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Permit
CITY OF TIGARD MASTER PERMIT • PERMIT #: MST1999 -00351 gil DEVELOPMENT SERVICES DATE ISSUED: 10/22/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09012 SW PIPPEN LN PARCEL: 25111 DA -15600 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7 BLOCK: LOT: 149 JURISDICTION: REMARKS: PATH I: New single family dwelling w /attached garage. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 927 sf BASEMENT: sf LEFT: 4 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,227 sf GARAGE: 479 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 11 VALUE: $ 161,817.10 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 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: 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: 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 & 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: $ 5,692.51 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of OR. Specialty Codes and 6900 SW HAINES 6900 SW HAINES ST all other applicable laws. All work will be done in TIGARD, OR 97223 PLAZA Z SUITE 200 accordance with a TIGARD, OR 97223 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 0 R I G I ✓�.�, 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 Insp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Service Gas Fireplace Mechanical Final Foundation Insp Footing /Foundation Dr; Electrical Rough In Insulation Insp Plumb Final Post/Beam Structural PLM /Underfloor Framing Insp Water Line Insp Final inspection Post/Beam Mechanical Mechanical Insp Shear Wall Insp Appr /Sdwlk Insp Building Final By `� 9 Issued B �L— Permittee Signature : ,./ ..e i� . / �� Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the ne t bin • s day ciTY VI- I ItiANL) Keslaential I:Sullcling Permit Application Plan Ch- . ��„2,e, 13125 SW HALL BLVD. Additions or Alterations Recd B rI TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd o V 503 - 639 -4171 Date to P.E. Date to DST ®` " ° ` F 503 -684 -7297 Permit # lfls r /gay -o03S7 Print or Type Called to -ict-" 6).q Incomplete or illegible applications will not be accepted t ql SA* iff* -00 Pay Name of Project Name Job A yy , / may, 0,'L. £u ) PA '( If Mailin L * da'es v) ' ` Address S ' Add ss .. _Architect i a / - „ S,GU/f ` Lr U/ city/sta./6)c) SI-"- a Nam �� �� Cit a Zip Phone ' • . Name . � f j l r ,�� ° Y ' : ►� 10 i51 Owner M ling #c �� • • C' e . . , Z fi r' Ph En gineer Mailing Address '. �'' .,�, :. . . q� :'•: : . ' jam ; • General •• N -. , , .,K , , . .: ; : rap . ` ,- � .,. _/. . y` .. h ,r . � • •�i+�•t.il ••" _ r' ' , ;' yy y y,' �1f ; .- �1 y� ' Contractors ' .; ' p : ` • .; y nt;* d . . $' Des Work : New - A ddition 0 :• - Alteration 0 • , ;V t. ::r•:•; . •' - , 9d d _ ti{ '•- •r t�AA- to be donet:�*".i'`i 5 k 1,,. ": ' f `.i';1 ; * �-r s � Prior to permit ' ` ... it • `... • . g Additional Descriptl N;+ : issrian a ' :- Y' . � ..• � w Description of _NVpr1k: �;:.: �. - : �.¢ �,,� �_ ; . .. �:, �; - � }`�`� • fate ; • ;, .�v"- giA`•. ._:,.. t � 1: C' .")),I.5 , O ;i9.: . , ; i . , l ,. � ., '.- .: of all licenses :,, , , P„ : . i :, 4:�. wsk - . . � �.� .r '�} . • ire r@gUlred�l( .'�' . �Y / 7nS t Cont. _ • /c n � r ' r r :4 ` �`f ��i.�'� ,S:z - °: 1.`'" _ ✓,. ... ��; Board , ate ._. � x . - ; Oregon _ Exp D a , . PROJEC -C �. /,, �( I n ; � f� expired in COT: Llca� }.<:. • ' r ;1':x•::: .-1µ{ • ' ,. x ,... 1. R.. ,r .( i V 1 I `� - ` ': . database-7; , � ..; �•,�?,�� = ' � 3 • . _ : i - � . ..�, : VALl�AT10 :► '$: � y : Mechanical • .. - '`. :� �,,.... ).:._. .,, , Nape f _ TRUCTIO : � tT. q •,��•�' �:� ; NEW,CONS OI�LY: ;.�.. ��:, `a .. �� , Su b= • ' .•6L Ft'House:" . � '� . t:-t'. Sq• I`S Ft. Garage Contractor Mailing Add = (: J , S ^A/ L L/ L r Prior to permit c: 'hi S , /03 • Indicate the restricted energy installation_ by the eI I : • Issuance, a copy C' /State Zip Phone subcontractor in the following areas - • i-, of all licenses ,e9it� 5<.3. 77 r1 Restricted • Audio/Stereo : - . are required it Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# • / r Installations Vacuum Irri database 1 / 57-3- I/ - � r • System System Plumbing Name (check all that - Other: - Sub- (» 9/ 4 1 »4;n ap ply) Contractor Mailing Address 1 Corner Lot YES NO Flag Lot YES NO iU 6Dj �0o7 i / (check one) 4 . (check one - A- - ) Has the Subdivision Plat recorded? N/A 1(F,�S NO Prior to permit C /State Zip Phone . J` Issuance, a copy (4 o s ) c. l 7.4,�c /J of all licenses are Oregontonst. Cont. Board Exp. Date required if Licit expired -in COT • (960, c ' /t - /9 -0 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 016 '")00 /6'3 0 ' of the owner, and that plans submitted are in compliance with Q '3� Oregon State laws. Name /..:_.,6e76: Sign of / ne r gent Date Electrical 60'0) - i � . 7. �� 142______ - - '! Sub- Mailing Address � ,. Contest a on a / Phone f �, �� ayy /5 Contractor ,I) 2P T / / f � . City/State Zip Phone/ / Prior to permit • issuance, a copy ,/(/ � .3-9i-/i0 . of all licenses are Oregon Const. Cont. Board Exp. Date FOR OFFICE USE ONLY: required if Lice Plat #: M a /TL#: / expired in COT / A //3 3- /q-'Ud j 2 /' a� 51 / /11,04-- /J` ,, O database Electrical Uc. #_ ER. Date - I S acks: Zone. Solar 1 �s c v ' - �r ' E 7 T � 1`}' - E lectrical Supervisor Lic. # Exp. pate - r Engin Bring Approval: Planning Approval: • TIF: C 2 ?0 7 5 _ j0 _, - Vote )k97r • ' /D - /$ - sy I. dstsvom sts 11/20/98 3/7/00 Activities for Case #: MST1999 -00351 • .8:34:04 AM • • Assigned - Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA722 Plumb Top Out 12/7/99 12/7/99 12/7/99 MRS PASS No Hold MRS 12/7/99 MSTA005 Application received 10/13/99 DEB RECD No Hold GEO 10/18/99 MSTA008. Permit Created . 10/18/99 GEO DONE No Hold GEO 10/18/99 MSTA010 Check for prd. restrict. 10/18/99 GEO DONE No Hold GEO 10/18/99 MSTA012 Plans routed to Plans Examiner 10/18/99 GEO SENT No Hold GEO 10/18/99 MSTA026 Plans approved by Pln Examiner 10/18/99 BT2 DONE No Hold BT2 10/18/99 • MSTA030 Reviewed plans routed to DSTS 10/18/99 BT2 DONE No Hold BT2 10/18/99 MSTA700 Erosion 844 -8444 10/18/99 10/18/99 No Hold BT2 10/18/99 MSTA705 Footing Insp . 10/18/99 10/18/99 10/27/99 GS FAIL No Hold GES 10/27/99 erosion control MSTA706 Foundation Insp. 10/18/99 10/18/99 10/29/99 • KS PASS No Hold VT 10/29/99 MSTA710 Post/Beam Structural 10/18/99 • 10/18/99 11/5/99 KBS PASS No Hold VT 11/5/99 MSTA711 ,Post/Beam Mechanical 10/18/99 10/18/99 11/5/99 KBS PASS No Hold VT 11/5/99 MSTA712 Underfloor insulation 10/18/99 . 10/18/99 No Hold BT2 10/18/99 MSTA713 Crawl Drain /Backwater valve 10/18/99 10/18/99 11/1/99 MS PASS No Hold MRS 11/1/99 MSTA714 Footing /Foundation Drain 10/18/99 10/18/99 Nb Hold BT2 10/18/99 MSTA•17 PLM /Underfloor 10/18/99 10/18/99 11/4/99 MRS PASS No Hold' VT 11/4/99 MSTA720 Mechanical lnsp 10/18/99 10/18/99 12/17/99 KBS PASS No Hold KBS 12/17/99 MSTA722 Plumb Top Out 10/18/99 10/18/99 12/6/99 MRS FAIL No Hold MRS 12/6/99 not ready MSTA723 Electrical Service 10/18/99 10/18/99 12/16/99 BP PASS No Hold DGW • 12/16/99 MSTA724 Electrical Rough In 10/18/99 10/18/99 12/16/99 BP PASS No Hold DGW 12/16/99 MSTA725 Framing lnsp 10/18/99 10/18/99 12/17/99 KBS FAIL No Hold KBS 12/17/99 #1 -1- add stud @ corner of rake wall © garage attachment - #-2- nail king studs garage • glu /lam #-3- strap plates @ three inch . - waste lower level #-4- min; ofsix inches width @ • winder stair tread MSTA726 Shear Wall lnsp • 10/18/99 10/18/99 12/7/99 KBS PASS No Hold KBS 12/7/99 . • MSTA735 Gas Line lnsp 10/18/99 10/18/99 12/17/99 KBS PASS No Hold KBS 12/17/99 #-1- gas piping test = 27 psi for 15 minutes ( tag) # 380023 . MSTA736 Gas Fireplace No Hold BT2 10/18/99 MSTA740 Insulation Insp . 10/18/99 10/18/99 12/21/99 KBS PASS No Hold KBS 12/21/99 • MSTA760 Water Line lnsp 10/18/99 10/18/99 11/1/99 MS PASS No Hold MRS 11/1/99 MSTA765 Appr /Sdwlk Insp 10/18/99 10/18/99 1/7/00 PI PASS No Hold AKJ 1/9/00 Page 1 of 2 3/7/00 Activities for Case #: MST1999 -00351 8:34:04 AM Assigned Hold Updated . Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA790 Electrical Final 10/18/99 10/18/99 2/10/00 TLP FAIL No Hold AKJ 2/10/00 door locked MSTA795 Mechanical Final 10/18/99 10/18/99 2/22/00 KS PASS No Hold AKJ .2/22/00 MSTA797 Plumb Final 10/18/99 10/18/99 2/10/00 MRS FAIL No Hold AKJ 2/10/00 1) dishwasher waste not hooked up 2) no water to CVC 1st floor MSTA799 Building Final 10/18/99 10/18/99 2/22/00 KS PASS No Hold AKJ 2/22/00 MSTA032 DST Post - Review Completed • _ 10/19/99 BON DONE No Hold BON 10/19/99 _ MSTA080 (F) Ready to issue 10/19/99 BON DONE No Hold BON 10/19/99 MSTA095 Issue plumbing signature form 10/25/99 SLT RECD No Hold ST 10/25/99 MSTA097 Issue electric signature form 10/28/99 SLT RECD No Hold ST 10/28/99 MSTA092 (F) Issue combination permit 10/22/99 BON DONE No Hold BON 10/22/99 MSTE705 Footing Insp 10/28/99 10/28/99 10/28/99 KBS PASS No Hold KBS 10/28/99 #-1- initoial erosion control app #-2- ufer rod (tag) MS•A752 Rain drain Insp 11/1/99 11/1/99 11/1/99 MS PASS No Hold MRS 11/1/99 MSTA728 Low Voltage 12/16/99 12/16/99 12/16/99 BP PASS No Hold DGW 12/16/99 MSTA725 Framing Insp 12/21/99 12/21/99 12/21/99 KBS PASS No Hold KBS 12/21/99 MSTA797 Plumb Final 2/17/00 2/17/00 2/17/00 TLP PASS No Hold AKJ 2/17/00 MSTA790 Electrical Final 2/17/00 2/17/00 2/17/00 TLP PASS No Hold AKJ 2/17/00 MSTA960 (F) Issue Cert. of Occupancy 2/22/00 KS DONE No Hold JMT 3/2/00 MSTA960 (F) Issue Cert. of Occupancy 3 /2/00 JMT DONE No Hold ST 3/7/00 3/7/00- mailed to owner /BT /file • . Page 2 of 2 . CITY OF TIGARD BUILDING INSPECTION DIVISION MST I qq9- 00 3S 1 24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP Date Reques ed o?/ 1 - 7/(}0 AM A/ PM BLD Location 60) 2 V 1(9 6 941 Suite MEC Contact Person - r - PXYlj Ph 20 -33 7o 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 ( 1 2 1,UMM1Nr' Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL BRCTRICAC Service Rough In UG /Slab Low Voltage Fire Alarm ar. •A APART 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 �7 Approach /Sidewalk Other Date / /t57O Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION sT� I g99-oo3st 24 Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP • Date Requested 2/ AM )( PM BLD Location go! Z p )to Suite MEC Contact Person Ph7.09 3 370 PLM Contractor Ph SWR . 11„211iG 5 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 -.501. i .d iG /1- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 4111200 RT PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final ✓ PASS PART FAIL �I I Post & Beam Rough In Gas Line Smoke Dampers 'ASS PART E TRICAL 1 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 2/ Z C10 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.