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Permit . Ai C MASTER PERMIT . CITY O F TIGARD PERMIT #: MST1999 -00307 1� DEVELOPMENT SERVICES R IGINA L DATE ISSUED: 09/21/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 08875 SW PIPPEN LN PARCEL: 2S111DA -11700 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7 BLOCK: LOT: 110 JURISDICTION: TIG REMARKS: New SF - Path I BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,005 sf BASEMENT: sf LEFT: 4 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 824 sf GARAGE: 520 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 4 VALUE: $ 139,517.73 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: sf REAR: 16 PLUMBING • SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 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: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 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 ADDL 500SF: 3 201 • 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: SIGNAL/PANEL: 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 & 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 8 SYSTEMS: Owner Contractor TOTAL FEES: $ 5,507.20 LEGEND HOMES 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 6900 HAINES OR ES ES S S T 6900 LEGEND ND SW PLAZA 2, HAINES ES S S T all other applicable laws. All work will be done in 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 Plumb Top Out Gas Line lnsp Appr /Sdwlk lnsp Building Final Footing lnsp Crawl Drain /Backwater Electrical Service Gas Fireplace Electrical Final Foundation lnsp Footing /Foundation Dr; Electrical Rough In Insulation lnsp Mechanical Final Post/Beam Structural PLM /Underfloor Framing lnsp Rain drain lnsp Plumb Final Post/Beam Mechanical Mechanical lnsp Low Voltage Water Line lnsp Final inspection Issued By : . ,___ ,��r Permittee Signature : % ■ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next bu i .Kda / . • CITY OF TIGARD Residential Building Permit Application Plan Check ' — ,1 Recd By /j 13125 SW HALL BLVD. New Construction Date Recd TIGARD, OR 97223 Single Family Attached Date to P.E. 1 -I n- /1 - 1 V 503 - 639 -4171 Date to DST - / S- y F 503 - 684 -7297 Permit # NISI I - 0707 Print or Type caudal-Ref-9f oe_ t4e6 Incomplete or illegible applications will not be accepted trio 01100 40 Fr ON /Jfs, Name of Project Name � � �� G � }` � Job �. ),Q,,�j4/ 7 r lc1 )�� Architect Mailing Aa�ress �/ Address Si dress J " t (y 9 �� , Yce 7 J / L City/State Zip r1 tr / p Phone Name ' y �! Name �' �, Owner M l in ddress _ „ ire-- L '1l bi Engineer Mai in A dr ss C' St to Z ip Phone J �j eyyyt // City /State Zip Phone General NaKle 7 i yotA f 772 (/- 700.1 Contractor C ey,t?� /101)\-.9 Describe work NewwF / ` 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 expire dt a in COT Lic.# -00 V ALUATION $ 1 35i/7, . 7 database c.SC[J Mechanical Name NEW CONSTRUCTION O NLY: Sub- X/ n 0) l Sq. Ft. l9 Sq. t�� e Contractor Maili ydrep 5 0� Prior to permit Mailing 1 - S f0.5------ Indicate the restricted energy installation by the electrical issuance, a copy C " Zip Phone subcontractor in the following areas of all licenses _i / c f7 )/e oq p3 - 7),/ Restricted Audio /Stereo are required if r on on t. Co Board Exp. Date Energy System d Alarms 3 expired in COT Lic.# �, / C � Installations Vacuum Irrigation database I ,�J ~/7 System System Plumbing Name /� (check all that Other: Sub - kildk e / t. //I�� if) apply) Contractor ili g Address , Number o f Units in Building Unit Number Designation l ' cl d / [ fl `'� c 7 Has the Subdivision Plat recorded? N/A y S NO Prior to permit ity /Std e Phon_ issuance, a copy p1 0/i,7 9 ! cD [, / 9 ' of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# 7 expired in COT 02. 3 /,y / P-/-9g 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 t9 /_ //� of the owner, and that plans submitted are in compliance with d o��� l� �� Oregon State laws. Name ''/l Sig ture of Own r /Agen . Date Electrical t�jar/LQ - C� �. ocilGC, � �f'� 9 - ---9 Sub- Mailing Address Cqo ct Pers ne Qhon y, f P �10�7 Contractor J 785 ju1TU Ake,e) City /State Zip Phone Prior to permit /l 1 / Q 7DO/ J ? / -/� issuance, a copy r) / rC' FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Date C, a3-17'W ' Plat #: Map/TL#: /� required if Lic. # expired in COT / of /1 / il - Z7 I Z� i�� - z.-- 2.5.\ 2.5.\ 11bA - I) .� ":: ) database Electri Li . Exp. Date Setba c ks: Zone: j _ c Electrical Supervisor Lic. # Exp. Date _Frtgin ri Approval: Planning Approval: TIF: �S lo r q--/o NA i:\dsts \formslsfa- new.doc 11/20/98 2/16/00 Activities for Case #: MST1999 -00307 3:04:44 PM • • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 APPlication received 9/8/99 BON RECD No Hold BON 9/10/99 MSTA008 Permit Created 9/10/99 BON DONE No Hold BON 9/10/99 MSTA010 Check for prd. restrict. 9/10/99 BON DONE No Hold BON 9/10/99 MSTA012 Plans routed to Plans Examiner 9/10/99 BON DONE No Hold BON 9/10/99 MSTA026 Plans approved by Pln Examiner 9/15/99 BT2 DONE No Hold BT2 9/15/99 MSTA030 Reviewed plans routed to DSTS 9/15/99 BT2 DONE No Hold BT2 9/15/99 MSTA700 Erosion 844 -8444 9/15/99 9/15/99 No Hold BT2 9/15/99 MSTA705 Footing lnsp 9/15/99 9/15/99 9/24/99 GS PASS No Hold AKJ 9/26/99 MSTA706 Foundation lnsp 9/15/99 9/15/99 9/28/99 GS PASS No Hold AKJ 9/28/99 MSTA710 Post/Beam Structural 9/15/99 9/15/99 10/6/99 KS PASS No Hold AKJ 10/6/99 strap each side of furnace plenum at crawl MSTA711 Post/Beam Mechanical 9/15/99 9/15/99 10/6/99 KS PASS No Hold AKJ 10/6/99 MSTA712 Underfloor insulation 9/15/99 9/15/99 No Hold BT2 9/15/99 MSTA713 Crawl Drain /Backwater valve 9/15/99 9/15/99 9/29/99 MS PASS No Hold AKJ 9/29/99 MSTA714 Footing /Foundation Drain 9/15/99 9/15/99 No Hold BT2 9/15/99 MSTA717 PLM /Underfloor 9/15/99 9/15/99 10/6/99 TLP PASS No Hold AKJ 10/6/99 MSTA720 Mechanical Insp 9/15/99 9/15/99 11/16/99 GS PASS No Hold VT 11/16/99 MSTA722 Plumb Top Out 9/15/99 9/15/99 11/3/99 TLP PASS No Hold VT 11/3/99 MSTA723 Electrical Service 9/15/99 9/15/99 11/16/99 BP PASS No Hold VT 11/16/99 no label - for tigard. rough in, service, and low volt are pass MSTA724 Electrical Rough In 9/15/99 9/15/99 No Hold BT2 9/15/99 MSTA725 Framing lnsp 9/15/99 9/15/99 11/16/99 GS FAIL No Hold VT 11/16/99 1. 2 X 12 blocking require between trusses at 2 X 14 ledges over L R sec detail 11/a6 2. reinforce glulam to post . connection over L R tag # 373551 MSTA728 Low Voltage 9/15/99 9/15/99 No Hold BT2 9/15/99 MSTA735 Gas Line Insp 9/15/99 9/15/99 11/16/99 GS PASS No Hold VT 11/16/99 MSTA736 Gas Fireplace No Hold BT2 9/15/99 MSTA740 Insulation lnsp 9/15/99 9/15/99 11/18/99 KBS PASS No Hold KBS 11/18/99 MSTA752 Rain drain Insp 9/15/99 9/15/99 9/29/99 MS PASS No Hold AKJ 9/29/99 MSTA760 Water Line lnsp 9/15/99 9/15/99 9/29/99 MS PASS No Hold AKJ 9/29/99 MSTA765 APPr /Sdwlk lnsp 9/15/99 9/15/99 11/30/99 MW PASS No Hold DGW 11/30/99 Looks good Page 1 of 2 2/16/00 Activities for Case #: MST1999 -00307 • 3:04:44 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA790 Electrical Final 9/15/99 9/15/99 1/19/00 v BRP FAIL No Hold AKJ 1/19/00 kitchen circuit dead MSTA795 Mechanical Final 9/15/99 9/15/99 10/29/99 KBS DONE No Hold KBS 10/29/99 #-1- range vent not complete MSTA797 Plumb Final 9/15/99 9/15/99 1/19/00 MRS PASS No Hold AKJ 1/19!00 MSTA798 Final inspection 9/15/99 9/15/99 1/26/00 TLP PASS No Hold AKJ 1/27/00 MSTA799 Building Final 9/15/99 9/15/99 10/29/99 KBS FAIL No Hold KBS 10/29/99 #-1- final erosion control app #-2- electrical finaled 10/27/99 BRP #-3- post insulation cert #-4- connect range vent #-5- sidewalk& approach approved by MW MSTA032 DST Post - Review Completed 9/17/99 GEO DONE No Hold GEO 9/17/99 MSTA080 (F) Ready to issue 9/17/99 GEO DONE No Hold GEO 9/17/99 MSTA092 (F) Issue combination permit 9/21/99 GEO DONE No Hold GEO 9/21/99 MSTA095 Issue plumbing signature form 9/21/99 GEO RECD No Hold AKJ 9/23/99 recd 9/23/99 MSTA097 Issue electric signature form 9/27/99 JMT RECD No Hold JMT 9/27/99 MSTA000 SF Detached Menu -1 unit No Hold KBS 10/29/99 MSTA726 Shear Wall lnsp 10/29/99 10/29/99 10/28/99 KBS FAIL No Hold KBS 10/29/99 #-1- nail gable ends MSTA727 Exterior Sheathing lnsp 10/29/99 KS PASS No Hold VT 10/29/99 MSTA726 Shear Wall lnsp 10/29/99 10/29/99 10/29/99 KS PASS No Hold VT 10/29/99 MSTA725 Framing Insp 11/18/99 11/18/99 11/18/99 KBS PASS No Hold KBS 11/18/99 #-1- approved per gs correction list MSTA790 Electrical Final 1/24/00 1/24/00 1/24/00 TLP PASS No Hold AKJ 1/24/00 MSTA795 Mechanical Final 1/27/00 1/27/00 1/26/00 TLP PASS No Hold AKJ 1/27/00 MSTA960 (F) Issue Cert. of Occupancy 1/26/00 TLP DONE No Hold ST 2/16/00 2/16/00- mailed to owner /BT /file • • Page 2 of 2 CITY OF TIGARD BUILDING INSPECTION DIVISION MST r 99 - O07 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 1 / BUP Date Requested t 2�� PD AM 1( PM BLD Location (76 � l p Suite p MEC Contact Person �-� Ph U� '� 'S 7 00 PLM Contractor Ph SWR UILDIN 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: • • SS PART FAIL = ING Post & Beam - Under Slab Top Out Water Service Sanitary Sewer ✓ Rain Drains Final P SA�� A PART FAIL (MECHANICYLD _ Post & Beam Rough In Gas Line Smoke Dampers -• S 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 Approach /Sidewalk Other Date /3,WO Inspector 70 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST I ?9 -oo3o7 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 1 /2 'i /oo AM PM BLD Location VK 7 S pi ppe,i, Suite MEC Contact Person Ph Z1- " 2 7 0 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation V 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 �CECTRI(: Se rviiCe Rough In UG /Slab Low Voltage Fire Alarm in; ' 4 PART FAIL 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 / Z L (dd Inspector Ext I Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION N60 / 999 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 p BUP Date Requested ! 06 AM e PM BLD Location ( 8 . $T S (2) pfeyt, Suite MEC Contact Person 7 Ph Z -3370 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 O MBING ost a, eam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 Approach /Sidewalk 2 Other Date Inspector / ri7 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.