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12060 SW MAIN STREET-3 i —•l _._ _ ._—._..— y....,. ._-.. .. ....-._ _ _ .SPR i N KL.F R r_ j I• 3Y�;7fM XISTif�� EXISTING 11 �.A�M K CAa M RECEIVINC-3 AREA I ►s�lr��� ' I , 1 � 1 i �iI�F-1 C t S,nIC _. r FD uj �'/\ O co co I 4ei I Ld Uj Z Ld 7 Y j • 1 S uj I ' 1 1 ' I ' I r N a j I ley Approved.... ..: ITY OF TIG O ........... , w l4 Conditionally Approved ,. ..........................[ ,: c O For PER10 t ^rr�r' .}}.��.Vd In:•'f..................... �r -- xIST I NC, } Atf�cfj.................. ....................... .� I I NEW CONS-f R l)('.T I b N ,lob AMrfj^s: `yam „ _� ...... .� I By: ��LL cat ' t- f Datey!, T!1W 0AILt'r FIRL MARSHAfI OFFICE ui <1,- I ! �t'l AI LY AP .� VAPIIInOVA � S- rs yy �.Qee I �''�•M! � raw , 1. vr I Aie art PLANS Il�r+;n, _ �P��or n K F C I s�-i ,;Tr ETTEA n . . . . Job 1(*1) (:� SW IlWrN STRE:E T I U I " 1�� E Shoot 1 OF _ .._J y v.?w:VH15x L � � _. _. _ _ r _ - --.1•_...._,_ , .. -_�.. .._...�_ -�'A�'di.--.mow._ _.. ._...._.6 ._ .._ - _ _ mss-.- f _—_ _____ �__.. _-. -. . _— .1•.,.r.r. A r.•.., - : . I F THIS DU N a�f� :. �4,�„,. � �.,�.I,�:�K „�`�'. •.•,- �. ,� . •, CUMENT I S LESS I I I I I I I I I I I I f I I ! I I P I I I I I I +rAe�eaF+Nt�ll►W., , • F ;�L�, � 5 '�°,A�'I "`° ( I I I�t T�t III r I I I I I I I f t I I�` IIIIIIII ;, �p LEGIBLE THAN THIS NOTATION, I 4 I I I I I I OCT06E Z�i 99 �L 6 7 8 ( Til. R 3 4 7T IS DUE TO THE QUALITY OF — - ------ ,., THE e"�, ORIGINAL DOCUMENT. No.) �sd�.r"' �. ENT. -__ � �• _ `•:. ' c .'.. ;[4�'�y+�J`Io ;`, t{:�µ"Gt �'`?;r.;,�`�'�M +r�41� � h'�t� • I t �,9 .a, _ ..__ ".' ,�, �`� ,. a•�,;I�, y ��� _' .. 1✓ 8Z 9T, GZ 9 t9l, 9t GT T 9i �•i St T,. MI � III`,. IIIIIIII IIIIIIIIII !IIIIILIIll! IIIIII !III L 10 .a 1 IJlll III�Ln. Illl�lll I Iwll �'�+�� y:r','�`N, IR'• ::.AI is . tx �'�N i. �Im�,a. ?r�; s!I:., �IY; j'i�1;. '1,•i;.-' a ,f '" �rl, '�,�•;� ���• ,f f. 0 �. „�x�F 1, '” "�� r��1 < �• ��I � ,r 4��� ,7 Y'�4 t� TSI a a�tJ r '�� t9 4 .: e 4 i�. �E I Y I N • 7 i Lu Lu Z) Lu �I _ tkW F URI�TNG STRI;�S r' 2y" A•� . E X TCS 2,t4 CEIUNC� ni err e. 2.ti o.c:. SWEETRDCK ") M EXTC-w l/v" PLYWQGU ---4 � i� SLOTTWALL t a BLOCK i .. n' �� V2" SHE 6-0 11-0 --�,► 1u-a C Y T'G __� I .--------- _ VL SNE ETR OC KL [A I _ EXT G g 21011 1 -- l- 77 X :. �... Z Q , SE ►_ITION D� AIL A a 3ECTIDN DETkL B o r .J (o Q N r Date f . . Scale Drawn Job 5 , 12(._.)66 SW MA 7.riI`jkttfi Shoot OF r YA Popp 1- T7 Sh�� •. IF THIS DOCUMENT IS LESS � � � � I � ( I I t I I ( I I f I I I I I I I I t I I r r1r 1� I I t t r 1�1 I I f I I I I fi I I I I I I I a LEGIBLE THAN THIS NOTATION, I _ } JL _ 6 1 g �1 OCTOgCR t, IT IS DUE TO THE QUALI'T'Y OF u� ` "�� °° THE ORIGINAL DOCUMENT. _ c.30 AI, ZBZ LZ 9 Z 6Z S Z I�Z .�Z 8T BiLt 9T 9i � 6i £I ZT TT T 8 L 8i�, I�IIiI II II I � IYI I�illl►IIII�II IIII�IIIII II i II �il�l IIIIII�IlII II III I II I II�IIIIIIIII�IIII II! i III I I � � i � : III I III I i ISI►�►III IIII Illl�llli�, II►I�IIII Illilllll II l�llll I►il�llll IIII�IIII IIII�II I TT iIIIIIIIIIIIII�IIIIIIII Lal llll�lllllllll�llll :� �s; �lll Illlw , z� it i; - til'",I..��� ,i,. !�.}' 4,; I •..I, ���k .'f`; r a t(-. .t i .: ii �# �ISf r x •. . .,fir, ,: r:., �. ,,, �.+,. , I � N w= S , 0 N t e A% 4 s �Frvjy x '.�n� PYA �kip SIGN PERMIT PERMIT #: SGN90-0056 DATE ISSUED.. . . : 07/10/90 EXPIRA'T'ON DATE: / / PARCEL.. . . ... . . : 2S102AA-00904 ZONE. . .. .... . . . : CBD BUSINESS NAME. .: VALUE VILLAGE V SIGN LOCATION. .: 12060 SW MAIN ST h APPLICANT/AGENT: MIKE GRADY BUSINESS TAX NO: YS ii..............f fifii SIGNS FREEWAY ( ) PERMANEN'i ( ) FREESTANDING ( ) ELECTRCNIC ( 1 TEMPORARY (X) WALL ( ) BALLOON ( ) OTHER ( ) BILLBOARD ( ) SIGN DIMENSIONS. . . . . .* 4' X 25' TOTAL SIGN AREA. .. . . . : sq.ft. WALLAREA. . . . . . .. ... . . sq.ft. WALL, FACE (DIRECTION)* NA SIGN HEIGHT. . . . . . . . . . : 25 ft. PROJECTION FROM WALL.: in. ILLUMINATION. .. . . ... . : NON DESCRIPTION OF SIGN: Temporary balloon sign to be displayed 7/6 through 7/8. No flags or pennants. A penman en 160 eq ft (5' X 321 ) wall sign on a 1500 eq ft north faring wall, COPY* Value Village, Materials: plex. MATERIALS. . .. .. . . . . . . : MYLAR EXISTING SIGNS. . . . . . . : 1 ELECTRICAL PERMIT REQUIRED: NO BUILDING PERMIT REQUIRED. . : NO ADMINISTRATIVE EXCEPTIONS. : N/A PERMIT FEE: $ 10.00 APPROVED DY: v\ — DATE: 07/10/90 Permit No. CITY OF TIGARD SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the aeecepanying plans and specifications. SIGN !DC'ATION ADDRESS: I�' ;:,Vj 1}"�f)/I J !�-T ZONING: { NAME OF BUSINESS: J, r)( C _—_ APPLICANT/AGENT: /0I r£ Ct,141.;Y OOMPANY: "T1 I PHONE: `n The City of Tigard imposes an annual Business Tax which must be kept current on all persons doing business in the City. Do you presently have a current business tax? YES ( ) NO ( ) U.L. Label # PROPOSED SIGN: (Check as many as apply) PERMANENT ( ) FREESTANDING. ( ) FREEWAY ( ) TEMPORARY WALL ( ) ELECTRONIC ( ) OTf[ER ( ) BILIN ARD ( ) BAT LOON SIGN DIMENSIONS: _>t/ �� �� � ��� EXPIRATIO DATE: TOTAL SIGN AREA (Sq. Ft.) : WAIS, AREA (Sq. Ft.L: — WALL FACE: HEIGHT (Ft) — PRCITECTION FROM WALL: ILLUMINATION: YES ( ) NO ) TYPE: COPY: MATERIALS: F,XIMrf% SIGNS: ADMINISTRATIVE EXCEPTION: N/A (��f APPROVED ( ) HOW MUCH % AREA ( ) HEIGHT ( ) 0144EN 'S: PLANNING DEPAR:I]MERr _ All sign permits must be acocmpanied by a scale Permit Fee: x drawing and plot plan. If work authorized m er Receipt No. _ a sign permit has not been ccnpleted within ninety I By: _y days after the .issuance of the permit, the permit Date: shall become null and void. EtE=CAL PERMIT I CERTIFY THAT I AM THE RECORDED OWNER OF THE RBQIMZFD: YES ( ) NO ( ) PROPER'T'Y OR AN AGENT ATMiORIZED BY THE OWNER. BUILDING PERMIT REQUIRED: YF ( ) NO ( ) Applicant's Signature cp/BM-)FRMr Address Telephone N:\WORD\OCMEV\ 07/05/90 12: 17 12503 624 7305 VALUE VILLAGE ... CITY OF T I CARD 10001 FAX ,la'd -7297 RoK VoJv` V' "OL 1 ' &a (/POW FAX # - j�aq ~ 7ft5 /,)0 F -75 Gy P�.v�c,� Av7..7 a ol-> ol i 1 _. .._._.._..,...._.......__._....r i (4- 1300 �.11�on Jody 161 -71 Y t 6eq- 3g8q ova s���. ^-- Fye 7-0 P , evekx4vll►)a Hca 5yo -r /` ,21H hUW, v 11 N tS NICx P s Pu a,u/ (76�1� O �Ud ,31j[S C'� (J.Wo� lU� ✓rsa-b�e n� s�hc�c_fiw.a su�wrou,,,,Pir� r,�,p� ::TTY OF 'rIGARD PECE:IF"r OF PAYMENT RECF..^.IPT NO, %9 2 0 271:.7 C' CH CI, AMOUNT t ().(WJ 'I,4ME VALUE VILLAGE CASH AMOUNT t 10. -XOPF.S':� MIKE GRADY PA'eMENIT DATE" 07/r:51(:(�Q 1':�206() SW MAIN STPEET SLIK)J V I S I ON TTGAPD. OF., 97227:.— , :_F+GSE OF PAYMENT AMOUNT PAID F'URPOSE OF' F'A'e'MEI\Jl' AMOUNT PAID -EPIF E(ALLOON -01*i�;1L AMOUNT PAID t SIGN PERMIT PERMIT #: SGN90-0052 DATE ISSUEL ,. . .s 07/09/90 EXPIRATION DATE: / / PARCEL........ .: 2S102AA-00904 ZONE. ..... .... . : CBD BUSINESS NAME. . : VALUE VILI"XGE SIGN LOCATION. . : 12060 SW MAIN ST APPLICANT/AGENT: RANDY MAWHIRTER BUSINESS TAX NOt rrrrrrrrrrrrrararrrrrrrrrrrrrrrrwrr�rrrrrrrrrrrrrtrrrrrrrrrrrrrrr�rrrrsrrrrrrr slax: PERMANENT (X) FREESTANDING ( ) FREEWAY ( ) TEMPORARY ( ) WALL (X) ELECTRONIC ( ) OTHRR ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS. ... . . : 5' X 32, TOTAL SIGN AREA... . . . : 160 sq.ft. WALL AREA. . . . . . . . . .. . . 1500 sq.ft. WALL FACE (DIRECTION): N SIGN HEIGHT. . ....... . : ft. PROJECTION FROM WALL. : in. ILLUMINATION... .... . . : INT DESCRIPTION OF SIGNS A permanent, 160 sq ft (5• X 32•) wall sign on a 1500 sq ft north facing wall, COPY: Val Village, Materials: plex. MATERIALS. . . .. . . . . . .. . FLEX EXISTING SIGNS. . . . . . . : 1 ELECTRICAL PERMIT REQUIRED: YES BUILDING PERMIT REQUIRED. . : NO ADMINISTRATIVE EXCEPTIONS. : N/A COMMENTS: PERMIT FEE: $ 35.00 APPROVED BY: Y / ��t w11 � (/►/Lz' / �`z�'�1�J��%Z- DATE: 07/09/90 Permit No. CITY OF TIGARD --- SIGN FF..Krr APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the acooahxanying plans and specifications. SIGN LOCXUON ADDRESS: ��i"i is J C�% - ,'�-t-�� --- TONING: - — NAME: OF BUSINESS: r APPLICANT/AGEN�': .� r�k' -�'C�,,,.� C[�ANY: `��atQ.L✓�[� 2 PHONE: The City of tigard inposes an annual Business Tax which must be kept current on all persons doing business in the City. Do you presently have a current ?xisine<s tax? YES ( ) NO ( ) U.L. Label # PROPOSED SIGN: (Check as many as apply) PERMANENT FREEMTYINDING ( ) FREEWAY ( ) TEMPORARY ( ) WALL ( X ) ELEcIRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS: _ X 3 _ - EXPIRATION DATE: TOTAL SIGN AREA (Sq. Ft.) : WALL AREA (Sq. Ft.) - WALd, FACE: 1Y _ 11F.IGIrr (Ft) 14 0=10N FROM WAIL: r'. _ -- ---- / lM L ,/ ILiIMINATION: YES No ( ) TYPE: 7 COPY: MATERIALS: _ EXISIUM SIGNS: — i ADMIMSrRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MIKN -% AREA ( ) HEICHr ( ) PLANNING DEPAKIMtNr All sign permits mast be accompanied by a scale Permit Fee: - = _- - drawing and plot plan. If work authorized under Receipt No: _- a sign permit has not been cxmaleted within ninety Approved By: days after the issuan'oe of the permit, the permit Date: �-_ shall become null and void. IIBC'IRICAL PERMIT I CERTIFY THAT I AM IHE RDODRDED OWNER OF THE RllQU( EN: YE, ( ) NO ( ) PROPERTY OR AN AGEKr AUTHORIZED BY THE OHNM. BUILDING PFI MIT _ RE?Q TMF-D: YFS ( ) NO ( ) Applicant's Signature cam/IIKM IDNI' Address Telephone N:\W0RJ)\C0MDFV\ - _..�._.._ 75- hVALUE VILLAGE:, /i r, krsm S16AI Gtr- O.L.�.1�►� .�N -7/q/?0 TTY OF -rr.rA D PEC.:VTFiT CSF F"A`r'MENT RECEIF''r t\io. C H CP ArU;.lt.lrJT e . 1t7Df'r''ci�1 F='Ct DOW. ?.`"rs; Fk CASH AMOUNT l�,.tc:+I ON 'r 1 Ci?FaF'i rJ, Cl F;' �,'"';`k _ F.-I- ~'r'OGE OF PAYMENT AMOUNT rA[o N"'IJF.'F't. SE OF N-4YMENT I', 45 00 I I I r C:Ii Wl ��r1CjllhJT F r�:f 45. 0i"' IN �rTUA.LA'TIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT FIRE WRSHALS OFFICE (503) 526-2469 POSTED: FAR r OCCUPANT CONTRACTOR BLDG. PERMIT it PROJECT NAME PLAN REVIEW 4k LOCATION 0 G 0 '5t o ^'l I ,j I I JURISDICTION: 1= Be. 2= Du. 3= K.C. 4= Ti. 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC COVER `, SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL ❑ Framing ❑ Separation Walls ❑ Sprinkler System ❑ Shaft ❑ Fire Dampers (Overhead/Underground) Alarm System ❑ Hood Extug Systems ❑ Conference Spray Booth ❑ Ceiling Cover ❑ Other (IJV-1, - N � � f L•+ -14vP Al IP S 44 tw o�Dv4) LQ1 Date: ' � Q U Inspector: �1 � � (��a :k G CERTIFICATE OF CITYOFTIVARD OCCUPANCY COMMUNrrY DEVELOPMENT D ) Room RD PURMIT #. . . . . . . t BUP9@---0il9 13126 SW Hall Blvd. P.O.Box 7M97,Tlgmd,Oregon PRIM. PE'RMI I #. v BUP90--.0119 --- ---. --- DATE ISSUE:Da 06/22/90 SITE ADDRESS. . . t 12060 SW MAIN ST PAR(A-A_t 2Gl@2AN•-0090,. SUBDIVISION. . . . t PAYLESS SHOPPINU CENTER ZONINGS CBD BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . tl CLASS OF.' WORK. a DEM TYPE OF USI~. . . a C;OM OCCUPANCY GRP. uBP OCCUPANCY LOADt TENANT NAME. . . tV0l,A.IF: VILLAGE Remarkst Interior demolition of tenant spare Ownert ALPERTSON'S 17001 NE SAN RAFAE.L PORTLAND OR 97e39 Phone Mt e51--95ie Contractor r NORTHWEST HOUSING CONCEPTS 3800 SW CEDAR HILLS PLVD SUITE: #145 BEAVERTON OR 97005 Phone #t 644-6789 I Rep #. . v 58635 OCCUPAnCy of the albov(p refrrernced huildinq im ha!rpby given, Anti r_e�rtifiwp the compliance with the Stant. Of Clreg(:)n Sper.•ialtz/ Codes for the group, oC p,r.nCy, And trot+• under which the refe�renred permit was J. tted. F IRE�DLPARTME PT 1t_DiNG INSPI. BU1LDI OFF IC;rfa POST IN CONSPICUOUS PLACE INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 r r Type of Inspection - -- - -- Date Requested—��d U Time ,l�- A.M. P.M Address .._-_ _�trz%.�_._---- - � 5- -�.6 -- Permit Owner _._.__.S.!�l 1�i�� _ Lot # __ Builder - ----The following Building Code deficiencies are required to be correctdd: --- i Presented to _—.__ ,Approved Inspector Disapproved 0�� Date /. CALL FOR REINSPECTION ❑ YES ❑ NO i i INSPECTION NOTICE City ()I Tigard Building Department P O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested ___ _ l/�—y3yJ _ Time._�_/__— A.M. _P.M. Address %L12 c� y `%'/�41/X�` __. 5.�' Permit #iQ -C:L;/9 Owner— sY.�r�� — _ Lot # Builder The following Building Code deficiencies are required to be corrected: j I J \ - - - -- ' ----- - -, 4- Presented to ___ , Approved Inspector __________-__ . _____.._ Disapproved Date ALL FOR REINSPECTION El YES El NO PEPSIN Vq�t.� TUALATIN VALLEY FIRE & RESCUE F� AND ® BEAVERTON FIRE DEPARTMENT FIRE MARSHALS OFFICE (503) 526.2469 POSTED: F4R II OCCUPANT 0.e. CONTRACTOR BLDG. PERMIT 1k ')- <J I l PROJECT NAME PLAN REVIEW 0 LOCATION df w JURISDICTION: 1= Be. 2= Du. 3= I:,C, 4= Ti. 5= Tu. 6= Sh, 7= Wi. 8= CC 9= WC 0= PIC COVER FINAL SPECIAL FOLLOW-UPIREINSPECTION ATTEMPTED FINAL Framing Separation Walls Sprinkler System RShaft rl Fire Dampers (Overhead/Underground) ElAlarm System u Hood' Extug Systemsr❑ Conference El Spray Booth Ceiling Cover lJ Other _ z , ra goa Date: �,� 1 Inspector. N V,�� TUALATIN VALALEY NDFIRE & RESCUE ~ BEAVERTON FIRE DEPARTMENT _ FIRE MARSHALS OFFICE (503) 526-2469 POSTED: OCCUPANT CONTRACTOR BLDG. PERMIT 0 PROJECT NAME PLAN REVIEW 0 LOCATION / G 0 JURISDICTION: 1= Be. 2= Du. 3= K,C. =�'Ti- 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL El Framing F-1 Separation Walls Sprinkler System Shaft El Fire Dampers (OverheadjUnderground) Alarm System Hood' Extng Systems El Conference ❑ Spray Booth Ceiling Cover Other IVY 2 -- - -, ----------- 44 We NN� qaY - C� 9� �33 (Date: l� /3 v� Inspector: � S/2 9/91pVT — TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT 4755 S.W. Griffith Drive• P.O. Bux 4755 • Beaverton, OR 97076 • (503) 526-2469• FAX 526-2538 May 17, 1990 Northwest Housing Concepts 3800 S.W. Cedar Hills Blvd., Suite 145 Beaverton, Oregon 97005 Re: Value Village 12060 S.W. Main Street Tigard, Oregon 97223 Gentlen+.en: This is a Fire and Life Safety Plan Review and is rased on the 1.988 editions of the Fire and Life Sa°ety Code (UBC), Mechanical Fire and Life Safety Code (UMC), Uniform Fire Code (UFC), and other local ordinances and regulations. Plans are conditionally approved subject to the following items: 1. Automatic Sprinkler Plans: Plants referred to and examined by this office contain no provisions for the alteration or installation of automatic sprinkler system. Not less than three sets of plants for the installation shall be submitted to this office for approval prior to installation. UBC 302(b) 2• Use of Premises: This building has been reviewed as a Group B Division occupancy retail sales store. If other activities are to be conducted within this facility, such as refinishing of furniture, steam cleaning, high piled storage, etc., then the building will need to be reclassified and evaluated for fire and life safety fire protection. I Address Required' The tenant space number must be prominently displayed on the street front where it is readily visible to drivers and officers of responding fire apparatus and other emergency vehicles. UFC Sec. 10.208 4• Fire Fxtinguisher Requirements: Not less than one (1) approved fire extinguisher(s) with rating of not less titan 2AIOB:C; shall be provided for each 1,600 square feet of floor area or fraction thereof. The travel distance to an extinguisher from any portion of the building shall not exceed 76 feet. UFC Standard 10-1 Note: 1,600 square feet shall be applied to the receiving area and 3,000 square feet per unit applied to the retail area. "Working Smoke Detectors Save Lives Northwest Rousing Concepts May 17, 1990 Page 2 b. Approved Plans on Job Site: One set of approved plans bearing the stamps of the building department issuing the construction permit and this office must be maintained on the project site throughout all phases of construction and must be made available to building and fire inspectors for reference during required construction inspections. UBC See,. 303 6. Required Occupancy Certificate: Prior to the use and occupancy of the project (space), a certificate of occupancy or other written instrument of approval must be obtained from the building department issuing the construction permit. UBC Sec. 307 If I can be of any further assistance to you, please feel free to contact me at 626- 2602. Sincerely, Gene Birchill Deputy Fire Marshal GB:kw cc: Tigard Building Department =' TVI, Inc. INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard. Oregon 97223 Phone: 6394175 Type of Inspection Date Requested Address / Time A.M. _P.M. _. --�� �-Q- .���� Owner _ - hermit Builder Lot---—L�L1 �1t. �— --- --- -------- The following Building Code deficiencies are required to be corrected: - --. resented to _ 1 -- --- — — — ,1 Inspector f �1�`7 Approved- Date S `-- — -- Disapproved -----_ __ CALL FOR REINSPECTION ❑ YES [A NO CITYOF T167ARD OREGON May 7, 1990 Bob Chaffin TVI, Inc. 11400 SE 6th Street, #220 Bellevue, WA 98004 Projects Interior Remodel, BUP90-0140 12060 SW Hain Street Dear Bob: The plans for this project were reviewed for conformity with applicable codes, and are approved. Please submit plans which show any changes or addition* to the automatic fire sprinkler or mechanical systems, plans must be approved, and separate permits obtained, for any such work. You may get the building permit for the project at your convenience. If you have questions, or if we may be of assistance, contact us at any time. Sincerely, Jim Jaqu Plans Examiner FAX (503)684-7297 13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 --- IM11—DING PERMIT # DI7t U V,.1 1.)0 Q)1.40 CITYOFTIFARD MY RD v.-Epmul , [:,E,RM., I ". ., CCMMUNrrY DEVELOPMENT DEPARTMENT 01100" 13126 S%11 HWI Blvd. P.O.Box 23397.TIONd,Oregon g7M(N3)0394175 L L SITE. AJ)DRLSS. . . t 12060 SW MAIN 61' CENTER 7(ININ(3: C,B'D .SS kJOPPING SUBDIVISION— 1-:'AYLE BLOCK. . . . . . . . . . .* LOT. . . . . . . . . . . . . LXTE'RIOR WALL CONSTRUCTION REISSUES FLOOP AREAS------- N 2 St E'.: W C CLASS OF WORK. FIR3T. . . . ..30951. s f OPEN I NOS?------"' 'OM SECOND. . . a sf PROTECT E: W; TYPE OF USE" ' "(' THIRI)- - - - "- Sf N: FIRE REI`�'"Y CONST.TYPE OF' CO 30951 If ROOF CONST:P OCCUPANC,Y GRP. -"PP TOTAL---------"- f AREA SEP. RATED OCCUPANCY LOOD%890 BASE'MENT. Occlu SEP. RATEDA GARAGE-- - Sf STOR. HT- 120 ft RE':X4D SE1E1ACKS-­­--­-­­- REEOU I RED—— ­­SMOK-DET. . vN DSM Y-: -.N mEZZ?iN LEF T I f t RGHT'. ft FIR SPKL9Y C.*Y FLOOR LOAD. . . . : 125 Psf F RNT: ft REAR: t t FIR PLR11:Y HN1)T[-',P OU, DWELLING UNITS"' IMP, SUP R 0 (,U RR 1i N P P R K 114 G L'i L 1)R rl S". PRFACE.: PATHS c f,e ci e vi 11 q V(41 U F,. $. T 0 30000 jjite-rio,r pv,t:itiojjs fo'r offices 8 Renia-i4ts". FLES pt Owrie,r: -t;ype amomit by dAte TVI, INC P AY11 $ 202.G5 J1 1.4 04/26/90 61*H StREEA #220 0. 0(4 ;11-IJ 05/04/90 1.1.400 S-E- PAYVI $ PRMT $ 193. 00 BLI._I_EVUE WA rJ8004 PLCK $ 125. 45 Phone 02 20(;, 462- t515 F IRE* $ 17.20 5PCT $ 9. 65 Coliti'ac,to-I't ­­.-­--­-­.­-- PAYM $ 202-65 JLH 05/05/90 NORTHWEST HOUSING CONCEPTS 3800 SW CEDAR [JILLS BLVD SUITE #145 BEAVER TUN Or! 97005 $ 40`;. ;30 TOTAL p h 0 1-1 e 644--678` Req 58635 RE'OUIRED INSPECTIONS This pervit is issued subject to the TegUlAtIOTIS contained in the Slab Insp a Specialty Codes and all other 1--riAmiliq 1115P Tigard Municipal Code, State of bre. IIISUI-A'tiOn 11r-P applicable laws. All work will be done in accordance with (•;yp F4oard Irisp ......... approved Plans. This persit will eApire if work is not started acts r issuanc@, Or if work is suspended fur sore C;eiI nq Insp ......... within 188 days of Firial 11'sPec"L11.1 ------- than 188 days. .......... ........ ""µ"••"" ............ ...... ................ ...... UT .......... F..i S Lk e(J CITYC)FTIFARD PLUMBING PERMIIa''l �Y RD F'E::RMI:T N. . . . . . . : PIL.M90 0087 COMMUNITY DEVELOPMENT DEPARTMENT one" 13125 BW K' RIM. F,EkMII a. : BUF"90-0140 Fldl Blvd. P.U.B=23397,ng".Or�pon 97 (f 0076 DATE ISSUED: 05/07/90 _ SITE:: ADDRESS. . . « 12060 SW MAIN ST PIARCEL": 2S102AA._-009c)y SUBDIVISION. . . . : V'AYL.ESS SHUF'PI:NC•, CENTER ZONING: CBI) BLOCK r LOT. . . . . . . . . . . . . : 1. CLASS OF' WORK. . «AL.'T GARBAGE: DISPOSALS. . » MOBIL"E. HOME SPACES. TYPIE OF' USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRIS. . . OCCUPANCY GRP. . r B2 FLOOR DRAINS. . . . . .. . ;, 'TRAPS. .. . . .. . . . . , STORIES. . . . . . . . .. 1 WATER HEATERS. . . . .. . I CATCH O,' CATCH . . . . . FIX'T'URES__....._._._.___.___.__._......_ LAUNDRY TRAYS. . . . . .. . SF RAIN DRAINS. . . „ .. SI:NKS. . . . . . . . . . .. 1. URINALS. . . . .. . . . „ . . GREASE. TRAPS. . .. L..AVATORIES. . . .. . w OTHER F'IX'TURES. . „ .. ,. TUB/SHCIWERS. . . . r SEWER LINE: WATER CLOSETS. . - WATER LINE (ft) ., . . ., a DI131AWASHERS3. . . . « RAIN DRAIN ( ft) ., „ .. . Rema-rk.ss: Tenant Meda Inte•rio•r partitions for off:ir..ess & reci.eving a•reA. Adel rril-. K water F"E.E ci TN(' type A1110WIt by date •re.CPt: 11400 S:i. L. 6TH S1'REE:1' #Rr22o FlAYI11 $ 26. 25 JL_H 05/07/90 BF LLEVI.IL WA 98004 5P,CIT $ 1.. 25 Phone M: 206--462-11515 Contractor: -- - - - —•"•—_.____.__w.__.._.._.__ __......_._.._"._ NCIRIHWE:ST HOUSING CONCEPTS 3800 `.1W (::E:DAR HILLS BI...VD SUIT'S:: #0145 BEAVE.RTON OR 97005 1410ne 0#: G44—6789 $ 26.iii, 1'0TAL.. Req ##. . « 58635 _.._....._.._. RE:QUIRF-1) INSPECT IONS - - ..__.... This permit is issued subie^t to tht regulations contained in the R at.tg h—i.n Ins p Tigard Municipal Code, State of Ore. Specialty Codes and al'. other Top•-01.1t .1nsp applicable laws. All work will be done in accordance with F"incl Inspect o.on approved plans. this permit will ei,11re if work is not started within 188 days of issuance, or if work is suspended for more than lAA days. __........__..__..__.___..._..._........_..._..... _. __...._..__...._ __..__.__._... 1' r m i.t t e e c.;i t 1.1'r c« �C"= c r!L _..._..._._..........._ .._"".._.".._.._..._...."_........_....._.._....._...... CaI1 for 11-14;PeCtion 639--41-75 CITY OF TIGAR D RECF..."IIPT OF PAYMENT PECEIPT No. 190--200581-5 CIASU: AMOUNT a 202.65 NAME: a THRIFT VILL.AGE/VALLIE: CASH AMOUNT a 0. UD ALA)RESS a V I LLABE/GAVERS PAYMENT DATE a O'S U 7 90 11400 SE 67FI 51T. P)Ull*r% 220 SUBDIVISION BELLEVUE, WAS 98004-- 122060 SW MAIN ST V-11RPOSE OF PAYMENT AMOUNT PA I D PLIRPM.-F' OF PAYMENT AMOUNT PAID P' 'ILI)ING F,EPM RIP90-1.)140 (10 '-37 . BUILD PER 9. 615 Tn"i"AL #��MQUNT F'Aff) 2 M"'. 6 05 OF' TIGAPI) RECEIPT CIF- F'AYllFt4,r Rem-i F,r NO. Iq WATSON PLUMP YNG CO CC� �O� P' AMOUNT w'40--20'015,91 15,9 1 9 D P E S vi E. RURNT-)fr,L:- CAt-.,H AMOUNTOri F-:'AYMF-NT DATE 0"to 0 7 0 Pori-rLAW)t OF,. c; ,.040 1 V I F;10 OF PAYMENT '"MOUNT PA TD F*URPO5E OF F'AYPIF4rjr SJq PlAiN ST AMOUNT PAjr 0-0- F'* S1.1 11-D P ICYTt'AL AMOUNT 26.2',, C41—Y OF TIGARD Pl-'.CEIPT OP PAYMENT RECEIPT NO. 190--200420 CHECV. AMOUNT a 202. --',5 NAME a THPJFI' VILLAGE CASH AMOUNT a 0. 00 ADORESS t 11400 SE 6TH ST PAYMENT DATE a fl, Z'6 f'9 0 SUITE 220 SURD I v 1.51.0111 FELLE'AW, WA 98004— 12060 SW MAIN•Ci I" PURPOSE OF PAYMENT AMOUNT PAID PI.-IRPOSE UP" PAYMENT AMOUNT l-,AID I--'LAN CHECK FEE: 1:'5. 2,5. 45 TUALATIN VALLY FIDE- -& RES 7 7 2 0 -rOTAL At-11)UNT PAID RD BUILDING PERMIT 1'�:R E r Cinr0FT1krYARD P I CM" IM IT #. . . . . . . . BIJI), 0, COMMUNITY DEVELOPMENT DEPARTMENT Ong*" PIERM!T et. : F,U P,1;,0-0 11.9 13125 SW Hall Blvd. P.O.Bat 23397,T*W,Ormon 97223(SR40 04/23/130 . )" b A*1 L .1.S 13ITE ADDRESS. . . i 120C.,0 SW MAIN S1 PARCEL: FIS102AA-00904 SUBDIVISION. . . . : PAYLESS 1SH0FIF'TNG Cl**.NTER ZONING: CBD DLOCK. . . . . . . . . . I LO'T . . . . . . . . . . . . . .. I ................... REISSUE: FLOOR EXTERYQR WALL CONSTRUCTION- CLASS OF WORK. :DEM FIRST. .. sf Na S.- EP W: 'ryr,E OF' USE. . . ICON SECOND. ,. sf PROTECT 'TYFII:-- OF' CONST. 13N THIRD. . . .. . sf Ha So Ea W OCCUPANCY GRP'. IF2 TOTAL._ __ 0 sf ROOF' CONF3T ii FIRE RET11; OCCUPANCY LOAD: E4ASEl1Ll-41*. sf AREA SEC). RATED: STOR. s HT. : ft GARAGE. . . sf OCCU "TEP. RATEDr BSMT?-. MEZZ',Ij REOD SETBACKS----------------- REQUIRE:D-------..--_.__...---.___....__.-..._... F'LC.)OR LOAD. . . . a psf LEFT: ft R 6 H1 ft FIR SPIKL: SMOK DET. D W F I.-I INU UNITS: F RNT*." ft REAR: ft FIR 01-RM-. H 11 D I C .1 ACC;: BEDRMSn BATHS: IMF, SURFACE: PIRO CARR: FORKING VALUE. $1 0 Remarks: Interior demolition of' tenant space Uwne-r- FEES ALBERTSON I S type aMOUI-it by date recpt 17001. NE SAN RAFAEL r1AYM $ 15. 75 JLH 04/21/90 PIRMT $ 15.00 PIORTI AND OR 97230 5PCT $ 0. 75 Phone H: 251--9!.512 NORTHWEST HOUSING CONCEPTS 1. i800 SW CEDAR HILI S PLVD SUITE "145 BEAVERTON OR 97005 I*Ihovie #-. 644 6189 $ 1.5. 75 TOTAL 5863r.5 REOUIRED INSPECTIONS this permit is issued subject to the regulations contained in the Final .inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other .......... applicable laws. All work will be done in accordance with ...................... ........ ....... approved plans. This permit will etpire if work is not started ........... within 180 days of issuance, or if work is suspended for more ....... .............................. than 190 dad;. .............. .......... .............. ....... ................ ...... .......... Call for inspection 639-4175 CITY OF TIGARD RECEIPT OF PAYMENT RI:f-i: I r I NU. 40-20W,;�14 CHF.'( 1 6MOUNT 15., NAME e THRIFT %111...L.AGE/VAlA1E D 1)R E S a V I L-LAGE-,SAVEPS FAYHENT DATE 1140L Sr e.,TH SUITE' SU EID I V I Fi 1011 PELLEVUE, WA 98004-- 12060 SW MAIN ST (-)F' P'A'YMENT J-14MG)LINt, FAID PURP05E OF PAYMENT AMOUNT PAID u L 1 15. 00 -5't. PUILT) PF.PPllT 'TAX Ti% rarAt- o�MOLJNT P(AIL) 5 CITYOFTIGARD BUILDING PERMIT F' 1,"IT NO. : BU892495 crlr .w COMMUNITY DEVELOPMENT DEPARTMENT oMoo� TE ISSUED: t1/28;89 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.15113)839-4175 JOB ADDRESS: 12060 SW MAIN ST TAX, MAP/LOT SUP: LF: PV: LAND USE: LOT SIZE: VALUATION: f 32.750 SETBACKS FRONT: REAR: WORK CLASS: REPAIR DWELL.I.INITS: LEFT: RIGHT: (ISE: TY;+k: t OMMERCIN NO.BEDROOMS: EXT.WAIL CONST: CONS,.TYPE: NO. HATHS: N: S: F. W: OCCJP.GRP. PROT.OPENINGS: OC�UP.LOAD N: S: E: W: TOTAL ARTA: N).STORIES: CST: ROOF CONST: A FIRE RET? H11GHT: 2ND: AREA SEPAR? RATED: PAILMENT'? 3RD: OCCUP.SEPAR? RATED: MEi.ZANINE7 BASEM'T F( OCR LOAD: GARAGE: FIRE SPRKLR? ALARM? FLOW(GPM) DFTFCT^ L _ Hl_B I T Y--� HIlf'-4'_a r i:ESS:' PLAN CHECK BY: REMARKS: Replace roof -- Con Glas6 RI-34A-CAF' REISSUE OF NO. LAST REISSUE O FEES: W Albertson's PERMIT $206.710 N E 17001 san rafael st PLAN REVIEW R port Iand or 97230 FIRE DEPT STATE 'TAX 410.33 — – --- OTHER C DEVELOPMENT CHARGES: N SDC(STORM) R CASCADE ROOFING CO. SDC(STREET) A 14905SW 741H AVE PDC(p ) C Tigard OR 97224 PREPAID ( > T O PHONE (503) 626-2711 R REGISTRATION NO. 39079 TOTAI : $216.83 This perrnit is issued subject to the regulations contained in Title 14 RFCF TPT NO. of the TMC. State of Oregon Specialty Codes. zoning regulations - -- — ---and all other applicable codes and ordinances, and it is hereby REOUIRED INSPECTIONS agreed that the wark will he done in accordance with the plans and OTHER* specifications and in compliance with all applicable codes an,' FINAL ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city business tax permits. This permit will expire and become null and vutd if work is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to assurn all required Inspections are requested and approved c / Pe ittee Signature• I *roof Issued By — SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE Conetraetion Inspection ® Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23914 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone 15031841-0114 Date Molded: 14161 19—.7 _— Job. No. GP218 Howard Draw-tea, Ino. Client: __ ---- --- --- ------- — Allberteoa°e Food Canter Address: Tigard ti, OreVn __.___ --- ------------------ _.-___ Howard hrovtor,o IFIC Contractor: _ — Sub-Contractor: -__-- Concrete Supplier: S1 .I.NtnR4tu_ ___ Cost by: D° D. Laader • r Weather: -- Clow Temp. high: _—_-----j, Temp. low: i.Qada,T; rs.mp� Location of Concrete Placement: ..____ ---------- ---- ---- --- ------ — 3300 St,ength Requirement: PSI 63 _-v20 do•;•s Slump: T -- % Cement Type: __. ®. — No. of sacks:..—_—.___ Entrained Air Hot waterC,aloivi n nhlorida Admix, Amount: Brand:_— —Admix, Amount: Brand: Coarse agg. site: _ 1t ---TYPe:_ - �17at�C1�l'tbl --- —Fine Agg. Size: Specimen Specimen Test P Repi*ter DateDote Totol Area Unit Load Report No. Type Days Number Recd. Tested Load PSI No. 1 J. A 6 X 12 7 44'.8 1-2' 2 9 71 n 000 28.27 2514 36 1.� B 28 440 14 ;2� M27 27 11 ---C 28 4430 1--27 .n y 28M Remarks: ant Tigard Bldg, Dept. ---tea ar'GOon e rocid L;(11245era u rump ^st?. Denali D. Zander P.E. Constructir)n Inspection 9 Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)641-4114 _5 7q 1�-2e5 .�.� � tea'•..?.J.G� Date Molded: ., 19 . -_ Job. No. �= Howard Hrwion, Ina.. Client: ------- ---- _.,_.—__--_ ----- - N 313r,+rtjrml m Por.'d Center Project: — TARard, arepn Address: __-----_._--�_- -_- llowra rd Brewton, INC,, Contractor: ------- Sub-Contractor: Concrete Supplier: _ Cost b): (" em., Weather: _ _ Temp. high: ___—_—__ T±mp. low: Location of Concrete Placement, 4" Strength Requirement: PSI 0 _- days Slump: ._._-_ .l Cement i ype: ________.____ No. of sacks:_— — Entrained Air .-- Not waev i c;n,J.oinin aa12t�:r H'= Admix, Amount: s Brand Admix, Amount: ______ Brand: . 1 riE3i:jx[' 1. Coarse agg. size: - --- - Ti pe' ---- --- - Fine Agg. Size: . .131 a Specimen Specimen Test E Register Dote, Data Total Unit Load Report No. Type Days Number Reed. Tasted fLead )(� �f�te0 PSI No. A XdJA!.4/ / '!� �i (i(_•5i� L4l)` '��.J,l"1 dl ,.9 Gar wA 0'3 4350 43 B .. 4,�, t,.,� r ��'" 1 Uc0 , � 1� C 28 ;�).--2,3 120,000 28,P1 4240 43 D E F Remarks: c: Tigard Pldg; Dept,, Rf.ahatvl 1a�ltei�lu! 35:. Ansae- 9?. aenell D. Zander P.E. Construction Inspection 9 Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 Phone(803)6414114 REPORT OF CONCRETE TEST-SPECIMEN S 1. .21119 •r•� Job. No. — , Date Molded: -- Client: Howard 1}roeii:ror�t Inn. __ _--------- ----- __--__---- Albt�x�n�lonw" F'"GOd 000`r Project: Address: Address: _— ----- -- ` — HOtw►a&I'd Almaytoxi0 no Sub-Contractor: _—.---- Contractor: ___-_ --"---"_-�— — Cost by: — — Concrete Supplier: _— — -- -- Cltar Temp. high: — temp. oW: — — Weather: _— --- - y"1" tsi2.0 61 �D" !(Ind' from noir h i%,PPwxc„ Location of Concrete Placement: Strength Requirement _�----- -- — --- PSI a days Slump: ---_-- — F Entrained Air -_— ---------� No. of sacks: Cement Type: .----- .., . , 1% caluiwo Chlarids --—..Brand: — Admix, Amount: Brand: --Admix, Amuunt: . .inlclr,r. 1 � --...Fine. Agg. Size: ----- — Coarse agg. size: Type: -- -- Daft Total Area Unit Load Report S ecimen Test P Register Date Tested Load PSI No. JP-Nj P _ Number Recd. T Type Days Otto:} 1-2r a".8 V ! x12 1 I .C23 44.111 ,-�2, t"?8 X41 :t..2r ? �::'i. 211 :?f II _ -- L__- Remarks: _._----- :r::l$;'l9.1'••eo ---- lr;:fl.;lhe`..'Ci EhtA@b11r► -- Denell D.Zander P.E. Construction Inspection & Related Tests Carlson Construction Consultants, Inc. of Oregon P.O.Box 2391A T igerd,Oregon 97223 Phone(603)641-111.1 REPORT OF CONCRETE TEST SPECIMENS Date Molded: _-1 2!?. ` Job. No. C.n-218 Client: _ ?iG1sfliY`t� ATot?t(,L, '.n: . --------- -- -----__ — Alber-t ons ' Fc l)d Project: .--- — — -- _—_ ------ ---- Address: _ ``l�tr?Ax$r Oxft +Ya— —�-- --- Howrard i",]Petit"n c r"" Contractor Sub-Contractor: - Willamette Cast by: T. ane�a Concreta Supplier: Weather: — T,— ___ — Temp, high: 34 (lung. 65 W: - Location of Concretw Placement: __—_ Floor 01100 4 bay. ,, from nouth approxi 301 vide X 110° long i v 3500 Strength Requirement: PSI o __23 days Slump:_..-___ No. of sacks: — Entrained Air %Cement Type: _ __.— % Brand Admix, Amount: Brand QC ��0i � IS�iAdmx, Amout ---- --- T e: L¢115'Qtl1 ,__-- Fine Agg. Size: __ � , Coarse agg. size: ____ ---.----- YP --- ---� Specimen Specimen Test P Register I �afa Date - Total - Areav Unit Load Report No. Type Dnys Number Rac'd. Tested Load _ PSI _ No. — c A 4409 a 500 — -- —— , B '' W ll 1A�-2 2 �21 26 a F00 ey,;e 447 t c .T 4411 1-25 ` 2' 2r202 21.1,.E 8600 D E — F Remarks: 't .z ! ltagr'sr�,en' ,a Pr., But UQU --- — '�'A.'�+.'a�xd. .i�l,d�a Denell D. Zander P.E. Construction Inspection & I:elacted Tests Carlson Construction Consultants, Iii.;. Of Oregon P.O.Box 23614 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(603)641.4114 l"20 '1 Il; . ) Date Molded: N, 19 Job. No. Howard Brorton, Ino, Client: _ �__ ---- --- ------ _ --- -- — Albortnon's Food Csn�4 rs Project: Tigard, Ox,eVn. Address: – t�ov and f9ra�r�o , Traci, Contractor: ___.__— — Sub-Contractor. Wil.,sane-40I Concrete Supplier: _ Cast by: {Jn Leach B Weather: Temp. high: ______ 54 Temp, low: , "lrowd al��.'s rcf;��ax�r ren� iwS.ttg zrl x'altt ar om° Location of Concrete Placement: ._ Sire- Ith Requirement _ PSI _____ days Slump: Cement Type: ___________-__.–______._.-_ No. of sacks: __.______- __ __ Entrained Air Admix, Amount: _ Brand: Admix, Amount: _Brand: lk H aftro.1 11 idg, Coarse agg. size:_.__ _—_--- Type:-------------- -----._-- —.____._..Fine Ago. Size: �Specitnen Specimen Tart to Resister Date Date Total Area Unit Load Report No. Type Days Number Recd. Tested Load PSI No. 9 A F .x 1.2 7 U,43 -QT 113 000 :'B 27' P.940 I 9 B xa 4344 _ �.� _ "18 27 28 4 ,45 2e.27 D E F cot CAtrot Ti&,v Remarks: R+otiard Ffamaym JA Asrociatam Denell D. Zander P.E. Construction Inspection i! Related Teats Carlson Construction Consultants, Inc. Of Oregon —• P.O.©ox 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone 160316414114 Date Molded: 19 Job. No. Howard Alrewton t Inc, Client —�-- -- ---- — Alberteon°e Food Centers Project: Ti gas d, Oregon Address: --- ltovp.rd "rowton, IiuAJa Contractor: _ _ .c wb-Contractor: Concrete Supplier: _ Cast by: ;tan�1Y Weather. ___._____. __ Temp. high: Temp. low: _— �i.'titt};�: L7�ti!„r �- �I.`:i;1'm'�'�y' 1"d';.:�i.i•;'�i� t+)1t:1 i'ii.t�:;':.l�Uln Location of Concrete Placement: _ --- 20 Strength Requirement: _ _�____.._ PSI 9 __ days Slump: Cement Type: ..______ —. _ — ___ No. of sacks:_ Entrained Air Admix, Amount: ___.._ __ Brand: Admix, Amount: .__..._._ —__Brand: Coarse agg. size: Type: — _ Fine Agg. Size: Specimen Specimen Test 0 Register Dare Dare Total Area Unit Lead Report No. Type Days Number Rec'd. Tested Load PSI No. ;b A �' .te lc_ 434: B �? '�l�: 190 v 500 5320 C � D E F Ala (%-kycf Tii-lart`d. Remarks: — - - - - gicaiard F.i'ati rri N ArWil-,.i-00e Denali D.Zander P.E. Construction Inspection S Related Teat, Carson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)641.4114 1-18 77 Date Molded: - , 19 Job. No. _ Howard brawtont Inc. Client: Albertsone' Food Center Address: Tigardr Oregon Contractor: Howrad Brewton, Inc. -- - -- — —_ Sub-Contractor: Concrete Supplier: ,�illed►17et'k® D, L�t�tsh Cost by: Weather: . Cloudy Temp, high: . _Temp. low: Location of Concrete Placement: Gralmd mletb 1),ne B toC botvoen 1.5 to Strength Requirement: T1 PSI @ _ _-_. days Slump: Y Cement Type: - — 4J' ----- No. of sacks: Entrained Air Admix, Amount: -�1 Brand:Calm item Chloride prat I'mtex — Admix, Amount: .— Brand: 1t Coarse agg. size:____ Type: !'dr!tthxdt,l T}XG; _- YP - Fine Agg. Size: Specimen Specimen Test p ---- Register - "�--- -'� Date Dote Total No. Type-_ Days_ Number Ree'd. Tested Load Area UnPSi Load Report 8 A 6 X 12 � —.—_— No. _8 a `�p �e4 B 1118 4: 36 2,.15 28,27 C 28 A331 — -- 9,27 F — -- ---._ Remarks' __{3Q' CAty of TE{arta -- Albertwou"a lir. Baia Crvwp Danell D. Zander P,E. Construction Inspection B Related Teats Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 Phone(803)641-4114 REPORT OF CONCRETE TEST SPECIMENS Date Molded: �' '7,8 19.___ Job. No, P;p"'218 Client: ---Howard Brewton, .A11)erts.ona" Friod Ct?n koc Project: — -- -- ____ --- Address: Contractor: _Homrad Brevtotz, +r'% Sub-Contractor: .—_ _ Concrete Supplier: Cost by: 1)�_11� uai-.h Weather: G lol�sdq ___—__ _ Temp. high: 53 --Temp. low: : .,,, : d. e;�.l.; ;,fi.n.a 40 67r?'t1tloon le5 to 5, Location of Concrete Placement: __ — --- -- St ength Requirement �_ _ —_._-_— PSI ki days Slump: __-2r__ _ Cement Type: IJo. of sock:: . 6 Entrained Air Admix, Amount: l _. Brond:C111(4lllu Gal0l'ideeAdmix, Amount: Hod Brand: Coarse Ogg. size: - -' - -- Type' ,'iti:r : - __Fine Agg. Size: Sp•eimor Specimen y Tent P Repi�r•r Dae• Dae• T Total Area Unit Load Report No. Type Days Number R•c d. Tested Load PSI No. 8 A 6 x 12 4335 1 98.00 004 28,27 0 83 B 283 _4336 2--1 y, 149,000 2GG o 27 5270 40 8 C 2'3 4331 2•,15, 148,000 28, 27 �5240 40 D E --- F -- Remarks: _ -;st 01—ty of Tigard _ --- -- — — RiohLrd Nimr.nyqyyA rd`s A�.ZDO2'�AlfAil d FV tq_F.'itt (MyL, - - Y Den,�;i D Zander P.E. Construction inspection S Related Teats Carlson Construction Consultants, Inc. Of Oregon. P.O.Box 23914 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(903)641-4114 1.117 1•? (1*i' �113 Date Molded: _—___.____ , 19. Job. No. Howard Brouitonp Inc, Client Alberteon'a Food Centerw Project: -- -- -- — --- — — Address: __ Beaverton, Oregon Howard ] rwwtoa, Ino. Sub•Contractor: . Contractor: ..--- Concrete Supplier: Willamettte Cast by: Weather:_ C10>adlr —� �_-� —_ Temp. high: 52 —Temp. low: Location of Concrete Placement: _ Oro?w..1 slab and pro41<�ttra and meat hall 1 arca, Slump:Slren th Requirement: PSI d days � ------=- — - Cement Type ____`_____ __.—_ No. of sacks:- �_.�_.___. — Entrained Air Admix, Amount: Brand: _ Ch?.>a)>5'Admi x Amount .-_.._.-.Brand: --.----- -- � r '' ' 'B ` E1Coar<e o99 size: Type: Fine A99 Size: Specimen Specimen Test P Register Date Date Toto) — Area Unit Lood Repot No. Type Days Number Recd. Tested load PSI No. A 6 x 12 432") 1-18 1. P_r? ,x,000 28,2') 3250 � B 28 4)2i 1-18 2­14 28.27 C 28432? 1-18 2-14 28.2 D E F Remarks: Cos 031Y 31' Richgrci Gh��ann A;ltaoa- _—_ �11h�i•.iJit�ll°J� .g AiZr� I3oh Cpurm ._ _- --_--_--- Denell D. Zander P.E. Construction Inspection 9 Related Tpsts Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigt,rd,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone 15031841-4114 Date Molded: 1�1 _—__ , 19--� i Job. No. GI' 218 Client: _ Howml Brewton, Alberl:taoWe Food 0,,3rl'i:ere Address: Beaverton, UreVn __ --- -- --- ----__-.__ .__-_------.__-- Howard Bre-Or-n, Tri.^. Contractor: __�---___ _ Sub-Contractor: Concrete Supplier: H111ratnt� 3 _ Cost by: D, W< X,r'S(A). _ G1�ady Weather: �.. .�—________ Temp. high: � �2 Temp. low: Location of Concrete Placement- ____ (E7C'c}'_A11d vli�,h att'.1 B,t'rd gloat lzr31l I A'.rano ti� w Strength Requirement: _ 3500 PSI days Slump: Cement Type: — No. of socks: - - Entrained Air ado Admix, Amount: ! Brand: _ Admix, Amount: vnttaBrand: -- Coarse rand: __Coarse agg. size: - ---- --Type; --- Fatuxal Fine Agg. Size: Spec men Specimen Test p Register Dote Data Total Area Unit Load Report No. Type Days —Number Rae'd. Tested _ Lead PSI No. A ( x 7l'2 4Y-20 118 i, 24 9✓'p000 28o27 32`51U 2'1' B 1 ?$ A*12l 1� 18 2-14 211,00010 28, 42E10 3o C 2F' 4i-:22 1­13 2­14 L20e000 2&27 4240 39 D E Remarks: 00: UIX ut TISSrr! -- i�'lC}iJ.l�7l�l '`.i _ ._---- Awe®r•is r[� ,'sy iN°s , 11nh ':r a ts� Denell D. Zander P.E. Construction Inspection d Related Testi Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,lregon 87223 REPORT OF CONCRETE TEST SPECIMENS Phone 15031841.4114 Date Molded: t �� , 197 Job. No. _ __- Howard BZent't(-;U , :'.nc. . Client: --- Pro ect: Albertoon'a Food 19n-:er Address: mi$ardt Oregon. Contractor: __ Howard Breit tan, ).vi,__ Sub-Contractor: Concrete Supplier: Willamette Cast by: 0JIAd. C'o odl:&Y n tempo 64 Weather: — _ Temp. high: Location of Concrete Placement: 'A500 Strength Requirement: PSI rd days Slump: P Cement Tyre: No. of socks: Entrained Air Cal atuim Chlor hde Admix, Amount: rand: __ Admix, Amount: -------__---Brand: Coarse agg. size: Type: __ _ _.._ _-_._ _--- Fine Agg. Size: -- Specimen spselm.n Test Register Date Data Total Area Unit Load Report No. Type Days Number Recd. 'es tad Load PSI No. F A 6 x .l2 4303 ]�1`s 1-27. nC,0 ar ,.2,1 :3500 6 B 28 4.31)4 1 .1 ' 2 ,13, 143,500 28 27 5130 38 - 6 C 28 4;4,)5 1_17 2 11 1430000 2847 5060 38 D E F Remarks- _ cot Gsl'V Of T:i.,gard (ISR, I Albertoc,n'm Pocd. 4entery Dost Denell D. Zander P.E. Construction Inspection S Related Teas Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)6414114 Date Molded: __ 1-14 , 19 � � Job. No. Client: .-. tsawuvil Brewton, lnoae Project: A1ber-ti al's Food Center Address. Tigard, Oreilpau laioumrd .11x'�ton x Contractor: � _t :. i+ _ Sub-Contractor: Concrete Supplier: Willamette_ Cast by: 0„ .Ita.3d l,C?P. CJ� u41(t117, — Weather: .R_�� _...._.— Temp. high: �—_ ,�>>-- -- X10 : _ Location of Concrete Placement: T_ "'tinter r1c,ny e+J.ixh"__^----_ ^ Strength Requirement - _�_ _ PSI _ days Slump: Cement Type: l No. of sacks: fi Entrained Air FxO d�i.vm—� G37.ttfie to (.'h).r Admit, Amount: o 4W1( rand: __. --- Admix, Amourt: ----.Brand: _ Coarse vqg size: 1: Type:— - N4'Euaa1 --- - - Fine Ag g. Size: B1c3 — Specimen Specimen Test i Register Date DateTotal Area Unit Load Report No. _ Type Days Number Recd. Tet ted Load PSI No. F — A 6 x l2 1 4303 1-1°T 1.-y21 99,U00 '28.,2`) 3500 i 6 B 2k3 4304 VA 2-11 28,27 -- — C ?.t3 4305 1-17 2.111 ,R D E Remarks: oat CiV of TA$nrd -- chard hmimn- f- Aseeoo, --- - _Altr�rt�nm"si Poed Contex,u 300 Cr►AgjL) Denali D.Zander P.E. NELSON AIR-CONDITIONING CORPORATION LF—EcTITEM OF TUMMUL 1710 Chico Ave. SOUTH EL MONTE, CALIF 91733 — DATK low No 1_ -_7 Phone 442.6066 ATTtNTION TO ���--,.� - - -- -- --- --- r-r�S���s �r �P�r��~ 40 GENTLEMEN: --__�_--.—__-- WE ARE SENDING YOU ❑ Attached i 1 Under separate cover via -------_-_the following items: I 1 Shop drawings ❑ Prints I I Plans ❑ Samples I I Specifications .l J ( 1 Copy of letter f] Change order CONES DVE NO DESCRIPTION lie— OF THESE ARE TRANSMITTED as checked below: For approval ❑ Approved as submitted Resubmit--_ ...._copse: for approval C For your use ❑ Approved as noted I Submit -._..copies for distribution (� As requested ❑ Ret::mad f Ir corrections Li Return --_corrected prints For review and comment ❑ ---------- -_ /❑ FOR BIDS DUE �_—__--_ _-__19 --__-_ CI PRINTS RETURNED AFTER LOAN TO US REMARKS._- - - -- ------ - - COPY 31GN E D: If•nelosurns are not as noted. kindly notify we of once. Construction Inspection 9 Related Teets Carlson Construction Consultants, Inc. Of Oregon_ P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone 15031841.4114 Date Molded: 1— fq — OP-2111 Job. No. Client: _ 11oward Brewton, Tne.. Project:— Albertson, a Food. G vacr.a e:1 Tigard. Oregon -- - Address: H,a�re.ad �a°c►cr�,crtn T.a�:: i._ Contractor: Sub-Contractor: _ liAl l.o.naa ;at Concrete Supplier: _ _ Cast by: _. —D, D? Zaade- t,l.ee,r Weather: Temp, high: . ,4 Temp, low: Produce f►nd nisi; hca:x f j, toot Zj ab , Location of Concrete Placement: Strength Requitement: PSI 0 _ `•. days Slump: Cement Type: _._ _ No. of socks:_ _- Entrained Air 1, a1c:�tun Dhll or l d.n yin a, US) Admix, Amount: _ Brand Admix, Amount: _ _ Brand: . Coarse agg. size: _ TYPe: _- Fine Agg. Size: Specimen r Specimen Tetr P I Register Dab Dote Total Unix L°od Report No. Type Days Number Recd. Tested Load Area PSI No. } B 28 4.236 ;)-1? 140a000 28°27 495U 17 C 423T 14:1.t 500 28.27 rocio 37 D E F c1c s 7`A�g;.xaJ A.t. het 9< Remarks: —,—ATP OFT 551-1, 9 1C'.1 Ven e." 2iiobaard Khom m A el Denell D. Zander P.E. 1 . k b.[a4=U .,i .. .. ,. :. 6 n is '.. 4 .... .'... ,. ..- •- . : ._.. f e. ':, a Ps.n 4e1:: ::J++,.a ilw.:tl�:, aY.,._M e...._, .n. 1 k..i. .•1Y�.. .L7 .eCIL. ,,:. Y , ,., .r,. Y. .. ., ,.: -.r a._ 1- '. :. , r a .,Yu �• ,.w',a, nr. '1:'2��'1'r,+s...rt@h'14P.:,�i.d.,xlM!2.a ..:. :...... .. ..:...: ... .a „ h,:. •. - .,c:..1. � ,,... r -:,- .. :: a` a:e:r :1 , x. .0 .k.kGr.rkv,..e,..r :r.. a,aM,.,,�1°4���'aa`d�M'a,,.,, ,.y..uL..4Y Y. „...-. _ _.... -- :,:w(Nap,a:dd.arP�'a�tmek:.....w.x•, =..i h.,,d,W:'at{+xbti,,n. .,..,. ._...P.,ofaw,:iw. ... . .:: . .. .. .,..w:==;1FsaM�,3.Yx•.::�'.=r,�,nlSaP�S,'1n.. .r'.iyF�ld.,h 4:��w,:ra`�:..,u.. I C4) C o'A-*A.c-T "✓7aAL r o p y Jd S' .51 T f I l►Es ' M S7 I r \.1"___. 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Z 11'► ( l i ._. <1's:s - I - -r ;�s 2� TIaNN,," 1 la LI (,A it Id, _ ' \� __l.. ` L._ � 1 � _( �• Af ' , � !... , �:,.',._ 1 ._1_. 1 / r 41. :, .=rF:..�"a - � ^rx++ 1 �.Q tT,=4 ____ _ .,p 4 0 1. _ -d ....__ X_._ _ ___ ._ _ '� . t . ) ' » APPROVED L D FO.� I�Oh,Y J RUCTION p �Ir<�C) FIt �QLdr=`St.—T CITY 4 V — I0 ?7� r L3 Y —A--TITLE DACE: i-9,?� o'' Ly,tE,t,fe t)s'�Irc T.,rz rtaK Voa+c. w17w c�6�,Y us. --------------- C + t► p Ib 4 R�'6 s{a'o'►,a. a - ') � F►r�.1.10tiev'T I + _ _ ___ ___—___._.._ _ . . vn► laa v.,1, --+aat�A iF, 1_. G?ti A TY b N t l t*S' *l 1"1"1 (?T G: L _✓ua A AGR' 4 V C1 Ae.�t AS tl'fiq, (J ` - htL•Y �.'"'''{`.._ ....-. MAIN STREFT T-, .. T)159p .I" , 'aCaX ''1,o �I-319 tDAN,-- � C0117tt CODE-FAINT 3" STRIPE AROUND EACH PIECE HANGER LEGEND STANDARD SYMBOLS STANDARD SYMBOLS SPRINKLER HEAD SYMBOLS REVISIONS ;'r,� HAZApD :olr>, CC+JTR,4CT WITH SPRINKLERS �! MAIN "A" RED MAIN "L" WHITE&GREEN MAIN "V" # I -- SPECIAL HAA {R, SEE DEFAIt, ,I _ POST INDICATOR -- ALARM VALVE, FLAN VIEW -0- UPRIGHT ON 1/20 (xJt!W APPROVALS i IN5PECTION i PHONE _. _ - v.1 AGc �- o F ti.�.s•r AUTpMATIC _TYPE DdG� Q?Y. �» Qa T rj " "B" WHITE I "M" WHITEABLUE ^ "W" NOOKS LFNG H AS DESIGNATED t " M - NON RILING STf.M GATE -_ pRY VALVE, PLAN VIEW 1j -- VENT ON 1/?" �'�'L: _�__ ____�___ _ __.,� I --- ADORE 11A" S a �'1aI"sQN '" I r Mr,O AR•r RM _I Yr`S' 12 _. "C" YELLOW "N" YELLOW a GREET/ " 'X" 5 -'• FIG 116 CV11NG FLG., ROD a PING I,S.U• _ _ __►�',_,n„__•, _ _ _ # til -_. FIRF HYDRANT ♦W/PUMPER ELEC. FLOW SWITCH, PLAN VIEW -0/- -- UPRI(bq ON 1" TLlge-UF _ ._-___ _. _. __.____-- .._ CTTY '�,L? yy�r> �t�l. I-*)m 1!,120 _�— L13 u � Y mow, �ALa � r4 A "D" GREEN � " "O" YalowaIII-UF. N "Y' # 6 -- FIG. 153 CEII!tl-: FIG, ROD R RING `( FIRE DEPT. t-UNNF.CTION � /�' _ --_- _ _- -- _ _ ! 1[>wRR61 met) _ __ _ _ UTIJ• mm, *% rW4D- i 21 C � " `E RIUE " "P" GREENa SLUE "L' 7 .._- COACH SCREW, PO[? a RING - DELUGE VALVE, PLAN VIEW " - "` m" 2Z ti. 4 LL I Mot 11 _ V. 1 1d 173 "L '.P• # -- U.S. a GATE VALVE - PENDEM �1(1 DM --- _------ _-- A►•$CB•Tse-AS 4HT. __-_- �A'JT'G , �, 'Fr' RED 9 WHITE " 'Q" TWO REIT STRIPES # 4 -- EXPANSION CASE, '1OD a RING ,,Z„ --- ALARM SELL ,� -- FLUSH.afR. cNJ a" CROP -- - '- ANCKF RCT � .T 10 - EYE ROD a PRIG R'4 - SWING CHECK VAI-VI i —_ , 14aA�t7 WATIM DEPT. A _ _ S'w Ma,N 5corr 1Nrb I T6AtE,a "G" RED&YEI,LOW '• "It" TWO WHIT! arm•• NVIV UNDERGROUND © -- ALARM VALVE, SIDE VIEW --*- - PiNDENT ON '" DROP _- RIC.�Att ►�M �rIN ,Myr.><•• r ' 'H" RED 9GREEN "' 'S" TWOYE'LL(YW # II _-- ••C'• CAMP, ROD A LING M_ ._.._ --•• DRY VALVE, SIDE VIEW A ZIDEWAII. ON 1/"' QUhFT ____��- —`V '"'- lr9b4.1 SVT G.aMI. ADOM 4SI L %.v4. Wa.-rui A.,'R. -- - � EXIST UNpERGROt1ND Q -._.__ _ » ._ __ DATEI 11.- "!1 SCALRr ` '' C) > t _.__. _ "J" RFD lCRIUE "T TWO GREEN # 19 - 'J" fc(�7, EYE ROD a RING - _ F'UaI.IC: WATf'R LINE r - DRY VALVE W/ACCELERATOR �" UP t DN AT ;SME LOCATION -_ __-_._-- ___ ___- -__-_-_--_---� -- CITY -{`tUAQD C7RtIIG�''N CITY I_ni� Il�4r+dtV "1j�i --____ ••. - g "r WHITE A YELLOW " "U" TWO SLUE # 13 --- '!DF, REAM BRACKET, ROD b RING v 1f.�4 Pt1QNE 1 41'Z 1 TOTAL St1tINRLERS THIS DRAWING 4j i C'! COM.1 :' i. Z.� WA%aT-t,-. •s ,.., ." 'I'Lr+f!I ., „" ^,• _,.0:' :ut: .,,,e �.plSeb ru4a.::'I.i' t¢ s,AHr....,. ,:.m,^'WMR4ax: .:. we ._- .. _. -. - _.... - ..,.....,..„......,,.._r~,.,.,,..:,.. ...... �' ,r 71 °. 'i#I�'� _. "7�'bNd516 • �.,C,..,, 41111 �,IF THIS fEGIIiLE IS LESS 11I11� ISI �I'1111I'III� IIIIIII) 1 SIll�l�fll llllllljlll I IIIIIII� llllllilli f 7T1�I�I�III Ifl1'�ltl�llf11 i �111�II ILII I OCTOBER 26 9.3 I IT IS DUE TO THE UALITY OF -. Q Tv THE ORIGINALDOCUMENT. til BLLL T9111 6ZS[ Ll, TZ L I T811111 J11-1111 9I 4I bT ST I II (lI' 8 L 9 9 I Z I�� 1-1 u�i I I 11-1�����1 11-1���� �i1-11-1��-1111-1-1i ���II��11 �uiiiii iuilili ��ull�l�,l�u�luu uii�iiIII���1 11111 ui1li�� Illi1llu Ilillll►i Ilu�uullul�,lulilllllnl IIIIIIIII IIIIIIIII IIIIIIIII ul�i III, lillluil uuull�I< ulilNll �, .a 4` 1 •� i I i +wt +ea ..r wtr +wt ell # Construction Inspection B Related TT r Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(603)841.4114 Date Molded: --_� _, 19 TJob. No. __ CF'-218 Client: _ Howard_browtonl Inco Project .--- Albertson's Food Conten — -- --.----------- -----�_._�. Address _ x rdj, Orman -- —�--- -- ------ --- ------- — �. Contractor: _ NOWard arowtons 111no Sub-Contractor: Concrete Supplier: - Willamette -�__--Cast by: Weather: _. Clean _ Temp, high: 34 ----Temp. low: Location of Concrete Plat-mont: _ _'1'04=0 !►Y1Cl lfiA •f: bux alcor R.tab, Strength Requirement: �. � — PSI 0 .__— �'_ days Slum Cement Type: —.___ _ — ,.. No. of sacks: — — =_____ Entrained Air % Admix, Amount: 1% Brand:rgldl}A ChlorIARAdmix, Amount: Brand: Coarse a tt 99. size: - �-- _________Type: -- _ Y&AL1iSal_ Fine Agg. Size: . .51t3g,� F- spec.—M Specimen Test Register Uote Data Total Area Unit Load Report No. Type Days Number Reed. Tested Load PSI No. _?A 6 x 12 7 423 1-12 94,529 0�27 3 MID 21 _5_B 28 4236 2-2 28o2 — - ____5C 28 -- 42. 2-2 28,,2 _- D E F Remarks qQ li__`I'iggrd Aldga -- Albartson's Focid. CvaiRsr - Denell D. Zander P.E. i • tel- Coestrwetion I-Aectioss 9 Related Testa Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TE'T SPECIMENS Phone(5031841.4114 1-4 77 Date Molded: _ 19 Job. No. Client: HOvard Brewton, Inc. A1.hertsOn"s F'oa,r Center ------------ ------�.�..___� Prnject: ---------- ---- Address: Tfga.rci, Oregon NO>rrd A`ase a�n P Contractor: - - --_— - --- .___-__-. Sub-Contractor: Concrete Supplier: Milltttre xe Cast by: 11� N, LeaohY Weather: Clotidv _ �� ------- — Temp. high: Temp. Inw: Location of Concrete Placement: px'�Y �3 'Al�rfa .I•Ane A to A from 1 'to t}u Strength Requirement: _- 3500PSI 0 _- 28 -_ days Slum Ott Cement T6 YPe: --- ---- —_ No. of sacks:___ _..___-______ Entrained Air Admix, Amount: 1 G r.cx�,llt2 e Hot,, �VA'U"' Admix, Amount: . ^.-Brand: Coarse a Ketivx ]. 99. size: — __ Type:. - -----.. -_ --- -Fine Agg. Size: old Specimen Specimen Test P Register Dale Date Total � No. _Type Days Number RecArea Unit Load Report d• rested Lead PSI Report 4 A 6 x 12 7 4226 1-5 1 '11 w6 li000 26c?l 3750 4 B 28 4727 1-5 4 1 _ 28,21 4 C 28 4228 1-5 2,_1 28,,27 D i �— E F Remarks: �' ; uh$rd EhMW!A A Auvw, -- _� .Alltelrtson°s , Bob Crwy Denell D. Zander P.E Construction Inspection & Related Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 GROUT Tigard,Oregon 97223 Phone(603)641-4114 REPORT OF c6AMM"EST SPECIMENS Date Molded _ 1-4 19 77--- Job. No. (,P-,218 Howard Brewton, Inc. Client: __ ___-- --- --- -- -- A.lbelrteon"a Pood Center Project:-- ---- ---- ---- — --_�— Address: Tigard, Oregon Controctor: Howraci Brewton, Ino Sub-Contractor. Concrete Supplier. _p°_$° — _-- —Cost hy: . D H Ls'rarll r Weather: ----Clolad,j ----- - - -- --- Temp. high: -- - 43 — Temp. low: lDp 4" of k%la k vmll cn the Fi{ And SW corner rigid wvat TvAIL Location of Concrete Placement: 200(1 28 Fluid Strength Requirement- Cement equirement PSI (d Boys Slump:,___ Cement Type: _�___�___ ____..— No. of sacks: 7 mik0 Entrained Air Admix, Amount: $Ct water_—Brand: _ Admix, Amount: Brand: Coar,,e agg. size: - 3/8" Pon—__ - - -Fine Agg. Size: --- Specimen Specimen Toot It Register Date Date Total Areo Unit Load Report No, Type Days Number Redd. Tested Lead PSI No. 0 3 A 6 x 12 7 4223 1-5 1-11 439000 28°27 1;20 23 0 3 B 28 4224 1-5 2-1 28.27 — -_ 0 3 C 28 4225 1-5 2-1 28.2 D V^ __— E F - -- Remarks: Inspmnted. and quPoryised tho D1mement of 14 eu_ � gzeu6 i_a tr® a4ove loaaticn,. act Alberlisoxi"s – J30h CrL1114) R���r�x•d yhtm'.ZtS! Ai: Arc�:ctc:,• ---- rl Denell D. ?ander P.E. Construction Inspection ® Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 OROUT Tigard,Oregon 97223 REPORT OF CNWW11 WEST SPECIMENS Phone(503)641.4114 Date Molded: 19_ __— Job. No. �4Rff'6�'� .liR'ellrl:•7 i't. .�it w„ Client: — a;i.jlttx'�it1fTT1° Project. -- Tigard a Ore{;an Address: ffcrl►�^ra:a Aza�a'°.,rt r Contrcctor _________ Sub-Contractor: Concrete Supplier: Cast by: Cr.10tild'y Weather:_— !_ Temp. high: d13 Temp. low: Location of Concrete Placement: rip A° Of e�Ratak t A11 Oil the AI and U a?Ori. er ani rr ;ot -41q:i l.. 2G0(_) Strength Requirement: ., __. PSI 0 days Slump: Cement Type: _.._- No. of sacks:__ _ —_ ��_ Entrained Air Admix, Amount: Brand: — Admix, Amount: .__. Brand: Coarse agg. size:.__ 3; r __.___. _ Type: _._ .__ _---_ ------_Fine Agg. Size: Spec men Specimen Test P Register Dote Dote Total Unit Load Report No. Type Days Number Recd. Tested Load Area PSI No. 0 ,1 A 1, 1, �j 43Mrl i. z n 3 B1 t.!?� �...r� 196 r."lam Wo r� c 1 2� z., '5 00') s��3,: r, 33150 D E F Remarks: >rinspsntpd. re�-- P.0, s:xd v„r,3z-ivad vie p:!-w.t°t.,nctn� Of 1� OR, ��1r�; n�' Ajx auk ' h^ n�—vs .rcr•.U to a. er -scans – Doli Ddnell D. Zander P.E. Construction Inspection S Related Tela Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tillard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone 16031641-4114 Date Molded: _1-a , 19 _ Job. No. CP,.21("1 Hovard. Client: Project:____�Alterteunle Vow, Address: Tigare., Oregon Contractor: . gowa"d Dretsixim, _ Sub-Contractor: h.n., Concrete Supplier. 'R �"''` Cast by: Y), "'il L :21 Weather:– (1Zt_''ad3r _ Temp. high: _ Temp. low: — Location of Concrete Placement: ___ 2a'wld 0�1i11I0 x.1:12 : 40 3 icTOM d il; 4, Strength Requirement: -.w _ '3U0 _ PSI (d -' da s Slum Cement Type: No. of sacks:__ __ Entrained Air l fG Calnitnm tJP i.da`�,ct Admix, Amount: Brand: Admix, Amdunt: ___- Brand: Coarse egg. size:. ____ Type:. _Fine Agg. Size- Spec i ize:Sneci rnen Specimen ?est 0 Register Date Date Total Area--�_�_�. Unit Load Repot - Nn. Type Days Number Recd. Tested Load PSI No. /A A :x ).2 R ?k?r .5 1.c36,C�CT� 2ta. k :-FSU B 4227 1 j4 P OOO 28 2%1' 5450 34 i C 422.(l I. 1559000 28K'?:T 5460 34 r) E Remarks: mh' Rivhard MM&Iyit r Anyo' o Denali D. Zander P.E. t� Construction Inspection a Related Teas Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone 160318414114 Date Molded: 19 — Job. No. — f�ota�d Breal9lon t Zti+_ Client: AZ,BiH�t7lSOVIS FOOD Glt�r1''it}R Store #544 Project:____ _ — - --- Tigard, Ore�OA Address: -- -- :iow:rad Brewton, .Inc Contractor: Sub-Contractor: Concrete Supplier: Wills"t-W Cost by: De 4' Leach Weather: 0 *w Temp. high: . Temp. low: Location of Concrete Placement: mass, SIM, Strength Requirement: WO .— PSI (� ____-' __ days Slump: �— Cement Type: No. of socks: Entrained Air >tv'x: blieAfi Admix, Amount: _T— _� Brand: Admix, Amount: —_----_—Brand: Coarse agg. si:e:_— .._----_ _--Type: Fine Agg. Size. _---.- Sp.c:men Specimen Test;a Regi for �'- Date--- --Dote -_-. Total A/ee Unit Load Report N- Type Days Number Recd. Tested Load PSI No. 0011 28.27 B 28 23.21 x C ? D Field Oux. a 'f 4`D�.r 7.C) ;Est Wo iA�e2 3 E T 4201 .3 r n00 ti:13 F W� I•-17 dinr000 21.3,2 f 2310 ?'t --- .. lv�T f t3l p a:0 o .Pe.J. Remor4:, 11V 07 .,a�►i� - - --7 ct A a u r • 1,4009, Denell D.Zander F.E. Construction Inspection 9dated Teats Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 87223 Phone(603)641.4114 REPORT OF CONCRETE TEST SPECIMENS Date Molded: _ __ , 19 — Job. No. —_._— HowBdrd Breo Ion, Ivo Client — �_ ---- -------- AILSERrtSON'tS FOOD CENTER Storo #544 Project: ..------_------ — _---- —_ Tigard, Oregon Address: - ---- --- -- -- — �_� ----- klc>'t road 13rowtcn, Ina., Contractor: -__--_. Sub-Contractor: ---- wil.lemet ka Cost by: D, N, T'vxch Concrete Supplier: _. — --- - --- Claar 32 Weather: Temp. high: Temp. low: Pdafits5,• Cd.�N1]o Location of Concrete Placement ____ — --- — ----� All Strength Requirement: _..__-- _ _—_ PSI 0 ------ days Slump: .._._ _ i Li Cement Type: _�� —_ No. of sacks:, -- Entrained Air �- Ro,'r, water Admix, Amount: ___ BrandAdmix, Amount: ______._— ._ Brand: _-- 3/4" Ba dg. Coarse agg. size: Finegg. -_ _ - -- Specimen Specimen Test P Register Dore Date - Total Area Unit Load Repot No. Type Days Number Recd. Tested Load PSI No. 3 A 6 x 12 `.f 421.4 ;._10 J.03 ()00 2M7 3640 15 3 CT} ?S 42lt, 3 D ''le'd (Sure !`:?.7 10 ;,x9000 213 1980 1;i 3 E 7 42.1j,F 1._1G 58,000 28 27 2(a�,a 15 _E� 3 as F—T4".gF_ 26.,`7 28,27 Remobvi — AlberiNft°s ]Food Ownte r Bola 'srvmpt e Denali D. Zander P.E. Construction Inspection 9 Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23614 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(803)641.4114 L. i OP-216 Date Molded: _— 19 Job. No. e1G11Q2'+j f�I'0V�013 c �1'UJ Client: — r ---_--- - 4I,P .�'£�0V'S Y'.)CPD CG�,'41TR Mora #5544 Project: ------ --------� 11gur� , t,�xe> n Address: — --------- --- ._...------__.-_.__..--_- Contractor: Sub-Contractor: -__.- Concrete Supplier: Wi 11r� �1 Ra Cost by: Weather: __ __ Temp. high: Temp. low: 4;iA1!ir; . gi�.11�e Location of Concrete Placement: - --_ - Strength Requiremttnt: __ PSI 0 days Slump: Cement Type: No. of sacks: ., _____- - Entrained Ai; ___._____..__—moi Admix, Amount: _ Brand: __ Admix, Amount: - --_-__.._--_Brand: Coarse Ogg. size: --- f Type:----- __ --- - _ Fine Agg. Size: a----- Specimen Specimen Test 9 Register Dote _ Dan Total - Area Unit Load Report No. Type Days Number Reed, Tested Load PSI No. ? A + ,1,G l ei :ri V03o000 B :r� >;7 ► .143 tr o 00 A5060 33 C r. 141,000 K'� 499') 3.1 -- D 1�x1d. Gza>� Qlf , 41.Uc1C+ 1960 E t�?lf' t Vit; -J) 000 F 1.4. d;;'1 C F.'i F4;7,,4g0 vN 2830e Remar{<t: -- - - --- . . Suit 37 4N Albe?rtaor'Al r'p00 Denell D. Zander P.E. City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :—_ DATE: /`7 DATE ISSUED ;_..L� OWNERS NAME . —_ _ ADDRESS: !L,� tic~ 75� ..)5, `_✓�Y9�'k� 7'" CONTRACTOR : TEST : Air O, Water[] , VIeval O , Laboratory p RESULT: Approved O Disapproved C Pending U SKETCH; /-2Ga:eloe-tl'10 K�. Cori 43o 011uou Tzle W /T6-- -774 s %1 L'o - Alm INSPE TOR DATE -TVc/R°f Cr Q- -- �OTq: Attach SUPPleTental tett data Aeretla c~7,-- V Construction Inspection ® Related Testa Carlson Construction Consultants, Inc, Of Oregon P.O.Box 23814 {I'vilr;a` Tigard,Oregon 97223 REPORT OF Cb +fTEST SPECIMENS Phone(503)841.4114 12--29 Date Molded: _ 19 Job. No. Client: __ Liowaxd Brewton, Inc, Project: Albertmoln"a Food Canter -- ---- ----------_.� __----------- -- Address: T:tg42rd, Orepra -------,_-- --- _- — Howard Zrawtant Ivc, I;kz01n?;�1r� Contractor: Sub-Contractor: 1'a Fla M,. Cast 6 1. V. 7-%'ttletyy Concrete Supplier: — Y� -- E'aE'•t l,q o lc 1�d,r ' Weather: __ Temp. high: '1f Temp, low: t vooyid ox&hl fool. �o Iffte aalttb Mk? n.f as'dit lml3 r 0.".. of Location of Concrete Placement: -_ 2000 28 f'.la1ti t� Strength Requirement: — PSI iii days Slump: Cement Type: ___ No. Of sacks:---_.._-_____ Entrained Air r Admix, Amount: ._ Errand: Admix, Amount: ____----____.____Brand: —_.__-__. Coarse agg. size:- -- Type: Fine Agg. Size: ��- Specimen Specimen Test p Register Date Date Total Oreo Unit Load Report No. Type Days Number Rsc'd. Tested Load PSI Nu. OP3 A 4 x 4 x 8 i 4114 1' GJ'3 B 28 41 r5 1.°. ? &1e0oo HT1 C y G l 58 g 500 r ' 3v W E F mtV,lsoted re- fcitael 1'o:,: 1111, rxc d.-art ,.,;aa:,r l 1.titlapl 1 a %'a l.. Y ;y ° s;nz t Remarks: 51 }1F }cps' "I►'� _ Albor•tivin"o yor'-d Gonter Beck, ors'Imp - - Crs1r 1f Tigard "A! :1..T i Denell D. Z under P.E. Construction Inspection ® Related Tests Carlson Construction Consultants, Inc. Of Oregon -- P.O.Box 23814 GROUT Tigard,Oregon 97223 .�,y,C Phone(503)641-4114 REPORT OF Ct'MYTEST SPECIMENS Date Molded: —, 19 job. No. Howard. Fir"rt<>n, Inc; Client: --___ Albertsor.or, good Cs:1ter Project — --- --- -- ------ Address: Howard. Jrrwton, Ince ---- Contractor: — , Sub-Controctor: ------ — :'o o n11, D7, Zander' Concrete Supplier- Cast by: Partly oleady, 36 Weather: Temp. high: ----Temp. low: _ -- _.T $Eumd ,7J.d;ht f%', t, Wit, 901%th {'IP).f r'f 9E~1,et W011.P &11 of Location of Concrete Placement: ----- - --- �— auu�21 GtI8110 --__--�- -- PSI @ ?�1 __ days Slump: __ 1A11LAri Strength Requirement: ________ - Cement Type: __—___ __ _— No. of socks:— —_._— Entrained Air t lh , ek Admix, Amoont: a — Brand: Admix, Amount: ___ _Brand: - 1'Aa Coarse agg. size:---,--Type: Fine Agg. Size: -_— -- H Specimen Tast P Register Date Data Total Aree Unit Load ReportType Doys Number Recd. Tested LoodPSI Ne.� x !3 - T 4174 12_30 1..5 2 9U00 2AnG q lF.l2 1.4 2d 41',15 — 12 3C 1.�2�a 28,.27 Dpa C 28 4176 12.30 1-26 28.27 D E F -Cnapeot.raid restead per plan, proirldnd ep(moial Inspee; In on al?. g'C"U''Ung; roll. Remarks: __..,j ALbsartson'ii Porad Center AcaF Gr+`UIP -------- vvq. Q DTIA-,__Dpto el Denell D. Zander P.E. i i IF Construction inspection B Related Tests i Construction Consultants, Inc. of Oregon Carlson P.O.Box 23814 Tigard,Oregon 97223 Phone(603)641-4114 GROUT REPORT OFA TEST SPECIMENS 12.27 .16 (:►' 2.7.1' - 19-- Job. No. Date Molded: . Howard Brenton CO-, — Client: _— Albertaon°e Food Cenwox___------ - i — Project: --- Address: -- Controctor: Howard Breerton Coa .0.n°=_____Sub-Contractor. —_----- ------"— — i'., ➢� YJ. Cast by: — Concrete Supplier: =_= partly imnny --- -- Temp. high: --- 43 Temp. low: - — Weather: ._-- — W n R w,# eve of >aoift arse:} sa°a X11 end n!? Location of Concrete Placement: __- - ---- w— wei;4icaaly only to 8 ;Oct. ?1.?UIQ PSI (� - --F-_ days Slump: ----- __--- -- __-- - ----- Strength Requirement, _.__ __ % Z No. of sacks:_---.---------- Entrained Air Cement Type: _-.__--- --�.----- Admix, Amount: _— Brand:—_— -- Admix, Amount: _----- _brand: ..-_—_-- ----- YArA - - _Fine Agg. Size: size.z e. _— . — — Coarse agg. ---- Total Unit Load Report —� - Test(i Repieter Dote Date Area PSI No. Speumen Specimen Recd. Tested Load T pays Number , No, rM 01, 3 A 4 x 4% $ t 43,50 — k 1 33 o OOU .G ac � <t i>(��j 1 d a P 3 B 28 4151 — — aP 3 C 28 41'12 3 � - F �� �`- 7��•1 t�16at3e AL1 B 'Sal - nr+ri g'�E411 '•e`ean�r•ly �Lfl.�L,..__..____ Remarks: �Dz7�kG7 l�r,c+bar•d f l>tmetnn dh ASSOC a E`l Denali D.Zander P.E. Construction Inspection 9 Related Teats Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 O11OOT Tig rd,Oregon 57223 REPORT OF COW3W.9 TEST SPECIMENS Phone(803)6414114 Dote Molded:12.._27 r 19 f' "' r,1' Job. No. Client: Howard Brewton Co,, :Cnoa Project: Albertson°s Food Conten Address: TP gard, Oregon Contractor: . Howard Brewton Cor s' 'fna`. Sub-Contractor: Concrete Supplier: h° B" W. Cast by: weather __Partly nunr,+y Temp. high: 4•> Temp. low: _ Location of Concrete Placement: Went wall., 4eat encl (;f tdolith irert?.orals only to 6 toot, �h ngtRequirement: 0 Flr d Boys Slump: Cement Type: L _ No. of socks: _ ___ ______ _ Entrained Air Admix, Amount: Brand: _ Admix, Amount: —__-_—_____Brand: Coarse ag,,. size: ton.___— _.Type: Fine Agg. Size: Specimen Specimen Test O Register I De1e DateTotal Ar=o Unit Load Report No. Type Days Number Reed. Tested]_­ � Load _ _ PSI _ No. 0I' 3 A 4 r 4x f 4150 10 ®C(c'' if , OP 3 B 28 4.151 1, 41 t��' 16 Bq 2;�''_ F b E F Remarks: Cast_ 3Priamp, ru-0''.nI21 ;,ar 'IYAC7 '..11 ot:tilii a'L:_1- rued S;.QeZL`.Iyperljy �rinr. ;'o: Cxi:y of Tigard nldg., as W obard Mmun & elenv Albmrtang(g Pont! vin_ @tr'_ :ice'_ ( yssnm rt�, Denell D. Zander P.E. „r a Construction Inspection fd Related Testa Carlson Construction Consultants, Inc. Of Oregon �,� UR`)UT P.O.Box 23814 REPORT OF CONC�� TEST SPECIMENS Tipard,Orpon97223 _ — Phone(803)641-4114 12-�22 , 19'6 Dare Molded: Job. No, Client: OW-rd Blrawton, Ino -- F • J4J.�it�$80A°M FOhd GQAttt>” — ----- — Project: Address: Contractor: _ Sub-Contractor: _ Concrete Supplier: Cost by: Weather: --- (UOt1dy _-- Temp. high: . 40 Temp. low: Location of Concrete Placement: alook w11111 J3risp'( ,ZI�M l�l'lIAA frc 1p -- 2nd 11fi line 6 . A to 2 Ut lii't JAAe I a 'to 6 5 -- rO — Strength Requirement: — P51 @28 P'I&d days Slut�n:- Cement Type: — No. of sacks: Entrained Air Admix, Amount: Brand: _ Admix, Amount; grand: - ---------Fine Agg. Size:Iiiag SpeNmae Spot:man Test P Register "- 0 Dare bete TotoI Area Unit Load Report No. Type Days Number Rae'd. Tested Lead PSI Opt ,� 8 �.f�, Na. A ,.R 2�2J 30 COI; a,,_. 12,? a — 5N.500 0q,11 59,'� [__F 9th 6 nq,ttDE ata: R.t0 M2.(1 iraa�.aw A rocr _ Remarks: _ -- —'#1,?1JaiCi Iver .2 lair. T)nb benell D. Zander P.E. w s +w w eisn w Construction Inspection d Related Teats Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 f11EOUT Tigard,Oregon 97223 REPORT OF COR�l ST SPECIMENS Phone(503)6414114 12„22 �Ei GS2 i tt Dale Molded: _ , 19Job. No. _ Client: Albt, rxon''s: Pon-1 Congo- Project: - ---- - -- — —�,__ --- Tlgra}�.1, Address: Nova-d Brewton, Ina. Contractor: ------ _ Sub-Contractor: Concrete Supplier __�° _ _Cost by: Weather ''�'' Y_ _—_ Temp. high: 40 Temp. low: Location of Concrete Placement: Bla4k gall lawil .lift line A from 1.5 is 6r _ end lift ling 6 A to A IP.% lift lints 6 ,B to 6 a Strength Requirement: x{100 -- Psi @ _28 days Slutrp: Maid Cement ype: ___. x No. of socks: i. Entrained Air 96 Folk, f'oz8 Admix, Amount: ___._ Brand: _ Admix, Amount: _Brand:_ 31'fi ;frt-tima,I Bldg Coat se agg. size: ---___.- Type:------_ —__ _-- _—Fine An Size: _ sp.cnn.n specimen test P Register Date Date Total Area Unit load Report No. Type Does Number Rae'd. Tested Land PSI No. ra Q 12-2 30, 000 3t 3t1F;c:� a 28 4121 2 ,2 --- Gi 26 fii12.h i2- ? Sr1yt D E F tr Remar"s Dorrell D.Zander 11.11. .est r. .. Const ruction Inspection B Rated Tests Carlson Construction Consultants, bac. Of Oregon ---- g n F.O.Box 23614 Tigard,Oregon 97223 REPORT OF C=RIE7 JEST SPECIMENS Phone(603)6414114 Date Molded 12�•7t� _— fq_ Job. No, Client: ___ RowA:.1i Project: --- Address: roject:_--Address: —Tip-de C3yefgwj - +- ---~� Contractor: _10-10L.& C� lMb'Jil,y t.�l'tsL --- ___ Sub-Contractor: Concrete Supplier: ._ _ - _--- -- —Cast by: Weather:�''a _ Temp, high: Te _ ^ ' _ — m;,. ' IV W: Location of Concrete Placement: Xo r*h F?dt1, 10- Y ~ Strength Requirement: PSI 0 days Slum Cement Type: A'Y'p'o No, of sacks: --- Entrained Air % Adm r, Amount: Brand: _ — Admix, Amount: Brand: Conrse agg, size: _ ----- Type:. -- ------ -- ----- ---- Fine Agg. Size: Specimen Specimen Teet RagieHr No. Type Dote Total Unit Load Report Date Number ReeArea d. Tested Load PSI No. t. y A ? tt 027 --- B ' 422 ?.,1't 1-13 10,500_.. a14 3310 ?.? r):it �;:' _'� 1r 1 IO 750 3,14 3420 22. D -- E L�. F -- Remarks: -- Denali D. Zander P,E. Construction Inspection ® Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST S'!--CIMENS Phone 160318414114 12-16 T6 a i' Date Molded: __ r '.9 Job. No. _ F1orn►rd Broxton, Ian, Albertson' a Vooc Center Project- Address: roject Address: Tigard, Oregon — Howard :rovton, Inas _-_ Sub-Contractor: Contractor: �.__—__ —— — --- Concrete Supplier: 4di11.am�Gto Cost by: _ "'�` !• I,tlrer Weather: ---.__� ------..--_ -----__--- Temp. high: .15 .Te Fast "O'll, south wall c 30" of weet wall. Location of Concrete Placement: —_ — r Strength Requirement: 2'.On PSI (d __._1__ days Slump: Cement Type: _ __ III —____ No. of sacks:_-- —_— Entrained Air Admix, Amount: Hat Aa$er Brand: _ Admix, Amount: __ __ —_Brand: 1 ` Natural Coarse agy. size: __ .Type: ------ ---Fine Agg. Size: Spea.MGM Speelmen Test l/ Register Dote Date I` Total Areo -1—Unit Load Report No. Type Days Number Recd. Tested Load FSI _ No. 2 A 6 s 12 4 4030 12. 2(j 101,000 28.27 35111 2B 7 4031 1"? -1. 12-23 115j,O'N) 78 2", 4010 n 2 c T aG3w 2=,1 12-23 117 two 28,2 4140 6 D E Remarks: coo Richard rbmnn k, Alsr.00a, --- or-tsk-w e - Xrt, BobGr%vW Tigard Bidgo Dept, Denell D. Zander P.E. Construction Inspection 9 Related Testi Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 Phone 1503)841-4114 REPORT OF CONCRETE TEST SPECIMENS Date Molded: :12-16 , 1926 Job. No. CP `1F_ Client: _—Howard BrAwtont Project _-- Albertson's Food Center __ ----- --- -- _—_—.._-------- --_----------------_.__.. Address: Tiga dt Orwu -- --- -- -- - — -- —_ _ --- -- Contractor, Howard Hrewtons Inc. _---_. Sub-Contractor. _ Concrete Supplier:Nil1+>alnstt0 _ Cast by: Zamder Weather: -- -__.___ _�-- Temp. high: L,,cation of Concrete Placement: _ __- rant oally Dough vaD.. 30' cif wemll w,41L, Strength Requirement: _ 2500 PSI (d _—_— days Slump: Cement Type: . _—_ Z No. -' sacks:-_ 7(:0 Entrained Air Admix, Amount: Hot water Brand: _. ___ Admix, Amount: Brand: Coarse agg. size:___l -- Type. P1a'tu2'a1 -- ---- Fine Agg. Size: - Specimen— Specimen Test P Register Date Date Total Area Unit Load Report No. Type Days Number Recd. Tested Load PSI No. 2 A d : 12 4 6030 k2-711 12-20 101,000 28.27 3570 3 2 8 1 4,031 1,2. 1.7 2-23 en'Sa27 2 C 7 41.032 12-17 2-23 28.27 D E F Remarks: "r-hard MMtnn &' A""a — --,_--- --- •1 Derrell D. Zander P.E. A+I p.n Nita"INIKK"WIN-LILIN f Construction Inspection B Related Tuts Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Mortar Tigard,Oregon 97223 REPORT OF COW?f4 ST SPECAENS Phone(503)641.4114 Date Molded: -_12-16 _ 19— 7t6 Job. No. Client: ___- - Howard Brayton, Ino, --__ _--- ------ Albertson°s Load Center Project - . - --------- ---- - - — Ti gArdt Or*Via Address: �- ------ ---- - -- ---- — Howard bl'ewton, IAo., -- Contractor: _ __— - Sub-Contractor: _. _ -------- Concrete Supplier: - Sob Mix _Cast by: ---- Weather: --- Foep• g_ Tem high: _ 4'2- Temp. low. - -_-- fiorth hull 10' Location of Concrete Placement: - _— -- - ----- -- 1600 Strength Requirement: PSI days s Slum p: .___-_--_-_--- - Cement Type: __ o ---._ No. of sacks: _ Entrained Air Admix, Amount: - __ _____.___ Brand: _.—____ --- Admix, Amount: __ _Brand: Coarse agg. size _ Type: ------Eine Agg. Size: _--_. --- Specimen Specimen— — Test P Register Date Date TotoI Area Unit Load Report No. Type Days Number Recd. Tested --Load — PSI No. R11� A P x 4 T Q_02'� 12-17 12-2- 7,5500 ae 1Q 239a 93 B 28 4028 12-17 1^13 — 93 C 28 40429 12-17 1 13 D E - -- F - Remarks: - %ax Rloharti --- TlEmia A14' Drop 1, A-lb(.0mon's) Yr. Rev Crurp Denell D. Zander P.E. Construction Inspection 9 Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Harter Tigard,Oregon 97223 REPORT OF COAUTEST SPECIMENS Phone(503)841.4114 Date Molded: 12-15 , 19 76 Job. No. t'' 21d _ Howard Brewton, Inoa Client: ---— - ------ — — -- ----- — Project: — Albertson's Pood Center __—.. Tigard, Oregon Address: - --- — -- — -- -- - -- — -- Howard Hrowtonit Ino. Contractor. ____ _ _. _ Sub-Contractor. — Job Nix T)n Zandax Concrete Supplier: _Cast by: _ Weother. � " Temp. high: �4 Temp. low: 11w�a;�t :�,4G 1.1 ✓, Location of Concrete Placement: ._ -- Strength Requirement: _ __. PSI (d _ days Slum Cement i ype: -- IWO No. of sacks:_—_—_____ ___._-.____— Entrained Air Admix, Amount: .. Brand: ------_----- Admix, Amount: _— Coarse agg, size: -_----_--- Type: - ___-.__Fine Agg. Size: Specimen Specimen Test p Register Date Date Total Area Unit Load Report No. — Type Days Number — Rec_d. Tested e Load _ PSI^ No. !I2 A , 4 0.004 - -t�!� 112 B 21 �t()O;i 1P-16 1 -12 N2 C 2 4006 1 i,, 1.,1� D E F Remarks: ares R�nLsrd l=ha+�rui A Atwsac Tierd Albartson`'id - Xts_ Dob Crump Denell D. Zander P.E. Construction Inspection 9 Related Testa Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 or,id Phone(503)841-4114 REPORT OF CO EST SPECIMENS Date Molded: — Job. No. Client: -_ I{owarct Brewton,— Ino. --- Pro ect: -- ------ --- - ---- Address. Contractor. -_- O!+ard Hrewtcn. Inca Sub-Contractor: _. - -- --- Concrete Supplier. �+• o noun -_ -_� Cost by: Be fted -= Weather: Temp. high: Temp.Temp. low: Location of Concrete Placement .....— {►8r �- ltd -- - -- Strength Requirement -21?OQ-- -------- - PSI !d - - days Slump: ---- ---- - --_----_-�.__._ No. of Sacks:_---,__-- ------__ Entrained Air --_- T_____.-% Cement Type: __ _ ___ - - Admix, Amount: __.—__ Brand: —_-- - Admix, Amount: -Brand: Course agg. size: Type: ar -__P0� - - Fine Agg. Sire: ---- --- Register Date Date Total Area Unit Load Report Specimen Specimen Test P gi PSI No. No. Type Dovs Number Recd. Tested Load — _- 0 1 A �€ 9 _._L eoox --aQT4 � - -� -- - - B 3 - -- C 2fl - - ------ - o _ — ----- -- --� --- F ---- Remarks: ---sir}�# !'ek- i and. nor4h viigazd Valle 'f:^ 01, All (301.14 thoroughly 1roddtod ---- o f Mull — -7M a Mud per MPT09 P ' cdelt to tejt*Y (3 ut94 tie --- 02 Deneil D.Zander P.E. Construction Inspection & Related Tests 7'r Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF COWJWE TEST SPECIMENS Phone(503)641-4114 Date Molded: — , 119_;1 — Job. No. Client: Project: loltll;d Address- (1ir#ogwi Contractor: Kotoav�,' Drsvt(m, Sub-Contractor: Concrete Supplier: Cost by: D, Zmm-der Weather: Temp. high: _48 Temp. low: Location of Concrete Placement: K11 �.Q 8" Strength Requirement- :20Q." Psi 0 days slump: Cement Type: No. of socks: Entrained Air Admix, Amount: Brand: --- Admix, Amount: --- - Brand: Coarse agg, site: ---Type:. Fine Agg. Size: Specimen Specimen Test 0 Register Date Date Total or U.-t Load Report No. Type Days Number Rec'd Tested Load Area PSI No A 4007 2-1( 112-22 30'00U B 96 4008 12-16 1-12 �40'000 16 eqo" 3750 3.9 C 28 40,09 1�� 1() 1-112 5 9 r 000 16 ag-el 1687 - 19 D E F Remarks: fine fitchAnI 011jann h Aftntso-, i91;cul n1% vura-ii in ummi; &Ad risipil ZI! &jib ["A.juk'I IInrjt:&'Uat! Avr uIpmglie., J,o ad 4*JMbQ 4�Xtl-��efltukmkv srcnatnd ato owtv go 44uu-llm wvAptue, Denell D. Zander P.E. �M11L&JINLALM-laor gootanss lnat� �, 2 "iq Construction Inspection & Relarect'Pasta Carlson Construction Consultants, Inc. Of Ore /""".' kon P.O.Sox 23814 REPORT OF CMERMTEST SPECIMENS Tigard,Oregon 97223 Phone(503)641-4114 Date Molded: Job. No. Client: 'Rowa Brelstoy)" Project: Albertson, a pood. ca'3ter Address: Tigard, 0!!`Vlgo 7. Contractor: ----A0Wkrd Sub-Contractor: Concrete Supplier: Cost by: Weather. Temp. high: Temp. low: Location of Concrete Placement: Strength Requirement: PSI (a days Slump;____ k-ement Type: No. of socks: _____-_ Entrained Air Admix, Amount: Brand: Admix, Amount: Brand- Coarse agg. size: Type: Fine Agg. Size: Specimen Specimen Test Register No. Type Date Data Total —Days Number Rec'd. Tested Load Area Unit Load Report Psi No. A 13 C 'oc' JNo A 13 C D E F Remark s: fte-vrd ).'Ida,, Nopt, Denell D. Zander P.E. r,r WMa �or�err.rerr.wu�, Construction llnspecti�A Related Teets Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23914 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone(503)641A114 Date Molded: , 19____ Job. No. Rc>wrard Prow-ton, lnuo Client: ------------_--W- A10or'tson'to }torr,' t:,,rnta.y, Project: ---- - - --- -- - - - - -��- �- — — ------ --- 't'i�urd r Ux�e,,;ora Address: ___ - r_-__---------._-_-_- '.-loward Drvwton t Ine: Contractor: Sub-Contractor: F7ill.+�ra�+"tfin by: �', 3'� Z�tr�<)i• Concrete Supplier: _ --- Cy: - Weather: .-----.�---_---__-- Temp. high: l emf.. low: - indS.aidurAl. toc !kirig,t+, Location of Concrete Placem:nt: Strergth Requirement ____ _____._____ ____-_ PSI 9 _ days Slump: .___._...__ �_- a Cement T ype: - _____-___-___.___----_--_. No. of sacks:.-__- 50()# -- Entrained Air Admix, Amount: ____._— Brand: ___ _ _ Admix, Amount -_—___Brand: �•�t'° duritural. Coarse acg. size: Type:--- - _---. Fine Agg. Size: _---- Z.i.c#;a' Specimen —Specimen Test P Register Dore Date Total Area Unit Land Report No. Type Days Number Recd. Tested Lnod PSI _ No. A 3 B 28 3994 12- 15 -1.:+, 74,000 :?'i_:"i .3330 l a ----_ 8 2 399 I ;. l� Al 94 5OEt s.6 ;� 334 C 0 D E F :a: '`,ignrd Dldg� Rapt, Remarks: — — ----- — Albertson's - Mr. Bob Crura �1 Denell D. Zander P.E. Construction Inspection dr Related tf'ests (;arlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 )6 I1rl'A-.R Tigard,Oregon P7223 A'XXXXX XII Phone(503)6414114 REPORT OF CONCRETE TEST SPECIMENS 12-1 — p'Ct — rt Date Molded: 19— Job. No. Howard Brewton, Inot, Client: A1ber*so11°a FuoO Lasater' Project: ---- -- - _ —_W.____------- -- ------- ::'Sg'atYln Jre�'on Address: -- Iiai arca �rel+rtan, ?�+a, Contractor: —__._ —_ Sub-Contractor: .-- -- Jot KA.X Concrete Supplier: _ Cost by: -- Weather: _ Temp. high: Temp. low: Location of Concrete Placement: — -- _— - ---- Strength Requirement __..___.. -_ _—__— PSI --�. days Slump: Cement Type: No. o4 sacks:—_ -__- Entrained Air Admix, Amount: ____-_ _ _.._— Brand: Admix, Amount: ____ ___—.Brand: Coarse agg. size: --_Type: -_-Fine Agg. Size: ------ _ - I Specimen Specimen Test P Register Jot* Date Total Area Unit LoadRepot No. Type Days Number Recd. Tested u Load PSI No. T 40 ^�' 1 B >3 ?4 5t10U t. :?fir) .l6 l C H y104 --- 2 3 l -.0, 6,ow D E IF - ^'t: Ri.�r}>,c`sxcl .L+;�trnR�n:a G: I1�11bSaQo Remarks: —__-- T 911111 d 41118,_Dep-k . A lhertmon B • Sar- DoLi C1^ urp Denell D. Zander P.E. Construction Inspection 6r Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 MORTAR Tigard,Oregon 97223 Phone(503)641.4114 REPORT OF� TEST SPECIMENS 12-14 76 w?. .218 Dote Molded: -- ____. , 19-- _ lob. No. How.rd DrewUn, Client: — Albertson"a Food Genter ---------- ------------- Tigard v Oregon — Address: Hmard Brwtonq INN. — Sub-Contractor: __------.— Contractor: — — Job KiX —Cast b 1). Uzifter i Concrete Supplier: _— J_y' D.— �.-----._-- Weather: ___-----._ -- ---- ---- Temp. high: -------Temp. low: North wall, 5, hiilh, — Location of Concrete Placements __ -------------- =.--- --=-- 18000 Strength Requirement: — _ ----- ---- PSI ld - days Slump:—_— B No. of sacks:— __ Entrained Air Cement Type: ---- Admix, Amount: Brand: Admix, Amount: .— Brand: -- Coarse agg. size: ... ___Type:..w__ --___---- Fine Aqq. Size: - ---- l— Register Date Date Total Area Unit Load Report Specimen Specimen Test P Number Reed. Tested Leed PSI No. No. Type Days �— -- X l A z 1 4 7 3992 2-15 12-21 5,500 „1.4. 1750 — 5 M 1 B 28 3993 2-'15 1-11 --- °14 K 1 C 9-8 3994 !1,14 — D — E - --- 002 TlicluNr3 7;n,mz4.nn t. Aaet�ct Remarks: . -- Rlb�erte0n"e Mrs 1)ob C1uq, ---- Denell D.Zander P.E. am sne >� Construction Inspection ® Related Tests Carlson Construction Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 Phone(503)641-4114 R_ EPORT_-OF CONCRETE TEST SPECIMENS_ 12-14 16 :�' 219 Job. No. Date Molded: -- -- - r 17oMAA`d Brewton, U0. - Client: - -- -- ------_...-_. Alt erterm'a PoOd C en:ea" __ _^_-----_---- — Project: ---.------- -__-.—___ _�— Tlgard, Oregon -----------_____ _- Address: -,� -.�------- ---_-� Howard }?"wton r Ina. Sub-Contractor: -----�-`-- Contractor. - ----- - .-- - --�-- Willamette Cast by:D. D- ZaVd,01' - Concrete Supplier: _- Weather: . ---- - - ---- -_- _ Temp. high' - --- a J T2(1 .N7. L1t11J h t ();111 pi,. ----- -- l_ocot on of Concrete Placement: __-___.--_------------ - - -- --_- - ,� Slum Strength Requirement: 2500 -- - - PSI [a - - days P - --- - --_ .-_---------- No. of sacks:-.--.150011- =- -- ----- Entrained Air Cement Type: Admix, Amount: ._ --_--_---Brand: Admix, Amount: Brand: _._._--. --- - l�f Naa1Y'�:1. - Fine Agg. Size: - — Coarse agg. s1>:e:._----- --Type:._ �,,,_.,_�-----__ -__---------- — — pare Total Area Unit Load Report — Test P Register Dare Tested Load PSI Specimen Sp No. cimen Re Dere Numbercd. — No. Type r -- x 3 '89 2_1; 2-2t �6 r UOO 28.27 A 12 7 ; 3 g 28 3990 2„1") -7 7. � 2847 3 28 3991 Vi �. 28.27 D -- E -- - p -- dot T1j.,:,r•d Bldg, Doptl.. Remarks: W-"�� i IPl�+ap. Alber'UOr to m 7Ba . BOO CVL Tp -- 41 Denell D. Zander P.E. 6 �nl� P �r�l^ BUILDING DEPARTMENT, TIGARD NO. PLUMBING PERMIT 110 l�C/�ni (u�,F'�+e�• ,O,(c�,d•.� Cb , hoiaer of a valio N.umD;,n(; contractors license is horeav authorized to causE plumbing work as herein noted to be inAa„ed in accordance with the plumbinri core of Tigard. Such instaiiations require inspection by the Zity Insaector who sha.l oe notified not lass than four ;q} hours prior to the time the instaiiations are ready for inspection. City of Tigard Business License required for aU contractors and sub-contractors, r. > n.� ��D .�>�'•� Adr,•n.,�.1�v�r.�S[-� i'%sfl�_..-_._._. Ja',-_.L'�s� PERMIT NO.'S NUMo[r OF AutOUNT Office Use on,yl TYPE OF PERMIT ITEMS ON EACH -'-'-y- Sinnla�nm'Iv 1 beth ench _ 75,r,J_ o,)p nx-Each 1 bath unit At.d,l.on,u nnth,00ms•-.each VDIVIDUAL FIXTURE FEES C T 1 ;0 0 Flxtur¢s In 1 bulldln-ench - Si 10'CU Fixtures In 1 buildin +J' 'n'UO Fixtur¢s In 1 buildin-each _ �� 2,00_ __ - - nr mora fixtures in 1 bulldinu ench i 1,GU v.•a LLLANEOL1S � 00 10 iIrn _ r -- ilu�uun Gewnr-1st 50 tt. ,. . +i,rwnr-ench adrllcional 100 h. 10.00_ - V"' $awicn 10 building / 6.00 Ln ---- �- For Plumbing Inspection Phone 6394191 �)5 Plumbin Contractor JY _ RECEIPT NO. Issued R - DEAN WARREN, PLUMBING CG. 5706 S. E. MILWAUKEE AVL PORTLAND, OREGON 97202 Cor►strwction inspection /4 Related Teats Carlson Construction. Consultants, Inc. Of Oregon P.O.Box 23814 Tigard,Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS Phone 16tl318414114 Date Molded: 12� 19_ Job. No. 15ofsoa d 13 outrin, Ina. Client: -- — __ --- --- — Project:.— --- /i.:1J)@rtxon"a Food Coater —�-------- -- ----._ ---- Pf.ggovdp Oren, n Address: __� � ----_- -- -- ------ loward Ps,(5wton, lrio� Sub•Contractor: Contractor: _ _ ------- --------..- Concrete Supplier: h(�,1,�:�tAC9�"w® Cast by: Weather .__ Tlw'tn Temp. high: Temp. low: Location of Concrete Placement: Poo$'i..11q 1'_81'9 6 from u to, fpr, A iao Y' from ). Go K Strength Requirement a,500 PSI @ 28 days Slump: Ori —_ — Cement Type: No. of sacks:_ �O1 Entrained Air Admix, Amount: 6 I� '/ '_grand: Z""%l%l , 'm;x, Amoint: Brand: .�-________.--___ lyn�:t1�tk Coarse ogg. size: _ 1' ,I Type:__-- -- �-- ..Fine Agg. Size: Spec.m.n Specimen Test F Register Date Date Total Area Wo Load Report No. Type Days Number Reed. Tested Load PSI No.— A I" r V15 1-_15 4'� 000 28.27 V 'IQ B 2p, 39" ;7 8}r 000 ?0'.P. 2440 .1.3 C 28 WO ! - 3 8r1o dao 2? 'Opo 13 D E F FT -- Remarks: i,vq of r Gard — . ,191" W-4F e ft s.�;t1•�.1� k'�'1t!'iga:,aA "� .Awe.�� �.— Denell D. Zander P.E. Construction Inspection 9 Related Tests Carlson Construction Consultants, Inc. Of Oregon at.. P.O.Box 23814 Tigard,Oregon 97223 RFPORT OF CONCRETE TEST SPECIMENS ,ii Al i (' Phone(503)841.4114 U-218 Date Molded: —. 19 Job. No. t,ITY OF. TIGARD Client --- -- ------ --- - �__�—,—---- Project: — barle,mc.n'�k "t1a.r +_',sater, #544 6. H. 19.in At.. twr.d :?, q. Sw)ffins St,,, Tig�►rdt Oregon Address: — )�4warC1. T'x'4Re.#Wt1, Ttyi Contractor: . _ Sub-Contractor: ---- Concrete Supplier: 1#!,11taols ;ta —Cost by: D W,, Leanh Weather: . $in —_ Temp, high: __ '0 Temp. low: Location of Concrete Placemen!: oottiiiw l .sta A from 1 to 6 and l yne 6 from A to 0, _ r w Strength Requirement: 2500 PSI @ .. l days Slun p: _-__ — 4 Cement Ti ype: No. of sacks:____ irQ .__... Entrained Air °�- Admix, Amount: ___—_.__-________ Brand: _— Admi x, Amount. _____ ____-- Brand: — 1 f" irs�Rtt , 3 l Coarse agg. size: ___ --TYpe' - ---------- Fine Agg. Size: --- — =— --- speelmen speeiman Test f Regis-ar Date Deto — --Total Area Unit Load Report No. Tvpe Days Number Ree'd. Tested Load PSI No. L A 3892 It.2. ',fi 2� V- SN�(100 M,27 _24?.0 Y b d .1893 ?.2. ._,4, U90500 28,21 3870 12 I C "M 3994 l2 f 4, i0q,000 28 27 .860 12 D E F Remarks: ow Riohasrd A!!wm & ARCOA, Dannll D. Zander P.E. BUILDING PERMIT APPLICATION clTy TIGARD DATEOF THE IJNDEFiSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE. OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. �I OWNER PHONE a — � UWNER U�':. t.B<<tt !4 '.`;t}'ie ;;•: LOT NO JOB ADDRESS L.tU6r) :'W r14ip HOME ADDRESS ARC 1 (-, BUILDERi4&PtACd l.. Ehlwwnn ENGINEER ADDRESS DESIGNER STRUCTVAE ❑NEW ❑RERI'IDE_ ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLI'ION C7 RESIDENCE '©COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [jFENCE DBOND 1:1 MOVING OCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ ❑SIGNS Q UP N Y LANA USE ZONE bL,G.TYPE I FIRE ZONE PLAN CHECK BY r�TW HEAT 8B tst. t aLon y ccmaercit,l bldg. :ti I per plana Spelr.l f 1 011111 shaelto A-1 thrY li, -4-1 thru 4, A thrra N-1, a-20 AC I thru 3 •1 � 2-2 SS prepacjo(+ by Richard G. Lhin pn datltad 10-17)-7b �c.hitftt. Building, to be fire yrinklelre4 throughout. Per NGPA pamphlet #13,3-7.7 9CC'�.LOAD �z\' FLOOR LOAD ��TetBHEiCHT -�1�"'i' Nn am � "� Illy _._. -- FLIES _AREA' w NO.BED�iOS21l�S VALUE_X23#000. BUILDIN( DEPARTMENT atG(! 1alaela — SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit ?1).00 -- --- Plan Check 455,00 REGULATIONS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Stab totalWORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH _ ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BIMIINESS State Tax til.�� _ LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 1,405.43 ay APP- 'CANT OR AGENT -'-`"--- -- Approved Receipt No. ADDRESS _--"- — ----- 1 ffI i 1 '— REMARKS PLUMBINGr DATE DATE Iwe .TYPLf INSPECTION �1 _ - 6Qntrartor / f-4, A-1_ Permit No. _ Ro -in Fixture _— _ HEATING --- � Contractor _ Permit No. (IS — c k'_ A, Gas or Oil Rough-in 2- > Finan - �, SEWER' Final12 _ ---- - DRIVEWAY C.- 1.2 ,7 b' �" / - pyo-y� 3iolAr Gy_�R+� pI M Final — --- `_ Storm Dfainage / (Rain Drain) Final — Sidewalk / y 4 ;713 ��i ctl e �ItisS Curb 8c Street Final A — 77 ---r- roach — nLDG DEPT. NAL TEMPORARf CERTIFICATE OCCUPANCY Final 7 CERTIFICATE OCCUPANCY� Landscaping p� C. Zoning Final 4 i City of Tigard City of Tig INSPECTION REQUEST INSPECTION RE f o r for INSPECTION TIME'. PERMIT NO. : INSPEC) ION TIME * PE DATE : — / Z D,A.TFISSUED .—. / -L— DATE D OWNERS NAME : OWNEK IS NAME : _ ADDRESS: —_______ ___ - ,,oN rRACTOF; : C 0 N T R A C T 0 R F S',- Air r], Water 0 Visual [1 , Lobnratory ❑ TEST* Air [3, )Pater Cj , Visual 0 , La `-4F.';ULT' Approved IJ Disappr,­-d [7 Pending jj RESULT: App,oved 0 Disapproved S KETCH. SKETCH. INSPE .TOR DATE INSPECTOR ENOTE Attach supplemental test data beret] [NOTE' Attach Supplemental toot data heret I t I y of 'Tigard City of Tigard TION REQUEST INSPECTION REQUEST for for I _. PERMIT NO. : INSPECTION TI ME : _ PERMIT NO ' �_.._ DATE ISSUED .-- I ..L_ I DATE : DATE ISSUED: ..'L OWNERS NAME ' AD DR IM S S : CONTRACTOR i '-I , Visual 0 , l aboratory L] I TEST. Air C3 , dater U , Visual D , Laboratory [7 Disapproved C'. Pending 0 RESULT. Approved CU Disapproved 0 , Pending � I I, f I I i I INSPECTOR DATE I INSPECTOR _ DATE fel reef data herein ( NOTE: Attach eupplem,nfoi tett data hereto j I fi'r�. UNIT-: 1l D SEMERAGE AGENCY NO. ._ 110U8 WASHINGTON COUNTY DATE ._.___11-23-76 _ CITY OF APPI-IC/--TION FOR SEWER CONN FCT101\1 PERMIT OWNER: 4lbert,on'S P-1 OWNER'S ADDRESS: STREET rITY STATE ZIP BUILDING SITE: LOT BLOCK _ ADDITION TAX LOT NO. _ TYPE OF OCCUPANCY ADDF(FSS 12n6 ti Fain DWELLING UNITS 19 FIXTURE UNITS SURCHARGE �F790 P ACABt_E PERMIT FEE —_tinn•nn INSPECTION FEE 5� �n TOTAL_ DEPOSIT FD 'rlobon_-_ (IN FW) (EXISTING) BUILDING SEWER SYSTEM r.nnnn ._!Ir ank.______ The Applicant agrees to comply with all rules and regulation, of the Unifir'd Sewerage Agenc APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZFS CONNECTION TO THE SEWER SYSTFN1. LINE SIZE _.. INSI-AI_LER RECEIVED BY �Y' r - (AGENCY OR ITS ENT) COMMENTS: ..._Rid=__1_11P1 lJ' on Sewer Fee This Application and peiinnit expires in one hundred and twenty (120) days. The amount paid will be forfeited should exp.ration occur. CITY OP DING PERMIT APPLICATION TIGARD DATE • ,B� N2 TI'S UNDERSIGNED HEREBY APPLIES FOR APERMI'FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ �lyyNF t'�" '0" 2 ADDRESS ��/ .�� BUII0-ER PH NE ENGINEER an _ ARCHII E T l�Qat.t� tea. y DESIGNER �' y 7 7^ S-RUCTUPE YNFW _PI-YODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑RESIDENCE COVV —EDUCATIONAL nGOV'T ❑RELIGIOUS❑PATIO []CARPORT ❑GARAGE CSTORAGE❑SLAB ❑FENCE �ROND MOVING r-1 CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ 0SIGNS 0 Al 'PANCY !_NO USF.ZONF__-A'- 4-tRL0G,TYPE�_.1 FIRE ZONE PLAN CHECK BY"- FIEA- _ ej 111C ns�rL "p-W 071 A iy i+. �r�1�•�'�--_'7SP �G+- -�� %i1cs,Glelt,lt �Z�.L�c JVP1-14 ,tAig 3�.3'`77 QUAD 7�A ono�Qs.Qit_LJ. IIEIGI, L' NO, TORIES /. AREA i( rr.7 VALUE S ' RL'LDINGDE^AR�VFN'T— I SET R 1CKS FRONT Q1./�� LEFT SIDE �HT SIDE °ermit 1/D ed ---- __ ' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE RUII.OINO CODE,ZONING Plan Check eV REGULATIONS AND AI.L APPLICARLE CODES AND ORDINANCES,AND IT IS HEREBY AGRECO THAT THE WORK WILL BE DONE IN ACCORDANCE W!tH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITtl Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE 146 RESTRICTIVE COVENANTS. CONTIIACTOR A' It CONTRACTORS TO HAVE CURRENT CITY BUSINESS ti State s�U rf, LICENSE,SEPARATE PERMITS REOUtREO PON rER,PLUMBING AND HEATING, App roved No. ADDn ESS - — PHONE N i ipnf, Number _ Pt" AN CHECK REPORT Building DF-p,:jrtiTn�-; 't Tigard, Oregon �jL LnCATTON : C DATE : & OWNF-R ,/ - AGENT : 2- 2=�-=-Z - -rte 4�✓ _ PHONE BUILDER : ENGINEER : / �12c1� �z-�� _ ARCHITECT : „ OCCUPANCY GRO -2_ ZONING : BLDG. TYPL : .-S /r FIRE ZONE : _ --- FLOOR AREA : B J , � '�� '. - OTHER TOTAL7 27z.2 QL o OCC . LOAD: H 1 1 .. '• OTHER _ TOTAL FLOOR LnAD: B _ 1. n�µ�b �-. OTHER TOTAL PARKING SPAI;F_S : SPECIAL CONDI IION5 : c 'Q 30 IL-�T— A � tit s ` �2.^�, Q .�/��t rr.,L,�, `�� �1a�� (✓c]-�-{ -- CHECK BY : DATE : APFROUED AS CORRECTED: YES Nn ,C1Ct tie' L. -- J!' •�C'c-c � �5'7.1� .� �`?S D ___.._______._._.__..__....._.---_ ___---_ _._._ '� S`d fa$a3 0 d. L , Zo- ot c_�% � a�,c.. -z-�t..�....�„ t9-a•t � Q7, l�, , C� �_c.,tr�..c� ��R�y�„�c.�,+�� 1144 _ — W� 7,eU-'3-J0 LS r -S.y�:"»M acro t_�Nc LZ ;Z r,, L L 401 31' -7 S. fA 3/4 a 3 X34 ,1 L_ -750U 41 � k � 1 a g 1 ,3 L_ q l Lk (' 3/4 3 0 41/4 vs�a /v '��4 l 'ZZ �Z vsi i 34 1 q U t, /� 31 z tj 11.1._ 1 5 -7 L 1e U e4 � I u Us� l r DICK W. E3ELING INC. -C 1 :, �S F .':`' � � � � QCT 27 9'/6 (ONSUITING STRU(TURAI ENGINEER EN��NN & A<<nC PORTLAND OREGON PuCLIN1 c3'v PGANS, a 21,LK 64.A- S'4.S 4 >�' &I"I 711, /A4.fl I�q2 I`LO,h �(+3.Z 54.1 Ila,l �Z,z 1 �`�•Z Z.27• a _ - _ M l ZI, fir Ico A -70�.(. � 351,4 qp� ,� �/ � 2Z t 240,-1 M n(F,•� '�7'/� fl L. r R2 •x�,�., ,..- /mei � a_ 1 b I 4'f L Q DICK W. EE3ELING INC. ' ' ` t''F'`' T'IA' (ONSWING STRUCTURAL ENGINEER fNM^NAl IAssIc PORTLAND OREGON f l�Nf�RG t��r►,� !_/ti's ��} _ M _(-.r�r Fly/0/V C'�' ��, ,-+ ,� , �•�}• r ti R, NY R _.. .Y .. f44,50 _ 39 ' � L7' �� g 1.�l fr: 24.4 K r- 3.-74A,2 -�4.74 - 37 �. < R- �- ._ RAi� f' " 4 4 341 T1, 01-r., tiL a -7(-,o — 14A �0 y _ r 4,1 b Ic ri � zq� M c77, 147.s 157- ._3 -72, _ 4 V.,; AI i'_4 .4 Z y r K 2(. 'itFsD�• /r_' ��.2 �� h4 'ZZC� (e74 73 OAV. I 8 4 34 (0V4 '.',4��e (o*�� KIS G1�jY31►/t fb- G7 yn 3 v Art . 4z A r/9 r /�' ►�z 3 ,44 V 4,�� ` A • 3 . .ro ,. DICK W. EEELING INC. CONSULTING STRUCTURAL ENGINEER 6lov PORTLANb OREGON r vc N,Q,s�n .�/,ti�hN�i r A4! X. T - - G. A-7 4 4 35,t.4Z c"44 10 417-1. 7 3 .7 91.7s 7 10ft 190-9 41 4 .4 V 7-4 7- li.4i -1- (d-C, 40A4 47 ACyts "V t A 14, . 94 DICK W. EBELING INC. p v- • ?I F (ONSULTING STRUTURAL ENGINEER LLORTLAND OREGON 4S 51,5 Mw V71 , 3 F, k' 10.7 zZ, 39 I5 5(,,0 22,1 c S , - '2 r � 193 314 -p . �'7 41 1 r3 '-�,L, �3•�', �A°i + , 194 ; 11 &3.y SQL 8 iLL IJ �. r —lw ter' x .175 93i� r 2-7 -)x•'11nA/ z43 U.; '.( r 3 6 2` 1 . 3 ZG3.3 ,< P.' U.Le 4,7 r I r 21Z. (, rr~ t Z2? . DICK W. EBELING INC. Lar, ftN- CONSUITING STRUCTURAL ENGINEER PORTLAND OREGON 7/-j A, 119 3,z -7 3?,\ 16 4,4 ISI `i IF'S '7 11 0 f %'7 �5 3 3 ca It. 4110 DICK W. EBELING INC. (ONSUITING STRUCTURAL ENGINEER P( MTM AND OREGON ALL /4 -! M : � (►9� � 40, nyr I a W� z���(ii� 4.t/ .•..� � ST 4 CJ_ � 3 �� ti r-,'l� r,i tR. 4 /,6 07) - 75•,� �r /� �� ��v, [DIIC--,K W. EBELING INC. NSULTING STRU(TURAI ENGINEER017LAND OREGON )E'k'tli�'�� / _ r 4 '� 4 ' � �----�� -- � _ . L�v��-��u��► � '�/ 1�r o IIs I' 31 3.Z.. T-.A L 4J.n MA 44 I DICK W. EEELINC INC. A (ONSIMING STRU(IURAI ENGINEER C`REGON F'c�R(LAND 4 L I-S-L F4 14 S -L0.40 Kgi 115, 0 1, 04 t /. :17, U j- F; " ' r' r-07 rF'Mr plct A^ V - 9 'P L q4 Q -p140 sbo qp 4 suppopTS -01p I -I I)Eli 04 44 rel T 7 A T- 4 -T 4 Tt ph DICK W. EBELING INC. AL ZE/z-r4 ,A/ m p or, (ONSUITING STRU(TURAL ENGINEER 7-1 C..MKO PORTLAND OREGON fi-,f-I r-A11v,.V1A1" 9-(9) - /S,S z -fI-K 4r- coAj 7- A% + 4 AA 5. L 7s —7-471 ar V 4,n '4 4 Ti E4 IP 'S —Lor R 7 t trr k. VrPT i-n r r:> f? uj .' P Aj ri t-%) 4) 09)( S.6 -')(.)F:r? MPE0:--/Qn!!' 7 T J 44 00 17 .14( Q 0 1-)17) e7, I Y" t.7( tie c v 71 0 9. .'1.1 + 4 IV-_ V.71:�7�7'144) 111-71- SHFAt TEML DICK W. EBELING INC. AL r3 C. �I--.-it I --Tr)R q CONSUITING STRUTURAI ENGINEER "I PORTLAND OREGON 93 or-1.4 K r y z k - z'7 , -L 7/ sic IM P. 0 40 , O 7 A.& : 0. 04 36 + 9 . / Aolvi d5 � 9j r,K DICK W. EBELING INC. oc., I a.a�-..�s '"' (ONSULTING STRUCTURAL ENGINEER >i�,✓a.'" T' j�Pr PORTLAND OREGON Cf✓/Y! ^''� ''u' '"` 40 40 TY. - 4 -o1c,?N = 44 14)-4 AA' 70 T'' /¢ 199 o. �a14 M, / p , C7/ 4 Z �. !Z IA`s I-1 yip - ,/1 b--,7.3 (4V f v D BMJ Cof f 1, .x L os+D y'D ,d c�vO ltM 'S : S (e ^ • .70 1f K 4- 1 v fr Vu • 9/' • � .- � o,tee• K = 4 / , l 7 007.9 As a5.( 24�(,U,� v) r , 4 1Ir i4 h a r�vf:max o Job � r v Ar,� I { l I y DICK W. EBELING INC. ��I L'F"+' .,• -� �£ tONSWING STRUETURA! ENGINEER 7/4doltn PORTLAND OREGON r"//M/�/1��✓ _. T . ___.. __ T7 IL � M yip = 0. 0 4? - o, 0oo9 t-' r 11ErtT r+ qaq O,00/F. �-' 0.1 �, tea 'a �}!C"• rf '9 G,JiI1-t W/ TKUS S PTl o A/ BILA *E? S w1 4-407 lJrm-r DICK W. EBELING INC. 7- AR c) (ONSUITING STRUCTURAL ENGINEER PORT[ AND OREGON J f 1. �/c Q I O r 16 Ito" M 16 1.1 17Q L 1.. it J.n I 4T) /"T�) fit. " 11 Jq ri D , A 1 "pro ek I 1 ' f nrf: 1h ►04, 0.4 ► ►•.I ' yirSMic -�`--> L11- Of 13e VIA 2� MI- la- a y. AA AA- %J .L l.,rrrt. 7-3n�41 SWEAE° iaJ►11.1 I g� �%�� ��o�n I �' c.►aR a p r .��'��.� � S ss• � AH AIt wNl WT�:c K DICK W. EBELING INC. (ONSWING STAU(1URAl ENGINEER mac. �' 'rsa►� r�4A�v PORTLAND OREGON CNMtwAl -i A S1'oc, ��C 4, 7. 74 l:��L•,k- �,.,/�A.l��p C/a/p ^,,,M Lam' ��. � co►.r r.� y, 'o Gt Ie 711 pl�. _ ioo c0, noes 0, 00 3 3 ©. o �V A410 Poll'- 0, 03-7--7 ��- � -- I z ( g) ��,sem) ►1 s O Z.0 00 � A l DICK W. EBELINC INC. ot•.LFerT--)Al '7-)R6 (ONSUtTING STRU(TURAE ENGINEER yi4�rn 7�'�r, w PORTLAND OREGON HAF0 C!.A4.MAAoV A ASI .1013 ro 7- 76 Fp ot4r C�_ Ni ' 44jCT✓ra L A. L - /. 7//f,! w z ^1.-r,,,41L L,L AG r, T, L ver, 7L . _ ¢• 464) s T, L , q, QMAO, I.') T qY T- --Z90. --29©.7 - Z Olt)-7 - I'7 14 + 17-14 2!90 ,7 14s�_a _ .�� - I=, 19 M� - .dJ(d0)(3,91 i�7..• .+s)T", - ir'•-� -294.6 dU6 ` a= 40(4. 11 � S� (Z j'"'t► ' *1l1,n, },gj iq4�,�, FI'A!, j) SCAN z9.7_ 7�,Ze Tay - 2-- ;4"R - -;4"R • 13A ss ti 1� r'I res 7.0 ` M . .A X111• T 4,4-ir Ji.l ;"L • 4,•fs -44,Q7 ,44.978.4*, .roe it 3 �T�Ppu1'S 4.6 - -'C-4,74 - --•- �r(Isu- irnl - ®Z, k - k DICK W. EBELING INC. .,o�, 70-1�,�� (ONSUITING STRUCTURAL ENGINEER 00'iv-t1L h' A 1 W PORTLAND OREGON E-:MMAAW s ASi*G, N r BEAAv1 t C ceM ; svA,;.AA A It fit• , �.GA -.�-__.- �3 TIRkUMi�•,2,M-( �- � " � .�,��2�1 •_-�— Cl �,, ,• • 11 `7 r it q art„ IZ -S�.SK -p � 12 g rl 16 �V1 S 7. I 49.9 49.5 4-3. (- 39. 3 8(v - 1 V 34 F31 41-I1'sh,'7_3 3g7s 34,Bl 34,91,49,D t 41.L3 K jW, 23K SZ 49K ssK zaK M,�' �� 85, 2s �� 7,.'y 5-«K c; • �,,� � 63 A1-(3)� �9� M USF S-�5 L n�n r ern �(4o I -Zi Lo - ` t 7/. $ -0-K t i ` 7 s�, ► �,r Mir- ► � i 1,9 7) 1.5 I�' - 1.x.1. r /'w��• 2- ,. -�--- 1 r� u J xx V, s 4 Z. 0 DICK W. EBELING INC. l./ ►'.Ts ? !� ����p , ' tea. (ONSUHING STRUCTURAL ENGINEER ME +a. PAMov4 PORTLAND OREGON /Miwiv I' r --Blob Op to- 114 b AM COL�A,JNS r//6 7 rz Lr r 4q IK 94 K 4 4 14 x SiF C_­ P^ + 47 26 6,1 K Al,� F�'Zl Al E�L'Wxf AA, 77 -44- &1' 40( ,?,V q r,)( 1,( e" -) 12 r IS..3K. Crt DICK W. EBELING INC. (MUITING STRUCTURAL ENGINEER P( )F?l LAND OREGON A,n 5 -)F43 7 14 { r r IIcr z n ,• = / /�S K , " At.ATF tli I i ARE �,pc 34, T ' �•:.98�r�a � •�S1Z); + �s� h�'z , 14 jt � ��/(G. �e)C r, Ac.j' � 83. f3s i3. G� > 4. N.o,%r 2 4o S17 z. go 2 1. C. 14 >CL17 �r [DICK W. EBELING INC. I 1 1r 'T. -W fi,f►,R- r�,�f��o -> � (ONSUl11NG STRUCTURAL ENGINEER •�N)r1N� �,, �. '(.)RLAND OREGON 1�C 6-1-7� ,.� E >r.(/A►NIN�� LLS 5 II I 1 ,� 4z(1,3s) ,n *16 �w "its' 3; �-//� �= M� �. 4a. is)(, (. )(%• y): c7, r:3 (l K�./ f� G3`'�I'�)f`,c SA 7 ps;. f (/,7) Z. 5Z.- 4. 9 .,K 7?, Z F(.0(1a0)jb-7 Z' �., -- -1. --•'�k-----__M___.._..:7tr j•'T,',�;+'/1�.%��.._......_._ 'X� Lot(I,67 � �(1,^2�(•R-�)� . -J3�.r�) .. ta" STFAl M, - '7.-V)Z-' k'A t 4,,, f ' "InE ML 1 '`'(/Z'� - + 113`'.0 +J 1.-) bit /►il "04— 2 t` \1 � , `�(4n/l•-, ��(�',r, .. i JIB. = 3,7Z 7 ? . 3► '� CHICK W. EBELING INC. rl'���r�� �►���r/N�, �.,trrc:� CONSULTING STRUCTURAL ENGINEER r/eel ;`���,,,�► PORTLAND OREGON Ll lir ,,V/r, ,*. a I 1 _ z � /fit V i s �CEPAIkYMENT Q' COMMERCE-PIANS RQYW fJ� ECT10N `-� NOTICE OF PLANS REVIEW (TNIf If NOT A 11U1tDING PERMIT) No.Address BuddingM.1 Building Plan Fee ` ( Const. I_�j_- Sound Values - County l�IJ1`:�� 1 6 1-o-)Occupen.-y - ------ c} Date Received Cl--l=�-�-------- - �- New Bldg, % Addition ❑ Alteration ❑ Architect � � —= pp J l'•- .G+t_S��a��ate Reviewed � • !f �1< -�+Ld-�+S-�11�J'." Address �`_i<_La Owner r 1 y -t-- _ft. ��(p-- Fire NJells_ --Fire Escapes _��--Exits _ / Tot.Width Stories Area Ht. Stops Main Fir. Basement NS, S.P. _./iLi/ / Man. Alarm Int. Sire Ext. �, Vert. Shafts N --J Sprinkler+ --=-/ _'S-/ Stairs --1—/-- - _ No Yes Area Covered 01-T ' _,.�Sir. Members ( �� C sed j /Closed o c�Ceiling C.L"}�- Roof 0 -=1 Ht. Dat —-J- - Floor � -- / Ext. __._CI--/-•- Type Arex Covd. o tJ .. (L ►"`- Class No. 01) - type Ht System��Z''" L�'1 . Fuel --(Ll- wall _ Z--- Wall cover rs -t. Int. Htr. rm. encl. _ Type flue 4- yP u Est. Inf. rT statutes and regulations of Oregon admin- the submitted plans have been reviewed for conformity with fire protectio istered by this office. items No. 1Z=— ---3�-- checked on the enclosed list are applicable. These items a o a�ofssubmli ted planecialy notedpsr sure tnan atpprovalnof rom omissionsnor the project to meet current fire protection regulations. App uversights by this office or of noncompliance with an applicable regulationsL.of local government. 3�_7 f�!J REMARKS: 17 5-- �cl- `_ 1. �L_r 121 t.. Z - r Examine by ` -L-A CO le t0: �i h•�� F'- "r .-- _L . SP`26585•B14 P t t " PRS-7 '+ / DEPARTMENT OF COMMERCE-PLANS REVIEW SECTION NOTICE OF PLANS REVIEW 11HI5 IS NOT A BUILDING PERMIT) , ROOM 976, STATE OFFICE/BUILDING,PORTLAND 97201 / I p 7 „ Building t' J OCL) AddressT C ` Building --TJ— s- ki 11�4 i e rsiSL- J t Y Q►M_p—.�-----_ r0 7 _ f'.16d._A-Y�•--lal�}--- r 7 ~ STATE OF ORF,60N Fire& Life Safety DEPARTMENT OF COMMERCE Plans Review Number PLANS REVIEW SECTION CHECK-MARKED REGULATIONS, IN ADDITION TO ANY REQUIREMENTS APPEARING ON THE ATTACHED Rl�:VIEW NOTICE, MUST BE INCORPORATED INTO THIS PROJECT. Approval of submitted plans does not constitute approval of a.. omissbds or oversights nor of noncompliance with any applicable regulations of 10011 government that may exceed State rcquiremenls. 1. Structure required to ue Type throughout due to (F] arca) (p height) (❑ occupancy) (Fire Zone ❑). 2. One-hour fire resistance rating required for all interior construction. ;1 ,,It living units required to be completely separated by one-hour fire resistive construction. 4. Exit corridors require separation from any other area by one-hour fire resistive construction. 5. i)oor assemblies of interior openings to corridors are required to have a fire resistance rating of not less than 20 minutes and must be self-closing or automatic-closing. Relights in corridors require wired glass set in fixed (steel) framing. See 1973 State Structural Specialty Code, Sections 3304(h) and 4306. (i. Storage rooms, closet.,, laboratories, shops and areas of similar hazard require separation from other areas by at lenst one-hour fire resistive construction. Furnace and boiler rooms require one-hour fire resistive construction. 7 All vertical openings such as stairways, trash chutes, etc., require full enclosure of ( 1-hour) ( 2-hour) fire re- si�tancr. Access ways to such shafts require self-closing and latching Class B fire door assemblies ( 1-hour rated) ( i%-hour rated). 8, Attic areas require draft barriers as per See. 3205, not exceeding each 3,000 -.quare feet. (9,000 square feet where sprinkler protection provided.) 9. Voids created by ceiling-floor Systeme require draft barriers not exceeding each 1,000 square feet. 10. Building projections such as balconies, eaves, overhangs, etc., require fire protection as per 1973 State Structural Specialty Code, Section 1710. 11. Fire -tops, blocking or framing members pierced for utility runs require packing to equal fire resistance prior to such piercing. Wood frame construction requires firestopping of both vertical and horizontal ,)raft openings at maximum inter„als of 10 feet. 12. CoridoTs require at least 6 feet in clear width. Drinking "ountains or other equipment may not operate in a man- ner which would obstruct the minimum 6-toot width. 13. Corridors serving patient bedrooms require at least 8 feet in width. 14. Corridors require stroke barrier partitions with doors at 150-foot intervals. 15 Exit doors from lobbies, corridors and rooms with potential occupancies of 50 or more are required to swing in the direction of exit travel. 1(t. Exit doors from lobbies, corridors and assembly areas require panic hardware. 17. Hardware for all doors is required to be of simple type having no provisions for locking against egress, with ob- vious method of operation. Flush bolts other than listed automatic are not acceptable. 18. At least 44” (inches) in clear width, without projections, is required for exits and patient room dans through which patients must he transported in wheelchairs, stretchers or beds. to. Sleeping rooms regaire at least one window readily operable from Inside without special tools and providing a clear opening of not less than 720 square inches with the least dimension not less than 22 in:hes. Maximum per- rottted height to bottom of opening from floor is 4.9 ircf;es. (Ref: Sec. 1304) 20. Surface flame_ spread rates of walls and ceilings, minimum requirement: stairway—'6_ corridors---75, other rooms -.-725. (Sec. 42n3) 21. Combustible acoustical material requ,red to be secured with stnrles or equivalent metallic holders or a hent resist- ant Adhesive capable of wtthstnrding 1000"F. for one-half hour. 22. All curtains, drapes avid similar furnishings are required to be noncombustible or rendered and maintained f13me- proot. ' . 9 4 y 3 23 With standard spacing, rows of cents between aisles may not exceed 14. Rows of seats opening onto aisles at one i end only may not exceed 7 seats. Also see continental spacing, Sec. 3313-3314. 24. Standard seat row spacing must provide a space of at least 12 inches from the back of one seat to the front of the most forward projection of the seat Immediately behind. 25. Posting of capacity of assembly areas as noted is required by State Structural Code, Sec. 33010)• Heating, cooking, air conditioning and similar service equipment are required to be ap!)roved and listed by a nationally recognized testing agency, such as U.L., Inc., and to be installed in complianes with agency's specifi- cations and recognized safe practices. The installation of ventilation systems is required to be insubs�tantal c0n- 1 air fr�rmity with the 1973 Mechanical SafetyCode. Corridors are not acceptable for use as supply or plenums. 27. A dust collection system is required for shop areas for nonportable machines emitting or producing dusts. (Ref: Sec. I n((A) t)ust collection equipment to be located outside of building or in one-hour separated room equipped with automatic sprinklers. (28.) AS.M.E. -3pproved pressure relief valves are required for all water heaters, installed either in separate water tank l port or in port for hot water line. Shutoff valves may not be located between a water tank and relief valve. 29. A firefighting water supply 1s required within 500 feet of building that is capable of producing 500 gpm (Mini- muni) for 10 minutes for each 5,000 square feet of floor area within building up to a maximum of 500 gpm for 30 minutes, or provide a 5,000 to 15,000 gallon reserve water supply as required. 3u. Interior wet standpipes at least 2 inches in diameter located and equipped as per Sec. 3804 are required. Couplings and connections required to be American National Standard Thread. Where standpipes are served by sprinkler pip- Ing, see 1973 NFPA Pamphlet #13, 3-7.7. X31.' Approved automatic sprinkler protection throughout occupancy is required. 32. Approved automatic sprinklers are required over and under stage and hi all auxiliary areas,including dressing rooms, storerooms and workshops. (Sec. 3802) 33. Stage goof ventilators displacing at least 5% of stagi floor area, openable by hand from stage floor end by fusible link or afher heat activated device, are required. (Sec. 3901-00) '+4 An approved fire alarm system conforming to 1972 NFPA Pamphlet 072-A with signals audible throughout build- ing and manual alarm sending stations adjacent to exits from each floor or area are required. 35. Approved electrically supervised combustion detection of the ionization type is required for all patient rooms. ;(c'' All exit doorF and access ways thereto are required to be Identified by approved electrically illuminated signs served by two circuits with one separate from all other circuits. (See. 3312) 37. An emergency power system is required for the ( ) gymnasium ( ) auditorium t ) building to maintain exit illumination for not less than one-half hour In event of public utility failure. 38. Fluorescent light fixtures installed on combustible surfaces are required to be U.L., Inc., approved for such mount- ing, or installed to provide at least 1% inch air space between the fixture housing and combustible material. (39) Conformance with all requi-ements for the removal of architectural barriers to the handizapped is required. See applicable parts of 1973 State Structural Safety Code, Sections 1711, 1712, 1713, 3302, 3303, 3305, and 3300 and Table No.33A. NOTES: I. Local regulations or insurance standards for most favorable insurance credit may, and often do, exceed these minimum State requirements. 2. Phis review does not cover O.S.E.A. (O.S.H.A.) regulations. ;i. This review does not cover Medicare-Medicaid regulations 5-75 7 ( v �� ri -fi' �- -------------------�_____-_ Number PLAN CHECK REPORT Building Department Tigard, Oregon L0CATI11N DATE : AGENT OWNER : BUILDER : PHONE :2� ENGINEER : X�t Ca" t.� �a,cL-4��t/ ARCHITECT:� �• OCCUPANCY GROUP : Y ZONING. BLDG. TYPE ; FIRE ZONE' FLOOR AREA : B I . 2. OTHER � TOTAL. _ OCC . LOAD: B 1 . 2. OTHER TOTAL FLOOR LOAD: B 1. 2. _ OTHER TOTAL. PARKING SPACES : _- SPECIAL CONDITIONS: CHECK BY : DATE : APPROVED AS CORRECTED: YES _ NO Number PLAN CHECK REPORT Bu..lding Department Tigard, Oregon LOCATION : �1/I DATE : OWNER : AGENT: BUILDER : PHONE : ENGINE=ER : _ ARCHIT-LC OCCUPANCY GROUP: 7JN INL - BLDG. TYPE JB FIRE 70NL : 1i FLOOR ARF A : 0 1 . 2. OTHER TOTAL OCr, . LOAD: B5 1 . 2. OTHER TOTAL FLOOR LOAD: 9 1. 2. OTHER TOTAL PARKING SPACES : SPECIAL CONDITIONS: �. CHECK BY : DATE : APPROVED AS CORRECTED: YES _ NO � t ------ ---- ----yam 3 s-c -------------- ------------- ------------ _-e _ _ ._�.�: GGA'--�°�___---Gl.�-���-- - _�---��.�� �- --�•'�-�..<./f_---� --__. , l.J.. ..♦ M .. • JVV .��..�Y .. ,. IL. .� .. •. ..�. J'j \ .�. J. . �. ^ + _- I ' if C[] �] 1.Y�"SU I VyVI�b� V. •G� w .� �•- , .•.i..,�.uv�IJ GIiG r1.4u��� IVB . .J�•v1..�H.1. V.�� 'J a4i _ •. G'!cc _ _ - --- ---- - - -- _---_y ILI I City of Tigard Mechanical Permit jo Permit _ $300 Fees+.— New Installation ® Replace ❑ Relocation ❑ Addition ❑ Alterrtion ❑ TOTAL 57.(08 CONTRACTOR 1J I•`,r,r. d t r _Qc,s•tc4.Ce r.�'• CANNER I r1C. ADDRESS I'l l c• t„ci c: YY7QAC. Ga, WORK ADDRESS �YY.nla N A 5 W,75c 4 l h5 PHONE (VI-t 1 4 G,r.G APPLICANT Heat input Rating 19TU Per Hour) - I`,-,oco Vent Sita Flue Size FUEL OIL ❑ GAS 9 ELECT ❑ OTHER Hol ya-_ he-,J re, law, ._ ITEMN—O- FEE ITEM NO. FEE For Issuance of Permit X3.00 Ouilcrz Over 50 HP 7_25_.c( New-Under 100.000 8TU _ 4.00 Air Handling 10,000 CFM i_ 3.00 New_i_Q_Ver 100.000 9TU _ !j_ 24. 5.00 Air Handling Over 10 000 CSM ( _10C Floor Furnace 1_ 4,00--_ EvaDorative Cooler I 3.0c Wa" -Floor-Suspended_ 4 00 Vent Fan 2,S Install Vents--1 L i 2.00 Vent System 3 Repair-Heat&Cooling —_—r _ 4.00 Hood I 3.0( ev"rrrtlnder 3 HP 1 4.00 Domestic Incinerator 5.0( Pet 3 to 15 HP _ 7 50 Comm, Incinerator 20.0( i!ee Bok-rs 15 to 30 HP " I to.n0� Uther Not Listed 3 0C Bak"30 to 60 HP 15 00 INSPECTOR'S COMMENTG• CITY BUSINESS LICENSE REOUIRED FOR ALL CONTP,AC,rons OR SUEZ-CONTRACTORS APPROVFD 13Y DATE iSSUED DY_ DATE RECEIPT NO. 774 £iinaturs of Appiicnnt CITY OF TIGARD PLUMBING PERMIT 13125 SW HALL BLVD. P. O. BOX 23397 Applicants must hold Oregon Registration to conduct a plumbing T I GARD, OR 97223 business«must be property owner/operator not hiring outside help. 5 3)639-4175 Name of Developnkent � ,,jj Lz' Plumbing Perini�Nlo.yU -C,09 7 Oft 814-21-610 MAN. PRICE MAT. Job Tax Lot Map.No - - - Address FIXTURES Lnt Block Subdivlslon -- �- ------ - Sink 7.50 Name or name of business) Lavatory ---_-- — - 7.50 Tub or Tub/Shower Comb 7.50 Shower Only -� `7.50 Owner City/StateZip Water Closel 7.50 Dishwasher 7.50 - - -� Vh xke Garbage Disposal ---- -- 7.50 Name Wasting Machine- ^-- -f — 7.50 -- /( Q Floor Drain 7.50 —` MadmV Address / Phone - Water Healer 7.50 -L- Occupant Laundry Room Tray --- - ---- 7.50 -- P City/State --gyp Urinal 7.50 phone Other Fixtures(Specify)_ 7.50 /t / 6 --- 7.50 — Address Y 7.50 797-IS' ff - - ContractorEstate Zip, --- - 7.50 jC/, ��� �, MISCELLANEOUS --_ City Bim-Tax No. Sewer 1 sl 100'- 30.00 State BkVs.Roard Flo state us wfx(1IM-14o -Sewer-ea.Addit 100'------ -- 15.00 (Resdenliai) -,4 65 4 Watar Se-0ce 1 st 100 - 20_00- r I hereby edknowbdge thel I have read tisis appWArtkxk,that the information Water Servios ea.Addit,;W 15.00 ---- given is oorrect,that 1 am registered with the State Buildar's Bowd.and also Strxm 6 Rain Drain 1 st-100' 30.00 have a State Pkatdblrkg license that the numt rs given are coned,that all ------ plkimbkng work will be done in accordance with applicable pruvwAms of Ofe- Storm 3 Prjn Drain Addd 110' 15.00 - gon Revised Statutes Chapters 447 and 693 and applicable codes and that -Mobile honk"Space 25.00 nu two will be employed krises licensed under OF1S 593 (it exempt from - - -- — - --`- State registration.please give reason below). Back Flow Preventiai HOMEOWNERS-I hereby certify Bud 1 am the owner of the property do De`^Oe or Anti-Pdlution Device-- 7.50 scribed above.at which location 1 propose to make a piksnbkV Installat im for Any Trap or Waste Not my own use and this property Is not bakq mnstrucfed for 8810.Iease or ford CCornrwied to a`xtkxe 7.50 Catch Basin- ---- — 750 Insp.d Exist.Pluntbirkg 40.00 Per Hr ally Requested Inspections 40.00 Per Hr. __ -------_--- Rain Drain, 15.00 Single ram. Dwlg. AUTHORIZED SIGNATL1itE state Descnbe work crew(-J additk)e(_l alfwal inrepair[l - -- t be done residerttiel rxm-resid�tel -- -- -- (:)ds"ttae of MINIMUM PERMIT FEE 25.00 blAkft(wproperty- _ -- - -- _ -- ---- SUB-TOTAL F peed rye of 5% SURCHARGE ti-A&V 1x pt4petty — - -- 25% PLAN REVIEW Tt*pam*b000rt»a fXA abxf void M work or oonatrkx)6m authoftted is bol txxrk _-- TOTAL r? menoed wWMn 110 r1 eysror M nendnbcfion er rnxk M M>,percied rr ahankicxkefl br a podmi of 1B)(1"of any Mie ahwr work Is(vwmrr ncwd Date lesued -_ by f Permit � � Permit 0 City of f do-ard Mechanical Permit ,N4 1Qly $3-0 Fee New Installation D Replace ❑ Relocation ❑ Addition C1 kltent',nn I TOTAL • Y CONTRACTOR OWWR (v ADORM j i s SE' /`l..�c d,« 9W0.1K ADDRESS /,el, PWONF __ APPLICANT b7cZd& Heat Input noting(OTU Per Hour)_ Vent Flue Size FUEL OIL ❑ OAS ❑ ELECT I-3 OTHER__ — ITEM NO. FEE --AT-N— NO. FEF For Issuanar of Pannit +�— J•00 (+�il_r_f1ver SQ .'P _ 7 [ New-Undei IQO QQQ.BTU I_4—o 0 r Hridli 1 0)n(FM ,.Q � New••Over 1hrJ 000 OTUV ___I � 5.00 I _ Afr hlandlina Ove tO�QQ�CFM. I 510r, moor Furnace Ib00� Ev ratireCc '_r _!(!�_. _ Wa!I • Floor�SusQOnded 4 00 Ve t F _-_— ��•? r-- Install Vents �—� ?.00 VentSxstem f Ii—31(1C 4.00 I I_I�rxl _�JjC)C Repair.-Heat dt CootintL• Boilers Under 3 HP —A-490-1—fJomestic Incinerator 5•!1C Boilers 3 to 15 HP Mp Comm. Inrirterator _ r-!ix- Boilers 0oilers_15 to 30 HP 10 00 �I Other f\ojj�isted,� �— Bos 3U f ileroto 5t?-HP _ _ I —,15,go INSPECTOR'S COtAMFNTS — CITY BL1�it!CSS Llf7!F.NSE AEUUiRED FD^ ALL CONTRA!7ORS OR SUS-CONTRACTOf S APPn0VF0 0Y _ DATE ISSUED OY OAT" RECEIPT NO. 71e Signature of App:,cnnt w.....,.�.,.ti+....,.�..�v.......,...-.»...i,..w......u.....�.,...w......m...,..�,�.,..............•+.�,-w..�w,...r+.rr.ezw:w�n+.�.+actYNCCMN _...._......... .ww.n., w.`wo.w» Address — /,L�Gd �j, • .,f Permit Nio. Permit charge Owner Connection fee 5 5Z) Paid by Type of building Date connected Service rate '7S- � Inspection fee �Z1 Contractor Paid by _ date _ Size of connection Assessment Paid