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Permit • MASTER PERMIT CITY OF TIGARD PERMIT #: MST2005 -00100 lit?' DEVELOPMENT SERVICES DATE ISSUED: 5/3/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD 12900 SITE ADDRESS: 07718 SW CYPRESS LN ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 027 JURISDICTION: TIG Project Description: New SF attached. BUILDING REISSUE: STEINBECK STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 724 sf BASEMENT: sf LEFT: 4 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: 0 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 BOIUCMP < 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 /OSVC/FOR: 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 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: $ 8,914.64 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS Issue By : 4 642k Permittee Signature : a i i A 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. s ' Building Permit A o FacrOW r lu,-a. FOR OFFICE USE ONLY' City of Tigard Date/By: 45 Q D/9 / Permit No.:6 �Q /An y: 13125 SW Hall Blvd., Tigard, OR 97223.1 ' "` _ Other Permit: p Plan Phone: 503.639.4171 Fax: 503.598.19 l l �' Date J 5 - — {} < / /1L^ OQS Gdl� n Inspection Line: 503.639.4175 s q "' I. Date Ready/By: Juts' See Attached Checklist for Internet: www.ci.tigard.or.us c O , Tict.s• t,( Notified/Method:5 y Q'$ — / Supplemental Information ON 0'1�- t% j >�::..;::: � 3 "a ..:..- FS`: F`7 ' ,:1 . __ .." REl) T A A AD E AlY11I , D%VE1 111VGz" �: ^; - � �' >` �'.:�, ,�'. � , '<,,TY F, O «WO . RIC� 12E(ZtJT DA . v ❑ 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 �,;z= ,,, V, 1 < ; r: of ;. t ,, •' � g ea , ";T;,,,. ;. .. work indicated on this application. : � < = �$T;�< -'� �CAT"EGOR»YU�i C:ONBT' I1C`IF1Ut�� s� „.'.:.;,,. �: , .;s.�:.. Valuation: $170,111.10 ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 ,, »raza.';k.�;l _•::. >>,,:;: cr,�'_• : Total number o ffloor . 2 s• ° JOB.SIT OR A;It O}V, AND LO P.TION ,, Job site address: 7718 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 Ps e EDbA I'0OMMk3R0 f igiISE lkk �' Subdivision: Hambach Grove Lot no.: 027 Permit fees* are based on the value of the work performed. no.: map/parcel p /pa Indicate the value (rounded to the nearest dollar) of all ;'ax ma n, aT p a c e l .- � :.,: ,;e;;,q >. .:.:< s overhead, and the p equipment, materials, labor, overhe d a e ofit for the l profit f, , ; " <: =F ,s'' this ESCRIPTION.. ®E;�VORK' =” � `r � -� "- � work indicated on t s Valuation: $ Existing building area: square feet New building area: square feet j_ Number of stories: ?i� P.12(UP.FsR °� O�i'NEK�` "` ya' z�'s:' =�•,��' ENANT <� >.� �.; as , 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: ...., .c. fie>3'- ""'< \�.:'nvi� " %.3` �c' , �: ' �. &�° '.<.'�.°: a�x +.a o., �$ �Lia : !' � 'x4 :�SC�, �,'ux `° e��' 4 g a, ® �co" �rAC�rk;Pl�RSON.: -. • . ,,. NAP L� �,, �............,..... �,m , ," as � ��:��_ �1voTmt ��;n .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: ity/State /ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons I apply: Phone: (503) 620 -8080 Fax: : (503) 598 -8900 E -mail: slucas @legendhomes.com N G.g1YT lf Business name: Legend Homes, " "'.,,•.:.;. ".. .:: *; ;. .. <. BU I: I G PERMiT FF1 S.. _ " " ' Address: 12755 SW 69 Avenue, Suite #100 F 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: 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 Service Board. i.\ Building \ Permits \BUP- PermitApp.doc 12/03 440- 4613T( I1 /02 /COM/WEB) 1 r r , fa, , FROM ":GARNER ELECTRIC F AX I N 0 . - :50 , Mar . 22 200 07: P1" • ',, , ! - 1 ' ` 1 i � t , I i t ��, , ,�. I ' ; t ll1 ..1 ' .t , 1 ry 1 L " ! � E 1 : �� \t 1 , g ' - . � 11.±. Per I .�. „, i � lr�.l lrrla f. 1 � •i` � ' I 1 r „' pa:: '' , 13125 5 W N _ ivdl, 'rigged; ttl oR 97223 ' I N„ '' , , rothilm.: S�v'l'd05 '.0 • • , ' I J.r.l , + `bone, 503:6 Fax :, Iso3,'598,,19E ,! r'1AR 2 , ' 2 0 _ kt,� i ` , . al , I ' OHIO! Pcrnlit • lrispe L1nes: � . 1..1.. I Vii; � Roady/$YI 1 • AA: ; i"® *Pane • '1 I : tnta cs. • wvw,ni.tigard,i r us i ', 'V 1�Y OF T l [� • I r i 1voaficd/Mct'iod . 1 . . r a fn • / 1 , :4Yppiemeata) atirlirtnstlOa • E , r r- } „ rr� I ! , f , , r m ry "•'{"l l i -- - ' , 1 Ij , i i li ' , , - _ ,' ' 1, r I , ' , _.. �.'4 + , - 4, ! 1 W ;J, .q + ; , S,(iI , II. • it i ,rt , Ji + �.d ' X ` ri ,,•, ...,,., , , ,.. :11 , 1! .................. �, 1 1 it1 ,., L RI , I , , 1 ,. 1 , ;..,;,M;I '. .:0 4 �.,., .... °:.. ` .-"--_:,1 • a' ►. New construction , ■ Addlt ><on/altCr*tion/rcplaccmcnt i } j • • Pl e ase Qh * all tl14 gp 1y. ovor 225 p Comm ' I. 1 f v' entolitioIl is e , i' t i I ° ` 1a i 1. 1 I CI I � y. a Q 13 tiiiii g o laC 0 ,00 11 r I! ' C�ScivieaOVBY 320ampp rating , O13uildn ove 1 0 1 ,..4 '1 4 :' ! ^ 1 r , iy . , { I r',:;'• • + c � c •, •^x ---- h , f l o,, , g , �' • r I 1 I , I , c I 1,' I ' { 1 , i ' a of ^ a11d 2 -taml , , , t , new 1 , .., , trial it / ' ,: 1 , , v, t , 1., e ' , ' , � 1 , ; , . G 1 , '� ' i ` { ty 4 C7 more it l F' ., , . Y . I r , l - � 11 • of :, 1 ,- i I I ir ' , r �' ,' , • I „ Q 1 1 1 end 2 liamily dwelling '0 ® Conirnercial (industrial , • II Ai eseoryiilut „Pig. r b flOfly sl • un ort s • ' ( ' ' ; ,i I , . t� l¢p „; ' ' i „ $w iditi 11a ,t oa +11. ❑Peelc 40o a o r • +, 'i ; i [] NT u ln � n li , '' i , 1 if��� '1 II '� Me r ; bi I, ulder,''' •�f {. � I fi »fir. {I 2 f ;� �,' i�' 1 " $' aV dr jthtcCBt o rics ' ' I ' , I ? ►!ps r rlorc • w 1 1 {'1 1! 11 4 I , 1 i 'S t,,, 1 A :{ I ,. i " t ,e i lead over . ;, O liar eturlcd strnabiros t>r ,� � I r , t r - t! r r u, , rt rt 1 I N 1c • , I t , , •n II n1 ©Qnoup®t1 p r. ,, J , , , , ,. , t y ,. li, n, 1 t' „ , 11UFJ1a! r, 11 w t,.l P1� e 1 I' ,r• ,�, I:11;,1 ,,.- _t � � " � t r, � ,' Ii ! C7 /1, ltn plan 1 ' t►sr • „ , � , u..,111 , I tmI u1, , ,i! llll'8i rt i:t:l�ll }Ili ;�I ; � �}1, b• RV k 'i' ,I 1�1 { ! r: b' " r it , 1 l.,. 4i ) l r .I W Head ' , I d , �Other. 1 • ' 'J Job pit• addroes: 7 71x• yprnsR [ r� I.2�1 r� hlrcare „ L -., ? . b no .' t `" C , • 1 1, ,!. :'' ' iu O' �pla"ns ith Qn of tii abort?` ,' ° ' G /9tate/Z1)7 : ".! i��� OR,I, S 224 ' I I I 41' , l� e t � kr ! 1. l ,C . l ,ti. � i q i ll { 'ry rf7 i , i•i " " >I 1+ 10 1. ,I.,, ab oy6'ai ' ' • applicable p • FVt13t:: S1rite/bI ..,• .. --^-� ! dglapt. no :: q , i Protect nanie: Hambaeh 1 k' ii i' ," yi41 i0'I, tL�.r el ii. ` „ :..' ' „'l 1 ti 741 D Q t� 71 • Croas to ob'sltel '' ' ,1. ;'1`;' NovP "reddentiol single* or nwl ., X1 1 a 1 Fl : ' > ti:fAttllly dwep' Il nIR Ball. ,,r. i; . , � I . r . ;,, Alcludes attached ' rage, r `; ;,', • , . r ;" I .r p, 1 , i X1;'. r �..y.. 1' 000 ,eA:fttbr'le s a'ar,'1't43a5, • • '? �$tltidlvtsion: Astihbaeb Grove' I ' I , I • I 1 1il • 'i , • Ee, 1 '33,40 0;� , : , '" I. Lot ,tat? { , 00 s lt'orportian i + '''''r4.' r ei 1 1 0 , t I J 1 I I ;1,1 I I � 1 i i 7 ` : I ' a tt LlCI1d8] • , i '1'-`$.00. ' 'i + 2 • a, I 'r 17'I Pi. t , , , --r 1. ,. , _ t r h 1k t ' i'�Itilned.inergy, ebbieesidentia1 1'75;00 • 2 r • I r' 11 + ' I , 1 ., �ll ' i l : .,0 ' 4na n l 1 r,l L a ' r 1 ' 1''' { � ' i Eac11.1ntnufeetured or : • , . h , k n.. (I, , , . + 111i5dliiaf , e V:. l ,t 1,1r 'I.:. , u 1 7 '., t • ' I t , I' I , • , l r l .,, . dvvctitng 5 Vit: and/or tsegar • 90,90 1 • 2 I• ,, , r i` , u 1u '" ,, , , Servleop or fccdars. liititallnMoty atteradiin, addJor i�toetian • ' . �1 , ' i k I , : 1'• 1 ,-,e.. i 2(!d "amps'4r�la$s 80.30 ' • , � S. } r . -, f c Z - 1 , ,, 1 ' ' n:.. „.. ,�,r J nR � 2 41• sinps;tp : ar+lpa' tpfi•85; • . i uCnu,l1' }iiM t ai � 4 + I14N I !� • ' N Name „ LeegendJl0lnes , , ' r,' ' ' ' r Il 'i' '' � ,1'r "w j y " r, , . GO` e 1,4 ! .1L 1' '!'Address: 72755 'SW'697't*tvenuoj�tite,#100' r "" 0 1' 4i � ' , ',r II , ; 1 ' ' 'l ° 454.65 1, { ' � City/5tatelZlPi poir�Iau;»b; OR 97223 � �, „' , ' ; ,' • ' � {{ , `. 'i''�;: � !1 :',11:1',.,.+T•;•);), v�r;' I �, '` , R o nl , •, I , ; ' • • ,•: M ,I,.E ! ",•,iiu.1 s 4 1 1 ib ,Tcuipilra r* 111',fc drrs•InstnThidon . nern�On : ltn or 'r'1 1'Qp0' "(80.3 ,, 094:,i,',, t 1 1 J ' ' a d I 'bF ' F F r Ip ia 1,1•;';',1+;i1;1 t 1,, . 1' I b 'j d r" ;1'' Y !a r • v . ° "�I i61 t' i. .„:' I, F sR (S03j59 89 00�w , i ,�; r - . , n � 1 I �d I >j ,i f ; t:4 ; 1 � , s l I le Tip-, 1 P ' 66i�$ � ' "' F ' ':Owne'r tiistall This installation as bsingjiliad' on rO ih' T ° 1 , :2� or less , P PeR �` ovua vvll�clt tslriot' 10030 e , ! (,l r; r, ' I i ;a -1 ampF to 400 s int ttdtxl for sale, lea&e, tanl; 9r OXOh&ri6c,,seG to O :447 v,9 6?4� 7 ],,Ol I ' ' e a . } ' 1 .,0;'f,1",,,, I , ' 401' ;016'6001' r g is (; �!. r , r 1 ! 3:7$ ' i'1 OWn� stgn8IWO i Q. -7 ,= P i ,, , 1 �.. Date ;, ` f ,l Urnnato eir 'i i i1 i1,, al er onteasion' : ` ;panel ' " r, 1f : ,, 1 ! t ! ! I i J I �, 1 rl t 1 , t S 1 h �t . i , 1 , ; ; • j..T. y .. F f�. A FCe !'Or " bh{�lt c tz with ? . , II •' k',, E,f tJ .21:„ II I.; I I,I , JIl i t i , I �,1' IIiJI ;1 " '' I ; { 81l ., , , • ! g flaznc: Legend Hoiu I ;� .I a , ° i 1, :,i Ifq, ,i �I ' ti i 1,..r t ati . , 1 1 CC Or c4 .,. r, ° CA , , : y , 6 ., n ,, , , i< :' 63 3 • f I. •1,r , '1 •I .I , i•;,;, rjli ;_ , ,. ; G , ' ,. C :.. CoflhticCk tlla tr>ci °S ... ' ca . „ , :,,.,/, ., . ' i , ` ' , . C ' flee ftir, bmwh alrc its it r,: r , I ; ' 1 r:1 I , R . . , "i` , ` 1 B: ' `' �; • , II . I., , , ,' • ' N1tthout 'senriQt or feeder fee,' „ 1 , Address: 12755 SW'b9�''Avertue,�Sultd� #i00 � , I .'' 1 ,i,� 'f:i "• t`' i- i o 'branc ci iiit•V. • ' • , . , 46 . " a q ; ial., EaoL' ti9d'1 +IfrOgOhaiircuit ®�� e.' slit •' , ' Cityi3tate /Z1Pa; OR! '97223 , ' .l. a. ; , ;1 • .. .1 .. r r f - 1 ■ , '''; ,• . ' ,I , , o f ^i • . 1 i � Mi+� AW08 ( � +., Phu 11� � , r ' '4;17, : ,t1gt',- 4 I ; Pail ' or ' ir ri gt i t lie r i s$ 4.1c;; • • '1' •t' .,i '. ;52 "40. ,, , 1 • ne i(s03) 1 " t ( 9 00 � ' I' 1 , n. , , ' ' . ! 1,r ,, ;,orou g. � , 'ti, 3.40 ,, • E -nodl C61ttca@le$ ' ;St' ui tO htifl .i. 1 ,1 1 5 a ; , I F . �, t 81idhOL11C&Caln � fl �' 't‘ t �'� ' i'j(i 0 if+ I ' ; 'S1 g 1191 Ci 1' E i l l t( s ) or � L � ' r a , n q ,Fl ,. I ,, , 1 III : 'l'ii' n' r, � , 1 ' 1 I Iit , i I I fl ,r1 q jc, panc1, allstatten, m , I' " f ;' , ., , i I, , i' 1 '4 ' n „I ttr .fa;l t . I�r • r ' • I. I 1• 4 , I .p 11 , , '' IIS:• I I0. 1 , icxLcnsrori.IaCACrlbe;l- i'' „ i , B Goi Rl t : r ' , , i , ,' i,,. i r , 1•. • ∎41 :'Addross:;29� S) , �24J' Avenue•# � . , • , r ,,; ''��. .I 4 c ";'' :" 11"j,.(,' � ''i• i ' E a ch'additional in a overf y o nn f'thp, q , .�... 1 ; i pecUot1 t ''1','...'"I'.' . ' n,62,50 y City /StCi�NlllSh01 O b i OR ' 97123,.; I ,� '�' ` I , (;, ` • ! ; ; ' 1 ",,t , pff,ia� „ ;•i., i , 1, K . , • , _ • an P ht)4f 0 br,l '•62:50 ,' 1.1 f'�it $harec i = 091- '1330 n ',lri a ' , • ;1 w�v•• t503) 5141, , :(!,. 1 G' ,,1 a • Fax ) ; I „' lj ;s � 1, 8ustna] tilFUt 'hours ' , 7 ' t { �n.SILtC:. 1121199"'''' • •'t, t , 41 c cttica•• ;1 a,. 1 i , y ' I , 1 ,i p ,•tlllilV I ' a t O71y1!< 4$:',...9- 1 $,. _;.:.,"..',L., (1 L.'.1. 1 ro ' , , .,1 � .. .. • ,I I• r i, i A Y I - , .., . ,4 ,i , , ti Liii t '' R :.'3'' ' ,, ,' , 7,....,,1„1.,:,-, ,_, nl,,t ". >a ;; ' • I , 1 . , 5u l i ! ry 5 1: 1 . n I IV V • , I'.3 I a,�,a, 1,,..,!.),',,,• , , . : , e, 1 ' i61,' 1 .1'' , t, I I ' t' ibt %; 2-11 l i . t S , N ' 1 . 1 a w t e r, d , I t , �' i, i , II, c �. I 1 1 4 , a r L,• tr' I v p1"U "F,I at$11t !If , ! d. � 1 c I f ,+ I ' I , Car [ i ., T, , ,r i� 1 1F I�YIew' (2 tbR) s ,, . ,. -^ : , i J , I ! r , I u 1 r 5 �0 Or pe Tllli t 1 11 It '1 .11,. .I 11 I I,, '11; ' 1 I '''''t 1 r , 1 Iq I � . I k � 1 ' k' I Rl ; ';', �" ;f!((. ;' I:S' • t N I IIt " •at fee) 1. • l�fRlt r , UG1 1 � A + j1. , I r , .. 'i4.44. . 1 , : , '' .' ' ' ' :: St StOO4fp}1Q! ._ ' ' x , .. ... i4` i (tj' 9fp � it �,,,!, I. � + { , ,.,, _ ,: 9 , h C , • ,�� . , ' I:Ci "Il! ;I,i, ' , I ,, '. t f . 17' ; 1 h'r a d . '' , t." i0° { ''''U! „ 't�. PERM T ' 1P •!, '' ' ,,' • , ..).., 10t s , ; • ;; . ; ! ,4 i ` ,r r I',7, .Ih''''''''''''''' . l - I {w i ' " g ,, ,f , ,v , , 4 . ; � � '1` � ,' , . t ', F 1r �4 . 1 ;in 1 T 1'" { • ' , . . ' : . 1 ■ „ F i :.1 r I, • ii .: , ' t 1 '' i ', , 4 ' 7711 apDttcado , ei:p U'a pprnr.... - rfbfsl 4tlhin' . 1w , , . r „ I.„- Print`n8me: ' , _ , 1 • rx ; : • , , mite,' , ., , "I i 11 : d Qnys wRc1r k'Lae Daeli ogptlpted'lef vottlpkk ; i' . ,. , 'j^„ ' ' :* matbadoloty Brn'ldiag iedR s a j 'baad r , ' r ,, -: ' , 'Fda s e tb 'y;Tri- County ervi "* - I,�w.nl ,_a_ "° 'r i '4,Y,..".•,-,", .'} • . ••Number of inepacltoea i vVrmitalleaniL 1 • Mechanical Permit Ap lt W5mEV.., :,..., r i i - ... % ',. k• ;. : i ,, tk: '',' ,. A:.'4 i: FOR OCF.levio8EitINLV City of Tigaal , :., -. , '• ' Received ' - i ..:- , . , Date/By: Pennit No.: 13125 SW Hall Blvd., Tigard, OR 97223 AR 2 3 - 2IA , .1,-. Plan Review lone: 503.639.4171 Fax: 503.598.1960 IA__ - m o m o lig hi, r : Date/By: Other Permit: ' impection Line: 503.639.4175 ' P.J. "ei I ' Date Ready/By: Juris: 55 See Page 2 for i Iniornet: www.ci.tigard.or.us CITY OF Tiik....i,-- •.. Notified/Method: Supplemental Information ID i TJJ TVI VtrAff=4 MC kJ WO.OMEItriarFk ;reir-5. ,,, ,,- 2 4:',.,-;2 1 $] , ;QA , -;..,. ,- ::, w,,,,:,m,, A •x.,-: :::., '',',';,. , , ,,, el-:,,,L.:—‘„ ' i 041...-A.t.,....,m,..,......-4 New construction 0 Addition/alteration/replacement Mechanical permit fees* are based on the value of the work Ei performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition 111 Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ .,,, 06NO;i4TC-IrON:k': ' ikr i:04.f.W . . „., ..,. , .., - - - . .. ..........--+---- . ' ''' ''' 1,1t,iaititiaiA44 iii4'Nfaull z I- and 2-family dwelling 0 Commercial/industrial P Accessory building .,--: -x,,,,,, ,,,,,-,,„,,,,t,:.,, For special information use checklist. 0 Multi 0 Master builder 0 Other: Description Qty. Ea. I Total " 90764 : r: 1- 4:141itgligNiViii'ai1iiN;AfkikiaiiioNrArl 01 % 04 ' - l c Heating/cooling Air conditioning or heat pump Job site address: 7718 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 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 ' _i_.... Residential boiler (radiator or .,. ' ' I hydronic) 14.00 --- Unit heaters (fuel-type, not electric), • in-wall, in-duct, suspended, etc. 10.00 Flue/vent for any of above 10.00 Subdivision: Hambach Grove . Lot no.: 027 . - • - Other: . . . ' 10.00 Tax map/parcel no.: Other fuel appliances mo-v*Vr''''' : :: ;,-,z, 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 - Chimney/liner/flue/vent 10.00 tart O'ifC*:titf Other: 10.00 Name: Legend Homes Environmental exhaust and ventilation Range hood/other kitchen Address: 12755 SW 69 Avenue . Ii. equipment 10.00 ity/State/ZIP: Portland, OR 97223 Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, ne: (503)620 Fax: (503)598 toilet compartments, utility rooms) 6.80 emiti :lpyyijE Attic/crawlspace fans 10.00 A ., , ,..0, - ,::„.", ,, ..,,..m...1 ,,,, , ,,,,, 0,2V a --,, .:-S.M -,,,,,,,,,:,,,,,, , 6,'. ''.. Other: 10.00 Business name: Legend Homes Fuel piping Contact name: Steve Lucas $5.40 for first four; $1.00 for each additional Furnace, etc. Address: 12755 SW 69 Avenue, Suite #100 . Gas heat pump City/State/ZIP: Portland, OR 972223 . Wall/suspended/unit heater Phone: (503) 620 Fax: : (503) 598 Water heater Fireplace E slucas@legendhomes.com Range Leg:„IFINIC-litigN-3241W14401,4:116,1:2 . rSWrl Barbecue Clothes dryer (gas) Business name: Sunglow Other: Address: 2428 SE 105th Plifiga!mF:ctfolg0:Mausp4,-wiMiiti City/State/ZIP: Portland, OR 97216 Subtotal Minimum permit fee ($72.50) Phone: (503) 253-7789 - .CCB . v . Fax: (503) 253-7693 Plan review (25% of permit fee) lie.: 48131 State surcharge (8% of permit fee) - TOTAL PERMIT FEE 1 . ,,.. . .. . This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: Steve Lucas Date: 3/22/05 * Fee methodology set by Tri-County Building Industry Service Board i: \ Building \ Permits \ MEC-PermitApp doe 12/03 440-46I7T ( I 1 /02/COM/WEB) . '''kECEP '"'' Plumbing Permit Application 'I 1' A so' -: � FOR • ,; , t .. City of Ti and Received Pcnnit No.: 13125 SW Hall Blvd., Tigard, OR 97223 MAR; .S �� Date/By: \it ,9.005,00 1 00 ° ''. • Plan Review Phone: 503.639.4171 Fax: 503.598.1960 i Permit Pett No.: 24- Hour Inspection Line: 503.639.4175 CITY C . 1 Date/By: 2 for Internet: www.ci.tigard.or.us , • Date Ready /By: Juns. Id S ee Page g Notified/Method: Su plemental Information a:: T; :a n x, :�; .,, ..,_�..:.. ixr• .,.", ,rte ":�< .. . �. TYP .OP ,Y. O`IiIC . e: - �. » I,..S �;. �., �: :.? , � .i +, =�`„��.�.z` 0 New construction ❑ Demolition For special information use checklist. Description I Qty. Ea. I Total ! 0 Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) 1 I `° .. �.'., ltCA li O� G ‘C TION i " SFR (1) bath 249.20 ;v " A O ,�. .. ,_. ,_,. 4 " * x , _ �^� �.... .1�`YS`o4'. � , ,,g .. ....... ..o , i° .x... ,.,, F - `� y�,i<4'�$ n,.,r, eK �. ?' ; ' ❑ 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: ;e7'k:,i 'u ". ;:; •�ti„ :.:�� :a�; ';a9.' :�::�,�r�.a, Fire sprinkler ( sq. ft) Page 2 ` y " ' ° Job 1 E°� TNEOR A ' I;OC A�T IU - ..I4 , ,i -, -. k . $,'; ;, _ , ,,..., 4A.... ,,,4,,.,.. °, v� nue < „= - :_.. - �•'.c ":.4 - ,.-- . 45i,t .,, Site utilities Job site address: 7718 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.: 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 Lot no.: 027 Water service (no. linear ft.: ) Page 2 I Fixture or item Tax map /parcel no.: 1 ° o ;,: zv :Rx.s .s ; °; .s % -k Absor valve 16 J x...- IR I F.. K: .aa: _ � =DESGR T O1v,.,O. R ,,:.. Pa �::. ..... �:��., .,,,�a. �w< ::.::.: .. .....u� w. _....._a.,�•,::c °. °tt. , - ';�,.zn;;'? <:�: R4 ° Page 2 Backflow g . Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ,= x,• arsa, ,..,, -:..:N ,, , Drinking fountain 16.60 'tl*ll PR PERI'1':l WNER" Y ; 'u;;";k:i 'r'A „ . : � _..,,a.. - : , . ;. ......�,,..; ' . , a�. ,w40 =„ - LX..;.. .; P 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 , , �, , <;� ,r. >�� ..��... ° >, >.. r =,� H ose bib 16.60 'ill i, ` ;; PLICA i'll ^ : ® oN'TAGT:.'PERSOI " vim;: .:: - -,: ; T .� , ......,. :: :& -1Q, :.•'., a�vm >.., ''�`; >�;�(a.., »..,..�: �, ..� °.:.�.,�._ :: .'..,..<... 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 i City /State /ZIP: Portland, OR 97223 Roof drain (commercial) 16.60 r 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 l CO Fc. tNTR AC7 OR . °_1: v 0 �. ` � ,. - �`� & �, �. .,,�, - .. �.,•.;`;,;� . y; ;:� "� �, _ >�,. Water closet 16 6 rti 'g'.:.•„� - `_�:�.. ,- .:mss,;.,, - a., „s ,.�`: °�.,'�. .. Yap«'°,. <` 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: 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. r\ Building \Permits \PLM- PermitApp.doc 12/03 440 -4616T(10 /02 /COM /WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200&.00100 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3312005 Phone: (503) 639 -4171 '�f Inspection Requests (24 Hrs.): (503) 639 -4175 .,' J... INSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7:01AM PAGE: 63 SITE ADDRESS: 07718 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 #: 503.620.0000 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -0000 Inspection Request Scheduled For: Date: 9/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 015908-08 503 -849 -5247 N Corrections /Comments/ Instructions: Ib PASS . PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • I j FAIL % ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: a. Date: / & - O v Phone #: (503) 718- VI CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200 &00100 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2006 Phone: (503) 639 -4171 uh'I�;�II�"( °' Inspection Requests (24 Hrs.): (503) 639 -4175 . '_ ''! I� INSPECTION WORKSHEET FOR DATE: 93/13/2005 TIME: 7:05AM PAGE: 24 SITE ADDRESS: 07718 SW CYPRESS LN CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 027 TYPE OF USE: PROJECT NAME: HAMBACI - I GROVE 1 DESCRIPTION: New SF attached. OWNER: LEGEND HOMES, PHONE #: 503- 624.8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 520 -8080 Inspection Request Scheduled For: Date: 9/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 015517 -03 503-849-5247 N Corrections /Comments /Instructions: .. Avg *63 e 9-, p• Imf l /17602 064/607o41 ---- c 1(5 ki P4a-s--/5 M'✓c .:::=1/./6 K . ��9. . /ilE 2 =' Mszitirc---- ave.& p4.4,--. , 2 d ' ' yl.)-olf; Ito k'e_c_p.1 ill 8 R /4/-, - , .. C---Ke,___A(\alei-f ID- /6-A/4 , )., D / 0 j 3 - 114 ,/1 4- - i- na -- n/ , • CA : ^ e 11/In ITO 50 PASS I 1 PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS ❑ FAIL IA CAL >aR SPECTION❑ ADDITIONAL FEES ASSESSED Inspector: G Date: C i . / 7 d Phone #: (503) 718- r CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200�r 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3'2005 C� Phone: (503) 639 -4171 Ah, 4 p��� plit Inspection Requests (24 Hrs.): (503) 639 -4175 _A INSPECTION WORKSHEET FOR // DATE: 9/1512005 TIME: 7:03AM PAGE: 36 --/ SITE ADDRESS:IA -SW CYPRESS LN CLASS WORK: SUBDIVISION: HAMBACH GROVE LOT #: 028 T E OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SF attached. OWNER: LEGEND HOMES, PHONE #: 503 - 620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 6248080 Inspection Request Scheduled For: Date: 9/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 015777 -10 503- 849-5247 N C rrections /Comments /Instructions: "7,4s U4-4-4_ „4,14-Pgewods °To a,,,i , J,.,` / -,.4%c' 7=. H asi-e - -A,9,0e,„t------_ /o0 ° e "1 £j e_evite / (� Z • ,W6.-ei--c-c__ 4z.4.4. ie . z...i` /-4911 / /1.:/- , �/LI.L �c.,� _ k � /l w 2/ a_ ;� f (d- ei, C aufkl 7 p ep i/ I de- 1/1. ; . 6_ ga-i- , ,4ieta-e-- 6_4-i----- K 94 42.44 7$4 7 44-O-4.(___-- _.s 4e-4. A2_, 6,--t -/-19 z.491,e__ I . PASS 1 I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL C L FOR INS • 10 n ADDITION FEES SSESSED „"_______ Inspector: / ��` Date: hone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00100 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: x Phone: (503) 639 -4171 .wmlpu�i0l����� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/14/2005 TIME: 7:09AM PAGE: 59 SITE ADDRESS: 07718 SW CYPRESS LN CLASS OF WORK: SUBDIVISION: HAME3ACH 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: 9/1412005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 015636 -12 503 -849 -5247 N Corrections /Comments /Instructions: b i U PASS ;P PARTIAL APPROVAL El CANCEL n NO ACCESS n FAIL L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: " Phone #: (503) 718 - 0