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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00043 .f . DEVELOPMENT SERVICES DATE ISSUED: 3/18/2005 � `-" 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD - 13300 SITE ADDRESS: 07764 SW CYPRESS LN ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 031 JURISDICTION: TIG Project Description: New SFA BUILDING REISSUE: STEINBECK STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 724 sf BASEMENT: sf LEFT: 0 SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 1,000 sf GARAGE: 445 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRO: 0 sf RIGHT: 5 VALUE: 171,356.10 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,724 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 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: 1 BOILICMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 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: 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 12755 SW 69TH AVE #100 accordance with approved plans. This permit will expire SUITE 100 TIGARD, OR 97223 if work is not started within 180 days of issuance, or if the PORTLAND, OR 97223 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: $ 8,914.64 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 7 , 1 Issued Bye �, •.. Permittee Signature : i/VL . _e - 1 -- 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 P ermit AUUIX I ''.".4444.-'lit--X. t ' `i t" + h' 4 :' } FOR +OFFICE U , ' f :II �t ”" f s l , § , ty tt .lt,' , ti p Received City of Tigard n Date/By: ° I /S /U D J 6 (.9 Permit No. :&lc7 � .0 7413 13125 SW Hall Blvd., Tigard, OR 97223 FEB 1 5 200 Plan Review/ , � , ����� y , Phone: 503.639.4171 Fax: 503.598.1960 44 !.40111 6 v ; ' . Date /By: / ✓ 1 q,/ 3 _ f l- e r- Other Permit 9O � Inspection Line: 503.639.4175 "';_ ` :_ 1 ' Date Ready /By: fa See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIOIIIA� - k".-'-" Notified/Method:5 // 77 �� 1 Supplemental Information :.4,... a C Y9 BUILDING DIVISION s S� 'r— e�.1�- 2... < , - ;�� :..,:,�, �PV "�:�_- .�`- ��< :": :��� � +ro <•° �r•:.� .� - si x.: �• cs»r< �.. _ W O. ' ..� � ,17 l� " ,...,. - .<..,,�...a,?,�`'''w ;�;�:� . < o,.. ., ,�.� "�s:,�`` �;���,,..,r�:.., ��;a,- .;.:;.�i��xa�.;» -> . �,;,,z sue ;y � , ® New construction _ ['Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all El Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the I - _' '" q` ?0 ;om n -'r g work indicated on this application, :;: f�.= GA'C ivO - =£IMF° :— C*.G ,:: .:i,,. Valuation: ® I- and .2- family dwelling El Commercial /industrial $170,111.10 1=1 Accessory building I=1 Multi-family Number of bedrooms: 3 CI Master builder CI Other: Number of bathrooms: 3 t 00' 1:, l:: ? >F l;: r : ; 4 . .e , f , ..,:mosio Total number of floors: 2 Job site address: 7764 SW Cypress Lane New dwelling area: 1724 square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: 445 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 � ; �, - :. >; .,. -. � , ..., -,� .., �.. .�.,- <. ; :.�: ::,,..., ,. „. ` p :k = t D b A T A ;. f)1VI1 ki T�1i "1 i i , c Subdivision: Hambach Grove Lot no.: 031 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 SF y ^ y a WO M\ \ , J equipment, materials, labor, overhead, and the profit for the ' '. ; A : d '�> - .. ?' application. % ,- I II 11T O ,' - '' ', ,7 ;; -e,, :: work indicated on this a PP Valuation: $ Existing building area: square feet ' New building area: square feet Number of stories: „t s u a rr.., f c .. .„1 ', L g ' `'. ,P -ROP 1 Tl'' (7!§�N �2 TEI ,A q >, r" - : ��;�..,, �� �. M. �, . . �xz.°- ....._,,,..<..<. >-.:�st >:... ,l` `,!..+xg .., , ate%`' �'' S�,` s; ��: �r:.° �:-:-:- �,: .-. Tn-€, �tss- . °.::::.,'� 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: Yx`z ,,.� s �.�;._ :,� v . » � ;t , % ,.� yam; � � ..�>�,: ��i:° ' >'� ..a:«• ��%►� PLfLCA�t , " : AN ACTy Q :N: 3s /�r�r� �. �<F'a °��- :., 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 " -' " "' Y <' ItM`[ E` ° "`a F y . 1 k i Ins .?', z s Address: 12755 SW 69 Avenue, Suite #100 , ����������� a >ss� - Via„ 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: s %� ' 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: 2/14/05 * - Fee methodology set by Tri -County Building Industry . Service Board. i \ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(I l /02 /COM/WEB) FROM :GARNER ELECTRIC FAX NO. :5036427925 Feb. 15 2005 10:17AM P1 'FEB -1 -2005 MOH 10:19 AM Legend Homes FAX N0. 5035988900 P, 02/03 y g 11 1, lI i 1 i {{ d € it II�IItr; 11 i rirlel€I �� i�,1 i1i I , �tli:� (l�{ � 114;r Electrical Permit Apub ia � i 11 1 R r )1i�<)I f II ► l aI! U} \I i ���� i ��,. t11 ,�'� �:�t, _iI :, .:I tiii 1,11 ;1 :1 i„ 7P i, It ,, l • ri t� f { tl ' t,,,;i City of 'I'i► dl u t)t� xr - 1 Permit No.; 015x000 - 0 0 0{' Dah11R 13125 SW Hall Blvd.. Tigard, OR )7 �} . Pion Review Other Permit ti4 503:639,4171 l+ax: 503.598.1960 FEB 15 L • ;r It ll li I , naaAsi - mrik agt2tbr intern ee w rl ww. 503.6394175 Natifiea�Ate y; Supplemental InfaarnaMaa internow at ppprd Dr.al r i v G Tit n r + rtr. 7I t11!;,:,(7,1r, , x � ;y 1; l'..3;;.:;11,-, , t 'iI P I it ,. W .∎ l ?, ,i ,, tR : : : Iy j. . I II, NN 33�� I' �{IiR" .d.c ii 4�' } 1 l lt, i 1 1 t . ,. :1 0 . 1 1 {` 4 i rll. , n . . , 11 1 r,{ •;. }. .d I ! • L',..--243.e.'11.(..! , j,1 t !, , .•r {{ ' ,ij .1 yi11 } i�'� ,II ,,� f � i 4 k t�� �, P , E i i pp t w ..�., ::.,�.t......411,..,....-..: .:11. �. ,.i �.1.�.il. n iu�v,� . GR: ' •1!I , L .. t1:1.. �.! • i -, , h . yli.L b 1 U,. r• „>7 I .Lt�L 9,1 c �, 1;:p _ r L Phm se a BC a a app r.:.4 New conatruotiaan ® AQditial /aIterationhr�llat:eroent come ®Hazardous location ©41avicn over 225 Ole, • Demolition 0 °diet ❑9cavicc avcr 320 name - retina ❑Butldn8 over 104 sq. ft-, 1 , If 1 {' - N r 1 1 ; ° , >� i f, a iii } Vie} 1fo „, t ii)� v 1 1 i 'i _. ' ' 1 4 . '.. , f i it oft■ and 241mIty thvelimp 4 Drmorenew resins /lent 1 �" .4 V 1 4 f ` to 0 ¢ I I �i ' C trU .igli I iii AO �ry 1�• n_ i. i ..,i ;• - ,.. L Y:f :!Y .,ttwp 1, ©System over 600 voila nominal units It one stricture 1- and fltrrtily dwelling [ CotntnercielRndtuuriel • Accessory building ❑nuildi» g over three stories ❑Botders, 400 amps or mote J Multi fanulY 0 Muter builder CI Other ❑Oocupens load over 99 persons ❑Manwfeetared atruet res or I! It I, Ik , 1 i b"T ', ��2 r r Y,;:1',11, 1 d ;Li RV park V et:∎ QI ., i 11 i t F 1 I , r , , 4 ' f ur I Q ' I , { �� x 1 V N . ,� , , , .... n ..-, s 1. ." " ^.• ' . ! 1 . 1 � '''' pa�oaa/tigltt plan !� !utl, tom.• t�1 '' , I.:xt ,� +� , l �� ue �' — ❑Health- gent:Alollity QOther: Job no.: .lob sin: eida'ess: 7764 SW Cypres Lane Submit„,,„ seta of plans with any of the above, City/Stem/ZIP: Tigard, OR 97234 The above are not apphaable to tar tporary easemenon se M60. ;, ' r , ,�,i� ti '' i 11 l C I " i , 4rl '111 ; t i -1 &(;; l a c : d1u 1 1 t.` i 1. , ;,� I4. Lt .4, . . t. r i, I i lt Sui lk/b -- Jape na.: ) act nautte: I tetbttGh Craning „�,m„' Qt ie Taal sim Now residential single -or bmitt- family dwntllog nett. Coss strlmUdircations to job wits: -. -�.,„ ' includes attecped 0britI01. M 1,000sq.11. or less IIIIIIIILEtri o n Subdivision: Rumbaed Grove Lot no.: 031 '. a IJm add iled 't on , 90070.0rrsi or port ntlal ion 3375..40 00 aillUI .�- Tax map /parcel no Timitnd one !. , nonreaidenttat MI 75.00 2 € , �° : n ” ' , 4 1 f 1 ■1 , r'� 5 v )l , € 1 „ , i ,V,21at . l iii I} a.1. }r 1 1mµ I . ' ull j P f� ' '' - filch manatheture or modular f ��,p� i VV �, ! " 11, ,,llifl ,v � -, r� :�l ,' ' n �, t 4 I .t t .Itirvf yt214.d .., . ; 9 ,I •.t 2 dwell v ;, • , an . or leader ` 90.90 ,,,. dervIcea er feeders Installation, elteratioo, aodier rrlocuteon 200 amps or toss ' 1 80.30 Q , i , 20 ,50� 106,gS ,„ ) ,� l.4lt hJ �u t ! , 11S R, T i 1 1 4 � 1 w��, 1' '. i) Ire �,� � � , Iri 1 1 •z t j � t t {�I.? y ` ]] P ., � i , ( ii i 1 ., T,W,f t} ,i.. un 14T,u: �.+ i .',1..1 I ka Li:. ". •::....+..r.J.r ,,_: J,,,,.c.:r ,srt .E, lo . 401 env, a MI 160,60 ALL w! " :".iE. • .,.1E, ,... Nankai Legend Homes . 60i ernes tD 1400 a ,: 240,60 11:111 -- - 6 _ Qvcf 11140 , or volts , 45445 Address: 12758 $W 69' Av ° ep uar, Suite #100 Recwmedc 0_11j, NE 66.85 Mil Ili City /State/ZIP : Parilanti, OR 01223 Temporary oarVIrea or feeders instattatlaa, alteration. sedlor roloaatiaan Phone; (003)620 - Fax: 003)196-S900 200 am 4 or 1 6 Bill Owner Installations This installation is being made on property that I own which is not 301 , .a 400 amps 1111 100.30 .' E © intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. ' Opt ,, ,.s „ 600 Amiiiiiimajwiffi Owner signature: @ ,. r ya Brandi drautta new, alteration, or oxtsunloa, per panel , r I i y y,, i} z, 1 t , 1 ' { I t `,1 A. Pee for Numb t kt bite with 1' tr 1 1 ' I 1 1 i r� I :t, l` i, t ,.•I . A 41.,. -4 t1 1 , 'IT 1 1 � � ,, t . h4 %!1 .k x , I I�1, ,sr,.E• i ? ik'M „ a, 111 i, 1 1.1 it.. k '.,, 1. i serv or fnedw fee, each 6,65 Business name: Legend Nomad bona alrQUit ,, _ B. Fee far ten:telt circuits Contact name: Steve LIMBS ..: without service or feudal' ter. ® 46.$3 .' each bran- 71t`f ' • Address: 12755 SW 69 Avenue, Salm #100 . • Eadh add'I branch circatt ® wo City /State/ZIP) Portland, OR 97223 : Miscellaneous Uendia or iceAor nut incIiad,al or irrigation airele 11111 53.40 MUM 2 Phone: (503) 630.90111 Fall; ; (303) 591i49011 g ,. aroudlne lightin, ® :93.40 Brinell: elu legendllotme.eaat St N , mit c- TP l' ,., ,•y!�, , ti - �, , 1 n r .i ` B FI ,�,. Ir .�, ci1eui n anel a( er ttirauaM or I s � }: ��' /J' u" IIII •�!7�,i1� '11v..�lu.4Fi`�f`'Pl d ( I��i �. dl Ij'li,.a, ,fa... ,,, ' . { 1'�I „'I. ,.•..:1 wA„'}t�j: ' extension, Describe; Part 2 Business nine: Gamer Electric • Sash additional ins . ,, ISae over allowable In Ile of the above Address: 2920 SW 249 Avenue A - _ 17:0=1111111111.1111111N .62,54 � City/Stat /ZIP; Hillsboro, OR 91123 Investigation hour ti hr min) 62.50 lndp8trial plant per hour • ® � Yhonc: ($03) 80-1.110 F+a1t, (` - 642 -79 ,, ': x t , : �, . r 'i r CCB Lint; 12l1 9 1 Eiactrical .Ac.; * Lie.: 3707.9 4 : • , '1 , i �l1 plpa' revtew(25 ^rtoPpem+itliuQ SuprV. $lceatriaian aim@ turd, required: , � I t, � • ;� . , rc fix ��. +t, State snhnega (8% of TOTAL PERMIT 111E' Authari*Zedulgnstttrc , 'Tau eeriest application toviresOfa pen* h not obtained 'Wttdadee days idler It bat baeu martini as template Print name: , •. ; bate: , : „ Pa; ntetttedetagy get by Tri.Cotm yBvvn3 Industry $o,vit Round . Hambararingtectttmspergam> ' t: 1 @itlialBU'enaWlBLC 1103 44e- t6lrrooreareoM /Wni ... ` ' Mecha Permit � ( � cayy ,!; �,1 n s 0. $, r , ,.w A K r �� . I !`fl�W� � _ x +��`" � r �,,, a, �e..'€ ��` t,,'+'�+:FOR,OFF�CEy,USEfON;LY; Ah�.ti ± " K{ < City of Jigar'd � DateB () 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.59 &a96 1 5 2005 '//xana Ip�^ Y Date /By: Other Permit: Inspection Line: 503.639.4175 . . ! ' +° . 11 Date Ready /By: kris: ® See Page 2 for � J Internet: www.ci.tigard.or.us } CITY OF TIGARD Notified/Method: Supplemental Information .. . .; - >> .;, .., �,,,,�yr;:;.�- °' "= �: , r r'. �.'. N � :.: •n.:u� 3 -' :a%' s �, t y, . ..3 >'T>ti�g s�,'gwr< a�§sr. =a�.� E O t9 . f CF ' R G' T' 13 `DC;,3 .>_. ..>, z,� x,.r,a, � ..a. >� �2� �� .. . a"d � �, u 3�sarr , >, " rye. ;, .. ':, ;�•�� � ^m�;ar•:,;a�,� �� =3ru= : u . � >:es . ,_ ® 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. y ,P t`. Value: $ O �.�TI F ;�« a °la °..,, ...'�i4,;.?;s� ° a'��, ° .. ........ .. ..�;,.a: ze- . .,.�r<:aa:;�•as,...,.�:a��..... ., 'm .,..,.,.ettii �i' ._.£,_. 's:r .`�" �,� u3:,.. ® 1- and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total ` - ` JQB _ S iTE , ko = Arab fir circa U I �I i -r, * � : ;,, " ' Heating/cooling Cypress Lane Air conditioning or heat pump Job site address: 7764 SW C YP (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.: 031 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances s ':' '- "` r ` Water heater 10.00 1 :� E� �:_ <. °IiES+ 7?lip . to t� = =tr- �;�;�;,�;;^ °�x, �; , ym � a ;��c�A >a"'�'�'3 w > „:w.�t >• � :.,,..r.. r•r,:. -.. , ., -. „ >as >.',,r ,. ,'�tr•i ", %;t':,. 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 , \ Via; ;'''''' .: ,_<:.- o Chimney /liner /flue /vent 10.00 ,��; appt� �•.a.., ��:e�ar:° .a�..�� ., r �,�, z � '�� <z. �,�° ..,;�. >,.,. ., . ,'�,1Z(}I'�RTX�'��WI�T�;R,'�� ; r, m(> .,.....� I.,H.= .x i;z „z =x�, N "N� •��F';�;F g5;; 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 ,,Ir ,,;,.,iii ,F° �.> ,.,,, ,,, s` fl Attic /crawl ace fans 10.00 ,> v, � :girl � - „... ,. ,t ,,,, . ,,A;>,.. RS: 'el I? a ` fie °:;;; ^ .... ...i..... „.•. ?r >��, , r,��.ly'... . "° ., �. .+a..,..'• .5; 'd:. Other: 10.00 Business name: Legend Homes Fuel r m P g 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 972223 Wall /suspended/unit heater Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater Fireplace E -mail: slucas @legendhomes.com Range ta NT : O M%” z < , ; .. Barbecue Business name: Sunglow Clothes dryer (gas) Other: Address: 2428 SE 105th " „`au'” City/State /ZIP: Portland, OR 97216 Subtotal Phone: (503) 253 -7789 Fax: (503) 253 -7693 Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: 48131 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized sl ature This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name: Steve Lucas Date: 2/14/05 * Fee methodology set by Tri- County Building Industry Service Board is \ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (11 /02 /COM/WEB) Plumb . n Permit A Li atm �'! E \�\ ; �', � u l r °1' T UFt r OFF OIC E US EI } O -. ..' : f " . ;l. a,i„.' '. City of Tigard Received Date/By: PermitNo.: fST: _00. v 190 33 13125 SW Hall Blvd., Tigard, OR 97223 y Plan Review Phone: 503.639.4171 Fax: 503.598.1960 FEB 15 2Q i.,� „/mkti 6 t , .: Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 �` (•- .. Date Ready/By: luris: 1Z1 See Page 2 for i r Interne t: www. c i. t ga d.or.us Notifi etho d /M d: Supplemental Information T F 71GAFi � - Z : f ' _.;<�. �, .?, .�.- «a`. "c,�. _�, ""°".���,: ��,°`� , r�.�,. ''� {.`••�k =; y *�,�„ °-� y,, •?�, �...� ' gam,: � �'. ,;au: �d' .EE.,.. `. � ' � ' ,. �, k ". r5 ? .> .. -, a ;L. ...w. ....sae... mL'eu",�i'q 1�:hSbv:.;- ,3}R:2; "D S'�R�'.3 .. 1.. y =� 'a. - .��.� =.:. v r� R C.i;�... <. a .8 i :a, .�,,,�.�#...�.�. _ .. . ,y..at�i +.�;*•�'��z•., �.,, .,., F �.:'"xec': c,x. a -: G.�:._2: ..a ..�,�• ® New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) <L• �4 p a ';;t?: > ° «' n S FR 1 bath 249.20 4'. ? i' `. . „;, Crl BGt dt to 1S§"= s1 A; , '^ ( ) ® 1- and 2- family dwelling ❑ CommerciaUindustrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 9;$';. •x • ;; �,. , �,- .,.,,_,... ',,, � ,;,:..,,y.., .. ...E .� -;� - , 4' , A :� - :,.. .,, . � ... Site utilities Job site address: 7764 SW Cypress Lane 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.: f 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 Lot no.: 031 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: � ,. , , Absorption valve 16.60 4y s, - ._ : X 51' °P -T N`W - t9R ...k... Page 2 -" •' �;;;, ,�• . � � � Backfl preventer Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 p ' i . �a� : ; ; :..s r ,:. l __ Drinking fountain 16.60 ?, --PRUPE R'71 , "OI NE , 1 ;74: ;` 4i ._ .'" K �� �» °." 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 :.i ,:;:; - - ,,.:k g:tr Hose bib 16.60 _ .»,, .R t(�?«t�l l'PRS410a , y' ®' ' P I N ,.,. . !' -, ... ,,, +, :o.. ., „':- ,�.e•. ��• _. �.,e ..... �a��.=._.��� ,x� .� 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 ;j „ _ .;�ri.•• •eT,,• �. ^ax � •,.„cdr.:=3agrcm •rr,t �, :s >� ' -� :::r� =��'�° ;: -s =- :;.;:^. ;@? � ..,_ . O `T TOR' 0k, :i Via,,.:,. ; ., ,.,l, ; l Water closet 16.60 a.#�'�'�sr:.�,'�.:. tva�e�r:° `,:'.i� "� >i .. .. , >N,,. ,���,,.xx >.�,:�:s:�...>,` -.�.. :Y:�..�.. . = ,: x;. >�a�v `,,,�a�*, 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: 2/14/05 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.doc 12/03 440- 4616T(10/02/COM /WEB) CITY OF TIGARD BUILDING DIVISION Ai, PERMIT #: MST2005-00043 13125 SW Hall Blvd., Tigard, OR 97223. D ATE ISSUED: 3/18/2005 � "Phone: (503) 639 -4171 ,, ipuyp i glft�� Inspection Requests (24 Hrs.): (503) 639 -4175 ,.. °'__.. INSPECTION WORKSHEET FOR DATE: 8/11/2005 TIME: 7:09AM PAGE: 35 SITE ADDRESS: 07764 SW CYPRESS LN CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 031 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA OWNER: LEGEND HOMES, PHONE #: 503 -62a -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 8/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 - Final inspection 013343-05 503-849-5247 N Corrections /Comments/ Instructions: Ni 0 - re-' : 1-' A- I h( 7-7,1 !it( L4j e T 2 - 4-77- S 6 � 02. l Y`-[ Fv r'- G"7 4 t) 1-61 --i 1 t`--4-r--; L ,-7 L I V / r.i i, S P/9-c- L ` S'62=1-e— A-LG, 7774- (Z.✓ - F iv. CS) . v+ i___"1" C, -7. c �l S/ 0 Pq . C ;)1& F I I . i H - . K PASS U PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL /70 L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED -maill g" Inspector: — Date: Phone #: (503) 718- • CITY OF TIGARD - BUILDING DIVISION PERMIT #: MSf2006 001743 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/18/2005 Phone: (503) 639 -4171 / toypiipnl Ii Inspection Requests (24 Hrs.): (503) 639 -4175 ` __ INSPECTION WORKSHEET FOR DATE: 8/11/2005 TIME: 7 :09AM PAGE: 34 SITE ADDRESS: 07764 SW CYPRESS LN CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 031 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA OWNER: LEGEND HOMES, PHONE #: 603 - 620.8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620.8080 • Inspection Request Scheduled For: Date: 8/11/2006 Pour Time: Code # Inspection Description • Confirm # Contact # Message 699 Mechanical final 013343 -06 603 - 849-5247 N Corrections /Comments /Instructions: t 1 0TH= l� e / /) /4 oG L .4-2 - tom tom- t/ t Lc ' ( r 7c o •t3 r T • • 0 -PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL VI App .' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 6 / Inspector: �' 1 Date: O // O S Phone #: (503) 718 - , I CITY OF TIGARD • - . BUILDING DIVISION PERMIT #: MST2005 -00043 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3116/2006 Phone: '(503) 639 -4171 Ai � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7:08AM PAGE: 46 SITE ADDRESS: 07764 SW CYPRESS LN CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 031 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: 8/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 012812 -09 5503- 849-5247 N Corrections /Comments/ Instructions: I _ /� ; - / Apr e 0 J 11-Th'zs ARTIAL APPROVAL ❑ CANCEL Ell NO ACCESS ❑ FAIL 'CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 01)(jA l 61' Inspector: ' Date: Phone #: (503) 718- CITY OF TIGARD • . BUILDING DIVISION PERMIT #: MST2005 -00043 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/18d7005 Phone: (503) 639 -4171 /iiop Inspection Requests (24 Hrs.): (503) 639 -4175 A.L. INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7:08AM PAGE: 47 SITE ADDRESS: 07764 SW CYPRESS LN CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 031 TYPE OF USE: PROJECT NAME: HAIVIBACH GROVE DESCRIPTION: New SFA OWNER: LEGEND HOMES, PHONE #: 503 - 620.8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 8/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Messag 199 Electrical final 012812 -08 503 - 849-55247 Corrections /Comments /Instructions: 9% vt- j Jot ,P7 It 4GG B C./ GC 1"L6-t C- lam - V • • O ■ N a ifir i X545 "c. c t / 67---- �4 i I2 PASS Ti PARTIAL APPROV: . ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ '' ALL FOR ,;, •ECTION ❑ ADDITION,FEE . ASSESSED Inspector: , ' Date: Phone #: (503) -