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12170 SW MAIN STREET-1 APPROVED FOR CONSTRUCTION � , CITY OF T1Cf1R,� t?)SITE ADDRESS lj?I 7 s L&j wI14 ►� i v �l� 1..U► C� "Ile (� "L-61 L •; `- ) �= s r 04 r I I Ll D PC7 f r. t i I 1 12170 Sw Main Street 1 of 1 o! ft 00* f i► this notice appears clearer than the document, the document is of marginal gieality. MAY 1 91997 III � I � IIIIiI ) III � lII 111 { 1 ! I { Ili I I I I I I I ! Jill .111 1 1 Ill � l : lillllllir{ , 1111 { IIIIIIililllllllll i MADE IIICNKM% I 1 1 1 1 1 1 III I I IIIIIII t 111 1111 { I { I V I I I 1 1 ! 1 1 1 1 1 . . I I IIC ii Il ! i VIII i II III. I�IIIIlIIIII�III III111111111111111111111111lillill11111 IIIIIIIII 113 IIIIlllllllllll IIIIIIIiI ! ' ' 11111111-11117111111111111111111,1111111111171111111111111 mill 11III 111111111111I1 i c' j. ;7 -s a 1 .r^ y, n i r S 1 �� ww •s x" ..a4. .fit w .4 n w� �eeWd' •e ka *a ;mnw �i 'r .'�' � „ � � s 1 � J A � �'� .. I+r�''Y� '"';v iA�Ik...ar Aili•,ate d. ...� t is � � - •.'' .l' A, L �AIMWMrw4.riPt3..IJAo M•n..-:..w+. • • . RD CITY I'�� CIT fOF rW en COMMUNITY DEVL LOPMENT DEPARTMENT 0II11604 zCHANICAL. PERMIT 13125 S.W.Hall Blvd.,P.O.Cox 2'-'97.Tigard,Oregon 97223.(503)639-4175 E `MIT NO. : M::892160 m, if, DATE ISSUED: 10/.18/89 PRIM.PMT.NO. 892160 r 4 JOB ADDRESS« 121711 SW MAIN ST TAX MAP/LOT SUB: I. T: BK: LAND USE: 'hLOT SIZE: ITEM: NO: NO: WORK, CLASS: ALTERATION FURNACE: (100K 1 n1R HANDL_R /10 USE TYPE: COMMERCIAL FURNACE 100K+ AIR HANDLR 10K � CONST.TYPE: VN FLOOR FURNACE EVAP.COOLER JCCUP.GRP. : B2 HEATER VENT FAN VENT VENT.SYSTEM BI-R/COMP (3HP HOOD j NO.STCRIES: 1 BLR/COMP 3-1.5HP IFICTNERATOR(DOM DWELL.UNITS: DLR/COMF•1 15--30HP INCTNERATOR(COM FUEL TYPE GAS BL.R/COMP 30-50HP REPAIR UNITS [�MAX.INPUT 100000 BLR/COMP 50•INP OTHER GASlTR�I7T rP'rc"J,'�— �._. —�_. -- GA HIGH PRESS'? Y LOW DRESS'? YES E REMARKS: 0 W N E FEES: 1, R underwater• aorkstiga•rd PERMIT $16.00 12170 sw main st PLAN REVIEW FIXTURES $8.00 C STATE TAX $. 10 N OTHER T R A G ANCTIL SHEET METAL CO. 0 4320 N. WILLIAMS AVE R portlarld or 97217 PHONE (503) 281-0752 T N `1 This permit is iss�i PsTi TRAX eMh!?1iA.AA7itained In Title 14 TOTAL a $16.99 y. ` of the TMC. State of Cmegon Specialty Codes, zoning regulations And all other Ppplicable codes and ordinances, and It Is hereby RECE?PT N0. /0�5-7S`7 agroed that the work will be done in accordance with the plans and specifications. and in compliance with all applicable codes and RELIL1IritD INSPECTIONS " ordinances. Tha Issuancs of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city GAS LINE business tax permits. This permit will expire and become null and MECHANCL.SYSTEM void if work is not started within 180 days•or if work is suspended or FINAL abandoned for a period of 180 days any time after work has } commenced. It shall be the responsibility of the permittee to assure all required Inspections are requested and approved. L � Permittee Signature Issued By: --- SEPARATE PERMITS REQUIRED F,99 Y49P.N9 � T631 1 CRIBED ABOVE 5 t' i��t Mt�i f i4 --j 7 d .44++i FFIIM,. 3SA .#.kr y ` MECHANICAL PERMIT Receipt # CITY Off' TIGARD 13125 S11 HALL BLVD. Permit 'y P. O. BOl 23397 Description Y i T I GAR2D, OR 97223 Table 3A Mechanical Code � CITY PRICE AMT - !! (503)639-4175 1) Permit Fee -0- -0- 10.00 Name of Development 2) Supplemental Permit 3.00 Job Address ----�-- -- 111 Furnace to 100,000 BTU 6.00 /"►Z r9 f,�� incl.ducts 8 vents__—_ I Address ��U Jr' (.�.� —._ Tax Lot Map No. 2) Furnace 100,000 BTU + 7 50 incl.ducts&vents Lot Block Subdivision -- ——' — Name(or name of business) 3) Floor Furnace 6.00 ' ��} incl.vent _ be Yl t7 i �'I C 17 _vL Suspended heater,wall heater Mailing Address Phone 4) p 6.00 ) Owner 12 1 70, 5 t— tm ra I k) - or floor mounted heater _ in City/State Zip � 5) Vent not incl. 3.00 _ 1 T I G_:,,2 t� (.Uva' �t 7L L appliance permit -- — — Name(or name of business) 6) Repair of heating,refr ig., 6.00 cooling,absorption unit V I'1 O rZJI w rl ru,2 W U ti�tc S -- ---- Wiling Address Phone 7) Boiler or comp to 31 IP 6.00 Occupantabsorp.unit to 100,000 BTU `— 2.�-7� S.W. Wt14ty� City/Stara Zip �— 8) Doiler or comp to 3 HP• 15 HP 11.00 u absorp.unit to 500,000 BTU �21� O✓Z � 7 L 2 3porter or camp 15-30 HP NamG I M d) absorp.unit 1/2-1 million _ 1 Mailing Address Phone 10) Boiler or comp to 30-50 HP ' 22.50 absorp.unit 1 -1.75 million _ _ Contractor wl f t� Boiler or comp to 50 i 1 P City/State Zip 11) 31.50 �u✓t Iy9+��7 UVB 171 3 _ absorp.unit1,7,';O,OO( 9TU - _ Slate Registration No, City Bus.Tax No, 11) Air handling unit to 4.50 p10,000 CFM -7 Air handling unit — 1 hereby acknowledge that I have read this application that the information given is 13) 10,000 CFM '+ 7.50 correct,that I am the owner or authorized agent of the owner,that plans submilted are in — compliance with State laws,that I am registered with the Stale Builders'Board,that the 14) Non portable 4.50 number given is correct.(If exempt from State registration please give reason below). evaporate cooler 15 Vent fan connected 3.00 to a single duct - 16 Ventilation system riot 4.50 included in appliance permit 17) Hood served by 4.50 mechanical exhaust Signature(owner or agent) -- Date Domestic type c 18) incinerator 7''0 nera Describe work ❑—addition ❑ alteration ❑ repair ❑ -- _ _ ._ to be done residr?ntial ❑ non-residential ❑ 19) Commercial of industrial 30.00 Existing use of ---� -T ----� type incinerator — ---- - 1u"' building or properly ..__-___ 20) Other i.e.,woodstove,water 4.50 heater,solar,clothes dryers,etc. Proposed use of T —�— -- —' building or property 21) Gas piping one to four outlets I 2.00 Type of fuel- oil (I natural gas LPG ❑ electric ❑ 22) More than 4-per outlet NOTICE SUB-TOTAL THIS PERMIT BECOMF 3 NULL AND VOID IF WORK OR CON- — -- STRUCTION AUTHORLr t-D IS NOT COMMENCED WITHIN 100 5%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. TOTAL Al �» � Special Conditions_-___--___ Date issued _.. —_.---by i� k Permit No. sp 134-88 CITY OF TIGARD SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: J.2170 SW MAIN ST ZONING: CBD NAME OF COMPANY: _L',MD RWATER WORKS e APPLICANT/AGENT: ROSE CITY SIGNS 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 PROPOSED SIGN: PERMANENT (X FREESTANDING ( ) 1 EMPORARY ( ) WALL (X ) BILLBOARD ( ) SIGN DIMENSIONS: 10' X 5' _ TOTAL SIGN AREA (Sq. ft. ): 50 SQ— FT-WALL AREA (Sq. ft. ): APPROX.. 700 HEIGHT (ft) : N/A PROJECTION: _NQUE, I. ILLUMINATION: YES ( X ) NO ( ) COPY: —__UNDERWATER WORKS - FULL SERVICE DIVING CENTER F MATERIALS: PLEX WITHIN ALUMINUM CASE I ' EXISTING SIGNS: NONE OTHER PERMITS REQUIRED: YES ( ) NO ( X) L / COMMENT,-',: �-�7 .'Lv� C,,r� _l'3� 1 Lk"-- -.a�i.l �' /„ cir L� -- PLANNING; UEPARI-MEN] All sign permits must be accompanied by a Permit Fee:_ z�� _ scale drawing and plot plan. If work Receipt No. : 1OM27 __ authorized under a sign permit has not been Approved By. completed within ninety days after the Date: R_17-f�H _ issuance of the permit, the permit shall —� become null and void. I CLR'f TF Y l I A THE RECORDED OWNER OF I HE PR ERTY N 7AAUTHORIZED BY THE OWNER. Applicant' s Signature 121 NE VICTORIA GRESHAM 661-0808 Address Telephone DAS:bs62 �,wnrkt�r,n'ntA#91WAMA' ''" ` �$ t. y CITY OF BUILDING PERMIT APPLICATION TIGARD DATE W 13 NB 0855 THE UNDERSIGNED HEREBY APPLIES FOR APERMII FOR THE WORK HEREIN INDICATED —_ I i OWNER PRUNE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. l4rlt. NoteLal/;) a.I:. .•�Il�-L} ��t.. � OWNER ADDRESS —_ BUILDER PRUNE Jas Jerrie ENGINEER Ieb"' Sea Food KkIt -- E DESIGNER I Weill DEa _ ARCHIT ,CT — I STRUCTURE ❑NEW REMODEL_ ❑ADDITION _OREPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION _ ❑ REEIOENCE COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORI ❑GARAGE ❑STORAGE❑SLAB [--]FENCE_ _ -- 013OND C3 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW -❑COUNCIL APPROVED ❑SIGNS . Cp CUPANCY LAND USE ZONE: BLDG.TYPE--.---FIRE ZONE-- PLAN CHECK BY HEAT.—_—. i Id t1�i r block &� 9 * p if A.>r*A to be used for Sow Food tAraet -- __ Support Goncrote l!e er-r co w t. R" a st r_a Aide al.a l s _ -- OCC, LOAD ----FLOOR LOAD--_,T ____HEIGHT NO.STORIES AREA VALUE BUILDING_DEPARTMENT SE'r BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit �- I THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND 01 DINANCES, AND IT IS HEREBY AGREED THAT THE ---- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCF";i i r" Recording ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total ! By APPLICANT OR AGENT APPro%ed Receipt No. ---- --- ADDRESS PFIONE pry��rrara,e.+:vim.ea.nw=..w....,, `"•""'«,nrawrrAl�p; rV { -i i DATE INSP TYPE INSPECTION �— REMARKS — PLUMBING CATS �— Conti Permit No. — J Rough in --- ---- •. — --___.!--- Final -_ —�_r _._._.- HEATING Contractor Permit No. Gas or Oil —._.—_ Rou h•in -- ----__--- -- — Final_ .___--- --- _ _ --- — SEWER _ — �� Final — DRIVEWAY i Final — Storm Drainage (Rain Drain) Final _ Sidewalk — Curb&Street Final — a BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final M y; CFRTIFICATE OCCUPANCY -- Landscaping Zoning Final 1M M-YPWTML WOW V. #1 j. ►I .x.nW..+,.�.......w.`. CITY OF "�" wiQ 0OCJ6' I BUILDING PERMIT APPLICATION TIGARD DATE--------, 19—t,) THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. , ONER L Oil ADDRESS -- ___BUILDER PHQNE Ot41'tT ENGINEER BjJiLDER _ ARCHITECT' _ tI--11 DESIGNER (t . STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR LJRENEWAL ❑FIRE DAMAGE ❑DEMOLITION ` �� lJ STORAGE❑SL.AB LFENCE ❑_RESIDENCE [:]COMM �-1 L.�£DUCAIIQNAL ❑GOVT ❑RELIGIOUSLI'ATIO ❑CAR POfiT ❑GARi�GE E', FENCE _❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS OCCUPANCY----LAND SE ZONE�—BLDG.TYPE ,FIRE ZONE, PLAN CHECK BY____ HEAT__ U gonry OCC, LOAD FLOOH LOAD _ HEIGHT NO.STORIES _AREA VALUE BUILDING DEPARTMENT -� '"ET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit ��' -- - - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check ' REGULATIONS AND AL L APPLICARLF CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE HE WORK WILT BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY (BUSINESS 1%State • LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total ii a 12 By ---- __ APPLICAN' OR AGENT Approved Receipt No. f ----- ADDRESS ----- PHONE v iAL ..:- DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor _ /..'',5_ '� r, ��s �a C�•r , Permit No.— -- — Rough-in _ Fixture _— _— �—� — -- — — --- HEATING _ Contractor Permit No. Gas or OU Rough-in Final SEWER Final DRIVEWAY Final h' Storm Drainage__ L r Drain) Final walk.8,Street Final oach BLDG. DEPT. FINAL — TEMPORARY CtRTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final_ Landsca ring Zoning Final City of Tigc!rd Adw , INSPECTION REQUEST for SPECTION TIME' _ PERMIT NO. _ DATE: // /iz/73 DATE ISSUED :-_lam_ ' A" iNERS NAME : --------- ADDRESS: 1► ��N-?� -N�����(P1--C-LiN, Wl R A C TO R : --- - - - ---:-'ST : pair t], Woter ❑ , Visual ❑ , Laboratory ❑ ;'SULT: Apnroved In Disapproved ❑ Pending [] 2 (ETCH: L INSPECTOR DATE TF. : Attach supplemental teat data beret 01 bd� SUN��Wrt 44 �l 4T, November 2, 1973 ■ F j? ■ 1>, 3. L. Sedgwick 3600 5.w. Doach Rd. Portland, ;rceg()n Re: Tigard Main 5treeet Medical uu1 ] ding e bear Or. Sedgwick: An inapection was made on November 2, 1973 of the Main ",;;react Medical Clinic located at 1217,1 S.W. Plein a Street, Tigard, (.regon me to d©termino if the building was c onplatcd afj tholt we .-uuld cluse our file. Upon 1 in3nection I fecund that no vents ware protruding through the roc3r such sys plumbing. Upon enteriny the building I further Pound that you sleac:ted to hooves your oil furnace vented into your new ruuf covering whice: woulel and does sndnnger the health and Life of the public, You maay ronsidear this letter a dwraaund to vent the abovw meritionk cx items to their prupor perspective or 70ouvio the now roof cuvterin(j r-jr your prutuction and .he eatuty Of }late public; not to munition -the firs hazard it now preseanta. Ton (1,1) days from r.ocaipt of thin letter I roust and will post your building as o danyorous building undor Uniform Building Code, Volume 1'i, Chep' aar 3, Section 302 and ask that the building be vacated. I am at this time wi".-hholding a Complaint to tho necessary band..ng and inaurence correpanios w4aitino your prompt re spones t.7 this matter. T atm looking forward t,-) your r_omi:,I inricta and w,-arkinq with you on this mAtter. If you have any ql-ieations runcerning this nfsttear plrea®ea call me ac conn as pnesible set 639-4171. 5inr.eare l y, .home's Orien Actinu Fluilding tifficial c:C firs Marshal Main Street Medical ('linin. .�J y f: a � r 41 4j 44 ElAr W 0 tl! N r� zQ as a 4,er Nul113 .� r •� t 04 ow 0 • - b0 Q p H 8 1 00 JO to A M W y � I to M i4 11 *L al ad cA f: 64 0 f4NI l Or Q r-4 to U) :3 �`- 04 Om tr cz o N ►q m "bi (A crag N a to w N a w z U ar ai b ( 4+ Otl to y M (M] o ro +a j,s ►� N Cil N � N �7 7 ; m '. m pQ O a 3 N � o m k e .«.. Pw�we-avier,MKs+*rwa�rut�'rl7M�'9r9h4�',i7�+xJr�wx1:,,,... IrI U= O J W IT +' , •4.4-H a� n b w Nov ry a o ° a .n43 46 .°a .0 .c° U 0 ra ro H I aroi b R. 04 MW V a «� ®�p�; '."Oma�,� �m" 1 I 'y►i! ¢U? H U 4�O. +.•a��a N 0 Q,A a4 ,0 Q ca w .0 a 41 UU 04 -.0 0 Q' O .a ' 14 C r �p^.0O'1 ,� o s� �o 4 U' � $4 .90 >1 a HH o z rq H ON CIO) w7 ► Ha ' 0 044%4 N lu O O 04 M d)H4j H U U " A° 41 `rt u M O Q E-4 a m a N N �o �Mo • oa cNwn ca7 U �O ,.� .� M O w bHu ro ° 0U) � —4 Url 4J 00 A O 7 A4 a w wv t)%N14N "a, -4 O > u d b v w w D m v 3 U w cn ti O pq a � O .�t a in1 >, �! m � aq qq U �ll v1 y � U �i U N N ►-7 O y .�LVj� 1�1 t 4 a°o pQ acn a 3 4Ji q 0-4AJ w "14 w H O MELI :s+ Sn➢kiitio-rovaM�•- ..,,www««. . . .....,.......„..........,.........,_ 1 1 PERMIT TO CONNECT Tigard Sanitary District ■ PERMIT N9 646 DATPERMIT .2 PERMIT IS GIVEN TO ! - • OF TO CONNECT A _° —-------� --- ---TO THE SYSTEM OF TIGARD SANITARY DISTRICT i2 AT VJ, THIS PERMIT MUST BF POSTED ON THE DESCRIBED PREMISES UNTIL CON- NECTION IS MADE. AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. PERMIT FEE PAID $.... .............................TIGARD SANITARY DISTRICT By4 �- . CONNECTION INSPECCLD AND APPROVED upe Date Sn dent i J I Address�� s tY Permit No. 7 Name of Occupant- Permit charge..__� � � n Connection fee Paid by (�� �� Date connected Type of Building_Lj, it_�a_'t' !L�__--_ -_ Inspection. f.ee�l.� Service Rate- ------------ -.- Paid bia� 4_—.Dat Contractor - Assessment j Size of connection_— --�._- t I APPLICATIOrT FOR SEWER SERVICE The undersigned agrees, in consideration of the sewer service connection by the Tigard Sanitary District, to abide by and comply with the ordinances, regulations wad rules of the Dist- , riot presently in effect or hereinafter enacted and to pay sewer service charges as the same may be im- -;h' posed from time to time when due and before such charges become delinquent. i I fully understand that all unpaid sewer service charges become a. lien upon the property served as stipulated in O. R. S. 224.220. Connections to the District's system must be made by bonded contractors and/or bonded and licensed plumbers. Owner APPROVED BY Superintendent TIGARD SANITARY DISTRICT 8841 S.W. Commercial St. Tigard, Oregon i ail' i j f Tn •fi P