work is cumplet"cl and 4:3.11 thFn k)c released to Ed T. 'JaIden Building Offical. To clvrl.f,- t')(j pornit w.11 not be retained or hale up dU14 .) Isitciscaping Cumillt I- '4. j "I T �jaltw,;i l� G•�lG•1.,�� ��-.mac-t•�«w%'� , L /�G.c+� Gam-`-�'�"'*''' i City of Tigard INSPECTION REOtJEST I for INSPECTION TIME ' PERMIT NO.: f DATE: � DATE ISSUED:_ / 1 1 OWNERS NAME : ADDRESS : CONTRACTOR : I TEST. Air ❑, Water ❑ , Visualbl Laboratory ❑ 1 RESULT: Approved U Disapproved ❑ Pending U SKETCH: W4 Lk ''�► INSPECTOR DATE k COTE A1!ach supplemento, .est data herel?i �— I I City of I igael " far 'N PE:CT'ION TIME: ! _.._ PERMIT NU. : DATE : r!� DATE ISSUED ......_' '---- OVNERS NAME ADDRESS: CONTRACTOR : __ gee rFST : Air U, Wotay� VIsuol , r u(.1f) '„;r, `'F'SULT: Approved �Msapproved [ ._. ._ w in i � SKETCH. CTOR DATE t E IN I C /6 d. J s J 1 1 , I I I City of Tigard I NSRECTiON REQUEST for INSPECTION TIME: _f �7 PERMIT NO. : I DATE: j DATE ISSUED :.- / I OWNERS NAME ; l 'LAt✓Cf�-eS,F f����r,_ ADDRESS: '�,CU. G; %�!� CONTRACTOR : 77 1/,, TEST : Air ❑, Wjter❑ , Visual Al Laboratory RESULT: Approved , Disapproved ❑ , Fending I SKETCH: I I INSPEC`','OR DATE [NOT i; Attach supplemen,al teat ilal IF Construction Inspec.ion B Related Teats Carlson Construction Consultants, Inc. P.O. BOX 25752 — LAKE CITY STATION (11"OUl, SEATTLE. WASHINGTON 98125 REPORT OF LI� PV'TEST SPECIMENS PHONE (208) 384-9300 104A Date Molded: 1=21 _ 19 .f6 Job. No. Client: —_ William 0. .)eFauw Contractors, Ina. -- _ - ------__ - ---- Plankhouse ';eetaurant Project: - - ---- - -- address: _rigard, Oregon Shoreline CompanySub-Consrac.�r William C. DeBauw Contl'$C'PORe Contractor: ----- — Concrete Supplier: _ Jurt blix _�____Cost b N°-1'• Mc�ehhergor — Y� - t 5 Weather: Car _ Temp. high: �'. _Temp. low: Fireplace and wall. east F-IdF` Location of Concrete Placement: ._ --- ---------- Strength Requirement: ___ 2000— PSI 0 � days Slump: Fluid Cement Type: No. of socks --_._—__-_- Entrained Air _---5 Admix, Amount: ._ _ Brand: Admix, Amount: --_--.Brand: .__ — Pea gravel Fine A Size: Sand Coarse agg. size:----- Type: ---.—___ _------• gg• -- Spreimen Speelmen Test f Register DataItaM Total Area Unit Load Report No Type Days Number Ree'd. T rated Load PSI No. 13 3 G x 12 I 81130 1-22 .-28 45,000 '8."n 590 11 --0 3 'B 28 8181 l-2^ 2-18 28.2 4 - 0-3 C 28 8182 1 .2.' a-18 D — E ----- F Mix: 3 parts gravel; 1 part cement; 2 parta sand Remarks: -- -- -- -. cc: Tigard Bldg. Dipt. ------t:90 — - Form No 1 2.69 1 "`H !ARLSON Constrvetio+a Inspection & Related Tests % ,,arlson Construction Consultants, Inc. P.O. BOX 25752 — LAKE CITY STATW�N GROUT SEATTLE, WASHINGTON 98125 REPORT OF WWTEST SPECIMENS PHONE (206) 3e4-9500 Date Molded: 1"'21 ,, 19 !6 Job. No. 1_�!A William C. DeBa,uw Contractorr, Inc. Client: Plankhouse Reataurant Projec _ Address: Tigard, iregon Shoreline Company William C. L'gBauw Contr3CIMRe Cantrac;or. Sub-Contractor: Concrete Supplier: ,gab Mix _ —Cast b N P. Moshi erger Clear Weather: _ Temp. high: 15 Temp. low: firepl.,aco and wall east aide (eompl.®te). Location of Concrete Placement: 2000Fluid Strength Requirement: _ PSI @ nays Slump: Cement Type: _ No. of sacks:. _ _ Entrained Air Admix, Amount: Brand': _ Admix, Amount: — _ Brand: Pea gravel ^$slid Coarse agg. size:---__--_-_._ .Type:-�------ _—.._.Fine Agg. Sizc- Specimen Specimen Test p Register Date Date o!ol — Area Uni! Load Report No. Type Days Number Rec'd. Tested Load PSI No. C 3 A 5 x 12 f 8180 1-22 1®28 45,000 18.27 1590 it a 3 B 28 6181 1-22 ?-18 96,000 28.27 3400 14 0 3 C 28 8182 1-22 2-18 97600 28.27 3450 1rj b E F Mix: 3 parts gravel ; 1 part cement; 2 parte sand '^ Remarks: _ _- cc: Tigard Alldg, Dept. — - corm No. 1 1-69 — FRANK W. CARLSON f Tcard � City o i� � a INSPECTION RECUES � for INSPECTION TIME : �'� PERMI' DAT DATE ISSUED.—a_.1. Gt? OWNERS NAME : ADDRESS : ! CONTRACTOR : _ t. TEST. Air 0 , Water p , Visual Luborato�y y; 1 RESULT' Approved )( , Disapproved Ci Pani, :y 1 I 1 I I INSPECTOR DAl` t st dura ���ra LNOTE Attach Supp,ementu t i BUILDING PERMIT APPLICATION TIGARD DA1E�--_--`- -. 13.--�- UU'' ' THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ ADDRESS _ BUILDER PHONE ENGINEER BUILDER ARCHITECT_ DESIGNER STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENE-WAL ❑FIRE DAMAGE ❑DEivOLITION ❑ RESIDENCE ❑COMM_❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PAT!O ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED CISIGNS OCCUPANCY.. LAND USE ZONE________BLDG.TYPE___ FIRE ZONE_ PLAN CHECK BY___ HEAT-- FLOOR EAT _FLOOR LOAD _- _ HEIGHT NO,STORIES _ AREA VALUE BUILDING DEPARTMENT SET BACKS FRONT_ REAR LEFT SIDE RIGHT SIDE Permit — — --- --- ---- - THIS PER'AIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUII L:Nol CODE, ZONING Plan Chpck REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE .URRENT CITY BUSINESS 1%State LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING Total By _ --- -- _.-.._ APPLICANT OR AGENT Approved Receipt No ADDRESS - PHONE �y SIGN PERMIT AP►'LICATION �O Y YIGARD Date Ham 10 19 85 No V 7 89 The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and �;pet:ifications. SIGN LOCATION ADDRESS: 10935 SW 69th APPLICANT: Owner Lessee ____ Authorized Representative NAME/COMPANY _ Martin Bros._ Inc. _i Tel, ._._ PROPOSED SIGN: f s n K.� _ _ Walj..,J.� PLojecting y.�_Other SIGN DIMENSIONS ��"��_ L' AREA o`+e� HEIGHT WAIL AREA 1400 II� PROPERTY FRONTAGE COST 95c1f';_ ZONING DISTRICT ._ILLUMINATION MATERIAL Suet tee to 1 6 Neon COLOR _ COPY vF:tJl!UR1 BAY kl S1,',1'}ANT 6 SEAF'OOU 5ROILER w. DR8 EXISTING SIGNS: . Freestandlhg Wall 111rolActing COMMENTS' _ LsatalliuF pole sigi, andd/int nI, tole .� ..__. All si permits must be accompanied by a scale drawing _a_n._d plot 2 @ 25000 plan. If work authorized under a s'.gn permit has not been corimp1mted •.-•-- - -- within ni"ety.dayt after the issuance pf the permit, the permit shall PLANWIN DEPA_ MENT became n II and void. 2 Signe Permit Fee — ,ui �'� ,4>)d Approved1 Applicant's ignattfre , Renewal Date ~i 1 Address /_ , ,,,,,„ , Telephone Construction Inspection & Related Tests C;a.rt->on Construction Consultants, Inc. P.O. BOX 23752 — LAKE CITY STATION CR0(IT SEATTLE, WASHINGTON 98123 REPORT O04WOVOt TEST SPECIMENS PHONE (206) 964.9300 Date Molded: 1_5 19 .lob. No. � '��._____. William C. DeBauw C011trtictarr, Inc,. Client: Project: 1'lankhouse Restaurant Address: Tigard, Oregon William C. DeBauw Cont. Inc. Contractor: Sub-Contractor: ------ Concrete Supplier: P. B" M' Cast by: �` W.`?.c't,ch Weather: Rain Temp. high: 48 Temp. low: Location of Concrete Placement: Seoond lift k:!n ezterior Uoek wall. '8 Strength Requirement: ._ 2000 PSI @ �_—_ days Slump: Fluid ..___— Cement Type: 1 No. of sacks: ------ Entrained Air �- ost, ,e.cor. Admix, Amount: Brand:. Admix, Amount: _-_ _ Brand: Coarse agg. size: _ Pee_ _ Ty, _ bldg. ---------- Fine .Agg. Size: ----- Specimen Specimen Toot f Repi.to. Date Date Total Area Unit Lead Report No. Type Days Number Ree'd. Tested Load PSI No. 0 2 A 6 x 12 1 8115 1-6 1•. 12 54,000 28.27 11010 9 0 2 B 2.8 81.)6 1. ti 1.03,000 28.27 3640 12 C 2 C 28 1051,000 %'8.%'7 3710 12 D E Remorl,-s:c:c Tigard INti.lding rept. —�;� •_—..�,tt , ,. a -- — — - ------- - - Form No. 1 2.69 FRANK W. CARLSON rw rwMA Construction Inspection F Relaied Tests Carlson Construction Consultants, Inc. �+ P.O. BOX 25752 -- LAKE CITY STATION GROUT SCATTLE, WASHINGTON 98125 REPORT OF MR49VTEST SPECIMENS PHoN< (206) 364.9500 1-576 Job. No. (7i'-104AGate Molded: _—..__-_ _ , 19__-- --- ---..-.-- William C. DeBauw Contractors, Inc. Plankhouse RrBtaurant Project:---------- - .., _.�. ---- ------- ------------- --- - --------- Tigard, Oregon Address: — -------- --- ------ --- ---- ----- ---- William C. reBauw Cont. Inc. Sub-Con tractor: -_— Contractor: — — Concrete Supplier: _ P 'B. M. Cast uy: D. W. Leach--- — Weather: _._ Rain — Temp. high- Second Temp. low: _— — Second lift on exterior block wall . Location of Concrete Placement: _ �___ ----- ------ ---- 2000psl _28_ da s Slum Fluid Strength Requirement: -- -- — Y p'— -- No. of sacks: ' Entrained Cement Type: d A . ---- - - ------ -- } oz./sk. Zeeoon Admix, Amount Brand _ - admix, Amount: —_— _ _—_ Brand: Coarse agg. size: - --_- Pea Type:_ ---Fine Agg. Size: __ Bldg. Specimen specimen Test i Register Date Date ( Total Area l nl! Load Report No. Ty" Days Number Ree'd. Tested Load PSI No. 0 2 A 6 x 12 1 8135 1-6 1-12 54t000 28.27 1910 9 0 2 B 28 8136 1-6 2-2 28.27 0 2 C 28 81 37 1-6 2-2 28.27 D _ E Remarks: oat Tigard Building Dept. ,u — ear,t e Form No. 1 2.69 FRANK W. CARLSON UecemUer 6, 19'i,, Urange Ccjun%y 13801 {Jest )t'rout Garden Grove, Calirornis 92643 Dear Sir: Ruciaived t.hFl drsuinn2 and pictures of the signs fir i'lenkh()L.�FE and Caao' s RestaUrants in Tigard. Thsy comply Vitt, nur coder and I will tai+ able to issul, permits for them When you ,ire ready. L,incerely, Husawl Austin Building afficlal RA/fa w W W WE ig Construction Inspection R Related Tests Clarlson Cionstruc:tion Consultants, Inc._ P.O. BOX 25752 — LAKE CITY STATION t-10F?TAR SEATTLE, WASHINGTON 98123 REPORT OF 96WIP TEST SPECIMENS PHONE (206) 364-9500 12-4 75 cep-10411 Date Molded: __- r 19 Job. No. Client: Willam C. De$auw Contractors Project: Plankhouse --- — - -- --- ---------- Address: - Tigard!Oregot: Contractor: William C. DeBauw Contractors Suh.Contractor: Concrete Supplier: Job Mix —Cast by: D. W. Leach Cloudy and rain0 Weather: Temp, high: . _ 5 Temp. low: Location of Concrete Placement: First lift block wall 0.;- i; and west and center foundation wall" Strength Requirement: 1800 PSI @ 28 days Slump:_ Workable — Cement Type: S No. of sacks: Entrained Air a Admix, Amount: Brand: __ Admix, Amount: Brand: Coarse agg, size:---- -- —Typtr.. ._ Fine Agg. Size: Specimen speelmen Test P Register Date Date Total Area Unft Load Report No. Type Days Number Ree'd. Tested Load PSI No. M 3 A z x 4 7 8')68 12-5 12-11 51500 3.14 1750 .3 M 3 B 28 8069 12-5 1-1 3.14 -__M 3 C 28 80T0 12-5 1-1 3.14 D E F Remarks: Tx and 9__ dam. T)e t.__— CCC - Seattie — -�-�— form No 1 2.69 i FRANK W. CARLSON Construction Inspection & Related Tests Carlson Construction Consultal-its, Inc. P.O. BOY 25752 — LAK17 CITY STATION MORTAR SEATTLE, WASHINGTON 98:25 REPORT OF CAV TEST SPECIMENS PHONE (204) 364-9500 Date Molded: ---124 19 ? Ci ]. �_-- Job. No. '_ -i,1A Willam C. DeBauw Contractor!; Client: . - - ----- - - -- Plankhouse Project: ---- --- --- - ------ -- — — --- Address: - Tigard, Oregon -- --- -- -----------__—�__ - -_ .._..— William C. DeBauw Contractors Contractor: Sub-Contractor. Concrete Supplier: Job Mix Co,-, by: D. We Leach -- Cloudy and rain 50 Weather: __ .__ Temp, high: - Temp. low: _ First lift block vail east and went and oenter foundatior wttllr 1.or_nhnn of Concrete Placement: b t' Strength Requirement: ___-- 1800 - PSI @ — -B days Slump: Workable Cement Type: _------- .__ S_—____ No. of sacks: _ Entrained Air Admix, Amount: Brand:�__—_ Admix, Amount: —_____Brand: .__.__ Coarse agg. size:__ —__ - Type: Fine Agg. Size: Specimen Specimen Test P Register Date Date Total Area Unit Lead Report No. Type Days Number Rec'd. Tested Load PSI No. M 3 A 2 x 4 7 8168 12-5 12-11 5,500 3.14 1750 3 M 3 B 28 8069 12-5 1-i 7,000 3.14 2230 7 M-3 C 28 80'10 12-5 1-1 7,250 3.14 2310 7 D E F Remc14s: Tigard Bldg. Dept. CCC Seattle Form No. 1 2.69 �— FRANK W. CARLSON F1 W Construction Inspection & Related Tests Carlson (;onstruction Consultants, Inc. P.O. BOX 2.5782 — LAKE CITY STATION GROUT SEATTLE, WASHINGTON 98125 REPORT OF C IM64XTEST SPECIMENS PHONF (208) 384-9500 12-4 CP-104A Date Molded: ___. , 19-`5 Job. No. William C,. DeDauw Contractors Client: --- — -- -------- _ Plankhoure Project:. ----- Address: Tigard, Oregon William Ce De2lauw Contractors Contractor: _ Sub-Contractor: Concrete Supplier: __. Cast by: 1). W Leach Cloudy and rain 50 Weather: __- . Temp, high: Temp. low: Location of Concrete Placement: First lift on foundation wali, Strength Requirement: 2000 PSI @ `-8 Fluid—_ days Slump. - _ '� Cement Type: I No, of sacks: Entrained Air 4dmix, Amount: — Brand: _ Admix, Amount: -- Brand: Coarse ayg. size: - -- — ------- Type:- -------.-- — -Fine Agg. Size: -----__—_�— SpeelmeI Specimen Test P Register Dote Date Total Area Unit Load Report No. Type Days Number Reed. Tested Load PSI No. 0 1 A 6 x 12 7 8071 .2-5 12-11 52,000 28.,21 1840 1 4 a l B 28 9072 12-5 1-1 849000 28.27 29TO 8 a 1 C 28 8073 12--5 1-1 369000 28.27 3040 8 D E F Remarks: oc: Tigard,Bldg. Dept. CCC — Seattle ���I+V„'�i.►./ tet.\ Form No 1 2.69 FRANK W. CARLSON WWI W1 I WIN w•: Construction Inspection & Related Tests GArl.son Construction Consultants, Inc. P.O. BOX 25752 - LAKE CITY STATION GROUT SEAT), E, WASHINGTON 98125 REPORT OF C MMYTEST SPECIMENS PHONE (2061 364.9500 Dote Molded: _ 12-4 —____, 19 75 Job. No. Ci'-1()4A William C. DeBauw Contractors CIgent: ---------- - ------- --_ _. -- _ Project: Plankhouse Address: Tigard, Oregon William C. DeBauw Contractors Contractor: —.� _. Sub-Contract-)r. _.....____ Concrete Supplier: Cast by: ._ D. W. Leach Weoi�er:._ Cloudy and rain Temp, high: -Temp. low: Location of Concrete Placement: First lift an foundation wall_. 2000 28 Fluid Strength Requirement: _ — -- PSI days Slump: . Cement Type: I No. of sacks: 7 Entrained Air Admix, Amount:__ —Bron): Admix, Amount: Brand: Coarse agg. size: - --------Type: ----- Fine Agg. Size: —_ specimen specime-, Test p Register Dote Date Total Area Unit Load Report Va, Tyoe Days Number Rec'd. Tested Load PSI No. Q 1 A 6 x 12 7 8071 2-5 12-11 529000 28.27 1840 4 d 1 B 28 8072 12-5 1-1 28.27 a 1 C 28 8073 12-5 1-1 28.27 D E F Remarks: _ 001 Ti ard,Bldg. Dept. _ CCC - Seattle Form No. 1 4.69 FRANK W. CARLSON Construction Inspection & Related Tests Carlson Construction Consultants, Inc. P.O. BOX 25:52 — LAKE CITY STATION SEATTLE, WASHINGTON 98125 REPORT OF %W40 NEST SPECIMENS PHONE (208) 384.9500 m12-•2 ate Molded: --- , 19 75 Job. No. Client: Willam DeBauw Contractors, ('lank House - Address: _ Tigard, Oregon William DeBauw Contractors Conti actor. .—._�— Sub-Contractor: Concrete Supplier -_ On SiteD W, beach .. Cast by: ---- --- ---- - Weather: Cloudy- _ Temp. high: 51 _Temp, low: Location of Concrete Placement: Block wall first lift norttl wall. Strength Requirement: 1800 PSI @ 28 days Slump: Workable Cement Type: S No. of sacks:. Entrained Air % Admix, Amount: Brand: _ Admix, Amount: Brand:_ Coarse agg. size: _ ---Type: _-_—_-_ - -.---Fine Agg. Size: r ueeimer `pecimen Test Register Date Dale Total Unit Load Report No:_ — Type— Days Number Reed. TestedArea _ Load PSI No. II M 2 A 2 x 4 7 8065 12-3 IP-9 80000 3.14 2540 2 M 2 B 28 8066 12-3 12-T) 9,500 3.14 1 3020 6 M 2 C 28 8067 12-3 12-39 10,020 3,14 3190 6 E -- --F -— _�-- oct Tigard bldg. Dept Remarks: dorm No 1 2•65 — — FRANK W. CARLSON Construction Inspection B Related Tests Carlson Construction Consultants, Irlc. P.O. BOX 25752 - LAKE CITY STATION y�gLYY,� SEATTLE, WASHINGTON 98125 REPORT OF &4AosUfK WyTEST SPECIMENS PHONE (206) 384-9500 Date Molded: 12-2 --------•.5 _.._. 4n 19_—_ •.10 Job. No. UP- 404A Client; wil.lam DeBauw Co►.::.actors, Ino. ---------- ------------------ Plank House Projert:-_ -_ Address: Tigard, Oregon Contractor: William DeBauw Contraotore - - -- - Sub-Contractor: Concrete Supplier. _- On Site D. W. Leach --—_----_ --- Cast b Y. _ ---- -- Weather. Cloudy -- ---------- -- ---- ._ — Temp. high: —. _---53 3 Temp. low: -- - Block Mill first-lift north will. I_aration of Concrete Placement: - _ Strength Requirement: 1800 — 28 -� PSI Workable -- --- --- - (a -- _. day, Slump: -- — — --- ---- J Cement Type: No. of sacks:-___ _ ___- Enrrained Air a' Admix, Amount: ._ __- Brand: Admix, Amount: __ Brand: Coarse agg. size:---_—_ - _—TYPe ------ _Fine Agq. Size: -- -__- II Specimen Speelmen Test P Repist.r Date Date Total -No. Type Days Number Rec'd. Tested Art UnIAtSioad Report _ load__ Na N 2 A 2 x 4 7 8065 _ 12-3 12-9 -- 8,000 3.14 1'."40 —2 N 2 B 28 ---3066 12-3 12-30 -- --3.14 —— N 2 C 28 8067-- 12-3 12-30 _3-14 e14 --- F] ocs Tigard Bldg. Dept. Remarks: _(100----Pretl+1:­1e ---- -- -- Form No 1 2.69 FRANK W. CARLSON W Mills W W W .:t 7A tai 7onstruction Inspection & Related Testa Carlson Construction (_.,onsultants, Inc. P.O. BOX 75752 — LAKE CITY STATION MDR7AR SEATTLE, WAS14INCTC14 98125 REP01?3 OF TEST SPECIMENS PHONr<_ (108) 384-9500 11-26 75 Date Molded. _ 19_ Job. No. DeBauw 03ntractor©, Inc. Client: PPLaukholse Reetauvint rosect:------- ------------ - -- -- -� _---- ------- __ ._ _.. _ ------ ------_. ._---- - -- Address: __ T Bard g )regon W..J.12am De9auw Con-c. Ino. Contractor: _ _ Sub-Contractor: Concrete Supplier: On Site Cost by: _U'. W. sect) Weather:__ Cloudy Temp, high: _ 59 Temp. low: _ Location of C'oyc I Placement: Block wa.11 first lift south walla Strength Requirement: ___, .1800 PSI 28 --. days Slump: Workable n rn Cement Type: __ — _ No, of sacks: Entrained Air Admix, Amount: _- _ brand: Admix, Amount: Brand: — Coarse agg. ai:e:_____ _—_Type: Fine Agg. Size: Specimen Specimen Test P Register Date Date Total Area Unit Load Rnpo,t No. Type Days Number Ree'd. Tested Load PSI No. M 1 A 2 X 4 8032 12-1 12-3 6 0 00+J 3.14 1 l 1 M 1 B 28 6033 12-1 12-24 111000 3,14 3500 5 M 1 C 28 803 . 12-1 12-44 10600 3-1/1 331)0 D E FL ----1 Remarks: cc: Tigard 31cin, Dcut._. .._ Mix: 1 Part opment, Part 1_jtr a and 4 ound.. CCG — Seattle al Form No. 1 2.69 - -- -- -- -- FRANK W. CARL-SON Construction Inspectiun & Relates "gists (Carlson Construction Consultants, Inc. P.O. BCX 25752 — LAKE CITY STATION MORTAR SEATTLE, WASHINGTON 88125 REPORT OF C-L519Cf'fM TEST SPECIMENS PHONE (206) 964-9300 11-26 75 CP-104A Date Molded: _ , 19_ — Job. No. —___- DeBauw Contractors, Inc. Client: —_ -- - -------_ .�— ------ Plankhouse Restaurant Tigard., Oregon Address: ------- ----- --- – William DeBauw Cont. Inc. Cont actor. .— Sub-Contractor: Concrete Supplier: �n Site _— Cost by: D. W. Leach Cloudy 59 Weather: MM�� _T�pp Temp. high: _Temp. low: XX3iJUC — h Block wall first lift south wall. I n,-ction of C.ncrete Placement: . 1800 28 Workable Strength Requirement: _ PSI 0 . _ _ days Slump: u Sn Cement Type: No. of sacks: Entrained Air _ 4b Admix, Amount: Brand: _ Admix, Amount: _ Brand: Coarse agg. size:__.— _____. Type: Agg. Size: -- Specimen Specimen Test p Register Date Dors Total Area Unit Load Report No. Type Days Number Rec'd. Te.ted Load PSI No. M 1 A 2 x 4 7 8032 12-1 2-3 61000 3-14 1910 1 M 1 B 28 8033 12-1 2-24 3-14 M 1 C 28 8034 12-1 2-24 3-14 D E F Remarks: ccs Tigard Bldg,. Dept. Mixt 1 part cement, part lime and. 4 san,A. Forr No. 1 2.69 FRANK W. CARLSON X11 !� It � !w Ii Itt Construction Inspcc.ion & Related Tests Carlson Construction Consultants., Inc. P.O. BOX 25732. — LAKE CIT! STATION SE4TTLE, WASHINGTON 98125 REPORT OF CONCRETE TEST SPECIMENS F;:c—,. (20rA) 364.90500 11-26 75 GP-1 04 Gate Molded: _ 19._._ Job. No. Shoreline Company Client: -- ------ - - - ------ Plimkhouee Restaurant Project: -- Address: T,.gardr Oregon Shoreline Co. Contractor: _—___--__ _ _ Sub-Contractor Lakeaho.­ D. W. Leaoh Concrete Supplier: _ — —Cast by: Cloudy 54 Weather- Temp. high: �_.—� _Temp, low: —_ Interiur footing. Location of Concrete Placement: 2500 28 4" Strength Requirement _ __ ---_-__ PSI (a -- days Slump: Cement Type: _—__—_ ___ I - No. of socks: _ ___r)__._-_._-__.-._- Entrained Air Admix, Amount: .` Brand: -__ ---___- Admix, Amount: __..___ Brand: _ _ 1}" Natural Bldg. Coarse agg. size: Type: -- __ Fine Agg. Size: Specimen `Specimen Test P Register Dote Dote Total Unit Load Report No. Type Days Number R.c'd. Tested Load A e0 PSI No, 2 A 6 x 1,' ''' 8035 12-:1. 12-3 58,OOt) 28.cI', 2050 2 2 B 28 8036 12-1 3.2-24 115000 08.27 4070 4 2 C 28 8037 12-1 12-24 1121000 28.27 3)60 4 D r. co: Tigard Bldg, Dopt. Remarks: - \•\.4-= � . . — --- __ _ -- form No 1 2.69 FRANK W. CARLSON Construction Inspection & Related Tests (;arlson Construction C]onsultznts, Inc. P.O. BOX 25752 — LAKE CITY STATION SEATTLE, WASHINGTON 98125 REPORT OF CONCRETE TEST SPECIMENS PHONE (208) 384.8500 -- -- 11-26 75 J}' .104 Dote Molded; ____ , 19-_ Job. No. _-�._... Shoreline Company Client -- -- — _— _— — _--- ---- -- ---—- riankhouee Restaurant Project: --- — -- --- -- ---- - - Tigard, Oregon Address: --- —_— --- -- - — —`— -- Shoreline Co. Contractor; .._—____ — Sub-Contractor: Lakeshore D. We Leach Concrete Supplier; _ —_ _—_ _.____—_— Ca,• by: 54 Weather: .-- Cloudy--- --_------.-- -- Temp. high: _ Temp. low: Interior f,aoting. (_oration of Concrete Placement: 25 00 _.._28 Qtt Strength Requiiement: ----- PSI -.._____. days Slump:._ _�-.- I 5 Cement Type: No. of socks: _______ ___ __. Entrained Air ___-_-__.-_______°% Admix, Amount: Brand: __ Admix, Amount: ---.Brand: - Natural - .Brand:Natural Bldg. Coarse agg. size: _-----Fine Agg. Sire: _ Specimen Spe-imen Test(i Register Date Dote Total Aieo Unit Load Report No. Type Doys Number Recd. Tested Load PSI No. 2 A o x 12 ~ 7 8035 12-1 12-3 56,000 28.27 2050 2 2 B ,?'8 8036 12-1 12-24 ------ 28.27 2 c ,?8 8037 12-1 12-24 28.27 D F - oo: Tigard Bldg., Dept. Remarks: goo - g81►4*1! - --- -- Form No, 1 2.69 -4__.�__ _ FRANK W. CARLSON Construction Inspection & Related Teets Carlson Construction consultants,,, Inc. P.O. BOX 25752 — LAKE CITY STATION SEATTLE, WASHINGTON 918125 PHONE (206) 364.9500 REPORT OF CONCRETE TEST SPECIMENS - - 11-19� 5 OP-104 Date Molded- --- , 19- Job. No. - Shoreline Corapan;,r _ - - Client: - --- - - - Planhcuee Reptaurant Froject:. — ------ --— Tigard t Oregon -- ------ — Address: Shcrel.ine Co. Sub-Contractor: -- - Contractor: — Do W. Leach Lake Shore - Cast by: Comate Supplier: — _ ----- -- Cloudy Ternp. high: 40 — Temp. low: _.---- Weather. _ ----- Foating 1 'ne r from 1 to y, line 5.5 from E tc_F, ---- I o,ntion o4 Concrete Placement __—__�-------- -------- 31 -2500 Strength Requirement: _—_ -- PSI 6 -- -- days Slump: .----_— I5 En'rained Air - ----- Cement Type: No. 04 sacks Adm x, Amount: ____—___ Brand: Admix, Amount: ..__— _—__.__Brand: ------ 1 ,r Naturt,L - — --- B1dg� __T _Fine Agg. Si re: Coarse aeg. size:----_ �e: .------- yp - —�, - — - Total Area Unit Load Report Specimen specimen Test P Register Dots Data PSI No.— p No. Type Days Number_ --- Tastsd Load - 1 A 6 x 12 `3018 11-20 11-26 )00 28,27 4070^ 1 i 1 6 28 8019 11-20 12- - i40,000 28.27 4950 -- 3 --- A_ 1 28 802.0 11-20 12-17 13' 500 28.27 1860— 3 E __ -- F — ------- _ —.— cc. Vgard HLdg Del,t� — - — Remarks: Fir- ',iv ) -- --- FRANK W. CARLSON Form No. 1 2.69 4 Construction Inspection & Related Tests Carlson Construction Consultants, Inc. P.O. 80% 28792 -- LAKE CITY STATION !iEATTLE, WASHINGTON 98125 REPORT OF CONCRETE TEST SPECIMENS PHONE (2,)G) 384.9500 75 CP--104 Date Molded: . ___.—____ , 19,____.._. Job. No. Shoreline Compway Client: — _ ----- - - --- -- Planhouse Restaurant Project:. ------- - .- -- - - - Tigard, Oregon Address: _ - - -- -- --- --- --- - - -- -. —- -- - Shoreline Co. Contractor: . -- �, _ Sub-Contractor: Lake Shore D. W. Leach Concrete Supplier: Cost by: - Cloudy Q0 Weather: --------- -- Temp. high: ._-- .— - -- Temp. low: - Footing line F from 1 to 6, line 5.5 from E to F. Location of Concrete Plucement -- 2500 28 3" Strength Requirement: PSI --- days Slump: I Cement Type: No. of socks: 5 Entrained Air Admix, Amount; 8 and: Admix, Amount: ___ __ Brand: list Natural Bldg. Coarse agg. size:_____.» ._ Type: _—Fine Agg. Si to: Specimen Specimen Test p Register Dote Dote Total Area Unit Load Report No. Type Gays Number Recd. Tested t-oad PSI No. 1 A 6 x 12 7 8011.3 11-20 11-26 1:5000 28.27 4070 1 Z 8 26 8019 11-20 12-17 -� 28.27 _ 1 C 1 28 8020 11-20 12-17 28.27 D E F Remarks:act ,lgard Bldg. Delt. Y CCC form No 1 2.69 FRANK W CARLSON MILIUWA MPF—IN DEPARTMENr OF COMMERCE--PLANS REVIEW SECTION NOTICE OF PLANS REVIEW ROOM 376, STATE OIIICE BUILDING,PORNAND 97201 (THIS IS NOT A BUILDING PERMITI Building Adc rens e� Cuunty .WASMiM'jOPA Occupancy ._I �_�ii.— __ Const.- -`� � p) v-,344; Q -_1_ _"___ Sound Value an Fee Architect WM■BLU'C4::'t:14L. New Bldg. If Addition Alteration ,`/ i_) [`] Date Received AV Y11 LG B --_-- Address Owner w t - _ Zfy 5��.� ,,.__�.�`aDate Reviewed � EMI's- Area COLS=/�hJ0 Attic � �_/�S� ft. Stories �_/._-_H_Q_Flre Wells.�{. ��>�.are Escape�� __�ILQ>�Exits ___ Main Fir. 8nemenr Ht, Sinps Tot.Width StAill NQN(' "_�_— Vert. She/ts -.FA...0Sprinklers _ Men Alarm —" S.P. NQWJ"Ad�i/* Closed Closet No Yes Area Covered Inn. Size E.. Ext. 0Mff--0 _6L HI. Det. Floor .Gbit_ Roof Ceiling�s�__ g. Clens No. Type Area Covd, Sir, Mlmbera � Well cover iQ84M— . Htr. rm. encl. -htAO_-_--- Type flue -hWi-fP4J%eType Htg. System . �_ G- Fue, CSL",6(.. Ext. Int. The submitted plans have been reviewed for conformity with fire protection statutes and regulations of Oregon admin- istered by this office Items No. checked on the enclosed list are applicable. These items and any specially noted provisions must be incorporated into the project to mee+ current fire protection regulations. Approval of submitted plans is not iin approval of omissions or oversiqhts by th:s office or of noncompliance with any applicable regulations of local government. REMARKS:'_h1*LT—Fr*G-AZ�!i4:'-t?- Allen,K-1 5 u r3►,a1 LT__J�GJ�Es2__-_t3H �►C�►___A!d_ To_��i��.�t�.l�r.� _. _--- Copies to: 11pF'L1GbA1r Fag,�Fw,E1;ru",0LDG.rAirT4 vigza D-arr... SP'26585.81 a DEPARTMENT OF COMMERCE—PLANE REVIEW SECTION NOTICE OF PLANS REVIEW ROOM 576,STATE OFFICE BUILDING,PORI LAND 97201 � (1H15 IS NOT A BUILDING PERMIT; Building PLL"Plu4>a (2t_1rAU-1?^MT,<A/aql �=i>•L 4" Aao No. -7a&-115__ Building Addre a County W"�(�='QItccupancy _$! RA`/GAL DESIGN ASSOCIATES, INCORPORATED 1550 Bayside Drive, Corona del Mar, California 92625 (714)675-9000 Auguz,t 14, 1975 Mit.. Ru�sbett Au.6tin City ob Tigand P.O. Box 23557 T.igand, Oregon 97223 Re: Coeo.6 and P2ankhoiuse Re.6taunant6 TigaAd, Oregon Dea h Mn. Austin, Raygat Design Abeociatez, Inc. has a eontAac-t with. Fan WeAt SeAvicee, Inc. to burnish. and .install. equipment, b.i.xtuuz and bmnish,inga bon the above nebe,.e.need pno j ec is. It hays come to ouA attention -thAough :,`he meehan�cat eng.i.n.e.eA, John Baum and kssociatez, .that garbage ddepoaeAz bor thecke projects wW not be penmitte.d. In negar.d to VU,6 we ane pnopo sing the ruse o b a Sawa j on Wae to Sanitiz eA Modet a9t4. We ane enctos.,ng a bpecib.ication .sheet bon your Aev.iew which e_xp.E'ai.ns .the tune-tion ob .th,i.b unit. Being .that thin unit ua.shes the. garbage .into a .scAapping basket and does not emit 6 of id waste .into .the 6 eweA b ys.tern, we. hope Vti.s me.ettz with your appnovO... Pfease advize ass to youA acceptance. ve><y .tnu t y yo wu6, RAVGAL DESIGN ASSOCIATES, INC. El is D. Smith Account Manager CC: FaA (vat Senv.icee, Inc. Bach Bruce. encCosuneb RESTAURANT INTERIORS 9 FURNISHINGS • EQUIPMENT .. ... ..�,rq•-...�;� e,iw...,...q..,..c«warer�+w,riF''�`+uM�'..,+wa.a.; .,. .wn gyp+7i1'»`;�,+�x. �r�ry"+p"�'3a^+�C r .n .ev ar-• o�WiwRnrr.a. CITY OF BUILDING PERMIT APPLICATION TIGARD DATE _ 19_ N° 0397 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER_ LI�e ,�L�IrsflkP? «. ADDRESSQ1,tj��L1. 69L,. WILQLR PHONE ENGINEER BUILDER _�PRSFt.ITCT DESIGNER v_ STRUCTURE ❑NEW ❑REMODEL 0401ITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEME-OILITION C3 RESIDENCE U ❑ La; COMM EDUCATIONAL ❑GOV'T ❑REIOUSCIPATIO ❑CAR PORT ❑GARAGE [IL,J C] STORAGE SLAB FENCE OBOND ❑MOV ING ❑CONDITIONAL USE ❑DLSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE—_— BLDG.TYPE— _FIRE ZONE— PLAN CHECK :3Y_—_—_— HEAT_—_..- µ plisoo on file subject to "r"p>,•ilval of w6aellin coun*y health dept. ACC.LOAD FLOOR LOAD :rpt,"" ti HEIGHT NO.STORIES .i. AREA — - 057p VALUE BUILDING DEPARTMENT — SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAIN: IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICAB:F CODES AND ORDINANCES, AND IT IS HERER',' AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Ftecordi ig ALL. APPLICABLE CODES AND CA FINANCES. THE ISSUANCE OF THIS PFRMI r DOES NOT WAIVE -- RERTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 176 State. LICENSE. SEPARATE PERMITS RFOUIRF.D FOR SEWER, PLUMBING AND HEATING. Total �� •,1,1. By Jr — - APPI.t7—Ari i—) AGENY - Approved Receipt No. , .' R 7` +'f , / /j►a r ADr RESS .s DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE er` L•':� --- Contractor ��9'� ,• f�. . - ✓C7/�11! ,4 � TO OR— ,z Permit No. 3v �b�5 .•� �'. � _ �1c•V�a Rnu�h i c"'V�1� o 3 • Final — --- -- --- ��5 � HEATING — v N Permit No. 0-1111i, — Gas or Oil /op-S _— MS6 i-• -�� '� — R ou h in ----- --- - - �! Final -- -. 'c'I�`I•7 � ;,�_L'--V' � �- t.f.�� � � — G-�,. _SEWER 5-27C414 � v ✓ '�' jL Final - ----- .' DRIVEWAY Final Stora Drainage ,C G -�3 -�� (Rain Drain) Final rApproach walk b&Street Final BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY al — CFRTIFICATE OCCUPANCY "- 7 Landscaping (j C� Zoning F-nal I I UNIFIED SEWER tkGE AGENCY WASHINGTON COUNTY ADMINISTRATION BUILDING-- 150 N. 'FIRST AVENUE HILLSBORO, OREGON 97i23 (503) 648.6621 BOARD OF COMMISSIONERS Joel Wesselman BUHTON C.WILSON JR.,Chairman General Manager VIRGINIA DAGG Room 302 RICHARD C. HEISLER RAY MILLER HOD ROTH June 25, 1975 City of Tigard P. 0. Box 23557 Tigard, Oregon 97223 Attention: Russ Austin Gentlemen: SUBJECT: Rating of Scrapping and Pre-wash Machine We are in receipt of the specifications for the Salvajor Model 914, scrap- ping and pre-wash machine for hotel, restaurant and irstitutional dish- washing. The Specifications have been reviewed by thG Agency staff and we have come to the conclusion that this machine does the same basic function as a & .rbage disposal. The dwelling unit charge for a garbage dispo^al in a commercial institution is 15 dwelling units of connection. I hope this satisfies your inquiry. Tf we can be of any further assistance, please contact. us. Very truly yours, Janet E. Luttrell Administrative Coordinator I JEL:by Enclosures I ry i J t Salvajor P Model 914 Scrapping and pre-wash machine for Hotel, Restaurant and Institutional Dishwashing VA 111 Fits into present or proposed dish tables. i The Model 914 is essentially a scrapping L1 machine which performs many other functions, too. Soiled tableware is scrapped by passing it through the recirculated gusher of 107° F. water. This not only scraps the tableware but also gives it the beneficial pre-wash and pre-soak so necessary in helping to provide cl �il�j J J Listed under National Sanitation =oundatlon tableware. • 11ir,ducos Tableware aNFa t t'i'` 1..053 • f�emoves Large ('articles which Plug WASHINGTON COUNTY �3r rap Treys • L.cr,sr n; Organic WasW The Model 914 Operation is Simple Entoring Wash Tank • horfiice s Bacteria Th.i food waste (Including hone) is Milit in Wash Tank ,i _ .__.. flushed into the scrag basket (1) where • (;crmerves on z ? it is then washed, reducing the volume r);t,�rgr:nt r at least 40 to 50%. Since all liquids o Dishwashing and soluble:t ure v+ashed away, the scrap I.nl,or Costs basket capacity is increased, for only • Imrrovrs Kitchen n the fibrous food vinstes are retained. rutE�tic�n h much ,-naller and lighter in :1 _ li Althou,0 weight, the cal-acity of the scrap basket J y can be compared to that of the average 311 gallon contain ir. Silverware and small dishes which might fall into the machine are caught in the silver trap (2) wh;rh is recrossed in the scrapping tray. T its feature alone helps nay for the mach ne in n short period �(. of time. The water, which is maintained at a temperature of '07" F. by a thermostat t control (3) is re,.ireulated by a 1;6 t HP electric motor pump (4) ata rite y of 20 gallonp p it minute. Wator at 107 -�\ F. will remove ;grease yet will not cause dairy product!,to adhere to the tableware. The model 911 reguires only 2 gal. per Thi Mortol 914 is installed into soilad minuto of fresh water. At the same time n.:,h tr,hir; lust ahead of tho dishwashing 2 gal. per min-ito of grease laden soiled rr,achine with the direction of wator water is nutori,aticnlly drained off through strvarn toward the soiled dish landing the two-inch Efrain Piro (s) in the bottom area Newer toward dish machines of the machl.id: w w w w w w w w w Plodel 014 SPECIFICATIONS (All specificntion listed nre Auhlect to chnnnn without notice) 6 TANK—Stainless Ste(,,l SCRAPPING BASIN AND TABLEWARE f 2 SALVAGE TRAP—Stainless Steel. Especially designed to create a constant wash of water over the scrapping tray 14 , which keeps it free of food waste. I l i3„ SCRAP BASKET--- Stainless Steel 1/4" 4-I �4- r mesh with solid bottom and rolled top edge. Has two lifting handles. PUMP -Centrifugal pump,cast iron and brass dousing, tool steel shaft, ball bearings, non-clogging bronze impeller. Recirculates twenty gallons of water , per minute. THERMOSTAT CONTROL ASSEMBLY-- Designed to blend hot anc' cold water a l }_` 4 of varying pressures to a temperature of 107°F. and parmit a flow of LEFT_510E VIEW E1t�1`fISII?E_�lEw 2 gallons per minute. MOTOR-1/6 Hip. UTIUTIES REOUInED—.2" soiled water 11 It 1 I !_P4VFRFLP11i (_ 1P=SEE 11tf( r'`Ui'l� drain, hot and cold Water, ©ICCtrIG 1r) 1Ii, ^,) r-,r�� T'q l_F'fxVr1 t E_ connection. SHIPPING WEIGHT--125 pounds ' Fj ,., INSTALLATION DATA--The Model 914 can J, - be installer♦ in a present installation o � N easily. All that is required is the cutting _ i P C.0Nrv� of a hole in the soiled dish table largo �_ l l- NI�rIIQN2 M1.�I HX (enough to accommodate the machine. NOTE }�?SATE VAi�[E.- tow. Hot and cold water is then connected �*ln_j1 fit\ct�sy?Hc7Nl C.E_ through gate valves and to the blender L.�.r'l�CSLC'1=L A-! GY assembly. An electrical connection for thez�,AT� y�l�v�cXv, motor and a 2"waste line complete the j u wc� 11LAt1E'Ll:13��._ utilities that are needed. !;TLIL i0 7 2 e M C0 r I \` I. 19 D YiLw_ r V The Saevajor Cnmpany _-• ~�'\ !1��-�I 4530 Enst 7Gth Terrace Er1CW you �•-- ,� ,�.---� ' !(ansas Clty, Missouri 0,1132, U.S.A. form 91412-;i r }� �1 N0. -- -- -- CONNECTION CHARGE COMPUTATION SHEET 1. COMlTRCTAI., DRY :INDUSTRIAL, PUBL:=•O STRUCTURES, CAR WASH, MANUAL CAR WASH, AUT&IATIC LAUNDRIES, LAUNDROMATS, ETC: ' A. BUILDING AREA 1500 = ' ..- DU B. kyr hPPA f• � ACRE X I+ _ _--- - ----- DU C. FLt'1'URE UNITS ! FIXTURE UNITS ; 16 - DU I i 2. SIECIAL SERVICES: Fl-,EMENPAItY SCHOOL STUDENTS 17 = I7U i0 HIGH SCHOOL & COL1,F.GE 9TUDPWPS !f _ Du CHURCHES SEATS 2.5 = DU HOSPITALS - GENERAI. MEDS _ DU CONVALESCENT/REST HOME -` BEDS - 2 =. DU SI F,EPING ACCOMMODA`'i'IONS WITHOUT KITCHENS ROOMS - 2 = - _ Du COMMENTS: -- VM L 44"" w w ■s w w w w Construction Inspection & Related Tuts ik;arlson Construction Consultants, Inc. P.O. BOX 25752 — LAKE CITY STATION b'�!E'Tr JJ SEATTLE, WASHINGTON 98125 REPORT OF'@VIR,'1 +i TEST SPECIMENS PHONE (208) 304.9500 Date Molded: 1-619 75 Job. No. Client; William C. DeBauw Contractors, Inc. Project:_ Plankhouse RP:.caurant Address: Tigard, :iregon Contractor; William C. DeBauw Cont. )no , — Sub-Contractor: Concrete Supplier: Jcb Mix _ _ Cast by: D. W. Leach Weather: Cloudy Temp. high: 46Temp. low: .. Third lift, on extebor scuth block wall,. Location of Concrete Placement: -- --- ----—--- -- — 1800 �'ti workable Strength Requirement: _ _—____—_ PSI 1a days Slump: �— Cement Type; - u — _ No. of sacks:_—__—__.._ Entrained Air % Admix, Amount: .— Brand:_ — Admix, Amount: ___ _. Brand: Coarse agg. si is:--___ --- Type:-------------- Fine Agg. Si ze: -- Specimen Specimen Test 9 Register Date Date Total Area Unit Load Roper; No. Type Days Number Reed. Tested Lead PSI No. M 4 A 2 x 4 7 81.38 1.7 ! .i 7,00() 3.1:4 2230 10 M 4 B 2.8 81.39 1.-'r 2-3 10,)%-)0 3-14 31.90 13 M 4 C 28 8140 .1-7 2-3 l.i,,300 3.14 3450 13 D E F Remaicat Ti.gnrrl Bldg. Dept -----_-.-_-__ - — , •V ea . e — A. ,, , r,,, 1 2.69 - --BANK W. CARLSON 11e alw #f ! R s � � ntr wt Construction Inspection 6/ Related Tests Carlson ' lsultants Inc. (,��� 1 scan Consultants,,, P.O. BOX 25752 — LAKE CITY STATION SEATTLE, WASHINGTON 98125 MCFTAR PHONE (206) 364-9500 REPORT OF &VkMTEST-SPECIMENS Date Molded: 1-6 __ ---- , 19 75—_ Job. No. William C. DeBauw Contractors, I110., Cl ient: — - Project: Plankhouse Restaurant — _ Tigard, Oregon – —-- --- William C. DeBauw Cont. Inc. Sub-Contractor: — —' Contractor: — - Job Mix _Cost by: D. W. Leach Concrete, Supplier: —� — -- Cloyriy Temp. high: —46 Temp. low: – — Weather: ---- Third lift on exterior ecuth block wall. Locatiun of Concrete Placement: , i� i 1$00 28 J Workable Strength Requirement: ___ PSI days Slump: Cement Type: S No. of socks:—____— —_-- Entrained Air _ ______ Admix, Amount: --- Brand: Admix, Arnourt: -_ --_. Brand: —__---- -- Coarse ogg. size: TYPe - --- ---- -.Fine Agg. Size: ---- -------- - Unit Load Report Specimen SpoR• i+fer Date Date Total Area 'Type Test Reed. Tested Load PSI_ No. No. •fyp� Day+ Number — _ — M 4A 2 x 4 7 8.138 1-7 1-•13 7,000 3.14 2230 10_ 11 4 g 28 8139 1-7 2-3 — — 3.14 - M 4 C 28 8.140 2...3 -3.14 D --- E F co: Tigard Bldg. Dept. Remarks: __—____ _ — --��� Form No 1 2.69 FRANK W. CARLSON '0 c 1G CD L n a cn I C-; ci ;i) m o M r c -+ •-� / lf't'1 / "' o / / a i ' i i lz� T7 P-+ c � c cn L r L X, o ri M r•, G v m c zU) rIl tx 3 O cn OD m n -c -+ o -� --� r-i 1-+ r_ n z 2 o z o z o -� z rl : z ]} • Cl) r, m r, m m v r, W � � CD i a o � � y LISTED Itg Power Root Ventilator � hr�JSt/trr•S Chicago.IllineM 111011,11I• UBC Upblast Roof Ventilator For Commercial Kitchen Exhaust Systems I Restaurant Cooking Appliances for removal of smoke and gre.-iso laden vapors I 679R In accordance with NFPA No.96 standard � � t 1d sloes Please Reply To: P. O. Box 1110 City of Industry, California 91747 Phone (213) 965-2441 IMPORTANT UNDERWRITERS LABORATORIES APPROVAL INFORMATION Ilg Industries, a division of Carrier Corporation is happy to announce the first power root ventilator- ap- proved by U/L Standard 416798 for smoke and grease ex- haust from restaurant cooking appliances. To insure complete safety in restaurant smoke and grease exhaust applications within your jurisdictions, you should be aware that the Ilg UBC is the only far, that currently meets the requirement that it be approved by a nationally recognized testing laboratory. Other power roof ventil.a- i tors that presently have a U/L label ire approved only under U/L standard 41705 for clean a{r applications . This label is void if the fan is used to exhaust grease vapors . With both the new 416798 l.istinp and the standard 41705 list- ing, the Ilg UBC is in accordance wit}; the National. Fire Protection Standard , NFPA #96 . I suggest you review the attached bulletin and copy of the new U/L label for Stan 1rd #679R. If you require additional information please feel free to contact me at the above ad- dress. Sincerely, r�L(: INDi'STRILS �! i TT JOHN B. MTTCIIEI,L Pacific Regional Sales Manager Division of Carrier Corporation 2850 North Pulaski Road, ,'hicago, Illinois Phone 312/725-8016 fA DF3-601 �� LISTED UB // Power Roof Ventilator for I� C ` ..v Restuarant Cooking Appliances 679R Power Roof Ventilators with this new (UL) listing are approved for the removal of smoke and grease.laden vapors from commercial kitchen exhaust systems in accordance with the National Fire Protection Standard, NFPA No. 96. Listed in Underwriters' Laboratories } FIRE PROTECTION EQUIPMENT publication. Note:-Power Roof Ventilators listed ur+der Standard for Safety UL705 are for use on CLEAN AIR applications only and are not intonded for the primary collection of grease-laden vapors and residues over res- taurant cooking appliances. For safety, added fire protection and longer motor and bearing life, install UBC upblast centrifugal roof ventilators. • Tested and approved by UL to operate con- tinuouslyat 300°F.. and to maintain operation during Flare Up Test at 600°F. (See actual test photo on reverse side.) • Positive, self-cooled, isolated drive compart- ment protects motor from hot exhaust air and sun load. w Rugged steel base assembly insures against collapse of fan should fire develop in duct. * AMCA certified air performance. Versatile, dependable UBC Range Hood Ventilators, operating at static pressures ! �► to 1 %" or more, are designed for restau- rant, fast food and other commercial or Will institutional kitchen exhaust systems: • ovens • deep-flyers • ranges • char-broilers • aishwashers • steam tables • disposal units • grills w - Specify UBC Power Roof Ventilators, listed by M Underwriters' Lahoratories, Inc. for Restaurant s Cooking Appliances. to insure continuous oper- ation under the severe conditions that cause other power roof ventilators to fail. �` I UBC power roof ventilator for commercial kitchen exhaust systems Listed by Underwriters' Laboratories, Inc. ' Construction features *Built-in grease trough makes cleanout practical, easy—protects roof and surroundings from corrosive contarninents. (Rain and snow drain automatically.) e Vertical discharge exhausis high above roof levels--prevents re- 3 :irculation into adjacent roof-top ventilating or air-conditioning equip- x -Tient. 9Quiet, efficient centrifugal wheels protect motor overloading. e Isolated, completely enclosed motor compartment and positive, forced-air self-cooling prolong service life—reduces maintenance and servicing. *installation is quick—duct connections are made directly to under- side of units. Space requirements are minimal. e Aluminum housing provides weather-resistant durability. eDistinctly styled---compact profile blends with architectural lines of contemporary buildings. stem *Variable speed V-belt drives and improved belt I Psiformanconinesand provide easy positive adjustment to maintain increase belt life. yi e Disconnect switches standard to meet codes for person el safety. •NEMA open standard motors—single and three-phase, pre-lubricated, continuous duty I Performance CFM at Various Static Pressures Sones Shpg. -- --- --- - � -- at Unit WSts. 5 ft. Size_ Wgts. ftPM HP _I/8" 1J4". 3/8" 1/�" 3/4"- _ 1". 1 " 11.4 �* OBC135 97" 1335 1A 1458 1371 1289 1207 984 - - 1 100 1502 1/3 1661 1583 1508 1435 1281 1013 - 14.4 _ 1_04 1725 - '/z 1929 _1861 1794 _ 1729 1603- 1465 127 1g;8 IIBC165 117 962 1A 1840 1695 1548 1364 - - 10.6 120 1064 1/3 2056 1931 1805 1662 1224 - - 125 1200 1h 2362 2241 2126 2015 1738 1257 - 13.7 _ 130 1395 'A 2782 _26j8 2575 2477 2279 2036 167 18.7 UBC200 162 708 'A 2508 2257 1964 1476 - - -' 9 4 165 795 1/3 2875 2651 2419 2140 - - 12.3 169 910 '/,, 3351 3156 2960 2754 2203 - 15 7 175 1046 '/4 3907 3737 3566 3397 3019 2505 - Ilg's UBC power rc,of ventilator for 180_ _1137 1`� 3213 2738 14275 4118 643 3805 3483 3099 252 -68 UBC245 172 495 - 8.0 commercial kitchen exhaust systems 175 556 '� 3707 3315 2798 - - _ 9 B 39'7maintained operation while exhaust- i85 715 4954 4666 4365 3540 4024 2742 - - 12.5 Ing grease burning at 600 F in Ab- 190 788 1 5513 5257 4988 4704 3980 - - 14.8 normal Flare Up Test at Underwriters 190 . _.910 1!/P 6437 6224_ 59.94 _5760 5252 4597 317 196.11 UBC300 275 386 '/3 4540 3715 - 8 5 Laboratories, Inc. testing facility In 279 455 1i 5572 4987 4218 - - _ _ 107 Northbrook, Ill. The UBC Unit Was 285 518 3/4 6490 89g1 5439 4693 - - 131 290 579 1 7358 6923 6466 5944 3875 also tested and UL approved to op- 300 657 11h 8454 8080 7687 7279 6258 3824 _ 16.3 erste continuously at 300 F in the 300 _ 721 2i 9345 9011 -_8687 _8292 7492 6353 - 19.3 UBC365 444 333 /� 7168 6195 _ - 9.1 Normal Temperature Test. 450 379 '/4 8392 7596 6485 - _ - 10 0 455 417 1 9384 8663 7895 6488 - 13 7 465 476 11/2 10902 10274 9638 8932 5232 - 16.2 COfmftffC 465 522 2 12075 11500 10922 10336 8526 - - 480 589 3 13769 13252 12745 12231 11142 9136 - 20.0 N911008 490 696 5 16448 16000 15571 15142 14272. 13376 1201 26.9 sin Dimensions yyala. Request Bulletin DB3-601B—UBC Mu., cl3s 243" t " z9 " 2zra" 23 I r C165 26 213A 35% 241/a 251/2 Upblast Range Hood Ventilation—for Bc200 31% 25� a31�2 29% 2s1h _ x ____ __ C UBC245 33Ys 25% 431/2 32 `r---- full details on applications, features, UBC300 41% 261/2 51% 393/4 34 AMCA certified performance ratings, UBC365 453 363 62' 431/ •C-height from tcp of curb dimensions and accessories. NFPA No.96 requires 40"minimurn clearance + from roof surface to discharge outlet �• -pbq. �{ Division of Carrier Corporation 2850 North Pulaski Road, Chicago, Illinois 60641 lig Industries