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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00390 - "4I DEVELOPMENT SERVICES DATE ISSUED: 2/11/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 SITE ADDRESS: 07844 SW ALDER ST PARCEL: 2S112CD -13800 SUBDIVISION: HAMBACH GROVE ZONING: R -12 BLOCK: LOT: 036 JURISDICTION: TIG REMARKS: New SFA. BUILDING REISSUE: COLOGNE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 963 sf BASEMENT: sf LEFT: 4 SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 1,254 sf GARAGE: 462 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: VALUE: 216 20 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,217 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 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 ADM_ 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st W /OSVC/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 REVIEWSECTION 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: $ 6,920.10 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard other applicable laws. of All Specialty b o ne 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 Issued Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building Permit Application 6 - F * . , t z „ ,. ; ,FOR ,F IC r s>E of LY 4 ° y 'r Receive ': �`) �pt'�'' ( u / �+/ / d _ City of Tigard J UL��YJ�� V Date /B Received `6 � /C Pe 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review . 19 7( T Phone: 503.639.4171 Fax: 503.598.1960D EC 16 1� , mit:c [/ 67EC 1 U 200 � Ir � ( Date/By: ` m Other Per `�A 1J � —D � � )' ©� ( t�Q ?24,- Ins Inspection Line: 503.639.4175 r'� e ' Date Read /Q P �: s Ready /By: "rJs �- Juris: ® See Attached Checklist for Internet: w ° T 1 C r tvw.ci.tigard.ot'.us NotiSed/Method: Supplemental Information CITY OF } ,t' , �— s - K. _IV-1 , s „x. _:--...;---t:.,+ r +. �.. .� ....: .....: ..m„ P±.:S.., - ..v + ...,,. + +�\ .. , .3� C .:<,, \T.'.Y,i::: F,`: .v" .s., , p� �� ..'y ..x�r. xi `.gt'p. ;..,. , ; �� ;�s i , &` -, , x ?: ,' �'r� n @ fly g • - ,. $$O�44 ( gj k hl` > ," il)? f�' TTI ��1ikili . i t1! \ 1- i2- ,PAAIi1 ., 1]�f"GTJ e1 °�s y< Z L - ., n +. < , gi ;�,x,� r , ,... :. ... . ...... .. �.�.s Fwa`:aKe `ta ei�' ...x'. ",•fl�^-- mR,GNo 4['�a :- k.4 •"::•,?2- `�s'Arw u., xx. si. ��i°' 6..... �a" w' �i��s- zx4� .zw:w,a.".::4�t�- ;,..,s„ixi. ..,. _ .. ax .. .,x. m,. >'.�`- @E� °3�e � "`,.s :�.'�_.." ® 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 :: a ` l! ,,. M; ; .;. work indicated on this application. ,;' "- ,�z0 �,�... Valuation: $21 7740 9r. ® 1 - and 2- family dwelling ❑ Commercial /industrial a uation: 6,0 ❑ Accessory building Ill Multi-family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 4• J OB,,, ,, :. ' LNG(? M .A , D ® t0IpiV ' ' a �j < i3o : Total number of floors: 2 Job site address: 7844 SW Alder Street New dwelling area: 2217 square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: 462 square feet Suite/bldg. /apt. no.: Project name: Hambach Grove Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQ,IIIRED = eaffiERGIt1L=USi CHEC T Subdivision: Hambach Grove Lot no.: 036 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: a and the profit for the d a e r @ . '.w e ; ,'.'`!• "^ equipment, materials, labor, overhead, work indicated on this DESG'.R : TION., OF`.. WOR `K >�.•s`a's�s�;,< <:: =.a =¢5; -` ,;:... ...fit. application. :..'. a ' �. X• ' �`�>�c " ";� „ ':X�;� „ 'i��$,`.: , ,`r a ,,�x, a�<t,.;,t., :..... .. .. . :`� %,; ^'•;. ^, , - mom• Valuation: $ Existing building area: square feet New building area: square feet rK;.:,F °;..,�;.. ., ..,�:. tip` >��� �:�, � „���- y;�-��� =v��u-� ��i :, PROPER7l ;O�MPIITK 5„ ? ,tk # %.; �TENAN s<° Number of stories: _ ,,. tI'u o�.';,� \.,,N.,_,,.,, ,<,,.a.a..r.._ ::. ,Aw..Ne . .- �','�A;%�..�'-- �= '” --.,. ,,.rte,#',: ��c?e+�- - ,..,. .:: 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: z�' ... ,....., . <. , , , ;,.,� ,«, � � q ` �, � :. � Sri-- . t AP'PLTGAi k r . .k' -W ` :: oN” TA CT` &ERSON x� . 10E... w,. x � , � � War ,`t�c�.,, - :�:. �t\ 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 , `' %'C ". '4'�% mad �� ., < � �.,.ck =:. " GONl1'RA OR` :x, <,:,:: } , :::t::t Business name: Legend Homes kt k "k s `s:.. ` "w i uulLDINGITFR iT E S a a,, , « ;: , -- 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 \Pemits \BUP- PermitAppdoc 12/03 440- 4613T(I1/02/COM /WEB) 01!16/2003 00:15 6427925 PAGE 01 - • DEC -01 -2004 14ED 04130 It1:e domes FAX NO 5035988900 P. 02 Electrical Permit AupUca *4Y® ,i , Irl)it (,I 1 11 t 7,t ? }I ) 4 t li " • City of Tigard Uhl, 1 6 : 10 1 • tinNeyc ' ptmrallo O' 0396 13173 SW !tali Blvd. llgard 07223 '' ►', , Ilan&mow Other Wits Phone: ?03.639.4171 Pox: S03,30111060 CITY OF 1" 'j '° �I1i "" t >o t�,eyray: invent* www.a tt Lana: ,703.630.417 , t bd /141"tethe sum mer:en larormetlan mtorn LGpttdA ►ut BUILDING DIVIsIUN (I, ii{� i„ �r r ��,- V D'L I II f i'iY.,a y , , ; ,�r, i 1�r.a; t Il * °�{ I y I IVS iW1?�i?.'rF�intll:.!i.l ,I�:i i�,1tL+i�f'' I��i�.l� � ,�r {4,!iiu�nll �i,11GYI:i "''''1P741M1,Fi' ili i i,i I I nl ,j,'�. ?i �IN I ti'afig , u"��' t ,_ 1...r . '1,.: , �,. ' f �. I t''' it f � t� � Il l j`I7 � � �f� �' r�l �td t� I . Plisse Await ell w ;too r: 0 ... 4 New c pntt>7ictton 0 Additlon /aEterttlt�n/repl000nxatt OSavioa over 225 was, aomm'I 01-latardoua 1oonbor Other OSarviee over 320 amps - rating 0 Outlets ever 10,000 Mk. 1t.. a Demolition p 1 p nowse6idaritial q•i q. I a 1' p n tl� li d .,y.ry :q•. r I;y.c. �.��:�q.�!•i'"• I l . n t;�:t Ill "}�N t+'rj� U »,141�1 •1:�1({`?. 4�,i? I Ot 1• 2 inilY4w° 4 Or Irb/0 ��F:I� ;(i .� } }, ;HG�� ;�R; fir)), li,l�f ;�,rr('[��<<i�r�F.�zC,� x ,11 ! ilk , ;u:.'• building Q SY5wrn over 000 vp11P nominal salsa to one KrruoNra E 1- and 3- fantilydetallins al CedmiereiaUbidustrild III• Accomory 09uMing star dm stories QRemdors, 400 arrlpe or Mar* OMt11d•fhmi1 ❑Master builder ■Other 00,cupant wan m'or 99perjon, ❑Manuihoturedatraatareti 61201, , r r ru }r t i r '� °n.r a 'n.d (•(I""� stv,. q'o- 'pr t :. o f 1 t" �' ` ° OS ;�I y m�i!IiQ1flb Plan 1:V pork `I j�,�� "�ff �� !�.I.r.«i1 ; ;': if. .'.,, 'F�_ la.'.�w,:x , ;� �1t�1..,.2J.�id� "Ei:I•`•vi 0Otert . • "' ®Freehh- oiraAc!)ity Job no,. Job Oita address: 1$44 eta .1 S - '- submit 1, up sr plans with my ante above. The above ore not appticabk to tarpuary oorwaruellon mama. City/State/ZIP: Tigard, OR 97224 u r I r :" t, c 2 1, ^i r,' ' dli;u�al , i�J'r i ._ �Ln;& ill +y�?g�l�u�� ?lly,>�,.r;�.�':1, .1�:.:�u�a Sttite/bldg•Inpt to.: Project !aortae: thutnbaeh 4trovt: peeeelpda,t am Cros9 Street/directions to job site: New ►rodeo ■dal slneto -or multi- family dwctfl* Mt. INslu4ai Method _ ereg t• 1,000 ia,1t. oe 1atl md LO: n o.; O3 Ea • addtl SOO f!. or • onion t )3.40 emzo Subdivision: Sambiub t�teovE 75.00 ,�,^,,,� , - Limited at - ,, , residential � �� µI r Lhnlmd ever r , non•rotldential M 75,00 . ��� • ��{t��''} 1 o f 'y el j� rto f• �( , • f t } r w 4 y � y } �y�,' w 1 'gI�'Cl 1'I P I�'1 �"4iI R i 'I i�1' (, Ba011 It1enufoeturc{i cA Imo ar , M© : }~Ill iii �l�' t�EU�ii1 .M,tiur1a6.4,�I,iAiu:�,n,.� .n" �I I'...�,,L1 ° iro.,'T.i1�L'fv n.,G,,'l: , ;l � �< h�..t 91.00 Os lit: ea and.cr feeder Service! or feeder" Installation, alteration and/or relocation Z00 ‘ s ar leis 10.30 © ' 1 i ° � � , t�r•S } fl% r� r" (,,, , l d t040D •� �� 106.86 111111111111E1 �i n „, a. 1 7r,. r" 1 't' 1 '' F d( I�{'.E. '� 1 1 S l 'i N�d�t rte ;} �' :.' .S�tt�' '.I � 4��V�� �'1 �� ,I It�i W ,'�:t.,.. t ,,,..ki -aGL 160.20 IN �n. ., dam..: t,,,�e._ � ..,It,.'w.�., 1, ? �,alt'i,�.,,.�I��"1.r��, - ..0 • 40t .► to 6 00 amps Nom: Legend Hone 601 n • i to 1,000 anwa N 240.60 Address: 12750 SW 69'" Avenue, Suite 4100 Over 1'004 at v0111 = Q 66.85 al11111131 City /sWta1'ZIP Pordtlad, OR 97223 Temporary urvteib or fbodon Intonation, alum on. and/or - -...�. _ refatatloo Phone: (1103)620-$Q$4 1 Fes: (503)5994900 200 ,.. of ease 1.11111123 Owner issltofiat1o1: This ina01146011 is being made on praperty t 1 own which is not 301 lava ha 400 am.. ME 100.30 1111.111 intended for sole, loan, tent, or exchange, a000rding to ORS 447, 449, 670, and 701, 401 yR1 .s lo 600 amps Owner signature Darn. Brooch decoke- Nara. alteration, or octane' . ' and _ s tl �, pp ry q t 1 Prli , E 11 !'T r ? t� V' rl M�rd A. '. for 13;7 h • rPn ne wll . �© a��' ;�i,'��,kV'i3?t��n':`..t.. `! °_ �,,i!�".:L "f . eyc� .�l'ti ;1Ga.��,l "„;t,:. „��1,.� . ke.< � ;a�a.�,:fS.,� ;r�:.,i.:�lilwt�A! scl•y iaaer�eelarltie,eaC11 l►Mncn s a Rte for brwtclt eiroults C II annot atone: Sieve Laces 1 woes Jenks or feeder res. .� a u . ranch circuit Address: 12/SS 5W 69 Avenge, Smite P109 dash add brit Ott elmitit r 6.43 - CII 'Sl et/VP: Portland, OR 97223 I Miocdionceus (sarvIto or feeder tot laelO444) Puma cc Irritation circle MI 53.40 11111=1111 ;+}lotto (963) 6204060 Fax: i (503) 591 -8900 SAO 01.11111111131 E -mail: aluemeQJlupndhemea.com lane , rat a��nrltod• Rtarti,I�l,l f!`�lirani#�t l> I,�i ' � 11( t .n1r r,..,.q• ; : gi al ' is , r'r�'lfg ' �'" 'taw l at ar Businoea r,i>i i u I, 'r'I ii fS'1 , aY` .y T 1 � •t? )pn,l,�tll�� �:1i:,,.tl.•�l�•a bav ;� extindo MI MI Garner Electric Eub additional taepotdua over allowable In a of o bane Addroesl 2920 SW 247' Avenue A A _ _ Per inspdii+on MO 6250 MOM , City/9Mate/M'sHillsboro, OR 97123 tavern ,.. boor (1 tr min) MIIIIIMIlliall Phone (503) 5514320 Fax . 642 -7921 w,u v,a1 y; ∎1 ( ) 91 1310 Q R4 ig i�{ ll I_ JSL'S.! �li .t. +' w -i CC9 Lac.: 121159 Blames! Lie, filr S •rv, LAG- Sulz v. Electrician signature, realatred: AffiffiAiri'/ not rwiew (21% of permit fbi) i� Print nano: a i Tact'. MAW FEE 2 t.9$ Authorized signature; trt, vomit aponouinn - It a vault!, sou waked wkIalo too days Otter It hai been laasptod is aotapIw Date: l ('o roadt G4• • Fao adaloty oatby TriCawriy J I 4lni udusry Sorvio, !lease Print name: •., Nuatbar at inep+uba per jamb ofowed, t ;1tu1N1oa1lahnl014•hleeMPP4•• Ialoa 46461 ntioamcnoinvia 40041.74frarniffeeoptwodlivramm,k7afmkoRFA0-, Wchanical Permit Application= 4-441,44x%04,:itx.E.9,1i4QCFICKINS,K.M.0.4,90A.0.14VA-Alo-uo- City of Tigard H uc,niEr Date/By: Permit No.: \- / 13125 SW Hall Blvd., Tigard, OR 97223 • • Plan Revi Phone: 503.639.4171 Fax: 503.598.1960 • DEC 1 6 20.,11.,,,,Poitv ew Date/By: Other Permit: Inspection Line: 503.639.4175 Date Ready/By: Juris' ra See Page 2 for Internet: w‘m.ci.tigard.or.us Notified/Method: Supplemental Information CITY OF TIGARD OtS'OREDULEATSEIC41EGICtISTA4 New construction 0 Addition/alteration/replacement Mechanical permit fees* are based on the value of the work E performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition El Other: mechanical materials, equipment, labor, overhead, and profit. Xi MA;Vir•2Ij,IPV•4'''Zllg,ctitoiUilfiratjk,VO'Vu'6R4WfarOjsaaia-ittr: Value: $ „, ,„ ' P•W MAI" II KMAg E 9SRMN I XVAKW .TeUr5.0 1- and 2-family dwelling E Commercial/industrial El Accessory building For special information use checklist. Multi-family Master builder Other: Description Qty. Ea. Total Heating/cooling • Air conditioning or heat pump Job site address: 7844 SW Alder Street (requires site plan showing placement) 14.00 City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: Hambach Grove Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel-type, not electric), in-wall, in-duct, suspended, etc. 10.00 Flue/vent for any of above 10.00 Subdivision: Hambach Grove Lot no.: 036 • - • Other: _ 10.00 Tax map/parcel no.: Other fuel appliances - , Water heater 10.00 gv,(1V: 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 S;119.01,00 allAigiSili!.;i:MAANT:ASIZsg,‘::' 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 Fax: (503)598 toilet compartments, utility rooms) 6.80 1011WitA PL1CANT , 4:71 ;Te&itkre Attic/crawls pace 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 h 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 ' ' ' '`illTi idgli4 04 4'1 '''' 44 : ; ati ' 14R.X6foli'''- '7 :: ', 1 774 M I t I V: : ir*Vii:'kietiilii* Barbecue - Clothes dryer (gas) Business name: Tri County Temp Control Other: Address: 13150 Clackamas River Drive 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 This permit application expires if a permit is not obtained within 180 Authorized signature: " - days after it has been accepted as complete. Print name: Steve Lucas Date: 12/16/02 * Fee methodology set by Tri-County Building Industry Service Board \BuildingWermits MEC-PermitApp doe 12/03 440-4617T (1 I/02/COM/WEB) Plumbing Permit AppliCatto,N N/' � ,; , ' 4 a aFORa O FFIC E �I ust.4 o NE: ,, -,..� � . i, : 4 c E n �AT . ! . .,4 .+t , 5n , ,,' F 7 ?.,,,, ,,c! , 59 .„,.„. 5v „,..„ . „, „: < .„ 6.M i . � , , City of Tigard Received • Date/By: ermit No.:� c `� LJ l 13125 SW Hall Blvd., Tigard, OR 97223 Y' \` �w 7 � / / Phone: 503.639.4171 Fax: 503.598.1960 DEC 16 2, I Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 { •f I Date Ready/By: /B Jul': s: See Page 2 for 4 l Plan Review -i. Y Y Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information <_ . -.ter -M , «:,;,.,..,,. .,,o 11� V. ,,,, "4,, - . 1 \/ A Fi a:c <.,r,,�:- •_<s .. ...,.- 445t4:',-:''''''''''' ..: y �e - ':� r :3 . + ^` .fir - o ...,. ';F Cl Ft, U , : : :r�" zz .. . i >,. :. s��'%�.'� - � �. �.,,�� ,�. ..ae ., __ . s f� . L "J�kt� +r`��t � -- ,.,. s.v. >�r .�'„�`Ei. :��r�,. <, - � <_� , � _ ,.r _,-< ... � "&+�e a �- ® 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) ` %11 T (,( ftl' t;7,)i"«`CO!1�'4j1: TIQ, ; i' v ...., 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 0 Other: Fire sprinkler ( ) g F' s . ft.) Page 2 0:4 x '° tio gerieINFOR .xLiON AND' I,OCATIO1 All '' em �. < "t: art :: « _.<. . , .,n.- ^ t4 �g °.%o,,,.. _�5.M `' ., Site utilities Job site address: 7844 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.: 036 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: valve � _ Absorption ,z .-DESCR IPTIgN- CIF DOm >,. % ;:., _: . . ;?��;��;:....... . ��i�. ;i�:�a. %.�.,. :,, - ...� -.a.. . .:.��= ����. -.:� ....,..... .K;,:�t , �„�.,�.,�� B preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 r s; . . - - Drinking fountain 16.60 .zi*,*4.,;: ''�S PR Q @AVER ".4,--i.:.,:,-, . � * TEr - r.a,-. '; t , ��"•;s ^? l - me..�.,...s_ ., �, t.-. . ,�.x <... . . � �.n�« �.� � >`�, ;� +,,� �;;� 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 .n - Hose bib .60 r`� ,F.,. . .. .„ 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 6*= - ° °\ : � ONTl2AC POR - 'C , ' '� � > 1•, ` <,� - - � ��� � -- Water closet 16.60 c=-, =`c " " ;' <'':� H;+ +ma / ,,,.,..- ..« . �:� Pt;�. �i , v ., ..,z.:'%,:���= ;`c -�.«. - "a T+,� "a „t :°,�,S�:z«��,- «��:��,- , - =. -� � �� : ,'�8;� 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) Inspections Required for: 1VIST2004 -00390 ✓ I Code Inspection Description I PASS Date I By • MST - Master Permit 405 Excavation 410 Fill 415 Grading X 205 Footing 805 MFG - Structure grading /footing X 210 Foundation walls _ _ 215 Footing drain 305 Plumbing underslab 220 Slab X 310 Crawl drain X 315 Post/beam plumbing X 605 Post/beam mechanical X 225 Post /beam structural X 230 Underfloor insulation X 235 Shear walls /anchors X 240 Exterior sheathing X 242 Interior shear walls X 245 Firewall 250 Roof nailing 255 Wtr proofing basement walls 265 Masonry 270 Reinforcing steel (rebar) X 320 Plumbing rough -in 325 RP/backflow preventer X 610 Gas line X 615 Mechanical rough -in 110 Temporary electrical service X 115 Electrical service /reconnect X 120 Electrical rough -in X 135 Low voltage 910 Sprinkler rough -in X 275 Framing 810 MFG - Structure set -up X 280 Insulation X 330 Water service X 335 Rain drain X 340 Storm drain X 505 Sanitary sewer 350 Septic tank 285 Drywall nailing X 289 Approach /sidewalk 295 Misc. inspection: 899 MFG - Structure final 498 Grading final X 699 Mechanical final X 399 Plumbing final X 199 Electrical final X 299 Final inspection I: \Building \IVR \InspCard - MST.doc 02/02/2005 ® ®AAAAAAAAAAAAA AAA® AAA1� ►AAAAAAAAA►AAAAAAAAArA►AA►A►A AILUALAA/ILAAAAAAa1 A to 1 STREET TREE CERT to A to A to A w A I, i fYi � oP /. � e, � C eo t,J%,,,I i ce ? ‹, r ;i. Owner /Agen fo Le- t � Wu -( S A (PLEASE PRINT) (PERMIT HOLDER) '® . 1 00 0 A Do hereby herebr cOiify tl 'a 'the following location to A "- A meets ..0 tyof .:Tigard /Washington County O ® land use and development standards for street tree installation. 0. 4 0. ®. to q 1DDRESS: 78 14 t (,) 14 J2� S 1 - - € — 77b c.,,- 0 v 5 7 2 - 2- A LOT: L� (3 O . � SUBDIVISION: g- LI c. 4 (4, s I t 0. 4 00 A 44 BY: L1 e- 1. I • • _ _ & 0 e, DAT ZD S� --v 41 Ilo. ® RECEIVED BY: DATE: C� - Z( ° ® , FTYTTY®yy YTTYTYVVVVYT TTYVVVVVYTYVVVVVVVYVVVVVYVVVVVVVYVYlk CITY OF TIGARD _ - - BUILDING DIVISION ` ' PERMIT #: MST2004 -00390 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/11/2006 Phone: (503) 639 -4171 � ypiQlPl�li Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/21/2005 TIME: 7 :11AM PAGE: 34 SITE ADDRESS: 07844 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 036 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: 6/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 009764 -10 603 -849 -6247 N • Corrections /Comments /Instructions: g —CTIZOTIZ_656 Er • . NSo Clr: t PASS V PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ra • ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED _ ...iiiiii i iiimilliiiii . b. ..... Inspector: ....m....- Date: - i ©Phone #: (503) 718 - . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004- 00390 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/11/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 6/21/2005 TIME: 7:11AM PAGE: 35 SITE ADDRESS: 07844 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 036 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: 6/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 009764 -09 503-849 -5247 N Corrections /Comments/ Instructions: • 'PASS P " ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL % CC FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 2/ er- Inspector: Date: Lam' `--° one #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00390 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/11/2005 Phone: (503) 639 - 4171 ° /lltlIi�fl , �'I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/15/2005 TIME: 7:16AM PAGE: 47 SITE ADDRESS: 07844 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 036 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: 6/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 009334 -14 503 -849 -5247 N Corrections /Comments /Instructions: • • [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 97 /I Date: Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2004-00390 13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 2/11/2006 Phone: (503) 639 - 4171 ° 41�� yi r� u l6 l '� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/10/2005 TIME: 7 :05AM PAGE: 9 SITE ADDRESS: 07844 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 036 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: 6/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 008990 -08 503.849.6247 N Corrections/Comments/Instructions: #4/zo r • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 7 4 - ( Date: Phone #: (503) 718- •