12519 SW 116TH AVENUE ADDRESS:
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:age No. 1 CASE HISTORY FOR CASE NO.: 1'ST96-0509
LEGEND HOMES
12519 SW 116TH AVE
08/01/97
Action Description Rte/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
I------ ------ ------------ -------- -------- -------- --------------------------------------- ---- --- -------- - -
MSTA005 Application received / / / / 10/31/96 PASS JMH 11/04/96 DRA
MSTA008 Permit L^eated / / 11/04/96 PASS DRA 11/04/96 DRA
MSTA010 Check, for prcl, restrict. / / / / 11'04/96 Unable to check site plan as accorded FAIL DRA 11/04/96 JD
plat is unavailable... this must be
verified when post-review is done and
Kit has forwarder! the subdivision plat
to our attention.
MSTA012 Plans routed to Plans Examiner / / / 11/04/96 PASS DRA 11/04/9.5 DRA
MSTA026 Plans approved by Pans Exmr / / / / 11/12/96 PASS RT 11/12/96 BT2
MSTA080 (F) Ready to issue / / / / 11/25;96 PASS B 11/25/9L BON
MSTA(180 (F) ready to issue / / / / 12/13/96 PASS B 12/13/96 DST
MSTA092 (F) Issue combination permit / / / / 12/13/96 PASS B 12/13/96 DST
MSTA095 Issue plumbing signature form / / / / 12/13/96 RECEIVED 12/23/96 RECD JT 12/26/96 KAS
MSTA097 Issue electric signature form / / / / 12/13/96 RECD JT 12/26/96 KAS
RECEIVED 12/23/96
MSTA705 Footing Insp / / / / 121'17/S,6 #-1- clue to cold weather conditions A/N KS 12/27/96 KBS
protect L,ncrete from freezing
MSTA706 Foundation In^p / / / / 12/18/96 APP KS 12/19/96 KBS
MSTA710 Post/Beam Structural / / / / 12/27/96 APP KS 12/27/96 KBS
MSTA711 Post/Beam Mechanical / / / / 12/27/96 APP KS 12/27/96 KBS
MSTA713 Crawl Drain / / / / 12/20/96 PASS MS "2/23/96 MRS
MSTA717 PLM/Undt!rfloor / / / / 12/27/96 APP GS 12/27/96 GES
MSTA720 Mechanical Insp / / / / 02/11/97 APP KS 02/11/97 KBS
MSTA722 P(mb Top Out / / / / 02/06/97 9-1- inspection posted on job site APF MS 05/01/97 KBS
MSTA723 Electrical Service / / / / 02/11/97 APP GS 02/11/97 GES
MSTA724 Electrical Rough In / / / / 02/11/97 FAN BOXES IN FAM RM, ENTRY, MSTR RDRM APP GS 02/11/97 GES
MSTA725 Framing Insp / / / / 02/14/97 #-1-see inspection notes DIS KS 02/18/97 KBS
Q
Of MSTA725 Framing Insp / / / / 02/18/97 APP KS 02/18/97 KBS
F--
Lr) MSTA725 Framing Insp / / / / 02/19/97 APP KS 02/19/97 KBS
>- MSTA726 Shear Wall Insp / / / / 02/07197 #-1- not ready N/R KS 02/07/97 KBS
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MSTAT26 Shear Wall Insp / / / / 02/10/97 NJR KS 02/10/97 KBS
L� MSTA726 Sheer Wall Insp / / / / 02/12/97 #-1- see inspection noes DIS KS 02/13/97 KBS
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MSTA726 Shear Well lisp / / / / 02/18/97 APP KS 05/01/97 KBS
MSTA735 Gas Line Insp / / / / 02/11/97 APP KS 02/11/97 KBS
MSTA740 Insulation Insp / / / / 02/18/97 APP KS 02/18/97 KB'
MSTA740 Insulation Insp / / / / 02/19/97 APP KS 02/19/97 KERS
MSTA745 (yp Board Insp / / / / 02/20/97 0-1- inspection card on site APP KS 05/01/97 KBS
ar
Page No. 2 CASE HISTORY FOR CASE NO.: MST96-0509
LEGEND HOMES
12519 SW 116TH AVE
08/01/97
Action Description eq/ Schd/ End/ Action Notes Di3p By Update Upd
Code Sent Done Done Date By
------- - ----- ------------ -- ----- Apo -------- -------- --------------------------------------- ---- --- -------- ---
MSTA755 Rain drain Irsp / / / / 12/20/96 PASS MS 12./23/96 MRS
MSTA760 Water Line Insp / / / / 12/20/96 PASS MS 12/23/96 MRS
MSTA765 Appr/Sdwlk Insp / / / / 03/13/97 1. FORM FOR FACE OF APPROACH WINGS. PISS PI 03/21/97 RB
2. BE PREPARED IO PROTECT FINISH.
MSTA790 Electrical Final / / / / 04/09/97 install gar lite fixture; laund tan DIS GS 04/09/97 GES
rubbing; plug to left of range not gfci;
cover outlt box and complete Lovolt
under stairs; lr needs switchable plug;
frt porch lite fix; corral to voltage;
seal oround mstr bth fam
MSTA795 Mechanical Final / / / / 04/30/97 #-1- see bldg final this date DIS KS 05/01/97 KBS
MSTA795 Mechanical Final / ; / / 05/06/97 APP KS 05/06/97 KBS
MSTA797 Plumb Final / / / / 04/17/97 PAS MS 04/18/97 MRS
MSTA799 Building Final / / / / 04/30/97 #-1- post st address DIS KS 05/01/97 KB,
#-2- support gas pipng nt water heater
#-3- corner bead missed at garage gypsum
#•4- seal around door jambs at storage
#-5- cover exposed water pipes at crawl
space
#-6- support heat ducts crawl
MSTA799 Br;41ding Final / / / / 05/06/97 APP KS 05/06/97 KBS
MSTA960 (F) issue Cert. of Occupancy / / / / 05/06/97 nailed 8-1-97 08/01/97 S•W
MSTA970 Case Finated / / / / 05/06/97 APP KS 05/06/97 KBS
MSTA970 Case Finated / / / / 05/06/97 PASS TLP 05/07/97 TLP
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CITY OF TIGARD BUILDING INSPECTION NOTICE
I
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service INAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -MD
' Plbg.Und/Flr/`slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mach, Rough-in Gyp. Bd,
San Sewer Gas Line Apr,r/Sdwik
Other: t
Date: --� L;L_L_ A.M. P.M. ntry:
Address: _ 1
Tenant:,____.. . ��S 19p Ste:_—_ MST:
BUPi
Con/Own:
S - 5 b� _ MEC:
PLM:
ELC
THE FOI1_0WING CORRECTIONS ARE REQUIRED: ELR
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Inspector: Date, ,
�PVROVEO-_DISAPPROVED/CALL.FOR REINSP.�� CF CO
CITY OF TIGARD
DEVELOPMENT SERVICES
13123 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
CEROCCUPAN 'YpF
PERMIT #. . . . . . . : MST96•-050"4
DATL ISSUED: 05/06/97
PAR(,E l..: �2S 103BD-HG004
1TE ADDRESS. . .. : 1?519 SW 116TH AVE
'1.1131)1 V I S I ON. . . . : HUNTER' S GLEN Z 014I NO, R4. 5
i+LOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . s004 :JURISDICTION:
CLASS, OF WORK !NEW
TYPE OF UUE:. . . :SF
TYPE OF CONST R—5N
OCCUPANCY ORFS. :R3
OCCUPANCY LOAD:c
I4e;narkg : Single family new res.idence.PATN 1
Own-r:
t_E G ND HOMES
6901 SW HAINES ST
11GARD OR 97223
Phone ##: 620--6080
Contractor:
LEGEND HOMES CORPORATION
7160 SW HAZEL.FFRN RD.
STE 100
TIGARD OR 97224
Phone #: 620-8080
1,e p #. . : 000605
! his C:ei tificat.e grant! OCCLIF)LAnvy of the above referenced building or portion
,. hereof and ronfir^ms that the building has been inspected for f:-.ompli;-rnc a with
the r-qate of Ot.etgori GpvtgRlty Coc:jes for the gra occ,_aney, and use under
!hick the referenced permit was igsued.
AUTLDINt3 INSPECTOR
C': OFFICIAL
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F I POST IN CONSPICUOUS PLACE
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CITY OF TIGARD
DEVELOPMENT SERVICES h1i=151-ER P'ERMI'T
` PERM I T #. . . . . . . : MST96--050
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DAl-E i SSUED: J.2/13/96
PARCEL..: R'S t�2,,CD--HG004
SI'TE ADDREwSS. 1. "; 1 F3 1 :I(, r ] AY FF
SURD T V I Fl 10N. . . . : I iI 11`.I1-F: R' ) rL.FTI ZONING: R--4.. 5 PID
ISL O('K.. . . . . . . . . . :, L.0 T. . . . . . . . . . . . .. ..00�
Remarks: Single family now reside.ce.PATH I
-----------------------------._------------------------------------ BUILDING --------•----
REISSUE: STORIES.......: 2 FLOCR AREAS---------- B4SEMENT...: 0 sf REPUIRED SETBACKS---- REPUIRED-------------
CLASS OF WORK.:NEW HEIGHT........: 24 FIRST....: 1021 sf GARAGE.....: 527 sf LEFT........... 5 SMOKE DETELTRS: Y
TYPE OF USE...:13F rLOOP, LOAD....: 40 SECOND...: 1284 sf FRONT.........: 20 PARKING SPACES: 1
TYPE OF CONST.:SN DWELLING uNITS: 1 �INBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TCT!-------: 2305 sf VALUE..t: 16%93 REAR..........: 35
RLUMbING ------------------------------•----------------
SINY.S.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAC,E DISP..: t WATEP HEATERS.: I WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
- --------------------•---------------------------------------- MECHANICAL -------------------•--------------•------------------------------
FUEL TYPES---------- FURN ( 10PA ..: 0 BOIUCMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / TURN )=100v, ..: t UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: I
---------------------------------- ----------------------------- ELECTPICAL --------------------------------•--------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER-- --1EMP SRVC/FEEDERS-- ---BRRNCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 206 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATJrNN: 0 PER INSPECTION: 0
EA AOD'L 500SF.: 4 201 - 400 amp..: 0 201 - 400 amp..: 0 1st r!O SVC/FDR: 0 SIGN/OUT I-IN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 4011 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL,..: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ----------•--------------------------- Cq_AN REVIEW SECTION ...-_------•-_------------------------_
Reconnect only.- 0 )=4 RES UNITS..: SVC/FDR)=2..5 A.: ) 600 V NOMINAL: CLS AREA/SPC UCC:
-------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY --- ----- __--------------------•-----------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL------------------------------------------------------------------------------
AUDIO h STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERC1344/1)AF-1143: 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....: Tn1AL # SYSTEMS: 0
Owner: --------------------------------------Contractor: ----------------------------- TOTAL FEES0 2912.70
LEGEND HO!iES LEGEND HMS CORPORATION
6900 SW HAINES ST 1160 SW HAZELFERN RD.
SUITE 100
;IGARD OR 97223 TIGARD OR 97224
PFone #: 620-8080 Phone #: 620-8080
a Reg #..: 60563
rs
N This permit is issued subject to the regl!lations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
> applicable laws. All work will be done in accordance with approved plans. This permit will Pxpire if work is not started within 180
~ days of issuance, or if work is suspended for more than 180 days.
--- --------------------------------------------------- REQUIRED INSPECTIONS ---------------------------------------------------
m Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
w Foundation Insp Merhanical Insp Shoar Nall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control
post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final
Post/Beam Mechan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final
Crawl Drain Electrical Rough Gas Line Insp Water Line Insp PI b Final _
00,
Permittee Signat1.tr,e Iss '/ :
Ca r inspection - 639-4175
i
. CITY OF TIGA,RD SEWER CONNECTION
DEVELOPME1 7 SERVICES P E R lyl IT
PERMIT #. . . . . . . :
: SWR96 ,3'
051
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE I S 5 UED: 13/96
PARCEL: :5103CD--HGO04
SITE ADDRESS. . . : 1251 SW 116TH AVE
SUBDIVISION. . . . : HUNT IRIS GLEN ZnNING: R-4. 5 PID
BLOCK;. . . . . . . . . . . LOT'. . . . . . . . . . . . . :17,11114
TENANT NAME. . . . . :
USA 1\10. . . . . . . . . . : FIXTURE UNITS. . . : 0
_ASS OF WORK. . . :NEW DWE1.A._IN(3 UNTTS. . : I
TYPE OF USE. . . . . :SF NO. OF BUILDINGS- I
INSTALI... TYPE. . . :BUSWR TMPERV SURFACE- 0 s f
Remarks : Single family new t-asidpnce.
Owner,: FEES
LEGENE HOMES type amount by date r-ecpt
:_1 , 96--287709
6900 SW HPINES ST PRMT $ 1200- OIZI R 12/13/9F
INSP $ 35. 00 B 1'2:/13/96 96-2,87709
TIGARD OR 97223
Phone #: 620-9080
CONTRACTOR NOT ON F','LF
Phone #: $ 2235. 00 TOTAL
Rpt REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Pgency. The pervit expires 1B0 days fro@
the date issued. The to-71 amount paid will be forfeited if the
permit expires. The Agency dces 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 put-chase
a "Tap and Side Sewer' Permit and the Agency will install a lateral.
00"
P e t,M i t t p e S j.
Tssi-ted By :
Call for- inspection 639-4175
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q Plan Check# 10•-7h
AT'7 OF TIGARD Residential Building Permit Application Recd By
3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd CJ
IGARD, OR 97223 Single Family Detached or Attachea Cate to P E. It .'
03 639-4171 Date to DST I; L5
Permit Ill
�5i 4�0-C•�>y
Print or TypePermit
11-zS-°Ili
Incomplete or illegible applications vvill not be accepted -
,Job1Name of Subdivision Lot# Name
11LINFER ' S GLEN HZt LEGEND HO^,L S
Architect Mailing Address
Address Sited cess 6900 SW Haines St .
Y_
1 -1144 W 1 1 6th Avenue City/Shite Zip I Phone
Name Ti.nard OR 97223 620-ROHO
LEGEND HOMLS Name
Owner Mailing Address F R 0 E L I C H
6900 _)W Haines St ' Engineer MailingAdt ass
city/state Zi phone 6969 S W Hampton S t .
T i g a r d , OP 9 f 2 2 3 6 7.0- f3 0 8 0! City/State Zip Phone
Name Tigard , OR 97223 624-7005
General LEGEND HOMES Describe work new addition O alteration O repair O
Contractor MA done:
ailiog Address
6900 S 1W Haines S t . Addditions!Description of Work:
City/State Zip Phone
Tirard OR 97223 620-8080
Oregon Const.Cont.Board Lic.# Exp.Date ,y — --- —
Attach copy or O 6 O 5 6 3 V I q^�1 6/19/97 (AT"'T1 Project
Current qJ
COT Business Tax gr Metro# Exp Date / valuation / �' _
Licenses 4 371. - (r' _. �G_ �� 6/1/97 NEW CONSTRUCTION ONLY:
�- Name / �/
,Mechanical SUNGL OW INC . 1*14 Sq.Ft. House:. Sr +t.Garage:
Sub- Mailing Address
Contractor 2428 SE 105th Corner Lot Yes No Flag Lot Yes No
City/State Zip Phone (check one) (check onA) i�
I Pt-rt ano OR 9721 253-7789 Restricted rrp,ci Audio/Stereo I„✓""��' Burg
Oregon Const.Cont. Board Lic.# Exp.Date Ener ( System Alarm
,attach Copy of I +8131 gy
Installation �l«�i ' Garage Door HVAC
Current COT Business Tax ort etro# E p. e /
/ C ., k Opener Systems
licenses 14-16 C'v
Name o o (check all that Other:
Plumbing WOLCOTT PLUMBING apu''/)
Sub- V'!ailing Address Will the electrical SL bcontractor wire for all Yes No
restricted energy installations?
Contractor PO Box 2007 Has the Subdivision Plat recorded? 7N _L )�'
IA Yes No
city/state Zip Phone
Gresham OR 97030 667-9891
Oregon Const.Cont.Board Lic.# Exp.Date Reissue of MST# Solar Compliance
ttach Copy of
10/19/97 () (Calculation Attached) �-
Current Plumbing Lic.# Exo. Date I hereby acknowledge that I have read this application, that the
Licenses 2 6-2 0 8 P B 8/31/97 information given is correct, that I am the owner or authorized agent of
COT Business Tax or Metro# Exp.Date the owner, and that plans submitted are in compliance with Oregon
96-4281IZ 4(0 12/96 State laws. _
--- signature of Q7nar gent // Pat
Name / y ;r �j l
Electrical GARNER ELECTRIC { ��ir � -���� '
_ Contact �rson Na Phone
Sub_ Mailing Address If r' v k
Contractor 21785 SW TV Highway FOR FFICE USE ONLY:
W C,ty/state Zip Phone P.it# '+i ri Qt-kliu j.. Map/TL#:
-� Aloha , OR 97006 591-1320 :�cr_c n� N� At_ai 1 �)'y
Oregon Const.Cont. Board Lic.# Expl Date `
Attach Copy of a- Setbacks Zone! Solar
Current Electrical Lic.0 Exr.gate `/
Licenses 3 4-3 0 5 C / -----
COT Business Tax or Metro# Exp. Bats Engineering Ap roval: Planning Approval: TIF:
stsvinstspp,dac
^ M
P e r rn i cc:.�Q;�t ' ri A[Dount Airs. Ed, .3l_QM_
Permit (BUILD) _ 01
Plumb. Permit (PLUMB)
Mech. Permit (MECH) 1/ _ `d
EI_C/ELR Permit !ELPRMT)
State Tax (TAX) J 7 )
Bldg: Jo, q v
Plumb: /1"z
Mech: ,1
ELC/El-R:
Plan Check /
6
MST: (BUPPLN) 1z n� zv
Piumb: (PLMPLN)
Mech: (MF-PLN) �/ L '_ ff Z
CDC Review (LANDUS) t/
�w/?yrySewer Connection (SWUSA) 2()�' �v''�
Sewer Inspection (SWI NSP) 3 -)' 3 )
Parks Dev Charge (PKSJC) 0 5-7) c, -V '
Residential TIF (TIF-R) /S 7( )c 0jeFD'y Lzu
Mass Transit TIF (TIF-MT)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Cz
Erosion Control Permit (ERPRMT) �
Erosion Planck/USA (ERF LAN) ,
Erosion Planck/COT (EROSN) b'v _
J
Fire Life Safety (FLS)
TOTALS: , --��� �5 7'
I\dstslmstapp doc
Rev. 7196
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GARNER ELECTRIC
21785 SW TV HWY
#L
ALOHA OR 97005
Electrical Signature Form
Permit # . • . . : MST96-0509
Date Issued. : 12/13/96
Parcel . . . . . . : 2S103CD-IlGO04
Site Address : 125j' SW 116TH AVE
Subdivision. : HUNTER' S GLEN
Block. . . . . . . . L,Ot : 004
Zoning. . . . . . . R-4 . 5 PD
Remarks :
Single family new resi.dence.PATH I
Your company has been indicated as the electrical contractor for the permit indicated ab,_)vr-. 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 Ele-trical
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
OWNE,P : ELECTRICAL CONTRACTOR:
LEGEND VCMES GARNER ELECTRIC
6900 SW HAINES ST 21785 SW TV HWY
#L
TIGARD OR 97223 ALOHA OR 97006
Phone 4 : 620-bJ80 Phone # :
Reg # . . : 116721
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Signature ot SupilYVIIsiffigF Electrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
ti
CITY OF TIGARD
,3125 S.W. HALL BLVD.
TIGARD, OR. 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
P O BOX 2907
GRESHAM OR 97030
Plumbing Signature Form
Permit # . • . . : MST96-0509
Date Issued. : 12/13/96
Parcel . . . . . . : 2S103CD-HG004
Site Address : 1244? SW 116TH AVE
Subdivision. : HUNTER' S GLEN
Block . . . . . . . : Lot : 004
Zoning. . . . . . : R-4 . 5 PD
Remarks :
Single family new residence.PATH I
Your company has b9en indicated as the plumbing contractor for the permit indicated above In order
for the plumbing perm;t to be valid, please have the appropriate individual frc-n your compiny sign
below and return this Plumhing Signature Form prior to the start of work. N ;,;umbing inspections
will be authorized until this coropleted form is received.
AN INK c:.IGNATURE IS RFOUIRED ON THIS FORM
OWNEE : PLUMBING CONTRACTOR:
LEGEND HOMES WOLCOTT PLUMBING CONT. INC
6900 SW HAINES ST P O BOX 2007
TIGARD OR 97223 GRESHAM OR 97030
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Phone # : 620-8080 Phone # :
Reg # . : 23847
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Signature of Authorized Plumber
Please return this completed form 10 the address above.
A-FTN: Building Dept.
IF you have any questions, please call 639-4171 , ext. #310
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C.7
FLwOT FLAN
LOT 4104, �4UNTE R '5 GLEN
1252& 5W llroth AVENUE
2X10351), TAX LOT " 4000
N.E. 1, 4 OF SECTION 3, T.25, R iW, W.M.
CITY OF TIGARD
W,451-41NGTON COUNTIT , OREGON LEGEND HOMES
6900 S.W. HARM 9TRBs1' n0ARD, OREGON
PLUA 2, STMT X00 97220-2614
5W 1 iroth AVE. -
O►IIGE (603) 620-6060 TAS (503) 696-6900
11 : -rory
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URB
/ U// 51DEWAL
8' UTI L E.. �, �. g x'46'00°
WATER METER EASE1rI�NT 21"12'
I I
'- - - - 215'
UJ------- WATER LINE 2I�-- I d� � I � ��' I, 'b' �--'•� �. �--- — �,�—
55--'--—— SANITAR',r SEWER
SD— - - --- STORM DRAIN 218 ' -- ----"? -^ -••- - .. 224
219
------ 4 OF STREET
. MANHOLE 220
IN CATCH BASIN 221 - ` / ` 2242'
STREET
TREES
® STREET LIGHT 222
,5,'1" SQ. FT.
FIRE H7•DRANT �_
'a FIN. FLR. . 2250'
I GARAGE FLR
I %
I 1 2245_
J \
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PROVIDE
EROSIONinn
FENCE - -- ---1 - TSA __
w nor 2221' I \� LOT 5
7 1402+•36'4 "�.
ryryh hry^1
60.Qo'