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.�, 13445 SW ASCENSION DRIvS
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CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171
CERTIFICATE QF
OCCUPANCY
PERMIT 0. . . . . . . : MST96--0r1
GATE ISSUED: 06/18/1)7
PARCEL. s 2S 104CB-•00,300
I.TE ADDRESS. . . 1, 13445 SW ASCENSION DR
SUBDIVISiION. . . . : HILL.SHIRE: WOODS WNINOaR-' PD
FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 1019 JURISDIC:TIONsTif,
CLASS OF' WORK. aNl:W
TYPE OF USE. . . 1GF
TYPE. OF CONS3TR:5:14
0CLUPF4NCY GRP. : R3
OCCUPANCY LOADs2
Remarks : Path I
Owner : -_-_.. __.._.._.._.__..__.. _.._. _....__..__.___._.._.._.. ._ .....
'.iHEL_SIJRNE DEVELOPMENT
I0►1►N SW 14YSERG RD
TIJAL.AIIN OP 97062
Dhone #: 692-6363
"cintractors
' NEL.BURNE nFVE LOPMENT
1008 SW NYZoERG RD
TUAL AT I N OR 97062-
hone
7062♦hone ik: 692--6383
Peg #. - 1 01210423
110a Certificate grant-b ocr_uparnr.y of the alcove referenced bl-gilding or' portion
thereof &Tld Confirms that t-he building has been insprlr_ted for compliance wit1,
rhe State of Fir�oiyon Specialty Codtrs for the g►~•p�f? occupancyr and Lisp under
,.,shicrh th, refereeiced per-►sit was ips�_►ed. I
r•
fWIL1- iWG I14S PE.CTOR BUIL ING OFF:IrIAL
POST IN CONSPICUOUS PLACE:
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-1 tour Inspection Line: 6394175 Busincss Phonc: 639-4171
Date Requested: Iq A.M. _ l P.M. ---- MST: (
rt
Location:_. 1.1� I3iJP:
Tenant: Suite: Bldg: MEC:
Contractor:_77�G"L. ,� �11 LILT l.Y Phone: -0 —1&/6 PLM: --
Owner:, _ Phone: ELI::
ELR:
——_ ✓�l L - �' 3 7 SIT:
BUILDING (`�.LIQ(coni)_' P UMBING MECRANT_� ELECTRI AL CITE
Site 1 ost/Beiun Post/Beam os eam Cover/Service Sewer/Storm
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire St Ur/Alm Crawl/Found Dr Heat Pum Low Volt _
Ap�mved,) ApprovedA ro Approved Approved
FAppr/Sd,wlk ved Not Approved NotApproved Not Approved Not Approved
FINAL FINAL FINAL FINAL
C1 Call for rein O Reinspection fee of S_ required before next inspection 0 1 Mable to inspect
Inspector.___Jc �" Date. 63 -- Page_—of
CITY OF i:CARD
13125 S.W. HALL BLVD.
TIGARD, uR E7223
IMPORTANT PERMIT NOTICE
c & K coN'rRACTING INC
536 63RD NE
SALEM OR 97301
Plumbing Signature Form
Permit # . . • . : MST96-0535
Date Issued. : 08/29/97
Parcel . . . . . . : 2S104CB-00300
Site Address : 13443 SW ASCENSION DR
Subdivision . : HILLSHTRE WOODS
Block . . . . . . . . Lot . 019
Zoning . . . . . . R-7 PD
Remarks :
Path I
Your company has been indicated as tho plumbing contractor for the permit indicated above. !n order
for the plumbing permit to be valid, ;Tease havF: the appropriate individual from your company sign
below e id return ihis Plumbing Signature Form prinr to the start of work. No plumbing inspections
will be authorized until this completed form is received.
Ar INK SIGNATURE IS REQUIRED ON THIS FORM
OWNEI: PLT-TMBI14G CONTRAr'TOR:
SHELBURNE DEVELOPMENT C & K CONTRACTING INC
7008 SW NY.BERG RD 536 63RD NE
TUALATIN OR 97062 SALEM OR 97301
E)hone # : 692-6383 Phone # :
Reg # . . : 00IJ650
Signature of Authorized Plumber
Please return this completedformto the address above.
ATTN: Building Dept. dt(74t&�e-y4. , � AFS-CF �y1 2If you have any questions, please call 639-4171 , ext. #310
C17)
D�
CITY OF TIGARD j. �e
13125 S.W. HALL BLVD.
TIGARD, OR 97223
G
d�
IMPORTANT PERMIT NOTICE
r
I
DRYER & SONS
5536 SE WOOLjTOCK BLVD
PORTLAND OR 972( 6
Electrical Signature Form
Permit #• • : NST96-0535
Date Issued• : 08104/97' )0300
Parcel . . . . . .
Site Address : 13445 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . Lor . 019 �II
Jurisdiction: TIG PD
p'
Zoning . . . . . . . R-7
Remarks :
Path I
ur company has been indicated as t►,.e elF�ctriccontractor the orpervis ng electrician
order
indicated above. In
order for the electrical permit to be vapid, the Signature
is required.
ow
eturn this
Please have the appropriate individual from your Corralninspections lwill rberauthor authorized Electrical
Signature Form prior to the start of work. No elect
ric
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
ELECTRICAL CONTRACTOR:
OWNER : DRYER & SONS
SHELBUPIM DEVELOPMENT 5536 SE WOODSTOCK BLVD
7008 SW NYBERG RD
TUALATIN OR 97062 PORTLAND OR 97206
Phone # :
Phone #: Reg V . : 000011
Sin ure o urvising Electrician
9
Please return this completed form to the address above. �� Q
ATTN: Building Dept. W&n't�IA-0 .1
If you have any questions, please call 639-417 , ext. #310
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
DATE ISSUED: 05/06/97
PARCEL: 2SI04CC—HWO19
'~ '^ ~~~^E~~ ~~--~ ~~ ^~'E'`~^~` ~^ |
SUBDIVISlON HILLSHIRE WOODS ZONINGR-7 pu /
|
—_ _— OF WORK. . :ALT GARBAGE' DISPOSALS. : B OME SPACES. : 0 /
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
"CCu~n"C, GRP. . :R3 FL""" ""A''`" ° ° ' '`A-~ ~ �
~ . ..,IE.. . . . . . ~ _...^.. HEATERS' ' ' ' ' ' _ CATCH BASINS. . . . . ' - �
FIXTURE5 LAumuwv TRAYS w SF RAIN ux*ImS : m
�
�Tmno . m URINALS " ° GREASE ' '`A-~ - �
�
L.,. . ..`^ `.. . . . . ~ ~ . . _R FIXTURES _
SEWER LINE (ft ) 0 �
WA/Ex CLOSETS. : x, WA/Fn LINE `rn , : m �
',/onwnonc"S " ° °A^" "'`-^'" ` ' ` ' -
Remarks : DOUBLE CHECK SACKFLOW DEVICE LOCATED AT METER
SHELRURNE DEVELOPMFNT type amoi.int by date recpt
Recd By
Y OF TIGARD Plumbing Application
25 SW HALL BLVD. Commercial and Residential Date Recd
Date to P E.
.ARD, OR 97223 rate to DST
3) 639-4171 o..Hila PCMg7-D':.
Print or Type Related SWR a
Incomplete or illegible: applicaiions will not be accepted Called—
dame of CevelopmenuProlect FIXTURES (Individual) oTY PRICE AMT
Jub Sink - 9.00
Lavatory 9.00
Address Street Addre� Suite _
13 LI 5 �- Spens i� (UT `r Tub or Tub/Shower Comb. 9.00
Bldg a GryrSlate Zip / Shower Only 9.00
r c }G2�( Water Closet
Na9.00
rr►�� � /
of c. Dishwasher 900
Owner M rMr>sj Adtlress / Suite Garbage Disposal a,00
�G /li 12 /7d Washing Machine 9.00
citymate/ no Phone Floor Drain 2' 9.00
Cct7/ r✓ Gf1 r ('/ Z - �c3' 9.00
Mane
•' 9.00
)ccupant Me"Address Suite - Water Heater __ 9.00
Laundry Room Tray 9.00
Cityr'State Zip Phone Unnal 9.00
Name Other Fixtures(Specify) 9.00
r —Yv 9.00
ontractorHail
?.202 S.W Micheal )five 9.00 _
C ty/Stale _ 8.00
lone — 9.00
__f s 56 3 ��.__ _ _
Orrgon Const.Cont.Board Lica Exp.Data 9.00
Abach COPY of 6:1 c-/ ? ' 9.00
ernMrt Pkrtibiriq L1c,a Exp.Data Sewet-1st 100" 3000
t" Sewei -each additional 100' 25.00
COT_ Business Tax or Metro a Exp.Date
i rte,-ii . , I r� Water Service-1St 100' 30.00
-- Name — Water Seance-each additional 200' 25.00
Architect Storm s Ram Dram- tst 100' 30.00
Marling Address Sr.;e Storm&Rain Drain-each additional 100' 2500 l l
or Mobile Home Space 25.00
'ngineer Zip Phone Commeroal Bacx Flow Prevention Device or Anti- 25.00
Pollution Cevice
T"Twork New O Addition O .alteration O Repair O Residential Bac"aw Prevention Device' 1500
•done: 'Residential O 'Jon-residential O ,any fr-W or Waste Not Connected to a Fixture 900
.titin"detimption of wort Larch Bann 9.00
Inw of Existing P!umoing 4000
oerrhr
-- ---- Sceciaity Requested Inspecwons 40.00
rniq use of _ oerrhr _
v9 or DroPeiry --- Rain Crain,single fatuity dwelling 3000
,;posed use of Crease Traps 9.00
,ling or property_____
_____ QUANTITY TOTAL
-re yoc. :apprcig, moving or replacing any fixturesl' Yes p an
No❑ Is +e7or neer diagramic ii reauree if Cuarixy iolal is >9
s see back of form)
ye — Y 'SUBTOTAL
,rebv acknowledge that I ha.e read this acplication,that the Wormation
•en,s correct.!nat I am the r,wner or authorized agent of the owner.and 5% SURCHARGE --1
At:tans supra, a arc•.n compliance with Oregon State Laws._ —
gnstf#M of Own*rltagent Date PLAN REVIEW 25% OF SUBTOTAL I `-
I secured anh 11whoe city total >>_3 _
—f � (o-�J I I TOTAL
.ntact Person Name Phone _
'Minimum permit fees$25 •5%surcharge.except Residential Bacxflow
Prevention r evice.which,s t'.5• 50' surcharge
'dstslplmaop.aoc 8196
J
P-L ABE COMPLEI E AS APPR-QPgIATE 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"
4"
Water Heater
Laundry Room Tray
Urinal _-
Other Fixtures (Specify)
OMMENTS REGARDING ABOVE:
CITY OF TIGARD
DEVELOPMENT SERVICES MASTER PERMIT
PERMIT #. . . . . . . : MST96-0535
13125 SIN Hall Blvd., Tigard,OR 97223 '503)639.4171 DATE: ISSUED: 12/19/96
PARCEL: 2S1O4CC-HWO19
SITE ADDRESS. . . : 13445 SW ASCENSION DR
51JBD M S I ON. . . . : H I LLSH I RE WOODS ZONING: R-7 PD
BI_-OCK.. . . . . . . . . . . LOT.. . . . . . . . „ - - :019
Remarks: Path I
--------------------------------------------------------- BUILDING --------------------------------------------.— -------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------
CLASS OF WORK.:NEW HEIGHT........: 28 FIRST....: 1576 if GARAGE.....: 626 if LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1652 sf FRONT.........: 20 PARKING SPACES: I
TYPE OF CONST.:SN DWELLING UNITS: 1 FINBW.'T: 0 if RIGHT.........: 5
OCCUPANCY GRP.:R3 BDIM: 3 BATH: 3 TOTAL-----: 3228 sf VALUE..f: 213641 REAR..........: 70
---------- PLUMBING --- ____.--_---- -----------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..- I LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 8 SF RUIN DRAINS: 1 CATCH BASINS..; 0
TUB/SHOWERS...; 3 GARBAGE DISP..: I WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
----------------------------------------- ----------- MECHANICAL --------------------------—-----------------------------
FUEL TYPES----------- FURN f IW ..: 8 BOIL/CMP ( 3HP: 8 VENT FANS.....: 4 CLOTHES DRYERS: 1
'GAS/ / / FURN )=188K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 8 VENTS.........: 8 WOODSTOVES....: 0 GAS OUTLETS...: 1
-------------------------------------------------- _.._ ELECTRICAL ------------------------------ --_--__-----____----_--
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --?EMP SRVC/FEEDERS-- ---BRANCII CIRCUITS--- ----.ISCELLANEOJS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 2W asp..: 0 8 - 280 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 8 PER INSPECTION: 0
EA ADD'L 5088F.: 6 281 - 408 amp..: 0 201 - 480 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 8 PER HOUR......: P
LIMITED ENERGY.: 0 401 600 asp..: 0 401 - 600 asp..: 0 EA ADDL BR CIR: 8 SlbW)L/PANEL...: 8 IN PLANT......: 8
MANE HM/SVC/FDR: 0 601 - I0N amp.: 8 681+asps-1808 v: 8 MINOR LABEL -10: 8
1088+ asp/volt.: 0 ----------•---------------------------- PLAN REVIEW SECTION -------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FAR)=225 A.: ) 606 V NOMINAL: CLS AREA/SPC OCC:
------------------------------------------------ ELECTRICAL - RESTRICTED ENERGY ---------- _ -----------------------
A. SF RESIDENTIAL------------------------ B. COMMERCIAL---------------------_---- _.-------
AUDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIX:
SARAIE OPENER..: CLOCK..........: INSTRUMEN'ATION: MEDICAL........: OTHR: ::
14VK............ DATA/TELE COMM.: NURSE CALLS....: TOTAL 8 SYSTEMS; 0
Owner: ------------------------------------Contrartar: --------------------------- TOTAL FEES:t 4855.55
SHELBURNE DEVELOPMENT SHELBURNE DEVELOPMENT
7008 SW NYBERG RD 7888 SW NYBERG RD
TUALATIN OR 97062 TUALATIN OR 97062
whone #: F92-6383 Phone M): 692-6383
Reg C.: 42388
This permit is issued subject to the regulations contained in the Tigard Municipal 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 1po
days of issuance, or if work is suspended for more than 188 days,
-------------------------------------------------------- REQUIRED INSPECTIONS ---------------------- ------------------------
rooting Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Voandation Insp Mechanical Insp Shear Wall Insp Insulation InsF Appr/Sdwlk Insp Erosion Control
Post/Beam Struct Plumb ToyRoug
Out Low Voltage Gyp Board Insp Electrical Final
Post/Beam Merhan ElecFireplac nip Rain drain Insp Mechanical Final _
Crawl Drain ElecGas L' Ins Water Line Insp Plumb Final,f e i•m i t t e e !S i gnatG4 (�' I s r e cJ B y : � L�: Lfor, inspection - 639-4175
CITY O TIGARD SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : SWR96--0540
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12/19/96
PARCEL: 2 3104CC--HW019
'.3I 1E ADDRE-SS. . . : 1.34.45 SW ASCPNSION DR
9UBD I V I S I ON. . . . : H I I_.L.SH I RE WOODS ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .019
TENANT NAMr. . , . . :SHEI_RURN DEVELOPMENT
LISA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0
CLASS OF' WORV%. . . :NEW DWELLING UNITS. . : 1
A� L
,fYF'E OF USES. . . . . :SF NO. OF BUILDINGS: I
I INSTALL._ TYPE. . . . :ICU SWR I MPERV SURFACE:: 0 s f
Reinar-ks: Patti I
Owner: -___-._-_- ___.______._.__.-__-_____.__._.__.--.---_-.---___._....------•_-.__. FEES
c')HEI...BURNF DEVELOPMENT type amol.int by date r-ecpt
7008 SW NYBERG RD PRMT $ 2200. 00 JMH t2/19/96 96--28798E.
I NSP $ 35- 00 JMF1 12/1.9/96 96--28798f
11_JAI._AT I N OR 97082
!'hone #: 692-6383
rar►tra.Ctor-: .._.......___-
- ONTRACTOR NOT ON FILE
Ph o n p #: ! 2235. 00 TOTAL_
Reg #. . .
REDU I RED I NSPECT I ONS - -
This Applicant agrees to comply with all the rules and re,gulatiuns Sew er^ Ins ppct 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 not gjarantep 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 f;°o■
the distance given, If not so IoLated, the-inoaller sh#f purchase — —
3 "Tap and Side Sower" Permit and thp-f4enc will in 1 a ateral.
r.mi.t tSi q nat1_►r•e
L
15 s r_,e d B y
Call for- inspection 639-4175
1 ,
Plan Check N
ITY OF TIGARD Residential Building Permit Application Recd By it
3125 SW HALL BLVD. New Construction Additions or Aiterations Date Recd
IGARD, OR 97223 Single Family Detached or Attached Date to RE.,,/-2-Z- `1
7,03) 639-4171 Date to DST//-el
Print or Type Permit# f►l;T - r�-`i: �•��
(,aned
Incomplete or illegible applications will not be accepted �9�
Narne of Subdivision Lot dTName
Job IIillshire Woods - 1 74,-,'
Address Site Address - Architect Mailing Address
Name —'�"-- City/State Z p Phone
Shelburne Development — 7'-/^,(0 �F � -
-- Name rr
Owner Mailing Address 41
7008 S.W.Cit /Slate Zi Phone Engineer Mailln Address
Tualatin 9'062 692-6383 ��£ SW Tt:�4. Jf► -��
- — V
tate "ip Phone
Name - 64 �12� QGeneral Shelburne Development Describe workadditio r O alteration J repair o
Contractor Mailing 4ddress to be done: r 7008 S.W. Nyberc Rd. Additional Descni ;ion of Work:
City/State Zip Phone
Tualatin 97062 692-6383 s ,
Oregon Const.Cont. Board Lic.N Exp. Dale
Attach c-ry of 042388 .11-8-96 Project
Current COT Business Tax or Metro# Exp.Date Valuation
Licenses 00003412 17/i/97
97
Name NEW CONSTRUCTION ONLY:
Mechanical Oregon Comfort Heating - �Sq.Ft. House: Sq.Ft.Gara e
Sub_ Mailing Aoiress �I 96) 2-
Contractor r O. Box 355 Corner Lot Yes No Flag Lot Yes No
City/Slate Zip Phone (check one) (check one) X
Eagle Creek 97022 6 5-0?.21 Restricted Audio/Stereo Burglar
Oregon Const.Cont.Board Lic.M Exp.Date Energy X System X Alarm
Attach Copy of 042519 2-24--97 Installation Garage Door HVAC
Current COT Busings Tax or Metro a Exp.pa
_L!censes" 0 0 0( 1 113 3/1 t�3 7 X Opener X Systems
� name (check all that Other: �—
j numbing C & K Contracting, Inc. --apply) central vacuum
Sub- Mailing Address Will the electrical subcontractor wire for all Yes No
Contractor 536 N.E. 63r3 restricted energy installations? X
City/State i p Has the Subdivision Plat recorded? N/A Yes No
Salem 9IT01 IM-3539 _ Y.
Oregon Const,Cont.Board Lica Exp. Date Reissue of MST# — Salar Compliance
Attach Copy of 06501.5 _ 3-15-97 _ L(Calculation Attached)
Current Plur�bi� Li .N xp pat I hereby acknowledge,that I have read this application,that the
Licenses 2T- Pg J-31-�,7 information given is correct,that I am the owner or authonzed agent of
COT Business Tax or Metro# E,x 1.Date the owner that plans ubmitted are in compliance with Oregon
---- 0 b•- - S;ats. --
Name natu of owner ant r^ Date
Electrical Dryer & Sons Electric
C tact Perso Jame Phone
Sub- Mailing Address _—
Contractor 5536 SE Woodstock FOR OFFICE USE ONLY: _
City/State Zip Phone Plat N Map/TLff:
Portland 97206 774-1606
Oregon Const.Cont.Board Lic.N Exp.Date 171
Attach Copy of 001114 11-23:y 7 Setbacks one: Solar
�.�
Current Electrical Lic.S Exp.Date r i -
Licenses 26-43C 10-1-9
COT Business ax lir Metro Ar Exp.Dale Eng Leering Ap roval: Planning Approval. l IF:
00003_046 12-1-9 1 '.!tf. c", Ie IT,
dstsvnslapp doc 11 2
Pioni3A�`• Acount DescriphQn AMQ-U]2 AmS,PsL Bal. Due
MST. Permit (BUILD)
Plumb Permit (PLUMB)
Mech. Permit (MECH) Is' 45
ELC/ELR Permit (ELPRMT) Jan, •u ,�Oy, `_
State Tax (TAX) ==-
Bldg: , ;, 90
Plumb:
Mech: 1 t�
ELC/ELR:
Plan Check
MST: (BUPPLN)
Plumb: (PLMPLN)
Mech: (MECPLN) =�—
' 'tV
CDC Review (LANDUS)
il ; ►Sewer Connection (SWUSA) o ,` V 0
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) 10560. oe 1GSo-
Residential TIF (TIF-R) Iseo, `-` — 7o.
Mass Transit TIF (TIF-MT) /20
Water Quality (WQUAL)
Water Quantity (WQUANT) )oo. /00
Erosion Control Permit (ERPRMT) gy.
Erosion Planck/USA (ERPLAN) ;4?,
Erosion Planck/COT / (EROSN) d-9 -
Fire Life Safe [ 7 FLS
TOTALS: �" �'��F.�� - ;` �p 90. 55 V56
i\dstsVrstapp.doc
Rev 7196 n
T
r
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R-:4`
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00
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8
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WI r"XONT'
Page No. 9 CASE HISTORY FOR CASE NO. . MST96-0575
SHELBURNE DEVELOPMENT
17445 SK ASCENSION DR
12/05/97
Action Deecrintion Req/ schd/ End/ Action Notes Disp By Update Upd
rode Sent Done Done Date By '
MSTA'780 —REINSPRCTION— 06/15,'97 / / 06/1.1/77 failed building/mechanical PAID RC 06/16/-'7 DST
reinspect fee paid 6-16--97, $70.00,
receipt #97-296051 by dra
MSTA780 —REINSPECTION» / / / / 05/17/97 corrections not done $15 RC 06/18/97 J•H
see bldg final _,otos this date
MSTA790 Electri^al Final / / / / 05/27/97 PASS TLP 05/28/97 J-H
M31A'795 Mechanical Final / / / / 06/18/97 PASS RC 08/26/97 J•H
Mb CA797 Plumb Final / / / / 06/04/97 1. Rain drain in `ront needs to be PASS MS 06/13/97 J*H
capped and it the back.
2. Sprinkler permit?
APPROVED SUBJECT TO ABOVE.
All app red, see PLM97-0158 for
backflow (061.297)
Page No. 5 CAGB HISTORY FOR (.ABB NO.s NST96-0535
u
SHBLBURNB DWSWPMBNT
13445 SN ABCENGION DR
12/05/97 j
Action Description Req/ Schd/ End/ Action Notes Di,.p By Update Upd
Code sent Done Done Date By
i
MOTA799 Building Final / / / / 06/17/97 1. Wood aiding still in caitact with FAIL RC 06/10/97 J*H
earth.
2. Vapov barrier must cover all of
underfloor and return up foundation
walls.
3. Correction@ in gorge complete.
MSTA799 Building Fiaal 06/19/97 / / 06/18/97 PASS RC 06/19/97 J•H
MSTA960 (F) Issue Cnrt. of Occupancy / / / / 06/18/97 mailed 12-5-97 JT 12/05/97 S*W
MSTB709 Brosion Control / / / / / / 11/22/96 BON