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13110 SW ASCENSION DRIVE
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CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171
CERTIFICATE OF
OCCUPANCY
PERM1'r #. . . . . . . s MST96-4,
DATE Vi"SUED c 10/14/96
PARCEL 29104CC+1W078
1 TE ADDRESS. . . 1 13110 SW ASCENSInN DR
HILLS HIRF_ WOODS 'iOWNG: R -7 PID
BLOCK. . . . . . . . . . . LOT. . .. . . . . . . . . . . 1078
OF WORK. tNEW
r YPE Or,- U87. . . I Sr
IYPE 47F CON,3'rRi5r-4
'.1CCUPANr,V SRP. tR3
,.)CF.'UPANCY LOPD v 2,
«markss PATH I
3HELBURN'r-_/FIOWLEY
100b 6W NYSERG ROAD
I'UPLOTIN OR 97061-1.'
I !-,orie #t 282-8453 OWNP
.,untractor,k
3HELSURNE DEVE.LOPOIENT
-3W NYBERG RD
,-Ut,a-ATIIN OR 9706c
V,hunv #r 692--6,383
0. . s 4,?386
it-tis Certificate grants occupancy of the abnve roferrenctcl blAilding or
thereof and confirms that the bui 'Adinq haw boon in et:teci fat- compli,.snce witheon
the St AktV of OV-L(JOTI Sp*CiAltY COdP* f01- the 9 V'0a
ccitpancy, and mie under
vqhic_!i the rpfarettred oormit wat xssuf,d.
-BU-I LD I N5 -'r--I C I A L
POST IN CONSPICUUU9 PLACE
MASTER ERMI
CITY OF TIGARD PERMIT #. . . . .. . MST96- 019`_1
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05 /:T / 6
13125 SW Hall Blvd.Tigard,Aragon 91223.8199 (503)839-4171
PARCEL: `S 104(;C—HW078
SITE ADG11ES5. . . : 13110 5W ASCENSION UR
013DI V ISION. . . . : HILLSHI RE WOODS ZONING: R-7 PI)
ui_(:J(]K. . . . . . . . . . . LUT.. . . . . . . . . . . . . :0703
Remarks: PATH 1
-------------------------------------------------—----------- BUILDING --------------------------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS----------- BASEMENT...: 0 if REQUIRED SETBACKS---- REQUIRED-----------_..
CLASS OF WORK.:NEW HEIGHT........: 34 FIRST....: 1309 if GARAGE.....: 792 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...;SF FLOOR LOAD....: 40 SECOND...: 1603 sf FRONT.........: 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 if RIGHT.......... 5
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2911 sf VALUE..$: 201768 REAR..........; 90
------------------------------------------------------------- PLUMBING --------------------------------------------------------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH.... I LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES...... 5 DISHWASHERS...: 1 FLOOR DRAINS..s 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
.------------------------ -------------------------------- MECHANICAL -------------------------------------- -------
FUEL TYPES----------- FURN ( 100K ..s 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS........... 1 OTHER UNITS...: I
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS..... 1
------------------------------------------------------------- ELECTRICAL -------------------------------- —---------------------
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS--- ---BRANCH CIRCUITS--•- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: I 0 - 200 amp..: 8 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 6 201 - 400 asp..: 0 201 - 400 amp.... 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 asp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL..... 0 IN PLANT......: 0
MANE HM/SVC/FDR.. 0 601 - 1000 asp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
10M+ amp/volt.: A -----------------------------••----- PLAN REVIEW SECTION ------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL.. CLS AREA/SPC OCC:
---------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ----------------------------
A. SF RESIDENTIAL-------------------------- B. COMMERCIAL--------------------------------------------------------------------------- -
AUDIO Il STEREO.: VACUUM SYSTEM..: AUDIO I1 STEREO.: FIRE ALARM.....: INTERCOM/PAGINSt OUTDOOR LNDSC L1:
BURGLAR ALARM-.: 0tH: s: X BOILER.........: HVAC...........: LANDSCAPE/IRRIGs PROTECTIVE SIGNIL
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: :s
MVAC...........: DATA/TELE COMM... NURSE CALLS...... TOTAL R SYSTEMS: 0
Owner: -----------------------------------Contractor: ---------------------------- TOTAL FEES:$ 4944.55
SHELBURNE/ROWLEY SHE LBURNE DEVELOPMENT
7008 SW NYBERG ROAD 7009 SW NYBERG RD
TUALATIN OR 97062 TUALATIN OR 97062
Phone M: 282-8453 OWNR Phone /: 692-6383
Reg II..s 42388
This permit i3 issued subject to the regulations contained in the Tigard Municipal Lode, State of Ore. 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 sore than 180 days.
---------------------------------------------------------- REQUIRED INSPECTIONS ----------------------------------------------------------
Footing Insp PLA/Underfloor Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control
Foundation Insp Mechanical Insp Low Voltage Gyp Board Insp Electrical Final
Post/Beal Struct Plumb Top Out Fireplace Insp Rain drain Insp Mechanical Final
Rost/bear Meehan Electrical Servi Gas Line Insp Water Line Insp Plumb Final
Crawl Drair. Framing Insp ,— Gas F'replace Water Service In Building Final
Permittee Signat 1.tv-e : Issi-ted lay :
Clef
Call for- inspection 639--4175
R CONNON
CITY OF TIGARD FERMIWL#1: �,,FRMIECTISWR°f -018`
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0 /a /1�6
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PARCEL: 2S104CC-HWO78
SITE ADDR1=SS. . . : 13110 !SW ASCENSION DR
SUBDIVISION. . . . . HILLSHIRE WOODS ZONING: R-7 PD
BLOCK.. . . . . . . . . . a 1_01.. . . . . . . . . . . . . :078
11 ENANI NAME'.
USA NO. . . . . . . . . . : FIXTURE UNITS. . . 0
CLASS OF WORE;. . . :NEW DWELLING UNITS. . . 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR I MPERV SURFACE: 0 s f
Reniar•k,s : PATH I
Uwr•rer': ____.________-----___.___.__..____.___.__. FEE:
i3HLI_NUPNF DEVELOPMENT type amol_tnt by date recpt
C/O ROWLEY PRMT $ 2r-_'00. 00 JMH 05/20/96 96-279602
2330 NE 61ST INSP $ 35- 00 Jlhl•i 05/r'-'0/96 96•--279602
PORTLAND OR 97213
(='hone #: 2'82—B45:3 OWNR
Cont r-act,or s
CON —__,_E_]_____.____--•---.----.._..___.__.__.._..___—
TELA ' ,flRI- I LE:
Phone #: $ Lo_':35. 00 TOTAL
Reg #. .
----- -- REQU I RE.D INSPECTIONS
--This Applicant agrees to compiy with all the rules and regulations Sewer Inspertion
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be fL feited if the
permit expires, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measu,•ement
given, the installer shall prospect � feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Age nc will install a lateral.
E'er^mittee Signat r-ire :
1. .ied By: 1..r 2�
CAI for inspection - 639--4175
Residential Building Permit Application
City of Tigard - -� v --
13125 SW Hall Blvd. C G1
Tigard, OR 97223 -a
(503) 639-4171
Jobsite Address: XL1L). A CC
Subdivision: / SH/Kf. 7 9' Office Use OnIV
I,�LG _ UcJG!� Lot #
i�9 c Y Centact Date / / Initials
Valuation: P�01, 7 ^_ _ Result
New Construction Only: (Square Footage) Planck/Rec # — `i 1l,~ Z 7 T10
Permit # 0Sf -v
Hot i,e ��� Garage: 9 L Reissue of V AMap
_
Comer Lot'? Y N Flag Lot? Y N Zone& TL# Pb c"C Nwo
�-
Owner: _�QN t�l � tJDGJ CrPlat # 101-Z73
ST Approvals Required
�'") Planning Setback� PSolar�
_t_lm_T�C,.14 ",-/;A- C2 T Z Engineering
Phone 1 �-?_L ? Other_ __...
Items Required
Contractor: �f-!E7_ 49(LAN . __A�
Address 70�0W N��_ �_�� ��, Subcontractors _
Truss Details
c! 7 CJG 2, Other
Phone. ( -s o3 �- Ea=__ > b Notes sot+y .,�.,- c..+ ��'a»4►• ( ?
Contractor's License # f _
(attaat c py of current OrecQu ense)
Contact Name: �Q El��.s� GIC �.►[N1 -241TMNI
Contact Phc.- c S'y3 SSL- 6Jr
____.______,__.
Subcontractors: Architect/Engineer: � N /t�ii4000tco
Plumbing: 4 _''� Address SC{r.(_t421Q Te
Mechanical: RC1 640NI ! 2/=9- �T_(��(��1�0 f
(attach copy of current OR Contractor's License)
Elec ft l c 64 f Dr!t f' a,/4i[.. `04Phone �5:(> _t_ •�2S-
JOB DESCRIPTION: 600(22QC77C(.� '- PVC _SOLD
Applicant Signature ii Applicant Phone number
. 4
Received by: Date Received: _ r
w lo�aMvqoe
YES NO N/A
9. r ] [ ] [iJ ROOF TRUSSES (engineering, details and layouts)
10. COMPLETE CROSS SECTION(S)
11. ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR
ADDITIONS AND REMODELS
12. BASEMENT WALL, FOUNDATION AND RETAINING WALL
SECTIONS (will need engineering if walls are 8 ft. high or
higher).
13. [ij [ ] ( ] WALL BRACING (structure must meet table R-402.10, revised
alternate method 93-7, or a lateral design shall be provided).
14. [�]' [ ] [ ] ALL DETAILS REQUIRED BY NO, 13 ABOVE SHALL BE
INCORPOFATED INTO THE PLANS. (Attachments must be
clearly lei 'ale and fully referenced in the plans).
15. BEAM CALCULATIONS (all beams over 10 ft. in length or any
beam that supports a point load).
16. [/l [ ] [ ] ENERGY CODE PATH IDENTIFIED
DO NOT MAKE CORRECTIONS IN RED
RED WILL ONLY CAUSE DELAYS
Solar Balance Point Standard Worksheet
,Address_
Box A calculations: North-South dimension for the lot. Box A:
I his dimension is determined by finding the midpoint of the North lot line and drawing
,in intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east-west and intersecting the northern most
point of the lot.
45°—►
\ �'0
MER\
1OT LINENorth-South
N \ i
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
feet
the described line.
1 \\
N
\�
NORMd:;UM DIMENSION�
Box B calculations: Shade point height for your residence. Box B:
i. 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 Fff
(circle one)
be based on the peak of the roof. �� x
—�► 1 113 1 i
1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the
eave.
St+nL•E a;iNt Ea�E
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. o � �❑
Box 6. 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
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. It
6. Total figure for box B: �j�,e 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 it
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave.
i
3. Total figure for box C:
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 PrRMITTED SHADE POINT HEIGHT (In Feet)
Distance to North-south lot dimension(in feet)
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line (�
from northernlot line fin f@P0
v
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
50 32 31 32 33 34 35 36 37 38 39 40
45 30 30 30 31 32 33 34 35 36 37 38 39
/-(0 28 28 28 29 30 31 32 33 34 35 36 37 38
(x)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 12 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 23 24 15 26 27 28
10 16 16 16 17 18 19 20 21 22 13 24 25 26
14 14 14 15 16 17 11 19 20 21 22 23 24
Box D. Maximum allowed shade point height: i � _ feet
h a\nancy\venrura\solar.chp
Rei sed 2/26/96 e��t
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'41ELFIRIE 5036925760 P.02
Avti 15. 1 g96
is Al*lch
C,Ay+d T igard
13125 SW Hal Blvd,
Tmwd.OR 977-3
Desai Ms.AWrpc c
He c, 8atw"Pant Lots 77 L 78,Hillsfve Woods
Pa myd===m viih Greg Hence of Shreb xry Oe"la4me C the owm at Lot 78
H60me Woo&.the hoar.to be bvit by the R. W FuE1 Am romp&W on Lot R Hitstwe
Woods vA not have OW randows in the goap on the side adtaced to Lot 78 Hilts ve
%Arm ; This shmM resolve any Potre Wal$010 bol vw--e Part mum w*hto thaw
lots.
Sincerr�+,
Thr A W FULLCATON COMPANY
Rdph F�Ibrton
Ptesid"
toTri., P.02
TOTAL P.02
70
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GSz- 6371
;R
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
C & K CONTRACTING INC
536 63RD NE
SALEM OR 97101
Plumbing Signature Form
Permit. #. • • • : MST96-0195
Date Issued. : 11/14/96
Parcel. . . . . . : 28104CC-HWO78
Site Address: 13110 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . Lot: 078
Zoning. . . . . . . R-7 PD
Remarks:
PATH I
Your company has been indicated as the plumbing contractor for the permit indica
for the plumbing permit to be valid, please have the appropriate individual. from
below and return this Plumbing Signature Form prior to the start of work. No pl
will be authorized until this completed form is received.
AN INK SIGNATTIRE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
SHELBURNF/ROWLEY C & K (CONTRACTING INC
7008 SW NYBERG ROAD 5536 63RD NE
TUALATIN OR 97062 SALEM OR 97301
11tione #: 282-6453 OWNR Phone #:
Reg #• • : 65015 J
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any que _ions, please call 539-4171, Ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
- ;�F � �UQ�uF
5
IMPORTANT PERMIT NOTICE
DRYER & SONS
5536 SE WOODSTOCK BLVD
PORTLAND OR 97206
Electrical Signature Form
Permit # . . . . : MST96-0195
Date Issued. : 05/20/96
Parcel . . . . . . : 2S104CC-HWO78
Site Address : 11110 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . lo,t : 078
Zoning. . . . . . . R-7 PD
Remarks :
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 author zed until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER LFL(Wk G vtt(K'�LIE f_f ELECTRICAL CONTRACTOR:
JOHN FOWLEY DRYER & SONS
2330 NE 61ST 5536 SE WOODSTOCK BLVD
PORTLAND OR 97213 PORTLAND OR 97206
F'hr,ne it : 282-6383 Phone 4 :
Reg # • . : 1114
Signature of Supervisinglectrlcian
Please return this compls:ed form to the address above.
ATTN� Building Dept.
If •yG-j hove any questions, please call 639-4171 , ext. #310
J