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— — 13947 STI BENCHVIEW TERRACE — ►�
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
CERTIFICATE. OF
OCCUPANCY
PERMIT il. . . . . . . : PIST94 -0229
DATE. ISSUED: 04/22/96
PARCEL.: 2S 104CD--05300
SITE ADDRESS. . . : 13947 SW BENCHV IEW TERR
SUBDIVIS1014. . . . s HILLSHIRF ESTATES 7.ONINGsR--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 3053
CLASS OF WORK. :NEW
TYPE OF USE. . . :SF
TYPE OF CONSTR:SN
M XIANCY GRP. :R3
OCCUPANCY LOAD:2
Remarks 3 PATH Y
H A M HOMES, INC
P O BOX 6118
ALOHA GP 9Iih07
PhoT,r Ms 649-9623
l_ontr
* & M F:OME.S INC
P O BOX 6118
Al_f.1HP OR 97007
Phonw M: 649--9623
Reg M. . : 66852
This Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been inspected for compliance will
the Estate of Oregon Specialty Code% for the gromp, occt.+panCy, and Lift lander
which the r oferenc:ied permit was isfi-ted. �
AUII_UINu INSF�ECTpR BUTLDINB OFFICIAL.
[COST IN CONSPICUOUS PLACE
CITY OF T IGARDrflHbfEJ1, PLRMIJ
COMMUNITY DEVELOPMENT DEPARTMENT `177.MI T #- - - - - - " MST()4-171229
13125 SW Hall Blvd,Tigard,Oregon 97223*8190 (503)639-4171 DA-E ISSUED: WG/17/9,4
121125312le
L�LNL`HVILW TERR
VISION, 11ILLSHIRE ESTATES ZONING: R-7 PD
. . . . . . . . . . LC7. . . . . .. . . . . . . . ..0 S
BLILDING
D61P11 TNI(74 UNTTc;- I AAF;FMrNT.
r oc�c;
. .j nP WORK, NEW BEDRMSt4 BATHS:5 GARAUE. . . . . . . . . . :6 6 0 S f
Y!-,- C!- l-,13 E. . . :1-r FLOOR inml,, REGUIRED SETBACKS— - -
TY!" Cr' CCNST. .5N F'I RST. . . . 2C,6 9 bf LEF"T. . . 10 Ft RIGHT. : 13 f
OR, . R3 -COND. FRONT. : 20 ri, REAR..: C 5 F t
THIRD. . .0 'r RCUUIRED
ii_:k L'' 17 . . . . . . .-0 ft TOTAL- .32-1 ! s 1* S)M 0 1.L 1)L", C C T OR 0. Y
FI-OUR L.OAl) f VALUE. . . . 23A016 DARKTING SPPCFP. . : l
PLUMBING
S) 3. . . . . r-1-OCR LN RA I N.",. .10 Bno,.rLOW PRLVNTRS. . gl
L1VA70RIUr1. . . . . ;7 WATER HEATERS,. . 1 TRAPS. . . . . . . . . . . . . . .0
. . . :L, LAUNDRY TRAY:,. . . : 1. CnTCH BASINS. . . . . . . :0
CLOSETS. -.3 .5,C WER LINE (f t ) . .0 GREASL TRAPS. . . . . . . ;0
I wou:R LTNL (ft ) . I 01Z 0T, ;iL7, FIX7UR, :; .. . . . :0
L
- 1 RAIN r)POTN (ft ) , 1?1
i C;F-' POTKI T)POTKIC, ! I
MECHANICAL ..........
'..JN', , 111R 0 type a- in u unt Ly date i.-ecpt
V C.N!T S . . . . . .0 Ir'" T, 15;
N ' -- - - --
CI1Y OF TIGARD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 4. . . . . . . ; SWR94,
13125 SW Hall Blvd.Tigaid,Oregon 97223*8199 (503)639-4171 DATE ISSUED: 06/ 17/94
|
SIT[ ADDRESS . : 13947 SW BENCHVIEW TERR
/
13U13 D%VI03ION : H1LLSH%R[ ESTATES ZONING: R-7 PD
UCA No. FIXTURE UNITS. . .
AL01-In OR 07007 1 NUP S 25. 00 SW 00/17/94
Cont nr
cnNTRA�'T'r)P NOT [IN PTI F �
2235. 00
"NEOUIRED INSPECTIONS)
of the Unified Sewage Agpnev. The oprett expire; 100
.he date issivd. 'he tatal asount paid will be forfe'Ated ill the
persit expires. 1.'he Agency does not guarantee the accurac-y of the
t'-e 2:starce given. If not so located, the installir shall purchase
and Side Sewer" Persit and the t'; a lateraL
�
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----------- - - —
4-A
s.
_Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd. .^
Tigard, OR 97223
(503) 639-4171
i
Jobsite Addiess:
Subdlvlslon: slA1�_S Lot # S,j Office Use Only
/�//.s/fit't
Valuation: Pianck/Rec# — IP- f
Permit #
c
Owner: Aly 1,9 ami S I„i� Reissue of
Address: `� .��pr /�!/� Map& TL # �
Approvals Required
Phone:
`� Planning ` L yr►j
Contractor: y /rniyJ�S' �C Engineering
Address: Other
Items Required
Phone: ��9- 9/�L 3
Contract License # Subcontractors
(attach copy of current Oregon license) Truss Details
Subcontractors: Other
Plumbing: AMY, AogBr4/�
Mech�Acal:
V (attach copy of current OR Contractor's License)
Architect/Engineer:
Address:
Phone:
COMMENTS: L! y of i s.?�t 1 V D
Y _ - _
1
Signature & Phone number
L'
Received by: _ Date Received:_�
Permit # Account Description Amount Arrit. Pd. Be[. Due
f Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) 3""/, �u o•
State Tax (TAX) 52, 33 Z 3 3
Bldg: 25 .0 3
Plumb: j0.7 /
Mech: t 3 /
Plan Check (PLANCK) y' oit!
Bldg: So 1,
Plumb:
Mech:
Sewer Connection (SWUSA) �y / 6 u
:1A Sewer Inspection (SWINSP) 3 ),
Parks Dev Charge (PKSDC) S G u vel
Storm Drainage Chg (SDSDC) P a-U
Residential TIF (TIF-R) y� ✓ _ �(�_
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Otratiity (WQU&)
WetefQuantity (WODUA" ', U / 0D G a
Ftre-Distriet (FtRE) P ?
TOTALS: /0
d
STATE OF OREGON
PLUMBING SECTION
LIC/REG.AS NO 2476JP
JOURNEYMAN PLUMBER LICENSE
INDIVIDUAL
YARCHENK:O DENNIS A
17555 SW RIGERT ROAD
BEAVERTON OR 97007
09/30/93
ISSUED
-09/30/94
EXPIRES
STATE OF OREGON
Registered as: No.[ 4 3 E 2 8
[ 3PEC CONTfi/ :tcSLG RTI AL
( NLN—EXEMe7
[ IRDIVIVUAL
Expires[ C4/ 3C /95
0
[ DAY PL UMvl til; LQ ,JQ
( UENNIS A YARCHENKO
( 17555 :,a PTucFT ROAD
( CCAVChT011 OR 57(t )7-0000
I
94056894
Washington County
Page 1 of
STATE OF OREGON i SS
County of Washington J
1, Jerry R. Hanson, Director of Assess-
ment and Taxation and Ex-Officio County
Clerk for said county,do hereby certify that
the within instrument of writing was recetvea
and recorded In book of records of sold
county.
Jerry R. Hanson Director of
Assessment and�' atlon,Ex-
officio County Clerk
Doc : 94056894 5. 00
Rect: 124124
U6/13/1994 11 : 10: 08AM
j
r
V�
EXEMPTION FROM MAXIMUM SHADE POINT HEIGHT STANDARD
1/we, the undersigned, as legal owners of record of the property described as:
Lot #,L,a of Subdivision
Tigard Address /392 &vr,c al
Tax Map and Lot Number .Zy y c,b r_',e , %.zDd
do hereby release the property owners of adjacent Lot # S-3
of P)1) rc L Subdivision, also known as Tigard address / A6,/•7 SI,J Be-mu ro
'I rr
And as Tax Map and Lot Number o75/U y e U -0 6.36 U , from complying with
Community Development Code Section 18.88.050.G (Maximum Shade Point Height Standard);
and agree that the structure may have a shade point height of3L feet, thereby allowing shade
on an area otherwise protected by Code Section 18.88.050.D.
In addition, I/we also release the City of Tigard from liability for damages resulting from this
adjustment.
Signature
I
Signature
State of Oregon )
ss.
County of )
This instrument was signed or attested to Wore me by C- and
_ on 13 , 1994.
QrFICIAL SEAL
OIANS E.POTTHO"
�, NOTARV t19LIC• �REOON
COMM
�MYCOMMIS510NErF^gES,MAR406 9a5 \ 1
Signature of Notarial Officer
(Notary Seal) My Commission Expires: -3
M
J1g/ExempLMxt
LSD �D.0 CP /!✓
PLUMBING PERMIT
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT 06/17/94
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171
' --' — '~~~'`-- ' ^ ^ ^ ~E~~` 'LINE ' ' - ' ^ ^ ^ ~ ^~
W 7 7 r CLOS[ 1� WATER Ll NE <ft ) . . . ^ : 10,0
1)I |!WA n-)HERO. . . . . 1 RAIN DRAIN (ft ) . . . . :0
� riem"/'ks ; PATH J
�
3WNLR. ------ --' --------- --------' - ' - - �[L�- ' ------ |
� _ - TIF t 1 00 --
P n sox 6iis SPIRT $ 781A. 51A SW 06/1,7/94
�
One ..~~ - ~. ~~ ~. '06/17/94
-..,.` - 500. 00 .. 06' 17' 94
�
p5r*,c 10. 75 S14 1/94
11/ 1 x will be done P t/� � � R /su /h z
� - - -- _ .' �� '
umnwith, ad planfi. This pl / u lb lMechanical F-irna 1
it ill
Jed fui-, move than 100 LJayE;,.
Tncil - nil - .n
ful- inspection 611) -14177
` .
- - J7
| �
/
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------ --' -
CITY OF TIGARD PLUMBING PERMIT
PERMIT #. . . . . . . : PI-M91--0izAq-
COMMUNHY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/10/95'j
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL : 2SI04CD-05300
SITE ADDRESS- 13947 SW BENCHVIEW TERR
aUBDIVI�IUN. . . . HILLSHIRE E,-;"rATES ZONING: R--7 PD
i3i-QLV. . . . . . . . . . LOT. . . . . . . . . . . . . .053
-1-AGS OF WORK. (,DD GARBAGI=' D 1 SPOSALS. MOB ILL- HOME SPAGES.
I YPIL OP USE. . . . :S1 WA';.")'Hlt\lb MACH. . . . . . . : BACKFLOW PREVNTRS. I
1CCUF-',AN(.,Y GRr-. R3 I"LOOR DRAINS. . . . . . . . TRAPS. . . . .
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : LATLH
r: I X TURLS-- LAUNDRY TRAY.'.':;. . . .. . . : GF RAIN DRAIN'S. . . . . :
;INKS. . . . . . . . . . .
URINALS. �. . . . . . . . . . : GREASE TRAPS. . . . . . . s
OTHER I-'I TURE"S. . . . . :
iUJ3/bHUWLRS. . . . : SEWER LINE (ft ) . . . .
WATER CLOSETS. . : WATER LINL (f-t
DISHWASHERS. . . . :k RAIN DRAIN (ft ) . . . . s
INS-,-c)Ll- BACK F'L.C.)W DEVI(,E
FLES
M HOME 5 t V J:J e 'Nmol-irlt by date v,ecpt
I,S'J'0 SW L;LNLHVILW I'F:RF,: PRIVIT 15- 00 SW 03/09/95 95-26L7,.
0. 75 SW 03/09/ )5 95--26
I I Uf4RL) OP 9
--flcyle 0:
-ONLEP'l LANDSCAPES CONS I'R.
—ARRY J. HOEKMAN
0. BOX 1583
13LAVERTON OR 97075
11)ciiie #.- 646 '5181
<?eg #. . : 5880
--------- REUUIREL) INSPELI' 101\15
This persit is issued subject to the regulations contained in the RP/Bat_kflaw wt-ev
Vigara Mj-itipai Code, State of Ore, Specialty Codes and all other Firia l Inspe(-tiorl
applicAuie lam. All work will be done in accorcance with
ipprayou plant. This permit will expire if work is not started
41thin 180 days of issuance, ar if wark it suspended for sort
than IN days.
s 1-i e d v ........
"All for~ inspection
City i)f Tigard PLUMBING PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
-"' Descnpuon
ORS 814.21-610 OTY PRICE AMT
Job l C' 41 z,W T ✓r- FIXTURES
Address
TI cxrc>\ p Ci`7Lavatory 7.50
u or ub/S ower Comb.
1M Ourwe5 owernom— -
~' Water Closet
Owner 139 L4-I S W ( rchview —ierg Uishwasher
dV ge UISPOU
_ T� aV'C� Q__r Q1 Z as ng ne
-
aterIieater i
ur3ry m ray
Occupant
Urinal
Other Fixtures pea
7.50
7.50P•O ,(3U x l543 S V 41. S l$' MISCELLANEOUS
Contractor aww; —
(� C1`I U`I Sewer ist
' ' Izn �dsccilk. Sewer•ea. L
`-a1 a I (1 X13 ( 1 Ie 9 1 Sater SerAce Ist
ere y acKnowleage that I nave rea inis appT�caC a Water Service ea.Addil.200' 15.00
information given Is correct,that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws,that I Stomt b Rain Drain 1st 100' 30.00
am registered with the Con auction Contractor's Board,that the number Storm b Rain Drain Addit. 100' 15.00
given is correct (If exempt from State registration,please give reason
bel .) Mobile Home Space 25.00
Back ow Prevention
Device or And-Pollution Device 7.50
via Any I rap or Waste Not
Connected to a Fixture 7.50
new U addition U alteration U repair Catch Basin 7.50
to be done residential Q non-residential Q
Insp.of Exist. Plumbing per hr
40.00
Specially Requested Inspections per hr
Existing use of Rain Drain,single family
builcling or property dwelling 15.00
Residential a w prevention
Proposed use of devices _ I 15.00
building or property
(Except resicfentiol back1low
prevention devices)
NOTICE 'Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE -15
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS 4,T ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL
COMMENCED. -
TOTAL
Special Conditions
Date issued .3 1� 1�5 by
�MUMM
li �•
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
%OUNTY, 155 NORTH FIRST, HILLSBORO, OR 97124
PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Dermit f: 05060343 .'roject # P0045184 gtat.us APPROVED Page 1 of 2
Ilppl ed 11/01 /94 Issu". d 11/01/94 Expires 04/30/95 03/2.2/95 05 : :: 1
RESELEC
c'e* ,.,t Title SFR NEW HOME SERVICE. OTH
sc.ription 1'?LLSHIRE ESTATES LOT 53 Begun . 11/01/94
JoL Address . 13947 SW BENCHVIEW _TI
'I Owner Nims- IWKPEt"rION -- TIGARD Region D
Appl.i,- int Name BEAR EL%CTPIC, INC
"hone- nu. ber 245-2799 Valuation . 0 Approved_ ._—
,ispector. Comments : Re jected_�
MAI
._.�v {' .U11�t!1__.c AL1. �t1� iz� �� >`i�( IVR-RESULTS
/,v/ �� t, /l/U iy�) �� •r ____..___ �_ REVIJF:7"r ERROR
P 1 urnb i ng
Mechanical �/'l-' "C7 �410'5 IVO-1' WMLd
Electrical _S�i���
i
otrur_tru ] dlr 4Jr-a:' 1i /6, ,U�d/fx �_ %'`�� << 1/,1/e ,/1�Iti (��•r• �..L� -
!lener. a].
Inspected by af
1,ILI'
rDate -
Inspection Requested:
�"`1'ina� Electrical %' 0499 E AP DN IVR
` " l3'3TZ27'95" " IFS KKP 4545 - GARA(]E LOCK #
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
�1 COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
I
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILL.SBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
• rur t 01 -)06(1'34.a Prt.t ject_ # P0045184 St.atuE APPROVED Page 2 ref 2
1. 1 /01 /94 I&SUed 31/011,94 ExpirAs 07/10/9s; 07/0-,/y5 06 : 20
kESEllhf
.rrrTitl,r. SFP .. NEW HOME SfiRVI� E OTH
"4•i :'Iapt.10n H1LLe:.HIRE, ESTATE: LOT 53 Aegmrt . 11/01/94
4.: AA3reEs 13947 SW RENCHVIEW TI
at ;.ton Detail Re, i n D
App!1 ,:grit. Name BEAR ELECTRI;:', INC
F'Noiie number 245-2799 Va Ua1. 1O7 0
Ad(Ar Pi.) BOX 389 Approva.l#I AE'PR
DONALD OR 97020
Par .R- 1 Numhor 2S1, TI
f wpp Oct io-1 Hissb—.,ry Cmnnary
6 Service 0403 E AP DN I Vt.
" 1/09/94 Af, KF'
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/�c DEPARTMENT OF LAND USE 6 TRANSPORTATION
WASHINGTON
'ON LAND DEVELOPMENT SERVICES DIVISION
-�/ 155 NORTH FIRST,HILLSBORO,OR 97124
COUN I 17 INSPECTION REQUESTS: 503/640-3561/593-4415
XXXXXXXXX--> b4U-34'/U
OREGON Page 1 or i
Date 11/01/94
Time 13 : 10
Permit 'Type Hesldential Electrical Permit hermit # U5U60343
Petmit Statu:_, APPROVED Applied 11/01/94
situs Address 13941 5W 8ENCHVIEW TI Issued 11/01/94
PeLmit 'Titie SFR - NEW HUME SERVICE Completed
PeLniit Descr . HiLLSH1RE ESTATES LUT 53 To Expire 04/3U/95
Pt (-,.)ect 'Title bFR - NEW HUME SERVICE Project # P0045184
Pi a sect Descr . HILLSHIRE ESTATES LOST 53 * EROSION
P-lrcei Number 2S1'TI - Land Use District
valuation U
Legal Descr .
(Jtti•itrr INSPECTION - 'TIVARU Construction O'TH
Applicant Name BEAR ELECTRIC, INC Classification 9UU
Applicant Addr. : PU BUX 389 Occupancy t
DONALD UK 970ZU Validated by MJF
Applicant Phone: Z45-2'/99 Inspector Area
CUN'TRACTUR : 8EAR ELECTRIC Lic . C 24-1U7C 245-2799
Fee description_ Units Fee/Unit Ext fee Data
-------------------------------------------------------------------------------
:,quare Footage -rater Sq. Ft . ] 55UU 335 . UU
:Dubtutal Electrical t _. 335 . 00
state Surcharge of 5% 16 . 75
Total Electrical Nees : 351 . 75
� k* Fees Required *** *** Fees Collected bt Credits ***
Method Check # Receipt No. Date Payment
CK 113U9 11/01/94 351 . 75
TOTAL 'THIS DA'Z'E *****rt*rt rt 351 . 75
Fees , 351 . '/5
riti-lustments : U0 'Total Credits : U0
Tutal tees : 351 . '/5 'Total payments : 351 . 75
balance Due : UU
NOTICE This permit becomes null and void if the work or construction for whit:h It Is Issued Is not commenced within 100 days, Once construction has started.
the permit becomes null and void If construction Is Interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents In support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or sh ucture will be compiled with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a perrolt does not grant authority to access private property or to use easements. I Inrther acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building
Inspection staff verifying compliance with the vai lour codes Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit Is Issued
speufying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all inspection requirements
APPLICANT'S SIGNATURE —�
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section
155 North First Hillsboro, Oreg nVe97124 350-12 APPLICATION
Information: (503) 640-3470 Fax: (503) 693-0412
Permit j
PLEASE PRINT Number Date _ f
Please lete all 4. Complete Fee Schedule below
Number of Inspections per permit allowed
1. Location of installs ton _
Address Pr1VUIl/1 CW 72'44, Service included: Items Cust(ea.,1 Sum
Building A. Residential - per unit
City �16�hf Suite No. /y� Go
loos aq.n.or lana � $110.00 a
Tenant Name Each additional 500 sq.n
(if commercial) qq
_ _L $25.00
or portion thereof 21
Limited Energy $25.00 1
Map No. � Tax Lot _ Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
Thomas Map Book: Page: S� Section:
Directions - B.. Services or Feeders
/�/LLSfIiRE f�t!•!.11f'2�f /� f s� Installation,alterations or relocation
200 amps or less $60.00 2
Commercial ❑ Residential 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 2
2a. Contractor installation only: 601 amps to 1000 amps $180.00 2
J Over 1000 amps or volts $340.00 2
Electrical Contractor kelf IL ELE rc-{ r'N� Reconnect only --- $50.00 2
Address e l B
CityDa.-t5_J/ State D ZIP 92v C. Temporary Services or Feeders
Dateiber Installation,alteration or relocation
Property Owner_may M /Id/11 l' /N4 200 amps or less $50,00 .-
Contractor's License No. _ _ — /a 7 r: _ 201 amps to 400 amps $75.00
Contractor's Board Reg. No. 401 amps to 600 amps $100.00
f Over 600 amps to 1000 volts see'B'above
Signature of Supr. Elec'n Xz?�-� D. Branch Circuits
License No. 11/ 2_ S Phone No. 2`1S- 2 799 Now,alteration or extension par panel
a) The fee for branch circuits with
2b. For owner Installations: purchase of service or feeder lee.
Each branch circuit $5.00
Print nets Name —done No, b) The fee for branch circuits without
purchase of service or feeder lee.
First branch circuit $35.00 2
Each add'nl branch circuit_ $5.00 2
city ---- -����1�-- - --- E. Each
(Service or Feeder not included)
Each pump or irrigation circle $40.00 2
The installation is being made on property 1 own Each sign or outline lighting $40.00 .� 2
which is not intended for sale, lease or rent. Signal circuit(s)or a limited
energy panel,alteration
Owner's Signature or extension $40.00
F. Each additional inspection over the allowable
in any of the above
3. Plan Review section (if required) Per inspection $35.00 _
Per hour __ $55.00
Please check appropriate hem and enter fee In section 5B. In Plant $55.00
4 or more residential units in one structure
_Service and feedar, 800 amps or more 5. Fees
System over 600 volts nominal A. Enter total of above fees ao
Classified
area or structure containing special 5% Surcharge (05 X total fees) $ _-7--
occupancy as described in N.E.C. Chapter 5 Subtotal $
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ —
above apply. Not required for temporary construction Subtotal $ s/r 7.5-
services.
sservices. F1 Trust Account $
Balance Due $ 35, /
Far inspections call This permit becomss null and void Nth*work authorized blithe Permit Is not commenced
640-3561 or 693-4415 within 1,0 days Irom date of Issuance of such permit or N the work authorized Is
wepended or abandoned at any time after work Is commenced foe a period of Iso days.
24-hour recorder, one working day in advance of need Eleetrical Permits n•non-refundable and non transferable.
8194
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
COUNTY, (� 155 NORTH FIRST, HILLSBORO, OR 97124
PHONE: 5Q3/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
i
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO. OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit M : 05060343 Project # P0045184 Status APPROVED Page 1
Applied 11/01/94 Issued 11/01/94 Expires 04/30/9 , 03/22/95 05
RESELEC
Permit Title SFR - NEW HOME SERVICE OTH
Description HILLSHIRE ESTATES LUT 53 Begun 11/01/4-- 4
Job Address _-1394.7 SW BENCHV_IEW TI ,
�.>wner Name INSPECTION - TIGARD Region D
Applicant Name BEAR ELECTRIC, INC
Phoney number 245-2799 Valuati.,-, 0 Approved-_N_
Inspector Comments 41,40'1Rejected t/
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Mechanical -Q_, _d k05 /vol` /000 X4X911 ^�
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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/840-3561/693-4415
OREGON XXXXXXXXX- b4U-.14 i u
Page 1 of 1
Date 11/U9/94
'Time 109 : 11
t,Nrmit 'Type ltes,i.dential Electrical Permit Permit # UbUbub'/9
cermit Status ArPRUVED Applied 11/U9/94
Situs Address 1394'/ bW bENCHVIEW '1'1 Issued 11/109/94
Permit 'Title L1M1'1'ELU ENERUY-ALL ENCUMPASSNC, Completed
Permit Descr, HILLSHiRk; ESTATES LUT b3 '1'o Expire Ub/108/9b
Project 'Title Sk''R - NEW HUME SERVICE Project # PUU45184
Pro lect Uescr . HILLSHIRE ES'VA'1'ES LU'1' b3 * ERUSIUN
P.ziicel Number Z611'1 -- Land Use District
Valuation U
Legal Uescr.
owner 1NSPEC'1'IUN - '1'1GAR U Construction U'1'H
A►.)plicant Name H & M HUMES , iNC.'NC Classification j00
Applicant. Addr . : PU BUX bilb occupancy
ALUHA UR 9'/UU'/ Validated by M,lk-'
Applicant Phone: b49-9bZ3 Inspector Area
tee description Units Nee/Unit Ext tee Data
._-----------------------------------------------------------------------
Llmited Energy/Alter,/Extension 1 4U . OU 40 . U0
Subtotai Electrical k''ees : 4U . UU
State burcharge of b'4 Z , UU
l'otal Electricai Fees : 4Z . 00
* * t''ees Required *** *** Nees Collected & Credits ***
---------------------------- ------------------•---------------------------
Method Check # Receipt No, hate Payment
CK Z'/010 11/U9/94 42 . 00
'1'U'1'AL THIS DA'I'S ********* 42 , UU
Fees : 4"Z . 0
Adlustments : . UU 'Total Credits : , UU
'1'()taI Nees : 4Z , 0 'Total Payments : 42 . UU
balance Due : UU
NOTICE: This permit becomes null and void If the work or construction for which It Is Itsued Is not commenced within 180 days. Once construction has stnited,
the permit becomes null and void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and
his agent or agents in support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisicns of applicable laws and ordinances governing the construction and ose
of this building or structure will he complied with whether or not specified on rhe plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for!nspectlons ai:varlour times during the process of construction and the building
Inspection staff ver!fying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval is given by the Building Official I further acknowledge that a lien may be placed on the title of th o arty upo which the permit Is issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the ctl 1 qll nsgection requirements.
ANT'S SIGNATURE
WASHINGTON COUNTY RESTRICTED
Department of Land Use & Transportation
Electrical Inspection Section ELECTRICAL ENERGY
155 North First Avenue, #350-12
Hillsboro, Oregon 97124 APPLICATION
Information: 503 640-3470 Fax: (503) 693-4412
PRINTPLEASE
Please complete all sections, I through 5. Permit No.
1. Location of installation ,� Date
Address / Z- J�! ,A�Ljaj T,XX1,
City z,/, � zip Code /�Z�� 4. Type of work:
Map No. __Tax Lot
RESIDENTIAL Restricted Energy Fee $40.00
Thomas Map Book: Page Section (for all systems)
DirectionsAVA/, '4,u*iS'1� � �✓ /i�/�I11 lL- Check type of work involved:
.4 E! r _T/) .�/ _ ; Audio and Stereo Systems*
Commercial [I Residential ? Burglar Alarm
Tenant Name Telephone Systems*
(if commercial) Garage Door opener"
This permit becomes null and void if the work authorized by the Fire Alarm
permit Is not commenced within 180 days from date of issuance Healing,Ventilation and Air Conditioning Systems*
of such permit or If the work authorized Is suspended or abandoned
at any time after work is commenced for a period of 180 days. Vacuum Systems*
Electrical Permits are non-refundable and nontransferable. Other _
2. Contractor application:
COMMERCIAL Fee for each system $40,00
Electrical Contractor --__ ___ _ (see OAR 918-260-250)
Address
Date Job Number Check type of work involved:
Property Owner
Contractor's License No. _ Boiler controls
Contractor's Board Reg. No. Clock Systems
Phone No. Data Telecommunications Installatinne
-- Fire Alarm Installation
3. owner application: HVAC
Instrumentation
Pri Owner Name 7_iII L i onelNo. Intercom and Paging System
��'.x L��.�► Landscape Irrigation Control*
Medical
Add��wss
Nurse Cells �
City [•�— tate 71p +� Outdoor Landscape Lighting*
This permit Is Issued under OAR 918.320-370. Tho applicant agrees Protective Signaling
to make only restricted energy Installations(100 volt amps or less) Other
under this permit and to do the following:
1. Only use electrical licensed persons to do Installations where
required. (Certain residential and other transactions are exempt dumber of Systems
from licensing. These have asterisks(•). All others need licens-
ing') •No licenses are required. Licenses are r uired for all other installations.
T. Call for an Inspection when all the Installations under this permit � �
are ready for Inspection.
3. Purchase separate permits for all Installations that are not ready 5. Fees
for Inspection when the Inspector Is out to inspect under this
permit. Enter fees $
4. Assume responsibility for assuming that all corrections required
by the Inspector are done,end 5% Surcharge (.05 X total above) $
5. Assume responsibility for calling for a final Inspection when all of �—
the corrections are completed.
The person signing this permit must be the applicant or a person Total $
authorized agpl nt. .
Signator _ Space below reserved for validation.
Authori other than applicant
For inspections call
640-3561 or 693-4415
24-hour recorder, one working day in advance of need
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Calling -Plumb.
Post/Beam Mech, Shear/Sheath Framing -Meeh.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough-in Gyp.
yp. Bd.
San. Sewer Gas Line Appr/Sdwlk
In
Other:
Date: A.M. _P.M. _ -
Address: a' _ Entry:_
Tenant: — Ste: MST: ?�
Con/Own: Q 1-� 6 1 BUP:
MEC-
PLM:THE FOLL ING CORRECTIONS ARE REQUIRED: ELR:
In actor: �.
- - - -- [)ate:
APPROVED _DISAPPROVED/CALL FOR REINSP
CF— CO