Permit •
•• I ! `l CITY ® F T IGAR® MASTER PERMIT
PERMIT #: MST2004 -00395
DEVELOPMENT SERVICES DATE ISSUED: 3/3/2005
�` ' r �' I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S1 12 C D -13600
SITE ADDRESS: 07798 SW ALDER ST ZONING: R - 12
SUBDIVISION: HAMBACH GROVE LOT: 034 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: 4 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:
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: 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 - ENCOMA 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 AVE 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
Reg #: LIC 60563 952- 001 -0080. You may obtain copies of these rules or
TOTAL FEES: $ 6,920.10 direct questions to OUNC by calling (503) 246 -6699.
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
,,I 4Er
Issued By � : ' i = i ./ Permittee Signature -
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.
•
Building Permit Appl ,atio_>� ' r , , ,, ,, _,e . ,4,- � FOR ,r- ra ,': 4 1.7 4 ':;
u ,
City of Tigard 1'1 l tilk -' Received � - 5 ( ' PenuitNo.: y�, t>'b
13125 SW Hall Blvd., Tigard, OR 97223 jt[[. C Plan Review ^_
Other Permit "_".'
Phone: 503.639.4171 Fax: 503.598.1960 Ai r I I ' Date/By: lelad / — .]b - ear �rf��Ti -0
Inspection Line: 503.639.4175 C,SN1 Of TIG .` 1 .k Date Ready /By: i . ® See Attached Checklist for
Internet: www.ci.tigard.or.us ol\f 1St. -•` • Notified/Method: /ay' Supplemental Information
euiLo»v G
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_ '
�'' = AI�Da' PAlVII 'Y �n�'4V�L:T1�'C_��
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. pF,•:.yORK ,,,,., „, RE' - i1 ,, A, A''1 .... . :,
sra �a�.•,�%:# °Y�^�i� ; "„ ,. 1,. ._.- �''',?v:�- ".. �a.....,�.,nl�- s;c..� x ,.,e �`, "M\'•a�"aa.. .. r , i� ' =.;:�� .. ,.. .�.s. .. rrwa.:e: "i«, "w,5:C� -- s.. .,.�.:. >4., ...,.o � -
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all I
❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the N
f;e: „ : 4 : ,' "<, :, ? ,;�� _, ` C <, .. trel ;,, 1 'i• work indicated on this application.
"�'; � � = ; .� E GA •„ CC U , » C.C► , °, _ �
,a �,r, .,�2 z'r?�x� �:sr_H „a ,�.��c „',.:. - �',y?z -fir ;: �:`:.; � �,�.�a. •, .'� .x�uv ° s> - a- ;- ..,o:�,�.; ='”
Valuation: $216,077.40
® I - and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building _ ❑ Multi - family Number of bedrooms: 3
111 Master builder ❑ Other: Number of bathrooms: 3
::, % ',: ':,.. E, � ` .Y 0 .0 - ,-:x„'; , , ,; Total number of floors: 2
1 s kwl- 4;. ` s., JbB: SITE,, „I'N'FOR - AN LOCATION- ” r", ,
Job " site address: 7798 SW Alder Street New dwelling area: 2217 square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: 462 square feet
Suite /bldg. /apt. no.: Project name: Hambach Grove Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
-R Q C EI'E °ICI IS tP_,, :t
` Subdivision: Hambach Grove Lot no.: 034 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.:
l a . %
; <,.,, r , ; ,,,.., °•; ;.•r,.. _ . ,; ,t r rK ::.:,,,:a: ,x;,F;.•'; • •• overhead, and the profit for the
equipment, materials, labor overhe d a e o
r
`$" t OF:- •, ,, " ORK" ? <`••1P' "' <"' work indicated on this application.
: i' " ,;: ', .A ;, -'UESCRCPTIO % N W, „,., a. xi t ':
Valuation: $
Existing building area: square feet •
New building area: square feet
,, r, k, ' ;t``: - ; : ;•.,' :,- „; ® r , TENAN T".::' Number of stories:
+ -,• °: ;"P RO P Et2TX� 'O VINE R � , ;. fi t: ; y "s' ` �" : - `:�:.,
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:
2 , , .- . �" 21ili . , »-... ” @ONT'ACT a PER SQN . "::'=',,'"',
,
:�,�;� „•., .ro. .. o,,,, "�`z..»,� , ., ,,. acO f�;,, ..\\•�.:....,<..... .,<,.�,12:. a ±�3 ae} .
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 -8 Fax: : (503) 598 -8900
E -mail: slucas @legendhomes.com
ar�
; r ,. C O NT RACTOR „ A , ; :;:;eta
•�' r =..a� t l , �a»�=:': -� .n"n =.r..,._..: �a.�;,�.., >, '.;i;•,i;s •te4
Business name: Legend Homes a ' ` " `° tE
B LD NGrPEIt I:o °,'' ',,ES `'; ;
Address: 12755 SW 69 Avenue, Suite #100
Please refer to fee schedule.
City /State /ZIP: Portland, OR 97223
Fees due upon application
K Phone: (503) 620 -8080 n a II Fax: (503) 598 -8900
Amount received
CCB lic.: 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.
i \Building \Permits \BUP- PermitApp. 12/03 440- 4613T(I 1/02/COM/WER)
01/16/2003 00:15 6427925 PAGE 01
' ' DEC WED 0430 PM Legend loges �� ® FAX NO 5035938900 P, 02
( �� �� .J �� ( EGE ye , -
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+ 1� jl . "' - tt - , IAA lln-1 �''t .i � r 4 j L t i �µa ' ft rr4'. ,,' C' a.
Electrical Permit Permit �,�a�11i�S��� . . .� � ;. . �ia� +c f � �, �; + N Y �,. &
:� r 1� r � ., -00 t
n�' or Tigard pEC . t,n
13125 SW Ha1181vd„ Ilgerd, DR 97223 �', llsnttew.r Odu,r i'vttrlia
Inepeetten Line: 303.
Phone: 903,6394171 Fax: S03,5 : • " " ( 1 595.530,4175 Y t I , �1� -, as 74410191 T Pe v s Nr
C1T °fir ��,. �itletted/Merltaa stspuntenteileromunce.
ht$cn%a www,al,tipard0 ?.U$ at 111 nl�G Ut yI
„,u nru s A6ii 1 I �`I•Y 14 ! ^ ., v;• 111 i f iA M �f I�i� + �l ` .fit a�� l��� '` i • , i i i .
itf it iC lifir 1i l is ;4 (� I' , iii tl�mt`, �4 !t� 1 �� v . -
�' ,�,�NII�� ,.i 1�.. Ell, t�hl�l��f�i .t..1:.>;,.d,. � Li�i�1J��k�r ,<�#,..�:1� :���N>� �Ii��!� .k ,t ,
Please chock 511 ' at 0991Ft•
Now SCn:Mtltletton Is Additi9n(atterstlonireplaoomant ®Stavioa sear 225 amps, aamm'I o Hoeordoue loeation
ra
in Mother ae aver 320 amiss ' - ring J 9u1l4ng our 10,0001a9q R.,
n 1Detrlel(tionr +tt Q i',t,Fl ` ti�!f fJ "1 f'',u 1 itll!NitTi" INi 0Survi t�d2- (ilydwelliamngd 4 o tnero nowresidentisl
P IR I � '�1+!''!ritfill i lfi irl'iX, :,I �i1,5 ` r,l �.,,,,,,ggliIg±i J. ,': o[1- p
w t. spa 6uildin 148yesora over 600 rcb. nominal antra In ono mows
}� 1 -told 3- fatrilIydwaIling ■ Certlttt>nv)aUlttdttltrlal g0°rY 9 CI Sulldingorardaresiariw 0 Walden.400omPSarmore
0Mttltf•P4m11 ■ Master builder IN Other yp � oc at load war 90paw. Q redetr'aletr:9
�1 y V i�� J
f1 It I1I ill �a�t.i,.E M 1 1pp��t,. 1 1 n Ij ',iW �tir: !1:I.:. ir5 t'.l gi r• �• ❑fi 1 11tH Ian RVporkW
U'l � i�ulu;�iI 4 ;1: ! I{I. 1�AI n, f «Lr I f si lirtlsa -b IIp 0 -
,..y �' `' QFae.lth�asrafactlity Outer•
Job no.: Job Ate address: - 4 -'1qe, 5..,1 A 1z- _ submit j,.ets of peens with any arts above.
R24 fir abevawvnot appllcabio so temporary .orwtruelloa
City/State/ZIP: ($tste/Z1P: TI>rard, OR A7 L,g • r iu •o'� r
8 1 ,4 1 'Tlll:xtlail' ll l lll5tiS, ;�i d.'��.tti,i 1a.r•a'. 'ii'iF�67�f(I1LIi5ri Ail
9vitelbldg.lopt to.: PrOjoa nomet gatnbaeh auovc peMwp6 0o Ks. isattonia
Cross Btfe4 t/dlrectionl to jab rite: 4c d s{tte10.0 mw#4w sl y dwcI1hi bolt lludached : eangle. angle. 1or al feet 1 145,15 45,15
Lot no.; OTC :a add'! 500 sq. i!. or portion 3 33.40 4 00 - Lb
Subdivision: Hnmbaah G�+tmvc 75,00
Limited an � �, . t'esidwida)
TeX . ;4 MI 50 LU111tsd ,r , den
n r, YP" Zr�' , , I'IP ni P t "�I� r i I l
aner non rant l ive INC � • �
q,E'i91h t � li r I �ti ll 1 111 �tf alit,! �� �; :1�,i ",1 diX11: u li�,..it' lZ :I�a n:l�i, I La,, P f ITI Boll msnafeetused at made at . a 1 1 a ., fr u s 4\4: sin: iecondlorfieder • x.00
9ervloae or feeder' Instedatlen, sitarntientordier reloe.aden
200 ssnpt ar tees r - 00.30 2
g�;����+ M f � . � 1 { p M1 n 1 1 ! t i p I J
� +!' ; I NU „ � r, � T tv rn t t 1, "' (9400 106.95 Z
kA t' �"3 il!J_ ia1 trail' i ; ,, , , bill... ? 3�II ,C�JI� ti i S a } 1.4", '2 ' i i i to --,.......44 . ,.;, �.� 1, 7� '!l s ' I..V . 401 t, to MO amp, MB -6° El
Name: Legend Horses Y de 1 a . s to 1,000 ammo VIII 260.60 IIMINNIEll
Address: 12755 SW 69 Avenue Suite 0101) Over 1'000 .• at V010 IIIIKIZIal -lei
Reeenneattail • 66.85 Q
City/State/ZIP; Pordlaad, OR 97222 Tcmporory 'onion or Roden in.t1Itatlen, altaradon• and/or
Fox 503 590•ti900 200 a mps _ 66.83 I
Plsone: (!!93)630 -0030 ( ) 20 a mps or lees
Owner lotto i sties: This insulation Is being merit on lncperty 014 1 own which Is not 201 amps to 400 am- 10030 2
intended for solo, leave, rant, or exchange, according to ORS 447, 449, 670, and 701, 401 wrap 600 amt l 133.75 j
Owner signature DrtC �r A' iv
Enoch dre is -a.w, alhsSdon, or extmnak5 "pod
�t Ytt: yr i is l r, I � hfe 236,:V ' ,',' 11 Xi,.�ia.l f, 1 te rblarlC110irPalti"dill
r r a1L�'° ?, .� ...I.... ; !
I . _.::L I. 5..1y...hn, c _I,._. k ;evicts in mow he, each 5.55 2
Drancn cfreu
. B, Fee for bearish Otre
Contact Taunt Move Loco wAUaei salvia sr ttmder fee, 1115 2
sea .m101 101 circuit
Address: 12153 SW 69 Avenue, Si 010. • &eh add'i bta,oh &oldt 6.65 2
City /State/ZIP: POSIInd, OR 97223 iwhedlsaaus Cwr'rtea or Cadet s t INelu6a0
runt or IrrlCatlen s(lstd 111. 53.40
Phone: (003) 630.8080 . Fax: l (S03) 5$. -8000 Sign or outline li .Han MIN 53.40 MillEll
B -malls al ucrttQl)iogsndhomel com igen once% (5) or Umlted•
{' J'i°;l >1i'f }; iBallfa fllu!In� 1 �itiral 3 :Yr.��ic 11'111 ?JfF !.;s her if ffl 1�'i;PN!? ii iiti i 1. ' To*.n1:<m mi, or 2
r P I D voodoo. Nora* Far a:
Se inen none Garner Electric
Ad slroa t 2920 SW 247 Avenaa b A _�.- . ]froth addiilotal isspaadua u rar allowable In a of the at+nra
NT inapecdon 62 MI
. Ctty/State/Z11 Hillsboro, OR 97133 MAO ea , allow It hr r4110 � 0150 liIllIllIlIl
Plume: (303) 591.1320 Hate: ( - 642 -792 RI411iiffE. , w l , " 'iil:uttl:ii '�.c° t :3.1fi';.i .,;,-
CCS Llc.: 1211► rv, Gil; 3707.5 yutatotal
t
den signature, a11'ed: �� Pim,,ache.. (2516 of permit mrJ
super. Mectrt , + '04 /// �'� ` ;;
....� Stay .w taw. SC ce'w otpermi$ NO 9 .103 ler
MIMIIII Print mimes
7+p't'w1L 1'>t;1lMIT FEE Zfdr}• AS
Authorized signature; Yoh perms vppl. t as *giro It a permit 1. pus enadad xilfua 110
• - a.yt.nerII Mai 114e01400p144 statepiets
Print nail'me Date: I F'ta taadtadelboy lathy Tti-C 04114/41 Muscly Service Deem
Numbs, of impaeNew pH
1 :leuha:ee 4ha11 4$.04ThNA4' 466 I en 4it1 11r11atW0ra1Merse
Aa s4 $ "' x ' FOR OF O `, *w �; ti '
Mech ,1
a,.ni�al Perm Applicatio � � � �
City of Tigard REC ED Date/B Ytl t1 //,� d PermitNo.� �
13125 SW Hall Blvd., Tigard, OR 97223 �� � c
g F ' Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ' � w , tlI • Date /By: Other Permit:
Inspection Line: 503.639,4175 DEC s!a.I Date Ready /By: .Iuris: Ei See Page 2 for
ar
Internet: www.ci.tigard.or.us " ° ° "` `�
g Notified/Method: Supplemental Information
.,. ,y. ,� +. >;i.w•. ,� >... .,,, „v„ \ et, 5d✓n , ,,e6 Sic:
nil OF TIGARD
vim.
tom,: ;�:
FIND C,;.; ICL S .
- ,� ., . �..:. µ :��•> -, -N : , �" , <,.,,. co IER �I- , i� , u =us olt
° �, - r,- � -, TY�E.O m��W, >H� G Al.� k`E S
..::.:::....:
ca,,.;,�, °.�:�.< �?X.�k . >e `�.�. - .�.�,�.e;:'�:�.:. ,.•��A��,ca�:a���a,.:,�'e .�'..- ''t«;�' e.. „ ',. _ s,.,..:±z�� ..,. , >,."f�'��€ �.., .....� -. _ �,,.... ,... .�,:� ;
.�
® 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.
fir. s s is K> ea.,, Value: $
,.� ,`;� t�TBE, OR4� =�0 1?.GO�VSTRCTCT101`i
1 L� ,)E QUIP- 113ENT =/ £Fr $` FE '-
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ,” ` ll" -i?" "
�'`"''� ' " "' � "
For special information use checklist.
0 Multi family ❑ Master builder ❑ Other: Description Qty. I Ea. Total
,: -a=�;' €,;. : — :--,,
'ins:. -� ;�,�� ~� t��'« JOB; SITE "<INF,.O MAtTIgN AND. ;, .... , �..- ..,.. - , ° -. Heating,/cooling
Air conditioning or heat pump
Job site address: 7798 SW Alder Street
(requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Hambach Grove Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00 _
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Hambach Grove Lot no.: 034 Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
fir' ; ° 1- , ,. , ,, � 6 Nv u$ T a `_' Water heater 10.00
q• ` ) „)t y � : z D. sSCRC a � 0 ' .,: ; 1'
<� ..�,� _r,,,. .:�.., <, =art;_ ,- �x :,.,_- .., >r.�;��.:� , _ <,� - ,. ..,, d..e
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
; .,, :I .,, , ;•,r, ;�,t;x T,r.� lair" -u n ;W „ �.,_i Chimney /liner /flue /vent 10.00
• .;, .TENANT -,
"� 1'ROI'ERTX :. . I\`ERcs- ; :, � � � >;
.. <..x- ,� -,.. �,e ,�� <� ,E �....,.,, m�; �� ;; a..- .,�o?��- r.. .v.��n�,�,;� �z „'�� " w : ‘,:: �� . _ = � �;., 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
n.. >: E ,: -.r; ,a:. ;' <: ac fans 10.00
...; N tw' !O '' ,,:i Attic/crawls p e
��� � �;a P , "C� NT p ° °�,,. �;`:a �:r • ,�, > ®:;;C < -� .v
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
„.fir ". - Veil?. --., �'E' x °gas „ �,: y -
lx . ” " ? a °t N N;N W' Na F eli i �' `. Barbecue
Business name: Tri County Temp Control Clothes dryer (gas)
Other:
Address: 13150 Clackamas River Drive kl . s ' .y„ CH le:SM.'ER1litge ES" z
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: 12/16/02 * Fee methodology set by Tri- County Building Industry Service Board
is \ Building \ Permits \MEC- PermitApp.doc 12/03 440 -4617T (11/02/COM/WEB)
RECEIVED
Plumbing Permit Application ( Y• . �s; ; S r -, r *;FOR OFFI USE ONL' *'
Y ,, ° ,. l' A' c "
City of Tigard DEC 1 20r Date /B d Permit No. :H9 -00 •
13125 SW Flail Blvd., Tigard, OR 97223
Plan Review Other Permit No.:
Phone: 503.639.4171 Fax: 503.598.1960 #10'00010.
CITY OF Date/By:
24- Flour Inspection Line: 503.639.4175 ,• : ' Date Ready /By: 'lul El See Page 2 for
Internet: www.ci.tigard.or.us
BUILDING D Notified/Method: Supplemental Information
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El New construction ❑ Demolition For special information use checklist.
Description Qty. I Ea. I Total
❑ Addition /alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection)
a < W_- W i � ,1T G()�KX C?F4CG)1. ,STR,,,,,, l(�.lY r _: t: SFR (1) bath 249.20
® I -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
Fire sprinkler sq. ft. Page
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Job site address: 7798 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 Lot no.: 034 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
k, ,- ;,! ` , :\ ' D . -.R_IP [Q1Y 'OF i OR y- r >::;lro ,.
a �..._ 4 _ ,. ..,. ,._:. > ��, �,. 9M . -. Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
;, > ;1 x , A�,;; K: , ,. 4 to Drinking fountain 16.60
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- � - 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
z _ , n - , ,.� Fµ l zz�,',J. ,� , x, Hose bib 16.60
4 . ,g `APP. A C� iia41t CO1 C�ACT PR[2SO1S' ��
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
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;:� : ;��. �...,n'; N���: � _� , . -z .,, �:� , ���., :,, -.. ,. ,, �:,. m.�� ��� .. ,, ate ose t 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 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.
1 \Building \Permits \PLM- PermitApp.doc 12/03 440- 4616T(10 /02 /COM/WEB)
I CT 4 '3 4 I 1,4'5ACI 1 G 1R0 V DEC 17 2004
1 S.W. ALDER STREET CITY OFTIGAR
S.W. 1/4 OF SECTION 12 4 N.W. 1/4 OF SECTION 13, T.2 - 5, - 1 ° - I r6J1 °UMN
CITY OF TIGARD, WASHINGTON COUNTY, OREGON
STREET TREES MUST
BE PER APPROVED
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. 26- I I 12755 SK 89th AVE. OFFICE (503) 620 -8080 -•
Al _ 01 1 SUITE 100 FAX (503) 598 -8900 1 = 20'-0"
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N WATER METER
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—t----t-- i — f S.W ALDER STREET MANHOLE
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" PROPOSED
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COMMUNITY EROSION PLAN
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4.00 ,i' X/ Q ° CITY OF TIGARD - SITE PL N REVIEW
j o u BUILDING PERMIT NO.: j' „� �,� i� '���1
LOT 35 l LOT 34 �Q L A ING DIVISION: jl -/a LP,�
1) 3,532 SQ. FT / a a Required Setbacks: ❑ Approved
❑ Not Approved
- 1. COLOGNE B// Side �/ 4 Street Side: /a
I:"I` // FIN F LR. = 1 5 5 ,5' / ' Front. /02 Garage: -?v Rear: /S
O ' GAR. FLR. = 154.8'/ w V Istial t _
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00396
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3/2005
Phone: (503) 639 -4171 : � i ' # 1/ 4p olpiglGli �h �
Inspection Requests (24 Hrs.): (503) 639 -4175 411P-4
INSPECTION WORKSHEET FOR DATE: 7/21/2005 TIME: 7 :09AM PAGE: 49
SITE ADDRESS: 07798 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 034 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: 7/21/2005 Pour Time:
i
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 011892 -08 503 -849 -5247 N
Gorrections/Comments/Instruc 'ons:
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KASS M PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
[1 FAIL C,. L F4 R INSPECTION ❑ ADDITIONAL FEES ASSESSED t) '' Inspector: L . te: Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M ST2004 -00395
13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 313/2005
��up
Phone: (503) 639 -4171 illTi
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7 :07AM PAGE: 61
SITE ADDRESS: 07798 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 034 TYPE OF USE:
PROJECT NAME: HAMBACH GROVE
DESCRIPTION: New SFA
OWNER: LEGEND HOMES, PHONE #: 50' -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 -10 503 - 849-5247 N
Corrections /Comments /Instructions: •
G- - L.--,- c=' 7Z rr-.4e� =�4e, i t`y-
A SS r] PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I / /ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: att.. Date: �1 " -°3-- Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION #: MS "f x( -00395
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3/2005
Phone: (503) 639 -4171 :Atli 1.
Inspection Requests (24 Hrs.): (503) 639 -4175 —.0
INSPECTION WORKSHEET FOR DATE: 7/8/2005 TIME: 7:10AM PAGE: 22
SITE ADDRESS: 07798 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 034 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: 7/8/2006 Pour Time:
Code # Inspection Description Confirm # • Contact # Message
399 Plumbing final 011038 -13 603 - 849-5247 N
Corrections /Comments /Instructions:
l l :' P(/ t' -)- e 7 - GO Ls":" To 4-;,v V& cuJ2..5 acc.)2' ‘ ,
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P o s 'V ?- v■A,c--y\, sl_ ____Ive....Q.S..3- 4
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( PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I i CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
c
Inspector: f Date: -2 1 ( 4=W° ,S Phone #: (503) 718-
1
- CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: MST2004.00395
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3/2006
Phone: (503) 639 -4171 A AlltAlit
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/8/2005 TIME: 7:10AM PAGE: 23
SITE ADDRESS: 07798 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 034 TYPE OF USE:
PROJECT NAME: HAMBACH GROVE
DESCRIPTION: New SFA
OWNER: LEGEND HOMES, PHONE #: 503 - 620.8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
f ..
Inspection Request Scheduled For: Date: 7/8/2005 Pour Time:
Code # • - ! - scription a • ' m # Contact # Message
199 Electrical final 011038-12 603-849-6247 N
S
Correctio- • - • - '. s:
•
•
•
�, PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
F' IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GM Date: - 24._ \ c_l Phone #: (503) 718-