14097 SW LIDEN DRIVE 0
r.n
f
4
H
M
_ 14097 SW LIDEN DRIVE
,otaoITY OF T I GARD CERTIF' ICOTU OF:
COMMUNITY DEVFLOPMENT DEPARTMENT OCCUPANCY
13145 SW Hall Blvd.Tigdid,Or#,gon 97223*8IF9 (503)679-4171 PF'I?MTT #. . . . „ . . c MST93
171 1 TE ISSUEDc
'A rE ADDRESS. . . c 14097 SW L.Ar4"N oR PARCEI- a OS104BB-04300
'7;U81)T V 16 1 ON. . . . : CAGTLE HYLL ON 1 No c
1LOCK. . . . . . . . . . : LO'T . . . . . . . . . . . . 101214
(A
I-ASS OF WORK. s NEW
r YPF-.. OF USE. . . a aF"
OCCUPANCY ORP. cR3
OCCUPONCY L.0AVc116 4
F.*Ne=1\11NOME'.
'HL(IDEH BARICEVIC
;V1480 EASrPIDGE #jj'Iib
:10ri'tUIND OR '.'.17225
29E,--!1jqj!5
Contractors
TRI-COUNTY '11-01P CON'rR01-
136!-`11 SE AMBLER RD
ULACKAMAS OP 97015
Phone #t *777-3874 (IR
Reg #, . - 72623
Dr-,cl.ipancy or' the above referevired Lutlding is hereby given, And certific,
the rompl5anre with the i;tatp r1f Ov-090r) 5pecialty Codes for tho group,
ocLupam.y, and f.tse under wFjjct-, the t-r,.i-cv,L*ticpd per-mjt
wa.s
V
FIRE DEP(IRTMENT '1-SLj1bDING SPIECTOR
BUILDINd V-1:'YCIA1
POST IN CONSPICUOUS PLA!!E.
Page No. 1 CASE HIETORY FOR CASE NO.: MST93-0107
MLADEN BARICEVIC
1409'; SW LIDEN DR
12/29/98
Action Description Rey/ Schd/ End/ Action Not,s Disp By Upda_e
Code Sent Done Done Date AV
MSTA007 Application received / / / / 02/22/93 PASS JLH 02/25/93 BLT
MSTV030 Plan check deposit paid / / / / 02/22/93 PASS JLH 02/25/93 BLT
MSTA020 Plan check by 02/25/93 / / 02/25,'93 PASS RT 02/25/93 BLT
MSTA030 Check for prcl. restrict. / / 02/25/93 02/25/93 PASS RT 02/25/93 BLT
MSfA092 (F) Issue co•,tbination permit / / / / 03/03/93 PASS JLH 03/03/93 JH
MSTA097 Issue plumbing signature form / / / / 03/03/93 03/03/93 J14
MSTA705 Foot/found Insp / / / / 03/05/93 N/R OS 03/08/93 GES
MSTA705 Foot/found Insp / / / / 03/08/93 APP GS 031108/93 GES
MSTA705 Foot/found Insp / / / / 03/09/93 changed ftg due to bad dig APP GS 03/09/93 GES
MSTA110 Post/Beam Structural / % / / 03/18/93 PASS :'!3 03/18/93 MRS
MSTA711 Post/Beam Mechanical / / / / 03/18/93 PASS ME 03/18/93 MRS
MSTA717 PLM/Underfloor / / / / 03/18/93 need nail plates where you npenetrate PASS MS 03/18/93 MRS
mud seal
MSTA720 Mechanical Insp / / / / 04/20/93 APP C^ 04/26/93 GES
MSTA722 Plumb Top Out / / / / 04/06/93 PASS 04/07/93 MRS
MSTA725 Framing Insp / / / / 04/20/93 DIS G6 04/20/93 GES
MSTA726 Framing <REINSP> ! / / / 04/23/93 APP TLP 12/10/93 TLP
MSTA735 Gas Line Insp / / / / 04/20/93 APP GS 12/10/93 GES
MSTA'140 Insulation Insp / / / / 04/23/93 PASS TLP 04/27/93 TLP
MSTA745 Gyp Board Insp / / / / 04/27/93 APP GS 04/27/93 GES
MSTA755 Rain drain Insp / / / / 04/01/93 at house only PART OS 04/01/93 GES
MSTA755 Rain drain Insp / / / / 04/26/93 riin drain complete PASS MS 04/26/93 MR
MSTA755 Rain drain. Insp / / / / 05/17/93 PASS MS 05/18/93 MRS
MSTA760 Water Line Insp / / / / 04/26/93 PASS MS L5/18/93 MRS
MSTA795 Mechanical Final / / / / 08/25/93 SEE REPORT PEND RB 12/10/93 GES
MSTA795 Mechgnical Final / / / / 12/15/93 PASS RB 12/14/93 RS
MSTA197 Plumb Final / / / / 08/25/91 PASS MS 08/26/94 MRS
MSTA799 Building Final / / / / 08/25/93 SEE REPORT PEND RB 12/10/93 GES
ASTA799 Building Final / / / / 12/15/93 PASS RB 12;14/93 RB
MSTA960 (F) Issue Cert. of Occupancy / / / / 08/25/93 JF 09/14/93 JF
MSTA960 (F) Issue Cert. of Occupancy / / / / 12/15/93 PASS RB 12/14/93 RB
MSTA970 Case Finaled / / / / 12/15/x3 PASS RB 12/14/93 RB
MSTO706 Erosion Control / / / 01/11/94 SILT RAPRIFR NEEDED FAIL RB 01/12/94 RB
C'TY"OF T'VA RD MY Ili_.4131ER VIERMIT
COMMI0.1rTY DEVELOPMENT DEP'ARTMENT 01111110= PFRIvI I I ft. . . . . . . ' 1ST'93--V1i.V17
197 TlgaM,Oregon 97223 (5M)6394175 771*
13125 SW Fir.OW. P.O.Box 23.
I I l•- iiUbHESra. . . : 14097 SW LIDEN DR P A R C F.i.i C' S.L Q 4 LA b--v1,4 3 w 0
)UB
1-
- ]DIVISION. . . . 4 CAt.31LE HILL L Oil I Nu
BLOCK. . . . . . . . . L Li I . . . . . . . . . . . . . ;VIL4
BUILDING .......
REISSUE: DWELLING UlqlT*S: l EAASEIIF N-1.. . . . . . . . :0 5 f
CLASS OF' WORK. -.NEW b E D R M5-.3 BA*I'HS:2 GPIRf.'JUE... . . . . . . . . . 9'+61zl 3F
T_YPE U1. USE. . . :SF FLOOR AREAS--------•- --- REUUIREI) SETBACKS-
TYPE OF CONST. c 51\1 F .1 RG T. . . . : 1549 s;f LEF1'. . 1 1 ft ft
OCC-UPONCY GRP. :R3 SECOND. . . :12, s,f F'RON'T. 120 ft RLAR. . :2e ft
'::)'T*OR I E 5. . . . . . . - 1 T t I I RI). . . . .0 s RF-_'QU I RED—
HL 161-1 .. . . . . . . . . 16 ft TOTAL-------- 1::;49 S .I. SMOKE DETEGIORS. -tY
11_00R _0AD. . . . :40 psf VA1_.UE. VJ534 PARK 1116 5 P'A C EG. 1
H e in A r k s -. F,(4 T'H I
PLUIVILA I N6 ------------------------------- ---- -
I NKS. . . . . . . . . . : 1 FLOUR DRAINS. . . . 30 BACKFLOW PREYNIF
L_HVATORIES. . . . . .. 3 WATER HE(YI'ERS. . . : 1 TRAPS. . , .. . .
I(.113/13HOWERS. :2 LAUNDRY TH()'YG. :0 CATCH bA5IN;*.
WATER C L 0 Sr'-_'r S. :� SEWER LINE (f't ) . :0 GREAbE TRAPS. . . . . . . 10
1)1 SHWASHERS. . . . : 1 WArER LINE ( ft ) . : 100 OTHER F I X I URLb. . . . . 10
6ARB(IGL D1SP. . . : 1 RAIN DRAIN (ft ) . :0
.DASHING MACH. . . I SF* R0114 M-111\1S. . : 1
ULL I UINI I 1 1.11 HS. . :11, -type Aniol.int 1j)Y (Data verpt
LOS/ vLI\H 5 . . . . . :0 T I F 14L,0. 00 'H 03/03/93
,IAX INPIJT .0 BTU VENT Ff1103. . : 3 D�_*,R 1 00 J'A 1113/03/13
URN ( 100K . : I HOODS. . . . . . : 1 BVILC L 4,?. 4 5 JLH 0c/;::''c'/-4:5 93 -2,5 w.,
f URN 11001-k . .0 WOOD'i'T OVL . :17) 135PC b 18. 65 JH 03/03/ '13
ILOOR FURN. . . . :0 LLLJ DRYERS. : I SSDC 280. 00 JH 03/x.:13/9;3
OCAL/CmP 311P..0 OIHLR UI\IIJ5: .L PARK s 500. 00 111 0 3 111�;1'-M
U(:)S (JU 1 1_17.T 5: 1 MPRT * 40. 50 ,JH 1713/035/93
I to)n e r $ I V1. 13 JH 03/03/93
IvILODL-M BORILEVIL MbPL $ ?. 0;3 JH 143/03/93
1,0480 E174STRID6F... 4106 R 1 1, 1::`5. 00 jr4 03/1113/93
1051L 6. i JH 03/03/93
0ORIL(IND OR
1Iticme #1 291--5915
IRI r.ULJN"FY rEMV, CONTROL
1,3-b'_t1 SL 014BLER RD
LILOCKMOS ON 9i0itj
I-Itione 0: 777---3874 OR
101`F11_
This pervit is issuea subyrt to the regulations contained in the RLUU I PEI) INSPE:(J IUM;, -
Tigard Mu'.1ciPal Lade, State of Dye. Specialty Codes and all other Fcmi /fc)Lmtj Itir-P F=ir-eplace limp
applicable laws. All work will a# done in accordance with Ppproved Post;'beem Stv#.tut Gas Line Insp
Plans, This perait will expire if wark is not started within 180 Post/Beim Necf),m Insi-elation lnsFi
days of issuance, cr if work is s�ispended
forlr� the
180 nays, FllmA/unds;Jab ltirp byrbeard Insij
e1PLAI/Onderfloov Hain LirailITS
P
ermittee II.%LI..tre . A IvIe(: )jA111q.a1 111sp Water Line InsEj
PIL%mb 1up 01-it f4ppr/Sdw1i( Ins:p
IssliecJ BY : Vl-anli'IL4 1099 Viiial.
Call fnr in u I:w e c t i un i - 634 -it 1*75
CITEOFTIORRD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT OFTWA f*',E H 111 V
121255W Hall BW. P0.Box 23397,'flqiud,0,ogon 07223(SM)6394175 MOON ,F f7hrlll #. . . . . . .
I)HI*L-,. ISSUED: 03/03/93
SI'TE ODDRESS. . . 14097 SW LIDEN DR PIRCEL:
'iUBDlVISION. . . . CAS-ILE HILL ZONING:
i3LUCK. . . . . . . . . . .. LUT . . . . . . . . . . . . . :024
IENANI NAME. . . . . :
� 41 NO. . . . . . . . . . : F1XTLlHE UNITS. . .
-I-AiL"S OF WORK. . . :NEW DWIELL 1 NG UN I f S. I
Of: USE. . . . . :5F NO. OF BUILDIN65: 1
INS T ALL TYPE. . . .DU5WH IMPERV SURF()CE. f
P(ITIA I
FEES
BriR1(.-,EV1C Lypp amol.111t by date t-ecpf
10480 LfISTP11)GL #106 PRMT L100. 00 JH 03/03/9- 3
INSP $ 35. 00 JH
OURTLr)ND OR 97u215
Plifivie If: C' 92---5915
LDTI-tractclir,:
C'UNTROCTUR NOT ON FILE
'5. 00 TOI (-IL
REQUIRED INSVILLVIONS
!his Applicant agree: to comply with all the rules and regulations Sewer- Irispectic)ri
if the Unified Sewage Agency. The permit expires 180 days from
.he date issued. The total amount paid will de forfeited if the
oervit expires. The Agent., ones not guarantee the accurici of the
tide sewer laterals. If the tewe. s I.at iocated at the measurement
given, the installer shall prospect s feet in all directions from
the distance given. If not so located, the instalier shall purchase
"Tap and Side Sewer" Permit and the Agency will install a lateral.
e I-in i t;-t e e 5 i q i I at i.i v,P -
............
I s%l..t e d LA
r-
Lall tor- iriEpec-uion 639--41 75
a
TIGARD
13123 SWHsi1IINX PLUCK/RECTCITY .OF PERMIT #
COMMMITV DEVf�,LOPMENT DEPARTMENT Tigard,Oregon 97
(503)6391171 DATE ISSUED
JOB ADDRESS: 14o9? 5 LIden fir TAX MAP/LOT 2$Ioc/ ,3a —Gc/3oo
SUB: e '*SrIE "ICL LOT: L y LAND USE: _
VALUATION:
OWNER SPECIAL NOTES
NAME: �YL4.t>>�'�/ � icVi� _ REISSUE OF:
ADDRESS: /(9 '�8� s(� �'¢-� 1��f -914) LAST RLISSUE:
(,¢0& 1912. `�7Z z,r" FLOOD PLAIN/
PHONE: S- SENSITIVE LAND:
a.
CONTRACTOR APPROVALS RE. UIF D
NAME: t"1• zll � t�K' l��'¢ aF h'FS PLANNING:
ADDRESS: F,¢ -ov/C-4— ENGINEERING: —
'���z?z 11222 1— FIRE DEPT:
PHONE: _ =�Z �T`� �s OTHER:
CONTR. BOARD #: :J F3 5 EXP DATE: /2 /� `P --
IT MS ALQUJ REO
SUBCONTRACTORS: PLUMB: .) 6Z LIST/SUBCONTRACTORS:
MECH: ��l — ry �-�� y�.t\ .�' �r7 BUS TAX:
ARCH/ENGINEER
• 1LCULATIONS:
NAME: Z A," ?'¢T T TRUSS DETAILS:
ADDRESS: Z 7 0 r--;, *,i w _ /� 5 �' OTHER:
lye ?A r�- -�
PHONE: — v 4 J U Zy Z
PROPOSED BLD:. USE: _ fS / �� f; L
COMMENTS: -
APPLICANT SIGNATU
Received By:
Date Received: 2 �3
�_
i
PERMIT # ACCT # oESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
5 3 v/0? 10-432 00 Building Permit Fees J3', — _ 375,
_ 10-431 00 Plumbing Permit Fees
—
10-431 01 Mechanical Permit Fees a ° . _ v, SZ
10-230 01 State Building Tax (5%) 7-3 (el y3
Building6�_ .
P umb i ng d, Z a
Mechanical ,2.0.3
10--433 00 Plans Check Fee Z S .L•S -z� _ 2 Is
Building 2y2 •4.5
Plumbing
Mechanical
10-230 06 Fire
5�•��y3 ua9l 30-202 00 Sewer Connection -2/ ,)o
30-444 00 Sewer Inspection 3
25-448-02 Commercial TIF rees
25-448-04 Industrial TIF Fecs
25-448-06 Institutional TIF Fees
25-448-03 office TIF Fees
25-448-01 Residential Traffic Fees /3.5 S 0 -" —_ % 3 5c�
?5- 448-05 Mass Transit TIF Fers
52-449 00 Parks System Dev Charge (PDC) S a v
31-450 00 Storm Drainage Syst Dry Chrg
(SSDC) v?SCJ --
24-445-01 Water Quality (Fee in lieu of)
2.4-445-02 Water Quantity (Fee in lieu of)
TOTAL �•v1 1 S� _ i
nm/3587P.WP1'
/�C u DEPARTMENT OF LAND USE& TRANSPORTATION
WASHINGTON LAND DEVELO^TENT SLRVICES DIVISION
155 NORTH FI, ,HILLSBORO,OR 97124
COUNTY, INSPECTION RILQUESTS: 503/640-3561/693-4415
PHONE: 503/648-8761
OREGON ,,age
Date 04/19/93
'I'i me 08 : 41
l-'erntit 'Type Residential Electrical i _t ru; i hermit # 05t►391.,26
t1nrntit status APPROVED Applied 04/19/93
�'ituo Addres^ 14U9'/ ;3W LIDEN UH 'E'1 Issued : 04/19/93
tle?tM .t 'Title Sh'kt - IJLEC/NEW HUUSE Completed
Peimit Uescr, '1.'o Expire 10/lb/93
r?rojeet Title El - ELIC/NEW HUUsL Project # t P003U5:36
l.rro lett Uescr .. * E12US1UN
trarcel. Number ZSI'1.'I - Land Use Uist.rict
valuation U
I.retlal Descr ,,
c-►Wtier 1 NSPECTJ0N -- '1 1.GARD Construct ion O'FH
Applicant Name CHANDLER ELL;C'1'k1(2 Classification 900
Appl i coarct Addr .. : 3 h 21 SW CARSON UK Ocrupanc y RJ
POR'I'LAND, OR Validated by KI-'
Aoplicarlt Phoney : '145-'/ /'/4 Inspector Area
C'ON'1RA1.'1'U11 : U.W. CHANDLER Lic , C 16-5240 245
h'ee descripf. iori Units E'ee/IlnI.t Ext tee Data
:;quare h'oot.arle f Enter � .a . F't. . J 2"100 --- --_ 130 , Uf.►--- -
.7ubtot.al Electrical. Nees : U 130 , 1JU
burcharge of','►, a 6 . 50
J,-)tai Electrical k ees : 0 136 , '.afi
A ** h ees Required *** * * Fee:; Collected & Ci edi is r *
Receipt No. Date Payment.
04/19/93 1 iti . SU
10'1'AL '1'H: DM.'E
Nees : 136 . `30
At JuStMonts : . 00 'Pat-al Credits : . 00
'Total Payments : 136 , 50
balance L)ue : 00
I
NOTICE This permit becomes,cull and void I1 the u.ndi or construru-n Tit which It Is Issued Is not commenced within 160 days. Once construction has started,
the perm;become-.null and void If construction Is Interrupted for a period of 100 days I canify that the Information presented by the applicant and
his agent or v-nls In support of this permit Is true and correct to the test of our knowledge, I acknowledge flint the Building Department's rellance
upon false and misleading Information may Invalidate this permit. All prvvlslons of app Icable laws and ordinances governing the construction and use
of this building or structure will he compiled with whether or not specified on the plans or noted on the plans correction$heels. I acknowledge that
the grnnfinq of a permit does not grant authority to access private property or to use easemnnts. I further acknowledge that the use or occupancy of
th:e structure or building permitted r'-pends upon my tailing for Inspections at varfou,�times during the process of construction and the building
'nspectloo staff verifying complien,;e with the various cafes. Use or occupancy of the building or structure permihed prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
Approval Is given by the Building Official, I further acknowledge that a Ilen may be pisce.t on the title of the property upon which the permit Is Issued
specifying that the use or oc.:upnncy of the building or structure-Is provisional and revs.able until the satisfaction of all Inspection recir Iremenls
APPLICANT'S SIGNATURE _
WASHINGTON COUNTY ELECTRI�'AL PERMIT
Department of Land Use & Transpoitation ...
Electrical Inspection Section APPLICATION
155 North First Avenue #350-12
Hillsboro, Oregon 97124
Information,- (503) 640-3470 Fax: 1503) 693-4417 Proiect/PermitPLEASE T '� % l�..��(
Numher _ / Date
t'N
• - • : . 4. Complete Fee Schedule blow
Nu;rhor of Inspectlons per permit allowed
1. 1_oeation of installation Service incluoed: Items Cost(ea.)� Sum
Address C, A. Residential-per unit
.. ,,�/ Building
City TI .i:-1 Suite No. _ 1000 sq.ft.or less ,l $85 W -_ 4
Tenant Name — Each additional 500 sq.ft
or portion thereof $15.00
(if commf;rcial) Limited Energy $20.00
Each Manuf d Homa or Modu'ar
Directions Dwelling Service or Feeder $40.00 ___ -__, 2
---- B. Services or Feeders
Installation,alterations or relocation
--- - 2W amps or less $5100 - 2
Commercial I Residential X 201 amps to 400 amps $6tt,00 2
401 amps to 600 amps _--- $100.00 ___ 2
601 amps to 1000 amps $130.00 _ 2
2a. Contractor installation only 3o
Crer 1000 amps or volts So-00 —. 2
Reconnect only $40,00 —_i 2
Electrical Contractor t'�-i4�'bl t V C CFC'7uei�+
Address 3 S_?. _SL-11 (`,07 1c94/ -r*? C. Temporary Services or Feeders
Date_i __ Job Number Installation,alteration or relocation
Property Owner _�l/;do* 3- r c_tv, r 21W amps or less $40.00 __ 2
Contractor's License No. —2-0- (fG 201 amps to 400 amps $55.00 - 2
- 401 amps to SW amps _- $80.00 2
Contractor's Board Reg. NO. 1'2-0 E' -__ Over 6W amps to t o00 volts see W above
Signature of Supr. Elec'n ''`"'-L �-- _ D. Branch Circuits
License No. Phone No. — New,alteration or extension per panel
a) The fee for branch circuits w/th
purchase of servke or leader lea.
20. For owner installations: Each branch circuit $2.00 _ 2
b) The fee for branch circuits without
purchase of service or fsedor lea.
Print Owner'sa� me -- i hohong No first branch circuit -_ $35.00 2
— ---- Each add'nl branch circuit $2.W 2
Address E. Miscellaneous (Service or Feeder not included)
city State Zip `` Each pump or irrigation circle WOO _ ___-_ 2
Each sign or outline lighting . $40 W 2
The installation is being made on property I own Signet circuit(s)Wei,
al a limited
energy panel,alteration
which is not intended for sale, lease or rent. or extension -__ $4000
Owner's signature F. Each additional inspection over the allowable
in any of the above, per Inspection
3. Plan review section (if required,, $3500
S. Fees
A. Enter total of above fees $ _
5% Surcharge (.05 X total fees) $
Subtotal $ _
B. Enter 25% of line A for
For Inspections call Plan Review R required (Section 3) $ -
64: -3561 or 693-4415 Subtotal $ _
24-hour recorder, Less Bulk Label Fee $
one working day in advance of need Balance Due $
This permit becomes null and void If the ork euthorized by the permit Is not commsnc►d within 180 days from date of Issuance
of such permit m If the work authoriteti i-suspended or abando..+d of any time after work Is commenced for a period of 180 days.
Electric!I Permits are non-refundable and non !rsnsferaole. 10/91