13287 SW CLEARVIEW WAY m
a
n
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cu
i
Apm n8in3e8TD MS LWT —
CERT IC 1CAI E O
- ------ OCCUPANCY
CITY OF UFA0. CflX�116�RD PERM l !' #. . . . . . . s MST90--0223
COIMMUNITY DEVELOPMENT DEPARTMENT 0214M DATE I SSUEP t 09/25/10
ox
13126 SW FWI Blvd. P.U.B23397.Tlpr'd,Or@W"07223 OW)M4116
. . . . .
SUBDIVIblUN. . . . s BENCHV I EW EST ATFS Z CIN I MC a Il 4.
a LOT. •• . . • . . r . . .I
CLASS OF WORK. tNEW
TYPE OF UUE. . . n 9F
[OCCUPANCY QP%. s R3
OCCUPANCY L..OAD t 225 4
TENANT NAME. . . t
Reaarf+xt see buP91-0111 for deck plana !
Owner a --------------- _...,____________ __.__
t.AwiV HUTCHINSON
10637 SW 116TH CT
T IGARD ON 97223
Phone Mt 654-3662
Contracturt __._-__,........________..._______-.._-_._
PINNACLE HOMES
12735 RW GLACIiiR LILY CIRCLE
T I GARD OR 9722:3
Phone Ns 644-4017
Reg 0. . ? 16177
Urcuppncy of the above refortanced building is hereby given, and certifies
the compliance with the State Of Or•stgore f3per.iAlty Codes for thtr group,
occupancy, and use under which the referenced pPrwit WAS issueef.
_...._.__F_l-.E-DEPARTMENT� �� /%%I L.D I N43 I NSP'ECT Oii.,
BUILDING F ICIAL
POST IN CDNSP f l:.U0 J9 Pt-ACE.
N..^P C:I' ON NOTTCE
City of. Tigard Buildinq DOPartA mnt
1312% SN Ball Blvd. Tigard, Oregon 972.23
Inappction biR c-¢Phone): 419-4175 Aur neva Phones 639-4171
7
Inspection:._ ---- -- -- —'
Fuoting Plbq. Unherelab Heck. Rough-in Appr/sdwlk
Found. =1bg. (p Out Gas Line FINAL-
post/Ream Struct. San. ';ewer Framing -81dq�
pc3et/Ream Mach. Rain Drain Insulatfon -Plu•Ab.
Plbg. Underfloor Water)Line Gyp. Bd. -Meeh.
DAto Re aes'.ei: �? -tel -- Timet
Aaaraae•
�;Lya� _--� Permit #
--
Puilder: L "�� ✓ ��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
inspector.__^�_
4 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainsp.
09-23-1992 09:33AM FAM Pinnacle Homes Inc TO 684729"? P.0:
Pinnacle Homes Inc Date: September 2Z. 199:
12755 SW Glacier Lily Cir:lw
Tigard. Oregon 9722'
t343> M24-4711
REs Grading at 13287 SW Clearview Way *90-0223
Dear Brad-
Yesterday, I completed the grading at the .above aldress. As: you
suggested I added 2x4 PT stal=es, every othor lor.atiun, installed 50
pound felt, and changed the gr4de. I trust this will now meet the
approval ref the City. P1ea,..r send the final approval slip to my
address for my records.
Yfaurs truly,
Wait Wi tttte, Pres.
TN6PECTTU NOT�C_E
City of Tigard Bui1:linc) rAnWtaent
1:il25 SM Hall. Blvd. Tl.gar.1, Gregon 97223
Innpectic. Line (Rec-O-Phone): 639-4175 �Bueil.eL:n Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream Stuuct. San. Sewer Framing -Bldg
Poet/9eam Mech Rain Drain Inaulati�,n J19- -Plumb.
Plbg. Underfloor Water Line „y Gyp. Bd Mech.�
l �
Date Requested:_ _ ------ - -Timet AM/) -PM
re_^mit f:�O V _
THE FOLIAMING CORRRRECTIONS ARE REQUIRED:
i
Inspector:--_-.— Date:_.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVF
Call For Reinep.
;i
CITY OF 11G�►RD
OREGON
November 26, 1991 2�
Pinnacle Homes
12735 SW Glacier Lily Circle
Tigard, OR 97223
Re: 13287 SW Cleat-view Place Permit #MST90-0223
Dear Sirs:
The last inspection conducted on 7/5/91 at the above project was
not approved. The next required inspection will be a final
reinspection.
Please advise ' he Bui3ding Division of the status of this project
as soon as possible so the file may be kept current .
Please not__ that any permit without- activity for over 180 days
becomes void. If you need additional time to complete the project,
please contact this department so that an extension can be
discussed.
Sincerely,
R. L. Thompson
Building Inspector
Notice-It
13125 SMI Hail Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 --- -
CITY OF TIGARD
OREGON
November 19, 1991 w'
Larry Hutchinson
10837 SW 118th Court
Tigard, OR 97223
Re: .13287 SW Clearview Way Permit #MST90-0223
Dear Mr. tiutchinf n:
The final inspection conducted on the above project was not
approved, therefore, a reinspection will be required.
Please advise the Building ;division of the status of this project
as soon as possible so the File may be kept current.
"lease note that. any rermit without activity for over 180 days
becomes void. If you need additional time to complete the project,
please contact this department so that an extension can be I
discussed.
Sincerely,
R.L. Thompson
Building inspector
Notice.A
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171
INSP�(.'T�ON Nl��
city of Tigard Bedding Depw treat
13125 SM Ball Blvd. '.'igard. Oregon 9 '123
Inspection Line (Ree-p-Phone): 639-4175 ^alAeae Phone. 619.4171
i
4
inspections_ ---
pppr/Sdwlk
Footing Plbg. 'lnderel.eb Mach. Rough-in (ta
Gas Line FINAL:
Fo, nd. Plbg. 1,v out -
Framing -Bldg.
poet/Aeam Struct, San.
Sewer Framing
Poet/Ream Mech. Rain Drain
Insulation -Plumb. f
Plbg. Underfloor Water Lin Gyp. Ad.
-NeOhr
_�_ -- Timet
PH
Date Aequeateds ^ �
/ .: DDD gL�-.G t�tY_ Permit M
Addr.eees -�
Builder:.____�L
THE FOLLOWING OD"AMICKB ARE REQUIRED: -
- Dater V
inspector: •�-
APPROVED DISAPPROVED AFPROM1RD BDBJfCf TO ADM
call For ReLaep.
I
INSPECTIQ NOT-91
City of Tigard Building Departaent -1
13125 BM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 business Phone: 539-4171
Inspectiunt, ---- —
Footiny Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Hound. Plbg. Top Out ,as Line FINPLs
1?cet/Bs,am Strucc. San. Sewer Framing
Poet/Seem Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Wafter Line Gyp. Bd. -Mech.
C
DeDateRequested�s �-/^� Time: AM PM
Addresi: �T / �CL Permit
Bu l ldor.s��THE FOLLOWING CORRECTIONS ARE REQUIRED:
1. 24
S v w t"f'F-C
(�)PGSST _/DI'y r� 116411clr Z:rv� 01?a -/
CyEr�/!c-�rC `TTI/fes_ 7rlA_�;Da/t ��JIJST 5�61/�C'LG/w/�=
�h�C�c:: /moi �TLr.CTD/�-'S �t/ECI� -,+2� /iL� /f�2C4..�i•���
nor" 1*IE�f_
Ak�'
/A/�
�_. '��" v/�r���iL fls>/-,�iv s oar.-•o,u�S N�:�:nL�y
lnepector:___,-#- ---------- Datet_Y%-LL !
APPROVED <:__-4Y--13APPROVE1) _^_ APPROVED SUBJECT TO ABOVE.
Call For Reinap.
+aer wr sa
INSUC-2LU+ Norlcs
..:ity of Tigard Building Dopartshent
13125 Bli 6a1.1 rltd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Mg. Top Out Gan Line t
Poet/BeAm Struct. San. Sewer Framing W�dq► _-�
Post/Ream Mech. Gain b .tin Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested: 61- --rims.+:
Address:- I 7 e- Permit fir..----^_-------
Builder:_ i.r��/1
THE FOLLOWING OORRECTIONS A" REQUIRED:
Yy ��3: Aow-,:57 c6c.," jJG�4
4E &"r ,l oC-
&,A& 4/7u c.A/0 w i �.�iJv� •S SS
foss- �rl�s-
Inepector:_ - —_-_-- ——T Ditto:Cop—o"9
APPROVED CtITSAPPROVED APPROVED SUBJECT TO ADM
c'all For Reinsp.
d
INSPEC ION NOTICE
city of Tigard ul.l.ding Xnt
n 97223
131x5 80 Hall Blvd. Tigard. Me9D
Inepection Line (Rec-o-Phona)+ 639-4175 euaineee Phone: 639-4171
Plbg. Underelab Mech. Rough-in
Appy/8dwlk
Footing
Found. Plbg• Top Out
Ga.. Line IbAL.
poe`./Beesa Struct. San. .Sewer
Framing -81dq.
Rain Drain
insulation
Poet/Be+�m Neth.
plbg• Underfloor Water Line
Gyp- Bd. -Mach,
rr N _,_--PM
Date Requeatedt `-_ � I I Time:( - A
�-d m L.
7 rermlt f:
Addreees,�.,.G,-
guilders ,�Q,__._..----
THE '!OLLOW I NG .'"RRECT I Ot R ART. REQU I RED s -
--------------
------------
3
/ Dates
Inspectors
APPROVRD DISAPPROVED APPRO m SUB.om TO ABOVR
Call for Reinep.
MEN I
INSPBCTZGN BOTICS
City of Tigard Building Department
13115 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons)• 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL#
Post/Beam Struct. Sari. Sewer Framing -Bldg.
post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line OYp• Sd• -Mech.
Date Requested:_ ` Gf _ Times Yy,� AM PM
Address: _ ��GLl..� Permit tlj�tll�
Builders
TBS FOLtODWINO OORRBCTiONS AR6 REp'lIRRDs
Inspectors �A � / Daten
APPROVID DISAPPROM APPROWD SU67BCT TO ADM
Call For Reinap.
9
INSPECTION NOTrCE
City of Tigard Building Department �
13125 SH Hall 81-d. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Bunin r Phone: 639-417
Insptiction:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top out Can Line
F I NAT,s
Poet/Beam Struct. San. Bawer Framing -Bldg.
Pont/Beam Mach. Rain Drain Insulation -Pltudb.
Plbg. Underfloor Nater Line Gyp. ad. -Mach.
Date Requeatedt 8- �J/
Timet "—'A['_ PM
/-5,Af 7 S` hear yr fti: -13r_Y
Addreaas.__ — Permit I. cyl_ oil /
Builder: ra hl LI /�[' I�t)L� �rS
THE FOTLoWING ODRP.ECTIOHS ARE REQUIREDt
J
pfces rz
-r..►„f
{
t
Inspector: Datet_�' Z-trj -9/
APPROVED DISAPPROVED V
APPROVED SUBJECT TO ABOV/
Call For Rainep.
i
a: a�
INSPECTION NOT-CS
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41
Inspection:___
r�
Footing Underelab Mech. Rough-in Appy/BdMlk
Found. Plbg. Top out Cas Line FINAL i
"oat/Beam Struct. San. Sewer Framing -Bldg.
i
Post/Beam Mech. Rain Drain Insulation -Plumb.
j
Plbq. underfloor Water Ling *yp. Bd. -Yeah.
Pate Requeetedt_�'�i �/
4
Address: I � ��f."t�14✓ Permit
BuIlder:
THE FOLLOWING CORRECTIONS ARE RRQUIRM
Inspectors Datet_/ -6v .lL,
APPROVR DT';APPR0VF.1' APPROVED SUBJECT TO ABOVE
r, 11 For Peinsr.
_ _ 9
INSPECTION MV aE
City Of Tigard Building D-".artM*'ot '
13125 m Ball Blvd. Tigard. Oregon '37223
Inspection Line (Ren-Q-Phune)t 639-4175 Business 'hone: 639-4171
Inspections_
Footiny Plbg. Dnderslab Hoch. Rough-in Appr/Sdwlk
L
Found.
Plbg. Top Out Gas Line FINAL:
Post/Beam Strutt. San. sewer 'Frami
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. 1ld. -Neth.
D.kte Requestedss �I Timet�� .__PN
Address �3GPermit #: 1,
Bullder: �zjr�
TNM r3LL0wING CORRECTIONS ARE REQUIRED:
t
Y
y
7nepector:- Dates
APPROVED DISAPPROVED !-- APPROVED SUBJECT TO ABOVE
Cali For Reinsp.
Sf �
I�P1
City of Tigas:^3 suildiM 213
13115 Bw Ball Blvd. Tigard. �o t
Inspection Line (Rec-o-Phons 639-4175 Busines■ Phones 639-4171
e
inspections--
Footing
nspections _Footing Plbq.
Underslab Mach. Rough-in Appr/sdwlk
Found. Plbg• Top Out o Line FINALS
Sort/Beam 8truct. ban. sewer
Framing -Bldg.
Insulation -plumb.
Post/Beam Mach. Rain Drain i
Plbg. Underfloor Mater Line
Oyp• Rd. -Mach.
P"
Date Requested: /^_ „��
)�_� w�rt�zct� Permit !s
Addresst---J4
- �
Builders
l'BE FOLLOMIMO cORRECTIoNS ARE REQUIRED: --
__-7
r
_ Dates
Inspectors
AFPROVED DISAPPROVED ^ APPROVED SUB 4C1 TO ABOVE
call For Reinsp.
FNSPECTION NOTICE
City of Tigard Building Department U
13125 611 Ball s.jvd. Tigard, Oregon 97223
Inspection,>ine (Rec-O-Phon�s))', !T-4175 Business Phones 639-4171
Inspection:. C _
rr
!outing Plbg. Underalab Meeh. Rough-in Appr/Sdwlk
Found. Plbq. Top Out ,> Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain lnaulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Data Requestade � � � / _Times AM PM
Address: -3 D F7
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:f��_���� Date:-5 r �'
A/
APPROVED DISAPPROVED APPROVED SUBJEC. TO ABOVE
__Call For Reinsp.
INSPESTl— oN___ rr Cg L�
City Of Tigard Building Departawnt
13125 811 Ball Bled. Tigard, Oregon 97223
InaPection Line (Rec-O-phone): 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underslab
Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina
�� YINALt
Post/Beam Struct. n. Sewer
Franinq -uldg.
Post/Beam Hoch. Drain
Insulation -Plumb.
Plbg. Underfloor j
GYP• Bd. -Hach.
Data Requesteds_�=� -- Times All
Address: � � G�
Permit 1 tVc�c7�
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED: ---�-
Inspectort�. — ----- --- --- ---
.�
-APPROVED DISAPPROVED `
.`... APPROVED SIIRJEC'7' TO ABOVF.
_Call For Rainsp• I
1HBP=CTION HOTzca
Citi of Tigard Building Department
13135 all Hall Blvd- Tigard, OrOgm 97223
Inepectl.on Line (R BE
639-4175 Business Phones 639-4171
Inspection. r
Footing Pl . Underslab
� Mach. Rough-in Appr/Sdwlk
Bund. Plbq. Top out Can Lina
FIHALt
Post/Beam Struct. Srt:. Sewer
Framing
Post/Beam Mach. Rain Drain
Ineulatio:1 -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd.
-Mach.
Date Requested: _�(�-�f — Y
—Timet _PN
Address:_/� �� 'voa
Permit �•_��_"t��Al
Builder: /�!.�-a�„�.,/� Q�
THE FOLLOWWIINNG CORRECT=IONS ARE RRQUIRRDs
Oe C IL4 L
- _ L
t
Inspector:_
Date: ��
___APPROVED DISAPPROVED
-- JVF.D gUg,TECZ TO ABOVE
--Call For Reinep.
w Ow
P
I.NSPBGT'IWI ROTIG$
City of Tigard onildiAg Depark t
13125 811 Hall Blvd. Tigard, Oregon 97223
Insp8btion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4
Inspection:_ ,
looting `~ Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:-Bldg.
Post/Beam Struct. San. Sewer Framing 9•
post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water/ Line GYP• Bd. -Koch.
Dare Roquesteds
Addrese: lav -7 ( ���;f� Permit
Builder:-,
THE FOLLOWING CORRECTIONS ARE REQUIREDI
+dfJ Lv/•'/J L�r1 T!_'�J �,✓rF�o��t' �"s'iu��.:�i� r "'�. /1�nL 1f'1�77-
}"' OV 1/� � � �17i�' [�� 8'�O•r !1 P a LI L.S1/.�_r d G --
✓ �7��ltOa. �L�ATL� Q '�.d`r
Inapectofl
Date:
--APPROVED DISAPPROVED � APPROVED SUBJECT TO ABOVE
Call For Reinsp.
lillllll
IIINUNN I
MASTER PERMIT
PERMIT #. . . . . . . .. Vic '1 .4 2 13
CITYOFTIONRD CffYOFTMRD )ATE ISSUISI EDv .1.1/21/90
-VELPFM!E ONOON PARCEL: 2Gl0z4DC',---0290P)
Iftr DE WY
eg
P.0. 23n.Lvl EL T ITE
ji E MPE (cny _TM
�-j iICK. . . . . . . . . . . 1-0 . . . . ez
............ 14 A S El,I E N'T. . . . . . . . ..931
I�ITISSUE% DWELLING UNITS.- I
(,t w3s (IF WORK- sNEW BEDRMS96 BAIT HS:4 GARAGE. . . . . . . . . . 1455 s
TYPIE OF USE. . . .-,SF FLOOR AREAS--------- REQUIRED SETBAC:KS-----------f-t
ryi:.-E--, OF CONST. :5N FIRST. . . . s1245 5f LEFT. . :5 ft RIGHT. :5
GRVI. -R3 I FRONT'. 1H ft REAR. f't
�'i r[-'U P A N C Y 3E(-,OND. - - -993 Sf
THIRD. . . . 50 Sf
OR I ES. . . . . . . ..2 R S.. .Y
0 1,A 2 P-3 8 S f SMOK."7 DEIECTO
j,t 'ES. . :0
m':JGHT. 141288 PARKING SPAC,
LOOR LOAD. . . . :40 Psf I)ALUE.
PLUMBING
. "0 PACKFLOW PREVNTRS., . :0
DRAINS. —
,INKS. . _.._. . . . .. r I FLOOR -0
jj)VA I ORIES. . . . . ..5 WATER HE*ATERS. . . 3 .1
TRAVIS. . . . . . . . . . . . . .
T(ji.vSHOWERS. 4 LAUNDRY TRAYS„ . - -, I CATCH BASINS. - - - - .. - -0
NE (ft) . :0GREASE TRAVIS. . . . . . . ..0
WOTF.:.R CLOSETS. . :4 SEWER L I
01J31-IWASHERS. . . . WATER LINE- (f t) . : .I.00 OTHER FIXT(.1K,'S. - -- - -0
CARNAGE RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1. SF R0J'N DRAINS. -
1. FELS
UNIT HTRS� 0 type ammmt by date rec�pt
S :0 P(A Y 11 $ 100.00 JLH 06/05/90 P-01374
VENT . . . . .
IvWx INPUTUR PTU VENT FA No .t- 14"IRT $ 538.00
I/
—
VURN < 1.001: . . .0 HOODS. . » . • • : 1 BPILC 11; 349.70B5 1-1 C $ 26. ' 0
JJRN )=100y, - - "- -t WOODSTOVFS). --0 STD('. 6 600- 00
I 1..00R FURN. . . . .P) CLO .DRYERS- -- SSIDE, $ 375- 00
P0tL./CMP < OTHER UNITS:0 0.00
GAS OUILETC-1: 1. V,ARK $ 25
.41 V I R T $ 43.50
I-ORRY HUTCHIMSON M r-*1 L Cl $ 10. 88
10837 SW 1181H (11, 1115rIC $ P.. 1.8
P P RT $ :177. 50
T [GARD OR 97223 P5PC 8. 88
pnyM 228 2. 54 JLH 11/21/90
#c 684 3662
PINNACLE HOMES
P 0 B 0 X 70.3
1..PKF OSWEC30 C)R ?70,34
F - -
e #n 5 0 3 G F?0 V1`5
1.
. ._q #. . : 61 77 x':382$ 54 TOTAL.
Tha*t is issued subiect to tne regulations contained in the REQUIRED INSPE1,11ONS
, 1
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fOLMd Iiisp plectletriical Insp.1
aeplicable laws. All work will be done in accordance with approved Wtr Proofing 1.4sPlumb lvmb Tc)p Out
plans. This persit will expire if work is not started within 181 post/Beam St-f-LILICt Framing 111SP
post/BeAm Mechai-I Fireplace Insp
days of issuance, or if work is suspended for acre than 168 days. C',r a W 1. 1)r a i Y) GA-, 1- irle 111SP
111,.,n Ti-is-it.ilatic)", Insp
P It-(•m i t t e e Si.q t:t.k v U-Al I"- rd Insp
11..M/Utiderflaor Gyp PaA
D-rail-I rism" t P�in df-i-Ai.1-1 Tilesp
issued
639....41,75
RR VW
SEWER CC1NNEw'T'IC1N
CITYOFTIFARD F,ERMIT
C(TYOF116�RD !='ER1�1I'T fi. •, . . . .. .. . SWR90 -0r;3'7
COMMUNITY DEVELOPMENT DEPARTMENT ONGM
13125 SW Hell Blvd. P.O.Baa 23397,T921d,Or poi 97,223(fiW)M-4176 D A T C.: 1:':i S U h E : .1./r'1.1'.30
11T ADDRESS. . . : :1:3287 5W CLE'ARVIEW WY F'ARCE.L: 2S104DC-02900
111101VISICIN. . . . ; DF:NCI-IVIE4) E ST'A'FES ZONING!:
T'E'NANT NAME. . . . . :
U130 NO. . . . . . . . . . .43:1.20 FIXTURE. UNITS. . . :
f:I..ASS OF WORK. . . :NF:W DWF:I._LING U14:1.T'S. . : 1.
i YI"'E: OF' USE. . . . . :SF' NO. OF:' BUIL.DT.NG . 1.
TY
[NS14)L..1.. PE. . . . aHt.J(3WR IMI"'ERV SUf:FfaCF:•, . : :�
E:a:?ma-rks n
F'EE5
1_41RRY HUTCH]:NSON type amcit.111t t,y (J,.kt:e rec,pl.
H;1837 SW 118TH CT' P,R111' $ 1500. 00 ! /
INSF' $ 35. 001 i
i 1.GART) OF; 97223 V.,AY11 $ 1.`.'i3!"i.00 JI...1-f 1.1 /21./9 0
F'hone tt: t�d4 -36F,L?
'iIIT'RiaC:Tgk N01' ON F1:I...E:
L•I,orte N
9 1535.00
l ,.•.,o f t.• .
RLQUIRE:D IIII Sf'E:C'110114;
This Applicant agrees to comply with all the rules and regulatiors Sewer 11.1s pec : inn
of the Unified Sewage Agency. The permit expires 128 days fror ............._..............._..............._._._...._.._.... ___ _.___..__..__....._....._______.
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 ........__....11........I.............._.._..._._... _._.._.._........_................................
the distance given. If not so located, the installer shall purchase _._..,,_.,••_.................__._-_____._.. _.__.._.__......._._..._. .__....__..
a "Tap and Side Sewer" Permit and the gency will install a lateral. ___.,•.,__,.,.____,.._.__..__.......
._ __.___ _._.._._._...-_•__.---_•--••-.•
-In
I.f:.,rmittee 5ira11at;u'r : rrth "` '. � _...._.....__
-�,Pd By: _ _. .
Cala far i.rls;per. t7.c1+ (:,i9 4:1.7.,
EMER&MRAN
cy-ry OF TIGARD REcurT OF PAYMENT PECEirl' NO. 9(.)---2n-;039
CHECK AMOUNT d 3817.54
CASH AMOUNT t 0.00
NAME t PINNACLE HOMES INC PAYMENT DA^1*1-. t 11/21/90
A 0 D R E S15 : 12755 SW GLACIER LILY CIRCLE 5tjBDIVISION
TICARD, OR 177223-- 132(37 CLE ARV IEW WAY
PLJRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
177.50
A )JI-DING r 223 5-118.00 rujmBma PE
-L"—-- -IERM MST90-0 43.30 S31'. BUILD r,,E*p 17.9- 6
MECHANICAL PE 260.5(3 SEosER USA 1500.00
Pt-AN CHECK' FE 35.()Q STREET SDC 600.("Q
SEWER INSPECT '250.04:) STORM DRAIN SDC 375.00
PARKS SDC
TOTAL AMOUNT PAID 3617.54
C11YOF nFAw P.O. PLAN CHKXalai f
P.oeo.2ax� PLAN QjDQC # � <•
2-3
COMMUNITY DEVELOPMENT DEPARTMENT cs�l�AI„ DATE ISSUED
0�
DAVE � D -- id
Jai ADDRESS: / S��• ur�l �'� �'�� TAx mAP/Lar -�..5 Z7 - ,;1 yy0
SUB: Jor: V/c w Cs Ta TSS IAM USE:
-- V�1Il1ATIaN:
OWE � /� SPF7CIAL NCrI'ES
NAME: WJE OF: - —
ADDRESS: v ' f'' - IASr SIE:
FL= PIATN/
_ SENSITIVE LAND:
PHLINE:�- � �� -- -
APPIUVAIS Fd3QU R D
11C�YIRACPOR PLVOCI G:
NAME: _ /N M' A EmnunM1G:
ADDRESS: 7 5- 5` ' rf_ <.r ✓ Film DEPT
z < C►TH R:
BUIIDERS BOARD 1: _/�LZ ;.— EXP DATE: _ i' LIST/ .
BUS TAX:
ARKOL UK-WaR WUQ]LATIO[ZS:
. �,�. A �.1 �'1 IQ S c_�"' f- ► TICS DF.'IAXIS: '�
I
ADDRESS: S /L I- --i OTHER:
PIVNE: 2L
FLS: PIIMB: 'I ME)CH:
PE 41T f ACCT ,¢ DESCRIPTION AMXNr AMOUNr PD. BAL. DUE
rp_,,± 2.2A 10-432 00 Building Permit Fetes �(' �-3' •
10-431 00 Plumbing Permit Fees J J 7 S,y ;77J�
_ 10-431 Ol Merimnical Permit Fees 4 3 SD __ 4j
10-230 Ol State Bui.ldixg Tax (5%)
Building
Plumbing
Mecfi ��f
10-433 00 Plans Cheek Fee
Building
Plumbing
k,iLy o �Z 3 1 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC) C,C)
52-449 00 Paries System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 75
10-230 06 Fire
lura .35 V 2,5)
REC
APPI,ICAKr s
tlerrivrA By: -�' '< Date Received
of/3587P.f� "
Cll'Y OF TIGAPD RECEIPT OF FAYMENT RECEIPT NO. :90M:':017 .1.1
4
CHECk. AMOUNT c I C.10 11 00
14APIE p PINNACLE HOME'S;. TNG. CASH AMOUNT 0 11 CID
ADDRESS a 1A'473!5 SW GLAC'JEP LILY CIR(.LE PAYMENT Df�. TE e 06,115/Q0
SUBD I V I fi,.;101))
TIGARD, OR 97'423--- BEN(JiVIEW I' STA
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF' FMENT AMOl..)NT` F'ATD
—C',H.-—EC F—E- —11 P ---------
rOTAL AMOUNT' PAID 1 clf).(jo
Jnr �
I-1.19 .i_ )N ( )NTROL INF'�)RMATION
CASEFILE NU.________-- --
GE:NERAI. 'ONTRAC'TORAME&ADDRSC, PERMIT NO.:
---�-1_-�-�--` APPLICANT NAME AND ADDRESS:
EXCAV ON CONTRA R
NAME&ADDRESS:
OWNER NAME AND ADDRESS:
1ELEPHONE ,_I q '3 r PROPERTY DESCRIPTION:
APPL.I- STREET ADDRESS AND CROSS STREETAjDCATED
OWNER` -
GENERAL CONTRACFOR:•__----
EXCAVATION CONTRACTOR: __
LEGAL DESCRIPTION:
TAX LOT NO.:
24 HR/AFTER HOURS EMERGENCY 1/4 SECTION:
CONTACT PERSON,TITLE,TELEPHONE: SITE SIZE,ACRES.---
DISTURBED/WORK.
CRES__DIS•TURBED/WORK AREA,ACRES:
---------------
LOCATION&ADDRESS WHERE SPOILS SITE RUNOFF DRAINS TO:PIAKLE ONE)
LEAVING SITE WILL BE TAKEN t CATCH-BASIN DITCH PIPE CREEK
(NOTE PEF.WQM MAYBE REQUIRED)
(CIRCLE ONEY 4UVATE PROP-��
PUBLIC RIGHT OF WAY
EROSION/SEDiMCNLA�S? R-�' rFcr�T��rFgSURFS
MINIMUM ESC REQUIREMENTS
MINIMUM ESC REQUIREMENTSMINIMUM
CONSTRUCTION:
DURING CONSTR[JCi10N:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE•iEMFORA.RY GSC
FACILITIES
PERIMETER RUNOFF CONTROL CLEAN AND REMOVE ALL SILT AND DEBRIS
CLEARING AND GRADING RESTRICTIONS ENSURE OPERATION OF PERMANT FACILITIES
COVER PRACTICES 0111ER --
CONSTRUCTION SEQUENCE
OTiiER —
PLAN FOR EROSION CONTROL RAWING AS REQUIREARED AND D{EA PLAN CON.SED IN OTRU(7nON NOTES COMPLETE.INCLUDING RDANCC WITH-TEC"NICAL GUIDANCE EIAERGPNCY
EROSION CONTROL PI-AN
plioNrE NUMBER. SCHEDULEISTAGING FOR I
I
APPLICABLE 10N ARU NOTES REMOVAL OF EROSION CONTROL.MEASURES.
1 HAVE READ AND WILL COMPLY WrrlTHE ABOVE
AND
AILL ON 1 of CON CT AN l(NAI SITE ESC MEASURES AS NECESSARY
CONTAINTO
APPLICANT SIGNATURE
OWNER SIGNATURE `' w`tf
• • w • • • • • • • • • • • • • • • • • • • • • • • •!4 0 0 LAI•I LI0 0 Y • • • • • • • • • • • • • • • • • • • • • • • • • • •
DA11: ALCLI'll:1)
RECEIPT BY—
IT-
y
RECEIVED - -
FTE ^NUMBER _ - -