12500 SW 115TH AVENUE ADDRES%./..
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Page No. 1 CASE HISTORY FOR CASE NO.: MST96-0463
LEGEND HOMES
12500 SW 115TH AVE
12%03/97
Action Description Req/ 9chd/ End/ Action NULes Disp By Update -7pd
Code Sent Done Done Date L,
MSTA005 Applica,:ion received / / / / 09/25/92 RECD B 10/01/96 BON
MSTA008 Permit Created / / / / 10/01/96 PEND B 10/01/96 BON
M8TA010 Check for prcl. restrict. / / / / 09/25/96 101'01/96 BON
MSTA012 Plane routed to Plans Examiner / / / / 10/01/96 PEND B 10/01/96 BON
MSTA026 Plane approved by Plane Exmr / / / / 10/04/96 PA5S RT 10/04/96 BT2
MSTA030 Reviewed plans routed to DSTS / / / / 10/09/96 PASS PT 10/09/96 BT2
MSTA080 (F) Ready to issue / / / / 10/14/96 PASS B 10/14/96 BON
MOTA092 (F) Issue combination permit / / / / 10/21/96 PASS B 10/21/96 BON
MSTA097 Issue plumbing signature form / / / / 10/21!96 PASS B 1C/21/96 BON
MSTA098 Issue electric sib ture form / / / / 10/21/96 PASS B 1(1/21/96 BON
MSTA705 Footing Insp / / / / 10/24/96 APP KS 1(/25/96 KBS
MSTA706 Foundation Inap / / / / 10/28/96 APP KS 10/29/96 KBS
MSTA710 Post/Beam Structural / / / / 11/05/96 APP KS 11/75/96 KBIT
MSTA711 Poet/Beam Mechanical / / / / 11/04/96 PASS MS 11/0096 MRS
MSTA711 Poat/Pam Mechanical / / / / 11/05/96 APP KS 11/05/96 KBS
MSTA717 PLM/Underfloor / / / / 11/04/96 P[AS MS 11/04/96 MRS
MSTA720 Mechanical Insp / / / / 12/31/96 commect bath fan vents APP GS 12/31/96 GsS
MSTA722 Plumb Top Out / / / / 12/12/96 no teat FAIL MIS 12/13/96 MRS
MSTA722 Plumb Top Out / / / / 12/16/96 PAPS MS 12/16/36 MRS
MSTA723 Electrical Service / / / / 12/23/96 BASS hi-R 12/74/96 MJR
MSTA724 Electrical Rough In / / / / 12/23/96 fan box in family & m. bedrooms PASS MJR 12/24/96 MJR
MSTA725 Framing Insp / / / / 12/31/96 APP GS 12/31/96 OSS
MSTA726 Shear Wall Inap / / / / 12/13/96 APP KS 12/13/96 KBS
MSTA726 Shear Wall Inap / / / / 12/12/96 0-1- ahear installation incomplete at DIS KS 12/12/96 KBS
this tim-j
MSTA735 Can Line Insp / / / / 12/31/96 APP GS 12/31/96 089
MSTA740 Inaulatioi Inap / / / / 01/06/97 #-1 attach exha,ist cane at utility rm & DIS KS 01/07/97 KBS
halfbath
#-2- insulate expoesd rigid heat supr:y
2 at garage
H�1
V) MSTA743 Insulation Insp / / / / 01/07/97 APP KS 01/07/97 KBS
> MSTA745 Gyp Board Inap / / / / 01/13/97 #-1- provide framing menab4r f-r A/N KS 01/13/97 K38
H
attachment of gypsum between
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wander board and gypsum at mall
shower.
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MSTA'755 Rain drain Insp / / / / 10/31/96 PASS MS 11/01/96 MPS
MSTA75n Water Line Insp / / / / 10/31/96 P.,SS MS 11/01/96 MRS
MSTA765 Appr/Sdwlk Insp / / / / 01/29/97 OF PASS PI 01/29/91 RR
Page No. 2 CASE HISTORY FOR CASE NO. : MST96-0463
LEGMTD HOMES
12500 SW 115TH AW,
12/03/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Cade Sent Dome Done Date By
MSTA790 Electrical Final / / / / 02/25/96 to-volt not complete DIS MJR 02/26/97 MJR
gaps ar,.—rc plugs and switches
MSTA790 Electrical Final / / / / 02/27/97 piev torr appr APP GS 02/27/97 CES
MSTA795 Mechanical Final / / / / 03/03/97 #-1- see bldg final notes thin date DIS KS 03/03/97 KAS
MSTA795 Mechanical Final / / / / 03/06/97 APP KS 03/07/97 KBS
MSTA797 Plumb Final / / / / 02/24/97 PASS MS 02/25/97 MRS
MSTA198 Final insperticn / / / / 03/06/97 APP KS 03/07/9'7 KBS
MSTA799 Building Final / / / / 03/03/97 #-1,- poet insulation cert DIS KS 03/03/97 KAS
#-2- bupport gas piping adjacent water
heater
#-3- firetape gypsum above --a
#-4- smoke detectors won't ,larm
bedrooms
#-5- seal around door jambe upper
stcrage rm
w-6- need access to crawl space, carpet-
layer
arpetlayer still wntiing
t4.4TA799 Building Final / / / / 03/06/97 APP KS 03/07/97 KBS
MSTA960 (F) Issue Cert. of Occupancy / / / / 03/76/97 mai:ed I7.-3-97 JT 12/03/97 S*W
AST4970 Case Finaled / / / / 03/06/97 APE KS 03/07/97 KBS
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CITY OF TIGARL'BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing 4&D•
Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk ( •
Other: p
Date: _ A.M. V P.M._— En l:
Address:
Tenant: — _ _ Ste:__ MST:
BUP1�Con/Own: � � __ MEC:
PLM: –
ELC: —THE FOLLOWING CORRECTIONS ARE REQUIRED: I=LR:
a
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Inspector
`'"APPROVED --DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171
CERTIFICATE OF
OCCUPANCY
FSE RMLT #. . . . . „ . : M5T56-0 461--:
DATE ISSUED: 03/0f,,/9'7
PARCEL a 2S103Br) HG030
i 1_E ADDRESS. . . : 1-'500 S14 115TH AVE
.IUBD I V I S I ON. . . . : HUNTER' S GLEN 7ON I NG: R--4. a PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . r038 JSJRIaDICTIONeTIG
--------- ----------------
CLASS OF WOF?K. :IJEW
TYFIE OF USE. . . :SF
TYPE OF CONSTR:5N
OCCUPANCY GRP. ;Ft3
OCCUPANCY L._pAA
Ppmarks : Path 1
LEGEND HOMES
6 '00 SW HAINES ST
TIGARD OR 97223
Phone #: 620--8080
Conti-actor-1 __
L.E.GEND HOMES CO�RPORAT' N
7160 SW IAAZEL FERN RLQ.
GTE 100
TIGARD OR 97r?:::f4
Phone #; 620-8080
Paq it. 00000(
Ihi P4 Cer-t i f icate gr•arit s occupAncy of the above re rence d building or part i"''
i hot-eof and c:oi,firms that thte building has been ins cted for compliance with
the ,tate of Or-eyon .Specialty Codes for the gr^ou , a -uitancy, and uee under
a which the reefer-e,nced permit was
BUILDING INSPECTOR P'UILDINC OrFIC;AL.
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►r
w POST IN CONSF ''(`UOUG PLPCE
CITY OF TIGARD
13125 S.W. MALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
P O BOX 2007
GRESHAM OR 97030
Plumbing Signature Form
Permit # . . . . : MST96-0463
Date Issued. : 10/21/96
Parcel . . . . . . : 2S193BD-HGO38
Site Address : 12.500 SW 115TH AVE
Subdivision. : HUP7TER' S GLEN
Block. . . . . . . . Lot . 038
Zon.ing. . . . . . . R-4 .5 PD
Remarks :
Path 1
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 individu&I from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNPP : PLUMBING, CONTRACTOR:
LEGEND HOMES WOLCOTT PLUMBING CONT. INC
6900 SW HAINES ST P O BOX 2007
TIGARD OR 97223 GRESHAM OR 97030
a Phone # : 620-8080 Phone # :
CL: Reg # . . : 23847
ti
X � r1
Signature of Authorized Plumber
C-0
-� Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
7!GARD, OR 97223
IMPORTANT PERMIT NOTICE
GARNER ELECTRIC
21785 SW TV HWY
#L
ALOHA OR 97006
Electrical Signature Form
Permit # . . . . : MST96-0463
Date Is�4ued. : 10/21/96
Parcel . . . . . . : 2S103BD-HG038
Site Address : 1250;a SW 115TH AVE
Subdivision. : HUNTER'S GLEN
Block. . . . . . . . Luft : 038
Zoning. . . . . . . R-4 . 5 PD
Remarks :
Path 1
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be va;id, the signature of rhe 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 work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : ELECTRICAL CONTRACTOR:
LEGEND HOMES GARNER ELECTRIC
6900 SW RAINES S^. 21785 SW TV HWY
n #L
TIGARD OR 97223 ALOHA OR 97006
N Phone fl : 620-8080 Phone # :
> Reg . : 1ivis
r X
t ing Electrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, --lease call 639-4171 , ext. #310
* UTY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
PERMIT #: ELC97-0336
13125 SW Hall Blvd., Tgard,OR 97223 (503)639-4171 DATE ISSUED: 06/05/97
PARCEL: 2S103BD-HG038
SITE ADDRESS. . . : 12500 SW 115TH AVE
SUBDIVISION. . . . :HUN'TER' S GLEN ZONING: R-ir. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :038 JURISDICTION: TIG
Protect Descri;.t ion: instl 1 braxh circuit // job t 1036
-----RESIDENTIAL UNIT----- ---TEMP ERVC/FEEDERS------ -----MISCELL.ANEOUS------
1000 SF OR LESS. . . . : 0 0 - 2,00 amp. . . . . . . : 0 PUMP/fRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 1=01 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . ; 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
NiANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-----SERVICE/FEEDER----- -- -BRANCH CIRCUITS----- ----ADD' I- INSPECTIONS---
111 -- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1. PER HOUR. . . . .. . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
6Q,t -- 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECT I ON-------- -------
1000,- amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . > 600 VOLT NOMINAL. . :
Rer_ronnect: only. . . . . : 71 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner : -.__._...._ __---- -------------------- ---- _-_______- _- FEES ----------_.------
LEGEND HOMES type amol.knt by date recpt
6900 SW HAINES ST PRMT $ 35. 00 TAT 06/05/97 97-295534
TIGARD OR 972c3 5F'CT $ 1. 75 TAT 06/1T' 197 97--295534
Phone #:
Contractor: ---___--- - -- _ _ - -- ---- --- -- - ----- ------------------ -----
1\11-1 F_LECT r I CAL SPECIALTIES $ 36. 75 TOTAL
ROYAL EDWARD STEARNS II
616 SE= 5'?TH CT ------- REDU I REL' INSPECTIONS
--- I
HILLSBORO OR 97123 Ceiling Cover Undergrol_ind Cove
Phone #: 848 -8678 Wall Cover Elect' l cervi.r..e
Reg #. . : X012'13
This permit is issued Subject to the regulations contained in the
Tigird Municipal Code, State of Ore. Specialty Codes and all other Fermi tele Signatx��e
applicable laws. All work will be done in accordance with "/,y
approved plans. This permit will expire if work is not started '
within, 180 days of issuance, or if work is suspended for more
than 180 days. IsA.6.ted By
INSTALLATION ONLY--- ----------------..-------_
Ce
The installation is being made on property 1 own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: _ VA TE:
J
- --_---__---.--------------CONTRACTOR INSTALLATION ONLY- ----------------------------
1
SIGNATURE QF SUF'R. ELEC' N: �I����aL� :2 DATE: Z. A;
LICENSE NO: S
Call for inspect ion - 639 -4175
L
CITY OF TIGARD Electrical Permit Application Plan Check N
13125 SW HALL BLVD. Recd By
Date Recd
TIGARD OR 97223 Date to P.E
Phone (503)639-4171, x304 Date to DST
Print or Tyre
Inspection (503) 639-4175 Incomplete or illegible will not be �ICC4'r`!C i Permit a
Fax (503) 684-7297 Called
1. Job Address: 9. Complete Fee Schedule Below:
Name of Development_�Aun - I )- Number of Inspections per permit allowed --
Name (or name of business) ` Servic,3 included: Items Cost Sum
Address_ CI_� I I � L 4a. Residential-per unit
1000 sq.ft.or less $110.00 _ 4
City/State/Zip_ I C-1 nj ( I Each additional 500 sq.it.or
portion thereof $25.00 1
Commercial ❑ Residential ���X �--� Limited Energy $25.00 _
YY1r1? ._,0 �1 3(B( l r. Each ling f'dSe Home or a dular
er
1. V / y.t�1) Dwolling Service or Fee ler $68.00 2
2a. Contractor installation on:y: V
(Attach copy of all current licenses) Ins Services or Feeders
Electrical Contractor Nl A�t lE d 1 I10� i{&k, + InsServices
alteration,or relocation
Address
C-
LE i # 20o amps or less $so.�o 2
201 amps to 400 amps $8000 __ 2
City ` State P_ Zip q-11,1? 401 amps to 600 amps $120.00 z
Phone No. 601 amps to 1000 amps -_ $180.9n 2
Job No. Over 1000 amps or volts $340.00 2
Reronnect only $50.00 2
Elec,Cont. Lice. No. ` d a cl
OR State CCB Reg. No_.19 j��EExp.Date `xp.Date 20 ' 4c.Temporary Services or Feeders
COT Business Tax or Me&O No. t!G 3 4 Exp.Date SA. Instoilation,alteration,or relocation
200 amps or less $5o.no
201 amps to 400 amps
Signature of Suer. Elec'n � -��! 401 amps to 600 amps $100.00 - 2
Over 600 amps to 1000 volts,
License No. Exp.Date /v J see"b"above.
Phone No. 4d.Branch Circuits
Ncw,alteration or extension por panel
l 2b. For owner installations: I a)1 he fee for branch circuits with
purchase of service or
Print Ov.,ner's Name feedor fee.
Address _ _ Each bran.It circuit $5.00 -
b)The fee for uranch circuits
City__ State^ Zip __- _ without purchase of
Phone No. __ ____ _ service or feade-r fee. �
j First branch circuit $35.00
The installation is being made on property I own which is not I Each additional branch circuit_ $5.00
intendea for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature_ Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 - 2
3. Plan Review section (if regcrircd):* Signal circuit(s)or a limited energy
panel,alteration or extension $40.00
Minor Labels(10) $100.00 -----
Please check appropriate item and enter fee In section 5B.
_ 4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
i n System over 600 volts nominal Per Inspection $35.00
_ Classified area or structure containing special occupancy Per hour _ $55.oC
r" as described In N.E.C.Chapter 5 In Plant __ $55.00 _ v
J
m Submit 2 sets of plans with application where any of the above apply. Jam. Fees:
Not required for temporary construction services. 5a.Enter total of above f ass $ �'� ----
u.t 5%Surcharge(.05 X total fr as) $ ---
NOTICE Subtotal $ -------
5b.Enter 251/0 of line Fa for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review;!Lf! u r (Sec.3) $ ----- ---
NOT COMMENCED WITHIN 180 DAYS,OR Ir CONSTRUCTION OR WORK suhtoral $ --�
IS SUSPENCEL)OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account t+____,_____ Ly
Total balance Due
iosrsIELcse err nev sees
CITY OMECHANICAL
DEVELOPMEAT SERVICESPERMIT #PERMIT
. MEC97-0181
13125 S W Hall Blvd.,Tigard,OR 97223 (50)639.4171 DATE: ISSUED: 06/06/97
PARCEL: 2S1O3BD-HG038
S i l E ADDRESS. . . : 12 500 SW 115TH AVE
SURD I u S I(nN. . . . : HUNTER' S GLEN ZONING: IR-.-,. 5 PD
BLOCi.. . . . . . . . . . . LOT. .. . . . . . . . . . . . :038 JUR I SD I C ION: T I G
---------------------------------------------------------------------
CLA55 OF WORN. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . -SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRF'. . :R3 VENTS W/O APPI_: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------ 0-3 HP. . . . : 1. DOMES. INCIN: 0
:GAS 3--15 HP. . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 13-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS''. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . , - 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 1O0K ?TU: 0 <= 1O000 cfm: 0 GAS OUTLETS. : 0
FURN ) -1O0K BTU: 0 > 10000 cfm: 0
Remar-ks : Installation of AiC unit
Owner-: ---____.__________________.__________.__._.______-_--_-_.-- FEES
KEVIN LING type amount by date recpt
12500 SW 115TH PRMT $ 25. 00 DRA 06/06/97 97-295626
TIGARD OR 97223 SPCT $ 1. 25 DRA 4.16/06/97 97-295626
'hone #:
Contractor,: ---------------------_._-------
HOME HEATING & COOLING
99120 SW NORTH DAKOTA
#2A
T I GARD OR 97223 ----------------------------------------
Phone
_-_-_-_---.---------------------._-_._Phone #: 639--8169 f 216. 25 TOTAL
Reg #_ - 001206
------- REQUIRED INSPECT,GNS ------
This permit is ',sued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt Insp ~-
applicable laws. All work will be done in drrcordanr.E with INSP Misc. Inspe
LL approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more F-rtrerf-+rnTtPin r-a•osa._ -
than 180 days.
r-
n Permittee_-91-gu r e. r G--
issi.ted B(
Call for• inspection - 639-4175
IN
Plan Cheak
CITY OF TIGARD Mechanical Permit Application Rec'dly �-
13125 SW HALL BLVD. Commercial and Residential Date Rec'di1, e;
"IGARD, OR 97223 Date to P.E.
(503) 639 4171, X304 Date to DST '--
Print or Type Perm,t
_ Incomplete o, illegible applications will not be accepted Called
Name of Development/Proteu Description
> Table 1A Mechanical Cote oTY PRICE AMT
Job Street address suites A) Permit Fee -0- -0- 10.00
Address /7� �fr.✓//Sf�t
Bags cityistale Zip 1.) Fumace to 100,000 BTU 6.00
T I C'- including duds&vents
None(or nanw of twsine 2.) Furnace 100,000 BTU+ 7.50
Owner including duds&vents
Mailing Address 3.) Floor Fumace 6.00
-Y cluding vent
City/State Zipj Phone 4.) Suspended)eater,wall heater 0.00
or floor mounted heater
Name for name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mading Address 6.) Boiler or comp,heat pump,at;Gond. �>
to 3 HP;absorb unit to I00 BUT" _
Cdy+State Zip Phone 7.) Boder or comp,heat pump,air cond. 11.00
3-15 HP;absorb unit to 500K BTU"
Contractor Name/� / 8) Boder or comp,heat pump,air cond. 15.00
(Pnor to V,1.44e 15-30 HP;absorb unrt.5-1 and BTU"
issuan-e Mailing Address �--� 9.) Boller or comp,heat pump,air cond. 22.50
applicant ,: Fj f yG Yt J 30.50 HP;absorb unit 1-1.75md BTU"
must proride all Cnyestse ZIP Prime 10.) Boiler or comp,heat pump,air coed. 37.50
contractor /%+'�Jn K 1�21 1,3V ;��c ? >50 HP;absorb unit 1.75 mil BTU"
license Cragon Const.Cont.8Q&M LK s Exp Date 11.) Air handliny unit to 10,000 CFM .50
informationi�4� ', , c,7
for COT COT Business Tax or Metro M Exp Data 12.) Air handling unit 10,000 CFM 7. C
database). _
ArchitPsi NOTe 13.) Non-portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single dud 3.00
Engineer -city/state Zip Phone 15.) Ventilation system not included in 4.50
_ appliance pemeK
Descnte work New O Addition Alteration O 01• O 16.) Hood served by mechanical exhaust A 4.50
to be done Residential O Non-residential O _
Additional Description of work � f 17) Domestic incinerators 7 5G
18.) Commercial or industrial type 30.00
_ Incinerator
Existing use of ` �� 19.) Repair units 450
building or property e-1 r t'
20.) Wood stove 4.50
Proposed use of r 21.) Clothes dryer,etc. 450
building or property �`T`G"'�'-^f"
22) Other units 450
o Type of fuel-oil O natural gasV LPG O electric O 23) Gas piping one to four outlets 2.00
F` I hereby acknowledge that I h?ve read this appilcauon,that the 24) More than 4-per outlets(each) 50
information given is coiTed.that I am the owner or authorized agent of
F- the owner,that plans submitted are in compliance with Oregon Slate OTY SUBTOTAL
laws
Signature of Owner/Agent Date `SUBTOTAL .
LU /_ /�� O 5%SURCHARGE
Contact Person Name hon PLAN REVIEW 25%nF SI IRTOTAL�-
TOTAL
i idst\r w.chpmtdo (rev 9 !-Mlnimum f•ermit fee is S25+5%surcharge
"Residential PJC requires site plan showing placement of unit.
i
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____ ___v___ __________ _______�.�_____ _.____-_.. .- __ __
__ __ _____.__. .w __ _. a
_ ____.____ �_N__._-.._.
�.--�
_ - ._ _._. _ -n_._��-___ __�_________. � ___
__ � - _ �___�______ _ _.__________._ _ ____.____ w
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____�___. __L.� _._____ ._______
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CITY OF' TIGARD MASTER PERMIT
SERVICES P,ERMIT #. . . . . . : IyI5T96--04(.-,3
13125 SW Hall Blvd., Tigarcl,OR 97223 (503)639-4171 DATE ISSUED: 10/21/96
F,ARCEL: 2SI03BD-1-IG038
SITE ADDRESS. . . : 25g)() SW 115T1-I AVE
SUBDIVISION— . : [IUNTERIS GLEN ZONING: R--4. 5 PID
DLOCK. . . . . LOT. . . . . . . . . . . . . :03'B
Remarks: Path I
--------------------------------------------------------- ----- BUILDING ------------------------------------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS----- REOUIRED--------------
CLASS OF WORK.:NEW HEIGHT........: 19 FIRST....: 1192 sf GARAGE.....: 482 sf LEFT..........: 10 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD.... 40 SECOND...: Big sf FRONT.........: 20 PARKING SPACES: I
TYPE OF CONSI.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R," BDRM: 3 BATH: 3 TOTAL------: 2011 sf VALUE..4": 143058 REAR..........: 26
-----------------------------------
------------- PLUMBING —---------------------------------------------------------------
SINKS......... I WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 4 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH FASINS.. 0
TUB/SHOWERS...: 3 GARBAGE DISP..: I WATER HEATERS.: I WATER LINE ft: 100 BCKFLW PREVNTR: i GREASE TRAPS..: 0
OTHER FIXTURES: 0
------—--------------------------- MECHANICAL ---------------- ------------------------------------------------
FUEL TYPES----------- FURN i08K 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
/GAS/ / ! FURN =10&, I UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: I
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES.... 0 GAS OUTLETS.... I
------------I---------------------------------------------------- ELECTRICAL ----------------------------------------------------------------
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS--- ---BRANCH CIRCUITS---- ---- --ADD'L INSPECTIONS--
1000
NSPECTIONS—ION SF OR LESS: I @ - 200 alp..: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
CA ADDIL 500SF.- 3 201 - 400 amp... 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT I-IN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 asp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL0ANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 alp.: 0 601+amps-1000 v: 0 MINOR LHBEL -10: 0
1000+ alp/volt.: 0 -------------------------------------- PLAN REVIEW SECT11'- -—---------- -----------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V N ' L: CLS AREA/SPC DCC:
------------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -------------------.- -_.-----------------------------
A.
------------------ --------------------------------A. SF RESIDENTIAL---------------------------- B. COMMERCIAL-------------------------------------------------------------------------------
AUDIO 9 STEREO.: VACUUM SYSTEM..: AUDIO 9 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM—: OTH: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS... TOTAL # SYSTEMS: 0
Owner: ------------------------------------Contractor: ---------------------------- TOTAL FEES:$ 4439.70
LEGEND HOLES LEGU:41 HOMES CORPORATION
6900 SW HAINES ST 7160 SW HAZELFERN RD,
SUITE' Ift
TIGARD OR 97223 TIGARD OR 97224
CL Phone #: 620-809 Phone #: 620-8080
Reg #..: 60563
V)
>_ 'his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and ali other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if w.rk is not started within lRe
�2 days of issuance, or if work is suspended for more than 180 days.
4 --------—----------—------—----------------------—---- REDUIREED INSPECTIONS -------------------------------------------------------
LU
--------------------------------------------------
LU Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation !nsp Mechanical Insp Shear W,il Insp Insulation Insp Appr/Sdwlk Insp Erosion Control
Post/Beat Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final
Post/Beal Mechan Electrical Sprvi Fireplace Insp Rain drain Insp Mechanical Final
C-aw: Drain Electrical R, 5&s Line Insp Water Line Insp PImqb Final
!--I pi-m i t t e S gnat I-tv-PJ s i..i e(I B y
/-7 7 /
Ua 1 .1 Tur, I I Is[IeCt T On
CITY OF TSEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : SWR96--046 5
13125 SW Hall Blvd., Tigan OR 97223 (503)639.4171 Dr,TF ISSUED:
1�►/�119E
RF RCEI_: 2S 103BD—H1:038
`:iI TE ADDRESS. . . 1c5670 SW 1. 1.5TH AVL:
SUBDIVISION. . . , HUNTER' S GLEN ZONING: R-4. 5 PD
BI-_OCI... . . . . . . . . . LOT. . . . . . . . . . . .. . :0.33,8
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORT'.. . . :NEW DWELLING UNITS. . : 1
TYRE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR I1dPERV SURFACE: 0 st
Remarks : Fath 1.
Owner-: ________...__.__.__._____.__._____________________._______..________.—__ FEES
LEGEND HOMES type amol.rnt by date recpt
6.,900 FW HAINES ST PRMT $ '200. 00 B 10/21/96 96-285414
INSP $ 35. 00 B 10/21/96 96--28541.4
TIGARD OR 9722:3,
Phone #: 620--8080
Contractor
CONTRACTOR NOT ON FILE
p't1t7T1E' #: $ 2235. 00 TOTAL.
Reg #. . .
REDUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulation; Sewer Inspection
of the Unified Sewage Agency. The permit expires, 190 days from
the date issued. The total amount paid 4ill 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 ,n located, the Installer shall purchase
a "Tap and Side Sewer" Permit and the Aq$icy will install a lateral.
I='r r•m i t 1;e e 5 i g n a t l_i r e /�J ��/ '� :✓ � � .� _____ .—_ ____..
T s s r.a e d H •. > /
y• �A�
C::11 roe inspection — 633-4175
w
J
h
ITY OF TIGARD Residential Building Permit Application Plan Check# I J `1Recd By aj,-
t 3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd r.1-<-'5 1,
IGARD, OR 97223 Single Family Detached or Attached Date to P.E._101 1l
03) 639-4171 Date to DST 140 4-G G
Print or Type Permit# `51 -otl 3 601.1 -
Incomplete or illegible applications will not be accepted cane
"lame of 5ubdivwsion Lot# Name
JobSfl LEGEND HOMES
H U N T E R ' S GLEN Architect Mailing Address r
Address 12 , e�lI 115th Avr�nue 6900 SW Haines St .
Name City/State Zip Phone
LEGEND ["'MES Tigard , OR 97223 620-8080
Owner Mailing Address NameF R O E L I C H
6900 SW Haines St .
City/State Zi ph ne E:tgineer Mailing Address
Tigard , OR 9223 6200-8Q80 6969 SW Hr.mpton St .
City/Stat- Zip Phone
Name Ti, rA ' OR 97223 624-7005
LEGEND HOMES
General Describe work new d addition O alteration O repair O
Contractor Mailing Address to be done:6900 S W Haines S t . Additional Descriptio i of Work:
City/State Zip Phone
Tigard , OR 97223 620-8080
Oregon Const.Cont. Board Lic.# Exp.Date
Attach Copy of..060563 6/19/97 Project _1 /
Current COT Business Tax or Metro# Exp.Date Valuation ��;� 7-7
Licenses 4 6/1/9 7 NEW CONSTRUCTIONONLY:
Naamee _
Mechanical SUNGLOW INC . Sq.Ft. House: Sq.Ft.Garage:
Sub- Mailing Address
2428 S E 10 5th Corner Lot Yes No Flag Lot Yes No
City/State Zip Phone (check one) �� (check one) '✓
I ('o r t l a n d ,_ 0 ft 97216 253-7789 Restricted A dio/Stereo 1 Burglar
Oregon Const, Cont. Board Lic.# Exp.Date Energy T ( system )( Alarm
Attach Copy of 48131
Current COT Business Tax or Metro# Exp. Date Installatlu„ Garage Door HVAC
Licenses 12 76 Opener Systems
+ Name (check all that Other:
Plumbing ! WOLCOTT PLUMBING app;,/)
Sub- .'ailing Address —` Will the electrical subcontractor wire for all Yes NQS
Contractor PO Box 2007 restricted energy installations?
City/~late Zip Phone Has the Subdivision Plat recorded? N/A Yes No
Gresham OR 97030 667-9891
Oregon Const.Cont-Board Lic.# Exp. Date Reissue of MST# Solar Compliance
Attach Copy of 10/19/9 7 I/! (Calculation Attached)
Current Plumbing Lic. # Exo. Date I hereby acknowledge that I have read this application,that the
Q_ Licenses 2 6—2.0 8 P O 8/31/97 information given a cormct, that I am the o,vner or authorized age-it of
COT Business Tax or Metro# Exp.Dale the owner, and that plans submitted are in compliance with Oregon
_
96-42 81 12/96 State laws.
Name Signpture of/Qwn�# gent Date
�- Electrical GARNER ELECTRIC
Cbriliq6t Person Na! one
Sub- Mailing Address r44 -�f)co_ ? U,lv,�b
r�
Contractor 21785 SW TV Highway FO OFFICE ONLY:
w City/State Zip Phone Plat# Map/TL#;
-' A1.oha OR 97006 591-1320 �l �:
Oregon Const,Cont. 3oard Lic# Exp.Date Jr L� I 1- '�J �I �P F U " i
I' ? } '07:5
An:nch Copy of 74896 Setbacks Zone: Solar-
Current Electrical Lic. # Exp, Date
Licenses 3 4-3 0 5 L'
COT Business Tax or Metro# Exp.Date Engineering Apr Val: Planning Approval: TIF:
7 ./rl-( 'Inrt f,, Val: Planning
st5\mstapp.doc to •1 1(0 N
s�3C9o5r� 6 5
Permiit_# Account Description AL'1oun AML-Pd. Bal. Due
MST. Permit (BUILD) S ,Go _ 543, '
Plumb. Perrnit (PLUMB) 225-00 Zz5, ��
Mech. Permit (MECN) 45,-)
ELC/ELR Permit (ELPRMT) Z zs, °J z a-5, -
State Tax (TAX) _ 5 0
Bldg:
Plumb: z
Mech:
ELC/ELR: ii z S
Plan Check
MST: (BUPPLN) 351, 5
Plumb: (PLMPLN)
Mech: (MECPLN) /. Z$ lI• zs
CDC Review (LANDUS) o, •� 4a,
r�• �,r' Sewer Connection (SWUSA) Zz ou 2Z�o
Sewer Inspection (SWINSP) 35 35
Parks Dev Charge (PKSDC) /050 X05,0
Residential TIF (TIF-R) _Z_2;7 0 1,570
Mass Transit TIF (TIF-MT) I Z v le-0
Water Quality (WQUAL)
Water Quantity (WQUANT) loo
Erosion Control Permit (ERPRMT)
p U
Erosion Planck/USA (ERPLAN) 2,0. V 0 2 ��, go
Erosion Planck/COT (EROSN) l`.v 2a. 9U
Fire Life Safety (FLS)
TOTALS: 24,12 23 C-) qb 74. 70
Odstsvnsla'op doc k
Rev. 7190
Box B. continued Box B.
2. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If }
the lot slopes down from the front lot line to the foLndation, the figure is negative. ��--��
3. Measure distance from finished floor elevation to the affected peak/eave. + 9Z ft
4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, ft
deduct nothing.
5. Subtract one foot for each foot of difference in elevation from the front property
line to the re,.r property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing. O__ ft
6. Total figure for box B: ft
Box C. Distance to the shade reduction line. Box C:
1. Measure the distance from the North property line to the foundation near the 10 ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + � ft
3. Total figure for box C: 2 •6" ft
It is most useful to draw a vertical line to represent the appropriate figure found in Lax"A"and a horizontal line to represent the
appropriate figure found in box"C".The intersection of the vertical and horizontal lines determines the value found in box"D".The value
in box"D"should be compared to the value in box"B"; if the value in box"B"is less than or equal to the value found in box"D", then
the building is in compliance with the solar balance code. If you have any questions, please contact us at 639-4171,x304 or at the
Community Development Counter.
MAXIMUM PERMV'TED SHADE POINT HEIGHT In Feet
Distance to North south lot dimension(in feet)
shade 100+ 95 90 85 80 75 70 65 60 0.5 50 45 40
reduction line
from northern I
lot line(in feet) I
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42
60 36 36 36 37 38 39 40 41 2
55 34 34 34 35 36 37 38 39 40 41
50 32 32 33 34 35 36 37 38 39 40
45 30 30 30 31 32 33 34 35 36 35 38 39
40 28 28 28 29 30 31 32 33 34 3� 36 37 38
cj� 35 26 26 26 27 28 29 30 31 32 3 34 35 36
30 24 24 24 25 26 27 28 29 30 31 32 33 34
>_ — 25- 22-.- 322. -22 23 24 —35 _36- 27---26- 30 31 32
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 23 24 25 26 27 28
10 16 16 16 17 18 19 21 22 23 24 25 26w
5 14 14 14 15 16 17 18 19 20 21 22 23 74
Box D. Ma>:imum allowed shade point height; 2� _ feet 1
hAdocs\nancy\ventura\solar.chp
Revised 2/26/96
Solar Balance Point Standard Worksheet
Address I7-'51 � 6V& AUXXZXs 6wr.� err 32
Box A calculations: North-South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east-tirest and intersecting the northern most
point of the lot.
45°—�
1
LM Ur* NO Lor Up*
N North-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line. r
�5s feet
1
N
EF NORM-SOUK DIMENSION
Box B calculations: Shade point height for your residence. Box B:
1. Determine whether measurements will be hased on the peak or eave of your Which describes
structure. The orientation of the ridge is also important. your residence?
1 a: If the roof line runs North-South, measurements will E..Eff� (circle one)
be based on the peak of the roof. ❑❑❑❑ ,
1 A 1 B Cl )
1 b: If the roof line runs East-West and the roof pitch is
a less than 5/12, measurements will be based on the
�-
eave.
In 4ODE POINt EASE
T
F-
1c: If the roof line runs East-West and the roof pitch is \
--I 5/12 or steeper, measurements will be based on the TL'__1
� ,�
peak.
PLOT PLAN
LOT 138, HUNTER'S GLEN
12511 SW 115th AVENUE
MAP 0 2(o1035D, TAX LOT * 1002
N.E. 1/4 OF SECTION 3, T.25, R.IW, W.M.
CITY OF TIGARD
WASHINGTON COUNTY, OREGON
LEGENDHOMES
6900 9.11. tiARMS STARK 77o1RD. oRMN
P11TJ X. SUM 200 07883-2814
oma (803) e20-8080 FAX (803) 698-9900
Smm'4b'0fd"W
55�' 210
210- - - -
_ _ _ _ _ — -2111
LOT 39 ?III- - - - - -� SETBACK LINE——� - -
212 — _ - - -N -- - - - - - - 213
- - _ -� - - - -r - -214
-215
r
I" 20'-0" 214- -- -- - -- - _ _ - - - - _— — _ ?Ib
?15-- -- - - _135 - - - - 51a' � - - ?17
• - -- - - - -218
W W --
El WATER METER \\ LOT 38 LOT 37
W------- WATER LINE \ 5,225 SQ. FT. / •
ss——— — SANITARY' SEWER \ IVICTORrA
SD— - - — STORM GRAIN \ FIN. FLR. ■ 2185
Im m'
----- 4 OF STREET \ A
• MANHOLE
® CATCH BASINPROPOSED \ \
50.\
STREET TREES \ \\ \
® STREET LIGHT
FIRE HYDRANT
Ste/
P4 \\ Cr
2113, _ \
~ 8' P-1l ASMENT
BLIC
J' I UTILITY
' _ \ SIDEWALK
-3 215 �— CURg
LLJ
5W 115th AVE,
wNU� S�
TRACT 'B' �,
12449 Blah N C'
253 5,4 1157
W 454 245 240
2535
`" + 500
2519 2526 51 y ;
2514
(02537 oo 4
Q
o ERROL ST. 557 � 540
U' (n 56 w Z 12554
Z1255 = 257 >
y-v o FTl V 2 83 y z 562
!0i m 00 rCri 609 M 12602
o 26152
J C
2 E'39 M
262 2621 �
co FT� 2653
219 2648
U1 M --\
p 21681
�, 2G64
CARMEN ST.
P27-12
T22703
14716
2727 12720
Nv� S�E
SW W,t\u
r- :n� N X
o
m m cton o
a12440 _ 40)
N � a SW BA Bi LN 11577
N
J M r 12454 j
cn 12r550
rl w O \
� r 12502 12453 12450N
h' N
I
2511
12526 12519
12514
V
12517
_ w
112 48 1237 Ul 12549 rn
SW E ROL ST. 12540 �
z I
rn - 12555 �OD-
12557 1
D --
012 62
U) 2562 m ,2575
C 12586 12583 C 6, r `
L4
N Z °D
112126W so2 2609
(n ---� f
—' m A 12615 12.62
(A 6 T
o C\
�7 12639 12627.
126%8 m
z roi
_ C 12653 I
fTl 12664 M
Z
126L0
N '
'f °D
1126
JJS
A �
SW CAR EN ST. 127013
MD 12719
LO 12712
W 12720 127297
D