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Case File w I rn rn U7 C) Ch In H 0 z e I � H I I v c c� ,� 13656 SW ASCENSION DRIVE _..,r CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 CERTIFICATE" OF CJCCUPANCY FERMI T #. . . . . . . a MST96- 0491 DATE: ISSUED: 06/26/97 PARCEL : 2S 104CC-07900 (1'EE_ ADDRESS. . . a 136""56 SW Al,iCENSIDN DP ,L)BI)IVTOION. . . . : HIL.LSHiPE WOODS ZONING.-R- 7 PD I+l_OCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 1098 JURISDICTION: TIG 'LASS-Of- WORK. s NCW I Y#IE, OF USE. .SF I YPE OF' CONSTR e 5N IC,C;UPANC;Y GRP. :R3 :1CCUPANCY LOAD a 2 6-marks : Path 1 Owners !rW FUL.LERTON CO .,4b� SW BRV-fN-HLGDL HWY 'ORTLANi OR 97221. Phone ii: 237-443X105 onti actors i� FUI._LCRTON COMPANY ,426 SW SEAVEPTON HII..LSDALE HWY r,OF'TI.AND OR 97Gc21 -1128 Ohone #: 297-4433 q #. . a 000406 ; H i st Certificate grants ur.r.0 pancy of the above v-efarenced bu.i l d i+ig or portion f,'- erenf and c.onf'ii-ms that the building hae been inspected for compliance wit!, he F,tate of Ov-egon Specialty Codes for, the Syr +p, nc..co.+pancy, and use uncler jhich thm referenced fuer^alit was is51.+ed. f +IJAIL DINr 4FN� - Tan 8UI f © OFFICIAL POST IN CONSPICUOUS PLACE Page No. 2 CASE HISTORY FOR CASE NO.: MST99-0491 RW FULLERTON CO 13656 SW ASCENSION DR 12/05/97 Action Description Req/ Schl/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA725 Framing Inep / / / / 02/06/97 mesh i.cuen; met. 6 1212L brackets needed FAIT, RB 02/07/97 RB where ma ked- plates 6 beams; use H2.5 or A35 brackets at north wall rafters; rafters above ranter bedrm over-spanned. MSTA725 Framing ?nap / / ; / 02/10/97 pending- strap plate in master bath PASS RB 02/10/97 RB MSTA726 Shear Wall Insp / / / / 01/29/97 4X strut req'd at master bodrm w/LS70 to FAT I, RB Ul/2.9/97 RB blocking h cmat12-8' at blocking strut; HD-6A1n missed at fwd bay; drywall shearmarked MSTA726 Shear Wall. Insp / / / / 02/06/97 pending- drywall shear PASS RB 02/07/97 RB MSTA735 Gas Line Insp / / / / 02/06/97 PASS RB 02/07/9" RB MSTA740 Insulation Insp / / / / 02/10/97 firtatop all thru penetrations; insulate PASS RB 02/10/97 RB around skylight upstairs MSTA745 Gyp Board Insp / / / / 02/18/97 pending- backing boards needed at. den PASS RB 02/18/97 RB header; near completion nail using screw attachment r'eq'mts. MSTA745 Gyp Board Insp / / / / 01/29/97 real wall of. garage SHER RB 01/29/97 RB MSTA755 Rain drain Inep / / / / 12/30/96 PASS MS 12/31/96 MRS MSTA7G0 Water Line Inop / / / / 12/30/96 PASS MS 12/31/96 MRS MSTA765 Appr/Sdwlk Inep / / / / 03,'18/97 1. BOARDS AT APP,tOACH WINGS. PASS PI 03/21/97 RB 0STA770 Miec. Inspeetion / / / / 02/07/97 garage slab- compact rock; allow for PASS RB 02/07/97 RB flow of concrete to be 3" underneath furnace. MSTA790 Electrical Final / / / / 04/08/97 FRESH PAINT CAN'T INSPECT DIS G.4 04/08/97 GES MSTA790 Electrical Final / / / / 04/30/97 house :..,ked FATL DD 05/01/97 RB MSTA790 Electrical Final / / / / 05/02/97 PASS TLP 05/05/97 TLP MSTA795 Mechanical Final. / / / / 04/29/97 k-1- see bldg final this date A/N ES 04/30/97 RPS MSTA797 Plumb Final / i / / 07/17/97 not performed - "I believe it has ? MS 07/20/97 J•H already been finaled." per MS notes. M^'fA797 Plumb Final / / / / 07/11/97 Both downstairs water xlomotn plugged FAIL FAB 08/15/97 J-H up. Call for reinspection. Page No. 3 CASE HISTORY FOR CASE NO.: MST96-0491 RW FULLERTON CO 13656 SW ASCENSION DF 12/05/57 Action Description Reg/ Schd/ End/ Action Notes Diep By Update Upd Code Sent Dome Done Date By MSTA799 Puilding Final / / / 04/29/97 #-1- need electrical, plumbing and DIS KS 04/30/97 KBS erosion final #-2- post insulation cart #-3- need clearance at B vent / collar #-4- seal around door jambs at upper level storage access d000re also extend exhaust duct to roof lacks #-5-attach handrail #-6 rxawl access door not installed #-7- insulate exposed wye's at heat iuctand support at change ,_.' direction #-e- reiiave loose wood and debris crawl #-9- seal all penetrations ext MSTA799 Building Final / / / / 06/26/97 Seal ar-yund door jamb and upper level PAST RS 06/27/97 J-H storage access door as indicated at prior final inspection. MSTA960 (F� Issue Cart. of Occupanc;, / / / / 06/26/9' mailed 12-5-97 JP 12/05/97 S-N MSTS709 Erosion Control / / / / 06/26/97 PASS KS 06/27/97 J•H l CITY OF T IGAriD 13125 S.W. BALI. BLVD. TIGARD, OR 97223 RECUVE-D D F C 13 1996 POWER PLUMBING. IMPORTANT PERMIT NOTICE POWER PLUMBING CO P 0 BOX 23144 TIGARD OR 97281 Plumbing Signature Form Permit # . . . . : MST9' -0491 Date Issued. : 12/05/96 Parcel . . . . . . : 2S104CC-HW098 Site Address : 13656 SW ASCENSION DR Subdivision. : HILLSHIRE WOOLr., Block. . . . . . . . . I,(it . 098 Zoning. . . . . : R-7 PD Remarks : Path 1 Your cornpary has been indicated as the plurnbirrg contractor for the permit indicated above. In order for the pluinHing permit to be valid, please have the appropriate individual from your compjny sign below and return this Plurnbing Signature Form prior to the start of work. No plumbing inspections will be authorized until this completed form is receik 1. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: PLUMBING CONTRACTOR: RW FULLER.TON CO POWER PLUMBING CO 6462 SW BRVT'N-HLSDL HWY P O BOX 23144 PORTLAND OR 97221 TIGARD OR 97281 Phone # : 297-4433X105 Phone # : Reg # . . : 52378 X Signature of Authorized Plumber Please return this completnu form to the address above. ATTN: Building Dept. If you have any questions. please call 639-417 1 , ext. #310 i ep l4 �b ` 'WNER : ELECTRICAL CONTRACTOR: RW FULLERTON CO WRIGHT 1 ELECTRIC INC 6462 SW BRVTN-HLSDL HWY 5618 SE 135TH AVE PORTLAND OR 97221 PORTLAND OR 97236 Phone it : 297-443.3X105 Phone # : Reg # . . : 97757 x - Signature O , upervisinglectri-c n Please roturn this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-417 1 , ext. ##310 I CITY OF TIGARD DEVELOPMENT SERVICES MAST-ER F*.1?11I I 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 HERMIT #. . . . . . . : MST96-.04`31.DATE I S aLJE D: I'C'-L'/05/96 P'ARCEL: 2'S 104CC—HWO98 S f TE ADDRLSS. . . 1.3656 SW ASCENSION Uk S(JFI)I V I S I ON. . . . : H I L.I.-SH I F?E: WOODa SON I N'3, P- 7 TSD Bl_(]CF'. . . . . . . . . . L_0 . . .. . . . .. . . . . . . :IZ198 Remarks: Path 1 --------------------------------------------------------------- BUILDING ---------------------------------------------------------------- REISSUE: STORIES.......: 2 FLnOR AREAS----- - - BA5EMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-- ---------- CLASS OF WORK.:NEW HEIGHT........; 21 FIRST....: 1818 sf GARAGE.....: 693 sf LEFT..........: 5 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD..... 40 SECOND...: 698 sf FRONT.........: i^ PARKING SPACES: i TYPE OF C'ONST.:5N DWELLING UNITS; 1 FINBSMENT: 0 sf RIGHT.........: 5 OCCUPAN(:Y GRP.:R3 BDRM: 3 BATH: 3 TOTAL----- 2516 sf VALUE.,$: IM72 REAR..........: 65 ------------------------------------------------------------ PLUMBING --------•---~-------------------------------------------------- SINKS.........: I WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: l CATCH BASINS..: 0 TUB/SHOWERS...: GARBAGE DISP..: I WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 --------------------------------------------------------------- MECHANICAL. ----- --- ------------ FUEL TYPES-------- FURN ( tW,, ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: ti CLOTHES DRYERS: I iGAS/ / / FURN )=IOOF, ..; 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: i MAX INP.: 0 BTU FLOOR F'JRNACCS: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1 ------------------------------- - -----------__-..--_-_.-- ELECTRICAL ---------------- ------------------------------- RESIDfNT1A1. UNIT--- ---SERVICE/FEEDER---- ---EMP SRVC/FEEDERS-- ----BRAACH CIRCUITS--- ---MISfELLAI OUS---- --AW L INSPECTIONS— 1000 SF OR LESS: 1 ° 'N alp..: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'!- 5005F.: F 201 - 400 amp..: 0 201 - 400 amp..: 0 lst W!0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 1 LIMITED ENERGY. : 0 401 600 amp.. : 0 401 - 600 amp..: 0 EA ADDL BR CIA: 0 SIGNAL/PIMIEL...: 0 IN PI ANT......: 0 MANF 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..: SVC/FOR)=225 A.: ) 600 V NOMINAL. CLS AREA!SPC OCC: --------------- ------ ------ ---- - ----- --- ELECTRICAL - RESTRICTED ENERGY ----------------------------------------------� -- A. SF RESIDENTIAL-------------------------- B. COMMERCIAL----------------------------------------------------------------------------- AUDIO d STEPEO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRF ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURKAR ALARM..: 0TH: ;; X BOIL.ER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: IN5IRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COOM.: NURSE CALLS....: TOTAL, A SYSTEMS: 0 Owner: -----------------------------------Contractor: ------------------------------- TOTAL FEES:$ 4649.46 RW FU1L ERTON CO R.W. FULLERTON 64&) SW BRVTN-HL,SDL HWY 9700 SW CAPITOL HWY SUITE A 275 PORTLAND OR 97221 POKTLANU OR 97219 Phone I!: 297-4433X105 Phone N: 293-2277 Reg M..: 40671 This permit is issued subject to the regulations contained in the Tigard Municipal. Code, State of Ore. Specialty Codes and all otner applicable laws. All work will he done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. -- ------------------------ - -- - -- ----- -_____------ OEQUIRED INSWCTIONS --------------------- ------------------------------. Coo ing Insp PLM/'Jnderfloor Framing Insp Gas Fireplace Water Service Ir Building Final cou dation Insp Mec'ianical Tnsp 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 Servi Fireplace Insp Rain drain Insp Mechanical Final _ Crawl Drain Electrical Rou -�insp Water Line Insp P1 Final l e r m i t t e c ra i gnat o i'e a I s s 1.r e dE{Y : Ca 1 for inspect i on -- 639--41.75 CITY OF TIGARD SEWER CONNECTION DEVELOPMENT SERVICES PERMIT I*Q 13125 SW Hall Blvd., Tigard,OR 97223 503)639.4171 DATE IPERM I Tr#. . . . . „ . : SWR9E,-049c: SSUED: 1; /05/ .F., PARCEL_: c'S i 04CC—HW09n 13I TE ADDRF"SF;. . . : 13656 SW ASCENSION DR SUBDIVISION. . . . . H;.LI..SH I RE WOODS ZONING: R-7 PD BI.-OCK. . . . . . . . . . . l_OT. . . . . . . . . . . . . :098 TENANT NOME. . . . . : USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0 Cl-ASS OF' WORK. . . :NEW DWEI..I_I NC3 UN I TS. . 1 TYPE OF USE. . . . . :SF NO. OF' BUILDINGS: 1 I NSTAL.I-_ TYPE. . . . :Bi ISWR IMPERV SURFACE:: 0 s;f Remarks : Path 1 Owner-: _.._...._._______._______._____.._.__.____._______________._._-- — FEES RW FULL.ERTON CO type amol.rnt by date r-ecpt 6462 SW BRVTN—HLSDL. HWY PRMT f 2cc.00. 00 B 12/05/96 98-287E99 I NSI7' $ 35. 00 P 12/05/96 96--287299 PORTI.-AND O1? 9'7;x'21. 1--'hone #: 297-4433v^105 Contrac,tnr,+ --------------------------------- CONTRACTOR NOT ON FILE Phone #: $ =35. 00 TOTAL _.._._ REOUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Insr7ect ion of the Unified Sewage Agency. The permit expires 180 days from _ the date issued. The total amount paid will be forfeited if the permit expires. The Agency does no. guarantee the accuracy of theside sewer sewer laterals. If the ,ewer is not located at the measurement �— given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" permit and the A ency will install a latera', 1 F e r m i t t e e 1 r Call. for- inspection - E,39--4175 I Plan Chet*0 1' CITY OF TIGARD Residential Building Permit Application Rid By 131?5 5W HALL BLVD. New Construction Additions or Alterations Date Recd 71GARD, OR 97223 Single Family Cetached or Attached Date to P.E. '45 - 9 Lo 01 i 503) 639-4171 Dare to DST -o� Permit 0 rd'_;�°Ir-U . I ' Print or Type Called 7 o Incomplete or illegible applications will not be accepted. ' -' Name of Subdivision Lot t Name Job lt.. AA.sPr_� p�� �P� Architect Ma"Address �{ Address Silo `-� uC Name •C-i)yfstate Zip Phone Owner Marg Address c 2 ►' '�" I - t t Engineer Mai Address rState zip Phone ,. . C\J .t v 29 - Il - dY/State Zip Phone Name c zz'j t t General C ti Describe work new V, addition O alteration O repair O .:ontractor Mailing Address to be done: r . I f Additional Description of Work: ,tylStateZip Phone ti Oregon Const Cont.Board Uc.8 F .Da ' Attach Copy of r �_- _ Project $ �; ,- U - Cunrent COT Flusiness Tax or Metro• E3W.Datd Valuation T -/=s•, .�� ` , Ucan.ses - — - -• -- � 3 -- Mame NEW CONSTRUCTION ONLY: ,mechanical —L.- \ _- Sn.Ft. House: So �+rarage6�� — Sub- Mailing Address Comer Lot Yes N Flag Lot Yes No day/State Phone Contractor ( .. ra (Check one) (check one) _ ZIP 1 i._ ,,�Qi-L `) l 2 Restricted AudWStereo Burglar Oregon C,nsL Cont Board Lic.# Ex .Date Energy System Alarm Attach Copy of t) I - - - ps:iness Tax or Metro r Installation Garage Door HVAC Current COT p.0ate Opener L' Systems Uaensea _ -e- •� — Name (check all that Other. Plumbing ht� � m i31,� apply) _ Will the electrical subcontractor wire for all Yes No Sub- Mailing Address � restricted energy installations? �,✓ Contractor 1 .O.5oit 2 I 4 /State ZIP Ph Has the Subdivision Plat recorded WA Yes No oregun const cont Board 5a11 Reissue of MST# Solar Compliance Attach Copy of 2A3-10 ( lZ 9 _ _ (Calculation Attached) -- Current Plumbirg Lic. V, E .Da e I hereby acknowledge that I have read this application,that the Licenses . 15� (9`30 1 i information given is corrr_cL that I am the owner or authonzed agent of Q Business Tax or Metros Exp a the owner,and that plans submitted are in compliance with Oregon State laws _-- Name 5i�'1�'re 0"rft gpnf D I� Electrical - ( 1 '�- n ntact Person Natniiil hone SL b- Madirig Address ;t L> \� k 7 1 -7 9 u�, Contactor FO_R OFFICEUSE ONLY: ` IState Phone �Y � Plat# Mapes: Oregon Const.Cont Board Lic.rt Exp D AM," Copy of - `- at_ I 27, Setbacks Zone: Solar Current =tctrtcal Uc.is Exp.Date L16 u COT Business Tax or Metro e Fyn,.Da Engineering Approval Planning Approval: TIF. d9ls+trtlfapp.doC � ---_— �.J rm" &=u LQescdptJon AA.PF. 8aL-Du- i MST. Permit (BUILD) ,; -So Plumb. Permit (PLUMB) S, u — �> Mech. Permit (MECH) �� ELC/ELR Permit (ELPRMT) 2, -2-5', �� 1 State Tax (TAX) v ,,� Si, 03 Bldg: Plumb: // Z Mech. Z i ELC/ELR: 3 7S Plan Check MST: (BUPPLN) 3 •J� c�.% 'J f� 3 o b: Plumb: (PLMPLN) Mech: (MECPLN) CDC Review (LANDUS) �' Cis r U.✓r Sewer Connection (SWUSA) s� c� ►J o Sewer Inspection (SWI NSP) 00 'J Panics Dev Charge (PKSDC) Residential TIF MF-R) Mass Transit TIF (TIF-MTS Water Quality (WQUAL) Water Quantity (WQUANT) 100 Erosion Control Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) 0, Fire Life Safety (FLS) TOTALS: ' << • (� 5�---- �(-=�(r i:dsts�mstapp.doc RN "9S Solar Balance Point Standard Worksheet Address Box A calculations: North-South dimension for the lot. Box A.- This :This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. First, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most F )int of the lot. 4,50­ t \ t X � ' "°" 4 N \��, > 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. feet 1 N HOMMOUN 0&*MK H '� Box B calculations: Shade point height for your residence. Box B: 1. Determine whether measurements will be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. your residence? 1 a: If the roof line runs North-South, measurements will .-...�� (circle one) 7117 Ix- based on the peak of the roof. ❑❑❑❑ ""'""► 1 1 B 1C 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. 9MCf�IHf F�E 1 c: If the roof line run. East-West anc4 the roof pitch is 5/12 or steeper, measurements wiU be based on the peak. 11001 ICK ApG1 FBo,- S. c,#ntinued Box B: -Aea•,ure chan'gc. � elevation from frorit property line tc finished floor elevation. If the 'ot slopes u : f.;,m the front lot�1:,,e to the foundation, the figure is positive. If thy, lot dopt.-.do,,-ii from the front lot,inc, .o the foundation, the figure is negative. 3 ft 3. Me& ,ire.distar ce from ftnislied floor elevation to the affected peak/eave. + _Z 8 ft -f. if ilii root lint* runs North-South. deduce three feet. If the roof line runs East-West, d ,j%,r? ncthin, S. �,tbtr< _-e one foot _aCil tc,x of difference m elevation from the front property lint . .! 2 rear prc)e ty lire, if the lot;I)pes up from the front to the rear. If the lot h.,., ,io sl, oe or slo,.- s up from the rear to the front, deduct nothing. ft 6. ToW figure for box B: ft Box ( Distance to the shade n!duction line. Box C: 1. Measur^ the distance from the North property line to the foundation near the J ft affected peak/eave. 2. Measure the distance from the foundation to the affected peak or eave. + ft 3. 'o'al figure for box C. � ft It is most useful to draw a vertical line to rep,�ese.nt the appropriate figure found in box-A'and a horizontal line to represent the appropriate figure found in box'C".The intersection of the vertical and horizontal line,determines the value found in box'D". The value in box 'D'should be compared to the value in box'8'; if the value in box'8'is leers tian or equal to the value found in box 'D',then the building is in compliance with the solar halance code. If you have any questions, (lease contact us at 6394171,x304 or at the Community Development Counter, MAXIMUM PERMITTED SHADE POINT HEIGHT (In fent) Distance to North-south kit dimension(in feet) shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40 reduction line from northern lot line Gn feetl 70 40 40 40 41 42 43 44 65 38 38 38 39 40 41 42 43 60 36 36 36 37 38 39 40 41 42 55 34 34 34 35 36 37 98 39 40 41 50 32 32 32 33 34 35 6 37 38 9 40 43 30 30 30 31 32 33 35 31' '7 38 9 40 28 29 28 29 30 31 72 33 o4 Y 36 37 38 35 26 26 26 27 28 29 31 32 3'1 34 35 36 30 24 24 24 25 26 27 A 2" 30 31 32 33 34 25 22 22 2:1 23 24 25 W :? 28 29 30 31 32 20 20 20 20 21 22 23 :A 7_, 26 27 28 29 30 15 is 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 18 19 20 21 22 23 24 Box D. Maximum allowed shade point height: _ feet hAdoc*wrK.-,A enouralsolar-chp Revised L:6o96 J lJt-)lUN HbbUt- GGA h'l'7"U4 ULI 17� 'yb 10:51 L�I'771..IC,L'`+V i -• �t�L1iZLC S W C rn1.� 2273 8Y N 11jq2.130, E R.W. FULLERTON COMPANY N 48.02 r •,55T CITY OF TIGARD �Zi2�0j' F 1 HILLSHIRE WOODS 1 LOT 96 I I ( (9,012 sa fT J I I �,CYVI�7Cs - TL- I / I m i � I 5g0 I � 1 I 1 1 ':ILT FEN — 1 .0 I I w I o ao io \' I � • cp P tnl AIN RCOOR ,,� N E✓396 0'j 'V / —i 590 I � i•� ' /� / i 1594 V I I --- ----------- o cover- I o m 1 �U.�c DIWYIWAY 1 N > 13300 vsa �N :6�15'5E yqt . 10.00- WAT�e /WtCE�.'' yq1 1 — �„ ------- - ----- pliG Sri �3�,=jS.W. ASCENSION DRIVE 10/02/96 MRA Aur wtoo�o owa.Aaoa�a Ai 0 s Not UfAu"m na ACWNCY 0A ne •'a'"a'u`T"�Y ALL WT caorlat NOWM AAR w MAC®am M QR AID WON Oft y ow/CTDRAn x'60 moo"Aro* AI. An 11AI ( 0QD Df114n A f f 0 C I A T C Inc 1305 N.W 16TH AVENUE. PORTLAND, OREGON 97209 15031 225-9161 S C A L E 1 ' 2 0 ' 0 " 1 CITY OF TIGARD DEVELOPMENT � SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 • !�1''.I.���1 f3!' 1�1n�C. 7 t.'1h11 IVB: F? . 1.t?7. , ihnp T1.1R ISOTrl"TF*f^I„ Ylrt' :,ITY OF TIGARD Plumbing Application Recd By ti '3125 SW MALL BLVD. Commercial and Residential Data Recd /- i'IGARD, OR 97223 Date to P.E. (503) 639-4171 Date to DST nn Permit* 0 �VI-7 o►c, Print or Type Related SM a Incomplete or illegible applications will not be accepted Called_ _ Name of Development/Project FIXTURES (Individual) QTY PRICE AAAT Sink 9.00 i Job ��//sem„<< ��>'�,�-f - - Address Street Address Suite Lavatory 9.90 I Tub or TublShoNer Comb. � 3cr�CC 9.00 Bldg 0 CitylState Zip Shower Only 9.00 _^ i/41-.,1,( U/L, Water Closet 9.00 Nam Dishwater 9.00 Owner Mailing Address Suite Garbage Disposal 9.00 Washing Machine 9.00 City/State Zip Phone Floor Drain 2' 900 - - Name 3' -- 9.00 / 4" 9.00 Occupant Mailing Address Suite Water Heater 9.00 Laundry Room Tray 9.00 i City/State Zip Phone Urinal 900 - - Na e Other Fixtures(Specify) 9.00 , 9.00 Contractor /Mailing Address Suite 9.00 / 0 dc • -.)S if - 9.00 City/State Zip Phone 900 Oregon Const.Cont. Board Licit Exp.Date � 900 Attach Copy of 6,-717 -7 r j-,/I?.-% 7 9.00 Current Plumbing Lie.0 Exp.Date Sewer-1st 100' 30.00 Licenses '(,•- 3 3 ,, `/- -?" - `r-7 Sewer-each additional 100' 25.00 COT Business Tax or Metro a Exp.Date Water Service-1st 100' 30.00 1-2. 'i /1 - - y Naine Water Service-each additional 200' 25.00 Architect Storm&Rain Drain- 1st 100' 30.00 Or Mailing Address Suite Storm b Rain Drain-each additional 100' 25.00 Mobile Home Space 25.00 Engineer City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 2500 _ I Pollution Device )escnbe work New O Addition O Alteration O Repair O Residential Backflow Prevention Device' 15.00 •-- o be done Residential O Non-residential O Any Trap or Waste Not Connected to a Fixture 9.00 additional description of work - - _ Catch Basin 9.00 /N /'� // C>4�+5/r' 4,01r&le V,-I[-/ Insp.of Existing Plumbing 40.00 per/hr -Existing use of / Specially Requested Inspections 40.00 cudding or property �c���,<E�.16•fr[ _ per/hr -- Rain Drain,single family dwellirg 30.00 -� I Proposed use of Grease Traps 9.00 budding or property j v QUANTITY TOTAL Are you capping, moving or replac my anv dxturr ? Yes❑ No laometnc or neer a agram a required d Ouanrty Taai u >9 (If-yes see back of form) ' *SUBTOTAL I hereby acknowledge that I have rr;a ois application,that thenformation even is correct,that I am the(:. er or authorized-,gent of the owner,and 5% SURCHARGE hat plans submitted are in compliance with Oren State Laws. 7tact f Owner/Agent Data PLAN REVIEW 25% OF SUBTOTAL Required ony rl fixture qiy totai s>9 -)/ 5 TOTALrson Nanta Phons •Minimum permit fee is S25+5%surcharge.except Residential Backflow =C w /s`JQ L c (FSS'�- �r a�/ Prevention Device,which is$15+5%surcharge Oclstst.plmapp doc 8/98 PLEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 311 _ 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: