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130/5 SW ASCENSION DRIVE
CITY OF TIGARD
DEVELOPMENT SERVICE'S
13125 SW Hall Blvd., Tigard,0,4197223 (503)639•4171
CE R I FA U'ATE, OF
OCt✓UPIANC:Y
PVRMIT #. . . . MST97--o
DATE ?SSUED: Of, -03/98
P414?CFL3 �.'510�1C^Et- ��17Q�0
;ITE ADDRESS. . . : 13075 SW A UNS I ON DR
�LJLADIV151ON. . . . : HILUGHIRE WOODS ZONINOiR-- ? PD
(LOCK. . . . . . . . . . 1 L.O .. . . . . . . . . . . . . :03:.3 Jt.IRISDICTION°TI(3
"L.ASS Of' WURI+. :NEW
f Y!-,E Or USE. . . 1 SF
TYPE OF CONSTR:5N
OC UUVIANC'Y GRP. :R ti
)C'CUPONCY LOAD:'
teemEWl« d Sr - Path )
Owpev". _.___....___._._._.__._ _. _......__._ _._ _ _ ...._..._..__
f1W F ULt.ERTUN CO
t.4C'.6 SW E1()RTN—HLSDL HWY
C--,ORTLANi) OR
Ihont, #1 293--3`344
7ULLE.RTON C OMPnNY
SW BFf4VER'f CIN H I LL 13DAL t HWY
r?UMTLAND 014 9'7221 - 1128
(''hone 1F: 2474433
Re I 0. , : 12100406
Th1s, Certificate prongs ocr.mpwicy of -the ..bove ,PfeY ey)r9d b1.lilding or pnrtion
theceof and confirms that thy+ b,.Ailding has been inspo,Aod for c7ompliance with
1,he St:an 0 gon pt7 t.ia.lty Codes for the group, occ,_ipanc:y, and _tae _1ncie1
whi.c11 tt,I. a eranc.ed permit was iovued. r
110 11,ZING IN'SPEC:TOR I NSPEC**r ON '.3UPP'P
POST IN CONSP I CUOU;:, PLACE
CITY OF TIGARD BUILDING INSPEC1ION DIVISION
?4-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: _ �}-- ` / A.M. L. M S MST:13
location: 1 3 07`J ,�i �O __T BUP: -
Tenant: Suite: Bldg: MFC: ^
Contractor:_ ! Phone: i�5l��_ PLM:
Owner:^-__ - __ / _Phone: � _ ELC: _.
-- C,KCLO,, OO F_ ELR: - ---
_ _ _ _ SIT:
BUILDING ?,101
Wt) PLUMBING MECHANI ELECTRICAL SITE
Site Post/Beam os cum Cover/Service Sewer/Storni
Footing Roof' UndFVSlab Rough-In Ceiling Water Lire
Slab Fro-.ning Top Out Gas Line Rough-In UG Sprinkler
Foundation Irsulation ScwLT hood/-)uct Reconnect Vault
Bsmt Damp 'Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Firc,5pWrA41m CrawUFound Dr I Leat Pum Low Volt
pprove Approved pprov Approved Approved
Appr/Sd 1 �, proved Not Approvod 'j>IZb nl ovcd Not Approved 3I 1 Not Approved
? V y y�' IN FINAL r►L FINAL CIS FINAL
0 Call for reinspection O Reinspection fee of S_-__required before
next ins 0 Unable to inspect
Inspector: _____�� Date:- 4
'f T �_ Page_ of_ �.
Page No. 1 CASE HISTORY FOR CASH NO.: PLd99-0020
RN FULLERTON co
13075 SN ASCENSION PF
05/13/98
Action Description Req/ Schd/ End/ Acton Notes Disp By Update Upd
Code Sent Done Done Data By
------- -- -- ----------- ---'---- -------- -------- "
PL14A003 Application received / / / / 01/26/98 RECD B 01/26/98 BON
PUM003 Create Permit 01/26/98 DONE B 01/26/98 BON
PLMA050 (F) Issue permit / / / / 01/26/98 PASS B 01/26/98 BON
PL A750 RP/Backflow Preventer 41/26/98 / / 03/31/)8 pending- remove water out of yard box PASS RB 03/31/98 RB
PL A799 Final Inspection / / / / 03/31/98 age above remarks PASS RB 03/31/98 RB
PL4A800 Case Finaled / / / / 04/19/98 04/19/98 JT
CITY OF TIGARD
DEVELOPMENT SERVICES F' PERMIT
PERMIT T T ##.. .. .. .. . . . F'LM98-0020
13125 SNI Hall B10., Tigard,OR 97223 (50)639.4171 DATE ISSUED: 01 /26/98
PARCEL: 2S 1 V14CB•-01700
.a I TF ADDRE BS. . . : 13075 SW ASCENSION DR
SUBDIVISION'. . . . : HIL_LSI-IIRE WOODS ZONING: R ? PID
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . .
:033 JURISDICTION: TIG
-------------------------------------------
CLASS-OF�WOIRK. . :ALTVv �-GARBAGE rlSPOSAL.S. : 0 MOBILE HOME SPACES. - 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREV14TRS. . : 1
OCCUPANCY GRP. . : R?, FLOOR DRAINS. . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXT(IRES- ----------- LAUNDRY TRAYS.. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . 0 URINALS. . . . . . .. . . . . . 0 GREASE TRAPS. . . . . . . . 0
I_-AVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
III TUB/SHOWEPS. . . : 0 SEWER LINE (ft ) . . . . 0
WATER CLO13E=TS. : 0 WATER '-INE (ft ) . . . : 0
DISHWASHERS. . . . : 0 PAIN ERAIN (ft ) . . . : 0
Remarks : Installing a residential backflow prevention device
Owner: ____.__._____-.______.__.__.________________._._._._____.------._.....___._. FEES ----------------
RW FUL-LrERTON CO type amoi_tnt• by date recpt
6426 SW BVRTN--HLSD(_ HWY PRMT g 15. 00 P 01/26/98 98-3O275E,
PORTLAND OE? 9'7221 SPCT $ 0. 75 B 01 /26/98 98-3O275r,
(-'hone #:
Cont ract or--_•---
MICHAEL & CO PLUMBING
P 0 BOX 23008
TIGARD OR 97281 ________________.__________-•--_---•----.-_.---
Phone #: 639- 1189 $ 15. 75 TOTAL
Reg #. . : 000678 --- ___ REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the RP/Backf low Prev
Tigard Municipal Code, State of Ore. 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 188 days of issuance, or if work is suspended for more
than 188 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are -----
set forth in (JAR 95'. 8881 9018 through OAR 952-8081-8888. You may
obtain copies of these rules or direct questions to OIINC by calling
1503)246-1987.
Iss ..ted B � U{.fk'I _- -- Permittee Signat 1_tre:C e (kf��,�I�h ►"wl,
y
+-+++++++++++++++++++4++++++-1-++++++4•+++++++++++++++++++++J-++++++++++++++'1-++++..
Call 639--4175 by 7:00 p. m. for an inspection needed the ne>;t blisiness day
++++++•+++-++++++++5•+++++++++++++++•+++++++++•+++++++++++++++•+++++++++•++++++++++++
.1TY OF TIGARD Plumbing Application Recd By M4,Uwlllf
312.5 SW :BALL BLVD. Commercial and Residential Data Recd
GARD, OR 97223 Date to P E.�7
503) E'39-4171 Parmrts_ I`V'I'" Tei
Nnnt or Type Related S1vR rt_
Incomplete or illegible applications will not be accepted Called_
Name of Development/urolect -�� FIXTURES (Individual) QTY PRICE AMT
Sink 5.00
Job r S 2 ZZAS. Lavatory 9.00
Address Street Address Suite Tub or Tub/Shower Comb q 00
Bldg 0 City/State Zip Shower Only 9.00
� 197-22 73 Water Closet — 9,00 -
Namo -
Dishwater 9.00
1 r t'n C O
Owner Mailing Address Suite Garbaqe Disposal— - 9,00
1,v4.PV c k' J Washing Machine 9.00
rty/Slate Zip Phone Floor Drain 2' 900
- rT r c 2.7, _ 3' 9.00
Name 4• 900
Occupant Mailing Address Sude Water Heater -� 900
Laundry Room Tray 9.00
CitylStale Zip Phone -� Unnal 9.00
-- - -- Other Fixtures(Specify) 9.00
Name
YVI 1 c U d OL) PIU ti! ., 9.00
Contractorailing AddreS3 Suite 900
C aDx 33ocR --, — 9.00
CitylStale`` Zip Phone -�--- 9,00
5c r C)+- Cr i .?.S'/ W� .TCI_ - - - 900
Or on Cons!.Cont.Board Lic$ Exp Dal..• _
i Attach Copy of �Z—___ 1 -19-9V v 9.00
Current Plumbing Lic.S Exp Dale Sewer- Ist 100' 30.00
Licenses at, `1- 30_9 S Sewer-each additional 100' _ 25 00
COT Business Tax or Metros Exp.Date - ---- —
/ f _9 Water Service-1st 100' 3000
Name
Water Service-each ditional 200' - 2S. 0
i _- _
I
Architect Storm 6 Rain Drain- Ist 100' 30.110
Mailing Address Suite Storm 3 Rain Drain-each additional 100' 25.(0 '
Or Mobile Home Space 25 1�d
Engineer City/Slale Zip Phone Commercial Back Flow Prevention Device or Anti- P5.a3
Pollution Device
aSrnbe work New 0 Addition O Alteration O Repair O Residential Backflow Prevention Device` 1500 S.00 f
to be done Residential 41 Non-residential O _ Ary Trap or Waste Not Connected to a cixture 9.00 _ I
,additional description of work Catch Basin - �— 900 -{I
Insp.of Existing Plumbing 40.00
,.per/hr
--- Specially Requested Inspections —^ 40.00
xisting use of per/hr _
wilding or property_.!- Rain Drain,single family dwelling - 3000
'roposed use of Grease Traps - - 9.01
budding or property_
QUAN"ITY TOTAL
Are you capping. moving or replacing any flxtures7 Yes p No O lex o<n>wx eugrsrn n tqursA a Ou.nrty Total u >9
(1f yes soo back of form) — 'SUBTOTAL _
I hereby acknowledge Mal I have read this application.that the information
given is correct.that I am the owner or authorized agent of the owner,and 5% SURCHARGE _
that plans submitted are in complianr-a with Orme on State Laws -- — P 7
Signature of Own*.;4.:cnt Date PLAN REVIEW 25%OF SUBTOTAL
gequned orVr t PoctuMTy tow y>9
TOTAL �f7
Contact Parson Name a Phone
'Minimum permit foo is S25+5%surcharge.except Resdential Backflow
P), � t i34I AF`�_ Is 3c _ l,Qy Prevention Device.which u S15+ 5%surcharge
-L- I:dsts\pimapp.doc 8/96
1 __
DAZAaELDWIETE AS APP RQP IAS TE T4 P QJEC1:
Fixtures to be capped, moved or replaced Qty
Sink _
Lavatory _
Tub or Tut.'Shower Combination
Shower Only
Water Closet
Dishwasher -
Garbage Disposal _
Washing Machine
Floor Drain 2"
Water Neater
Laundry Room Tray
Urinal _
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE.
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97-0324
~ � DATE ISSUED: 09/10/97
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639-4171
PARCEL: 2S104CB-01700
SITE ADDRESS. . . : 13075 SW ASCENSION DR
SUBDIVISION. . . . :HILLSHIRE WOODS ZONING: R-7 PD
BLOCK. . . LOT. . . . . . . . . . . . . :033 JURISDICTION: TIG
Remark;: SF - Path 1
------------ ----------- _--_------------------ BUILDING
REISSUE: STORIES.......: 2 FLOOR AREAS-------- BASEMENT...: 0 sf REQUIRED SETBACKS--- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT........: 24 FIRST—.: 1388 sf GARAGE.....: 792 sf LEFT..........: 5 SMOKE DETFCTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1658 sf FRONT.........: 43 PARKING SPACES: 2
TYPE OF CONST.:SN DWELLING UNITS: 1 FINDSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2%6 sf VALLE_$: 212428 REAR..........: 75
-------------------------------------------- - ---------- PLUMBING ----------------- ----------------------------------
S1N(5.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TPAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RHIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...; 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASC TRAPS..: E
OTHER FIXTURES: 0
__...---------------------- --------------.. -- - --------- MECHANICAL ----------------------- -
FUEL TYPES----------- FURN ( 180K ..; 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
GAS FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........s 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES...... 0 GAS OUTLETS...: I
--- ------- --- ------ ---
------------------------------------ ELECTRICAL -- - --- --------- -------- ---
--RESIDEN11AL UNIT--- ----SERVICE/FEEDER---- --TEMP SRVC/FEELERS-- ---BRANCH CIRCUITS-- ----MISCELLI YOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: I 0 - 200 amp..: 0 0 200 amp..: 0 W/SVC OR FDR..: 8 PUMP/IRRIBAIION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 6 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 8 401 600 amp..: 0 EA ADDU- BR CIR: 0 SIGNAL./PANEL...-: 0 IN PL.ANT......: 0
MW HM/SVC/FDR: 0 601 - 1000 asp.: 0 6014amps-1000 v: 0 MINOR LABEL -10: 0
10001 amp/volt.: 0 --------- - -- PLAN REVIEW SECTION - -----Reconnect only.:only.: 0 )=4 RES UNITS. SVC/FDA)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
- -- -- ----- —__ _— ------------ ELECTRICAL - RESTRICTED ENERGY -------------------------------------------------- _---
A. SF RESIDENTIAL---------_.-----.•------- B. COMMERCIAL------ ----------------------------------------------------------------------------
AUDIO L STEREO.: VACUUM SYSTEM..: AUDIO t STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEN CAL.......... OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL I SYSTEMS: 0
Owner: ----------------------------------Contractor: - --------- -------------- TOTAL FEES:$ 4756.11
RW FU-LERTON CO FULERTON COMPANY This permit is subject to the regulations contained in the
6426 SW BVRTN-MESDL HWY 6426 SW BEAVERTON HILLSDALE HWY Tigard Municipal Code, State of Ore. Specialty Cudes and all
PORTLAND OR 97221 PORTLAND OR 97221-1128 other applicable laws. All wore will be done in accordance
with approved plans. This pere't will expire if work is
Phone 4: 293-•3344 Phone R: 297-4433 not started within 180 days of issuance, or if the Mork is
Reg A..: 800406 s6spended for more than 180 days. ATTENTION: Oregor law
-------------- ____ ----- -- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0810 through OAR 952-001-0880. You may obtain copies of these rules or
direct questions to OUNC by calling (583)246-1987.
----�—. ____ -------- REQUIRED INSPE('TIONS -------------------- ---_- --------
Erosion Contol Post/Beam Machan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final
Grading Inspecti Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final
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
Past/Beam StructPlumb TpLow Voltage Gyp Board Insp Electrical FinsC� _
Issued By: Vvot_"L.— Permittee Signatures
ail �1 fes,
+++++++++++++++++++++++++++++++++++++*+++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 6:00 p. m. for an inspection needed the next business day
�� CITY OF TIGARD SEWER CONNECT ION
DEVELOPMENT SERVICES PERMIT
7 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 r'ERM IT #. . . . . . . : SWR97--0310
DATE ISSUED: 09/10/97
PARCEL: 2SI04CB-01700
SITE ADDRESS. . . : 13075 SW ASCENSION DR
'j
SUBDIVISION. . . . :HILLSHIRE WOODS ZONING: R-7 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :033 JURISDICTION: TIG
TENANT NAME. . . . . :RW FULLERTON CO
USA NCI. . . . . . . . . . : FIXTURE UNITS. . . 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : I
TYPE OF USE.. . . . . :SF NO. OF BUILDINGS: I
INSTALL TYPE. . . . :BUSWR iMPERV SURFACE: 0 sf
Remar-ks : SF — Path I
Pwnei,: FEES
RW FULLERTON CO type amol-trit by date r-ecpt
6426 SW BVR*TN—H[-SDL.. HWY DUN $ 290. 00 B 919/10/97 97-29910131
PORTLAND OR 97221 PRMT $ 22'00- 00 B 09/10/97 97-299103
INSP $ 35. 00 B 09/ 10/97 97-299103
Phone EROS $ 88. 00 B 09/10/97 97-299103
ERPU $ 28. 60 B 09/10/97 97-29910--71
Contractor: $ 28. 60 B 09/10/97 97-299103
OWNER
Phone #: $ 2670. 20 TOTAL
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer- Inspection
of the Unified Sewage Agency. The pe-mit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If '"ie sewer is not located
ed at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer' Permit and the Agency will install a lateral,
ATTENTION: Oregon law requires you to follow rules adopted by Vfp
Oregon t1tility Notification Center. Those rules are set forth in OAR
992-98IA8I8 through OAR 952-MI-OW. You may obtain copies of
these rules or direct questions; Ol1NC by ca�jling (593)246-1987.
Permittee Signati (A
Per tre
Isse-ted by :
+++++4....4.............#.......I...............1-4........ I...........................4-
Call 639-4175 by 6:00 p. m. for an inspection needed the next business day
4•............4 ..................4.............4.............................
Plan Check M - w'
r"OF TIGARD Residential Building Permit Application KW:d By
1125 SW HALL BLVD. New Construction Additions or Alterations nate(teed
'GARD, OR 97223 Single s=arnily Detached or Attached (Duplex) Date to Is '
503-F,39-41 711
Eitt
303•-6ea-T297 �Ith
Print or Type
Incomplete or illegible ap lications will not be accepted
Name y' 11 �
Narrw of Protea (�(�!113,Np1 - rtV'si^Ae",V
Job l , I� , v�C1,`i ?��j Architect Mattfr Address
Address site Addle" 1 ' '� ' 2.10
'xanil-, Pkv` , ue11pPhone
Owner MpiWq Address ?=►� 1�[
"t `, Engineer Mttrtr�Addlte"
citvistate Zip
�, � � c �-t � Citxf fele ZIP Phots
Narne
General oescnbe work New Addition C Atteratton o ftaw o
twd
bs one:
!6.
::ontractor k""MAdddn" i t to to done:
Description of Work:
4 l
TIstate �� Poon. t t N
AVjd l'�
Oregon Const'Cont.Board LIM01 FXF.Date^
Attach Copy of V 4 1 PROJECT G
Curr " Metra
Current COT Business, ax of t ` Q a
Ucensea ,•' - , ! VALUATION (�
Name NEW CONSTRUCTION ONLY:
Mechanical �' "P:YL�S1 Sq FL H e: Sq. Ft Garage
Sub- Mailing Address
Contractor �) 1'• ! Corner Lot YE5 ,NO Flag lot YES N
CityrState Phone (check one) (check one)
! I - Restricted Audics,'Stereo Burglar
Oregon Const Cont. Board Uc# Exp Oa
Attach Copy of ' �)l- Ll Energy System Alarm —
Cufrent Cor austneaa ax or Metro K Ex Installation Garage Door HVAC
Ucenses r D-)" , �� �`� Opener -` Systems
— Name I OjAr VJYY f (deck all that Other.
apply) -
Plumbing X\rte � �!vyv�Oty
Sub- Mailing Address "�- Will the electrical subcontractor wire for all YES NO
restricted energy installations?
Contractor (+ e= �� ` Has the Subdivision Plat recorded? N/A NO
,tyrstste Zip Prone
1 ,
„� 7r�. • (6-1 Lk,
orego onst.Cont.Roam 6ie.6 Exp.Das Reissue of MSTt. Solar Compliance
Attach Copy of � ��, 4 , � � , . I � _
(Calculation Attached)
cunment I nine Uc.K EXP. I hearby acknowledge that I have read this application,that;he
Uconses ' information given is correct.that I am the owner or authorized
CBOT 6u:uness Tax or Metm A Exp.Date agent of the owner,and that plans Submitted are in compliance
' with Oregon State laws.
—�� Name Signature of OwnedAgent Date
electrical
t"
Sub- Mailing A.dress A, Contact Person Name Phene#
Contractor FOR OFFICE USE ONLY: _
C,y,State LO Phone Plat W. -
r �- V J D
Oregon Const C4ni. 9oatn L c.x I Eio.Date - 7 -
Attach Copy of C-�'I l _ igineerin
Ck =. 5018(Current E!eant;at lrG t1 cxa.us" ]licenses , i Ap royal: P nine Approval: T1F:
SOT Business Tax of-Retro 0 Exp.Oats b
I SFAPP COC (DST) 4197
Permit a Acct D*acri(tpian COT WACO Amount Amt. Pd. Bat. Due
F'rJ
MST. Permit (BUILD) (UBUILD)
Plumb. Permit (PLUMB) (UPLUMB)
Mech. Permit (MEGH) (UMECH) 45,
EL'.�ELR Permit (ELPRMT) (UELPMT) X ,
State Tax (TAX) (UTAX)
BLDG:
PLUMB:
MECIA:
ELCIELR: ��_
Plan Check
MST: (BUPPLN) (UBIJPLN)
Plumb: (PLUMB) (UPLLIMB) _
McCh:
(MECPL.N) (UMEPLN)
CDC Review(BUILD) (CDCBLD) (UCDC) U
CDC Review(PLN) (CDCPLN) NIA
Sewer Connon (SWUSA) (USWUSA)
Reirnbur. District
Sewer Inspection (SWINSP) (USWINS)
Parks Dev Chaige (PKSDC) NiA
Residentlal'TIF (TIF-R) (LMF-R) e
Mass Transit TIF (TIF-MT) (UTIF-M) J
Water duality (WQUAL) (UWQUAL)
Water Quann;y (VVQUANT) (UWQANT)
Erosion Control Prmt (ERPRMT) (UERPMT) r
Erasion PlanckJUSA (ERPLN) (UERPLN)
r, G_u. G v ✓
Erosion Planck/COT (EPOSN) (UER0SN)
Fire life Safety (FLS) (UFI_S) �
TOTALS:
I:SFAPP DOC (OST) 497
97 Jul 17 18�02:52 R!\Mi.r33HW SATURN I M R.Ft I
2228 L
56-26'
'V (MIRRORED)
26'- E H y
55.00• 4 W FULLERTON CO
pti PH 2974433
0oIO
CITY OF TIGARD
HILLSHIRE WOODS
LOT 33
13,868 SO. Fr.)
NO TE
to r EXEMP r FROM Sol AR
CODE DUE TO THE S TREE r
NO SOLAR CALCS REDD
T)
MAIN FLOOR
EL :476.0'
GARAGE
EL -4750'
4" C NC
DRIVEWAY
101- 13500 P S I 1 5 6
Skt FEACE
WATERfTU rt
MF ER .W—/
' 0
L 5720 07/17/97 MRR
PAN) C-,A'C.A4 5c\j.f4
AtiliSCOR DESIGN 0
NIA 0
IS No LIABLE FOP THE '.CCUPACY OF I
TOPOGRAPHY INFOPINAIIDN IT IS THE SOLE
RESPO SIB&ITY OF THE BUILDER TO VEFKY
PLACED ON
11)045 S W ASCENSIQN DRIVE
ALL SITE CONDINE AND S ANY FILL ;at
II*TIOSIT "CtUDINGINIFORM OWNERS
OF ANY POTENTIAL FIELD MOONICATONS Im
AI An fl A f ( 0 D D D ( f 1 0 n A f f 0 ( i A I I F1
1305 N W 1111TH AVENUE, PORTLAND, OREGON 97209 15 031 115,9161 1 C A 1, 1 1 2 1 0