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12765 SW ASCENSION DR
CITY OF TIGARD
DEVELOPMENT SERVICE"
1317.5 5W Hall Blvd., Tigard,OR 97223 (503)639.4171
CERTIF Im"m OF
OC1 UPONCY
PERMIT d1. . . . . . . a MSC95-k}4�a+
LATE ISSUEDc 1220/96
PARCEL.: 25 i 04BC; HW0.3E1
I TE: ADDRESS. . . 1 10-,76a SW ASC:ENS 1011 DR
.UBD I V I S I ON. . . . a HILL SIA I RF WOODS
Z JN I NC:R 7 l'U
�LOC:K. . . . . . . . . . . L-OT. . . . . . . . . . . . . :38
.LASS OF WORK. cNEW
YPE OF USI:.. . . :3F
1 YPE: OF C;ON5T R s 5N
ICC,'UPANC:Y GRP. s R3
ICC:LJP4NC;Y LL"')AD:P
tomarks c t•0144 I
-d I NDWOOD HOMF�, INC"
1 407E
iW BE'NC'HV I C W TI,FIRAC:E
1 IGARD OR r'"c _4
�'h o n p #: 5-.4-4700
41 NDWOOD HOMES
14076 SW BENC14VIEW TEPRACL
( I UARD OR 972c'4
4-�h nn a #1 51)0-.4'700
050196
This Certificate gr^amts ncc,Uparrrcv of the above referenced bc.tilding or, portion
uherenf ord confirms that the hi.rxluing has been inspected for compliance wif ,
hhe Estate of Oregon Specialty Codes for the prouP, r_.cupan _ anci use under
,shir_h the r^efer ?ric ed permit was is,;,ued. ,
' r
IlC1I1_61NG 1 PECTOR WILDING OF'F'IC".IAL
POST IN CONSPICUOUS PLACE
PLUMBING PERMIT
CITE( OF TIGARD PERMIT #. . . . . . . : M5T95-04"
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/17/96
1525 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PARIEFL : 00104BC-HWO38
SITE ADURKS�:":. , - - 1i:1765 SW ZONINGt R-7 PD
GUBDIVISTON. . . . HILLSHIRE WOODS
41 OC1-*1. . . .. . . . . . . LOT. . . . . . . . . . . . . 138
I
-AGS 01- WOr?.K. . :MST1)7j-04!50 GAPBAOF 5TF" BACKFLOW PREVNTRS. . : A
'YV,E CIF USE. . . -NEW WASHING MACH. . . . . . . . T RAP A PS
XCUPANCY GRP. -St" FLOOR DRAINS. . . . . . . : 0
STORIES. . . . . . . . ..2 WATER HEATERS. . . . . . : I CATCH BASINS. . . . . . . 0
I 'IX*I'I.JPES--------------"-'-'.- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . .
'-3 1 NKS. . . . . . . . . . 1 1 GREASE TRAPS. . . . . . . :0
,AVATORIV:5. . . . . -. 4 OTHER F I XTUPr . - - - - :
ILS
rUB/SHOWERS. . . . 1 2 SEWER LINE (ft ) . . : 0
APTEP CLOSETS. . 1 3 WATER- L INF I ft ) - , ' 117+0
DTSHWAiHFRS. . . . RAIN DRAIN (ft ) - - 9 0
PATH I
OWNER: ------------------------------- -----
WINDWOOD HOMES INC TIF S 1470. 00 JH 01/17/96 96-274986
TIFM $ 120- 00 JH 01/17/96 96-274988
14076 130. 00 -
11-1 01/ 17/96 96-2749(38
.3W I3E-J\jC1A()IEW T[ PRACE Skim
FIGARD OR 97224 SWM $ 100. 00 JH 01 /17/96 96-274989
Phone #: 590-4700 FUITF $ 1&0. 00 JH 01 /17/96 1G-2749nR
ELC5 $ 8. 00 JH 01/17/96 96-274988
Plumbino Contractor : - F,L P P s 40. 00 JH 01 /17/95 96-2749813
ELR5 $ i" 05 JA 01/17/96 96-274988
Name : o DPRT $ 453. 00 J11 01/17/96 96 -2*74988
Addre,, 0 6014 111 LP C) B PL L 100. L710 10 11/J tv/9`i 9 5 7:'y48
17+1 /1,7/96 9 -27 4 -)S@
C i t v Iola JH 01 /17/96 96-L74980
orl 0C)q 500- 00
' lipAdditional fees rat, shown h0rP. . . . . . . .
C)
-------- REQUIRED INSPECTIONS
,is per,Mlt is j.ssijp(j
subject to the i
iations contained in the Tigard Municipal Footinn Inst Firerlace Insp
de. State of Ore. 5necialtv Codes and all Foundation Insp Gas Line In
her aoinlicablp laws. All work will be done PDSt/BeAM Strl-lCt Insulation Insp
AW-ordance with approved plans. This Post/Beam MerKln rlvp Board Tnon
ormit will expire if work is not started Crawl Drain Rain drain Insp
, thin 180 days of issuance. av if work is IN-IM/Und e I-f 10 or Wpter Line Ingo
,spended for more than 180 days. Mechanical Insp Water Service It
Plumb Toc) 01-It Appr/SdW14 Inso
Electrical Servi Electrical Fina?
Electrical Pouqh Merhanical Fin'l
Framing Inso Piiimh Final
Lnw Voltage A"i ld inn
Ithevized Plumb, Contractor Sianati.Ire
639-4175
int rx-t or Nnt e s
MMOM fA.r; P Lp R 11 T_T
#. . . . . ! M C
PERMIT #t. . . . . . .
, al DATE TSSIJED: 01/17./96
CITY OF TiGAR'S
COMMUNITY DEVELOPMENT DEPARTMENT e r--()Rrr..I-: "5104SC--HW0._',8
13 125 SW Hall Blvd.Tigard,Oregon 07223.6109 ,(F3)83 1 9!-41 1710 R
SHIRE WOODZONING: R-7 r,D
5
>LOCV. . . . . . . . . . . L-OT. . . . . . . . . . . . . . 38
-iesarks: PATH I ------------
----------------------------------------------------------------- BUILDING ---------—-----------------------------—------- -
,c_ISSUE-MSTCt5-0450 STORIES.......: 2 FLOOR AREAS----.- BASEMENT...: 0 sf REQUIRED SETBACKS----- REQUIRED-----------
-,i-Ass or woqK.:NEw HF16HT........ 24 FIRST..... 990 tf PARAST...... ktA ;f LEFT,.......... IS ME DETECTRS: Y
FRONT......... . po PAPKING SPACES!
',YPE OF USE...:SF FLOOR LOAD.... 40 SECOND... : 701 sf
:YPE OF CONST-:5N DWELLING UNITS: I F I NBSMENT: 0 sf RIGHT.........: 9
%CuPANCY GRP.:R3 BDRM- 3 BATH: 3 TOTAL------: 0 sf VALUE-1: 107069 REAR..........: 40
------------------------------------------------------------------ PLUMBING ----------------------------------------------------- ----
;1NKS
---------------------------------------------------
ANKS.........1 : WATER CLOSETS., 3 WASHING MACH..: I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS..,..... . 0
LAVATORIES....: 4 DISHWASHERS... : I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS., I CATCH BASINS..: 0
WATFR HEATERS. WATER LINE ft- 100 BCKFLW PREVNTR., I GRFASE TRPS.. - 0
'UB/SHOWERS...: 21 GARBAGE DIU,-: I OTHER FIXTURES: 0
------------------- MEC1HANICAl.- ------------------------------------------
cUEL TYPES----------- FUR IM BAIL/CMP t 3HP: 0 VENT FANS...-.: 4 CLOTHES DRYERS, I
/W / / ruRN )=i@@K 0 UNIT HEATERS.-: 0 HOODS.........: OTHER UNITS..., I
MAX INP.: I BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES.... GAS OUTLETS...: I -
-----------------
------------------------------------------------------- ELECTRICAL ----------•--..___----------------.--- -_--
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER----- --TEMP SR11CIFEEDERS--- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD1L INSPECTIONS--
1000 SF OR LESS: I @ _ 200 AND,.- 0 0 - POO alto.. , 0 w/Svr OR FDR..- 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L SINISF. : 2 281 - W 84D.. t @ 291 - 400 81D..: 0 Ist W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PEP HOUR......: 0
LIMITED ENERGY.- 0 401 - 609 ago.. : 0 401 - 600 ago...- 0 CA ADDL SP CIP: 0 c1GNAL/PL...: 0 IN %ANT........ 0
W* HM/SVC/FDR: 0 601 - IM ago. : @ b@l+a1VS-IW q: 0 MINOR LAANCBEL -11: 1
1000+ alta/volt-: 0 ------------------------------------- PLAN REVIEW SECTION -------------
_-__-_----------
Reconnect only.'. @ )=4 RES UNITS.., SVC/FDR)-225 A.: 1 600 V NOMINAL: CLS AREA/ PC OCC:
ELECTRICAL - RESTPIrTFD FNERGY
------- --------
---
A. SF RESIDWIAL--------------------------- S. COMKRrIAL---------------------------
--------------- OUTDOOR LNDSC LT:
AUDIO A STEREO.: VACUUM SYSTEM..: AUDIO j STEREO.: FIRE ALARM.....: INTrRCONIPAGImu:
LANDSCAK/IRRIG: PROTECTIVE SIGNL:
0TH: ..... HVAC...........:BURGLAR ALARM,.: X BOILER....
CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHF:
GARAGE (501R. DATA/TELE COMM-: NURSE CALLS....: TOTAL # SYSTEmc-
HVAL...........
.E,
--Cons r actcr: ---------------------------- TOTAL FEES-4 3604A6
.41)WC()` WIND1400D HOMES
14076 14076 SW BENCHVIFW TERRACE
BEW,HVIFW TERRACE
IARD OA
97224 TIGARD OR 97224
0
one - -40-47M Phone #: 5*+4700
Reg #.. : 050196
is oe-Nit is jssiifd subitct to the regulations contained in the Tigard Munirioal Code. State of Ore. Specialty Codes and all other
',Dlicable laws. Ali work will be done in accordance with approved plans. This oerwit will emoire if work is not started within IS@
lys of issuance. or if work is siiiatn6d for more than 180 days.
—------------------- ---
REQUIRED INSPE11W
otinc Ipso PLM/Underfloor Fravino Inso Gvo Board ItisD Flpctt-ical Final
:jndatior lrsc Mechanical Inso Low Voltage Rain drain Insp Mechanical Final
.st/neam Strv.t Plumb Too But Firpolact lnsD Water Line Inso Plumb Final
-St�,D@gv Mechan Electrical Servi Gas Line Ins: Watv Service In Building Final
.awl Drain Electrical Rough n elation Ince Aour/Sdwlk IpsD Erg n Control
a t ii r r, s,(J By ���c.E� PIN_
f rif,t:7 t i 0 n 6 39-4 175
PERMJ1 #. . . . . . . „ SWR925-051(,
CITE( OF TIGARD DATE ISSUPD: 01/17/96-
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S104BC--HW038
13125 SW
03)639-4171
, 1 1" 1 i I , OR
'
&11181vd.Tigard,Oregon 9741398199 (5
ZONING: R--7 RD
,jSr)IVISION. . . . HI1A..1-;HIRE WOODS
,I-OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :38
r'ir NANT NAME. . . . . . F I XTLJ1RF LIN I TS. 0
:c3P NO. . . . . . . . . . :
OWFLILINC-3 UNITS. . I
1-fV3r, OF WORK. . . :N E.W NO. OF BUIL.DINGS: I
�-YPIE OF JJSE. . . . . :SF IMP,ERV G)LIRFACF: 0 5
NSTALL TypE. SUGWR
P M P t-!.'
FEFS
A 1 NIDW( type akmol.tnt In date t-ecot
P1RMT $ pj?o
. .0. 00 JH 01 /17/96 9F-.,::'7 4
[4076 TN�,'Pl 1, :7,5. 00 JH 01 /17/96 96-274ORr'
;W BENCHVII."W TERRACE
rlGARD OR 972'24
F.1hone #.-. '590 -4700
-
. ontractort ------------------------
.1
f.]ONTRACTIOR mnT ON FIL.E
22-35. 00 TOTAL
Phone #:
Pell 0. . : REQUIRED INSPECTIONS
This 41113liCAnt acrees to Collioly with all the rules and regulations 5ewe1^ Inspection
of the Unified Sewage Auency, The vervit excires IFA days from
the date issued. The total amount paid will be forfeited if the
oervit expires. The Agency does not guarantee the aLC%A'&CV Of the
side sewer laterals. if the sewer is not located at the measurement
civen, the installer shall prospect 3 feet in all directions from
the distance piven, if not so located. the installer shall purchase
a "TaD and Side Sewer" Permit and the Agency will install a lateral
-vm It tee Sir,-AtIA)"O :
(I d By
Gall -F L)v- inspection x~:39 --4175
-7 '4
i
Residenfiiai Buildinci Permit AP qatio
City of T;gard
13125 SW Hall Blvd. /-
Tigard, OR 97223 �-
(5031- 639-4171
Jobsite Address: L -)G )' 5
�✓ /�•SC��Sr v+� I/ y ��
U �/ Office Use Only
Subdivision: �, Lot# 3� .
G .dor g Contact Date I I Initials
Valuation: _ �_ -- Result
New Construction Only: (Square Footage) Planck/Rec # --'� 1( `' _
Z �� Permit #
House: 5 S Garage: Reissue of
Map & TL # V-5 6?Y�c
Corner Lot? N Flag LGA? Y N Zone
/ Plat #
Owner: c/ _
�� ;Yw t� . Approvals Required,
Address: 1�U7� S _ .
/ 1 �� Planning Setbacks ' _ Solar l _
--z/C 6(-e / l��Y -- Engineering —
Other
Phone: ( S"� 3 ) -<5�& - Y)o�
Items Roguired
Contractor:
Subcontractors
Address: 5-q In _— Truss Details
Other
Notes
Phone:
Contractor's License # _
(attach coPpy o current Oregon license) j,� 5,,/t ♦�c�l D��
Contact Name.
Contact Phone.
Subcontractors: Architect/Engineer: /n
Plumbing: JI m S Address'.
Mechanical: i�c
(attach copy of currenK OR. Contractor's License)
'�t'AAS
V-�e&v << - Phone:
JOB DESCRIPTION.
Applicant Sig at Applicant Phone number
Received by Date Received
•.myn,vn,•upo
Permit # Account Description Amount Amt. Pd. Bal. Due
rri� Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mach. Permit (MECH)
'Sfiate Taut (TAX)
Bldg: J_j. G S/ (. r a
Plumb: !�
Mech: vi, 1
t c
SCR ;)."„v a✓`�
Plan Chock (PLANCK)
Bldg: aS.S`_.L
Plumb: ��11 ��,,// p
Mech: _1..1G:�L l o �p
Sewer Connection (SWUSA) &t A
Sewer Inspection (SWINSP1
�5
Parks Dev Charge (PKSDC) 9 -
Residential TIF (TIF-R) _
Mass Transit TIF (TIF-MT) 2e
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL) kv
Water Quantity (WQUANT) �' d
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) �
Erosion. Planck/COT (EROSN)
TOTALS:
address `�tj 1
Box A calculations : North-South dimension for the lot . Box A:
This dimension is determined by finding the midpoint of the
North lot line and drawing an intersecting line perpendicular
to that point . Measure the distance from the midpoint of the
North lot line to the South lot line along the described line .
ft
I
_•.mss. - —
Box 3 ca'.Culat_.:ns : Shade ;c-4__-_ height from vour structure' 3c x 3 :
i . Determine whether measurements will be based on the peak
or eave of your stricture . The orientation of t;.a _ 4•_ce
I is also important .
Which
h ' i runs Ncr=h-SC�= measurements w_'_l 'Ce describes
j ya L^asedeon thepeakof the _Ocz . Noir le
I _ t-west and the roof n:.tch Is -' --ss
I (Ci_c'_e ora;
It the roar: line runs Eas
than 5/12, measurements will be based on the eave .
1c : If the root line runs East-West and the roof aitch is 5/12 la 1� lc
or steeper, measurements will be based an the peak.
I Z . Measure c:;ange in elevation ._cm =romp prccer-y line to 4 I �
f-:,shed floor elevation.
; . Measure distance from finished fl�cr alavation to the r
of=ec=ed peak/eave .
It .he _.:o __rs North-Scut' , deduct three f-eet .
If, the roof line r-ans East-West , deduct nothing. _ r- ft
r e f� foot of difference in elevation
- ��ii�t_act cn� _mot for _acn _
the front property 1_na _- .he rear property line, i=
_- -
t:^e lot slopes up from the front to the rear. If the lot _has no Slane or slopes up __cm the rear to t:-e __cn
I
I
------ _a_ c� `-_� s:_ade Y'Y -on line . Sc:c C .
3C:c -
-e _atance L_cm _:e Nor:*_ -ed
=_
weak c: ea
C.:23 _
L ':e .
j - f -
! j _ __--
j _ -
Solar Balance Point Standard
Sox A. North-South dimension !or your lot Sox 3. Shade point height L_om your etraezura
CRAG -
fear
30.1 Z. ]ijtance =o .he Shade reduction ::^e
lee:
shade 100- 95 90 35 90 75 70 6 60 55 50 45 40
rsducslcr. line
!OC line ,Z faar
"'J 43 40 40 41 4Z 43 44
63 33 39 33 39 40 41 42 43 �
50 35 36 36 37 39 39 40 4'1 412
5= 3.4 3.4 3.4 35 36 3'7 39 39 40 41
30 32 32 32 33 34 35 36 37 3939 40 41 42
45 30 30 30 31 32 33 3.4 35 16 377 33 39 40
4C 29 Z3 29 29 30 31 32 33 4 35 35 37 33
3': 25 26 26 27 29 29 30 31 32 33 34 35 36
3 ) 24 24 24 25 26 27 29 29 30 31 32 33 3.4
22 2Z 23 24 25 25 27 23 29 30 31 32
20 20 20 20 21 22 23 24 25 5 2% 29 29 30
.,5 13 13 1.9 19 20 2. 22 23 24 2: :5 27 28
3cx . Max:^gum a:_cwes:_.:t:e _c_^t =e_z-t
CCrmr � c �
.ogc�,••c__i eo_ir_a_
G��pO
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At
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Icar,
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
BEAR ELECTRIC
PO BOX 389
DONALD OR 97020
Electrical Signature Form
Permit # . . . . : MST95-0451
Date Issued. : 01/1'1 /96
Parcel — . . : 2S104BC-HW038
Site Address : 12765 SW ASCENSION DR
Subdivision . : HILLSHIRE WOODS
Block. . . . . . . : I ,t : 38
Zoning. . . . . . : R-7 PD
Remarks :
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN NK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : ELECTRICAL CONTRACTOR:
WTNDWOOD HOMES INC BEAR ELECTRIC
14076 PO BOX 389
SW BENCHVIEW TERRACE
TIGARD OR 97224 DONALD OR 97020
P11-TIP It : 590-4700 Phone # :
Reg # . . : 20919
Signature of Superytsmg Elec clan=_
Please return this coy-nr)leted form to the address above.
ATTN: Building Dept.
If you have any queFtions, please call 639-4171 , ext. #310
'4
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