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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00389 rf i� ; � DEVELOPMENT SERVICES DATE ISSUED: 2/18/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07797 SW ALDER ST PARCEL: 2S112CD - 10700 SUBDIVISION: HAMBACH GROVE ZONING: R -12 BLOCK: LOT: 005 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: 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 THR0 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: 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: Owner: Contractor: TOTAL FEES: $ 6,745.79 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard al other Code, State of l OR. kwil Specialty o n e i n 12755 SW 69TH AVE # 100 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. Phone: Phone: 620 - 8080 ATTENTION: Oregon law requires you to follow rules 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 direct questions to OUNC by calling (503) 246 -6699. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued B • - Permittee Signature • ��ery / Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the nexbusiness day Building Permit Application Er 1 +�l�:�tu* ' � r�' /a ��� ±sr,�..�,�ts':c�,r�r"^ >��� `�.+r•. ��, 3 City of Tigard Date/By: ] Permit No. 13125 SW Hall Blvd., Tigard, OR 97223 Y g Plan Revie • Phone: 503.639.4171 Fax: 503.598.1960 Other Pit: 1/4, � DEC D » p � „� Date/By: — � — 0� erm 1� U 7 7 Inspection Line: 503.639.4175 • �'c I ? Date Read /B / Juris: ® See Attached Checklist for rn Y - I U Internet: www.ci.tigard.or.us Notified/Metho d& DSO � Supplemental Information CITY ^ $ O T <�e. Vs„ c at-e v iGARD S �� ;�.,��• a., .Ft�BS� ^, fir. �� `, . �.•r e:�w;.;���:\;,, n�.a «u ,•„ ":,; " °.,; �: �, "; :. ,.. ,,.> -. >,;.. ,..- ...r <, ,- < ' .,, ,> :�,,:: RI✓D D TA: =1. A . D` : NiYL >,D:WErJI;IN.G w. .TYPE F .1OKlfi': 'lt' Ul �F 5 ..,.,,,:;:fi„�,,," " �TS: �.' y >w�`s:*'�''w'��� "�•.sr�T.a..." > ....� .... ,.,..,.y:� <i�.. .., ,.>�,, ,a„z,Y. >, , - <`a.a .sr.. .,_,. ,: m.�,,.. Abtt ® 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 `; �;; "1. 6 : F " �Yt; " t ; " work indicated on this application. «':.. '; -< epa> '' : a .`> ;� •'. , ' -°�a0 >y` ® .. , °(` � j 7 .�1 ? »z n a,; ® 1- and 2-family dwelling Valuation: $195,230.10 y g ❑Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 El Master builder 111 Other: Number of bathrooms: 3 •,.Ana',i*_, ,,,,•��:? •;:s�: ?y<i�a r ?a%z;,. ;�e•'•.« a'"'�>,a>. °.�:�r,n•:•y, -. �.r,1.:a�;y „,'5 Total number of floors: 2 ��,•.- Job site address: 7797 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 RFs OtikiLa C'gint RGIAI,=IISE cHEGKLI , texa Subdivision: Hambach Grove Lot no.: 005 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, a e pr a and t ofit for the .::K; ; %zs .; > - ;,.:' DT1'�+ // ��y s �T ��r/ � fir , f arse „ = s a ::,•.;..•.,, work indicated on this application. - ` St,, .; i c•. _\.FJ.I',i l2i.PTIQN;, ; OPWOR1�;,, ...Y�,n�i,ih'6,e e - ^'` , . •�� �,.wn;:,<tiC1y.eF,yr x,,,.�e..l.X��➢An>�i "; "�dkx ,., , . , z, , ..s „� - .,,., ... ,2 ,.3u��.. �.. x.v .: ,. _:i, ... m�� Valuation: $ Existing building area: square feet New building area: square feet ,PI2bPERTY:O�i'PI> : <'° it vTENAl�i1':';;`: 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: >,•..,• ,. as ` APPL cArrT a cOiv:TACT �E o , , ... ........... ^1�1QjIC.°`t,�, >,_ -w ,;?ct„ .,c. ,�,•�•�: ate.•; .F�4 ,, yr.: ... ,.,:, -s - ,; 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 Business name: Legend Homes <`,y IA "',� > .,,:` ".;`,:, �, o *^1 :r.,,,M&',u.;, •,d °.� • rM'� �a�r�3 >z�'.��'��:�_ 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: / 0 — 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 \BUP- PermitApp.doc 12/03 440-46 13T( I I /02 /COM /WEB) k% ' t " 01/16/2003 00:15 6427925 PAGE 01 . DEC -•01 -2004 WED 0430 PM Legend Homes FAX NO 5035988900 P. 02 ; Electrical Pern dt mlicait[OD : r ;,c" 1 d i ,I r t t 1 ;c r sk I, Vi 1 1 . p taws Putty/11494 1 31 1•= manitav;ew 131 SW Hall Of 8 Wd «'RC#rd.OS 97223 � E� t� -� :• �, ' 01! >rrWntiu Phone: 503,639.4171 Pax; S03,Sol 100 , � I "�y Paplen fntpttelot%Llne: 503.620.417S >vedaedtMaharl styprrner ml larorouitao hI T ,trwwmrl.tigard,orut DEC 16 11W a i vr ri Irx.t ter ��.,!!:ti'aw }tlif I li t �u3 '!IIIr1 r� _ +, , r "1t W Ir I if e�i,. l i1 1 r r�fl Ir { �}1 I r r l' I ;',;lry r ' 1h ti�',v 1 I i , � �1 l 4i li IU � I.1+�.� �i6S! L ! Ii.n i�Lr' ��R��tl�.. 1: �A' ����IiILil� ' rEt.. b�(M r.t �: }.1 �Plly� j �� Lli i Ii i:�. i'l'lil, 'I1A'Al h�i.t_f ..:� 4,321 ll��ni ati NOW aOn #Auction ■ AddI110tk/iilt01811 nr. MIMIC Omit 111 • at ppplY t QSrnice ever 225amps, mi Of1auiMouelovelier ?�11�I1 rr Demolition pOtheII)UILDING DIVISION ❑Service over 320 amps - radng 0Polldttg ever 10,E �l h•• f 111":W 1 1' t, u IC::� �Ip I��1h ri t!Ill►11� �"r ' ��, , �. �� ,d In L I �,i� , i, t v i,;; �.`.r, l' l n}�t•r!� r, ! U�t iy;`1�i 11)rlQ l oft - old 2-0'1114 4walltopt 4Or ltto►e row veii4eatial ! �: f 4 �i� , „I „I��,'�G ;�''a�,� � _ ,1�.�u � i, 1 � , ,..�r . � • Qsyacam over 600 wets nominal unity 1n onc ctuoaira 1 -lose :- fatnllydwelling II Canitnmersial/Ittdtteanal 111 • Aaoetaory building CI over Anse OW1$ Clpeedems. 400 wept or more CI Nhllddbmsl ❑ Muter builder • Other C loceupant toad m'orp9 paaons sseturad ammonia, or i 1b t � ; I r L � fl . {, M V 1 { A I 1J � I'W. (' I 'n' k a u i {�' r j 11'11n �ni �l Otlpnul RVpprk 1 l 1!A i•Ililull l r 1 i�0ii{ tt` , f r r Lr �t�� l "t'r't �6�Ib101110"12Ol IIK'��r' 9977�(�x(f, I ' I , , { ! „ ,�Q,1,�.1.! .,•ww .> I,v...l.t J,. Ei PztS.+: ��� !ts LU•.!l � 1 �'! :�•.� , a I ' •a'h ni ❑ Flnellh•tare raCllity Oli>err • . Job no.: Job site addttss: T�g Su.) ,p. Lt:17-- Sv submit 1 sea at plans with any piths service. Thu above ore not applicable above. OR 91224 cable to y aonlltrus:0an . City/State/ZIP: Tigard, W f ' ;i ;i Ii fVIl ;rVEu,;�, IP ` a (_ lee X17 !!irlG�1 (r, 'v'I+L+�- t..'�E�Jlt"J� , I'�' 1 � r �iY. Suite/bldg• /apt. no.■ Project name: fX4tnbnelt annovtr power 9t• Om or.. .. Vital •• Cron Streeet/direetione to job Co: New residential slneto- ormufti-Wily dwelling unit lielu4os antichrist garage. LOO so, it, or feel 145.15 • 7d stn• add`1500 sq. A. or • Milan NI 22.40 ao. - gm Limited an Subdivision; Hornbook Ca�vc Lot no.: m 734 Q � �, , redoubt! 'hut ,d eel no ;y LUntoldener• retldtntimd 1111111 . 75.00 11.1.113 .0 a F > 4 �,a i a 'I rC i' Q i i� •I ii 1�1 1 Q1 : 1 t (lt�l?�iW,�� lv , ;11;�I L; �:G1,1H ils it w�,!u a 1.61. ` , , .1CIh: �;i; rl!tEll ���igl'if !sate ntattulacturod d nr IIIMMIIIIIIIIIIMIIIIIII n 9 ,110 _ .. 2 d a aviee trtd fie i 5erviotu o r Roden Ins altornt1sa, and/or r 200 t or last I 90.30 2 ` 7119' Lt 201 a ta40o • = 160-6n 106 { ¶t� �1'tv��. �1, ” wryr ij 1 � r lj t rh lap' I i ` �l � 1 ji l {l • I17�1 `j,1 j a i ��a r Q l� l �'i��!`L > �r. y _14 b..11.t�_..0 /Ali,..,m}:i(�O , 4, ,1 ,i.u:n:I ' , 0, , 4-.!!e. , --.14 -4 w' • 6141,,te,.,11 qQl .R In MVP! Nom: Legend Homes 601 a • s to 1.000 snipe Imp 240,60 1111.1.Kg Over 1,000 oeWilt1 454.65 — Es Address: 12790 SW 69'" Avenue, Suite x1100 Recotutuctont. • 66.85 1111111131 City/SW/ZIP; Pordltad, OR 97223 Tcmparury Emotes! Or Molars I nstetladon, alteraioon. anc/er rtleeatloa _ Phone: (1103)630- 110130 Fes: (503)598.11900 200: .•t or lose 6615 1 Owner lusts { atlas: This installation Is being made or praperty that I own which a not 201 amps to 400 amps II 100.30 Es intended for 301s, less!, teat, or exchange, 0000rdI ng to ORS 447, 449, 570, and 701, 401 am. s to 600 Erupt 333.75 2 QWnor signature Dots. &nook circuits- news alteration, Of cam' •' C' pr g;; LL + r ar , flu I ,. ry r t rr1 a, ' y � 1 1 p r i r e 2 . l r r 3 , r',i ., i sr 4 A. p,4 i;. &e n ch wo � �© �1 •'_.E.iL'!._:Y K'�':.`.1., }, ,?'"�".L! . , . f , i .�,jl,n.:9c,ia.:,._l,.- _: ka<•;, �k. ,�,:5.•_.f.,, r � { ae nT@Iaeltr 11:4exlt branen circuit f3. Fes 1br breach Dire is ilielliiiii *Mow sarvi or feeder Abe. me branch circuit Address: 12754 SW 69 Avanee, Suite 9100 _...—.....__I Ranh aid'I branch smelt 6 2 City /State/Zllo: Pottioud,OR 97223 Mleedlanaw(*wrrieeur feeder eduaeladod) Pump or Initiation circle 53.40 a Phone: (903) 6204050 Fax: s (503) 5900 23.40 d e- niatl; ahlemealpiondhOmes.com final oircui s) or 1lmltod• l` ,`' 'ti Bait lit!; tlik 114101 nitA::; .1 'll' 1. 'R6fi!;I IIIT ;ff'. `flIMIV_II ll aniil ' eura atomism. i m inn, or . 1 Bochum mama Garner Electric a ww ° •' '-'-` Fab eddltienal le ap etiu aver allowable In a of the shove Midmost 3920 SW 247 Avenue >f A Pot lnapecUon � �.1 City/5tete/ZlPt Hillsboro, OR 991713 � � Pltane: (503) 391.1320 - rpm: (' 642 - 793 Gli ii•A shit " 1 ' ``3'tii :il e'.P° I" inlLo'ii' ^ `°I ;j[ Ill ": "i CCP Lie: 131159 18leetrtoal L1o,' t IS •rv, Lies.; 3707.5 yubcotnl SU required: Prime reyie r (2596 urea m,t ekes) 9upty. Electrician signature, roq ;r . 63 f A .-- Stag uuTOlw*#s (a" of parrot f$ l t q I print nines . . s ; 1 \ li % Tp rwlL P15StM17 FEE 2.104 Ql Q, Authorized signature; tee permit app5.+iad agates eta porallt Is am e••isalaal words tea days attar it het boon weapon! is mamma Date- w Fee roatmdolegy eeeby TiiCoolly luJIOIna lnaumy 9ervioa OeroTd Print name: Date! Numb*. atI pe Far permit anomie. 1:omeeanrenniM614-remseseltei mhos 410461srpturycormvsa t- • Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined $75.00 Check Type of Work Involved: ® Audio and Stereo Systems* ® Burglar Alarm ® Garage Door Opener* ® Heating, Ventilation and Air Conditioning System* ® Vacuum Systems* ❑ Other: 0 Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical El Nurse Calls ❑ Outdoor Landscape Lighting* El Protective Signaling El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations • i:\ Building \Permits\ELC- PermitApp.doc 04/03 }. tl+' � . !G. {�.�f��r�� "'e'"+�� J;,�A ". "{'# Ry `� �' � i xa. � �� � ...., � OR OFF[cE�USE UNI?,Y ' w ' � ' 1 „,�r4` iecha l�nica l Permit Application �� E ew Permit No.: � inl (f 13125 SW Hall BlvdTigard, OR 97223 ` . eTY/V Phone: 503.639.4171 Fax: 503.598.196 antie Inspection Line: 503.639.4175 r °=ij,1" 1 1 Date /By: Other P . Date Read /B Juris: y y: ® See Page 2 for cam. � ��:, Internet: www.ci.tigard.or.us bE 1 6 Notified/Method: Supplemental Information <,e ,,,"n : [,l, �:�'E �.;k,"�., ��:C�� ��iY:.�° "3° . k�S. kY:,:.' ,a &.�.:h•..tc.k.3��kx &M >:x <.s4. C� ✓,' I IS y -4"Bl' . i'^�• A ;. , P t<. 4:C,";r.'fk, I t�. r .FS ' >���. <.. �:(," T;<���� - a � �� s . q , ' R .,,�j ^° .EEw' S.' EIEI) "I✓ ISE't"H 'MCT. � s r:,k"*�:c:t:..:,: -'c vs.re>Y'iz".a: - ... ='.� 1 � ..:- t = .. =' w ° ,., , ,. . °r ... 3r i� >: . ® New construction ❑ A dditi afei(;:1 ITAtiurt /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. .. ',y S ,,;;; -:;: �, Va lue• � `GATE <`rORY� -0 O "1`I2�J.CiI €I OIS : _.,� _ '�:,,.. " sa . r. 3x ,.+:.- .�,a „�.�" " =," ... " ,'. F"�::� >.. . «. ' .,., �` 3-.•a z .. �� l .., ,. ,..., es ' •i�' '�= ih, .,. . iF 2ESIUE I It1ti E- a 11'NII ! $YS Fl1IS' FEES *% ° 't ►�� 1- and 2- family dwelling ❑ Commercial/industrial El Accessory building ' For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total ����;. ,..x, -. JOB>^ STTE -��IN:FUIMATION= AN1?':t'GOC��A 10', ll' ;;; > }�- ^`ru••'”: °= <<""�= °;;;,,. ,' Heating/cooling Air conditioning or heat pump Job site address: 7797 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.: 005 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances - 3 M ,. W ater heater 10.00 � .��llESC121 �I fi;F','zWfJR '* ; > - . '..,• ..,.:. - -- -- - - -'-- � ;,�< ti >. ° u• sW5'."'. 3': : . , �f 1 ':: , . s.z -, . �A£: 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 t . =; Chimney /liner /clue /vent 10.00 gip,. rte;. \\:r ;": z; ` ',. ®' 120PERTl bV1 Eli ❑. "I ENANT . �\;✓ a:.,. M,..' 3' .-. . .rs..,..°,aa,:e,.s.z,...a«kz.. ....>......., �. �.. ��= �-:: � :a���_�- �a�2�W,..,w,.,k: \...... _:a�`:��:'_� ?s 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 �, E io 10.00 ° . �:'...`.. .. "" Attic/crawlspace tans '.z APPICA1�d�:�x +� = "x : ICO N =:x �1C>T1'EIt S171!tc;' Attic /crawlspa t . �g " �..;• wa � .� 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 q ..:: " Barbecue Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive ;- ;- I ' ° T °� ' ''° / �° 4.- `'MEGHA°°lY'ICAIPERMIbT F- EES` -� _ ,-u:� 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 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 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 l /02 /COM /WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: fioaliluatlo> ,4 $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 ^— $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\ Building \Permits\MEC- PermitApp.doc 12/03 2 Plumbing Permit Apn ,I� Qn= p\' ® '; , w�„ r'° F OFEIGE IJ SEeO N LY ` 44i; ' gVV VO E•� � - G {�"'� �� E , 0, WA E VNg z. ri`, � *- ,61;., :,t :i?.1,4 41.4 41•, 8',IN4. i ✓N .g!,4 - 1. ' W tmil , ��.. F^ s virY> City of Tigard t� Received Permit No.: 7/�.� n 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: �5'� v t / G"�I 4, . 14,• Date/By: Review Phone: 503.639.4171 Fax: 503.598.1960 DEC 1. 6 200 114., DBy: Other Permit No.: 24 Hour Inspection Line: 503.639.4175 , �•� '' Date Read /B Awls See Page 2 for Internet: www.ci.tigard.or.us �Y Ready /By: g g' Notified/Method: Supplemental Information � T IGA �. >,� ..<.... .... 'aut�a r.x ..,., � � z ,vaar..`„�. .. ., . .. -., ; a.,�a a, »�.;e;:,,: +.z,.x,9� �� ":;� - - _.« -.�., -.- ... >.. �,.;....... ,;. ,..:.... .. -�, -, ; :a- '.,.,�. ,, -. •� ... »'s „ » 'n te r% ?t' >e .� .1`� ,�; ..�.- FEE, -8 1If,D 9 i. * ,;, , _ �t `- •fi j�.;`, p }}: -� &- i ... - ✓�FS%'✓ i.. , `w.:e -. > ... ....< ._... +' >_.. n, . , , ., "G'e"r:ro'�:a n'\.7.�" .`,8`x .2xg - 'm w -. ..2-. �•' x, >.,, ,„ �• �.�"'. , � . - - - - ", b 3, - : .. .' v -�� ,. x,.. Srt al - aa"'w A ia.; .. -.-, ..x m . a c- �ah':: <`p% ® New construction ❑ Demolition For special information use checklist. Description Qty. Ea. Total ❑ Addition /alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) i ��•', x,e. � °T.er,•s, y xa. ar^4:� -. a�4� a<�,;" ::. •... _ � ; "i:: �n::ai• i �`€ %�:e -: , " ;' CATErGt?R'';' 6 � ONSr =I2(1GTIO 4' " ,, ,� " $ ` ,: ;°�:>x, 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: .. Fire sprinkler ( sq. ft.) Page 2 JOBIrE . i *, , U ; GATI , tFil `- d „,. - : : ,;.::. ,,; ,� ..�..,,�>���:,,., �.«, - � ,� ,. ��.., I, H,�� .�f�.,s,� ;::. Site utilities Job site address: 7797 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 Lot no.: 005 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 t .: ,;,., ",,- ",,atiti a,- , , Y; °war,, „ K - :,��r,4,,.�:sZ , ;�.::, ...0 . .�:,.,;. m.s ....:, -��.� q4 -..� ..: :_,.:,.:���; °� „ ;F3mEH��,:.:'�,,:;'� Backflow preventer Page Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ;y 3 , ; ;< < ;:., a t ;,, Drinking fountain 16.60 P Ol , IER 3 ,.t• <: > ; , : , • .. r_.,.,.._._�: ,�r .:�,�, »,.,.�,.:. �,:�,,.. .' >_� =�.. =�k ....... w ., .. . • . .,.. ,. � • .��.�.�.•r -,? � :�- •=' ' wow ,: ,, • j ectors / sump 1 6.60 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 N„ �� „ r : iii : <<:_ ;;,> . Hose bib 1 _.-._ ., 1'P.I3ICA i ~ l A ®GO . 7?ACT I' I ,MI..: - �p,- :';,.: „;;..,, ,,.:, �x.3._.....: ',...,, x <';..,. <.,,.,<: R ' C ..,. 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 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 ;, ;. . ;:, =- C . O O , .... .. R' s° ? ' . =e�� =� ., ',,,, Water closet 16.60 : •'. � ., w'�.- 'L1>��!•i -,i ., °. V .. ,,,�,fia .... ....,a5y., °,5.'n "•6��f,. aH. ,.:�vo -. ....; ,.. 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 Lic.: 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 \Buildin \Permits \PLM- PermitApp doc 12/03 440- 4616T( I 0/02/COM/WEB) A `, r- A $ j �- ® CERTIFICATI T' E A RARnto gWDEAS 0C , ® 1 _wow S Df� G �� tarEt vo cE , Owner /Agent for L prtzt rigs A (PLEASE PRINT) (P IT HOLDER) ! f ® ® 00. , A Do hereby ceit f y' tha, the following location A meets City ` ;Ti '' g ard/Washirigton `County A land use and development standards for street tree installation. , I ® ( V 7 q ® ADDRESS: 3V 4 -D ST74EE9' / 4.rtAO ' •e7 R `7{ ° -'Y t A O- A • LOT: a-005 SUBDIVISION: YI AMBA D,S IN 44 III* ® BY: . a .lei •4 DATE: 5,23 05 ® C DATE: ` /7 K ----- � ® RECEIVED BY. _ �I CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST200 88389 1 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/18/2005 J Phone: (503) 639 -4171 I l e l 1\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/14/2005 • TIME: 7 :11AM PAGE: 36 f SITE ADDRESS: 07797 SW ALDER ST CLASS OF WORK: ' SUBDIVISION: HAMBACH GROVE LOT #: 005 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA. OWNER: LEGEND HOMES, PHONE #: CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 I Inspection Request Scheduled For: Date: 7/14/2005 Pour Time: I Code # Inspection Description Confirm # • Contact # Message 299 Final inspection 011417 -12 603 - 849.5247 N Corrections /Comments /Instr ctions: Po : eA '7 it o � t r2- f s • oS G,c,,,,.1 PLe , .4--=ssut_;- • 6 '... 1 • PASS [1],"' RTIAL APPROVAL ❑ CANCEL _ NO ACCESS n FAIL d ,% FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / - / &C Phone #: (503) 718 - CITY OF TIGAR� A. BUILDING DIVISION PERMIT #: MST2004-00389 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/18/2006 Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/14/2005 TIME: 7 :11AM PAGE: 38 SITE ADDRESS: 07797 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 005 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA. OWNER: LEGEND HOMES, PHONE #: CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 7/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 011417 -11 603.849 -5247 N Corrections /Comments/ Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: "2"1/ Date: c / (q 1 4) Phone #: (503) 718- f IT CITY OF TIGARD -, BUILDING DIVISION ' PERMIT #: MST2004 -0038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2118/2005 Phone: (503) 639 -4171 inn, yli,��il I Inspection Requests (24 Hrs.): (503) 639 -4175 W 'f L INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7:07AM PAGE: 69 SITE ADDRESS: 07797 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 005 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA. OWNER: LEGEND HOMES, PHONE #: CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 7/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 011141 -02 503 - 849-5247 N Corrections /Comments/ Instructions: • PASS �' PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ►' FAIL % /LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED —...._ ( 7. //: cr, C Inspector: Date: J Phone #: (503) 718- ` o- r CITY bF TIGARD BUILDING DIVISION-T.'" PERMIT #: MST2004- 0038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1812005 Phone: (503) 639 -4171 , , ,„, 09mgfll 11 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/8,'2005 TIME: /:10A1bi PAGE: 2i SITE ADDRESS: 077F..q SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 005 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: N SFA. OWNER: LEGEND HOMES, PHONE #: CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -6080 Inspection Request Scheduled For: Date: 7/8/2005 Pour Time: Code # Inspection..Desccrription on irm Contact # Message 'ice 7. .ricgi_lanai 011031 -14 503- N9.6247 f Corrections/Comments/Instructions: Y v \ PASS ❑ PARTIAL APPROVAL n CANCEL I J NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C f::— 1 \1 UP) Date: 8 ( J.' ~ Phone #: (503) 718 - �._