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12450 SW 115TH AVENUE-1 ADDRESS: �n J 1:lreoordslmicr.3fim>trtrCtetG'buiiding.doc w J Pagb No. 1 CASE HISTORY FOR CASE NO.: MST96-0529 LEGEND HOMES 12450 SW 115TH AVE 08/21/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done DALe By MSTA005 Application received % / / 11/14/96 PASS JDA 11/18/96 PHN MSTA008 Permit Created / / / / 11/18/96 PASS JSD 11/18/96 PHN MSTA010 Check for prcl. restrict. / / / / 11/18/96 ?ASS TSD It/le'/96 PHN MSTA012 Plans routed to Plane Examiner / / / / 11/10/96 PASS JET) 11/16/96 PHN MOTA026 Plans approved by Plans Exmr / / / / 11/20/96 PASS RT `1/20/96 BT2 MSTA030 Reviewed plans routed to DSTS / / / / 11/20/96 PASS RT 11/20/96 BT2 MSTA080 (1- Ready to issue / / / / 11/22/96 PASS B 11/22/96 BON MSTA092 •.F) I6eua ,:-•mbination perm;t / / / / 01/22/97 PASS DRA 01/22/97 DRA MSTA095 !anus plumbing signature form / / / / 01/28/97 Rec. sign fccm 1/28/97 PASS DRA 01/28/97 KAS MSTA097 Issue electric signature form / / / / 01/28/97 Re, sign form 1/28/97 ?ASS DRA 01/28/97 FAS M.41'A705 Footing Insp / / / / 01/30/97 APP KS 01/30/97 KBS MSTA706 Foundation Inep / / / 02/03/97 APP K.9 02/04/97 KBS MSTA710 Post/Beam Structural / / / / 02/10/97 APP KS 02/10/97 KP�. MSTA711 Pnst./Beam Mechanical / / / / 02/10/97 APP KS 0'+;:;;:i KBS MSTA717 PLM/Underflocr / / / / / / 11/18/96 PIN MSTA720 Mechanical Inep / / / / 03/27/97 PASS T1,P 03/28/97 TLP M.STA'722 Plumb Top Out / / / / 03/14/97 PASS MS 03/17/97 MRS MSTA723 Electrical Service / / / / 03/26/97 PASS TLP 03/27/97 TLP MSTA724 Electrical. Rough In / / / / 03/ti/i7 no permit card in box low voltage not FAIL TLP 03!27/97 TLP ^omplete MSTA724 Electrical Rough In / / / / 03/26/97 PASS TLP 03/27/97 TLP MSTA725 Framing Inep / / / / 03%27/97 PASS TLP 03/29/97 TLP MSTA726 Shear Wall Inep / / / / 03/06/97 APP KS 03/07/97 KBS MSTA735 Gas Line Inep / / / / 03/27/97 PASS TLP 03/28/91 TLP MSTA73 Gas Fireplace / / / / 03/27/97 PASS TLP 03/28/97 TLP MSTA740 Insulation Inep / / / / 03/31/97 APP KS 01/01/97 T.BS MSTA.745 Gyp Board Inap / / / / 04/08/97 #-1- seal void above furnace A/N KS 04/01/97 KBS MSTA755 Rain drain Innp / / / ! 02/05/97 PASS 'CLP 02/05/97 "LP NISTA760 Water Line Inap j / / / 02/05/97 PASS TLP 02/05/97 TLP 0. MSTA765 Appr/Sdwlk Inep / / / / 04/07/97 OK PASS PI 01/07/9'7 RA CL f— N MSTA790 Electrical Final / / / / 05/29/97 DOOR LO'.R)RQ FAIL TLP 05/30/97 J•H F— 'J MSTA790 Fiectrical Final / / / / 05/30/97 LINABLE TO REINSPECT, DOOR LACKED. PAIL TLP 05%30/97 J•H MSTP,790 Electrical Final / / / / c6/r./97 DOOR IAL:M - 3RD ATTEMPT TO FINAL SLC. FAIL )!RP 06/06/97 J•H W J M^T'A790 Electrical Final / / / / 06/11/97 FINAL APPROVED WITH UNDERSTANDING THAT PASS BRP 06/11/97 J*H PANEL BREAKER ID IS NOT SPECIFIC, NO EASILY UNDERSTOOD AND LEGIBILITY QUESTIONABLE. MSTA795 Mechanical Final. / / / / 06/11/97 PASS 01, 06/16/97 J-H Page No. 2 CASE HISTORY FOR CASE NO.: MST96-0529 LEGEND HOMES 12450 SW 115TH AVE 08/21./97 Ac.:ion Description Req/ Schd/ End/ Actia:, Notes Disp By Update Upd Code Sent Done Dane bate By ------ ------------------------------ -------- -------- -------- --------------- --I - ------------`------- --— --- -------- --- MSTA797 Plumb Final / / j / 05/29/97 1. Cut and cap off unused rair, drain on FAIL RAB 05/31/97 J*H front porch. 2. Insulate water service in garage. MSTA797 Plumb Final / / / / 05,30/97 1. Need to insulate water service in FAIL MS 05/31/97 J*H garage. 2. Rain drain in front needs to be carped off. MSTA797 Plumb Final j / / / 06/10/97 PASS MS 06/12/97 J*H M9TA799 Buildina Final. / / / / 06/11/97 1. Top step off deck 1 1/8" different FAIL GL 06/16/97 J*H from other steps. 2. Weatherst:ri.p fralt door. 3. Attic access required for both attics in bonus room. 4 Post permanent address numbers. I M8TA799 Building Final 06/22/97 / / 06/20/97 not complete FAIL, RB 06/22/97 J*H MPIA799 Building Final / / / / 06/2.3/97 1. Electrical, plumbing 6 erosion P753 KS 06/24/97 J*H control finals approved. MSTA799 Building Final / / / / 06/23/97 Corrections not completed at this time. FAIL RS 06/25/97 J*H MSTA960 (F) Issue Cert. of Occupancy / / / / 06/24/97 mailed 8/21/97 JT 08/21/97 S*W MSTA970 Case Finaled / / / / 06/23/97 PASS AS 06/24/97 J*H MSTB708 Erosion Control / ! / / OG/23/97 PASS KS 06/24/97 J-H L1 �-r CC F-- (/1 T F— J C�7 W J CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Nall Blvd.,Tigard,OR 97223 (503)639-4171 CERTIFICATE" OF OCCUPANCY PERMIT 0. . . . . . . : MST96-•0529 DAT►_ ISSUED: 06/24/97 PA RCE L: 2S 10.3BD-•HG03`+ SITE ADDRESS. . . : 12450 SW 115TH AVE SUBDIVISION. . . . s HUNTER' S GLEN ZONING:R-4. 5 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :039 JURISDICTION:TIG --------------- CLASS OF WORK. :NEW TYPE OF USE. . . :SF TYPE OF CONSTR:5N OCCUPANCY GRP. s R3 OCCUPANCY LOAD s 2 Remarks : PATH I Owner.- LEGEND wnerLEGE?ND HOMEc 6900 SW HAINES 5T TIGARD OR 97ZR3 Phone ii: 620-•8080 Contractor: LE BEND HOMES CORPORATION 7160 SW HAZELF'ERN RD. STE 100 TIGARD OR 972i34 Phone #: 620--0080 Reg #. . : 000006 This Certificate pra►nts occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for -•ompliance with the State of Oregon Specialty Codes for tha group, oc-cupancy, and use under which the refer^ .nc d permit was issued. , r E►UIL IrO INSPEC TqRBUIt.. 7lNt:t OFF II POST IN CONSPICUOUS PLACE J W J CITY OF TI GARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 ' Date Requested: A.M. _ PQ. MST: 96 Loca'ion: _�? J C,' . IUP: Tenara:_ — —ne: Suite:: ldg: _ MFC: Contractur: "u °h�Pho _J5 �� —_ � � PLM: Owner:_ — — _-- Phone: ELC: ELR: SIT: B,JILDIN^ BLDG • n'() PLUMBIlNG MECHANICAL ELECTRICAL SITE Site PestMearn Post/Beam Post/Pearn Cover/Service Sewer/Stonn Footing Roof UndrI/Slab Rough-In Ceiling Water bine Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer flood/Duct Reconnect Vault Bsnrt Damp Drywall Storm Furnace Temp Service MISC. Masonry Cciling Rain Thain A/C U(J Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I leat Pump Low Volt �_ d_. Approved Approved Approv:xl Approved Appr/Sdwlk o o •d Not Approved Not Approved N-,Approved Not Approved INAL FINAL FINAL FINAL FINAL G� r�rL '05/0�lj c--y –i•�! s ��r�� /�fi;�iJL '.tlS'✓yi��lcyt hl�Ey� - r`� � � — G n. r-- r — w D Cell for rein,4pectiotJ�� O Reinspection fee of S req 'red before next incction [3 llnahle to inspect Inspector:___+ 'r Date Page — of—_ CITY OF TIGARD DEVELQPMEN7 SERVICES rlri5re R PERMIT' PERMIT #. . . . . . . . !1ST96. 0529 13125 SIN Hall Blvd., Tigard,OR 97223 (503)539-4171 DATE ISSUED: V!1122197 PARr_'El._ 2S112)3BD-•HG039 sI TE ADDRESS. . . : illi!- S SW 11.C11-1 (;VI"_ SURD I V I SI DId. . . . : I.4LIN _R' S GL_ERI R--4. 5,, PD R.I.-OCK. . . . . . . .. . . . L.0T. . . . . . . .. . . . . . :1A39 P?marks: PATH I -------------------------------------------------------------- BUILDING -------------------------------------------------------------- REISSUE: ST07IES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SF.TPPCKS---- REQUIRED------------- CLASS OF WORK.:NEW HEIG,HT........: 22 FIRST....; 1021 sf GARAGE...... 527 sf LEFT.... 5 SMOKE DETECTRS: Y TYPE OF USF....:SF FLOCu LOAD....: 40 SECOND...: 1284 sf FRONT.........: 20 PARKING SPACES: 1 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5 OCCUPANCY GRP.:R3 BDRH: 3 BATH: 3 TOTAL-------: 2305 sf VALUE—$: 163522 REAR.......... : 38 ----------------------_------------------------------ PLUMBING ------------------------ ------------------------- SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH.. : 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 4 DISHWASHERS...: 1 FLUOR, DRAINS..: 0 SEWER LI'IE ft: 0 SF RAIN DRAINS: 1 CATD: BASINS..: 0 TUB,;HOWER"...; 3 GARBAGE DISP..: 1 WATER HEATERS.: I WATER LINE ft: 100 BCKFLW PPEVNTP: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ------------------------------------------------------------ MECHANI:'AL ------------------ FUEL TYPES----------- FURN f 100K ..: 0 BOIL/CMP ( 3HP: 0 BENT FANS.....: 4 CLOTHES DRYERS: 1 /GAE/ / / FURN =100K ..: I UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 13% OUTLETS...: 1 --------- -------- -- - ------- ------------------- ------ ELECTRICAL ------------ __— -__-__ --RESIDENTIAL UNI---- ---u'ERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR !ESS: I o - 20ta asp..: 0 0 - 200 asp.. : 0 4/SVC OP FDR..: 0 PUMP!IRRIGATION: 0 PEP INSPECTION: 0 EA ADD'L 500SF.: 4 201 - 400 asp..: 0 201 - 400 asp..: 0 1st W/D SVC/FOR: 0 SIGN/OUT I-IN LT: 0 PER HOUR......: 0 LIMITED ENERGY.- 0 401 - 600 a-p..: 0 401 - 600 asp..: 0 EA ADDL BR CIA. 0 SIGNAL/PAW-L...: 0 IN PLANT......: 0 MANF HM/SVC/FDR: 0 601 - 1000 asp.: 0 601+asps-1000 v: 0 MINOR I_NBEL -10: 0 10004 asp/volt.: 0 --__._.____..----------_---._ -____.__.- PLAN REVIEW SECTICN ----------------------------.-----•._ Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)-225 R.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ------------------------------------—-----—-------- ELECTRICAL - RESTRICTED ENERGY --------------------------- -- - --- A. SF RESIDENTIAL------------------------ B. COMMERCIAL--------------------------------------------•---------------------------------. AUDIO X STEREO.: VACUUM SYSTEM..: AUDIO d STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/1RRIG: PROIECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: MVAC........... : DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0 Owner: --------------- ----------- -fontractor; -----------..---------------•-- TOTAL FEES:1 2860.95 LEGEND HOMES LEGEND HOMES CORPORATION rgrtI0 5W WINES ST 7160 SW HAZELFERN RD. SUITE 100 ARD OR 97223 TIGARD OR 97224 ' one #; 628-8080 Phone #: 620-8080 Reg #..: 60563 Thi. permit is issued subject to the regulations "ntained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other ti app icat.le laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 18P days of issuance, or if work is suspended for sore than la0 days. _----------------------------------.-__ -------------------- REQUIRED INSPECTIONS ----—------------—-------------------------------------- Lu Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final W Founda`.ion Insp Mechanical Ins, Shear Wall Insp Insulation Insp Appt•/Sdwlk Insp Erosinn Control Post/Beal Struct Plumb Top Out Low Voltage Gyp Board Insp El'ctrical Final Post1eas Mp_han Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final Crawl Drain Electrical Rough Gas Line Insp Hater Lino Insp Final Prrmittpe S.ignatr�r•ry • � ISsraecl P Cal k far insl:ect i an 639-4 175 CITY O TIGARD 9 WE R CONNECTION DEVELOPMENT SERVICES PERMIT #1-'F. r . . .... .. . . : SWR9F--05.'7 13125 SIM Nall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 01./ /97 PARCEL: 2S 1 O.3BD—HG 7,9 S I TE" ADDRE.9S. . . : 1 24`CP SW 115T1-I AVE SUBDIVISION. . . . . HUNTER' S GLEN ZONING: R-4. 5 PD BLOCK. . . . . .. . . . . LO1-. . . . . . . . . .. . . . :0 1 TENANT NAME. . . . . z USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 t CLASS;S OF' WORK. . . :NEW DWFI. L. I NG UN ITS. . : 1 I TYPE OF USE. . . . . :SF= NO. OF BUILDINGS: 1 I NSTALL.. TYPE. . . . :BU`';WR I MPFRV SURFACE: 0 s f Remarks. PATH I Owner: -_.----_-_------.__________.__________._______________.____._._._._._ FEES LEGEND HOMES type amol-Int by date recpt 6900 SW HAINE:S ST PRMT $ 1:�I'00. 00 DRA 01/22",/97 97--289215 INrF'' $ 35. 17,0 IRA 01/22/97 97--2892:1 T It_,R.RD OR 9722, Phone #: 620-8080 Contractor-- -------------------------------- CONTRACTOR ----------_—___—_.—_.____.______—CONTRACTOR NOT ON FILE I i Phone #: $ 2:235. 00 TOTAL_ Reg #. . : — - — --- REQUIRED INSPECTIONS This Applicant agree. to comply with all the rules and regulation; Sewer Inspection of the Unified Sewage Agency. The permit expires 188 days from the date issued. The total amount paid Nil! be forfeited if the +_ permit expires. The agency does not guarantee the accuracy of the side sewer .iterals. If the sewer is not located at the oe:zsurezcnt given, the installer shall prospect 3 feet in all directians frog the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Per1it and the Agency will install a !ateral. P e r m i i;ten :,irk tl Issi.ted By a Call for inspection - 639--4175 LU w arr_ Plan Check I .ITY OF TIGARD Residential Building Permit Application Re._A sy _ 3125 SW HALL BLVD. New Construction Additions or Alterations D�'_ ?ec'd ]GARD, OR 97223 Single Family Detached or Attached Date to F =. 03) 639-4171 Date to DST Ilee r" Print or Type Permit# ,1 157 t7(-C Called 22-" Incomplete or illegible applications will not be accepted Name of Subdivision Lot# I Narne Job HUNTER ' S GLEN ; 1 LEGLAD ;10MES Address Site Address Architect Mailing Address St. . _ ] ;_'4'O SW 115th Avenue 6900 SW Haines St. . Name City/State Zip Phone LEGEND HOMES Tirard GR 97223 62.0-8080 Name Owner Mailing Address F R 0 E L I C H 6900 Slq Haines St . Cdy/S .te Zi pph ne Engineer Marling Address _ Tiyard , OR 9223 67_�-8080 6969 5W Hampton St . City/State Zip Phone gg Name Tird , OR 972"L3 624-7005 General LEGEND HOMES Describe work new, 'Y` addition O alteration O repair O Contractor Mailing Address to be done. 69130 S W Haines `i t . Additional Description of Work: City/State Zip Pf o.)ne Tigard , OR 97223 620-8_080 Oregon Const.Cont. Board Lic.# Exp.Date Attach Cc,oyof 060563 6/19/97 Project Current COT Business Tax or Metro# Exp Date — $ .4c ' Licenses 3 7]. 6 t l \/9 7 �laluation Name �` `'� �� ����� NEW CONSTRUCTION ONLY: IViechanical 5UNGL11W INC . Sq.FL House:) Sq.Ft.Garage: Sub- Mailing Ad�drf.ss Contractor , 24 28 SF 105th Corner Lot Yes No Flag Lot Yes No City/State Zip Phone (check one) �` (check one) /Sir- I P o r•t 1 a n d , OR 97210 ?53-77B9 Restricted s it Audio/Stereo �;��i. Burglar Oregon Const. C:jnt. Board Lic.# Exp.. I)ata Energy �- System �� Alarm Attach copy of ; 48131 %_ Liceners Installation �' �'; Garage Door KVAC CurrPnt COT BusjnL�s Tax or Metro# Exp.Da e 1276 �_ Opener Systems _ Name ' — / % (check all that Other: - Plumbing WOLCOI T PLUMBING Sub- .!ailing Address �- Will the elt.ctrical subcontractor wire for all Yes No Contractor PO Box 2007 restricted energy installations? City/State Zip Phone Has the Subdivision Plat rt corded? N/A Y�6` No Gresham OR 97030 667-9891 Oregon Confit.Cont.Board Lic.# Exp. Date Reissue of MST# Solar Compliance Attach Copy of 10/19/9 7 / (Calculation attached) Current Plumbing Lic.# o. Date I hereby acknowedge that I have read this application, that the Licenses 2 6-2 0 8 F B E/31/97 information given is correct, that I am the owner or authorized agent of .� COT Business Tax or Metro# Exp. Date the owner, and that plan-,submitted are in compliance with Oregon 16- 96-4281_ 12/96 State laws. N Name Signature of Owner/Agent/ Date ►'- Electrical GARNER ELECTRIC Contact Person Name Phone -I Sub- Mailing Address , r� Contractor 21785 SW TV Highway _ FOR OFFICE I _ _ONLY: W City/State Zi P Phone y^ Plat# Map(TL#: —i Aloha , OR 97006 591-1320 "wI 6, �L Oregon Cc nst. Cont.Board Lic.# Exp.bate _ attach Copy of 7 4 82 Setbacks Zone. Solar. Current Electrical Lic.# Date�- Licenses 3 4- 3 0 5 C / ` COT Business Tax or Metro# Fatp.Date Fngineering Approval: Planning Approval: TiF: stsvrtstapp.doc q Permit unt Description Amount Amt. Pd. Bal. DuQ _ MST. Permit (BUILD) 593, ' rc',00 Plumb. Permit (PLUMB) 2 Z5. Mech. Permit (NTECH) ELC/ELR Permit (ELPRMT) ;2•.r O,O() �Z J / State Tax (TAX) �4r Bldg: z 9, Plumb: Mech,. J �i ELC/ELR: , Plan Check MST: (13UPP`N) Plumb: (PLMPLN) Mech: (MECPLN)CDC Review "NDUS) 20 Sewer ConnectionSWUSA �! ( ) -oil 2200. 00 Sewer Inspection (SWINSF 3J Parks Dev Charge (" (PKSDC) Residential TIF ��gR� \ (TIF-R) Mass Transit Tit (TIF-MT) Water Qua; ty (WQUAL) Water QUni,+ity (WQUANT) V1 >- Erosioo (C;ontrcI Permit (ERPRMT) � 64. Oo Erosion F:ar,..k/JSA (ERPLAN) Z (� J Erosion Planck/CCT (EP.OSN) ALL)— Fire Life Sofety (FLS) TOTALS: (�, i\dsts\mslapp doc ��C7 Rev 7/96 CITY OF TIGARD Credit No : Date Issued- 11/27/96 Engineering Authorization Date: _ 1/27/96 TRAFFIC IMPACT FEE CREDIT VOUCHER Land Use Casefile No.: SUB 96-0006 In accordance with Ordinance 379 _— M M-rixDevelopment Corporation _ (name of developer) is entitled to $__39_296.08 in Traffic Impact Fee Credits that can be applied to TIF charges for development on lot(s) 1 - 42 of the Hunters . len Development. To use this credit, present this form at the time of issuance of the building permit. Chrerwr t y_ — Date Permit Numbers Lot Numbers Credit Used Balance Bf ginning Balance $ 39, 96.Q8 /'Fr 17 13- `flu :101 '(� _ '� �e as Z L A JN 1 - ry �� Lh T`ic- b�L 27 l.c T 1670. cc ) 3 Ste. UA 1- 22-'97 1jj5T`V'05z•1 MY _/by'o.(U A �c� d —-!-o V) T — 1— Balance carried forward to TIF Credit No. n w Ordinance 378 provides for an exr;ration 7 years from authorization. J Use Additional pages if necessary. IogmkviolaVd99 1 CITY OF TIGARD 13125 S.W. TALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONT. INC P O BOX 2007 GRESHAM OR 97030 Plumbing Signature Form Permit # . . . . : MST96-0529 Date Issued . : 01/22/97 Parcel . . . . . . : 2S1013B.G HG039 Site Address : 12450. SW 115TH AVE Subdivision. : HUNTER ' S GLEN Block. . . . . . . . [ cit . 039 Zoning. . . . . . : R-4 . 5 PD Remarks : PATH I Your company has been indicated aE the plumbing contractor for the permit indicated above. In orc;er 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 ,•v •k. No plur,ibing inspections will be a-thorizeci until this completes' form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNF PLUMBING CONTRACTOR: LEGEND HOMES WOLCOTT PLUMBING CONT. INC I 6900 SW HAINES ST P O BOX 2007 TIGARD OR 97223 GRESHAM OR 97030 Phone # : 620-8080 Phone # : d Reg # . . : 23847 N X Signature of Authorize i Plumber : 1� Please return this completed fort-n to the address above. Uj ATTN: Building Dept. If you have any questions, please call 639-417 1 , ext. #310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE y� GARNER ELECTRIC 21785 SW TV HWY #L ALOHA OR 97006 Electrical Signature Form Permit # . . . . : MST96-0529 Date Issued. : 01/22/97 Parcel . . . . . . : 2S].03BD-HG039 Site Address : 12450 SW 115TH AVE Subdivision. : HUNTER' S GLEN Block. . . . . . . . t,of- . 039 Zoning . . . . . . : R-4 . 5 PD Remarks : PATH I Your company has been indicated as the electrical contractor for the permit indicated 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 work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER : ELECTRICAL CONTRACTOR: LEGEND HOMES GARNER ELECTRIC 6900 SW HAINES ST 21785 SW TV HWY #L CL TIGARD OR 97223 ALOHA OR 97006 Phone # : 620-8080 Phone # : vF'i q "11 r-- X Sigsing ectrician Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. ##310 V� S K W J n W C„Gi In mGi a) w 12440 p N a SW BAMBI LN 11577 12454 0 to '� cn 12;55 ' 7 12!* 12453 k, N 12450 �- .. 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