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10500 SW CASCADE BLVD
4 CITY 0 F TIGARD
DEVELOPMENT SERVICES
13125,SW Hall Blvd., Tigard,OR 97223 (503)6394171 Tr '7,79MIT
pTc.Tr-r, nor Pr3Y
r-RMIT .14-1 El. P97-171089
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14 • 1017117-7 et*,
• ., • - = cilbject to the regulations contained in the _ auk/4y.
State If Ore, Specialty Cedes and All other t•
work will be ,:ione i,, Accordance with,
ved flans, This oersit will etre if work iS .ot started
- i, tls iit118nef, 1r 4 40A i; VIOW10 ;1" tore
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT# rSti 7'-0-oc __
4 „1,„(i,u �1„ Phone(503)639-4171 3I '1�1('7
I FAX(503)684-7297 DATE ISSUED
- TDD No. (503)r 14-2772
CITY OF TIGARD Inspection (503) .39.4175 ISSUED BY 1 I
PLEASE COMPLETE ALL SECTIONS
v R-h� �o�c�l� '
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
10500 3\ C 0,5Cct, Q _
Address OR q 7RESIDENTIAL--Restricted Energy Fee SEM,.l el (FOR ML SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUt.I)AtILE AND EXPIRI IF WORK 0 Audio and Stereo Systems
h NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. 0 Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
Cl'� I � �t 1_ Heating,Ventilation and Air Conditioning System*
Contractor c5X,I'�r I t4l'C. Type Dir ai—Y 0 Vacuum Systems'
Address If tv'3 W (y kvt. RfT UM'I(J1 -1 1i0I 0 Other_— ---
Date_Nith OD t I `q 7 _ _ COMMERCIAL--Fee for each system S40�
(SEE OAR 918-260.260)
L
Property Owner — _. Check Type of Work Involved;
Contractor's Board Reg. No. 53.5 35 0 Audio and Stereo Systems
Q
0 Boiler Controls
Phone# . 3D6-5 '3C3) _ 0 Clock Systems
3. OWNER APPLICATION 0 Data Telecommunication Install??tions
0 Fire Alarm Installation
0 HVAC
Print Owner's Name Phone No
0 Instrumentation
Address — 0 Intercom and Paging Systems
0 Lan Iscape Irrigation Control*
City State Zip Medical
1 his permit is Issued under OAR 918.320.370.This applicant agrees to male only 0 Nurse Calls
restricted energy installations 1100 volt amps or less)under this permit and to do the 0 Outdoor Landscape Lighting"
fallowing:
1. Only use electrical licensed persons to do installations where required.(Certain Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(1.All others need licensing). - -- '-- -
2. Call for an inspection when all of the install'tions under this permit are ready
for inspection at 503.639-4175. — —I
Number of Systems
3 Purchase separate permits for iiI Installations that arm not ready for inspection --
when the inspector is out to inspect under this permit. •No licenses are required. Licenses are requires for all other installations.
4. Assume responsibility for assuring that all corrections required by the Inspector
are don( and
5. Assume responsibility for calling for a Anal inspection when ..of the 5. FEES
corrections are completed.
The person signing for this permit must he the applicant or a person a. Enter Fees $ 0
authorized to bind the ap licant.
b. 5%Surcharge(.05 x total above) $
Signature
TOTAL $ 9
Mthority if other than applicant
ENERGAP.CHf
-
CITYOF TIRD CERTIFICATE
OCC UPANCYOF
• rCOMMUNITY DEVELOPMENT D CITYOFMAO PERMIT N s BUP90-0362
DEPARTMENT ostowr�
13125 SW Hsi:Blvd. P.O.B23367,Tigard, ,o..d,or, 97zz3«)839.4175 \_
Box DATE ISSUED, 01/22/91
SITE ADDRE . . . : 10500 SW CASCADE BLVD PARCEL. 191358A-03303
• SUBDIVISION. . . . , ZONING. I--P
BLOCK t LOT t
CLASS OF WORN.. t ADD
TYPE OF USE. . . .COM
OCCUPANCY GRP. 1B2
OCCUPANCY LOAD,230
TENANT NAME. . . 'AS9OLIATED FURNITURE
`emarkst Tenant Mods Add office partitions & toilet rm.
•
ASSOCIATED FURNITURE DIST.
10500 SW CASCADE BLVD
TIGARD OR 978823
Phone et
Contractors -- -
JOSEPH HUGHES CONSTRUCTION
10110 SW NIMBUS
SUITE 8-3
TIGARD OR 97223_.
Phone Os 303--620-8134
Reg $. . t 45643
Occupancy of the above referenced building is hereby given, and certifies
the compliance with the State Of Oregon Specialty Codes for the group,
occupancy, and use under which the referenced permit was issued.
•
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FIFE DEPARTMENT -'
LDING IN$pECTOR
BU INO ICTAL '
POST IN CONSPICUOUS PLACE
-
. .
____ GARD aTY*OF ;_
'"~
C 'fY'OF
NNUN NG PERMI7 NN �� PERMIT # . PLM90-M210
COMMUNITY DEVELOPMENT DEPARTMENT1:41079 .
1»1ooSWHid OW. poBox o3397.nmmm.Oregon mx223(503)mmw1/m DATE ISSUED: 11/27/90
_-_-- _---
_ IL /.l`DRLSS, . . : 10� ,0 SW ' oSCADE Ac, PARCEL: 1S135BA-03303 '
5, 8DIVIS2ON. . . . : ZONvNG: I—P
. . . . : LDT. . . . . . . •
'
BLOCK ^
CLASS OF WORK. . :ADD GARBAGE DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :COM WASHING MACH ^ BACKFLOW PREuNTRS. . :
OCCUPANCY 8RP. . :B2 FLOOR DRAINS. . . . . . . : 1 TRAPS. . . . . . . . . . . . . :
STORIES. . . . . . . . : WATER HEATERS " 1 CATCH BASINS. . ~
FIXTURES------------- LAUNDRY TRAYS ^ SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . : URINALS : GREASE TRAPS. . .
LAVATORIES. . . . . : 1 OTHER FIXTURES. . . . . :
TUB/SHOWERS ^ SEWER LINE (ft)
WATER CLDSETS. . : 1 WATER LINE ( ft) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft) . . . . :
�
�
Remarks: ADDING BATHROOM `
Own�r: ---------------------- '----------- ----------------
FEES -- -- ---- --- �
ASSOCIATED FURNITURE DIST. type amount by date recpt
10500 SW CASCADE BLVD PAYM $ 31. 50 JLH 11/27/90
PRMT $ 30. 00 / /
T7GqRD OR 97223 5PCT $ 1. !`id / /
Phone #:
Contractor: --------------~--------------
MlCHAEL AND CO.
15575 SW 74TH AVE
.
TIGARD OR 97224 ------------------------------- `
Phooc: #: $ 31. 50 TOTAL
peq S° . : 45808
------- REQUIRED INSPECTIONS ------- `
Iris twilit is issued sub)ect to the regulationscontained in the Top—out 1nsp
Tigard Munir r.i Ode, State of Ore, Specialty Codes ard all other Final Inspection _____________ _____
applicable laws. All work will be done in accnrdm:T with
approved plans This mermit will expire if work is rmeumrted
within 180 days of issuance, or if work is suspended for more _______ ___________ _______________ `
than 180days.
-----------'-- ---- -----------'---'- |
4
Permitter Signature: /yy
- --' -------._--___________. -'-'_ _-''-___-
_____---___________-
'
ssued Bv:
d
Call for inspection — 639-4175
| _
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, -it--4€L"
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I P.o.130x 23397
uyk,,,1,, 'I(1CITY OFTIGARD PLUMBING 13175 3"' Hall Blvd.
Tick CR 97223
Applicants must hold Oregon Registration to conduct plumbing PERMIT 639-4175 •
business or must be property owner/operator not hiring outside help.
Name of Development
`� C Plumbing Permit No. -
Address Description
/- -0 ,T(1.., (%).1'i'/d(- 4)' ' OHS 81441.810 DUAN. PRICE AM!
Job Tax lot Map.No. -----
Address
Address ii F,.illr;( FIXTURES _
-
lit Block Subdivision -_- - - - 7.50
Sink --- -_ •
-
me(oi name of business) Lavatory / - 7.50 -,•
/),Jdi'(1i tri '/,'44.7%,.•6-.017( - ---- Tub or Tub/Shower weer Comb. - -- 7.50
1Wrii'nq-7Cc�dreaa Shower Only 7.50
Water Closet 7.50 % "-'
Owner /SWe Zip -._ .__
. Dishwasher 7.50
Phone Garbage Disposal 7.50 ,
NameWashing Machine _ 7.50 _- -
4..--'or'.N 7-- `'',i! 4Wer O,J, 4e'. Floor Drain - -- / 7.50 m-
Mailing rens Phone Water Healer / 7.50
• _ •
- Laundry Room Tray 7.50 ____
Occupant City/Stale ------ Urinal _- - _-- 7.50
NamePhone - Other Fixtures(Specify) 7.50 -_
/'' , ,-,,ie.i .F7.°0 f�,,h J77,ia' i; - ,+ 'i 7.50
1TiOrrm f�Tone - 7.50
Contractor City/State Zlo - 7.50
,;&A-I1( r 4 - / MISCELLANEOUS ,
City Bus Tax No•
Sewer 1 M 100' 30.00
' /?7r.;1.0„ Al.5'o -- -.
-Slate Brdps.Board No. uto Plumbers f3ui.Uc.No -sewer ea.Addit.100'- - T 15.00
(Residential) _2(r ., !n Water Service 1st 100 20.00
I hereby acknowledge that I have read this application,that the Information Water Servioe ea.Addis 7' 15.00
given is coned,that I am registered with the'.mate Builder's Board,and also Storm&Rain Drain 114 100' 30.00
have a State Plumbing license that the numbers given are correcs,that all _--
plumbic'work win be done in accordance with applicable provisions of 0.e• Storm 8 Pin Drain Addil_ZOO' 15.00 --_-_-
gon Revised Statutes Chapters 417 and 693 and applicable codes and that Mobile Home Spsoe25.00
no help will be employed unless licensed under ORS 693. (It exempt from --------- ----------
State registration.please give reason below)_ Back Flow Prevention
HOMEOWNERS-1 hereby certify that 1 am the owner of the property de- Dsrioe or Anti-Pollution Devk a �_ - -----,
scribed above,at which location 1 propoes to make*plumbing IneUWalton for Any Trap or N sale Not
my own use and this properly M not being construded ler tale,base or rent Conneosd to a Filure -- 7.50 - -
Catch Bash 7.50
_ - ------- kap of Exist.PkxnbinM - _40.00 Per Hr -
- --- ---- Specialty Requested Inspections -40.00 Per Hr
-
-_-_ Alter,of Plumbing'attlmin
- - --- - - an Existing Bldg. - min. -_..
AV7 lZEA SIGNATURE ---� Date Bldg.or Build.AddlUcr+ 25.00 min.
f -.'= ti:' [Xain,simle fanily
scribe wort( new[] addition 1 alteration❑ repair❑ (9_,✓=1lh 15.Wb
� be done residential[1 non-residential .-___.____________ - --------
FJdsting use ofIIMNIMMe~"
Wilding tx property.-- ra'/a/A twr.slc - - - SUP-TOTAL -f 0,
use of 10 SURCHA IO!
bull t t pP7getty - , - -'- ----__ TOTAL
NOTICE ------- ---- -- --
T ttM panni benumbs null and void*cork or aonrrtnrnsotm auttmorutsd Is not corn. ________110=IMI..
r enoW with 1110 day.Ar If tronetrtrr+lon or wadi*suspended or abandoned ler
a period of 190 days M any Ilene Or work Is commenced
OPICIAL CONDITIONS --_._-__-
Date issued ._ -_ by -.- __ -
•
INSPECTION NOTICE
City of Tigard Building Department
13125 MW Ball Blvd. Tigard, Oregon 97223
Inepection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Bough-in Appr/Sdwlk
Pound. Plbg. Top Out Gau Line FINL.
Post/Beam Struct. San. Sewer Framing -Bldg.
•
Poet/Beam Mech. Rain Drain Insulation -Plu11-D
Plbg. Underfloor Water Line Gyp. Bd. -Mech..
Date Requ.ated: Jar.12 - ♦ Time: X 11M __ PM
JO.5O .
Address: f�� �. - -/.-) Permit
Builder:j?.2 St.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/e.E";,17
•
p
—7� — — -N Date: /1 S
_*-:rRUVED DISAPPROVED /
APPROVED SUN./ECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE S/Y /�
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ ----- - --—
Footing Plbg. Unde:alab tech. Rough-in Appr/Sdwlk
Found. Plbg. 'VT Out Gas Line FINAL
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Me,..,:. Rain Drain
Lnsulation -Plumb.
Plbg. ^nderfloor Water Line/ Gyp. Bd. -Meeh.
Date Requested:__/ 3/— /p CA _____ -Time: _/1 AM ________PM
11 i
//��
—/.
Address: 05416_ dc,.,4 `� Permit •:.2.4L-_,d4 M„,/ea —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
(��c)) '/ ,/.I �[ �L" '�! . 7Y ._ �`
'1 /7/
. 9' %ice^ e C-'-
i__ _ f_-__ r___:!_
,47_
inspector: :3 "Z. —�Date: /`%�--_
A-- APPROVED DISAPPROVED - APPROVED SUBJECT TO ABOVE,
Call For Reinep. „3,
•
PPT IN vq�
�J� n `) TUALATIN VALLEY FIRE & RESCUE
(T) AND
c ' J BEAVERTON FIRE DEPARTMENT
U
A> <0 4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2538
RF$RE.sc �_
December 13, 1990 •
Joseph Hughes Construction
10110 S.W. Nimbus, Suite B-3
Tigard, Oregon 97223
Re: Associated Furniture Distributors
10500 S.W. Cascade
Tigard, Oregon 97223
5989A-284-001
Gentlemen:
This is a Fire and Life Safety Plan Review and is based on the 1988
editions of the Fire and Life Safety Code (UBC) , Mechanical Fire
and Life Safety Code (UMC) , Uniform Fire Code (UFC) , and other
local ordinances and regulations.
Plans are conditionally approved subject to the following items:
1 . Firestopping: rn all wood framed walls and partitions,
firestopping consisting of 2-inch nominally-sized lumber
or other approved materials must be installed at all
floor and ceiling levels. Penetrations in this
prescribed firestopping to accommc late wiring, plumbing,
and other similar utility runs must be packed with
noncombustible materials in an approved manner so as to
prevent the passage of flame. UBC Sec. 2516
2 . Automatic Sprinkler Plans: Plans referred to and
examined dy this office contain no provisions for the
alteration or installation of automatic sprinkler system.
Not less than three sets of plans for the installation
shall be submitted to this office for approval prior to
installation. UBC 302(b)
Note: As only one head needs to be added in the rest
room area, plans need not be submitted, however, have
head installed by time of final inspection.
"Working"Smoke Detecto,s Save Lives
Joseph Hughes Construction
December 13, 1990
Page 2
3. Exit Door Hardware: All doors shown on the drawings must
be openable from the inside for immeuiate exit at all
times without the use of a key, special knowledge, or.
effort. UBC Sec. 3304
4. Address Required: The tenant space number must be
prominently displayed on the street front where it is
readily visible to drivers and officers of responding
fire apparatus and other emergency vehicles. UFC Sec.
10.208
5. Fire Extinguisher Requirements: Not lens than one (1)
approved fire extinguisher(s) with a rating of not less
than (*) shall be provided for each (**) square feet of
floor area or fraction thereof. The travel distance to
an extinguisher from any portion of the building shall
not exceed 75 feet. UFC Sec. 10. 303
(*) 2A10B:C - Light and Ordinary Hazard
4A10B:C - Extra Hazard
(**) 3,000 - Light Hazard
1 ,500 - Ordinary Hazard
1,000 - Extra Hazard
Note: Where flammable or combustible liquids are used,
"B" ratings of extinguishers may need to be higher and
travel distances shorter. See requirements in National
Fire Protection Association Standard 10-1 .
5. Approved Plans on Job Site: One set of approved plans
bearing the stamps of the building department issuing the
construction permit and this office must be maintained
on the project site throughout all phases of construction
and must be made available to building and fire
ir,^pectors for reference during required construction
inLpections. UBC Sec. 303
6. Required Occupancy Certificate: Prior to the use and
occupancy of the project (space) , a certificate of
occupancy or other written instrument of approval must
be obtained from the building department issuing the
construction permit. UBC Sec. 307
Joseph Hughes Construction
December 13, 1990
Page 3
If I can be of any furthez assistance to you, please feel free to
contact me at 526-2502.
Sincerely,
Gene Birchil
Deputy Fire Marshal
GB:kw
cc: Tigard Building Department
I .---......- MIWIIIII/ IMNIIIIIMIIINIMINNIMINIIIIMMINIMMIIIIIIIIMI7
I MY OF TIGARD ,
/' A
,„.
BIIPERMIT 4‘""--
1 artOFTWARD PERMIT # BUP90-0362
COFAMUNrTY DEVELOPMENT DEPARTMENT \ oncooN
13125 SW Hell Evd P.U.Box 23397,Tigard,Oregon 97223 (503),039-4175 , , \ ------
i
„.......... DATE ISSUED: 12/13/90
SITE ADDRESS. . . : 10500 SW CASCADE:. AV PARCEL: 1S135BA-0330
SUBt -WISION. . . . : ZONING: I-P
BLOCK. . 4 LOT . .
k:EISSUE: FLOOR AREAS------ ---- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. ADD FIRST. . . . :7800 sf N: S: E: W:
YI:'E OF USE COM SECOND. . . : sf PROTECT OPENING137------
TYPE OF CONST. :3N THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP. :B2 TOTAL------: 7806 sf ROOF' CONST:B FIRE RET?:Y
OCCUPANCY LOAD:230 BASEMENT. : sf AREA SEP. RATED:
STOR. : 1 HT. :20 ft GARAGE. . . : sf OCCU SEP. RATED:
BSMT?:N MEZZ?:N READ SETBACKS-------- REQUIRED-------------------
I'LOOR LOAD 125 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DFT. . :
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
,ALUE. $: 3800 .
Remarks: Tenant Mod: Add office partitions & toilet rm.
Owner:
ASSOCIATED FURNITURE DIST. type amount by date recpt
10500 SW CASCADE BLVD PRMT $ 44. 50 / /
PL.CK $ 28. 33 / /
TIGARD OR 97223 FIRE 4 17. 80 / •/
Mone #: 5PCT $ 2. 23 / /
PAYM $ 93. 46 JL.H 12/13/90
Lontractorn
'II.CHAEL AND CO.
Ls57n SW 74TH AVE
IIGARB OR 97224 -----------------------------------
Ohone tft $ 93. 46 TOTAL
l' e,g #. . : 45808
--------- REQUIRED INSPECTIONS ---
This permit is issued subject to the regulations contained in the Framing I ns p ________
hoard Municipal Code, State of Ore. Specialty Codes and all other T.ns ulati on I ns p
applicable laws. All work will be done in accordance with Gyp Boaid Insp __...........________.....
approved plans. This permit will expire if work is not started Susp Ceilng Insp
within 18A days of issuance. or if work is suspended for more F i na 1 I nspect ion
than 188 days.
PFT-rmittee Signattyret 1
a--.... -
.024------
iv
_-_-
_
Call for inspection - 639-4175
L
. • _ . . • . • • • • 4. fa •• 4. •• •. ,•
•
13125 SW Hall 111vd.rimmi."111.591.11.11111.1.'
Oh TIGARD F3ox 13397
UEVIThOPMI;NTD !'ART'MENT Tigard,oregon9722-3 PLNCK/RECT N %-.3-,/� //a -- olu1t 1
(503)6394171 PERMIT II (;/p9C).-L •_5c '_
DATE ISSUED
/05' oc. 5.1%) � Schr� L --
TAX MAP/LOT
_ LOT: LAND USE:
VALUATION: . .- -- --- -----
SPECIAL NOTES
. ti1A2 x REISSUE OF:
i7 . 5 4-•✓ Vise—T6 /3ci '3. LAST REISSUE:, LAI, 900'19 FLOOD PLAIN/
PHONE: SENSITIVE LAND:
kJ,*x. LA 5t.
CONTRACTOR / APPROVALS REQUIRED AOP.aN,aft,r
NAME: Iose7)M Mc,C,-Hc!5 (o�Sr. PLANNING: Use 07- 1)z,L= ,.,e (`"`•*r.,a t�,, :�'7Ar,-
ADDRESS: /0/ie.) Sud ,u,.•,/305 SLI TT /3-3 ENGINEERING: u-Heys, .,c 4b54Dr
'77G.A,zC- Ore 972 Z zi FIRE DEPT:
RHONE: (, zo- B1 314 OTHER:
CONTR. BOARD 0: ;.. -. , _� EXP DATE: / ---— —�
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: ---_
MECH: BUS TAX:
ARCHJENGINEER CPLCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: — OTHER:
r'HOr1E:
PROPOSED BLDG. USE: , -:::1_,..=_,..... .7-,--..-_,..-,- /.).,- _
COMMENTS:
PERMIT 0 ACCT 0 DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
_ ___ 10-432 00 Building Permit Fees `N . c 1A/,`, /
10-431 00 Plumbing Permit Fe2s _ _ __
0
—_ 10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) _2 „.>?_))
Bldg _ `' , .,'� Plumb Mech
10 -433 00 Plans Check Fee ;.t i- `:' ___
Bldg r A P l umb _ Mech
n
10-230 06 Fire /7
30-202 00 Sewer Connection
30-444 00 Sewer Inspection __ _
25-448-01 Traffic Impact (TIF)
52-449 00 Parks System Dev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of) _ _
24-445-02 Water Quantity (Fee in lieu ofd
TOTAL ye-', _./1,44,2;:-)
','PL I CANT SIGNATURE
Received By: / Date Received:
nm/3587P.WPF
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DOCUMENT
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/1 PERMIT
iuuyroiD r
CITYOFTismin, 1 LAMI T O. • ME:C90--02E15
COMMUNITY DEVELOPMENT DEPARTMENT oseooN
13125 SW Heil Blva. P.O.Box 23397,Tigard,Oregon 97272 460mr8.79-4175
--� DATE ISSUED: 12/1... ✓9H
:LTE ADDRESS. . x 10500 SW CASCADE AV PARCEL: 1S135BA-E94303
SUBDIVISION. . . . : ZONING: IP
BLOCK : LOT. „ •
CL(�SS OF WORK— ODD ADD FLOOR FURN EVAP COOLERS:
TYPE OF USE COM UNIT HEATERS. . :2 VENT FANS. . . : I.
OCCUPANCY GRP. . :142 VENTS W/0 APPL: VEN1 SYSTEMS:
STORIES BOILE=RS/COMPRESSORS HOODS. . . . . . .
FUEL TYPES-._.._-_._._.... .. ... ._..... 0-3 HP • DOMES. INCIN:
:/GAS/ / / 3-15 HP— :,. •, : COMML. INCIN:
HAX INPUT:16 5000 BTU 15-30 HP'. . . .. : REPAIR UNITS:
FIRE. DAMPERS?. . :N 30-50 HP. . . . :; WOODSTOVES. . :
GAS PPRESSURE. . . :L 504 HF'. . . ,. „ CLI) DRYERS. . :
NC). OF UNITS - AIR HANDLING UNITS OTHER UNITS. :
EURN < 1.00K BTU: <m 10000 cfm: GAS OUTLETS. :2
FURN >,~100K BTU: > 10000 cfm:
Remarks: Tenant Mod : Add unit htrs & vent. fan.
Owner: _....._.____.._.._........._...._.._-___.._...._....._._.__ ___ .._._.._.._._ _....._._._ F"F:N.S ._._._____.___...._... ._._ ......
ASSOCIATED FURNITURE DIST. type amount icy date rccpt:
10500 SW CASCADE BLVD PRMT $ 27. 00 / /
PLCK $ 6. 75 / /
T IGARD OR 97223 5PCT $ 1. 35 / /
Phone $t: PAYM * 35. 10 .JL..H 12/13/90
Contractor: _._.._......_._..._.........._...__...._._.._......._._._.._...
MICHAEL AND CO.
15575 SW 74TH AVE
TIGARD OR 97224 _- -- - - ----. ---.----.
Phone D:: 't 35. 10 TOTAL..
Peg N. . : 45808
_..._._ ._ REQUIRED INSPE:C ; IONS --------
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municip, I Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Heating lint Insp __..__._._........__..._. ____.__._....
approvrd plans. This permit will expire if work it not started Final Inspection
within HIM days of issuance, or if work is suspended for sore
than IN days.
Permittee Signature: _..._.............__a..............:
_............_.._...._. _.____....._. ____._..... __....._ ___ ._._.___._...._�
ssuee. By: ddt—.)
Lai ]. for inspecti 7n ._ 639--4175
I
Receipt 0 �1 -4/�
/CITY OF TIGARD MECHANICAL PERMIT17----
�1 �'
Permit# ./EC r..)--0.245)5
: Description
Tebbe�A Meelrrttcsl Code ow PRICE AMT
Cqy ui ligand
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
• P.O. Box 23397 --- --
Tigard, CR 97223 2) Supplemental Permit 3.00
639-4175Furnace to 1(X],000 BTU
I' 1) incl.ducts&vents 6.00
Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
Name of Development - 3) Floor Furnace -
'Ci
I. it A.-iii-.c.:6)
-- incl.vent 6.00
Job Addreee Suspended heater,wait heater
Addres: el e 5 •c./•. CAS r-n v E 4) or floor mounted heater 6 /"
'ex- Map No. Vent not incl.In
5) appliance permit 3.00
Lot Block Subrivlaion
Name(or nam*a business) Repair of heating,refr ig.,
6) cooling,absorption unit 6.00 .
oC . .. , , --__.
Mailing Address Phone Boiler or comp to 3 HP
Owner absorp.unit to 100,000 BTU 6.00
Cay/Sure - ZIP 8) Boiler or comp to 3 HP-15 HP -- 11.00 —
absorp.unit to 500,000 BTU —_ I
Nate Boiler or comp 15-30 HP I(
i/ .4� 1�/f 9) absorp.unitY4 1 million----- 15.OU
Malang Michela PAt ne 101 Boiler or comp to 30-50 HP
, �G ii/EE/r--4f/of 2:'i',-518 2 • absorp.unit 1 -1.75 million 2 .50
ContractorStale ZiP Biller or comp to 50 HP
f,.,,.. .-,1, ,I.:., n R. - y,,-i 11) absorp.unit 1,750,000 BTU 31.50 __--
State Registration No. cry Boa.ran H,,. 12 Air handling unit to
?7 )
10,000 CFM 4.50
I here.; or:.....wledgc that I haw road this applcatlon Meat lte
ifgivon b 13) ,Air handling0CFunit 7
.50
oorrect.that I ern the owner authorized agent d the owner,that piano akhmMe.d we in _10000 CFM +
- -- —
compYance with Slate laws,that I am registered with the State Builders'Boat.Mart iiia Non portable
number given is correct (H exempt from Stale registration please give reason below). /4) evaporate cooler 4.50
Vent fan connected
_ i
15 toasingteduct 300
Ventilation system riot
_-__T — 16) included in appliance permit 4.50
Hood served by — -
17) 4.50
mechanical exhaust
Sigrnatue(owner a a9r"4 ,..„:"4' i 'r - s. ''16
_ ,�1 { Domestic type
Describe.'uric t] addition l alteratior11] repair ❑ 18)_ incinerator 7.50
to be done residential 0 non-resid 'ntial ISCommercial or Industrial -�
Existing use of ^- ---1- — 19) type incinerator 30.00
building or property_____-___ •
)) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
building or property --.- - 21) Gas piping one to four outlets / 2.00 ' i r
Type of fuelooil n— atural nga_Lsjf LPC, [) electric 9 --- — — ---
22) More than 4-per outlet
N-QTICg -- — --- sea-TOTAL '7
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- ---- — � .. _
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 510 �►.SURCF:ARGE /,3
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR �- `PLAN REVIEW 259'.OF SUl3-TOTAL 6,JS
ABANDONED FORA PERIOD Or 180 DAYS AT ANY r'ME AFTER ------------- -------- -
WORK IS COMMENCED TOTAL !S /
Special Conditions
— -- -- -- — Date issued by
OPSIN vq4- TUALATIN VALLEY FIRE & RESCUE
/,�e� .TJ \(0,A.\\
0,. AND
I _ BEAVERTON FIRE DEPARTMENT
� FIRE MARSHALS OFFICE
(503) 526-2469
POSTED:
OCCUPANT ) 1e, yry _
CONTRACTOR _ BLDG. F ERMIT l V _ 0-36CZ
PROJECT NAME PLAN REVIEW it
LOCATION 1 C) 4)-0 v -GIJ C,..,A 5 G 44`v..
JURISDICTION: I= Be. 2= Du. 3= I(.C.(i`4= Ti. 5= Tu. 6= Sh. 7= WI. 8= CC 9= WC 0= MC
COVER FINAL SPECIAL FOLLOW-UP/REINSPECTIONATTEMPTED FINA
❑ Framing 0 Separation Walls ❑ Sprinkler System
0 Shaft0
Dampers (Overhead/Underground)
Alarm System ❑ Hood Extng Systems Conference
C Spray Booth Cl Ceiling Cover0 0 Other
I. fiJJ a ii to ti,, 1 I c 5//,,,, . tt/k i 40,. If
--r— Tit The d rt, r4 d •
01 I A 0 t) i Gi• g
' II( 1 i V /tii— F A Pi:ri 0 L K LIOU 4 3 I--
3 . r � ; e 1s cLoo,r J /Li,).m,w chAdloclr-,..r
1v+.t ,r} 4 ,5 , ht� <
ss Ael),� a ' '
kw ry C--tC t t •
Li, 6e4e - ( 4-,6f - d Coo/2
ir
E.)A e v ibe cilw 02cecs ftp i) 6 /i LcI6 /
ra.a.,, rt9-12 ,4 e , t - .
6, (P1140, 1_.sc i Ike s S
i
Kt / . 1 , I
GHQ - i 1 D-q".? - ) 5f
Date: 1 1 1 Inspector: (i- lAiV ? l.-- t c7, ? ?F'
►r+00*,10140yW4444,40 *441''14`*#'°41** 06k.,•'. .410. OI 11104 ,_'
Y"►P'7t'�"`'l�4'�'^I'1MIhv+1i"KI,} '^ ^iy10460440SI'1tt14 'AK» ;, 11t!4'.a' ,"f9.'INhy; t N ,h.. r
�p'iIN IqTUALATIN VALLEY FIRE & RESCUE
AND
BEAVERTON FIRE DEPARTMENT
C16 FIRE MARSHALS OFFICE
14 (503) 526-2469
r rr � � _ j POSTED:
OCCUPANT f O iL;,`.-, l u --.6.. ` T,:f /a s
CONTRACTOR tj e";!sit, ey{S 6410 16 ( o+41 w+ FL/ C BLDG. PERMIT 0
PROJECT NAME PLAN REVIEW 0
LOCATION I0 00 i GaS c 01,1 4,
JURISDICTION: 1= Be. 2= Du. 3= K.C. 4=. Ti. 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC
COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
El Framing El Separation Walls ❑ Sprinkler System
lJElShaft Fire Dampers (Overhead/Underground)
El Alarm System Hood' Extng Systems 11 Conference
❑ Spray Booth El Ceiling Cover H Other
Date: _ Inspector: �; ;�
• .41
• .2/2//y) ).4)
((%� TUALATIN VALLEY FIRE & RESCUE
�"`! AND
� BEAVERTON FIRE DEPARTMENT
/R U GJ 4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503)526.2469• FAX 526-2538
RES
December 10, 1990
H.V.A.C.
815 S.E. Sherman
Portland, Oregon 97214
Re: Associated Furniture
10500 S.W. Cascade
5989A-284-001
Gentlemen:
This is a Fire and Life Safety Plan Review and is based on the
1988 editions of the Fire and Life Safety Code (UBC) ,
Mechanical Fire and Life Safety Code (UMC) , Uniform Fire Code
(UFC) , other local ordinances and regulations.
PIans are approved as submitted.
If I can be of any further assistance to you, please feel free
to contact me at 526-2502.
Sincerely, / '
Gene Birchill
Deputy Fire Marshal
GB:kw
cc: Tigard Building Department
"Working"Smoke Detectors Save Lives
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