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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00392 � � �d4, DEVELOPMENT SERVICES DATE ISSUED: 3/9/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112CD -10900 SITE ADDRESS: 07773 SW ALDER ST ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 007 JURISDICTION: TIG REMARKS: New SFA BUILDING REISSUE: WITTENBERG STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 891 sf BASEMENT: sf LEFT: 4 SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 1,126 sf GARAGE: 395 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRO: sf RIGHT: VALUE: 198 940.70 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,017 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: BOIUCMP < 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: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: 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: This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of OR. Specialty Codes 12755 SW 69TH AVENUE 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. 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 Re g #: LIC 60563 952 - 001 -0080. You may obtain copies of these rules or TOTAL FEES: $ 6,745.79 direct questions to OUNC by calling (503) 246 -6699. REQUIRED ITEMS AND REPORTS -- /� ./ Issued By : „v . )6Qo. -c'- Permittee Signature : ■ 1 . Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next 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. t. TO Building Permit Application, ' � t { k , ` 4 ` .. City g "i - 425 FOR OFFICE'USE ONLY Cit of Tigard � Received I Permit , Pet No.: a _ce,_ 4 2Q n 3 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revier Phone: 503.639.4171 Fax: 503.598.1960 ®�Cy 4 ��I ' Date/Bv: ! Date/By: / - / 7 ex( _ • Other Permit: l •r C',9 • Inspection Line: 503.639.4175 � ":�' 1 • . Date Ready /By: or ® ris: See Attached Checklist for Internet: www.ci.tigard.or.us G �� o f \'\ \V - Notitied/Method:� - ,/S � Supplemental Information \N -ec t"-e s.JA sN- -cnrc__ t. 3 °< �T> - b 2 .AikiIL D r > �. ; .. _..... , = r �T'�I'E,« 0 .12'IC A:�1,A � , � .IE i7[IZED... A N Ft ,,. ,., .,��..c� . , ..�.<,, ... ., c.,.;. <.= -�" =::.. � t.-�::i . .. ., ,..z Buz:. ., . .... , >t. - .. >,. -_�.- :.tea .:.�;- -� >.,- .. ,.. �-- �x ..�., ��,�•;n.�.: . ... •° ® 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 -e 47„,: : •. *T w :� °.; - Mitit ;. :.:;,- "in work indicated on this application. - ;?< GATEG012, 4 .F CONST[ZI TIO-Pt ';,,, liV ®1 -and 2- family dwelling Valuation: $195,230.10 ❑ Commercial /industrial El Accessory building l=1 Multi-family Number of bedrooms: 3 ❑ Master builder El Other: Number of bathrooms: 3 L e, >, , ;.,` >.:_ w:N /;. °ia ; -,x •, . 2 :'„ ,;., �.. ;_;'; s ' � ���., t.;A <... :. Total number of floors ;, ., �,, ,,J()B , i [NFORI♦1AT10N " %ANll, LOCATION. -f : ,., d , . ,:•- �,- a.5:..:�.m.. ,,.n, ee .- .,yam _,..,,i � � �>,�e�>,.... 1.,'.`���`.�Y.�i� .,... �., .,.eeiiain��. . ,- ': •i6`�, .w` .a....�.. .�y`'laf.z -`.;' Job site address: 7773 SW Alder Street New dwelling area: 2009 square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: 395 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 ` 1 , ATA :`:CO.MM =Is1SE CHFi 1*!ST,; Subdivision: Hambach Grove Lot no.: 007 Permit fees* are based on the value of the work performed Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all . <. ;z- ., .'- .,,.,,,.w:.:.:... <- �. ° ° <;,E,<:� :- _�.:-..�- :.;,:,,;.;,;�� F' °�:i =� °���� "" and the profit or the equipment, materials, labor, overhead, a e '• := - -` ,R ;1 4 ,,t";" work indicated on this application. ' , -.?,;� — , , ESGRIPT[0N.`:O, WORK >, \ , Valuation: $ Existing building area: square feet New building area: square feet a . -`` RKOi E, ° �4'NER." '. „ v '4,-1', AN s Number of stories: .� ,.,�. ��; -� ;..; ".::. °_ »� ,, : 4�,... ,�. ::.:; .,,. ;.,��;s > ; � �,.;.- A,e�'r..:fie 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: ds °�. � -.: v °:��:. €,. �.s° � �;:� ��`3. .;�> .� r .u�`w ^ = ..1 : >..,. L:.. �,. �;>APPLICANT...�,e::. .a "`�:e .�. CO,. TA °T =�P.E S N ' ^.��T..,.:: °:.:.. . ,. � ' u w.C�.. ., . m x- _ :. f ° .4,....„.:, .n m. ,,. 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 Business name: Legend Homes t. . '' " > ' ` r °s`^'` , . , BUILD.IN� I RMIT i ±;.EW' , k , ,,i0 ,.� . ...> �.. _ �'`.�'< ...:�:.,.. <�_�._;.: s . M , , . ;:��, �: e vi.µ <�`�.�� 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:. 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. is \Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T( I I /02 /COM /WEB) 01/16/2003 00:15 6427925 PAGE 01 • k. DEO -01 -2004 WED 04:30 Pet Legend t�eh FAX NO 5035988900 Pr 02 . ON. ' Electrical Pe 119J< �.up �:ii o . : r c r ,- ;S . I . , t 11 C 1 it 1 If: . I. ' : ( t ., . r' r ° rf , C a! Turd ✓ �1 � � � Petant1 • 13115 SW Hall Blvd. 9lgerd, OR 97223 4e,1 Il� ti °° -•• 3' fib' 1 g 1 odor remits 503,639.0171 Pet: $03,3'1060 ® t - �.:�r:;�ua;• I ;.: . . < _ Initiation Line; 203.430.4173 OF 1, ' 11 ■ 9eppi sn{e Information httvmak www.d,tigard mmIt C \ -( � ,Ai Ca \ . r+p p l 'f r u ,,. 1 , n r 'n; '11 {, ,1, Ib7{� 'y • I r) �aW�tt ''311 lrl lit J:',14. ` ' �i .i! �N�I,II: id �„ i a,'llil11GYl. ui 1;a �� t 1 l Iit 9� n e itu! N ,, A y � 1 { 1 1 , � ; , ■ L *. � ,. r . 1AI,.::1.. sl { �+ I �1 1 �I h a uk � 11 P 6 r 1.4� i � t•� 1'��, i�111 L Ii111i��1 Y I n' c , i!`l:f:l;,'49dh�! , ',L`*.d}✓gA. : �1t�i1.�,� :c_i . '�4.. !1_i�l:r� i � i ,l 62 Now construction • ■ Addltionlalterallatfreplttaomaft Plano check ell • et apply: ©Service aver 225 amps, comm 'l 0 Heserdaus location Ire Dan& ition ❑ Other: , Service over 320 urns - ruing 1C dv114ng ever 10,000 ft.. .. n i t d r tit'' rl ' l g c « tw 1 1 C ii "I @; °96.3l }IllyVt{ylt �l.! � et1- 4n424141Y4w4a14t( 4Or ME" TIOWrCtt l ff ril � { i�'�1d'lr��i I�•��fii�.�d, `1r �' °� 1�1111��It���lu 'I'��a�„�.r�_.1t,1i� vi �:�.'itt -�� _,.,...e, � ~i h INJ = building ent over 600 volts nominal units in tow onesturn ® 1- end famslyd+vs111n Cafittwrele/ln4t$ ln•Acoolu y 8 � SyetgulldingaYerOm MPadere. 40atnpeorMoro CZ Mt1 dratmil ■ Mauer builder ■ Other: ocwp:intake m .set masons ❑ Tod atraatvnt/ or I U i {, 'ta t'1 11 u �( f h' tl i il � tl �, Jiil • l ;�l i , n 1� . i 1 r ,, ll , 17 1. `n ❑fititt lts!i givt'i p >, u 5 .1EREEM 11111 G { : 1 L �� ti,:• 1 $ j 1 1 tT vi al - % . ,•:1 . 1..•1 u' , IF. . �i � I Ian ®Oita' . park ❑ ken lth-aara facility Job no.: lob situ address' �'�3 S W t- � 5"� submit 1 eau at plans with way et* above• Ci /State/ZIP:Tinad, 7 W e yg itbo � ve rutnotap � plicebica � temporary inlonse y 9 BirllltI�,�llL:tli'Jinii icon. I6,tli l i .,�, l P`ifitimi�IlS�II+I7k'61 9viterbidg•raPt yo.: Project name fiatMaelt t-taavc _ w ear au Crofts etreat/direetlone to job site: • New raidoadel engirt- or muul- ronely dwelling snit: MIIIINIIIIMIIMIIIIIIIIIIIIIIMIMIMIIIIIII ladutlee Udled : .^on 1,0000q, sl itmtad 145J5 t45.is� Lot no.; pp -4. Ha: add`1 N. it. or portion 31,40 am 4.0 Subdivision: Snmbaeh Cart cvc 73,00 Q _ limited anespy, residential 'Lott y. eel 504 ' Unfold ener ;l , non-feeldentiel MI 75•00 - { iglirg lii i ii b lit a i •t (. -. rt 0,.41;.3``}}�1 I r �� q ' ( �f' y �I� , ` 1 ��pp�{`1 � P 1hT i'�'lrfflI! ��I: i hash al via trtodu ar �© t'1 !Eli 5 , Lt l ..Ia.ih::ili M1J I�uAd.. uktc l 1r2 a" Etorrelrfeeder • •'.00 dwr i1M1: Services or feeders In.sepegen, altarntioa, and/or reloeadon 200 an aT Ioae • I - 50.30 2 �+ 1 m '� .c 1 , t i , i � ;i wur , vin � 201 d 10400 • ►06.dS 2 ggy�II 7 den t��I{„i ' , 7r • t r,, r � ig �l 'I"i 1 {I�; fit It l" IglN fir w(�r ,� 1' lit ��1 1,� °� l i 160.60 3 1i@4s,��l�h4�Ir �._1.'I)LL�'• ,1tf11.0�,wl�� 111 l I �?'l ' 1-d ::t • 4 . t 400amae Tema: Loved Homo 601 • •s to 1.000 anon 240150 �11011 Address: 11755 SW d9W' Avenue, Suite 0100 Over 1,000 swats immazi as Reconnect rely • 66.55. 2 City/3tt$S/ZIB: Portland, OR 97123 Temporary ierrietO or feeders InetiItaltsn, altoratioa. and/or gewtloo Phone: (303)6304000 Pate: ( 03 ) 5984900 200 ealps or less 11111111110 III Ovnter . , U: This inse*llation le being maids op pygmy thte I own which is not 201 I mat to 400 am 1111111 100.30 LU intended for sold. lease. tont, or exchange, according to ORS el47. 449, 670, end 701, 401 amps to 600 amps 133.71 2 OW slgnatura; Data )Brooch dr:1i -tww, atteralion, ar Word sod } y c 7 1 - a. HP ro ' � ah r dz ,�.,Jl21.E ,rr:'�1 l'l(iu aVI A. Fee tar WiCh 441" is wl! t � II ,F�,�1. "�.�d4�.'_.Y.!� J�',`�f;.. -r a1. `,{.; �'...:: LI :.tl1a�!,.�Ur'.�,I�s...�ln....� ..�k ..._ ._ h � a a l i � tll� terries nr aeeler h4 each bntnen elt+ali a Rea for branch 1M) u . 111 tvtrhaut r�orvks or tysdet faa, sac •ranch circuit Address: 1 21S SW 69i Avon°, bite 01041 Sack odd'! Much ehotel 03 2 ciryisvateiztik Portland, OR 99%23 Mhcdlaaaus (cries orfeeder sotiscla4at) Punier Urination circle 53•40 1 Phone: (903) 6208090 Fax: t (503) 591 4900 Sign or outiim risk_ 53.40 3 e- n1ai1t sieepicelcisndhamss.com Signal sirettis(s) or limited ' , t �1 q_ l,ih �Y� 1 ,# ., III e rr i 1 1 q•�1i1 , r z , r�;�NI; 43;11Fdi Vii enasY1lwtol.sttctatini or 2 Ii) t1 ;1�ft(1! °�Ililll(11 >�41,') {lal �Et 1 x �{J♦6.� , �.flt{1�i4oiPnl;ltl�J,I� 1( l 1. . . adondon. >�l>t �° 7: . Business retreat Garner Electric Ensh additional latpaadua over allowable In a !Atha ehtwe Addroast 21720 SW 247 Avenue tl A nor inspection 6250_ - � invesn on er hour (i 4r mitt II 62.50 � - • City/State/WI giUa6aro, OR 97]13 IIIIII�,�� Phone: (503) 5924320 Fax: (- • 642 - 792 Gl;�4ililNi'Ut w.l' " ikiiiiii'o�. 1,alzili�' n�l rii V COB tic.: 12%119 8leotrtesl Lim ' S •tv. Liu. 3707.9 subtotal dan signature, aired: 77 rim review(OS%of permit 14 ,..• iii... StAto r,vratw> fit (9'54 ok parmit ha) 1`1.(0 name: print naat rt7t•wi. 'moth 6EE 2404 AS Authorized signature; tau peewit ippl ottoo tr a pewit Is ft! WW ISO 'stn seer t1 hat beau e•eel4 d 0compete as Board Print name 12ate: 0 Pea madtadalaa baby TriCaw nai tly Pena thausay 4 144mbsr at imp. «teen pre parent allowed, 1:1Duteus Anse ilt.0 -kosti riee taps 440461,1VsYJeantnvsa • Q �� nil c.; 'Sr „yr„ ,iaatt:-iiri , ! t t"' 3 ,• I z z ' ' .+ •`t .Mechanical Permit Applicat ar ; i h" 2 ,:';; r r FOR OFFICE USE ONLY % - . t. f - l , ^ ; .�. c • City Tigard \ /i uiv� �0 Received Date/13y: \ LS � L i I ❑❑❑�C Permit No.: H9-1,900 � c o SC? 22 2„.. � ❑❑❑DOLE❑❑ ❑0❑ ❑ ❑❑❑❑❑❑❑❑IdL A Plan Review PLI3ii3 503.639.4171 Fax: 503.598.1960 GC G a. ( Date/By: Other Permit: Inspection Line: 503.639.4175 ( ;r.T � ; ° ' -4 Date Read /B orris ® See Page 2 for Internet: www.ci.tigard.or.us ��� Notified/Method: 00o00000000HDOT ❑AD � > �,� � � ,', OIl4 1ER i7�ti.,•F � St�1 - IluDU T s � •;.- .US ' ICLIS ;i; xa3 'A'..T �?.� "-.'ah ^:..tom' .'9....; -__��_ ..,,�:.iF,'.r.ra.�... .rr�s. ,. .�.,, � v�:'� _ _ = \ .fib � 13H',.;• ^' ' - 'e \t' ', rLa`>� .^Hfib`k^' n Ri o.'.:....., - >,,, �,,., ; _- ,�v-.. �- ^..w a �....,.. �.v �.� ..> . ,..- ., .,.,' ® New construction El 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. 14'1" ".�u� <„R� . . `:'F���.at : ,� s Value: $ -. C` TEGO 4 , 4 :4 1 .6 , ,,,,, .. , °_ „ � ` � . �` - ,z- � ,. , .,. � w .*.\ .�:t ";� ... ,. .:•1� .. ,v. :�� � Wit' � ' .; 1 t . = RES1Dk31 - 1 1 Q TJ7P1VIEtY T E kSY ST fiI A ES' "., ® ^- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building '` ^` ` ` T � ,, r�H.•:. nr�.. W® < >r,.. .W: ", For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. Total •'1 :,m`, ...� `.# _ "':�:-V': ��� . �D.' , HT � R` N TH? , g � :..rN. �� ,,��`� _ ;- JOB�:SITE. [1V:FQRM�iT10N ,Ali �LOC 1Q M �� Heating/cooling Air conditioning or heat pump Job site address: 7773 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.: 007 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances ;* ';,,:,- 1* ti - ,r:,il :', o: ::- 1s,' Water heater 10.00 • : ° : e' y, ; ''- y llESGRIPT,0, -, `O :>�?VO 0 ;, ;,., , e..�3Y�':.'�Y3:- ,ta_..v. �._ r,_x . , -'2�\ �i�"cwvtte's'�• .,Q •yq "„ E§mz,: <`.��, � II'- - >&c_ .. ,�:. n ., v „ .,... .,.:,'?, .i,..siat `"Y. 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 - ., ., . • Chimney /liner /flue /vent 10.00 ' ,':\ a -' k - a N� e'P OPERTY'.C), R ^ ,..,: +s TEIAIVT s.,.�.. � >. .,..,, ?� .....,., ..... � ^ Other: 1 0.00 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 `, '"`• �±'` �,•L�,, � ,<;�,', :; � "� „� . � Attic /crawlspace fans 10.00 ®.-,AP;PL,IC 41 r 'r -. :, : .:;:, ❑ CONT O�`PE 40$, 2 .;- 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 Range <:u;r �.. '':�tS. '��� %< ;= � %s Barbecue Business name: County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive ' ``' I0 m, ° 1". ," , *`Rw; Yt� >��. ME(."HAN 1 :r.P1E`i121�'1dd1'``E'EF.S *j c� �� ' 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 si ature: 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- PermitApp.doe 12/03 440 -4617T (11 /02 /COM /WEB) V 0 Pl Permit Applicahan 'Ls ' a k. 1. � • • F ORIOFFIC E PUSEItON L W - , a1 .-N' - Received City of Tigard \ *5' , Date /B Pennit No.:t f. ll 6900Li,.003? a, 13125 SW Hall Blvd., Tigard, OR 97223 P v Y g 1 � Plan Review ..,0( Phone: 503.639.4171 Fax: 503.598.1960 � O ' f i' ra ` Date/By: Other Permit No.: 24- How Inspection Line: 503.639.4175 C O \ @ c! ` ® , Date Ready /By: Juris: See Page 2 for w Internet: ww.ci.tigard.or.us 13 \ Notified/Method: Supplemental Information ® New construction ❑ Demolition For special information use checklist. Description I Qty. Ea. i Total ❑ Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) , » ,; e'er -' -li , .-. v-,=. ,.. '. : »� GA E,GA OF " "C q p , „N € SFR (1) bath 249.20 ® 1 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: 2 r . a :: ........:.:: . �•_r Fire sprinkler ( sq. ft.) Page _. ....., F kl <r `; t • 3g. = ,IO:B' SITE `I1 FO.RM TXON A.is I (�GATIOIV. y;, : A;. �: '. ,...�,..x ;.,94".e „:W:. -..: ��,�.�> .,� @�.�,4... >a. r,�;�- �,� „•;,h -� @ �_ - ����. �•• > :�: =:s• �.. »•< >..r =�.�� Site ut Job site address: 7773 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.: 007 Water service (no. linear ft ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DF Q , . , Q RK , „ < AI , , ;a ac Page 2 � . W , r , "� .� r�' > _ � s.,.a�•ri.s �_ a::r5s,x�.: ,N. � ..,k • _ . y;;i'aa: aaz+;s', ` t:s •>: ":' B kflow preventer Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ; ;E.;; » „ @ •., , ,�r... Drinking fountain 16.60 :z,P ROPERTY "'OWN.ERh j., UL: :; ::, ,:... 7 ElVA1 ;* ,,, >s; . ; :' e '-` a;� a•�a,aex�z.K•s�sv.s�+::.u„ ,:: �a =• . �;,:, z;. �. z. �., iF . ...,.s?;a�v:..�Z' >�.t.,: »...... :a,,- .as.,....,. �` a� 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 ;: �:" ;?� °;^,�� -,I: ��� ;�,,�� ,� ,,,,,.;�;;.;,, :s4 Hose bib 16.60 :n ;,, to E1 IC ANT, .., C" A a- jiERS(?i : ;:-;° .._...M. ®` •. r v... ... .. ; A g 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 - i� :r ::: c �,, <.:�sr �° `�`� :i ce.,. ., :,gyp �:��a = °�' "^ � ' , ', , , . " pN C TOR ,,,, . „= >-.,, 16.60 ', ,\ ';,,, . ,, -,, ,:, ," �,.:,,: *i,, : ,:. .. - ,.,, » au >., :,, ,A> ,, „ Water closet 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°/a 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.doe 12/03 440- 4616T(I0 /02 /COM/WEB) e 1 ■ I I o. 'I' TREE T II 7C 1 14 -ii/tierilAi e csr ' 0. ® I, MAN SA�t6S c t v m muTEN u, Owner /Agent for J, 5JJ) "01,6g ® (PLEASE PRINT) (PERMIT HOLDER) OP ® ► ® `t 4 :.; ® Do hereby th`a,� ` the' foll l oca ti o n ® .moo ` R' '-f :' 1 ® meets : C it , of .Tigard /*rash ngton County 4 land use and development standards for street tree installation. 0. 4 PP I ,,/ ® • ADDRESS: 7 Ft SA/ ,� LD (.99 /I ,4,2o , eif , Pa- ® LOT: - Do SUBDIVISION: iMI AC 56ZAa 44 O- ® BY !4 i i :ie / DATE: , l t /'' _ 41 il 1 44 DATE: 77, o ® RECEIVED B ! ! I ® VVVVV7® V YYYYYY YYYYVYYVVYYYYYVVVYVVVVVVVVY1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00392 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2005 :4 Phone: (503) 639 -4171 7, s t lD�' �u�gl ( Inspection Requests (24 Hrs.): (503) 639 -4175 —� -_.. INSPECTION WORKSHEET FOR DATE: 7/29/2005 TIME: 7 : 07AM PAGE: 19 SITE ADDRESS: 07773 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 007 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: N SFA OWNER: LEGEND HOMES. PHONE #: 503 - 620.8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: Pour Time: P G 7/29/2005 Code # Inspection Description Confirm # Contact # Message 299 Final inspection 012457 -01 503 -849 -5247 N Corrections /Comments /Instructions: _Pol — r 7 2 s © (66) sU L 6 Ge, Pti PLTh -- � _.41a1111 IMIND ` k PASS V/ PARTIAL APPROVAL [1] CANCEL ❑ NO ACCESS ❑ FAIL / 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t 0 -.,_„ Inspector: _ Date: Phone #: (503) 718- OF - - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00392 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2005 Phone: (503) 639 -4171 i���n��9 @��i�� I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/26!2005 TIME: 7 PAGE: 34 SITE ADDRESS: 07773 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 007 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA OWNER: LEGEND HOMES, PHONE #: 503 - 620.8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 624 -8080 Inspection Request Scheduled For: Date: 7/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # • Message 399 Plumbing final 012162 -01 503 -849 -5247 N Corrections /Comments /Instructions: l4kDASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 0 ;_P---- Phone #: (503) 718- CITY TI O F TIGARD = G BUILDING DIVISION PERMIT #: MST2004.00392 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2005 Phone: (503) 639 -4171 /�m��rfIIIi idi'lll\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7125/2005 TIME: 7:12AM PAGE: 62 SITE ADDRESS: 07773 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 007 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA OWNER: LEGEND HOMES, PHONE #: 503 - 620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 520 -8080 Inspection Request Scheduled For: Date: 7/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # - Message 699 Mechanical final 012037 -06 503- 849.5247 N Corrections /Comments / Instructions: or eE : ,.r -t P L - .17u $vc-, r Dv (---/- Ljeg- -K T 7 r-1 v,i-e_- ,5 V S7z. - - !`-1 /n./. R- e ►,: PA • 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL r - L ' OR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718 - i CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00392 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2005 Phone: (503) 639 -4171 A,„,, 01 �V iil,l� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/19/2005 TIME: 7:08AM PAGE: 31 SITE ADDRESS: 07773 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 007 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: 7/19/2005 Pour Time: Code # Inspection Description / Confirm # Contact # Message 199 Electrical final 011702 -04 503 - 843.5247 N Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ /ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED It ( q Inspector: - Date: -Phone #: (503) 718-