Permit l' 6 MASTER PERMIT
CITY O F TIGARD
PERMIT #: MST2004 -00320
A:zoillj DEVELOPMENT �
SERVICES 9-4171 DATE ISSUED: 12/29/2004 OR 13125 SW
SITE ADDRESS: 08092 SW LEISER LN PARCEL: 2S112BC -13200
SUBDIVISION: LEISER PARK ZONING: R -4.5
BLOCK: LOT: 001 JURISDICTION: TIG
REMARKS: New SF
BUILDING
REISSUE: LP -001 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1.809 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,340 sf GARAGE: 422 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THEM sT RIGHT: 15
VALUE: 301,819.80
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,149 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 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: BOIL/CMP < 3HP: + VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 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: 6 201 - 400 amp: 201 • 400 amp: 1st IMO SVaFDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FOR: 601 • 1000 amp: 601 +amps- 1000y: 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 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: $ 8,405.03
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
12755 SW 69TH AVE # 100 12755 SW 69TH AVE #100 Tigard Municipal Code, State of OR. Specialty Codes
PORTLAND, OR 97223 TIGARD, OR 97223 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 the
work is suspended for more than 180 days.
Phone: 53 - 620 - 8080 Phone: 620 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg H: 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 Rain drain Insp Plumb Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Building Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Appr /Sdwlk Insp .
Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Fi ;
Issued By : / Permittee Signature : AIA. k.,
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
1 Building Permit Application . - • FOR OFFICE 'USE ONLY;
Cl of Tigard Recei C ` Permit No. /� ..
City ved g GE Date/B :/� __,i - e /
13125 SW Hall Blvd., Tigard, OR 7 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 - G ' � a , " , h lit Date/Sy: �/- / 7- 0 N MA a Other Permit: r � I A d(,� -465/5- Inspection Line: 503.639.4175 OCT A . P : Date Ready/By: Juris: ® See Attached Checklist for
Internet: www.ci.tigard.or.us (,, I 8 2004 Notified/Method: I� Supplemental Information
CITY OF TIGARD
gf,JrEmawkli , REQUIRED 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
Ell Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the .........-z.
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1- and 2- family dwelling El Commercial /industrial Valuation: $301,222.20
❑ Accessory building El Multi-family Number of bedrooms: 4 S
❑ Master builder ❑ Other: Number of bathrooms: 3 `.,
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 8092 SW Leiser Lane New dwelling area: 3149 square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: 422 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 s *
REQUIRED DATA: COMMERCIAL -USE CHECKLIS
Subdivision: Leiser Park Lot no.: 001 Permit fees* are based on the value of the work performed. k
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
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 I ❑ TENANT Number of stories: • •
.
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:
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 iie.: 060563
Date received: .
Authorized signature: ,., — This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Steve Lucas Date: 10/27/04 • Fee methodology set by Tri -County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
12/11/2002 04:23 6427925 PAGE 03
/ • OCT -27 -2004 WED 0804 AM Legend Haves ','' .. 7 • FAX N0, 5035988900 P, 02
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City of There ooar� ✓i .2 ∎ 1 Pe.,arya. _ ere - 1 ii
13125 SW Roll Ivd.,'ngerd, oR 97 :2] pmarPaeeilp
Peon 501639.4171 Pat $03.595.1 1 , : =/ '
l6rpootiatLlno: 6036394171 U� 200'-'-':' .�° I ' Mo /(1- sepkeeeWla0em►n ° e
Hinman wnrw of tlperd.or us
_r I r �. , .. � h i, 1 1 , r �' 1 1 :11 1.4„11 �'.,1(1 Yr: .1 Ty ". :I r, 1,11 11 f`;. It/.' J1.i11! ill VI( •
!t „I ; L,.'r _ J. . 1 ” . h1. , l' ,.,. . / i �� vI; 1 . 1 � - ;, 1 a d' LI t � 1 ,. J , .
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DOtn01iti0R ` � r me over 221 amps, eomm'I 9 a
D meldoue location
'` ❑fiervlce over 310 amp? - rating � t)vlldng over 10,000 eq. it.,
piljq, •d;''ir 'L l ll 'i 'l d ' { l;j ' • ∎ •; r ',' "I � i - L � ' •5 i i''.'• ; r i ``' 'a i l! 1 ' 1 117' lei of l• and 2- 61 1 1 11 Y 471441^91 4 Qf!WI a newre kiwttlal
1- and 3•rtinttty dwollfng 1:1 Co mr�e*dd/Induserial C] Accessory build OByatearr over 600 vale natant 1 unit.In ono structure
G]Sui1UMg over dyne mein Otteedar, 400 imps or here
■ Muiq- tLmt1Y 1t ` M4teer buQdOr ■ � ;� Doe 'tend over99persons Cl + a
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Job no.; - Job cite a4dreast 11092 SW Leiser Line ' SubmieI.aeb ofttl •wlrha►y ago O tw%.
Ciq /49tOloez P' Tigard, OR 97223 The above arc not applienble m temporwy servo se1ien ,ervIce.
r 77•" l 6 r r ` `d yIIIP 1 /lc' h+` I v1 - rlh!1
It494EI rrl•�ti� ''• ,..,) ±� t. , ,r , QA .
Suttehise./ept no.: Praise: norm:: Laker Park I It �` ''y 1 du 1 1 .
Cross eaoot/dhoetlene ewjob alto: . • - ' : ' . " Now r . ■ ends alosla or multi. , lily dwelling Inh.
Includes otmehed 0erem. _
' 1.000 a t. it or less J 146.15 idn'. -
Subdlyyelolt; I41e0r Park ,:.' '' Lot oar. BL sdd'I 300 IL or • • men 33,40 1;4.00 1
Yimitoo 1110t104 rssidmlilel 75.00 IIIN
Tax 1 no Limited energy, nonquldentiol 75,00
1 1 ' ', ' :1' ''' '—'': , 1 Ut 1 1 F 4 i, 7 ' ?L ' • ' 1 1 I'Lf •'1 "II . I'1 I , Ii 12 . U
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hu:. co ._ 1,..; :. • O
• ..----__-..--... — Serving orfeodenhaetalkdo' alteration, and/or rotocefhn
200 amour or loss 80.30 2
1 , 201 t6 400 106.81 2
u n I an 1Hr I r I i rV t� Il lt'C L� 6tie
nlLii,10�It'11111�1�'1 . f al 1_ )., n 1 . . . . . . .. .. . I`r t i I � 'I ( L ,••4 -ri �-.i•,.I.. -, •• • -•'- u t . 160.36 2
, . �, . , �,, f S 1 e!' I I„ t , , ,- 403 a 1n U : t0 600 '
Nano Legend HOMO 601 Imp" be 1,000 am • Nis 240.60 lag
Addreu ;1275$ SW 69 Avenue, Suite 9100 . Over 1 amps or volts 454.65 2
Resedelect only 5645 2 .
(bry/St:641P: Penland, OR 97223 'Lbmporary eervlea or' tendon Inee0n00.11, etteratioo, ender
on
Phone: (0113)62440U Pax! (003)598.5900 200 amps or leis " 66. I 1
OMaer taah>•$UOI:17n le don Is betas made on property thea I owls which is not 101 a ... le 400 amps 111111 100.50
'intended for isle, lease, teem, or exchange, eeeerding to ORS 447;449, 670, and 901. ". . o1 om' • 10 600 e , s MIMEO
Owner M Deter • I . Branch dreelta - new, alteration. or ealetal an, Per panel
II' , 1 ' 611 ' , 1: l a l n l t t l' 1 , s , 4 9 1 . r'S •t A. Pee bar ti iiiielvtinttirei ivifA ... , . .r T. .
' i : C U I torvlee or fowler too, eac
BUOMe56 name: Legend Hordes ` . pp� qq��nnit _ 6.65 , 2
y h drowns
• witharr service or feeder Ibe,
B. Fmt6rbraea 46 83 2
Address: 12755 9W 69' Aveetle„8uite 9100 .., " '" . ' ease b.•enrEh alrcuis
l oth newt oranch circuit 6.65 2
' Cltyf$IrtefZ1P: Pnrtfan4 OR 97223 - _ M sceisaaeaa (service or candor net Included)
• Pumg,irrittation ehv:ls 53.40 1
Phone: (NO) 130.8080 Pic: i. (a) 694.1900'' Sill or ot!1 lie li htl 33.40 2
S moil' Aum1f01esendbomee coMn ' 8tenol a4euit(e or frrded•
r , 1 t r I �I+ 1' !� 1 ( ^,'1 %"tb R YVada1, a bastion, or
a ,.. , .:,._t:.� ," .::, _ . '__ _.. ._rI t _ . :I MI wwwsion.Desufbr Pogo a
Sultan name: Girlie' Rte etr10 1
Address: 2920 SW 2417"` Avemae # A Each additional inspection over $I)OWtllde in any of the above
Per • Ise 6130
City /Stat&ZIP :'Ribbe r*, OR 97133 ' ' • mead on • -r hour 1 krmin 02,50 1111.11M
Industrial • lint 'whoar MI 7173 —NM
Phortsr (003) list 1310 !* !s
l ; ;ate! : . �i' °a ':5'j:- is :i ; i ° 7 : .' j ^7I 1I�� b ? rl4i ill?
CCS Lie, 121119 Eleotritsei Liar 3' Subtotal ` MOM
ff // 77,9 / Plan review r 3% of iMMlit fee
y G^ . Sou swamies rest of ' 'm too) IIIMEEM
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dept after It tee been emend u compel;
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Mechanical Permit Application FOR oFFIC :E'USE ONLY
City of Tigard DD ae t e e /By
EC / /,2 W PemntNo.:�S 0 — 0, . 6
13125 SW Hall Blvd., Tigard, OR 97223 °
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
�"� Date/By: Other Permit:
OCT 2 8 00 �
Inspection Line: 503.639.4175 n!I Date Ready/By: 10 See Page 2 for
Internet: www.ci.tigard.or.us � p Notified/Method: Supplemental Information
y
CITY OF tl IGARD
EllitittMeietWISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
® New construction ❑ Addition/alteration/replacement 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 En. [ Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 8092 SW Leiser Lane Air conditioning or heat pump
(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.: 001 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
Address: 12755 SW 69 Avenue Range hood /other kitchen
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
la 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 additional
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 lie.: 72623 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Steve Lucas Date: 10/27/04 • Fee methodology set by Tri - County Building Industry Service Board
i:\ Building \Pemits\MEC- PemtitApp.doc 12/03 440-46177 (I1 /02/COM/WEB)
Plumbing Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE ; Received
DatDate/By:), -jp D L [ Permit No. �y a� 3.2 6
: `,� e ��
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review OCT O T `l
Phone: 503.639.4171 Fax: 503.598.1960 CrT( p 20 t 1�. e!I �� 'I1 Date /By: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 _ Date Ready/By: tuns: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: 1 1 (r Supplemental Information
CITY OF TIGARD
T FEE* SCHEDULE .
Eit l/ DIVISION
Z New construction ❑ Demolition For special information use checklist.
Description - I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ 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: 8092 SW Leiser Lane 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 Lot no.: 001 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 1 6.60
Clothes washer • . 16.60
Dishwasher - • • • . • . 16.60
ISI PROPERTY OWNER ❑ 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
IS 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 Contractors Water heater 16.60
Address: 1075 W. Historic Columbia River Other:
•
City/State/ZI: Troutdale, OR 97060 -- ------ Subtotal _ - __
Minimum permit fee: $72.50
Phone: (503) 667 -1781 Fax: (503) 667 -9891 Residential backflow minimum permit fee: $36.25
CCB Lic.: 23847 Plumbing Lic. no.: 26 -208PB Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature: tu�l TOTAL PERMIT FEE
Print name: Steve Lucas I Date: 10/27/04 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 \Permits \PLM- PermitApp.doc 12/03 440 -4616T(10 /02/COM/WEB)
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONTRACTORS
1075 W HISTORIC COLUMBIA RIVER
TROUTDALE, OR 97060
Plumbing Signature Form
Permit #: MST2004 -00320
Date Issued: 12/29/2004
•
Parcel: 2S112BC -13200
Site Address: 08092 SW LEISER LN
Subdivision: LEISER PARK
Block: Lot: 001
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF
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
return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building
Division.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
LEGEND HOMES WOLCOTT PLUMBING CONTRACTORS
12755 SW 69TH AVE # 100 1075 W HISTORIC COLUMBIA RIVER
PORTLAND, OR 97223 TROUTDALE, OR 97060
Phone #: 53- 620 -8080 Phone #: 503 - 667 -1781
Reg #: LIC 23847
PLM 26 -208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
i- � r
Signatur '.���: ut •rued Plumber
If you have any questions, please call 503.718.2433.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00320
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/29/2004
Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 __
INSPECTION WORKSHEET FOR DATE: 5/25/2005 TIME: 7 :12AM PAGE: 16
SITE ADDRESS: 08092 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 001 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF 5/24/05: Added A/C.
OWNER: LEGEND HOMES, PHONE #: 53. 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 007717 -01 503-209-3370 N
Corrections /Comments / Instructions:
PASS PARTIAL_AP_P_ROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /1 Date: 5" 5 Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00320
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2004
Phone: (503) 639 -4171 ,, ,,�1 l��E�� �
Inspection Requests (24 Hrs.): (503) 639 -4175 - :_..
INSPECTION WORKSHEET FOR DATE: 5/25/2005 TIME: 7 :12AM PAGE: 15
SITE ADDRESS: 08092 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 001 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF 5/24/05: Added NC.
OWNER: LEGEND HOMES, PHONE #: 53. 620.8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007717 -02 503 - 209 -3370 N
Corrections /Comments /Instructions:
2:A - S -- S -
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ,5` - 49.5 Phone #: (503) 718-
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST2004 -00320
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2004
Phone: (503) 639 -4171 u
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/24/2005 TIME: 7 :09AM PAGE: 6 �,
SITE ADDRESS: 46092 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 001 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES. PHONE #: 53.620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/24/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 007614 -03 503209 -3370 N
-ctions /Comments /Ins tions:
CIZo.Sro
ZN S v 1.-1 1
f» 41* u Tr To it
MAY Ai a n - F 1ZAI n/66i
Ctke-0
❑ PASS % 'ARTIAL APPROVAL _ ❑ CANCEL _ ❑ NO ACCESS
FAIL IA • L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ Date: Phone #: (503) 718 -
CITY OF TIGARD - l
BUILDING DIVISION PERMIT #: MST2004 -00320
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2004
Phone: (503) 639 - 4171 "Ae1��i1\
Inspection Requests (24 Hrs.): (503) 639 -4175 _��J
INSPECTION WORKSHEET FOR DATE: 5/24/2005 TIME: 7:Q9AM PAGE: 7
SITE ADDRESS: 08092 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 001 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES. PHONE #: 53-620-8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/24/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007614 -04 503-209 -3370 N
Corrections /Comments /Instructions:
5 (-
ifticra-f i
❑ PASS a 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS --
[ A IL A .: LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Z ' 0 Shone #: (503) 718-
\
CITY OF TIGARD =
BUILDING DIVISION PERMIT #: MST2004 -00320
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2004
Phone: (503) 639 -4171 A,,,,,miplibailit j
Inspection Requests (24 Hrs.): (503) 639 -4175 44 AL
INSPECTION WORKSHEET FOR DATE: 6/23/2005 TIME: 7 PAGE: 9
SITE ADDRESS: 06092 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 001 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES, PHONE #: 53-620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080
Inspection Request Scheduled For: Date: 6/23 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 007506-15 503-209-3370 N
Corrections /Commen Instructions:
6 0
V L#1 Z3
GGeSS vn/ 4-i r, M.
,111 PASS ri PA"TIAL APPROVAL ❑ CANCEL NO ACCESS
'FAIL '0 ' AL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: L5 �� Phone #: (503) 718-
,
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2004 -00320
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12129/2004
Phone: (503) 639 -4171 - �.���rgp ; ii
Inspection Requests (24 Hrs.): (503) 639 -4175 `: _..
INSPECTION WORKSHEET FOR DATE: 5/23/2005 TIME: 7 :08AM PAGE: 8
SITE ADDRESS: 08092 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 001 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES. PHONE #: 53-620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007506-16 503 - 209-3370 N
Corrections /Comments/ Instructions:
/ V
V / I 14,
II� , V�
f „,,,f0
❑ PASS a PAR IAL APPROVAL . ❑ CANCEL O ACCESS
ht i
FAIL 14 C L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _
A ` I I - Date :∎L —✓ ° hone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004-00320
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2004
Phone: (503) 639 -4171 A ��i,
Inspection Requests (24 Hrs.): (503) 639 -4175 , —.
INSPECTION WORKSHEET FOR DATE: 5/20/2005 TIME: 7 :11AM PAGE: 64
•
SITE ADDRESS: 08092 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 001 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES, PHONE #: 53-620-8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 007383 -09 503.209 -3370 N
Corrections/Comments/Instructions:
7YZ ;(.
_ .
r - AF - __...L....z.iviAiw . x„ .,r/ ....- ' 41. ...... '...."
i
//g
PA SS ❑ PARTIAL APPROVAL ❑ CANCEL__ _ ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date Phone #: (503) 718-
,
CITY OF TIGARD - .
BUILDING DIVISION PERMIT #: MST2004 00320
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/29/2004
Phone: (503) 639 -4171 ,, v��hp�41�I
Inspection Requests (24 Hrs.): (503) 639 -4175 ��� __.. /g37
INSPECTION WORKSHEET FOR DATE: 5/16/2005 TIME: 7 :09AM PAGE: 4
SITE ADDRESS: 08092 SW LEISER LW CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 001 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES, PHONE #: 53-620-8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620
Inspection Request Scheduled For: Date: 6/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6. 399 Plumbing final 006962 -06 503-209.3370 N
Corrections /Comments / Instructions:
4 t-lit JUL A 2e4,.v*
poM Zo•s op t 41-- C ' - - ck,
N fLi2el 4 -a \ • •
(AMet)D—U° ) t• A
❑ PASS ❑ PARTIAL APPROVAL . ❑ CANCEL ❑ NO ACCESS
1 12 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 41' ` Date: 5 I Le / V #: (503) 718-
CITY OF TIGARD 24 -Hour •
BUILDING • Inspection Line: (503) 639 -4175 `�,,), A),04/.:- 663 2-0 INSPECTION DIVISION Business Line: (503) 639 - 4171 �u
413 BUP
Rec- wed a Date Requested ? AM PM BUP
Location '9 2 - Suite MEC
Contact Person Ph ( ) LM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -- - ` 4110 s
Firewall
Fire Sprinkler
Fire Alarm //�
Susp'd Ceiling ��- ` -
Roof
Other: _
Final 14L
PASS PART FAIL - "
ING /
Post & Beam r
Under Slab - _
' Wat�erService
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Fi
PA 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 1=1 Please call for reinspection RE: El Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
•
CITY OF TIGARD 24 -Hour 1 /
BUILDING " Inspection Line: (503) 639 -4175 MST ti -- 6 7-09 =X 2
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received /q C Date Requested / / ( AM PM BUP
UCJ '
Location a V� l y L-14 Suite MEC
Contact Person T,i✓ Ph (a ) c — 9 3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
UMS
P Beam)
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
PART FAIL
HANICAL
Post& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab •
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA )
A
7?-1
pproach/Sidewalk Date / Inspector Ext
Other:
Final DO N T REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST ,pp Y �� 3 � d
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested / // AM PM v BUP
Location gv Suite MEC
Contact Person Ph ( ) 9 Q -'/ ' 3/ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access: O
Ftg Drain ELR
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fin-
e PART FAIL
- MBING
Post & Beam
Under Slab
Roug
Catch Basin / Manhole
orm
Shower Pan
Other:
• -
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: L Unable to inspect — no access
Fire Supply Line — — - — " — —
ADA —y
Approach/Sidewalk Date I /l Inspector / Ext ) ( Other:
Final DO NOT REMOVE this Inspection re d from the Job site.
PASS PART FAIL
r
CITY OF TIGARD 5
BUILDING DIVISION , PERMIT #:aad 4" D v3 z o
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I..
INSPECTION WORKSHEET FOR DATE: Z - 5 TIME: PAGE:
J
SITE ADDRESS: go 7 2- CLASS OF WORK: i
SUBDIVISION: LOT #: TYPE OF USE:
k.../
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #: c 9,._ 4 6 9 - 3 7
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
i
Corrections /Comments/ Instructions:
'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
0
Inspector: 3 / Date: Phone #: (503) 718 -
CITY OF TIGARD - 171 ST
BUILDING DIVISION PERMIT #: ; 00L1 _ 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 P III
Inspection Requests (24 Hrs.): (503) 639 -4175 J "_ ..
INSPECTION WORKSHEET FOR DATE: 3 - 1 TIME: PAGE:
SITE ADDRESS: g b 9 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #: TT
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Z IV , S 1 , p1,6 , g i iniot.,
/
Corrections /Comments/ Instructions:
r e7 "cZL • ' it , 5 = 1 4 - i; _ /L/ - A t. .
F" L A.e-.1 c.,,v p (77-7-krG7--'; ' 11 ..-rt _ 1c�l /& C/44
�.1/,1L n /2, /CUh ,477a,ti,
I
1
1.G-c/ I i/• ir' s/1 n-
PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
AA Inspector: Date: / - 7— 0c Phone #: (503) 718-
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
MST �O O
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received � Date Re nested 3 — a AM PM BUP
p
Location n O 9 Suite MEC
Contact Person Ph ( )e? 9 -33 76 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Sh ar
Sheath/Sl 5. l
rmin c� C1iv .�.e.. 1Div ��l��Li¢l/u •�IJ p a 4T @ dp (zA-Sc.
Insulation
Drywall Nailing / /ti 5-7-7/4-(— e„.. • S
Firewall
Fire Sprinkler �^
Fire Alarm
Susp'd Ceiling w* ' ' • • A.. — " -r"
Roof Other: �- C.Qi2' /4S'UL►A -770 / �r. � — �!"�a�--
Final i� • L. A . �...c Lc 2!!. A S- �Jc/c'TSC_ U / G 1// -
PASS PART AI //
PLUMBING A/Ll1C 71,4TS A bGc%s c' /1,44..t,r, /6 d (0 ., � 'C.
Post & Beam
Under Slab � a
Water In r y�,7�
Water Service �o�n�v ��s
Sanitary Sewer CiPP�
Rain Drains
Catch Basin / Manhole 's S fi0-1G - A /0
Storm Drain
Shower Pan ��� ;
Other:
Final , /5
• PASS PART FAIL
MECHANICAL z A.a s —
Post & Beam
Smoke D. mpers
Fi
A SS PART
RICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: _ ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date _ 2 --- -1 =" Inspector 7M Est
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST - 4°1* '-)c-) - 003
INSPECTION DIVISION Business Line: (503) 639 -4171 '
BUP
Received Date quested 2 — I ( AM PM BUP
Location Imo -Q') Suite MEC
Contact Person ' � h ( b20 9 _3 3 7a PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
ear Anchors
ext Sheath/S
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fin
ART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: D Unable to inspect – no access
Fire Supply Line — — —
ADA Z 03— Approach/Sidewalk Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD .. -- 24 -Hour .
BUILDING Inspection Line: (503) 639 -4175 MST ,DD (
jZ1S
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Re nested ? � AM PM BUP
Location a 9 Suite MEC
Contact Person Ph ( ) D 9 337 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
S ear Anchors
Sheath/
nt Sheath/Shear ,��
Framing r✓ Av S -Lz_ _5r PS / - -...'7-- - AlG/>utC
Insulation
Drywall Nailing -� g /L -
„--ii,,,,,,,, . _ _ � - ,' -- � .2vG�
Firewall �� �A/L —lam (� —_
Fire Sprinkler C G '��'�" �
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART C FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
ADA Approach/Sidewalk Date
2- — /e — �� Inspector Est
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour .
BUILDING Inspection Line: (503) 639 -4175 0 'J 7 kf Q 3Z_6
I PECTION (VISION Business Line: (503) 639 -4171
l BUP
Received �� I Date Requested `/ ` AM PM BUP
Location 0 � 2-- s_A— Suite MEC
Contact Person Ph ( ) 225/ '310 PLM
Contractor Ph ( ) SWR
16aING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain - ELR
Crawl Drain
Inspection Notes: SIT
i•ost & Bea
• • chors
Ext Sheath/Shear
Int Sheath/Shear if.° :� 4, a
Framing /V� ifu/JL �- i.1:. �'� u _ :..:
Insulation
Drywall Nailing 40 .7 r -,42- l�� Z
Firewall (_
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ■
Roof
Other:
Final
PASS PART F ,IL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
P • . PART FAIL
AL
'o • :ea
Gas Line
Smoke Dampers
Final
PASS P T r , FAIL
ELECTRIC
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: E Unable to inspect - no access
Fire Supply Line -
Approach/Sidewalk Date / 4--/ e r 3.----- Inspector o Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD . 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST226 •
¥--oo3 _ 6
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Re uested f — 1 U AM PM BUP
Location 9 a Suite p MEC
Contact Person ?ein cr Ph ( ) 7 O 0 — / oZ 7 / PLM
Contractor l(// Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing_
�oundatio ELC
Ftg D rain Access: ELR
Crawl Drain
Slab Inspection Notes: ; 3 6 f SIT
Post &Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing / . L. , o/L _.• 2
Insulation ' ALS 1 ���
Drywall Nailing h'f�
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
r _ • PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA Date I / D S
Approach/Sidewalk Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING • Inspection Line: (503) 639 -4175 MST aDa —D v 3D- d
INSPECTION DIVISION Business Line: (503).639 -4171
BUP
Received Date Re nested 4 AM PM BUP
Location gO / C Suite MEC
Contact Person Ph ( ) 8'0 / D--1( PLM
Contractor Ph ( ) SWR
B . • ING Tenant/Owner ELC
ooti
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Note • / / SIT
Post & Beam (l
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing .1±/ 5=%'
Insulation 411,
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fin.
PART FAIL
BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: D Unable to inspect — no access
Fire Supply Line — -- - -
ADA ���
Approach/Sidewalk Date Inspector
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD ' .
BUILDING DIVISION PERMIT #: MST2004 -00320 >(I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2004 pe
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ` -_..
INSPECTION WORKSHEET FOR DATE: 5/20/2005 TIME: 7:11AM PAGE: 63
SITE ADDRESS: 08092 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 001 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES, PHONE #: 53- 620.8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -6080
Inspection Request Scheduled For: Date: 5/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 007383 -10 503 - 209 -3370 N
Corrections/Comments/Instructions:
PASS ❑ P' ' TIAL APP' • ' L _ ❑ , CANCEL. ❑ NO ACCESS
❑ FAIL r ' ALL FF > - 'CTION ❑ ADDITIO r , L FE ASSESSED
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Inspector: //; Date Phone #: (503) 718
CITY OF TIGARD - .
BUILDING DIVISION PERMIT #: MST2004 -00320
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2004
di
Phone: (503) 639 - 4171 �u 0°g1��i!� " I � I r �
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 5/17/200 TIME: 7:11AM PAGE: 1
SITE ADDRESS: 08092 SW LEISER LW CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 001 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES, PHONE #: 53-620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 007057 -07 503-209-3370 N
Corrections /Comments /Instructions:
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A ® — cr cc efx
❑ PASS ❑ PARTIAL APPROVAL__ ❑ _CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /A ZILh S Date: S / 7 -0 r Phone #: (503) 718-
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: MST2004 -00320
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2004
Phone: (503) 639 -4171 �u, e i0;�gl� ' III
Inspection Requests (24 Hrs.): (503) 639 -4175 �. ` __..
INSPECTION WORKSHEET FOR DATE: 6/16/2005 TIME: 7 :09AM PAGE: 3
SITE ADDRESS: 08092 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 001 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF
OWNER: LEGEND HOMES, PHONE #: 53- 620.8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620.8080
Inspection Request Scheduled For: Date: 5/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 006962 -07 503 - 209.3370 N
Corrections /Comments /Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
!FAIL K CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: at Phone #: (503) 718 -
CITY OF TIGARD 24 -Hour
BUILDING " Inspection Line: (503) 639 -4175 MST 0?QO �� vo3a
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 3 -/ AM PM BUP
Location Suite MEC
Contact Person L Ph ( ) �d � � PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm °'
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
• Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain •
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
•:rzm=
UG/Slab nn _
• w Volta.. /7 � ' C—
Fire arm
"TEDPo PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
SITE El Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line •
Approach/Sidewalk Da ` ✓ Inspecto -�� / � ' Ext
ADA
Other:
Final DO NOT REMOVE this inspection reco d from t e job site.
PASS PART FAIL