InitiallyGood W
n
H
d
H
I
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13141 SW ASCENSION DRIVE
CITY OF TIGAI.D BUILDING INSPECTION DIVISION Ms'r
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
B U P -----
Date Requested / ) _AM__ PM — BLD
Location lr / S`� S C-an 51 ��^ Suite MEC .._xcvv _�_
Contact Person Ph .� �/5 `� PLM
Contractor C —__--__— Ph — SWR —
BUILDING Tenant/Owner ELC -�
Retaining Wall �— ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: --- --
Slab _ ��_--.._ - ... ---- SIT _
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
----- ------------------
Insulation
Drywall Nailing
Firewall ��/
Fire Sprinkler _-----_-- --_�G'/ e4E, -_ _ � �_��LLej YZ —
Fire Alarm
Susp'd Ceiling
Roof
Final
PASS PART FAIL - ----- -PLUMBING
Fost&Beam - -
Under Slab
Top Out ----__..--------------
Water Service
(Sanitary Sewer -- - _ _ ---- — -- —
Rain Drains
Final
AI
' MECHANICA'
Rough In
Gas Line ----
S e Da-rapers
A ' PART FAIL
CE-CTRIC > -
.�
Rough in -----------
LIG/Slab
Low Voltage - ---- - .----
Fire Alarm
Fin -
Fin
PART FAIL -- -----
E
Backfill/Grading —
Sanitary Sewer
Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE: _ _ _ ( ]Unable to inspect no access
ADA
Approach/Sidewalk Date Inspector
Other —_Y - _.__- _ __Ext
_�-
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITYo f T I G A R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00306
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 07/28/2000
PARCEL: 2S104C13-01400
SITE ADDRESS: 13141 SW ASCENSION DR
SUBDIVISION: HILLSHIRE WOODS ZONING: R-7
BLOCK: LOT: 030 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APPL: VENT SYSTEMS:
STORIES: BOILERS!COMPRESSORS _ HOODS:
FUEL TYPES 0 3�HP: 1 DOMES. INCIN:
LPG _ 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS'?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of exterior A/C unit. Unit cannot be planed within the required setbacks.
Owner: FEES
HANES, DANIEL H + ERICKA M Type By Date Amount Receipt
13141 SW ASCENSION DIR PRMT DLH 07/28/20( $50.00 0004065
TIGARD, OR 97223 5PCT DLH 07/28/20( $4.00 0004065
Phone:
Total $54.00
Contractor.
FIRST CALL. HEATING 8. COOLING
1650 NE LOMBARD
PORTLAND, OR 97211-4798 REQUIRED INSPECTIONS
Mechanical Insp
Phone:231-3311
Reg #:LIC 102030
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with 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 day. . ATTENTION Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952.001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9'189.
Issue By: _e/- Y�,—� EPermittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
. 06/12/00 MON 10:07 FAX 503 598 1960 CITY OF TIGARD a 002
Plan Check#
CITY OF TIGARD Mechanical Permit Appl ul, Recd By
1:,125 5W HALL BLVD. Commercial and Reside I (� Date Recd_
'TIGARD, OR 97223 � � 2 4 2000 �7Date to P E.
(503) 639•4171, X304 COMMUNITY DEVELOPMENT Date to DST
Print or Type PemlattK Vee-�Oc9.-Lw 3L ,
Call ad
Incomplete or illegible. a1p�plica
cations will not be accepted a
r Name of DeveropmentlProjed I Description �—
I Table 1A Mechanical Code Q Price Amt
Job StreetAddrna sones 111 A) Permit Fee _ 1G00
�?lad S Cr 1 r' 1) Furnace to 100,000 BTU
Address C 7—>-)I Li �__', �• including duds 3 vents see footnote 1,2 9.65
Bidgl tstate Lp 2) Furnace 100,000 BTU+
including duds&vents see footnote 1,2 12.00
Narita(or nems of business) 3) Floor Furnace `-
Owner ��'� , Wit-- including vent see footnote 1,2 9.65
4) Suspended heater,wall heaterMelling Address
or floor mounted heater _see footnote 1,2 9.65
{ ) � �. Y�i 5 Vent not included in a aplianoe nnh— 4.75
CV
[Tip Phone tjZV Check all that apply: 'Boiler Heat Air
For Items 6.10,see or Pump Cond Qty Price Amt
Nems ornamsMbustiesal -" footnotes 1,2 Com
8)<3HP;absorb unit to
100K,BTU 9.85
Occupant MalingAddrees -" - 7)3.1E HP;absorb unit —
100k to 500k BTU 17.65_ _
cityrotate tip Phone 8)15-30 HP;absorb
unit.5-1 mil BTU 24.15
9)30.60 HP;absorb
Contractor Ne'TM link 1-1.75 mill BTU 36.00
to)>60HP;absorb unit
Prior to permit Nkg Addrims. 1 -` >1,76 mil 13TU80.15
issuance,a copy (L: L i �.�• 11 Air handling unk to 10,000 CFM
of all licenses are raqutred If 0!tf,e ` , , , 1 ,k np 7.00
k `�� 12)Air handling unit 10,000 CFM• --
expired In COT aetl'>n Const cont.Board lice xp. a 11.85 _
database \ c < .� L_ ` u3 13)Non-portable evaporate cooler
Architect Naga 14) 7.00
Vent fan connected to a single duct
or MaNing Address 4.75
15)Ventilation system not Included In
appliance permit 7.00
Engineer late tip
cnr/sPhone 18)Hood served by mechanical exhaust
7.00
Describe work to be done: 17)Dorn lstle Incinerators
12.00
New 0 Repair O Replace with like kind, Yes O No O 18)Commercial or industrial type inclnerstor
Residentlap commercial 18.28
19)Repair unite
Additional Information or description of work8'40
I 20)Wood stove/gas FP/other units/clothe dryer/etc.
' - 7.00
NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to four outlets
structural gas cake. See footnote 1 3.75
Type of fuel. oil 0 natural gas 0 LPG O electric O 22 More than 4 per outlet(aach) _ 7b
_ Minimum Permit Floe$50.0 SUBTOTAL L , ' c'
I hereby acknowledge that I have read this application,that the informabon _ 8%SURCHARGE L f
given is corred that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are In compliance with Oregon State laws _ Required for ALL commercial errnits on
TOTAL
9lgneture of OwnerlAgent Darts — — ---- -- —— --
Other Inspections and Fees:
1. Inspections outside of normal business hours(mininum charge-two
Contact Person Nanw Phone hours) $50 00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum
charge-half hour) $50.00 per hour
Fobnotas for commerclai projects only: 3. Additional plan review required by changes,addlUons or revlsl,)ns to
1 Provide full schematic of existing and proposed gas line and pressure. plans(minimum charge•or+e-half hour)$80.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
links. 'State Contradoi Bo'ler CertHlcatlon required
--- - ---- "Residential VC requires she plan showing placement of unit
I vnechperm doc rev 7/19/99
.Job Site Plan k/
i 5 .
Additional Instructions:
V
Refrigeration line si
Condensate Pump ,d Yes No New Registers
Vibration Pads New Grills
Add Return Duct
Add Suppl Du t
Special Needs
. ...................... ...... ....... ......
CIT'`, �� �����® ELECTRICAL PERMIT
PERMIT#: ELC2000-00431
DEVELOPMENT SERVICES DATE ISSUED: 7/28/00
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2SiO4CB-01400
SITE ADDRESS: 13141 SW ASCENSION DR
SUBDIVISION: HILLSHIRE WOODS ZONING: R 7
BLOCK: LOT : 030 JURISDICTION: TIG
Proiect Description: Installation of(1)branch circuit w/o feeder
RESIDENTIAL UNIT TEMP SRVC/FEEDERS —_ MISCELLANEOUS
1000 SF OR LESS: 0 200 amp:'J PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINF LTG:
LIMITED ENERGY: 401 600 amp: SIGNALWANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL 00):
_SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS
0 200 amp:Y 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:
_ Reco_nnect only: SVC/FDR>= 225 ARP_!:____ CLASS AREAISPEC OCC:
Owner: Contractor:
HANES, DANIEL H + ERICKA M GRF ELECTRIC
13141 SW ASCENSION DR 15460 SE PARADISE LN
TIGARD, OR 97223 MULINO, OR 97042
Phone: Phone: 503-829-4146
Reg #: LIC 76751
SUP 1655S
ELE 3-484C
FEES Required Inspections—_
Type By Date Amount Receipt Elect'l Final
PRMT GWL 7/28/00 $37.50 0004064
5PCT GWL 7/28/00 $3.00 0004U64
Total $40.50
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 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 952-001-00i 0 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503)
246-1987 0
PERMITTEE'S SIGNATURE ISSUED BY:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE _ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: -- DATE:
LICENSE NO: — -- -
Call 639-4175 by 7:00prn for an inspection the next business day
07/24/2000 10:09 5038295747 GRF ELECTRIC PAGE 01
CITY OF TIGARD Electrical Permit Application PIT Checks
13126 SW HALL BLVD. Recd ey 1.1c
TIGARD OR 97223 Date Reed '1
Phone(503)e3g-4171, x304 Date to P E
Date to DST_
Inspection(503)639.4175 Print of Type Permit N
Fox (503) 598-196) Incomplete or illegible will not be accepted Called
9. ,lob Address: a. Ccmplete Fee Schedule Below:
Name.-)f Development w ,DA r, Number of Iropecdone per permit&Ilovwd
Name(or name of business) Service Included: Items Cost Sum
Address Lam_ , els. R"Idonueas per unit1000 sq. S 117.76 4
City/Stateltip en- �,,�,�, _ fir' Each additional 500 sq.R or
portion thereof t 20.25 1
Commercial ❑ ResidentieR ' C.>*efx U mited Energy 1 00.00
Each Manurd Home or Modular
28. Contractor Installation only: Ac— DweNing Service or Feeder 1 72.75 T_ 2
(Prior to permit Wuanca,applicants must provide gontractor license 4b.awvlcss or Feeders
Information for COT data bete). Installation,allerslion,or relocation
Electrical Contractor, F E' 200 amps or less _ $ 64,23 _ 2
Address 7!1 _. _ 201 amps to 400 amps S 65.50 2
401 amps to 600 amps _ 1 12e,50 2
City r State�(- _Zip',_ I S01 amps to 1000 amps 1 192.60 2
Phone No Zc!— _L4 LY_ _ Over 1000 amps or vote 5 363,75 2
.lob No Reconnect only i 53,60 2
Llec Cont Lice,, No. "p Da --'T I ec,Twnporary 9ervires or Fwd•rs
OR State CCB Reg. No _1 _�_ _Exp. site v( 1 ' instaNation,alteration,or relocation
200 amps or less S $3.50 2
CAT Business Tax or Metro No. _ _le.— p.Date 11L/�tc 201 amps to 400 amps s 80.25 _ 2
Signature of Su Elec'n N4: +i _ 401 amps to 800 amps s 107 00 _
9 pr' Over 600 amps l0 1000 voila,
See"b"above.
License No ,- ---Exp.Da� I►3-DI _
4d.Branch Circuits
Phone NO may-�_1_ __ ___ New,slleratlon or axlenFlon per panel
FA fir. i2-c(- 71+7 ■)The fes few branch circuits
2b. For owner Installations: with purenass Of aarWee Of
feeder he.
Pnnt Owners Name _ Each branch Omcuh 1 5,36 2
Address_ _ b)The(se for branch circuits
without Purchase of service `ro
city �._.__state --Zt or Feeder foe. J
Phone No. f=irst branch clrcull � S 37.50
Each addlilonal branch chat T 1 5,35
The installation is being made on property I owl which Is not 4a.Illlscefisnsous
intended for sale,lease or rent. (Service or feeder not Ir ck~)
Each pump or Irrigation drcia f 42.75
Owners Signature _ —^ Each sign or outline lighting �� 3 42.76
Signal dreun(s)nr a limited energy
panel,alteration or extension f 60.00
3. Plan Review section (if required):* Minor Labels(10) s 107.00
Please check appropriate Item and enter feeiln section 58. 4f.Each addlNonal Inspection over
e or more residential units In one etrueture the ellowable In any of the above
— —Service and feeder 225 amps or'roe Par insperalon _1 $0.00
Per hour i 50.00
System over 600 volts nomnel In Pant _ 3 5900
Classified area or Structure containing spedel occupancy as
described in N E.0 Chapter 5 1 Foos;
a.Enter total of above tees 1 �_
Submit 2 set•of plane vvitih application whom any of the above apply. 4%Surcharge(.05 x total fees) 3 T
Not mauled for temporary construction services. subtotal
6b.Enter 25%of line a•for
NOTICE Plan Review if regultsd(Sec 3)
PERMITS PECOMF VOID IF WORK OR CONSTR1ICT ON AUTHORIZED Subtotal i
IS NOT COMMENCED WITHIN 160 DAYS,OR IF CONPTRUCTION OR
W /f1 /
ORK IS SUSPENDED OR ABANDONED FOR A PF1410D OF 160 DAYSKOIATIbalialleeruof Account N !� 7 C� /� t'v
AT ANY TIME AFTER�1Rv IS COMMENCED Due : V �
i Alit.0formsWectric doc
MASTER FERMI'T
CITY CSF TIGARD IDERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839.4171 PARCEL.: ;::1S 104CC•-HW030
1 l E ADDRESS. . . 131.41 SW ASCENSION DIS
:3UBDIVISION. . . . : HILLSHIRE WOODS ZONING: R-7 F'D
IM-OCT'.. . . . . . . . . . : L01•. . . . . . . . . . . . . :030
Remarks: PATH I
------------------------------------------------------- BUILDING -------------------------------------------------------- ------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT.,.: 0 sf REQUIRED SETBACKS---- REQUIRED------------
CLASS OF WORK.-NEW HEIGHT........: 38 FIRST....: 1281 sf GARAGE.....: 526 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD..... 40 SECOND _: 1257 sf FRONT.........: 20 PARKING SPACES: 1
TYPE OF CONST.:thX DWELLING UNITS: 1 FINBSNENT: 0 sf RIGHT.........: 15
OCCUPANCY GRP..-R3 BDRM: 5 BATH: 3 TOTAL------: 2538 sf VALUE..1: 173136 REAR..........: 75
------------------------------------------------------------------------- PLUMBING --------------------------------------------------------------
S1NKS.......... I WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........= 0
LAVATORIES....: 4 DISHWASHERS...: I FLOOR BRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: t CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 4ATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
------------------------------------ MECHANICAL ----------•------------------•---------------------------------
FUEL TYPES----------- FURN ( 100K ..: 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
--------------------------------------------------------
---- ELECTRICAI -------------------------------------------------------------.
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDEPS-- ---BRANCH CIRCUITS--- ---MISCELLANEOUS---- --ADD'L INSPECTIONS--
1800 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 alp..: 8 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 5 201 - 400 amp..: 0 201 - 408 alp..: 0 1st WiO SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIA: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDA: 0 601 - 1N00 amp.: 0 601+asps-1000 v: 0 MINOR LABEL -103 0
1000+ amp/volt.: 0 ------------------------------------ PLAN REVIEW SECTION -------------------------------.
Reconnect only.: 6 )-4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
----------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -----------------------------------------------
A. SF RESIDENTIAL--------------------------- B. LOIKRCIAL-------------------------------------------.__--------------------------
AUD1O L STEREO.: VAUNJM SYSTEM..: AUDIO 8 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BUPGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNLi
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE CONN.: NURSE CALLS....: TOTAL t SYSTEMS: 6
Owner: -------—------------------------------Contractor: ---------------------------- TOTAL FEES:1 4659.70
SHELBURNE DEVELOPMENT SHELBURNE DEVELOPMENT
700Q. SW NYBERG RD 1008 SW NYBERG RD
TUALATIN OR 97062 TUALATIN OR 97062
Phone N: 692-6383 Phone t: 692-6383
Reg M..: 42388
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordancerith approved plans. This permit will expire if work is not started within 1110
days of issuance, or if work is suspended for more than 180 days.
REQUIRED INSPECTIONS -------------------------------------------------------
Footing Insp PLM/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 Pi-u b Top Out Fi7place I Rain drain Insp Mechanical Final
Post/Beam Mechan Electrical Soni s Line sp Water Line Insp Plumb Final
Crawl Drain Framing 1 p C ac Nater Service In Building Final
Pei-m i t t e e S i gni e : A __ I za - i a s l_:e Ci Lay :
l
Cao for- inspection - 63q -41 75
C Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: czy [ F_-,ys-/oN 'Ple,
Subdivision: ��,�[K (,IJ)(jUSLot# ��
Office Use Only
Valuation: /73, /36, Contact Date /'r)0(,� Initials ,,�
Result ; ¢
New Construction Only: (Square Footage) Planck/Rec #
House: . �J J Garage: S Z Permit # (c O,�
Reissue of
Map & T�y# S!
Corner Lot,' Y Flag Lot? Y N Zone
Owner: SIf£L/-lkci2IY J) (J L . Plat #�_ L �`'� 2& Z 1p 2
Address 7UQ,� Approvals Required
Planning Setbacks C�Wa Solar
A L�4zz �,—C``e 976 62, Engineering�i TF Pln o 41, Pty L r
Phone:
2 -- 6.3 � 3 Other
-
Items Required
Contractor: Z��� ,r� ( � % V t.�
Addressr Subcontractors _
. Truss Details _
Other � »
'1' CUE
Phone: ( )
Notes "Wa
Contractor's License # �Z J '
(attach copy of current Oregon license)
Contact Name: n/1 _S G le LJ,,--
Contact
Contact Phone: ( SVS Z ZtJ 7 ,Q 7,q _
Subcontrs -)rs: Arch itect/Engineer: /c,Lo4r4 /'/i4 S C G/Z12
Plumbif �` Address: ISl—C /V62 2—
Mechanical.
Mechanical: C�� tvtJ�+V C U�r F'U,e-r- D„ 7" C 72 / U
(attach copy of current OR Contractor's License)
l' Phone:
JOB DESCRIPTION:
4, t ant Sign re Applicant Phone number
Roceived by: �.- Date Received: C50
rl'Ip�T°bb'1NIpp �V
Perti�it+.+t +"' %ftflfouflt"� r"''i"" `"'
Ac.counCOescnptior�>�r �e •�-� Amt Pd Y� •D
,:�T�: -:�,.:..R� .,;, C� � � �-,w���� r..,�:• r .� �• ;, Bal: u
�,+ ,.�a«. ;.+ry_ •��. 01
'lWil 'F�`RI'T�i"'ti�Mw: r.•:r''�++•i.• rA►!!'9w '.My'�r-^n6r+ '''J�af`.�.;.:.. r. •-�-.'!G"":M.r>r
81 IM Pemtit' (BUILD) �•� x
%Plumb. Permit (PLUMB) ^
r
Mech. Permit (MECH)
tate Tax (TAX) _ •y�
Bldg: ' 5r,f� s
Plumb:
Mech:
iaactrncwl 7)�
Plan Check (PLANCK) .
y
Bldg: fJ v U 70 �5.v /. a
Plumb:
Mech.. 2 )- Z
•5w&LBSLSewer Cannection (SWUSA) u U
'Sewer Inspection (SWINSP) ?� ,,,.. +�., 3-r
• xti; r
Parks Dev Ch-irge (PKSDC) J CS 0
Residential TIF (TIF-R) -L= / y 7e
Mass Transit TIF (TIF-Mf) +��U OX 0
Commercial TIF (TIF-C)
Industrial TIF (TIF-)
Institutional TIF (7745)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) r
Erosion Planck/COT (EROSN) �Q• . �r
TOTALS: �� w .,. -• 1���7a
Solar Balance Point Standard Worksheet
Address
Box A calculations: North-South dimension for the lot. Brix A:
This dimension is determined by finding the midpoint of the North lot line and drawing
,-in intersecting line perpendicular to that point.
F 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.
*
"l°oa UENEN t f `QN />
If
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.
70 fer t
t
NC 1KXX 1N aMENWN `,
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 .` ircle One)
be based on the peak of the roof, TOCC30T �..
r�
""MM.W 1A A Ir
1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the
w.a.
cave.
SNnCE POWt E?'h
1 c: If the roof line runs tast-West and the roof pitch is
5/12 or steeper, measurements will be based on the o�'^ =
peak.
SWLf vl(t a7[kf
F-B. contint.e� Box B:
l 1. Measute change its e;evation from front property line to finished Floor elevation. If
th,e lot slopes up fr(,n, the front lot line to the foundation, the figure is positive. If — ft
they lot slopes down from iiie front lot line to the foundation, the figure is negative. —
, S. Measure di wince from finished floor elevation to the affected peak/eave. + 3 ft
4 If the roof lima runs North-South, deduct three feet. If the roof line runs East-West, — 3 ft
deduct noth!n-'.
5. �.,J,tracl oiw oot for each foo`of difference in elevation from the front property
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 tear to the front, deduct nothing. ft
6. Total figure for box 8: Z 1 ft
Box C. Distance to the shay a reduction line. Box C:
1. Measure the distance from tie North property line to the foundation near the 1_ ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + S ft
3. Total figure for box C: 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"Co. 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 feet)
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
lot line lin feet)
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 4 41 42
55 34 34 34 35 36 37 3 39 40 41
50 32 32 32 33 34 35 3 37 38 39 40
45 30 30 30 31 32 3, 34 35 36 37 38 39
40 28 28 28 29 30 31 33 34 35 36 37 38
35 26 26 2L 2. 1.".! 29 31 32 33 34 35 36
30 24 24 24 :5 :o 27 28 29 30 31 32 33 34
25 22 22 22 2., 24 25 217 27 28 29 30 31 32
20 20 20 20 22 23 20L 25 26 27 28 29 30
15 18 18 18 _ !0 21 2{t 23 24 25 26 27 28
10 16 16 16 17 18 19 26 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height: _ _ _ feet
SEWER CONNECTION
PERMIT
CITY OF TIGARD PERMi'r #. . . . . . . : SWR96-0252
DATE ISSUED: 06/18/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)539-4171 PARCEL: 2S104CC—HW030
BITE ADDRESS. . . : 13141 SW ASCENSION DR
SUBDIVISION. . . . : HILLSHIRE WJODS ZONING: R-7 PD
BLOCH%. . . . . . . . . . 11 L01.. . . . . . . . . . . . . :0:
———.—-----------------------------------------------------------------------
TENANT NAME- - : FIXTURE UNITS. . . : 0
U'Ew A NO. . . . . . . . . . :
CLASS OF WORK. . . .-NEW DWELLING UNITS. - : I
TYPE OF USE. . . . . sSF NO. OF BUILDINGS: I
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Remarks: PATH I
UWner-: FEES
'-iI-ILLBURNE DEVELOPMENT type amount by date rec-pt
7008 SW NYBERG RD PRMT $ 2p00. 00 jMH 06/18/96 96-280704
1!4SP $ 35. 00 JMH 06/18/96, 96-280704
TUALATIN OR 9706a
Phone #: 692-6383
COTItractori ------------------------------
CONTRACTOR NOT ON FILE
----------------------------------
$ 2235. 00 TOTAL
REQUIRED INSPEC"rIONS'
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days frod
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the arcuracy of the
side sewer laterals. !f the sewer is not located at the measurement
given, the instiller shall prospect 3 feet in all direct-ions from
the distance given. If not so located, thejaA"r shall py%pie
a "Tap and Side Sewer" Permit and tq*-@n—cy WiR'iristall later .
Per^niittee .......
lsst.te(J By:
Call for inspection 639-4175
MAY-20-1996 16=11 SHFLBURNE 5036925760 P.03
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CITY OF TIGARD
(DEVELOPMENT SERVICES P'L._uPERMIT
PERMIT ##.... .. .. . . . P'LM96-0367
AMMAM 13125 SW Hall Blvd., lTgard,OR 97223 (503)6394171 DATE ISSUED: 12/ 11 /96
PARCEL-: 2:S f O4CC-•-HWO3O
T,TE ADDRES! , ,. . : 1:3141. SW A`CE1VSIOI\I DP
IJRD I V I S I ON. . „ . : I-111.1-SHIRE WOODS ZOI\I I N(S: R-7 PD
HLOCK. . . . . . . . . . . LO'T.. . . . . . . . . . . . . :030
C11-ASS—
Y �^OF WORV. . :ALTGARBAGE—
DISPOSAI-S. : 0 MOBI1._E HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFI-OW PREVNTRS. . : 1
OCCUPANCY 13RP1. . :R3 FL-OOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 'A CATCH BASING. . . . . . . : 0
F"I XTURES---- -----.----- L-AUNDRY TRAYS. . . . . : 0 SF RAIN DRO I NS. . . . . : 0
5 T NKS. . . . . . . . . . : 0 URINALS. . 0 GREASE TRAP'S. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHER FIXTURF-:S. . . . : 0
TUR/SHOWERS. . . . : 0 SEWER L.I NE (ft ) . . . : 0
WATER CL..OSE'f S. . : ib Wf�TF_R I.-INE (ft; ) . . „ : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Pemarks :
C)wner. : -.__.____.._..__.-.__._ ._.__._-__.___-•-----_______.__.___ ---- FEES
11HELBURNE DEVELOPMEN- type amount by date r•ecpt
008 SW NYBERG RD PRMT E 15. 00 JSD 12/11/96 9E-287553
. 75 -TJD 96-287553
I UAL_AT I N 012 97O6
Phone #: 692-6,363
MASTER' S TOUCH SERVICES ':NC
DONALD BURTON
22O2 SW MICHAEL DR
WEST L_INN OR 97068
F'h on e #: 655---6436 $ 15. 75 TOTAL
Ft.e g #. . a 1. 1509
------- RED.0 I RED INSPECTIONS
- -- --
this permit is issued, subject to the regulations contained in the RP'/Backflow Pt-ev _
Tigara Muniripal Code, State of Ore. Spec,.alty Codes and all rther Final Inspect i.on
applicable laws. All work will be done in accordance with
approved plans. This per:,it will expire if work is not started
Nithin 190 days of issuance, at, if work is suspended for more __,___-_____•_______ -_____..
than 190 days. ----
, 'er•mittee Si.
I s s IA e d
Call ;'cr inspect ion - 639-4175
rY OF TIrARD Plumbing Application Recd E3y` -
125 SW HALL BLVD. Commercial and Residential Date Recd r
Date to P E.
,ARD, OR 97223 Date to DST
3) 639--1171 Permit a Pit^I
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted Caued__ L7?Z
Name of Development Protect
FIXTURES (Individual) QTY PRICE AMT
�^ /,p Sink 9.00
JSb__ 1:' Pri (w vP Lavatory 9.00
Add rest Address suite
Tub or Tub/Shower Comb. 9.00 '
Bldg s City St I Zip Shower Only 9.00
SCC/c 1i rrC Water Closet 9.00
Dishwasher 9.00
r Mailvig address Suite Garbage Disposal 9.00
4-11 q 5 0 l f .0' O `\ Washing Machine 9.00
0*7 CJtypate ZIP Phone i Floor Drain 2' 9.00
3' 9.00
--- --__ 4. - 9.00
Occupant Me* Address Suite Water Heater 9.00
Laundry Room Tray 9.00
Citylsu to Zip Phone Unnal 9.00
Name Other Fixtures(Specify) 9.00
9.00
•.ontractor '"•i f slat's Uouch _AM6u;i;&1, aa. 9.00
2202 S.W.Mighe91 Drive �- - 9.00
City/state WesgWnn,OR 9 UMone
_ 55 -6 C 9.00
9.00
on Const.Cont.Board Lica Exp.Date
vasch coos of //-S' 0 "1 11i f_ - j 900
Cerrwrtt Plumbing Lic s Exp.Date Sewer- 1 st 100" 3000
lkenere Sewer-each additional 100' 25.00
COT Business Tax or Metros Exp.Date Water Service-1st 100' 30.00
- Name '- I Water Seroca-each additional 200' 25.00
Stone&Rain Drain-1st 100' 30.00
/�fCF1it@Ct --
or Mailing Address Site
Storm&Rain Drain-each additional 100' 25.00
M ..
Mobile Home Space 25.00
EngineerI y ryrSlate Zip Phone Commercial Back Flow Prevention Device or Anal- 25.00
Pollution Device _
'%*cn0e work New O Addition O AAeration O Reoair O Residential Backflow Prevention Device' 15.00
1+lone: Residential O van-resaential n Any Trap cr Waste Not Connected to a Fixture 900
.7ibn w d description of worst --
Catch Basin 9.00
Insp of E isung Plumbing 4000
_ oef1hr
- -- Soeciatty Requested Inspections +0.00
,song use of oenhr
'Art" Of DrOtMrtY-- - Rain Crain,single family,dwelling 30.00
,mPosAd use of Grease Traps 900
ulding or property
QUANTITY TOTAi
.,re you capping. movtM or replacing any fixtures? Yes Q No CO) Isometric or rlsa megrem s recured if Cusnty Total is >9
,H yes sal hack of form)
herebv acknowledge that I ha.e read this application,that the information
ven s correct.tnat I am the owner or authorized agent of the owner.and 5% SURCHARGE
-at clans submitted are,n comoliance with Oregon State laws t
gnartirn of OwnenAgennt Date ~ PLAN REVIEW 25% OF SUBTOTAL
Peourte anN R'bRure MY cast
TOTAL
ntact Person Name Phone -
'Minimum permit fees$25•5%surcnaige,exceepi Residential Bacxltinw
Prevention Cev ce.which is S 15•5%surcharge
- - iadstmptmapp.doc 8/913
J
PLEA5E_COMPLETE AS APE TO PROJECT:
_Fixtures to be capped, moved or replaced Qty
Sink
Lavatory
Tub or *rub!Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
311
491
Water Heater
Laundry Room Tray
Urinal _
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
/IL 6U pA r
DRYER & SONS
5536 SE WOODSTOCK BLVD
PORTLAND OR 97206
Electrical Signature Form
Permit # . . • : MST96-0269
Date Issued. : 06/18/96
Parcel . . . . . . : 2.S104CC-HW030
Site Address : 13141 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block . . . . . . . . Lut : 030
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 authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
)VjNFR : ELECTRICAL CONTRACTOR:
SHELBURNE DEVELOPMENT DRYER & SONS
7008 SW NYBERG RD 5536 SE WOODSTOCK BLVD
TUALATIN OR 97062 PORTLAND OR 97206
l f,,ori , 4 : 692-6383 Phone # :
Reg # • • : 1114
X C i_
Si nature of Supervising Electrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
C & K CONTRACTING INC
536 63RD NE
SALEM OR 97301
Plumbing Signature Form
Permit # . . . . .. MST96-0269
Date Issued . : 06/18/96
Parcel . . . . . . : 2S104CC-11WO30
Site Address : 13141 SW ASCENSION DR
Subdivision . : HILLSHIRE WOODS
Block . . . . . . . . Lot : 030
Zoning. . . . . . . R-7 PD
Remarks :
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
P1,UM SING CONTRACTOR :
C & K CONTRACTING INC
SHELBURNE DEVELOPMENT 536 63RD NE
7008 SW NYBERG RD
TUALATIN OR 97062 SALEM OR 97301
Phone # : 692-6383 Phone # :
Reg # . . : 65015
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. #31C,