13737 SW BENCHVIEW TERRACE ADDRESS:
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is\records\mi croflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE /
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 C
Inspection:_ �—,t\3A
Footing Susp. Ceiling Sprink. Rough-in AppP15i9Wtk�
Foundation Pibg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beare Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_
� � Time: AM PM
Address: 3 � �-
Builder:_ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ z rq T 7— Date.
-/-,APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
RTIFICATE OF
CITY OF TIGARD pFFIMIC�� a
OCC:UPANYhIOT950189
COMMUNII-Y DEVELOPMENT DEPARTMENT DATE:. ISSUE:Da 12/13/55
13125&W Hatt Blvd.Tigard,firpon 97223a8199 1503)839.4171
PAM,EL t 2510401. 04 i,00
i I i E ADDRESS. . . t 1.3737 t;W BLNCHV I E:W TIERR
SUBDIVISION. . . . c HILL,£iHIRE~ ESTATES ZOIAINGiR-7 VII
SLOCK. . . . . . . . . . t LO1 ., . . . . . . . . . , . t(841
CLASS OF WORK. t NEW
TYPE OF USE. . . t SF 1
`
OCCUPANCY ORP. t 5N
{ UCCUPANC::Y LOAGte
l-' markrs i PATH I
CASCADE WEST CONSI'. CORP.
10445 SW CANYON RTS
SUITE, 10.3
DCAVERION OR w700E-
Phone #c 641-14x4
Contructora �_...___,...._....__,_w._ ._ ._.. .�. _......____.. _..
CASCADE WEST CONSTRUCTION CORP
10445 !SW CANYON PD SUITE 103
BE AVERTON OR 97005
Phone Nt b41--7424
PcAg #. . r 62678
i h i s C:er-t i f iccaf � grants occupancy of the above rt-f erenl~•ed building or portion
thereof and confirm% that the building has been inspected for compliance with
the Staaty of Orrgon Specialty Codpci for ti.e group, occupancy, and use undNi
which the referenced pwrmit was isr,"ad.
&W-..A-_.
13UILDxNf�PECTOR FiU]'l_.DIN Oi=FIC;IAIw
PORT IN CONSP I CUOU6 FILOICE:
id
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: cv - �I�j(}
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-gin Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in ✓INAL
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line InsulationM1
Underflr. Insul. Shear Wall Gyp. Bd. Elec
Date Requested:_ 12—1 -3--1 _Time: AM PM
Address:_ ?;J -7 ONyiyt I'LLU (eyy.- -
Builder: 'ZZ,( J -(O5 �) Permit #:MST
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector. Date:
VAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinro.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-U-Phone): 6394175 Business Phorn): 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Id
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation - ec .
Underflr. Insul. Shear Wall Gyp. Bd. -Elect
Date Requested: ��� /� Time: AM PM
Address:_l3 7 �' Z Jll /J�t--t-
Builder: Permit #: ; 9 -6'IF
THE FOLLOWING CORRECTIONS ARE REQUIRED:
, .Ztlisr; �
Inspector = Date:
_APPROVED D SAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. (veiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Pibg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undertlr. Insul. Shear Wall Gyp. Bd. lect. ,
Date Requested:_ '7 Z /.Time: AM PM
Address: ! " z,
Builder: .fit,�1 - I �� Permit #:ja q y L4
THE FOLLOWING CORRECTIONS ARE REQUIRED:
OF
u—C'& f
Inspector, t _ Date: 1 z�
APPROVED —DISAPPROVED `APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Eloc. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Lire -Bldg,
Plbg. Underfloor Rain Drain Framing -P1-u-M%-
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_—/ I C S Time: AM PM
Address:—, -- S2
J,I
Builder: Permit 8:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_
APPROVED _DISAPPROVED _APPROVED .UBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-G-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing cusp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Pain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall By -Elect.
Date Requested: �/ 19 j Time. Aldl _ PM
Address: L-5 7 3 f
Builder: Permit k:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
f�Acr�iZ 6U.o,rty �� /��l.S7T-3LL,�l�7o.v or'
exyle»ti,c -Tl Le: ill emezi�,
` fluor GL4 djj d,A L t'� S1JG L. S/.•fie �r
< ���.,�' />1,•� �sJ�f. LIZ 1,goe
Inspector: Date:_�1/s —
_APPROVED _DISAPPROVED L-ARPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation t'ibq. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Undsrflr. Insul, Shear Wall /yp. -Elect
Date Requested:_ C� / 7 / '/7 Time: AM TM
Address: __7 r2
Builder: Permit #: s U ( q cJ
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspec or Dater
_APPROVED _DISAPPROVED __APPROVED SUBJECT TO ABOVE
`,Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Insp9ction Line (Rec-O-Phone): 639-4175 Business Phono: 639 4171
Inspection'
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing / -Plumb.
Alarm Water Line `' -:S:U io , !/ Mech.
Underfir. Insul. ShearWall Gyp. Bd. -Elect.
///
Date Requested: ---�-`-1--.L ��Time: AM _PM _
Address:_ /_373
�5E'�lLCf�C�2�cJ .
Builder. Permit if:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I �
rc
/ � n
Inspector:
Date: ' I
`APPROVED —DISAPPROVED R<APPROVED SUBJECT TO ABOVE
'�� Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Roc-O-Phona): 639-4175 Business Phone: 639-4171
Inspection: �}
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Boam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: f�� � Time:_ AM __PM
Address:
Builder: Permit #:m S1 ! — U
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L�_ � -
i
Inspector: Date
__APPROVED DISAPPROVED e1/APPROVED SUBJECT TO ABOVE
_Call For Reinsp. Z�
CITY OF TIGARD BUILDING INSPECTION NOTIC Q \,
Inspection line (Roc-O-Phone): 639-4175 Busine s Ph1pnq:`b\39-4 J�J Q
a
In,pection:__ f Q
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab ec Rough-in Fir pla__9
ost/Beam S�ru�� Plbg. Top Out Elec. Rough-in FI L:
\\ m e San. Sewer a''�e� -B
Rain Drain mg_ -pl
Alarm Water Line Insulation -Mec
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM _PM
Address: �� 1 � �/�G� �l—ct-�c� '�✓
Builder: _�_� �--� Permit
THE FOLLOWING CORRECTIOP�S ARE REQUIRED:
- O
Inspector: _ Date:_1
PPROVED `DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
SEP-//01-1995 15:02 /�GAARY'S VACI ALO, INC. r P•'34
aI /
/ a Ion Kt:b ' Kit; 1 �®
ELECTRICAL ENERG'� .
2 APPLICATION
•LEASF . +
• complete „ • . 5. Permit No. /-/1!XC U/07
1. Location of Installation Date q.c--
Address- 13-111 50 f%gn&,V it t,-j Te rra”— -- J---
City_____ Zip Code 4. Type of work:
Map No. Tax Lot RESIDENTIAL Restricted Energy Foe
(for all systome)
Thornas Map Book: Page Section
Cheek type of work Involved:
Directions
Audio and Stereo Systeme
Commercial [] Realdential 8ui glar Alarm
Telephone Systems"
Tenant Name Carpe Door Opener'
(if commercial) rlsro Alarm
Hosting,Ventliartion end.4ir Conditioning Systems*
2. Contractor application: tl.ct,Um sv,9.m•�
Qt}1M
Elecirical Contract I. la"' �d T
Address ^ 9DL __— COMMERCIAL F••for each system
City StateQL Zip9?aSr1 (see OAR 1118-2eo-Ie17)
pate Job Number — Check type of work Involved:
Property Owner
Contractor's License No. .21LWOk C44 - boiler Controls
Contractor's Board Reg.No. (Pd Alf 7Clock syslem+
Phone No._ , _ Data T•lecommunicatlons Installations
Rre Alarm Installation
3. Owner application: MVAC
Inatrum•ntadon
Print Ownw's Nerve v Phone No. Intercom and Paying Symom
landeoap•Irrigation Central'
Medical
Nut"Calls
Outdoor landscape Uyhtlny
This permit Is easued under OAR 018-32"M Tna applicant We" _ P►oteellve slona ltno
to maks only reatrlc"4 energy Installations(100 vein amps or lasso Other_
under this pormlt and to we than Mllowln/:
1. only use ehc 1csl Ilcensed persons to do Installations where
r•qulrsd. (C:ertaln rosl4entlal and other tronsactlons are wrempt Number of Systems
from licensing. These have Asterisks(h. All others nerd Ikons.
inq_) , •No 11renses are uired. Latinos srs ra Ired for aN ofrur InsfA diens.
�. Call for an lnspeotlen when Alf:he installations undo this prm:.t �9 4u
are ready for/nspeeden.
3. purchase s 1parste pMnffs for all Installation that and not ready S. Fees
for lnspecoon when the inspector to out to Inspect under this
permit. Enter toes S
I. Assume rdsponslblllty for Assuming that All corrections required
by the kwpoctor are done,and a .
S. Assume responsibility 1b►oallin g for a final Inspection when all or 596 Stancher 9 ( OS X total above) —the corrections are eemp/etod.
The parson slpnln/this permit must be the appilaent or a person Trust Account $ C LE ti
tutherl:ed to bind the applicoor.
Total $
AtMorlty II other than appllarm —__—_—_______ This permit becomes null and void If the work aulhorl2od by the
permit Is not commenced within ISO days from date of Issuance
For Inspections cell C of suoh permit or if the work autherlled Is suapended or sbande id
at 640-3561 or 693- ►415 any Ms w
me arts ne
cemmsen for a period of ISO days640-3561
EI•etttoet Permits are non-t•tuMaWe non•ranst•r■b1e.
24-hAur recorder, one working day in advance of need gL 14
TOTAL. P.04
a
CI IY OF 7I0HRI) HF-CF-APT OF Pt4YMk'N'f RIAA- Nig.
CWf.LK 0MIJUN I IAW
N14M1- t WARY9 9 VACUR.0 U149H HM(JLJN 1' a 0. 1141
�11�1�1TFf3t.3 t
90165 S'P Ft AVEL PAYMENI DklI y o9/05/ w,
PI:JR'TL.NN*v (IR. 1.31JOD 1 V 1'31 ON
f 9 IR6 7-
-PURPOSE OF FAYMIwNI AMOUNT WIIU WUFRPOW Of- WAYMk:NT NMUI
U._r-CA RICAL. PF.RMI r �ffl. II10 91'. BUILD &4-1K . wN
I iARY 1 8 VACUFL.0 I NC d!e?.00
I.I.IZ�a�-•aD i 07
BW RF:Nt:HVIFW t(-'RHL:f,
I f1 I Nt._ AML)UNT PAID
SEP-01-1995 08:14 GARY'S VACUFLO, INC. P.02
0epsftment of Lard Use&Transportation Lm-Ago s s s s v s r L
�.� Electrical55NrtInspection Section ELECTRICAL ENERGY
1B5 North First Avenue, I1350-17.
Millsboro,503) 40-34 0 97124 ( ) APPLICATION
Inarormat/on: (503 640-370 Fax: 503 Bf73�44f2
. , Permit No L /? q5- a os-
1. Location of Installation Date
Address 1313-1 &Z w"A,-l i r t...)2 rro4-t— _
City Zip Code_ r 4. Type of work:
Map No. _ Tax Lot RESIDENTIAL Restricted Energy r-e $40.00
(for all systems)
Thomas Map Book: Page _ _ Section
Check type of work Involved:
Directions,
Audio and Stereo Syetemv
Commercial Residential Burglar Alarm
Telephone Systems'
Tenant Name Garage Door Opener*
(if commercial) _ __-_ _ Fire Alai m
Heating,Ventilatfon and Air Conditioning Svstems'
,2. Contractor application: Vacuum Systems'
oil-
Electrical Contractor � S1Q______
Address COMMERCIAL Fes for each rystam 640.00
City _ StateQr Zip _979(P7 (see OAR 111e-2M260)
Date Job Number Check type of work Involved:
Property owner w V-*- e i� 12f
Contractor's License No. Zl� _�
Bailer c«,bola
Contractor's Board Reg. No. M .�
r Gock Systema
Phone NO. � l _ Data Tniscommuni,--9tiot.o Instalistiuns
Fire Alarm Installatlrxn
3. Owner application: HVAC
Instrumentation
Print Owner's Name Phone No. -- Intownm and Paging Systorn
I-andscope Irrigation Control'
Address -- -- --- Modkal
Nurse Calls
tale --- - Outdoor Landanspe Ughting•
Prottvelve Signaling
This permit Is Issued under OAR 010,320-370, The applicant agreas Other
to Mirka only restricted energy Matsllarlons(100 volt amps cr leas) _-
ri
under this permit and to de the following:
1. only use alectrleel lkensed persona to do Installsdons where
required- (certrtn residential end ether transecdons are attempt Number of Systems
from licensing. These have asferlaks M. All otherc need ficena
Ing.) •No licenses are required Ur-ensss are required for ap other installations.
2, call for an Inspection when all the Installations under this permit
are ready for Inspection.
s. Purchase separate permits for all Inetallatione that are not reedy �, Fees
for lr.gpection when the inspector to out to inspect under this
S
permit Enter lee-,
s, Assume responsiblUty for assuming that all corrections required
by the Inspector are done,and a 5% Surcharge .05 X total about_) $ Z v�U
5. Assam+responsibility for calling for a final Inspection when all of Si
the corrections are completed.
Trust Account $ [LF,;ff?A
The person signing this permit must be the applicant ter a person -
authorf,ted to bind the applicant.
Total s ob
_--
Authority If other than appl!cavtt -- _--.-- This permit becomes null and vold It!»work outhodred by the
hermit Is not commenced within/so days from date of Issuance
For Inspections call w of such permit or If the work authorized Is suspended o-abandoned El
640-3551 or 693-441 5 n any time atter work commenced tar•period 1 ee days
EI•etrlcal Permtte are on-rMundabfe and non Renderable.
I4., hour recorder, one working day In advance of need BL24-114
TOTAL P.02
t.I I Y OF 7 WARID kE.t:F.I P I Of- PAYMEN t RLGE 1 PT NU. a 4. 1:o- r 10093
t:HF-,C:K AMUUN f z 0.010
NOME. BARY98 VACUFLO CASH AMOUNT a 4A, WW
Far�l►kFE3t 9015 SE Ft_AVLE PAYML.N7 L?F1TF, f 04/0 /'95
PORTLAND, OR SUBDIVISION �
97P66-55'83
!,IINI1Ul=t ' OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOLA41 PAID
ffait:Al. PERMIT $0. VW T. BUIL P',k P. W,O
ifllY" 8 VACUFLO INC
I
U 1..895-01.05 TRUST AI.:CUUNI
EDW St..Nt,'HVIF,W TF-:RN#4t'.f.
i j 1 t ll., AMOUNT PAID 0. IMA
t
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. UnJerslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out _Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
rI
Date Requested: ��=� \ _Time: AM PM
Address:
Builder: "' -DAL Permit #�-7-1 _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_ 7
r
G
7
Inspecto _
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp. _ �A
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:--Jf4n-� S'
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in F=ireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undorflr. Insul, Shear Wall Gyp, Bd. -Elect
Date Requested: 9 T 'ej Time: AM PM
fc�Address: ? �7 l
l'l-- Z�� _, LL
Builder:_4�1 Permit if:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
� t
a
�inspector: ' - f,
—APPROVED DISAPPROVED `APPROVED SUBJECT TO ABOVE/
-`Call For Reinsp, T
CITY OF TIGARD BUILDING INSPECTION NOTICE �J
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. g, To—'�O Out—.:) Eit; riough-in FINAL:
Po m Mech. San. Sewer Gas Line -Bldg.
�i
Plbg. Undc, Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wal Gyp. Bd. -Elect.
Date Requested:
— Time: AM PM
Address:_ /�_ - _- h 4,A—� J
Builder: Permit q: , CL
THE FOLLOWING CORRECTIONS ARE REQUIRED:
COF-
�
G'
f7 ��
Inspector:_ Date:��
> -*PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6W4171 Vr
Inspection: -2
Footing Susp. fling Sprink. Rough-in NpprlSdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _Time: AM _ PM
Address:_ / 3 7.3 .7 )d.Q,j
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: —'�- 1
Date:
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. <iligToip
Out Elec. Rough-in FINAL:
Post/Beamch. San. Sewer Gas Line -Bldg.
Underf� Rain Drain Framing Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -elect.
Date Requested: rime: AM PM
-2 Al
Address:
Builder: Permit #: ,� O
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_��-17_-1�;o Datela?�
APPROVED _DISAPPROVED /4�APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOT ICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _ -!=:; L", A-2--- x
Is
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul, Sher Wall Gyp. Bd. -Elect.
Date Requested: I Time:—AM __PM
Address:
Builder: C u. C� Permit #: 's-Q
THE FOLLOWING CORRECTIONS ARE REQUIRED:
;wPPROVED
tor: u�-�J Dater �DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
:70fLL�EL4lli � ._.�.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. --151'b-
6. Top u Elec. Rough-in FINAL:
011n Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloo Rain Drain Framing Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. ear Val Gyp. Bd. -Elect,
Date Requested:___ Time: AM PM
Address: ��j�C-�1��--C-Q�-rJ v`
Builder:� Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L4..a� ,� �, �, ,�-. 4 eAJlc.•( eddr�`
Inspector:__ Date: $— O` s
_APPROVED ✓DISAPPROVE APPROVED SUBJECT TO ABOVE
! afl For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: f�
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Pibg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg,
Plbg. Undorfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Under(Ir, Insul, ear W Gyp. Bd. -Elect.
Date Requested: Time:_AM __PM
Addresr� J
�i r At -�
Builder: 1,3 _ C ; Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Gvi .«S G.I�L_L f Af
,4o, �f ...
DC7%J
�7�s/S � /-_Z-- /a�� ✓cam
Inspector: Date:_B
_APPROVED `DISAPPROVED '-- APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 95-W 37,),1,
L, Permit #,Flt.?S -oaly
Phone (503) 639-4171 Date Issued ?-
CITY OF TIC;AR® FAX (503) 684-7297 Issued by ChrArlrs Sc A.—df
TDD No. (503) 684-2772
Inspection (503) 639-4175
f1. Job Address: 4. Complete Fee Schedule Below:
I
Marne of Development__ N/u SNixF f5>',*yES" Number of Inspections per permit allowed
AddreSS�, J �/:�w fNG�I/iEr�l ��/� Service included: Items cost(ea) Sum
City/State/Zip `/ /G92U, O2` Z'Ly 3 4s. Residential-per unit
1000 aq II or lees _ $11000
Name (or name of business)O f'� 50
LW rte _ Each additional 0 eq 11 or �5 / Uo
portion thenad 1
Limited Energy 112500
Commercial❑ Residential
Each Manul'd Home or Modular 2
Dwelling service or Feeder 1189 00
2a. Contractor installation only: 4b.Services or Feeders
/ Installation,alteration,or relocation 2
Electrical ContractorpY--
!/t�G• _ 200 amps or lees 38000 2
Address O X 1 U,� 7 201 amps to 400 amps $8000 2
401 amps to 800 amps $12000
City 1711N/�L_o Stated Zip OZd 801 amps to 1000 amps $19000 2
Phone No. 6 78 ISS Over 1000 amps or volts $34000 2
Contractor's License No. e y--/07G Reconnect only $5000
Contractor's Board Reg. N0._ ?-017/9 _ 4c.Temporary Services or Feeders
l / Installation,alteration.or relocation 2
/
Signature of Supr. Flec'nX Lt �r_7 V\ IYTI�L� _ 200 amps or less $5000 2
License No. / Z S Phone No. //7d-/7S 201 erope to 400 amps f75
00 00
401 amps l0 800 amps � 11100 OD
Over 800 amps 10 1oDD volts
2b. For owner Installations: ase•b-shove
4d.Branch Circuits
Print Owner's Name _ Now,altsrnlron or extsnsron per panel
Address a)The leu for branch crrcift wilt.
City — Stale Zippwefvw of seryea
ks or Adler Ne,. 2
— Fad+b arch circuit 11500
Phone No. b)The lee for branch circuds w►lhou►
The installation is being msar
made on property I own which is purchase,of vko or Nater Are. 2
First branch circuit $3500 2
not intended for sale, lease or rent. Each addsional brand,circuit $500
Owner's Signature 4e,. Miscellaneous
(Service nr feeder not included) 2
3. Plan Review section (it required): Enda pump or i"Vation circle $4000 2
Farb sign or crdltrar lighting $4000
Signal cirrud(s)or a limited energy 2
Please check appropriate Item and enter fee In section 5B. panel,Alteration or extension $4000
_4 or more residential units in one structure Onor lsbals(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 411.Each additional Inspection over
_ the allowable In any of the above
Classified area or structure containing special occupancy
as described in N F C Cl-raptor 5 Par horn per hourPriaplion $35 DD
1155 00
In PIAnt 1155 00
Submit 2 sats of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5e,. Enter total of above fees $ �8 civ
5%Surcharge(.05 X total fees) $
PFRMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb.Enter 25%of line A for
CCNSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) S
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS subtotal $
COMMENCED ❑ Trust Account N $
Balance Due $ Z 9 1. l.S
Oft-WA.16"M SW
.a
�.1
CITY OF T I OARD — RECF I PT OF PAYMENT RECEIPT NO. a 95-••r268726 r
CHECK AMOUNT o 299. 25
NAME_ a BEAR ELECTRIC, INC. CASH AMOUNT : 0.00 I
ADDRESS a 20985 BUTTEVILLE: RD. N. E. PAYMENT DATE. a AH/01/95
P.O. 60X 389 SUBDIVISION t
DONALD, OR. 970c o—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
ELECTRICAL PERMIT em ST. BUILD PER _M 14. 25 i
` I
I
ELC95. 0 2't 4
13737 S. W. PENC HVTEW TERR
` 10TO L AMOUNT PAID — - - > 299. 25 1
I
y
1
Ii
A
�1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation g. Undarslab Mech. Rough-in Fireplace
ost/Beam meg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb,
Alarm Water Line Insulation -Mach.
Underflr. I sul. Shear Wall p Gyp. Bd. rte" -Elect,
Date Requested:- 0 /1Time:
2!�;M PM
Address 2a_7__
BuiI& Permit #: D
THE FOLLOWING CORRECTIONS ARE REQUIRED:
;P 1A0
r s
-ter �� � a `• 2 x � z�
Inspector. �— Date: Z �►
_APPROVED `DISAPPROVED PPROVFD SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Aopr/Sdwlk
Foundation PI Undersl Mech. Rough-in Fireplace
Post/Beam Struct. ..,m�op**Out Elec. Rough-in FINAL-
Post/Bram Mech, CiGas Line -Bldg.
Plbg. Underfloor ain ' Framing -Plumb.
Alarmater Ind Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. U
Date Requested: Z2 C) �'j _Time: AM PM
Address:—/--3 7-3 j2� i
Builder: Permit �: / S - O
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_... - Date: Zy - S:
_APPROVED DISAPPROVED ,_APPROVED SUBJECT TO ABOVE
Call For Reirsp.
a.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footin � Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation / Plbg. Underslab Mech. Rough-in Fireplace
POst/B mea Struct. Plb To Out P
g• P Elec. Rough-in FINAL:
Fost/Beam Mech. San. Sewer Gas Line
-Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
-Mech.
Underflr. Insul. Shear Wall
Gyp. Bd. •ElectLpL�
Date Requested: 7`9s
/ •Time- AM ✓ PM
Address: 7 _ enG�t/%�c�.i erYCt C F
Builder: _ CbSC ,permit
THE FO .. OWING CORRECTIONS ARE REQUIRED:
MILd
Vim•--S-�- � ` ``.�--�,1I � -e
LQ/
J 17
Inspector: L�_�, q / �� IV
Date: /_\ �
_APPROVED _,DISAPPROVED /APPROVED SUBJECT TO ABOVE /f
YCall For Reinsp.
K,
CITY OF TIGARD PERMI TN#. . .. . I. : MST95-0189
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/12/95
13125 SW Hall Blvd.Tipud,Oropon 97223es11g (503)639-4171 PARCEL: 2S 104CD-041.00
SITE ADDRESS. . . : 13737 SW NENCHVIEW TFRR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :041
---------------------------------------------------------------------------------------
CLASS OF WOP.I:. . :NFW GARBAGE DISPOSAI_S. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . ..0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES----- ------ LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS,. . . . . . . . . . : 1 GREASE T•RAF'S. . . . . . . :0
LAVATORIES. . . . . :7 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :4 WATER LINE_ (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATH I
OWNER: ------------------------------ --------------- -- --
CASCADE
__-------_--._ ._ _-CASCADE 4IEST CONST. CORP. TIF $ 15'50. 00 JDA 06/12/95 --
10445 SW CANYON RD ":.iWM $ 180. 00 JDA 06/12/95 --
SUITE 103 SWM $ 100. 00 JDA 06/12/95 -
BEAVERTON OR 97005 BPRT $ 72:0. 50 JDA 06/12/95 - -
Phone #: 641-7424 SPLC $ 468. 33 JA 05/01;95 94•- �64•A58
BSPC $ 36. 03 JDA 06/12/95 --
(dumbing Contr^actor:--____._______...__., .___._..__.. PARK $ 500. 00 JDA 06/12/95 --
I MPRT $ 48. 00 JDA 06/12/95 --
Name : _ ,C P __Q1 ��_lLIO�_.._..__..._._._.___._ MPLC $ 12- 00 JDA 06/12/95 - -
Oddre s s : 1LQ -�1. NE 0._A/_�. M5PC $ 2. 40 JDA 06/12/95
C i t y : _.__S at a DR.•_ PPRT ! 258. 00 JDA 06/12/95 --
Z i p:� � 1 Lvf_ _ .�F�h on�� r�l ! P V V- F1SPIC: ! 12. 90 JDA 06/12/95 •--•
Reg #� ��-��{.��' 8 A d.iS Additional fees not shown here. . . . . . . . .
- ----- REQUIRED INSPECTIONS -------
This permit is issued subject to the reg-
�_ilations contained in the Tigard Municipal Footing Insp Insulation Insp
Lode, State of Ore. Specialty Codes and al ). Foundation Insp Gyp Board Insp
other applicable laws. All work will be done Past/Beam Struct Rain drain Insp
in accordance with approver.) plans. This Post/Beam Meehan Water Line Insp
permit will expire if work is not starterJ Crawl Drain Water Service In
within 180 days of issuance, or if work is Plm/undslab Insp Appr•/Sdwlk Insp
suspended for more tha 180 days. PLM/Underfloor Mechanical Final
Mechanical Insp Pll_tmb Final
J Plumb Top Out NUi lding Final
Framing Insp Erosion Control
Fireplace Insp
Gas Line Insp
►�+ h o r i e d U ro b i n g Contractor Signature
Call for inspection - 639-4175
Contractor Notes :
a
ER
CITY OF TIGARD PERMIIT TS#. . . . . . . : MST95--01139
COMMUNITY DEVELOPMENT D"ANT DATE ISSUED: 06/12/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171
PARCEL: 2 7104CD--04100
a 1 TE ADDRE.55. . . : 137. 7 GW BENCHV IEW TERR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :041
BUILDING
REISSUES DWELLING UNITS: 1 BASEMENT. . . . . . . . :795 sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS.-3 GARAGE. . . . . . . . . . :625 sf
TYPE OF USE. . . :SF FLOOR AREAS------------ REQUIRED
TYPE OF CONST. :5N FIRST. . . . x1553 sf LEFT. . :B ft RIGHT. .-20 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1469 sf FRONT. :20 ft REAR. . s 99 ft
STORIES. . . . . . . :2 F I NBSME.NT:O s f REQUIRED---------------------
HEIGHT. . . . . . . . :31
EQUIRED.--.-------------------
HEIGHT. . . . . . . . :31 ft TOTAL----- - :3022 of SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . E : 214953 PARKING SPACES. . : 1
Remarks: PATH I
-----____.___------------------------- PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . -.0 BACKFL.OW PREVNTRS. . : 1
LAVATORIES. . . . . :7 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :4 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . .. . . :0
WATER CLOGETS. . :4 SEWER LINE (ft ) . :0 GRE=ASE
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTl1RES. . . . ,. :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
--------------- MECHANICAL --------------------------------- FEES
FUEL TYPES-•---•-____-- UNIT HTRS. . :O type amoi.lnt by date recpt
/OAS/ / / VENTS . . . . . :0 TIF f 1550. 00 JDA 06/12/95 -
MAX INPUT :O BTU VENT FANS. . :5 SWM $ 160. 00 JDR 06/12/95 --
FURN ( 100K . . sO HOODS. . . . . . : 1 SWM $ 100. 00 JDA 06/12/95 --
FURN ) =100K . . s 1 WOODSTOVES. :0 BPR_1 $ 720. 50 .JDA 06/12/93
FLOOR FURN. . . . s0 CLO DRYERS. : 1 BPL.0 $ 468. 33 JA 05/01/95 94-264858
BOIL/CMP ( 3HPs0 OTHER UNITS: l B5PC $ 36. 0: JDA 06/12/95 •--
GAS OUTLETS: 1 PARK $ 500. 00 JDA 06/12/95 -
Owners ------------------------------------ --MPRT $ 48. 00 JDA 06/ 12/95
CASCADE WEST CONST. CORP. MPLC t 12. 00 JDA 06/12/95 --
10445 SW CANYON RD M5PC $ C2. 40 ,JDA 06/ 12/95
SUITE=. 103 PPRT t 258. 00 JDA 06/12/95 - -
BEAVERTON OR 97005 PSPC $ 122. 90 JDA 06/ 12/95 - -
Phone #: 641-7424 EROS f 88. 00 JDA 06/ 12/95 --
Contr•ar_tor: -- ---_.________._._._--_-------_•__ERPC t 28. 60 JDA 06/ 12/95
CASCADE WEST CONSTRUCTION CORP ERPC f 28. 60 JDA 06/12/95
10443 SW CANYON RD SUITE 103
BEAVERTON OR 97005
Phone #: 641-7424
Rey_ #. . : 62678
f 4033. 36 TOTAL
This permit is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS -- -- --
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp P l Limb Top O o t
applicable laws. All work will be done in accordance with approved F o Und at i on Insp Framing Insp
plans. This pereit Mill expiry if work is not started within 180 POSt/Ream Str^Llct Fireplace Insp
days of issuance, or if work is suspended for acre than 188 days. Post/Beam Mer_han ('las Line Insp
Crawl Di,ain Insulation Insp
f mi l, I r � '.3iynat _�rF : _ Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
11v : Mechanical Insp Water Line Insp
Call for inspection - 639•-4175
SEWER CONNECTION
CITY OF TIGARD PERMIT #PERMIT• . SWR95-0181
COMMUNITY DEVELOPMENT Cffl R PKNT DATE ISSUED: 06/12/95
13125 SW Hall Blvd.Tigard,Oregon 97223*6199 (503)639-4171
PARCEL: 2)104CD--04100
51 TE ADDRESS. . . : 13737 SW DF_NCHV IEW TE:RR
SUBDIVISION. . . . : HILL.SHIRE ESTATES ZONING: R-7 PD
BLOCI'. . . . . . . . . . . LOT. . . . . . . . . . . . . :041
---------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BU I L.D I NGS: 1
INSTALL TYPE:. . . . :BUSWR I MPERV SURFACE. . : : S f
Remarks : PATH 1
Owner: -------------------------------------------------------- FEES
CASCADE WEST CONGT. CORP. type amount by date reept
10445 SW CANYON RE) PRMT f 2200. 00 JDA 06/12/95
SUITE 103 TN35. 00 JDA 06/12/95
BE.AVERTON OR 97005
Phone #: 641--742/4
Contractor: ----._-----_-._-----------------
CONTRACTOR NOT ON FILE
------------------------------
Phone #: $ 2235. 00 TOTAL
Reg #. . .
------- REQUIRED INSPECTIONS - - -
This Applicant agrees to comply with all the rules and regulations Bower Inspection _
of the Unified Sewage Agency. The permit expires 188 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 is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "lap and Side Sewer" Permit and the Agency will install a lateral.
r,mittee f:3'i c_1n�.At:1.,re : Ze
Cell for inspection - 6_9 4173
p'1
to
CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO.
CHECK AMOUNT r 6018. 36
NAME r CASCADE WEST CONSTRUCTlr)N CASIA AMOUNT 0. 00
ADDRESS r 6P27 SW CANYON CT PAYMENT DATE r 06/12/95
SUBDIVISION
PORTLAND, OR 97221-
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF' PAYMFNT AMOUNT PAI D
9UILDING PERM M9T95-0184--- 7?0. 50 PLUMBING PERM ,?'.51.4. A0
MECHANICAL PE 413. 00 ST. NUILD PER 51. 33
PLAN CHECK FF 230. 33 SEWER LISA BWP95-OIA 2poo. 00
SEWER INSPECT 35.00 PARKS SOC 500. AIA
RESIDENT'IAL. TRAFFIC FEES 1430.00 MASS TRANSIT TIF FUES 1i:10. 00
llr,.O QUALITY FACILITY FEE 180.00 HeO QUANTITY FACILITY FEE 100. 00
EfiOql[)N CONTROL PERMITFEE 88. 00 EROSION CONTROL PLPN CK e14. 60
E1409 ION CONTROL e8. 60
hITC7'i 137.37 SW SENCHVIEW TERRACE
TOTAL AMOUNT PAID 60101. :.."s6
t'
Residential Building Permit Application \
City of Tigard 1�
13125 SW Hall Blvd. C ✓�
Tigar~.i, OR 97223
(503) 639.4171
' '` ! ► r� , Ito � 1 I�
Jobsite Address:_a7 �1 ,w G_NCH E9 Ai(F
Zsubdivision: "ll - . . _. Ofce UsOnly
1tB� t #
r� PlancldRc�c #
?SZ,
valuation: ---
Permit
Comer Lot? Y
� ,•c1 Reissue of
Flag Lot? rLN/J
�',j t✓0 - '-1100
/0%"Gr.
ApproV8ls Regulred
ow"10416 aw CANYON RDrow,.t>lJ #1001
Address: BEAVERTON,OR 97006 Planningv�-
-T c)L_ ') Ip p,,4<., peks.1 1J"T Engineering
Phone: _41.1 1 i3��, l-la ',.t,; �� C�4 1742U ,ether • _
Contractor: r�f'> N M E L S A�n>_1 Items Required
Address: Subcontracturs
,rruss Details
Phone: Other L - LI L wq4
� contractor's License
(attach copy of current Oregon license) ,e0_4A O (.q I�
�or,tact Name l Phone: . T�f] 9A`( S (^'�gr3�.(oQS-� (o� PULE• cx.lonI Frov.�- E (eco-r roP G►.�
( G y I-r 4 2y z5, :5DF-,s n_lo-,ic1 re,,,_ J)ry F U,v ,a
Sul-contractors: Architect/Engineer. rAA2X ' 7,-Tj Z-t
Plumbing. 6 51 PL A-)(2„lNl:-, Address: N-I 00 S W OSpyS_ " � �zqo
Mechanical: _Y f r 2T :114 e.F-7 MITA t-- _ f ., ,\JE r -fto0 n(Z- g, 00
(attach copy of current OR Contractor's License)
Phone:
JOB DESCRIPTION: -ll`4 Ur-_ fLNC.
Appl ant Signature 6 Phche number
Revived by. ��1 A Gate Received:
Permit fl Account Description Amount Amt. Pd. Bal. Du°.,
MS -01H Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) S�3 3 51.33 /
Bldg: 3�,0 3 i
Plumb: /Z• 0
Mech:
Plan Check (PLANCK) wee• j 3 '/ �` 3G 3 s
Bldg:
Plumb: ; , a• . ,.. ,,, ,.,
Mach:
lc�i i2a•y
U�,� Sewer Connection (SWUSA) -�U 2__
Sower Inspection (SWINSP) _ .3s� 3 )—
Parks Dev Charge (PKSDC) S~�u
Residential TIF (TIF-R) 3 o 0.
Masa Transit TIF (TIF4M•17
Commercial TIF (TIF-C)
Industrial TIF (TIFa)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) O UIQ
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion PlanckfUSA (ERPLAN)
Erosion Planck/COT (GROSN) ° u oz u
TOTALS:
CITY OF TIGARD
BUILDING DIVISION
RESIDENTIAL, PLANS SUBMITTAL
APPLICANT N PLAN CHECK #
10443 BW CANYON RD.BURS 0109
ADDRESS: BEAVEATON,OR 97005 PHONE # r?
DATE RECEIVED: _.. RECEIVED BY:
CHECKLIST (AIL items must be in packet before plan will be reviewed)
YES NO N/A
1. [� [ ] ( ] 3 FULL SET'S OF BUILDING PLANS (N��ed fine revisions
or tapes-ons). ni a �� ti u•
a , � c�-U/ �tloa
2. [ ] [ ] [ ] 5 SITE PLANS(including tax load tax map number,easements,
erosion conal provisions, floor eIevatio�garage aJid main
flds�set bac*c-, drive-way 11,oaMf"on, north aLm,( , sca46,' location
and termination of rain t(rdins,all property corC,ar elevations,and
contours if over 15% grade).
3. [ ] [ ] [ ] BUILDING PLANS SHALL REFLECT TOPOGRAPHY OF LOT
(if house is designed for a flat lot and the lot is not flat, revised
drawings are required. No red lines accepted).
4. [ ] [ ] ( ] REVISION TO PLANS MUST BE FOLLOWED THROUGH
FROM ROOF TO FOUNDATION (detailed sections may be
different from the originals as a result of your changes. These
portions of the structure that are affected by the change need to
be reflected on the plans. No red lines will be accepted).
5. ( ] [ ] [ J FLOOR PLAIN(S)
6. [ ] [ ] [ ] FLOOR FRAMING
7. ( J [ ] [ ] TRUSS JOISTS (engineering, details and layouts)
8. [ J [ ] [ J ROOF FRAMING PLAN (all hips and valley supports indicated
and detailed).
— OVER —
YES NO N/A
g. [ ] [ ] ( j ROOF TRUSSES (engineering, details and layouts)
10. [ J [ ] [ ] COMPLETE CROSS SECTION(S)
11. [ J (_ ] [ ] ALL 4 ELEVAT101"I'A�,:-*SHOWN- a 3 ELEVATIONS FOR
ND
ADDITIONS A '; �fvt%eLl
12. [ ] ( ] [ J BASEMENT WALL, FOUNDATION AND RETAINING WALL
SECTIONS (will need engineering if walls are 8 ft. high or
higher)
13. [ ] [ J [ J WALL BRACING (structure must meet table R-402.10, revised
alternate method 93-7, or a lateral design shall be provided)
14. [ ] [ ] [ ] ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE
INCORPORATED INTO THE PLANS. No attachments are
15. [ J [ ] [ ] BEAM CALCUI.ATIONS (all beams over 10 ft. in length or any
beam that supports a point load).
16. [1•1" [ ] [ J ENERGY CODE PATH IDENTIFIED A
DO NOT MAKE CORRECTIONS IN RED
NOTE: A tree removal permit shall be required for cutting of all trees that are 6" or
larger in diameter at 4 feet above grade. Permit application forms are
available from the Planning Division. Two copies of a site plan showing the
location of the trees and proposed building are required with the application.
ji/submit.lst
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CITY OF T I GARD — RECEIPT OF Pwv'mrm r Rr-rE I PIT NO. 195-4-4,4856
CHECK AMUl1NT 2:30. 00
NAME i CASCADE WEST CONSTRUCT TON CASH AMOUNT 0. 00
ADDRESS s 6227 SW CAYNON CT PPYMFNT DATE s 0!5/01 /95
SUBDIVISION s
PORTLAND, OR 97221—
PURPOSE OF PAYMENT AMOUNT LAID PURPOB OF: PAYMENT AMOUNT PAID
C;HI.C'K 250. 00 -._____.._.._...�....._.._.�.._..__._.___.. _..._._..._._._...... _...._
PLANCK 5--5R
13737 SW PE~NCHVtEW TERRACE
TOTAL AMOUNT PAID ;-?50 00
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