13680 SW PACIFIC HIGHWAY 13680 SW PACIFII HIGHWAY
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INSPECTION NOTICE
City of Tigard Buildirg Department
P.O. box 23397
Tigard, Oregon 97223
r Phone: 639-4175
Type of -.pection —
Cate Requested_ ✓��' – Tit a--. A.M.—P.M.
Address -
Owner Lot * --
9uilder --7-7. . .,, -----
Th following Building Code def icienciao Are required to rrected:
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Presented to --. .___ f❑ Approved
Inspector ___ ___ _ -- C� Disapproved
Date
CALL FOR REINSPECTION
0 YE; CD NO
MF!(:',I--lAN:i*.L'1AL.. PEAMIT
CITYOFTIFARDI-)EPMI*Y' NO. : ME891290
CITYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SM Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 DATE 1SP-SLIED: 6/ 8/69
PIMT.No. 0119*1.P 9 01
,JL)13 ODDRE55 : 1*3600 !:iW PAE`,TFT(.' HWY
'TAX MAP/L.OT SUR : RK :
L.-ANI) USE:
I---OT SIZE::
I T r..,M NO: N0
WORK CLA55s : 14EVATP FURNACE: <100K A—1P HANDI-P <3.0
UGE TYPE: COMMI.:P('-.LAL FURNACE 100K+ Af 1:4 HANDI 1:4 10K
('..(7NC5*r .i*yPF: : Vf4 FLOOP F:*LIRNACF'-' L-*.:VAF).CE)CA-EP
(:)E'C1J17. G174P A3 11-11"EATER VE:Nl* FAN
VEENT VENT SYS'TEM
811-1-1/(NIMP <31-il:' 1-100111
NO. S1*OI41E'-'5 : I. lIi'.?1l-P/EOMI, 3--1.M-1P 1NE'J:NF.'.PA1*OP(DOM
DWEI L .UN I T 1i 131.-P/(11OMP 1.5-301-IF, 11NICINEPATOR(E`OM
FUIE1 F)I P/('OMP 30---BOHI-"-' PEEPAS.P LJN:E*T%
MAX . INPUT 1:911...11/11MIMP 5()+I-IP Uy HE:11 .1.
I::-:r.PF: DMPAs7 E,*A4i F)*':;JIN(., OUTI-El'Si
1-41GH PPLSS7
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11EMAPK!i :
C.4301J.1-Ig Lirlit
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W 11"mcirl-ic, Imige-1 1A.g In,r d 1:)E'PMI:'t $1.0 , 00
N
E 1.3680 111W Pacific: Hwy PLAN Rr:'V:I'VW
R qj IJIL r d cir, 97223 F:,:I:X,I,I.JPE:s $6. 00
'TAX $ .a()
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T Wondbitirn 131" 9,7071.
0 PHONE: (503) 901--el."51-1.
NO . 1.911 T01 AL : p 1.6 rata
This permit is issued subject to the regulations contained in Title 14 NWCEJPINEI.
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and oruinances, and It is hereby NUAL11AF-D 1:NSPE.El-1-100,
agreed that the work will be done in accordance with the plans and I1OUE�-P1+--I N
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive F-1.NAI
covenants Contractor and stibcontrarlors shall have current city
business tax permits This permit will expire and become null and
void If work is not started within 180 days.or If work issuspended ot
abandoned for a period of 180 days any time Fitter work hes,
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Permiltee Signature
Issued By:
SEPARATE PERMIT'i REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
City of Tigard I�ri�t
13125 S.W. Fall Blvd MECHANICAL PERMIT
Permit N
P.O. Box 23397 - —
Tigard, OR 97223
TaLle JA Ment,untcal Corte QTY PRICE AMT
1339-4175 ---- --- --
1) Permit Fee -0- -U- 10.00
2) Supplemer pial Permit 3.00
Furnace to 1(11,000 BTU -
Job __ i Ilk .3 6 b'a 1) incl.ducts 9.vents
6.00
Addre^s �-1 t " _--'
Tax Lot MatnNo. 2) Furnace 100,000 BTU + 7.50
inn.ducts&vents
_ td Bbdc ----. --- -- -
Nmtte(or rwm of buskws) - 3) Flaor Furnace 6.00
incl.vent
MMrtp AtkfrNrt n'fnorne 4)
Suspended heater,wall heater �
or floor _�--- `-
Owner mpuntou heater
CAYState ZIP
5) Vent ind. 3.00 -
_
appliance permit
Repair of heating,(nfr iq.,
6) cooling,absorption unit 6.00 0 L
1Tir'r__9 Kddfess Phone Boiler or comp to 3 HP
absorp.unit to 100,000 BTU
_ 6.00 _
Occupant ('.dy/State �p 8) Boiler or comp to 3 HP-1 F HP� _ 11.00
_ absorp.unit to�M,(M BTU
Boiler or comp 15-30 HP -
U�10 �_ Cl g►-4 S 1( 9) absotp.unit 112-1 million _ 15.00 --
Mal"Aftm - X10^' 10 Boiler or comp to 30-50 HP
),q U ' 22.50
U N - ) absorp.unit 1-1.75 million
« - Boiler or comp to 50 HP
p1YlS1aM �P 11) absorp.unit 1,750,000 B TU
31.50
�,UUoc,�v c ►,J �K '1 70 71 rp Sue RegWxation No. City rias Tax No- 12) Air handling unit to10,000 CFM 4.50
I hereby adaw wledge that I have rand thisAir handling unit
.oplic.+bn that the intonnetiom giv in is 13) 10,000 CFM + 7.50
mrrea Rut 1 am the owner or authaixed agent or the owtw ..that Plans submitted ash in __1
- ----- -
Mrty"nce with State'aws.Rut 1 un registered wkh tloa State guiders'euerd,that the14) Non portable 4.50
rward.re g van is cy~.(R exempt Inxn Stele registration please give rea-w below)- evaporate 000lef
Vent fan connected
--- 15 to a single duct 3.00
-- --
1°) Ventilation system not
included in appliance permit 4'50
w�� r Hood served by
17) mechanical exhaust 4'50
s4rak ne({nater or 49608) OaW ) Domestic type 7.50
Describe vw.xtc L-1 addition alteration ❑ repair (:118 incinerator
to be done _ residential ❑ non-residential 0 ) Commercial or industrial 30.00Existing use of v _----_�_ 19 type incinerator — —
building or properly N L r 1•� \e O'her i.e.,woodslevc,water
20) heater,solar,clothes dryer,,etc. 4'50
Proposed use of — -
building or ptoperty -
+I 21) Gas piping one to lour outlets 2.00
T;rpe of fuel - oil (3 natural gas E) LPG ❑ electric [f 'I
22) More than 4-por outlet
NOTICE SUB-TOTAL (L
THIS PERMIT BECOMES NULL AND VOID iF WORK OR CON- -- -
ST.tt:C rION AUTHORIZED IS NOT COMMENCED WITHIN 160 —_ 5% SURCHARGE _�v
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 160 DAYS AT ANY TIME AFTER - -
WORK IS COMMENCED. TOTA! b MC
Special Conditions
Permit N. SP 29-88
t,IIY OF 11GARD
,.I(',N PI-RMIT APPI.JCATI'ON
the applicant her-aby applies for a permit fur Lhe work indicated Ur, A% shown
in the accompanying plans and specifications.
IUN LOCA I ION ADDRESS —13680 SW Pacific Hiqhwav IONTIIIG OG
NAME OF COMPANY: i�rd Masonic Lodge
APPLICANVAGENT: Lyle Moritz
The City of Tigard imposes an annual Business Tax which must be kPpI cIt.jr-r-ent
on all per-sons doing business in the City. Do you pir-osenLly have a - ur-r-ont
Businegs Tax? N/A
PROP01,31-1) 511;N
PLIMANL N I X rki-t STANDING X
IEMPORARY WALL
BILLBOARU.,
0,IG,N DIMENSIONS: 36" X_42" X 2 sJdes
TOTAL SIGN ARLA (Sq. ft. ) : 24.5 sq.ft,
WALL AREA (Sq. ft. ) :
HEIGHT (ft) : 101
PROJECUON: N/A
ILLUMINATION: YES ( ) NO
COP' : Readerboard
MATERIALS: _'Metal board
LXISIiNG sIGN,.3,: This sign_jS_tg_bg attagp—
bged t--std
---t-Q-Q-Xiattm.
monument sign.
0114ER PERMITS- RF.QUIRFD: YES NO X)
CoMMENTS:
PLANNING DEPARIMENI All sign permiLs must 0v ac.-impaniod by .4
Pqrmi-L—V!k!�._ ii.alo dr-,.xw i I itj grid plot plart. I I wl-r I,
Rvc v i..pj,_R9— • 29860 tuthori.,ed und v r- d !I i gn Fn,r�m i L t 1,,4-, m-1 bt-,1
qy
Op-v_ yg_By - J. Offer I,omp I(11.od within r,L rw L v days 'At I 't III$-
212618.8 i s suont v .)V Ow po r III i po t III I I
bw.omu null ,arid void.
I 014141Y THAI I PM IIH RLI'ORDII) OWNIN III lilt
IJROIJI,RTY OR AN AI;tNI AUMORI/t.0 BY lilt OUNIN
App1 is SIF 's S iyn�+Itur P xC '. _.
C/,
Permit No 5P A 9-88
(;11 If Of I IGARO
SIGN PFRM1f APPLICATION
the applicant hereby applies for a permit for tho work indir,ated or as shown
in the accompanying plans and specifications.
SIGN LOCATION ADDRESS: 13680 S-W•Pacific Highway ZONING: C�
NAME OF COMPANY: Tigard Masonic Lodge.
APPLICANT/AGENT: Lyle Moritz
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?
PROPOSED SIGN:
PLRMANENT ( X ) FREESTANDING (1{ )
TEMPORARY ( ) WAIL ( )
BILLBOARD ( )
SIGN DIMENSIONS; 3(V
--TOTAL. SIGN AREA (Sq. ft. ) : r �
WALL AREA (Sq. ft. ) :
HEIGHT (ft) : /C,4 �—
PROJECT ION: /J/A
ILLUMINATION: YES ( ) NO (X )
COPY: Ppf_ /1 P0Afl V _
MATERIALS: �1f 7A� �fahtn
EXISTING SIGNS: IFit" ScaN 7th_ f_.�Il'r'l7gf NE U 7z7 71A.JCj 1A s-r-P
��k' SIDE f110.1VOWEP-) tCsN.
OTHER PERMLTS REQUIRED: YES ( ) NO
COMMENTS:
PLANNING DEPARTMENI nil sign permits must be accompanied by a
Permit Fee: 4. 10 _ Scale drawing and plot plan. If work —
Receipt No. : _ 6CQC' authorized under a sign permit has riot been
Approved Fly: r J completed ��:thin ninety days after the
assuance of the permit, the pormit shAll
become null and void.
I CERTIFY THAI I AM THE RECORDLO OWNFR 01 1111
PROPERTY OR AN AGENT AUTHORLI-FD BY I TIE OWW R .
Applicant' s Signature !—
Address --� T e l ephunc
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SIGN PERMIT APPLICATION rOF TIGARO Date r. yy , 19 No.
'The applicant hereby applies for a permit for the work indicated or as shown in the accomnanying plans and
specifications.
SIGN LOCATION ADDRESS: 1.3680 SW Pacific Highway (29JAed. xign)
APPLICANT: Owner____ Lessee _ Authorized Representative _ xx
NAME/COMPANY Tel.
PROPOSED SIGN: Freestanding xx Wall Projecting —Other
SIGN DIMENSIONS 2'xP' _ AREA 1.6 3`1- — HEIGHT .44'' WALL AREA
PROPERTY FRONTAGE COST n(WhTE" CONING DISTRICT ILLUMIN4TION
MATERIAL r>rrxx� La RICK. PASR ON CONCH' `;7_';t,nz3 COLOR M OVM/S3RICK ^—_ -
COPY 1SINTC ;r'rmw rcr.ca�tu> :'�r7 _. DRB
EXISTING SIGNS: Freestanding Wa!I Projecting �_____—_._ Other
COMMENTS:
Al! sign permits must hp 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 DEPARTMENT became null and void.
Permit Fe_e $10.00
/approved _ Applicant's Signature
_Recei t 0.
Renewal Date _ �__ Adri:ess Telephone
7/-Seo-f
Address /3&�C) c��� `�ac�.11 , � li � permit No. -- 153(0
Permit charge
Owner �c►�Gy�,�` �r�o Connection fee I�rfifl
Paid by _►111 LOOM
Type of building � r�u�M Oats connected
Service rate - Inspection fee 6
Contractor Paid by Sc,—YvS. . date R
Size of connection �'� ` Assessment paid
Zjk u,,
h1 art�, , 3 _ �� ✓/
PERMIT TO CONNECT e� j�
Tigard. Sanitary District
PERMIT Ncl 1.536 DATE %G^ •71
P/?R1191'L' IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT M11ST BE POSTED ON THE DEgCRIBED PREMISII�TINTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $ ............................TIGARD SANITARYDISTRICT
BY
00
CONNECTION INSPECTED AND APPROVED
Date SupecIntendent
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