Permit �' CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00396
411, DEVELOPMENT SERVICES DATE ISSUED: 3/31/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD-11100
SITE ADDRESS: 07751 SW ALDER ST ZONING: R -12
SUBDIVISION: HAMBACH GROVE LOT: 009 JURISDICTION: TIG
Project Description: New SFA.
BUILDING
REISSUE: WITTENBERG STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 891 sf BASEMENT: sf LEFT: 4 SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 1,126 sf GARAGE: 395 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT:
VALUE: 198,940.70
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,017 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 < 100K: BOIL /CMP < 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: 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 SVC/FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the
Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes
LEGEND HOMES LEGEND HOMES CORP and all other applicable laws. All work will be done in
12755 SW 69TH 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: $ 6,745.79 1 - 800 - 332 - 2344.
REQUIRED ITEMS AND REPORTS
Issued By : ,� Permittee Signature
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.
. r
Budding Permit Ali ca4"IVER 5 FOR OFFICE "USE ONLY
City of Tigard Received , 0 -64/
VOU a' 5 /O
Date/By: /� Permit No.�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1 f�(r,pD ( ` Date/B : , Other Pennit:�
Inspection Line: 503.639.4175 IUL .�+ ® 004 e' Date Ready /By: tort ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: 7 ( Supplemental Information
CTTY OF TIGARD
IRED:DAT 1- AND 2
- LTN
® 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
;_,' N q� .,<,OT : "' '"' P` work indicated on this application.
�=�; ' � k'" = CATEGOR °Y;'�O�'�.. COI�ST�RI�C�TIOl�f .� � �r <,
V ':: .�'......, ..sa,. >� _. ,,,'ate. r. {•S?� »..y::, w».�c» ,. ; mss... 4° � v,.,'.,..,:; s; � Sa ' ..�
Valuation: $195,230.10
1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building El Multi-family Number of bedrooms: 3
❑ Master builder ❑ Other: Number of bathrooms: 3
h,•Ss " =: ;M :;., ; moo: ;.., ���� > €r A Total number of floors: 2
r., JQB ° >SI I E Tt1 bRMA,T,t10 .• AND "L 1,a LON M ;;;:.
Job site address: 7751 SW Alder Street New dwelling area: 2009 square feet
City/State /ZIP: Tigard, OR 97224 Garage /carport area: 395 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
blif ED' Petit. e;'. 001\ 1 111IER61MiSE CH,ECK,LIS "o
Subdivision: Hambach Grove Lot no.: 009 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.:
.r .r:ce a and the profit
� v . � \� equipment, materials, labor, overhead, a e for the
-: = jq rg `; j work indicated on this `, DE3Cl2I1'T 1\ `.O WO1iK ;,�' `� °.a = -" °; 3 application.
Valuation: $
Existing building area: square feet
New building area: square feet
,. «3:: x EN`AN:� si:'r :._\ Number of stories:
P ROI'EI2TY, , ; aFVNER. , = ' ,, ..« . ..
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:
.y .. te r, � ... . «�... .'•.� �:. ^�,.
T C NT ...�r..:,:... � � °, C07�Ti1 "G'I''''P R OIY�
n„
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.,`� ,,dye,, ..:� -: � -r -:, -- G,��. ., ...,- ,k2. y .»,.,.. :; - «-�,: ars�,r:{;� ,. «. �`�:;e>: .,, ,... "�'�";' ., «,.� ' : :..
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
;« k
_ " -
Business name: Legend Homes ,t;• °"
B I DIN.g61) RMIPT,§ES • I
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: 12/16/04 * Fee methodology set by Tri -County Building Industry
Service Board.
is \Building \ Permits \BU P- PermitApp doc 12/03 440- 4613T(II /02 /COM/WEB)
01/16/2003 00:15 6427925 PAGE 01
DEC -01 -2004 WED 0430 PH Legend Home9 FAX NO 5035988900 P. 02
• , ; ill t I VII; I( 1 1 >t I�I 1 1 ,� `4. I -r a
Electrical Peraei, C ,T:4 K N�.. .
City of Tigard ray rt>ati<xa,t
13115 SW Hall 81vd„ 91Sard,OR 97223 Planrtavied
Other mobil _
Phone: 903.639.1171 Fox: 503,2
( p�Id61si .. "
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,.
re3fIltint ) lree ' at NNW consiOn:tion i1 ri 1Sal N ®4a Plepeo v vi l o avo 22S 9t++pa. aofnm'I oAu1rdaut laaetim r Demolition ■ 'n Oserviee aver 320 wise - tones C
� 1:] ®aileng war 10 ft..
fyn li�tt� {�di '�p� i L,I illlU'�I ili ui"npol i` i 7 ; i' ri L `J t I� �iCltti^''1# : p { K !1! � Cf. 1 -*WI2 IY (*GIMP 4Of 010 114w iii l
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13 1- and 2- fatrillydwelling ■ CethelerotsVbtdivatal in Accosary building Cog l over 600 volt. n m nal Yn11o1fl Sae MOM*
Feodm'o. 404 arttpl dr ►nol o
Elaulldinaoverthen I* A
0 M1.i1t1•iSimt1 ■ )►taster builder ■ Other I:occupantlose one 99moms G )4e+uihetured strum aI
t y tl � � I�{ r l 1, . FH �1 f' 1�4� !}+1J l II W + l �r I p i `, F (aye. 4 l
it l In p grail , pot
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v (2 Health-ore fecniry
Job no.: lob sit* addttss: �1 5\ A t ST Submit j, ow at plans with ady etc abovc-
City/Stolle/ZIP: , _ - The *wears not applicabbto or7'mo°atru,aloe service.
�, Vaud, O R 9 1 2?A �'i�;fi(�'' � ill !NFU`��;�Jyil�i�„3d�i'�. 'y;Fu�F"� "�'k�.l')
Projea Norio tJ4ttnbaelt C•taovc p ca Wrifilliet=iiiil
Cross etreet/dlteetions to job alto • New roeWoedal single- ormwd- retellp dwelling wilt
1>.elad0 Will°.
l,ODO eq, tt our fe.i 1 145,15 t45.t5
Lac no.: • se: add', 3110 sq. d . dr portion 3 33.44 I t O.z=
8ubdivteion: gnmbaeh Cateevc Liesitsdan „.tetldonda! 7340
ill ;A• (,united ener'r f non•reatdtntiat 75.00 MEIN Pit �in41r'f h9 ti�,Ci1 i ,�u f;A'r; :� .1 ul ` r �� "r' ' ? C�!'�g l?T ii.9 :FI l !iRON Emil n ~netaetartxi eir mails our ' +.00 �e
dwt:lie iee end. 9r tieder
g0/vloor or foedere In.tagatlon, ;harelip • 0ed/or rolocadon
loo ampi or lone ' C0.30 NH
� Fl� �t .,p 1" n �+ # +I l 'I J ' . P ; vu ' i y r1 �v r• r; ,,• 201 � ! to44D • • • l OK.BS
gg� l �+ �I nil l( {" 7 v, '#r V m�, l f' i i t It f id f 4 " I �II II kt i � h'f{ �� zni n ra y t ivi ul d i�,.,( 16D.
iE25 �:�i � 8� L u,,,,._t L`t ,.t,tL�, .i t a i[� .. -s1� '' n .�."4..i -w .� .:uiu 401 �. to600amot
601 a • t to 1,000 anew MINI 34060 MINIM
- - �
Addrves;13755 SW 59 Avenue, Suits 0100 Ova 1.004 � or vona 45
Reconnect onit, • 54.65 H
Cityr/Stote/ZIP: Portland, OR 97223 Unmanly aervim or teedora 1nsWitanen, alteration. ana/or
ebeatiao
Phone: (503)630 -90$9 Pax (503)59841900 200 amps or lets 6625
• ' er ions i atlas: This intttitllation is being mock on property that I own which 18 nut 201 string to 400 amps 100,30
in1Zodtrd for sale, leave, tont, or exchange, e000rding to ORS 447.4493 670, and 70 I, 401 Pm ap _ bon am o 133.73
Ownor signature Dino; ler eooh dreuits now, alt rsden, or Weep' end
> 'h1' v � , • � q .. l , +, !{ , + . ��{]'I11 F A. FCC tarbtanah eft i to ell t
'1 to r r .f, 1. + 1. ; 5, , n,a. R=: :,11?. }E.._JZ,,ili hiI11Vllt{I:
K .�S'_AL�'� ?. �'_..t.... al. �i!..Li. { l,._ k ., service et feeder he. esoh d.d5 2
Business nsmbt Legend Romeo arm cn elrcuit
. 13, Fee Dar branch Otpults
Combat tHtmt Stone !,Bois *thaw ear our limier aloe. 44,85 2
elle, branch&auk 6�3 j 2
Addreee :1279! SW 59 Avenue, Suits 9100 Hach DWI brand+ elroldt
C1ty /Stote/Zip: Pat' I nd, OR 97223 Miaediaacaue (terries or tosdar toot Illeiglifin
Punp nr IrriCSdon Crete 53.40 1
Phone: (803) 4204000 . Pax: t (503) 5991000 Sign or audits li .xun : MI 53.40 lEll
E..tr alit slucr.SQiJlogendhamvi.com Signs orrcuit(a) at %relied•
f Si';Y�alEl l '� su C' I 1' -t ;G^ Cµ o I I �! 1` z g I I I i t' 101, altcratitm, or 2
z r � r i , f >l�'1!RI t"f {a(ilf � @; f( t� l.l� li �,r i1 " bfFnf;I i NE �, I �' I P> i 1f"�l:liai ; !
extension. r�e+�bc, pia' .. .
Badness nano: Garner Metric
Zen additional ingestion over allowable In a of the aneve
Addrotar 3930 SW 247 Avenue 9 A Per ininet4 ton r 6240 MEM
. City/Stato/ZI1tt11;IWbaro OR 97123 invests •on' hour pivmho ��
in/WI/mud • lent •er hour a
Phone: (d03) 6911.1330 Fine ( 642 -'192 l w r ,, f c ee " iTun r ;�;I ni
CCa Lie.: 1211!9 bleotrteai Liu, ' 9 •rv. Lie.; 3707.9 yu6tattl 7
9itprv. Electridan sign re, required: 7/ Plan rayiew (2S%of poreit tk)
Stato .vrolw.gd i!% of pa'mit fee) l `1 .4::S
print nestle: • e ' • 12 i V O'4 ""a
TOTAL tt 1T BEE 26,4 q$
Authorized sigtteat vo; Yids parfait eppaa•+tn way tf a paradt u: �e
b •laa WNklr 120
- do. etivr it hat WS ekapn4 r a app 9.rviae Board
Print name: I ete •, F o roadtadolotr k Y e ri mbit ayttpo�na LI
xatrd.r otil„p+l pw Pa
I:Iaussiem entimflgteneofi lg• tap) 44o.4o1, lvzicOMAVas
r �4 y x y .. y;: F r y «
Mechanical Permit Application. �� F s.' X FOR OEFICExUSE ONLY ^ r : ,, ' ; `
City of'Tigard Rece wed
Permit No.:
13125 SW Hall Blvd., Tigard, OR 97220E O ® 2004 Y
g (+ Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 1Avilli4 I Date/By: Other Permit:
Inspection Line: 503.639.4175 I"
it! " - Juris: H See Page 2 for
P iT ` • � , ���_,, Date Rea /By: g
Internet: www.ci.tigard.or.us �d 1 Y OF .1IGA W Notified/Method: Supplemental information
BUILDING DIVISION
'G.OIYIMFr , G 1.�. . - G
® 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.
t LI:,.�,, ,, ;,::. ,� ��.�- �ATGRX
EO ".O .. O'.�'I=Rt1 �T:i.OIY;
� ,. n.. � :.. �� � C ...... ........ . : ��.. �;, >
..,z.: :s , �� .,..s, «..,tea- . €,.,... ,G J
.-. �... �, �+,,,..,.. � @�
// 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building „r�r " °" :- „3-
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
°- °� , .��� : � "lam` ':;SM:�' is P,�ri• �a 1 , _�rG. � ^��.�� �,'a Y % % % .%;x. =: -.
:' : JOB $ 1TE: ` I N:FiO R A�Ti Al�' < I, oafiON "-- "" g li
/coon
i „�' ': n ' :,'. ry; ar. ss'z v -,..,. ...�.�,_''I "•..�:;[��: •,� a ^ >�2.e.: _. -- e ate:., d... ,.�:aa: .44, 4`� Heatin F �,
Air conditioning or heat pump
Job site address: 7751 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
•
Subdivision: Hambach Grove Lot no.: 009 Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
Water heater 10.00
.� .. ,s - ^? .w�,�'.r,3�i�:.:� .'•., ,s, ?ii:.- ....v..� »a 5,,,•:..�ila. :35`i ..., •'e}S•'..i�� \yes t , ,'c3 v"�rxY'ac:.:a, - ^ :i: s ",5,>.�:..::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
Chimney /liner /flue /vent 10.00
[ *: =;' °TENANT.,,.,
wPROP,RRTY : {O jt ° _ w
? Other: 10.00
Name: Legend Homes Environmental exhaust and ventilation
Address: 12755 SW 69 Avenue Range hood /other kitchen
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
;;. .� <: > ,.:f .�. :>;: ,:,;..;�",;w i. ;ti:= 7 ", ace fans 10.00 Attic/crawlspace AP -P - ICAt\'`l' °� 2 �;�,N., "?�[� TACK �aPE�RSOIS': ; ��:: -, , ; P
:.'.�'.,u... ..., :. �. �:' � ,. ® a >.i,�..•,'.,„— ,..s::,:.<....,. , ;. ^���- :�' ��.^ � � ,:, ,,•. „,,.;..�.,::- ...:.,- �� �ki.
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 97223 Wall /suspended /unit heater
Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater
Fireplace
E -mail: slucas@legendhomes.com Range
wrmrniuyivat, Barbecue
3',' ;�. ....... ... .. . ..r:�,•<...�:�.. ... -.. .r. ....
Business name: Tri County Temp Control Clothes dryer (gas)
Other:
.,,,..;_ Via'.. ,•`,`...: ,
Address: 13150 Clackamas River Drive n x ECHA i+ CAL .:PERI!'II:T°T+jES *3 ° °' " °';
City /State /ZIP: Oregon City, OR 97045 Subtotal
Phone: (503) 557 -2220 Fax: (503) 557 -0919 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB tic.: 72623 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: 12/16/02 * Fee methodology set by Tri- County Building Industry Service Board
i: \ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (1 I /02 /COM /WEB)
'Plumbing Permit 1 ► ' "'.1 1 1 E s FOR OFF t USE ONLY t ' ' i a . id F t DA 5 .l {t,. '. . h z.._.ry V 'My -,F " a &
i
Re ceved
City of Tigard Date/By:
13125 SW Hall Blvd., Ti Pemvt No.:
Tigard, OR 97223
g Plan Review
Phone: 503.639.4171 Fax: 503.598. (�' n ® 2UU4 / an (+ Date /By: Other Permit No.:
24- Hour Inspection Line: 503.639.41'}}# "`'' L 6•� I I Date Ready /By: Juri 65 S ee Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
l S Ell 44 ,< `
' � � - '�.: rte.= : ,>� CH
,:; �.w �.. ,t :, =.,, -, ..,,-- g - �.s ,, ,� LUNG -. a ° :��:s� � �r �w � ._.... :�,> ..�i. m. .'; ��:;� = sa ; , . ,vs<� .. ,: .x. �.:�e: �,., ..,. -. r ,. ,..,,..��•' ,.
r New construction d� A D e t2 fi Fo special injornration rose checklist.
Description Qty. I Ea. Total
❑ Addition /alteration/replacement ❑ Other: New 1- 2 - family dwellings (includes 100 ft. for each utility connection)
iw ,z, :r F" �F•:; :tea;?:` �z-
SFR
CA „ , „ C . t91;CRiI GTI., 40 ' a„ 1
b�';�'s; >b,.� - ._ ,..�� c; �' �: �n,:,-��:h��-- ��:..._ ,a�sR�..sr,�:c;,sr.,:bar;�t�s •_..; ���i,; � :
�?w y��4a ;����'�`;�`„•:..- ..;,� -� ( ) 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
r - ": J ..1`lllf'i;i1�`Ff1 RlVIATC tV -t40 T1661- 1 ii :
.,sue; <.��:u yu� ��.,,,..�rt����s- :� -� rte:,,. Q� :��H.,.�:��> a,,y::�- "2.:� ` - .,<. -..A Site utilities
Job site address: 7751 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 I Lot no.: 009 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
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Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
„,_ Drinking fountain 16.60
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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
„;> e ,,. ,.. x r° is .: E „ Hose bib 16.60
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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
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i9M:i.,AGT ,1pR, Water cl et 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.
i:\ Building \Permits \PLM- PermitApp.doc 12/03 440- 4616T(10/02/COM /WEB)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004-00396
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2005
Phone: (503) 639 -4171 �Ak ■■'' 1 �rgj @��
Inspecti on Requests (24 Hrs.): (503) 639 -4175 !i
INSPECTION WORKSHEET FOR DATE: 0/17/2005 TIME: 7 :05AM PAGE: 62
SITE ADDRESS: 07751 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACI - I GROVE LOT #: 009 TYPE OF USE:
PROJECT NAME: HAMRACH GROVE
DESCRIPTION: New SFA.
OWNER: LEGEND HOMES, PHONE #:
CONTRACTOR: LEGEND HOMES,CORP PHONE #: 60 -80; 008Q
Inspection Request Scheduled For: Date: 8/17f2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 013708-07 503- 849.5247 N
Corrections /Comments /Instructions:
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4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ��� Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00396
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2005
Phone: (503) 639 -4171 / �man , alny�mpllI�ht
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/17/2005 TIME: 7:05AM PAGE: 63
SITE ADDRESS: 07751 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 009 TYPE OF USE:
PROJECT NAME: HAMBACH GROVE
DESCRIPTION: N SFA.
OWNER: LEGEND HOMES, PHONE #:
CONTRACTOR: LEGEND HOMES,CORP • PHONE #: 600.00903080
Inspection Request Scheduled For: Date: 8/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 013708-06 503. 849.5247 N
Corrections /Comments /Instructions:
No dp M'A —c %i-
/vithintt, c ---,e rte.. 47..,-9-,
t h hip -,
K PASS ( PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: FA Date: �� Phone #: (503) 718-
CITY OF TIGARDL
BUILDING DIVISION PERMIT #: MST200 -0039
13125 SW Hall Blvd., Tigard,-OR 97223 DATE ISSUED: 3/31/2005
Phone: (503) 639 -4171 ir '�ii��_
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/16/2005. TIME: 7 :06AM PAGE: 20
SITE ADDRESS: 07751 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE • LOT #: 00g TYPE OF USE:
PROJECT NAME: HAMBACH GROVE
DESCRIPTION: New SFA.
OWNER: LEGEND HOMES, PHONE #:
CONTRACTOR: LEGEND HOMES,CORP PHONE #: 608.86• I :08O
Inspection Request Scheduled For: Date: 8116/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 013635 -01 503.849.6247 N
Corrections /Comments /Instructions: •
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.
V - --Rkss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / 1/4 Da ter: / Phone #: (503) 718-
CITX„OFTIGARD
BUILDING DIVISION .,
#: MST2004-00396
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2005
Phone: (503) 639 -4171 kw/41M ll + 'i \
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/15/2005 TIME: 7:05AM PAGE: 19
SITE ADDRESS: 0 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMSAC}- (GROVE LOT #: 009 TYPE OF USE: -
PROJECT NAME: HAMBACH GROVE
DESCRIPTION: New SEA,
OWNER: LEGEND HOMES, PHONE #:
CONTRACTOR: LEGEND HOMES,CORP PHONE #: 0¢0.(g ,1.080
Inspection Request Scheduled For: Date: 8/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 013635-02 503. 849-5247 N
Corrections /Comments /Instructions: -
'Zdv t mac- Sin e� /< wvA- is IV !L -r A
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j o PASS M ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspecto : Date: �' Phone #: (503) 718-
CJT,Y_ OF TIGARD `
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: MST2004-00396
Phone: (503) 639 -4171 �m���4p��y�iiipG)(�+�� 3/31/2006
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
6/1/2005 7:16AM 3
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 07751 SW ALDER ST LOT #: TYPE OF USE:
PROJECT NAME: HAMBACH GROVE 009
DESCRIPTION: HAMBACH GROVE
New SFA.
cr e OWNER: PHONE #:
CONTRACTOR: LEGEND HOMES, PHONE #:
LEGEND HOMES,CORP 8M1
Inspection Request Scheduled For: Date: Pour Time:
6/1/2005
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 008110-08 503 -849 -5247 N
Corrections /Comments /Instructions:
re -A41441 st,)
Mme &( /
PASS / PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL •ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: At __ Date: �" Phone #: 503 718 -
p 110 ( )
CITY OF TIGARD '-
BUIL DIVISION `, PERMIT #:
•
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: M ST2004 - 00396
Phone: (503) 639 -4171 / mu:lpuII} till 3/31/2005
Inspection Requests (24 Hrs.): (503) 639 -4175 .61-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
6/1/2005 7:15AM 2
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 07751 SW ALDER ST LOT #: TYPE OF USE:
PROJECT NAME: HAMBACH GROVE 009
DESCRIPTION: HAMBACH GROVE
New SFA.
OWNER: PHONE #:
CONTRACTOR: LEGEND HOMES, PHONE #:
LEGEND HOMES,CORP 608.1e: 1 ;080
Inspection Request Scheduled For: Date: Pour Time:
6/1/2005
Code # Inspection Description Confirm # Contact # Message
115 Electrical service/reconnect 008110.09 503. 849.5247 N
Corrections /Comments /Instructions:
1>( PASS I/ P- 'TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
___..--' ' ( e Inspector Date: Phone #: (503) 718 -