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13300 SW ASCENSION DRIVE ("
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CITY OF TI ,L,0,'AARD
DEVELOPMENT SEr � ICES
13125 SW Hall Blvd., Tigard,OR 9722.4 639-1171
CE:.RT I F I CATL OF
OCCUPANCY
PERMIT #. . . . . . . : MST96--005'
DATE: ISSUED: 05/08/97
PARCEL e PG 11d4CC-F1W08'_j
,I TE ADDRESS. . . a 13300 SW (4aCLNGION DR
,UBDIVItiION. . ,. . : HILLSHIRE WOOD- ZONINGsR- 7 G1)
1ALOCK. . . . . . . . . . : L.OT'. . . . . . . . . . . . . 1005 JURISDICTIONe
;1._AGS OF' WORK. :NEW
1 YPE= OF USE. . .aE. . . e FBF
YPF_ ur- CONSTh e 5N
)CCUPANCY GRP. :R:3
)CCUPANCY L..OAD:2
e m a r r•t; : RQTH I D.B. OF, t1LAR b*K WILL NOT AFFE7 SOLAR AREA
,)wner : __.. .._._.--.._...____._..__ _. . _.._..._...__... ._ . _._
ti. W. FUL.LERTON CO
700 SW CAPITAL HWY
iUITE 27`i
!'ORT LAND OR 9 7c 1 q
Phone #: 293-2277
I
P FULL.ERTON COMPANY
+700 SW CAPITOL HWY
3TC: #275
'ORTLAND OR 97,19
1!hooe #: 293 -2277
1 r_q #. . : 000406
This Certificate g�-ants occ6.IFr2ncy of the Rhova referenced building or portion
':hereof and confirms that the building has been ins ,) cited for c_ompl. ia!tce with
the )tate of Orergim Specialty Codpa far the yrOt.:pii cLlpanc_N �rnd �_ise under
-rhich the referenced permit was issUP(J.
9IJII__DING INSPELTnR E�UIL. 4(3 OF"F C L
POST I N CONS-3V I Cl 1006 PLACE
Page No. 3 CASE HISTORY FOR C,,SE NO.: MS196-0059
R.W. FULLERTON CO
13300 SW VZCENSION DR
07/22/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update UO
Code Sent Dene Done Date By
MSfA735 Gas Line Insp 08/13/96 / / 08/13/96 PASS RB 081,13/96 RB
M5TA740 insulation Insp 08/09/96 / / 08/09/96 not inspected this date clue to prior FAIL RB 08/12/96 RB
failures
MSTA740 insulation Insp 08/12/96 / / 08/12/96 NO INSPECTION MADE. REINSPECT FEE x15- FAIL. R9 08/12/96 RB
NOT PAID YE11
S15 CHARGED= $36 TATAL 8 MUST BE PAID
PRIOR TO ANY FURTHER INSPECTIONS.
PLUMBING FAILED THIS DATE W/E'15
CHARGEC.
MSTA740 Insulation Insp 08/13/96 / / 08/13/96 plug holes w/in RA floor plenum; vent FAIT_ RB 08/13/96 RB
baffles needed at vaulted rafters at
flat ceiling; firestop all thru
penetrations.
MSTA740 Insulation Insp 08/15/96 / / 08/15/96 PASS RB 08/15/96 RB
MSTA7/0 Insulation Insp 08/16/96 / / 08/16/96 PASS RB 08/20/96 RB
MSTA745 Gyp Board Insp / / / / 08/21/96 1" min clear at b-vent APP GS 08/21/96 GES
MSTA755 Rain drain IisP / / / / 04/12/96 PASS MS 04/12/96 MRS
MSTA760 Water Line Insp / / / / 04/12/96 PASS MS 04/12/96 MRS
MSTA765 Appr/Sdwlk In,p 10/11/96 / / 10/11/96 Felt at cold joints. PASS Pi 11/12/96 C•H
MSTA770 Misc. Inspection / / / / 08/01/96 GARAGE FLOOR OK TO POUR PASS RS 08/08/96 ST2
MSTAiM Electrical Find / / / / 12/31/96 PASS MJR 12/31/96 MJR
MSTA795 Mechanical Final i / / 12/31/96 APP GS 12/31/96 GES
MSTA795 Mechanical Final / / / 02/26/97 .aider-floor locked FAIL RB 02/26/97 KAS
MSTA795 Mechanical Final / / / / 05/05/97 incompleted FAIL RB 05/05/97 PS
MSTA795 Mechanical Final / / / / CS!08/97 PASS RB 05/08/97 RB
MSTA797 Plumb Final / / / / 11/18/96 req.access to main shut off valve FAIL MS 11/18/96 MRS
first call disregard re-inspect fee
MSTA797 Plumb Final / / / / 17/31/96 PASS MS 01/02/97 MRS
MSTA799 Building Final / / / / 01/07/96 usa erosion; under-floor access locked; FAIL R8 01/07/97 RB
center livingroom glazing needs to be
tempered; insuiate attic accesses fwd
south hedrm
1
Pepe No. 4 CASE HISTORY FOR CASE NO.: MST96-0059
R.li. FULLERTON CO
13300 SW ASCENSION DR
07/22/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- ----- ----------------- ------------- ---- --- -------- ---
MSTA799 Building Final / / / / 02/26/97 within fwd bedrm access- insulation FAIL RB 02/26/97 KAS
missed in wall.
mech under-floor issues/structural U/F
issues- LOCKED
USA erosion
14STA799 Building Final / / / / 03/19/97 use erosion; remove wood debris; FAIL RB 03/19/97 R11
re-install insulation fallen out;
re-connect range vent disconnection;
Insulate wall of bonus room Win attic
access fwd bedrm south; insulate fwd
bedrm cabinet :ype access panel inner
perimeter; Note: unable to unlock access
above living room to kitchen space.
MSTA799 Building Fital / / / / 05/05/97 incompleted issues FAIL RB 05/05/97 RB
MSTA799 Building Final / / / / 05/08/97 PASS RB 05/08/97 RB
MSTA960 (F) issue Cert. of Occupancy / / / / 05/08/97 mailed 7-22.97 07/22/97 S"W
MSTA970 Case Finaled / / / / 05/08/97 PASS RB 05/08/97 RB
MST8708 Erosion Control / / / / 05/08/97 Rick called from USA and says erosion PASS USA 05/08/97 RB
final approved
CITY OF T107ARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd,Tigard,Oregon 97223•R199 (503)839-4171
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (.503)839-4171
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SECOND.,.. •'3 :.f
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BATH: _ OTGL.. 3'_4:' ;f ')Q. R;.PR.......... .
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CITY OF° TIGARDI
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd TiQa,d,Oregon 97223*8199 (503)639-4171
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Re idential P�uildinq.Permit Ap�l'l_cation
City of Tigard
13125 SW Hall Blv ;I ° ,�
'igard, OR 97223 Jet(
(503) 639-4171 c,'sl
Jobsite Address: _13300 S/VJ AS('.EiJ`�i GtJ Dom'_
Office Use Only
Subdivision: S�tZ� WOODS Lot# �
��S 3 O Contact Date / I Initials
Valuation: az i 1 Result
New Construction Only: (Square Footage) Planck/Rec #
Permit # _�sfi9,,i� -g2u-5I
House: 324� Garage: Reissue of
�u� � Map 8. T # ZS 16 - l•�X''
Corner Lot? Y V Flag Lot? Y l D Zone 1 PD
tti1
� V-A —k 2TbPlat # _lo!, a 1 Lz .:G,z 7
Owner: �G ZVJ k
—
Approvals Required
Address: q j nth SW C.INP M)L_ W16)1 , �5
Planning Setbacks (_, Solar ^.
FpyeT-LAV-)'0 Q(2 ' l Engineering Ft 4r z CCQL*#ML
Phone: (�03 ) Z-°I's- 22^1 Other PL a 02 t3
Contractor: 7nt6 ?.W Items Required
SOD �� Ctf"_1 cD�- l�W`�. �75� Subcontractors
( Address: Truss Details _
��2�-tl t*•���.���2� _ Other FLIM F
Phone
Notes
L�3 ) 2•-Q3 `Z277
Contractor's License #_ 6,TO6? 1 _ -
(attach copy of current Oregon license)
Contact Name: �T �JA/1���
Contact Phone: (.� [�3 ) 2,1.E 27-77 �b
Subcontractors: Archltect/Englneer: ALal1 M('1'S W�
Plumbing: A&S �R`C# to'-Cf"i6/IV 4 Address: L, � ,(JLJ /8�/i /�vc-
Mechanical: kY NL7r� �rr�grvra9� 9 �_
(attach copy of current OR Contractor's License)
/ ;( I. �/. Phone: itb,3 ) 2_25 - 914 _—
JOB DESCRIPTION
Applicant Sign e - Applicant Phone number
'Received h / Date Rece'ved:
Permit# Account Description Amount Amt. Pd. Bal. Duo
fiktLjk-u051 Bldg. Permit (BUILD) 2'1 F,4)4) 'Z'L) �- I
Plumb. Permit (PLUMB) 2 31 x.25
i t
Mach. Permit (MECiH) 4/ L/�' r
� I
Bldg: .;3 7 _�
Plumb: 11- L'I
Mach:
Plan Check { TJ 5A.-PL C'J ',
Bldg: z
ISA6, 8�4PLN ScJ fi�L�M
Plumb: Pim FL Al
Mach: _ �Z � _/MGcPc w
.SWIe
-_iv Sewer Connection (SWUSA) "0
Sewer Inspection (SWINSP) S-)
Parks Derr Charge (PKSDC) S,-/O Sv J
Residential ,IF (TIF-R) q 10
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial Tir (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) ��y �_ l GQ ✓
Fire Life Safety (FLS)
Erosion Cntrl Permit (E:RPRMT)
Erosion Planck]USA (ERPLAN) 0,
Erosion
Erosion Planck]COT (EROSN) ��y 0 'G 0�.
TOTALS:
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WRIGHT 1 ELECTRIC INC
5618 SE 135TH AVf,
PORTLAND OR 972:16
Electrical Signature Form
Permit # . . . . : MST96-0059
Date Issued. : 03/13/96
Parcel . . . . . . : 2S104CC-HW085
Site Address : 13300 SW ASCENSION DR
Subdivision . :
Block. . . . . . . . Lot .
Zoning. . . . . . . R-7 PD
Remarks :
PATH I D.B. OK SOLAR SHADE WILL NOT AFFECT SOLAR AREA
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 company sign below a-id return this Electr;cal
Signnture 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:
R.W. FULLERTON CO WrIGHT 1 ELECTRIC INC
9700 SW CAPITAL %WY 5618 SE 135TH AVE
SUITE 275
PORTLAND OR 97219 PORTLAND OR 97236
Phone # : 293-2277 Phone # :
Reg # . . : 97757
Signature of Supervising ectncian
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310