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Case File J " W r � . �w l b N n m Z O z I � � v X m r4 r c I '1:3784 SW ASCFNSION DRIVE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 4-Hour Inspection Line: 639-4175 Business Line: 639-4171 q Blip 7 -Date Request d__/ - AM PM EI.D _ Loc; tion_ 4<57Y Suite M-C — Contact Person _ 91)wc�azlul' _ Ph -� PLM Contractor-- - .4tC h= Ph _--_ SWR �I — - TenantiOwner --__— ELC — _Retaining'Nall ELR Footing Access: Foundation I/� `Joe FPS ----------- Ftg Drain SGN Crawl Drain Inspection Notes.: - ---------- Slab SIT Post ft, Bearrr ---- Ext Sheath/Shear Int Sheath/Shear Framing -- ----------- --------- --- -- Insulation JAd Drywall Nailing _ y 151 &ct4 ( 12— Firewall >`' Fire Sprinkler Fire Alarm susp'd Ceiling6K 7- - .`1- -- -- Roof Misc: --- -- - - - -- - PART FAIL � - UMBING J �s�_ �� cS�_"�► Post 8 Beam --- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final -----___-------------- -- - ---------- AFAIL -------------- --- -- --.-� --_ ------- HA A P t& a rn - -- .-- _ — ---- - ----- igh 7 s l_' a _.. -------- - ----- S o e D per. PASS PART FAIL ELECTRICAL - ---- -- Service Rough In UG/Slab - -.- -- --- -- --- Low Voltage Fire Alarm ---- ----- --- -- - - --.-_ - ---- ---- Final PASS PART FAIL _— - - --- ------------------ - --- -SITE Backfill/Grading ---------- . --------------- -- -- - - Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _ - required before next inspection. Pay at City Hall, I M 25 SW Hall Elvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: ( ] Unable to inspect no access ADA Approach/Sidewalk DateInspector Ext Other _ ---- Final _ PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION ST (9L 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — --Date RrquEstl5d eq— > 7 �� AMe -- -PMfL :-j O LD-/ ---.. Location-7k S 043 Suite MEC Contact Person — _ _ Ph ---_-- PLM -----_- _-- C ontractor —�. — — ----- Ph — — —.—_. SWR — ------ BUILDIN3 Tenant/Owner — ELC Retaining Wall ELR Footing Access. /) .�-- �� _ FPS I oundation CP /� , Ftg Drain �+"w SGN Crawl Drain Inspection Notes: — --— Slab -------- -- - ------- --- SIT — Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing - Insulation �/�� ` `---�` ��i �` ci k by Drywall Nailing - Firewall Fire Sprinkler -`-- Fire Alarm Susp'd Ceiling � � -- Roof ��j /T .�--�� /!' - -�_� Z- �7 -C Final PASS T FAIL --- ---- _______,- --_--- -- LUMBIN --- _---�_..._- ------ '�— — -- P07rneam Under Slab Top Out Water Service �__-_-- Sanitary Sewer Rai rains __ - -- --- ASS" PART FAIL `-- _-_-- --�__-_- --- ---- A L - -- - Post & Beam --------- _----- - ---- ----- --------- Rough In Gas Line - `--- - — -T ISmoke Dampers _— Final - -- -- PASS PART FAIL ELECTRICAL. ---�— Service _ — -- ---- -- - Rough In IIGISlab Low Voltage Fire Alarm - - -- ---- Final PASS PART FAIL _---- - Sli'E Backfill/Grading -- __--- - Sanitary Sewer Storm Drain ( J Reinspection fee of$ required belt re next inspection. Pay at City Hall, '13125 SW Hall Blvd Catch Basin Unable to inspect no access Fire Supply Line J Please call for reinspection RE - _- 1 ADA Approach/Sidewalk Date Ext Other _ _^ _-- Inspector ��-.. C -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. —_ I CITY GF TIGARD DEVELOPMENT SERVICES 13125 SW Ha.l Blvd., Tigard,OR 97223(503)639-4171 CERTIFICATE OF' OCCUPANCY PERM1T #. . . . . . . s MST97-0:.9'-- ))ATE ISSUED: 09 i 03/s 8 PARCEL. s ::'Si041 C' ;r8 tiOVr a.L i L ADDREGS. . . s 1:3764 SW ASCENSION DR USI)IV.1,ION. . . . t HiLL.SHIRE WOODS 7nNaNGiR--7 P�) ill..00K. . . . „ . . . . . a I-OT. . . . . . . . . . . . . s 102 YURI SDICTIONi TIG .,,L.AF35 OF WORK. :NEW I-YPE: OF USE. . „ :SF TYPE_ OF C ONSTF2 i T&I C)CCUPANC:Y GRP. %R3 i7CCUPANCY LOAD:,' Ieraarkr, : 9F - Doth I Owner, _ ._... __._.... _.._.._ _._.r._._._. .__. ._ ....__...-..._. i.YNhI HENR I V SEN C)O BLIX 030639 fIGARD OR '?7 Al PhonR, #6: +:,ant raect or^: -__...._,....._,.._...._.._._.._.___._..._._.....__..__.._....__._._.._._.._. UI-L_k R'TON COMPANY i.,426 -r:W BE'AVERTON HILLSWAL F I-1WY PORTLAND OP 97021 -11.28 i=)hone #C: 247-4433 ?my #. . s 00040(-r This Certificates grants occupancy of the above r-eferenced building ur• porti.on thereof And confirms that the buii.di.ng has he+en i.nspec:ter; for compliance wi "I! 1;hrr State o,,F Oregon Specialty Coda-s fnr the group. occupoAncy, and use unclet- 4h:.rhi +Itis fifer^ended permit was isst.ted. NU1L.DING 1hiSPF , . C..% INSPECT 1.4 ';UPl'--PVI` 0R POST IN CONSPICUOUS PLACE CITY CF TIGARD DEVELOPMENT SERVICES PL1JMBIK! 3 PERMIT 13125 SW Hall Elvd., Tigard,OR 97223 (503)639.4171 PF RIh 7 T #. . . . . . . : PI_M98-01.70 DATE: ISSUED: 06/15/98 PARCEL: c.',1O4CC-08. 00 ITF ADDRESS. , . : 13794 FW A'=;CF.N'.;ION DR ;UBDIVISTON. . . . : HIL.LSHIRE WOODS ZONING: R-7 PD 'I-OCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . ;; 1O2 JURISDICTION: TIG I":LASS OF�WORK. . :ALT _r?,ARPAGE DISP09ALS. 0 MOnIL..E HOME SPACES. : 0 TYPE= OF LISiE. . . . :SF WASHTNG MArH. . . . . . : 0 PAC'KFL.nW PREVNTRS. . : 1 OCCUPANCY GRP. . :R:_, FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . 0 ;TORIES. . . . . . . . ; 0 WATER HE=ATERS. . . . . : 0 CATCH BASINS;. . . . . . . : 0 LAUNDRY TRAYS. . . , . : 0 3F RAIN DRAINS. . . . . : 0 SINK,. . . . . . . . . : 0 URINAL-Si. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 UB/SHnWERS. . . : 0 SEWER L I NF_ (ft) . . . : 0 1ATER LLOSFTS". : 0 ()ATF R I...I NE (ft ) . . . : 0 7'1SHWASHFRS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 �emar-ks : Installation of backflow pr-eventior) devic-P. )wvrer^: _.._.__._.._...._.___._.__.____._.____._._..______________.___.._._._---__..-- FEEG ,IICHAEI. & CO P1-AJMBTNG type amor-•nt by date r~er_pt ,0 PDX 213008N---HI_SDL.. HWY PRMT f 15. 00 DEB 06/15/98 98-306533 ICiARD OR 977'81 `,PCT t 0. 75 DEB O6/15/98 98- 30 53.3 "hone #: ont r"r3C't II I CHAEI.- & CO PI-IJMB 7 Nl, O PDX c':oos r I CARD OR 97281 'hone #.- 639--:,1 89 S 15. 7E; TOTAL_. RF0U7 RFD 7 NSPECT I ONci This persit is issued Subject to the regulations contained in the RE-/Bar_kf l ow Prev W____•_____ __ _ 'igard Municipal Code, State of Ore. Specialty Codes and all other r-' i rra 1 Inspection applicable laws. All work will be done in accordance with approved plans. This perait will expire if work is not started oithin IN days of issuance, er if work is suspended for, sore than 180 days. ATTENTION: Oregon law requir es you to follow rules _. _..____ __________ __..___....., _____•_..._._ adopted by the Oregon Utility Notification Center. Those rules are `__ -____ __• ��- _._ ______... :et forth in OPR 952-0001-0010 through DAR 95c-0001-0080. yon sayobtain copies copies of these rules or direct questions to UK by calling 1503)246-1987, r _ ,ed . . �/ _ � Per-mittee 5i,gnat rtr^e : f ++ i-+-4-++-+•++•++i.+-•4-++-f+•+•4-r i +1-.1-+.+.+ f..f _,.+-++++-1-+++++++f+++++++++a 4 +++++++++t+•+--1-++++.++ Call 639--4175 b/ 7:00 p. m, for- an inspection needed the next husi.ness day ++++++++++++++++I•++++++++++++++++++++++++•++++++++++++ 1-+++-1-++•+++.+++••+-++. ATY OF TIGARD Rurr Bing ApplicationRecd 8 � �- 3125 SW HALL BLVD. Commercial and Residential chats Recd iGARD, OR 97223 Dale to P E. '503) 639-4171 Date to DS Permit s '( —/ 7 Print or Type Related SWR s Incomplete or illegible applications will not be ar.cepted Called ��— Name of Development/Project �— FIXTURES (Individual) QTY ' PR10E AMT Job Sink 900 Address Slreet Address Suite lavatory r 9.00 . ,Y% v� S(�r�(fid r/�!r Tub or Tub/Shower Comb — goo Bldgs City/State Zip Shower Only _ 9.00 �— ''` Gr C�K % Water Closet NanT 9 00 �� Dishwater 900 Owner Matting A, ess Suite Garbage D sposal _ go Washing Machine 9,00 City/Slate Zip Phone Flour Drain 2- _ 9.00 Name -00 — )� —� 9. i _ 90 Occupant Mailing Address Suite Water Heater 900 Laundry R,,,m Tray 900 GtyvState Zip Phone Unnal 900 Name / Clher Fi7t 1(Spcafy) 9.00 Contractor M ling Address Suite 9 00 e 00 I ( Cily/Sfgte Zip Phone --- ��__ 900 900 Oreg n Const.Cont. Board Lies Exp. Date 9.00 Attach Copy of �� 7 — 9 00 Current Plumbing Lic ! Exp.Date Sewer- 1st 100' — Llcenses a`_X33 Dom' y �O y j 30.00 Sewer-each additional 100' Z5 00 COT Business Tax or Metro s Exp.Date _ ) Water Service- 1st 100' 3000 i Name Water Service-each addibonal 200' 25.00 Architect Storm 6 Rain Drain- 1s1 100' 30.00 or Nailing Address Suite Storm R Rain Dram-each additional 100 25.00 Mobile Nome Space --- 25.00 Engineer City/State Zip Phone Commercial Back F'ow Prevention Device or Anil- Pullutian Device 25 00 ,srnbe work New )0 Addition 0 Alteration O Repair C Residential Barkflov Prevention Device• �— a be done Residential,0 Non-residential O _ 15.00 /Jeri 1 -ddihonal descnption of work — Any Trap or Waste Not 1.onnecied to a Fixture 9 00 �� Catch Basin 9/)0 1 Insp of Existing Plumbmy 40.00 n1�4/! ��r�rrr��1 /Jryic �ermr --icuting use of Specially Requested InspetAions 40.00 wilding or property �erRi Rain Drain.single family dwelling 3000 r 'roposed use of Grease Traps ouikling or property 900 Are you capping moving or replacing any ftxturesli Yes r n ' QUA ITTTY TOTAL (�, ttuxrreEtc tt MM dlegrtem b nC�snd tl QuarMy Toth is >9 (Ifjyrt see back of form) _ 'SUBTOT I acknowledge that I have read thu applicabo_' AL. i.that the information given is cit,that I am the ow authorized agent of the owner.and 5;G SURCHARGE that p sub' fitted are trim lian with Oregon State Laws__ -7 51 91gna!u of ner/Ag Date PLAN REVIEW 251,1. OF SUBTOTAL \�—!' ,• \ // �y ROOuved onN 1 t tore City N",$>9 — Contact Person Name Phone L�— LTTOTAL—L %s75 'Minimum permit to,is$25+5%surcharge,except R �✓f` e JC n `3 S•• 3/ Prevention Device,which is 315+5%surcharge es dt•ntial Backflow i:klsts\Plmapp.do f!/96 CITY OF TIGARD MASTE=R PERMIT DEVELOPMENT SERVICES PERMIT MST97 0u DATE ISSUED: 01 01 /09/98 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PARCEL: c_S 104CC-08300 ,31TE ADDRFS5. . . : 1578Li SW gSC":ENSION DR SUBDIVISION. . . . :HTLL.SHIRF WOODS ZONING: P-7 P'D B1.-OCK. . . . . . . . . . L-O T . . . . . . . . . . . . . : 102! JURISDICTION: TIF, Remarks: SF - Path 1 -- ------------------------------------------------------------ BUILDING --------------------------------------------------------------- REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS OF NOP.}(.:NEW HEIGHT........: 26 FIRST....: 1167 sf GARAGE.....: 480 sf LEFT..........: 28 SMOKE DFTECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1430 sf FRONT.........: 20 PARKING SPACES: 2 TYPE OF CONST.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 20 OCCUPANCY GRP.:R3 BDRM: 4 BATH: 4 TOTAL-------: 2597 sf VALUE..1: 1 R REAW..........: 68 --------------------------------------------------------------- PLUMBING --------_----------------------------------------- SINKS.........: 1 NATER CLuSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: 100 TRAPS.........: 0 LAVATORIES..... 4 DISHWASHERS...: 1 FLOOR DRAINS.. : 0 S'WR LINE ft: 100 % R41N DRAINS: I CATCH BASINS..: 0 TUB/SHOLE RS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: I WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 MECHANICAL ---- ----------------- -----.----------------------------- FUEL. TYPES----------- FURN ( 100K ..: 0 BOIL/CMD ( 3HP: 0 VENT FANS.....: 4 CLOTHES DR`fFRS: 1 GAS FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: i OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 NOODSTOVES..... 8 FAS OUTLETS... : 1 -------------------------------------------------------------- ELECTRICAr_ ------- ---------- ----- -------------------------------- --RESIDENTIAL UNIT---- ---SE RV10E/FEEDER----- --TEMP SRk1C/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELL.ANEOUS—- --ADD'L INSPECTIONS— 1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTIJN: 0 EA ADD'L 500SF.: 5 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL..: 0 TN PLANT......: 0 MAW HM/SVC/FDR; 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR rABEL -10: 0 1000+ amp/volt.: 0 ------------------------------------ PLAN REVIEW SECTION -------••------------------------- Reconnect only.: 0 )=4 RES UNITS.,: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: -------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------------— A. SF RESIDENTIAL--------------------------- B. COPKRCIAL------------------------------------------------------------------------------------- AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL; (-;TTCF OPENER..: CL.00K..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 1 SYS•iFMr,: 0 Nner: --------------------------------------Contractor: ---- ---- --- - --------- TOTAL FEES:$ 4552.36 RW FULLERTON CO FULLERTON COMPANY This permit is subject to the regulations contained in the E,426 SW BVRTN-HLSDL HWY 6426 SW BEAVERTON HILLSDALE HWY Tigard Municipal Code, State of (Ire, Specialty Codes and all PORTLAND OR 97221 PORTLAND OR 97221-1128 other applicable laws. All work will be dont in accoNdance with approved plans. This permit will expire if work is Phone 0: 297-4433 Phone N: 297-4433 not started within 180 days of issuance, or if the work is Reg C.: 000406 suspended for more than 180 days. ATTENTION: Oregon law ---------------•------------------------•--------------------------- requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-00i0 through FYIR 952-001-0080. You may obtain copies of these rules or direct questions to OUK by calling (503)246-1987. -------- REQUIRED INSPECTIONS ----------------------------------------------- ------ -- F_rosion Control Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final Fnundation Insp Mechanical Insp Shear Wall Insp Insulation Insp ^.ppr/Sdwlk Insp Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final _ ^ Post/Beam Meehannai E ectric )t;vi Fireplace Insp Rain drain Insp Mechanical Final ss�_ied BY : Permittee Si �_rr^et � _ _ —-v 9 +'F4 + +4 +++4 ++++++-r++•+ Call 6:39--4175 by 7:00 p. m. for air inspection needed the T1evf bir=iness day CITY OF TSEWER CONNECTION DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : SWR97-0368 DATE ISSUED: 01 /09/98 PARCEL: 2S104CC-08300 SITE ADDRESS. . . : 13784 SW ASCENSION DR SUBDIVISION. . . . :H I LLSH I RF-. WOODS ZONING: R--7 PD BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . : 102 JURISDICTION: TIG TENANT NAME. . . ,. . : RW FUL_LERTON CO USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE Ur7 USE. . . . . :SF NO. OF BU I LD I NGS: 1 INSTAI...I.._ TYPE. . . . :BUSWR IMPERV SURFACE.: 0 sf Remarks : SF - F'ath 1 Owner: --___________________.__.____._..___________----------___-_-- FEES RW FUL.L_ERTON CO type amol_mt; by date reept F.,426 SW BVRTN-HLSDL HWY WQUA $ 290. 00 B 01 /09/98 98-30239L PORTLAND OR 97221 PRMT f 2200. 00 B 01 /09/98 98-302396 1 NSP $ 35. 00 B 01 /09/98 98--302396 fIhone #: EROS $ 64. 00 B 01/09/98 98-30239F; ERPU $ 20. 80 B 01/09/98 98--302396 Contractor: ---________.___________--.-.----. ERF'C 9 20. 80 D 01 /09!98 98-302396 FUL_LERTON COMPANY 6426 SW BEAVERTON HILLSDALE HWY POPTL..AND OR 97221-11E8 Phone #: 297--1,433 f 26;30. 60 TOTAL Req #. . : 000406 - ---- -- REQUIRED INSPECTIONS -- -This Applicant agrees to comply with all the rules and regulations Sewer Inspection 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 guarantee the sccurary of the side sewer laterals. If the sewer is not located at the measurement given, th- 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. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-901-0010 through OAR 952-0001-0080. You may obtain r-opies of these rules or direct questions to RK by calling 1503124E-1987. _ Tssi_ied by: " h V `�Cl/�" '— Permittee Si nate-ire • ++4....+++++++i--F++++++++++++++++++++++•f+++++f+++++++++++++++++++++++++++++++++++•!+ Call 639-4175 by 7:00 p. m. for an inspection needed the next bl-iciness day +++++f ++++++++++++++•++++++++t+A-+++++++++++++++++++++++++++++++++++++++++++++++-F _ r Plan Ch O1= TIGARD Residential Building Permit Application Recd By' ::5 SW HALL BLVD, New Constniction Additions or Alterations Date Recd ,,RD, OR 97223 Single Family Detached or Attached (Duplex) Oata to P E .3-539-4171 Date to DST )3-6847297 Permit t Pnrrt or Type Oiled '-1:51 Incomplete or illegible ap iications will not be accepted Name of Protea N Job j-` lLL°�,►4.Rt= L, Address Site Address Architect Mailing Address I LyO .sty/State Zip I ohone Owner Mailing Addross I Name ►, a 51ZNQ1= Mailing Addddrrss I /State Zip Phone I Engineer `9 c , ,_�_ ,v., F `. •�., r.l NV C . A'L1 / Cigr�SUte zip Phone I-L7 A 7 7.) l: 12--IA c !`) L_ General - �V i 0"Cnoe wort tow 0 Addition O Aiteauon O Repair O -ontractor Mailing Address to oe done: SJ ( Additional De1lcnption of Wont: �ityrStste Zip Phone 4{ /�_ ' .� ,` .. R.Y.DA0 U -c 7. Z) l Oregon Coast.Cant. Board Lich Exp.Dau ACach Copy of .-_",A( C. 1 I , I ( • `J Current COT eusiness Tax or Metro M Exp.Date PROJECT Ucenses C`��L' 1 I I -? VALUATION Nemo ` Mechanical cjK I rr-Ir�-n* -tc cNEW Cr3NSTRUCTION ONLY: .� Sub- M;yang A ress o. Ft. Houses c -7 Sq. FL Garage Contractor ,� �6�LC Corner Lot YES NO Flag Lot YES NO M/ ate Zip Phone �! �'-/� (check one) (check one) _- � Oregon ConaL Cont. Board Lic.Mace Restricted Audio/Stereo Burglar attach Copy of ( r• C ,�` !� ,+ y , Energy S stem Alarm Current COT Business Taxpr Metro 0— p.Date Installation Garage Door HVAC _Licenses "L it -` Opener Systems Name (Check all that Other. Plumbing PCt7=w t< r�u1n apply) Sub- Matting Address I Will the electrical SuDcontn Ltor wire for all YES NO resticted ener installations? X Contractor I /Jt� � � _r. J,tyrState , Zip Phone Has the Subdivision Plat recorded? N/A YES NO I u i Rt. Gk 1 LA V I -W4 4 X. Oregon Canal Cont.Board Vcrt Ex .0 to Relssur- of MST#: Solar Compliance Attach Copy of ,1?_ - Z , y I (Calculation Attached) Current Plumbing uc,0 P. to I hearby acknowledge that I have read this application, that the Licenses it 3 information given is carred, that I am the owner or authorized COT Business rax or Metro rt .x . ate �. % , 34U I -��.� agent of the owner,and that plans submitted are in compliance with Oregon State laws. Name Signature of t (J e Electrical ��1 ► [_I.l�, _ I, c► u / 1 Sub- Mailing Address q.09tact Person Nam� P one Contractor `..71_ � i__�t Ute;:, \X\7, ) '' -.k tyfState Z) Phone FnR OFFICE USE ONLY: i p 1' v.7L„ -M, Plat# I Mapf1'L#-.N . Oregon Const. Cant. Bantu...c.0 Ex0a attach Copy of '' -7 Aq .i y Setbacks, Zoite: Solar. Current E!ecncat Lc. Y p.Dap �� Licenses I -� i ��_— I n Engineering Approval; Planning Approval: I TIF: COT Business Tax or Metros Eipf.,OAe LSFAPP DOC (DST) 4197 l _ Permit tt Acct. 0e3critpion COT WACO Amount Amt Pd. Bal:Due MST. Permit (BUILD) (UBUILD) f Plumb. Permit (PLUMB) �Z.s u C `"y ( ) (UPLUMB) .,,, � 7 , d 't. ... Mech. Permit (MECH) (UMECH) „ ✓ j, `�' EL.0/ELR Permit (ELPRMT) (UELPMT) State Tax (TAX) (UTAX) _ BLDG. o�, 03 v ___� PLUMB: —1=� MECH: „1. 2 5 V ELCIELR: I' Plan Check MST: (BUP?LN) (UBUPLN) � Plumb: (PLUMB) (UPLUMB) Mech: --------- (MECPLN) (UMEPLN) ✓ /�— CDC Review(BUILD) (CDCBLD) (UCDC) .� Y r. CDC Review(PLN) (CQCPLN) N/A 0j, � Sewer Connon (SWUSA) (USWUSA) — Reimbur. District ( ) ( ) Sewer Inspection (SA aNSP) (USWINS) Parks Dev Charge (PKSDC) N/A Residential TIF (TIF-R) (UTIF-R) Mass Transit TIF (TIF-MT) (UTIF-M) Water Quality (WQUAL) (UWQUAL) 'eater Quantity (WQUANT) (UWQANT) Eresion Control Prmt (ERPRMT) (UERPMT) Erosion Planck/USA (ERPLN) (UERPLN) _ s Erosion Planck/COT (EROSN) (IJEROS ) ` Fire Lite Safety (FLS) (UFLS) TOTALS: C, 1•SFAPP OOC (DST) 4197 Solar 6alar,,_e Point Standard Worksheet Ac+d rens e/4-- a_ N1, LL),(_Fhj!S I dU Box A calculations: North-South uimension 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 smailest anvie from a line drawn east-west and intersecting the northem most poen;of the lot. 4v I t ua we N North-South Dimension for LOL I _ Measure the distance from the midpoint of the North lot line to the South lot line along the descibed line. ' �. feet t7 N 1�wn�aaun or�+rr� 4ox B calculations: Shade point height for your re_sidence., Box g, 1 , Determine wne&,er measurements will be based on the peak or eave of your Which describes structure The orientation of the ridge is also important. your residence? la: If the roof 1*rne runs North-South, measurements wilt (cirde one) Eye based on the peak of the roof. laccala 1b: If tte not line runs Fast-'Nest and the roof pitch is less �an 3i 12, measurements cn rhe _ eave. rra�X0"w 1c: If the roof lire runs East--Vest and the rocif pitch is 5/12 cr steeper, measurements wiil be based on rhe peak. Box B. continued Box B: 2. Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from the front lot line co the foundation, the figure is positive. If �- rre lot slopes down from ;he front lot line to the foundation, the figure is negative. ft 3. Measure distance from finished floor elevation to the affected peaWeave. + ------ ft d. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, deduct nothing. 3. Subtract one root for each foot of difference in elevation from the front property line cc tk.e rear progeny line, if the lot slopes up from the front to the rear. if the loc has no slope or slopes up from the rear to the front, deduct nothing. C) , it 6. Total Figure for box B: 3 .1 ft Box C. Distance to the shade reduction line. Box C 1. Measure the di=nce from the North property line to the foundation near the �,`3 ft aifected peAWeave. 2. Mew-ire the d-rstance from the foundation to the affected peak or eavr. + q ft 13. Tool 6Fure for box C: y 3 ft :t is most useful to dr:w a veraol rune to represent d w appropriate*m brand in box'A'ad a hrrizantal Gne to neprew.It the appm9nzte&ire found in box'C'.'rhe inters ,rii of tAe verdal and horisontal ring de%4Tnina the value 15m, in box'O'.The va:ue n boot 'O'should be rmmpaed to the value in bL%'8';it the value in boot 18'is las than or equal to dw value found in box 'O', then :he budding is in cmmoiance mAth the solar balance code. If you have any quesoons, please cant=to at 639-4171,x304 or at the Community OerekVrnmt Counter. MAMMUM PM MffTED MDIL POINT HEIGHT (In Fest) cisancar to North+-south lot dimension On feet! snxie 100+ 95 90 35 80 75 70 65 60 55 50 45 40 mduczkm Sne from nardurn Fac linerin 1' 70 40 40 40 41 42 43 44 63 38 la 3a 39 40 41 42 43 e0 36 36 36 37 3a 39 40 41 42 35 34 34 34 35 36 37 38 39 4A 41 30 32 32 32 33 34 35 36 37 33 39 40 ,i 30 30 30 31 32 33 34 35 36 37 33 39 ;0 :3 28 :3 '_9 30 31 31 33 34 35 36 37 38 35 '-6 26 26 27 29 29 30 31 32 33 34 35 36 .0 24 '4 24 .5 '_5 27 23 .9 :0 31 32 33 34 15 .2 " 22 23 24 25 ;6 27 28 29 30 :11 32 13 10 '0 20 21 21) 1.1 24 25 _6 27 25 29 30 13 19 18 18 19 =0 21 2-1 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 24 25 26 14 14 14 15 16 17 18 19 20 21 21 23 24 Box D. N•-taatimum ailowed shadePoint height . 12) f _ feet h:`doaW r+cvrv+.+ta era\�rJtar.c;o I ' �. L..1 r o 11n !4 It If L") ,tw AIUT' Ill it 9I 2261 (MIRRORED) n 'N FULLER TON CO ?9• CIrY OF TIGARD / HILLSHIRE WOODS LOT 102 12,66J Sa. Fr.) ,mac Lc / Si LT F c..+Cr- IT OF IT 0� b IF 4J. j MAIN FLOOR EL :829 0' / F o to / F-v GAPAGE F A, IT j/ EL 6626.5' 51 . co tl .-_ _- _ — I. ?'Y�t'. _ D 4' CONC. I 1 DPIVEWAY I3500 P.S11 OH i 1 NAL EL S 0'3113' W r00trl`a�r 06,•14/9' tiipp 3 ayvcl �w --- - ALAN WASCCan OEifGN ASSOCATES.INC EF-MIL J c]�y,111101. 30 1� bT ttABLE 0`011 [HE ACCUPACr a r t0"(111APH7 MION11Af" It a THE 3 as Benue (/-�r +I L Soft CONDITIONS W+UN•DI ANY FlL VCS. - 1 'It ACED ON THE 9IE ANS, W04"" 7"'IS jp"14 S,W. AS EN;;ION DRIVE II 8°WC AN,PGTENITAt 11(10 w)OVICAIIONS ,i 1 7£4- 1 Ai-T7Fnar ( 0QD DCfIIn_AF f ( U ( IAT1 In ( co"r 305 N IN 18 rH AVENUE, POR I LAND, O1-'ET.;ON 91209 15031 225.916! S C A L E 1 2 0 0 CITY OF TIGARD BUILDING INSPECTION DIVISION MST — 24-Hour Inspection Line. 639-41 5 Business Line: , - ine: 39-417 BUP - _^^Date Requested `_ __AM _PM SLD Location 7 O S,� S (2z L,,(!-�j- Suite MEC Ph PLM Contact Person _ Ph SWR 2Le Contractor i _ ELC 1 BU_ILDING Tenant/Owner �— Ketaining Wall EL.R Footing Access: EPS _ F-oundation Ftg Drain SGN _ Crawl Drain Inspection Notes: Slab — -- -- — SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation JL DryIAIall Nailing - — Firewall •ry1 0- - Fire Sprinkler Fire Alarm Susp'd Ceiling RoofL ----r---- Misc. ) (/ Final �•n =Clt. � L�t '�✓� PA PART F �- G — — ii Post&Beam - -- -�-- -•-- Under Slab - Top Out Water Service __ ----- --- Sanitary Sewer ——14Rainaidsj4ANICAL ART FAIL _--.---- Post 6 Beam ---- - — - Pough In — _ --- ----- Gas Line - —-- —J -.--- Smoke Dampers -- Final _T—_---- ------ PASS PART FAIL --- -- ELECTRICAL --------'-- _--_ Service _��------ -- —_---__ —_� Rough In -- UG/Slab -- -- — --- Low Voltage — -- Fire Alarm - — Final PASS PART FAIL -- -- SIT'E -- Backfill/Grading _ Sanitary Sewer Storm Drain [ ]'Reinspection fce of$— reqs fired before next inspection. Pay at City Nall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE — [ ]Unable to inspect-no access Fire Supply Line --17(/ �---, ADA �IExt Approach/Sidewalk Date O'her _ Final PASS PART FAIL I DO NOT' REMOVE this Inv pection recor•, from the job site., CITY OF TIGARD BUIMING INSPECTION DIVISION 24-Hour Inspection Line: 639-1 5 Business Line: 639-417 MST BUP _ Date Requested _ .: �_ AM PM BLD Location- Z / y k.�l i ,j t; Suite — MEC Contact Person `3 `-'G •t�✓r,-.�'.� Ph �.,�� - / k3 PLM Contractor Ph SWR 77- BUILDING Tenar /?"r J .�• I C/�I l z- ELC Retaining Wall ELR Footing Access: --- Foundation Ft17 Drain FPS _ Crawl Drain Inspection Notes: �'�=-� _ �1 SGN Slab ` Post& Beam SIT Ext Sheath/Shear nt Sheath/Shear - Framing _ Insulation Drywall Nviling Firewall Fire Sprirkler Fire Alam --- - - Susp'd Ceiling Roof -- - Misc: Final _�___ - - - --- ---------PASS PART FAIL PLUMBING _— Post& Beam - ---- --- - --- __ Under Slab - Top Out Water Service .-- Sanitary Sewer ------ Rain -Rain Drains Final - -- - - - _--- PASS PART FAIL MECHANICAL ----� --- — Post& Beam ----- --____-_ Rough In _ Gas Line ----- --- Smoke Dampers - Final ---_---- - PASS PART FAIL ELECTRICAL -- - - - — _ Service. Rough In UG/Slab Low Voltage - Fire Alarm SASS RT FAIL Backfill/Grading ---- - - -_-_ Sanitary Sewer Storm Drain ( )Reinspection fee of$ _required before ne spection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ---- Fire Supply Line [ J Please call for reinspection RF _-__- _ [ ) Unable to inspect- no access ADA Approach/Sidewalk Date ,.,/J Other Inspector E -- Final PASS PART FAIL _ DO NOT REMOVE this Inspection record from the job site. 1 - CITYOF T I G ARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-0030 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/27/01PARCEL: 2S i02CA-00223 SITE ADDRESS: 13255 SW ASH AVE SUBDIVISION: VIEWCREST TERRACE ZONING: R-4.5 BLOCK: 0? LOT: 022 JURISDIC1ION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYER.-i: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNIT;,: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of line for BBU stub Owner: FEES _ JOHN FINNERTY Type By Date — Amount Receipt 13255 SW ASH AVE PRMT CTR 8/27/01 $72.50 272001000C TIGARD, OR 97223 5PCT CTR 8/27/01 $5.80 272001000C Total $78.30 Phone:503-684-0577 — -- Contractor: ---- GAS GAS CONNECTION INC. OF PDX 6022 NE 112TH AVE PORTLAND, OR 97220 _ REQUIRED INSPECTIONS Gas Line Insp Phone:503-661-4821 Final Inspection Reg #:LIC 00103146 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Orogon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. , Permittee Signature' ' �� IL- 1 Issue By: ( )1,�. - Cell(543) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Ap icaflon • — — Date received: Permit no.. City of Tigard �� `?� Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigan , Datcissued• Byj�b Receiptno.: Phone: (503) 639-4171 -- _ . Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: I &2 family dwelling or accessory U Commercial/industrial U Multi-family Ct Tenant improvement �j New construction U Addition/alteration/replacement U Other: Job address: 7-17 77 7477 Indicate equipment quantilics in boxes below. Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: Dc prion and LoutLon of workoij premises: _. I t t I•ec(4-8.) "Iolal Est.date of completion/inspection: Description try. Res.only Res.only Tenant improvement or change of use: III At: Is existing space heated or conditioned?U Yes U No Air handling unit CFM Is existingspace insulated?U Yes U No nconditioning(sue plan required) p A aeration o existing AL system of er compressors Business name: tJ State boiler permit no.: HP __Tons__BTU/H Address: it smo a amper uctsmo a detectors -� City: ZIP: --I 2 eat pump(site plan required) Phone:Z'* 'Z U r.I Fax: ) -mail: InstalUmphice umac iurner Including ductwork/vent liner U Yes U No CCB no.: U?1�l (� _ nsta repace re ocate heaters-suspen e , City/metro lic.no.: wall,or floor mounted Name(please print): C ti .:. __ - cut for a ante of er than furnace _-- cfr goat on: Absorption units_` Name: Chillers HP Address: —�— Com ressors— _ HP Environmentalexhaust and rent ton: City: State: ZIP:^ ^_ Appliancevent Phone: Fax: - E-mail: Dryerexhaust Hoods,Typc fly.kitchenthazmat hood fire suppression system Name: Exhaust fan with single duct(bath fans) Mailing address: Exhaust systema art roni eating or AC City: State: ZIP: zZ— Fuelpiping an on(up to out els Type: __Ll"(1, NG Oil _ Phone: Fax: - .-mail: 'uel i in eac m33itiona ovl cr 4aut cts Process piping(schematic- required))— Name: Number of outlets Other listedapp a-If nce or equipment: Address: - Decorative fireplace City: _ r`• Phone: h' _ 'l; oo stov cr: pe letatove Applicant's signature - L Date: Name(print): _ Not all iudsdictiom accept credit cords,please call Jurisdiction fix name infiamation. Permit fee.....................$ U Viva U MasterCard Notice:This permit application Minimum fee................$ i Credit co,d number:. expires if a permit is not obtained Plan review(at __ %) $ I?splres within 180 days after it has been State surcharge(8%)....$ . 1 Name of cardholder sa shown on credit card accepted as complete. S TOTAL .......................$ -- Cardholder signature Amount 1101617 l6AtMIKY1M1 Commercial Schedule 182 Family Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE Description Furnace to 100,000 BTU Table 1A Mechanical Code_ Oly Price Total 1) Fumaoe lit 100000 DTU Including ducts 8 vents 955 includinQduds 6 vents _ 11.00 2) Fumace100,00oBTur Furnace>100,000 BTU Indulin duds 6 vents 17.40 including ducts 8 vents 1,170 a) Floor ngvntcluie floor furnace 4) Suspended healer,wall healer 955 _ or floor mdunled healer_ -.-__ including vent -- suspended heater,wall heater e) vent not included In appliance permd 660 _ or fluor mounted heater 955 6) Repan units 1215 Check all that apply 'Boller Rest AIr m Vent not included in appliance permit 445 For Nes 7.10,see or Pump Cond City Price Total 005 footnotes 1,2 Com _ Repair unlL, 7) 314P,absorb unn to 1 3 hp;absorb.unit 6))3 BTU 11.00 -3 15 HP,absorb ung to 100k BTU 955 1001,to 500k BTU 25.60 9)15-30 HP;obswb 3-15 hp;absorb.unit unit.5-1 mil BTU 35.00 i 7- HP, 101k to 500k BTU 1700 unit t-1.75 mil BTU 52.20 15-30 hp;absorb.unit 11)>SOHP,absorb unR>1.75 mil BTU 67.20 501k to 1 mil.BTU 23101Y)Air handling unit 10 10,000 CFM 10.00 30-50 hp;absorb.unit 13)All harldting unll 10,000 CFM- 17.20 1-1.75 niil.BTU 3400 11)Non•perlable evaporate cooler 10.00 1. > hp; .unit 16) nt t Vean cnnneded to•single dud > 1.75 mil.il.BTUBTU 5725 6.00 Air handling unit to 10,000 cfm _ _ 656 161 Vent lance ntumcn systemrr1P not Mduded In- ap I 10.00 Air handling unit> 10,000 cfm 1170 17)Hood served by mechanic- .hsusl _ 1000 Non-portable evaporate culler _ 656 1P1 Donncslk Indneralors 11.40 vent fan connected to a single duct 446 19)Con.,nerdal or Indusldal type Incinerator Vent syst.not Included In appliance permit 656 89'9` 20)Other units,Including wood stoves Hood served by mechanical exhaust 656 � 10.00 Domestic incinerator 1170 21)ass piping one to four outlets _ 5.40 Commercial or-Industral Incinerator 4590 22)More than 4-per outlet(each) 1.00 Other unit,including wood stoves,Inserts,etc. 656 Minimum Permit Fee 72.50 -SUBTOTAL Gas piping 1-4 outlets 360 6%Sun c11AROE PLAN REVIEW 25%OF SUBTOTAL Each additional outlet _ 63 Required for ALL commercial permits only TOTAL _- Other Inspections and fees: I Inapedlons outside d normal bnunss trwm(mm"Jin durge term mo(s) $77 50 per hour Insp dM,Inn.1,.j.-lee is apedncaliy Irdrated Inen�mum rhargo he"hour) S 12 50 per hour Total 81UallOn �. CC -----' 7 Addnronsi plan r.-regained by changes aAdddns w revlsK,ns to pans(mnonum charge one hae tour)177 50 per hour 'Slain Coneaclo,"$en Cerbfrrt.rn m-M '-"--------- "nnzdenhsl A/t:rMulrns aan pian sfw-w�inq pla:ermnl nl unl SI.00 to 55,000.00 -` V-._ -- Minimum 572.50. 55,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 51.52 for each additional$100.00 or fraction thereof, to and including$10,000.00 510,001.00 to$25,000.00 5148.50 for the first S10,000.00 and$1.54 for each additional$100.00 or fraction thereof,to and including$25,000.00 525,001.00 to 550,000.00 5379.50 for the first$25,000.00 and$1.45 for each additional S 100.00 or fraction thereof,to and including$50,000.00 550,000.00 and up _ $742.00 for the first$50,000.00 and 51.20 for each additional$100.00 or fraction :hereof ,._ C. ,ARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested AM PM BLD Location ;ti `{ -1� .i.��'� �. 1��Suite MEC GG 2�rQ Contact Person Ph 3,� PLM Contractor Ph SWR _ BUILDING Tenant/QWner y .k �L -� �>' ELC _ Retaining Wall ELIR Footing Access: -, FPS j Foundation ;-16 G -' 6 3 -- Ftg Drain SGN _ Crawl Drain Inspection Notes'. rl n Slab -- -- ,r't( i>^L�.Q�� ---- SIT --- Post&Beam Ext Sheath/Shear Int Sheath/Shear ' Framing Insulation Drywall Nailing Firewall Fire Sprinkler � / GI£[t1f��L34G T'i..�a/ter, is 3Q-dl r-,`i.^- ------_--- Fire Alarm Susp'd Ceiling - Roof Misc: - - --- ---- Final PASS PART AIL --- -- — - — - PLUMBIMG Post 8 Beam Under Slab Tol,Out ---------� Water Service -- —_ Sanitary Sewer Rain Drains - Final PASS P RT FAIL_ MECHANI AL Post& rampers m -- - -— —----- - Rough I Gcs Lin + - -- -- r-- Smoke — PA9&--'PART FAIL E ffCTRICAL ---- ------- -- ---- -- - -- Service ------— -- ------- — — -- ---- Rough In UG/Slab -----------__:—_ - -- Low Voltage Fire Alarm Final - -------- ----------- -- ---_.—_-- Final PASS PART FAIL --------- SITE Backfill/Grading -- ----------- Sanitary Sewer Storm Drain [ J Reinspection fee of —__requ"red before next inspection Pay at City Hall, 13125 SW Hail Blvd Catch Basin Unable to inspect- no access Fire Supply Line I ]Please call for reinspection RE ___-_-- — [ 1 p' ADA Approach/Sidewalk pate e j Ins ctor— —Ext -- Other _� --------- ._..--- p +- - _-.--___-- Final -- PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. [� ELECTRICAL PERMIT CITY OF T I G A R PERMIT#: ELC2001-00344 DEVELOPMENT SERVICES DATE ISSUED: 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 039-4171 PARCEL: 2S104CC-08300 SITE ADDRESS: 13784 SW ASCENSION DR SUBDIVISION: HILLSHIRE WOODS ZONING: R-7 BLOCK: LOT : 102 JURISDICTION: TIG Proiect Description. Installation of wiring for A/C. -- RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER. PER INSPECTION: 201 - 400 amp: 1 st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: GLEN SLAYTER GRF ELECTRIC 13784 SW ASCENSION 15460 SE PARADISE LN TIGARD, OR 97223 MULINO, OR 97042 Phone: 503-521-9492 Phone: 503-829-4146 Reg#: LIC 76751 SUP 1655S ELE 3-484C _ FEES Required Inspections Type By Date Amount Receipt— Rough-in PRMT CTR 07/03/2001 $46.85 2720010000( Elect'I Final 5r CT CTR 07/03/2001 $3.75 272.00100110( Total $50.50 This Permit is issued subject to the regulations contained in the Tiqard 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 Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1-800-332-2344. Permit Signature: , (iiT i�.1� Issued By: _ OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ DATE: —_�-- __ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ��( Cc�9.'t�� '«�� `'Z DATE:--.----- LICENSE ATE:__._ -_LICENSE NO: — Call 639-4175 by 7:00pm for an Inspection the next business day .Jun 29 01 O5: 42a GQF Electric 5038295747 P• 1 Electrical Permit Application Datoreceivted: h IB,. rtnitno.: City of Tigard 1 Project/appl.no.:_ xpire date: Ctry of Tigard Addna_s: 13125 SW Hull Blvd,-riF ard,Olt 97223 Date issued:_ -_ ,t;� Receipt no.: Phone: (5O3) 639-4171Fax: (503) 5�8-1960 Case file no.: yment type: Land use approval: =co:ns2ructqjan accessory U Commercial/industrial U Multi-family ❑Tenant improvement U/.ddition/aiteratior►/replacemcnt L3 Odicr: ___ U Partial JOB SITE INFORMATION Job address: tLI-L 5 C C.MJ V i�J BId—g no_: Suilc no.: Tax map/tax lot/account no.: Lot: Block; Subdivision: Project name: 5 Descri U� on and location o work on premises: iimui2,1 da:c o:0=111t trios%ins k^titin: Job no: Fes Max .Business name: � (ZFC�'Y (� Description �) Total no.ensp 1 New reaidnttial-tistgie or smlld•faadly par Address: LE to e) 9A beA ir. di k2 f'_ dwelling unit.locktulnattached gasstge, City: ,- State: Q ZIP: sa-vivelocla". _Phone: 000 sq.R.or less < PhoG- Fax: Qz cj � E-mail:Email: - Frch oddilionttl SW aq.ft,ar onion thereof CCB no.: Elec.bus. lic.no: C _ Limited energy,residential 2 City/metrolic.no.: Limiiedenergy,non-residential 2 Each manufactured home or modular dwelling __ LY Service and/or feeder 2 Signohue of supervising c ec '_c_ian(required) Dote _ _ rant Lkcnseno: j/ycj --� Serdre.-°rfeeden–Indallallan, Sup.elect.nume(p' ): / siterstion.•telocation: ilium 200 umps or 1,is 2 201 amps to 400 amps _ 2 Name( rint): 401 amps to 600 amps _ 2 .- Mailing address: 1 3'7 r. t s Or. 601 untpsto 1000 turps 2 City; • ! ,+,^�, State: ZIP: zZ 3 Over 1WOamps orvolts 2 Phone: 2 Fax E mail: Reconnectonly I Owner installation:The installation is being made on property I own Tesopuraryservices;orfeeden- which is not intended for stile,lease,rent,or exchange according to installation,allendon,or relotadon:210 amps or less 2 ORS 447,455,479.670,701. 201 am s to 4W amps 2 Owner's signature: Date: 4c 1 to boo am . 2 man Snnch circuits-new,Mleretion, t or extension per panel: i`iartle: _ A. Fee for bruich circuits with purchase of Address: service or feeder fee,each branch circuit 2 City; State: ZIP: B. Fee for branch circuits without purchase or service or feeder fee,first branch circuit: ��t_ 2 Phone: Fax: E-mail: Each additional branch circuit: Mise.(Settles or feeder trot included): O Service over 225 amps-comorereid U Nedth-carefocility Each pump or irrigation circle A 2 hong L Service over 320 amprntting of 1&2 U Ns� w Each sign or outline lig 2 ardolocation — Iamily dwellings O Building over 10,000 square fen four or Signal cirevi►(s)or a limited energy panel, *System over 600 volts nominal more residential units In one stru,.ture alteration,or extension' _ 2 U Ruilding over am stories O Feeders,400 amps or more *Description: .J Occupant load over 99 persons U Manufactured structures or RV park Fish adtlldonal Inspection over the allowable In any of the above: J Egresanighungplan U Other. _— perinspection Subtolt___-sets of plans with any of the above. Investigation fee LThe above are not appllable to taaporar y comtrudioo setrrlce. Other Nur all luriwicuom a7xpt credit c",please rout Itoisd"nn for more Informrtre. Notice:This permit application Permit fee.....................S _ O Visa O MuterCud expires if a permit is not obtained Plan review(at _ qts) $ Ctrdit card ou"AM:_ / / within 180 days after it has been State surcharge(8%) ....S CRS aeafe• accepted as complete TOTAL .......•........ �- u shows no t c ..... -- Grdhd rlputure — Amount x104615 fr.OntC6M1 CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00248 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 07/05/2001 PARCEL: 2S104CC-08300 SITE ADDRESS: 13784 SW ASCENSION DR SUBDIVISION: HILLSHIRE WOODS ZONING R-7 BLOCK: LOT: 102 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES _ 0 - 3 HP: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 10000 cfm: Remarks: Installation of new A/C unit. Cannot be placed within the required set backs. Owner: _ FEES GLEN SLAYTER Type By Date Amount Receipt 13784 SW ASCENSION PRMT CTR 07/06!20( $72.50 272001000C TIGARD, OR 97223 5PCT CTR 07/05/20( V.80 272001000C Phone:503-521-9492 Total $78.30 — — Contractor: SKY HEATING + AIR CONDITIONING 1637 SE NEHALEM PORTLAND, OR 97202 _ REQUIRED INSPECTIONS _ Cooling Lint Insp Phone:235-9083 Final Inspection Reg#:LIC 00050244 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 180 days of issuance, or if work is suspended for mope than 180 days. ATTENTION: Oregon law requires you to follrnv rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9 .89 ^�Issue By: 41"-z' Permittee Signature: l91 - Call (503) 639-4175 by 7:00 P.M. for Inspections needed the next business day i r � Mechanical Permit Application ��M24V�,-Vozlb t T .,,A''A1 Dater,.c:tvcd:7 1 p �,Pefttno.: City of i �VE.[� t�0..p11M1`sn`G F�rojec✓i.ppl no: Expvedate: City.)/T•ibort' Address; 13175, Hall Blvd,Tigard.OR 97223 Phenc (50 i) 639-1171 r� Date iss+led: B -__�Receipt no.: Fax: (503)598-1960 JUN tr 201 CFsetlh no.: __ �Payment type: I Lend use epprov _ Bulld ri permitno.: rl&i 1&2 family dwelling or accessory CummercialAndustrial aMulti-family U Tenant improvement U New construction AAddition/td(craticintreplacermnt U Other: Job address: �n (� Indicate eg1tipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value Oran mechaaic-d materials.equipment,labor,overhead, E Tax ma /tax lot/account no.: profit.Valle S Lo!: Block: SlthdJvision: *See chc&uitl for important application information and i Project name: jurisdiction I:cx schedule for+esida!tial permil fee. Cit !county: Zip: Uehcription and 1 ation of work on premises: - Fce(n.) 7ora1 Est.date ofcom ledon/ins ction: Dacriptlosr _ iQfy. RPA.nnl� Resod Tenant improvement or change of use: It1 Is existing space heated or conditioned?U Yes U No Air hnndlint unit U Yes O No con 0Ing`sitplan rcquir ) Is existing space insulated". :erallon o 7 existing HVAC s srem Boiler/co—1 ressors Business name: 16 q AI(I (VIC State boiler xrrnit do Address: ! -- lip Tans num re/sinAkc sn ars ct9rno ke clotedr•rs — City: l Slate; 7.1P. eat amplsite p anrequfr� _ -- PI ne- Fax: i3 mall' nsts rep s:e rnacr Furner_ -^ CCB no,: r, Includinit d,+ct vork/vent liner O Yes J Nn --- 7 5159 rip ece/re ecate It eaiera-suspen e d, City/metro hc.no.; _ wall,or llo(r•iuounted Name( lease rine) MtV) entfuro r unceot erthen umace _ e gin 0n: I Absomi^n snits E`1•UIH I Name: �y1Q_ Chillers--- Hp Address: r C _j�oupvssofs IIP City: State. ZIP: w tonnse==121111 a t+tso as ant A pliance%ent Phone: Fax: E-mail: ryerez aI st Hoodi,Tyr T/14res. tc ern +azmat Name. l C C1 hood fire nuppressionaytztrm Mailingansj address: -' n �xhaustsaust arte nwith�arfmmngle cteatin forA City: State: Z1P Tae �IPCI 1 NQupto 077 Phone: fart: B l sic ^' ss a�eac. tuora ovct cul ets roc.�j+nR s:.ernat a requtre Name: NIA lumberut 3ullets Address: �11ppoweeoreq pmtte-- Decorative fireplace City: _ State: ZIP Phone; Fax. qviletatoye Applicant's signs re: Date; own Vame lint): D1fiN ULM — --- Na all Judifficriom wear cre-4h cards.p,esRe eW JudwU aor for Im"InPorvoUcn. permit fee.. ..... ...13 .... .. _ vlsn J MasterCard Notice.This permit apt lieation Minimum fere•............... f'redlr w+1 eumMr _- / expires if a permi:is nc t obtained -�- - - puss_ within 190 days after it Las been Plan review fat ___ °6) $ �nme o' �i3ar.o,mrwn or aseu end - accepted as colnpiete State surcharge(87E 1....S s TOTAL .......................s — — .��e5,tr ar:oM, 100% d8V�11 d0 .U.I3 0981 969 £n4 ;iia NI :£t INA to 91 90 HOME LAYOUT/SITE PLAN v •4- 75 � 25 EX-1 STREET nn 5� Lo