9220 SW MILLEN DRIVE 92:`0 5W MILLEN DRIVE
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City of Tigard Mechanical Permit NO.
3 AlteTatio;s
1Jew installation 0 Reptace ❑ Relocation C] Addition f ��
S1ATE•March 31 , 1.98
HEATING McCollister Htg & I /C Inc . OWNER_ Gr
CONTRACTOR . �o n' �ruction __
9220 SW Millen Dr. , Tigard, OR.
ADDRESS 21140 1-l'_ Baseline P.d. , geavertori SOB ADDriESS
McCollister Ht 9 AIC
PHONE 649-9956 APPLICANT Inc.
Z5000 tient Size 4 Flue Size, r'
Heat input Ratiny(STU per Hour) �.1_•
FUEL OIL L] GAS 0 ELECT p OTHER -� ----- _ — _
-- ITEM NO
ITEM Np. FEE . �F['.E
For Issuance_oi Permit SEE BELOW Each Air Handiin unit or—Duct System 7.50 _
New-up to & inct. 1Q0,000 B7l! 1 6.0QCommercial Hood System _ 7450
-_l. 7.50 Other E ument Each _ 4.50New 100`000 BUT's & over _ A.5D _•
Woodburninq Stave �� _ 4.50 1 Trip Inspection y _
Wall Floor Suspended ^M ____ _ 6.00 Air Condition Compressor • up to& incl.3 H.P. e.00
Sxstem wr F.. 4.50 Air Condition Compressor.3.1 to 15.H.P.incl. 11.00
Vent _
pair�Heat Conlin _ 6.OD
Re ^ -- ---
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTP.ACTQR5 ! ! T A
PERMIT ISSUANCE 10.00 Co nments: _ - -- —
FEES -..__ —_------____ _ --
$1.i8.-!Lo rA
_%STATE .' ' Issued By
25'A PLAN CHECK ��=-1 ,►�c
TOTAL ._ _ _ _ REC. 0 Signature of Aootirant
BUILDING bEPARTMENT, TIGARD
PLUMBING PERMIT N ' r
_ Central P1 umbi�n'g I n��._-Qf_QE-i!,gQtL, holder of a valid plumbing contractors license is hereby
authorized to cause plurrihincg work as horein noted to be, instilled iii accordance with the plumbing code of
Iig,ird. SLIch installations require inspection by the City Inspector who shall be notified not less than fou; el
(a) hours prior to the time the ;nstallatians are ready for inspection. City of Tigard h.:,iness Licence required
for all contractors and sub-contractors. Lot 13 - Kneeland Estates
Ovmer_ Grayson Construction Ardd Psi 9220 S . W. Millen Or_ _ DaNUNISER 01 te
1 r � TYPE OF PERMIT _ !TEES FEF OPV fnC.Fl A"0TAL
i
OUNT
_-W _ _ _
Sina�e Family-1 beth-each 1_ T5�00 2 5. 00
Dvp6!x-Each 1 bath unit 25_Ui1 _
Additional bithroos-each 1 10.00 _ 10. 0�
m
_ ,Mobtiv Home Spice-each _^- —_ - 15.00
INDIVIDUAL FIXTURES CUf�inERCIAt
I to 50 Fixtures in t building -cath -3.00
�91 to 100 Fixtures In 1 buildin -eac`t 2.50
101 to 200 Fixtures in 1 bull lir,-each
701 or more Fixtures In 1 buildiry exh 1,50
1,11SCELLANE0US
Sewyr-Asch addit.onal 100 ft. _ 10.00_
Water Serv'.ce to buiidi_n� _ ,___, 1 ---- -5.OU . 00_— _
PERMIT 4 0. QJ for Plumbing Inspection Phone 6394171
( �49;State _ 1 . 60 Plumbing Contractor By �� —���
I _ -rOTAL 0 RECEIPT NO. Issued By
v
i
3/20/ j � .
BUILDING PERMIT A7PI_I ATION TIGARD DATE—.__ _--,1s__ _ _. rs
THE UNDER''IGNED HEREBY AP '[-!FS FOR A PERMIT f-01-1 4HE WORK HEREIN INDICATED BUILDER PHONE 146-3R46—
OR
46-33^OR AS SHOWN AND APPROVED IN ,HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.13KnamletuL_L:S 1
OWNER � I �}��-� Y�il. JOBADDRESS ()2ZQ y;, R�i�}�. Tl !)7C)`d[. __ __..
__. —ARCHITECT
ENGINEER
a�'F
BUILDER a'a!tua, C:onst. !'.o, _ADDRESS :t946 SW ha1'rbur 31vd. DESIGNER wrun� Pe —4016
STRUCTURE W44EW-�C 1 REMODEL ❑ ADDITION ❑ REPAIR ❑ RHNEWAL 11 FIRF DAMAGE ❑ DEMOLITION
LI�RESIDENCES❑ COMM ❑ EDUCATIONAL L GOVT ❑ RELIGIOUS U PATIO ❑ CARPORT EJ GARAGE El STORAGE ❑ SLAB❑ FENCE
OCCUPANCY n-3-—LAND USE ZONE 1-7-_.__BLDG.TYPE �__jU__-FIRE ZONE___PLAN CHECK BY ._DR] _ HEAT
int-rnet F:i;iglle family dweiliny, tvith Attached garage _
,rtrctic�n Ftheet attached.
SEWER PERMIT N
OCC.LOAD FLOOR LOAD ;U HEIGHT 11 NO.STORIES * AREA t09'! NO.BEDROOMS 3 VALUE _
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 25.5 LEFTSIDE 11 RIGHT SIDE
Permit THIS PFPMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check °J'•gla WORK V, )t BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
� 6S1 WITH AL._ APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
r
Sub-total RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEALING.
state TAx ,�`1 7.6h
SDC- -.10.
Total 294,14
POCK LL 100.0o APPLICANT OP AGENT
By
Approved
liJVI _ Receipt No. _ HONE
Y DATE INSP. TYPE INSPECTION REMARKS PLUMBtNQ DATE
—--
�y� Contractor —/
l/ — ---- ------ LN — _
�vJ�+/w Ti..,—� —
HEATING
--
Contracto
_ —� Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
y Final
_ Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.
4 BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
ICERTWICATEOCCUPANCY (()) Final
k ��,�_ Landscaping
Zoning Final
s4
BUILDING PERMIT APPLICATION TIGARD DATE. � .19A }
TIDE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED 8UILDcR PH0NE�'�7
08 A;SHnWN AND APPROVED IN i•HE ACCOty1PANYING PL ANIS A ND SP^E�CIFICATIONS. OvvNEP PHk'E -_�— $4/i.Larm r4 ��OBADDRESS 12.2gW IA I Icyi►'�'7+tel Lf-.)T NO. -TQM
//�� yy�� �nj !IR!?fMFiE9T�
9UILOCAVAOA COW)t e0- ADDRESS & 1�Ao►Jwr �'r_ DES •Gam_ (0 3s.y&r&
STRUCTURE NEIN 17 REMODEL r ADDITION ❑ REPAIR Cl RENEWAL ❑ FIRE DAMAGE VEMOLFTION
iiES1OENCE I^, CCMM ❑ EDUCATIONAL 71 GOVT [] RELIGiOUS 0 PATIO r-, CAR PORT C GARAGE l,._1 STORAGE U, SLAE❑ FENCE
_ . T__ ' ____HLDG.TYPE 5. _,FiPEZONE " _PtANCHECKBY HEAT
Z
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iE .IER PERMIT is— A - � __-73& --
:CC.LOAD FLOOR LOAD 40 HEIGHT— NO.STORIES _1ARFA 109q NO.SEDROOMS .3 VALUE: IIrJ_Od
_ BUILDING DEPARTMENT g�BACKS FRONT O REAR 2d•.S LEFT SICE O°J* RIGHT SIDE
P^rmrt Iy I•�n THIS PERMIT IS ISSUED SUBJECT TO IHC REGULATIONS CONTAINED IPJ T}iE EUiLDING CGuE,zO?J'^JC
q REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED TWAT i VE
lIanCheck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO'iPLIANCS
WITH ALL APPLICABLE COOLS ANTI ORDINANCES. THF ISSUANCE OF THIS PERr,11T ROES N7' `NAIVE
���7-sORE:i1RICTIVE COVENavTS. CONTRACTORANF) SU5 CON7aAr7na FO HAVE CURRENT Cii f EUSI�icSS
/�� UCENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUr.181;4G AND HEATING.
ate Tax • ( !� '1-
"' �Q SOC
Total ---------._�.__._
pD(;A APPLICANT OR AGENT
By
Receipt No.
ApprovADDRESS,— PHONE _
ed —��_
7c s _
WER CONNECTION S Mr
:WER INSPECTION $ �9
:WER SURCHARGE $ r -
,,..I2.3-Q �1A.a 90Z
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any ,�o�sT. L'a 8 .it Q fetal
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1a49 364 37, W-
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