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Permit C ITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00101 c 1, DEVELOPMENT SERVICES DATE ISSUED: 5/3/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD 13000 SITE ADDRESS: 07724 SW CYPRESS LN ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 028 JURISDICTION: TIG Project Description: New SF attached. BUILDING REISSUE: STEINBECK STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 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 THRD: sf RIGHT: 4 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 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: 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 ADDL 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVCJFDR: 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 RENEW 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 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: 5133 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: $ 9,247.80 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS Issued : _ la Permittee Signature : �Y'� � 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 Applicat F C E I V 1',, 114 '. . , „,,,, FoRu usE oNL,Y� ,, ., City of Tigard Received Pern,it No. Tigard, OR 97223 (�q Plan Review I. ° „AI 06 13125 SW Hall Blvd., Ti _ : ' , 75� J "��� f g MAR 2 3 A Phone: 503.639.4171 Fax: 5035981960 .. L 1` - ” ).- B 5 Other Perniit: ;.,n n,. � WOfI Date/BY: �AJ S� C7.dWS G.vl03 ;nspection Line: 503.639.4175 "' � Date Ready /By: r_ _ 1urs: 10 See Attached Checklist for . g CITY OF rl 1 of Notifie d/Method:) 3 c) Su ;.. ^.ternet: www.ci.tigard.or.us Supplemental Information i \ , � BUTT ` l� + -" ; ~ � �� RP� 112ED .��C. A, I;ANll'.2 = L "S'v� :s f.' .,. '- i:` -P.. :. .. , 1,,,,::-.., ,.., ,,, .,.:,. s,,..s.> -,. , <, mss:,- . > :3i: > " >;•, .< .> :v. ..v.„ ''>�x,"s��;' ., �.• �, �?: :','�w'" . Ni s:,. � < :.s k.,,,. .: pi s- ' �'�r• <�..� -'w p.� - -.- . , ��'�;•,.u.'<.,�aw"t�^..., :u „n. wsx`v�.a`c .0 o „_,r .. :Y• "5. , -.. -__ � >.. ;:,-a' *,_�°.. � < s ; , ® New construction ❑ Demolition Permit 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 ° 7' ` t' '<p^ s = ' I work indicated on this application. ,,F3 „ �- A=1'E� `ORY��«OF �'T [7 rT lV � '�. {” � i ... �- �: <u- .t,�;.:: - d :, - � '.:�:>.,°�".`a%:� � :., _�%� "'.,!.1 ".: ,"_'�v,!&k, °•r; t�:�; :.ra<;��a;?x;,;:i� = >a:; . - ... ,...-..e:: @%;yna..,,,,..;a::;.. �- . ^�' -.;:�� �..., .. - � °4 no , R,,�"h• <.:.KN Valuation: $170,111.10 ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building III Multi-family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 r " "q; ; Total number of floors: 2 ���= JOBS- SiTE:. =IlYE(7RM'A'CIOPI s �11� liC1C ON.. Job site address:71 ,24SW 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 • • IRD_DA =UE G> K1 I5 T '. • Subdivision: Hambach Grove Lot no.: 028 Permit fees* are based on the value of the work performed. Indicate' the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, Tax map /parcel no.: a. °., > ..�- o -.a -: r . and the profit for the d a e r '� -, „ � a i' � `� tt: ,��.�, >_ �.`;�'� ::' "'` _ work indicated on this a ,z;, «DES' ' „ ' ,A 1QIV:;O ' ' , 'ORK, ` ..4, application. ;�'� ��: s >'-IV _.��'''..,; :-' � •��v °��.. >y. -. ,, 5���:".c. ; - ,.. � . ,. :... :%i< ':;: �`,:= .ui:F „',, ;, ':2,,M< ;'i«�� .`; Valuation: $ Existing building area: square feet New building area: square feet ° `\ .a = Number of stories: '��: � kROP.�RTY” -0�'Y1VirR � °�; �s `> �� ❑ ..TF : AN ` %�; - ,� ,. .. ". 'z"i >,.; . --�'". ,,; Ya,!$�F'�*;�t. .... ....,s ... <.. �kE'r. .v. x� . .. ;mss.:... >.. < R.< .«.�;� = s , `..r�,< 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: T.. -� • 'G'OlS AC:;;PERSQN �> � -' .. .� . � ... , . ,. ° te ` --�� , r1o��r �s „n .:�.. >?usiness 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 r”` "'°'� "' ' ^ °''cam 131 i1D11VG =)P> 1tMiT- 1EDES.. ,F '3 :h;. `' rte; �s, : f ° °:- •. >:.. � =..z�y��"�.;_.' � w< , .. ��`: �.y�a;:� a� ➢ -- 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: 3/22/05 * Fee methodology set by Tri- County Building Industry 1 Service Board. - i:\ Building \Permits \BUP- PermitApp doc 12/03 440- 46I3T( 1 1/02/COM/WEB) FROM': GARNER ELECTR I C • FAX NO. :5036427925' Mar. 22 2005 07:05AM P2 ; f I . I ' I l 't li. t'j'fl i . I I S 'I • '' Electri, c al Pe t . llca ! ' : I .� cit o' Tii rd '{ ° ' "t { 1::11965,1 . ,, y • . { . S : 'R"'r :� :, .'I' �+ �, � p . . � I^ ••t j � ,,. ;:, Portlto� +' � • ' .13129 SW Hill'Bivd,�Tigatd; 97123 '''' M AR I ' 4 ( 1 i ' k e ' i ! Kh, ' • I , P11ot14' 503 639 4.17t'•' Fax .03.598.119b11' • ; , , ' gg ; 1,1 ' • '.Ipatdgy' . a } -1 I• 6 . , , I 1 °'' t,; _ o n° • i Al''' 11 6 Limn 63 9 ; 417B ; ' 1 : 111 l^ Is ;Or +' I t ` , • R / Y' , • I ,' I ■ ,.1 I , I,� U$ 1 �'8cc Pam 2 for ', ' 'ww.wof tl t1r,Va` '1 .,» 11 ',.i Nttif A ethod:' '�1t t Ij° al' ' ' I 5 1wcn t>1 t l dri , ,:,. t TM r C �� ppi .. WP '' I Y I u r I I t 7' 1' I t i+ 7 I I tldl t t 'la , I. r � i 1 1 n , 7 , ' 5I 7 , f 1 . 1 Il 1 r q \.', 711 "II 1 (, ' I 1 Z� -0 �i I 1 - - - 1 . r, 1 • tl • Y : r t ; ' +,,,, ' N n 4. 1 ; t I l { r.,v,- +'[116 I, ^ .. ); } ..,.`Fi'i� { h a1 , r. 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Il „ +' v ■ P I "I' Q l,- end 2- f4t+titY dw ; 0 Co+ttt►1el'aia1 /(nc etr lal' 0 A owy building 1 (] system over 6 00 vol na j ' ,'unita,;n one ea,iedlrc el ltiiuiti= t?amily r 1'1- i , D Masts buiidd r t O11C1:' 1 it 3 , •• ' ., 0Bu ldia8 oy (t1'1 @ go ; Q F ecdeis, 4 00 amps or mare + DOccnpatlt 1oilit outs! 99 po tions UM an ed s tructures or i. 1 f , ,I I I i � ,., j , �{ii ` 1'I, 12 a n( „ i ' Egr sJ httn ian P i " I 1 1 m � h ]r , , II>n .,. 1 > .1 '+r oula2di,t ,I . , „4 Ir! t , f ., , '��0' g , $p /� i I I ' f ...0„: 7 1 • to Hon th f ❑ "L" . ,, . • , ' Jo bno, 4 ' : } '. 1011 site address 77M W cy L4n�e , , ,i l ,i , , ' 3eebmh 1l Res of plans with any of the abevd; ' • City /5tatt / P:;TtSltrtd�;OR' 4 ' , , ' 7 4 ° 1' `I11a above ere'not yp lrcable t0 to Cgn CG08vucU ' , I 1 f , ' , .: :, ' 1 . , _ p i app fo}aCy S lI ,, r ..4 t , ,. ' +h1 d `. 1 111141 I , ,rY vt1�,IPtt {� {l f r t I1 ,L' ! !: x.1.11 _4 ,u' I tuico/bidg./apt.,no -- i Pro�tctname :ldantliaelt'Ctros r ' , I .. f.. , '11..c.,h.ft. oeaeApdoo '1+,. l Gol Flt. ' TO hr n ,, ,� r r•7 ' + t 1s' F "''' : New rsid,entiai'si le- or multi- f3tmily :dvvrtline uni • • Co '' ss snst 3o SAC: I ite. �� , � it i' , 4 1 7 + a! ., Includes une4btod ttJt17t110- ,: • I• ; _ , • • ,.. . 1 , ,. , " , ,. , 1, , , .i ; fi d r , , 1;0110 1;0110 o ti4.'R yr less ki' ' t' , 1.45,15 145.15 4^ ; , ' ;Su1 1ivision HwntbOe • _ „ r , . Ea.' adsi'i 9.00 It ort1on �' ." v6 q "I ° Lc% i I b28, r. i sq: p + ' : ; gy; rasidentIal ' , 75 00' ', 2 , • ill i ' • T p ltmp/ptRrG4I tl0 r li I ';i1.,, 1 i ! I 3 i'} , • i � p 70; _: I 1 , ... ' 11� I lib 7 y,. i f + ,l l ; 7 1 �, i II , i' I , 1'��� , r {I + „, IY �7 I _.... ' � �te d (e ergy,n 1dQfl t1A1 _ . . � • t . 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I Phone: .• .), • ( 0 8480 'I t Fax_ (563) '018 r , •, • , • �.,,t I, x: t I .t' , t 3igi or, outlatc•ItQ 't}j , . + { f • i • 53: ;', • ,.1 2 1 • 71 I ' an) raw �' r eadu p ss.eem r t r III r I ' ' •" S 1 Lt k , ' 1 Y � +4 i ':Signal. reult(s) Or 1ini tad- I ' I r� i' ` I, .'1 ,' - , 1 + pp , , I S 77 I - 'rl : + , 11{� i " I ., (. I I 1; 1 1 t1 ' ,.. a l ;'{,. t �1 ; : :, ,1 11 1 Itto!t l ; : , � r i 1 i i . i,.,)., ' :,11 t' 111.1{ . 1 , �j{ ;; r ! energy • Pattcll tiib tlon O , : I , I . q t . � t ', e c xtcnsion 1 )esC l n ifc 1 , P: :I ' 2 ''' 2 t Husiness1nat11C:'Garner } 1 IA' V, `: v ' Ij x.,, F f , ! • ' '7_i i ' ' ,, ,' 1 ., ,'' ' ''; 11 : , ' ;:;; . ; nr l p" ` { • , ' { I S: , + , : !•. k Vtlrl �H TM. tj , r ry + r ' 'd :f r. �'',• ,, t 1'1 : 1 ' •' '. • ',• � , t„ i • t a I I :1 tr" ', °,' I 1 ' +a ach''nddltlenttl'1` on ov .allowa Address: 2 92D SW 247 Avenue #4 „ ; r' i1 � , ry ,'{+ , �,1 ,, 1, i + 1 e tlalict 11 ble i 2.S0 • DE the ' v a ..n ,fa . 7. 'I . ' 'Iltt.•'t' , {, ?`I ,, li;�,:, r III per "iriXpcadon ,r`I•' r „I.• I . ' ' 'I . it •, i ,, .. ., 0'•+ I { I , ^t 'S • • •'. ., i t•;rt, f I _ :. � 62 $Q • 1 1 , ' �' City /State/ZIF;tF10tsbor 9 71' I,"' ' �, , ' "' �r ,� ' I , l . 1 is I' , `+ ' , I � 0 �� • � , f + ,., .. ; I. ''lnvos t i ' htrtt p a ; h o � li' ,tfhr mi�) ��I � ; . ',' "�, • Rhoilo: - 1320 .1 '7.' { ' ' u k Fax (S0 , 2.7925 ••, l ; • Induatnalplantper, r' I 71, 75 t 1 •, L r'f , ' + m . , 1 , : • l'�L. '° fl 1 r . , ,. ._ i , , • r _ , r. . '.. , t ' ;i I • t7 1 1 1 ' p ^' . Tr i ll j, t 4.., Il t I f , 1 ' f,tt.,,r., ,, t1 4 I 1 l � { , 1 l i � I CCR Liu.; 1'21 Elect ical'Llc.:' ' ` • , � ) ,S • Lfc ,,3707.3 - " › t "j 7 r d , , .. , 1 1 .', , i '�" r'•, -= : '� I.�` „ f 'I,. l I sobu,gl Z t 9S • � - I I � I fl ,, ,�,,. - . - . t r 1 T . r- Y' '!,. n Sttprv. Elcctgician sigerot4re, lrcQtttred7' "I ,i , "l.` t " ; ;"I' 1 ` : ' " te (25 %ofPcrnit't e t ' ' ' • i Frrnt ®4 / � �' q - ) '' ' Staticsurcittega (gg6''of,pe e)'" ,,, :9f� I ''GI-lUL� :Cn e.�?O ,{, :;(1 , 3:r •yZZ� i ,, , • . 0 p 1t +' '. rliv M fit'. I i,i. - ,,..... •` i 0EF) ' 2 .8 I ' Author dsllmature: I, I ' 1 , I I , 1 I :�' / I •, fa .•r {I i W �"v'rhb p t applE � d ou 67 N ira perm ttli ntlt1Obtolnwl gttbin,18O ' • - ' 1 „' n' . 11 i I tii . • 1 . ra ; Il t. ;Ifpdnyt aft 1f bias b i vom ptete ' t , Print' It1 ,1. . • ' i t ' .,. D „ ' . . y '' - i h r .,, t1 ; ' ' , tee mgtfieidoiogyaetbyTri�ou l+ H „ :1 { 1 ' Nuiid> eiefi i4pcctio"traporpormkollowtt. • ' � . , 1 Anid l .V.. . A 14 m is . . , 1 I - w. iw..wrwxuimnumrtnni ' • !'�1'. Ir'' • 1 - j k' �''; 1' .. ' Mechanical Permit Application ...4,4'!:,-4445 2 1�o FOR ,usE • X z 4e City Of Tigard Re cei ved Permit No.:- {yT�oS 0� I 13125 SW Hall Blvd., Tigard, OR 97223 ' E . ' . .1 E [ e/BY : i P la l i Rev 'F' ° one: 503.639.4171 Fax: 503.598.1960 w t € Other Permit: ® , -. -iii- I"s I I Da te/B y : Inspection Line: 503.639.4175 � 11 �` 1 I Date Ready /By: lures ® See Page 2 for l,In.iernet: www.ci.tigard.or.us ��� ^ 2 ^ N otified/Method: Supple Information . L oo ?,4y>" 'aj:; +�"i t �i `? :.pia.. �'�: a � :. �..; , P,s'�. , .: , :.: ,.�•.., -:'--"$"-., `;, z " -R F' ,r' k :Y,, ,.+a3;,,+. r� - ' u,�a1C:.h �$ TYPE.,.OF..',!O ° `° .7 - - 0O14iMER�t', . ,SGHE I TJSE ` < C , L •S. � bN.�_t--' ., a3. ➢L°�.. >��.:n:. � `.. :: � fi ..."x... s �`.3k�, _ °��i!4`a`�ic ... ,. � �.:4 r9 .....;,, s ��"�i��: e. ';rz�. = >'.' �a�esM `vw.M..,&;aYn...:x�d�.G' � :'��a. er.�N:»�$,`., »ka. _r�`V�`„ _ - ,.. -J � °' ® New construction 1=1 Addition /altgr iQf.Lre b a f t DIvISJON Mechanical permit fees* are based on the value of the work 1j�s�l.JJ1ljLe performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. �„T. °% 7'x *. a i •- i q >, :.; <,-"„ Value: $ GATEGOIt1' O �.e,. .. . s ^_"FW .'> - >,`,. -„ ,,,, .... , .. ,,, .. .. ,. ' , ` '%1:. :mss .. " =3: . \•,8V -�. -.; `.�a�;v. =_., . >$ :M «.SA`:' % ''' - .,,,.cif',,: E* � :;yRESID�NTP•` 1�QIJIPMIE>�ITZ3; rS`F-ENtSh - ii 1 - a 2 fa dwe ❑ C ommercial /industrial ❑ Accessory buildin " For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. I Total =' JOB ' SITE "IlYF 7R11IATtQ1V; A1 D' tiUG,, , , 1 . : gw °,.:,a,„ .> ti t' Air conditioning or heat pump Job site address: 7724 SW Cypress Lane (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.: 028 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances :. <,: : .,. a ;,its.'; ' -F ; ° r~ * Water heater 10.00 :DESCRIP ?IO O :A O iiie/ :;' . ' -' ',.,,.,,,'`.,,,. :•, :. ", ..:,.... 10.00 Gas fireplace 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 , 4 , 1 • 3 > - Chimney /liner /flue /vent 10.00 �' �', ®,� 4ti b .. _,1.i��'�� : °m�.�., ' ... �:•- ,� : °_ s :aa : °...., :��„��r... �? >s;:.iti� O 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, "`P :cone: (503)620 Fax: (503)598 - 8900 toilet compartments, utility rooms) 6.80 a ;:.,,;,;'•; , 10.00 „ " ;.;_ ". Attic /crawls fans ' A P PL ICA IV I E;:- CONTAiG -T� l '>!ii2SO1Vx , 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 972223 Wall /suspended /unit heater Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater Fireplace E -mail: slucas @legendhomes.com Range .;� m . �`�.�, , � , �_,, a.,�� ��,��, �,;� �,-� g '.� - . :'� �°GOlti'T12t�CTOR�;;�� <' :� . �. �;: �'• Barbecue ' ... >. � "<F; ;°� ,... ;=,'a �4x -.. ,�r,.�- .te a.. :,., . E.. . ; .a,.'� : :�,,,ri��s;''�.: v=R`�;�:= ".-' -�= ,�«, :) :' Business name: " Sunglow Clothes dryer (gas) Other: Address: 2428 SE 105th _ '' * a - t ..,- , ii API 0,40RiV1IT 1 :- ' City/State /Z1P: Portland, OR 97216 Subtotal Phone: (503) 253 -7789 Fax: (503) 253 -7693 Minimum permit fee ($72.50) Plan review (25% of permit fee) i; (*CB tic.: 48131 State surcharge (8% of permit fee) i _ TOTAL PERMIT FEE I 1 Authorized signature: T his 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: 3/22/05 * Fee methodology set by Tri- County Building Industry Service Board is \ Building \ Permits \MEC- PermitApp.doc 12/03 440 -4617T (I l /02 /COM /WEB) I ., I _ , Plumbing Permit Appli ' EW ' , �, r,,, a yF'ORoFF10E :USE ONLY Received �><ty of Tigard =. Permit No.: 1.6r,9005" /6/ 131.25 SW Hall Blvd., Tigard, OR 97223 M Date/By: : (� ` ' Plan Review Phone: 503.639.4171 Fax: 503.598.1960 AC 23. ull� t�, Date /By: Other Permit No.: � ;; Pl, I 24- Hour Inspection Line: 503.639.4175 t " ' 1 Date Ready/By: .1 uris El See Page 2 for Internet: www.ci.tigard.or.us T �� Notified/Method: Supplemental Information z. a:, r- s ::.�.g. �` t <_ K �: iF . h " �> ; <..• x w : FF1�5..:S,Gf .aR,o.�.. .rte::.�v:. •ai::sr.;x., . .,: 3E1)' �.� �. „ z , :: d.N gam;,: �.�. , > . M . n ��FY.PF::.I)F. t ,% > ea r. >.e�,;: � w:. . .'` Ari <-,. � '" .�„^. : ; , Y# _ - SQE,'�Yi G � ti r1 n ,;. ..p� n�Y ® New construction 13 v 1 emolition For special information use checklist. Description Qty. I Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1 dwellings (includes 100 ft for each utility connection) z : Wit,: .. s.:. '..,, 249.20 s.: \ ., ,z: , .. ;: l. .,,._:�...�, , . • SFR 1 a bth ° 1. t~AT' EGO ,KX:;q>"a:,,Cf1P15'1`RU.CTIUN; e�'<::: =: °-.s,.: g;n �,. ( ) ® 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: \ „h,yy,.,, ` Fire sprinkler ( sq. ft) Page 2 ()B _..Si'I IN,URMAI > ,.. ` -= ^ ;v; ; a '0r 0 ;.: , >. . � d � �'s, °..�., . ,�u <�.•. "4 �. 4��. ,� � _ ,•- � .3�a.�,��a� Site utilities Job site address: 7724 SW Cypress Lane Catch basin or area drain 16.60 City/State /ZIP: Tigard, OR 97224 Drywell, leach line, or trench drain 16.60 Saite/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 Lot no.: 028 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: :,';, r;cx t? P„ ak , Absorption valve 16.60 "',';' ;1 ° F:.WdR 3;..;.;:.. . 4 ` DES(:R1P.. , Q)', K :. "e:', °': s f ; - ,. 2 ,�� � :;:ir z -�<, y;� -� - �.� ��: �s:'. , �.� .� ., . ,,. ., � - w .�.,�s Backflow preventer Page Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 *, OwNER ...; ;_: Drinking fountain 16.60 2 . ' : . . ® �PROPERTl ' >OW1V li3Tt � s',:� � " ; r�:' �m . � T �' . ! 1 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 tt -r . �:i- ; :: ....Kt, � . ; :..._ : * ,,.. « 5; r Hose bib 16.60 %;� ® : RLICANT a 1 , r. . ',..,1,1,4m,&10 0 ACT a ,, Rt1 N' :,° ; ...... ;�:x� .�.,. .,zIF,�:..,,s, .; «�e�� .� _ ��'a�a�� . , .�, .mu > ,. 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 /Z[P: 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 ONTRAC. 5 R�a " = � . ' ". 16.60 �`�� ^ . °`C Q r� Wate closet Business name: Wolcott Plumbing Contractors Water heater 16.60 Address: 1075 W. Historic Columbia River Other: City /State /ZIP: T routdale, OR 97060 Subtotal i 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: 2/22/05 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 \ Bin dding \ Permits \PLM- PermitApp.doe 12/03 440 -4616T(10 /02 /COM /WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00101 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5132005 Phone: (503) 639- 4171rvni� ill I Inspection Requests (24 Hrs.): (503) 639 -4175 ...' ''l l.. INSPECTION WORKSHEET FOR DATE: 9/14/2005 TIME: 7:09AM PAGE: 56 SITE ADDRESS: 07724 SW CYPRESS LN CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 028 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SF attached. OWNER: LEGEND HOMES, PHONE #: 503 -620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 9/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 015636-15 503- 849 -5247 N Corrections /Comments/ Instructions: IN 'ASS % 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I FOR INSPECTION n ADDITIONAL FEES ASSESSED . ig. 7 oss Inspector: te: Phone #: (503) 718- C OF TIGARD • BUILDING DIVISION - PERMIT #: MST2005 -1161 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2005 1 :3 1:14 o Phone: (503) 639 -4171 4, _ Vjm�ii �tilll� I Inspection Requests (24 Hrs.): (503) 639 -4175 °`:_.. INSPECTION WORKSHEET FOR DATE: cV14/2005 TIME: 7 :03AM PAGE: 60 SITE ADDRESS: 0771*SW CYPRESS LN CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 027 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SF attached. OWNER: LEGEND HOMES, PHONE #: 503 -620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 9/14/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 015636- lai L4 503- 849-5247 N Corrections /Comments /Instructions: j [PASS El PARTIAL APPROVAL l CANCEL I I NO ACCESS / FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 6 1 Date: Phone #: (503) 718 - 146 CITY OF TIGARD _ BUILDING DIVISION PERMIT #: MST2005.00101 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2006 Phone: (503) 639 -4171 eoaey i Inspection Requests (24 Hrs.): (503) 639 -4175 1:_.. INSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7 :01AM PAGE: 60 SITE ADDRESS: 07724 SW CYPRESS LN CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 028 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SF attached. OWNER: LEGEND HOMES, PHONE #: 503 - 620.8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 9/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 015908-09 503 - 848.5247 N Corrections /Comments /Instructions: C • r. PASS 2 "ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL A L FOR INSPECTION 11 ADDITIONAL FEES ASSESSED Inspector: _ r Date: �/ �� Phone #: (503) 718 - CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST200500i01 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 513/2005 I Phone: (503) 639 -4171 w 4u� �p� "� + Inspection Requests. (24 Hrs.): (503) 639 -4175 :: L INSPECTION WORKSHEET FOR DATE: 9/13/2005 TIME: 7:05AM PAGE: 23 SITE ADDRESS: 07724 SW CYPRESS LN CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 028 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SF attached. OWNER: LEGEND HOMES, PHONE #: 503-6248080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 624.8080 Inspection Request Scheduled For: Date: 913/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 015517 -04 503 - 849 -5247 N 1 1 Corrections /Comments / Instructions: Adopoid f .,,,,A1 i „,,111=12wA„,017, , ,:. , 7 i . . 0 , I , — 4 e-Amtgas■-_----;--; // D---- ACJ4 0k i 2u� / 7 lip SVl - / / Ass ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS AIL • r CALL F : SPECTION I ADS TIONAL FE ASSESSED Inspector: ; �u` /.. Date: 49- Phone #: (503) 71 a mir ,r