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,� 13767 SN D,SCENS.'ON DRIVE ..�.
CITY CSF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503,)639.4171
I
CERTIFICATE OF
OCCUPANCY
PERMIT #. . . . . . . : MST96--•0197
DATE ISSUED: 10/@1/96
SITE ADDRESS. . . s 1.5767 SW ASCENSION DR PARCEL: 2S;04CC;-HWO07
SUBDIVISION. . . . ;+ HILLSHIRE WOODS -ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . _ :007
_ ---- -..__... --- - ______----- ---- --------------
CLASS OF WORK. ::NEW -------------
TYPE OF USE. . . :SF
TYPE OF CONSTR:5N
OCCUPANCY GRP. : R3
OCCUPANCY LOAD: 1
Remarks : PATH I
Owner: __-_------ - -__---
J T FROTH CONST INC ----____-•__-_- _
12540 SW 68TH
1"IGARD OR 97224
Phone #: 639--2639
Contractors __._.___.___----•---••---__.__
J. T. FROTH CONSTRUCTION INC
12.540 SW 68TH PARKWAY
TIGARD OR 97223
.hone #: 639 -2639
F-eg #. . : 080970
this Certificatp grants occupancy of thc' above referenced building or- portion
thereof and confirms that the building has been inspected for compliance with
the Stat of Orenon Specialty Codes for the group occupancy, and use under-
which the ref rent d permit was issued.
BUILDING INSPECTORT BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
ERMIT
C17Y OF TIGARD IDER I.T #. .. . . . .
lyl
COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED: 04/29/96
13125 SW Hall Blvd.Tiijerd.Oregon 97223.8129 (503)839.4171
P'AFRCEL: 2S 104CC—HW00 7
`.3J:1E (•aUJF1C 35. . . : 13—ICII 5W ASCENSION CFR
SUBDIVISION. . . . : HILI-SHIRE WOODS ZONING: FR-7 P'D
I31._ClCN,. . . . . . . . . . . L_01.. . . . . . . . . . . . . :00 I
Remarks: PATH I
---------------------------------------------------------------- BUILDING ---------------------------
REISSUEi STORIES.......: 1 FLOOR AREAS---------- BASErENT...: 0 �f REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORN.:NEW HEIGHT........: 23 FIRST....; 2510 sf GARAGE.....: 736 sf LEFT..........: 5 SMOKE DETECTRSi Y
TYPE OF USE... :SF FLOOR _UAL.... 40 SECOND...: 0 sf FRONT.........: 20 PARKING SPACESi 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2510 sf VALUE..1: 174883 REAR..........: 80
----------------------------
SINKS.........: I WATER CLUSETS. : 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0
AVATORIES....: c DISHWASHERS...: I FLOOR. DRAINS..: 0 .iLWCR LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: i GARBAGE DISP.. : 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: 0
OTHER FIXTURES: 0
-------------------------------------------------------------- MECHANICAL ------------------------------------------------
FUEL TYPES----------- FURN ( INK ..: 0 BOIL/CK, ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=INK ..: 1 UNIT HEITERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GP; OUTLETS...; 1
-------------------_------------------------------------------- ELECTRICAL ------------------- --------------- -----------------
--RESIDENTIAL IINIT--- ---SERVICE/FEEDER---- --TEMP SfvC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-•-
1000 SF OR LESS: 1 0 2P0 amp..: 0 0 - 280 amp.. : 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD IL 500SF.: 5 201 - 400 alp..: 0 201 - 400 asp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMIFrD ENERGY.: 0 WI - ('00 asp..: 0 401 - 600 asp.. : 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/5VC/FDR: 0 681 - + -
1080 asp.: 8 681 asps 1000 v: 0 MINER LABEL -18: 0
1 + --------------------------
000 alp/volt, 0 --------- PLAN REVIEW SECTION -------------------------.------••--
'4 Reconnect roly.: 0 )=4 RES UNITS..: SVC/FDR)=215 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
---------- ---------------------------------- ELECTRICAL - RESTRICTED ENERGY -------------------------------------------------
A. SF RESIDENTIAL--------------------------- B. COMIMERCIAL-----------------------------------------------------------------------------
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO A STEREO.: FIRE ALARM.....: INTERCOM/PAGING:
OUTDOOR LND5C LT:
BURGLAR ALARM..: 0TH: :: X BOILER......... : HVAC...........: LANDSCAPE/1RRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: 1OTAL M SYSTEMS: 0
Owner: -----------------------------------Contractor: ------------------------------ TOTAL FEES-4 4663.96
J F ROTH CONST INC J.T. ROTH CONSTRUCTION IW.
1540 SW 68TH
12540 5W 68TH PARKWAY
TIGARD OR 97224 IIGARD OR 97223
Phone 4: 639-2639 Phone A: 639-2639
Reg li..: BOM70
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 accordancq ..ith approved plans, This permit will expire if work is not started within loi
days of issuance, or if work is suspended for more than 180 days.
---- ------------------------------------•--------- --- REQUIRED INSPECTIONS -_._------------- - -------------•------
Fnotirg Insp PLM/Underfloor Shear Wall Irsp Insulation Insp Appr/Sd4lk Insp Erosion Control
Voundation Insp Mechanical Insp Low Voltage Gyp Board Insp Electrical Final
Post/Seas Struct Plumb Top Out Fireplace Insp Rain drain Insp Mechanical Final _
Post/Beat Mechan Electrical Sertii Gas Line Insp Water Line Insp Plumb Final _
Crawl Drain Framing Insp Gas Fireplace Water Service In Building Final[
I e r m i.t t e e ;:i t q T i at 1_I V. i s s u e d B y :
X11
Zo�r, inspection - 6"39--417
CITY OF TIGARD SEWER CONNECTION
PERhi1T
COMMUNITY DEVELOPMENT DEPARTMENT PE:RM1 T #. . . . . . . ; SWR96-0166
:3125 SW Hall Blvd,Tigard,Oregon 27223.8199 (503)839.4171 DATE ISSUED: 04/,.2-9/96
E ARCEL.: 2S104CC-HWO07
SITE ADDRESS. . . : 1:376 7 SW ASCENSION DR
SUBD I V I Ei I ON. . . . : H 11_I_SHIRE WOODS ZONING: R-7 V-D
BL.00K. . . . . . . . . . . I_OT. . . .. . . . . . . . . . :007
TENANT NAME. . . . .
USA NO. . . . . . . . . . . FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NI:W DWE LL_I NG UNITS. . : 1
TYPE OF USE. . . . . .SF NO. OF BUILDINGS: 1
INSTALL l'YF'E. . . . :11(.J SWR [11F'ERV SURFACE: 0 ,f
RVmarkS.- PATH I
Owner: - - --- _.__.____---- -____.___.____-_-_---____.___.._.....___.__..__-__.__..... FEES --
.I T ROTH CONST INC type aima'Ant by (d4ate r•ecpt
12540 SW 66TH FIRMT $ 2200. 00 JMH 04/29/96 96-27973;
1"IC7ARU OR 97221- IN1.3P $ 35. 00 JMH 04/29/96 96•--279732
Phone #: 639-2639
CON'1 RAC:TOR NOT ON FILE
Phone #: `=':;5. 00-TOTAL----_._.________.___
Reg #. . .
- - REQUIRED INSPECTIONS
- --- -
This Applicant agrees to romply with all the rules and regulations Sewer_Inspection
of the Unified Sewage Agency. The permit expires 188 days from
the date issued. The total amount paid will be forfe,ted if the -
permit expires. The Agency does not guarantee the accuracy of the '-
side sewer laterals. if the sewer, is not located at the m^asurement -- ~��-���
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral, -"
t
1-'a r~m i t t e e Signal _ 40 ---
Call for inspection - 639-4175
Residential Building Permit-Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Subdivision:
�7'lGj�1�9lL' o el) S Lot# r Office Use Only
p� Contact Date / / Initials
Valuation: � Ji/ --- Result ___ —
17 r1l
New Construction Only: (Square Footage) Planck/Rec # _`f ^_�� '�`� �V
r Permit # 5�r�0�'
House: �" Garage: '�—, Reissue of /y
Map & TL # /G"Y�'C'
Corner Lot? Y �FA Flag Lot? Y l�, ZoneOwner:
r ',i f���71,' L�yS� Plat # I(,,I-2'7e �r _
�
Address: I�
/� J� f A7 n t!I Approvals Required Vv
,
Planning Setbacks �� Solar
bNn r� Engineering ;1"7L 7V �'4�- L
lather
Phnne: ( C2
Items RecLired
Contractor: '
Subcontractors
Address: Truss Details _
Other
Notes
Phone:
Contractor's License # 3)'700
of nt Oregon license)
(attach copy curre
Contact Name: �—
Contact Phone
Subcontractors: / Architect/Engineer:
Plumb c. /rn�r>'i' _ Address
Mechr ical:
a.tach copy of current OR Contractors, License
Z Ptlone: L �� 1 ,�•Z J� -7iGi.
JOB DESCRIPTION: .
Applicant SignatureA
Applicant Phone/number
Received by: � � �` _ Date Received
M'bt►'Obur000
Permit ;$ Account Cescriptlon Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) )ZI
Plumb. Permit (PLUMB)
MCy:h. Permit (MECH) ) G�'' ey
(TAX) f c• e,V _ _ �f u , ✓
Bldg: /n •5�', Z 5fl_� Z
Plumb-
Mech:
Plan Check (PLANCK) _ ''�
Bldg: ` �`3, 5��' S!c--3 3- =' 3-3
Plumb: _
Mech: -2Z
Sewer Connection (SWUSA) �'
Sewer Inspection (SWINSP) _ �� _ .3
Parks Dev Charge (PKSDC) r�S C t Lt SV
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-C)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERFLAN) _
Erosion Planck/COT (EROSN) ' Z' __ '
OK /
TOTALS: /� r.;�, —6,
J
Solar Balance Point Standard Worksheet
Address
Box A calculations: North-South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east-west and intersecting the northern most
point of the lot.
.� 45°�►
1
oiTMiu t iootUur
N North-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line.
feet
t
NORTHMUN DIMENSION(O
I i
[lox 13 calculations: Shade point height for your residence. Box B:
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure. The orientation of the ridge is also important. your residence?
1 a: If the roof line runs North-South, measurementswill .` (circle one)
be based on the peak of the roof. 0 0 0
fTrrri In
1 A 1 B 1�_
1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the
eave.
9404N PCINI f Aq
I c: If the roof line runs East-West and the roof pitch is
5/12 or steeper, measurements will be based on the
peak.
S1W7f PVII 904
Box B. continued Box B:
2. Measure change in elevation from front property line to finished floor elevation. If n
the lot slopes up from the front lot line to the foundation, the figure is positive. If �� ft
the lot slopes down from the front lot line to the foundation, the figure is negative. —
3. Measure distance from finished floor elevation to the affected peak/eave. �� ft
4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West,
deduct nothing.
5. Subtract one foot for each foot of difference in elevation from the front property
line to the rear property line, if the lot slopes up from the front to the rear. If th,�
lot has no slope or slopes up from the rear to the front, deduct nothing. it
6. Total figure for box B: �Li U I
Box C. Distance to the shade reduction line. Box C:
1. Meaa,are the distance from the North property line to the foundation near the it
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + it
3. Total figure for box C:
It is most useful to draw a line to represent the appropriate figure found in box"A'and a horizontal line to represent the
appropriate figure fouru in box"C". The intersection of the vertical and horizontal lines determines the value found in box"D". The value
in box "D"should b�,compared to the value jKbox"B"; if the value in box"B"is less than or equal to the value found in box "D",then
the building is in compliance with the solar b.lance code. If you have any questions, please contact us at 639-4171,x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (in Feet)
Distance to North-south lot dimension(in feet)
shade 00+ 95 90 85 80 75 70 65 60 55 50 45 an
reduction line
from northern
lot lege fin feet)
70 40 40 41 42 43 44
65 38 38 39 40 41 42 43
60 36 36 37 38 39 40 41 42
55 34 34 35 36 37 38 39 40 41
50 32 32 33 34 35 36 37 38 39 40
453 30 30 31 32 33 34 35 36 37 38 39
40 2 28 28 29 30 31 32 33 34 35 36 37 38
35 2 26 26 27 28 29 30 31 32 33 34 35 36
30 2 24 24 25 26 27 28 29 30 31 32 33 34
2 22 22 23 24 25 26 27 28 29 30 31 32
20 20 20 20 21 22 23 24 25 -26 27 28 29 30
15 1$ 18 18 19 20 21 22 23 24 25 26 27 28
10 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height: _ -�. _ _ feet
h:\docs,nancv\ventura'\solacchp
Revised 2126,96 l
10.46.011 IiA l 1.I 111111 A Alin fiAw.i nnl Un.,qn 1!1411
. F 1
_6 (MIRRORED)
BY
1 �
`-
J.T ROTH CONST
1``82 7S9 W CIJY OF TIGARD' _ HILLSHIRE
i 0�3 ��` LOT 7
y, ( 4 1
� � 59-4'--
616"
94_616'
18,330 S0. FT.)
// I
I I
1
� 24'.9-112- I
Z.• I
2 624' 624'
Ln `� y — 622NF
FAMILY RM/KIT 1�
I .- EL :623 25' I N
N
� 22
I
�' MASTER/DEN/ --- - — _ ---- -
\�� BR.2 6 BR 3 I
` 1 1 EL :625 0'
N 11 GARA�iE
EL :623
\ ` 1
0 N
10 622' 622'1
16224 624- - - --- -
fr > 4" CONIC
w fj
a� DRIVEWAY a
z i o 13500 PSI) h
1 /� '
v `" �C"JyAT'TL /1//�� ` N 03/1P/9!i MRP
L 55 69' L 25 90'
.622 O
1S Wt LIAD'.t FON tNt ACCIINACIF OF 14
tac•d1A0N,NfONMAI1pN IT IS 1NF 111x!
NLSnDNfekt T OF 11E fULDEN to vt1K+ '-1
All Siff CON I"If NCLLe1N0 At"FILL J
RACED ON flit LTL ANO rsom OMNENS HILLSHIRE WOODS DRIVE
Of ANF PONNILM FIELD YOof1CATON
AI- An nAf ( 0QD DI fI (IIn A f0 ( IAtf f IM
1,105 N W 18TH AVENUE. POP TI ANO. OREGON 97209 1503) i25-9161 S C P L E 1 " 2 0 ' 0 "
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ACI MECHANICAL
12300 SW 69TH
TIGARD OR 51223
Plumbing Signature Form
i
Permit # . . . . : MST96-0197
Daae Issued . : 04/29/96
r1arcel . . . . . . : 2S104CC-HW007
Site Address : 13767 SW ASCENSION DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . 1O1_ : 007
Zoning. . . . . . : 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 retui n this Plumbing Signatu:e Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
r
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
J T ROTH CONST INC ACI MECHANICAL
12b40 SW 58TH 12300 SW 69TH
TIGARD OR 97224 TIGARD OR 97223
Phone 4 : 639--:639 Phone # : Ylf- ' 7` Y
Reg # . . : 068388
x fi `L -- - A c r "A�
Si ature of Authorized Plumber
Please return this completed form to the address jbove.
ATTN: Building Dept.
If you hove an questions, lease call 639-4171
y q , p , ext, 11310
CITY OF TIGARD
13125 S.W. HALL BLV.).
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ZTkR ELECTRIC
PO BOA 189
28085 BTJTihvIr.LE RD NE
DONALD OR 97020
i
Electrical Signature Form j
1
Permit # . . . • : MST96-0197
Date Issued. : 04/29/96
Parcel . . . . . . : 2S104CC-HW007
Site Address : 13767 STV ASCENSION DR
Subdivision . : HILLSHIRE WOODS
Block. . . . . . . : 1,(,t : 007
Zoning. . . . . . : R-7 PD
Remarks :
PATH I
Your comr any 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 requireJ.
Please have the appropriate individual from your company sign below and return this Electrical
Signature f=orm prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN !NK SIGNATURE !S REQUIRED ON THIS FORM
'WNl?R : ELECTRICAL CONTRACTOR:
J T ROTH CONST INC BEAR ELECTRIC
12540 SW 68TH PO BOX 389
28085 BT;TTEVILLE RD NE
TIGARD OR 9724 DONALD OR 97020
Phono ff 539-2639 WPhone # : -687 J18
19
pervrsing Electrician
Please return this completed form to the address above. Z�3`ts
ATTN: Building Dept.
If you have any questions, please call 639-417 1 , ext. #310
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Coder/Service FINAL
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framingech.
Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech, Rough-in Gyp. Bd. idr
I
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: —_—
Date: d Z M. _�_PP..M. .Entry:_
Address: 3 24o 2 �i/� 1-E Lev-1
Tenant:.------ Ste:_ MST ,56 - 421 , 2
^� 7 BLIP:
Con/Own:_�2`"'�"_�j MEC:
PLM: —_—
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: -h4-.
j
Na
I
Inspector - ---- Date:
FPROVED —DISAPPROVED/CALL FOR REINSP, CF CO