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12537 SW 116TH AVENUE
CITY OF TIGARD
DEVELOPMENT SERVICES
13725 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
CEF F 1CATbcprjF:,w,1cy
v.,rRmx,r #. . . . . . . M F;T 9 6-0 5 1-;.7
DATF ISSUED: 05/c1`11')7
S)'I'E ADDRESS. . . 12'537 SW 1167H AVI
SUBDIVISION. . . HUNTER' 19 GLEN 2 ON I N13- R 4. Pn
BLOLK. . . . . . . . . . .I LOT. . . . . . . . . . .. . . .00.) JURISDICTION.') IG
CI-Ael" OF' WORR. :I i: t-,'
TYNE OF USE. . . -, f
'TYPE OF CONSM -1--i
OCCUPANCY GRP. - V
OCCUPANCY LOAD;,.:-
Re mavk s t PAM I
Gwnev-s
I-E(". END HUMS IZ
6900 SW HAINU-�j 5T
TICiARD OP. 97 'C`3
Phone #i 620-13080
LF.GF.W.) HOMES GUIRVIOPAT 1(')N
7160 ;W tiAZELFLVN RD.
U)TF. 100
116ARD OR 4726'14
Phone 4 , 620-81M10
Hpu #. . . 00060�°) I
Thi s Cert t f icsfu gt,ant� or cflp,afrC'y Of th�i LIbol,-v r #,f ev-pw ed tmi ldl),Ll t,r,r i t0l,
tll(weuf and c,onf lvmi that Lho- bul. I -Jing A n%pi�---Jed toy t omv,] j �ir wl i 1
the State of Or,ewon Specialty Cocjpi ror• thf." r afir,
whlich th" t-efer-qnced pet-mill was
E}(-J,l L- -1-N-SE-P L' C TOR CAU I L D iqJ�,l Orr ri I of,
POSI I N CONSF,I E LJOLJ!" f-,t Ort-
,71
4�
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc 611)-417.; Business Phone- 6394171
Date Requested: s 1 A M P.M _ MST: _
Location: ' ^� j � BUR !
'tenant: Suite: Bldg: MEC:
Contractor:_ Phone: `) PLM: _
Ovmcr: Phone: ELC:
ELR:
— SIT:
BUILDING BLDG(con's; PLUMBING ~MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewcr/Storm
Footing Roof UndFI/Sldb Rough-In Ceiling Water Line
Slab Framing. Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Mason,y Ceiling Rain Frain A/C TIG Slab
Shear/Sheatli Fire Spklr/Alm Crawl/Found Fr Kiat Pump Low Volt
oved Approved Approve Approved Approved
Appr/Sdwik of proved Not Approved i JyPre.ed roved Not Approved
1rINIy FINAL !FINAL. -TINA!, FINAL
_ >�
0-
L4 la If, so Ord V
n
0 Call for rein on Rein tion fisc:al•S required before next inspection C7 l Inable to inspect
Date --S� �'Q� PageV_— of
CITY OF TIGARD
DEVELOPMENT SERVICES MASTER PERMIT
•�_, r,F'EI;rvj?M l-f,- kf. . . . . .. MLiT96--05 :7
13125 SIN Half Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: O i/1 b/97
.CTE ADDRESS. . . : - ':�44 SW 116-fli nV[
ZONING: F?-4. 5 PD
1_;UBD T V I S I ON. . . - : FIUNTER' S GLEN
T. .
Remarks: PATH I
--------------
-------- BUILD?NG ---------------------------------------------------------
_--------------•f-----•------- -----------R-- ------------------
REISSUE: STORIES.......: c FLOOR AREAS---------- BASEMENT...: 0 s, RE�2UIRED SETBACKS—- EgUIRED-------------
CLASS % WORK.-NEW HEIGHT........: 24 FIRST....: 1054 if GARnG1.....: 482 s LEFT..........: 1` SMO!(E DETECTFiSt Y
TYPE OF USE...:SF FLOOR LOAD.... : 40 SECOND...: 992 5 FRONT.........: 20 PARKINC SPACES: 1
TYPE OF CONST.:514 DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5
. 2046 if VALUE..t: 145399 REAR.... ...: 40
7CUPANCY GRP,.R, T--------'
� BDAM: 3 BATH: � ... ---------___..---____--
----------- ---- --------
_.—_____ ------------------------ PLUMBING -----------•-----------------------------
iWS,,,,,,,,,; 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TPAPS.........:
_+4'ATORIES....; 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN. DRAINS: 1 CATrL -gSINS.,; 0
TUB/SHOWERS...: 3 CARBAGE DISP..: 1 WATER HEATERS.: '. WATER LINE ft: 100 BCKFLW PRF.VNTR: 1 GREASEOTHER FIXTURE5: 0
' MECHANICAL --------------------------------------------------- -----
-'JEL TYPES----------- FURN ( INK ..: 0 BOIL/CMP l 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS:
GAS/ , ; FURN )=160K ..: 1 UNIT HEATERS..: e HOODS.........: I OTHER UNITS... :
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: a WOODSTOVES....: 0 GAS OUTLETS...
ELECTRICAL
1S---- AD
---- ----- ----------
_..-..----_-_�___..___.._.-----•--_.-------.-- D'L INSPECTIONS-
-RESIDENTIAL U"IIT ---SERVICE/FEEDER---- --TL74P SRVC/FEEDERS-- _-BRANCH CIRCUITS--- ----MISE
:0@P E OR LESS: 1 P. 200 amp..: e 0 - 200 amN..: N W!SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PEP INSPECTION: 0
A ADD'L 500SF.: 4 201 400 amp..: 0 201 - 400 amp..: 0 1st W/0 SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOUR......:
'_IMITED E1!ERGY.: 0 401 600 AP 0 401 6e0 asp..: 0 EA ADM. BR CIR: 0 SIGNAL/PiINEMINOR LA3ELL-10: 0 Its PI AN'
?ANF HM/SVC/FDR: 0 601 - Jul amp.. a 601+amps-1.000 v: 0
1@0@+ amp/volt.: 0 -•------------------------------------ PLAN REVIEW SECTION --
Reconnect only.: 0 )=4 RES UNITS.. : SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREAISPC OCC:
-- ELECTRICAL - RESTRICTED ENERGY -------------
, 5F RESIDENTIAL---•____..--------------•-- -- -•
B. COMMERCIAL--------- ----------------------------------------------------R LNDS-----
'l -
PUDIC I STEREO.: VACUUM SYSTEM,.: AUDIO t STEREO.: FIRE ALARM.....: INTERCOM/PAGI%: DL!TDOOR NDSC LT;
°URGLAR ALARM..: OTN; :: X BfILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL.:
rgRAGE OPENER..: CLOCK............ INSTRUMENTATION: 0ICAL........: TOTAL N SYSTEMS @
3VAC.....E...... DATA/TEL.E COMM.: NURSE CAL.LS....:
Contractor - TOTAL FEES:! 2834.401
;.EGEND HOMES LEGEND HOMES CORPORATION
6904 SW HAINES 5T 7160 SW HAZELFERN RD.
SUITE IN
T'GARP, OR 97223 TIGARD OR 97224
1e N: 620-8080 Phone A: 620-8080
Reg M..: 6P96
j permit is issued subject to the re3ulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all atr•i.
j icable laws. All work will be done in accordance with approved Pians. This persit will expire if wore is ^nt started within 180
of issuance, or if wo-N is suspended for more than 180 days.
RE.Oil IRED INSPECTIONS -_.___--------.._..____-. --.----------_....._--.---------------
ting Insp A-M!Underfloor Frat;ng Insp Gas Fireplace Water Service In Building Fital
ie,,a'ion ,nip Mec*i:cal Inq Shear Wall Inst Insulation Insp Pppr/Sdwll Insp
t/Bean Struct Plnmb Top Out Low Voltage Gyp Board Insp Electrical Final
!,/Beat Machan Ela_+.rical Serve Firapla^e lnsh Parr`tlrain Insp Mechanical Final
+wl Drain Electrical Rough J Gas Litre Insp 41. Line Imp Plumb Final
_r 4 1 S
CITY O TIGARD
SFW[R C-Oh1NECT T ON
DEVELOPMLNT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : ;WR96--05, 15
DA'T'E TSGUED: 01/14/97
PARCEL:
SITE ADDRESS. . . : 12--WSW 116TH AVE
SUBDIVISION. . . . : HUNTER' S GLEN ZONING: R -4. `, PID
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :005 7)7.NAN'T NAME. . . . . :
USA N0. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF Wf]W. . ,, :NEW DWEL_I.I NO UN I TS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTAI_I... TYPE. . . . -B'JSWR :IMPPRV SURFACE: 0 if
Remar-k, : PATH I
Owner,. ---__.___.___---.___.______.._.__.___...__.___._.____._..___._.___..___ ___..__... FEES
LEGEND HOMES type amount by date r^ecpt
3900 SW HAI NES ST PRMT 2200. 00 .TMH 01/14/97 97--288894
I NSP 't 35. 00 ...TMH 01/14/r97 97--288894
TIGARD DR 97223
Chane #: 520-8080
LEGEND HOMES CORPORATION
7160 SW HAZC_LFFRN RD.
SUITE_ 100
TIGARDOR 9722'14 _._.___...-__._ __._...___.__.,......._....__.._..__. _____..__._._._..__.___......_....
r'h nn e #: 620-41080 $ 22 35. 00 TOTAL
R cl Cr it. . : GO561--;
-.-.._._.__.._. REO U I RED t NSPECT I ONr _._...
This Applicant agrees to comply with all the rules and regu'.ations 5ewot- In,pert i cin
of the Unified Sewage Agency, The ppreit expires 188 days from
the date Issued. The total amount paid will be forfeited if the
persit expires. The Agency does not guarantee the accuracy of the
side sewer laterals, if t'.e 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" Pe+-mrt and the A enc will install a latera)
!rmitter� aivatl.lr,e ; �*
Call fair• inspect ion - E,39-4175
�I
Plan Check# 7. z
:ITY OF TIGARD Residential Building Permit Application Recd By, . U t.
3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd :
IGARD, OR 97223 Single Family Detached or Attached Date to P E.
503) 639-4171 Date to DST ff
Print or Type x'1-K4 ` " I ` Permit#
Incomplete or illegible applications will not beWrreVtted czued
Name of Subdivision Lot# Name
Job HUNTER ' S GLEN 11 , Architect Mailing GENDLEGEND
Address
Sit Address 6900 SW Haines St . _
Address 1L� ss, SW 116t1! Ayr,nue
Name City/State Zip Phone
LEGEND HOMES Ti _ ard OR 97.223 620-n080
Owner Mailing Address
Name
6900 SVS' Haines St . Engineer MailingAddressCity/state Z Pph e g 6969 S W Ham ton St .
Tigard , OR 97223 62�-8080
CftyBtateZipp Phone
Name Ti d , OR 97223 624-7005
General LEGE=ND HOMES r)escnbe work new O addition O alteration O repair O
Contractor Mailing Addross — to be done:
6900 S W Haines St . Additional Description of Work:
City/State Zip Phone
Tigard , OR 97223 620-8080
Oregon Const.Cont. Board Lic.# Exp.Date
Attach Copy of 060563 _ 6/19/97 Project
Current COT Business Tax or Metro# Exp.DateValuation
Licenses 43--71 64-1497
Nome 7, /�. NEW CONSTRUCTION ONLY:
Mechanical SUNGLOW INC . Sq.Ft. House: //' Sq.Ft arage:
Sub-
Mailing Address r.7_
Contractor , 2428 SE 105th Corner Lot Yes No FIWq1 of Yes No
city/State zip Phone (check one) {, (check one;
I PP o r t 1 a n d. 0 R 97216 953-7789 Restricted Audio/Stereo - Burglar
Orego.i Const. Cwnt. Board Lic# Exp_DateEnergy I '' System / Alarm
a.:tac!i copy of 48131
Current COT Business Tax or M tro# Exp.'Datb Installation I Garage Door HVAC
Licenses J'QW?fi (.. /' : 1//' / / > Opener Systems
Name (check all that Other:
Plumbing WOLCOTT PLUMBING apuI)
Suh- .'ailing Address Will the electrical subcontractor wire for all Yes No
Contractor PO Box 2007 restricted energy installations) _
City/State zip Phone Has the Subdivision Plat recorded? ' N/A Ys No
Gresham, OR 97030 667-9891
Oregon Const.Cont. Board Lic.# Exp. Date Reissue of MST#
=j Solar Compliance
Attach Copy of10/19/97 _ � (Calculation Attached)
Current Plumbino Lic.# Exo. Date I hereby acknowledge that I have read this application,that the
Licenses 2 6-2 0 8 P B 8/31/97 information given is correct, that I am the owner or authonzed agent of
COT Business Tax or Metro# Exp.Dale the owner, and that plans submitted are in compliance with Oregon
96-4281 12/96 State laws.
Name Signsturla of Oyrper!,Aoent / Date
Electrical GARNER ELECTRIC Con et 'ersoh Name-'` Phone
Sub_ Mailing Address ,
Contractor 21785 SW TV Highway FOFF�—OF FICE SE ONLY:_
City/State zip Fncne Plat# Map/TL#:
, Aloha , OR 97006 591-1320
Oregon Const.Cont. Board Lic.# Exp D e
Attach Copy of etba¢ks Zone: Solar
Current Electrical Licc,0 Ex . ate/
L
Licenses 3 4-3 0 5 C r '
COT Business Tax or Metro# E .D e Engineering Aperoval: Planning Approval. TIF:
Vsbnstspp.doc
Per ii Account Desgri &, rl BL�1QSdDS L� Fes. i
MST. Permit (BUILD)
Plumb. Permit (PLUMB) , }
Mech. Permit (MECH)
J
ELC/ELR Permit (ELPRMT) 7
St to rax (TAX) o
Bldg: U
Plumb: _ A-2
Mech: G:� Z��✓
ELC/ELR: ,
Plan Check
MST: 3 5( • ' - ' (BUPPLN) �
Plumb: (PLMPLN)
Mech: (MECPLN)
0 V Z17
CDC Review (LANDUS) c
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) 3'
Parks Dev Charge (PKSDC) _
Residential TIF < /F-
T (TIF-R,)
Mass Transit TIF �j � (TIF-MT)
A�TtV'later Quality (WQUAL) _
Water Quantity (WQUANT)
Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) J, V-11
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS:
i stsmstapp doc ('�`
F•ev
CITY OF TIGARD
13125 s w. IiALL BI-VD.
TIGAR'N OR 97223
IMPORTANT PERMil' NC-TICE
WOLCOTT .PLUMBING CONT. TNC
P O BOX 2007
GRESHAM OR 57030
Plumbing Signature Form
Permit # . . . . : MST96-0527
Date Issued. : 01/14/97
Parcel . . . . . . . 2S103BD-HG005
Site Address : 12517V SW 116TH AVE
Subdivision. : HUNTER I S GLEN
Block. . . . . . . . Lot : 005
Zoning. . . . . . : R-4 . 5 PD
Remarks :
PATH I
Your comp60y has been indicated as the plumbing contractor for the permit indicated above. In order
or 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 completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNF;P : PLUMBING CONTRACTOR :
LEGEND HOMES WOLCOTT PLUMBING CONT. INC
6900 SW HAINES ST P U BOX 2007
TIGARD OR 97223 GRESHAM OR 97030
Phone # : 620-8080 Phone # :
Reg # . . : 23847
Signature of Authorized Plumber
Please return this CORIpleLed form to the address above.
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 ^IOTICE
GARNER ELEC'_iRIC
21785 SW TV IRly
#L
ALOHA OR 97006
Electrical Signature Forrn
Permit # . . . . : MST-96-0527
Date Issued. : 01/1.4/37
Parcel . . .. 2S103BD-HG005
Site AddrkAP712s-WI� SW 3.16TH AVE
Subdivision. : HUNTER'S GLEN
Block. . . . . . . . Lot : 005
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 vaiid, 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 comple.ed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
c)bVlJl,l ELECTRICAL CONTRACTOR :
LEGEND. HOMES GARNER ELECTRIC
6900 SW HAINES ST 21785 SW TV HWY
TIGARD OR 97223 #L
Phone It : 620-8080 ALOHA OR 97006
Phone # :
Reg # . 1 6721
x
Si atur o Ul ectri- an
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310