14301 SW BENCHVIEW TERRACE I
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14301 SW BENCHVIEW TERRACE
City of Tigard PLUMBING PERMIT Planuk,'Rec. #
13125 SW Nall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
Description
ORS 814-21-610 CITY PRICE AMT
�N
Job L,J 3 /,3`��c� j� � ,� )�1 FIXTURES
Address ^� Sin - —7 50
Lavatory
�2 � . TU_B a�Fu 75F�ower to1n F
lJ� ��ry Cw rShower Nly--.
IWater Closet — --
Owner �V l�l�� l 1��' Dishwasher -- —
�yap Garbage isposal— .5
as Wng line — — 0
rain
Water Heater �—
Occupant eu ry oom ray — —
Urinal
Other Fixtures .peci
Contractor I3ato 5J �a�l K-* MISCELLANEOUS
mw
C'Ad G'� l2--t �
Sewer Ist
oOr I 5ewer-ea Addit, 100
C
00i.l Ut) Alar rvice st 100 20.00
—rfgre y a ow a vee read th'is application,that the Water Seiviee ea.Addit.200' 15.00
information given is correct,that I am the owner or authorized agent of
i!-e owner, that plans submitted are in compliance with Stale laws,that I Storm d Rain Drain 1st 100' 30.00
am registered with the Construction Contractor's Board,that the number Storm 6 Rain Drain Addit. 100' 15.00
given is correct. (If exempt from State registration,please give reason
below.) Mobile Home Space 25.00
Back w revention
Device or Anti-Pollution Device 7.50
nyraap or1Pa o
Connected to a Fixture 7.50
-Tsrn'be wow--new aErdition alteration repair U Cat sin
to be done residential Q non-residential Q -`-
Insp.of Exist. dumbing per hr
Specialhi Requested Inspections per hr
Existing use of N.in Dain, singe family
buikfing or property —_ dwelling 15.00
_—Rt si'3e ential BackFow prevention
df vices 15.00
Proposed use of -- -- — ---
building of property_
r_c_ep7re9r nba WacWo_w —
pnwention devices)
NOTICE e11111idmum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 6%SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED f
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN"FVIEW 256 OF SUBTOTAL
COMMENCED. 5r
TOTAL
Special Conditions
Date issued �l� by Q, w
4ptuuepw
-advmf�.
CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT h9(4STER PERMIT
13125 SW Hall Blvd.Tigard,Oropon 97223.8199 (503)839.4171 PERM I T #. . . . . . . : MS;T94--0254
139--,4171 DATE ISSUED: 09/07/94
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L. PARCEL: �:��109 BA HS203
SITE.: ADDRE'3S. . . : LEAH TE-RR
SUBDIVISION. . . . : HILLSHIRE SUMMIT ZONING: R-7 :-'I)
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :00;3 J
_.._.._----.-----._ ...._._._._....._._..--.--._....._.._-._..__._._..__ BUILDINGREISSUE: DWE:_L I NG UNITS: 1 BASEMENT. . . . , , . . sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . .616 sf
TYPE OF USF:. . . :SF" FLOOR Ah[rAS ____._..__-_. .__.. REQUIRED SETBACKS---------------
TYPE
ETBACK,S-.--.___.-_---.TYPE OF CONST. -5N FIRST. . . . : 1591 s ` LEFT. . :8 ft RIGHT. :20 ft
OCCUPANCY GRP,. :R3 SEC'OND. . . : 1949 sf FRONT. :25 ft REAR. . :el ft
S
TORIES. . . . . . . :2 FINBSMENT:O sf REUUIRED- __._._______._.._-•-_--.--_.--.
HEIGHT. . . . . . . . :30 ft TOTAL ____....._....:3540 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 p s f VALUE. . . . . $ : 17392EI F'ARK I NG SP-ACES— : 1
Remarks : F'ATH I
F!LUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW F'REVNTR5. . : 1
LAVAFORIE S. . . . . :4 WATER HEATERS. . . : :1 TRAPS. . . . . . . . . . . . . . :0
TtJb/SIIOWERS. . . , :3 L_(aUNDRY TRAYS. . . : 1. CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE T•RAF'S. . . . . . . :0
1.)15HWnSHF_RS . . . : 1 WATER LINE: (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DIST!. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRA I NI.'3. . : 1
MECHANICAL -.__.____._____-------._ .._.____.____._._____ FEES
FUEL. TYPES---- - UNIT HTRS. . :0 type amol-int by date r,ecpt
/UAC,:,-'/ i / VLNTS . . . . . :N TIF" $ 1520. 00 KS 09/07/94 -
Irl()X INI)UT:OEl
IU VENT FANS. . -.4 BP'R1 1, 618- 00 KS 09./07/94 -
F"URN ( 1001: M :0 HOODS. . . . . . : 1 HPLC $ 40.1. 70 SW 06/28/94 9L:-253964
F URN ; =100K . . : 1 WOODSTOVES. :0 B5VIC $ 30. 90 KS 09/07/94 -
FLOUR F URN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 00 KS 09/07/94
BOIL/CMF ( 3HP:0 OTHER UNI TS: 1 PARI: $ 500. 00 KS 09/07/94 -
GAS OUTLEIS: 1 MF'RT $ 45. 00 KS 09/07/94 -
Owr1l2r: _ _._._......___...__._._.______..-. -- ---..._ -...._..._-----•_--.- - MF'L..0 $ 11. 35 KS 09/4217/94 -
J•P& P CONST. INC M5P,C $ 2. 25 KS 09/07/94
1' Cl 13OX 1784 F='PR'T $ 1E+2. 50 Kra 09/127/94 —
1713PC $ 8. 13 KS 09/07/94 —
1-.,ACI', OSWEGO OR 9712135 -0582 EROS $ 64. 00 KS 09/07!94 -
1'hnne #: 635-9446 ERPC $ 20. BO KS 09/07/94 -
L:.aritrar_tor, s --- -_..._._.--_.._____.--_- _._.__._...__._._._....._._._.__ERPC $ cZ1. 80 KS 09/07/94 -
JB & P CONSTRUCTION 1NC
1 C) BOX 1784
LAKE- USWEGO OR 97035-0582
''hone #: 633 -9446
51175
$ 3685. 33 TOTAL
'his perait is issued subject to the regulations contained in the - -- --- REOUIRED INSPECTIONS ----
Tigard Municipal Code, State of Ore, Specialty Codes and all other Foot/fol.rnd Insp Fireplace 1nsG.)
applicable laws. All work will be done in accordance with approved Fust/Beam Gtri_lct Gas Line Insp
plans, This peollt will expire if work 1s s to wi 1Be F'nst/Beam Mechan Insi.rln!
ation I .
days of issuance, or if work is susp ndeC fo o de-!s. PIm/cmdslab Insp Gyp Pclard Insp
PL_M/Under-flaar Rein drain Inst
Mechanical Insp Water, Li.ne Insp
F'll•rmb Top 0k..1t Appy-/Sdwlk Insp
I le + Hy F'r-aming lrlsp Mechanit._al rinai
CITY of TIGARD SEWER CONNE_CTIUIV
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (505)039.4171 PERMIT #. . . . . . . : SWR94- 0242
39-4171 DATE ISSUED: 09/1217/94
PARCEL: 2S 109BA--HS00:3
SITE ADDRESS. . . : 139212) SW LEAH T ERR
SUBDIVISION. . . . : HIL'-SHIRE: E.'i'UMMIT ZONING: R-7 PD
BLOCK. . . I . . . . . . LO'T.. . . . . . . . . . . . . :00:3
TENANT NAME. . . „ . :
USA NO. . . . . . . . . . . FIXTURES UNITS. . . .
CLASS OF WORK. . . :NEW DWELL ING UN I TS. . : 1
f YPE OF USE:. . . . . :SF NO. OF BU I LD I NGS: 1
INSTALL TYPE. . . . -BUSWR IMPERV SURFACC. . f
Remarks : PATH I
Owner: _._._____..___._.. .__..... __.__.___ __ .____.. ..._...__..._._--_.__._.__._____.._.__._._.._.____._._ FEES
.TBtI• P CONST. INC type amoi.tnt by date recpt
P O PDX 1784 F'RMT $ 2200. 00 KS 09/07/94 -
1NaP $ :35. 00 KS 09/017/94 -
LACE: OSWEGO OR 97035 -0582
0hone #: 635--9446
Lontractor: -
CONTRACTOR NU"f OIV FILEw
Fah nil e #: 2235. 00 TOTAL _
Rey #t. . .
REQUIRED INSPECTIONS - - -
This Applicant agrees to comply with all the rules and regulations 'Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 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 1s not located at the measurement
given, the installer shall prospect 3 feet in ail directions from
the distance given. If not so located, the instal hall p as -
a "Tap and Side Sewer" Permit and the
P e r"m i t t e e 15 i 9 n aj I-r r 1>
Ca11 for inspect ion - 6.39- 4175
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CITY OF TIGARD 13125 SW Hall Blvd. PLNCK/RECT
COMMUNITY DEVELOPMENT DEPAR'fN1ENT Tiprd.Or"on 97M PERMIT #
(503)63"171 DATE ISSUED
JOB ADDRESS: 13920 SW Leah Terrace TAX MAP/LOT
SUB: Hillshire Summit _ LOT: 3 LAND USE-
VALUATION: 173, F2
OWNER SPECIAL NOTES
NAME: JB & B Const. , Inc. REISSUE OF:
ADDRESS: P.O. Box 1784 LAST REISSUE:
Lake Oswego, Oregon 97035-0582 FLOOD PLAIN/
PHONE: 635-9446 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: — same as above _ PLANNING�!_QC!tGL
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER:
CONTR. UOD #: 51175 EXP DATE: 8/94 _
ITEMS REQUIRED
SUBCONTRACTORS: PLUM ACI Mechanical LIST/SUPCONTRACTORS:
Complete Heating BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: Alan Mascord TRUSS DETAILS:
ADDRESS: 1305 NW 18th Ave OTHER:
Portland Oregon 97209
PHONE: 225-91E I
PROPOSED BLDG. USE: New Single Family Residence —
COMMENTS: L c f /f/
. '-4L.,l� Z- Z
APPLICANT SIGNATURE
Received By: �___ _ Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
�L1styl-lJ2S�{ 10-432 00 Building Permit Fees /b �W V� Y.
10-431 00 Plumbing Permit Fees Z ,0 i . SU
10-431 Ol Mechanical Permit Fees ��V' 4�
10-230 01 State Building Tax (5%) )?
Building 3'v,-Ry .� r
Plumbing
Mechanical
/�_� 2 iV /
10-433 00 Plans Check Fee �Z'f� !O Z
Building Iri. 70
Plumbing _
Mechanical 11 Z� ✓
10-230 06 Fire
>uA4V---0;242- 30-202 00 Sewer Connection �?✓c� ,/ �-�u
30-444 00 Sewer Inspection
r
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees _ �!(
25-448-05 Mass Transit TIF Fees L/- 1 / b
52-449 00 Parks System Dev Charge (PDC) S w S vv
31-450 00 Storm Drainage Syst Dev Chrg
2fi5II81--- Nftarl y (Fee in lieu of)
24=44.5-x- -Pater -Quat:tity (Fee in 14-em-of)
TOTAL U ` 1-25
nm/3587P.WPF
JB & B Construction,Inc.
POB 1784
.Lake Oswego, Oregon 97035
Office 503-635-9446
Fax 503-635-8541
June 16, 1997
Jeanne Temple
Building Division
13125 SW Hall Blvd.
Tigard, Oregon 97223
Re;
MST94-0254
This letter shall serve as certification that the Rain Drains, water line &
sewer lines were installed by Harmony Plumbing to the current codes of
1994 and were duly tested as such.
,10
hn H. Barnes
I-resident
I
r
OF TIGARD
OREGON
June 16, 1997
John Barnes
JB 8t B Construction Inc
PO Br x 1784
Lake Oswego OR 97035-0582.
RE: Lot 3, E lshire Summit, MST94-0254
The above Building Permit was issued on 9/7/94 to the address of 13920 SW Leah
Terrace. The address has since been changed to 14301 SW Benchview Terrace.
Our records indicate that a rain drain, water line and sewer inspection were not done and a
Certificate of Occupancy was never issued.
Please submit a letter stating that the rain drains, water line and sewer were installed
according to the 1994 Building Code. When I have received this information I will
process the Certificate of Occupancy.
If you have any questions, pleas,.- feel f;ee to call me.
Sincerely,
i
Jeanne Temple I
Administrative Specialist [I
Mding Division RECEIVED J U N 1 7 1997
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503)684-2772 ---- ----- --