13263 SW BENISH STREET w �
v
w
w
H
f
13263 SW BENLSH STREET sic
-- -- - Jn GERTIFICA, O;'
ClTY0FT1GrA. lP, // / OCCUPANT Y�* PERMITT N. . . . . . . a M�T�Ii& (��17i�CLTY0FTWARD FIR IM. PERMIT N. a MF"T'D0-0g:'4
COMMUNITY DEVELOPMENT DEPARTMEiYT OREGON DATE ISSUED: 07/17,190
13125 SW Nell Blvd. P O Eau 23397,Tipvd,Orep n 972'23(603)830.4176
7T E IaUtTT?f Ta Ti. . . a—1 326Sw BE H 1511S I PARC0.8 I F0 4 A B- 1 Ql8 00
SUBDIVISION. . . . a MORNING HILL NO. 6 ZON.Nu. R -4.5
BLOCK. . . . . . . . . . & LOT. . . . . . . . . . . . . 1137
---------------
CLASS OF_._,___..._.......___.._.__. ._.._.__._.
WORK. ENEW
TYPE OF USE. . . ESF
OCCUPANCY ORP. ER3
OCCUPANCY LOAD s c'20 4
TF.'NAH I NOME.. . .
Rea,arkisr
Owne•l-E ••__.__-- -------------------------------
D
- _..--___._____..__w_____________D ANDERSON
9363 S.W. BE:AV. HWY
BE.AVE:RTON OR 9-1005
Phone Us 297 7666
I
Contlrar^to•rr -_.______._,._._____..___.____.______
D. E. ANDERSON INC
9363 SW BE:AVERTON HIGHWAY
BF.AVERT0tI OR 978M5
PhOrlm Mt 297-•7666
Reg #. . v 46344
Occctpancy of the above referenced building is hereby yivern, ;a1ld certifies
the c.ompli;anc r with thtr StAte Of Oregon Spvcialty Codes frrr• thr,% group,
occupancy, and use under which th!a referenced permit was iggtled.
FIRE DEPARTMENT BUILDING INSrOR
T+I.ITI_UT OFF'
r
DOST J14 CONSPI0001!S
I
INSPECTION NOTICE
^ City of Tigard Building department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
4 T,ae of inspection --- - – –� —
Date Requested _ Tirhrj:.�� A.P.I._ P.M.
Address _ 1 _� � lv- -- �y �. Permit *7UZ ' b t
Owner . _ Lot _
Builder
The following Building Code deficiencies are vquired to be corrected:
P1See- to Approved
IMpnretor _ _—_�. ❑ Disapproved
CALL FOR R.FtNSPECUON
0 YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
4 ,
Type of Inspection —__--
Date Requested a – d. Ti inn __A.M._ P.M.
Address �� 3 �6k�G- Permit #',Z:Ll
Owner _____ Lot #_�
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ N�Approved
Inspector _ ❑ Disapproved
A
Date
CALL FOR REL"'SPECTION
[� YES [O NO
i
i
i
INSPECTION NOTICE �-y�'
City of Tigard Building Department /
P.O. Box 23397
G _ Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _
Date Requested Time A.M._�6= P.M.
Address . C —� Permit #�a
Owner. // Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector _ ❑ Disapproved
CALL FOR REINSPECTION
DYES ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Otegon 97223
Phone: 639-4175
Type of Inspection
Date Requested �-� Ti��fA.M. �'-t� _P.m..�� �/
Address __
3�� 3 rcr U -- Permit
#L_GL —�-1—
Owner Lot #_
Builder
The following Building Code deficiencies are required to be c,)rrected:
IV
Clow
-�
Presented to Approved
Inspector __ ❑ Disapproved
Date ___ —Ic--
CALL FOR REINSPECTION
❑ YES NO
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
(fl� Tigard, Oregcn 97223
.� Phone: 6394175
Type of Inspection
Date Requested 7 3 ll� Time A.M.& P.M.
Address G _ Permit # 7�.
Owner_ Lot #
�I
Builder
The following Building Codp deficiencies are r quired t be corrected: / f(
tO
-
v
Presented to j �� Approved
Inspector [Disapproved
Data 7 — -3 HP
CALL FOR REINSPECTION
[X YES 0 NO
L _ �_
i
INSPECTION NOTICE
'1 t_-
City of Tigard Bt'iiding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection --� --
Date Requested Time A.M. P.M.
Address _ ,/.' li l4Y7L4�`f� Permit #
Owner Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to n Approved
Inspector Y Disapproved
Date
CA::. FOR REINSPECTION
[� YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M. P.M.
Address L..2
Permit z4z
Owner Lot lit
Builder
The following Building Code deficiencies are required to be corrected:
Presented to red
Inspector �Dlupprovee
Mite
CALL FOR REINSPECTION
0 YES El NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 ;ley
Phone: 839-4175
Type of Inspection
Date Requested ' 7' �/i Time_ A.M. P.M.
Address —_ �,,� / /��. J Permit
Owner _ Lot
Builder
The following Building Code deficiencies are required to be corrected:
- '�-7� C�✓c=� ------ -- --- -
Presented to _ )4�ffpprovad
Inspector _ '(� U Disapproved
Data �/- ✓'-�O --- —
CALL FOR REINSPECTION
E] YE3 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection . Insulation & Cover
Date Requested 6/6/90 Time xx A.M. P.M.
Address � 13263 i�enish St. _ Permit # 90-0074
Owner- --------- --------— Lot # —_
Meadowbrook Dev..
The following Building Code deficiencies are required to be corrected:
Presrnted to _ Approved
Inspector �' pproved
Date - -- - — G^—La r �%
CALL. FOR REINSPECTION
PT YEa ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-41�75
Type of Inspection // _ t '��lC�9" —
Date Requested_:// 1�:Z6 — Time A.M. /� P.M.
Address �a1�— ����� �� Permit #`"'—
Owner Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ _ P/Approved
Inspector _�� �� Disapproved
Date
CALL POR REINSPECTION
0 YES 0 NO
INSPECTION NOTICE
( ity of 7 igard Building Department
P O Box ?3397
f i(jardOregon 97223
Phone 639-4175
Type of Inspection
Date RequestAd� ♦T r��;1�- Time A.M.
Address Permit e),0 74
Owner Lot #
Builder ■� '�Lo _
The following Building Code deficiencies are required to be corrected:
Presented to _ _ — Approved
Inspector ��
–���4•—�- __ � _� Disapproved '
Date --
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
^� Phone: 639-4175
Type of Inspection ii?�i.,,S
Date Requested 09,t; _— Time—>-- A.M. 4',0 P.M. --
Address 2 3ti/1 S H Permit # "O0 7
Owner— _ Lot # _
3uiIder W EP V U
The following Building Code deficiencies arR required to he corrected:
IS
Presented to '.'�_<Approved
Inspectct
❑ Disapproved
Date
CALL FOR REINSPECTION
0 YES l_J NO
i
INSPECTION NOTICE y
City of Tigard Building Department
F O B)x 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection , ` `r-4
Date Requested eQTime ` A.M.- P.M.
Address --4 ..� ----�f3 ,f.�'�L1_ -- --- Permit #.
Owner,---- Lot #
Builder — LLAZn W- -
--- -------�.�_. _—
The following Building Code deficiencies are required to he corrected:
l
Presented to - Jpproved
Inspector Disapproved
Date
—
CALL FOR REINSPECTION
❑ YES I__) NO
INSPECTIOiN NOTICE
City of Tigard Building Depan,'ent
P.O Box 23397 l
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _� i✓ ��� 1� �� �����y�
Date Requested Time K A.M. P.M.
Address _-- Permit
Owner
Lot
builder _— ------
Tne following Building Code deficiencies are required to be corrected:
f
--
Presented to
– ---- --
Approved
�
Inspector ❑ Dimpprovad
---
Date
CALL FOR REINSPECTION
C7 YES ❑ NO
INSPECTION NOTICE
of Tigard Building Department
✓�r� v P.Q. Box 23397
�v Ti4ard, Oregon 97223
Phone: 639-4175
Type of Inspection —�_-�--a - --..-.-
Date h:-quested Z Time _ A.M._ P.M.
Address _�_�� Permit ���21Z
Owner _..-- Lot
Builder ._ /� '6fzzA2
The following Building Code deficiencies are required to be Corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
_ '�\ MASTER P'ERMI'T
CITYOFTWARD (Cr'YOF
PERMIT 0. . . . . . . I MST9O-••0074
TWARD PRIM. PERMIT N. I MST9O-0074
COMMUN!T'Y DEVELOPMENT DEPART�E011290m13125 SWFWIBlvd. P.O.Baa 23397,Tymd,OreWn 9 (403101 1 DATE ISSUED: 03/30/90
SITE NDDRE:SS. . . : 13263 SW HE"NISH 51 PARCEL: 2SI04AE4••••10800
('-SUBDIVISION. . . . : MORNING HILL NO.6 ZONING: C:•-4. 5
BLOCK. . . . . . . . . . I L.UT. . . . . . . . . . . . . .. 137
BUILDING
RLISSUE: DWELLING; UNITS:1 BASEMENT. . . . . . . . :0 sf
CLASS OF* WORK. :NEW BEDRMS14 BATHS:3 GARAGE. . . . . . . . . . :441 sf
TYPE OF USE. . . CSF FLOOR AREAS-•._.___....___...._ REQUIRED SET'BACKS----__.-_._.._.
TYI!E OF' CONST. -.5N FIRST. . . . :`390 sf LEFT. . : 15 ft RIGHT. 45 ft
OCCUPANCY GRP. :R3 SECOND. . . :920 sf FRONT. :20 ft REAR. . I15 ft
STORIES. . . . . . . ..0 THIRD. . . . :O sf REQUIRED---
HEIGHT. . . . . . . . ..20 ft TOTAL.-•-••---.___: 1910 sf SMOKE DE•TEC:TORS. :Y
F'LOOK LOAD. . . . :40 ps f VALUE» — $: 88158 PARKING SPACE'S. . I 0
Rema•r�cs I
PLUMBINCy
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . .. . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :4 WATER HEATERS. . . : 100 TRAPS. . . . . . . . . . . . . . :0
TUN/SHOWERS. . . . :E LAUNDRY TRAYS. . . :0 CATCH BASINS. . ,, ,, ., _ .. :O
WATER CLOSETS. . :3 SEWER LINE (-ft) . :O GREASE: TRAPS. . „ „ , ., . :0
DISHWASHERS. . . . 11 WATr.R LINE (ft) . 11.O0 OTHER FT.XTURE`:i. .. . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :O
WASHING MACH. . . : 1 GF RAIN DRAINS. . : 1
...............__..__._____ MECHANICAL -__.__.__..._._._._...__.. _....._...__._._..._.__....._._..__. F'EES --.__.._....._.__._. _.__._.
F=UEI... TYPES ---_____.__.....__ UNIT HT•RS. . :O type amount by date •reept
/GAS/ / / VENTS . . . . . :0 PAYM $ 100. 00 JLH 02/21/90 107409
MAX INPUT:0 Bit.) VENT FANS. . :3 I�RMT $ 400.00
F URN ( 100K . . : I HOODS. . . . . . : 1 PLCK $ 260. 00 / !
F•t.1RN >=100K . . :0 WOODSTOVES. :O ;PCT $ 20. 00
FLOOR TURN. . . . :0 CLO DRYERS. : 1 STDC: $ 600. 00 ! /
SOIL/CMP ( 3H1=':0 OTHER UNITS:O SSDC 1; 250.100 / !
OAS OUTL.F..TS: 1 PARK $ 250. 00
Owner: ______.._..___._.._._.____......._._._.__............_...._..._....._.._....._..-._._ 1:1R111 `k 36. 00
D ANDERSON PL.CK $ 9. 00
9363 S.W. BEAV. HWY 5PCT $ 1. 30 /
PRMT $ 140. 00
BEAVERTON OR 97OO5 5 PCT '1; 7. 00 / !
Phone N: 2'�7-•7666 PAYM 1873. 80 JLH 031301_40
Contracto-rs -- --_.._....._................................ __....... _..........
WOLCOTT PLUMPING CONTRS INC,
1'' 0 BOX 872
(:iRE:SHAM OR 97030
Plic1ne 0: 50.36671781 �
Reg 14. . . 23847
$ 19.73. 80 TOTAL
This permit is issued subject to the rejulatlons contained 1n the ---- REQUTRE:D INSPECTIONS - --- - -
Tilard Municipal Code, State of Ore. Specialty Codes and all other Foot/fo!1nd Insp Fi'rep'lace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Insp Gas Line Insp
plans. This persit will expire if work is_Wt started nthin 189 Crawl Drain Irlslslation I1-115p
days of issuance, or if work is suspp.l 189 dayLl PIM/Undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
N'earmi.ttee Sign it.rrr ~� � _�--.M,ecchanical. Insp Water Line Insp
F'1'itRb T'op OUt App•(•/Sdw.lk. Insp
1 s;s t.t e d B y ___...._..._._.__.__ e.�...___.__._.... F r a m i n q Insp Mechanical. F i n a 1.
Call for inspection - 639-4175
C!7YOFTIFARD SEWER PERMIT' 1IUhl
PERMxT'
CITYOFTWARD C',EI M1:T it. . . . . . . : SiWR90._.01013i:.?
COMMUNITY DEVELOPMENT DEPARTMENT ORmt PRIM. PERMIT' ty. : M5T90 0074
13126 SW Hell RW RO Box 23397,Tip M,Oregon 9722'.5(603)839 X176
6 3'� 417 1 _—
SITE ADDRESS. . . : 13263 SW BENDISH S'T' PARCEL: S1.04AD----1.01:100
SUBDIVISION. . . . : MORNING HILL NU.. 6 ZONING: F-,---4. 5
Bl-.00K. . . . . . . . . . : LOT.. . . . . . . . . . . . . : 1.37
TENANT NAME. . . . . :
USA NO. . . . . . . . . . ..40639 FIXTURE:: UNIT'S. . . :
CLASS OF WORK. . . :NEW DWELLING UNI'TS. . : 1.
TYPE OF USE. . . . . :SF NO. OF BUILDINGS3: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE.. . : :Sf
Rci,;;arka+.:
Uwrie•r: _.__.___.. ___..______..____._._.__.._._.....___.._..._.._._.___.__ _..______._..____._._.___.___ FEES
D ANDERSON type Amclurit by date •recpt
9363 S. W. BE:AV. HWY PRMT' $ 1250.00
INSP $ 3''5. 00
D1::.AVER T(:111 OR 97005 PAY11 $ 1.211':.:J.. 00 JI_H 03/30/90
F)ficorie t0: 297._7666
.................... ..............._—
(:;(:)i4 I RAC'TOR NOT ON FILE
ftitorte i4: 1295. 00 TOTAL_
Reg M. . :
RE14UIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Irispectiari
of the Unified Sewage Agency. The permit expires 120 days frog
the date issued. The total amount paid will be forfeited ii the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all di tions from
the distance given. If trot so located, thl instfiKeTall urchase
._
.... _.____....___.. __...__.......__.__...._ _..__._._...__..
a "Tap and Side Saver" Permit and thsygj n tall lateral.
Pe+rmi.ttpe Sitigiiature:
I s;;;t.t e d B y: _ _ _._.
Cal.1 '(.)r i.riscpec:t:icon F,39•-41"75
CITY OF TIGARD RECEIPT OF PAYMENT NO.- 00108119
CHECK AMOUNT
DAN ANDERSON CASH AMOUNT
E st-,- PAYMENT DATE z 03-T,0-90
HEAVEPTON. OR 97005 BLOCK N(-).-,'ADDF-r
172631 SW BENISH
PlIPPOSE OF' PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
- ---------- ---------
PERMIT-i90-0074)-- - 400.00 PLU111�,ING PEkMll' 140.00
MECHANICAL PERMIT 76.00 STATE F4UIL0 PERMIT TAX (5-f.) 20.80
PLAN CHECI, FEE 169, OCI SEWER USA (90-0082) 1 ,250.00
SEWED tNSPECION 55.01) STREET SOC 0100.01)
PARI:S SYSTEM DEVELOPMENT CH 250,00 STORM DF-,AIN SDC 250.or)
II
TOTAL AMOUNT FAIR
i
CITY OF TIGARD — RECEIPT OF PAYMENT FEC NO. 001O7405
CHECX AMOUNT : 481.1.00
WiME, D.E. ANDERSON (-,ASH AMOUNT c .00
i4DDRESS: F'AYMENI DATE 0';'-: 1 q1] I
TIGARD, OF' 972L?7. BLOCK NO%ADDR..
I
F,ijFF,OSF- OF PAYMENT AMOUNT PAID FUFkPOSE OF F'AVMENT AMOUNT FAID
I
PLAN CHECK FEE_ (7-46Fi)__#1 �� _ /Ua-00 FLAN C:HED. FEEv— ,--47R) #165 100.00
ALAN CHED- FEE i2-48R) #'!.;",4 40.00 PLAN CHED FEE l2-44 R, #167, 100.00
i FLAN CHECK FEE (A'-5OF') 014 100.00 PLAN CHE"i, EEE 1Z—rIF:1 #141. 40.00
I
I
I
I
I
TOTAL. AMOUNT PAID ._. .. 480.CIO
I