9215 SW MILLEN DRIVE 9215 SW MILLEN DRIVE
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CRY- of Tigcrd Mechaiiical Permit
NO.
New Installat,on 0 Replace �_ Relocation❑ Addition ❑ Alto ration ❑ QATE: 'P/;->,0P1HEATING
CONTRACTOR McCelliste:- He,11ting ° A/C -, no Ow'NER �s�v� nn
.%.QI]RESS 21`;a1b0 W. aseline Rd, Be.9ver- �n 921r SW Millen Drive �'•
------ JOB ADDRESS �
PHONE���`�-oc ��� --_..._. APPLICANT _ _ 1
Heat input Rating(gTU per Hour) 75, 000 IN "-----------
- Vcnt Size Flue Site__
FUEL OIL GAS [] ELECT ❑ OTHFR
ITEM NO• EEE
--- NO.
mor Issuanc of Permit SEE- FEEBELOW �_
Each Air Handling Unit or Duct System 50 -
Ne!t to incl. 100,000 BTU 1- 6.00 — Commercial Hocd System ~_
New 100.000 BUT's & over — 7.50 Other Equipment • Eac;i - _7•5 �
'Noodburninq-Stove 4.50 1 Trip Inspersion -� X5.50
Weil lc 5uspe+7ded�� _ 6.00 Air Condition Compressor • up to& inti.3 H.P. a•50
Vent System w/Fan _ _ 4.50 Air Condition COmgressor•3.1 to 15.H,P,iecl 6.00
fair-Heat Cooling 6.00 1 0 -
CITY BUSINESS LICENSE REgUIRED BY ALL CONT ',CTORS OR SUES-CO R TORS !
PERMIT ISSUANCE 10.00 �`— --------►
-------�.._ Comments:
FEES -
SUBB+TOTAL- 16.00 ------ _.
L�% STATE y Issued 8
25 PLAN CHECK
TOTAL '• ' REC. #
_ Sionature of App- Ii�ant�-
t$UILUII\JU ULVAh 1 MLN I, I Ili/\HU
PLUMBING PERMIT N"
Central Plumbing Inc . of Oregon __ holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as hereir noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notifk!d riot less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. Kneeland Estates Lot 12
Owner- Graystan Construction Address9215S . '+► Millen Dr . 4/3/81
4/3/81
N1 MBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT _ITEMS _FEE ON EACH AMOUNT (Office Use Only)
Sinyle Femilv_1 beth-each �� 2 _
Duplex -Each 1 bath unit 25_00 5 , Q Q_
_Additional bathrooms--each ] ---10.00 _ y To., 0 Q
Mobile Home Space-each _ _ 15.00
INOIVIDUAL FIXTURE FEES _
— 1 to 50 Fixtures in 1 building-each 900
51 to_100 Fixtures in 1 building each _2_50 ---
101 to 200 Fixtures in 1 ouilding-each _ 2.00
__201 or mora Fixtures in 1 buildiQV ch 1.50
PotISCeLi.AtJEGUS - - - v�_
____P_jildin_o_Sewer-Ist 50 ft.
Sew10.00er-each additional 100 ft. _ w 10.00 +
Water Service to building 1 _ 5.00
Private Water Systems-such 100 ft. 10.00
Other IS ieciryl:
PERMIT For Plumbing Inspection Phone 6.79 4 171
9 Plumbing Contractor By ^ ' -
TOTAL ! •>u/
41 _ RECEIPT NO. • _^ ' Issued 9y
r,IFE:I!lAlfl fcrTA'YFS I C37- /JS'le
BUILDIN'l PFBMIT APPLICATION TIGARD DATE _ __..L<_' �'__,Is._.`i1 3648
THE UNDERSIG' ED HEREBY APPLIES FOR A PERMIT FORTH FWORK HEREIN INDICATED BUILDER PHONE 246-3324.,
,
ORAS SHOWN AND APPROVED iN THE ACCOMPANYING PLANS AND SPECIFICAI IONS OWNER PHONE
LOT NO. 11-I�nEialan�
OWNER A.L.nrr Grayson JOBADDR_ESS 9215 SU ilillen Drive � _. __stat"a I
ARCHITECT
ENGINEER
BUILDER t;r�ryeUn Sunstr. CQ4DDFIES$ 6946 Sly Barbur blvd. DESIGNERGarr Patty
STRUCTURE t NEW ❑ REMODEL ` ❑ ADDITION^ ❑ REPAIR ❑ RENEWAL _ ❑ FIRE DAMAGE ❑ DEMOLITION
1-3 RESIDENCE [] COMM_❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 0 GARAGE ❑ STORAGE ❑ SLABO FENCE
OCCUPANCY _ `" LAND USE ZONE R-7 BLDG.TYPE _ a FIRE ZONE" PLAN CHECK BY —4Wtl�, HEAT Ua lL_...__
R-0-issue Permit 1,43643 (9260 SU Millen Drive)___ -
Construct sinule- Pamilx dualling W/att.&LChed ❑nrjtUj2, T_ Andrannan_2 _ajjM _ __
SEE CORRECTION SHEET ATTACHED.
SEWERPERMITM 23294 -6750.00 _ -----4a aQfiL %311
OCG.LOAD FLOOR LOAD 4(1 HEIGHT 11_ NO.STORIES_ _1 AREA 111:'NO..13EDROOMS 3 VALUE Ifu [�B„
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 16.J LEFTSIDE 21 RIGHT SIDE 20
Permit _ �U�J.�r1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT S HEREBY AGREED THAT THE
Plan Check_ _ 10100 WORK WILL BE DONE IN ACCORDANCE WIT'{ THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 94.al) RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
5iate Tax 7. 3u
. - SDC— iiii.J.IJLI
Total $701,36
- — PDC# 1 1 100.00 A?PLICANI ORHOEN7 -By
P1 Receipt No. 8097 -
Approved dw i ADDRE98 — }� PHONE
Ruuff_xff_xmfl��Fffl■
PLUMBING DATE
REMARKS --"
DATE INSP. TYPE INSPECTION —.—
_ -- Contractor
~ Permit No.
Rough-in —
4- `jYui►s -- — —
y Fixtuia
t Final
HEATING i
pelknit No.
--- Gas or Oil
Rough-in --
Final
__ — ------ SEWER
---- — — Final ------
- — — -- DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
— Sidewalk - I
Gurh&Street Final
— Approach
BLDc..DEPT.FINAL TEMPORARY CERTIFICATE OCCt1PANCY Finnl -
CERTIFICATE OCCUPANCY
J
J) 7_)c V Landscaping
/J�j a�_._____. -yoning Final I
f
//,,�� //��
BUILDING PERMIT APPLICATION .I.ArA�' DATEIG(�l. -�r _ ,9"EL
THE UNDERSIGNED HEREBY APPLIES FORA PERMIT FOR TI.F NW DRK HEREIN INDICATED 'BUILDER PHONE.?46_-3324
nR AS G-'OWV AND APPROVED IN THE.ACCOMPANYING PLANS AND SPECIFICATIONS. O'"-*4EP.PHONE
r, A. Larry Grayson pp -jNO.__�Z��oe a
JOR_n_p_DFIE5S /.L — JW ,/ll ��e�'1t, i'. LDT
-
AFICHITEC7
„L CEP8
rar►r. . GriAyson .. +ao ENGINEER
.. ADDRESS 8916 S.W. Qarbur >�vd. DESIGNER Gary Petty
—
.Au.'TURE NEW — Q REMODEL - u ADDITIONC REPAIR ❑ RENEWAL C FIRE DAMAGE O DEMOL
FESIDENCE C CClatit (] EDUCATIONAL '.1 GOVT C RELIGIOUS C PATIO u CARMAT G' GARAGE C ST
t)RA 'E ❑ SIAE'C F
u►ANCY R' ; LAND USE ZONE ... BLDG.TYPE FIRE ZONE,,...__,_,,,PLANCHECK BY` r MEA
_. __ �'r� .��Yk ems_a`��as,'•!�� - _2 a�+Q�,
vVER PERMIT I
Z,LOAD FLOOR LOAD HEIGHT NO.STORIES AREA N0,BEDROOMS VP.L yg8,�p
BUILCiNG OcPARTMENT
SETBACKS FRONT .20 REAR I6, LEFT SIQE .� ( RIGHT SIDE -2x1
--
�^tit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CCNT.AINED IN THE BUILDING CGaE,7L
�d� 1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HERESY AGREED Tr.A
C'�etkL I WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CC!i..PLI
J®�j���WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF T` 1S PERMIT DOES NO,
t;lal ( ? T FESTRIGTIV�.' COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BSS
� LICENSE-SEPARATE PER'AITS PFOUTAED FOR SEWLA,PLUMBING AND HEATING.
va 'ax • `7.3
;tal '�,t7 �� SDC -
PDCJI APPUCANT CR AGENT
Y
Receipt No.
ADDRESS
I
� R COr:UErTION R � 9
JE-',; INSPECTION $
E F'— SURCHARGE
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