12080 SW MAIN STREET 1•
i
iy
ail V
1 ADDRESS:
'CZit
OApi
r,
r
iArecords\,microfWtargets\building.doc
"dam. � trF 9'r• � ft V Y � r. �'t �r�6 �.
�rVa
�..� ,
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 639-417
Inspection: _a ,.- _ a/c,-C 1" m-e r7
1
Footing Susp. Ceiling Sprink. Rough-in Appr! Ik
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL_ , ■
Post/Beam Mech. San, Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. '
Alarm Water Line Insulation Moch ■
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: (p `�(� — j _Time: AM PM
Address: ! 2-0 9�L' V"e.-,-,'r) 6 ,
Builder- 1+1 SC94-11 O—A'hp Permit #: P6CCI,5-012c)
THE FOLLOWING CORRECTIONS ARE RREEQL—IIRD�:
rY.2 C
I
F
Inspectcr: ', —_ Date:
l//Ar PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
—_Call For Reinsp.
1
I
ME
RD
Chi�1NTCr�L.CITY OF TIGAF'EPMlT
` COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : M C9 ►2�1 O
13126 SW Hall Blvd.Tigard,Oregon ISSUED: Q:C/OO/7cpon 97223.8199 (603)839-4171
.. PARCEL:
i• U 5. . . LX4)80 SW MAIN 7i
d(
SUBDIVISION. . . . : PAYLESS SHOPPING CENTER ZONING: CBD
k
DLOC:K. . . . . . . . . . . LOT. . . . . . . . . . . . z:
CLASS OF' WORK. . -ALT rLOOR 1=URN. . . EV(-P COOLERS. ■
".• , TYPE Or USE. . . . :COI�I UNIT HEATERS. . : VENT ( Aida. . . :
OCCUPANCY GRi'*!. . «P2 VENTS W/O APDL: VENT SYSTEMS: 4;
F:,TORIES. . . . . . . . a 1 BOILERS/COMPRESSOR HOODS. . . . . . . e
.._..__ .._,__.._.._,._...._ LIP. . . . ^
`HOMES. INCL",1«
_ ? �
r-Ur•'L rYr•Fw,� � � � ,
/ AS/ / / 3--13 HP. . . . :� COMML. INCIN•
MAX INPUT: LTU 15--w0 HP. . . ,. REPAIR UNITS a
f"IRE DAMtaGRu?. , a ?;0- I� P. . . . : WOODSTOVES. .
GAS F'(iCasatJF2E. . . . 50H !IP. . . . . CLO DRYERS. . �
NO. OF UNITS—•--.--- AIR HANDLING UNI T::a OTHER UNIT;_,. t
is
LlIN G i.Vst111: BTU': 1001/10 c'( m«C GE'ar OUTLETS. ; I
F"URN ) =100K PTU: 10000 Gf m «
payless-- rE?F'l.ci(:la c: u i 1. (.m vo(lf and add gas piping
r'
1vjnet,: ___...__,_.._.._._._ . ...__._..___._._._...__ ._.___.._. ,..._ _._..,_. , .___ ____...._...._ F=EES
PAYLL0'' 1?L;UG STOPEG NW. INC. type amount by date t tei pt
SW PEYTON LANE r,RMT 4::. 00 SW 05/O.°''.'i/95
RI_Cp, ti 10. 75 SW 4115/QIP/1
WILSON'VIL.L.E OP. 97070 SPCT 15 C'•W 05/05/",-5
Phone 0.
4 mC C-AL..I... HEATING & COOLING CO
1650 NE LOMBARD
I
VC)RTLAND OR 97211 _..,.._._.-._. . _.... ._.._._...,_._._._....._....._.......__._.__._.�_... ..-....._.
'h0Tie #ts C;.:,1 .;'311 4 00. 90 TOTAL
REULi I PE-D INSPECTIONS
_....._.� .
permit is issued subject to the regulatim contained in the Gas Line In,p
:gard Mdnicipal Code, State of Ore. Specialty Codes and all other McCtIarlivall Ins p
applicable laws. All work hill be done in accordance with Final I n r�4)ect i on
approved plans. This permit will expire if work is not started _...•._._.._...._._________. __ _____._._.__._ ,___ _.,__�_ i
,n 26 days of issuance, or if work is suspended for more
man 160 days.
__...
A1 . f 0 V nsPcCtian 639-•4175
i
j i
r
i
... •`M' .r_. rr it F�
rr
M
CITY OF TIGARD MECHANICAL PERMIT Receipt
Permit#
Description
Table 7A Mechanical Code OTX PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd.
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard,OR 97223 —
639-4175 1 Furnace to 100,000 BTU 6.00
incl.ducts&vents
■
2) Furnace 100,000 BTU + 7.50
incl.ducts&vents I
Nerve of evelo ant ` 3) Floor Furnace 6.00
���a�,,� incl.vent
Job Address �— 4) Suspended heater,wall heater 6.00
/� t or floor mounted heater
Address i r.i7 80 1 r' l A —
Tax Lot Map No. 5) Vent not incl.in 3.00
Lot Block Subdivision appliance permit 11
Name(or name of business) 5) Repair of heating,refr ig., 6.00
cooling,absorption unit
MailingAddress Phone 7) Boiler or camp to 3 HP 6.00
Owner �- c Pr.YT�F.► absorp.unit to 100,000 BTU
City/State Zip ® Boiler or comp to 3 HP-15 HP 11.00 ' r,
6011L5aNVI,(< 09• 7,0 ) absorp.unit to 500,000 BTU L
Name i 9) Boiler or comp 15-30 HP 15.00
absorp.unit 112-1 million
jv1rCAri HEA71WA —
Mailing Address Ptwne 10) Boiler or comp to 30-50 HP 22..5r,
I �!^q6A r absorp,unit 1 -1.75 million
Contractor City/State eZip - 11) Boiler or corTrp to 50 HP 31 �0
absorp.unit 1,750,000 BTU
Stale Registration No. City Bus.Tex No. 12) Air handling unit to 4.50 [� �n
10,000 CFM
2 o3 0 13) Air handling unit 7.50
1 hereby acknowledge that I have read this application that the �nlormalion given is 10,000 CFM 1
F eortect,that I am the owner or eulhorizad agent of the owner,that plans submitted ate... -- -- — i
compliance with Stale laws,that I am registered with the Stale Buildors'Board,that the 14) Non portable 4.50
number given Is awl".,pt exempt from Stale registration please give reason below), oyFparalo cooler ---
"rPL Ar r �� �l�J o �� T'�l _ — lik 15) Vent fan connected 3.00
to a single duct
L l NI •_3 �� I���F • ffNr� G )n'B Ventilation system riot
1 fi) 4.50
included in appliance permitAIq
17 Hood served by 4.50
) mechanical exhaust _
Signature lowlier iti _ K! 'Date 18) Domestic type 7.50
Describe work ❑ addition N alteration'N repair ( ] incinerator
to be done residential U non-residential l� _ 19) Commercial or industrial 30.00
Existing use of type incinerator _—
building or properly __ ___ _ —. 20) Other i.e.,woodstove,water 4.50
heater,solar,clothes dryers,etc.
Proposed use of _ __
building or property _ _ ---..-- — 21) Gas piping one to four outlets ; 2.00 i� ),i
Type of fuel– oil L1 natural gas LPG f.J electric ❑ _ —
22) More Char.4-per outlet
NQTICE SUB-TOTAL 93–
THIS PERMIT BErOMES NULL AND VOID IF WORK OH CON- --� —'
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 j&,IO 406SURCHARGE
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 COMMENCEt7 TOTAL ry pp
Special Conditions
Ltate issued
***DUE JUNE 1*** BY PAYLESS - DATE RECEIVED
STORE NAME: TIGARD —
STORE #: 1790
-
ADDRESS: 12080 S.W. Ilain CONTRACTOR• McCaI l Heating & Cool ing
Tigard, r. 97223 DATE: August 15.-1994
1
Note: HCE P.O. payments will not be processed until this revised map is received by the Maintenance Department.
UPDATED EQUIPMENT 15-1
(Numbersshall be same as number on units)
MAKE START- MODELTYPE r TONNAGE SERIAL NUMBER FILTER S.Z
UP —_
t20x2O5x2
- - Y ' P r HO 4 62D 2 2_ T 6-04-93 YCD18054HOBA G.P. 15 H15143313D T 7-05-94 YCD18OB4HODA G.F. 15 JIB143536D ■
r4 T 6-25-92 TCC030F100AE E.E. 2.5 617156508 i (1 ) 20x25xl
6 T E SACA1504A E.E. 15 76L14208
5 T E SACA1.504A E. E. `J,�_ 76LI4217 "
i T E SACA1504A E.E. 15 76L1a206 E
T 7-05-94 YCD18OB4HODA G.P. 15 JIBI43534D _ 4 20x25x2
r - —`—
q9 T E SACA-304C E.E. 3 6D-23206 _ E
T E ')ACA-404C E.E. 4 5D-23101 E
,
y
MAKE T-TRANE C=CARRIER L-LENNOX D=DAY &NIGHT Y='r'ORK M=MCQUAY OTHER
N=NEW E=DUSTING
IYP& GP - GAS PACK EE - ELECTR]C/ELECFPiC HP - HEAT PUMP SS - SPLrr SYSTEM OTHER
MAP OF STOR>✓
Indicate location of units on roof and the unit #. If the units are not numbered they should be numbered the
next maintenance, with 6"
high letters.
(Number units IcP. to richt, front to back)
utt
1-1# 10
y
r n # 5 � # 6 � # 7
filllll
ll
L1 # 2
# 3
FRONT OF STORE
UNIT #1 Completed Date _
RINK
�':r
ti
r
R
1
ki
CITY OF TI6Ar, i> — RECEIPT OF' PAYMENT R CF,i*,AMNONT t95111A93
r'IFah1E t 80
MCCAI.1_ HEATXNG/CO01-1t 9 CAEW AMOUNT s 0. 00
t1IiUFtE a1~+ 9
16150 NE L OMBARD PAYMENT DATE s 05/05/95
PORTLAND, OR 5USD I V I51 ON t I
� 9I�11-4"79r�
V URPOSE: OF PAYMENT AMOUNT VIA I D t:yURPllSF- CF' PAYMENT AMOUNT PAID
10. 75
'I mr-.rHAN I CAL PE: MFC905-01 r 1 433. 00 PLANCHECK FE
I ;
BUILD PFR 2. t5 ME CHAN I CAL PE: MEC9 a-••1131 F.0 43.00 !
CHECK F'1:"
10, IS ST. BUILD PER 2. 1r
I
I
11.0240 SW SCHOL.LS FERRY RU — PAYL.ESS DRUG
I1"80 5W MAIN STREET -- PAYLESS DRUG
k
I TOTAL AMOUNT PAID __ _ i 111, 60 �
.,T
r
INSPECTION NOTICE
City of Tigard Building Depurts:evt
13125 SM Ba11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bualneae Phone: 639-4171
Inspection:--------
Footing Plug. Undersl.ab( Mech. Rough-in` % Appc/Sdwlk
Plbg. Top Out / Gas Lind FINAL:
` Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Ren Drain Insulation -Plumb.
Rein
I
Plbg. Underfloor Water Line (/ Gyp. Bd. -Mee 1
Date Requested: ,i) ��� Time: AM PM
Addrean: ` ,) J( 1_�. 1.—_ V' Permit 1:__L_J _].L_l_LL _
Builddr: i �S I eco_ Ili CQ
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector: - Date:
!/ APPROVED DISAPPROVED APPROVED SURJECT TO ABOVF r
–Call For Reinap.
wo
_ .
i
V
MECHAN I CAL
CITY OF TIGARD ,_ PERMIT
PERMIT #. , . . » . . : MEC94-0].h6 �
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/08/9 '+
13125 SW Hall Blvd.Tigard,Oregon 97223.8100 (503)639.4171
PARCEL: 2'r31 QQAA-0090E
SITE ADDRESS. . . : 10:0812'1 SW MAIN ST
1-Y!BD I V"S I LIN, . . . : PAYLE:SS SHOPPING CEN TER ZONING: CBD �
BLOCK. . . . . . . . . . . LU . . . . . . . . . . . . :2
f.l_ASS OF WORK. ALT F=LCOR F'URN. . . . : E:VAP COOLERS:
-rYPE OF USE. . . . ;COM UNIT HEATERS. . : VENT FANS. . . : e
OCCUPANCY GRP. . :B2 VENTS W/O APV-'L: VENT SY5TEM5:
SIORiES. . . . . . . . . 1 HUiLERS/(1001=REwSSORS HOODS, . . . . . . :
F:UEL TYPES--------------- 0 HF'. . . : DOMES. I NC I N:
: /GAS/ / / 3_.1b HP. . . . :2 COMML. INCIN:
MAX INPUT: BTU ib-30 H4,„ . . » : FZF PPI R UNITS:
i FIRE DAMPERS?. . . 30-50 HP. . . . . WOOI)STOVES. . :
GAS PRE=SSURE. . . : 50+ HID. . . . : CLO DRY[::RS. . : a
NO. OF UNITS_----__------ AIR HANDLING UNITS OTHER UNITS. -
't
r F URN < 1001, STU: <,.-_ 1000111 c.fm : GAS OUTI_C-:"f S. a
FURN ) =100K b4U. > 10000 cf-m :
'Zemar^I�s : Payless— i»epirace 1_lnits on r^ool- and add rias piping
Owner: -__.___._____.__._.______.____..______._,_____...__....._.___.___._._.___._____._-_ FEES
PAYLE:SS DRUG STORES NW, INC. type- amot_rnt by date rec.lO
9275 SW PE:YTON LANE PRMT $ 32. 00 MAA 06/06/94
F'LCK $ P.. 00 MAI? 06/0B/94
4 WILSONVILLC OR 97070 5PCT $ 1. 60 MAB 06/0(3/04
Phone #:
Contt,actor:
MCCALL HEATING COMPANY
t6t)O N. L. LOMBARD
PORTLAND UR 97211
Phone #: ".)03--23t--3338 $ 41 . bN 1 U f PIL
Req #. . : 00.140
REQUIRED INSPECTIONS ---_._._.. ._._.
This permit is issued subject to the regulations contained in the Gas Line :1nsp
Tiliard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt I n s p
applicable laws. Ali work will be done in accordance with F-ina:1 Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
i'etmittee Si gnat1.rre :
ISsf_ted By :
Cal for• inspection 639-4175
-
�
City of Tigard MECHANICAL PERMIT Planck/Rec. # (o
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
.me• Description
IAY(_CS S Table 3A Mechanical Code QTY PRICE AMT
sea
Job (�T,0�30 's��/, �r� r� 1) Permit Fee -0- -0- 10.00
Address ee ■
f 6. 4i�f r> 71' 2 2 '� 2) Supplernertal Permit 300
•—�IX name o 57.... urnaa; to 100,000 BTU
[-y A-c: 's,s 1) incl. ducts &vents 610
0e• --Furnace 100,0M 77 ■
Owner 2) incl. ducts &vents 7.50
CAylStWe _ oor urnance
3) incl, vent 6.00
m �•m•• •� aspen a
heater, wall eater
4) or Floor mounted heater 600
-m.—, ... «! —7ent nri incl. in
Occupant 5) appliance permit 3.00
ter,-,•• 1 eparr
of heating, re ig. i
6) cooling, absorption unit 6.00
•^e / Z� o eer or comp, ea pump, air pond.
3-�3y 7) to 3 HP; absorp unit to 100K BTU 6.00
• o ••• •^• of er (ir comp,feat pump, air con .
Contractor l (� �� ✓�, `JNf k2> 8) 3-15 HP, absorp unit to 500K BTU 11.00
•• orer or comp, Feat pump,air con
R A)17 0c, PM 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00 f(
!• e�.•.�^ ^ rof er or camp, heat pump, air cond.
10) 30-50 HP, absorp unit 1-1.75 mil BTU _ 22.50
here'ny acknow a ge that I have read this app rcntton, t a e Boiler or conip, eat pump,air con
information given is correct, that I am the owner or authorized 11) > 50 'AP; absorp unit 1.75 mil BTU 37.50
i
agent of the owner, that plans submitted are in compliance withrr an rng unr�t o —
State laws, that I am registered with the Con3truc'ion Contractor's 12) 10,000 CFM d.50
r Board, that the number given is correct. (If exempt from Mate Air handling and
registration, please give reason below) 13) 10,000 CTM + 7.50
cn rortae
14) evaporate cooler 4.50
—� Vent fan connected
15) to a single duct 3.00
Ventilation system riot
16) included in appliance pen :rt 450
IX•r^ ,c---- Ho7 serve y
11) mechanical exhaust 4.50
escn work new addition alteration repa—F-W Commercialor industrial
to be done residential Q non-residential Q 18) type incinerator 30.00
xis ing use o ter i.e., wo s ove, wa er
building or property -� — 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property _- -
21) More Than 4-per outlet
Type of fuel -oil 0 natural gas Q( LPG Q electric Q
,. F,7i;r
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED.
� TOTAL
Spedal Condldona --- --------___--- — `-
Date issued _--- —by____.....
MMIECH'MT
—A—d-
a
sip r
I
'DUE .JUNE 1*** BY PAYLESS - PATE RECEIVED
STORE NAME: T•i ga rd STORE #:X790 _
ADDRESS: 12080 S.W. Main CONTRACTOR: McCa 1 1 Heating Com a y"
Tigard, Or. 91223 DATE: September 22, 1993
Now [ICE P.O. paymenu wW not be processed undl this revise) map to received by the Moinleuance Department, Paying Drug 510ra.
REPLACED EQUIPMENT LIST
(Numbee sW1 1v amr u oumbm oa uniu)—
MAKE SFART•UP MODELTYPE TONNAGE SERIAL NUMBER FILTER SIZE
1 T 6-4-93 YCD18OB4110BA G.P. 15� lIC8143462D �� x
2 T 6-4-93 Y0180134HOBA G.P. 15 1115,'3313D IRX?
11�.c
3 T E SACA1504A E.E. 15 76LI4213 E
4 T 6-25-92 TC0030FIOOAB E.E. 2.5 617156508 (1)�20x25x1
5 T E SACA1504A E.E. 15 761-14208 E
sF T E SACA1504A E.E. 15 761-14217 E
7 T E _ SACA1504A E.E. 15 761-14206 E
Ili
8 T E SACA1504A E.E. 15 761-1.4186 E
"9 i E SACA-304C E.E. 3 6D-23206 E
Or T E SACA-404C E.E 4 6D-23101 E
MAKE: T-TRINE C-CARRIER L-LENNOX D-DAY R NIGI[T Y-YORK M-MCQUAY OTHER N-NEW E-EXITMO
TYPE: GP■OAS PACK EE- ELECTRICIFI EC MC HP-HEAT P1 rMP SS-SPLrr SMEM 0711EP
MAP OF S:O R.E
Indicate location of units on roof and the unit #. If the units gre not numbered they should be ntunbered the next
maintenance, with 6" high letters.
(Number ury s left to right, fmnt to back)
LJ
El 0.
0:95, []117
0 {]tea.
LL-
0� STORE FRONTUPJTr #i Completed Date
N _.
RMC
tom;`':@ •, ,... qq�i Mai-
1
t III'
i
1
9
I
i.1 E 'f IN 116AND ki.1 .i W1 til. 1 1rI'If 1,;I + i ; . I I111'
+ ! It .+ ; c 1140ON C tct
+ + 1',I I FTMC11.WIT
+ 1 ;•II IVT J)"Tf.. e tt>ianti.
11H1144ND c1R )+s1)1.v1'ii1C11J
H NV i-MlIt11.11 f.1(-1I11 1'111•'1.4C +. A11 1111Yhti III F)P11111P•.1I 1%(1A1.1
I•II + I t� , , + � I MF�a:•c1+�....`,,,1�+r� .-;,', vti1,�1 s,� , �u 1.11 L+ 1�1 1� � i
J1
l l
t d
l {
i 1 i 1,�r�k1 RW Ihf—i 1 t,l
1
� t +lid! 1111+�II1J! 1'�•Illi ._ ) + I .. t��+
i
i
1
i
i
i 1,;.