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InitiallyGood N N q H OZ 0 H [Tj I I I r � o r-• m I 1i 12840 SW ASCENSION DRIVE CITY OF TIGARD BUILDING ISI'SPECTION D!r IaION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP -'Date Requested_. AM .-PM , BLD _ Location � (� �S� F,,-K3 \ C; lam, Dl(� Suite MEC Contact Pt:rson _ — Ph Contractor — Ph __ — SVR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing / N(YF REQUESTED Foundation FPS — Ftg Drain POUND DURING RESEARCH Crawl Drain I NO INSPECTION(s) IN FILL SGN Slab - SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- - -- — - ----------— ---— - - --- Roof Final PAS PART FAIL -- - - i UMBIN Under Slab Top Out 1 Water Service Sanitary Sev er V, Rain{rains � inei -PtxES PART FAIL MECHANICAL Post&Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL - �- Service — Rough In UG/Slab Low Voltage Fire Alarm Final ASS PART FAIL. _ - -- - ------- ----- SITE Backfill/Grading -- -- -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RE: ( J Unable to inspect no access ADA Approach/Sidewalk Date Inspector Ext Othour -- -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES PLOMBTNG PERMIT 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 PERMIT #. . . . . . . .. Pl__M97-0081' DATE ISSUED: 03/19/97 PARCEL,: 2SI-04BC.-051.00 GITE ADDRESS. . . : 1.2840 SW ASCENSTnN DR qUBDTVTSTON. . . . : HILI-SHIRE WOOD ZONING: R-7 PD 81-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..Esc: ------------------------------ CLASS OF WORR. . :ALT GARBAGE DISPOSAI.S. : 0 MOBILE' HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I r1CCL.1PANrY GRP. . : R3 FL.OOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . .. 0 STORIES. . . . . . . . . 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 F71.X TU - I-AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 IT NKS. . . . . . . . . . : 0 URINAL.S. . . . . . . . . . . .. 0 GREASE TRAPS. . . . . . . . 0 I .AVATnRTES. . . . . : 0 OTHER FIXTURES. . . . : 0 TUR/.SHOWERS. . . . : 0 ';(:WFP I..INF (ft ) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft ) _ : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Install residential barkflow prevention devic-P Owner: FEES 11amol.int by date t-ecpt 3HEI-BURNE DEVF1...OPMFNT type 7008 SW NUSERG PRMT $ 1!5. 00 JSD 03/19/97 97-ir?91918 5PCT $ 0. 75 JSD 03/19/97 97.-PI 1 91 P TUALATTN OR 97062 1."honp #: 692-C*,383 MPSTFRIS TOUCH SERVICES INC DONALD BURTON .20P SW MTCHAEL DR WEST LJNN OR 97068 r1hone 699-6436 .9. 75 TOTAL. Req 909 RFOUTRED INSPECTIONS This permit is issued subject to the reputations contained in the RP/Ract(f) mw Prev Tigard Municipal Code, State of Dre. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 181 days of issuance, or if work is suspended for %are than IN days. Qet-mitt�ee Signa T d Call for inspection 639-4175 -Y OF TIGARD1 ` Plumbing Application Recd EN 25 SW HALL BLVD. Cummeicial and Residential 0216 Recd t ;ARD, OR 97223 Oat@ to P E. _ 3) 539-4171 Date to OST Permit s �L,n`e Print or Type Related SWR s Incomplete or illegible applications will not be accepted calledi�� wame of CevelopmenuPmlect FIXTURES (Individual) QTY [--PRICE AMT] Jot) �/sl,� ,� Sink 9.00 Lavatory Address Street Address stand �' —' 9.00 ` ! Tub or Tub/Shower Comb. Z 0 1c dYt �M i[ Lt� ".00 Idg s Gty/Slab+ Zip Shower Only --_ 9.00 Name _ water Closet - Sihl��.l Dishwasher 9.00 - -� 9.U0 Owner MauMnq Address Suite Garbage Disposal 9 U0 vv' L;,-t v` +�I t /Cr/ Wasnmy Macthine -- r,HyrStateZI Phone Floor Drain 9.00 �J u k 4 r: i✓ Z' _ 9.00 Nome 9.00 4 9.00 �CCUp1r1t 11hS!Address Suite Water Floater 900 --i Laundry Room Tray 9.00 FName ZipPhone Unnal _ 9.00 - Other Fixtures(Specify) 9.00 r�ou9.00�ontractor QQQ2 S,W, 'IlCheet r§411e 9.00 West Linn OR 7 0 GtyBtale Zip Phone _. 111.00 9.00 Adhpd1 COM of -- Oregon Const.Cont.Board Lic.t Exp.Date _ _ i 9.00 X /S09,d`�----- y 7 U 4 7 9.00- Phrnhrng Lica R Exp.Date Sewer-1st too'LkAHmm --` J0.00 COT s Exp.Date Busina_ Tax or Metro t -- Sewer-each additional 100' 25.00 `—_ Nlater Servit@•1sf 100' 30.00 Name '- '7 - Water Sennce-eacn additional 100'-- 25 00 architect Storm b Rain Oram- 1st 100' 30.00 or MAdinq Atldress Si.,;e Sturm d Ram Drain-each additional 100' 25 00 _ Mobile Home Space 25 00 En9lnersr I GtyrSute Zip Phone Commercial Back Flow Prevention Device or,inti _ 2s oo-1_ �. Potlution Cevtcr escroswad vew O Addition O :Jlerarion O Repair O Residential Backflow Prevention Device' 1500s dons: y bZesidential O von-residential O Any Trap or Waste Not Connected to a Fixture 9 00 %ddMkirt6l Oescrpuon of wort -' Catch Basin -- 9.00 Insp of Exisurg Piumomg 40 00 Special R --- 40 00 ntrq use of � '-- lY Requested inspections s0 00 dArq or proPeiry oerihr _-"-'�---'-- Ram Cram, single famrPy dweu ng '- I 30.00 �of Grease Traps -Wing pmpenY._ _____ -loo QUANTITY TOTAL -e Yru CaMrj. moving or reolacng any fixtures? Yes❑ No 0 Isorretnc x nser Jw9ram.s reauna I Cuanay Total rs >9 'yes see back of form) __ - *SUBTOTAL eDwasunowleage that i ha.e read this application.that the information ` s;Dirt 'n t I am the owner or authorized agent of the owner and -v 5% SURCHARGE — Clans su ofiarce with Oregon State Laws. _ haturt of wn /Agtnt Date— PLAN REVIEW 25'19 OF SUBTOTAL I gecuree L7n {prnyh Ity 'Mal a h tact Pas `� •/ —� TOTAL in Phone Mlnlmun permit f!t 157S25--5%surcharge.except Residential Bacxflow u lidPrevenbor,Ce%nce.which A$15• 5-4 sumnarge h:ldatslplma0P.doc 9x96 L _ __ _ PLEA;-E COMPLETE A-5-AE?� PRIATE TO PR-ECZ: ' Fixtures to be capped, moved or replaced Q� Sink Lavatory Tub or Tub/Shower Combination _ Shower Only Water Closet _ Dishw.:isher _G_arbage Disposal -- Washing Machine_ Floor Drain 2" 3" Water Heater — Laundry Room Tray - Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tlgard,OR 97223 (503)639.4171 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . s DATE. ISSUF=Ds 0 :/05/97 PARCEL s 2S 104PC--05100 i I TE. ADDRESS. . . s 12840 SW ASCENSION DR ;UBDIVISION. . . . s HILLSHIRE WUOD ZONING:R-'7 PD IJLOCK. . . . . . . . . . s LIST. . . . . . . . . . . . . :fr.2 !:LASS OF WORK. s N[_W 'LYPF OF- LISE. . . :t3F 1-YPE OF' CONSTR:5N OCCUPANCY GHP. s R3 JF.CI.JPANC'v LOAD:;-, 1?pmarks : Path 1 'MLI_RURNE DEVELOP'ME'NT ,7000 SW NUBS RG WAI._ATIN OR 97062 1,hone #: 692-6383 iontractors .;HEL.BURNE DEVELOPMENT ?008 9W NYRE RU RD !'UAL.AT I N OR 9706.? 'hone #s 69s2-6383 f4ta #. . s 42388 hi % Cer•tifiLatf? grants occupancy of the abc-e referenced building at, portion lherpof and confirms that the building has I:1een inspected for rompli . nce with the State of Oregon Specialty Codes For t:he grmp, ot"c0p Icy, and' se under. ,ihic.h the referenced permit was i sai.,eel. �aUILDING INSPECTOR BllIl_.F?ING O F CIAL POS7 IN C.`OWIPICUOUG PLACE: MALI I LP. I i 11T - CITY OF T I CARD I)PJU_J ISSUED: 08/23/S9696 0 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*0199 (503)639-4171 'aLJBDIVISION. . . . : F111_1_5HIFiL WOOD ZONING: F� 7 P,L) BLOCK. . . . . . . . . . : LG I.. . . . . . . . . . . Cmc' Remarks: Path I --------------------------------------------------------------- BUILDING ---------------------------------------------------------------- REISSUE: SDRIES....... 2 FLOOR AREAS---------- BASEMENT,.,: 0 sf RE()UIRED, SETBACKS---- RE()UIRED------—----- CLASS OF WORK.:NEW (EIGHT........: 25 FIRST.... 1281 sf GARAGE.....: 528 sf LEFT..........: 20 ME DETECTRS: Y TYPE OF USE...-.SF FLOOR LOAD.,.. : *0 SECOND... 1257 sf FRONT...... .. 20 'PARKING SPACES: i TYPE OF CONST.,,jN DWELLING UNITS: I FINOSMENT: 0 sf RIGHT...,.....; 5 OCCUPANCY GRP,:R3 BDRM: 4 BATH: 3 TOTAL------: 2538 sf VALUE..1: 173136 REAR..........: 40 --------------------------------------------------------------- PLUMBING --------------I---------------------------------—------------ 3INKS......... I WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES ...: 4 DISHWASHERS...: I FLOOR BRAINS..; 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASING..: 0 TUB/SHOWERS...: 3 GARBAGE DISP..: I WATER HEATERS.. I WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..! OTHER FIXTLRES: ---------------------------------------------------------------- MECHANICAL ----------------------------------------------------------- -- FUEL TYPES----------- FURN l IM @ BOIL/CMP t 3HP: 0 VENT FANS.....1 4 CLOTHES DRYERS: I iGASJ / / FURN =10QW, I UNIT HEATERS.. : 0 HOODS.........: I OTHER UNITS...: I MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS....... . : 0 WOODSTOVES.... 0 GAS OUTLETS...s I --------------------------------------------------------------- ELECTRICAL. ---------------------- --------------------------------------- --RESIDENTIAL UNIT---- ---SERVICE,'FEEDER---- --TEMP' SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ---- --ADD'L INSPECTIONS— 1000 5F ON LESS: I @ - 200 alp..: 0 0 - L* amp.. 0 W/SVC OR FDR..; 0 POW11FIRIGATION: 0 PER INSPECTION: 0 EA ADD'L 50GF.: 5 201 400 alp..: 0 201 - 400 asp.. 0 1st WIC SYC/FDR: 0 SIGN/OUT LIN LT: @ PER HOUR......: @ LIMITED ENERGY.: 0 401 600 as o..: 0 401 - 600 amp,.: 0 EA ADDL BR CIR: 0 S I GNAL/PANE L...: 0 IN PLANT......: to mANF HM/SVC/FDR- 0 601 1000 amp.: 0 601+amps-I000 v: 0 MINOR LABEL -10: 0 I@@@+ amp/volt.: 0 ------------------------------------ PLAN REVIB. SECTION --------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OLC: --------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ----------------------------------------------------- A. SF RESIDENTIAL--------•------------------ B. COWIERCIAL----------------------------------------------------------------------—----- AUDIO I STEREO. : VACUUM SYSTEM.. AUDIO I STEREO.: FIRE ALARM...... INTERCOM/PAGING: OUTDOOR LNDSC LTi BURGLAR ALARM..: 0TH: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHP: .".4C............ DATA/BELE COMM.: NURSE CALLS....- TOTAL # SYSTEMS: uwrier: -------------------------------------Contractor: ----------------------------- TOTAL FEES:$ 4619.70 iHELOURNE DEVELOPMENT X,�BURNE DEVELOPMENT nap rW NUBERG 7008 5W NYBERG RI) 70HLHiJN OR 9706E TUALATIN OR 97162 Phare 0: 692-6383 Phone #: 69E-6383 Reg C.: 42388 'his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicabie laws. All "ark will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work IS Suspended for more than 180 days. ------------------------------------------------------------ REQUIRED iNSPECTIONS ----------------------------—--------------------------- Footing Inso PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation ln=.p Appr/Sdwlk Insp Erosion Control Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final Rost/Beam Mechan Electrical Servi --j-1-eplace 1 7f Rain drain Insp Mecbanicai Final trawl Drain Electrical Rw* Line Gas LWater Line Insp Plumb Fin41 Li Tit n! i L t F, 'Issi-ted LAY C_ I f ct t ton E3'9-41 15 IDE R N I T P,ERMIT #. . . . . . . : SWR96-039 CITY OF TICARD DATE ISSUED: 08/23/96 COMMUNITY DEVELOPMENT DEPARTMENT' 1"'ARCEL: 251041_;C-HW062* 13125 SW Hall Blvc;.Tigard,Oregon 97221198199 (503)639-4171 : , ,40 'SW H;_I.. J.ON DR _3UBD I V 1 S I ON. . . . : HlLLSHIRE. WOOD ZONING: R-7 F='17 13LOCI.... . . . . . . . . . . LOT. . . . . . . . . . . . . 6 1:2 FENAN1 NAME.. . . . . : USA 1\10. . . . . . . . . . : FIXTURE UNITS. . . s 0 CLASS OF WORK. . . :NNW DWELLING UNITS. . I VYP'E OF USE. . . . . :SF NO. OF BUILDINGS: I INSTALL.(ILL TYIZ'L-.. :BUSWR flyll-',ERV SUPFACE: 0 sf 1+emarks : iJwner FEES - 3HELBURNL DEVELOPMENT type amol.int by date t ecpt 7008 SW NUBERG 'RMT 1, t:::200. 00 CJS �_'3/96 96-283236 INSP, 35. 00 Cis 08/LAB/213/96 9621830_11L6 11JALOTIN OR 971662 1'hone #: 69;`26383 ,..k.,rit r actor: (.',ON7RACTOR NOT ON FILE. 1.:Ihone #: 2 L'.3,5. 0 0 TO TA L Rep #. . : FREQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer- Inspection of the Unified Sewage Agency. The permit expires 180 days from —-------- , date issued. The total amount paid will be forfeited if the permit Pxpires, The Agency does not guarantee the accuracy of the side sewer laterak. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directio ! from the distance given. If not so located,,-t15—_, Irchase e I rj�alter sh a 'lap and Sloe Sewer" Permit and e Agen will 'in Flaoljiteral. )-mj t t e e Sign ISSLted BY : ............. Call for-, inspection 639-4175 Plan Check# :►TY OF TIGARD Residential Building Permit Application Recd By�tm44- 13125�SW HALL BLVD. New Construction Additions or Alterations Date Recd -rIGARD, OR 97223 Singie Family Detached or Attached Date to P E Cr Ile (503) 1339-4171 Date to DST6e-a.3- Permit# N'l S t �G ti3>L Print or Type Called ` Incomplete or illegible applications will not be accepted Name of Subdivision Lot# Name Job . I LC. S 7 ��- �OO�S t Mailing Addresshit Architect Address Site Address AZ 3 Cn C --------- � � U tylState Zip Phon Na me 2�v U . - --- —� ��1 D ZLS N Owner Mailing Address -- e fo V' �� Y l /�� GEn sneer Marling Address City/State Zip Phone 9 ASA r N 31 T14 - --- S ity/ tate Zip Phone Name /�,� , l T �(( ��1ef 3 2 General Ili_= Describe work new)q addition O alteration O repair O OntraCtOf Mailing Address to be done 111�1 �/SJR 2O, Additional Description of Worker City/State Zip Phon Oregon Const. Cont Board Lic# Exp. Date attach Copy of 13 5e _ _ Cj C Protect Current CO B mess Tax or Metro# Exp.Date Valuation $ Licenses I J ' ' I tJame NEW CONSTRUCTION ONLY: -----� _ Mechanicaltt Sq.Ft. House: (� Sq.Ft.Garage: Sub- I Mailing Address Contractor p , Corner I-ot TYes N� flagK. LotTe) City/State Zi �pM Phone (check one) (check on ,F46cF CQCE G - Z, Restricted � Audio/Stereo Burglar Oregon Const Cot Board Lic# Exp DateEnergy System Alarm Attach Ccpy or �5� _ 2 U, Installation garage Door HVAC Current CO" Bu ins Tax r Metro# p. e n Licenses-- 06C /� �� "/ l Opener Systems I L.Icenses --L-� Name //�'.�,�� (check all that tither i P!itmbing << �_��j_c.7w-fya C f l/I apply) G 1�L7-�JeA� r-- — Sub- Mailing Address - 7 Will the electrical subcontractor wire for all Yes No Contractor restricted energy installations? _ _. Zip Phone HYes .as the Subdivision Plat recorded? N/A YNo G_ tySiate 1 -- Ore on C?naBoard II.ic i' Exp Date Reissue of MST#� Solar Compliance Attach Copy of �'�/ 13_ /s"4 7 (Calculation Attached) Current Plumb,g Lic # 'xp Date I hereby acknowledge that I have read this application, that the Licenses k-) p0 -_ _ /_q information givens correct, that I am the owner or authorized agent of i C01 Business Tax or Metro# Exp.�_'+ the ow�j that plans ubmitted are in compliance with Oregon St laws Name ignatur of Ownerr �_._._ Date G Electrical Lgp6ctPerso arae Phone L r 7 Sub- Mailing Address -"-T-r Lr(✓_i 2.0- 7810 Contractor � _ FOR OFFICE USE ONLY: Qty/State Z Phone Plat# MaplTL#: 106 .1- Oregon onst Cont Eoard Lic# Exp Date _ r�' L, Attach Copy of 0,0 /( /-Z -!! Setbacks-� _one: Solar Current Electr is E at Licenses �� 7 5 C_ �j , •1 r` 7 P Olt 91 �q_. COI?bn 97 ax. erro# Exq t / Engineering Approval Planning Approval: TIF: i p VV .-0 y - M, —J-p ,isunstapp doc (lir - . . rrrt. rt PgCrllit# A �4�n_I Q�ss[i&-L.QIl AmQunt Amt. Ed. ea1_Q_U� MST. Permit (BUILD) l/ e v Plumb. Permit (PLUMB) �� 2 Mech. Permit (MECH) J/ 3 �1 ELC/ELR Permit (ELPRMT) 7 7) State Tax (TAX) sFi Bldg.- Plumb: ldg:Plumb: �• 7_ �� Mech: ELC/ELR: Plan Check MST: (BUPPLN) vI• �� 3.SQ°� 151. Plumb: (PLMPLN) Mech: (MECPLN) CDC Review (LANDUS) {; G:/ Sewer Connection (SWUSA) )1 Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) ' ' 0-o Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Control Pei mit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) �1 -fid Fire Life Safety (FLS) TOTALS: U i\dsts"stapp doc R.ev 7196 i _ I `fti r 8 n(-K ONE. ILT- w CNcf, pR REQulA-4-v 1 � - F,�u �ci SCA E V- St�tfsT f..?: •� r LJALK - 1 I SA N 1- l of(Y LIN£„ s O I LO'r 04 ILL 3 14 1 WOVOS rrreir LD' rtvt q-Rfdt.g) •S'NFd di1RN .0 G4,2 6;g3' j a a I -------------- --- CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -F!� mb. Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech, Rough-in Gyp. Bd. B- San. Sewer Gas Line Appr/Sdwlk C 81 w Other: — vr_:—:7EJ"- — —p. ntry: Date: _ --- Address: Tenant: __— --- Ste: MST:�.G�.. BUP: �- Z C) ` 54 �_ __ MEC: Con/Own: PLM: ----- ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: — 1 Inspect . APPROVED _DISAPPROVED/CALL FOR REINSP. CF)) CO