Loading...
Permit " CITY OF TIGARD " MASTER PERMIT PERMIT #: MST200 I fl DEVELOPMENT SERVICES DATE ISSUED: 3/9/2005 4-00393 /9% 054 00393 :� .�- "' �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PARCEL: 2S112CD -11000 SITE ADDRESS: 07765 SW ALDER ST — ZONING: R-12 SUBDIVISION: HAMBACH GROVE LOT: 008 JURISDICTION: TIG REMARKS: New SFA BUILDING REISSUE: COLOGNE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 963 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 1,254 sf GARAGE: 462 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 4 VALUE: 216 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,217 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 ,DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < TOOK: BOILICMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: 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: Owner: Contractor: This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of OR. Specialty Codes 12755 SW 69TH AVENUE 12755 SW 69TH AVE #100 and all other applicable laws. All work will be done in PORTLAND, OR 97223 TIGARD, OR 97223 accordance with approved plans. This permit will expire 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: 503 620 - 8080 Phone: 620 - 8080 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through Re g #: LIC 60563 952- 001 -0080. You may obtain copies of these rules or TOTAL FEES: $ 6,920.10 direct questions to OUNC by calling (503) 246 -6699. REQUIRED ITEMS AND REPORTS Issued By : ��..e�Ge,.tZ 1 Permittee Signature : CIA_ 11 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next 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 Applic_atioNE, - , r FOR OFFICE USE`ONL' , , , � *;N F, City of Tigard F \ ' Date /B '� Permit No.)"� pc .—Op • : Affeirio 13125 SW Hall Blvd., Tigard, OR 97223 2% Plan Review M Phone: 503.639.4171 Fax: 503.598.1 0, \ Date/By: I lk o _or Other Permit 4 Inspection Line: 503.639.4175 R D ;- o 'P� Date Ready By: loci • H See Attached Checklist for P 5 �� Notified/Method: id, - Supplemental Information Internet: www.ci.tigard.or.us G F �� � 01 ‘ . •`r a- -, :.. Y.� = ::::.-;`�, v 4 � .. . �...,_, di%,��� � , .e','` , Pig • " ,. 3 Y1KF31)- T t - f1 -RA 1141M145:1v %�:;• ,r� ��'E._OlY.W,ORK�. ..�� ��. = °� s;ItE DA A A,, � G r� - s< ir< ,Q. ., b.. g^•___. �' �&• �", �__...:' �?a�o"._.. ��u�." rs"„ wr,-.. �,.;":. �, ra 'r:._<_e���..�a:�'" >,� >s;� _ „ . > °�«cvu,,��. %x"�`�?`kb.;., :._ �_. %�� ”, «,3� _.h_�ai,�k�n:..fsx ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all a ❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the 0 "� �: �_ r�;, „ ,. <. =<, �, ;;, work indicated on this application. . `` ',...**-44,7,504i GA2.;,- 012', OF , ONSTRUC 1 C1N a i” t:-" ig ;. :' : ® 1- and 2-family dwelling Valuation: $216,077.40 y g ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 -.t ❑ Master builder ❑ Other: Number of bathrooms: 3 ' ':I ;. ..,,', _.,•;_;: ,:- „- ' ,. ,ate- :t,$" :,- :: :; fir' s °-:` '' r' <, i *i Total number of floors: 2 JC R' S1T I ,LOC?iTIgN: : .: ; �._..,:., ,... ":..,'�;�::.;,_.,..:.: _:_ ass a .�:- ':�... -:. Job site address: 7765 SW Alder Street New dwelling area: 2217 square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: 462 square feet Suite /bldg. /apt. no.: Project name: Hambach Grove Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet R'EQ,UIREiit: �E 4 ";I iredK[ IS' Subdivision: Hambach Grove Lot no.: 008 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 , y �� equipment, materials, labor, overhead, and the profit for the k ; }?s`, y:k' .,. J�.5CRIP 1'tION e ., fa ="�' , .:».\ �„ .` "ra; mss; ` .1; pP:4ii :.. c \ •,.'q<'�/,.'. r work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet _ A 5 P- ❑ )'ROPERT Q1 % ',- , ° "` TENANT ,: Number of stories: 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: A P, 1? , ,r„ ANT -:>C®. A C 1 M :... >,�. ._ .,,., ,. ,.,� �:�< 4�: _ ' ���. -�. "� �b��.`��.:�&„� -::.;, 6a, 'rye 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 . . ,.... .: ( .,., ,_. ;'.•(; nV';;:,1;m.a� - «tA:';F _ ,',..... E...,,,. ai-W:. :..,..... Ai,• Business name: Legend Homes , -nr° ' Address: 12755 SW 69 Avenue, Suite #100 Please refer to fee schedule. City /State /ZIP: Portland, OR 97223 Fees due upon application Phone: (503) 620 -8080 Fax: (503) 598 -8900 Amount received CCB lie.: 060563 Date received: Authorized signature: i This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Steve Lucas Date: 12/16/04 * Fcc methodology set by Tri- County Building Industry Service Board. i.\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T( I I /02 /COM /WEB) 0,1/16/2003 00:15 6427925 PAGE 01 DEC -01 -2004 WED 0430 P11 Legend Hones FAX NO 5035988900 P. 02 q c a } �, c-r t er Electric* Pe a i., u +�3 . ., I y 1i� 1 1t . 4 ! 1 I ( ,c � -.:11-,,o..),,)' . - '� ° ..i t m I 7 0 . i S ,� • T 4 .. " 4 'e • ( s' `S . x Y .. N • . 'if.. city of Tigard '001N Pererkla..1 M- 1 51 - PO 39 I 3123 SW Hail Blvd. Ilse• OR 97223 "' I ; ' ° , ►;' Odor Penns Phone: 903,639.0171 Psx: $03,5011“.406 u % ,' : �� �' *i ! .: . o teleadyltly: Per: for lnspeodonLlRe' S03.630471 .04) 1+lototedlbtuha neppureeaalleremutlen Intern www,a1.ti�ardenrAl/ F�tG'..c%C�N tt 1�I` } 'I� ) �7 . � { , j {{ h j ��' • � 1 y tyl�' �p 11 �}i Iry1'r:,1� i (1 l�,Ilf�• li ` u s �a�� I h 1 111' (' ( r � .n : I n; � 11,,11 I � I ' P 4 IIl ���II j+Ip 1(° ti �.71:- I � rr41 i I � t },�rII14! ((I r�j I l i l ; (fk 1.11GYSith ��'I�'f''I�f !I g•11'Iil(I.IIJ1' N IR 1hl�lhl;�j�lfE "iii },I�ritil�t�CJ�'1iLL111 1811'I!ipn ,41i� Y i k 1li,Lr . Y! '� 11"� I1A�YIO �'�'9i�;.t_II''f,.(.1..: .,.. 1 �. ilA �.11iIr- iL.i �� ;yy;�l ti,}. b � !r n ii I:Iaw1.L, Moog cloak All ' t1pplY� MI New construction ■ Adak iicn/l�tte aathepl000rrxRtt ©9erviea ever 225 amps,;omm'I OHezerdeua location fy, la Demolition ® • Other :15.rvice over 370 amps - rating Cavilers ever 101000 1t.. laitn`{ 4 �����Pj",?tlhl�lf i4+ „Yi�f li IE�:0161 :7 119, !1 !''.- 4 of t- oid2- familydwaillnt/I 4 01`0100110v residantiel building ESY m' Yoh 1 661 ,..,11°114 In °RU "" ®1- nttd3- familydws • Cetntlarvltal/MtWsar(sl � °rY 8 LLJJ au(ld(nemcrditastarlw QPeedere. 400umpror Mere © Nittltl.thtrd] ■ gamer builder ■Other Oocwpont load mar44petoons ❑1,donuAutured etn ehmas or • q r „ 1 i t ,an 17 l Uw (: (� 1 �] L. S l h '' ;1 . �Ilfl, „y�.d`d RV perk �` >k 1 i'F� r fj11gi Ki:Vilu`F i( , i�I+i t ,,�, I '�t '1,x.1' it'f,,.i ii' Nta Tg l4 ._�.�� 1 Ofi y��t.��> .,, �'"".° • O Rea hh- aarafacility 0 Other: Job no.: Sob site adthtss: 19-(eS Sva At.IR "aT: submit 1 tea at plans with tang oft* above. Ci /Stete/ZIP ;Tigard,OR 01224 The *weirs not applicable to tenvornqoatenruetiOn ser"ic*. iriREMO ill ilEITEI TILIgg i""";, • u4W1!i`F11Ilbigi $11ite/b1dgd co.: Project isms: fla mbaelt asays- C=IIMIIINIMI Om 11:2201=1111111111 Cross It ret't/dlrectlons 10 Job site: New roddoadsl single-or must -attoih' deluging um Isztudre Attached pnr•tpu. -- 1,000 44, It, er teat t 145,15 5,t5 II Lot no.; 0015 se.: AIM 500 sq. it. or portion 3 31,40 eo.zo Subdivision: Thumbed; Cauovay 73,0 Ell • l imited !MET* ra Tian r eel R0. Limited *nets , non- Tetid;ntial MN . 75. m MEMEWL f r, a ', I i1 ,Ile.* ^ t" a r" t � t ' r1a w l l'q 1` � p�i'I 1 r k' � (t� it P 1�i�� ii Frill anuattautal tx tric4u 'U tb4��ri:{i�li #( Il �lil��ib0ifobnC l,Jec�i,i �t IA. N� ..n . i land . tiJ�LI�n.�i : r'ta d\v: : std ".00 Elervioee tin or tosdem ies Inatapagon, nitaretlee ard/sr relocation 200 amt or lean s0.30 NN „ u .,, } rl vl 'FS I:, ", t01 arr�ei to q00 amps 106 el6 111 ! i fl;l, 1 M1 P i',Y,, i ,, 16 1 ,,4 „,,,i„ r il l � ,,,,,,' .„,„,, n `� I I �F, 1( r,l t! L . u_ � )t„ t.,.,,It r. .f �ti.,, /,, ,441 ' (I1 k ' , 401 , 500 amps 160-611 Name: Legend Menses NI a • a to 1.000 amen IIIIIII 3 MENEM Addrees:1273Q SW 49`" Avenue, Suite COO Over 1.000 or wits i Recommrat one 66.8S 2 City/State/ZIP; Portload, OR 97213 Temporory asrv4;03 or ::alert In.tWmsen, a tertiden. slider decanter Phone: (S03)610 -8050 Fax: (503)5984900 200 ettgra or lees • 662.5 100.30 MOH Ostler teeth i ales: This inslollatioi is being Moe propcty shot I own which Ss not 201 wmpt to 400 etc intended for cola, leave, tont, or exchange, according to ORS 447, 449, 670, and 7011 401 amps to 600 amps 133.73 ' 2 Dart; Bntooh drafts 04M. alters* , or extam(tm, paid Owner signature: ,,,, - „y ' ; , : h omits was } t . - 2 ;y � M'} s . . I f N , , ro , 4 , 4 �I , , � � a ? ! a ` t' , i , A. Pac for vivo l : . : tti� . a, :+,' .. . ' r .1 t._ • l . ..a1..y:d ! . , 4 i � ISt ,in,...1: :.._ . ∎∎=., .�1 +, l _.t ; s ∎;:4, � irat rca~ice er am& each 6.53 2 ■ Susiness name: Legend names cram ;Irma - 8. e Sot for botch or . � © Contact tNUtee: Bleu; 1411011s e Sot wt bush It reader Can no branch circuit Melrose; 12/SS SW 69i Avenue,14111ts 01041 Iluh add'I brsnoh ckouit 641 2 City /Statite/ZiP; Po•tgnd, OR 972 =3 iNiaadbtnaue (cornet or COW got ueluttoti) Palm or Woolen circle 53.40 1 Phone: (103) 6304050 . 1 Pat: t (503) 50 Sir or oath ;; T un a _ k - - 33.40 s 8 -mail: sluci. Qdlogendhames.com Signal oinks) a limited. 141"izit'sL(ii i! �V"1: �;111I ��, •yfla(:�fl (,;'l�'Ci � �r`i� 114.44FSV ' Ji; ' NI e.,�Pk? Atli i ? 2,(6Hi ` - ll�W!?0. i§! ' R : 0r 2 sxuadOn. pater(be: a Business name Gartner Electric Snob Additional Inlpacdue over Allowable In a of the *hero Address! Z�30 SW 247 Avenue #t .4 Par inrpcodon . City/State/ZIP: 1111kboro, OR 97113 Immo ,'.- on . a bag (r hr vim - V Mane: (503) 591.1320 PM 1 '. 612 -791 1iJ}{ ' t i'lik 1'` • ' .''i;.(! t�.t OL F 7 .5fi - i' i ' ( ' . G iii'�sil.lt9 ?�1 u CDS Lie.: 11130 1 aleoertesi Lie,' a I S • • Lie. 3707 -5 sum( Sila Electrician signature, aired: Pion renew (2 PS4 *Commit te) 9tapv 8iactrl » , ro4 _ _ �. - I� ` _.i ..- f Sbtto.vro (6% of per iIt fool 19 . (03 Print names 12-1 fjtel0 TOTAL tt'tt OUT FEE 2404 AS Atnhortzed slistatur'o; vide (ammo .ppaget sorostta pawi car aaspdaoi Akin rso _ dare altorIt hat btee seeeptod sosample Print tune: 1 Dale: . . Fan mad:adelos katby Tti-Comly llh u,cuary service 003rd Tlvabarati par pa iglubildsVmolA440.itAIAAFFOs WO 4404412rirmAxAt vas Mechanical Permit Application, n ..:4-!•.''':"'''-i:S,,,.:4's:4,,,:i.:,ti,F.Q.4,',9EF1cC.t!-,J5.F;I:--;61.,.)N:1!.....!-, City of Tigard •1 C EP' \\) Received Date/By: Permit No.: 13125 SW Hall Blvd., Tigard, OR 9,172v Plan Review Phone: 503.639.4171 Fax: 503.598.1960 1 VA , j 7 - 4 9 111 tiliti, Date/By: Other Permit: 1 Inspection Line: 503.639.4175 DEC ,• 01 • ' .. Date Ready/By: Juris: Pi See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information V GINF ......-rV (1. tstrtli44 micigt iv,,t,wg;;,?:17:1M10:iiiZZ'aAlli MeVattAtilittLiglaiU06 Mechanical permit fees* arc based on the value of the work El New construction 0 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition D Other: mechanical materials, equipment, labor, overhead, and profit. ,„,,,,,V.k.:vr<ml' .. "" ''''' ' 41° ' WiWeAT WOWON Value: $ — - ' — — '''''''''' '''''''"' ' '"'" " ' '"''''''''''' "'" kitvigit$T,Ed4tEs. [E] 1 - and 2 dwelling El Commercial/industrial D Accessory building k,„,.:::::,..,,,,,,,,::.:0:.',4-:,„:, For special information use checklist. 0 Multi El Master builder D Other: Description Qty. Ea. Total W*S*Mild"lqAl:,iE.I;*jbarfo,ftiaakitZt*'*:" Heating/cooling Air conditioning or heat pump Job site address: 7765 SW Alder Street (requires site plan showing placement) 14.00 City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: Hambach Grove Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel-type, not electric), in-wall, in-duct, suspended, etc. 10.00 Flue/vent for any of above 10.00 Subdivision: Hambach Grove Lot no.: 008 Other: 10.00 Tax map/parcel no.: Other fuel appliances Wth-4.1,EMPftleziOakrtiMitioiliv aikIVARivirrV11,544Z:k7: Water heater 10.00 ,,,, , 2,- -,A •'; 'Oir '' , - 1: -^,; , ,,,,■' Amo . ,,,,,,,;,,,.. ,,,,, ,,, ,A,„ ` , ,,s. , ,,,, , .. -, ' ,,, '":'.4%. , ' ''''`akv.,. 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 10.00 114 4 , 412146VaTeitoiV4k 1 :11;41 gt.14 Chimney/liner/flue/vent 10.00 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 Fax: (503)598 toilet compartments, utility rooms) 6.80 ,11,07ATETWAS-MMit al; 111"4"Witt#410yll Atti ckrawlsp ace fans 10.00 Other: 10.00 Business name: Legend Homes F uel . . r 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 97223 Wall/suspended/unit heater Phone: (503) 620-8080 Fax: : (503) 598-8900 Water heater Fireplace E slucas@legendhomes.com Range iiarrA&MT:4:Vlitt::40WOk-Arh.P:Silii:i4ES-mi4::t Barbecue Clothes dryer (gas) Business name: Tri County Temp Control Other: Address: 13150 Clackamas River Drive City/State/ZIP: Oregon City, OR 97045 l 121111 Subtotal 1i Minimum permit fee ($72.50) Phone: (503) 557 Fax: (503) 557 Plan review (25% of permit fee) CCB lie.: 72623 State surcharge (8% of permit fee) .. i'd°-' TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: Steve Lucas Date: 12/16/02 * Fee methodology set by Tri-County Building Industry Service Board i: \ Building \ Permits \ MEC-PermitApp.doc 12/03 440-46I7T (11/02/COM/WEB) t... ,„ r N ED ..-' • Plumbing Permit Application ,a , F OR'OFFl C E : U S E)ONLY' c 4 ', ; City of Tigard V EC �� ��0� Date/By: Received M6jaao� DO 3 1,3 Permit No. 13125 SW Hall Blvd., Tigard, OR 97223 ® Plan Review Phone: 503.639.4171 Fax: 503.598.1960 f'(‘GA 1. ' i� Date /By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 �Y d C' 1- z e`�'' '` Date Ready/By: Juris: Sec Page 2 for Internet: www.ci.tigard.or.us Notified /method: Supplemental Information t yll 0� ,^ . rr�.r - »e�,. �;;azt -ss:; • Noti •e4•o`.,x� i .•�+,�. ;,s:*�.'�. �.�� :�`.,'e`= �`.� >•.- „"�••'�;< w " •ti ^ ..:. a'vH';5 \..;:;-..� : ,.< - . - ,• _ ... ..-.E :ai��'" _„- „� i- 'w'`„i _.: - .�s�. 6 - ;�:�n.. �,: .�., .':,:�k`3ss >:,�a:.yxm�- :,its „_ .4x�`m..R,A'$. .... ,. ,., >rs,.�. �-' :�aa`<4 �?`:; ��£A',',.nt';;;?•'- __ �a^d.F�,lwz. E1 New construction . ❑ Demolition For special information use checklist. Description I Qty. 1 Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) '.1�; :..Cf�1T p ' :, -n> � f?lta „O t `''GOtvSTRU . �l {.1�1 .:. 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: F .: . '`x•' ;a ,� >' : - ;na Fire sprinkler (_ sq. ft.) Page 2 ; S[TE " 1,4N tiOCATI.' -g & a • rte, .� w ®.. 3_ _ ����� , w � .. ':., - s Site utilities Job site address: 7765 SW Alder Street Catch basin or area drain 16.60 City /State /ZIP: Tigard, OR 97224 Drywell, leach line, or trench drain 16.60 Suite /bldg. /apt. no.: 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.: 008 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: n valve t, . s io A orpt ` � ;;�r' a %``'� - -R .P ` °, ? � `,' �_'Y�RK. ., ° I: ;. : ',.: ° •:t i DESC 1. QIV ,, , ! " '•> Page 2 ���. 9. <u.... �: •�a�:�..._.� ...- - 1"'",' - -;.4 . ..... . ... .. �.�;�.� >� � - .�... Backflow preventer g Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ;mss . ; _ Aregz; .:.. ' ; %. ,r a :• Drinking fountain 16.60 sa:? T- PR .t X• YA R �' • 1, :._ ��- LIw, . > -°� _-'� � . -, °° ° 0 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 > ,� 4 - w ; t ,� ° ,s r; x r; �> k ; : . . -. , AI'>'I IC `4 :: F• = `` "u �, .,: ' - '_..C()'.. "CTe: I2S - ,, .,w Hose bib 16.60 ; `-:.',>;,:.;; '.^.:.°.:< ^:.�••.cws�;Xw.:� >,..w....Y....'` ?,"� ,r, s,.`: �..:am osr�a•c>,. e::; �'., ° ° 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 /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 �;< : ,.^' \ #.; :�',�::��,.. .�F�- art° _ �? "�:�: - S � - ti \ ;-. f V'',6' :;pF Wiz,. :ai•�:;� •�Y - ,,' 4 0 FRAG�TOR �,,, citi t.,:u„ -r . y :':;c.,; Water closet 16.60 Business name: Wolcott Plumbing Contractors Water heater 16.60 Address: 1075 W. Historic Columbia River Other: City /State /ZIP: Troutdale, OR 97060 Subtotal Minimum permit fee: $72.50 Phone: (503) 667 - 1781 Fax: (503) 667 - 9891 Residential backflow minimum permit fee: $36.25 CCB Lie.: 23847 Plumbing Lic. no.: 26 - 208PB Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Steve Lucas Date: 12/16/04 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. is \Building \Permits \PLM- PermitApp doc 12/03 440-46 16T( l 0 /02 /COM /WEB) 1 F0 ( 1 A\ DEC 17 1 004 1 OT a I I A 4 C 1 I G O V I CITY OF TIGARD - 11 �0 5 S.W. ALDER STREET BUILDING D1��ston� S.W. 1/4 OF SECTION 12 4 N.W. 1/4 OF SECTION 13, T.2-5, R1 -W, W.M. CITY OF T ICG,4RD, WASH INCITON COUNTY, OREGON STREET TREES MUST 4` if , F GEND BE PER APPROVED p;ed ®. il■•. 'I II I III". . DEVELOPMENT TREE PLAN = , SUITE 100 I 12755 SW 69th AVE. OFFICE () - '` � ,!um FAx (503) 503 598 820 -8900 8080 1 = 20'-0' � �, PORTLAND, OII. 97223 CUB. 60583 • ❑ WATER METER W— - - — WATER LINE S5 — — — — SANITARY SEWER I SD - - - -- -- STORM DRAIN >' ' , ,,- ,- I ' ,v =:!< 'c et OF STREET .. I = ( H 1;) MANHOLE __ _. __ —_ ____ } _ —:A 8.42_31" _ _ CATCH BASIN 36,.00' ` /1/J, PROPOSED �► STREET TREES . I � 153.1' B I I E0 STREET LIGHT k FIRE HYDRANT 1 153.5' / '4.00' - 3. 00' I 1 3 i PROVIDE EROSION CONTROL FENCE PER a lb COMMUNITY EROSION PLAN r! `� D LO T 8 i LOT '9 CITY OF TIGARD - SITE PLAN RE VIE w 3,oso S. FT. /�' I BUILDING PERMIT NO.: k - - 09593 LOT 7 I /C OLOGNE B f / DI I PLANNING DIVISION: .6 r FIN. FLR. = 1 4.o'/ �F0 Required Setbacks: Approved ❑ Not Approved o J GAR. FLR. = 153. � Side: . _ea. St e et Side: /a u 1 Front. /01... Garage: ao Rear: /S a a el Visual Clearance: Approved ❑Nat Approved !.91 I 1 Maximum Building Height. .5 feet 20 ' ,, , 4 . 00' CWS Service Provider Letter Required: ❑ Yes fiZI No 153.5')` 153.1' i ' ❑ Received 153.31• .. 13 } a- Date: /a 00—O / in . I ENGIN MI DEPARTMENT: i(,' 1 I i Actual Slope: Z % Approved ❑ Not Approved @ I n { 4' -' ' 1 - Q I O ( I I S , A1E111 / El ❑ l� A proved ► r 1531' � �• _._ - -_ -- :— 5 8E - 1 �_ }B�y: :�S Date• /Z / � I j - - • / . S D �I o - 5 ,..___, of rQGG f I ( I 1 .. - z rev c i - 1 t. 153— —_. , .._ .: . -'— . T—± _ _-. _UB — 55 IHI I -I- -1 — — — , � _ S W. ALID 'S TR ET_ _ 153 - I 1 W I 1 l l 1 1 I TT —I 03/29/2005 14:56 5036679891 WOLCOTT PLUMBING PAGE 01/01 03/29/2005 14:53 FAX 5035981960 CITY OF TIGARD 1001 CITY OF TIGARD 13125 S.W. HALL BLVD, TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS 1075 W HISTORIC COLUMBIA RIVER TROUTDALE, OR 97060 Plumbing Signature Form Permit #: MST2004 -00393 Date issued: 3/9/2005 Parcel: 2S1 12 CD -11000 Site Address: 07765 SW ALDER ST Subdivision: HAMBACH GROVE Block: Lot: 008 Jurisdiction: TIC Zoning: R -12 Remarks: New SFA Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: LEGEND HOMES WOLCOTT PLUMBING CONTRACTORS 12755 SW 69TH AVENUE 1075 W HISTORIC COLUMBIA RIVER PORTLAND, OR 97223 TROUTDALE, OR 97060 Phone #: 503- 620 -8080 Phone #: 503.667 -1781 Reg #: LIC 23847 PLM 26 -208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM ... © ,i Signatuu !. 1 i ed P/ '• er If you have any questions, please call 503718,2433. AAAAAAAAAAAAAAAAAAAAAAA AAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA 1 pti- A 1 111. E TIFICA.TION 44, T EET TREE C R s , a AMMO Sect1/4313SAS of • 1 I, 14ARN SANWA GRoom) f�gtp�TFNIANCE , r ) w ner /Ag for E,�,�(> ,yF ' • (PLEASE PRINT) (PERMIT HOLDER) .a F t ' `•5 ■ 1 1 i, Do hereby r erts that' he: fc llo;wmg location ® ,.�< . _ ����� r. 6 a�.. � lr. "J�L`4 iVr " t��..n'a� f 4ba�l A ;�,! q� � �r � o i' r } � r meets r ,City of :Tiga %Wash tn C ount y r'� ^urd {'a.'y l %{t:'�J./Fx+r3'.S:iL i:N4`., fi Jr:gl^rx'�C�ry * ^¢.S�YIr.NY +%2dr.• INr4Krl. cq. 1 l and use and development standards for street tree installation. ■ A Ili A ADDRESS: '7645° cS'J/ ALDFJ S71FE'r — -74ff D/i' ci'��.D_ 0> ® LOT , B - QQ8 SUBDIVISION J4f(4i4' C, st 2 Ai 1 B. d BY: id ' i .A!: � . !- f DATE: .. / 9 C t �/ I I RECEIVED BY: DATE: Y2 a It A FTTTVYVYVVVVYVYYYVYY ` YYVYYY VVVYVYYYYYYYYYYYYYVYYYYYYYYY® CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00393 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3l9d2006 Phone: (503) 639- 4171�ry��li� Inspection Requests (24 Hrs.):(503) 639 -4175 :.!, L__.. INSPECTION WORKSHEET FOR DATE: 7/29/2005 TIME: 7 : 07AM PAGE: 17 SITE ADDRESS: 07765 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 008 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: 7/29/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 012457-03 603 - 849.5247 N . , Corrections /Comments /Instructions: e"-- F7zs -e9 GI .T u &"' , r Re-pe)ie_T d ,: e-49++ti —� e Rc5,-- 1,J 74'L -L_ Z. ^1'1 L AV & m< • PASS r PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL % •ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , — AIM 1Z, O Inspector: _ Date: J Phone #: (503) 718- ID CITY OF TIGARD BUILDING DIVISION • PERMIT #: MST2004 -00393 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/ Phone: (503) 639 -4171 "I /mitt Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 7/25/2005 TIME: 7:12AM PAGE: 60 SITE ADDRESS: 07765 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 008 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: 7/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 012037 -08 503. 849.5247 N Corrections /Comments /Instructions: • IV PASS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL 'A FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7 2ane #: 503 718 - � ( ) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00393 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3!912005 Phone: (503) 639 -4171 701lit Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/19/2005 TIME: 7:08AM PAGE: 29 SITE ADDRESS: 07765 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 008 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA OWNER: LEGEND HOMES, PHONE #: 503..620 -8086 CONTRACTOR: LEGEND HOMES CORP • PHONE #: 6208080 Inspection Request Scheduled For: Date: 7/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 011702 -06 503 - 849 -5247 N Corrections /Comments/ Instructions: • PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALI FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , Inspector: 'V/ Date: c' L ��d hone #: (503) 718- • CITY OF TIGART BUILDING DIVISION' • PERMIT #: M5T2004 -00393 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2005 Phone: (503) 639 -4171 A tlllII A Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/19/ ?005 TIME: 7:08AM PAGE: 28 SITE ADDRESS: 07765 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACI GROVE LOT #: 000 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: Now SFA OWNER: LEGEND HOMES, PHONE #: 503-620-8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080 Inspection Request Scheduled For: Date: 7/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 011702 -07 503-8435247 N Corrections /Comments/ Instructions: : . _A/ . _ / A - f� /_/ • ) i • -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: f Phone #: (503) 718 -