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8912 SW Ashford Street
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CITY OF �'IGARD MASTER PERMIT
PERMIT#: MST2000-00452
DEVELOPMENT SERVICES DATE ISSUED: 10/24/00
13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 08912 SW ASHFORD ST PARCEL: 2S111DA-16800
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 161 JURISDICTION: TIG
REMARKS: S/F Path II!
BUILDING
REISSUE STORIES: FLOOR AREAS _ REQUIRED SETBACKS REQUIRED _
CLASS OF WORM.: NEW HEIGHT: <'4 FIRST: 1,034 at BASEMENT: s' LEFT: 4 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,266 at GARAGE: 495 of FRONT: 10 PARKING SPACES: ..
TYPE OF CONST. 5N DWELLING UNITS. 1 FINSSMENT: of RIGHT: 4
VALUE: $173,897 00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,32000 sf REAR IS
PLUMBING
SINKS: 14 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES. 4 DISHWASHERS: 1 FLOOR or AINS: SEWER LINES: 100 SF RAIN DRAINS: 1 C nTCH BASINS:
TUBrSHOWERS: 3 GARBAGE DISP: WAIER HEATERS: I WATER LINES: +00 BCKFLW PREVNTR: I GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOIUCMP c 3HP. VENT FANS, 5 CLOTHES DRYER: 1
(',AS FURN—100K: UNIT HEATERS. HOODS I OTHr:R UNITS: i
MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES GAS OUTLETS: 1
ELECTRICAL_
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS _
1000 SF OR LFSS: I 0 200 amp: 0 200 amp: WISVC OR FDR I PUMPIIRRIGA TION: PER INSPCI 'ON.
EA ADD'L 500SF. 4 201 - 400 amp: 201 - 400 amp: 1s1 WIO SVCIFOR: 00 SIGNIOUT LIN LT: PER HOUR.
LIMITEU ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT.
MANU HM/SVC/FDR 601 • 1000 amp: 601-amps-lo00v: MINOR LABEL:
1000+amp'."!
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: AODIO R STEREO FIRE ALARM. INTERCOWPAGING:v OUTDOOR LNDSC LT,
BURGLAR ALARM. OTH, BOILER: HVAC: LANDSCAPEi'RRIG' PROTECTIVE SIGNL
GARAGE OPENER CLUCK: INSTRUMENTATION: MEDICAL. OTHR
HVAC DATA7TELE COMM. NURSE CALLS: TOTAL M SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 4,066.93
This permit is subject to the 1-1gulations contained In the
MATRIX DEVELOPMENT CORP LEGEND HOMES CORP I-igard Municipal Code State ut C!> Specialty Codes and
TIGARD,OR 97224 TIGARD OR
97223
6900 SW HAINES S7 STE 200 12755 69TH AVE all other applicahle laws All work will be done in
.
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
Orngon Utility Notification Center Those rules are set
Rep N: LIC 00060563 forth in OAR c,52-CCI-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSFECTIONS
Erosion Control Insp 8' Post/Beam Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrical;"inal
Sews,Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Footing nsp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb•Final
Foundation Ina; Footing/Foundation Din lectrical Service Low Voltage Water Line Insp Final inspection
Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp AppNSdwlk Insp Building Final
Issued By Permittee Signat
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next bus Hess day
CITYOF TIGAR D SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR201710-00308
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED. 10/24/00
SITE ADDRESS; 08912 SW ASHFORD ST PARCEL- 25111 DA-16800
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 161 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
'I ;'F OF USE: SF NO. OF BUILDINGS: 1
INSTAL . TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF residence.
Owner: FEES _
MATRIX DEVELOPMENT CORP Type By Data Amount Receipt
6900 SW HAINES ST STE 200
TIGARD, OR 97224 PRMT CTR 10/24/00 $2.,300.00 27200000000
INSP CTR 10/24/00 $35.00 27200000000
Phone: Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the r ales and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not
guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a""Tap and
Side Sewer' Permit and the Agency will install a lateral ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You may obtain copies oftheserules or direct questions to OUNC by calling (503) 246-1987
Issued b 1 = -__ ____ Permittee Signature
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next buelftes day
CITY OF TIGARD Res;fiential Building Permit Application Plan Check,
13125 SW HALL BLVD. Nevi, Construction Recd By "
TIGARD, OR 97223 Singh Family Attached 0210 Recd
V 503-639-4171 Date to P.E.
F 503-684-7297 Date to DST _Z -CU 0
Permit 1u4k4k oc 1(
Print or i ype called t
Incomplete or illegible applications will not be accepted '0
Lv
��— Name of Project — Name
Job P �
,� w�;� t � ( �,
Address site dress G Architect MailingA g,Na City/State Zip Phone
Owner Mailin ddress lame
59te Zip j Phone engineer Mai in A2drQss '
�J � L ORepairo General Na aa`_- hone
ContractorDescribeviorkw]9 ddition O A
Mailing-AArre-sss- - _to be done
Prior to permit f�'�Q,�,~ Additional Description of Work:
•issuance, a copy City/State Zip Phone —
of all lir.enses
are required if Oregon Const.Cont.Board Exp.Gate PROJECT
expired In COT Lic.# 5-&
/ � � ] '�
database C' (v4 UJ � VALUATION
Mechanical Name
NEW - -
CONSTRUCTION ONLY:
Sub- �� Sq. Ft. House: Sq. Ft. Garage
Contractor Maili A dre — �?,LC'
Pric:to permit -� �. �QS✓ Indi,.ate the restricted energy Installation by the electrical
153us,lce, a copy 1r:'-'Sllate Zip Phone subcontractor in the followin areas
of all licenses W �}7� - _70 Restricted Audi
�" y LLL Audio/Stereo
are required if regon on t.Cont. Board Exp.Date Energy S stern Alarms
expired in COT Lic.# Installations Vacuum __ Irrigation
database-_— 13 / ,`Jr�'"iQ(� S stem System
Plumbing Name __
(check all that Other:
Sub- o a pl )
Contractor 81111119 Address Number of Units in Building Unit Number Designation
Prior to permit hY/Sts e — Has the Subdivision Plat recorded? N/A Y=SN
issuance, a copy01
_
of all licenses are Oregon Const.Cont. Board Exp. Date
required if Lic.# _
expired in COT c,Z3 -� U _ I hearby acknowledge-that I have read this application, that the
database Plumbing 0c.# 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
_ Urtate laws.
Name Sig lure
Agen -� Q
atb
Electrical �ji�,� _ ��v l
Sub- Mailing Addrr..ss C te o t
Contractor
City/State Zip Phone
Prior to permit ,(� � lJ
issuance, a copy l) /64a
of all licenses are Oregon Const.Cont.Board Exp.Date FOR OFFICE USE ONLY:
required if Lic.# Plat#: >> MMa": ]
expired;n COT I.)�`/J_'? v1-►9�r I r ( 11�T I
datab rse Ebdrica�LL. -�a r/ Exp.Date t Setback , I � ?oris: v
Electrial Supervisor Lic. cS (p,.Date Engineering Approval: f �lanr.inq Approval: TIF:
;' i:tdstsVormsksra-new drtc 11/20/98
L>
PLOT PLAN 0-
i-OT #1(o1, APPLEWOOD PAR<
R7 PD 261 11 DA
TAX LOT 01(oSOO
8912 SW A6NFORD 6TREET
S.E. 1/4 OF SECTION 11, T.2, R.IW, W.M.
CITY OF TIGARD
WA6N INGTON COUNTY, OREGON
LEGEND
N�.� ]HOMES
'� 12766 911 69th AVENUE 9UIT� IOU
0►/ICE (609) 020-6000 TIGARD, OR. 97229
PAX (609) 696-6000 CCR/ 60669
SW ASHFORD 6TREET
N
lb
S CURB
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SIDEWALK - 1
8' UTILITY N89'54'2r, Z0d 1
EA°EMENTh2.00'
am s'
WATER METER 4 m' - 204.4'
W--------- WATER LINE
$3--- - SANITARY SEWER 2(d9ld'
Z05b' 2045'
5D- - - - STORM DRAIN '' j -� - 4.0
- - -- t OF STREET ►n !Lor !hl
• MANHOLE .4, 210 50. FT ^ 1�
CATCH BASIN e REISENT IIB
PROPOSED FIN. FLR ■ 2065'
0 /
STREET TREES Z GARAGE FLR 2099'
STREET LIGHT 40' :�j �,� 4.0'
FIRE HYDRANT -
Lor 162 205.9'
60
PROVIDE EROSION I'or 'op o
CONTROL FENCE
PER COMMUNITY le lk
N89'54'25"E
EROSION PLAN b20P�'
2fdbA' 205.1'
LCT 169
LOT 170 LOT 171
May-10-00 10: 21A Wolcott Plumbing 603 667 9891
P.02
WOLCOTT 5traetAddreas Mailing Address
�✓ 2050 N.W.rumside PO.Box 2007
/�
Gresham,Oregon Gresham,OR97030
LUMBINd (603)667-1781 Fax(503)667.9891
CONTRACTORS, INC. cca 423947
May 10, 2000
Building Department
City of Tigard
13125 SW Hull Blvd.
Tigard,OR 97223
Walcott Plumbing Contractor%, Inc. does hereby authorize a mpresentutive of Legend
Homes to represent this firm when applying for plumbing permits inside the-jurisdiction
P11' Che City of Tigard. Wolcott Plumbing Contractors, Inc. realize that should the
agreem,-nt with Legend Homes terminate, we have the right to witadraw our consent.
Name Title
. I
` uyz
.ignature nate
26-208P13 4281
State Plumbing License City License
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit #: MST2000-00452
Date. Issued: 10/24/00
Parcel: 2S111 DA-16800
Site Address: 08912 SW ASHFORD ST
Subdivision: APPLEWOOD PARK NO. 3
Block: L -)t: 161
Jurisdiction: TIG
Zoning: R-7
Remarks: S/F Path III
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of thq work to the address above, AT-TN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNEh PLUMBING CONTRACTGR:
MATRIX DEVELOPMENT CORP WOLCOTT PLUMBING CONT. INC
6900 SW HAINES ST STE 200 PO BOX 2007
TIGARD, OR 97224 GRESHAM, OR 97030
Phone #: Phone #: 667-1781
Reg #: I Ir 00023847
PI M 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Si 9 n`afure th d Plumber
� z
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GARNER ELECTRIC
21765 SW TUALATIN VALLEY HWY S
ALOHA, OR 97006-1248
Electrical Signature Form
Permit #: MST2000-00452
Date issued: 10!24!00
Parcel: 2S111 DA-16800
Site Address: 08912 SW ASHFORD ST
Subdivision: APPLEWOOD PARK NO. 3
Block: Lot. 161
Jurisdiction: TIG
Zoning: R-7
Remarks: S/F Path III
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
MATF,!X DEVELOPMENT CORP GARNER ELECTRIC
6900 SW HAINES ST STE 200 21785 SW TUAL,ATIN VALLEY HWY S
T!GARD, OR 97224 ALOHA, OR 97006-1248
Phone #: Phone #: 591-1320
Req #: LIC 121159
SUP 3707S
ELE 34-305C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Sin ur_ o u e ising Electrician
If you have ar,, quest;ons, please call (503) 639-4171, ext. # 310
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QI`Y OF TIGARQ BUILDING IN::►PECTION DIVISION
c
MST
24 Hour Inspection Line: 639-4175 Business Line: 639-4171 - --
BUP _
--_--Date Requested 2 —/ AM ��PM BLD
Location GJ /Z' s L=z h �0,.-•/ 5� Suite _ MEC _
Contact Person _ Ph PLM _
Contractor— Ph SWR --
__ Tenant/Owner ELC _
Retaining Wall — ELR
Footing Access: _ v--
Foundation FPS
Ftg Drain l i 1,),2Q4►2 /� �_Crawl Drain Drain Inspection Notes: SUN —�'
Slab _
Post& Beam — /----— SIT —A---
Ext Sheath/Shear �{ t�C i/� t �(�, V,�.
Int Sheath/Shear --Framing
Insulation
Insulation - -_ ------- — ---_
Drywall Nailing
Firewall -- -- -------- -_
Fire Sprinkler
Fire Alarm --0 - -- -�---"-�---
Susp'd Ceiling _--
Roof -`-
Misc:
mal —.,- --------- -�._`-----_
$� PART FAIL
PLUMBING
Post& Beam - -- --
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final - - - --- -
PASS PART FAIL
----- -.-----
Post 7Tr - - ----_
Rough In
Gas Line --- - - -
Smoke Dampers
a
AS PART FAIL
E TRICAL —
Service
Rough In —
UG/Slab
Low Voltage
Fire Alarm
Final ------ -
PASS PART FAIL
SITE -
Backfill/Grading -----
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: [ j Unable to Inspect-no access
ADA
Approach/Sidewalk
Other
Date -���5 /L' Inspector � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site,
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
Date Requested Z ' AMBUP
PM_ !/ BLD _
Location Suite _ MEC _
Contact Person Ph �— PLM
Contractor Ph SWR
BUILDING Tc-: ant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS —_-_`-
Fog Drain SGN
Crawl Drain Inspection Notes: --
Slab _ -- SIT _
Post&Beam --�-- —�—
Ext Shea!hlShear -- -----
Int Sheath/Shear
Framing _ - --___--------.--.--- _
Insulation
Drywall Nailing — --- - --- -
Firewall
Firs 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 RT FAIL
A
Service
Rough In
UG/Slab -
Low Voltage
Fir Alarm _.
SS P RT 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 ] ] Please call for reinspection RE I Unable to Inspect-no access
Fire Supply Line -
ADA /
Approach/Sidewalk Date'! �-. 0� Inspector Ext
Other
Final
PASS PvRT FAIL DO NOT REMOVE this inspection record from tFe job site.
I
CITY OF TIGARD BUILDING INSPECTION DIVISION MST .7r-,Lv -ted c�s"z
24-Hour Inspection Line: 6394175 Business line: 639-4171
BUP
Date Requested -/ Z- -A M L� PM _ - BLD
Location Sf�// Z- S�i f-�r-�f f Suite MEC
Contact Person Ph _ PLM _ —
Contractor Ph SWR
BUILDING � Tenant/Owner ELC �—
Retaining Wall ELR
Footing Access:
Foundation I FPS
Fig Drain SGN
Crawl Drain Inspection Notes:
Slab _ A 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 -
Post& Beam - - --- ---- ---- ---------- ----------___ ------------
Under Slab
' Top Out
Water Service _
Sanitary Sewer - —
Rain Drains
P S PART FAIL _.-
MECHANICAL
Post& Beam - — -- ----- -
Rough In
Gas Line - -- --
Smoke Dampeis
Final - ------ - -- - ----- - - ---- --
PASS PART FAIL
ELECTRICAL -- - -- --- - - --- --- - ---
Service
-- _.__ ------ -�------------------
Rough In
UG/Slab
Low Voltage
Fire Alarm
- ----------- ------------------
Final
PASS PART FAIL
SITE
Barkfill/Gradin{ --- ----- --- ---- --- --- ------
Sanitary Sewer
Storm Drain [ J Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Linr [ J Please call for reinspection RE: _ [ J Unable to Inspect-no access
ADA
Approach/Sidewalk
other Date _ Inspecto` _Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.