13381 SW CLEARVIEW WAY-1 ADDRESS:
1338/ S w _�; t
i:\records\!,nicroflm\taroets\buildirig.,Joc
CITY OF TIG/4RD BUILDING INSPECTIOI; NOTICE
Inspo tion Line (Reecc-.O--Phone): 639-4175 Business Phone: 639-4171
ne
Footing Susi Ceiling Sprink Rough-inAppr/S wlk
Foundat;nn Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam .Strut' Plbg. Top Out Elec. Ro-igh-in FINAL:
Post/Bean Mech. San. Sewer Gas Linc -&-in
Plbg. Underfloor Rain Drain FramingPlumb
Alarm Water Line Insulation -Mech.
Undofflr. Insul. Shear Wa I G Gyp. Bd. -Elect.
Date Requested:_C ( ,,s_TimoX AM __PM
Address: / :�,_3a
Builder: I- 3R, -3 G Y Permit # S q
THE FOLLOWING CORRECTIONS ARE REQUIRED:
__57 •—L.,
Inspector:_ Date:---
L''APPROVED _DISAPPR(-_,'/ED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Ir—p,#ction Line (Roc-O-Phone): 639-417Business Phone: 639.4171
Inspe:,•tion:_ %
Footing Susp. C ing Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mer,h. Rough-in Fireplace
Post/Beam StrUCt. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech San. 5awer Gas Line -Bldg.
Plbg• Undo.hoor Rain Drain Framinc -Plumb.
Alarm Water Line Insulation -Mach.
Undertlr. Insul Shear Wall Gyp. Rd. -Elect.
Date Requestel: '&P/�j�i� Time: AM _ PM
Builder. Permi! #
THE FOLLOWING CORRECTIONS ARE REDLIIRE —�
Inspector:
_Al"PROVED DISAPPROVED _APPROVED S'.16JECT TO ABOVE
---Call For r,einsp.
a AVA
YOFTIGARD c�F?OCCUPANL,Y��� PERMIT #. . . . . . . t M ST'34--034",
COiV MUNiTY DEVELOPMENT JI)EPARTib FAT CIATE I SSUED s 06/08/95
13125 SW HrO Blvd,Tlphrd,Ordga-) 07223*0109 (503)039 41',
SITE r4DI)RESS. . . s 13381 SW CLEARVIEW WY PARCEL.: '�fi104L)C--0;?4f60
SUIBVIVIS:iON. . . . r 3!---'(4C,HU1 W E6TPYES �ONTIdGiDFt�4.
BLOCK. . . . . . . . . . s I.r3'f. . , . . . . . . . , , ;24
GO_ASS OF WP RK. s NEW
TYPE OF USF.. . . s riF
OCCUPANCY GRP. :R3
C)CC:( ; 4NCY LOAD e c'.f.3 4
TC:NANT NAME:. . , s
Pwwark-81 PA T! I
2�YLr'r! DE 1_OiRTO JR
0 0 BOX ' 3043jj
I1CRAr<L'I OR 970-m
Phorre *1 638-3PO4
f:onti-acztore - •_._.____.«..__,....___._ _.._._..__ �__._.._._
!6 UeLORTO C:ONST'RUC'T I ON
P 0 BOX 230,434
I
TYOARII uFo 97r:SI
P'h0na N: "',38-3804
Rep ( . . r 90'371
i
-this C'*a -tiific�ate cort :ifles that +tile► above► refr�r-enr.,eri building or, Por-ti.on
thererafha►s beicn i-eciQCted for "-omp).;anca with the Fiyavrd Building Caci,•
fai, the group r-nd divlslon of o;'cr'-upancy and ,;se Far which the above
refee-enc:eri pttv-nit was ispu*d, and ac,cupancy is h- .wpby Uranted.
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POST 114 Ci.1NSP I C:UOUSS PLACE:
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CITY OF TIuARD BUILDING INSPECTION NOTICE t'"I / �
Inspection Line (Rec-O Phone): 639-4175 Business Phone: 639-41, ' / j
inspection:_ _—
Footing Susp. deli nq Sprink. Rough-in Appr/Sdwlk
Founda?ion Plbg. Underslab Mech. Rough-in Fire ce
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/beam Mech. San. Sewer Gas Line q,
Plbg. Underfloor Rain Drain Framing P;urnb.
Alarm Water Line Insulation -Mech.
Jnderflr. Insul. Shear Wall gyp. Bd. -Eloct.
Date Requested: Time: AM PM
Address:
Builder:__ Per rt r!:
THE FOLLOWING CORRECTIONS ARE REQUIRED: .35
Inspector: _ Date: lv– •-�S
_APPROVED _DISAPPROVED 'e--,4"OVED SUBJECT TO ABOVE
_Call For Reinsp.
r V Y
1.E ,.
CITY OF TlGARD BUILDING INSPECTION N071 ._ Jo li�
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprin' Rough-in Appr/S( ,dlk
Foundation Plb;. Underilab Mach. Rough-in Fireplace
Post/Beam Srruct. Placl. Top Out Flec. Rough-in FINAL-
Post/Beam Mech. � Gas Line -Bldc.
Plbg. Underfloor Ran Drain Framing `P!ummbJ
Alarm Water Line Insulation -tech.
Underflr. In;.ul, Shear Wall Gyp. Bd. -Elect.
Date Requested: _-_ rr -�'� Time: AM PM
Address: I �� ryL ) -1 �•� c��—. � i
J
Builder: `� ( _Permit itj�&4?VV.
HE FOLLOWING CORRECTIONS ARE REOL'iRED:
Inspector: �� Dater_
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUIL,DING 'NSPECTIGD! i4OTICE Li
Inspection Linu (Rec-O-Phone):639-4175 Business Phone: 639-4171
Inspection-
Footing Susp. Ceiling Sprink. Rough-in Appr/SUWIK
Foundation Plbg. Underslab Mech. Rough-in Fireplsce
Post/Beam Struct. Plbg. Top Out Elec Rough-in FINAL:
Post/Beam Mw:h. San. Sewer Gas Line Bld
Plbg. Underfloor Rain Drain Framing -Plum i
Alarm Water Line Insulation -Meeh.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_
� � —_..Time: AM PM
Address: /.?
Builder:__ _ Permit #:
THE FOLLOWING CORREC(IONS ARE REQUIRED:
Inspector. � �'
_APPROVED —DISAPPROV I) `APPROVED SUBJECT TO ABOVE
- I For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Pec-O-Phone): 639-4175 Business Phonb: 639.4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Bearn St,uct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line _Bldg-'
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insula'ion
Underflr. Insul. Shear 'Nall Gyp. Bd. Elect.
Date Requested:. /�-� Time:---AM PM
Address: �i �� `'/ C �.
---� S :C e. J ;I, ti
Builder: Perm t q: 9'v—C--)--2,q Cj
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�
Inspector: ,IL-4 — �_ � 7_Date:
APPROVED —DISAPPROVED APPROVED SUBJECT TO ABOVE
1-11-Call I-or Heinsp.
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in �, Appr/SdWI ` .,
Foundation Plbg. Underslab Mach. Ruu�h ;n Fireplace
Post/Beam Struct. Plbg. lop Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested: _? % / �l"j�� Time: AI PM zt
Address: / ...z "3 �_ L _A. _�
�
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
✓orf r-_
p �.
Inspector.— /-- ,7`�j�zaiiS Data: I>
_APPROVED __DISAPPROVE+P" APPROVED SUBJECT TO'A$QVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE I
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 629-4171 i
Inspection: _ /I
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Fcundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL:
Posti3eam Mech. San. Sewer Ga-, Line -Bldg.
'Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Undurflr. Insui. Shear Wall Qpik3d -Elect.
Date Requested. 1 `— Time- AM PM
Address:
Builder: Permit #: ��� ' e (I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_� � 'J Date:
--10
—APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
—_Call For Reinsp.
CITY OF T;GARD BUILDING INSPECTION NOTICE t
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Irspection:
nlinq Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslah Mech. Bough-in ,-fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam (V.ecl;. San. S9wer Gas Line -Bldg.
Plbg. Un(;erfloor Rain Drain Framing -Plumb.
Alarm Water Line L nsulatiod -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -EI
�Date Requested: O_�/ � T1im Am PM
Address: 1 2' Z5Builder:— U -�,�permit #:_9�—G, Cf C,
THE FOLLOWING CnpR jCCTIONS ARE REQUIRED:
vSS,,,L2zM_7_V�LML .J D S T' ("� /�[�L✓ T'/T.i Lo�c.:�G_
Inspector: _ _ Dater
_APPROVED ,DISAPPROVED 4__n'5_Prf0VED SUBJECT TO ABOVE
—.-Call For Reinsfr.
CITY OF TiGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phr e): 639-4175 Business Phone: 639-4171 J
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr,/Sdwlk
Foundation Plbg, Underslab Mach. Rough-in Fireplace
Post/Beam Struct/ Plbg. Top Out Elec. Rough-in FINAL:
Pos+/Beam Mach,- San. Sewer G&s Line -Bldg.
Plbg. Underfloor Rain Drain Frame- -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wa!: Gyp. Bd. -Elect.
Date Reyuesttu�d: G`(� � Time: AM _PM
Adc ress: � �� Q 1Z:1 C�C c j /c�< —Cl
Builder: Permit�G C
- � Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-
Ja
Inspector:_/ Date:
—APPROVED —.DISAPPROVED `--' PROVED SUBJECT TO ABOVE
`Call For Reinsp.
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ZNSPg$7IOK NOTICE ' 1
City of Tigard Building Department
13125 89 Ball Bled. Tigard, Oregon 97223 )
Insion Line (Stec-O-Phones 679-4175 Business Phone: 639-4171
Inspectio�ti_�4/1r"Icm *0811 , Y—
looting �r Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Ran. Sewer Framing -Bldg.
Pont/Beam Koche" Pain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line _ Gyp. Rd. -Koch.
Da*,- ^equesteds�/ I b CT Times —AN
Addraaa:�?z?7 b Q� (�) Permit f: S,
Ruildert
TB`EFOI.I.OHINO CORRECTIONS ARE l:3QUIREDt
ge
Inspectors ... Da
-----u— ta:���'L'
APPROVED DISAPPROVRD G__-1PPROVP.D SUBJECT TIO APAME —
_____—Call Fa- Reinsp.
f'
IMLng-[ON NOTICE
City of Tigard Balldiag Department
1312S BE Ball Blvd. Tigard, Oregon 97223
inspection Line (Roc-O-Phone): 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Top Oust A n Gas Line FINAL:
Post/Seam Struct. Win. Sewer/J Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. _Hoch.
Date Requested: C � TSI PH
1 � �
Address:_1 � AL1 4-f w � it 1: C
Builder: _
THE FOLLOWING CORRECTIONS ARE REQUIRBD:
Inepecto L/ Date:
"PROVED DISAPPROVED � APPROVED SUBJECT To ABOVE
Call For Reinsp.
�, INBPECTIO CE � �,.
City of Tigard Building Department
13125 ON Balt Blvd. Tigard, Oregon 97123
Inspection Line (/kr C-40-Phone)r 639-4175 Business Phones 639-4171
Inspections
Tooting Plbg. Underslah Me. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line PIMA-:
Post/Beam Struct. San. Sewer Framing Bldg.
Post/Brae Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Meeh,
IJ C
Date Requeskedr Tisae: -� j AM PH
Addresss�3C
Builders. (� .� _ _V
_Q.
TBS FOLLOWING OORRECTIONS ARE REQUIRED:
i
I
Inspectors_ _L—� Dates _
APPROV1sD DIflAPPROVEDAPPROVED 8U ECP a0 ABOVE
_ Call For R-Inrp.
INSPECTION NOTIC3
Cit? of T19asd BULIdia9 Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Bdwlk
Found. Plbg. Top- Out Caw Line FINALS
Poet/Beam etruct. saa,.JL-aj=-> Framing -Bldg.
Poet/Beam Mech. a_� Insulation -Plumb.
Plbg. Underfloor ater Line Gyp. Bd. dech,
Date Requested s /l 1��� / r Times AMo1 t'� PM
Address: /.3 3/5p 1 �Qf,o-c',,, ��rmit s se4j lp l 'I
Builders
THE FOLLOWING ODRRECTIONS ARE REQUIRED.
I
Inspectors _ DatesL_�1L
APPROVED DISAPPROVED APPROVED SUBJECT 1'0 ABOVE 1
L
_--Call "or Reinap.
INBPECTION NMIQK
City of Tigard Bul.Wmq Department
13125 Sw Ball Blvd. Tigard, Oregon 97223 /
Inspection Line (Ree-O-Phone)t 639-4175 Business Phone, 639-.1171
Inspectiont
rooting Plbg. Underslab Mach. Rough n Appr/Sdwlk
end. Plbg. Top out Gas Line FINAL,
Post/Baas struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.Date Requestedt /"I�t,-( -/G Timet _ AM PM
Bullder, !� IV
TEM FOLLOWING 0ORLIONS ARB REQUIRED,
Af
i
Inspectors _ Datet
✓��11PPR0JRD DISAPPROVED APPROVED BDBJECl TO ABOVE
// �� Cal For Reiump.
TIGARD
CITY
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tigard,Oregon 97223.8199 (603)039.4171
PLUMBING PERMIT
P_•RMIT #. . . . . . . : PLM94-026
E_':39--4171 DATE I SSUEU s 12/12/94
PARCEL: 2S104DC-02400
SITE ADDRESS. . . : 13331 SW CLEARVIEW WAY
SUBDIVISION. . . . : BENCHVIEW ESTATES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s24
CLASS OF WORK. . :ADD GARBAGE DISPOSALS. . e MOBILE HOME SPPCES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . s BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . :R3 FLOOR DRAI4S. . . . . . . s TRAPS. . . . . . . . . . . . . . i
S`rORIES. . . . . . . . :2 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . a
FIXTURES--------------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . a
i SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . GREASE TRAPS. . . . . . . :
LAVATORIES. . . . . : 1 OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : 1 SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : 1 WATER LINE (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft) . . . . :
Remarks: ADDING 1 BATH DOOM IN GARAGE
Owners ----------------------------------------------------- FEES ----------------
RALPH DE LORTO JR type amoo_Int by date racpt
P O BOX 230434 PRMT f 27. 00 BLT 12/12/94 . 0
SPCT f 1. 35 HLT 12/12/94 . 0
T IGARD OR 972SI
Phone #: 638-3804
C,urt:ract or: --___—.-.—______.__.________._----
t
f 28. 35 TOTAL.
f?eq
-------- REQUIRED INSPECTIONS
--- -
This perct ,s issued subject to the regulations contained in the Top—out Insp
Tigard „unicipal Code, State of Ore. Specialty Codes and all other Final I nspec.t i on
applicable laws. All work will be done in accordance with
approved plans. This persit will expire if work is not started
within 18e days of issuance, or if work is suspended for sore
than 180 days.
� e r-m i L t;e e !;i q n< t r• .. ..�_—•-- -- _ __
1 ,1.ir-',1 HV - AzC
on — 6339-4175
City of'Tigard PLUMBING PERMIT APPLICATION Pl c. 0
13125 SW Hall Blvd. Permit #
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE +ST. SURCHARGE
ENC s�pv � N"g-�I°Fes'ff4k races rj-n�t r
"d"" ,/ O 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00
Job ? ��Ej'✓ ►'T y ❑ 3 BATH HOUSE 1225.00
Address Fee includes all plumbing fixtures In the dweglnp and the first 11X)feet
I-M-A02b 7. of w&ter service, san@ary sewer and storm sewer. See fees berm
H (a 14&MN Q FIXTURES QTY PRICE AMT
Sink T 9.00
n ?? Lavatory 9.00
C},.vrler ,�L�J Tub or Tub/Shower Comb. 9.00- -
01' n► Shower Only 9.00
7.7&01'0.0 Q-.0 g Water Closet -- 9.00
Dishwasher 9.00
Garbage Disposal _ 9.00- �_-
Orsunant --- ah«» Washing Machine 9.00_
Floor Drain _ 900 --�
a Water Neater
Laundry Room Tray 9.00 _
r Urinal 9.00
Other Fixtures (Specify) 9.00
Contractor MWq Ad&-
�_�..,_._ 9'00 -
9.00
9.00
Sewer 1st 100' _ 30.00
mw Rou"O M Nk 'xr f. r.re. Sewer -ea. Addit. 100' 25.00
Water Sarvlr� tat 100' 30.00
I herehy acknowil ge that I have lead this app'loation, that the Water aeivIm on. Addit. 200' 25.00
information given Is correct, that I am the owner or authorized agent of ---- ---�-the owner, that plans submitted aro In cnrmptisnce with State laws, that Storm A Rain Drain 1st 100' 30.0x)
I am registered with the Construction Contractor4 Board, that the Storm 4 Rain Drain Addit. 'JO' 25.00
number given Is correct. (it exempt from State registration, please - -
give re on below. Q/ Mobile Home Space 25.00
�p� Beck FlawPrevention
or
Antl-Pollution Device 9.00
.M. ...«a rw.. Any Trap or Wacte 'Jot
Connected to a Future 9.00
Describe work new (:) addlflon 0 afteattlon repair Catch Basin _ 9.00
to he done residential Q non-residential Insp. of Exist. Plumbing-� 40.00/hr
Specialty Requested Inspections 40.00/hr
Existing use of
building or;roperty _ - Rein Drain, single family dwelling 30.00
Resktentlal backflow prwention
devices 15.00
Proposed use o' -®
building or property
'(Ercapf residential backflow
provenHon devlcss)
NOTICE •Minimum Fes $25.00 SUBTOTAL '� -0
I'r-RMITS BECOME VOID IF WORK OR CONSTRUCTION _
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 8% SURCHARGE � S
CONSTRUCTION OR WORK.IS SUSPENDED OR ABANDONED --- ----- -FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25%OF SUBTOTAL
Special Conditions -'-��� "-'
_ Date issued lel► _
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city or 'Tigard Building Depa.•r sss t
1312S M Pall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-.J-Phone): 639-4175 Business Phone: 639-4171
Inspection:
r -
Footing �'
Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Fwn Plbg. Top Out Gas Lina
FYNALt
Post/Boam $tract. San. $ewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
Date Requested: ---_&jZW - 1_
J T Luo r AH
PM
Address: w Permit /e-,6c)k _O '
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: I
Inspector-
�- — Dates
APPROVED
Dr AP "PROVED SUBJECT TO ABOVE
For Relnep.
—- •—�wm"_
INSPECTION NOTICE
CaitY Of Tigard Building Department
13125 ew Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phonst 639-4171
Inspections__`
Footing Plbg. Underslab Hoch. Rough-in Appr/8dwlk
L� Plbg. Top out Gas Line PINALs
Post/Baas 8truct. Ban. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Ply.
Plbg. Underfloor water Line Gyp. ad. -Hoch.
Date Requesteds I TLses AN
Addrose:41—3 3 I Permit #s
Builders
THS 1 LLONING CORRECTIONS ARE REQUIREDt
nL
Z=
D3 71j
to A
ro
Inspectors , / ��V ry d
Dates __I,_
APPROVE
D. DISAPPROVED �' APPROVED SUBJECT TO ABOVE 4
Call
For Reinsp.
smsmsmm7
City of Tigard Building Depaftment
13125 811 Ball Blvd. Tigard, Oregoa 97223
Inspection Line (Rec-O-Phons)s 639-4175 Business Phones 639-4171
i
Inspections _
Pooting� Plbq. Underslab Meeh. Rou7h-in Appr/Sdwlk
Pound. Plbq. Top Out Gas Line IINALs
Poet/Bean Struct. San. Bower !rasing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lin* Gyp. ad. _Meeh.
Date Requel stied s V'��Q q _T1ae t e2±�AN PM
Addresss13y 1 C Q� r I1�1 17f_ Permit #s M51114- 1)3
Builders 7� ( - I qo 3
THE IOLLONIMG UORRECTION8 ARE REQUIREDs
2
4
us ,�
Inspectors _ Dates J0 I/ I
"PROVED DISAPPRO"ED _ APPROVED SUBJECT To ABOVE
�� ^—Call For Reinsp.
CITY OF T
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13126 SW Hall Bbd.Tigard,Oregon 97223.8199 (603)630-4171 PERMIT #. . . . . . . : MST94 -0349
4 17 1 DATE ISSUED: 10/02/94
PARCEL: 2S 104DC -0:_400
SITE ADDRESS. . . : 13381 SW CLEARVIEW WAY
SUBDIVISION. . . . : BENCHVIEW ESTATES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . ..24
---------------------------------- BUILDING
PF-T SSUE: DWELLING UNITS: 1 BASF iIENT. . . . . . . . :0 s f
CLASS OF WORK. :NEW BEDRMS:5 BATHS s 3 Grlig(4GE. . . . . . . . . . ... 0.4 s f
TYPE (IF IJSE. . . :SF FLOOR AREAS------------ RE(,)iIIRED CET BACKS-_-___._.-.----._ ...
TYPE OF CONST. :SN FIRST. . . . : 1183 sf LEFT. . :5 ft RIGHT. s5 ft
OCCUPANCY GRP. :R:3 SECOND. . . : 1218 s f FRONT. :21 ft REAR. . :88 Ft:
STORIES. . . . . . . :2 F I NBSMENT s 921 sf REQUIRED---------------------
HETIGHT. . . . . . . . :28 ft TOTAL.-------c3322 s f SMOKE. DETECTORS. :Y
FLOOR LOAD. . . . :40 nsf VALUE. . . . . $ s 226255 PARKING SPACES. . - 1
Remarks : PATH I
----------------..._.... ____.----_-_-._ PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRPINS. . . . :0 BACKFLOW PREVNTRS. . 11
LAVATORIES. . . . . 13 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . 80
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . sO
DISHWASHERS. . . . : 1 WELTER LINE (ft ) . : 100 OTHER FIXTURES. . . . . 10
GARFAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RA IN 1)PA I NS_ . s i
______---_---- MECHANICAL. _.._._.___._..._____...-._.____._-__.----.___-_-____ FEES -------------- _
FUEL TYPES---__-__--__ (_)NIT HTRS. . :0 type amount by date recpt
/GAS/ / / VENTS . . . . . .0 TIF $ 1550. 00 JF 10/03/94 -
MAX INPUT:O BTU VENT" FANS. . :4 BPRT $ 750. 50 JF 1C/03/94 -
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC t 487. 83 JF 09/13/94 94-256670
F1JRN ) -100K . . : I WOODSTOVES. :0 BSPC E 37- 53 JF !0/03/94 -
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC f 280. 00 Ji. 10/03/94 -
BOIL/CMP ( 3HPs0 OTHER UNITS: 1 PARK $ 500. 00 JF- 10/03/94
GAS OUTLETS: 1 MPRT' $ 45. 00 JF 10/03/94 -
Owner: __---_____________________.--- MPLC f 11. 25 JF 10/03/94 -
RALPH DE LORTO JR M5PC f 2. 25 JF 10/03/94 -
P 0 BOX 230434 3BTH t 225. 00 JF 10/03/94 -
F15PC f 11. 25 JF 10/03/94 -
TIGARD OR 97281 EROS $ 88. 00 JF 10/03/94
Phone Ms 6:9-3804 ERPC $ 28. 60 JF 10/03/94 -
Contractors ---__.___...__._____.._ _-___.._--____...__._._..E-RPC $ 28. 60 JF 10/03/94
OWNER
Rhone Ms
RegM, . : _ -----------------------------------------
$ 4045. 81. TOTAL-
This permit is issued subject to the regulations contained in the -------- RECUIRED TNSPECTIONS --------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
auplicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This permit will expire if work is net started within 180 Post/Beam Mechan Insulation Insp
days of issuance, T, if work is suspends for more than 1130 n ys. PIm/Undslab Insp Gyp Board Insp
FLM/Undef'loor Rahn drain Insp
Mechanical Insp Water Line Insp
r�
Plumb Top Out Appr/Sdwlk Insp
I - iFcl By : Framing Tnsp ht"ct �nic_al FiriAI
Ca.l t for irisux_Llion 63.9.-4�75
CITY OF TIGARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13126 SW Hall Blvd.Tigard,Oregon 97223081199',4503)630-4171 PERM J T #. . . . . . . : SWR94-031 1
4171 DATE ISSUED: 11 /03/94
PARCEL; 2911041)C—.02400f ADDRESS. . . - 13:381 SW C:1._EARVIEW WAY
S� ',DIVISION. . . . . BENCHVIEW ESTATES ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :24
----------------
TENANT NAME. . . . . .
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . tSF NO. OF BUILDINGS: 1
INSTALL TYPE.. . . . :SUSWR I MPERV 3CIRFACr-.:. . : t of
Remarks: PATH I
Uwr,er- __._. ------------ ------------------------------ ---- FEES -----------___---
RALIDIA DL LORTO JR type amol_int by date recpt
P 0 BUX c30it34 PRMT * 2200. 00 JF" 10/03/94 —
INSP $ ;35. 0171 JF 10/03/94
T'IGgRI) OR 972.81
i'ho ie #: 638-3804
Contractor. --_-.....__.------------------------
i..ONTRAC'TOR NOT ON FI1_E
1 hone #: E 2235. 00 TOTAL.
Reg #. . .
— -- - RFQLI I RFD INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
0 the Unified Sewage Agency. The permit expires 186 days from —
`he date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer Iaterals. If the sewer is not located at tt,e measurement
given, the installer shall prospect 3 feet in all directions fromthe distance given. If not so located, the installer shall purchase
A 'Tap and Side Sewer" Permit and the Ag cy will i stall a lateral.
I ermi t:t;ee Signati_1re :�
1 S S 1-1 p d fly y s
Call For 1113pectton — 639-4175
9q- S
z. Permit No: ��� _-•� 7 �/
• , Address: 11 3 L_e!2 IX —
_
z/ Issued by: Date: i,c, 3_ft
FOR OFFICE USE ONLY__.__.
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following statement before the building permit can be issued.This state-
ment is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt from registration
under ORS 701.010(7), need not submit this statement. This statement will be
filed with the permit.
Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A ur 313:
1 / I own, reside in, or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
3. A. My general contractor is_ ,-_ Arz p_Q_Z`�____�'C,
Contractor registration number-YP_9�
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Construction Contractors Board.
OR
3. B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Constru^-
tion Contractors Board. If I change my mind and do hire a general contractor, I wil;
contract with a contractor who is registered with the Construction Contractors Board
and I will immediateiy notify the office issuing this building permit of the name of
the contractor.
I hereby certify that the above Information Is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse aid of this form.
gnature Pe:Irlt ca
A Ilnt Date
7
CONSTRUCTION CONTRACTORS BOARD
0244J 8191
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This Information Notice to Property Owners About Construction Responsibilities
was developed by the Construction Contractors Hoard in accordance with ORS 701.055(5),
.passed by the 1588 Oregon Legislature.
If you are acting as your own contractor to construct ra new home or make a substantial improvement to an
F;xisting structure, you can prever: many problems by being aware of the following responsibilities and areas
of concern.
EMPLOYER RESPONSIBILITIES:
if you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting
in the construction or improvement of a residential structure, you will, in most instan6i4s, be ruled to be an
Employer" and the people you hire wIli be "employees". As the employe,, you must comply with bie following:
Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from emp,gyee wages at
the time employees ate paid. You will be liable for the tax payments even if you don't actuaily withhold the
tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390.
Unemployment Insurance lax: As an employer, you are required to pay a tax for unemployment insurance
purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR
at 378-3224.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation
Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers'
compensation insurance, you may be subject. to penalties and will be liable for all claim costs if one of your
employees is injured on the job. For more information, ca!:the Workers' Compensation Division DIF at 313-7434.
U,S. Internal avenue service: As an employer, you must withhold federal income tax from employees' wages.
You will be liable or the tax payment e- er, if you didn't actually withhold the tax, For more information, call
the Internal Revenue Service at 221-396n.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet
code requirements that may be brought to your attention through inspections.
Liability l�hd_Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance
coverage for accidents and omisslons such as falling tools, paint overspray, water damage from pipe punc-
tures, fire, or work that must be re-done.
Time 'o Supervise Emploes. Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work
of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform
the required inspections.
If you have additional questions, write to: Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
Phone 503-3784621
0244) 1fJ/ 44119
410' 2220D
BY
------ R.J. DELORTO CONS i
,�� __� WASHINGTON COUNTY
"t 1' -- BENCHVIEW ESTATES
LOT 24
420'
dO Ito,168 so. fr,
420' ` ,.••'•• i��+ I __���' '�
�- % 430'
a30, r + -`�- _ '% -440'
s�•r. ''. �� EL•1514--
�t, KIKLOOR '`__�� -450'
ELt
%
r
450' r �•.' "3flRAGE `4• \\�J"'-� ��i ____
a• -='' DRIVEWAY
{3500 PSII '
so-
#t NAS
�`` 09/14/94 MP.R
ALAN MASCORD OESIM ASSOCArEs WILL I
NO' BE HELD LUBLE FOA ACCURACY OF Com,
TOPOGRAPHY IFORNAtION IT IS tK SOLE �/
RESPONWITY OF THE BUILDI?A TO VMY
ALL CEDE N I'M IDNS AND T I ANY FILL
PLACED ON iFf SITE AND TO INFORM OWNEAS
OF t4Nr POiElI ON THE
mODANS. ADIONC
NOT f'EC�O ON TEE ILANl.
A L A n 11A1C0DD Dfl10n AIIOCIATt1 I n C
1305 N.W. ISTN AVENUE, PORTLAND, OPEC ON 97209 15031 2215-9161 S C A L E 1 ` 2 0 ' • 0 "
4,0
2220D
BY
1- R.J. DELORTO CONST
WASHINGTON COUNTY
6ENCHVIEW ESTATES
;♦ a y�--_ _�,�, ►; LOT 24
420'
10,168 SO. fT
%
_ % 430'
V*. .
�Ic rte+
+r"
430' l `�_— - _ _ -'''- % r 440
%
-tp9Y1`R FLOOR:` N d40 _ - '
EL+45%4Z- .
lI 'FLOOR �`� _450'
450'' �I � '•.�_ -•:r ++-'�''�\��� ---'`---�_,_
- OARAGE
tp
011
•' % -T-fbNC O
;RIVEWAY
13500 PS11
OR t SIAL - �P
C-7
. 09/14/94 b1RR
ALAN MASCORD DE" ASSOCIATES WILL
Wt BE HELD L"M F01f ACCURAG" OF V
TOPOGRAPHY WOf1NAfKk IT IS THI: SC•.E ^
RESPOMMUtY OF THE&ADS TO VERIFY L
ALL SITE COND1104 IIE'L, IDW /ANY FILL (�
PLACED ON THE SITE AND TO INFDRM OWNERS �J
OF ANY POTEMML MILD MODMAtIONS
MOT SFICIPIID ON THE FLAIR.
ALAn nAI ( ORD DI110n AIIOCIATCI In ( �
1305 N.W. 1STH AVENUE, PORTLAND, OREGON 97209 15031 225-9161 SCALE I ' : 2 0 ' - 0 "
410' tt0' 2220D
m/w lovumm"
---
♦ BY
- �- R.J. OELORTO CONST
WASHINGTON COUNTY
sENCHVIEW ESTATES
II _ ♦ LOT 24
420'
10,168 SG. fT
420"AY+ -
♦
♦y
♦ t'
..�� � Com♦u�.
_.♦ 430'
430♦ -'�� ___ .r ♦ .440'
Ar
!'
4a0 �� -_- --toweff FLOPA _-
O_Al�'1`LOOR - .450'
FL w-
Ic
450,
GARAGEV.
•' ONCo /
^RIVEWAY �•
I3SC0 PSII
-
----" -?
!� ## �ii 460" ♦
AL
ALAN MASCORO DESIGN ASSOCIATES WILL C3 09/14/94 Mf?R
NOT BE HND LIABLE FON ACCURACY CF \
TOPOGRAPHY IFORMATFON IT IS THE SOLE
RESPONSIBILITY OF THE RV.DEA TO VERIFY
ALL SITE CONDITIONS NICI.ANVG ANY FILL (�a)
PLACED ON THE SITE AND TO NFORM OWNERS
OF ANY POTENTIAL FIELD MODIFICAV34S
NOT SPECMD ON THE PLANS.
A L A n 11AIC09D DIfian AIIOCIATEI InC
......r.�.....
1305 N.W. 18TH AVENUE. PORTLAND, OREGON 97209 15031 223-9181 5 C A L E 2 0 ' - 0 "
r
G 11 Y OF 1' 0"IRD - RE:C U.i f-'1 UF- PAYME:N T RE UE:114 NO,
U 4f-.:C:K AMOUNT t 60-40. c�1
IW►r•ir: I RJ DLL..UR 1'U GUNI.3 T RUCT I ON F:'ASH AM1.I1.114 Y t 0.vie
M )OPI Be PAYMEN1 UNTE_ t 10/03/44
SUBDIVISION
VAl fiWI IBF. OF PAYMF.N T' AMUUN'T 1:1011) PURP0 8F. OF PAYME-N T 0011A.INT PAID
ItI1►1 I,INC3 PERM MF3T 4 f?!I:149 lgr1. 'S0a r�i.,UMTaINC.3 PERM
IYI! ! I11114ICAL.. PIE 45. 00 ST. 80II.0 FIFIR
1''I 61W f:Nf CK FE 249.011 Sf".WRR (11114A Oki
WI k INSPECT :3 i. 00 PAW-; !Cllr "rVr41« Vern
i;Y1mot DRAIN 8DC, ;= l.i , 00 Ia1F.. FNNFFU.' Ff=f f; Er+30. 00
oIf-►,7.:. T RANf3 I T T I F F F-Fb i, rn, l+VI 1144W.1-10N r.I INF RDI FBF••RM I T FF F 86. thO
I Wi I, LON r.;ONTROI. P'AAN I+, k. ha r JA'11- 10N ►Ir•lf fir.1r. 0.1, 6to
1 -IsI SW GL.F.AHVIF-W, I,O1 %r 10-14I.14Vif.W r. ,I1I1
IIIIiii AMOUNT FrIiII t•N,+4i. ,It
Reaidential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobelte Address:
Subdivision: q_QM Y h`
r i�'ianck/ReC'# '
Valuation: 5.
p6mit
Corner Lot? Y
# ,
Reissue of
Flag Lot? Y � - --
Map TL# _Z '�
Owner. ?/?,L p bc
_ ;Approvals:Reauired
Address: �, �'.��� S D .I l� N— Planning -
14 e ^ -
--� - Engineering _
Phone:
Other
Contractor: Dr ZoRl-tD, CoAA'T
m__:ecLuirej
/Address:
irrust Detatis
hone:
Orttier
C:antrgc:toes License #
(attach copy of current Oregon license)
�t Contact Nar»P & Phone: j
Subcontractors: �, Architect/Engineer:
Plumbing: 41L t--t`t:t MAUT/1W� Aftess: /'0�;_ 187 +�
Mechanical: U ;: �d 00 D)Q - ;f 72
(attach copy of current OR Contractor's Lkense) �
Phone: _
JOB DESCRIPTION:
�. �OT
Applica,tt Signet & PlYone nu r —
Received by: _ Cate Received:
►r«rorrac:
P*rmlt 0 Account Description Amount Amt. Pd. Bal. Duo
1?751 -U 30 Bldg. Permit (BUILD) Z-SJ S"a SU,-5 0
_ P!umb. Permit (PLUMS) '?>•L r� .�"�'
Mech. Permit (MECH) ) u+► __ L ) •w
State Tax (TAX) •}` U �� f" a 3
Bldg: •s'
Plumb: �� Z
Mech: r • 2 >
Plan Check (PLANCK)
Bldg: v r i•��s'
Plumb:
Mech: /' L
c�G��tl {u4-0 31 Sewer Connection; fUSA) -C4
Sewer Inspection (SWINSP) _ 3
Parka Dev Charge (PKSDC) ����? -5,00
Storm Drainage Chg (SDSDC) v4 5-0
Residential TIF (l r-R) �` 3 �� / 30
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) Y�
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF' (TfF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE) _
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERI--'LAN)
Erosion Planck/COT (EROSN) k`G�` _ �2x,60
TOTALS ��6,2 M. � � IL'
011 /
L
UITV (IF 11GRRD RECEIPT OFPAYMENT RECEIPT NO. /0
CHECK 14MOUN'T 250. i4a
R. J., DE tARTO CONSTRUCTION UARH AIlUUN't 0. 014
PAYMENT DAVE s 09/13/1)4
SUBD I V I q I ON x
PURPOSE OF PAYMENT' AMCILINU PlAAD PURP0181; OF PAYMENT AMI-A IN r i:jA i I)
PI.*Ari**—CH,-E—CK -F--E- P50. Me
I iMAI. t3W CLEARVIEW
It'llill AmOt.!ml PAII,) 00