16410 SW 93RD AVENUE 1641.0 SW 93R' AVENUE
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City, of Tigard Mechanical Permit NO. �_-
Kew Installation 1.1 Replace ❑ RelocationE] Addition ❑ Alteration DATE:_4/2 0/81
HEATING Grayson Constriactlon
CONTRACTOR licCollister Heatinn & A/.Q lilc OWNER
ADDRESS 2194.0 W_ RIORPI 111151 Rd � �r�a�r, r��QB ADDRESS^. 16,"10 a',v '3rd
PHONE '- ' APPLICANT
Neat Input Rating(STU per Hour) 75, 000 Vent Size Flue Size_ 5"
FUEL OIL, GAS OK ELECT OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit SEE BELOW _ _ Earh Air Handling Unit or Duct S stent 7.50 ^
New-up to & incl. 100,000 BTU 1 6.00 Commercial Hood System 7.50
New 100,000 BUT's & over 7.50 1 Other Equipment - Each 4,60
Woodburning Stove 4.50 1 Trip Inspections _ _4.50__.
Wall-Floor- Suspended _ 6.00 Air Condition Compressor • up to&incl. 3 H.P. 6.00_
Vent System w/Fan 4.50 Air Condition Conpressor..3.1 to 15. H.P.incl.
Repair-Heat Cooling _ 6.00
_ CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments:
FEES '900
$1.113-TOTAL 16.00
* % STATE . Issued By
Z5%PLAN CHECK
16.6 6
TOTAL _____ REC. # �"�Signature of Applicant _ �'"
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rJUILWINU utrA i I WICIV I, I Iukkmu
PLUMBING PERMIT N:�
-- Central Plumbing Inc . 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 ti ne the installations are ready for inspection. City of Tigard Business License required
for all contractors and subcontractors. Kneeland Estates Lot 30
Owner__Grqyson Construction Co . Address 16410 S . W . 93rd Date.-.4/13/61
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
RES DENTIA_L _
Single Family-1 beth--each 25.00 2 5 . 00
Duplex—Each 1 bath unit 25.00
Additional bathrooms—each 1 10.00 _ 1_07
Mobile Home Space—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 in 1 bui!din2-each
h1ISCELLANE0US
Build!n Sewr,F1st 50 ft. 10.00
Sewer—each additional 100 ft. 1000 _
Water Service io building_" ___ 1 _ 5.00 5 , 00
Private Water Systerns—each 100 ft. 10.00
Other (Specify): YV -
PERMIT 40 O0 For Ptumbing Inspection Phone 679.4171
State -- Plumbing Contractor By �- pit
TOTAL 4 1. REUfPT NO. Issued By
BUILDING PERMIT APPLICATION TIGARD DATE --� _ �s l 3654
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 24E-33210
OR AS SHOWN AND APPROVED IN THE ACCCMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _.__-____
OWNERR.Larry Grayson JOBADDRESS 16410 SIJ 93rd Avenue LOT NO.—AQ--
-------------
_ ARCHITECT `
BUILDER _Gray 80"1 Constr. ENGINEER
Co.4DDRESS8946 SW Barbur Blvd. DESIGNER Gary Petty 635-4616
STRUCTURE Qil NEW I REMODEL_— ❑ ADDITION ❑ REPAIR _❑ RENEWAL _❑_FIREDAMAGE ❑ DEMOLITION
Qj RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO O CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY "3 LAND USE ZONE R'7 BLDG.TYPE 5N___FIRE ZONE PLAN CHECK SY _dWh HEAT!__gas
Rq—iBsue of Kermit ;3641 — C 120 Std Millen Drive _ —
Construct single Family dw>ellino W/attached garage. 3 6cdroums 2 Baths. ��
SEE CORRECTION SHL IT ATTACHED. _
SEWERPERMITA 23300 — 8750.00 yrare to 736
OCC.LOAD FLOOR LOAD 40 HEIGHT 11 NO.STORIES 1 AREA BU'LDING DEPARTMENT 1099 N0.BEDROOMS 3 VALUE$`.il 7_00.
Lub-total
SETBACKS FRONT20 REAR 34LEFT SIDE 13 RIGHT SIDE 6
1191.00 it THIS PERMIT IS ISSUED SUBJECT TO THE PEGULATIONS CONTAINED IN T11E BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Check 10.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND GPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
r 201.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4 7.64 LICENSE.SEPARATE PERMITS REOUIRFD FOR SEWER,PLUMBING AND HEATING
Total SDC— .a4UU.
a X708.64
By P l PDC# I 1 $100.00 APPLICANT OR AGENT __.—.
Approved duh Receipt No.
i— ADD ESS _ —__—v PHONE
DATE 'NSP. TYPE mspEcnoN REMARKS PLUMBING DATE
WE—
Permit No.
,S=k Sill Hough in
Fixture
Final
�_ ,XA_ --HEATING
Contractor
Perm t No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainer
(Rain Drain)Final
Sidevvelk
Curb&Street Final
Approach
BLDG DEPT.FINAL TEMPORARY
CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
BUILDING PERMITAPPLICATION TIC,ARD DaT��` �d 8 3lAJ 7
'THE LINOERISIGNED HER.'-713Y APPLIES =0,l A PERMIT FOR THE WORK HEREIN INDICATED •EUILDFR PHONE2�6-3324
nn AS'JH0VV,4 AND APPROU 0 IN THE-CCOLSPANYING PLAN ,s AND S"ECIFIC ATIONS, OY!'s [P.PHONE
P A. Larry Grayson JOB ADDRESS �b S(� q v LOT t10. 3Q_-K A
ARCHITECT gwr-twt Er,
.AD
�ICEFR A•--L-a4r-y Grayson�,i�•<''ADDRESS 8946 S.W. B�rbur �3yd, ENGINEER Gar Pett g
- _ DRESS _ y DEStGNEFi_V y,G3j
_ _.---_,r"Tlamd OR-972T�1 _ ---
�IiCTURE NEW _ 0 REMODEL _ � ADDITION— -,G _REPAIR GI RENEWAL G FIRE DAMAGE Q DEIAOL
X =i-51DENCc L (OMNI C EDUCATICNAL J GOVT G RELIGIOUS u PATIO G CAR?fiRT ❑ GARAGE STORAGE_❑ $LAg❑ F
Li
.ANCY - --LAND USE ZONE_ BLDG.TYPE .ZIV FIRE ZONE - ^ PLAN CHECK BY
,*404 PERM1T 1
_C LOAV— _ FLOOR LOAD �j (� HEIGHT �� NO_STORIES AREA /0-9Q NO.BEDROOMS 3 Vh.LUC�
BUILCINGCEPARTMENT _SFIBACKS FRONT �2o REAR 3'4 3 _
LEFT SICE /� RIGHT SIDE b
rmlt _ d THIS PERMIT IS ISSUED SUBJ=CT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,IC
C'�acj C a 1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGAEED leA
� k - WORK WILL BE DONE IN ACCORDANCE WITH THI° PLANS AND SPECIFICATIONS AND IN CC"::FLI
I.tal d0o WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS F�:R`/IIT DOEa NOT ',
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON-4RACTORS TO HAVE CURRENT CITY BUS
ca Tax
7 LICENSE.SEPARATE PERMITS REOUIRED FOR SEVILR,PLUMX?JG AND HEATING.
•
i I*, SDC—
r� PDCa APPLICANT
rrwlrJ i Receipt No.
_ ADDRESS PHONE -
_'ER CONNFCTION 5
Jl- q INSPECTION $ ZS
FR SU`CHARCE S