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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