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19 � �M 041 ,-21 a I/Y a Srs ` n� -5ChLE, Zo 0'- tJ RUS (O^q (OIV T/ZO SILT --EA/Cf- o2 AS ift-auikF-D y t 1 J t�o 4v ,•s �� �L • /V 5� 1.-07- -72 HIL ( 5 /JR �E, CA)000 LO -r Z S )O g C B 02- 600 13060 st,j AscgNslo " df, . r• NOTICE: IF THE PRINT OR TYPE ON ANY i-11-lilflllillll IIl � 111 1111111 Ilillll 1111111 IIIIiII 1111111 1111111 11111 I III III III III IIIIIIill11 III III III III 111 III 111 111 III III I � I I � IIIII III III 1111111 I III 1111111 i 1 1 1 ( 1 1 1 1 I I �- .� IMAGE IS NOT AS CLEAR AS THIS NOTICE � Z 3 � � 1 � 9 10 11 jZ ���rz cz � IT IS DUE. TO THE QUALITY OF THE _ _ No 36 - �C SWAM COW.• ORIGINAL DOCUMENT E 6Z 8Z LZ 83 1 54 ��Z� EIZ Z TZ OZ 6 [ 8I LT 9t 5T fiT Et Zt Tt t l 6 8 L 9 9 L' L I11111 ll1.1-111I w 0 rn U Uj H H I I i" m r rn 13060 SW ASCENSION DRIVE 1lr � :1 CITU OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 639.4175 Business Phone: 639-4171 Date Requested: �j , 7,7�^' �� � A M. _ P.M._ _ MST: _ Location � tG`D C�C.KJ ��.�� ..� I-- — BUP:__ Tenant: Suite:. Bldg: _ MrC: _ Contractor _ Phonc: ST,Z PLM: (honer: Phone: — ELC: 92-1-C t� Srr: BUILDING BLDG(can't) PLUMBING MECHANICAL C"E1:EC RICAt- 1 SITE Site Post/Beam Post/Beam Post/Beatn Cover/Service Sewer/Stone Footing Roof UndFVSlab Rough-In Ceiling Water Line Slab Framing Top out Das Line Rough-In t JG Sprinkler Foundation Insulation Sewer IlcxxVlhtct Reconnect Vault Bsml Damp Drywall Storni Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shcar/Sheath Fire Spklr/Alm Crawl/Found Dr I leat Pump (�IL Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved - rove Not Approved FINAL FINAL FINAL I7 FINAL ------ Call for reinspection Cl Reinspection tee of$ required txlore next inspection O Unable to inspect Inspector.- Date: l' ^��_'.�___ -F—Page of C:I Y OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Lire: 639-4171 BUP Date Requested AM PM BLD Location_ Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner _ _ ELC — Retaining Wall ELIC Footing - � _�/5 Access' Foundation FPS Ftg Drain &S5'2&C— Crawl Drain Inspection Notes: SGN — Slab SIT Post& Beam -- Ext Sheath/Shear Int Sheath/Shear — Framing ----- Insulation _ Drywall Nailing --- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root Misc: Final PASS PART FAIL PLUMBING Post&Beam ----- Under Slab Top Out ---— Water Service Sanitary Sewer ` Rain Drains Final PASS PART FAIL MECHANICAL s Post&Beam — Rough In Gas Line - - Smoke Dampers Final P&O'_ PART FAIL ECTR.ICAL — Service Rough In _ UG/Slab Low Voltage Fire Alarm ma ,SS PART FAIL SITE Backfill/trading - - Sanitary Sewer Storm Drain ( )Reinspection fee of$_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( )Please call for reinspection RE: Fire Supply Line -_ _____ ( ]Unable to inspect-no access ADA Approach/Sidewalk Date Inspector Elft Other __ _ Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. � CITY OF TIGARD DEVELOPMENT SERVICES 13125 5W Hall Blvd., Tigard,OR 97223(503)639.4171 CERTIFICATE OF OCCUPANCY PC RM J'7 #. . . . . . . . MS'i' DGa11- Ifs JUCD; 03/03/9,9 (ARC'EL.: c"'S 10%CD-02600 I r PDDRE_GI..i. . . s 1:30&0 SW ASC:EN S I ON DR -l.1p*jVIS10N. . .. . s HILL'wHIRE: WC?(]f.S ZONING:R.. 7 FAD . . . . . . . . . . . LOT. . . . . . . . . . . . . :07i JUPI aDICT1ON:'TIG )G OF WORK. -.NEW I `II IL OF USE. . . :SF OF CONSTR-.5N !?gmarks. : Path I -)wner: _.._. _..-__..--.____ ..........___ ..__.._._._..__.__..__. _.�...__ 3TF'VEN PEUTE.R 1 ,3060 SW ASCENSION DRIVE: i IGARAD OR i'hutre #: '3HEI_BLJRNE DEVELOPMENT 7008 SW NYBE'RG RD TI.►F'iLAT IN OR 1)7062 Phunp M: 69P--6363 ReU #. . - 000423 1h1 % Certificate grants. occupancy of the above referer,cPci building cir portion iticar sof and cinnfirm9 that, the building has wren inspertpd 'Fnr- compliance with I.he State cif Oregon Gpecialty Codes for the group, Jnr! ;gin r�nrier aahich the �hpfer rtnced lapr'n�it was _..._. - ExI.IIL.DINt3 INSPECTOR ! .CNSPECTI SUFE i�+JIfyCIFi POGT IN CONSPICUOUS PLACE' CITY OF TIGARD BUILDING INSPECTIC.. DIVISION 24-Hou Inspection Line: 639-4175 Business Line: 639-4171 I, I� -=8� ------- BUP _— te Requested AM. PM BLD Location Suite MEC Contact Person Ph PLM Contractor__ Ph SWR ILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access: Foundation FPS _— Ftg Drain SGN Crawl Drain Inspection Notes: -- Slab SIT Post&Beam - --- - Ext Sheath/Shear Int Sheath/Shear Framing tE � -- '-=�1 ---- -- ------- — - -- Insulation Drywall Nailing ---- . — --- --- ---_ ----------- ------- Firewall Fire Sprinkler - ----- ------- Fire Alarm Susp'd Ceiling -- ------- - --- ---- --- Roof Misc: _ --- - -_- - rn PART FAIL �'L_-� -- INA Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains - _._—_- Final PASS 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 PASS PART FAILSITE Backfill/Grading - - - Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE: -._ — [ J Unable to Inspect-no access Fire Supply LineADA �s- Approach/Sidewalk Date�/-5 Insl.fectoi �/l v Ext'9 Other - -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. m m m m m m m m > ¢ j j -4 ) \ { \ / \ \ o (D m m 8 2 \ ¢ 2 � 2 ; � � [ % fl / \ § � f / CD y � > n « m P m 0 LO t @ @ > @ $ O 2 § \ \ § § § § \ 0 \ W 0 m ) ) \ CD � � \ \ \ / \ \ \ \ / o « e « m s . � � E0 aE c CL § § § } b } b b w CL w e ® @ w @ @ a 2 } \ \ § \ § \ m CL / � \ / / E ) nA CT D D D D D D D D D D D D D D D D D D D D D <_ -+ -• V V V 1 V V V V V V V V V V V O OO_ O O O A W N N N N N N N -+ -+ O O W N 00 O N V CD CJ) A W N O V W -+ O Cl) U) O O) N O Co c n N N O 7 N N 6c N p) O O O T m m v r v 2 2 33 } f C a g (co (n 0 C�� o 'S [� 0) C C (f] E d P O c S to % O7 �i N = 07 O N Q C 0 Q > > to = n - ) o ma v ° p v v mo n g 2 o n v -(on r (u < i (cc N n n � m v EnX 3 m c , v Da 0 .-r m �p N n) N N t) O O O O O O A_ A N N 0 Q W C7 m (n V1 at o m' w a •• X A X x r_ 0 U7 r- tD Cn Cn V) N N r 1- W co -i -i D D 0 71X ;u _ OZ cn (o tp O O pn -0 v -u -0 -u T T -u -0 v 'a -0 U -u X p D D v D D D D D D D D D D D D D D m O cn En cn N a) O m = c 0 m n C W D M ,TMJ C- Vii N N --i W W W r-IA D D O D W oai A CL tJ N N (CP Q m 3 a ov c � a Ll 0 - pc 3a rD EliQ m = v o don - 3 m na � 3 � CL oM o 51 n@ O = O c�iji (fin O (n C d (=(nn O (p O O 7 y J fn C O (n +' O QO N O 7 Cj _ rp O d C N '+ CT f tn EF CL C 3@ N p o 7 m to a (Dcl 7 C N to Cl Cl O 3 1 N W O N a x C) C- 0- S) v v 1 = o v 0 3 a v a g 3 N (6 3 0 cn m (n w In 0 0 N m w m cn (n cn N to cn M cn 0 D D D D D D D D D D W D D D D D D D D D < •+ �j -4 -4 -4 ti -4 O 0o o v -4 -4 -4 ti v -4 -4 -4 -4 A (D (D N N N (D to (D co O c(Dp (D (D Cl) T U, (n A Un (D (n UT O m N v m o m (D -4 C11O N -• O cn N N CO G) w K T K cn T m co � i m $ d : x m ca m a m o _ 4 to _O lO C (CD 'S N Q 7 to .n 7 @ 4 r O M m [7 _ L CL N (7D @ 3 = p j T z rp O t1 U O y T j p = j O v21 N D 3v a N. o N m � ro ° N P j N (O m C N N C, O DJ D O � D7 C m o 3 v D m m 0 o m m N (n 0 0 C. 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N N O N N cn cn cn cn cn cn J N poppp O OV O O O O U O v A (D .Z7 V7 C7 'p -J CO r NN f 7 7 C v p N N 0 D 0 w m <D' N � 0 o co _D a v W 0 of N � N (l� (D m CL Uco n T ocn cn 3 TcT � N D D D D cn cn cn cnN cn cn cn cn46 v IV ri m o A a C �C ch Z (n N N N d C � � a z 0 CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: ELR97-0158 DATE ISSUED: 06/03/97 PARCEL: 2'9104CC--HW07L SITE ADDRESS. . . : 1'3060 SW ASCENSION DR SUBDIVISTON. . . . :HILL.SHIRE WOODS ZONING: R-7 PD BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . :72 JURlSDICTN: Project Description: Install residential backflow prevention device A. RESIDENTIAL--------- D. COMMERCIAL--------------------------------------- -_-_ AUDIO OMMERCIAL--------------------------------------- ---- AUDIO & STEREO. . . : AUDIO A. STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/I RR I GAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . : MEDICAI.. . . . . . . . . . . . : HVAC. . . . . . . . . . . . . . DATA/TEL.E COMM. . . NURSE CALLS. . . . . , . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOl LANDSC LITE : OTHER: : : X HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . : INSTRUMENTATION—, OTHER. . : TOTAL # OF SYSTEMS: 0 Owner: FEES ---- STEVEN REUTER AND SHERRY REUTER type amol.int by date reept 13060 SW ASCENSION PRMT $ 40. 00 JSD 06/03/97 97-295393 TIGARD OR 97C223 5PCT $ 2. 00 JSD 06/03/97 97---29539 Phone #: Contractor: -------------------------------- ----------------------------------------------- OWNER $ 42. 00 TOTAL ------- REDUIRED INSPECTIONS Flec,tll Final Phone #: Reg 000009 This permit is issued subject to the regulations contained in the aw,,A Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm itele Signati.tre applicable laws. All work will ne 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 188 days. I ssiced f-By INSTALLATION The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: ----.-------------CONTRACTOR INSTALLATION SIGNATURE OF SUPR. ELECIN: DATE: LICENSE NO: Call for inspection -- 639-4175 ,'i Y t 11' `Rn RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: - i312' / ' l 1,_VD Date Rec'd:- TIGA. 223 PRINT OR TYPE `r- J0::- —1-4171 X304 Permit#: L � -6 F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd 2 14- WILL NOT BE ACCEPTED Name of Development Project _TYPE OF WORK INVOLVED -RESIDENTIAL Restricted Energy Fee................. .................... $40.00 (FOR ALL SYSTEMS) JOB Street Address Ste# Check Type of Work Involved ADDRESS C,' v� ,illy/Statea — Zip Phone# ❑ Audio and Stereo Systems N ❑ Burglar Alarm I e Ie✓ E] Garage Door Opener' OWNER Mailing Address l 'a) r 'r r Heating,Ventilation and Air Conditioning System' city/Stale ip Phone# �.. i .r Z2? 0U ` . ❑ Name Vacuum Systems' (� , .,� �' �.,( � .LII •-G r.-�_,. Other f - CONTRACTOR Mailing Address TYPE OF WORK INVOLVED -COMMERCIAL (Pricy to issuance a City/State Zip Phone# Fee for each system................................. ........... $40.00 copy of all licenses (SEE OAR 918 260-260) are required if Oregon Contr Brd Lic # Exp Date expired in C O T Check Type of Work Involved data base) Electrical Contr Lic #_ Exp Date ❑ Audio and Stereo Systems C O T or Metro Lic # Exp Date ,V_ ___ __ ❑ Boder Controls Owner's Name-? Vk''v f t',i k-✓ Clock Systems OWNER Mailing Address APPLICANT `�fyN4 Data Telecommonication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320.370 This applicant agrees to r� make only restricted energy installations(100 volt amps or less)under this LJ HVAC permit and to do the following 0 Instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing, ❑ 2 Cell for inspections when installation under this permit are ready for Landscape Irrigation Control' inspection at 503.6394175; ❑ 4iedical 3 Purchase separate permits for all installations that are noi`;+wady for an Nurse Calls inspection when the inspector is out to inspect under this permit. 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done, and, ❑ Protective Signaling 'i Assume responsibility for calling for a final inspection wf an all of the corrections are completed ❑ Other Permits are non-transferable and non-refund.,ble and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant Lill.1 r y t, v 51gnature ENTER FEES S, 5%SURCHARGE(.05 X TOTAL ABOVE) : L . Authority if caer than Applicant TOTAL i vesele dor.12196 j CITE OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL BLVD Date Recd: � G,r� -,L TIGARD OR 97223 PRINT OR TYPE �y✓ V- 503-639-4171 X304 Permit#: F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: 4, WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL Restricted Energy Fee........................................ $40.00 (FOR ALL SYSTEMS) ,JOB Street Address Ste# ADDRESS '«0 " ,(J -J` Check Type of Work Involved' u r' ity/State Zip Phone# ❑ Audio and Stereo Systems JJA 3-- Z .D11 Nairde ❑ Burglar Alarm E-eine✓" ❑ OWNER Mailing Address Garage Door Opener' � ' f r ❑ Heating,Ventilation and Air Conditioning System' City/State ip Phone# icjVzA 210 -1 ^— Name ❑ 1y6cuurn Systems' Other. CONTRACTOR Mailing Address TYPE OF WORK INVOLVED -COMMERCIAL (Prior to issuance a City/Slate Z.ip Phone# Fee for each system.............................................. $40.00 copy of all licenses (SEE OAR 918-260-260) �. are required if Oregon Contr Brd is # Exp. Date expired in C O T Check Type of Work Involved: data base) Electrical Contr.Lic # Exp. Date Audio and Stereo Systems C.O T. or Metro Lic.# Exp. Date Boiler Controls Owner's Name- vnk—er ,c'Q k l` ❑ Clock Systems OWNER - Mailing Address APPLICANT >^f_r�<' ❑] Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit Is issued under CAE 918-320-370. chis applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HVAC permit and to do the following ❑ Instrumantation 1 Only use e,ecirical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing. L] !ntercom and Paging Systems These have asterisks('). All others need licensing, ❑ 2 Call for inspections when installation under this permit are ready for Landscape Irrigation Control' inspection at 503.639-4175; Medical 3 Purchase separate permits for all installation3 that are riot ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit. 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and; ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed ❑ Other Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant FESS natU er r ENTER FEES 5%SURCHARGE(.05 X TOTAL ABOVE) $ / Authority if other than Applicant — TOTAL S � i Vesele doc 12/96 _ CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLM97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE IFSUED: 06/03/97 PARCEL: 2S104CC—HW072 SITE ADDRESS. . . : 13060 SW ASCENSION DR SUBDIVISION. . . . : HILLSHIRE WOODS ZONING: R-7 PD BLOCK. . . . . . . . : LOT. . . . . . . . . . . . . :72— JURISDICTION: ------------------------------------------------ ----------------------------- CLASS OF WORT!. . :Al..-T GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF-: WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I OCCUPANCY GRP. - :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTIJRES----------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAVIS. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 I*UB/St-40WERS. - - : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarl<s : Install residential backflow prevention device Ownev-: FEES STEVEN REUTER AND SHERRY REUTFR type amoi.int by date reCpt 13060 SW ASCENSION PRMT $ 15. 00 JSD 06/03/97 97-293393 TIGARD OR 97223 5PCT $ 0. 75 JSD 06/03/97 97-295393 Phone #: 590-5547 nWNER ------------------------------------------ ! fione # : $ 15. 75 TOTAL R(-E] #. . : REQUIRED INSPECTIONS Thi; permit is issued subject to the regulations contained in the RP/Backflow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection I applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IPA days of issuance, or if work is suspended for tore than 188 days. pev.,mittee lssiied By. Call for inspection 639-4175 TY OF TyGARD Plumbing Application Recd By 125 SW HALL BLVD. Commercial and Residential Date Rec'd �1lre"ie'l 7 ;ARD, OR 97223 Date to P E. 3) 639-4171 Date to DST Permit/ Print or Type Related SWR/ Incomplute or illegible applications will not be accepted called - Name of DevelopmentlProject .IFIXTURE1.0r lvidual) QT Bir • Job Sink 9.00 Address Street Address Suits lavatory 9.00- I- i. I Tub or Tub/Showsr Comb. 9.00 Bldg/ Glylstale Zip Shower Only 9.00 C1 Water Closet 9.00 NAM C Ll 1� Dianwaahar 9.00 Owner Mailing Address Suits Game"Disposal! 9.00 J . Waahlnp Machine 9.00 Istate Zip Phone Floor Drain 2' 9.00 - ^ 3- 9.00 Y e - 4' 9.00- li 1ccupant mading Address Sults Water Heater 9.00 Laundry Room Tray 9.00 GtylSlate Zip Phone Urinal 9.00- No"* W✓ outer Fbdtres(Specify) 9.00 9.00 ontractor Ma*9 Address Surto 9.00 rior to issuance CitylState Zlp Phone 9.009.00 soplirant must provide all Oregon Const.Cont.Buanl Licit Err.Date _ 9•00 !xxmadors 9.00 lcense Ptumbtrng l.ir-/ Exp.Date Sewer-1st 100' information Sewer Sewer-each addUfortal 100' 25.00 for COT COT Business Tax or Metro/ Exp.Date yya� isf 100; database). 30.00 tyrne Water Service-each additional 200' 25.00 Architect FStorm 6 Rain Drain-1 of 100' 10.00 ll � or Maing Address Su" Storm 8 Rain Drain-each addRional lar 2500 Mobile Homs Span - 25.00 - Engineer GatyrState Zip Phone Commwrcw Bad.Flow Prevention Devin or Amt- - 25.00 _ PoNition Device iscri"work New 0 Addition O Alteration O Repair O Residential Badflow Ptevenbon Demote' 15.00 ! i "e done: Res,dential© Non-resldentlal O Any Trap or Waste Not Connected to a Fixture 9.00 iot ional description of worts Catch Basin 9.00 1 Insp.of Existing Piton" 40.00 tin'1 1 1�_ �tl VYl 111 I �n Fisting use of Specialty Requested Imspecdons 440.00 _ perthr w `.ilding or property _, Ram Dram,single famdy dwe" 30.00 Proposed use of ` t Grease Traps �- -- 9.00 budding or property QUANTITY TOTAL Am you capping. moving or replacing any ftxtums7 Yes O No O 190^+inr or raw m.gram is mouired if Oua ity Tout to >9 Tit i 4--F . _lit yes see back of form) _ 'SUBTOTAL i liereby acknowledge that I have read Ulm application.that the information _ ,iven is carred,that I am the owner or authorized agent of this owner.and 5'/.SURCHARGE ; :hat plans submitted are in compliance with Oregon State Laws. I � Signature of ownerlAgsnt Da PLAN REVIEW 25% OF SUBTOTAL � � 2�q � Beaune ore I rtxnra low's>9 t t TOTAL _ _ /::,• Contact pons4i"Nems Phone J� 'Minimum permit fee n$25* 5%surcharge.except Residential Baddlow ,. `►-�`l � ��j G- � Prevention Device.which is S15 •5%surcharge L\plrnapp.doc 1196 (dst) 'LEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3" 4" _Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) OMMENTS REGARDING ABOVE: L: plmapp.doc 12.'96 (dst) MASTEF� F:,ER;IIT �� , CITY OF TIGARD rE"My1TT t . . . . . . . . COMMUNITY DEVELOPMENT DEPARTMENT DnTE /0_7' 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 r-rcri-_ c r- !Dpf7 VY j I-- I I ii1LL_Li1IRE WOOD'L ZONING., P-7 F,C, L.OT. , . . . . . . . . . . . . 7,- arksl Path I BUILDING ------------------------------------------------------------- ......... C FLOOR AREAS- - -- BASEMEN'...: 00 REOUIPEr, SETBACKS---- 1298 sf GARAGE.....: 4'_7 sf LEFT........... 10 ;MOKE DETLCTRS. _A'-S OF WORK. :NEW �,rEIGHT........ rIRST.... rMN,......... 20 "APkiNG SM�.; OF USE...!SF %`0' 'AAD.... 40 SECOND_ 1101" DWEL,_41NG UNIT':;: I FINDSMENT: @ sf RIGHT.......... "'JPaNCY ORP,:P", lIDPII: 4 SC'H: 3 2401 sf VALUE—$: 168707 REAR..........:Z.......... ----------------------------- PLUMBING ----------------------------------------------------------- 3 WASHING MACH..; I LAUNNY TRAYS, PAIN DRAIN ft: 0 TRAPS......... : ...... I rLOOR DRAINS., 0 SEWER LIME ft: 0 Sr RAIN DRAINS: I CATCH BASINS—: 0 r WATER LINE ft: !N' 8CF%W PREVNTP: 1 GREASE TRW...; t I WATER HEATERS. OTHER FIXTURES: -------------- ------- -------- ITCHANICAL FLIP' 100K ... e BOIL/CW ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS. I UNIT HEATERS.. 0 4OODS......... I OTHER UNITS... y INP. : 0 BTL' FLU -URNACES; 0 VELA'S.........; 0 W(XDSTOVEG.... I GAS OUTLETS. I --------------------------------- ELECTRICAL - RESIDENTIAL. UNIT -- ----!X7ACE/FEEDER----- --TEMP SRVC1FEL2"" -41SCEILLANE01n) ADTL T J,'; '.Tee CF Or 1 e :IN alp., 0 C alp.. PEP. INSPE, Ir 7-A ADTL S'_, 4 2e1 - 400 a4p.. 0 NI - 400 amp..: 0 1st W/C 0 SIGN/CUT LIN LT: 2 PER HOUR......: e -'MITID ENERGY.; 2 4121 600 amp., ? 401 - 614 allip— : t CA ADDL Dr S i GNAL/PPIC, 0 IN PLANT...... 9ANF .41SKiFDR: 0 601 IM amp.. 0 bal'alps-10©0 v: 0 MINOR LABEL -10: 0 I"@+ aiplvolt. : 0 PLAN REVIEW SECTION qe:orrect only.; 0 )=4 RES, UNITS.. SYC'rDq)=225 A. : 00 V NOMINAL: CLS ARCA,`:1r'__ "RICTEt' DM5Y F RESIDENTIAL- ------------- ----------- STMO.; .'AC ,71 SYSTEMC, rIPE ALARM.....: WERCOY"PAGING: OUTDOOR LNDSC L . I r I1'r'614 ALARM. 71TH- Y BOILER......... : HVAC........... LANDSCAPEIRR"G: PROTECTIVE SIGNLi 5f GAGE OPENER.. ... "PUMEN'TATION: MEDICAL................. DATA/TELE COPW.: NUNN CALLS..... TOTAL # SYSTEMS: e Cortractor; . TOTAL FEFIF:I1 4572.cl SHELBURNE DEVELOPMENT 711T1! _-11 NnERG 1;1: 70M SW NYFERC RD ,�HLA71N OR 97*c TUALATIN OR 97862 6124363 Pfione A: 699. 6383 Peg 0..: 42388 permit is issued Subject to the -eg.11stiors contained in the Tigard Municipal Code, State cf rlt-e. Specialty Codes and all E;:cable laws. All w,:4 will be dce il accc-dance w,,tt appp,ed plans. T' is permit will typire if w3,4 is n:t started wit,-1- day, if issuance, or if oicrk is susperdel for more t"a;, IN days. ------------ r.3tine Insp P0./Undirfloc, Gas Fireplace Water Service In Building Fina: !":j-datior. Irsp Mechanical Insp Sheaf- Insp Insulation Insp Appr'Sdoolk Insp Erosion Cantrt' 71St/Bipilial Strjct pjuqb 'or Gyp Beard lisp Elect, -cal Final 7�,st/Beas Mechar, Elect, :- Pain dr1ir IllIsp Mfrl-aric-41 Five! C awl D?,Ain Water Line Insp pl. m t rj CITY OF TICARDSEWEREuriotjF,ERMIT PERMIT #. . . . . . . : 5WR9&041 COMMUNITY DEVELOPMENT DEPARTMENT VnTE ISSUED: 10/03/1)K 13125 SW Hall Blvd.Tlgard,Oregon 9722398199 (503)639-4171 rm,CEL. 2'S104CC-4iW07�, ITC ADDPrSO. . . 9 13060 SW W=N71r' l 1U11I)TVISION. HILLrP-11PE WOODF ZONING: R-7 PD 77!JANT N04C. jon NO. . . . . . . . . . rTXTURE UNITS. . . 0 n 7, n r W 0 P 1, P47W DWIELLING UNITS. I Or UnF. 5F NO. or' ESU TLI)INGS: I T'er!:- Mi"WR IMPETV ^1jRF()Cr-.: r r." !n_BuPNE Lr.7.V-L.nr,mr.NT rA m r,1.,t ri t; b (j,-;k t; e 008 SW NYP7_RG RD C71PMT 2171 t. 0 0 D 10/03/06 6 4 rJOLATIN OR '170(n,- #: NOT ON r-"ILr 74 9 , TOTAL 4 REQUIRED IN2P1:C,r.* 'tis Applicant agrees tc cospiy with all the riles and regulation: 5 e vj e r, I n S f:)e Ut .1' cin the Unified Sewage Agency. The pervit expire-- 180 days frol ,'-F date issued, the t-,tal aeo-irt paid will be forfeited if the �ermit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the siwe- ;s not located at the slasurfrent .Ven, the installer shall prospect 2 lea' distarce given. If not so locate-, se 'ap and Side Sewer" Pereit and the al, t t e Ape n, C 12 for- in=j-.,Pc-t i oii -4175 Plan Cho 1TY OF TIGARD Residential Building Permit Application Rec'd By n 3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd` iGARD, OR 97223 Single Family Detached or Attached Date to P.E. '03) 639-4171 Date to DST Print or Type Permit# L - Incomplete or illegible applications will not be accepted Called.11.-Q, Nnme of Subdivision Lot# Name , Job Hi 11 shire Woods Ai;A J0/Y Address Site Address Architect Mailing Address N o&I:1�S n ,e. Name City/State Zip Phone Shelburne Development OtZ X6,>_14t?2-g!127 Owner Mailing Address N me >A 1 L/;�. Vt 7008 S.W. Nylip-ru Rd. Cil /state Zi Phone Engineer Moiling Address yI'ttalatin 9062 692-6383 - rte/ /�lt'ou47— Name City/State 711, Phone General Shelburne Development Describe work newW- addition O alteration O repair O Contractor Mailing Address to be done: 7008 S.W. Nvberc Rd. Additional Descriptio of work: City/Slate Zip Phone PATH I If�Ft�Gr►t-tED IN/ SLA&/' Tualatin 97062 692-6383 Oregon Const, Cont.Board Lic.# Exp. Date Attach copy of 042388 11-8-96 t Project Current COT Business Tax or Metro# Exp. Date Valuation $ !' 7 i licenses 00003412 -7/l/97 Name NEW CONSTRU TION ONLY: Mechanical Oregon Comfort cleating Sq.Ft. House: Sq.Ft.Garage: Sub_ Mailing Address 4-1 (r,' / I/ Contractor P.O. Lox 355 Corner Lot Yes No Flag Lot Yes No City/State Zip Phone (check one) (check one)_ IX Eagle Creek 97022 655-0221 Restricted Audio/Stereo Burglar Oregon Const.Cont.Board Lic# Exp. DateEnergy X System X Alarm ^ttach Copy of 042519 2-24-97 Installation Garage Dour HVAC Current COT Business Tax or Metro# Exp. ppaq� Licenses 00001313 3/l f_,7 X Opener X Systems Name (check all that Other: Plumbing C & K Contracting, Inc. apply)_ _ central vacuum Sub- Mailing Address - Will the electrical subcontractor wire for all Yes No Contractor 536 N.E. 63rd restricted energy installations? X City/State i Ill. hh -- Has the Subdivision Plat recorded? N/A Yes No Salem 9l_TO1 ll.-3539 X Oregon Const Cont. Board Lic.# Exp. Datei Reissue of MST# Solar Compliance Attach copy of 065015_ eEMU10 rhl:' 3-15-97 t ' (Calculation Attached) 1 F Current Plumbing Li # I vF y pg xp oats i I hereby acknowledge that I have read this application,that the Licenses 7.4—19 P B /i 9g —31—9-7 information given is correct,that I am the owner or authorized agent of COT Business Tax or Metro# Exp. Date the owner,Vy that plansAbmitted are in compliance with Oregon 06 i�� �� State laws oe Name Signature of Owner/Agent. Date Electrical Dryer & Sons Electric --- .__ Contact Peratln Name Phone Sub_ Mailing Address 5-CX u-r7Un/ _ 22e-77 7i Contractor 5536 SE Woodstock FOR OFFICE USE ONLY: _ City/State Zip Phone Plat# Map/rL#: Portland 97206 774-1606 Oregon Const.Cont.Board Lic# Exp Date Attach copy of 001114 11-23-96 Setbacks Zone: Solar: Current Electrical L.ic,M Exp Dale J1PvAr1FVR.r VE 'fir) Licenses 26-43C 10-1-96 WFST COT Business Tax or Metro p Exp. Date Engineering Approval: Planning Approval: TIF: 000C3046 <{, 12-1-96 asts\mstapp doc Pemit # Account escription AQiQ= Amt. Pd. Bal. Due 'MST. Permit (BUILD) 6a ST Plumb. Permit (PLUMB) Mech. Permit (MECH) ELC/ELR Permit (ELPRMT) 0 ;tSp State Tax (TAX) Bldg: 1 Plumb. Mech: .Z ELC/ELR: /,z,j-V Elan Check 1 MST: (BUPPLN) 3 Plumb: (PLMPLN) Mech: (MECPI_N) CDC Review (LANDUS) U U — 1)4v .Li l;Sewer Connection (SWUSA) uo Sewer Inspection (SWINSP) .3� _; Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) / Water Quality (WQUAL) Water Quantity (WQUANT) U U G U Erosion Control Permit (ERPRMT) Erosion Planck/USA (ERPLAN) ey Erosion PlanckJCOT (EROSN) kv (t/ Fire life Safety (FLS) TOTALS: SEE 35MM ROLL# 22 FOR LARGE DOCUMENT Solar Balance Point Standard Worksheet Address 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. First, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. * 45°—► tfor uEn N /� North-South Dimension for Lot: Measure the distance from the midpoint of the North lot line to the South lot line along the described line. * �2 S— 1 N NORMdOUM DIMEIIpON Box B calculations: Shade point height for your residence. Box B: 1. Determine whether measurements will be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. your residence? 1 a: If the roof line runs North-South, measurements will "« (circle one) be based on the peak of the roof. o 0 0 O r� 1 b: If the roof line runs East-West and the roof pitch is less than 5/12, measurements will be based on the w zr eave. 9UDE Mlrn EA'A 1 c: If the roof line runs East-West and the roof pitch is 5/12 or steeper, measurements will be based on the peak. iNNF WI CIX.F Box B. continued Box B: 2. Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from thea front lot line to the foundation, the figure is positive. If Z ft the lot slopes down from the front lot line to the foundation, the figure is negative. 3. Measure distance from finished floor elevation to the affected peak/eave. + 2 C' ft 4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, _.t-- ft deduct nothing. 5. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. If the _ lot has no slope or slopes up from the rear to the front, deduct nothing. _ ft 6. Total figure for box B: ft Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation near the ft affected peak/eave. 2. Measure the distance from the foundation to the affected peak or eave. + ft Total figure for box C: ft It is most useful to draw a vertical line to represent the appropriate figure found in box"A"and a horizontal line to represent the appropriate figure found in box"C".The intersection of the vertical and horizontal lines determines the value found in box"D". The value in box"D"should be compared to the value in box"B"; if the value in box"B"is less than or equal to the value found in box"D",then the building is in compliance with the solar balance code. If yo . have any questions, please contact us at 639-4171, x304 or at the Community Development Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT In Fest Distance to North-south lot dimension(in feet) shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40 reduction line from northern lot lone (ept) 70 4 40 40 41 42 43 44 6i 3 38 38 39 40 41 42 43 60 3 i 36 36 37 38 39 40 41 42 53 34 34 34 35 36 37 38 39 40 41 50 3 32 32 33 34 35 36 37 38 39 40 45 3 30 30 31 32 33 34 35 36 37 38 39 40 23 28 28 29 30 31 32 33 34 35 36 37 38 35 2 i 26 26 27 28 29 30 31 32 33 34 35 36 30 21 24 24 25 26 27 28 29 30 31 12 33 34 25 2 22 22 23 24 25 26 27 28 29 30 31 32 20 2 20 20 21 22 23 24 25 26 27 28 29 30 15 11 18 18 19 20 21 22 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 24 25 26 5 ill 14 14 15 16 17 18 19 20 21 22 23 24 Box D. Maximum allowed shade point height: -10 feet h:\docs\nancy\ventura\soIar chp Revised 2/26/96