Permit A • CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2000 -00222
:i1� DEVELOPMENT SERVICES DATE ISSUED: 08/22/2000
�' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15180 SW 84TH AVE PARCEL: 2S112CB -17500
SUBDIVISION: HAMPTON COURT ZONING: R -7
BLOCK: LOT: 024 JURISDICTION: TIG
REMARKS: SFD DEtached
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 15 FIRST: 819 sf BASEMENT: 498.00 sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 808 sf GARAGE: sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT: 5
VALUE: $ 124,770.83
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,627.00 sf REAR: 20
PLUMBING
SINKS: 1 WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: 2 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: 1 SIGNAUPANEL: IN PLANT:
MANU HM/SVC/FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp/volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,680.75
This permit is subject to the regulations contained in the
LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of OR. Specialty Codes and
12755 SW 69TH 11130 SW BARBUR BLVD all other applicable laws. All work will be done in
SUITE 100 PORTLAND, OR 97219 accordance with approved plans. This permit will expire if
PORTLAND, OR 97223 work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 00060563 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Sewer Inspection Underfloor insulation Electrical Service Gas Line lnsp Water Service Insp Final inspection
Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Fireplace Appr /Sdwlk lnsp
Foundation lnsp PLM /Underfloor Framing lnsp Insulation lnsp Electrical Final
Post/Beam Structural Mechanical lnsp Shear Wall lnsp Rain drain Insp Mechanical Final
Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Water Line Insp Plumb Final
Issued By : ,(
AI r ' Permittee Signatu - : �. �: _� . _
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit A pplication Plan Che
13125 SK HALL BLVD New Construction Rec'd By
TIG ARD , OR 97223 Single Family Detached °ate Re °'d 0- 7 3 �d
g y Date to P.E. - i 2 '00
V 503 - 639 4171 1 Date to DsT % Ii : �. .
• F 503 - 684 -7297 Permit # M 91 z000- owl_
Print or Type Called 7- 7- 0 - 6 0
Incomplete or illegible applications will not be accepted Jr,' Cha t o
Name of Project . Name P
Job -/� � n t j// ' Mailin A9dres " ,aS
Site Ad ss / ' A rc hi tect g ,� /54 Address
/57,6 cg/ti i V- 4 1 - x- / S tate Zip Phone
7, t1 sr_e/ � 9
Ci S �p •
Na e �. P oi tL -ll � 9'7? -23 had -843
4
t-ef ,a
�� Name
Owner Mailin Add ess /� j F / ��A c
/ 7� s �/� 6 7 ' �
• ° Engineer M ilin Address •
Ci tat _ p Phone. V p y i�J ,y v i p 4 •
G/ � of 7a.3 z &.2e; D - v6-
City /State . Zi Phone
General Name y' / �v 0 7.7 3 3 ,_ y� �4r •
Contractor 1., eo� W 14_9,77 ,42.5- Describe work New Addition 0 Alteration 0 Repair 0
Mailing Address . to be done:
Prior to permit / .V75 5 �•Gf/ 0 7 ' ' - 1y' Additional Description of Work: •
issuance, a copy Ci fate Zip Phone
of all licenses 7 ' 972 ( 9.U V�'
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# VALUATION $ /02d V/ • ` S
database 06 oS 6
Mechanical Name :
J NEW CONSTRUCTION ONLY .
Sub- -SG -SG a1 / l/r/ Sq. Ft. House /6)-7 Sq. F � [ 9e
1 Contractor Mailing Ad e s y,L i Indicate the restricted energy installation b the electrical
Prior to permit v? V. . - / ��� gy y ,
issuance, a copy Cry /Stale Zip Phone subcontractor in the following areas -
of all licenses (- -»- /.-/ 11 Z ( y ,, - 2 - 778 , Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System . - Alarms
expired in COT Lic.# ,/ =�_ O � Installations Vacuum Irrigation
database 1 r J I System System •
Plumbing Name (check all that Other: , •
l/ m apply)
Sub- f.[� /Co I /U � i
Contractor
M ailing Address Number of Units in Building Unit Number Designation
�� 3 �'� °Z od 7 ' ' Has the Subdivision Plat recorded? N/A YES NO
Prior to permit Ci /State // Zip Poe / X issuance, a copy (✓ ,OS P16'� 1 r —969T/ •
of all licenses are. Oregon Const. Cont. Board Exp. Date -
required if Lic.# . / �7� -� • . •
•
expired in COT 0 0 o a.3?
database Plumbing Lic. # Ex Date I hearby acknowledge that I have read this. application, that the
information' given is correct, that I am the owner or authorized agent
rt ('D Ao� 0. 3 / � , of the owner, and that plans submitted are in compliance with
Name Oregon State laws.
Electrical CY/l 41,--) .i.ac.,4l.G'C " Sign ire ner/ ent D / _
Sub- Mailing Address
_ Contnt,Per on f am G Phone
Contractor a / 7g5 G� �/
� /kg' yno / �► 4P7v xa�i' ido- e d �'
. City /State Zip Phone / f
Prior to permit - ,
issuance, a copy 1 Oh ' ...s / FOR OFFICE USE ONLY:
of all licenses are . Oregon- Const. Cont. Board Exp. Date Plat #: • MaplTL #:
required if Lic.# S1 3_ /L/ U� (7-1- 2G Z7r 8 25/ (2613— /75 oe
expired in COT I A // / I
database Electrical ic.� �S G Exp. D Setbacks: V1 Zone - ( P
Electrical Supervisor Lic. # • _ Exp. Date En2in erin l A l
,' ppr roval: , Planning Approval: TIF:
3 --) U 73 /U - / c 1 3 ? 4, t/1
' f / / 'P52 Gras FP rytR+� glq .
I4-2,ti/L /6 3Fan • . - -P41).• tog is \dsts \forms\sfd- new.doc 11/20/98
'1�
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223 -
IMPORTANT PERMIT NOTICE
GARNER ELECTRIC V
21785 SW TUALATIN VALLEY HWY S
ALOHA, OR 9 700 6 -1 248
Electrical Signature Form
-. Permit - #: MST2000 -00222 _ _ _ - _ _ . _ - _ _ ___ _
Date Issued: 08/22/2000 V V
Parcel: 2S112CB -17500
Site Address: 15180 SW 84TH AVE
Subdivision: HAMPTON COURT -
Block: Lot: 024
Jurisdiction: TIG •
Zoning: R -7
Remarks: SFD DEtached
•
Your company 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 required. Please have the
appropriate individual from . your company sign below and return this Electrical Signature Form prior to the .
start of the work to the address above, ATTN: Building Dept. V V
No electrical inspections will be authorized until this completed form is received
•
OWNER: V ELECTRICAL CONTRACTOR: .
LEGEND HOMES GARNER ELECTRIC
12755 SW 69TH 21785 SW TUALATIN VALLEY HWY S
SUITE 100 ALOHA, OR 97006 -1248
PORTLAND OR 97223
Phone #: 503- 620 -8080 Phone #: 591 -1320
Req #: LAC 121159
SUP 3707S
ELE 34 -305C
AN INK SIGNATURE IS REQUIRED • T S F • RM
X ith �/ V
Signature of S •ervising Electrician
If you have any questions, please call (503) 639 - 4171, ext. # 310
•
CITY OF TIGARD BUILDING INSPECTION DIVISION � ,Zarvv - 2Z 1.
• 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested � � 3 0 AM PM BLD /ENF"
Location l) /D 54 ✓ ? >bL Suite MEC
Contact Person Ph 7 .' / Z- 7 ( PLM
Contractor Ph SWR
ILDING Tenant/Owner ELC
Tefainin. Wall - � ELR
5 Access: FPS
r an . �� G LA"
�-
Drain
•
Crawl Drain Inspection Notes: SGN
Slab SIT -
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
-..-
.) PART FAIL
P�.....: -
Post & Beam
•
Under Slab
Top Out
Water Service
Sanitary Sewer
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
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to ins pect - no
ADA
Approach /Sidewalk Date 67/?? //�� ,,\\
76 JL/ V Inspector ( C.) Ext
Other
Final
PASS PART FAIL DO_NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ,opvd _G 0 . 2 2 Z-
24-Hour Inspection Line: 639 -4175 Business.Line: 639 -4171
f -5/ BUP , � Date Requested AM PM BLD
Location (S ( 3 -0 -S e « /e)-( -P
Suite MEC
Contact Person Ph 776i^ I Z- 7/ PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
•
Retaining Wall ELR
Footi Access:
,r22 Z � FPS
Ftg Drain / SGN
• Crawl Drain . Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear -
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
( PART FAIL
._ :ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
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
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next,inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date pf3/ D (` Inspector Ex
t
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST oQ 'O_ w 2Z 2-
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
I � BUP
Date Requested l ,� AM PM v BLD
Location /576 SG✓ O Suite MEC
Contact Person Ph - 9 -V PLM
Contract° Ph SWR
, G Tenant/Owner _ ELC
etaining Wall ELR
Footing Access:
Foundation FPS
Ft Drai
SGN
ra n Inspection Notes:
SIT
ost & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing •
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
CF U MW NG
o st & Beam
Under Slab
Top Out
airs Drains
- AS PART FAIL
• CHANICAL
Post & Beam
Rough In
Gas Line •
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date / � Inspector �7 ,' Ext .
Other
' Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
' CITY OF TIGARD BUILDING INSPECTION DIVISION MST ar.44. .Uv Z Z z,
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested V AM PM BLD / 1.■ _
•OW --
Location / Si go 1 - ■-( Suite MEC
Contact Person Ph Adf 37 7U • PLM
Contractor Ph SWR
BUILDlI� . Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation v FPS
Ftg Drain SGN
•
Crawl Drain Inspection Notes:
Z ajaeaRi-> SIT
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling.
Roof
Misc:
Fin
, ASS PART FAIL
PLUMBING
Post & -Beam
Under Slab
Top Out
Water Service
•
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
ECHA
Be
Rough In
Gas Line
Smoke Dampers
Fin
ASS PART FAIL
ICAL
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, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk L J Other Date I Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
'CITY OF TIGARD BUILDING INSPECTION DIVISION MST BUJ -DO 2? z-
24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP Art
Date Requested AM PM BLD
Location/5/ ' F Suite MEC --�
Contact Person Ph 6'( 7 1 7 PLM
Contractor - Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR •
Footing Access: -
Foundation FPS`
Ftg Drain SGN •
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear -
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS • .RT FAIL
yr. : - .0
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Fi
a % PART FAIL
- ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers -
Final
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, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA C�
App[na^ `Sidewalk Date [ J i i 60 Inspector Ext
PART .FAIL DO NOT REMOVE this inspection record from the job site.
•