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InitiallyGood b I N v O v f i H Q I 1 12707 SW ASCFNS70N DR WC� CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1p 24-Hour Inspection Line: 63�-4175 Business Line: 639.4171 ----- C�J-'S — _ �_VGV 1 Date Requested AMBUPPM — BLD Location--` 2-� UZ--- �kS C(5KS 1 Gly; 'Dy SLr;ce ------ MEC Contact Verson _ Ph ---__ . ? 4 Contractor _ Ph _ SWR _ 1BUILDING Tenant/Owner ELC� 7 / -.,� -5-1 Retain-ov,Wall EI_R Footing NOT REQUESTED Foundation FPS Ftg Drain FOUND DURING RESEARCH — Crawl Drain I NO INSPECTION(s) IN FILE AGN Slab - .-- SIT Post&Beam --- Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing Firewell Fire Sprinkler Fire Alarm -�----_..-_- — Susp'd Ceiling --- ---- - -_..- Roof Mise __ ----- -..------- - Final / l PART FAIL -.--.-.--------- PLUMBI t Post&Beam Under Slab TopOut _—..---- ---------- ---._ ---- --- Water Service Sanitary Sewer Rain Drains �( �Fina) PASS PART FAIL MECHANICAL -- Ros;R Real,) ---- ---- ---- - � _ Rouqh In (;as L Ir — Smoke Dampers Final _._----- PASS .-._PASS PART FAIL LECTRIAL - --- --- -- - - - - -- Service - Rough In UG/Slab ---- Low Voltage Awy Fire Alarm-PXI/ ins SS PART FAIL SITE Backfill/Grading _------� Sanitary Sewer Storm Drain ( 1 RPinsperaion fee c,t 5. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ 1 Please call for rein t, „r, ,,, �<� - [ Unable to inspect no access ADA Approach/Sidewalk Date Ins�ectrar —Ext _ -- ---- ----- Final �- PASS PART -FAIL , DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL. PERMIT PIERMIT #: ELC97--0351 1312r,SW Hall ftd, Tigard,OR 97223 (503)639-4171 DATE ISSUED: 06/09/97 PIARCEL: .-__--S104BC--03000 SITE ADDRE!33. . . : 12707 SW ASCENSION DR SUBDIVISION. . . . :HILLSHIRE WOODS ZONING: R-7 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .41 JUR I I'D I CT I ON: Pro.)ert De set,i pt i on: instl I irrigation puir // job # 7440041 — -RESIDENTIAL UNIT------ ---TEMP' SRVC/FEEDERS----- -------MISCELLANEOUS---- 1.000 SF OR I_E5S. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGAT ION. . . . : I EACH ADDIL_ 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL./PIANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 L01+amps-1000 volts. : 0 MINOR LABEL. 0 -----VjERVICE/FEEDER----- ----BRANCH CIRCUITS--- - -- - -------ADDIL INSPECT TONS— 0 1,2100 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 P,ER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN F,LANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 REVIEW SECTION--._---._------_---._. 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. ; Owner-: ------------------ --- FEES WAGNER t ypf- amo�.int by date r,,ncpt 2707 SW ASCENSION DR PRMT $ 40. 00 TAT 06/09/97 97-295667 TIGARD OR 97223 5P,CT $ 2. 00 TAT 06/09/97 97-295667 Phone #: CEDAR LANDSCAPE $ 42. 00 TOTAL, 14375 SW FIATRICIA ------- REOUIRED INSPECTIONS HILLSBORO OR 971C-3 Ceiling Cover- Undet-gt-oi-trid Covin Phone #: 628- 3411 Wall Cover- Elect' l Set-vice Reg #. . : 000058 This peroit is issued subject to the regulations contained in the yam'/�(� ,-( rix G� ____ _ Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm itt e Pignat i_lrl!/ applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended for sure than 188 days. IssLV6d P, ---------------.--__—._-----------OWNER INSTALLATION ONLY-,------f------------------------ The installation is being made on property I own which is not intended for, sale, lease, or, rent. OWNER' S SIGNATURE: DATE: —_—_—___--_.—____—_--_--_--CONTRACTOR INSTALYATION ONLY----------- _._. _ __-__...___ / i S I GNATUPE NLY------ -------- SIGNATUPE OF StA`R. ELECIN: DATE: LICENSE NO: YV Call for inspection 639-4175 CITY OF TIGARD Electrical Permit Application Plan Check s 13125 SW HALL BLVD. Recd By_ - TIGARD OR 97223 Date Rec'd Phone (503) 639-4171, x304 Date to P.E. Print or Type Date to DST Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permits Fax (503) 684 7297 _ Called__ 1. Job Address: 4. Complete Fee .Schedule Below: Name of Development- Number of Inspections per permit a:f,)wed --- Name(or name of business)__I r✓,{qN[A Service included: Items Cost Sum Address-_1a 707 5u) li5ccNsloN fig, _ _ 4a. Residential-per unit City/State/Zip T I�jt1't�2� O R q7.22 3 1000 sq.ft.or less $110.00 4 Each additional 500 sq.ft.or Commercial ❑ Residential Er portion thereof $25.00 _ t Limited Energy $25.00 Each Manuf'd I•ome or Modular 2a. Contractor installation only: Dwelling Sen ,e or Feeder $68 00 _ (Attach copy of all current licenses) 4b.Services or(Feeders Electrical Contractor E r ,4R e w . ,�, :� Installation,altr.-ntion,or relocation Address /-13 75 5L - 200 amps or,iss $60.06 I ia7RrC w "C 2 201 amps to t.00 arips $80.00 City_///I/s 6u,C'V State V/Q Zip c2 7i i3 401 amps to 600 amps s $120.00 2 Phone No. 4-� 8' -.�y it 601 amps to 1000 amps $180.00 _ 2 Job N0. 7,4400-11 Gver 1000 amps or volts 2 $340.00 2 Elec.Cont. Lice. No. Exp.Date Reconnect only - $50.00 2 OR State CCB Reg. No. S�'4 J __Exp.Date E•'.j0 y7 4c.Temporary Services or Feeders COT Business Tax or Metro No. -Exp.Date_-- Installation,alteration,or relocation 200 amps or less $50.00 Signature of Supr. Elec'n `-t. z.� G✓.-�C� 201 amps to 400 amps $75.00 401 amps to 600 amps $100.00 _ Over 600 amps to 1000 volts, License No. Exp.Date see"b"above. Phone No. 4,Zi' 3y i� --_--- - 4d.Branch Circuits r New,alteration or extension per panel 2b. For owner installations: ,i The fen for branch circuits with p irchase of service or Print Owner's Name-----.- feeder tee. Address Each branch circuit $5.00 2 bl The free for branch arcuits �- City- State Zip without purchase of Phone No. service or feeder lee. First branch circuit $35.00 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 inteno?d for sale, eF se or rent. 4e.Miscellaneous Owner's Signature___________ (Service or feeder not included) eL' -_ Each pump or irrigation circle $40.00 _� 2 Each sign or outline lighting $40.00 2 3. Flan Review section (if required):' Signal circuit(s)or a limited energy panel,alteration or extension $40.00 -_ 7 Please check appropriate Item and enter fee in section 5B. Minor Labels(1e) $100.00 4 or more residential units in one structure 4f.Each additional inspection over Service and feeder 225 amps or more the allowable In any of the above _System over 600 volts nominal Per inspection _ $3500 _ Classified area or struc!ure containing special occupancy Per hour - $55 00 as described In N.E.C.Chapter 5 In Plant - $55.00 Submit 2 sets of plans with application where any of the above apply. 5. e'ees: Not required for temporary construction services. 5e.Enter total of above fees $ `/ 5%Surcharge(.05 X total fees) NOTICE Subtotal $ - 5b.Enter 25%of line 5e for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reguired(Sec 3)NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 190 DAYS AT ANY ry c� TIME AFTER WORK IS COMMENCED. J Trust Account# 7 __ Total balance Due $ C105TMI-C"Arr Rev 996 -"-- RECEIVED ,JUN 0 9 1997 GUMMUNIIY UEVEEU►'MEN, CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : FILM97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/09/97 PARCEL: 2SI04BC-03000 SITE ADDRESS. . . : 12701 SW ASCENSION DR SUBDIVISION. . . . : HILLSHIRE WOODS ZONING: R-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :41 JURISDICTION: CLASS OF WORK. . .-NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I OCCUPANCY GRP. . :H2 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : I,) STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : it) F I X TU RE S--------- ------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREASE TRAP'S. . . . . . . : LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : inst ]. residential. backflow devices Owner': FEES WAGNER type amotint by date v-ecpt 12707 SW ASCENSION DR PRMT $ 15. 00 TAT 06/09/97 97-295667 TIGARD OR 9720?3 ;PCT $ 0. 75 TAT 06/09/97 97-295667 Phone #: Cant t-ac't, ------------------ Phone #: 15. 75 TOTAL Reg #. . : ------- REgUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Water Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other RP/Backflow Pr-ev applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 180 days. FIrt mittee 5ignatitt-0 Issited By - C(all for inspection 639--4175 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Permit # L �, Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + S'r. SURCHARGE V_—� w^• i�•�"°Ym•^" New Single Family Residences Only +••• C 1 BATH HOUSE $140 00 ❑ 2 BATH HOUSE$195.00 Job /�2 707 S AS'Ca5lO,y Jfi, 17, 3 BATH HOUSE $225.00 Address cevsfn. zb Fee includes all plumbing fixtures in the dwelling aid the first 100 feet 0 (lla of water service, sanitary sewer and storm sewer. See fees below wm•is •m• FIXTURES QTY PRICE AMT Sink 9.00 �•r^o +«• °^•^• Lavatory Owner Tub or TublShower Comb. 9.00 Gryi3i•b Zb Shower Only 9.00 Water Closet 9.00 "•—m•i.^•m+If b— 1 Dishwasher 9.00 Garbage Disposal — 9.00 Occupant •„+a ,a••• — Ph• Washing Machine 9.00 Floor Drain — 900 asa• Water Heater 9.00 Laundry Room Tray 9.00 "•^• Urinal 900 CCi1r�rZ !-r3a'AScia = 7•rt (.l b' 4 1( I Other Fixtures (Specify) 9.00 M.fnp Md••• Ph.. � 9.00 Contractor — 900 cnr�s�•i• �n 9.00 0"� 7/� Sewer 1st 100' 30.00 ///%1571104C s+i•a•wv.wn"w city a.• T••"° Sewer-ea. Addit. 100' 2500 :) ?y 3 Water Ser ica 1st 100' 30.00 I hereby acknowledge that I have read this application, that the Water Service ea. Addit 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm & Rain Drain list 100' 3000 1 am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 2500 number given is correct. (If exempt from State registration, please give reason below.) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device 900 • _�«a• •" Any Trap or Waste Not 1"'Al H'�7 - jConnected to a Fixture 9.00 �- Describe work new 0 addition Q alteration O repair U Catch Basin 900 to be done residential O non-residential O Insp. of Exist. Plumbing 40 00/hr Specia!ly Requested Insoectvns 40 00/hr Existing use of _ Rain Dram, single family dwelling 3000 building or property Residential backflow prevention devices / 15.00 Proposed use of building or property — (Except residential backflow prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL CX _ ✓S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF 5116 SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED --- F-R A PERIOD OF 180 DAYS AT ANY TIME AFTER.WORK IS COMMENCED. PLAN REVIEW 25",, OF SUBTOTAL TOTAL /S Special Conditions Date issued _by Y —_ CITY OF TIGARD BUILDING INSPECTION NOTICE Z 113 Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FICIAL: Foundation Water Line Ceiling Plumb. Post/Beam Mach, Shear/Sheath Framing -Merh1 Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect 3 Post/Beam Struct. Mech. Rough-in Gyp. Bd. -BI-Z) San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: _ ` 1( d ( C - M. _P.M. Qntry: Address: Tenant: Ste: MST: Con/Own: l O Q 7 _ MEC-- PLM: EC:PLM: J9E bLL2wING fOORRECTIONS ARE REQUIRED: ELR: zzln 4&g Dat ZAPPROVED ore:_DISAPPROVED/CALL FOR REINSP. CF CO 4 t ;iii CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 CE:RT T F I CATS OF 0(:'Ci_1F'ANCY PERMIT #. . . . . . . : MST96031ai DATE ISSUED: lr�'/17/96 PARCEL_s 0'S t Q4BC—HW041 SITE ADDRE`:aS. . . s 12707 SW ASCENSION L}R SUBDIVISION. . . . : HILLSHIRE WOODS ZONING3R.,7 PI) BLOCK. . . . . . . . . . . Llai.. . . . . . . . . . . . . :�� 1 CLASS OF WORK. :NE14 TYPE: OF USE. . . s SF TYRE OF' CONSTR s 5N OCCUPANCY GRP. :R3 OCCUPANCY LOAD:2 Remavks :; PATH I Owners -_._.__.�.___...__.. ...._. ...... _._ W I NDWOOD HOMES 1407E SW SENCHVIE'W TERR T 114ARD OR 97200 Phone #t 590--4700 [:ontractor ; _ _._..._._ ..........___._ ._._ .._......_.__....._.... _.. .-.. WINDWOOD HOMES t4076 SW SENCHVtEW TERRACE F I GARD OR 972P4 Phone #c 590-4700 Rell M. , s 050196 [hit Certifirate yrAr-its ocr,upenc.y of the above referenced building or portion f herpaf -arnd confirms that. the building has been inspected for compliance with t:he ,tate of Oregon Speciatty Codex for the group, rccup ncy, and A, under which the ref erenckd permit was issued. l?l1ILDING INSPECTOR FUII_DING U FICI POST IN CONS)P I CUOUS PL AC E ASTER P, CITY OF TIGARD FRMIT #.. . . .P. . : MST96 -0.:,1,:.,/ COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED:D: 07/01/96 13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PIARCEL: 29104131.;—I.1W041 SITE ADoltL'_,.1. . . : 1—,/10/ bW ASf:ENS 10N DR SUBDIVISION. . . . : F1 I LL.SH I RE WOODS ZONING: R 7 F'D F3LOC.a,. . . .. . . . . . . . LOT. . . . . . . . . . . . . : 41 Remarks: PATH I -------------------------------------------------------------- - BUILDING ---------------------------- --------------------------------- REISSUE: STORIES.......: 2 FLOOR AREAS----------- BASEMENT...: 0 sf REOUIFL-A SETBACKS---- REQUIRED------------- CLASS OF WORK.:NEW HEIGHT........: 27 FIRST....: 885 sf GARAGE.....: 400 sf LEFT..........: 5 SMOKE DETECTRS: Y IYPL OF USE...:SF FLOOR LOAD....: 40 SECOND...: 805 sf FRONT.........: 20 PARKING, SPACES: 1 TYPE OF CONST..5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT......... : 5 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 T01AL------: 1650 sf VALUE—$: 116115 REAR..........: 95 ---------------------------------------------------------------- PLUMBING ---------------------------------------------------- SINKS......... --------------------------._SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 L'1TCH BASINS..: 0 TUB/SHOWERS...: 2 GARBAGE DISP.. : I WATER HEATERS.; 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GP0SE TRAPS..: 0 OTHEh FIXTURES: 0 -------------------------------------------------------------- MECHANICAL ----...-------------•---- FUEL TYPES----------- FURN t 100K ..: 1 B01L/CMP l 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 /GAS/ / / FURN )=10( ..; 0 UNIT HEATERS,.: 0 HOODS.........: 1 OTHER Uf+ITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1 --------------------•----------------------------------------- ELECTRICAL ------------------------------------------------------------- --RESIDENTIAL UNIT--- ---SERVICE/FEEDER----- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF Ok LESS: 1 0 - 200 amp..: 0 0 - 200 asp.. : 0 W/SVC OR FDR..: 0 PUMPA RRIGATIDN: 0 PER INSPECTION: 0 EA ADD'L 5005F.: 3 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BF CIN: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDR: it 601 - 1000 amp. : 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 ---------------------------•------- PLAN REVIEW SECTION ------------------------------ Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAU CLS AREA/SPC OCC: -------------------..-_.------------------------- ELECTRICAL - RESTRICTED ENERGY -- A. SF RESIDENTIAL-------------------------- B. COW-RCIAL------------------.----------------------------------------------------------- AUD10 6 STEREO.: VAGI M SYSTEM..: 14UDIO II STEREO.: FIRE ALARM..,..: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSUIPE/1ARIS: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MED1CAl........t OTHk: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL t SYSTEMS: N Owner: -----------------------------------Contrac`or: -------------- - - -- - TOTAL FEES:$ 4363.02 WINDWOOD HOMES WINDWOQU HOMES 14076 SW BEW HV1EW TERR 14ufb SW BENCHVIEW TERRACE TIGARD OR 97224 TIGARD OR 97224 Phone t: 590-4700 Phine A: 590-4700 Reg #., : FAIN This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done :n accordance with approved plans. This permit will expire if work is net started within 180 days of issuance, or if work is suspended for more than 180 days, -- REQUIRED INSPECTIONS -- -----_ -_------------------------------------------- Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final roundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control Past/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final Post/Beam Mechan Electrical Serv: Fireplace Insp Rain dram Insp Mechanical Final Crawl Drain Electrical Roug Gas I.inr InZLZ ater t.ir.e Insp Plumb Final �'er,millttee i4natr-ti-e : 1sslied Lall for inspection - 639-4175 SEWER CONNECTION CITY OF TIGARD FERMI #FERMI.. . . . . . . : SWR96--0304 COMMUNITY DEVELOPMENI DEPARTMENT DATE. ISSUED: 07/01/96 13125 SW Hall Blvd, Tigard,Oregon 0127.3.81,19 (503)839-4171 PARCEL: 2S104BC-HW041 31 1 L faUl kL_'- j. . . z 1 L 70 7 5W ASCENSION DR SL.INDIVISION. . . . : HILLSHIRE WOODS ZONING: R--7 PF) BLOCK. . . . . . . . . . LOT. . . . „ . . . . . . . . ..41 I'ENANT NAME. . . . . : iJSA NO. . . . . . . . . . : FIXTURE UNITS. . . 0 CLASS 01= WUFRK. . . :NEW DWELL i NG UN I TS. . 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 1 NS TALL TYPE. . . . :DUSWR I Mf ERV SURFACE: 0 f Remarks : PATH 1 Owner: ______. ____.._._______._._____--.----_---•--____.____.__.__.____ FEES WINDWOOD HOMES type amos.lnt by date r,ecpt 14076 SW BENCHVIEW TERR PRMT $ 2200. 00 J'SD 07/01/96 96-281210 INSP E 35. 1110 JSD 07/01/96 96-281210 TIGARD OR 1:T72c4 1!1.1one #: 590-4'700 I.:ont r,act or-a CONTRACTOR NOT ON FILE ---------------------------------------- E 2235. 00 TUTAI_ Req ------- REUUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulationsSewer- Inspection of the Unified Sewage Agency. The permit expires 1810 days from the date 15sued. The total amount paid will be forfeited if the permit expires. The Agenci does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measur-emerf given, the installer shall prospect 3 feet in all directron5 from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and theAlency mill install a lateral. I-'e r m i t t e e fS i kI n a t u r e: �0— I s s r.r e d 1� — Call for, inspection 639-4175 Residential Building Permit Application City of Tigard 13125 SW .Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: /� ?�V $W A sc 1'! Subdivision: � {�)LL 5-H 2 c ) tondS Lot#_ 441 Office Use Only Contact Date / / Initials —� Valuation: f l�� — Result New Construction Only: (Square Footage) Planck/Rec 'fi _ Permit #_ House. _. —_-_-- Garage —_— of of Map & TL # Corner Lot? Y N Flag Lot? Y N Zone Plat # Owner: _J'a �Q<�,L �4nyr,)kc ((0 Approvals Required Address: - � A Planning Setoacks � Solar — Engineering "r Other Phone --- — --- Items Required Contractor: Subcontractors Address: _— --- Truss Details Other -- --- ---- votes j.l _2 tL4,A Phone: �_ 1 Contractor's License (attach copy of current Oregon license) Contact Name T f < < -- Contact Phone Subcontractors: Architect/Engineer: Plumbing Mechanical. /� J ,``�'1CC-'t. (attach copy of current OR Contractors License) Phone JOB DESCRIPTION Applicant S gnature t Applicant Phone number Rc,eived by '` t ` f,t Date Received. �^ 4M _ _ !•Oermit Account Description Amount AML Pd. Sal. Due �J 81da. Permit (BUILD) U?:. 51 Plui,:' . Permit (PLUMB) Me i Permit (MECH) ✓ '�' �/3• Ste' Su a-Lax (TAX) � G 'iumb: / Mech: _ Plan Check (PLANCK) 34, Bldg. Plumb: Mech: _ p� �� Sewer Connection SWUSAI UU v Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) 0 1(17o 1111ass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) _ Office TIF (TIF-O) _ Water Quality (WQUAL) Water Quantity (WQUANT) , l U d Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRM't Eresicn PlanciuUSA (ERPLA Eresicn Planck,'COT (EROSN) TOTALS: I i aAX o �S`f — f ,► it rntIJ'CtW S�rrr�l (`a�v.�Zj(2AI(yt �� c�Q�►� ,�L -�r S _ �1ar5c t2SJr.NJ _