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....13076 SW ASCENSION DRIVE .� .
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.. Tigard,OR 97223 (503)639-4171
CEPTIFICATL OF
OCCUPANCY
PERMIT k. . . . . . . : MST97-0010
DATL I SGUED a
PARCEL: 2S104CB---0 '7@0
I T'E' ADDRESS. . . : 1:.3076 SW ASCENSION DR
1 UBloIVII)ION. . . . : HI L.L.SHIRE WOODS TONINGtR ;' PD
11LOCI . . . . . . . . . . : LOT. . . . . . . . . . . . . :073 JURISDICTION:TIG
i.;LASS OF WORK. s NEW
I"YPE OF USE:. . . :SF
I'YPE OF CO149TR:51\1
OCCUPANCY GRP. : R3
F)CCUPANf:Y LOAD:t2
'?emarl1s $ingle fiedy neM residence PATH I
Owner : _....._. _.._....._. ._... ......_
R W F-1-11-LER-1-ON CO
6426 GW BVTN HI.LLSDALE. HWY
t,ORILAND OR 97221
whune #: 297--1)433
Cunt rAr_torc - ---__..__...___.
FULLER'1'ON COMPANY
6426 SW SEHVERTON HILLSDALE HWY
PORTLAND OR 970121-112'8
Phony- tia r:97-4433
Reg #. . : 00040E
This Certificate grants oc:cupency of the above referenced briilding or portion
Cher eot' and confirms that the building has teen inzpec_ted for c,ompliar,c:e with
the state o Oregon Specialty Cortes for the gr, up, oc�c upmkncy, anti use !finder~
which the efet Nnced permit was i toed. `�
tJ /
BUILDING INSPECTOR SUILDINO f"F .CIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone. 6311 4171
Date Requested: _E o') 9 AM, !/�I'.M._ MST: �t01-L
Location: 130 7/2- (194 m1 , _ BUR
Tenant:_ Suite: Bldg: MEC:
Contractor: hone: 0 PLM: g 7—6;1-7r
r: Phone. BI'>e't P 71
allA- _ ELR:
o SW1247- W/U
dMEDING LDG on't) PLUMBING MECHANICAL ELECTRICAL SITE
Site eam Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top that Gas Line Rough-In LTG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Alm Crawl/Found Dr Heat Pump Law Vclt _ r�
prove Approved Approved Approved Approved
Appr>'SdN li roved Not Approved Not Approved Not Approved Not Approved
I'NA L FINALDL FINALOX-- FINAL O G._ FINAL
���.. 1�
0 Call for reinspection O Reinspection fee of S required before
next inspection 0 Unable to inspect
Date:may.�-�•��[,j.__ Page of
Page No. 3 CAJE HISTORY FOR CASS NO.: MST97-0010
R W FULLERTON CO
13076 SW ASCENSION DR
1.2/05/97
Action Description Req/ Schd/ and/ Action Notes Disp By Update Upd
code Sent Done Done Date By
------- ------ -------- -------- --------
MSTA740 Insulation Insp / / / 05/12/97 Remove insulation away £ran b-vent w/in FAIL RB 05/12/97 RB
soffit
insulate duct w/in soffit
chink window/door
insulate soffit if side wall of garage
firestop return air plenum thru
penetrations
goal gas line thru penetration at fam
fireplace
vent baffles missed
support valley rafters where noted prior
inspection
strap plates
remove vapor barrier at master bath/tub
MOTA740 Insulation Insp / / / / 05/14/97 PASS RB 05/21/97 RB
MSTA745 oyp Board Insp / / / / 05/20/97 pendinq- missed nailing PASS RB 05/21/97 RB
MSTA755 Rain drain Insp / / / / 03/17/97 PASS MS 03/18/97 MRS
193TA760 Water Line Insp / / / / 03/17/97 OASS MS 03/18/97 MPS
K-TA765 Appr/Sdwlk Insp / / / / 06/26/97 PASS PI 06/27/97 S•W
MSTA771 ,:<REINSP&f717I014— / / / / 05/12/97 see insulation this date (framing PAID RB 08/17/97 J+H
corrections incompleted)
paid 97-294456 $15
MSTA790 «REINSPSCTIONa> / / / / O01181'9,7 Second trip for a final inspection and PAID RAS 0$/19/97 DST
they aren't ready.
Paid 8-19-97, receipt k97-298409,
$25.00.
MSTA700 «REINSPSCTION» % / / / 08/20/97 $30.00 charged. waived $15.00 $ 15 RA 08/25/97 J*H
$15.00 charged for Building Final not
ready
waived fee as per phone conA•etgatial
w/Supt thin date
M.9TA790 Electrical Final / / / i 07/31/97 house locked, no entry, 10:00 am FAIL BRP 07/31/97 J•H
MSTA790 Electrical Final / ! % ! 06!13/9' wall plates not flush DIS BRP 08/13/97 MJF
gaps in sheet rock
outlets exceed setback
wire terminals not tight
bath aFCI
MBTA730 Electrical Final / / / / 08119/97 PASS BRP 08/19/97 B*P
MSTA795 Mechanical Final / ! / / 08/13/97 APP GS 08/13/97 GES
___ A
Page No. 4 CASE HISTORY FOR CASE NO.: MST97-0010
R W FULLERTON CO
130)6 SW ASCENSION DR
12/05/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- ------- ------------------------------- ---- --- -----
M.STA795 Mechanical Final / / / / 08/18/97 as per GS report dtd 8-13.97 PASS RB 08/18/97 RB
MSTA797 Plumb Final / / / / 08/13/97 need to know where main valve is FAIL MS 08/13/97 MRS
located?
sprinkler permit?
MSTA797 Plumb Final / / / / 08/18/97 Unused raindrain in back of house must FAIL RAB 08/18/97 RAP
be capped off with a hard cap. N2 Need
permit for lawn sprinklers and
inspection.
MSTA797 Plumb Final / / / / 08/21/97 PASS MS 08/21/97 MRS
MSTA799 Building Final / / / / 08/18/97 plumbing final/elsotrical final approval FAIL RB 09/18/97 RA
req'd prior to building final
MSTA799 Building Final / / / / oe/2o/97 electrical/plumbing needs approval first FAIL RS 08/20/97 RB
before inspection.
$15.00 charged
waived fee an per phone conversation
w/eupt.
MSTA799 Building Final / / / / 08/21/97 glazing unit at landing needs to,be FAIL RH 08/21/97 RB
tempered
seal thru hole penetrations at siding
MSTA799 Building Final 08/25/97 / / 08/22/97 PASS RB 08/25/97 J•H
MSTA960 (P) Issue Cert. of occupancy / / / / 08/22/97 mailed 12-5-97 JT 12/05/97 S-W
MSTB700 Erosion Control / / / / 08/11/97 PASS USA 08/18/97 RB
CITY OF TIGARD ,
DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT #. . . . . . . : F'L.M97-033F,
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 08/18/97
PARCEL: 2S104CB-02700
SITE ADDRESS. . . : 13076 SW ASCENSION DR
SUBDIVISION. . . . : HILLSHIRE WOODS ZONING• R-7 PD l
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :73 JURISDICTION: -1 - �D
----------------------------------------------------------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW P'REVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . s 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 '
FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
Remarks : Backflow prevention device
Owners ----- -------------------------------------------- FEES --------------
R W FULLERTON CO type amount by date recpt
6426 SW BVTt HILLSDALE HWY PRMT f 15. 00 JSD 08/18/97 97•-298367
PORTLAND OR 97221 5PCT f 0. 75 JSD 08/18/97 97-298367
Phone #:
Contractor---------------------------------
M
ontractor---------------------------------
MICHAEL_ & CO PLUMBING
P 0 BOX 23008
TIGARD OR 97281 ---------------------------------------
Phone
-----------------•--------------------
P'hone #: 639-3189 $ 15. 75 TOTAL
Reg #. . : 000678
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
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 OAR 952-8M1-018 through OAA 952-MI-M. You may _
obtain copies of these rules or direct questions to DUB; by calling
1583)246-1987.
Issued Bys Permittee Signaturles
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++:-++++++++++++
Call 639-4175 by 6:00 p. m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++, +++++++++++++
CITY OF TIGARD Plumbing Application Recd By_-
1 j 125 SW HALL BLVD. Commercial and Residential Date Recd
TIGAi D, OR 97223 Date to P.E.
Date to DS
(503) 639-4171 Perinrt a
Print or Type Related SWRa
Incomplete or illegible applications will not be accepted Called_
Name of Development/Project
Job FIXTURES (individual) QTY PRICE AMT
Address Street Address Suite Sink 9.00
(' 1'^1 rF,vJf.Aar Lavatory 9.00
Bldg a City/State Zip Tub or Tub/Shower Comb. -
_ 9.00
Name
�--- Shower Only 900
Nater Closet - 9.00
Owner Mailing Address Suite - Dishwasher
9.00
Garbage Disposal 900
City/State Zip Phone Washing Machine �- 9.00
Name -` Floor Drain 2" 9.00
3. -- - 9.00
Occupant Mailing Address +- Swte4 ----
9.00
City/State tip Phone Water Heater O conversion O like kind 9.00
Laundry Room Tray 9,00
Name �^ Urinal M 9.00 -
/�<'X r ``Q w�6 Other Fixtures(Specify) 9.00
Contractor Mailing Address Suite -
9.00
i (Prior to issuance City/State Zip Phone _-�
9.00
applicant must ]% •� ^ ! ± ) , r; -!i J'' 9.00
provide all Oregon Const.Cont.Board L.ic.a Exp.Date - 9.00
contractors (/ /, / ) 9.00
license Plumbing Uc.! Exp,Dale
information if Sewer-1 sl 100' - 30.00
77 �t _
expired -,(/ �i_5 J �Q Sewer-each additional 100' 25.00
in COT COT Business Tax or Metro a Exp.Date Water Service-1st 100' - 30.00
database)_
Name Water Service-each additional 200' 25.00
_
Storm&Rain Drain- 1st 100' 30.00
ArchitectStorm
&Rain Drain-each additional 100' 25.00
or Mailing Address Suite
Mobile Home Space 25.00
Engineer City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device_
Describe work New O Addition O Alteration O Repair O Residential Bar-kflow Prevention Device* 15.00
to be done Residential Non-resoenlial O Any Trap or Waste Not Connected to a Fixture I 9.00
Additional description of work Catch Basir - -1 -9.00
of Existing Plumbing 40.00
-- prynr-
Specially Requested Inspections 4000
Existing use of per/hr _
budding or property F .f Rain Drain,single family dwelling 30.00
Proposed use of Grease Traps 9.00
budding or property r r -
-- - QUANTITY TOTAL
Isometric or user diagram is required tf Ouanity Total is >9
Are you capping, moving or replacing any fixtures? Yes C7 No Q - 'SUBTOTAL
(If es see back of form) __
I hereby acknowledge that I have read this application that the mfoimation - g% SURCHARGE
given is correct,that I am the owner or authorized agent of the owner.and -
that plans submitted are in compliance with Oregon State Laws. PLAN REVIEW 25%OF SUBTOTAL
Slgnafure of Owner/Agent Dats
Regwrtd onry d'txture qty total is�9 ^__
--- - - TOTAL r!
o itact Person Name Phone 'Minimum permit fee is S25+ 5%surcharge.except Residential Backflow
-A r�/ r.r_ `,��r ?/1 Prevention Device,which is S 15+5%surcharge
cs1sWUneoa coc 5197
1
P__I EA_5_E CORAPJ, ET AS APPROPRIATE TO PROJECT:
Fixtures to be capped, move_ d or replaced Qty
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal _ —
Washing Machine _
Floor Drain 2"
Water Heater
Laundry Room Tray__
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
CITY OFTIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT #. . . . . . . : PLM9i--0278
1312.5 S W Hall Blvd., Tigard,OR 97223 (503)631.4171 DATE ISSUED: 07/15/97
PARCEL: 2SIO4CB-02700
SITE ADDRESS. . . : 13076 SW ASCENSION DR
91JBDIVISION. . . . : HILLSHIRE WOODS ZONING: R-7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :73 JURISDICTION: URB
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
-F'YPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS, . : 1.
OCCUPANCY GRN. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
F=IXTURES-•- --- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : k, SEW_7R LINE (ft) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft) . . . .* 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Pemarks : instl 1 back flow device/double check valve for• ir,r,igation line
Owner-: ------------------------------------------------------- FEES
MICHAEL & CO PLUH6ING type amount by date recpt
G>Q BOX 23008 PRMT $ 15. 00 TAT 07/15/97 97-297131
I TGARD OR 972:23 SPCT $ 0. 75 TAT 07/15/97 97--297131
Phone #:
Contractor-------_--_--_--------------------
MICHAEL R: CO PLUMBING
P 0 BOX 23008
TIGARD OR 97281 _._____-_.-----------------------------
Phone
------------__-__-__-___---.Phune #: 639-3189 $ 15. 75 TOTAL
Reg #. . : 000678
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Line I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other RP/Backfl.ow Prev
applicable laws. All Mork will be done in accordance with F i n a 1. Inspection
approved plans. This permit will expire if work is not started
within 189 days of issuance, or if work is 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 OAR 952-0001-0010 through OAR 952-9001-0080, You may
obtain copies of these rules or direct questions to OIK by calling
(5931246-1987.
Issued By : Permittee SignatI
++i-++++++++++++++ +++++++++++++++++++++++++++++++++++++++++++++++++ +++++++++
Call 639-4175 by 6:00 p. m. for• an inspection needed the next business day
+i+++++++++++++++++++++++++++++++++++++++++++++4-+++++++++++++++++A++++++++++++
r2ec'd
:iTY OF TIGARD Plumbing Application By _
3125 SW HALL BLVD. Commercial and Residential Date Recd—
YARD, OR 97223 Date to P E.
Date to DST _
S03) 633-4171 Permit x_ 1'
Print or Type Related SWR*_
Incomplete or illegible applications will not be accepted called _-_ _
_ Name:.r Development/Project
w FIXTURES (Indlvldual) GTY PRICE Arr"iAT
Jot) 7.3 Sink — 900
Street Ado l 1 TSuite Lavatory 9,00
Addres.+ u ^r /yam f`n 1'ub or Tub/Showef Comb 9 00
Bldg 0 City/Slate � Zip Shower Only 900
P" I r _I i Walrr Closer 900
Nig i /
,^ Dishwater 900 I II
Ok
Owner Mai iri9 Addre
ss 1 L 1 Suite garbage Disposal g 00
Washing Machina 900
Cay/Slate Zip Phone Floor Dram 2' i 90
U
Y 9.00
Name —
4" 9 00
Occupant Mailing Address Suite Water Heater 900
_ Laundry Room Tray 9 00
Cityistate Zip Phone Urinal — 900
Name / Other Fixtures(Specify) — 9.00
Al! ^rc' 9.00
.ontractor Mailing Address Suite 900
± , ,.;f7!� 900
City/Slate Zip n Phone 9.00 —~
,4 (a: t!If !1'1 ';I Hyl / t 'i /r
Oregon Const.Cont.Board Lic.0 Exp.Date v� — 900
Attach Copy of ;� r) "1 9.00
C.,rrent Plumbing Lic.• Exp.Date Sewer- 1st 100" 30.00
Llcunses -'(r• _'?J f)� — -- — --
Sewer-each additional 100' 25.00
COT Business Tax or Metro a Exp.Date Water Service- 1st 100' 3000
Name Water Service-each addilional 20U 2500
Slarm 8 Rain Drain- 1st 100' 30.00
architect _
Mailing Address Sudo Storm 8 Rain Drain-each additional 100' 2500
or
Moble Home Space 2500
Engineer City, Mate Zip Phone Commercial Back Flow Prevention Device or Anti- 2500
Pollution Device
;cube work New O Addition O Alteration Repair U Residential Backflow Prevention Device' 15.00 /
)e done Residential O Non-residential O _ Any Tra, :)r Waste Not Connected to a Fixture 900
titional descnption of work s Catch Basin — 900
a fJZ4 rile. e��ftl, Va t ri A/, Insp.of Existing Plumbing — 4000
per/hr I
Specially Requested Inspections 4000
Jbng use of
per/hr
jtlding or property
Ran Drain,single family dwelling 3000
epos ad use of Grease Traps 900
,riding or property
—, QUANTITY TOTAL 1
s you capping, movinq or replacing any fixtures') Yes[-J No i] Isometric or nsw atagram u,nuireic it Quanrty Total is
if see back of form) — 'SUBTOTAL
hereby acknowteoge that I have read this application,that the information
.en is correct.that I am the owner or authorized agent of the owner,and 5%SURCHARGE —
at pians aubmdtel are in compliance with Oregon State Laws --_
gnature of Ower/Agent Date PIAN REVIEW 251,:OF SUBTOTAL
/ Requved onry-R fixture qty total,s>4
! �_ o;� n �/J,-�� — - ---_- TOTAL 7�
wt�it ct Person Name Phone L r
Minimum permit fee,s$25- 5%surcharge.except Residential Backe,
j. j/ Prevention Device which is 515+5"A surcharge
i.\dsts\plmapp doc 8/98
4
PLEASE CQUIE.LEIE AS APPROPRlA3E TO PROJECT:
Fixtures to be capped, moved or replaced Qty
La_vatcry _
Tub or l'ub/Shower Combination
Shower Only
Water Closet
Dishwasher _
Garbage Disposal —
Washing Machine _
Floor Drain 2"
Water Heater _
Laundry_Room Tray
Urinal _ __
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE::
J
r
CITY OF TIGARD
MASTER FIERMTT
DEVELOPMENT SERVICES r-'ERMI'T #. . . . . . . : IAST97
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 01/29/97
1='ARCEL- :
S T TE ADDRESS. . . : 13076 SW ASCENSION DR
SUBDIVISION. . . . : HILL-SHIRE WOODS ZONING: R-7 PD
F',L..(]CL:. . . . . . . . „ . . L01. . . . . . . .. . . . „ . .7:?
Remarks: Single family new residence PATH I
----------- _----- ------------------------------- BUILDING ------------------------- ------------ - -
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REC- il -,- ---- -
CLASS OF WORK.,NFW HEIGHT........: 20 FIRST....: 1460 sf GARAGE.....: 440 sf LEFT..........: 12 SrJ;,,- J TECTR� v
TYPE OF USE...Of FLOOR L.OAD....: 40 SECOND...: 1100 sf FRONT.........: 20 BARKING SPACES:
TYPE OF CONST.-,?N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: B
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2560 sf VALUE../: 179043 REAR..........: 84
--------- --------------------- --------------- PLUMBING ---- ------------------ ---------------------------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..:�I LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 4 DISHWASHERS...s 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: P
T!JB/SHOWERS...; 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: P
- OTHER FIXTURES_P
------------ ------------------------------------------------ MECHANICAL ---------------w—.�---------_____
FUEL TYPES---------- FURN t LOOK ..: O BOIL/CMP ( 3HPs 8 VENT FANS.....: 4 CLOTHES DRYERS: 1
;GAS/ / / FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: i
MAX INP.: 0 BTU FLOOR FURNACES: 8 VENTS.........s 8 WOODSTOVES....: 0 GAB DUTLETS...: 1
-----I------------ ELECTRICAL ---------—-----------------------....---------------.. _-----
—RESIDENTIAL 5sI --- ----SERVICE/FEEDER -- __1EMPc0Va�oEA --- RAORIT -- --ADD'L IN8PtCT;ONS--
'00SF OR LESS: O 200 alp..: 0 _ 28W/5CFDdO PUMPMIRRI6ATION; 0 PER INSPECTION: O
EA PAIL 50ASF.s 4 201 - 480 amp..: 0 281 - 406 amp..: 0 1st Wig SVC/FDA: O SIGN/OUT LIN LTi 0 PER WA......1 0
LIMITED ENERGY.: 8 401 - 600 amp..: P 401 - 680 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT....... 0
MANE HM/SVC/FDR: 8 681 - 1880 amp.: 0 681+11ps-1880 v: 0 MINOR LAKE -10: 0
1000+ amp/volt.: 0 -------------------------------------- PLAN REVIEW SECTION ------------------------_---------
Reconnect only.: 8 )=4 RES UNITS..: SVC,/FDR1=225 A.: ) 600 V NOMINALi CLS AREA/SPC OCC:
- ----- ELECTRICAL - RESTRICTED ENERGY ----------------- -----"'----------
A. SF RESIDER-IAL--- B. COM�ERCIAL----------------------_----------- ------------AUDIO I I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PASINB: OUTDOOR LNDSC LT:
BURGLAR ALARM..s 0TH: :: X BOILER.........: HVAC...........: LAND9CAPE/IRR18s PROTECTIVE SIGW:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION; MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: 0
Owner: ------------------------------------Contractor: ---------- ----- TOTAL FEES:$ 4669.95
R W FULLERTON CO R.W. FULLFRTON
FI4?E SW BVTN HILLSDALE HWY 9700 SW CAPiT01. HWY
SUITE t 275
POPTLAND OR 97221 PORTLAND OR 97219
Phone Mi 297-9433 Phone M: 293-2277
Peg C.: 40671
Phis 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 J work is not started within 180
days of issuance, or if work is suspended for more than 188 days.
--------------------------------------------—------------ REQUIRED INSPFCTIONS -_--- ---------__—_-___--------- ------------------ !
Erosion Contol Post/Beam Mechan 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
Post/Beat Struct Plumb Top Out LailVo tai- Gyp Board Insp Electrical Fin
_ t,_ar m Item euignat . p: ( 1Cn < IssI.ted By�
F' r
Call for irispection -- 639-4175
Plan,cr,.d
ZITY OF TIGARD Residential Building Permit Application Recd By
13125 SW HALL BLVD. New Construction Additions or Alterations Dale Recd , 10 S 1
TIGARD OR 97223 Single Family Detached or Attached Date to P E. /-/3-4 7
,'503) h39•4171 Date to DST - /y- 17
Print or Type Permit r 4Vq
Called
Incomplete or illegible applications v.-ill not be accepted
N of Subdivisionlootr
Lot a Name fob � 'L,5H1PLE\ �3 4&xq-C)LT'C E'5% ou
-- � sr' Address 12
1 site Address Architect
Address I' / � i 1 vWyieEt
1.Ef
city tat Phone
Ir \� J �V1Xrw C'0 me- — Na7. 3
Owner ra,�. Audt� L —
"� C�rjAj. L. 1.�— Engineer Marling Address
r---_�— ISbte D ��_ _ ,�Q,,,.��11 CitylSbte Zip :[Pfiane
Name �-✓ J J
GeneralDescribe worit
U_--e.V_M r-N�"--'-- repair O addition O alteration O
-' to be done:_ _
Contractor Mailing Adarms -- --
mV: Additional Descmpbon of Work:
type AOR Wvi+ q�13 AJ
Oregon•Const Cont Board Ucs E .Da
Attach Copy of (DU-- rt k 1 Project —
Currom COT Business Tau or Me"u 0to _Valuation $ 9�f�
-- uc.rtses 03Q 01S Name I 110 1 NEIN CONSTRUCTION ONLY:
Mechanical DKK 1��`�_ — _ I Sy•Ft• House: Sq.Ft.G rage: l
Sub- Mailing Ad*res-, �...� --
Contractor ) ln3`i �CI End -
�, Comer Lot Yes No Flag Lot Yes No
_,ZC
Islate Phone (check one) X (check one)
gTLtv,YoRestricted Audio/Steren Burglar
Oregon Constnt Board Lits Energy Energy System Alann
r
Attach Copy of Q U L
Current COT 5uwr*.%s 1'ax or Metro• at Installation Garage Door HVAC
� Ll�nsm O (t,3 Opener Systems
Name (check all thatOther.
Plumbing �'tmb 14 LrUM5R�JG -- _-L -
apply)Sub- Mailing Addr1`ss ON the electrical subcontractor wire for all Yes No
Contractor C� restricted energy installations?
`ZZ-/5 CR '1T�� Has the Subdivision Plat recorded? — WA Yes No
tyrState Phone' I �— ��-
OQ-TLAN
Oregon Const,Cont Board Uc.0 D qto- Reissue of MSTit Solar Compliancy
Attach Copy of Q .113
31 t,•1 _- (Calculation Attacrted)
Current lwnt),rg L 4 e I herehv aclmowledge that I have read this application,that the
Licenses _ information given is correct, that I am the owner or authorized agent of
C01'B`us_�ness Tax or Metro Exp. ate the owner, and that plans submitted are in compliance with Oregon
au3State laws.
------ i Namea�u f -� ntk D e
I onNarnel -t,=-1- -
Sub- Address
Addrs ��x'
Contractor 5(1118 blE 135� 1 N,%/e _.� FOR OFFICE USE ONLY:
(State lin P ora Plat 3 MaplTLN:
TI-No'p - 7l a' � CoQ- �� ec
0 Const_ Cont. Board Lic 0 p D to 1 ! -c� ICS " �3'� �S�O 11 c C _�Jw p 73
Attach Copy of 7 �_—_-- � - Setbacks Zone: solar�
Curtent =ectn I L,cs D• e ,,�- / ✓G+
uc*nses - 3��--
COT Busuw---s Tax qr Metro M - Ex .D e o Engineering Approval: Planning Approval: TIF:
_ v
rstsvttatapp.doc .
Account Docri tion Amount Amt. Pd. Bal, Do
N`1197-��o MST. Permit (BUILD)
r�
Plumb. Permit (PLUMB)
Mech. Permit (MECH) 4
ELC/EL.R Permit (ELPRMT) / ;1,5-0 �•
State Tax (TAX)
Bldg:
Plumb: /J
Mech: L.
ELC/ELR:
Plan Check
v
MST: (BUPPLN) /. 4•J` S/0'� /I �---
Plumb': (PLMPLN)
Mech: (MECPLN)
CDC Review (LANDUS) /A9, % U•
wfi`! LkNc' Sewer Connection (SWUSA) a%LOO,
Sewer Inspection (SWINSP) / ,�� 3-s,
Parks Dev Charge (PKSDC) o,
Residential TIF MF-R) 70,
Mass Transit TIF (TIF-MT)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS:
i•bstsVvWz•o.doc
Rev 7,'Mr,
Solar Balance Point Standard Worksheet
Address
Bax 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°-+
I
t °�UPO
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. 187. feet
1
N
N0994-�or'-=
4 >
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 WO...X— (circle one)
be based on the peak of the roof. TO o U o
-+ 1B 1C
1 b: If the roof line runs East-West and the roof pitch is \
less than 5/12, measurements will be based on the
eave.
wa Porn LAW
1 c: If the roof line runs East-West and the roof pitch is
,12 or steeper, measurements will be based on the
peak.
Box B. continued Box B:
2. Measure change in elevation from front property line to finished floor elevation. If
the lo:slopes up from the front lot line to the foundation, the figure is positive. If 2,5 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 peakleave. + 1 k
4. If the roof line runs North-South, deduct three feet If the roof line runs East-West, — 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. It
6. Total figure for box B: Z(p.5 It
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
3. Total figure for box C: —_ It
it is most useful to draw a vertical line to represent the appropriate_figure found in brut 'n'and a horizontal fine 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'8'; if the value in box'8'is less than or equal to the value found in box'D', then
the building is in compliance with the solar balance code. If you have any questions,please contact us at 6394171,x304 or at the
Community Dew.lopment Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT In feet)
Distance to North-south lot dimension On feet)
shade 100+ 9S 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northem
Int fine Gn feet)
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
50 32 32 32 33 34 35 36 37 38 39 40
45 30 30 30 31 32 33 34 35 36 37 .38 39
40 28 28 28 29 30 31 32 33 34 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 27 28 29 30 31 32 33 34
25 22 22 22 23 24 25 26 27 28 29 30 31 32
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 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 14 14 14 15 16 17 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height: _ feet
h-\doalnanc y\venty ralsda r.chp
Revised-2&96
Wednesday,January 08, 1997 04:51:54 PM Carrollton Designs Inc. Page 2 of 2
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ANSPACH PLUMBING
MARK A LAW
12295 SE CRESTWAY
PORTLAND OR 97236
Plumbing Signature Form
Permit # . . . . : MST97-0010
Date Issued. : 01/29/97
Parcel . . . . . . : 2S104CC-I-IW073
Site Address : 13076 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . i,<,t . 73
Zoning. . . . . . : R-7 PD
Remarks :
Single family new residence 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 inciividual from your compr.ny sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inq, ;--tions
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON "THIS FORM
)PdC1FP : PLUMBING CONTRACTO P :
R W FULLERTON CO ANSPACH PLUMBING
6426 SW BVTN HILLSDALE HWY MARK A LAW
12295 SE CRESTWAY
PORTLAND OR 97221 PORTLAND OR 97236
i'f - nA fit : 297-9433 Phone # :
Reg # • • : 037135
X'/ x6j'
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 87223
IMPORTANT PERMIT NOTICE
1 WRIGHT 1 ELECTRIC INC
5618 SE 135TH AVE
PORTLAND OR 97236
Electrical Signature Form
Permit # . . . . : MST97-0010
Date Issued. : 01/29/97
Parcel. . . . . . . : 2S104CC-HWO'73
Site Address : 13076 SW ASCENSION DR
Subdivision . : HILLSHIRE WOODS
Block . . . . . . . . I,,at . 73
Zoning. . . . . . : R-7 PD
Remarks :
Single family new residence 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 frorn your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
ELECTRICAL, CONTRACTOP :
R W FULLERTON CO WRIGHT 1 ELECTRIC INC
6426 SW BVTN HILLSDALE HWY 5618 SE 135TH AVE
PORTLAND OR 97221 PORTLAND OR 97236
Phone # : 297-9433 Phone # :
Reg # . . : 97757
X (,,:�.. S
Signature of Supervising- ectrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
I