13707 SW BENCHVIEW PLACE I
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13707 SW BENCHVIEW PLACE _
MA3TEF7 REKNIT `1
CITY OF TIGARD r'ERMIT #. . . . . . . : M5T96-OC-Ib`
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/28/96
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (513)839-4171
F'ARGEL: 251 04DC-0 160iA
S11E ADDRESS. . . : 13*701 SW BENCHVIEW P'L
SUBDIVISION. . . . : BENCHVIEW ESTATES Z 41NG: R-4. 5
BLrJCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 16
Remarks: PATH I
---------------------------------------------------------------- BUILDING --------------------------------_----------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS-- ------- BASEMENT...: 0 sf REOUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.sNEW HEIGHT........: 28 FIRST..,.; 1911 if GARAGE.....: 94,0 if LEFT..........: 9 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD...,: 48 SECOND...1 1673 sf FRONT.........1 37 PARKING SPACES: t
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENTs 446 sf RIGHT...,.....: 9
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 4 TOTAL------: 4058 if VALUE..$: 278802 REAR..........: 45
----------------------------------------------------------- PLUMBING -----------.--------.----------------------------------
SINKS.........: 1 WATER CLOMTS.: 4 WASHING MACH..: 1 LAUNDRY TRAYS.; 1 RAIN DRAIN ft: 0 TRAPS.....,...: 0
LAVATORIES....: 6 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE fts 0 SF RAIN DRAINS: 1 CATCH CIASINS..: 0
TUB/SHOWERS...: 5 GARBAGE DISP..; I WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: s'
-------------------------------------------------••----------- MECHANICAL -------------
FUEL TYPES---------- FURN ( IM ..: 0 BOIL/CMP ( 3HP: 8 VENT FANS....... 7 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K ..; I UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: I
MAX INP.: 0 BTU FLOOR FURNACES: 8 VENTS,........: 0 WOOT , WES....: 0 GAS OUTLETS...: 1
------------------------------------------------------------ ELECTRICAL ------------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- —TEMP SRVC/FEEDERS-- ---EIRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS—
Ift SF OR LESS: I 0 - 200 amp..: 0 0 - V. amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5Q►&SF.: 9 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 481 - 600 aap..: 8 401 - fe8 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 8
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+41ps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION ----------------------------------
Reconitect only.: 0 )a4 RES UNITS..: SVCIFDR)r,225 A,s ) 600 V NOMINAL: CLS AREA/SPC OCC:
--- ELECTRICAL - RESTRICTED ENERGY ---------------•-------------------------------------
A. SF RESIDENTIAL------------------•----- B. COMMERCIAL- --------------------------------------------------------------------
AUDIO d STEREO,: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: s: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG; PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK.......... INSTRUMENTATION: MEDICAL........: OTHR: ::
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 4 SYSTEMS: 0
Owner: -------------------------------- ----------------------------- TOTAL FEES:$ 5325.26
LOC 6 THUY HOTAN OWNER
17390 NW BERNARD PL
BEAVERTON OR 97006
Phone #1 698-9251 Phone t:
Reg C.:
This permit :s issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
--------------------------------------------------------- REQUIRED INSPECTIONS --------------------------------------
Footing Insp PLM/Underfloor Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control
Foundation Insp Mechanical Insp Low Voltage Gyp Board Insp Electrical Final
Post/Beam Strvlct Plumb Top Out Fireplace Insp Rain drain Insp Mechanical Final 1
Post/Beam Meehan Electrical Servi Gas Line Insp Water line Insp Plumb Final
Trawl Dravi Framing Insps Fireplace Water Service In Building Final
► ermittee Signature: _ V"6.ate!'' Issued Ny; t�
Call for- inspection — 639-4175
CITY OF TIGARD `SEWER CONNECTION - -
PERMIT
FE tMIT #. . . . . . . :
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/28/96
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PARCEL: 2S.104DC-01600
SITE ADDRESS. . . : 13707 SW BENCHV I EW IDL
SUBDIVISION. . . . : BENCHVIEW ESTATES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 16
TENANT PJAML:. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NU. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMwERV SURFACE: 0 sf
Remar-ke: : PATH I
Uwner: -- -•--------_-__._-.------------_._._______ FEES
LOC R THUY 1.401-AN type amount by date recut
173917.1 NW BERNARD PL PRMT $ 2200. 00 00 CJS 05/28/96 96-2796 ,46
INSR $ ?,5. 00 CJS 05/218/96 96•-279841A
BEAVERTON OR 9/006
Phone #: 690-9251
Contractor :
CONTRACTOR NOT ON FILE
PlIone #: f 2235. 00 TOTAL
Reg #. . .
---_--- REQUIRED INCt'FCTIONS ----__
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires I60 days from
the date issued. The total amount pard will be forfeited if 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 rnstallpr shall prospects feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency hill install a lateral.
Permittee S i g n/a t,.t r e
1 s s i_t e d B y : �l7i/�Ps X% ..:
Call for inspectio-r - c.,39-4175
Residential Building Permit_Application
city of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) E39-4171 rr
Jobsite Address: IO�-� ��e^^rt^✓r�_J ,r
Subdivision: hD�C k1J if,�
Office Use Ong
�- Contact Date / I Initials
Valuation: � },�U Z. Result
New Construction Only: (Square Footage) PlancklRec # .�-zg►z,f�t✓"x7q?.r(..
IJvP.'. C� Peimit #
HO �nsr , SZ
___`'1 iA5 Garage: Reissue of N 1,-1
Corner Lot? Y ('N) Flag Lot? Y N Lo e& TL #
r'
Plat #
Owner. �OL ac ''N `-'�-
-
Address: I-7390 1jiw) 9EzjP,rt4 Pl Appals Required
Planning Setbacks�C� Solar
Engineering,::.j 1 C 1'��L
PhcneJ( S 1_ q 0 rj /Mog, X19 01 ti Other
Contractor: LUL lioI A-*\l 'TT7 Items Required
Subcontractor s
Address. SSE ( (�SGdr Truss Details
Other
- -- - Notes
Phone: 6qC U 5I MSK,IF 311 0.3g
Contractor's License # Qww'rt, 13d;lb,rJr- ovj,J Nro�-�---
(attach copy of current Oregon license)
Contact Name: 1 oc ----
Contact Phcne: ( SCS )6g0 915i j MLyj,jf S)9 k)3g
� R,cNr�AS �
Subcontractors: Architect/Enginenr: MHSc�ftD 'D�S,iGr�.1 f1S:x�c. , '9
C
Plumbing. (afnR(s-f- k-)aUMJ fWym6„J(A-ci/Ss4Lb 1i Address: Isom NW If3 ` ave
Mechanical: (`14-dll it.t Lu*,x.jc AL cc:b pipjt4 �*� . Da tj 1 La'1
(attach copy of current OR Contractors License)
r �a ". .o<< <}e- Phone: ( Sc S ) R2�9fb
JCB DESCRIPITIOONN..
q) S( /t6 S,I� lSo)�319 c�U1�K
Applicant Sigrature Applicant Phone number r
Received by: C 1""`- - Date Received: _ C)57 QCT
M W grkd&%V NWO
Gt1 A r✓'s Cr `) h
J� Perttlit it Account Description
Amount AML Pd. Bal. Due
Bldg. Permit (BUILD) �G
Plumb. Permit (PLUMB) S��✓ ,�j S
_ Mech. Permit (MECN)
Bldg:
Plumb: 4, 2
Mech:
Plan Check (PLANCK) .5`%2.33 Z 0Q 32-Z , 33
Bldg: S7Z, 3�
Plumb:
Mech:
s^
�-0Z Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) .ly SSU UsU
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) 1 Z U
Commercial TIF (TIF-(:)
Industrial "i IF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) 1Sr�
%4ater Quantity (WQUANT)
Fire life Safety (FLS)
Erasion Cntrl Permit (ERPRMT) fj�, ✓ ,� ,;•
Erosion PlancklUSA (ERPLAN) . (,v
Erosion PlancklCOT (EROSN) V-G v ;(�U
TOTALS. l✓ D. L F .' rr ,IC 2 (,.
a��..._.
Permit
Address: /-3 ,70 Z_ C[� _Re l ue'")
Issued by: CAc,,./Ks_ — Date: _5- 2,?A
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 0/.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
foUoirin,i .vtalement before a building permit can he issued This statement is required
liar residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will he filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2,and either box 3A or 38:
1. 1 own, reside in,or will reside in the completed structure.
2. 1 understand that I must register as a con3truction contractor if the structure is sold or offered for sale
before or upon completion.
L J 3A. Poly general contractor is
L J (Name) Contractor regis. #
i will instruct my general contractor that all subcc tractors who work on the structure must be
registered with the Construction Contractors Board.
OR
,I1. 1 will be my own general contractor.
! If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. if 1 change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and v ill immediately notify the office issuing this building permit ofthe
name of the contractor.
1 hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the re%erse side of this firm.
81 1co
(Signature of permit applicant) (Date)
(white copy to issuing agene'v permit file,
pink copy to applici,nt)
Information Notice to Property Owners
About Construction Responsibilities
Duh• Pli.k 11yormation No/7c.a, /o/'roprrrn �h+vrcv� (lion/ ( im'slruclaon Resprmsibdilies
was de vele)l,cW by the('unw~nclh,n Con/ruc tors Boord in ucc:•ordcmce wilh(1R5 '01.05515/.
Ifyou are acting as your own contractor to construct a neo home or make a substantial improvement to an existing structure,
you can preN ent ratan) problems b) hcing axrare ol'thc fullt,��i n: ,I .u ,il�ilitics and areas ol'cuncern.
EMPLOYER RESPONSIBILITIES:
I f you hire persons not registered with the l cast:uction Contractors Board to do labor in constructing or assisting in the
construction or improvement ofa residential structure, rou%k ill,inmost instances.he ruled to he an employer and the people
you hire will he employces. 11s the employer,you most comply%N ith the following:
Oregon'swithholdinktax IwA- Asanemployer,you must withhold income t<txe:tfrom employee wages atihetime emplovees
are paid You rr ill he liable for the tax payments even it you don't tactually withhold the tax from your employees. For more
information.call the Oregon Dept.of Revenue tit 14-o-8091.
linerttployment insurance tax: As a t employer,\ou are required to pay a tax for unemployment insurance purposes on the
\vagcs of all cmplowes. For more int'wntation.call the Ureftun E".rnployment Department at 3 i 8-3524.
Workers'compensation insurance: As an employ cr,you are subject to the Oregon 1A'(lrkers'l'crntl)ensation Lal►,and must
obtain workers'compensation insurance liar\our employee". I fyou fail to obtain worker"'contpenstttinn insurance.semi naay
he subject to penalties and will tie liable forall claim c,r:ts il'one uf'yottremployee%is injured on the job. For more information,
call the Workers'Compensation Division at the: Depamntent ofCnnstanaer and Business Services at 945-7888.
U.S.Internal Revenue Service: As an employ cr.\on must%%ithhold federal income tax from cntplo\ccs'rra c�. You�\ill be
liable fur the tax payment even il'you didn't at.t na 11\ �rithhold the tax. l-(,r more information,call the I eternal Revetnte Service
at 1-800-829-101(),
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
C'odecompliance: Asthencrnaitholdc, i+irtl i projrc_cokmgan\ laiItire tomcetcode requirenu-nts
.nal may he brought to your attention through inspections.
Liability and property damage insurance: Contact\our insurance z►ge ill to;ce ifrc�u Mare adrgatate insurance cot eraage for
accidents and omissions such as falling tools. paint o�rrsprav,\v titer damap c t'rom pipe punctures, tire,or e\orh that must be
re-doric.
Time to supervise employees: Make.urc rou ha\e sufficient time to�.upem isc dour cmpiorc.,
Expertise: Rtakesurev��uharcthecxpertisct�,:act:a,r„ur , +ngeneralcontractor.tocoordinate1he\\orkofrout:b-intutdtinish
trades.And to notify huildinir,officials et the appropriitc tunes w thck clan perform the regtriro d in'giWlank
If you have additional yucstic n . \%rite-or call the O Ort,uucti(m t ''nu;l dols li -:.ud(I'()Box 1-41,40. "alma.()k 1) Ilk).
503/378-4621). the Board is Iiu:atcd at 700 surntncr tit V ' u t, ',00. in ',,alert.
prop-owi.pm4
1 94
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
OWNRR
Electrical Signature Form
Permit # . . . . : MST96-0252
Date Issued. : 05/26/96
Parcel . . . . . . : 2S104DC-01600
Site Address : 13707 SW BENCHVIEW PL
Subdivision. : BENCHVIMW ESTATES
Block. . . . . . . . Loc: : 16
Zoning. . . . . . . R-4.5
Remarks :
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order fo, the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR:
LOC & THUY HOTAIT OWNER
17390 NW BERNARD PL
BEAVERTON OR 97006
Phone # : 690-9251 Phone # : �R� �2 �
Reg # . .
i
x ,,.
Signature n upervising—Ue—ctrician
Please return this completed form to the address above.
ATTN: Building Dept.
IF you have any questions, please call 639-4171 , ext. #310
Solar Balance Point Standard Worksheet
Address
Box A calculations: Nor h-South d' ension for the lot. Box A:
Phis dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east-west and intersecting the northern most
point of the lot.
450--o
t t �
Noa SEN ENr
N North-South
(Dimension for 1-()I
Measure the distance from the midpoint of the North lot line to the South lot line along a
the described line.
feet
t
N
<NOON-SOUTH DIMENSION
Box B calculations: Shade point height for your residence.
Box B:
1. Determine whether measurements will be based on the peak or eave of your
structure. The orientation of the ridge is also important. Which describes
your residence?
1 a: If the roof line runs North-South, measurements will �~ (circle one)
be based on the peak of the roof. EnnN
o-0-0-70
NMN-.0. FlA) 1B 1C
1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the I
eave. , ��^�•.
SPACE�C'NI EAl£
1 c: If the roof line runs East-West and the roof pitch is
5/12 or steeper, measurements will be based on the b�,«
peak.
lnAJF WI aEN3E
Box B. continued Bax B:
2. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If ft
the lot slopes down from the front lot line to the foundation, the figure is negative.
3. Measure distance from finished floor elevation to the affected peak/eave. + ft
(1
4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, __- ft
deduct nothing.
S. Subtract one foot for each foot of difference in elevation from the front property
line to the rear property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing.
6. Total figure for box B:
Box C. Distance to the shade reduction line. Box t
1. Measure the distance from the North property line to the foundatir,n near the ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. _ ft
�?
3. Total figure for box C: ft�
It.is most useful to draw a vertical line to represent the appropriate figure found in box"A"and a horizontal line to represent the
appropriate figure found in box "C".The intersection of the vertical and horizontal lines determines the value found in box"D". The value
in box"C"should be compared to the value in box"B"; if the value in nox"B"is less than or equal to the value found in box"D", then
the building is in compliance with the solar balance code. If you have any questions, please contact us at 639-4171,x304 or at the
Community Develniriment Counter
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet)
Distance tc North-so lot dimension '.in � et)
shade 100+ 95 90 AS l 80 75 70 60 55 50 45 40
reduction line
from northern ( ,
lot line tin f Pt) _-
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
so 32 32 32 33 134 35 36 37 38 39 40
45 30 30 30 31 32 33 34 35 36 37 38 39
40 28 28 28 29 30 31 32 33 34 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26--27---off-49 39 --34----3-Z-- 43- 34
25 22 22 22 23 24 25 26 27 28 29 30 31 32
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 23 24 25 26 27 28
10 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 1" 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height. t feet
h:docstnancywentura�solar.chp
Revised 1126196
1.,Nl.+v 09 09 09 17 R:'Lt'LT16BE 4 Alen MeecorA Oenan 1500 225 9161
r�
2263E
BY :
by3� LOC HOTAN
CITY OF TIGARD
N 0,°56'32 3ENCHVIEW ESTATES
h601 h 'Fill'— �:-- �' 1 LOT 16
✓' I '�D ( 9,656 S4. fT..)
\�-!moi"•�: / / •'' �'"" �„ ---'�' ,r•. �,o
ssnW •,-- / y� r
i, _ o
ivy%-•1 �1 - '�� w
I _ -
43Do+
29._4., I loo
0�
N
•�_ - 517
5" I
I MAIN FLOOR I a
EL.:534.0'
.. tOWEA FLOOR GARAGE
0t EL _524.0' EL.-520.0'
I — 1—
I yg10 -,��► � �
i.r I bM1
12' yM1
I / yM11b A'CONC 1/
SJO I �� f d DWEP$1
AY
L1 1 s I
sill o o I iv
T� r
355
06. _
SILT J
FENCE 3
�' S.W.
ORIGINAL. BENCHVIEW
PLACE
05/09/96 MRR
ALAN MASCORD OMN ASSOCIATES.INC
B O
NOT LIAOLE FOR tH! ACCURACY OF THE
TOPOGRAPHY WORMAT10k 11 a TF(SOLE
"ESPONS"LITY OF 111E BIRDER TO YERiY ^
ALL SITE CON 704 ACLWW ANY Flt Jam_\J
PLACED ON r14 SITE AND Af7RM DIMMERS
OP ANY POTENTIAL FILD MW1CATN711B
ALAn 11AIC0QD DCfIOn AIIOCIAT [ f In (
1305 NW 18TH AVENUE, PORTLAND. OREGON 9720q-503) 225.9161 S C A L E 1 " 2�0
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CHRISTIAN PLUMBING
,3i 7z
2291.9 SW STAFFORD RD.
TUALATIN OR 97062
Plumbing Signature F%- m
Permit # . . . . : MST96-0252
Date Issued. : 06/13/96
Parcel . . . . . . : 2S104DC-01600
Site Address : 13707 SW BENCHVIEW PL
Subdivision. : BENCHVIEW ESTATES
Block. . . . . . . . Lr;r . 16
Zoning. . . . . . : R-4 5
Remarks :
PATH I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM `��p ,p YU'J(Z
OWNER : PLUMBING CONTRACTOR: /'ruUu�� �'►� jSt�
LOC & THUY HOTA24 CHRISTIAN PLUMBING -----�'
17390 NW BERNARD PL 13/ j1.
2-2-919 SW STAFFORD RD.
BEAVERTON OR 97006 TUALATIN OR 97062
Phone # : 690-9251 Phone # :
Reg # . . : 42671
X .14Lt --
Signature of Authorized Plumber
Please return this completed form to " e address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
S I I E WO RK
PERMIT
CITY OF T I CARD PERMIT #. . . . . . . : SIT96-0025
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: •
05/28/96
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 PARCEL: 2S104DC-01600
S11-L ADDRLSS. . . : 13707 GW BENCHVIEW IDL
SUBDIVISION. . . . : BENCHVIEW ESTATES ZONING: R--4. 5
Bi-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 16
TYPE OF WORK: NEW PAVING?. . . . . . . . . : N RESO. NO. :
EXCV VOLUME: 0 cy GRADING?. . . . . . . . : N VALUE. . . $1 4000
FILL VOLUME: 0 C:y LANDSCAPING?. . . . : Y
ENS FILL?. . . . . „ N SITE PREP'?. . . . . . s Y
SOILS RPT READ? : N STORM DRAINS?. . . : Y
IMPERV SURFACEs 0 sf
Remarks : BUILDING A RETAINING WALL IN BACK OF HOUSE ENGINEER BY ALAN MASCORL,
Owners ---------------------------------------------------------- FEES
LOC & THUY HOTAN type amount: by date reept
17390 NW BERNARD PL PRMT $ 44. 50 CJS 05/26/96 96-279894
5PCT $ 2. 23 CJS 05/28/96 96-279894
BEAVERTON OR 97006 PLCK $ 28. 93 CJS 05/28/96 96-279894
Phone #: 690-9251
Contractors
OWNER
-----------------------------------------
I'lione #: $ 75. 66 TOTAL
Reiff
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Erosion Lontrol
Tigard Municipal Code, State of Ore. Specialty Codes and all other Excavation Insp
anplicable laws. All work will he done in accordance with Fill Inspection
app-oved plans, This permit will expire if work is not started Grading Insp
within 180 days of issuance, or if work is suspinded for more Strin Drain Insp
than IN days. Final Inspection
tssi..ted By:
Call for inspection — 639-4175
Residential Btu' atrvrr --
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 17 707 .541 B-2ACAof�r.✓�
Subdivision:
c.ALA Lot# / Office Use Only
Valuation: � G'yU. ,•e Contact Date I ! Initials
Result
New Construction Only: (Square Footage) Planck/Rec # _
Permit #
House —� Garage: _ _ — Reissue of_
Corner Lot? Y N Flag Lot? Y N Map & TL #Zone
Owner: L 4 1, A Plat #
Address /73 fa N c-1 ,1,Vy'h cik-cf p / Approvals Required
1P�e1v 4.4 t/ 1--Ct t— 1 Planning Setbacks Solar
— G G Engineering
Phone Other --
Contractor: ..�0=�rr� _
Items Required
Address Subcontractors
Truss Details _
Other _
Phone
Notes
( ) _ ___ - —.._-- - -----
( mtractor's License # _ -
(attach copy of current Oreycn license)
mtac..t Name: --
Contact Phone:
Subcontractors: Architect/Engineer:
Plumbing: Address
Mechanical: _ _
(attach cop), of current OR Contractor's License)
J Phone:
JOB DESCRIPTION: �P Tt�I►1 f n Q (.[J Y C•�� c �7 C'L �t _� _----- --
Applicant Signature Applicant Phone number v`
Received by Date Received
M'
Permit ;$ Account Description Amount Amt Pd. Bal. Due
Bldg. Permit (BULLA) Z)
Plumb. Permit (PLUMB) _
Mech. Permit (MECH)
State Tax (TAX) `7,Z �7 ✓
Bldg: 2
Plumb:
Mech:
Plan Check (PLANCK) �� 3
Bldg: -. � 3
Plumb:
Mech:
Sewer ^nection (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-0)
Water Quality (WQUAI-)
Water Quantity (WQL'ANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRM T)
Erosion PlancklUSA (ERP!AN)
Erosion Planck/COT (ERCSN)
TOTALS: ��
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lino: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. d
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _
Date: — A.M. P.M. Entry
: ._ La Cy
—
Address
Tenant: Ste: MST:
Con/Own: � BLIP:
_ MEC: �
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
g
• L ' �Date:�-( �7OVED —DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumh.
Post/Beam Mach, Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation CIElec.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sever Gas Line Appr/Sdwlk ein .
Other:
Date: '_ —_—_ A.M. Entry:
Address: _ � ?U T _--_
Tenant: --- - - Ste:---- MST:
BLIP:
Con/Own: —__. ��I "�D 3 x/11 MEC:
PLM:
�I ELC: —_- -THE FOLLOWING CORRECTIONS ARE REO'TIRED: ELR:
Inspector:X( 1... — .� �� Date:1
APPROVED —DISAPPROVED/CALL FOR REINSP. 2CFCO