Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST1999 -00269
11 DEVELOPMENT SW Hal P S ERV 2CES G I N A 1 DATE ISSUED: 8/18/99
SITE ADDRESS: 08855 SW PIPPEN LN PARCEL: 2S111 DA -11600
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7
BLOCK: LOT: 109 JURISDICTION: TIG
REMARKS: S F PATH I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1.037 sf BASEMENT: at LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,273 sf GARAGE: 479 sf FRONT: 22 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: at REAR: 13
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: BOILJCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: 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: SIGNALJPANEL: 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: 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: $ 5,748.67
LEGEND HOMES CORP This permit is subject to the regulations contained in the
L Tigard Municipal Code, State of OR. Specialty Codes and
6900 ND HAINES CO 2, SUITE ST all other applicable laws. All work will be done in
PLAZA
PLAZA 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 #: 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 Mechanical Insp Shear Wall Insp Water Line Insp Final inspection
Footing Insp Crawl Drain /Backwater Plumb Top Out Gas Line Insp Appr /Sdwlk Insp Building Final
Foundation Insp Footing /Foundation On Electrical Service Gas Fireplace Electrical Final
Post/Beam Structural PIm /undslab Insp Electrical Rough In Insulation Insp Mechanical Final
Post/Beam Mechanical PLM /Underfloor Framing Insp Rain drain Insp Plumb Final
Permittee Signature : /
1 ss By • � M /.( ,�G''tQ�'t� 9
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the ne • e u ire • day
CITY OF TIGARD Residential Building Permit Application Plan Check ti_7 )W51 jZ
13125 SW HALL BLVD. Additions or Alterations Recd By
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd t-57
V 503 - 639 -4171 Date to P.E. 1;7-99
Date to DST R -3_9
F 503 -684 -7297 Permit # .st/ . as 2 G 9
Print or Type Called $ - 99
Incomplete or illegible applications will not be accepted . - 00/4 7
/O
Name of Project � Name "
Job A Q,OL• 6 � ) PA /f L y.�-r, 4 /y�2-
A Architect Mailing A e ss
Address Si re � _ L, 900 G!i )/(7/".-/. 2 •
Nam 3 5 r ha . /...)- \ City /Stare Zip Phone
J C'?7 5 � /� 7 ' 7 7J -J
Owner Mailin ress Nam "7C
City e ' D Phon Engineer Mailing Address
General I .,;_.: City . 9 mp 1,.. •
• Contractor. ,0 s Descr work; i? p r�Addition o - Alteration -o i g� - Af .,.,
: r : ,' , - . 4 . res. : a r. • : • • : -, -, - F , t: : < r is .. b9 {dO ne: ;cl.k +s 4 '
� i 1',iy : hilt -4 4- .)" , .
Pe ; .
issuance, a oo . . �' Addittotial Description'of WQrk: H � - •= I-wit:=
, N �,I F w �,. > r' �? � �g. y ,,���:..; ,,t -v,w , � ; c ,_,.
� iat ; si•- P. Phone n{ i % 4 f:rr . r-� . Avt.tta , .din.. r . . t. "4V.ci...;, � •
of all licenses 1:i = Y� d � :. G � 1 °•:• x ..•. , .. > . , r:+ •a•- :r- v:.:::....._.. _ ;... y , ;
are required if _ . - Oregon nst.. Board . - . Exp, Date:-.`74 * ': . PRO ECTr :: ; : U ; ` -
expired In COT : Uc # .: •: ;r _� , , x . �. ,. �U
• database" 15 a
^ ,`�=� VALti TION , . i , _._... �,.
9,4; ` •' , j / 7 Z .vary �
Mechanical N ame _ ONSTRUCTI jr' *K ` • q -
an I ::. , . s. NEW,C ON ONLY: ;. f.: ^,R," �' �_
Sub- U1 y) 6 L � /rl _ r: -i . . . S Ft House: ` , - I Sq: Ft Gars e ' • I
Contractor Mailing Addre o 13 1a ; '
Prior to permit _ " 9 ii
L/ ti on by the electrical ' : .
trar in the /e7.511-2-.44/ sub a following areas • Indicate the restricted energy installation
a copy C• /State • Zip Phone g
of all licenses p f 0252- 7 Restricted Audio/Stereo
are required if Oregon Const. Cont Board Exp. Date Energy System Alarms
expired in COT Uc.# o Installations Vacuum Irrigation
5
database 0 4 / / '-3 - 99 ' . System System
Plumbing Name / (check all that Other. -
Sub- ) 1 P hjJ » 4,i 4 apply) -
Contractor Mailing Address . Comer Lot YES N Flag Lot YES N
/� o (check one) (check one)
St L Has the Subdivision Plat recorded? N/A , :sT NO
Prior to permit CM /State Zip Phone
issuance, a copy (0 h/ t q,i"YJ -
of all licenses are Oregon Const. Cont. Board E xp. Date •
required if Lic.#
expired in COT V (960 /G) "19 -a) 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
a6 -- of 3 r Q '3l - /, Oregon State laws.
Name Sign�t,ure of her gent Date
Electrical asa/4.7i 7,,�✓,' "2i %J r,��n ,.o ,� 4 3-- /- f
Cont a on 'Na P
Sub- Mailing Address �� hone
Contractor ,-,2/ 2,,3 ..S ` .S "i7/ (qol 7 • 7
City/State Zip Phone/
Prior to permit - 9/ . -- issuance, a copy ��(i 5 / - FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Ua# _ Platt Map/TL#:
expired in COT / // 5 ! _ 3 —Ab / ,Wvdcl./OvI ( 3 '3/i/13
database Electrical l #. E D - I Setbacks: Zone: Solar.
_a _, , s v.1 -gq 13 7 , V _
- [Electric-el Supervisor Lic. # p . Da E ngineering Approval: Planning Approval: - TIF:
.1-70 s Id _, - v/
- I :ldsts\fomhs%sf 1120/98
•
•
•
01/05/2000 Activities for Case #: MST1999 -00269
10:21:38 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 12/21/1999 MRS PASS No Hold MRS 12/21/1999
MSTA008 Permit Created 08/03/1999 BT2 DONE No Hold BT2 08/03/1999
MSTA010 Check for prd. restrict. 08/03/1999 BT2 DONE No Hold BT2 08/03/1999
MSTA012 Plans routed to Plans Examiner 08/03/1999 BT2 DONE No Hold BT2 08/03/1999
MSTA026 Plans approved by PIn Examiner 08/03/1999 BT2 DONE No Hold BT2 08/03/1999
MSTA030 Reviewed plans routed to DSTS 08/03/1999 BT2 DONE No Hold BT2 08/03/1999
MSTA700 Erosion 844 -8444 08/03/1999 08/03/1999 No Hold BT2 08/03/1999
MSTA705 Footing lnsp 08/03/1999 08/03/1999 08/19/1999 KS PASS No Hold AKJ 08/19/1999 1) initial erosion control app
2) ufer rog tagged
3) install sleeve at ftg for crawl
drain and others
MSTA706 Foundation lnsp 08/03/1999 08/03/1999 08/23/1999 KS PASS • No Hold AKJ 08/23/1999
MSTA710 Post/Beam Structural 08/03/1999 08/03/1999 09/01/1999 GS PASS No Hold AKJ 09/01/1999
MSTA711 Post/Beam Mechanical 08/03/1999 08/03/1999 .09/01/1999 GS PASS No Hold AKJ 09/01/1999
MSTA712 Underfloor insulation 08/03/1999 08/03/1999 No Hold BT2 08/03/1999
MSTA713 Crawl Drain /Backwater valve 08/03/1999 08/03/1999 08/24/1999 GS PASS No Hold AKJ 08/24/1999
MSTA714 Footing /Foundation Drain 08/03/1999 08/03/1999 No Hold BT2 08/03/1999
MSTA715 Pim/undslab lnsp 08/03/1999 08/03/1999 No Hold BT2 08/03/1999
MSTA71 PLM /Underfloor 08/03/1999 08/03/1999 08/31/1999 GS PASS No Hold AKJ 08/31/1999
MSTA720 Mechanical Insp 08/03/1999 08/03/1999 No Hold BT2 08/03/1999
MSTA722 Plumb Top Out 08/03/1999 08/03/1999 10/20/1999 TLP PASS No Hold JS 10/20/1999 No pressure on bange
MSTA723 Electrical Service 08/03/1999 08/03/1999 10/15/1999 CD PASS No Hold JS 10/15/1999 rough in & Service.
MSTA724 Electrical Rough In 08/03/1999 08/03/1999 No Hold BT2 08/03/1999
MSTA725 Framing Insp 08/03/1999 08/03/1999 10/20/1999 TLP PASS No Hold JS 10/20/1999
MSTA726 Shear Wall Insp 08/03/1999 08/03/1999 No Hold BT2 08/03/1999
MSTA735 Gas Line Insp 08/03/1999 08/03/1999 10/20/1999 TLP PASS No Hold JS 10/20/1999
MSTA736 Gas Fireplace No Hold BT2 08/03/1999
MSTA740 Insulation Insp - 08/03/1999 08/03/1999 10/22/1999 GS PASS No Hold JS 10/22/1999
MSTA752 Rain drain Insp 08/03/1999 08/03/1999 08/24/1999 GS PASS No Hold AKJ 08/24/1999
MSTA760 Water Line Insp 08/03/1999 08/03/1999 08/24/1999 GS PASS No Hold AKJ 08/24/1999
MSTA765 Appr /Sdwlk lnsp 08/03/1999 08/03/1999 11/04/1999 MW PASS No Hold VT 11/04/1999
MSTA790 Electrical Final 08/03/1999 08/03/1999 12/21/1999 BRP PASS No Hold RB 12/21/1999
Page 1 of 2
01/05/2000 Activities for Case #: MST1999 -00269
10:21:38 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA795 Mechanical Final 08/03/1999 08/03/1999 12/27/1999 TLP PASS No Hold AKJ 12/28/1999
MSTA797 Plumb Final 08/03/1999 08/03/1999 12/27/1999 TLP PASS No Hold AKJ 12/28/1999
MSTA798 Final inspection 08/03/1999 08/03/1999 No Hold BT2 08/03/1999
MSTA799 Building Final 08/03/1999 08/03/1999 12/27/1999 TLP PASS No Hold AKJ 12/28/1999
MSTA032 DST Post - Review Completed 08/06/1999 BON DONE No Hold BON 08/06/1999
MSTA080 (F) Ready to issue 08/06/1999 BON DONE No Hold BON 08/06/1999
MSTA097 Issue electric signature form 08/25/1999 AKJ RECD No Hold AKJ 08/25/1999
MSTA092 (F) Issue combination permit 08/18/1999 BON DONE No Hold BON 08/18/1999
MSTA095 Issue plumbing signature form 08/25/1999 AKJ RECD No Hold AKJ 08/25/1999
MSTA727 Exterior Sheathing lnsp 10/05/1999 KS PASS No Hold AKJ 10/05/1999
MSTA765 Appr /Sdwlk Insp 11/19/1999 11/19/1999 11/18/1999 MW PASS No Hold VT 11/19/1999 PASS
MSTA960 (F) Issue Cert. of Occupancy , 12/27/1999 TLP DONE No Hold JMT 01/05/2000
Page 2 of 2
/% CITY OF TIGARD BUILDING INSPECTION DIVISION i� _ O a� i
1 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
2/ p BUP
n 3 , Gate Requested /. /''9 AM PM BLD
Location Fe J r Suite /09' MEC
Contact Person /�-�/'rvl Ph 0 — 3370 PLM
Contractor Ph Sw
C�UILDIdt 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 •
ma
FAIL
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain ' s
• -
� ' T FAIL
Post & Beam
Rough In
Gas Line
S • e Dampers
PART FAIL
CTRICAL
Service
Rough In
UG /Slab
Low Volta
Fire Al ✓
Final.
'PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer /-
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 Other D a l 27/ 94 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.