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Case File ....o k.,r.».Lia..:.:....... -..:.31...rl�ct✓li..r.or.�,..��.d::AAIM u�..<.:.�..,._ ...: _A.u. , I t l II I ~ I l I� t i r r i I I 4 13635 SW ASCENSION DRIVE CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Biyd., Tigard,OR 97223 (503)639-4171 CERTIFICATE OF OCCUPANCY PERMIT *. . . . . . . I MST96-0284 DATE ISSUEDi 05/13/97 PARCEL : 2S104CC--HW@12 `31TE ADDREEGS. . . 1 13635 SW AGCCNSION DR '3ULAD I V I S I ON. . . , - H I LLGH I RE WOODS ZONING:R--7 PD BLUCK. . . . . . . . . . LOT. . . . . . . . . . . .. . t0lo .JURISDICTION: ("'LASS OF WORK. i NEW ! YFIE OF USE. . . :SF TYPE OF CONSTR:3N fJLLUPANCY GRP. t R3 OCLUPANCY LOAD iLif Remarks : PATH I Ownew t -------- 04E RW FULLERION CO 1700 SW CAPITOL ilWY ,;t.jj,rE w75 PORTLAND OP 9721, Ohalle #: 293-2277 F? FULLERTON COMPANY X700 S'W Cf1PIT01.. HWi' ITE *c'75 f-IORTLAND OF 97219 ''hone #c 293-2277 Rep #. . t 000406 This Certificate grants occupancy of the -Rhoyp referenced building or portion thereof and conf4.rms that the buildiny has been tn%pected for ctimpliAnce with they qt f occk.tp cy, and use ;mde�- - es foy- t" Ut'.0t 1"001; ';F)ecialty ("O(j State v ohich the ---e�o-renced permit wA% isttted. n11Tf DINS INSPECTOR SUILI)MG OFFICIAL POST IN CONSPICUOUS PLACE ,Page No. 2 CASE HISTORY FOR CASE NO.: NST96-0284 THE RW FULLERTON CO 13635 SW ASCENSION DR 07/10/97 Action Description Req. Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- NSTA740 insulation Insp / / / / 12/02/96 APP KS 12/03/96 KBS MSTA745 Gyp Board :nap / / / / 12/10/96 pending- clearance for b-vent at garage PASS RB 12/10/96 RB ceiling MSTA755 Rain drain Insp / / / / 09/04/96 PASS MS 09/05/96 MRS NSTA760 Water Line Insp / / / / U9/04/96 PASS MS 09/05/96 MRS MSTA765 Appr/Sdwlk Insp / / / / 12/19/96 pipe at lower weep hole PEND P1 12/24/96 JT NSTA790 Electrical Final / / / / 02/12/97 label microwave circuit PASS MJR 02/12/97 MJR rear outside lights not flush 14STA790 Electrical Final / / / / 03/03/97 LVFA GS 03/03/97 GES MSTA795 Mechanical Final / / / / 03/03/97 post/beam under-floor= dryer vent not FAIL RB 03/03/97 RB approved for gas repair vent screen at dryer vent termination seal/firestop thru penetrations at furnace. MSTA705 Mechanical Final / / / / 03/26/97 house locked FAIL RB 03/31/97 RB NSTA795 Mechanical Final / / / / 04/09/97 PASS RB 04/09/97 RB MSTA797 Plumb Final / / / / 03/03/97 req hot water FAIL MS 03/13/97 MRS MSTA797 Plumb Final / / / / 03/13/97 PASS MS 03/13/97 MRS MSTA799 Building Final / / / / 05/13/91 Backflow device also approved, building PASS RB 05/27/97 J*H Issues corrected. NSTA799 Building Final / / / / 04/09/97 use erosion; finger g.-ip for deck FAIL RB 04/09/97 RB handrail; no record of pmtrbesm plumbing; seal thru penetration at exterior- near meter. MSTA960 (F) Issue Cert. of Occupancy / / / ! 05/13/97 MAILED 07-10-97 07/10/97 S*W MBTIM Erosion Control / / / / / / 06/05/96 BT2 MASTER P,ERMIT CITY OF TIGARD DATE ISSUED: 07/24/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-411� PIARCEL: 2SI04CC—HWO12 GITL ADDRESS. . . . 13635 SW A'3(-,ENSIOiq DR REISSUE: STORIES....... 2 FLOOR AREAS----------- BASEMENT... 0 sf REGUIRED SETBKKS---- REGUIRED-------------- TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT......... 6 SIWS......... I WATER �LOSETS.: 3 WASH ING MACH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft- 0 TRAPS.......... 0 LAVATORIES.... 4 D I SHWQSHE RS... I FLOOR DRAINS..: @ SEWER LINE ft: @ SF RAIN DRAINS: I CATCH BASINS.. 0 TUB/SHOWERS... 3 GARBAGE DISP.. I WATER HEATERS.: I WATER -- ft. -- --'^- '^^'~^' ^ GREASE /nw,S.. ' n � OTHER FIXTURES: 0 � ------------------------------------------------------------------- MECHANICAL __'___' � FUE FURN / look 0 BOIL/CNP ( 3HP: N o0T FANS..... 4 rLOTN[S DRYERS: l - -'-- --- � /GAS / / [U� >=}�N ..� | UND HEATERS.. W H0�6._^^� I OTHER UN}7S=�� > MAX U�./ 0 BTU FLOORFUHNAC[S: 0 VENTS ......� 0 NUODSTOY S....� w GAS O0L[T ^'' � — -------'------ -- [L[C Rlsk ---------------------------------------------------- - —0BlD[NT{Ai UNIT--- ---SERVICE/FEEDER---- —TBMP S8VC/F[EU[RS— ­-BRANCHORCUITS— -- - MISCELLANEOUS— L = -- --ADD' l--'"~ECT-----�^nu - | � 1000 SF OR LESS: I � - 200200� amp..: 0 0 ' � amp..: 0 A/SVC UH FDR..: W PUMP/iRVlGA7lUN' 0 PER l`NS ^C'/m`: v | EA AD8'L 500SF.: 5 201 - 400 � � asp..: 0 01 *00 amp..: @ lst H/U SVC/FDR: 0 SIGN/OUTLlN LT: W PER ' LIMITED [N[8GY,/ N 401 - 600 amp..: 0 40! 60W amp..: 0 [A 0DQ- 8R [IR: W 9lGN�./PANEL : N IN ��='''''. o wAN HM/SVC/FDR: 0 601 l@w awp.' @ 601^awpv-low v' 0 MiNO8 LABEL ''': N PLANT'''''� p 1000+ amy volt.' 0 ------------------------------------ PLAN R[Vl[H 8ITl0* —'------- ' Reconnect only.: 0 >=4 RES UNITS,.: SVC/FD8 =22� A.: NOMINAL:� ) �� VNOMINAL: CLS� � q�A'�C'0Z _______ - ---'-------------------------- ELECTRICAL Q& ' 8[STHl[T[U ENERGY --------------------------------------- A. SF �3lUEN lAL-'----------------- B. C0�[�lAL------'-----'------__-__---__---------- -------- AUDIO 8 STEREO,: VACUUM SYSTEM..: AUDIO I STEREO. FIR[ ALARM..... INTERCOM/PAGING: DU7DOOR `��[---u: -- BU8GL �� AR � .. / 0H: �� y 8OlLER.........' |m� � 0 � PROTECTIVE ...........� � � �/lRHlG� pRDT GARAGE OPENER..: CLDC ......... � INSTRUMENTATION: �DlQ&........: 0HP "c z/m�� ".nC........../ DATA/TELE COW. NURSE CALLS ...' TOTAL 0 SYSTEMS: @ ' Owner: ------------ _-�mtrad THE RW FULLERION CO R.W. FULLERTON 97@0 SW CAPITOL HWY 9700 SW CAPITOL HWY SUITE 0275 SUITE 0 275 PORTLAND OR 97219 PORTLAND OR 97219 Phone #: 293-2277 Phone #: 293-2277 This permit is issued subject to the regulations contained in the Tigard Municipal Code, Sta'I of Ore. Snecialty Ecdes and all other ,ipplirable laws. All wor', will be done in acc�rdance with approved plans. This permit will expit-e if work is not started within Is@ days of issuance, ol, if work is suspended for more than 180 days. Footing Insp PLO/Underfloor Framing Insp Gas Firpolace Water Service In Building Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control Post/Beam Mechan Electrical Servi Fireplace Insp Rair drain insp Mechanical Final� Post/Beam Struct Plumb Top Out Low 'oltage Gyp Board Insp Electrical Final Cratc Drain Electneal Rough Gas Line Insp Water Line Nsp Plumb Final L � CITY OF TIGARD DATE ISSUED: 07/2'4/96 COMMUNITY DEVELOPMENT DEPARTMENT 13 125 SW Hall Blvd.Tigard,Oragon 9722398199 (503)539-4171 FIORCEL: r'-S104CC----HW012 SITE ADDRESS. . . : 13635 SW ASCENSION DR SUBDIVISION. . . . : HILLSHIRE WOODS ZONING: R-7 PD CLASS OF wow. . . :NEW DWELLING UNITS— : 1 Owner- FEES THE RW FULLERTON CO type ainol-knt- by (late recrit PORiLAND OR 97219 rfiuiie #: 293-2277 Contractor: ---- CONTRACTOR NOT ON FILE F-1hone #: 2235. 00 TOTAL This Applicant agrees tu comply with all the rules and regulations Sewer Inspection of the Unified Sewagr Agency. The permit expirps IPA days from the date issued. the total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side is _—sewer laterals._ _— If —' sewer, - -not licated — the measurement given, ,no mmau», emu prospect ^ rvm in all v`rect/m,* from � the distance given. If not sG— located, installerdmU purchase — � ^ .*p and "=" Sewer' ,"rm^` and the ,P""' will instal) a lateral. � . =,"^ ^ ^== S Tla",.= " u � ^~~"~~ B Call for irispection 639-4175 � � � � � — L' Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: ��'b�J S Sit) 4 5C c?j��/c hj Office Use Only Subdivision: /fl(,C,$fl t�F GvC'o[�.S Lut # 12– Q� Contact Date 6 /10 Initials Valuation: VV Result ;;n,� ✓✓ New Construction Only: (Square Footage) Planck/Rec Permit # rT1 34 House L > � Garage - ( Reissue of Map 8 # 1 � �J Gomer Lot? Y Flag Lot? Y ( Zone Plat # 2 Owner: T �Gy vc l�12Ta nJ Gd mPi, �/ S 2 ��� Approvu als Reqired Address: 97d� Sw' CSP/TUL ! Y,. o�ru►��� c�� 7 J1/ FOIJ Planning Setbacks Solar 0(� d� �oN• -- Engineering n Phone: L5c'-3Z23 - 2-Z27 Other Itemo Required Contractor: y ifT"71�� q S fJ-E3Pv2` Subcontractors AddressTruss Details Other •�___ 1 Notes Phone. Contractor's License # �— (attach copy of current Ore;7on license) Contact Name: JE I J) f Contact Phone (_S03 ) Z.q3 - 2:2 Subcontractors: ArchitectiEngiineer: /acAN 01AS6C949 PC51&A-) Plumbing: Aft/r.W1W_414 P!_uM A J6 Address: 13C'5 /k/A" Ib-114 A VE-. Mechanical: SJI�y AkA"r7N6 14-tjl� Ole 4'72.05 (attach copy of current OR Contractor's License) l ��«Nr L Et.E'e772!C_ G> A,44, s Phone: ( a ) Vl�CtJi-LOL�J JCB DESCRIPTION /l/5!✓l� 21 7-7-7 QcT . 1bl Appl' an Signature Apolicant Phone number Received by: ''„11+ — Date Received w vopmsavnq Permit ax Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) q$ State Tax (TAX) s ,c Bldg: Plumb: / 3 r. Mech: of ? Plan Check Bldg: S J RLOPLN r Plumb: P1A4PI N Mech: �JV11E N Sewer Connection (SWUSA) -' <� o Sewer Inspection (SWINSP) 2 Parks Dev Charge (PKSDC) 110L a / Residential TIF (TIF-R, /117 t) 7(J Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial 'TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) /�y Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) ?/ Erosion Planck/COT (FROSN) 01C TOTALS: /�� L ( 18 An,26 1.2 54 kM`•Lt12HW 1 Alan`Aoecoid 0nmye, 15031::93181 3 2241 _S 36'15'54" W BY 70.00' R.W FULLERTON CITY OF 11GARD HILLSHIRE WOODS �h7 1 i LOT 12 I a50 I1----- --- ------------------1 ( I0,500 S0. fT.) �N u SILT F oeE A-C. RFzQk)t -70 1 i �OYZ C-P-0SroQ p►J jYL0 L I I J'0 I I I I I I m I I 480 I I rn I I 1 I I I I IN I I ( 430 N I I w •lo+ I I N I. a 0 ,•0t Im -- -r r a.a�rArrr —t 490 �e MAIN FLOOR I I c \) GARAGE EL.:494.0' cc EL.:493.5' / •,\ N 490 yfi Iq; 1 -- - -----_ _LLL 1'CONC. w 10' ORIVEWAY 13900 PSI) 3 N 1GRRvEI, DQ17>± $9> 1 N Cori �� OR"'NA' ��� N 38'34" E �, ,91 _ 70.00' 1g rw� —4j ^0`4/26/96 MRR ALAN 11ASCOND 0131011 A110CN11l,XC \ / I Not APP i011 At ACCUNACr d 11E 3b35 S,;��. AS��S1ix�1 DRIVE VVV t0►OON al Np1Y a sll rt Aaran UI SOl1 ALL$111�lrtr d 1.WILLOW A rimyPtL All pi!CONptlpMy.MCLUOMO ANr ill L/J\ PLAUD ON t41 Ott AND i/OPM OriMAS OF ART POt1N11A1 iEtD 1gOK1CA1100 A L A n 11AIC09D D i a n A / IOCIATEI in 1305 N.W 18TH AVENUE, PORTLAND, OREGON 97209 13031 225.9161 S C A L E t " 2 0 ' 0 " CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WRIGHT 1 ELECTRIC INC 5618 SE 135TH AVE PORTLAND OR 97236 Electrical Signature Form Permit. # . . . . : MST96-0284 Date Issued. : 07/24/96 Parcel . . . . . . : 2S104CC-HW012 Site Address : 13635 SW ASCENSION DR Subdivision. : HILLSHIRE WOODS Block. . . . . . . . LOt . 012 Zoning. . . . . . . R-7 PD Remarks : PATH I Your company has been indicated as the electrical contractor for the permit indicated above. w 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 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 OWN!,;P : ELECTRICAL CONTRACTOR: THE RW FULLERTON CO WT.IGHT 1 ELECTRIC INC 9700 SW CAPITOL HWY 5518 SE 135TH AVE SUITE #275 PORTLAND OF. 97219 PORTLAND OR 97236 Phone if : 2 ,)3-2277 Phone # : Reg 4 - - : 97757 Signatur� jpervising Electrician 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 ANSPACH PLUMBING MARK A LAW 12295 SE CRESTWAY PORTLAND OR 97236 Plumbing Signature Form Permit # . . . . : PISTy5-0284 Date Issued. : 07/24/96 PaLcel . . . . . . : 2S104CC-HW012 Site Address : 13635 SW ASCENSION DR Subdivision. : HILLSHIRE WOODS Block. . . . . . . . Lot= : 012 Zoni.ng. . . . . . . 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 REQUIRED ON THIS FORM OWNER : PLUMBING CONTRACTOR: THE RW FULLERTON CO ANSPACH PLUMBING 9700 SW CAPITOL HWY MARK A LAW SUITE #275 12295 SE CRESTWAY PORTLAND OR 97219 PORTLAND OR 97236 Phone # : 293-2277 Phone # : Reg # . . : 037135 Signature of Authorized Plumber 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 DEVELOPMENT SERVICES P . r cRMIT PERMITT ##.... . . . . P!...M97•-005 13125SWHallBlvd.. Tigard, OR 97223 (503)639.4171 DATE ISSUED: O2/c•5/97 PARCEL: 2SI04CC-HWOIE SITE PDDRESS. . . a 1.3635 SW PSLENS I ON DN SUBDIVISION. . . . : HILL.SHIRE: WOODS ZONING: R--7 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 2 Ct.ASS-OF WORK. . -ALT GARBAGE DISPOSALS. : 0 MOBILE wMF- SPACES. : 0 TYPE OF USE:. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : Vh TRAPS). . . „ . . . . . . . . . . . 0 STORIES. . . . . . . . WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FT X TURES--- LAUNDRY •TRAYS. . . . . .. 0 SF RAIN DRAINS. . . .. . : 0 SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . s 0 GREASE TRAPS. . . . . . . . 0 L AVATORIES. . . . . : 0 0THFR FT XTl_IRE9. . . . 0 TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . : 0 !.JATFR CLOF,ETS. . : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 R(3m<=?r•NS OWT1er. _____________________._.____________________.__-•--.-____-- FEES THF RW FULLERTON Cn type 'Imcimi+ by date i•ec:!pt 9700 SW CAPITOL HWY PRMT $ 15. 00 JSD 02/25/97 97--29O79': UIT1..` #c7!.5 F1C1 $ 0. 75 ,TSD 97 -29079`) PORTLAND OR 97219 f-h n n P #: 2'93--2277 M T C►;AFL R 1:;11 PLUMB I NG ,1 TAOX c'-3008 J.5f 1 RD OR 97i"81 ___._._.__.________________._-•.----__._..._.._._. 'tonne #: 639----3189 $ 1.5. "75 TOTAL. 1�eu #. . -, 67877 ---- --- REQUIRED TNSPECTTONS -- -This persit is issued subject to the regulations contained to the RP/Hackf 1 nw F'rev 'igard Municipal Code, State of Ore. Specialty Code- and all other Final Irnspert i car. applicable laws. Ail m0 will be done in accordance with approved plans. This pereit will expire if worn is not started within 188 days of issuance, or if rrork is suspended for sore than 180 days. l'e r•m i t t e e S i g n a t li r e : Z-40 r s s ij e d B C:al l for' ir,spect i nn — 639-41 75 QTY OF TIGARD Plumbing Application Rec'dBy 125 SWI 1ALL BLVD. Commercial and Residential Date Recd Date to P.E. GARD, OR 97223 Date to OST /� V C' r .03) 639-4171 Permit 0 a•Z? ,1, 0 C�C< Print or Type Related SWR 0 ^r7,S1 Incomplete or illegible applications will not be accepted Called e17-C Name ofDevelopment/Project FIXTURES (Individual) QTY PRICAMT Job /a//-41.2 Sink - 9.00 Address Street Address Suite Lavatory 9.00 Tvb or Tub/Shower Comb 900 Bldg 0 J Citylstats ", Zip Shower Only 9001 _ 7 6A D rt_ ,7- / Water Closet — 900 Name Dishwater 9.00 Mailing Address Suite Garbage Disposal 9.00 Owner — Washing Machine 9.00 City/State Zip Phone Floor Drain 2' 9.00 3" 900 Name 4" 9.00 Occupant Mailing Address Suite Water Heater - 9.00 Laundry Room Tray 9.00 City/Slate Zip Phone Unnal 900 Other Fixtures(Specify) 9.00 f / /l/6r/�i �� 900 :ontractor IM Pding Address L Suite 9.00 -_ 9.00 -J City/State Zip Phone ----- - - —� 9.00 I Oregon Const.Cont.Board Lica Exp.Date 9.00 Attach Copy of _J/� '� /i 900 Current Plumbing Lic.0 Exp.Dale Sewer-1 st 100' 30.00 Licenses .-"(r ,j3' 6," j U- 7 Sewer-each additional 100' 25.00 _ COT Business Tax or Metro 0 Exp.Date Water Service-1 st 100' 3000 Name Water Service-each additional 200' 2500 Architect Storm R Rain Drain- 1st 100' 3000 i o r Mailing Address Suite Storm&Rain Drain-each additional 100' 25.00 -- Mobile Home Space 2500 Engineer City/State - Zip Phone v Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Describe work New 0 Addition O Alteration O Repair O Residential Backflow Prevention Device' / 15 on to be done Resdential O Non-residential O Any Trap or Waste Not Connected to a Fixture L 900 Additional description of work Catch basin � 9.00 tnsp of Existing Plumbing 40.00 i per/hr Specially Requested Inspections 4000 xisting use of per/hr Lidding or property____ ;�E h% Rain Drain,single family dwelling 30.00 roposed use of Grease Traps 9.00 _vilding or property_ -- __ QUANTITY TOTAL Are you capping, moving or replacing any fixtures? Yes❑ Now Isometric or nser diagrams required d Ouanity Total is >9 (if yes see back of form) 'SUBTOTAL i hereby acknowl?dge that I have read this application,that the int mation given is correct.that I am the owner or authorized agent of the owner.and 5% SURCHARGE 7,r, that plana submitted are in compliance with Oregon Slate Laws. _ — Signatu of tAvnerlAgent Date PLAN REVIEW 25% OF SUBTOTAL nly N fixture city totals,9 _ (' �, ;,/, ,� _ -Required o --- TOTAL 'antact Parson Name Phone -- - — 'Minimum pem+rt fee is 525- 5%surcharge,except Residential Backflow ((13 y-3/0a' Prevention Device.which is$15•5%surcharge i.\dsts\plmapp doc 8196 P L E A,"'-,,.E._Q-0, MRLETEASLAE�RQ-k' ROJECT: Fixture.,% to moved ',,,-.- replaced Qty Sink L�-a—V11! ',"ub!'- f,i.)wer Con-it-inatior, DishWL Garbage Disposal Washing Machine Floor Drain 3 Water He:3ter Laundry Room Tray uril ial Other Fixtures (Specify) COMMENTS REGARDING ABOVE: