Permit � MASTER PERMIT
PERMIT #: MST2004 -00401
DEVELOPMENT SERVICES DATE ISSUED: 5/6/2005
� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112CD -11600
SITE ADDRESS: 07701 SW ALDER ST ZONING: R -12
SUBDIVISION: HAMBACH GROVE LOT: 014 JURISDICTION: TIG
Project Description: New SFA.
BUILDING
REISSUE: COLOGNE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 963 sf BASEMENT: sf LEFT: 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 THIRD: sf RIGHT: 4
VALUE:
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,217 sf 216,874.20 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: 4 201 - 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 AREAISPC 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 #: L,IC 60563
TOTAL FEES: $ 6,920.10 .
REQUIRED ITEMS AND REPORTS
11111111, _
Issued By : _ =(�? ( /�/ Permittee Signature : T, �,�, t� j�j`,
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 projec .
Approved plans are required on the job site at the time of each inspection.
-Building Permit Application t...:.::•,,-,i,r,,:,.,4:-iy,;,,,,'..-i-,,::,-t,-c.,-::,i,'.i-,*.,-,..-P',,::o-t-v4-,:-;i,-::''',:R-t'',,,,,,,7'.=;1,,;v,f;._;iM'<.-:',,\;tt,,,'','--.-:
FOR OFFICEllSEMNIAw - ,....f/, ..•-„,..:--* -!'.,'
City of Tigard RECEIVED. '' Received 0
Date/By: /,./ -9617— V:6
Permit No.:\'1\51: .,.. Cid j
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960
''' --t EIMl1: Date/By: IN V 1 - - Other PernntA67 70 03q1
Inspection Line: 503.639.4175 DFC 9 0 2004 :"4'W.47 Date Ready/By: . 6t , kink 0 See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: / - -115. 9
- 1" . 16 Supplemental Information
CITY OF TIGARD Ssp - \ - 0 , 5),--eiy-ck--,,,,,
rairSMItte:, :':'!:F:l
El New construction 1:1 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
El Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
trettr:11(411,MV iirlire07,101si44;Zign work indicated on this application.
I' :***11 ,'O&`',:% ‘`,' t '1 '41? , ' Y;. `,
Valuation: $216,077.40
zi I- and 2-family dwelling 0 Commercial/industrial
Number of bedrooms: 3
n Accessory building 0 Multi-family
Number of bathrooms: 3
0 Master builder I=1 Other:
1,11VWiVF:TITIN§WPArri6iHk41■514Tr*rifii6issMitAkilV-4.4 Total number of floors: 2
.: .,..t 0,. -,:wz.f6c,..4.,,, :',:•aft-Lft'-,,,,V, zr :;'',''''.!'N!5:: '...
Job site address: 7701 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
,,
Subdivision: Hambach Grove Lot no.: 014 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
niffrreMattp;,:Z=:Mr6g,r aNi ZNINW .:‘:oili,:i3;A-;: work indicated on this application.
i;;Z:VIA:i>110,,, , t.i
Valuation: $
Existing building area: square feet
New building area: square feet
kittagriii ikpiiiiiiiiV' z:- : ,:-,ting Number of stories:
3-,1wv,:vog,t ", - .J,W.,A.g..t;Wk %:": ''IMAtite ia`',
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:
litiZMIN 0 - V 4 I 1 ';' ,7 =W e.:j *,i ' '' - ' 1 ' 4 '' f' *; "11 "V 48
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
applicant is exempt from licensing, the following reasons
City/State/ZIP: Portland, OR 97223 apply:
Phone: (503) 620-8080 Fax: : (503) 598-8900
E-mail: slucas@legendhomes.com
rrLV,'zr:'eIRf*40"IF'GEWti;4',;'
Business name: Legend Homes liValiti***64WaINIDIO
—
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:-- 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-PerrnitApp.doc 12/03 440-4613T(I I /02/COM/WEB)
01/16/2003 00:15 6427925 PAGE 01
• DEC -01 -2004 WED ' 0 ke, to§ FAX N0, 5035988900 P, 02
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City of Tigard DEC 2 0 200k :warp _
Phone: 503,639.4171 Fox: s09 PetetkNa:
l312iSW Fiall8lvQ «'l1Csb.OR 97223 ;' ,' ,� �rl�on Odulrprrltliu
't* ) F TIGARD • '!af A . ;' ' a�ia t�1 Other
I yuetra4vsat ....■..
Negation msfA ff M1.73, U I l I io G D IV I S I O I ` tYO saPP'' I ie rvroudea<
tom* www,at,tiprdd r U$
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i iiN� I I ! r r r. Ma T ill 1 111 nil F �fl"1: i1 ti�'py � 6 Ii:kl 1 1 N_i1M ,11: (I'
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Plow vl All ' � itpplY�
pla Now GOnstYlt� ion ■ Addllloill81ter8tlottlleploeomtdit QService over 225 amps, camm'I Dllesterdow location
II De/MO 1 4 D Other• MSe vies aver 320 amps — rating pandas ever i °A00 it..
rt 11't' �tl'1 `it I ri {+iii l uin o .�J ` r + tJ t k I fi "i f , i. !J Ilhyt a•, oft .tI4 2 - Ea11711y 4WelliAvi 4erlreff,ra (01;01-01.1 ���i1� �,qf c�. �i� ��� i I.�fl��Ei� �'I��� �' G.�, ; .fJ�t I „t��:�,(!�,I� r�� �:�, ,��"�?��..�- l ,,... � „� .. _:.., g over 600 vvltr neminnt uniSO 1n oao "v3” ®1- snd3- fsmilyl�valltng ■ ce>rttwroiavi,Id:imial >•I•A000aeoeybuildinp (�Sundinsoverernsorter t�Peale%400ompo
CD Rio e•thmti • Master builder ■ Other (locwpoattoad over 49 paw. QManufheturad maetcrot er
r I n' V I 1 , la l t41 'a; 1 iT1 i r 5 ,t "(ifn<s-r , �''�yt's RV park
U' �'�`fti 1�,�IHI ii I, 11! ( I a 7 ,, , �, I, ,� , I f , r �f>, ' ' � x � i I-7 atoes!II>i ltcm>jp1.7it
4��� Liu I�J, 1�: {� t� „ Nl t „ r .h:dft
a�.: r•:,.t.t...:� � ,r �..i ❑Fte.lth•earaAcfliry pother ,
Job no.: Job u(teaddteee: — 4-. 11 1 ` ikt -� - 9ubmlt 1, sea or plans with any oaths above.
City/State/ZIP:
The **votes not applicable >7 commotion service.
Tlaard, OR 912'14 irl l) i t !c ' q "i 1 '' ” (r o' r
r ,. � J :: ?FN t r1'
9vite/bidd.io}tt too.: p ee.wpoo oa
Croft etrttit/dlreotIono 10 Job etc! • Ncw rcridostttsl 41nito -or tawU -remUy dwelling unle
Ieeludu$ nnedied
1,000 ec, it, er feU 1 14515 '5 t5 d
Ha: add', 200 sq. 11. or portion 3 31,40 I (co. 14 us II
Subdivision! Hamba°h Catmve Lac 11044c, vet. Limited energy, residential 73,00
J _ Limited energy, non- resdennal 75.00 2
Tat eel no.: I {rpp1 IIqq 11
„ i ,` i a 1 :• i I n,, ;•r t-: f . } I i `{I " nt " C -�' { I 11 a ��f 'I I �gUI��V - 1ia411 itlativt'eeturod 4r ltc4ular
{�$ r f � I II r �1 t1 is f r, �k' ' E 61 � "R 00 . s
ingi�l.�i I'i I . l }Ell �o +4b�f� n t,4J�e1 w 11ui .'IA;�. ,Ii ��o� �,:.' a (r I s�. �v:lline. service ortdFar tP10de1' I • _ ..
fierviog or leaden Intensities, alteration then relocation
200 s or I s s0.30 M8
H �� y? n }gy , - ,�,tiu,, } r I�"a•�4 20) �ato40o, 106.85
i i��r l ���++y�� � +t l t a' ; � I! ? yy ui+rl .l l`I i ��P , Li�{ ,. 141 .,.!,, ;� a �t ,,/ , ,, 1� .. 1l �n� 3 I �I,C 7 {, ,,,. t , ,.. i
M9 1.�Jty ,ire tu, rl,i . ..,!c;? Il. , I r 1 I y �:�ti Iii.. i t I ii i _ i o ,n. 6_L MI ' 1e 600 am 16160 b0 p
biome: Legend Roma 60l amps to 1.000 one II 240.60
Ova 1,000 ttr�+r et val{s 454.65
�,ddreas:13735 SW 69 Avenue, Suite 0100 Ova
col 66.8%
City/State/ZIP; Pardead, OR 97223 Temporery urviee9 Or feelers Inetightatay alteration. Rower
rdersons
Phone: (103)620 - SOSO Fix: (503)598.5 900 200. ,.. or less — 6635 1
Owner loots i sales: This ineiittaatlon is being rude on grapy that 1 own which Is not 201 moo to 400 em - IN 10030 IMMINIFI
intended for sale, lease, tilt, or unhand, wording to ORS 447, 449, 670, and 701, 401 atop %to 600 amps 133.75 I 7
Owner signature Deter Smoak dradts —tterw elbranton, or Mime'
R I g e . ', 5 . Alj f � 4 1 i � , v I 11 , ' J it a�E i t _ hs',i441111� 7 A. Pec for "inch 44m ° lei"
>t, .'_ � ?? ? ..!1 , f rt Yi.!..y�..y�.�.Lt.�•an n.._i,:. -., k :Z Faviceor hit, etch
brown thvoit
a Fee tar branch °Insults
Cono0o5 t111me: Stave L1a01s Aims %envies or ttwder ibe.
sac . ranch circuit
645 1 Addroee:12,; SW e' Avenge, bits 0109
City/Slate/VP: t'tu ttA>ld, OR 97!23 — Poop or Irritation circle II. 33
Phone (903) 410.80®0 I Pax: i (603) 591-8900 Sign or outline Bung_ MS 53.40 =Ill
WI
B -mailt slucnsQl)Iolendhemes.com Signal eireuit(s) or Milted
141 i<ili2Drt n fCll i1ig,ir NH ClmLt EK.,`,1Tipv,1: 4. 321 ' ,1 "f l:;l {ilE?� ii'AN! ' YJ1fr H b'i il' itlal1J(INI : in/x4' son, or .. .. 2
FWD a.
eaten*. riewribel 13ustneea norm corner Eleotrle
--- Each additional laspecduo ow allowable In a of ilw ebnv
Alddroest 2920 SW 247 Awnae #1 A Par inspentton r 6210 INIMMI
. CttylSttfte/Zlpi HWeboro, OR 97113 Invwn .... on , er hour p tr M = �
Phone: (503)591.1320 Fax: (' 602 -792 61NICli1 li tlar tlEtWii11 . ; tt 1,1316 Iiii fi
CC9 tic.: 1111 Bteoertoel Lio, t S •Iv. Lie• 3707.5 6xia
9uprv, Electrician signature, tecoirod: if _. - rum review (25ef+ cf p.,,it the)
`
State enrollees* (arse of permit OA 59 . t
rrn'ai ITT
Print nano:
BEE 2.404 AS
Authorized e1g ie*ur. Tsr penult rplisiethin wing Ir permitb •u: coaled wltols MO
Cali W del our it has Mu aecepttd amplest' Dons Da* Fee roodbado1oeY etbyTri-Coonty DuI �t
es Nu mbs, %ti „giekleee pi pm,nit eit°wt6
IlluNius■jans1114$414111044,L4n 1301 440461 er110N creenvaa
0 5 ,u -mot' -'t .V `t °.. 4.- ,i'kc' re2V.,. .im * i - .r�' s *,, -
Mechanical Per
City im Et a s r z ; e 7i �� FOR;OF ONLY ,- f „f
)' )t Tigard �H / Date Bed
Permit No.:
Date/By:
13125 SW Hall Blvd., Tigard, OR 97223 .•- • Plan Review
Phone: 503.639.4171 Fax: 503.59 2 i 2U04 /gyp I I t :' Date/By: Other Pcrntil:
Inspection Line: 503.639.4175 U!L 9 0 • f �I Y ]uris: ®See Page 2 for
PAu.._> Date Ready /By: g
Internet: www.ci.tigard.or.us C ITY OF TIGARD Notified/Method: Supplemental Information
:: - E . T
���" .� °PE ° ° :'O.E: "C l'ff t,.. ;_GOIV1MPs+RCI'A`I, ,FEE CHEDU�%Et -. �IISk;,GEii CI<Lrlt
® New construction El Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
..... W :a��.,. ,,;":. •.,w =4 , ;ki: ;'
t E R;: NS7' UGTION= : t , y am:, ,
� � ��AT ..GORY,O. , ,.CO Value: $
. a _�V
.,.. s , : n;. n' ,®wiz;, w'2:Y.:......:n ....., ...,.. , �a��e*�c��'��ra2u,�- �'�.,�:a ��. . - .. .g,��A�.$��2 ;`�,"" „.:t �.'�l"�;;'
R ESIDB ta' IAL E Q- W,ME.+j7
N €: < ;xi
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building 'M ->' _ - a ^ - . s 5
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB" 5 1 :' N RMz CdA C TION :. ;, = <<;:,: t , Heatin coolie
Air conditioning or heat pump
Job site address: 7701 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.: 014 -
Other: 10.00
Tax map /parcel no.: Other fuel appliances
1''• ��,., =r, it _.: �_E�, ,: / Water heater 10.00
.:',^:r :,� :,,_' D �`"I'ION�� a , r� z. cep- �... ��,;.
r ,a <.% 10.00
Gas fireplace
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
, , „,,, ;,
,0 . , ``w- Chimney /liner /flue /vent 10.00
,,,, ,R ;: R :v : L : ;' 'TE ir.
�.�::u,:„ � ;a� ;RQ ��,.._. �,..., - .,Q -m�� � �:::;,� -.�� �? ,,,. >- ,,,._- ��.,..:.- �cz„.., 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 - 8080 Fax: (503)598 - 8900 toilet compartments, utility rooms) 6.80
, ,: ,; a . ;..x ^, ,,° '
°�%'< ��: °_ °' `�` ' , ` "° °'''" m a > >• �• Attic/crawlspace fans 10.00
�c ;APP I CANT � �:' ° zG .O T�AC^'sT` <PEI2SON > , '; s' P
-
..z.,,,.. x., ii, s a r'.',:.c 'A
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 _
Z , ... ,l r- ,. ,; ' ° „ ;'CU: Barbecue
Business name: Tri County Temp Control Clothes dryer (gas)
Other:
Address: 13150 „N » ... -. ;- . ,••s:,::: ^. _ ,;
3 0 Clackamas R iver Drive `, a
�. MEGHANI >'ERMI F -.., h . ' `. A - :,r,
City/State /ZIP: Oregon City, OR 97045 Subtotal
Phone: (503) 557 - 2220 Fax: (503) 557 - 0919 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: 72623 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
g days after it has been accepted as complete.
Print name: Steve Lucas Date: 12/16/02 * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp doc 12/03 440 -4617T (11 /02 /COM /WEB)
`r pp E I V E s a ,>< ;t , n rV p-.� -
Plumbing Permit A 1''* � r FORrO x ONLYr14 '`
City of Tigard . Received
Permit No.:
Date/By: 13125 SW Hall Blvd., Tigard, OR 97223 ( ` ' Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 DEC 2 0 ,,:. I � x _ Date/$y: Other Permit No.:
CITY OF TI
24- Hour Inspection Line: 503.639.4175 F i� Q` �t. Date Ready/By: Juris: �+ See Page 2 for
Internet: www.ci.tigard.or. Notified/Method: Supplemental Information
�'� r�,<, �. ;s z?• � 'V::;',,, a -sa :.;�i .:�:- c, -�?,�:
' cs � .F �� B � a �.w
� , . ; , t. P•E . O WORK '0..,,,,-':---1.:. f < ,', � LJ7 s .' <' i-
+:�... k - � ..:s:`?r3;€ � � ,
• - .v '€...,& -' .a'•: ,. . .. �_. _ �ie� :::�:��- � V •: .. °'' : -E�a. w•�ti���.� � .,,.. .
® New construction ❑ Demolition For special information use checklist.
Description 1 Qty. I Ea. I Total
❑ Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
« , t 4 , 0r4 E - , C? „ '.OiNS1'R'CIGT1(?l�i zt SFR (1) bath 249.20
ail 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:
M I - ^F , ;lye , Fire sprinkler ( sq. ft.) Page 2
1. ,, r., . : , J.QI3 IWF' ,N,1'O� 4 ,!. I OIYzyA)!I) `L(CA� �•*TIp<N, ,,, °;�
�,:,,� �. _ti>~, �M�� ��.� >,a,.,7���s ��• w. 6. ��, �:... Sitc utilities
Job site address: 7701 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.: 014 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.
^fin no.:
Absorption valve 16.60
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Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
;:'rf..., iii ., Wv:i _ ,�;; . ". :,� �; ' Drinking fountain 16.60
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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
g. . � g.,, c : , ,: Q „A V� ; , . ,. Hose bib 16.60
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lee 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
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Business name: Wolcott Plumbing Contractors Water heater 16.60
Address: 1075 W. Historic Columbia River Other:
Subtotal
City /State /ZIP: Troutdale, OR 97060
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.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: M5T20U 0040'1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
00
Phone: (503) 639 -4171 u 7 aNp��ii�� li
Inspection Requests (24 Hrs.): (503) 639 -4175 ._�� 4 Ma
INSPECTION WORKSHEET FOR DATE: 9/28/2005 TIME 7:08AM PAGE:
SITE ADDRESS: 07701 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 014 TYPE OF USE:
PROJECT NAME: HAMBACH GROVE
DESCRIPTION: New SFA.
OWNER: LEGEND HOMES, PHONE #: 603- 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE # : 620 -8080
Inspection Request Scheduled For: Date: 312812005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 016850 -03 503-849-5247 Y
Corrections /Comments /Instructions:
11 IPm-17
n PASS ❑' 'TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL WI FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: „` � Date: c77 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 4 -00401 00
MST2
13125' SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: M ST2 0
Phone: (503) 639 -4171 Ja Inspection Requests (24 Hrs.): (503) 639 -4175 �.. 1
INSPECTION WORKSHEET FOR DATE: 9/27/2005 TIME: 7 05AM PAGE: 25
SITE ADDRESS: 07701 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE 014 #: 014 TYPE OF USE:
PROJECT NAME: HAMBACH GROVE
DESCRIPTION:
New SFA
OWNER: PHONE #: '
LEGEND HOMES, 503- 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: ,27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 016730-08 503 - 849 -5247 N
Corrections /Comments/ Instructions:
i° ,
q7 jj /65
` ri , . SS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
•
Inspector: 9 Date: I Phone #: (503) 718-
, i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 Otki01
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 516f005
Phone: (503) 639 -4171
A i ��l
■ -`i
Inspection Requests (24 Hrs.): (503) 639-4175 ......� __..
INSPECTION WORKSHEET FOR DATE: 9/2712005 TIME: 7:05AM PAGE: 24
SITE ADDRESS: 07701 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 014 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: 9127!2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016730 -09 503- 649.5247 N
Corrections /Comments/ Instructions:
tA 'ASS 71 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL IN ' ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
c am .
Inspector: Date: �� a V Phone #: (503) 718-
_
,CITY OF TIGARD
BUILDING DIVISION �' PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: MST2004-00401
Phone: (503) 639 - 4171 °�giu�i��ll� 5/612005 Inspection Requests (24 Hrs.): (503) 639 -4175 _.., ` __..
INSPECTION WORKSHEET FOR DATE: �.��� TIME: 7:07AM PAGE: 53
SITE ADDRESS: 077011 ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: ��� TYPE OF USE:
PROJECT NAME: HAMBACH GROVE
DESCRIPTION: SEA
New OWNER: PHONE #: 503-620-8080
CONTRACTOR: LEGEND HOMES PHONE #:
LEGEND HOMES CORP 620 -8080
Inspection Request Scheduled For: Date: 9/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 016471 -06 503 -849 -5247 N
Corrections/Comments/Instructions:
‘Is
PASS ❑ PARTIAL APPROVAL (l CANCEL • ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Pi L vV���f/ D ate: .
. � 9 3 ,5 - ' Phone #: (503) 718-