Permit CITY OF T IGARD MASTER PERMIT
PERMIT #: MST2000 -00004
, e DEVELOPMENT SERVICES DATE ISSUED: 01/18/2000 '
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4'171
SITE ADDRESS: 08990 SW PIPPEN LN pRil 6 iii NA 1 ,, ,, ,, ,, c ,N E G L: R 7 11 DA -15500
. SUBDIVISION: APPLEWOOD PARK NO. 3
BLOCK: • LOT: 148 JURISDICTION: TIG
REMARKS: PATH I: New single family dwellling w /attached garage.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,037 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,273 sf GARAGE: 479 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 172,888.42
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: sf REAR: 11
PLUMBING •
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 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: WOOOSTOVES: GAS OUTLETS: 1
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: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 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+ ampNolt :
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: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,751.06
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
Tigard Municipal Code, State of OR. Specialty Codes and
12600 SW 72ND AVE 12600 SW 72ND AVE all other applicable laws. All work will be done in
TIGARD, 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. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg n: LIC 00060563 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
Erosion 844 -8444 Underfloor insulation Plumb Top Out Low Voltage Water Line Insp Final inspection
Footing Insp Crawl Drain /Backwater Electrical Service Gas Line Insp Appr /Sdwlk Insp Building Final
Foundation Insp Footing /Foundation Dn Electrical Rough In Gas Fireplace Electrical Final
Post/Beam Structural PLM /Underfloor Framing Insp Insulation Insp Mechanical Final
Post/Beam Mechanical Mech. ical Insp Shear Wall Insp Rain drain Insp Plumb Final
r .. Issued B : � ,• Permittee Signature :,,,. % ' /. L —
j i
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed t e n - xt b - •• day
GITY uI I ICiAKU Keslaentlal Iduilciing Permit Application Plan Check Z 55�
13125 SW HALL BLVD. Additions or Alterations Rec'd By
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd
V 503 - 639 -4171 Date to P.E./) / -Dy -o
F 503 -684 -7297 Date to DST /— 6 - 00
°� Permit #0191;7450 -00col
Print or Type Called I /0.00 -
Incomplete or illegible a7lications will not b cc epted4Epr Ales Rte
Al,,)) I /T/ $14.R Rees° - oocoS
Name of Project Name �/
Job A i���• 1,b� P, 4 if L - ey. �// v�h.ap/
Address Sit _ _Architect Mailin Addfess
Nam
i City /S e - ZIp hon ite Pe
Owner Mailing ress i Name � •
• C• e Z r,A.,n Engineer Mailing Address '..�� .
�Y j Phone 9 _
N �..,�/ I p � - �. o-• . .. � , 6 94f aii
General„ `:.
• Contractor y �°°� ;. 1
:y . " x ' Descrll8 work • , • ! . N ew I� Addition O' O .
; ;. ; . ti z F� f�,1.4 - ? S >� . ..., tO b9' a .tt +l fe � •,;�.:: : . ` :', r.:
_ f `; Description .
¢
Prior to � ,. 4;•:.:, ... �?%'' . , ... ,' . �Add itkatis311 b wq�lc:*�:� :+�r .�.,,., y. . � �,•' -_
Issuance a co t ote : •! ..r .. Ii ; : ctAr. 2.& -.! - .:14 4)i i;i,t -k ¢ ..l'' r '.. „ .. % , - P•-•, d � }7
P Y y 'ir',,t; >�_ p P hone ��!� , , � a. 4:.. ,. . s
of all licenses .t - t ��a/ .. bar.
1 ' .� .57 , , � r � : � t; r te ••{i' v.' 0 - :•{,' - .."- . .� +.
• are required net .Cont C :'i F, F T s: � Z- -gig'
req , Oregon Board Exp. Date - :.. PRO Ec i a �` 3; ': :' � = G �/ �f
expired In COT.- Uc. y:t&•.• .. � : '. x. s t l ' t x .... r., a� t //0,-/. v O
• dambase- 0 *-403 ` ....:::.,:;. :', ' .. VALl�A TlON `. . •
Mechanical Name - `_ • u�a� ?.• ► q
q .. � , � . 7 �_ s. ' TRUCTION ONLY::, r f i , 't
Sub -• � G -L Gird ; -i' Sq: Ft. House:: . Gana a` .. y ' am
g7
Contractor Mailing Add L _ _ ` L- r• ' I. 81: Ft ��
Prior to permit oZ 4/2 � • Indicate the restricted energy installation by the electrical •_, " .
subcontractor in the following areas • • t
Issuance, a copy C' /State Zip Phone ' ... :'`
of all licenses It.91 ,2 53- -77 ri Restricted • Audio/Stereo - .
are required if Oregon Const. Cont. Board Exp. Date . System Alarms
expired in COT Lic .# ` /�/ + -
S s r r . Installations Vacuum • Irrigation
database (3 3 - !/ +i .. •
Plumbing Name (check all that Other: m System
.Sub (� >DiCD Pi ( %n apply) •
Contractor Ma i Address Corner Lot YES NO Flag Lot YES NO
/'U 6 Eo IL oksa U i t ( check one) (check one) J` - /`
Has the Subdivision Plat recorded? I N/A YE,S NO
Prior to permit C /State Zip Phone
Issuance, a copy (4r p c )7,.., i 4 7 -eel
of all licenses are Oregon Const Cont. Board ' Exp. Date •
required if Uc.#
expired. in COT • (960472.3;' 1 p -/ ..o 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
of the owner, and that plans submitted are in compliance with
d•1 o� [� /o� �''3l Oregon State laws.
Name Signure of ner ate
gent D
Electrical acr/ 4471 / Z � rn ° .o - /y
" Cont_ a ono / Phone _
Sub- Mailing Address I �� � /S c
Contractor ,) 74).5' S / v / 6 '` /
City /State Zip Phone/
Prir to suaance , p ermit
Is a copy A /)) D
sunce a cop (� .5 �l / • FOR OFFICE USE ONLY: •
of all licenses are Oregon Const. Cont. Board Exp. Date plat #
required if Lic. * _ Map(TL#:
expired in COT / //S 9 _ . 3 — y-vd .• a 5- 36 I /2,4 ,15 / - /55700
database Electrical tic. #" Exp. Date I S acks: Zone: Solar.
- ` sC U -i_ / A n
- r Electridl Supervisor Lic. # p. uate • En �' eeying Approval: Planning Approval: • TIF:
I J.7o7 5 IC - / - D/ (/ Jac /2.9 -7?
. c // 4 /'Oct 1:klstslforms s 11/20/98
5/17/00 Activities for Case #: MST2000 -00004
1:38:52 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 12/29/99 DEB RECD No Hold GEO 1/4/00
MSTA008 Permit Created 1/4/00 GEO DONE No Hold GEO 1/4/00
MSTA010 Check for prd. restrict. 1/4/00 GEO DONE No Hold GEO 1/4/00
MSTA012 Plans routed to Plans Examiner 1/4/00 GEO SENT No Hold GEO 1/4/00
MSTA026 Plans approved by Pln Examiner 1/6/00 BT2 DONE No Hold BT2 1/6/00
MSTA030 Reviewed plans routed to DSTS 1/6/00 BT2 DONE No Hold BT2 1/6/00
MSTA700 Erosion 844 -8444 1/6/00 1/6/00 No Hold BT2 1/6/00
MSTA705 Footing Insp 1/6/00 1/6/00 1/24/00 RB PASS No Hold AKJ 1/24/00 2) provide 2 bars at gar wings
for vertical seismic req
3) provide low point crawl drain
4) maintain 4' centers for rebar
keyway conn
MSTA706 Foundation Insp 1/6/00 1/6/00 1/25/00 TLP PASS No Hold AKJ 1/25/00
MSTA710 Post/Beam Structural 1/6/00 1/6/00 2/2/00 KS PASS No Hold AKJ 2/2/00
MSTA711 Post/Beam Mechanical 1/6/00 1/6/00 2/2/00 KS PASS No Hold AKJ 2/2/00
MSTA712 Underfloor insulation 1/6/00 1/6/00 No Hold BT2 1/6/00
MSTA713 Crawl Drain /Backwater valve 1/6/00 1/6/00 1/27/00 MRS PASS No Hold AKJ 1/27/00
MSTA714 Footing /Foundation Drain 1/6/00 1/6/00 No Hold BT2 1/6/00
MSTA717 PLM /Underfloor 1/6/00 1/6/00 3/6/00 MS FAIL No Hold MRS 3/6/00 post and beam plumbing wasn't
inspected or called in for an
inspection
will be done at top out stage.
MSTA720 Mechanical Insp 1/6/00 1/6/00 3/15/00 TLP PASS No Hold AKJ 3/15/00
MSTA722 Plumb Top Out 1/6/00 1/6/00 3/6/00 RB FAIL No Hold AKJ 3/6/00 1) house already decked and is
at the top out stage, no
post/beam insp of record.
remove decking at locations of
plumbing
3) secure shower enclosure at
8" ctrs at vertical edges
4) loop at kitchen sink req a
dean out at the nearest wall
plane
6) nail plate refrig water line in
laundry room
MSTA723 Electrical Service 1/6/00 1/6/00 3/15/00 BRP PASS No Hold AKJ 3/15/00
MSTA724 Electrical Rough In 1/6/00 1/6/00 3/15/00 BRP PASS No Hold AKJ 3/15/00
MSTA725 Framing Insp 1/6/00 1/6/00 3/15/00 TLP• PASS No Hold AKJ 3/15/00
MSTA726 Shear Wall Insp 1/6/00 1/6/00 2/25/00 KS PASS No Hold AKJ 2/27/00
Page 1 of 2
5/17/00 - Activities for Case #: MST2000 -00004
1:38:52 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes .
MSTA728 Low Voltage 1/6/00 1/6/00 No Hold BT2 1/6/00
MSTA735 Gas Line Insp 1/6/00 • 1/6/00 3/15/00 TLP PASS No Hold AKJ 3/15/00
MSTA736 Gas Fireplace No Hold BT2 1/6/00 .
MSTA740 Insulation Insp 1/6/00 1/6/00 3/17/00 KBS PASS No Hold ' AKJ 3/19/00
MSTA755 Rain drain lnsp 1/6/00 1/6/00 1/27/00 MRS PASS No Hold. AKJ 1/27/00
MSTA760 Water Line Insp 1/6/00 1/6/00 1/27/00 MRS PASS No Hold AKJ 1/27/00
MSTA765 APPr /Sdwlk lnsp 1/6/00 1/6/00 3/24/00 MW PASS No Hold AKJ 3/26/00
MSTA790 Electrical Final 1/6/00 1/6/00 5/5/00 CD PASS No Hold AKJ 5/7/00
MSTA795 Mechanical Final 1/6/00 1/6/00 5/9/00 KBS PASS No Hold AKJ 5/9/00
MSTA797 Plumb Final • 1/6/00 1/6/00 5/5/00 MRS PASS No Hold AKJ 5/7/00
MSTA798 Final inspection 1/6/00 1/6/00 No Hold BT2 1/6/00
MSTA799 Building Final 1/6/00 1/6/00 5/9/00 KBS FAIL No Hold . AKJ 5/9/00 1) final erosion control app
2) post insul cert
MSTA032 DST Post - Review Completed 1/10/00 GEO DONE No Hold GEO 1/10/00
MSTA080 (F) Ready to issue 1/10/00 GEO DONE No Hold GEO 1/10/00 •
MSTA092 (F) Issue combination permit 1/18/00 GEO DONE No Hold GEO 1/18/00
MSTA095 Issue plumbing signature form 1/18/00 JMT RECD No Hold JMT • 1/18/00
MSTA097 Issue electric signature form 1/24/00 SLT RECD No Hold ST 1/24/00
MSTA717 PLM /Underfloor 3/6/00 RB FAIL No Hold 'AKJ 3/6/00 see top out 3/6
MSTA722 Plumb Top Out 3/8/00 MS PASS No Hold RB 3/9/00
MSTA728 Low Voltage 3/15/00 BRP PASS No Hold AKJ 3/15/00
MSTA799 Building Final 5/11/00 TLP PASS No Hold AKJ 5/11/00
MSTA960 (F) Issue Cert. of Occupancy 5/11/00 TLP DONE No Hold ST 5/17/00 5/17/00- mailed to owner /file
.
. Page2of2 .
CITY OF TIGARD BUILDING INSPECTION DIVISION MST s i -ncoD y
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested S/q nD AM .< PM BLD
t .
Location c 1g 4 10 PI P re .lam- Suite MEC
Contact Person V T - P- Ph 2409 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 Ai AJA.[.. =ILB S/ A ..' (D Jr1?O L. C ;Lk
Insulation ��
Drywall Nailing 4- 1 'r i Aa C
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
na
PART FAI
PLUMBING
Post & Beam
Under Slab .
Top Out
Water Service
Sanitary Sewer
Rain Diains
Final
FAIL
Post & Beam
Rough In
Gas Line
S e Dampers
A S S PART FAIL
ELEC RICAL • .
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Fin
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 /Sidewalkl
Other Date c .. - = c - 46 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST ?.eres -COCO y
24 -Hour Inspection Line: 639 -41 Business Line: 639 -4171
BUP
Date Requested S/I I/ 00 AM PM BLD
Location Ng' g' t jO cA1 Vv - - Suite MEC
Contact Person Telaj Ph tOq- S370 PLM
Contractor Ph SWR
1411D1 ' • 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
Mi c:
/e
PART FAIL •
• ' BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
FinaV
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smo
Final"
PASS PART FAIL
ELECTRICAL -
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 Hail, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no adcess
Fire Supply Line
ADA
Approach/Sidewalk./ Date � � /0 Inspector ' /0241 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2600 -0 7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested v O0 AM PM BLD
Location g1q-0 f / M• Suite MEC
Contact Person Ph 7.07 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall E LR
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:
Final
PASS PART FAIL
MBI
Post & Beam
Under Slab
• Top Out
Water Service
Sanitary Sewer
Ra's Drains
S 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
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 6 /� Ext
J
Approach /Sidewalk Date (VO 6 Inspector 0 (,
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION • MST Z- Oy
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5 /WOO AM ( PM BLD
Location C ?:Pi q b (A I • Suite MEC
Contact Person Ph 209- Z37zD PLM
•
Contractor Ph SWR
BUILDING 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
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
E[ECTRICA
Service
Rough In
UG /Slab
Low Voltage
F' larm
PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ I 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 Date .3 (V V Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.