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City of G Igasd Mechanical Permit NO
New Installation ElReplace C] Relocation❑ Addition El ..Iteration ElDATE: 3/31/R1
HEATING ;rpt son Construction
CONTRACTOR MCColltster Iitu. & A/C Ing. OWNEFI Y
ADDRESS 21g40 W. Baseline RdRd._Beaverton .IOSADDRESS._9240 SW Millen Dr. , Tigard, OR
PHONE_— 649-9956 APPLICANT McCollister Htg. & A/C Ire.
� i Flue Site_.
Heat Input Rating(PTL1 per Noun —�,:�._...__,.___..._._� Vent Size I" !.
FUEL 011.❑ GAS [3 ELECT ❑ OTHER
— —. —ITEM "INO. FEE _ ~� ITEM NO. FEE'.
For Issuance of Permit _ SEE BELOW _ Each Air Handling Unit or Duct System_ _ 7.50
Mew-up to & incl. 100,000 BTU ] 6.00_ Commercial Hood System_ 7,50
New 100,000 BUT's & over _ � 7.50 O.her Egui mentpEach �4 V �4,50_�
Wood!burnin Stove 4.50 1 Trip Intpection X5.50
Wall-Floor- Suspended 6.00 Air Gmdition Compressor - ep to&incl.3 H.P. _ E.00_
Vent System w/Fan 4.50 Air fnndition Compressor•3.1 to 15.H.P.incl. 11.00
Repair-Heat Cooling _ 6.00 _ _�
CITY BU!1NESS LICENSE REQUIRED BY ALL C.ONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments:
FEES
SUB—TOTAL _
% STATE — Issued By �~
25%PLAN CHECK
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T07A L REC. #
ianrnsre of Ao ncant
13UILDING PERMIT APPLICATION TIGARD DATE—r'a; t}._" ts_�x 3642
THE UNDERSIGNED HEREBY APPLIES FGR A PERMIT FOR THE WORK HEREIN INCICATED BUDDER PHONE 246-3324
OR AS SHOWN AND APPROVED IN THE AUCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE.
LOT NO. _14-11, icalatul Eat Z
OWNEH A Ldrry Gra„v,eua JOBADDRESS240 qW Ilan !!r�'V:�- ----__----------------__- -_
— ARCHITECT
ENGWEER
BUILDER (mye8on Cag,at• 470._A_ ADDRESS ;11946 Std barbur '`s v(l. _DESIGNER ..C,Agjpa' L,433-46.16
STRUCTURE Gd NEW ( ! REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
C3"RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS Cl PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 11-1 _-LAND USE ZONE -7 BLDG.TYPE _�FIFic ZONE_.._-'^ PLAN CHECK SY �5�1}t!_HEAT�.aB
wiis rust ninIje fa-iily ,Swelling wick attached garae–e
See carr+ectit,� sheat attached. 3 bedrooms
— 2 htat:ttie
SEWER PERMIT If - 232911 -- ---------.._—.-�;yucA ._ (�---- ---- --
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 NO.STORIES 1, AREA 110',) NO.BEDROOMS 3 VALUE 47r 550
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 37 LEFT SIDF RIGHT SIDE 1
Permit ltll•l:V THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
90.50REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE D014E IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total —�iRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Statt,Tax C! 7.24
— SDC-
To!4_
-otal-- M PDCM �(1 l,i}fj•illi APPLICANT OR AGENT --�
By
Receipt No. '
Approved !.)am_ ADDDDAE99----- -- PHONE
DATC INSPP, TYPE INSPECTION - a_ REMARKS - _� r PLUMBIG DATE
-- N_ .- I
-3-2 --'� Contract
Pemilt No.
ell Rough-in r t/
Fixture
Final
Contractor
Permit lqu._ca all
Gas or Oil fi `
- — --— Roughdn
Final
SEINER -- -
_ — Final
r•
DR:VEWAY
Final
.._ - Storm Dre:iage
- IRain Dtain)Final
—_ ------ Sidewalk -
-- - —_ "urb&Street final
BLDG.DEP FINALTEMPORARY— CER'PIFICATiro-CCUPANCYTF
roaeh
�CER'I'IFICATE OCCUPANCY al
Landscaping
VT
Zoni,,g Final
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BUILDING PERMIT APPLICA T InN TIGA:::) DATA//!�l' 19 8f
T}HE UNDERSIGNED HER EPY APPLIE S FOR A IT FOR THE WORK HEREIN INDICA'ED BUILDER PHONE44t-13"2•4
OR AS SHOWN AND APPFI'OVED IN THE:ACCOMPANYING PLANS AND SPECIFICATIONS, 00JNEFI PHONE --c
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40URESS 2 '3V�► /A i IEr► '�'+ Ve,• a
rtJIL.DER 1�4Lq$Dot 60%st. l.t�C1RE55�4ae�SotL �A�' MP �fr . DESS I�G��� �•�.��>��G3�/f,
3T'4UCCURE /y� NEW CI gFVJ0E'L IZ AUDITION ❑ REPAIR ❑ RENEWAL FIRE UwAAGE Cl DEIAOLr,
't 9-;SIOENCE C CC?,I.M L FOUCAflCNAL. l GO'V'T C3 RELIGiOUS ❑ PATIO Cl CARPORT ❑ GARAGE ❑ STORAGE C; SLAB❑ FENCE
.-00FANcY _I! _LAND USEZON, �' BLCa.TYPEIaEZONE—',PLAN CHECK BY 7P HET.,.
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)CC WaL, FLG'7)8 LOAD HEIGHT NO.STORIES - AREA ONO.BEDROOMS
�EIUILOI^, -DFPARTMFNTSETE'iACiip RES FROr4T AR �
.� !���- LEFT (O RIGHT SIDE
8
'^tTitN 6_30 I VIIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THZ PU;LDING CCiDE,ZO?.:`a"
EGULATIONS ANO ALL APPLICABLE CODES AND ORDINANCES, AND IT 15 H-:RE3Y AGAE D THAT TME
lI2nCheek _ WJR3' WILL BE CONE IN ACCOPCANCE WITH THE PLANS AND SPECIFICATIONS AND IN COt.iPLIAN;.Ei
'AIITH Ai APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS FERI'lIT GOES PiOT •NA1V:
".ul}trlal ?J71 r.�� pES'R::TIVS C.11115NANTS. CONTRACTOR AND SUS CONTa,ACT0.73 TO HAVE CURRENT C1 T'f EUS IN'-s
—- �'r.-I
It IV.+lS,= SEPAA ATE PERMITS REQUIRED FOR SFVi ER,PLUh18ING AND HEATING_
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