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Permit ' '1 CITY OF TIGARD MASTER PERMIT PERMIT #: MST2007 00016 h COMMUNITY DEVELOPMENT DATE ISSUED: 3/19/2007 TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 112 B D - 06200 SITE ADDRESS: 14798 SW 76TH AVE ZONING: R - SUBDIVISION: PROSPECT MEADOWS LOT: 005 JURISDICTION: TIG PROJECT: PROSPECT MEADOWS Project Description: New SF BUILDING REISSUE: LEGACY STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,058 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,429 sf GARAGE: 434 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,487 sf 243,714.80 REAR: 15 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: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN < 100K: BOILJCMP < 3HP: 0 VENT FANS: CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 5 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADO'L 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 . 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601*amps-1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEJIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable LEGACY HOMES INC LEGACY HOMES LLC laws. All work will be done in accordance with approved plans. This 17825 S FIELDSTONE LN 17825 S FIELDSTONE LN permit will expire if work is not started within 180 days of issuance, or OREGON CITY, OR 97045 OREGON CITY, OR 97045 if the work is suspended for more than 180 days. 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 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503 -544 -6783 Contact #: PRI 503 -544 -6783 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: UC 163208 TOTAL FEES: $ 11,691.92 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Structural observation Iss ed By : M,�L �I Permittee Signature : jl � �� � Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until comple.ti a of the project. Approved plans are required on the job site at the time of each inspection. , yy X rro _ Sa w.aas �.? & ! t Y Y ` w FK 4 y ^ryi „ '''t'j �. L ro : � t . +1.4 x1 '*', .,uildi Permit Application , � M " t l i o�c sE oivr l i M lli i i i ,�? J.; tsaa ,t= � 'i a >k�'�.�' s .'�,. rn 4sv�rxM1li,�`' .:r sa'fts� City of Tigard 6 J /7� / a aI C� lE �� � Permit No.: J/ t/( J b � aems' Date Received 13125 SW Hall Blvd., Tigard. OR `Glt?? Ce, Plan Review, 9: 1`' �/ Abu f' I 2 Phone: 503.639.4171 Fax: 503.5 Other Pei —�/� l 00 iliii,. Date /By: J ' t a'o w 7 "v ( 8 Ins ection Line: 503.639.417) ^t 11 � : log / A` „ . Date R ead /By: Juris B See Attached Checklist for P 1`t . .. y Internet: www.ci.tigard.orus J A Notified/ ethod:„ e Q'7 . & M .' / C? — Supplemental Information TIGARD BUy WK. h REQUIRED DATA: I- AND 2- FAMILY DWELLING ['New construct ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. SK 1- and 2- family dwelling ❑ Commercial /industrial Valuation: S El Accessory building [1] Multi- family Number of bedrooms: l ❑ Master builder ❑ Other: Number of bathrooms: � JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: Lo }. 5 /17q StA) 710th A v . , New dwelling area: �3 sn square feet City /State /ZIP: `1 ; 3 01/4:r ra (:) C ”) ' �1 Garage /carport area: S 00 square feet Suite /bldg. /apt. no.: Project name: he° .lot tT /''44_,e„ , Covered porch area: ZQ square feet Cross street /directions to job site: Deck area: 1 U square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL CHECKLIST Subdivision: ?t`O j-_.\ .C- @ 0 _ Lot no.: 5 Permit fees* are based on the value of the work performed. �� Q� indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: 1 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. N 52 Valuation: S Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name:M t_ 4-5 r✓ ELD1.4..) All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: apply: Phone: ( ) Fax::( ) E -mail: CONTRACTOR Business name: L �� c c J , ,�, BUILDING PERMIT FEES* Address: 1122 5 s 1 ._. ."� 0 e Lap -t, Please refer to fee schedule. City /State /ZIP: C) f'oot Q it et Q R. 9'7 o' S Fees due upon application Phone: (G• o 5 L/ ei _ 61? 3 Fax: (503) ( I - 1- g3 Amount received CCB tic.: 1 1p . •t•� Date received: Authorized signature: ' / - &- This permit application expires if a permit is not obtained G ` ! I �lX (� within 180 days after it has been accepted as complete. Print name: B c J r I ( I '(- Date: 1 . a 0 .0 47 * Fee methodology set by Tri- County Building. Industry Service Board. is ABuildingV'ennitsVBUP- PermitApp -doe 12/03 440- 4613T(1I /02 /CO1 /WEB) ,p5,40*., ' '''. , , ✓s. ) , ..i ", 1,i ` %#Ir '' ' 4f l.. A` + 9a 4l su t} ' 7 't "? = ' : , Me:chanical Permit , ' "�F FF +TEEIUSE ON �[� t i ag l y s ��1 City `�.v'!P- .. .`: �ewlY.�awu�edsxw. w ANSI = tl �n.1R l.Se. Tigard t D Received `J of Ti g Date /By' ( (( 07 Permit No d4,..0 ,O / -ODO/ 7 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Ov 6 l[� Phone: 503.639.4171 Fax: 503.598.19M N 1 1 2007 -r " i; ; i ,', Date /By: Other Permit: Inspection Line: 503.639.4175 114$414 Date Read ' y /By: Juns: El See Page 2 for p Internet: www.ci.tigard.or.us CITY OF TIGARD Notified /Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value oldie work New construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: 8 RESIDENTIAL EQUIPMENT / SYSTEMS FEES* i and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description p Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning or heat pump Job site address: /((� f�j ve (requires p , p ) site fan showing placement) 14.00 City /State /ZIP: 1 100,000 BTU (ducts /veins) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite /bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above I 10.00 Subdivision: } -_ J no.: 5 P ebS Q u1} Lot no — Other: I 10.00 Tax map /parcel no.: 51, a .p, pooa o o Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace Z 10.00 L oa lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 P ROPERTY OWNER ❑ ❑ TENANT Other: 10.00 Name: Environmental exhaust and ventilation Address: Range hood /other kitchen equipment I 10.00 City /State /ZIP: Clothes dryer exhaust 1 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 3 6.80 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: L, G C `ern s.. 'J L. C_ Fuel piping Contact name: r2 , 85.40 for first four; S1.00 for each additional %,...) G `� T\ 1. \\ t,V— Furnace, etc. 1 Address: \'` %c,. S . V \ e l(S .\--oh -e_ L (kh Gas heat pump City /State /Z1P: 0 r �� C1 .\--%.4 ©(7\ q1 °Z) 5 Wall /suspended /unit heater Phone: (5p31 5 L` Li b, R v Fax:: (5p3) 3 f _ "' a Ra 1 Water heater ' l l Fireplace I E-mail: Range I CONTRACTOR Barbecue Clothes dryer (gas) Business name: C`q_b_s A � Other: Address: A 7 5 5 6 5 H Wy � _r �-- MECHANICAL PERMIT FEES* city /State /Z1P:6 Q r l r) 0 R J '11 o et Subtotal I Minimum permit fee (87250) Phone: (5 (.D L _ - I 1/44 Fax: (5o G (o _ Q , g Plan review (25% of permit fee) CCB lie.: Lt L 0 �1 • State surcharge (8% of permit fee) 7 (_J . __ i 2_Q__ / .__., TOTAL PERMIT FEE Authorized signature: 1 t ,, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �3.cad► e I - V .. Date: V , a 0 O Fee methodology set by Tri -Coup y Building industry Service Board i:A BuildingV Permits \MEC- PermitApp, (10c 12/03 450 - 0517! (1 I /02 /COM /WF.B) ;} Plumbin Pe ' jttl� .¢� ! M k4,40.1.44:- # � OR VO T +,,' F ',�S`E :VO -L i tt, dI N . .,1 :,-, ' , . - L , a♦ a ,,,. i brt,;::, �tra ' a... k f:J4 tGonr �u41. C ero�i §iltE.{I'.u6...:m°r.'i , RECW ived City of Tigard 7 if 0'7 1 Pennn No. � ,0D / 000 l 13125 S W _ 1 2007 D l I ]all vd, Tigarcl J 97 �3 Phone. 503.639.4171 Fax: 503.598.1960 i Date /B Other Permit No.: 24- Hour Inspection Line: .��/�]} qy � �{Y{{ O TIGARD :, ' I y V�Y''� Date Ready /By Juns- H See Page 2 for Internet: www.ci.tigard.o =' I Uil. D' V ISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ** IS.Jew construction ❑ Demolition For special information use checklist. Description Qty. Ea. Total ❑ Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 24920 - 154- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 El Accessory building ❑ Multi - family SFR (3) bath �(' 399.00 Each additional bath /kitchen , \ 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: Igri 92 O W 17/D fh Alf_ Catch basin or area drain 16.60 City /State /ZIP: t S . \ ©� "1 ^1 3 Drywell, leach line, or trench drain 16.60 a J� Y �I 1 rf Footing drain (no. linear ft.: ) Page 2 Suite /bldg. /apt no.: Project name: 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: pcsQc�C G - t .. t C;a f�l 6 `� Lot no.: Water service (no. linear ft.: ) Page 2 Fixture m item Tax map /parcel no.: a S I 1 dD 0O n O Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER f ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: Expansion tank 16.60 Address: Fixture /sewer cap 16.60 City /State /ZIP: Floor drain /floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 Hose bib 16.60 V APPLICANT ❑ CONTACT PERSON Ice maker 16.60 Business name: L e. C �. 5 T t l -„, Interceptor /grease trap 16.60 Contact name: 1 E 3 ,r-+ M ` I "C.X.-• Medical gas (value: 5 ) Page 2 Address: I , $ e J ■e l.ASt ors Lay\ Primer 16.60 City /State /ZIP: 0 r OYl C, - f - O R 91_Oy S Roof drain (commercial) 16.60 Sink /basin. /lavatory 16.60 Phone: (5 0 3 ) �l `1 Lb s3 Fax :: (C 3) (0 31 - 7 a 8 3 5 Tub /shower /shower pan 16.60 E-mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: L e�n_ri p Water heater 16.60 Address: D O e 4 X a s. $ Other: City/State /ZIP: "1 O OP ''l a Z4 Subtotal M inimum permit fee: 87250 Phone: 5 LA -.O5ga Fax: (503) ( ,t,.1 -d5$- Residential backflow minimum permit fee 836.25 CCB Lic.: l A - c (, t L Plumbing Lic. no.: 3 4-- Lf Q PZ Plan review (25% of permit fee) 'l State surcharge (8% of permit fee) Authorized signature: TOTAL, PERMIT FEE Print name: i &cka , t-A, IA ex -- Date: q . 10 .O ( This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i :A Building VPermits \PLM- Permi6App_doc 06/05 440 - 46I 6T( I 0 /02 /COM /WEt1) a s . r c i 7 � xtroes yam, i imi e {'ri' + t , o f p ` i X : . Electrical Per it Application w " �F"©R OFFICE O N .Iii r t , , � ,,i :it^�x.w' .•; , .. .,T . g,gt ctfk "iah' . �m'4 a; 'x- �U 't �t" . P..1' . ,tff. dk .+??, ` , Receive City of Tigard ECE E! . y_ / 1{ 07 P N o.; 1, i t.��� yyyy�1 Date iv wC / L� 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review " Phone: 503.639.4171 Fax: 503.598.1960 >)``'� a 5 I 4 , Date /6y: Other Permit: I» s e ction Line: 503.639.4175 JAN LU^ a ` f � � :.. Date Ready /By: Juris: El See Page 2 for p a. ;rum r, Internet: www.ci.tigard.or.us CM/ OF TIGARD Notified /Method: Supplemental Information TY08040 DIVISION PLAN REVIEW jN ew construction ❑ Addition /alteration /replacement Please check all that apply. ❑ Demolition E] Other: ❑Service over 225 amps, comm'l ❑Hazardous location EService over 320 amps— rating ❑ Buildng over 10.000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ...... r5.1- and 2- family dwelling II] Commercial /industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure ❑Building over three stories ❑Feeders, 400 amps or more ❑ Multi- family [j] Master builder ❑Other: ❑Occupant load over 99 persons Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park ' ( (�!YV �+ ( -(.-�_ ❑Health -care facility ❑Other: lob no.: Job site address: ) `1 r 1 C.� Z �l p ' I"L A `e Submit 2 sets of plans with any of the above. City /State /ZIP: • • Y + / • - The above are not applicable to temporary construction service. Suite /bldg. /apt. no.: Project name: FEE* SCHEDULE Description Qty. Fee. Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 1 145.15 4 Subdivision: • 0 _ 0 , r Lot no.: Ea. add'I 500 sq. ft. or portion I 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: ,2AbOO d Q Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and /or feeder 90.90 2 /V S F 1 n ` • Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 1 06.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1.000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Temporary services or feeders installation, alteration. and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2 intended for sale. lease, rent, or exchange. according to ORS 447. 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits— new, alteration, or extension, per panel / APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with / service or feeder fee, each 6.65 2 Business name: 1-sc__ C � c, s - Eh L branch circuit B. Fee for branch circuits Contact name: i , %'I r ' 1 �- without service or feeder fee, 46.85 2 t--� first branch circuit Address: 1 q.. 5 5, v 1 el ds *'c n e ` Qn ° V Each add'l branch circuit 6.65 2 City /State /ZIP: Oc oh � l ° k OR 91045 Miscellaneous (service or feeder not included) i Pump or irrigation circle 53.40 2 Phone. (5© ) 5 t-+ LLfI 83 Lax ( CJ lD 3 '� �� 3 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- CONTRACTOR energy panel, alteration, or _f. extension. Describe: Paget 2 - Business name: � _ f [1 _ C,l e r 1' G Address: � tJ Each additional inspection over allowable in any of the above PCB fti} ;C 1 + Per inspection 62.50 City /State /ZIP: a ( � 0 9 1 XO3 Investigation per hour (1 hr min) 62.50 �J c Industrial plant per hour 1 73.75 Phone: (50 �� —ZZZ Fax: ( 5 O . 3' � 3 �� ELECTRICAL PERMIT FEES* Cal Lic.: i. 0 ` i . I Electrical Lic.a _ C Suprv. Lic.: l .79 S Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) Nr 1 �h TOTAL PERMIT FEE Authorized signature: 'Phis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: 5 Fee methodology set by Tri- County Building Industry Service Board *' Number of inspections per permit allowed . i:A Building \ Permits \EI.C- PennitApp. doe 12/03 440 4615T(10 /02/COM /WEB 15!, CITY OF TIGARD COMMUNITY DEVELOPMENT TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Electrical Signature Form IMPORTANT PERMIT NOTICE INTERSTATE ELECTRIC INC PO BOX 7342 SALEM, OR 97303 -0068 Permit #: MST2007 -00016 Date Issued: 3/19/2007 Parcel: 2S112BD -06200 Site Address: 14798 SW 76TH AVE Subdivision: PROSPECT MEADOWS Lot: 005 Jurisdiction: TIG Zoning: R -7 Project Name: PROSPECT MEADOWS Description: New SF Your company has been indicated as the electrical contractor for the permit referenced 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 the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: LEGACY HOMES INC INTERSTATE ELECTRIC INC 17825 S FIELDSTONE LN PO BOX 7342 OREGON CITY, OR 97045 SALEM, OR 97303 -0068 Phone #: 503 - 544 -6783 Phone #: 503 - 393 -2223 Reg #: ELE 24 -354C LIC 117121 SUP 1479S AN INK SIGNATURE IS REQUIRED ON THIS FORM X t c IL I -17A421 Y L 1 -� Signature of Supervising Electrician Name (printed) SUP LIC # MAR -23 -2007 08:349 FR0M:503- 624 -0582 Legend Plumbing Inc TO:5036243681 P:2/2 ' �� "-''-' eeel C� "�l'i5 •Ul WCI t . 0 +CI:JUC 'dVW ; CITY OF TIGARD `" COMMUNITY DEVELOPMENT .+. _q. K - e 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Plumbing Signature Form IMPORTANT PERMIT NOTICE LEGEND PLUMBING PO BOX 23338 TIGARD, OR 97281 Permit #: MST2007 -00015 Date Issued: 3/19/2007 Parcel: 2S 112BD -06200 Site Address: 14798 SW 76TH AVE Subdivision: PROSPECT MEADOWS Lot 005 Jurisdiction: R - Zoning: TIG Project Name: PROSPECT MEADOWS Description: New SF Your company has been indicated as the plumbing contractor for the permit referenced 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 the work. Please mail the form to City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433, No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: LEGACY HOMES INC LEGEND PLUMBING 17825 S FIELDSTONE LN PO BOX 23338 OREGON CITY, OR 97045 TIGARb, OR 97281 Phone*: 503 Phone #: 503 - 624 - 0582 Reg #: LIC 163208 LIC 117121 LIC 46039 LIC 163964 PLM 34- 470 }'B AN INK SIGNATURE IS REQUIRED ON THIS FORM ariejkitAa 11e Signature of Authorized 9 o zed Plumber Name (printed) Too 1 j Q )LL 30 LID 0961865CO2 INA 61:40 LOUZ CZ• C0 r 9007 - ODo Hr 'MED SEP 2 8 2007 U Y 01 IlUARD BUILDING DIVISION x 6 u . A 1E. ( CITY OF TIGARD BUILDING DIVISION t PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/20I07 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 �' L INSPECTION WORKSHEET FOR DATE: 10/16/2007 TIME: 7 :Q1AM PAGE: 12 SITE ADDRESS: 14790 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: N SF 9 /28/07, ADDING A/C. OWNER: LEGACY HOMES INC, PHONE #: 503 - 5445783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 603- 5A46783 Inspection Request Scheduled For: Date: 10/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 057699-06 503. 615-9281 N Corrections /Comments /Instructions: L avdc,/ Ile OL c-c..k Vv ) t, /V1 J k +iv^ ‘,,-- 1 Ty Iii 1. .., tu v d- t k 'o✓ tP i-,,-.A - p 1 ,..„i. Q c c Colo...., P L NA 2007 -00 4 3 °I, C . -oLrk-c 1:1\0Q 1 , -e— - t -- e s 12c.c.,. MST20Q - 7- c)o. I L n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS Sr FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Cia lto..4--ik t `" Date: t O j) b / O) Phone #: (503) 718 - ''''. �' w . t - J (" CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2007- C)0016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639- 4171��� "� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/26/2007 TIME: 7 :00AM PAGE: 34 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503.544 -6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503- 5446783 Inspection Request Scheduled For: Date: 9/2512007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 056272 -03 035- 159 -2819# N Corrections /Comments/ Instructions: �t't� �tv ,,.b� Z v�V `J`� Ir v c.�v ✓i�r.�fc "�:J S�r'� L .:.1 1 .Se,‘ ) C 4 L pr C „ Eto;;:r tom' l a I s c- P2 A 1 c T i,- -- -t -- e,trt Ova PO Fvb 0 L--i gt14 0 0../a 5 .4_ a es c PzT i o.._? ti a oo ✓ /4•A-c re c-r ' Lc t 1 r 2_12-4it 0-e✓ 1 } n PASS 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: � 1 Date: 9 ( '2A Phone #: (503) 718- . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00016 13125 SW Hall Blvd., Tigard, OR 97223 fi , / DATE ISSUED: 3119/2007 Phone: (503) 639 -4171 IMmiy Inspection Requests (24 Hrs.): (503) 639 -4175 �! :_.. . INSPECTION WORKSHEET FOR DATE: 5/25/2007 TIME: 7:17AM PAGE: 74 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503 - 5446783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 - 544-6783 Inspection Request Scheduled For: Date: 5/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 049034 -01 503 -784- 2106 N Corrections7pmments /Instructio s: (qUi f/Let;t . c _ 3 " g -,-0L__,AAJt 1 L let.v,.. , )01\ki CCt./\ :4 ,ili j i'Vki tAA_A CC...e.-S S I %z CL Uy Va-R-- s- ,,,,'"-' Li&J ,s(\ Q , 7\ .,h, (/ ,;( v 27u9 4 11„, 6:J,,,v ' g .. S sPARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL 1 I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1/1/\ ,, Date:7 S 76 Phone #: (503) 718- 2)/ q / CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/15/2007 Phone: (503) 639 -4171 / J � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 9 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC. PHONE #: 503.544 -6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 - 544.6783 Inspection Request Scheduled For: Date: 4/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 045390 -02 503-784-2106 N Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 01) Date: In 14 cr? Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 k aai umY�i `iil Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503.544 -6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503- 544 -6783 Inspection Request Scheduled For: Date: 4/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 045990 -01 503 -784 -2106 N Corrections /Comments /Instructions: 14 PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (37114- Date: {1 I Cr) Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: IviST6007•00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 J __.. INSPECTION WORKSHEET FOR DATE: 3/28/2007 TIME: 7:00AM PAGE: 12 SITE ADDRESS: 14 798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 603- 5446783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 - 5446783 Inspection Request Scheduled For: Date: 3/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 045581 -01 503 -784 -2106 N Corrections /Comments/ Instructions: IX PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /11 -4^') 1 1) ra Date: 117 JD 1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 t/y N� ° Inspection Requests (24 Hrs.): (503) 639 -4175 . '� '' I� INSPECTION WORKSHEET FOR DATE: 3/2812007 TIME: 7:OOAM PAGE: 10 SITE ADDRESS: 14796 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503- 544 -6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 - 5446783 Inspection Request Scheduled For: Date: 312802007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 046581 -03 503. 784 -2106 N Corrections /Comments/ Instructions: K PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1 11A-rd4 1 > > igv' Date: 3 1 0 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007.0O016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 , Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/28/2007 TIME: 7:OOAM PAGE: 11 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503 -544 -6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 - 544.6783 Inspection Request Scheduled For: Date: 3/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 045581 -02 503 -764 -2106 N Corrections /Comments/ Instructions: �✓ . a ' (a) ) &, :11,4--,111,1 a - -re, - p ,a r ide 4 54- , . PASS A PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 3 3 24) o 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 A m 4l101'1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/27 /2007 TIME: 7:02AM PAGE: 16 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503 - 5446783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 -544 -6783 Inspection Request Scheduled For: Date: 3/27/2007 Pour Time: Code # Inspection De ription Confirm # Contact # Message 330 Water se ' e 045496 -02 503-784-2106 N Corrections /Comments/ Instructions: • I PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: \ A - k / Date ) 1 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639- 4171 d4puypi�ii�j Inspection Requests (24 Hrs.): (503) 639 -4175 112. INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 14 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503.544- 6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503.544 -6783 Inspection Request Scheduled For: Date: 3/27 /2007 Pour Time: Code # Inspection escription Confirm # Contact # Message 505 Sanita sewer 045496 -04 503. 784 -2106 N Corrections /Comme /Instructions: __ it-.(/'&- // / • 1 i PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ,}'FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ,a,/ Inspector: . V "�t 1 r✓ V Date: d ) Phone #: (503) 718 - S 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 "11�y Inspection Requests (24 Hrs.): (503) 639 -4175 I = 'l l.. INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 17 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503-544-6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 - 544 -6783 Inspection Request Scheduled For: Date: 3/27/2007 Pour Time: Code # Inspection scription Confirm # Contact # Message 335 Rain dr n 045496 -01 503 -784 -2106 Y Corrections /Comments/ Instructions: n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS 7 1 - PAIL 11 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /���� Date: �// Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007.00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639- 4171ritiv' Inspection Requests (24 Hrs.): (503) 639 -4175 M INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 15 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 006 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503 - 544 -6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 -544 -6783 Inspection Request Scheduled For: Date: 3/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm ain 045496 -03 503. 7842106 N Corrections /Comm nts /Instructions: `/ ❑ PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 7/4/ Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007_00816 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 " it II Inspection Requests (24 Hrs.): (503) 639 -4175 ..„_W __.. INSPECTION WORKSHEET FOR DATE: 1Q/16/2007 TIME: 7 :01AM PAGE: •jq SITE ADDRESS: 14799 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: um TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: Neva SF 928/07, ADDING A/C. OWNER: LEGACY HOMES INC, PHONE #: 503 -544 -6783 CONTRACTOR: LEGACY HOMES I..LC PHONE #: 5503_54.6783 Inspection Request Scheduled For: Date: 10/16/2007 Pour Time: Code # Inspection Description Confirm.# Contact # Message 199 Electrical final (pip 057699 -0:4\ 503-515 -9281 N Corrections /Comments / Instructions: K PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS • n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G I) 08 L Date: I ol L 1 1 Phone #: (503) 718- 2 Lt( � f 1 C7 -r . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 . uiir+i�p J � l 1, Inspection Requests (24 Hrs.): (503) 639 -4175 ....:� _ INSPECTION WORKSHEET FOR DATE: 9125/2007 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF ' OWNER: LEGACY HOMES INC, PHONE #: 503 - 544 -6783 CONTRACTOR: LEGACY HOMES LW PHONE #: 503544 -6783 Inspection Request Scheduled For: Date: 9/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 056272 -01 03559 -281# N • Corrections /Comments / Instructions: 1 P ✓cal- a c .5 4 ,0( mif--",-- I i Ja i l l 0 AA.; .ti, k C- �i Mid b 444.' r n PASS El PARTIAL APPROVAL n CANCEL n NO ACCESS 'FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 44r Inspector: Date: ` .7 Phone #: (503) 718 - CITY OF TIGARD _ BUILDING DIVISION PERMIT #: MST2007-00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 e, mlA1' Inspection Requests (24 Hrs.): (503) 639 -4175 "__.. INSPECTION WORKSHEET FOR DATE: 5/31/2007 TIME: 7:OOAM PAGE: 18 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: Now SF OWNER: LEGACY HOMES INC, PHONE #: 503.5446783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 - 5446783 Inspection Request Scheduled For: Date: 6/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 04933404 503-7 106 N 1 R V o,959/0/-03 Corrections /Co ents /Instruc - Asa i AD [P- - -5 4 , z_ PASS ri PARTIAL APPROVAL ° CEL ❑ NO ACCESS ❑ FAIL • ' ALL -.al ' I : " CTIO 1 1 ADDITION FEES ASSESSED //. ec tor: ' , / Inspector: 31- d 7 Date: Phone # : (503) � �''/" P � ) 718 CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2007-00016 13125 SW Hail Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/25/2007 TIME: 7:17AM PAGE: 72 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503 - 54446783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 - 5446783 Inspection Request Scheduled For: Date: 5/25/2007 Pour Time: Code # Inspection Description Confirm\ Contact # Message 115 Electrical service 049034 -03 503- 784 -2106 N i Corrections /Comments /Instructions: V o L.AT cal 1P CO L1 D • 3 `6) G-A 5 bob 5 w /6 '1 (L. F-Tzst Rio 00 t�1 . /// PASS 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS/ j ` AIL yi CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � Inspector: � ,`� ( )b Date: Si 01 Phone #: (503) 718 -1* CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19 /2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5126/2007 TIME: 7:17AM PAGE: 71 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: Now SF OWNER: LEGACY HOMES INC, PHONE #: 503 -544 -6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503.544 -6783 Inspection Request Scheduled For: Date: 6/25/2007 Pour Time: Code # Inspection Description Confirm #'�.� Contact # Message 120 Electrical rough -in /9034 -04 i� 503.784-2106 N Corrections /Comments /Instructions: aoNiZA 6 lioupo, ts tCV LA o . 3 (§.): G-NA to s f' Cr . � � OANIOC"5 AN (,) eto l a 6-4k /Cr PANEL.• Yo 3 l • 21-VV.) \.:■v . k\. rns7R ._3b.PM n PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS A FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: (+ Yv Date: 61 01 Phone #: (503) 71814 CITY OF TIGARD BUILDING DIVISION PERMIT #: 15T30Q Of2010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3!19/2007 Phone: (503) 639- 4171vdrup'�I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/16/20Q7 TIME: 7 :01AM PAGE: 1 3 SITE ADDRESS: 1479R SW 76TH AVE CLASS OF WORK: SUBDIVISION: pRc)SPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF 9/28/07, ADDING A/C. OWNER: LEGACY HOMES iNC, PHONE #: 503.544 -0793 CONTRACTOR: LEGACY HOMES LLC PHONE #: 5O344 -5733 Inspection Request Scheduled For: Date: 10/16W2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mochanicaifinat 057598 -3-05 50351x9281 N Corrections /Comments/ Instructions: ,2o' r' 5'c.,, •rca / G 4- / .zI&9 PARTIAL APPROVAL n CANCEL NO ACCESS n FAIL , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ����� —a7 Phone #: (503) 718- �f'J CITY OF TIGARD BUILDING DIVISION PERMIT #: MS12007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/25/2007 TIME: 7:OOAM PAGE: 35 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 006 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503 - 544 -6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503-544 -6783 Inspection Request Scheduled For: Date: 9/2512007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 056272 -02 036. 159.281# N Corrections /Comments /Instructions: aM 41 tip /24/f0j .2) PrO 1(1; / 4v) f)&1 4A,ryLv-v (-1,,-yo a g, r MA/, PASS — PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS rX FAIL ' CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED Inspector: 14:41) Date: (/07phone #: (503) 718 - CITY OF TIGARD . ` BUILDING DIVISION /1 PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19 /2007 Phone: (503) 639 -4171 l k Inspection Requests (24 Hrs.): (503) 639 -4175 ��' . INSPECTION WORKSHEET FOR DATE: 6/5/2007 'TIME: 7:01AM PAGE: 78 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503- 5446783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 - 5446783 Inspection Request Scheduled For: Date: 6/5/2007 Pour Time: Code # nspection Description Confirm # Contact # Message la t S) �^ . +rL�v�"' 280 Insulation 049554-02 503-784 -2106 N Corrections/1'mments /Instructions: 5 - 4'. , -,-e-(eA--; - a_ ,CU /e c --- " Li,J cUJ\ .A \ - 6SZ - I c e V a. E. ,f:--e 1 ' V . V\ kA,4rl e_,--Th 9 - 4— S. /:9 n PASS KPARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL 1 1 CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: . ' `� L 1 L" - Date: 1 44 An Phone #: (503) 718- 2 - - 1 2- Y . . • 4 . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00016 13125 SW Hall Blvd., Tigard, OR 97223 Alik DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 /xd4pll 11 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ' "�'L INSPECTION WORKSHEET FOR DATE: 6/1/2007 TIME: 7:02AM PAGE: 37 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503 -544 -6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503- 544 -6763 Inspection Request Scheduled For: Date: 6/1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 049401 -04 503 -794 -2106 N V P vne a. • vZ - . orrections /Co Vents /Instructions: 0 ' CA-t■71.4 ��-u,i 0 , _ k 4° ' c5111—(2 ” \, ,4/ 0 U.-i %'(_,KVAJ ( V---e-4 6 P 4 & l..lr/` (ice oR- J itk -1,-d•C___. 4-v( v,,,:1/4-c5 z.di_ t/Li‘ 154 a-,„, _ n PASS PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /,�,, Inspector: �'�� Date:lr�� V .- Phone #: (503) 718 F \ . ,`;TY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 �, DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 /�ai ���i �� Inspection Requests (24 Hrs.): (503) 639 -4175 `__ I INSPECTION WORKSHEET FOR DATE: 5/31/2007 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503 - 54446783 CONTRACTOR: LEGACY HOMES LLCM PHONE #: 503- 5446783 Inspection Request Scheduled For: Date: 5/31 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 049334 -05 503- 784 -2106 N Corrections /Comments 1 ns ructions: 1 ( i - 51 , I' @t V7 24 ( , [PASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL 1 1 CALL FOR INSPECTION , ADDITIONAL FEES ASSESSED V . o t t__ ____..--- - Inspector: Date: ) 7 1 / D Phone #: (503) 718- ��1 2 P / CITY OF TIGARD ' BUILDING DIVISION ~ PERMIT #: IMMST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 p °�tpwlIl Inspection Requests (24 Hrs.): (503) 639 -4175 ,:_.. INSPECTION WORKSHEET FOR DATE: 5/31/2007 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503-544-6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 - 5446783 Inspection Request Scheduled For: Date: 5/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 049334 -06 503- 784 -2106 N Corrections /Comments/ Instructions: PASS f PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 1 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1/1) Inspector: L� Date: (3' ( 7 Phone #: (503) 718 - CITY OF TIGARD t. BUILDING DIVISION PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1912.007 Phone: (503) 639 -4171 aNN�ll1 . Inspection Requests (24 Hrs.): (503) 639 -4175 W ' INSPECTION WORKSHEET FOR DATE: 5/31/2007 TIME: 7 :00AM PAGE: 16 SITE ADDRESS: 14790 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503 -544 -6753 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 -514 -6783 Inspection Request Scheduled For: Date: 5/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 049334-07 503 -784 -2106 N Corrections /Comments /Instruc • s: Ai j. L i t I -.Q ,e.,ie 5A(LLerz---- \,,,_::,„_ ■//).,6, ',? @ le__)2.)-__,. \ii_c_, ei _ L..-- PASS 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL I 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED db Inspector: _ Date: °'I 1)\ / o Phone #: (503) 718- t. CITY OFTIGARD BUILDING DIVISION - 1 - PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 • Phone: (503) 639 -4171 ' ''ll Inspection Requests (24 Hrs.): (503) 639 -4175 I •I I.. INSPECTION WORKSHEET FOR DATE: 5/25/2007 TIME: 7:17AM PAGE: 73 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 006 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503. 544 -6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 - 5446783 Inspection Request Scheduled For: Date: 5/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 049034 -02 503 -784 -2106 N Corrections /Comm nts/In truction • � 1 1 A /) Aelcc. ii /. i ,IN r • PASS n PARTIAL APPROVAL n CANCEL [ 1 NO ACCESS ti jA IL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1 /1 / Z: C Date: P ( 7 Phone #: (503) 718- � Zi C CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7:03AM PAGE: 8 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503-544.6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 -544 -6783 Inspection Request Scheduled For: Date: 4/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post /beam structural 046053 -01 503. 784 -2106 N Corrections /Comments /Instructions: d ASS n PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 5 °7 Phone #: (503) 718 - g s CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .3/19/2007 Phone: (503) 639 -4171 Aitb 4miu�@ I�+ Inspection Requests (24 Hrs.): (503) 639 -4175 . ' °''_�.. INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 8 SITE ADDRESS: 14790 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503 - 5446783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 -514 -6783 Inspection Request Scheduled For: Date: 4/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 606 Post/beam mechanical 045990 -03 503 - 7842106 N Corrections /Comments /Instructions: ASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: J o ? Phone #: (503) 718- , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 � ���i�i� � l 1 Inspection Requests (24 Hrs.): (503) 639 -4175 = INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503 -544 -6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503-5446783 Inspection Request Scheduled For: Date: 4/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 045990 -04 503.784 -2106 N Corrections /Comments /Instructions: ) ` // /4 2P fad ag . o c.r.e -i L /7 . -/ a s S ; C � .. .idly , C - L 72 -1 Sr_iP / 2 M /1-4 7-i7 STCj 6GAe-44 _52/J,.:i i•4'" .f v 7 .vi� T' _SZ -1, 4 0 /11 Zde-4 41k c- ----, 7-,047--t. lin ,-�1�:+ - -;te 64.../ en-t, -r -N--- J y__r' • IPA ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 Date: i--� '7 Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31/0/2007 Phone: (503) 639 -4171 /u � u M u lP�l It Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3121/2007 TIME: 7:02AM PAGE: 45 SITE ADDRESS: 14738 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 006 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES !i<!C, PHONE #: 503-5446783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 - 5446783 Inspection Request Scheduled For: Date: 3/21/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 045147 -02 503 -784 -2106 N Corrections /Comments/ Instructions: 'emu- /J-A3 C/%A- 41T5 145 • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: JA Date: — Z /- 7 Phone #: (503) 718- - -4��� CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200i 03€118 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/1912007 Phone: (503) 639 -4171 ,, / '' Np��� 5 j � ri Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/21/2007 TIME: 7 :02AM PAGE: 46 SITE ADDRESS: 14798 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF OWNER: LEGACY HOMES INC, PHONE #: 503-644-6783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 -544 -8783 Inspection Request Scheduled For: Date: 3/21/2007 Pour Time: :j :OO Code # Inspection Description Confirm # Contact # Message 205 Footing 045147 -01 503.704 -2106 N Corrections /Comments/ Instructions: C)i- - C-z-r� - .5-) L '1 .d-nrAG,. - /i' A. i �.,.. iii , . _ e - t> —�E ra aro A/ -irx 57 G F PASS I l PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , Date: - • z a 2 Phone #: (503) 718- . Z q-A�------ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639-4171 _1 r i i Inspection Requests (24 Hrs.): (503) 639 -4175 `:_.. INSPECTION WORKSHEET FOR DATE: 10/19/2007 TIME: 7 :01AM PAGE: 9 SITE ADDRESS: 14798 SW 761 AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 006 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF 9/28107, ADDING NC. OWNER: LEGACY HOMES INC, PHONE #: 503. 544.5783 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503fA4 -6783 Inspection Request Scheduled For: Date: /0119/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 067971 -04 503-615-9281 N Corrections /Comments /Instructions: • \ i PASS ❑ PARTIAL APPROVAL pi CANCEL El NO ACCESS J FAIL D CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: L' Date: )6 / V 7 Phone #: (503) 718- 2.Sf2 j CITY OF TIGARD - ` BUILDING DIVISION PERMIT #: MST2007 -00016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2007 Phone: (503) 639 -4171 / ���u i �u�ug��l Inspection Requests (24 Hrs.): (503) 639 -4175 W, INSPECTION WORKSHEET FOR DATE: 10/19/P007 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 14790 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 005 TYPE OF USE: PROJECT NAME: PROSPECT MEADOWS DESCRIPTION: New SF 9/28/07, ADDING AFC. OWNER: LEGACY HOMES INC, PHONE #: 503..544 - 671 3 CONTRACTOR: LEGACY HOMES LLC PHONE #: 503 -544 -6783 Inspection Request Scheduled For: Date: 10/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 057971 -03 503 - 515.9281 N c orrections /Comments/ Instructions: a 6 .,__D c..._ e______ „..p{ . ���_ as ‘/ ) , • 64 - i� ,� he /O r j (pi-vac) (4/i 51(... he r x - c 0( -- — le- e;.X.e.)--e ,s p----i_ i '. G)-60-7 ; a, cc._er-dCc_c__IL i 2 d e e /-1"--- zz- 'i-vc,fc 1 e_,,ivv./A-m.cJ 4,ss r ,A! - raci --- ..e_ci --- olt..------- i i i y g2;Ass n PARTIAL APPROVAL 1 1 CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: \! Ct _- Date: 16 /(C ( #: (503) 718- l STREET TREE CERTIFICATION I, /im (/f - , Owner /Agent for /-, /--Gy 7 s (PLEASE PRINT) (PERMIT HOT .DER) • Do hereby, certify that the following location meets City of Tigard and Washington County land use and development standards .for street tree installation. ADDRESS: /7C) 7 % 1 5 rza) 6W/ SUBDIVISION: 'Pr ©s f c ii/Lea U.3S LOT: S SIGNATURE: VA4 DATE: 9/29/0 (O ER /AGENT) RECEIVED BY: DATE: / C/ A (CM' OF TIGARD) 1: \ Building\ Forms \ StreetTreeCertificate 01/19/07