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12535 SW 116TH AVENUE •:4 ADDRESS: *5B5 . Sid - I1� A V&4 d N } nr J lArecords,,-'nlcrotlm%targe(sV,,t rllding.doc w J Page No. 1 CASE HISTORY FOR CASE NO.: MST96-0504 LEGEND HOMES 12535 SW 116TH AVE 07/22/97 Action Description Req/ Schell End/ Action Notes Disp By Update Upd Code Sent Done Done Date By --•---- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -----.,... I MSTAO05 Application received 10/29/96 / / 10/7.2/96 PASS JD 10/29/96 FT2 MSTAOn8 Permit Created 10/29/96 / / 10/24/96 PASS BON 10/29/96 ?T2 MSTA010 Check for prcl. restrict. 10/29/96 / / 10/24/96 PASS BON 10/29/96 BT2 MSTA012 Plans routed to Plans Examiner 10/29/96 / / 10/24/96 PASS BON 10/29/96 BT2 MSTA026 Plans approved by Plans Exmr 10/29/96 / / 10/2.9/96 [PAS RT 10/2.9/96 BT2 14STA030 Reviewed plans routed to DSTS 10/29/96 / / 10/29/96 PASS RT 10/29/96 BT2 MSTA080 (F) Ready to issue / / / / 11/01/96 PASS 8 11/01/96 BON MSTA092 (F) issue c(xiination permit / / / / 11/18/96 PASS 8 11/18/96 BON MSTA097 Issue plumbin, signature form / / / / 12/02/96 OK B 12/02/96 KAS MSTA098 Issue electric signature form / / / / 12/02/96 OK 8 12/02/96 KAS MSTA700 Erosion Contol 10/29/96 / / 11/21/96 PASS USA 1/26/96 RB MSTA705 Footing Insp 10/29/96 / / 11/22/96 pending- stepping rpq'mts; seismic PASS RB 11/26/96 RB restraint; low point drain; muck footing; tfer tagged. MSTA706 Foundation Insp 10/2`1/96 / / 11/27/96 PASS RB 11/27/96 RB MSTA710 Post/Beam Structural 10/29/96 / / 12/10/96 APP KS 12/10/96 KB3 h3TA711 Post/Beam Mechanical 10/29/S,6 / / 12/10/96 APF KS 12/10/96 KdS MSTA713 Cra, l Drain 10/29/96 / / 12/02/96 PASS MS 12/03/96 MRS MSTA717 PLM/Underfloor, 10/29/96 / / 12/09/96 PASS MS 12/10/96 MRS MSTA720 Mechanical Insp / / / / 02/06/97 rafter hangers for Ir rafter/beam APP GS 02/06/97 GES connection; fireblk firepl chase; fan vent at laundry MSTA722 Plumb Top Out 10/29/96 / / 01/24/97 PASS MS 01/27/97 MRS MSTA722 Plumb Top Out / / / / 01/30/97 no test upstairs FAIL MS 02/04/97 JT 25 dollar re-inspection fee accessed 2/3/97 received $75 from plumber. I am sending back check, they will send another check for correct ammount. okay to do pltxmbing inspection 2/4/97 received $25 reinspection fee. Jeenr, a. l— MSTA722 Plumb Top Out / / / / 02/03/97 prev torr ok APF GS 02/03/97 GES Ln t'- MSTA723 Electrical Service 10/29/96 / / 01/31/97 APP GS 01/31/97 GES MSTA724 Electrical Rough In 10/29/96 / / 01/31/97 APP GS 01/31/97 GES MSTA725 Framing Insp 10/29/96 / / 02/06/97 see r»te•. on meth insp th,s date APP GS 02/06/17 GES c7 UJ MSTA726 Shear Wall Insp 10/29/96 / / 02/03/97 0-1- holdown at garage wing wall not DIS KS 02./04/97 KBS Installed N-2- nail and block all shear panels per schedule M-3- additional nailing at generic panels Page No. 2 CASE HISTORY FOR CASE NO.: MST96 0504 LEGEND HOMES 12535 SW 116TH AVE 07/22/97 Action Description Req/ Schd/ End/ Action Notes Dish By Update Upd Code Sent Done Done Date By ------- -----------------------•------ -------- -------- -- ------------------------------- ---- --- -------- --- MSTA726 Shear Wall Insp / I / / 02/06/97 APP GS 02/06/97 GES MSTA735 Gas Line Insp ;0/29196 / / 01/31/97 0133985 PASS RB 02/03/97 RB MSTA740 Insulatico Insp 10/20/96 / / 02/10/97 0-1- connect exhaust fan at utility A/N KS 02/10/97 KBS MSTA745 Gyp Board Insp 10/29/96 / / 02/01/87 8-1- see inspection notes A/N KS 02/18/117 XBS MSTP755 Rain drain Insp 10/29/96 / / 12/02/96 PASS MS 12/03/9!+ MRS MSTA760 Water Line Insp 10/29/96 / / 12/02/96 PASS MS 12/03/96 MRS MSTA765 Appr/Sdwlk Insp 10/29/96 / / 02/21/97 1. PIPE TO LOWER WFEPHOLE. OK. PASS PI 02/24/97 RB MSTA771 «REINSPECTION» / / / / 01/30/97 •io test upstairs FIL MS 04/09/97 JT $25 reinspection fee for plumbing top out . contractor mailed in E75. I am sending back check and they will send us another check for the correct. amount. Jeanne $25 paid on 2/4/97 MSTA790 Electrical Final 10/29/96 / / 04/0.!/97 PASS TLP 04/02/97 TLP MSTA795 Mechanical Final 10/29/96 / / 04/04!97 0-1- see bldg final this date A/N KS 04/07/97 KBS MSTAT95 MechanicaL Final / / / / 04/0:'/97 APP KS 04/10/97 KBS MSTA797 Plumb Final 10/29/96 / / 04/02/97 _ M IiJ J PASS MS 04/03/97 iRS MSTA798 Final inspection 10/29/96 / / 04/04/97 #-1- plumbing, electrical, erosion DIS KS 04/08/97 KBS control finaled #-l- comple.e fire toeing at garage 1-3- kitchen louver painted shut exhaust #-4- insulate crawl door #-5- supoort un der fl insulation as needed #-6- support electrical cable crawl #-7- remove wood/debris crawl recover vapor barrier as needed #-8- locate low point drain #-9-provide guardrail at ext deck #-10- slope finish grade away from structure MSTA'/99 Building Final 10/29/96 / / 04/04/97 #-1- see inspection notes DIS KS 04/10/97 KBS MSTA799 Building Fine[ / / / / 04/09/97 APP KS 04/10/97 KBS MSTA960 (F) Issue Cert. of occupancy / / / / 04/09/97 mailed 7-22-97 07/22/97 S*W MSTA970 Case Finaled / / / / 04/09/97 APP KS 04/10/97 KBS 2 2 N T h J w J I CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 CERTIFICATE Or' OCCUPANCY PERR1 IT #1. . . . . . . a MST96--0504+ DATE: ISSUED- 04/09/13'"7 i PARCEL: 2,3103DD-HOL 7I TE: ADDRESS. . . : kr`56'► + SW 1 16 TH AVF_ SUBDIVISION. . . . : HUNTER' S GLEN ZONING:R--4. 5 FID BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 1003; JURISDICTION: -------------- CLASS OF WORK. :NE_W _ TYPE OF USF , . . :SF TYPE:: OF CON ST R:5N 7CCUFIAhfCY ©RFI. :R3 OCCUPANCY 1_..OAU:2 Remarks .- Path 1 Owner: LEGEND HOMES 6900 SW HAI NES ST' TIGARD OR 9722:3 Ph an e 4.- 6-20-8080 Contractor: --- _ LLGE»ND HOMES CORPORATION 7.160 SW HA7-ELFERN RD. sU I TE 100 T iGARLt OR 97F,24 1"Ihone #1 620-8080 Rey #4. . . 60563 This Cortifir.'ate yratnti, nccupanc:�y of the abc,ve rv-ferenced bVilding or portivil th-reof and c:onfi:-ms that the building hast, been inspected for Camel ianc.e with ':he 5taate of Oregon Gpecialty Codes for the yr qrIF9 ocic:upanc,y, anti uf.e kArider whish the reFerencod permit was isE.ued. � f i N NciF�E C TO F2 HU I E I NG Cif'FC 1 AL___....._..___._........._._.._ P06T 161 CONSPICUOUS PLACE Lu CITY OF TIGARD DEVELOPMENT SERVICES IrIASTEP F'E.RIhIT 13125 SW'Hall Blvd., Tigard,OR 97223 (503)639-1171F'E.Rh'IIT #. . . . . . .DATE: ISSUED: 11/1B/96 FARCEL: 2S103BD—HG003 SITE ADDIRE'SS. . . J. :,4:r _ 5(+! 1. 16 T H (-IVF.. SUBDIVISION. . . . : HUNTED' S ISL.E:N ZON I NC-a: R-4. 5 I''1_) eL0(3K. . . . . .. . . . . . x_.01 . . . .. . . ., Remarks: Path 1 ----------------------------•----------------------------------- BUILDING ---------------------------------------------------------------- REISSUE:M5T96-0489 STORIES.......: 2 FLOOR AREAS-- --- --- BASEMENT...: 0 sf REQUIRED SETBACKS— REQUIRED------------- CLASS OF WORK.:NEW HE1GH1........: 26 F!RST....: 1047 sf GARAGE.....: 440 sf LEF1..........: 9 SMOKE DETECTRS: Y TYPE OF USE... :SF FLOOR LOAD....: 40 SECOND...: %7 sf FRONT.........: 20 PARKING SPACES: 1 TYPE OF CONST.:;N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 8 OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2014 sf VALUE—$: 142516 REAP,..........: 41 -- ------------------------------------------------------ PLUMBING -----------------------------•------------------------------•------- SINKS.........: 1 WATER CLOSF-TS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: i CATCH BASINS..: 0 TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: I WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 ONL3 FIXTURES: 0 --------------------•---------------------------------------- MECHANIC',! --•---------------------- FUEL TYPES---------- FURN ; INK, ..: 2 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 /GAS/ / / FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1 MAX INP.: 0 ?TU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1 ----------------------------------------------------•---------- ELECTRICAL --------------------------------------------------------------- —RESIDENTIAL UNIT---- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 10,1!1 Si 0� LESS: 1 0 - 200 amp..: 0 0 -- 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 9 PER INSPECTION: 0 EH ADD`1. 5005F.: 3 201 - 400 amp..: 0 201 - 400 amp..: 0 15t W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGf.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANE 4M/SVC/FDR: 0 601 - 1000 amp.: 0 bol+amps-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 - - - - —------------ ---- --- PLAN REVIEW SECTION --------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC- OCC: ------------------------------------------------ ELECTRICAL - RESTRICTED ENERGY ----------------- k. SF RESIDENTIAL--------------------------- B. COMMERCIAL------------------------------------------------------------------------------- AUDIO # STEREO.: VACUUM SYSTEM..: AUDIO G STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNI-: GARAGE OPENEP..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0 Owner: -----------------------------------Contractor: ------------------------------ TOTAL FEES:$ 4134.13 LEGEND HOMES LEGEND HOMES CORPORATION 6900 SW HAINES ST 7160 SW HAIELFERN RD. SUITE 100 TIGARD OR 97223 TIGARD OR 97224 Phone #: 620-8080 Phone #: 620-8080 Reg #..: 60563 N This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Cie. Specialty Codes and all other applicable laws. All work will he done in accordance with approved plans. This permit will expire if work is not startrd within 180 days of issuance, or if work is suspended for more than 180 days. —' -------------------------------------------------------- REQUIRED INSPECTIONS ------------------------ t Erosion Contol Underfloor insul Electrical Servi Fireplace Insp Rain drain Insp Plumb Final Footing Insp Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Final inspection ' Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk Insp Building Final Post/Beal Struct Aechanical Insp Shear Wall Insp Insulation Insp Electrical Final Post/Beam Mechan Plumb Toa Out Low Volta Gyp B rd Insp Met nieal Final F'er•mittep SicnAi;ure : T� `'Iss�_ref Hy : Ca 1 1 f i n Dec i on 639- 4175 CITY O F T i G A R D SEWER CONNECTION DEVELOPMENT SERVICES PERMIT PERMIT # . : SWR96-0508 d-M LM 1312i SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 11/18/96 PARCEL: 2S103BD--HG003 SITE ADDREz�133. q 0. SW 11.6 TH AV1--j. SUBDIVISION,. . HUNTER' S r-,'-FN ZONING: R--4. 5 FID BLOCK. .• . . . . . . . . LOT. . . . . . . . . . . . . .003 TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . 0 CLASS OF WORN,. . . :NEW DWELLING UNITS. . : I TYPE OF USE. . . . . :SF No. OF BUILDINGS: 1. INSTALL TYPE. . . . :BUSWR IMPERU SURFACE: 0 sf Remarks : Path I Ownei-: FEES LEGEND HOMES type amoi.tnt by date recpi 6900 SW HAINES ST PRMT $ 2200. 00 B 11/18/96 96-286639 INSP $ 355. 00 B 11/18/96 96--286639 TIGARD OR 97223 Phone #: 620--817.180 CONTRACT'.)R NOT ON FILE ----------------------------------- Phone #: $ 2235. 00 TOTAL Reg #. . : REPO IRED I NSPECT T ONS This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires IPA days from the date issued. The total 25OUnt 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 directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the A y wilinst a lateral. Flet-mittee S , Ts-il-led By : Call fot- inspection 6,39-4175 cc C-0 Plan Check# lei ,ITY OF TIGARD Residential Building Permit Applicatior. Recd By yT- 3125 SW HALL BLVD. New Construction Acs itions or Alterations Date Recd IGARD, OR 97223 Single Family DetachE : or Attached - Date to P E. /a 2 4- 6 03) 639-41 71 1 Date to DST /6 "-'y- 1-/- 4 Print of type ''.A ` 06 Permit# Incomplete or illegible applications wt�no he accepted called _ Name of Subdivision Lot# —^ Name Job HUNTER ' S GLEN II ; LEGEND HOMES Address Site Address Architect Mailing Address 2')02 SW 116tH /lyenclr 6900 SW Haines St . Name City/State Zip Phone LEGEND HOMES Ti lard , OR 97223 620-8080 Name Owner Mailing Address F R O E I_I CH 6900 SW Haines St . _ City/State Zi Phone Engineer Mailing Address Tigard , OR 9223 620-8080 6969 SW Hampton St . City/State Zi Phone Name _ ligard , OR 97223 624-7005 i;enera I LEGEND HOMES Cescribe work negyb addition O alteration O repair O Contral.tor Mailing Address to be done: 6900 S W Haines S t . Additional Description of Work- City/State Zip Phone Tigard , OR 97223 620-8080 Oregon Const. Cont. Board Lic.# Exp.Date — 41'achCopy of 060563 6/19,/97 Project T$ Current COT Busin ss Tax or Metro# Exp Date 4 3 �)�/ ,6/1/97 v Valuation , Licenses Na 7. c,' - _NEW CONSTRUCTION ONLY: Name Mechanical SLINGLOW INC . Sq.Ft. House: Sq.Ft.Garage: Sub- Mailing Address Contractor . 2428 SE 105th Corner Lot Yes No Flag Lot Yes No City/State Zip Phone (check one) (check o^e) Portland, OR 97218 2 5 3-7 7 8 9Restricted �l .L%t Audio/Stereo tic .z Burglar Oregon Const.Cont. Board Lic.# Exp.Dat Energy r System Alarm Attach Copy of 148131 �'q) v - — Current COT Business Tax or Metro# Ex a e - Installation s Garage Door HVAC 1 7 Opener Systems Licenses 1276 Name (check all that Other: Plumbing WOLCOTT PLUMBING app Sub- .!ailing Address Will the ele:trical subcont.actor wire for all Yes No P O Box 2 0 0 7 restricted energy installations? _ Contractor Has the Subdivision Plat recorded? :'A Y s No City/State Zip phone Gresham OR 97030 667-9891 Oregon Const.Cont.Soard 1.1c.# Exp.Date Reissue of MST# -� Solar Compliance Attach Copy of 10/19/97 /j Q I (Calculation Attached) Current Plumbing Lic.# Exo.Date 1 hereby acknowledge that I have read this application,th.t the Licenses 2 6-2 0 8 P 8 8/31/97 information given is correct, that I am the owner or authorized agent of COT Business Tax or Metro# Exp. -ite the owner, and that plans submitted are in compliance with Oregon Fes, 96-4281 12/ 96 State laws. V) Name Si nature Ow NAgent� to Electrical GARNER ELECTRIC con t,Ps N c hon _� Sub- Mailing Address !" Contractor 21785 SW 1V Highway FOR OFFICE USE ONLY: _ W ;ity/State Zip Phone Plat# MapfrL#: Aloha OR 97006 591-1320 ((�� pp Oregon Const.Cont.8o rd Lic.# Ex Date (.' I$ 'I' l 2�i [Attach Copy of /� 7_ , 7 Setbacl? i zone: Solar: Current Electrical Lic.# ExJ�.Dale N" Y r `,//Licenses 34-305C /�' % ttCOT Business Tax or stro# Exp. at Enginee'ring Approval: Planning Approval: TIF: V_stapp.doc G It , FPcm-A # Account Description Amount Amt. Sty�.o7lr { MST. Permit (BUILD) SUO, ,� I JS jZ Plumb Permit (PLUMS) Mech. Permit (MECH) ELC/ELR Permit (ELPRMT) 2 Z State Tax (TAX) Bldg- Plumb: Mech: _ Z )_✓ ELC/ELR: , Z ✓ ��,o co z, Plan Check ,tyl rLr ss MST: (BUPPLN) Plumb: (PLMPLN) Mech: (MECPLN) e v F5 Tin, CDC Review (LANDUS) `x 4G•USc Sewer Connection (SWUSA) 2 i,,o Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) p 3,V Residential TIF (TIF-R) /S-/V, Mass Transit TIF (TIF-MT) Vic ' 1 Zti' Water Quality (WQUAL) Water Quantity (WQUANT) _ Y Erosion Control Permit (ERORMT) Erosion Planck/USA (ERPLAN) ,. Erosion Planck.'COT (EROSN) A'4-- u J Fire Life Safety (FLS) TOTALS: ; 1 ` �rr Yd�3 I3 Wststrnstapp doc Rev. 7/96 ��_ 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 MST96-0504 Date Issued. : 11/18;96 Parcel . . . . . . : 2S103BD-HGO03 Site Address : 12502 SW 116TH AVE Subdivision. : HUNTER' S GLEN B]. -)ck. . . . . . . : Lot : 003 Zoning. . . . . . : R-4 . 5 PD Remarks : Path 1 Y(,ur company has been indicated as the els, gal 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 fr-)m your company sign below and return this Electrical Signature Form prior to the start of wog k. No electrical inspections will be authorized until this completed form is received. AN INK SIGN,=+TURF IS REQUIRED ON THIS FORM OWNER: ELECTRICAL CONTRACTOR: LEGEND HOMES GARNER ELECTRIC 6900 SW HAINES ST 21785 SW TV HWY #L TIGARD OR 97223 ALOHA OR 97006 Phone # : 620-8080 Phone # : Reg # . . : 116721 n Signafr4fu in I ec in Co Uj Please return this completed form to the address above. ATTN: Building Dept. If you have anv questions, please call 639-4171 , ext. #310 i CITY OF TIGARD RECEIVED 13125 S.W. HALL BLVD. TIGARD, OR 97223 Nov 2 7 M t AWL I IMPORTANT PERMIT NOTICE I WOLCOTT PLUMBING CONT. INC P O BOX 2007 GRESHAM OR 97030 I Plumbing Signature Form Permit # . • . . :, MST96-0504 Dare Issued. : 11./18/96 Parcel . . . . . . : 2S103BD-HG003 Site Address : 12502 SW 116TH AVE Subdivision . : HUNTER' S GLEN Block . . . . . . . I:r>t_ : 003 Zonir^ . . . . . . 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 individual 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 com; ed form is received AN INK SIGMA i L)RE IS REQUIRED ON THIS FORM OWNER: 'LUMBING CONTRACTOR: LEGEND HOMES IOLCOTT PLUMBING CONT. INC 6900 SW HAINES ST P O BOX 2007 TIGARD OR 97223 GRESHAM OR 97030 Phone # : 620-8080 Phone # : Reg # . . : 23847 L - Signature of Authorized Plumber n Please return this completed form to the address abs ve. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310