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Permit �/ o5 1 4 CI TY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00276 ,rf DEVELOPMENT SERVICES DATE ISSUED: 10/1/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07913 SW LEISER LN PARCEL: 2S112BD -05100 SUBDIVISION: LEISER PARK ZONING: R - 4.5 BLOCK: LOT: 015 JURISDICTION: TIG REMARKS: New SF. 2/3/05, ADDING NC. BUILDING REISSUE: LP017 -A1 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1.457 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,830 sf GARAGE: 632 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 20 VALUE: 320 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,287 sf REAR: 15 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: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: 1 VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 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: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: 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 +amp6- 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: ALL- ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,558.66 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, laws. A of l w k wil b o ne i n 12755 SW 69TH AVE #100 12755 SW 69TH AVE #100 and all other applicable laws. All work will be done in PORTLAND, 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. Phone: 503 620 - 8080 Phone: 620 - 8080 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 60563 rules are set 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 Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Framing Insp Low Voltage Gyp Board Insp Sewer Inspection Underfloor insulation Electrical Service Shear Wall Insp Gas Line Insp Rain drain Insp Footing Insp Crawl Drain /Backwater Electrical Rough In Shear Wall Insp Gas Fireplace Storm drain Insp Foundation Insp PLM /Underfloor Electrical Rough In Shear Wall Insp Insulation Insp Water Line Insp Post/Beam Structural Mechanical Insp Framing Insp Exterior Sheathing Insf Insulation Insp Water Service Insp Issued B : ' • ; i�.. ��— Permittee S ignature : v ....0 ....0 „, , Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next businesdday Ifs' ®T FL4 9/10/04 L. OT *IS LE F4K _ G _ _ ® WATER METER W WATER LINE `1Q13 S.W. LEISER LANE 1' = 20' - 0' SS SANITARY SEWER SD STORM DRAIN N.W. 1/4 OF SECTION 12, T.2—S, R1 —W, W.M. ct ct OF STREET LU4S+- I iNCxTON COUNTY, OREGON ® MANHOLE CATCH BASIN T ail ' , G E 1\ 1 0" PROPOSED L W F S PROVIDE EROSION 167, STREET TREES A' ��1� - `® 4loe� ; ! !' C ONTROL SCE PER ® STREET LIGHT ®. ' COMMUNITY' EROSION PLAN a : . 4 A ��(' 12765 80th AVE. =nal () 820 -8080 F IRE HYDRANT � ;swu 1� 10 E0178 100 ra (503) 508 -8000 (` PORTLAND. OR. 97223 Cal/ 80689 m IN r 1- r A S 89'05'50' W 113 75,30' 112 Il {11 I lit,..- , 4 . . i4 A A ef,( 11 // di 1110 112.5' z. v f ) �� �1i /� �^ 4639' ;Z2 112 `rAKIII //�� 0.. LOT 15 11111 113 M - 1 0 697 SW. 'FT, o pr FAI R L E I GH I A I FIN.FtR176Y = 114 GAR. FLR. = 1745' 5,441 _ , / ����� • 1 . 142 , - 1143 •. •' ❑ L( /113 . r .. ❑ 40.42' 4; ;•. 115.1' • •t W ,� • • A • ` t18 in 8' -0" P.U.E. :114.0 .. 4 wil ump...' - & = 89'11'3 / W : : i' . ~ ' `° S 89'03'36' E ®;:...„-- SIDEWALK •. • o *41tOr c p. :ice .' -''; .. . • Q) Vi S.W. LEISER LANE___---- I f 01 0 ,- 1— .. ITy OF TIGARD MASTER PERMIT PERMIT #: MST2004-00276 F.. d �y DEVELOPMENT SERVICES DATE ISSUED: 10/1/2004 .- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07913 SW LEISER LN PARCEL: 2S112BD -LP015 SUBDIVISION: LEISER PARK ZONING: R - 4.5 BLOCK: LOT: 015 JURISDICTION: TIG REMARKS: New SF BUILDING REISSUE: LP017 -A1 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1,457 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,830 sf GARAGE: 632 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 Tan: sf RIGHT: 20 VALUE: 320,039.20 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,287 sf REAR: 15 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: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 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: 1 WOODSTOVES: GAS OUTLETS: 5 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: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 • 400 amp: 201 • 400 amp: 1st W/O SVC/FOR: 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+ 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: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,543.54 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of OR. Specialty Codes 12755 SW 69TH AVE #100 12755 SW 69TH AVE #100 and all other applicable laws. All work will be done in PORTLAND, 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. Phone: 503 620 - 8080 Phone: 620 -8080 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 60563 rules are set 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 Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insi Gyp Board Insp Appr /Sdwlk lnsp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Beam Structural Mechanical lnsp Shear Wall lnsp Insulation lnsp Water Service Insp Building Final Issued By : , . _ _ s . Permittee Signature : A, CaII (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building- Permit A I ; ro E I VE D FOR OFFICE USE ONLY City of Tigard Date/B y "/ ' � „ 7 j , IN Permit No.. . -,- 2 /I 4 j '1 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review Phone: 503.639.4171 Fax: 503.59R.19 1 6 2004 , �� Date /B : MA - ,- - U Other Permit: �t — �, �� Inspection Line: 503.639.4175 � etA I. , Date Read /B 74 See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method Supplemental Information BUILDING DIVISION TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $319,076.40 ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building I=1 Multi-family Number of bedrooms: 5 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 7913 SW Leiser Lane New dwelling area: 3287 square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: 632 square feet Suite/bldg. /apt. no.: Project name: Leiser Park Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Leiser Park Lot no.: 015 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Legend Homes Type of construction: Address: 12755 SW 69 Avenue, Suite #100 Occupancy groups: City /State /ZIP: Portland, OR 97223 Existing: Phone: (503)620 -8080 Fax: (503)598 -8900 New: ® APPLICANT ® CONTACT PERSON NOTICE Business name: Legend Homes All contractors and subcontractors are required to be Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12755 SW 69 Avenue jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: Portland, OR 97223 apply: Phone: (503) 620 -8080 Fax: : (503) 598-8900 E - mail: slucas @Iegendhomes.com CONTRACTOR Business name: Legend Homes BUILDING PERMIT FEES* Address: 12755 SW 69 Avenue, Suite #100 Please refer to fee schedule. City /State /ZIP: Portland, OR 97223 Fees due upon application Phone: (503) 620 -8080 Fax: (503) 598 -8900 Amount received CCB lic.: 060563 Date received: Authorized signature: , 24 -- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I P rint name: Steve Lucas Date: 9/15/04 * Fee methodology set by Tri- County Building Industry Service Board. ,.,.,_,,,;,.4. :::...;s:11t)^ °ermitApp. doc "/03 440- 46I3T(I I /02!COM/WEB) 10/31/2002 00:04 6427925 PAGE 02 a�r_ - cvu4 wcu u�i.14 ?11 Legend Homes FAX N0, 5035988900 P, 03/03 ' RECEIVED . Electrical Permit ApoIk.j t1Od rl )tC / •t l •1l 1. .s : (1`1 City of Tigard SEP 16 20 i r +�,m,rto.:` 5 —2GY1 ei —00„z-7 t 13125 SW lull Blvd„ Tigard, Olt 97223 1' on new Q < Other Phone: 503.639.4171 Faze 303.596.1960 CIT F TI , ! ., ; ., .:. , .. , ^...�.� inspectica Linn: 503.6339,4173 BUILDING D =,:! •,I , DM Awe By: ' � ` 01 p ' • Internet: www,ct.tl8ard or,ut , Wad — ... Mane :;l t I, 1 iTl '1.1, . ;5 "�..,. n , p ' . )'.' tllp[ r .1 1 ;� ;.e A y�j t f :,.1i;'j.•. " VI:. 'I �:�L I sk ;c ',' '':n L y; ! :7(. •: .r j r :M 1: f '.lc; ;' �1 t• ,":rV.:.l:•.1 4, :' . I ' ( � I,, �rl ll,'.t �1 . i ... „o:� � '�::f �,4 I' ��� 1 i 1' � i, �':'� � ?.:lfNN'. �'' r �f� f� i i3t i,! II'ff : ,��I.�� � .� . I .''l r , a i i 1 I I :�1ry' ".� �{ '�. I . � . p t. t 1'!' ��;�i.. ',�L id • : i�� •f I l l . f ::L'Lh.., Ploaer check all that apply: 1 ($ New ennittruation CD Addlttan /islteratiotvreplscerrott ❑9 vice k all t ha angle, ecntm'1 D }(u dal,alaatio,t Demolition Q Other: InterviCO over 320 amps - rating ©Bulldnp ova' 10.000 µl' it„ y . . r' u ' . 1 „'',.'.'4 3 . ^riF : ';t5l;ai�'' :' ii' of 1- and 2-farni)y d efts WOO fla 4 or w rexnd ldapl ❑9yatemaver 600 valid nominal 4 or in one str aide I • and Z•4hrill'y dwelling NI Comrnar Commercial/industrial ndustttal 0 Aoecaaory building []Building aver throe atones CIPeaddre. 400 3nIPII or more Q Mu1ti•tbtnil tar Master builder • (],Jcenpunt load over 99 punlonf ©A nutitowntl rtrucesrer or .} 7 0 5 , ".' t , "7,l e 9 11','':� ' `i. B . s btingplim : ', I'„ I( il ,llji'..'� "yIL.I�i�� �1�'I`�R�'. f ti't�E:^lli.. •.. �,,l,: ": �: ° %�,r.i.ii.. .::���.' � gr 1 Job no.: Job site adtlt esa: 7613 SW Leber Lane clHatith.c.mc facility (: )Ot?16T1 Submit 2, saw dolma plena with any at the above. qty /SR�7' Tigard, OR 973i3 Teo above are not applicable to tamlwrnry construction service. �tt�alaAlll�i'WUi'++6+••�" • I . f,','. i. r F •/ � I � gull t/bldgJapt,1 o.: Prgloot name: Lapeer Pork [I sal, 4 . � rile* residential sink. or ' • a- ts,ntiy dw�sag unit. Cross Street/dlrectiona to job site; lndudod situated 'arago, ..• . _ - 1,O00sq. as orlon 1 _ - 145,15 t45• - 4 1 lot tic. 035 R i. aid', 500 s • , tt. or Portion 33,40 14..1 • •• 1 Subdivision: Leiser Park —_ -- _ ' Limited may, redden/sal NM 75.00 111111M1 ■ Tax map/Fare& no,: Limited energy, NM 73.00 ' jf; j, l�': 4I,. 1; r1:1 .5,�b'1'jl,.l'�'i,:��t,Lilp'i, e' !,_/S0(31{1; .0; ',..!?!.1 f39Qh1rRn6fiCtulQdormodYla► !!41;; . i!: 90.90 '� � '.. � ,Iwcll!n _, dory ice an�ar feodeP III Services or leaden bralatlatloa, altcrutlon. and/or relocation 200 amps ar lass 80,30 ^ Q ,,r �� ' f , r , ., l' • • ',I i'I I ,„, ,,,. f,., „,, 201 40193 to 400 woos 106115 ro;; ,f al. ,�'`r . M c r / p'.,', •, {��!; l�i!"'L% �,'� 1 '.: '► ^' ': . � li' ' ; 0 i0i,i 4a1 , ,,. to 600 4 ' '4040 2 Name: Legend Somme 601 amps to 1,000 snips 24 +].6 0 Ell Address; 12756 $W 69' Avenue, SutW 9100 Aver 1,000 • or volts ill1111111Q Oity/Sam/ZI P: Portland, OR 97223 Temporary emote= Or fccdet's i.stattINon, saeration, and/or ref - Endo Phone: (903)630.8080 I Sax; (303)9984900 200 tents or paten 66 -83 � IN • Own Ira Own pro mitMBtltlor This installation is being made on property that 1 own w11 ICI) is not 201 snips 10400 lava all 10030 O1111111111 intended for sale, Tease, rent, or exchange, according to ORS 447, 449, 570, and 701, 40 is to Goa amps 133.75 2 , O wner s Dote' grouch eircuita a now. altoradon, or asw,ulon, or panel j , ° ;l A F ee far Mance circuits wall ;i '; b ��C`T”; t.GN'i,I',' ('I ,:• .l:e ter:. , ! . .N . ih tarvtoeor each 6.65 2 Business name: Legend flannel branch circuit 1 ' O. Pea 4x branch circuits Contact name: Steve Lucas without ttervica or fodder ao, 46,03 2 ouch Sr h oirou It 2 Address: 12135 SW 60 Avenue, Suite 11100 fiaclt add') b,tanctt circuit 6.63 M{�epa,teoo« (a0rvier or icader sus h,aavdan City/State/ZIP; Portland, OR 97219 Pii p or iu ati m circle 5 j 2 . Ph (503) 620.9080 1 Fax:: (503) 59 &8900 Sian or outline totting ._ _ 53,40 2 signal cirt:llii(s) or Iirritcd- tit-mail: ltYC : t . endlW l lI•. f !i':� „" .. to - .I,; "T' energy panel, aitaraticn, or ,L':; , .,9j,i. . , ; , fl!,I r l iiii� II t � �' �.LL,�i.'•* ...if:' •" !• esla,telon. DC1WYlbe: a • Business name: Garner Eleotrlc --�— _ each additional byes:don ow dhow Dtb la • ' of the above Address' 2920 SW 247 Avenue 4 A Per imPasdon 6250 1 Investigation 9w hour 0 M mho 6230 CiCy/aratt>/Z'P:11111t>bore, OR 97123 _ —. rant , . hour 73.73 Far. p �r i. ,; Phone: (503) 591 -1320 aut: (503) 6' -7923 E!2 1 Nt .,, >ww' 1.,•;11!' ::1'": i'4 �I �;,'IJI'I��I�.4a'i ;l'II ,�. "'a?51fri= -a, *e 4 Sup rv. c.: 3709.9 btot Sual \Z .\s CC$ Lie,: 121159 81�� Lie,: 34- Pion review (239b Of permit f Suprv. Rlearioian signature, required; /� N. abrasive (8".A ofporrink Ica) 2.A .`1'i' it �. ` r ..:� �j o . _ Punt name: V 04 fC� - r \' OTwL PRILMIT nut 33-4-. IZ ---- Nth Parmat ; m um Ir a permit It not obtained wtrrls tau Authortalod signature: Nth «her It lam boas accepted w complete • pea ntethwbbay set by In-Calmly mimeo In4Way Service Board Print cattle: Date: •• Number oimpaction pcpermit allowed. 1 Mechanical PermiED FOR OFFICE USE ONLY City of Tigard Received � , Y Date/By: No.� �� L A y t 13125 SW Hall Blvd., Tigard, OR 97222+[p 16 2004 Plan Revie Phone: 503.639.4171 Fax: 503.598.19 f Date /By: Other Permit: Inspection Line: 503.639.4175 CITY OF TIGARD t -��i A Date Ready /By: luris: See Page 2 for Internet www.ci.tigard.or.us BUILDING DIVlgl ®t, Notified Method: Supplemental Information TYPE OF WORK ` � j COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ® New construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all El Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning or heat pump Jcb site address: 7913 SW Leiser Lane (requires site plan showing placement) 14.00 City /State /ZIP: Tigard, OR 97223 Fumace 100,000 BTU (ducts /vents) 14.00 Fumace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Leiser Park Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Leiser Park Lot no.: 015 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 ® PROPERTY OWNER ❑ TENANT Other: 10.00 Name: Legend Homes Environmental exhaust and ventilation Range hood /other kitchen Address: 12755 SW 69 Avenue equipment 10.00 City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (503)620 -8080 Fax: (503)598 -8900 toilet compartments, utility rooms) 6.80 0 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Legend Homes Fuel piping Contact name: Steve Lucas $5.40 for first four; $1.00 for each additional Address: 12755 SW 69' Avenue, Suite #100 Furnace, etc. Gas heat pump City /State /ZIP: Portland, OR 97223 Wall /suspended /unit heater Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater Fireplace E -mail: slucas@legendhomes.com Range CONTRACTOR Barbecue Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES* City /State /ZIP: Oregon City, OR 97045 Subtotal Minimum permit fee ($72.50) Phone: (503) 557 -2220 Fax: (503) 557 -0919 Plan review (25% of permit fee) CCB lic.: 72623 State surcharge (8% of permit fee) TOTAL PERMIT FEE / This permit application expires if a permit is not obtained within 180 Authorized signature: . 74 — " days after it has been accepted as complete. Print name: Steve Lucas Date: 9/15/04 * Fee methodology set by Tri- County Building Industry Service Board i' \ Building \Permits \MEC- PermitApp.doc 12/03 440 -46I7T (1 I /02 /COM /WEB) P Pe FOR OFFICE USE ONLY - City of Tigard Date/By: Permit No.N,N.7311200 Y - J -76 13125 SW Hall Blvd., Tigard VQRQ972 3n 2004 Plan Review Phone: 503.639.4171 Fax: 598. •9A Date/By: Other Permit No.: ;;� 24- Hour Inspection Line: ■ e'I I I Date Ready /By: Juris: ® See Page 2 for Internet: www.ci.ti ard.or'tls' " ((�� 5TIGAR® g GUIL®I vPE'ngRK Notified/Method: Supplemental Information FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist. Description Qty. 1 Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 7913 SW Leiser Lane Catch basin or area dram 16.60 City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench dram 16.60 Suite/bldg. /apt. no.: Project name: Leiser Park Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 l Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Leiser Park I Lot no.: 015 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ® PROPERTY OWNER ❑ TENANT Ejectors /sump 16.60 Name: Legend Homes Expansion tank 16.60 Address: 12755 SW 69 Avenue, Suite #100 Fixture /sewer cap 16.60 CiiyiSiaic /ZIP: Portland, OR 97223 Floor drain /floor sink/hub 16.60 Phone: (503)620 - 8080 Fax: (503)598 - 8900 Garbage disposal 16.60 ® APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Legend Homes Interceptor /grease trap 16.60 Contact name: Steve Lucas Medical gas (value: $ ) Page 2 Address: 12755 SW 69 ' Avenue, Suite #100 Primer 16.60 City /State /ZIP: Portland, OR 97223 Roof drain (commercial) 16.60 Sink/basin /lavatory 16.60 Phone: (503) 620 - 8080 Fax: : (503) 598 Tub /shower /shower pan 16.60 E - mail: slucas @legendhomes.com Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: Wolcott Plumbing Water heater 16.60 Address: P.O. Box 2007 Other: Subtotal City /State /ZIP: Gresham, OR 97030 Minimum permit fee: $72.50 Phone: (503) 667 - 1781 Fax: (503) 667 - 9891 Residential backflow minimum permit fee: $36.25 CCB Lic.: 23847 Plumbing Lic. no.: 26 - 208PB Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: . TOTAL PERMIT FEE Print name: Steve Lucas Date: 9/15/04 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. is \Building \Permits \PLM- PermitApp.doc 12/03 440- 4616T(10/02/COM /WEB) ,--, j■AtIAAAAAAA AAA AAA A AAAA AAAAAAAAAA AAAAA AAAAAA AAAAA AAAAAAAAAAAAAA i m 'qi 1 1 rit:' 1 1 ST' , ,, ET TREE CERTIFICA 4 10 1,4 tis Ito- A ® D 3 1 O/ 4 caner ' ent for 4�- tlte4 (ACEASE PRthril (PERMIT HOLDER) 3- z 4241 d A . w A 1 �, ,� z 44 ix 1 Do hereb : Location meets .r`- 4:4°.s.' -w= �f i.:�l t -Ji . Id Oi�n ® 1 A I land use and development standards for street tree installation. Po gi it ® ADDRESS: 7 / 3 8 /5.e Y ZAQ n� /6 464-e'V 2 z 44 1 4 11 to. ® LOT: SUBDIVISION: 41 07. N ® BY: DATE: 0 5 i i in ® i 11 RECEIVED BY: _ DATE: N cq N A VVVVVVVVVVVVVVVVVYTYVVVVVVV VVVVV VYFVVVVVVVVVVVVYVVVVVVVV® m CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 c00 D© INSPECTION DIVISION Business Line: (503) 639 -4171 MST J 7 �o L,( BUP Received Dat5 Requested / / AM PM BUP Location 7 3 Suite MEC Contact Person rfl Ph ( ) (2 l 8�57� PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL l • Post & Beam ` Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE Unable to inspect — no access Fire Supply Line ADA oach/Sidewa Date \ _ Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. filio PART FAIL i CITY OF TIGARD 24 -Hour BUILDII1G-f _ . Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST- '� BUP Received Date Re nested 3 a AM PM BUP Location (3 Suite MEC Contact Person (( -J1.c -, / Ph ( ) .Q ' 3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: ASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line, ADA Approach /Sidewalk Date 3 — 2._— �� Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site® PASS PART FAIL CITY OF TIGARD 24 -Hour Inspection Line: BURDING� (503) ( ) 639 -4175 MST c; 60 - Ck INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested c AM PM BUP Location /3 Suite MEC Contact Person Ph ( ) % -3370 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab • Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing #i 2y ve 9 64V ) Insulation Drywall Nailing�����'`�� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof fiber: Fina PASS PAR PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers :TOW PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next ins. - ction. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL - SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date — ms ' Inspector Ext Other: - Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 01 INSPECTION DIVISION r Business Line: (503) 639 - 4171 t � BUP Received Date Requested AM PM BUP Location Suite MEC Contact Person Ph ( ) �' 33 - 76 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Framhnath/Shear (K,/ li Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire ;lam 'r Fi 4i Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. l PART FAIL S Please call for reinspection RE: 11 Unable to inspect — no access Fire Supply Line / ADA 4 7 - 1()_c . Approach/Sidewalk Date i Inspector Ext Other: Final DO NOT REMOVE this inspection recor om the job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour BUILDING ' • Inspection Line: (503) 639 -4175 MS� o2a0 00:7‘• INSPECTION DIVISION Business Line: (503) 639 -4171 �i BUP �a Received 3 1-2 Date Requested 2 /2' PM BUP Location 7 q 13 / S Suite MEC Contact Contact Person �� Ph ( ) 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam WAN Shear Anchors Ext Sheath/Shear MEW Int Sheath/Shear A / c L) 19 1 L, � //2)12)-71 ' Framing �L- y J l e Insulation Drywall Nailing Firewall A & N err C / Fire Sprinkler l Fire Alarm Susp'd Ceiling �� n Roof F2 �- l v �` /S A4 P A J S Other: Final ` C2 LSE & /9i''/ /. PASS PART FAIL PLUMBING Post & Beam © co-Er ti7 6 p7 �/ � � A � /( / y �A/ '.4-D Under Slab C l `7 ,f� , 1 Rough -In w �U 6- i Water Service �l /6/1--- Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRraAp tl rvtCr" Rough -In UG /Slab Low Voltage ALL — N C-. "fl F e Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P SS PART EAIL SITE Please call for reinspection RE: Unable to inspect — no access. ADASupply Line �� l /I ft-increivi° Approach/Sidewalk Date ` Inspector ` (mi Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING • Inspection Line: (503) 639 -4175 MST --9�' d p �7 l _ INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date R quested 1 AM PM BUP Location 7 C 1 / Suite MEC Contact Person / Ph ( ) - 7o PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear t 6 T � o r _ © f e p 1 r ti 67 Framing ` tz�l /� �Y Insulation K S 4 Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PAR FAIL SITE Please call for reinspection RE: LI Unable to inspect — no access Fire Supply Line / ADA Date g' / /7 I nspec t or Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record fr job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING • Inspection Line: (50 ) 639 -4175 , Zc r a y oG Z7.6 INSPECTION DIVISION _. Business Line: (5 ) 639 - 4171 Wes BUP Received c, Date Requested AM PM BUP Location '1 I I 6_61.S Suite MEC Contact Person I &72 g Y Ph ( ) Z ' _ 3 3' D PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam - Shear Anchors Ext Sheath/Shear Int Sheath/Shear K i 02. l L i' Framing Insulation Drywall Nailing Cal✓ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab - Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final FAIL LECTRICAL oug -In UG/ ab Low Voltage Fire Alarm Fi vt o Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. - PART FAIL $ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA I Approach/Sidewalk Date I + Inspector • Ext Other: Final DO NOT REMOVE this inspection record from he job site. PASS PART FAIL CITY OF TIGARD - 24 -Hour 0 • BUILDING • Inspection Line: (503) .39-4175 MST ;CD 9' _ 0)- 7( INSPECTION DIVISION Business Line: (51A' 639 -4171 BUP Received Date Req, ested —/ M PM BUP i r Location Suite MEC Contact Person / Ph ( ) d 9 337o PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing I tThr- V 4 -- —cu (fLe /ur'Po Insulation KONICCF Drywall Nailing T � Firewall V.,/ j�� & e, 6 cp? Fire Sprinkler Fire Alarm fit' Susp'd Ceiling J • e // re Roof / Iul / h( b Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELE TRICAL _ - ervice o gh -I . 7 ow'Vot ge .1 3 CA- C� ! - t1 l L_ /` �v►`� — , � 6 R Fire . - F ❑ Reinspection fee of $ required before next inspection. Pay at. City Hall, 13125 SW Hall Blvd. PASS PART SIT ❑ Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line Z./. ADA Date ` ' Inspector Ext PP Other: Final DO NOT REMOVE this inspection record N, . the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST a` o.•U 4 7� INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested ° ?"' 3 AM PM BUP Location Suite MEC Contact Person Ph ( ) ? -- 33 7C PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner. ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear J � Framing l." /4.u&L n �� ��QvGs� � Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers ina PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: 7 ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date � '�0 5 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING ' • Inspection Line: (503) 639 -4175 0 _ d .(1,.?,-7 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date equested ' / 7 AM PM BUP Location ' 7 l -3 o Z Suite MEC Contact Person / Ph ( ) O 9 3 3 7a PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall tY: Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ( j ` %' /LEI - / s Other: - - Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 1 PART FAIL ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for einspection RE: Unable to inspect - no access Fire Supply Line ADA Date 7 / I 5 Inspector Ext Approach/Sidewalk Other: Final " DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIG,ARD -- 24 -Hour 1 • BUILDING Inspection Line: (503) 639 -4175 � ova INSPECTION DIVISION Business Line: (503) 639 -4171 MST �" 7 BUP Received Date Requested /- "0 AM PM BUP Location 7 f / 3 Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) e4 6. - / 7 Fl SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler f �"���� J�i Fire Alarm 0 Susp'd Ceiling i Roof -11 Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain E Shower Pan Other: Fi PART FAIL ECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: El Unable to inspect - no access Fire Supply Line / ADA Approach/Sidewalk Date ! °� Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING • Inspection Line: (503) 639 -4175 MST`s' L/ - v c INSPECTION DIVISION Business Line: (503) 639 -4171 / BUP Received Date Requested / 2 U G M PM BUP Location • SC?) Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR "DI ft- . Tenant/Owner ELC g ELC Foundation Access: Ftg Dr -•. ELR n - . Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final S PART FAIL UMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole - Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect —. no access Fire Supply Line ADA Approach/Sidewalk Date // r L ` Inspector ! Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (5 , • 4175 ,� MSTOD DG2 INSPECTION DIVISION Business Line: •;f7'f ‘° 1 BUP Received Date Re uested a `� AM / PM BUP Location 79/3 - 4 - 4 0 A _) Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) t ' r% 7 -17 g j SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear l I na Sheath/Shear � I ( / N� f) 0 Framing VT/d Cam Insulation 1../V1 5 e■---1 Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof _�� Other: Final PASS PART FAIL PLUMBING ost & Bea n er ab Rough -In Water Service Sanitary Sewer / S Rain Drains Mk. — - _ — Catch Basin / Manhole � U �L_s" -� • Storm Drain Shower Pan Other: \, Final PASS FAIL MECHA AL Post & Be -m Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm • Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA / � /� Approach/Sidewalk Date / ``�I (O Inspector �` Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING • Inspection Line: (503)639-4175 -11 r � 0G2?,C INSPECTION DIVISION Business Line: (503) 639 - 4171 /647/70 BUP Received Date Requested 7 AM • PM BUP Location O � Suite MEC Contact Person Ph ( ) PLM' Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg� Access: ELR Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/She Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - i,i ` Fire Alarm i ll Susp'd Ceiling _ 1a� . - - Roof Other: i Final / ..l s� �:i � .. PASS PAR FAIL " P-L BING Put & eam Under Slab Ro.■ -I a • Catch Basin / Manhole Storm Drain Shower Pan Other: Final PART FAIL HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date / Inspector .r✓ Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD - 24 -Hour BUILDING • Inspection Line: (503) 639 -4175 MST AO6C-f -0 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date equested l ' Z AM PM BUP Location - 79/ 3 Suite MEC Contact Person i Ph ( ) a0 7 3376 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: Crawl Drain Thes SNP UJ ELR Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/She- r Cgill 400 ( `� Framing �s�3 Insulation Drywall Nailing (". '"' �� Firewall Fire Sprinkler Fire Alarm Susp'd Ceilin' Roof Other: Final �7 PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Siab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA / Exit _ _ �� Approach/Sidewalk Date Inspector Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL • CITY OF TIGARD 24 - Hour BUILDING Inspection Line: (503) 639 -4175 • 6 o 2 2) -7, , IN ECTION DIVISION Business Line: (503) 639 -4171 3 BUP Received S . 7 D to Requested °�/ AM PM BUP ' Location � / e,! - Suite MEC Contact Person ‘. 7 — E % Ph ( ) X9-- 70 PLM Contracto Ph ( ) SWR UILDI G Tenant/Owner ELC o ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors I E Shwath /Shear /I / / s ulation ./.----) — rywa ailing 4=: 26 - Cif mar z .�— FirewalI - -�l�i.G7-Z iII_. 6- GJi S� --' 46 7�i� Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fi PA RT FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab - Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA ®ate l � � � ' 7 — 2 c Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL v 4 FROE LICH CONSULTING ENGINEERS dau'$ ' .xm .�+t2'.af tS MAIN OFFICE ❑ CENTRAL OREGON ❑ 6969 SW Hampton Street 231 SW Scalehouse Loop, Suite 101 Tigard, Oregon 97223 Bend, Oregon 97702 503.624- 7005/503.624 -9770 FAX 541.383- 1828/541.383 -7696 FAX MEMORANDUM Date: 12 -15 -04 To: Steve Lucas Company: Legend Homes Project: Fairleigh IIA, Leiser Park Lot #15 (01 -T033) From: Todd Nagele Comments: This is in regards to the Fairleigh IIA built on lot #15 at Leiser Park. It is adequate per the Simpson specifications, for the HTT22 and HDQ8 holdowns to be attached to a minimum of (2) -2x studs. CITY OF,TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MSt1,& 6a� INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received ? R quested � J ( AM PM BUP Location -- 7 � / 3 Suite MEC Contact Person -- Ph ( ) & — 3 37D PLM Contractor Ph ( ) SWR 1 ILDIN Tenant/Owner ELC oo ing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam . Shear Anchors Ext Sheath/Shear '1`n Sheath/4p., nsulation ._.. elf � (� Drywall Nailin• Firewall ("43— Fire Sprinkler Fire Alarm Susp'd Ceili Roof Other: Fi,.. PART FAIL - IMVIAVI P • BI G AI A Post & Beam EPM Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin /Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL D1iAbeAL Post & Beam Male S • . - Dampers ' in.. PAS PART FAIL L Service UG /Slab Low Voltage Fire Alarm Final Reinspection fee •f $ required before,next inspection Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for einspec on RE: i i ' El Unable to inspect – no access ADASupply Line j if Approach/Sidewalk Date Inspector II Ext Other: Final 1 O NOT REMOVE this inspe on record from the job site. PASS PART FAIL CITY OF TIG,ARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST °366 y -oat -7 INSPECTION DIVISION Business Line: 03) 639 -4171 BUP Received Date Re.uested AM PM BUP Location 79/ 3 ` 2/t J Suite MEC Contact Person '1J = Ph (. ) — 33 7o PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ski Sheath/ ear Int Sheath/Shear _ r .� r / - D S An Framing Insulation �d M Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other Fi "ART FAIL :ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA J Approach/Sidewalk Date Inspector Ext Other: Final . DO NOT REMOVE this inspection recoil, om the Job slte. PASS PART FAIL CITY OF TIGARD - 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ,DYE -0 INSPECTION DIVISION Business Line: (503) 639 -4171 A BUP Received Date Requested / — �9 AM PM BUP Location Suite MEC Contact Person - t- PAA..� " Ph ( 09--33 PLM Contractor � Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors 2 Sheath/-A1V Sheath/Shear Framing 6) ` �Y✓L� /.06a."4..J 407 i"DS,'emu �� jt��4 -P� ex,/ Insulation Drywall Nailing // Firewall Fire Sprinkler �'�5 - '� 5 AS 0` Fire Alarm (� Aj4 /L Susp'd Ceiling Roof Other: Final PASS PART PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Date /1 Inspector //4 Ext d Approach /Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST a Ov D d� 7 BUP Received Date Requested /b _ ° 1 AM PM BUP Location 7 ) Suite MEC Contact Person Ph ( ) 2 09 —3 370 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT s Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fin PA _PART FAIL PLUMBING — Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL C Rough -In Gas Line Smoke Dampers Final wall PART FAIL EL - ICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 01 Inspector .. Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD - 24 -Hour • BUILDING Inspection Line: (51 • .39 -4175 MST � %— v) 7 INSPECTION DIVISION • • Business Line: 5! , • z9 -< 71 ' BUP Received Date Requested / — / 2 -- AM PM BUP Location Suite MEC Contact Person / Ph ( 11.57_3 - T7 / 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner . ELC Footing _ Fid`a io _ ELC A ccess: Ftg Drain ELR Crawl Drain _ - Slab Inspection N -4�� : " . . f SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation �1 424C . CAS Drywall Nailing ` Firewall Q �� , 1 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final �� ■ S S PASS PA FAIL PLUMBING -�'� C Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA \,4__)- Approach/Sidewalk Date � 2 - I nspec t or _ IExt Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour ,I � BUILDING Inspection Line: (503 C; . 75 MST , 7 _W7 INSPECTION DIVISION Business Line: (50 -,n " "'' BUP Received Date Request AM PM BUP Location Suite MEC Contact Person Ph ( ) C 7 / 7 PLM Contractor Ph ( ) SWR BUI G Tenant/Owner ELC ootin ELC dation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam /I° d Shear Anchors Ext Sheath/Shear Int Sheath/Shear ') /l� ° t — b ( -1 /-O 1/ \� Framing V ` 7 Drywall l l N Dryll Nailing � � �•, Firewall L`''� 7& CJ-C S Fire Sprinkler Fire Alarm Susp'd Ceiling - � Roof V yl`1 r 4•01k I ����1i ✓' l • Other: Final PASS FAIL PLUMB z Post & Be - IAA /1 Under Slab �/ V Rough -In "4 OA) Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole 9'0 Ul �.� Storm Drain ' Shower Pan ` feiS S Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reins ection RE: Unable to inspect - no access Fire Supply Line 1 ( qc ADA D v Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL