16430 SW 93RD AVENUE 16430 5W 93RD AVENUE
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City ®f Tigard Mechanical Permit NO.
New Installation E] Replace Relocation Q Addition U Alteration Q DATE:4 20/81
HEATING
CONTRACTOR _McCollister )-zeatins .'l A/C Inc,OWNER_r, 'ays,?2�r,t;trunt:i on
ADDRESS ?1)4n W• '�_ncra3s:.a Dcl.�de:�u� te — JOB ADDRESS SW SI '?]rd �—
PHONE_ 6'49-9956 APPLICANT
Heat Input Rating(BTU per Hour) 75w000 Vent Size _ Flue Size 5"
FUEL OIL GAS ELECT a OTHER -
ITEM
THER ITEM _ NO. FEE �+ _ _ ITEM NO. FEE
For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct System 750
New-up to & incl. 100,000 BTU 6.00 Commercial Hood System 7.50
New 100,400 BUT's & over 7.50 Other Equipment - Each 4.50
Woodburning Stave 4.50 1 Trip Inspection
A.50 _
Watt-Floor- Suspended 6.00 Air Condition Compre.sor - up to& incl.3 H.A. 6.0p'
Vent System w/Fan _ 4.50 Air Condition Compressor-3.1 to 15.H.P,inrl. 11,60
Repair-Heat Cooling
CITY BUSINESS LICENSE REQUIRED BY ALL. CONTRACTORS OR SUB-CONTRAC-TOR5 ! !
_PERMIT ISSUANCE 10.00 Comments:
FEES 6.0
SUB-TOTAL 16 .00
`._`—_---
-T; STATE Issued By--
25% PLAN CHECK
TOTAL T_ 1 • ' REC.
ianature of Aa�^ olicant '
WIWIW W=_
DUILUIIVU UCrHry I IvICIV I, 1 1"AHU
PLUMBING PERMIT .l��T
0
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 time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Kneeland Estates L.ot 29
0wner___�_r__y_son Construction Co . Address 16430 S . W, 93rd _ _ Date 4/ 13/_81
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
R�1DEN7fA_�_ S
Single Family-1 both—each 25.00 r 25 (}Q —
D�lex—Each 1 bath unit _ _ _25.00
Additional bathrooms—each 4� 1 10.00 �1 Q, Q Q
Mobile Home Space—each_ Y` 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 cc -- --
201 or mn-re Fixtures in 1 buildingoath ^^—r 1.50
MISCELLANEOUS ��—
Buildin Sewer-1st 50 ft. 1000 —
Sewer—each additional 100 ft. 10.00
Water Service to building _ 5.00 5 . 0
Private Water Systems—each 100 tt. 10.00
Other I pecify►;
PERMIT 40. 00 For Plumbing Inspection Phone 639.4171
__Y� .State Plumbing Contractor By
TOTAL 41 . 60 RECEIPT NO. Issued By
i
i
I
BUILDING PERMIT APPLICATION TIGARD DATA "tip ,,��_ 3653
THE UNDERSIGNED HEREBY APP! IES FOR A PERMIT FORTH EVVORK HEREIN INDICATED BUIL DER PHONE 246-3324
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATrnNS. CWNEH PHONE
OWNER A. Lart y Gray 801UOBADDRESS LOT NO._�`+_— Ilf�rtil0flt�I_ 16430 SW 93rd Avenue _
T ARCHITECT
GINEER
BUILDER Grayson Constr. CO. ADDRESS 5946 SW Bar bur Blvd, DESIGNER Gary Potty 0135-4616
STRUCTURE EX NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_ ❑ DEMOLITION
X RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE Cl SLAB[I FENCE
OCCUPANCY :H-- LAND USE ZONE 27 BLDG.TYPE FIRE ZONE "`—PLAN CHECK BY awi HEAT--ya 8 _
-- Re-Issue of Permit #3642(9240 SW -Millen Driv�
Construct single family dwelling w,/etteched garage. 3 89droame 2 Bathe.
SEE CORRECTION SHEET ATTACHED.
SEWER PERMITM 23299 1750,00 Qarags 506 eq. f t. _
OCG LOAD FLOOR LOAD 40_HEIGHT 13 N0,STORIES® 1_-_ AREA 1100 NO.BEDROOMS 3 VALU&47,550•
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 45 T LEFT SIDE V.1 RIGHT SIDE 6
Permit $181.00THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IW THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Pian Check 10.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANU SPECIFICATIONS AND IN COMPLIANCE
—�WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total 19.1 s()0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4% 7.24 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC— j400.Go
� roc^� X6196.24
By
PDCM I 1100.00 _ PLICA
APNT OF AGENT - -
pl
Approved duh Receipt No. e
ADDRESS PHONE
i
1
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. j2�S-b �
I
Rough-in
Fixture
Final
'A" HEATING
�o_ �., Contractor
Permit No.
Gas or Oil v
Rough-in -- -------
Final
SEWER ^
Final T-Z
DRIVEWAY
�— _`--_ --
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb h Street Final
Approach
^_13LOG. VEPT.FINALTEMPORARY CERTIFICATE OCCUPANCY Final
` ATE OCCUPANCY A
57,�J�Q/ Landscaping
1 T p :oning Final
13UILDING PERM ITAPPLICATIONTIGAa� DArE3(,oj'3
� ,9
�
THE UNDERSIGNED HEREBY APPLIES FON A PERMIT FOR Tt iE-WORK HEREIN INDICATED 'BUILDER PHONE
246-3324 AS SHMVN ANO APPA0%'E D IN THE,CCOWPANVING PLANS Ar`ID'P246-3324
// e� '�"".�, A' ECIFICITIUN.,. OWNER PHONE
_ p A. Larry liraySOn JOB A_DD_RE;3 /6 30 9cV 93 `eAV LOTrJ0.�9 --y-�
^ /1 ".�j�. p.- - — - ----- - - - AFICHIIECT - MI quf( r
„�,,Ep .A,-�a�r�r ---- n(:o+�-- SAD-_`pgEgS 8946 S.W. Barbur Avd ENGINEER
�n�. -97219- ' DE (,3
DESIGNER Gary Petty ,_y6,,
aUCTURE NEW O -- _ n RFNE`N�AL C
FIRE DAMACE ❑ DEMOLREuODEI AODIr!otd REPAIR
RESIDENCE '�'
_ = I.. CC
r" Q EOUCATIONAL C GOVT C RELIGIOUS G OA�1 `- -- �- -
_ 0 C CA;4 P(,RT C GARAGE STORAGE C SLAL°C F
�7
LAND USEZOvE --ee�� - �`
_�_-!—_ BLDG 'YPE s�_ FIREZONE_!' PLAN CHECK BY -r
-'€1Up �JC.42 L9? i/la►, �- -------------_______-__ HEAT
.4cHPERMfT•
C LOAD FLOOR LOAD 1!1) HEIGHT /3
NO.STORIES. -� AREA ��DO NO�BEUAUUMS
_ BUILCING DEPARTMENT Vb.LUE
»nn
SETBACKS FRONT 20 REAR ,.$^ LEFT SICE �/ RIGHT SIDE Gi
�'Tll) /V hO =- a- '� _^- r•s- aer_rrr_-r--=-.-= ==^..--"'-a�-W- _
V V
11115 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN F
C1�t;k ��, a� REGULATIONS AND ALL APPLICABLE CODES AND OROINArICE5. AND IT H� EVIL CODE,ZC
WOPK WILL BE DONE IN ACCOPDANCE WITH THE PLANS AND SPECIFICATIONSIS SITY AGREED TFL
/C; Op WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF TISPER!q T RI COtrtT
! RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOAS TO HAVE CURRENT CITY 8US
t:o_a ?- LICENSE.SEPARATE PERMITS AFOUIRED FoR SEWER,PLUma1NG Arlo HEATING.
.Ia1 'p p Z SDC•-
-1--�L POCK APPUCr O
:CrOvb Receiol No. _
.............
s ..1L. /oo
_IER CONNECTIOri S 72-
SER INSPECTION S
_'ER SURCHARCE S
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