13354 SW BENCHVIEW TERRACE� 4
I
I
i
tUj
f
.a
r
r`
I�
I
13354 Sjr' BENCHVIEW TERR
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Flour Inspection Line: 639-4175 Business Line: 639-4171 MST
/
,�,+�'bate Requested BLIP _`J 8AM— -_PM ESLD
Location 1% �� �{ �.3C� 0' --C Z`C Suite —Contact Person _ PhPLM /
Contractor Ph SWR
BUILDING Tenant/Owner _ — EL.0
Retaining Wall A ELR
Footing
Foundation Access: FPS
Fig Drain _ ---
Crawl Drain N07' REQUESTF,D SGN _
Slab FOUND DURING REST ARCII SIT
Post&Beam
Ext Sheath/Shear NO INSPEC'I'ION(s) IN FILE
Int Sheath/Shear
Framing
Insulation - -
Drywall Nailing
Firewall l --- -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling —
Roof �� � v
Misr.: -
Final - -
PASS PART FAIL
LUMBING
Post& Beam --
Under Slab
'Top Out
Water Service
Sanitary Sewer
Rain Drains
Final ---- - -- —
PASS T FAIL _
IW.ECHANICAL
Post&Beam
Rough In I. —
Gas Line —
Smo a Dampers
Fin —
S PART FAIL
TRICAI_ — —
Service
Rough In — i -
UG/Slab
Low Voltage —
Fire Alarm
Final - —
PASS PART FAIL
SITE
Backfill/Grading — _-
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]PlP.ee call foi reinspection RE: [ ]Unable to inspect-no access
ADA
Approach/SidewalkC
Other Date \ (l c l Inspector_^ �2 L L__ Fxt -
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
1:1125 SW Hall Blvd. Tigard,Orogon 97223*8199 (503)639-4171
(TPT*,Tr'T(;A71: Or,
i
PIST92-04)(
?;30....41 71
VATE IS'GUEDt 04/x'9/93
I TFI' ANMLS�--',- 13354 SW BENC.A IV I(--"W TE'Rk PARCEI.c 2S1101401 -00—uv
BENCJAY1fW CIF',TATC'S ZONINOt R-4. 5
BLOCK. . . . . . . . .. . t . . . . . . . . 9.3
1*,'.'A SIB)Or WO,NK. '$'NEW'
VYPE OF USE. . . 09F
(4..1l'Jipf-INCY OOP. I R3
0(-'(-lJPANCV LOAD9321.) 4
'I 1,W441 NAME—, c
( PA411 I
()wnet * ...— . - .1..
i,,Uflit. I T'i CJ'40 T BUTUDER1."), INC,
llkLi`.-') rl(111.3(.pf� HEIM)
0111: (Y.-M-C10 OF 0,�,5
('111cloe P1t 167 1013
,A)ALITY CPAFT HIJILD(::RSi, INC
t ."J3b Rocir-M, POOL)
014F OGWt-701.) Of? lj7035
�'honv Mt 788 t011-3
0�-ctlpmvwy of th" qkboyp, refe?"ent'-ed bkll I ditlm 11 hereby given, end c eut j
1-11t, comirlialli...'s 4--th the State Of 01-or.4the t1ro'.tp
011 �.*ipqlriAlty Codes fol
,71 r.I1)Anc:y , Arid uole u1)deT- whit.-h the refer-Pneed perMit wst%. is:gmed.
7
IN ION13PICAJUAY., PLACE
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SITE: WORK
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PE Rih I.T
PERMIT #. . . . . . . ; SIT94-0037
ti1T1 DATE ISSUED: 03/30/94
F'ARf,EL: 2S 104DC--00300
',�I TE ADDRESS. . . :
13354 SW EiE NCHV I EW TERR
SUBDIVISION. . . .- SENCHVIEW ESI-RTES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
TYPE" OF-' WORK:REP PAVING'?. . . . . . . . . :N RESO. NO.
EXCV VOLUME. : Cy GRADING ... . . . . . . . :N VALUE. . . $ : 0
F I LI- VOLUME. : 150 c,v LANDSCAPING'?. . . . :'Y
ENG FILL?. . . , . . :N SITE PRET'?. . . . . . :N
SOILS RPT REED? :N STORM DRAINS?. . . : Y
IMPERV SURFACE— : st
Remarks : PLOUING APPROX 1.50 YD FILL
Uwner; --..___..._______.__.....__.__.___-__._._._____-- --____.____-.-_-__-_- F-EEG
WASI WAHEDI type 'Amur.int by date recpt
t31154 SW SENCHVIEW TERRACE PRMT $ 22. 50 JF 08/30/94
9PCT $ 1. 1::3 JF 08/30/94
11.;I'+FiI:? OR ')7J.23
Phone #1: 590--40E34
Contractor:
OWNE±R
t'110nt� #: $ 23. 6-3 TOTAL
Rey #1. . .
REQUIRED INSPECTIONS -
This persrt is issued subicct to the regulations contained in the Erosion ContrL,1 __,__-•_�—_-___�__
Tigard Municipal Code, State of Ore. `kiecialty Codes and all other Fill Inspection
applicable laws. All wore, will be done in accordance with St r m Drain I.n s p
approved plans. This peroit will expire if work is not started Final Inspection �s
within IN days o` issuance, or if work is suspended for yore
than 18Q" days. ---.__. __�._..-- _ _—.._. _-•—
rn i.t t e e S i g n a t r.i r e :
1 s r_i e d B y . -�
Call for inspraction - 639--4175
City of Tigard Residential Building Permit Application
13125 SW Hall Blvd. 1�
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 133511 Sw �utiviF�.1
Subdivision: i .cL,�ne�J �;,�r k Lot # _j� Office Use only
S.
Planck/Rec #
Valuation: _ _ 1
Permit # C., U ; J
Corner Lot? Y ('
Reissue of
Flag Lot? Y N
Map & TL # ,�s l �� ,tic• G���'tJ d
Owner: It wS� Wck, Approvals Required
Address: !33 5ti S W "t��►.c.h e.,+ `-tom __ Planning
'T q a.rO� Engineering
Phone `) A O - `l 0 `( Other
GontrectarR I�?Ck.S aI".e &A- Items Required
AddresE 445, -9",c Subcontractors
- Trues Details
Phone. Other
Contractor's License # _
(attach copy of current Oregon license)
Co-tact Name & Phone
Subcontractors: Architect/Engineer:
PlurTibing. — _ Address-
Mechanical:
ddress Mechanical:
(attach copy of current OR Contractor's License)
Phone:
JOB DESCRIPTION* _ 10 - 15 a ck li A- *"
S 4. U . �ti.S• J 0✓, to la t_ Ck (.--+i Lit.,p,1• D r..ti+ 1h�� r rD f1i n w tlr (L /Sd y�il
9 0 `I D by _ 1 J
Applicant Signature & Phone number
Received by: Date Received-
N+N'ORD+COMDEVAE SAPP
1
Permit# Account Description Amount Amt. Pd. Bal. Due /
UO3 Bldg. Permit (BUILD) ,
Plumb. Permit (PLUMB)
Mach. Permit (MECH)
State Tax (TAX) / 1 3 ,J ✓
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: _
Plumb-
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-O) _
Water Quality (WQUAL)
Water Guantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _
Erosion Planck/COT (EROSN)
TOTALS: , _ '� �
l
r
august 17, 1904
To Whom It Ma) Concern:
Wali W,iliedi approached us beiiurchand and had our permission to place some fill material on
thx rcai part of our property at 13332 SW Benchview Terrace,
�inccrel�,
! L
►3enchvieN Ferr, property owner)
I
13354 SW BenchviewTerrace
= MM = M E$
(Front of property)
Fill material, lower tialf approx. 45
degree, flat
near the house.Will be covered
with cloth and barkdust and LI
fenced at lower end.
Barkdust will be added up to the city road, M
and dirt will be cleaned from the
city road. /
O/
Canadian Hemlock trees to
\� be planted 5 apart i
! Ciotti & Barkdust
O �)- UU O O OIC! TO
m
O Barkdust to the road !
! City Access Road !
♦W
�J
O
♦
0
LO
r
Q C Xp !3
Q.a Q N
_L d Q
O 0) 0
-Fv Q)
Q C U L
O m
c0 Qi N c�0
O
in ti C cll
N
U
CITY OF TIGARDMASTERPERMI -
PERMITMST95-0300
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/31/95
13125 SW Hell Blvd.Tigard,Oregon 67223.8190 (503)830.4171
PARCEL: 2S 104DC-00300
1TE ADDRESS. . . : 13354 SW BF_NCHVIEW TERF
>UBDIVISION. . . . : BENCHVIEW FCfATES ZONING: R--4. 5
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . .
BUILDING
[RE J.SSUE Ti DWELLING UN I TG:0 BASEMENT. . . . . . . . :0 s f
CLASS OF WORK. :ADD BEDRMSsO BATHS:O GARAGE. . . . . . . . . . ..0 sf
TYPE OF USE. . . :SF FLOOR AREAS---_...._..___._ REQUIRED SETBACKS-----------
TYPE:. OF CONST. :51\1 FIRST. . . . -346 s f LEFT. . :0 ft R I GHT. :0 ft
OCCUPANCY GRP. :R3 SECOND. . . :0 sf FRONT. :O ft RF_AR. . :26 ft
STORIES. . . . . . . : !. F I NBSMENT:0 s f REQUIRED---------------------
HE
EQUIRED------------------•-----
HEIGHT. . . . . . . . : 10 ft TOTAL--____...._..- :346 s f SMOKE DETECTORS. :N
r'LOOR LOAD. . . . :40 psf VALUE. . . . ,. $ : 36636 PARKING SPACES. . :0
Remarks : Sunroom addition to existing house. adding 445sq ft decking 2 stories A
PLUMBING ----------------------
=3INKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . ..0
TUB/SI-10WF_RS. . . . :V, LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :O SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0
DISHWA9HERS. . . . :0 WATER LINE (ft ) . :t/) OTHER FIXTURES. . . . . :0
GARBAGE 0ISP. . . :0 RAIN DRAIN (ft ) . :O
AASH I NG MACH. . . :0 SF RAIN DRAIN S. . :O
MECHANICAL -._____._________._- _ FEES
FUEL TYPF_S---- __._.____-.-.- UNIT HTRS. . :0 type amount by date recpt
VENTS . . . . . :0 BPRT $ 224. 50 JDA 08/28/95 95-28965(
MAX INPUT;0 BTU VENT FANS. . :O BPLC $ 145. 93 .JD 08/03/95 95-2681355
f"7URN ( 100K . . :0 HOODS. . . . . . :0 B5PC $ 11. 23 JDA 08/28/95 95-2698E-8
-URN > ].00K . . :0 Wa0D5Tt7VES. :0 EROS ! 26. 00 JDA 08/28/95 95-- 69856
rE_OOR FURN. . . . .0 CLO DRYERS. : 0 ERF'C $ 8. 45 JDA 08/28/95 95-269856
ROIL/CMP ( 3HP:O OTHER UNITS:O EPPC t 8. 45 JDA 08/28/95 95--26)856
GAS OUTL ETS s 0
Ot-gner:
WASI WASHEDI
13354 SW SENCHV IEW TE RR
T'I GARD OR 97223
Phone #s 590•-4084
Contractors
GATEWAY SUN ROOM
.3758 SE 122ND
PORTLAND OR
''hone #: 249-1697
69282 -
424. 56 TOTAL
-his persit is issued subject to the regulations conteined in the ---- - REQUIRED INSPECTIONS -
Tioard Municipal Code, State of Ore. Specialty Codes gad all other Footing Insp
applicable laws. All war-k will be done in accordance with approved Foundation Insp
plans. This persit will expire if work is not started within 181 Framing Insp
days of issuance, or if work is suspended-for sore than 188 days. B u i 1 d i n g Final
=" Erosion Control
!>z1 mittee Signature,.-
i t>s,.led 1.1V :
i
Call for inspection - 639-4175
Residential Buildina Permit Avolication
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503.) 639-4171
Jobsite Address: r ✓ 3-5 LI SW Bgn(.' oy'J T.IrY
Subdivision: �QnCli��'�✓ ���'t� Lot# __ Office Use Qnly
Valuation:0.��0 U�3 Contact Date / / Initials
-- --- Result
New Construction Only: (Square Footage) Planck/Rec #
i�ermit #
House — Garage: Reissue of _
� JjODUC—UO3oy
Comer Lot? l" N Flag Lot? Y N MapBTI_ #Zone h' 4.
Owner: W o S / 4 (.cJfi 11 e J1 I Plat #
Aduress Approvals RecLuired
Planning Setbacks _ Solar
Engineering
Phone --
Other
. ( )
Items Required
Contractor: �9G leruy.� Su,,� �.� S -_
,3 7So �� ��Z' Z h/ Subcontractors
Address
// Truss Details _
Other —__---- ----- --_-
( ) ��- &�7 Notes
Phone: --- — ---
Contractor's License # 6 &Lk Zi -- ---- ---
(attach copy of current Oregon license)
Contact Name: --- —
Contact Phone: ( )
Subcontractors: Architect./Engineer:
Plumbing: _ ;+ddress
Mechanical:
(attach copy of current OR Contractor's License)
Phone: t �__-- ---_---
JOB DESCRIPTION:
Applicant Signature Applicant Phone number
Received by: Date Received: _
w'b4nbt�Y �Oy
Permit # Account Description Amount Amt. Pd. Bal. Due
A5Kj-o 3,,,) Bldg. Permit (BUILD) 5 S,� T �� G
Plumb. Permit (PLUMB) _
Mach. Permit (MECH)
State Tax (TAX) i 25
Wdg: -' '
Plumb.
Mech:
Plan Check (PLANCK) V-)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF- (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) `
!nstitutional TIF (TIF-IS)
Office TIF (TIF-C) _
Water Quality (WQUAL)
Water Qpiantity (WQUANT) _
Fire life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
-osion PlancklCOT ,cROSN)
6,v
TOTALS: S 11,
CITY OF T I CARD MECHANICAL
PrRMIT
ECHANICALPERMIT
PERMI- -I*. . . . . . . : MEC96001T
COWAUNITY DEVELOPMENT 017PARTMENT DATE iSSU-D - 01/17/96
13125 1.A Hal,Blvd.Tigard,Oregon 97223*8199 (50:,639-4171
PARCFL. 2S104DC00300
t-&DRECt). . . 1..--'4 SW L1,ErN1C',-lIEW TEPR
3UST)1 VInTnl`1. BF +IVIEW ESTATES 7nNING: R-4. 5
BLOCK. . . LOT. . . . . . . . . . . . . .I
C.I,PS'.", OF W l`T.W ri..nnp r1JRN. . . . . 171 ("VAP COOL-rPS,: 0
1 01' _. . . �!F UNIT HEATERS. . .- 0 VENT FANG. . . : 0
',IC IRP. . ,Q ENTS W/10 APIDL: 0 VENT SYSTEMS: 0
7DWRESSORG
IES. BOILERS/ . HOODS. . . . . . . : 0
0--3 PP, 10
DOMES. TNCIi'%1: 0
/GAS/ 3-15 HP. . . . : 0 COMML. FICIN: 0
1A)( INPUT: Q) BTU 13-30 HP. . . . : 0 PEPATP UNTT�'), 171
DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
JAPRESSURE. . . : 750+ H P. . : 0 CLO DPYUPS. . - 0
.' S,
`10. OF LIN I AIR HANDLING UNITS OTHER UNITS. 1 0
'"UPN 10121K BTU. 0 L~ 10000 c.:fm ,. 0 GAS OUI%-FTS. : I
URN BTU. 0 > 10000 cfm : 0
?minor-k5„ Instal I qA- s oioinq
9wner: FE7FS
,JASI WPI,HCDI telae AM01-Int by (1 i,,t t s W-arrlF.
PRMT t 25. 00 JGD 01 /17/96
,3354 SW 7AF.NCHVIFW TFRR
5 PC T $ 1. G5 JSD 1211 /17/16 9G-2751711 J.
' 113CIRD OR 17P23
0110TIV #: 590-4084
"JILUMBIP HEATING
''r! BOX 4'30397
iGARD OR 97281
Tr_T()l_
Rea 0. 76359
REOUIRED INSPECTIONS
This permit is issued sub.ioct to the regulations contained in the Gau Linn I n s p
Tigard Municipal Code. State of Ore. Specialty Codes and all other V-inRl Ina pert; ion
applicable laws. All work will be done in accordance with
3oorov@d olans, "his permit will extoin- if work is not started
6ithin 181 days of issuance, or if work is suspended for mope__
,hari 180 days.
!ler-mittee 9iEjT'1atLWP :
lt e(I Dy
Ca I I for, ins sect i an 6.3`3-•41
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Han Blvd. APPLICATION Permit # 6 - or
Tigard, OR 97223
(503) 639-4171
� esGipuon
t� Table 3A Mechanical Code QTY PRICE AMT
Job
I ,J J-� ��1 e I , 1) Permit Fee _ 0- -0- 10.00
Adbp
2) Supplemental Permit 3.00
�- furnace to
i 1) incl. ducts R vents 6.00
Furnace 100,000 BTU +
Owner q G rq 2) incl. ducts d vents 7.50
Floor Furnance
_ 3) incl. vent 600
Z`1 r' ""'• Suspended eater, wail eater
Aflul4) or floor mounted heat9r _ 6.00
'� Ventno 1�cT in
Occupant 5) appliance permit 3.00
Lip ___ epaiA r o eating,reTng.
6) cooling,absorption unit 6.00
Boiler or camp, ea pump, air cond.
i 7) to 3 HP;absorp unit to 100K BTU 6.00
Boiler or comp, neat pump, air cond.
Contractor
on .Contractor ,G ZQd 8) 3-15 HP;absorp unit to 500K BTU 11.00
119- or comp, ea 1 pump, air con
9) 15-30 Hf;absorp unit .5-1 mil BTU 15.00
�. -- — --
' •' Boiler or comp, heat pump, sir cond.
F7 10) 30-50 HP;absorp uni! 1-1.75 iiil BTU 22.50
hereby acKnow!odg. ica ion,!hat aof er or comp, ea pump,air cond.
information given is correct, that I am the owner or authorized agent 11) > 5U HP;absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State it an(.fing unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4 50
that the number given is correct. (It exempt from State registration, —stir an my urnf
please give reason below) 13) 10,000 CTM+ 750
Non portable
14) evaporate cooler 4.50
enTTan connected -'-
15) to a single duct 3.00
_Venn ua on system not
'�" / Cj� 16) included in appliance permit 4.50
Rood served y�
17) mechanical exhaust 4.50
ascn a wor new U a ikon a terauon repairomm�Commercial or industrialto be done residential Q non-residential Q 18) type incinerator 30.00
Existing use of Other i.e.,woodstove,water — -
building or property 19) heater, solar, clothes dryers,etc 4.50
Proposed use of 20) Gas piping one to four outlets 2 00
building or property --
Type of fuel oil Q natural gas Q LPG Q electric Q 21) More than 4-per outlet
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR -- -- —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED - -- —
TOTALL a�16
Special Conditions
Date issued —.by.
w.uc��rMr
CITY
ELECTRICAL PERMITPERMOF TIGARD ISSUED:LC95-
COMMUNITY DEvELOPMEPST DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 87223.8198 (503)839.4171 PARCEL- 2 S 104DC-00300
SI 11_ . . - 1.:3—'-;4 :;.1W ILW TERR
SUBDIVISION. . . . : BENCHVIEW ESTATES ZONING:R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3
wro..ject Description: Re: Addition
-- RES I UENT I AL UNIT------ ---TEMP S R VC/FEEDERS---- -----M I SCELLPNEOUS-
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/SRRIGAi 'ON. . . . : 0
I='ASH ADD' L. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE 1_TG. . 4.
t.IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
11ANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . 11,
-- - SERVICE/FEEDER--- - ----BRANCH CIRCUITS------- ---ADD' L INSPECTIONS---
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDERI 0 PER INSPECTION. . . . . : 0
201 - 41710 amp. . . . . . s 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . . 0
401 _. 6 lb0 amp. . . . . . : 0 EA AI)D' L BRNCH CIRC: 4 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 -- ---------------PLAN REVIEW SECTION-----------------
1000 • amp/volt. . . . . : 0 i =4 RES UNITS. . . . . . . . s ? 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS- 1 CLASS AREA/SPEC OCC. :
Owner: ---------------------_ _.___..-______. FEES
WASI WASHEDI type amoLmt by date recp�,
13354 SW BENCHVIEW TIERR PRMT $ 55. 1110 JSD 11/27/95 95-273201
5PCT f 2. 75 JSD 11/27/95 95-273201
TIGARD OR 97223
Phone #: 590-4064
Contractor t -_________..______.___________.__._____-______________----•--------------
OWNER - $ 57. 75 TOTAL
------ REOU I RED INSPECTIONS
----
Ceiling Cover Elect' 1 Service
;-1hone #: 'gall Cover Elect' l Final
Req #. . .
This permit is issu?d subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not stArted �_ �1
within 188 for more
days of issuance, or if work is suspended
than l88 days. I SA Lied
Y
INSTALLATION ONLY
rhe installation is bring maon pr arty I own which is not intEnded forsale, lease, or rent.11,
``
OWNER' S SI6NATUREt 7L DATE- !�
1
OR INSTALLATION ONLY ___ .._-_......
i I GNATURE OF SUPR. ELEC' N t DATE:
LICENSE NOi
Call for inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd,
Tigard, OR 97223 Permit #
Phone (503) 639-4171 Date Issued —
FAX (503) 684-7297
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: / I 4. Complete Fee Schedule Below:
,, '
Name of Development IVA 11 L/�A i1 Q CL Number of Inspections per permit allowed
Address__ ;t &cn V t eco Service included Items Cost(ea) Sum
f�
(;ity/State/ZIp j'r4ilG, i c77 ZL'S 4a. Residential -per unit
—V �� �- 1000 sq it orless $11000 4
Name (or name of business)___ — Each additional 500 sq fl or —
portion thereof __ $2500 _
Commercial .1mlted Residential i a Energy $2500 1
Each Manurd Home or Modular
Dwelling Service or Feeder $6800 _
2a. Contractor installation only: 4b. Services or Feeders
Installation,alteration,or relocation
Electrical Contractor 200 amps or less $60.00 2
Address tot amps to 400 amps $8000 2
City Star(, Zip 401 amps to 600 amps ps $120 00 2
— - - - - 801 amps to 1000 amps $190.00 2
Phone No. Over 1000 amps or volts $340.00 2
Job NO Reconnect only $50.00 2
contractor's license NO. 4c. Temporary Services or Feeders
Contractor's Board Reg. No._ r,5lallatlon,alteraunn or relocation
Signature of Supr Elec'n _ 200 amps or less
201 amps to 400 amps $50.00
License No Phone No 401 amps to 600 amps $7500
Over 600 amps to 1000 volts $10000
2b. For owner installations: Bee"b"above
1
Print Owner's Name '...'k � 4d. Branch Circuits
New,alteration or extension per pane
Address r.4 !/✓ — a)The fee for branch circuits with
City_ __ Stats zips 7 u purchase of service or feeder lee
/, /J Esah branch circus $5.00
Phone No. 1
sl ; - e���IQ 7 aT _ b)The fee for bray-h.:nu,ns without
The Installation is being made on property I own which is purchase of service or leader lee
First branch circuli I $3500
riot intended for sale, lease or nt. Each additional branch circuitAF
$500
Owner's Signature_ _ 4e. Miscellaneous
� (Service or feeder rot included)
3. Plan Review sectidn If required): Each pump or Irrigation circle $4000
Each sign or outline lighting $4000
Signal circult(s)or a limited energy
Please check appropriate item and enter fee m section 5B panel,ellerstion or extension %4000
4 or more residential units it one Structure Minor labels(10) $100.00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Per Inspection $3500
Per hour $55.00 _
In Plant $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees: S/
NOTICE 5a. Enter total of above fees
5%Surcharge (.05 X total tees) /lA
PERMITS HECO ME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS Nor COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25°x6 of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review If required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal s_
COMMENCED ermma. w. u Trust Account 0 '
Mrd
Balance Due 1 a= t
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: /335Y SW (3a••c ✓ip�► rr ru t P
Subdivision: A✓r vl FS i Lot * .3 Office Use Only
Valuation:
Planck/Rec # C 1 w
�,�,2�,5, _ �l )
Corner Lot? Y N Permit#
Flag Lot? Y N Reissue of
Map & TL# :2,5/0 y DC
Owner: tl>cr c/ 4
Approvals Required
Address: l - .� ' ,�t',.cl�✓�v„- Tlr .� ' __
Planning
-
Engineering _
Phone: '9 ' C/D V
Other
Contractor: a-ie wu7 j u,g Rum -
items Required
Address: 3 Subcontractors
Truss Details _
Phone: �' �� ,3 sem•
Other
Contractor's License
(attach copy of current Oregon license)
Contact Name & Phone: 6'-if"'C'4 5-, VuQ,n 5*6 W[1'-1e,
3 3aS�
Subcontractors: Arch ltect/Enginser:
Plumbing: Address.-
Mechanical:
ddress:Mechanical: _
(attach copy of current OR Contractor's License) T
Phone:
JOB DESCRIPTION
Applicant Signature & Phone number
Received by: __ _ Date F.eceived.
Permit# Account Description Amount Amt. Pd. Bal. Due .;
�re Bldg. Permit (BUILD) �. SU � / C/O LY
Plumb. Permit (PLUMB)
Mach. Permit (MECH)
State Tax (TAX) Zee
Bldg:_
Plumb:
Mech:
Plan Check (PLANCK) �,3.
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) _
Parks Dev Charge (PKSDC) _
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) _
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WGUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) _ � _
Erosion Planck/USA (ERPLAN) y �� _ , V ►�
Erosion Planck/COT (FROSN)
TOTALS: 3&
CITY OF TIGARD PF PM T Tfl . . . . . . .PERMIT
I1ST9 5
-0300
COMMUNITY DEVELOPMENT DEPAFOMEiNT DATE ISSUED: 08/28/95
13125 SW Hall Blvd.Tigard,Oregon 97223.9190 (503)939.4171
PARCEL: 2S104DC-00300
SITE ADDRESS. . . : 13354 SW BENCHVIEW TERR
SUBDIVISION. . . . : BENCHVIEW ESTATES ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :3
____._.__._..._._----•----_. ._____-___-•-- BUILDING -----.-
REISSUE: DWELLING UNITS:@ BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :ADD BEDRMS:O BATHS:O GARAGE. . . . . . . . . . :0 = f
TYPE OF USE. . . :SF FLOOR AREAS-_-- -- REQUIRED SETBACI',S_.
TYPE OF CONST. :5N FIRST. . . . :;:-'10 sf LEFT. . :0 ft R I GHT. :0 ft
OCCUPANCY GRP. :R3 SECOND. . . :0 sf FRONT. :O ft REAR. . :26 ft
STORIES. . . . . . . : 1 FINBSMENT:O sf REQUIRED-------------------
HE I GHT. . . . . . . . : 10 ft TOTAI-------•--:210 sf SMOKE DETECTORS. :N
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 20000 PARKING SPACES. . :O
Remarks : SUnr•aom addition to existing hol.tse.
_.__. -..._._.____-.---- •--•----.----_- _..-.-- PLUMBING -----__.----.---•---______-_._.__-____.____ _._
S1NI-.S. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :0 WATER HEATERS. . . :O TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :0 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :O SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . :0 WATER LINE (ft ) . :0 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . :O RAIN DRAIN (ft ) . :O
WASHING MACH. . . :0 SF RAIN DRAINS. . :O
MECHANICAL _.. .__.. _ _._.__.__..__--•-------_---------___-•- FEES
FUEL UNIT HTRS. . :0 type amol.:nt by date recpt
VENTS . . . . . :0 BPRT f 140. 50 JDA 08/28/95 95-269856
MAX INPUT:O BTU VENT FANS. . :O BPI_C $ 91. 33 JD 08/03/95 95-268855
FURN ( 100K . . :0 HOODS. . . . . . :0 B5PC f 7. 03 JDA 08/28/95 95—c'69856
FURN ) =100K . . :0 WOODSTOVES. :O EROS f 26. 00 JDA 08/28/95 95-269856
FLOOR FURN. . . . :0 CLO DRYERS. : 0 ERPC $ 8. 45 JDA 08/28/95 95-269856
BOIL/CMP ( 3HP:0 OTHER UNITS:O ERPC $ 13. 45 JDA 08/2811S 15-269856
GAS OUTLETS:O
Owner: --- _.._..--..-.-----.---•--..___._..___._-_.------•__-__
WAS. WASHEDI
13354 SW BENCHVIEW TERR
TIGARD OR 97223
Phone #: 590--4084
Contractor: -------- ------------- _______
GATEWAY SUN ROOM
3758 SE 122ND
PORTLAND OR
Phone M: 249-1697
Reg 'A. . 69282 ----------------------------------
.281. 7C,
------------------------------i281. 7G TOTAL
This permit is issued subject to the regulations contained �n the ------- REQUIRF_D INSPECTIONS
Tigard Municifil Code, State of Ore. Specialty Codes and all other Footing Insp
dpplicable laws. All work will be done in accordance with approved Foundation Insp _ __ ___.____•
plans, This permit will expire if work is not started within 181 Framing Insp
days of issuance, or if work is suspended for more than 181 dayr%. BU i 1 d i n g Final
Erosion Control
Permittee SignatUret � ______
�._
Iss'_Ied Ery :
Call for inspection - 639-4175
N
Residential Building Permit Application
( ity of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 r; ,
(503) 639-4171 Yi
Jobsite Address: 3 3 43e ^r_�y,,e.d Tkr,'c e-
Subdivision: �Uar, u'i Lot#
Office Use Only
Valuation: �'2,�•Cw Planck/Rec # -�
Corner Lot? Y N Permit # 4 '
Flag Lot? Y N
Reissue of
Map & TL # l���
Owner: �a s �ti/ct. /� e _ Approvals Re uq ired
Address f 33 .5,N —5 1–,/ /,3e
pt rT. e c
,Q C� Planning
0
L L Engineering
Phone: _-503 - 590 – "'08y Other _
- 771
Contractor: c4 /J e wC-N �4,,• y00 vN S
--T - Items-Required
Add'2ss: 3 75Y
— -- subcontractors
/a d— - �q 3 Truss Details
Phone: ___103-- GD — 3 3 O _ Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone: —S�� �0. Wo S JOS,
Subcontractors: ArchltecVEngineer:
Plumbing: _ _—_ Address:
Mechanical: _
(attach copy of current OR Contractor's License)
Phone:
,JOB DESCRIPTION. _ ��4 T, C a�2 5k 1n r ca N1
4 _
one n er "
Received by: �� Date Received
N IWORMCOMDWRESAPP
Permit# Account Dos( tion Amount nt. Pd. Bal. Due
h1519�-G'hla BI 1g. Permit (BUILD)
Plumb. Permit (PLUMB) _
Mech. Permit (MECH)
State Tax (w) C
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: �" r'
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) _
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional 'I IF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WOUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT) _
Erosion Planck/USA (ERPLAN) `' ` ✓�4�!
Erosion Planck/COT (EROSN)
l
TOTALS: --� 4
Gateway Sunroo11,- JOB NAME ( l Q� S�12 tJas4��°" �
3758 S.E. 122nd ADDRESS / 3 351 �"✓ E'yVle•� re�. �
Portland,Oregon 97236 -�
Phone: (503) 760-3308 CITY
Fax: (503) 760-9617 PHONE N J y� -kit)$4 DATE
C.C.B.*69282 /�
PREPARED BY S4h•r H+� l0,
3 3 s y s, <,/. ,8 E.✓CW VArW 7'! iWVC E--�
k1 /,
moi. G V
d
tip
' A
M�
rr.• �
r.
4vroxiftl1r. sc-, e
r `
r
ze'
,7S;
CIWOFTIGARD . PERMIT
CIIYOFTN�A�D MASTER
COMMUNITY DEVELOPMENT DEPARTMENT o0mm:oN PERMIT #. . . . . . . : MST92-•00E15
13126 BW Hrl Blvd. P.O.Bag 23397.T*d,a.pon 97223(603)0344176
1— rl i U -)ULD:
S );
SITE. ADDREf=,S. . . : 13354 SW BENCHVIE:W TERR PARCEL: 2F31.040CW-00300
SUBDIVISION. . . . : BENC'HV 1 EW ESTATES ZONING: R-4. 5
lh.Or K. . . . . . . . . . LOI.. . . . . . . . . . . . . :3
---------------------------- BUILDING
FiE,I SBUE::: DWEL..I-I NCS (jN I T)^ 1 E:tAGEt IFNT. . . . . . . . : 12:00 s f
ULNSS OF WORK. :NEW BEDRMS:4 BATHS:4 GARAGE. . . . . . . . . . :714 sf
TYPE 0"r" USC.. . . : F FLOOR AF?EAS- _._._..____._. REQUIRED SETBACKS-._._.___...__,._
I YPE OF CONST. :5N F I RST. . . . : 1180 s f LEFT. . :5 ft R 1 GH T. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . - 1 IZ184 s f FFRC)NT. :44 ft REAR. . :,28 ft
STORIES). . . . . . . :3 THIRD. . . . :0 s f RECIUI
HEIGHT. . . . . . . . : '3 -Ft TOTAL _-- --- - :22'"'64 s'f C'iMOKE: nE`1`ECTOR 7., :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . t: 135956 PARKING SPACES. . :0
Remark+, : PATH I
________-----..__.---•--__._._.__.___.__.___ PLUMBING
SINKS. . . . . . . . . . .2 FLOOR DRAIhJ!3. . . . :0 BACKFLOW PRF_'VNTRS. . :0
LNVA'10RIE:S. . . . . :6 WATE9 HEATERS. . . - 1 TRAPS. . . . . . . . . . . . . . :0
TUS/SHOWERS. . . . :4 LAUNDRY TRAYS. . . ; ?. CATCH BASINS. . . . . . . ..0
WATER CL.OSETS. . :4 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWA;SHER1 . . . . : 1 WATER I__INE (ft ) . : 1.00 OTHEQ FIXTURES. . . . . :0
GARBAGE DISP. . . : l RAIN DRAIN (ft ) . .-0
WASH 1 NIS MACH. . . : 1 ~3F F?AIN DRAINS. . : 1
MECHANICAL -- .____._________. ___.._.__._.__________ FEES
FUEL IYI•'I__*;_ .- __..__._ _.___ UNIT HTI?S. . :0 type amnr_rnt by date recut
/GAS/ / 1 VENTS . . . . . :0 TIF f 1380. 00 JLH 06/03/92 -
MAX INPUT :O BTLJ VENT FANS. . -5 SPRT $ 5r,_"3. JLH 06f03/9c? -
FURN < 100K . . :0 HOODS. . . . . . : 1 BPL_C f 339. 95 JLH 05/11/92 22701
FURN ) =100K . . . I WOODSTOVC5. :0 R 5 PC $ 26-. 15 JLH 06.'03/92 --
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC t 280, 00 JLH 06/03/9 -
BOIL../CMP ( �01P:0 OTFIER UNITS:O G'AF?I; s 500. 00 JLH 0b/03/9E
GAS OUTLETS: I MPRT f 43. 50 JLH 06/03/92 -
[Jwner MPLC S 10. 88 JLH 06/0 3/92 --
UUALI TY CRAFT BUILDERS, INC MSPC f 2. 18 JLH 06/0:.3/92 -
1 3135 ROGEP!-i ROAD • PPRT $ 192. 50 3L.H 06/013/92 -
.�P5PC $ 9. 63 JLH 06/03/92 -
LAKE OSWEGO OR 97035
F,hone #: 781.-1013
QUALITY CRAFT BUILDERS, INC
1 :31:35 ROGERS RIJAU
LAKL-' OSWEGO OR 97035
EJion!� #: 7131 ._1013
Req #. . .- 4745.3
$ 3:307. 79 TOTAL
This permit is Issued subject to the regulations contained in the ------- REGIUIRED INSPECTIONS -- - -
Tigard Municipal Code. State of Ore. Specialty Codes and all otner Foot/fol_ind Insp Fireplace Insp
applicable laws. All work w:ll be done in accordance with approved Post/Beam Stv-uct Gas Line Inso
plans, This permit will expire if Mork, is not started within 180 1-'ost/Beam Mer..han Insulation Inso
days of issuance, or if world is susp a for mare t 180 davc. Plm/undslab Insp Gyp Boar-d Insp
PI.-M/1_lnderfI0ov- Rain drain lnsr,
Per•m �.tt:ee Siynati.tt-e AltMechanir_asl Insp Water Lane lrist-:�
Plumb Top Out Appr^/Sdwlk Insp
Iss iced by: 70'�
F-r•aminrT
(;all far inspect ion - 639-4175
} SEWER CONNECTION
CITYOFTIVARD i��, PERMIT
� EF2MI"F #. . . . . . . : aWR9E�—�1rE�
COMMUNITY DEVELOPMENT DEPARTMENT OYaoON
13125 SW Ndl Blvd. P.O.Baa 23397.Tipd,Onpon 07223(503)e3"175
iaTE I Y",LJED:
SITE ADDRESS. . . : 1:3354 SW NENCHVIEW TERR PARCEL: 2S104DC-00300
SUBDIVISION— . : BENCHVIEW ESTATES ZONING: R-4. 5
PLUCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3
I L-NANT NAME.. . . . .
!_:JH NCI. . . . FIXTURE: UNITS. . . t
C.i_.ASS OF WORK. . . :NEW DWEL.L.I NG I.JN I_r".-i. . : 1
TYPE: OF-. USE. . . . . :SF NO. OF' BUILDINGS; 1
.'-;TALL_ TYPE. . . . :BIJSWR IMPERV SURFACE. < : : 5F
rmd�ri s : PATH I
Owner: ____.____._____._______.__—._.__.__..______ _---------._.__._._____. FEES -_-
r?Ijt,�I_ITY CRAFT BUILDERS, INC type amou_1nt by date
13135 ROGERS ROAD PRMT $ 1900. 00 JLH 06/03/92 —
I NSP $ 1`;. 00 .JL.H
LAKE C7,+WE'(.30 ()i2 97035
Phone #: 781--1013
CONTRACTOR NOT ON FILE
Phone #: f 1935. 00 TOTAL.
Reg #. . .
---- --- REQUIRED INSPECTIONS
This Applicant agree= to coeply with all the rules and regulations Sewer Inspection
of the Unified Sewage Poency. The cerait expires 16@e days frog
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
_..----_.___...._..._.___ __...-•_-_. _.............
_
side sewer laterals. Ii the sewer is not located at the seasuresent
given, the installer shall prospect 3 feet in all directions f,oe
the distar;e given. If not so located, the installer shill purchase _
a "Tap and Side Sewer" Peri it and the A y t:' stall a lateral.
er•mi + tNN Signature :
• � r
Call for- inspection — E39-4175
' qCl2 —
CITY OI' T11Jt11\D 131usw►�au i3wa. PLNCKf ZECT # S_l�[�� 2 ZOI ]�
110 Box 23397
COMMUNITY Y DEVLLOPMENT DEPARTMENT TiprckOregon972D PERMIT #
(503)639-4171 DATE ISSUED
JOB ADDRESS: Z33,5'4 57 TAX MAP/LOT 2
SUB: L?HclV+(lv �51p�cs LOT: 3 LAND USE:
VALUATION: /35
OWNER _ SPECIAL NOTES
NAME: Qwgl, (, nft All lole-f5o, 42C, REISSUE OF:
ADDRESS: 3 Ou rs oad LAST REISSUE: _
I—gke ">W 70:3 FLOOD PLAIN/
PHONE: 727-101-3SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: ��l�+e �i5 A�O�'e. PLANNING:
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: _ OTHER: -r
CONTR. BOARD #: q7q F3 EXP DATE: J3
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: tVeyf,+d LIS1/SUBCONTRACTORS:
MECH: �u��p �N rBUS TAX:
ARCH/ENGINEERR CALCULATIONS:
NAME: {7 /cfH / h?3 cc YJ TRUSS DETAILS: `
ADDRESS: �I SIS Nw 2 / OTHER: _
PHONE:
PROPOSED BLDG. 1USE:
COMMENTS:
AP LICANT SIGfTATURE —
Received By: !!!.c 1 Date Received: / ' /
PERMIT k ACC' # DESCRIPTION AMOUNT AMOUNT PD. BAL . DUE
hry -GOA,- 10-432 00 Building Permit Fees �j 3,,0 5;7,3,c,v
_v- 10-431 00 Plumbing Permit Fees /5�2,50 Z.Su
10-431 01 Mechanical Permit Fees j•50_ y3 .5u
10-230 01 State Building Tax (5%)
Building o2�0,/ y� _
Plumbing
Mechanical
10-433 00 Plans Check Fee
Buildingy�-
Plumbing _
Mechanical
1
10-230 06 Fire
S� 2014, 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
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 Feesj 'Q�._(
25-448-05 Mass Transit TIF Fees )J __
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) _; h -_ .2-If-V
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) —
T01AL 51 ?-, 79 ?_SD_— ioqz -11
nm/3587P.WPf