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Permit - ,. e+ s. 6' A CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00363 jl� DEVELOPMENT SERVICES DATE ISSUED: 12/30/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07855 SW ALDER ST PARCEL: 2S112CD -HG002 SUBDIVISION: HAMBACH GROVE ZONING: R -12 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: New SF attached. BUILDING REISSUE: COLOGNE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 968 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 1,254 sf GARAGE: 464 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 3 VALUE: 208 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,222 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 WIO SVC/FDR: 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: TOTAL FEES: $ 7,256.31 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Munidpal Code, laws. Aof ll l OR. work Specialty bey done 7871 SW ALDER STREET 12755 SW 69TH AVE #100 in TIGARD, OR 97224 TIGARD, OR 97223 and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 620 - 8080 Phone: 620 - 8080 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those 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 Plumb Top Out Exterior Sheathing Ins F Firewall Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain lnsp Electrical Final Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain lnsp Mechanical Final Foundation lnsp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation lnsp W ter Servi - sp Building Final • Issued By : c-c�0 Permittee Signature/ A • L / Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day 4 . Building Permit A lication t �# FOR`OF U ON Y �� R #` p p (�{ kakt-' , r I ` 0 t t t??�. w. r aiOtt.t a,44- � City of Tigard 'V Date/By: d / A e ( Pemiit No.: !) - z J 13125 SW Hall Blvd., Tigard, OR 97 Plan Review r R Phone: 503.639.4171 Fax: 503.598.1960 p � I DatelBy: �<1�� ) � — 3 0 - Other Permit: lbw x(_6054o Inspection Line: 503.639.4175 DEC 2 2U0 '��I 11 Date Read /By: Ju ® See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: /2 — ...?/1 -8.( 1 (1 . Supplemental Information F T1f^7AR® .S �'I=. • =RE l�[12ED B�TA:1; : -A1Yll .,- F�A1�11 ® 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. .�.•�- , �....,:y. -z -mow -" pis-. ai^' �:' ��.', � `Srr:,.%%?�u.rry,...::. ==�= .;rte -. .,r�- v >s'��`��a ".., >; Valuation: $216,077.40 ® 1- and 2- family dwelling ['Commercial/industrial CI Accessory building El Multi-family Number of bedrooms: 3 E] Master builder CI Other: Number of bathrooms: 3 rte u :•, i mss: Total number of floors: 2 �J( QB�" S> �: �t?1N• F. ORMA' TI(?l!�1::ANB:,;L'pC'',.,�;IUvA �Mv ' Job site address: 7855 SW Alder Street New dwelling area: 2217 square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: 462 square feet Suite/bldg. /apt. no.: Project name: Hambach Crossing Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet . Q IJ2ED DAl ocolM1 G• AL:-, SE EIECKI'7ST Subdivision: Hambach Cress irg C��'G Lot no.: 002 Permit fees* are based on the value of the work performed. OH_, - WORI� Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all \ " equipment, materials, labor, overhead, and the profit for the it A . work indicated on this PP rfrp „,, -- ..,::5: ssi:.r. ..,y `: .3;- _:; application. +.r �L)�SCTtLP'fIOI$;: �.. Valuation: $ Existing building area: square feet New building area: square feet = ' I 2 ,-Nt1h � ,;,.„ ;� „ �° ; I? 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: z:, -; . , < s, � .... <,<..� .,.;:- � .., �..� �•. ��A t.- <, > <:u mac.,. ti T CT-P <CON 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 t: c 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 ._.. .`4L � TL2AC"L; „a` `�ua, ::,:x+V >• ; Business name: Legend Homes 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: 12/01/04 * Fee methodology set by Tri- County Building Industry Service Board. i \ Building \ Permits \BUP- PermitApp.doc 12/03 440- 4613T(11 /02 /COM/WEB) 01/16/ - , 2003 00:15 6427925 PAGE 01 DAD - 01 - 2004 1-1ED 04 D FAX NO 5035868900 P 02 Electrical Pe r {,. n . c1 ' ' ® r � t , .t , _- :,i 4,i e lr i m <.1 fi : City y of Tigard ® 1 2 2004 : pe��rNat } ,, _ 00t1 - cn 36 3 13173 SW Hall Blvd. Ilgard,OR 97223 O durp+r:niv Phone: 503,639,4171 Pax: $03,ays.1 4 YO F TIGARD A Ili 1 , . ; ' � tgy; rem: �. Inapacttcit Line: ,703 (130r�173 et 9tlpplernearrl laforetetlen msornot www.ottI$aarui rd BUILDING DIVISI xatdtedlbt iwd q P f k � 1t" t il'. ;�I7 � �� qr 1 ti 1fft t flUltp f l e Ill i� ii l 1J(d( L,� A i 7 L� ifila 1�1 it °H�I� {� rl �;1:� {t . 1; ry e,. i m u r y + , �1 I {� {N e , 'lh (' )1 r �''1 G * f' 1, �'LL �! . !d ..f i�:d1111n�11:,.v� llfilels ti;:;��; °;al's, If, ' ,�.1' it d t< ,1 �w+ lay ,. ! i iat e 1,. _..•. tm AGditlorl/alters epmoomtntt Mouaevitsolsall at apply! New construction Q t l 0Savies over 22S amps, corral DNi;erdoue Ogsrvioe over 320 amps •- ruing ®9vil471 over 10 sq it, n et J D ` erneiiYlo p n Pj� „ '1 , Nto'} ' �} � y� O Other p "r ` �1�;,51 p FI `�µ) P 1 C "" � i X 61 '11'N "1 "' - tangly dWnilin0 4 or tnorenowrotlda b . 51�`j rr47J1! J{•1,1� �:11!u iI ui�Rd °Rfi,ll 11+16,�t:,ar r�k1dtil ,h;,�l %•: _;'1t- 1. „!;..r t e itZ o[ 1 axt2 building Mays 1 over 600 vein nominal snlm 1n cum mimeos 1 - and . fatnllydwelling CetntywroiaUindwulea w A +�°Ly 8 E]3ufdIne aver ttmMice ( ©Multi •farni1 ❑ Mnater builder ■ Other Qoccupant load over 99persona [�Menuiluturadatraotam* l" I IN I i" j1 M 1'�g I 1 h °A� i 1iil f,w.� ��li��. ]�1:'{{SiOhl�,'r� �fll'{t ^F� vi t "" all i to Plan R '' p ark Uy�e. kf� 1 �� iu 11:1 11111u1. ? ! I f il.,uq� 1�,. � . 6. ,,.1,1 ..:w, .1 r ll�. ! ,•. 1 n{ �i � F � lnibmit � h dOrd b onity 0Othort Sob no.: lob site address: �$S 5 so...) M- - S S u j, ado or plans w any erne above. Ci /State/ZIP: Tigard, OR 97224 The above saes not applies); to temporary cementtIO i service. � �' i�rF�' 1�{ l�' J�,'' �t1��i� .;3�t'f�ltfi �.:l.�J..'�}' laliE ;��il,'�31�,N;�'�Ii�ik:'ri�.�� 9vite/bidg•r to.: Project name: t3otnbaelt Crooning p,Mwpde, are ormiiiii=Milia Cron iltreet/diraCliono to job alto: Nov roddo■dal single -or melt - retal1y dwcUieg unit loafed/a attached : at•V• 1,000 sq, it, or lees INN ®111110•111(11 =•■••••• L os no.; us. add`2 500 • . !! or . ostlers r x3.40 Subdivision! Hambaeh 6e G� v e 73,90 Q 'ilea • r 1 no Limited snort , on-rendcn al 75.00 ,Yew i• 1 , I +� � ;,• n. Fang tl freri �'►1'� t t lletihi t': �` Est a � l '' '/ ,li11:'. �I l i ?�lC�,i!�1CInligi PtiI": ��g Eat Ironefoc Inoad n wrr�d 4< at thy: in ianded:orfieder • 0'.00 111111111 Services or feeders Installation, altnrnfioa umber roloandon 200 , 1 or lees n0.30 _ t q 1 +ry y + t' r n ( • t1 +� w p ,j11 A t q i ( 'U I • .�. (q uun .� I � i , 2D1 mow NM 1111.118111 kJil', � ��i p � l F '.h.1�L`i ..SCt,`t , 1, , , 4. � [1� � ' Iii /--`il4,0.. L j • ∎ ' ,... -•'i u' ,,.�,. , �� h MI 160-60 II 401 ► le 600 amps Nome: Legelad fiomos del e • e to 1.000 anus 11111 240.60 Address: 12755 SW 69 Avenue, Suite 0100 Over 1,000 or volts iiiENEll a 11r , - 66.85 11.1111L111 City /State/ZIP: Pvrdand, OR 97221 Telnporory Nerving or feelers Inetenation, alteradon. and/or Mouton Phone: (803)630 -$080 Pas: (5022)69841900 200 ,.s less r _II • or ioste 1 gales: This installation is being unite on property flue I own which Is not 201 atnaa to 400 tun 10030 111111111111111111 intended for sole, lease, /soft, or exeluingd, e000rding to O1.$ 441, 449, 670, and 701, 401 a -s fa 600 amps =PQM 1131 Owner tIgnaturo t j Dare p �] Breech dreults- nor/. alteration, or =tam and • �' �t q 7F "I` y Y,:410417,;1%',. .1.,, Y W. � ,h1F Il � �1i 11 �!1i 1 l el !• hi ` 11�I:� A. toe brand ch dfT e, a ch �i. a k ..,. ,� .._....L .u�. t s... •t��..t.,._.- t• service m' Miter lie. loch li circuit . • , S Fee 1br , Foe bntncb slroWts MI5 Contain flame: Stew Lane without sondes ar fender fee, 2 eau branch trouts Address; 12/55 SW 69 Avenue, Sults 01109 r 643 1.111111© CityiSrats1ZIP: Pttrtlimd, 97 M 53.40 Pump or Irrigation circle IIIIIIE1 Phone: (5:03) 620.80SO 1rax :: (503) 59114900 EITE=IMlnINIMIIIII 53.40 MIIIIId ryry ��,, E- so el es p N 4 { � pp� p l '1` p Signal eneuit(a) or United/ shell / /i�kt 6flit'U'�Uf1111 �,rP111 ilia ilf L .7'e �� itgliS hill llKti lilN�•111 '�IF�1I'S.11I71 P4ncli•attellitinill or Business name Garner Electric Lash additional Idapaatlue aver allowable in a of the above Address: 2920 SW 217 Avenue ri A Per inspcollon • Ctty/31ate/ZIPt Ifillsbaro, OR 91113 invwv 4 -Mt Your p M m110 11110111111111 none: (593)501.2320 Film ( • 642 - 793 Q {i i��tti � `1.' - ' .4 l t`,` 5, rgi U .1f'a et}(E „ CCd Llc: 1211139 E1eowloal LIo, ! I S •rv, tic., 3707.9 � 9ltpty. Electrician signature, required: ton review ( orpormit 64 ) Print name: GMoC„Ir.._ Cvsikw. • lZ 2- Odr TryrAL P5.2h41T FEE Authortzed signature; rah pa wt.ppWartwa - It paaat Nut eaatad WWI. 1e0 darn Mar a hoe Wen aucptod Itaaephw Print name: __ Oa4e: i � Fee taadtaioleay y T� �ly0 Ile wdasny Service 04z111 Number of inequalities pin penult sutulwuswoolnlii4i n►eAmi.. l 44O.4611ft .VVcunvwB0 Mectiani'c,al Permit A i o 1 i � �� FOR OFFICE USE ONLY E City of Tigard Received Date/ By: Permit No.:1 _ 5 ,5 Y I ( lTi • ��1vc��[s 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 lif4• d Date/By: Other Permit: Inspection Line: 503.639.4175 DEC 0 2 ° P . ' � I (, Date Ready/By: kris: El Page 2 for 6. Internet: www.ci.ti ard.or.us g g CITY OF TIGARD Notified/Method: Supplemental Information ;��= ';v -rt•' ..,s: x•, ay;y ��.Q �,; . ;�..�eeex;-- »ss;�; .. -�: k� .: �, g � s�„3�'aw�`s,:xe: °Oil`i1VI R IA �`' FEE SGHEDTJLE- ..:,I1SE�:GIIECK � LIST �;�- ra�?cs;, °�; x >� . "6;� °:,� � ,,, t•.= ,?`, - .. , . ,�.�•„ ....�<�`.;,,._.,.,,...�� - - - � �� ,a � .,x � ��5x Z 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. w• � r GA TE6GI2Y'OF CO - S, U C ION. c: iC6�'t".�r �,°i� 3 .nes��,'.;.. , ?.Ro' .. ... rFfl xh��.>ee.e.«se.. a,@.bd.8s A,:R ew.:l:b�• -.. , t. .... ,. .,... ,..°��&Na� *......Y. a..trv":� :,:'"!. .:'.r':`'n' �1' �i' ° 1SIDENTIAti" EQIIPfT %L,S�'S'�E,l�'IS °P'EES��'`g,,: ��: ® 1- and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total _" .< J(38,,,SJ G1 IIV:RORMt1T7(3N'.;APfI)' „1 OCATl011's . W;,;.., > °;•. • R °'; > Heating/cooling i - ,.. .. u� .... w�sc °4, -r. " w °:ls= -L ° � � x�aa�.. �ata3��4��a, s �,,,. ai: �aws+aa�'N1;.:�w:Ftt�:rrv*3��.,,, d „�-. ._- _�� =�=:= a' tb �a "tit.. m_ :., , . , �.,,.... Air conditioning or heat pump Job site address: 7855 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 Grassing 4"/[c vE Lot no.: 002 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances :• ..;.. :ate heater ll TO?l ° QF . .. ; l74rQ ::Y: `�� °�`' ` Water heate .��t :•o, - s >,-- , -a;.<. .::,r „`;.:;:.�..,,, ,��.o�,� "...�. .... ...:�,.._.F..;�,•r %.;y:.�aa� - -. _ `,.y�a;.x. fireplace 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 „•,., , ,: ..« w . Chimney /liner /flue /vent 10.00 ® PROPERTY <z,0 ER : a ENAPTT . =y p ,:; ,. ',......,r.. ��,:,.,s _' s:<o .- .:'.., ° >s = :r,.° ;a• Other: 10.00 Name: Legend Homes Environmental exhaust and ventilation Address: 12755 SW 69 Avenue Range hood /other kitchen 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 Attic /crawlspace fans 10.00 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 Fumace, 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 , a; rZ""• OS`:°` w: `:`•.��,'<.t�,�:;•,. >; ::.+ f R ACTOIi- -:. Barbecue maw, °,��'n?e'z' =?v. .. .. .... :�`�•'�,,, s;�� = ;:E° ., :: z` "*�;a..;,.f � =sd- �€ra��:I� %?�%, -- .�,�us „M, .. _.A Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive _- 4§W s ".; •. .... XI k.KK ..,. Tom` ,. waSwzi::, City/State /ZIP: Oregon City, OR 97045 Subtotal Minimum permit fee ($72.50) Phone: (503) 557 -2220 Fax: (503) 557 -0919 Plan review (25% of permit fee) CCB lic.: 72623 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 g days after it has been accepted as complete. Print name: Steve Lucas Date: 12/01/02 * Fee methodology set by Tri- County Building Industry Service Board is \Building \Permits \MEC- PermitApp doc 12/03 440 -4617T (I I /02 /COM/WEB) Plumbing Permit Application �t ° l 11 EOR`rOFF aUSE ON a `'� 4� "��'' ` Q� �; ��C�t�„ ..r� '�.. "±'aLr", �. ,a.+P� .ti.:�.;�.� � �n City of Tigard E® Y EP Permit ermit N - No. )$r �o 13125 SW Hall Blvd., Tigard, OR 9722 LLLL....�... Plan Re W Plan Review Phone: 503 6394171 Fax 503.598.1960 7 /lma r , DatelBy: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 ®EC a 2 Date Ready/By Juris: See Pa e 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information ,'#�.. �.., - ,,: r,.�... . ,:�: .�'�:z a" at °. �,'. .;fie C`'� <'.'�``•a�:. §: .. TYPE : #� <:�:� � . •... ; .� '��y �� _ � 91j.F;E,.. �S` ' 1✓`U L TYPE. �� . „�,,: <� C.� LI E' �.; �� rt�.�."„�.•.x''= z.w.��.t�,.,. >.�.. ... .... ..:. :.... r. ..s�#5� � - :..:.;,, H` �a ,'�."a�':a��.�`- «•;�a:`tar:�s* Diu >:.........,,.;,a'�,:�,.t��. 1� infrnation use checklist. I:1 New construction � y $111LDli�moio� For special or Description I Qty. Ea. Total ❑ Addition /alteration /replacement ❑ Other: New 1-2-family dwellings (includes 100 ft for each utility connection) - �_ 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: Fire sprinkler ( sq. ft.) Page 2 i;'•s '.,.J BSI= INF 7 ON:,3 „ : <:,,;<zc.. Q TE (7RMA ,I AND4QCATLON ��;' ��„•,:: ,,,,�� a.�.�;�;,;;zti.`;. »: °, ....... ......�:. ... >. . e�,..�, z .� .. Site utilities Job site address: 7855 SW Alder Street Catch basin or area drain 16.60 City /State /ZIP: Tigard, OR 97223 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 42. v,r I Lot no.: 002 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: ton valve s :- DRSCl2IPTIgN f : pRK W < �'; �`7�rz'�: ?�;' �.. , 7- a,., ,:•�.,�.;.;�..?r.��s��r,.,�R- ;�i'`> ..,�,..:. '�m��.;:..9 . Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ,TF Drinking fountain 4® PROEERTY : ON EEt' i I V ' s;- 1�?4N " raa~ �r _... �s�,,., -�'� _ ez�y� ..��a , �`_ .�...., .mxs�; "'�'�..:�;�M+��' 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 r .� �N 1 C�.; ''(� a,.�_ y �G'IaA �G�T RSO �ON a �.._ � Rte_ � , . .., .. Hose bib 16.60 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 1 6.60 C.O]VTRACTOI2 ! am Water closet 16.60 � ,•.�� ter, .�.. ,,� �: ,.. s r . . Business name: Wolcott Plumbing Contractors Water heater 16.60 Address: 1075W. 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 Lic.: 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: 12/01/04 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tr-County Building Industry Service Board. i \Building \Permits \PLM- PermtApp.doc 12/03 440- 4616T(10/02/COM /WEB) NI LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAI A 'I' TREE 4. r. , ® A (AO, (kin S C)" 7 \ I> M rke k; 0 Sc v e r^s l7 4 xi Alia, caner /Agent for L ---�e na ft»'\-eS ® (PLEASE PRINT) / ,, . ` ° (PERMIT HOLDER) A 1 r A .} • '. Al y, ' ;; A Do hereb n rti & fy tal hie' f ol�lowing location fi N �¢ A meets � �<, y of:'I'�igard /Wash rifgton `Count O. ® land use and development standards for street tree installation. A A ADDRESS: : ) LI = `1 ,: I . O: • � ) 41 It- A LOT: Hb -OO& SUBDIVISION: NAH64 f-/ CRass /42 Ito ® ® . ® BY: SA DATE: 5 ° Z3 - o5 t . 1 RECEIVED BY jam , 4,),__, ∎ DATE: 5 - o , CITY OF { TIGARD BUILDING DIVISION PERMIT #: MST200�f 0086 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/30/20114 Phone: (503) 639 - 41.711 i �'v M ��iigjGlllii Inspection Requests (24 Hrs.): (503) 639 -4175 ..,L. .. INSPECTION WORKSHEET FOR DATE: 5/24/2005 TIME: ? : 09AM PAGE: 11 SITE ADDRESS: 07855 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 002 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SF attached. OWNER: LEGEND HOMES, PHONE #: 503- 620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 5/24/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 007614 -01 503- 209.3370 N • Corrections /Comments /Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ; Date: i ,Z-4---OS Phone #: (503) 718- . • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00363 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 I Phone: (503) 639 -4171 i�m�„nyp „�iii�;I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/24/2005 TIME: 7 :09AM PAGE: 9 SITE ADDRESS: 07855 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 002 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SF attached. OWNER: LEGEND HOMES, PHONE #: 503-620-8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080 Inspection Request Scheduled For: Date: 5/24/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 007614 -02 503 - 209 -3370 N Corrections/Comments/Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL i ra CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 5 5 Phone #: (503) 718- P CITY OF TIGARD " I BUILDING DIVISION PERMIT #: MST2003 -00363 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 : itIli� 1i Inspection Requests (24 Hrs.): (503) 639 -4175 =, � INSPECTION WORKSHEET FOR DATE: 3/11/2005 TIME: 7 :27AM PAGE: 70 SITE ADDRESS: 07856 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 002 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SF attached. OWNER: LEGEND HOMES, PHONE #: 503-620-8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: . Date 3/11/20 Pour Time: Code # Inspection Description 0 �� Confirm # Contact # Message 120 Electrical rough -in 001352 -01 603-209-3370 N Corrections /Comments/ Instructions: / rr ----- 6 e- V 1 rZt...., Ae - garior■ - 14) /)/12-v- SI2 `u:_k ,4 Atz.J ( , • PASS ❑ PARTI , L APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL I I L Fu,'' '.,P- TION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: _ /l o� Phone #: 503 718- Z� p (503)