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CITYO F T I GA R D _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2004-00135
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/1/04
SITE ADDRESS: 08993 SW C'ORTLAND LN PARCEL: 2S111DA-10200
SUBDIVISION: APPL.EWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 095 JURISDI-TION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
1YPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BAS;NS:
_ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: — '— URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TIJB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Backflow preventer.
Owner:
FEES
— ------_— ---- -_
-- '— Description Date Amount
IRAN, SEAN -- --
899; SWCORTLANDLN. �I'II \1 IiI1'crnu11Cc 4/1/04 $36.25
TIGARD• OR 97224 4/1/04 $2.90
Total $39.15
Phone : 50;-701-4549 ----- —_-- —
Contractor:
NATURAL LANDSCAPING
5606 SW';ARMAN DR
LAKE OSV'IEGO, OR 97035
REQUIRED INSPECTIONS
Phone : 5 J—075-x!471 RP/Backflow Preventer
Final Inspection
Reg #: 11.' 7!131
III M ALL I111ASES & BA
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specially Codes and all ogler applicable laws. All work will be do-,,,, in accordance with approved
plans. Th,s permit will expire if Nork is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Issued By: Permittee Signature: _� 1
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Building Fixtures
Plumbing Permit Application
City of Tigard kecetved
13125 S W Hall Blvd„Tigard,OR 97223 D°te'H / Q — Permn No
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Date/By: Other Permit No.:
_
24-Hour Inspection Line: 303.639.4175 Date Ready/By: Jura ® See Page 2 for
Internet, www ci rigard.or us NotifiedNkthod Supplemental Information
TYPE OF WORK FE[:• SCHEDULE
❑New construction -- ❑Demolition Y For special information use checklist
- -
Description A Qty. I Ea I Total
Addition/alleratior✓replacement ❑Other: _ ^� _ New 1-2-family dwellings(includes 100 ft for each utility connection)
CA.EGORY OF CONSTRUCTION SFR(1)bath 249.20
I-and 2-family dwelling ❑Connnercial/utdustrial SFR(2)bath 350.00
Accessorybuilding _ Multi-family SFR(3)bath 399.00
❑Master builder T v� ❑Other: Fach additional bath/kitchen 45.00
—_ Fire sprinkler(_sq.ft.) Page 2
y JUfs FE E WFORMATXON OD LOCATION
- Site utilities
Job site address: qq S W GOiQ T-e,.q N-jj _/-.l�/ Catch basin or area drain 16.60
City/State/ZT: it RD 0 170 k Drywell,leach line,or trench drain 16.60
Suite/bldg./apt.no.: Project name: Footing drain(no.linear it. ) Page 2
--- — Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16,60
Rain drain connector 16.60
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.. ) Page 2
Subdivision: _ Lot no.: _ Water service(no linear ft. _) Page 2
Fixture or Item
Tax map/parcel no.:
Absorption valve 16.60
bESCR1ftllbN OF WORK _ Backflow preventer Page 2
Re-1 A0-1 R -_ Backwater valve 16.60
Clothes washer 16.60
-- -- —�-- Dishwasher 16.60
4 -- Drinking fountain 16.60
�; �.,. ,b ,. r*I' ❑ TENANT Ejectors/sump 1660
Name: _- fy RA A/ Expansion tank 16.60
Address: tig, q 9 3 S U►✓ rQA.-T LAN b I-AJFixture/sewer cap 16.60
City/State/Z[P: 0 1p 72 2 - Floor drain/floor sink/hub 16.60
Phone:(-pA I_ (�s� r _ Fax ( ) Oarb�ge disposal 16.60
L_I Al k1CANTHose bib 16.60
❑ CONTACT tpsoll
-- - — ----- -------- - -- Ice maker 1660
Business name:
lntutceptor/grease trap 16.60
Contact name: Medical gas(value:$ ) Page 2
Address: — Primer 16.60
City/State/ZIP: Roof drain(commercial) 16.60
Pho:u:( Fax::( )-� --- Sink/basin,lavatory 16.60
Tub/shower/shower pan 1660
—
Urinal 1660
t f ONTkA.F`TOR - -- Water closet 16.60
P-miness name: Water heater 16.60
Address v b U ) ��� � /� --- Other.
Subtotal
City/State/ZIP: �, �L o3 e7 7 s _
�� <� Min:•numpermitfee: 572,50
Phone:(Sc, ) �,-�S�� I Fax:( 105) 671- 0 el 11 Residential backflow minimum permit fee $36.25 1(o•r��7
CCB Lic.: '� j — Plumbing Lic.no.: '� Plan review (25%of permit fee)
-� State surcharge(6°/°of permit fee) a' Q
Authorized signature; --
t` TOTAL PERMIT FEES,
Print nrme: C(I�,J�T ►�1(.r U yG(V Date: This permit kpplication expires its permit Is not obtained within
190 days after it has been accepted as complete.
"Fee methodology set by Tn-Counh Building Industry Service Board.
i tBuildinaVknnuU'LMIF-PermitApp dm 12,03 440.4616T(IOIO2/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire S" ression Systems: _
rSite.Utilities Qty. Fee(ea) Total Square Footage: Permit Fee•
Footing drain- I" 100' — ori 0 to 2,000 !— $115 01) -- ---
Footing drain-each additional 100' 46.40 2,001 to 3,600 — $160.00
_ $220.00
Sewer- I st 100' 55.00 3,601 to 7,200 7,201 and greater $309.00 —
Sewer-each additional 100' 46.40 _
Water Service-1st 100' 5500 Medical Gas Svstems:
Water Service-each additional 100' 46.40 ,, ---- —
Storm&Rain Drain-1st 100' 55.00 — Val' n:_ Permit Fee:
_— $1.00 to$5,000.00 Minimum Lee$72.50
Storm&Rain Drain-each additional 100' 46.40 _ $51001.00 to$101000.00 $72.50 for the first$5,000.00 and$1.52 for each
Fixture or Item Qty. Fee(to) 'Total additional$100.00 or fraction thereof,to and
including$10,000.00.
t'onunercial Back Flow Prevention Device 46.40 $10,001.00 to$25,000.00 $148.50 for the first$10,00000 and$1.54 for
Residential Backflow Prevention Device each additional$100 00 or fraction thereof,to
minimum permit fee$36.25 2755 and including$25,000.00.
Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$I 45 for
Inspection of existing plumbing or each additional$100.00 or fraction thereof,to
specially requested inspections-per hour 72,50 and including$50,000.00.
Subtotal: —�- $50,001.00 and up $742.00 for the first$50,000.00 and 51.20 for
each additional$100.00 or fraction thereof.
Fixture Work:
Are}ou capping, nuosing or replacing existing fixtures? If
"les please indicate work performed by fixture. F;oilure to
accuratels report fixtures could result in increased sewer fees*.
Quantity by(Fixture)Work Performed
Flxture't ype: Rephice
New Moved Rusting Capped Comments meats regarding fixture 11'ork:
Baptistry/Font
Bath Tub.tShowcr ------ --___ --w,__..--- --_-_._.-- —
-Jecuzzi/Whirl ool
Car Wash -Each Stall
-Drive Thru ---- -
Cuspidor/Water Aspirator _ -
Dishwasher -Commercial �- -- - - - ----- -
-Domestic -- - -- ---- -- - - --
Drinkin Fountain
Eye Wash --
Floor Drain/sink -2" ---
4,. - —
--- ----
Car Wash Chain -- ----— - ---- - - - - ---
Garbage -Domestic _
Disposal lal
-Industrial - - *vote: If the fixture work under this permit results in an
Ice Mach./Reffig Drains - increase of sewer EDUs,a sever permit kill he issued and
Oil Separator Gas Station - _ fees assessed for the sewer increase must he paid before the
Rec.Vehicle Dump Station plumbing permit can be issued.
Shower -Gang
-Stall,Sink -13,,,/Iava,o,y - — f tt:urtih_l'otitl
-Bradley _
-Commercial -- Isometric or riser diakranl is retluircd if fixture quantity
-Service total is_->U.
Switruning Pool Filter
Washer-Clothes 4
Water Extractor — Plan Reciess
Water
Uri Plan rcciew is required if fixture quantih total is >9.
Other Fixtures:
iVfulldtnaTenmu\PLM-PmnitAppdoc 3,03
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)630-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST _
_�- BUP
Received — Date Requested_—�� _ AM_ _____ PM__—_� BUP _ —
Locationy MEC
Contact Person - ph �' `'
( ---1 --=-"'- -�_�-' PLM ' JD 1_35.�.
ContractorSWR
_
BUILDING Tenant/Owner - ELC
Footing
Foundation Access: ELC -_
Ftg DrainPp/ ELR
Crawl Drain e- U..,/00
Slab Inspectio Not s: SIT
Post&Beam
-- ---
ear 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 ------- --- --_-
3atch Basin/Manhole
Storm Drain --- ----- ---
Shower Pan
Other:
ZS
PARTFAILANICAL_
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, 1312b ,At Hall Blvd.
PASS PART FAIL
SITE — Please call for reinspection RE - _ Unable to inspect-no access
Fire Supply Line
ADA tNOT
Approach/Sidewalk Date Inspector _ �� [1ExtOther:Final 0 REMOVE this Inspection record from the Job site.
PASS PART FLAIL
I
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line-, 639-4175 Business Line: 639-4171
�� BLIP
—_Date Requested j" /�9 �CSU AM—Z PM BLD _
Location— � ?s'to� LZ4 Suite _ MEC
Contact Person PhPLM _
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR --
Footing Access:
Foundation FPS
Ftg Drain — — ----
Crawl Brain Inspection Notes: SGIN — —
Slab
Post& Beam —- — SIT —
Ext Sheath!Shear
Int Sheath/Shear - - _--
Framing
Insulation --
Drywall Nailing
Firewall ------- -_. --
Fire Sprinkler —_ _
Fire Alarm
Susp'd Ceiling
Roof -
Mise --
Final
PASS PART FAIL -- - - --- - ._ -- - ---- - --- - —- -
PLUMBING
Post& Beam - — — --
Under Slab
lop Out -- -
Water Service
Sanitary Sewer ---- - _ - - - ---
Rain Drains
Final
PASS PART FAIL
MECHANICAL -- --- -----------�- - ____
Post R Beam ----
Rough In
Gas Line
Smoke Dampers —
Final -- - -
PASS _p.A$T FAIL ------- _-
C RIC Imo: - - - — -
Service
Rough In - ----- ------- --_____V-__. --.
UG/Slab
Low Voltage --_--
Fire-Alarm
ASS ART FAIL
Backfill/Grading - —- -- --
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE:_— _ _ ( ] Unable to Inspect-no access
ADA
Approach/Sidewalk
Other Date Inspector - — -C{'�_ - -Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD MASTER PERMIT
PERMIT#: MST2000-00061
^' DEVELOPMENT SERVICES DATE ISSUED: 03/15/2000
13125 SW Ball Blvd., Tigard, OR 97223 (503)639-4171
SITE ADDRESS: 08993 SW CORTLAND LN PARCEL: 25111 DA-10200
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 095 JURISDICTION: TIG
REMARKS: PATH I: New single family dwelling w/attached garage & covered porch.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,034 of BASEMENT: 000 sl LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD- 40 SECOND: 1,286 of GARAGE: 495 of FRONT: 25 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 of RIGHT: 5
OCCUPANCY ORP: R3 BDRM: 3 BATH: 3 TOTAL: 2.320 00 at VALUE: $174,654 76 REAR: 18
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:
TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN<TOOK: BOIL/CMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN),-TOOK: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES GAS OUTLETS: 11
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS_
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L SODSF: 4 201 400 amp: 201 -400 amp: tet WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 000 amp* 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVC/FDR: 601 - 1000 amp: 801+amps•1000v: MINOR LABEL:
1000+amplvolt
Reconnect only: PLAN REVIEW SECTION
>•4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A,SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGINI: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDS:,APEIIRRIG. PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR.
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 3,754.03
This permit is subject to the regulations contained in the
LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code,State of OR. Specialty Codes and
12755 SW 69TH ^ + AA 1f 755 SW 69TH AVE#100 all other applicable laws. All work will be done in
SUITE AN V I.G I N K1�GAR0,OR 97223 accordance with approved plans This permit will expire if
PORTLAND,OR 97223 YYY ll��ll L�� work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg 0: UC 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 Post/Beam Mechanical Mechanical Insp Shear Wall Insp Water Line Insp Final inspection
Grading Inspection Underfloor insulation Plumb Top Out Vas Line Insp Appr/Sdwlk Insp
Footing Insp Crawl Drain/Backwater Electrical Service Gas Fireplace Electrical Final
Foundation Insp Footing/Foundation Dr Electrical Rough In Insulation Insp Mechanical Final
Post/Beam Structural PL erfloor Framing Insp Rain drain Insp Plumb Final
of
Issued By L Permittee Slgnature
Call (503) 639-4175 by 7:00 p.m.for an Inspection needed the next buss' s
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00042
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED 03/15/2000
SITE ADDRESS; 08993 SW CORTI_AND LN
PARCEL: 2S1 11 DA-1020(,
SUBDIVISION: APPLEWOOD PARK NO, 3 ZONING: R-7
BLOCK: LOT: 095 JURISDICTION: TIG
TENANT NAME: LEGEND HOMES
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: New single family dwelling.
Owner: --
___ FEES
LEGEND HOMES Type By Date Amount Receipt
12755 SW 691 H
SUITE 100 INSP GEO 03/15/2600 $35 00 0000671
PORTLAND, OR 97223 PRMT GEO 03/15/200C $2,300.00 0000671
Phone: 503-620-8080 Total $2,335.00
Contractor
Phone:
Reg #:
Required Inspections
Sewer Inspection
ORIGINAL
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 may obtain copies of hese rules Or direct questions to OUNC by calling (503)X46-1987.
/l
j,
Issued by._ Permittee Signature: - ` � = _
c Call (5038 -41 5 by 7:00 P.M. for an inspection needed the next busiftss day
�_;jrr Ut- IIUAKU Keslaentlal bullcling Permit Application Plan Check# 3-
13125 ,3W
131253W HALL BLVD. Additions or Alterations Recd by
'rIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd
V 503-639-4171 Date to P.E. Ck-, Y_
F 503-6$4-7297 Date to DST Pen-nit# �i�ar (off
Print or Type called__,
Incomplete or illegible applications will nit be accepted
Name of Project Name
Job /� Q !. l J 1�� - '- tic
Address S Aldress _Architect MailingAdrfa•m
Nam r CHy/S -`�r P n�
Owner Mailing resa
Name 1)�'/
cny,1a-te z Pnone Engineer Mailing Address >--
General Na cuy tat {;: zip ,
.rrLs r c,
_p .:4'• N � R>' YY.a :%1'!'? t '.� •.'+{i�� '
Contractor ;�. ,� � �s Descxlbd woTtc1 �Addlflon O ARaratlon o
t -Ma �:,, :1, b 4r .ly i;i't. �;.
Prior permit t In a r; Eo bs' � t rt
'" i `" Add Desixlptlon b(WQrk:
Issr)anoe,a fpr _ r TI r v }
PYr •i:yF.71 r" _ u,` IC�'-?ice �..'� :Zr <r,i►at rw(< w ;��. }.
of all licen"s :. .�. -
ars rnqulred M'•y Oregon net n ''� ;Date i ^<: PRall
EC �f / / C <'
expired In COT. -•� 7yC J J
uc r .n VALU
database"";,': ,,-.C� 1 -�3 ;,;, y ATION $.„4,ti.
Mechanical Name r NEW CONSTRUCTION ONLY: jd
Sub- �� , ;7 t`at Sq.Ft.House: Sq.FL Garr
Z.fL 7 a
Contractor Mailing Addreks
Prior to permit a S �, ��S ,� Indicate the restricted energy installation by the electrical
Issuance,a copy C /State —zip Phone subcontractor In the follow ng areas
of all licenses - Restricted Audio/Stereo
are required if Oregon Const.Cont. Board Exp. Date Energy System Alarms _
expired In COT L Ic.*^ Installations Vacuum ''dgation
_ database �1 System _ System
Plumbing Name (check all that Other.
Sub- ,, n a l -
Contractor ling Address Comer Lot YES NO _ Flag Lot YES NO
check one) _ check one) ---
Has tho Subdivision Plat recorded? NIA 1(F,S NO
Prior to permit C /State Zip Phone T`
Issuance,a copy q Z c'
of all licenses are Oregon onst.Cont. Board Exp. Date
required if Lic.# _
expired in COT 33 1 hearty acknowledge that I have read this application,that the
database Plumbing Lic.A Exp. Date Information g;ven is correct,that I am the owner or authorized agent
/ 22 of the owner, and that plans submitted are in compliance with
�J '3� Oregon State laws.
Name Sign rrre of ner gent Date
f
Electrical . i "��a�-
Sub- Mailing Address — Conl� e n a i ��ne /S
Contractor
City/State Zip Phon ---
Prior to permit
issuance,a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont. Board Exp.Date —
r-Nulred if Lica _ Plat#: , M p L#:
expired In COT _ �
database Electrical tic.N. F,xp.Date tbacks: 7 e:
Electricdl Supervisor Lic.I Exp.uate Engineering Approval: canning,approval: TIF:
lAdstsVormslsfaddaIt.doc 11/20/98
FLOT FLAN
LOQ' #95, AFFL E WOOD FAF�K
R7 251 11 DA
TAX LOT *10200
8993 5W CORTLAND LANE
S.E. 1/4 OF SECTION 11, T-2, RJW, W.M.
CITY OF TIGARD
WA5H INGTON COUNTY, OREGON
LEGENDHOMES
12706 SM 09th AVENUE SUITE 100
OFFICE (,A) 620-8000 TICARD, OR. 97223
FAX (603) 698-8900 CCB/ 00603
5W BATTLER STREET
WATER METER ,
Lll-------- WATFR LINE
SS———— SANITARY SEWER
SD— — — -- S1ORM DRAIN
-- — — ct OF STREET CURS
• MANHOLE --_-- --- —
® CATCH BASIN SIDEWALK
PROPOSEDN 89'54'25" E
STREET TREES """'� " 64 OO' .�...«
STREET LIGHT 5' WALL ESMT.
FIRE HYDRANT
201.i'
i 4,270 SD. FT.
�] 9 REGENT /43 3 _
p /FIN, FLR. • 2043.0'
9 / GARAGE FLR. n 201,1' to
5.0
5 O'
8' UTILITY —
EASEMENT —
SIDEWALK N 89'54'25"
64.00- ,
CURES `-- — lP— (h T�
PROVIDE EROSION ---- ---SS----------` — -- --r�•-55—
CONTROL FENCE F F
PER CnMMUNITY —SC-
EROSION PLAN II
SW CORTLAND LANE
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97213
RF,C F VF:D
IMPORTANT PERMIT NOTICEMAR 2 10 2000
rARNER ELECTRIC
l3l`:
21785 SW TUALATIN VALLEY HWY S
ALOHA, OR 97006-1248
Electrical Signature Form
Permit #: MST2000-00061
Date Issued: 03/1512000
Parcel: 2S111 DA-10200
Site Address: 08993 SW CORTLAND LN
Subdivision: APPLEWOOD PARK NO. 3
Block Lot: 095
,Jurisdiction: TIG
Zoning: R-1
Remarks: PATH I: New single family dwelling wlattached garage & covered porch.
Your comp-'-y 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 require 1. Please have she
appropriate individ, it 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 will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR.
LEGEND HOMES GARNER ELECTRIC
12755 SW 69TH 21785 SW TUALATIN VALLEY HWY S
:QUITE 100 ALOIIA, OR 97006-1248
�ORT��D pR g7 j?3
one 0A 20- 0 (� Phone #: 591-1320
Req #: LIC 121159
SUP 3707s
ELE 34.305C
AN INK SIGNATURE IS REQUIRED ON !-IIS FO
X _
Signature of Supervising Electrician
If you have any que )ns, please rall (50 3) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
MAR Z U ?noo
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, CR 97030
Plumbing Signature Form
Permit #: MST2000-00061
Date Issued: 0311512000
Parcel: 2S111 DA-10200
Site Address: 08993 SW CORTLAND LN
Subdivision: APPLEWOOD PARK NO. 3
Block: Lot: 093
Jurisdiction: TIG
Zoning: R-7
Remarks: PATH I: New single family dwelling Wattached garage & covered porch.
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 appi opriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing insper*i!,n�s will be authorized until this completed form is received
OWNER: PLUMBiNG CONTRACTOR:
LEGEND HOMES WOLCOTT "LUMBING CONT. INC
12755 SW 69TH PO BOX 2007
SUITE 100 GRESHAM, OR 97030
PORTLAND OR 97223
Phone #: 50A-620-8080 Prione #: 667-1781
Reg #: I IC 00023847
PI M 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
L
Signatur of Auth ized Plumber
If you have any questions, please call (503) 639-4171, ext. # 31
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CITYO F T I GA R D CERTIFICATE OF OCCUPANCY
DPERMIT#: MS 12000-00061
DEVELOPMENT SERVICES
DATE ISSUED: 03/15/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PARCEL: 2S111 DA-10200
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 08993 S'�'CORTLAND LN
SUBDIVISION: APPLEWOOD PARK NO. 3
BLOCK: LOT:095
CLASS OF 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.
Owner:
LEGEND HOMES
12755 SW 69TH
SUITE 100
PORTLAND, OR 97223
Phone: 503-62.0-8080
Contractor:
LEGEND HOMES CORP
11130 SW BARBUR EtLVD
PORTLAND, OR 97219
Phone: 62.0-8080
Reg#: LIC 00060563
This Certificate issued 117/21/2000 grants occupancy of the above referenced building or
port;^n thereof and confirms that the building has been inspected for compliance wich the
State of Oregon Specialty Codes for the group, occu ancy, and use under which the
referencedpermit was issued.
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6lU ILDING It OR B ING OFFICIAL
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POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST - Gv o
24-Hour Inspection Line: 639-4175 Pusiness Line: 639-4171
BUP
_— Ja•.e Requested AM PM SLD
Location e'l 5 3 �Ur —_ L� Suite MEC
Contact Person Ph AU 9 - .3 3 7L' PLM
Contractor Ph _ SWR
UILDING Tenant/Owner ELC _
r —
rnmg Wall ELR _
Fc,sting Access: —
loundation FPS
Ftg Drain SGN
Crawl Drain I Inspection Notes: — ----
Slab SIT
Post a Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing _--.—
Insulation
Drywall Nailing
Firewall
F' Sprinkler -- --_—_._� — -- ------.----._._
I ire Alarm
Susp'd Ceiling
Poof
MIN
PART FAILG
Post& Beam -_-- --___.-- --.--. _________._.-_.-------------_-.--
Under Slab
TopOut - ----__,_...--- ---------- -._. .. .-----------___.—__---------
Water Service
Sanitary Sewer
Rain Drains
Final
FAIL
os &Beam ---------- --- --- -.--�
Rough In
Gas Line --
Smoke Catrp ers
iGoill FART FAIL
IRough V .N
UG/Slabb -- ----_— _---- ------- - —.—_—.-- np ---
Low Voltage
Fire Alarm _ �—
Final
_PASS PART FAIL. —w-. ---- —_-- -.SITE.
BackfilliGradiny
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 Inspector Ext
Ext
Fina
PASS PART FAIL 00 NOT REMOVE this inspection record from the job side.