Loading...
12755 SW 67TH AVENUE-1 I NOTES : P' - 1 MODEL 56RAI✓ - 075 -JG CAF- RiEK 2. MODEL :.UG>r, -p U4 9 COIL CA. R K I EK x. ��IOUFL. 38CK. - 043 (`ON1%EN5 ! 46 UNIT CAP, '. iEK. 4. MODFL # '400 SEKIES P.. A. (.:-tz ; Ll_ E SHOEMAKER ONDENSiI,IG LIMIT � — I 7) 150 <_Fk1 "_� 0 C. FM A A 14x414x4 'LJ H 1i,xilo - i , • � l i =_OJ CFM I G s 14 )( G II 1 200 C.r=P-1 � IFA.. ',P;LLr 14 x �o I X11 — R.A. GRILLE ,10,l 2 7 x 24 200 C,P-1 14. x G G �8„ 2_0.0 CFM 14xG 5 B" L00 C_FM� J -E E7 rJN U - E 14 X io v G 200 CFM _t �4x (0 1 i I FILTEk -- ASSEMBLY \ �; CITY OF TIG:-,AWF l ® r Approved............................................... .....,,... : CondiFor only the; Approved .. tions:,, ................�. ' PE• %,4IT N:��rCr!/� Seeiottar to:Fo . . .............................................. .[ 1 Attadi............................................... .( SE Job Address.CT I ON ---- By: Date: � � � Gor�� Kt SC� GIETY 12700 SCALE; iY /w •1 11' 0,. APPROVED BY: DRAWN BY DATE:1 0 29/O Z REVISED SW 671H AVENUE jA C O b S HEATING S AIF 0 N D. 1. OF 1. DRAWING NUMBEI! .. -� _ PORTLAND, OR wJ, AIIII III �.. : IF THIS DOCUMENT IS LESS . .1. � llI II i 1 1 illI1 i ii jmill 11111, 1ili� ili i�Ii �.1pf 1 1JI 111111111111l1 11111 11111 i'1 LEGIBLE THAN THIS NOTATION, lI � , OCTOBER! 26)71 4 ' IT IS DUE TO THE QUALITY OF ,.: Rt k .: ,., as .fS r ,.y�.�:d;.r;W;.9:.e!pfiy1..,.+ MMAi'Fk: ,,. !lilF73"va9c er�,,lin►.,.. y1 ' THE ORIGINAL DOCUMENT. Nab 36 E 8TZ 8Z LL 8Z Z tbZ S Z TZ �oZ 8I 8�I Li w � ,- �II�IIIII�IIiIIIIi IIII�IIITi II�II�I�I,Ii�I )l�i�l������i�►�� ������II� I�IIIIIIIII�IIII �III�IIIIIIIII�IIII 9 � i Zi � it � T � IIII�IIII RIIII�IIII IIII�IIII LIIiI�IIII 9IIII 9 ' IIL.lil—l�ll�ElT i E�1 Ili��ll �. �i:.i':.;:i ..V s.A w.�.ewe.�,..""'"�ii�fa�'�� ....,_ +.�+-�r r�:x.n�.Fm.tiJ.tixm al4u,�.' `� �£ V /�, C. L1 I'� �n l fJ) 1f1 in rV y, � W ,34 p ��I P 1 }: t .��, Rei C'TYOFTIFARD cffy(*7mRD COMMUNITY DEVELOPMENT DEPARTMENT PFRMIT #. . . . — I BUP92-0254 13125 SW Hell Blvd P.O.Rw 23397,TOW,Or@90n 91 (603)G*4115 ,LL. . t 12 7,15 5 SW 6 1 1 H OV Z 01,41 NO u i�1)1 V I IS%I U N. . . . I WEST VIOR1(-01-41) HFJGI"-�' PLUCK. . . . . . . I . . . . . . . . . . OF WORIA. i NEW OF LISE. . . SCUM A'LUPANCY GRP- :E.k8 oLCUPANCY LOAV-44 I ENAN I* NAME. . . sOREOUN Kt Remiarkst Coneitruct 1.':5*4,4 sqft I-)JfJ0 AF, acf(in tO exitting bldg. Owner I (J R I LJ ON K I SOC I E'l y jj-ioo sw 6s'm mw I'lGARD OR 97,P03 Phone .:)1vVL JOHNSON �s i j I t--&- U;114 9 0 N IID j.jpcjjj(jUt3s4t- Wj'-1 98671 illwile #2 Fiof,,03 0c.-f- j.jpan(.-y of i+io mbove b(A.11dilig it hereby qlvell. Elie f-ompliatic-# with the `-)tatty Of Uregoll "--Ipectalty for the qv'00pq -mvy, ey'd wh)0I the refel-enced permit was i s m me cf. pEppRTIvIV.Ni 14,111-DING '1N,,1'[ oululiNt., (m I ic-tvil IN INSPECTION NoricE City of Tigard Building DePartaent 13125 SW Hall Blvd- Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Pho 634-A1'71 Inspection: Hoch. Rough-in Appr/Sdwlk Ill Footing Plbg• Underslab 9 Gas Line FINALt Found. Plbg• Top Out %— Postfgeam Struct. San. Sewer Framing -Bldg. i R8it1 Drain Insu].atCon -P1�' Poet/Beam Meeh. -1-1'L- GYP• ed. -lNoh. Underfloor water Line PH TLMSI Date Roque �(� Add:ass:---2-�:--_y- Builder: ,M pLIMI RRECTIONS AAE REQUIRED: -� I / Oates 2 insPectort APPROVED OIBABPROM _ AfPIlOVL<D BI1BJ11O'1' 'PO haws Gall for Mit+ap. i IN_PFQTION NOTICE City of Tigard Building t)ei�*+b.+t 13125 SR Ball Blvd. Tigard, Oregon 9722 Inspection Line (Rec-O-Phone): 639-4175 Business Phona: 639-4171 Inspection;_ Footing Plbg. Under.slab Mech. Rough-in Appr/Sdw1k Pound. Plbg. Top Out Gas Line FINAL: i Post/Beam Strutt. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation --Plumb. Plbg. Underfloor 7 Water Lin Gyp. Bd.) -Mech. Date Requested: ~ I `1 _�— Timet AM iAplR Addreses l6-�� tat �t /' �> Prscm�it #:L1 112- Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: I k 1 i Inspector: Datesz—z APPROVED DISAPPROVED — APPROM SUWZCP TO ADM _Call For Reinsp. JRSPEnTION NO ICE City of Tigard Building Department 13125 Sp Ball Blvd. Tigar(1, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection; —— L1 vv\ Footing Plbg. Underalab Merh. Rough-in Appr/Sdwlk Found. P1 t Gas Line FINAL: Post/Beam Struct. qan, r Framinq -Bldg. i Poet/Beam Mech. Rain Drain Insulation -FlYBb. Plbg. Underfloor Wat*r Line Gyp. Dd. -Meolt. Date Requestad,�l -110 _�. • 17— -Time: � _x Address: I LL`� LO� )4T �L Permit TliF, FOL'AW""O CORRECTIONS ARF. REQUIRED, 46 I Tnspector:-,CrC���_ � �! - X Dates____APPROVBD DISAPPROVED APPROVED SUBJECT TO ABOVE __-_Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SM Rall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4.175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Ph,- Top Out Jae Line FINAL: Post/Beam struct. San. Sewer Framing -Bldg. Post/Ream Mech. Rain Drain Ittnulation -Plumb, Plbq. Underfloo-: water Ane Gyp. M. -Nech. Date Requestedt [� 7i' I`'I'-1 Z- —Time: �-� AN _PN A3dreest (7'S 7 (,� l � Permit /�f: (3UP Builder: /IA,-UP _'AA-W-LIVN Z�n�- (j�7 V tAG THE FOLLOWING CORRECTIONS ARE REQUTREDs i P. Inspec.tort Datetf—/ SZAPPROVFD DISAPPROVED APPROVED ;UBJECP TO ABOVS Ca:l For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 sW BaAl Blvd. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 63 -4171 Inspection Footing Plbq. Underelab Mech. Roucn-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Beam Struct. San. Se.. - ..•aming -Bldg. Poet/Beam Mech. R, f, Insulation -$IVAb. Plbg. Underfloor pat Gyp. Bd. -Mach. Date Requested: /� `�cam+ Times r^A AM Address: /=,---"�TTT�� /l �_ irm t is Builder: THE FOLLOWING CORRECTIONS ARE xssyUIRED: i Inspectors V� — -- nates_�Gy� L/ APPROVED —_ DISAPPROVED APPROVED SURJRCT TO AROVE Call For Reinsp. .....,.._._........,,_. ............... ...._..,-._..,.....,...:,,..,w,..•wn+r.�_:sHue:�acpMaeWlUrdYr.WW Ma.+rroa�:sswnww,w,w.w,.a..,..H.............-,..-..�._..�. ..- INSPECTION NOTICE City of Tigard Bui.ldi.ng Del) rtant. 13125 SK Ball Blvd- Tigard, Oreagon 972 Inspection Line (Rec o-Phone): 639-4175 Business Phe. 639-4171 Inspection: - Footing P4g, Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Cut Gas Line FINAL: Pont/Beam Strict. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation --Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Rech. Date Requestead:- —Ti�lme: 11M _PH Address:_ �� -5 5- �' 7 PAtt i Builder: ` �"�L.✓� THE FOLLOWING CTIONS ARE REQUIRED: r r r Inspecto :_ _APPROVED —„f DISAPPROVED ---- APPROVED SUBJECT TO ABOVE ----Call For Reinsp. F CITY®F TIGArRD COMMUNITY DEVELOPMENT DEPARTMENT MYOF m I MECt4Al\uc,,AL e_� 13126 SW HW1 Blvd. p.0.Bac 23307,Tig&W,oregm g7223(5W)6394176 offem PE RM I T P ERlv1 I T DATE ISSUED: DEPARTMENT F(23)�03"176 PE Rlv1 I T BITE ADDRESS. . . : 12755 SW 67TH AV U PARCEL. 50131)1 V I S ION. . . . : WEST PORTLAND HEIGHTS E-5 101 AD-01 .10 1 BLOCK. . . . . . . . . . .I LOT. . . . . . . . . . . . . ZONING: C.-P ----- -- --- ------- CLASS OF'-WORK. . :NEW F*L.DOR--FURN. -rYPE OF USE. ColylUN IT HEATERS. . EVAP COOLERS: OCCUPANCY GRP. . B2 VENTS W/O APPL: VENT FANG. . . - I STORIES. . . . . . . I BOILERS/CUMPRE3SORS VENT SYSTEMS: FUEL IYPES-­­­____ HOODS. . . . . . . : :/GAS/ 0-3 HP. . . . : 1 DOMES. !NC11\1: MAX INPUT:75000 BTU3­15 HP. . . . . COIy1ML. INCIN: FIRE DAMF-,ERS?. . :N 15-30 HP. . . . : REPAIR UNITS: GAS PRESSURE— :1- 30-50 HP. . . . . WOODSTOVEG. . . NO. OF' UNI 50+ HVI. . . . : CLO DRYERS. . : FURN ( 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS. : FURN -100K BIU: 10000 cfm- GAS OUTLETS. .-2 10000 c f m: Remarks : LO,,t,,,,t 1344 sqft bldg as addn to e)(isting bldg. Owner-: OREGON RI SOCIETY FEES --------------- P'- O- BOX 2143 type amount Jay date recpt PRlvlT s 25- 00 JLH 10/30/92 92-233271 LAKE OSWEGO OR 97035 PLCK s 6. 25 JLH 10/30/92 92-233271 Phone #, 684-0185 5PCT $ 1. 25 92-233271 Lontractor: JACOBS HEATING 1421 SE HOLGATE BLVD PORI LAND OR 9720c Phone #: 234-7331 __- Rey #. . : 01441 $ 32. 50 TOTAL This pereit is issued subject to the regulations contained in the REUUIRED INSPECTIONS Tigard Municipal Code, Gas Line insp State Of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with, —-------------- Heating Unt lns�i - approved plans. This pervit will expire if work is not started Duct Inspection within IS@ days of issuance, or if work Is suspended for more than IN days. Final Inspection < IssLied Sys Cal I f 01' inspection 639-4175 IINSPECTION NOTICE City of Tigard Ilui..lding Department 13125 SN Hall Blvd.. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone4: 639-4175 Business Phone: 639-4171 Inspection: Footing Pl-bq. Underslab Hech. Rough-id-_' ough-in_' Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Pt/Beam Struct � San. Sewer Framing -Bldg. ➢db�jBeam MHecTi� Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hech. Date Requested: T s AN PH Address: Builder: ?/1' THE FOLLOWT�d CORRECTIONS ARE REQUIRED: )a i i v Inspertor: I Date: C' `_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ------—Call For Reinsp. INSPECTION NOTICE City of Tigard Bui:di.ng Department ^/ 13125 SR Hall Blvd, Tigard, Oregon 97223W-411M— Inspect Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6ion: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Gut Gas Line FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. P1bg. Un%erfloor Nater Line Gyp. Bd. -Mech. J/�Date Requpateda Time: AN 1►ddrou s ' k r" e7 ecmit #= 7 Builders 010, THE FO O OORRECTIONS ARE REQUIRED: Inspectors. �/ _ Date=���--L_._ APPROVED DISAPPROVED APPROVED SU"Cf TO ABOVE —Call For Reinap. rillI INSPECTION NOTICE ` city of Tigard Building Ilepartment 13125 sm Ball Blvd. Tigard, Oregon 97223 Inspection Line (ROC-0-Phone): 639-4116 Dueine©s Phone: 639-4171 i inspection:__ Plbg. Underelab Mech. Rough-in Appr/Sdwlk Footing l Found. Plbg. Top Out Gas Line FINAL: S post/loam Struct. San. Sewer Framing ..Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. r in� Gyp. ed. -Mech. Undorfl ) � til U7 Times ---PH Date Requesteds—�- i7 � !lddreee:_�v �Qv — Builders— THE uilders____—THE FOIJ.OWING CORRECTIONS ARE REQUIRED: Lz_ inspectorsDates' APPROVED DISAPPROVRD ,—_ APPR()Vl►t) 8UBJlCCT TO ABOVE Call For Reinsp. AR+ � � m1ll mA CiTyorl TIGARD TAiOFTMRD COMMUNITY DEVELOPMENT DEPARTMENT RmooN 13126 SW HWI Blvd. P.O.Boot 23397,Tfpud,orspon 97223(603)839-4176 PLUhIBING PERIhIT PERMIT #. . . . . . . : PL1192-1211-.3 639•-4171 DATE ISSUED: 11/06/92 SITE ADDRESS. . . : 1,2755 SW 67TH AV PARCEL: 29101AD-01101 SUBDIVISION. . . . WEST PORTLAND HEIGHT'S ZONING: C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 33 CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . h1OB I LE H011E SPACES. TYPE OF USE. . . . :COM WASHING IrIACH. . . . . . . . BACKFLOW PREVNTRS. . : 1 OCCUP014GY GRP. . :B2 FLOOR DRAINS. . . . . . . : 1 TRAPS. . . . . . . . . . . . . . . STORIES. . . . . . . . . I. WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . : 1 FIXTURES----------------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . S I NKS. . . . . . . . . . : 1 URINALS. . . . . . . . . . . . . GREASE 'TRAPS. . . . . . . . LAVATORIES. . . . . :,2 OTHER FIXTURES. . . . . : 1 TUB/SHOWERS. . . . :2 SEWER LINE (ft ) . . . . : .100 WATER CLOSETS. . :2 WATER LINE DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . : 100 Remarks : CnnStrur_t 1344 ;qft bldg as addn to existing bldg. Owner: ___.---__.____.._..___..___---___....._....__._--_-._._ ------------------- FEES DREGON KI SOCIETY type amount by date recpt P. O. BOX 2143 PRMT 177. 50 JH J. 1/06/92 — PL.CK 6 44. ;38 JH 11/06/92 — LAKE 05WEGO OR 9717135 SPC T A 8. 88 .JH 11/06/92 — Pficine #: 684-0185 Contract or: -------.--------------------•—•--- SF+4 I NC PO BOX 55505 PORTLAND OR 97238 ---_--_—.---__---__.----------------.—_— Phone #: $ 230. 76 TOTAL Rey M►. . : 73715 ------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Rni.1gh—in Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other PL_.M/Underfloor applicable laws. All worn will be done in accordance with Top—out 1nSp — approved plans. This permit will expire if work is not started Final Inspection _ within 188 days of issuance, or if work is suspended for more than 188 days. I 'F initt:ee Si gnatilre . wu6il. -- __ r> "_i e(i B y. �._.. -----__ ---- ----__--_ Cali for inspection — 639-4175 e • a 1 CITY OF TAARD — RECEIPT 0r PAYMENT RECEIPT NO. :92-23349' CHf-:CFk AMOUNT t 230. /6 CATH AMOUNT 0.00 NAMEe� s SFB INC PAYMENT DATE ADDRESS PO Ekk3% 55 JQIJ SUED[VISION C1F'T�AND, OR 97239... PURPOSE: OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID _ 177.`.i V_l —�� 0 PLAN CHECK FE PLUMBING PERM _ 7T. BUILD PER �� OREGON KI SOCIETY E3W 67TH I [ialA[. c^3 . 76 tiMOUNT PAID I ; Yom\ 4 CITY C-f T I GARD — RFCE I PT OF PAYMENT RECE I F'T NO. 192--233P71 CHECK AMOUNT : 32.50 NOME JACOBS HEATING CASH AMOUNT 0.04 PAYMENT DATE y 10/30;c,r clt'C>REI�6 SUBDIVISION F'I,IRGOSE OF P6IYMENT AMOIINT PAID PURPOSE OF PAr 4 .NT AMOUNT F'AID __ 5.00 Fl-ANCHECKFE I MECHANICAL. RE Si. BUILD P R I•' I I r 1 , i ORFGON V1 SOCIFTY SW 6(ATH PKWY TOTAL. AMOUNT RAID - `> 30.50 INSPECTION NOTICE City of Tigard Building Department % 1 P.O. Box 23397 L Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection -- -- -- --- - Date Requested 7 Time _-__ A.M. _P.M. C4 7 - Permit Address — - — - Owner—__ _-- _ __ Lot Builder — -The following Building Code deficiencies are required to be corrected: r t E i Presen•rd to _ -- - -__-, Approved Inspector jI'1''fiisapproved Date L7 f Z CALL FOR REINSPECTION El YEs ❑ NO .. » JNSpECTION NOTICE City 9t of Ti. aro Building nepart.pntki--, 1.3125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection. Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Ins,•:ection:— _-_�_— ------ — Footing Plbg. Unders1ab Mech. Rough-in Appr/Sdwlk /'Found. Plbg. Top Out Gas Line FINAL: Poet/Beam StruCt. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Unierfloor Nater Line Gyp. Ed. -Meeh. Date Requested: Address: L-f 55 c� Permit 1t �i "(-2 D25 p Builders 4/ .l,5 � 3VLAA�7MA THE FOLLOWING CORRECTIONS ARE REQUIRED: i ---------- Inspector _ __ Datetr APTROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. XNSPLCTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 In�spe-ction: inq Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Be.m Struct. San. Sewer FraminC -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Wates LL'te / ) Gyp. Bd. -Meeh. I Date Requeste:ds G,7rl' __Time: _ AM PN Address:_ e� / Permit Buil3er• j} t THE FOLI.OWI CORRECTIONS ARE REQUIRED: Inapic:tort Dates ��- 1_ APPROVlD DISAPPROVED APPROVED 8UBAECT TD ABOVR Call For Rainep. INSPEGTIOIi NOTICE City of Tigard Building Departoent 13125 SK Ball Blvd. Tigard, Oro7on 97223�� Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection-.R— Irooting Plbg. Undcralab Mech. Rough-in Appr/Sdwlk Round. Plbg. Top Out Gas Line FINALt Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Mg. Ond*rfloor / Nater Lina Gyp. Bd. -Mesh. Date Nequeatedt J L �J_.j_ T as AM�`�C%S Address: % 1�� P silder.s TRB FOLIAWI CORRECTIORE AR= REQOIRM 1 Inspector: 7 -' Date: _APPROVED SAPP D APPROVED SUBJECT TO ABOVE --Call For Reinsp. WWINFLW-1WAW-LW-ARV CITY OF TIGA RD CffYOFTMRD COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PER1111* 13126 SW Hell Stvd. P.O.13ax 23M,TigeM,Oregon V7223 &1%4175 #. . . . . . . : BLJP92-Q1L-:54 DATE ISSUED: 09/11/92 911*E ADDRESS. 12755 SW 67TH AV PARCEL: 2S101AD-0-11-01 SUBDIVISION. . . . ' WEST' PORTLAND HEIGHT'S ZONING: C--P1 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . V33 RE I SSUE': F'LOOR EXTERIOR WALL CONSTRUCTION--- CLASS OF' WORK. :NEW F'I R S T. . . . : 13A+4 sf N: S: W TYPE OF USE. . . :CON SECOND. . . : s f PROTECT TYPE OF CONST'. :5N THIRD. . . . : s N: E: W. OCCUPANCY GRP. :13 1.344 s ROOF CONST :B FIRE REI ' : Y OCCUPANCY LOAD-44 BASEIYIENT. : s AREA SEF'. RATED: STOR. : 1 Hl'. : 12 ft GARAGE. . . : S OCCU SEP. RATED: B S lyl T ) :1,,1 IYIEZZ":N READ FLOOR LOAD. 100 psf LEF*T: f t R(73HJ`: ft F-IR SPIKI-flq SNUK DET'. N DWELLING UNIT'S: FRNT­. ft REAR: ft FIR ALRIA:N HNDICP AC(-,: Y BEDRMS: BATHS: Ity1r) SURF ACE: PRO CORK.-N PARKING: VALUE. $ : 65000 Remarks : Constt-1-1ct 1344 sqft bldg as Addn to existing bldg. Ov4ner— F'EES L)i4[--GON Ki SOCIETY type amount by date V E"L J.-I00 SW 68TH V-*IKW'Y PRrfi r $ 328. 00 JH 09/11/92 - PLCK $ 213. 20 JLH 08/17/92 230636 *TIGARD OR 97223 FIRE $ 131. 20 JLH 08/17/92 230636 Phone #- 684-018- 5PCT $ 16. 40 JH 09/11/92 -- TIF TIF $ 372. 00 JH 09/11/92 - Contractor: SSDC $ 560. 00 JH 09/11/92 - STEVE JOHNSON S 37121 SE GIBSON RD WASHOUGAl- WA c,8671 Phone #: $ 1620. 80 TOTAL Reg #. . .- :30603 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Foot/Fwtrid Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Post/Beam Insp appli-able laws, All work will be done in accordance with Slab Insp approved plans. This permit o-11 expire if work is not started Framing Insp w,th1n 180 day, of Issuance, it if work is suspended for more Roof naiInq Insp than 180 days. Insk.ilat ion Insp gyp Board Insp SUSip Lei Ing ITISP Final Inspection Pet-miLtee Siynatl-ii,p : I s s 1-1 e d B Lall for- inspection 639-4175 SEWER CONKE.UTION PE RM I T �'NOFTIFARD Ai� PERMIT #. . . . . . . : SWR92-0277 CffYOFTNPRD COMMUNITY DEVELOPMENT DEP one" L 13125 SW HWI Blvd P.O.Bac 2M,Tip d,Org9on T-fwnl DATE ISSUED: 09/11/92 ADDRESS. . . 12755 SW 67THAVPARCEL: c!S101AD-01101 5� UBDIVISJON. . . . WETS T- PORTLAND HEIGf* iS Z - ONING: C.-P BLOCK. . . . . . .. . . . LOT. . . . . . . . ... . . . 3,3 TUNANT NAME. . . . . :OREGON KI SOCIETY USA NO. . . . . . . . . . : F*I X rURE UN ITS. . . . I LLASS OF WORK. . . NEW DWELLING UNITS. . z1 IY'PE OF USE. . . . . .COM NO. OF BUILDINGS: 1 INSTALL TYPE. . . . .BUSWR ltylF`ERV SURFACE. . :5280 f Remarks : ConstIr'LiCt 1344 sqft bldg as addn to e>(istinq bldg. Owner. ------------------- FEES OREGON KI SOCIETY typz a;rn t by date reept V'- O- BOX 2143 PRMT $ 2100. 00 JH 09/11/92 - 144KE OSWEGO OR 97035 INSP $ 45. 00 JH 09,/11/92 - �-V)one #: 684-0185 Contractor: CONTRACTOR NOT ON FILE Rey #. C2145. 00 TOTAL 'I ------- REQUIRED I NSP EC I I 01\;S ------- This Applicant agrt-i to comply with all the rules and regulations Sewer Inspection of the Lfi,ified Sewage Agent:y. The permit expires 180 days from the dito 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 prnspect 3 feet in all directions from the distance givpn. If not so located, the installer shall purchase a "Tap and Side Sewer" Tlermit and the Agency will install a lateral. der in i ':t e e Si gnat i.trlb Iss,Aed By : Call for, inspection 639--4175 CITY OF 'TIGARD _ RECEIF-"1' OF r:'t7)Y1I�N'f RECEIPT NO. NAME= a CIRNC"ON KI SOCIETY ChIEC;R AMOUNT ?;4"'1. 40 AJ)DRESS u FSC) BOX 2143 CASH AMOUNT 0. 00 PAYMENT(^�DnTF--' I._At4E OSWEGO, OR ` -70 35- SUBDIVISION PUhr'OEyE OF F'AYMEwNT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BU I L 1)I NO VoE RMCl. QiQt a T. BUILD�_r'�R _._ _.. __...____.__... �af~W1:'C-2 USA �,;101�. LAO �3EWk.R INSPECTlE�, 40 IN�37TTlJTTGNt"IL TIF' FEFC,; 4`�• 0t1► 306. V.0 MASS TRANSjT TIF FEES STORM DRAIN �E,O. 00 DC 66. 00 t I I P..7r 5 SW 671+1 '10JAI, nMOONT PAIL - - - 34.?1. 40 I R a i i CITY OF TIGARD OREGON September 9, 1992 Robert A. Stout Design and Drafting Services 474 Willamette Street Eugene, OR 97401 Projects Oregon Ki Society, BUF 92-0254 12755 SW 67th Avenue Dear Mr. Stout: The revised plane for this project appear to satisfactorily address the items listed in our plan review letter of August 28, 1992. The only item remaining is the etpmped engineered draw:.ngs for roof trusses, which are to include fattening and bracing details. Plans for the mechanical and plumbing systems will require additional review. These plans may be submitted, and the permits obtained, by the sub-contractors. You may obtain the building permit for the project at your convenience. A list of required inspect.3.ons is printed on the permit, as is the teJephcmo number to call for inspections. If you have questions, or if we may be of assistance, please contact us. Sincerely, 1 '^1 GJim Jaqua Plane Examiner PAX (503)68:-7297 13125 SW Halt Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 - �._ /U//s/92U TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT 4755;.W. Griffith Drive• P.U. Box 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2538 September 3 , 1.992 Bob Hart 1.1137 S.W. 66.:h Avenue Portland, Oregon 97223 Re: Oregon Ki Society 12'/55 S.W. 67th 609OB-155-000 Dear Mr. Hart: This is a Fire and Life Safety Plan Review and is based on the 1_988 editions of the Uniform Fire Code (UFC) and those sections of the Uniform Building Code %'t1BC) and Uniform Mechanical Code (UMC) specifically referencing the fire department , and other local ordinances and regulations. Plans submitted for the abo-e noted project have been reviewed and are conditionally approved subject to Tigard Building Department, requirements and the .following items: 1 . Exit.-Door Hardware: A1.1 doors shown on the drawings must be openable from the inside for immediate exit at all times without the use of a key, special knowledge, or effort. UBC Sec. 3304 2 . Couble Door Hardwares: Where exit doors are used in pairs, approved automatic flush bolts shall be used on the secondary leaf. The dcor having the automatic flush bolts must have no d.,or knob or surface mounted hardware. The unlatching of any leaf must not require more than one operation. UBC Sec:. 3304 i • _F._lectrical Plans: Provide this plan reviewer with electrical plans and specifications of proposed equipment showing emergency circuits, exit signs, and emergency illumination, etc. UBC 302 (b) ""'Wking"Smoke Detectors Save Lives Bob Hart September 3 , 1992 Page 2 4 . Fire Extinguisher Required: A fire extinguisher having a minimum rating of. 2AlOB:C must be placed in an accessible location within plain view (kitchen lunch area) . UFC Sec. 10. 301 (a) 5. Lunch Roc,im Stove: Plans submitted show a stove to be located in the lunch area . If it is to be a commercial type or used commercially, it must be equipped with a commercial vent and fire extinguishing systerr. If it is to remain domestic, no requirements will be necessary. 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. If I can be of any further assistance to you, please feel free to contact me at 526-2501. Si rely, Bert Parker Fir Marshal BP:kw cc: Tigard Building Department ✓ 5' t'. !33 7 R ii� August 28, 1992 CITY OF 'TIGARD OREGON hobert A. Stout Design and Drafting Services 474 Willamette Street Eugene, OR 97301 Project: Oreyon Ki Society, BUP 92-0254 12755 SW 67th Avenue Dear Mr. Stout: The plans for this project were reviewed for conformity with applicable codes, and are conditionally approved, subject to the following items being satisfactorily addressed. 1. General Note 5. Wind live load listed at 18 mph. Should be 80 mph, Exposure B. Oregon Structural Specialty Code (OSSC) Section 2311, Figure 23-1. .2. Concrete Note 1. Compressive strength listed at 300 psi. .3. North and south walls of the structure are required to be of one-hour fire-resistive construction. Provide details for the listed assembly to be used. OSSC Sec. 504(b) . A. Openings less than 10 feet from the property line shall be protected as per OSSC Table 5A. k,W. Detail 1, Sheet A10. Floor level at doors to be not more than 1 inch lower than the threshold. OSSC Sec. 3304(1) . 6. Submit Htamped engineered drawings for roof trusses with fastening and bracing details. Plane for the mechanical and plumbing systems will require additional review. These plans may be submitted by the sub-contractors. You may obtain the building p^rmit for the project when the items listed above are satisfactorily resolved. A list of required inspections will be r1rinter. on the permit, as is the telephone number to call for inspections. 1L you have questions, or if we may be of assistance, please contact us. Sincerely, L � �- tt Jim Jaqua, Piane Himiner FAX (503)684-7297 13125 SW Hal► Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 6P42772 OITY OF TIGARD OREGON August 20, 1992 Louis Sloss Oregon Ki Society 12700 SW 68th Parkway Tigard, OR 97223 RE: Traffic Impact Fee for Martial Arts School Expansion at 12700 SW 68th Pkwy Dear Louis: Enclosed with this letter you will find a worksheet showing the calculation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be paid for the expansi.on noted above. The amount of the TIF is $372.00. You have three payment options available to you. The first is to pay the TIF at the time you are issued a buildinq permit. The second is to arrange for payment over time by signing a promissory note. (If you wish to exercise this second option please contact me for additional details. ) The third option is to defer payment until occupancy. Please note that you may appeal the discretionary decisions made in determining the appropriate category and the amount of the fee baoed on that category. A notice of appeal must be received by the City Recorder no later than 3:30 p.m. on September 3, 1992. Although filed with the City Recorder, an appeal would be heard by the Washington County hearings Officer. If you have any cpt tions, or if I can be of furti,er Bervice, please contact me at 639-4171. ext. 390. Singel � i Go caw n Development Services Facilitator c: TIF file Building .'ile I, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDO (503) 684-2772 DATE. PLANS CHECK NO.: PROJECT TITLE: o�cG�N el SG1C/r"N' COUNTYWIDE ra'Q,C�y�4G A,C�YS �yy�L �,ry<LuS✓D�V TRAFFIC .IMPACT FEE APPLICANT: LO /S .SCbSS _ WORKSHEET ox Dov elscr/E Ty (FOR NONSINGLE- FAMILY USES) MAILING ADDRESS: OD 5 A.) — CITY/21P/PHONE: RATE PER 714;62A Di' 17772 3NQ USE Q Y TRIP TAX MAP NO.: RESIDENTIAL _ _ _$146,00 25/ 1.4 /yo0 BUSINE�S AND COMMEtiAI_ ,37.00 SITUS NO.ADDRESS:0 ME I 1 TRIAL 141.00 ,71 INSTITUTIONAL $60 00 PAYMENT METHOD: . WH/CHECK CREDIT H10E_CKCREDIT INSTMMONAL ONLY: BANCROFT PROMISSORY NOM LAND USE GTEC#TY DESCRIPTK)N DF USE EKDAY AVG TRIP RAT WEEKEND AVE TRIP RA TT I:FFE�TO JCCU�'ANCY—_ S�O /�/!R!N 'LLiCIf� •S `i �✓ �4 BASIS: 7 i rp yovo fz�= n 00 21 s 00?T y CALCULATIONS: Ks ���� X /• ,��as� � °-�sC��. ` x A 60.1"= '3'72-tJ o PIIOJECT�t,TRIP GENERATION: _ 7U/'AL �1�I!J[//V 7 l7E —�j FEE' fP .3.72 ADDITIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY_ 1"A05 ZeAoo-'SI,T Sl'/n/7V'a�.,l/ T/< 03G96.Do "tt PARED BY: CC: WASHINGTON COUNTY TIE NOTEBOOK form tif10 (to LU GI LG LJ ut e-0 GG 1e LU ZI GL L3 24 GAJ r' w 1I (C.S. 18,387'y " _ III 1� t s :. I• i HMAPTONOD STREETW fn T T T1052/I O E .T T '� p' —1'- —�---r—�---p q- m +-- 1 3300 3500 I I m 3200 4 5 6 7 8 1 2AC.3 4 5 46e 7 8 11 2 3 4 5 6 7 Be 2.4/AC. 1 + y 36 1 1 1 y 1 1 1 1 1 1 1 n f 36 y 36 N I — 10 + 35 1 10 35 { e r 10 + 35 N Z II t 34 1 II 34 -4 I! + 34 12 33 -4n n 12 33 12 33 N + �( i F t 13 32 N n 13 38 32 (C.S. 19,441) 13 . _ 32 r go 14 (GS I+,925) 31 �4 pF 3400 31 1 F 14(C.S. 1+,869) 31 N r 15 + 30 i F P3 AC 30 15 Iq 1- + 30 N 16 29F I1� 29 ' F 16 + 29 N N m 17 + 28 i 17 28 17 28N !0 + 39 !fs 2 IB 27 18 27 20 4C T T i f T T .T (� 11 T T T '+' T T T 'I[ /F T T l' '+ T -r -r T 1 I1 I I F_I r c o e $ 1 2C) 2I c^2 ?3 2�' 25 I ( 19 20 21 22 23 24 25 c^_6 o --119 21 22 23 24 25 4 19 t- O1 to R Ltd J2!1Y61[S'J2Sytl'Jit� M/ 1� 15125J?.S125J25'J25 J_2S'J_[S) !I0 l�tS'J_25'lt6'�2S'L25' �2S'J2S12S' 60' 2S LS �/ VAQATEt 912/559IL��i�i1 .1�1�►♦♦�a\�\\\\\\ Go, �e-epee ' SEE MAP 2S I IDA aer s Ito LU LI GG LJ GY L� LV ly l_U i=1 C2 23 L`J z _ w (C.S. 18,387) J ` x � PT® N STREET tl I . Yi .. W � «C 1 3300 3500 00 .47 AC. 4 38 AC, 1 2 3 4 5 6 7 8 1 11 2 3 4 5 6 7 e_ 90, I + STA. 78+11 154 00.00 + -L 1 1 F- 9 36 -I I- 9 I 36 10 35 d r 10 + 35 N N / II 34 ir II 34 y nF 12 33 F I2 + 33 �" m + / p `F 3 8 32 105. 9,441) 13 t 32 F 3400 31 i F 14(C.S. 10,869) 31 N fj - 30 15 30 IQ F 16 29 i F 16 2S 1G' N m + 17 28 1' 29 N L 18 27 18 + 27 PO AC 1 T T T + T T T I� II- T T T + T' T T i T' 0 H 9 1� I b $ 1 + 1 � 19 21 22 23 24 25 2610 ;�is o� 19 20 21 22 23 24 25 Q , 19 20 LTI 125' A v! ,� 15 25°125 1P.91251Z! x_25 125 60 1J�25 y2S�lD 126'125_L _L25'-Lt5' 60° 2_5 1 25 1 {� '° "'• '• INITIAL POINT VACATED *12 Mj9 � �l •:• •• ( I ♦ T. to 45' e0 \\ L on, ea-9450 +5 IA. 00 4 .00 SEE MAP 2S I IDA SE 1/4 NE 1/4SECTION . I T2S R I W W.M. WASHINGTON COUNTY OREGON SCALE 1"- 100' r SEE MAP 2S I IAA 23 = 81 z I z �. .: 12 iw 2 67" > VACATED �/ VACATED r 66-44443 S��l G O N Z AG A ST.$ 64-29927 T 'T T T T T -I r I T .T T T .T '�' p O 25' 25' 25' 25 25 25 25 25' 25' 26 25' 25' 25' 25' 25' 30: 30' ?5' 25' 25 25 215' 25 2F 26' 60' X00 1600 w 1700 800 o I C) 15 AC. .9/AC. I i AC. .P4 AC. 100 2 3 4 5 6 7 8 = -- 1 2 3 4 5 6 7 9 1 1 1 /.35 AC. 4 5 6 7 W — loo. 30 (Cs. 10,883' _.I_ o0 X 1 1 1. } 1 J. 1 2000 36 Q `" 1600 900 8 o F 9 + loo' LL� 36 2'3 W 35 ./PAC .30 AC. - "' 10 35 10 e II 34 1500 34 1 n r 11 + 34 N I2A(cs ,974) 33 /2 Ac. 9000 a 12 _( 33IQ 2160 .�F AG 32 /s nr,. 1 $ ; I +` 1 32 C. ..n 2 1400 3 3--__ _. 0 !4 ._3-} 00 2200 31 .45Ac. + { tr 40C)4 4- 31 p �1 .19 AC. 30 15 in / /9 AC. 30 1-, (C.S.22.089) 1 + m 16 29 I IE+ 29 IS 29 to i —ioo � r + 17 2300 ,� 1300 1 100 I; 28 A )> 16 /2 AC. L�, .34 AC. .45 C. N 18 'CS. ,506)27 J loo' r T - -T T T 1 1 F T T T Y T 500 '!400 WIR �w s as •SECTION I T2S R I W W.M. SHINGTON COUNTY OREGON i SCALE I '= 100' r N SEE MAF' p 2S 1 IAA 2.3mo8l its, a 12. W 26 ± + 0 /� r VACATED . G O N Z AG A S t s e4-29927cl--- + - 25' 'S' 25'T25 25' 2� 5' t5''26' 30' 30' 125T25.Tc5; 25'T25'T25�725715. A0 I I 1700 800 214 AC. 100 �f 12 3 4 5 6 7 w 8 i 1 1.35 AC. 4 5 6 7 goo — ao (CS. 10,883) F- ♦srA. 1000. 1600 900 $ o r 9 t 36 ./PAC .30 AC '" .03;1LLl 10 100, i o r + 1500 34 II 34 ./2 AC _ 1000 �- r 12 + _L_, 33 -I0 + / 15 lir 1400 __ ��..— 31 -0 .4.5Ac + tr 400431 IR I rn 15 n /./9 AC. + 30 rn I (C.S.22,089) + 1 r F + 16 29 16 29 + 1300 n 1100 n t 30 17 + 28 A A n .34 AC. .45AC. � N� 18 (rS 8,505)27 � T. T' T T T T { i " I T T T T T 7" i I /� 7 . PLNCK RECT # CITY t312sswtt�i;awd. �OF TIC; A D MBox23397 PERMIT # ('OTtMUNII'1'1)F',VEI.01'MEN'C DEPAR;MINT Tigard,Orcgon97223 (503619-4171 DATE ISSUED _ - 'h JOB ADDRESS: _-An ' TAX MAP/LO �+ TO ISSM*" 29 3c- 3� LANG USE: EY: SUB: _dG0'� _�� -- L.OT: —_ VALUATION: OWNER SPECIAL NOTE NAME: 45�—_ __ REISSUE OF: �D TC ISSUC '* LAST REISSU 13y � ADDRESS: — - �,e��.�.vD FLOOD PLAIN/ PHONE: _ l J� D��� SENSITIVE LAND: —_ — CONTRACTOR, • APpItOVALS RE UIRED SD29Z-oo�0 NAM[: _ ,,�gv ,j�.�ti�vt! PLANNING: ADOR[SS: %�' / 5� _ � k'o ENGINEERING: - _ FIRE DEPT: -- PHONE: Z��� x.55` / SSG _ OTHER: - CON1R. BOARD #: Poo JoNNss an82 EXP DATE: — ��-�'f3ITEF6 REQUIRED SUBCONTRACTORS: PLUMB: — LIST/SUBCONTRACTORS: MECH BUS TAX: -- ARCH ENGINEER C"' ) CALCULATIONS: — ----- NAME: TRUSS DETAILS: ADDRESS: i//3? 5 _ OTHER: -- ,er PHONE: . Z93 � 2- - PROPOSED BLDG. USE: — COMMENT y-1kL T-'(Q APP ICANT SIMM Received By: _ _— Date Received: 17 !L _ AMOUNT AMOUNT PD. BAL. DUE {'lIZMIT ACCT DESCRIPTION - _ 10-432 00 Building Permit Fees 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 L/?• ZO Building - Plumbing — Mechanical 10-230 06 fire w')V 477 30-202. 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees — 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-GI 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 560 00 (SSDC) 2.4-445-01 Water Quality (Fee in lieu of) _ — 24-445-02 Water Quantity (Fee in lieu of) TOTAL 09u UITY OF TIOARD RECEIPT OF PAYME11T RECEIPT NO. s 9; 0 cl X36 - CHECK ('MOUNT . 40 NAME a OREGON KI SOCIETY CASH AMOUNT 0. LAO 01A)RESS a PC) BOX PAYMENT' DATE 08 1'7/92 L-AKE OSWEGO, OR 9-7035- 90BP I V 19 1 ON PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF t-AYMEN'i MOUNT V"Al 1) 4FT Fi 8,0 TUALATIN MLL. la-ioo sw -1'0'f*AL AMOUNT' Vlilll-) :;44. 40 Form 2a _ SUMMARY =buildinggen=Us"Oly project I1.Project name - ,50 �� S\ ' ��� umber 2. Project address 1 W Plany3. Cityi town 9 —q, F3uildin area(Sf) — ments: ❑ New construction ,�-- New addition - Interior remodel Compliance paths for new oralterations to Compliance path for new or alterations to lighting Attached systems: Forms ext rior building em slope. Check only one: Form 5a Form 3a y Interior Lighting Power Check boxes to Proscriptive Path Form 5b indicated Form 3b Interior Switching and Luminaire Count attached forms Component Performance Path Form 5c Compliance path for new or alterations to HVAC �'Exterior Lighting and plumbing systems: Form 4a ❑ Systems _ (b) Zither (a) Description of Document Docu- #of Pages _ --- meats - Enter all supporting calculations, test reports and catalog cuts. IS. Firm i company APPhe"t S. Name of applicant a('T_ O t e Or 9. Telephone number 6. Representing �'��� _-- __ 110. Date 0 I y 7. Signature -- aec ar �e r aw Fomi 3a PRESCRIPTIVE PATH Building 1_ Roof area(sf) l 4. Wall area(sf) Areas 2. Skylight area(sf) - 5. Glazing area(sf) 2 �� 3. Divide line 2 by line 1. Use this 16. Divide line 5 by I ne 4. Use this value for your Actual Percent Skylight�� C value for your Actual Percent GlazingCli Zone �e Compliance Criteria A r B/ C� D E F I G Actual Values Minimum Single Double Single UValue Double IU-Value U Value cv 1 See figure 3a for Glazing Type Glazed Glazed Glazed 0.5 Glazed 0.6 climate zones. Maximum SC Glazing (cooled buildirgs) N/A NIA 0.6 0.5 N/A 0.6 0.4 !^, SC=Shading Maximum Coefficient. Percent Glazing 94° 17% 18% 21% 27% 37416 46% 1 � � C Hr= Total Wall Minimum Ri 5 5 10 5 10 10 10 -, Thermal 1 L Resistance The Minimum Rt SLIM of the Roof; (without skylight) 1 13 13 13 13 13 13 13 3 resistance for all Ceiling � Minimum Rt p of the r.�drvrdual I 17 17 17 17 17 17 17 I� components of _ 1 (up to 3%skyligh0 rhe assembly Slab-on- Minimum R Value 5.8Grade (unheated slab) � 4.5' 4.5' a 5' 4.5' 4.5' 4.5' 4 5' f� ' .B for heated slao Floor Minimum Rt 13 i 13 113 13 13 13 7 I 7. Does design meet target? Enter one of the package letter(A-G)if all the components meet the L_ criteria. Otherwise try Form 3b. Climate Actual Zone 2 Compliance Criteria A B C D E F G Values _ _ Minimum Single Double Single U•Value Double U-Value U-Value See figure 3a for Glazing Type Glazed Glazed Glazed 0.5 Glazed 0.6 0.5 climate zones. Glazing Maximum SC N/A N/A 0.6 0.5 N/A 0.6 0.4 (cooled buildings) _ SG=Shading Coefficient. Maximum 5% 9% 15% 21416 24% 29% 360,16 Percent Glazing Rr= Total Thermal ;all Minimum Ri 5 5 10 5 10 10 10 Resistance The sum of'he Minimum Rt resistance for all of Roof (without skylight) 16 16 16 16 16 16 16 the individual Ceiling Minimum Rt comoonents of the 24 24 24 24 24 24 24 assambly. (up to 3%skylight) Slab-on- Minimum R-Value 5.8' 5.8' 5.8' 5.8' 5.8' 5.8' 5.8' 8.2 for heated Grade (unheated slab) 5180. Floor Minimum Rt 13 13 13 13 13 13 13 8. Does design meet target? Enter one of the package letter(A-G)if all the components meet the I criteria. Otherwise try Form 3b. Envelope Slab on•Grade Perimeter insulation installed with minimum total distance ^ 1 x Floor _ of 24 inches per the Code. Section 5303(d) NJ 7C' Manufactured doors and w'ndows are certified and building 544-11L o��w+, Enter the Al. '_eakage rb -y'j reference to plans joints are sealed per the Code, Section 5303(e) and specifications Va r barcier material is rated at one perm or less and1 Moistu.a Control inspa lad per the the Code, Section 5303(f) i" 1 iiaesi 11 WU IWU OF M Form 3b - Page 1 pERF0RpA NCE PA'TIT COMPONENT � �- - - .•- $1111(ilnQ 1, Roof/ceiling area(sf) �Areas '-----� 3, Divide line 2 by line 1 O 2. Opaque root area(sf) 3 3 _--___ 4. Skylight area(sf) , O 5. DiviLe line 4 by I'me 1 v 8. Wa'I area tsf) I )� _— - - A,—Div,ce line 7 by linu 6 7, Opaque wall area (sf) 10. Divide lino 9 by line 6 O -- 9. Door area(sf) - -I I _ 12. Divide line 11 by line 6 U h i II11. Glazing area(st) BMWL� —.- ---- - _ - A'tualfll t 3. Opaque wall R, ---- ; ] 14. Divide line 8 by line 13 Uu - Walls aIIfir12/+ 1d, Divide line 10 by line 15 O Rt R Total Thermal 15 Door Rt Resstance. The I;L sum of the — - �+���I• �1��` J� I IS iMultlplY IIne b.' Line 12 resistance for all of 17. Glazing U Value r,, the+ndividual n I 1 I components of the 19, Actual Uo wails. Add linel4, lind 16 and line 18 — --_ assembly --- - — — - — Aatual 20, Wall Mays (Ibs sgft) Orry . - Walid 21. TDEQ(from the Code,Table 21. Multiply line 21 by line 14 53-D) - �-- Required for 23. Climate Station(from the Code, •7o r�t(�.,Nt l mecharncally Table 53-A) cooled building 24. Solar Factor(from the Code, 1 +Z only Table 53-A) J 201, Multiply values in three lines. 25. Glazing Shading CoefficientQ+ Line 24 by line 25 by line 12 d 27,gum,mer Design Temperature (from the Code.Table 53-A) - - -- Z9. Multiply iine 28 by line t 8 28, AT Subtract 72 from line 27 ? C.� ?0. Actual 0 - walls. Add line 22, iine 26 and lino 29 line 31 Actud I 32, Divide line 3 by , 131, Opaque roof/Ceiling Rt Uo - Roof/ `_ — 34, Multiply line 33 by Line 5 Coiling 33. Skylight U-Value - L35, Actual Uo- moficeiling. Add line 32 and line 34 _ - " __— - Envelope Slab-on-Grads perimeter insulation installed with minimum fora,distance — -� - Floor of 24 inches per the Coda, Section 5303(d) _ 1 eferenc Manufactured doors and �rindows are ce,tified,and wilding F�tgr the Air Laakage joints are sealed per the Cade. Section 53U3(e) _ ro pians ,�r0 _ ;pec'canons Vapor barrier material .s rated at one perm or loss, and — Moisture Control installed per the the Code, Section 5303(f) _ Ker � +rs Form 3b - Page 2 COMPONENT PERFORMANCE PATI. � Comply- (•) (��� ance Compliance Criteria Actual Enter compliance Walls , Maximum Uo cntena values l• �/ , I t-� from the Code, I Maximum OTIV' Table 53-A in -- �-- column(a). Roof/Ceiling Maximum Uo Enter your actual Floor over Maximum 'Jo 0.08 4- values in column Unheated Space — (b) Unheated 'Remi red for Slab on Grade Minimum slab _ mechanically R-Value Heated coaled building L slab only. 38, Does design meet target? Enter"Y"h all the components meet the criteria, Otherwise redesign. 1 Notes and Comments I _ i Fono 4a - Page 1 SYSTEMS Cooling (a) I (b) Ic> (d) With _ Exceptions: (from the Code,Section 5304(a) 1) Outdoor Cooling w�;h Less than Less than Heat Fan System Fan System Outdoor Air? 5,300 efm? 134 Mbh? Decovery?AiT Others 1.D. Description (YIN) (1'/N) (YIN) (YIN) Each tan system shall be designed to use outdoor air `^rte tMD for cooling. 4 .• 2 "K "'T_ v A See ro.'rructions for inn systems exempt — lron these ' requirements. _. Simultane- 011S Type of System Requirements Reference to Plans (from tue Code, Section 5304 la; 4) and Specifications Heating — -and Multiple Zone with Supplied air is automatically reset to the warmest temperature Cooling Reheat' possible _ Single Zone Sae rnstruci;c._ 'reheat ant cooling is automatically sequenced for systems exempt with Reheat from these Cold land hot)deck supply air is automatically reset to the requirements Dual-duct R Multizone warmest (and coolest)temperature possible All Systeois Supplied air is automatically reset to the coolest temperature with Recool' possible _ Concurrent Heat and For concurrent operation to a space, heating and cnoling is Cooling -automatically sequenced and heating is limited Equipment �-- -�--- — - I Requirements Reference to Plans Perform- Type of Equipment (from the Code, Section 5304) and Specifications ance Mechanical Ventilation Provided with a readily accessable shut-off to each System mechanical ventilation system Unitary AC and Efficiency rating in accordance with the Code,Table 53-E Heat Pump Water Chiliing !Efficiency rating in accordance with the Code,Table 53-F Pachages Water Cooled Efficiency ratting in accordance with the Code,Table 53-G Heat Pump Package Tetmrnal AC Efficiency rating in accordance with the Code,Table 53-H Ire— and Heat Pump "`���` Heat Operated Efficiency rating in accordance with the Code,Table 53-1 Cooling Equipment Boilers Efficiency rating in accordance with the Code.Table 53-J Furnaces. Unit Efficiency rating in accordance with the Code.Table 53•.1 �►. , — Heaters, Duct Heaters All Feat Pumps Equipped with controls to prevent heater to operate when the heatina load can be met by the compresso-only �anQ Form 4a - Page 2 SYSTEMS Duct (- -- Insulation Duct System Duct Location I Requirements Reference to Plans (from the Code, Section 5304(c)) and Specifications Hearing zone in On roof Or heating degree on exterior of bldg R-6.3 with a vapor and weatherproof barrier (�I days(HDD): Attics,garages, o r =below 4500 R-4.2 with a vapor and weatherproof barrier - 2-4501 to 8000 Coling and crawl space C 3=over 8001 System In walls,within floor-ceiling spaces F'4.2 with a vapor and weatherproof barrier i See Table 53-K, Conrrete slab or AL from the Code, for under ground R-4 or better other acceptable insulation types. On roof or Zone 1: R-2.1,Zone 2: R-4.2, on exterior of bldg Zone 3: R-6.3 Vapor bame!% Attics,garages, Material wirh a Heating and crawl space one 1 R-2.1,Zones 2 and 3: R-4.2 perm rating not system In walls,within - 4O exceeding 0.5 Zone 1: R-2.1,Zones 2 and 3:R-4.2 perm. All loints,to floor-ceiling spaces be seated. Concrete slab or under ground R-4 or better N System -- Contiol Type Requirements Reference to Plans (from the Code. Section 5308) and Specifications -- Thermostatic Temperature range; heating (55 75),cooling(70 85;, and both heating (� Control and cooling(55-85)with up to 10 deg►eas between full heating i cooling \a�� Humidifier 8 Provided with controls to prevent new energy to be used between 30 to Dehumidifier 60 percent relative humidity �I _ 1 emperature Thermostat for each HVAC system and floor Zoning Se?back and Setbark rid shutoff controls for each HVAC system. Dead band 't1_' Shutoff thermostat for both heating and cooling system (68-75) - — _ r, Mise ------- _,-_.-- Piping and Type R3quirements Reference to Plans Plumbing (from the Code, Section 5307. 53(181 and Specifications Mechanicai Thermally insulated in accordance with the Code. Section 5307 Piping Showers Provided with a flow-control device to prevent flow over 3 gpm `' _ )0 V l!• ,( 10-. rHeatingpiping y -rProvided with devices to prevent flog d ever 0.5 gpm and outlet — temperature of 110 degrees. n _--- - — Thermally insulated in accordance with the Code, Section 5308(c) ing Thermally insulated in accordance with the Code, Section 5308(cl r Hot water temperature is adjustable and automatically regulated r Providad with a shutoff devise to oacfhot water supply system; Zelectric -switch,gas or oil-valve Comments � I Form 5a INTERIOR LIGHTING POWER interior (a) (b) (c) (d) Vie) Lighting Power Density Floor Area Multiply Power Occupancy Group Space Type (W/sf) (sf) (c)by(d) Budget _ .� �e arc t 13 1. Total Intericr Lighting Power Budget(W). Add amounts in column(e) Interior (a) (b) (c) (d) (e) (f) Optional Control Credits' Lighting Luminaire Descri tior: Lumin- From Quantity (g) (h) (I) Q) Power Fixture afire Tab. of Quantity Lum. Lamps Power 5a? Lumi- Multiply Control PAF with Multiply Columns(g) 1.D. Ballasts (W) (Y/N) naires (c)by(e) Code Value Controls (c)x (h) x (i) through 6;are 4�E control!. /� y r c s Rr _72- �� 7 3 I controls are T� e used, _ W '-. enter the PAF — 7 - value from Control Code Table below. � 1 e Lti 4� 6�•�-- �-' If you have more uc luminaire typeslcontrols or J - M/ �- rooms than can fiton this form, tile �� two or mare forms topether as shown J below Identify C1 oY.� each page by r'T— circling the G - - A C appropreate tile. c F{ ���t _`_ 2 –� 3 — — 4 — 5 6 �— --' — — 2. Total columns(f)8 Q) 7 7 3. Total Adjusted Lighti,c. Power (W), Subtract 2 Q)from 2(f) A. Does design meet target's Enter"Y"if line 3 is less than line 1, Otherwise,redesign LY—__ Control — Dayllght Sensing —_ Code PAF _Other Control Types Code PAF Code On/Off G 0.10 Programmable Timing P 0.15 Table Multi Stepped Dimming M 0.20 Lumen Maintenance L 0.10 Continuous Lein ^img L C 0.30 Occupancy Sensor S 0.30 111/P; AqkAk Form 5b INTEMOR SWITCHING & LUMINAIRE COUNT (e) (b) (c) (d) Note t Check if r-— space is under _ Count of Interior Non•exernMed Luminaires and Control Type 400sfandhas a T� cv 3 c� I.c. I.D. LD. LD. 1.D. 1.D. LD. LD. LD. 7D. I.D. l.D. I LDindividual localcontrolso o o [{1J [ �1 [ �l [�1 [ l 1 [ 1J [ 1 18 C Note 2. Check if Room Number °�,' �; mode Code Code Code Code Code CodelCode Code Code C'-)d Code Code space is over 400 I or Description I ✓j y fj [ 1 [ 1 [ J [ ] [ 1 [ J 1 [ 1 [ 1 I 1 [ 1 f ] [ ] s.and has cxmtrols to G r - deci ease lighting power by cne-half, while I (� mainlining partial v _. lighting thoughout J the space -1E\�� �f NOW 3Check if Space has windows and has- controls ascontrols to tum off fixtures nearest to - windows. Column tel,e•iter Me luminaire - - identification number f! lighting control is used,enter the —� control code from - Control Code Table below If you have more IUminalre '�- typesiconfrols Or rooms than can fit _ On this form, file �— nvo or more tornrs 'X'ether as shuwn below. ldent1ty each _ page by circling the appropreate — tile - k4B - -- 1. Totallumiftres 2 Control ---Daylight Sens—Ing Coos _ Other Control Types CodeCodeOng-r O I Programmable Timing p "Table Multi-Stepped Dimming M Lumen Maintenance L Continuous Dimming l—— g Occupancy Senor S 11()1114 - Form 5c EXTEM®YZ LIGHTING Llgb' frig rl Length of buii fin _ Powe, g g perimeter (tt) Budget 2. Totai Exterior Lighting power Budget(W). Multiply line 1 by 7.5 _ Exterior E-7 (b) --_ M --- —_ Luminaire Count of Exterior Non-exempted Luminaires Count Automatic Lum. Lum. Lum. Lum. L_um. Lum. Lum. Lum. TControls? I.D. I.D. I,D. I.D. I.D. I.D I.D. I.L. Ali extenor Exterio (Y/N)' ) [ luminaires must �1 — naveauromahcuh cnntro!s 3. Total luminaires Exterior (a) — T(bj Lumrnaire_Description: (c)`— (d) (el M Lighting _ Fixture Luminaire From Power Luminaire Lamps Bower I Table 5a? Number Multiply L0• t)allasts (W) (Y/N) of Luminaires (c)by(e) vj24 o PL — 4. Total Exterior Lighting Power (W). Total amounts in column(f) — 744-- 5. A ,,5. Does.les,,lo meet target= Enter"Y"if line 4 is less than line 2 Otherw;se, redesign. L_ nnTu City of Tigard MECHANICAL PERMIT Planck/Rec. # ^_ 13125 SW Hall Blvd. APPLICATION Permit PO Box 23397 1 '031;: Tigard, OR 97223 (503) 639-4171 •�• • ,a•«� Description Table 3A Mechanical Code OTY PRICE awlT ... .lob 1,7, J 1) Permit Fee _� O- 0• !0.00 Address w� 2) Supplemental Pe�mi! 3.00 Fumace t100,600 o r11 T' 1) inc,' ducts&vents ' o.JO ,l�l✓� .i•v En.. Furnace 100,000 STU + Owner2) incl.ducts&vents 7.50 ua �• Floor Furnance 3) incl. vent 600 �» w�^•• +�•« SuspendW seater,wall eater Jia•rr a 4) ur floor mounted heater 6.00 Vent not iurc.in Occupant 5) appliance permit 3.00 ry-,w,• Repair o seating,re ng. 6) cooling,absorption unit 600 Boiler or comp,heat Hump,air con . 7) to 3 HP absorp unit to 100K BTU 6.00 •+•v^*•«• ile, or camp, heat pump,air cond. 8) 3-15 HP absorp unit to 500K BTU 11.00 Contractor --- —�— Boiler or comp,heat pump,air con . 9) 15.30 HP absorp unit.5-1 mil BTU 15.00 w. •• N. My Ta.to Boiler or comp, eat pump,air cond. 10) 30-50 HP absorp unit 1-1.75 mil BTU 2250 ere by ac now ge that I have read is application,t at a Boiler or comp,hent pump,aircon . information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that plans submitted are in compliance with State Air handling unit to laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given Is correct. (If exempt from State registration, - it handling unt! please give reason t r,inw.) 13) 10,000 CTM . 750 Jon portab a -- 14) evaporate eoolor 4.50 Vent an connected 15) to a single duct ¢ 100 "— Ventilation system not 16) included in appliance permit 4.50 served y 17) mechanical exhaust4.50 Describe work now addition 1W a ieraGon 1 repair ' m .omerua or in e-stna to be done residential C) non-residential' 19) type incinerator 30.00 Existing use o , / 4/ - ter i.e.,wo stove,water qr building or property Vl�(�/1� -gn1 ,/ 19) heater, solar,clothes dryers,etc. 2— 4-50 Proposed use of --T— 20) Gas piping one to four outlets j 2.00 2,06) building or property_ //'?✓i i _ 21) More than 4-per outlet Type of fuel•oil Q natural gas LPG(`. electric O NOTICE Minimum Fee$2`.00 SUBICTAL 3�7,W PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. S IOTA L }fJ.70 L Special Cond'tlons Date issued! by w0W.W 12755 SW 67TH AVENUE -- �A• 1 si t- VI 1� L'I to L(1 N r-I i w.M..M+w,ne��MMMrirM,pae�,:.gRFwcav�r-+.n+..r+yF,+iv.�•»...,.�..rw„1V,aMaMwnll�rwr.s1�,sMF..wxarria9MM�'•rpt-.,, . ...:,{�,;.�...nl�.. CITY OP BUILDING PERMIT APPLICATION TIGARD DATE— — 19 *r p' _ 1�� " 564 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATM OR AS SHOWN AND APPPOVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE NER / " J, • �_ ADDRESS � BUILDER PHONE ENGINEER ARCHITECT DESIGNER STRUCTURE ONEW ❑REMODEL r-1 ❑ADDITION ❑REPAIR CRENEWAL ❑FIRE DAMAGE rt-�� ODEMOLITION L.JRESIDENCF ❑ Q COMM ❑EDUCATIONAL GOV'T ❑RELIGIOUSOPATIO (ACARVDRT ❑GARAGE [:]STORAGE-0SLAB [FENCE r BOND ❑MOVING UCONDITIONAL USE DDESIGN REVIEW CCOUNCIL APPROVED OSIGNS OCCUPANCY--LAND USL ZONE _—BLDG.TYPE_ FIRE T_ONI—- PLAN CHECK BY_._ HEAT^. OCC LOAD _ FLOOR LOADHEIGHT NO.STORIES AREA — VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit / ), "M- - -` THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS COki AINED IN THE BUILDING CODE, ZONING Plan Check RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE'S, AND IT IS HEREBY AGREED THAT IAE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND Fr'ECW:CATIONS AND IN COMPLIANCE N ITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS I ERMIT DOES NOT WAIVE — — RFSTHICTIVE COVFNAN(S. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY Bust4ESS T%State LICENSE. SEPARATE PERMITS RECIUIRED FOR SEWER, PtUtABING 1ND HEATING. Total � J•�—` 8y - ----- -- ------- •— APPLICANT OR AGENT Approved Receipt No. __. _..._ ADDRESS PHONF- _- ---._ , REMARKS PLUMBING DATE DATE INSP. TYPE INSPECTION �.------- Contractor —^ Permit No. ------------ — - - - -`-' Rough-in —� -- Fixture _ — "— -- Final - ----- HEATING -- -- — — I �ontr.2ctor — — Permit Plo. -- — _ Gas or Oil Rou h-in _ -- Final — SEWER - -------- --_ __. .—__ Final �, - ------ -- ----_.�� -DRIVEWAY v—_—._ ------�.�.--------__---__— Final —._. ----_— Storm Draina _ —_-�— �-- ------- - (Rain Drain) Final - _ --`_--- Sidewalk _ Curb R Street Final� ---------- - — — q roach -- - --- ----- BLDG.DEPT. FINAL TEMPORARY CERTIFICA1 E OCCUPANCY fine! --.------ CERTIFICATE OCCUPANCY — LandsLnping 13 ) _ �1 Zonir..i Final