13145 SW CLEARVIEW WAY 13145 SV CLE'ARVIEW WAY
vCITYOFTIGARDI C:E RT I F I CRTC OF
CflYOF?W4RD
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 Sw rwi Blvd. P.o Box 23397,Tlg&M,(kegan 97229(503)6X41 75 4:+F RM I'T #. . . . . . . : MST 91 ••W I'7 5
DATE ISSUED: 176/05/9c
>ITE ADDRESS. . . : 13145 F",W Cl_EARVIEW WY PARCEL: 2*-- 104UC 03:5017+
ULADIVISION. . . . r Pi-NCHVIEW F STATES ZOhINGt R-.4. 5
BLOCK. . . . . . . . . . : I.OT. . . , . . . . . . . . . :s5
CLASS OF WORK. cNEW
i 1 YNE_ OF USE. . . i 6F=
tICCUPONCY GRP. i R3
OC'CUPPNCY L.Qr-0 a 31 I
FENANT NAME. . . :
I
Hemarr k g .
Owner: --.._---
_ .._...__._..._,...__..__.............__ » .... _ ..�__. _.__
CEN P. WILLIAM:30N CONSTRUCTION
JM-0 SCHUKART LANE
LAKE. OSWEGO r A '17034
Phone #:
P. P. W I LI_I AMSON CGNSTRUC"CION
1050 SCNUKART LANE
i-AKE C,SWEGO OR 97034
'.111r+rre #:
Reg #. . t 3:3737
[7r_c:up rnuy of ttre abuVP refer-ended building is hereby given, and crw: ifi�
the Col.. -J iancou with the State Of Oregon SperiAlty Codes for t-he group,
�Ct r;patir.r v, Anti use under which the referenced permit was issued.
i
I PF DEPARTMENT - 1J I L D I NC 24SPE'C-T
P'lli...DIN FFICIAL.
POST IN CONSP t CUV'JS PLkCF
IN5ILL?_CT ION NOTICE
Cit, of Tigard Btei.ldi-ng De,,.artm•*nt.
�+ 1312.5 SM Ball Blvd. Tigard, Orego., 97223
inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
i
Inspections
Footing Pibg. Underelab Mech. Rough--in �Rp�prr//SSddwlk
Found. Plbg. Top out Cas Limas 1IIp1L1
Poet/Ream Struct. Ran. Sewer Framing -Eldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
PILN. Under.fl-or Nater Line Gyp. Br.
Date Requested: W /�� ^� ` r Ties �-Mech%
r PM
Addrese: 75 1 47 C_�ak V 1�i� Permit 9t
Hui.tdert� �lV�l4 1:/t�7[S1h ( "i Z ' _
T!:A FOLLOWING CORRECTIONS ARE REQUIRED:
Inspecto/rss , bates-
APPROVED i U28APP►.7VED APPROVED SUBJRC, TO ABOVE
_C It For Reinep.
jNS.?ECTI0_NOT�CL ,
City of Tigard Building Department r iii
13125 611 Ball Blvd. Tigard, Oregon 97223
Inspection Llue (Rec-r :tion Y• 639-4175 Business Phone: 639-4171
Inspection•— ,-- C ---
Footing Plby. U slab Mech. Rough-in n C�pYr/SdWlk!,.
Found. Pibg. Top Out Gas Line FINPL:
Poet/Beam Struct. San. Sewer. Framing -Bldg.
PDet/Beam Mech. Rain Drain Innutation -Plumb.
Plbg. Undnriloor Water Line Gyp. Bd. -Mech.
TiAM PM
Dates Requested:__5_—�_� me: /-�—
Addrana:— L �� ' Permit 1: �—
Bu
TBE FOI.L.OW I NG CORREC[ION L ARE REQU I RED:
Inspec C. uc Date:
r:t7_'APPRLVXD DIEAP APPRatED SUBJECT TO ABOVE
call Fo• Dainsp.
LNSPB_ GTION NOTI=
City of Tigard Building ►k partatent
13125 M Ball BlvC, Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 339-4175 Business Phone: 639-4171
Inspection:
Footing —
P1b9 Underslan Hach. Rrugh-in Appr/Sdwlk
Found.
Plbq. Top Out Gas Line
FINAT,t
Post/Beam Struct. San. Bewer Framo ng .-Bldg.
Poet:/Beam Msxh• Rain Drain
Insulation C -plumb.
P!.bg. Ui,lerfi wr Nater Line Cyr. Bd.
-Menh.
Date Requeeced: Z
Time: _—AM/ PM
Permit f: _L,�� -
W:ilder:—`�
THS FOLLOWING OORRECPIONS P.RZ REQUIRED:
Inspectnrt
Date:
_APPROVED DIBAPPROVED C r APPROVED SUBJECT TO ABOVE
_Call for Mainsp.
INSFT--TION NOT'_{C$
City of Tigard Building Department
13125 Sit Hall Blvd. 'Tigard, Oregon 97273
Inepectir.n Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inapectionc -__T
Faceting Pl.bg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALS
Poet/Beam Strur_t. San. Sewer- Framing -Bldq.
Post/Beam Mech. Rain Drain I solation -Plumb.
Plbg. Underfloor. Water Line G,p. Ld. -Neth. )
Date kag•iested:� ? ( �-" Tlme: AN r PN
Address: -3�/� Permi_
Bu i.2 der•_ .l..4.i.Qt���+,��/}-fv'7
THE FOLLOWING CORRECTIONS ARE RBQUIRBD�ts
G
Inepatori / - ----- Dat.:_Cj _
APPRMlW DISAPPROVFD APPRUVF.D sun.JS('T Tr) AnoVF.
k",
_Call For Painep.
a
INSPEC�ON NOVICE
City of Tigard Building Depart—nt
13125 sW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-J-Phone): 639-4175 Business Phone: 639-4171
Inspections__,_,_,__ _ ----- — --- —
Footing Plbg. Underslab Mech. Rough-inAppr/Sdwlk
Found. Plbg. TOP Out Gas Line FINkL:
Post/Roam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Inbulation -Plumb.
P11)q. Underfloor .Water Line Gyp. Bd. -Mxh.
Date Requested: ✓ 4 Tom= _ PM
Address: ? I �-(,(�-/ Permit #s.-!✓ j,( r
Builder: —
THE FOLLOWING CORRECTIONS ARF RSQDIREDt
-sem -
- r
Inspectora . li
APPROVED DISAP -OVED PPROM) StIB.TVCT TO MUMP.
Call For Reinrp.
IMMMUMU
.Lds'%.Q�RNQT—E
city of Tigscd quilding nepartnent
13125 OW Nall Blvd. Tigard, cacegon 97223
Inspeztion Line (Rec-O-Pnone)t 639-4175 Rusinesa "hone: 039-41i]
/l ✓ ' — --
t � --
i Inspection;__
Footing
. Dnd.vitab Mech. F.ough-in Appr/Sdwlk
Found.
P).bq. Top Out uas Line FINAL:
Poet;beam Struc:t. San. Sewer
Framing -BLGg.
7oet/Beam Mach. Rain Drn n
I:jaulation -Plumb.
-Mach.
plbq. Underfloor Na' .r Line Gyp. Be.
5 .-/ 7 ..� Times -PM
Date Requested:_/ — S
Address:
/3/ T if��./J LL' fo mi�c f:_
Builder:-,
TRE F011117NIN0 CORRECTIONS rM REQU;RED:
J Dater /?- 7
InspectOrto _ _
APPROVED —__- niSAPPROVEU APPROVED SUBJECT TO ABOVE
Call For Reinap.
!w �• �a w
w
INSPECTION NOTICE
City of Tlgard Building Despartassnt
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-O-Phone): 639-4175 Business Phone: 639-417
Inspection:—
rooting
Plbg. Underslab NeCh. Rough-in Appr/Sdwlk
Found. Plbg. TOP Out Gas Line FINAL:
rest/Beam Strutt. Ban. S -Bldewer Framing g•
Poet/Beam Much. Rain Drain
Insulation --Plumb.
rlbg. Underfloor Nater LinCe QYP•
Bd. -Meth.
Date Requested: , Tibet Al'l PM
Addreen: - /. �,� _ Permit
Ru 11der:_
THE Ft?MA)WINO CORRECTIONS ARE REQUIREDs
Date!
Inspector. ------
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call los. Reinsp.
zNSP$:xzo�l Narzc�
^ity of Tigard Building Department
13125 BN 9&11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Jnderslab Hach. Rough-tn ApprfSdwlk
Found. Plbg. Top Out Cas Line FINAL s
Poet/Beam Struct. San. Sewer Fra.ning -Bldg.
Post/Beam Mech. R.+ a Drain insulation -Plumb.
Pibg. L'..u.rfloor (later LineO p. Bd. -Meeh.
Date Requrwred:
AM PM
Address:_I �1� ( /D�.I/I-fD.� Perml.t f:�
� t
THE FOLLOWING JORRECTIONS ARE REQUIREDs
I
i
Dates z �-__—
APPROVED DISAPPROVED _ APPROVED Sf'R.IF.CT TO ABOVE
Call For Reinep.
�N_+PECTION NOTICE
City of Ti.y.rd Iluildlnq oep.rtaest
13125 SII 6x11 '�lyd. 'fi7ard, Oregon 97223
Inspection Line (Rec-o-Phone)t 63£-4175 Business Phone: 639-4171
Inspection:
Footing
Plbq. Underslab Mech. Rough-in Appr/Sdwlk
Plbg. Top Out. Gas : i.ne FINALS
Found.
Framin -Bldg.
past/Beam Struct. San. Sewer /�-' —yam 9
Poet/;!-4m Mach. Rain Drain
Insulation -plumb.
plbg. underfloor
Nater Line Gyp. Bd. -Hoch.
~�� Timsi Ph
Date RPgURHtedf '-
/�� Permit1:_
Address:
Builders
THE Vol LOWING CORRECTIONS ARE REQUIREDS -
� nater
Innpnctort�
.e/ hppNDVZD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For :einsp.
1
INSPECTION NOTICE
City of Tigard Building (Department
1.3125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businogo Phone: 639-4171
Inspections
Footing Plug. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Strut. San. Sewer Trasieg -Bldg.
Post/Beam Mech. Rain Drain InsulltiOn -Plumb.
r1bg. Underfloor )Water
�Line Gyp. Bd. -Meeh.
Date Requested: c� /-/ "/ Tues _j?�-._AM _PM
AddrPas: L�!l ZIA' ��/� l-fD//J✓ Pet'eit #1 L —D�
BuIIder r (/ �ZL �l�fd�f 7���u 7:_
'r" FOLLONING L:P:MCTIONB 111th CUVUTMM&
r
C.
InAi+ec-+or: _. _ /�f � Date:" 2
APPIlOVlD DISAPPROVED APPROVED SUBJECT TO ABOVE
/Call Por MGLuP.
INSPE.C�IQIt�NOT-1
City Or Tigard Building DePet+jwnt
13125 SN La.11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 nt'"inAeB Phore: 639-4.171
Inspection:
Footing Plbg. Underelah -
Rough-in Appr/Sdwlk
Found.
Plbg. Top ()ut Oaa Ttlf FINALt
Poet/F+eam Struct. San. Sewer
Erasing - -Bldg.
Poet/Beam Noah. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Nater Line
111 aYP• Bd. -Meeh.
Dato Requestedf
Tielaf
Address= 1-e
PermLt
��� L/� /'' �7
Builders
7
TKR FOLLONINQ CORRECTIONS ARE REQUIREDt
------------
Inepaotorf_���y
Datet
p --
� �D �/DIaAPPNpyRD
�/ -_-_-- APPROVRD SUBJECT To ABOVE
For Reinsp.
INSPECTION NOTICE
City of Tigard Building Dapartwent
131125 SW Ba_11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. 'j lbq. Top Can Line FINALS
Peat/Beam Struct. San. Sewsr Framing -Bldg.
Pont/Ream Hoch. Rain Drain Inaulation -Plumb.
Pibg. Underfloor Water Line Gyp. Rd. -Meeh.
Data Requested: /'_�' Times AM PN
Address: / ,.. �L/ �
.5 gC-a2' Permit
Z''/
Builder: ^/Z.t��� G
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�.�
Inspector
APPROVED DISAPPROVED APPROVED SUR.IEC-r TO ABOVE
Call For Reinsp.
IN5FECTlON NO'TI1A t
City of T _gard Building DePe
Bell Blvd- Tigard. Oregon 97223
13125 RM 639-4175 Bueineea Phone: 639-4171
Inepectio"' Line (Rec-O-Phone): --------- -
Inepectlon: -"------- —�—
plbj. Underalab
Hoch. Rough-in Appr/Sdwlk
Pooling FINAL:
Pound. plbg• Top Out
Cas. Line
San. Sewer Framing -Bldg.
Poet/Beam Struct. _Plumb.
Rain Dr1in
Insulation
Poet/Beam Hech•
-Hoch.
a`trr LL � ate' ad.
plbg• Underfloor 4
-Time= �— t
ueeteds J
Date Req r Permit
Addresn:
BuIIder:�_ �v _✓
r'LLOWINO OORRSCTIONS AnTHE
RLQUIR�r -
------
i
-- oil
Dat s:
Inspectors /
APPROVIRD
DISAPPROVED _ APPROVED SUBJECT TO ABOVE
call For RaineP.
1
INSFECTION PIOTICS j�,// i"� i
City of Tigard Building Departaent v
13125 SW Hall Blvd. Tigard, Oregon Agan 97723
Inspect Lon Line (Ree--O-phone): 639-4175 Rusiness Phone: 639-4171
Inapection:
Footinq Plbg. Underaldb Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bl.d
9•
Poet/Beam Mech. Rain Drain In,alation -Plumb.
lbq. Onderlloo Water Line Gyp. Bd. -Mech.
Date Requested: �/� Z -!Z/ Times __ _rAM _PM
Address: �S——���■fC !"/ Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspectors / nate: C,
—�.—
OVED DISAPPROVED APPROVED SUBJECT TO ABO\:g
Call For Reinep.
�NSPBCTIOu NOS' ICI{
City of Tigard Building Department
13125 SW Ball Bled_ Tigard, Oregon 972.23
Inspection Line (Rec-O-Phone): 639-4175 Bueinene Phone: 639-.,171
Inspections___ --___�— f---- — --
Footing Plbg. Underaleb Werk. Ro':gh-ln Appr/Sdwlk
Poyed "" Plbg. Top Out Can Line FINALS
at Be San. Sewer Framing -Bldg.
oat/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor ) Water Lina Gyp. Bd. -Mach.
Date Requested:�n_ /J_�.—,r_ _Time: _ -LL^+' PM
Addreas: �� � 1c3l�-�-� _ Permit
Builder:,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspector:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
--Call For Reinsp.
NS PCCTION NOTICE
city of Tigard Building Depsrtr-nt
13125 SW hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Beninese Phones 639-4171
Inspections_.
Footing Plbg. Undssslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out One Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mach. ShinnDrain Insulation -plumb.
Plbg. Underfloor water Line Gyp. Bd. -Mach.
Date Requested:
Address:
1,3/7� ( (G����.-r�� Permit f
1
Builders
THS rOLLUWING CnPRECTIONS ARE REQUIRED:
Date:
is
nir r nISAPPRJVRD APPROVED SUBJECT TO ABOVE e
Call For Reinsp.
I
i.
ji
i
INSPECTION NOTICE
City of Tigard Building Departsent
13126 BA Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection t
rooting
plbg. Underelab Rech. Rough-in Appc'/Sdwlk
P lbg. Top Out
Gau Line FINALS
Framing -Bldg.
Post/Beam Stn:ct•
San. Sewer g
Poet/Beam Mach. Rain Drain
Innulr*.lon "Plumb"
plbg. Underfloor stater Line
Gyp. ad. -Hoch.
AM -pMi
Date Requested:_
Address; .Z - Permit h`��
Builder:
TNM pOljDWING CORRECTIONS ARE REQUIRED:
Dates 11-i7 - L /
Inspector: �_�/
il APPROVF.9 _ DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call Por Reinep.
INSPB("P�OI arzcs
City of Tigard Building Eslflart2m�o7223
1.3125 SM Ball Blvd- Tigard. Oregon
Inspection Line (Rec--o-Phone)s 639-4175 Business Phone: 639-4171
Inspections --- _
A r Sdwlk
looting Plbg. Underslab Mvnh- Rough-in i�P
Flbg. Top Out Gas Line
PINALs �
Pound.
Poet/Beam Struct. San. Sower
Framing -Bldg.
Yosc/Beam Meds, Rein Drain
Insulation --Plumb.
._;bg. Underfloor Mater Line Gyp. Bd.
-Mach. _
//e,- --1/ Timet Am
Ca:e Requested'_
Permit #1-1/
'
Address:
��� l -- /
Bu 11der s Zt/� t--Z_Z.
THS FOLLOWING CORRECTIONS ARF. REQUIRED:
6
I Dates
Inspectors
npnnnvRD _-_--. rISAPPROVED APPROVRD SUWRCT TO ASOVS
call For Reinsp.
CITYOFTIFARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
PERMIT #. . . . . . . : MST91 -0175
13126 SW HMI BOW. P.O.Box 23397,TOW,Or"m 97223(603)639 4175
r..�.:,` -•+1 i I. DATE ISSUE=D:
SITE ADDRESS. . . : 13145 SW CLEARV I F_W WY PARCEL: 2 S 104DC-03500
SUBDIVISION. . . . : BENCHV 1 EW ESTATES ZONING: R-4. 5
PLOCI... . . . . . . . . . . LOT. . . . . . . . . . . . . :
BUIL_DING
REISSUE: DWELLING 1JNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :433 sf
TYPE OF USE. . . :GF FLOOR AREA5__..__...---..___.._...- REQUIRED SETBACKS._.___._.._.__..._...__
l YPE OFF CONST. :5N FIRST. . . . :80.12 s f LEFT. . : 18 ft R I GHT. :8 ft
OCCUPANCY GRP. :R3 SECOND. . . :940 of FRONT. :: 0 Ft REAR. . -40 ft
STORIES. . . . . . . :3 THIRD. . . . :542 s f REQUIRED------ -------•------
HEIGHT. . . . . . . . :31 ft TOTAL-------:2='89 S SMOKE DETECT(itt-T. : Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . $: 113088 PARKING SPACES. . :0
Remarks :
_.____-•-------______________.____.____ PL.UMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
I.NVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASING. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0
DISHWASHERS. . . , : 1. WATER LINE (ft ) . : 100 OTHER FIXTURfS. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN ( Ft ) . :0
WASH T NG MACH. . . : 1 S)F RA I N DRA I NS. . : 1
MECHANICAL. --- -- _.._.__._____ _____._.________._._ FEES
FUEL TYPES--------------- UNIT HTRS. . :0 type amoi.tnt by date recpt
/IFAS/ / / VENTS . . . . . :0 TIF i 1380. 00 JLH 11/15/91
-
MAX INPIl1T:0 BTU VENT FANS. . :4 BPRT t 468. 00 JLH 11/ 15/91 -
TURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 304. 20 JLH 10/24/91 219028
FURN ) =100K . . : 1 WOODSTOVES. :0 85PC $ 23. 40 JL_H 11/ 1.5/91 -
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 375. 00 JLH 11/15/91 -
BOIL/CMP ( 3HP:0 OTHER UNITS:O PARK 1) 500. 00 JLH 11/ 15/ 91 -
GAS OUTL.ETS: 1 MFIRT t 40. 50 JLH 11/15/91
Owner-: -_...----......._.____. _ __.------__..-__-.______.______ MP'L_C $ 10. 13 JI_I-1 11/15/91
A. R. W I LL I AMSON CONSTRUCTION M5PC $ 2. 03 JLH 11/15/91
-
1050 SCHUI 1RT LANE PPRT $ 155. 00 JI_H 11/15/91
-
P5PC V 7. 75 JLH 11 /15/91
-
LAKE. OSWEGO OR 97034
Phone #:
Contractor:
A. R. WILLIAMSON CONSTRUCTION
1050 SCHUKART LANE
LAKE OSWEGO OR 9-1134
IThone #:
Req #. . : 33737 -------_________-_-•---.___._
$ 3266. 01. TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore, Specialty Codes and all other F00t/fOl-IT1d Insp Fireplace Insf:
applicable laws. All work will be done in accordance with approved F'ost/Beam Str-_1ct Gas Line Insp
plans. This permit will expire if work is not started within 18@ Post /Beam Meehan Ins,.11at ion Insp
days of issuance, or if work is suspen for mor tf n 80 days. Plm/i.mdslab Insp Gyp Board Inslr
PLM/Underfloor Rain dr-ain Insp
E-ermittee Signatl.lr-e : y _ Mechanical Insp Water- Line Insp
P1i-imb Top Out Al. pr/5dwIk Insp
T s s 11 e d By : -.---_ --------------- F r a m i n q Insp M e c h a n i ca 1 F i n a 1
Call fcr inspection, - 639-4175
UMBING PERMIT
PERMIT #. . . . . . . 9 MST91--0175
CITY OF TIGA RD P'
on
COMMUNITY DEVELOPMENT DEPARTMENT C400N DATE' ISC)'UED: 11 / 15/91
13126 SW Hill Blvd.
P.O.6M 23397,TigaM,OrW gG7713(5o3)639A175
13UBD I V I S I Llrxi'- PENCHV 1 EW L�)TATI
ZONING: R-4. 5
BLOCK. . . . . . . . . . : :.:OT. . . . . • . . . _'
..OT. . . . . . . . . . . s35
CLASS OF WORK. NEW GAPBAGE DISPOSALS- BACKFLOW PREVNTRS. -0
TYPE OF' USE. . . . :SF WASHING MACH. . . . . • . : .
OCCUPANCY ICRP. . %R3 FLOOR DRAINS. . . . • • • *0 TRAPS. . . . . . . . . . . . . . :0
WATER HEATERS. . . . . . : 1 (,-'AT(,H BASINS. . . . . . . :17,
TURIES. . . . . . . . ..3 C . . . 3 1
LAUNDRY PRAYS. . . . — BF RAIN DRAING-
""IXTURES--------_'_ GREASE TRAPS. . . . . . . :0
"11 N1�S. . . . . . . . . . 13THER FT XTURES. - :0
I.-AVATORIE7. . . . • :4 SEWFP LINE tft ) . . . . .0
-1*UB/SHOWERS. . . . 3
DATER CLOSETS- WATER LINE ( Ft ) . . . . : 100
DISHWASHERS. . . . 11 RAIN DRAIN (ft ) .
;'.)WNER3
1"I F t 1360. 00 J1H 11/15/91
A. R. WILLIAMSON CONSTRUCTION SPRT $ 461B. 00 JLF1 11/ 15/91
I oto SCHUKARI LANE BPLC $ 304. j�o JLH 1.0/24/91 2190Z18
f_PKE 0SWEGO OR 97034 B5PC $ 123. 417.1 JLH 11/15/91 -
Phone #o
S61)C 11 375. 00 JLH 11/15/91 -
PARK $ 7 j00. 00 TLH 11/15/91 -
Plumbing MPRT t 40. F50 JLH 11/15/91
MPLC $ 10. 13 JLH 11/15/91 -
M5PE; 41 03 JLH 11/15/91 .-Name PPRT i- 1 00 JLH 11/15/91 -
Ad d I.,e S a F'15pc 7. 75 JLIA I i/ 1.x/91
41
Reg
REQUIRED INSPECTIONS
Thin pev'flit issued subject to the t P-9 Pain drain Insp
Mations contained in the Tigerd Municipal Foot/-Found Insp
Ct)de, StaA;e ()f Ore. Specialty Codes iAnd all Past/Beam Strl.ACt Water Line IWEP
other applicable laws. All worl will be done post/Beam Mec7.han APPt-/S'7)dwlt4 I"sP
plm/undslab Insp Mechanical Fill-!
in at--cordancp with approved plans. This
ire if wot-k is not StAv-ted PLM/Underfloor Plumb Final
Permit will exp ical Insp [Attilding FinAl
r if work is Mer:har L -
within la@ days of i550-lance, 0 Plumb Top Out Fr-osion Control
-e than 180 days-
t.Lsppnded for more Ft'amilli-I Tnip
Fiveplac- e IT15P
Gas Line Insp
(A,ii; L� / / InsillatiOn Insp
Gyp Boal-d Insp
Authorized P! mbing ontractor Signatut
Call for inspect. ion 631- 4175
Notes
I
CITYOFTIFARD
COMMUNITY DEVELOPMENT DEPARTMENT o eon -r
SFWER CONNE:C iON
2136 BW FWl BW. P.O.Box 23347.spud.Oregm 972M(603)63x4176 PERMIT
639-4171 DATE ISSUED: 11 / 19/91
SITE ADDRESS. . . : 13145 SW CLEARVIEW WY PARCEL: 2S104DC-03500
SUBDIVISION. . . . : BENCHVIEW ESTATES ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :35
TE=NANT NAME. . . . . :
USN NO. . . . . . . . . . . F7IXTURE: UNITS. . . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE: OF I!SF, . . . . :SF NO. OF BU I LDI NGS: 1
,NIST�iLL TYPE. . . . :BUSWR I MPERV SURFACE. . : ; s f
Remarks :
Owner.: _______._____.__.__—___-- ----_______._-_.-- FETES
,a. R. 14ILLIAMSON CONSTRUCTION type amol-rnt by date rec-pt
10'50 SCE-IUKART LANE PRMT + 1900. 00 JLH 11/15/91
—
INSF' ?35. 00 JLH 11/15/91
LAKE OSWEGO OR 97034
Phone #:
Contractor: _-_----_-----------------------.
CONTRACTOR NOT ON FILE
_
Rhone #: 19..:,5. 00 TOTAL
Reg #. . .
REQUIRED INSPECTIONS
-- ---
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 128 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of theside sewer sewer laterals. if the sewer is not located at the measurement —~
green, the installer shall prospect 3 feet in ail directions from
tree distance given. if not so locatedthe installer alb purchase
a "Tap and Side Sewer" Permit and th419 ency wi nstA I lateral. _
!>r-rmittee 5ignat�_r►"e __ _.__ — �_�___
fss�-red By ,
Call for inspection — 639-4175
CITY OF T'IGARD - RECEIPT nF: PAYMENT REC'E IPT NO. :91 -x"'19745
I�IAh1C W l L.L I AMSON' A. R. CONST 95
CHECK AMOUNT r 41. 01
ADDRESS : CASH AMOUNT r
0. 00
PAYMENT DATE x 1 1/1 sl91 l
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAIL' PURP S' I
] k_= CIF= PAYMENT AMVUNT ca,'aID
BU I I_D I NG PERM _4E,B. 00 PLUMBING PERM_ ....._..... _____._._
ME.CHAN I C OL. PE
40. 50 ST. BUILD PER PLAN CHECK FE 40. 50
SEWER USA 33. 18
SEWER INSPECT
1900. 00
= 1RN'i SO: 7C. 00 RESIDENTIAL TRAFFIC FES 1280. 00
5100. - tURM DRAIN SDC
MASS TRANSIT TIF 1GT. �� 375. 00
i
i .
i
i
1.3145 SW l:E_EARV I F=-W
I
10TAL. AMOUNT PAI D
i1
ii
r-
CITY OF TIGARD RECEIV-1 (IF PAYMENT RECEIr-11- NO :91 -21902.8
CHECK AM(XINT .00. 00
NAME A. R. WILLIAMSON CONST. CASH AMOUNT 0. 00
PUDRESS 1050 SCHLIKAPT LANE PAYMENT DATE
SUADIVISTION
LAKE 04SWEGO, OR 9-7034--
iPLIRPOSE OF PAYMENT (IMOUNT PAID PURPOSE OF PAYMENT AMOUNT PA I D
TOO. Oel
I -37Rt 13243 SW CLEARVIEW
0
10-36R: 13145 SW CLEARVIEW
(-OTAL. AMOUNT POID