Permit A . 4 CITY OF TIGARD MASTER PERMIT
PERMIT #: MST99 -00128
"IIh DEVE H BMENg r S O ER 9 2 639 -4171 DATE ISSUED: 4/20/99
SITE ADDRESS: 15210 SW PARKLAND TERR PARCEL: 2S111 DA -05200
SUBDIVISION: APPLEWOOD PARK NO. 2 ZONING: R -7
BLOCK: LOT: 047 JURISDICTION: TIG
REMARKS: New SF - Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 802 sf BASEMENT: 0.00 sf LEFT: 21 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 840 sf GARAGE: 454 sf FRONT: 21 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT: 5
VALUE: $ 122,679.78
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,642.00 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: 0
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: 0 SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: 0
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN < TOOK: 0 BOIUCMP < 3HP: 0 VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: 0 HOODS: 1 OTHER UNITS: 1
MAX INP: 0 btu FLOOR FURNANCES: 0 VENTS: 0 WOODSTOVES: 0 GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 0 • 200 amp: 0 W /SVC OR FDR: 1 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADO'L 500SF: 3 201 - 400 amp: 0 201 • 400 amp: 0 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: 0 PER HOUR: 0
LIMITED ENERGY: 0 401 • 600 amp: 0 401 • 600 amp: 0 EA ADDL BR CIR: 0 SIGNAUPANEL: 0 IN PLANT: 0
MANU HM/SVC /FDR: 0 601 - 1000 amp: 0 601 +amps•1000v: 0 MINOR LABEL: 0
1000+ amp/volt : 0
PLAN REVIEW SECTION
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
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: 0
Owner: Contractor: TOTAL FEES: $ 4,696.52
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
Tigard Municipal Code, State of OR. Specialty Codes and
6900 SW HAINES 6900 SW HAINES ST #200 all other applicable laws. All work will be done in
TIGARD, OR 97223 TIGARD, OR 97223 accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: 620-8080 Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion 844 -8444 Crawl Drain /Backwater Electrical Rough In Insulation Insp Mechanical Final
Footing Insp PLM /Underfloor Framing Insp Rain drain Insp Plumb Final
Foundation Insp Mechanical lnsp Shear Wall lnsp Water Service Insp Building Final
Post/Beam Structural Plumb Top Out Low Voltage Appr /Sdwlk lnsp
Post/BBam Mecham Electrical Service Gas Line lnsp Electrical Final
Issu d B / . : (-�1� y Permitte Signature Y- / // fr
_ -_.. Call (503) 6 3-4175 by 7:00 p.m. for an inspection needed the nex • • ess day
CITY OF TIGARD Residential Building Permit Application Plan Che -. G,e,.
13125 SW HALL BLVD. Additions or Alterations Rec'd B. BrAp
Date Rec' • "'
TIGARD, QR 97223 Single Family Detached or Attached (Duplex) Date to P.E. ,�j4
V 503 - 639 -4171 Date to DST S '
F 503 - 684 -7297 Permit # N► ' r, ,1 - /
Print or Type Called -
- (3 -q� ' QD
Incomplete or illegible applications will not be accepted ` U�
V 7
Name of Project Name �/
Job A 9•2L• ). 1) P if L y�
., nI// hD
Architect Mailing A ss
Address / site Address
a /D oC��.�°',�t ( 1Od �U i2,' Nam
City Zip I o? 9v ? 5-9
. �
Owner Mailing W/ `, ," I Nam .
tr ..z/J I r � f one C e Engineer Mailing Add qty c .. - • 6 1,e1 /Vr Jl
General N ' :/ `: ,.: - ,.; _ < ,� P,".
Co .. l G ?? : ;;oAr. , � ~ s D work I (Add 0 : o : : ? 7' ; :-
..r Pe ' . ;...4,„ r a .._. - ^.:1^s • 5 tY iii Mw ri: � i. $ 1:. • _ /' -. . ' I •3 . • _ O fs ,, :,,
Prior to t .' A ddltiottal Desc W4 �;yt4 ,. `, . n r,; •- , ill
copy. -,•_ . ,.. - - ° �, PHort of tk,._.;
issuance, 8 fate P., ph °�n.'"'' - .` .• _ y''. i 3 `vc��: ��•t:;�:� i-.;' � b �.•�:•;.. �.�rc � .t l� N c; ?v ;, � ry
p � . .. . ;hr..9k r , s►�mw Fi Av.: '
� Sy s
of all licenses = , ; ' 'Y , : ma . ., ;, . . .., . y , .. " _, ;;`-'k•
are ._ ... _ . .- . .Y.
required if too • xt
req ~ - Oregon nst Cont. Board , Date Y: , 7 ''-'' . PRO ECT�:; V '{•:
d reg in OT " t.10 .,' r. -y. VA
Mechanical Name LL XTION ' � - 2"'2 /- / 7 ?� :
expired °:.J�r � � ;,. R =.
- _ • 'r : NEW,CONST :1 � '
m • - / , , � .. �• � - �`3. _ RUCTION ONLY: :::� r ?- �W r� ==
Sub = 1 �� ( • L - . . - =t _ Sq: Ft: Hou � LI I 1--s9; Ft. Garage - _.. l
Contractor Mailing Addre _ A� wI/ ) i r X /
Prior to permit cg //,�.- S i.., /e9,5 'ip�'!/� Indicate the restricted energy installation by the electrical :,.,.-,;:: .
issuance, a copy C' /State Zip Phone subcontractor in the following areas • - .. • - •
of all licenses /�� tau c2,):3-77V Restricted • Audio/Stereo ;
are required if Oregon Const. Cont. Board Exp. Date • Energy System Alarms
expired in COT Uc.# Installations Vacuum Irrigation
database ( �/, / 5 -q9 . . ' System - _ System
Plumbing Name (check all that . Other.
Sub- 6/)c)/ CD 000)A .`n apply) .. .
Contractor Mailing Address Corner Lot YE NO Flag Lot YES N
�� 6 .0/k 067 (check one) (check one) ✓
H as the Subdivision Plat recorded? N/A NO —
// -
Prior to permit CMState Zip Phone
issuance, a copy r Or �j,7••- q'?
of all licenses are Oregon t onst. Cont. Board Exp. Date
required if Lic.#
expired in COT 60,2 -3() IP - /9 -C) I hearby acknowledge that I have read this application, that the
database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
0 " G Q r ) 0''3/ lc/ Oregon State laws.
Na `` Signature of ner gent Date
Electrical (Dee i4.P di e . Z f t ,i ,¢� 2 " - / - �/
?Va Phone
Cont. a o
Sub- Mailing Address n
Contractor ,? } ), 5 ` .s ,�,v 77/ / f `� J
City /State Zip Phon
Prior to permit / G
issuance, a copy , 4/ U� . 5 7/-/30 - FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont. Board Exp. Date Plat #: Map/TL#:
required if Lic.# _ P
Ma
expired in COT / ok �� .5 ! — 3 -7tH? , 11 S - Z m `) Z� '? A //b4 - O `-; mac' b
d Electrical Lk. C. _ ER. D - I Se .a I : ' ' Zone: Solar.
A r s U•- s. - 1 ► 7 C
- r Electricdl Supervisor Lic. # p. to % Engineers • Approve • Pla ning Approval: - TI :
• 1 37o S /0 -/ - DI 1 If ,) ' - •'
• i:ldsts fonnsls 1120/98
8/20/99 Activities for Case #: MST99 -00128
3:59:56 PM .
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 3/26/99 DRA RECD BON 4/1/99
MSTA008 Permit Created 4/1/99 B DONE BON 4/1/99
MSTA010 Check for prcl. restrict. 4/1/99 B PASS BON 4/1/99
MSTA012 Plans routed to Plans Examiner 4/1/99 B SENT BON 4/1/99
MSTA026 Plans approved by Pln Examiner 4/5/99 BT2 DONE BT2 4/5/99
MSTA030 Reviewed plans routed to DSTS 4/5/99 BT2 DONE BT2 4/5/99
MSTA032 DST Post - Review Completed BON 4/1/99
MSTA155 Development conditions met BON 4/1/99
MSTA700 Erosion 844 -8444 BON 4/1/99
MSTA705 Footing Insp 4/22/99 WDJ PASS AKJ 4/22/99
MSTA706 Foundation lnsp 4/23/99 TLP PASS AKJ 4/26/99
MSTA710 Post/Beam Structural 4/30/99 KS PASS AKJ 5/2/99 1) Provide nail protection at
. water piping at mud sill
2) Support furnace plenum to
adj structural member
MSTA711 Post/Beam Mechanical - 4/30/99 KS PASS AKJ 5/2/99 See p &b stuc notes
MSTA713 Crawl Drain /Backwater valve 4/26/99 TLP PASS AKJ 4/26/99
MSTA717 PLM /Underfloor 4/29/99 GS PASS AKJ 4/29/99 Nailplate pim pipes penetrating
mud sill
MSTA720 Mechanical lnsp 6/11/99 PC PASS AKJ 6/13/99
MSTA722 Plumb Top Out 5/28/99 TLP PASS AKJ 5/31/99
MSTA723 Electrical Service 6/10/99 CD PASS AKJ 6/10/99
MSTA724 Electrical Rough In 6/10/99 CD PASS AKJ 6/10/99
MSTA725 Framing Insp 6/10/99 KS FAIL AKJ 6/10/99 need elec cover app prior
MSTA726 Shear Wall lnsp 5/28/99 KS FAIL AKJ 5/31/99 Bolt holdown at garage wall
install mst #48 straps each side
of window at mstr bdrm
MSTA728 Low Voltage BON 4/1/99
MSTA735 Gas Line lnsp 6/11/99 PC PASS - AKJ 6/13/99
MSTA740 Insulation lnsp BON 4/1/99
MSTA752 Rain drain Insp 4/26/99 TLP PASS AKJ 4/26/99
MSTA761 Water Service Insp 4/26/99 TLP PASS AKJ 4/26/99
MSTA765 Appr /Sdwlk Insp 8/11/99 PI PASS AKJ 8/11/99
MSTA790 Electrical Final 8/9/99 BRP FAIL AKJ 8/9/99 receptacle required in island
counter space
Page 1 of 2
8/20/99 Activities for Case #: MST99 -00128
3:59:56 PM
Assigned Hold Updated •
Activity Description • - Date 1 Date 2' Date 3 To Done By Disp. Level By Updated Notes
MSTA795 Mechanical Final , 8/11/99 KS FAIL AKJ 8/11/99 wet hardwood floors, no entry
allowed
MSTA797 Plumb Final 8/11/99 MS FAIL AKJ 8/11/99 house locked
MSTA799 Building Final 8/11/99 KS FAIL AKJ 8/11/99 wet hardwood floors, no entry
. allowed
MSTA032 DST Post - Review Completed 4/13/99 BON DONE No Hold BON 4/13/99
MSTA080 (F) Ready to issue • 4/13/99 BON DONE No Hold BON 4/13/99
MSTA092 (F) Issue combination permit 4/20/99 DEB DONE No Hold DST 4/20/99
MSTA095 Issue plumbing signature form 4/27/99 VLN RECD No Hold VLN 4/27/99
MSTA097 Issue electric signature form 4/28/99 JMT RECD No Hold JT 4/28/99
MSTA704 Sewer Inspection 4/26/99 TLP PASS No Hold AKJ • 4/26/99
MSTA727 Exterior Sheathing lnsp 5/28/99 KS FAIL No Hold AKJ 5/31/99 See shear notes
MSTA726 Shear Wall Insp 5/31/99 5/31/99 5/28/99 TLP PASS No Hold AKJ 5/31/99
MSTA727 Exterior Sheathing Insp 5/28/99 TLP _ PASS No Hold AKJ 5/31/99
MSTA735 Gas Line Insp 6/10/99 6/10/99 6/10/99 KS FAIL No Hold AKJ 6/10/99 see framing
MSTA720 Mechanical lnsp 6/10/99 6/10/99 6/10/99 KS FAIL No Hold AKJ 6/10/99 see framing
MSTA725 Framing Insp 6/13/99 6/13/99 6/11/99 PC PASS No Hold AKJ 6/13/99
MSTA790 Electrical Final 8/11/99 8/11/99 8/11/99 BRP PASS No Hold AKJ 8/11/99
MSTA795 Mechanical Final. . 8/12/99 8/12/99 " 8/12/99 KS FAIL No Hold AKJ 8/12/99 see bldg final 8/12/99
MSTA799 Building Final 8/12/99 8/12/99 8/12/99 KS FAIL No Hold AKJ 8/12/99 1) final erosion control app
2) firetape joints at gyp at gar
and spot nails also seal around
all penetrations
• 3) heat duct disconn at crawl
4) remove loose wood /debris at
crawl
MSTA797 Plumb Final 8/12/99 8/12/99 8/12/99 MS PASS No Hold AKJ 8/12/99
MSTA799 Building Final • 8/16/99 8/16/99 8/16/99 KS PASS No Hold AKJ 8/16/99 •
MSTA795 Mechanical Final 8/16/99 8/16/99 8/16/99 KS PASS No Hold AKJ 8/16/99
MSTA960 (F) Issue Cert. of Occupancy 8/16/99 TIG KS DONE No Hold JMT 8/20/99
Page 2 of 2
CITY OF TIGARD BUILDING INSPECTION DIVISION MST C M ' -- Up) a
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
c q(� BUP
Date Requested (1 I CD l - [ AM PM BLD
Location 1 52 (0 7a r T Suite MEC
Contact Person '/e,)Yl Ph zoq -37o PLM
Contractor ✓✓ Ph SWR
LD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
AS PART FAIL
'PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHAIMI _
Post & Beam
Rough In
Gas Line
Smo a Dampers
rn
ASS PART FAIL
LECTRICAL
Service
Rough In
UG /Slab /
Low Voltage `/
Fire Alarm
Final
PASS PART FAIL \.)
SITE ' \
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date — /G
Other 9� Ins Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.