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,.� 13350 SW CLEARVIEW W-
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Fall Blvd., Tigard,OR 97223 (503)639.4171
CERTIFICATE OF
OCCUPANL.Y
PERMIT #. . . . . . . a MST96--01.03F:.'.
MATE ISSUED: 05/02/9;
t-AFtCE"�.. s c S 1 @�4UC•-H47Q�0
,I TE. ADDRESS. . . s 13350 SW CLEARV I EW WAY
`A IBD IVISION. . . . a RE;NCHVIEW ESTATES ZONINGaR--4. 5
-OCK• • • • . . . . . . s LOT. . . . . . . . . . . . . s47 JUPISDICfIONaTIG
LASS OF WORK. aNEW
YPE OF USE. . . .-SF
i YPE OF' CCINSTR a 5N
OCCUPANCY ORP. a R;3
1 IC CUPANCY LOAD e c
PATH I Slope fini!h grade may fro% structure, as nesther pervits.
Ower: _
1 JUD HAP419' R ':RI TEN LIARRIf�
10855 SW FONNER rT
t I GARLU C1R 972f*`3
Phorie #s
,�,07 L-EXINGTON TERRAC:I"
WEST I...INN OR 97A►68
Phnnr? #: 650--3833
I"vr, #.. . a 001081
This Cortificate qt-ants occuponr_y of the mbo•re referenced building or potion
thereof and con:'irms that the blAildiny ,as peen nspected for c,impliance with
the State of Jregon Specialty Codes fur the oc:•cl.tparevy, .*nc.l use under
which the referenced permit was isaued. �
BUILDING INSPECTOR BUILDING OF'F'ICIAL
IN CONf:')P I CUOUS PLACE
ITY OF TIGARD
MASTER G-'1RriT-r
DEVELOPMENT RVICES FERMI r' #. . . . . . . : MST96--0538
13125 SW Hall Blvd., Tigard,Mil (503)639.4171 DATE I SSIJED: 12/11/96
�
FARCE!-: aS i OltDC-04700
t FE AT.IDRESS. . . : 13350 SW CLEARVIEW WA"
JI3DIVI .:0N. . . . : BENCHVIEW ESTATES ZONING: R--4. 5
1 ...00K. . . . . . . . . . I_.OT. . . . . . . . . . . . . :4I
Remarkv FORTH I
---------- _ —.—.----------------- BUILDING ----------------
REISSUE: STORIES.. ....: 2 FL30P AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED---------
CLASS OF WORK.:NEW HEIGHT...,....: 24 FIRST....: 1115 sf GARAGE.....: 651 sf LEFT... ......: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOQ....: 40 SECOND...: 1525 sf FRONT......... 20 PARKING SPACES: 1
TYPE OF CONST.:SN DWELLIN; !NIT3s 1 FINBSMENT: 8 sf R:MT.........: 5
OCCUPAN'Y GRP.;R3 EDRM- 4 BATH: 3 TOTAL——--: 2648 sf VALUE..f: 188126 REAR..........; 30
----—------------------•__________--------- __ _—_—_ PLUMBING --- - ------------------------—------------------
SINKS.........: 1 WATER CLr1SETS.: 3 WASH11:3 MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DgAIN ft: k' TRAPS.........: 0
LAVATORIES....: 3 1 FLOOR DRAINS..: 8 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS.. : 0
TUB/SHOWERS..,; 2 GARBAGE IrISP..: 1 WATER HEATERS.: I WATER LINE ft: 18V BCKI=LW F)REVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTUWcS: 0
---------------------------------------------------------------- MECHANICAL --- ___ _.__---------------------------------------
FUEL TYPtS--------• -- FURN ( 188K ..: 0 BOIL/CMP l 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / FURN 1=180K ..: 1 UNIT HEATERS..: 0 Y.00DS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVEl....: 8 GAS OUTLETS...: 1
-------------- ELECTRICAL __—._--------------------------------------------------
--RESIDENTIAL UNIT••-- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH Ci?CUITS--- -•---MISCELLANEOUS---- --ADD'l_ INSPECTIONS
1000 SF OR )-ESS: I 0 - 200 amp..: 8 0 200 alp..: 0 W/SVC OR FDR..: 0 PLN P/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 580SF.: 5 201 - 400 amp..: 8 201 - 400 amp..: 0 1st W/O SVC/FDR: 1` SIGN/OUT LIN LT: 8 PER HOUR...... : 0
LIMITED ENERGY. : 0 401 - 600 amp..: 0 401 600 amp..: 0 ER ADDL PR CIR: 0 SIGNAL/PANEL...: 8 1N PLANT....:. : ?
MAPF HM/SVC/FDR: 0 601 - 1090 amp.: a 501+amps-te80 v: 0 MINOR LABEL -18: 8
1080+ amp/volt.: 0 -------- ---------------------- - PLAN REVIEW SECTION ------------------------------
Reconnect only.: 8 r=4 RES UiO TS..: SVC/F111i M A.: > 608 V NOMINAL: CLS AREA/SPC OCC:
----------- ------------------ ELECTRi� a - RECTniCTED ENERGY ---—--------------------------------------------.
A. Sr RESIDENTIAL---------------- ------- B. COMMERCIAL-- ----------------____.--------- ------------ ------------------
AUrfO 9 STEREO.: UACUUM SYSTEM..: AUDIO A STEREO. : FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: ;: X B;1 .ER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CL?CK.......... : INSTRUMENTATION: MEDICAL...,....: =''HR:
HVAC.......... .. DATA/TELE COMM.: NURSE CALLS..... TCfAL M SYSTEMS: 0
Owner: _ _.__.-----_ _ __---Contractar: ---------------------------- TOTAL FE[5:f 4963.4f
TODD HARRIS b KRISTEN HARRIS ARENT400D HOMES
10955 SW FONNFR ST 2607 LEXINGTON TERRACE
TIGARD Of; 97223 WEST LINN OR 97868
Phone N: Phone II: 650-3833
Reg N..: 106115
This rereit is issued subject to the regul.it:ons contained in the `:gard Municipal CoOe, State of Ore. specialty Codes and all other
applicable laws. All work will) be done in accordance with approved plans. This permit will expire if work :s oot started wi}hin 18P
days of issuance, or ff work is suspended for more than 190 days.
----_ ------------------------------•-- REQUIRED INSPECTIONS - _--------_ __-----___-_._--------------__.-------
Footing Insp PLM/Underfloor Fraying Insp Gas Fireplace Waker Service In Building Final
Foundation Insp Mk•^hanieal Insp Shear Wall Insp insulation Insp Appr/Sdwlk Insp Erosion Con',--r,'
Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final
Post/Beam Meehan Electrical Servi Fireplace Insp Rain drain Insp Mechanir Final
Crawl Drain Electrical Rough Gas Line In Water Line Insp Plumb Fire.
1
Per-mittee 5ignatr.0-e : _ a issued E{Ya
i nspert ion - 639-4175_
CITY O F TI
D SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : SWR96-0549
DATE ISSLRED: 12/11/96
PARCEL: 2S104DC-04700
SITE ADDRESS. . . : 13350 SW CLEARVILW WAY
SUBDIVISION. . . . : BENCHVIEW ESTATES ZONING: R-4. 5
CLOCK. . . . . . . . . . : !..OT. . . . . . . . . . . . . :47
---------------------------------- ------------------------- ----------------
TENANT NAME. . . . . :TODD & KRISTEN HARRIS ---
USA NO. . . . . . . . : FIXTURE IJNTTS. . . - 0
C1_ASS OF W9RK. . . :NEW DWELL ING UN ITS. . : I
TYPE OF USE. . . . . :SF NO. ')F BUILDINGS: I
fNSTALL TYPE. . . . :BUSWR IMPF-.RU SURFACE- 0 Sf
Remarks: PATH I
Owner: ------------------------------------------ ----------- FEES
TODD HARRIS & KRISTEN HARRIS type amol.int by date recpt
10855 SW FONNER ST PRMT $ 2200. 00 JDA 12/11/96 96-287608
TIGAPO OR 97227 IN3P $ 35. 00 JDA 12/11/96 96--287608
Phnne #-.
Cant ract or: -------_--_.-------------___.__
CONTRACTOR NOT ON FILE
-----------------------------------------
Phone $ 2235. 00 TOTAL
Reg #. . :
REQUIRED INSPECTIONS
--- -
This Appl iciii'- agrees to cospi y with all the rules and regulations Sewer Inspection
of the Unified Stage Agency. The pe-9.4i expire; IN days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency do.. not guarantee the accuracy of the
side sever laterals. If the sower is not located at the stasuresent
given, the installer shall prospect 3 feet in all directions trI6.1
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer' Permit and the Agency will install a
Permittee Sigr,atttr
issi-lod By:
for inspection 639-4175
r U
Plan Che
CITY OF TIGARD Residential Building Permit Application Rec'dBy L-1 10
13125 SW HALL BLVD. New Constructio l Additions or Alterations Date R,►c'd
'TIGARD, OR 97223 Single Family Deta.hed/Attached (1 or 2 units) Date to n.E.
;503) 6394171 Date to OST
Print or Type Permit x/1 -
Called 1��•e"iT r;SFK
Incomplete or illegible applications will not be accepted Jr.
�— Name J Project Na
27
Job
<-t i f ul l 'tyw 4 5eS a
Address Site Address Architect Mailing Adds r
17 w 1�r' ►�
S'S"', C lc"c?!J n.�x - 7' 3c c"sCity/State Zip Phone
Nartre tJJ 11 1 LL�' Cea oe,. a 09 W0,9b'7d1'
n
a/
Owner i jailing Address
/G,, ; -5 Engineer Mailing Address
city/state ` Zip Phone g
_ / ccr Cl' ( o S'7!L City/State Zip Phone
Nanta /
Generai t e l'J rt✓C'cj rz e-5 Describe work New Q? Addition O Alteration O Repair 6-
Contractor Mailing Address to be done _ --
i c c L .+ Tom-( • Type of Use
City/State V Zip Phone
WrsT� w>✓ 'Ile 9 "Ei SCD-ss gf Type of Construction
Oregon Const.Cont.Board Lic.k Dote /
Attach Copy of o / I / ", l ✓ Occupancy Class
Current COT Business Tax or Metro k Ekp..POW f _.
Licenses _ 'I� Ill'i , Will it be sprinklered? Yesr] Non
Name If Yes,separate FL;plans and
�7 application to be submitted
Mechanical P,01ri �r��,,,, _ Number of Stories
Sub- Mailing Address _
Contractor rp &A_ 12-6-Z'10 rroposedll-e
City/State Z PhoneL — - -- ----- --—
Previous Use
Oregon Ctnst.Cont.Board L:,.k E Date - — --
Attach�:opyof cr. 6,C_, Valuation $
Current CCrT Business To) or Metro k Exv.Date _ NEW CONSTRUCTION ONLY:
Licenses I l31 /- q7 ) _
Name — Building ID _ �-
Plumbing ,14 w r
.�I FL ST L^Jc%.re �-�G�K�
Sub- Mailing Address - Unit Types square ft #o units
Contractor /Y'Y/5- -5t A.) —
CRy/State Zip Phone B.)
c: Cj.C, 6- 0515" C.) _ ---
Oregon_C st.Cont.Board Lick Exp. Date D-)
Attach Copy of t S /`7 % _i_3c. `i,.) -L---
Crrrrent Plumb) LIC.k Exp Date Will the electrical subcontractor wire for all restricted Yes No
ane y installations? c/
Licenses - 'r 3- + ')� I, ,3C `f/' Has the Subdivision Plat recorded?�� N/A Yes No
COT Business Tax or Metro k Exp Date ✓
G / 7 I hemby acknowledge that I have read this application,that the
Name - information given is correct, that I am the owner or authorized agent of
Electrical c)r SCI•.) civ,+cc-fl'o tv the owner, and that plans submitted are in cornplianre with Oregon
Sub- Melling Address - State laws _
Signature of Owner/Ag(nt Date
Contractor C' I i ,,�• Vic
Cl�l rlStats ZIP Phone C taci Person Name Phone
ar, ,,.q
Oregon Const.Cont.Board Llc.k Exp.Date FOR OFFICE USE ONLY:
Attach Copy of
cufnmd lectricaI Lic.k Exp.Date
COT Business Tax or Metro k Exp. Date
_tW ?GES
i ld-_ ifapp doc
\
Permit# Account PescripWn AmounI Arra U DaL-Q-=
— MST. Permit (BUILD)
i Plumb. Permit (PLUMB)
Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT) z7S.
State Tax (TAX) ao,23 t, , OI
BICg: 3z, 7A V �—
Plumb:
Mech: ? ��
ELC/ELR-
Plan Check
MST: (BUPPI_N) Zq G, 0 v
Plumb: (PL.MPLN)
Mech: (MF_CPLN) 2' '' // ?'
CDC Review (LANDUS)
,,. _ •>cc�4 Sewer Connection (SWUSA) 2-201), `- L, 1240, '=
Sewer Inspection (SWINSP) �,5, i" L 35,
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) 15702"'
Mass Transit TIF (TIF-MT) 120, 120,
Water Quality (WQUAL) /f3u, `= (80 iso
Water Quantity (WQUANT) /pU, /Uf1,
Erasion Control Permit (ERPPMT)
Erosion Planck/USA (ERPLAN) `0, 80
Erosion Planck!COT (EROSN) gip, Bo L Zo =
Fire Life Safety ;FLS) _ -
TOTALS: C-21 8,46
i ktata\rs.lrann rtnr
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, LR 97223
IMPORTANT PERMIT NO110E
EDISON CONNECTION LTD
PU BOX 301505
PORTLAND OR 97294
Electrical Signature Form
Permit # . . . . : MST96-0538
Date Issued. : 12/11/96
Parcel . . . . . . : 2S104DC-04700
Site Address : 13350 SW CLEARVIEW WAY
Subdivision. : BENCHVIEW ESTATES
Block. . . . . . . . Lot : 47
Zoning. . . . . . . R-4 . 5
Remarks :
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriat.; individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : ELE,-TRICAL CONTRACTOR :
TODD HARRIS & KRI HARRIS EDISON CONNECTION LTD
10855 SW FONNER SZPO BOX 301505
TIGARD OR 97223 PORTLAND OR 97294
Phone # : Phone # :
Reg # . . : 00
X
so a u of Su isingectric an
Please return this coinpleted form to the address above.
ATTN: Building Dept.
If you have any question;, please call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W, HALI. BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
NORTHWEST WATER WORKS
14415 SE ; ISTED RPD
SANDY OR 97055
Plumbing Signature Form
Permit # • • • . : MST96-0538
Date Issued. : 12/11/95
Parcel . . . . . . : 2S104DC- j4700
Site Address : 13350 SW CLEARVIEW WAY
Subdivision. : BENCHVIEW ESTATES
Block. . . . . . . . I_,,)t : 47
Zoning. . . . . . : R-4 . 5
Remarks :
PATH I
Your company has been indicated as the plumbing contractor for the permit indicated above.. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be autl-orized until this completed form is received.
AN INK SIGNATURE IS REC.UIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
TODD HARRIS & KRISTEN HARRIS NORTHWEST WATER WORKS
1.0855 SW FOU14ER ST 14515 SE }4-&�D RPD
4--Vr-D
TIGARD OR 972.23 SANDY OR 97055 _
�—
Phone 0 : Phone if : -�---` + I -) �r 7
Reg 011311i
Signature of Authorized Plu er
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639.4 , 11 , ext. #310