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Case File k FO W O �9 N S n Ln H d H h ` Y 'tw ED 4 � m r m C) I -- 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' J LLI Q N 0 N O LLJ 4 p '"— t --� M t a. s + ° " O A.0 27.0 9' CO OF .d y M _ /.}' 2'� N p � �. 2.0 f� { 2�,f. J 8.0 �T O e s t 8.6 I r: N �> 3 OI 20.0' 12.0' � rlv 00 C1 v! cl I , Q R=189.00' 1 �L�=47.7W L c5 S.W. ASCENS I ON - _. / �� SHALL EXIST ALONG ALL STREET FRONTAGES. II