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13245 S1AJ ASCENSION DRIVE
CI 'Y OF TIGARD BUILDING INSPECTION DIVISION
24.Hour Inspection Line: 639-1175 Business Phone: 6394 71
Dr,te Requested: — / -9 A.M. P M._.— MST:
I bw,on: 13��_ �✓✓�2.Q�.U�'l.� - - 13UP.
,Tenant:-- — _ -- —^— Suite:
7 Bldg:
� MEC:
Contractor:_ — Phone: r_.` L1- _ PLM:
finer Phone- ELC: _
ELR:
SIT:
BUILDING BLDG(can't) PLUMBING MECHANICAL � CTRIC SITE
Site Post/Beam Post/Beam Post/Beam arc r/Servica. Sewer/Storm
Footing Roof UnUI/Slab Rough-In Ceiling Water Line
Slab Framing Top Ow Gas Line Rough-In Uta Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace 'temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt _
Approved Approved Approved it rov Approve
EApp,/'S,dwlk Not Approved Not Approved Not Approved proved Not Appneved
FINAL FINAL FINAL FINA FINAL.
09
Pill
��_�os nor • h o _ �n S- ----
r
D Call for re spection 0 Reinspection fee of S_ _required before next inspection C1 Unable to inspect
Imspcctor_ -- _ __-- Date ^� ` Pege —of_ —•
CITY OF TIGARD IIUILDING !NSPECTION DIVISION
24-I lour Inst ection Linc: 6394 175 Bi—iiness Phone: 639-4171
Date Requcated: — 13C' u A.M. P M.---^ MS,r: 7- 0 3
Location: ?j7 t BUR
Tena,,tt:_ Suite: Bldg: u NEC:
Coirrractor_ vYPhone. 7— PLM: _
Omer: —� Phon _ --- ELC:
tX E F.LR:
_ SIT:
BUILDING BLDG(con't) PLUMBING_ MECHANICAL ELECTRIC AL SITE
Site Post/Beam `PtSgDFFeam PostlBcam Covei/Service Sewer/Storm
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In U0 Sprinkler
Foundation Insuit:.tion Sewer liood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire SpkIr/Alm Crawl/Found Dr I feat Pump Low Volt
Approved <7132am:> Approved Approved Approved
Appr/Sdwlk Not Apprived _y9L42proved Not Approved Not Approved Not Approved
FINAL. FINAL FINAL FINAL FINAL
O Call for reinspection O Reinspection foe of S required beforenextinspection O Unable to inspect
Inspector:—__ �_ -___ D;te:_J �` r Page! or _
CITYOF T IG A R D CERTIFICATE OF OCCUPANCY
PERMIT#: MST97-00325
DEVELOPMENT SERVICES DATE ISSUED: 8/15/97
13125 SW Hall blvd.,Tigard, OR 97223 (503)6394,171 PARCEL: 2S104CF3-01'100
ZONING: P-7
JURISDICTION: TIG
SITE ADDRESS: 13245 SW ASCENSION DR
SUBDIViSION: HILLSHIRE WOODS
BLOCK: LOT:027
CI-ASS 'OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONL'TR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: Sr - Path 1
Owner:
RW FULLERTON CO
6426 SW BVRTN-HLSDL HWY
PORTLAND, OR 972.21
Phone: 293-3344
Contractor:
FULLERTON COMPANY
6426 SW BEAVERTON HII-LSDALE HW
PORTLAND, OR 97221-1 128
I
Phone: 2.97-4433
Reg #:
This Certificate issued 3/18199 grants occupancy of the above r;'erenced building or portion
thereof and confirms that the building has been inspected for compliance with the State C-f
Oregon Specialty Codes for the prcup, occupancy, and use under which the referenced permit
wasissued.
--t I'Ll
631311_DING --
POS r IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Haut Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: -___ 33/�/Oeu/-- A.M. P.M. MST: -70.3��
Location:_ I ,3 L{-s: `I f -� �� 1 Z�4t,� BUR
Tenant•_ Suite: _Bldg: _ MEC:
Contractor �,(,t/Y)'l,,t�% . Phone: 52 7 (o . PLbi:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING: (con") PLUMBING ^NANIC�1. ELECTRICAL SITE
Site lost/Bean, Post/Bearn �1-1051773am Covcr/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Frami.rg Top Out Gas Line Rough-In 1J0 Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Ilsint Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Shcath Fire Spklr/Alm Crawl/Found I h Heat Pump Low Volt
ov Aptxovedprov Approved Approved
Appr/Sdwlk Not A.pprnveu Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL
C3 Call for reinspection 0 Reinspection fee of Srequired before next inspection O Unable to inspect
e
Inspector { Date:_ _� �O Page of---
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 97-06 50 S
24-Hour Inspection Line: 639-4175 Business Line,. 639-4171
BUP
—__ -- Date'1Requested nAM_ PM ------------- BLD _
Location 1 2-�1 S -�L Q./� l �✓` LJI� Suite MEC —
Contact Person y Ph PLM —
Contractor PJ A �:.Y�on ( Qt. Ph �Z� �y� SWR
D-I N-6 Tenant/Owner ELC —
et-a ing Wall ELR - _�-
Footing Access.
Foundation FPS
Ftg Drain - SGN
Crawl Drain Inspection Notes: ---------
Slab - --- - - —._.. ----- ------__._. SIT
Post&Beam _ —
EA Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing ----
F firewall ----
Fire Sprinkler __ __-_-____-___
hire Alarm
Susp'd Ceiling
Roof
Finap
`VASS PART FAIL - ----_-- --- ---- -- --- - - --- _. --- ---------
PLUMBING
Post& Beam
Under
------_._--- ---- ------- --- ______---- ----- --- -
Under Slab
�Top Out --- --- -____.__-------- ------ _--.-__.
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Bearn -- - --- ----- ----—---------------------
Rough In
Gas Line - — — ----------— ----- -------
Smoke Dampers
Final ---- --- --- -
PASS PART FAIL
ELECTRICAL — —-- ------ — -
Service --
Rough In
UG/Slab --
Low Voltage
Fire Alarm --
Final
PASS PA.R( FAILSITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ j Reinspection fee of$, _required before next inspectlon Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspec,on RE _-- [ )Unable to inspect no access
ADA
Approach/Sidewalk
Other Date _-- — -Inspector . Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard, OR 97273 (503)639-4171 PERMIT #. . . . . . . : F'LM98•-0023'
ISSUED: 01/26/98
PARCEL: 2S104CB•-01100
SITE ADDRESS. . . : 13245 SW ASCENSION DR
SUBDIVISION. . . . : HILLSHIRE WOODS ZONING: R-7 PD
BLOCK. . . . . . . . . . . L0T. . . . . . . . . . . . . :027 JURISDICTION: TIG
CLASS-OF-WORK. . :ALT --- GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . .. . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES-.------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . : 0 URINALS. . . . 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
STUB/SHOWERS. . . : 0 CEWER LINE (ft) . . . : 0
( WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
Remarks: Installing residential backflow prevention device
Owner: ---------------------------------------------•--------- FEES --------------
RW FULL.ERTON CO type amount by date recpt
6426 SW BRVTN-HLSDL HWY PRMT $ 15. 00 B 01/26/98 98-3027.`'.19
PORTLAND OR 97221 SPCT $ 0. 75 B 01/26/98 98-302759
4 Phone #:
Contractor-------------------------------
MICHAEL & CO PLUMBING
P 0 BOX 23008
T I GARD OR 9781 --------------------- -__-__ --- - -
Phone 3#: 639--3189 $ 15',. 75 TOTAL
Reg #. . : 000678
- ----- REQUIRED INSPECTIONS --- -- -
This permit is issued subject to the regulations contained in the RP/Backflow Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All Mork will be done in ar-rordapre with
approved plans. This permit will expire if work is not started _
within 180 days cf issuance, or if work is suspended for sure
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the 01-egon Utility Notification Center. Those rules are
,et forth in OAR 952-MM01-0018 through OAR 95?-4014080. You may
obtain copies of these rules or direct guettions to O(W- by calling
1503)246-1987.
Issued Bs � � Q. Permittees Signatur-e:M CIJIaI(l"V�_
++•++++++++++++++++++++++++++++++f++++++F+++++ •+++++++++++++ti•++++++++++++++++++
Call 639-4175 by 7:00 p. m. for an inspectir.n needed the next business, day
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++-U+++++++++•t+++++++
ITY OF 'TIGARD Plumbing Application Recd By
3125 SW HALL BLVD. Commercial and Residential Date Recd i Ile
GARD, OR 97223 Date to P E_
Date
503 PermiItt DST
639-4171 •a i V0T-"
Print or Type Related SWR
Incomplete or illegible applications will not be accepted Called
Name of Dovelo men„Pro' c1 FIXTURES kcndlvidual) QTY PRICE AMT
Job /•��//�hr-f- LOGO Sink —_ 900
Lavatory 9.00
Address Street Address suite _
Tub or Tub/Sh;nver Comb.
S � C FnIS o / 9.00
Bldg s City/State Zip Shower Only — 9.30
7 Z23 Water Closet
900
Narpp T Dishwater 9,00
Owner Mailing Address Suite Garbage Disposal g-0�
s--1 / !^.'a:.rnng Machine 9.00
Ci State Zip Flhone Floor Oxam 2' 9.00
Name
4• 9.00
Occupant Mailing Address — Suite Water Heater 9.00
Laundry Room Tray 900
GtyiState Zip Phone Unnal M 9 J'
— Other Fixtures(Specify) � y.00
Name / ,� —_��r._. _.._
CCJ F Mt ! 9.011
Ma
Contractov ng Address I Suite ��N 9)G
c a3za� soli
CtttilSlate Zip Phore -— —
1r 2 F/ .l,3 5-,3)-P 9.00
Gr• on Const Com.Board Lic.0 Exp.Date 900
'4 I Attach Copy of Z,Y 7'7 -/S-� _��-- — 9.00
Current Plumbing Li t Exp.hate Sewer-1st 100' 30.00
Licenses 1170,( U Sewer-each addiliunal 100' 25.00
COT Business Tax or Metro a Exp.Date Water Sei vice- 1st 100' 3000
Name Waty. Ser ick-each additional 200' 1 25.00
Storm b Rain Drain ist 170' _ 30.00
Architect Sloon R main Drain-each nddRlonal 100' 25.00
or Mailing Address Suite _ --
Mobile Home Space 25.00
Engineer (..!,V/State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.)0
Pollution Device
'7+scnbe work New 0 Addition G Alteration O Repair O Residential Backflow Prevention Device' I 1500
to be"ono Residential 9 Non-residential O Any Trap or Waste Not Connected to a Fixture 9.00
Additional descnptton of work Catch Basin1
I
91.00
Insp.of Extsbng Flumbing 10.00
_ .,psrRv
-- -- - -- --- Specially Requested Inspections 4000
-_x,sting use of _ _ Wr/hr _
riding or property_ _ — Rain Drain,single family dwelling 30.00
'ropesed use of Grease Traps 9.00
building or property.- -- —__-— QUANTITY TOTAL
Am you capping. moving or replacing any fixtures? Yes p No❑ IWmitiliric or row��^is required s 0uanrty Total is >9
If yae see back of form) _ 'SUBTt7TAL
! I hereby acknowledge that I have read this aurlication,that the informabort
given is correct.that I am the owner or authorized agent of the owner,and 5;4 SUR'.:HARGE
that plans submitted are in compliance with 0 .. on State Laws —_ _
Signature of OwnerlAgsnt Data PLAN REVIEW 25%OF SUBTOTAL
Required only/Rxturs rt_tout u�9 _
T7TAL
atltact Person Karns Phone _ �`"
_ •kllnlmum permit to*uc S25•5%surcharge.except Residential Backflow
Prevention Device.which is$15+5%surcharge
INJ81,Mplmapp.doc a9ti
P-LIEME-r-MMELEIE.A.5 APPRQPLR:ATE IQ.PRQJt&_I:
Fixtures to be capped, moved or replaced Qty
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
4"
Water Heater
LaUndry Room Tray
Urinal
Other Fixtures
COMMENTS REGARDING ABOVE:
CITY OF TIGARD
13125 S.W. HALE BUID.
TIGARD, OR 97223
IMPORT ANT PERMIT NOTICE
WRIGHT 1 ELECTRIC INC
5610 Sr 135TH AMIE
PORTLAND OR 97236
E°ectr,cal Signature Form
Pexmit # • . . . : MST97-0325
Plate Issued. : 08/15/97
Parcel . . . . . . : 2S104CB-0.1100
Site Aadress : 1.3245 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . Lot : 027
Jurisdiction: TIO
Zoning. . . . . . . R-7 PD
Remarks :
SF - Path 1
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 Electrica'i
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
OWNFP : ELECTRICAL CONTRACTOR:
RW FULLERTON CO WRIGHT 1 ELECTRIC INC
6426 SW BVRTN-HLSDL I1WY 5618 SE 135TH AVE
PORTLAND OR 97221
PORTLAND OR 97236
Phone # : Phone # :
Reg # • . : 000097
X � —
Signature of SUperyising Electrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639 4171 , ext. #310
J
CITY CSF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : I�IST97-0325
DATE ISSUED: 08/15/97
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171
PARCEL: 2S104CB-01100
SITE ADDRESS. . . : 13245 SW ASCENSION DR
SUBDIVISION. . . . :HILLSHIRE WOODS ZONING: R-7 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG
Remarks: SF - Path 1
----------- ------ --- --------- ------------------ BUILDING ------------------------------------ --------- --------
REISSUE: STORIES.......: 2 FLOOR AREAS--------- BASEMENT...: 0 sf REQUITED SETBACKS---- REQUIRED-------------
CIASS OF WORK.:NEW HEIGHT........: 23 FIRST....: 1465 sf GARAGE.....: 818 sf LEFT..........: 8 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1406 sf FRONT.........: 20 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 ;f RIGHT.........: 8
OCCl1PANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL---: 2871 sf VAL.UE..$: 20653i' REAR..........: 90
--------- PLUMBING -- ------ ------------------------------------
SINKS.........: 1 WATER CLOSETS.s 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....s 4 DI%UffiIERS.... 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 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 ( ION ..: 0 BOIL/CMP ( 3HP: 6 VFNT FANS.....: 4 CLOTHES DRYERS: 1
GAS FL'RN )=INK ..: I UNIT HEATFRS..: 0 HOODS.........: 1 UT1ER UNITS...: 1
MAX INP.: 0 BTU 'FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: B GAS OUTLETS...: 1
-----------------•--------------- ------ __...----...--- ELECTRICAL — _ ---- ----------------
--RESIDENTIAL UNIT---- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUIT - ----MISCELLANEOUS--- --ADD'L INSPECTIONS--
!@@@ 5F OR LESS- 1 0 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 6 201 400 amp..: 0 201 - 400 amp..: 0 Ist W/O SVC/FUR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 6A0 as o..: 0 401 600 asp..: 0 EA ADDL BR CIR: 0 SIGNAL PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amp,-l@k* v: A MINOR LABEL -10: 0
1000+ amp/volt.: 0 - - --- - -- -- -- ---- -- ---- PLAN REVIEW SECTION ------ -------- - --------
Reconnect only.. 0 )-4 RES UNITS.,.: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OLL:
------------------------- ELECTRICAL. - RESTRICTED ENERGY ---•-------------------------------------------____--
A. SF RESIDENTIAL------------__ ____________ B. COMMERCIAL-- ----------------- ----... ----------- --- ------------.._----�r----
AUDIO 6 STEREO.: VACLAIM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM...., : INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: X B(A LER.........s HVAC'...........: LANDSCAPE/IRRIG: PROTECTIVE SIGN!_:
GARAGE OPENER..: CLOCK..........s INSTFUENTATION: MEDiCAL.........: OTHR:
HVAC...........s DATA'TELE COMM.: NURSE CALLS....: TOTAL II SYSTEMS: 0
Owner: -------- _- ------- ---Contractor! ------- - ---------------- TOTAL FEES:i 4730.61
RW FU LERTON M FLL-ERTON CONIW This permit is subjK4 to the regulations contained in the
6426 SW BVRTNA 9DL HWY 6426 SW BEAVEP.TON: HILLSDAIY HWY Tigard Municipal Code, State of Ore. Specialty Codes and all
PORTLAND OR 97221 PORTLAND OR 9721-1.128 other applicable laws. All work will be done in accordance
with epproved plans. This permit will expire if work is
Phone N: 293-3344 Phone #: 297-4433 not started within 180 days of issuance, or if the work is
Re; I..: 000406 suspended for more than 180 days. ATTENTION: Oregon I&
------— —---------------- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth :n OAR 952-001-0010 through OAR 95F'-001-0080. You may obtain copies of these rules or
direct questions to OLINC by calling (503)246-1987.
------- w-------- -------- -- REGILIIRF-D INSPECTIONS -----------------------------------------------_---_--
Erosion Contel Post/Beam Mechan Electrical Servi Firxplace Insp Rain drain Insp Mechanical Final
Grading Inspecti Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp
Post/Beam St-uct Plumb Top Djt Low Voltage Gyp Board Insp Electriral Final _
r"1.(, Permittee Signature- �ct, U�
Issued By: � 9
++.++++++++i•++++++++++++++++++•+++++++++++++++++++
Call 639-4175 by 6:00 p. m. for an inspection needed the next business day
CITY OF TIGARD
DEVELOPMi>=AT SERVICES SEWER CONNECTION
' 73125 FW 1i,,'1�]1vd., d. '9 97.12., (503)639-4171 PERMIT
PERMIT #. . . . . . . : SIAR97-0311
DATE ISSUED: 08/ 15/97
F",RCEL: 2S104CB-01100
SITE ADDRF' ;S . . 1321: SW ASCENSICN "LIR
SUISD I V I F t�'it I. . . . P H I LLSP I RE 1!OODS ZONING: R-7 PI)
131-ncr'. . . . . . 1-01 . . . . . . . . . . . . . :027 JURISDICTION: TIG
------------- --------------------------------
T' Afit- . . . . . .RW FUL.LERTON CO
U5s'A `iu. . . . . FIXTURE UNITS. . . : 0
CL►�c," OF t•'nRK. . . - -!A; DWELL I NG UN I TS. . : 1
TYPE OF. U11F. . . . :SF NO. OF BUILDINGS: 1
INSTPL-L TN ''t' . . :BU dR TMF'ERV SURFACE: 0 sf
Remarks : SF - Path 1
Owner: --_- -_-__--_ -_ - ---------- ____ __ __ -- -- -- --.. -- -- FEES ----------------
RW FULLERTON CO type amol_knt by date rer-pt
6426 SW BRVTN-HLSDL HWY QUA $ 290. 00 00 B 08/15/97 97---298321
PORTLAND" OR 9' 221 PRMT $ 22100. 00 S 08/15/97 97--298321
INSP $ 35. 00 B 08/15/97 97-298321
Phone #: EROS $ 88. 00 B 08/15/97 97-1298321
ERPU $ 28. 60 B 08/15/97 97-298321
Contr-ar.' or: ------------------------------ERPC $ C8. 60 H 08/ 15/97 97--298321
OWNER
-------------------------------
Phone #: $ 2670. 20 TOTAL
Reg #. . .
------- REQUIRED INSPECTIONS -_____-
This Applicant agrees to comply with all the rules and reg;,lations Sewer Inspec_tios-i
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will he forfeited if the
permit expires. The Agency does not guarantee the arcurary of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the dist&ce given. If not so located, the installer shall purchase
a 'Tap and Side Sewer' permit and the Agency will instal) a lateral. _
ATTENTION: Oregon law requires you to follow rules adopted by the _
Oregon Utility Notification Center. Those rules are set forth in OAR
952--001-0P10 through OAR 952 001 0F00. You may obtain copies of
these rules or direct questions to VW by calling (503)246--1987.
Issued by: �""� Permittee S. iti.ir . :-._
++++++++++++++++++•_ ++++++++++++++++++++++++++; +++++++++++++++++++++++++++
Call 639-4175 by 6100 p. m. for an inspectio- nee,.; ; the next bl.tsiness day
++++++t.+++..........(.. ....+-Ft+ 1 h..........ri-+•f+•++-, r-1... -+++-+t+-+++++++++t•4-++•++++
Ptah Chrct 0
-rY OF TIGARD Residential Building Permit Application Recd By 16P KI
25 SW HALL BLVD. New Construction Additions or Alterations Oats Redd -1 t? 7 3ARD, OR 97223 Single Family uetached or Attached (Duplex) ow to P E-
639—t1T1 Onto to OST
:03.6847297 Perms a r S '.gyp
Print rjr Type Caft,
—incomplete or illec ible ap lications will not be accepted
--- Name of Prolr.ct Narrte
.�Qa l I u�h,vt. U)�xx�5 Int '1-� Po►lI
Addretir Si1e Address 1 Architect ""
1 )4 y�i r�,W. ',J(.P i�'S1QY\ yl �I�:�1 � � �i YI�J a (-Q••
Phom
N►rne . � �� Z, i
Owner Marwq Address J P u 1�. Hw„
cay�st a�
Ph"
MAeaas
NameF 'U ate. h c'Y'u
General R Ih1. t v`10.a.(av CO. Uescnoe work New AWrbon O Amrauon O Reoau O
Contractor MadM Address to oe done: �!
`_,," Y�'J,V, t(< +. Additional Description of`Norte:
Gtyrstste Zap horn
Oregon Conn.Cont.Board Lr_0l.Op - — ---
Attach Copy of (X),4)t (r, 4 1 1I �(,,
CumntCOT Business Tax or Metro• Dow PROJECT r
licenses VALUATION ('1
Nafrle
Mechanical ''''�'-�t�^ � �►( NE4N rONSTRUVT1U�l ONLY: _
— Sq. Ft. House: Sq. Ft. Gara e
S u`t- Maduig Address 7 L J !
Contractor Comer Lot YES NO- Flag Lot YES
I ,staat ZipPhQfe (check one) _ (chescic one)
i l01 Restricted � AudiolStereo Burglar
Oregon Const Cont Board Iia Exp..
I Aarach Copy of (,r�, y Energy S stem Alarm
Current CBOT Business Tax or Metro t Exp.Data Installaton Garage Door HVAC
Ucenses v r?I , 2 I `>' Opener systems
►Warn (check all that Other.
Plumbing ; •�r• (l IV (�,of \4 apply) � - — - -
I Sub- Mawng Address Will the electrical subcontractor wire for all NO
-t- restricted energy Installations'?
Contractor , Z C wr�tt.�•
I ,Stan i Zip torn Has the Subdivision Plat recorded'? N/A NO
Oregon Const Cont.Basra Lias Exa•Dan Reissue of MST#: I Solar Compliance
.%nar.h Cop-• of 1, } ' �� I' (Calculation Attached)
Cum►+ ' Plum rig Lic.0 ExQ�Data� 1 hearby accnowiedge that I have read this application,that the �
Licensai Flo ! a I information given is correct. that 1 am the owner or authorized
COT Business Tax or Metro w LExp"Om agent of the owner, and that plans submitted ars in compliance
h-ic.I7
Nartle with Oregon Slate laws_
Signature of Owner, gem Date
Electrical
Sub- Mating AadrQU Contact Person Name V Phone 0
�,r �k,, ,,it _ �
Cantractrar r-,�,l � E" I - v f.
#State Zip Phone FOR OFFICE USE ONLY:
JI., 12�)t:^ Plat S: M80110.
Oregon Const Cont Basra Lac ill Exq.Da 10 ?' L w 0 I----
y Atta;h Copt,of tir :�• 3ettta re: S01af
Current E!emtm Ite•a c{ OtNe '1G ftp -�] Y`a'r'r�1
Licenses ��" '"� I I `1 Engineering!'N r0nral: Planning Approval: i rlF:
COT Stoftneu Tax or Metros
r' �
1 SFAPP DOC (GST) a97
Man Chec*a
`rY OF TIGARO Residential Building Permit Application Reed By lau
123 SW HALL BLVD. New Construction Additions or Alterations oaa Reed
"'ARD, OR 97223 C Ingle Family Detached or Attached (Duplex) D«.to P E
103 A39-4171 Cans to OST
:U3-6A4729? P°`^"t a� -
Print or Type C''t'd
Incomplete or illegible ap lications will not be accepted
Ntme of Proloa ►ration
Job � H,11*44• W044, (1�;-
t Architect Mew Address
--,L
Address S dress
y r� V� hxet�� �ve Cuyistaa
Name zW Phone
co, nx 9417- ( 2r7., .
Owner Mailing Acwress t'� " pe . c_
�! V " .o. P V Hon
c,tyrstsa Engineer "s Aaa�ss
g
oK -�1 z I ?9� -�I�•I'=� �%`1�''' `� Hut 1'
cru n to zip phone
Name I , c7 :, (. ;
General 0osrn0e work Naw Adodion o Asaratan o Repair 0
Contractor M0 to ae done:
VxA.V, k, v i.dditlonal Descmpdon of Worts:
r tan ::cPhone
Oregon Const.Cant. Board Uc.M p _ ---
,stMcrn Copy of (k)UOtc 41 I j i:( f 1
Current COT Gusumists Tax or Metros sw PROJECT
Licenses 9rw!yo?)4 10 "5/1 4`d VALUATION
MarneNEW CONSTRUCTION ONLY:
Mechanical rJj,••. Hek�-Et f�c t AC � •-----
Sub- MarwngAddnss Sq. Fi_ i-loune: Sq. FL Garage
I� Contractor ';' ��'�' �Qin Corner Lot YES NCL Flag Lot YES NO
I` r,,tyrstaa zip Plane (check one) - (Check one)
't ,c'` Restricted Audio/Sterno Burglar
Oregon Const Cont Board uc.a Exp.Dat}
A"c h Copy of Jr����,(, yrs Energy system Alarm
current QOT Business rax o,Metm R Exp.Date Installation Garage Door HVAC
-_ Licensee G =c I a , 1 Z I ` t _ Opener_ Systems
Name (check all that Other.
Plumbing apoty)
Sub- Maning Address Will the electrical subcontractor wire for all YES NO
restricted enc installabons?
(;ontractor ,r� ��.�. (�yC '•t, tri � !�.�—.�_
;JOState p Phots
Has Ti Subdivision Plat recorded? N/A NO
I I- �Yw OP I 7` j i Z� �� �,
Oregon Const Cont Bosro acs Exo.Dam Reissue of MSTt. ISolar Comp.:ance
Mach Copy of -)- , • -"f � _—_ 1). 1I16 (Calculation Attached)
Current Plumping L,c >r Exp. Dm 1 hearty,acknowledge that I have read this application,that the
I_IcertsM
informati^tn given is correct. that I am the owner or auttnor+ted
CO Business Tax or Metras Ego Oats t Ins submitted are in compliance
� agent of the owner•and that plans p
G-,�5 4 �1 with Oregon State laws. W
NarM -
Signature of CMmerlAgent Date 7
Electrical Y (t F(Q_vk , F�,.�.. 7
Sub- M&Wq lAddress Contact Person Name Phone 0
Contractor t"1t!'1 C r 1 I7,1�'^ �.v r i .V �t' 7 , !`a`
tyrStaa Aorta FOR OFFICE USE ONLY:
Plat ft MaprrL#*,
Oregon Const Cont Board L&P I Ex 0
,%=Ch Copy of , '4 r,, 10717!t,; Setba tie:. Solar.
c� G�
''urrent E!eetrtcsl L r_s tt 0*0 � ;��, bop -7�� IV. "i
Licenses ,�,• y s_. L Engineenng Ap mval: Pla ping Approval: TIF:
COT Business Tax or Matm a 0 !P 4t {c, rAP ^ ( p•-)
I SFAPP C'JC (OS-,-) 4/97
P-armit f Acct Doscritpion COT 'WACO Amount Amt Pd. 84L Due
MET. Permit (BUILD) (USUILD) 70U, S'w 7o'•
Plumb. Permit (PLUMB) (UPLUMB) I Z5, - 2.15
Mech. Permit (MECH) (UMECH)
ELCJELR Permit (ELPRMT) (UELPMT) _300,
State Tax
(TAX) (UTAx) 4�J• s` .—�� �0 3• �;
PLUM&
MECH:
ELCJELR:
Plan Check
MST: (BUPPLN) (UBUPLN) 4:55, a} � os, 7
Plumb: (PLUMB) (UPLUMB)
Meer:
(MECF- N
CDC Review(BUILD) (CDCBLv) (UCDC)
ou
CDC Review(PLN) (CDCPLN) N/A d
Sawer Connon (SWUSA) (USWI)SA) , '2-00 e7,��/
P.eimbur. District
Sewer Inspection (SWINSP) (USWINS) 3{�, �, .c►
Parks Dev Charge (PKSDC) N/A
Residential TIF MF-R) (UTIF-R)
Mass Transit TIF (TIF-MT) (UTIF-M)
Water Quality (WQUAL) (UWQUAL)
Water Quantity (WQUANT) (UWQANT)
Erosion Control Prmt (FRPRMT) (UERPMT)
Eresion Pianck/USA (EP.PLN) (UERPLN) r2 S
G e/ G
Erosion Ptanck/COT (ERO-SN) ('UEROSN)
Fire Life Safety (FI-S) (L)FLS) )
TOTALS:
I SFAPP CQC (OST) 4197
Solar Balance Point Standard Worksheet
Address
IBox 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 \4)rth lot line. The North lot line is the line
with the smailest an%ie rn3m a line drawn east-west and intersecting the northern most
point of the lot_
t �
w t •�WN
N North-South
Dimension for Lot
,oeasure the d'otance from the midpoint of the North lot line to the South lot line along
�.e descibed line.
I fet-
Bax B cakulatioczs: Shade point height for your residence.
i Bre 3:
11. Determine when-her measurements wi(1 be based on the peak or eave of your Which descibes
structure. The orientation of the ridge is also important.
your residence?
1 a: If the roof line rum a North-South, measurements will (circle one)
be based on the peak of the roof. a a a a
'C"-♦ 1 A 16 1 C:
1 b: If r:Fe root line runs cast-West.and the root"pitch is
less ;,,an _;i 1?, measurements -.viii :zed cn -fie
ea,4" I
T+ot�+Get
1 c: If the roof lire runs Eas-.Vest and the roof pitch is
alt 2 cr s;ee-per, measurements wiil be based on the ,.....
teak. " �C
..0.ar A=
I
Box B. conti•rved Box B:
'. .Measure change In elevation from front property line to finished Roor elevation. If
the 'ac slopes uo rrom the front lot line to the foundation, the rigure is positive. If
the lot slopes down [L-am the front 'ot line to die foundation, the figure is negatr+e. ft
3. !Measure d'ismnce from finished f,00r elevation to the affected peak/eave. + ft
4. If the roof line runs tNorth-5oudi, Jeduct three fee►_ If the roof line runs EmL-West, h
d,-duct nothing.
5. SubtraG nne foot for :h foot of difference in elevation from the froth property
line to the reas picpeicy ;ine, if the lot slopes up from rhe front to the rear. If the
lot his no slope or slories up from the rear no the front, dedura nothing It
6. Total Figur! for box 8. It
Box C. Distance to th,r shade reduction line_ Box G
?. Measure the d mice from the North property lire to the forandadon near the - ft
affected peak/eaves
Measur+e this d'cwance from the foundation to the affected peals or eave. _ + ft
3. Total 5T/re for Sax C. ft
------------
;t is mart utelsd to draw a weal tine to repeesem the appmpnm Spm bund in bac*A.'and a harirorwi fine to mTrmnt die
,4nx runs Gpxe founri in bar.'C:'.The wwwwcoon of the verocal aad horfmoncd tww dem mr`nes the vakm%und in boot'Cr. The value
;n baoc'O'#could be compared to the value in boor'9'; if the vakre in boot'Q'is torts Jun or equal to die vAm burW in bar'O',then
the bizidinrj is in corn aGanae wads the solar baLmm aide. U you Ivive acre quesoont, please contaa us at 639-4171,x304 or at the
C_omrrturreir Oereiafrnent C•aca+asr.
MAX MOM PERMMIM SHADE POINT HEIGHT (In E
OisOrYae to Mads- udi tot die+rm ion(in fees!
utade 100+ 9S 90 8S 30 75 70 65 60 SS 50 4S 40
reducion Gne
from nordu"
ILFirt(in Fee"
M 40 40 40 Al 2 43 44
65 33 38 38 39 Al 42 43
60 36 36 36 37 8 39 40 41 42
33 34 34 34 3S 16 37 38 39 j0 41
,t1 32 32 32 33 �4 35 36 37 :1 39 40
�i 30 30 30 31 J2 33 34 35 36 37 38 39
s0 :3 23 :3 :9 310 31 32 33 3.4 35 36 37 38
S .'S 25 5 :7 :�S .9 30 31 32 33 3.4 35 36
:0 24 24 24 :5 15 27 23 :9 :0 31 12 33 34
1; 2.2 2-1 " 23 14 25 26 27 29 29 30 31 32
10 :0 :0 :0 21 23 Z4 Z5 25 27 Z8 29 30
L30
18 18 18 19 21 ?, 21 24 25 26 Z7 2S
1b 16 16 17 18 19 20 21 22 23 '-4 25 25
14 14 14 15 16 17 18 19 '_0 21 2? 23 24
Sox u. Maximum ailowed shade coinr ; eight:
I( AL1,N MASCORD DESIGN ASSOC. , INC.
1305 N.W. 18TH AVENUE
PORTLAND, OREGON 97209 (503) 225-9161
................................................................................
................................................................................
............. SOLAR CALCULATIONS FOR :
::R.W. FULLERTON CO.
::LOT 27
::HILLSHIRE WOODS
::CITY OF TIGARD
..........
.....................................................................
:::::::: ............................................I.......................
::GIVEN DESIGN VALUES :
::NIS LOT DIMENSION . . . . . . . . . . . . . . . . . 80
::AVERAGE FRONT P. L. GRADE ELEV. . . . . . 511
::AVERAGE REAR P.L. GRADE ELEV. . . . . . . 507
::FINISH FLOOR ELEVATION. . . . . . . . . . . . . 509
.:HEIGHT OF RIDGE ABOVE FF. . . . . . . . . . . 32 .75
::HEIGHT OF SAVE ABOVE FF. . . . . . . . . . . . 0
::ROOF RISE PER 12 RUN. . . . . . . . . . . . . . . 9
:DOES RIDGE RUN NIS. . . . . . . . . . . . . . . . . Y
::SETBACK DIS'T'ANCE FOR SHADE POINT. . . 39 . 5
................................................................................
..................................................I.............. ..............
................................................................................
CALCULATED VALUES :
................... ...... .........,.............................,... ...,....
ADJUSTED NIS LOT DIMENSION : . 80
RIDGE EL,EVATION. . . . . . . . . . . . . . . . . . . . 541 . 75
EAVE EL,EVATION. . . . . . . . . . . . . . . . . . . . . 509
ADDITION TO S . P.H. FOR NIS RIDGE. . . 3
ADDITION TO S . P.H. FOR LOT SLOPE. . . 0
ALLOWED SHADE POINT ELEVATION. . . . . . 541 . 8
ACTUAL SHADE POINT ELEVATION . . . . . . . 541 . 75
...........................................................................
:....
.... .......................................................................
BUILDING COMPLIES WITH SOLAR CODE. . .
* BASED ON FORMULA: H = ( ( (2 * D) - N + 150) / 5) + ADJUSTMENTS
WHERE H = MAX. ALLOWED HGT. OF SHADE POINT
D = DISTANCE BETWEEN SHADE POINT & NORTH LOT LINE
N = NORTH SOUTH LOT DIMENSION (90 ' MAX. )
ADJUSTMENTS = FOR RIDGE DIRECTION N/a" AND SLOPE OF LOT
97 1uv 17 16:26;29 RALT\LT27HW SATURN(M.R.R.1
2267C
14.28.14. (MIRRORED)
BY
R.W. FULLERTON CO.
/ `. ` , PH: 297-4433
CITY OF TIGARD
HILLSHIRE WOODS
LOT 27
/ l _ / ( 12,600 50. FT.)
....................
C Ai
A -NV—LCI \,JIr
0 Tj
f." y X X X X XX A XX JK lrk,, 114
1'-6 kr
If
4
If 4
8-6-
AIN FLOOR
/ // L-509 0'
I GARAGE jl
EL x508 5' / I
8.6
4" CONC
WATER n DRIVEWAY
13500 PSI I
%-4 Pvc
14-2 60 Sir ITNcl
8'14
P, 0 O�' ll
\A,t\m ft 07/17/97 MRn
A[AN
,MASCORD DESIGN ASSOCIATES.INC SC61V§I--
IS NO LIABLE FOR THE ACCURACY OF THE 0'v w) 0
TOPOGRAPHY INFORMATION IT 19 THE BETTE 73 PW, 5CN
RESPONSIBILITY OF THE BUILDER to VERIFY
ALL SITE CONDITIONS INCLUDING ANY FILL
PLACED ON THE SITE AND INFORM OWNERSQ
OF ANY POTENTIAL FIELD MODrFICAIIONS F3 D �-lll
A [ A n 11 A f ( 0 Q D D ( f 10 n A f f 0 1 A T C -f InC
1305 N W 18TH AVENUE, PJRTLAND, OREGON 97209 S C A L E
15 03) 225-9161 2 0 0