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CITY CSF TIGA,RD
DEVELOPMENT SERVICES
13125 SW Hall Blvd, Tigard,OR 97223 (503)639-4171
�,CRTIFICATE OF
OCCUPANCY
PERMIT #. . . . . . .. : MST96-014
DATE ISSUED: 11/26/96
PARCELi 2SI04CC-14WO1 m,
iITE' ADDRESS. . . : 1:5679 1;W ASCENSION DR
jUBDIVIGION. . . . i HILLSIAIRE WOOD51 7.ONING:R- 7 PD
F,L.00K. . . . . . . . . . i LOT. . . . . . . . . . . . . i010
,,LASS OF WORK. :NEW
(YPE OF USE. . . :G- F
0-1PE OF CONST P:5N
i.)CCUPANCY GRP. :R3
')CCUPANCY LOAD I
)emar-Psii PATH I
Ownev't
WELLINGTON HUMEG, INC
,'006 SW NYBERG RD
WALATIN OR 97062
#: 612-0673
I-ILL-LINGTON HOMES INC
/008 SW NYBERG RD
1OHLATIN OR 97062
if. 109 110
i ti.L ,i Cet-t i f icat e grant a occupancy of the above referenced bui I ding Or POt L J ��,i
thereuf and confirms that the building has been inspected for complianc,: With
Ihp State of Oregon Specialty Codes for the grof.t accl,pency, And use under
�-)hich the referenced nermit was isso-ted.
(WJ1-X)T:qG INSPECTOR BUILDING OFFICIAL
POC;"? IN CONSPICMOUS PLACE
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd. GU(I`
Tigard, OR 97223 GSs
(503) 639-4171
Jobsite Address:
Lot # tJ Office Use Only
�f_
Contact Date / I _,_Initials
Valuation: � Result
re
New Construction Orly: (Square Footage) PlanclURec # _
Permit #
House: Garage: Z Reissue of /
Map & TL # ,,i,y c c - H J o,
Corner Lot? Y N Flag Lot? Y N Zone ,
� � ) /', Plat #
Owner: �/-)CL //YGTD/'✓���y_ ��rG
Address: 70CX3_iS GtJ __/v �(��/e6 /ey • Approvals Required
'-FPlanning Setbacks( ` Solar
LlL , ►ing
lol
Phone. i��j- 6/2 -1 -73--_ Other—�
� Items Required
Contractor: E'�,.�rr rr,,Al �1�G .
' � r-, /�Q f�,G ��� Subcontractors
Address: �2 S-� Truss Details
G' Other
Clod— �7U��
�1,��-•, T Notes C-3��`�, r,� ,�� c«/, ,,.•x� � �� I�.
Phone 612-<—_S - --
Contractor's License # _ '6)
(attach opy of current Oregon hcEose)
Contact Name ty� _r_,eLA-_'T_T�/_ _ -
Contact Phone -ZZ�-_"767.7 _
Subcontractors: 3.-31 qC j:)eP ArchitecUEngineer: �L-T-rcoJ,�
Plumbing: 4' a�/'� 17 Address: _ D/ _(��y�,a /� ,•
Mechanical: (2g4_C2_()q Cce-vI FO/e'•t-
(attach copy of current OR Contractor's License)
JOB B CRIPT
i
plicant iqnature Applicant Phone number
Received by: �_.___ _ Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) 70 i
Plumb. Permit (PLUMB)
_ Mech. Permit (MECH)
tate Tax (TAX) 0 _ y
Bldg: �S,(")
Plumb: 7
M ch:
Plan Check v+(PLANCK) (, ��4 1 C, o2 13,
Bldg: t N i
Plumb:
Mech: �. �� �,�')) / �. 7
,5i-,1?t-V-L Seaver Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) GV ,Suy
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) 12-0 f 20
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Watc, Quality (WQUAL) _ 41)
Water Quantity (WQIJANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) Jo
Erosion PlancKJUSA (ERPLAN) o
Erosion PlancklCOT (EROSN) U
TOTALS:
4
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing Mec i
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct, Mach, Rough-,n Gyp. Bd.
San. Sewer Gas Line JpprlSdwll ens.
Other: _
Date: _ 9 6YPI _ P. Entry: D f�
Address: ((� 1J P.
[, � rt c c n I
Tenant: . Ste:_..—_ 4ST: v/
GSo:
Con/Own: Z U '_ 7 w l�it[ u'y�C MEC:
7 PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Date: t Z(e 1
APPROVED _DISAPPROVED/CALL FOR REINSF. CF CO