Case File I
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13083 SW ASCENSION DRIVE
CITY OF TIGARD
.�,► DEVELOPMENT SERVICES
13125 SW Hall 81vd.,Tigard,OR 97223 (503)6394171
CEFiTIFICATF OF
OCCUPANCY
PERMIT *. . . . . . . I M5T97••-07,'0.
DATE ISSUED: 0-'3/04/98
PORCEL n 29104CD..P1600
'31TE: ADDRESS. . . : 13@83 SW ASCENGII111 DR ZONIN[i0R--7 PD
,%UBDIVIGION. . . . 9 HIL_LSHIRE WOODS JURISDICTIL]N:TIG
i_GT. :032
CL_Ar9ci OF WORIG. c NFW
T YPE OF USE. . . ,5F'.
TYPE OF' CON S'TR:SN
eC:CUPANCY GRP. : R,3�
OCCUPANCY LOAD z 2
Remark% : NEW SFO PATH 1
P.. w. FULL.ERTON COMP(INY
64;i% SSW BEAVERTON/HJLL,;DAL_E HWY
FURTLNNIl OR 9722-A
►'hone 4�a Q:97--4433
ont ract a
UL.L.E'RTON COMP(1NY
6426 sW PEAVERION HILLSDAl_F HWY
PORTLAND OR 137221-112k
'.-hlrne #s ;?.y7--4433
Ia rs 11. . 000400
tion
Lt:ia
cert if'.icate fjra,ri- s oc_cLcpAnr..y of the above refer �*rrc4d b',► Icompliance rWitt)
they^e�af and con t:i� t the Uuildil A has been inspected
t►7Q State of Oregon C',pecial �y Codes foo - the gr a�aF�, accupa�neV, And Use err der
,hir_h the r,eferenc ^d Permit was
�1lIL_DIN[] INSPECTOR AL/ Er'TI SUIaERV I aOf
POST IN CONSF''I CUOV9 PLACE
Rvyt
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Reauested: 'T M. P.M. — MST:q7 0.3Pv�---
I,ocation: � �� (J -r,�_ 0/I1. T�•� �� _ I31IP:
Tenant:_--_Zi _ — Suite: Bldg: — MEC: _
Contractor: �J (3 E �� Phone �q
--=� _�I /�Z� PLM:
Owner: _ Phone _
i�! - ELC: _
'0—
ELR:
_ SIT: _
b(JILDi V 't p PLUMBING CHANiC ELECTRICAL �E
Site 1 I�^PZ —..
4":
_ _ I
Site / 5 �4 2 s Bram yI2�1 6 VosUBeam��?A o anp� P�' Cover/Service t illi ► Sewer/Storni
Footing Roof TJndII,Slab Ceiling Water I,inch$/14 6ys
Slab 11 Z`r' 1'I�P Framing Top Out 1�1I �r4 Rough-In li(;Sprinklcv
Foundation�U � Insulatioi,✓ Sewer uct Reconnect Vault
Rsmt Damp Drywall I�� �t L Storm Famace TLmp Service MISC.
fAppr/'S,d7wlk
y / elling Rain[rain A/C U(1 Slab
h t' '&Are Spk /Alm Crawl/l ormd Ir Ilcat Pump Low Volt
Appro Approved A r �• Approved Approved roved Not Approved Not Approved Not Approved Not Appioved
FINA ✓ FINAL V FI ✓ FINAL 11 15'r(' FINAL
r
Ir 0
CIO
0 Cali for reinspection f - 0 Reinspection fee of'$ — req,-Tired before next inspection rl Unable to in:pert
Inspector:_-- * fr,(-y Date _ -- - ra e of
t
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 63QA 175 Business Phene: 639-4171
Date Requested: - 5— p� A.N - P.M.----- MSTc?Z
I..ocation:__ t � 0 S ��I � _ BUR -
'renant:---. Suite: Bldg:
Contractor_-- _— Phone: PLM: _
Owner:
- _Phone: _ ELC:
----—---— —__ ELR: —
_ SIT:
BUILDING BLDG(con't) 41SIPPMR0, — MECHANICAL ELECTRICAL SITE
Site Post/Bcarn eam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFVSlab Rough-In Ceiling Water Line
Slab Framing Top Out Gas bine Rough-lit t 1G S P rinklcr
g
Foundation Insulation Sewer flood/Duct Reconnect Vault
Bsmt Dalnp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C 11G Slab
Shear/tiheath Fire Spklr/Alm Craw mind Dr I leat Pump Low Volt
Approved Approved,)-" Apnr•)vcd Approved Approved
Appr/Sdwlk Not Approved vat Not Approved Not Approved Not Approved
FINAL FINAL FINAL, FINAL
rl Call for reinspectionf7 Rein..rection fee of Sr`equ'red bef re next' , ction C7 Unable to inspect
Inspector — --- - ._ -- -- We -- llage_----of _
CITY OF TIGARD I+nSTER PERMIT
DEVELOPMENT SERVICES ERr1IT • • • " • ., ~`_7 .�;
DATE ISSUED: 08/07/'37
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171
PARCEL..: ['7 1 k)4CR 01
i TE ADDRESS. . . : 13081 GW ASCE'NS I CIN DR
LIDDIVISION. . . . :HIL.L.SHIRE WOODS ZONING: R...7 SID
L'k-`1. . . . . . . . . . LOT. . . . . . . . • , . , YTt3
Etarks: NEIL SFD PITH 1
--------------------_------—---------------------------------- BUILDING --------------------------___--•---_..---------------
"FTS STORIES.......: 2 FLOOR AREAS- - -- BASEMENT.... 0 :f REQUIRED SETBACKS_- . REGUIRED--
LASS OF WORK. d HEIGHT....,..,: ?4 FIRST....: 1455 sf GARAGE....,: 722 sf LEFT........,.: 10 SMOKE DETEC'4S:
IPE Or USE...:, FLOOR LOAD....: 40 SECOND...: 1394 sf FRONT.........: c0 PARQNO S^r;rrs:
-YPE OF CM.:SN DWELLING UNITS: 1 FINBSMENT; 0 sf RIGHT.,,,.....: PO
-CCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL----_.-z 2849 sf VALiIX..1, 203363 REAR......,... : 1`
----------------------------.-----------------------------------•-- PLUMBING -
INKS,........: I WATER CLOSETS.: 3 WASHING MACH... I LAUNDRY TRAYS. : 1 RAIN "RAIN ft: lC0
AVATORiEE....: 5 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 130 SF RAIN DRAINS: 1 CATCH BASINS,.: 0
AB/SHOWERS...: -s GARBAGE DISP..: I WATER HEATERS.: 1 WATER LINE ft: 100 BC1,FLW aRE9NTR: 1 G^EASE TRADS„ : a
f1T:1Cq GtY','RCc, ,l
_----------------------------------- 14ECHANICAL •_._-_ . ._ .. -- ---
JEL TYPES----------- FURN t INK .,: 0 BOIL/CMP f 3HP: 0 VENT FANS.,...: 4 CLOTHES DRYERS:
_ S f URN f-!*4 ..: : UNIT HEATERS..: 0 HOODS...,.,... . : OT'rEA TNT'S...:
IX 'imp.; 0 STU FLOOR FURNACES: 0 VENTS.........:
0 IiOt1DST0VES..,.: 0 GAS O1,'11.ETS,,.
..------------------•--------- ELECTRICAL _.._.. _...._ - -
-RESIDENTIAL UNIT---- ---SERVICE!FEEDER---- ---EMP SRVCtFEEDERS-- ---BRANCH CIRCUITS- ----MISCELLANEOUS - nDD'i_ :'17'
0 SF OR LESS 1 0 - 200 alp..: 0 0 200 asp..: 0 W/SVC OR FDR..: 0 PUMP!IRRI"AT:IN. 1 ^C" X7
1-17-
I ODD'!, 580SF.: 6 11 400 asp.,i 0 201 - 400 asp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER :LOUR,,.
-`ED ENERSY.i 0 401 600 amp..: 0 401 - 600 alp... 0 EA ADDL OR CIR; 0 S,R14_XA►EL,., : 0 it; 'OP';,
HM/SVC1FDRi 0 601 : 1080 amp.: 0 601+asps-1080 v: 0 414OR LABEL -16: 0
100+ amp/volt.: 0 -_....- --.....-_...._ . ---....__..__.. ROAN PrVIEW ,'FCT:ON ---
Reconnect only.. 0 1=4 RES UNITS,.: SVC/FDR)-2r A. ) 660 V NCMI'JA,_ i.r uqF.r
ELECTRICAL - RESTRICTED ENElr7/
SF RESIDENTIAL--------------------------- B. CWRCIAL--------------- --- - ---- -------- -----
)USIO t STEREO.. VACUUM SYSTEM..: AUDIO 6 STEREO,: FIRE ALARM..... : IN TERCCM'rinO:r'G:
URSLAR ALARM..: OTH: :: X BOILER.........: HVAC...........: LANDSCADE/IRRIS:
1RAGE OPENER..: CLOCK. . ....... INSTRL1fN'9T10N: 'In:"Al..,...... .
'VAC...........: DATA/TELE COW.: NURSE CALLS....;
irtneri -- __---.__-._ _-__..._------------- Cnntrartar: __.___._ --..___.._ ._ � TaL FrES:t 4'17.85
�,W, FLILLERTON COMPANY R FULLERTON COMPANY This pertit is subject to the regilatior�
'425 SW BEAVERTON/HILLSDALE 11WY 6426 SW BEAVERTON HILLSDALE %. "f Tigard Municipal Code, State :f "-e, Spei:,
M."1,AND OR 97221 PORTLAND OR 9:'221-1128 other applicable lams. All wor-N will - J�
With approved plans. `,is pervtwil'
iene 8i 297-4433 Phone 1N: 297-4433 not started within 1110 days of
Reg 0..i 008406 suspended Fnr lore t.4) 1B0 days. A"ENTION: C,e
--------- ...._-_._.. ..._. .....__------- __ __.._. ._- requires you to fclloM rules adopted by tie
-ot:fication Center. Those rules are set forth in OAR 952-081.0010 through CAR 952-8P1 2080. You moi obtain _ogles
ir+�ct questions to OUNC by calling 15031246-1997.
--------- ---.._ ----------- ---------------.._r_.- REQUIRED INSPECTIONS --- _- --- - - - --
r .sion Cantol Post/Beam Mechan Electrical Servi Fireplace Insp Rair drain Irip me,
"rp+ding Inspecti Crawl Drain Electrical Rough Gas Line Insp Water Line Trsp NJat
:ng Insp PLM/Underfloor Frating Insp Oat Fireplace Water 5er,:ce T-
iation Insp Mechanical Insp Shear Wall Insp Ir•sulation lr.sp
'Beat Struct plumt 'rep O; Low Voltage Gyp Bard Ins;
CN\
l ,
I 1 r i a : r I I + 4 1 4-�+ 4•+4 t
:PQr p. M. fi_,r- ,An inspecct: i
G
I ,
f
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTIrM
PERMIT
13125 SW Hall Blvd., 77gard,OR 97223 (503)6394171 PERMIT #. . . . . . . : C,-,
OAT C To"SLIED: "'
F.'ORCEL: c7'S104CB--0L60L,*!
ITE ADDREr-3S. r-A.) ASCENCION Dr.Z
I)USDIVISION. . . . :HTLLS14TRE WOODS ZONING: R -7 POD
. . . . . . . . . . LOT. . T1 IP T'- r T f" I"T 1"11,,!- T T r
ENANT NAME. . . . . : Ii. W. rULL-r-PTON
ISA NO. . •
FIXTURE UNITS. . . 0
:LnSS OF" WOPI-',. . . :NEW I)Wr!':' ING ";NIT0. . .
-YPE OF IJSE. . . . . ..SF NO. OF B'UILDINGS.
1`41TALL. TYPE. . . . c StJ73WR T111PERV 0I_JRFnC'r_.':
,einar-ks : NEW SFD — PATH
W FLJ1..'J..7PTOtI 'COMPANY J,p.a A ill Aj U I J t ;at
:,486 SW BEAVERTON-44TLLESDALE HWY (SUN $ 290. 00 J G)D 08/07J9 7
OnTILAND OR 97821 f`PMT $ 200. 0 0 T-;r,) :Z 0/i;l 7.-_1 '1
T NISP $ 35. 14), 0 J D I't)8/0 7
l_f)ne #: r,F?o,, % 1110. k11;1 TSD 171(1,10—
E.R P LJ $ rj 0J,''I) O'l 10,
1'ULLERTON
COMPANY
42C SW Prnk)rPTON
IORTLAND OR 97^;="1--1126
I-)one #: .'07_ It 4.777 t -'I.
RF*;I_!',' 7,'r-r T
:is Applicant agrees to comply with all the rules and regulations Sewe I
f fl,s Unified Sewage Agency. The permit expires 188 dais from
'e date issued. The total amount paid will be forfeited if the
Breit expires. The Agency does not guararttee the accuracy of the
'de sewer laterals. If the sewer is not located at the aeasuresent
OVE"), the installer shall prospect 3 feat in all directions frot
ie distance given, If not so located, the installer shal! purchase
"Tap and Side Sewer" Pe-mit and the Agency will install a lateral.
7MIMI: Oregon law requires you to follow rules adopted by the
,-egos Utility Notification Center. Those rules are sit forth in OAR
2-011-1811 through 00 952-Wl-KH. You may obtain copies of
".ese rules or direct questions to ON,_, alling (583)246-19A7.
-5sued by .
Cal 1 639--4173 by 6:00 pi. v, fciv• an inipec-tii�
+-4-+-#-+4+-!,+4-++4-++-1-+4-+++++-t +-+++++++++++++4++++4
Plan CherJc
ITY OF T1GARD�, Residential Building Permit Application Recd By
3125 SW HALL-BLVD. Npw Construction Additions or Alterations Date Recd
;GARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. '� ;�rl g-7
503-1339-4171 Date to DST
303$84-7297 Pem+d It M9
Print or Type Ca'
Incomplete or illegible applications will not be accepted 'i
�'Aj
Name of Protect Name —"
Jobi 3"L Po�IG+�c I�
Address fe Addnsa Architect Mailing Address
'w fy; C tylstate Zip Phone
N
Name
Owner
Engineer Mailing Address
Y '1„I
-- Name City/ tate r p Phone
General ! 1' �� c"r` Describe work New Addition O Alteration 0 Repair 0
ontractor MO&V Addrus to be done:
n , Additional Description of Work:
Phone
c i ZIP
ITT-211— Z91 -
regon Const.Cont. Board Lica Exp.Data _
ta.-h Copy of ! PROJECT �o 3 3 C
Business -3
Current COT Tax or Metro M Exp.OVA
Licenses _' VALUATION $ - --�
NAS /� NEW CONSTRUCTION ONLY:
A.-chanical r-1) A Plzl��
Sq. FL House: Sq. Ft. Garage
Sub- Mailing A rrss I I r 77 2
)ntractar Comer Lot YES NO, Flag Lot YES NO
r-av/stsa Phone (check one) (check one)
f7n'4101.ma� 'L c
Restricted Audio/Stereo Burglar
Oregon Const Cort. Board Lic i Exp. Date , g
42chCopy ot Energy System _ Alarm___
Current CPT Business Tax or Metro a Exp. Date Installation Garage Door HVAC
Licenses DDO 1,1' — `I b Opener _ Systems _
No (check all that Other
Plumbing 7rnov'i, UVf_ ,(�v' apply) — — --
Sub- Mailing AddressWill the electrical subcontractor wire for all YES NO
:ontractor (ti?1y5 `,fit✓• f�Y('�It��PM restricted energy installations?
C Mat e ip Phone Has the Subdivision Plat recorded? N/A YES NO
Oregon Const.Cont Board Lic.* Exp.Date Reissue of MS't� Solar Compliance
tach Copy of 'j 7”
_ (Calculation Attached)
Current Plumbing UC M Ex Do q I hearty acknowledge that I have read this application, that the
i-icenses '. ?> > �b J / information given is correct. that I am the owner or authorized
COT Business Tax or Metro a Exp Dae agent of the owner, and that plans suhmitted are in amplianc:e
n2r ` I with Oregon State laws
Name --
1 IC4
reof ner/! e Dat
Electrical k) I , �('t;`1 • � . _ __ I ZO
Sub- Mailing A dress Person Nagle Ph ne_#Contractor r71c!`$ `�. I',54t, �t'�. tCL( " \� i f„ . > > !y (_
90wrstate zip Phone FOR OFFICE USE ONLY:
g Plat d: Map/TL#:
Oregon Const.Cont. Board Lic.0 Exp Dat r<i
Attach Copy of .Cj !i y`d tt)aCksy / / Zone: Solar-
Current
olarCurrent E!ecttral Lic# Ex .Dalp
Licenses 2,- -?� (_� 0 `1 7 Engineering Approval: Planning Approval: TIF
CCT 8 ismess Tax or Metro M Exp.Date
y i Lstapp doc Idsq 1191i —
I
Ecrmit# Account Descripin AMQ= Amt. Pd- ►_
���,�r 17'UW- MST. Permit (BUILD)
Plumb. Permit (PLUMB) 2 Z i 2 2
Mech. Permit (MECH) y>
ELC/ELR Permit (ELPRMT) �� �''ti� (9
State Tax (TAX) 1. %' ✓� -, ? �^
Bldg: c� G, ✓
Plumb:
Mech:
ELC/ELR: V
Plan Check J
MST: y,SZ� v, icy (BUPPLN) •
Plumb: (PLMPLN) _
Mech: (MECPLN)
CDC Review 6t,ONDUSj'
as a$t Sewer Connection (SWUSA) 2,2oO VI/ Ui
Reimbursement District
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) ZQ
Residential TIF MF-R) /, U ✓ /�G�
Mass Transit TIF (TIF-MT) J� �� ✓ 3 U
Water Quality (WQUAL)
Water Quantity (WQUANT) 2 4 a2
Erosion Control Permit (ERPRMT) 1/
Erosion Planck/(1SA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS: 73`� SZ
i7f@ (K111/87
I
I
Box S. continued
Box B:
,t,1easure change in elevation from front property line to finished floor eleva6un. If
the lot slopes up from the front lot line to the foundation, the Figure it Nositive. If
the lot slopes down from the front lot line to the foundation, thr figure is negative. ft
3. Measure: distance from finished floor elevation to the affected peak/eave. + 30 ft
4. If the roof line runs North-South, deduct three feet If the roof line runs East-West, ft
deduct nothing.3.
3. 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 nothin& j
ft
h. Tod figure for box h
Bolt G Distance to the shade reductian line. Box C--
1.
:1. Measure the distance from the North property line to the foundation near the
affected p"Weave. --
ft
2. Measure the distance from the foundation to the affected peak or eave. + ft
3. Total fi ure for box C: ft
tt a mpt meh i to draw a ver*W tine to represent the appropriate Spm&%ad in best'l1'and a horizontal 6ne to represent the
in b o}x iaa�figtae found in box'C'.The kA*M'crion of the ver0ol and harbl-s"L"determines the value bound in box'D'.The value
in bot'0'should be toompared to the value:in bort'8';if the value in beat'9'is'Fm thin or equal to the value found in bent'D', then
the building is in comp&ance with the solar baance code. U you have any queA-ons.please contact,S at 639-4171,x304 or at the
Community Oevek*rnent Counter.
MA)amUM PUMffM WADR POINT REGNT(in Feat)
Oistinte to North-south lot dimension On feet)
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
him northern
lot Arm an feets
70 40 40 40 41 42 43 44
65 38 38 38 19 40 Al 42 43
60 36 36 36 37 38 39 40 41 42
55 3.4 34 34 35 36 37 38 39 10 41
50 32 32 32 33 34 35 36 37 38 39 40
;5 30 30 30 31 32 33 34 35 36 37 38 39
»0 28 29 28 19 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 --4 24 25 26 27 28 :9 30 31 32 33 34
:5 =' 22 22 23 24 :5 :6 27 28 29 30 31 32
10 10 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 :0 21 2_1 23 24 25 26 27 28
10 16 16 16 17 18 19 20 21 22 23 14 15 16
5 14 14 14 15 16 17 18 19 20 21 22 23 24
Box D. MuIximum allowed shade paint height few
h,'icxSr�anc�emunl�olar.cho
Solar Balance Point Standard Worksheet
Address
Box A calculations: North-South dimension for Gie lot. Boz A.
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
Firms determine which property line is the North lot line. The North lot line is the line
with the smailest angle fmm a line drawn east-west and intersecting the northern most
point of the lot
4v
t I f
N North-South
Dimension for lot:
measure'he distance from the midpoint of the North lot line to the South lot line along
the described line.
♦ feet
N
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
structure- The orientation of the ridge is also important Which describes
your residence?
1a: If the roof line run., North-South, measurements will (circle one)
be based on rhe peak of the roof, n o o a
v--
-"� 1A 1B A1C)
1 b: If tf�e roof line runs East-West and the roof pitch is
less z,nan 3i12, measurements will be '?.sed cn the
eav e.
1c: If the roof line nuns East-:vest and the roof pitch is
5/12 or steeper, measurements will be based on the �.,
peak. ❑-- C
..d Mod aora
I
•..,awfwYfd.r4WN�^WYW"ro�`�:d:::dr:.r..::�..-,,:.a,..i-w..,,,i.eiwl�.alV'vae. '..,.: r.,fC� ,Y.d•.,..-�yF�'ifY�Yii1�47t'tiMiW17I�1�YN�l�ICibWwKidtsi..auw�a.,e.rc.ww�w.,,.^
CITYO F T I G A R D ELECTRICAL PERMIT
PERMIT M EL(-1999-00246
DEVELOPMENT SERVICES DATE ISSUED: 4/23/99
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104C13-01600
SITE ADDRESS: 13083 SW ASCENSION DR
SUBDIVISION: HII_LSHIRE WOODS ZONING: R-7
BLOCK: LOT : 032 JURISDICTION: TIG
Prolect Descr,ption: Add a first branch circuit
RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L. INSPECTIONS _
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION _
1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR?=225 AMPS: _ CLASS AREA/SPEC OCC:
Owner: Contractor:
JON FOLKESTAD RED'S ELECTRIC CO INC
13083 SW ASCENSION DR 2002 SE CLINTON ST
TIGARD, OR 97223 PORTLAND, OR 97202
Phone: Phone: 233-6467
Reg M SUP 2059S
LIC 000044
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT GEO 4/23/99 $35.00 99-314785 Elect'i Final
5PCT CEO 4/23/99 $1.75 99-314785
Total $36.75
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, Stale of OR 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 issuance,or if work is
suspended for more than 100 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001.0010 through OAR 952-001-0080 You may obtain woies of these rules or direct questions to OUNC at 1503)
216-1987
Permit Signature: / Issued By:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _-_ DATE:--
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: 'L' d7 _ -.. DATA::
LICENSE NO:
Call 639.4175 by 7:00pm for an inspection the next business day
.15:48 2331281
REDS ELECTRIC 0111 PAGE 01
,community Development ELECTRICAL PERMIT APPLICATION
lt'I9, 13125 SW Hall Blvd plancWRec. # -
Tigard, OR 97223 Permit !1 .��`�- Gso -
Ijy UEVELUPMEI�1
Phone (503) 639- 171 ,Date Issued
FAX (503) 684-7297 Issued by
CITY OF TIGARD TDD No. (503) 684-2772
inspection (503) 639-4175
----� - 4. Complete Fee Schedule Below:
1. Job Address' permitNumber of 77��
Name of Development -
Sety,ce included:
Addres
s--- u1,lY
Ala. Rasidentlal-par 54 MOD
City/Statetzip_ loot aq n or lead
Each 0MA10flal Wo•q It,or t
sZs 00
portion IMrod �6
Name (or name of business)�'U., Q( Ur ltad Enero,, -- `- z
Commercial❑ Residential F' L. E,.: Msnui'd Hone or Moddalf V-A 00
tkoline gsn,mm or Faeder
2a. Contractor installation only: 4b, services or Feeders z
Inelalislinn,alteration.m r011-m ion W 00 _r ?
200 ernes or lees 2
Electrical Contractor - -- to 400"Ill ^� sea 00 � 2
201 tempos12000 _
Address 0 �State p _ 40, amps to N00 am Ps $190.00 —
MV Zi - I 601 ?mpt to 1000 amps 1000 2
City /�� �L� ( Over t0oo amps or volt,
c a Rea.nned nrlly IIEo MI
Phone No._ 3?1--f.`1
Contractor's License No. �o TlxnDor� Services or Flsadare
Contractor's Board Reg. No. _ y'7 e'7 r
h,'lallalion,allerebon or ralur�lion [50 00 2
200 slops nr lets st5.00 2
Signature of Supt. Elecjea.r, ao, ernpa,o eno amPs
-
(� >t �7 401 rvr�pe to am Rn Ps
Of Do 00
License No 21S__-- Phon o. 10 loon volts
o..r eoe amps
ass'b'above
2b. For owner installations: Ad. Branch circuits
New.glteral on or eslensinn per panel
Print Owner's Name --- —"— a)The loo for brerw:h amens silo Z
Address—.-- pu•eMoo of aeni..er asadw Ir+. — 66 no ---
cJtatf) Zipw E.d+brsineh clrcull
City„- .T...
`— b)TM les for branch ci m"Is wit"lf Div! 1
Phone NO. p,pefiass a/sorrk+ar Asee.r f>w.� $35 00
The installation is being made on property I own which is rrl�e>h wcuif M 00
not intended for sale, lease or rent.
fish emkinrost brand,rara�h
sr. misicsllonesous
owner's Spnaturo� �--- ---- (Service or feeder not included) ?
Eery,Pump or Mipolon drew W 00
00
Plan Review section (if required): F.ath sign or oulRne 10;vq — -- 2
3• 9ipnd cir vil(s)or a Ilmiled snarpy F0
F44000 Chock approp►late item and anter fee In section 5B. panel,41481`111100n60sslensron _show Let-Is(10) , (a 00
A or more residential units in one structure
Sarvke and leader 225 amps or more II. Each additional intepsclion over
-SyaEem over 600 volts nominal the allowable in any of tha above fes oo
—� Classified area or struclum containing special or Psncy Per irspec,ion — — $3500
as described in N E G Chapter 5 p•f hoof "—- $6500
In Plant .----- -�
Submit 2 sats of plans••Ith application*hers any of the ebb,s 5. Fees: ~
apply. Not required for temporsfy oonstruclion a lrvloss, so. Enter total of above fees 3S.rr+
NOTICE_ 5%Surcharge 05 X total tees) $
subrorel -----
PFRIi BECOME VOID IF WORK OR CONSTRUCTION 5h Fntar 2S% of line A for 3
AUTHORIZED IS NOT COMMENCED WITHIN leo DAYS.OR ,F plan Review if•equired(Sec 3) --
CONSTRUCTION OR WORK IS SUSpENDED OR ABANDONED FOR Subrolal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS trust Accuurnl A S
commENCED
IBalance Due 'g q q i
..werr.M+e.aase
I
I
` CITY OF TI GA R D MECHANICAL PERMIT
DEV ELOPMENT SERVICES PERMIT#: MEC1999-00169
13126 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/22/99
SITE ADDRESS: 1;083 SW ASCENSION DR PARCEL: 2S104CB-01600
SUBDIVISION: H'LLSHiRE WOODS ZONING: R-7
BLOCK: _ LOT: 032 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: anILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
I 3 - 15 HP: 1 COMML. INCIN:
I MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS•
> 10000 cfm: GAS OUTLETS:
Remarks: Exterior A/C unit. Unit must not encroach into 5'side or rear yard setbacks.
Owner:
FEES
JON FOLKESTAD
13083 SW ASCENSION DR Type By Date Amount Receipt i
TIGARD, OR 97223 5PCT BON 4/22/99 $1.25 99.314776
PRMT BON 4/22/99 $25.00 99-314776
Phone:524-7593 Total $26.25
Contractor:
C:OPCO REFRIGERATION
840 SE WASHINGYON ST
PORTLAN-` OR 97214 _ REQUIRED INSPECTIONS
Mechanical lnsp `
Phone:238-5512 Final Inspection
Reg#:LIC 00052942
TI.,s 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 anr.;oved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
YOU may o"in copies of these rules or direct questions to OUNC by calling (503)246-9. 89.
Issue By: �. _ Permittee Signature-
Call (503) 639-4175 by 7:00 P.M. for inspecticns nets ed the next business day t
i
Plan Check tl
CITY OF TIGARD Mechanical Permit Application Recd By �_� ,
13125 SW BALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E._
(503) 639-4171, X304 Date t�DST-
#
Print or Type
Permit �L-_�"1�� �
Incomplete or illegible applications will not be accepted Called —
Name of Development/Projert Description
Table 1A Mechanical Code Qt Price Amt
Job Street Address Su�e� — _A) Permit Fee _ 10.00
Address /3083 SV As epi-sr' Qr. 1) Furnace to 100,000 BTU
cluding ducts&vents see footnote 1,2 6.00 _
Bldg# Cny/state Zip in2) Furnace 100,000 BTU+
Qr•( OP• 87 Z3 including ducts&vents see footnote 1,2 7.50
— Name for name of business) 3) Floor Furnace —
Owner lJ
TQ'"' r�/Ot%/'" �Sl L -rGId including vert __ see footnote 1,2 6.00
� 4) Suspended heater,wall heater
Mailing Address or floor mounted heater see footnote 1,2 6.00 _
,/30 S('P►'kS.o.t- P _ 5) Vent not included in appliance permit
City/Slate Zip Phone —_ 300
-! d«aI Q 97l S",2y-7S Check all that apply: 'Boiler Heat Air
y �_ PPY
Na fie(or name of business) For Items 6-10,see or Pump Cond Qty Price Amt
footnotes 1,2 Comp I
�a/►�y 6)<3HP;absorb unit to
Occupant. Mailing Addiess 100K BTU _ 6.00 —
7)3-15 HP;absorb unit
riry/state��, Zlp Phone 100k to 500k BTU _ 11.00
8) 15-30 HP,absorb
unit.5-1 mil BTU _ 15.00
Contractor Name Q _ 9)30-50 HP,absorb
c o ep ^ " ' ; 'Y1i unit 1-1.75 mil BTU _ 22.50
Prior to permit Maui Address 7- 10)>50HP,absorb unit
issuance,a copy S C, SE W"Ls't n /OA' >1.75 m_ii BTU 37.50
of all licenses Coy/State/ Zi Phone 11)Air handling unit to 10,000 GFM
are,required if 12
I�LA^�" Off' 9721'1 -,�f/� _ —__ ---- 4.50
expired In COT Oregon Const Cont Board tic# _!�p Date 12)Air handling unit 10,000 CFM+
database -f�� _ _� _ _ 7.50
Ir Architect Name 13)Non-portable evaporate cooler
4.50
or Mailing Address 14)Vent fan connected to a single duct _3.00 _
15)Ventilation system not included in
Engineer City/State Zip Phone appliance permit 4.50
16)Hood served by mechanical exhaust
450
Describe work to be done
17)Domestic incinerators
Net Repair O Replace with like kind Yes U No O 7.50
Residential O Commercial O 18)Commercial or industrial type incinerator
30.00
Additional information or description of worf,' —� 19)Repair units 30.00
20)Wood stove
NOTE: For Commercial projects only,Units over 400 lbs.require __ 450--.—
structural
50structural gas calks. 21)Clothes dryer etc.
Type of fuel. oil O natural gas'i LPG O alectric 0 4.50 _
22)Other units
1 hereby acknowledge that l have read this application,that the informatio4.50
n
given Is correct,that I am the owner or authorized agent of 23)Gas piping one to four outlets
the owner,that plans snbmltted are in compliance with Oregon State laws _ See footnote 1 — _2.00
24)Mora than 4-per outlet(each)
Sign O"er/Agent Dale —�_ .50
�� 6 1
'I-� Minimum Permit Fee$25.00 SUBTOTAL D
Contact �pn Name — Phone ---- ---
5%SURCHARGE
i=- - --
g"•SS/� ?LAN REVIEW 25%OF SUBTOTAL
onotes fo•cemnterclal projects only: Requlred for ALL co_m_merctat permits only
1. Provide full schematic of existing and proposed gas line and pressure. TOTAL
2 Provide drawings to scale snowing existing and proposed mechanical
units. 'State Contractor Boiler Certification required
"Residentia'A/C requires site plan showing placement of unit
1 lmechperm doc rev 02A199
i .:
.�
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fArc P ___._ _
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
�q ,:�7 ( BUP
ate Requested AM PM
Location "7D BLD -
U - Suite _ -IiEC��C —
Contact Person L----
— _ Ph PI-M SWR
Contractor_ Ph — �—
BUILDING Tenant/Owner ELC'
Retaining Wall —-`-- `--
Footing P NOT j REQUESTED ELR
Foundation
Fig Drain MUND DURING
`RE§EaARLii ��f'. � FPS
Slab Crawl Urair I INSPE��-;"�* FILE f /J� SGN
Post& Beam SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing - -
Insulation
Drywall Nailing - - -- - -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof --- ---
Misc: Q !�
Final —--- - - /J/rte-.(,� / D,✓,
PASS PART FAIL -- -
PLUMBING --_--- ---- —
post"
Beam --- - -
Under Slab -- --- -
Top Out --- -------- - -_- ____
Water Service ----
Sanitary Sewer ------ --- -------.._�.----- _
Rain Drains -—
Fina! -- --------- ---.---.-_ _
PASS P RT FAIL -
CHANI --- --- ----- — --- — —�--
post& Beam --_--_-_-_-_ -- -
IRough In I -- --- - --- ---
Gas Line
It
Dampers ------------- -- - --
Finafj
SS -PART FAIL ---- - - -----
Service - ---�- ---
Rough In ` -
UG/Slab ----'--------�-
l.ow Voltage
Fire Alarm
in ---- --------- —_— _ ___
PASS PART FAIL --
SITE
Backfill/Grading ------•-----_ - _`-_
Sanitary Sewer - - --� ---
Storm Drain [ ]Reinspection fee of E required before next ins ection. Pa at City Hall, 13125 SW Hall Blvd
Catch Basin -- P y
Fire Supply Line ( 1 Please call for reinspection RE:
ADA --- - I ) Unable to inspect-no access
Approach/Sidewalk /
Other -- Date _ Inspector_ — Ext _
Final L -
PASS- PART rAIL DO NOT REMOVE this inspection record from the job site. —
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inbiaection Line: 639-4175 Business Line: 639-4171 -
�/ BUP
Date Requested ((7 I AM Pfv`1 BLD
Location 17 7� Suite _ MECL'L� C
Contact Person Ph 13,2 PLM
Contractor 46"' 1_='lam Ph _.�33 �. S `7 SWR
BUILDING Tenant/Owner I (tc.�� =52q -75X3 ELC �!� �� '0')2
Retaining Wall ELR
Footing Access: —
Foundation (� ,�/� _ FPS
Ftg Drain Com` - SGN
Crawl Drain Inspection Notes:
Slab
SIT
-- -- --- ----- SIT
Post&Beam -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall ------------
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof -- - — - ---
Misc: _��-------- - -------- --
Final ^------
PASS PART FAIT_ -----
PLUMBINGM_
Post&Beam
Under Slab
ToeOut - .__._..�------------_.�----
Wa!er Service
Sanitary Sewer —
Rain Drains
Final -- -- - ----.--- -- —
PASS PART FAIL.
os earn —- ---------
Rough In
Gas Lane --
Smoke. Dampers
Final - -- — - -
PASS PART FAIL
Ser—Va" -
Rough In —� - -- --- -_ -- ---- -
UG/Slab --
Low Voltage
Fire Alarm
Final
PASS PART FAIL _--_--
SITE _
Backfill/Grading — —' -'-'-— -- --
Sanitary Sewer
Storm Drain ( J Reinspection fee of$— _required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply I-ine ( j Please call for reinspr cti m RE. .- --- [ J Unable to inspect no access
ADA n
Approach/Sidewalk
Other Date T_ �n� ector p u%_v �^��G L� _
�� � /<J-��-- Ext
Final / �—� i
PASS PART FAIL DO 90T REMOVE this inspection record from thelob site.
I