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Permit „ CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00289 ZIP DEVELOPMENT SERVICES DATE ISSUED: 11/5/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 08053 SW LEISER LN PARCEL: 2S112BC -13900 SUBDIVISION: LEISER PARK ZONING: R - 4.5 BLOCK: LOT: 008 JURISDICTION: TIG REMARKS: New SF BUILDING REISSUE: LP008 -A1 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,217 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.338 sf GARAGE: 537 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THR0: sf RIGHT: 5 VALUE: 253,314.30 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2.555 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 . DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 80IUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 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: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/OSVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIE W S ECTION 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 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,572.63 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of OR. Specialty Codes 12755 SW 69TH AVE #100 12755 SW 69TH AVE #100 and all other applicable laws. All work will be done in PORTLAND, OR 97223 TIGARD, OR 97223 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 - 620 - 8080 Phone: 620 - 8080 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 60563 rules are set 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 Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Storm drain Insp Mechanical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Line Insp Plumb Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Service Insp Building Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Appr /Sdwlk Insp Post/Beam Structural Mechanical Insp Shear Wall Insp Rain drain Insp Electrical Final Issued Permittee Signature : N/1 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building Permit Appli k i(: I' EIVE P, FOR OFFICE USE ONLY City of Tigard Received / Date/B / / Permit No.: , Tigard, OR 97223 OCT 1 20 y: B/� \' \S 1—c:7200 r^/c/� 13125 SW Hall Blvd. g I ' Plan Review e Phone: 503.639.4171 Fax: 503.598.1960 \" Date/By: �IJ ( Other Permit � k y: /U /y o / Inspection Line: 503.639.4175 G_! j " I Date - ; Date Ready /By: pp TAT- ® See Attached Checklist for P CITY OF TIG .�. °I 3 eth od: . ' PP Internet: www.ci.tigard.or.us BUILDING DIVISION Supplemental Information TYPE OF WORK QUI D DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $249,131.10 Iz 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 8053 SW Leiser Lane New dwelling area: 2555 square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: 537 square feet Suite/bldg. /apt. no.: Project name: Leiser Park Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Leiser Park I Lot no.: 008 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: 1 Name: Legend Homes Type of construction: Address: 12755 SW 69' Avenue, Suite #100 Occupancy groups: City/State/ZIP: Portland, OR 97223 Existing: Phone: (503)620 -8080 Fax: (503)598 -8900 New: ® APPLICANT ® CONTACT PERSON NOTICE Business name: Legend Homes All contractors and subcontractors are required to be Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12755 SW 69 Avenue jurisdiction in which work is being performed. If the City/State /ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons apply: y: Phone: (503) 620 -8080 Fax: : (503) 598-8900 E -mail: slucas @legendhomes.com CONTRACTOR Business name: Legend Homes BUILDING PERMIT FEES* Address: 12755 SW 69 Avenue, Suite #100 Please refer to fee schedule City/ State/ZIP: Portland, OR 97223 • Fees due upon application Phone: (503) 620 -8080 Fax: (503) 598 -8900 Amount received CCB lic.: 060563 - Date received: Authorized signature: GyJ�— This permit application expires if a permit is not obtained �� //�� - within 180 days after it has been accepted as complete. Print name: Steve Lucas 1 Date: 10/1/04 * Fee methodology set by Tri-County Building Industry Service Board. i:\Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(11 /02/COM/WEB) 11/15/2002 00:27 6427925 PAGE 01 '(OT -01 -2004 FR1 07 10 A? Legend Home FAX N0, 5036998830 P 02 • ii.);,115 ill :‘,1 ,0:1 �l 1 .. Ilea ' Pe+tldil0 5l .,•,/_177:2,7_ ,..- City of Tigard b Bayles O�` er !waft j wr ,s123 SW Hutt Sled„ lipid, Olt 972x1 „. 7, PsCa Plane; 303,639.4171 Pam S03401.14 1.1 ';'.�T m - ....'.r g gme A173 NOIIAeaArfellgd. 1mbn i 503.ti19 t . t . I: % ;. l a '; .• Lnterrl0n WWW Ci.ilgaid,Oh • t h..• 1. i y -,i1CS 'tiY�:: ;qr i% 7'.. •`'JC 1 ' ' 4~ ' ? dwi;'•4 • �'i ". .1' 1 >, •..',..�' •'' • ; 5 : �1. ;'1_ ,.i--��uiti calm eh _ y' , raow location - pion /alterotion/KP19Cemont QServIce over 225 amps. vontre i © elver 10,11' . R1 181 R Now eorlad'uedon [�C.rvice over 320 argot -rang C7e n8 . Demolition to outer , y , ,•,, ! i.t ; t t C' ! of 1- and a�Ibmt1Y 4wal1in4t a� or o residential , W. :I r "i k:1.1 , •. a� y nk : �� ' I �:n q 4...... • �6, hyOyer 600witenominal P tsin nsclbs more 1 =r�r i ri b; , , + , g ' iai/indulstrial J Accessory building Qpelldin over me stones Q t sni, 401) ±_+ t• arid Weirdly dweulne Meter b CIsoupam load woe 99 Prxrom DAten ttwolunn or MaIW builder r Other: Q 1tV park 0 Mul -� i stir) aPgca'e care QOthar: --- Job no.' Jab elte eCaroast 8053 9W .Leiser Latta ' Subrnitlscut of Plana sAtn uny of dto oboe*. Ci trtrsnon service. e, The above are not applicable to temporary 9tots/Z1P.'tl>1ard. .'• • ' `' ' ; V "'' ' fir � OR 9722 1 ,t..:+ 1 -•- � �.,+�y� Regal rop 3ultalbldgJ P4 Pat : or rosfe0etm tiny or AlYlt1•PttO y r wailing ea I G7os8 sws¢ydircetlona to job sltm • _r -_ lndato+ &Me tal rr�nrs 4 ON sq. it or less 0 MIMEO , G add'► ace s9• fr. or • onion Lot no.: 00 Litrtihd as , raidentini gm 71411 MINER .. 73,00 y •,� qq•}� !., a r ty - • ¢ In . WM= .. a - . },.''y +''.i.: ;4; '. :,'µ.r .Yl'72.i. .'M•��• i�., �r'G �q�.iNa.- tlr!VfaG :i� •=' Ik'r0i10a gnaw rQtoQR1{aA emirs er Tram tn¢aatirioa. 200 styli or lees VIII 410,30 IIIIIIII© �1 y , 1 r 10 u e :u 4011u 0 J , r�,' :3.t,''l,t I ' yC'� '.l.gl :I0, 4tlik Ain.', 4A . . , 1 t(0•6° a A 1 a 1`1', i v •.!,':�'r:, y „d ,+ 240.00 — ;. •�;41.�. : �� L�d'• '' ao! smr ro 1,000 wipe l Tiatne: Legend Ao1a/e -. Over 1,000 p'n • or volts ddrea3:1370 SW t ' Avenue, Sulte`%100 r � sosp.rary service or • n o • o, o ego ' • c. City /State/VP: Portl9Ad, OR 97223 __ reloegtlon .....—,.—.---... 60.9 11111111•101 Fax: (5e3 )598•8900 200 am lro or 1_� _ 100.30 —. Owner ! )610->f080 tat own which 1 a not t •••to400 artp Owns► n WONT 1 atltlletion i1 being made on pr�rh' 2 to ORB 447.449, 670. sad 701. 401 amps to WO Ow ners' for tore, Msg. no, or achange. according Date: Brand streamm- now. staeratle or cetamien, sr .,r nal Q1Yt1er signature.: A. _v to branch ct .. Is • n ,1 _ > sautes or branch cl {aa. s doh 4.65 Badness name Legend 2llome.5 : , ' oe rot ircn :tr oirou�� Wang swim or teaser fro. Corder tam: Stria Luau each %Mott oir 8.65 2 Address: 12755 SW N� veooa.6ylto Bach WO atough circuit MI MisaoMmeops wise or a eaor Dot tadu sedgy ? City/State/7.1P: Portland, OS 97123 .. ” . Plena: (503) 6204000 ' Fax' 1(503) 598.8900 - Sian or outline 0 a 1 011111512111M •,arts eras ¢ or mites - 'ammo: sin . r m i. 4.1 ,' yam" ; '!.'.. ;' ' It, a" overtly P a l sl allcntioni w 1 Pap 1 2 1 1 "I'.. .I ' cateMioa. Dotarlbe Buainma name: Garner Rlttctrl; Saab sadltioos1111ti1sation *liar tllbwaele a• •' e[ tt►e strata Per inapoedan 62.0 Address 2P20 SW 247 MOM M A - lnva+tleation per hour 1 try min 65.70 City/Sato/Ell N111ebI, OR 97123 _ 11� Fax: ( .) 441 -7935 '' 1, 75:$: 1t� ` w "•r' 4.; iKEIMMOS Phones (503) 591-1310 _ Suhlo:al ...-=. . —� 1 cam,, , • Lic4 9701.9 COB Lim: 12110 Bloettical Lie .itre� plan ra w (2796 atomic foe) Sum. Fleotrielmaigttottlto , tequ{reds �/ g lee air (g%ofpsrrnit he) t " . C isir Print name: V or_ dm" gM TOTAL p OT #EC Z . 1- •� ta000 rap — awns i a • tissatOW • 4,, ; Authorised signaler= �.... luya um. n al ee hid beau aeamoe ornp • r Fr• nrC a.M!opy yeti* T rt•Covntr BuiMise mmlon Bs¢rd Print name! D�a• •• nolalwr etirap•edeno pa wndt [Mooed. dr0•ierr• an :COM a .. •• • •r ,w.�:,.M MII.IM ' Mechanical Permit Application FOR dI FFICE USE ONLY Received Clty,of Tigard Date/By: Pemtit No sf�207,4 -tla c a, 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �, ,� . , A DateBy: Other Permit: ■ rt_ Inspection Line: 503.639.4175 LJ,. Date Ready/By: Juris: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ® New construction ❑ Addition /alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® 1- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning or heat pump Job site address: 8053 SW Leiser Lane (requires site plan showing placement) 14.00 City/State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Leiser Park Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or . hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Leiser Park Lot no.: 008 Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ® PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00 Other: 10.00 Name: Legend Homes Environmental exhaust and ventilation Range hood /other kitchen Address: 12755 SW 69 Avenue equipment 10.00 City/State/ZIP: Portland, OR 97223 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (503)620 -8080 Fax: (503)598 -8900 toilet compartments, utility rooms) 6.80 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: _ 10.00 Business name: Legend Homes Fuel piping Contact name: Steve Lucas $5.40 for first four; $1.00 for each a dditional Address: 12755 SW 69 Avenue, Suite ##100 Furnace, etc. Gas heat pump City/ State/ZIP: Portland, OR 97223 Wall /suspended/unit heater Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater Fireplace E -mail: slucas ®legendhomes.com Range CONTRACTOR Barbecue Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES* City /State/ZIP: Oregon City, OR 97045 Subtotal Phone: (503) 557 -2220 — Fax: (503) 557 -0919 Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB tic.: 72623 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit Is not obtained within 180 g days after it has been accepted as complete. Print name: Steve Lucas Date: 10/1/04 • Fee methodology set by Tri- County Building Industry Service Board r :\ Building \Permits\MEC- PermitApp.doc 12/03 440 -4617T (11 /02/COM/WEB) Plumbing Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit No. / jl T 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ��` y - �a� Other Permit No.: Phone: 503.639.4171 Fax: 503.598.1960 je Date/By: 24- Hour Inspection Line: 503.639.4175 ■_ �' Date Ready/By: I ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Methad: Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist. Description 1 Qty. 1 Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 fl. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 12 Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 14597 SW Dekorte Terrace Catch basin or area drain 16.60 City/State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Leiser Park Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 . Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Leiser Park I Lot no.: 009 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ® PROPERTY OWNER I TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: Legend Homes Expansion tank 16.60 Address: 12755 SW 69 Avenue, Suite #100 Fixture/sewer cap 16.60 City / State/ZIP: Portland, OR 97223 Floor drain/floor sink/hub 16.60 Phone: (503)620 -8080 Fax: (503)598 -8900 Garbage disposal 16.60 ® APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Legend Homes Interceptor /grease trap 16.60 Contact name: Steve Lucas Medical gas (value: $ ) Page 2 Address: 12755 SW 69 Avenue, Suite #100 Primer 16.60 City /State/ZIP: Portland, OR 97223 Roof drain (commercial) 16.60 Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: slucas @legendhomes.com Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: Wolcott Plumbing Water heater 16.60 Address: P.O. Box 2007 Other: Subtotal City / State/ZIP: Gresham, OR 97030 Minimum permit fee: $72.50 Phone: (503) 667 -1781 Fax: (503) 667 -9891 Residential backflow minimum permit tee: $36.25 CCB Lic -23847 Pimamg no.: 26=208PB - Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature:,0 TOTAL PERMIT FEE Print name: Steve Lucas Date: 10/1/04 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. i:\ Building \Pemi1s\PLM- PemutApp.doe 12/03 440- 4616T(10 /02/COM/WEB) /14 577 z 3 L oD 4 AAAAA AA 4 t I 1 . . . _u. Irl:: 1 u9 1- 1 STREET TREE CERTIFICATION 1: I . co .. ., . co . .. • . _ a, 1 0- R. 2 1 _ - ■ I Sr: • • ent for 1 / 2-v.,00 /2-orio ,Ezopi?"),z) iziome. . If. ..., , '1 " t 4 ' 1 (?TEASE PREN7) (PERMIT HOLDER) C 1 r c° . 1 • _ lo• ill • . ■ . i ■ 1 ;'•-•-:;',17.. .-: . .. • 4 ' NW • . ". - .; i -: ;" .•-?. . Do hereb A r , ..' - 1 i ." : location * ■ • '--+ • ,delin 1 I - A mee , 40,7_,,,,,7 4 - : , :iv ,._ ounty . P• E A , 0. 0 • land use and development standards for street tree installation. PP ko 4. ■ 1 1 k 1 . 1 ADDRESS: g'Cl93 cSfrti (4/5e-K Akne_ 'IP- -I - 1 I It Pr . • • 11 LOT: SUBDIVISION: : 1 1' BY . 1 / A O a ,:hei .. tobi„,„4„., _, __ DATE: Hifi 4- 1r z _ , , i . , 4 / — — — --- g .13 1 RECEIVED BY: A T Ara: rn 1 1 11 "I i r YTYVVVVVVVVVVIFYVVV,V -1-- YVVIVVVVYVVVVIIVVVIIIMEWWwwwwwwwwwwwwwS' 1-. CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2004 -00289 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2004 Phone: (503) 639 -4171 A ° ' u �'�i1 'i i Inspection Requests (24 Hrs.): (503) 639 -4175 ._ _ 1 INSPECTION WORKSHEET FOR DATE: 519 TIME: 7 :10AM PAGE: 14 SITE ADDRESS: 08053 SW LEISER LN CLASS OF WORK: SUBDIVISION: LEISER PARK LOT #: 006 TYPE OF USE: PROJECT NAME: LEISER PARK DESCRIPTION: New SF OWNER: LEGEND HOMES, PHONE #: 503- 620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 5/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 006401 -02 503-209-3370 N Corrections /Comments / Instructions: � •u� • • og K • - L r ASS __ Ia PARTIAL_AP_P_ROVAL ❑_ CANCEL —__ _ ❑ NO ACCESS ❑ FAIL M CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / ' e Phone #: (503) 718- CITY OF TIGARD ., BUILDING DIVISION PERMIT #: MST2004 -00269 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2004 Phone: (503) 639 - 4171 °'��'41�III' Inspection Requests (24 Hrs.): (503) 639 -4175 61- ` __ I INSPECTION WORKSHEET FOR DATE: 5/212005 TIME: 7:10AM PAGE: 69 SITE ADDRESS: 08053 SW LEISER LN CLASS OF WORK: SUBDIVISION: LEISER PARK LOT #: 008 TYPE OF USE: PROJECT NAME: LEISER PARK DESCRIPTION: New SF OWNER: LEGEND HOMES. PHONE #: 503 -620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080 Inspection Request Scheduled For: Date: 512/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 005772 -01 503-209 -3370 N Corrections /Comments /Instructions: . • PASS_ ❑ PARTIALAPPROVAL ❑_CANCEL ❑ NO ACCESS ❑ FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 6,... ..7 �./ Inspector: _ ; , —a.-- 1►1 � Date: ne #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00289 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2004 Phone: (503) 639 -4171 , 4� � Kri Inspection Requests (24 Hrs.): (503) 639 -4175 `__ INSPECTION WORKSHEET FOR DATE: 6/5/2005 TIME: 7 :16AM PAGE: 92 SITE ADDRESS: 08053 SW LEISER LN CLASS OF WORK: SUBDIVISION: LEISER PARK LOT #: 008 TYPE OF USE: PROJECT NAME: LEISER PARK DESCRIPTION: New SF OWNER: LEGEND HOMES, PHONE #: 503 - 620-6080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 5/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 006128-04 503 -209 -3370 N Corrections /Comments /Instructions: _ __ PASS ❑_ PARTIAL_AP_P_ROVAL .. ❑CANCEL_ ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 3 .-- ,5 ---- o" Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2004 -00289 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/612004 Phone: (503) 639 -4171 ,,,�l�il lid, Inspection Requests (24 Hrs.): (503) 639 -4175 ` _. . INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:10AM PAGE: 16 SITE ADDRESS: 08063 SW LEISER LN CLASS OF WORK: SUBDIVISION: LEISER PARK LOT #: 008 TYPE OF USE: PROJECT NAME: LEISER PARI< DESCRIPTION: New SF OWNER: LEGEND HOMES, PHONE #: 503- 620-8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 6/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message r 299 Final inspection 006401 -01 603-209 -3370 N Corrections /Comments / Instructions: REPoK i • . o KSJ /SSOC(_ Cow P Z---c-1 6; )Hg.P 6.1,ss II -ARTIAL_APP_ROVAL ❑_CANCEL_ ❑ NO ACCESS ❑ FAIL NI • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Ins —� : 7 Inspector: Date: Phone #: (503) 718 - p %6 ()