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132i7 SW ASCENSION DRIVE
C[TY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business°hu•e: 6394!71.
Date Rcxluested: 1 _ 1–2-–7– 7 d T_ — A.M. `_ P.M. _ _ MSP" 1
Location: 7 7i
Tenant: _—_ Suite: �a Bldg: MFC:
Coy tractor:__ ,-1' ,.QT CEJ �I�odr' –_ 1_I– - 7 C,-1 -- PLM: –
Owner: � Phone: ELC:e_ _
_- ELR:
BUILDING BLDG(con't) +PLUMBING MECIt4MCAL ELECTRJ A 1 SITE
Site Post/Beam Post/Beam Post/Beam Cover ervWe Sewer/Storm
Footing Roof UndFUSlab Rough-In Ceiling Pater Line
Slab Framing Top Out (ins Line Rough-In UO Sprinklet-
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp D ywall Storm Furnace ranp Service MISC.
Mason, Ceiling Rein Drain A/C
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Ilent Pump w o _
Approved Approved Approved prov /�plttovX
Appr/Sdwlk Not Approved Not Approved Not Approved No roved Not Appr.,ved
FINAL FINAL FINAL 1NA FINAL.
t;FC/ 7-W1P
Ir 10--
0 Call for reinspection Reinspection fee of S__—•_� required before next insperti it, 0 Unable to inspect
Inspector:—__-- -- --- -- — Mate. —0 C —_ Page of
CITY OF TIGARD
PLUMB 1.VG PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : F'LM98--0021
13125 cW Hall Blvd., Tigard,OR 97123 (503)639.4171 DATE ISSUED: 01/26/98
PARCEL: 2S104CB-01000
SITE ADDRESS. . . : .13277 SW OSCENSION DR
SUBDIVISION. . . . : HILLSHIRE WOODS ZONING: R--'7 PD
BLOC:K. . . . . . . . . . I_.CJ . . . . . „ . . . . . . . :026 JL;PISDICTIUN: 1 IG
CLASS OF WORV. . :ALT GARBAGE D T SF OS11-S. • 0 MOBILE HOME SPACES. : 0
TYPE OF I_ISE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GHP. .. :R3 FLOOR DRAIN£. . . . . . . 0 TRFIPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WFTER HEATERS. . . . . . 0 CATCH BASINS. . . . . . . : 0
F"I X TUFIF_S-------•------ -- I_.AUNDR', 1"111Y1Fi. . . . . : 0 SF RAIN GRAINS, . . . 0
F;I NF!S. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 G.:EASE T RAE'S. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTI-IRES. . . . : 0
TUB/SHOWERS. . . : 0 SE'JF'R LINE (ft ) . . . : 0
WATER CI_.OSETS. r 4) WATER LINE (ft ) .. . . : Vi
DISHWASHERS. . . ., : 0 RAIN DFtIII•I\I (ft) . . . : 'A
Remarks : Installinq residential backflow prevention device
IOwner: ------------------------------------------------------ FEES ---
R W FULLERTON CO type amol_int by date rrcpt
6426 SW BEAVERTON-•HTLLSDAL.E HWY PRMT $ 15. 00 A 01/26/98 98--3027
PORTLAND OR 97221 `,f!CT $ 0. 75 B 01 /26/98 98-30275+
Phone #:
MICHAEL & r0 PLUM F I NU'
F' 0 BOX 23008
TIGARD OR 97281 __________________--------•- •-- •-----------
E'h o n e #: 639-1-189 $ 15. 75 TOTAL
Reg #. . : 4NA0676
-------- REQUIRED I NSF'ECl IONS -
This peroit is issued snb„Pct to the requlations rontained in the RP/Backflow Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
1 applicatle laws. All Morn will be done in accordance with
approved plans. Th periit will Pxpire if work is not started _____ __ ---• —
` within 188 days of issuance, or if work is suspended for @ore
II than 188 days. ATTENTION: Oregon law requires you tip i,,:low rules
adopted by the Dregor Utility Notification Center. Those rules are _.
set forth in OAP 952-MI-Wit througg OAR 952-001-080. You say
obtain copies of these rules or direct questions to OUK by callingf5@3)246.-1987.
Issued By: `� permittee Signature:
Y__.__.__...._._.__ _
11�
++++++++•F++•*++++++++++++++++++*++++++•+++++++++++++++++-+-++-+++++++++++++++++++++
Call 639-4175 t,y 7:00 p. m. for an inspection needed the next bl.tsiness day
++++++++++++++•'-++*++++++++++*+++•+++++++++++++++++++++++++++++++++i+•+++++++++++
ATY 0.'- TIGARD Plumbing Application PecdBy
3125 5W HALL BLVD. 'commercial-and Residential Date Recd
,ARD, OR 97223 Date to P E.
'933) 639-41171 Date to os
Permit! '�L �r
Print or Type Related SWR 0
Incomplete or ii:egible applications will not Le accepted called _
Name of De v/elopment/Prolect -- FOMRFS Vndlylduai) - QTY PRP.E AFJT
Job �I��� �t •r L'iG r 0 J Sink - 9.00
Lavatory
Address Street Address Sura 9.00
.S -J 4WeA,441brk1r Tub or Tub/Shower C.ornb----- 900
61dg 0 CitytSlate Zip Shower Only —
9.00
27123-- Water Closer -- - -Y 900
Name
- OA/ ("(-) Dishwater - - n 00
Ownor Meiling Address Sule Garbage Disposal 9170
S V7✓r(!,/y� Waahing Machine -- 9.00 _
Ci /State — Zip Phone - Floor Drain -- 1' y -'
---�_ 9 7 Zz/
00
Name - 3 9.00
9.00
Occupant MarlAd
ing dress _ suite-- Water-1eahlr - — 9.00
_ Laundry rrwom Tray - -- - 9.00 -
C tyrState Zlp Phcne Urinat ---- 9.00
Name - Other F x;ures(S{mcify) ----- 9.00
YJ�c �i 4 P CSD /�'i/a n, �; 9.00
Contractor M 1eg Address Suite 900
9,00
City/Slate Zip Phone �- --- -----
�z
6,3 9 31 9.00
Oregon :onst.Cont. Board Liu 0 Exp Date —~- - - 900
Attach Copy of G J*7?--�-^_ _ -- -_
r 9-- `/ _ b QO
Current Plumbing Lie.i Exp Dale
u Sewer- est
Licenses 11 00' X0.00
r ,3 Sewer•eachadddion-
ar 100' 25.00
Cr'T Business Tax or Metro t Exp. Dale
water Service- 1st 1Qo' 3 .00
Name Water Seance-each addi,icnal 200'
75.00 -- 1
Architect Storm b Rain Drain-1st 100'- - - -JO 00 ---
Or Mailing Address Suite Sloan 3 Rain Dram•eacn addrbonal 1('K)' - 2500 -
_ Mubrle Home Spree - 2.5 00- --
Engineer Cily/slate 2.ip Phone Commerc-a;Rack F!ow Prevention Device or Anti. 2500
Pollution Dence 1
asrnbe wok New m Add�h,on O Alteration O Repair O Residential Backflow Prevention Davi('A r I L15.U(i /SOp
to be done. Residential 6l Non residential O Any Trap or Waste Not Connected to i Future��' 9 rio -�
ddihonar de+cnptian of work - _
i Catch 3asir- 9.00 I
Insp of Errstinn P_-lumbing 40.OC, --
Specialty Requested _
per/hr
resting use of Y eq ested Inspections 40.00
wiling or property - Pe' tt
Ram Drain.single family dwelling 4J0.00
proposed use of (;,easeTraps -
building or property______ 9.00
QUANTITY TOTAL
Are you capping movie or replacing an fixtures? Yes No I wrnet c nr nter dtagrrn a ry 4u.ed d Ouan Total is >9
Y PP�n9 g P ng Y ❑ ❑ 4 _ ny
pf yes see back of Perm{ •SL IRTOTAL /s pp
! I hereby acknowledge that I ham read this applicahoo.that the informaticn
given is correct,that I am the owner or authorized agent of the owner.and 5% SURCHARGE n,•-I
that plans si bmihet'are in compliance with Oregon Slate Laws _
Signature of Owner/Agent Date PLAN REVIEW 25;4 OF SUBTOTAL
ReOuredit fbft town 9
m!
Z_
TOTAL
- _ 7s
Cotnitct Person Name Phone /s.
j C
'IMlnfrum permit fee a S25-5%surcharge,excePr Rest ertial B;ir*flow
C�L r 1a35-3 I �' Prevention Device.which is,$15+ 5%surtdiarge
i:ldstslplmapp.doc V96
Fixtures-f6li capped, moved or replaced Qty
Sink
Lavatory
Tub or Tub/Shower Corn&�-a—�io-n
Shower Only
Vt—er Closet
Dishwasher
Garbage Disposal
Washing r0,-ichine
-T-l;—or Drain
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Spec't.y)
........------
COMMENTS REGARDING ABOVE:
CITY OF T IGARD
13125 SM. HAIL BI.VD.
'rIGARD, OR 97?23
IMPORTANT PERMIT NOTICE
WRIGHT 1 ELECTRIC INC
5618 SE 135TH AVE
PORTLAND OR 97236
Electrical Signature Form
Permit # . . • • : MST97-0301
Date Issued. : 01/06/98
Parcel. . . . . . . : 2S104CB-01000
Site Address : 13277 SW ASCENSION DR
Subdi•rision. : HILLSHIRE WOODS
Block . . . . . . . : L�c)i : 026
Jurisdiction : TIG
!` Zoning. . . . . . : R-7 PD
Remarks :
New single family i esi.d.encee 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 ar.d return this Electrical
Signature Form prior to the start of work.
No electrical inbpections will be authorized until this completed farm is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
(MNEP : ELECTRTCAL CONTRACTOR :
R W FULLERTON CO WRIGHT 1 ELECTRIC INC
6426 SW BEAVERTON-HILLSDALE HWY 5618 SE 135TH AVE
PORTLAND OR 97221
PORTLAND OR 97236
Phone # :
Reg # ./• /000097
X '(
Sig an urs o upe,vising 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 GF TIGARD
DEVELOPMENT SERVICES
13125 SW Nall Blvd,, Tigard,OR 97223 503)639.4171
NEW
nr
i I
/-1
7 ( 1 II
CITY OF TIGARD
DEVELOPMENT SERVICES
131.15 5 W Nall Blvd., Tigard, OR 97223 (503)639.4171
I
Plan Check"!
ITY OF TIGARD Residential Bt;ilding Permit Application Recd lay Y
:,125 SW 'HA I_L BLVD. New Constn.;ction Additions or Alterations Date Reed 7
GARD,, OR 97223 Single Family Detached or Ar.,z ched (Duplex) fate to P E. - j/
;;034394171 0:e to DST - 0 !
503-684-7297 Permit• -
Print or Type Called _ ' 4S !
i
Incompiete or illegible applications will not be accepted
Name of Prorset -- — Name
Job II ,1,..�. y,lood<<� l a+ Z 4 A 1 e•
Address Site Address Architect Maiung Address
i'?j,1-1 } �(.). 5( y1°�1a1 4, City/State T.Ip Phone
Na r
V), 4 ---- Name �w�
Owner �n i
Mall Address `""Y d Rcw I
f
(041-to ` ,V� AV, t i 1'�c�ll• gwy MailingAdd
citylstem Z0 PhoneIP6Engineer ress
`
`r Zlp Phone
Name v j 32 i& '5yt.( -
General yJ• 1}%I�e �'Or, (� Oesrnbe work Addition O Alt nitlon O Repair O
'`,ontractor Meilkag Address M be done.
bLi 7 �` `„v3s 1. t��14 �I, y� Additional D tscnption of 1Nork:
C
C �'stan ZIP Phana
r -417141.- N.7
Oregon Const Cont. Board LiQ# Exp.Date C -r vle
tiach copy of C2 t-I 0 to r tI I (, `) 1 J ! 9/.5"y Ycurrent COT Bus***&Tax ofa•o a E-P..Oe PROJECT I
_uuns.s po D�? } l �� 3 / 1 5 re VALUATIOM _ Qom'"li
NanN ----
echanir.al "DY•. +-Olt�c / (, L NEIN CONSTRUCTION ONLY:
�---- ti — Sq. FL Flous,�. Ft. Garage
Stir_ Mailing Addn!ss
..ontractor I V,2 4 `;, - Comer Lot YES Nth Flan Loth YES N
citylstste Zip Phone (check one) 2 , (check one)
Oregon Const Cort Board LIc.N Exp.
pate Restricted 4udia/Stereo Burglar
trach copy of Q r• n ,H !. / yv Energy System Alarm
Cunent COT Business Tax or Metro N _ Exp. Ds Insizillation Garage Door HVAC
licenses_ 0 0 0 0 ( '3` -Z Opener Systems
Name (check ill that tither.
�lurnbing ,< �..ch IJnnbir.� app ) j _ I I
Sub- I btadlnq Address Will the electrical sut^contractor wire for allY S NC
r c C Ca„L , _�— restricted ene inytalladons?
C.tyr, tate Zi Prone Has the Subdivision Plat recorded NJA YES NC
wuI �J4 �_r)-b
y�Oregon Const Cont.Board Ua.s Expi Dram, r Reissue of MSTt# Solar Campfsnce
Attacn Copy of l00 �J (Calculation Attached)
Current Plumbing Loc.0 r�xP.,Dite l^ I hearby acknowledge trrat I have read this application,that the
Licerses '2-ro Pb `S 3 t } Information given is correct, that I am the owner or authorized
COT Business Tax or Metro 0 Exp.Qste/ agent of the owner,and that plan• submitted are in compliance
0r�U'� I L`/S 9 with Oregon State laws.
Nims
`_ j azure t3Wii 7Agpril Da
Electrical E±, r1t ! 1¢ C t , Z
Sub-
Mailing A i-ess� p4tact Person I(me h ne#
Contractor t.)v 'l; `,>e I'J2-)
C,y,State zip Phoma OR OFFICE USE ONLY:
L►
9,413 PlIV 1 A Map/CTLf� v� ^
Oregon Const.Cont Board Uc.11 EAP ste I, I� V'1�
tach copy of d y I I `,> _ N (1. `)Q, � Setbacks: Zone: Solar.
Current ElecMwl Lie.s Exp. ate . a �(/ 15 4 )'-
7Licenses 3" %C_ 10 9 Erne n vat: Planning Approval: TIF: t-
COT Business Tax or Metro le Efrp0
L? C i 7 }C.
6silappAbc dst t t9 I I —
Permit# AcoUntDes��ri�j�II Amour_S Amt. Pd. P
id � ". 'o MST. Permit
Plumb. Permit (PLUME.) ' �s « �
- 2
Mech. Permit (MECH) � S
ELC/ELR Permit (ELPRMT)
State Tax (TAX)
Blog: 3�j, J��
Plumb:
Mech:
ELC/ELR:
Plan Check
J cx
MST. -SO P)<1 ti. �/G (BUPPLN) (/.
Plumb: (PLMPLN)
Mech: f` (MECPLN)
CLIC Review �' (�s (LANDUS)
C
r'% ? nVS' Sewer Connection (SWUSA) U U V U v
Reimbursement District ( )
Sewer Inspection (S`NNSP` 3�`
Parks Dev PKSUC Charge J
( ) /D.S o 0
Residentia! TIF (TIF-R) /)
Mass Transit TIF (TIF-MT) ;7 K) 12, 0
Water QuAty (WOUAL)
Water :Quantity (WQ(JANT)
Erosion Control Permit (ERPRMT)
�_rosion Pianck/USA
(ERPF AN)
rN _
Erosion PlanckJCOT (EROSN)
Fere Life Safety (FLS)
—rte
TJTALS:
Solar Balance Point " tundard Worksheet
kddress _
Box A calculations: North-South dimension for u.e. lot. Box A.
This dimension is determined by finding the midpoint of the North lot line and drawing
an interring line perpendicular to the' point. I
First, determine which property line is the North lot line. The North lot line is the line
v,ith the sm-dest angle from a line drawn east-west and interserung theT nort,-ern most
point of the lot.
.....rte,
454 -...
t �
w 'Q`" 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_ Ctr 4! feet
1
N
Bcx B calculations: Shade point height for your residence- Box B:
1 Cetemrine whet!ier measurements will be based on the peal or ease of your Which describes
sIIvc7urP The orientation of the ridge is aho important
.-our residence?
1 a: If the roof line runs North-South, measurements will (circ:le one)
be cased on the peak of the- nx,f. n o v n
15: If tt,e roof line runs East-West and the roof pitch is
less :nan Si 12, measurements %vill be baser" en the -
eave.
1 c- If the roof line runs East- .'fest and the roof pitch is
5/12 cr steeper, measurements will be based on the fr:
peak. -"'--C�
r,.a,ui.aaa
Box B. continues! Box 8:
2. ,Measure change n eieva►on from front property line to finished floor elevation. If
the got slopes up from rhe front lot tine to the foundation, rhe- figure is po5it;ve. If
the lot slopes dowv, from the front lot line to the foundation, the figure is negative, } � ft
3. Measure distance from finished floor elevation to the affected pealv'eave. + _2Q `t, ft
4. If t1.t roof line runs North-South, deduct three feet, If the roof line runs East-West, O ft
deduct nothing.
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
Iot has no slope or slopes up from the rear to the front, deduct nothing. s ft
6. Total Figure for box B: ft
Bax C Distance to the shade reduction line. Box C:
1. Measure the distance from cele North property line to the foundau'on near the
affected peak/eave. ---
2. Wasure the distance from the foundation to the affected peak or eave. + rt
3. Tota.! f►gure for box C:. _rte ft
`L-
It is most useful to draw a verdc2l Pine to m xtsent dw approp haw 11pue found in bca'A'and a horizontal Gne to represent the
appromm,frlp,ue found in box'C'.11ne irwersection of dw ved"amd horaontal Gees dewmkm the value found in box'EY.The value
in bone 'O 4%)uld be,compared to the vaiue in bac'9': if the value in boar'8'is km than or,equal to the value found in bout'O', then
the txAcUng is,n compiunce with the solar balance,ode. if you have ary quesoonr• please eonexd us at 6394171, x304 or at the
Community Oevekgrnrnt Counter.
MAXIMUM PEI MnrrED SHADE POINT HEIGHT (in reet)
Oistance to No•th 4outh lot d6riensien an feeo
Vic' 7011+
r!ducLion Gne 95 90 85 So 75 'Z; 65 60 55 50 45 40
Pram nordwn
[at qrk-an feed
70 40 40 4Q 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
33 3.4 34 34 35 36 37 38 39 40 41
30 32 37. 32 33 34 35 36 37 38 39 40
1s 30 30 30 31 31 33 34 35 36 37 38 39
'0 2� 29 23 29 30 31 32 33 34 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
'0 24 2•1 24 25 26 27 '8 29 30 31 32 33 34
:5 2-1 23 22 23 24 25 25 11.7 28 2 9 30 31 32
:0 :a :0 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 ?0 21 22 23 '_4 15 26 27 _'8
10 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 20 21 22 23 24
Box D. .',,a mum allowed shades point height. _ feet
h
h c�cics4ur+cv�venanalsolar.e'i o
,.� 2269 B
(MIRRORED)
By
11W F-LILLIENTON CO
PH 291 4433
CITY OF TIGARD
HRLSHIRE WOOCS
LOT 26
iz000 sa u)
S.,- ; I 1 7
ll
If
PIP
X"
10!0.
X,
MAIN FLOOR
EL -516 0
16
GARAGE
EL -515 5'
4' CONC
�A Ep I DRIVEWAY 4 1
Me Tye a 13500 PSI I
0 41 Sk F FrACC
S 01 PtZV,�� Al
AN
;n
As"t
1'7 071,7191 Mpp
ER
As CEIV
SjOlV
AtAN WAVC11110 013100 ASSOCIANS.PC
'S 401 tLABLE%OR IK ACCURACY OF 114 Di?,
' or 4q it 13 114 SOLE
.fspoNsfAlf,or 4q smo(a to wil"I'l
Zt Sit(C0*01" MICIND ART Ftt
RACED 000 1$4 Siff AND WOW OWW"
OF ANY 00,IRIUIA PRO W"CAIOVS
A L A n MAICODD D 0 n A f f 0 1 A T f f I n -t-
1305 NW 18TH AVENUE. POR rLAND. OREGON 97209 15031 225-9161 S C A L E 1 2 0 0
(
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT --
13125SWr1a!IBlvd., Tigard,OW 97223 (503)639.4171 RESTRICTED ENERGY
PERMIT # : ELR97-02 72
DATE ISSUED: 09/24/97
PARCEL: 2S104CB-01000
SITE ADDRESS. . . : 13277 SW ASCENSION DR
SUBDIVISION. . . . :WTLL_SHIRE WOODS ZONING:R-7 PD
9LOCK. . . . . . . . . . . ;_OT. . . . . . . . . . . . . :026 JURISDICrN: TIG
Pro J ect De scr i p'c i on: Add, audio and stereo systems ti, existing single famiiy
Siwe l l i ng.
------------------------------------- -------------------
A. RESIDENTIAL--------- B. COMMERCIAL--------------------------------------
AUDIO
-------------------------------------
AUDIO & STF_REO. . . - X AUDIO , STEREO. . : INTERCOM 8 PAGING. . :
BURGLAR A1_ARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : . .
TOTAL # OF SYSTEMS: 0
Owner: ------------------------------------------------ ------ FEES - --- ---------- --
R W FULLERTON CO type amount by date recpt
6426 SW BEAVER TON-HILLSDAL_E. HWY PR1v11 $ 40. 00 BEG 09/24/97 97-299525
PORTLPND OR 97221 SPCT $ 2.. 00 BED 09/2'+/97 97-299525
Pnone #: 297-4433
Cortract or: -- _ ... ---- --- - - --- -- -------------- - ___ __- - - -- -- -
AUDIO VIDEO ENVIRONMENTS t 4:. 00 TOTAL
19354 SW BOONES FEERY RD
--- - -- REDUIRED INSPECTIONS
TUALAT'IN OR 97062 Low Voltage Insp
Phone #: 691--6025 Elect' 1 Final
� Reg #. . : 001104 ------__ —._.
This permit is issued subject to the regulations rontained in the Tigard Municipal Code, State of Ore. Specialty 'ides and all other
applicable laws. All work will be done in arcordaece with approved plans. This permit will expire if work is not started within IN
days of issuance, or if work is suspended for more than 181 days. ATTENTION: Oregon law requires ycu to follow rule adopted by the
Ch•egon Utility Notification Center. Those rules ire set forth in OAR 952-081-flM10 through OAR W. -MI-WN. You may obtain cones of
these rules or- dirzct que tions #`p,�0LWC atL%3)246-1987,
Issued by Permittee Signa.tr_tre
--.-----_.---_OWNER INSTALLATION
The installation .s being made on property 1 own t-!hi•-h is not intended for,
sale, lease, or, v-errt .
OWNER' S SIGNATURE: DATE-
INSTALLATION
ATE.:INSTALL..ATION ONLY--- ----- --- - ----------
S I ONATURE OF SUFIR. ELEC' N: DATE:
LICENSE NO:
++.+++t++++++++-r-+++++++++++..!..++++++++++++++++++++++++++++.( +++++-+.++++++++++++i +
Call. 639-4175 by 6:00 P. M. for an inspection needed the next business day
+++++++. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++f++++++++++++
I
ALAN MASCORD DESIGN ASSOC. , INC:.
1305 N.W. 18TH AVENUE
PORTLAND, OREGON 97209 (503) 225-9161
::R.W. FULLERTON CO.
::LOT 2 6
::HILLSHIRE WOODS
;;CI'T'Y OF TIGARD
.................... ............................................
.................... . ....................
••:•:::::::•:::::::•GIVEN DESIGN VALUES :':::::::::::::::::::
.................. .... ..... ..........................................
;:N/S .LOT DIMENSION . . . . . . . . . . . . . . . . 80
::AVERAGE FRONT P.L. GRADE ELEV. . . . . . 519
;;AVERAGE REAR P.L. GRADE EIEV. . . . . . . 511
::FINISH FLOOR ELEVATION. . . . . . . . . . . . . 516
;;HFTr,HT nF RTDGE ABOVE FF. . . . . . . . . . . 29 . 33
::HEIGHT OF EAVE ABOVE FF. . . . . . . . . . . . 0
;:ROOF RISE PER 12 RUN. . . . . . . . . . . . . . . 10
;DOES RIDGE RUN N/5 . . . . . . . . . . . . . . . . . Y
;;SETBACK DISTANCE FOR SHADE„POINT. . . 31
. ........................................................................ ....
.....................................................................
::rALCTJLATED VALUES :
.......I.. ..............
ADJUSTED NIS LOT DIMENS. ON. . . . . . . . . 80
RIDGE ELEVATION. . . . . . . . . . . . . . . . . . . . 545 . 33
EAVE ELEVATION. . . . . . . . . . . . . . . . . . . . . 516
ADDITION TO S .P.H . FOR NIS RIDGE. . . 3
ADDITION TO S.P.H. FOR LOT SLOPE. . . 0
ALLOWED SHADE POINT E:LE;VATION. . . . . . 545 .4
ACTUAL SHADE POINT ELEVATION.,;,:,:,;.. . 545 . 33
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 SOUTP LOT DIMENS::ON (90 ' MAX. )
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. _ 7
Tigard,OR 97223 PERMIT# AG ill O
Phone(503)639-4171
FAX(503) 684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
_ 1 -321-4 S•w. 6SC45)-)S/orJ D2 _
Address RESIDENTIAL—Restricted Ener
ggy Fee. . . . . . . . . 140.(M
-n 6A20 a r� (FOR ALL SYSTE%S)
City State Zip Check Type of Work Involved:
PERMITS ARE NONTRANSFERABLE AND NON-REFUNDABLE AND EXPIRE If WORK ® Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
1 R DAYS. ❑ B,irglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener"
,�-roJ,K r71QtMt"_/-t 1:5 ❑ Heating,Ventilation and Air Conditioning System'
Contractor kO1 D VMS Type ❑ Vacuum Systems'
Address S•W. f�C1-+ L � ❑ Other_
[.Tate 9- 2-3_ 91 _ COMMERCIAL- Fee for each system . . . . . . . . . 190.00
(SEE OAR 918-260-200)
Property Owner_TD£G (413 Lzi-s Check Type of-WI)rk Involved:
Contractor's Board Reg. No._9 _ ❑ Audio and Stereo Systems
❑ Roller Controls
Phone# 6 y..1 "_bra Ci_Z=%_ ____—______—.__ __ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control"
City State Zip ❑ Medical
This permit is issued under OAR 918.320.310.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
fnlltrwing: El
1. Only use electrical licensed persons to do installations where required.(Certain Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisksM.All others need licensing).
2. Call for an Inspection when all of the installations under this permit are ready
for Inspection at 503-639-4175. ['i Number of Systems
T Purchase separate permits for all installations that are not ready for insrection -------
when ine inspector Is out to Inspect under this permit. •No licenses are required licenses ar required for all other installations.
4 Assume responsibility for assuring that all corrections required by the inspector
are done,and
5 Assume responsibility(or calling for a final inspection when all of the 5. LEES
corrertions are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ I O D
authorized to bind the applicant.
b. .5% Surcharge ''.05 x total above) $ ,Z,
� alar
TOTAL $ y 2_ U o
Authority if other than applicant
ENERGAP.CHP
CITY O F T I G A R D CERTIFICATE OF OCCUPANCY
PERMIT#: MST97-00301
DEVELOPMENT SERVICES DATE ISSUE=D: 8/7/97
'",Lk 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 2S104Cu-01000
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 13277 SW ASCENSION DR
SUBDIVISION: HILLSHIRF WOODS
BLOCK: LOT:026
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: New single family residence PATH I
Owner:
R W FULLERTON CO
6426 SW BEAVER TON-HILI.SDALE HW
PORTLAND, OR 97221
Phone: 207.4433
Contractor:
FULLERTON COMPA14Y
6426 SW BEAVERT014 HILLSDALE HW
PORTLAND, OR 97221-1128
Phone: 297-4433
Reg#:
This Certificate issued 2/6/98 grants occupancy of the above referenced building or portion
thereof and confirms that the building has been inspected for compliance with the State of
Oregon Specialty Codes for the group, occupancy, and use under wpich the referenced permit
was issued. r
BIiILDING INSPEC R ffUILDrNG OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 6394171
BUP
Date Requested__ ---AM. _PM _ BLD
Location 2J--2 Suite MEC —_
Contact Person _ Ph _ — PLM
Contractor` Ph SWR V--- -
UILDfANG —� T�nanvOwne� _ ELC
RM ihfng Wall ELR
Footing ACC@SS: '---_---^-
Foundation FPS
Ftg Drain �G.l�.� (__�i' � - J1'r/ - - --
Crawl Drain Ilibipectlon Notes: SGN — -
Slab - SIT
Pust& Beam -
Ext Sheath/Shear
Int Sheath/Shear
Framing - _ --_-- - -- _ _--
Insulation
Drywall
Drywall Nailing
Firewall
Fire Sprinkler ----------- ----------- ------- --
Fire Alarm
Susp'd Ceiling _-.__---__-----__----__--
Roof
Misc: ---- --- --- -- --- ---- -
�S PART FAIL --- - ----- - -- - _ --
PI_UMBING !_
Post 8,Beam ------------------ ------
Under Slab
1-op Out -..--- ._.-_-_.._----- --------- - - --
Water Service
Sanitary Sower -----_-_ _. -
Rain Drains
F inal
PASS PART FAIL
MECHANICAL. - _ --- -- -- - —
Post& Beam �� --- --- - - - --- --------- -----
Rough In
Gas Line �- - --- - -- ---- --- ----
Smoke Dampers
Final - - ------ -------- -------- --._._.--
PASS PART FAIL
ELECTRICAL � ------------------- -_---- -------_-------- ---._____"_-------- ----------
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL __. - - -- - -- ------ --- - -
sITE
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 l J Please call for reinspection RE: _- [ ;Unable to inspect no access
ADA
Approach/Sidewalk
Other Date - Inspector -_ - -- Ext
Final
PASS PART FAIL DO HOT REMOVE this hnspec.tion record from the job site.