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8992 SW GRAVENSTEM LN.
TIGARD ,_ MASTER PERMIT
(CITY OF �I��� PERMIT#: MST1999-00.'.11
DEVELOPMENT SERVICES 9CR ( GWIA ATE ISSUED: 09/28/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 63 L
SITE ADDRESS: 08992 SW GRAVFNSTFIN LN PARCEL: 2S11 1DA-0F900
SUBDIVISION: APPLFWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT:082 JURISDIC+ION: TIG
REMARKS: New SF - Oath I
BUILDING
REISSUE: v STORIES: 1 FLOOR AREAS _ REQUIRED SETB4CKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1.005 at IASEMENT, sl_— LEFT: 4 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 411 SECOND: 624 at GARAGE: 520 of FRONT: 20 PARKING SPACES: 2
TYPE OF CONST. 5N DWELLING UNITS: I FINPSMENT: of RIGHT: 4
VALUE: S 139,51173
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: at REAR: 17
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: S DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SI'RAIN GRAINS: 1 CATCH BISINS:
TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS:
OTHER FIXTURES-
MECHANICAL _.
FUEL TYPES _ FURN<100K: BOIUCMP c 3HP: VENT FANS: 5 CLOTHES DRYER: 1
FURN>000K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES' VEN iSWOODSTOVES: GAS ITLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDER9 BRANCH CIRCUITS t1ISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 •200 amp: 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATIO J: PER INSPECTION:
EA CDD'L 500SF: 3 201 •400 amp: 201 - 400 amp: tot WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 •4`00 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT:
MANU HM/SVCIFDR: 601 • 1000 amp: 601+8mps-1000v: MINOR LABEL:
1000+amplvall
PLAN REVIEW SECTION
Reconnect only: >=4 RES UNITS: SVCIFUR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC:
_ ELECTRICAL•RESTRICTED ENERGY
_ A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATA/TFLE COMM NURSE CALLS: TOTAL 0 SYS rEMS!
Owr^ : C ontractor: TOTAL FEES: $ 5,513.48
This permit is subject to the regulations contained in the
LEGEND HOMES LEGEND I IOMES CORP Tigard Municipal Code,State of OR Specialty Codes and
6900 SW HAINES ST 000 SW HAINES ST all other applicable laws All work will be done in
TIGARD,OR 9722: PLAZA 2,SUITE 200 accordance with approved plans. This permit will expired
TIGARD.OR 97223 work is not started within 180 da_• I'%suanoe,or if the
wori,is suspended for more than 180 days. ATTENTION
Phone: Phone: Oregon law requires you to fallow rules adopted by the
Oregon Utility Notification Center Those rules are set
Rep N: LIC 00060563 forth in OAR 952-001-0010 through 952-001.0080. You
may obtain copies of these rules or direct cuestions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion 044-8444 Underfloor insulation Plumb Top Out LOW Voltage Water Lino Insp Final inspection
Footing nsp Crawl Drain/Backwater Electrical Service Gas Line Insp Appr/Sdwik Insp Building Final
Found'etion Insp I-ooting/Foundation Dr; Electrical Rough In Gas Firr,place Electrical Final
Post/rjeam Structural I'LM/Underfloor Fram'::2 Insp Insulation Insn Mechanical Final
PoFUB sale Mechanica Mbf�hanical Insp She 3r Wall Ir1sN Rain drain Insp Plumb Final
Issued B ; / {�" '��` — Permittee Signature
s s y
Call (503) 639-475 by 7:00 p.m. for an inspection deeded the next ss day
CITYOF T I G A R D _._._SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR1999-00192
DATE ISSUED: 09/28/,999
13125 SW .fall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS; 08992 SW GRAVENSTEIN LN PARCEL: 2S'1 IDA-08900
SUBDIVISION: APPLEWOOD PARK NO, 3 ZONING: R-7
BLOCK: LOT: 082 1 1 K i JURISDICIION: TIG
TENANT NAME: LEGEND HOMES U K 191 N L
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
'TYPE OF USF.: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IhiPERV SURFACE:
Remarks: New SF - Path 1
Owner:
_ FEESI
LEGEND HOMES Type By Date Amou,:t Receipt
6900 SW HAINES ST — _. _—
TIGARD, OR 97223 PRMT DST 09/28/199 $2,300.00 99-318685
INSP DST 09/28/199 $35.00 99-318685
Phone: Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
This Applicrint 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 th i permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not locp.ed 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 Vility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of t se rules r direct questions to OUNC by calling (503) 246-1987.
Issued by: Perinittee Signature;--'
Call (503) 639-4175 by 7:00 P.M. for an inspec'ion needed t /next busi es ey
Plan Che�d
Ul TY Ur I IUAKU Keslaential t5ullding Permit Apr - -.�Aion
13125 SW HALL BLVD. Additions or Alterations Recd B
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd
V 5037-639-41-71 Date to P.E,
F 503-684-7297 Date to DSTPermit# Vii I I
Print or Type Called
Incomplete or illegible applications will not be accepted
!/'Lt 1�
Name of Project Name 1
Job
Address Slt%Aodres3 Architect Mailing Ad ess
Nam Cft /Ste a Zip Phone
Owner Mailingress Name
— -
City V Z' Flrone Engineer Maiirng Addre� � !
q `
General Narrts city/ tat , Zlpho
L '+ j . ,` r
Cr�ntractor ' btu, r � .
r j` r�i Oescrlbd work f ,- Addrtlon O +,Afteradon 0-,,..,;
p`•y,'-
r.
Ma)tl rnaa , t ,i, :. tom: to be di6rW.
Prior to permk %(, =. `xx% Additiondl Ddstriptlon of Work
issuance,a CD ' .;. W,ytr L y �t t
Py /State ,. ip Phone / �/A ! c r i. i ►S w�Y ri+� isti� _.
of all licenses 4 - 'y
are required If Oregon net Con',Board Exp.Date PROJECT r•�� /17 'j
eUc. � -'� ,. �—
expired in Cor
dattloase A ,IvS-63 VALl:4TIQN .�
_
Mechanical Name NEW CONSTRUCTIO ONLY: 'R". p'}
Sub- � �CR Sq. FL HoW- ; ( Sq FL Garage'
Contractor Malting Address /F,,
Prior to perms / S �, �n —t/ Indicate the rertricted energy installation by the electrical
issuance,a rApy Cit /State Zip Phone subcontractor in the followin9 areas
of all licenses �. = A Restricted Audio/Stereo
are required H Oregon Const.Cont.Board Exp. Date Energy System _ Alarms
expired in COT Lic.# Install::tions Vacuum Irrigation
database -3-N _ System _ System _
Plumbing Name (check all that Other.
Sub- � / , apply)
Ceritractor Mailing Address Coma Lot `!ES 14U Flag Lot YES NO
/�() �;/ Q(J' '7 (check one) check one _
Has the Subdivision Plat recorded? N/AYE,S NO
Prior to pennit C' /State Zip Phone J` I
Issuance,a copy c ��� --
of all licenses are Oregon Const. Cont. Board Exp. Date
required H Lic
expired in COT 6
-)00 I hearty acknowledge that I have read this application,that the
database Plumbing I_ic.# Exp. Date infomiation given is correct,that I am the owner or authorized agent
') I of the owner,and that plans submitted are in compliance with
/03 1 :x''31 Oregon State laws. -
Name SignAure of Owne' gent Date
Electrical , y �! _�� ��Z'f .o •j
Sub- Mailing—Adress Cont3Gt• er on are % PhoneS
Contractor 5" - �,—
citylState Zip Phon
Prier to permit
Lrsuance,a copy �~ - I )R OFFICE USE ONLY:
of all license:,are Oregon Const.Cont.Boats Exp. Date plat :
required tt tic a MaprrL#:
expired in COT _ //�= J� —�L�-DD —S 1 I ; t ?Q• .,.I 7,r` !,I IL
database Electrical Lic.#- Earp. Date Setback Zone,.,) Solar.
Electriedl Supervisor Lic 0 Exp. nate En4ineering Approval. Planning Approval: TIF:
Y � _ !c� _ / - U/ _-___
IMstsVormtkiladdaft.doc 11r20M
FL OT FLAN
LOQ' #82 , AFFL.EW OOD FAR<
R7 251 11 DA
T AX LOT #s3900
8992 SUJ OR4VF—NSTF,IN LANE
S.E. 1/4 OF SECTION 11, T-2, R.1UJ, WI i.
CIT`( OF TIG,4Rr '
UJASNINGTON COUNTY, OREGON
- ---
LEGEND
HOMES
1 t 19C 911 BAR3UR BLVD. PORTiAND, OREGON
D7219
OFFICR (509) 244-0159 FAX (5D9) 214-8281 -
SI,U GRAVENSTE IN LANE
I -- ..._ --.---Sir------•-- �-� ��..:7- -
N (-- - --- -- - �,------
11� E
CURB ___ --
` 'S89'54'25" E
I - ---------_
SIDEWALK- —- 620'
-r-
I" ■ 20'-0" g' UTILIT` i
, 2045' ;
EASEMENT
WATER METER , -
-
--
-- -----
--- ----
— WATER LINE - --- -- r O 204.8'
liJ- - --- I 205.4' d0'
gg--——— SANITARY SEWER /
Sl-FRM DRAIN 4.0'0 T
OF STREET LV I 02
�
• MANHOLE I / 4 21& SQ. FT. ,
CATCH BASIN I _a
® - � �x�r�R rra I d, 'CIS
PROPOSED
FIN. FLF-' 206.8'
,
STREET TREES i GARAGE FLR 205.6 0
® STREET LIGHT
40'
,
FIRE PYDRANT Z
4.0' 1-
�
208 ! J
-•� � 20,6.4'
Z®1�' N891 v"E
62L J' i
n
LOT 72 r1
PROVIDE EROSION (M ' I
CONTROL FENCE I
PER COMMUNiT7 O
EROSION PLAN J J
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspe.;tion Line: 639-4175 Business tine: 639-4171
BUP _
�— Date Requested CAM —QPM _ BU
Location 7tT9Z _ Suite MEC
Contact Person Ph _ &J 2—7 PLM
Contractor Ph SWR
BUILDING Tenanti0wrter ELC
Retaining Wall
Footing ELR
Foundation
Access: FPS
Ftg Drain ——--�- -_-
Crawl Drain Inspection Notes: SGN
Slab
Post&Beam SIT
Ext Sheath/Shear
Int heath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ---- —---
Roof
Misc _
Final
P PART FAIL
PLUMBIN _
Post& Beam ---- -- - — —
Under Slso
Top Out ---
Water Service
Sanitary Sewer
I�aia Drains
in
ASS PART FAIT_
MEMANICAL
Post& Beam -----
Rough In
Gas Line -
Smoke Dampers
F incl ----
_ RT FAIL
LECTRICA -
Rough In
UG/Slab
Low Voltage _—_--
Fire Alarm
Mnp
PART FAIL ------ - -------------- _
Backfill/Grading --------- -- --. --
Sanitary Sewer
Siorm Drain [ ]Reinspection fee of$ _—�_ required before next inspection. Pay at City Hall, 13120 SW Hall Blvd
Catch Basin
Fire Supply Line I 1 Please call for reinspection RE. — _ [ )Unable to ii,spect-no access
ADA
Approach/Sidewalk
Other Date -inspector Ext
Final
PASS PART FAIL) DO NOT REMOVE this inspection record from the job site.
CERTIFICATE OF OCCUPANCY
CITY ®F TIGARD
PERMIT#: MST1999-00311
DEVELOPMENT SERVICES DATE ISSUED: 09/28/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503} 639.4171 PARCEL. 2S111 DA-08900
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 08992 SW GRAVENSTEIN LN
SUBDIVISION: APPI.F_WOOD PAkh NO. 3 HLE
BLOCK: LV''082
COPY
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT N 4ME:
REMARKS: New SF - Path 1 - Final Building Inspection and Certificate of Occupancy
Approved 2/1/00 by Ken Schriendl, Building Inspector
Owner:
MATRIX DEVELOPMENT
12755 SW 69TH AVE #100
TIGARD, OR 97223
Phone:
Contractor:
LEGEND HOMES CORP
12755 SW 69TH AVE 4100
TIGARD, OR 97223
Phone: 620-8080
Reg #: L',C 00060563
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use under which the referenced pormit was
issued.
BUILDING INSPECTOR BUILDING FICIAL
POST IN CONSPICUOUS PLACE
CITY OF T;GARD 301LUNG INSPECTION DIVISION MST 1 ;
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
IBUIR
Date
Requested — _—AM k, PM — gLD
Location-^__ 22Z Suite MEC
Contact Person .� Ph — '�?t' PLM
Contractor _ � Ph _ SWR
UILDIN > Tenant/�n;rner ELC
Retaining Wall ELR
Footing
Foundation Access: FPS
Ftg Drain SGN
Crawl Drain Drain Inspection Notes: --- - - ----
Slaw+ _ �— SIT
(Post& Ream — - --- - --
E:xt She nth/Shear
Int Sheath/Shear
Framing /i �L'�-tQ Ju d ELZ czan. Ccd t. 6;�J ALAI .,s
Insulation
Drywall Nailing ,/iaw I'1t- EAZ2 Se0iV 6A.IMt CAPS
Firewall
Fire Sprinkler
Fire Alarm dr-'`
Susp'd Ceiling ��O��O Ste;, C�d4 0
Roof
Mi — C��L C7'- `�������I.SL 'Lli4�?rc. bit&( 0,5:4r_
ASS ARr FAIL-. s i� �'s�� s0 ac>�/�7I�"- may ?7UC7
MWONG
Post&Beam -'-
Under Slab
Top Out --- ------ - - - --------
Water Service _
Sanitary Sewer
Rain Drains
Final —
PASS PART FAIL _
ECHANIC<�
Post 8 eahl _— — - - ---- - —
Rough In
Gas Lin.e — --- --- - - -- —
Smo�a Dampers
PART FAIL
TRICALW--
Service
Rough In
UG/Slab
ow Voltage
Fire Alarm _
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspeck. n fee of$ —required before next ins ction. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ I Please call for reinspection RE: [ ]Unable to Inspect-no access
ADA pyo
Approach/Sidewalk Date "� �Inspector Ext
Other ---
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.