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12748 SW ASCENSION DR
CITY CSF TICARD CERTIF1COIE OF
OCt-.1-11PANCY
COMMUNITY DEVELOPMENT DEPARTMENT PUIRMI-T #. . . . . . . : MST95-045'
13125 SW Hall Blvd.Tigard,Oregon 9722308199 (503)8394171 DATE ISSUED: '119/ 10/96
PARCEL: 2E-1V.4BC--HW0!V,
-.ITE. ADrjRES'5. - - : 1P74 SW ASCENSION OR ZONTNG�R-7 P ID
IUBDIVISION. . . . : HILLSHIRE WOODF,
3LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :5c3
!,'LASS OF' WORK. :NEW
TYPE:. OF USE. . . :BF 1) 1!�
13CCOPANCY GRP. ?5hLT-5
fICCUPANCY L0AD:j'
Reffial k s s PATH I
WINDWOOD 140MLS
14076 SW BENCHVIEW TERR
TIBARD OR 97224
Phone #- 590-4700
(--ont,-act or. I
WINDWOOD HOMES
14076 5W BENCHVIEW TERRACE
11(1.44-1.? OR 97224
Phone #t 590--4700
Req #. . x 050196
'This Certificate grants OCCLIPanCy of the above t-eferpnced building or POT-tiOn
thereof and 7onfirmq that the building has been inspected for' compliance with
the Sitste of Ov-egon Specialty Codes FOv the yt-OUP�. OC-C-UpAnry, and use under
which thos ri►ferenced viermit was issued.
B U I jil't ic,7G F�EC.'1,OR JAMLE)ING OFFICIAL
POST Jr4 c0h1c-'sP!1CUOUS, PLAUF
EK lk-ILPM.1 i
L
. . . . . . . MST'j` -04+59
CITY OF TIGARD DATE ISSUED: 01/17/96
C.OPIMUNITY DEVELOPMENT DEPARTMENT rIARCEL: 2'5l04SC-4iWi-4150
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (5(11)1339-4171 OR
ZONING: R-7 F,r)
. . . . . . . . . . ..01% .. . . . . . . . . 59
Pesarks: PATH I
---------------------------------------------------------------- BUILDING ----------------------------—-------------------------------------
1EISSUE:NST195-0458 STORIES....... : -1 FLOOR AREAS---------- : 0 if RCGIJIRED SETBACKS—-
CLASS OF WORK.:NEW HEIGHT........: 28 FIRST....: 885 sf GARAGE—_: 420 sf LEFT..........: It SMOKE DETECTRS: Y
TYPE OF USE...;SF FLOOR LOAD....: 40 SECOND...; 805 sf FRONT.........: 20 PARKING SPACES: I
!YPE OF CONST.:SN DWELLING UNITS: I FINBSMENT: ? sf RIMT......... I@
3000PMEY GRP.:R3 SDRM: 3 PATH- 3 TOTAL--------- A sf Vkl.!E_t: 116106 REAR.......... : 42
------------------------------------------------------------ -_ PLUMBIWO -------------------- ----------------------
WATER. CLOST'J. WASHING MACHLAI)NDRY TRAYS.; 0 RAIN DRAIN ft: 0 TRAPS.........: 0
JINKS.........: I ..; 'A
,-AVPTORIES..... 4 DISHWASHERS_ I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS..- 0
TUB/SHOWERS... GARBAGE DISP..: I WATER HEATERC.; I WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS,,: 0
OTHER FIXTURES:
-----------------------—----------___________.__--------- MECHANICAL.
-UEL TYPES---- FURN 1809 I BOIL/CMP ( 3HP: 0 VENT FANS.....1 4 CLOTHES DRYERS, I
!GAS/ I I TURN r1009 0 UNIT HEATERO, 0 HOODS.........: I OTHER UNITS...i I
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: @ WOODSTOVES..... 0 GAS OUTLETS... : I
---------------------------------------------------------------- ELECTRICAL ------ --------------------
--RESIDEN71AL UNIT--- ---SERVICE/FEEDER---- --TEMP' SRV'/FEEDER'o-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADDL INSPECTIOW
IM SF OR LESS; 1 0 M &Io..: 0 0 200 ago..: I WISVC OR FDA-- 0 PUMP/IRRIGATION: 0 PER INSPECTION: '
21 40@ a I P. 0 1st WIO SVC/FDR: @ PER HOUR...!..: e
EA ADDIL 5W.: 2 201 480 agc..: 0 L SIGN/OUT LIN LT; 0
LIMITED ENERGY.: 0 401 600 amp..: 0 401 600 asn.. EA ADDL FR CIA: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
OF HMfSVC/FDR: 0 661 100 ago.! 0 681+AIDs-I000 y: 0 MINOR LABEL -10: @
IW+ amp/volt.: 0 ------------------- PLAN REVIEW SECTION
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.i 600 V NOMINAL: CLS AIKAIISPC
----------------------------------- --- ------------- ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL-----------—-—--------------—-—---------------------------
ilAID 9 STEREO.: VACUUM SYSTEM..; AUDIO I STEREO.: FIRE ALARM!....: 'INTERCOM/PAGING: OUTDOOR LNrGC LT;
BURGLAR ALARM,-: DTH, X BOILER.........: HVAC.........,.: LANDSCAPE/IRR16, PROTECTIVE STGW i
GARAGE 011WENER..i CLOCK..........: INSTRUMENTATION: MTTICAL........ OTHP- ..
HVAC...........: DATA/TELE COMM.: NURSE CALLS....s TOTAL A SYSTEMS.
3wn@r- -.-Contractor; '17TIAL FEES:$ 357".A9
41NDWOOD HOMES WINDWDOD HOMES
:4076 SW BENCHVIEW TERR 14@76 SW BENCHVIEW TERRACE
TIGARD OR 97224 TIGARD OR 97224
rt"one 590-4?00
Ree 0.. r-.0116
'his certif is issued sub'iort to the reculatiors contained in the Tigard Municipal Code, State of Ore, Specialty Code!
.;rriliratle laws. All w,,- will be done in accordance with approved Plant. This Permit will #%vire if work is not st.
jays of issjance. or if work is suspended for more than IS@ days.
REWIRED INSPECTIONS ------------ —
7et:ng
----------
10ting inso PLM/Underfloor Framing Insp Gyp Board Insp Electrical Final
Foundation Into Mechanical IrSD Low Voltage Fain drain !ric Melh.lrical Final
'lost/Beat Struct Plumb Too Out Firpolace Inso Water Line Into Plus :nal
ccst/F#as Mechan Elect-ical Svvi G8-- a Water Service TFinal
Crawl Drain Electric&' ADor/S&lk Into
p I-M I -T
r 1crj P!+ :
i i s L.1 P c-t i o n 639-4175
CITY MJF TIGARD h:AiaE S. . . . . . . .. SWR95__05`E�
DATEIaUED: 01/17/9f.,
COMMUNITY DEVELOPMENT DEPARTMENT 'ARCEL. : c_S 104RC--HW059
13125 SW Hail Blvd.Tigard,Oregon 67223.6166 (503)636-4171
SUEBI:i., i w N;iii.;(;..: 7.ONiNG: R-7 F'D
BLOWN,. . . . . . . . . . . LOT. . . . . . . . . . . . . ..59
TENANT NAME. . . . . :
USA NO. , , . . . . . . . FIXTURE UNITS. . . . 0
CLASS ;F, WORN.. . . :NEW DWELL I NO UN I TS. . : I
TYr'E: OF USE. . . . . :SF NO. CIF ICU I l_D I NGS: 1
I119TALI_. TYf-'E', . . . IMr, RV G,1.JRFACR : 0 Sf
Remark -. TH I
FEES _
WIh IIE. type amoi.tnt by da;t¢ I-ec-pt
1407b SW BENCHVIEW TE:RR F'RMT $ 2200. 00 B 01/17/96 96-274992'
INSP., $ 35. 017; la 01/17/96 '36 27499 '
.IIGARD OR 97224
phone #: 590•-'47012)
";rntractor:
r (?NTRACTOR NOT ON F r l_E
pfiol-'e #: i _. 00 TOTAL
Re'ci
REQU I RFD I NSF'ECT I ONC,
This Applicant agrees to comply with all the rules and regulations t
of the Unified Sewage Agency. The permit Mires 188 days from
the date is;-ied. The total amount paid will be forfeited if tht
permit expires, The Agencv does not guarantee the accuracv of the
side sewer latarals. If the sewer is not located at the measurement
given. the instailer shall orospect 3 feet in all directions from
the distance given. If not so located. the installer shall purchase
a "Tao and Side Sewer" Permit and the Agency will inr,tall a lateral.
F'errmittee Si latf+r•F :
I s 51.1ed By
Call for in$pt.,ctfon - 639-4175
Residential Buildinc Permit Applicatican
City of Tigard
13125 SIN Hall Blvd.
Tigard, OR 97223 ;
(503) 639-4171
Jobsite Addresr;:
Office Use O�
Subdivision: �L1-11�� �-c �-z=tt. Lot# `d�`S�
Contact Date i l Initials _
Valuation: _ 4P,*P;iWk ) -Z , — Result
New Construction Only: (Square Footage) Planck/Rec --
Permit #
House _�( yU Garage: �Ij Reissue of ir►SfSi-4' NS's
Map & TL#_2,UUR/
Corner Lot? Y Flag Lot? Y Zone _ R 7 e n
` / Plat #
Owner:
�1 / Approvals Required
Address: � 13c/tc �1 ui
Planning Setbacks Solar
Engineering
Other —
Phone L.g`��5 1 S 9�^ �'7 00
Items Required
Contractor:
Subcontractors
Address _ --- Truss Details
Other
Notes t
Phone.
Contractor's License #
( ttach copy of,current Oregon license)
Contact Name: _cls
Contact Phone:
Subcontractors: -W 8,60 "312 1 97 Architect/Engineer:
Plumbing �/lntiS ��63 3y- X86 1 3lhl Address: -
Mechan'-al: , / ✓ate
(attach coy of current QR Contractor's License)
coy
Evov kG 241 o-1 L 101INPhone:
JOB DESCRIPTION:
ArSignature Applicant Phone number
Received by: -----------I _ Late Received:
irrun-.e+aoo
Permit # Account Descriptlon Amount Amt. Pd. Bal. Durr
Bldg. Permit (BUILD) ). 0 5. y
Plumb. Permit (PLUMB)
_ Mech. Permit (MECH) �yj—�—' y3, ,7
State Tax (TAX) u u
Bldg: 3. J� q7,41
Plumb: --�--
Mech:
Plan CheckU y (PLANCK)
Bldg. 5*0
Plumb: Cay
Mech: l0 bi �0 �' lo '0/
.:I-A`1-05Sewer Connectino (SWUSA) e"0
Sewer Inspection (SWINSP)
Parks Dev Chargee (PKSDC) vU
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) /
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) _LSA;
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ER"RMT)
Erosion Planck/USA (ERPLAN) �1 ( 124,
Erosion Planck/COT (EROSN)
TOTALS:
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
nJIPORTANT PERMIT NOTICE
BEAR ELECTRIC
PO BOX 389
DONALD OR 97020
Electrical Signature Form
Permit # . . . . : MST95-0459
Date Issued. : 01/17/96
Parcel . . . . . . : 2S104BC-HW059
Site Address : 12748 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block . . . . . . . . 1 , )t . 59
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 frorn 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
(�WNLR : ELECTRICAL, CONTRACTOR:
WINDWOOD HOMES BEAR ELECTRIC
14076 SW BENCHVIEW TERR PO BOX 389
TIGARD OR 97224 DONALD OR 97020
Phone If : 590-4700 Phone # :
Reg 4 . , - 2, 91
i
X
Sign ure o supervising ETectrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310