Permit 1
di 6
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00315
A -Yl, DEVELOPMENT SERVICES DATE ISSUED: 12/2/2004
'' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08089 SW LEISER LN PARCEL: 2S112BC -13600
SUBDIVISION: LEISER PARK ZONING: R - 4.5
BLOCK: LOT: 005 JURISDICTION: TIG
REMARKS: New SF detached
BUILDING
REISSUE: LP -005 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,083 sf BASEMENT: sf LEFT: 15 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,133 sf GARAGE: 650 sf FRONT: 20 PARKING SPACES : 2
' TYPE OF CONST: 5N . DWELLING UNITS: 1 THRD: st RIGHT: 5
VALUE: 220
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,216 sf REAR:. 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 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: BOIUCMP < 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: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st VV/OSVOFDR: 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 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: INTERCOWPAGING: 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 II SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,751.28
This permit is subject to the regulations contained in the
LEGEND HOMES LEGEND HOMES CORP
Tigard Munidpal Code, State Aof ll l OR. work wil Specialty o ne i Codes
12755 SW 69TH AVE SUITE 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 Gyp Board Insp Appr /Sdwlk Insp
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final -
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line I • Plumb Final
Post/Beam Structural Mechanical Insp Shear Wall Insp - Insulation Insp Wat- Service \ • Building Final
Issued By . ■ _ _! , // _ � i - - - -- Permittee Signature • Lk A i .
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
.
Building Permit Application, EDEN r D FOR OFFICE USE ONLY
City of Tigard Received
13125 SW Hall Blvd., Tigard, OR 97223 :. ''' Ai i Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 `,,. u C f , Date/By: Mk) N - -O y Other Permit: k GOB
Inspection Line: 503.639.4175 i LIB+ I„� Date.ReadyBy: _ 1 • - ® See Attached Checklist for
Internet: www.ci.tigard.or.us �� e'o ' Notified/Method:MJ 7—Qy AV i /6, Supplemental Information
ViiU'O ‘7 3 i (A-c-, Vs)-42.Q-dz.,
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
- Z 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.
® 1- and 2- family dwelling El Commercial /industrial
Valuation: $220,553.40
I=1 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: 8089 SW Leiser Lane New dwelling area: 2216 square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: 650 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 Lot no.: 005 Permit fees* are based on the value of the work performed.
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 ❑ 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 lie.: 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: 10/19/04 • Fee methodology set by Tri -County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(II /02/COM/WEB)
in rmi A lica i 0 �� v ED
Plumb g Pe t pp FOR OFFICE USE ONLY
^�
City of Tigard ' ,.:A•
Permit No.. 371a0 ` J �Wt1�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Re :
C ITY 0 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 F T Date/By: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 e° Date Ready /By: Jura: ® See Page 2 for
Internet: www.ci.tigard.or.us ��� �' ®9� s��•
g Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE .
® 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)
CATEGO OE CONSTRUCTION
i �- may..- -- -•. - -- - -° 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: 8089 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.: 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.: 005 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
Drinking fountain .. 16.60 . .
I
® PROPERTY OWNER • ❑ TENANT -
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 I 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/ZIP: Troutdale, OR 97060 - Subtotal
Minimum permit fee: $72.50
Phone: (503) 667 -1781 Fax: (503) 667 -9891 Residential backflow minimum permit fee: $36.25
CCR Vic.: 23847 ! Plumbing Lic. no.: 2�208PB - - Plan review -(25% of permit fee)
I State surcharge (8% of permit fee)
Authorized signature: C - 1/\„\ TOTAL PERMIT FEE
Print name: Steve Lucas Date: 10/19/04 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- PemmitApp.doc 12/03 440-4616T(I0 /02/COM/WEB)
Mechanical Permit A 1 Ili . Cop FOR OFFICE USE ONLY
Cit of Tigard ar �` . Da1e /Bed . . - _ % . _
Permit No.:
13125 SW Hall Blvd., Tigard, y i�
8 p P l an R eview
Phone: 503.639.4171 Fax: 5 3.598.1960_ b 1 /p I Da teBy: Other Permit:
Inspection Line: 503.639.4175 V1 ® el I Date Ready/By: Juris: ® See Page 2 for
Internet: www.ci.tigard.or.us `/ O r q k� ^ � � ®pa Notified/Method: Supplemental Information
• - C.A ` 4 ' `- 1∎111 - i` �
� t�
1 , , 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: 8089 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.: 005 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
Chimney/liner /flue /vent 10.00
® PROPERTY OWNER I 0 TENANT 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
0 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 pump
City/State/ZIP: Portland, OR 97223. _ . ... _ _ . , . ._ _ _ . . . . _ - .. -_ _ Wail /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
Minimum permit fee ($72.50)
Phone: (503) 557 -2220 - - - - -- - Fax: - (503)- 557 - 091 -9 - — Plan review (25% of permit fee)
CCB lie.: 72623 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized si nature: 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: 10/19/04 • Fee methodology set by Tri - County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440-4617T (I I /02/COM/WEB)
12/03/2002 05:30 6427925 PAGE 03
P. 02/03
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BUILDING DIVISION PERMIT #: MST2004 -00315
i l 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/2/2004
Phone: (503) 639 -4171
A %- ifi,, =l
Ins Requests (24 Hrs.): (503) 639 -4175 U- ` I I!
� INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 7:12AM PAGE: 2
SITE ADDRESS: 08089 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF detached
OWNER: LEGEND HOMES, PHONE #: 503 - 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 - 8080
Inspection Request Scheduled For: Date: 4/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 005190 -01 503 - 209-3370 N
Corrections/Comments/Instructions:
®P MO v tZi 1447 wpa 'To W' . R3 414 2€00wN
V4tt ∎Toa. into L3EN 511 es ANO G- 1 BgiA
`'i' 610.'126 1 o V 1''t on o0 C-4°iM Slip' •
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Q‘s 4104 as .
❑_PASS_ ❑_PARTIAL_AP_P_ROVAL 0- CANCEL -El-NO-ACCESS
X FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CI A C A () B r Date: 41.2 t6 Phone #: (503) 718-
I I CITY OF TIGARD '
BUILDING DIVISION PERMIT #: MST2004 -00315
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2/2004
Phone: (503) 639 - 4171 0
Inspection Requests (24 Hrs.): (503) 639 -4175 . -_' `_
INSPECTION WORKSHEET FOR DATE: 4/21/2005 TIME: 7:0BAM PAGE: 66
SITE ADDRESS: 08089 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: LEISER PARK
• DESCRIPTION: New SF detached
OWNER: LEGEND HOMES, PHONE #: 503-620-8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080
Inspection Request Scheduled For: Date: 4/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 005028 -07 503-209-3370 N
Corrections/Comments/Instructions:
C o$..l, L -te :l / ' ►1 "1--) Oo I L Cl., e c,V VG. Lam. L 4.....L, 3-►-. -S -A v Su r 4e 1,_
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_ ❑-PASS _ _ ❑_PART_IAL-APP-ROVAL El- CANCEL — -- El-NO-ACCESS
vg1 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: d k ,-/ : 141- s ---4— Date: 4` 2//-4 Phone #: (503) 718-
CITY OF TIGARD 24 -Hour
BUILDING. Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST d — =31 -5
BUP
Received Date Requested / — AM PM BUP
Location �� �� Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) (D 7 ' / 7 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
PLUMBING
Post & Beam
Under Slab
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 0 Please call for reinspection RE: 0 Unable to inspect — no access
— Fire Supply Line
ADA
Approach/Sidewalk Date I P / Inspector Ext
Other:
Final DO NO REMOVE this Inspection record from the job site.
PASS PART FAIL
•
CITY OF TIGARD 24 -Hour
BUILDING' Inspection Line: (503) 639 -4175 MST a:2D ? 4 1y06.
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested /c a ' AM PM BUP
p p
Location Dz) Q Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) P 7- / 78'( 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
Firewall
Fire Sprinkler •
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
st & Bea
Un er ab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
F' -
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 LI Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE LI Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line — -- —
ADA
Approach/Sidewalk Date l fi'D Inspect° 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
DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Q O Date Requested /‘? —ZO AM PM UP
Location n O 9 Q.� ��l Suite MEC
Contact Person Ph ( ) Wog C4 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation �
ELC
Ftg Drain Access: b ELR
wl Drai •
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
O r:
Fin
S PART FAIL
P MBING
ost & Beam
Under Slab
Rough -In
Catch Basin / Manhole
s
Shower Pan
Other:
Fi ..
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 LI Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA Date l �1 % 0 jI /
Approach/Sidewalk J Inspector Ext
Other:
Final DO NOT REMOVE this Inspectlo record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING' Inspection Line: (503) 639 -4175 ;.00 r/; 003 AS'
INSPECTION DIVISION Business Line: (503) 639 - 4171 7'
BUP
Received;] /E( 3 Z Date Requested 1a S AM PM BUP
Location ! Fe) G i2.415 1S �Suite MEC
Contact Person 7 / Ph ( )2 5 - 3S10 PLM
Contractor Ph ( ) SWR
1 G Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR %
Crawl Drain
(//
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
I heath/Sh
su atioifb
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
• PART FAIL
• - I 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 =earn
- ough -I
me
Smoke Dampers
Fi
ASS 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: E Unable to inspect — no access
Fire Supply Line /� 1 AO
Date v \ � lspecter ( 'h Ext
ADA Other:
Final DO NOT REMOVE this Inspection r : cord from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING • Inspection Line: (503) 636 -4175 MST a?O
-' 3
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Q X p 9 Date Requested 2 /r' AM PM BUP
Location (� 0 1 r Suite MEC
Contact Person Ph ( ) 020 337 D 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/Shear
n a Sheath/ ar
Insulation
Drywall Nailin SwW / 17,2,e-r5-
Fire Sprinkler ' - Act "7 " 4/SS / w'
Fire Alarm
Susp'd Ceiling SiPLCcr> � � S Ti LA/: 6
Roof -' ill / 62S S` "&
Other:
Final S S `i?. TES: = 2S'
PASS " R
PLUMBING / s 7s C 5-2 8 33
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
Smoke ' ampers
F. PART FAIL
EL - 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
Fie Supply Line — -- - -- A. - --
ADA Z , D
Approach/Sidewalk Date S 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 MST 02(9°4 o D-3/3
INSPECTION DIVISION Business Line: ( 3) 639 -4171
BUP
Received G Date Re uested I AM PM BUP
Location �G / Suite MEC
Contact Person — 7 - Ph ) olc 9 - 3 3 - 7 d PLM
Contractor P ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
She #r Anchors
heath/ 1 e
Int Sheath/Shear O 2q
Framing
Insulation co i P � _ �
Drywall Nailing
Firewall
•
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Oth •,
ART FAIL
LUMBING
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 ne pection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL 41
SITE 0 Please call for reinspection RE: I • Unable to inspect — no access
Fire Supply Line
Approach/Sidewalk Date Inspecto
Other:
Final DO NOT REMOVE this inspection record from ob site.
PASS PART FAIL
CITY OF TIGARD _ 24 -Hour
BUILDING • Inspection Line: (51 ") 639 -4175 1
MST .2_c_5) 031s
INSPECTION DIVISION " Business Line: (- i` ) 639 -4171
BUP
Received Date Requested /— a 7 AM PM BUP
Location I ` ' Suite MEC
Contact Person Ph ) c2 0 g - 3 3 7e) PLM
Contractor P ) SWR
BUILDING Tenant/Owner ` _ ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
II xt Sheath/S Cc. t ,
Sheath/Sh = - r
Framing ' V l hg I (.� G J lad/94 —C,
Insulation PC-- ? 4 ° > PL_4 -Ai' S
Drywall Nailing
Firewall
Fire Sprinkler A),.i Sr A-P /�61 is) P(Zov /De S1+"'1 A-- (
Fire Alarm 4__p_g,,,---±_ ) �� t/ ' ( i_ �� Susp'd Ceiling T `
Roof S 1b l.,/h S
Other:
Final
PASS A FAIL
PLUMB! G
Post & Beam
•
Under Slab
Rough -In 0 K. Y'o v- ���
Water Service Cill111111111111.44441
L��
Sanitary Sewer
/
Rain Drains
Catch Basin / Manhole
Storm Drain •
Shower Pan r 1..1 D uT S it-71-7( D 'Al e_
Other:
Final 774-j--5 rp--1 c. ,
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line , , ' IN I rl 7
Smoke Dampers
Final
PASS PART FAIL EX 40..... ELECTRICAL / , II �,
Service _ Fcriz__ e oe. sticedz_witiwitL_5
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 0 Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line / ` �/ _ "
ADA /�` Approach/Sidewalk Date - Inspector Eat
Other:
Final DO NOT REMOVE this inspection reco , , m the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour .
BUILDING Inspection Line: (503) 6 = 175 MST a° c – 3/. S _
INSPECTION DIVISION Business Line: (503) 39 -4171
�j BUP
Received � \ Date Requested /a —�� / PM BUP
•
Location i1i�s - _ '1 Suite MEC
Contact Person ���� � Ph ( — 3- 3 Z PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
S ear Anchors
Ext Sheath/Shear
Int Sheath/Shear PLO M /AJ Rau 1 r-o s Pos # E - 1
Framing
Insulation PL N j U ®l& AeT 45 — 7WZs " 7 C' -
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 0 6 l C' 1 «Std
Other:
Final
PASS AIL
PLUMBI ' o
Post & Beam.- -
Under Slab Ler v - U 1 V) . rte
. Rough -In —
Water Service f ✓ Dc=' k_ 1 1_ o A-peg Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
JFrNANLcAL
ost & Beam
Roug - n
Gas Line
Smoke Dam.
Final
- PASS AIL
ELECT
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 EJ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA O Cam/
Approach/Sidewalk Date 2 pector 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 a0O 00.3/5
INSPECTION DIVISION Business Line: (503) 639 -4171
/ BUP
Received _ Date Requested / — / 7 AM PM BUP
Location �w i i • • � Suite MEC
-
Contact Person Ph ( CD 1 - 337 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
• • n • a io ► Access:
• am ELR 4. ) Crawl Drain
Slab Inspection No s: g 3v SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing / i niS A 1, L, A-I c � /la D T � SPAc' S /4-5 5 dIc.0 r✓
Insulation
Drywall Nailing / - J S d L,471_5, ci/L S /4 -
Firewall -
Fire Sprinkler '— �>c a � 1/7 L C/i v� -rte �- �r ow
Fire Alarm Lc... i2__. - Tv ' ►/L- --r -o h o c v `-•rZ z v' ,
Susp'd Ceiling
Roof
Other:
Final
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 E. Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE fl Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA s L_ / - 7 d
Approach/Sidewalk Date I — ¢ 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 . - —
INSPECTION DIVISION Business Line: (503) 639 -4171
/ _ BUP
/ Received Date Requested VS AM PM BUP
Location gof d. Suite MEC
Contact Person Ph ( ) X09 —3 3 7a PLM
Contractor Ph ( ) SWR
BUU QING Tenant/Owner ELC
2 Footing ELC
`Fo undation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: / / SIT
Post & Beam $ /1 i
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear /
Framing r / /.2G /z- f )
Insulation
Drywall Nailing - C-rLS)
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiline
Roof
Other:
Fin -
AS PART FAIL
• MBING _
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 D Please call for reinspection RE:_ ❑ Unable to inspect — no access
Fire Supply Line
ADA / t
Date �— / 5 —�—
Approach/Sidewalk Inspector . Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARL-•
1
BUILDING DIVISION PERMIT #: MST2004 -00315
13125 SW Hall Blvd., Tigard, OR97223 DATE ISSUED: 12/2/2004
Phone: (503) 639 -4171 All' 4Pallhh
Inspection Requests (24 Hrs.): (503) 639 -4175 —NI— ` -1.
INSPECTION WORKSHEET FOR DATE: 4/25/2005 TIME: 7:10AM PAGE: 8
SITE ADDRESS: 08089 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF detached
OWNER: LEGEND HOMES. PHONE #: 503-620-8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 ,
Inspection Request Scheduled For: Date: 4/25/2005 Pour Time:
I
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 005285-01 503-209-3370 N
Corrections /Comments /Instructions:
•
_PASS -- —❑- PARTIAL APPROVAL I- CANCEL - ---- - - -- -❑-NO- ACCESS - - - - --
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: //I Date: k) CJ AS Phone #: (503) 718 - Ai
CITY OF TIGARD .
BUILDING PERMIT #:
G DIVISION MST2004 -00315
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2/2004
Phone: (503) 639 -4171 U� d'�
Inspection Requests (24 Hrs.): (503) 639 -4175 _.. ` _ _ ..
INSPECTION WORKSHEET FOR DATE: , 4/25/2005 TIME: 7:10AM PAGE: 7
SITE ADDRESS: 08089 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF detached
OWNER: LEGEND HOMES, PHONE #: 603-620-8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620.8080
Inspection Request Scheduled For: Date: 4/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final ‘\ 005286-02 603- 209-3370 N
Corrections/Comments/Instructions:
,� �6`- r` z _ lkli���7 ' 1\ 111 �M kYJ '� , tih ■
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PASS ❑_ PARTIAL -APPROVAL ❑- CANCEL -- ❑ -NO- ACCESS -- - - - - - -'
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: Date: 7* ,Z " Phone #: (503) 718 -
.
CITY OF TIGARD r , , - ' • ,
BUILDING DIVISION PERMIT #: MST2004 -00315
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2/2004
Phone: (503) 639- 4171 N,m�,4p, I h
Inspection Requests (24 Hrs.): (503) 639 -4175 NI- `'I .
INSPECTION WORKSHEET FOR . DATE: 4/22/2005 TIME: 7:12AM PAGE: 1
SITE ADDRESS: 06089 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF detached
OWNER:. LEGEND HOMES, PHONE #: 503-620-8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 4/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 005190.02 503-209-3370 N
Corrections/Comments/Instructions:
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•
•
___ ____ Ill_ PASS _ ❑_PARTIAL_APPROVAL _ [I CANCEL III-NO- ACCESS - - -- - - - - --
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Gn 003( Date: 1 4 VI or Phone #: (503) 718-
CITY OF TIGARD
Ai . 0 . .
1 BUILDING DIVISION P ERMIT #: MST2004 -00315
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2/2004
Phone: (503) 639 -4171 i :u.�4�� �yl�hl�
Inspection Requests (24 Hrs.): (503) 639 -4175 R: _..
INSPECTION WORKSHEET FOR . DATE: 4/21/2005 TIME: 7:08AM PAGE: 65
SITE ADDRESS: 08089 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF detached
OWNER: LEGEND HOMES, PHONE #: 503 -620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 4/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 005028 -08 503-209.3370 N
Corrections /Comments /Instructions:
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_ __ - - ❑_ PASS . - - -- ❑- PARTIAL- APPROVAL ❑- CANCEL - — ❑ NO ACCESS - - - -- -
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: � 2 —OS Phone #: (503) 718-
CITY OF TIGARD 24 -Hour
BUILDING' Inspection Line: (5046394175 MST 1 /-rj6
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested AM PM BUP
Location 9 r\ Suite MEC
Contact Person � Ph ( ) a -33 70 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access: 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 )7)‘l 1/4Roof of
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
'Service)
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE ❑ Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA q- _
Approach/Sidewalk Date 1 Inspector _ Ext
Other:
Final DO NOT REMOVE this Inspection record from the Jo site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING' Inspection Line (5031639 -4175 MST 0 2064 4 - 3
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested ? AM PM BUP
Location U OD Suite MEC
Contact Person T Ph ( ) a 0 ?- 3 ,��,6 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 ( �/ 4
Drywall Nailing
. d V� V\y,0 (� v h1 Firewall 4 4 I S b .Wi ���� �� v tv\ W Ai PUP rJ 07( POW)
Fire Sprinkler
Fire Alarm C Q !
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 \ y_ J( /
_
MECHANICAL T� mi l
Post& Beam
Rough -In
Gas Line
Smoke Dampers � - ��� l t PA m
Final
PASS PART FAIL
ELECTRICAL
U lab
?‹ Volta
Fire A arm
Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ii PART FAIL
S Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date , ' ` Inspector , 4/ v( Ext
Other:
Final DO NOT REMOVE this inspection record f om the job site.
PASS PART FAIL
CITY OF TIGARD
II .
BUILDING DIVISION PERMIT #: MST200315
13125 SW Hall Blvd., Tigard, OR 97223 l DATE ISSUED: 12/2/2004
�i
Phone: (503) 639 -4171 a c i l l
Inspection Requests (24 Hrs.): (503) 639 -4175 .. `__..
INSPECTION WORKSHEET FOR DATE: 4/28/2005 TIME: 7:42AM PAGE: 75
SITE ADDRESS: 08089 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF detached
OWNER: LEGEND HOMES, PHONE #: 503 - 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 4/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 005555 -03 503-209-3370 N
Corrections/Comments/Instructions:
•
_ _PASS ❑- PARTIAL - APPROVAL ❑= CANCEL - -- - O -NO- ACCESS —
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i
Inspector: Date: — Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2004 -00315
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/2/2004
Phone: (503) 639 -4171 �i ��, 0 1,4 ' ,I
Inspection Requests (24 Hrs.): (503) 639 -4175 -_' F'! I-
INSPECTION WORKSHEET FOR DATE: 4/28/2005 TIME: 7 :42AM PAGE: 74
SITE ADDRESS: 08089 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: NOW SF detached
OWNER: LEGEND HOMES, PHONE #: 503.620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 4/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 00555504 503- 209 -3370 N
Corrections /Comments /Instructions:
- - -- -- - PASS - -- - - __ _❑- PARTIAL APPROVAL 0-CANCEL - - - -❑ NO_ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • _ Date: `t- Z—" ' Phone #: (503) 718-