13436 SW CLEARVIEW WAY f
4�
Ja
W
01
In
E
fa
C9
Cil
F
E
K
!W
9�9 ,
U
:9.
-1
t
'i
4:
13436 SW CGEAAVIEW WAY _
C17Y OF TIGARD CERTIFICATE' OF
OCCUPF,1,iGY
COMMUNITY DEVA010MINT DIP4%TMENT PERMIT #. . . . . . . A MST92
M25 BW Hall Blvd.Tigard,Oregon 07122*11 )63111-4171
DATE ISSUED: 06/14/93
.�1T*E ADDRESS— : 13426 SW GL50RVIEW WY PARCEL. 216104T1G0500L,
;UBD(VISION. — s HEN04VIEW ESTATES ZONINGs R-4. 5
LOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . l!50
C'LASc7' OF WORK. ANEW
TYPE OF LISE. . . :SF
QCCLIPANCV GRP. sR3
OCCUPANCY LOAD#229 4
TENFIT NAME— :
pemar+.�; : PATH I
Uwner
A R WILLIAh"301\1 1,014STRUC110N
1050 SCHL)KART LANE
I-AVE 91,13WE60 OR 97034
Phone #s 6*.,3346
Cantracior-
(74. R. WI -LIAM'301,,i CONSTRUC.TION
1050 SCHLA"ARt' LANE
I .OKL 05WE60 OP 97034
Phone #c
Rog #. . .- 33737
0':�MtPancy o-( the above referenced 'juilding is hereby given, and cortifie,.-
the compliance wikh the [it-ate Of Oregon 3pecialty Codes for the group,
occmpatvc , and use under which the referenced permit wes issued.
FIRE DE VARTMENT
J ING I 'CTOR
F.IUILDINGI OFAIFIL.
P10'831' IN CONSPICUOUS PLACc:
--------------
DEPARTMENT OF LAND USE&T,ANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
15b NORTH FIRST,HILLSBORO,OR 97124
- COUI\ITY INSPECTION REQUESTS: 503/640-3561/693-4415
f PHONE: 503/648-8761
OREGON Page 1 of 1
Date 11/09/93
Time 08 : 39
Permit 1'• pe Residential Electrical Permit Permit # 05046553
Permit Statuj APPROVED Applied 11/05/93
Situs Address 13436 SW CLEARVIEW WA T1 Issued 11/05/93
Permit 'Title SFR - ELEC/BURGLAR ALARM Completed :
Permit Descr. To Expire 05/04/94
Project 'Title S1'R -• ELEC/BURGLAR ALARM Proi tct # P0035801
Project Descr. * fL'ROSiON
Parcel Number 2S1TI - Land Use District
Valuation 0
Legal Descr .
Owner INSPECTION - TIGARD Construction OT
Applicant Name BRINKS HOME SECURITY Classification 900
Applicant Addr. : 8059 SW CIRRUS DH Oc„upancy R3
BEAVERTON, OR 97005 Validated by KF
Applicant Phone : 641-0196 Inspector Area
CON'TRAC'TOR : BRINKS HOME SECURITY Lic. C 34-!66C 641-0196
F'ee description Units F'ee/(Jnit Ext fee Data
--•-----------------
1,;.nited Entegy/Alter ./Extension 1 40 . 00 40 . 00
Subtotal Electrical Fees : 0 40 . 00
State Surcharge of 5% 0 2 , 00
Total Electrical Fees : 0 42 . 00
*** !Fees Required *** **k Nees Collected & Credits ***
Receipt No . Date Payment
11/05/53 42 . U0
Fees : 42 . 00
Adjustments : . 00 'Total Credits : . QU
Total Fees : 4- 00 'Total. Payments : 42 . 00
Balance Due : . 00
NOTICE: This permit becomes null end vold If the work or construction for which It is Ise-fed Is not commenced within 180 a.ys. Once construction has started,
the perm"becomes null ano void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and
his agent or agents In support at this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this perm". All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the pians or noted on the plans correction sheels. f acknowledge that
the granting of a perm"does not grant authority to access private property or to use easements. 1 further acknowledge that th is or occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process of construc"o. ,told the building
In-spection st %f.vrifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. I further acknowledge that a lien may be pieced on the title of the property upon which thr, nermit Is issued
specifying that the use or occupancy of the building or structure Is provInloral and revocable until the satisfaction of all Inspection roquirements.
APPIICANT'S SIGNATURE
WASHINGTON COUNTY
Department of land Use & TransportationRESTRICTED
Electrical Inspection Section 1
155 North First Avenue,#350-12 ELECTRICAL ENERGY
Hillsboro, 9712
Information: (503)640.3470on Fax:(503)693-4412 AP P LI CA'TI O N
• PRINT
Please completesections, • • Project Ivy.. Pr-rmit No.
5.
1. Locatindss � S tJ� 1I/W/ Label No. Owe
Add,ass ,,�/�f� 1 J Issued By_..— _. Oft.,�e
City- zip Code�?a� _ 4. Type of work
Tax Map Map No. RESIDENTIAL rlestricted Energy Fee $40,00
Thomas Map 3ook: Page �,25_ Section /7 (tor all systems)
Directions _ Check type of w,.trl .ivolved:
-- -- -- -- 1 Audio an,i Stereo Systems*
Commercial Residential k Burg!ar It larm
Tenant Name Telophon4 Systems*
(if commercial) -__ --. Garage D nor opener*
This permit becomes null and vold If the work authorized by the Fire Alarm
nermit Is not commenced within ISO days from date of Issuance Heating,Ventilation and Air Conditioning Systems*
Of such permit or If the work authorized Is suspended or abandoned
at any time after work Is commenced for a period of 180 days. Vacuum Systems'
Electrical Permits are non-refundable and non-transferable. Other
2. Contractor a-, lication:
Electrical Contractor rs�,> COMMERCIAL Fee for each system $40.00
�' �- (see OAR 918-260-260)
Address
Jqb &rmber �— Check type of work Involved-
Property Owner
Contractor's License "Jo.
CBoiler Cu,,vole
ontractor's Bo�arror - L Clock Systems
&
Phone No.- 'q, _�.� Data Telecommunications Installations
Fire Alarm Installabon
3. Owner application: HVAC
Instrumentation
Print Owner's Name__ Phone No. Inleicom and Paging System
Landscape Irrigation Control*
Address --- -- ---- -- -- - __.- Medical
Nurse Calls
Outdoor Landscape Lighting*
This permit Is Issued under 04H 9'e-320-370. T ire*ppiketil*Vivo* Protective Signaling
to make only r"frktei morel•Instillations(100 volt amps or teas) Other _
undo►his permit*,,d to do the ollowrnp: -- -�
1. Only use electrical licensed r arsons to do Installations where
required. (Certain residential anC other transactions are exe.,ipt Number of Syr:ems
from Ilcenslng, These have c•ter'sk•(6). All others need licens-
Inp.) 'No licenses are ie uired. Licenses are required for all other mrtalletions.
?. Cell for an Inspection when all ffw InstalleHors under this permit 4 �
are mady for Inspection.
3. Prirchaae seperal•permits for all Installatiors that are not ready 5. Fees
for lnspectlorr when the Inspector is out to Inspect under this Enter fees $
p•rm1t.
4. Assume responsibility for assuming that all corrections required
by the instvx far are done,and 05 X total above.
5. Assume esponslblNry for calllrip for a final Inspectlon when all of 5% Surcharge ( ) $
the correi.lions are completed. / .T n/1
1 tie person signing this permit must be the applicant or a person
ou'horized to Lind the applicant.
�ignsr�rc _ Sp,,ce below reserved for validation
Authority i1 other than applicant
For Inspections call
640-3561 or 693-44.1. 5
24-hour recorder,one working day In advance of need 1119?
C17YOF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CrrY(JFTWARD MASTER PERMIT
13126 SW HWI Blvd. P.O.Box 23397,TipM,Onegon 97223(503)639-4175PERMI r #. . . . . . . : MST92-0204
639-4171 DATE ISSUED: 09/25/92
SIT.7 ADDRESS. . . ". 13436 SW CLEARVIEW WY PARCEL: 2SI04DC-05000
SUBDIVISION. . . . : BENCHVIEW ESTATES ZONINGL R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :50
------------- BUILDING
REISSUE: DWELLING UNITSii BASE14ENT. . . . . . . . :0 sf
CLASS OF WORK. sNEW BEDRMSe4 BATHS:3 GARAGE. . . . . . . . . . 1720 sf
TYPE OF USE. . . :SF FLOOR REQUIRED SETBACKS--------------
TYPE OF CONST. :5N FIRST. . . . -. 1491 sf LEFT. . :5 ft RIGHT. e5 Ft
OCCUPANCY GRP. tR3 SECOND. . . : 1203 sf FRIONT. i20 ft REAR. . :30 f-t
STORIES. . . . . . . c2 THIRD. . . . e@ sf
HEIGHT. . . . . . . . o29 ft TOTAL------:2694 sf SMOKE DETECTORS. tY
FLOOR LOAD. . . . :40 psf VALUE. . . . . 136884 PARKING SPACES. . : 1
Remarks: PHTH I
PLUMBINU -------------------------------------- -
SlNKS. . . . . . . . . . il FLOOR DRAI14S. . . . 10 BACKFLOW PREVNTRS. . :0
LHVOTORILS. . . . . :4 WATER HEATERS. . . : i TRAPS. . . . . . . . . . . . . . :0
TUB/(SHUWSRS. . . . 13 LAUNDRY TRAYS. . . 11 CATCH BASINS. . . . . . . :0
WPILR LLUi-.& [EP. . :.j E3EWLk LINL (tt ) . :0 UHLPbE THHPb. . . . . . . :L11
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) sO
WASHING MACH. . . : 1 SF RAIN DRAINS. . il
MECHANICAL -------------- FEES
FUEL TYPES UNIT HTRS. . 10 t ype amount by date racpt
/GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JF 09/25/92 -
MAX INPUT:O BTU VENT FANS. . :4 PPRT $ 525. 50 JF 09/25/92 -
FURN ( 100K . . 10 HUUI)S. . . . . . : 1 B;-'LL $ 341. 58 JLH 09 /10,192
FURN ) =100K . . ii WOODETUVES. tO B5PC $ 26. 28 JF 09/25/92
-
FLUOR FURN. . . . e@ CLC DRYERS. a I SSDC 1. 280. 00 JF 09/25/92
BOIL/CMP ( 3HP:0 OTHER UNITSj1 PARK 1, 500. 00 JF 09/25/92
GAS 0UTLETS# 1 MPRT $ 45. 00 JF 09/25/92
Owner: -.---•-----------_--__--.____--_-__--- -- IVIPLC $ 11. 25 JF 09/25/92
A R WILLIAMSON CONSTRUCTIDN M5PC $ 2. 25 JF 09/25/92 -
1050 SCIAUKART LANE PPRT $ 155. 00 JF 09/25/92 -
P5PC $ 7. 75 JF 04/25/92 -
LAKE OSWEGO OR 97034
Phone #1 636--3346
Contractors ----------------------------------
A. R. WILLIAMSON CONSTRUCTIG,'.1
1050 SCHUKART LANE
LAKE OSWEGO OR 97034
Phone the
Reg 33737
3354. 61 TOTAL
This permit is issued sun,iect to the regulations contained in the REQUIRED INSPELTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance wit' auproved Post/Beam Struct Gas Line Insp
plans. This permit will expire if work is not started o in 180 Post/Beam Nechan Insulation Insp
days of issuance, or if work is suspe)*d for more t Pip 180 days. PIM/Undslab Insp Gyp Board Insp
PLM/Underfloor Rain dr-a-''n Insp
P -inittee Sigr —Mechanical Insp Wate— Line Insp
let iatur. P r-'ILtmb Top Out Appr/Sdwlk Insp
Issued BY : c- Framing Insp Mechanical Final
Ca 1 1 1 n lnspprt 1on — 669-41 75
CITY OF TIG, RD caff,14F-UARD SEWER CONNELTION
COMMUNITY DEVELOPMENT DEPAUMENT PERMIT
13125 SW Holl Blvd. P.O.Box 2MG7.T4iud,Orr gon 97223(503)SWAM PERMIT #. . . . . . . : SI-R92-0239
639-4171 DATE ISSUED: 09/25/92
GIVE ADDRESS. . . : 13436 SW CLEARV1LW WY PqRCEL: 2SI04DC-05000
'JUBDIVISION. . . . . BENCHVIEW ESTATES ZONING: R-4. 5
bL.ul-'K. . . . . . . . . . LOT. . . . . . . . . . . . . ..50
TLlqi--41\IT NAME. . . . . :
US" NO. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORK. . . :NEW DWELLING UNTTs. . : i
TYPE OF USE. . . . . :SF 0,0, OF BUILDINGS: I
INSTALL TYPE. . . . CBUSWR RV SURFACE. . : : sf
Remarks : f:,AT*H 1
Owner-,: FEES
A R WILLIAMSON CONSTRUCTION type amol.tnt by date t-eept
1050 SCHUKART LANE PRMT $ 2100- 00 JF 09/25/92 —
LAKE OSWEGO OR 97034 INSP $ 35. 00 JF 09/25/92 —
Phone #: 6Z36-3346
Contractor:
CONTPACTOR NOT' ON FILE
-----------------
Phone #: $ 2135. 00 70TAL
Rey
REQUIRED INSPECTIONS --------
This Applicant agrees to comply with oil the rules and regulations Sewer Inspection
of the Unified Somali Agency. The permit expires 189 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sower laterals. If the sower is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer all purchase
a "Tap and Side Sister" Permit and the A cy wil ins al a laterzl.
Pet,mittee Siynati-ii-e ,
Issi..ted Dy !
L,ill for inspection 639-4175
vlmel'f
('OMMIiNI'IY 1)I VI:Lc)I'MrNT 1)l,!'/ 1313 SW Ifall BNd. PLNCK/RECT # Z
1CITY OF iKARD TippnkOregon971Z1 PERMIT # W-51 .92 - 0G
2Q 4-
RTMGN'I
(503)639-4171 DATE ISSUED _
JOB ADDRESS: 7 �� �i —_ TAX MAP/LOT .Z 5 Iyq
SUB: 0atjLOT: `�C) _ LAND USE: _
VALUATION:
OWNER SPECIAL NOTES
_
NAME: , �j22v, •
�` ��''� .� REISSUE OF:
ADDRESS: 21L r'•- �lju/ _ LAST REISSUE.
�A ! ), __ _ FLOOD PLAIN/
PHONE: J� ' :33 �L T SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: _ PLANNING:
ADDRESS: _ _ _ ENGINEERING:
FIRE DEPT: — —�
PHONE: —.-- e�1� OTHER: -
CONTR. BOARD #: r� �73:2 CXP DATF_: 93
(I-f-L'f-WL
I ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: Z� % _ LIST/SUBCONTRACTORS:
ly it,WWI 4
MECH: _ BUS TAX: _�---- ----��
ARCH ENGINEER / CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: ?'Z .� �S jr OTHER:
PHONE:
c-
PROPOSLD BLDG. USE: —.---- --- ---
COMMLN I S:
r
A['PLrCANT SIGNATURE –�
Received By: _ --___ Date Received: �4"�y
PERMIT N ACCT # DESCRIPTION AMOUNT AMOUNT PD. BP,' . OUE
10-432 00 Building Permit Fues S,2i•. )� ,-I SL>, yU
�- 10-431 00 Plumbing Permit Fees S' , Gu
10-431 01 Mechanical Permit Fees
10-2.30 (11 State Building Tax (5q)
Building
Plumbing '• 7>�
Mechanical 1• Z ti
10-433 00 Plans Check Fee 3 '. S'
Building s ,58'
Plumbing
Mechanical %-' r. ✓
10-230 06 Fire
Q29 30-202. 00 Sewer Connection
30-444 00 Sewer Inspection .3)
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25--448 -03 Office TIF Fees
25-448-01 Residential Traffic Fees 13'St�.QU ! 35a• „
2.5-448-05 Mass Transit TIF Fees // O--00 ll�
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storin Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
2.4-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3581P.WP1-