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-- 13092 Sq ASCEPSION DRIVE
Page No. 1 CASE HISTORY FOR CASE NO.: MST960180
SHELBURNE DFV
13092 SW ASCENSION DR
01/26/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upn
Code Sant Done Done Date By
-'- - - -- - -- - -------- --- -- ------ ----- -. . .----. - ----- - -' ---- --- •---..
MSTA005 Application recaived / / / / 03/29/96 PATS BON 04/16/96 BT2
MSTA008 Permit Created / / / / 04/16/96 PASS RT 04/16/96 81'2
MSTA010 Check for prcl. restrict. / / / / 04/04/96 PASS BON 04/16/96 BT2
MSTA012 Plans routed to Plane Examiner / / / / 04/04/96 PASS BON 04/16/96 BT2
MSTA026 Planr approved by Plans E--mr / / / / 64/16/96 PASS RT 04/16/96 BT2
MSTA030 Reviewed plans routed to DSTS / / / / 04/16/96 PASS RT 04/16/96 01'2
MSTA080 (F) Ready to issue / / / / 04/23/96 PASS CJS 04/23/96 CJS
MSTA092 (F) Issue combination pxrmit / / / / 05/31/96 PASS JSD 05/31/96 JD
MSTA097 Issue plumbing signature form / / / / 05/31/96 PASS JSD 05/31/96 JD
MSTA1,98 Issue electric signature form / / / / 05/31/96 FASS JSD 05/31/96 JD
MSTA705 Footing Insp / / / / 06/03/96 #-1- property corners was surveyed APP KS 06/04/96 KBS
MSTA706 Fuundation Insp / / / / 06/1'1/96 pending- seismic restraint; ventilatio-i PASS RB 06/18/T6 RB
MSTA710 Post/Beam Struct-lral / / / / 06/28/96 APP KS 06/28/96 KBS
MSTA711 Post/Beam Mechanical / / / / 08/15/96 PASS RB 08/15/96 RS
MSTA713 Crawl Drain / / / / 06/26/96 PASS MS 06/27/96 MRS
MSTA717 PLM/Underfloor / / / / 08/08/96 PASS MS 08/09/96 MRS
MSTA720 Mechanical Insp / / / / 08/15/96 see framing this date FAIL RB 10/24/96 MRS
MSTA720 Mechanical Inap 09/20/96 / / 08/20/96 PASS RB 08/20/96 RB
MSTA122 Plumb Top Out / / / / OB/08/96 PASS MS 00/09/96 MRS
MSTA12.3 Electrical Service / / / / 08/14/96 PASS MJF 08/14/96 MJR
MSTA724 Electrical Rough In 08/14/96 / / 08/14/96 PASS MJR 08/14/96 MJF
MSTA725 Framing Insp / / / / 00/15/96 soffit rect. duct it garage; strap FAIL, RB OB/15/95 RS
glu lam posting; strap plates; exhaust
vent disconnect; vent baffles; nail
shear panels; seal floor/lid of chase
upstairs; remove wcod debris
under-floor.
MSTA725 Framing Insp 08/20/96 i / 08/20/96 baffles needed ay vault/flat connection FAIL RS 08/20/96 RS
to rafters; nail shear panels upstairs;
garage not re inspected this date.
MSTA725 Framing Insp / / / / 08/22/96 pending shear nailing PASS RB 08/23%96 RB
MSTA726 Shear Wail Insp / / / / 0'7/19/96 I-HD MISSING z REAR. WALL FAIL RB 07/23;96 BT2
2-INTERIOR SHEA,t PANEL MARKED
3 MS148 STRAP REQ -P IN'TER7O4 WALL
4 NAIL SHEATING AS NEEDED AND MARKED
MSTA725 Shear Wall Insp 08/20/96 / / 08/20/96 shear panels not nailed) FAIL RB 08/20/96 RS
MSTA726 Shear Wall Insp / / / 08/22/96 still the upper interior shear panels PEND RB 08/23/96 RB
not nailed off
Page No. 2 CASE HISTORY FOR CASE NO.: MST96-0180
SHELBURNE DEV
13092 SW ASCENSION DR
01/26/99
Action Dear iption Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Do-e Date P/
MSTA727 Low Voltage / / / / 08/14/96 PASS MJR 00/14/96 MJR
MSTA735 Gas Line Insp / / / / 08/08/96 #173955 PASS RB 08/08/96 RB
MSTA740 Insulation Insp 08/20/96 / / 08/20/96 Framing/shear issues; firestop thru PEND RB 08/20/96 RB
penetrations
MSTA740 Ineulation Insp / / / / 08/22/96 pending- shear nailing PASS RB 09/23/96 RB
MSTA745 Gyp Board Insp / / / / 08/23/96 PASS RB 11/06/96 GES
MSTA755 Rain drain Insp / / / / 06/26/96 PASS MS 06/27/96 MRS
M&TA760 Water Line Insp / / / / 06/26/96 PASS MS 06/21/96 MRS
MSTA765 Appr/Sdwlk Insp 09/05/96 / / 09/05/98 1. Felt every 40'. PASS PI 10/14/96 C*H
2. Pe prepared to protect finish
MSTA790 Electrical Final / / / / 10/15/96 PASS TLP 11/06/96 TLP
MSTA795 Mechanical Final / / / ! 10/30/96 2. SHUTOFFF VALVE FOR GAS RANGE SHALL BE D:(S GL 10/31/96 KAS
ASSESSIBLE.
6. CONNECT RANGE EXAUST r(i DUCT IN CRAWL
SPACE.
S. CLEAN WOOD AND DEBRIS FROM CRAWL
SPACE. *NOTED WITH BLDG FINAL AL.30.
MSTA795 Mechanical Final / / / / 11/06/96 APP GS 11/06/96 GES
MSTA797 Plumb Final / / / / 10/23/5` PASS MS 10/24/96 MRS
MSTA797 Building Final / / / ! 10/30/96 1.PROVIDE HANDPAIL FOR STAIRS OFF NOOK DIS GL 10/31/96 KAS
PATIO DOOR.
2. WITH MECH FINAL NOTES.
3. PROVIDE LEVEL LANDING BOTTOM OF
STAIRS OFF DECK.
4. SLOPE THE GRAADAE AWAY FROM "HE
BUILDING.
°. CLEAN WOOD AND DEBRIS FROM CRAWL.
6. WITH MECH FINAL NOTES.
MSTA799 Building Final 11/06/96 APP GS 11/06/96 GES
MSTA960 (F) Issue Cert. 0f Occupancy / / / / 11/06/96 11/08/96 JT
MSTA9'70 Case Finaled / / / / 11/06/96 APP GS 11/06/96 GES
I
11 IF!5 1 F7 R F-E R�f I I I
PIL:RMII" #. . . . . . . MST960180
CITE( OF TIGARD DATE Iii SUED: 05/31/96
COMMUNITY DEVELOPMENT DEPARTMENT iDARCEL: 2S 104CC-HW0 75
031ghqIN4U1(8�vd..Tig!,d, NO,
_ik . _ATL�ri
5U81)I V I S I ON. H I L.LSH 1 RE'. WOODS ZONING: R-7 PID
BLOcl{. . . . . . . . L01.. . . . . . . . . . . . . : i5
Remarks: PATH I
--------------------- ----------------------------------- 2-
BUILDING ---L 3 -----------
REISSUE: STORIES..,....: 2 FLOOR AREAS---------- BASEMENT...: 0 if REQUIRED SETBACKS—- riQUIV-D-------------
CLASS OF WORK.:NEW HEIGHT........: 26 FIRST.....- 1500 s f GARAGE.....1 816 s f LEFT..........; 5 SMOKE DETECTRS- Y
I.YPE OF USE...:SF FLOOR LOAD....: 40 SECOND...; 1244 if FRONT.........; 20 PARKING SPACES: I
TYPE OF CONST.614 DWELLING UNITS: I FINBSPENT: 0 if RIGHT.........: 25
9000PKY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2744 if VALUE..$: 191381 FEAR..........: 55
------------------------------------------------------------------ PLUMBING -——----------—------------—----------------------------- -
SIM(S......... 2 WATER CLOSUS.; 3 WASHING MACH-: I LAUNDRY TRAYS.: 0 PAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 4 DISHWASHERS—: I FLOOR DRAINS..: 0 SEWER LINE fti I 5F RAIN DRAINS: I CATCH BASINS..: @
ruB/sHUwEqj... 4 GARBAGE DISP..: I WATER 4-.ATERS.; I WATER LINE ft: IN BCKFLW PREVNTR; I 1).,:ASE TRAIY,..: @
OTHER FIXTURES: 0
-------------------------------—------------------------------ MECHANICAL ------------------------—---—-------------------------------
FUEL TYPES------------- FURN ( INK 0 BOIL/CMP ( 3HPi @ VENT FANS.....1 4 CLOTHES DRYERS: I
/GAS/ / / FURN )4001( I UNIT HEATERS...- 6 FOODS.........; I OTHER UNITS...: I
MAX INP.: @ BTU FLOOR FURNACES: 0 VENTS.........: t'., WOODSTOVES.... 0 GAS OUTLETS...: I
--------------------------.-----------------------•--•-------- ELECTRICAL ---------------------------------------------------------------
—RESIDENTIAL UNIT--- ---SIERViCE/FEEDER---- --TEMP 3RVC/FEEDERS-- ---BRANCH CIRCUITS--- ----M16CELLANEOUS---- --ADD'L INSPECTIONS-
IM SF OR LESS: 1 0 - 200 alp'... 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADDIL 500SF.. 6 201 - 400 asp..: @ 201 - 400 amp...- @ lit W/O SVC/FDR: 0 SIGN/OUT LIN LTi @ PER HOUR. .... 0
LIMITED ENERGY.: 0 441 - 621 alp., : 0 401 - 600 asp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...1 0 IN PLANT......:
MW HM/SVC/FDR: 0 681 - 1699 alp.: 0 601+ivps-1000 v: 0 MINOR LABEL -Ili 0
IM+ alp/volt.: a ------------------------------------ PLAN REVIEW SECTION --------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.i ) 600 V NOMINAL: CLS AREA/SPC OCC.-
------------------ ELECTRICAL - RESTRICTED ENERGY ---------------------—---------------------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL---------------------------------------------------—------------------------
AUDIO & STEREO..- VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....I INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: .I X BOILER.........: HVAC...........: LANDSCAPE/IRRIB: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: :1
HVAC...........: DATA/TELE COMM.i NURSE CALLS....: TOTAL # SYSTEMS: @
Uwner: -----------------------------------Contractor: --------------------------- TOTAL FEES:$ 4762.45
5HELBURNE DEV SHELBURNE DEVELOPMENT
7008 SW NYBERG RD 7008 SW NYBERG RD
TUALATIN OR 97062 TUALATIN OR 97062
Phone 0: 692-6383 Phone #: 692-6383
Reg #..: 42388
This permit is issued subject to the regu.ations contained in the Tigard Municipal Code, State of Ore. Specialty Coats and all other
aiplicable laws. All work will be done ;n accordance with approved plans. This permit will expire if work is not started within 180
days cf issuance, or if work is suspendtil for more 0an 189 days.
---------------——------—------------------------------- REQUIRED INSPECTIONS ----------------
Footing Insp PLM/Underfloor Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Contro:
Foundation Insp Mechanical Insp Low Voltage Gyp Roord Insp Electrical Final
Post/Beam Struct Plumb Top Out v Irl,I Insp Rain drain Insp Mechanical Final
Post/Peas Mechan Electrical Servi ;;;;IeGas Insp Water Line Insp Plumb Final
Craw] Drain Framing In Water Servime In Building Final
I-lei-mittee S i gnat 13 Issued By f��,
11 fot- inspection -- 639-4175
�
a "Tap and Side Sewer' Permit !andattl, ge
�
Ir
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 PJjej
(503) 639-4171 L�.1 1�
Jobsite Address: ;0`j
Office Use Only
Subdivision: � L.St>'// j )VL Lot #
Contact Date _ I f Initials
Valuation: r` _ Result
New Construction Only: (Square Footage) r^ Planck/Rec # % I
L� Permit # M-5-796Lf Ski] _
House z 7��� Garage — --- Reissue of
Map & TL #
CornerLot? Y N Flag Lot? Y N Zone
/
Plat # --�--
Owner:
n z z�'�
s�f�L Vc r
Address
-7-0-C.2-9-7 ( — j Approvals Re uq fired
�+ Planning Setbacks Sola �
Engineering �2,
amu_ —� C2 7 Other —_
Phony_ t]
Items Required
Contractor: �f� ��u�LY ,
Subcontractors
Address — Truss Details —
Other
--- _�_ — — Notes
Phone: L 1 j t
Contractor's License # Z
---�---�(atta copy of current Oregon license)
Contar Name: J r,"t U—=7JN �—
Contact Phone: (,5Sy Z w— 79'
Subcontractors: Arch itectlEngineer:
Plumbing: � Ci � �'` ! `� Address
Mechanical:
(attach copy of current OR Contractor's License)"
Phone _—_--_
JOB DESC�ON�__ --.- -- --
Ap ant ' nature — Applicant Phone number
Recei ed by: _� _ Date Received: )
H'bW1d,111 -p
Permit At Account Description Amount AML Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECN) c �" y i
fc �
4' u _ f' G•u
yu
Bldg: J. ,Li_ .�—
Plumb: // 2 �_
Me-h: 2
Plan Check (PLANCK) Z1�0
Bldg:
Plumb:
Sewer Connection (SWUSA) ��
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) 1050 _ /u S-v •—
Residential TIF (TIF-R) / u
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) U 0
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _Zl' _ t!
Erosion Planck/COT (EROSN) 81V
TOTALS:
Solar Balance Point Standard Worksheet
Address Or,
[lox 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.
...�� 450-4
-
NON�ERN � N�
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. lool
t
NCq'KSOUIN UMENSION�
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?
1a: If the roof line runs North-South, measurements will -- ,` (circle one)
be based on the peak of the roof. T13000T
--► 1 A�) 1 B W
1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the f217
ear ,
SNACE 1C�NT EASE
1c: If the roof line runs East-West and the roof pitch is
5/12 or steeper, measurements will be based on the 1'„a ,
peak.
Box B. continued Box B:
?. 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 /
the lot slopes down from the front lot lire to the foundation, the figure is negative.
3. Measure distance from finished floor elevation to the affected peak/eave. + !. - ft
.t. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, — it
deduct nothing.
5. Subtract one foot for each foot of difference in elevation from the front property
line to the rear property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing. ft
i,. Total figure for box B: ft
Box C. Distance to the shade reduction line. Box C:
1. Measure the distance from the North property line to the foundation near the ? n
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eavc + ft
3. Total figure for box C: ____ ti
It is most useful to draw a vertical line to represent the appropriate figure found in box"A"and a horizontal line to represent the
appropriate figure found in box "C".The intersection of the vertical and horizontal lines determines the value found in box "D". The value
in box "D"should be compared to the value in box"B"; if the value in box"B"is less than or equal to the value found in box"D",then
the building is In compliance with the solar balance code. If you have any questions, please contact us at 639.4171,x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet)
Distance to North south lot dimension(In feN
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
lot line(in feet)
70 40 40 41 42 43 44
65 3 38 38 39 40 41 42 43
60 3 36 36 37 38 39 40 41 42
55 3 34 34 35 36 37 38 39 40 41
50 3 32 32 33 34 35 36 37 38 39 40
45 31 30 30 31 32 33 34 35 36 37 38 39
40 23 28 28 29 30 31 32 33 34 35 36 37 38
35 25 26 16 27 28 29 30 31 32 33 34 35 36
30 21 24 24 25 26 27 28 29 30 31 32 33 34
25 2 22 22 23 24 25 26 27 28 29 30 31 32
20 2) 20 20 21 22 23 24 25 26 27 28 29 30
15 11 18 18 19 20 21 22 23 24 25 26 27 28
10 1� 16 16 17 18 19 10 21 22 23 24 25 26
5 1 14 14 15 16 17 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height: -C)✓(.V feet
Solar .Balance Worksheet
Address
Box A calculatior s: North-South dimension for the lot. Box A:
This dimension is o mermined by finding the midpoint of the North lot line and drawing an
intersecting line perpendicular to that point. Measure the distance from the midpoint of the
North lot line to the South lot line along the described line. s _ ft
Box B calculations: Shade point height from your structure. 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 lot?
1 a: If the roof line runs North-South, measurements will be based on the peak of the (Circle one)
roof.
1a)1b 1c
1 b: If the roof line runs East-West and the roof pitch is less than 5/12, measurements
will hg based on the eave.
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.
2. Measure change in elevation from front property line to finished floor elevation.
+ ft
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,
deduct nothing.
Subtract one foot for each foot of difference in elevation from the front property
-- _. f t
line to the rear propel ty line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear tc the front, deduct nothing.
�i 6. Total figure for box B: —� __= . ft
Bo% C. Distance to the shade reduction line. Box C:
distance from the North property line to the foundation. ft
1 . Measure the dista p p Y
2. Measure the distance from the foundation to the affected peak or eave. ft
II3. Total figure for box C: _ Z �� ft
Solar Balance point Standard
Box A. North-South dimension for the lot Box B. Shade point height from your structure:
measured through the middle of the house Change in elevation from north property line +.o
Che Finished floor elevation added to the height
1 of the building from finished floor elevation t�
J j _ feet the affected peak/save. If the roof line runs
N!S, subtract 3 feet from the figure.
27 S feet
Box c. Distance to the shade reduction line
Distance from North property line to
foundation added to the d,stance from the
foundation to the affected roof peak.
fFeet
J
The following helps explain the graph below:
The horizontal axis (rows) represents box "c" figures
The vertical axis (columns) represents bbx "A" figures.
It is most useful to draw a vertical line to represent the
P figure figure
found in box "A" and a horizontal Lille to repres_nt the appropriate
in box "C" . The intersection of the vertical and horizontal lines determines the
value "ound in box "D" . The value in
box than shouldor betoothered to the
fcuvalue
box
in
box "B" ; if the value in box 1 s ,rode
"D" , the buildi°Zg is in comp'jience with the solar balance
Distance to
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 4
reduction line
from northern
lot line in feet
70 40� 40 40 41 42 43 44
65 38 38 38 39 40 41 42. 43
36 36 36 37 38 39 0 41 47_
55 34 34 34 35 36 37 8 39 40 41
50 32 32 32 33 34 35 6 37 38 39 40 41 42
36 37 38 39 40
45 . 0 30 30 31 32 33 4 33 34 35 36 37 38
40 28 28 28 29 30 31 2
0 31 32 33 34 35 36
35 26 26 26 27 28 29
30 24 24 24 25 26 27 , 8 29 30 31 32 33 34
25 22 22 22 23 24 25 6 27 28 29 30 31 32
7.0 20 20 20 21 22 23 . 4 25 26 27 28 29 30
3.5 18 18 18 19 20 21 22 23 24 25 26 27 28
10 16 16 16 17 18 19 120 21 22 23 24 25 26
5 14 14 14 15 16 17 18 3.9 20 21 22 23 24
feet
Box "D" Maximum allowed shade point height
(�
Fit 1 s(n L�C ���rrYt S L..of
w o
Of
h � N
n
ASC f 5/u
fpr TS' fIiCGSN/R E w��ur>S
�9t-6 38S
G92- S760 FAA
( � ,. TIGARD
DOFELOPMEN'' SERVICES CERTIFICATE CIES
fall &V Nall Blvd., Tigard,%',*]97223 (503)639.4171 OCCUPANCY
PERMIT M. . . . . . . t MST96-011
DATE ISSUED: 11/06/9(
Y
aS( F"'AFtC'E:L: �.S] � +C';C—�-11•iQ'""
� ;E'V:3IQN LR
I ON. , i 3E ;RL :40OD S Z ON 1 NG s R_.7 PI)
1_0T. . . . . . . .. . . . . .7!!
;LASE' uRK. t NLw
rYpE OF t_•LE. , a SF
TYPE 0CONST R i 5N
)CCUPANC;Y GRP. s R3
IF r'i IrPANCY LOAD 12
Rema+rks t F'p,rii I
Owners _. __........._..�._. _.__ ....__.. ._..._._...__....__..._.___..._..
'3HF', 1URNE. DEV
7008 SW 1\1Y0[-..R(3 RU
IIJALATIN OR 9706:
Phone #e t,92-6383
1::ont-actors
3HELPIANE. DEVELOPMENT
'7008 SW NYBERG RD
WALAT I r: OR 97062
Phone Wo 692 6:383
Req #t. . 1 42:388
1'hiis Cer-tifivat.e grant% OL�CfJ ►inc7y of tho above referencwd building or porti .
thereof and confirms that the buildirig ha v r_—en inspe3cttad for compl ianr:e wil
the Stott, of :1r•egon Z,pef-Aeity Cadet f,.w the gYOLIP, occtIpancyr and use under
which the referenced pe►r edit was i sv-iecl.
pJ;.l_ . I rn�ry f;T'O1 SUIL.DINO 017 1 TAL
f106 Z TN CONSP I C:UOUS r•'t. Cf.
%.UhiBING PERMIT
PE.-R #. . . . PLM - _-'
CITYOF TICARD DATEMIT ISSUED: 10/03/9C96 -0 91
,
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223e6ig9 (503)639-4171 H14075
-'TTC' MORE=. . .
UBDTVTSION HILLSHIRE WOODS ZONING: R-7 PI)
:
. . . . . . . . . . . .. . 7
r,71 OT^ PT'7'0',Al_'��. 13 MOSTL.C." HOME SPAC.-S.
or sr Wr):7HING MnC'1., 0 SACKFLOW PREVNTRr). . I
,j(-L:,,;rnNCY GNP. . R3 rL.00P. DPAIN). I'l T11APS. . .. . . . . . . . . . . . . 12)
R HM')TERS. . . . . 0 0
7TOPIE^a. - , . - 0 W0Tr_ CATCH BASINS. . . . . . .5F PAIN DRAINS. . . — 0
'"I XTURES - L.r,U!N11)rY TRAY%. . . . . 0
'-,'ENKS. . . . . . URINALS_ . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
1 OVATOPT E"). O1':!!_.R -,r . . . . :
"'is/SiHOWEPI). SEWER L',, '- (ft ) . . .
WnTER CL!„`rrr . WnTCP I-INC ( ', t :l . . -
U'ISHWASHERS'. . . RUIN DRAIN (ft ) . . .
IT)stalli.ng i-esidn'-'• ial t)ac:icriaa, preven'-.- ii- 'je,iice
Li vq n 0
T)[-V type a 11, 0'j T� b I"E,t--:,t
PRMT 1; t s 10"03/"
rjOO SW NYr_%F_"RG' P"Ll
'IJALATIN OR ()7QjC-,
C)n e #- G017 C'1-17 0 3
I'EkL't VV_
TO'1C `r7PVT7FS IW7
ANALD BURTON
SW MICIIIACL DR
I.TNN OR 170b3
onp 1 1.75. T r T 0,
, - j
# C-4 7,6
#_ - - - - --- - - ?ECRU I RED INOPE(."'TIONS
E pirsit is issued subjj:t to the regilations contained in the
a"d Municipal 'LodF, State Of fie. Specialty Codes and all OW Final
plic&bll laws. All work will to done in accordance with
Preyed plans. This pirlit expire if work is net started
"-hin 180 days of issuance, f work is suspended for more
m 180 days.
rri'tte _ �,._ __.....___.. ....
-all For- inspection - 639--4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # r ^ f
13125 SW Hal! Blvd. Permit #"P4-M
Tigard,`OR 97223
(503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Name of Devbpmsnl I New Single Family Residen;,4is Only
I
e Q —
, Me D 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
r' 0 3 BATH HOUSE$225.00
Job 2c,0<X c ��� /� Y �il plc
�s�•�• Lv Fee includes all plumbing fixtures in the dwelling and the first 100 feet
Address C+rr
_W. V �,�� of water service, sanitary sewer and stone sewer. See fees below.
one IM nem• , Fltuaene.n FIXTURES QTY PRICE AMT
iii�v
Sink 9'00
�► C 9.00
McMip M6eee °bona Lavatory
C Tub or Tub/Shower Comb. 9.00
S S I G4'
Owner z SKza shower Only 9.00
ahlswe 9.00
Water Closet
-- N+ms la n e nl Dusbne
Dishwasher 9.00
Garbage Disposal - 9.00
Occupant Meina Ad*— �^n^• Washing Machine _9 00
Floor Drain 9.u0
zw Water Heater 9.00
C.,,1.. Laundry Room Tray _
9.00
Nama
Urinal 9.00
pther Fixtures (Specify) 9.00
1 ?pydry c�ttvlass, —Inc.n — 9.00
MsinG yeee Rv.�.
Contractor 2202 SW NllChae�Drive 9 00
West Linn,OR 97()88
9.00
fAlyl9let• Z P --
Sewer 1 st 100' —30.00
sme a•Pe„.ane No
un s„e te.Nn Sewer-ea. Addit. 100' 25.00
1 Water Service 1st 100' 30.00
/ `25 00
1 hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200'
information giver, is correct, that I am the owner or authorized agent of Storm 8 Rain Drain 1st 100' 30.00
the owner, that plans submitted are in compliance with State laws, that 25.00
1 am registered with the Construction Cont.ctor's Board, that the Storm a3 Rain Drain Addit, 100'
number given is correct. (If exempt frorr, btate registration, please Mobile Horne Spac.. 25.00
give reason below.) _
Back Fluw Prevention
Device or Anti-Pollution Device 9.00
--- •• Any Trap or Waste Not.
rb.flding
..���e9.00
Connected to a Fixture;Catch Basin 9.00
work new O addition (� alteration (.) repair O 40.00/hrne residential O non-residential O Insp. of Exist. Plumbingd0.00lhr
Specia9y Requested Inspectionsuse of Rain Drain, single family dwelling 3000
or property _ —Residential backflow prevention15.00
devicesd use of
or property '(Except residential backflow
prevention devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL _
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OP WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL
COMMENCED
TOTAL
L___ --
Special Conditions -----
Date issued _ by
i
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST98-0404
DATE ISSIJED: 10/08/98
13125 SW Nall Blvd., Tigard,OR 97223(503)639.4171
PARCEL: 2S 104CB-02.'900
SITE ODDRESS. . . : 1:a0`2. SW 1,1SCENS I ON DR
SIJBD I V I S I(IN. . . . :HILL-SHIRE WOODS ZONING: R-7 P[)
1al_.C1CK„ . . . . . . . . . LOT. . . . . . . . . . . . . :07`" TUR I SD I CT I ON: T T G
Remarks: Add storage area to an existing single tamily dwelling.
---------------------------------—-------------- BUILDING --------------------------------------------------------------
REIESUE: STORiEC.......: I FLOOR AREAS---------- HASFMENI...: 0 sf REQUIRED SETPPCKS---- REQUIRED------------
CLAS3 OF 0RK.:ADD HEIGHT........: 18 FIRST....: 112 st GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS:
IYA OF UCE...:SF FLOOR LOAD....: 0 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0
UPf OF UNST.:5M DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 16
(ICCUPAICY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 112 sf VAL.UE..t: 1200 REAR..........: 57
-- - PLUMBING -------------------- ---------- -- ------ - ---- ------- --
SINKS.........a 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS......... : 0
LAVATORIES.,... 0 DISRAISHERS.,.: 0 FLOOR DRAINS—: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWEFS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--------- -- - MECHANICAL -----------------------------------------------•----------------
FUF1 TYPE',----------- FURN ( 10QN( ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN )=i W .. : 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES, 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0
- -- - ------ ELECTRCAL -------------------- -------------------
----
--RESIDENTIAL UNIT--- --••SERVICE/FEEDER----- -MP SRVC/FEEDERS-- ----BRANCH CIRCUITS--- •------MISCELLANEOUS---- --ADD'L INSPECTIONS--
ION 3F OF LESS: 0 11 - M1 amp..: 0 0 - 200 amp..: 0 IJ/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 969F. 0 281 - 40Q! amp..: 0 201 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
1_IMITED ENERGY.: 0 1,01 - 600 amp.. 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL..: 0 IN PLANT......: 0
MANF IMI/SVC/FDP: 0 E4)1 - 10", amp.: 0 601+8mps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/vnit.: 0 --------------------------------------- PUNd REVIEW SECTION ------------------------------------
Feconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 k.: ) SW V NOMINAL: CLS AREA/SPC OCC:
- -- - ELECTRICAL - RESTRICTED ENERGY ----------------------------------'"--_----"------
A. SF RESIDENTIAL------------------------- B. UOMMERf,IAL-.—---------------------------------------—---------------------------- --- -
AUDIO 4 STEREO.; VACUUM SYSTEM..: AUDIO IL STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM,.: [AH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER .: CLOCK..........: INSTRUMENTATION: MEDICAL......... OTHR: :.
HVAC.........,. : DATA/TELE COMM.: RJR% CALLS....: TOTAL # SYSTEMS: 0
Owner: -------..----- ------------------Contrac'.or: ----------------------------- TOTAL_ FEES:$ 42.50
LUSK, KIMETHY 6 HASLETT, JAMES OWNER This permit is subject to the regulations contained in the
13092 SW ASCENSION DRIV'= Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 cther applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone #: Phone #: riot started within 180 days of issuance, or if the work is
Rey #..: suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility
Notification Center. lhose rules are set forth in OAR 952-001 0010 through OAR 952-001-0080. You may obtain copies of these rules or
direct questions to OU101C by calling (503)246-1987.
- -------------- - - REQUIRED INSPECTIONS ------------------------ ------------------------------------
Footing Insp —
Foundation Insp
Post/Beam Struct --
Building Fina] _ — --- —
I sued By:� Permittee 5l gnature : _
+•+{+++•f++++++++•f++++++++++++++++1++...+++++++++++++++++4 4 +++++++ +++++++++
Call 639-4175 by 7:00 p. m. for an inspection needed th next business day
CITY OF TIGARD Residential Building Permit Application Plan Check#
13125 SW HALL BLVD. New Construction Additions or Alterations Recd By
Date Recd -�(
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.
V 503-639-4171 Darr to DST' 9 !
F 503-684-7297 �G' 5 Permit#��46
Print or Type /( Called-q,-A;K rr B
Incomplete or illegible applications will not be accepted G,5,gr-
Name of Project Name
Job ,5 k,cA 1 " ' )_ --
Address Site Address _
Architect Mailing Address
�, `�11^ (-' City/State Zip Phone --
Nam � 1
Owner Mailing Address �N45L&IT
Name �r i r-v---.Q_
City/State Zhone �
En ineer Mailing Address
rf� P
U Sri '' City/State Zip Phone
General Name
Contractor .JP YkK- Describe work New O Addition 4 Alteration O Repair O
Mailing Address - to be done
Prior to permit Y YN r. Additional Description of or T
issuance, a copy City/State Zip Phone
of all licenses
are required if Oregon Const.Cont Board _ Exp Date PROJECT
expired in COT Lic#
database VALUATION
_
Mechanical Name — NEW CONSTRUCTION ONLY:
Sub- f�, Sq. Ft. House: Sq. Ft. Garage
Contractor -Mailing Address - 1• � �— _
ity!S
Prior to permit __
Indicate the restricted energy installation by the electrical
issuance,a copy Ctate '_.—Zip Phone subcontractor in the following areas
of all licenses Restricted Audio/Stereo
are required if Oregon Const Cont. Board Exp Date Energy 1 �� System �) Alarms
expired in COT Lic# InstallationsI Vacuum I,I r} Irrigation
_ database _ _ �' System System
Plumbing Name (check all that Other, —
Sub- / / ! apply) _
Contractor Mailing Address — —_-- Corner Lot YES NO Flag Lot YES NO
(check one)_ >< (check one
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance, a ropy Solar Compliance
of all licenses are Oregon Const.Cont Board Exp Dale (Calculation Attached)
required if Lic#
expired in COT I hearby acknowledge that I have read this application.that the
database Plumbing Lic # Ezp. Date information 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. _
Name Signature of Owner/A ent Date
Electrical
Sub- Meiling Address - Contact Person NWne Phone#
J//v
H,4
FOR Contractor _ -
`._ R OFFICE USE ON_L_
City/State v — Zip Phone Plat#: — M RL#.
Prior to permit
TL -
issuance,a copy
of all licenses are Oregon Const Cont Board Exp Date Setbacks: ZoneSolar
required if Lic# _ _7 _T�
expired in COT _ _ Engineerin vaf Planning Approval: TI��
database Electrical Lir, # Exp Date
I SFREM2 DOC(DST)8/11/98
Ile rmit #:
� 9� 3� fps 196�cnr _ ,c
Address:17
A����� ����L---- ate:
Issued by: 1."��"�'�'��^' ---- D -------
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Low, URS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
.following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 313:
1. I own, reside in, or will reside in the completed structure.
a 2. I understand that I must register as a construction contractor if the
structure is sold or offered for sale
` before or upon completion.
0 3A. My general contractor is 4 1 1t'� -
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
313. 1 will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this bu;lding permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Infa►rmation
Notice to Property Owners about 'onstructian Responsibilities on the reverse side of this form.
Signature of permit applicant) (Date)
(White copy to issuing agency permit file.
pink copy to applicant)
Centerline Concepts, Inc.
640 82nd Drive Gladleone,Oregon 97027 503 650.0188 fax 503 5500189
CLIENT NAME' SHELSURN& ki,-&7ffzr L ✓S K , �- DRAWN: TGB
ADDRESS: SCALE: 1„=20' 1
LOT: 75, HILLSHIRE WOODS DATE: 6-24-96
N 89'35'58” E 100.86'
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R=189.00' 1
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S.W. ASCENS I ON - _.
/ �� SHALL EXIST ALONG ALL STREET FRONTAGES. II