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DashNumberEnd i E � Centerline Concepts, Inc. 640 82nd Drive Gladstone, Oregon 97027 503 650.0188 fax 503 650.0169 CLIENT NAME: N Ill 11,4 a K`'^`." DRAWN: MPW SHELBURNE ADDRESS; I3osq s .to, AocsNSICIN OR SCALE; 1 „=20' LOT; 'T'i1,Anb , °R- DATE; 34, HILLSHIRE WOODS 8-- 6--96 SA ASCENS ION Df\ 1 L=69.0 1' R=192.00' _1 -- SrsEr bAr,k 1z.Q• 34.0 -.� 7.0.3 W 2.0' � 9 2.00 � 2.0' J r C 1 0' 14.0• FO 0 1 p zcK � 1 w 1 -P v , New DficK i� 1 co 1 s I 1 S srAAc.K 1 i 1 ' 1 blgC S 6 g•5 �:`--- a ,51 S • s 31 W 60.00' 56.26'26 W 62 ---AN EIGHT FOOT PUBLIC UTILITY EASEMENT SHALL EXIST ALONG ALL STREET FRONTAGES. MORTGAGE LOAN INSPECTION I HEREBY DECLARE THE REAI. IMPROVEMENTS TO THE ABOVE SHOWN PROPERTY TO BE SITUATED THEREON AS SHOWfI. 1 ? A TAY, k-OT :0-' 25 10,/ C,3 � 6400 00 TIi111111 lllltllllllTffTJT T1T1ITTIIITIIIIIIIIIINOTICE: IF THE PRINT OR TYPE ON ANY ( I Jill I I I , j { 1 r i 1 ( TIT I { { I I I I I I I IM IS _ _ _ 2 _3 4 ___ _ _ _ _ _ AGE �. NOT AS CLEAR AS THIS NOTICE, � 6 8 _ _ 10 11 12 IT IS DUE TO THE QUALITY OF THE _� _ r_ V _ _ _� � _ _ � � No.36 ORIGINAL DOCUMENT E 6Z ~ SZ LZ 8Z 5Z` � Z EZ ZZ _ TZ OZ 6T 6T L ► !8i 5i fiT ET Zi Y. I Oi 6 8 L 9 Sr V C Z 1 ��a�3w filll{IIlIIIIII{ X1111111lIIIl111IIUIIII {111If�llll �� IIIIIIIi �� IlILII1� Illl lll. I�IIIII{ �� IIIlifll�llilll{11 .�� 111. i{Il �� IIIfIIII �� I�Jlllll 1111LII.1l111L1111f1� �11 1M111111II111v �.�� ; • � I�oAC11 �s t3os9 5 • W" AscaNalo� D2 TtLAiD , 04. Q'1 L23 tA14.*HIRE SDS. MAP i TA ( LOT i► ,25 14D4ca -01800 O0 .0 F .0 m Z -6 ° °dca@ 0v0UJLj � Oul � a .a { ,r�•_` Q N O c! z4 71t j � Q i .7ECK FL` I 0 100,• V02-' LL Cfl ao I I I EIIST�N� ) I ' I 7 ,1 z� i I 2-4 `veF P I� ECk 6L= LCCk EL= qO„ `IEIII" [ 24" Oeii ? d NOTICE: IF THE PRINT OR TYPE ON ANY "rTIlr III III III III III 1 r III rl1 111 r rlr r� r rlr rh rjr r� r rll I 1 111 Ilr rh III 111 11 I III 1I1 Ili rh Ilrr! r 111 I I r1rlrh IjIIIjI IIl ter IjTIIII III II1 11111 I � � Ii1� iIi � 1 i 11 " � 41 � Li �I � I . _� 61' i ; s1 � 1 � �I , I �of iI � �I � � 71� y �0�� IMAGE IS NOT AS CLEAR AS THIS NOTICE, J IT IS DUE TO THE QUALITY OF THE Na ORIGINAL DOCUMENT E 8Z 8Z LZ 9Z I Z fiZ ISZ IIZ �II TZOZ lll 8T I 8T LI 9T 9T 6T fiT ZT IT T II8 8 L 8 9 S Z I � u� IIII Illllllll IIIIILiII IIIILIIII IIII Illl 111111111 l uLl I!llll� 11111111 Illlillll IIIILIIII Illllllli HIIIIIII IIII IIII 1111 IIII Illl�illl IIII IIII Illllllll 111111111 1ll1Ll lllllllll11111111 ►anur.M+iOrrrMW�IxxN�YM'n1f�41MwNrwwwr*+wryrMhYn►e►�'+bru0.vrMWMF1�MWSYVS:r._ _phMpawx MK�x,wr�wara.w'a• I 7 1 I� i 'i I i lu t m i m h �I C I 13059 SW ASCENSION DRIVE Ill CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT ` 13125 SW Hell Blvd.,ngerd,OR 97223 (503 PERMIT #. . . . . . . : PLM .)(-',---'Z13(-J163:N171 DATE ISSUED: 12/11/96 PARCEL. i='S 104CC--HW034 SITE ADDRESS. . . : 13059 SW ASCENSION DR SUBDIVISION. . . . : HILLSHIRE WOODS ZONING: R-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :034 ---------------------- 11-149S OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE. HOME: SPACF=S. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PRF-.VNTRS. . : 1 OCCUPANCY GRP. . :R3 FLOOR DRAINc. . . . . . , 0 TRAPS. . . . . . . . . . . .. . . . 0 STORIES . . . . . . ,. : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES----------------- LAUNDRY TRPYS. . . . . : 0 SF" RAIN DRAINS. . . , . : 12) S I NKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE. TRAP'S. . . . . . , 0 L•AVPITOR.I.ES. . . . . : 0 OTHER FIXTURES. . . . : 0 TUR/SHOWERS. . . . : 0 SEWER LINE (ft) . . . : 0 WATER CLOSETS. . : 0 WATER LINE ( ft ) . . . : 0 D I SNWASJJE RS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Pomarks: Owner: --.___-_.___-- .----.__________-•---_________.___.___-__ FEES SHF:_I BURNS DEVELOPMENT type amolant by date r•ecpt; 7008 SW NYBERG RD PRMT 8 15. 00 JSD 12/11 /96 96-28757-ic' 5PCT $ 0. 75 ,JSD 12/ 11/96 96-2-'8755c TUALAT I N OR 9 062 'hone #: 692-6383 Contractor: - --- --_- -- ---- -----__________ MASTER' S TOUCH SERVICES INC DONALD BURTON -1202' SW MICHAEL DR WEST LINN OR 97068 --- Phorne #: 655-6436 $ 15. 75 TOTAL Req M. . : 11509 -------- REQUIRED INSPECTIONS -- - This permit is issued subject to the regulations contained in the RP/Backflow Prev TrgarB Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if work is not started within IN daps of issuApce, or if work is suspended for mere than 188 days. r'ermittee�;�i- atii : I s s u4- \ Call for inspection x,39--4175 :ITY OF TIGARD Plumbing Application Recdy _ 3125 SW HALL BLVD. Commercial and Residential Date Rec'6 r Z-/ TIGARD, OR 97223 Date to P E. '503) 639-4171 Date to DST _ ______^ Permit a ,- ' �, ti 3 Print or Type Related SWR! Incomplete or illegible applications will not be accepted Caned_ Name of Deveiopment/Protea FIXTURES (Individual) QtY -410E AMT Job_ l � Sink JOU Add Street Address Suite lavatory _ 9.00 Tub or TubrShower Comb. 9.00 'a� ityl tate Zip Shower Only TuuTi� aoo Name Water Closet 9.00 Dishwasher i 9.00 �ntr1MarMt�Aiidrass Su i Garbage Disposal 9.00 �. Washing Machine 9.00 Cky(Stab Zip Phone Floor Drain 2" 9700 3" 9.00 4- 9.00 3ccupent hisill1it0 A"ttas Suite Water Neater —i-00 _ Laundry Room Tray 9.00 CifyrStatr! Zip Phone Unnal 9•D Name - Other Fixtures(Specify) 9.00 --�--- 900 .ontractor Ma ,&,6 OUC l e�M�ta Jia 9.00 Cityi'State Weat4*n,OR 9 one _ 9.00 -4 Y39.0U Oregon Const.Cont.Board Lia! Exp.Date r~ 9.00 4b"Copy of -- y'-3012 900 C4111'rew Pkrrnbrng Lir! Exp.Date Sewer-1 st 100" Licenow 30.00 Sewer-each additia al 100' 25.00 COT Business Tax or Motto a Exp.Dare Walem Servhce 131 100' — ___ 0.00 Name Water Service-each additional 2CY + 25.00 I Architect Storm&Rain[rain- 1st 100' .10.00 � I or Mailing Address Sc„to -- Storm d Ram Dra-n each addibonal 100' 2500 1 _ Mobrk Home apace 2500 Engineer tyiStato Zip Phone Commercial Back Flow Prevention Device or Anil- 25.00 Pollution Cevice ;?esatDa Walt Now O Addition O Alteral,on O Repair O Residential Backflow Prevention CevwA' f 15.00 ro be dorm: Residential O Von resaential O — Any Trap or Waste Not Connected to a Fixture g Uo JI Adort real deswpeon of went Catch Basin --� J 9.00 I Insp.of F-xisung Plumbing r 40.00 1 Special R _ 40,U0 hr =�h0 we of � '-'—”- Specialty equestrb Inspections —� 40A0 �q a property _ oenhr -- — --- Rain Cram.stngie fermi/dwelling I 30,00 Praposaj use of Grease Traps - 9.00 Wilding or i QUANTITY TOTAL Are you cappirm, moving or replacing any fixtures? Yes❑ No 0 Isometric or"u+ai nM s reauRtl d Cuaney TouN u >9 (H yas Vee back of form) _ _ e •SUBTOTAL I nefeby acknowledge that I ha,.e read this application,that the information given J cored.that I am the owner or authorized agent of the owner and 5%SURCHARGE .� t tr Vans submitted are in comollance with Oregon State Laws. +atuna of OwnerlAgent Date PLAN REVIEW 25%OF SUBTOTAL j 'Iecutea onN d ttatn city total,a�>� TOTAL Co�tacr^ ,non Name { Phone 'Minfmurn permit fee is S25 -5%surcharge.sxcept Residential Backflow Prevention Ceyice.wh ch,s S 15 �5%surcharge doc Ri% r`r,��;o� ATE AS APPROPBIA?E_�Q-P-�Q�� Fixtures to be capped, moved or replaced QtY Sink Lavatory Tub or Tub/Shower Combination Shower Water Closet �r Dishwasher Garbage Disposal Washing Machine -- Floor Drain 3" 4" Water Heater Laundry Room Tray Urinal - Other FixtuM res (Specify) COMMENTS REGARDING ABOVE: ------------- -- ---------- 141 r� CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service 'INAL: Foundation Wate• Line Ceiling, -Plumb. Post/Beam Mech. Shear/Sheath 4 Mech Plbg.Und/Flr/Slat; Plbg.Top Out Insulation �- Post/Beam Struct. Mech. Rough-in Gyp. Bd -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins, I Other: Date: Q__- A.M. P.M.--- Enti)IM Address: __ l 3 c S S ,�5 C.Q,,y�:�-ti..— Tenant: Ste:_-- MST' j, Q L (u Con/Own: 1._ �, -7 7 41— / BUP: - �10�� MEC:_ ca( .S0 tt. PLM: ELC THE FOLLOWING CORRECTIONS ARE REQUIRED ELR ----------------- inspector: � __� _— l " r, Date/ APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone. 639-4171 Footing Rain Drain Cover/Service FINAL. Foundation Watar Line Ceiling -Plum Post/Bearn Mech. Shear/Sheatt. Framing -Mech. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. PostJBeam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other - - ------ - Date: r C 6 P.M. Ent Address. -_� ��M J C_ — Tenant: -- ---_.-.--__ -- --_�_— Ste: MST:�/6 OZ (.0 BLIP: Con/Own: - _�-v_'_9�w_ c �__"� MEC PLM: _ ELC: ----THE FOLLOWING CORRECTIONS ARE REQUIRED ELR Inspector --- - --- — --- - - DatJ APPROVED ,_DISAPPROVED/CALL.FOR REINSP CF CO f CITY OF TIGARD BUILDING INSPECTION NOTICE — �y Inspection Line: 639-4175 Business Phone: 639-4171 1 Footing Rain Drain Cover/Servicel� Foundation FINAL: ' Water Line Ceiling Plumb Post/Beam Mach. Shear/Sheath Framin Plbg.Und/Flr/Slab Plbg. Top Out Insulation � -Elect. PosVBeam Struct. Mech. Rough-in Gyp. Bd. San. Sewer Gas Line Appr/Sdwlk Bins. Other: Date: --- �_� A.M P.M.._.--_- Entry:-' (-{ Address: ej Tenant: - Ste:_�—_ MST: v 4? Con/Own:_ -Z.G —12 ("P BUP: _ �- ---— - MEC: PLM: _ THE FOLLOWING CORRECTIONS ARE REQUIRED. ELp. -- -------- --------- Inspector: �-�-- Date. - - �3 y PROVED DISAPPROVED/CALL FOR REINSP CF CO I i CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 I)ate Requested: b AM. M. MST: / 3—el�` •mss��'�.►-s�a�y I3�Jp Tenant:_ 6) Lt,��✓>!' _ ee ;rl Suite:-- Bldg: _ MEC: t ontractor:— --- —_Phone: _ PLM: chvner:-- _-- ------- _ Phone: —_-- ELC: EI,R: __ SIT: _ BUIN ILDG— BLDG(con't) PUMBING -- MECHANICAL — ELECTRICAL SITE Site Poi;Bean Post/Bcam Post/Beam Cover/Service Sewer/Stone Footing Roof tJndFl/Slab hough-In Ceiling Water Line Stab Framing Top t7ut Gas Line Rough-In 1JG Sprinkler Foundation Insulation Sewer Ilood/huct Reconnect Vault lismt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Alm Cravil/Found Ir I Icat Pump I,ow,Volt Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL -- ' - --- -� 4s ms s �3 9 K2, c t��t O Call for rein ion /^ O Reinspection fee of S reyuiledd before next inspection n Unable to inspect Inspector. � IV _ C. -- Date: i`-A/ — Page- —of — CITY OF TIGARD MASTER PERMIT hWiDEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97-038' 13125 5W Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 09/22/97 PARCEL: 2S104CB-01800 SITE ADDRESS. . . : 1'3059 SW ASCENSION DR SUBDIVISION. . . . :H I LL_SH 1 RE WOODS ZONING: R-7 FID BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :034 JURISDICTION: TIG Remarks: PaTH I ADDING A DECK FOR HOT TUB ------------ -----------------•--------------------------- BUILDING ------------—-----------------------------------------------•-- REISSUE: STORIES.......: 0 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- RE()UIRED-------------- CLASS OF WORK.:ADD HEIGHT........: 0 Flh6T....: 0 sf GARAGE.....: 0 sf LEFT..........: 5 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD....: 0 SECOND...: a sf FRONT.......... 20 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UMTS: 0 FINBSMENT: 0 sf RIGHT.........: 5 OCIX.MINCY W..R3 BDRM: 0 BATH: 0 TOTAL-------: 0 sf VALUE..$: 4400 REAR..........: 15 ------------- PLUMBING --------------------------—----—--------------------------- STWS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS : 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SlOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FiXTURFS: 0 ------_--. ��_ — --------_------------------ MECHANICAL FUEL TYPES -- FURN ( 100K ..: 0 BOIL/CMD ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 FARM )-IM ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOUR F',IRNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0 - - -- --------------------------- ------ ELECTRICAL ----...---------------- - -RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS••-- ----MIE:.LANEOUS--- -ADD'L INSPECTIONS-- 1000 SF OR LESS: 0 0 - 206 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 T41MP1IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 5005F.: 0 2201 - 400 amp..: 0 201 - 400 amp..: 0 1 s W/O 5VC/FDR: I SIGN/OUT LIN LT: 0 PER HOUC......: 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 600 amp..: 0 EA ADDL BR CUR: 0 SIGNALiPANEL...: 0 1N PLANT......; 0 MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+81ps-1008 v: 0 MINOR LABEL -•10: 0 1000+ asp/volt.: 0 ------------ - —- --- PLAN REVIEW SECTION -------_—__—___—------_--___-- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 609 V NOMINAL: CLS AREA/SPC OCC: -------- ___—________..._---___.---------------------- ELECTRICAL. -• RESTRICTED ENERGY --- A. SF RESIDENTIAL--------------------------- B. COMMERCIAL------------------------------------------------------------------------ AUDIO A STEREO.: VACUUM SYSTEM..: AUDIO t STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: U1TH: :: BOILER.,.......: HVAC............ LANDSCAPE/I PRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLCQ..........; INSTRUMENTATION: MEDICAL........: OTHR: HVAr...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL I SYSTEMS: 0 Owner: - ---- - ----- -- ----- ------Contractor: ------------------------------ TOTAL FEES:$ 122.61 MIKE ROACH OWNER This permit is subject to the regulations contained in the 13059 SW ASCENSION DR Tigard Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 97223 other applicable laws. All work Mill be done in accordance with apprcved plans. This permit will expire if work is Phone t: 590-3703 phone 1i: not started within 180 days of issuance, or if the work is Reg C.: 00000(1 suspended for more than 180 days. ATTENTION: Oregon law --- ---- --------•------------------------------------ requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-0010 through DAR 952-00I-00BO. You may obtain copies of these rules or direct questions to OUNC by calling 15031246-1987. ..-------- --- -------- ------------------------------- REQUIRED INSPECTIONS -------------------------------------------------------- Footing Inso Shear Wall Insp Post/Seas Struct Electrical Final Electrical Servi Building Final Electrical Rough Framing Insp i ' r; -led Ry : i -daw: Permittre SignatUree_ 4 ++4-+-++++ ++++++++++++++++++++++++++++•►-+++++++++++++ ++i. ++++++f ++++++++ ., 1l 63`a 44/75 by 6:00 p. m. For an inspection needed t e next b-.tsi e_:s day Plan Check 0 'I'Y OF TIGARD Residential Building Permit Application Rec'd By 125 SW HALL BLVD. New Construction Additions or Alterations Daft Recd GARP, OR 97223 Single Family Detached or Attached (Duplex) Det.to P.E. 503-639-4171 Oat@ to OST iO3.684.7297 Permit N Hyl s f'1 Print or Type called Incomplete or illegible a plications will not be accepted Name of Protect Name Job :-)t F, Address Site Address Architect Mailing Address Name UY/State zip Phone Owner Mailing Address Name 136$ J Iv• 5CtniS ID/J . Cit/[State zip Ph_one Engineeril Mailing Address _._. 21 � O City/State Zip Phone Name General ;F-i-F Describe work New O Addition O Atteraoon O Repair O Contractor Meiling Address to be done: Additional Description of Work: CitylState ZIP Phone Oregon Const.Cont.Board Lia# Exp.Date Attach Copy of Current COT Business Tax or Metro# Exp.Date PROJECT /,/ as ._ Licensee VALUATION $ [f`t 60 Nems Mechanical NEW CONSTRUCTION ONLY: Sub- Mailing Address Sq. Ft. House: Sq. Ft Garage Contractor City/State Zip Phone Comer Lot YES NO Flag Lot YES NO � check one)( (check one) Oregon Const cont. Board L,c.# Exp.Date Restricted Audio/Stereo Burglar Attach Copy of Energy System Alarm ! Current COT Business Tax or Metro# Exp.Date Installation Garage Door HVAC LiCenses Opener Systems f Name (check all that Other I{ Plumbing apply) III Sub- Maiing Address Will the electrical subcontractor wire for all YES NO Contractor restricted ener2y installations? i City/State zip Phone Has the Subdivision Plat recorded% NtA YES NO Oregnn Const Cont. Boom Lia# Exp.Date Reissue of MST#: Solar Compliance ' Attach Copy of (Calculation Attached) Current Plumbing Lia# Exp.Dais I hearby acknowledge that I have read this application,that the Licenses information given is correct,that I am the owner or authonzed COT Business Tax or Metro ie Exp.Date agent of the owner,and that plans submitted are in compliance Name — —'— ±jt Oregon State laws. Electrical "Yec.,G Signature of Owner/Agent Date _ Sub- Mailing Andress Contact Person Name Phone ax� � Contractor City/State Zip Phone FOR OFFICE USE ONLY: Plat tit Man/TLAt Oregon Const Cont. Board Lic.# Exp. Date Attach Copy of _ _ Setbacks: Tone: Solar. Current E!ear;al Uc,a Exp. Date Licenses Engineering Approval: Planning Approval: I TIF: COT Business Tax or Metro# tip.c5ate I SFAI?P LOC (DST) 4197 Permit 0 Acct. Descritpion COT WACO Amount Amt.Pd. Bal.Due p?5tq-?,,_3K MST. Permit (BUILD) (UBUILD) �1�� Plumb. Permit (PLUMB) (UPLUMB) Mech. Permit (MECH) (UMECH) cLC/ELR Permit (ELPRMT) (UELPMT) State Tax (TAX) (UTAX) BLDG: - PLUMB: MECH: ELC/ELR: Plan Check MST: (BUPPLP') (UBL)PLN) Plumb: (PLUMB) (UPLUMB) Mech: --- — (MECPLN) (UMEPLN) COC Review(BUILD) (CDCBLD) (UCOC) COC Review(PLN) (CDCPLN) N/A Sewer Connon (SWUSA) (USWUSA.) Reimbur. District Sewer Inspection (SWINSP) (USWINS) Parks Dev Charge (PKSDC) N/A Residentlal TIF (TIF-R) (UTIF-R) Mass Transit TIF (TIF-MT) (UTIF-M) Water Quality (VVQUAL) (0WQUAL) Water Quantity (WQUAN"t) (LIWQANT) Erosion Control Prrnt (ERPRMT) (UERPMT) Erosion Planck/USA (ERPLN) (UERPLN) Erosion Planck/COT (EROSN) (UEROSN) Fire Life Safety (FLS) (UFLS) << TOTALS: I SFAPO Doc (DST) 4i97 I Permit #: Address: -- — - ----- Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not.submit this.statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3C: E1. 1 own, reside in, or will reside in the completed structure. M2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. U 3A. My general contractor is LJ (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the stntcture must he registered with the Construction Contractors Board. OR F13B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If 1 change my mind and hire a general contractor, I will contract wAh a con'.1-actor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify thatt the above information is correct and that I have read and do understand the Information Notice to Pro rty Owners about Construction Responsibilities on the reverse side of this form. -- IAL P -- (Sign te of permit applicant) (Date) (White copy to issaing agency permit file, pink copy to applicant) Ji 54 I�" yt5i. p 4M 1 ij I CITYOF9 TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., 7798rd,OR 97223 (503)639.4171 CERTIFICATE OF OCCUPANCY PERM T #. . . . . . . : MF i96 QrCt>� DATE 1�',,11FI)a 0 !13/9'7 SITE ADDRE=SS. . . c 1.3059 SW ASCEN5ION DIS PARCEL a 8S 104GC-•4.1W03- SJBDIVISIUN. . . . a HI1_LS14IRE WOODS ZONINGaR--7 PD Bt...00K. . . . . . . . . . a LOT. . . . . . . . « . . . . �03k t::l,.ta5S OF WORK. ;NEW TYPE OF USE. . . a SF TYPE OF CONG'T R r 5N OLCUPANCY ORP. a R3 '-!i`CUPANCY LOAD a 2 r•'-marlea►a [PATH I 14E:LBURNE DEVELOPMENT ,0'40 SW NYBERG RD TUALATIN OR 9746ZI Phone tic 692-6383 Contractors SHEL BURNE.= DEVELOPMENT 7006 F4 NYBERG PD TUALATIN OR 97062 Phone #e 692-6383 Pe6J 0- - 4x388 This Ce►,tific:ate ur^arnta occupancy of the above referenced building or portion thereof and cunfirms that the building hae been inspected for compliance with the St Ate of Orepon Specialty Codes for the group, ac^c:Uparre"y, and use undf-t which the re ererwed permit was isai.red. NUILOING INSt-'E:CTOR E;l9,i#. IN[� OF'FI IAL POST I N CONSPICUOUS PLACE MSTER PERMIT CITY OF TIGARD PERMIT #. . . . . . . . MST96---r1+ 6E, COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/25/96 13126 SYW Hall Blvd.Tigard,Oregon 97223.6190 (603)639.4171 PARCEL: LS 104C:C--HWN 34 T.TE ADDRESS. . . : 13059 SW ASCENSION DR SUBDIVISION. . . . : HILLSHIRE: WOODS ZONING: R--7 PD k3l_OC1C. . . . . . . . . . . LOT. . . . . . . . . . . . . :03/1 Remarks: [PATH I ---------•------------------------------------•--------•----------- BUILDING ---------------------------------------------------------------- REISSUE: STORIES.......: 2 FLOOR AREAS----------- BASEMENT...: 0 sf REQUIRED SETBACKS----- REQUIRED------------- CLASS OF WORK.:NEW HEIGHT........: 31 FIRST....: 1686 sf GARAGE.....: 748 sf LEFT..........: 15 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1516 sf FRONT.........: 20 PARKING SPACES: 1 TYNE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: @ sf RIGHT.........: 12 OCCUPANCY 6RP.:R3 BDRM: 3 BATH: 3 TOTAL-------: 3202 sf VALUE—$: 219832 REAR..........: 55 - --------------•---------------------------------•-------------- PLUMBING SINKS.........: I WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: N LAVATORIES....: 4 DISHWASHERS...: 1 f"LOOR DRAINS..: 0 SEWER LINE. ft: 0 SF RAIN DRAINS: 1 CATCH BASINS., ; 0 TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER. LINE ft: 100 BCKFLW PREVNTR: I CREASE TRAPS..: @ OTHER FIXTURES: 0 ------- --------------------------------- MECHANICAL -----•-------------------------------------------------------_- EUIL TYPES----------- FURN l IOW ..: 0 BUIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 %GQS/ / / FURN )-INK ..: 1 UNIT HEATERS..: d HOODS.........: 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 9 WOODSTOVES....: @ GAS OUTLETS... ; 1 ------------------.--------------------------------------•------ ELECTRICAL ------------------ —RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC%FEEDERS-- -•--BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 5F OR LESS: 1 @ - 2@0 amp..: 0 0 - 20@ app..: 0 W/SVC OR FDR..: 0 PLIMFI/IRRiGA71ON: 0 PER. INSPECTION: 0 EA ADD'L 50@GF.: 6 201 - 408 amp..: 0 2@1 - 400 amp..: 0 Ist W/O SVC/FDR: @ SIGN/OUT LIN LT: Y PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp..: @ 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT..,...: 0 MANF HM/SVC/FDR: @ 601 - 100@ amp.: 0 601+amps-1000 v: 0 MINOR LABEL -1@: 0 1000+ amp/volt.: 0 ----------------------•------------- PLAN REVIEW SECTION ----- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 60@ V NOMINAL: CLS AREA/SPC OCC: ------------------------------------------- ELFCTRICRL - RESTRICTED ENERGY --------------------------------------.------•--------- A. SF RESIDENTIAL----------------------------- B. COMMERCIAL------------------------------------------------------------------------•------ AUD10 r1 STEREO.: VACUUM SYSTEM..: AUDIO 6 STERFO.: FIRE ALARA.....: INTERCOM/PAGING: COTDOO' LNDSC LT: BURGLAR ALARM..: 0TH: :: X BOILER..,,.....: HVAC...........: LANDSCAPE/IRRIG: PROTELUVE SIGNL: GARAGE OPENER..: CLOCK........... INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL I SYSTEMS: @ Owner: ------------------------------------Contractor: -------- -- --- ------- -- TOTAL FEES:$ 4921.05 SHELBURNE DEVELOPMENT SHELBURNE DEVELOPMENT 7008 SW NYBERG RD 7008 SW NYBERG RD TI.lA1.ATIN OR 97062 TUALATIN OR 97@62 Phone I: 692-6363 Phone I: 6924383 Reg C.: 42386 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 in accordance with approved plans. This permit will expire if work is not started within 180 days of issuence, 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 Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control post/Beam Struct Plumh Top OutMf Gyp Board Insp Electrical Final Post/Beap Mechan Electrical 5srvTsp_ Rain drain Insp Mechanical Final Crawl Drain Electri -Roughp�� Water Line lisp Plumb Final l-,ej.mittee Sitgnat t ,Sla(4d ByCpectzr.•n - 6 39 -4 175 SEWER CONNECTION CITY OF TIGARD HERMIT F'E:'kMIT 41. . . . . . . SWR96 -0249 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/25/96 13125 BW Hall Blvd.Tigard,(Dragon 87223.8199 (503)830-1171 PARCEL: 2S104CC-HWO34 SITE ADDRESS. . . : 135059 SW ASCENSION DR SUBDIVISION. . . . : HILLSHIRE WOODS ZONING: R-7 PD BLOCK. . . . . . . . . . . LGl.. . . . . . . . . . . . . :034 TENANT NAME. . . .. . : _ USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORK. . . :NEW DWELL I NCS UNITS. . 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :NUSWR IMPE:RV SURFACE: 0 sf 1'emarks: CPATH I FEES SHELBURNE DEVELOPMENT type AMOIAnt by date r^eep,t 7008 SW NYBE RG RD F'RMT $ C-2200. 00 JSD 06/25/96 96-260975 INSP $ u"-i. 00 .JSD 06/25/96 96..-c:809 /1,'r TUALATJN OR 9706ii Phone li: 692-6383 CON"TRACTOR NOT ON FILE 22:35. Q10 TOTI4L REUUIRED INSr'ECTIONS -- ----- This Applicant agrees to comply with all the rules and regulations Sewer lnE-Ejection of the Unified Sewage Agency. The permit expires 1,86 days from the date issued. The total amount paid will be forfeited if the i-mit expires. The Agency does not guarantee the Accu acy of the - , ie sewer laterals. If the sewer is not located at the measurement riven, the installer shall prospect 3 feet in all directions from distance given. If not so located, the in; er shall pur hasp lap and Side (-a%er" Permit and the Agepcy 1 install a eral. 1 'F,) m.i t t e e S i g n a l U r e: �/ `it _`-•L-�- _�__..._.._ ____...._.�__ _._._. L. Call for inspection - 639-4175 V Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # — �,, Date Issued Phone (503) 639-4171 CITY Of TIOARD FAX (50`) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of DevelopmentGL, jLipr_ /�(aOp� Number of Inspections per permit allowed Address. o ,�� CW -fc SNS1 oN Service included Items Cost(ea) Sum City/State/Zip A (C(1, 4�– _ 4a. Residential -per unit 1000 sq ft or less $11000 _—� 4 Name (or name of bu,�iness). %/f_L lr� __ Each additional 500 sq It or portion thereof $25 00 _ Commerci?; EI Rr=�,dential �- Limited Energy $25 00 1 Each Mill Home or Modular Dwelling Service or Feeder $6800 2 2a. Contractor installation only: — _ (�C t n/ r 4b. Services or Feeders ��Lir 2 �o L�7�7_ In 200 amps alteration or relocation 2 Electrical Contractor $so 00 Address_ 201 amps to 400 amps $8000 2 City �, State Zip 401 amps to 600 amps $12000 2 601 amps to 1000 amps $18000 2 Phone No.. _ Over 1000 amps or volts $34000 2 Job NO. Reconnect only $5000 2 contractor's license NO. J 4c. Temporary Services or Feeders Contractor's Board Reg. No. Installation,alteration,or relocation Signature of Supr Elec'n_ _____._, 200 amps or less — 2 License No Phone No 201 amps to 400 amps — $5000 _ _ 2 _,— ._... �_� 401 amps to 600 arnps $75 CJ Over 600 amps to 1000 volts $10000 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name..------ New alteration or extension per pane Address a)the fee for branch circuits with purchase of service or feeder fee. 2 City State_ Zip Each branch circuli _ $500 Phone No. b)the fee Mr branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. z Each additional not intended for sale, lease or rent. First branch E$5 00 al bbranch circuit r 35 00 Owner's Signature �._ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $40 00 2 Each sign or outline lighting $4000 Signal circult(s)or a limited energy j Please check appropriate Item and enter fee in K ection 58. panel alteration or exteissinn k' $4000 _4 or more residential units in one structure Minor Labels(10) $10000 Service end feeder 225 amps or more System over 600 vols nominal 4f. Each additional Inspection over Classified area or structure containing special occup:mcy the allowable in any of the above $5 as described in N E C Chapter 5 der inspedinn 500 —_ rler hour 355 W In f giant $5500 Submit 2 sets of plans with application where any of the above fA apply. Not required for temporary construction services. 5. Fees: 5a. Enter tot of above fees $ NOTICE 5% Surcharge (05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Fec 3) $ A PERIOD OF 18,31 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED Trust Account # Balance Due $ ----- I tlrY/ Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 c` -7o 7o F� Jobsite Address: _�C S-c/ .SL., f4SC fj�Zj1f4A( "7 l Subdivision: /GL S�r,e�. (d)r)ODS Lot # 3 Office Use Oniv Valuation: 1 Cf_ 3 L Contact Date /,)I// '�G Initials --T--- -- Result Vim- New Construction Only: (Square Footage) Planck/Rec # Permit # JTI 5 House: _ z U Z Garage �� Reissue of _ Map & TL Corner Lot? Y CN) Flag Lot? Y N Zone k- I Piz Plat # ipi— Z� 2N1�2Z Owner: .!_ �� . _ ' Address: 7 U(r) 4' L�� M 'v. Approvals Rec, jir3d ' Planning Setbackv L1 Solare'K -J•fff -W'rlwt �---- Engineering L i{[ a.vr tr+ Phone: () � (Z - �i 3 3 Other Cuntractor: I+ems Required (� Subcontractors Address Truss Details ._ — `��( Oth,r l-- ----- -- .-� ~— � - � Notes Phone: -- Contractor's License # � 12.3� —� (atta h 7y of current Oregon license) Contact Name: �L ��cS1-7-,(2�-_ Contact Phone: �5�3 L_S�G�= (5 —� Subcontractors: ArchitectlEngineer: Plumbira: L �l�'�' —_ Address: -t j Mechanical: ��p l �ON��(J/�� —��1r_�/4 L Z,Ltz Z C2Z (attach copy of current OR Contractor's License) i-r l ,/ '_ . ( Phone: (01 ) JOE DESC PTION: _ 11p?Illant Sign re f Applicant Phone number �I Received by: '�T Cate Received it Cate .-0 f �•wyne.nanee n UnUn /A\ �n � h 64 `1 YES NO N/A 9. [ 1 [ ] [ l SOF TRUSSES (engineering, details and layouts) 10. (ALL COMPLETE CROSS SECTIONS) 11. [ ] [ ] [ ] 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR ADDITIONS AND REMODELS I 12. ( J [ J [ ] ' BASEMENT WALL, FOUNDATION AND RETAINING WALL ,SECTIONS (will need engineering if walls are 8 ft. high or higher). 13. [ ] [ ] [ ] WALL RACING (structure must meet table R-402. 1 0, revised alternate method 93-7, or a lateral design shall be provided). 14. [ 1 [ 1 [ ] ALL DETAIL REQUIRED BY NO. 13 ABOVE SHALL BE INCORPORATED INTO THE PLANS. (Attachments must be clearly legible nd fully referenced in the plans). 15. [ ] [ J [ ] BEAM CALCU ATIONS (all beams over '10 ft. in length or any beam that su ports a point load). 16. [ ] [ ] [ ] ENERGY ,ODE PATH IDENTIFIED DO NOT MAKE CORRECTIONS IN RED RED WILL ONLY CAUSE DELAYS Residential Building Per i�•t Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address. Subdivision: Lot# Office Use On1X Valuation: Contact Date._L -__ __LInitials- _ __—___ - ----- Result New Construction Only: (Square Footage) Planck/Rec# House: Garage _—_ Permit#.--_- Reissue of Corner Lot? Y N Flag Lot? Y N Map&TL# Zone Owner: Plat# Address: _ __..�. A-ppiny-ats-Requir-ed Planning Setbacks . ---_ Solar_Engineering Phone Phone' L`-�_ Other-- -- ----- -- - --- Contractor: Renis Rv-quired Address: Subcontractors Truss Details Other ------------ ---- - - Phone: (- ! ----- -------- Nates _Contractors License License# (attach copy of current Oregon license) c..onlact Name. -ontact Phone. --_!�_-- _-- -_- Subcontractors: ArchitecVEngineer. Plumbing -____-- _-- ---__ __-- Address Mechanical (attach copy of current OR Contractor's License) — Electrical:_ Phone: JOB DESCRIPTION _- - —. ' -----_.---__--_. Applicant Signature Applicant Phone number Received by. __� -- - Date Received -•ars afaor Permit 0 Account Description Amount Amt. Pd. Bal. Due M 6.G .1 Bldg. Permit (BUILD) 33 / 3 3 ---- Plumb. Permit (PLUMB) Mech. Permit (MECH) EL £. c/C staNCTM V6 Bldg: ,_6"_ Plumb: Mech: 2 Plan Check (PLANCK) Bldg: V ' 3� , Plumb: Mech: Sewer Comiection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSOC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-i) Institutional TIF (TIF-15) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPR,MT) IL ��-- Erosion PlancWUSA (ERPLAN) Erosion Planck]CO T (EROSN) TOTALS: MAY-20-1996 16: 12 SHELBURNE 5036925760 P.04 i . 67 X W Qv 1, a M k� V, , k K`I'M J� rL4 ) �•c��. � SG� I�( S ;UN UO- . SI/f�,B�.t RNA 10THi_ F'jt<l r: CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DRYER & SONS 5536 SE WOODSTOCK BLVD PORTLAND OR 97206 Electrical Signature Form Permit # . . . . : MST96-0266 Date Issued. : 06/25/96 Parcel . . . . . . . 2S104CC-HW034 Site Address : 13059 SW ASCENSION DR Subdivision. : HILLSHIRE WOODS Block. . . . . . . . Lot - 034 Zoning. . . . . . . R-; PD Remarks : r 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 elo�trical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM ( )WNER: ELECTRICAL CONTRACTOR: SHELBURNE DEVELOPMENT DRYER & SONS 7008 SW NYBERG RD 5536 SE WOODSTOCK BLVD TUALATIN OR 97062 PORTLAND OR 97206 Phone # : 692-6383 Phone # : Reg # . . : 114 X Sighature o " up vising e�cian Please return this completed form to the address above. ATTN: Building Dept. If you have any questions. please call 639-417 1 , ext. #310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE C & K CONTRACTING INC 536 63RD NE SALEM OR 97301 Plumbing Signature Form Permit 4 . . . • : MST96-0266 Date Issued. : 06,/25/96 Parcel . . . . . . : 2S104CC-HW034 Site Address : 13059 SW ASCENSION DR Subdivision. : HILLSHIRE WOODS Block. . . . . . . . Lot. : 034 Zoning. . . . . . : R-7 PD Remarks : [PATH I Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM (:"WNER: PLUMBING CONTRACTOR: SHELBURNE DEVELOPMENT C & K CONTRACTING INC 7008 SW NYBERG RD 536 63RD NE TUALATIN OR 97062 SALEM OR 97301 Phone # : 692-6383 Phone # : Reg # . . : 65015 Signature of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4 17 1 , ext. #310