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Permit A ll,: . II CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00400 �� I DEVELOPMENT SERVICES DATE ISSUED: 5/6/2005 6 - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD -11500 SITE ADDRESS: 07707 SW ALDER ST ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 013 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 THIRD: 5f 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 W000STOVES: 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 Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other LEGEND HOMES LEGEND HOMES CORP applicable laws. All work will be done in accordance with approved 12755 SW 69TH AVE # 100 12755 SW 69TH AVE #100 plans. This permit will expire if work is not started within 180 days PORTLAND, OR 97223 TIGARD, OR 97223 of issuance, or if the work is suspended for more than 180 days. 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 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 Phone: 503- 620 -8080 Phone: 620 -8080 or 1- 800 - 332 -2344. Reg #: LIC 60563 TOTAL FEES: $ 6,745.79 REQUIRED ITEMS AND REPORTS Issued By : ' 1'J®, Permittee Signature :\\A 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. Building Permit Appliii El `r E ®: 4 r , ;+s FOR UFFICE`USE t � C r" .T" �'. �"� d r „ ,b.. • N ,� vi. fir( e. *� F.7 ea 9''. , �� +x "Y. 4fi�a*•: trr City of Tigard DEC 2 0 200 Date/By: , ; C Pennit No.NV c• a o y e ) 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Pennit Phone: 503.639.4171 Fax: 503.598.1960 CITY '∎I Datc /By:r{A a — ) — aS fit) -�(/Oy Inspection Line: 503.639.4175 OF TlGA ; 2 y ���a „. Date Ready /By: Juris: BI See Attached Checklist for Internet: www.ci.tigard.or.us BUILDING DIVI Notified/Method:„.2 - - p V Supplemental Information P - F-AlVI1LY= �:EL IN' . :t,RE 17iCtED'1)ATA:,= "'' .. �D L y , �: �CC -',::: ,<::;.�:,• OPT =vyO _ ® 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 work indicated on this application. =,F RY CINST"R C7tp w , ..> Valuation: $19 a uation: 5,2 30 10 ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi family Number of bedrooms: 3 El Master builder ID Other: Number of bathrooms: 3 :. ;,;,,•,, a,r" . ,P: Total number of floors: 2 _ ;.TQtB`:S T :.,TN' OliNlT t1N, :,4ND; I,OC�T10 ry a„" `�'`."� m °....,.,. - .... ,...«.,,.w:�<a;.. ',5°;. " ..ut:,., ^.... -..;., �:aPsdx;�:�,, -. "s: -. .,.. � ">. , i., 'a;;;;. � -.,.�� Job site address: 7707 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 12 'IR D' RG1 l :IE CI'IEC,' <I IS`C`,:r' Subdivision: Hambach Grove Lot no.: 013 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.: equipment, materials, labor, overhead, and the profit for the t this application. work indicated o � t s a „�.;�•„ ,. ;:.�: �,�; ,«•.,, Valuation: $ Existing building area: square feet New building area: square feet R .P "ItTY<::OWNER' TlE NAN•T'' z =< 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: i; °: � sc .. CT:: =T' : °t - P LTCA .;sn� as " t g 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 maybe 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 g _ 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"4. 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 doe 12/03 440- 4613T( l l /02 /COM /WEB) 01/16/2003 00:15 6427925 PAGE 01 DEC -01 -2004 WED 04:30 PM Legend Hones FA}! NO 5035988900 P. 02 1� f f s a . haw ,,,, . i ., i t K r aT , r ` t v Electrical Permit I .gl M ED z , ' ,',, ti e i t > K I H 11 t 11;it:: t �tl. i �a 1 j r4 :t t s f*,' 1,4 1 . City of Turd lateen PaotkNo,t 13125 SW Hall 81vd «'0aerd, OR 97223 0 200� pl Odur i'vrnlV ',,w phone: 50316394171 Pex: $03,Scl.106 2 I ate�yi y a�e ie star Inepeodott Line: 203.1130.4175 , t erefectias: , 9eppsenteeat Tar MOM* www,ntati$ard4r.U$ CITY OF TIGA ,teeth° j 1 'I (I,-o,( ` 1 , . i 4 , I „. ..III"" t 6 .w 4 . i n i' , i . {11 1'1 fi , ■ .' y il .1 � I li i�'�j +q...Ir . . M 1 : v 'I1 wNT P' n �{• 71. 1•. ..' t � J �, Ii I ' � [ u ( + } j / + 1 � � � ,.' { I � 1 I d i ur, 4 1 .41 t I I,1t�> ufl � ', . t .. , ' I P � 1 1 11, ' C 6� bi �I �I I , J i1 ,11 1t e hi l �! ('(^i1 7ib. 11 L I I , '1 1 n.. l ��'�Ii1 Y ', I� O . , . ».. _ I .. h. �. /- _ Now sonetrtt� Please Mime ell ‘ It tlpply: syi on ■ AddhlattlralteretlanhePl000rnr s<tt ©Saviao over 225 slam, =mil oHeeerdoue location ett Demolition Q.Other Clserviee over 320 amps - retina 12 0%4105 ever 10,000sq ft,. I ai q1 J v� r 1 i II IT 11 1tt '¢ i' i! I �. N I y'4'.',1.; 1' t n1 Pi 'r, "t alp 181! 1 id 4 br Imr®n01Y rlal14eaal ��t611E ' ''��I�� I.I,1►fi►�i T' P�., 1f,1t71 l � l: , I:.a"���l� ill_,,.... !, .±, at1- etas- t. e� building Q m over 600 vette nominal unite 1n ono sttuaasre 1 - end 3 - fatnilydwellin(; ■ CeerlttterolaVUi4tsfalal ttv y a 0EuRdina over Acnestories C1PIxdore.400antptorMom © M f.R ■ Muster builder ■ Other (locwpant tone twor99person QtMaat attend atraetamt or t n t{ I +� , f1 �t ti ° h�t;I�,,( 150t'eu!lg g p ' �11{';! 1; �! �S � I�U tl ��l � : +lu �� 1� 1u tll;! (t' '' f�1d� .,ntw ( RV pork �6t 1' •1 1 . 1 ,.w� U�,v. i a rI` ?� . �.I_d',�7:t�l i t alter plan 0Ofhor . S � Cl lice lib-core Sacltl � Job no.: Job site s: I1 p} 5... t om- S'1 submit 1, we of plans with any alto above. City/State/ZIP: Tigard, OR 3/224 The abt> w1�t'` a'( yryeypnot p l app l tiic ry l a ) bllow ' y p umpn I r � aq oeceiuetIo { MLrI11��V��Ui�� 'J�111�JVJlY.LLLI �i 1,.�. I N1tu , Ih9U1Wl 'iF�ilil'�IA�F{(1�F.11��] PtojeCt name Hornbeck Gsov� tome: are as 11111M1111111=3111111111 Cross Street/directions to job site: New reddeottst sot* or mwi-rs ally • walling ►nut: tacla�Ma e1Wef 4� r1I . l,ODO ee. tt or teas 1 145,1 5 1:46, t5 Ba' add', 500 sq, It, or portion 3 33.40 ee -� Subdivision: gambaeh Ca travt: Lot no.: 013 75,30 _ .. l.imioed enemy, residential 'fart eel no. Uinlmd ener:t , aim- retidentel 75.00 EMU 4{hf 111•; °• t u 1 ,I ^ r ' f roi ° 1 , II r �PI�� r � :2C ir:. 1i al IV `' { It ii 1 . 1' Sealt mott utae wred al tngu ar rH{ ��° deal I b �'`iCi�,� • f]�i 1 1 I' ,I t 1 �l.�i.>i t �i , c ,{l.1 er f WI ��.�A�.,�a,hh,1li�ti�.$.� na.r: dew iin ' Indict fiadBr (• : Services or Emden Inda gegen, eiterntio, ember relocation 200 amps or teas r 00.30 2 m I t, �p I ,r - Wu. � 'I,v ty; 201 '. , to 400 � • III 1laces MIMEO MIMEO y� •� l� }, �' { FlR P !� P o l t 1 I I t ai 1� I, �INI 11 11.111 nt `j , { :L ila � 'Gi 1 I ft,'it , " d r ' b' L�'. ,'i, 7 i ilil 1 ;1�e ,l;h i -4., -A .:3" I ...4i s � 401 160-60 �� tMSt��I���IF��.t'.�a , z 1 15 � ,._I! • F to 600 amw 601 a • s to 1400 anvil Oil 340,60 IIIIMMIEBI Over 1.000 eit>pe if valla 454.65 3 Address: 1Z733 SW 6y"' Avenue, Suite te100 Reconnect ml • 66.85 2 City/State/ZIP; Portland, OR 97273 Temporary serviette or Rulers inetpltanon, alteration. sower relocation Plume: (1103)63040110 1 Pas: (503)5994900 200. or Iese 11.1111111123 -u Owner iaetalatiee: This in*i*tIStlon la being mate on ptopcTh that I own which is not 203 mi l to 400 am MINI 100.30 11111011111113 intended for sole, leave, tog, or exchange, a000rding to ORS 07,449, 670, and 701, 401 atstpe to 600 amps 133.75 Owner slgttaturo Dote; Itreoch tart now. elt'.raelan. or exteml' .. Ind , it 1 E'ggl c 1' . I .Y.: . t r4a � t i • • 1 nl ' �, r y�. I t � �' a r ( � � ;44,111 ..F�, A. ltea tar Dmnoh Mraa u wilt 1rX.,�•` : fl'1' � ! n � ..t. a t i { ! � .y.a� t 4..�a.�.1� . _l. ;.:kd.,:.,.�Jt �. . t altl�lt�df ay Malt' he, each branen a - 1 • D. Fee ibr branch elm 15 Ill Contact r Wtnmes Stove Walla *Maw swigs or hotter aloe, 46 25 2 esc, branch airault Address: 12/13 SW 69 Amoy, Salts OHM Moab add'I branch elrotdt OM CO 2 My/Scats/ZIP:POF0111 .OR 97223 Mhedi aaaun __riea Wan tot attetadaq Pump or IMCtdon allele 53.40 7 Phonic (SO) 4304020 Fix: t (503) 59149011 Pant or outline li . tin ! IIIII 53.40 lEi E -math aluesegliogendhomes.com Siena orrudt(s) or 11m(tod• {i<nugr 1'I HE:df lMOtP,III HilNil @i R:.T$NI1Iisg:4.w if�';t` i."fFnf.1MEf I1II NI o R ib um, or e • P 7 Bushiesa nemet Garner Eles:trle Each additional laspecdun over allowable In a of the ObIWO Address: 3930 SW 217 Avenge g A Per inePoeWa+ 11111 62,50 MINIM Ctty/5tate/Zlpt 211litbaro, invest on • erhour 0 kr moo � �� OR 97123 Plume: (503) Fart: • 633 -792 1 ,ti hl m' 1i �rh 1 3111 11,, G , G ili�tt �it,ti cif' 1 COB W.: 131269 1 E eotrieal Lion • L $ •w. Lie.. 3707.9 subtotal St .... tpr'. Electrician signature, regoirod: ' / Plan rayiaw (1506 of permit sea) "Ir YIIlar i` >: slaty aura7440fi%athermiifo° 11 .l03 Print Manes • , rtoAx. tg1111iirr FEE 2(004 AiS Authorized signature; rah penult .tq,tla rwe.glreaIta penal. la sot enataat W i l d a tea derr error It her btea acmPted � a a � a p �� Dane M Fee raatbadoloty baby Tti •COwny 1ulldlnt am t PrInt name: Dena Number otingiamtaw Pa am* altowrd t: tn1 ,1144Vettda4tA.ltatW4,661155! 4I04e1 ttlteWJ Mtwso Mechanical Perm' WO .. ,,,:-.. . City ot Tigaitd Penhit No.: ' Date/By: 13125 SW Hall Blvd., Tigard, OR 9722A 20 2004 Plan Review Phone: 503.639.4171 Fax: 503.598.10V.. Date/By Other Permit: : Inspection Line: 503.639.4175 ,--, #41fiii \, 1 1 Cfr QZalkl„ten Date Ready/By. . Internet: WWW.Ci.tigard.or.us i F G olvisio,L, . „.. ,., NNotified/Method. Juris: 63 See Page 2 for Supplemental Information BUILDI W ee7461< ',0 "5 :1 11 P "''''Vt ' "MI:': r6Tafk'eUi.ItIVVeirelrUlMSt 3 401:1.NA14,iVt8.Mlg',.-Lultl,„a-,.:=` , (ICI,2,. .,. .-,•:'''' Mechanical permit fees* arc based on the value of the work zi New construction E Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition E Other: mechanical materials, equipment, labor, overhead, and profit. SIVE *01 ,,,:`, -AO -Svpa.4z.roaA 1 and 2 dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi 11 Master builder 0 Other: Description Qty. Ea. Total :1,#iii;;Ii!SZisexivak*.fronfieploAteittoivmmt.,71,10 Heating/cooling Air conditioning or heat pump Job site address: 7707 SW Alder Street (requires site plan showing placement) 14.00 City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 14.00 Fumace 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.: 013 Other: 10.00 Tax map/parcel no.: Other fuel appliances lik W ater heater 10.00 '..:W'' 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 .; ' : ,4 1 1 - ", •1 . ASIVOTIVOI:CiiiW ''t:1iii4VI Chimney/liner/flue/vent 10.00 " Other: 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 Wtfi'; 5fii ':le*; Attic/crawispace fans 10.00 Other: 10.00 Business name: Legend Homes Fuel piping Contact name: Steve Lucas $5.40 for first four; $1.00 for each additional Furnace, etc. Address: 12755 SW 69 Avenue, Suite #100 Gas heat pump City/State/ZIP: Portland, OR 97223 Wall/suspended/unit heater Phone: (503) 620 Fax: : (503) 598 Water heater Fireplace E slucas@legendhomes.com Range ;;A1 Barbecue Clothes dryer (gas) Business name: Tri County Temp Control Other: Address: 13150 Clackamas River Drive ttkiax:;_,,, i ,grririkTeearT*EJAkrr"akjifffipXV*iaW;'s': 311.4.m '-''4 m,L. -, ,, City/State/ZIP: Oregon City, OR 97045 Subtotal 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) TOTAL PERMIT FEE Authorized signature: '°1--- 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 t \ Building \Permits \ MEC-PermitApp.doc 12/03 440-4617T (11/02/C01\4/WEB) l• r x3 A ; c ;V y ii +r.<k�,t r i e z,ASVit .� ` ' Plumbing Pern i. s, '.. _ lifo � F,�OR 0 EFICE US>� ONLY 4 ��� t ' City of Tigard 0 2004 Received Date /By: Permit No.: 13125 SW Hall Blvd., Tigard, OR Phone: 503.639.4171 Fax: 503.5 D Plan Review t Other Permit No.: F � I Date /By: 24 Hour Inspectio gLine: 50503.6360 O TI GAR ®AI 0,, i,� , .� p. .. � i! •' I� _. Date Ready/By: inns: See Pa e 2 for Internet: www.ci.tigard.or.us 1NG Notified/Method: Supplemental Information 4 �: r... ti;� ".�,a *, .i. +... emu, = .�,:; z' ll PE OF �10R '. LE SLt(' . ze...�. Vic, .. � \ . �.w,: s � x �:v�^,'�L:� �' :>&s =.,, w:.s.>a .�.., - ;� �;;� �. µ14k... . , -�;.;� ,. .,. .' ».,.«�. w_ . _ 5;,. ..�<'xs,�y�:.m- x;.::- �:. <:�; IS 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) �^; "<;�,. , €�;:sm .;, °.�, � � &;x�..' s?�:a, .:��i��.aN:r.:.; ra= .ice; -s.' � : "° s ..v � " - .. ��" i t, = :r�� Gt- 11;,_?(,I, = ONS`CK13CT!(1N A ',,,1: 1 ` ;:;u; SFR(l)bath 249.20 • ® 1 and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building El Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: ti << °M.. ;,,;, „'_ l Fire sprinkler ( sq. ft.) Page 2 ; - ' 1kT,,,, OR e ,,,A ()N F ' , ,., per `� �'...., �' �° �...,. �: �, �_.,_a �. �� ,��.�.�rA,.,�.:�z��,.,.,..��,.. .. - ..,........ r.- �: - -4.. Z Site utilities Job site address: 7707 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 I Lot no.: 013 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 `4F -; °'_,,,/" -<: .,' ",,�','.'�.:;; �xi ;i 'y,:�;cj :.. i'��� W�xy� �` °:a� 4>„? ,.,. ,.;,� , : zisa , r :.: sz Ii .. i : :; ;a�` :a''::s °az I: I> : , � , ,, k ,, AFS P TIUNY`t}F °W � . w,' *t.. t .. `sue =.._ . � : : _:.nk.... >,'. .,,. .,, _�... '>° . .s._.::,F -:.: Backflowprcventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 - ,r , ,T;,, ryr .:s, :.:.. < Drinking fountain 16.60 g ' , gi ;i :- ° F v - I ;Q R,, FRK . - ❑. TE n 11.v. '�.�"� ",, ,.,.,.. .*.". 1�*�&'?u.�a� `a,- . . ..., .Y ..�� %;ter „W .:`,.e.`+�;+�'a'<a.�ff_�:: �'<s a._ >L;:^ 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 �::, �, y�x° �� �� a �: �..<� � �:.:� Hose bib 16.60 wi: -: g E ~ :' � c �P l'1:1iG A:t�T ' , �°'�.�° ` ''''3.4.....4,-, , iree6i 'P EItS6 : n :' 3:; .s. .;zx2�;..�e..s, a= e:��,..v,9,, »., �. � <...�. �:�� -. , . �� . ��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 . w, �� in x' :f:g a C®NTRAC ', iFOIt .A4 :, A , aM.... •= 16.60 ":��� r���g�,.$,��r„ �.: %- <'�n... A�:.�. ,2. ��A <., .,�a,,.:, . , > ry.� :,� ,.. a . k Water closet 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 \Pei mils \PLM- PermitApp doc 12/03 440- 4616T(I0 /02 /COM/WEB) LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA 1 Fr 41 to ® til. 1 11i• 4 1 STREET TREE CERTIFICATION . „› ,to .4 . 4,,,,,, 1t. 44 i ® M,44 rM/ &4NLE S o N N r ® I , MAenaISANoE � iy�tahrnI 4 ,Owner /Agent for tiTAAC 1 (PLEASE PRINT) _' ERMIT HOLDER) 1 r ® ®: 1 Al w7 y. i i ® Y C " � f e Y ` , ', in5 4'1, .� s +lt K d/ 4 ® Do hereby, curt % the f olldwng location . meets x ti gTi =and /Washin on Count ® land use and development standards for street tree installation. 1 • 44 to- ® ADD RESS: S ^-' � A A l n S E Y aC � - 4 A LOT: H f C7/3 SUBDIVISION: f 4MMc /f e ie iA, 44 Itt• A BY: : 1 1r . ;: 4 iel D ATE: It ® RECEIVED BY: D ATE: ? - 2 , 6 2-67 5 .--- A VVVVVVVVVVVYVVVVVYVVV VV VV VVVVVVVVVVVV®®® ®VYVVVVVVVVVVVV® CITY OF TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: MST2004 -00400 Phone: (503) 639- 4171 006 Inspection' Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME 7:08AM PAGE 40 SITE ADDRESS: 07707'd ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: ��� TYPE OF USE PROJECT NAME: HAM GROVE DESCRIPTION: New SFA. OWNER: LEGEND HOMES, PHONE #: 503 -620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 9/2812005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 016850-02 503-849 -5247 N Corrections /Comments /Instructions: 1 1.11 k ill..P.114"." :7 000 ) 44\ K PASS • 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL ';LL FOR INSPECTION n ADDITIONAL FEES ASSESSED 9 . `ZS-C 7 Inspe ctor: Date: S Phone #: (503) 718 - CITY OF TIGARD ... - BUILDING DIVISION PERMIT #: MST2004-00400 5/6/2006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 i t:41j( i‘i Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 9/27/2005 7: 05AIVI 26 SITE ADDRESS: CLASS OF WORK: 07707 SW ALDER ST SUBDIVISION: HAMBACH GROVE LOT #: 01 TYPE OF USE: 3 PROJECT NAME: HAMBACH GROVE DESCRIPTION: New SFA. OWNER: PHONE #: LEGEND HOMES, 503-620-8080 CONTRACTOR: PHONE #: LEGEND HOMES CORP 620-8080 Inspection Request Scheduled For: Date: Pour Time: 9/27/2005 Code # Inspection Description Confirm # Contact # Message 299 Final inspection 016730-07 503-849-5247 N Corrections/Comments/Instructions: dir-- 7 .-----`:---- - • • NI PASS ril PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS p; FAIL r/ • LL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: _ —411( /11111111.111111■ p. ---: -2- 17 Phone #: (503) 718- '■IMIN. CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2004 -00400 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 516/2005 Phone: (503) 639 -4171 , Ipul�ii��� � l Inspection Requests (24 Hrs.): (503) 639 -4175 ... �111- INSPECTION WORKSHEET FOR DATE: 9/27/2005 TIME '_�� PAGE SITE ADDRESS: CLASS OF WORK: 07707 SW ALDER ST SUBDIVISION: HAMBACH GROVE LOT #: 013 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: CFA New OWNER: LEGEND HOMES, PHONE #: 503- 620 -8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080 Inspection Request Scheduled For: Date: 9/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 016730-06 503 -849 -5247 N Corrections /Comments /Instructions: IY[,T6- . P e> o!! :---- 4c2 L/11 /1f - 7 Z E (..) P f O27 a F &-- - 1■ PASS PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL frILL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector `— ■ ` Date: . 270 Phone #: (503) 718- OIT$ OF TIGARD. 41) 1 BUILDING DIVISION PERMIT #: M�'T2004 OQ400 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 516/2005 Phone: (503) 639 -4171 /em >Ngm���i�&I " �I I Inspection Requests (24 Hrs.): (503) 639 -4175 °'f!.. 1 INSPECTION WORKSHEET FOR DATE: 9/23/2005 TIME: 7:07AM PAGE: SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 07707 SW ALDER ST LOT #: TYPE OF USE: PROJECT NAME: HAMBAGI -I GROVE 013 DESCRIPTION: HAMBACH GROVE New SFA. OWNER: LEGEND HOMES, PHONE #: 503-620-8080 CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080 Inspection Request Scheduled For: Date: 9123/200 J Pour Time: Code # Inspection Description Confirm # Contact # Message 393 \`1 Plumbing final 016471 -05 50:3 - 149-5247 N i Corrections/ Comments /Instructions: I T Q . c0,\ \/(\', WV\ l o 'T ° PASS PARTIAL APPROVAL fl CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED 1 Inspector: h il, Ze-/A/ Ili-- a Date: 7 -- Z3 5 Phone #: (503) 718-