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Permit • CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00380 *1.4, DEVELOPMENT SERVICES DATE ISSUED: 2/4/2005 „� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07817 SW ALDER ST PARCEL: 2S112CD -10600 SUBDIVISION: HAMBACH GROVE ZONING: R - 12 BLOCK: LOT: 004 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 SVCIFOR: 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 other Code, State of l work k wil Specialty o ne i 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 rf 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 Reg #: LIC 60563 rules are set forth in OAR 952 - 001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 - 4444 Post/Beam Mechanical Electrical Rough - in Roof Nailing Exterior Sheathing Ins K Water Service lnsp Sewer Inspection Plm /Underfloor Mechanical Insp Gas Line Insp Firewall Insp Appr /Sdwlk Insp Footing Insp Crawl Drain /Backwater Low Voltage Gas Fireplace Rain Drain Insp Electrical Final Foundation Insp Underfloor insulation Plumbing Top Out Insulation Insp Storm drain insp Plumb Final Post/Beam Structural Electrical Service Framing lnsp Shear Wall Insp Wate Line Ins; Mechanical Final Issued c --- : — Permittee Signature : t A . Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building Permit Application t�'�'FOR oFFicE'v3sE�oiv�Y �� City of Tigard Re 9 E C EIVE D , eive A Petmit ��d - a t/ -96f 13125 SW Hall Blvd., Tigard, OR 23 Plan Review �Q C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: f C J- o S— OtlterPermitiiC,�►/gZ d7 ^ �3 / �/ 6 D EC � 0 +, p, i, y: ��� �— Inspection Line: 503.639.4175 ■ 1 U /UU4 � ,� ► ?7 ! I } Date Ready /By: / ''l) C � T A �uris: See Attached Checklist for Internet: www.ci.tigard.or.us Notified /Method/ / — vJ [� �' (' J ' Supplemental Information 6TY OF T IGAM / G w ._ - .- �.:..<.. �::,.:..:. .....,.. ...._ ':. � •llWEir✓IN :. ,,�::::. ti - _ , ...•... r � e y x:.: ,QTIIB U - X All } .3,r.. ..@ �.; -, � s�." _� s�,, ^;..�._ . r• a�`,°, ��YZ<: ��3:\. 1. ��, a�. e•-. a .�,,.,2,',_:sa,+. ^s =s�.u'.;.,.: •s.A`d��•:.i`��e",'5�".' m"�, �..� <, ..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 work indicated on this application. r. E TtY> OF e Nti'YIRVAPP. 2': Valuation: $216,077.40 I- and 2- family dwelling ❑ Commercial /industrial El Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ID Other: Number of bathrooms: 3 `°" '•,,.. "i"` ` " Total number of floors: 2 �;: �•`�?- , . IO" C31€ T�EI^ IV' F l7TtMA •'1»IOt�.IAI!�DLOCAaT � Job site address: 7817 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°erossliT Go U L Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet s: R QiJJ DI#TA:' :(;?NI1141 I C L-1)S HiatiST ` Subdivision: Hambach Crossing Lot no.: 004 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.: a and the profit for the tea; . w ,,; . - ,.., . , '7 ., ,. ��; ......... .. . . .... �:: > -:,.� 4 : = <: -;� •::,� r a �� equipment, materials, labor, overhead, a e r -':r .., work indicated on this application. PP Valuation: $ Existing building area: square feet New building area: square feet , _-;urt.r. 3 a R €� j � a :.,,AU.� �xf... Number of stories: P�i®PF.�RTY tYNE � ` �ti�� � ,.,� a ��,� ��, nes. R 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: tT' C lY oar��Q �1':PLI.CAN .a 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 Business name: Legend Homes ' i1 l -,< r_� 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: 12/09/04 * Fee methodology set by Tri -County Building Industry Service Board. i:\ Building \Permits \BUP- PermitApp.doc 12/03 440-4613T(1 I /02 /COM /WEB) D 01/16/2003 00:15 6427925 PAGE 01 DEC -01 °2004 WED 04!30ill Logend Homog FAQ, NO 5035988900 $03r3 �y k ), 02 Q f� • GE,IV , 43f l +'..... 1 Tt.. 1 ., ( '0 4 , , j 41' u " V ? ' . .. * a;4 i 't A g e g �1p�pyy�C.3 eq. r ' t l i . tf 4L �t A�C` , ". � „ y Electrical llerrY4 1,'. , SY �t ro� ?S a cc� o"'"".. t M5. .ts q }.= . _ City of T rd � . PtmrkNa, . • 13129 SW Hailelvd,.9lgard,OR 97223 3L 1 O ��" ti �} ' l OdwrtbnNiu InepeotlonLine: 30 ` .Pop: err Phone: _ $03,5 1 066 . I I , ,to Atnd 3.6304 7s CITY OF TIG �,� 1; t F • -,, AtontledlMetlratk 9 opgiementelt etforalatlon hlternet: wwwottipn toftle _ R DIV ; r , , ,i I h. V llrVr o ' trl I 1;11 ' i,l, 'xl�hF2 N 1.E ' i l I ti I.Ir4; I b. ? � o t 1 l;�. , i l 1. i I,, k t 6 g —1 1 1 �, N {'1 1 .1... , ` 7 Ji , `fn ..0 11Ar',�-pal�li( rl►�1l 1� { {, ���� � � d Il 1 � 14 ,�! I -> plseteviroolt All � tit Npply� ldlthv ConstYlubon • Addlllon /slt9retinnheQlttoo+nmtt ©Se vino aver 225 amps, corral 0 Iietardoua location II9 alLI Mon L � ❑ Other; �y 1t � 'pp �� ❑Surviere over 320 amp - rating 0 9vildng nor 10 so ft., R i'?: EVVI r � flt.1�f }. ul�� °`Ut u I ,til+uif1 ''!'F`.tii�I�t1H11 "11. �.. a1911;; + i 011-00a-(strdlyelwollbag4 40M!NDrenttw xi � � �I'� � LI`l� Q9yet.m over 600 w11. nominal snitsln one atruopn'e 1- ttnd3 {amtlydwelling ■ C6tnmottvlallitldltatrial 11i Acoonoocybuilding Q3u ndlnsavort1%ee stoles 0 eedore,600amP6orMore 0J M010411171l ■ Master builder ■ Other: (�occupantload nvw99pasen. 1rI3.tanullteturod timtetartso or . i :tml,,,l! �q ,a1 je ,lq� ,'Pll u ; l�7 r 1' S, �1. 1 .111,. ��:..�4i DEt ll plan RV park r ,� {.Jt_Ilu , tl ! ! �� t � " 0 Pin 1th•tor*focility ©Ober - , Job no Yob e(ta addtzss: $t' Sul /10,—Dreier S - ° submit,;, Sete or piens wit any oft. above. 4 PP netruction service Cityt5tatelZlP: Tigard, OR 97224 The ,trove are not a licablo m temporary oe Ki IP ligNI E LI, iGi 3;' wfra Kill Stlite/bldg•f. ao.: LProject name: 6)<atnbnda Crwesinti pimmoni n car mcwilizzimin Crook etreet/dIrections In Job site: New rcoidoedalsinge-or muse- Pomtlyd Intl Inn lsalu4es sate aortae. 1,000 s0 IV lea IMMIIVE7 4 Subdivision: lintabech Cr eadIng Loc no.: oo4 i . add'1 swag. rt. or • Oran NM 51.40 _ Limited on t, , t'etidontial 75,00 Q Tak . . r Limited ones, non- rotldcntial 75,00 t ��11 �1 ii,I1,iII 1; .1,, 1!� �? w ,�„ A � Fh it t' " 'ir'° �' I i {e li tr A t !11 �'t, Ee o111112tWfaetu rrd or Mgt l no . ewe ho. ee snd.'or feeder • 9' .00 ficrv,oe. er fccden Installation, sltarntiea onryor relocadon - � , p •� I�, , h � ,� ('.�. i.Y. 200 amps or tees 30.30 ;0.30 1.11111E1 F, v"1 i r 11 � L ?� f 1 l v .,. rl( IR d 1 n 1 1 1 1 15405. 106.85 Miligial I , . i !.' I�.E.....I. i1 l et' I I{ u7 , '`a'Mlt t ! � r. (P i l 401 -u to 600 amps 1 6080 Nome: Legend donee 601 a •1 to 1,000 arms MN . 24040 Addrese:12795 SW 69` Avenue, Suite 0100- Over 1,000 i ervona 1111111KEEI —la Recenneateall minn U city/swam Penland, OR 97221 Temparory aorviess Or (toiler; Instultelion, altorl tion. and/or vegetation _ Pheno: 003)620-WO Fix: (503)598.2900 200 straps or less - 66.85 —I I 'i3wisirr ipste i adieu: This insulation to being tithe on property that I own which is not 201 limps to 400 am s gm 100.30 iniiiEl inttendad for solo, loess, rent, or exe'irsnge, eoeording to ORS 447, 449, 670, and 701, 401 u ,,110 600 amps Milligli Owner algnaturra Dino: iarnoch ((,�d A. FCC for brooch . M w drones- s- now. altoros.e1h or m tlmra' .. ' r as 'V � t l , .'9 p L , .7 ' a . ...,t i -5, e r ltr ,1 i.li'll i , v.... 1 idit, U a a r =net �� � �.,_. ' `fit r ::�I I n i a k {! r ill service r nand&Il each 111 1 Ruaineds name: Legend Homey Wane circuit _ a. Fee tar branch ogre Contact Halite; Sdovo Lima -..�» a willow b rooc h em ar flmder feu 2 Addrmse:12155 5"w 69 Await, Mdse 9100 I dsch ttdd'l branch circuit r d43 2 City /StateIZ1P:!oKlAnd, OR 97223 ' Ionocolhntcsus (ay rtcear Rieder sot rweludoct) Porn or Irri>;ation cireie 43.40 EN Phone: (663)42040) Fax :: (503) 5118. 5900 Sign or outline li;lian NI 93.40 iv E- 111411 eluc egliOannditomoS COm Signal tinders) or united. Kinetlap' 'Sffi1 i INRE1MIE ' "M.6 ?E era ', ragl1 nrgri elil<I' 'i '�� aH fit ants R4 /19l. altctatian, or 1 extension, petoribe.. Page 2 Businoma nom* Canker Zledrin ..�, --- Each additional Ieepeetlua aver allowable In a of tho adore Address: 2920 SW 247 Avenue 9 A Per inspection 6240 INI City/State/ZIP: ]OIIUabaro, OR 97133 Investigation nor hour tr hr tuna r 642.792'. lndu5Mal lent ..or hour Ir Phone: (sea) .01.1310 Fax ( 9I �!•>1; �u':t' 1 n , - �., iii Ji o ro " , io po COO tic.: 121159 Bleoertoel Lie,, +�` Ir rv, Li; 3707.5 Subtotal ZJi5. S Supre. Electrician signature, required: Art/7471i % non lento.. (24%, ofpennit t s) NY 1 4 ' r i l;,= - `" - w4 State occehorig C /7i, of permit fvo) 1 • ‘3 Print nano: ' ' ` 1 17.: 4 1 04- Tps'AL V>8ARr1T FEE Z. GA °1$ Authorized Agriaturo; this porlun eppIllonnun uupires It a want to au: amnia;$ wittily 105 dare offer It her Prep eeeopead atao®ptete Print name: Dote' . Pea m othadolo �eb r cmany 0i IaIna nanny Service Doom Tlombaot P r:VDuaawevaa,lp4i.0•PonnnArr 0.01 40461 srtnuova erwoo d 2ry SONY � t '; r . 1 . ' , 4N,444-''' sk � .' Mechanical Permit Application � _ - City of Tigard RECEIVE* , Received Permit No.: Y 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date /B Other Permit: 1 Y Inspection Line: 503.639.4175 DEC 1 0 1 �. ^ et , _ tune. ` yu _� »,; Date Re ad y /B y : 0 See Page 2 for Internet: www CITY OF TIGARD Notified/Method: Supplemental Information . '� t1` H i-�i� `��iu'is ,3 / i E IA E..••.SG E C71 , sC. ,, :s -- rr:�,s; . ,= tr.:.:. �4" �ti':�f�.)`:,_v' >:;:F: >�;F: �:�'� -e -,. : r. .�v,;:'. ,' .,�«�:.,�,� %°' ^a = >r,Gt „��t�i:. �.:.�s.” , Mechanical permit fees* are based on the value of the work ® New Construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. J •,,,, - 3a. , ,h,. .x., ' OR °! "• F' t , : , i, "Aal® . , CAT )�G S •, mss, .. �, 5., .s .,. .. ', . . �,a .., . b •.a ,..., F ,, ..F..- -,- >r.,. , ..., b ehk,+4 ..'�«,w. ......, at n. mt�.. � RE SI , DEN *F' '. n ` a - T A:1` ~ laQUl' I'1YtE1�7' %$�I'�,7;E;Nt 11 1- and 2- family dwelling El Commercial /industrial ❑ Accessory building ""'"" °' `� "" ` ...d /. V `` `"'. " ,,,C, " e "/vo - "`-. "' � °'� f ,",, For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total it ;: >,,,. =' %JOB. SI ,, R 7ATI 0, „AlVD :, , V,10 He a ti ng/cooling Air conditioning or heat pump Job site address: 7817 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 Crossing 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 Crossing Lot no.: 004 Flue /vent for any of above 10.00 . Other: 10.00 Tax map /parcel no.: Other fuel appliances >P ;Y> '' ,;: st;, sF' �� �.. r. Water heater 10.00 ; - �,. } §nt;a +�i,��, s - - � �. .. „s,_,.:..•a� , ., a2., .t,� ;,•: '. _ �.�sy :r. a «.srN s, l °`.: . .,m 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 -� �j�'�: ;. -Z,. J:+ �; °�: �� >:��� -� . mil' +,. �- y 5i' :PR RTY OWNFRs» -, .ii�Z % 1.4e Y' � _ � 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 > ;l1 ',M:,,..., z,', t Attic/crawlspace fans 10.00 « a„ O, T ' 'LAP RS �.N�'_� . _ ; - - Other: Business name: Legend Homes Fuel I rn P g Contact name: Steve Lucas $5.40 for first four; $1.00 for each additional Address: 12755 SW 69 Avenue, Suite 11100 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 Via;,. _ -iV4:i�i.�.« :'_:.:` '�.�' a:�:. .,�CONTRkCTOR�r''.��.� � Te -M3 €.,ate;. 3. %`�� >� - -�� �; , , .�.�.. ` .;3<': 1�aF<�s.•`.x`;,.K�> Barbecue Business name: Tri County Temp Control Clothes dryer (gas) Other: '.,„ ` "'" �``"� ° ,. " Address: 13150 Clackamas River Drive :1;n0 � •t ,,FCI -lA iC":All; PERiVI,iT, 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 g days after it has been accepted as complete. Print name: Steve Lucas Date: 12/09/04 * Fee methodology set by Tri- County Building industry Service Board i'\ BuildinglPermits \MEC- PermitApp.doc 12/03 440 -4617T (1 I /02 /COM /WEB) t. ® 9 s ^ ,..t. ` -""-Fats� t � .; Lax `" '. � ' ' .i 'i Y'Q t k ; 1 2f3f :: Plumbing Permit A . 11 4.a r r try ` r FOR OFFICE: USE FONLY V ar � ` r < x .. 5 ?t '# • ? .i ' a 3 xr�`: , City of Tigard . . . . Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 DEC 1 O 200.k.:::... UU T ..- Date/By: Phone: 503.639.4171 Fax: 503.598. l9 0 , l�q Date R eview ,,,� Other Permit No.: 24 Hour Inspection Line: 503.639.4175 lTY OF TIGAR `i� ^_ s ,.� ,,' Date Ready/13y: ady /13y: luris Ql See Page 2 for Internet: www.ci.tigard.or.us BUILDING DIVIS . , Notified/Method: Supplemental Information o`s,:: a . . >:.:,: �'. >.:.- .. -- .q's -�::. •.., .,.z <,:x::• « e :s.:,<,; <, 'fix... ;r, c, =, ,.�,�; ,F ✓gty, -� �m,`u'�,; ,., >�a i+ :.,v � 3 u; 1' °Ns R � ® New construction ry [] Demolition For special information use checklist. Description Qty. ( Ea. [ Total ❑ Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) ` " .a � , T � � q STR GT 1.0 ' _-.- <� . � `' �, Z';V, S FR (I) 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: '; ,;• •: ::,;a ,F „' s s: :` Fire sprinkler (_ sq. ft.) Page 2 ' ' < ' <,, S1T °l Rti1a1E : l,D- :1aOCAT,ION „,;;:': `Y '.., ' - o ; '; :.: ` �w:� < : •�,,_ ;,��::, ya:��: :.. 1 � 11F.,Q, '1(;;CON� �! < , � ,, , .. K, r .; e.,..n_�,�,, >�w a- .. __ x�sn'� ;.,.., „�:. < > �,'� -.. < . •: x•:. „ -,. .� I�+w , <. _,� :. ':7.?<`� . x, -x � -. sit u tiliti es Job site address: 7817 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 Crossing 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 Crossing Lot no.: 004 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: - < Absorption valve 16.60 �'� "�,. °��"!';« > ".�..,� �>.� - ,..,.w� _ ft� „. ,��.,� " °; Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 m : 4 t :, 1 :: : 7, ;; "* � ;,,; ..a ;. : Drinking fountain 16.60 �.;EROP , OWNE,,A 1 E - _ m,�� . _...�,�..w.,�..��.�>,.�_. _ ..�.� _ ".,� -> ..�a��*s.� _ , _�'14;221 ad,: 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 Q , ,zy sE : iiir ��`w 3 �`, �;;',M, :; - ., >,,N.a`� Hose bib 16,60 ; 4+ w „ Al' � = ; ` . °`, ' ° & . I'sPERS ,a.' >. �t :G <a .�,; r-•,M -, -.,� ,.;_x��:s,:.a.�F,. , hs.. 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 gam'. >l':" ce: .: ; :. . ..,�:. :" r. `4 < 1.:.� y , ,., � ��t i� �n>"�.� 4_ :41 ! `i G'e, , yti. - "."�.''..:' > ' `-t' �5�.•^?'S'�'FY„„"q•,�� F - - i i.. z a y a, gt . ,O N ;T RA C TOR - ;il> 6 ! : ` � #4 , 0 � 44, >;--`»,a, � Water closet 16.60 - , o-.- ' "<: +:s ��e�S'..,:;: ;�.,:. +'rFS `.. A:'a.�a:�:, ... •i`... c,�e<5.., ., . . n_.> � >�;�„ aiu»t ,...,., . ".G 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 tee: $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: 74 TOTAL PERMIT FEE Print name: Steve Lucas Date: 12/09/04 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 \P LM- PermitApp.doc 12/03 440-461 6T( I 0 /02 (COM /WEB) ® AA AAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA41 or ® ® 4 Ia 4 Ito 4 ® T EET TREE s R 4 4 q,, I NAR 7741 5f4NDeRs cc ' � �`Y , y I, LOAM SM4DE, $ 6Aoutotls MAMITSIMia Owner / i gent for I- F-4eit4O I/0 Ares ® 1 1 (PLEASE PRINT) �` '! (PERMIT HOLDER) 4 P A , .,+ 4 ► '® :�` A '" - ;a Uu , , y1, ; ,1 Y riy . �: ' -ng location Al Do hereb sc� � if : tRh� �'l.e` fol�lwi �o; 44 meets City o YTiga °County ® land use and development standards for street tree installation. 4 4 4 i ADDRESS: 76 7 (CV ALP E: STRErr t" / 4 1J) , O gFolaZ r �, 4 r. 1 LOT: hlg- 619K SUBDIVISION: //,4flA £ #?ass1'N0 li- 4 41 It 4 BY: R, m:, �.. s DATE: 51c3 dr _ It. 41 lit• I • RECEIVED BY: ® DATE: ' 2/ 0 1 . CITY OF TIGARD ; ° r BUILDING DIVISION PERMIT #: MST2004 -00380 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2005 Phone: (503) 639 -4171 ' ° rp i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/21/2005 TIME: 7:11AM PAGE: 36 SITE ADDRESS: 07817 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 004 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: 6/21/2005 Pour Time: bode # Inspection Description Confirm # Contact # Message 299 Final inspection 009764 -08 503- 848 -5247 N Corrections /Comments /Instructions: Or.°S / o /■( . NS t_74 - 0 f-/ Ge l �'2� l ! • . C I° 1 -i ■2 PASS • "AIITIAL APPROVAL ❑ CANCEL fI NO ACCESS ❑ FAIL 4 L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Iligliallir Inspector: ( ) ec tor: / Date: g/P7 ° K. Phone #: 503 718 - 1 CITY OF TIGARD " „ BUILDING DIVISION PERMIT #: MST2004-00380 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 2/4/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 MJ IL. INSPECTION WORKSHEET FOR DATE: 6/15/2005 TIME: 7:16AM PAGE: 49 SITE ADDRESS: 07817 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 004 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: 6/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 009334-12 503-849-5247 Corrections/Comments/Instructions: • • ItlIDASS PARTIAL APPROVAL 0 CANCEL NO ACCESS El FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 7fr72, Date ,///- Phone #: (503) 718- CITY OF TIGARD ; x . BUILDING DIVISION PERMIT #: MST2004- 00380 1,3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4 /2005 Phone: (503) 639 -4171 i 9n- ��4Vy�iigl @Ij15\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/10/2005 TIME: 7:05AM PAGE: 16 SITE ADDRESS: 07817 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 004 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: 6/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 00899006 503 - 849 -55247 N Corrections /Comments /Instructions: f� • d AJ / - i • [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � f Inspector: o Date: - // / Phone #: (503) 718-