Permit (74) CITYOFTIGJARD
CIIYOF RD -
COMMUNITY DEVELOPMENT DEPARTMENT ` PERMIT NO • M :I : NO .: Mw 88c_'0 PERMIT 0
03
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 - 4175 �'�•rt
DATE. ISSUED: 10/:1.8/88
PRIM.PMT.NO. 882001
JOB ADDRESS: 16200 SW PACIFIC HWY S . ' O'
TAX MAP/LOT SUB: T I GARD TOWNE SQUARE: LT: BK:
L..AND USE:
LOT SIZE:
ITEM: NO : NO:
WORK CLASS: ALTERATION FURNACE < :LOOK AIR HANDL.R <:10
USE TYPE: COMMERCIAL FURNACE 100K+ AIR HANDLR 10K
CONST . TYPE : I I I N FLOOR FURNACE EVAP . COOLE:R
OCCUP . GRP . : B2 HEATER VENT FAN 1
VENT VENT.SYSTEM
BLR /COMP <3HP :L HOOD
NO. ST•(:1R1E:'.:; : 1. BL..R /COMP 3- •1SF-IP ]INCINERATOR C DOM
DWELT.... UNITS : I3LR /COMP 13• -30HP INC :I'NERAT"OR (C:OM
FUEL. TYPE GAS BL.P /COMP 30-50HP REPAIR UNITS
MAX .INPUT 100000 F31...R /COMP 50 +HP OTHER
F:CRE: DMPRS 1 NO CAS PIPING= OUTLETS
1•'I.I.L 11 1- HI::.`.3:.i ( NU
LOW PRESS? YES
REMARKS:
Tenant Mod: It's Country
0
w
N FEES:
R Westwood Corp . _ PERMIT $10.00
PLAN REVIEW $1.75
FIXTURES $9'.00
C STATE TAX $.95
O OTHER
T
R BEWLEY DON
A
C BEWLEY MECHANICAL
POBox1.661
O
R Beaverton OP 97005
I-'t IUNF_. t Z V.S) tbeel_••t3VU6
PEG S'T'12A•T NO. Bewley TOTAL: $21. 70
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations 115 Z
and all other applicable codes and ordinances, and it is hereby RECEIPT' NO • i D
agreed that the work will be done in accordance with the plans and ----------
specifications and in compliance with all applicable codes and REQUIRED INSPECTION
ordinances. The issuance of this permit does not waive restrictive (;AS 1_ :I :NE
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and MI= .(. :1 .. YS'T L.M
void if work is not started within 180 days, or if work is suspended or F I NAL
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.
Permittee gnat
Issued By:
SEPARATE PERMITS REQUIRED Fo VRKAIII.iFSpED ABOVE
CITY OF TIGARD MECHANICAL PERMIT Receipt #
Permit # E 2 3_
Description
Table 3A Mechanical Code CITY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639 -4175 Furnace to 100,000 BTU
1) i ducts & vents 6.00
Furnace 100,000 BTU +
2) incl. ducts & vents 7.50
Name of Development Floor Furnace
T n� 7�d/n A a p e._
3) incl. vent 6.00
Job Address 4 Suspended heater, wall heater
Address /6.2 -c S?) Fa cet il ) or floor mounted heater 6.00
Tax Lot Map No. Vent not incl. in
Lot Block subdivision 5) appliance permit 3.00
Name (or name of business) 6 Repair of heating, refr ig.,
/ r ��fth71t ) cooling, absorption unit 6.00
Mailing ddress ne 7) Boiler or comp to 3 HP
Owner Sl s , /) r14' Y • 0 ) absorp. unit to 100,000 BTU 6.00
City/S � 7r / J 7- `P
�p Boiler or comp to 3 HP -15 HP
8) absorp. unit to 500,000 BTU 11.00
Name 9) Boiler or comp 15 -30 HP •
absorp. unit 1/2 -1 million 15.00
Mailing Address Phone Boiler or comp to 30 -50 HP
10) absorp. unit 1 -1.75 million 22.50
Contractor City/State Zip Boiler or comp to 50 HP
11) absorp. unit 1,750,000 BTU 31.50
State Registration No. City Bus. Tax No. 12) Air handling unit to •
10,000 CFM 4.50
Air handling unit
I 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 submitted are in
compliance with State laws, that I am registered with the State Builders' Board, that the Non portable
number given is correct. (If exempt from State registration please give reason below). 14) evaporate cooler 4.50
Vent fan connected
15) to a single duct . _ _ _ . _ _ _ 3.00
Ventilation system not
16) included in appliance permit 4.50
Hood served by
17) mechanical exhaust 4.50
Signature (owner or agent) Date Domestic type
Describe work addition ❑ alteration repair El 18) incinerator 7.50
to be done re ential ❑ non - residential 19) Commercial or industrial 30.00
Existing use of type incinerator
building or properly Other i.e:, woodstove, water
Proposed use of 20) heater, solar, clothes dryers, etc. 4.50
building or property 21) Gas piping one to four outlets 2.00
Type of fuel — oil ❑ natural gas Xj .... LPG ❑ electric ❑
22) More than 4 -per outlet
NOTICE
SUB -TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S h7o 4ire 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
Special Conditions
Date issued by
SIGN PERMIT
PERMIT #: SGN92 -0213 DATE ISSUED • 01/07/92
EXPIRATION DATE: 03/07/92
PARCEL • 2S115A0 -03101
ZONE C -G
BUSINESS NAME..: IT'S COUNTRY, INC.
SIGN LOCATION..: 16200 SW PACIFIC HWY
APPLICANT /AGENT: DEBBIE RENTHER
BUSINESS TAX NO:
SIGN:
PERMANENT ( ) FREESTANDING (X) FREEWAY ( )
TEMPORARY (X) WALL ( ) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS • 3 X 4
TOTAL SIGN AREA • 12 sq.ft.
WALL AREA sq.ft.
WALL FACE (DIRECTION): NA
SIGN HEIGHT • 3 ft.
PROJECTION FROM WALL.: in.
ILLUMINATION • NON
DESCRIPTION OF SIGN:
TEMPORARY FREESTANDING SIGN. 3' X 4' = 12 SQ.FT
MATERIALS • WOOD
EXISTING SIGNS • 0
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED..: NO
ADMINISTRATIVE EXCEPTIONS.: N/A
PERMIT FEE: $ 10.00
1
APPROVED BY:
DATE: 01/07/92
•
Permit No. SCa 9'01. 3
CITY OF TIGARD
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
acc upanying plans and specifications.
SIGN LOCATION ADDRESS: / �20 0 5I GZ C h ZONING:
NAME OF BIDS 2zu �5 i ket.
APPLICANT /AGENr: COMPANY: - a " - i o PHONE: (•4 - 04 - 0
The City of Tigard imposes an annual Business Tax which must be kept cumrent on all
persons doing business in the City. Do you presently have a current business tax?
YES (X NO ( ) U.L. Label i
PROPOSED SIGN: (Check as many as apply)
PE ANERr ( ) FREESTANDING (}Q FREEtnaY ( )
TEMPORARY FALL ( ) ELECTRONIC ( -)
OTHER ( ) BILLBOARD ( ) BALLOON ( )
•
SIGN DIMENSIONS: 3 X 4 `� �9 EXPIRATION DATE:
IM
ML L SIGN AREA (Sq. Ft.) :
WALL AREA (Sq. Ft.):
B
WAIL EAACE:
HEIGHT (Ft) : 3
PROJECTION FROM FALL:
ILLUMINATION: YES ( ) NO (N TYPE:
COPY:
MATERIALS;
EXISTING SIGNS:
AEMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH .
AREA ( ) HELOT ( )
II ENIS:
PLANNING DEPAI Nr An sign permits must be accompanied by a scale
Permit Fee: /D ' drawing and plot plan. If work authorized under
Receipt No: V. - /6 2/ a sign permit has not been completed within ninety
Approved By: VA* days after the issuance of the permit, the permit
Date: rO / - b ? -- 41_ shall become null and void.
E ELTUTCAL PF RMTr ' I CERTIFY THAT I AM 'ME RECORDED CMNER OF THE
REQUIRED: YES () NO 011 PRIOPD'A OR • , • el7 AUMORIZED BY 'ME OWNER.
BUILDING PERMIT - 1 .4AI /'
REQUIRED: YES ( ) NO ( • • Signature
2_0 6 fa.e(7, 20-61.11.0(
cp /BEQPERMI' Address Telephone
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APPROVED
- CITY OF TIGARU _..
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