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Permit 0, C CITY OF TIGARD MASTER PERMIT . At„ PERMIT #: MST2004 -00394 :4161 DEVELOPMENT SERVICES DATE ISSUED: 3/3/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 251 12 C D - 13500 SITE ADDRESS: 07794 SW ALDER ST ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 033 JURISDICTION: TIG REMARKS: New SFA BUILDING REISSUE: WITTENBERG STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 891 sf BASEMENT: sf LEFT: 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: I THRD: sf RIGHT: 4 VALUE: 198 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: BOIUCMP < 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: 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: SIGNAUPANEL: 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 Reg #: LIC 60563 952- 001 -0080. You may obtain copies of these rules or TOTAL FEES: $ 6,745.79 direct questions to OUNC by calling (503) 246 -6699. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issue By : ■ . Permittee Signature . _, SIC 1 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. • - . <r Building Permit Application �• FOR-OFFICE '‘ - , # f `•' , Received City of Tigard Q � 1 ' Date /By: I I f21.4 ! I Permit No.: H.97 _ % 9L/ 13125 SW Hall Blvd., Tigard, OR t 97�2 V � Plan Review, / l 2 —05 Other Permit ^ Zo Phone: 503.639.4171 Fax: 503.598�T�9Wn ^ 1k I Date /By: �R V 1— �� ✓ [� Ins 06941 Internet: www.ci.tigard.or.us Line: 53.3.75 1.00 ''m I I �' • D ate Read B J� a' ® See Attached Checklist for Inspection �� s. �.. Ready /By: / ( / cus ®ct D Notified/Method: ,2 / h as C � Supplemental Information o : ... _ y am; `T � - . .�u c ,,, t > ; =`- , < „s., ._ ,:.'t < ° F rte, 112NJD 861 AND.. " <F 1 \C`. > �:I2E AMILY:aDSVRliL1 ,,.. ,�. .�; ::�?� � 9.��:, l2= � >�..,...,, .a��;� ,:� F ate.:,.; ® New construction $0 ° ” ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ... �.. 'v`$'FZ�i'S ��, .°t �' :�`"'•�� \ w° ` Aa ' a "'.", -"h`a. it*W' '..•... � ; � >'° > >,' " t:`a r work indicated on this application. ,, �',` C A`R>r G ; ON S T'- CtI7GTION ` ., s ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $195,230.10 El Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder El Other: Number of bathrooms: 3 s :- " " "' "° > `44 ` ;,, .,; Total number of floors: 2 Ks:` 4 =3,OB= SITE, I1s : ,—= A: N :' ` ;is a ' wq Job site 7794 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 . REQII7iiiii, Aa ii G'(71VIYIE V U-t15E it Subdivision: Hambach Grove Lot no.: 033 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 equipment, materials, labor, overhead, and the profit for the _ �„` ii work indicated this _; :•. ESGRI,T10 OF `YQR1° `;• >':; application. __ - ..... . .. .. : ". .,�. _ "a��.'�.i >a�9.� =�;`: mss..,,. :.�;.�a�sk3,r��a�,.�� ..«�'a�l-t`.:, �,a�.<. wor ncae on s Valuation: $ Existing building area: square feet New building area: square feet ':';s--' h x -��' '' ..� r,', � ` a. I 5,i \. 4sU`�,z�. ' '^,y. �:. »c T ``_ Number of stories \ ; ' ` =P,RUPERT ° =t ,4:..:,- TEN N '1 ».::; • �;,,;:.. - ,,..:.�� `� �s'�;�:� a�.r€,� %;'�,r�: � ... �cz.,i; �..a:<� �.a:., °; .: <�Z„; :�;• .y >S .... -<.... �„ 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 - P A . T r,. >.�� COl\TAGT PERSOV ' .>., « - ,,.. - ,..., t.._<,:;�,...,•:» >a `::�> > �.., ,,�. �.;�� .�?.� ,:,. ,. >w.,��.. , ,w. -, ...,, ..,.�,�::w,..,...,.,.... _ i NUT[ � � _ 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 legendhomes.com , CO R A t01t` 1,. Business name: Legend Homes i ;t�� " "��`� �:�' "' ���� *; 9- C1II RING ORR,,,, 1 '�FE_E - I5i, 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. i; \Building \Permits \BIIP- PennitAppdoe 12/03 440- 4613T(II/02/COM /WEB) • tr 01/16/2003 00:15 6427925 PAGE 01 DEO - 01 - 2004 WED 0430 PM Legend lam -se , FAX NO, 5035988900 Pr 02 I � v , o � a I 4 t ,, �hTSr 's I t11C1iI l I Ira 1 i - `, ti.' ' ',0:"44'''. Electrical Permit �a� ca O n et t ' • t „.-44'•%+'. 16 # L: ,t 4,„ 1 1, 1:-‘'''',1, 4 z R-;;1- . ; I . tarty of Tigard -\ � • 13129 SW Hall Blvd. Iliar "� * 1 0 roa d, OR 97229 C 7 '' ' ,: Other pvtlaGu Inspection Line: 303. Phone: 503,6394171 M1x: 503,305.1060 . \ . -,; , x , " {,. •,,y 630+ 175 014 • , III sitspiamea l ilrtoTM www.ei.liglvd,tll•U$ G \ ` C ��a trPrlY . r 1 ,m,• 111 1 11 a I . ; y f +lib ++W tl I�' t'U'II(i i "l1 p � 5.,• � r - , r . 1 , I � t m Ii r,1' ( f f " r��p p{ I I tt. l L ,- f jl, 1 . r . : �, _ J.)..,tliif, .t t',Vi : ,� 1 .irv' , ' } + f�t'tt tll V''11}I�:w�}1'1'�,n,��l i ilI�1 i ti[!{{i�ff1���,(pp I ii 1 ,� } III t ' EF�JI f'�17 �S'�l�t'!iJ�!".t� i��ll.h.�. - �.� ��•. _I'. T. ' - t�, �1l���1711�. 1 �. B �iIL' 41; W�III. IL1llJ�.a`IdlWnflr�l�l.w'.1.1+n .,n �. �,tia �:.b o-6lie J �, r1L l�l a Plano cheek all + apply: � New cantltruetian • Addit19111iltOretlOnit eple0orr10ttt CO Service aver 225 atnpn, anmft'I a Masardous location ■1 Demolition ❑ ra Other amp •- raft; 0 Dallas ever 10,000 f., o r t tt, r i >. x{,y J ' 1 l k II ��j1R "f 1 ' 4 fiW �t Il(! N I({'i,,ny; ® 24=4 Sorvied over 320 am 4 0r ltnrellaW rail l NNW IIIh {Pt I } 111 jl Y j Id : l' c!" ', p } f . l l� I }!!11[ 1. �ilf•.I'.i. ..• 14, •.'1 n 1 �L, et l- dwcIIM �t�' I(' I i fG��.�l'f 1.' !.�'S II, ,,,IJ�,l� ll� 1 1 , lo-'. '.,,,, a �" [�9Yetorn over 60 YPttr 1 UM1iN In 51"1 cttWN1'e ®1- es1d3- femtlydwalNaf • CorrltihlpttieUlltdUflt1al p1 Accessory building Q gultd(neover OneBariue []Peadere.400ettrptormore jj��(( M1116•541711 • Mauer builder • Other pp „�', r [ � � y I7ceupoatlose ever 99 paws Q T R ya rack slr6etaret dr E � .bill �� } iI {' 1 M t1 , 1 11 tia t 1 1ar111:4 (;(1 �T1`t� 5 i * h ' ' 1 f111 + i1'1 LJ OU�li 11p 1 1 W i ''4'G ldlu,4.'�. fl 4 Il r Y : tila� r i1 4 _ i F t rd Ian ' �7 �� i -� � I " ^ ' •'�`. °. " ". .` " " """' ' 11 OFteehh- au facility ©Other = . Job no.: Yob Ate addnms: '}-114 •51 il.t.• -- ST su6n,it 1 sett of plans with arty oFtha above Thy above are not applicably to aoae imellae service. City/State/ZIP: 5tlste/ZIP Tig and, OR 9g2?d u. c 2 ' ' i! lg a rl � l' ��;!' ll�' l�l➢ �E�li': �i�ta��u�l 'tC.�.1:�i�i�y ?>i�uaii��'l±f;'F•G1,�''�. 9uite/bldg.t • Cm: Project new a ft unbeeit C-strovt< - iwsvot act. act• sitzt•ia=11isii Croat Street/directions to job rite= Nov roetde dal sire ormWU -hsa►ly dweillnei uuLLt Begets/ attaclw4 : erurra. 1,000 sq, it. or lad 111 145.15 (45,15 In Lot nO SL add9 500 sq. t!. or • anion )1 o • La Subdivisions Hambatth Ca>aov� Limited eeergy, residence! liiii 75,00 Q . Tare A MI no Untold oar ;t , non-tetidundal MI . 75.00 — d Elfl9R! r ;'; l ir °', 1 � I �i ���" 8551THCh1,;:q';7Ci> ;� ' iP�i's '�1' ! Egli Inensfeetured ormedu or II c�u c, a +.�n, 11ftiLS u� nd dives lin eeand.9rfieder +•00 5iarvieeeor feeder' InttaOagnn, a lterntioa aed/ar Macedon 200 unpe or loss 80.90 _ wu+ r v+ r+ f '," 106.115 �© g IN l il';tis t 1 i ' ? ',` r " il "e' R , . 2, , 4 i v I till }" ; l 1 hill , 'I Ig �r l J , n 1X711 l J 161 a �d'0 4(10 ' • kE4 L �r05s1 use ' u:,.! 1 �' ifti i�. ,lt, i f � �IC; I�F� i �'I�ir h l� i�<u7 .i � � r, l i :I 402 • c to 600 emus al 160.60 I' 601 a • e to 1,000 arose 111111 2 40 ' 60 =3E1 Address: 1275$ SW 60 Avenue, Suite 0100 Over 1,000 wry or volts aillEMI Eli Remnant ant • 66.83 2 City/State/ZIP: Perched, OR 97123 Temporary serviette or feeders InttWtlnee, alteration. and/or ,sodden Phone: (1 -80110 Pox: (508)5934900 200 tor or less 66.85 Owner t I Olen: This inbstlatlon is being node on property thee I own which is not 201 asps lo 404 traps 100.30 1 intthded for sale. lease, teat, or exchange, aosording to ORS 447. 449, 670, and 701, s� 0 smog 133.75 Owner signetuTO Data Brooch circuits —sew, si sr lden, er eadamtien, g { 0;474,:i I R"" 1 t S K 1 1', h • a Pee for Mond Mond afrsu - (u with ;K' F'�111� °.i d �1. r A.t , r li d l h {4I y� ! �Lu . � , ln "�:._ : ka }'SI? �t _.(,sial�I�1i! sGviaoeT�aearlla,e�Ch e.65 2 Innen elms 8. Fee 1brbreath or II 111 wgltaat service or tender ibe, eao •,west circuit Address: 12751SW 69 Avon:04131411e 9104 4 Hach add', branch citouit 1.111311111 City /State&ZIP: Portland, OR 97:23 iNrscaltonaua Garrido er Geodes let included) Pion, or irritates allele NM 53.40 11111111Ell Phone: (903) 43040®0 Pax: t (503) 590-4900 5340 11M1111531 p E- -m slucrw�Iloteedhemes coat Sloe or ati i. a t(s) or Nmt}MOW, f�nl irg 1 I I �{ I� v 1 V 1 u+ II'" I ' 1 9 7 1 ��' rJ iP„i,'1 itt l : fiI soars' mu*. Or 1 . " � t 1>a� 1! 11�I fl '1i'l! t�HRa(f} i @I (1 t� t �r 1 i(; �Y ,..,t 11► Ilh fNitf;I tiRt`�� ii,iN >z1 I, l�l G..Ia. i1• e,wriba: ap 3 .. extessim P . 2 Business mom Gamer Electric Each addIdohai Ift paedua over allowable la a oldie aeons Address! 2920 SW 217 Avenge 0 A Per ine1/ee601‘ 1111 62.54 • Cityl3tate/ZIIh IfiUsboro, OR 97123 investigation nor hour (1hrmile Ill 6230 industrial I1nt •arbour 73. 3 Phalle: 503) 691.1310 Fax (' ' 642 t w? `� r (e I r aras l' I •cK' tajca ( Gliriil�stlLl_' t ik!R .� �L'�t:i l: .t.f:. ++ COB tic.: 113139 , , Lie.; 3707.5 11111111111M1111111111=11 2 • ?S dace signature, required: ` Man wavily (23 16 dimwit tea) 9tlpty. B1ecM Sa , ro0. / / :'/ State vac ass ass, et permit ha) 19 .lea Print narnet Tar m. Fewer PEE 2h ' k• . e, Authorized signature; rile Posit upp51idwd a.ptretlf a para, set ema laai wlthJp UM _ days sitar II hail Dam anat+kd et Wept; Print ,,ante: Date: w Pao teadaodeleey lay rtii•Cenenyy solkona tumour %,vies 012314 14 aarb,r etlmp+Mleaapw Permit f:IaulioutVumal1 'M' am 44e461a1Tiatr comwes Mechanical Permit Application sue; ' F OR O FFIC E U SE O � ?a �x. i� =,,.z'Z4 : City of Tigard G L Received d PenmtNo.: /0 -# o0 37 13125 SW Hall Blvd., Tigard, OR 9722 �� �" t Plan Review Phone: 503.639.4171 Fax: 503.598.! g60 D ate /B Other Permit: 2 0�' - e Inspection Line: 503.639.4175 DE , 110-, Date Ready /By: Juris: See Page 2 for • Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information nF TIGNR 2`e:Mdd:x " °y .`W,a'; :.S //„"' p :i'�: " '^ :ate': C• :.:.Zx�s.,' ^ ^., =A";, , tii�.. r�.4^ r�� <• :^ d da 4 x ,,_�' � " H,° '' "GJ H \, 1CI�iS=G " 'a• " "� J `,,,� ,., ���TYI' , 1 x v:•c�. � *GO1VfMERGit#L EE,�• SC SDI) E S.FS•. b , Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ms— s ;4IV mod' „z w:, r..;^ uxr...: .�� a•s,,::;�a. � Value: $ °�. _, � � Nom. �.��,�,;'•� *:. '� ; : - . �2 CA i?E O "'CO1 A CTI0 & ,. _., >. _�.� ... >_ 30124,* ���.- . ... ° .,as,<.,.,.,,� "�_:�%��. a.. Fes. , d am „ .. ^ .,F tY RESIDENT F�QJPMENT/// SYSTE * ® I — and 2- family dwelling 1:::1 Commercial /industrial ❑ Accessory building "' " " "' "' " - ` °' U' "a'" "" ° " "'' ° "'' " " "4 °�" For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total �;����':.�. -;;�, :s�a.a a,n,� p;.aac ,�x.:::;:ea ^,:� M ��.- .w " "�:�, :,:,�; ., it " TOBfrSIT � N ,EO L 21liAT O'. A I OCATION �°;,;�. Heating/cooiing °d' d; T �.c�,e�..�+u,��'.�^4.,is.x... .e,....sr. -n,,, e.o E£" S.7i. �. tav*&+ >aec>r� `:... e*`.t���a 'xQ�icM ^�,. aRr^N+.raffi�. °. ,..�.....'�. i,�3 ��f ..,, Job site address: 7794 SW Alder Street Air conditioning or heat pump (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.: 033 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances M;� < _: ° " it ;; "1� ; i'"z 2.4 Water heater 1 ` .z . ;I GIitYTCOTV 'OF W., , . °'- . .; : < ti ;..�:,,: . : � N „ :.sr �.; ..... ,,.r „�x an :�ie•�„ .:..x. "s=r:.. - .. r .. . ,.�nw. -.�� = x .. : ':.?��,:._. � ` � - � , �.� 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 , d ,. s ,e,..''.• Chimney /liner /flue /vent 10.00 < '` '. PRPERT ®V1'1�T,ER f `w ; [ „TEIV,A . �s;�s >d::��. �y �� . _.;;�.•..;. ._, . „���.�cl''<�� �:�, � �'�°s' :.� �..:., ..: "��- �a " ............: .:.:•�. O t h er: 10.00 Name: Legend Homes Environmental exhaust and ventilation Range hood /other kitchen Address: 12755 SW 69 Avenue equipment 10.00 City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust 10.00 .. Single -duct exhaust (bathrooms, Phone: (503)620 - 8080 Fax: (503)598 - 8900 toilet compartments, utility rooms) 6.80 :_:., ` "' ,^ r6 Nlt :'., , ::`` ' . .._ ,, '; Attic /crawlspace fans , 10.00 g ". APP,LlC'A �CON�T�ACTI'�ERSONw�" :> rv 5 3r�s �. k -.,, max e w:;':i • - „ `- s ;o � ..w w . =- ,.. w " � Other: 10.00 Business name: Legend Homes Fuel piping Contact name: Steve Lucas $5.40 for first four; $1.00 for each a dditional 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 ° 1, C OIV:40.02'" "`' �,.�:y°a_...,..,' _ - �,,a= . .ie�,:�i.�',.:a�.�.�;�s%2;,, ri�E �� °',��a�rt�ncn�.�srA�.�,..n �at:'=-,:a;..��.:.. .�... .. .m,...._.a., ' ";. Barbecue Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive ,, N ` w; ",, , . `" �," ”; ,,, ,,; _... �, i z '; Nz itI EG H-P ....,, N i ., P R MI E f .; e,, 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 tee) CCB lie.: 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 is \ Building \ Permits \MEC- PermitApp doe 12/03 440 -4617T (1 l /02 /COM /WEB) Plumbing Permit L A t ` ' ; tt ' ? v y { � p pl•tCal_ 1 n ,� ' . ;FO OFICE�UEpONLY . �'�� e',.f,k�`w� �x `.. , r . ti p : ". a �, , �x R a ' �F �' �,.. i^' �-. �.�,cfi�.� a � :�,!;"'� �<;' City of Tigard 10�� Date/By: : Permit No.:1�a0i - 003 r 13125 SW Hall Blvd., Tigard, OR 97223 \\� C Plan Review Phone: 503.639.4171 Fax: 503.598.19' b PR0 , a l Date/By: Other Permit No.: 24- Hour inspection Line: 503.639.4175 1 n �! Juris: See Page 2 for ON kj a \ I gSN i ce ,. _ :: Date Re y /B o ® Internet: www.ci.tigard.or.us \ Notified Method: Supplemental Information �Y S:,, a -, _ I o s.» y :11.7 s :,," »,»„ • ".n:w »r.; ,-i -»i.. r . a <«-.": ..•��- . " v _ D s F P � , �, „ .�.,.'.a ^?si� >_._ .. .....�;�.�' ����`.�`•;- d3.,.. ,,�„�;wr.,.�"a:..•a:n.; ? °e �rr�;�d:�is°uV«nom. =r. .n, s 'Y.. . �:��s t ® New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition /alteration /replacement ❑ Other: New 1- 2 - family dwellings (includes 100 ft. for each utility connection) .rr; 7 W, C. ,E C ,,,,f,,,,,,-4,,,,V,,,,, RY; F :r_w.._ <..,X%�: .. SFR (1) bath 249.20 w• T ,; Q ',„, ,,,, ,QI � << � z ,, 114 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: :., �r,.:;ti:,,r ° >x =; Fire sprinkler ( sq. ft.) Page 2 r i S:1T - _ IiYF() RItiATION >-;A3YI).: ; LOCATIO.IY`,'' ' , - t ,�- Site utilities Job site address: 7794 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.: 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 f Lot no.: 033 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: . :.3 ; ..y» ...._. r.;; Absorption valve 16.60 :�_ =: x : D�SCRI IAN -:Q Q � �, ,�::��, ... ".n� =.,,.- .��:,�„ -. -�� ,,�F,,..,< >. �.��> ��,_ .,,,F�� <. ' .. <.: >.2aWj Backflow preventer Page Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 : ..F.r, ��,,,,,, -, �-�:, :. :.:...:__�;., " 6 .,,� ; ,. ; �„ , Drinking fountain -.._ _: -,: <s L_: � ...� ,:u- ,,..w •° P.aG�w.�., =�._. � �„�,:��.;..i .. - Ejectorslsump 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 >. . .._ c . ,.,.mss,-- t. ,,, 44 -tav .v,: ;- y_; Hose bib 16.60 5'�. " , , v, _~ � : PI 1C:411T a � :; "°;;z; , °'CO , i41G T cP ERSOIY :r ; , a �> ;s ,, . .�.4 »:a ;°•,>, .-<«. _ " . -_- u Ice maker 16.60 Business name: Legend Homes Interceptor /grease trap 16.60 Contact name: Steve Lucas Medical gas (value: $ ) Page 2 Address: 12755 SW 69 Avenue, Suite #100 Primer 16.60 City /State /ZIP: Portland, OR 97223 Roof drain (commercial) 16.60 Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E - mail: slucas @legendhomes.com Urinal 16.60 • >f ",`: GON tRA GT•F =R' F ,,.. : y ,< '_. Water 1 �Y::;�«��.•�s >... , � . v.'.:. ,x �,�,�a,,��,� �- ��,:: =r�,.�.,. ,� ,: - >s .. :.. _ , >...,;�.��;�:��:,.•�� � ate 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. i \ Building \Permits \PLM- PermitApp doc 12/03 440-461 6T( I 0 /02 /COM /WEB) Plul'nbing Permit Application - City of Tigard Page 2 - Supplemental Information ' Fee Schedule: Residential Fire Suppression Systems: � - ,.tae' > - -�e:.� .�. <..�s liar! <:�t �, . sw' H�;a ":;r z ;,n 6, 4.... < t' Wee IOW ..;, n �� w C+ �� ��,.��� �� ' `uta�e�Foata e:,;:... �. - �_ '.ee�t� ;�.� '�-l.l l \tV,'� �T - +�;Y`.v ".'2ay.�F�^,.:b "L,,:x r',y., .... >'�c e+�u£ �. Y�.tEs : ^^. °�A'`sy .. ro �u- �F��� .�mm.,ca'w..,Awaownoe.�.. .R.+ar ;>.,.i.- .v+ , /,�`Y -. ". K'...k..'S<n'v_ .`.1"_'Xa'.l�":J.�g+".? • dC ..,,n, ._.... _ .,.hx...a- ...,... • .'N "e`'.b. 4 '�r� � �eGi3ry .. , ,: .� -, ., ... -. -..<. > e. .u,vrx... i<... . Footing drain - 1 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 1 0' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 ° . , , -°.• °<s:"° a, 3. ~ E-. �- Z471 ?.::' r ::#,. Yalua i�>l� er ntlt lb 4 =R Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each - •< additional $100.00 or fraction thereof, to and Fil/Ol ri Cl.100ll1 M 1 s ` ` Total � , including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixtures? If • "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees ;° =.„ Q'iianfity b` "(l Jxture WorI Y',erfurn ed !r „ s��: ;< *.t <�w; »fc;• < Y.'..' �p 4 <: l,�a eu ; > lS - ca g, Comments regarding fixture work: .< .,. m t3. Y . : `: •.�a at;.','a;a ,rr _ 1t ktig H ,....,<•i , ;3v.-,k.',fifi kil g g Baptistry /Font Bath - Tub /Shower - Jacuzzi /Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor /Water Aspirator Dishwasher - Commercial - Domestic Drinking Fountain • Eye Wash Floor Drain /sink - 2" -3" -4" Car Wash Drain Garbage - Domestic . - Disposal - Commercial *Note: If the fixture work under this permit results in an - Industrial Ice Mach. /Refrig. Drains increase of sewer EDUs, a sewer permit will be issued and Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the Rec. Vehicle Dump Station plumbing permit can be issued. Shower -Gang -Stall Sink - Bar /Lavatory Quantity Total - Bradley Isometric or riser diagram is required if fixture quantity - Commercial - Service total is >9. Swimming Pool Filter Washer - Clothes Water Extractor Plan Review Water Closet - Toilet Plan review is required if fixture quantity total is >9. Urinal Other Fixtures: i:\ Building \Permits \PLM- PermitApp.doc 3/03 , ►AAAAAAAAAAAAAAAAAAAAAAAAAAA AAA AAAAAAAAAAAAAAAAAAAAAAeAALAAA / lir • Ps • uD d ■ • ST EET T� �EE CE TIFICATION R l� Is d M Crno SiWI RS a ,, , 1 ► ® I, IMAM .S EA tr tORS (�Ro,,ru9 p.cum ii„NeE , O w ,ner /A gent for EN c f{p A (PLEASE PRINT) (PERMIT HOLDER) 1 Ow d �, ► d d ti d Do hereby %ert t , h°e fo location ► Y i i i' i 4 d l � k �f t r ., ; "� d meets ,, 'ofTi�gard /Washul County ® r�.1we'rr.� ts' �<1.'i rT�'IIP+. il�aN.v- na.M'ti:'rvae9'yw'l• i�,r; 1::Ye"k!e[X.!!rAy.' 1 , land use and development standards for street tree installation. O. A ► • . Is d • • ADDRESS: 4 : . I I' . . Ai a / ' ' r . ' d • • LOT: }{8. 0 33 SUBDIVISION: {ihtrt9slic-H. Ci'o4ss,iv Is Is A 0. A IS • BY V .._4 ,$1 DATE: - 3U — � � . Is A • / 0> d RECEIVED BY: _ _ ,,� DATE: C � IT - S ( rvvvvvvvvvvvvvvvvvvvvv p evvi vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv' A CITY OF TIGARD t ,. BUILDING DIVISION . p PERMIT #: MST2004-00394 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3/2005 Phone: (503) 639-4171 . A 1 , moryinvlitj Inspection Requests (24 Hrs.): (503) 639-4175 ,_.._... -.... INSPECTION WORKSHEET FOR DATE: 7/19/2005 TIME: 7:08AM PAGE: 32 SITE ADDRESS: 07794 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 033 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: 7/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 --, Final inspection 011702-03 503-849-5247 Y Corrections/Comments/Instruction . a - 7 - le t=---1-7 TR t-----r rt_71- t .__ ---: --1.-mv4-_,1-7------c,,../ • • ASS li "ARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 0 FAIL 19 A LL FOR INSPECTION fl ADDITIONAL FEES ASSESSED i Inspector: /11141111— j ■---__ Date: C r Phone #: (503) 718- 1%lh, , CITY OF TIGARD BUILDING DIVISION . . PERMIT #: M ST2004 -00304 13125 SW Hall Blvd., Tigard, 97223 DATE ISSUED: 3/3/2005 Phone: (503) 639 -4171 i� 11'� Inspection Requests.(24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/19/2005 TIME: 7 :08AM PAGE: 33 ,I SITE ADDRESS: 07794 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 033 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: 7/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 011702 -02 603 -849 -5247 N Corrections /Comments/ Instructions: to PASS If PAR AL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL WI ' A FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED Inspector: '-ate: 1 7 / l • e7 c S Phone #: (503) 718- _ CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2004 -00394 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3/2005 Phone: (503) 639 -4171 A Ipii111I °i'� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/12/2005 TIME: 7:06AM PAGE: 30 SITE ADDRESS: 07794 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 033 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA OWNER: LEGEND HOMES, PHONE #: 505620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 7/ Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 011236 -01 505.849-5247 N Corrections /Comments/ Instructions: • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL (l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7 ',r Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00394 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3/2005 Phone: (503) 639 - 4171 4 " 0 41101# Inspection Requests (24 Hrs.): (503) 639 -4175 IL INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7:07AM PAGE: 64 SITE ADDRESS: 07794 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 033 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: 7/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 011141 -07 503 - 849 -6247 N Corrections /Comments /Instructions: 'I 2 , # , zi ____ 1"-Q-/i/t/t i . r) ,,() (1 C) -0 q ( 4 i elk Y LPASS ❑ PARTIAL APPROVAL ❑ CANCEL KNO ACCESS ❑ FAIL ❑ CA FOR INSPECTION KADDITIONAL FEES ASSESSED Inspector: Date QS Phone #: (503) 718- CITY OF TIGARD T BUILDING DIVISION PERMIT #. MST2004 -00394 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3/2006 Phone: (503) 639 -4171 114 ,-8410"P Al i t Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7:07AM PAGE: 63 SITE ADDRESS: 07794 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 033 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA OWNER: LEGEND HOMES, PHONE #: 503 - 620.9080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 7/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 011141 -08 603 -1349 -5247 N Corrections /Comments /Instructions: C ..4"v- r .5 b i II ' Il \ \ (; 4 Lc) . ✓��(� PASS ❑ PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS '❑ FAIL 5bA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 t Inspector: r iri i d Date: a Phone #: (503) 718-