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InitiallyGood 96 0u 12 10:23:26 i1:1LT\LT91 MW 4 Alan Maacoid Daslgr, (603) 226-9161 2313A BY : R.W. FULLERTON CITY OF TIGARD HILLSHIRE WOODS LOT 91 18,264 SO. F0 521.0' _ — soS11*4.r6 W 520'-4 All — r 61.35'.000 Aw saw mom 4110 dew 518.0' alpa5.60_ r �. - - aw + dw now f r 520 � — ==-•- -- ,- -- 5 3 0' aw moo goo moo am* 00 amp d00 moo mow .00 " r — 530'— s r d.-IMP OW MONO r sea lo. GIM low two Sao=t-'' - f 550' 0' SA.{V'� a � , t i V� Rte, -F � I 1 u�E T lto I = 01 7 Ole crw Q N I op0 00 00 00e 0.1 i' I 550'�I I .�' ��` I 101 — — 28'.10f 560.0'— __ .�.... —560' I •'40AIN FLOOR...' � 1� O Lj o I I ............... 564.0' 1 ,, civ LEGEND \ .... , 1 1 N PROPOSED . ........... . TREE TO KEEP I '• . '1 1 cn i �4, PROPOSED I ..GARAGE ••• �. :} TREE TO REMOVE .... I I EL.pj64.5' I cel 1% 560.0' ...: r . • 564 0' EXISTING E — — — STING GRADE Lu Cr � _ Lu Q r: I (r MITERVALS) / a ►- I ............. 7 '-8' -3: Z ( 1 IREGRADE 56 0' 1 u( — — _ 1 (2' INTERVALS) I 4" CONC. a w f XISTING GRADE(10 INTERVALS) DRIVEWAY SID o (3500 PSI) `\I C'4 (SR^jTa_ p* t-jewAy REGRADE I V7 zy¢r05,i 17tj (10' INTERVALS) m l �vrrcleG` I L 7b.90. EXISTING GRAD 561.5' --" 567.0' (REGRADED PORTION) I S. Off. DRIVE ORIUINAL 12/1?/95 MRR ALAN MASCORO DESIGN ASSOCIATES. INC O • 6 MDT LIABLE FDF T►[ ACCURACY OF THE TOPOGRAPHY INFORMATION IT IS THE SOLE RESPONSBIITY OF TIE BUILDER 10 VERIFY ALL SITE CONDITIONS, INCLuMG ANY FILL PLACED ON TIE SITE AND INFORM OWNERS OF ANY POTENIft FFLD MOOFICATIONS ALAn 11AlC0DD DC110n A f f 0 ; TCI In ( 1305 N.W. 18TH AVENUE. PORTLAND, OREGON 97209 1 ` 9161 S C A L E 1 2 0 NOTICE: IF THE PRINT ORTti'PE ©NAVY { 111111 { III { l11111 { 11111 Illl { I I { I1 T III1 { I IIf � fI-IIIpIIII 1 III IIIIIII il ! fIl III ' IIf fIl III III III Tp III II 1 `-i i lIlIII ' IIIIIII IIIIIIIIIIIIIII I I II IAL 2 I IMAGE SNOT AS CLEAR AS THiS NOTICE � 6 7 ],� 11 lz IT IS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT E.._.___ ----- --- -�-- —�--- --- -- ------ -------- ----- ---- —--- ---- ----- --_--I ------ ___- ------_.. .____ ---- —�--_ �_ _ ---._--- ---- ---- --- — 6Z 87 LZ 9Z SZ '6Z LI Z I7 OZ 6t 8 [ LI 9i 'St fiI I �: I Z1 tj I 6 8 L 9 9 IIIIIII !! II IIII III � Illi llII11 Illl IIII IIII IIIIIIII IliiIIIIIiIII ���� ��������� {i�� �i{� �i�� {�{� {� .III lil{ IIII ILI{ llJ �lll lll< <ll Uil ll{{ l{II �lll 1.1 llil 1111 Ll� LJ_;.1.L1� l 111.1 ����1'"'l co r r, p H A f ! 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(D C00 (O a 0 T (�r 7- n N N j o _ N (D :5C lD T m n m 33g3� j = G w � � o = m$ o ? m(U c o pp n m (u 0 (n � (0 z n g m n o O 0 n1 ., ., m § ) \ ( / > / \ § / /§ m § U � } ] \ } } \ \ ƒ cl E D n � o < § � @ § d § % O / / $ 2 OD 0 ° E » ■ $ E /t m A It I $ f $ $ o 0 0 o a m � 0 00 f 2 $ 0 $ o $ $ q § / Q � 4 m} LID CL c = c c ■� ? \ &L(n 5 Wg R \ d \ ) / ƒ % ¥ ) * K 0 . � � � CITY OF TIGARD '--''--~ ' L DEVELOPMENT SERVICES PERMIT /3125SN/Hall 8lvd, Tinurd.DBo722B(503)639-4/J PERMlT #. . . . . . . : MEC98-0547 DATE ISSUED: 12/08/98 PARCEL: 2B104CB-04500 SITE ADDRESS. . . : 13468 SW ASCENSION DR SUBDIVISION. . . . : HlLLSHlRE WOODS ZONING: R-7 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :091 JURISDICTION: TIG ___________________________________________________________________________ CLASS OF WORK. . :OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : W VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------------ 0-3 HP. . . . : 0 DOMES. INCIN: 0 : 3-15 HP. . . . : 0 COMML. INCINn 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS!. . : 30-50 HP. . . . : N WOODBTOVES. . o 0 GAS PRESSURE. . . : 50+ HP. . . . : N CLO DRYERS. . : 0 NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN < 100K BTU: 0 <= 10000 cfm: 0 BAS OUTLETS. : 1 FURN > =100K BTU: 0 10000 cfm: 0 Remarks : Add gas piping for the relocation of an existing water heater. Owner: --------------------- ----------------------------- FEES -------------- � STEVE HOLTE type amount by date recpt 13468 9W ASCENSION PRMT $ 25. 00 BED 12/08/98 98-311362 � TIGARD OR 97223 5PCT $ 1. 25 BED IE/O8198 98-311362 � � Phone #: � � Contractor: ----------------------------- � _______________—___________—___ � $ 26. 25 TOTAL � � Phone #: � ------- REQUIRED INSPECTIONS ------- � � This yerwit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore, Specialty Codes and all other Final Inspection applicable laws. Al} 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 100 days. AYYENyl0N: Urngon low rnqotrwo you to follow rules adopted by the Ureyon Utility Notification Center. Those ro}wo are set forth in OAR 952-M1-WN through BAR 952-M1-M. You muy _ obtain copies of these rules or direct questions to OUNC by calling (503)246-9187. eel CAI T Permittee S1gnaturmo 9�- Call 639-4175 by 7:00 p. m. for inspections needed the next business day City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125-SW Hall Blvd. APPLICATION Permit # A1G� CS-� Tigard, OR 97223 (503) 639-4171 Disscrlodon Table 3A Mechanical Code QT PRICE ;MT Job Address ) 3 c n Lel /,tet ✓1�r4 UQ 1) Permit Foe _ 0- 10.00 `�i r'' Z.?_? 2) Supplemental Permit 3.00 Furnace to tip 1) incl. ducts 8 vents 6.00 w Ufr18Ce Owner M P 2) incl. ducts 8 vents 7.50 ---- 507 urnance ---- 3) incl. vent 6.00 Ili ii;n ater,w eater -- 4) or floor mounted heater 6.00 Occupant enno inC Fin 5) appliance pen-nit 3.00 epair of haah-n-g.re ng -- -- 6) cooling, absorpdon unit 6.00 130119 or comp, )Got pump, all con . 7) to 3 HP;absorp unit to 100K BTU 600 i err or com; pump, air on . Contractor 8) 3-15 HP; absorp unit to 500K BTU 11.00 41) 1diTer or comp, i pui 1p air 4 44cr lc•fj i 0I?_.. CtiC 7_ 9) 15-30 HP;absorp unit .5-1 mil BTU 15.00 Boller or comp.-Teal pump,air cond. 7 T P nO J 114,00 10) 30.50 HP;absorp unit 1 1,75 mil BTU 2:.50 information given is correct, that I am the owner or authorized agent ea pump,air con . -T hereby ac aw ge a ave read is app ica lon` aT e�- i er or comp, '— --- 11) >50 HP;absorp unit 1.75 mil BTU of the owner, that plans submined are in compliance with State - -- 37 50 laws, that I am registered with the Cov..str;cd2on Contractor's Board, u an ing unit to that the number given is correct- (If exempt from State registration 1�-) 10,000 CFM - 4.50 1 , please give reason below) 0an T un+ ---- - —_-_-- 13) 10,000 CTM+ 7.50 on porta e - --` :4) evaporate cooler 4.50 en an connec - -_-- 15) to a single duct 3.00 e�nufauon sy>Tem not -- AVL • °rnM61 16) included in appliance permit 4.50 or -S5--Wry--- 17) 5--W6y17) mechanical exhaust 4 50 Describe work new a rtion-0a ration repair 0mmercia or in ustna - to be done residential)� non-residential (D 18) type incinerator Existing use oT-- - - 30 00 buildinger i.e.,wo s ove,water - or property 19) heater, solar, clothes dryers, etc _ 4.50 Proposed use of 20 building or property_ ) Gas piping nne to four outlets 200 Type of fuel - oil Q natural gas(6 LPG O electric O 21) More than 4-per oudet -- --T�TTZrE — - PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee$25.00 SUBTOTAL AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR 5%SURCHARGE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME - - - AFTER WORK IS COMMENCED PLAN REVIEW 25%OF SUBTOTAL Special Conditions TOTAL - - Date issued_-_ by M�MEdIPMT - ratlSerWry CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PLRMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . : F'LM98-0451 DATE ISSUED: 12/08/98 PARCEL: 2S104CB-04500 SITE ADDRESS. . . : 13468 SW ASCENSION DR SUBDIVISION. . . . : HILLSHIRE WOODS ZONING: R-7 PID BLOCK. . . . . . . . . . . L0T. . . . . . . . . . . . . :091 JURISDICTION!: TIG --------------------------------------------------------------------------------. CLASS OF WORK. . :OTR GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . . 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Relocate an existing water heater. Owner -------------------------------------- FEES -------•------- STEVE HOLTE type amok_int by da•`.e rer_pt 1 ;:3468 SW ASCENSION PRMT $ 25. 00 GEO 12,108/98 98-311362 TIGARD OR 97223 5PCT $ 1. 25 GEO 12/08/98 98-311362 Phone #: C'ontractor---_--_. RAYBO RN' S PLUMBING INC PC) BOX 69 TIJALAT I N OR 97062 -------------_----__---_-------_--__--_-- Phone #: 503-692-4139 $ 26. 25 TOTAL Reg #. . : 000878 - --_ --- REDUIRED INSPECTIONS ------ This permit is issued subject to the regulations contained in the Misc. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspect inn applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended for more i than 188 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-MI-M8 through OAR 952--MI-M. You may obtain copies of these rules or direct questions to O11NC by calling (583)246-1987. 1ssi_ied B _ Permittee Signat Ure:k-�- + ++++++++++++++++++++++++++.....++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection neeoed the next bmsiness day ++++++++-+-+++++++++.+++++++++++++++++++++, ++++++++++++++++++++++++++++++++++-+a-+ CITY OF TIGARD Plumbing Permit Application Plan Check# _ 13125 SAN HALL BLVD. Commerciai and Residential Recd By TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E_ Print or Type Date to DST_ Incomplete or illegible applications will not be accepted Permit* Related SWR# Called Name of Development/Proje -tct FIXTURES (Individual) aTY PRICE AMT Job Ho I- F_'. �ys l 4 e V1� Sink � 900 Address Street Address A Suite lavatory 9.00 13 y 0 "(� A s'c e.1%f e L)A r Tub or Tub/Shower Comb. -- 9.00 i Bldg# Cit /State ) Zip Shower Only — 9.00 Name Water Closet V 9.G0 Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal 9.00 S n^--, " Washing Machine 9.00 City/State Zip Phone _ Floor Drain/Floor Sink 2" 9.00 Name 3" 9.00 4" 9.00 Occupant Mailing Address Suite X like kind 9,00— P Water Heater O conversion _ _ Cas piping requires a separate mechanical permit. G 0 City/State Tp Phone Laundry Room Tray 9.00 Name Urinal _ 9.00 r S Other Fixtures(Specify) 9.00 Contractor Mailing Addfess -- S — 9.00 (r. ► Q _ --- 9.00 Prior to permit City/State Zip Phone Sewer-1st 100' 30.00 issuance,a copy sjttj t I,PN 6 Z_ 0"(2- of ,"r2_-y 13 _ Sewer-each additional 100' 25.00 of all licenses are Oregon Const.Cont.Board LIc.A Exp.Dale required If L Water Service-1st 100' 30.00 expired In CnT Plumbing Lic.# Exp.Date Water Service-each additional 200' 25.00 _database ( — I e__ _ Storm&Rain Drain-1st 100' 30.00 Name Storm&Rain Drain-each additional 100' 25.00 Architect Mobile Horne Space 25.00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 _ Pollution Device _ Engineer City/State ZipPhone Residential Rackflow Prevention Device'— 15.00 (Irrigation timing devices require a separate f)escribe work to be done -- restricted energ1 permit.) New O Repair O Replace with like kind. Yes A No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential 4Y Commercial O Catch Basin j 9.00 Additional description of work Insp.of Existing Plumbing 40.00 Specially Requested Inspections 40.00 per/hr Are you capping,moving or replacing any fixtures? Rain Drain,single family dwelling 30.00 Yes 10 No O Grease TrapsIf yes,see back of form to India:e work performed by - QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram rs requlred 70uantRy Total is >9 _ WORK COULD RESULT IN INCREASED SEWER FEES. - - "SUBTOTAL I hereby acknowledge that I have read this application,that the information given Is correct,that I am the owner or authorized agent of the owner,and 5%SURCHARGE plans submitted are in compliance with Oregon State Laws. _ Signature of Owner/Agent _ e��p Date "PLAN REVIEW 25%OF SUBTOTAL ( � � Required only d future qty.total Is>9 ///llllJt���JLS^'V TOTAL contact Pe on Name Phone UJ AV NP 6(0 AI f717 'Minimum permit fee is$25+5%surcharge,except Residential Backflow Prevention Device,which is 515 a 5%surcharge -All New Commercial Buildings require plans with isometric or riser diagram and plan review I kfstslrlumapp doc 7/2/98 I PLEASE COMPLETE: Fixture Type Quantity by Work Performed ` New Moved Replaced Removed—Capped Sink_—_ _ Lavatory Tub or Tub/Shower Combination — Shower Only Water Closet Dishwasher Garbage Disposal _Washing Machine Floor Drain/Floor Sink 2" - — 411 Water Heater Laundry Room Tray -- Urinal Other Fixtures (Specify) — COMMENTS REGARDING ABOVE: I WOMplumapp d-, M199 CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . i MS7': DATE IS SUEDs 03/12/97 PARCEL-s ?S 104CC--HW09 1 )ITE ADDRESS. . . 1 13466 SW ASCENSION DR ,UBDIVISION. . . . t HILLSHIRE WOODS 7.ONING: R--7 PG i SLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . s k�9 I :LASS OF WORK. t NEW YVAE:' OF USE. . . z 8F TYPE OF CONSTRs3N iC:CUPANCY CARP. t R3 ,(:CIJPANCY LOAD:2 ,omarks : PATH I iwner.s !+ W FULLERTON CO 1700 SW CAPT I AL.. HW'Y AJ I TE.: 275 �SUR"PLANA OR 97219 i'hone #t 293_2277 .o n t r as c t o r t _.... _-..._... ...._ __.. . . . ...._ r'HE R. W. FULLE:RTON COMPANY 1700 SW CAPITOL HWY ;U I TE N 273 1 ,ORTLAND OR 97219 ► hantt #s 293--2277 Req #. . 3 40671 this Certificate grants occupancy of the aabovp referenepd building or- portion ';hpreof and confirm* that the building has been inspected for compliance with the State of Oregon Specialty ^odes for the gv of r, occt►p nr_y, and use +_u,der- +a+ lch the ref renced permit was issued. I' r,t NO I NSPECTOR 8 L N13 I q POST IN CONSPICUOUS PLAL:E Mf CITY OF TIGARD PEMIT #. . . R . .. . . . MST^.r. DATE ISSUED: 03/13/96 COMMONITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL: QS I04CC—{1W0`J i . ,. -ur..J. • .- . wv ,._ .. JV1 lrl.l.., ,-+:.41t L1i �.' VI0JI0N. . . . : ZONING: R--7 JI, 1 -`T. esarks; PATH I D. B GAVE EXEMPT OF SHADE ON SAM GEAR BUILCINO ----------__--_____..__-.-._»_ TISSUE: STORIES.......: 2 FLOOR Bp?':rlIENT,..1 0 sf REDUIRO 0:'AC11S- REDUIRED-- LM OF WORK.:�EW HEIGHT........: 33 FIRST....; 1763 sf SARit3C.,.,.: 1432 if LEFT..........: 7 SMOKE DETECTRS: 'YPE OF USE...:Sr FLOOR LOAD....: 40 ."iZCX..,: 1725 if FRONT.........: 20 PARKING 'SPACES: I 'YPE OF CONST.-SN DWELLING UNITS: 1 FINB"OMENT: 0 sf RIGHT.........: 6 Y GPU',:g3 BORM; 4 BATH: 4 TOTAL : 340S if 'VALX:.,1: 23976I REAR..........; 90 --------- ..____.__..__._ PLUMB:NG I WATER CLC' .,�.: 4 Wail),,* MACH,.: I LAUNDF; TRAYS.; S RAIN C'AAiN ft; 0 iRA?5......... . - F'....: 6 DISINAS"...: 1 FLOOR DRAINS.. ; 2 SEWER LINE ft: 0 V RAIN DRAINS: I CATCH BASINS.. ; 4 GARBAGE DISP..: I 6+AT�r, IEATERS, I riATER LINE ft; tF4! BCMFLw PRF:uNTR: 'CREASE TRAPS.. . OTTER FIXTURES: MECHANICAL ik:L TYPE';_.__...._..___ FURN t IMV ..: 0 BOIL,'CMP ( W; a = FAN.^;.....: 4 CLM, DRYER^.; i MIN )mlmW ..: UNITHEATERS_; u H=S.......... 1 ODER LNI'C.... 1 AX ANP.. 8 BTU FLOOR FURl�CES1 0 VENTS.........; 0 i TOVC6....: 0 GAS CUTLETS..,; 1 ELECTRICAL. - ______._----------------_._____---_ . -RESIDENTIAL UNIT--.. ---SERVICEiFEEDEP.- - -TEMP SR1t/FEEDERS-- --_BRANCH CIRCUITS--- _ -MISCEiLANE0l1; _.__ --ADD'L INSPECT,'? 2M Sr OR LES;'; 1 0 200 alp... 0 0 - 210 alp..: e W/SVC OR FDR..: 0 PUMA'/IRRIGATION: 0 PER INSPCCTIC" ';DD'L U f.I 5 201 400 asp..; 2 211 - 400 alp..: 0 lit W/0 SVC/FDR: 2 SIGN/OUT LIN LT: 1 PER HOUR...... LD El,10GY.; 0 401 500 alp..; 8 40: 600 asp., ; ; EA ADDL BG ClA i 0 :17iAL,'PAIlEL.,.; 0 IN PLANT,..... . 4Art1' H!4/�VC,'FDR: 0 601 1011 asp.: 0 6014asps-Im v; 0 MINOR LABEL -181 0 1001+ alp/volt.: 0 PLAIN REVIEW ':"_TION _....__ .___.........-. Reconnect only.: 0 )=4 K.- U",1' ..: SVC/FDR)*M A.1 i 600 V NOMINAL: CLS AWifQ"'^r ------ .. ..-.._-- CLECTRICAL - RESTRICTED ENERGY ----------- _..__._._._. 1 RESIDENTIAL-­­­­---------------- B. COWRCIAL--.----------_-_--- "�a:0 t ;TEP':C.; VAELM SYSTEM.,; AUDTC I CTI:RCO.; FIRE ALARM....,: INTCRCOMIFAGI%l CUTDOOR U,:_ 3L;GLAF AlA", :; X BOILER........., 1'JAC........ ... LANi /1RRiG: PROTECTIVE SIGK-. ""RACE DIS' IN'Tmm'TATIO' : HCDICr.......... DTHA'; DATA/TELE COPM,; 4L!RSE CALLS....: TOTAL is SYSTEi'`. TOTAL FEES:1 'LILLE R.W. FULLERTM CPT:-,. 97M SW CAPITOL H6''Y SUITE # 275 RORTLAW DR 97219 "hone f: 293-22277 Rep N..: 40671 sjbject tc t'lF regulations contained In the 'ipard Municipal Codes State of Ov-e. Specialty Codes and all o' a;i;liza' le laws. A: ,,6. Will, b= dale in accordance with approved plans. This pp-mit will expire if Mork is ^a` started wit`i:. ._ jays of issuar:i, if work is suspended for sore t4n 191 days. 1NSPEr rTIOK _- PLM,'Uncarflaor Low Voltage Gyp Board Insp Electrical Final Fi-eplace :rii Pain drain Insp Mechv ical Final Eau Line :nsp Water line Insp Phob Fina, Sat ". .T3ta hater Service In Building fir-:: '� ati�h lrs; Appr/Stalk Insp trDsion Contrc: It—Vey _ Ias'.t1�d L ;1 CITY OF TIGARD PERMIT COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hell Blvd. figerd,Oregon 97223.6199 (503)039-4171 r ARCEL' 0010-t C C F;W09 i TC' 01,DREaS . . . t 130TVIS:DN. . . . a ZONING: R-7 P I . . . . F.'XTU^C: UNITS,. . . Wflfi;i. . . :rlC14 r.WELL I NC UN I TC. . : 1 " L Cr" USE. . . . . :3F rdCl. OF BUILDINGS: TYr''E. . . . :5U-1:�WR � t.1''�ERt1 OI.JRr`1CLt 0 SF PATH I D. P CAVE EXEMPT Or SHr)DE ON GAPAGE SOLAR CO t E, asm011nt by d.,ta I-ecpt f'f?riT OJI, CJC +',' ; !.71/ G '3 E. 27V, INSP" 115. 210 G.TS 0.:i/3S/n,6 96_ O;E•?: 0 r, 11 7;- 1 r] 227 7 I Nsr'CCT I ON Apilicent agrees to comply wit'- all the rules and regulatir; -e ;!Jnified Sewage Agency. eit expires 180 days from E :ar issutd. The total W. '. , -:� will be fo+'fEited if the _-- ,.a expires. The Aitny does y,,irantet the accuracy of the 171 sewer laterals. If the iii, --,t located at th@ towirsaW the installer shill j feet in all directions from �_-- �istance given. If not 39 i oted, the ivstriller shall pl,!-Chase 3p and Side Sewer" Permit Aae' , ..ill install a lateral. t 1,75 Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. ,'igard, OR 9722 (503) 639-4171 `i Pep- Jobsite Address: Subdivision: Office Use Onl �}.11.�1AJ�WUoys Lcc# —�-1-- 3` Contact Date / _/ Initials Valuation: "&UND y 7G/ Result = New Construction Only: (Square Footage) Planck/Rec 3� Permit # �.5>j House: Garage: �' - - Reissue of Corner Lot? Y Flag Lot? Y Map Zoned Tl, t(Li.)s. 11 K-� -pp Owner: 11J l,�.r'c1ZTb1.1 CPµ Ny Plat # I� f'� 1'� 1 ;Ir 1 Address: QQ • P rcT�l 1-I L.i`�,— -2-?57 Approvals Required � Tl �b Planning Setbacks Solar - Q --:—� —1-/ -t-- Engineering V _ r2rIn ��r Phone: Other lhUc 2 CiItR�tC UIKI 1tems_Required Contractor: ,� Subcontractors ( Address: ��iZ�� ti ��'��__L__ _ __�i�s Details T Other Y Notes �, Nr Phone: L�� ) ZR3 227'7 — — -- Contractor's License # _ DSD ,-7 I _ (attach copy of current Oregon license) Contact Name: _ ,T Ju l r$�__jZ,� kgr&->= Owl Contact Phone: 3.1_2_ E?l7 7b Subcontractors: Architect/Engineer: _/,'L/��►/ /!1�} c' r�i� __ Plumbing: IU iaC�_ /�c ui�7e�//V c, _ Address: —/30F iv A-) /p rii /Jur Mechanical SiK,/ /A"7a��Nc _ yD_jTT�� C�g . 22 P9 (attach copy of current OR Contractor's License) (�1RI�NT EiEG7RIC Phone: `v��. `wz _ JOB DESCRIPTION: _ - f 0 ZZ77 X - 101 Applicant nature Applicant Phone number Received by _ '�_ Date Received: PeImit 0 Account Description Amount Amt. Pd. Bal. Duo I (v/ Bldg. Permit (BUILD) 7,V 3 -79J Plumb. Permit (PLUMB) S _ ,-,�S� Mach. Permit (MECH) 4-_ `f-� f`` '--, o � `swim Bldg: Plumb: 1�2' 7 ' i Mach: E« Plan Check 55 / ..� .34' y�/ Bldg: 4)- &DPZN 57' 12'd G Plumb: P4Mp_N Mech: �� Z JIAF_cicAl /�? 2 .Sw ud lj Sewer Connection (SWUSA) o J Sower Inspection (SWINSP) Parks Dev Charge (PKSDC) -S� y _ X00 Residential TIF (TIF-Rj A/ z 0 _ Mass Transit TIF (TIF-MT) ) Commercial TIF (TIF-C) _ Industrial TIF (TIF-I) Institutional TIF (TIF-IS) Office TIF (TIF-O) _. Water Quality (WQUAL) Water Quantity (WgUANT) %�'0 Fire Life Safety, (FLS) Erosion t�ntrl Petmit (ERPRMT) Erosion Planck/L)SA (ERPLAN) Erosion PlanckJCOT (ERUSN) c r, (r 0 0 TOTALS: ss�e� SEE 35MM ROLL# 22 FOR LARGE DOCUMENT CITY OF TIGARD DEVELOPRIJENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., 7,'gard,OR 97223 (503)6394171 PERMIT #. . . . . . . : PLMq(.�,—&':'1.)L1 DATE ISSUED: 10/11/96 PARCEL: 2S104CC---HW091 SITE ADDRESS. . . : 1346A SW ASCENSION DR SUBDIVISION. . . . : HILLSHTRE WOODS ZONING: R-7 PD BLOCK. . . . . . . . . . . L.01.. . . . . . . . . . . . . :091 CI_ ASS OF WORV,. . :NEW GARBAGE DISPOSALS. 0 MOBILE HOME SPACES 5. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 OCCUPANCY 5RP. . :A1 FLOOR DRAINS. . . . . . : 0 TRAF)S. . . . . . . . . . . . . . . 0 sTORIES. . . . . . . . 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES---- --- --- LAUNDRY TRAYS. . . . . 0 SF RAIN DRAINS. . . . ,. : 0 SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0 T'UB/SHOWERS. . . . 0 SEWER LINE (ft ) . . - 0 WATER CLOSETS. . : 0 WATER LINE (ft ) . . . - 0 DISHWASHERS. . . . : 0 RATN DRAIN (ft ) . . . : 0 Remay-ks : PATH I D. B GAVE EXEMPT OF SHADE ON GARAGE S01..AR Owner,: FEES R W FULLERTON CO type amol.mt by date t-ecpt 9700 SW CAPTIAL HWY PIRMT $ 15. 00 TAT 10/11/9G 9G- 85087 SUITE 275 5PCT $ 0. 75 TAT 10/11 /96 96—L--'B50P'7 PORTLAND OR 97219 Phone #: 293-2277 MTCHAEL & CO PLUMBING P 0 1A 0 X 23008 TTGARD OR 97281 1-11,irme #- 639-3189 $ 15. 7�_--, TOTAL. Reg #. . : 67877 -------- RE01.1TRED INSPECTIONS ------- This pewit is issued subject to the regulations contained in the Water Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Set-vice In applicable laws. All work will bp done in accordance with Rm_tgh—in Insp approved plans. This pewit will expire if work is not started PLM/Unrlev-f) oot- within 180 days of issuance, or if work is suspended for more Top--m-it Insp than 180 days. RP/Back f 1 ow Pr-ev Final Inspection Is'slied By : 1',L i Call for insper-tion 639-4175 CITY OF TI GA R D _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00605 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/26/03 SITE ADDRESS: 13468 SW ASCENSION DR PARCEL: 2S104CB-04500 SUBDIVISION: HILLSHIRE WOODS ZONING: R-7 BLOCK: _ LOT: 091 —� JURISDICTION: TIG CLASS OF WORK: REP GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS- CATCH BASINS: __— FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS- GREASE TRAPS: LAVATORIES•. OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 60 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace 60'of water service. --- OwnerFEES_ ---- : --- - -- — -- --- HOLTE, STEVEN C + BAF<BRA J Description Date Amount--- — 13468 SW ASCENSION DR I I1.IJM131 Permit Fee 11/26/03 $72.50 TIGARD, OR 97223 I I'SNI S State Surcharl 11/26/03 $5.80 Total $78.30 Phone Contractor: RAYBORN'S PLUMBING INC PO BOX fig TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone : 503-692-4139 Water Service Insp — Final Inspection Reg#: MET 00001806 LIC 87852 131,M 34-16611B This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon 'issueday:y: ,L� 'G��J�i,�� Permittee Signature: C411 (503)639-4 75 by 7:00 P.M. for an inspection needed the next gslness day Nr,v ?6 03 08: 11A 14ayborn' s Plumbing , Inc - 1 503691.2328 P - 01 FOR 01-FIC-E USI-, ONLY Buildin( fixtures � �-���v � Plumbing RecelVed i permit No -n Date I By Plumbing Permit A lima io Planning Approval Sewer City O1F Tigard Date I By. Pennd No Nov Z b 2003 Other 13125 SW Hall Blvd Plan Review Pemut No Date 1 By _ - I Igard,OR 97223 (� Post-Review —^ nand use ITY OF TIGAR Phone 503639-4171 Fax 503 598-1960l.11�.plNG DIVISION D31e r 8y _ case No Inspection line 503 639-4175 Contact Junsdirtion �.- N Methodw FEE SCHEDULE TYPE JF WORK Description Each Total ::JOB ruction Demolition New on* Two Family Dwelling(including 100 ft fo each utility) Addition/Alteration/Replacement n Other SFR(1)bath $25!1.00 $000 -- Others r $31500 $0.00 SFR(2)bath CATEGORY OF CONSTRUCTION SFR(3)bath $375.00 $000 Family Dwelling r i Commercial I Industrial Building — Ll Multi-Family 1'nits i r Each additional bath/kitchen $1!i5 00 $0.00 Others Fire rinkkr-S Ft pa 2 Builder Site UtI11tWa JOB SITE INFORMATION AND LOCATION Catch basin or area drain 31660 $000 Job site address 13489 5W Accenslon Drive F7rywerll teach line,or trench drain ti16 60 $000 Suite Bldg/Apt N Footing drain(no Linear Ft _-_•)' 317 50 $O Do Project Name Steve Holl; home utilitles(each) '1110.00 $000 Cross street I Direction to Job Brill Mt -Thomas Guide 854 J5 Manhole $16.60 $000 o Rain drain connector 516 60 $000 Subdivisic^ f no Tex map/IoVaccounl(parcel N). ,anitary sewer(no line2r ft: _)" Page 2 $0 00 DESCf tIPT10N OF WORK Storm sewer(no linear ft. )' Page 2 SOU- - Water service(no linear R ��)' 1 Page 2 555 00 Replace water service - Fixture or Item _ Absorption valve $1660 $000 Backflow preventer page 2 $000 PROPERLY O:YNER TENANT _ �-'�—" Backwater valve $18,80 $0.00 Name Steve&Barb Holt Clothes Washer $16.60 $0.00 Address Same — — Dishwasher $1660 $U 00 :ity/State I Zip Tigard 97223 _ prinking fountain $16 60 $0 00 Phone 503 579-9367 W, -- Electors I sump $1660 $000 n APPLICANT ❑CONTACT PERSON j $1660 $000 -- Expansion tank Name Fixture/sewer cap $16 80 $000 Address — — -- Floor drain/floor sink/hub $1660 $0.00 ,Ry I Slate I Zip _ $16.60 $0.00 Garbage disposal ax Phone --- Hose Bibb $1500 S000 CONTRACTOR S1660 $0.00 — --— Ice Maker Business name RAYBORN'S PLUMBING Interceptor I grease trap $16 60 $0.00 Address P O BOX 69 Peg 2 $0 00 Ad )•• Cityl Slatel Zip TUALATIN,OR 97062 _ Medical gas(value f,��._ Phone 503 692-4139 ax 573 691 2328 primer 516 60 f0 CO CCB Lic 87852 Exp 12103 Metro Lic 01806 Exp 7/04 Roof drain(commercial) $16.60 $0 Co 09 $16.80 $000 (-. a ��4' Sink I bestir I lavatory_ $1660 $0.00 Authonz+=d 'Tub I shower 1 shower pan Signature — JP Lic: 4075JP Exp4t Urinal $16.60 $O OU Print name: Wayne Slabold ate: 11$291 Water closet $16 60 o0 Water heater � ;16 80 W SD 0U Others — _ $16.60 $0.00 Notice This permit application expires of a permit is not obtained within Others. 16 0.00 180 days after it has been accepted as complete PLU—LMTSING REMW FEES Permit Subtotal: 37250 Minimum permh fee$72 50—/R.,Backfl�2.9 — Commercial Plan Review(259$ of permit fee) State Surcharge(8"1 of permit fee)--- $580 Total perimit Fee S7830 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Busines,: Line: (503)639-4171 ». BUP — Received ///Z4, . 2YZDate Requested_-2 �-� AM-- --. PM BLIP Location A,;_C_-2-� Sr CA L L-4r Suite MEC _ Contact Person _ _ Ph(Z_Z-) 3 9 PL Contractor _ - --__- Ph(—) SWR -- _ BUILDING Tenant/Owner ___- --_ _ ELC Footing ELC Foundation Access: Ftg Drain ELR __.-- Crawl Drain Slab Inspection Notes: SIT Post&Beam -----.-._--_-____-- -- Shear Anchors ---- -- --- - -- Ext Sheath/Shear Int Sheath/Shear Framing --- Insulation Drywall Nailing - — - --- --- Firewall Fire Sprinkler ---- - --- - --- Fire Alarm Susp'd Ceiling ------ - ._ -. - -- Roof Other. — Final PASS_ PART FAIL PLUMBING — Post& Beam Under Slab RoughJ- _ 1Rater Secy - -- -- Sanitary Sewer Rain Drains - ------ Catch Basin/Manhole Storm Drain - -- — Shower Pan aPA : S PART FAIL HANICAL Post&Beam Rough-In -- Gas Line Smoke Dampers -- - -- Final PASS PART FAIL -'---- — ELECTRICAL Service — Rough-In UG/Slab Low Voltage Fire Alarm Final [� Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FA-IL ---------- SIT Please call for reinspection RE:.__ _ - _ Unable to Inspect-no a.fe¢s Fire Supply Line ADA Approach/Sidewalk Date Ir 177 Inspector_ Ext Other Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line 639-4175 Business Phone: 639-4171 Footing Fain Drain Cover/Service FINAL. Foundation Water Line Ceiling -Plumb. Post/Beare Mech Shear/Sheath Framing -Meeh. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd San. Sewer Gas Line Appr/Sdwlk Reins. Other: Dater��- _ M.��''P.M._ _ Ent - Address: L Tenant: Ste MST:C Ik-41 BLIP: -- Cori/Own: �--L`f.3 '-7:-- MEC: --_ PLM: ELC: ------- THE FOLLOWING CORRECTIONS ARE REQUIRED Inspector. Date: 3 �Z APPROVED _DISAPPROVED/CALL FOR REINSP. Co CO i