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Permit O F T I G A R D MASTER PERMIT '' PERMIT #: MST2004 -00378 All DEVELOPMENT SERVICES DATE ISSUED: 2/4/2005 -41- All 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07833 SW ALDER ST PARCEL: 2S112CD -10500 SUBDIVISION: HAMBACH GROVE ZONING: R - 12 BLOCK: LOT: 003 JURISDICTION: TIG REMARKS: New SFA. BUILDING REISSUE: WITTENBERG STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 891 sf BASEMENT: 0 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 TURD: sf RIGHT: VALUE: 198,940.70 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,017 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVOFDR: 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 -ENCOM BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,745.79 LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the Tigard Municipal Code, State of l w k wil b Codes 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 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 dired questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insi Firewall Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain lnsp Electrical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Storm drain Insp Mechanical Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/B am-S ctural Mechanical Insp Shear Wall Insp Insulation Insp Water Service Building Final Issue P ermittee Signature : .i Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day . F� „ Building Permit Application �) _ `, � l f 4 , FOR OFFICEtUSE r � ,�N - City Of Tigard d r ' \ / �� Received V/ PermitNo.:Q\� p 'n 4' -7Q Y g v� Y Date/By: �Z�� � V I� \��J�OO / J� � 13125 S W Hall Blvd., Tigard, OR 7 Plan ReY}ck Phone: 503.639.4171 Fax: 503.598.1960 . i ti r � . Date /By?'t',A 11 /_ p 7— O5----- Other PertnitSt a oy o 75 Inspection Line: 503.639.4175 DEC 1 0 ��._ �� ° . • r - ,. Date Ready/By: Juris' ® See Attached Checklist for 200 = �_ Internet: www.ci.tigard.or.us Notified/Methoo 7 - o �� � lr d Supplemental Information CITY OFTIGARD ok.:L w / N 5 � W,. riE , U LRE�I)DATA` a l: ll Hx, er.. ��;:. a,•% �-.. n�- ,.z: :_,._ r�m- �:.� -: .,,br��..<.. .. . a .- :.... .may -... 4. �:v'...�__ ,�o • _k�.> _ , S�Br.��b�°sa�-a i�". . -i_ rs,. �.�;=,r<K_. ..,,,.�^�.���7::':::° ® 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 q 'r � GORY sO' :()F "COC Smltl). E ig.' °?�>t' ' • work indicated on this application. " ; . = > °AIC"E ON " ,'..• A Valuation: $195,230.10 ® 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building Ill Multi Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 >; - ; Total number of floors: 2 JUBSITI± � `INiFQRMATrU..xAlYDM�GOGA3`ION; ' ;' _• � Job site address: 7833 SW Alder Street New dwelling area: 2009 square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: 395 square feet Suite/bldg. /apt. no.: Project name: Hambach€rossing V "' 11'� Covered porch area: square feet Cross street/directions to job site: V ` Deck area: square feet Other structure area: square feet =REQt1TREDDA A''''O 14fERGIA iISE'C'HE KL;r$T Subdivision: Hambach Crossing Lot no.: 003 Permit fees* are based on the value of the work performed. no.: Indicate the value (rounded to the nearest dollar) of all Tax map/parcel . _ W s•, = equipment, materials, labor, overhead, and the profit for the :. "" .' ° l''9r indicated this application. ,: • <r 5 , ' ORo), }VORf f, ,,t, ° ,, ; - v '' work cate on ts a PP Valuation: $ Existing building area: square feet New building area: square feet `i; ek;i -! ,- „'r'ENA 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: I 'CON A � >,.� . = C =1V .'AI'1'L� A �- >> 4 - °�� >� � err :, 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 : . ,_ - w ?y;a.�,- -� �:r,.- >_ > =s rte ...- .. e�?`,:�n� s - �. - -> *t.waue Vii..,.,, _ K, WO:> <;' •_ ' Business name: Legend Homes =% °t „` , ; .-1 _ ,: >., 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 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: 12/09/04 * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Pei nuts \BUP- PermitApp.doc 12/03 440-4613T(1 I /02 /COM /WEB) 0 00:15 6427925 PAGE 01 ' 9 ' DEC -01 -2004, WED 0430 PM Legend Homes FAX NO 5035968 P. 02 8Y L' �� Elect rical �ypga /� p� z y „,5 �. r t I),IL 111 I it l k „y = 1 1 ,�,, \+vatl gW.a�Y Perm .{'SHY .. l.;;It4CF �r w! 4 .:, 41 Y,4„:,.,4 _. i ,4. a VYa��ncg'F._;rh r,, tsi9, ' www.el,tigard,Or.us PemrkNat City of Tigard • 13125 SW Hall Blvd„ Ilgsrd,OR 97223 , Odor Prow Phone: 503,6394171 Pax: 503,5 "1050 r rr 1 Q 29' °�'1 ('I t , ; 'lf � >ilaeYSdo3Aa Inapeatlwt Line: 103.630.41.1S 9ogpiomeetal 1nferoution • I . • Nottded/btetltutE kt� llltOn>a� hgard nr Ue v du mr n P 1 1 I R' d i : 41 11 llf ! iI x t l h i d fit{ I ! h�l k I'' 111711 • 1 1 '1°,41 , i 7 �d r' hh I r r I } L l s13: 1" .. i N 144 I i �lil ft l �?�� + 1;� � , r. , t! x61 +, ' J., P i , rt i ( ! I I i.. 1�� +�l l r } ► hf� la ,P l �u , �! : w ,� i Ki i.. J � � II L{IG'I! LUMP i 11 nu;1 �L i t dill (: �I�t � �- Pleas. choir all � at A'p{11y: New cotlntnubon Atli(tiDnlsitoratlaa)Ira l000trxrltt ®Sc vioo over 225 amps, comm'I ❑ Hestudouo loeatiten Il I Demolition ® Oche Clsoryise over 320 amps -racing Q datl4ng ever 10,000 ni ft.• fg n ,' I p��``p,; t,��tlit +'y��'�t��w gipI�.n7� 1�''�' `jyw „111 F+' �f j�l "h�41 ;1 I aNI ,..,of 1-m 4 Drtt nwv astdantial tUl`5I1f4'1f7(N4klt{:IilL11i 1l qL� II y I�f1el,�llllc,At' 'k1 � .�i.a � . ,,.,..U. Ca 1 - mover 1500 volts n eminnt seta in one w r e ids ►J 1- and 3 fatrlily dwallina ■ CeentnsrolaUitedutMal NI Accessory building Q 9ufld aver dine Aortas C IFeodon, 400 a,npa or Snore © Multt•I°html ❑ Master builder ■ Other Ooccupont load ow09person. CItyAnurtmturod {{��e,, ((1i��,,1�'!!'!! +' �.711{1�i1 A l , I I lI i, . 1 "} I iii N u n ii,`:1•� + i! y p 1 'd t' i i i ' •l l t, ` l +Jt I,' t ,,(If �I {" i '!� t 0gbareeelig g plan RV park ifs llW,.G}ll l lti.kf • toW .j7 .P ..ell ,GI .'.I I' . , h. s. .d • �; i.,..k..(.r3i.,,1�,,,2i 'I11.1..0. . irtit ..E 1 ©°tllart . . _�-. " 0 ribelth -tore 0tciliry Job no.: J sIte addTess: 1 S' /►t - pE>t. S'r ET still/mil sere or plans with any of the obova• Tho above are not applicable w try esmetrutalon service City/State/ZIP: Tigard, OR 99224 {{�� f�f�fa(LL . 0 ! ' f ` ' 1 }t� z u � kLHaltll ' I} 1 1.�fYDll!JN�S1jIl��u�1'�.a.tr,f 1 { +IIAGItt�Jlvrl'��! Suiterbmg•rtspt no Ptojoct name: flambach Crossing orwietke Croat et reedirectiona to job site: Nov roddo■t1ai single- •or roulni- family dwelling unit. 7sdedea attached ; aroma. 1,000 act. !t, or lase mil 145,15 111a11311 II& add`1500 sq. it. or • onion MI 73.40 U Subdivision; HaaabOah Crossing Lot n0... 00� 75.00 Ell Limited aft ! i . residential `fait l e 011 Ito Glm[mdenor•r,non- rotidenti 75.00 �Q u i! ) } ,: + y . u e lr' w t I !1 al t ' n d 1 e lE �lll` , � N � 'It�� Ala w`L, � i�'a � ,l� u1 � ' r 1C �, l n. l„ �� L.':1t ,l� l :i� ��I G e l ie te�le sr a�lor • 9, ' t c' ' s' ` '. dw liar ice and.'vr finder Servicmor leader' Installation, nitarntion andrar relocation 200 at •1 s or less 110.30 r0 gy �•� , � m� ,n a� \" A r : 11 � t d tti , ,jl"rnn' S rid a�!��n °' 101 'ato40oam• 106 111111.11K1 gf Q f i i 4 1 PIJ n�h�ry d , ' � I i 4 " 1 i1! fli ll �{��{ ! u 7�I , n I 1, 3 11.0 lI! _ ._._ - ltPlit' i ., d ' Ifti� . ! . r∎ !�4L ,1ui.iCi3! 6n (�' .,.:n1 " 1 07'•. .., " . 1 - tb- Atli snip to 600 umes 160.60 Nom: Leggy Monies 601 amps to 1,000 antra 111 246.60 ■U Over 1.000 a nr voila 454 - Addrras: SW 69th Avenue, Suite 11100 Reconnect catty - 66.35 MIU City/Stote/Z1P: ?ordered, OR 97223 Telnpororyy servitor) or feelers I n.tUnfBAa1, attororlon. and/or retocattoe P (1103)620 -0000 Fes: (503)596• 00 .- 200. •s or less Ell Owtaor islets "Woe: This int>efllation is bring Made on property 9h4t I own which Is nut 201 amps to 400 arn.s MI 100.30 intended for solo, louse, tent, or exchange, according to ORS 447, 449, 670, and 701. Opt um A to 600 emus Owner atgnaturi Dutet Brooch circuits - now, alteration. ar extern , • enet , u M ,r ro ro 1 t w - !'r > '� ° `t `C,t f;i w •• ' - A. FCC for branch eremite Miff � �i.� ' v '+ i r . }> ;l ..!. i " ..e ii dc �( ; : kz `L11? �i� ' ,1 :tuldMf � ..,A .:. � ( � ecrvico ay seeder k>:e. each brown c rads B, Rae liar branch Oiroulls ContsOt n a m e : S 1 O V O Laos wit/ow , iv4c or feeder foe. 46.35 III 2 each branch circuit Address; 12764 SW 69` Mange, bite 9100 I Bach add'I inutch circuit 6 . 2 City /State//ZlP :foaled, OR 97223 ' Nalscdlane +us (write ur reader trot taeindes0 Pump or Irrigation circle MI 53.40 Ell Phone (S03)6204020 Fax: ; (303) 59_>;I -1900 Sign or outline li Milli III 93.40 lall E -mail alactssQglogendhotnos com Silinal oircuit(s) or limited• Illantnii { " sllll6i #1411 Ei "1{(N I ell f ' L'IRIPMAYE�lnTEMIZG {:;I IVISfMi th al °nal.? 114)141l.21talitir n, er ixtofleiaa, P a:... 2 BusinouS nlemol Garner Electric •.m. "-- - bleb Additional tnrpectlun Uvor Allowable In a of the *nitre Adorossat 3920 9W 247 Avenue P A pet inspealion an 6240 City/Stato/ZIP: Hill*boro, OR 97173 Invest, - ••.tut er hour p hr rein) r Ramo: (503) 591.7320 PI (' 641 -792 , 4 CCB Lie.: 121159 bleetrtaal Lio,ASryM ry Lac.. 3707•5 subtotal UM � �� P1for royicw (25 t6 OPpermi! Drs) 9uprv. 8kctrielan signature, required' ill " � , . fi / 'r+• 0 7 . State autotwrad (5% of permit fan) t %.L3 print nalnle: TOTAL PERMIT FEE 2Z4.4 - I Authorized signature; 'fnu penult lippt .tIiin wcpirea tf a parcnith aui eealetd within )te des. athrli hos Chenaecepiod oreb®pieto Date: a Feo matbodoloe' eetby TTi•Ceotly DWWIfa u,aute sorvial Daare Print name: e• Number of Madan/ par pom it altoW.d k \avA,uaa■sr111ro414.14vnoMfpaac 13.03 440.4615111anrrnncowwWac Mechanical Permit A licati ,,...4i147;,!:-„,,,,,,t":0-4.,.;.94---: '7;-at ELPF; City of Tigard D . . 4 Received Permit No.: 13125 SW Hall Blvd., Tigard, OR Fig Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ' 'eat* t:,• Date/By: Other Permit: Inspection Line: 503.639 DEC 1 0 .4175 „.. ,. 4 4_ , Ts Date Ready/By: Juris. El See Page 2 for Internet: www.ci.tigar d.or.us Notified/Method: Supplemental Information CITY OF TIGA 200Bit,:40, Ilk, • mr*,:rnit , •,, .:: New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work FII 0 performed. Indicate the value (rounded to the nearest dollar) of all D Demolition 11] Other: mechanical materials, equipment, labor, overhead, and profit. ' „ „ . Value: ,,.. l .. . — "ON '',',"''' ' ':' ” •si ,,,, tatl,1 Z 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family El Master builder 11 Other: .. , Description • Qty. Ea. Total i...ii : RMTSWEINFIrIrMirdWi Heating/cooling ,44 ',iSMa --.,,',';. : 1 -' Air conditioning or heat pump Job site address: 7833 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 Flue/vent for any of above 10.00 Subdivision: Hambach Crossing Lot no.: 003 Other: 10.00 Tax map/parcel no.: Other fuel appliances W/XlViaWitx .:', :.'11401”.141541 Water heater 10.00 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 T tk'VA:Kiiitlitri4,;'''k:rxif- „',.- li' ; 4:11m;AQ O 10.00 Name: Legend Homes Environmental exhaust and ventilation Range hood/other kitchen Address: 12755 SW 69 Avenue 1 equipment 10.00' City/State/ZIP: Portland, OR 97223 Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone: (503)620 Fax: (503)598 toilet compartments, utility rooms) 6.80 '5:24M"'"'41046•frInIiii7i,iWA'Ni"-INMA.e42,4 wil,;;(1 A :::,44-i-ki,--,,, , ,it a zzi 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 Furnace, etc. Address: 12755 SW 69 Avenue, Suite #100 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 slucas@legendhomes.com Range 3 7 Barbecue Clothes dryer (gas) Business name: Tri County Temp Control Other: Address: 13150 Clackamas River Drive .* ;ii.;- 'VliZFiA .,rf,„..*- City/State/ZIP: Oregon City, OR 97045 Subtotal Minimum permit fee ($72.50) Phone: (503) 557 Fax: (503) 557 Plan review (25% of permit fee) CCB lie.: 72623 State surcharge (8% of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: 74 — 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 \ MEC-PermitApp.doc 12/03 440-4617T (1 1 /02/COM/WEB) -1 E'. 4::".,'.:k., X a' ; Imo • , - y ti ; i P Perniit A >� Lw - u p FOROFFI C EUSE { ONL ` l .-t1;; p }fr City f Tigard i � , C �� Receiv Permt No.: 3 g Date /By: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960DEC 10 2004 e el III I t - Date /By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 E! Date Ready/By: kris: ® Se Page 2 for CITY � "' -' >, : g Internet: www.ci.tigard.or.us OF TI Supplemental GA � Notified/Meth Su � lemental Information P, E� �{!g�gy ;'�' . -= , . Ft GHQ [7 e k '.'»Ki'`- .•',�••y«�r�4.'eafia� w ` :ice::.^; _,.. ,- .aa.as;,�., «� a�#:ui, ,.�,. ..,,,..� •�.,..,.� >?� ' 4 ;ee �„ ....,.:�aa .::: >•.�•;t .. � � ��"- ,.�- ® ' New S construction ❑ Demolition For special information use checklist. Description Qty. Ea. I Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) _ ;� Cr#:ikti �O gNSTR r Cl 1.t)N: s ns<@ °" .,„ SFR (1) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building 111 Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: <:_,; �,: „<',; , - ., a` Fire sprinkler ( sq. ft.) Page 2 > i i °4 : �:' ; I'lbi SITE .INF(7Rt14Xiiii • .P 4i LOC - ii5 "'? €<% �,�< - _, ,.s���z.� „�: «�,�:' u� F,,�mr�,,,.� $��•, -.«a � .,,'i:,t Site utilities Job site address: 7833 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 I Lot no.: 003 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve ate'. 7- . ,: _ r�- .-- <DESCRIPrTI N° O1�WORI~; °° �., �:;�..'•,.�,r'.��y� .. � „���*.;,�. ., . ,a . � 0�� " }. •_., �. - -:- V Nte Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 :i `: `';�H �: :• fira „vtr 4 .U.:.:,: F...- t Drinking fountain 16.60 E ;. ;: ,,,® PROPE.RTY, OWiVER1,. TENAt\T y, ,,, y = . ' <„ � . - .,., ;mot: ex:..:... a. >M,,.H..:. ..: ..«° s�:dw:�...�.fr.<r. �. ., z<axx.,:,. �a e:� }�`:'_ a.�,N ��<;.a.:� _, .;r<�. <a. ,. >.<.. ,. - Ejectors /sump 16.60 Name: Legend Homes Expansion tank 16.60 Address: 12755 SW 69 Avenue, Suite #100 Fixture /sewer cap 16.60 City /State /ZIP: Portland, OR 97223 Floor drain /floor sink/hub 16.60 Phone: (503)620 -8080 Fax: (503)598 -8900 Garbage disposal 16.60 %4: r:' ;'-.. .� T ,, h ..:.�, � % »� k - Hose bib 16.60 < ,, ^ 'APPLLC :, ; ®_: it . Q A , AGT.,P2~ L2 S0 - p ; :x. y =, -. >'s ::•:,,,s..,r •`. ,, :« s> 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 i`' �. , : , :ie _, . : = CON, 1'OR -TM: 16.60 � �:�s. .;..T,,. G � = ��F,,:�,;,x, 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 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: 12/09/04 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 \PLM- PerniitApp.doc 12/03 440- 4616T( 10/02/COM /WEB) T C .. .. S .. -, Mery S4NPRs or I, f4# rgo SAt DeAS diiRout)S fo for L ,D eS (PLEASE PRINT) (PERMIT H LDER) t`' I . '' W. J F, 1 € 41 Y P AF Do hereby cert f y fha 'th folio location 0. me ets Ct:of T,ii and /Was'hin' ', on Count v , land use and development standards for street tree installation. • ADDRESS: e 3 ^- .... • . . . , i 0. • LOT: /,B- 003 SUBDIVISION: 74',4HAA e// CROSS -A/9 0. • BY: a ..vs .1 • . i. I3 4S D ATE: 5 -.as- o200S • RECEIVED BY: DATE: (' ' 2 05 A VVVVVVVVVVVVVFVFVVVVVVYTTVVVVVVVVVVTVVVVVVYTYVVVVVVYTTYVVVVN I C° tA C )r--- kow5 .e. 1,{41 i 1-- 4 ( III/ '' ' 3 % ( . .,..A.911,11‘1 4 (Z, 1 -30" 41 •Yk za-iu z..PL1(4,52 cArrslotti .e -. Ft- Z, 13:5 3 ..—, -- \• : - ... s .. cw-...rf) r+ 7,-... el <, 1 .. ., (.:.,, 5: 7 " A - - %. 2.4-z-:-.% .: ; •-- -) • . . r•t- vil % , ...) , ... . I - : ,.... t . ...) t \ ‘ ;:::.; \1\ ''''‘, r ::: , . . 1 ' ?" '. C.:.) . 7-- ". " '7 5. 1 + ? W: \I■,,-T-.773tIt-:‘\1‘ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00378 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2005 Phone: (503) 639 -4171 /i pm q16�;I � •Inspection Requests (24 Hrs.): (503) 639 -4175 — ''IL. INSPECTION WORKSHEET FOR DATE: 6/21/2005 TIME: 7:11AM PAGE: 38 SITE ADDRESS: 07833 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 003 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: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 009764 -06 503 - 840.5247 N Corrections /Comments /Instructions: EROS/04 F ` Si , Tt U6 Ce i . .-tr U L4 i■I cP / r 4 • ) . • [''.I PASS III PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS ❑ FAIL rA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �� Date: C'Zir °{--- Phone #: (503) 718 - p ) • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00378 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/21/2006 TIME: 7:11AM PAGE: 39 SITE ADDRESS: 07833 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 003 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA. OWNER: LEGEND HOMES, PHONE #: 603 - 620.8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -6080 Inspection Request Scheduled For: Date: 6/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 009764.05 503.849 -6247 N Corrections/Comments/Instructions: • 71 PASS RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: `V Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00378 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4t2005 • Phone: (503) 639 -4171 i i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/15/2005 TIME: 7:16AM PAGE: 51 SITE ADDRESS: 07833 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 003 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 -10 503-849.5247 N Corrections /Comments / Instructions: • -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS _ FAIL ❑ CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: Date: g 0 Phone #: (503) 718- 1 f CITY OF TIGARD it BUILDING DIVISION " PERMIT #: MST2004 -00378 - 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2005 Phone: (503) 639 -4171 : Inspection Requests (24 Hrs.): (503) 639 -4175 = p hi INSPECTION WORKSHEET FOR DATE: 6/10/2005 TIME: 7:06AM PAGE: 19 SITE ADDRESS: 07833 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 003 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 008990-05 503 - 849 -5247 Y Corrections/Comments/Instructions: IY/4:7/0 PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 7 ` Inspector: 6 �� //( Date: . 10 / y Phone #: (503) 718-