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13084 SW ASCENSION DRIVE �.
MAY-.22-1997 114:03 ren n ROO^��WFLL DESIGN & ENG I NEER I
li�SLJ�L5L�L'� gWIJU�� �InSl1tN� 45 S.E. 0211
��JU V oU nA
PORTLAND, OR. 972!6
CIVIL -- STr?UCTUPAL ENCINEEf-S —
PH: (503) 254.6292
Fox: (503) 254-6761
LJI
May 22., 1997
John Chlopek
R.W. Fullerton Company
6,126 SW Beaverton-Hillsdale Hwy.
Portland, OR 97221
Fax: 2.97-6837
Project: 13084 SW Ascension Drive; City f Tigard h' oga d Permit No. -
MST97
0011 Fullerton Plan No. F2434
Subject: Acceptable substitutes for specified plywood sheathing.
It is generally acceptable to use other rated sheathing products as a substitute
for specified "plywood sheathing", tuiless there is a specific reason for using
Plywood and no other product.
The substituted product niust he "Rated Sheathing" and have the same
thickness and span rating as the specified product.
Rob Monson, P.E.
o: City of Tigard: Fax 684-7297
4
TOTAL. P,01
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PE.RM17
13125 SIM Nail Blvd., Tigard,OR 97223 (5031639-4171 PERMIT #. . . . . . . : F'L M 97
DATE ISSUED: 07/28/97
SITE:. ADDRESS. . . : 13084 SW ASCENSION DR PARCEL: &2S104CB-0j--,800
SUEDIVISION. . . . : HILLSHIRE WOODS ZONING: R-7 PD
E3i_IJCK. . . . . . . . . . LOT. . :74 JURISDIC:TIOt`1: 'TIG
CLASS OF WORK. . :AL.T GARBAGE DISPOSALS. : 0 MOBILE HOME: SPACES. : ih
TYPE OF USE• . . . :SF WASHING MACH. . . . . . : 0 BrICKFLOW F'REVNTRS. . : 1
OCCUP'F•iNCY GRP'. . : R3 FLOOR DRAINS. . . . . . : TRA1='S. . . ,• . . , . . .
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : rn CATCH BASINS, . . . . . . , 0
LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . .
SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . 0 GREASE" TRAP'S. . . . . 0
LAVATORIES. . . . : 0 OTHFR F I X rURE�.S. . . . . 111 . .
TUB/SHOWERS. . . : 0 SEWER l_ INE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LIN',= (ft )
DISHW(ISHERS. . . . : 0 ROIN DRAIN (ft ) . . . : 0
Remarks : Instal ing r,esidenti,,i backflow prevention device
- --_ - _ - - FEES
R W FUL_LERTON CO tYI)e amol.Int by date rerPt
6426 SW BVTN HIL_LSDALE HWY PRMT $ 15. 00 B 07/28/97 97--297643
F'PRTI_AND OR 97221 SPCT $ 0. 75 S 07/28/97 97-29764;:;
Phone #:
Cont tact or•,-.----•---•.-•-------_-______.__________
MICHAEL tt CO F'LUMB I NG
P' 0 BOX 2300$
TIGARD OR 97281.
Phone
#: 639--3189 f 15. 75 TOTAL
Rey #,, . : 000678
-- - REDU I RE=_D INSPECTIONS
This permit is Issued subject to the regulations contained in the RF,/Backflow
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 180 days of issuance, or if work is suspended for morethan 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Thos? rules are -""'-
set forth in OAR 9522-88@1-8810 through OAR 952•-0001-OOAe. You m:y
obtain copies of these rules or direct qu"stlons to by calling
(5831046-19A7, u --------.— -•._._ ___.._�.`
I sslied By : - '_ �--�_ Permittee Signatt,r F, : �, •/l
Call 639-•-41.75 by 6:00 p. m. fclr an insper_•tion needed tlhe next bl_Isi.iess day
1++++++++++-++-++++4>++++++++++++i +++•+++++•++++++++++•++++++++++•++++++++1 ++++++++++
CITY OF TIGARD P;umbing Appircation Recd Byl
13125 SW HALL BLUE. Commercial and Resiaential Datf,Recd Z-''
TIGARD, OR 97223 Dalt to P.E.
(503) 639-4171 Date to DST
Permit>r
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted Caned_`
NamN of DevelopmenuPro(ed FIXTURES (individual) QTY PRICE qMT
Jot) f i��< i i _ v Sink -- - - —
' / e iX1"r 9.00
Address Street Address Suite Lavatiry -� - 9.00
3�� f-� �f i ub or Tvb/Shower Comb -' --- - 10 ---
Bldg a City/Slate zip --in ----- _ 9 00
P 3 Shov,_r ly _ q 005-1
N e 1 Water Cr.lset —001
1.( `shwater --__- 9.00 I
Owner Mailing Address guile Garbage 7isposal
r
� u
�� Washing Machine~
t /Stales Zip Phone _ 9.00
-_ t /7ZZ, Z� i�/� Floor Drain 2' 9.00
Name 3" 9.00
Occupant Mailing Address i 4' 9,00
p Suite Water Heater _ 9.00
_ laundry Room Tray
900
City/State Zip Phone --- ._
UnnM
— Naini Other Fixtures(Specify) -- 3 OU
10
Contractor Mailing Address9.00
Suite
9.00
i Ci /State ZIP Phone --- - 9.00
/Z 771,,a� 6'3 i.. 3/ij�% 900
Oregon Const.Cont.Board Lic.0 Exp.Date
Attach Copy of - e- rl - �- — 9.00--
Current Plumbing Lic.0 Ex Date _ 9.00
Licenses � Sewer- 1st 100" 30.00
100'
COT Biisrness Tax or Metro* Fxp.Date Sewer-each additional 25.00
.h__ Water Ser-ice-1st 100' -- 30.00
Name Water Seryice•each additional 200'
Architinct S'om 8 Rain Dram-1st 100' - 25.00
a
o 00
or Mailing Address — Suite Sturm 8 Ratn Dram-each additional 100' 75 00
Engineer City/State p Phone Moble dome Space
_ 2 00 —�
i Commercial Back Flow Prevention —+
_ Device or—Anti- 25.70
_ Pollution Device
Describe work New Addition O - Alteration ORe air R� , -
to be done PesidentiaW Non-residential O P O esidential Backflow Pre Won 15 OC r
Additional desorption of�work/e/ Any Trap or Waste Not Corir 4cted cc a Fixture
900 l
r .UfhCKi"-j�eNf �F�/rE latch Basin --— 9.00 -
Insp.of Existing Plumbing — 4000
perfhi
Existing use of Speaally Requested Inspections -- 40.00
building or property per/hr
property__._______
Rain Drain,single family dwelling _ 30.00
"roposed use of
Grease Traps --' 9 00
building or property—_
Are gnu capping, moving or replacing any flxture3� Yes No - QUANTITY TOTAL
Isometric or neer diagrams required it Quaintly Total is >9
(If yes sss back of forth) -- _ _—
I hereby acxnowledge that I have read this application,that the information 'SUBTOTAL _ r
given is correct,that I am the owner or authorized agent of the owner,and -- _ h
i that plan submitted are in compliance with Oregon State Laws,
E%SURCHARGE 7^
Sig t 'W Owner/ go( E---- FIYANREVIE'N?54�OF SUBTOTAL
` equaed rx N,f fixture qy tot��C n at Pers i Name --e��� f /��/��� -�Surcrtarge,except Residential Backflow
- /�y P•eve ttlon Device,which is S15+�5%surcharge
i ldstslpimapp doc 8/96
'
. �
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 Crain 2"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW'Hall Blvd., Tigard,OR 97223 (503)639-4171
CERTIFICATE OF
OCCUPANCY
PERMIT M. . . . . . . n MST97 00
HATE ISSUED: 10/03/97
, 1TE ADDRESS. . . . 1.3094 SW ASCENSION DR PARCEL.: PG104CEt-02800
IJSD1V1010N. . . . n 141LLSHIRE WOODS ZONINGiR-'7 PE)
HALOCK. . . . . . . . . . 1 L.OI.. . . . . . . . . . . . . 1074 JURISDICTIONITIG
CL-ASS OF WORK. n NEW -• . -._____.._.__...__.____w...____.�--._.._._...._». _..
TYPE OF USE. . . :S('
TYPE; OF CONSTR 15N
OCCUPANCY GRD. 1 R3
OrLLJPANCY L..OAD r 2
Reraarks 1 Single family yen residence PATH l
R W FULLER I'ON U0
6426 SW PVTN HIL.LSDAL-1=_ HWY
PORTLAND OR 97221
Phone #t 29-7--4433
Carr#r~amt u►..1 .__W----- ..___w_._... ....._.___._.__.__-,__._.
FUI_Lk RTON COMPANY
6426 SW BEAVERTON HILL.SDAL.E HWY
PORTLAND OR 97221--1128
Phone #.- 297-4433
Reg *. . e 000406
7hirs Cer-tifir.aate grants oc•c�upanruy of the above r^pfer-'enCPrJ building ot- portion
tl'9t'eof and confivms that the building has been inspected for^ compliance with
the State o ;, i—r�egon Specialty Codes for- thezi't4j("
or"c'�_ipar y, and use under
which the r rl�eren( d permit was isqued.
8U I L.D I NQ INSPECTOR Bl)I I CI AL
POST IN CONSPICUOUS PLACr-
,i+
F CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
I /
Date Requested: 10 _05 " A.M. P.M. MST: g7—CO/
Location:_�3�R� a
7 BUP:
Tenant: Suite-__136g: MEC:
Contractor:_ /G Phone: ��� `.�?b — PLM:
Owner: Phone: E
--- elf:52xf1-DD/l��--
BUILDING / on't) PLUMBING ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Uuct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service misc.
Masonry Ceiling Rain Drain AIC UG Slab
Shear/Sheath Fire Spklr/Alm CrawIfFound Dr heat Pu r Low Volt
cimmW Apprcved p ov Approved Approved
Appr/Sdwlk Not oved Not Approved of ro A Not Approved 0-- Not Approved
1// FINAL FINALVA--/ ' FINAL FINAL 101,ZkFINAL
O Call for reinspection O Reinspeetlon fee of S uired before next inspection O Unable to inspect
Inspector: __._ Date: � zq Page of
CITYOF T I G,A R® _ MECHANICAL PERMIT
f DEVELOPMENT SERVICES PERMIT#: MEC1999-00286
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/2/99
PARCEL: 25104CB-02800
SITE ADDRESS: 13084 SW ASCENSION DR
SUBDIVISION: HILLSHIRE WOODS ZONING: R-7
BLOCK: LOT: 074 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY CRP. R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 FIP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
— OTHER UNITS:
FURN >=100K BTU: <= 10000 cfin: GAS OUTLETS:
> 10000 cfm:
Remarks: Installtion of a/c unit. Placement of a/c unit must comply with standard setbacks.
Owner: _ _ FEES
GEORGE FOGLESONG Type By Date Amount Receipt
13084 SW ASCENSION DR+ PRMT DST 7/2/99 $50.00 5796
TIGARD, OR 9722.3 5PCT DST 7/2/99 $3.50 5796
Phone:579 4361 Total $53.50
Contractor:
SUNSET FUEL CO
PO BOX 42287
PORTLAND, OR 97242 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone:503-234-0611 Final Inspection
Reg #: LIC 00002374
ELE 26-113C
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialt, 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 mods than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rales are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You nj6y obtain copies of these rules or direct questions to OUNC by calling (503)2467 189.
Issue\@y: �� C - j2 Permittee Signature: _—
Cell (503) 639-4175 by 7:00 P M. for inspections needed the next buss ess day
Plan #
CITY OF TIGARD 9 Mechanical Permit Application Recd
13125 SW HALL E3LV& Commercial and Residential Date Recd 9
TIGARD, OR 97223 t�' f l l PO Date to P.E.
(503) 639-4171'; x304 ! Data to D
Print or 1 ype mcjrgj 1• Permit ' •eYJ'p(o
Incomplete or illegible a plications will not be accepted called
Name a Uavargsna 1I/AU)eu '-- i Description
Table 1A Mechanical Code Price Amt
Job Street Address r);,t; )SUN" A Pcrmlt Fee 16.00
Address 'l(�S�',�- O 1) Furnacetod cls& 0 BTU
-��--�, Including ducts 6 vents sea footnote 1,2 9.65
n r, rstate Zip 2) Furnace 100,000 BTU+
including ducts Q vents see footnote 1,2 12.00
'- Nairie(or name of business)
r� e ��l�..00_1 31 Floor Furnace
n Inc9udin vent see footnote 1,2 9.65
Ovrner � �� _.`
Melling Addras Qr 4) Suspended heater,wall heater
or floor mounted healer see footnote 1,2 _ 9.65
5 Vent not included In appliance permit 4.75
cnyrstere zip Phone Check all that apply: 'Boiler Heat Air
`r �� _L For Items 6.10,see nr Pump Cond I Oty Price Amt
Nanar name of business) footnotes 1,2 _Com
6)-e3HP;absorb unit to
100K BTU I 9.65 I '
Occupant M■aing "" 7)3-15 HP;abaorb unit
100k to 500k BTU 17.65
ne 8)1530 HP;absorb
d fl.5 t mil BTU 24.15
Gty/9ists 1p7
i
Nems 9)30.50 HP;absorb
Contractor 1 unit 1.1.75 mil BTIJ 36.00
t QJ_ 10)>50HP;absorb unit
Prior to permft Mailing Add'* - y `" >1.75 mil BTU _ 60.15
issuenx,a copy C" ['�,�,x L3 11 Air handling unit to 10,000 CFM t
I
of all licenses yrsiate zip Pnons I I 7.00
are required if ..7 � f!C� -1;w 5, �JfC 1 12)Air handling unit 10,000 CFM+
expired in COT Oregon Const t t.k.] Exp.Dale 11 75
database 13)Non•poneb!e evaporate cooler
Architect rTam$ 7.00
14)Vent fan connected to a single dud
4.75
or MWhg Address 15)Ventilation system not included In
_ appliance permit 7.00
Engineer Ctlyrstate hero 18)Hoed served by mechanical exhaust
7.00
Describe worts to be done: 17)Domestic incinerators
Newer Repair O Replace with like kind: Yes O No O 18)Commercial or industrial type mcrneretor 17.00
Residential Commercial 48.25
19)Repair unitsAdditional fnformalion or description of work: ' 8.40
20)Wood stove/gas F P/other unit/clothe dryer/etc
7.00
NOTE: For Commercial projects only;Units over 400 lbs.require. 21)Gas piping one to Mur outlets
structural Pes caics. see footnote 1 _ 375
Type of fuel. ori O natural gas O LPO O electric O 22 More than 4-per outlet(eac t .75
Minimum Permit Fee$60.00 i SUBTOTAL
I hereby acknowledge that I have read this application,that the Information 5%SURCHARUE
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL a
the owner,that plans submitted are in compliance with Oregin State laws. Required for ALL commercial permits onlya.
TOTAL ,
9lgnelun of Owner/Apertt._ D _ .,J l
Other Inspections and Fees:
1. Inspections mthilde of normal business hours(mininum charge-two
Contact Person Name hone hours) $60.00 per hour
F
r _ 2. Inspections for which no fee is specifically Indicated (minimum
1 �i KI A Ll 1 ?ji_ - ) ' 1 charya-half hour) $50.00 per hour
Foonotas for commercial projects only: 3. Additional plan review required by chanyes,addltiorm or revisions to
1. Provide full scliefrnatic of existing and prnnosed gas line and pressure. plans(minimum charge-one-half hour)$60.00 per hour
2 Protide drawxigs to tm3k shc%%4rg exrstiriy slid proposed mechanic Al
'State Contractor Boller Certification required
"Residential A/C requiraa site pian showing placement of unit
i mediperm dor. rev 1`1714199
zoom -�-- �� rlNY91d, 10 ,l.Ll.) 0961 R8, £G5 %Ya V :71 tI:IM 66:70
i
sense
FUEL COMPANY
2944 S.E. POWELL BUND. P.O. BOX 22�t' PORTLAND, OR 97242-0287 TELEPHONE 234-0611 FAX#503-234 Q180
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CITYOF TIGARD – ELECTRICAL PERMIT
PERMIT#: E 14/99 00424
DEVELOPMENT SERVICES DATE ISSUED: 7/14/99
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104CB-02800
SITE ADDRESS: 13084 SW ASCENSION DR
SUBDIVISION: HILLSHIRE WOODS ZONING: R-7
BLOCK: LOT : 074 JURISDICTION: TIG
Proiect Description: 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/Our LINE LTG:
LIMITED ENERGY: 401 - 600 arrp: SIGNAL/PANEL:
MANF HM/ SVC/FDR: 601+arnos - 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:
GEORGE FOGLESONG WEST SIDE ELECTRIC CU ING
13084 SW ASCENSION DR+ 1834 SE 8TH AVE
TIGARD, OR 972.23 PORTI.AND, OR 97214
Phone: 579-4361 Phone:
231-1548
Reg #: LIC 13306
3UP 1556s
ELE 26-135c
TEES _ _ Required Inspections
Typo By _ —Date Amount Receipt _ Wall Cover
PRMT GEO 7/14/99 $37.50 99-316851 Elect'I Final
5PCT GEO 7/14/99 $2.63 99-316851
Total $40.13 ORIGINAL
This Permit is issued subject to the regulations contained in the Tigaid Municipal Code, State 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 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at 15031
246-1987,
Permit Signature: `/� Issued By:
OWN 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: DATE:
LICENSE NO: - J 5 5'6 S
Call 639-4175 by 7:00pm for an inspection the next business day
i
i
JIJL--12-99 N5 : 1 7 PM WEST SIDE ELECTRIC 503 735 06-'7
RECEIVFP
CITY F: TIGARDPlan Check 0
Electrical Permit Appli9®Y.i9n) 1999 Recd By
I'S1261 SW HALL BLVD,
Date Recd _
TIGA D OR 97223 COMMUNnr t)tvi, li top E
Phone 503)636-4171, x304 , Date to DST
Inspec ion (503)639-4175 Print of Type V `.uf� Permit N q9,F Z
Fax ij. 598-1960 Incnmplote o�r IIl�eyible will not be accepted '� Celled_
i.
Jc b Address: I 4. Complete Fee Schedule Below:
Number of Ina cUons r nn�t allowed
Name Development _ _ _.. _
Name(or name of buslness) Service Included Items Cost bum
AddreRsl1 :2, 1 _ so. Residential-per unit
1000 eq ft or less S 117 75 4
CitylSle l7ip _ -- Lach addlllonal 500 sq n or
portion Ther-of f 2e 25
Comma lal❑ Residential 11� Limited Lnergy f 6000
Each Manufd Home or Modular
Zai. C ntrector Installation only: Dwelling Srri or Feeder _ S 72.75 T
(Prior to limit Issuance,applicants must provide contractor license 4b.Services or Fcedi
Im"st) for COT data buss). 1/ Installation,alleralicn,or relocelion
Elec.10 I Contractor �/ �' //i C. 200"'n^e or lose _ S 84 25 2
AddtCs _ r.ts 201 ar,pi to 400 amps S 95 50 _ 2
c — 401 amps`o 800 amps Z 125,50 2
City _/._i �i r tate Zip__. =3/._._1 eo1 Imp,,it, 1000 amps _ — 5 192 50 2.
Phone 0. _� _. Over 100L a reps.f volts { 383.75 2
Job No. ; _ _ _ Reconnect rr,y $ 53.50 2
E,lec C nt. Lice No. -/ Exp,Date __ -- 4c,Temporary a..�rlces or Feeders
QR Stat CCB Reg No. Z 1306 Exp Date Installation,alteration,cr raiocatlon
COT B #nese Tax or Metro No. Exp Date 200 amps or less a 33 50 1
--ter- 201 amps to 400 omprs f 0025 2
401 ori to SOO amps _ S 107 00 2
Signature of Supr. Elec'n — Over 0o0 emp9 to 1000 volls
CC ties"b"above.
License No J Exp Date
Phone 0. � / �j 4d.Branch Circuits
Z Naw,alteration or ealenslon per panel
a)The fee for branch circuits
?b. For owner Installations: with purehase of service or
hexer fee,
Print O er's Name —_ Fach branch circuit 11 S i5 _
�— — b)The fee for branch circuits
Addres without purehase of service
City _—State^----Zip-----_- __...� or feeder fax.
Phone I lo. Flist branch circuit S 37 50 �
— Each additional branch clrcuit 0 5 35
The installation Is being made on property I own which Is not as.Miscellaneous
intende for sale,lease or rent. (Service of feeder not Included)
Each pump or Irrigatlon circle _ S 42.75
Owner'i Signature _ Each sign or outline lighting _ S 42.75
61gnol clrcuit($)or a limited energy
panel,alteration or extensbn ___ ! 80 on
1. van Review section (If required):' Minor Labels(10) i 107 00
Piif.ow Shack appropriate Item and sinter tea In section 5B. 4f.Each additlnnal inspection over
4 or more residential unho in one structure the allowable In any of the above
Service and feeder 225 amps mPer hourInsption _ $ 50.00
fat Per hour _ � $ 5000
System over 600 volts nominal In Plant S 5900
---.Classified ea ed aror Oructws containing special occupancy as
— desctlbed In N E.0 Chapter 5 5. Fees:
ba.Enter total of above'see :
" Rubm it t sets of plena with application whets any of the above apply 1"7�K Surcharge(05 x toial fees)Not required for temporary construction services. Subtotal $ `
tib.Enter 25%of line 6a for
N fICC Plan Review dreautrad(Sec.3) a _
PFRA1lT BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED 9ubro
IS NOT OMMFNCFD WITHIN 180 DAYS,OR IF CONST RUCTION OR 3
WORK 1 SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Trust Account N
AT ANYTIME AFTER WORK.IS COMMENCED Total balance Due $
I`dq�`fn u10clrrlrh•4nr
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CITY OF T I GA�.® — ELECTRICAL PERMIT _
--
PERM
11� D~VELOPMENT SERVICES DATE SSUIED: 7/19/99 9 00438
1312', ;W Pr,l, Blvd., Tigard, OR 97223 (503) 639-4171
S!1 E.'1Ui_IREt S: 13f'34 SW ASCENSION DR PARCEL: 2S 104CB-02800
S'„D3(,IVISION: H:',-I ?;NIr1E WOODS ZONING: R-7
I BLOCK: —OT : 074 JURISDICTION: TIG
Preget D,..scription: First brae rch ircuit
I- —RESiDENTIA- UNIT TEMP SRVC/FEEDERS_ —_ MISCELLANEOUS
r l0U SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
Li "H ADD'L 500 SF: 201 - 400 amp: SIGN/OUT LINE LTG:
t EN,.3C j 401 - 600 amu: SIGNAL/PANEL:
fAAN'" •'4''SV(,/ fU�: 6014-amps - 1000 volts: MINOR LABEL (10):
''.Vit;E/FEi=1,ER
i -- — BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 2n0 amp: W/SERVICE OR FEEDER: PER INSPECTION: ^�
201 - ,1,.2 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: _
Jwner: Contractor:
GEORGE FOGELSONG WEST SIDE ELECTRIC CO INC
13084 SW ASCENSION DR 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Phone:
231-1548
Reg #: LIC 13306
SUP 1556s
_ ELE 26-135c
FEES ---~
—�_ Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT BON 7/19/99 $37.50 99-316972 F_-.lect'I Final
SPCT BON 7/19/99— $262 99-316972
ORIGINAL
otalT $40.12
This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or ff work is
suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR f,52-001-0010 through OAR 952 001-0080 You may obtain espies of these rules ordirect questions to OUNC at(503)
246-1987.
Permit Signature: !t �Ssut •`�Y:
OWNER INSIi LI.ATION ONLY _
The installation is being made on property I own which is cot i•-.:; reed for sale, lease, or rent.
OWNER'S S GNATURE: __._ DATE:
---------CONTRACTOR INSTALLATION ONLY _
SIGNATURE OF SUPR. ELEC'N: _ CZ �f ���(two " _
._ DATE�_
LICENSE NO:
Call 639.4175 by 7:00pm for ar! Inspection the next business day
TITL-- 19-99 10 :751 All .BEST S I LE ELE_r_ I R I r r03 736 0677 P, 02
CIT) OF TIGARD
131�6 SW HALL BLVD. Electrical Permit Application Plan Check(r
TIGRD OR 97223 Rerd By
Date Recd I -1T
Phon (503)839 4171, ;304 DTIe to P.f
Insp tion (503)630A176 :Date toDSi
Fax ((03) 598-1960 Print of Type Permits lj j
Incomplete or Illegible will not be accepted Called
r
I. J b Address: — -
4. Complete Fee Schedule Below:
Name. +Development Number of Inspections ►permit allowed
Name(pr name of businesEta&
Service Included: Items Cost Sum
Aare$ 1-� �_ do, Residential-per unit
City/Sl ellp 1000 sq.it,or less S 117,75
-
Loch additional 600 Aq R.or — _
::omme ial❑ Residential 03/ Portion thereof 6 26.25 _ 1
Limited Energy S flo 00
Each Manurd Home or Modular _
2a. C fI"ctar Installation only: Dwelling Service or Feeder _ ! 7275
(Prior to rmit issuance,applicants must provide contractor license 4b.sefvlcoe or Feeders 2
hlformatl cin for COT data bap), tnslallsllon,atlerallon,or relocation
ElecthrA I Contractor / twJ J'�f-�C- 200 amps or lees s 6425
Addreti f 201 AMPS to 400 amps 3lit 65 2
l City-z )� 4 tithe Zip I72/ �— 001 amps l0 000 empa S 128.50 _ 2
1101 amps to 1000 amps 2
t'hofte 17 _. �,3 � s�y_._.. — 8 182,60 2
Job No - Over 1000 amps or volts f 363.75 2
_ Reconnect only S 63.50 2
Elec. C t. Lice Na. C,-/"1 Exp Date —OR Slat CCB Rep. No.�—Exp,Qsle as Temporary Services or Feeders
COT 9u iness Tex or Metro No, Exp.Date._ .._ Installation,20amsl r less or relocsllon __ $ 63 50
_ 200 Ampe or less 2
201 amps to 400 amps ,__ 3 80.25 — 2
Slgnalur of Supt Elec n a 101 amps to 60o amps S 10700 -- 2
Over 600 amps to 1000 volts, _
License o S _Exp.Date_ vee"b"above.
Phone N //1r– ad.Branch Circuits
Nevi,alterellon or ealenslon per panel
2b. F r owner Ins foliations: e)The tee for circuits
with purchase
0o(asrvlcol or
I heder fool.
Print Ow ier'6 Name _ Each branch clicu!t _ 5 5 35 2
Address b)The fee for branch circultti — – '---
City State - -- without purchase of service
or feeder role.
Phone No. –_ r last branch circuit S 37.50
Each additional branch circuit S 6,35
The insto Ilstlon Is being made on prope,ty I own which is not aa.Miscellaneous
intended for sale, lease or rent. (Service or feeder not Included)
Each pump or Irrlgallon circle _ It 42 75
Owner's i®n2tUre _ Each sign or outline lighting S 42 75
- Signal cucult(s)or a llmlted energy --
P/ n Review seetloll (if required):' panel,alteration or exlensicn �_ S 90.00
Minor Labels(10) _ S 107.00
Please'chock appropriate Item and enter fee In section$0. 41.Each additional Inspection over �.
or more residential units in ono structure the allowable In any of the above
ervice end feeder 225 amps or more Per Inspection $ 6000 _
ystem aver 600 volts nominal Per hour _ S 50.00
�
lasslned area or structure containing apeciei occupancy AS f %00In Plant
described In N E C Chapter 5 Jam. Fees:
bol.Fnter total of above fees l
8 ibmlt seta of plana with application where any of the above apply. 5%Surcharge(05%total fees)
Not r*qi Ired for temporary construction services. Subtotal :
ab.Enler 25%of line as for
NOTItrE Plan Review If re ILIA(Esc 3) f
PERMIT g ECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S
IS NOT C MMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR
WORK 13 PJSPENDFC OR ABANDONED FOR A PERIOD OF 180 DAYS lJ f ruAt Account
AT ANY TI VIE AFTER WORK IS COMMENCED Total balance Vue �� l
carr IAk�.tiF. �hvrir ilnr _ --� 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --
,7 BUP
_ Date Requested 71 AM PM �_ BLD
Location_ _ SSj Suite _ MEC —
Contact Person W Ph S� I S� PLM --
Contractor Ph SWR p
BUILDING Tenant/OwnerN ELC
Retaining Wall � ELR
Footing Access:
Foundation FPS
Ftp Drain SGN
Crawl Drain Inspection Notes: �� ,t� ----
Slab !� l.9P7 'V��_ SIT
Post&Beam —
Ext Sheath/Shear
int Sheath/Shear — —
Framing
Insulation A
Drywall Nailing -
Firewall
Fire Sprinkler
FireAlarm ------- —— -------------- --------...-------------- --
SuspA Ceiling ---.-�---
Roof
Misc: ----
Final
PASS PART FAIL - - - - -- - -- --- - - -----—
PLUMBING
Pnst&Beam
Un0r Slab
Top Out -- -- - -
Water Service
Sanitary Sewe,
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Bearn_ -
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service
-- ----- ----- --- -
Rough In
UG/Slab
Low Voltage
Fire Alarm
--------
Final
ART FAIL —_
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 _ [ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Ins Fetor _ Ext
Other -- --— p' — - - _
Final I
PASS PART—FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4.175 Business Line: 639-4171 MST
__Date Requested .�—-?--? --�C, BUP
PM
' BLD
Location---I ^ ' tin{, Suite MEC
Contact PersonPh �(./�Cj�/ _ PLM
Contractor Ph SWR _
BUILDING--��' Tenant/Owner _ ELC -
Retaining Wall -
Footing - ELR
Foundation Access: -
Ftg Drain FPS _-
Crawl Urein inspection Notes: SGN
Slab -
Post&Beam SIT _
Ext Sheath/Shear - -
Int Sheath/Shear J
Framing 7? -
Insulation u�.---^-�----
Drywall Nailing -�-1 �- �4Z� rtN��►y ` /.11 1 QbQ k L
Firewall -- --___
Fire Sprinkler -- _
Fire Alarm --- ----___-_-- ---.,-__--
Susp'd Ceiling -_ -. .---- ----
Roof ---.---
Misc:
Final __,- ----- -
PASS PART FAIL. _-
LUMBING
Post& Beam - ------ -
Under Slab - - _ ----------_ _--- -
Top Out ---—_ ---
Water Service - - - — -- --
Sanitary Sewer ----- --- -- -_
Rain Drains
Final ---
PASS PART FAIL
CNA - - -
eam - -- - --
Rough In --
Gas Line ---_._-_-
Smoke Dampers -- -
F' I --
S PART FAIL
-- _ -
EL CTRICAL - -- - -------
Service
Rough In -- -- - ---
UG/Slab
Low Voltage -
Fire Alarm -
Final - - ----
PASS PART FAIL
SITE -
13ackfill/Griding
Sanitary Sewer --
Rtnrrn Drain [ J Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
itch Basin
I ire Supply Ling [ j Please call for reinspection RE: [ )Unable to inspect-no access
ADA
Approach/Sidewalk
Other - [)ate Inspector
Ext
Final --
PASS PART FAIT_ DO NOT REMOVE this Inspecti n rec ]rd from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES MArTER PF'�'MT '
13125 SW Hail Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MST97 -0101 '
DATE ISSUED: 03/04/97
PARCEL.: 2S 104CC-+1W074
TE: ADDRE"SS. . . 12084 914 fl9rENEInIy T)R
`nI)TVTET0M. . . , Illi-L.SHIRE w[ nus ZONIIPdr: R, '7 r,Y)
Resarks: Single family new residence PATH I
------.—_______---_�-------- _---------------------- BUILDING -- ------------------------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS -------- BASEMENT...: 0 sf RE0l1IRED SETBACKS---- REQUIRED --- -
.LASS OF 0RK.:NEW HEIGHT........: 23 FIRST....: 1455 if GARAGE.....; 608 sf LEFT..........: B SMOKE DETECTRS: Y
"YPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1210 sf FRONT.........: 20 PARKING SPACES:
TYPE OF CiNST.:SN DWELLING UNITS: i FINBSMENT: 0 sf RIGHT.........: 11
7CUPAWY CPO.;R3 P.OPM: 4 PATH: 3 TOTAL- ---: 2765 sf VR'_'.lE.,t: 195728 REAR..........: 65
_-- --_ —_ --- ---- ...�_______�---------------- PLUMBING
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH_: I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
JiVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
^IB/StJEPS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: ! WATER LINE ft: 100 PCKFLW PRF.VNTR: 1 CREASE TRAPS..: 0
OTHER FIXTURES: 0
---------------------------- ------- - --....__ . _.._..--- .._... MENANICAL --
r'UEL TYPES----------- FURN ( INK ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
^9/ / / FURN )=10K ..: '. UNIT HEATERS..: 0 HOODS.......... 1 OTHER UNITS...: 1
INP.: 0 BTU FLOOR FURNACES: 0 VENTS.......... 0 400DSTOVES....: 8 GAB OUTLETS...: 1
ELECTRICAL -.--.---_.._._........--
7SIDENTIAL UNIT--- --SEiVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ----BRP" CIIICUITS--- ----MISCELLANEOUS—— --ADD'L I'1SPECTIONr-
1 SF OR L.FSO: 1 190 aap.. : ¢ 0 - ,'0P amp..: 0 W'SVC OR FOR..: 0 PUMP/IRRIGATION: 0 DER INSPECTION: G
.A ADD'L SMF.: 4 201 - 40e asp..: 0 201 - 400 imp..: 0 lit WIC SVC/FDR: 0 SIGN/OUT LIN LT: N PER HOUR......: 0
!MTTED EN_RGY.: 0 401 600 asp..: 0 401 - 500 asp..: 0 EA ADDL BR C.IR: 0 SIGNAL/PANEL...: 0 IN DIRIT., ,.. :
,'ANF HM/SVI;/FDR: 0 601, - 1000 amp.: 0 601;a1ps-1000 v: 0 MINOR LABEL -10: 0
lefvi amp/volt.: 0 --_._..- - --- --.._...-. ... --- _...... . ._ PLAN REVIEW SECTION
Reconnect only.: a )%4 RES UNITS..: SVC/FDR)=225 A,: ) 600 V NOMINK: CLS AREA/SPC OCC:
-------•------_.__._ ___--_�-----._._---.-______--
ELECTRICAL - RESTRICTED FNERGYi. ___--
5F RESII)ENTIAI-_ __— -------____...__ B. COMERCIAL-------------- __•-------------------------•-----------------------
IUDIO I STCREO.: VACUUm SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCnM/PAGING: OUTDOOR LNDSC LT:
"URGLAR ALARM..: 0TH: :: X BOILER.........: HWE...........: LANDSCAPE/IRRIG: PROTECTIVE STGNL:
7cRAGE OPENER..: CLOCK........... INSTRr1MENTPTION: MEDICAi_......... OTHR:
IVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0
weer: ------------------------•--.-----------C)ntract0.. - -- -.-_-... __._-.--__ . TOTAL FEES:1 4711E.95
W FU.LERTON CO R.W. FULLERTON
426 SW BVTN HILLSDALE HWY 97N SW CAP!T91- HWY
MJITE # 215
-ORTLAND OR 97221 PORTLAND OR 97219
-'hone 0: 297-4433 Pi:are #: 293-2277
Reg •t..: 40671
'his permit is issued subject to the regulations contained in the Tigard Municipal Cade, 1'tatp of Ore. Specialty Codes and all a!he
pplicable laws. All work will be lone in accordance with approved plans. This permit wi;l expire if work is not started within :Be
'ays of issuance, or if Mork is 9uipended for mare than IN days.
-- ••------------.._.... . .__ .__. ._--.---._.---._- _. - REQUIRED INSPECTIONS
osion Contal Post/Beam Meehan Ele&rical Servi Fireplare Insp Rain drain Insp Mechanical Final
sling Inspecti Crawl Drain Elect ical Rough Gas Line Insp Water Line Insp Plusb Final
"00ting Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Fina:.
mndatior T•,sp xmhanica' lisp Fhesr Wall Insp ?ns!118t1an Inst Appr/Sdwlk Insp _
ist/Beam Struct Web Top Outgyp Board !nsp Electrical Final _
er mitt:�r! Signatt..1r-e : � I-
_7 - ) ( ___
Call for inSpecti. on
CITY O F TI G A R D SEWER CONNECT IC",l
DEVELOPMENT SERVICES PERMIT
1
13125 SW Hag Blvd.,Tigard,Of?97223 (503)6394171 PERMIT .d. . . . . . . : SWR971i-1ZDATE ISSUED: 03/04/97
PARCEL: 29104CC—HW@74
,ITE qDDRESS. . . . 1.3084 SW ASCENSION DR
'(JBDTV[SIQN. . . . : HTLLSHIRE WOODS ZONING: R7 PT)
?LOCK. . . . . . . . . . : LOT. . . . . . . . . . c74
-------------------------
ENnNT NAME. . . . . :
!SA NO. . . . . . : FIXTURE UNI'S. . . : 0
-i..pSC, or WORK. . , :NF!4 DWEL.1-I NG (!N i TS, -
HYPE Of" USE:.. . . . . :SF NO. OF BUILDINGS: I
NSTAI—L TYPE. . . . .SUGWR IMPTRV SURFACE: 0 s
�eirarks : Single family new residence PATH T
llwrier. I . _1 _ .__1.._._._1____ I _ - _. ___ I—— . _._.._.. FEES
W FULLERTON CO type amount by d&te T,Pcpt
4P6 9W BVTN HP—LSDALE HWY PRMT $ ;2P-00. 00 Y*F) 1213,10/4/97
I NSP $ 35. 00 J*H 02,/LA 4/97 97-2911 6_.
OR :07221
297--4433
cntract or.
"'. W. PULLERTON
1700 5W CAPITOL `IWY
'!UITEE # 275
' ,ORTLAND OR 97219
�-iane It: !7.937;:`277 22325. 00 TOTEM_.
e #. . c 40671
REOUTRED INSPECTIONS
Ipplicant agrees to comply •'A*th all the riles and regulations Sewer Inspection
e Unified Sewage 4genry The permit expires 100 days from
",p date issijed, fie tom savoint paid toil', be forfeited if the
"lit 5upires. Thf %ency does not guarantee the accuracy of the
ide sewer laterpis. If the sewer is not located at '.he sessuretent
1:yen, the installer shall prospect 3 feet in all directions f".
',it distar�i liver. If roof, ic Ivr0?d, the ;nitaller shell pt;rchase
ii- are Side Sewer" Pei-sit aq the A ncy tfMlroyll a lateral.
e1.mitte 91
a ell
e
Call
for inspect io;; 639417!5,
CIT'Y,OF TIGARD Residential Building Permit Application �,d ,
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd_ /
TIGARD, OR 97223 Single Family Detached or Attached Date to P.E.
(503) 639-4171 D:,re ro Osr /
Print or Type Permit 0ri
c,led I (�r
Incomplete or illegible applications will not be accepted M, ,
Name of subdivision Lot 0 N_14 ILL5k
ame
Job nt.T 1
Address 561e Af ae� Ot�S Architect Mal AddresscalLy
_
a .nom ju
CityrStat ti Ph
Owner 4al kims
fsta� hone/� Engineer Madmq Address
r,qpHE qmbf-j zz SM7'" f'7
Name CityrSate — zip Phone
General g���� Describe work --y addM-n O alteration O repair O
Contractor to be done:
as�d be LW L ML
Additional Descrption of Work:Cly —
/stat D M 2Z1 05) X33 �S
Oregon const Cont.Board Lr-# D
Attach Copy of 1 Project Q J
Curm" COT Business Tax or Metro• to Valuation $
L Icerses --- r G
~��� Name I --- NEW COR STRUCTION ONLY:
Mechanical K EE Sq.Ft. House:~ S9.FtGa ge:
Sub- Mailing XodAress � 2--1 aft
Contractor I (D51 j I=- �` f_ M Comer Lot Yes No Flag Lot Yes No
Qyy/state ZiL Phone a/, (check one) X (check one)
A t - CN54 Restricted Audio/Stereo — _ Burglar
Oregon Const Cant.Board Uc! je Energy System Alarm
Attach Copy ofC�? + 2
Curmnt COT Busktess Tax or Metro• Installation Garage Door HVAC
LicensesI Opener Systems
Name
Plumbing 'L
(check all that ---- Other
a .� V N
apply)
Sub_ Madrng�+�-- Will the electncal subcontractor wire for all Yes No
ontnctor r restricted energy installations?
I �• Has the Subdivislo Pfat recorded WA Ye$ No
State ,(
e O '17.� -8�L0
Oregon Const.Cont.Board Lic.A E. Dai Reissue of MSTX Solar Compliance
Attach Copy of 0�1'115 �j 9 (Calculation Attached)
Current numbing L,c. - p' I hereby acknowledge that 1 have read this application,that the
Licenses �C J� J f' I I information given is comet,that I am the owner or authorized agent of
COT usrnee. �pr Metry of E p. Date the owner, and that plans submitted are in compliance with Oregon
_ V _ JLC \ State laws. __
- Name ------ lure t p e
Electrical 1<1 t,Z,� t-� CLZCT . Z t -- 11 fi
Sub- flailing Address
rlAP-XLE3 MICAJ!)
Contractor !Co i8 5f. 1 j)15 ,v r, FOR OFFICE USE ONLY:
Plat# le'l 90-A% Map/TUt
CA
0 CO t.ConL Board Ltc-# p ate l/T (] A `b 1 C'c��0- � "- "��
A7ach Coq of `��- I
[aSgthadks� Zone Solar
Current ='el tic En , �
Licenses -"5 ZJ91�[lr
COT Business Tax or Metra 0 E1�`. -acs Engineering val: Planning Apprwal: TIF
eermit # Account Qaa -notion Amount Amt. Pd. tel. ue
MST. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
ELC/ELR Permit ELPR
State Tax (TAX)
Bldg: .3.3. � `' •
Plumb:
Mech:
ELC/ELR:
Plan Check
MST: j - 4 (BUPPLN)
l�3?;_
Plumb; (PLMPLN)
i
Mech: (MECPLN) /1 �- V/ 11 -
v
CDC; Review ( ` 'S) �.
r
, -Sewer Connection (SWUSA) 226,v d v
Sewer Inspection (SWINSP) 3S-
Parks Dev Charge (PKSDC) /OSS v
Residential TIF (TIF-R) /S 7 J ✓ /S7v �
Mass Transit TIF (TIF-MT)
Water Quality (WQUAL)
Water Quantity (WQUANT) Yl
/DU
Erasion Control Permit (ERPRMT) & .i
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) v
Fire life Safety (FLS)
TOTALS: i�22
i dstsM_"taomdx
Rev 7-14,9
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.
'0�►
t I t
UN WA
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.
+ 150 feet
1
N
ncxM.eouH oMeac�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 runs North-South, measurements will (circle one)
be based on the peak of the roof. Eff ~-
OOOO io
1 B 1 C
1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will he based on the
eave.
*V"POPO 1AW
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.
a
Box B. continued Box B:
2. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If — 3 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. + ft
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. 5 , Z 5' ft
6. Total Figure for box 8: � (� '�S ft
Box G Distance to the shade reduction line. Box C:
i. Measure the distance from the North property line to the foundation near the Q _ It
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + Z-7 ft
3. Total figure for box C: ----L-7 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 dec!rmines the value found in box'D'. The value
in box'D'should be compared to the value in brut'8'; if the value in box'9'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 Development Counter.
MAXIMUM. PERMITMI SH"E POINT HEIGHT(In Feet)
Distance to North-south lot dimension(in feet)
5hide 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
lot fine tin feet)
70 40 40 40 41 42 43 44
63 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
FR(o_)xD. Maximum allowed shade point height: _ feet
h�k{ocdnarK.ylventura�solar.cfip
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TICARD, OR 97223
IMPORTANT PERMITNOTICE
ANSPACH PLUMBING
MARK A LAW
12295 SE CRESTWAY
PORTLAND OR 97236
Plumbing Signature Form
Permit # . . . . : MST97-0011
Date Issued. : 03/04/97
Parcel . . . . . . : 2S104CC-H;V074
Site Address : 13084 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . Lot : 74
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 individual from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
R W FULLERTON Co ANSPACH PLUMBING
6426 SW BVTN HILLSDALE HWY MARK A LAW
PORTLAND OR 97221 12295 SE CRESTWAY
PORTLAND OR 97236
Phone # : 297-4433 Phone # :
Reg # . . : 037135
CSU
: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
iiU
CITY OF i IGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WRIGHT 1 ELECTRIC INC
5618 SE .135TH AVE
PORTLAND OR 97236
Electrical Signature Form
Permit # • • • • : MST97-0011
Date Issued. : 03/04/97
Parcel . . . . . . : 2S104CC-HW074
Site Address : 13084 SW ASCENSION DR
Subdivision . : HILLSHIRE WOODS
Block. . . . . . . . Lot:. : '14
Zon.ing. . . . . . . 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 from 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
OWNER: ELECTRICAL CONTRACTOR:
R W FULLERTON CO WRIGHT 1 ELECTRIC INC
6426 SW BVTN HILLSDALE HWY 5618 SE 135TH AVE
PORTLAND OR 97221 PORTLAND OR 97236
Phone # : 297-4433 Phone # :
Reg # • • : 97757
Signature o upervising 1`i�ctrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310