Permit t,
4111 CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00379
,�i� DEVELOPMENT SERVICES DATE ISSUED: 1/26/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07882 SW ALDER ST PARCEL: 2S112CD - 14000
SUBDIVISION: HAMBACH GROVE ZONING: R - 12
BLOCK: LOT: 038 JURISDICTION: TIG
REMARKS: New SFA
BUILDING
REISSUE: COLOGNE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 963 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 1,254 sf GARAGE: 462 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT:
VALUE: 216,874.20
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,217 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 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: 4 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: 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 REVIEWSECTION
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: 0TH: 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: $ 6,920.10
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
12755 SW 69TH AVE SUITE #100 12755 SW 69TH AVE #100 Tigard Munidpal Code, State of OR. Specialty Codes
PORTLAND, OR 97223 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 Electrical Service Insulation Insp Water Service Insp Building Final
Sewer Inspection Underfloor insulation Framing Insp Firewall Insp Appr /Sdwlk Insp
Footing Insp Crawl Drain /Backwater Shear Wall Insp Rain drain Insp Electrical Final
Foundation Insp PLM /Underfloor Exterior Sheathing Insj Storm drain Insp Mechanical Fi I
Post/Beam Structural Plumb Top Out Low Voltage Water Line Insp PIub Final
t
^� : 5i
Issued B Permittee Signature : I \; " " ` gm"
Y 9 Ir
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
Building Permit Application �j't; °�U } FOROFFicEUSE�o>v�ir¢��'
Received
pp ��
City of Tigard I Y Date/By: '
Date/By: '>� ♦ Pemut No.: }�ti� aa�Xf — �37
13125 SW Flall Blvd., Ti r Plan Review
/ , �_ t n ' /
Phone: 503.639.4171 Fax: 503.598.1960 �r,,' , 1 Date/By: /N/3 ✓ � — I -- G Other Perm
5 +Go�`i � ' 37
Inspection Line: 503.639.4175 1 {r ; I Date Ready/By: Juris: Sec Attached Checklist for
iDEC 1 2004 , .. o / � t/ � ' 1/6/-
BI
Internet: www.Ci.tigard.or.us Notified / , Method: �� Supplemental Information
S o K g. \ \ N
,-�:', �> ��<�:SS - �»<-. _ ,� � Wit.: a.��:. �°>:.�::�z :� >s7,: >n•�
,
:� ,D .. -PANIC G': ='•:�
ARE IR�D - vAma` �i:��v �
- - - � s.,, .,.ua < ",'- ��;>., ,'< .. -, .,_.- '' ? <, <•'3s5 <l�#r`e: =a:> >_ A��",a;<: r, ..r. .tip "z�eiK�"'a� 3�'•, ts:aa: y.;, °.. -,
® New constructionBUlLD DIVISI f r,o l ition 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
F :s< ,> ,r tom;: =" ='zs i tlst i 'I`: � work indicated on th application.
< " ° � '- � -.- � T � j7,` =`p' > =0N 'TRIl:'t`t >' "?t�� PP
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y
�>;��',, :. ' - : ... <:�:��<4.:..�_ :� � ;,, ,.. �.: -..> E: ,.:,>,':: M "..:, - > ,� a ,u.•,,d :•::• :.- >:..;;.�;; �;. t�, Valuation: $21
a uati 6,0 77 40
® I- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms: 3
❑ Master builder ❑ Other: Number of bathrooms: 3
- ' -gtrS, F.i .),f9 NATION AND LocAT,I,O ,
. Total number of floors: 2
Job site address: 7882 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 er•ossin ' l4 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
R'12E 14..RED.D'AEI'A: G(VMkirkliti : I raftGYCtr <i
Subdivision: Hambach Crossing Lot no.: 038 Permit fees* are based on the value of the work performed.
l c n
pa
Tax map/parcel no.: Indicate the value (rounded to the nearest dollar) of all
Tax snap / , : ..:.:...._ ::,.:'.,.;,, '. :. - ,.. a and the p
equipment, materials, labor, overhead, a e ofit for the
profit
work indicated on this application.
ESGRTRTI � �Ofi';:WORK
Valuation: $
Existing building area: square feet
New building area: square feet
Number of stories:
. : " OWNEtt- "_ j 4L i i , N„ , 1t4.!
.w,.: :.;.�„r•�a,3; ;•, s:'�::.ers�':"..;dKrx k�;., �"„ a' e, >�.�-'P-- �,..<�;:,"a >`�z�..�;,.,- ��i.*a,�. °. .� : -. .. ... - ���,..'.
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 .�-, -...: . �..,: �,�.a. +;:t r, .cu ° >a; <�ao: •. ..r,.
AItPI�ICA °"
.,..5$r- ..u.+ ,d�H, ....c., ,'>...,, rr`.ax.4 � �,....... _, ,... < .b_,.. < 9 >, . ts.,., ire. w,v,, .'ar ,.,..a,Y x.. :. �, .•x e _ .,m'o. ,.� ...� -. §,�,�^ <>� 'C` -:„ 3 �`„�'"v� " •'�,"�.r�'�S-
.aw x:,: .e.. _- r,..;5Sy
Business name: Legend Homes All contractors and subcontractors are required to be •
Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed m the
Address: 12755 SW 69 Avenue jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 620 -8080 Fax: : (503) 598 -8900
E -mail: slucas @legendhomes.com
q ,<
e,•a
�:c .....w. a. 2:a�:�_. ....,>,. .._ ,•- .wi•a�: ',- 4p, ^ �+>«c.�,wT c
Business name: Legend Homes :" r <° >r '>*'°' "' "�'�� * < <�
B[ ^ „G'`'E R MIT F.FES�� .;,
, z,, „3 SY• �. v :•,. J . av� 's3i� <nW •P�J`� PY _ ,�'^ � " ', -`�,�•
Address: 12755 SW 69 Avenue, Suite #100
Please refer to fee schedule.
City /State /ZIP: Portland, OR 97223
Fees due upon application
Phone: (503) 620 -8080 Fax: (503) 598 -8900
Amount received
CCB lic.: 060563
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Steve Lucas Date: 12/09/04 * Fee methodology set by Tri - County Building Industry
Service Board.
is \Building \Permits \BUP- PermitApp doc 12/03 440- 4613T(11/02/COM /WEB)
01/16/2003 00: 6427925 PAGE 01
DEO °01 -2004 WED 04t3I r IV FAX NO 5035988900 P 02
_ ! V �.. x _ -5"4 -x ,i { f r t!1°'^K'�r'" a � ' r ----,,,,,,k,„1....
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Electrical �� ` t; t,! . :�>EQ$� ++® t �. � ?` ' tee.-4...1.,,o_4&-. c : ..,, - -iYfi . .4,,
� . e's ar _ t7.5rr 1
City of Tigard DEC 1 0.2 ! ,. Peratkxar D .3
13135 SW Hall 91vd „'llgard,OR 97223 ,;, Plan Review OdvrlVriniu
Phone: ?036394171 Pax 503,500,1060 + • �I,' t1"1 • '' 1` • r _ �.
'g P, in, ' ' P O g o a tS,r
b paottanLino: 50.4.63o�ii7s CITY O FT ” Nodded/Mocha yeppntnwawlmro►maNv
n
Monist: ervrw et (igafd Cr.Ut \ cur IJ] I f i qp; I r I 1 I h tr
, 1 � 1 •. .:, . F � � 1j � ,� r„ �. ; a � n1: -. .. fv „ .. ;� Ii (1 Q ^ ,� � f 1 il4fy�;�' �ti i�� II ` t f711 "dlllJt`'n�i11�.�i�.I iII _:
d, l . �'" 1 t �� �Nfaffl i C { l d i I'
{p �r �,I, `� 1 { 1 i r P 1. {� � I ' J' it , h,t4 a r� ^ n1 I', � I . Ir l `{ ,� . :�, � hl I �' I I11�0'(0+�,. 1 _ F�I.�.1:1.,,, ..� . �
t!��Idl ?fi 1?H'�,�I,YI 1 l l f ; ' ,E�17tLn�,�liIr11G1Gru l by 11 M t a.1� l.IlaC� . _ Please vlwok all ut 11pplY
El New ccrl,trtution 0 At7dltlan ! ®itertttlo>Ilreplaoomc+tt ®Savieo evOr 225 amps, aomm'I D I•ioordaus location
NI D111l01000 C Other 24TailY &
®Servile over 320 a t n r a l •- r ag 0 Eel l4ng ever 10,000 so lt.,
rt u l� v lI r ' t
I { 1 + t c a y p I N 4!1 • I�'' c ! "I f +t , l;j 9 f ! 1}rI
I 1 t ll " 1 co &O AP 4 or Mon rev' m stontial
�L1Hyyf� t of �1�' h! 1�1t�" �I! �' ��' �! tr' mf��, s1,( ��i��������`` �a��' �. IF��. �� .l�i ?�1��.�;1�rI.,..�.,�,_�:, of I -e
,
� { 4,1 and dwelling Sratom over 000 volts nominal units In ono MaNt'd
1- Ond3demllydwatlin>s Cetntlter0lpi/itedtslurfal >w1•AcovaD°?ybuildina Cguilding war throe stenos aPeeders, d00ortlpa wmore
C Multi.thmil ❑ Master builder ■ Other, 0ocwpae%toad over f+9 parsons rim enutbeturvd maw* or
f1 lip llluit ry +Satl 1Vl 11W Y- '� at{� I, t 3 "1111, to RV park
I'1,.Wr1' 1 ± j j�Iplllu {+ �14� i lf,� f f,� . ' .1 .' 7 Il l , : 11 , /7 : �I _li� x`. 1 t tantoit�, ngplan o , .
I Lu a!:. .•,v I . ,J . 1 fl ..11 ,.ti,+.n , { Other 0 keslth-oare facility
Job no.: 1 lob alto address: ? $ ga , a c. J 41:1-,E12._ submit 1 sett or pions with en,' ot'the aerie.
The shave are not appticeblo w temporary O,tnelrutXlOrl some.
Cityl5tete/ZIP:'PiratA, OR 9`J { I 1 iY I "�) y , I,' 'uiFu�>l" ' l'rl
'6i,1�i' Iii! l iilkiifil r,';1�1!)r, r:�...(, �.UI
Suite/bidg•/ t to,: Project name OSambach Cl orsitstl p.....04 oa IIILMINIMMIsal
Croft sl'reitt/direcllona to job New rceideidal single mufti- Paa►ly dwwUl'nS MIL
_ Issluicc attached [prep:.
1,040 eel !t, Oe leis 1 141,15 145.
13a add'1500 sq. E. or • onion 31.40 too
Subdivisions Bombed Crossing Lot no-; 75,00 Q
Limited err • :, . residential
Tilt ,i flat no y y n �� 3 ��� p1/ 4 : (�j� p! J Limited enemy, nori-N aident el I 75.00 H
(���@ 1 u 1 11 r'1�'p a (' ,}u �� t ll �1 M •Y1y �p t4 ' `h tit i +l �';.1f rlJPi 1 -101 EsoB unandeelored or modelsr r
�11}I llll'l i I ' 11II��ttt�i <!1'LLl77tGWt� ��`I�.vV:A' wN� Fh 111 .n4 hwl Ud " 00
d \w tin EE attd.9f lbedel' I.
toar or teedere Inatapslrei a undl relocation
200 snow or lees _ ®0.30 2
I" 1 1 f t M.ron I 201 5711" t040D � 106.95 Z
tr, r n 1 u1:°p"Y"" l p r' r I 1 " �Yi !r all 111 {It41 a I.0 1A r i T r � s;
1' {i v, �u,;a? 3 tr( 1�4lrCt�ftal!aL dl �� l nt l� � fi 61 !IC!I I,hHi . , �:a.,...Llrytl c .w .lay 401 • -c to 600 amve 160.50 MIME
Name: Legend t omee 601 n • s to 1,000 antes N 240
Address: 12159 SW 69 Avenue, Suite 9100 Over 1,000 amen or volts 454,65 Reconnect only 54,05
City /Sttts/ZIP: Portland, OR 97112.3 Temporary aerYtee9 Or feeders Ittetenotion, alteration. neater
-• remotion
Phone: (903)621)-0001/ Pas: (503)9904900 200 a or less IIIII
Owner ivato I mien: This installation Is being nutele on property that 1 own which is not 201 ammo to 400 am s MI 10030 MOM
crowded for gale, lease, tent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps re amps IMIREEE11.11111
Owner signature:
Data: Branch otrestl mw ts — pow. alteration, or ex/ . or : tool
y` ikt 1111�
l qq tf 1 N gtiP l ro (i fa ;ifd ,� T 3 I t , f ! � � A ! } a , i i�l a Fee for urinch airaulu with
,�iL� �i:��4'�::? C G���� !,��� .. r? 1' ��..t'✓:...L'i e 4a�.t N d; La ...,1�L.�.. - .�1._� k ,crvica or seder hr„ each
Dusinces name: legend Homes Crew circuit
— i B. Fee 1br branch olr ohs
ContBot nitrite: Steve L,acee *Mow service or feeder fee. MIME 2
etc branch circah
Addreee;1275i SW 69 Amer, Sallie 9100 I Bach add'I bttanott circuit r 6.65 —.
City /StetelZ1 Pariland, OR 97223 MlscaRapwue (service or Cower eat included)
Pump or tnil;aUon circle _ 53.44
Phone; (903) 4204000 Pax: ; (503) 59t1 -8900 Sign or outline 11 Man . = 53.40 N H E-mail: slumsniopendhomes com Signal eircuit(s) or limited•
rif„Va i �' {'( t`,'�V'ttE(f >NIA Itil irifientUlld !.4:: 1 g'X3 nigl:1r`iii{aECG'fl' ailki l 11Mil onto llw4i, elz m or
extent*, #gi : F a 2
Business name; Garner Meting
End additional larhaedu aver allowable In a of the shove
Addy ®1 /: 2920 9W 247 Avonae #/ A Per inspection IIIII 6250 WPM
Ctty/Stata/ZIP: Hillsboro, OR 99133
Phone: (603) 3914330 0
r GI��'IIi�Jlll� � ' • �• Let !t,�Jl:i?'�k�'�(.MT4a!le�.>i " .,, _ ,,. � ,,,
Ca Lie•: 1211199 131eotrloal L1a'AANIIrr Lic.. 3707.9
9 Electrician signature, resell ed: 4 7' y Plan review (2514 of penmt fan)
' 110 / 011 s ' - si "�``` State aerobe:se (1% of permit NO t -t:3
Print merle: a 62 , q e4 rn7a PERMIT FEE _ 2104 AS
Authorized si0{nstta'e; this penult spplketten asps If a perwit is eta eBO deaf wtfala 150
dare suer a hsi been aewptee as comptote
Print name: Date: a Fee metbodele>f'thy T� -Coe t t a y l 0 weC ing industry Service card
,
mo,,bar eti+ p pa M
1: la■laUeoll'ahalal8id;•> 1243 440.4613T110NJ WW1i0
Mechanical Permit ,OR,OEF SE OIYL �; ?iati' 44k.
City of Tigard ® Received Permit No. �l -� •
y g Date /By: � /t/ 3 /
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.19 g� C 10 2004 / Date/By: Other Permit:
i .
Inspection Line: 503.639.4175 ■ $ D ate Read /B Juris: 6d See Page 2 for
Internet: www.ci.tigard.or.us ""� Ready /By: B
g CITY OF TIGARD Notified vlethod: Supplemental Information
I. ��y_
[ . -> H E
Tom. •� �, - ' «� =4 C � � FE � i tJLiF,'. S �,C C2` 4.
�LJ,I,�` � � �:���� +i�ol, vIER. rAr , s n •
® 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.
Value: $
,�'. '�Csx?��I:EGO,RY•.�(a�F' CONSTRU,GTI.OI`I .,� >,,
.. �- �..,,:.., . •t3�,��...� -� . ..,» <:::,.....�,��l a•,�a- «.,_,�. � .. ....... >.. - µ;z«'% -��: .rte,: = PAL rT1ViE T �S
E,,., ;:RESI ..> 1 YVVY9 : 1 1V`P /IVA:, E FEES'*" ,.. .«
- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building "" ' °�' "�'° ���� � '
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
Heatin cooling
-.-m t`k >� .,- �c- .�. -_"°_ - ,. :��ss��,r "..,,. -..,., . � _. ,.., .. ;,ea,'�� �- -,,._ . -7 _ , -- �5a:
Air conditioning or heat pump
Job site address: 7882 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.: 038 Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
fir � °'P/O tc` - W a t er h ea t er 10.00
y. <Dcnrictoiva >oF..vcoRx
�.� «s�= �� =�,- . . - � „w�,.�•- ���.� „__ ,_m
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 ��,:.,,:,,;;,..,:
- ti «,> �O N R "« a e r
,: ®'PRQPFRIY W E �,IENANTI;,` ":x:•:sr...,
-�.. , Chimney /liner /flue /vent 10.00
" N . >,-
tea -" ,< ,. < -w . �: �,:.��_.. >._�„ "Mk Other: 10.00
Name: Legend Homes Environmental exhaust and ventilation
Address: 12755 SW 69 is 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
w fans
Attic/crawlspace 10.00
- A:rPLr�ANr;�K;” > >coi�r c. zY�
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
'tau ��: > t eN%.Ye •.caer:tr.` ?�,;, �.:.,• j,�, ::;.i«
,,,� c. �•, > -, - Barbecue
CON`CR�C, ., �.. � .
Business name: Tri County Temp Control Clothes dryer (gas)
Other:
Address: 13150 Clackamas River Drive "T ..-,..._. "�`" ..
'��"� NTECI3A1\'T�AI:,`PERN�11 FEES *' = ° "=
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
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
is \Building \Permits \M EC- PemitApp.doc 12/03 440 -46] 7T ( I 1 /02 /COM /WEB)
• ( e.•I V i 'l 3'^Ir Y a,..,,g i t ! 1iiJ 1 1 j9j h � 4 3 L�
Plumbing Permit �! '.' r t. � _ r
w�. p S TIV# 1-C. . y
MUSE { ONLY t ip 2 iefta
! ! � I . , fl r. .in. .. ..': ',.>.. F »r k._ �H: +r -.. 7.a�, ia�"',,7` sF.•.�sh' '-„'✓'~..,�` . ;a t a
y of Ti g Re ceived I�t�T'�w4 .... o 37
Cit an
13125 SW Hall Blvd., Tigard, OR 9722[f` 10 2004 Date /By: Permit No.:
Phone: 503.639.4171 Fax: 503.598.1 Plan Review
Date/By: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 j � : }:;: J urs:
Internet www.ci.tigard.ocus = '9 ---3' Date Re ady /By: H See Page 2 for
CITY OF TIuJ- 1• Notified/Method: Supplemental Information
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® New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition /alteration /replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
� ` gi n: -< s" CaTE4. R�Y`s0`C'r : pNSTR M.9 S f,;;. /5 , ', : :A K IL Q1 S 249.20
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11 1- and 2- family dwelling ['Commercial/industrial SFR (2) bath 350.00
❑ Accessory building 1:1 Multi-family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
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Job site address: 7882 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.: 038 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
\3 Absorption valve 16.60
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�������m�.:.,...,�M,:�,,:-�w -�_:�:..�. - :. - :c {.:�:: >��x Backflow reventer
Backwater valve 16.60
Clothes washer 16.60
• Dishwasher 16.60
1$44 \, »,,,,:r;;' \' <,,, F , <;a �:_.. Drinking fountain 16.60
.. InTr P.nt0. )WtiER . IT 7iENANT " F.
;,. . :, , _: � ro...°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
ors .v :.:- Y,s.=.. ^s Hose bib 16.60 ':w :P C 471 > f ` `r ` _ : t ; 'EERSt? . .
�`��"'" ,*-,,, Lee maker 16.60
Business name: Legend Homes
Interceptor /grease trap 16.60
Contact name: Steve Lucas Medical gas (value: $ ) Page 2
Address: 12755 SW 69 Avenue, Suite #100 Primer 16.60
City /State /ZIP: Portland, OR 97223 Roof drain (commercial) 16.60
Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E - mail: slucas @legendhomes.com
Urinal 16.60
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. R' ^< g , „•:, ; •. • Water closet 16.60
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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 backtlow 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: 12/09/04 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.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004-00379
13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 1/26/2005
Phone: (503) 639 -4171 AL:
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/3/2005 TIME: 7:09AM PAGE: 43
SITE ADDRESS: 07882 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 038 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: 6/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 008357 -04 503-849-5247 N
Corrections /Comments /Instructions:
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•
p PASS it PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: d " Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004-00379
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2005
Phone: (503) 639 -4171 llh ' �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/3/2005 TIME: 7:09AM PAGE: 45
SITE ADDRESS: 07882 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 038 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: 6/3/2005- Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 008357 -03 503 -849 -5247 N
•
Corrections /Comments /Instructions:
•
r /1 - -Pocka . S ..., RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL / c. FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ ` Date: 4' 7S' �
Phone #: (503) 718-
CITY OF TIGARD - -'„
BUILDING DIVISION = r PERMIT #: MST2004- 00379
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2005
Phone: (503) 639 -4171 ::1/0111111T1 i 111111Tl
Inspection Requests (24 Hrs.): (503) 639 -4175 „JO
INSPECTION WORKSHEET FOR DATE: r,, /2005 TIME: 7:10AM PAGE: 45
SITE ADDRESS: 07882 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 038 TYPE OF USE:
PROJECT NAME: HAMBACH GROVE
DESCRIPTION: New SEA
OWNER: LEGEND HOMES. PHONE #: 503 - 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 6/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 , Plumbing final 007913-06 503 -209 -3370 N
0 Corrections /Comments /Instructions:
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- ;g, PASS W,.PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .
Inspector: � Date: 12 --)/0 J Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004- 00373
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2005
Phone: (503) 639 -4171 4 �ypi�lli 1 j
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/27/2005 TIME: 7 :10AM PAGE: 46
SITE ADDRESS: 07882 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 038 TYPE OF USE:
PROJECT NAME: HAINBACH GROVE
DESCRIPTION: New SFA
OWNER: LEGEND HOMES, PHONE #: 503-620-8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 007913 -05 503 - 209-3370 N
Corrections /Comments/ Instructions:
■A '1 eql N rt v.) (Dg kf 1)\40-
PASS ❑ PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c 't-��� v '^�' G Date: Phone #: (503) 718 -