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12526 SW 116TH AVENUE 1 4or" AV J i:lrecords"icroflm\targets\building.doc w J Page- No. 1 CASE HISTORY FOR CASE NO.: MST96-0453 LEGEND HOMES 12526 SW 116TH AVE 07/22/97 Action Descripci-in Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------ -------- ------------------ -------- ----- -- -------- --------------------------------------- ---- --- -------- --- MSTA005 Applicat4in received / / / / 10/16/95 RECD 8 10/17/96 PHN MSTA008 Permit �t.ed / / / / 10/17/96 PEND B 10/17/96 PHN MSTA010 Check for prcl. restrict. / / / 10/16/96 10/17/96 PHN MSTA012 Plans routed to Plans Examiner / / / / 10/17/96 PEND B 10/17/96 PHN MSTA025 Plans approved by Plans Exmr / / / / 10/21/96 PASS RT 10/21/96 BT2 MSTA030 Reviewed plans routed to DSTS / / / / 10/21/96 PASS RT 10/21/96 BT2 MSTA080 (F) Ready to issue / / / / 10/22/96 PASS DRA 10/22/96 PHN MSTA092 (F) Issue combination permit / / / / 10/25/96 PASS JDA 10/25/96 DST MSTAO97 Issue plumbing si ,ature form / / / / /25/96 PASS JDA 10/25/96 DST MSTA098 issue electric signature form / / / / 10125/96 PASS JDA 10/25/96 DST MSTA705 Footing Insp / / / / 11/01/96 APP KS 11/04/96 KBS MSTA706 Foundation Insp / / / / 11/06/96 APP GS 11/06/96 GES MSIA710 Post/Beam Structural / / / / 11/13/96 APP GS 11/13;96 GES MSTA711 Post/Beam Mechanical / / / / 11/13/96 APP GS 11/13/96 GES MSTA713 Crawl Drain / / / / 11/18/0b PASS MS 11/13/96 MRS MSTA717 PLM/Underfloor / / / / 11/12/96 PAS; MS 11/13/96 MRS MSTA722 Plumb Top Out / / / / 01/03/97 PASS MS 01/06/97 MRS MSTA723 Electrical Service / / / / 01/08/97 APP GS 01/08/97 GES MSTA724 Electrical Rough In / / / / 01/08/97 laundry fan not installed APP GS 01/08/97 GFS MSTA725 Framing Insp / / / / 01/10/97 #-1- vent each rafter space at vaulted DIS KS 01/13/97 :w� ceiling lower/upper MSTA725 Framing Insp / / / / 01/13/97 APP KS 01/13/97 KBS MSTA726 Shear Wall fnsp / / / / 01/10/97 #-1- NTT holdowns missed at front of DIS KS 01/13/97 KBS structure MSTA726 Shear Wall Insp / / / / 01/13/97 APP KS 01/13/97 KBS MSTA735 Gas Line Insp / / / / 01/09/97 t-1- gas piping pt test= 30 psi for 15 APP KS 01/10/97 KBS minutes #-2- support gas pipe at front of furnace' o MSTA740 Insi.uaticn Insp / / / / 01/15/96 PP KS 01/16/97 KBS MSIA745 Gyp Board Insp / / / / 01/21/96 APP KS 01/22/97 KBS n MSTA755 Rain drain Insp / / / / 11/08/96 PASS MS 11/13/96 MRS > MSTA760 Water Line Insp / / / / 11/08/96 PASS MS 11/13/96 MRS H MSTA765 Appr/Sdw(K Insp / / / / 02/14/97 BE PREPARED TO PROTECT FINISH. PASS PI 02/14/97 KSS J jo MSTA790 Electrical Final / / / / 03/03/97 STRAP SE CONDUIT ,uPP GS 03/03/47 GF., MSTA795 Mechanical Final / / / / 03/19/97 APP GS 03/19/97 GES MSTA795 Mechanical Final / / / / 03/26/97 pending- B-vent clearance at garage PASS RR 03/31/97 RB soffit MSTA797 Plumb Final / / / / 03/13/97 WET HARDWD FLOORS NO UNTRY DIS GS 03/13/97 GFS Page No. 2 CASE HISTORY FOR CASE NO.: MST96-0493 LEGEND HOMES 12526 SW 116TH AVE 07/22/9.' Actirin Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------ ---------- ------------------- -------- -------- -------- ------------------------- ------------- I.--- --- -------- --- MSTA797 Plumb Final / / / / 03/17/97 PASS MS 03/17/97 MRS PSTA799 Building Final / / / / 03/19/97 elec core no+. done; cover space around DIS GS 03/19/97 GES b-vent in gar ceiling; use MSTA799 Building Final / / / / 03/26/97 strap SE conduit FAIL PB 03/31/97 RB B-vent cltarmnce MSTA799 Building Final / / / / 03/31/97 APP GS 0 V31/97 GES MSTA799 Building Final / / / / 03/21/97 #-1- B vent at garage ceiling needs DIS KS 04/01/97 KBS clearance also installer caller #-2- support gas piping at horizontal adjacent to water heater #-3- need final erosion control app KSTA960 (F) Issue Cert, of Occupancy / / / / 03/31/97 mailed 7-22-G7 07/22/97 s*W MSTB708 Erosion Contrc / / / / 03/18/97 PASS USA 03/31/97 RB Q CY H F- L U to -...1 CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,1)R 97223 (503)639-4171 CERT IFICnTE OF OCCUPANCY PERMIT 4s. . . . . . . : NST96-049.--' DATE ISSIJEDg 03/31/97 PARCELa 2S103B1)-HG@25 �!TE ADDRESS. . . x -1251a SW 116TH 11VE ,UBDI VISION. . . . HUNTEP110, Gi EN 70NING:P-d.-. ,9 PD LOT. . . . . . . . . . . . . 1325 JURISDICTION: CLASS OF` ,-WURR- :.NEW TYPE OF' ,USE. . . -.SF TYPE OF COIqSTR:5N OCCUPANCI GRP. :R3 OCCUPANCY LOAD:a Remarks I Path I 1M!---L.BURNF DLV 700L A SW NYBERG RD 11-1ALATIN Or 9706a Phone.hone #.- Cant react ort 3HELBURNE DEVELOPMENT 008 SW NY8PRG RD JUALATIN On 97062 Phone #.- 692-6383 I?(--q #. . - 42388 1his ':,ertificate graTltS OCUL(pancy of the above referenced building ur portion thl-reof and can-firms that the building has been inspected for compliance with t1lie State of Oregon Specialty Codes for the group, acci-w5Ancy, and arse Linder t-,1hii-:h the referenced permit via% issi,ted. C) U- 11 TOP NULL D" I IAt POST IN CONSPiCL101.1S PLACE tz 4 (�D CITY OF TIGARD DEVELOPMENT SERVICES PLUMIAING PERMIT' 13125 SW Hall Blvd., Tigard,OR 97223 ('503)639-4171 PERMIT -R. . . . . . . : P1-1197-006� DATE ISS(JED: 02/26/97 PnRCEL: 2S103BD--HG025 ITE ADrRESS. . . 4�� 9W 111.6TH AVE !BD I V 19 1 ON. . , . HUNTFRI S GLEN! ZONING: R-4. 5 PD !__[SCK. . . . . . . . . . : LOT. . . . . . , . . . . . 25 OF WORK— :ALT GARBAGE DTSPO SALS. : 0 moBiLr i-inME SPACES. : 0 TYPE OF USE. . . . :1GF WASHING MACH. . . . . . : 0 BACKFLOW PPEVNTRS. . : I OCCUPANCY GRP. . .R3 FLOOR ])RnTt,!G. . . . . . 0 TRAP'S. . . . . . . . . . . . . I0 s'roRIES. . . . . . . . 0 WATER HEATERS. . . . . 0 CATCH PqSINS. . . . . . . 0 FIXTURES - LAUADRY TRAYS. . . . . : 0 qF RAIN DRAINS. . . . . : 0 SINKS. . . . .. . . . . . ." 0 URINAL`:;. . . . . . . . . . . 0 CREASE TRAPS. . . . . . . . 0 I-AVATORT17S. . . . : 0 0 T 1-1 C." F T Y,,r!..j R E 9. . , , 0 TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . 0 WATER Cl-093ETS. . : k WATER LINE (ft) . — - 171 DInHWASHERS. . . . : P) RAIN DRAIN (ft ) . . . : 0 R e m A r k s; - W1 L K I N S DOUBLE CHECK BACKFLOW DEVICE AT METER FOR TRRIGATION SYSTEM. `1,j n e v— ------------------------------------------------------- FEES '-(3EIqn,, HOMES type Amni-int hay date r-ecpt PRWT $ J5. 00 JMH 02/26e'97 97-290910 !!]PC T $ 0. 713 JMH 02,126/97 97-%.'9!0919f Phone MARTINI SANDERS (`7Rn1.lMD1:3 MnTNTEM PO BOX 307 NORTH PLAINS UP r.',17113 ---------------------------------------- Phone #: fL'147-5!7LL,-7 $ 1'J. 75 TOT PI.- Reg #. . i 05742 RE=PUTRED INSPECTIONS This permit is issued subject to the regulations contained in the RP/Packflooj Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All Hark will be dorso in accordance with .,roved plans. This permit will expire if work is not started '4n 18e days of issuance, or if work is suspended fir Pore -9@ days. ------ ............... ;7 i t ter 4 Call for 1.nspec-ti.tm C CITY OF TIGARD Plumbing Application -tecaBy 13125 SW HALL BLVD. Commercial and P,esldential Date Re TIGARD. OR 97223 Date!oP� 503) 039-4171 – u^rmIl 2 _f 6 T Print or Type Related SWR s Cti Incomplete or illegible applications will not be accepted Called Name .)f Cavelopmelnt Prosect FIXTURES (Individual) Q fY ICE AMT Job ��v . �r S L3 /C'� Fmk I 900 — Seeet address Lavatory Address /. JUire � _ 9 ao <,5 C',M., I BUD J! !r _,)t )00 O State o Shower,)niv 9.00—� water snset I goo Nadir /1 v - D shwasner 9 Qu Owner Ata li 4 Adoress y—� Suite Garbage 0snosal Uo Vvasnlnq Machine I 9a 0 0 �,ryrState ,� Zip Phone /Cr` door Crain �- 9 00 v -93 � 4- 900 Occupant via ling Addr ss I Suite Water Hearer 9 Ou L Sundry Ronin Tray 9.00 'fry state Zip °hone Unnal � 9 00 e i -- — �_— Clher Futures ISpeufyl goo gam 900 :ontraetor hfriilingAdrress Suite 900 �.) t IP^or;o issuance I C.ryrS ate Dp� Phone 9.00 aocucant must ,/� �Y, 9.00 crov ae all Oregon Cinst. Cont. Board Lac a Exp Date 9,00 :ontrac:ors _ t 900 license Plumbing Lic,u I Exp.Date Sewer- tst !00' 30 00 nformahai G S _ ever-each add bonds 100' I 25 00 'or COT COT Sus ness Tax or Metre 9 =xp. Date -alabasel. I Water Service 1st .00' I 30.00 Name 1%ater Service eacn addilionai ZOO' 25 Qo rchitect Storm d Rain Drain- g. 100' 3000 or Malting Address I Su to Storm 3 Rein Drain-each additional !CO' - 2500 Mobile Home Space, 25 UO engineer C,tyiSlate ZipI Phore Commercial 9acx F ow Prevention Cevice or Anti- I 25 00 Pollution Device ?s.: be.vorx Naw adciticn : Alteration `;ecair 4esidential aacx"cw J-e — vennon _evice' i I '5.30 ce :cre rles.denhal Non—residential I any-rap or:vara`Ict.orr.ec ed to a-,xture I g 00 Acc�onal jescnition or vcrx Catch 9asm 9 oo inso.of Existing=umbing 40.00 perlhr o use =t Specialty Recuestea Inspections I 40.00 -' _4. ) a.,property I per•hr F- +din Crain ;ng,e'amuy Cweding i i 30 30 �rl ccsed use of 13+ease Tracs 9 CO >- 'e rg or orcoerty _ F- QUANTITY TOTAL I i -I re .cu caooing moving or regia-rg any 1xtures-- yes_- No1 soir`crc v-se r3V2r- s TCurre:f:uanrty-nai s > if/es see back of forms _ 'SUBTOTAL -e•eby acxnowiedge that tiave reaa this app ication !hat he nformation _ Jens correct that I am•ie owr_, ;r 3uthorzea agent of re awrer and 5'; SURCHARGE at pears s�.cmitted are - :,mcliarce vith Oregon State Laws _ gnature of O�meert/Agent Date I PLAN REVIEW 251: OP SUBTOTAL �� ✓ `., I I �!^utr!=nry •,,hide^'r *Val s TOTAL inWCt Person Name Ph me I c Minimum permit fee is 525- 5°6 surcharge except Residenliai Backflow Prpvernon Devire. vmr-n is SIS- 5'6 surcharge 'fists olmacp doc 3r'96 COMPLETE AS APPROPRIATE TO PROJECT: _Fixtures to be capped, moved or replaced Qty -Sink Lavatory Tub or Tub/Shower Combination I Shower Oily Water Closet _ Dishwasher _ Garbage Disposal Washing Machine + Floor Drain 2" 3" LWater Heater I Laundry Room Tray — Urinal Other Fixtures (Specify) i i 'OMMENTS REGARDING ABOVE: f'^ c� L-LJ — — J IF CITY OF TIGARD LDMASTEt;EVELCPMENT SERVICES P,E R M 11' A:PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSLiED: 10/E"_'5/96 / PARCEL-: 1�!S10ZBD—H(3025 STI-E ADDRESS. �L��t`SW 116TH SUBDIVISIDI... . . . idl_)NTERI S GLEI'4 ZOIJING: 131__Uc�l.. . . . . . . . . . . . . . . . . . Remarks: Path I ----------- BUILDINC ---------------------------------------------------------------- RE I SSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT... 0 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS OF WORK.:NEV HEIGHT........: 23 FIRST....: 1226 sf Gf,RP.r3E..... 769 sf LEFT..........: 7 SMOKE DET;CTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1322 sf FRONT.........: 26 PARKING SPICES: I 'TYPE OF CONST.,5N DWELLING UNITS: I FIN9SMENT: 0 sf RIGHi......... 5 OCCUPANCY 'RP.:R3 BDRM: 3 BATH: 3 TOTrL------: 2548 sf VALUE..$: 184057 REAR..........: 19 ---------------------------------------------------------------- PLUMBING ----------------------------------------------------------------- SINKS.........: --------------------------------------- SINKS.........: 1 WATER CLOSETS.; 3 WASHING MACH..: I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 4 DISHWASHERS...- I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS..: 0 TUB/SHOWERS...: 2 GARPAG': D19 .: I MER HEATERS.: I WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: 0 OTHER FIXTURES: 0 --------------------------------------------------------------- MECHANICAL ---------------------------------------------------- -------- FUEL TYPES----------- FURS � 100K 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I !GAS! FURN )=Ii%K I UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...:T I MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: I -------------------------................................... ELECTRICAL ----------------------- ----------------------------------- —RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- --,-BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADDL INSPECTIONS-- i000 NSPECTIONS—i@@@ SF OR LESS: I @ - 200 amp..: 0 0 200 amp..: 0 W/SVC OR FER.-: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 FA ADDIL 500SF. : 5 201 - 400 asp..: 0 201 400 amp..: 0 Ist W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.. 0 401 - 600 asp..: 0 401 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+alps-1000 v: 0 MINOR LABEL -10: 0 I@N+ alp!volt.: 0 ------------------------------------ PLAN REVIEW SECTION ---------------------------------- Reconnect -------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ----------—---——-------------------------—--- ELECTRICAL - RESTRICTED ENERGY ----------------------------- A. SF RESIDENTIAL------------------------'- B. COMMERCIAL-----------------------.—"-- ------------------------------------------------ PUDIO OMMERCIAL----------------------------------------------------------------------- PUDID s STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM—: 0TH: I BOILER.........: HVAC...........: LANDSCAPE/IRPIG: PROTECTIVE SIGNL: GARAGE OPENER—: CLOCK..........: INSTRUMENTATION: MFDICAL........ OTHR: HVAC...........: DATA/TELE COMM.- NURSE CALLS....: TOTAL # SYSTEMS: 0 Owner: ------------------------------Contractor: ------------------------------ TOTAL FEES:$ 4666.46 LEGEND HOMES LEGEND HOMES CORPORATION 6900 SW HAINES ST 7160 SW HAZELFERN RD. SUITE 100 TIGARD OR 97223 TIGARD OR 97224 Rhone #: 620-BOU Phone #: 620-8080 cL Reg #..: 60563 ct Ln This permit is issuad subject to the reglilations 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 expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. -------------------------------------------------------- REQUIRED INSPECTIONF -------------------------------------------------- c Footing Insp PLM/Underfloor F ,aming Insp Gas Fireplace Watqr Service In building Final Foundation Insp Mechanical Insp Si gar Wall Insp Insulation Insp Appr/SdwIk Insp Erosion Control _J Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final Prist/Beas Merhan Elect-ical Servi Fireplace Insp Rain drain Insp N.^hanical Final Crawl Drain Elecl,rical Rough Gas Line sp Water Line Insp Pi inal F,pl.mi.ttep rig1at1J1,e: Issued UP d By : Z 01 f inspection -- 639-4175 CITY O F TIGARD 13EWER CONNECTION T r'III I DEVELOPMENT SERVICES PIE,PERMIT #. . . . .. .. . : SW R9G ri 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 10,*25+/96 2SJ.03P))--FIG025 SITE ADDRESS- - - 1121543- -W 116TH AVE SUBDIVISION. . . . : HUNT-ER' S GLEN ZONING: R--4. 5 PID BLOCK. . . . . . . . . . OT. . . . . . . . . . . . . :0, 5 L TENANT NAME. . . . . :L.EGEND HOMES F 0 USA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. - TYPE OF USE. . . . . ..SF NO. OF BUILDINGS-, I INSTPLL TYPE. . . . :BUSWR IMPERV SUP FACE: Q1 s Reivat,ks : Fath i FEES LEGEND HOI -ES type amoi-tnt by date recpt 6,900 SW HAINES ST P,RMT $ 2200- 00 DST 10/25/96 96-285738 INSP $ 35. 00 DST I.,p/25/9F, 96-2B5738 TIGARD OR 97223 Phone #: 620-6080 Coat Tactor: CONT RACTOR NOT ON FILE ------------------------------------ PI-ione #: $ 2235. 00 TOTAL Req #. . : REOUIRED INSPIECTIONS This Applicant agrees to comply with all the rules and regulations Sewev, Inspection of the Unified Sewage Agency. The permit exoires 180 days from the date issued. The total avolint 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 nut so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will inst1 a lateral. i t t e e Signatl-kv-e sslied 9y . I for inspection 639-4175 CL: r. Plan Check# 3 tTY OF $!GARD Residential Building Permit Application Recd By � Ln �•' 3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd IV -tb- _ IGARD, OR 97223 Single Family Detached or Attached Liam to P.E. JQ '03) 639-4171 Date to DST D Z/-9 Print or Type Permit# 1_-1 Jb-Pt(J3 ' ,)e called/e ga j Incomplete or illegible applications will not be accepted K/,/4. v q. �y �- Name of Subdivision Lot# Name .lob HUNTER ' S GLEN LEGEND HOMES Architect Mailing Address 1 Address site ddressSW F,900 S W Haines S t . ;_ ) 116th Avenue City/State Zip Phone Name Ticlard , OR 97223 LEGEND HOMES -- 62n-8nnO_ Owner Mailing Address Name�f2 0 E L I C H 6900 S W Haines S t . Engineer Mailing Address City/State Zi Phone 9 6 9 6 9 S W Ham Lon St . Tigard , OR 9223 620-8080 P Name City/State Zip Phone LEGEND HOMES Tigard , OR 972,3 624-7005 General Describe work nev�Q addition O alteration O repair O Contractor Mailing Address to be done: 6900 S W Haines 5L . A Aitional Description of Work: City;State Zip Phone Ti, ard OR 97223 620-8080 Oregon Const.Cont. Board Lic.# Exp. Dale _ Attach Copyot 060563 6/19/97 Project Current GOT Business Tax or Metro Exp. Date Valuation j ®� m� Licenses 4371 � '�, �' -�� 6'�j 61/97 NEW CONSTRUC�ONLY: Name /,t13)/1/W Mechanical SUNGLOW INC . Sq.Ft. House: — Sq.Ft.Garart.. _ Sub_ Mailing Address _ (/ __ �' l Contractor . 2428 S E 105th Corner Lot Y s oto Flag Lot Yes N� CitylS'ate zip Phone —� (check one) ' (check one) J- I P o r t.l a n d ,--OR 9 7 21 253-7789 Restricted �1,7 T Audio/Stereo ;v,! / Burglar Oregon Const. C�nr Board Lic.# Exp.Date Energy i Alarm Systern �� Ala Attach Copy of , 48131 5- z'� e1 p Current COT Bu ness r _4'Tax rr Metr # Exp. Da Installation I' Garage Doar HVAC Licenses A! 1.Z 7 67C,r >>l � f Opener Systems - Name 1 (check a!' that Other. Plumbing ! WOLCOTT PLUMBING api,y) Suq_ Failing Address VVIII the electric?' subcontractor wire for all Yes No Contractor PO Box 2007 restricted energy installations? C ty/State zip Phone Inas the Subdivisi m Plat recorded? N/A Yes No Gresham OR 97030 667-9891 _ Oregon Const. Cont.Board Lic.# Exp Date Reissi e of P1ST# _ Solar Compliance Attach Copy of 10/19/97 _�� (Calculation Attached) Current Plu ing Lic.# Exo. Date I he,.by acknowledge that I have read this application, that the a Licenses 2 6-2.0 6 P B 8/3J/97 I information given is correct, that I am the owner or airthorized agent of GOT Business Tax o, Metro# Exp. Date the owner and that plans submitted are in compliance with Oregon 96-4281 12/96 _ Stpte laws. Name Signature of wn Agent Date Electrical GARNER ELECTRIC may ` onta rson a Ph ne S J Sub- Mailing AddressContractor L1785 SW TV Highway FOR PI=KE _ ONLY: I` L i City'State Zip Phone Flat# Map/TL#: Aloha , OR 97006 531-1320 Oregon Const. n,t. Board Lrc# Exp, ate '0 ' i / ql <4 ) ZjI Y_,11) Attach Copy of �- � , < l - Sebacks a f Zone: Solar: . Current Electrical Lic. # Ex D t �� ;_ k* Licenses 34- 3 0 5 C (711,1) __ V g 5 V C) COT Business Tatfo# Exp/Date'. EnginerinVlroyal: Plan?i/ng Approval: TIF: stsVnstapp.doc count Description Amount Amt. Pd. Bal. Due jj?,ry6 e MST. permit (BUILD) Plumb. Permit (P1-UMB) , 2 2 Mech. Permit (MECPJ �. ��' s,! .�• v v— ELC/ELR Permit (ELPRMT) State Tax (TAX) ; J l 5 3 Bldg: Plumb. Mech: ELC/ELR: Plan Check MST: (SUPPLN) �/!. -Sb� �Z Plumb: (PL.MPLN) Mech: (MECPLN) /• L ;� jJ 1 , " CDC Review (LANDUS) ql Sewer Connection (SWUSAN Sc,.ver Inspection (SWINE . � P<-rks Dev Charge (PKSDC) Residential TIF (TIF-R) / 6- 2 v Mass Transit TIF (TIF-MT) v 2 ��y Water Quality (WQUAL) n. N Wa'.er Quantity (WQUANT) %fit /t,L) Erosion Control Permit (ERPRMT) ✓ V _ r Erosion Planck/rJSA (ERPLAN) C3 Erosion Planck/COT EROSN Fire Life Safety (FLS) TOTALS: Odsts\mstapp doc Pev. 7/98 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONT. INC P O BOAC 2007 GRESHAM OR 97030 Plumbing Signature Form Permit 4 . . . . : MST96-0493 Date Issued. : 10/25/96 Parcel . . . . . . : 2S103BD-HG025 Site Address : 12'339 SW 116TH AVE ►Z Z„4 Subdivision. : HUNTER'S GLEN Block . . . . . . . . Lot : 025 Zoning. . . . . . . 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 individual from your company sign below and return this Plumbing Signature Form prior to the start of work. No plumbing inspectionr, will be authorized until thip completed form is received. INK SIGNATURE IS REQUIRED ON THIS FORM a r J n i.l _1 OWNER: PLUMBIC CONTRACTOR- LEGEND HOMES WOT•COTT PLUMBING CONT. INC 6900 SW HATNES ST P O BOX 2007 TIGARD OR 97223 GRESHAM OR 97030 Phone # : 620-8080 Phone # : Reg # . . : 23847 Signature of Authorized Plumber Please return this completed form to the address above. 4TTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, Ofd 37223 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TV KIM - #L ALOHA OR 97006 Electrical Signature Form Permit # . . . . : MST96-0493 Date Tssued. : 10/2:3/96 Parcel . . . . . . : :S103BD-HGO25 Site Address : 3.s} 9 SW 116TH AVE( 12- Subdivision. : ZSubdivision. : HUNTER' S GLEN Block. . . . . . . . Lot:. : 025 Zoning. . . . . . . R-4 . 5 PD Remarks : Path 1 Your company has been indicated as the eiectrical contractor for the permit indicated above. 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 Electrical Signature Form prior to the start of work. No electrical inspections will be authori7,�d until this completed form is received. a T H J C W J s AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: ELECTRICAL CONTRACTOR: LEGEND HOMES GARNET: ELECTRIC 6900 SW HAINES ST 21785 SW TV HWY #L TIGARD OR 97223 ALOHA OR 97006 Phone # : 620-8080 Phone # : Reg # . 116721 X Sig �: vis g Electrician Fiease return this completed form to the address above. ATTN: Building Dept. 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