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12575 SW 115TH AVENUE „t ADDRESS. it Ln J _ I:Vecordslmlcroflm%targelsltwllding,do c� w J Page No. 1 CASE HISTORY FOR CASE NO.: MST96-0505 LEGEND HOMES 12575 SN 115TH AVE 08/01/97 w ,..cion Description Req/ 5chd/ End/ Action Notes Disp By' Update Upd Code ;ent Done Done Date By ------- ------------------------------ -------- -- ------------------------------- ---- --- -------- --- MSTA005 Applicatior Pceiveci / / / / 10/25/96 IECD B 10/28/96 BON MSTA008 Permit Crea,ed / / / / 10/28/96 PEND 8 10/28/96 BON MSTA010 CL�?cc for prcl. restrict. / / / / 10/25/96 10/28/0:, BON MSTA012 Plans routes to glans Examiner / / / / 10/28/96 PEND 8 10/2P/96 BON MSlAO26 Plans approved by Plans Exmr / / / / 10/30/96 PASS RT 10/50/96 BT2 MSTA030 Reviewed plans routed to DSTS / / / / 10/30/96 PASS RT 10/30/96 BT2 MSrAO80 (F) Ready to issue / / / / 11;01/96 PASS B 11/01/96 BON MSTA092 (F) Issue combination permit / / / / 11/18/96 PAID JMH 11118/96 J*H MSTA097 Issue plunt)ing signature form / / / / 12/02/96 OK JMH 12/02/96 KAS MSTA097 issue plumbing signature form / / / / 11/18/96 PAID JMH 11/18/96 J*H MSTA098 Issue electric signature form / / / / 12/02/96 OK JMH 12/07/96 KAS MSTA705 Footing Insp / / / / 11/22/96 pending- use 11-21; block stepping; muck PASS RB 11/26/96 RB footing; se'!vinic restraint,- MSTA706 Foundation Insp / / / / 11/27/96 PASS RB 11/27/96 RB MSTA710 Post-/Ream Structu-a( / / / / 12/09/96 APP KS 121%/96 KBS MSTA711 Post/Beam Mechanical / / / / 12/09/96 AFP KS 12/09/S5 KBS MSTA717 PLM/Underfloor / / / / 12/06/96 PASS MDS 12/06/96 ,ycc MSTA720 Mechanical Insp / / / / 02/18/97 #-1- adjust B vent at horizontal section DIS KS 02/18/97 KBS to achieve clearance MSTA722 Plumb Top Out / / / / 01/28/97 PASS MS 01/28/97 IRS MSTA723 Electrical Service / / / / 01/30/97 no label DIS MJR 01,10/97 MJR MSTA723 Electrical Serv'ct / / / / 01/31/9? APP GS Oi/31/97 GES M�TA724 Electrical Rough In / / / / 01/30/97 no smoke alarm protection for Den DIS MJR X1/30/97 MJR ekh a@P aaZA<Akb kn MSTA724 Electrical Roush In / / / / 01/31/97 APP GS 01/31/97 GES MST47?5 Framing Insp / / / 02/03!97 #-1- mechanical soffits not built at DIS KS 02/04/97 KBS garage #-2 provide attic access at garage #-3- positive connection trimmers to garage header #-4- diagonal brace gable truss garage #-5- framing at fireplace not done f; #-b- add support at fl joist adjacent to waste fam/rm FY #-7- add cripples at above header hallway #-8- strap plates at mechanics( upper I level —� #-9- secure protective collar at B vent attic #-10-, secure sgt gas tubing penetrating fireplcce #-11- secure fs paper behirxi fireplace Page No. 2 CASE HISTORY FOR CASE NO.: MST96-0505 r LEGEND HOMES 12575 SW 115TH AVE 09/01/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- MSTA725 Framing Ins,.) / / / / 02/04/97 APP KS 02/04/97 „BS MSTA726 Shear Wall Insp / / / / 01/15/97 #-1- see inspection notes IS KS 01/16.197 KBS MSTA726 Shear Wall Insp / / / / 01/23/97 APP KS 01/24/97 KBS MSTA735 Gas Line Insp / / / / 02/03/97 #-1- 30 psi for 15 minutes APP KS 02/04/97 KBS MSTA740 Insulation Insp / / / / 02/07/97 APP KS 02/07/97 KBS MSTA?45 Gyp Board Insp / / / / 02/18/97 #-1- add stud adjacent to call shower A/N KS 02/18/97 KBS for attachment if werxier hoard MSTA755 Rain drain Insp / / / / 12/02/96 PASS MS 12/03/96 MRS MSTA760 Water Line Insp / / / / 12/02/96 PASS MS 12/03/96 MRS MSTA765 Appr/Sdwlk Insp / / / / 02/21/97 OK. PASS PI 02/24/97 RB MSTA790 Electrical Final / / / / 04/01/97 COVER PLT FOR LIFER GRND BOX; GAR GFCI DIS GS 04/01/97 GES NOT WCgKING; SEAL AROUND MAIN FL GFCI; COVER PLT WASHER PLUG; SEAL. UPPER HALL BTH ITE FIX; ARRAINGE STAIR LIGHTING TO ITE BOTH TOP AND BOTTOM LANDINGS MSTA790 Eluct-ical Final / / / / 04/07/97 APP GS 04/07/97 GES MSTA795 Mechanical Final / / / / 04/07/97 #-1- see bldg final this date A/N KS 04/08/97 KBS MSTA795 Mechanical Final / / / / 04/09/97 APP KS 04/10/97 KBS MSTA797 Plurb Final / / / 04/01/97 CONNECT DWN SPT AT FRT PuRCH APP GS 04/01/97 fES MSTA797 Plumb Final / / / / 04/04/97 dcvnspots need to be brought up to PART MS 04/07/97 MRS grade. MSTA799 3uilding Final / / / / 04/07/97 0-1-seal liyht receptacle garage ceiling DIS KS 04/08/y7 KBS 0-2-seal void at furnace plernm fdn #-3- smc4e detector above stairs riot working #-4- support gas piping at water h(.-ater #-5- need electrical finaled ri CL: MSTA799 Building Final / / / / 04/09/97 APP tS 04/10/97 KBS N MSTA960 (F) Issue Cert. of Occupancy / / / / 04/09/97 mailed 8-1-97 08/01/97 S'W _J MSTA970 Cane Finaled / / / / 04/10/97 APPS KS 04/10/97 KBS :c w J CITY OF TIGA9D BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-41-1 Footing Rain Drain Cover/Service FINA Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath FramingMech Plbg.Und/Flr/Slab Plbg.Top Out Insulation Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. �g) San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ - Date: A.M. P.M. ,Entry: / C Il Address: r y C Tenant:_ Ste: MST: _ �r'I BUP: Con/Own: sell_.`..� aZ MEC: PLM: _ ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: a un cc J - W J Inspector:<'� ----- Date: 7//�� _APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (.503)639.4171 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . : h1ST96-0505 DENTE ISSUED: 04/01)/97 / . PARCEL: 2G1k1.,,BV•-HG030 S I i-E ADDRESS. ,1. €?i6� SW 1 15TH AVE SUBDIVISION. . . . .. HUNTER' S GLEN ZON I NG a R--4. a PL) BLOCK. . . . . . . . . . a L-01.. . . . . . . . . . . . . :030 JURISDICTION: ------------ CLASS OF WORD, :NEW TYPE. OF USC'. . . :SF TYPE OF CONSTR:5N OCCUPANCY GRP. :R3 OCCUPANCY LOAD:2 I'iemarka i Path 1 Own era t-EGEND HOMES 6900 ';W HAI NES ST TIGARD OR 97223 Phone #: 6.=0-8080 Contractor: LEGEND HOMES CORPORATION 7160 SW HA,r_FLFERN RD. SUITE 100 TIGARD OR 97224 Ph o l l f! #, 620-0080 Peg $F. . : 60563 Ihie Certificate grants occupancy of the above refereroved bl.cilding or portion { liereof And contiriHa that the building has ueaen inspected for cumpliamr_e with I hie Sta.ty of Oregon Specialty Cordes for the grou orc uponcy, and use ur.de-- whir_h the referenc_eq. pRr•mit was issued. L{Jti..D IVB; II\413PECTOR BUILDING ICI )C } POST IN CONSPICUOUS PLACE J L 1 J CITY OF TICARD DEVELOPMENT SERVICESPLUMBINGPERMIT .,Wmmxm 13125 Miall Blvd.,Tigard,OR 97223 "03)639-4171 DATE TSSUED: 02/26/97 1 PARCEL: 2S10-*7BD--HG030 1.TE A D D KESS. 1A 11. 15TH A V E -jUBDIVIF,T.ON,, . HUNTER' S GL.EN ZONING; R-4. 5 P'D SLOG!',. .. . . . . . . . . . L.01.. . . . . . . . . . . . . .03,71 CL-ASS, OF WORK. . :AL.T GARBAGE DISPOSALS. : QA MOnTI-17 HOME SP,f-ICES. Q) TYPE OR USE. . . . ;5F WASHING MACH. . . . . . : 0 BACKFLOW P,REVNTRS. . I 0CCtJP,ANCY GRP'. . . R3 FLOOR r)RnTNE3. . . . . . : 0 TRAPS. . . . . . . . . . . .. . .. . 'a STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : vi CATCH BASINS. . . . . . . : 0 F'T 1-()'IND RY T PAYS. : 0 cir, Pf--ITN DIIA TNG. . . 0 SINKS. . . . . . . . . . . rA UNINALS. . . . . . . . . . . : 0 GREASE TRAP'S. . . . . . . .. 0 t.-AVnTnR T E!-":),, . , . . 0 OTHER FIXTURES. . . . : 01 TUB/SHOWERS. . . . : 0 SEWER L-INE (ft ) . . . : 0 W 0 T F:R C'1..0 S 3 E'T S. . - 0 WATIER I-INE (ft ) . . . . 1,-� DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Rem;--Ar1-(s , TNF;TA1-J-. W I L.V,I NS DOUBLE CHECK BACKFLOW DEVICE AT METER FOR IRPIGAT ION SYSTEM. Own ec: FEES I.-EGEND HOME'S type a m a 1-1 T1 t by date t�ecpt 6900 SW HAINES CT PRMT 15. 00 JMH 02/26/97 97-290910 5r-'CT 0. 75 TMI-I 0211F'G/97 97--"`.10'-71 17 TTGAPD OR 972E37 Phone #: C-20-8080 Conti-actnri MARTIN SANDERS GrknUNDS mnTNTEN F,0 BOX 307 NORTH PL..AINS OR 97113 PI-ion;- #: 6/47---55G7 15. 79 TOTnI-- Reg 05742. REDUIRED INSPECTIONS 7ti:s permit is issued subject tc the rejulatiors ccntained in the RPI/Backflow Prev I gard Municipal Code, State of Ore. Specialty Codes and all other FinAl, Inspection ------ pplicable law:. All worlt will be danf in accordance pith .,-,-aved plays This permit will expire if cat+ is not started 41-;- IS@ days of issuance, or if worth is suspended fc- sore 14 days. L/I t-mi.ttpe Siunati.wo - roll for inspection 639-14177 G �n ���5 x`16 0,_5�7 �ITY OF 'TIGARD Plumbing ApplicationRecd sy TI I 3125 SW HALL BLVD. Commercial and Residential Date Recd iG,>RD, OR 97223 Cate!o P 303) 639-4171 / j� �� Cate to CST agrmr= M� 7 �'�� r Print or Tye l Related SLUR s Incor;,plete or illegible applications will not be accepted Callen i Name tr;eveiooment'Prolect FIXTURES (individual) QTY PRICE AMT Job ` _ C l • Sink 900 Address Pet•'ddress - Lavatory f Suite 9 00 `�S�/ 5 w /� rup or 7uoiShownr .Dino —V I dl.7g a L1,_IwState "p Shower Only 9 00 I , '- )✓ Nater l:ioset I Name 4 00 LLe Oishwasner —T 9 OU j Owner `failing dress Suite Garbage Disposal j 900 Nashing hfacnine 9 00 c:.tVrState 'o PhOnp Floor Crain T— J2,2 :tel Q —�_- 900 Na 3 900 a 900 Occupant I Mailing.Address Suite 'Nater Heater j 900 J ty StateLry aundRoom Tray j ZIP Phone Unnal 9 00 j II Nam � 9 00 ;TherFixtures tSoeratyl 9.00 -� j Contractor laiting Address Suite I j 9.00 `7 9.00 j (Pnor to ssuance C.ty State Zip phc,ie 9,00 apt icant must /�/ ? 713 - - �= _ j 900 provide 30 ;reyon Canst. cont. Board Lica Exp Date _ —� 9.00 contrac:ors �r c I license ,Fi4 ng L rem , Ex .Date 7 j 9 c0 nformation I Sewer• tst !00' _ 3000 t or CCT CDT 9usiness Tax or Metro s Sewer•each atldrilr nal 100• 25.00 x Cate database) Water Service• !st 700' 30.00 Name :later Service-each aGG,;gnai:00' 25 30 Architect Storm 3 Ram Dram- !st 100' 3000 or Mailing Address Storm 3 Rain Drain•euch additional ICO' 25 00� I—Suite __. 111 .- Mtlbile Htlme SDaU! Engineer I ,fyiState Z'p I Phtlne _ 25 00 I Dammeraat Baas ow Prevention Ce or Anil- I I 25 J0 Polluilon Device =esc'•be.vcrk New _ Addition J Al —_ tnration D Recair C �esidenhal 3acx"cw 'evenilon Cevice' j 5 30 I � o ce :one =esicenhal ���t LAny Trip or ::as:�Nct Connected to 3-fixture I j 3 00 aotli! tlescnonon o`r wont �C.'�.�JL(, -atc;,3asin j 9,30 h �nso or_xisting-umbrng Ao 00 __ ceuhr tn'g use cf oeaady Redues!ed Inspenions i x0.00 :Mg or property__ " cel:hr N j amain urain sing:e'amny cwedin9 - j j 30:0 oleo use of .,rg cr;rccerry j-grease Tracs I 9 y0 JFQUANTITY TOTAL e .cu cacerrg movorg 7r repiac rg any fixtures' yes _- VO - I sor..rw>r"fe,:a;rarr s'en_wrec t:Uanrty-.tat s ,7 If see back of form) 'SUBTOTAL -e ecy 3rxnowied I ;tar ,ago read;his.40plication. ___ p cation. that'he mtormation w rven s_ore t ;nal I tr a^caner �r 3uthon2ed agent of he o'vrer nd 5% SURCHARGE __j -at Mars sccmrttee are - _cmctiance vith Ore do State Laws. ilgnagtr�e�Pf�Ownerl t Date PLAN REVIEW 25% OFSUBTOTAL/ / I I °ecure�_niy"r--re_.+ •�•al f>7 /'� — ____jTOTAL I , �� contact Person Name Phone '— — Minimum permit fee,s 325 -5'6 sc•ciarge except Residential Bactftow Prevertion Cevtce. «rrcn is 515•5%surcharge i'Csts n1maup;cc 5,'96 _J 'LEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capp`d, rroved or replaced I Qty _I Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal L Washing Machine Floor Drain 2" 3„ Water Heater `Laundry Room bray - ^� Urinal Other Fixtures (Specify) ,OrIMENTS REGARDING ABOVE: r� fJ' n ,-W W ALNU a / U r ° term ai n W ��� CO I D (A -A (c 1v =i CT 12x40 _ 4h' 1�- a � '° ` W AM E31 LN � � K) m 0, S 1157; J ' m r 12454 - v I o m w a u+ 12T55 - - i ' r 12507 12453 W450N 1251 1 0 1257 6 12519 Cf) _ 12514, 12517 w (, tl248 1237 12549 rn SW E 'ROL ST. 12540 _-1 T El�l 12555 �+ _ 12557 UD o125 2 12562lam U) fel 12575 M + J 12586 12583 N q0 12602 m OOW 12609 (/) •--A - 126" m (T) 12615 � n :.� 12626 = �K3 w\ v C 12639 12622 126'48 m z r C 12653 i 2664 z rTl -- — f 12680 Mrrt w-- a — IM 50Dco 12679 >� SW CARMEN S12703 12719 2T. I 71!` 12720 12727 Ln I I A�- TRACT 'B C;� 12 449 BAM _N ' 1 1 2453 57- w 45412455 4750 2535 To ru 2519 2526 5 c!; j 2514 -� 2537 c/) � 4 C) o ERROL ST. 57 540 cn C c � 56 Q 1255 r 125551 257 FTI D `J i D o 2983 D . $ z 562 c� r 609 M 12602 0 2615 z 10 c 2039 M, N �� +' a 262 2621 00 F,' �26"53 02679 , 2648 N 2.681 T2664 CARMEN ST. 1 .-)7'12 w 270? 716 102721 r , � , 27L0 CITY OF TIGARD DEVELOPMENT SERVICES 11ASM LI-T #P,E. R. M. .TT P,ER . . . : MST96-0505 13125 3 V Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 11/18/96 12-5-70 F)ARC'FL_: 2S 103RDH0030 SITE ADDRESS, : L-��-GW 11bl-H AWi� Cz 5UBI)IV19I0N_ . : 11UNITER' S GL..El\1 Z01\)IP4G: r-11) 131-OCK. . . . . . . . — : LO r. . . . . . . . . . . . . .o3o Remarks: Path I -------------------------------------------------------------- BUILDING ------------------------------------------------------------------ REISSUE:MST96-0462 STORIES.......: 2 FL[FIR AREAS---------- BASEMENT...: 0 sf REWIRED SETBACKS---- REDUI CLASS OF WORK.:NEW HEIGHT........: 103 FIRST....: 1198 sf GARAGE.,...: 651 sf LEFT..........: 32 SMOKE DErECTRS: Y TYPE OF USE...:S F FLOOR LOAD..,.: 40 SECOND...: %1 sf FRONT.........: 20 PP,kKINF- SPACES: I TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT....... . 6 OCCUPANCY GRP.:R3 BDRM: 4 BATH: 31 TOTAL------: 2159 sf VALUE.$: 155947 REAR..........: 15 ------------------------------------------------------------ PLUMBING -----------—----------------------------------------------------- SINKS......... I WATER CLOSETS,: 3 WASHING MACH..: I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 4 DISHWASHERS...: I FLOOR DRAINS-: 0 SEIER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS-: 0 TUBISHOWERS...., 31 GARBAGE DISP..: WATER HEATERS.: I WATER 'LTNE ft: 100 BCKFLW PREVNTR: I GREASE IRAPS..: 0 OTHER FIXTURES: 0 ---------•------------------------------------------------- MECHANICAL -------------------------------------------------------------- - FUEL TYPES----------- FURN ( IM 0 BOIL/CMP ( 3HP: 0 VEP,7 FANS....,: 4 CLOTHES DRYERS: I /GAS/ / / TURN )=I@eK I UNIT HEATERS..: e HOODS.........: I 07HER UNITS...: I MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTCVES.... 0 GAS OUTLETS..,: I -------------------------------------------------------------- ELECTRICAL -------------------------- - --RESIDENTIAL ---------------------------—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP ERVCIFEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS----- --ADDIL INSPECTIONS— 1000 SF OR LESS: I @ - 200 alp..; 0 0 - 200 alp..: 0 W/SVL OR FDR.,: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADDIL 500SF.: 4 201 10 amp..: 0 ?81 - 400 app..: 0 1st WID SVC/FDR.- 0 SIGN/OUT LIN !T: 0 r1ER HOUR,,...,: I LIMITED ENERGY.: 0 401 GN amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANE!...: 0 PLANT......: 0 MAW HM/SVE/FDR: 0 601 1000 asp.: 0 6014aips-I000 v: 0 MINOR LABEL -10: 0 1000+ alp/volt,: 0 ----------------------------------- PLAN REVIEW SECTION ----------------------------- Reconnect only.: P '1=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: LLS 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.. : 0TH: X BOILER.........: HVAC......,....: LPNDSCAPE/IRRIG: PROTECTIVE SIGN.: GARAGE OPENER-: CLOCK.... INSTkUMENTATION: MEDICAL........: OTHR: HVPC...........: DATA/TE1 NORSE CALLS....: TOTAL # 9YETEMS: 0 Owne ------------------ - ----------- -- Contractor: ---------------------------- TOTAL FEES:4 4194.5@ LEC,':.ND HOMES LEGEND HOMES CORPORATION 6c/00 SW HAINES ST 1160 5W HAZELFERN RD. SUITE 100 TIGARD OR 97223 TIGARD ON 97224 Phone #: 620-8080 Phone 0: 620-8080 cc Reg 0.. - 60563 `" This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 dais. a. ----------------------------------------------------•----- REWIRED INSPECTIONS ----------——--—-------------—-------------------- CD Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final W _J Foundation Insp Mechanical Insp Shear Wall Insp Ins-elation Insp Appt,/Sdwlk Insp Erosion Control Post/Ream Struct Plumb Top Out Low Voltage Gyp Beard Insp Electrical Final Post/Beat Mccl-an Electriril Servi Fireplace Insp Rain drain Insp Mechanical Final Crawl Drak i Electrical R?oug, Ga. Insp Wacer Line Insp Plumb Final !�? i ", — & Per,mi tt ap Sign-iti.Ar,e : ?-led Py: t W C C 4 an 639-4 5 0 CITY O F TI C A R D SEWER CONNECTION DEVELOPMENT SERVICESPERM I T 13125 SW Hall B;vd., Tigard,OR 97223 (503)639-4171 PI-RMIT #. . . . . . . : SWR96-0506 D.'JE ISSUED: 11/18/96 7 zo PARCEL: 2SI03BD-+1G030 SITE ADDRESS. . . : 125rf-- SW 115TH AVE SUBDIVISION. . . . : HUNiERIS GLEN ZONING: R-4. 5 FID DLOCK. . . . . . . . . . : LOT. . . . . . .. . . . . . . .030 TENANT NAME. . . . . :LEGEND HOMES USA NO. . . . . . . . . . : FIXTURE UNITS. . . 0 1-1-ASS: OF WORK. . . :NEW DWELL I NG UN I TS. . : I TYPE OF USE. . . . . .SF NO. OF BUILDINGS: I INSTALL TYPE. . . . :BUGWR TMPERV SURFACE: 0 5f 0 ,emavks- Path I Owner: FEES LEGEND HOMES type amni.int by date t,erpt 6900 SW HAINES ST PRMT $ 2200. 00 JMFI I1/18/96 96-286649 I N 1-7)P $ 35. 00 JMH 11/1B/96 96--- 86649 TIGARD OR 972237 Ph(jrie #: 62�'0-8080 Contractor-: CONTRACTOR NOT ON FILE Phone #: $ 2235. OV TOTAL Reg #. . : RECI' IRED INSPECTIONS This Applicant agrees to comply with all 'he rules and regulations Sewet, lrisr,tnctir)n of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total arount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. if the sewer is not located at the measurement given, the installer shall prospect 3 feet in all dir,?ctions from the distance given. If not so located, the installer shall purchase a "lap and Side Sewer" Permit and the 11cy will in $ell a lateral. FlerMiLtee siuylatl-sI-e :# T Call for in-,pec,tion 639-4175 C7 Plan Check# It G'U1\ IT'Y OF TIGARD Re-Zidential Building Permit Application Recd 'By _ � Nva v. 3125 SW HALL BLVD. New Construction Additions or Alterations Dare Recd )0_2 � I6A1,,), OR 97223 Single Family Detached of Attached Date to P E. I01 03) 639-4171 Date to DST 0--3� - Print or Type Permit# l C�&_T Called Incomplete or illegibtP applications will not be accepted Name:)f Subdivision Lot# Marne JobLEGEND HOMES I I U N T E Rs S GLEN l i Address Site AddrP s Architect Mailing Address il ?`�Tj7W ] 1`., l_ii Avenue 6900 SW Haines St . City/State Zip Phone Name LEGEND HOMES Ti aril OR 97223 620-8080 Owner Mailing Address Name 6900 SW Haines St . FROELICH `_ City/State Zi Phone Engineer Mailing Address Tigard , OR 9�Z23 G20 8080 6969 SW Hampton St _ City/State Zip Phone Name Tigard , OR 972'23 624-7005 General LEGEND H O M E S a Describe work new Q_- addition O alteration O repair O Contractor Mailing Address to be done: _ 6900 S W Haines St . Additional Description of Work: City/State Zip Phone Tit7ard , OR 97223 620-8080 Oregon Const. Cont. Board Lic.# Exp.Date Attach Copy of 060563 6/19/97 Project Current COT Business Tax or Metro2� ExpDate Is em ` �� Licenses 43.712 ?) lGilt-/' ��T`) 7 Valuation NEV"� L __' CONSTRUCTI N_ONLY: Mechanical SUNGL OW INC . f / //`rr FS .Ft. House: �J� Sq.Ft. arage: Sub- Mailing Address y � Contractor , 2428 S E 105th Corner Lot Yes No Flag Lot Yes No City/State 'Zip Phone (check one) k (check one) � l- P o r t l a n d ,__ O R 97216 253-7769 Restricted p fjtii'f Audio/Stereo r�,; Burglar Oregon Const. Cant. Board Lic.# Exp. Da u En+Energy I r System ✓ r Alarm Attach Copy or , 48131 �� fix,U, Garage Door I HVAC Current COT Business Tax or Metro# Exp.0 to Installatic„, p Licenses 1..-76 - c ,3, / c�/ c_%7 f y. Opener Systems I Name (check all that Other: Plumbing WOLCOTT PLUMBING Sub- .'ailing Address - Will the electrical subcontractor wire Fol all Yes No P O [lox x 2 0 0 7 restricted energy installations? Contractor _ City/State Zip Phcne Has the Subdivision Plat recorded? NIA Yes No Gresham OR 97030 66 i -91391 Oregon Const. Cont. Board Lic.# Exp. Datt Reiss a of MST# Solar Compliance Attach Copy of 10/19/97 1 (Calculation Attached) _ Current Plumbing Lic.# Ex,r. Cate I hereby acknowledge that I have read this application, that the Licenses 2 6-2 0 8 P B 8 31/07 information given is correct, that I am the owner or authenzed agent of COT Business Tax or Metro# Exp. Date the owner, and that plans submitted are in compliance with Oregon 96-4281 12 '9 6 State laws. n Name Signatule of Ayina gent Date' ' Electrical GARNER ELECTRIC J Gf �,./i'j� ✓ P�Xho MadingAddress 5tatt Person Sub- - Contractor ,rf�Q Contractor 21785 SW rV Hi.ghway F R OFFICE USE ONLY: ,2 _ i� City/state Zip Phone Plat# Map TL#: ' Aloha , OR 97006 591-1320 // z. /- Oregon Const Pont. 8o rd Lic# Exp.p?te 1 0 - L U t- Sr, �`7 35 V C' LA" opy of , %.f i / etb�js Zone: Solar ent Electrical Lic.# Ex ate K ses 3 4-3 U 5 C COT Business Tax or Metro# ate Engine ring pprR,pval: Planning Approval: TIF: p.doc G I .1A •' Permit Account Description Arnount Amt. PSL eal, Due MST. Permit (BUILD) Plumb. Permit (PLUMB) 2 Mech. Permit (MECH) 5� ELC/ELR Permit (ELPRMT) o2 SCI }tate Tax (TAX) Bldg: Plumb: //•L) Mech: L ELC/ELR: Plan Check v MST: (BUPPLN) Plumb: (PLMPLN) Mech: (MECPLN) Cp�F'C 70' CDC Review (LANDUS) - ( cPLt) Sewer Connection (SWUSA) 2 2 U u C;2 2u u Sewer Inspection NSP) Parks Dev Charge (PKSDC) O- G _ zJ sy Residential TIF (TIF -R) / 5- U Mass Transit TIF (TIF-MT) rJ 12,0 Water Quality (WQUAL) Water Quantity (WO,UANT) 161() N Erosion Control Permit (ERPRMT) L� Erosion Planck]USA (ERPLAN) Erosion Planck/COT (EROSN) w J Fire Life Safety (FLS) / cc TOTALS: �f'' 4��.7U -, > i' ^• S') Wstslmstapp doc Rev 7/96 ��•.._ ..__rte CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMB"L'NG CONT. INC P O BOX 2007 GRESHAM OR 97030 Plumbing Signature Form Permit # . . . . MST96-0505 Date Issued. : 11/18/96 Parcel . . . Y ;.,2S103BD-HG030 Site Add?LNI : W5-" SW 115TH AVE Subdivision. : HUNTER' S GLEN Block . . . . . . . . Lot : 030 Zoning. . . . . . . R-4 . 5 PD Remarks : Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate indivAual from your company sign below and return this Plumbing Signature Form prior to the start of work;. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OtNl`-'R PLr 'ING CONTRACTOR : j LEGENL HOMES WOLCOTT PLUMBING CUNT. INC 6900 SW RAINES ST P O BOX 2007 TIGARD OA 97223 GRESHAM OR 97030 Phone # : 620-8080 Phone # : a Reg # . . : 23847 i— X -� Signature of Authorized Plumber Please return this completed foi m to the address above. LLJ ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TV HWY #L ALOHA OR 97006 Electrical Signature Form Permit 4 . . . . :� MST96-0505 Date Issued. : 11/18/96 Parcel . . . . . . : 2S103BD-HG030 `2 175) Site Address : �-r� SW 115TH AVE (� Subdivision . : HUNTER' S GLEN Block . . . . . . . . Lot. : 030 Zoning. . . . . . . R-4 . 5 PD Remarks : Path 1 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 �khis 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 OWTJER : ELECTRICAL CONTRACTOR: LEGEND HOMES GARNER ELECTFIC 6900 SW HAINES ST 21785 SW TV HWY #L TIGARD OR 97223 ALOHA OR 97006 °r Rhone # : 620-8080 Phone # : RFg # . . : 116721 J X oc Si *ofpervi, ing lectric�an Uj c� Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310