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1.3299 SW ASCENSION DRIVE r
CIS'" OF TIGARD
CX)MMUNI•TY DEVELOPMENT DEPARTMENT CE:R T I V I CATS. OF
13125 SW Hrdl divd.Tlgerd,Oregon 07223+0190 (503)639.4171 OCCUPANI,; V
GF.RMI T #. . . . . . . : MGT95-0,(45-,
DATE ISSUED: 01.)/06/96
IJARLEL a 281Ol4f r 1 X1.11
S 1 TE ADDRESS. . , : l3e99 SW ASC ENS ICI!`: DR
SUI39I V 191 ON. . . . : 1 13 LL.6H I RE WOC DFD) t ON I NG:
BLOCK. . . . . . . . . . : L01 . . . . . . . . . . . . . a?5
1. ,S,13 OF WORK. a NE-,'.W
TYPE. LW USE. . . Nl��V�
OCCUPANCY GRP. 25N �
OC:C:UIJANC:Y LUAt)z
Remarku a PPTH I
Owners _. _............... .... . _.,_... .._._...._ .__ ... _
!iHELBURNE DEV
7008 SISI NYBERG RLP
TUALATIN UR 9706iw
Phone #c c:+9 :'--638
Contrajr_t ori _..__ ._.. _ _. ......._...._ ._... . . .. ...... ..._
31AELDURNE DEVELOPML.N 1
7008 SW NYLIERG RD
TUAL(ITIN Ori 97062
Phov@ #7 692—;x3(3:3
Reg #. . 1, 42380
this Certil'icAta grants oc:etipancy of tl-Ye above referenced building or punt iov1
they 00F atol ronfis mss that thle building ham been insFacted for c:or4plfiance w1.1,11
thy? State of Groijon Specialty Codes `or v;he Vr-os_y , oCcLy{�#►nc:y, arlci i.yse r.mdev
wt)ic ;-y th@ rel`er,anced permit was igrr,�d. A
4K,
1 ;l
E41JILDINO INSFIV:CTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLAC::k:
-
MASTER P'CPMIT
CITY OF TIGARD DATE 1SSUED: 03/26/96
13125 SW Hall Blvd.Tigard,Pteqon 97223*8199 $36-4171 PIARCELt 2S1'214CC--1--JWiAt".,5
SITE ADDRESG. . .. SW
SUBDIVISION. WOODS ZONING:
Rosa s: PATH I
TYPE OF CONST. :SN DWELLING UNITS: I FINBXNT: 787 sf RIGHT......... I
S I WS:.......... I WATER CLOGET1: 4 WASHING POO..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.......... 0
LAVATORIE'S.... 5 1 FLOOR DRAINS...- 0 SE*R LINE ft: 0 SF RAIN DRAINSi I CATCH 94SINS..:
U/SHOWERS... 4 GAPPAGE rj:sp.,: I WATER HEATERS.: I WATER LINE fti 100 BC!TLW PREVNTR: I GREASE '�RAPS..
FUEL TYPES---------- FURN ' IM 1 BOIL/CMP ( 3f?P: @ VENT FANS..... 5 CLOTHES DRYERS: I
LINIT--- ---SERVIC'E/FEEDER - --TEMP SRVC/FEEDEPS-- ---BRANCH CIRCUITS— ---- --ADD'L INSPECTIONS-
IM EF OR LESS: I @ t1@0 amp..: a 0 2,00 amp..: 0 W/SVC OR FDR.., 0 DX/IRRIGATION: 0 PER INSPECTION:
Reconnect only.. a 1=4 RES UNITS..: SVC/FDR)=2'25 A. ; ) 610 V NOMINAL: CLS AREA'SPC OCCj
.. u+ REu umuoL--------
Aw/v oSTEREO. voCmM4aan AUDIO & STE}EODSC �
SCAPE'/IRRIG: PROTECTIVE SIGN,
4VAC........... DATA/TELE CONN.i NURSE CALLS.... TOTAL 11 �YSTENS:
'*mor: --------'-- Contractor: ------------------ TOTAL r[[8:1 466~'70 �
38[ 8UPNE 0[V 1..,H[L8URNE `iEVELOP91W
7ML1 SW k"BEK 0/ IN8 SW NYBEkS RD
%IALArIV OR 97N62 YDALATlN OR 97062
»honn 0: 602-6388 Phone #' '092 6.783
| 8o0 0,.: 42386
This pormit is issued subject to the regulations cn,tmined m the TiUurJ Municipal Code, State of Ore. Specialty Codes and all other
-pplicwblo laws. All work w`l} be done in accordance with approved plans. This porwd will expire if work is mt "torted within 180
issuanissuance,�ayv of �u �*` or if gork is suspended for more than 180 days.
| '--'-------'--------'---------- -- REQUIRED INSPECTIONS -------------�-----_'-----_ '' ' '
| rooting Inop PLN/Underfloor Frnming }nsp Gyp Board lnsp Electi ] Final -----
oundation Insp Mechanical Insp Low Voltage Rain drain Insp 00c4anical "inal
cst/Bean Meehan Electrical 5vt*e�xis Li Insp Water Seryice In Building Final
awl �!rain Eltetrii �JK!jh L, Ins Pppr/,qdwlk In sp Erosion Cont,,ol
�
PERMIT GWR950c5"'7,j
CITY OF TIGARD DATE 15SULD: * ;3' /26/96
_1Vd.Tigard,Oregon 97V%-!1 PARCEL ,
TENANT NAM E
CLASS OF WORK. :NEW
INSTALL TYPE. . . . :BuswR NO. OF BUILDINGS:
IMPE.RV SURFACE: 'A Sf
Owner-. FEES,
7000 SW NYBERG RD '-ecint
TUALATIN On 17062. '-- 00 JM11 96--277/4 4!j
CC\ITRnCTOR NOT ON r. TI
�
Re q 2235- 00 TOTAL
his Applicant agrees to ccoply with all the nilpE and regulations S&Wel' ITISPOCtion
of the Unified Sewage Agency. The p�rmit expires lU days from
the date issued. The tr;tal amount paid wi;1 be forfeited if the
permit expires. The Agency d:es not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the mpas.irevent
given, the installer Fhall prospect 3 feet in all directions from
the distvcv given. If ',at so lorated,�he—1 r 1 purchase
a "Tap and Side Sewer" Permit and t)W-Pgencv?"i111l:n I lateral.
4-71-�4xt
rall forinspecti,in 639-41'7175
C�
_
/l;2-'l
Residential Buildinic�ation
Ciat�• of Tigard g Permit Ar%r
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jo°asiteAddress: 51J �.SCer.:.iiv. (�✓ ,_ -ate
Subdivision: Lot# �_ Office UsQ Only
Valuatior .� r�- �/ -a - Contact Date ___J / Initials
T—" Result _
New Construction Only: (Square Footage)
Planck/Rec # / y �
House: .3 ZO Garag(., ��yg Permit #
-- Reissue of
Corner Lot? Y Flag Lot? Y (5�) Map & TL # -2,51 L►c. Cr �� Z t
Zone
Owner: s. L� Plat #
Address: z 00k �'.�����7r�_p�) ApProyals Required
1rj ro Planning Setbacks _ Solar M(_
-"-T`-- Engineering _
Phone: L_>� -� L - 6_.. ,�------ Other ---
Contractor: �� ���R,,��r � (� Items Re uired
Address: — �$q/`�iG �¢f�- � — Subcontractors _ -------
-- Truss Details
----_— --- Other -
Phone. Notes
Contractor's License #
(attach copy of Curren} Oregon icense)
Contact Narrie: _ . [V`4 C/1// G
/
Contact Phone:
Subcontractors: Arch itectJEngineer:
Plumbing: �, -_---__ Address
Me�-hanicai:
(attach (.QDv of currents OR Contractor ►icense)
Plicne
JOB L�ES�R T N.
App ica , ynaturw i ---
Applicant Phone nurroer
Received bv:
- ------- Date Received
Permit# Account Description Amount Am Pd. Bal. Durr,
f
Bldg. Permit (BUILD)
Plumb. Permit (PLUME) !iU,
Mech. Permit (MBCH) �'' •v✓
f tat Tax (TAX) . U
Plumb: /
Mech:
CLQ vJ /
Plan Check LM q "tiT�C� n✓, � ��
Bldg:
5�
Plumb:
Mech:
0; Sewer Sewer Connection (SWUS �) c2c 2 el I)
Sewer Inspection
Parks Dev Charge (PKSDC) UU
Residential TIF (TIF-R) U 1-� ✓
Mass Transit TIF (TIF-M-11
Commercial TIF (TIF-C)
Industrial 'i IF (TIF-1) _
Institutional TIF (TIF-IS) __..-
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) ,
Erosion Cntrl Permit (ERPRMT)
Erosimi PlancklUSA (ERPLAN)
erosion Planck/COT (EROSN) �(U
TOTALS:
Community Development ELECTRICAL_ PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Phone (503) 639-4171 Permit #
FAX (503) 684-7297 Date Issued
CITY OF TIGARD Issued b
TDD No. (503) 684-2772 Y __ y
Inspection (503) 639-4175
[Address
Job Address: 4. Complete Fee Schedule Below:
me of Development �r
- �� C_2____ Number of inspections per permit allowed
—_ Service includedItems Cost(ii Sum
City/State/Zip 7Re"sidenflattial-
per unit 4
as.Name (or name of business) S// �lL�On/I 500 eq Ft orCommercial ❑ l $25 ooReGidential 825 00
Each Manurd Home or Modular
20. Contractor installation only: Dwelling Service or Feeder --_ WOO
4b. Services or Feeders
Electrical Contractor //�� Installation,alloration,or relocation 2
_[_12 tr e y S n `t _
Address -� 1� j �� -�-- zoo amps or les,; $61000 2
C K r5 G Lac], 201 amps to 400 amps
City_ /z State,�(�`_ Zip_�� 401 ,:Writ,to 600 amps $120 00 ,---- 2
801 amps to 1000 amps 2
Phone No.—Z211 $+eo no — z
/G��-
Contractor's Over 1000 amts or Vona
$34000 2
License N0._:t d �[�S> _��" Reconnect only
Contractor's Board Reg. No. $5000
—1 4c. Temporary Services or Feeders
Signature of Supr. Elec'n Installation alleral,on,or reloral,on 2
200 amps or loss $5000 7
License No.—/S npPhone 201 amps to 400 amen -------
401 amps to e00 amps loc$75on —_--
Over eon amps to+noo Voda Etoo 00
2b. For owner installations. Asia-b.awe
Print Owner's Name 4d. Branch Circuits
Address �� — —' -- Now alteration or extension per panel
-"-- e)The fee for branch arruds evifh
City State —
.._.r- Zip_ Purchase or serrire Or Moder Are.
Phone No Ea ?
ch branch cac:ult $5 00
--' - —.-. b) The fop for blanch circuits Wilhouf -
The installation is being made on property I own which is purchs"of service or Malec Am.
not Intended for Sale,, lease or rent. First branch circuit
Each additional branch chard
$500
Owner's Signature -----
--"—`— — --. 4e, Miscellaneous
3. Flan Review section (if required): Each plump o rvice ongp,eond�,r POt included)
$4000
Each sign or outline lighting $4000 - —
Please check appropriate Ilam and enter fee In section SB. Signal clmudle)or a+,coded energy w —
4 or more residential on is in Ong structure panel ale(10n or extension AWf-(� S4(,()0
Servlco and feeder 225 amps or more Minor labels Ito) E1000e _
System over 600 volts nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable In any of the above
as described in N.E.C. Chapter 5 PPr irapp+hon
Per hoc❑ f35 UO
Submit 2 sets of plena with applicalion where any of the above __
'n Plant ESI,00
apply. Not required for temporary construction services. —
5. Fees:
NOTICE So. Enter total of above fees $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5 Surcharge(05 X total fees) $ --"----
Subtotal $ --
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION CH WORK IS SUSPENDED OR ABANDONED FOR plan Review if required(Sec;3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ —
COMMENCED
❑ Trust Account N
$
B81ance Due $
�U
Solar Balance Worksheet
Address _— —
Box A calculations: North-South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the Nor'n !at line and drawing an
m ersecting line perpendicular to that point. Measure the distance from the midpoint of the
Nrorth lot line to the South lot line along the desc,ibed ! ne. --- --
Box B calculations: Shade point height from your structure. Box B:
1 . Determine whether measurements will be based on the peaK or eave of your
structure. The orientation of the ridge is also important. Which describes
your lot?
I a: If +he roof line runs North-South, measurements will be based on the peak of the (Circle one)
roof.
to lb tc
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.
1c: If the roof line runs East-West and the roof )itch is 5/12 or steeper, measurements
will be based on the peak.
>' ft
2. Measure change in elevation from front property line to finished floor elevation.
± ft
3 Measure distance from finished floor elevation to the affected peak/eave.
ft
't. If the roof line runs North-South, deduct three feet. If the roof line runs East-West,
deduct nothing.
5. Subtract one foot for each foot of difference in elevation from the front property ft
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. I = _ — _ _ _ =
6. Total figure for box B: _--- _-- ft
Box C. Distance to the shade reduction line. Box C:
1. MP83Ure the distance frcm the North property line to the foundation. ft
2. Measure the distance from the foundation to the affected peak or eave. ` ft
3 Total figure for box C: _
ft
Solar Balance Point Standard
Box A. North-South dimension for the lot Box B. Shade point height from your structure:
SM A.ed North-go
the middle of the house Change in elevation from north property line to
msAthe finished floor elevation added to the height
of the buildino from finished floor elevation to
the affected peakieave. If the roof line runs
feet NIS, subtract ! fust from the figure.
2 q feet
Boot C. Distance to the shads reduction line
Distance from. North property line to
foundation added to the distance m the
foundation to the affected roof peak.
7 Feet —�
�._._
The following helps explain the graph below:
The horizontal axis (rows) tepreeents box "C" figures.
The vertical axis (columns) represents bbx "A" figures. propriate
to draw a vertical line to represent th o tP ate figuref founnd
ed
It is most useful
found in box "A" and a horizontal line to represeIit the appP determines the
" . The intersection of the vertical and horizontal lied to the value in
in box C "D" . value in box "D" should be compared
value found in Sox
The val d in box
box "B" ; if the value in box "B" is less than or equal to the value four
"D" , the building is in compliance with the solar balance code.
Distance to
100+• 95 90 85 8�0 75 70 65 60 55 50 45 40
shade
reduction line
fl-om northern
lot line in feet
70 40 40 4041 2 43 44
65 38 38 3k3 39 0 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 32 3.2 3335 36 37 38 39 40 41 42
30 30 30 31 32 33 34 35 36 37 38 39 40
40 28 28 78 29 30 31 32 33 34 35 36 37 38
45
35 26 26 26 `l7 2 29 30 31 32 33 34 35 36
30 24 24 24 25 2�6 27 28 29 30 31 32 33 34
25 22 22 22 23 2 25 26 27 28 29 30 31 32
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22, 23 24 25 26 27 28
10 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 - 16 17 113 19 20 21 22 23 24
Box "D" Maxitmlm allowed shade point height.
2 'y feet
r ;
�oVN IL�� �u�
Carlson TestingInc. 1:O"tom«"1rul;�n Mated Teats
--- , Grr(ft-Mloa(CartaulMV
.
November 10, O. &!!23814
1995 poet-It• P
1194rd,Or0QM197281
re )v Pho99(603)61W.480
#95- 4535 CQ'or' r ?= o I'AX(503)8"54
orr
Shelburne Development
7008 S .W. N
yberg Road
Tualatin, OR 97062
GEOTECHNICAL REVIMI OF SLOPING LOTS �,i�
HILLSHIAE WOODS - LOPS 13-16, 23-25, AND 100
S.W. HILLSHIRE WOODS DRIVE
TIGARD, ORFr;0N1
At ,your request, Carlson Testing Inc . (CTI) has
the slope conditions at the above- referenced lots .
Plans
a review of
plans that we have received indicate that the subject lotsextendfeel to the west of S.W. HI
llshire woods Drive, with the homes occupYjng
the easternmost 60 to 70 feet .
Trees and natural Vegetation occupy much of the western half of the
lots. Over the majority of the building
Is fairly level with onlyg footprints the ground surface
Beyond the west edge of the buildingsr hP n the west ,part of the homes.
old logging road is grade steepens to 2H: 1V. An
grade becomes a present beyond the western edge of the lots end t►re
approximately iKH: 1V in the vicinity of the old road.
Several large tree stumps were observed as well as Portions of downed
trees, indicating past loggingactivities .
significantly Past hathe Logging likelYThe etookumps pla ee about50years ago. Our observations also indicated that a few trees had been
uprooted and blown down, probably by high winds .
appeared to have occured at least 50YPlts ago. These events also
During our slope review we observed only
This indicates shallow soil slight bowing of a few trees .
proposed home, creep only. "'
, - is our opinion that the
are compatible with the slope conditions of. the lots .
suitab
Based on our observationswe anticipate that spread le for We
Support. footings rare
Based on our probing, we estimate that the footing excavatlons should be
taken down to approximately 3 feet depth (on level
roun
real-h suitably stiff native soils. Footing-to slope a)�Cec
ll order o
should be a minimum of 8 feet horizontal . CTI should be rete'lined i;o
review the foundation excavations.
........,.. . ._......,.......e...,.....ti.w..a..�r,a•..tip•- _ -....,.......__. . .._...,,,...a,.,,,.wl...,.:�:�.r—".�..,,-..•rid411t�u.ua•.....,tiy...,... _ .,.......•.... .....
95 -9535
Page 2 of 2
Our reports pertain to the material Inspected only. Information
cont.ained herein is not to be reproduced, except in full , without prior
authorization from this office .
it there Are any further questions regarding this mat please do not
hesitate to contact this office . Baia ?R(I
Glhr
Respectfully submitted, 14743
CARLSON TESTING, INC . 0
OrIECaw
Sean L. Caraway, E. I . Jamrie, P.�
Engineering Associate Geotechnical Engineer
,
a
20 '
k `Jl
8' -
f
4
I �v
W XX
S .c�-? �!/(rte.SNi�� c.✓oc>�s- G7.t',
Nl[-L5N/2£. c.JaC�/7S �"NE.t.t3ucCnr£,
| �
�
�
| �
| PLUMBING PERMIT
/ 1 T
Y
OF
� ARD40WI
PERMIT #. . . . . . . :
! GDATE ISSUED: 08/28/96
K������K���. .
! / mr`nTvv*omWw r�m�.m�^n w��x°nmu ,�oo)mmw'wn
PARCEL: 25104CC-HW02'-
SW ASCENSION DR
SU86I''15ION. LSH IRE WOODS ZONING:
| 81-0_ 1. . . . . . . . LOT. . . . . . . . . . . . . .25
' | ------' -- -----------------------------------------------------------------
OF WORP :OTR GARBAGE DISPOSALS. : 0 MOBILE HOME GPACES. : 0
} !-/,:-E JF USF. . . . .SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
U��� �1ANCY GRP. . :Fu FLOOR DRAINS. .. . . . . : 0 TRAPS. . . . . . . . . . . . . . : @
. / STO1K F WATER HEATERS. . . . . " 0 CATCH BASINS. . . . . . . : @
|
FI -AUNDRY TRAYS^ ^ ^ ^ ^ : 0 SF RAIN DRAINS" ^ ~ ^ ~ N
. 5|NK� . . . . . ' . ' : 0 '}RlNALS : � GREASE TRAPS : 0
� . . . . . . . ~ . . . . . . . . . ~ .
| _qVATOP �2S. . . . - m 0 OTHER FIXTURES. . . . : 0 |
)8/SHOW[H5. . . , 1 0 SEWER LINE (ft ) : NTUA(. ATIN OR 9727162
Phone #: 692-6383
i
7008 SW NYBE �G RD PRMT 11 15. 00 LA 06/28/96 96-263342
�
MASTER' S TOUCH SERVICES INC
DONALD BURTON
220L 5W MICHAEL DR
WEST LINN OR 97068
Re q 1509
REQUIRED INSPECTIONS
T�,is permit is issued subject to the re ulations contained in the RP/Eic�if`IE)w Pt-ev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final lyic;pection
applicable laws, All work will be done in accordance with
approyed plans. This Dervit will expire if work is not startpd
w!thin 18@ days of iss,jance, or if w suspended for more
th-i 180 days.
lsso-led By : JY J41A
Call fot, insper % tor 63 )-4175
�
|
�
-'
i
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec.
Permit #
13125 SN► Hall Blvd.
Tigard, QR 97223
(503) 639-4171 MINIMUM $26.00 PERMIT FEE + ST. SURCHARGE
New,:+Ingle Fami• ly Residences On
or owed �
µn e ' e 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
❑ 3 BATH HOUSE$225.00
Job � C SC�n Fee includes all plumbing fixtures in the dwelling and the first 100 feet
Address aiwOW• Z'
of water service, sanitary sewer and storm sewer. See fees bo ow
► FIXTURES QTY PRICE AMT
9.00
16e i,ei Sink � 9.00 J
P7 I-avmory
dbon ,ee,M. n 9,U0
9y��K� ```
Tub or Tuh/3haw®r Comb
N 00
_
Owner / / 9.
� —
cry�N. ZIP Only 9.00
Water Closet
9.00_ —
Dishwasher
— N. .i«�....r Uuo.h.l 9.00 _
Garbage Disposal_ 9.00
OccupantMM.7;;Add,„. » Washing Machine Floor Drain 9.00q 00
ZIP Water Heater
;mrrs�.r. 9.00
Laundry Room Tray
• 9.00
Urinal
-- NN.. Other Fixtures (SpPcity) 9.00
9.00
r_� C S� -- —
Ph—
M.Niq2202$.W•Michael Drive _� 9.OU
Contractor 9 00
Weft Linn,OR 970ti8 -- -
-
Sewer tat 100 _ 30.00
cd.,n,,. T..N. Sewer-ea. Addit. 100'
?.5.00
sn.R.a.a.un N. 30.00
Water Service 1st 100' _
25.00
I hereby ackncwledge that I have read
this ovynercorlauthoh fled agent of
Water Servic ea. Addit. 200' 30.00
information given is correct, that I am Storm &Rain Drain 1st 100'
the owner, that plans submitted are in compliance with State laws, that 25.00
1 am reg-stered with the Construction Contractor's Board, that the Storm 8 Rain Drain AddR. 100' 25.00 I
number given is correct. (Ii exempt from State registration, pleasr+ Mobile Home Space —
give reason below.) Back Flow Prevention g.00
Device or Anti-Pollution Device
o... Any Trap or Waste Not 9.00
,gyp ,I—,-•0•”" Connected to a Fixture
----------- 9.00
�' repair Catch Basin
Describe work new (� addition Q alteration (� (7 40.00/hr _
to be done residential Q
non-residential O Insp. of Exist. Plumbing 40.00/hr
_ Specially R.squested Inspections
Existing ure of Rain Drain, single family dwelling
30.00
b,-ilding or property - - Residential ba ackflow Preventlon 1500
devices _
Proposed use of
building or property (Except residential backflow
prevention devices)
*Minimum Fee $25.00 SUBTOTAL
NOTICE
5%SURCHARGE
AUTHORIZc7D IS NOT COMMENCED CONSTRUCTION
COMMENCED WITH N18 UN DAYS, OR IF o _
COhISTRUCTION OR WORK IS SUSPENDED OR ABANDONE=D
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL �-
_oMMENCED r -
I — TOTAI--- ---- -
Special Conditions --
CITY OF TIGARD
13125 S.W. HALL BLVD.
'TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
DRYER & SONS
5536 SE WOODSTOCK BLVD
PORTLAND OR 97206
Electrical Signature Form
Permit # . . . . : MST95-0455
Date Issued. : 03/26/96
Parcel . . . . . . : 2S104CC-HW025
Site Address : 13299 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . : Lot : 25
Zoning. . . . . .
Remarks:
PATH I
Your cornpany has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be \,alid, 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 -eceived.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
IMNER : ELECTRICAL CONTRACTOR:
SHELBURNE DEV DRYER & SONS
`1008 SW NYBERG RD 5536 SE WOODSTOCK BLVD
TTJALATIN OR 97062 PORTLAND OR 97206
"h,mr, If : 692-6383 Phone 4 :
Reg # . . : 1114
Signature o vis
Superie-ctrician__
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line:639-4175 Business Phone: 639.4171
Footing Rain Drain Criver/Service
Foundation FINAL:
Water Line Ceiling lu
Post/Beam Mach. Shear/Sheath Framing Mech.
PIog.Und;Flr/Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough in G -Elect.
Gyp. Bd. -Bldg.
San. Sewer Gas Line
Appr/Sdwlk Heins,
Other: , 7
Date: ZdtA. -
Address J 3��j fit M — Entry:—� -
Tenant:
--- Ste:- - MST:
Con/Own: BLIP:
MEC:
PLM:
;E FnLLOWNG CO RECTIONS ARE REQUIRED' ELR:
I spector:" "�
Dat _
r _ e
-APPHOVFn __DISAPPROVED/CALL FOR REINSP.
/CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone. 639-4171
Footing Rain Drain Cover/Service FINA
Foundation Water Lina Ceiling -Plumb.
Post/Bcam Mech. Shear/Sheath Framing Mee
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp Bd. Bld
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _ _ _
Date: 1 l A.M/. P.M. Entry:
Address:
Tenant: _— !G .z,. — -- -- Ste:_ MST:
�c�, BLIP: - -- —
Con/Own:� <r---Lac'_ -�--- -- ---- MEC:_-- -----
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: FLR:
Inssp/pec__tor: - Date:
--�PAUVEO —DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plurn .
Post/Beam Meeh. Shear/Sheath Framing -Mech.
Plbg.Und/FINSlab Plbg.Top Out Insulation -Elect.
Post/Bean, Struct Mech. Rough-in Gyp. Bd. -Bldg.
San. Sea er Gas Line Appr/Sdwlk
Other-
Date: f �` ---- A.M. P.M. Entry: �_ _
Address: - , -7- -��-'�d�-�.� L:IcJ
Tenant: _.. -...-—_—.. _-. -_. Ste: MST(q5-0-
_-
BUP- - --
Cnn/Own: MEC . ---
F-�F�-t--Y�-.._---- ------- PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR
In pector. Date: `J
PROVED �.DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639 4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling Plumb.
PosUBenm Moch Shear/Sheath Framing -Mech.
Plbg.Ur d/Fh/Slab Plbg.Top Out Insulation r-Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other �_— ----- --.-- -----
Data: _— I 3?._'_7—lre--. A.M. ----PM � �--� Entry ------—(
Address:
Tenant _ __-__ - --
St _ MST:
--- — -- BUP:
L -- - - MEC:
Con/Own: PLM: -�---
�' ELC:THE FOLLOWING CORRECTIONS ARE REQUIRED ELR:
Inspector (/�f( CeR- LL Dat _ ,i�-L
APPROVED DISAPPROVED/(.:ALL FOR REINSP. CF CO
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