Permit ` CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00403
i lk � DEVELOPMENT SERVICES DATE ISSUED: 5/25/2005
W
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD - 11800
SITE ADDRESS: 07635 SW ALDER ST ZONING: R -12
SUBDIVISION: HAMBACH GROVE LOT: 016 JURISDICTION: TIG
Project Description: New SFA.
BUILDING
REISSUE: COLOGNE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 963 sf BASEMENT: sf LEFT: 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: 10
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: 10 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: I 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 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 HWSVC/FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt : 4
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: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the
Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes
LEGEND HOMES LEGEND HOMES CORP and all other applicable laws. All work will be done in
12755 SW 69TH AVE # 100 12755 SW 69TH AVE #100 • accordance with approved plans. This permit will expire
PORTLAND, OR 97223 TIGARD, OR 97223 if work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules
Phone: 503 Phone: 620 8080 adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through
952 - 001 -0080. You may obtain copies of these rules or
Reg #: LIC 60563 direct questions to OUNC by calling 503 - 246 -6699 or
TOTAL FEES: $ 6,920.10 1 -800- 332 -2344.
REQUIRED ITEMS AND REPORTS
Issued By : i� :_ Permittee Signature : e2-- 2�
i
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Appli t t t�n� FOR OFFiCE'IJSE,ONLY _ y s s y , k
�UEI Received r� ~
City of Tigard Date /By: /� , z/(1 ✓t--i
Permit No.: S 969' G'�y�
13125 SW Hall Blvd., Tigard, OR 97223 `] Plan Rev
Phone: 503.639.4171 Fax: 503.598.1960 DE ® O Date /B /hi t. ^`( �/y� /7�r 3
i,._ x- � I Y I- "J l- G 4- Other Permi � 1 ���1F�Il 7 (J `..V f
Inspection Line: 503.639.4 Q r t !' 1 1 , � :, . Date Read /B Jar See Attached Checklist for
P r :rr ..�.�r._ Ready /By:
Internet: www.ci.tigard.or.us CITY OF TI " - Notified/Method: i p c" I(T Supplemental Information
BUILDING a DI i-\0 : \X - \ - ��2 ( •re.J / 4
- 2 -h' "" MC ..1?Vl�E�1,� NGi:
`
a
RE U
Il , IA , A
, �F. k :.. �. x , , v' �, ,., �z,. a- z�,. x,..,-.,,- � .�- .:.,.z :.,:��1raµ.,e.,- ,x_... a.,r,, 444, `a"1,:.= '..,. <, - ,r =s.; x � > <I ":rsh: ; �n;�' �r�`
® 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
i`-; '' 3' �` : `I e " ° - ° work indicated on this application.
_y it '`CAS EC Co`i\STRIICTION 1. x ' • ;s . t. Pp
k, = :5»::�' ",:���z3�'�� -.. �� ' � -. . \ _ .. 4�z�` a�.".. �' e�'?`����,`..��'SF.�.?:" +? zvx; .:s _ =':. .<.. n ' -r"� .:"`•���f'�i�.�'�i>: °'.3 -u
Valuation: $216,077.40
® 1- and 2- family dwelling ❑ Commercial /industrial
El Accessory building ❑ Multi - family Number of bedrooms: 3
❑ Master builder 1=1 Other:
Number of bathrooms: 3
' �� r,;��?y.w %aai�z � H•,�.y� .. � �,•.�• „� o a�..:�. �:az.
. s p V ` U . �� > Total number of floors: 2
�' : " < t JOB; °SITE:: 1SEt)RMA.T " bN,� ` API D 1 ® GA TI 7A A W ; ;: ",
Job site address: 7635 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 Grove Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
1 Q -P ',494 GO -USWI CICUISTI'
Subdivision: Hambach Grove Lot no.: 016 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
r ., .> ,:- and the profit equipment, materials, labor, overhead, a e r or t he
r . -r ° , * ova ..:OI1.1140 °O N„ Y". ),S work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
: :; , I g_ = ,' ; , Number of stories:
=a ®x'PROP."EC v ,,,, k ,
1i, - , -•,,i 1 1 =R NAN I T ,,,
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',y" " axe ".'..rs" ✓. "y "- - :� r ss'< .'
%: ' ° ER N
� wy tr...,,,
,
.,�. ",..>`��aw , x.. ,. .. t`:• �- �'¢ ••"�'- O'S;24�`.�"<:;';,;,. .u.,.m. .�'.i�rc�k -.. m Me w+�H�m y Y`•.',•'
Business name: Legend Homes All contractors and subcontractors are required to be
Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 12755 SW 69 Avenue jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 620 -8080 Fax: : (503) 598 -8900
E -mail: slucas @legendhomes.com
Business name: Legend Homes ,�., .;.mrw <.,,�`:_;• ...:......:..,� �:;a =
�' v -. i- B - G -I'k3RNii7 F"4 ;"";•,- �,. ti
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: 54 — This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Steve Lucas Date: 12/16/04 * Fee methodology set by Tri- County Building Industry
Service Board.
i.\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T( I I /02 /COM /WEB)
- ` ii , rte .-y. y jp . .,0.k_ u r . aK+,t e . k i d +
Mechanical Permit Application 4fi },,� �` F OF 6ICE ONUY,� a
.
, r, i
City 'of Tigard Date /Bed Permit No
13125 SW Hall Blvd., Tigard, OR 97223 R EC E I V
Phone: 503.639.4171 Fax: 503.598.1960 y•
Plan Review
�'�dEd'�
Inspection Line: 503.639.4175 j, I ;'a Date/By: Other Permit:
Date Read /B : luris. ® See Page 2 for
Internet: www.ci.tigard.or.us RFC ' '" r'° Ready /By: g
g : ^y r / , ® 211 ', Notified/;vlethod: Supplemental Information
�' „,,,,,,' , „,+.a,,L°,R„fv.:,orizi/ �.: , ,,,, ,•' .;3 ,,a.'�A , ',¢„,: 5,, „.,:. +.„`., +, p .„..,: , a:k:, • _ ';.r,: Sv
�: �� -;: .Ot1•Iltil R'�I °�T: � E -,S H USE'.CH C
r.'. T:l: �'c G E . C � G
= r
� � Mechanical permit fees* are based on the value of the work
® New construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
.�:, �•: - „�. � -. �.. a,�,: ,.•� -=,-, , -. 3. „�.� :��< Value:
,„ , ” - Sir -':<; :: A;
«CAmEGOR,� :OF` . O\iST -tt '>G'TIC.11Vk:f�,';��`:'�;�:-,. , :
'r. .,, •S }�. _ s. a. ., ,.,,.. .V .,> ,., .b ...,...... ._. ,..2,�': ,v-,',,,,e,' F,'= •':N- :«?�;«rmk-,lXV .�E'ii o, •,.:.,.�:A a :rom1F;
c ��� �.,a.�,;.,:�_�.. �� ,��.� >� ..,, . ,: s•3a,� _ _� � � T EMP
?V,. Rh35[rif- INTIr� . t.V2UIP., Y/ -I S> .S Fi!!4r a ? �
11 I and 2 family dwelling ❑ Commercial /industrial ❑ A ccessory building
.,'r,�..,y��'�u�.;,.: ���,.,Ha..,x�.���w; .:�:��°
For special inforniaiion use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. Total
,. y%` ws: ,. r .s:::;.•, a:- «;•,;.;..:.:: s: -y„ <
Wit., ",013` SIT. IR:FORI.., N 1AI\D G "OGA7..L -a�• , i �,- : Heatin coolie
��� �r�`:� r; w : ; :�:� - ,�x��. ,,:�r.;:.m«€�,•w.. ��s�.�� u..� n;,_���:���??u�y�:,,, z, >,, .... _ . � �n�� {;l g
Air conditioning or heat pump
Job site address: 7635 SW Alder Street
(requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Hambach Grove Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Hambach Grove Lot no.: 016 Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
Pw ;. Vl' , ;< z ,.: rs ,s ,.. ='a ,; ."` h ::, :. 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
:a,. ,.. ; >' -s ,r a a Chimney /liner /flue /vent 10.00
` ' ;°; ,, ,,- �,PR ° . ktY =OWN4 x u ::: as NAN7 : 1 ,
�,'9.a ®�- .�..:Q �r.„rv�.. ,.-.r.�(:,..� .:,,�:. -:�, . r. , ,.,,�.. _ .���»��.w :�`i`�,;,; ,s::�,:�e'� 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
;�`''� '� � � "� ,• Attic /crawlspace fans 10.00
.;:z-' - , >, ®�„p:PMI Ic'A T'i:: 3� :'< y ' Q GO TEA I`' v "rt:,,,.. :.:t *:r
, a'°a �c��f �:- �; <:�c,,,,.,.�..;,,;.,.�a� M- r "� >;S't.� ... -:.gy �, � � ���- a ,,�: xr. ,. .,�,K� �
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 Furn ace, 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
ACTKONIf 4i,, •- f < .. V Barbecue
Business name: Tri County Temp Control
Clothes dryer (gas)
Other:
Address: 13150 Clackamas River Drive ' ' iM: TEli ;� ' * : —m' 's
MEC ; . , .I Y'[C AU':'PE RMTC FES * 1 -; v„ '
City/State /ZIP: Oregon City, OR 97045 Subtotal
Phone: (503) 557 - 2220 Fax: (503) 557 - 0919 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: 72623 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
g days after it has been accepted as complete.
Print name: Steve Lucas Date: 12/16/02 * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doe 12/03 440 -4617T (I 1 /02 /COM /WEB)
01/16/2003 00:15 6427925 PAGE 01
DEG-01- 2004 WED 04130 PH Legend Homes FAX NO 5035988900 P. 02
c. '' co ; K -si t - a�. P'ii s. !, j a 7J ff r �' I ` '
Electrical is ermit • ,.... ,c r > 1 JA, 41i. I 1( IP F {r >k µ.
� I \ - q'�, Ysiit
lW i�lit:N�Pe Permit r i _ 1� �..r �t4 ' W an I t r�_.:4, Rtl •4rv, t Nrt1r.. „,. v.tl w41.,ik.
r yvq p & n a � A .
city of Tigard rod Perntkrto.t
• • ; ' DaNBr
1313i SW Hell Slvd «'Rgerd, OR 97223 . ' ' Plan stoma
Phone: dor i Vr,giu
y ?03.639.4171 Psx: 503,5e0.1g *'' u (
U 2 A 2004':.+ ; �� ! ' '
; ;�� e,�y= 1ev7Ax
hi$cTh tiot Line: 3O3.630,417S U . . >tl4di t o tilyE 9epproaloatrt teformetlon
menus: 1wrV W.eidi$artlAr.Ul _
I p� • a w r t II,,.. (�
, , i m s { n, i 1 r; PY 1 i i , � ,4�, 1l tirl' + i� �I .v. ��f�l. �Ja UlI c.,l5l�In!F;11 ;, , i
I1 ...
•t► 1 ► ,�) Los �)rlin i�i�il1� RIM I= t ,aigi -rii . ��...i .1.E.
I � tr `�_,,�;�u�fji� ,' r. �1�.9i` {I`��(�l�l�'��� tl� ��,,{ r, �, �,�, �� � a�(''� -���,i .�ra..,t
I L ���k1?fiL.f: n i i.tuwl' r , ° Fleano cheek MI at ttpplY
01 New son+ltrl on fi • .7! 1 �1'1'wi r otireplttoorrtant OSe vino ever 225 arms, ocn,m'I O Hsv rdau. heaths's
■ Demolition t r ❑ p Other: p ; 1 4 il
�� n^ ❑Sereiee over 320 amps -/wing OBuildrie 10,000 ft..
��.• l�gi�tl{ �� .k : 4 1 1il f a ��il 7 g i �l�ll� i,rtt I Vr1f 1 ' { F '!ftP41"I��alf^?l: �.,. Ill'':*Z at :- i442-familYdwalli 0? Ma
ittal WInu 1
'' building Q System OM 000 volt, a m mafiosi
1 -2nd 3 dwelling � Cemtrta alsUltldtlralal sa • Accessory C3 9ueding over duet Mena n hada% 400 miss ac More
0muitt.amil • Manes builder • Other poem:pea load over 99 persona QI►tpnulhe et
1 r ! i 4' t "" 1 '1 1 ' I I'� � 'l , '� t �' w ; r'1 ,7 1 1 ' Sq, t' '1 01 = n 1, >d li dfi0rossiliglttlig plan RV park
or
�1 ' i w d I,�;j� tirU( 11 �.i1, '!t t : � �:_: �: •.tr.1..� ; ` .i ��� vi CONTI
tu•, t l ❑ f•�eehh- eora Aclliry
Job no.: Yob site eaves= 1 1o35 5W itt..t7E1?-- ST: suhmlt 1 eau of plans with WY alto above.
224 Tho 'alma are not apeikoeb! tot o17'vedelrualoe service.
City /5wtn/ZIP: Tigard, OR �7 l
o ' �: �l�il�ilI�i >iH�I�H',ll�:f',�'fi�i�t�� �h�i�1�iFl!C;1�4�,l�r.�1•
Prolax rouse: fIatnbaek C•tteov¢ pompom oa _tL fIa
Cron et reet/dlreetions 1e job eItei New roddo det Men* or mwU- re>sity d lryc+udt
Im)ullet en hs4 erwlde•
1,000 ea, fiat or
:no 145,H W.15
t5
Loc no.; Se: Me 300 s4. S. or portion 37.40 too •2.o
Subdivision: Hnmbso Gttsovc Limited energy. residential 7630
Tait „4 esl no.' Llinttnd Slier On- te1identtal In 75.00 MEM
t I eeture i w m 1111111 dw:
INIIIIIMIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIII ��( t 1;''E ` i rt.. 1 s� ' , i g , , i gal i : .,; Ij P lt�11:1:it i, mat►ut ar
: L l c c�i. u m {.� ..J<� ,lid x
lie '
200 mlpl (IT teas 40.30 INU
II 1 a' { P 1 A I � j ' l wu, �,n rue,,•; 101 20 • lt)<,.dS _
try ' ,, , ;jPtP'., i ., I;� a 4 R I J 1 6.06
j�{f{�{}`.,�1 ,1'�1{i { ,.�., {�11 t {i� 1tr�; , r, , Its`• °li.� n�4't },';IN , ,I y 1I,,Y�:1 l?�111 �. II�I�r h E �,1 1 9t ��l' : �,.s�y� � ;�1� 1 „a 4 tAI�
!Ri�L']:�I +:JVI�LL.+.Jl� t}�.. �i�l.'M1' �'' �Lt t�� � ��CI �1 I JRu _. c. ,.11l w � " L _f'N 1 .:uLL�
60l n •t to 1.000 anise Oil 340.60 11111=111311
_ . • - Over 1400 'crape tie vaita 434.G5 3
Address: 12735 SW 60 Avenue, Suite 0100 0 Reconnect ont. 66.8% t
City/SWte/ZIB; Pert uud, OR 97MZ7 Temporory mortises or feeders Inetutmeon, alteration. and/or
ilsootlen
Phone: (603)63Q -80$0 I Piz: (50)598.500 20 e,e,ps or le 66 33
Owner iaatallatleu: This ini .Nation l4 being made on property 01011 awn which is not 201 amps to 400 snips 10030
intended for anie, lease, tmtt, or exohsnge, 0000rding to OILS 447, 449, 670, and 701, 401 atnp9 to 600 amps 133.75
Owner signature DIM; Draneh *colts- Mew Alttratlat4 ar extewiarl, psaet
Fj d��y�aFt E. i , ' . hP °1uIFt' a.)n �t( ,Z al .2 i fiii. 1 A. Fee for blanch eirWIS
!1I� l "
,.� N l c_ rA ... ...:. I..a:`a ! 9 : �c _.. _ , ... - .Kdz :Ltt Ll t �,ll It.M1 r� nr t�ndv h4 each
d.G3 2
brown circa I
Ill!!
8, Fee for Mull Oleo s
wtthow 'wigs ar feeder 134.
etc branch a melt
Address: 12 /SS SW 69i Avenue, Sults 01043 Satoh add9 breach elnetit 6143 2
C i t y / S t a t e / Z i P : Portland, O R 97223 Miscdls (rvteo or Ender t t twelatvd)
Pump or lineation ailele ME 53.404
Phone: (033)4204M 0 . Fax: t (503) 5154900 Sign or outline Tun_ MAO 111111111191
E- nlailt elualte?$lo1eedhomes.com Stgnel eireuit(s) or limited
I ,` d'i<;i~slrL'MERA111 11N!Ri"Hilo(i i @! (m1?IP.Eir 1I:oni�,r"'.e1tia kf6nl:;h U Wli iNNDr''i 14+.16atigI E,1: MOW Tia therein' 0 .. •
l' 7:
Business nemet Cuter iallcctrle
Emit I Adidenal iaspoodue over allowable In a of the abeve
Address: 2920 SW 247 Avenue 0 A ---- Far lnitpwlscn 62.50 _
CitylStata/ZIpc trTtYsboro, OR 97133 Invest: nn p Witte erhaur "I1s ��
642.792 Industrial • lent •erhour Phone: (503) 591.1310 F (' nail ti 1)"iriPli , 'tl1:tf illl V..ili lliA131 �I .�, om; "„
CCP Lie: 131169 1 81doertesl Lie,' ' I S •1 Lie.: 3707.9 3141 x
Supv. Electrician eyesore, re ains:I: 7 '' Tian review (2!' 4 erpa'mit t>,e)
or • diem . i" .---- State wrahu (5% awn* fee) 19 .L.3
Prins naves ' ,.. 17 I l - v �" TIVI'AL PEMIT BEE 240.4 .'\S
Authorized signature: rue penult eppea+l u$res It a paa4t h sac a tales witb tae
den atter11 hoe Doessseepled ea ep
D t€ Poo reetho4oiaay may ThCOwny uetalne usay
service urge thyme a •• m orfr e.Inspar pamtittallowed.
s:{RuMloper nlaVit•Net eeesplav 12e 404615TDS.W aldeweo
•
•
Plumbing Permit App t� ', „P =a k g- * ,4, FOR �QFFICE liSE ONLLYi& t
', `� P .., -- . �. > :- r te .
City of Tigard Date/By:
AOODA0000.:
OAP
13125 SW Hall Blvd., Tigard, OR 97223 2 0 2UI. ` . y:
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: an Review
> 5035981 ection Line: 503.639.4175 c 960 l y Other Permit No.:
Date/By:
Hour Ins �'.7 `,° • y
p V � Y V Orl F ���, A a I� m� Date Ready /By: Juris Q+1 See Page 2 for
Internet: www.ci.tigat'd.ot'us ( � 1 h t • • : Notified/Method: Supplemental Information
..eac' °- ;�; :•-- .my;,- '�ti,2•. t,. ��.. aa�,. ,...� �' -.„°: .'x
` :. _` = ;.�, _ `TYP ®F 9,R)(n < .- P "> 4 F1EtA 1E1)[TI,E
Ej New construction ❑ Demolition For special information use checklist.
Description Qt Ea. Total
Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
``; :ry " 44 oA o,- aY t�`STkeefI tv4,- _�:,; .; „_' ti e:: zitin 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:
;4m , _ z v Fire sprinkler ( sq. ft.) Page 2
'[T =] ' F° R lA 'Y' N'' '''`1zOCAT1DJV " i . i-' ;;
V[:_ " ae - q eX S 4 -; 7;X,,A , A.: >..
: Site utilities
Job site address: 7635 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 Grove Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Hambach Grove I Lot no.: 016 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
t t e _ , •„ Absorption valve 16.60
,C = . :r .,,D.E$C 1T T . Ot - �3.ai�>Et
. ��;, ���_..- � ,..��,,.�, , . .... <�,�� .. �.. �.:�.�;- ������u�� Backtlowprevcnter Paget
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
. `'', ..- 1 7 _ As= >• -,� x °y t „4 Drinking fountain 16.60
ti.1 . ,-3.q: 1cMM.>C4-0,4 � _• 141.,s ":` ..���t Ar._ 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
��7�, - ���� !�� -- °mot: �.�., Mx� fi�.;a.:�;:.��. p Hose bib 16.60
c. '�a API ANT ,, �" . ,` v C(�1 4'7 -1?El2 N ; : F...::M
m .: .,-�_< �.. �. 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
*VP yr � �.:r:Cp KamN 12,, *`+r 1R, ". =',
:: - k •r,'a.::''; '' a F.; ,
+s;,. w: � ,
� ��:r ,:•. , � ���;t��,'.?w=;��= �. e..P..,,,.. �. ... �:fi, 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 Lie.: 23847 Plumbing Lic. no.: 26 - 208PB Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature:
TOTAL PERMIT FEE
Print name: Steve Lucas Date: 12/16/04 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building industry Service Board.
is \ Building \ Permits \PLM- PermitApp, doe 12/03. .. . . 440 -46 t 6T(10/02/COM /WED)
• AAAAAA AAA AAAAAA4A *AA`AA®AAAAAAAAAAAAAA *A * AAkAkAAAA,a *aa►Aar►ak.r
® ►
® ►
S TREET T EE E TIF I ATION
A Ito
® Mme, ti V/ S b F ►
4 I, j tionAl ,S 620uN c )- k1A , Owner /Agent for LQ&o-t9fo t}o/F-e
® (PLEASE PRINT) (PERMIT HOLDER)
d +. ►
..
A
A ; ,, ,
, 0.
® Do hereb *the following location ■
1 meets City Tigard/Washington County
® land use and development standards for street tree installation.
4 ■
® ADDRESS: ' 7 r35 (5 A L O g 77Q_ - r - or
I 0.
® LOT: /, SUBDIVISION: i1A 71,B4 CEf G,2o irry ■
® ■
® DA TE: �- /( US ■
®
BY: ,5 ,12/1� - s ►
® ►
to
® RECEIVED BY: DATE: (0 7/ V/ d
® ) ►
A il' TVYTVVVITYTYYVYYYYYYVYYYYYYYYY YYYVVYYYYYYYVVVVYVVVVYTYVVT1
CITY OF TIGARD a MST2004-00403
BUILDING DIVISION PERMIT #: 10/13/2006
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED:
Phone: (503) 639 -4171 474 1Purq°(fil`
Inspection Requests (24 Hrs.): (503) 639 -4175 " � II
10/24/2005 7:02AM 18
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
07635 SW ALDER ST
SITE ADDRESS: HAMBACH GROVE 016 CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: TYPE OF USE:
PROJECT NAME: New SFA, 10- 13/05: Added A/C unit.
DESCRIPTION:
LEGEND HOMES, 503 - 620.8080
OWNER: LEGEND HOMES CORP PHONE #: 620 -8080
CONTRACTOR: PHONE #:
10/24/2005
Inspection Request Scheduled For: Date: Pour Time:
CIA # /Iis� ription M08tt247 Meage
C red:is/Comment In tructions:
r - t • lO l o��C
kl ik-1-1.,„ Lt L -- -
•
6 # A Q.&_ L-_, . .
c i w , sh
EC'pykas_______ n PARTIAL APPROVAL n CANCEL kI ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
W/1k4) t ® l 2 '` /", Phone #: (503) 718 -
Inspector: _ Date: "
CITY OF TIGARD
MST2004-00403
BUILDING DIVISION PERMIT #: 10/13/2005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 uA " l t
Inspection Requests (24 Hrs:): (503) 639 -4175 .o ' /mi I �
10/24/2005 7:02AM 19
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
07635 SW ALDER ST
SITE ADDRESS: HAMBACH GROVE 016 CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: TYPE OF USE:
PROJECT NAME: New SFA. 10- 13/05: Added NC unit.
DESCRIPTION:
LEGEND HOMES, 503 - 620.8080
OWNER: LEGEND HOMES CORP PHONE #: 620 -8080
CONTRACTOR: PHONE #:
(AIAP
10/24/2005 Pi(Alt/tfrtk
Pour Time:
Inspection Request Scheduled For: Date: f-14(7/Cfr
C dd # I e tion D cr Descr iption C f a sa e
9 tp8r7 ,n fine als p O�JO'i �
` 247 r g
1;"
Correctio /Comments /Instructions:
I 7 .,(___
4E s I _S
b i \"____6- C■e---- UThr ' v '. Uet jc
L „ L .... A ," i 1.-- ,....,_ _ -- t - sa...C-----
` 6-t,^-e
( Y-Nc ,re C,w * 411 ._ (,..CQ--r ---- 0
V)
---ry ,nom s �„�� --�
4-es �
_ _ - 4` - S Gc ,
Fig -ASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
N l 0' 2 /s .
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00403
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/13/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 10
SITE ADDRESS: 07635 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 016 TYPE OF USE:
PROJECT NAME: HAMBACH GROVE
DESCRIPTION: New SFA. 10- 13/05: Added NC unit.
OWNER: LEGEND HOMES, PHONE #: 503-620-8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 018404 -03 503. 849 -5247 N
Corrections /Comments / Instructions:
C isirLPA'27/) jovu.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
Date: l D /( // ( Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00403
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/13/2005
Phone: (503) 639- 4171d
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 9
SITE ADDRESS: 07635 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 016 TYPE OF USE:
PROJECT NAME: HAMBACH GROVE
DESCRIPTION: New SFA. 10- 13/05: Added A/C unit.
OWNER: LEGEND HOMES, PHONE #: 503-620-8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 - 8080
Inspection Request Scheduled For: \, Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 018404 -04 5 503-849 -5247 N
Corrections/Comments/Instructions:
A7C— c Al/ t' 6,0-14/47
PYI
•
Ad
6V 1 -PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I I FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: �� Date: ' O / Phone #: (503) 718-