Loading...
8915 SW GRAVENSTEIN LANE IJ co Ln En H [TJ H z r I I i i I i i i I -- 8915 SW GRAVENS`!'E;IN DANE '- i ELECTRICAL PERMIT - CITY OF T I G A R D RESTRICTED ENERGY DEVELO MENT SERVICES `PERMIT#: I LR2000-00115 13125 SW Hail Blvd., Tiqard. OR 97223 (503{ 639-4171 DATE ISSUED: E./18/00 511'E ADDRESS: 08915 SW GRAVENSTEIN LN PARCEL: '.S111DA-09200 SUBD!V:SION:APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 085 JURISDICTION. TIG Proiect De.-cription: Install an irrigation control for a residential b ickflow prevention device. A.RESIDENTIAL _ _ _ B.COIAMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & r4GING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: k GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: r UTDOOR LANDSC LITE: O7 HER: HV'Ac: PROTECTIVE SIGNAL: INSTRUMENT!%TION: OTHER: TOT4L # OF SYSTEMS: 1 Oen nsr: � — --- Contractor: RYAN FLAHERTY OWNER 815 SW GRAVENSTE IN TIGARD, OR 97224 Phone: Phone: Reg #: FEES , Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT SS 5/18/00 $60.00 0002285 Elect'I Final 5PGT SS 5/18/00 $4.60 0002285 Tota! $64.80 ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires S--)u to follow rules adopted by the Oregon Utility Notification Center. Tho,, —es.es are set forth in OAR 952-001-0010 through 952-001-,W80. You may obtain copies of these rules or direct questns to OUNC at (503) 246-1987 �\ 14 Permittee Signature OWNER INSTALLATION ONLY Thf- `-s;allaticn is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CJNTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _-- --- DA'E: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day r CIT(OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13'�5 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYNE V-503-639-4171 X304 Permit#:rL 02;70LV F • 503-598-1960 INCOMPLETE OR ILLEGIBLE' APPLICATIONS Cust.Call'd'. WILL NOT BE ACC=PTSD Name _ ..� Na e of Development Project —7 TN DE OF WOIRK INVOLVED - RESIDENTIAL ONLY w i Restricted En,,rgy Fe .............. ......................... $80.00 (FOR ALL.SYSTEMS) JOB street ltddress Ste# Check Type of Work Invoked. ADDRESS City/State Zip Phone# 1 E] Audio and Stereo Systems Name Burglar Alarm os h- V E] Garage Door Opener" OWNERailin Addrass Tc�\� <'w F� Heating,`/entilation and Air Conditir,ning System* City/St t3Zip Phone# - — 'i ZI �' Name �y Vacuun,Systems' Other /X e14:i, CONTRACTOR Mailing Address TYPE OF WORK INVOLVED -COMMERCIAL ONLY _ (Prior to Issuance a City/State 7_lp Phone# Fee for each system.............................................. E60.00 copy of all licenses (SEE OAR 918-260-260) are required if Oregon Contr, Bird Lic.# Exp.Date expired in C O T. Check Type of Wvrk Involved: da'a base). Electrical Contr,Lic # Exp.Date Audio and Stereo Systems r 0 T.or Metro Lic.# Exp Date Boller Controls —� O�•. ier's Name Clock SyFrems OWNER - Mailing Address APPL;—".NT �-1 Data Telecommunication Installation City/State Zip Phone# I L_1 Fire Alarm Installation This permit is issued under UAE 918-320-370 This applicant agrees to CJ make only restricted enorgy installations(100 volt amps or less)under this l_ HVAC permit and to do the following Instrumentation 1. Only use electrical licensed persons to do Installations where required. �1 Certain residential and other transactions are exempt from licensing u Intercom and Paging Systems These have asterisks(") All others need.icensing; Landscape Irrigation Control' 2 Calt for inspections when installation under this permit are ready for inspection at 503-839.4175; LJ Medical 3 Purchase separate permits fcr all installations-iat are not ready fer an E] Nurse Calls inspection when the inspector is out to inspect under iP i!s permit. 4 Assume responsibility for assuring that all corrections required by the Outdoor Landscape Lighting' inspector are done,and, Protective Signaling 5 Assumo responsibility for calling for a final inspection when,.4 of the corrections are completed Other _ Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days _Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations Puthorized to bind the applicant FEES: Signet re _ ENTER FEES s` 8%SURCHARGE(.08X TO1AL ABOVE) III Authority if other than Applicant TOTAL i\dstslforms\res0e duc 3198 A CITY OF TIGARD _"-UMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLN12000-00159 13125 SW Hall Blvd., Tiqard, OR 97223 (503) b39-4171 DATE ISSUED: 5/18/00 SITE ADDRESS: 08915 'WV GRAVENSTEIN LN PARCEL: 25111 DA-09200 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 085 JURISDICTION: TIG CLASS OF WORK: AL-T GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTR,: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STCRIES: WATER HEATERS: CATCH BASINS: _ _FIXTURES LAUNDRY TRAYS: SF PAIN DRAINS: SINKS: —� URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installa residential backflow prevention device. -- FEES---J--- Owner: Type By r)ate Amount Reccipt RYAN FLAHERTY — 8915 SW GRAVENSTEIN PRMT SS 5/18/00 $27.00 0002285 TIGARD, OR 97224 5PCT SS 5/18/00 $2.00 0002285 Total $29.00 Phone 1: 503-684-3506 Contractor: OWNFR REQU!RFD INSPECTIONS Phone 1: RP/Backflow Preventer Reg #: Final Inspection 0 P, � rl.- �N L This permit is issued suhject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started Within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to `ollow rules adopted by the Oregon Utility Notification Center. Thosd rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. Y% u may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By-- yPermittee Signatu,e: - Call (503) 63W4175 by 7:00 P.M. for an insv,-tion :ceded the next bu iness day CITY Gt= TIGARD Plumbing Permit Application Plan Check 13125 SW FALL BLVD. Commercial and Residential Rec'dBy_ TIGARD, OF. 97223 $� Date Rec'd - (503) 635-4171 Date to P.E. Print or Type Date to DST Pen,It# IPe M"?CLb-VO Incomplete or il.3gible applications will not be accepted Relater;SWR Y Called ividual) QTY PRICE Name of I.18velopmenUProject FIXTURES (indAMT Sink 11.50 �rl l) Address Str t lAdd ss-. Suite I / I Lavatory -_ Tub or Tub,3hower Comb. 11.50 Blot,,--r- F-c"Is tate Zip Shower Only 11.50 Water Closet 11.50 Name h Urinal 11.50 Owner Mailing Address suite Dishwasher 11.50 `{1'�\S �.1 (�C?WsC,�.••• Garbage Disposal 11.50 Cit /Stale Zip Phone CV/State Laundry xray 11.50 Name Washing Machine/Laundry Tray 11 50 Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3" _11.50 q" 11.50 CltylSlate Zip Phone Water Heater O conversion O like kind 11.50 Ir Name Gas pi in requires a separate mechanical permit. MFG Home New Water Service 3200. Mallin Address Suite MFG Home New San/Storrs Sewer 32.00 Contractor g Hose Bibs 11.50 Prior to permit Clty/State Zip Phone Roof Drains - 11.50 Issuance,a copy Drinking F-juntaln 11.50 of all licenses are Uregon Const.Cont.Board Llc.# Exp.Date Other Fixtures(Specify1 15.00 required if expire In COT Plumbing Lic # Ex. .Date database Name Architect Sewer-1st 100' 38.00 or Mailing Address Suite Sewer-each additional 100' 32.00 Water Service-1st 100' 38.00 Engineer En iCity/State Zip Phone g Water Service-each additional 200' 32.00 Describe work to be done Storm&Rain Drain-1st 100' 38.00 lew O Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 32.00 Residential)B(y commercial O Commercial Back Flow Prevention 32.00 Additional description of work: Residential Backflow Prevention Device' 1gA0 �'�.� t�t e�`+1 ��i IL` ' w •iuly _ Catch Basin 11.50 Are you capping,moving or replacing any fixtures? Insp of E)r'sting Plumbing or Specially Requested 50.00 Yes O No O- Inspectionsper/hr If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 4500 - fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Trans 11 50 WORK COULD RESULT IN INCREASED SEWER FEES. _ QUANTITY TOTAL I hereby acknowledge that I have read this application,that the Information lsomelrk.or riser diagram is required M Quanwy lolal is 9 24 given is correct,that I am the owner or authorized agent of the owner,and - *SUBTOTAL that Ions submitted are In compliance with Oregon State Laws. Sign Ire of QWns/Agent Dat - 8% SURCHARGE Contact rson Name Phone - - -PLAN REVIEW 26%OF SUBTOTAL -- Required rtnly d fixture qty total is>9 1 BATH V06k j79.0o - TOTAL 2 BATH HOUSE 3,250.00 y 3 BATH HOUSE!'185.00 41Thls fee Includes all plumbing fixtures In the dwelling and the first •Min,r.urn perndt fee is$So.8%surcharge,except Residential SWIM prevention 100 feet of sanitary sower stortn sewer and water service) Device,whirl is$25.8%surcharge "All New Commercief Buildings require plans with Isometric or riser diagram and plan review I%d5j%ftm64)1urnapp doc 1111"9 PLEASE COMPLETE: Fix'-urf: Tape Quantity by Work Performed New Moved I Replaced Removed/C.-,.,ped Sink Lavator, — - __— ----- ---- -- Tub or Tub/Shower Combination Shower Only — Water Closet Urinal Dishwasher------------------ Garbage Disposal Laundry Room Tray_ Washing Machine Floor Drain/Floor Sink 2" _ 411 Water Heater__ _ Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I NstsVcumz�lumnpp dry 1 t I fi"+9 CERTIFICATE JF OCCUPANCY CITY ITY O F TIGARD IGARD PERMIT#: MST1999-00242 DEVELOPMENT SERVICES DA` ISSUED: 07/20/1999 13125 SW Hall Blvd., Tigard, OR 97223 (.503) 639-4171 PARCEL: 25111DA-09200 ' ZONING: R-7 JURISDICTION: TIC SIl E ADDRESS: 08n15 SW GRAVENSTEIN LN SUBDIVISION: APPLCIVOOD PARK NO. 3 FILE COPY BLOCK: LOT:035 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF GONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: SF PATH I Final Building Inspection and Certificate Of Occupancy Approved 11/16/99 by George Steele, Building Inspector Owner: MATRIX DEVELOPMENT 6900 SW HAINES STREET PLAZA 2, SUITE 200 TIGARD, OR 97223 Phone: 620-80810 Contractor: LEGEND HOMES CORP 6900 SW HAINES ST PLAZA 2, SUITE 200 TIGARD, OR 97223 Phone: 620-8080 Reg#: LIC 00060563 This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issued. BUILDING INSPEG'rOR BUILDING)OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGAPD BUILDING INSPECTION DIVISION MST 24-Hour Inspect-Jon Line: 639-4175 Business Line: 639-4171 �-�-`�- -- - BUP Date Requesteli f/f�i AM_`� PM _ BLD Location LLL 44,v-A—, Suite MEQ; Contact Person Q._YN Ph ���ifl" 6`�-Lj PLM Contractor _ Ph X3"10 ntdxCC ,SWR iff—UILDIRG---) Tenant/Owner ELC retaining Wall ELR Footing Access. Foundation FPS _- Ftg Drain 7 _ Crawl Drain Inspectiun Notes. SGN _ Slab SIT Post&Beam - - - Ext She hit Sheath/Shth/Sh earar Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof %C- Finial F ART FAIL --- PLUMBING Post&Beam Under Slab Top Out -- -------_ -- ------- Water Service Sanitary Sewer Rain Drains Final - - - PASS _PART - FAIL MECHANICAL Post& Beam - - Rough In IGas Line - Smoke Dampers ASS PART FAIL ELECTRICAL ` - — Service Rough In UG/Slab Low Voltage _ Fire Alarm Final PASS PART FAIL _— - SITE Backfill/Grading — Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( 1 Please call for reinspection RE: [ j Unable to nspect-no access ADA Approach/Sidewalk Date ✓l r 2 Inspector , Ext Other -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. / CITY OF V.�,�R� MASTER PERMIT _ '`� PERMIT#: MS1'1999-00242 DEVELOPMENT SLiWICES DATE ISSUED: 7/20/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 08915 SW GRAVENSTEIN LN PARCEL: 2S1 I1DA-09200 SUB[ �/ISION: APPLEWOOD PARK NO 3 ZONING: R-7 BLOCK: LOT:085 JURISLACTION: TIG REMARKS: SF PATH I BUILDING REISSUE: STORIES2 _ FLOOR AREAS REQUIRED SETBACKS -� REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 9.% sl BASEMENT: at LEFT: SMOKE DETECTORS: Y TYoE OF USE: 9F FLOOR LOAD: 40 SECOND: 1-17 at GARAGE: 479 s1 FRONT: PARKING SPACES: .. TYPE OF CONST: SN DWELLING UNITS: 1 FINCSMENT: st RIGHT: 4 VALUE' $161,817.10 OCCUPANCY GRP: R3 BORM: 3 DATH: 3 TOTAL: sf REAR. PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: ton TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINEb: 100 SF RAIN DRAINS: I C aTCH BA„NS: TUBISHOWEP.& 3 GA4BAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: I GVEASE TRA-S. OTHER FIXTURES. MECHANICAL FUEL TYPES FURN c 100K: BOIL&MP c 3HP: VENT FANS: 4 CLOTHES DRYER: I GAS FURN>•100K: 1 UNIT HEATERS: HOODS 1 OTHER UNITS .. MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCFLL.ANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 400 amp: 201 400 a no: I it WIO SVC,FDR: 00 SIGNIIJOT LIN LT: PER HOUR. LIMITEV ENERGY: 401 •600 amp: 401 - 600 an;: EA ADDL SR CIR: SIGN/.LIPANEL: IN PLANT MANU HMISVCIFDR: 601 1000 amp: 601+amps•1000v: MINOR LABEL: 10L •amp/volt: PLAN REVIEW SECTION i Reconnect only: >=4 RES UNITS: SVCiFDR>-225 A.: >600 V NOMINAL: 07La AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL e.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: 1.1:010 6 STEREO: FIR. ARM INTERCOM/PAGING: OUTDOOR LNVJC L r: BURGLAR ALARM: OTH'. BOILER: HVAC: LANDSCAPEARRIG: oROTFCTiVE SIGNL: GARAGE OPENER: CLOCK, INSTRUMENTATION: MEDICAL: OTHR. HVAC: DATA/TF E COMM: NURSE CALLS: TOTAL a SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,643.33 LEGEND HOMES LEGEND HOMES CORP This permit is subjRct to the regUlatlons contained in the Tigard Municipal Code,Stale of OR Specialty Codes and 69011 SW HAINES STREET 6900 SW HAINES ST all other applicable laws. All work will be done in PLAZA 2,SUITE 200 PLAZA 2,SUITE 200 accordance with approved plans This permit will expire if TIGARD,OR 97223 T:GARD,OF 97223 work is not.farted within idO days of issuance,or if the work is suspel.led for more than 18C days ATTENTION Phone: Phone: Oregon law requ,,es you to follow rules adopted by th; Oregon Utility Notl5cation Center. Those rules are set Ree N: LIC 00060563 forth in OAR 952-001-0010 through 952.001.0080. You may obtain copies of tn"se rules or direct questions to OUNC by calling(503)246-'o-;67. REQUIRED INSPECTIONS Erosion 844-8444 Underfloor Insulation Plumb Top Out Low Voltage Water I ,1e Insp i inal inspection Fooling Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Appr/Sdwlk Insp Building Final Foundation Insp Footing/Foundation Dirt Electrical Rough In Gas Fireplice Electrical Final Post/Beam Structural PLM/Underfloor Framing Insr, Insulation Insp Mechanical Final Post/Beam Mechanical Mechanical Insp Shear Wall'nsp Rain drain Insp Plumb Final Issued B Y It ��1 L—.� Permittee Signatur Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next bUslne'ss day SEWER CONNECTION PERM.T CITY OF TIGAR® v DEVELaPME�'T SERVICES PERMIT#: SWR1999-00117 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/20199 SITE ADDRESS; 08915 SW GRAVENSTEIN LN F 4RCEL: 25111 DA-09200 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 085 JURISDICTION: TIG TENANT NAME: LEGEND HOMES USA NO: FIXTURE UNITS: 0 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPS\NR IMPERV SURFACE: Remarks: Sewer connection for a new single family dwelling, Owner: -- -- _ _ FEES Type LEGEND HOMES By Date Amount Receipt 6900 SW HAINES STREET PLAZA 2, SUITE 200 PRMT BON 7/20/99 $2,;1,00.00 99-317011 TIGARD, OR 97223 INSP BON 7/20/99 $35.00 99-317011 Phone: 620-80810 Total $2,335.00 Contractor: Phone: Reg #: Required Inspectiont Sewer Inspection Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit e>.pires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. 1 he Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer sha'I prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Thos,rules are set forth in OAR 952-00'1-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987. oo Issued by: �l,� �. Permittee Signature, Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Residential Building Permit Application Plan Che _Y_P_ 13125 SW HALL BLVD. Additions or Alterations Recd By TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd 7-/- 99 Dale to P E. V 503..639-4171 Date to DST F 503-634-7297 Permit Print of , ipe Called_ -�s9 � ;ncomplete or illegible applications will not be accepted ____•T—_ �'.c r►- tl!y Nis s nth. Namee�of Project 1 Name ---—.lob /'► ��L l Z"� /���( f L P� Architect Mailing Ad ess - Address Site .ddress, ` L) ro , fir' City/State Zip Phone Nam Owner MailingAAress - Namo— 411, CEngineer Mailing Address ity�e _ '� _ General Na� Z.' Phone City/ tat ZIP J Contract .R ,L—�!'?• � .`;; fitfsi -�'.� , t f i Describe work New r Additbn O Atteratfon O :�, 0-ye r Mailing Mae t0 t a done . i,I. .,�> „ r ,, '� � .v m�S�1�ii 4 �' Prior to permit • +. („l Additfcnal Description of Work::-, issuance,8 W / late -�tPhone " ,, 1 ��,,• �t i�k� 4 �k .'♦ PY p of all licenses are required if Oregon Oonsi.Cont.Board Exp,Date : PROJEC1 expired in COT ' 0r,a database cl t'J rJ -fp-3 VALUATION �. -Mechanical r'Arne -7 NEW CONSTRUCTION ONLY; Sub- Sq. Ft House: ' I Sq. FL Garajge C' c Contractor Mailing Address Prior to permit ,� S f, '�C� Indicate the restricted energy Installation by t�cal lssuancn,a copy [2zstatezlp Phone subcontractor in the followin areasof all licenses ' �%' Restricted Audio/Stereo are required H Oregon Const.Cont Board Exp.Date Energy _ S stem Alarms expired in COT UcA7 Installations — Vacuum Irrigation database --.7 " System _ System _ Plumbing Name (check all that Other. Sub- n apply) Contractor Mailing Address Comer Lot YES NO Flag Lot YES NO A) 6 check onr� L (check one) Prior to permit C /State _ Has the Subdivision Plat recorded+ N/A NO ZZip Phone Zip �� issuance,a copy q /4,1-�4 e of all licenses are Oregon Const.Cont.Board Exp. Date required if Lic.# expired in COT 3 1 hearty acknowledge that I have read this 3ppli-atlon, that the database Plumbing Lic,S Exp.Date information given is correct,that I am the owner c authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. Name Sipnature of ner gent T Date Electrical .4 i , `�,t,- Sub- Mailing Address r.ont er on are Phcne Contractor 1")�' j Ctty/state Zip Phone/ Prior to permit issuance,a copy / -' FOR OFFICE USE ONLY: of all licenses are Oregon,Const.pont.Board Exp. Date — required if Lica I Pla #• Mapr": expired in COT / /%; -N-UD _oU databaseElectrical Lt.N. Exp.Date Setbacks: Zone: Solar: E ri GI Supervisor Lic.N �P,uate Engineering Approval: Planning Approval: 11F: 1:1dsbVormslsfadd3lt doe 11/20M F'LOT FLAN LOT #SES, Afi f=L E UJO()D i=A;.R< Rl2S111DA TAX LOT * 9200 891 -W GRAVENSTEIN LANE S.E. 114 OF SECTION 11, T.2, RJUJ, W-1-1. 17T' OF T IGARr UJASN INCzTON CC'UN rY, OREGON --- LEGEND HOLIES 11130 311 BARBUR BLVY). PORTLAND. OREGON 09219 OFFICE (503) 244-0169 FAX (503) 244-6261 N � O 1LOT 92 J Lor 91 89'54'25" W O WA1 ER METER Lor 66 62.00' 2©5.19' �1J-------- WATER LINE SS--- —— 3ANITARY SEWER / 204.3' / 204.5'. gp— - - — STORM DRAIN t2�J / — — -- - 4. OF s'-RE-ET / 4b�' • MAt 11,40LE 5.©' ' CATGN ®ASIPJ ///� r ((� PROPOSED 61 /4,116 BCS. FT. / J` C STREET TREES 0 � / 1-1ARCOURr 114 ® STREET LIGHT 0 FIN. -LR ■ 206.1' 1L ,7_ GARAGE FLR 04.3' C� FIRE Nl DRAN7 2042'_ � 204,1'_ 2@33' f ' 2030 --b --------- - - - ----------- I •- rROvIDE EROSION �. 8' UTILITY _ 24 M5 I CONTROL FENCE EASEMENt Cz PER roMMUNITY g 8-3.;4'25" W EROSION PLAN SIDEWALK 62 00' CURB T - �- (p - 1 I 5W GRA,YENSTFIN LONE