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9905 SW MCKENZIE STREET
i
INSPECTION NOTICE
City of Tigard Building Department
i
12420 G.W.Main St.
I igard,Oregon 97223
Phone: 639-4171
Type of Inspectioi r
Date nequeated -s Time A.M. P.M.
_
–,AddressPermit
Owner
Builder
The following Building Code deficiencies are rrquir o be correor.,dQ"
L �
_ ---
t
Presented to _-- ❑ APpr%,ved
w
�
Disapproved
U Inspector --_ __.__-_-. ------------—
3
Date --
h CALL FOR REINSPECTION
v [-1 YES 0 NO
i
I
N I(''Al... PERWIT
CITY OFTIGrARD C PEP.M.1: Y NO . : MEB .5
Hts1
CCMMUNITY DEVELOPMENT DEPARTMENT DA1,F. 9/ 17/98
13125 S W Hall Blvd..P.O.How 23397,Tigard.Oregon 97223,(503)6394175 I-')P J:M . NSM 1' . NO . 001.e5 t
,-10H A001:41FY) 990!"o :iw MC'I<FWZ".1L
I AX MAP/I (1111 91K .
I. AND USE'. *
NO : Nr3 :
WOPW CI WSS : ALA1`:PA'I'1UN <100K AJ.P HANDL.P <1 0
TYPE : REL.11"1011.11S FUNINACIE 1100 .f. ATP HANDI-P :1.0V
("ONtiT TYPE: : F1.00P F*014NACE. E*VAP . EP
(.1 C I'll P . CIT' I-i I. A*TEF 1: Vl::.N'T' FAN
VF-'*N*Y' . SY51 EM
B1 P/( (')Ml:-" <3HP V1(01'.)
NE) . SIC4 01 3-45HP
DWELL . UN:E T*S : 131 P/U)MI:*' 1:WT NEPATOP((AIM
1*!*(.)r-*-I-. TYPE: 30-50HP 1IN11cs
MAX . INPUT BI A/CUMP 304-HP 0 T'l-11VII I.
GAS W.I.PING 01.111 F.%I S
LOW P14EKS51?
)Vr:
0 Hi.ic4ill-r- Aviv . M(01 1! *10 ..00
W 9(90!..1 91,: Mt,-Knil-rie !it PLAN PEVIE::W
N
E '11 tUNI'd ii 97i-" $4.30
PHONE (504? 639-11.8. 0 S TATE TAX 1111 .7.3
C
0
N r-4 113 Y D 0 Y 5 1 N
T
R I (*'*/WAJ HALL LTL.VD
A on 97e.i?3
C
T (5031 2/115-FIR89
0 NU. Pay TOTAL: *15.S3
R
PEA. KIPI NO.
This permit is Issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations PhQLJ:[WE'I) 1W5PE:('.,'1J0N5
and all other applicable codes and ordinances. and it is hereby 1; :CNf11
agreed that the work will be done in accordance with the plans and
specifications ana in compliance with all applicable codes and
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
void it work is not started within 180 days.or if work is suspended or
abandoned for a Period of 180 days any lime after work has
commenced. It shall be the responsibility of the permittee to ass ire
all required Inspections are requested and approved.
Permittee Signature
Issued By- ......
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
..
SIGN PERMIT APPLICATION cOF TIGARD Date �n- 19 '3!' NO. 0737 -
The applicant hereby applies for a permit for the viorktindicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: 9905 SW 11cKer.::xe
APPLICANT: Owner Lessee Authorized Representative
NAME/COMPANY :,)t • Ant away'n !'Wla � 1"'s - - - - - — - -- _ - - - - - _ -
- - - -- -- - - - - - - - -Proectin _ Other 1Lte -
PROPOSEO SIGN: Freestanding Wall HEIGHT _____ WALL AREA —.
SIGN DIMENSIONS .._ _ AREA
PROpER7Y FRONTAGE COST ZONING DISTRICT ILLUMINATION _-.----
MATERIA% COLOR - DRS�—
COPY Other
EXISTING SI1NS: Freestanding Wall Projecting ._
COMMENTS: — see atCaihed amiroval from StateAll sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
_ within ninety days after the issuance of the permit, the permit shall
_PLANhLI—NGDEPARTP I ENT become null avoid.
Permit Fee it�.oU
Approved -- !;t,h Applicant ignature
Rece,p_t1�o.-
Renewal Date
i
SIGN PERMIT APPLICATION COF TIGARD Date �' 7 19�� No. `S
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: v `z� -'��' f
APPLICANT: Owner Lessee r- Authorized Represpritative
�� -��,,,_L,` � _ - - - - - -_- - - - - - - -
NAME/COMPANY Tel.
- -
PROPOSED SIGN: Freestanding Wall Projecting _..Other
SIGN DIMENSIONS AREA -- HEIGHT _ WALL AREA
PROPERTY FRONTAGE _ COST. ,ZONING DISTRICT _ILLUMINATION
MATERIAL COLOR -
COPY DRB _
EXISTING SIGNS: Freestpnding Wall Projecting Other
COMMENTS:
All sign permits must be accompanied by a scale drawing and plot
plan. of work authorized under a sign permit has not been completed
within ninety days after the issuance of the permit, the permit shall
PLANNING DEPARTMENT become null and void.
Permit Fee
Approved Applicant's Signature
ReceiptNoo.
i Renewal Date __ Address Telephone
Cl T y°F rz(;
Oregon State Highway Division
' DISTRICT 2A MAINTENANCE SUPERVISOR
vlcnM Ar,rel+ P.O. BOX 565, BEAVERTON, OREGON 97075-0565 PHONE 229-5002
June 5, 1984
In Fapl .to
Heidi Thompson Fid7 rs
•No
8960 SW Pinebrook
Tigard, Oregon 97223
RE: Banner Permit
St. Anthony Summer Fiesta
July 19-22, 1984
Dear Ms . Thompson:
This is your authority to erect and maintain a
banner over Pacific Highway, at Walnut Street,
not to exceed 45 feet in length and 35 inches in
width, for the St. Anthony Fummer Fiesta.
The banner shall be constructed of canvas material,
erected on wire cable or rope of at least � inch in
diameter, on poles owned by Portland General Electric
Co. , in a manner satisfactory to the District Maint-
enance Supervisor, Sylvan.
Clearance between the bottom of the banner and the
roadway shall. be no less than 20 feet. The banner
shall be installed on or about July 10 and removed
no later than July 24 , 1984.. It is our understanding
that traffic control will be provided by uniformed
city police to installation and removal .
This permit is granted with the understanding that
the applicant shall be responsible for all accidents ,
damage or injury to pr?rsons resulting from construction
or maintenance of the banner.
Applicant shall hold the State of Oregon, Transportation
Commission, its officers, agents and employees blameless
and idemnify them against any loss, injury or damage,
which they may sustain by reason of acts of conduct of
the applicant or employees , in connection with construction
or maintenance of the banner.
Sincerely,
C.T. Flink
Asst. District Maintenance Supervisor
CTF: js
cc: State Police, City Police , Region, Dick Juden
Form 730•iN7
ARTHUR J. GALLAGHER & CO.i,o �
The Tower,Golf Road,Rolling Meadows,Illinois 60008 • 312 6
CERTIFICATE OF INSURANCE
Name and address of pafly to whom this cartiflcet•is issued
Name and address of inturad
F Archdiocese of Portland. Oregon
2838 E. Burnside
Genera]. Tele hone Portland, Oregon 97207
Tigard, Oregon
P. 0. Box346 97223
J
L
E
POLICY NO. XPIRATION
COMPANY
SL381/SLC5843 7-1-84
Lloyd's of London 291-69-65-41 7-1-84
Centennial Insurance Co. 7-1-84
International Insurance Co. 240-093496-8
1
S 300,000.00 Ali Rlsks Each Loss, Each Location
Excess of Insured's Self-Insured Retention
RE: St. Anthony Catholic Church, Tigard Fi.,sta Days
From: 7-1-84 through 7-31-84
for a banner to be across Pacific Highway in Tigard,
Oregon near Frewing Street.
tees be
he issuing co
Cencellat�on: Should any of the bole desc bed P itten notice to(the below named led Peatiflcat before the exirtionaholder, butifallure to mail such
will endeavor to maildays wrU
notice shall impose no obligation or liability of any kind upon the company.
NO Hjr.HTS UPON
THIS LZRTI/ICA'[ IS ISSUED AS A MATTER OP DOES NOT AMEND-EXTENO„7p At TEN(INFORMATION
NLY AND LaVERAGE APFO s!D[V THE POLLM[/f LISTED[[LOW HO\.O[11.
THIS L'E11T1•IC.
/\fa i HUN J. GALLAGHE R & CO
- —�=�' 84 mb _
PATE BY Gerald L. Lillis. Producer
:. No.� 11669
CITY T Jun�24 , 19 t
SIGN PERMIT APPLICATION of 1 �G Daa
The applicant hereby applies for a permit for the work indicatad or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS:
t'acific slwv. 44 4'alnut
y
APPLICANT: Owner Lpssee Authorized Representative
_. "lose Inn <rei�er
NAME/COMPANY �n.oinnyu�r — — — —TeL --
— — - — — anner
`t
PROPOSED SIGN: — Freestanding Wall — — Projecting Other --
SIGN DIMENSIONS "`I AREA -- HEIGHT _'-6f t, WALL AREA
PROPERTY FRONTAGE -- COSH_______- ZONING DISTRICT _ILLUMINATION
MATERIAL
C:airr✓as COLOR ----r—
COPY T7, ,1nomny rt�a�rd Fe tia DRB_
EXISTING SIGNS: Frt stendi WBB I _ `� v , Projecting Other
nnr+rrtJ =I 7�
COMMENTS:
All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
within ninety days after the issuance of the permit,the permit shall
PLANNING DEPART ENT beco a null and voi
Permit Fee ~
Approved '1w11 Applicant's gignature
ocelot No. _ .-----
Annewal Date Address -Telephone � �
i
CITY T I G A R D Date _Z . 19 No. --
SIGN PERMIT APPLICATION OF
The applicant hereby applies for n permit for the%York indicated or as shown in the accompanying pians and
specifications.
SIGN LOCATION ADDRESS:
uthorized Represent+.tive�r
APPLICANT: Owner _ Lessee -n
NAME/COMPANY ! T - - -- - - - - - - - - - - - -- - - - - -
Projecting
_ _Y_ _ _ _ _ _ _ _`. _ _ - - -� - - - - - - - -
- - - - - - -- - - - - - - -- — I7�r►ML1�
PROPOSED SIGN: Freestanding — Wall — Projecting Other
SIGN DIMENSIONS�W t 0 ARE HEIGHT HEIGHT WALL AREA --
PROPERTY FRQ�I TAGE COST ZONING QIS�T CT __.__ILLUMINATION — ---
MATERIAL ` 4 COLOR W� DR3
COPY r _ Other -------
EXISTING SIGNS: Freestanding =- Well _ Prole y --
'T�� .. J� ` — —COMMENTS: 4V
All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
within ninety days aftsr-the issuance of the permit, the permit shall
PLANNING DEPARTMENT become null and void.
Permit Fera j na
\pproved Applicant's Signature
Rice'i tt No. Telephone
wa
Renel Date__ Address
CITY OF TIGARD
API'LICATION FOR SIGN PERMIT __ l
S DATE 3-
MNI;i;11 M I T N0 17T -_
OWNER AvL_ti_�!�LLies!t -------
VAI
CAAJ,r m
_DK C R E�QFI I
TD
3
MANUFACTURER
ALAI LiIFS� 94. 17— V
-D
INSPECTION3_REQ�_IRF_—
SITE
ERECTOR c- UT�ING7'
NAL
HER
NAHER BY MAKES AIPLICATT-O..;N TO
F,C I A L_I N F 0 R1,1 AT 10N__._
Ali
A
LOT FLAN
TYPE OF-SIGN SIGN–j,'(5-c TA T 10 N
IR07 lliG
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Th
WA--==.– == __
Al ( FT.
HEIGHT-'20P F
t�
HEIGHT-'_
—TT 0
AREA
pw 0 Ab
s u T70
' .N-ED AND SECURED BY
SIGN TO BE FASTr
Aye IT
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TA
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— DiSIGN
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"Hl4!_MT'y F 1�
970
-TOL�V LCF - ff
T HE 0::'
SjGj\i;1,2. U?,E OF i' ,hi1ITTEL
AviR
. OVED CHIEF -DING OFFICIAL
IMAIUMIR
North 'pigardvij1e Addn
Tax Lot 2 ST 2 BD 200 23-10 Assessment 1536.17
Paid in full 6-16-61
4
Address n �V, Lkeri* Permit No._�____--�-- -
i
Name of Occupant, _ Permit charge
Connection fee_
Paid by
Date connected --
Type of Building J� Inspection fee -----
i
Servire Rate— - Paid by
Contractor_ __ — __ ---- AssessmentSize of of connection
i 0
CITY OF TIGARD MECHANICAL PERMIT Receipt#
Permit _
Description
Table 3A Mechanical Code CITY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd. ---
P.O. Box 23397
Tigard, OR 97223 2! Supplemental Permit -_� 3.00 —
639-4175 1) Furnace to 100,000 BTU 6.00
incl.ducts&vents
2) Furnace 100,000 BTU 4 ',50
_ incl.ducts&vents _
Naml of Development 3) Floor Furnace _ T 6.00
incl.vent
Suspended heater,wall heater t,.00
Job Address 7`fG�r� S �,i iL9�/{fid �' 4) or floor mounted heater - -_
Address 7-t--�
laxLot Map No. 5) Vent not incl.in 3.00
Lot Block Subdivision -appllanCepermlt -J
Repair of heating, efr ig., 6 00
(Jame(or name of business) 6)
,! �,�,� � �, , �✓��� � 3�_yi9 cooliny,absorplior unit
Mailing Address phone 7) Boiler or comp to 3 HP 6.00
Owner j9c,5- J N/ r absorp.unit to 100,000 BTU _- _
,N-�Nz�t 6 3 7—f'i,o�
Boiler or comp to 3 HP-15 HP
City/State Zip 8) 11.00
Tse a � absorp unit to 500,000 I3TU _
------
NenN ) Boiler or comp 15-30 HP 15.00
� S SNC Wil( 9 absorp.unit'/z=1 million
Mailing Address Phone10) Boiler or comp to 30-50 HP 22.50
absorp^unit 1 -1.75 million
Contractor City/State Zip 11) Boiler or comp to 50 HP 31.50
a absorp unit 1,750,000 BTUhan
a / --
State Registration No. City Bus.Tax No 12) Air 000 Cq ur to
10,000 C �4 4.50
Ai!handling L.nit 7.50
I hereby acknowledge that I have read this application that the information gives 13)is 10,000 CF;M 4
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 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 asingle uct
_---__-- - - - Ventilation system not
16) 4.50
included in appliance permit
� ` ur / 17) Hood served by 4.50�j� 1/ mechanical exhaust
Signature(owner or pent) Date 18) Domestic type 7.50
Descrpbe work Eladdition ❑ alteration [Irepair ( I - incinerator____--___-
to be done residential O non-residential ❑ _- 19) Commercial or industrial 30.00
— type incinerator
Exlstirg use of "--
building or properly 20) Other i.e.,woodstove,water 4.00
heater,solar,clothes dryers,etc.
Proposed use of ---------.-.-----___...-
building or property 21) Gas piping one to four outlets 2.00
Type of fuel- oil I I natL,ral gas I 1 LPG I I electric ❑ -
22) Mote than 4-per outlet
N TI E SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - -"- �-
/06 SURCHARGE
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%Oe
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
Special Conditions_-
------ ----.--------_ _�___.�_----.-__. Date issued --- —by --