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13482
13482 SW ASCENSION DRIVE _,
CITY OF TIGARD
.•� DEVELOPPAT 14T SERVICES
1::125 SW Hall Plvd., Tcard,OR 97223 (503)639.4171
CERTIFICATE OF'
OC IJDANCCY
PERMIT #. . . . . . . t MST96--04335
DATE ISSUEDe 03/241197
PARCEL t 2Fi04C'C44W@92
,1TE ADDRESS— : 134132 SW ASCENSION DR
;UPD I V I E41 ON. . . . : H I LLSH I RU WOC'DS ZON I NO:R- PD
`�L.00K. . . . . . . . . . .. LOT. . . . . . . . . . . . . 3092 JURI9DICTION t
:LAS€ OF WORK. :NF_W
I W-S-� OF' USE. . . t SFS
YPE OF" CONST P:5N
ICC..:UPANCY GRP. R3
)CCUPANCY LOAD: I
demarks r Path I
lwner c
.,FIEI_BURNE: DEVELOPMENT
?008 SW NYBE::RG RD
WAL.AT IN OR 97062 i
+'Prone #: 692-6363
Iontract-rt
�HE:LBURNE DEVELOPMENT
WS SW NYBERG RD
111AL.1T IN OR 9704X'
f�hone! ikt 692--6383
#. 42388
i Ce rt ificat e grunts ac c.upancy of the above r•efer•enr.ed bujIc.'iny or portio,.
t•herpof and confirms that the building hss heen insp cted for compliance wit►
`her State of Oregon Sper_i,%lty Codes for the group, c .up,agc:y, and Use under
r•ihich the refer, enced permit was issued.
t)IJILUINC, IN SF'ECTOR ixU:L.D AI OFF l IFaL.
POST IN CON'�F'I CUOUS PLACE
Page No. 2 CASE HISTORY FOR CASE NU.: MST96-0433
SHELBURNE DEVELOPMENT
13487 SW ASCENSION DR
07/10/91
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
14STA725 Framing Insp / / / / 01/14/9/ master bath ceiling joists/hangers FAIL RB 01/14/97 RB
neeat-1; metal plate protect plumbing at
rooster water closet; side nail ceiling
joists hangers thru out; enclose lid of
unusable spaces at entry to library; 4'
skylight framing needs to be doubled
(2); bt.•ap plate at south becirm; hanger
missed at laundry rm ceiling jcirt; 2xr
ceiling j-i..ts over-spanned at liv'ngrm
8 foyer; ceitillg joist missed at
livingrm; fwd gable 8 fm post northward
in garage- colar tie.
MSTA725 Framing Insp / / / 01/16/97 PASS RB 01/16/97 KAS
MSTA72.6 Shear Wall Insp / / / / 12/06/96 PASS RB 12/06/96 RB
MSTA727 Low Voltage / / / / 03!17/97 ste-i3 not complete PASS MJR 03/18/97 MJR
MSTA735 Gas Li:x Insp / / f / 01/13/9/ Y-1- gas piping pt test= 30 psi for 13 APP KS 01/13/97 KBS
minuts
MSTA740 Insulation Insp / / J / 01/16/97 PASS RH 01/16/97 KAS
MSTA745 Gyp Board Insp / / / / 01/21/97 APP GS 01/21/97 GES
MS1A75`, Re n drain Insp / / / 10/31/96 PA1; MS 11/01/tw, MRS
MSTA767 W+ter Line Insp 1 / / / 10/31/96 PASS MS 11/01/96 MRS
META765 Appr/Sdwlk Insp / / / / 02/11/97 1.KEEP EXPOSURE To 2 '/2" ON APPROACH. PAS.; LT 02/14/97 KAS
2.BE PREPARED TO PROTECT FINISV.
MSTA765 Appr/Sdw(k Insp 03/2.)/97 / / 03/24/i11 MAY ALREADY BE DONE- PP DOWN, CANT PAS'/ PI 03/26/97 RB
CHECK.
FINAL APPEARS OK, PI.
MSTA79U Electrical Final 1 / / / 03/07/97 NEC 210-52(e)5 DIS MJR 03/07/97 MJR
plug can not be under 6" of, more of
overhang
neea plug at each end of counter
low volt not complete
MSTA790 Electrical Final / / / 1 03/17/97 sterid not complete PASS MJR U3/18/97 MJR
MSTA795 Mechanical Final / / / / 03/21/97 PASS RB (13/21/97 RB
MSTA797 Plumb Final / / / 1 03/19/97 PASS MS 03/21/97 KBS
1
Page No. 3 CASE HISTORY FOR LASE NO.: MST96-0433
SHE-hURNE DEVELOPMENT
07/10/97 13482 SW ASCENSION DR
Action Description Req/ Schd/ End/ Action Notes
Lade Sent Done Done Disp BY Update Upd
-- -•---------------
e By
MSTA799 Building Final 03/21/97 seal exterior siding; several water tAll. RB 0.1/21/97 RB
lines exposed under-floor
reline wood debris; lap vapor barrier;
clear, back-water valve for drainage;
brace deck Posting at rear; vent well
may be needed at front; Plumbing final
req'mts; landing at garage and rear
deck.
MSTA799 Building Final / / / / 03/24/97
MSTA960 (F) Issue Cert. of Occupancy / / / / 03/24/97 MAILED 07-10-97 PASS RB 03/31/97 RB
07/10/97 S*N
MSTA970 Case Finaled / / / / 03/24/97
MSTB708 Erosion Control / / / / 03/12/97 "ASS RB 03/31/97 RB
PASS USA 03/21/97 RB
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT #. . . . . . . : PLM9 7-006c,
13125 SW Nall Blvd., Tigard; OR 97223 (503)639.4171 DATE ISSUED: 03/19/97
PARCEL: 25104-CC—HW092
::)TTF ADDRESS. . . 13: r, 4'W ASCE NS 101\1 DR
' UBDIVISIOil. . . . : HIIJ.1 HTRE WOODS ZONING: R-7 I=UD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..09P
IC-1-ASS OF—WORK. . :ALT-- GARBAGE—DISPOSALS. : 0_- MOBILE H13ME—SPACES. :__..0.____._.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAI.NS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . : 0
TORIES. . . . . . . . .. 0 WATER HEATERS. . . . . : 171 CATCH BASINS. . . . . . . » 0
F-IXTURES----__._—._-_—_-- LAUNDRY TRAYS. . . . . : th SF RAIN DRAINS. . . . . : 0
�;TNKS. . . . . . . . . . .. 0 URINALS. . . . . . .. . . . . : 0 GREASE TRAPS. . . . . . . 0
L.AVATORIFS. . . . . : 0 OTHER FI)TURE'5. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER I_.INE (fit ) . . . : 0
WATER CLOSETS. . : 0 WATER LINE (ft) . . .. : 0
nTSHWASHERS. . . . 1 0 RAIN DRAIN (ft ) . . . : 0
!remarks : Install residential. bacliflcw prevention device
FFFS
SHELBURNE DEVELOPMENT type amai_rnt by date r•eept
7006 SW NYBERG RD PRINT $ 15. 00 JSD 03/19/97 97--2:9191
SPf'T is 0. 75 JSD 03/19/97 97-2,91917
Phone #:
Cont ract nr^s
MASTERS S TOUrH SERVICES INC
DONALD BURTON
1,202 SW MICHAEL DR
WEST L..INN OR 97066
Phone #: 655-6435 $ 15, 75 TOTAL.
Reg #. . : 11509
RFOLIIRED INSPECTIONS
This pewit is issued subiect 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 work Mill be done in accordance 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 IN days.
Fl e r m i t t e e Sign t
E�39-4175
Call far inspection -
■
Y OF TIrARQ Plumbing Application Recd d) -
i 25 SW HALL BLVD. Commercial and Residential D"°R9 d ='-71�
BARD, OR 97223 Date to t•
j3) 639-4171 Dale to DST�
Permit t t t M ` Ie
Print Or Type Related SWR!
Incomplete or illegible applications will not be accepted caned_ r7 C�
Name of OeveiopmenuPiofeci FIXTURES (Individual) - QTY PRICE AMT
Job Sink 9.00
e
/f __-
Lavatory -�
:address Street Address Suite 9.00_ _
1 _ jlz S4 e*,5/A-A a �c r 7 Tub or Tub/Slower Comb. 9.OU
Bldg t CdyrState Zip Shower Only — 9.00
Water Closet � 9.00
Name
Dishwasher 9.00
Owner M&*V Add sss Swta Garbage Disposal 9 OD
Washing Machine 9.00
rState Zip Phone Floor Dram Y— 9.00 _
/J4 1 / 3' 9.00
1 4 -- 9.00
xcupant h4okt0 'feu Suite Water Heater �L 900
Lanndrf Roout Tray _ 9.00
City/StaM lib Phone Unnal 9,00
�— Name Otrei (Specify) 9.00
?�ia O�tesfat s gouo�i c�atvlaas, (Ino --- 9.00
.ontractor Malting Addre�02 S.W.Michael rI tfile
_ s.00
West Linn OR 97C 68 900
Gty/State Zip Phone --
9.00
411ch Co"of Or"on Const.Cont.Board Lic.! Exp.Dale - 9.01
G+wtsek Plumbing Uc.! _ Exp.Data Sewer-1st 100' 30.00
l.lCerNea
_ Sewer-each additional 100' 25.00
Col' u no"Tax or Metro Exp.Date
� t �Lf / Water ServKx- 1st 100' 30.00
Name Water Service-each additional 200' 25.00
Architect Storm a Rain Drain- 1st 100• 35.05
Or Mailing Address Si.ae - Storm d Rain Dram-each additional 100' 2500
Mobile Home Space 2500 -
Engineer Gtyrstate Zip Phone Commercial Back Flow Prevention Device lir Anti- 2500
r � Pollution Cevrce
A Sipa wort New 0 Addition O Alteration O Repair J Residential Backflow Prevention Device- I 15.00
is done: Residential O Von-residential O Any Trap or Waste Not Connected to a Fixture �— I 900
trbonal description of wart
Catch Basin I g,�0
insp of Existing Plumbing �l I s0 00
_ eeuhr
-- Specialty Requested Inspections 4000
use al -11-_I� perrlir
a ProPrMy — --- -- Rain Crain,singie family dwelling I 3000 1
;onmw use of Grease Traps _L 9.00 i
Idirg or properly
QUANTITY TOTAL
e yoc c2pping. moving or replacing any fixtures? Yes❑ No❑ etric or rear dwgnvn a reounm a IsomCuanty Toni is >9
yes see luck of form) _ —'SUBTOTAL
eby ackrowledge that f ha-,e read this application.!hat the information �—_—�—
n s correct.!nal I am the owner or authorized agent of the owner. and Site SURCHARGE �J1C
iantted are n compliance with Oregon Slate Laws. __ 7
iic6_re of It —� 1 Date — PLAN REVIEW 25%OF SUBTOTAL ---
getn n4 oniv R!tire pry total tli> 1 i
I3-/f j TOTAL.j
cacIrPerson Name Phone f
'114Inimum permit Me is$25•5%surcharge.except Residential BacleAow,
Prevention Cevice,which is S15•5%surcharge
i:klstsWlmapp.doc&'98
1
COMPLEI.EA,5-_ARP-RQPRIA E TO PR �QT:
Fixtures to be capped, moved or replaced Qty
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
DishwashE!r
Garbage ['disposal
Washinq Mach;ne
Floor Grain 2"
31,
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
n CITY GF TIGARD
DEVELOPMENT SERVICES 111ASTER PERMIT
13125 SW Hall Blvd., T'gard, OR 97223 (503)639-4171 PERMIT #. . . . . . . : MST9E•-•04
DATE ISSUED: 10/10/96
PARCEL: 2Si.04CC—HWO92
SITE ADDRESS. . . : 13462 SW ASCENSION DR
SUBDIVISION. . . . : H I L1_SH I RE WOODS ZONING: R-7
BLOCi!. . . . . . . . . . . LOT. . . . . . . . . . . . . :09;1:
Remarks: Path 1
--------------__.._------------------------------- BUILDING ---------------------------- ---------------------
REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 if REQUIRED SETBACI(S--- REQUIRED-------
CLASS OF WORK..-NEW HEIGHT........: 16 FIRST....: 2735 if GARAGE.....; 734 if LEFT..........: 5 ME DETECTRS:
TYPE nF USE...:SF FLOOR LOAD..... 40 SECOND...: 0 if FRONT.........: 20 PARKIN SPACES:
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 if RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2735 if VALUE..l: 195949 REAR..........: 99
-------------- ------ -_----------- -- -- PLUMBING -------------------- ------------------------------------
SINKS.........
------------------------.SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRA ,,......... : 0
LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 106 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--------—---—_----------------------------------------- MECHANICAL ---__�.. ____ --------------------------- ----- ------ -
FUEL TYPES----------- FURN ( 188K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1.
MAX INP.: 0 BTU FLOOR F!1RNACES: 0 VENTS........... 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
--------------------------------------- -------------------- ELECTRICAL ---------- ---------------- ---------------- ----- ---
--RESIDENTIAL UNIT--- ---SERVICE/FEFDER---- --TEMP SRVC/FEEDERS-- ---BRANCH( CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5088F.: 5 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: t
LIMITED ENE10.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNALiPAHIEL...: 0 IN PLANT......: 0
MAN HM/SVC/FDA: 0 601 - 1000 amp.: 0 601*amps-1080 v: 0 MINOR LABEL -16: 0
100ii+ amp/volt.: 8 -------------- -- PLAN REVIEW SECTION -------------------------'
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)-225 A.: 1 600 V NOMINAL: CLS AREA/SPC OCC:
--------------------------------------•---•-------- ELECTRICAL - RESTRICTED ENERGY --------------------------------
A. SF RESIDENTIAL --------------- B. CO1KRCIAI--------------------------------"-----------_r--___.—_
PUD10 6 STEREO.: VACUUM SYSTEM..: AUDIO 11 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: ss X BOILER.........: HVAC...........s LANDSCAPE iIRRIG: P170TECTIVE STGNL:
GARAGE OPENER..: CLOCK..........: INSIRUMENTATION: MEDICAL........ : OTHR: ::
HVAC..... ....: DATA/TELE COMM.: NURSE CALLS.... : 1OTAL A SYSTEMS: 0
Owner: ------------------ ----------Contractor: ----------------------------- T07AL FEES;$ 4713'.L'0
SHELBURNE DEVELOPMENT SHELBURNE DEVELOPMENT
7008 SW NYBERG RD 7808 SW NYBF.RG RD
TUALATIN OR 97862 TUALATIN OR 97062
Phone 1: 692-6383 Phone 1!: 692-6383
Reg (L..: 42368
Thir permit is issued subject to the regulations contained in the Tigard Mu0cipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
da,s of issuance, or if work is suspended for more than 180 days.
--•---------------------------------------- REQUIRED INSPECTIONS ---••-------------
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 Erosion Control
Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final
Post/Beam Mechan Electrical Serv: Fireplace Insp Rain drain Insp Mechanical Final _
Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plueb Final
Pei-mittee Si gnat rrr•e : L-- _.. '%—w—
Call
�- IssUaed By :
Cal l fos, inspection -- 3 - 4
CITY o TIGARD SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . :
DATE' ISSUED: 10/10/9E,
PARCEL: ;-5 1.04CC—HW09E,
Sl'1"E. ADDRESS. . . : 1,348CE' SW ASCENSION DR
SUBDIVISION— . : H I LLSH I FSE WOODS ZONING: R-7 PI)
BLOCK. . . . . . . . . . . LOT. . . . . . . . .. . . . . :092
TENANT NAME. . . . . ..
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORN. . . :NEW DWELL I NG UN I TS. . : 1
TYPE OF USE. . . . . :SF NO. OF BU I LD t NG-. 1
CNSTALA.. TYPE. . . . :HUSWR IMPERV SURFACE: 0 S
Remar-ks : Path 1
Owner: --.______.._.__________________._.._____.__.---_____._____..___.___ FEES -- ___._ -
SHEL_BURNE DEVELOPMENT type aamoi..rnt by date r-ecpt
700E1 SW NYBERG RD PRMT $ -'00. 00 DST 10/10/96 96--205064
I NSP $ 35. 00 DST 10/10/96 96-285064
Phone #:
Contractor-: _._.---__--_______.__—________--_.
CONTRACTOR NOT- ON BILE
Pli o n e #: $ 2235. 00 TOTOL
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspertion
of the [Inrfied Sewage Agency. The permit expires 18P days from
the date issued. The total amount laid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement _
given, the installer shall prospect 3 feet in all directions frnm
the distance given. If not so located, the installer shall purchase
a 'Tap and Side Sewer" Permit and the Agency ilI in tall a lata-al.
Fermi.ttee Sirdnat�_rrc-, ��
I S 5 1.A e d B y :
Call for ins;pec,tion — 639-4175
Plan Check 4
`�^^4
°TY OF TIGARD Residential Building Permit Application Rec'dBy r �,d 4
i 3125 SW HALL BLVD. New Construction Additions or Alterations Dalr Recd
IGARD, OR 97223 Single Family Detached or Attached Date to P.E. �1
,03) 63941171 Date to DST
Nri,It or Type Permit N IL ` h- ("Xi 7>3
Incomplete or illegible applications will not be accepted Called_ )O-'l
Name of Subdivision Lot N Name -
Job IIillsh.ire Woods y� S _SL,e -77r-) 4-/
Architect Mailing Address
Address SitaAddre� s Ny�t/LG ,'0
Name ' f City/State Zip
Phone
Sho iburne Development --- AG Z �2 ' Zt
Owner Mailing Address — Name
C • k•
Gt fSl0 S.W. Zi ` Phone Engineer Maillng Address
�1,ualatin 9'062 692-6383 '7/ i���AwA 4•
--- City/State Zip Phone
Name CUA �; 66
General Shelburne Development Describe work new JK addition alteration repair
Contractor Mailing Address to be done.
7008 S.W. N be r c Rd. Additional Description or Work:
City/State Zip Phone
Tualatin 97062 692-6383
Oregon Const. Cont. Board Lic.# Exp. Date _
Attach Copt,a! 042388 11-8-96 Project (� Q -"�-
ICurrent COT Business Tax or Metro Exp. Dale �/alUat1011 $ 11 ,0
^ Licenses 00003412 7/1/97 --v - -
Name "- NEW_CONSTRUCTION ONLY:
Mechanical Oregon Comfort Heating Sq.Ft_House: Sq.Ft.Garage:
Sub- Mailing Address Z_j 35 _ .7
Contractor P.O. Box 355 Corner Lot Yes l�O, Flag Lot Yes No
City/State Zip Phone (check one) (check one) � X
C Eagle Creek 97022 655-0221 Restricted Audio/Stereo Burglar
Oregon Confit. Cont. Board Lic N Exp. DateEnergy X System X Alarm
_
Attach Copy of 0425.19_ 2•-24-97 — - —
Current COT Busln Tax or Metro N Exp. QQaS _ Installation Garage Door HVAC
Licenses 000017113 3/1/`tl 7 X Opener X Systeme
Name - (check all that Other:
Plumbing C & K contracting, Inc. apply central vacuum
Sub- Mailing Address -- Will the electrical subcontractor wire for all Yes No
Contractor 536 N.E. 6 3rd restricted energy installations? X _
city/State _zz, Phh Has the Subdivision Plat recorded? N/A Yes No
Salem 97T01 3'/1-3539 � � X
Oregon Const_C_ontftard Lic# Exp Date Reissue of M5T# lar Compliance
Attach Copy of 06501.5 __ 3-15-97 :E(C�alculation r Cached)_
Current Plumbing Li N xp Qate I hereby acknowledge that I have read this application,that the
Licenses 2 4—19 PB lip, 9 7 information given is correct, that I am the owner or authorized aqent of
COT Business Tax or Metro N Ex ate the owner,sra that pigs submitted are in compliance with Oregon
_ 'p_9 - State taws,/
Name Signatu of O rl'I �+ Date
Electrical Dryer & Sons Electric - c --rr 6
Sub- Mailing Address n Name Phone
Contractor 5536 SE Woodstock r ScZ tA-r-7-c/,& _ 210-21V7lq
_ FOR OFFICE USE OIALY:
City/State Zip Phone Plat# MapfrL#-
Portland 97206 774-1606
Oregon Const.Cont.Board Lic.N Exp Date
Attach Copynf 001114 11-1 1-96
Setbacks Zone: Solar ✓,.
Currc.t Electrical Lic.N Exp, Date 1,
Licenses 26-43C 10•-1.-96 v E",r;�•
COT Business Tax or Metro# 1 Exp. Dale Engineering Approval Planning Approval: TIF:
00003046 12-1-96 I�
�istsVnslapp doc
Permit# Accoun es r1Rt1411 A03QIMI AmLPsi.. Bal• Due
/11St�lk 07 MST. Permit (BUILD)
Plumb. Permit (PLUMB)
r
Mech. Permit (MECH) 4
i
ELC/ELR Permit (ELPRMT) �___-- ----
State 'Tax (TAX) o U
Bldg:
Plumb: Z
Mech: Z
ELC/ELR: 13.7S
Plan Check
MST: (BUPPLN)
Plumb: (PLMPLN) _ _..-
0
Mech: (MECPLN)
CDC Review (LANDUS) �/�____
U
r'S(,Sewer Connection (SWUSA) ;),2
i
Sewer Inspection (SWINSP) 3
Parks Dev Charge (PKSDC) 'CI S u ' --
Residential TIF (TIF-R) -- —�---
Hass Transit TIF (TIF-MT)
Wafer Quality (WOUAL)
Water Quantity
Erosion Control Permit (ERPRMT) __ c ✓ /'
Erosion Planck/USA.
ERPLAN)
Erosion Planck/COT (EROSN) ----
Fire Life Safety (FLa)
TOTALS:
i\dsls\msrapp doc
Rev 7196
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94D-
6q2-61171
N oN S' n
I
1'�►7t�i 16, 1�19v
IcL A:drich
City ,igwd
15 31 N<.11f31vd
Tip,% 97'23
'*4 Ms Alt
'.e: Sola; at -e point - Lots 92& 91,Hillslure Woods
Fer my diRuts i with Greg fletttze of Shelburne Homes,the owner of Lott 92 Hillshire Woods,
the s6 le-family hornf• 1 be Will by'l*he P, W Fullerton Company on Lot 91 Hillshite Woods vnll not
h.-yr any windows on I aside adjacent to Lot 92 Hlllshlre Woods This should resolve any solar balance
point issues with respe o these lots
Sin re:y,
Ralph Fullerton
The R. W. Fullerton t pany
I
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOT!CF
C & K CONTRACTING INC
536 63RD NE
SALEM OR 97501
Plumbing Signature Form
Permit # . . . . : MST96-0433
Date Issued. : 10/10/96
Parcel . . . . . . : 2S104CC-HWO92
Site Address : 13482 SW ASCENSION DR
Subdivi?i.on. : HILLSHIRE WOODS
Block . . . . . . . . Lot . 092
Zoning . . . . . . . R-7 PD
Remarks :
Path 1
Your company has been indicated as the plumbing contractor for the Kermit indicated above. In order
,or the plumbing permit to be valid, please have the appropriate individual from yoiir company sign
below and return this Plumbing Signature Form prior to the start of worm. No plumbing inspections
vvill be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
PLUMBING CONTRACTOR:
1 SHELBURNE DEVELOPMENT C & K CONTRACTING INC
7008 SW NYBERG RD 536 63Rr NE
TUALATIN OR 97062 SALEM OR 97301
1 h,ne # : 692-6363 Phone # :
Reg # . • : 65015
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building rept.
if you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
DRYER & SONS
5536 SE WOODSTOCK BLVD
PORTLAND OR 97206
Electrical Signature Form
Permit # . . . . : MST96-0433
Date Issued. : 10/10/96
Parcel . . . . . . : 2S104CC-HWO92
Site Address : 1.3482 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . Lot . 092
Zoning . . . . . . : R-7 PD
Remarks :
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, tie signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : FLEC"TRICAL CONTRACTOR:
SHELBURNE DEVELOPMENT DRYER & SONS
7008 SW NYBERG RD 55'6 Sr WOODSTOCK BLVD
TUALATIN OR 97062 PORTLAND OR 97206
Phone 4 : 692-6383 Phone # :
Reg # . . : 1114
/
S gn—at ure of upervising Flctician
Please return this completed form to the address above.
ATTN: Building Dept.
i
If you have any questions, please call 639 4171 , ext. #310