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CITY OF TIGARD PERMIT #: PERMIT
PERMIT #: F!_C960397
DATE ISSUED: 06/20/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hail Blvd.Tigard,Oragt n 97223.8190 (503)639.4171 PARCEL: 2,S 1 O1rCD•--Q14000
al l l . . . 1:;l,. SW bL-IVGHV ILW TERk
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . . 1-01.. . . . . . . . . . . . . :040
Pro i ect De scr•i pt i on:
---RE'%IDl-NTIAL UNIT•----•- ----TEMP SRVC/FEEDERS•---- - - -- -MISCELLANEOUS-.____.
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF . . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT L..INE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF=. HII/ f�VC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
---- --SERVICE/FEEDER---- ----------BRANCH CIRCUITS----- ---ADD' L INSPECTIONS—
0 - 400 amp. . . . . . : 0 W/SERVIC*E OR FEEDER: 0 PER INSPECTION. . . . . 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: c: IN PL..ANT. . . . . . . . . . . : 0
601 - 1040 amp. . . . . 1 0 ------------------PLAN REVIEW SECTION-------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . 1 0 SVC/.CDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner. FEES
CASCADE WEST CONST. CORP. type amount by date recpt
10445 SW Cf3NYON RD F'RMI $ 45. 00 CJS 06/20/9E. 96-28084..-
SUITE
6-29084,_SUITE 103 5PICT $ 2. 25 CJS 06/20/96 96-2SOS41
BEAVERTON OR 97005
Phone #: 503-641-7424
Contractor: ---_.--_--__--.-------_-----__-•-..------------------------------•-- --
BEAR ELECTRIC $ 47. 25 TOTAL_
PO BOX 389
2808b BUTTE:VILLE RD NE ------- REQUIRED INSPECTIONS
DO14ALD OR 9-702'10 Wall Cover Elect' 1 Final
Phone #: 503-678-1355 Elect' l Service
Reg #. . : 2:0919
This permit is issued subject to the regulations contained in the
fiyard Municipal Code, State of Dre. Specialty Codes and all other Permittee Signati.tre
applicable laws, All Mork will be done in accordance with
appr!ived plans. This permit will expire if work is not started L
within 188 days of issuance, or if work is suspended for more _CI)L,
than 188 days. Issued By ___..�__---••-.-
_----__-----OWNER INSTALLATION ONI...Y---------------------------
['he installation is being made on prooerty I own which is not intended for-
sale, lease, or rent.
!_IWNERI S SIONATURE: DATE:
INSTALLATION ONLY•---------------._--._
_i 1 UNATURE OF SLJPR. ELLL' N: _fYIG r(�t�! _ DATE: 6- a0-
LICENSE NO:
Call for inspection - 639-4175
I
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # arQ6 n 3,77 _
Date Issued �; 1c)
Phone (503) 639-4171
FAX (503) 684-7297
CITY OF TIOARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development H I LL5H1/LE Number of Inspections per permit allowed
Address_ /17 2j-5W B CN44V6EM Irkr AA._ Service included Items Cost(ea) Sum
City/State/Zir.. �►�2" ____�2 22'� 4a. Residential -per unit
1000 Sq it or less $11000
Name (or name of business) _ Each additional 500 sq it or
portion thereof $2500
Commercial F-_] Residential Limited Energy $25.00 1
Each Manufd Home or Modular
Dwelling Service or Feeder sw 00 2
2a. Contractor installation only:
4b. Services or Feeders
Electrical Contractor ? �( LE[,TtLLG /N Installation,alteration,or relocation
�s 200 amps or less $80 00 2
Address P,0. f3oY 3 e Q' 201 amps to 400 amps $80.00 _ 2
City_ wJ�4Ln Stated_ Zip�o _ 401 amps to 600 amps $120.00 2
801 amps to 1000 rvnps $180.00 2
Phone No. 7 Over woo amps or vons $340.00 2
Job NO Reconnect only $50.00 _ 2
CLntract(jr's license NO. - o C 4c. Temporary Services or Feeders
Contractor's Board Reg. No. 1,0 91,17 Installation,alteration,or relocation
2
Signature Gi Supr. Elec' 200 amps or Tess _
.� v6,7f-13-S'
2
License No. 73-15 _ _ Phone.ldo. L 7$-/3SS201 amps to 400 amps $50.00_ 401 amps to 600 amps $7500 2
Over 800 amps 10 1000 vons $100.00
2b. Fer owner installations: see"b"above
4d. Branch Circuits (W/Rfl�b F.A.- BASC/AoWr-o^)LY)
Print Owner's Name_ New,alteration or extension per pane
Address a)The fee for Wench circuits with
purchase or service or feeder ha. 2
City State Zip Each branch circus $5.00
Phone No. b)The fee for branch circuits without
The installation is being made on property I own which is purchase ofservice orhader fee. 2
not intended for sale, lease Or rent. First branch circuit $3500 r Qb 2
Each additional branch circuit $5.00
Owner's Signature 4e. Miscellaneous
(Service r,r feeder not included) 2
3. Plan Review section (if required): Each pump or I rigallon circle $4000 2
Each sign or a films lighting 640.00
Signal circult(s,or a limited energy 2
Please check appropriate item and enter fee In section 58. panel,alteratlon or extension $4000
4 or more residential units in 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 For inspection $3500
Per hour $55.00
In Plant $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter lotnl of above fees $ 00
5% Surcharge (05 X total fees) $ .1�_
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 4/
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 $
COMMENCED Trust Account #
Balance Due E 7,�S
PERMIT w: ELC96-0030
CITY OF TIGARD DATE lSSUED: 01/19/96
COMMUNITY DEVELOPMENT DEPARTMENT
Sll131Hall Blvd.Tigard,preap mr��wmm ] 539-4171
P#ACEL : 2S104CD-N4000�
/2PDDRE�S. I. 1 SW BEc�VIFu
rERP
SUBDIVISION. . . . : HILLSHIRE F15,TATES ZONIN8:A-7 PD
BLOCK. . . . . . . . . . ; LOT. . . . . . . . - , . . . :040
Project bescription: Residential to 4, 500 sq ft~
-------' - -------------------------' ----------------~-------------~-----------
---REGlDENT 2AL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----
1000 73f- OR LESS. . . . : 1 0 - 20Q amp. . . , . . . : 0 PUMP/ IRRIGATION. . . . : 0
EACH ADD' L 500GF. . . : 7 201 - 400 amp. . . . . . . x N SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - WO amp. . . . . . . : W qYpmAL/PANFL' . ' . . . . , m
MANF. HM/ 5VC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 1@) . . . : 0
----SERVlCE/FEEDER---- ----BRANCH ClRCUlTS----- ---ADD" L 'INSPECTIONS.-
0 - 200 amp. . . . . . : 0 W/SSERVICE OR FEEDER: 0 PER INSPECTION. . . . . x 0
| 201 - 400 amo. . . . . . .. N 1st W/O 'ORVC OR FOR. : 0 PER HOUR. . . . . . . . . . . : W
Ownev': FEES
STERRA PACIFIC DEVELOPMENT INC tvpe amol.tnt by date I- ?Cpt
1`9 BOX 1754 FIRMT 1 285- 00 CJS 01/19/96 96-275061
i-AKE. t1SWEG)rl OR 971A35
Phanp #z
REPR ELECTRIC 299. 25 TOTAL
REQUIRED INSPECTIONS
*�Ihalie #: Wall Covet- Electl Final
| �
This atroit is issued sub�oct to the regulations contained in the
Ticard Municitial Code. -State of Ore. Stiecialty Codes and all other Per,mittep Sipnat .o e
aDolicable laws. All work Pill be dome in accordance with
awoved ollins. This pirmit will exoire if work is rot started
within IN days of issuance, or if work is suspended for more C/7air/ei-
LICENSE NO:
Call fot- insDection 639-417-
�
N
Community Development ELECTRICAL PERMIT AprLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # �96 0030
Phone (503) 639-4171 Date Icsuej 96
CITY OF TIGARDFAX (503) 684-7297 Issued Ii,-y
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Sclradule Below:
Name of Development A16'LA) 9L S lD9&1 _ Number of Inspections per permit allowed
Address 13 7 21 5Lv }}c N VIEW 77'6/7fl Servire included Items Cost(OR) Sum
City/State/Zip �1i.c,+&D, 02 . 722} 4a. Residential- per unit 4
' 1000 sq ft or less / $1100,
Each additional 500 aq It or
Name (or name of business)CpS 4pe- wEsr CiNsf: uAP portion thereof 7 $2500 /7S OV 1
Commercial❑ Residential o Limited En $2500
Each Manul'd'd Home or Modular
Dwelling Service or Feeder $6800
2a. Cmitractor installation only: 4b.Services or Feeders
Installation,alteration,or relocation 2
Electrical Contractor &,4& F_LE-'ri /L__ /AJL_ 200 amps or leas $60 00 2
Address P 9. Aix 389 201 amps to 400 nmps __ $8000 2
401 amps to 600 amps $12000 2
City_ State_Ag__ Zip f 7a2o 601 amps to 1000 amps $180(lio
Phone No._ 1, S Over 1000 amps or volts $34000
Contractor's License No. 2y-roe Reconnect only -- $6000
Contractor's Board Reg. No z o 4c. Temporary Services or Feeders
Inslallelion,alterationcati
or reloon
Signature of Supr. Elec' .-" 200 amps or Ise: $5000 7
License No. Phone 0. _ 201 amps to 400 amps $7500
401 amps to 600 amps $10000
Ove, - 11 amps to 1000 volts
2b. ,For owner installations: Roo•t above
4d. Branch Circuits
Print Owners Name _ New,rderelion or exleneron per panel
Address a; he tee for branch circuit&with
City State Zip purchase of service or foods, Ase.
Each branch crcurt $500
Phone No. b)The Ise for branch circuits without
The installation is being made on property I own which is purchase of service or Aaado- Ass.
not intended for sale, lease or rent. First branch anf3s oo -
Each additionald bbrranch dreuA $5 00
Owner's Signature _ _ 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or engalbn circle $40 nn
Each sign or outline lighting $4000
Signd cim:wt(s)or a limited energy
Please check appropriate Item and enter fee in section 56. panelalteration or extension $4000
—4or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
_Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.0 Chapter 5 Per inspection $9500
Per hour $55 n0
n,Plant $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE ba. Enter total of above fees $ '165"00
5%Surcharge(05 X tr tall fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtcfel $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b, Enter 25%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 $
COMMENCED. ❑ Trust Account tf $
Hnlanre Due $ X99.z
C'I'TY OF TIGARD PERMAITN#. PERMIT
: MST95-0336
COMMUNITY DEVELOPME14T DEPARTMENT DATE ISSUED: 10/11/95
13125 SW Hell Blvd, Tigard,Oregon 97223.8199 (503)639.4171 PARCEL: 2S 104CD-04000
SITE ADDRESS. . . : 1.3721 SW BENCHVIEW TERR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . . L01.. . . . . . . . . . . . . :040
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . s l TIACKFLOW PREVNTRS. . : l
OCCUPANCY GRP. . :R.3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . ..2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIX•TURES--•--• ---- - LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : I
SINKS. . . . . . . . . . : I GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :6 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :4 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
Remarks: PATH I -
OWNER: ----------- -- - - -------------- ---•--------------FEES------- ---_____
CASCADE WEST CONST. CORP. 'SWM $ 180. 00 JSD 10/1 1 /,i5 95•-271506
10445 SW CANYON RD SWM f 100. 00 JSD 10/11/95 95-271506
SUITE 103 BPRT $ 828. 00 JSD 10/11/95 95-•271506
BEAVERTON OR 97005 BPLC $ 538. 20 BON 09/05/95 95-270169
Phone #: 503--641-7424 BSPC t 41 . 40 JSD 10/11 /95 95--271506
PARK f 500. 00 JSD 10/11/95 95-271506
Plumbin Contractors------_---------- MPRT $ 48. 00 JSD 10/11/95 95-271506
MPLC t 12. 00 JSD 10/11/95 95-271506
Name: j _ MSPC t 2. 40 JSD 10/11/95 95 -271506
Addres s _ . � _ PPRT" t 249. 00 JSD 10/11/95 95-271506
City: _ State: PSPC $ 12. 45 JSD 10/11/95 95-271506
Lip: _ Phone# ' - _ EROS t 88. 00 JSD 10/11/95 95-271506
Reg #: ldr2_2Q�_��� :,34 -1/i.._.___ . Additional fees not shown here. . . . . . . . .
-------
REQUIRED INSPECTIONS
--- ---
This permit is issued �bject to the reg-
ulations contained in the Tigard Municipal. FL, ting Insp Framing Insp
Code. State of Ore. Specialty Codes and all Foundation Insp Fireplace Insp
other applicable laws. All work will be done Wtr Proofing Bsm Gas l_.ine Insp
in accordance with approved plans. This Post/Beam Strutt Insulation Insp
permit will expire if wort is not started Post/Beam Mechan Gyp Board Insp
within 180 days of issuance, or• if work is Underfloor insul Rain drain Insp
suspended for more than 180 days. Crawl Drain Water Lime Insp
Plm/undslab Insp Water Service Ire
PLM/Underfloor Appr/Sdwlk Insp
Ftng Drain Bsm' t Mechanical Final
Mechanical Insp Plumb Final
5+ �[•Q'��yi`!___�___� Plumb Top Out Additional. . . . . .
Auth rized lu■ ing Contractor Signature
Call for inspectiun - 639-4175
Contractor Notes:
CITY OF TIGARD
Fl-EC 11 Fli l ail_ PIE RMIT —
COMMUNITY DEVELOPMENT DEPARTMENT RFSTRT.C.TF_.D ENERGY
13125 SW Hell Blvd.Tigard,Oregon 07223.8100 (503)838-4171 PERMIT #: EL R96-00c'5
DATE ISSUED: rZ11/l f_./-)6
PARCEL : 29104CD•-04000
Il"E
ADDRESS. . . : 137.*='1 SW PFNCI-WILW 'TERR
'3UBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R--7 PD
BLOCK. . . . . . „ . . . . LOT. . . . . . . . . . . . . :040
Pv'o j est Description:
A. REyIDh_N'TIAL- _.____..---- D„ r.nMMr:RC1(4I. __._.__.____..______.___...__.._--- —_—_---•------_ _.._....
PUD T Cl & STEREO. . . :X AUD 10 & STEREO. . : INTERCOM & PAGING. . :
1 UPISLAR AL.ARM. . . . : X 1:,01 LU R. . . . . . . . . . : I_ISNI)SCAt�E/I RR I GAT. .
GARAGEOPENER. . . . :X CLOCF,. . . . . . . . . . . : MEDICAL. . . . . . . . . . . .
IiVAC. . . . . . . . . . . . . : X DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : X FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
tlTiIER: . : X IIVAI:.. . . . . . . . . . . . . PROTECTIVE CIGNAL. . ,
T NSTRI IME NTAT T r1N. OTHER. . : : 1
TOTAL_ # Or= SYSTE=MS: Ir
:An t : __...__...___..______.__.__.___—__....____ FEES
SIERRA PACTFTC DEVELOPMENT INC tyOF) amount by date recpt
LSO BOX 1754 PRMT $ 40. 00 CJS 01/ 16/96 96-274950
5PC-r s 2. 00 CJS 01 /16/96 96-274950
L_AKI.-' 0 3Wr:-_GO OR 97035
.hone #:
CON 1"RAC rOR NOT ON FILE t 42. 00 TOTAI .
RF_nUIRED INSPECTIONS - -- --
Ceiling Cover Elect' 1. Set-vice
Phone #: Wall Cover, Elect,' 1 Final
Pen #. . .
iris aereit is issued subrect to the regulations contained in the
Tigard Manicioal Code, State of bre. Soerialty Codes and all ether Perm i t ee+ Si nnat ure
aoolicable laws. All work will be done in accordance with
aooroved plans. This permit will exoire if work is not started
within IAP davt of issuance, or if work is suscended for more C/x4'
than 189 days. l s s�.led By
__.._...._ _.._._.._._.._._._. ___...-..----.____,nWNFP TNSTAL_L_ATIOI•4
The inatmllation is hpinp made on rirnperty I own which is not intencla(i for,
a.ale. lease, or, rent.
+)WNFR' S SIGNATURE- DATr
INSTAI L.ATTDN ONLY-- _._..___.._......---_._._.._..._..__.._. . ...
SIGNATURE OF SUPR. ELLC' N: Map,lecl -----._._. _ DATE:
I CEW3E NO
Call for inspection - 639-4175
JAN-16-1996 10:46 GARY'S VACUFI_0r INC. P.02
Lommunity Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT N
Phone(503)639-4171
FAX(503)684.7297 DA E ISSUED - 96
TDD No. (503)684.2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED 8Y
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. 'TYPE OF WORK
/ 3 2 q sW. � n 91 VtXJ.AJ
Address p RESIDENTIAL—Restricted Energy Fee . . ,x,00
(FOR ALL SYSTEN%S)
city I Static Zip heck Type of Work Involy d:
PFRMIIS ARE NOIv•TRANSFEKANLE ANO NCIN.REFUNDABLE AND EXPIRE IF WORK
N NrtT STARTID WITHIN ion DAYS OF ISSUANCE OR IF WORK IS SUSPENMO POR [4-Attdio and Stereo Systems•
1 tit DAYSDo'lurglar Alarm
�1�G'arage Boor Opener*
2. CON�f RACTOR APPLICATION
GD11Hca!ing,Ventilation and Air Cunditioning System'
Contractor _ _ Type 5eVa(uum Systems`
...— .-- l7tht�r
Address — • -
GARY ' S VA('UF L0, INC. 7 75—2042 COMMERCIAL—Fee for each system . . . . . . . . . sdo.00
9015 SE FL.AVEL . PTLI). 0[< 9 7 2 fi R (SEE OAR 918-260-26n)
DATE. j / L / iIOB
OWNER: ('i' 1�[`is — -•- Type of Work Involved:
CLE 26718 . .TLE 985 , C('$• 69[1 }7 ❑ Audio and Stereo Systems*
❑ Bnller Controls
Phone _ .— ❑ Clork Systems
3. OWNER APPLICATION ❑ Data Telerummunication Instaillatiuns
0 Fire Alarm Installatiun
❑ HVAC
Print Owner's Name Phone Nn ❑ Instrumentation
Address ❑ Intercom and I'aging Systems
❑ Landscape Irrlgarlon Control"
City State 7i1) ❑ Medical
This permit is Issued under OAR 91&32n-37e. rhes nprlicant aaees to make only ❑ Nurse Calls
restricted energy iriiitallnrtnn+(I no unli Amps nr less)under this permit and to do din ❑ Outdoor Landscape I ighting•
fulkiwing.
T. Only use 0ettncal licensed persons to do insullatiom whr!rr!rrguired,Mcnaln ❑ Protective Signaling
resWendal and other tranuNons are e%empt from liransing. Ihvw have ❑ Other
astisri*%l01.All others need licensing). -
2 Call for an Inslwetion whi-n all of the instillations under this permit are rr',idy
for Inspection at 503-639-4175
❑ Number of Systems
3. Purchase wparatm pnnmlts for all inc6dLdiom)hal are not ready for Inspectlrin -
when the Inspector Is out to Inspect under this penrilt 'Nn licenses are required Lici-mv.-s are required for.dl rthcr installations
n Assume mspensibility for assuring that all corrections raipdri'iI Iry Ihr Inspector
aw dune,and
5 Assume respatsihihry trip gsllingfor a Mal Inspection when all of die r-nrnTi•tinns 5. FEES
are romplmtrd
The person signing for this permit must be the applicant or a person a. Enter Fees
authorized to bind the applicant. r�
b. 516 Surcharge(.OS x total above) b d �—
Signature
TO 1 AL g —
Authority If other than applicant
ENERCAP.CHP
TnTAl P.PI?
CIN OF TIGARD PERMITS#ER. . . . . : MST95-0336
COMMUNITY DE ELOOPMENT G(Etp ►F VdNT DATE ISSUED: 10/11195
13125-A Hell Blvd.Tigard,Oregon 97223-8199 (503)639.4171
PARCEL: 2S1O4CD-04000
SITE ADDRESS. . . : 13721 SW BENCHVIEW TERR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 FIT)
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O4O
--------------------------------- BUILDING ----------------------------------- -
REISSUE: DWELLING UNITS: ! BASrMENT. . . . . . . . :O sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS:4 GARAGE. . . . . . . . . . :704 sf
TYPE OF USE. . . ;SF FLOOR AREAS----------- REQUIRED SETBACKS---------- -
TYPE OF CONST. :5M FIRST. . . . : 1561 sf LEFT. . : 10 ft R I GHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1321 sf FRONT. .-20 ft REAR. . :99 ft
STORIES. . . . . . . :2 FINBSMENT:92O sf REQUIRED--------------------
I HEIGHT. . . . . . . . .32 ft TOTAL-------:3802 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :4O psf VALUE- - $ : 257291 PARKING SPACES. . : 1
Remarks: PATH I —
-- -------------------------------- PLUMBING --------------------------
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1
LAVATORIES. . . . . :6 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :O
TUB/SHOWERS. . . . :4 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :4 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :O
DISHWASHERS. . . . : 1 WATER LINE (ft) . : 1O0 OTHER FIXTURES. . . . . :O
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
--------------- MECHANICAL ----------------------------------- FEES ---------
FUEL TYPES------------ UNIT HTRS. . :O type amount by date recpt
/GAS/ / / VENTS . . . . . :0 SWM $ 180. 00 JSD 10/11/95 95-271506
MAX INPUT:O BTU VENT FANS. . :S SWM $ 100. 00 JSD 10/11/95 95-271506
FURN ( 1O0K . . :0 HOODS. . . . . . : 1 BPRT $ 828. 00 JSD 10/11/95 95-271506
FURN ) =1O0K . . : 1 WOODSTOVES. :O BPLC $ 538. 20 BON 09/05/95 95-270169
FLOOR FURN. . . . :0 CLO DRYERS. : 1 BSPC $ 41. 40 JSD 10/11/95 95-271506
r;OIL/CMP ( 3HP:O OTHER UNITS: ! PARK $ 500. 00 JSD 10/11/95 95-271506
GAS OUTLETS: l MPRT $ 48. 00 JSD 10/11/95 95-271506
Owner: ------------- ---------- ----- --'--- 'MPEG $ 12. 00 JSD 10/11/95 95-271506
CASCADE WEST CONST. CORP. MSPC $ 2. 40 JSD 10/11/95 95-271506
10445 SW CANYON RD PPRT $ 249. 00 JSD 10/11/95 95-271506
SUITE 103 PSPC $ 12. 45 JSD 10/11/95 95-271506
BEAVERTON OR 97005 EROS $ 88. 00 JSD 10/11/95 95-271506
Phone #: 503-641-7424 ERPC $ 28. 60 JSD 10/11/95 95-271506
Contractor: -------------------------------ERPC $ 28. 60 JSD 10/11/95 95-271506
CASCADE WEST CONSTRUCTION CORP
10445 SW CANYON RD SUITE 103
BEAVERTON OR 97005
Phone #: 641-7424
Reg #. . : 62678 ----------------------._
s 2656. 65 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp PLM/Underfloor
applicable laws. All work Mill be done in accordance with approved Foundation Insp Ftng Drain Bsm' t
plans. This permit will expire if work is not started within 1M Wtr Proofing Bsm Mechanical Inr.p
days of issuance, or if work is suspended for sore than 180 days. Post/Beam Struct Plumb Top Out
L Post/Beam Mechan Framing Insp
Permittee Signature : �L�—'i -- Underfloor insul Fireplace Insp
Drain Gas Line Insp
Issued SO ` 01.,e-4 Plm/undslab Insp Insulation Insp
Call for inspection — 639-4175
CITY OF
TI SEWER CONNECTION
GARD PERMIT
COMMUNITY DEVELOPMENT D1R7'MflNT PERMIT #. . . . . . . : SWR95-0179
DATE ISSUED: 10/11/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
SITE ADDRESS. . . : 13721 SW BE=NCHV I EW TERR PARCEL: 2S104CD-040110
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . :040
----------------------------------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf
Remarks: PATH I
Owner: --------------------------------------------------- FEES
CASCADE WEST CONST. CORP. type amount by date - V recpt
10445 SW CANYON RD PRMT f 2200. 00 JSD 10/11/95 95-27150f
SUITE 103 INSP f 35. 00 JSD 10/11/95 95-2717N.
BEAVERTON OR 97005
Phone #: 503-641-7424
Contractor: ------------------------------
CONTRACTOR NOT ON FILE
Phone #: :--2235. 00 TOTAL
Reg #. . :
- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires IN days from
the date issued. The total amount paid will be forfeited if the �� -
permit expires. The Agency does not guarantee the accuracy of the -
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase _ --
a 'Tap and Side Sewer" permit and the Agency w'll ' stall a lateral. -- �'- -
-- Ly -__.-__._._..._....-__. --
Permittee Signatures __.c__r '�'e--'' -1
Issued - _;� �,. 400e `,�
"'Call for inspection - 639-4175
i
Residential Buil In Permit Application
City of Tigard
'13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 13,7z-1 S W [fie•,c11 o;ew T"ra c.c.
Subdivision: 4,'Ilskivt ES+a4eS Lot# 40 Office Use Only / p
Valuation: ,2 CI Planck/Rec # c� K
Corner Lot? Y
Permit # S ) -Q 33
Flag Lot? Y
Reissue of
Map wTS# .2511p1, 1:12- O&.0g,
Owner: KIN Approvals Required
Address:
Planning
Engineering_
Phone: Other ' 1
Contractor: Items Reairksd
10445 SW CANYON RD.SUITE 0103
Address: BEAVERTON,OR 07005 Subcontractors
Truss Details
Phone: 0 G4I-14L4 M S87-(o854 -SMYC" Other
Contractor's License # G24, *
(attach copy of current Oregon license) t!',(2 � Sd/e.t 6-1c bee r-
Contact Name & Phone: Srjr✓t C La yE H 52y-(09 S 3 // 11
Subcontractors: Archltect/Englneer: IV h5Co40 1 P4 VTVet) Q0&Ac
Plumbing: Pot- 6.)E 5T- PI-MIS4 Address: l30f/IrkJ/?w Avr /4 3 Sf
Mechanical: t�) I l---E 2 T 500 t-T M E TAL t ,� ,•.� (F�nr f/,4 DIS ��� /a/f�u M•!Qt 97?/G
(attach copy of current OR Contractor's License)
Phone: Z ZS-5!
JOB DESCRIPTION: Si�r�rrr t rtr, �� Ke SrC,Q«c e
4 0
Applicant Signature & Phone number
A
Received by: �� ► ` 4d &O t i-L- Date Received:
I
Permit # Account Description Amount Amt, Pd. Bal. DuA
/Y15 - S,j(,o Bldg. Permit (BUILD) 3 1
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg: �i D
Plumb:
Mech: �U
Plan Check (PLANCK) 550 15V Lo
Bldg: rc.
Plumb:
Mech: -
Sc�Rq;—o17y Sewer Connection (SWUSA) C9 0 `',� z"
i
Sewer Inspectic n (SWINSP) _ 3.) 3
Parks Dev Charge (PKSDC) 5vd c u
Residential T!F (TIF-R) 7y _
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TiF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) !� _ /�t/
Water Quantit; (WQUANT) / Du
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) Yr _
Erosion P!anck/USA (ERPLAN) �G
Erosion Planck-/COT "7ROiN) -Gu
.�r
i
TOTALS: 'I`� ( „ ZS o I II 1
. WV
cn�p -
EAERRA PACIFIC
CcVELOPMENT, INC.
70 Box 17'54 LAKEOswE(,,), OR 9'7035 15031 684-3175FAX 15031684-3176
iy
TIE CREDIT `,►(ARCHER
PROJk%�'P NAME. Hi"LLSHIRE SUMMIT #2, IIILLSHIRE ESTATES,
H.ILLSHIRE ESTATES #2 .
THIS VOUCHER ENTITLES wl C'�7 LUu ► �CM(YG411Or�
TO ONE ( 1 ) TIF CREDIT FOR LOT 40 TN THE
SUBDIVISION.
x
THIS TIF CREDIT SHALL BE APPLIED BY THE CITY OF TIGARD AGAINST
THE APPROVED TOTAL TIF CREDITS FOR SIERRA PACIFIC DEVELOPMENT, INC.
��.C. L: 't"A.0-o-�--
AUTHORIZED SIGNATURE,
OREGON TITLE COMPANY
Credit No.:
CITY OE TIGARD Date Issued: /YIat( Z517dls,
Engineering
Authorization
TRAFFIC IMPACT FEEvate:
CREDIT
Land Use
Casefile No.: SUB 91-0013
In accordance with Ordinance 379 Sierra Pacific Development, Inc.
(—of a.�.�,,.,�
is entitled to $ 38,628.25 -- in Traffic Impact Fee Credits that can be api ped to TIF
charges for development on lot(s) as referenced in the attached letter dated April 25
1995, from Jeff Nelson, Sierra Pacific of the Hillshira Summit #2, I !illshire Estates,
Hillshire Estates #2 Development. To use this credit, presEnt this form at the time of
issuance of the building permit.
rocior
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance 38,628.25
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 7 years from authorization.
IoglnwldeN11091 Use Additional pages if necessary.
71 o8l ' �.
•�• , —...;� yes— � •
•
t./q .
N
I "
Sc�l (� I • (�
•� C�
I y
Q-
fi S� IGiu ons ON
TrifM!N�YfIoIJ
SILUlf !(AP)
sY�J
54 �•..3 ` '
MAINFL.EL SG1
69' S'
GAuhc Fc.ec. sao
42
S6o �
j
OKwcwAY
PRIVATE 5A 14 LA 6
TOL,T41' 1Q
! ! • CD
QI (GlzcvAvc"r 11 Dust)
53
lz
/ `t—�` SIFT FEJGrs (f,I? KA P)
,r-� ``�. ER rOW•.Cp (lOL (7
SFr'
I,
pinipi rc CL 5(�t
C' I 14 691
SSs� (aA[AGE FL.EL. 560
wti V
Sti51
X. 'OIUVfi WAY
84'44 X
0
v,1TF. SA;;, LAT $�-r- 61 ,�-Ol , s1
, Lor f o w
SCALE : 3/G4= 1-0'
'-ASCADEWEST C011STRUCTICNCopp. 13'7z► SuJ 13�JJG
10445 SW CANY'CH RD SUITE$103 R ��6`�/ "rE�►2rc C E
6EAVERTCN, oR-SUIT � 11,Tc.s �E esr
:rcvg
N Szy•Ggas
a a7-�'a5y TAx 'L-O-r O4000
7AX MAP a5 I b q GD
C.ITY
ULRTIFILHIL. OF
OF TIGARD r �.. : ..
OCCUPANCY
fr ERM I 1 11. . . . . . . :
COMMUNITY DEVELOPMENT DEPARTMENT DATE. l SSUEU a Ob/a3/1r6
13126 8W Hall Blvd.Tigard,Orpon 07223.9100 (603)639-4171
PARLL1_: 25104CO--04000
IL NDUREStS. . . S 1:3 ei SW dENCHVIEW TERR
6DIVISION. . . . s HILLSHIRE ESTATES ZONING:R--7 FSG
i.00K. . . . . . . . . . s LOT. . . . . . . . . . . . . 1040
1"LASS OF WORK. :NE
f YPE OF USE. . .
iXCUPANCY GRP. :wIN
1C',C:UPANCY LOAD S E,
Remarks S PATH 1 -
r::A�XADE WEST CONST. CORP.
10445 SW CANYON RD
AJ I TE 10.:3
1ALAVE RTON Ofd' 97005
l hone #e 503_641-7424
111 LLCROF T CONSTRUCTION INC.
1:.303 RIDGE L ANE
WEST L:INN UR 9706a
Rhone Ns 650-4676
Reg N. . S 74024
file Certificate grants occupancy of the above referenced building or portion
►.he*-eof and confirms that the building has been inspectsck For compliance with
the State of Oregon Specialty :odes for- the gr'nu , Occup' c.y, and use under
which/the referenced permit was issUed.
10j11_DING INSPECTOR BUILDING OFFICIAL
POST IN LONSPIC:UOl.S PLACE
_f
_ --_� ~ _ -_�
� ' '' '- - lU
__-____ m
Plan C
CITY OF TIGARD Mechanical Permit Application PlRecan
13125 SW HALL BLVD. Commercial and Residertial Date Recd i-/�
TIGARD, OR 57223 Date to P.E.
(503) 639-4171, x304 �; Date to DST _
Print or Type
Incomplete or illegible a plications will not be accepted called
Name of DeveloprwWro)ed Description
Table 1A Mechanical Codo _ QtY Price Amt
Job Street Address SuMee A) Permit Fee 1000
r c - 1) Furnace to 100,000 BTU '
Address X CJ Lit;' e ✓ including ducts&vents 6,00
Bldg* Clty/state Zip 2) Furnace 100.000 BTU+
including ducts&vents_ 7.50
None(or name of business) 3) Floor Furnace
Owner YY1LN1.aVtitt?l ey. LICA VI(L including vent - 6.00
Mailing Address 4) Suspended heater,wall heater
or floor mounted heater 6.00
137 ` x�: l&L U i To VV- 5) Vent not Included in appliance permit
City/State Zip Phone 3.00
L C;v `� - . �5 CHECK ALL *Boller Heat Air
Name#w name of business) THAT APPLY: or Pump Cond City Prig Amt
Com
6)<3HP;absorb unit to
Occupant Messing AAdnrss-- 100K BTU _ _
6.00
7)3-15 HP;absorb unit
CdylState�-- Zip Phone 100k to 500k BTU 11,00 _
8)15-30 HP;absorb
unft.5-1 mit BTU 15.00
Contractor 9)30-50 HP;absorb
S CCCl r� 7k K unit 1-1.75 mil BTU__ 22.50
Prior to permit Mallintill Address 10)>50HP;absorb unit
Issuance,a copy cit--} l .� >1.75 mil BTU 37.50
of all licenses /state a 11)Air handling unit to 10,000 CFM
are required H �7U 69.;7(0 (. 4.50
expired in COT Oregon conn.Cont.69ard Uo.A Exp.Dote 12)Air handling unit 10,000 CFM+
database J q$ 3 ' 7.50
Architect Narne 13)Non-portable evaporate cooler
_ 4.50
or Mailing Address — 11)Vent fan connected to a single dud
3.00
15)Ventilation system no!Included In
Engineer City/state zip I Phone appliance permit _ 4.50
16)Hood served by mechanical exhaust
Describe work to be done: 4.50
17)Domestic Incinerators
New O Repair O Replace with like kind: Yes O No O 7•50
Residential 1 Commercial O 18)Commercial or industrial type Incinerator
/ --. -_ 30.00
Additional information or description of work: l 19)Repair units
h30 V 61 11
20)Wood stave----
--- 450
21)Clothes dryer,etc.
_ 4.50
Type of fuel: oil O natural ga LPG O electric O 22)Other units A _
_ /2u 4.50 �{ `.x
I hereby acknowledge that I have read this application,that the information 23)Gas piping on to four outlets
given is correct,that I am the owner or authorized agent of 2.00 (Y�
the owner,that plans submitted are in compliance with Oregon State laws. 24)More then 4-per outlet(each)
_ .50
Signature of OwnerlApent Date __�_— — --- -
Minimum Permit Fee$25.00 SUBTOTAL ct
_ 5%SURCHARGE
Cottfact Person Phone — PLAN REVIEW 25°�OF SUBTo.AL
Required for ALL commercial permits only
TOTAL.
'State r,ontractor Boiler Certification required
"Res'jential A/C:requires site plan showing placement of unit
I:Vnechperm.doc rev 07/20/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BLIP
Date Requested AM PM BLD _
r
Location_ -2 , ,lY ' L�llL kl% Suite / MEC
Contact Person ti �e�, L�/l� Ph `f - 7�c.�.�--t PLM
Contractor — Ph x; - 153 �tf, SWR _
BUILDING ----- Tenant/Owner ELC
Retaining Wall ELR
Footing Access: n /�
Foundation C)C) FPS
Fig Drain SGN
Crawl Drain Inspection Notes:
Slab _. —�- — __— SIT _
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear _
Sr
Framing
�3 f�'iPL /.►S t T. t-�'�i �__� 7,
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling Si,�S C�(s r z-!5-= Y�
Roof
Misc: _ —�Ui7i��> �'
Final
PASS PART FAIL ,�AX 0[.✓cr4;0
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PAS^ P.T FAIL
VECHANLQAW
f'ost Beam - -----
ouhln `
Gas LinV ---- — --- ------------
Smo FPOampers
na - - -- - --- --- - ....._._--- -.. - -------- ----
AS PART FAIL
Service
Rough In
UG/Slab __-_--
Low Voltage
Fire Alarm -
Final
PASS PART FAIL - ------ -
$ _
Backfill/Grading -- -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE: A Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date ���� � 1�1c� Inspector Ext
Other
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.