Loading...
Permit C ITY OF T IGARD MASTER PERMIT PERMIT #: MST2004 -00388 4- 4A„ DEVELOPMENT SERVICES DATE ISSUED: 2/18/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07791 SW ALDER ST PARCEL: 2S112CD -10800 SUBDIVISION: HAMBACH GROVE ZONING: R -12 BLOCK: LOT: 006 JURISDICTION: TIG REMARKS: 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 THRD: sf RIGHT: 4 VALUE: 216 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: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 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 # SYSTEMS: Owner Contractor TOTAL FEES: $ 6,920.10 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of All work kwil b Codes n 12755 SW 69TH AVE # 100 12755 SW 69TH AVE #100 and all other applicable laws. All work will be done in PORTLAND, OR 97223 TIGARD, OR 97223 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 620 - 8080 Phone: 620 - 8080 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through Reg #: LIC 60563 952 -001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -6699. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Iss d By : ■ A : 0_,AA I Permittee Signature : ? 4 all (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business • ay t ' t` x W t• 1x x L - -d xi ° a� Building Permit A I17 1 � / j� r ? , ,,,ro . FOR I i S E i o n ` I ' „'' F q �" x ° ' t' r ,,,g4 - '`� ,,,'~ Aks l; com, 4 , r - r : ::� ,i'*t+ t "0, - :. . . . + a �� Received / //� � � City of Tigard Date/By: ermit No. \NS-I p Tigard, OR 97223 y I ^ �/O 13125 SW Hall Blvd., Ti � ��� "' J�y 630 g P la n Re v i ew Phone: 503.639.4171 Fax: 503.598.19 ���� fl D a t e B J Other Permit: 7 GEC 1 6 2004�1 � � � y: , — � 0 I,� iDr�l ' od s� Inspection Line: 503.639.4175 inn �W 3 Da te Ready /By: � i PI See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method:/ !S' -0� � T Supplemental Information ; �. ._ fit'. ., ice . `• ;'ta ,i = : :it ', n s .:.:: -i . ;�- . EL1 Atvl lr`Y ll..9 NG t,: 'Rl 1J[RED,I7AT W <�• s ue „ ,.� -� <> „ .�3m °�� - *.:414Z1 �'•��Y•m:L . ' „'a jai'=- =z...a..r �'r�.'L`:F lid' °i3 �.).. n ?�i�,.<.:`Ja'.._o-i> .• svf,,. ; %:�, ",• ., .<�.;: �:�.. .. ,,., ..�, �v- , . a + S %�• % ,�....f,,,.,�°'- < ® New construction ❑ Demolition 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 ' t : °a T• _ 4 T'"# q,' work indicated on this application. -'. fit ,. . , ; . ��IP . �. ° ;.„. -. GOR;y OF,. G xCT1pN`- ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $216,077.40 El Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 : .:y> .., ,, , .° ii g .. . v.; �; ato4 c ! 1 "0 r . ;,, ; :. ;:. , ; - � . . �, .; � . :: Total number of floors: 2 s• .),A JOB�S 2 1', V 1A 4 I () il : . LO CATI,ON - ,? � ;;r "�: = , '< c �;; °: °;, r '�i��:\�....� ,.... :r < c.. ., ..,� =d: ,;•.,, •.ate{ �,•:«;- ,:zr..W ... <;.:.a:. � .. ... ... -.° ,..r..��,�: y ,.r�£f ; Job site address: 7791 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 It 011iED?DATT- . GG1V M RGiAI ="I:1SE HE ICl315x Subdivision: Hambach Grove Lot no.: 006 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.: e _ ,M< ; ^,r _.:..: ' : > z;: and the p F J x y equipment, materials, labor, overhead, a e ofit for the r ', � , ` at'4,-, r ' ` .. ' _ > ; - 4 <' % `� work indicated on this a f .. : DESGItII'TI , - 4. �OF , :- ,Via ii d hi application. , ��„°i�- ..•s. ,� . "i� ;a... ,. ,. . , -.., "�'. n �. ra.,xaa:�..r�,�f�ic .� ,�,.y .,. < °..., .... i�i,,.la'•�.�',.:� yt7N�� :�-_��� � '...a. - , � �ti'�<� Valuation: $ Existing building area: square feet New building area: square feet ° F ,• <: Number of stories: . 4, s oePERT:.YV:OWNERN . : < A ' 1 N�1NT` le . 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: N R }� �+ , � 'A PIS ,CA T: ® ° :� � , . ' � =-' n ,, a x 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 City/State/ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons apply: Phone: (503) 620 -8080 Fax: : (503) 598 -8900 E -mail: slucas @legendhomes.com f GON RAGi 412 > .., �°k :' £.. � :, ,.Z . zee:.= Business name: Legend Homes mow .4:: 5 ;'' a,:., . ,,4 :, <E, <.,. \:...� -., ; 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 lic.: 060563 Date received: Authorized - This permit application expires if a permit is not obtained �/'^ 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. i \ Building \ Permits \BUP- PermitApp.doc 12/03 440- 4613T(11/02/COM /WEB) 01/16/2003 00:15 6427925 PAGE 01 ,4- ,t�' ` • DEC-01-2004 ! ED 04:3! PH Legend Hones FAX N0. 5035968900 P. 02 . �+ y� ,, 1 , d V' Electrical Pert It , 1 I r + : r ;ui,t t IC i, t M. PemdtNat _ /� �` Cif WHall 8 1vd„ 1prd,OR 97229 IDEC 16 x'01, dhso ; , Plan d OdarP+n>*iu Phone: 503.6394171 Fax: 503.3 W i l,,i I m• it<ndyl8y: rep s lbr In.pedel www,el.ti' 203.63 4175 CI�X u� sepplamanrai Tororelntlon tntor»en waver gard or ue 1 t TIG ' ` �" i9tl �, ! w �.'•r,• .a it I � t rr r,W�' .I i li rlr, {; i .t I � .t q si 1 I ' ' fi I 4 ,,, f,-11-11 , a yl t ` ,� u r t111 r . illti 4 t Alt ! a= }la f 1 rl liIl1 i , i1� ii- jtl. 1F L�l, PI „,,i'i.4 /l1nitnhi :,,., , f (� I �1 tills tllp�l 'i l� 1, l `n �l''ll 1 pp� �r ,, '�t i iD t , ihl d �r �c r i a i].,4 y i�] �•�',�l�) t .'SI� � �� :1,�1t7. , l�',Alrai: k F��11L.�.t1Y tI.I.LNI Ia' �..Ej! 1�I4Ai.III�I,al4t� "tuac.�ni t,..,,+1 ,ti _ty,tas I.�.JI a i;., l.. a ," . Mono vltsok all ' w apply: New conitruetion ■ AtldilIDll/afteretlonheplttosarl ¢ nt 12 Service ever 225 rope, aemm'i OHaardous looetior r � ` Ose vial over 320 amps •- rasing 13u114np ever 10,090 sq. ft.. (ga I l y 3errrol � itl fr l , la ��t �f l'`, � Other 1 ,”„ ),s1,lf � 7t , '; ' g ig ' ' 's . ,1' 11:h uf !�4 ii - w'? ! or1-9342 -f lYdwolltept 4 or Iron TiowreS/Ontial a�1 ' .i' bui Clay over 600 volts nominal en1U % one mature Eg 1- sod 3- fatntlyd+vsllina r C6lnmereial/b,dll 11 Atx oseary 8 G]gundina aver throe stales QPeedon.000 amps or MOM 1 Mauer builder ■ Other: =occupant load MIX 49 person. Q traotaree er 14tptuthetu red e �r� © i�{ M { u j.� ti •fhnu„ r i ii, v r', J ! s • yon 1,rtai ^t' (l'n 1 1: 7 ; 411'i;,�" , "d`' t 0 soleo!IiQl owl plan RV park Ui G: �y }dti � l l�f�l�ltflu�t'r {f ill �ul °lt ' . �9 �: Li t ❑Fieolth•oord facility 0Othert Job no.: Yob ette adds,ss: — 41 - '11 Sul pal. DC? 5" T submit i son of plans with arty ogles abovr. OR 97224 The above are no; applicable 10 temporary a onrlrutalon service. City/State/ZIP: Tigard, q �'�fi�(�Ii1�f�����Yi1,�iE�t 1 .t '�� � � � tictyµ � t1i ,' � � � t r,ii:'�' ate apatllll�� Project Hams: flambaclr t st�ovtr powe rso 90 11in Cross street/directions to Job cite: New roddaedal single -or multi dwelling unit lsclslWs4ttoeAod : image. 1,000 se,, it, or tad 145.15 121 L ot no.; ppl so. adds 500 sq. ft. or .. 91.40 100'W is Subdivision: 8nmbadh Ca¢ovc Limited an ,, , re Idontisd IPS 75.00 Q TeX r eel n0 �� h i t 1 y Gmunid energz, non•tssnunasi 75.00 1111111113 „•. t ° I S 1 ,'ia' �” f } r, a . i4 j ; �'I I .0 ,,1 Q �I� t �11.ii Egan ItlattufretYStr1111t nob( {d�l tM "UI�Iff> ,1 � 1 i1�'I�� ` {( �f ��I� A "' y t it ru t ■! h [ I� t G) �, LP watt i '' ,.wN�.Fn ,11,11 1 u1, -r r' d\\* in � ea "114 fiedoe l • 90.00 .. - _... 2 Services o r feed ins al terat io n eedlor rcloendon 200 amp or lees 80.30 " , � w w l t t r � r , , I d \ ' .u>:n" r rl r� r ,; �, 1 201 � M te400 � 106.115 II L it •,.i � i;,l tr �' � ilt' r ,, , ,� , I , , 14, l it. J , « 1�, � , ...3.....1.1 S,, , 4 ( 16 � z, . r �:.. 4 0 1 to 600 coos Nemo: Legetid Romeo 601 amps to 1.090 antra 111 240.60 ■wi Over 1.090 sates or volla 454.G5 — Addrsaa:1Z13d SW 69 Avenuer Suite 0100 Over ant. 66.85 2 City/State/ZIP: Pentland, OR 97323 Temporory unless or Riders Intonation, alteration. and/or reloeatIon Phone: (803)630 -e.0 11Q Fax: (803)5984900 200 or less 1111111 _II • or inns i atlas: This installation is being made on property dna t own which Is not 201 amps ro 400 am Mill 100.30 [I intended for sole, lease, tont, or exchange, taaoording to ORS 447, 449, 670, and 701. 401 urn a�+.00 emrs 133.75) s Owner signature, 1 t Data ` 1 y Smash elratlti —norm alteration. or eaUwele$4 l or nd F 71?�g`:` "•:o,.' ` ( , . r t' . . P . � r V 4 u 1 '' !i,I t w . '' ' t '' - x� } I�t?..LJ t11f 110' N1 A . Fae f or Mandeb oirouitt with 2 fats.'. „: , I, N3.. }. > i. - 9 .a . . i d.a r l k sctviaaeri�adafl4C WC11 645 Business name: L,tgelld Homes Ismnen a mull 13, Fee fbr tumuli OK Is Conoaot name: Stove 1•.1104) About service ar feeder toss 46.85 2 each branch c ircuit Addrose; 12755 SW 6Y Armes, i9Nite U10! I Each add', branch eirottlt 645 2 City/State/VVP: Penland. OR 97223 Mlaunaname (aerials oar feeder edt Itselueed) Hump or Irritation eireld 53.40 1 Phone: ( )630.8080 1 Pax: :(503)3l1 ->1➢00 Sign or outline li ; xtm: 53.40 2 13-malls Qa tterd h mu.c m Sip” o ' I ' d'i';i'i(,(i fIVIR l!►Cf AIII . 'y' a I I l�f tl Montt"iAti ; �ir lli' infi(l li �Rl al ` IM 4'i�If1, t;.Mtga � s ago ( 2 o ) or hated. r' r !l'of`t @, C t. 1 (;� . lima or Buenos nemea Carter Elc'drle Each additional Isepeedua over allowable In any of the **we Adliroaerr 2920 247 Avenue 5 A Per i i 62.50 . City/State/ ZIP: RiUeboro, OR 97133 trtvostigadna per hour p or mitt) 62.50 - 642 -792 industrial • hint •er hour 73.75 Phone: {003) 59i•13a11 Fax: (' f iiigillltitr .1 s}!iiiir4111 i " rill l i "'' i . CC8 Llc•: 121188 Bieoertesi Lion 7 f S •rv. Lie.. 3707-S *absent( 2-45.5 Suprv. E l e c t r i c i a n signature, required: : ; � ' r1411 re soar (2 504 of parmis Rs} State curalu a (8% of permit foe) 19.63 Print norms er• /ate 0 :: 12- (t fa 1o4- rat A. PERMIT FEE 2124- 18 Authorized signature; tiiii permit epee .'ttun soiree If a prevail ail eaalaac a Miele eso ' dm only it hue boo aeeopud ss aempt,te r' no aoctltod Date: olod'setby Tii -Cowriy aullaina utausoy Service Desna Print name: •• Number at ese'« par pencil allowed 1110011.11mArshnbAli.13-1/411111Aliulas toes 40441 srilaa,ctanvweo Mechanical Permit Application a sx kt p�D £r '� OR OFFICE USE ONLYb�,�Ntk,�t `, b .,a City of Tigard Date /B d Permit No. 7 J i J 13125 SW Hall Blvd., Tigard, OR 97223 - r -.- Plan Review Phone: 503.639.4171 Fax: 503.598.1960 1 Date /By: Other Permit: Inspection Line: 503.639.4175 NP Ready/By: R!, <;1, Date Page 2 for ll�i Ju ris ® Se Pa g Internet: www.ci.tigard.or.us OEf� 1 Notified/Method: Supplemental Information >,.� _; �, . -�rr� ';z�'�sv's•,G :vr��'. :<�., s� • a� - (�'���,���"'� . «� , ;;;,3�- ti•,z;ca�. .�..';� . =a�..a:r� to,. =;uv. 'TYP�NwU. � _ Ch iMERGTAL;:FEE�: �SCTIEAIII. U f.. °:Tl G� °1. 4�Ai:�,;S:/ �_.,,_:,"�- _..?�r� <r � __s- ,.��., _,...�s���.•:� >•,��,r`_�_'���_ _'_p 7 � - s � � T� � � k „ - : •:��: - ,;.- m.,_,_ -_. -, �.,- ,. -..,, _`_ s.. , <,�,���.- ..m.�,....�w,�w�T », :,..._�- ..<e.,.< - -, ® New construction ❑ AdOT[Ib dt"�tYb Ups el�Ct rVI SION 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. I' �? Value: $ ,: t .�:: =aa�.�a: •;�\. \ may` ^. ; ._. . 2 • sr . � n�- , ::. - � a >�. '��� ¢> , GA'1'ECO.R�'':'..OF- G NSTRUCTtOlY �- , �,. ® 1- and 2- family dwelling 111 Commercial /industrial ❑ Accessory building ;1;1:0I1)Er%47T:54 MEN'1? 1115 EES iL: For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total [TE :IN RA: ATION,.AND LOCATI A r ` rp �.: � J,OB�;S � , rUN;, �`° Heating/cooling Air conditioning or heat pump Job site address: 7791 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 Flue /vent for any of above 10.00 Subdivision: Hambach Grove Lot no.: 006 Other: 10.00 Tax map /parcel no.: Other fuel appliances Water heater 10.00 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 :_ _. -- <:, :, -,•.> , .�•- : ,,,.:- • ,,� U `` > ROPERTY'OWYER' ` ; , , g 1NANT >; Chimney /liner /flue /vent 10.00 t.: ,„r°•�A "� ®B�a.,�.s;�rn " ate... ,,., ,.., ,....a.. -m.a �., ,.,< - . �':kb'..:'R�";� ... � x:,;,,,,, , >•.�� .,�;z. Other: 10.00 Name: Legend Homes Environmental exhaust and ventilation Address: 12755 SW 69 °i Avenue Range hood /other kitchen equipment 10.00 City /State /ZIP: Portland, OR 97223 Clothes drier exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (503)620 -8080 Fax: (503)598 -8900 toilet compartments, utility rooms) 6.80 ^y - ';;► ®_`.° v� i :` �, .;; Attic /crawlspace fans 10.00 CO1�;TAGT1dPFs W • Business name: Legend Homes Other: 10.00 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 Range - -,: fJl2;em k��K.�w;..,, ,? Barbecue Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive 'e``'`'�°� �<, �r :�, ms �' �� 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 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 i. \ Building \ Permits \MEC- PermnApp doe 12/03 440 -4617T (1 l /02 /COM /WEB) C Plumbing Permit • EDA 6ct , . " 17� ., `r F OR OFF 'UE t rot , , ,, ` $�n .�'^' _ti Y, .�.'� �5,d� d.G p ., "�s` S d.1. .�,ra , � �`daz� - �'tw a �`yy�`9. a t .k��". . City of Tigard Received Permit No. { 13125 SW Hall Blvd., Tigard, OR 97223 Phin Re: . �,S l.�[�/� y ��O ���f Phone: 503.639.4171 Fax 503.598• f � Plan Review lug,.. I Other Permit No.: 1 - ° • �""EI1°W�' Date /By: 24- Hour Inspection Line: 503.639.411.1 1 �oo� . Date Ready /By: j urist ® . Sce Page 2 for Internet: www.ci.tigard.or.us it.-,„_,,,_,,.::.14.„..,,, Notified/Method: Supplemental Information �,,,.. P. � .� :G �a = :i:� �.. =EEE :< =.SCHED`I�LE �.. �.k� <.;.,_ ii :<;,• < >.a : fir. :.�._,� :� =:.f ✓ak.,- r.�- <.�,�r. :•,.�. yy a� 77 . � < � ,,1 r a�a�� �, a � ( . '� � • (�}� .�a��.i �m� ;. r' �: ��:`a :'a.- :± :�. :z:�s: :x`;' = 2`:: � -5 = : .. ,....'<. :. ._x���,: :a , ,.,,�v� `�k �`a,. :.3._.�. �..i ..... �.. : ® New construction B V 1L� JD- 5. ^ iafi' For special information use checklist. Description Qty. Ea. I Total ❑ Addition /alteration/replacement ❑ Other: New 1 - 2 family dwellings (includes 100 ft. for each utility connection) r,1;a, ;= A „�,: ,CAT y �U11VS7'RUL'TI ��- �. SFR (1) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ M ulti - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 1 .4T i,,„ „ RM `T,ON Al�1Drl,1 U,CATI(OK-,,"' ,., " , a�: � :r,,�........� ....�� . :........ ......_. I . -..... ; - ... ,.. ,�.. ., ,,... Site utilities Job site address: 7791 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.: 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 f Lot no.: 006 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: n valve 16.60 \, �� H:. ^ = :�'... :\ tee.; ;.;;1 ,.k ..;;, Q: ;\ t .f ° llSCR, Il'TIQN'UF,'<R � OK ®A a t: ': < :� < : ,vur;� _ . -� .._ _.., _.-- t>,� -. � % "•. _,o.;�; s� :,,� -•. ,.. �_ _���h;. _ .«_�. � ..... � �%��'s� - " °� ° :�. ��� "�,z� Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 1 , ' r „` g ,. 7.014, .s ,5 =„ Drinking fountain 16.60 PR PRTY: QWIVEit Wit ,..�. s° 1P7111VT £ , .,��,�, ;.���,� ..«„��.�:�� <.. �.�- � :�� .��� . . ,. h., .w tors su °�~ r -- Ejec / mp 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 f, e..< Hose bib 16.60 ` %, . : „w ,, ';;4' Ct)NT;. P i =1' RSONr 1 - "4 : .... ® P;: a . .? ' ; , %..Y.3 rce ., " " " "" < 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 Urinal 16.60 � CT.OR .. „ "''; : _' , � : "y` y � * � Water closet 16.60 ,��:a� ;i%;3'� ';�;R „a�- . yj C1 �?`z' ., .�e.., �.... r..�,,; a:., a. �< �id� .,,��.>, ; a " �:•si,?�.. 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 backflow 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. t: \Building \Permits \PLM- PermitApp doc 12/03 440- 4616T(10/02/COM /WEB) LAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA 4, A Ps G � • TION E TI FICA • .. THE EC R STREET 44 e MR'rrN • y �` g . � 6j6/1>/) /7`o/ 1 I, MgisTiN gamuts, y ps witNrEAlANCE, Owner /A ent fo (PLEASE PRINT) (PERMIT HOLDER) . • Jam, fr tit . ■ : ' • Do herebytedrt 3 y F the fdl1lowing location • , �f� tha :a" f Sr ' ' ": 5 k • meets 'f�' t :Tigard /Washuigton `County • .. ,w,�;a 9c •. , :kT.:. ' liar s Ito • land use and development standards for street tree installation. • . ti ■ • ADDRESS: SW AzDe S � f�f.F �i` lg}t 1.� ��j `� o�a ►� • • LOT: /(g - DD ( p S UBDIVISION: A MF? c - RoSSIN1 44 til. . BY: r ::rl ► IWO :..∎ /. , DATE: 3 o - o 5 • • RECEIVED BY: DATE: 77/ S-' Itt. A ®® vvvvVV VVVVV VVVVV VV VY VVVVY VV VVVVVVVVVVVVVYVVVVVv®YYYYVYYYv' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00388 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/10/2005 Phone: (503) 639 -4171 7:1/Pipi yll�i��'� Inspection Requests (24 Hrs.): (503) 639 -4175 . ' -_.. INSPECTION WORKSHEET FOR DATE: 7/14/2005 TIME: 7:11AM PAGE: 31 SITE ADDRESS: 07791 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 006 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA. OWNER: LEGEND HOMES, PHONE #: 603- 620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080 Inspection Request Scheduled For: Date: 7/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 011417 -13 503- 849.6247 N 4 9orrections /Comments /Instructs ns: c r-' PL 1 PASS • rARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 7700' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ _ Date: 7 -/q. 0 S Phone #: (503) 718 - ebb CITY OF TIGARD BUILDING DIVISION - - - PERMIT #: MST2004 -00388 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/18/2005 Phone: (503) 639 -4171 1 A,/ „9, iii l lit Inspection Requests (24 Hrs.): (503) 639 -4175 ....' 'f INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7:07AM PAGE: 67 SITE ADDRESS: 07791 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 006 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: 7/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 011141 -04 503 - 149.5247 N Corrections /Comments/ Instructions: 1\-10-775-1 i t Ft_ c�� 1' P( o c e tiA',_L /NC (=7.f/ i/'-/ L--k t, - /!2r PL4- • , IgifsS APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • ' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Ins ector: Date: ® v p � Date Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00388 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/10/2006 Phone: (503) 639 - 4171 °�nriO4 ypi�pl��Il'� Inspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: 7/8/2005 TIME: 7:10AM PAGE: 19 SITE ADDRESS: 07791 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 006 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: 7/8/2006 Pour Time: Code # • - • - ' escription ,Co. • I # Contact # Message 199 Electrical final 0110: 16 503- 849 -5247 N Corrections /Comments nstructions: rob PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: a"' Y V U & Date: r) ii . I VL3 Phone #: (503) 718- •