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AP-Pr\,.OVED FOR
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SALESMAN DATE DRAWN BY
4�_ REVISE13
OREGON 81-GIY CORP.
_TITLE _CA� DATE
912 S. W. SECOND AVENUE PORTLAND. OREGON 223-0177
APPROVED BY SCALE DESIGN NO.
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MAY 7 1992 2
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INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
�f ce
Tigard, Oregon 97223 �/rgiGZ.
Phone: 639-4175 -r7/y
er-
Type of Inspection --
�1 Time. A.M.— __P.M.
Date Requested``
Address
Permit #
Owner 1 ,
Lot
Builder _The following Building Code deficiencies are required to be corrected:
�—
/. ..�11-�*--�-- -
Presented to -_ —�—_. . -__-. '<Approved
Inspector —•-- --
j Disapproved
Date --
CALL FOR REINSPECTION
❑ YES I _] NO
Receipt# �"j� ;-7
CITY OF TIGARD MECHANICAL PERMIT Permit;` --
Description
Table 3A Mechanical Code OTY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd.
P.O. Bac 23397
Tigacul, OR 97223 2) Suppl3mental Permit _ _ 3.00
6?x-4175 1) Furnace to 100,000 BTU
6.00
incl.ducts&vents
2) Furnace 100,000 BTU I f 7.50
incl.ducts&vents_
Name of Development 3) Floor Furnace _ 6.00
v incl.vent
Job Address 4) Suspended heater,wall heater 6.00
or floor mounted heater
Address /1 - '7U `J � 9J ��� � c_ � ��.. _ ------- -- — -
Tax Lot Map No.—� 5) Vent not incl.in 3.00
Lot Block subdivision appliance permit — _
Name(or name of business 6) Repair of heating,retr ig., 6.00
i cooling,absorption unit
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner _ absorp.unit to 100,000 BTU
_ -
City state Zip 8) Boiler or comp to 3 HP"-15 HP 11.00
_absorp.unit to 500,000 BTU
Name 9) Boiler or comp 15-30 HP 15.00
absorp.unit'%z-1 million_
Boiler or comp to 30-50 HP
Mailing Address Phone 10) 22.50
1 absorp.unit 1 -1.75 million -
Contractor -` t` k - Boiler or comp to 50 HP T
City!Slate Zip 11) absorp.uni!1,750,000 BTU 31.50
State Registration No City Bus.Tax No 12) Air handling unit to 4.50
10,000 CFM _ _
Air handling unit �
I hereby acknowledge that I have read this application that the information given Is 13) 7.50 10,000 CFM
correct,that I am the owner or authorized agent of the owner,that plans submitted are in -- —
compliance with State laws,that I am registered with the State BuildersBoard,that the 14) Non portable 4.50
number given is correct(If exempt from State registration please give reason below) evaporate cooler -
15) Vent tan connected 3.00
- to a single dt, t
--- - ----- -- Ventilation system not
16) 4.50
included in appliance permit
Hood served by
f ,,; • (,% `� �` r'f' j 17) mechanical exhaust _ 4.50 -�
Signature(rnvner or agent) _ _ MOP 18)A Domestic type 7.50
Describe work 1-1 addition ❑ alteration f-1 repair ; ! ___ incinerator - i
to be done residential I I nen-residential i 119) Commercial or industrial 30.On
Existing use of type incinerator
building or properly__ ____ _____-_ -_ 20) Other i.e,woodstove,water 1.50
heater,solar,clothes drye-s,etc.
Proposed use of _ — --
building or property 21) Gas piping one to four outlets 200
Type of fuel- oil ( I natural gas 1-1 LPG 1 1 eleclric i I
22) More than 4-per outlet
NOTICE — SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- --- -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE 7
DAYS, OR IF CONSTRUCTION O9 WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -� --�
WORK IS CON MENCED. _ _- TOTAL
Special Conditions
n —
_ Date issued by
i
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City ® l Tigard
INSPECTION REQUEST
I for
INSPECTION TIME : / '_ 6 - PERMIT NO. :
I DATE' _:1L2 3 DATE Hc-'SUED:--`---/--
OWNERS
SSUED 1--L_OWNERS NAME - V14 �'— --
ADDRESS :
CONTRACTOR :--- -- – - -------- - ----- _.
TEST. Air 0, Water L1 , VisualO , Laboratory []
IRESULT: Approved Disapproved I] , Penl)ng L]
SKETCH.
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INSPECTOR DATE
ICCrTF Attach supplemental test data hcret]
1
City of Tigard
INSPECTION REOUEST
for
INSPECTION TIME : 4' / ' ._ PERMIT NO. : .__`___
I DATE: DATE ISSUED',_ LL_
OWNERS NAME :
ADDRESS : —._..__. �
CONTRACTOR :_______
I
IPEST .� , _i , Wnter Lr],i:<��cl La' ,rator,j fl
RESULT Approved Cl DisrpproveH _1 ""riding
I
T K E C H ..— ----=-— —_----__
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INSPECTOR DATE
I 'E: Attach supplemental test : of,, hereto
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City of Tigard
INSPECTION
RREQUESTT
for
IINSPECTION PERMIT NO. : -
ATE : 16 DATE ISSUED'___1�L—
OWNERS -
I ADDRESS : - ----- --
i C4)NTRACT0R :aa-- �d� ---
0
TEST 'x r `J , Water ;r] , `risvcl [I , La' ,rator i r�
RESULT; Approved , Cisvpproved 1 , P in,diag
I SKETCH:
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INSPECTOR DATE
[NOTE : Attach supplemental test Jato heretlo l
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STATE WIRE MAIISMAL•--PLANS REVIEW DIVISION
ROOM 376, STATE OFFIC'. BUILDING. PORTLAND 07201 NOTICE OF PLANS REVIEW
rr (THIS Ia NOT A NUILDING/[1401171
Building .87 7 Il.^d p no csL li��d,rd/l 4Alr A tW4 No.
su1LOINr' .oDR[ss `fles4Art <r<? D
County W"14ILys-0/l Occupancyl� �'a«.,arkt Const __ :��_--Sound V.11ue Yaa_"Zi�.S____ Plan
Architect _.IY&ZbLE___rj WO"t4-- --_ New Bldg. ❑ Addition Alteration I"-J DAIS Received
Owner Ir'Paul ne Ila H TY __ Address �1b�4%t�_PLL!�=_.�/Jv�1`f_ - Date Reviewed _,nNr.1c773
em-sr.2}+2_L��,,/ ���,����r, T7Cw4l�'U
Stories _L_ Area GfCl1Zr /.6LL'Z_. Atflc iViCAIv _/_---Fire Walls NC'M�_ Fire Es(apes /y/ON ft,
MAIN 1114 a aEMENI NT 170/• 1i1 wrrl
MrAt-1.31.0 fa
Stairs j /__�L_e Vert. Shafts CL1LE'1 _ Sprinklers — i_/ " / Mari Alarm ,jime 5 P
Clo"" CLoate NO rag AREA COVERED
HI. Det. A1&%r i—/ Floor CL>dLE; D Calling t2)1!}y8P Roof Str. Members 6ABLIKi/NA9.
CLA[A NO "OK AREA COVD
Wall cover�l_Isl _/St�.LK_ Htr. rm. encl. J���/Y�L�2/6��L�. Type flue EALS–T" Typr Htg Systori (9rCAS2 _____ Fuel FX
E[T IN' •-'•-��
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 om;-;sions or
oversights by this office or of noncompliance w_th any t,pplicable regulations of local government.
REMARKS: 1!A) -�G �.v rl_R_ _I�51�_T�� d_�1 his i t �'�n._T �__s'r_v� � 1�U�+ CAME
J4"IZ_ FC-II IIEL -SiSTIVE'l tAT£R/N15._
P�3o 111,111 ,4 l'�/L"_JL4. 011 i t."�Ct __1d c�t�b lam e a x(e_) _wl r1_'rR Z__—.,
_11yr 1y,c j n hl em= A&p a t �.g�K:,Tl��s E- i ecz A.R.f...14.4
C WALTER STICKNEY
STATE FIRr MARSHAL • Examined
RaeCHURCH STREET N E
SALEM ORC.nON 97310 r -h-CA&P _T1LJ)Cr tPr. __T r 11�t_ .l
arN , Copies to: .� // f7 " •
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City of Tigard
INSPECTION REQUEST
f for
I � r
INSPECTION TIME : Lo'— PERMIT NO.:
I
DATE: 61-5-172 DATE ISSUED:
OWNERS NAME :
I
ADDRESS : (-?? W _—
CONTRACTOR :-----.-
TEST.
ONTRACTOR :_____._TEST. Air ❑, Water ❑ , Visual ❑ , Laboratory ❑
RESULT: Approve , Disapproved ❑ , Pending ❑
I SKETCH:
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INSPECTOR DATE
E : Attach supplemental test data here,]
CITY OF TIGARD
124" A. W A4in o1.MI
NOAR0, OPROON aizz
APPLICATION FOR BUILDING PEPMIT
Now Construction � Demolish FI Addition U Remodel ❑ Move
ZONING C•3_ DATE ISSUED3-3D-73 BUXLDING PERMIT 1
DATE RE,:EiVED BUILDING FEE $ .00 No.?3"1 11
By PLAN CHECK $
--'-�-
OTHER $ VALUATION S 38,080
TOTAL $x.30 RECEIPT NO._- .2 .�
Two SETS OF PLANS AND PLOT PLANS MUST BE: FURNISI(ED WITH APPLICATION
LOT 0 2" lot 1601 MAY 1 = 1t1 3600 M-7
CENSUS TRACT JOB 1
Architect or Engineer 8MM provers
Owner- ____.Piss& Cobooss
Address--- ua70�li.il. !&%Du141-240 -- ----- � __. Phnne_�
Bui
Address
Phone s
BUILDING USE Single RNs.-El Multi Res. -- Comm, a industrial❑
)CUPANCY GROUP- F•B Na. of Stories Q— Total Height_ 90. Area of Lot
Tyne of Construction Usm III Floor Area H_ 1- 860 i_ App
Sc� Backs: Front BackY jft L.Si.dew_ R.Side
Private Sewer Pipe Size y" Sewers t&MWM Septic Tank n
Water Service Pipe Size r Starm Sewer F] Ditch Drywall❑
Street and Curb Requirements- a
Driveway Width4 -1r------- No. of Parkinq Spaces
SLPAPATE PERMITS RF.VUIRED FOR SEWER AND PLUM14ING
SPECIAL If IMATIoU
DORESS ASSIGUED .11670 i;•M. Ie*M4 114__
FIELD CHECK
1't:RMIT APPROVED HY4
t is understood that all wrrk grill conform with-,)applicable codes and ordinances
f the State of Oregon and the City of Tigard, (Ae,ion, and that 00 building will
of bei occupied until a certificate of ucc-ipanry hns.,,t,p4a 1ss4ed" by the City of
igard Building Inspector. ;
Iq `tire o AppMeint
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Address 11674 S.W. Pacil'ic Hwy. Permit No. iliig
Permit charge
Owner ii :za Caboose A Connection fee 600.00
Paid by _..=s:Ar
,.� ^�"L11L. .._�.
Type of buildings Restaurant Date connected 9-1r)-71
r)ervice rate _ Inspection fee_ -15.00
Contractor
Pau D �ut-'.ty Paid by same Date
Size of connection Assessment Paid
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-:f•�'j,KTL.-a�.iuultE'��•If.!�.-% 1S _ ---�
APPROVED FOR CONSTRUCTI�JN� SAIESMaft OA Tc oAAwN e` �•
Cl,:Y Cr—FT-1 f-2f�/ .cVIsca
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J. } OREGON SIGN CORP.
j 70-I-= L_�� - _. — 922 S W SECOND AVF»l+E GAEL*ft -0177
._ � ^p"oVED Br S� l ,' , �. or.%—N NU
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SALESMAN OAT[ DRAWN !!Y
11'-3/-7f i -----r-
R[v S
opmooly SIGN� IMP -
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PERMIT TO CONNECT tell'-
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Tigard Sanitary District
PERMIT N° 1519 DATIC f, /
1'I?It11IT IS GIVEN TO ------
OF 36 f 11 y /`+iir f. >�i �l/L ``1 � ?t.Z. r
TO CONNECT A -----
TO THE SYSTEM n`- TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DF4 7RIBED PREMISElt UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COAi-
1.1.ETED,
PERMIT FEE PAID ......... .....••••••.....TIGARD SANITARY DISTRICT
1 .1MO1
CONNECTION INSPECTED AND APPROVED
A
Superintendent AN
Date .