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"f� AvaeOvsaafo rloW WAZIM To ver WMA-mm ^1+'�1, • x r I dr 4 I/ I 9. 0WAVtL M"L9 AftA10 Wli4 P*• OF A-No"00 40%X\WMISN ftt!7 ' NY air GOA 4r w PRO►1r6Cr S^rt9rr mum d&..t./lye. bD ON ERC�ak�V C�rrnQ�' 1 b SITE P LOT W HILI SP1Yt _klk� CITY OF HARD IIA4 44NGTON COUNTY OREWN ✓✓ C 24TRACTOM R. , FULLERTON COMPANY ® 1995 POLLARD t HOSMARZ DESICsNER$ INC. 2034 2034-5 * tl'• r i' +t., M a'ir's' i'a ,: '�""} { �I'M:w)'c";� ''•t ` ► µ�'ie.-A: ws"Womw oft a imp,ommp I ►s. NOTICE: IF THE PRINT OR TYPE ON ANY 111I1Jill 11 I1 1 11 1I 1 Jill I I 1 I 1 I 61 I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 4 _5l III I III I III I I�ITI III I III IIII I$I l III I III II_I I I I III I III I I I I�I�I I I I I III II I(]I I Il l i 11 I III I V I�I�I Jr1Cz `7/ ��/'J�L/1 IT IS DUE TO THE QUALITY OF THE III�III_IIIIIIIIIII�ll III I I IIII I I�I I I IjI IIII II IIL�IIIIII�IIII�IIII�IIII I II1�111 � i � T►t�� S t t �111�11 tI►11�11111I 1 1i 1 l,I �l�8lll��lG��lIll�l9 lli v 4 No-36 8ORIGINAL DOCUMENT GZ8 'Z E Z Z t11111111111 8 II 9 1111181t11111 11 1t 1111�121111. _�t 7B113N 1� U 111 1�If�111 i I i i � I 12434 SW ASCENSION DRIVE CITY OF TIGARD 24-Hour BUILDING Inipection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-41-,'l MST �U' 2 ' Received —__Date Requested BUP _ __— AM—.__-- Location �Tc�/ PM-- — BUP ��►' S1�r�--�y --------Suite—.---- MEC Contact Person , -- --- --- --- Ph PLM _ Contractor---_ - --___— —_-_ --- —_ . Ph( —) __------ ------- SWR Tenant/Owner --- _- Footing _---_--________ -- ------- -- ELC -- Foundation Ftg Drain Access: ELC __---_-_-- - Crawl Drain ELR Slab Inspection Notes: _..— Float&Beam SIT --_ - - Shear Anchors -- ----_-- - -- - - -__-_ Ext Sheath/Shear -- - - - -- --- - Int Sheath/Shear Framing Insulation - ---- ___ Drywall Nailing _ �- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- Roof F - --- ----- -- S PART FAIL ------- Post& Beam --- -'_._ -------------------- ----- Under Slab -------- - -. - Rough-In --- ------ ---- - - ------ Water Service Sanitary Sewer ---------- ----- --- Rain Drains _--_ Cetch Basin/Manhole - -- - ----- -___ Storm Drain -- _ Shower Pan ---- -- -�---- Other: -- Final --- -- - PASS PART FAIL ---- - -_--__- MECHANICAL_ ----- —— Post&Beam ---- - - ------ Rough-In _ r - Gas Line / y�----- -.•- --_.-.. Smoke Dampers Final - - ------ PASS PART FAIL -- -- ELECTRICAL — - - --------- Servire ---- - Rough-In -— -_---- -- -- UG/Slap -- -- Low Voltage --_- --------- -- Fire Alarm -- --- ---- -- -- Final ---- - --� ❑ Reinspection fee of$_- rP uired before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS _PART FAIL q SITE ---- ❑ PlPase call for reinspection RE: Fire Supply Line - - [I Unable to inspect-no access AOA Approach/Siriewalk Dates Insp�Mar Other: - �� Ext Final - — DO NOT REMOVE this Inspection record from the job site. 1 ASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION "$TC 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ A6) � Date Requested— AM __–PM BLP Location 414 L l;�K, __ Suite _ MEC Contact Person ^ _-- _ Ph PLM Contractor -- _ Ph SWR Tenant/Owner _ ELC Retaining Wall - ELR Fonting NOT REQUESTED —�--- --- Foundation FOUND DURING RES)EARCII FPS Fig Drain Crawl Drain NO INSPECTION(s) IN FILE SG:N — --_— Slab Post&Beam - SIT - Ext Sheath/Shear Int Sheath/Shear -- -- ---- Framing - Insulation -- ----- - ---- -- Drywall Nailing Firewall - ----- Fire Sprinkler _ - Fire Alarm Susp'd Ceiling/ --- ---- ------- -_.---- Roof ----- Fin z g ASS PART FAIL - PLUMBING Post&Beam -.-_- ------------ - -- -- - --- Under Slab Top Out. -- ------- _- - _-_ - - ---- -- Water=e vice Sanitai y Sewer -- -- - - --- -- ---- - - Rain Drains Final ------ --- ----_- ---_-- PASS PART FAIL _— Post&Beam - --- ----- - -_- — _ Rough In Gas Line -- ----- ------- - - - -----_ _ Smoke Dampers Final �- _- - ----- -- - PASS PART FAIL ELECTRICAL -- -- -- — --- --- Service Rough In - -�---- - -- UG/Slab -- Low Voltage --- Fire Alarm Final ---- ----- -__.-- - - ---..- PASS PART FAILSITE - --- Backfill/Grading - --- -- - -----._- Sanitary Sewer Storm Drain ]Reinspection fee of$--__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection Rt -- --__ -- ( J Unable to inspect- no access ADA Approach/Sidewalk Other — _ Date - ------------- Inspt--tor - -------_ -- ---- --Ext Final PASS PART FAIL DO NOT REPROVE this inspection record from the job site. CITY OF TIGARD T DEVELOPMENT' SERVICES �AS'-'T F'FI:MIMT F'#. . .T #t. . . . . . . MST99--00,`O 13125 SW Hall Blvd., Tigard,OR 97223(503)6394171 I)ATC T 1.3!-a1JFID: 01 /27/99 1"'f1RCE'L.: '�1.01rCI3--04 400 [T'� F#DDRES` . . . : 1343A 5W F1' :E fti��T014 UR "lJTI)IVISICIN. . . . :IlIL.L_Si-IIr\E W11ODS 7T)NIN(3— 11 --7 F11) ''LOCK. . . . . . . . . . L.OT. . . . . . . . . . . . . :rl_90 JURTSDTCTTON: TTG �emarksi Add a deck, BUILDING _____._..----------------------------------------------._.------ tI55UE: STORIES.... 0 FLOOR AREAS---------- BASEMENT...: 8 sf REIIJIREO SETBACKS---- REGUIRED�- _A;S Rr WORK.-.ADD HEIGHT,.......: 0 FIRST....: "4s sf GARAGE.....: 0 sf LEFT..........: 5 SMOKE DETECTRS: TYPE OF USE... SF FLOOR LOAD....: 50 SECOND...; 0 sf FRONT.......,.: 40 PARKING SPACES: 0 'YPE OF CCNaT.:SM DWFLIING UNITS: 0 ;INBSMENT: 0 sf RIGHT.........1 5 '7UPANCY GK.:03 ADAM: 0 BATH: 0 TOTAL------: 225 sf VALUF_11; 4508 REAR..,.......: 72 PLUMBING --------------------------------------------------------------- "INKS.........: 0 WATF.13 CLOSETS.: 0 WAShING MACH..: 0 LAUNDRY TRAYS,: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 IVATORIES...... 0 DISHWASHERS...: 0 FLOOR DRAINS..; 0 SEVER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: ? "UB/SHOWER°...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS.,: OTHER FIXTURES: 0 ___ ---- MECHANICAL -------------------------------------- ----- -------------- -9EL TYcES------•-----` FURN ( 100K 0- BOIL/C4P ( 3FP: 0 VENT FANS..,... 0 CLOTHES DRYERS: 0 FL W )=100K ..: 0 UNIT KATERS..: A H04D5........... 0 OTHER UNITS...: 0 MAX INP.: 8 BTU FLOOR FURNACES: 0 VENTS.,.,.....; 0 WOODSTOVES....1 0 GAS OUTLETS...: 0 ---.________ _ ELECTRICAL -RESIDENTIAL. UNIT--- ---SERVICE/FEEDER---- ---TEMP SRVC!FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS----- --ADD'L 145FEC7 1000 SF nP LESS: 0 0 - V- amp..: 0 0 - 200 alp.,: 0 W/SVC OR FDR,.: 0 PUIP!TRRIGATTON: 0 PER TNSPECTTON: EA ADD'L 5MF.: 0 201 - 400 amp..: 8 281 - 480 amp..: 0 1st W/O SVC/FDR1 0 SIGN/OUT LIN LT: 0 PER HOUR...... : 0 _IMITED ENERGY.: 0 401 - 508 amp..: 0 401 -- 600 amp..: 0 EA ADDL BR CIR: 0 SIGNALJF'ANEI..,.: 0 IN PLANT,...... 0 ^!ANF HM/SVC/FDR: 0 60l - 1000 amp.: 0 681+amps--1000 v: 0 MINOR LABEL -101 0 1080+ amp/volt,: 0 -------------------------------------- PLAN REVIEW ^ECTIDr1 Reconnect only.: 0 )24 RES UNITS..: SVC/FDR)41215 A.: ) 600 V NOMINAL.: CLS AREA/SPC OC!' -------,-----------------------------••-- Fl 7 rRiCAL -• "ESTRICTFD ENERSY -- ), SF RESIDENTIAL------------ ----------- B. COPMERCIAI------------------------ -----------------_------_ !UDIO I STEREO.: VACUUM SIS TEM,.i AUDIO I STEREO.: FIRE ALNRM,...,: INTERCOM!PAGINC: OUTDOOR LNDSC LT, 11IRGL.AR ALARM._: 0TH: :; BOILER.........: HVAC........,.... LANDSCAPE/1RRIG: PROTECTIVE S19NL: "ARAOE OPENER..: MCO..........: INSTRUMENTATION- MEDICAL,......,: OTHR: WAC...........: DATA/TELE COW.; NURSE CALLS....: TOTAL 1 SYSTEM,': 0 .wner: ------------ Contractor: -- --- --------------._____.__ T074L FFF9:t 1:1.BE -RIC 3 HAYES KISER CONSTRUCTION This permit is subject to the regulations containe, 1434 SW ASCENSIDN DR TODD STEPHEN RE19ER Tigard Mlinicipal Code, State of '.1re. Specialty Cod' 'I6App OR 21735 111LLAMETTE DRIVE other applicable laws. All work will be dors in ?c WEST LINN OR 970,8 with approved plans. This permit will expire if wnrt ;t one 1: Phone 1: 723-7080 not started within IN days of issuance, or if the work is Reg 1..1 133130 suspended for more thei 180 days, ATTENTION: lreTj,- __----________..__________.-___..r_______ requires yozi to follow rules adopted by the Oregon "7,tification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952 081-8080. You say obtain copies of these rules 'irect questions to OtRC by calling (503)246-1987, _---•—-------------------_------ -- -------------------- REQUIRED INSPECTIONS ------------------------------------------------------- aoting Tnsp -ost/Beam Struct aging Insp ndIding Final F,uted K Permittee 5i nattir,e° 4..4f4+ ? : ! f i : I + r l I ++a 9 + + 1 + 1 1-.1 f i. 4_4 I, r , Call 633--4175 by 7:00 p. m. fat- an i nsspect ian neederl the ne>(t t)l rte, i t,r. ,CITY OF TIGARD Residential Building Permit Application Plan Check#_. / Recd By 1 13125 SW HALL BLVD. New Construction Date Rec'dI a, TIGARD, OR 97223 Single Family Detached Date to P.E.._1 0 -rry ¢-- V 503-639-4171 Date to DST F 503-684-7297 Permit# L ry � Print or Type / Called i'�'0L y-_�f/-1 Incomplete or illegible applications will not be accepted gp,,kvj> sv Alk5 REr�e, - ---- Name of Project- /fes1�6 yp Name Job _..E��S..__0 Ai!" —--� ailing Address Address site Address . , Architect ---_ jjq jqCtJ_ City/ to Lip PhoneName 11 _ Owner Mailing Address — - --- Name �`\` ---- I Engineer Mailing Address - — City/State Zip Phone - - 1 - City/State Zip Phone General Name Contractor "t ,J Describe work New O Addition Alteration O Rbpair O Mailing Address to be done Prior to permit Z7 --)3S W , Additional Descrip ion of Work: issuance,a copy `Ci'ty/State Zip Phone of all licenses 1�.1 r, Lxt'-1 61-) lobo are required if Oregon Const,Cont.Board Exp. Date PROJ-.CT / I O expired in COT Lie.# t VALUATION L _ _database 4 3 O !-- — Mechanical Name NEW CONSTRUCTION ONLY: Sub- Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address -- --- --- Prior to permit Indicate the restricted energy installation by the electrical Issuance,a copy City/State hone subcontractor he followin areas of all licenses , \ Restricted Audio/Stereo are required if Oregon Const.Cont.Board Exp. Date Energy stem Alarms ?Xnired in COT Lic.# Installations Vac dtTl Irrigation database S stem� _System Plumbing Name— - (check all that Other: ��- Sub- _ Number of Units in wilding Unit Number ) \ion Contractor Mailing Address Has the Subdivision Plat recorded? N/A YES--j NO Prior to permit City/State Zip Phone X issuance,acopy -of all licenses are Oregon Const.Cont.B and F p Date required if Lic.# expired in COT - - - database Plumbing Lic # Exp. Date I hearhy acknowledge that I have read this application, that the information given is correct,that I am the owner or authorized atlent of the owner, and that plans submitted are in compliance with Name Oregon State laws. _ Signature of Owner/Age -- -- Date Electrical - --- --, - - /- /2-17`1 Sub- Mailing Ad ass Contact Person-Name Phone;1 Contractor — —1`CUi>> lti E_t S i R, ---- b 13 City/State Zip one Prior to permit issuance,a copy FOR OFFICE USE ONLY: of all licenses are Oregon Const Cont Bo I Exp Date -- Plat# Map/TL#: required if Lic.# Q� i1 L'Q `OyC ` expired in COT --- - database Electrical Lie # xp Date — S_gtbacks: ?_one: .7 111��6 Electrical Supe or t_ic # Exp to Engineering Approval: ni Planng proval r )U/� - yr -- - �_^'LLQ__- Tr I - L_S/5�/�E- LG,, G7 (?0 1\dstsVormsbfd-new doc 11/20/9& t e. t"' ............. -.rnr.-sem ?`. - rFe� ,:'��n*,�{>'ia>' '�.r .. w - �•.t. -;.��a+`.��6� �'??,.,. W� :*.=. �iix._,�-' �;.3 . �.n;�v � SEE 35MM ROT #20 FOR OVERSI D DOCUMF-.NT L �'�f,"a`;°�st'�a�y�' �"' r. '`� iYi' i k��h hrti�,�'��, Y}p�.��. �. 5• r�'+�� • s • e • s • • ) ) M V Y O r • • � � ) o u, s CO CD 1� x O _ 41 W J (� J 2 LU S c� J ! O 1 e J J Pz - p uj Lin x S r1 0 0 w N J O . s a • • e e • • i :Q � � U , • i �G V1 ui pi04 J O N T 4 -- V So z a � p P F � LL 1 z IS P° Z � a - :1 •r••11�(IFai�wewuewr..vn•� a+ trr 1 r'•�,., CITY OF TIGARD MASTER FIERMIT DEVELOPMENT SERVICES FIERMIT #. . . . . . . : MST97-0391 AM 20M 13125SICH811Blvd., Tlgard,OR97223 (503)639-4171 DATE ISSUED: 09/ ,0/?7 :SITE ADDRESS. . . : 13434 SW ASCENSION DR FIARCEL_: `S 104CB-04400 SUBDIVISION. . . . :HILLSHIRE WOODS ZONING: R-7 PD BLOCK. . .. . . . . . . . LOT. . . . . . . . . . . . . .090 JURISDICTION: TIG Remarks: Basement finish to shop BUILDING -------- --------------------------- ------------ REISSUE: STORIES.......: I FLOOR AREAS..-------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIPED------------- CLASS OF WORK.:ALT HEIG•IT........ 8 FIRST....: 0 sf GARAGE.....: 446 sf LEFT..........: 0 SPOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0 TYPE IF CONST.:SN DWELLING UNITS: 0 FINB5IEWT: 0 sf RIGHT.........: 0 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL----: 0 sf VALUE..S: 7885 REAR..........: 0 __ �w w__—.. ------- ---------------- PLUMBING ----—--------—--------------------------------------------- SINKS......... SINKS.........: 0 WATER CL.OSFTS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 0 D1SHMUERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft? 0 BCKFLW DREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 -----------------------•------------------- --------- MECHANICAL -------------------------------- - ---- --- - -- ---------- FUEL TYPE5 ----- FURN ( IM ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 8 CLOTHES DRYERS: 0 FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 K,AX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOOD5TOVF.S....: 0 GAS OUTLETS...: 0 ----------- -------- --RESIDENTIAL UNIT--- ---SERVICE/FEEDER-- ---TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS--- --ADD'L INWE;.TIONS-- I000 SF OR LESS: 0 0 200 amp..: 0 0 - 200 asp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 FA ADD'L 5005F.: 0 201 - 400 asp..: 1 201 - 400 amp..: 0 1st W/0 SVC/FDR: l SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 680 asp..: 0 EA ADDL BR CIR: I SIGNAL/PANEL...: 0 IN PLANT......: 0 W,NF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 -------------------------------•----- PLAN REVIEW SECTION ----------------------------..---.- Reconnect only.: 0 )=4 RES UNITS..: SPC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: -_-------------------- ELECTRICAL - RESTRICTED ENERGY -------- - --- -- A. SF RrSIDENTIAL------- ------------ B. COMMERCIAL---- ------------------------------------------------------------------------- AUD1O 4 STEREO.: VACUUM SYSTEM..: AUDIO i STEREO.: FIRE ALARM...... INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: :: BOIL.ER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL I SYSTEMS: 0 Owner: ---------------------------------Contractor: ------------------------------- TOTAL FEES:$ 242.46 FRIG .J HAYES TODD REISER This permit is subject to the regulations contained in the 1?434 71 ASCEySION DR DANIELS REISER CONSTRUCTION Tigard Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 15377 SW WINTERGREEN other applicable laws. All work will be dnne in accordance TIGARD OR 97223 with approved plans. This permit will empire if work is Phone #: Phone #: 641-4435 not started within 180 days of issuance, or if the work is Reg C.: 011477 suspended for more than i8e days. ATTENTION: Oregon law --.._---------------—----------------------------------------- requires y3u to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-901-OLI8 through OAR 952-001-080. You say obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. REQUIRED INSPECTIONS Footing lnsp Electrical Servi Mechanir-al Final Post/Beam Struck Electrical Rough Building Final Post/Beam Meehan Framing lnsp `�— Crawl Drain Low Voltage --- - Mechanical sp Electrical Final Issuedy: __ Permittee Signature: __— 'T ++++++++F+ i+++i+++++++1++++++++•f++++++tiFttF+t+tt++fit+tt�+4. t+++ t+t+}F+t+ Call 639--4175 by F.:00 p. m. for an inspection needed the next business day CITY OF TIGARD Residential Plan Che a Building Permit Application Recd By 13125 SW HALL BLVD. New Cunstruction Additions or Alterations Date Recd TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. V 503-639-4171 Date to DST F 503-684-7297 Permit Print or Type Callisd46f Incomplete oriIlegible applications will not be accepted L r;t Name of Project // Name�� —FI/ Job c.�v�r. sS _� /O �frvc., o rtrrc Address Site Add(ess /) Architect Mailing Address-71 r Name r / City/State Zip /Phone Owner Mailing Address JName ineer Mailing Address City/ F.n_State `4 Zip Phone g General Ne City/State Zip hone Contractor /_,61 Describe work New O Additior 'Alteration Repair O Mailing Address to be done _ Prior to permit r ?; p r E�,� �,, Additional Description of Work. issuance,a wpy City/StateZip q70"o- are of all licenses /% t,v a 11,16 SO t`t r r'-1.50 are required if Oregon Const.Cont.Board Exp.Date PROJECT expired in COT Lic.# _ , ;. VALUATION ] - , s database (Jj / �I J Mechanical Name NEW CONSTRUCTION ONLY: Sub- �� Fq. Ft. House: Sq Ft. Garage Contractor Maihng Address Prior to permit -Corner Lot YES NO Flag Lot YES I-NO issuance,a copy City/State Zip Phone (Ch�mk one) _ (check One) _ of all licenses Restrict , Audio/Stereo 3urglar are required if Oregon Const Con oard NI,Date Energy S stem_ _Alarm expired in COT Lic* Installation _ database Garage Coor HVAC Plumbing Name -- —�— �Operler i Systems Sub- /- (check all thatr Contractor apply) Melling es X Will the electrical subcontractor wifelor all 1 YES NO _ restricted energyinstallations? _ Prior to permit City/State, zips Phone Has the Subdivision Plat recorded? N/A YES NO issuance,a copy �—of all licenses are Oregon Const.ContBoard Fxp Dale required if Lic# Raitsue of MST,": Solar Compliance expired in COT ____ _ (Calculation_Attached) database PiumbingrLic # --Exp. Date I hearby acknowledge that I have read this application, that the information given is correct, that I am the r vner or authorized —� Narne agent of the owner, and that plans submitted are in compliance with Oregon State laws. __ Electrical ( I ; t_�y _ Signature of Owner/Agent) Date SUI:_ Mailing Address ____ I, ,T 117 Contractor Contact Person Nar>Se,� Phone# City/State Zip Phone lyr y/s 'prior to permit FOR OFFICE USE ONLY: issuance,a copy _ _ Plat#' Map/ L* of all licenses are Oregon Const Cont. Board Exp DateI C� ( L C /� VC6—o Y y required if Lic# Setbacks: on Ze: Solar: expired In COT _ I �� <- database Electrical Lic # Exp Date Eagii0eaIjIg Approval: Planning Approval: TIF: I I SFREM.DOC (DST) 4/97 •wre w►, c U) 0 L � w to CD 0- H to m :2 m O m q n O Z � � ptm t ME ..• C O O O V1 O m C) Tj IOU ca .� � 3 � N m (n LO-� it LC V O N Y ui e[-I r 2 4"t Ms Ncc Z E Z 'D `5 «. Z C < c g O Q U C Ln N Q O > Qat U) T 8 c p!;tveg ty6 M,c rJ CITY OF TIGARD BUILDING INSPECTION Dig/ISION MST 24-Hour Inspection Line: 639-4175 C, Business Line: 639-4171 - --�1 J'�_I Date Requested 7 - - AM— � BLIP _----- r Suite BLD MEC h — pct arson L Q11,g.r / _ PLM Cal for _ _ Ph _ SWR — ------_ SUUILDIN 1, Tenant/Owner ELC — R ---7 - -- ---- Footing ELR Foundation Access: — Flg Drain /YV 1 �'�� FPS Crawl Drain Inspection Notes: SGN Slab a-U ,� Post&Beam _ SIT Ext Sheath,Shear Int Sheath/Shear FramingS, Insulation r1��- Com' 7`i'�L�c..� Drywall Nailing Firewall Fire Sprinkler _ y� Fire Alarm Susp'd Ceiling�01 Roof �!/+J"D f ��✓c lZi'mil_. 'ASS PART FAIL .� WING Post&Beam 3/c e! C19 L Under Slab ` Scr�C.. O Top out '•, •vy=-"'� o�G F.faa Water Service Sanitary Sewer �_ �(! Rain Drains Final - PAS"ti FAIL ECh1AN!CAL Post&Beam _ Rough Gas Linea ��`clllk J oke Dampers Fin -�' ASS PART FAIL ELECTRICAL Service - Rough In -- UG/Slab Low Voltage --_--- Fire Alarm _ Final - PASS PART FAIL SITE ----- Backfill/Grading Sanitary Sewer — Storm Drain I )(leinspection fee of$ _—^required before next inspection Pay at City Hail, 13125 SW Hall Blvd ,atch Basin F,re Supply Line I ]Please call for reinspection RF ADA ��- — _ [ ]Unable to Inspect-no access Approach/Sidewalk Other Final _ v nate `— Inspector Ext -. - PAS8 PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGAR-D DEVELOPMENT SERVICES 13125 SW Hall BI vd., Tlgard,OR 97223 (503)6394171 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . a MST96 -0()�,t,r DATE ISSUEDa 01 /30/,)? SITE: ADDRE:SS. . . a 13434 SW ASCENSION DR PARCEL- : 2S 104CC.'--HW090 SUBDIVISYDN. . . . a HILLSHIRF WOODS BL.CICK. . . . . . 7Clhl I NG a R--7 PI) CLASS OF WORK. NEW T'v'PE OF USE. . . t SF 1•YPE Or CONST'R a 5N Ut CUPANCY ORP. :R3 Ot-CUPANCY LVAD a i., Remarks a PATH I Owners -•-__.____...-___ ___. __._____ R W FUl_LEiRTON CO 9 700 SW CAPT I AL. I JWY SUITE 275 PORTLAND OFR 97219 Phone #a d93-227; Contraactora R. W. FULLE:RTON 9'�00 SW CAPITOL_ HWY GU I TE 0 275 PORTLAND OR 97219 Plhune #1 293-2277 ket1 !E. , a 40671 This Cer'tificate graints oCCUpanr.y of the ,above refer'ernr.ed builc-ling t,r- portion thereof anu confims that this building has been inspr�Cted far compliance with, the State of C'"90l1 Sper,'itslty Coder, For the g�-a1.rp, Occupancy, and Use Linder which the referenr_eci permit was iss�.ied. r ._ - ►�I Nf� SPE. .T Cl R ---_..._.. ..._._�.._....._�.. �'__._._._. BUILDING O FICIAL POST IN CONSP I CUOL18 PLACE. II I --- --- | MASTER F,ERMIT CITY OF TIGARD P�ERMIT #. . . . . . . : MGTrj( COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/13/96 13195 SW Hall Blvd.Tigard,Oregon 97223981PO (503)839-4171 P'ARCEL: 20104CC--:iW'0)01 .esarksi 'ATH I SOLAR OK BY D.B. SHME IS NOT TL INTERFERE W n, SOLAR BUILOX ........ WATEP MWS.1 3 WMING I LMRY TRAYS. I FAIN DRAIN fts I TRAPS......... 2 WJW DISP 14 WATER HEATERS.: I WATER LINE ft. 101 BCKFLW PKVINTR: I 9EASE TRAPS— : CTlir- MEDMICAL ----------- FURN W, 0 VENT FANS-- 4 CLOTHES DRYERSi I 4AX INP,i I DTU MOOR FURNACES: 0 VMS. ......1 0 WOO"i OVES.".; a GAS OUTLETS...i I ELECTRICAL UNIT--- --SERYICE,FEEDER------ --TEMP SRVC/FEEDER"j--- ---PRANCH Cl qCIJITS-- ----MISCELLANEOUS- -ADD,L 1 �W IM^ alp/volt. N %AN REVIEW SECTIM � nwrvnnrry only,^ r /~, RES wm^/S. . Sw^',wv~M A.^ , 60 . NOMINAL;= ``" °""~=` "` � ------- ELECTRICAL RESTRICTED EWROY | | SIIXm'/`L m �unn��w� -- ----------- ---------'-------' -- MAC. DATA/71C CO*.. NURSE CALLS—.: TOTAL CYSTMS. 3 | `'t 3W CqP'= "°' 9' 1 = CAPITOL= '~' !ITE Z75 SUITE I 2r. �AND OR 17211 PrITLPND OR 17217 s ptreit is iss,,ed sutjtct to tht rtgulatiors contained in tl�,r Tigard Municipal Code, State of Dre, 3pecialty C-,�Ei and a,, ther '.icablt laws, fill work will be done in acco,,-daxe with app-oved plant. This pe-.,ait will expire if war� !s n�t itar�edi ai'.Ihir. 41'q �ayi; of cir if *ar� is suspended for sort than 130 dayt. Most1eas Struct Piailib Top Out Ls Line Insp Water Lint Inip Plueb Final 1. Mech-an Electrical Strvi Gas Fireplace 4ater Set vice In Building —tinal ti I ERMIT CITY OF TIGARD I-LHMIT #.P. . . * ' * i SWR96 -0(.' COMMUNITY DEVELOPMENT DEPAIITMENT BATE IG)SULD; 03/13/9G 13125 SW H&H Stvd.Tigard,Oregon 97223o8199 (503)639-4171 PARCEL: ;2S104CC--HW0•a0 I TG ADDRESS. . . 134-734 'JW ASCENSION DR ZONING: R-7 Pr, JBDIVISION. . . . . . . . . . . . . . . LOT. . . . . . . . ' E.MPNT NAME. . . . FIXTURE UNITS. . . 0 is;) NO. . . . . . . . . . .. rWELLING IJNIT--. .-LnSES or wopit. . , ;rx-vi -YF"E OF USE. . . . . ;Sr NO. OF BUILDINGS: I ' 'J TALL. TYPE. . - .DUSWR IMPERY sunrAcc: 0 Sr PATH I SOLi)R OK BY J. D. SHADE IS NOT TO INTERFEAR 141TH SULAR wn ei, type a in o 1.tn t; by dLit e W FULi-ERTON CO 700 SW CAPTIPL 14WY 00 CJS 03/ 131/96 1) r. )'TE 275 INSP F 35. 00 cis 03/13/96 9C ",IR"LAND OR W*_219 -,"S' ne #. 193.-.2277 .1.,;vt k,-act or: _ ._— r--_---_—_—'---__- . -.0NTRnCTOR NOT ON FILE. "hane #t j2. Lj3!!,. 00 TOTOL.. Reit #!. . : --- REQUIRED IN 'his Applicant agrees to c"oply with all the rules and r4gulations Srwev- Inspect ic)n uf the unified Seviale Agency. The permit expires 104 days from the date issued. The t-otal amount paid will be forfeited if the pti-sit expires. The Agency does nat guarantee the accuracy of the side sewer laterals. if the sewer is not located at the measurement jjqa�j the installer shall prospect 3 flit in all directions from I - I purchase.hA� 'stance given. ;� not so located, the installer shall purc i 'Tap avd Sidi Sewer* Permit and the Agem , will install a lateral. ffii.";lee S-A ,I By C,jA 11 f c;r inspection 6:,9-4175 C1 1._L__1 Av Residential Bulitdiing Permit Application ' City of Tigard 13125 SW Nall $Nd. 'igard, OR 97:, 3 (503) 639-4171 Jobsite Address: �?7'4 til / SC '�- Subdivision: -WLISIAIM vS Lot# Office Use Oaly Contact Date / t Initials Valuation: .—,-- Result New Construction Only: (Square Footage) Planck/Rec # C))" Permit # ;Y1,s t - 00,; C-, House: C�C-� Garage: Reissue of �l Map & TL# l N F3055 Corner Lot? Y Flag Lot? Y V Zone 1 TT Plat # ' ' <- t Owner: e 1�VJ �V1, i2Tb1�1 �r"l�h1'�y PUE ?S �1nApprovals Regulred ane Address: Q EuJ rT7�L � q Planning Setbacks� —S lar Engineering 2-112-T 5 Phone: L,�03�2-`�'S- 22-77 _— Other � q�(�5 Items Required / Contractor: ��VJ_��1_l-1_C-'1� �I Subcontractors _ ( Address: �j1 Q 6� ��L_— �� '�� Truss Details Other Phone: L 3 -2,-2`77_ Contractor's License # __ O go b7 (attach copy of current Oregon license) �r- Contact Name: _,�T ALJ — �€`� _-- CLAM UA E� WIMDOW 10 U � IF L(vy1 Contact Phone: �3� _�ZZHr-eVL I CAf� r(��q4'>•-Y (�AcE � �lOf`1� .SCIAR 1:fATu�� Subccntractors: /�jjt ' jU�a hltect/Englneer: 1C-a"fAy /1/vs'•�'n� Plumbina: A1VSl'4C<f ddress. 7//0 S1 j 2/0 Mechanical: SKy !a(cW r( 2/Qb 6,W 0 1 Ole `J 72 ;--3 (attach copy of current OR Cont ctpr's License��"Px.� �L�91.� s� hone: L 50 31 lc z 9 - 12- SI JOB DESCRIPTION. F1� ----� 1 `�-`�3 Z Z 7 ? t - f �_ Applicant Sigrii to a )i'�i Applicant Phone number Received by: ' - Date Received: \. Mw�n`evev � Permit 0 Account Description Amount Amt. Pd. Bal. Due I Old,;. Permit (BUILD) 5 }' ...5 Plumb. Permit (PLUMB) 2,25 1 �� Mech. Permit (M►;CH) Bldg: Plumb: _ Mach: Plan Check ��,Y✓ ,7a j�� . ' rir�v V el Bldg: 4.2 7___&DPCN S i�/�� •�• Plumb: -PI,MPtN Mach: MFcPr N Sewer Connection (SWUSA) Sewer Inspection (SWINSP) ' i i Parks Dev Charge (PKSDC) r +TTV 14 70 -- Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) -_ Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) N L Erosion Planck/USA (ERPLAN) 3'6 v " Erosion Planck/COT (EROSN) TOTALS: a i