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Permit 4 6.4 MASTER PERMIT CITY O F T I G A R D PERMIT #: MST2005 -00074 - DEVELOPMENT SERVICES DATE ISSUED: 4/8/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD SITE ADDRESS: 07750 SW CYPRESS LN ZONING: R - SUBDIVISION: HAMBACH GROVE LOT: 030 JURISDICTION: TIG Project Description: New SF BUILDING REISSUE: STEINBECK STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 724 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,724 sf GARAGE: 445 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: VALUE: 171, 356.10 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,448 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 BOIL/CMP < 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: 0 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 SVUFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL -ENCOM BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: 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 Issued By : e ,t: , Permittee Signature : LA' 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. � � �e Building Perm � p'hcation EO . I F ORFFICE,USE P ON.. T, , ,' LV ' ` City of Tigard Y \1 Date /B .) / PermitNo.:` — \_ 5'�O� 7,,s D 7 7`/ ` � `�9 DJ �U 13125 SW Hall Blvd., Tigard, 04 9,7'223 Plan n Revie i � O Permit: I � / Phone: 503.639.4171 Fax: 503.598.1960 c 1 \G x0� q t Y �' Date /By: r i ' Al1 3 - '2N — : 3fi )? 2'j ado p Inspection Line: 503.639.4175 \-i`(0 O \N\s , 10.- til I I ' ' Date Ready /By: — _ Juris ® See Attached Checklist for Internet: www.ci.tigard.or.us c Notified/Method: �,Z) v3 .0 ( , Supplemental Information ` S"`Si, u -. z V =;' : . I1ZED .Ilt • , ; . : ;A -4: 'l+'A. 'Y W 3 '1'1?ORK� - -. ,�. ,�. ,.. RE �7 y '° °`g` ; -3 . , .�. °aa «- .. �e. ��:'s;:'.:: . ='.'• ^34�.. .. 'g &"Y',5' . , , �s =;�v�. r:s >;�'J, • • ,m�r<i.' ,., » ,.. -. �a .✓ aa+o-:sy.: =:.: �`° -` as- x. ... ,Ki , ': t..[ . Sk. :.gym.,:,= ® 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 :.. , =.>� . ` -- W'..� °s ,'0 G RY „ ;'''"t ,; . .: Me'; s" �, work indicated on this application. ,,, ' �. CttiT�2GO„r;OF' :.GONS'FRU OIV. . % ": .r�.,. �� s'. .. • ": < -, .. � z:w, ..,-.. .. ..� .. ... <. °.: ,�1i Valuation: $170,111.10 ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi family Number of bedrooms: 3 El Master builder El Other: Number of bathrooms: 3 "°mss;: ww Total number of floors: 2 . ; v` * - P e o 3; JOB'SITE "INP' RIVIATION€ A, D LC1GA7` ., : ij' , ..�,,, ..._ . . �:�:��'?:. ,a r'asr;. .... <�.� < .. »xra'a•� ix' ..` °fir . J <'r... - '.? i.' .== i.i � p << Job site address: 7750 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 IWQ1411t111-•.DATA: Oi�llvI R I7AL. Si;CHECKLIS`I • vim � ':� Subdivision: Hambach Grove Lot no.: 030 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax m no.: ° map/parcel ,c> =:::y <•:.. and the p equipment, materials, labor, overhead, a e ofit for the r i.• ei „..\ `iSr �`,'•w: � %biz. <:... \F���� "� < �. ; .: . :- '- ,7 �'AESCRII?'1;1O1V %QF WO max.` % ., u ; � ° work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ;.:43',,;x,-' e.::yt'-'rE„.�* h•:,� .r : i, :,o *`t ,':a\ ` %f ^: i . >, ":::. - Number of stones: y "` 1PTit?P1..,„.: O,WN, .-, .TEIYArIT, 4 . `�s'�aa:. �..�^nz�'; yew Name: Legend Homes Type of construction: • Address: 12755 SW 69 Avenue, Suite #100 Occupancy groups: City /State /ZIP: Portland, OR 97223 Existing: Phone: (503)620 -8080 Fax: (503)598 -8900 New: i ✓3 « -p„ �O A° R ,s- A C N C i E SOPT ° Alt 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 '' " "" f`” `� Y � -` .,�� , B <rXnYivG:�r> < °i;�s �`. Address: 12755 SW 69 Avenue, Suite #100 _, sasFY` . 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 t - - - - -.. Date received: Authorized signature: i \AA . Thi s permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. P rint name: Steve Lucas . : te: 3/8/05 * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \BUP- PermitApp doe 12/03 440- 4613T(1 I /02 /COM /WEB) 01/16/2003 00:15 6427925 PAGE 01 DEC -01 -20 .JED 0430 P11 Legend Home; FAX NO 5035998900 P. 02 Electrical Permit Anodetgtlof I l,f it'4.1 I IC •Ii 4 >t 1. i\.,l ;; .. I City of T1gan2JJ • DemilIp PemrttNatV\ VT-20 0.5 - ad.() 7 od 13119 SW Hall 8hrd„ 91gard,CR 97223/ ►! ' rlani :art OderPvnniu Phone: 503,6394171 Pra1t:503,3 I'a',�i�(' gt YI repia,r Inartatlon Lino: 303.630.417 ulmrx 9ebplame 1 bwro+A' Internet: www.oldigard.OrAis e + , ru r ' � a rqyf �,� L � � t•((yyy � {{ �� {{ n i r � r .� 11 + 1 � U '1 � •I• 1! r t` i J 1 ••-'`-• I, )t l (' � 7 14 'f 1' 1 ' II I olia ,111+ i s � 1 1 r 1R�I I Io +I �,:v v II�h l ��J�7i11y11 �I�11t� _ . •' 0 IJ iu:l 1� : e 119i� I,�� �. Ikir h��tlJ��yl.t8 ti,,1. , i.., 1' . ' io kh i { . ��r�tS ' K �,!� • FleaIC cheek all et apply: �N�wvewtrwttutidtm MI AtJdfilalllelteretlonhepl © Service ever 225 amps, d mnI'I 0Eleardolulocation ■ Demolition O Other ❑5erviee aver 320 amps •- radng 0 euII 4ng ever 10,00 Sq. _ R.. [I a rr ] 1 1 r. a uJ' >: ' 4' I r l 1 ` .'11 +411q .1!14 +i 44 4 0 ? I 41 : 4 ° 11411 rod ►`i�'����, "(!1.11h�''y'` TIT. f, 1;, I���� ;f��,5aLf 1 ���..fl..�±l ��1 1`2 � on- «na� is 1. g 1�. Acaa� building SYetem over 600 volt; nominal 101111111 one m .o. and 3 -femil dwelling II Ce mt arolal/iledUInlat Y 9undlnB ova tlrraa Series 171Fadmre.400 rtMpl or r.wre l Mater builder Ii• Other Q a pol occupanttoadm99 OL/pnulbcturodetractarelhr ©Ma tt ffitrdl ' + °' 4 9 t ° ° ���� � . 'i 12 , d;( � { ' P I' Jr il! f . ti ,l tIC ,d I:( C East WliQN itig Plan RV park EEC= { {� +11u I {.. ?:_�� ��Il,,.��I: .,� iF.;1. hld.,+�r� „,1 °. , ,._. �,�.1 I,..L.�Jd „a Ili 00dort — .,,, ❑Fleelth- aara facility lob no.: Job site address: x{50 s c s 4.4*. NE submit j care or plans with ay oft. above- City/State/ZIP: Tlgartt, OR 97224 7 he above a not applicable to t nt aonetruutloa service. ri iLL �i y i �!!�U�til�'Wi�J'',�Y�i` ��y �_>~ �ti:l:�ll'a��F���'�i�I�,iF'1',I 4E6411 5vite/bldg• /apr tiro.: 1'tojoc$ saran �tnabacit C�tcave 0011404e art Ns. caw Cron Itrea;VdIIreellone to job a1te: New redder steno- ormasttdasedi dwelling w'd . Inolu400 attacMW er■nd. 1 ,0D0 kb It. or lee IrMIEZEIIMd Ba Mtn S00 sq. A. or portion .31.40 11221711111 Subdivision: Bombed' Catsov� Lot ro 3 030 limited en �, . residential residential 75,00 Q Gimead energy, nommildentieil 75.00 TeX ;j• • • I no:. l� 1 d 1111' (� t 1 .• 1119 I 1 -. ,',/ ' '' 1"/.." 11 ...�1 1 i �if aAd i 1 . ' r+ + r. mitt ' 1. 0(1, ti: P+ I .. " 1� :f l G l t f ile ur l�l1b'���.,>t . . h �I. ' ' i� CI T ,�i' 111 IE I R (` dIg Seat iIa{ne�aet e a d' modular i i { .{ Ili dwallina, set+ a 011.9r Re* 1. �.00 Services or faders Inete501011, elternlio ondror relate den W yy�� 300 ■ a or lent i 50.30 2 I {'' 1 °Ysl 3.{1.1 • . l itA tr - r �, to .,., 1 rig „� 201 to 400 06.05 mows �TT 'I'll { �p h 1 rflu �t`•. ,1 i {,�., l� r' ' ;� A l ,, , �r 1. , j�11 1(�`I��` '+Iq ,.... ,L.. : ` u �'-bt� 4 1 al. 4 , , 0/ , •I. to woo %OP) .111101E11 L�I. .,JJltl -w ....Idu i l Y r4 IIAL. �.i3 1'�. `Ni • I. _ Ns: Legend Roma 601 a • s to 1,000 ems 1111 240.60 . lEll Addreas:12755 SW 69 Avenue, Suite 0100 Ovcr LOCO et volts iimunia 0 Reconnect one 66.83 City/Stata/ZIP; Pordaad, OR 97223 Tanporory sorties, or feeler, Installation, alteradonl. antvor eloeatteo MI Fit omit: _ : (503)620 -8080 Fax: (503)598.5900 200 ,. of leer MMIE owner f:r"^ii titian: This insl011atlon Is being made on property Ma I own which Is not 301 utrtpr to 40o amps 100.30 intended for solo, lease, tont, or exoiwttge, o40ording to ORS 447.449, 670, and 701, 401 mpg ro 600 amps 133.79 Owner slgttaturi _ Duro. !Brooch chat; —wow. alters:len, or exIw s' , e' ., ll II � c - a t ::".-...1',', 1 ' . Nr v � r i i ' a ry i T7' + { Pkd ' , ? a .L 9 �,{ _ u L Y , 1,�rl B 7�' M, • e ', 3 , A. Fee or branch • ra a wit t iG :����,�1�i {„ � ry 'N 1 4 1. � { r i � .y 4�, i = ",E n ..: �. ,., .�,,:IS.� „pWt: 'via, en &et1N 11:8, ugh Sane circuit a. Fee for 'email 400100 Control TAM 92490 1.11040 wapiti sores or feeder fee, I a6 83 2 . -■-�— each brerteh circuit Address; 12755 SW 69 Avenge, Shit* p10A Hach add'1 knob cirotdt 6.63 2 City /StatAIP POrRilnd, OR 97223 ' altscdbencsw (cornea er radar sot Inelp4ed) ?MO or irrigolon circle 33 Pima: (303)(4040S0 Pax: I (503) 593 -8900 Sign or outline li :min . II 13.40 Ii-maill aluensalogoodhomss.com Slljna elrcuit(a) or lmitod• {>' EMII E f's IEE01 1 P INI C! t11Y Ir 11; :�t::� � Ilin,. gili {ii ilif ill i"I(„ L1i'I ;IINIIItiri? ens 1 �Ori oi.:ltcm ion, or al - Busittoes names Varner Bllear' sxtcadon , bc, Each additional laphnedon Over albwabtc In a of tho canine Addro;ltt 3930 SW 217 Avenue 0 A Fen inspection 61..50 /v . II elty/StateAt lrttilsboro, OR 97133 ` . Investigation natal,. 0 Or mrtG 62.30 industrial lent 'arbour 73.73 Thous: (503) 591.1320 Fax: ( 642 -792 GI l ' 1, - a y • , f T E'er "e��: Ur. F l , al� r bour ; bt,c� t.�., „ CCB tic.: 121169 Bleariest Lie,' 4 a • , L. 3707.5 • Zk % - 9S SUrev. Electrician ei8rtahnt, ibgltirod: `/ j ' t'12n review (25%ofpermit tlta) Print ndmo • ' AL eSIMIT 141.E 226 .91 Authorized siwtat ire; are wean eppesteeea offer a hut � r 1 n a ... II ft: e outleo t wIWN tee doe 3orvia mamoleay webs Di-Cooly 6 Wtalna u,atl1ey � Bawd Date: �I�l� • pa N awtbuOfi vv Print name: .. oNe.,, r pemtiitotbwea , t: 4ouivalVsniNW.C•le1MW114" 1103 44040 trft0+OCO MMea ■ ■ Plumbing Permit Application „ .. ; Y F OFFICE1 ONLY . C of Tigard Date /Bed Permit No. 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: 0 7 g Plan Review Phone: 503.639.4171 Fax: 503.598.1960 r I ' Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 a l ` Date Ready /By: Juris: Ed See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information , ;^h •. .... . ,i� , @S:,' r:'.. ' . H K... ,.., v;�_ `w' ,� ; ^ `z?y , , > a�a.;'= tlaksr,. ..'�,,, «�__ -=e3 •, >r;.i1' -M ,:' . ..F - >� «; ..,� �e :.,. .• "« -r..1 .; ii ,. ter. >a - ' ',W > . off, ,t , .a o` :EE „�C >v . -: i,` ° "`; 1 F ORK �� r = �T EO VI :�r ,'�,�: .. ...., u�,✓'-c- � =� _;. ., '"'1, � ,, �` 7�+ .0,. , ... , .,,,. � .ui'x�'.a'f. :`s ..:.< •:w„ e. , ., ®New construction ❑Demolition For special information use checklist. Description Qty. 1 Ea. Total ❑ Addition /alteration /replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) ;, , N ,: ;: \ . �.- �r�rT CORYF %.G':OI�tST1tUCZ'ION, �� ' s,' 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: Fire sprinkler ( sq. ft.) Page 2 ^ , • t *s :mss; ' „^.:. �.��� MAI :�s•.� �a, � t -'' \a` •q- :- ,a =;..,,,��. -,. p JOB;:SITE I`t�#EORTMAN1,. ,O.,>� " 't • a.�..•.. �ATIO ; „ :::�� �'•;',:0E Site utilities Job site address: 7750 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.: 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 1 Lot no.: 030 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: 1,;;ti RY :: Absorption valve . . 16.60 _ "DE3CRTIONN : �WORK's'„ ; , te e ' --, .Z °�, ' ��^ ' %� is�'' , t�� .,- .,,, -. ,.�„EF. - - x�:: ^. -�.�' `':�°��;.;�...c�, Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain R•...OIVN R i :: ' . ; 0. 'R, ' - ir1, 7, `,,w :a - ,' : :., a'` ... , • - -acs . � .�s.aa.,, R OPE , _ m.- TY r , . ' �st�e�sr��..<_ ate. a�, ,., -_. -. ,4, .. �w..�N,�,.e - 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 > .,, ; :a �,,,., .,,.. �;: ° m Hose bib 16.60 �`t j ,A l 2 P L ICANT'- CONTACT PERSON;'=:?-•,,, ,,i& ;, _ "•'..:';it;..> , a,:.,.,• ,,.,r:- a' =sA'.;-.. << ' ,, , , .� - kW :' --'_ . >�<^�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 °�� � ' CQN`I`R' • �� .tfa..: 1«r. 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: 3/8/05 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. i•\ Building \Permits \PLM- PermitApp.doc 12/03 440- 4616T(10/02/COM /WEB) 05101/2005 09 :43 5036G7985ti WOLCOTT PLUMBING PAGE 01/11.1 _ ... 5 A' , . RECEIVED . 'lambing Permit ,Api licatiuri , r� 0, i•H t . . ,1 r: 31 of JUN 01 2 113125 SW Aall Blvd . Tigrad, QR 97223 U PU I pth Rmdt Nn,: Mom: $03.6.19.4t 11 ',Fox: 113.5991.196o 2M sour Impact 00 Lim 501.639.4175 CITY OF T!..-0 !. s . 4 i '� D116� E New ccincr otion 0 Aemolition For goaded arl>l ol+RB°a °� ` 12 AadilloNalta Saniteplacean:at Q Men Nstw 1- 9 dwd11 (Thfllvdas 100 Lew asab utility connection) •• SFIt(l bath 7 ®7 and 0' - fimefly dwelling Q Co mrth1R1ndttstttal ` ( bith 35000 ill o h Accor/ building ❑ Mutd -Dirtily "Fl! (3) mtll _ 34980 Bach addidonal btd ,1ds:1keo 45.00 © Maier bv{ldaz ❑ Piro spriaidar (--__ eq. R) Pam 2 E r AIt4 tet111ttaa Xi* site addresci 7750 SW C9prcsr Ltno Cab basil or men dtt<hl MI 16160 MME arylStats/ : ]7gprtl, OR P7224 1Dr 11,141eh Bin, or lsanalt drain 15,50 9Witobidg,topt, nc: Rrrnjeat orunot IElanabich Gwyn Footing dllfrt(no, it ;..... Pa®C $ tea ettteoVdhraotinao tajob cite n>�alurc d home txdl ldn 110,00 - Mithdrs 16.60 Rtan- tlRaint sonneator 15,60 Sattltrrk al- Now Ra__,.) Pign2 Storm rower aid, 111146? 11::. 4 Peer 2 SotwAvision: 8ambeoh drove Lot no.; 130 Water oetvico (no 1Suezr R: _,,.) Pugv Pixtarear 16119 - -- - - -- -- . tin Valve MAO Imes lewptorer er In Paget Figgill1110 16.411 16,60 0iihwuber 16,60 — li I, T3dnf¢q &tulain 1640 N6tnm Legend Homes -... , . - • lisoa rrisump 16.60 • •ten unit • t5.60 MEM Adam: 1275S P1 tip'" Avenue, Suite R00 Pixoaehernor o g1 IIIII 1 MIN taty/Sintaeffi: Portland, OR 97213 ' Floor drtinfil0or iinkrl ino - 160 }'bcnlo: (304)520 -8080 Fair: (503)590.890p Ourbagg disponi III 16.60 - $asQbib MIMI 1660 Wetiat�stom: Lcgands-amar ><x laltor -. 16.60 intern torigneaso trap 16.60 mare re Steve .Logan NQQtdld gas : au g ) PRAT Addrum 12T55 SW 69'" Aveot e. SKIM #1 CO 16,64 Mill , Cl1J 4 .71 PnrQwtd, OR 97223 Ito:Tondo aomcre t) MI 1464 MINN Phone: (503) gum Sax:: (603) x4900 Sinldbadnll *vtteay 76.60 — 3 egepah6mee.cnnt Tekerbopetlehowerpun 1640 III 16,60 • Soslrreso .r :...,. :.',i. : :..;.. -.. • glum 16.60 III tmmo: Wolcott Wolcattlinart neCe natora e WAtls been • 1640, Address: 1075 W. fOrtiv tc Columbia River al Ci0y1S tat rrie, On 97060 Bubte>tel - Phone Ma) 667 -1701. Fax: GSA) 507-9091 Mielin �mperntt fly T•72,90 CCB Lice 2384? R al i denrti4l beckIIaw>j( • ,. t $36.,z5 M 11 8 Lk no.: 26.2aBPS P] n review (2556 of pemtt ate) A, nthnrized singe/ +e: Sone and! . • . : • , '� � - ' fir � +�'..: flea, Min Prinz aare>c; ' �,. Oak 9/8105 TOTAL Mama 1 Tick permit apppcsOnn expire, It permit is not Om nett within ;RD days after it k•• bees aaaptm as tumplats. 116" �Idln� M- vP doe txo7 1 10619ethodbl� Rat by �"��t, Building /ducky A1mismIltiyp}/(�tM $ Cu3' �Nltb Hom•li, ■ ) 3‘ . ,,, A .,, p1 dth Mechanical Permit Application , FOR oFFICE,US QNL . , . • City of Tigard Date/By: Received Permit No.: si 2Od5� add 7 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review J Phone: 503.639.4171 Fax: 503.598.1960 # r I ,+1,' Date/By: Other Permit: Inspection Line: 503.639.4175 ■ 's!11 -,:. Date Ready /By: Juris' El See Page 2 for Internet: www.ci.tigard.or.us 2 . g Notified/Method: Supplemental Information x Wiz ,... ... �..,. �*«. -� z.� r�;: x-A.;:;�v°s �,a.�...�,�. � � mac.. ;; -� , ECi IE _ D� G USE't IIECKLIST \ faµ; ,...,,, ��.•r....,,.`r .:, °��.��,�, -�,� �,.� >e����=7- ««,mss > - . , 5. �.,..,:. . -„ ® 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. ;` -a., :..:' °;: a_r° < Value: $ f; ATEDORY.,,OFtCO . S irei10 • NI I'. UI(Pl} R6§--0 IYIS' " EQ ® i- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total ,JOB » '[ �� F(IRMATTQN= M't11VD;.I;tKAT10 >.� -- .. Heating/cooling Cypress Lane Air conditioning or heat pump Job site address: 7750 SW C YP (requires site plan showing placement) 14.00 City/State /ZIP: Tigard, OR 97224 Fumace 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.: 030 Flue /vent for any of above 10.00 Other: • 10.00 Tax map /parcel no.: Other fuel appliances , r ai e ,;_;, Water heater 10.00 llESCRIP'ItCIN:t?F 12K al ?: ,ri'i?3`�; >,,,z.; . -, , -> �„ . � �ca�.,. -�. -...> .,o ,. -, .,.,..5's5'�: - .,-.ate _�,�`„._':.;��k� i.:... 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 ,... , ,p,.:,,, - :: Chimney /liner /flue /vent 10.00 'WWI; R- -`;; ` FENrkd�l'I:.x , -:•:: .,, 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 /crawls ace fans 10.00 : _ . P•PLI ° AN I ,' >° ' ❑ COI!';zAefii atelo p .:;,,� . ;, �•,••• -. A g � � v��. -: %fit.. ���'i5. s s= , .=v�_t�- . .,,. ....: -� v�� �� Y� > #:�;;, = i . s " Othe 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 972223 Wall /suspended/unit heater Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater Fireplace E - mail: slucas @legendhomes.com Range Barbecue R� '•r . „�- " °>; -,rW_, ... _� • :,��,,,, ;..,; -r,,• ,r. , »,...._�_ ,t `,;, . "r . �` >� � •.... . "•tea:.::; Business name: Sunglow Clothes dryer (gas) Other: Address: 2428 SE 105th •;: - , s' : 1401 4,1gAIerI?EL .EES?"e• F 1::: ." 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 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: 3/8/05 * Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (I 1 /02 /COM/WEB) CITY OF TIGARD " BUILDING DIVISION PERMIT #: MST2005 -00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/8/2005 • Phone: (503) 639 -4171 , 4p��b'1u 611 , Inspection Requests (24 Hrs.): (503) 639 -4175 '. - I .. INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7:11AM PAGE: 47 SITE ADDRESS: 07750 SW CYPRESS LW CLASS OF WORK: SUBDIVISION: . HAMBACH GROVE LOT #: 030 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SF OWNER: LEGEND HOMES, PHONE #: 503 - 620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620.8080 Inspection Request Scheduled For: Date: 8/30/2005 Pour Time: Code # Inspection Description 'Confirm # Contact # Message 699 Mechanical final 014583 -07 503 -8449 -5247 N Corrections/Comments/Instructions: PASS ;PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL / /i CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED f r Inspector: _ — Date: 8-30. C Phone #: (503) 718- No ?., . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2006-00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2005 Phone: (503) 639 -4171 lo��pfu�iiplllfl Inspection Requests (24 Hrs.): (503) 639 -4175 ,_-_,W INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7:11AM PAGE: 48 SITE ADDRESS: 07750 SW CYPRESS LW CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 030 TYPE OF USE: • PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SF OWNER: LEGEND HOMES, PHONE #: 503 -620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080 Inspection Request Scheduled For: Date: 8/38/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 014583-06 503-849-5247 N Corrections /Comments/ Instructions: • • 'PASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL VI/ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ ■ Date: 5 C9 " Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005.00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/8/2005 Phone: (503) 639 -4171 uyn4lu u� @I Inspection Requests (24 Hrs.): (503) 639 -4175 ° °'' �� INSPECTION WORKSHEET FOR DATE: 8!29/2005 TIME: 7 :13AM PAGE: 50 • SITE ADDRESS: 07750 SW CYPRESS LN CLASS OF WORK: • SUBDIVISION: HAMBACH GROVE LOT #: 030 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SF OWNER: LEGEND HOMES, PHONE #: 503 - 620.8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620.8080 Inspection Request Scheduled For: Date: 8/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 014474 -07 603 -849-6247 N Corrections /Comments /Instructions: C o ,.,,, p v Po ,.. . fl P. x.,A.AD v a i rc ' - M 194S G f ittj 5 -.S.c w•c- Cl t • PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: c7 ��` Date: 7) 2°I `pc\ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200&00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13!2005 Phone: (503) 639 -4171 At o pil�@ l Inspection Requests (24 Hrs.): (503) 639 -4175 "'Ii., INSPECTION WORKSHEET FOR DATE: 8/29/2006 TIME: 7 :13AM PAGE: 49 SITE ADDRESS: 07750 SW CYPRESS LN CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 030 . TYPE OF USE: PROJECT NAME: HAMBACI-I GROVE DESCRIPTION: New SF OWNER: LEGEND HOMES, PHONE #: 503 -620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 8/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 01447408 503- 849 -5247 N Corrections /Comments/ Instructions: • PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL [l CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 14rA i P D at e: r 7 'r o -� Phone #: (503) 718-