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13817 SW Benchview Terrace
__...______._.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
Date Requested 41-Z/ —AM—_ PM BLD
Location 1} /9'? .SC., �e,� y/-c.� . Suite �^
MEC
Contact Person Ph �Y-7Y�s� PLM
Contractor Ph _ SWR
BUILDING Tenant/OwnerrEL
0n/ (� !
Retaining Wall ��footing Access.Foundation
Ftg Drain -
Crawl Drain Inspection Notes. SGN
Slab
Post 8 Beam _ - ._��__�--- - — — ----------� SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
� Firewall ---- �--_--—T
Fire Sprinkler
Fire Alarm
SUsp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL - -- -- _
PLUMBING
Post&Beam —
Under Slab
Top Out -— - --
Water Service
Sanitary Sewer —
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough In
Gas Line
Smoke Dampers
Final --- - -T.
PASS PAR'r FAIL
-
Service
Rough In
UG/Slab
arr — --
PASS RT FAIL - -
Dackfill/Grading --
Sanitary Sewer
Storm Drain [ ) Reinspection fee of$ required before nex inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( )Please call for reinspection RE:___..____ Unable to inspect-no access
ADA
ApprOther Date
Date _ 3�/ Inspector Y \ Ext
Final
PASS PART FAIL j DO NOT REMOVE this inspection record from the job site.
JOHN McDONALD ENGINEERING
SOILS - CIVIL - GEOTECHNICAL
Ground-Penetrating RADAR
10116 SE Stanley Avenue
Portland, Oregon 97222-4351
(503)654-0180 Fax (503)654-8755
Tax ID 93 074 6595 (Not Incorporated)
April 21, 2001
Richard L. White
13999 SW Hillshire Drii-e
Tigard, Oregon 97223
FINAL SOIL INSPECTION AT 13617 SW AENCHVIEW TERRACE
My original soil inspection was reported on October 13,
2000 . At that time there was a question as to whether the
foundation was on bearing soil . I showed, to my satisfaction,
that the soil was original and was competent.
Now that the construction is nearly complete I have
inspected the site again. I am satisfied that the proximity of
the house to the steep rear slope will cause no stability
problems .
Very truly yours,
t� L
5657 y
-?L / let
opsr;0"
C/o YBIN
MCID
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CITY OF TIGARD BUILDING INSPECT;i)ri 0.'VISIONMST GG ��y3
2�i-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
1 _ _Date RequestedZ 5 _ AM_ PM BLD
r Location-X/2 5 6""' U-� Suite
MEC
Contact Person Ph 86i I/'2 7 5� PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wa!1 ELR
Footing Access:
Foundation FPS
Ftg Drain --- —
Crawl Drain Inspection Notes: SGN
Slab --- --- ----- SIT
Post d Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing / �Je `r��
Framing
Insulation
Drywall Nailing
Firewall - c-
Fire Sprinkler
Fire Alarm
Susp'd CeilingAc-�r7 0'X
Roof
Misc:
r
PART F
0UM La,
Post& Beam - -
Under Slab
Top Out
Water Service
Sanitary Sewer -----
Drains
PAQQ PART FAIL_ zvve
ECHAN L -
Po earn _ - - --- -- -
Rough In �
Gas Line ----- ------
SmgKke Dampers
-in -- - ------- - - --
ASS PART FAIL
ELECTRICAL -- — —
Service
Rough In
UG/Slab -----
Low Voltage �I Z
Fire Alarm
Final -� -
SS F IL
-----
Lroach/
rading _ -
Sewer
ain [ ]Reinspection fee of E required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
sin
ply Line [ ]PleaQ, :all for reinspection RE:_ _ [ ]Unable to inspect-no access
/Sidewalk ` 19EPOS ate 1 InspectorExtPART FAIL 00 NOT REMOVE this Inspection record from the job site.
C:TY OF TIGARD BUILDING INSPECTION DIVISION
24-Hoc r Inspection Line: 639-4175 Business Line: 639-4171 -
BUP
Date Requested51Z601 AMi PM -_ ___—
BLD
Location Suite
- MEC
Contact Person _ Ph PLM
Contractor Ph SWR
ILD ' Tenant/Owner — _ _— — ELC _ _ -
Retaining Wall ELR
Footing Access-
Foundation FPS _
Ftg Drain
Crawl Drain Inspection Notes. SGN _
Slab _ SIT
Post&Beam — -----
Ext Sheath/Shear
Int Sheath/Shear --
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Sprinkler _
------ ------
Fire Alarm
Susp'd Ceiling
Roof - - - - - - -
Mis -- - -
inal I
S 5 PART FAIL. --- - - -
PLUMBING
Post&Beam
Under Slab
Top Out - - - -
Water Service
Sanitary Sewer _
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam - - - -
Rough In
Gas Line - -- -- - -
Smoke Dampers
Final -- - - - --
PASS PART FAIL
ELECTRICAL - -- - -- _-
Service
Rough In
UG/Slab --
Low Voltage
Fire Alarm
Final - -- — —
PAS PART FAIL
ckfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection tee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Bashi
Fire Supply l ine ( J Please call for reinspection RE: _ ( J Unable to inspect-no access
ADA
Aoath/S dewelk
th Date Inspectorlo
r1 Ext
i
AS PART FAIL DO NOT REMOVE this inspection record from the job site.
I � -
CITYOF TIGARD RES RRIC EDEEN ENERGY
DEVELOPMENTDEVELOPMENT SERVICES -� PERMIT#: ELR2001-00055
13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/6/01
SITE ADDRESS: 13817 SW BENCHVIEW TERR PARCEL: 2S104CD-04500
SUBDIVISION: HIL LSHIRE ESTATES ZONING: R-7
BLOCK: LOT: 045 JURISDICTION: TIG
Proiect Description: Installation of camera wiring.
A. RESIDENTIAL B.COMMERCIAL __ —
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: CAMERA X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS:
Owner: Contractor:
RICHARD WHITE
13999 SW HILLSHIRE DR
TIGARD, OR 97223
Phone: 590-0209 Phone:
Reg #:
_ FEES Required Inspections
Type By Date Amount Receipt _ Low Voltage Inspection —
PRMT CTR 3/6/01 $75.00 2720010000 Elect'I Final
5PCT CTR 3/6/01 $6.00 2720010000
Total $81.00
Phis Permit is is,-Lied subject to the regulations contained in the Tigard Municipal Code, State of OR 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 ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-00 10 through OAR 952-001-0080 You may obtain copies of these rules or dire t questions to OUNC at (503)
246-187
Issued by t (' 4—V Permittee Signature 1
OWNER INSTALLATION ONLY
The installation is being made ory property I own which is not intended for sale. lease, or rent.. h
OWNER'S SIGNATURE: ` L�V1�1Okp, l(Lk _ _ DATE: 1L
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. EL.EC'N _ DATE:
LICENSE NO: --� — --
—
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application
_—' - Date received: LZL Permit no.:K T�'XI CL�ajS
City of Tigard Project/appl.no.: Expire date:
r ,r frixrard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503)598-1960 Case filen.: Paymenttype:
Land use approv:d:
TYPE OF
all
I &2 t'amily dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
ew construction U Addition/alteration/replact•Inrnl U Other: U Partial
JORS11F.-INFORMATION
Job address: lfidITax snap/tax lot/accouni nu,:
Wt: Bltx:k: Subdivision: C -_
Project named I Description itnd fixation of work on premises: (UW f_ L
Estimated date of coni lelion/ins ec(ion: �� (f ,
ON I RAV I Oil APPLICATION FEE SCHEDUG11-
Job no: FK alae
BU31neSS name: 1)escriplion _ (1tr. (caJ l oral no.ince
New rsridential sinr;le or nudti family tier
Address: dwellingunit.Inchnhr attached gatzsge.
City: State: ZIP: Service included:
Phone: Fax: E-mail: lax)sq.ft.or less a
Each additional 500 sq.ft.or rtion thereof _
CCB no.: jElec.bus. lic,no: Limitedenergy,residential 2
Cily/metro Iic.no.: Limited energy,non-residential 2
Each manufactured home or nttxiular dwelling
Signature ol'supervising electrician(required) Date Service and/or feeder 2
Sup elect name(prinO. License au Services or feeders-Installation,
PROPERTY dWN I It alteration or relocation:
200 amps or less _ 2
Name(print): O.(�d
i 201 strips to 400 amps 2
Mailing address: 401 snips to 100 amps 2
fi0 f amps to 1000 amps 2
City: Slate: ZIP: Over 1000 amps or volts 2
Phone: Fax: -mail: Reconnect only t
Owner installation:The ins°allalion is being made on property I own Temporary services orreeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation:
URS 447,455,479,67 ,771. 2a)amps or less 2
( 2 /� 201 amps to 400 amps 2
Owner's sl nature: ii
fl nate: ✓' v l_ 401 to(a)amps 2
Branch circuits-new,alteration,
or extension per panel:
Name' _ A Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit
City: — State: ZIP: B Fee for branch circuits without purchase
of service or feeder fee,first branch circuit: _ 1
Photic: Far' F-mail- Each additional branch circuit:
Mlsc.(Bernice or feeder not Included):
U Service rner 225 amps-c oinivi,i,d J I Iealth-cat a facility Each um or irrigation circle 2
U Service over 320 amps-rating of I&2 J Hazardou%location Each sign or outline lighting _ 2
ramilydweWngs UBuilding over IQOa)square feet four tit Signal circult(s)oralimited energy pnnel. /
❑System over 6(10 volts nominal more residential units in one structure alteration,or exten ion* I2
U Buildingover three stories ❑Feeders.4110 amps or more •Ikserison. 1 t L )L' 1'
U Occupant load over 99 persons U Manufacturttl structures or RV park Erich additional Inspection over the allowable In any of4he above:
❑F.gres%nightingplan J tither ` Per inspection
Submit sets of plans sslth any of the above. Investigationfee
the aM)ve are not applicable to temporary construction service. Other
-- Permit tee...... ..............S
Na all jurisdiction%arcept credit cards,please call jurisdiction rix more inronnation Notice:This permit application
U Visa ❑Mastercard expires if a permit is not obtained Plan review(at — %) S
Credit card number —_ within 190 days atter it has been State surcharge(111%) ....$
rtpires accepted as complete. TOTAL . $
�_
Na�ne d cardholder u shown nn care f-t-cW
-- --�--
'Cardholder sia„�ture ' Amount_ 4404613(t>✓naRbM)
Electrical Permit Fees: Limited Energy Fees:
-----— TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee .Schedule Below: — —
Restricted Energy Fee...................................................... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total I Check Type of Work Involved:
Residential-per unit
1000 sq.ft.or less $145.15 ❑ Audio and Stereo Systems
Each additional 500 sq,ft or
portion thereof $33.40 1 ❑ Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular ❑ Garage Door Opener'
Dwelling Service or Feeder $9090 2
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less _ $80.30_ ❑ Vacuum Systems'
201 amps to 400 amps $106.85_
401 amps to 600 amps $160.60 _ 2
601 amps to 1000 amps $24060
_ ❑ Other
Over 1000 amps or volts $454.65
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation,alleration,or relo(;ation Fee for each system......................................_.. .........,..... $75.00
200 amps or less _ $66 85 2 (SEE OAR 918.260-260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $13375 2 Check Type of Work Involved:
Over 600 amps to 1000 volts, ❑
see"b"above. Audio and Stereo Systems
Branch Circuits ❑ Boiler Controls
New,alteration or extension per panel
a)The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee.
I ach branch circuit $6.65 2 ❑ Data Telecommunication Installation
h) I he fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit $46.85 HVAC
Each additional branch circuit $6.65 ❑
Miscellaneous ❑ instrumentation
(Service or feeder not Included)
Each pump or Irrigation circle $53.40_ ❑ Intercom and Paging Systems
Each sign or outline lighting $53.40
Signal circuit(s)or a limited energy
panel,alteration or extension _ $75.00 ❑ Landscape Irrigation Control'
Minor Labels(10) $125.00 _
Each additional inspection over ❑ Medical
the allowable in any of the above Nurse Calls
Per inspection $62.50 _____ ❑
Per hour $62.50
In Plant $73.75 ❑ Outdoor Landscape Lighting'
Fees: ❑ Protective Signaling
Enter total of above tees $ ❑ Other
8%State Surcharge $ Number of Systems
25%Plan Review Fee ' No licenses are required Licenses are required for all other Installations
See"flan keview section un $
from of application _ --
Fees:
Total Balance Due $
Enter total of above fees $
❑ Trust Account p __ _ _ 8%State Surcharge $
Total Balance Due s
i\dsts\forms\elc-fees doc 10/09/00
ELECTRICAL -
CITY OF TIGARD RESTRICTED ENRIGY
DEVELOPMENT SERVICES PERMIT#: ELR2001-00050
3125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 2/26/01
SITE ADDRESS: 13817 SW BENCFIVIEW TERR
PARCEL: 2S1040D-04500
SUBDIVISION: HILLSHIRE ESTATES ZONING: R-7
BLOCK: LOT: 045 JURISDICTION: TIG
Proiect Description: Speaker Wires
A. RESIDENTIAL _ B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: SPEAKERS X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor: �� f
RICHARD WHITE I" tyu{,d
13999 SW HILLSHIRE DR -SYS div
TIGARD, OR 97223
Phone: 590-0209 Phone:
Reg#:
FEES `_l _ Required Inspections
Type By Date Amount Receipt Ceding Cover
PRMT CTR 2/26/01 $75.00 2720010000 Wall Cover
5PCT CTR 2126/01 $6.00 2720010000 Elect'I Final
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR 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 ATTENTION Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of?hese rules qr direct questions to OUNC at (503)
246-1987, _
Issued by �F,. Permittee Signature
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N _ _ _ _ DATE:
I ICENSE NO:
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application MN
"Dalereceived. " / / {'crinit no.
City of Tigard Project/appl.no.: Expire date:
c irv„/'Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dale issued: By: 71 Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _
1
'*I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacentenl J Other: U Partial
INFORMATION.1011 SI I E
Job address: J ' ' 1i 1U(' Hidg. no.: Suite no.: jTax map/tax lot/account no,:
Lou Moe Subdivision: c
Project name: p.5•` I Description and Icicalirn of work nn premises: re, -- 7 �.,r Ei t
Estimated date of complcoon/inspection:
APOLICATION. FEE SCHEDULE
Job no: Fee n�ax
Business name: f W C�ri�q�-i s Description Q11. (ca.) lural no.ins
New rcsieleestial sinKk nr ntedti-(smile per
Address: _ If"AC 2W) __ daellingmW Inclodesattached garage.
City: Z�-Y Slatcoel ZIP;`j?O 9,Y. Seniceincludcd:
Phonc! (0-75-,j-7g( ax: Z(C) 04A E-mail:ki,.ehe e-')4c.le tar sq.n.tit less -- .1 __
I ach additional 500 sq.ft.or portion thereof
CCB no.; yS� Elec.bus,Ile.no: Limited energy,residential 2
City/metro lic.no.: Limited cnergy,tion-residential 2
Each mmnulactured home or modular dwelling
Signal—:re of'supervising electrician(required) Date Service and/or seeder
Sup.elect.name(prim i I icense no: Services or feeders—Installation,
Plialteration or relocation:
1 t 200 amps or less 2
Name(print): �f ) r 11 - 201 amps to 41x)amps 2
Mailing address: / E-�C t 401 amps to 600 ams 2
I.���tti/ 601 amps to 10(10 amps 2
City: tel 11 State:CK ZIP: 7Z"Z Over 1oo0amps orvolts 2
Phone: S ` O i c-1 Fax: E-mail: Reconnect only I
Owner installation:The installation is being made on property I own Temporary services orfeeders-
which is not intended for sale,lease,rent,or exchange according to ln+tallation,alterstion,orreloatlont
URS 447,455,479,670,701. 21x1 amps or less '-
2(11 amps to 4(x)snips
Miler's signature: Dale: an t m 600 ams 2
1111001 Branch circuits•new,alteration,
or extension per panel:
Name: _ A Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: State: Zl} B Fee for bench circuits without purchase
— -- — — of service or feeder fee,first branch circuit: 2
PhoneFachadditional branch circuit:
PLAN Rj,'%11 W.I[Please check all that appli) Misc.(Service or feeder not Included►:
O Service over 225 amps commercial U Hcal1h-care facility Each pump or irrigation circle 2
O Service over 320amps-rating of 1&2 U Hazardous location Eachsign oroutlinelighting 2
family dwellings UBuilding over l0,0IN)square feet four tit Signal circuit(s)oralimited energy
panel.
U System over 6011 voles nominal more residential units in one structure alteration.or extension*
la Building over three stories U Feeders,4(x)amps or more *Description _
U Mcupant load over 99 persons U anufactured structures or RV par . Fach additional Inspection over the allowable In any of the alcove.
U EgressAightingplin Other 1AL,C- Per inspection
Submit__sets of plats with any of the above. Investigation fee —
Ile above are not applicable to temporary cotutructlon service. other
-- Permit fee.....................$
Nos all jurisdictions accept cinhi cords,please call jurisdiction for more inforrnathm. Notice:This permit application
U visa U MasterCard expires if a permit is not obtained Plan review(at _ Sb) $
Credit card number _— — _ within ISO days eller it has been State surcharge(R9f) ....
accepted as complete. TOTAL . $
Norrie of carNrolskr as shown on c it cad ----
Cadhoider signature Amount 4404615(tilt"M)
Electrical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy Fee,,,,,,,,,,,,,,,,,,,,,,,,, ——---..
............................. $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total _ Check Type of Work Involved:
Residential-per unit
1017.0 sq.It or less _ $14515 _ ❑ Audio and Stereo Systems
Tach additional 500 sq it or
portion thereof $33.40 _ 1 ❑ Burglar varrn
Limited Energy $75.00
Each Manufd Home or Modular ❑ Garage Door Opener'
Dwelling Service or Feeder _ $90.90 __
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less $80.30 ❑ Vacuum Systems' '
201 amps to 400 amps $106.85
401 amps to 600 amps $160.60 1
601 amps to 1000 amps $240.60 2 ❑ Other
Over 1000 amps or volts $454.65 2
Reconnect only $68.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or relocation Fee for each system...................................
75.00
290 amps or less _ $66.85 2 ISL E OAR 918-260-260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see"b"above. [-1 Audio and Stereo Systems
Branch Circuits ❑ Boller Controls
New,alteration or extension per panel
a)The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee.
Lach branch circuit _ $6 65 — ❑ Data Telecommunication Installation
b)T he fee for branch circuits
without purchase of service F-1 Fire Alarm Installation
or feeder fee.
First branch circuit $46.85 �_ ❑
Each additional branch circuit $6.65 HVAC
Miscellaneous ❑ Instrumentation
(Service or feeder not included)
Each pump or irrigation circle $5340 _ ❑ Intercom and Paging Systems
Each s.1n or outline lighting $5340
Signal circuit(s)or a limited energy
panel,alteration or extension $75.00 ❑ Landscape Irrigation Control'
Minor Labels(10) $125.00
Each additional inspection over ❑ Medical
the allowable In any of the above ❑ Nurse Cells
Per inspection $62 50
Per hour $62 50
In Plant $73 75 ❑ Outdoor Landscape Lighting'
Fees: Protective Signaling
Enter total of above fees $ Other _
8%State Surcharge $ _ Number of Systems
25%Plan Review Fee
See'Plan Review"section un $ No licenses are squired Licenses aro required for all other Installations
front of application ------
Fees:
Total Balance Dun.
-- Enter total of above fees �
Trust Account p _ 8%State Surcharge $
Total Balance Due $
i 41sts\fnmu\elc4ees.doc 10/09/W
P CITY OF TIGARD MASTER PERMIT
PERMIT#: MST2000-00361
DEVELOPMENT SERVICES DATE ISSUED: 9/12/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171
''11•F ADDRESS: 13817 SW BENCHVIEW TERR PARCEL: 2S104CD-04500
.rt' DIVISION: HILLSHIRE ESTATES ZONING: R-7
BLOCK: LOT:045 JURISDICTION: TIG
REMARKS: Construction of nes. single family detached residence. PATH 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 35 FIRST: 2.073 at BASEMENT: 095.00 of LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,611 at GARAGE: 900 at FRONT: 20 PARKING SPACES; 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: at RIGHT: 10
VALUE: $361,763.23
OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 3,684.00 at REAR: 89
PLUMBING
SINKS: 3 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 2 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 4 GARBAGE DISP: 2 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: 6 CLOTHES DRYER: 1
GAS FURN>•10014: 2 UNIT HEATERS: HOODS: 1 OTHER UNITS: 4
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 6
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: 'N/SVC OR FDR: 1 PUMPARRIGATION: PER INSPECTION:
EA ADD'L 500SF: 10 201 •400 amp: 201 400 amp: tat WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR. 601 - 1000 amp' 801+amps•t000v: MINOR LABEL:
1000+amp/volt:
PLAN REVIEW SECTION
Reconnect onIV:
>•4 RES UNITS: SVCII DR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESIRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: X VACUUM SYSTEM: X AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: X 0TH: BOILER: HVA(,': LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR.
HVAC: DATArTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,842.16
RICHARD WHITE WHITEHOUSE COLLECTION INC This permit is subject to the regulations contained in the
ICH RD HILLSHIRE DR 13999 SW HILLSHIRE Tigard Municipal Code,State of OR Specialty Codes and
13999 S,OR 97223 TIG99 S HI LSHI all other applicable laws. All work will be done in
TIGAaccordance with approved plans. This permit will expire if
work is not stsrted within 180 days of issuance,or if'.he
work is suspended for more than 180 days. ATTENTION
Phone: Phone: Oregon law requires you to fullow rules adonted by the
Oregon Utility Notification Center. Those rules ate set
Reg 0: LIC 129105 forth in OAR 952-001-0010 through 952-001-0080. You
may obtain coplas of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk Insp
Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final
Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Mechanical Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Rain draln Insp Plumb Final
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Water Line Insp Final inspection
rr�
Issued By : ��' jL ilt ' ` _ Permittee Signature : (�mvk ` •ll�1h. -�(
Call (5 3) 639-4175 by 7:00 p.m. for an Inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00247
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/12/00
SITE ADDRESS; 13817 SW BENCHVIEW TERR PARCEL: 2S104CD-04500
SUBDIVISION: HILLSHIRE ESTATES ZONING: R-7
BLOCK: LOT: 045 JURISDICTION: TIG
TENANT NAME: WHITE
USA NO: FIXTURE UNITS:
CLASS OF WORK: I4EW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer permit for new single family residence.
Owner: --
FEES _
RICHARD WHITE
13999 SW HILLSHIRE DR p
Type By Date Amount Receipt
— _ -_
TIGARU, OR 97223 �PRMT CTR 9/12/00 $2,300.00 27200000000
INSP CTR 9/12/00 $35.00 27200000000
Phone: 590-0209 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
1 his Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires
180 days from the date issued The total amount paid will be forfeited if the pen-nit expires. The Agency does not
guarantee the accuracy of the side sewer laterals If (Ile 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 Se Ner" Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted
by the Gregon Utility Notification Center Thnse rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987
Issued by: �� j��yj� � Permittee Signature:
Call (5031639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application Plan Ch
13125 SW HALL BLVD. New Construction Rec'dDate Rec'd +'?91-nn
TIGARD, OR 97223 Single Family Detached Date to P.E. 0. /-DU
V 503-639-4171 Date to DSTb 31
F 503-684.7297 �� Permit#
Print or Type Called 9 rr-oo ti:•rj
Incomplete or illegible applications will not be a epted O'k "/��
Name of Project Na
Job W ffI 4F ht`U-k�-- ICdresPttZ.� w t11
8i S �- Architect M41-0-res I��
Address � �� �� �-` "�,�,1`
- ---- -- N� fir---�1��..�1�11/lE=�y Zity,/tate` � 7_i P if,e o
7f L5'
Na
Owner FA ilin Ad ress _ � ` �Yt(�Y✓►'LLt•v�
Citate Zip Phone Engineer ineer Mailing Address r
2- SES /t iia✓c
General Na
City/State Zip Phone
Contractor � � �(�(,f�'`T�� Describe work New Addition O Alteration O Repair O
M lir re -- to be done.
Prior to permit (,(,S�/� _ Additional Description of Work:
issuance,a copy State tt--Zip Phone
of all licenses myso 5) Z2,3 _
are required If Ore on Const Cont Board Exp Date ALVPA
OJECT i
expired in COT Lic.# LUATI_ON (�r�'n16�7
_ database ,2
Mechanical N me -- -— -- NEW CONS" .. ...rn u*NLY:,�►
Sub- Sq. Ft. Hou -. Sq. Ft.GTT
Contractor ailing Address -- OO
Prior to permit Indicate the restricted energy installation by the electrical
issuance,a copy City/State Zip Phone subcontractor in the following areas
of all licenses Restricted ,/ Audio/Stereo
are required if Oregon Const Cont Board Exp Date Energy Y_ S stem Alarms
expired in COT Lic.# 6 Installations / Vacuum Irrigation
_database ►/ S stem_ System
Plumbing NamE (check all that Other:
Sub- fi�a?� /V apply)
Contractor Mailing Address — Number of Units in Building Unit Number Designation
Has the Subdivision Plat recorded? N/A YE NO
Prior to permit City/State Zip Phone
issuance,a copy - — —— -of all licenses are Oregon Const.Cont.Board Exp Date
required if Lic.#
expired in COT
database Plumbing Lic.# Exp.Date I hearby acknowledge that I have read this application,that the
information given is correct, that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Name _ Oregon State laws. _
Electrical G E~x /C S' a re ner/Agent Date ---
Sub- Mailing Address --' —
Contractor on Name Phone#
City/State Zip Phone — �_ W I tI7"E Q LO
Prior to permit
issuance,a copy - FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont.Board Exp Date
required if Lic# PV–
/ 1MaplrL#:expired in COTr I 14 , r "�'&1 C C�
database Electrical Lic.# Exp.Date S tbacw Zone:
Electrical Supervisor Lic # Exp Date EM in a ng Approval: Planning Approval TIF:
i\dsts\forms\.sfd-new doc 11/20/98
l
SEE 35MM
RO L# 22
FOR
LARGE
DOCUMENT
CITY OF TIGARD
13125 S.W. HALL. BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
AC ELECTRIC INC
18820 SHENANDOAH DR
OREGON CITY, OR 97045
Electrical Signature Form
Permit #: MST2000-00361
Date Issued: 09/12/2000
Parcel: 2S104CD-04500
Site Address: 13r i i SW BENCHVIEW TERR
Subdivision: ViLLSHIRE ESTATES
Block: Lot: 045
Jurisdiction: TIG
Zoning: R-7
Remarks: Construction of new single family detached residence. PATH 1
Your company has been indicated as the electrical contractor for the permit indicated above. In order for 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 the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER. ELECTRICAL CONTRACTOR.
RICHARD WHITE AC ELECTRIC INC:
13999 SW HILLSHIRE DR 18820 SHENANDOAH DR
TIGARD, OR 97223 OREGON CITY, OR 97045
Phone # 590-0209 Phone #: 232-8656
Req #: LIC 055515
SUP 34425
ELE 3-261C
AN INK SIGNATURE IS REQUIRED. QN THIS FORM
,L-�L:
Sigr r o� ervising Electrician
k,
If you have any questions, please call (503) 639-4171, ext. # 310
01/26/01 FRI 16:513 PAX 503 598 1960 cl'ry ol, 'ric.Nip [it 002
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
MODERN PLUMBING
11120 SW INDUSTRIAL WAY
TUALATIN, OR 9706"s
Plumbing Signature Form
Permit //: MST2000-00361
Date Issued: 09/1212000
Parcel- 2 S 10.4C D-04500
Site Address: 13817 iW BENCHVIE%V TERR
Subdivision: HILLSKRE ESTATES
Block: I_ot: 045
Jurisdiction: TIG
Zoning: R-7
Remarks: Construction of new single family detached residence. PATH 1
Your company has been indicated as the pl imbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from yr)ur company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing irllspec.!ions will be authc rized until this completed form is received
OWNLR: PLUMBING CONTRACTOR:
RICHARD WHITE MODERN PLUMBING
13999 SW HILLSHIRE DR 11120 SW INDUSTRIAL WAY
TIGARD, OR 97223 TUALATIN, OR 97062
Phone #: 590-0209 Phone #: 691-6166
Reg #: I Ir 87906
PI M 34-250PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x (Signature of uthodzed Plumber
If you have any questions, please call (502) 639-4171, ext. # 310
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