Case File 4
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13691 SW ASCENSION DRIVE NOUN
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Pape No. 2 CASE HISTORY FnR CA— NO.: MST96-0261
WELLINGTON hOMES INC
13691 SW ASLENS'ON DR
07/10/97
Action Descriptio;l Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA740 Insulation Inap / / / / 01in6/97 firestop thru penetrations; unfinished FAIT. kB 01/U6/97 RB
basement- insulate heat ducts 8 seal
return air plenum OR insulate wells.
M9TA740 Insulation Insp / / / / 01/10/97 pending- insulate w/in return air plenum PASS RB 01/10/97 RB
at unfinished basement; also, bottom
pans ajacent thereto. NOTE:
heat duct (flex) w/in floor ca-.'ties
does not allow for adequate insulation
cover at under-floor locations.
MSTA745 Gyp Board Insp / / / / 01/09/97 APP GS 01/09/97 GES
MSTA755 Rein drain Insp / / / / 10/21/96 PASS MS 10/22/96 MRS
MSTA760 Water Line Insp / / / / 03/07/97 PASS MS 03/11/97 MRS
MSTA765 Appr/Sdwik Insp / / / / 01/22!97 PASS PI 01/27/97 JT
MSTA790 Electrical Final / / / / 02/26/97 SEAL GAP DOORBELL TRANSF; STAIRLITING DIS GS 02/26/97 GES
SWTCHES DON'T PROVIDE LANDING
ILLUMINATION; OPEN UP JET TUB PUMP
ACCESS; BSMT SMK DET NOT OPEPA.TING; LITE
FOR 8SMT EXT DOOR
MSTA790 Electrical Final / / / / 03/07/97 PASS MJR 03/07/97 MJR
MSTA795 Mechanical Final / / / / 03/18/97 see building final title date FAIL RB 03/18/97 RB
MSTA795 Mechanical Final / / / / 03/20/97 see building final this date FAIL RB 03/7.1/97 RB
MSTA795 Mc-chanical Final / / / / 03/21/97 PASS RB 03/21/97 RB
MSTA797 Plimb Final / / / / 03/11/97 PASS MS 03/11/97 MRS
CITY OF TIGARD
DEVELOPMENT SERVICES PPFRMPL
PERMITT #�k. . . . . . . : �' M97--O0H f
13125 SW riail Bivd., Tigard, OR 97223 (503)039.4171 DATE ISSUED: 03/19/97
PARCEL: 2S 104CC—HWOO9
,_a 11 E_ ADDRFSS. . . 13691, Sly ASCL Ncs I ON DR
9USDIVISTON. . . . : HII_LSHIRF WOODS ZONING: R-7 PD
BLOCK. . . . . . . . . . . 1J)"r. . . .. . . . .. . . . . . :009
CLASS OF—WORK. . :ALT __-- GARSAGF�DISPOSAL_S. : 0 MOBILE HOME SPACF,3. - 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . 0
!�-jTORIE` . . . . . . . . . 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES-- -- ---- ----'— LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 0 URINALS 0 GREASE ?RAPS. . . . . . . . 0
LAVATORIES. . . . . . 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS-9 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks: Install residential backflow prevention device
Owners FEES
BHF I_SIJRNE DEVELOP— -- + --- — -__—_-- t ype amclint by date rP::pt
7OO8 SW NYBERG RD PRMT 15. 00 JSD 03/19/97 97-291916
5PCT $ 0. 75 JSD 03/19/97 97-291916
TUALATIN OR 97O62
Phone #: 692-6383
Contractor:
MASTER' S TOUCH SERVICES INC
DONALD BURTON
'c'202 SW MICHAEL DR
WEST 1.-INN OR 97O68
Phone #: 655--6436 E i�. ?5 TOTAL_.
Req i*. . : 11509
- --- — REW.0 I RED INSPECTIONS
—
This permit is issued subject to the regulations contained in the RF'/B,-4ckf 1 ow Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspect; ion _applicable laws. All work will be 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 IAB days. ----- ---- — -
Prrm i tt eta S i.gnaf-+aLie.
� q 5 l_l a�}--1.'}►-:- _- --L- �
Call for inspection - 639-4175
:ITY OF 1 IGARD Plumbing Application Recd BY
13125 SW HALL BLVD. Commercial and Residential Date Recd 031
TIGARD, OR 97223 Date to P E
(503) 639-4171 Date to DST
Permit aIFF,
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted called r
Name of DevelopmenuPmlect FIXTURES (individual)_ _ QTY FRICEF AMT
Sink
Job ;Nsv_ �/ 9.00
Lavatory
Address street Addrtiss 9.00
/�36 j /5l c 51 1:w.5/Qy� 1�11e Tub or TubiShower Comb. 9.00
I Bldg 0 Citylstate Zip Shower Only 9.00
_ water Closet 9.00
Name
,51-le �f 11 l✓( `'f�l cf/ Jwi.•t� qr 9 00
1 Ownor Marlhq Address Suite Garbage Disposal 00
0 S�✓^� e`e-o /p, Washing Machine 9.JO
�-
( City/State / Zip Phone Floor Dram 2'
1
Ti �ssc- 9'00
3' 9.00 _I
I1
SCc1/ylSCGs+S i l"s c /��Z 4' 9.00
i Occupant Mo*q Address Suite Water Heater 9.00
Laundry Room Tray 9,00
City/State Zip Phone Unnal y 00
Other ru^ures(Speuryl 9.t�
NarN. A..4,to, JOU04 jawlata, Ilea. -
J _ 9.00
Contractor Matting AddrilaUZ b,W Mite 9.00
West Linn,OR 97 --- _
9.00
Gty/State Zip Phone -� - - 9.00
Oregon Const.Cont.Board l io.0 Exp.Date 9.00
Ire11 Copy of Cl r f%30 -- y7 - 9.00
Exp.Date i, 7 Sewer-1st 100' 10.00
�.ts.� L'
Ly>R� y+�- !/ Sewer-each additional 100' 25.00
COT Business Tax or Metro. Exp.Date Nater Service- 1st 100'
30.00
Name --- Water Seance-eaat additional 200' 25.00
Architect Storm b Rain Drain-tst 100' `- `— X00
or Mailing Address St.to Storm 6 Rain Drain-each additional too* 25.00
Mobile Home Span 25 00
Engineer C.tyrSute Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Cevtc* _
e40 wcxt( New O Addition O Alteration O Reoaer C Residential Backflow Prevention Device 15.00
be done: Residertnal O Non-reswential O Any Trap or Waste Not Connected to a Fixture I 900 I
k!tkxtal descnpuon of work -L _J
Gatch 8astn 9.00
Insp.of Existing Plumbing - 4000 ^�
_ oerhr
-'--- Speedily Requested Insperions
L"use of 4000
or DroIY - - Rain Crain,single family dwelling I 00.00
000811141 use of Grease Traos I 9.00
tiding or property______ _
QUANTTTY TOTAL
rn yoc capping, mo,,ing or replacing any fixtures? Yes❑ No 0 Isortietr,c or rtter magram 4 regurad d CuanaY Total is >9
"yes see back of form) _ - _-- "SUBTOTAL
•iebv acrnowlenge that I hase read this application.that the information
•=n,s cored.'nat I am the owner or authorized agent of the owner and 5% SURCHARGE r
-,a_gxsu4mirted are in comoliance with Oregon State Laws.
wScury of nerlA Ut Dau` PLAN REVIEW 2F"4 OF SJBTOTAL
l Recured only f brttwe pry rotas it
�/ -� I TOTAL 1
tact .non Nam. Phone L
'Minimum permit fee is 525•5%surcharge. except Residential Elackflow
Prevention Cevice.which s S15-5%surcharge
Wstslplmaop.doc 8/99
1
TEASE COMPLETE AS APPROPRIP TE TQ PROSECT:
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°
3"
4"
Water Heater _
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I'-'F-RMIT }#. . . . . . . . M5Tr36-a_-E,i
CITY 4F TIGARD DATE: ISE>IJED: 09/18/96
COMMUNITY DEVELOPMENT DEPARTMENT !='ARCE1_: 2S 1Ir4CC--HW009
13125 SW Hall Blvd.Tigard,Orpon 9722398199 (503)639-4171
L O!V 1 NC: R--7 C'D
,aUbLlV15iLJf1J. . . . F-11L.L.ariiHL. WULJi.)%,
f L.U C.Aj. . . . . . . . . . . L-01'.
Remarks: Path I
-------------------
---------------------------.----------- ---
�'E15SUE: STORIES.......: 2 FLOOR AREAS---------- BASEIrlT,,, : @ if REQUIRED SETBACKS-- - REQUIRE
CLASS OF WORK..-NEW HEIGHT........: 24 FIRST....: 1513 if GARAGE.....: 746 sf LEFT.......,..: 5 SMOKE DETECTRS:
FRONT.........: 20 PARKING SOACES:
TYLE OF JSE...:5F FLOOR LOAD.,..: 40 SECOND,..: 1038 if RIGHT..,......: 5
TYPE OF CONST.-SN DWELLING UNITS: 1 FINBSMENT: 0 if
OCCUPANCY GRP.-R3 BDRM: 3 BATH: 3 TOTAL-------: 2551 S VALUE..$: 183667 REAR..........: 90 - --------N--
PLUMBING --------------------------------------------- -- --
GINK5.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 8 SF RAIN DRAINS: 1 CATCH BASINS.. : 0
GREASE TRAPS..-
TUB/SHOWERS.,,: 3 GARBAGE DISC,,: 1 WATcR HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREUNTR: 1 OTHER FIXTURES: 0
MECHANICAL --------------------------------------------------------------
FLEL TYPES------------ FURN ( IW ..: 0 801i/C14P i 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 FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1 _ - - ---
----------------- ELECTRICAL --- -----------------------------------------------
—
--RESIDENTIAL UNIT---M--SERVICE/FEEDER---- --TEMP SRVC/rEEDEPS-- ---BRAWH CIRCUITS--- ----M15CELLANEDUS---- --ADD'L INSPECTIONS—
10@@ SF OR LESS: 1 0 - 200 amp..: 0 @ - 200 amp..: 0 1./SVC OR FDR.,: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 508SF.: 5 201 - 400 amp..: @ 201 - 400 amp..: @ 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR...... : 0
LIMITED ENERGY.: 0 401 - @@ amp..: @ 4@1 - 600 ago.,: 0 EA ADDL BR C1R: @ SiGNAI_/PANEL...: 0 IN PLANT...... 0
:
MINOR LABEL -10: @
MANF HM/SVC/FUR: 0 6V1 - 1@00 amp.: 0 E01+amps-1000 v: 0
100@+ ago/volt.: 0
-- - - ------------------------ PLAN REVIEW SECTION ------------------------------_._
Reconnect only.: 0 )=4 RES UNITS..: SVC/FUR)=225 A.: ] 600 V NOMINAL: CLS AREA/SPC DCC
` ELECTRICAL - RESTRICTED ENERGY -- ------------------------------------_----
A. SF RESIDENTIAL------------------------- B. COMMERCIAL--------------------------------------------------------
AUDIO d STEREO.: VACUUM SYSTEM..: AUDIO i STEREO.: FIRE ALARM...... INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: X BOILER.........: HVAC............ LANDSCADE/1RRIG: PROTECTIVE 51GNL:
GARAGE OPENER„t CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: @
Owner: ---------------------
Contractor: ------------------------ -- TOTAL FEES:$ *646.45
WELLINGTON HOMES INC WELLINGTON HOMES INC
7086 SW NYBERG RD 7008 SW NYBERG RD
TUALATIN OR 97@62 TUALATIN OR 97@62
phone #: 592-6383 Phone #: 612-067*
Reg #..: 10911@
his permit is issued sub)ect to the regulations contained in the Tigard Municipal Code, State of Ore Specialty Codes and all other
applicable lams. All work will be done to accordance with approved plans. This permit will expire if work is net started within 180
days of issuance, or if work is suspended for more than 16@ days. - --------r__-_-_�
------------------------------- -----...- -- ---- --- REQUIRED INSPEONSCTI --------------------
Footing Insp PLM/Underfloor Framing Insp Gaf Fireplace Water Service In BuildingFinal
Mechanical Ins Shear Wall lnso Insulation Insp Appr/Sdwlk Insp Erosion Control
Foundation Insp P Electrical Final _
ost/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Mechanical Final _
ost/Beam MPcnan Electrical Seg ! -Ppiace In Rain drain Insp ;VL/VW Final
'yawl Drain Electrical N :� as Line Water Line Insp •
er•m i t t e to y i y n a t 1_i r' �,•.•�..
ll et 11 ar irr5pect inn 639-4175
Plan Check N
L-
1TY OF TIGARD Residential Building Permit Application Recd By'
13125 SW HALL BLVD. New Construction Additions or Alterations
Date Recd
-IGARD, OR 97223 Single Family Detached or Attached Date to P.E. l 9-
Date to DST r
:103) 639-4171 Permit N t X , 1
1 Tint or Type Called I _'J'L'
Incomplete or illegible applications will not be accepted
Name of Subdivision Lot K Name
Job llillsliire Woods � ^� �l, r -T
--- --- TW;'1160 Address
Address Site Architect �Address R
& � y/ _Q) /ac_Ezo ity/Slate Zip Phone .'a.
Na ne r 7 -
L_,FL.�11�11� �s_-r1C� Nam �l•'? ,ic "
Owner Mailing Address
1(LOD -•-�1 ��d ----- Engineer Mai g Address ,:•
CdylState Zip Phone ( -)6A) G.", -
1'
9'1062 —` _ tyistote ZIP Phone
— ----
Name ___ �- .
General (,�,� �Lti/� r �l�'r C Describe work new addition O alteration O repair O '
Contractor Marling Address to be done, _
7008 S.W. N berc 1W. Additional Description of Work:
CitylSlate Zip Phone Tualatin 97062692-6383
Oregon Const.Cool.Board Lic.# Exp. Date -
Attach Copy of I o f 1l p _ /0- �G Project $ 7 c2�
Current COT Bu/allf esa Tax or Metro# Exp.Date q Valuation T
Licenses
NEW CONSTRUCTION ONLY:
(Jame —
Mechanical Oregon Conifot: t lleaLi_ng Sq.Ft. House: Sq.Ft Garage:
Sul)- Mailing Address _ - 2 �O
P.O. Box 355 Corner Lot Yes No Flag Lot Yea', No ,.
Contractor �.; fA,, l `*N10;,
._LC Le City/state Zip Pno6e . ck ane) (check om X
Ea( 1e Creek 97022 G55-0221 Restricted AudlolStereo Burgler �! .
�.
Oregon Const.Cont.Board Lic N Exp.Dale Energy X System X Alarm�,''
Attach Copy ofi, 0.42519 2-2497 `" — - —
Installation Garage Door HVAC
Current COT
0 U 01313 or Metro# Ex
p/Cta�«�)7 X Opener X Systems
Llconses 1 1
-- 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
•;
5 36 N.E. G 3rd restricted energy installations? X'_
Contractor Has the Subdivision Plat recorded? N/A Yes No�
CitylSlate- xf P
Salem 9"/ �01- ��-3539 _ ____ _
ue _ X
Oregon Const.Cont.Board I.Ic.N Exp.Dale Reissof MST# Solar Compliance
Attach Copy of 065015 3-15_-97 _ _ __ __ �t(Calculation Attached) y
current Plubl g Ll .# xp tial 1 hereby acknowledge that I have read this application,that the
Licenses 2W_ 9 PB -I L-�'7 '1 information giver,Is correct, that I am the owner or authorized agent of
COT Business Tex or Metro N x D 1^ the ower, and that fans submitted are In compliance with Oregon
000013~2 y M*'t'T'f� -�4l Sta f9ws.
Name ;�oolnPct
LireAon
41 Date
Electrical Dryer & Sons Electric - =-- ==p-�
_ Pme PhoneSub- allingAddress �__ CCA7T(J� Z0` 7870
Contractor 5536 sE Woodstock FOR OFFICE USE ONLY:—
U!y/Slate Zip Phone Plat# MaplTLO:
Portland 9720G 774-1606 , -
Oregon Const.Cont.Board 1.1c.0 Exp.Date _
Attach Copy of OUll.14_ 11-23-96 Setbacks Zane: sow
CurrentElectrical Lic.# Exp.Dale
Licenses 26-4 3C 1 0-.1.-96
COT Business Tax or Metro# Exp.Dale Ergineering Approval: Planning Approval: TIF:
i OOOU30,16 U 12-1-96
dstsvnatapp.doc
Account.Q(ngLiRti4L AmQunj Amt. Pd. Bal-Due
MST. Permit (BUILD) 6q,S
Plumb. Permit (PLUMB) D 5
I4iech. Permit 'MECH)
LLC/ELR Permit (ELPRMT) .,5-
State
State Tax (TAX) 5q,' 5�1 yc7
Bldg. 15 _
Plumb
{Meeh
ELC/ELR:
Plan Check
MST. (BUPPLN) I67.Q5
Plumb: (PLMPI_N) _
Mech: (MECPLN)
CDG Review (LANDUS) tic 'aD
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) 3� _ 3�-
Parks Dev Charge (PKSDC) 5
-✓
Residential TIF (TIF-R) 1571' /570
Mass Transit TIF (TIF--MT) I-Vic _
Watei Quality (WOUAL)
Water Quantity (WQUANT) Ioe
_ IUO
Erosion Control Permit (ERFRMT) y c/ _ Gc/
Erosion Planck/USA (ERPLAN) Dc ap,RL
Erosion Planck/COT (EROSN) FGA X0.1=C3
Fire Life Safety (FLS)
TOTALS:
i\dsWmstapp doc
Rev 7196
Solar Balance Point Standard Worksheet
Address.
Box A calculations: North-South dimension for the lot. Box A:
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
point of the lot.
* 450..*.
1 �
NOR1Nf RN NCO**" r
1ot LINE / North-South
Dimension for Lot:
Measure the distance from the midpoint f the o t line to the South to nL Mons
the described line. /( `J feet
I (
` N IP
V
J__ NOR?4VUVH DM
Box B calculations: Shade point height for yourre id nc
Box B:
1. Determine whether measurements will be based o the peak or eave of your Which describes
structure. The orientation of the ridge is also impo nt. your residence?
MfKY}M�:I
1 a: If the roof line runs North-South, measurements will (circle one)
be based on the peak of the roof. O r n o
rwnni�� I A 1 R 1 t.
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 pitch is
5/12 or steeper, measurements will be based on the ^'�='d
peak. ,.W,
Box B. continued Box B:
2. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If � ft
the lot slopes down from the front lot line to the foundation, the figure is negative. ----—
3. Measure distance from finished floor elevation to the affected peak/eave. It
4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, - ft
deduct nothing.
S. Subtract one foot for each foot of difference in elevation from the front property
line to the rear property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing. - ft
6. Total figure for box B: ft
Box C. Distance to the shade reduction line. Bax C:
1. Measure the distance from the North property line to the foundation near the _ ft
affected peak/eave. __--
2. Measure the distance from the foundation to the affected peak or eave. + ft
3. Total figure for box C: ft
It is most useful to draw a vertical!:;.^to represent the appropriaie 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 lines determines the value found in box "D". The value
m box "D"should be compared to the value in box"B"; if the value in box "B"is less than or equal to the value found in box "D", then
the building is in compliance with the solar balance code. If you have any questions, please contact us at 6.39-4171, x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feat)
Distance to North-south lo, dimension(in feet)
shade 100+ 95 90 85 80 75 70 65 60 55 50 4S 40
reduction line
from northern
1>ZL.fine(ja.(^e0 _
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
61) 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
50 32 32 32 33 34 35 36 37 38 39 40
45 30 30 30 31 32 3.3 34 35 36 37 38 39
40 28 28 28 29 30 31 32 33 34 35 36 37 38
35 26 26 26 27 28 21) 30 31 32 33 34 35 36
30 24 24 24 25 26 27 28 29 30 31 32 33 34
25 22 22 22 23 24 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 18 19 20 21 22 23 24
Box D. Maximurn allowed shade point height: _ feet
h:',docs\na nr_y\ventu ra\solar-chp
Revised 2./26/96
Jill Aldrich
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
Dear Ms. Aldrich:
Re: Solar Balance Point - Lots 9 & 10, Hillshire Woods
II Shelburne Development is the owner of both ots 9 & 10 in Hillshire Woods.
The home on Lot 10 Hillshire Woods will not ',lave any windows in the garage on
the side facing Lot 9 Hillshire Woods. This should resolve any potential solar
balance point issue with respect to these lots.
Sincerely,
WELLINGTON HOMES
James ScW/tton
President
80. 31
S�7,U
I
I _
I I LOCtorl
400 A5 S I LT FrNC
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(r ` Fv/ F.Yr.S inn Cori c o
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sryF✓I.
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70 U ,Sfrl,.
ca-r 9 N/GG SNi��, �c�nllS 1?OLS w
13691 SCO 4507ws100'I B� c.:Eu-/NGftjN NaM£S, lNG•
2Lt`!orc e-17 S ,tN,O� .F,��r t � ,;, f t2-0673
wur SioPe G� o
CITY OF TIGARD
13125 S.W. HALL BLVD.
T;GARD, OR 97223
IMPORTANT PERMIT NOTICE
DRYER & SONS
5536 SE WOODSTOCK BLVD
PORTLAND OR 97206
Electrical Signature Form
Permit # . • • • : MST96-0261
Date Issued. : 09/18/96
Parcel . . . . . . : 2S104CC-HW009
Site Address : 13691 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . Lot : 009
Zoning. . . . . . . R-7 PD
Remarks :
Path I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your compeny 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: ELECTRICAL CONTRACTOR:
WELLINGTON HOMES INC DRYER & SONS
7008 SW NYBERG RD 5536 SE WOODSTOCK BLVD
TUALATIN OR 97062 PORTLAND OR 97206
l lione # : 692-6383 Phone # : 9f74-/6Z,(,-
Reg # . . : 1114
x is
4�'Sigraturoupervectrician
Please return this completed form to the address above.
ATTN: Building Dept.
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
C & K CONTRACTING INC
536 63RD NE
SALEM OR 97303.
Plumbing Signature Form
Permit # • . . • : MST96-0261
Date Issued . : 09/18/96
Parcel . 2S104CC-HWO09
Site Add 13691 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . Lot . 009
Zoning. . . . . . . R-7 PD
Remarks :
Path I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REO.UL.cD ON THIS FORM
lJN1,R : PLUMBING CONTRACTOR:
WELLINGTON HOMES INC C & K CONTRACTING INC
'7008 SW NYBERG RD 536 63RD NE
TUALATIN OR 97062 SALEM OR 97301
Phone # : 692-6383 Phone # :
Reg # . . : 65015
Xx
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 539-4171 , ext. #310