Permit CITY OF TIGARD MASTER PERMIT
)1111ili 1i� DEVELOPMENT SERVICES PERMIT # MST99 -0052
�'I DATE ISSUED: 02 /19/99
:��!• - --. 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 29111DA -05300
SITE ADDRESS...:15220 SW PARKLAND TERR
SUBDIVISION •APPLEWOOD PARK NO. 2 ZONING: R -7 PD
BLOCK LOT :048 JURISDICTION: TIG
Remarks: PATH I: New single family dwelling w /attahced garage.
BUILDING
REISSUE: STORIES : 2 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS - -- REQUIRED
CLASS OF WORK.:NEW HEIGHT • 25 FIRST • 977 sf GARAGE • 490 sf LEFT : 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 1268 sf FRONT : 23 PARKINS SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 8
OCCUPANCY 6RP.:R3 BOB): 3 BATH: 3 TOTAL------: 2245 sf VALUE—$: 165334 REAR • 15
PLUMBING -
SINKS : 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 1vi TRAPS. : 0
LAVATORIES • 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 1Y SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1 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 )= 1%K ..: 1 UNIT 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 -
1m SF OR LESS: 1 0 - 200 alp..: 0 0 - 200 alp..: 0 W /SVC OR FDR..: 0 H /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 4 201 - 400 alp..: 0 201 - 400 alp..: 0 1st W/0 SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - l' amp.: 0 601 +amps -1; v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 PLAN REVIEW SECTION -- --
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
-- ELECTRICAL - RESTRICTED ENERGY -- - - - -- - A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO $ STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: •• BOILER HVAC LANDSCAPE/IRRI6: PROTECTIVE SIGN
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: ••
HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL B SYSTEMS: 0
Owner: -------------- -- Contractor: — TOTAL FEES:$ 4963.70
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
6' ".1. SW HAINES 6'w SW HAINES ST #200 Tigard Municipal Code, State of Ore. Specialty Codes and all
PLAZA 2, SUITE 200 TIGARD OR 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 #: 620-8080 Phone 1: 620 -8080 not started within 180 days of issuance, or if the work is
Reg C..: " +' 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 -8444 Crawl Drain /Back Electrical Rough Insulation Insp Mechanical Final
Footing Insp PLM /Underfloor Framing Insp Rain drain Insp Plumb Final
Foundation Insp Mechanical Insp Shear Wall Insp Water Service In Building Final
Post /Beam Struct Plumb Top Out Low Voltage Appr /Sdwlk Insp
Post /Beam Mechan Sery Gas Line Insp Electrical Final
Issued By: / // „/ �.4 Permittee Signature.
+ + + + + ++ _- + + + + " + + + ++ j + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + ++ + + + + + + + + + + ++
Call 639 -4175 by :00 p.m. for an inspection needed the next business day .
CITY OF TIGARD Residential Building Permit Application Plan Check #6'g - a7 7 4
Recd By a-
13125 SW HALL BLVD. New Construction Date Recd a-4-g?
TIGARD, OR 97223 Single Family Attached Date to P.E. o2 - 8-5 4-
V 503 - 639 -4171 ••� Date to DST a I'qq
f 503 - 684 -7297 Permit # /3 `- 5ad1-oZ
Print or Type Called A-/9--K - Z's
Incomplete or illegible applications will not be accepted LEscr I/NI of
4 ?2Q � of Project �Gv Name . � �� ���
Job /�) ' c)� yo // fit y Architect Mailingg Aess Address rress 1 6f4Q 6/
i 5 r O ' P, T/ , City/State , Phone
° d ' a /
Nam -0 / /�` m l. Nae '
Owner M hn d dr ss _ / � / „ / ���`��
j' /i 'r En o Mai in
C State Zip Ph one g 1 Address
G/ 1/�yl
l , • "yr 9 x 4 J � R Ci /State g Zip Phone
General Name 7 , VOia / 7.1.13 CO2j- 700_
�
Contractor C ei ,a/ / Describe work New Addition 0 Alteration 0 Repair 0
Mailing A ress 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 D 0,. .
expired in COT Lic.# / -(0 VALUATION
database Q � SCLJ 3 � � 7 /44):A7:471,
Mechanical Name r NEW CONSTRUCTION ONLY:
Sub- 1 Sq. Ft. House: f Sq. Fr�
Contractor M att A dre / 0103 �� I ' �` o / e- �
Prior to permit (7 5 C. 0,5 Indicate the restricted energy installation by the electrical
issuance, a co subcontractor in the following areas
py G' State Zip Pho {
of all licenses a /'t ,, ,,o 9-297..4 9-297..4 ,, 7)r -/ y Restricted Audio /Stereo
are required if regon o n t. Cont. Board Exp. Date Energy System 5 Alarms 3 expired in COT Lic.# L/ Installations Vacuum Irrigation
database I Y" System System
Plumbing Name (check all that Other:
Sub - ijdie e ni. //nZ apply)
Contractor dill g Address Number o f Units in Building Unit Number Designation
/ 0 C.4dVC 07a17 Has the Subdivision Plat recorded? N/A XS NO
P ri o r
ance , a pe
co C 9 ,� 0 / / / n_c 7 /
iss unce co l /S�� !Dw
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic. # � //
expired in COT o2. 3 c` /U� 9� I hearby acknowledge that I have read this application, that the
database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent
OZ 6)02 401(j / (� 3 of the owner, and that plans submitted are in compliance with
Oregon State laws.
Name Si ture of Ow r/A en Date
Electrical 6074_32-1 ELorf -2./ /ylJi g j
Sub- Mailing Address C'tt Persrie `� O/ QhD # .
Contractor ,J 7,j 4 7V ge-) (�
City/State Zip Phone
Prior to permit /l / v i a .9 70o4 j' / --13
issuance, a copy Jt FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.# Plat #: 07 M� 5 : ) / /p � ` 65366
expired in COT / 02 I/ I d ' - 19 I /16' 9
database Ele trical,Lic. _ J .,_ c Exp. Date tbacks: Zone
Electrical Supervisor Lic. # Exp. Date Engineering Approval: I Planning Approval: TIF:
i:ldstslforms‘.sfa- new.doc 11/20/98
6/29/99 Activities for Case #: MST99 -00052
12:47:38 PM
Assigned Hold Updated
Activity Description Date 1 Date 2, Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 2/4/99 GEO RECD GEO 2/8/99
MSTA008 Permit Created 2/8/99 GEO DONE GEO 2/8/99
MSTA010 Check for prd. restrict. 2/8/99 GEO DONE • GEO 2/8/99
MSTA012 Plans routed to Plans Examiner 2/8/99 GEO SENT GEO 2/8/99
MSTA026 Plans approved by Pln Examiner 2/18/99 RT PASS BT2 2/18/99
MSTA030 Reviewed plans routed to DSTS 2/18/99 - RT PASS BT2 2/18/99
MSTA032 DST Post - Review Completed 2/19/99 GEO DONE GEO 2/19/99
MSTA155 Development conditions met GEO 2/8/99
MSTA700 Erosion 844 -8444 GEO 218/99 .
MSTA705 Footing Insp • 2/22/99 KS PASS KBS 2/23/99 #-1- initial erosion control app
#-2- ufer rod tag
MSTA706 Foundation Insp 2/23/99 • KS PASS KBS 2/24/99
MSTA710 Post/Beam Structural 3/3/99 WDJ PASS WDJ 3/3/99
' MSTA711 Post/Beam Mechanical 3/3/99 WDJ PASS WDJ 3/3/99 • •
MSTA713 Crawl Drain /Backwater valve 2/25/99 TLP PASS TLP 2/25/99
MSTA717 PLM /Underfloor 3/2/99 MS PASS MRS 3/2/99
MSTA720 Mechanical Insp 4/14/99 KS FAIL AKJ 4/14/99 1) Framing not complete at
. fireplace
2) Connect exhaust fans and
• extend to roof jack and secure
• 3) Firestop mech chase at
upper level
4) Remove foam sealer
adjacent to B vent upper level
5) Support gas piping at
horizontal at garage
MSTA722 Plumb Top Out 4/5/99 AKJ DONE AKJ 4/5/99 Pass TLP •
MSTA723 Electrical Service 4/14/99 CD PASS AKJ 4/14/99 .
MSTA724 Electrical Rough In 4/14/99 CD PASS AKJ 4/14/99 •
Page 1 of 3
t
6/29 /99 Activities for Case #: MST99 -00052 .
12:47:38 PM •
Assigned Hold Updated }
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA725 Framing lnsp 4/19/99 KS FAIL AKJ 4/19/99 1) Dras struct missed C516 -13
2) Submit revisions at TJI
heaved out at plm
3) Exhaust fans not connected
. • 4) Support under hips at upper
level
5) Truss dips missed
6) Provide attic access
7) Insulate exposed ducts at attic
8) Firestop mech chase at
upper level
9) Remove foam sealer
adjacent to B vent
10) Sway brace roof truss as
shown
• 11) Eave baffles missed
• 12) Secure elec cable at
• fireplace
• 13) Maintain clearance at
fireplace vent as shown
MSTA726 Shear Wall lnsp GEO 2/8/99
MSTA728 Low Voltage GEO 2/8/99
MSTA735 Gas Line lnsp 4/14/99 KS PASS AKJ 4/14/99
•
MSTA740 Insulation Insp 4/23/99 KS PASS AKJ 4/25/99
MSTA752 Rain drain lnsp 2/25/99 TLP PASS TLP 2/25/99
. MSTA761 Water Service lnsp 2/25/99 TLP PASS TLP 2/25/99
MSTA765 Appr /Sdwlk Insp 4/28/99 MW PASS AKJ 4/28/99 #1 swing pipe @ LPC to avoid
H2O meter
MSTA790 Electrical Final 6/14/99 BRP FAIL AKJ 6114199 Panel cover dented, preventing •
tight fit. No outlet in island.
Garbage disposal cord subject
to physical damage.
Excessive box setback, install
. liner
Cover plate missing dryer
outlet.
MSTA795 Mechanical Final 6/16/99 TLP PASS AKJ 6/16/99 . •
•
MSTA797 Plumb Final 6/14/99 MS PASS AKJ 6/14/99
MSTA799 Building Final 6/16/99 TLP PASS AKJ 6/16/99
MSTA080 (F) Ready to issue 2/19/99 , GEO PASS GEO 2/19/99
MSTA092 (F) Issue combination permit 2/19/99 GEO PASS DST 2/19/99
MSTA095 Issue plumbing signature form 3/4/99 JMT RECD JT 3/4/99
MSTA097 Issue electric signature form 3/8/99 JMT RECD JT 3/8/99
Page 2 of 3
6/29/99 Activities for Case #: MST99 -00052
12:47:38 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA727 Exterior Sheathing Insp 4/7/99 KS PASS No Hold AKJ 4/7/99
MSTA720 Mechanical Insp 4/19/99 4/19/99 4/19/99 KS FAIL No Hold AKJ 4/19/99 See framing notes
MSTB730 Framing Insp 4/20/99 4/20/99 4/20/99 KS FAIL No Hold AKJ 4/20/99 1) Connect exhaust fans
2) Insulate exposed heat ducts
at attic
• 3) Provide revision re: tji
headed out at plm
4) Firestop mech chase at
upper level
OK to insulate
MSTB725 Mechanical lnsp 4/20/99 4/20/99 4/20/99 KS FAIL No Hold AKJ 4/20/99 See framing notes
MSTA725 Framing Insp 4/25/99 4/25/99 4/23/99 KS PASS No Hold AKJ 4/25/99
. MSTA720•Mechanical lnsp 4/25/99 4/25/99 4/23/99 KS PASS No Hold AKJ 4/25/99
MSTA790 Electrical Final 6/15/99 6/15/99 6/15/99 CD PASS No Hold AKJ 6/15/99
MSTA970 Case Finaled 6/16/99 AKJ DONE No Hold AKJ 6/16/99
MSTA960 (F) Issue Cert. of Occupancy 6/16/99 TIG TLP DONE No Hold JMT 6/29/99 •
Page3of3 -
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9 .-cas
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
4! BUP
Date Requested Co —I Cr cI AM 3( PM BLD
Location ( I S ZZo paA)aeuiat Suite MEC
Contact Person � Ph Z - S � PLM
Contractor Ph SWR
BUIL Tenant/Owner ELC
e arcing Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
r SS ART FAIL
M BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & e T m S
Post & edam
Rough In
Gas Line 1
Sm Dampers
PART FAIL y
`- I�CIECTRICAL
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
Other D / �
C G Inspector � ,/
Other 6 ! 1 Ext
Final IIIIYYYY ((( /
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.