14000 SW BENCHVIEW TERRACE r
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IFICATL
OCCUPANCY
CITY OF TIGARD PERMIT #. . . . . . . : 4ST94-01[61
COMMUNITY DEVELOPMENT DEPARTMENT VOTE ISSUEDc 11/10/94
13125 SW Hall Blvd.Tigard,Oregun 97223ogi 99 (503)639-4171 PARCEL : 2-SIW)BA 1-15018
CLW-35 OF WORK. -NFW
Owner
51-41ELLAURN7 DEVELOPMENT
'7008 SW NYBERG RD
TAULATIN OR 91062
Phone #t 692-6313
Contractort
3HEI.BURNE DEVELOPMENT
7003 SW NYBERG RD
phatic, #3 6912--63A3
Occl..ipmricy of the above referenced b�.iilding 0; hereby given, and rertifier
the cump) iance with tHe State Of Oregon Specialty Codes fnt- the group,
cirt-upancvI anJ -,se under which the referenced per-mit wk, issupd.
�
_
\C� L
� POST IN CONSPICUOUS PLACE
�
CI1Y OF T I GAR® MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMI'T' 4. . . . . .. . : MSTI)4 -016E,
'L
13125 SW 11811 Blvd.Tigard,Oregon 97223*819) (503)639-4171 DATE 'AGSUEDF 06/;221"1)4
PARTE L . ;'17141.0,U(_ -.1 iSO 1.0
1.4000 SW DENO IVEW TERR
'-11LLSj1-11RE SUMMIT 70NTPJG!. P-7 PI)
BUTLI)ING
VWELLINC; UN.T
TS: I SASEMENT. . (Z s f
u_;!S Or. WORK. :NEW BED RMS: 7, DnTHS.3 GARAGE.. . . . . . . . . . :538 S
Sr" V'Ll)[317 r
IREPS REQU I RED SCTSnCK7- - ---
TYPE" P- CriNST. :5N r t
I R ST. . . . 0 15)0 f LEFT. . :5 ft R10HT. .25 ft
nr.rijr1n1\1ry rRP. R-_� ,-r-(7nmr . . :0 S f rRONT-2'0 ft REnR. . : IS f
c,;TORTFc;. TH T PT) 0 Sf REDUI RVTCl'' ----------------------
jr-
k—-r 1 - 1 . . . . 1 . . . :22 ft TOTM_ s sMovr y
r-L.00R, !-.'nD. . . . :40 P5f VALUE 149984 rpp1"r 7PACES). . I
Pt UMB I NG --
Pnr.1%L0W PREVNTRS. . -0
.5 WATER HEATERS. . . : I TRAP'S. . . . . . .
I.,PIJNt)RV TRAYS. 1 CATCH RPSTN1 . . . . !0
!iF.)PT 93 S47WER t. T.NF... (ft Qk GREASE .0
wr)TER Ll".Nr' ( ft ) . . 100 OTI 4E 11 r I X TU RE 0
I r;17, 1 nnTN DRAIN (ft ) . :0
DRn T Ns. j
MECHnN I CAL FEES
IT141 7. 4i i__ type clmol.lnt by C1.1 L P re -rat
VENTS 0 Tir s 1520. 00 JF 0'5 -14/94 -
PTU VF:K1'T FOWC, .9 171 F)T F 55A. 00 JF (T5/=4/94 -
017W . . . . . . 1 14-1L.C 362. 70 SW 04/04/94 94, .27j 0
I 140="7TIVE P!,PC Q 27, 90 Jr 0!5/2 4/ 13 4 -
1711"KI. . . . :0 CLO DRYFRT. SEDC $ ^8O. 00 1r 05/..'4/94
3/24/94
rq OTHrl PARR I wo. 00 jr 0'3
Gn!7, OUTLFTT;41 MPRT 51. CIO JF_ 05/":4/94
MPLr 1.:. 7':=, jr 075/ 4/ to
Njr- i)r'VFL(')UMF-_'1\lT mFjPC 4 2. !'55 Jrr 05/e.'4,/94
4t i(':,:.. C�Jjl - -
PPRT .1 F- 0 75 4 9 4
P PC f, 3. 13 Jr 91'-'! 4/94
4
v r.t nrmr \i
IV
lh,R pf-wit it 4med rublect to the rpolfletilrt ccrital'! RECILIT' RC-71 !NSPECT I(INS
Tigard Pu,-.4cipal Code, State of Ore. Specialty Codes and al' othe- F-00t/ful-Irld 1-' 60 r-i eF)Iace
app;4mltle :w. Al! ow-4 wil' be don* it acre-dance with approved ''lost/seam Sa!3 Line Insp
w1pri, Th,i wpit will Pvpirp if work it not sta"ted withi- 'qm Poe t /seam mimr-h-Irl Ins u lat ion Ing"
days co if %:4 is suspe d far we t Be days. r'lm/undslab Tris,j� Gyp Poav-cj Tns!:
rt_m,'Underf 1.coi- P,�ir, dv,ain. I n v:
Mechanical Insj: Watev- Li11e Isp
Plumb r,p Out Appt-/Sdw1k nip
naming Tnsp Mechanice-Al Final
CI1Y OF T I GARD C-EWER TON
r,'EPMTT
COMMUNITY DEVELOPMENT DEPARTMENT ''ERMIT #. . . . . . . : SWR94-01r '
13125 SW Hall Blvd. Tigard,Oregon 97223e8199 (503)639-4171 DnTE ISCUF-D: 06/221/131,
'r)PCEL:
SITE 17,.DDREGE. 14000 W DENC!,-�UEW TERP
SUBOTUSION. . . . -, HILL-MIAIRE '3UMMTT 70NTNC3: R-7 PD
L0'r. . . . . . . . .01,13
--------------- -
TIEWNT
Ur'31P Nn . . . F71XTURE-: UNITS„
Or
CLP9C 14 T- NEW DWELL INC UNITC— : 1
TYPE rJF- C7- NO. OF BUILDINGS: 1
-ryrr-.. '.BUGWP
IMrEPV SURrAcr. . :
PPT14
X7, ......—— rEES
C-11-11=1 P' lf7NIF7 r)F'k.)Fl--(IPMF.NT tVP@ Amaiint bV dafp 1--ecpt
7001P -)W KIYBFRG RD PRMT 4 P200. 00 JF 0'5/24/C)4
I I\Gr 1; 3t-'. 010 JF 05/24/94
Oq 97062
692-6393
r7nN7"7,7TOR NO' ON FILE
"rOTnt-
n
91701,1TRF!) TNSPEC"TIONC.;
T6-s ar.,eek to comply with 40 the rules and rpquj2tior! Sewvt" Tnsf-ect ir-IT-
c' Siwa;e Agency. The permit expires IN days from
the date Issued, The tota, amount Paid will be forfeited if the
permit expires. The Aqvirley does not guarantee the ;,ccim—, 't 01
side sewer laterals. If the sewer is not located at the teasurevent
giver, the installer shall prospect 3 feet in all directions from
the Ls'ance liven, If ral so located, the installer shall purchase
a *Tao and Side Spite-" vorlit and the ency ^11 all a latera!,
'el-rl i 1, t ee 51 gnat .tt-9 -
r
Ca.11 F u 1- in s p t-c t i ri n 639 4 175
.WWWWWN�
c
Residential Building_ Permit Application
City of Tigard
13125 SW Nall Blvd.
Tigard, OR 97223
(503) 639-4171
Noov
Jobsite Address:
�/ Office Use Only
Subdivision: l�i ��<Sfi�/Its Lot # _
PIancIkJRec #-4--- 2
Valuation: 7 `1 _ /}
, II Permit # ? w _
Owner: C.,za ge rj E J - Reissue of �[ A -
Address: Zed AtL le 43Map & TL # ' g`'��_
IIIA l411 K ('� K 9?662-Z
Phone: LO
7 2 - 6 -PApprovals Required
Planning
Contractor: S i✓ Engineering
Address' — Other
Items Requlred
Phone:
Contractor's License # Subcontractors _�_—
(attach copy of current Oregon license) Truss Details
Subcontractors: Other
Plumbing: Af-
Mechanical:
(attach copy of current OR Contractor's License)
Architect/Engineer: -ScleeI Z-70 nL
Address:
Phone: [: % - 2-s Y5
COMMENTS: '-e-e't)
Appl lure & Phone number (/
Rec7ved Oate Received:
c/ y
i
Permit # Account Description Amount Amt. Pd. Bal. Due
/Pf J ' + • {> Gl, Bldg. Permit (P.UILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) G.0 S�UG
State Tax (TAX) '
Bldg.:
Plumb: _ )
Mech:
f / �
Plan Check (PLANCK) S.
Bldg:
Plumb:
Mech:
�• Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) .5?a
Parks Dev Charge (PKSDC) S U U
Storm Drainage Chg (SDSDC) �
Residential TIF (TIF-R) 1 t u
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF" (TIF-1)
I.istitutional T1F (TIF-IS)
Ot`ice TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
TOTALS: S 2 rJ► ,� _ 'S.=' �G' S,3
I
C11Y QF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd.Tigard,Oregon 9'1'223.8199 (503)839-4171
PLUMB I NG F'E RM I T
PERMIT #. . . . . . .. : FJLM94-02'' ,..
639-4171 DATE ISSUED: 10/31/94
SITE ADDRESS. . . : 1.4000 SW BI_NCHVIEW TERR PARCEL: :.S 109 BA–Hci01 E3
SUBDIVISION. . . . : H I LL.SH I RE SUMM I"f 70N I NG: R-7 F'D
BLOCK;. . . . . . . . . . . LOT. . . . . . . . . . . . . :018
-----------------------------------------------
CLASS
---------------_-----_– ----_CLASS OF WORK. . :.NE-W ALJ— GARBAGE D I SF'OSAL_S. . : MOBILE HOME SPACES.
1YPL OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW F'REVNTRS. . : 1
UCCUP'ANCY GRP. . :R3 FLOOR DRfaINf3. . . . . . . : TRAPS. . . . . . . . . . . . . .
SiURIES. . . . . . . . : I WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
F I X TURC_E3-___-. _......____._.____ LAUNDRY TRAYS. . . . . . : 13F RAIIU DRAINS. . . . .
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . .
LAVATORIESi. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWE'RS. . . . : SEWER I__INE (ft ) . . . . :
WATER CLOSETS. . : WATER LINE: (ft ) . . . .
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
RemarFis : INSTALLING A BACKFLOW DEVICES
Owner,: - -----._._.___
FEES
SHEL.BURNE DEVELOPMENT type amount by date recpt
70013 SW NYBERG RD PRMT $ 15. 00 JF 10/3- 1/94
1'AUL_AT IIV OR 97062 F=
� 'CT $ 0- 75 JF' 10/31/94
Phone #: 692-6393
CONTRACTOR NOT ON FILE `
Phone #: $ 15. 75 TOTAL_
Reg
REQUIRE:D INSPECTIONS
This permit is issued subject to the regulations contained in the Top -oLit I n s p _
Tigard Municipal Code, State of Ore. Specialty Codes and all other F i na 1 Inspection
applicable laws. All work will be done in accordance with
appr-ived plans. This permit will ex -Ir E-wor_Itj s not started _
within 188 days of :ssuance, or if w� k is suspen4d for more
than 180 days. ---- -- -
F'e r m x t t e e S i g n a is u•e
Call for inspection – 639-4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit #
Tigard, OR 97223 -4 --
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Ne °r� �" New Single Famil Residernes Unl
�I (1 W�_. — ---Y--_ Y
l 1 BATH HOUSE$146.00 ❑ 2 BATH HOUSE$195.00
Job ;`,r y/ �1 1 �1�1���U �('(��� ❑ 3 BATH HOUSE$225.00
Address �� nn Fee includes all plumbing fixtures in the dwelling and the first 100 feet
Z ?, of water service, sanitary sewer and storm sewer. See fees below.
FIXTURES QTY PRICE
Sink AMT
9.00
(� °/^°"' Lavatory 9.00
Owner Tub or Tub/Shower Comb.
9.00
cllrlerue
ZIP Shower Only 9.00
Water Ciuset - 900
N,m. Dishwasher 9.00
Garbage Disposal 9.00
� '—
Occupant M. ,wb..e ape — _
Washing Machine 9.00
Floor Drain 9.00
Water Heater 9.00
Laundry Room Tray
9,00
Nem.
I •, I Urinal 9 00
Other Fixtures (Specify) 9.00
Contractor - �'�L 9.00
900
zip 9.TO
Sewer 1st 100' 30.00
sloe N.y.°eiwn w. GM&a.Tu No SeNer -ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit 200' 25.00
information given is correct, thrt I am the owner or authorized agent of
the owner, that plans submittei, are in compliance with State laws. that Storm &Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 2500
[lumber 'QTen is rrer.t. (If exempt from State registration, please
gi reasdr� e' .) _Mobile Home Space_ '500 i
IV —
Back Flow Prevention� L. /C)
5`� Device or Anti-Pollution Device 9,00
Any Trap or Waste Not
_ Connected to a Fixture 900
Describe work new tZ addition O alteration U repay l) Catch Basin 9,00
to be done residential 0_ non-residential Q -- Insp. of Exist. Plumbing 40.001hr
Existing use of Specially Requested Inspections 40 00ihr
building or property Rain Drain, single family dwelling 30.00
Residential barkFlow prevention
Proposed use of devices 1500 —.�
building or property _
'(Except residential backflow _
prevention devices)
NOTICE -'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF V!ORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF F%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
Special Conditions TOTAL
Date Issued by
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUINTY, INSPECTION REQUESTS: 503/640-3561/693-4415
PHONE: 503/648-8761
OREGON
Page 1 of 1
Date 07/27/94
Time 15 : 09
Permit 'Type Residential Electrical Permit hermit # : 05056411
Permit Status APPROVED Applied 1 07/27/94
Situs Address 14000 SW BE:NC:HVIE:W 'l'1 Issued 07/27/144
Permit 'Title : SFR - ELE' /NEW HOUSE: Completed
Permit Descr . To Expire 01/23/95
Project. Title SF'R •- ELEC/NEW HOUSE Project # : P0042b57
Project Descr. * EROSION
Parcel Number 2a1Tl •- Land Use District
valuation U
Legal Descr.
Owner 1NSPEC'1'1.ON - TIGARD Construction : QTH
Applicant Name DRYER & SUNS ELECTRIC Classificatir�n 900
Applicant Addr .. : 553b SE WUODS'1.'U(,K BL Occupancy R3
PORTLAND, OR 97206 Validated by KF
Applicant Phone: 7'14-1606 Inspector Area
CON'TRAC'TOR : DRYER & SUNS ELECT. Lic. C 26-43C 774-1h06
Fee description Units Fee/Unit Ext fee Data
------------------------------------- -------
Square Footage [ Enter Sq. Ft . ) 3500 235 , OU M --
Subtotal Electrical Fees : 235 . 00
State Surcharge of 5't 11 . 75
Total Electrical Fees : 246 , '/S
** Fees Required Fees Collected & Credits �* k
-
Method Check # Receipt- No. Date Payment
CK 3963'/ 07/27/94 246 . 75
TOTAL THIS DA'Z'E ********* 246 . 75
Fees: 246 . '/5
Adjustments : . 00 fatal Credits : . 00
'fatal Fees : 246 . 75 Total Paymentst 246 . 75
Balance Due: . ou
NOTICE This permit becomes null and void 1 the work or construction for which It In Issued Is not commenced within 1811 days. Once construction has starlw1,
the permit becomes null and void It construction Is Interrupted for a period of 180 days 1 certify that the Inlormatlon presented by the applicant and
the 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 ordlnanct-s g warning the construction and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans c —Ilon sheets I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. 1 further acknowledge that the use or occupancy of
the structure or brtlldinq permitted depends upon my calling for Inspections at various times during the process of corstructlon and the building
Inspection staff verifying 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 Ilan may be placed on the title of the property upon which the permit Is Issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satlslactic�of all Inspec uc;t "quirernents
APPLICANT'S SIGNATURE
WASHINGTON COUNT' ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section
155 North First Avenue, 14350-12 APPLICATION
Hillsboro, Oregon 97124
Information: 503 640-3470 Fax: 503 693.4412
,,PLEASE PRINTProject/Permit.,,
ermit, I
Please complete all sections, 1 through 5. Number _ ( _ Date
1. Locat�i/on of installation 4. Complete Fee Schedule below
Address 0 SL/, E d/c ri VIE`G✓ LAW R R-4 Number of Inspections per permit allowed
Building Service included: Items Cost(ea.) Sum
City Suite No.
Tenant Name A. Residential-per unit
(if commercial) 1000 sq.ft or less ._L s110.00 1 I G,pc 4
Tax Lot 't I R" Each additional 500 aq.ft , r _
— Map NO. or portion thereof $25.00 les+rr_S.'_cL
Limited Energy $25.00 1
Thomas Map Book: Page: _ Section: Each Manuf'd Home or Modular
Directions Dwelling Service or Feeder $68,00 2
B. Services or Feeders
Commercial El Residential Installation,alterations or relocation
200 amps or less S60,00 2
2a. Contractor installation only: 201 amps to 400 amps $60.00 2
Y 401 amps to 600 amps _ $120.00 2
Electrical Contractor DRYER 6 SONS ELECTRIC CO. 601 amps to 1000 amps $160.00 2
Addre S 5536 S.E. WOODSTOCK BLVD.-PORTIAND 97206 Over 1000 amps or volts __ $340.00 2
Date _- 1_! Job Number _ Reconnect only $5000 2
Property Owner
Contractor's License No, _26-433 C. Temporary Services or Feeders
Contractor's Board Reg. No. 1114 Installation,alteration or relocation
�– 2.00 amps or less $5000 __, 2
201 amps to 400 amps $78,00
Signature of Supr. Elec'n `f <= z
401 amps to 600 amps $1 WOO 2
License No.�S C'l`- S Phone No. 774-160 Over 600 amps to 1000 volts a"W above
2b. For owner Installations: D. Branch Circuits
New,alteration or extension per panel
PrintOwner's ams one No. a) The fee for branch circuits with
purchase of service or feeder fee.
Anareas Each branch circuit $5,00 2
_ b) The fee for branch circuits without
n— Zip purchase of service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own Each add'nl branch circuit $5.00 _ 2
which is not intended for sale, lease or rent. E. Misceilaneous (Service or Feeder not included)
Each pump or irrigation circle $40.00 — 2
Owner's Signature _ Each sign or outline lighting $40.00 2
Signal circuit(s)or a limited
3. Plan Review sectlon (if required) energy panel,alteration
Please check appropriate Item and enter fee In section 58. or extension $40.00 2
1 & 2 family dwellings over 320 amps s/c meter F. Each additional Inspection over the allowable
_ 4 or more resiaential units in one structure In any of the above
s; feeder 400 amps or more Per inspection $35.00
Service over 225 am _
p p Per hour $55.00
System over 600 volts nominal In Plant $55.00
Building over 3 stories in height
Building over 10,000 sq. ft. 5. Fees
_ Occupant load over 99 persons A. Enter total of above fees $ 2 3S OD
_ Manufactured Structures Park or Recreational 5% Surcharge (.05 X total fees) $
Vehicle Park; new, addition or alteration Subtotal $
Classified area or structure containing special B. Enter 250 of line A for
occupancy as described in N.E.C. Chapter 5 Plan Review if required (Section 3) $ --
Submit 2 sets of plana with application where any of the Subtotal $ _
above apply. Not required for temporary construction Less Bulk Label Fee $
services. Balance Due $ 2W 16, 7,5
For Inspections call This permit becomes null and void It the work authorlted by the psrmM 4 not oomm.nc.d
640-3561 or 693-4415 within 180 days from date of lesusnce of such permit or it the work auth«isad Is
suspended a abandoned at rany time cher work Is corrurrenced for a period of 1M days.
24-hour recorder,one working day In advance of need Electrical permRa are non-ratundable and non-transferable
5/93
DEPARTMENT OF LAND USE & TRANSPORTATION
i eijn nF1/ELOPMENT SERVICES DIVISION #350-12
r WrNSi iIN�1 UJB 155 NORTH FIRST, HILLSBORO, OR 97124
---1 COT JNT'Y, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
W
6,37- 35ZZ
DEPARTMENT OF LAND USE & TRANSPORTATION
ANSPORTA ION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 4:50-12
COUNTY, PHONE:
NORTH FIRST, HILLSBORO, OR 97124
PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503;640.3561 or 693-4415
4It, p
Gam/
C OA�
INSPECTIONNYPICE \ /
City of Tigard Building Departaent ~/
13125 9V Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Businens Phone: 639-4171
Inspection: - -- ------ ------- - -- ----
Footing Plbg. Underslab Mech. Rough-in Appr/Suwlk
Found. Plbg. Top Out Gas Line ,I`.
Post/Beam Struct. San. Sewer Framing ./
Post/Beam Mech. Rain Drain Insulation Cl!/d).
Plbg. Undetfloor Water Line Gyp. Bd.
_ ime: A PH Date Request.ed:.-�--- --_.T
— , _
Address: � ' � rPermit 1t
Builder:----- -- -- — —
THE FOLLOWING tu,aRECTIONS A" REQUIRED:
\ /'
------
Inspector: <_- y �� \✓"� Date:
PPROVtD DISAPPROV21) APPROV30 SMIJEQT TD AAV!
�� c`, Call ►or INinsp.