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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST1999 -00376 �,`11��. DEVELOPMENT SERVICES DATE ISSUED: 11/16/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 08933 SW PIPPEN LN PARCEL: 2S111DA -11900 SUBDIVISION: APPLEWOOD PARK NO. 3 OR ZONING: R -7 BLOCK: LOT: 112 G 1 N�fISDICTION: TIG REMARKS: New SF - Path 1 b BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1.037 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.273 sf GARAGE: 479 sf FRONT: 23 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 VALUE: $ 172,888.42 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: sf REAR: 12 • 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: 1 GREASE TRAPS: . OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: 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 - 200 amp: W /SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 - 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: 00 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 AREA/SPC 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: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,770.19 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of OR. Specialty Codes and 6900 SW HAINES 6900 SW HAINES ST all other applicable laws. All work will be done in TIGARD, OR 97223 PLAZA 2, SUITE 200 accordance with approved plans. This permit will expire if TIGARD, OR 97223 work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: LIC 00060563 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 Underfloor insulation Plumb Top Out Gas Line Insp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Service Gas Fireplace Mechanical Final Foundatio Footing /Foundation Dr Electrical Rough In Insulation Insp Plumb Final Pos =eam Structural PLM /Underfloor Framing Insp Water Line Insp Final inspection P•st/Beam Mechanical Mechanical I Shear Wall Insp Appr /Sdwlk Insp Building Final I - sued By : i 1,..4 l _ 4%1 .. / / ' Permittee Signature : PD 1 gyel___----- Call (503) 6 -4175 by 7:00 p.m. for an inspection needed the next sin ss da CITY Ut 1 IC5AKL) Kesldential building Permit Application Plan Che - k 13125 SW HALL BLVD. Additions or Alterations Recd B . TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd - . V 503 - 639-4171 Date to P.E. - 5 - F 503 -684 -7297 Date to DST // - Permit #►'F(ST - 19 -Up3% Print or Type Called e,cvi? tit — Incomplete or illegiblp applications will not be accepted /fr 4 ppz~37 / -k, 5AD" e/� Name of Project Name Job A F yy I'L.£ ' 21D /P, 4 , Jr Maain Addfe y �h Address s Address f P _ _Architect c2C i' N am � • • / ��� City/State - Zip Phone Owner Mailing res / S Name / If ' / .L/. // it e n 2� M ai lin �rz./../�'1 • City a Phone E ngineer g Ad dress 111 Genera ..7:.:,.:4.4r.,.,-.7,.:....,. . s. . , :y_••1: . .- a��: r. tot '� 1 r, • • . C o ntract or 4 , � � � � '• - ' - .. • ; :. `: •.!' ;t .* 'S . a Ne ,A 0:;! Alteration,0 : ' . • 4!f ° .zi . {' �,> ' ' - - :•" iA •; a k . • ' r kf ' to be dia e.• RY:t(�il � •. , e.:',:1....',:'�'•is�ti.i 1)4 i . -!a ': Pr or to permit i' .... < r y � "- • - . ' Ad d i tlottaI Desc " '• _ ~ :. --. ptioh of Wgrk::! ;4 �t:;' .;,'.4 f•�; P ; issuance acop s "` �1 • S g y. ` �� p 7`. ` i.4: - . .� - wj • 4 • •� rr. 4.r{. a e r }i C 4 = ✓ fate � . sue - . :.° ....-ti : a'� •, 4: � k � - • . a pys t'� i � Phone V d4. =� '.t. ::4Y.. ��`�i ; :i�{�. � .,, a��..�; N �o.e �a } : Of all licenses '.-- t s •c '•-'- .P'• . ��� :� '.rv � : a. f 1• .�•� i �. -,�• .•��'+l' a l: : - - ,....p. ,....p. ti. :47: . t; are required If Board 1 ,, ..`.7 C . , Orego n � • nst.C Ont Exp ,Date;• r `a�i :y .PRO ECiT'';��. ' . '_�f,l' • � -z--- -z--- � -. . ��: ?: expired In COT ti : I.ic # :. ,., . 1 .,' . - : I : � _ . , ... , / �7 database -. � .. r . . - . 0;3 - . -, .. a - -, ` 4 ; - .: V ATI OIV ~!: $ ( � J _ ! ` , , - _ 1,.A`. Mechanical N � s .'s: NEW, CONSTRUCTION ONLY: ` f (�; `;i gft Sub- ..:: - •' "Z u 6 L-L�'Lrl ', ' *` -�" '.. `' S Ft.; Hou j � 1:8(..1,:f E. I COntrat:tOr Mailing Add ,. ' _ J Prior to permit e a y2 s f., /0.5 ,4E, Indicate the restricted energy installation by the electrical r' , `a.:: . subcontractor in the following areas • t.4, !-'''` C• issuance, a copy /State • Zip ' Phone eN„ 9 of all licenses p taw S3- 7 )ry Restricted • Audio/Stereo : • - : - are required if Oregon Const. Cont. Board Exp. Date r,, Energy System Alarms expired in COT Uc.# lJ `/� / / 5 - -3 - , r .• Insta Vacuum Irrigation database I/ �r ' Plumbing N System System 9 (c all that . Other. • . Sub- (X)0/ 00nli,1 apply) ... .. Contractor Mailing Address . Corner Lot YES NOX Flag Lot YES NO // 2, 8,/ +(0 6 7 (check one) I (check one) - H as the Subdivision Plat recorded? N/A YE,S NO Prior to permit C ty /State Zip Phone . Issuance, a copy (9 r D) ' ' 7 ? c tt 7 of all licenses are Oregon onst Cont. Board Exp. Date - required if Uc.# expired - in COT 6,2_3p /t - /4 ..Q, I hearby acknowledge that I have read this application, that the database Plumbing Dc. # Exp. Date information given is correct, that I am the owner or authorized agent �y of the owner, and that plans submitted are in compliance with o" - PJ x''31 ! � Oregon State laws. Name Sign ure of ner gent Date Electrical 0,,,, l,yt f 2i �, G i2 , �.o 2--/ 1-, Sub- Mailing Address . Cont + a on a `� 1- Phone Contractor ,1) 7..5 ` . f v g / y City/State Zip Phon • Prior to permit issuance, a copy /4 /a ' q . 5 91- /3,e' - FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont Board Exp. Date required if Uaa Plat # Mapl1"L#: expired in COT / g / /,5 _ _ .3-1q- ' ; - 6 6 4°1 7 20 7,1 7 72, A5/ • — j40 database Electrical tic. #_ ER. Date I Setbacks: Zone: / Solar , 2' _ 10 v - 1r e 7 .. D Pe p . - Electrical Supervisor Lic. # Ex `� pate Engin •eri • Ap • o al: Planning A • royal: - TIF: • • L•ldstsVorms1s 1120/98 • 3/28/00 • Activities for Case #: MST1999 -00376 1:28:14 PM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA706 Foundation Insp 11/29/99 11/29/99 11/29/99 GS PASS No Hold GES 11/29/99 MSTA005 Application received 11/2/99 DRA RECD No Hold BON 11/5/99 MSTA008 Permit Created 11/5/99 BON DONE No Hold BON 11/5/99 • MSTA010 Check for prd. restrict. 11/5/99 BON • DONE No Hold BON 11/5/99 MSTA012 Plans routed to Plans Examiner _ 11/5/99 BON DONE No Hold BON 11/5/99 MSTA026 Plans approved by Pln Examiner 11/9/99 BT2 DONE No Hold BT2 11/9/99 MSTA030 Reviewed plans routed to DSTS 11/9/99 BT2 DONE No Hold BT2 11/9/99 MSTA700 Erosion 844 -8444 11/9/99 11/9/99 No Hold BT2 11/9/99 MSTA•05 Footing Insp 11/9/99 11/9/99 11/22/99 GS PASS No Hold DGW 11/22/99 Ufer tagged MSTA706 Foundation Insp 11/9/99 11/9/99 11/24/99 HAP CANC No Hold DGW 11/24/99 Not ready....cancelled prior to arrival by contractor @ 1:15 MSTA710 Post/Beam Structural 11/9/99 11/9/99 12/6/99 KBS PASS No Hold KBS 12/6/99 #-1- under floor plumbing by GS 12/03/99 MSTA711 Post/Beam Mechanical 11/9/99 11/9/99 12/6/99 KBS PASS No Hold KBS 12/6/99 MSTA712 Underfloor insulation 11/9/99 11/9/99 No Hold BT2 11/9/99 MSTA713 Crawl Drain /Backwater valve 11/9/99 11/9/99 11/30/99 MRS DONE No Hold MRS 11/30/99 MSTA714 Footing /Foundation Drain 11/9/99 11/9/99 No Hold BT2 11/9/99 MSTA717 PLM/Underfloor 11/9/99 11/9/99 12/3/99 GS PART No Hold GES 12/3/99 waste only , no water in 1, insulate main water riser MSTA720 Mechanical Insp 11/9/99 11/9/99 1/24/00 TLP PASS No Hold AKJ 1/24/00 MSTA722 Plumb Top Out 11/9/99 11/9/99 1/12/00 MRS PASS No Hold MRS 1/12/00 missing a few nail plates • MSTA•23 Electrical Service 11/9/99 11/9/99 1/24/00 TLP PASS No Hold AKJ 1/24/00 MSTA724 Electrical Rough In 11/9/99 11/9/99 1/24/00 TLP PASS No Hold AKJ 1/24/00 MSTA725 Framing Insp 11/9/99 11/9/99 1/24/00 TLP PASS No Hold AKJ 1/24/00 MSTA726 Shear Wall Insp 11/9/99 11/9/99 1/6/00 KS PASS No Hold AKJ 1/6/00 " MSTA735 Gas Line Insp 11/9/99 11/9/99 1/24/00 TLP PASS No Hold AKJ 1/24/00 MSTA736 Gas Fireplace No Hold BT2 11/9/99 MSTA740 Insulation Insp 11/9/99 11/9/99 1/26/00 TLP PASS No Hold AKJ 1/27/00 MSTA760 Water Line Insp 11/9/99 11/9/99 11/30/99 MRS DONE No Hold MRS 11/30/99 MSTA765 APPr /Sdwlk Insp 11/9/99 11/9/99 2/1/00 MW PASS No Hold AKJ 2/1/00 MSTA790 Electrical Final 11/9/99 11/9/99 3/14/00 BRP PASS No Hold AKJ 3/14/00 MSTA795 Mechanical Final 11/9/99 11/9/99 3/15/00 TLP PASS No Hold AKJ 3/15/00 MSTA797 Plumb Final 11/9/99 11/9/99 3/14/00 MRS PASS No Hold AKJ 3/14/00 Page 1 of 2 ` I 3/28/00 Activities for Case #: MST1999 -00376 1:28:14 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA799 Building Final 11/9/99 11/9/99 3/15/00 TLP PASS No Hold AKJ 3/15/00 MSTA032 DST Post - Review Completed 11/12/99 GEO DONE No Hold GEO 11/12/99 MSTA080 (F) Ready to issue 11/12/99 GEO DONE No Hold GEO 11/12/99 MSTA092 (F) Issue combination permit 11/16/99 DEB DONE No Hold DEB 11/16/99 MSTA095 Issue plumbing signature form 11/19/99 SLT RECD No Hold ST 11/19/99 MSTA097 Issue electric signature form 11/23/99 SLT RECD No Hold ST 11/23/99 MSTA752 Rain drain lnsp 11/30/99 11/30/99 11/30/99 MS PASS No Hold MRS 11/30/99 MSTA960 (F) Issue Cert. of Occupancy 3/15/00 TLP DONE No Hold ST 3/27/00 3 /27 /00- mailed to owner /BT /file • Page 2 of 2 CITY OF TIGARD BUILDING INSPECTION DIVISION MST if 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 3 / 06) AM PM BLD Location S' , re // Suite MEC Contact Person T4101.' Ph 2061'337O PLM Contractor Ph SWR ett?itUff 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: tV) PART FAIL PL I BING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL NICI,� Post & Beam Rough In Gas Line Smoke Dampers 4i:1 PART FAIL E RICAL 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 l C Approach /Sidewalk- Date 3 / 87 6 0 Inspector 77:5Y Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1 J -0a 3?A, 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 3 // VCO AM k PM BLD Location g� �3 �i��� — Suitte� MEC Contact Person Tefi 7 Ph 20g � '2 0 PLM Contractor Ph SWR BUILDING 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: Final PASS PART FAIL Post & Beam Under Slab Top Out Water Service Sanitary Sewer R.' Drains Ai se PART FAIL CHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL 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 �f Other Date/ �/� 1 /76y Inspector � (G Ext�/ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION qq '00 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested S/ AM PM BLD Location o ! � l Suite MEC Contact Person � Ph 2-0q PLM Contractor Ph SWR BUILDING 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: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL Set CTRICA� Set cC Rough In UG /Slab Low Voltage Fire Alarm PASS ART FAIL 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 3-1 Other Inspector ei _ //1 J Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.