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Permit CITY OF TIGARD MASTER PERMIT • PERMIT #: MST1999 -00306 1 , DEVELOPMENT SERVICES G f NA LDATEISSUEb: 09/21/1999 �� I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) SITE ADDRESS: 08901 SW PIPPEN LN PARCEL: 2S111 DA -11800 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7 BLOCK: LOT: 111 JURISDICTION: TIG REMARKS: Construction of single family detached residence, Path 1. BUILDING • REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 927 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1227 sf GARAGE: 479 sf FRONT: . 23 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 4 VALUE: $ 161,617.10 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: sf REAR: 21 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 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: BOIUCMP < 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 ADDL 500SF: 4 201 - 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT UN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ ampNolt : 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: $ 5,684.01 LEGEND HOMES LEGEND HOMES This permit is subject to the regulations contained in the L O 6900 LEGEND Tigard Municipal Code, State of OR. Specialty Codes and 6900 ND 6900 SD, HAINES ES OR 97223 6900 S 2, HAINES ES CORP C S T all other applicable laws. All work will be done in 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: 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 Low Voltage Electrical Final Footing Insp Crawl Drain /Backwater Electrical Service Gas Line Insp Mechanical Final Foundation lnsp Footing /Foundation On Electrical Rough In Gas Fireplace Plumb Final Post/Beam Structural PLM /Underfloor Framing Insp Insulation Insp Final inspection Post/Beam Mechanical Mechanical Insp Shear Wall lnsp Rain drain Insp Building Final Issued By :S /if / � Permittee Signature : ,00. / Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the ne ' u , e -4'a CITY OF TIGARD Residential Building Permit Application Plan Cm /F.e, 13125 SW HALL BLVD. New Construction Recd � Date Recd _ 9- g_12_ TIGARD, OR 97223 Single Family Attached Date to P.E. y /o-f f V'503- 639 -4171 Date to DST 9 - 15 - 5y F 503 - 684 -7297 Permit # //4r #999- c+>36 Print or Type Called ° t - I '7 —°/e) Incomplete or illegible applications will not be accepted oSU /???- 00/90 _ Name of Project Name i # oo dAk /1 Gam Job i cry A rchitect M a i lin g Address / Address Sit - • / d ( f 0 p �� ly„„,n ' 1/ .�`,!�, se y //,, City/State Zip Phone Nartte / /�v �` ° V '' Q' id. 1 Owner M ' ddress /��J ffr, Nam c i n i ` /�] C i) ai in Engineer M A dress Cjtjl State Zip P // hone 7 G ^ J // ,c� �y ) `` 9 1 4 1 3 ry � 1 R Citt / g Zip ' Phone General Narne / T ,�ypi a ! / 7.1) 3 eow- 7040 Contractor ` el-0-7),d/ Describe work New 9/ Addition 0 Alteration 0 Repair 0 Mailing Address to be done: Prior to permit Additional Description of Work: issuance, a copy City/State Zip Phone of all licenses are required if Oregon Const. Cont. Board Exp. Date PROJECT / v� , expired abase database (6,0.57° 3 6,./q--(-2?) VALUATION $ /‘/Is / . Mechanical Name NEW CONSTRUCTION NLY: Sub- n I Sq. Ft. House: Sq. Ft. Garage Contractor Maili A dre •1 / 1 -4 1 / 7 2 icai Prior to permit Q. /J . t- 05 Indicate the restncted energy installation by the el issuance, a co py F State Zip ' Phone subcontractor in the following areas of all licenses dtt�0 q'7ai/ , 5 3 - 77 Restricted Audio /Stereo are required if regon o n t. Cont. Board Exp. Date Energy System 5 Alarms 3 expired in COT Lic.# � / / C � Installations Vacuum Irrigation database / `J - �7 System System Plumbing Name (check all that Other: Sub - 1je)JeDe 41/ OA 0e);_ apply) Contractor K Aaili g Address /f Number of Units in Building Unit Number Designation Has the Subdivision Plat recorded? N/A YES NO P to p copy gty/ State 4 9 / 0 oaf Phony - / /� issuance, acopy /p a of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# �7 expired in COT c2 3 / �y / , 't2./5?_. % U 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 OZ 6jod (� / 3o // of the owner, and that plans submitted are in compliance with %� Oregon State laws. Name C Sig ture of Own r /Agee Date Electrical ()a7/t� C- LoJ— L x�� jj , Sub- Mailing Address CgD fect Pers ti e honr*,# rP Contractor a f 785 JTU ddr City/State Zip Phone Prior to permit /I / v / 70 j 9/ -- g issuance, a copy f7 ! � FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# Plat # : / � P �$' 3� �5 1 f 1 _ ���� expired in COT / of /J f_9 1 / q r () database Electric jL . J / Exp. Date Setbacks: /_ _ , , � 1 -' ZO n Electrical Supervisor Lic.* Exp. Date Engineering Approval: Planning Approval: TIF: i:ldstslformsksfa- new.doc 11/20/98 2/16/00 Activities for Case #: MST1999 -00306 3:06:05 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 9/8/99 DEB RECD No Hold DEB 9/10/99 MSTA008 Permit Created 9/10/99 DEB DONE No Hold DEB 9/10/99 MSTA010 Check for prcl. restrict. 9/10/99 DEB DONE No Hold DEB 9/10/99 MSTA012 Plans routed to Plans Examiner 9/10/99 DEB DONE No Hold DEB 9/10/99 MSTA026 Plans approved by Pln Examiner 9/15/99 BT2 DONE No Hold BT2 9/15/99 MSTA030 Reviewed plans routed to DSTS 9/15/99 BT2 DONE No Hold BT2 9/15/99 MSTA700 Erosion 844 -8444 9/15/99 9/15/99 No Hold BT2 9/15/99 MSTA705 Footing lnsp 9/15/99 9/15/99 9/24/99 GS PASS No Hold AKJ 9/26/99 MSTA706 Foundation lnsp 9/15/99 9/15/99 9/28/99 GS PASS No Hold AKJ 9/28/99 MSTA710 Post/Beam Structural 9/15/99 9/15/99 10/7/99 KS PASS No Hold AKJ 10/7/99 MSTA711 Post/Beam Mechanical 9/15/99 9/15/99 10/7/99 KS PASS No Hold AKJ 10/7/99 MSTA712 Underfloor insulation 9/15/99 9/15/99 • No Hold BT2 9/15/99 MSTA713 Crawl Drain /Backwater valve 9/15/99 9/15/99 No Hold BT2 9/15/99 MSTA714 Footing /Foundation Drain 9/15199 9/15/99 No Hold BT2 9/15/99 MSTA717 PLM /Underfloor 9/15/99 9/15/99 10/6/99 TLP PASS No Hold AKJ 10/6/99 MSTA720 Mechanical Insp 9/15/99 9/15/99 11/17/99 LN PASS No Hold VT 11/17/99 CMA mechanical rough in Approved MSTA722 Plumb Top Out 9/15/99 9/15/99 11/3/99 TLP PASS No Hold VT 11/3/99 MSTA723 Electrical Service 9/15/99 9/15/99 11/17/99 BP PASS No Hold VT 11/19/99 Note: Cables hanging in closet? Services, Rough in, and Low volt - Pass MSTA724 Electrical Rough In 9/15/99 9/15/99 11/17/99 BP PASS No Hold VT 11/19/99 Note: Cables hanging in closet? MSTA725 Framing lnsp 9/15/99 9/15/99 11/17/99 LN PASS No Hold VT 11/17/99 CMA Frame 1. obtain elect. okay to cover • APPROVED after #1 MSTA726 Shear Wall lnsp 9/15/99 9/15/99 10/29/99 KBS DONE No Hold KBS 10/29/99 #-1- nail cs # 16 straps two inch o/c #-2- provide strap @ rim joist adjacent to stairs #-3- provide mst # 37 straps @ rear wall as shown #-4 -nail shear panels per schedule MSTA728 Low Voltage 9/15/99 9/15/99 No Hold BT2 9/15/99 Page 1 of 2 2/16/00 Activities for Case #: MST1999 -00306 3:06:05 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA735 Gas Line Insp 9/15199 9/15/99 11/17/99 LN PASS No Hold VT 11/17/99 CMA gas line Approved 22 #'s , green tag # 380611 complete #1 of frame then OK TO INSULATE MSTA736 Gas Fireplace No Hold BT2 9/15/99 MSTA740 Insulation Insp 9/15/99 9/15/99 11/19/99 KS PASS No Hold VT 11/19/99 MSTA752 Rain drain Insp 9/15/99 9/15/99 9/30/99 MS PASS No Hold AKJ 9/30/99 MSTA790 Electrical Final 9/15/99 9/15/99 1/19/00 BRP PASS No Hold AKJ 1/19/00 MSTA795 Mechanical Final 9/15/99 9/15/99 1/26/00 TLP PASS No Hold AKJ 1/27/00 MSTA797 Plumb Final 9/15/99 9/15/99 1/19/00 MRS PASS No Hold AKJ 1/19/00 1) cpvc too dose to b vent 2) going to be fixed MSTA799 Building Final 9/15/99 9/15/99 1/26/00 TLP PASS No Hold AKJ 1/27/00 MSTA032 DST Post - Review Completed 9/17/99 BON DONE No Hold BON 9/17/99 MSTA080 (F) Ready to issue 9/17/99 BON DONE No Hold BON 9/17/99 MSTA092 (F) Issue combination permit 9/21/99 GEO DONE No Hold GEO 9/21/99 MSTA095 Issue plumbing signature form 9/21/99 GEO RECD No Hold AKJ 9/23/99 recd 9/23/99 MSTA097 Issue electric signature form 9/27/99 JMT RECD No Hold JMT 9/27/99 MSTA761 Water Service Insp 9/30/99 9/30/99 9/30/99 MS PASS No Hold AKJ 9/30/99 MSTA727. Exterior Sheathing Insp 10/29/99 KS PASS No Hold VT 10/29/99 MSTA765 APPr /Sdwlk Insp 11/30/99 11/30/99 11/30/99 MW PASS No Hold DGW 11/30/99 Looks good MSTA960 (F) Issue Cert. of Occupancy 1/26/00 TLP DONE No Hold ST 2/16/00 2/16/00- mailed to owner /BT /file • Page 2 of 2 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST i _Coso6 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP Date Requested 2 dD AM X PM BLD Location 6 101 Pi per Cy ( Suite MEC Contact Person - Vo "`' , Ph - 3? 70 PLM Contractor Ph SWR LDIN 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: gri PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service V Sanitary Sewer Rain Drains Final PASS PART FAIL MfsCHANICAT ) Post & Beam Rough In Gas Line Smoke Dampers 1.0 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA / Approach /Sidewalk D a t e / / In spec t o r r \ Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST /qqq -O) Sore, 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �/ BUP Date Requested j 26/00 AM l` PM BLD P Location ?qui / (( Suite MEC Contact Person I ef.itYlj Ph 7 7 - . 337 d PLM Contractor Ph SWR �Bt71C6 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 f Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof f Misc: m PASS PART FAIL PLUMBING, Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final pASS PART FAIL IIECHANICI`L-- Post e Rough In Gas Line Smoke Dampers , 'ART FAIL • ervice Rough In UG /Slab Low Voltage _larm ite • 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION < /9 9 -003CC 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 1 9 (�� AM X PM BLD Location ,qt) I Pt /J Suite MEC Contact Person y eirrj Ph tO '3??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 /� ieji ! awf. Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof C �L %� 74 Misc: Final PASS PART FAIL Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains dr 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 Other Date ' 1 Ot Inspector �'`. Ext Final PASS PART FAIL DO T REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION er IT q 9 - C D36 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 TO BUP Date Requested 0 AM PM BLD Location D 10 1 P/Ppav Suite MEC Contact Person I ?,�1 Ph 71, 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 /— ` ^ s 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 E CTRIt::Rt) Service Rough In UG /Slab Low Voltage Fire Alarm 4, PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ Ext ] Unable to inspect - no access ADA / 9 2 2 Approach /Sidewalk Dat ! Ins Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.