9330 SW MILLEN DRIVE-1 9330 SW MIS LEN DRIVI-I
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# � W R
Ecrx�1 ,NOTICE
city of Tigerd Building Departatent
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALr
Post/Beam Struct. Sen. Sewer Frading -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mach.
Date RequeeLed: - .$, �Tlaef -��—_AM . _PM
TH. FOLLOWING CORRECTIONS ARE RRQUTRF.C:
Cal
Inspector:, Date:..
!/APPROVED UISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
EA
����� NGARD BUILDING PIERMlT
(Cffy&TWARD 1:,R III I T # BIJP91-0102
COMMUNITY DEVELOPMENT DEPARTMEK1
of
13126SWHW1 Blvd. P.O.Box 251397,Tigard,Oregon 97223
ATE ISSUE-D., 05,/21/91
PARCEL. 2S114AB 03201�,
mlll� SW MILLEN J)Fr
SUED IVISION. . . , KNEELAND ESTATES ZONING:
BLOCK. . . . . . . . . . . 1...07,
RF-I SSUP FLOOR (REAM EXTERTOP WPJI-.I- CONSTRUCTION
CLPSS OF WORK. :ADD FIRST. . . . :224 of N: S-. Ei W3
TY[-'E OF (Jc-,',I,.'. . . - iF' 3ECOND. . . -, 44f PROTECT OPEN I NOS?
TYPE OF CC)NST. -.SN 'THIRD. . . . 4 S f N: S: F. W1
OCCOPANCY (SRF'. :R3 TOTAL--..--- --- 4�f 8 s ROOF CON137- FIRE RET 7 :
OCA."UPANCY LOAD: BASEMENT. : S O)REA F�EP. RATED:
STOR. : HT". : f t GAROGE. . . : 3f OCCU SIEF'. RATED., 1HR
85;MT?- MEZ Z? REDID SETSACRS----------
FI...00R LOOD. . . . ..40 psf LEF T: ft Rt'
114T.- ft FIR SPKL: 5)MOK DET. . .,
DWELLING UNITS: F-RNT: ft REAR: ft FIR PLRM: HNDICP FICC:
195 E,D H M S t SATHf.;: IMP SURr--'f:4CE: PPO CORR: PARKING:
VALUE- $ - 1000
Remarks: addition f-livied garage into 2' rooms 1/2 qAr,-kqe other- half family room
Owner :
MII'+. SHAW type amount. by date r fa r,p
9330 SW MILLEN DR PRMT $ 17. 50 JLH 05/19/q1
PLCK $ 11. 38 JL-1I Q15/16/91 L)
TIC-,(414U Cj R 97 2r-,4 5 PC:T 11, o. of JI-fi 0!�j 19 1
Phone 0: 503-680-9803
Contrat:tor-
OWNER
Phone 89. 76 TOTAL
f3 ri
---- REOUTRED INSPECTIONS
ii vermit is issued subject to the reculatiots contained in the fvlpt,l anic,,al Ins
Tigard Municipal Code, state of Ore. Specialty Codes and al', other Pr am i ng I n s p -------
pplicable laws. All *,orN will be done In accn,4rce with. Insu,ation Insp
approved plans. This permit will expire if work is not started Gyp Board Ins;F.1
withi^ 180 days of issuence, or if work is suspended for more Rai v, dl.-ai n In-,v
than 180 days. F i r..-:1 I I nsopct i on
I i t ai
Cal I for i risoect i on 634 --4175
II I
CITY OF TIVnFM -- WF'("VAPT OF PAYMENT RECEl FIT NO. :91-21341"7
C',-J1!CK AMOUNT x I a. 38
1 NAME MIKE WIAW CASH PMnUNT 0. 00
A D I I R E 835 9330 GW M) L.L.EN DVIVE. FlOYMENT VA17- 05/21/91
SUDD V 131(x,.
I IGARD, OR 972F-A--
PURPOE-sE OF PAYMENT AMOUNT PA 11) "URPOSE [IF PAYMrNT PMOUNT rp I p
II
BUILDING PF RM 17. 50 ST. BUILD PER
.10TAL AMOUNT PAID IS. 1,38
.............
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LIAPILITY: The City of Tigard, Oregon, or It's
employees, seall riot be responsible for
discrepancys which may appear hereon.
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�- 131u sw f tau f3wd- PLNCK/REC,T #CITY OF 7_ IGA.RD PO&�a73397 PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT 7igard,Oregon 97223
(503)639-4171 DATE ISSUED
JOB ADDRESS: 3 3O I I I I � TAX MAP/LOT
SUB: _�rie �f.S OJ eSShOT: Z- LAND USE: _—
VALUATION:
OWNER r,n SPECIAL NOTES
NAME: I V �� J r `��ti` REISSUE OF:
ADDRESS: - 0 LAST REISSUE: —
T1q f) __ FLOOD PLAIN/
PHONE: (0 U -1 __ SENSITIVE LAND:
CONTRACTOR
APPROVALS REQUIRED
NAME: Q1AJ �� - PLANNING: --
ADDRESS: ENGINEERING: —
' F7IRE DEPT: -- -.- ---
PHONE: _--.— -- — - OTHER: —
CONTR. BOARD #: _—_— EXP DATE: _
ITEMS_ RLQULRED
S11 CONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH: _ —. BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: —_ _ —_._ TRUSS DETAILS:
ADDRESS: — OTHER: —_—
PHONE:
PROPOSED BLDG 'JSE: -- -
COMMENT S: _.- — — ------_ _ -----_
APPLICANT SIGNATURE _
Received By: Date Received:
mlw --- SIF A
PERMIT 4 ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
��uP
0103 !0-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees .
10-230 01 State Building Tax (5%) ,$+�
Building
Plumbing
Mechan;cal _
3�
10-433 00 Plans Check Fee
Building -7,9,
Plumbing
Mec`aanical
10-2.30 06 Fire --
30-202 00 Sewer Connection —
30-444 00 Sewer Inspection —
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
2.5-448-06 institutional TIF Fees
25-448-03 Office TIF Fees _._
25-448-01 Residential Traffic Fees _
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrq
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24.445-02 Water quantity (Fee in lieu of)
TOTAL
nm/3587P.YrF
UITY OF TIGARD - RECEIPT OF PAYMENT RECEIF,-,T NO. v9t-2133�s
SHAW, Bf]NNXIL-* CHECK AMOUNT e 11. 38
A D D R E Vl$9 9330 5,W MILLIN DR CASH AMOUNT 0t 00
PAYMENT DATE
I
TIOARD, OR 17224-- SUBDIVISION
PURPOSE OF PnYMENT AMOUNI 1='A?13 PURPOSE OF PAYMENI' AMOUN-r pA I D
PLAN CHECK FR
VOTAL AMOUNT PAID 11. 38
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City of Tigard Mechanical Permit NO. .
New Installation C-f Replace Relocation CJ Adtlition Alteration DATE: 1 /2081
HEATING
CONTRACTOR T."EA„„. AA i., - OWNER_
ADDRESS 2194 0 W. Baa el i Ue Rd Re avertgn Jp8 ADDRESS 9330 Sw Mi 1 Dx `
PHONE 649-9956 APPLICANT_
Heat Input Ratinn([3Tl! per Hour) 759000 Vent Size_ 4 Flue Size r”
FUEL OIL[] GAS [I ELEC-r OTHER
_ ITEM N0. FEE ITENi NA. FI:r- -
- - _
For Issuance of Permit SEE BELOW Each Air Nandligg Unit ar Duct System � '
New. - to & incl. 100,000 BTU 'S0
—�P —�_ T6.00 Commercial Hood System 7.50
New 100,000 BUT's & over _ 7.50 Other Equipment - Each �--
Woodburnin Stove - 4.50
_`.1 14.50 1 Trip Inspection _ 4,50
Wall-Floor- Suspended 8.G0 _Air Condition Compressor - up to&inct.3 H.P, _
Vent Systein vv/Fan - — — 6.On
4.50 Air Condition Compressor.
Repair.Heat Cooling 6.00 3.1 to 15.H.P.incl. j pp�-
-j 1.
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments: ~ —�
FEES
SUB-TOTAL 16.0
7 % STATE Issued By
25%PLAN CHECK
TOTAf. REC. #
Signature of Aoolicant ' --"-�
I DMLUINLi L :rmn I IVltly I, I twHhw
+ i PLUMBING PERMIT NO.
-- Central Pl unlbi r.� 1 tt_c . of Oregon holder or 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 Licen:,e requireri
for all contractors and sub-contractors. Kneeland Estates Lot 32
Owner Gr�Uson Construction Co . lddress9•330 S . W . Millen Dr . �� O�te 4/ 13/81
NUMttcR OF TOTAL PERMIT NO.'S
TYPE OF PERMIT rrEh1_� FEE ON EACH AMOUNT (Office Use Only)
1D E N_I I A L
Sin leFemily-1 bath-each 25.OJ - Z (1�-
Du Iex-Each 1 bark unit 25.00 _
Additional bathrooms-each - 1 1000
Mobile Home Space-each 15.00 ��^--
INDIVIDUAL FIXTURE FEES
--
I 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 2.00
_201 or mere Fixtures in 1 building-
-each 1,50
h11SCELLANE0US
Building Sewer-1st 50 ft. 10.00
Sewer-each additional 100 ft. �y 10.00
FP
ter Service to building 5,00vate Wate Systems-each 100 ft. 10.00
er (Specify):RMIT � For Plumbing Inspection Phone 63.9-4171State 1 6 0 Plumbing Contractor ByTAL 41 . 60 RECEIPT NO. Issued By _
BUILDING PERMIT APPLICATION TIGARD DATE—_. - te_. fel 3656
THE UNDERSK3NED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE —246-3324
-- OR AS SHOWN AND APPROVED IN T-1E ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 2�''..Kn6Kne8Gfid
i1 _
OWNER A.Lerry Grayson JOBADDRESS 9330 SW Millen Driver _ El —
�� ARCHITECT
ENGINEER
BUILDER q;Py*0n Constr. CO. ADDRESS 8946 SW Barbur Blvd. _DESIGNER Gary Petty _ 635-4616
STRUCTURE IN NEW ❑ REMODEL — ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
LXRESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO 11 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY_ R-3--LAND USE ZONE R77 BLDG.TYPE �N FIRE ZONE PLAN CHECK BY HEAT 'B �
--- -�;,�;
of Permit�'�bA3 (9260 SW- Millen Drive)-- _---------- -___.v
Construct single Family dwelling w/attsachad garage. 3 Bodroomts 2 Batlis.
SEWER PERMIT#2�;3C1-'�- 7 CJ.LL__—_ Su_sq.f t,.__—
OCC.LOAD FLOOR LOAD 1411 HEIGHT 1.1. NO.STORIES 1 AREA l 112 N0.BEDROOMS 3 VALU$4R#3f1(-I•
FBUILDING DEPARTMENT _ SET BACKS FRONT 22 REAR 29 LEFT SIDE 1.0 RIGHT SIDE 8- '
Permit $184-00 -
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDIP4 CODE, ZONING
Plan Check _ 11) (a0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES- THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal —_ 194.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tex 4r , 7,36
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
_
Total $201.36
SDC— 41Jf)rUt-'
By p_1
PDC# I i u 10(3,00jAPPLI—CCANT OR AGE TT -
_ __
Approved duh Receipt No.duhADO $
PHONE
DATE 'NSP. TYPE INSPECTION REMARKS PLUMBING -- DATE
s Contractor
Permit No.
Rough-in
Fixture
— Final —
/Z._3P �c..��C — TING
Contract /
Permit No,
_— Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
— Sidewalk
_ Curb&Street Final
_ Approach —
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping —_
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DAT4 _.k) _
THF UNDERSIGNED I-IERE:BY APPLIcS FOR A PERMIT FOR TI E"ORK H=REIN IIIDICATED *BUILDER PHONE246-3324
SIR A'_; SHOWN AND APPROVED IN THE ACCOW PANYING PLANS AND SPECIFICATIONS. OWNER PHON[
f, A. Larry Grayson � ^ �^���/ LC(No.32
JGR ADDRESS
AR'.HI T ECT
mCEQ -A•--der-r Grayson NNO), 8946 S.W. Qarbur Avd. ENGINEER
ADDRESS , DESIGNER Gary Petty e;.?
�uCTUAE NEw Q REMODEL AODIr!ON 73 REPAIR (] RErIEwAI FIRED.'41ACE ❑-DE MOL
f 51f�ENCc 1�CCMM C EDUCATI,,NAL._17 GONI'T G RELIGIOUS G WA710 u_CAr�?GRT ❑ GARAGE L. STORAGE
. uGANCy LAND USE 10.,4E !�-_� BLDG TYPE FIRE ZONE •--PLANCHECK8 H►_ EAT j �
C: LOAD FLOOR LOAD #d HEIGHT r/r NO.STORIES AREA III 2 NO.BEDROOMS
I'
-` - V4.LU%
dUI CING DLPARTMENT—` �__—_— -
- SFT BACKS FRONT ZZ REAR _LEFT BICE /O RIGHT SIDE 8„y
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZC
Check lye q Q ,/C)- C�')1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HERZaY AGREEO TVA
_ WORK WILL BE OUNF IN ACCOPOANCE WITH THE PLANS AND SPECIFICATIONS AND RI COMPLI
/ 4WITH ALL APPLICAELF CODES AND ORDINANCES. THE ISSUANCE OF 1 MIS PZR!AIT DOES NOT ',
'p� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY 6JS
I:V
_81 7 36 LICENSE SEPARATE PERMITS RFOUIRED FOR SEWLR,PLUMBING AND HEATING.
•
SOC-.
PDG APPUCANT
Receipt No.
ADDRESS
/oQ
h r4 COr;uECTION S 7L
.1ER INSPECTION
� R SURCHARCE s
11Mike Shaw
9330 SW Millen
Tigard, Oregon 97224
In 2x8 floor joint pressure treated
Need insulation between concrete floor and sub-floor R-19
Walla R-0
Ceiling R-3P
Need ventilation between sub-floor and concrete floor
Is room heated
Need combustible air for furnance
WU rlC s
dam- ;
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