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11960 SW PACIFIC HWY nuto S1 RC k1�-�t Schmandt and Lenvik, Architects P.O. Box 1208, zoo West Micheltorena Street,Santa Barbara, Ca. 93102, (805) 963-4211 May 20, 1974 RECEIVED MAY 24 *ib' CITY OF TIGARD Bob Hill, Building Official City of Tigard 12420 S .W. Main Street Tigard, Oregon 97223 Subject: Sambo ' s Restaurant - 11960 SW Pacific Highway Tigard, Oregon Dear Mr. Hill: This letter shall confirm our phone conversation of today in reference to the above project regarding your requirements for the guardrail on the proposed retaining wall at the northwestern portion of the property. We will proceed with the design of a railing 42" above the upper grade level starting at a grade change of two feet (2 ' ) or greater. Sincerely, SCHMANDT AND LENVIK, ARCHITECTS arolc Ferguson HF/dv cc : Jack Willingham Phil Fisher Jim Hobbs Bingham Construction A California Corporation STATE OF OREGON OFFICE OF STATE FIRE MARSHAL Plans Review Number/(0 -73 CHECK-MARKED REGULATIONS, IN ADDITION TO ANY REQUIREMENTS APPEARING ON THE ATTACHED REVIEW NOTICE, MUST BE INCORPORATED INTO THIS PROJECT. Approval of submitted plans does not constitute approval of any omissions or oversights nor of noncompliance with any applicable regulations of local government that may exceed State requirements. 1. Structure required to be (L/Type I) (L/Type II) throughout due to (L/ area) (L/height). 2. One-hour fire resistance rating required for all interior construction. 3. All 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. Fire resistance of doors of interior openings to corridors required to equal 1-3/4" solid core doors. Relights in corridors require wired glass set in fixed (steel) framing. 6. Storage rooms, closets, laboratories, shops and areas of similar hazard require separation from other areas by at least 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 (L/ 1-hour) (Li 2-hour) fire resistance. Access ways to such shafts require self-closing and latching Class B fire door assemblies (L/ 1-hour rated) (L/ 1-1/2-hour rated). 8. Attic areas require draft barriers as per Sec. 3205, not exceeding each 3,000 square feet. (9,000 square feet where sprinkler protection provided) 9. Voids created by ceiling-floor systems require draft barriers not exceeding each 1,000 square feet. 10. Building projections such as balconies, eaves, overhangs, etc., require fire protection equal to interior ceilings with,all openings protected as required for ceilings to prevent passage of fire into building voids and attics. LI/Tire stops, 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 draft openings at maximum intervals of 10 feet. 12. Corridors require at least 6 feet in clear width. Drinking fountains or other equipment may not operate in a manner which would obstruct the minimum 6-foot width. 13. Corridors serving patient bedrooms require at least 8 feet in width. 14. Corridors require smoke barrier partitions with double swing doors at 150-foot intervals arranged so that each area housing more than 35 patients is divided into at least two compartrtents. 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. 16. EExit doors from lobbies, corridors and assembly areas require panic hardware. IiI Hardware for all doors is required to be of simple type having no provisions for locking against egress, with obvious method of operation. 18. At least 44" (inches) in clear width, without projections, is required for exits and patient room doors through which patients must be transported in wheelchairs, stretchers or beds. 19. Sleeping rooms require at least one window readily openable 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 inches. Maximum permitted height to bottom of opening from floor is 48 inches. (Ref: Sec. 1304) 20. Surface flame spread rates of walls and ceilings, minimum requirement: stairway-25, corridors -75, other rooms -225. (Sec. 4203) 21. Combustible acoustical material required to be secured with staples or equivalent metallic holders or a heat resistant adhesive capable of withstanding 1000°F. for one-half hour. SFM- 101 gareAll curtains , drapes and similar furnishings are required to be noncombustible or rendered and maintained flameproof. 23. All auditorium seats are required to be securely fastened to the floor. 24. Rows of seats between aisles may not exceed 14. Rows of seats opening onto aisles at one end only may not exceed 7 seats. (See continental spacing, Sec. 3313-3314) 25. Seat row spacing, back to back, required to be at least 33 inches, or 27 inches plus thickness of seat back and inclination of back. 26. Posting of capacity of assembly areas as noted is required by ORS 479.195. ..Heating, cooking, air conditioning and similar service equipment are required to be approved and listed by a nationally recognized testing agency, such as U.L. , Inc., and to be installed in compliance with agency's specifications and recognized safe practices. The installation of ventilation systems is required to be in substan- tial conformity with the 1970 U.B.C., Volume II. Corridors are not acceptable for use as supply or return air plenums. 28. A dust collection system is required for shop areas for nonportable machines emitting or producing dusts. (Ref: Sec. 1008) Dust collection equipment to be located outside of building or in one-hour separated room equipped with automatic sprinklers. 1D/ressure relief valves are required for all water heaters, installed either in separate water tank port or in port for hot water line. Shutoff valves may not be located between a water tank and relief valve. 30. A firefighting water supply is required within 500 feet of building that is capable of producing 500 gpm (minimum) 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 from 5,000 to 15,000 gallons of stored or static water. (Ref: ORS 479.200) 31. 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 piping, a 1-inch reducing orifice is required at the hose valve connection. 32. Approved automatic sprinkler protection throughout occupancy is required. Piping to be flushed of debris, with certification of flushing submitted to this office. 33. Approved automatic sprinklers are required over and under stage and in all auxiliary areas, including dressing rooms, storerooms and workshops. (Sec. 3802) Sprinkler feed piping required to be flushed of debris, with certification of flushing submitted to this office. 34. Stage roof ventilators displacing at least 5% of stage floor area, openable by hand from stage floor and by fusible link or other heat activated device, are required. (Sec. 3901-06) 35. An approved fire alarm system with signals audible throughout building and manual alarm sending stations adjacent to exits from each floor or area are required. 36. An approved electrically supervised combustion detection of the ionization type is required for all patient rooms. 37. All exit doors 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. (Sec. 3312) 38. An emergency power system is required for the ( ) gymnasium ( ) auditorium ( ) building to maintain exit illumination for not less than one-half hour in event of public utility failure. 39. Fluorescent light fixtures installed on combustible surfaces are required to be U.L., Inc., approved for such mounting, or installed to provide at least 1-inch air space between the fixture housing and combustible material. NOTE: Local regulations or insurance standards for most favorable insurance credit may, and often do, exceed these minimum State requirements. November 28, 1973 Nancy Chastain C.W. Tower Industries, LTD 3630 Crater Lake Ave. Medford, Oregon 97501 Dear Ms. Chastaini The sign permits that you applied for concerning Pacific Highway and Hall Blvd. have been reviewed. I regret to inform you that both the 16 foot standard display sign and 20 foot standard display sign are over sized and neither. would be permitted—on the SO foot entrance road from Hell Blvd. However, your 16 foot standard display sign would comply with our sign code if used en Pacific Highway as defined in the Tigard Municipal Code section 16.36.040 (3) (c) . Please find copies of above mentioned ordinance enclosed. Sincerely, Jim Brien Acting Building Official 38/fs Encs JW(eg 2359 N. W. HOYT STREET - PORTLAND, OREGON 97210 - 226-4195 ss®ciates Engineers October 20, 1973 ecs v ? R pct 2,3 �gf3 City of Tigard �' ARC P.O. Box 23557 Cl 12420 S.W. Main Tigard, Oregon 97223 Attention: Ernest Campbell, Building Official Subject: Sambo's Restaurant, S.W. Pacific Highway, Tigard, Washington County, Oregon Gentlemen: Notwithstanding previous conversations and correspondence by others to the contrary, the subject restaurant will be constructed without the Garbage Disposal Unit as shown on the Construction Drawings and as called for by the Specifications submitted to your office for approval for the issuance of a building permit. Said revision and/or deletion is being made in accordance with resolution # 73-37 adopted by the Tigard City Council on October 8, 1973. On October 17, 1973, plans and specifications were submitted to the Department of Commerce - Building Codes Division for their plans review. A copy of the examination fee receipt is attached hereto. Respectfully yours, Kelley & Associates Engineers Richard R. SKY cc: Schmandt & Lenvik, Architects Santa Barbara, California Preston Holt Center Line International, Inc. Portland, Oregon RRK:sk Declaration of Value of Building Construction or Alteration r,.i/,.,, , 7. Pursuant to Oregon Revised Statue 479.155, plans for proposed construction 0 proposed alteration ❑ of located Occupancy Street Address are herwith submitted for examination with City County regards to the statues, rules and regulations of the State of Oregon administered and established by the Department of Commerce, Building Codes Division, Plans Review Section. I hereby declare the value of the proposed (construction ❑ ) (alteration ❑ ) to be $ " :7/' " ^' and herewith post an examination fee in the amount of $ Building Owner Department of Comm -' a Address Building Codes Division Plans Review Section By Title 376 State Office I:a: ld'n 1400 S.W. 5th Avenue Address Oregon 97201 PRS-3 Phone No. T City of Tigard INSPECTION REQUEST for I�, � � . Q INSPECTION TIME : )/ NM. PERMIT NO.: _... DATE: DATE ISSUED: OWNERS NAME : . �'' ?� .T' ADDRESS : P ��/� 1��✓�'E'�.� RC1, CONTRACTOR TEST:Air O, Water o Visual,k, Laboratory 0 RESULT: Approved ,, Disapproved 0 , Pending 0 SKETCH: , -7---19- ?4-- 1144496 71/fr 7)1'. INSPECTOR DATE NOTE: Attach supplemental test data hereti eir \\F City of Tigard INSPECTION REQUEST for SPECTION TIME: PERMIT NO. : DATE: / / DATE ISSUED : / / /NIERS NAME : ADDRESS: )N TRACTOR : EST : Air 0, Water 0 , Visual ❑ , Laboratory p ESULT: Approved 0 , Disapproved 0 , Pending 0 (ETCH / INSPECTOR DATE ITE: Attach supplemental test data keret] City of Tigard INSPECTION REQUEST for ....);;;Lsn,r4 ifk2A--Z INSPECTION TIME: PERMIT NO. : DATE: / / DATE ISSUED : / / OWNERS NAME : � ,. �. ` ��re . -_►-1 R ADDRESS: I CONTRACTOR : TEST : Air u, Water0 , Visual 0 , Laboratory 0 RESULT: Approved 0 , Disapproved 0 , Pending 0 SKETCH: ekfig-Tez /4;476:717's 19--c INSPECTOR DATE 5o1E: Attach supplemental test data beret] 1 Department of Commerce—PLANS REVIEW Section . '07M 37 t, STATE OFFICE BUILDING, PORTLAND 97201 NOTICE OF PLANS REVIEW / r gym. (THIS IS NOT A BUILDING PERMIT) r r Building No. _ "\ '+ iz1 BUILDING ADDRESS . g-y9/ County Occupancy Const. Sound Value Plan Fee Architect New Bldg. 0 Addition 0 Alteration ❑ Date Received Owner Address — Date Reviewed Stories Area / Attic / Fire Walls Fire Escapes Exits / ft. MAIN FLR. BASEMENT HT. STOPS TOT WIDTH Stairs / Vert. Shafts / Sprinklers / / Man. Alarm S.P. / / CLOSED CLOSED NO YES AREA COVERED INT. SIZE EXT. Ext. / Ht. Det. / / Floor Ceiling Roof Str. Members CLASS NO. TYPE AREA COVD. Wall cover / Htr. rm. encl. Type flue Type Htg. System _ Fuel EXT. INT. The submitted plans have been reviewed for conformity with fire protection statutes and regulations of Oregon admin- istered by this office. Items No. checked on the enclosed list are applicable. These items and any specially noted provisions must be incorporated into the project to meet current fire protection regulations. Approval of submitted plans is not an approval of omissions or oversights by this office or of noncompliance with any applicable regulations of local government. REMARKS: Examined by FT-2 Copies to: CITY OF TIGARD 12420 S. W. Main Street TIGARD, OREGON 97223 APPLICATION FOR BUILDING PERMIT New Construction \i4/ Demolish Addition Remodel Move ZONING DATE ISSUED BUILDING PERMIT DATE RECEIVED BUILDING FEE $ f4/• 0 No. PLAN CHECK $ 1 39. iia BY OTHER $ ') . f 57 2o4r )AVALUATION $ 91, u , , ';.'„-' TOTAL $ 'SS' , 0`__.. RECEIPT No. 1 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT # MAP # CENSUS TRACT JOB # Architect or Engineer efae y• # 41.5oc , I, 40,4, , Address 1. a S9 Al• N/, hi Op-- sr. /74,4-.1 1:4212 Phone zd _4/ Owner a "1',S 5”' `4 sails Address ')o /4 ISA# 5 "e"1/ s,' Phone ' f + ,/ Builder Address Phone BUILDING USE Single Res . Multi Res. [ l Comm. EFL Industrial OCCUPANCY GROUP 8`" 3 No. of Stories / Total Height Area of Lot " fA` Type of Construction I II IV V Floor Area B 1 } ° ,' 2 Set Backs: Front /41 Back /54 ' L.Side LS R.Side , x i ,C-o Private Sewer Pipe Size .. !s Sewer 14,Z! , Septic Tank Water Service Pipe Size Storm Sewer r, l Ditch ^ Drywell Street and Curb Requirements -:,/;`, Driveway Width 24) No. of Parking Spaces SEPARATE PERMITS- REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION A/07,"h 7 ? .1P�7• C Wr_- 0,sP r.� 4- l2=0,ite 14.)-2.2•23 la ADDRESS ASSIGNED 1/960 ./(2Z-, ji- 1 FIELD CHECK BY DATE 5 PERMIT APPROVED BY It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building will not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. Signature of Applicant y 14 h'• gefilL 9/73 4 UNIFIED SEWERAGE AGENCY NO. 4904 WASHINGTON COUNTY DATE 10-24-73 CITY OF Tigard APPLICATION FOR SEWER CONNECTION PERMIT OWNER: Sambas Restaurant OWNER'S ADDRESS: 3760 State St. Santa Barbara Calif. 687-6777 STREET CITY STATE ZIP BUILDING SITE: LOT BILO2CKp ADDITION TAX LOT NO. 600 tax map 2'SI`YPE OF OCCUPANCY Restaurant ADDRESS 11960 S.W, Pacific Highv�.__-_ DWELLING UNITS 2 FIXTURE UNITS SURCHARGE IF APPLICABLE gg55 PERMIT FEE g00 INSPECTION FEE Sx TOTAL DEPOSITED 935 (NEW) (EXISTING) BUILDING SEWER SYSTEM Tigard The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. d/ i APPLICANT - NO. DATE CONNECTION CHARGE ccppr7 COMPUTATION SHEET 1. COMMERCIAL, DRY INDUSTRIAL, PUBLIC STRUCTURES, CAR WASH, MANUAL CAR WASH, AUTOi'iATIC LAUNDRIES, LAUNDROMATS, ETC: A. BUILDING AREA g G 8 SQ. FT. 1500 = 3 3- DU B. LOT AREA al, 4//,5/ ACRE X 4 7- DU C. FIXTURE UNITS 7 FIXTURE UNITS _ 16 = -7' -711 Z-- DU 2. SPECIAL SERVICES: ELEMENTARY SCHOOL STUDENTS 17 = DU ea HIGH SCHOOL & COTJ GE STUDENTS _ it = DU CHURCHES SEATS - 25 = DU HOSPITALS - GENERAL BEDS _ DU CONVALESCENT/REST HOME FWDS _ 2 = DU SLEEPING ACCOMMODATIONS WITHOUT KITCHENS ROOMS - 2 = DU COMMENTS: • 1K76d `s 4000 00 3 X00 I e) 154/ 0 .39, , y o s 4 cT P40/00,75,°, 2 0 12401..‘),„) 4 ,s,cr IT t $ G — 31 0 INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busin Phone: 639-4171 Inspection: /// ely,,t___,-- .,‘:.-......4!"/,,,,t , .,-,.,efx. 4 p,,,,,, r Sdwlk Footing Plbg. Underslab Mech. Rough-in APP Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. an.-Sewer Framing -Bldg. Post/Beam Mech. a n ra n Insulation -Plumb. -Mec Plbg. Underfloor Water Line Gyp. Bd. �� � 3 Time: PM Date Requested: / -✓ 'S/�/ 441-prmit / j Address: /" f fP "t-"C� 1: /. -1_2/ 7 Builder: TBE FOLLOWING CORRECTIONS ARE REQUIRED: i , y Date: 9,,,s 1/ Inspector: `/ , / APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. %i, City of Tigard INSPECTION REQUEST for INSPECTION TIME: `'r . PERMIT NO DATE: DATE ISSUED : / / OWNERS NAME : ADDRESS: a /,%,; �.. " ' CONTRACTOR : .': ` .'�-;. ' / , '1 , . � / TEST : Air D, Woter , isual ' , Laboratory 0 1 ' . d Disapproved 0 Pending Approve, p SKETCH; e42--e_16-4( ,v-- ,.,-* /40 ,-/.4i .ill /1,/Er,-r______ /,y/i ,>/ I INSPECTOR DATE Ore: Attach supplemental test data beret] j r . I • ...7 014.. / °I/ •i 4. 0,„„,„.••••••—•---••• '1 L/ ,,,i, ot.,,•ef „co -,...., 4,. AtP V' - Y le .°'cs .) , a' 1 4- t C ---,1 ... th' -.....) ct. 1 ,) (.4 , VD tt-- 1 , . ', ; /•. ••'' ''• -',...... -• ----- ., 11 ) .1 cl i -.„ 1 _A January 2, 1974 Nancy Chastain C.W. Tower Inaustries 3630 Crater Lake Ave. Medford, Oregon 97501 Dear Ms. Chastain: This letter is in regards to the revised sign permit application for Samba's Restaurant which you mailed to this office an December 28, 1973 for the purpose of erecting two signs -one on Pacific Highway and one setback from the Hall Blvd. entrance. The formula for computing the allowable sign face is based on street frontage only. On Hall Blvd. you show a 30 foot frontage. You are allowed 1.5 square feet of sign area per lineal foot of street or highway frontage for the first one hundred feet of such frontage. Thus, 30 x 1.5 equals 45 square feet for the total allowable sign area on Hall Blvd. (22.5 per side). Your total allowable sign area on Pacific Highway would be 184.6 square feet (92.3 per side). A separate sign permit is required for each sign. I would suggest that someone come into this department so as to better clarify this matter. I am returning your businasa license application as it must be accompanied by a check or money order. If I can be of any further assistance, please do not hesitate to call on me at 639-4171. Sincerely, James Brien Acting Building Official J8/f s Enc: October 11, 1973 Kelley and Associates Engineers 2359 H.W. Hoyt St. Portland, Oregon 97210 Res Sambo's Restaurant, 5.W. Pacific Highway Tigard, Oregon Mr. Kelley: On October 8, 1973 the Tigard City Council adopted resolution #73-37 which states "Garbage disposal units shall not be installed in business establish— ments and the building official shall issue no permits for such facilities." Plumbing and wiring will be allowed so that at a future date (after the new Durham Treatment plant is in operation) installation of a garbage disposal would be possible. if I can be of any help please feel free to call. Sincerely, Ernest Campbell Building Official EC/fe PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. Permit fee 3 Water Closets (Toilets) Permit Issued Bath Tubs Approved by Lavatory (Wash Basin) Building Permit Shower Receipt No. Sinks . Dishwashin: s Sinks, Kitchen Sinks9 Ordinary Location of Building Sinks, Bar Sinks, Slop Automatic Dishwasher Disposal . Laundry Trays Name & Address of Owner $ Drains, Floor Drains, Area Drains, ' Refrigerator Rain Drains Automatic Washer Name & Address of Plumber Fountains, Drinking Fountains, Soda Hot Water Tank Water Service (Size ) / Urinals Building (Old or New) (Alter, Repair or Catch-Basins - Yard Instal Lawn Sprinkler System Swimming Pool Other Sprinkler System This permit becomes null and void if work or construction authorized is not commenced within 60 days, or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond I hereby certify that I have read and examined this application and know the sam to be true and correct. All provisions of laws and ordinances governing this ty of work will be complied with whether specified herein or not, the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Signature of Applicant f E2 +. �„yr"is.�[Y eiY.v4•�''� _ ,.,.f....,�. •M�,'xc K may.• ifig z/ f- r, e / - ' F .4-.5„:: /2 .r. &• 33..1 e _ )(2..0,3..i) =_ • .fL_ 3.2.s..F. { 3re y, 45- Agicie,e0 i-'..,C ,'c emss7r--10b„S'_ 3 y-4 -TA_ 7.P‘ V- *r-, . �Ayc'7",: /Eto +s - 3Z. f "4 = 3y 3 f _ 2)C.ovmsd.!" - /G _ _ /` .3)104n. 7 to n, ere (Z / 33 )(347?) : 746. ss" SP' less-CG. 67)&7 3?) 9 /s 417 .4.O Sf. ,•-soms 6 2 7, 4 0 S F_ - 4/ r3 4"0,...192 is sF J 041 TA4 c1 Li9TI /G ,Te,7/ f ‘ rser+-s _ . Tualatin Fire District Inspection Notice 8405 S.W. Elligsen Road Tualatin, Oregon 97062 Phone 682-2601 Building Name C ` 1 Address s Ce-X Pursuant to Section(s) of adopted codes, the following item(s) require correcting. xl";/2 Lpo II' l w Y 1 �5 4. - ,� r w d a.) f`vLv L4-r' , TM( ( 5 w~ d a 1'Z .J LJHl:v#" is e`1 10(..)wr 44/ cy vg`j Ki c S l � J � " "jy C... Li/A-C.- 0,C.$.0 Ot) (FC.V4- I P S N.-/ 4- 43) `9., -(9.ir 14) Prt— 1.1 ( C. Ss ‘2 06--txt k) °T` - C I T to u L C._ - ) N- D v e j< Cy Or. A/4 t o U re: f+d-L ' l rc } 1� C_ t c., Date: 4 .-� Inspector i"."] L CALL FOR REINSPECTION OR t-- 'BUILDING � UILDING DEPT. � � � 7 1 !.4' h = WASHINGTON COUNT'c; Y ADMINISTRATION BUILDING— 150 N. FIRST AVENUE OR E G HILLSBORO, OREGON 97123 BOARD OF COMMISSIONERS DEPT.OF PUBLIC HEALTH WES MYLLENBECK, Chairman ROOM L-6 BONNIE L. HAYS, Vice Chairman (503)648-8881 EVA M. KILLPACK JOHN E MEEK LUCILLE WARREN February 28, 1983 Kevin Mangan Pioneer Pies ##4 11960 SW Pacific Highway Tigard, Oregon 97223 RE: 26-Public Eating Establishment Pioneer Pies ##4, 11960 SW Pacific Highway, Tigard, Oregon 97223 Dear Mr. Mangan: The Washington County Department of Public Health has received and reviewed the plans for the proposed remodel of the Pioneer Pies Restaurant located at 11960 S.W. Pacific Highway, Tigard, Oregon. It is our understanding the facility will continue to utilize community sewer and community water. The plans are approved subject to the following changes, additions or recognmen- dations: 1) Your plans show only one handwashing sink for employee use. A hand- washing sink must be convenient to all areas of food preparation, food service and dishwashing. We understand that the bakery addition will not have a handwashing sink and the sink at the cook's station will be removed. Be aware that if employees from these areas or other areas are observed not utilizing the handwashing sinks, additional hand sinks will be required. 2) The handwashing sink in the food preparation area and both restrooms must be equipped with dispensed sanitary towels and dispensed soap. 3) The restroom doors must be self-closing. 4) During our conversation on February 28, 1983, you indicated that seating will be 164. Your restroom shows one toilet and one urinal in the men's restroom and two toilets in the women's restroom. The number of water closets would restrict your total seating and employee number to 200. 5) Dipper wells must be installed and operational for the hand dipped ice cream. an equal opportunity emplui°er 41 Pg. two Letter to: Pioneer Pies X14, Kevin Mangan February 28, 1983 Regarding: Pioneer Pies #4 6) Each refrigeration unit must be equipped with a spirit stemmed thermometer and located on the top shelf or door. 7) All surfaces must be smooth, sealed, non-absorbent and easily cleanable. This includes all walls, floors, ceilings, shelves, counter tops, equip- ment, etc. Please fill any gaps in floors, walls, and ceiling around piping, electrical etc. 8) All storage must be off the floor on shelves at least eight inches high except where storage is on a four inch high sealed base or a wheeled platform. 9) Handled scoops must be utilized to dispense dry goods and ice. 10) Any foods not wrapped, covered, or packaged must be protected by an effective sneeze shield or other approved means. 11) A mop hanging device must be installed. 12) All garbage must be disposed of in an approved manner. 13) Wastes from refrigeration units, waste from beverage dispensing units, and from the dishwasher must drain indirect. 14) All plumbing must meet all the requirements of the City of Tigard and the Oregon Uniform Plumbing Code. 15) All employees must have current Washington County Food Handler's Cards. 16) This facility must meet all the Oregon Rules Relating to Eating and Drinking Establishments. If any changes are necessary, it will be required such changes be approved by this Department. Very truly yours, WASHINGTON COUNTY DEPARTMENT OF PUBLIC HEALTH Mary C. Sorenson, Director, Health Services Dkat'--- LI-1"j') (-°. Lyd J. arnes, R. S. Environmental Health and Sanitation LJB:mf s:aat cc: City of Tigard Oregon State Health Division, Food Service Section INSPECTION NOTICE ' City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection —7e2--e-e---a---d-e, Date Requested 2- 'I f r �� �3Time f/r*A.M. P.M. /q / Address / c‹-e Permit # Owner r Lot # Builder The following Building Code deficiencies are required to be corrected: ,. r .: 5 tfr - er! Presented to _ ,V] Approved Inspector _ Disapproved Date 2—i1(- ri CALL FOR REINSPECTION I I YES di NO DOCUMENT AGREEMENT I Receipt of the following described document (s) is hereby acknowledged: I 's�i'' auldr ri 'Plate .r Sa rrt bAs Ibdauva4\7j aA allot scu fittqc mJla The foregoing are the property of the City of Tigard and are loaned to the recipient under the following conditions : 1. A deposit in the amount of $ /00.ais herewith given as a guarantee that the documents will be returned in good condition. 2 . Failure to return the documents in good condition, or by the date specified may result in forfeiture of the deposit. 3. Documents are to be returned no later than: idOnkatil I+ i 1493 . SIGNATURE (- D . Z �, yyj' � COMPANY F--- --9L-- r-Ai---e----> Y-- ,//'C ADDRESSf/76 0 3 *L5 tti -c �) TELEPHONE NO. ( ; `-( G ( t DATE / / 5" — Y-5 CITY OF TIGARD - BY ed44,0410,1 Or UDt !M' Ianbit lsiased_. /-.201-7/ criT City 'Pea<mk No. ��r Application Approved Building Cost of Installation— By ", nstallation 8pC� 4/4-4404PfdiaMrldew i lam► i91"8",!i>as"." Fee for Permit 7, 7/ Applicant shall fail In cost of installation only, ' 10444 alit, Date -- above this double line. Street Sewer Permit repair Plumbing Pipes or Fixtures according to plans and specifications and Application is hereby made to as given below: huWl / ern Location of building—Number and Street R#CLX( _ #1/ C - 7-1/,, L -00,0 - Lot Blorfr Addition Q > > Name and Address of Owner A fl 1 2 S fir/°``: .4,! Name and Address of Plumber /67//4 fl /"/ f / 6:ar ' e. 7f fel e- ' Building (Old or New) �le'L/ Height in Stories / Occupied as 'fL•���' SCHEDULE OF WORK NUMBER I NUMBER FIXTURES New + Move 18'pl'ce FIXTURES New i Move +R'pl'ce!1 Water Closets ..1 Fountains, Drinking_ Bath Shower Fountains, Yard Bath Tub Fountains, Soda -I I Basins -? Hot Water Tank _.L_ I _ Sinks, Ordinary 1 Sinks, Bar / Sinks, Dishwashing / j_ ` Sinks, Slop / I ` Automatic Dishwasher_-I / Drains, Refrigerator I Laundry Tray' I Drains, Ice Bee___________L__ Drains, I _ Drains, Floor____-- I It Urinals / Drains, Area Catch-Basins, Yard 2 Rain Drains I_.2_I Catch-Basins, Garage Automatic Washer _ Catch-Basins, Sub Soi1--II I Water Permit No Bldg. Permit No ARILS - �___ - F;fii it.c 6'/,00 - kw,If U, /,* 67e, jl 7i eE 1 oe;' IMPORTANT!—Plumbing shall not be installed in any building, (either new, altered,or repaired), except as shown or designated on the corresponding building plans as filed with, or required by, the Building Department in accordance with the provisions of the Building Code and Ordinance 62.19 of the City of Tigard. re air . the plumbing system according to this description, plans and specifications and the PlumbingCode of the I agree to alter install City of Tig rd. Plumbing Firm !' . � /#1,-4,, ,- Supervisor - — BUILDING PERMIT APPLICATION TIGARD DATE t -197. 23 .19 83 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONES s-4364 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING ,yfLl !'�G PLANS AND SPECIFICATIONS. OWNER PHONE •O 46.2..OWNEP,'`Id 4yjCiI/heI %l krJ B�ApDDESS tiq&O 34/ LOT NO. 602. 25t ZA/� RCHITECT 'r^/_++ ,�.^[,�► BUILDER An1IS Y'Q �f�n�4raciee544t ADDRESS �9°Q F. Q�Ue1 '�CQ►1l�. STRUCTURE 0 NEW 0 REMODEL ADDITION 0 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 0 DEMOLITION ❑ RESIDENCE VCOMM 0 EDUCATIONAL 0 GOV'T 0 RELIGIOUS 0 PATIO 0 CAR PORT 0 GARAGE 0 STORAGE 0 SLAB❑ FENCE OCCUPANCY 4'3 LAND USE ZONE-3//t BLDG.TYPE .5.- u FIRE ZONE HE PLAN CHECK BY Al " Ga- 3 " I7+f�i., i t`��" "DtM I n, . G- • • '11"ear.P%a ad ,ar (d .. SEWER PERMI��Tit tt� OCC.LOAD J//O FLOOR LOAD 31a.q. HEIGHT I? NO.STORIES 0 AREA 1020 NO.BEDROOMS VALUEW000 BUILDING DEPARTMENT SET BACKS FRONT 0 REAR /3,S" LEFT SIDE esRIGHT SIDE .2 3 Permit /4.1114 , THIS 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 Plan Check �!� !%7> WORK 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 fi .jas RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS - I �� '2 UCENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax • .."0C Total • SDC— • i ' PDCS APPLICANT OR AGENT By ;"" it•6 Receipt No. Approved ADDRESS PHONE SDC - $ SO 4t37).°v * . Raw.[ 2-I0 .. _ I. PDC - S # �,,,�! A SEWER CONNECTION $ SDa SEWER INSPECTION $ k- VQ,Itt.G = 100 Sj',: Lb;vow SEWER SURCHARGE $ """ — % E a rs(. 3? o • .-.. - Wee ' Ito lo Comments: 2 -4-?3 Akets.rem14ItzAst eosie . f04r . • Tigard Building Department V — ' D t . A_4 .83 Building 9D Permit# Address 1i CAD $ 'at-dere-e-lOP ` �LnPNSCHECK REPORT Occupancy Z Building Type eA) Land Zone C-3`�t Floor area B. ^ 1. ' 9 0 + 1020 1020 Other Total Area .49g0 , Allowable Area 60 eV Allowable increases ___444Y 1 Occupant Load B. sq. ft. @ sq. ft./ occupant= 1 d" • sq. ft. @ sq. ft./ occupant /0 2 4�.GU" sq. ft. @ sq. ft./ occupant= •ft Other Total load 160 .04 /GG fen/ .�s1 oe 0 Value /0Z-0@ v sq. ft. �1" • 3° / sq . ft.= i Permit Plan Check 4% Total Sewer acres= D.U.s x ,Cr@'r. 00 = Surcharge Insp. Fee Total , ma ,o S70 s oa ParkingoSpaces @ 50. 00/space = Comments : r (2 fob'e 94-Pree_TotAw.ecti-rup... BUILDING PERMIT APPLICATION TIGARD DATE ret 10 ,191$3 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 53-5--196‘I OR AS SHOWN AND APPROVED1 I�N THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE COBt—O6GZ V1v 1 ,T/} LOT NO.CO2) 2S1-2AA OWNER `! . ,,f . /r ,•, a JO AD. ii O 5 IP,:2, ° ,t ` , ARCHITECT " ,ti 13143$14 99 Q V t CNCINCCfi I' BUILDER 1/t ' H' ♦L' ILL,.. tw ADDRESS ,0 � ;v e., Oka - D6SIGAL_ STRUCTURE 0 NEW 0 REMODEL ADDITION 0 REPAIR 0 RENEWAL 0 FIRE DAMAGE 0 DEMOLITION ❑ RESIDENCECOMM 0 EDUCATIONAL 0 GOV'T 0 RELIGIOUS. !0 PATIO 0 CAR PORT 0 GARAGE 0 STORAGE 0 SLAB❑ FENCE OC iiPANCY `3 LAND USE ZONE C-3 5l BLDG.TYPE 5-A FIRE ZONF PLAN CHECK BY # HEAT 0i •ri • " • P?63ieev- 1 - a ,, O (a �C Mh k co ei . Oa,Nei- T( (ro CPe41 owv, V1 s(4.- SEWER PERMIT# n OCC.LOAD -- FLOOR LOAD`-]1b HEIGHT — NO.STORIES — AREA lb 2.0 NO.BEDROOMS -- VALUE/1000 BUILDING DEPARTMENT SETBACKS FRONT 0 REAR /.3D LEFT SIDE /51s" RIGHT SIDE 23 i � Permit 9410 SZ) THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING. 6 6 33 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE 'Plan Check ♦ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE Isi�Pn WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE /0 -2( RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS I �� UCENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax ...�.�' Total stet, ii, i SDC— PDC# APPUCANT OR AGENT By61,.. Receipt No. PHONE Approved ADDRESS SDC -. $ 500 10 m ,.$`0, (N4 hQ - POC - S y , SEWER CONNECTION $ SEWER INSPECTION $ SEWER SURCHARGE $ , SD 0 icomments f 4-od -- 326 ADDRESS //9&o 4.4.0 13ae rPERMIT NO. %C''Y PERMIT CHARGE OWNER 4 CONNECTION FEE 1'67C-, PAID BY TYPE OF BUILDING .� DATE CONNECTED CH1 1 SERVICE RATE 3(o I 0 �; ciNTh 7 INSPECTION FEE 3� -CONTRACTOR PAID BY DATE SIZE OF CONNECTION V ASSESSMENT PAID CITY OF TIGARD 12420 S. W. Main Shwf TIGARD, OREGON 97223 APPLICATION FOR BUILDING PERMIT New Construction © Demolish Ei Addition C Remodel El Move Li ZONING C-3 DATE ISSUED 10-24-73 BUILDING PERMIT BUILDING FEE $ 214.50 No. DATE RECEIVED .475— 73-a(13 BY PLAN CHECK $ 2.15 State VALUATION $ 91,284.80 OTHER $ 35b_07 9/ 7y TOTAL $ RECEIPT No. /v aiV73 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT # 600 MAP # 2S1 2AA CENSUS TRACT W-7 JOB # Architect or Engineer Kelley and Associates Enginoor Address 2359 N.W. Hoyt St. , Portland Phone 226-4195 Owner Sambo's Restaurants Address 3760 State Street, Santa Rarhara, Cala.€. Phone 687-6777 Builder Address Phone BUILDING USE Single Res . r] Multi Res. [III Comm. Eil Industrial OCCUPANCY GROUP B3 No. of Stories 1 Total Height Area of Lot 39,414 Type of Construction XXXXXXXXIII MAX= Floor Area B---- 1 3868 2 Set Backs: Front 14' Back 154' L.Side 65' R.Side 11' Private Sewer Pipe Size 6" Sewer usa Tigard Septic Tank r-] Water Service Pipe Size 1" Storm Sewer Ditch [1: Drywell n Street and Curb Requirements Existing Driveway Width 30' No. of Fw' rking Spaces 44 SEPARATE PERMIT& REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED Temporary address---11960 S.W. Pacific Highway FIELD CHECK BY JB DATE 10-24-73 PERMIT APPROVED It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building will not be occupied until a :ert' cicate of Occu..ncy has been issue. by the City of Tigard Building Inspector. / gnature of Appli, .,, OV►eGur P es -R ,.QJ 42719 BUILDING PERMIT APPLICATION TIGARD DATE 7 .19 .e� THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BU4.DER PHONE 4344 OR AS SHOWN AND APPROVED IN HE ACCOMPANYING PLANS AN SPECIFICATIONS.173f ER PHONE s L (I�� i ` - AD II D. 0 jc. is �f^��IIx LOTNO,t�U� 2 5 t — Z 4A OWNER R11 1 s Lett/ A �1SJV6 �! Q ARCHITECT s i , PALI,. BUILDER44 't:nta��®DDRESS p�OQ e. f�oeoltaM p STRUCTURE 0 NEW A REMODEL41(AINJe0.REPAIR 0 RENEWAL 0 FIRE DAMAGE 0 DEMOLITION ❑ RESIDENCE LI COMM 0 EDUCATIONAL 0 GOV'T 0 RELIGIOUS 0 PATIO 0 CAR PORT 0 GARAGE 0 STORAGE 0 SLAB❑ FENCE OCCUPANCY A-3 LAND USE ZONE C-3//t BLDG.TYPE s FIREZONE """ PLAN CHECK BY &' HEAT `-"" Vedvw‘e i C-77. :: ......„...,.....- -;:-7.7..=:....• Qe..$1644.4-Ari.k GLIA IPP‘ .21— lle tzsdi'e - - SEWER PERMIT M 1970 .5✓sWe OCC.LOAD FLOOR LOADS 142Ib . HEIGHT 1 NO.STORIES AREA WEINO.BEDROOMS VALUE—WOW BUILDING DEPARTMENT SET BACKS FRONT all.REAR LEFT SIDE RIGHT SIDE Permit 29e," THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING Q (�'y REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE3Y AGREED THAT THE Plan Check / ! .✓/O ,WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPUANCE I fWITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE ISub-total ; BUILDING PERMIT APPLICATION TIGARD DATE • , 19 TH'E UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN VHE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO. OWNER JOB ADDRESS • ARCHITECT ENGINEER BUILDER ADDRESS DESIGNER STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT SEWER PERMIT# OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS 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 Plan Check I WORK 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 Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax SDC— Total PDC# APPLICANT OR AGENT By Receipt No. Approved ADDRESS PHONE DATE 'INSP. TYPE INSPECTION REMARKS PLUMBING DATE -7 Contractor $,� 3'3 -"1" "./ ��..� 1:_;�.- as .�. .,/' a - � (% I Permit No. 3304. 0=6° 3' -g3 Q -- Rough-in - Fixture Final HEATING Contractor // ! IPermitNo. 2S= 2- -Gel-or-Ott Rough-in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk ICurb&Street Final • Approach BLDG.DEPT.FINAL. i TEMPORARY J CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY 1 } Landscaping C vJ Zoning Final • BUILDING PERMIT APPLICATION TIGARD DATE ,19 THE UNDE1RSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO. OWNER JOB ADDRESS ARCHITECT ENGINEER BUILDER ADDRESS DESIGNER STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT SEWER PERMIT# OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS 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 Plan Check WORK 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 Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax SDC— Total PDC# APPLICANT OR AGENT By Approved Receipt No. pp ADDRESS PHONE DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE , 2-/y-`7 rAIIMMIMMI1111111111111PAMIIIMINIMI Contractorillal / , z -g3' / AMMININNINI Permit No, AlimiI Rough-in I Fixture -- INWIR111111110110111•1111111111110111111111111 IrliiliwW,All� I Contractor 11111111111111WWW I Permit No. INIIIIIIIIIW Gas or Oil Rough-in NEW Final - W SEWER .- Final ., DRIVEWAY11 � Final � INStorm Drainage 1 al (Rain Drain)Final . Sidewalk . Curb&Street Final - Approach— BLDG.DEPT.FINAL TEMPORARY i CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY I Landscaping Zoning Final BUILDING PERMIT APPLICATION TIGARD DATE_ ,19 TI-fE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ — — LOT NO. OWNER JOB ADDRESS ARCHITECT ENGIN BUILDER ADDRESS DESIGNER STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T LI RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE LI STORAGE ❑ SLAB❑ FENCE OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT SEWER PERMIT# OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS •"' VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS 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 Plan Check WORK 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 Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax SDC— Total PDC# APPLICANT OR AGENT By Receipt No. Approved ADDRESS PHONE DATE INSP. TYPE INSPECTION REMARKS PLUMBING 1 DATE ,- Contractor 1e r r1//aili ))041.V C p Permit No. T Rough-in pp,,, Fixture ��_ — y7/ Final Orqt-pyt-e-E( J 2 HEATING Contractor Permit No. Gas or Oil Rough-in Final SEWER Final • DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping jj Zoning Final i / .Y101I k , ..✓. _ .41111111111 ta. \ '\/ 1 � �/\ ' •.8CLIIyh-;---.:'nr �/ ,,, .Dl /-. - �/ - , "v � 4, s'a"t S- -••'�.va "an' MrmA< ' '':iyy- '.: w,ss+y�w 'is o •2.:. 4.-. :'�c 4",-..„.„4,•-e,...,-. � '':t; '4pJ . �41i • � 4.9*aj '' o -. 4 r?4.4» . y, " fvy- .-4. , �y rO ..+�'' ?_ �•--8,. . l,• . . * ,• . W •, ti; •a4 s, � , .r ? .ti•7 - bn ,• �� , s f -� � ` -"41 #'�f„ , -;;1 �; (/y. ;; 1'4� � r " "� N � ' 8=; - 2Ø)t or �51. 00 7 13 6. A Jj`474107. ,ter, Alt COF cY 7s,ii:7 ,7-cli::::11 0 . {.. Q CITY OF TIGARI) ., , l NV,y a 4�t OREGON tf„_ ).*.9.4i,reAlit. �,' '� Owner• Richard & Melvin Armstrong Permit No. 4325 , �1/I 4� _ Address: 1909 E. Sprague, Spokane, Washington S• re s0 `semIC11960 SW Pacific Highway, Ti and OR "� '\+4 N ,ts < Building Address: g k sa"`` Q A-3 C-3M 5N • �;,!...,:44,,,,,!..,,,,,,,v,:.,,,vi � s, Occupancy: Land Use Zone: Bldg. Type <s��'�'�'�'�#n�`< yF = �'ezos'ti .-Q' Comments: �'4 �"=:a`} \ w.w,5 r. Nf �k} li r'-:: Certificate is hereby given this 17 day of March , 19 83 �L�,f.� ###� Ig:',;.:...4..'''� , that said buildingmay be occupied andthat , •sa # , �� p d it complies with all i� ai , �� ' requirements of the Building Code for the City of Tigard, as approved '4 ``e. `+� . ¢,,tet ,,---,4,,,,...A,,,, 4 `�� � 1 by the Tigar• City C C. n i . '� � �' A x ,1„ � 2 1.#7,3,▪ 'n* , `,1, `' ,�s, �` Fire De it. •'. g Inspector ��i4: 11 0 `_,, y'. 1 t tt 'a �, , ,,, ax • / / / . , , s ut�ii''1'/ ,,,. .,,.... t BuildingVA<-'-;' 4,4 , Ali ` Post Certificate in Conspicuous Place ' • �rY. ,4 !! 2rd:lee ii d'GU•G,-„"f•L`•x-:, ^ ,G•Ee.Gd^e.A'6eU.Aerd.derG.•••'.Ae.n .d,G,A.G:'d AA4'J&•E•4b.d.G•S,C:A•w,c_,Lr1�Md,d',9A.Vt.deeSe.6,04,6e..,.61.6.G`•G''d,ddbd.sw.w:a,frd•dd:.a.v.YemewL.G.6.Gde.d:dd•d.d•ddd.C,d:deddg..4',GGe.4•✓YG•d Gd�d.C•3•bG..A,A0V X'' .40.�.�-<�• 0. ,W,,,,,,,',,,4%, - %,„,,,,z1=.7.-,",,..,..,,,,,•,-.,-- ,L., --.,,/ ,,-v ',,,'4 t �. , 1 �, -.:::4 rf :. 1/ _ i, s f{f. ,..,, -_:::_ IpN,,,, 0. .;,,. >,i.>.,: ': e. --�1.e 1 `:�'1/f _ �, yr -_'s s $ ',i:.�. S l .,:.. '..e4. ! _..._:. ..' ,,, _,. . 4. }: _,,,.1, t ,. �t y}t. .k .'.. ,�:— -stA,q ,.. : ' i 7 ax � . I. 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