13529 SW CLEARVIEW PLACE I
w
n
b
1
L3529 SW c:leai-view E'1.
CITY OF T MECHANICAL
DEVELOPMENT SERVICES PERM.'T
PERMIT #. , , , • , , ; MEc98-0158
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE T F)S iF n: 05/05/98
PARCEL: 2SI04DC-04600
SITE AJ)RESS. . . : 13529 SW CLEARV IEW PPL
SUBDIVISION. . . . : BENCHVIEW ESTATES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O46 JURISDICTION: TIG
---------
CLASS OF WORK. . :AL_T FLOOR FURN. . . . : 0 E:VAP COOLERS: 0
TYRE OF USE. . . . :SF UNIT HE=ATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : R3 VENTS W/O APDL: 0 VENT SYSTEMS: V,
STORIES. . . . . . . . : 0 BOILERS/CJMtRESSORS HOODS. . . . . . . : 0
FUEL TYRES----•-- --- -- 0-3 HP. . . . : 1 DOMES. I NC I N: 0
3-15 HR. . . . . 0 COW'— INCJN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UN 1 T S---------- AIR HANDLING UNITS OTHER UNITS. : P
FURN ( 100K BTU: 0 (= 10000 cfm: 0 GHS OUTSETS. : 0
FURN ) =IeOK BTU: 0 ) 10000 cfm: 0
Remarks: Installing er,:erior A/C unit. Unit east not encroach into 5' side or
rear yard setbacks.
Owner: -----_ ---.-------.____. __._._.___ .._____._______.__..._---.-____-- FEES --------------
LOU JOEL type amount by ite r^ecpt
13529 JW CLEARVIEW RL PRMT $ 25. 00 B 05/05/98 98-305491
TIGARD OR 97223 SPCT $ 1. -5 B 05/05/98 98-305491
Phone #:
Contractor: ---------.----------------.------
FIRST CALL MCCALL HEATING &
COOLING ------------- -----------------------
1650 NE LOMBARD $ 25. 25 TOTAL
PORTLAND OR 97211
Phone #: 231-3311
Req #_ . : 1020.30
REQUIRED INSPECTIONS ---_.__—
This permit is issued subject to the regulations contained in the Misc. Inspect io;i
Tigard Auniripal Code, State of Ore. Specialty Codes and all other Final Insper_t ien
applicable laws. All work will be done ii. accordance with
approved plans. This permit will expiry if Park is not started
within 191 days of issuance, or if work is suspended for more _than 191 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-11-111@ through OAA 952-01-/19'l. You may _
obtain copies of these rules or direct questions to [UNC by calling
15131246-9137.
Issue 3JPJV WL----- Permittee Signature:_QA
++4.+'4 4•+-+++4'+++++++++++++++++++++++.+++++++++ff+++++++.++++++++1'+++++•*+++++++.++T
Call 639-4175 by 7:00 p. m. for inspections -ieeded the next business day
+++++++++++++; L++-F++++++.+++++++++++++++++++++++++++++++++++f+++++•F+*++r+-+++-F+++
Plan Check t _
CITY OF TIGARD 11
CITY Permit Application Re��d B,, �-
131125 SW HALL BLVD. REC _1V ,ommercial and Residential Date Pee'd'y5
TIGAR^, OR 97M Date to P E.
(503) 639-4171, x304 NAY I 199El Date to DST
CO.-IMUNITY G1.M.ui'1+M Print or Type Permit#
Called
Name�foe�ebcomplete or illegible applications will not be accepted
Description
Table 1A Mechanical Code QTY PRICE AMT
Job SlreetAddress Sultso A) Permit Fee -0- �} 70.00
Address ).� ': c2 �'('l �'cu'V I
Bldg# crtyrState Zip - 1.) Furnace to 100,000 BTU 6.00
including ducts d vents _
Name(or name of business) -- 2.) Fumace 100,000 BTU+ 7.50
Owner L-o,.�_ -)o e. I including duds&vents
Mailing Address - 3.) Floor Furnace 6.00
';, 2 !I J I l-) (" t1 c�Ct 1 U if, t^ Includlnc vent _
rGtylState
Zip phone 4) Suspe.,red heater,wall heater 6.00
�} c
o,",or moulted heater
Name( name of business) 5.) Vent not included in appliance permit 3.00
Ocecpant
Mailing Address 6.) Boiler or comp,heat pump,air cond. 6.00
_ to 3 HP;absorb unit to 100K BUT"
I
City/Stile Zip r hone 7.) Boiler or comp,heat pump,air And. 11.00
3-15 HP;absorb unit to 500K BTU"
- Contractor Nurne 8.) Boder or comp,heat pump,air Gond. 15.00
I t t C<c 15-30 FIR absorb und.5-1 mil BTU"
Prior to permit Mailing Address 9.) Boder or comp,heat pump,air Gond. 22.50
issuance,a copy I c 0j C C) J cC �� 30-50 HP;absorb unit 1-1.75md BTJ"
of ail licenses rSuta Zip Phone 10.) Boiler or comp,heat pump,air Gond. 37.50
are rr•unred if C i k 1.c�-►�.CI Z 1 .21 2-1• .3,j1 >50 HP;absorb unit 1.75 mil BTU-
expirec n COT Oregon Const.Cont.Board Lic.K Ex .Date 11.) Air handling unit to 10,000 CFM 4.50
databaoe (_' _ ii '?iL` `W L4
Architect Name.. 13.i Non-portable evaporate cooler 4 50
Or Mailing Address t i Vent fan conr, ed to a single duct 3 0C
Engineer Crtyrstste Zip pna,e i 15.) Ventilation system not included in 4.50
_ appliance peril
Describe work New O Addition Aiteratton O Repair O 16.) Hoots served by mechanwal exhaust 4.50
to be done Residential O Non-residential O
-a
Aadlfional Description of/work: - 17 j Domr,rr incinerators 7.50
18) Commerc jI or industrial type 30.00
Incinerator
Existing use of 19.) Repair units
budding or property__•_^ -__
20.) Wood stove 4.50
Proposed use of 21 Clothes Clothes dryer,etc. 4 50 -�
budding or property
22.) Other units s 550
Type of fuel-oil O r3tural gay O LPG O electric O 23) Gas piping one to tour outlets 2.00
I hereby acknowledge;hat I have read this application,that the 24) Alore than aper outlets(each) 50
information given;s correct,that I am the owner or authorized agent of
the owner,th;dplars submitte�dfere in compliance with Oregon Stve (]T'/,SUBTOTAL -
laws.
SIgr! f NneR Kgarit Date 'SUBTOTAL.
t dy ---- 5%SURCHARGE - -
Contact Person Name Phone f'�+ PLAN REVIEW 25%OF SUBTOTAL
t-I4;i- . ---- -- TOTAL -
i.Unechpmt doc (rev 9 �-
'Minimum permit fes is 525+596 surcharge
-Pesidential A/'C requires site pia n snowing placement of unit.
.Job Site Plan
q!�
Lq
vJ
3 sz�' S,(,J (�Z.,�N;M-=i.) p0-
Additional Listructions:
Refrigeration line size 7s _
Condensate Pump Yes 6- No Box New Registers
Vibration Pads New Grills
Add Return Duct
Add Supply Ducat _
Special Needs
F_
LECTA
CITY OF TIGARD PERMIP!#: E C`38IO226
DEVELOPMENT SERVICES DATE ISSUED: 05/05/98
131-55)W Hall Blvd., Tigard, OR 97223 (503)639-4171
F'ARCEL.: 2S t O4DC-04600
S 1 TE ADDRESS. . . : 13529 SW CLEl1RV I EW f IL
SUBDIVISION. . . . :BENCHVIEW ESTATES ZONING:R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :046 JURISDICTION: TIG
Pr-oject Descri pt .r,n: Installing first branch circuit
---------------
---RESIDENTIAL_ UNIT—- ---TEMP SRVC/FrEDERS---- -----MISCELLANEOUS-----..
1O00 SF OR LE33. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP,/IRRIGATION. . . . : L771
EACH ADD' L `.;OeSF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE l...TG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGMA:._/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 G0+11a.mPs 1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-----SERVICE/FEEDER---- ----BR!l NCH CIRCUITS------ ---ADD' L INSPECTIONS——
-- 200 amp. . . . . . : 0 W/SERVICE f_1R FEEDER: 0 VIER INSPECTION. . . . . : 0
E'al - 400 amp. . . . . . : is 1st W/O SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0
IAI"1 - 6O0 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION-------------------
1000+
ECTION---•---------
1000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAI._. . :
Reconnect only. . . . . : Qi SVL/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner-: --------------------------------------------------------- FEES ----------------- -
LOU JOEL type amount by date recpt
13529 SW rLEARVIEW PL PRMT f 35. 00 N 05/05/98 98-,,O5483
TIGARD OR 97223 `PCT `k 1. 75 B 05/05/98 98-305483
Flhunp #:
Contractor: ----------.-__._.
GRF ELECTRIC $ 36. 75 TOTgL.
15rt60 SE PARADISE LN
--- -- -- REQUIRED I NSFIECT I ONS -- -
MUL.INO OR 97042 Rough-in Flect' 1 Final
Phone #: 503-829-4146 Elect' 1 Service
Reg #. . : 001015
This permit is issued subject to the regulations containe0 in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be none in accordance with approved plons. This permit will expire if work is not started within 18@
days of issuance, or if work is suspended for more than 18@ days. ATTEOTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in ufIR 95?.-001-@010 through OAR 952-01-1987. You may obtain a coPe
of these rusts or direct questions to OIfNC by callin 15026-1887.
Permittee Signature: (Uh- 1 s��_iNd By :
���� �
----------------------------OWNER INSTALLATION ONL,y------------------------------
The installation is being made on property I o"n which is riot intended fur
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
-------- -----------CDNThACTOR INSTALLATION ONLY-
S I GNATURE OF SUF,R. ELEC' N: _Qn C ..c.�"1 171111 DN 1 F
LICENSE NO:
++4+++44•+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p. m. for, an inspection needed the next business day
+++++++++++++++++++++++++++++++++++•+++++++++++++++++++++++++f•++++++++++++++++f +
05104 19913 14:'4 5038295747 IPF ELE,=.TPIC PAGE 01
CRY OF TIGARD Electrlca! Permit Application Plan Chsd�III
13125 SW HALL BLVD. Rec'd By t
i1GARD OR 87223 Det*Rec'a_
Phony(503)1339-417 I, x304 Dau to P.E.
Inspection(503) 6?,9-4175 Pitta or Type Date In DBT
Incomplete or Illep;ble wIU not be accepted Pimm 0
Fax (503)684-7297 _ Called
1. Job Addr!'as: 4. Comp/eM Fee Schedule Delow;
Name of Development l rumba of trtsp ddmo Pw Ootttlh adewd
Name for nemsofbusinessl Lau J u c, / SaMos Included:. Items Cost Sum
Address 1 3 S��( S Ll) `�1 CG r lri .l P` h. Raeldantlal-pair unit
City/Stalsla � � 1000 eq n.or lees $11000
Dr�--II L �—n —� Each additional Soo sq.M or •
Commercial C1 Residential lam' pOak'nM1fsof --- =26.00 1
Unified Energy sn.00
Eich Mlwwfd Mare w mcouYs+
I?wMN t3ervlcs or Fu*dar 92e 00
2e. Contractor Installation only: ng - - 2--
(A1dah copy of all currarrt Ileanaars 4b.d•rvlam or Feeders
Electrical ContTA0lor_ _ — Irwt oalon,aftaradon,a relonedon
Addrea200:mpe or 1e03 $e0.00 2
201 awca to 400 amps ss0.00
LhY_. Stats_ �7D_ r_ 401 amps to am amps --.� $120.00 2
Phone - 201 amps to 1000 amp• �_ $120.00 _ 2
Job yo. _ t V Over 1000 amps ur„olle $340.00 2
F loc. Cont. l.1Ce. No. sl rn 7?C_ Exp.Date _ Reconnect only $eaoo 2
OR State CCB Reg. No. Exp.Date
COT Business Tax or Mra No. ao•Tsmporery Sendase or Fwdera
et
m) InAaaedon,shentlon,or rMr brl
200 amps w lose $60.00 2
Signature of Supr. Elec'n 201 amps to am amps _ !!7!rro y 2
�-- — 401 amps in Wu amps $100.00 2
/f Ova►600 eT00
ps to to rosy,
N . U Exp.DAte _ WM"Af"ebony
Phone
ad.Srsnoh Clrouhs
New,alienation or eAensicn per p uel
Zb. For owner ln*tallations; a)The fee Ior branch clrculb with
Purchase or MrAce or
F'nnt Owner's Name_ fesdoo utas.
Address Each branoh clrcun 95.00 2
City, State h)The fes for brand)clrcun.
_._.__ State—— rip— — W"outp{mm"Of
Ph"No._ wake or'ooftr fuse. 3
i=lrsl branch clrcun 9:`5.00
The Installation Is being made on property I awn which Is not Each oddalonar nrar ch clrcu!i 9s 00 2
per
intonded for sale, fear+e or rent.
4a Mfaoaflan*:tY
Owners SignaturA (Service Or►eeeir non ftKided)
Each pump or Irngiction cicule, 940.0[ 2
Each sign or outline"ng 900.00 _ 2
3. Plan Review section (if requlrody, 8190e1 droun(s)of a Ilmhed energy
pabal.aeerstion or e+nferslon SQ 00 -- 2
Plisse checF eppfvprist*Item r r.d enter he In section 611. Minix UDab(10) 110o.00
4 or none reoldnntlal unfb In ons structure 4f,patch*ddlllunal Inspection over
_ Swrdte and loader 235 amps of mor the allowable In any of the above
�—System aver WO tot ncmlnal Per Inttpsotkm SW C0
_--
Classified awe cx atrtxlure conmIn'rrg qwp�LgI o=uparxy Per now 1165W
M rlerrtsfDwrl In N C Chapter 5 In Plant
Submit 2 a*b at plana with application wfwe any .of tuns Nrova apply. S. FMO;
Not required for tempenay cenartnictlon services. $a Enter iDtal cA above tree 7� S
SX surdlame(CA X"W I@.'a)
NOTICE Aualoarl
66.F-Mr 25%o'f line 9a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUT1• RILED 16 Plan R*vI*W JjNNt>6i ldec 3) 6
NOT COMMENCE.I)WITHIN 190 DAYS,OR IF CONSTRUCTION OR WORK subpow 6
IS SUSPENDFO OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYr
TIME AFTER WORK 13 OOMMENCED grow$
Taal balance Due
ltd C,c�,of�-r► . I.(Idint 24h . l�llrl'1 �Z� r
CITY OF TIVARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171 paw,
Date Requestixi: —_ — — A.M. � F.M. MST:
location:— 3 J� p1.t � BUP: --
Tenant- _ Suite: _Bldg: _ M1:C
Contractor: l J— G hone: 1544K PLM: p
Phone: ��70�� _ EL.C:�O
-- , ELR:
�
BUILDING BLDG(con'l) GLUM ING M1ECH_ srr
NIC LECTRICAL —SITE
Site Post/Bcam Post/Beam os cam Cover, I- Sewer/Store
Footing Roar UndFl/Slab Rough-In Ceiling Water Lute
Slab Framing fop Out Gas line Rough-In UG 3pdnWer
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsml Damp Drywall Storm Furnace Temp Service MISC. j
Masonry Ceiling Rain Drain A/C UG Slab
Shcar/Sheath Fire Spklr/Alm Crawl/Found Dr Heat 11wnp low Volt
Approved Approved ppicv j
pprov Approved
Api,r/Sdwlk Not Approved Not Approved >)roved roved Not Approved
FINAL FINAL FINAL INAL FINAL
O Call for reinspection O Reinspection fee of S `required before next inspection O Unable to inspect
Inspector: �. Date: Page` of
I
F I CATE OF
OCCUPPNCY
CITY OF TIGARD PERMIT it. , , , , , , : ms,r94-0450
COMMUNITY DEVELOPMENT DEPARTMENT DATF: IS91JED.- 04/1,;:../96
13125 SIN Hag Slyd.Tigard,Oregon 9-22enloo Mnll A'%Q-A171
(l"ll ;T)EPEGS. . . , 135L.9 `.,W uLF-(4kViLW PI
1113DIVIS.AON. . . . : BENCHViEW ESTAH U; Z ON I NG.R.-4. 5
.. . . . . . . . . . . LOT. . . . . . . . . ..46
I.-ASS 01- WORK. :NE.W
! YP"U. OF LJS)E. . . 9 SF
G13P. x 54
UPANCY LOAD ec!
CASCADE. HOME DEV
,,100 HE SkOADWAY
'IIJI'T L? B
POWFLAND OR 97230'
P[ ine #: 780- 4990
Cont v-iiictrw:
('ASCADL HOME DEVr;.,LCIPVIENT IN(-"
100 !SIE BROODWAY
L
POWTLF-NV OR 97234
This Cer-tificate gi-antEi ocr-up,;w-v or the above t-faterpywc-d twi-tilcliny or pow-tion
I,heI,-eof and conf,.t-mia thAt ti,p hoolding limb been iwipected for- compliancy wiAll
the State of Ov-eyon r;peci -altv fodc!T for the yrf)u occuparwy, and I.-se under
J L D Nt-, INSPECTOR BIJ11-01NO Or-r- IC
F-105 F IN CON517,1('001.11-, PL AL
CITY OF TIGARD
COMMUNITY DEVFI-OPMFNT nFPARTMFfJT r'-ILUMBING PPPM1 ,
13125 SW Hall Blvd Tigard,r)reg, 11011149 (501)939-417) PFRO I I t#. . . . . . . . 11_
L)(-IIL ISSUED:
14JDC
0 N. B E N C, A V I F W (-:s..'r n r F,5 ZONING: R- t. 5
. . .. . . . . . . .
y 1- : SF . . . . . . . : I LAILKFLOW i::,RE-VNTRb.
H1 IT T RAP'f�. . . . . . . . . . . . . .
. . . . . . . WO I I-f., HLA f L R.: . cn,rc[i BASIN,'.;. . . . . . . Q)
. - . . i i 11i JI'l D N P -)F RA"N DRAINS. . . . . . I.
. .... . . . . . . . . . .� BREASE Twiv-,s. . . . . . . :0
-41 IJ I t I P3. . . . . :4 TU1,_:. . . . . . o
LA WLR I 1\1 L. ft . . . . .vA
WI-4-iLk ILLU)Lr.1.3. . El, j. JL t L 10 IZI
1.1.I -)I . . . . 1\1 L'r ra I.Pl t .0
!�QMJI'kS :
wNT.P ---FE
ES--
HUME DLY 00 J1 I Cl
cA 00 NL [MOAPWAY WPI 9 i do. 00 11 F 1 0 9,+
100. 00 .JF 1 11)
i- f L.NA) ON X18. 00 V 1c:;/20/94
10r P 8 IZI--4)'k)
YA f go ir
q y i t ca c.,L c 1 00 A
MV.R 1-115. 00 JPlam F
..Cel )?_ ilil ":_ I I . `!') I I-
2-r1 67 04,,k,- 0/tv /S&,I.- ML I-'(. L.
P)4
t-'t I `;S'75 JF
111w I 1 P ei n u t -:iliuwn llrrr
RECSU IRFUI INSPEErIONS
ii issued Sub .1 :?:A ,,i, .
ag
ulat ioris contained in tris, riqard Ml.micipal I- out found Insp Rain drain
L (J60. 5tatl? (--f 0r'---?- SPec: I al+ odes ;.Aiid �A I roti-l-let Watt?., Line
otriev applicable laws. 4-111 V)0fk will UP [101le Pi "'Beam mechic-1 Appr/E-,dviilk- In
J , il�— 1) Lj,:AllL'F wit '-. 1F-'Pcoveil pir-lr-�—
pF ! mit W1. 11 expire, if wcv-k k , Ilut tee FILM/Underfloor Pl Limb F- i r a I
1,1- j t'V, r I w y . cif Insp r3o i Id i ng i- 1r
ended for More than 100 P I umb Top Outt Erosion Cont
I ram:;.ng Insp Gast/Beam Oeui
Fireplace Insp Crawl Lirai,)
/ / (3ps Line Insn Ftg Drain
Insulation Insp
boal�d Insp
;nL c G39 -4175
CITY OF TIG,ARD
COMMUNITY DEVELOPMENT DEPARTMENT
131253W Hall Blva.Tigard,Oregon 9722398199 (503)639-4171 L ri .L k Ivi i i
63c:)-4171 r- T
i i L L
")W ILEAPVIFW PL
b J)I V I�',10 N. F E N C H V I EW F.E5 T A T'E'<", ZNDNINI', • 6 ,
. . . . . . . . . . . .. . . . . . . . . . . . if 6
BUILDING
L
Of W C I t,,K. NLW B E,:3. b A*I'rl 1b: 3 GARPUE. . . . . . . . . .
0- 1.. 01 _1:..A_. . . :)F- FLOOR API"_(4E, - RE1_;11j1RLk-1 'if I B A L 1-1\
Y I L b I L L)N'.)I .. 5 r F I RF')T. . . . : 19159 s f LEFT. 8 f t R I GH F. czo i t,
GkP. P .11 (-FCOND. . . - 1.�t
- 1: FRONT. :.--.'0 ft [�D:�1-1, 0
. . . . . . F I NL45ML.N I :0 S f RLWU 1 RLL)
s0 1`t '1"0 Y AL --- --- .. : 19 31. i,f- 'IDMORL DLI I ('W".
(ji.w LU,ll). . . . 4114 ps f: VALUE- - $ : 1,---,3611 PARK 1NU L)POLI
PLUMBING
I FLOOR DRAWS. . . . . .71
i_PVia r UFi I E E3 4 WATER HLATLL.-RS. . . : 1. T R A F.'�3. . . . . . . . . . . . . . :Vi
U1-. 'il*.1WL W3. -3 LAUNDRY FRAY15. . . : 1 L,All.,11 bA�) 1N'_7. . . . . . . :V1
-iiA I Lk LLL6E_F S;. .3 5L.Wf.l? LINE' (ft .' . 0 GREASE rRAPS. . . . . . .
L J ',; I W 0 1 1 f.--i T".1. . . . : I W P I I it L I IqL 1, t , ) . i lel 0 0 Y H L 1 1- 1'k I I.j I E_!.;.
RAIN DRAIN kft .) . IZI
WR.dijkk. . 1 I)f PAIN DFRAINb. .
MC F_E E SI-1
UN I I I I'l 11 IA t y p e .3 In C.1-t T)t b y -j;;I 4.r,
EN T 5 . . . . . .Q, TIF $ 1!`j 5 LA. 0 0 JF 1.` 0 9 el.
I1,11,0 I W 11 (i v1- IN I I PN`1.
AN f 1110. 00 J i I
100K 0 f I U L.I E t . . . . . . W M $ 1 01i- IZA 0 J F- 1 c i r'111 i 9 4
j J.�.3. it"Q) j 1 1.
r �_AAPA I OP�1\1. . . . 10 [LO 1_PF6E'_R5. 1. M,L L t '/Vi if I P)it
(111W-.R
GAS, CAJ"r L f-T 5 1
PART, $ 1-...00. 00 jr
NP P'l 1, IATA Ji- 1.='/,:0 ,r34
i i,t.f ilk. I IuML IA V m P(-(_ t 11. JF 1 )4
I tv.10 HL DI-4)(1UWI-4Y 11111-4- $
A
$ le)Ili
Of, 1) $ 1 1 JF"
It 0--49")0 E FR 0 (�4. 00 JF' t 9- 4
E.1.7 P 9 "111. 8 It, JL IC: 17.1 14
D E_ M 1- 1)F V F 1.0 1\1 T I N f ERPL $ Clio, 80 111. L/e.'111
0 !'q L I I
L L--' L,
P f-4 1.,-
# .
0
,iis permit is iss,,ed i,b,iect to the rsqui:1tiuns contained in the RUD WSPEC I ION
Agd-C municipai Code, State of Ore. Specialty Codes and ail other I c)ot ,Jclur -i Insp f- Iveplac.:F? Ins,
apo,l:atip laws. All work viii he c:ne r accordante.,Oith apprcyid Pv E t /Bean, 1j t r uc.-t Gas 1_ in e I T1!-P,
via-C. 7r15 pe--mit will elpi -e -., WC111 is oithin 180 V,10-t /ReiArn mpc_,fIarl i11r,.11clt I f.'Tj I Tj [I
iss,iancp. or if we-1, is i.in0�dPd 1119%, hap IN days. P1 m/un -:s tab Insp Gyp beat d ins
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CITE( OF TIGARD SEWER CONNECTION
�OMMUNiTY DEVELOPMENT DEPARTMENT F,ERMIT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PERMIT #. . . . . . . : SWR94117111
F-IARCEL: 2S104DC-04600
13. 29 SW (_l_l;-_APVILW i:1L
bULiOl V I b I ON. . . . REENCHVIEW ESTATES ZONING: R4. 5
LILOCK. . . . . . . . . . . LO T*. . . . . . . . . . . . . . 4G
TENON1- NAME.
U15H NO. . . . . . . . . . . F I X-rURE uous. . .
CLASS OF' WORK. . . :NEW DWELLING UNII-5- 1
IYPE OF: USE. . . . . .SF NO. OF' BUILDIN65: 1
11\1`3IVILL T'Y[-�L. . . . 13 US W R IMI"ERV SURFACE. .
Re aj;ir,k s
Uwner F-EEG
C 0 IF-i C A D E [4( ME DEV type i.-A in(j�.t T1 t In y dat e
C".00 NE BROADWAY PRINT `E00. 00 JF 12/20/94
U 1 1 8:1. 13 35. 00 J F is/,-'0/`i4
PUR rLAND OR 9723L'
F-It-iorie #. 780-4990
NOT ON r- IL,.
1.1 c r,k? t Lc:-115. LAO 1-0 1 kl_
RE-DUIRED 1NSF-,FC1*1(1NG
This Applicant agrees to comply with al; the rules and regulations I Nis PeLt I Dtl
of the Unified Sewage Agency, The permit expires 180 days from
the date issued. The total amount paid mill be forfeited if the
p?roit 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 orospect 3 feet in all dire tions "rut
inp distance given, If not so located, the instal shall purchase
a 'Tap and Side Sewer" Permit and the
Agency install a late-al.
----------1-------
I fe i ni j L A c,L3C-
1 5 I.t f?(j B Y .
a 1 1 ot, inspect iori 15
P✓
a
Residential Building Remit Application
City of Tigard
13125 SW Hall Blvd. LC&
Tigard, OR 97223
(503) 639-4171 /
Jobsite address: I CJ L (P2✓'V; r Cj_I
Office Use Ord
Subdivision: _�P��� � � �E� Lot #_ �c� _
Planck/Rec # � -�•�=
Valuation:
Permit # Y_0 �
Corner Lot? N
Reissue of
Flag .ot? Y
Map & TI_# , > > /04leID 3L/6�i�;
Owner: �'(� r� :� �? e - - Ararovals Reaulred
Address. 2.100 Al 5tCn ' (IJO W �T =� ' Plannin & "
Engineering
n
Phone. _ Other
Contractor: --_ �a"iN P _ _ Items Rectulred
Address: —��� Subcontractors ie-'G
Truss Details
Phone: �._____ Other
Contractor's License #_ � Z
(attach copy of cvffent Oregon license)
lr
Contact Name & Phone: -
Subcontractors: lye l Architect/Engineer: ,__i4C^-,rOvd _
V Plumbing: V ��1M CLe '� N��Fe�' Address
Mechanical: 4i1zt%1 ; ______. �yO�^,•_(attach copy copy of current OR Contra.or's License)
Phone
JOB DESCRIPTi
50-Ll7 SU
App a ature one number
f
Received by: !.i. l i Date Received: _
N IWORDICOMDEVlRESAPP
Permit# Account Description Amount Amt. Pd. Bal. Due
lryl c _Uclsc) Bldg. Permit (BUILD)
Plumb. Permit ;PLUMB) _22 j, �•5.��
Mech. Permit (MECH)
State Tax (TAX) =3 U 33 cJ
Bldj: vs 0 ✓/
Plumb: //. Z j�
Mech:
Plan Check (PLANCK)
Bldg: U
Plumb:
Mech: _
Sewer Connection (SWUSA) tar/ 2�oU
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) J43 U �
Mass Transit TIF (TIF-MT) 1 ,2�rJ Y _ 2-v
Commercial TIF (TIF-C)
Industrial 'TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT) /CA)
Fire District (FIRE) r
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _
Erosion Planck/COT (EROSN) zU -6--v
TOTALS: s L )- y 1 �
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