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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00398 ..�i( DEVELOPMENT SERVICES DATE ISSUED: 4/15/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD-11300 SITE ADDRESS: 07727 SW ALDER ST ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 011 JURISDICTION: TIG Project Description: 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 THRD: 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: 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: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVGFDR: 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: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes LEGEND HOMES LEGEND HOMES CORP and all other applicable laws. All work will be done in 12755 SW 69TH AVE # 100 12755 SW 69TH AVE #100 accordance with approved plans. This permit will expire PORTLAND, OR 97223 TIGARD, OR 97223 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503 Phone: 620 8080 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: LIC 60563 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 6,745.79 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS 0 i Ai Issued By : _ __ — ,,L 411!„/„, ` Permittee Signature :� , . Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. • Approved plans are required on the job site at the time of each inspection. r Building Permit AUU °IcEusE olyLV� City of Tigard Date /By%� � U — PennitNo.: ' y a39�' 13125 SW Hall Blvd., Tigard, OR 97223 ` ® EC 20 20 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ‘ DateB s— Other Permit: j l Inspection Line: 503.639.4175 3�.c; e. � Date Ready /By: Juris. ® See Attached Checklist for Ilf Internet: www.ci.tigard.or.us � �( `/ � T O Notified/Method:,2,Z 5 '3 17& Supplemental Information _ 11)iDWEliIAI "G. OF`` =J1,OD1{z K RC CAKED- .UATA1; =AND E ;,t,,a:,.;., ,r• �,,•a,,. "JaaS^ , ._�aa.� ,���::���� ^:.:w�. ,..a �. y '.. ,�:`.+^,: . � � ® 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 y.,,' .. g.•, :�_ •::ia �-^r. >:t:7t�= •aa «:r :,,5,'.'•a• : ;sx •;:;c�. "':: indicated on this application. ,. �, :� ,,� r work ind Gated o t s pp : 'a. - -:.. 1 R1z °,Oi OIVSTR & T t - P 1::1':z ,s:• 1 :��� , CA EC() �....�. tlC. O „ ,;,,,.,,.. • "•`' ai'. u.,�,;�;;�:arr���:::,� ;�°'y�..:•: -.. ;,>. 1.:, :���,���,:t;;,. �.,_. .,•.'�.� � - Valuation: $ 9 3010 ® 1- and 2- family dwelling ❑ Commercial /industrial 1 5,2 ❑ Accessory building CI Multi-family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 4 a.., 4 *64 >`^ ; b. :10 SITE;;,,iI tO., lv1410N``ANI};i[ Cj' ' T1ON,.;..: Total number of floors: 2 , Job site address: 7727 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 QU1 ED UA`1'A: COMMERCIAi USE HEt KL1S7 Subdivision: Hambach Grove Lot no.: 011 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 ma ma : - o - ::::;.- ;: < -� a and the profit �.'^•;�:..'s':•:i .1 ,� ...,r:, -,.,� . - ,,;., equipment materials labor overhead, a e for the : , `E work indicated on this application. t DE3G.K[P� ,;.;4 VORK ; : E :.. >.y�;, °:.:;s;. v . ,s:,K: -, :?.n'.���'z.'. �: .zm�.:�x.....'..,;:::�.:_,:. „,: ` '�, -�.� .� .aw.r�•i�"�.". ti,' ,, , a -: � ',�•a,.� r� Valuation: $ Existing building area: square feet . New building area: square feet ..�"�.;`� ,��M ❑'-° PKOPF�KTY..pVVNEK . :�� :: "� -:,- .. TE1VANpT ; � �• Number of stories: 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: w TIeE 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 app,y: Phone: (503) 620 -8080 Fax: : (503) 598 -8900 E -mail: slucas @legendhomes.com Business name: Legend Homes =s ,: '. ;..:;, <•:r.$ ;131711 A.IlVG`rRFRiYI1TCE '-'"r r :a;• Address: 12755 SW 69 Avenue, Suite #100 ..v ., 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: X_ 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 12/03 440.461 3T( I I /02 /COM /WEB) 01/16/2003 00:15 6427925 PAGE 01 DEC -01 -2004 WED I tt - • 4`' h 11 FAX NO 5035988900 P. 02 �] 2,,ty `., s 1° . , a• . -ivk x 44 c x .� t '.S fi f, •a _,A.. , ar. slr}� f�C�>r�di�l , :;4::,..;:t. , I t11d I �tt It 11 .R >i t 1 e 4e t :.I , 2004: , z, , t , � . I = ,_ r� . �. ,, . .. ■ I �% vad PetetkNat city of Tigard m ersr 13125 SW Hall Blvd. llgard, 0 ' r. ,< PIP&wlaw Other peruliu Phone: 50 3,6394171 Fax S' ' 11 .0 OF T IGA ` A }�l • • • • a � � egl Pose 11b ------ 7 Ine It Lin.: ,tiger er, r II,DING DIVI • � . t echo set sunnearet latereItton Inttmt www d.tipatd.C1. l-1 f ,! t Q� __ { + - L - on . i • � L . E (4 j n h . ' , I : ; s1 ..ip 4 i. A il., 11 . , ..t i I r . 1 L I llr {�l i h�!'',t. �% I1r P +.. ! � I �iS I II •r _ ti � •, ,, 1 - r , : •a, I-Ili, l n '4. 1 1 : ' -.4,• ` _ 1 . 1 - C.; N I t;J I711 ,:gi�.IC.'fl, lii nl:l fil l'' .: ` .Ln��, �����Mti�'^�i•� .�w 1 ' lln P1eee0CltioJt e o . t i f i � ►�. Now caltsttu�on ■ AddI4lOM1 /alteJ811ooihepl000ntCltt ©Sc vioe eve 225 arose, etunm'I O Hon dot' location ■1 Demolition DOthtr' i�Servlee over 320 amps •- rating 09uJl4ng ave 50,000 ft.. � LI � . it a i,1P , irtri • � t o u i c f IF; 6 L �I I{i ,ur' S 111'11 ul {'1 If W'1 1_ II9ry�, 1; � ! �� � ,�;d `u l,� �;;�• � � I ! , , �? � � - ± _�.. �?�,,; ecl -«lid tamllYat�a1� 4ortr 1 ' hIL1:!'k}i.�.,6�•,�tllt�fl -�I� y ,��1,,.If��,G,la a a "_ building Q System over 600 wits nominal suits 1n one st7u0ku'e Eg 1- attd3 - familydvrelliog : 47nmtfserolaUMdliealal 11�I• Accoa.ey p Qgullding over trim swim Q Weeders. 400empd ©Muld•rhmil ■ Manes builder • Other Cloceupant toad over I*pawns ❑atottenteturod u1 '{(�{;IP It �llu ��...Irf tl ayan� 1 �it1�('UW :111 :' .' j' 4 I ∎ h11. 'r � ,, 4I lfl+" p l• Ai ' 0 S l Htto Iao RV Park � "' � 4!d.Iu II, li.IT1P, �td� n .:fi.,al...w.. 0 L :. lid f ai 0 eIth !1a Yp Q OthW , . y r"l O Fleahh�aara fat ty ._ Job no Job ette address: - q - 1-2.1 - sw p• t. t'Er— ST. submit 1 sou of plane with etiy alt's above. Ct /State/ZIP: Vaud, OR 97224 The 11110v0 ere not applicable to amp reryootaetw9lee service. e1g1::6t1' r lit,Z iiFi ii4iiiii • I °1.?', r k .t l Su ite/blehldart ao.: Project no= flt4tnbkCh asovc __•wades Qa, pre. =NSW New resideadai Owe-or mWU Grmtty dwelling unit Cron etrcot/dlreniono to job sift: • Isotu4ee atleefwd a %way 1,000 all, f< or ]es1 t 145,15 �5, t5 4 Hs add9 500 so, !I. or portion 3 53,44 ,yoo. 1 Subdivision; 'lambed' Catravlc Lome.; p 11 75,00 3 Limited mum, rpldondel Tad , - eel ea LImlmd meta, norms-14tonat 75,00 2 , m • It A (I' 1' I ' 11 u , J � I {1 1 1 1 %{ � r p F l y ' u 1L ?t AW!..,y.f.{�I11'��� pI+I I' �'1 ' ;'i} '�I Il f.pt R gI I I t ���ili If lll �J �IL I lli �iril� �J!1ei H LI,� It.,,A + ��. 1.4 ti 1 J 4 6� Ir JfNi13 L I f, a�.lC1L� „IIIIi��t��ll•��F give, a W modular - .. ] Serviette or loaders Installation, Ilene ion, psdmr mimetic 20o asttpi °I. lost om.• -r 1032 ' 2 m w pp 1 1, : t f l p I J vu"� rl' r Fn 201 "---T.-±--"------ 104.56 2 au 1 i� pf t ttul .�,y�t�'1" o , , v `� '��P1 LII �'.I ui� r1, �;!t : ' .i "i 140 2 i. IP4i.i iiti �t.. L. ubl I, I 0. 't<„1 dstl.. d • 401 ern ►..r 60 alrin/ - ... Name: Legend Homes 601 amps to 1,000 an is 240.60 2 Ova 1.000 %rope nr voila 454,05 3 Address :12735 SW 69 Avenue, Suite 0100 _ R cony_ • - 66 . 2 City/Slate/7M Pentland, OR 97129 Temporary remises or feeders Invigilation, altorodon. and/or relocatles Phone: (503)630 -90$0 I Pas: (50.3)598400 200 sews o Jena _ - 66.85 1 • Owner iusta i es: This ituest1ation is being made on pTcpcTty Shall own which is not 201 amps 10 400 antes 100 2 t or exchange, aonordIn t ORS 447, 4 49, 670, and 701, 01 a e le 600 amps 133.75 1 9 intended For sale, lease, rent, i , 8 4 tsta _ • ,„ o ,,,, Owner signature Diem Y Brain' el:wfits - near. Weldon, or e,damia� 'i y:c ?- .:' 4 , 4 q' I ro I j 1 . ----77:7::::!, I t1 �:t '�l?. 1 `t,s 4, 1li; it of %1. Fea ter "Inch aimuil with Janet yy I TF' i. 1 ,i, c c t r ..� F 1 1 d�� n� o seeder h lash l�'1u�f ��.`�. y'C:,t• =N ....�..• a. I. .y�.a.7 .• 4• a. 1 wr•1aa T G 6.03 2 Suaineee name: Legend Haase; Worn clrcull , _ 10. Fee mr butch MO Contoot items Stine 1.411011 *Moot tavole or t'twder toe. 48.85 2 tee •rmeh circuit Address: JI2153 SW 69 AVIM0e, MIlb 0104 Bach add'I belAah cltoult - 6.42 2 City/Swtelxllo: POrpgnd.OR 97223 Mbcdlaaseua (merles or toedar not included) Petro or Irritation aircie 53.40 Phone (503)4510.8090 idea: ] (503) 696-8900 Sign or outline fi ,x ng_ 33.40 MUM H -mails slucaeal955111 amea.com 1 Signal oivGtit(a) or lintltod• ►> ` riSt� art ut lgia �; , �.yfi 1 I I@! ;ilfl L ra: itY,.�:w mitt, , , Iwai zn P1,ontu aF i i 41312 TR altmdirini ” e • ...... 2 Businees Marini Canter Bieetrle --� tech additional Ialpeedoe aver allowable In a of the abnra Address! 3920 SW 217 Avenue b A Per lnuyooWon � � � . City/Stata/ZIP' �Wabere, OR 97133 layout/Won per hour p M wive {ndmtrlal lent •arbour w Phone: (303) 5914320 Fay 642 - 792 Glib.' >).la t '.10C1sr 1 ' i f9F.lf'i;l i•3l due ie jai CO Lle : 1211159 I Blearteal 1..94' i 19 . rv, Lie., 3701.5 9Wtdetst IrEnril 9upry . mated= signature, required: mintserl=w permit Eaa) - �. / Armor 1 State enralw*tttt (5% of permit foe) 19 .(e• Print ntlttte! a ` � Tar AL Pg214d1T FEE 2 �$ • Atnharized sI nPluro; tab pewit *women Wlres If a paemitiu swr atilalmal wind* ISO dew slier It hat Soso aecep4od so eempttte Prim ttatne: Date: Z 13o4 • Rea readtaSeloey setby Td- Ceenly paii0Ifa mum/ servioa iloard ee mother vringuelioN1 par posit aoowad. walasestrowatUlt.NeavaArollsa tie 440.4e7at1W Pcourweo • • Mechanical Pe Ili: Cava �r. M „a F '' F U S E O 4 1.-J ,t + City of Tigard _. Date /Bya Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: Phone: 503.639.4171 Fax: 503� 6Q V d +, Inspection Line: 503.639.4175 V LU U A t vR' I �' Dat /By: Date Ready /By: Juris: H See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information CITY OF TIGARD it:'; 1e r �;� F'� ED. < lu�.CsHECK .,, �' "� „ T a, _; >- �.GOti114i'ERG1Alr..1{ E, H i�E�� Wg i,, $ . ® New construction 1=1 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. ,r''r;zi,� t� .`mss' = �:��r`„v;, =:..�<,_•.= . !:��e , Value• $ 1:4 ,`SCAT GC„ COI S'i?R . CTION , ;;. ,(A. ;: ,.a .. .... .. ...... ... .,,, �,.. r. .,,: ., _. ..r ... »-i •d �7 ��. '. .a:F., -x Y .v �t'ev �. v i,,,.i'.i'�::`in =v7..' .11:rk,.r•i ',.���.. .: ® 1- and 2- family dwelling ❑ Commercial /industrial Accessory building -a- , . ES ;. i+5 + . UI P,ti t 1 S YS� l v[ , E S,r ; ,,,, For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. Total .>tt °'. . �• .,;.., r Wiz:. ,,; ,':, , •, " JOB'S 1 ° INTdR1VIAPIO ,. A; ,l tD- , 071 - r.W oe .> v .,= , ::: , . Heating/cooling Air conditioning or heat pump Job site address: 7727 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.: 011 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances ' '°~ "' ""` "' "' ' Water heater 10.00 e Oil .OP WC1RK a : , w, t.,ra�o;;�a ,z_ -, ,�: max.. �,,x ,.. „.�•.._ .. -�. xf rr .. x.>„ �.�..�.�..., s.,n_. ,.... ..� d 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.� �s�� Chimney/liner/flue/vent . Chime I x•,r® RO .. -�� _ `��:� 2;,:�.�xw.., ., . :;,,...',,& ...:.: ec� ° : ari.0 Other, 10.00 Name: Legend Homes Environmental exhaust and ventilation Range hood /other kitchen Address: 12755 SW 69 Avenue equipment 10.00 City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (503)620 - 8080 Fax: (503)598 - 8900 toilet compartments, utility rooms) 6.80 a ,.. �,...,, •� �.Y �'.., craw p ce fans �,•; = 1^;?`•„�ia " °� �';.�z:� > Attic/ is a 10.00 �.�,: PP Iota :<` 4 C01 4 ., A;CT 4P... R : ,:,, ; 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 , .�, t oso` CONTt4oloR, %r:` `; . : ,,.. at „• -- . Barbecue .a Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive • ` ` 6 , .',. ' ” ``':, y "' "nECH A' G:PERNtITrFE1 S r , S ri , = _ a .s. ' o9a 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 Luc Date: 12/16/02 * Fee methodology set by Tri- County Building Industry Service Board is \Building \Permits \MEC- PermitApp.doe 12/03 440 -46 I 7T ( I I /02 /COM /WEB) Plumbing Permit A p p l i c a t i o n F O R ' O P *jCE ;LSE t oNLY a ' ... ' :.z..: .., ;a c ;= , , i. il-t. , ...1. ,,'d ;i a-, e .,- ,- ,_,c lt,c.r- "i City of Tigard � , i Received Permit No.: 13125 SW Hall Blvd., Tigard uOR `` Date/By: Plan Review Other Permit No.: Phone: 503.639.4171 Fax: 503.598.1960 �'ara igl Date /By: 24- Hour Inspection 503.639.07.5N O f ^ oo� el �! D ate Ready /By: luris: ® See Page 2 for Internet: www.Ci.ti g ard.or.us ��JJ[[�� (� ( Notified/Method: Supplemental Information ;,• New , .,. ::=: •. , , ��., ,,`�:�::,., ���.�, ,.. �� -.� - - . a, � _��� , T ' 7 �T ! S ION _ For special information use checklist. ® BU ; BUILDING i1 SION Description Qty. I Ea. Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) Mr :A4,: Y: F -, SFR 1 bath 249.20 • ■ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 I=1 Accessory building I=1 Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: ;.,:...: ,•...::, ;,, Fire sprinkler ( sq. ft.) Page 2 ; d'JOB , S TE~ 1t`tFO-a IAT_IO- AN „ „ OCATCON ": , :• . �' :' ` :... ..:. ..:.:,::,;��_,�,,.�.1.,,. ,� � <%:���.;u > >,... a��Nw.... ....... _. ,.., %R �,���?��,���:si��� Site utilities Job site address: 7727 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 I Lot no.: 011 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: �, ,••„ ����, Absorption valve 16.60 � i . � ..,,. .. '`DES RIPTION ., �,WO ,,,,, �� _�,., . <. ��x`��, -:,,:....: _.,,.�w�.��u�z, ^s � � a�.�4 �3 �, _. ,mow _� m.� •6% Backflow preventer Page Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 <_ w v •••; i ;; ;_ , . ,:;;; F <, ; „- ,,-: Drinking fountain 16.60 ['RU 2'l a' Off,, 'M ,, ? , ` * 1 =;: � : - 'TE N3A t t ,u ; , y ., a -..„�` W�.«� �- .•rs.,..,_,... _ r _ _ . _ �,.w�,:,i-;:„,9 ' , 16.60 Ejectors /sump 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 t; - v;, • ;F „ :_» z t Hose bib 16.60 l >..`•xs•:; >. CQ CT PMRSt!" "1 is :':::;, x r r_.�....< ,} .. ......, „ . .. „� 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 trA i0 .,. . � > , R 'f,. ,� ,. ;; �,s;» ;;' ;><F ,, : - 16.60 ;,ia,:..,_.,,e, :`•;,�� „... " tii4' i, ,,,= 5i��.�-:sw;. w* .<E�.:�v ��:.;a:� -:d., r�z?.s."a�.,. ::�:a,�.�°„;''��°aa i 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% 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. is \ Budding \ Permits \PLM- PermitApp doc 12/03 440- 4616T(10/02/COM /WEB) ► AAA AA AAAAAAAA AAA AAAAAAAAAAAAAAAA AAAAAAA AAAAAAAAAAAAAAAAAAAa r „ • ► • ► • 1 TI FICAT ION CER EE T TREE S TR ► .. ® ► • • I, l�(.--�- f �,,,.cQ�, 6 r�,�,�d�s , Owner /1�gent for . (PLEASE PRINT) `rte (PERMIT HOLDER) ` ■ • ■ • A Do hereby certify tha tithe following location ► • A meets ,City of ;Ti and /Washin on County ■ • • ► • land use and development standards for street tree installation. ► I ■ • • S '7 5 /4 l eV S'fi.--e_ , ADDRES ► • • gc- ■ /C1 /� l SUBDIVISION: V LOT: : Lc_ c.f. C.,0 l L., it . • t. • ,,,,,,,,, 4-, L. c,,,..._ A ‘-- - O• BY: G� DATE: gu Z • • C" > e-sr -Qs'---- .. RECEIVED BY a DATE: • A vgvv yvvvVVVV VVV VV YVVVV VVV VV 7TVV VVVVVYvVVVVVVVYVVVVVVVVVVVYV1 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2004-00398 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41155/2005 Phone: (503) 639 -4171 a , „ etqu� y , Inspection Requests (24 Hrs.): (503) 639 -4175 " °' I.. INSPECTION WORKSHEET FOR DATE: 9/1/2006 TIME: 7 :14AM PAGE: 24 SITE ADDRESS: 07717 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 011 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: 91112005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 014777 -01 603 - 849.6247 N Corrections /Comments/ Instructions: RC o I 8. I•o Fey GtD c-cizizezriso iJS . c®, =' TZ : ( PASS 21 PA'TIAL AP CEL ❑ NO ACCESS n FAIL % ALL FOR INSPECTION U ADDITIONAL FEES ASSESSED / Inspector: ® Date: /./..0-- C / . Phone #: (503) 718 - MP CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004- 0039t3 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/1c5. /2005 Phone: (503) 639 -4171 A l fl Inspection Requests (24 Hrs.): (503) 639 -4175 °`:_.. INSPECTION WORKSHEET FOR DATE: 9/1/2006 TIME: 7:14AM PAGE: 23 SITE ADDRESS: 07727 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 011 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA OWNER: LEGEND HOMES, PHONE #: 503.620.80180 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080 Inspection Request Scheduled For: Date: 9/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 014777 -02 603 - 849`6247 N Corrections /Comments /Instructions: E CP0 2 i 8- 1-O.S' ay G Go, 2 e�Tw"O co r"1 c- i N (PASS II PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL )A/ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ ■_ ■,'' Date: 7`d,c Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00338 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/15/2005 Phone: (503) 639- 4171il�l Inspection Requests (24 Hrs.): (503) 639 -4175 Jul __.. INSPECTION WORKSHEET FOR DATE: 8/29/2005 TIME: 7:13AM PAGE: 55 SITE ADDRESS: 07727 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 011 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA OWNER: LEGEND HOMES, PHONE #: 5O3.620.8080 CONTRACTOR : ._ LEGEND HOMES CORP PHONE #: 620 - 8080 Inspection Request Scheduled For: Date: 8123/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 014474 -02 503. 843.5247 N Corrections /Comments /Instructions: K PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS 1 i FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED s q - (9•1 r>" Inspector: bilotie Date: Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2004 -00398 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/15/2005 Phone: (503) 639 -4171 Aftsp a li! Inspection Requests (24 Hrs.): (503) 639 -4175 1 � L. INSPECTION WORKSHEET FOR DATE: 8/31/2005 TIME: 7:03AM PAGE: 31 SITE ADDRESS: 07727 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 011 TYPE OF. USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA OWNER: LEGEND HOMES, PHONE #: 503 - 620"8080. . CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080 Inspection Request Scheduled For: Date: 8/31/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 014690.05 503. 849 - N Corrections /Comments/ Instructions: , A,L — S w✓ L JL Te..vw .—A- c t V V ° dk� ✓... 049A---) • 1NPASS I I PARTIAL APPROVAL (l CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: a 6 t �,i.1( 1 ! p.--4-- Date: < e " 131 1 3 ST Phone #: (503) 718-