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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00397 Al DEVELOPMENT SERVICES DATE ISSUED: 3/31/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD-11200 SITE ADDRESS: 07737 SW ALDER ST ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 010 JURISDICTION: TIG Project Description: New SFA. BUILDING REISSUE: COLOGNE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 963 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 1,254 sf GARAGE: 462 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRO: sf RIGHT: 4 VALUE: 216,874.20 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,217 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st W/O SVOFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS 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: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 8 SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes LEGEND HOMES LEGEND HOMES CORP and all other applicable laws. All work will be done in 12755 SW 69TH AVE# 100 12755 SW 69TH AVE #100 accordance with approved plans. This permit will expire PORTLAND, OR 97223 TIGARD, OR 97223 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503 620 - 8080 Phone: 620 8080 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: LIC 60563 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 6,920.10 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS ��/ ` r Issued By : ✓t X19, i tt Permittee Signature : , JIINA L A , Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit ; lication t : t` F O R OFF ONLY ; ; r I r+ - � • City of Tigard CEiv Received ahi s ` a - ay -� Permit No.: 3�_ i � 7 13125 SW Hall Blvd., Tigard, OR 97 3 ; ®, l � Plan Review S c Phone: 503.639.4171 Fax: 503.598.1960 - � I t . D ate /B : �: , � � S-� Ju O ther Perm ,/d -- /a3 �� Inspection Line: 503.639.4175 ` � .671 - - : ^; Date Ready /By: - rts• See Attached Checklist for Internet: www.ci.tigard.or.us DEC ' 20 2004 Notified/Method:/ ;,a) - d ' / fr H Supplemental Information ::_fir A �:. � _��.:- Ytii.�`5 .;�., : : . °: � 0a , R °. Ull 'Ii?:'T - At I) t11 eY DW L>11N ® New construction v � 1 SIONTon Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the w: fn; <-, ', c-ts , , W -- N" - "', = '< , `3 work indicated on this application. G >Y 9-FA \ST:P ?IU 1 : : :�.;�. e a}' ��x» �-•>". m-,_.< i.:'; �:: i.. �, �zm;.... �:: :=±, �aa�: �vd" �, �; �< � >r.�.�.e r �; ; 4 w.._. �. -_ , -.. .. Valuation: $216,077.40 ® 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 . ❑ Master builder ❑ Other: Number of bathrooms: 3 .;:, , - .�., y : < ° . .: .° ;�I..>...: \, "'„' F .: r �d ,,.; , --. Total number of floors: 2 0 - - .ow :n S ITE lI FURNtAT10NA A1\A f.1CATI V . Job site address: 7737 SW Alder Street New dwelling area: 2217 square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: 462 square feet Suite/bldg. /apt. no.: Project name: Hambach Grove Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet R1;Q,LlIRED DATA: :0: ME_RC1Al'sUSE Gf1EGKIr1S Subdivision: Hambach Grove Lot no.: 010 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: `', ,':- ,"•; � : -ors ;..:.::..., - <,. ,. r ..:r- ._: =:. , ,w; ':: <,w:r ",,.,,,. and the profit for the a indicated on this equipment, materials, labor, overhead, a e r t; , ,�.,, ... •���, �,. ��� �„ > °.: ��`;.�" �` work indica application. 'r < 1)EA. ,,,,'7 ON' CVO &K, " '� ^„ �; 5.1 :.��. °. ...< �:i�'a..., - ,:: >r.,,� �� <.�� .�a�:,�•a�.,, � "�.,. gay- ��..,, - -, �� ��_� Valuation: $ Existing building area: square feet New building area: square feet 4•. I= s 're Number of stories: �.• PRO7'EIZTI'' CjlS'iVE1Z:` " ❑ "'�'P�1V:�?cNT•, =;; °.: .,.�,.. .. -. � �...,.. � � -�, ::. :�,: - :><`<�� �s,r�.�. wry ��,:.�'::�',.. Name: Legend Homes Type of construction: Address: 12755 SW 69 Avenue, Suite #100 Occupancy groups: City /State /ZIP: Portland, OR 97223 Existing: Phone: (503)620 -8080 Fax: (503)598 -8900 New: 7 ; , ,r;; :: ter: a .r ,,, sue.,... F � �P _ .. - ,. , . APPI�ICAI�iTs.. ,::,�,� „ :. ,,. > � vGONT�AG�Ta;E12SQi`I ? �• • % ..�� .�_- ..� � .�.... h_., mom. ,. .. ,. ,,,,. ,,. n,,., .,. ,,,te...r. -: � �., ,041-. Business name: Legend Homes All contractors and subcontractors are required to be Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12755 SW 69 Avenue jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: Portland, OR 97223 apply: Phone: (503) 620 -8080 Fax: : (503) 598 -8900 E -mail: slucas @legendhomes.com �� �.; >.: ;GOt�iTR#CTOR. y .' : %,.,i Business name: Legend Homes :::- , „ '::: , °;. .:- z::. :r g ,: ; T7ItiD[NG E 111' FE ; a .E:= _s M :: ,,k4 Address: 12755 SW 69 Avenue, Suite #100 Please refer to fee schedule City/State /ZIP: Portland, OR 97223 Fees due upon application Phone: (503) 620 -8080 Fax: (503) 598 -8900 Amount received CCB lie.: 060563 Date received: Authorized signature: 4jL This permit application expires if a permit is not obtained e within 180 days after it has been accepted as complete. Print name: Steve Lucas Date: 12/16/04 * Fee methodology set by Tri- County Building Industry Service Board. is \Building \Permits \BUP- PermitApp doe 12/03 440-4613T(1 1 /02 /COM /WEB) 01/16/2003 00:15 6427925 PAGE 01 �. '. DEC -01 -2004 WED 0430 P11 Legend H�7 m FAX NO 5035988900 P, 02 1 \1 f +f F 1 .11. ,. tY -1r ve y k •' +' a, 4e Permit .�.., ,K , '� z �s .,�.+ s..i.. 1,1 1 �1 I.If".: 4 . >t. 1 . " : s 1 ,'K Electrical �4 e t A. P .4 i , ? "`$ : . h r a • 8 F o r . : . City of Tigard t 2t0 ' :wow Phone: PesnlRNal . !3l35 SW Hall 81v11« Ilrstd.OR 97223 '- 1D Gs ? Min/Wiese ° Other WsnO ?03,639.4171 Fun: 503,5.1056 �x l ;. Inepdt0elon L1rte: 503.ii30 417! �] '� Y B ' l i , l i � sh 9uyp1 wl lefo►eullon tlttOnsc WWW,ai,tlP,rJ ?•U$ 1 ® • ( i t (� , . ''rr 'f ,�n1, ; ,. / .. r ,,.,,,„ lave tl 1, ,,� „11 i111 :, e , LI r S 1 1 , t " it r ” ,i 11 I •'i I • I 1 1 1 1 Crib i Y r 14 VI� H^ I IhgO lit ' �11 Ili , 1 .�. � -, t r 1,1'_1 Nln'4 X11:,' 'Iii- l � ' ti ,. ,t,�;�,1��,,1:y, c � j , � I ��� aa `` 1 �1'� �" " � . ���. � I ... , . c,�,�;�1#J���•�I�f✓.•t: . u G': , I I n t J.� ,� , ul l w � •,i . I hl � (I IN L I81 a y �...�' A111a10 slush I'll � at npp1Y% ►�t N4�yyCOn4i>ttetion to i'''41. 0n/elteretlal►hepleoorrtant ©Spyioa over 225 anise, eamm9 CI Himrdouslooalion III Demolition ® Other, y� QSorvior aver 320 amps - ruing Q I:Wile% sung 101040 3s4q rt.. ❑ J ° 'i P 11rIG 1 It r �' ` w � "} 1 Y 1 '"S''' t i f J ^ 1 1 1 “ ' 5 p...41 . 1 ' t }, i of 1 • led Z'(smtlY dwell** 4 0r more maw tesidarltial G I fi i • tie ,.�+��; Y ',u��IR,13 ,l}'!t`i1'll.,..E a� i- 6,..� _,,,., �.0 .... building Q System over 600 voile nominal Vita In one etwomet El 1 -and 3- family dwelling ■ CeAltltip'oisI/Indt$Ulal IBt. Acwssory tI Sullins alit Om usrier Glp'eedare. 400 mop / ar more OMttlt(•lhmii • Mager builder ■ Other 0Ocwpoot load over 99perms EnMandaCtUTOd anaotan lt∎C.I• ,., t :iu r( l °' tq g f I fn a •�;{ + l IIw "( 1� 7: 1 u1' S " 1 � yfl„Q,..il ' � 1 fi i tin Ian � �.1�',`.��11r�w��� i,fjpg ±� I.1 4111 � 1. IFi�1 .�r11�� •...� Qf .�.il....i.wi � �t; � .l.l�af�ii� ❑ ��11 $ QO I"- RV pork ) < < u - i 1 „� ❑ Re.hh-eare facility Jobno•: ]o6e(eeaddress: ��3� St`> At at �T S ubmit 1souatplanss OR 97224 The above me nut applicable so tm on rparary oroartioe service. CityJ5iate/ZIP:Tigard, q i rll r l igl ' ��i�l�i�i�# N�N�i�� ,,l�y�l'tC,�:t�l:�i�i;;�,"t :,,,' 'i�,F;i�t,�tli�"''•''1�,'•: Suite/bldg. /°P 11 Project itu'w fiatnbeeh Aseovc. pompom Oa Nicninizramia Cross ttre t/diroetione to job cite: hiew roddoxdal Untie-or musts- reams dwellIng Unit w - Ieeludae Method Bar.ga. 1,000 se, ft, or lee! 1 145.J 5 145. tS 4 Subdivision: Hatabosh C�tuov4: Lot no.; O t O se. AIM 500 sq. it, as portion 3 31.40 too.a,o 1 limited on , rstiidonttal 7100 a • Taut • l a • . eel no.: • Llmitad angrily, non•tedenaai 75.00 I l ICS igl dtViiilii is'iiili't,i yell W�,11u� - r' a ui °r�� ` f�' le i, I�?,I`~ii' lr l! fl l'j -R14 - "dash mtntifietutci4r 1 +..t „ �S in law lin: see and,'orStaler • ' 1 .00 Saivism' or fooden In stall 110n, aitornt'wn, and/or relocation 200 s et loos • t 130.30 2 wa + , 201 d io 400 ' MN 106,135 111111111i1111 y qsy� ��gg ''gy�pp y� rt ��cp �g :1 ,, n r t 1 q 1 1 �, . , 3 1 j I r, ry e i 1605{! it M r l i { „AA m tt R, I P t .i. (i ' , te :ou r ' ,' , 1 l' c . 14 , .., . I�:,N .. i.saaaj 441 , l0 600 amW Name: Legend Roma 601 n • 1 to 1.000 antes Milli 240 U - Address: 127S6 SW de Manus, Suite 9100 1'000 wee or vats � ES (tocottneat ant. 66.83 2 Ctty/9WVUZIP; Pardo* OR 97174 Temporary servleaa or teedors Installation, alteration. and/or F ral 603 598 *11900 wiacattoe Phone: (!!03)630 - 8010 ( ? 200 e or iris all NM 11 Ownor ianttt i sales: This insi allation le being made on pre tty that I own which is not 201 atrms to 400 am III 100,30 intended for solo, lease, rant, or exonengc, a000rding to ORS 447, 449, 670, a id 70 I, 401 ads to 600 amps 133.75 Owned signature Dais; lerxooh elm:nits- new, slteratwn, er exte ' anel ggy r ` .....6L''''1,''''; III VI 5 L y r ! r i ll : f- - Fao : �'I,, „ A. far 'Wench oil'anlia with II k �l��,11'I?aY t <� i ”, + 'l ..y �` 1 ii'9��a'.e l �,: ' k...e a..: l'J.i���.i.,�irJ:�4i�iJl�1 itt'viwer�tldarl�'l e�Ch bennen el - ' g, Fes ibr cr vab Ciro Ill!' � � Corltleot Mom Steve l,aoa *Mow e salvias or under fer. -- •�» -•--- sac bush circuit Addnn: 127 5W 69 Avanee, hits 910. Sad 0dd'1 Welt eIeoull 642 111111© City /State/ZIP: PoKtand, OR 97223 Itahcdbtacstos(earrlea toeosr eatimelndad) Pump or Irrigation circle 53.40 7 Phone: (903)43040110 Fax :1(503) 99148000 53.40 d B- 111ai11 silucaaQOlupedhomn•com Siipla onettit(s) or :mime { iii Pslij till :lf Ult i ill 1, 9{l f'Iii i�j j(� rit C45tiit .inigii 't'•',."iNnf ii ti lgiNiti 1;� ' ` it taf� niljl 411'14'1144* ettratitm, or a , ”' 41551511114 Pewits. l Business nuns: Garner VJectrly ,�. Lech ad ditlohai iaapeedeo Over allowable In any urged shore Addrtaot 2920 SW 247 Manua 4r A Poe inapee:on 62.50 . CttyiSseca/ZIpt 13Wabero, OR 97123 lawn on • erilour it hr Cairo = � industrial • rant •er hour t Phone: (60.9) Sil•1310 FIX: 642 -792 G11gilil iht Uwk +ikr 'u. i i 1 to :, , ,' Safi �';�; 'ra{'l �, al i,,,,f CCB Lie.: 131199 r 9.1v, {ac.; 3707 -9 yutaccal Sum. E1eetrid= signature, regii red: /7 r plan re!'1n' (2106 of permit Om) Illy I� .. . i . r State •uraho.lae (Bat of permit ho) 19 . fo3 Print mute: ' • s `• LZ (to 04- TOTAL now BEE 2(eA :NB Authorized signature; Y' wt past 41,4..+» *spirts It a pwmlt le se: asisheat WO * ISO • - - doe Mir ft had boaseeeAkd 45 444145414 Bite^ • Rea mod,adelosy'sibs Di - aDi - atom aul141na uaeey 9ervi,w 3074 Print form Thee Number III panels allowed i:tmaetoavwodstai .feneaset4K saxo 441.461411140WCUMlwae • Mechanical Per 11.' y A 'c ,i ; t ��w , J ` 4 , ,` nFO oFF �CE usE O N y ` . J � �. it is . � � .a. �r£t , ¢ � m - City of Tigard ' �' Received Permit No.: Y• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.591 n 2004 / Date /By: Other Permit: • Inspection Line: 503.639.4175 ^ �� ,W.. Date Read /B Juris: ® See Page 2 for 1� Ready /By: Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information 4= .711 Oil1MER IAT,. FilAtffeoaggtirigeeffaaSV ® New construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. : 5 ; ,,.. s Value: C GORY `O` QAS7(RIJCTIO,- - �1 ; .. >. , >v W ., =; 3.. � v ..,��^�. � , .. �;'>.;':`. :ck`•a34,:3 '� r _ ;�L,Y� �. �•;�tiy +;� " > r 'r v ® 1- and 2-family dwelling ❑ Commercial /industrial ❑ Ac cessor y building - -` " ' RE$E °IA>t t71P117E1�tT /SXS>35 FFsES* Y g Accessory M . :.•/ S y S .,..����S S For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. I Total °.-'>` '° s ,•i JOB ; rIIZkA� tIqR; ° </ Heating/cooling Air conditioning or heat pump Job site address: 7737 SW Alder Street (requires site plan showing placement) 14.00 City /State /ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Hambach Grove Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Hambach Grove Lot no.: 010 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances ._ ,,,,• ..., .,s^', 7:- ,.a>. ` � N :., ;:;; F;� _ w. �: .' €' ; ry ". ku-L :. "^ . >� W a t er heat r 10.00 - o D ,' . P TI O U F., < F ,, A,. ?R,,, p,,.. .' ° :f �,:;2as_'.., .. , •:'\^^'�^, G . '�,. •`35: - -,>' , . , , . � • ,a... > . . r.. ;,'Ef ^,,,,�.'y \ft. \k..• : , n�:`�,.;'ww?x.�•;. %,.,. :,. Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 v • ,' °rx _; ° <i: - '> ,^t 0 ," .s .;. Chimney /liner /flue /vent 10.00 ;; P aE IMAZS w ' ;:i <.. 2, ":TEi�ANT•r. , �j'.PRQRTY .Q., Other: 10.00 Name: Legend Homes Environmental exhaust and ventilation Range hood /other kitchen Address: 12755 SW 69 Avenue equipment 10.00 City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (503)620 - 8080 Fax: (503)598 - 8900 toilet compartments, utility rooms) 6.80 a , N ..�,,, V �z = »:: g >•: ;;;. " Z ��_:: ii— §i /crawls ace fans 10.00 �_ � , � Attic p ►1: 'PI' I - ANT O TAG,,, ERSONr.A °'A C >,'�`��_' �' �v�. � ���' .;CIS .N: > Other: 10.00 Business name: Legend Homes Fuel piping Contact name: Steve Lucas $5.40 for first four; $1.00 for each additional Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc. Gas heat pump City /State /ZIP: Portland, OR 97223 Wall /suspended /unit heater Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Water heater Fireplace E - mail: slucas @legendhomes.com ik Range %:T®R '.. > ..z ,<� "14. ' z y , Barbecue Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive , \ �`," 4 ..-.. ' , ,o' , -- .. - , ;m41 City /State /ZIP: Oregon City, OR 97045 Subtotal Phone: (503) 557 - 2220 Fax: (503) 557 - 0919 Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: 72623 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 474- g days after it has been accepted as complete. Print name: Steve Lucas Date: 12/16/02 * Fee methodology set by Tri- County Building Industry Service Board C \Building \ Permits \MEC- PermitApp. doc 12/03 440 -4617T (11 /02 /COM /WEB) Plumbing Penn w' ', LI . TIE ^ m • . FOR OFFICE USE ",01 ..,,� , U • A c ,3 .!� i• t _ ,...1; • .. , �.4 a'.c.'t � i:4- -vim ..w. -., F 7._.�� City' of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: Phone: 503.639.4171 Fax: 50 9 > Plan Review //y Date/By: Other Permit No.: 24- Hour Inspection Line: 503.6 5 2UU tl - e1 I+" `p,,` Date Ready /By: Juris: Ei S Page 2 for Internet: www.ci.ti ard.or.us g" Notified/Method: Supplemental Information `7 + ' ` � °'.. ve' s :.: au: ' . , •." t a < ' . � -..: vw �"-` •1. ; s': >:,, .,, ash" '�:*#� ..-fi .��. Rcr .a ., �� "� � 1. -- .w . �: i� » »� ,k� =r 3 : a`:•,,...;,rn,��, �;",�;:i<�_�.,�s` a:� �" .l� ',,e'n. .a •. -.:..: ,w -s: ., ..- .,,mss. ,.� ., ` <° ���L: ,..ter,. .ar.R '. i, y�,3 �,Vfie�... ���`4v `)''� On''''' ... . ,.�� \an, ,.._a,. . . . _ .. ip%:a'„.. a,�e..,,w vt y.,<Y, ��aw$«.a...;� ", �.: .;; 7t � T �} q �,� r �r . S'e :-mow V itOIN t ` For spe infor use check list. ® New constructio ��• � ti Description I Qty. I Ea. I Total ❑ Addition /alteration /replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection) '' : ` C0. , ,, CONS . TI4 m SFR (1) bath 249.20 ® 1 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building I=1 Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: 4 _ „„ _,, n Fire sprinkler (_ sq. ft.) Page 2 -;:„ , Y ,0, A,,,,-,,,, 4 .SF e E 'INFQR• l< AA tD _ I. -'T . ., �h . . 1 ,, '° fix- ,.`i' . _. _:: �> ,� ��., xr,x.., „ ,„ fi Site utilities Job site address: 7737 SW Alder Street Catch basin or area drain 16.60 City /State /ZIP: Tigard, OR 97224 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Hambach Grove Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Hambach Grove I Lot no.: 010 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: i Absorption valve 16.60 ;,� •, 3, * , it6r :: p ; yO , `` - E,, �.. . . - , , ,.v ,P, . . . , k � <" : :1, fl Page 2 w reventer Pa ,.,,. �i`E.�;,,« . _ , .'tea.. � _wasp „s.x. , s:ra =,. , k >....y:��'� :,�?•;?;,. >:`.ew.a• �, , . Back flow p g Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ` •.: r's;;w<:: ° ;:_ l <':::;M Drinking fountain 16.60 Ejectors /sump 16.60 Name: Legend Homes Expansion tank 16.60 Address: 12755 SW 69 Avenue, Suite #100 Fixture /sewer cap 16.60 City /State /ZIP: Portland, OR 97223 Floor drain /floor sink/hub 16.60 Phone: (503)620 - 8080 Fax: (503)598 - 8900 Garbage disposal 16.60 �..:�t; �;,� - � � ,, :� ;��: , ;;. :�:t, �'•�, - <, r � AYI'L ,�A.N. 1 '` s , ` :: ; QNTz C T.: �P ER ,„ ��.�.. .. a. �,:, �, .,: ti:, .:��'�,- �,P:,. . .�..ati�..- _ , �... �a:,.-. � ���ew'. �,: ,�_n���.�„W�,,.,,, _�:i��•xi� Hose bib 16.60 ice maker 16.60 Business name: Legend Homes Interceptor /grease trap 16.60 Contact name: Steve Lucas Medical gas (value: $ ) Page 2 Address: 12755 SW 69 Avenue, Suite #100 Primer 16.60 City /State /ZIP: Portland, OR 97223 Roof drain (commercial) 16.60 Phone: (503) 620 -8080 Fax: : (503) 598 - 8900 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E - mail: slucas@legendhomes.com legendhomes.com Urinal 16.60 2;.. ;.: 1 1ZEC ,CO T I t A 12 `:, ' ;, ., 0L/ Water closet 16.60 Business name: Wolcott Plumbing Contractors Water heater 16.60 Address: 1075 W. Historic Columbia River Other: City /State /ZIP: Troutdale, OR 97060 Subtotal Minimum permit fee: $72.50 Phone: (503) 667 -1781 Fax: (503) 667 - 9891 Residential backtlow minimum permit fee: $36.25 CCB Lie.: 23847 Plumbing Lic. no.: 26 -208PB Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Steve Lucas Date: 12/16/04 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \PLM- PermitApp.doc 12/03 440- 4616T(10/02/COM /WEB) • • • • • • • • ® CERTIFIATION T EE TT EE ® ► • }(fP S ?dJL3E1S oer • . 44 I, mAilum SAMDE 4S 4Actsuas 1.1NoTtlAt& . Owner /Agent for t (PLEASE PRINT) (PERMIT HOLDER) • • ► . ■ ■ ■ • • • • • . Do hereby c ertify that the following location • meets ;,C;ty= of:Tigard /Washington County ■ • land use and development standards for street tree installation. 0, , ■ • • • • • • ADDRESS: 7773 7 Sid ALotc:1 Sglie67— . /" -- 4 - .A - R6 , f)ie %0249 ; • • 4 LOT: frig- 0/40 1fc SUBDIVISION: }�-1134 cif CAass"w 9 • BY: HART/4i 0 ffriVeAg DATE: 0. ■ g.-/1 ® , DATE: U • RECEIVED BY: adir • CITY OF TIGARD i BUILDING DIVISION - PERMIT #: M ST200d- 00397 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/ 31/2005 Phone: (503) 639 -4171 i lo�lpi i�i Inspection Requests (24 Hrs.): (503) 639 -4175 ...Jag.' .. `__.. INSPECTION WORKSHEET FOR DATE: 8/18/2005 TIME: 7:06AM PAGE: 40 SITE ADDRESS: 07737 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 010 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: NOW SFA. OWNER: LEGEND HOMES, PHONE #: 503. 620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 820.8Q80 Inspection Request Scheduled For: Date: 8/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message I , s 299 Final inspection 013821 -03 603-849-5247 Y r, ' �� Corrections /Comments /Instructions: 1 i [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 8 1--104- � Date: Phone #: (503) 718- r CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00397 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2005 ��� Phone: (503) 639 -4171 ■ yNj9 I Inspection Requests (24 Hrs.): (503) 639 -4175 .�'!i' INSPECTION WORKSHEET FOR DATE: 8/18/2005 TIME: 7 :06AM PAGE: 51 SITE ADDRESS: 07737 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 010 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA. OWNER: LEGEND HOMES, PHONE #: 503 - 620-8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080 Inspection Request Scheduled For: Date: 8/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 013821 -01 503 - 849.5247 N Corrections /Comments /Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED j Inspector: '� , Date: �� l U - ' -' Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00397 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31 /2005 Phone: (503) 639 -4171 • Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/18/2005 TIME: 7 :06AM PAGE: 50 SITE ADDRESS: 07737 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 010 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA. OWNER: LEGEND HOMES, PHONE #: 503. 620-8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 8/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 013821 -02 503. 849.5247 N Corrections /Comments /Instructions: • • a g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: U ��� Phone #: (503) 718- CITY OF TIGARD' BUILDING DIVISION PERMIT #: MST2004 -00397 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' 3/31/2005 Phone: (503) 639 - 4171' °'r Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7:09AM PAGE: 28 SITE ADDRESS: 07737 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 010 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA. OWNER: LEGEND HOMES, • PHONE #: 5503.620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 8/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 013343 -11 503-849-5247 N Corrections /Comments / Instructions: • • • (4:ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- 1