16405 SW 93RD AVENUE-1MW Mt W I1 F
16405 SW 93RD AVENUE
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City ®f Tigard Mechanical Permit NO.
flew Installation El Replace [D Relocation Addition C] Alteration DATE: 4/20/91
HEATINGi1CCollister eatirl,U 8: A/C Inc OWNER ^ ,r�yson Construction
CONTRACTOR
ADDRESS 21940 W. BaSeline Rd - Rem rAri nn JOB ADDRESS 1(""05 SW 93rd
PHONE "tyc�'nca�h - -- APPLICANT _
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Heat Input Rating(BTU per Hour) 75, 001) Vent Size � Flue Size
FUEL OIL❑ GAS L.] ELECT C] OTHER
ITEM NO. FEE ITEM NO. FI-
For Issuance of Permit SEE BELOW Each Air Handlinq Unit or Duct System 7,50
New-up to & incl. 100,000 BTU 6.00 Co_m_mercial Hood System _ 7,50 w
New 100.000 BUT's & over 7.50 Other Equipment - Each 4,50
Woodhurning Stave 4.50 1 Trip Inspection _ _4.50
Wall-Floor- Suspended6.00 Air Condition Compressor - up to&incl.3 H.P. 6.00
Fent System w/Fan _4.50 Air Condition Cam ressor`3.1 to 15.H.P.incl, 11.00_
F,epair-Heat Cooling 6.00 �_ —_
A—J H
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE !P.00-- Comments:
FEES
SUB-TOTAL
% STATE ''' Issued By
25%PLAN CHECK
TOTAL REC. #
Signature of Applicant
bUILUfluh UtrAh I NItIV 1, 1 lLiAHU
PLUMBING PERMIT M
Central Plumbing i n c . of Oregon holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and subcontractors. Kneeland Estates Lot 16
Owner---Li Lay_s 0—nConstruction _ Address 16405 S . W. 93rd Date_ 4/3/81 —
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
R NT1AL __
Single Famil -1_bath-each _�� 25.00 $25 . 00
Duplex-Each 1 bath unit 25.00 _
Additional bathrooms-assh 1 10.00
10 Ou—
_Mobile Home S ace--each._ 15.00 _
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures In 1 building-each 3.00
—51 to 100 Fixtures in 1 building-each 2.50 -
101 to 200 Fixtures in 1 building-each __ 2.00
-
201 or more Fixtures iin 1 buildin -each 1.50
F.tISCECCA NEOUS
Building Sewer-1st 50 ft. 10.00
sewer-each additional 100 ft. 10.00
Water Service to building 5.00 _ 5 , 00
_Private Water systems-each 100 ft. M 10.00
Other (S ecif ): - -
PERMIT 40. 00 For Plumbing Inspection Phone 639-4171
State , 6 0 Plumbing Contractor By
TOTAL 41 . 60 RECEIPT NO. Issued By
BUILDING PERMIT APPLICATION TIGARD DATE_ 3/25/. ,1981 3649
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THF WORK HEREIN WDICATED BUILDER PHONE �:4E,-3324
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFIGAT!ONS. OWNER PHONE
OWNER A ArrY Grayson JOB ADDRESS 164W:' SU 93rd Avanut, LOTNO. lib-KnOS 6116
Plan 906 Estate: I
ARCHITECT
BUILDER-Grayson Constr• ENGINEER
Ca• ADDRESS 8946 SW ®arbor 81Vd. DESIGNER Gary Pew_
STRUCTURE IX NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE C! DEMOLITION
[__RESIDENCE ❑ COMM ❑ EDUCATIONAL n GOVT O RELIGIOUS ❑ PATIO ❑ CARPORT_❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY R�3_-LAND USE ZONE _ R" B�PE 5N FIRE ZONE"- PLAN CHECK BY tr HEAT 9$ �
Re'Iaous permit #3642 (9240 SW Millen Drive)
—__-.- Conl t:ruc:t single fsmily dlrellinG w/attachad luars 0. 3 Bedrooms 2 loathe. –
i
SEE CORRECTION SHEET ATTACHED•
SEWER PERMIT$ 21;29 _ $750 Ln
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 NO.STORIES 1 AREA 1100 NO.BEDROOMS 3 VALUSA 7 r b;jo•
-
—
BUILDINGDEPARTMENT SETBACKS FRONT 2b REAR 23 LEFTSIDE 20 RIGHTSIDE 11
Permit $1I31.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
lO• REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS h'EFIEBY AGREED THAT THE
Plan Check
Ql� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Sub-total 193L*00 WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRAC.OR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Stale Tax 4 ,1.24 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING
y,.
Tutal $196.24 SDC ,4UU.0L,
By --p PDCM I I $1 U 0.0(TAPPLICANT Ori AGENT
Approveddwh Receipt N.,. 0097 _ -
ADDR PHDNE
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DATE INSP. TYPE INSPECTION Y REMARKS PLUMBING DATE
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Permit No.Uc
�tp� Rouyh-in
'Y Z7— r li ��1S Fixture
Final
HEATING -- ---
�'?_ ContractorOQ
Permit No. 3
Gas or Oil
Rough-in --
-- Final
SEWER -�--
- Final K/S-A/ _
DRIVEWAY
Final --
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb-&Street Final
— _ Approach
BLDG. DEPT.FINAL TEMPORARY A CERTIFICATE OCCUPANCY Final
CE.RTWICATE OCCUPANCY
Landscaping
/ / Toning Final
IFJLW
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01JILDENG PERMIT APPLICATION (��,•,'a
TI OAT[ t9`_
THE UNDERSIGNED HEREMY APPLIES FOR A PERMIT FOR TI E VoORK HEREIN INDICATED -BUILDER PHONE2 6-3324
nR AS SHOVW4 AND APPRO%'E:l IN THE ACCONTANYING PLAN'9_36ArID S"F,,;FICATIONS. Owc4CP PHONE
A. LarGrayson r Lo:e10 _ L�'I,aa 0
ry JOe_ADDRES� O�Gt�S �3 _ F1AN ccJ Es �r
ARCHITECT —
„LDEP -A•--taw Grayson �� S 8946 S.W. Barbur Avd, UESIGN.EP. Gar_ „ADDRESS DESIGNER y Petty
ALIC-TURE X NEW ❑_REMODEL_!�1 _ADDITION_ ❑ REPAIR ClRFNEVVAL ❑_FIRE DAMAGE DEUIOL
RESIDENCE -7- CCII•4.M C EDUCATiCNAL '.J GOVT C RELIGIOUS [I PATIO u CAR?iRT Cl GARAGE ❑ STOR E ❑ SLABO F
r_�_ •_�.�_
_uPANCY �_ LAND USE ZONE �
_ — —_� � .��_.,__ BLDG TYPE �,--FIRE ZONE_ PLAN CHECK 8Y HEAT
('4-z 2110 S5/1
944al——A
.ti c R P E a M I T/
_C.LOAC FLOOR____LO_A`0 —EIGHT NO.STORIES AREA//off _NO.BEOsa00MS VP.LU �SSiD
�BUILCING DEPARTMENT SETBACKS FRONT Z REAR .23 LEFT SICE 20 !RIGHT SIDE �/►
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDI\G CGDE, ZC
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGPEED TKA
�ChEck °SS�+f.- WORK WILL BE DONE IN ACCOPOANC E WITH THE PLIkNS AND SPECIFICATIONS AND IN COhtGLi
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF T415 PER`AIT ODES N"-)T '.
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONiRACTOAS TO HAVE CUFRENCITY BJS
LICENSE SEPARATE PERMITS REOUIRED FOR SEWER,PLUM13.1JG AND HEATING-
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til POCA APPLICANT OR AGENT
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AR S U R C H A R G E S____��.__.._ '
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