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Permit
CITY OF TIGARD �,� ^ ,� iT DEVELOPMENT SERVICES ' ., .ST _' .. f,, I a f j l j � A PERMIT #....... : IST99- 071:_. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE I. SSUE_ D : 01/26/99 PnRCE'_ : 28111D-05400 S ' SS ...! v.. 1TA ED - 7 7 RP SUB D I V I S I CN : APPLEWCOD PAR„ NO. 2 :ZONING: R-7 PD BLOCK LOT...... ....... : 04' J U R I S D I C T I O N : 1 .7 .6 Remarks: PATH I: New single family dwelling w /attached garage. -- - - - - -- -------------------- - - - - -- -- BUILDING - -- REISSUE: STORIES • 2 FLOOR AREAS BASEMENT,,.: 0 sf REQUIRED SETBACKS ---- REQUIRED CLASS OF WORK.:NEW HEIGHT • 25 FIRST • 1037 sf GARAGE • 479 sf LEFT • 5 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 1273 sf FRONT • 12 PARKINS CPACES: 2 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 5 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL - - - - -: 2310 sf VALUE-3: 169658 REAR • 21 — - - - - - -- PLUMBING ------------------------------------- SINKS 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 10L' TRAPS . 2 LAVATORIES 4 DISHWASHERS...: 1 FLOOR DRAINS..: 2 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 -- ---- - - - - -- - -- MECHANICAL -- - - - -- ---- - - - - -- FUEL TYPES- - - - - -- FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 4 CLOTHES DRYERS: 1 GAS FURN ) =100K ..: 1 MIT HEATERS..: 0 HOODS : 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 1 -------------- - - - - -- ELECTRICAL -- - - - - - - -- -- -- RESIDENTIAL UNIT -- -- SERVICE /FEEDER - - -- - -TEMP SRVC /FEEDERS -- -- BRANCH CIRCUITS -- - -- MISCELLANEOUS - - -- - -ADD'L INSPECTIONS- - 1000 SF OR LESS: 1 0 - 200 alp..: 0 0 - 200 alp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION; 0 PER INSPECTION: 0 EA ADD'L 500SF.: 4 201 - 400 amp..: 0 201 - 400 alp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY.: 0 401 - 600 alp..: 0 401 - 600 alp..: 0 ER ADDL BR CIR: 0 SIGNAL'PPNEL...: 2 IN PLANT.....: 0 MANF HM /SVC /FDR: 0 601 - 1CO2 amp.: 0 601 +amps -1000 v: 0 MINOR LABEL -10: 0 1000+ amp /volt.: 0 -- - - --- PLA" REVIEW SECTION Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS RREA /SPC CCC: ELECTRICAL - RESTRICTED ENERGY - - - -- A. SF RESIDENTIAL - -- B. COMMERCIAL ------------------------------ -- - - -- ------- - - - - -- AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO b STEREO.: FIRE ALARM INTERCOM /PAGINGG: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: .. BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTPR: .. HVAC DATA /TELE Cam.: NURSE CALLS • TOTAL ft SYSTEMS: 0 Owner: --------- - - - --- Contractor: - -- TOTAL FEES:$ 4980.70 LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the 6900 SW HAINES 6900 SW WINES ST P200 Tigard Municipal Code, State of Ore. Specialty Codes and all GLAZR 2, SUITE 200 TIGARD CR 97223 other applicable laws. All work will be done in accordance TIGARD OR 97223 with approved plans. This permit will expire if work is Phone is 620 -8080 Phone P: 620 -8080 not started within 180 days of issuance, or if the work is Reg P..: 000605 suspended for more than 180 days. ATTENTION: Oregon. law -- ----- -- ---- - - -- requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001-0010 through OAR 952 - 001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -1987. ----- _ — - - , --- __---- ___ - -- REQUIRED INSPECTIONS ---- - - - - -- -- - - -- Erosion 844 -84 Crawl Drain /Back Electrical Rough Insulation Insp Mechanical Final Footing Insp PLM /Underfloor Framing Insp Rain drain Insp Plumb Final Foundaticu Insp • Mechanical Insp Shear Wall Insp Water Service In Building Final ccst /Ceara Struct Plumb Top Cut Low Voltage Appr /Sdwlk Insp Pnst!Beam Mechan Electrical Servi Gas Line Insp Electrical Final Issued By :./ ..< / L Permittee Sironature,,: . 4- 1 , , 1, ;� ; .. 1 . 1 -. ;-.1..;..r. . -1- 1•-t - -: r+ 1 --1 r•-1 -1 -- c - -i --: 1- 4 i-- :• -1-' s i : ; -; , r . ; , 1 -,— 1- i : -i-14-, -:. ,.. Ca].]. 639 -41.75 by i :1210 p.m. for an inspe:tion needed the nom : t b day CITY OF TIGARD Residential Building Permit Application Plan Che ► 13125 SW HALL BLVD. New Construction Rec'd By i Date Rec'd -2 0 TIGARD, OR 97223 Single Family Detached Date to P.E. AR I. V 503 - 639 -4171 F 503 - 684 -7297 � S i� Date to DST /-� — 9 A.7 Permit # 01 -6 3 P or Type Called / - .2 6 P - C 9 -07:/ Ar Incomplete or illegible applications will not be accepted r Of 040-94 F ,ev•fq 9-40/9 Pser- Name of Project Na t- a gand Address Si dress Pew' Architect Mailing Q/� S goo 16 a: 3 O / / J T o- 6 A) I vU ; n .4,s - a,m City/State Zip Phone N L e y ,Q /-1o 11G,Y Name/ l-/ 97 3 %r1'a Owner M�iling ss , / C/ Qty/State Zip Phone Engineer Ma l Address e 7 ,-d 1 7abZ 3 d.-�o�' 96 y g i.a- "'? General Name City /State Zip Phone `7 /0 97,2-A.3 63 z - Contractor L 4P9p Describe work New Addition 0 Alteration 0 Repair 0 Mailing/Address to be done: Prior to permit Additional Description of Work: issuance, a copy City/State Zip Phone of all licenses are required if Oregon Const. Cont. Board Exp. Date PROJECT expired in COT Lic.# database 0605 3 4 -/y VALUATI • Mechanical Name NEW CONSTRUCTION ONLY: Sub- ._.9L, � �f Ze Sq. Ft. House: j� Sq. Ft. Garage` Contractor Mailing A ddres 3�� / � � Prior to permit .q Z�20 S /O5 _ 1' Indicate the restricted energy installation by the electrical issuance, a copy C' /state Zip Phone subcontractor in the following areas of all licenses r f / d chi ? „Z E ate_ 7 e Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# �/o Installations Vacuum Irrigation database /O �- 3�' y 9 System System Plumbing Name (check all that Other: Sub- _I4 7 � >/nZ apply) Contractor Mailing Address Number of Units in Building Unit Number Designation p0 �o >c 0 r07 Has the Subdivision Plat recorded? N/A YE X NO Prior to permit City/Stat Zip Phone issuance,acopy G•p5�'Yy" 9 703 e ) 4 67 -9 / Y of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# ' 7 q expired in COT 3 / / �b '�9 9/ database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the `� G� p3G- information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Nam Oregon State laws. Electrical CJ Qr /Ly.. 1 ec 5r: 1 l'(', Signatur f ner/ gent Date Sub- Mailing Address l %� Conta e n hone Contractor ,A / 73 SGuTI/ lWv P e ' „ � �2 P City /State Zip Phone Prior to permit A I / /� a 9 5 , / 3 00 issuance, a copy FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Date Plat Ma !TL#: required if Lic.# p g p expired in COT /1-5 (f / Q -97 ri • A- PA - e55 L 0d database Electra Lic. # Ex Da k9' Zone: Exp, /- 99 7 P.D. Electrical Supervisor Lic. # Exp. Date Engi ering Approval: Planning Approval: 1 1 o- l:ldsts \forms\sfd- new.doc 1/5/99 gi8/99 Activities for Case #: MST99 -00023 .. 2:24:53 PM . Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 1/20/99 BON RECD GEO 1/22/99 MSTA008 Permit Created 1/22/99 GEO DONE GEO 1/22/99 • MSTA010 Check for prd. restrict. 1/22/99 GEO DONE GEO 1/22/99 MSTA012 Plans routed to Plans Examiner • 1/22/99 GEO SENT GEO 1/22/99 MSTA026 Plans approved by PIn Examiner 1/25/99 RT PASS BT2 1/25/99 . MSTA030 Reviewed plans routed to DSTS 1/25/99 RT PASS BT2 1/25/99 MSTA032 DST Post - Review Completed 1/26/99 GEO DONE GEO 1/26/99 MSTA155 Development conditions met • GEO 1/22/99 MSTA700 Erosion 844 -8444 . GEO 1/22/99 MSTA705 Footing Insp 2/1/99 RC PASS . ROC 2/1/99 NO ADDRESS POSTED 1ST. NOTICE UFER APP. MSTA706 Foundation Insp 2/2/99 TLP PASS TLP 2/2/99 MSTA710 Post/Beam Structural • 2/9/99 KS PASS KBS 2/10/99 • MSTA711 Post/Beam Mechanical 2/9/99 KS PASS KBS 2/10/99 MSTA713 Crawl Drain /Backwater valve 2/4/99 MS PASS MRS 2/4/99 MSTA71 7 PLM /Underfloor 2/8/99 TLP PASS TLP 2/8/99 MSTA720 Mechanical Insp 3/16/99 KS FAIL KBS 3/17/99 #-1- see framing notes this date MSTA722 Plumb Top Out 3/10/99 TLP • PASS TLP 3/10/99 MSTA723 Electrical Service 3/16/99 BRP PASS • AKJ 3/17/99 - MSTA724 Electrical Rough In 3/16/99 • BRP PASS AKJ 3/17/99 MSTA725 Framing Insp 3/16/99 KS FAIL KBS 3/17/99 #-1- electrical cover app . 3/16/99 BRP it 2- provide hangers @ shed rafters garage #-3- support under hips @ • • garage #-4- support B vent © _ horizontal above furnace #-5- double micro lams missed @ • • • • den /& liv /rm #-6- support under • • hips valleys #-7- extend exhaust fan to roof jack #-8- stud adjacent to glu /lam © • half bath MSTA726 Shear Wall Insp 3/9/99 TLP PASS TLP 3/10/99 MSTA728 Low Voltage • 3/16/99 BRP PASS AKJ 3/17/99 MSTA735 Gas Line Insp 3/16/99 KS PASS KBS 3/17/99 #-1- gas piping pt test = 22 psi for 15 minutes ( tag) # 344137 • Page 1 of 2 • 6/8/99 Activities for Case #: MST99 -00023 2:24:53 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA740 Insulation Insp 3/22/99 KS FAIL AKJ 3/22/99 1) Insulate rim joist at fam rm . also at liv rm 2) Insulate void at • . rear bdmi ext corner section 3) Insulate void at kitchen stud . space (short) MSTA752 Rain drain lnsp 2/4/99 MS PASS MRS 2/4/99 • MSTA761 Water Service lnsp 2/4/99 MS PASS MRS 2/4/99 MSTA765 ApPr/Sdwlk lnsp . . 3/30/99 MS PASS AKJ 3/30/99 OK to pour ' MSTA790 Electrical Final • 5/14/99 BRP PASS AKJ 5/16/99 MSTA795 Mechanical Final 5/17/99 TLP PASS • AKJ 5/17/99 MSTA797 Plumb Final 5/14/99 TLP PASS AKJ 5/16/99 MSTA799 Building Final 5/17/99 TLP PASS AKJ 5/17/99 MSTA080 (F) Ready to issue 1/26/99 GEO PASS GEO 1/26/99 MSTA092 (F) Issue combination permit 1/26/99 GEO PASS DST 1/26/99 MSTA095 Issue plumbing signature form 2/1/99 JMT RECD JT 2/1/99 MSTA097 Issue electric signature form 2/1/99 JMT RECD JT 2/1/99 MSTA725 Framing Insp 3/19/99 KS PASS AKJ 3/21/99 MSTA720 Mechanical lnsp 3/19/99 KS PASS AKJ 3/21/99 Rough in ' MSTA740 Insulation Insp 3/24/99 KS FAIL AKJ 3/24/99 Corrections not done . MSTA740 Insulation lnsp 3/25/99 KS PASS AKJ • 3/25/99 MSTA970 Case Finaled 5/17/99 AKJ DONE No Hold AKJ . 5/17/99 MSTA960 (F) Issue Cert. of Occupancy 5/17/99 TIG TLP. DONE No Hold JT 5/28/99 ' 5/28/99 mailed • Page2of2 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST - 00 - Z3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 C q BUP 5 Date Requested -- 17 - 'T AM X PM BLD Location I SZO PG" "'lCL/I (. Suite MEC Contact Person 1 0 Ph 7iff — 7c PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mis : ips PART FAIL • I MBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PA S PART FAIL _ c) Pos r&Beam Rough In Gas Line • e Dampers 4 4'+ PART FAIL CTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA / Approach/Sidewalk Date 4 I 1 (� 1 Inspect E x t Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •