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09009 SW ASHFORD ST.
CITYY O F T I G A R D CERTIFICATE OF OCCUPANCY
PERMIT#: MST1999-00417
DEVELOPMENT SERVICES DATE ISSUED: 01/05/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-15700
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 09009 SW ASHFORD ST SUBDIVISION: APPLEV�OOD PARK NO. 3 COPY
BLOCK: LOT: 150
CLASS CF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I: New single family dwelling w/attached garage & covered porch. Final Building Inspection
and Certificate of Occupancy Approved 5/2/00 by Tom Plescher, Building Inspector
Owner:
MATRIX DEVELOPMENT
12755 SW 69TH AVE #100
TIGARD, OR 97223
Phone: 620-8080
Contractor:
LFGEND HOMES CORP
12755 SW 69TH AVE #100
TIGARD, OR 97223
Phone: (320-8080
Reg#: LIC 00060563
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the buildin i has been inspected for compliance with the State of Oregon
Sp"if►tty Codes for a oup, occupancy, and use under which the referenced pernnit was
7:/d. ,
ti
UILDING INSPF..CTOR BUILDIN6 OFFICIAL
Pr_ST IN CONSPICUOUS PLACE
''!TY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
.� BIJP
_Date Requested_ oo AM -f PM
-- .-- —--- BLD
Location_ UCS �L .,��-��r ---N Suite _ —. MEC
Contact Person -jam/�x�1 — Ph PL.M --- -
--*- - ---
Contractor _ — J Ph SWR
ILDIN Tenant/Owner _ _ ELC
Retaining Wall ELIR
Footing Access -- --
Foundation FPS
Ftg Drain - ------
Crawl Drain Inspection Notes. SGN
.flab
Post& Beam -- -- ----
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation - --`- --
Drywall Nailing
Firewall
- - --
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof — - -
Misc
'ART FAIT. - - - - -- ---- - --
PLUMBING �J
Post& Beam - - --
Under Slab
Top Out
Water Service
Sanitary Sewer ------ -- -_
Rain Drains
Final ✓ ---
PASS PART FAIT_
MECHANICAL
Post& Beam
Rough In
Gas Line - - - - -
Smoke[tampers
Final'
PASS PART FAIL
ELECTRICAL --
Service
Rough In -
UG/Slab
Low Voltage —
Fire Alarm
Final � ----- - ---------- --- - — ..—
PASS PART FAIL
SITE _
t ickfill/Grading --- — -- -- —_.—_�_--
Sanitary Sewer
Storrs 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 RF ( J Unable to inspect- no access
ADA ,I
Approach/Sidewalk/ 2, �`/
other �— Date _� _ —�— Inspector — -- Ext ——
Final /
PASS PARI FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 6..9-4175 Business Line: 639-417-i L
BUP
—_Date Requested_ f2 r Q AM_ \K� PM _ BLD r —
I-ocation _� ``` ," `� Suite _ AEC
Contact Person Ph PLMM M -001 ]3 6FY�
Contractor Ph SW ,;
LD Ip Tenant/Owner _ _ _ ELC
eTaining Wall F_LR _
Footing Access: --
Foundation FPS
Fig Drain -- SGN --
Crawl Drain Inspection Notes. - —
Slab SIT
Post& Beam
Ext Sheath/Shear _
Int Sheath/Shear
Framing ------------------- _ ---- --- — -- ---
Insulation
Drywall Nailing //� ____ ��
Firewall ,s
Fire SprinklerLsJ
Fire Alarm --'��T.-. - V �'-------- _
Susp'd Ceiling �_11L1�'T �l
Roof
Misc:
ASS P RT _ -�-� ---- ------------------ -- - __ -
MBI
P-67s-&Beam - ---- -- - - -- - ---- - ._.-- ----
Under Slab
Top Out - -- - --
Water Service
Sanitary Sewer - -- - ---
Q Drains
- -- -
AS. PART FAIL
METMICAL
Post&Beam -
Rough In
Gas Line
Smoke Dampers
Final-
- -
PASS FART FAIL_
ELECTRICAL -- - - ----- - -�_
Service _
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain ]Reirispection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin i
ll f
Please call reinspection RE:
Fire Supply Line ] ] p _ _ ]Unable to Inspect• no access
ADA
Approach/Sidewalk✓ Date
Other /S�Upector_A lExt
- ll -_
G -- --------
Final
PASS PART FAIL DO NOT REMOVE this inspection record frons the job site.
DF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 gUP
Date Re uested L �� _ AM PM BLD
—
�_ -- ----
` � — MEC
Location Suite--� --- -- -
Contact Person _ _ _ Ph PLM
Contractor Ph _ _ SWR --
_
EI-C,
UILDING - Tenant/Owner — -- �—
aining Wall ELR
Footing Access: FPS
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes
Slab �____ - --- ---- SIT _ — ------
Post&Beam
Ext Sheath/Shear --
Int Sheath/Shear
Framing -
insulation --
Drywall NailingFirewall
Fire Sprinkler --5- �� � y ��)-�-�`'u�'�l)/ll /.�! _F•+'�
Fire Alarm
Susp'd Ceiling ---
Roof
Final
PASS PART FAIL ------ -•__..__...__-,�MR ON __ ---- -- - ---- -- ----
Post& Beam - ---------•�- -
Under Slab -�-
Top Out -------------- ---- -
Water Service - -- --- - --- -_ ------ -�_.�--- -
Sanitary Sewer
Rain Drains - --------------�---
i I � T F A I
NIcaL - ---- ---- -
Pos _-
Rough In
Gas Line -- - - --- --- -- --
Smoke Dampers
F. - - -- --
I
PART FAIL
RICC
Rough In
UG/Slab I -- -- �-
Low Voltage --- - _
F'MIJAkarm I --- ---
��in
S PART FAIL _. --- - -------—
Backfill/Grading -
Sanitary Sewer
Storm Drain [ J Reinspection fee of$- required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ J Please call for reinspection RE: _ __ _- — ] Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk pate L '4-161
Inspector Ext
Other .__ - -
Final
PASS PART FAIL DO NOT REMOVE this ir,Ispectinn record from the jots site.
f\ CITY O F T I GA R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2000-00113
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED:
SITE ADDRESS' 0900 eW ASHFORD ST
PARCE L: 2511'DA-15700
SUBDIVISION: APPLF_WOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 150 JURISDICTION: TIG
CLASS OF WORK- ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES _ _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: Y URINALS: GREASE TRAPS:
LAVArORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Residential backflow prevention device. __ T
FEES
Owner: --
--� Type By Date Amount Receipt
LEGEND HOMES PRMT BON 04/10/200C $25.00 0001290
12755 SW 69TH AVE 5PCT BON 04/10/200C $2.00 0001290
STE 100
TIGARD, OR 97223 Total $27.00
Phone 1: 503-620-8080
Contractor:
MARTIN SANDERS
PO BOX 307
NOR rH PLAINS, OR 97133 REQUIRED INSPECTIONS
Phone 1: 647-5567 RP/Backflow Preventer
Reg #: LIC 11608 Final Inspection
PLM 5742
ORIGINAL
This pern'lit is issued subject to the regulations contained in the Tigar(, Municipal Code, State of U.Z.
Specialty Codes and all other applicable laws. All work will be done !n accordi:rroe with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if w,irk is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adapted by the Ore,,on Utility
Notification Center. Those rules are gat forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
j / 1_-- Permittee Si nature: C
Issued By: 'L���,�`������/ _ —_ g ( L I � �((,T `itiv(� U{ {
Call (503) 639-4175 by 7:00 P M. for an inspection needed the neAusiness day
CITY Or= TIGARD Plumbing Permit Application Plan Check _
13125 SW HALL BLVD. Commercial and Residential Recd By 8 rJ
TIGARD, OR 97223 Date Recd 14-10.7.000
(503) 639-41.11 Date to P.E.
Print or Type Date to DST
Incomplete or illegible applications will not be accepted Permit# ( Ol -DLal=i
Related SWR#
Called
Na of Development/Project FIXTURES (Individual) QTY PRICE AMT
Job Sink 11 50
Address Stobvi Address n Suite Lavatory 11.50
U "U L.: A k f.cam I Tub or Tub/Shower Comb. 11.50
Bldg# Clty/State Zip Shower Only 11.50
a- 3 �
Name Water Closet 11.50
(, �, j Urinal 11.50
Owner MalliO Address Suite Dishwasher �^ 11.50
St-J J V Garbage Disposal 11.50
S,ity! late ZipPone -
o (/� U Laundry Tray 11.50
e Washing Machine/Laundry Tray 11.50
Floor Draln/Floor Sink 2" 11.50
Occupant Mailing Address Suite 3" 11.50
City/State ZIP Phone 4" 11.50--
Water Heater O conversion O like kind 11.50
Name Gas piping requires a separate mechanical permit -
S MFG Home New Water Service 32.00
Contractor Mailing Address „fig MFG Home New San/Storm Sewer 32.00
o 2,5 10JLa� t Hose Bibs 11.50
Prior to permit it /State Zip Phone _ Roof Drains 11.50
issuance,a copy Drinking Fountain 11.50
of all licenses are Oregon Const,Cont.Board Lic.# Exp.Date
required if Other Fixtures(Specify) 15.00
expired In COT Plumbing Llc # Exp Date
database l 6 (it
Name - --
Architect Sewer-1st 100'
or Mailing Address Suite Sewer-each additional 100' 3200
En freer [-65� to Zip Phone Water Service-1st 100' 38.U0
g Water Service-each additional 20n' 32.00
Describe work to be done Storm&Rain Drain-1st 100' 38.00
New 9§ Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 32.00
Residential a Commercial O
Additional description of work: Commercial Back Flow Prevention Device 32.00
Residential Backflow Prevention Device' 19.00
Catch Basin 11.50
Are you capping,moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 50.00
Yes 0 No A Inspections perthr
If yes, see back of form to indicate work performed by Rain Drain,single family dwelling 4500
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50
WORK COULD RESULT IN INCREASED SEWER FEES. --- --- --gUANTITY TOTAL
I hereby acknowledge that I have read this application.that the information �j
given is correct,that I am the owner or au'horized agent of the owner,and Isometric or r_ser diagram is required d Ouantrly Idfai is >9
that plans submitted are in compliance wi!i Oregon State Laws. 'SUBTOTAL e
Slgn �
it ner/AylnIt t
t� /V11 8/o o SURCHARGE ----
Contact Ferson Name Phone -
1� "PLAN REVIEW 25% OF SUBTOTAL
1 ATH HOUSE$178.00 R utred onlyit tixture-gt)Ltota is>9
TOTAL
2 BATH HOUSE$250.00
3 RATH HOUSE$285.00 -- -
(This fee includes all plumbing fixtures In the dwelling and the first *Minimum permit fee is$50+B%surcharge except P.esider,tta!Bactf ow Prevention
100 feet of sanity sewer stORn sewer and water sarvice) of Device.which i5$25+e%surcharge
sanitary g
All Now Commercial Buildings require pians with,comehic nr nser diagram and
plan review.
1 WstsVom"IMplumepp dx 11x18199
I
PLEASE COMPLETE:
Fixture Type Quantity by Work Performied
New Moved Reinlaced Removed/Capped
Sink------------------ ---- --- ------- ----- ---._
Tub or Tub/Shower Combination
__ -_ -
Shower Only -�_--�
Water Closet -----
Urinal
Dishwasher _ _ —
Garbage Disposal _ _ —
Laundry Room Tray
Washing Machine
Floor Drain/Floor Sink 2"
311
Water Heater -_
Other Fixtures (Specify) -
COMMENTS REGARDING ABOVE:
I nslfllnrm s'�hm+ r111„r. r•,
MASTE
ERMIT
CITY OF TIGAR RIGNAL ERMIT : MST1
PERMIT#: MST1999-004'17
DEVELOPMENT SERVICE DATE ISSUED: 01/05/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171
SITE ADDRESS: 09009 SW ASHFORD ST PARCEL: 2S111DA-15700
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 150 JURISDICTION: TIG
REMARKS- PATH I: New single family dwelling w/attached garage & covered porch.
BUILDING
M REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS_ REQUIRED
CLASS OF WORK: NEW HEIGHT: 28 FIRST: 'fl7 sf BASEMENT: Sf LEFT': 10 SMOKE DETECTORS r'
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,227 of GARAGE: 478 at FRONT: 20 PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT 5
VALUE' i 10,811-10
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: of REAR: 13
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN 100 TRAPS
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RA114 DRAINS. z CATCH BASINS
TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PRFVNTR GREASE TRAPS
OTHER FIXTURES
MECHANICAL
FUEL TYPES FURN�100K: 1 BOIL/CMP a 3HP: VENT FANS: ' CLOTHES DRYER: I
GAS TURN—100K: UNIT HEATERS: HOBOS: OTF'ER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES. GAS OUT +
ELECTRICAL _
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WrSVC OR FOR: 2 PUMPARRIGATION: PER INSPECTION.
EA ADD'L 500SF: 4 201 400 amp: 201 400 amp. 1st WIO SVCIFDR. 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 800 amp: 401 800 amp. EA.ADDL BR CIP.: SIGNALIPANEL: IN PLANT.
MANU HMlSVCIFDR: 601 • 1000 amp: 601-amps•1000V MINOR LABEL:
10004 amp/volt
PLAN REVIEW SECTION
Reconnect only: — >600 V NOMINAL. CLS AREA'SPC OCC'
>•4 RES UNITS: SVClFOR>=225 A.:
ELECTRICAL•RESTRICTED ENERGY
_A.SF RESIDENTIAL - -- B.COMMERCIAL _
AUDIO&STEREO VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMlPAGING. 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 a SYSTEMS:
Contractor: TOTAL FEES: $ 5,880.46
Owner: This permit is subject to the rpgulatlons contained in the
LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Coot. State of OR Specialty Codes and
12600 SW 72ND AVE 12600 SW 72ND AVE all other applicable laws n'I work will be done in
TIGA.RD OR 97223 TIGARD,OR 97223 accordance with approved plans This permit will expired
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,ules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg 0: 1,,- •-. forth in OAR 952-001-0010 through 952-C21-0080 You
may obtain copies of these rules or direct questlurs to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion 844-8444 Post/Beam Structural Electrical Service Gas Line Insp Appr/Sdwlk Insp
Sewer Inspection PosUBeam Mechanical Electrical Rough In Gas Fireplace Electrical Final
Footing Insp Underfloor insulation Framing Insp Insulation Insp Mechanical Final
Foundation Insp Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final
Slab Insp lAilumb Top Out Exterior Sheathing InsF Water Line Insp Final Inspection
Issued By � a�--� Permittee Signature
� --
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next b nese day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR1999.00272
-- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 01/05/2000
SITE ADDRESS; 09009 SW ASHFORD ST PARCEL: 2S1 11 DA-15700
SUBDIVIS!ON: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: _ LOT: 150 JURISDICTION: TIG
TENANT NAME: LEGEND HOMES
USA NO: FIXTURE UNITS: 1
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for a new single family dwelling.
Owner: -- ---
-- _ FEES
LEGEND HOMES – --- — --
12600 SW 72ND AVE Type By Date Amount Receipt
TIGARD, OR 97223 PRMT KJP 01/05/200C $2,300.00 00-320912
INSP KJP 01/05/200( $35.00 00.320912
Phone: 620-8080 Total $2.335.00
Contractor:
Phone: n n
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules 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 mly obtain
rof these rules or direct questions to OUNC by callinq (503) 246-1987
Issued by: .r._0,� Permittee Signature:
Call (503) 639-4175 by 7.00 P.M. for an inspection needed the rfext businbss day
r.;I FY Ulr I IUAIKU t-tesl'aentiai tsullaing Permit Application Plan Chea x
13125 SW HALL BLVD. Additions or Alterations Recd By
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd /A /&
Date to P.E. /,2 ;?7-F IF
V 503-639-4171 Date to DST /L fir' -1
F 503-684-7297 Permit##-Ilf -oa_
Print or Type Called 01-0 •D0
Incomplete or illegible applications will not be accepted cFfr UM AIF", 40.4
_ Serif'/ r9-eloa��
Names of Project —� —�Name
JobLl Ji
Mailing Add ess --
Address s� Address Architect 0
441 1,� J
City/Sta aZip Phone
Nam { �_.�—�_ ��..• _ �S7
Name7/ T
Owner Mailing res
CRYO e Z one 9
En ineer Mailing Addreas
91 t
Na `'. � � .,- City/ Zlp z•
General ,
.
Contractor u. id, Describd work by A
h*lew Addition O , Aeration
O Y
Ma)p nlas i. s l ;- ^ At i' t0 be dOrlOhiS .``�+d. ,y� 1 r , ''' :��Y_L1J �•�
Prior to permit` %tr = ,` t' ' Additlottgl Dtjsixiptlonbf WQrtc 'sy
Issuance,a copy
-M/State Phone
of all licenses _ �, ,' p' y
are required if Oregon qonst.Cont.Boerd Exp Dale PROJECT `. ( ~ ("` -' F'�f
expired lnCOT Llc.tl�r �`t,'--/ ` 1 VALUi4TlON �'�
database J rA J f •�.- T�� ''
Mechanical NamNEW CONSTRUCTION ONLY Vy:'
Sub- �,rt. Sq. Ft.House: ' ) -�Sq. Ft Garagei'
Contractor Mailing a(/S / f �/
Prior to penmH ��-;-i S �, �C�s /l Indicate the restricted energy installation by the electrical
subcontraclor in the followin areas
Issuance,a copy Cit /State Ziv Phone �. _
of all licenses _-M -J` Restricted Audio/Sterea
are required if Oregon Const.Cont. Board F-xp. Date Energy System Alarms
expired in COT Licac - Installations Vacuum - Irrigation
database -,r,--3-60 _ System System
Plumbing Name (check all that Other.
Sub- ° ? :L-U1 LL,�'1.`/t apply)
Contractor Marling Address Comer Lot YES NO Flag Lot YES NO
•/J 6�� Q L' � (check one) x check one
Has the Subdivision Plat recorded? WA NO
Prior to permit 9y/state Zip Phone
is3uanre,a copy Z! h11/ ----of all licenses are Oregon Const. Cont. Board Exp. Date
required M Lic.# �✓v� -____---
expired in COT /� 3 - l Ce hearty acknowledge that I have read this applicatir n,that the
database Plumbing t.lc.N Exp.Date rinformation given is correct,that I an the owner or atAherized agent
_ �22 of the owner, and that plans submitted are in cor ipliance with
2) �� C �J e-31 Oregon State laws.
Name SignAure of QwneqAgent Date
Electrical - y , 1 ' ��at _v -2-
Sub- Mailing Address Colt er on ams/ / Phone t!�
Contractor 1i
City/state Zip Phong
Prior to permit A / _
issuance,a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const�Cont. Board Fxp.Date Plat#: — Ma GTL1f'
required if I_ic.x _ V
expired in COT _ f'� g - �// �1(j _ d c ���` A ` -70 ---
database Electrical 4ic.N- Exp. DateSetbacks: Z ge PTI
ar:
Electri I Supervisor Lic t E-xp.Uate Fng eering Approval: Planning Approval: :
i:ldsts`dom1slsfaddaR.doc 11/21198
1='!._Off' FLAN
LOT #150, AFFLEWOOD fi ARK
R-f 2 51 11 DA
TAX LOT 015-100
9009 5W 45HFOR.D STREET
S.E. 1/4 OF SECTION 11, T.2, R.1W, W.M.
CITY OF TIGARD
WASHINGTON COUNT`r', OREGON
0 WATER METER —�
W-- --- — WATERLINE LEGEND HOMES
rJS----—-- SANITAR-r SEWER 12766 3p BM AVENUE JutTE loo
�n-- - - — STORM DRAIN OMCH (503) e20-8080 TIGARD, OR_ 07223
- OF STREET FAX (503) 608-8000 CCB# 60663
• MANHOLE
® CATCH BASIN
PROPOSED
STREET TREES b
STREET LIGHT
FIRE HYDIi T I ' Lar 149
N89'54'25"E J
' I --
r 6 a-00
208.0'
I
4, 462 C-Q. FT. , !
/N,4RCOUR7 HA a
N I 9 PFIN FLK - 208.8' `fl
ll�l i I/ GARAGE FLR 20 .2'
201,B'
I" 20'-0" I I :3 / NAB." �
p� �\ `
�� \�s LOT 150
<`,����
i 20"13 8' UTILITT
. : I EASEMEN
j09*54'25"E I I 1 49D0SIDE W,41-1,'
PROVIDE EROSION
CURB
CONTROL FENCE (PER C—Gt 9UN I T'T
EROSION PLAN I -�--- - - - -- - - - - -- _ _ __� _ L\_T - - -.- - - -
I Il I SW ASHFORD STREET ,
IIlli � I --------------m---'-------------
I lel �