9235 SW MILLEN DRIVE 9235 5W MILLEN DRIVE
I
I
w
M
0
w
J
J
H
3
in
in
rq
N
CT
10,
A
J
kh fib ,
cd 4.1
ho
CL
ar
co
bD
co
IV
X4
Pie— 0 cu
CL U
4
Teo
N I-I
rd a N
Ic En
ta
r
Ln
%I,!,two,
Te
Vi 'pPti
.............................
%I' A
?; -�f Af�
go
%
I�
INSPECTION NOTICE
City of Tigard Buildinr Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address ` ,.�_ _ Permit # ._
Type of Inspe.tlon
The following Building Cale deficiencies are requires: to be corrected:
r
rt .
Presented to _ Inspector
Date
(A.LL FOR REIWECTION
YES ❑ NO
Citi. ®f Tigard Mechanical Permit NO.
New Installation rj Replace ❑ Relocation hl Addition ❑ Alterati m ❑ DATE:April 24 19P,
CONTR
HEATING
McCollister Flew;ing A/C/ In®WNER Grayson Construction
21940 W. Baseline , Re."Vprtet1J08 ADDRESS 9235 W Millen Titx�rd
.ADDRESS - '
PHONE 649'291h _ APPLICANT
Heat Input Rating(BTU per Hour) •0O0 Vet.;Size • " Flue S
FUEL OIL Cl GAS El ELECT ❑ OTHER
ITEM --__...-N0O. ITEM NO. FEE
_�
For Issuance at Permit _SEE BELOW _ each Air Handling Unit or Duct System 7.56 _
New-up to & incl. 100,000 BTU _ 8.00 Commercial Flood System ___�__ 7.50_
New 100,000 BUT's & over _ 7.50 'Other Equipment Each —� 4.50
Woodburning Stove __ 4.50 1 Trip Inspection _ -A.50
Wall Floor. Suscaended _ 8.00 Air Condition Compressor - up to&incl.3 H.P. B.Ob
Vent Svst?m w/Fan J� 4.50 Air_Cun.iition Compressor 3.1 to 15.H.P.incl. 11.00
gMaair -Heat
_ CITY BUSINESS LICENSE REQUI RED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments: ---
FEES _ 6,0
SUB-TOTALN 16
Ll % STATE .F' Issued By---.
25Ye PLAN CHECK •��14
TGTA�. �_ AEC. # - -" Sionature of Aoolicant
DUILIJINU UC.r mri I Ivitiv I r 1 i"e\tiu
j PLUMBING PERMIT M
i �C.r-n1,raI _Rl.u.mhimq-_ Ins of ,�r�nrn �, 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 (if
Tigard. Such installations require inspection by the City Inspector who shall be notified not lass than four
(4) hours prior to the tirne the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Kneeland Estates Lot 11
Owner_. Grayson Construction Co . Address 9235 S . W, Millen Dr . — Date _4/13/81
_ NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
(Olfit:e Use Only)
Single Family-1 bath-ea(h 1 25.00
Duplex-Each I bath unit _ 25.00
Additional hathroorns-each 1 i 10.00 `_- ) II�
Mobile Home S ace--each 15.00
INDIVIDUAL FIXTURE FEES ^�
_1 to 50 Fixtures in 1 buildin -oath �i 3.00
51 to 100 Fixtures in 1 building-each y 2.50
101 to 200 Fixtures in 1 building-each _ 2,00__T
_201 or more Fixtures in 1 building-each ��- _ 1.50
hIISCELLANE0US
�Building Sew_ er-1st 50 ft, -� 111,00
Sewer-tact additional 100 ft, 10,00
Water_Service_to building` _ 1 5.00_
Private Water S-ysttms-earh 100 It. 10.00
Other (Specify);
PERMIT n� for Plumbing Inspection Phone 639-4171
Plumbing Contractor By
TOTAL _ 41 . 60 RECEIPT NO. 1%sued By ,
[STATES I �,1 - 6:,•y- ,-�yy
BUILDING PERMIT APPLICATION TIGARD DATE—_3 3647
THE UNDF.HSIGNf D HEREBY APPLIES FOR A PERMIT F('rt 1 HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN FHE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOTNO.11, -Keaer;Land_F lt,
OWNER A*Larrt Grayson JOBADDRESS 9i3`a 514 Wilsn�l?riye — �I
ARCHITECT
GO•ADDRESS ENGINEER
BUILDER ('ir L?IiOfl CtJfl6�.T• ►3946 SW 134L��Ur O�.Wd• DESIGNER Gary- Prwtt>ry 633-4616
STRUCTURE L3 NEW U REMODEL �❑ ADDI T ION ❑ REPAIR _❑ RENEWAL ❑ FIRE DAMAGE '❑ DEMOLITION
X RESIDENCE CO COMM Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑_FENCE
OCCUPANCY _R"S`LANDUSEZONE R-7 BLDG.TYPE 6N FIRE ZONE "— PLAN CHECK BY dWh HEAT__ —.9_..s
Re-Issue Permit 43641, +92211 SW Millen Drive
Construct single famil' duelling Lr a.ttechedh
s.
_ SEE CORRECTION SHEET ATTACHED,. -
SEWER PERMIT# 13;293 - J;QJLOQ__
OCC.LOAD FLOOR LOAD 40 HEIGHT _11 NO.STORIES 1 AREA 10519 NO.BEDROOMS 3 VALUIiI151 7tIO.
BUILDING FIEPARTMENT SETBACKS FRONT 2r T REAR 29. 5 LEFTSIDE lZ RIGHT SIDE 22 _
Permit $191.00 —
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan ChEck 10.OQ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE: WITH THE PLANS AND SPL.CIFICA,TIONS AND IN COMPLIANCE.
Sub total 141 �(� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CI.IRRENT CITY BUSINESS
State Tax 4 7.64 LICENSr.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total
$21#9 64 SDC-- ? �►O(l.
rAp�prruved
y l PDG# f I T �0O.130 APPLICANTORAGENT -` ----dwh Receipt No.
ADDRESSF, 01 PHONE
I
i
i
t
1
P
i
DATE INSP. TYPE INSPECTION REMARKS - PLUMBING DATE
- Contractor
Permit No.
Rough-in
Fixture
s.
Final `
/ HEATING
Contractor
T f - Permit No.
Gas or Oil
_ _�—___-----_.-..-_---_-- Final
-- — ------ -- SEWER t
FinalS/--
-" DRIVEWAY
-- — - Final
-- —` Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
_
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final J�
CERTIFICATE OCCUPANCY�i --- -- —'� —
--r-----' � Landscaping
/ �/ Zoning Final
BUILDING PERMIT APPLICATICIN TIGARD CATS
THE UNDERSIGNED HER---:BY APPLIES FORA PERMIT FOR TI iE WORK HEREIN INDICATE4 -'BUILDER PHJNE246-3324
OR A' H01, N AND APPFIO%'E D IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVJNEP.PHONE _
A. Larry Grayson Q ? q o LOT MO.
nQ A►r�
br_.R JOR ADDRo!144ESS 9�as /!►t l( e-.
��jj ARCHITECT swiatom
IILCEA A,—#a�a►y Grayson 00w 8946 ADDRESS 8946 S.W. aarbur >avd. ENGINEER
DESIGNER Gary Petty G;$,
-- __._ ---- Partl-cmd,OR`97 Zt�
RUCTURE NEW Q REMODEL 0 ADDITION Q REPAIR ❑ RENEWAL Q FIREVAM^.E 7 DEMOL
ARESIDENCE C CGMAM ❑ EDUCATICNAL J GOV'T C RELIGIOUS G PATIO G CARPORT G GARAGE Q Si01;AGE C SUIS❑ F
-urANCY ',. _ ID USE ZONE 1` -. BLDG TYPE --FIRE ZONE—:__..PLAN CHECK BY •' HEAT
See � � �� ¢ 0,01 a,
.vERPEgMITI N - E_17340
C LOAD _ FLOOR LOAD 440— HEIGHT- /r NO.STORIES AREA NO BEDROC)MS 3 Ya.Lur.
T FUILCING DEPARTMEN SFT BACKS FRONT .20 REAR .?q-S- LEFT SICE nIGHTSIDE 22-�
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDM',7C
C'+�Ck`W �!G �M .�j l REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED fH.A.
ry
.___ n_ _ WORK WILL BE DONE IN ACCOPDANCE WIT+ �wr PLANS AND SPECIFICATION; AND IN COMPLI
_ - WITH ALL, APPLICABLE CODES AND OFiDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT
_i.t_tal1 -_._ •�� RESTRICTIVE COVENAN(S. CONTRAC,OR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS
oa Tax _ y LICENSE.SEPARATE PERMITS REOUIIIIED FOP,SEWEn,PLUMaMG AND HEATING-
'Zo 10
PL)W APPLICAN T OR AGENT
Y
Receipt No.
;.;.roved ---- AOpc1Es�— PHONE~
-�
_ w 40 O
r _ S Zt /00
SER CONVECTION
JFfi INSPECTION
E P SURCHARCE �� _,