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Permit CITY OF TIGARD MASTER PERMIT ' A, PERMIT #: MST2004 -00377 ��.e i(i DEVELOPMENT SERVICES DATE ISSUED: 1/26/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07864 SW ALDER ST PARCEL: 2S112CD -13900 SUBDIVISION: HAMBACH GROVE ZONING: R - 12 BLOCK: LOT: 037 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: sf LEFT: 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: 4 VALUE: 198 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 FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 - 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 - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,745.79 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Mu Code, State of l OR. work Specialty il e done 12755 SW 69TH AVE SUITE #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 direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insl Firewall Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rain drain Insp Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Storm drain lnsp Plumb Final Foundation lnsp PLM /Underfloor Framing Insp Gas Fireplace Water Lin Insp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp \ Water Servi nsp r� _��yy 1 Issued By : <�� /"� $'J'o7��3' Permittee Signature . \-\)\)\- C 1\1\\ all (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building Permit A 1.1 - : , :, 4. , _ , 5 , k � ?,, � � ° ' � +�FOR�OFFICE. ONLY� `' }}��,��''"� ��' ._.... City of Tigard Date ve a/ �, Pennit No.:H191A0 [i X377 13125 SW Hall Blvd., Tigard, OR 97223 .r Plan Revie Other Permit: 2 ?e �y_ Phone: 503.639.4171 Fax: 503.598.196 SEC 1 0 2004 - u Date /By: Ark I — �(7 —O M373 , r' . Inspection Line: 503.639.4175 a'{,�, ,, Date Ready /By: Jar Si See Attached Checklist for Internet: www.ci.tigard.or.us ``rr Notified/Method: /�p. Supplemental Information Of =11 _ .........:. ...�,::• .. : w's .�. �. ,CITY - iy VI O = Vila°' Oiri IN C ItL ` U RED 1 :."1 °= AI ll 2'F 4 New constructio ❑ 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 r • VI MI: -.= - "°,:r s� •�'� , fitt _ >1,r ,_; work indicated on this application. ,-, 1 r f i CA ECO1t1 =:4F °.COiISTRU.G7'I()1V =: ` - Valuation: $195,230.10 ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 .: ° = : >;•. >> + >. a .: Total number of floors: 2 , y.. )b ��- SI T1 T14�Ft1tg � N;,N O ,A s . ', ^ „ :W. Job site address: 7864 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 Grassing 0&k2e/ Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet .- REQ IRE I : 0; COMMERGI 1: ° ECKLIST r Subdivision: Hambach Crossing Lot no.: 037 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 1 Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the a < ;, "� ,• -� - z,- ., *. work indicated on this application. -ei D'GSCRIPT'IOIV OT W.Q12K P Valuation: $ Existing building area: square feet New building area: square feet ;.' , >, '`: '4 -`�' P.I2('lI'- ERT1?:OWNER':�' wT; ->.. ,,, Number of stories: �<�cr 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: ; s g ',a h£, . , ' ; : w : ��: 'rte: - °. :. _. - , APP.,IrICA T,.: , ::: , .G bPt A CT,: : ' P H RSON : p . .. - ,..d _ .:;:s ',;';> , " . .� , .... .. ..- a n.. a..,,..,. `e`- � #;°�*n`..::. �i ". ... ^)> n�?ti�i: .. �� k'_3:\�.. rv., ik °3 .,.°ln' ..�1L°�:. ,.� :•'$.,. e :,YG ;...°��vir> :N.r> » . . •' &�>fi' ., ° .. . -a . �£:'�'i'nl \ ^av'S,��'.. \a..::�fi. .x ..,..v.:i'>' : �. �='',., �....-,°..' J. ?. w`'�3•;�a5�.,'.s-„-a�iS�+•d 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 z - >• .�: .; ::` . �: s .. ..mss: =�•: r.,' .::� , __ ° - -4.,::,,,-.," v:, > c�:. '• c 49 „, .:A % �;COI\'FRACTQi Business name: Legend Homes 1111;?„ `' g \ z ' 2-. *,,31;1144 : 1,, lO -M 6 * :G 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 �f � Date received: Authorized signature: 5.. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Steve Lucas Date: 12/09/04 * Fee methodology set by Tri- County Building Industry Service Board. i' \ Building \ Permits \BUP- PermitApp.doc 12/03 440- 4613T(11/02/COM/WEB) 01/16( _2003 00:15 6427925 PAGE 01 • ' DEC -01 -2004 WED 0430 PM Legend Holteg FAX NO 5035988900 P, 02 Electrical }}� ��� 1 t C : '''r "i .t''Akl 'Will l ll l it'll s alj �t 1 s at 7s '' -'1 City of ® ,r . '0 7 13111 SW Hall 81vd« lgtod.OR 97223 ';A t�'t!P . ;, } Other Penns! DEC 10 20 O Phone: ?03.639.6171 ilex: S03,S�. 1060 t' 'i't'' l' '' ' - .; r , ;: J 1 . T.. t neadlyfly: .:. Pao I for Indplmtltut Lino: Aigsti prl17S Z: . /b[etimet 9ttpplemenlol lotermadoe h,tomet wwwdtigara,orue 11:x �� � , •�i�u su y ,L `PIB ii;� �;� � `M1 ly'1 ��'r'I � II 1•!i: � 31 r(9tU , ,. y i, Idwt•7i1 �. tri I�'�,,�1� "Its h i l l i ,. i� • ,• �.J, yt yy E s I1` I i i 1 ,I �iil Y 1 : :' F,,, ! {�L�•,viii r���PRi &,r�l A1• }4A �'1 {, ( p4tl,, l ri,�7 fi �I R t �il�il� lC% ra, , P. i � I,. l k;l i ►i;�! lU�6 }>'}.�'�� N }ri 1,�„��+�(;3AI91�lf l.gi.ryr.�lll:�l� 1,1 ,Q��,I�NIII IL I{Ml r�(I �v1414 1 ! ,lul` �' II� V C' � {I" , ,�I� Please shook ail , el spa y: Nor 9otiAtYUetion re' ..r." o - ter " Imfrepl000monl ®Sevioo over 22S amiu, aemm'i O Iioserdoue location Ills Demolition ® Other' QServiee over 320 amps - rating 0 ®alleng ever 10,000 ssqq it, I9n� 1l i r q p i It , iirvy, i M;ylti ;, � 13 ∎1101 "1';`f i l n1.g t fSPi1 1 C`;f;,tl y '1 it r ?,� oft -ond2- family dwell 4 Of tome now residential N(L�`�•�, � `� , : �.19��.1� �11� l�.� u. „s:;,, „ 1,,, u„ '(o,+it i .�... _.:.�;. Q9yacom over 600 wits seminal snlsp In one man" 1 - Gild .- family dwelling ii cetnr»sralaUll,dltsurifsl w • Accessory building [agundlne ewer 'Ilse stance Qlreedore. 400 amps or Moro ®Mt11M •Yhtrul ■ Masser builder ■ Other: p []occupant load torPIpo1som DlSottuihetured stratums to W y 1 ° �1 I k r I N 1 } I IIiI U i lia �' f I tlj 7j ll I� t Waa ! .' � i l t A w.t. . (;[ �e7 � I w 1l. ' , i • t f t ^ (y 'J � • I 0 �t$1e0i!{ p lan RV perk liu`}dL,!eG 1.�1� �. �1 a Y�ixn.s.- <.i...w.,./.-.1.....i'.1.1,4,t!J ©Other• 0,7) 1'14 0 Fin Ith-oort facility &limit 1 sets of plaes with ay tete above. Cityl5talte/ZiP:T1gard, OR 01224 The above Ore not applicable to y tro aloe 2 6 a t - r , •,i. r ` , , r J,: Stllte/btd!>•ropt no.: Project name flatland Croustit+if Newsom tae` Crone street/directions to job alto: Now roddanslal stogie -or mwtt -mealy dwelling writ Includes ettache4 ! *rats.,. LODO so, It or lass IM MI _ . Y ILS IId a dd't Soo s q, ft or . Man all 33.40 �1 r1� Subdivision! Iinfribadh Crossing Loo no.: 76 Limited en :.. ratdsndai Ipli Ltnlmd ener:r , non-residential 75.00 —Q u 1 t F r l'1.4 f r ,�,W ; 1, 1 7 r Aitt"3. TI• if fi' i e w , l �, r la' ; r , „, s`l ' � u l : � �� e �4k�?�#�CI � 9 ��t`�l�"P�l ���}�� Eaalt irttilYf i�cd or ar lC�;k�l<i1 d ,11 t I is4,�d� >zlur���: �a �� ,li,:_ :.. ,: t,;, I I ► o� 0 0 the ii_ ; Lee and feoddr 5ary c o r t o de re ino wltatte n, • a aedler relocation rr ''��yy •� ' I l l Ik iY 100 at ■ t or loos ®0.30 - H mom l t o , i 1 - t L� '".. r , 51 i I I '~ `' i�"M t ' rl it Ills a t , 1D6.9S 1 d ur, . , , ' r, a r n Y II : l IIi I{ - -0,11„ 9 ,1- s � � � A �p i p�i _ • _ _ 160.£0 �� 1 11, { � � ,� IiLu � I��, .1.!,itsr!!t'.I , lr,w I _�a..,a ,,...�.�, r ,,.u.? •. ens t ,101. ,:w le 600 amps Nome: Legend Homes 601 e • a m 1,000 anon . 30 n Address: 11755 SW 61,0 Avenue, Suite %1100 Ovcr 1,000 ` or voila i)11111KM111 101 _ Reconnect 031I MINI 6645 Main City/State/ZIP: Portland, On 9717,3 Temporoty amnion or feeders Inateninion, alterurlon. and'or Phone (903)630 -90$Q Fax: (50,1)5984900 rosotetleo 200 : ,•s or less 1.111 1.1.11II Owner lade fatten: This installation is being node on property that 1 own which is not 201 amps to, 400 am. s ME 100.30 Mtn intended for sole, lease, omit, or exchange, apoording to ORS 447, 449, 670, and 701, 401 s ,.s to 600 amts Owner slgnaturo Dote, t{ 19raoob alreaftts -sow. alteration, ar ammo . .el meet En= r v�' ggu,iL a�l_I s ii �al'Vl: t .21t,,. .!a,ti.,,rr� piv,,;. '! , 0 , ( -k�`.1:,..LE_ 0 4 10 -i�,1 Phi &hatorimmi eirouniwith III li Ott.._ t N _.. t ,,, .. ' ' t d fL rrA eT seder he, each b o( . 0. Fee (br blanch olrouits wturow oo1VfOe or feeder lee. IIIS 2 e. ac branch emelt Agrees; 121SS SW 69 Avenue, SUR* PI00 m, .. r 6.0 © City /Stete/ZIP: P0,1104 OR 97233 Pump trr Irrigation stole I= 53.40 Phone (sa3) 630•g0� Fax: r (803) 59ti -a3 53.40 MI E -rnaill sIucnetNicgondhomeg eem Signal oircuii(s) or limited• (1 aI U1I, f3'�'i Il IlllGlf } 141 { PR1;iNVIIMIIDI +:sy It 11 fl31I IIWFiIARWM1Mfl�,li i,� . M ' ennY 141)44 211C126(1% or extension. Susindes name: Gautier Electric ._ " Each additional Larpect {Ue Uvfa allowable in A r of the alleys Addraspi 3930 SW 3 Avenue A _.., ` 6240 Pet mstpesure" . City/State/ZIP: Millsboro, OR 97123 MIS Phone: (503) 591.13211 QI 's(, ! i ? 1 ;t " c J ' t� t A ,h �I', .I LM CCP Lit.: 121159 Eleolrieei Lie, �j � [rrv, Lie.. 3707.9 Suprv. Electrician signature, required: ,�l Plgnreview(25% permit too) print tame: ► - TQ7'AL PERMIT FEE Zt •q0 Authorized signature; lob pstruft eppO.Uoa an - It a puma li trot eatoiod wllhla 100 dare after U hat been aewptod se ae ®prom Matt: " F'aa na thodology oatby Tri-Cowily pafWIn1 uwuoay 0Orvtoa 0c •" Numbs. otinapeetbes per pamsit allowed l:Inundiss stmlNfit.04mma seas taps 410461sitisa etuat/Wea Mechanical Permit Application # s c a FOR OFFICE ,. -. -,;, City of Tigard � s ® Date/By: PerntitNo.: <pod5 00 3 13125 SW Hall Blvd., Tigard, OR 972'1 y Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 /i (� Dace /By: Inspection Line: 503.639.4175 vi i) rk Date Rea /B : Ju is Fa Sec Page 2 for DEC 10 2004 ,...,,*,'.........4, y y 8 Internet: www.ci.tigard.or.us Notified /Method: Supplemental Information - .- �+ :�g•r, a <xr; �< °- "st�:f:.•re,�.�,Fr:�, �• .,�., u � - :�;,�.as, Af•"e�, >.,:ak •. �<- .r „,v.,•�,�a:'�x'.,.<��,a�. s - i`L� � `ONS�ERCIAts S� ^E "�[JI:E= r.. IJSE "f` EG t� S'I' ►/ New construction BM tftNhfr'JtAIhe aEel VIt Mechanical permit fees* arc 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. 41:** , �'` fi vy+s r - -�z•�a •s p- :u , > .>rs :�z:,. _ : -:r: h Value: $ CATFG()RY ==a P < : : .GONSTRIJC:" IO i::... tt ” 3 ,,,..:, , ., -; h .W -v1 ,, ; IA :, ::RESNrT1 �T EQ " r ` PNt yi[ /S.ST1tir$FLES * °F 011 I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ,,, w '' v. 4,,,,. "° "` "",, "``'>' For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total °^ ..•"il^m' „ n •,�.�^>a�r,o-:xa:.�. • gas re, tzF:f,., ;a,, °,_.. ��. r _ a;w,;�”' >;•,;tr „ ^„.y. �.� ' _:.> Jn13° SU E li OR#lI�ATI`ON Ain JC,QG'ikiiiO . Heatin coolin Air conditioning or heat pump Job site address: 7864 SW Alder Street ,.. (requires site plan showing placement) 14.00 City /State /ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Hambach Crossing Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Hambach Crossing Lot no.: 037 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances ,,,, . :'•, ;” ;f "; " •:•- .:;r: ;; I W ' W ater heater 10.00 , W I)E CRIPE1OlYx -,6 ,WOR[ : , `1t ; 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 a s . :• k; ,, - i• >, .; Chimney /liner /flue /vent 10.00 R �, V' N;: •:. "TENAN .x�' ® I';E �'Y „ =�O"... NER <, ;��.�,.�,�,2� . , �1�g � >,�, „a� "Y '��.-� > -_, >�, , __ .,,�..�,,- ��_ ^� xx_ � . cn �.. �..,, x > ... -M „���d.,;,�.. ..rt. ,.r,._ "sa 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 ' it s : °" _ , �; Attic /crawlspace fans 10.00 ail APPLICAN E .., , , 2. Ni , 1'EI A„ d: 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 F , •t” - �:� - -� eye: ^a,>as;.�•:::: C( 1 ' R _ ; a "s <;: - Barbecue tai �,,,. � _., �S >. �+'`�� >. ,. -,.. _- 'n ;r..... .a 3 ? „�.,�:�«�; w- � ,� � -.:_ ,ia��.='� . .> � Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive '"" MECFiOrq PEI ,N,I FEES"` * r ~ - - 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 lic.: 72623 State surcharge (8% of permit fee) TOTAL PERMIT FEE signature: This permit application expires if a permit is not obtained within 180 Authorized si g i 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- PerrnitApp.doc 12/03 440 -4517T (11 /02 /COM /WEB) tO � r i 1 N , i e w - ; t+t -a t 1 k il f ,kl . i s F i! Plumbing Permlt'A p l i ion ,, . -44 `M i •t "'FOR OFFIC �s � 4 0 ,` City of Ti ll and Received Permit No.: �J / 3 77 13125 SW Hall Blvd., Tigard, OR c 1 2004 Date/By: ao • Plan Review Other Permit No.: Phone: 503.639.4171 Fax: 503.598.1960 d a , ; r .P.1. -. ` I Date /By: _ 24- Hour Inspection Line: 50 tf l41i75U1. 11t.). it i. } .� '��' ''' 4` - Date Read t3 " "S W See Page 2 for Internet: www.ci.tigard.o Supplemental Information v T Notified/Method: pp I1 DING D Iv Q s:... °`"i`_ -.,..s t : , . , , ^ r :r E x ,.:� : - TYPE O.F. W,OKK.r.. b fi' j �A >•' v�-, r. �` a;". �° - - <_... � �s. s�" �.# �. a: = >a. tr.ir »;�::tt:r�>' -xev.. ..- •- .Ym.: -� ...� ..��� -� ... .. _ _.e. _ New construction ❑ Demolition For special information use checklist. Description I Qty. Ea. I Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) s '•Si:.:""ys ` "„ 5%' attk..> o- •v„4a ; ^ • fi; : y>- Sn »`s iie, ° " rice M " "; , . °, � �e. ; . ?�s -:= �: °�M .,�C;r�.:, s O K1�: U F,: � .� O1 VS ` I'K�7C•`I = CJI�t' °= �:- � �,m;,;.�`':��; �• ?�s ?. SFR (1) bat 24920 - .. m. ,. s., �. :�,..z- :ar;, -..,. e. : � ;off a. > �.. ,:r�;.> �. 's sum � :. ...,. .._ _ -. ._ _ ® 1 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 El Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath /kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 - "_,. U:: :., - ,fix.., :.> ;,Jf)B <SITE1N;FpK \ AT101N -AND:: �'��� - ��- �;:.�er.g� <�- .��.;, „rte _.�_...,.., �...,,,a��__ . � ,. ,�,.�._. ,. ,a ,.�. -. .. ..... ... .. site utilities Job site address: 7864 SW Alder Street Catch basin or area drain 16.60 City /State /ZIP: Tigard, OR 97224 Drywell, leach line, or trench drain 16.60 Suite /bldg. /apt. no.: I Project name: Hambach Crossing Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Hambach Crossing Lot no.: 037 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: ,•: :: 't %fir'; ; :..; -... >;< ,, €.a«: 4 „,„,,,e Absorption valve 16.60 a. . :,DESCRIPTIO , -, � Oit1C '' • , f," ._ ,:: �z:.;�� �:� -�: {�>, '��:.F �.. ,..:..�,...:�...> ., : ;�.. ".. ,_ . .:: ��> . .., ,:�- <��� %,. ...::.•.:, . .�t „� „ �. _- .�,�.�M Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 - Dishwasher 16.60 "•` st zh •� ; x , g �xe<. : may" Drinking fountain 16.60 F;- '` ..PRpPE ,,,W »... � _.:`: e,T" -' I% <`. e v il m._�_,��. e.. ,,� >-- �.4.�a <,..,=��.<�. ^<< .- ;��� "�.,»�.�,�, , ��`;�;�.. �., w,., 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 .;^ - : s ....,: - ; " '�'�< Hose bib 16.60 ,„ AE �- [C IT ': t k, ; .y .❑ CCtNT �I'E12S lY i f :1 : . ww - - ;, � � �.;„�, �..,., >_. - .,G , .,.o... .. __ � � , � ..�: � ,�; u ���.;,:; ,�. ,�,� ..,4w� >;,; Ice maker 1 6.60 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 F >, " ' =�� -,- r mss; ":tg .. � ;� °:. C , 4 P ' .[i pK` - a -> Water closet 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 Lic.: 23847 Plumbing Lic. no.: 26 - 208PB Plan review (25% of permit fee) State surcharge (8n /o 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- PermitApp doe 12/03 440- 4616T(10/02/COM /WEB) ® ♦® AAAASe® A A AAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAeAA I I r . 1 TREE CERT IFICATION STREET „. i I* J .1 be 5 v' MAnt `, Agent for L. 4 44 I, JlG Rrip S�t,►mets igaum i�i4fiy�zgig -E , ,,Owner /7.E1,� {'E'er t'd . (PLEASE PRINT) 4 ,P ' y , (PERMIT HOLDER) 1 I r . ,,' I A , ® Do hereby cent OW t following location {Q�"�J � p1wz 4 -4 meets and / " Was a+n County nS,mwe „��! ax.: ^au.f,?�i,?E,.r °.y .era- .,,yn..roe..,..�,r:f.x,�nrt. bs sw.�+criurao . land use and development standards for street tree installation. O. 1 . . ® ADDRESS: 77 O ¢ 6 61#./ Azioeiz c_S7 ^- '/ /4A �-1 . . T— LOT: g - 037 S UBDIVISION: f f ,/g,iC}f (1 I 100. . i BY: d : / L i� :.e_ DATE: ! -073 - d 5 A ® RECEIVED BY: , _ - - -- -- DATE: � f� - 8 - 0 A VYVVYVVVVVVYVVVVVV® :'VYY V VVVVVVVYVVYYYYVYYYYYYVYYVVYVYVY CITY OF TIGARD BUILDING DIVISION , PERMIT #: MST2004 00377 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2005 Phone: (503) 639 -4171 : >�»mu1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/8/2005 TIME: 7 :12AM PAGE: 53 SITE ADDRESS: 07864 SW ALDER ST CLASS OF WORK: SUBDIVISION:. HAMBACH GROVE LOT #: 037 TYPE OF USE: PROJECT GROVE NAME: HAMBACH GR A C 0 DESCRIPTION: New SFA OWNER: LEGEND HOMES, PHONE #: 503 - 620.8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -6080 Inspection Request Scheduled For: Date: 6/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 008732 -02 503- 849.5247 N f , Corrections/Comments/Instructions: —a .c ' .- j &v -tea —~ , • glitiMI g.PASS n -, -TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL II r A i OR INSPECTION ❑ ADDITIONAL FEES ASSESSED R } Inspector: IL._ Date: 's -05 Phone #: (503) 718 - Imp- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00377 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2006 Phone: (503) 639 -4171 A � t Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/812005 TIME: 7:12AM PAGE: 54 SITE ADDRESS: 107864 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 037 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: 6/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 008732 -01 503-- 8495247 N Corrections /Comments / Instructions: • ` 1.2 PASS I - ART L APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL A C : FOR INSPECTION ❑ ADDITIONAL FEES. ASSESSED 4 - Inspector: Date: * " a Phone #: (503) 718- CITY OF TIGARD 04 BUILDING DIVISION PERMIT #: MST2004•00377 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/262005 Phone: (503) 639 -4171 . Inspection Requests (24 Hrs.): (503) 639 -4175 ,, . ' INSPECTION WORKSHEET FOR DATE: 6/7/2005 TIME: 7:17AM PAGE: 63 SITE ADDRESS: 07864 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 037 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: 6/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 325 RP /backflow preventer 008620 -01 503-M9-5247 N Corrections /Comments /Instructions: • • • . • SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • ////w Inspector: Date: / Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00377 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2612005 Phone: (503) 639 -4171 • 701 V\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/27/2005 TIME: 7:10AM PAGE: 43 SITE ADDRESS: 07864 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 037 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: 5/27f2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 007913-07 503-209-3370 N Corrections /Comments/ Instructions: • '1(■ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ../ ( �'✓'` Date: Phone #: (503) 718 -