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ANMI
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main S1.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested-- 1cU Time A.lV; P.M.
Address il-a��111
Permit
OwnerLot
00
Builder
The following Building Code deficiencies are requir ld to be corrected:
Presented to Approved
Insr"ctor J Disapproved
Date
CALL FOR REINSPECTION
ED YES 2NO
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I �Rt P � QIICIIQI� DISI � ICI
P.O. BOX 127 • TUALATIN. OREGON 97067 • PHONE 682-2601
PACIFIC VI LADE FOUR PLEX AFAR May 7, 1995
9655
13776- 1
253A -307-000 Insp. Type RDF
Dear Sirs,
phis is a Fire and ,_ife Safety Plan Review and is based on
the 1982 editions of the State of Oregon Structural Spe-
cialty Code and Fire and Life Safety Code (UBC ), the State
of Oregon Mechanical Specialty Code and Mechanical Fire and
Life Safety Code (UMC ), Uniform Fire Code (UFC ), and other
local ordinances ,and regulat4.ona
R-1 occupancies over 2 stories Ln height shall have fire
retardant roof coverings
Group R, Division 1 occupancies more tl•an 2 stories in
height or having more than 3000 sq. ft. of floor area above
the first story shall be not less than one-hour fire-
resistive construction throughout. (For c^nlitions of
exception see 1705( b )2. UDC 1202(b )
Where fire resistive construction is required, scffits,
vents and gable vents also require pro`ection UEC 4301 (c )
PPPl 4 18
Every GrOUp R, Division 1 apartment house three stories or
more in ',eight or containing more th,-.n 15 dwelling units and
every hotel three stories or more in height or containing 20
or mire guest rooms shall have an approved fire alarm system
As specified in the Fire Code Section 10. 307 and NF?-1A 72-A.
(See U. 8 C. Exception. ) UDC 1202(b )
Provide an approved fire alarm system in croup R, Division i
buildings three stories or more that is audible throughout
each store . A .nanual fire alarm pull sl;ation shall be
located in the normal path of exit from each floor or area
served. 1) F C 51,andard 10-2. UCC 1202(b )
Not less than one ( 1 ) approved fire extinguisher
with rating of not less than 2-A 10-li: C shall be
provided for each 6, C00 square feet of floor
area or fraction thereof. The travel distance to an
extinguisher from any portion of the building shall -lot
exceed 75 feet. U17C Standard 10-1
t P O BOX 177 TUALATIN, OREGON 97067 s PHONE 681-2601
Approval of submitted plans is not an approval Of omissions '
or oversights by this office or of non-compliance ui 'sh any
applicable regulations of local government.
If you desire a conference regarding this plan review or if
you have questions, please feel free to contact me at (503)
682-2601 .
Sincerely,
j \
Michael Gookin �
Fire F-evention Bureau
!t � IM ■I � �[!j�F � I�If
DATE 5352
BUILDING PERMIT APPLICATION TIGARD 2dy„�8y
HE.UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED 13UIL�tD PHONPHONES
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT ER I_ .-- --
JOB ADDRESS, 9655 SWC"� m�'i ARCHITECT Jy
OWNER y: V Allison —^_----___.-- – 6445 ,its 1tc11fuA ENGINEER
Sf►lil; ADDRESS ptld• UR 97211 DESIGNER_ __
BUILDER -- ---- `--- _1:1 DE
STRUCTURE j NEW _. [-I REMODEL -_--_ CI ADDITION G REPAIR _J_C�RE TE n L __Q_ERAGE IR STORAGEGE ❑ 9LABL7 FENCE
K,RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T_ 0 RELIGIOUS ❑_l PATIO F-1_CAR POR �,�'-HEAL .--
K"'1 LAND USE ZONE P'"25 BLDG.TYPE $N FIRE ZONE:.-" PLAN CHECK BY
OCCUPANCY _ - -- ---"-"-- '-
Cr+alittruct E4) sinKle falnnil_y_pa9lxt ac building with tasilrsle�aC gsrwgc. All i?er eYl'rowt~d
SEWER PERMIT N Lti�+11 Basement 2 108 _
OCC.LOAD FLOOR LOAD _HEIGHT --- N0.STORIES 2 AREA G 1?l► NO.BEDROOMS a VALUE 154 OW
REAR LEFTSIDE 30 �- RIGHTSIDE IU
_BUILDING DEPARTMENT - SET BACKS FRONT 27
Permit _ __a�yd•UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,TONIN
ES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
REGULATIONS AND ALL APPLICABLE COD
SPECIFICATIONSH THE PLANS AND
Plan Check 369.20 WITWOH ALL ILL BE DO BLE ACC DANCE WIT ORDINANCES. THE SSUANCEOF THIS PERM N L
DOES NOT WAIVE
----..,TRF 227,20 ^-_ RESTRICTIVE
Ee COVENANTS- CONTRACTOR E PERMITS REQUIRED ANDuR SUB PLUMBING AND HEATING.RACTORS To HAVE URReNT CITY BUSINESS
22.72 �I �SU.tIt1
State tax 2 ' SQC– .. 120A.Uo c . -'
Total 187.12 a 360• L C
AP ANTO A T
—- - - PDC#
BY T
Receipt No '�1 l ADDRESS r! - PHONE. 4
ls ,� - "I r 7� 1 .�,� ,1�"
Approved ETWibj
Y: i.
DATE 1 P. 7': E INSPECTION REMARKS PLUMBING I DATC
Permit No.
nough•In
Fixture
Final
Fly—, HICAYWC1
' Contractor
,YO, G ""�lrL�t Permit No — —�
Gas nr Oil —w--�- ---�
Rmlgh•In
h anal
-- — —__.�_ �— ---- Final
DRIVEWAY 1J
Final
v 'J
3torm Draindgn__
(naln Drxinl Final i
Sldet-,al k
Curb K Street Final
App,nech_
BLDG. DEPT, FINAL — TEMPORARY CERTIFICATE OC NCY
CERTly W ATE OCCUPANCY �,�5� Final ----— I
Landeciiping l/t
C
7oningr4 lal
i
p
f
}
BUILDING PERMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR 4 PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE•. 1mt
OR AS SHOWN AND APPROVED IK THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _.
a LOT NO.
OWNER
JOBADORE5S y,�-J CL) OVY �•
C� ARCHITECT
ENGINEER
� SIGNERQ �•i �� -�G �-•
BUILDER���� ADDRESS �e-�� a.G.O[►-'t �t
STRUCTURENEW O REAAOOEL ❑ADDITION _0 RFPAIR ❑ RENEWAL —❑ FIRE DAMAGE— C1DE4IOLITIG)
RESIDENCE ❑ COMM ❑ EDUCATIONAL CI GOVT C1 RELIGIOI'S ❑ PATIO C1 CAR?DHT ❑ GARAGE Ci STORAGE ❑����-
OCCUPANCY _ LAND USE 20NE / BLOG.TYPE _�LL _FIRE ZONE_'"_PLAN CHECK BY
Joe
SEWFfi PERMITJ '1 / / '�G�n {��'�--L1 •----.- -
OCG.LOAD FLOOR LOAD HEIGHT NO.STORIES —_ARF�� c� NO.BEDROOMS Vt.LUgOS cu
_BUILDING;DEPARTMENT ,�gAC FRONT r REAR 1J1) /0LEFT SIDE RIGHT SIO[ �
Pcrtnit � �C3 ,�� THIS PF.RMtT IS IssIlED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILWNG CODE,
y r� REGULAT1oNS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HERF3Y AGPEEU TIAAT T►
PtanLJ eK .2 0 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AN SPECIFICATIONS ANQ IN COMPLIAN,
l` 4, WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS P':�iM1T DOES NOT WA1I
Sub-total J ! RESTRICTIVE COVENANTS.CONTRACTOR AND SU8 CONTRACTORS TO HAVE CURRENT CITY SU.SINe:
r LICENSE.SEPARATE PERMITS RECUIRED FOR SEWER.PLUfAgING AND HEATING_
SOC—
otal POCO APPGJCANT OR AGENT
Recelpt No. ADDRESS PHONE
ApFro
POC - `,�X l?L-1
SEWER QDNNEt ION S r! d 6),
5
SEWER INSPECTION
SEI,IER SURCHARGE 5
r
7,
/ BUR.OING RECEIPT
NAME: G'I L�iQ -- DATE: � b
ACCT. N DESCRIPTION AMOUNT
10-432 Building Permit Fees
10--431--600 Plumbing Permit: Fees
10-431-601 Mechanical Permit Fees
10--230--501 State Building Tax $ 2 ' 7Z_
10--433 Plans C'7eck Fee $ < �
30---443 Sewer Coorecti.on (20%) $ , 7411
30-202 Sewer Connection (80X) $ We'
30-444 Sewer Inspection
5 l8 Street Systo-n nqv• Charge (SOC) $
52--449-610 Parks I System Dev , Charge (PDC)
52-449-620 Parks II System Dev. Charge (PDC) $ r -
31-450 Storm Drainage System Jev. rhrg (SSUC) $ _ [J-
10-230--50t1 TRPD (95X) $ 1- , F4-
10--470 TRFD (5X) $ /!
1.0-230--506 Washington County Fire #1 (95X)
1G--478 Washington County Fire #1 (5X) $
10-22.0 Amart/Wedgewood $
TOTAL
(bs/1.214P)
BUILDING DEP.-',R'TtIENT, TIGAF0 No
PLU.il�'!i,43 PERMIT
holder of a vatic! plumbing contractors license is hereby
a,,Wjorize,l to C-Use phimbi"I 'ic'r�k as herein noted to be inst,7flled in accordanre with the plumbing code of
Tigard. Such installations require, inspection by thry City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are read-; for inspection. City of Tigard BUSines-, License required
for all contractors and SLIb cun-ractars,
r) v
Ovvner-- Address
NUMBER OF TOTAL PERMIT NO.'s
TYPE OF PERMIT ITEMS FEE ON EACH. AMOUNT (Office We Only)
-B_LS!P_e_N 7LI_�LL
Dunlex—E.,ich I ba-al uni! 2500
Addi:*�,n,%l behrn�rrlz-eTich 10,0
--tij !"--- — 0--
qt�11LI±v-1, S-fl,v:: ti-
I
ND IV I D U 1r_ F I X I U f,'
I to 50,F i,t-lras,;n I bwWw 3.00
W 100 f i in I buil:in C(I 2 5Q
11011—to-700F i rin—I buiHr-- -01
201 t-1 1.50
M l"(, LLAN 7.OU9
fl. 10 00
100 ft.
10,00
to builr!; 19 5.611
L—vt —
'13-0"ch ICO 10 00
For Ph
Plurtilm,ri Conti ictor F,
!NSPEC' ON TIME. PERMIT NO. :�ts )7�1-7-
DATE: DATE ISSUED :-.--Ll—
OWNERS NAME : --
A
('ONTRACTOR .
TEST : Air 0 , WQtA Sukll ❑ , Lchoratory ri
RESULT . Approved Dieopproved C Pending L)
';KETCH:
INSI-,, 'rOR DATE
NOTE Attcch suppiemental test data utref 01
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