9255 SW MILLEN DRIVE 9255 SW MILLEN DRIVIE
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City. of Tigard Mechanical Permit NO. .
Kew Installation Replace ❑ Relocatio•�❑ Addition ❑ Alteration LiDATE: 3/31/81l...7
i
HEATING Grayson Cons i-.ruction
CONTRACTOR IicCollister OWNER
0 41940 W. Baseline Rd, Beavertor J013 ADDRESS 0255 SW Millen Dr. , Tigard
ADDRESS
PHONE ('49_9956 APPLICANT McCollister I1tg. & A/C Inc.
Heat Input Rating(13TU per 4cur) 75000__ Vent Site Flue Size 5
FUEL OIL❑ GAS n ELECT ❑ OTHER --
ITEM � T 0. FEE _ITEM NO. FF'E
For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct System 7.50
New-up to & incl. 100,000 ETU--_ 6.00 Commercial Hood Sv�stem 7.50__- j
New 100,000 BUT°s & over_ 7.50 _Other Equipment - Each _ !i.5(j f
Woodburninq Stove _ 4.50 1 Trip Inspection 4.50 __•
Wall-Floor- Suspendel _ _ 6.00 Air Condition Compressor -vp to&_incl. 3 H.P. 6.00
Vent, Systern w/Fan 4.50 Air Condition Compressor,3.1 to 15.H.P.incl. 11.00
Repair-Heat Cooling __ 6.00 '
CITY BUSINESS l_'CENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! I
PERMIT ISSUANCE 10.00 Comments:
FEES •r)
SUP-TOTAL
% STATF •` " Issued Ev
25%PLAN CHECK
TOTAL 16.64 R EC. # �-
Signature of App Ztnt
N�' 13UILDING C'EPARTMENT, TIGAfID ND
PLUMBING PERMIT f
Central P1 umbl'ng Inc , of_Oregttn— holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work a5 herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by toe 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 Susine<i License required
for all contractors and sub-contractors.- Job
Orayson Cons r c ____ Address.. 9255 S .W. NI' 11erLD� _ Date_312b.�81_.
Owner- _
NUMSEta OF TOTAL
lY --- TYPE OF PEhMIT (TEh1S FEE 0+1 EACH -�A1,10UNT
25. 00
$finale Fam�I.-1 ttlth-Neh
Du lax-Each 1 bath unit -
�A�idonal
10.00 10
batnroome-$ach _• _ ��_ _
hlnbile Home Space-each
rINOIVrr)UAL f_1XTURE9 CCJ(' f EERCIAI -
_
1 to 50 Fixtures In 1 buildi '-
)__S1 to 100 Fixtures in 1 buildin -each �_�__ _ _ _ _ 2.50
i lot to 200rixtures in 1 buildirg-each _ - 2.00_•
I ?O1 or mora Fixtures in 1 buildinu�eorh __� -______,1.60
114ISCELLA_NEOUS �M
Sewer-each addi'ional 100 tt.� -_ _ ,y-- 10�!- ----- — --- — - -
Water Serviceo buildinnq
�- PERMIT 40. 00 For Pitrmbing Inspection Mono 839.4171
I 4 d St ate _ 1 . 60 Plumbi.fig Contractor By �,rx��
I TOTAL 41 . 60 RECEIPT NO. Issued By _ --
r
BUILDING PERMIT APPLICATION TIGARD DATE_
Harch 2EI, 3640
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER
UILDSPHON
OP AS SHOWN AND APPROVED IN 1 HE ACCOMPANYING PLANS AND SPECIFICATIONS. ONE
LOT N OWNER PH N.lifelaitntl 6-llt« I
OWNER SLI L; tyre au L JOB ADDRESSF?_hy l --- ARCHITECT�4^— ---�--'
ENGINEEF i,a Pott 635-4616
BUILGER (;rayooll ConsL« Co. ADDRESS 8946 S.W. Borbxir 1l17do � DESIGNER�`x'Y Y
11 DEMOLITION
STRUCTURE 1NEW_ ❑ REMODEL El ADDITION ❑ REPAIR —El RENEWAL _ ❑ FIRE DAMAGE _
CEDUCATIONAL L-3GOV'T El RELIGIOUS 0 PATIO ❑ CAR PORT Cl GARAGE El STORAGE ❑ SLAB❑ FENCE
[XRESIDENCE El COMM ❑
_ !)W1 HEAT_-Gaul
OCCUPANCY _ _—.LAND USE ZONE �L— BLDG.TYPE 51 FIRE ZONE-- PLAN CHECK BY^ — =_ ..._
(;i►st4LreeCL' [4z �laie Lr�uilp �.Id✓allill�; uitZti stc�tea►rx�i FAra- _—.--- -- - --
3 txs r:trooms
,. rffrrrit t ` ^hent QCta clieCl ---
1 baths
SEWER PERMIT N` _ _ -- �zgr��•, --�— -�- —
12 NO.STORIES 1 AREA 11')y NO.BEDROOMS 3 VALUE �'1 o2 }O
OCC.L')AD FLOOR LOAD S HEIGHT --------•
BUILDING DEPARTMENT SETBACKS FRONT REAR
16
�, LEFT SIDE RIGHT SIDE
Permit— j:I] •t)I' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONINfi
— REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY .AGREED THAT THE
Plan Check « I WORK WILL tit: DONE 54 ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLK ABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4 l« � 400,W)SDC-
Total 1`_±4.14 _
PDCN IT I.D+?«00 APPLICANT OR AGENT
By _ __ 1 _
Uilf� Recelpt No. JC ADD — - PHONE
Approved ______r—
DATE INSP. TYPE INSPECTION REMARKS I PLUMBING DATE
y __ Permit No. �
Rough-in H i
Fixture--- �'-__
5/-.Z 7-b op Final
- HEATING
Contrartor - /
Permit No.
-
Gas or DII
Rough-in
Final � --
_�—� - SEWER
Final —, 7,Jv
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk +
Curb&Street Final
Approach
REDO.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE_OCCUPANCY (( Final
a
Landscaping
Zoninq Final
f
BUILDING PERMIT APPLIC,;ATIONTiGA, �R DATE !!L �
_ ._ __. 19 3&4o
THE UNDERSIGNED HEREBY APPL.IFS FOR A PERMIT FOR IHE WORK HEREIN INDICATED BUILDER PHONE2q_&'?72'+
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING__5*) ORS"
ANO SPECIFIC,pATIONS. OWNER PHONE is
A•L 46-rvw rQ Y B ADDRESS �`Z5S' Y�/ ��(O1A Q" �•P"1 V Z.• LOT NO.- T�1h
SUILCERC'�A64vvjft00%ST. GAO. ADDRESS11IMSIf gAPikr '911vt. DESS INE-gL*r%Rt*q_G3s.wom
STRUCTURE X NEW ❑ REMODEL ❑ _ADDITION ❑ REPAIR ❑ RENnVA_L_ ❑ FIREDAMAGE CI pE►rOLf�ION
RESIDENCE C COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS C� PATIO C CAR PORT ^ GARAGE G STORAGE ❑ SLAB❑ FENCE
iPANCY ,�,(.AND USEZONE '� BLDG.TY-E—_S I�„_._FiREZCNE``”` PLAN CHECK BY^ NEAT. ��7
a I&Fgw.*6)ty -3)&.j&I :n a �.I+eCQ Gare°_
�� _ 'C� 5—
5EWERPERMIT# _ 06V" Q.. /00�-
%
;SCC.LOA _ FLOOR LOAD L ® HEIGHT +NO.STORIES__/ AREA I 1 0 f NO,BEDROOMS 3 V4.L UEs ,'j
BUILDINGCEPARTMENT� SETBACKS =BONY ZO REAR 3 LEIZ'SICE �j
_ �/� RIGHT SIDE ZZ
THIS PERMITIS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TIDE GUILDi�IG CODE,Z(1 G
j`0� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREEE3Y AGP:EL' THAT Tulp
plan Check I �• WORK WILL. BE DONE IN ACCOP.DANCF WITH THE PLANS AND SPECIFICATIONS AND IN CO,:PLIANC._
'7 p� WITH ALL APPLICABLE CODES AND ORDINANCES. THE iS5UANCE OF THIS PERMIT DOES NOT WAIVc
RESTRICTIVE COVENANTS. CONI RAC TOR AND SUS CONT RAC i OR3 TO HAVE CljRF1=N7 CITY
t.ata Tax 7. to
LICENSE_SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC—
ZL
Total 9 4, e 7-
Hy POC# APPUCANT OR AGENT - --- -- --
Receipt No-
Approved ADDRESS
.IC - 1L 100
'WEN CONNECTION S 7,2.5
_'WER INSPECTION
:WEFT SURCHARGE S '� Pt -�Ob fib` .
4 . z-2, Sf 041 3.4,:t __ ----- ---T_._
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