Permit . City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
July 2, 2008 •
• .1.TYGARO
Riverside Homes, Inc. r
1925 NW Amberglen Pkwy, #200
Beaverton, OR 97006
Re: Permit No. See "Notes" Below
Dear Sir /Ms.:
The City of Tigard has processed a refund for overpayment of permit fees on the above
referenced permit for the following:
Site Address: See "Notes" Below
Project Name: Bella Vista
Job No.: N/A
Refund: ® Check #58039 in the amount of $480.00.
❑ Credit card "return" receipt in the amount of $
❑ Trust account "deposit" receipt in the amount of $
Notes: Refund for overpayment of TIF -R fees due to calculation error at $240.00 for each
of the following permits:
MST2007- 00220, 12797 SW Da Vinci Ln., Bella Vista, Lot 14
MST2007- 00207, 12674 SW Rembrandt Dr., Bella Vista, Lot 31
If you have any questions please contact me at 503.718.2430.
Sincerely,
Dianna Howse
Building Division Services Coordinator
Enc.
I: \Building\ Refunds\ Administration \LtrRefund- Overpay.doc 01/16/07
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772
a
: City of Tigard
TIGARD Tidemark Refund Request
This form is used for refund requests of land use, engineering and building application fees.
Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be
attached to this form. Refund requests are due to Tidemark System Administrator by Friday
at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark
System Administrator for distribution. Please allow 1 -2 weeks for processing.
PAYABLE TO: Riverside Homes INC DATE: 6/12/08
1925 NW Amberglen Pkwy #200
Beaverton, OR 97006 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt #: Various — See Attached Case #: Various — See Attached
Date: Various — See Receipts Attached Address /Parcel: Various
Pay Method: Check Project Name: Bella Vista
EXPLANATION: Refund overpayment of TIF -R fees
REFUND INFORMATION: •
Fee Description From Receipt Revenue Account No. Refund
Example: [BUILD] Permit Fee Example: 245 - 0000 - 432000 $ Amount
[TIF -R] TIF Resident 210 - 0000 - 448001 $240.00
[TIF-R] TIF Resident 210 - 0000 - 448001 $240.00
TOTAL REFUND: $480.00
APPROVALS:
If under $500 Professional Staff l i
If under $7,500 Division Manager ��ri!� / - /9- CV
If under $22,500 Department Manager
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONL /�_
Case Refund Processed: I Date: ] /ZS /C6 J By: I aCbY�
I: \Building \Refunds \RefundRequest.doc 05/23/07
CITY OF TIGARD 6/11/2008
� 13125 SW Hall Blvd. 12:38:13PM
: .. Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000000153
•
Date: 01 /15/2008
Line Items:
@e&\ Vista Lo k- 14
Case No /'ran Code Description Revenue Account No Amount Paid
MST2007 -00220 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 46.00
MST2007 -00220 [LRPF] LR Planning Surcharge 100 -0000- 438050 6.00
MST2007 -00220 [BUPPLN] Pln Rv Balance 245 -0000- 433000 383.98
MST2007 -00220 [BUILD] Bldg Permit 245- 0000 - 432000 1,744.58
MST2007 -00220 [TAX] Build 8% State Surchrg 100 -0000- 207020 139.57
MST2007 -00220 [METCET] Metro Const Excise Tx 245- 0000 - 229202 385.61
MST2007 -00220 [MECH] MEC Permit 245- 0000 - 431010 97.30
MST2007 -00220 [TAX] MEC 8 % State Surcharge 100- 0000 - 207020 7.78
MST2007 -00220 [PLUMB] PLM Prmt 3Bth 245- 0000 - 431000 399.00
MST2007 -00220 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 3 I.92
MST2007 -00220 [ELPRMT] ELC Permit 220 - 0000 - 431510 345.55
MST2007 -00220 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 27.64
MST2007 -00220 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00
MST2007 -00220 [TAX] ELR 8% State Surcharge 100 -0000- 207020 6.00
MST2007 -00220 [PKSDC] SF Park SDC 270- 0000 - 450000 4,812.00
MST2007 -00220 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00
MST2007 -00220 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00
MST2007 -00220 [ ERPRMT] Erosion Control 100- 0000 - 207307 1 12.00
MST2007 -00220 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 36.40
MST2007 -00220 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 36.40
MST2007 -00220 [WQUANT] Water Quantity 520 - 0000 - 445001 275.00
Line Item Total: $12,407.73
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check RIVERSIDE HOMES INC DEB 23550 In Person 12,407.73
Payment Total: $12,407.73
elteceipt.rpi Page I of I
ITIF CITY OF TIGA. 6/11/2008 •
13125 SW Ball Blvd. I2:34:48PM
"Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000005229
Date: 11/28/2007 1 V�� -f Lp�- 31 Line Items: 521
Case No Tran Code Description Revenue Account No Amount Paid
MST2007 -00207 [CDCPLN] CDC Pin Rev 100- 0000 - 433060 46.00
MST2007 -00207 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 468.00
MST2007 -00207 [BUILD] Bldg Permit 245- 0000 - 432000 1,873.85
MST2007 -00207 [TAX] Build 8% State Surchrg 100 - 0000 - 207020 149.91
MST2007 -00207 [METCET] Metro Const Excise Tx 245- 0000 - 229202 423.48
MST2007 -00207 [MECH] MEC Permit 245- 0000 - 431010 109.30
MST2007 -00207 [TAX] MEC 8% State Surcharge 100- 0000 - 207020 8.74
MST2007 -00207 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 35.52
MST2007 -00207 [PLUMB] PLM Permit 245- 0000 - 431000 444.00
MST2007 -00207 [ELPRMT] ELC Permit 220- 0000- 43I510 312.15
MST2007 -00207 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 24.97
MST2007 -00207 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00
MST2007 -00207 [TAX] ELR 8% State Surcharge 100- 0000 - 207020 6.00
MST2007 -00207 [PKSDC] SF Park SDC 270- 0000 - 450000 4,812.00
MST2007 -00207 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00
MST2007 -00207 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00
MST2007 -00207 [ERPRMT] Erosion Control 100- 0000 - 207307 112.00
MST2007 -00207 [ERPLN] Erosn Pin Rv CWS 100- 0000 - 207308 36.40
MST2007 -00207 [EROSN] Erosn PIn Rv COT 245 -0000 - 433010 36.40
MST2007 -00207 [WQUANT] Water Quantity 520- 0000 - 445001 275.00
MST2007 -00207 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00
Line Item Total: $12,694.72
Payments:
Method Paver User ID Acct. /Check No. Approval No. How Received Amount Paid
Check RIVERSIDE HOMES INC. BB 23192 In Person I2,694.72
Payment Total: $12,694.72
CRecripi.rpi Page I or 1
. rq CITY O F T I GAR MASTER PERMIT
t`' PERMIT #: MST2007 - 00220
' COMMUNITY DEVELOPMENT DATE ISSUED: 1/15/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 109 D D - 08400
SITE ADDRESS: 12797 SW DA VINCI LN ZONING: R -7
SUBDIVISION: BELLA VISTA LOT: 014 JURISDICTION: TIG
PROJECT: BELLA VISTA
Project Description: New SF
BUILDING
REISSUE: RH3017 -AR3 STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 141 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1 sf GARAGE: 815 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,464 sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,018 sf 321,339.55 REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 2 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 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: 4
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 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: 6 201 - 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1030+ amp/volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVCIFDR>=225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 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 applicable
RIVERSIDE HOMES, INC. RIVERSIDE HOMES INC laws. All work will be done in accordance with approved plans. This
1925 NW AMBERGLEN PKWY #200 1925 NW AMBERGLEN PKWY permit will expire if work is not started within 180 days of issuance, or
BEAVERTON, OR 97006 SUITE 200 if the work is suspended for more than 180 days. ATTENTION:
BEAVERTON, OR 97006 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
Phone: 503 - 645 - 0986 Contact #: PRI 503 645 - 0986 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503 -690 -2942
Reg #: LIC 70065
TOTAL FEES: $ 13,157.73
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued y : I
■ ,l i Permittee Signature :
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.
4 e � � ��� I,nA-aK.: 11/1347 H5f 7- CO 9.v..6
I �� Application
e . -1,
3 Zp1 uildi g Permit PP on
licat
. 0 1' . E NED , 1. 6t.c.)1(1._ P,O07— 00 AO
la 3 , ... , . • i o__ _t! g.._?�'a, . ' : t ^one: : : • • , 1 -i • . -- .03 R
Inspection vnuest•
` .._;, st •i _,: - � , - A 0.'4 , ',1 • is: - 24
OR E G - o band Project # Permit #
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
[ew 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 c " t1
CATEGORY OF CONSTRUCTION work indicated on this application. �\
Valuation + tT
V- and 2- family dwelling El Commercial /industrial
Number. of bedrooms: )
❑ Accessory building ❑ Multi - family I.
Number of bathrooms:
❑ Master builder 0 Other: NI
JOB SITE INFORMATION AND LOCATION Total number of floors:
7 St^ ' Vi New dwelling area: square feet V.. 7
Job site address: _ 1 V V O
Garage /carport area: square feet 1
�j 4 N
City/ State/ZIP: I '--t-i4 ` // P a __ q7 7 l ^
1` ,., L 7.v"' 1 Covered porch area: square feet q*)?
Suite /bldg. /apt. no.: Project name: i
� ,\..2(5_____ Deck area square feet S; 2'3,
Cross street/directions to job site:
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Permit fees* are based on the value of the work performed.
Plan No. Reissue: Yes 1 ] No [ 1,),Z Indicate the value (rounded to the nearest dollar) of all
f r /� t ke V j equipment materials. labor. overhead. and the profit for the
Subdivision: {� �
J J � Lot no.: ' (t work indicated on this application.
Tax map /parcel no.: Valuation
DESCRIPTION OF WORK Existing building area: square feet
-.k
t•-iiit.‘) New building area: square feet
Number of stories:
Type of construction: \
Occupancy groups:
PROPERTY OWNER 0 TENANT Existing: i
Name: a y5 de S , /p # 7-00 New: X01
Address: I � � A/w �. h Uwe) rill, IA/ al NOTICE �V
City/State/ZIP: V --1) V ie 4 7 04 All contractors and subcontractors are required to be
�( k tiS . �
licensed ORS S 7 the and may be required to Contractors
licensed Board
Phone: ) Q Fax: Z ��Z under ORS 701 and may be required to he licensed in the
VI APPLICANT ❑ CONTACT PERSON jurisdiction in which work is being performed. If the
^ applicant is exempt from licensing. the following reasons
tT
Business name: S 1.. apply:
Contact name: 41 1.4b tvi M
Address:
City/State/ZIP: BUILDING PERMIT FEES*
Phone: ( ) Fax: : ( ) Please refer to fee schedule
E -mail: 4 et r i V jV 7 home. cowl Fees due upon application $ 75�}
e7i5
`��
CONTRACTOR _ - Amount received $ /60 U
Business name: 3 ve,r v1 f '�"� /J I Date received: ! / / t 3 /pi
Address: I 2 MW LLJJ bet" 4.vy b►c-w7 ( (
City/State/ZIP: 4 V e4.- 1 O 2 / .1 ZQQ re This permit application expires
c. ��� oleo ^ r'J ) trt V n • 2'L/2 accepted if a permit is not obtained within 180 days
v03
Phone: �,".�' Fax: after it has been acce ted as s complete
lets
CCB lic.:
Authorized * Fee methodology set by Tri- County Building
J Industry Service Board
signature:
Print name: Ait,i5 1 ' ! Date: 7 • 10 • Q0(0
440 -4613T (7103 /COM /VVEB)
< ;co?. c - , ,, 1VE RECE T mbing Permit Application
Q `� 2 { / i / • I / •• . • I_ -: •_ :.: .' • - !- ,i. - •• ; ...• i • • r . i -. - .- .' •
st
OREGO'• T .annd T Td IGARD Project # Permit # •
BUILDINGD V1S
TYPE OF WORK FEE* SCHEDULE
V Iew construction ❑ Demolition For special information use checklist.
Description Qty. Ea. Total
❑ Addition/alteration/replacement 0 Other: New 1- 2 family dwellings (includes 100 ft for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 318.00
[•]I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 408.00
❑ Accessory building ❑ Multi - family SFR (3) bath ! I 498.00 L.H e
❑ Master builder ❑ Other Each additional bath/kitchen 90.00
Fire sprinkler (# sq. ft.) By Sq. ft.
JOB SITE INFORMATION AND LOCATION
Site utilities
Job site address: 1 2 1 Gl 1 IN i3t? V J Y1 (A ✓/ 1 Catch basin or area drain 1 14.50
City/State/ZIP: {T' 0i2 7 /� 2 L r Drywell, leach line, or trench drain 14.50
J -x- am
Suite /bldg. /apt. no.: Project t name:( 6ime, 1, � Footing drain (each 100 ft): # of ft. 42.00
• Manufactured home utilities 96.00
Cross street/directions to job site:
Manholes 14.50
Ram drain connector I 14.50
Sanitary sewer (each 100 ft.): # of ft. 42.00
Storm sewer (each 100 ft.): # of ft. 42.00
Subdivision: &IA V / Lot no.: Water service (each 100 ft.): # of ft. 42.00
l Fixture or item
Tax map /parcel no.: V
Absorption valve 14.50
DESCRIPTION OF WORK
Backflow preventer + 14.50 f30
Backwater valve 1 14.50
Clothes washer 1 14.50 i y ,66,..„,
Dishwasher 1 14.50 1/4 ,� Ci
Drinking fountain 14.50
- Ejectors /sump I 14.50
I' PROPERTY OWNER ❑ TENANT
.
r Expansion tank 1 14.50
Name: j ' i' / m' / S ! 1 h C • 2� Fixture /sewer cap 14.50
Address: 1125 • Y W A r 1 e e) PLI Floor drain /floor sink/hub 14.50
City/State/ZIP: etvei e / , 4W O 0 -( Garbage disposal i 14.50 /i .50-
Phone: 66:; . 064, Fax: ( / O. 2'#' -I1 Hose bib . 14.50 -
Ice maker I / 14.50 j( . 5 v
'APPLICANT ❑ CONTACT PERSON
Interceptor /grease trap 14.50
Business name: SAA. Medical gas (value: $ ) I By value
Contact name: Primer 14.50 I
Address: Roof drain (commercial) 14,50
City/State/ZIP: Sink/basin /lavatory 14.50
Tub /shower /shower pan 14.50
Phone: ( ) Fax: : ( ) Urinal 14.50
E-mail: Water closet 14.50
CONTRACTOR 11 Water heater f 14.50 L f o
..,
Business name: 5 con 1 IY/ e- P(.) NI )3 i h j Other:
Address: �,. w Other:
Z5o 5. I �, v D, .
/ State/ZIP: ' - 7 Subtotal
City/State/ZIP: ty bi.1 6 / oO. Minimum permit fee $60.00
Phone: (5o ) 666 • C,6 5-7 Fax: (5 ) 372 - ?..5y 3 Plan review (65% of permit fee) $
CCB lic.: / Li 2 1 / 1 Lic. no.: 3 9_ 3 70 es State surcharge (8% of permit fee) $
TOTAL PERMIT FEE $
Authorized 1/L / � This permit application expires if a permit is not obtained within
signature: _ �J c i(1•' 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry Service Board
Print name: ar5:71 cc 0. :)i Date: 440-4616T (7/03/COM/WEB)
h . , . ,,,,,
` � 010 *.l 0 Mechanic ermit Application
•
0) de 3 \ 155 s ...;1 � ,�� ' 1 ' , ., Inspection Request Line: 503 - 84636.99
Hill 0\f 1 3 20
• EGO Land U 9ppm ali. GMIDProject # Permit #
TYPE OF ti VAIRGT n
� COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Q' Jew 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
CATEGORY OF CONSTRUCTION Value: $
L7 l and 2-family dwelling C /industrial RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
y g ❑ 0 building
For special information use checklist.
• ❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: ' 2 - 5141 / D" V1 nail ( 4 ) Furnace / and /or 8.50
t _ Add -on air conditionin g +
City /State /ZIP: `-j-(/, / / p, // Heat pump 8.50
l )�� Duct work 8.50
Suite /bldg. /apt. no.: Project name: e e !�( Vi ,S l L-
Hydronic hot water system 8.50
Cross street /directions to job site: Residential boiler (radiator
or hydronic) N/A - State Permit Required
Unit heaters (fuel -type, not
electric), in -wall, in -duct,
suspended, etc. 8.50
Flue /vent for any of above I 8.50
• Subdivision:( _ . I. no.: '�'
Other fuel appliances
Tax map /parcel no.: Water heater 8.50
DESCRIPTION OF WORK Gas fireplace ' 1 8.50
Flue vent for water heater
or gas fireplace 8.50
Log lighter (gas) 8.50
Wood /pellet stove 8.50
Wood fireplace /insert 1 8.50
Chimney/liner /flue /vent 8.50
I:1 PROPERTY OWNER ❑ TENANT Other:
Environmental exhaust and ventilation
Name: V W ' S ! h /� Range hood /other kitchen
equipment 1 8.50
Address: 2 W Alin 11M'- I.Q. , V (L, ii Clothes dryer exhaust J 8.50 1
.
City /State /ZIP: e V -7 OQ` Single -duct exhaust
(bathrooms, toilet J,
Phone: (6 05) legs (Aso a Fax: W3) (090. 2�1� Z compartments, utility rooms) ✓ 8.50
® APPLICANT ❑ CONTACT PERSON Attic /crawl space fans 8.50
J` ur
Business name: SA-4 Fuel piping ($8.50 for first four; $1.00 for each additional)
Contact name: Please indicate # of fuel gas piping outlets below:
Furnace, etc. By outlet #
Address:
Gas heat pump By outlet #
City /State /ZIP: Wall /suspended/unit heater I By outlet #
Phone: ( ) Fax: : ( ) Water heater/Boiler By outlet #
Fireplace 1 By outlet #
E -mail: et/ 1 veil 6 j C1 ekic., e . c v \ Range 1 By outlet #
CONTRACTOR / Barbecue By outlet #
Clothes dryer (gas) By outlet #
Business name:
At(. Mtn ce tie. o- k- ..i- / t 1. e - Other:
Address: P, 12.6 110.6 to a De Q I. . r., MECHANICAL PERMIT FEES*
City/State /ZIP: 4 rae1. �.. , O I . 1 �.03 Subtotal $
-
Minimum permit fee $60.00
Phone: (S& ) - g t _ `r• cs- 4 Fax: (56 ?) 5 44-113-c Commercial plan review (95% of permit fee) $
CCB lic.: 1 r 2 9 ? q• State surcharge (8% of permit fee) $
TOTAL PERMIT FEE 8
Authorized
signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 'Zt e� .1 !S i Date: I
t,,„ wi. x. v f• c 1 °4 . Fee methodology set by Tn- County Building Industry Service Board
+ Site Plan Required 440 -4617T (7 /03 /COMAVEB)
I' ,- Electrical Permit Apt _' r Q. i . Land Use Approval
;'.:a - Project #
• • .- . i -:- , I, ::. /\'.‘,i Permit#
• . _____,.._:zilitoi ,itx15:LCosdS Z ; w. • _s._ . , 1 • _ . :
• TYPE OF WORK ��"",-Cv U r- i I�7 P PLAN REVIEW
New construction ❑ Addition /alteration /replacetryeA IL • , n i ���i Please check all that apply:
111111���3��111111333333 ❑ Service or feeder 400 amps ❑ Hazardous locations
or more where the available❑ Service or feeder 600 amps or more �
CATEGORY OF CONSTRUCTION fault current exceeds ❑ Building over three stories
LrJ I and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building 10,000 amps at 150 volts or❑ Marinas and boatyards
❑ Multi- famil ❑ Master builder ❑ Other: less to ground, or exceeds
14,000 amps for all other ❑ Floating buildings
JOB SITE INFORMATION AND LOCATION installations. ❑Commercial -use agricultural
❑ Fire pump buildings
Job no.: Job address: / 7 - 7 7 5 VY DCt VI J1 ti Gra , ❑ Emergency system ❑ Installation of 75 KVA or larger
separately derived system
City /State /ZIP:. T ) f /� � — ❑ Addition of new motor
J `�i yc/ OW - -1 2 i Z4 load of 1 OOHP or more ❑ " . ".q- y,,.•I -3" occupancy
❑ Recreational vehicle parks
Suite/bldg./apt. no.: I Project name:' / e`/ /, V 4 t ❑ S m m� � t ❑ Supply voltage for more than
`mi 0 Health-care facilities 600 volts nominal
Cross street/directions to job site:
FEE SCHEDULE
, ////
Description Qty. Fee Total *
Subdivision:( . J Lot no.: ) Residential single- or multi - family dwelling unit.
i - -y - Includes attached garage.
Tax map /parcel no.: 1,000 sq. ft. or less 150.00 4
DESCRIPTION OF WORK Ea. add'1 500 sq. ft. or portion 42.00
r �� I Limited energy, residential I 60.00 2
'� (with above sq.
Limited energy. , m multi - family 66.00 2
residential (with above sq. ft.) _
❑ PROPERTY OWNER I ❑ TENANT Services or feeders installation, alteration, and/or relocation
'�A 200 amps or less 90.00 2
Name:
i t v5- � *wits, X 5 Ihc • 2co 201 amps to 400 amps 120.00 2
Address: `ti'L /by) /t-Q po wt./ 401 amps to 600 amps 180.00 2
City/State /ZIP: & 11V. •i w / P�lr'�1�Y , of g700 _ 601 1, 0 00 o m pso rvoi 504.00 2
yP Over 1,000 amps or volts 504.00 2
Phone: ( ) 5 . 004, I Fax: 6) t2gv. 2ge42 Temporary services or feeders installation, alteration, and/or
relocation
Owner installation: This installation is being made on property that I own, which is not 200 amps or less 78.00 2
intended for sale, lease, rent, or exchange. 201 amps to 400 amps I08.00 2
Owner signature: Date: 401 amps to 599 amps 150.00 2
❑ APPLICANT
1 ❑ CONTACT PERSON Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
Business name: above service or feeder fee, 8.50
each branch circuit 2
Contact name: B. Fee for branch circuits
Address: without service or feeder 60.00
fee. first branch circuit 2
City/State /ZIP: Each add'l branch circuit 8.50
Miscellaneous (service or feeder not included)
Phone: ( ) I Fax: ( ) Each manufactured or modular
dwelling, service. and/or feeder 102.00 2
E Reconnect only 78.00 1
CONTRACTOR Pump or irrigation circle 60.00 2
Business name: ""1 1 - Sign or outline lighting 60.00 2
te..c'vl mot i7101,4 Signal circuit(s) or limited -
Address: ( 5 . (0/8 b 41 .,a lrt 1 ! L
energy panel, alteration, or 60.00
extension. Describe:
City/State /ZIP: p (b . N DA. q 7 e a 2 •
Phone: (sea) (070 _ qq 10 Fax: (go)) (0 7o ^ (d i Each additional inspection over allowable in any of the above
Per inspection 90.00
E -mail: a $;14.4 ,2 6-t4etlAwo ,, CCB lic. no.: 732 7x, Investigation fee (See compliance)
Electrical lic. no.: 3,. (00 i_ 4 City or metro lic.: Other:
Supervising electrician / ELECTRICAL PERMIT FEES
signature, required: 1):9."....., 1):9."....., l g /.,ofh�'/,w11A gO Subtotal
Print name: i Date: /, Plan review (% of permit fee)
D o L... L t-E.w ��l y o(p State surcharge (8% of permit fee)
Authorized
signature: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained
Print name: -6.. 5. Dv N 6 ki te_ Date: 1 114 to /Y _ within 180 days after it has been accepted as complete
/A �
*Number of inspections allowed per permit. Revision 06'20/06
I.
.,. �, Electrical Permi ' .: i :.� ' '�,'I ED
� st • •
• RFGn L e pprova . Project • 4c.- tit,.
a s Permit #
TYPE OF WORK _ 1 s PLAN REVIEW
New construction ❑ Addition/alteration/replacement Please check all that apply:
❑Service over 225 amps, comm'I DHazardous location
❑ Demolition ❑ Other: EService over 320 amps - rating DBuildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑System over 600 volts nominal units in one structure
LW1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building DBuilding over three stories ❑Feeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other: DOccupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑H ealth- care f ac plan park
❑Health -cart facility ❑O ther:
Job no.: Job address: / 2 ` 7 I so/ D � /7 G� Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service.
City/State /ZIP: ! ) /;t � - c � 0 g. . , 7 cZ - _ FEE* SCHEDULE rt
Suite/bldg. /apt. no.: + ' ) Project name/
Description Qty. Fe. Total
f • - — - — - — New residential single or multi - family - per dwelling unit.
Cross street /directions to job site: Include square footage for attached garage.
1,000 sq. ft. or less 1 1 150.00 4
Ea. add'l 500 sq. ft. or portion < 42.00
Subdivision: /�/> f 0 V LJ- Lot no.: / Limited energy. residential 60.00 I 2
�-=� 1 Limited energy, multi - family 66.00 2
Tax map /parcel no.:
Each manufactured or modular
DESCRIPTION OF WORK dwelling. service and /or feeder 102.00 2
Services or feeders installation. alteration, and/or relocation
. 200 amps or less I 90.00 2
201 amps to 400 amps 120.00 2
ROPERTY OWNER El TENANT 401 amps to 600 amps 180.00 2
601 amps to 1,000 amps 1 270.00 2
Name: lit Y5 j�, ��, I he
• X7/1) Over 1.000 amps or volts 504.00 2
Address: f •' K I'M I -✓
(4 2 "J A NW / �. .I� 10 ;Awl Reconnect only 78.00 1
b� I I
Temporary services or feeders installation, alteration, and /or
City/State /ZIP: oek v U glow- ow- relocation
h e " " 200 amps or less I 78.00 2
Phone: ) 1,,s V
, q Fax: 6A)090. Z41 L 2 01 amps to 400 amps 108.00 2
Owner installation: This installation is being made on property that I own, which is not 401 amps to 600 amps I I 150.00 1 I 2
intended for sale, lease, rent, or exchange. Branch circuits – new, alteration. or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
/" APPLICANT ❑ CONTACT PERSON b or feeder fee, each 8.50
circuit 2
Business name: B. Fee for branch circuits
without service or feeder fee, 60.00
Contact name: At (, o „ 14 first branch circuit 2
Each add'l branch circuit 8.50
Address: Miscellaneous (service or feeder not included)
City/State /ZIP: Pump or irrigation circle 60.00 J 2
Sign or outline lighting 60.00 2
Phone: ( ) I Fax: ( ) Signal circuit(s) or limited-
�i ra i d a honre . C I energy panel, alteration, or
E - mail: extension. Describe: 60.00
CONTRACTOR L
�I 2
, l �' _ Each additional inspection over allowable in any of the above
Business name: / !� cC: P4,74 � 5 C•4c4 e :- f H r -4-„/l __ Per inspection 90.00
Address: 9Qr .S ) i � ( !Y/ r . -M C.._ • Investigation fee (SEE COMPLIANCE)
� — Other:
City/State /ZIP:
( i �� �,I ELECTRICAL. PERMIT FEES*
Phone: (ep� . 51 r Fax: ( 3) 7 5
Subtotal $
Lic. no.: " r - X 6/6 L CCB lic. no.: /S3L,// 6 Plan review (25 %ofpermit fee) $
Supervising electric[ <6.
signature, required: State surcharge (8% of permit fee) $
TOTAL PERMIT FEE $
Print name: --- s i —L-44-':.-15 Date: This permit application expires if a permit is not obtained
Authortz Y within 180 days after it has been accepted as complete
signatu %' • Fee set by Tri- County Building Industry Service Board
I � •• Number of inspections allowed per permit.
Print name. r ilk a � Z J �ys Date: 440 - 4615T (7 /03 /COM /WEB)
1
1 City of Tigard, Oregon O 13125 SW Hall Blvd. o Tigard, OR 97223 ;. ` w • -f`;
• July 2, 2008 ?. 1 .t Si
� C ARI»
Riverside Homes, Inc.
1925 NW Amberglen Pkwy, #200
Beaverton, OR 97006
Re: Permit No. See "Notes" Below
Dear Sir /Ms.:
The City of Tigard has processed a refund for overpayment of permit fees on the above
referenced permit for the following:
Site Address: See "Notes" Below
Project Name: Bella Vista
Job No.: N/A
Refund: ® Check #58039 in the amount of $480.00.
❑ Credit card "return" receipt in the amount of $
❑ Trust account "deposit" receipt in the amount of $
Notes: Refund for overpayment of TIF -R fees due to calculation error at $240.00 for each
of the following permits:
MST2007- 00220, 12797 SW Da Vinci Ln., Bella Vista, Lot 14
MST2007- 00207, 12674 SW Rembrandt Dr., Bella Vista, Lot 31
If you have any questions please contact me at 503.718.2430.
Sincerely,
Dianna Howse
Building Division Services Coordinator
Enc.
I: \Building\ Refunds\ Administration \LtrRefund- Overpay.doc 01/16/07
Phone: 503.639.4171 o Fax: 503.684.7297 m www.tigard - or.gov o TTY Relay: 503.684.2772
WitO / 1„, 2:7-6
City of Tigard
GARD. Tidemark Refund Request
This form is used for refund requests of land use, engineering and building application fees.
Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be
attached to this form. Refund requests are due to Tidemark System Administrator by Friday
at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark
System Administrator for distribution. Please allow 1 -2 weeks for processing.
PAYABLE TO: Riverside Homes INC DATE: 6/12/08
1925 NW Amberglen Pkwy #200
Beaverton, OR 97006 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt #: Various — See Attached Case #: Various — See Attached
Date: Various — See Receipts Attached Address /Parcel: Various
Pay Method: Check Project Name: Bella Vista
EXPLANATION: Refund overpayment of TIF -R fees
REFUND INFORMATION:
Fee Description From Receipt. • . ; Revenue Account No Refund
Example: [BUILD] Permit Fee Example: 245- 0000 - 432000 $ Amount
[TIF - TIF Resident 210- 0000 - 448001 $240.00
[TIF -R] TIF Resident 210- 0000 - 448001 $240.00
TOTAL REFUND: $480.00
APPROVALS:
If under $500 Professional Staff
/�L ��r
If under $7,500 Division Manager ' �-� .�:. ' � / f%c 9 J
If under $22,500 Department Manager
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
t ",/ Case Refund Processed: I Date: 1 W2.s" /c P By: ,CD�
I: \Building \Refunds \RefundRequest.doc 05/23/07
R= 273.00' ' , •
, 12 St e v 1;■.4. (Al' .
L=55.03'
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TAN=27.61'
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\, BELLA VISTA LOT 14 SCALE: 1" = 20 .--
E
ENGINEERING & LAND SURVEYING iliEsic.NED. --"'N PREPARED FOR: —
RJ 0
EL
\ „,,, ,,,h 4j1V... b 8835 SW Canyon 1-n• DRAWN. RIVERSIDE HOMES
1925 NW AMBER GLEN PKWY, SUITE 200
P a n t d ) , 2 OR 97225 SW ER , OR 97006
BEAVTON 0
*2411
CHECKED: (503) 645-0986
•-• Inc. • RJ (503) 690-2942 0
c>
Vt 4, 4 4 rii0 9
4 — — i (503) 291-9398 DATE:
\
7
(Fox) 291-1613
0
. - - - - - - - - — - - - ---
—' ------
__....
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: r - b7— ab C�
'RLANNi'NGDiVISION
',RegiriredAgetbacks: 121 Approved ❑ Not Approved r ,
,: Street i _ :1i,'
Goa < aD Rear: t 4 a,� � .. .;.
• u :lraiwe: Er Approved 0 Not Approved ...1...,,- �" � 0 `�` • ter,,
,N,i1, B:i !ch w Height 35_teet ' 4`r'r, ^„� . ° -;� a- w
• ''.:' t:rri;:e Provider Letter Required: ❑ Yes ❑ No
.t.-,.
,fa
❑ Received:
.:.,.1 1 e dicsJ Date: (( I(5 -/07
r.^.4GiNEERING DEPARTMENT:
Actual SIo e: % a• Approved ❑ Not Approved
:Site Plan El-Approved ❑ of A proved
'BV: -. Date: j1 J(/i/� (
Notes: i - vv - L - zt Fe di-1 x e .c.4 ^e•
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO: MhT e)o9
Street Trees: I Approved ❑ Not Approved
Protect ed T es: Approved ❑ Not Approved
By: meth Pr. icr Date' l)1,
Notes: /J
CITY pFTIGARD .
BUILDING DIVISION PERMIT #: MST200700220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1f15/2008
Phone: (503) 639 -4171 . �.
Inspection Requests (24 Hrs.): (503) 639 -4175 __.._
INSPECTION WORKSHEET FOR DATE: 5/12/2008 TIME: 7:01AIV1 PAGE: 17
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645,0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645-0996
Inspection Request Scheduled For: Date: 502/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechiarrical final 069732 -01 603 -572 -5592 N
Corrections /Comments/ Instructions:
tiD ('A - ) ''ia C... .- Cca 22` - =c - 1 - 76 ,v /t t — 9--z t7
4 PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
Inspector: A Date: 5 -- -o Phone #: (503) 718- 2.4r------
CITY OF TIGARD
BUILDING DIVISION PERMIT #: W131'2007 -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15'/20013
Phone: (503) 639 -4171 I(I
Inspection Requests (24 Hrs.): (503) 639 -4175 ...._.:: :_
INSPECTION WORKSHEET FOR DATE: 5/12/2008 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 845-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603-646-0986
Inspection Request Scheduled For: Date: 6//2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 069732 -02 503 - 572 -5592 N
Corrections /Comments /Instructions:
_/ 11 ` C b. ._
1j PASS ❑ PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS
❑ FAIL U CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: S /L- 0 Phone #: (503) 718- 2_:6--
STREET TREE CERTIFICATION
I, )/2 ,-th4,/ 2V&e e- , Owner /Agent for Ri ;tie- / / ones J
(PLEASE PRINT) (PERMIT HOLDER)
Do hereby certify that the following location meets
City of Tigard and Washington County
land use and development standards for street tree installation.
ADDRESS: 0797 Stel PaincT Ln. 7 ,-/ U/?, 9 7 ?
SUBDIVISION: 13e //j LOT: /y
SIGNATURE: DATE: 5" - Dg
(OWWWN NT)
RECEIVED BY: DATE:
(CITY OF TIGARD)
1: \Building\ Forms \Street l'recCertifieate 01/19/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1 ,f2001i
Phone: (503) 639 -4171 ; Ai ��. „i�f
Inspection Requests (24 Hrs.): (503) 639 -4175 _�': �'_I�
INSPECTION WORKSHEET FOR DATE: 5/13/2008 TIME: 7:01AM PAGE: M
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VI :3TA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645 -0986
Inspection Request Scheduled For: Date: 5/1312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 068513 -05 503. 572 -5582 N
Corrections/Comments/Instructions:
C 70e) (.. .:. 1/ ) C-c -77 f_r-
6 MI PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL , FOR INSPECTION El ADDITIONAL FEES ASSESSED
/
CC� r
Inspector: a J. _ Date: v �) Phone #: (503) 718- � �
� ■
CITY .OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/151200f
Phone: (503) 639 -4171 !'Ill
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 502008 TIME: 7:OOAM PAGE: 28
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: L3ELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 -G45 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.09136
Inspection Request Scheduled For: Date: 5/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 069425.01 503- 572 -5592 N
Corrections /Comments /Instructions:
6 a,k E1oi„, I - v - 9a+( D ' - / • P L 0 0 ( . . - 0 0 2 - ( v 0 O Q2u4,e.
e ✓ ,,,,.51 PL WI 2-006- v026O A J T 1 ✓-� �c e, (4'-/ (-e O 41717
e c 0.f o �.L t l 6 v i,Jc. ."
% �, ' . .i g th Al i f` ` A ls o /1 g 1 , ,
i 1 I ' , V,
w •
l 1 � fte �w fe ,A-f_.,`( �, /w .fr-e_ (,J 6,-A Se✓../J c.e, Matt 1
l/‘J c t/ V ;l+e. rTru,re - _0441 •S__ Tb 1i
n PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
X FAIL ❑ CALL FOR INSPECTION f l ADDITIONAL FEES ASSESSED
Inspector: C Lvr_4 -J. ( t -- Date: Si (0 ' UT) Phone #: (503) 718-
i
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST20O7.00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/16/2008
Phone: (503) 639 -4171 ji
Inspection Requests (24 Hrs.): (503) 639 -4175 _ �'
INSPECTION WORKSHEET FOR DATE: 3/11/2008 TIME: 7:00AM PAGE: 13
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: E3EL VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BEL.LA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 &15 - 09t36
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 - 09E36
Inspection Request Scheduled For: Date: 3/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 066489 -03 503672 -13689 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: d Y'v 'w- \` \ 4 Date: C )1 ) O Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M 12007- 00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/2009
Phone: (503) 639 - 4171 ° ., ' , ����ir����(�
Inspection Requests (24 Hrs.): (503) 639 -4175 .�sU ., °:L
1
INSPECTION WORKSHEET FOR DATE: 3/11/2008 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: E3ELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: r 03-CA6.0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 6450986 1
Inspection Request Scheduled For: Date: 3/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 Ib Poctlheam plumbing 06648l' M2 503 -572 -8689 N
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL I I CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 61) \'1'IvLJ \ \ \.). Date: ,3) I ` Do Phone #: (503) 718 .
1
CITY .OFTIGARD .
BUILDING DIVISION PERMIT #: MST2007-00220
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/15/20013
Phone: (503) 639 -4171 - -' ,,p,11 I '
I Requests (24 Hrs.): (503) 639 -4175 ,_
INSPECTION WORKSHEET FOR DATE: :V1012008 TIME: 7:O0AM PAGE: 46
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 -646- 0936
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603 G4f -U986
Inspection Request Scheduled For: Date: 31/01/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 0663713 -02 503-672-8689 N
Corrections/Comments/Instructions:
LA '
❑ PASS n PARTIAL APPROVAL gl CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: (3 {\\r Date t 10 Phone #: (503) 718-
;/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M ,T2007- 00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/2000
Phone: (503) 639 -4171 I ��
Inspection Requests (24 Hrs.): (503) 639 -4175 ._' �•:_.
INSPECTION WORKSHEET FOR DATE: 3 /10/20(18 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: FELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: t ELLA ASIA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 60364 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986
Inspection Request Scheduled For: Date: 3/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Po &t/hearn plstnnhing 066378 - 01 603.572 - 8609 N
Corrections /Comments /Instructions:
Cam z- t \, \,,,I ko� (ce o, ✓i-e.,
n PASS n PARTIAL APPROVAL Igi CANCEL n NO ACCESS
1 FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 01\414,...1%\d/ \--- Date: 3) t 0 1 'bc Phone #: (503) 718-
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: MS72U07- 00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "': I `'U—
INSPECTION WORKSHEET FOR DATE: 3/7/20011 TIME: 7 :00AM PAGE: 22
SITE ADDRESS: 12797 SIN DA VINCI LN CLASS OF WORK:
SUBDIVISION: BiELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: L3ELLA VISTA
• DESCRIPTION: Now SF
OWNER: RIVERSIDE HOMES, {NC., PHONE #: 503 - 545 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603 -615- 0986
Inspection Request Scheduled For: Date: 3/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Pr ?. =_:t /b "arn plumbing 066294 -01 503-512-8689 N
Corrections /Comments /Instructions:
S
PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: (3 \ �1=w— Date: r ) ) Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00720
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/151200.
Phone: (503) 639 -4171 *,01 , . Inspection Requests (24 Hrs.): (503) 639 -4175 `'l
INSPECTION WORKSHEET FOR DATE: :3 /7/2000 TIME: 7 :00AM PAGE: 20
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: DELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: E3ELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC,, PHONE #: 603
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -09:36
Inspection Request Scheduled For: Date: 3/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 �0 Plumbing rough -in 06629402 503.67 2-8609 N
Corrections /Comments/ Instructions:
„A-4; ck e 4- Cr.,�c� lo o--
Gt ,,A 1/AA ve o ! I I Cr -s-- it - ,A. r ;
el Le_ e, « vv- QQ L.45 C .. 1Qe, , v OAP ∎11
e . t a...s..,�- .. /. C� � ''" P.ro Ae 011 c `r ' O 0C E
Fr PASS 1 1 PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 3) . 7) 3 g) Phone #: (503) 718-
CITY ����~�� �����7U�������� -
OF uo���mon�� ' '
BUILDING ��U��U��U��0�
~°~°,~~~�,,"~~ ~~,",~°,~~,~ , PERK4[T#: kAST2007-01C220
1 13125SVVHall Blvd., Tigard, OR 97223 » DATE ISSUED: 1/15/2003
Phone: (503) 639-4171
Inspection Requests (24Hm�:(5U3)G3A'4176 .J��� "-�—
INSPECTION WORKSHEET FOR DATE: 1/31/2008 TIME: 7:O0AM PAGE: 4
SITE ADDRESS: 12797SWDAVlMC1L]N CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 014 TYPE OF USE:
^ PROJECT NAME: [E'LAV|STA
DESCRIPTION: N ::
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503..645'0988
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: f;O3-845'0886
-
Inspection Request Scheduled For: Date: 1/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
fi05 Sanitaty smer DCA 299-01 6D3-01S-0117 N
1 0°c la.
Corrections/Comments/Instructions:
IX •
PASS 0 PARTIAL APPROVAL pi CANCEL Fi NO ACCESS
FAIL ri CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
Inspector: ~~in Y Date: j \ � | 1 — 11 Phone #: (503) 718-
CITY .OF TIGARD
BUILDING DIVISION PERMIT #: MST)OO7 -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 111 f 08
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/30/2006 TIME: 7:02AM PAGE: 16
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: I3EL VIM LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: Ne!uv SF
OWNER: RIVERSIDE HOMES, INC,, PHONE #: 503 645 - 0386
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: x03 0986
Inspection Request Scheduled For: Date: 1/30/ 2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
216 Footing drain 0&121401 503649-8117 Y
Corrections /Comments/ Instructions:
PASS fl PARTIAL APPROVAL ❑ CANCEL 1 NO ACCESS
FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
j Inspector: (2 VI-IA..' \ • \h ---4_' Date: ) I Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MS-12007-00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i/ia/200E
Phone: (503) 639 -4171 ', • 1
Inspection Requests (24 Hrs.): (503) 639 -4175 �� !,L'�
INSPECTION WORKSHEET FOR DATE: 1/300000 TIME: 7:02AM PAGE: 14
SITE ADDRESS: VD97 ;;W DA VINCPI LN CLASS OF WORK:
SUBDIVISION: RE:LLA VITA LOT #: 014 TYPE OF USE:
PROJECT NAME: E1ELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE. HOMES, INC., PHONE #: 503-646-0986
CONTRACTOR: RIVERSIDE HOMES INC: PHONE #: 603..c45..09B6
Inspection Request Scheduled For: Date: 1/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 tAorrn drain 064214 -03 503649-8117 N
Corrections /Comments /Instructions:
XI PASS I l PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( \'v . JM\ Date: ) \ 3 p) Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1612008
Phone: (503) 639 -4171 .
Inspection Requests (24 Hrs.): (503) 639 -4175 l F'��.
INSPECTION WORKSHEET FOR DATE: 1/30/2000 TIME: 7:02AIMI PAGE: 15
SITE ADDRESS: 12737 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: E3ELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: E3FLLA VISTA
DESCRIPTION: New F
OWNER: RIVERSIDE HOMES, INC., PHONE #: 5034:46.09.a6
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: !'()3 , CAC-O985
Inspection Request Scheduled For: Date: 1/3012008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
33f Rain drain 064214 -02 603-649-8117 Y
Corrections /Comments/ Instructions:
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
7 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (51)\1,,...■_, \, ` I ∎ 1' Date: I) 3 \ ac Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -0022Q
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/20W
Phone: (503) 639 -4171 M
� ��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/30/2008 TIME: 7:02AM PAGE: 13
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: E3ELLA VISTA LOT #: 0 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503645 -O9t
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503G45419;t6
Inspection Request Scheduled For: Date: 1/30/2008 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 06 214 -04 5(BE49 -8117 N
Corrections /Comments/ Instructions:
54 PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: Cil x--1 \,, Date: 1 1,3 'C) 1 C, Ti Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: i STN)f)7 '0770
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1115120003
Phone: (503) 639 -4171 41aa , //)
Inspection Requests (24 Hrs.): (503) 639 -4175 s
INSPECTION WORKSHEET FOR DATE: '3/22/2008 TIME: 7:01AM PAGE: 29
SITE ADDRESS: 1 .7791 ''\61/ DA VINCI LN CLASS OF WORK:
SUBDIVISION: E3EL.LA VISTA LOT #: 01,i TYPE OF USE:
PROJECT NAME: E;r_l_.L.A VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 1303-646-0R86
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0966
1
Inspection Request Scheduled For: Date: 1/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl drain 063825 -04 503•fi72-5278 N
Corrections /Comments /Instructions:
/ /A (7 - 5
/ \ Il
1
l 1
______
n PASS PARTIAL APPROVAL b ■ 1 CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Jl Date: `�'/ � /�� Phone #: (503) 718 -
I
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST2007 -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/2008
Phone: (503) 639 - 4171 > !�
Inspection Requests (24 Hrs.): (503) 639 -4175 .''''�f_�
INSPECTION WORKSHEET FOR DATE: 5/9/2008 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 12197 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: E3ELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: F3ELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-645-0906
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645.0986
Inspection Request Scheduled For: Date: 6/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0G9519.02 503. 572 -5592 N
Corrections /Comments /Instructions:
VA/ sod _ ♦ - W 2 6'AI D SU — L'1,,
'b v c_- 1_ 1 � G.d.
widdrimficr_
(A - -- i , 0 , e 4 rr
v l
- w ∎ 012SVAlla"
1
C . - r -� 4 bb c 2 • ,.-1 ,
❑ PASS / ARTIAL APPROVAL El CANCEL n NO ACCESS
4CIPO CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
isil
Inspector: _ ...- �� Date: S L�
9 G'3 Phone #: (503) 718 - -
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MSr2007-00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/2008
Phone: (503) 639-4171 - °' °, ; i�I�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/9/200f# TIME: 7:00AM PAGE: 47
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: E3ELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: Now SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 -645 -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503045 -0986
Inspection Request Scheduled For: Date: 5/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 069519-04 503.572- 5592 N
Corrections /Comments/ Instructions:
C-
.
v -_— -_— • • ,--- ✓ .--
kr — .:eA– �.4 Lie ._ -- — %II. t - 'C
n PASS 'ARTIAL APPROVAL El CANCEL n NO ACCESS
d r____ 4 �,. LL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: _ a® Date: ? mac. Phone #: (503) 718- Z6`7
y
CITY W������N�������� . ��� .
��m m w ��m� enw�|�mxa�* ' '
- — _ � `
BUILDING DIVISION - � PERMIT #: k8ST2007-00230
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1542008
Phone: (503) 639-4171
|nope��ionRequo�a(24Hna.):(5O3)63Q'4175 ~��d�/—....
INSPECTION WORKSHEET FOR DATE: 5/1/2000 TIME: 7:OOAIVI PAGE: 20
SITE ADDRESS: 12797 SW DA VINCI U4 CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLAV1STA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503-CA5-09136
CONTRACTOR: RIVERSIDE FIOMES INC PHONE #: 503-645-0986
Inspection Request Scheduled For: Date: 5/1C200R Pour Time:
Code # Inspection Description / CJh-fir- ' Contact # Message
'
199 E]ectr\mdfinm| 069177'01 503-572-8689 N
Corrections/Comments/Instructions:
N ASS | PARTIAL APPROVAL 0 CANCEL NO ACCESS
`�
N
�- '`^ LL FOR INSPECTION | | ADDITIONAL FEES ASSESSED
Inspector: »�~~ N'6 6 ^ f Date: I 01 Phone #: (5U3)718' PM
CITY OF TIGARD '
BUILDIIVC, DIVISION PERMIT #: MST2007- 00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/150008
Phone: (503) 639 -4171 " , „, 1 °�
Inspection Requests (24 Hrs.): (503) 639 -4175 .- !,L• P,�_-
INSPECTION WORKSHEET FOR DATE: 5/1/2008 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: t.3E1LA VISTA LOT #: 0111 TYPE OF USE:
PROJECT NAME: EJELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503~645.0906
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503CA5 -0986
Inspection Request Scheduled For: Date: 5/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 069177 -02 603.572 -8689 N
Corrections /Comments/ Instructions:
rtj PASS PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS
n FAIL n CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
Inspector: I v v (D Lc Date:' M Phone #: (503) 718- 2`I
CITY. OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12.;7M07
)0r
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: l ? 0 .: :!7.0s= TIME: '1 :' %p J 1 PAGE: 1
SITE ADDRESS: 019 wy CLASS OF WORK:
SUBDIVISION: \NAI.21 _.:' ." -i :; °`.. LOT #: 011 TYPE OF USE
PROJECT NAME: WALNUT `;P = LK
DESCRIPTION: .;-+
OWNER: € %� =` '. I() 1f r3 PHONE #:
CONTRACTOR: #.s:.i .:t_ a {'.... ro..rq PHONE #:
Inspection Request Scheduled For: Date: =11301:,- :0&F_z Pour Time:
Code # Inspection Description !Confirm # Contact # Message
Corrections /Comments /Instructions:
CZ ct_ep r" g FA (601.,
,, v si (torn. ka. 110.3 CEO
j ri\o vP _
n
n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL 'ALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED
Inspector: ' kU5 Date: ( �aA. Phone #: (503) 718- vf"Fb
CITY. OF TIGi4RD
•
BUILDING DIVISION PERMIT #: MST;�O07 -0(220
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/15/7008
Phone: (503) 639 - 4171 ek
Inspection Requests (24 Hrs.): (503) 639 -4175 h
INSPECTION WORKSHEET FOR DATE: 3/12/2008 TIME: 7:OOAM PAGE: 16
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BEI.LA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: C3El.LA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 603-M5.0996
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 03 -C 5 09B6
Inspection Request Scheduled For: Date: 3/12/200f3 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough - in O66571.05 503 - 572 -8689 N
Corrections /Comments/ Instructions:
ipl 01 Ma5 11) 1A)
ill
n PASS n PARTIAL APPROVAL n CANCEL 1 I NO ACCESS
❑ FAIL 1 I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
1
Inspector: Date: 7 IA Phone #: 503
P ( ) 718 -
CITY ����~�� ������0�������� ` .
. m' m~�o� �w m�����m�� is
BUILDING DIVISION ' PERMIT #: MS1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/2001,1
Phone: (503) 639-4171 kieM
Inspection Roquea����Hroj: (503) 639-4175 ° � � �` » �■ �
INSPECTION WORKSHEET FOR DATE: 3/12/2O08 TIME: J:DOAM PAGE: 15
SITE ADDRESS: 12797SWO8V|NC|[.N CLASS OF WORK:
SUBDIVISION: BELLAY| LOT #: OM TYPE OF USE:
PROJECT NAME: 8E|-LA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, }NC,. PHONE #: 603'846-0986
CONTRACTOR: RIVERSIDE. HOMES INC PHONE #: 503-646- 0986
Inspection Request Scheduled For: Date: 3/1212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Lim voltage 086571'06 503~572-8889 N
Corrections/Comments/Instructions:
•
i x . PASS | PARTIAL APPROVAL El CANCEL ri NO ACCESS
FTFA|L pi CALL FOR INSPECTION 0 ADDITIONAL FEE ASSESSED
� � ���
|nmpInspector: i ���
` - Date: +��y� a�/ �� Phone #: (503) 718-
CITY. OF TIGARD
BUILDING DIVISION
PERMIT #: MST2007-00230
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1
Phone: (503) 639-4171 ,._,44(J,t1/4
Inspection Requests (24 Hrs.): (503) 639-4175 ‘
INSPECTION WORKSHEET FOR DATE: 3/10/2008 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: FELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC,, PHONE #: 503-645-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603-64
Inspection Request Scheduled For: Date: 3/10/2008 Pour Time:
Code # Inspection Description 5onjirm # Contact # Message
115 Electrical seivice 0663713-04 503-572-86139
Corrections/Comments/Instructions:
fim4di mict
PARTIAL APPROVAL
PASS 0 CANCEL I I NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
•
Inspector: Z - Th N68L--6 Date: 3 1 0- ?N't Phone #: (503) 718- ISM
CITY. OF TIGARD '
BUILDING DIVISION PERMIT #: MST2007 -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1612001
Phone: (503) 639 -4171 b
Inspection Requests (24 Hrs.): (503) 639 -4175 ': . ''AL '
INSPECTION WORKSHEET FOR DATE: 2121/2008 TIME: 7 :00AM PAGE: 21
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: FELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - &1&0985
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 5013 -.Ch 0986
Inspection Request Scheduled For: Date: 2/77P2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 065734 -01 503.572 -5278 N
Corrections /Comments /Instructions:
PO L2b("nr. , APt
PASS
❑ K PARTIAL APPROVAL n CANCEL NO ACCESS
F1 FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 Dater . ` 1 O Phone #: (503) 718 -��
CITY .OF TIGARD
BUILDING DIVISION
A #: M T2007 00220
13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 1/ 15/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 a Vit
INSPECTION WORKSHEET FOR DATE: 3/17/2008 TIME: 7:01AM PAGE: 17
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: E3E.LLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: E BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503
CONTRACTOR: RIVERSIDE_ HOMES INC PHONE #: 603 6
Inspection Request Scheduled For: Date: 3//712008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 !emulation 066802 -01 503572 -8689 N
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 3— l 4 Phone #: (503) 718- Z4-gi5
CITY.OF TIGARD
BUILDING DIVISION - PERMIT #: WA
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1t16/200F
Phone: (503) 639 -4171 fir `a , .,; A,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3114/2008 TIME: 7 :00AM PAGE: 18
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 603-615-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986
Inspection Request Scheduled For: Date: 3/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 0667343 -04 503.572 -0688 N
Corrections /Comments/ Instructions:
XI PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector 5 Date: / Phone #: (503) 718- 2t / 2
CITY •OF TIGARD
• BUILDING DIVISION PERMIT #: MST2007 -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//512000
Phone: (503) 639 - 4171 • „i' sit
Inspection Requests (24 Hrs.): (503) 639 -4175 ,..1: ' "'II
INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: 7:OOAM PAGE: 17
SITE ADDRESS: 12797 SIN DA VINCI LN CLASS OF WORK:
SUBDIVISION: E3ELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: EiELLA VITA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 545 - 0936
CONTRACTOR: RIVERSIDE HOMES INC. PHONE #: 503 046.0986
Inspection Request Scheduled For: Date: 3/14/2003 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mock nic:al rough -in 0(730 -05 503572 -86I 9 N
Corrections /Comments/ Instructions:
PO 4e_ krb v4- 1 - A1af Qt, - C vie k oL4 S i t\cL. `
/v® 4e, : asfil - 50) , 2e h l 1 -e C2C/
U
r
r ' i
'r / U-1-h of (N., ., "' _ i 0-1 ' - - ` i 1_
i. CV4ht) z `i 1S ())0L4 a1' i t\ck\ . ..
4 ' PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 'g_ 5' Date: / Y .14irag Phone #: (503) 718 - 2W>
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/2008
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3 /14 /20013 TIME: 7 :00AM PAGE: 16
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: I3ELLA VITA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: ° 03 64r -0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-6.45.09B6
Inspection Request Scheduled For: Date: 3/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
27S Framing 066738.06 503 -572 -8808 N
Corrections/Comments/Instructions:
�V1 �r� f ic:(_ AA &de
•
X r PASS ❑ PARTIAL APPROVAL 111 CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED \'•
Inspector` Date: /9/14er' el Phone #: (503) 718- 2%22
•
CITY"OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1512008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR • DATE: 3/12/2008 TIME: 7:Qt1AM PAGE: 14
SITE ADDRESS: 12797 SW DA VINCI LiNI CLASS OF WORK:
SUBDIVISION: B L.LA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: FELLA VI: TA
• DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 5
Inspection Request Scheduled For: Date: 3112/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
175 Framing 066571 -07 503- 72- 8609 N
Corrections /Comments/ Instructions:
A r cd- u ice, i ActoJ ti
�Crr� e vna k , c'. h+ s . c)r. o r� ock..c.
\1 am c; B �' `�
I1 O I (t'4 I( IC. Oleg Q 1�r e krg4 s 'iced 40 ND2r O✓.� I S 1
G �6
v So I et
PASS n PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: . Date: ovo Phone #: (503) 718 - .,9j,23
CITY OF TIGARD - -- `
BUILDING DIVISION #: MS12007- 00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/16/2O08
Phone: (503) 639 -4171 r..' Tiif
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I..
INSPECTION WORKSHEET FOR DATE: 3/12/20t)8 TIME: 7 :00AM PAGE: 17
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: E3ELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: f,3ELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 5` t 4`r09 6
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 645 ?6
Inspection Request Scheduled For: Date: 3/12/2003 Pour Time:
Code # Inspection Description Confirm # Contact # Message
61 Mectiarlical rough -in 06%71-04 603 - 572-8689 N
Cor ections /Comments /Instructions:
,\ .Wi2 0(ce, - vtn - k• a, - 'ic,6-c- (scow ,314c)-\ retIT) 'irricr km-0
1 1 j �p (�
��' 1+�r�ti�(a'�f. s:I■ �Cx;} L(.�7rK- �� C�►��/1 (C�IeCI._ �-� y ; mt. 6
{ Y1 C ro-et 1 ."41 ,12 P Js ' `) e -I c__ ✓ , 'srce:0 '9 O : ✓ICS ry \) e .
�f1 j-r S,J Icc-1 e- (.Jd 4 ■.Se)r -1 No14 ia1€ d (Aral / -I e .
1 I PASS El PARTIAL APPROVAL n CANCEL n NO ACCESS
g FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:` f!' - 5 • Date: ta 4 f-C Phone #: (503) 718 - . 603
i
CITY' OF TIGARD
BUILDING DIVISION • PERMIT #: MST 2007- 00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15112001
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 r " _o
INSPECTION WORKSHEET FOR DATE: 3/1 2/20013 TIME: 7:00AM PAGE: '16
SITE ADDRESS: 12.797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: 1 ELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: EJELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 - 64b 0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603
Inspection Request Scheduled For: Date: 3/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 066571 -03 503.5718689 N
Corrections /Comments /Instructions:
D// Ad (A •y' //l / 4 e yy kdt' 1 1, '1
, • /oJ�JJ
r C, �� 4
�7�-►- / %rr�j5� fOG��t��n `'IDk /v� jj 1)1 p��'t• .�-
r
eek bitY c i (C-a,>) ALA 441 eti-- ` G <�,la.p - 41/4 c 1`
.7 1,t0azz4 ?kg/4'k, mad // 4); le.14
a, t - /,2 0;+
' .. 1 t: L Ir. , 7 . % . Ll / / -1 -
.iGt(C / 4t e i rr ,t,.. —
G- LTi zdbi w. f d za t)/7 e,,'
S � ,Atenite Du i - j lezeli 1 ��
WO) z k
X71 - p 0573 r.• , *// 54 .
X
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
AlL Ili CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 3- it Phone #: (503) 718 -. �ra
CITY. OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/ IfY20013
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 31122:2008 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: 13ELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503- &11-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #:
Inspection Request Scheduled For: Date: 3/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
605 PovA /be.:arn mechanical 06€ 571 - 01 503 572 - 8089 N
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: /- 5 - Date: (2A1es' 05 Phone #: (503) 718-2C/23.
CITY 'OF TIGARD . ,
BUILDING DIVISION P ERMIT #: MST2007•002:20
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/2008
Phone: (503) 639 -4171
A
Inspection Requests (24 Hrs.): (503) 639 -4175 ..'_ �� p `'__..
INSPECTION WORKSHEET FOR DATE: 3/1212008 TIME: 7:0UAM PAGE: 19
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VI`-;TA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 603446-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603-646-0986
Inspection Request Scheduled For: Date: 3/1212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post /Beano structural 066571 -02 503 672 -8689 N
Corrections /Comments/ Instructions:
p PASS ❑ PARTIAL APPROVAL El CANCEL 1 I NO ACCESS
n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Ins p ector: 1/ - 5 4 Date: J a/1■4 3 Phone #: (503) 718- 2 -42.
CITY ®F TIGAR® .
BUILDING DIVISION PERMIT #: IBS T2007 -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/20tld
Phone: (503) 639-4171 his 6 j ��;�'� ' A
Inspection Requests (24 Hrs.): (503) 639 -4175 „.: I 'l l-.
INSPECTION WORKSHEET FOR DATE: 3/ 10/200€3 TIME: 7:00AM PAGE: 43
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: E3ELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VI` TA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503 815 - 0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603- 645 -09136
Inspection Request Scheduled For: Date: 3/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 teas Tine . 066378 - 03 503.1172- 8689 N
Corrections /Comments /Instructions:
1—(-i4 .
(aq4 i
1
r fi 0
0 1 , _
., - re Il i ,Or i 4 CL__
Ll
1 ` .i. _ . J. .r' A
r
bi,
i ce. -7 /
7 „------( r_______Ii
t \--) ' ,
/00 -. at; - 3 c--35 /7.cb \ 1
l ei'
PASS ri PARTIAL APPROVAL ❑ CANaL 4. J 1 1 NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ° •, ' +-t •LED
Inspector:
ki_ Date: 3 /( C / 6 Phone #: (503) 718 - �`
CITY 'OF TIGARD . -
BUILDING DIVISION PERMIT #: MST2007 -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1i151200R
Phone: (503) 639 -4171 I(L+�
Inspection Requests (24 Hrs.): (503) 639 -4175 _: °:_;.
INSPECTION WORKSHEET FOR DATE: 3/3/20013 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: DELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 603
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-0460`1h6
Inspection Request Scheduled For: Date: 3/3/200B Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 066383 -02 503.572 -86139 N
C o�rrections /Comments /Instructions:
. (-� 2,_ - /Lts" u-n.r 4,-LS °T - 2.--2.Z,--G-
c A.-T -- ci,l , -- .rts.e 4/ s /7-i es-es .
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: irA• Date: 3 ° 3- 6 Phone #: (503) 718- Z-1-1-.6---
€i2/29/2088 15:48 5032280475 CSA COls LILTING ENGIN PAIiE d'1
CONSLLL 17NG, � NGINe 5 --(3(2)22C)__
ENGINEERING EXCELLENCE ;f
February 29, 2008
Sam Scott
Riverside Homes
1925 NW Amberglen Parkway, Suite 200
Beaverton, OR 97006
Ph: 503- 645 -0986
Fx: 503- 968 -9165
Re: Riverside Homes Plan 3017- AB -03 -OR
Tigard, Oregon
This letter is being written in reference to Riverside Homes Plan 3017- AB -03 -OR at
Tigard, Oregon.
We understand that a door is to be added at the lower floor front entry into the garage per
the clouded area of the enclosed plan. This door may be added with no required changes
to the shearwalls.
If there are additional questions or comments, please contact us at 503- 228 -3848.
Sincerely,
CSA Consulting Engineers
_Ctrs aG 1 NE ` � 3�
� 08 7PE
r 0 GON n-
° P'ER 14.$ v
I EXPIRES: 12 -31 -2009 I
2895 Beavercreek Rd.. Oregon City, OR 97045
(503) 228-3848
FAX ( ) 228 -0475
02/29/2008 15:48 5032280475 CSA CONSULTING ENG1N rant 103
1 4 9��
0
1
t
TYP. U21_3
Se
STD " i 1 ' DR'.-.
llir _.,..., `.' 1 STD
„ .-- - it
1 _::, _= .
y
1 ' v'v v V• ') TYP
STD 5TD rno. , U2 i1
V 44 _____V ro . . .
E
®
D
V o
Ifki k
D
SL2 D
Se 14
1:1 - ri . ' I
4 !'i'0 Ni a
® 0
LOWER SHEARWALL PLAN SCALE: X7-2-.
VV8 ",44`
02/29/2008 15:48 5032280475 CSA CONSULTING ENGIN PAGE 04
- 13141
LATERAL SHEAR CALCULATIONS
Due to Wind and Seismic Loads:
Date: 2/292008
Job: ' :: t :,:. , .; Cs,.
Seismic Wind Seismic Wind Line Total Total Total Full-
Shear Wall Line Line Line Shear Shear Seism c Wlnd Line HeipM Se smic Seismic Wind
Warr
Shear Shear Above Above Line Shear Shear Wall Pier Shear 144 G p Pne Shear Shear Max Shear e
(ibis) fibs) Ohs) Os) (Ibis) (Ibis) !Length (fl)
Before (pif} ARer 0 (PO
(P f) Type
Asu 2016 ��- MN
Aaw 2016
�- '
Aar 2016 _ = =
Upper Floor Left
to -Right
1 1016 1226 1016 1228 2200 46 0,455 0.1023 1.00 1.00 46 56 56 STD
2 2257 2996 2257 2996 28.50 79 0.351 0.1754 1.00 1.00 79 105 105 STD
3 1241 1541 1241 1541 28.50 44 0.351 0.0965 1.00 1.00 44 54 54 STD
Main Floor Left- sum 4514
to-Right
1 1791 2168 1016 1226 2807 3394 29:00 97 0.345 0.0923 1.00 1.00 97 117 117 STD
2 2985 2880 2257 2996 5242 5876 48.30 109 0.207 0.1035 1.00 1.00 109 122 122 STD
3 1194 1592 1241 1541 - 2435 3133 4200 58 0.238 0.0553 1.00 1.00 56 75 75 STD
Lower Floor Left sum 10484
to-Right
• 1 1791 2188 2807 3394 4598 5562 36.00 128 0.278 0.1218 1.00 1.00 128 154 154 STD
2 2985 2880 5242 5676 8227 8756 8Q1 457 0.556 0.436 1.00 1. 457
3 1194 1592 2435 3133 3629 4725 (33,00 110 0.303 0.1049 1.00 1.00 110 1143 143 STD
sum 16454
Upper Floor
Front -to -Rear
A 393 837 393 837 7.00 56 1.00 0.087 1.00 1.10913 62 120 120 STD
B 2257 3467 2257 3467 10.00 226 1 0.5 1.1091 1.10913 250 347 347 A
D 1864 2684 1864 2684 19.66 95 0.509 0.2101 1.00 1.10913 105 137 137 STD
sum 4514
Main Floor
Front -to -Rear
A 519 995 393 837 912 1832 5.00 182 1.00 0.0891 1.00 1.10913 202 366 366 A
B 1817 2236 2257 3467 4074 5703 8.00 509 1.00 0.3981 1.00 1.10913 565 713 713 D
C 2206 2592 0 0 2206 2592 12.50 177 0.8 0.1725 1.0D 1.10913 196 297 207 STD
D 1178 2168 1864 2684 3042 4852 20.00 152 0.5 0.1486 1.00 1.10913 169 243 243 STD
sum 10234
Lower Floor
Front-to-Rear
A 519 995 912 1832 1431 2827 3.60 397 1.00 0.0897 1.00 1.10913 771 785 785 D
B 1817 2236 4074 5703 5891 7939 12.50 471 0.8 0.2954 1.00 1.10913 915 635 915 D
C 2206 2592 2206 2592 4413 5184 47.00 94 0.213 0.0588 1.00 1.10913 104 110 110 STD
D 1178 2168 3042 4852 4220 7020 35.00 121 0.288 0.0756 1.00 1.10913 134 201 201 foundation
sum 15954
CALCULATION OF p:
r _ _ ('wait Sheor)e(10 /t)
no.. Story Shear
(10/1) need not be greater than
1.0 for light framed construction
P = 2 _ c0
c r
1,0S 1.5
2/292008
02/29/2008 15:48 5032280475 CSA CONSULTING ENGIN PAGE 05
Job# E'' `< UPLIFT CALCULATIONS
Ir CKO........CITES
f Y Rlr) ABWI: rm.. ABOVE 60 KRCL%r T 4 DY
OOP LOAD IS USED 1D 51ST ERTUM EL
w L , o YRm
i ` *I flitter WADS MD E4 16-11 MCI 16 -a_
v
blw0 LOAD 1 RCS61 SE[SYY. LDAb IL �[UELU W A00800 . t ]..tOf
rn /Cco.r r Vl4T1Go. DrErrt n .w LaeI KR Eo M - 2 �
p
SPREAD SCE? G APE h'PIEJLLIY 'ZIT fl Cf6 YALL Zr".
ERrl% at 1p1 ntm YM.L IsCCITiCA AR[ t0 DL UY4 f0P ALL
�"f�� JAII 9801 31 ',At V&A LINE
CAS. D. SIWR BLLO, 13 USED TO JKLUIC 7NfRTlRTOG IO?EN13 r*111
lmG 3 LC301. 1010 ezr.OD3 GM M SNIT RESLL 13.
I. ot upon
. ''''''L
1N° H
•Ot rot
tai' 06032
okt d 1 \ PKRIINKD p6
* CASULAl
- (*
Sds 077 1 0-.. U �1fI ' y�.X;1 Nw x 1711 t -
,
t . f LK 130000 ♦1
Wall Welghl 12 T01 FOR. 3010*. WLIf f • 3 ^o
sAM. , t Tx ➢X °.l- xpexll ➢ %SOrr<1/n1(i %SJ - 6 %pnK11 - t Y1fd ]nxT
Roof WegN 15
Fbor Weigh: 15 t ]% ,
Iro
(ft} Pier {ft} (In) Uplift (PI
Wind Unit Seismic Length Height Hoidown Wind Seismic i
Mark Unit Shear of Wall of Wall End Dist Dead Load Information Uniform Uplift Uplift Wind Seisrrda
From
Shear I Wind From
(P (PIP) Ptah S Upper Upper
Uplift Uplift Hldown Rsq'd
•
Floor(tbs}
Floor fibs) (lam)
Total fibs)
Root Floor End
Trlb, Ttib. Deed
Length Length Did .
Upper Floor e ft ,�,_ , Load
Left- to-RigM
1 58 48 7.00
2 105 79 8.50 8 0 672 200
0 3 54 44 9.50 8 818 200 124 108 none
478 Main Floor 912 200 none
39 26 none
Left-to-RAN
•
1 117 97 3.50 9 0
2 122 109 8.50 9 378 200 124 106 944 785 MSTA36 91
8.50 9 p 918. 550
490 480 none
3 75 58
Lower Floor 918 200 3 9 26 315 223 none
Left-to-W. ht
1 154 128 -
0 -e 884 200
3 143
t 7 4.00 9 0 _ -0 200 944 785 4915 4389 HTT 98
9 0 490 480 4878 9
Upper Floor
=� ==
Front 7� 3�� 1� L�
- to-Rear
• 6 0 n 3.50 8 _ _ _
250 500 g 0 _
0 338 200 -- MSTA38 41 48 o MEM
111.111.1111. MEI EMI D 137 _ 105 -_ - == 2 17ee Msr48 4
Mal o - Floor � �� Win 8 0 Min 200 MM. 888 672 F • �_ -_- MST
40-Rear
A __ 202�� -- 270 fr
9 ® 585 .. r 0 0 Q�- 738 318 < -
c 207 196 MEM
D 243 189 3.00 g 0 == 200 2510 178 , MST6o 0
0 -- 324 - _ � ;I� MSTA36 8
rant -t -Re - 2912 HTT10 08
Floor _---- 872 2852
= roM- toRear
_
B l
A 785 771 M 88355 ®�v == ?DD 8878 ® 12952 HD 14A
C 110 104 110:3111.11111 0 1.11.101111.111. 1404 200 1849 •
- - - - - _- 1 � -
IMIMIll 7- H- 1-17718 *a
2129!2008
'CITY. OF TIGARD al _.
i i 0 ' . .
BUILDING DIVISION PERMIT #: MS 2007 -00220
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/15/20063
Phone: (503) 639 -4171 (?�
Inspection Requests (24 Hrs.): (503) 639 -4175 °'
INSPECTION WORKSHEET FOR DATE: 2/26/2008 TIME: 7:00AM PAGE: '
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VI-ITA LOT #: 01'1 TYPE OF USE:
PROJECT NAME: EBELLA V0 '
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 0033. 645.0986
Inspection Request Scheduled For: Date: 272&2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
24 0 Exterior sheathing 0636/t3 -•02 503572- 1=368 N
Corr tions /Comments /Instructions:
Y1M 5 G _
■
1 -
.. - •! - 1 .gi; - - _ - . _9- r
0 40
• -. \a\l/
n PASS n PARTIAL APPROVAL n CANCEL 1 1 NO ACCESS
. AIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .k ' Ct Date: 7 / .
` Phone #: (503) 718- - f 2 " J
^
��N�~��.��������������� -- ��mo CITY' ��m� mn��w��wo��
BUILDING DIVISION ' PERMIT #: MST2O07-022
13125 SW Hall Blvd., Tigard, OR 97223 D ' E ISSUED: 1 115120O9
Phone: (503) 639-4171 i �� Inspection Roqueoto(24Hruj:(5U3 83g'4175 ��~�0t wr
INSPECTION WORKSHEET FOR DATE: 2/26f2008 TIME: 7: • � ' PAGE: 24
SITE ADDRESS: 12797 SW DA VINCI LW CLASS OF WORK:
SUBDIVISION: BELiANSTA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLAVlSJA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 5O5'645-OS8G
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645.0986
Inspection Request Scheduled For: Date: 2/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
250 Rnofnwi|in0 065648'03 503-672-8699 N
Corrections/Comments/Instructions:
'
K SS 0 PARTIAL APPROVAL ri CANCEL fl NO ACCESS
n FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
'
Inspector: � »�� �/ �~� -�-�,� �� � « �^'� ~~'�.
Date:
CITY- OF TIGARD •
BUILDING DIVISION PERMIT #: MST2007 -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/19/2008
Phone: (503) 639 -4171 A p°_�
Inspection Requests (24 Hrs.): (503) 639 -4175 s'j _.. i 11.‘
INSPECTION WORKSHEET FOR DATE: 2/26/2008 TIME: 7:O0AM PAGE: 26
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VI;. ;TA LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503- &4?r09B6
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 50364 0996
Inspection Request Scheduled For: Date: 2/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 She; - walls/anchors 065€A8 -01 503 -672 -8689 N
CPrrections /Co ments /.Instructions: D wvLis. - V-1.3
t v 2
p ,..: __ 4,:‘ ; 1 I :_>s.,: - : . K I. \ 3
c / y. r J , ` , + ' S
-„
Cb p s •
cya.e....sz_ c r / I ar,o- eA,„, c=6-- --Dt.. t .s AM �;� \: k AZ s ,-e_4,5.
(40 fi .5,4ipz,,,,,,,,. .1 1
7 A _.:._ ine\ - r - Yes
•Nr vIr
\I 65 LI . 7- /5 6 :, ,,,.(
/14' 6 •-it ‘---41/4 - C k ci(.... t--v---a_,---A
VV\fkA'‘)v- t/ip.ir 6, ---- Ue/s4A V..g.--<i'z__ •
F PASS P1 PARTIAL APPROVAL El CANCEL _ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
t%t Inspector: Date: Z el 6 � Phone #: (503) 718- ` /
1
CITY.OF TIGARD
BUILDING DIVISION PERMIT #: IAST Q7 Ofl2 O
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: -i11r 20
Phone: (503) 639 -4171 f � I ;
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/4/2008 TIME: 7:18AM PAGE: t
SITE ADDRESS: 12797 SW DA VINCI IA CLASS OF WORK:
SUBDIVISION: B3EI.LA VITA LOT #: 0•I4 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503- E160986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-64E1-0%6
6
Inspection Request Scheduled For: Date: W4/2008 Pour Time: 10.00
Code # Inspection Description Confirm # Contact # Message
220 Slab 064431-01 503-572-8689 N
Corrections /Comments /Instructions:
e) )44 7 -rte
PASS n PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 2 -'4— o 6 Phone #: (503) 718 - Z
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2007 -00720
13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: I/15.
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/27/2008 TIME: 7 :01AM PAGE: 28
SITE ADDRESS: 12:191 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: E'3ELLA VISTA LOT #: 014 TYPE OF USE:
PROJECT NAME: E3ELLA VISTA
DESCRIPTION: New `;F
OWNER: RIVERSIDE HOMES, INC.. PHONE #: 50 -t315-0986
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-09 86
Inspection Request Scheduled For: Date: 1/22/2008 Pour Time: 10 :00
Code # Inspection Description Confirm # Contact # Message
205 Footing 063623 -05 603-672-5278 N
Corrections /Comments /Instructions:
•
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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1
Inspector: Date: \ �
/ -� .. - Phone #: (503) 718- Y?
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,. GEO ENGINE RING, INC. <;" 7312 SW Durham Road
1 Portland, Oregon 97224
` ,Phone: 503 - 598 -8445 • Fax 503 - 598 -8705
Special Inspection / ; -,f'
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JOB # ` -
DAILY FIELD REPORT ,
PROJECT b � � 0/517/( DATE . f / i g o 8
JOB ADDRESS 1 ° i / TYPE OF INSPECTION / , -t--4 sU I qd- 4_
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PERMIT NO. WEATHER .9<a-: //v c /` c'f '< ' V
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- Inspection Notes: (Include location, testing date, substitutions / deviations, materials, methods of construction,
conformance statement, etc.
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Observed by " i �--/. --= . -°
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Information contained herein pertains to materials tested /inspected only. The fact that any particular_work has been
:.__ observed or tested does not -waive the contractor's responsibility for the means and methods of construction, job site
safety; or to_comply with the contract documents. -.
CITY TIGARD
BUILDING DIVISION PERMIT #: MST20E37 -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/150008
Phone: (503) 639 -4171 . �. ''(I�Ii l,
Inspection Requests (24 Hrs.): (503) 639 -4175 ��
INSPECTION WORKSHEET FOR DATE: 1/22/20013 TIME: 7: - ,A PAGE: 31
SITE ADDRESS: 12/97 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA META LOT #: 014 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 603..646-0986
CONTRACTOR: RIVERSIDE. HOMES INC PHONE #: 503.541- 0936
•
Inspection Request Scheduled For: Date: //2212008 Pour Time: 0:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 063623 -02 503.672 -5278 N
Corrections /Com ents /Instructions:,. 2
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PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
j i
fl FAIL ❑ CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
1
Inspector: 1 -`" �t `� —___- Date: i �� i.,/6.-(- Phone #: (503) 718- -- 2.-• 4 Z l l
i
CITY TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1 512()W
Phone: (503) 639 - 4171 :;I��; ��1.i
..
Inspection Requests (24 Hrs.): (503) 639 -4175 �._
INSPECTION WORKSHEET FOR DATE: 1/22J2008 TIME :01AM PAGE: 32
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: ()14 TYPE OF USE:
PROJECT NAME: E.1C.LLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 503- 64&09e6
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645.0986
Inspection Request Scheduled For: Date: 1/22J2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
40=' Excavation 06.3623 -01 503- 572 -5278 N
Correc . ns/Comments/Instructiqns: -
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❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
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Inspector: Date: I Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MST 2007-
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/151200F
Phone: (503) 639 -4171 akfti
Inspection Requests (24 Hrs.): (503) 639 -4175 �' ..
INSPECTION WORKSHEET FOR DATE: 1/)3!2008 TIME: .11AM PAGE: 30
SITE ADDRESS: 12797 SW DA VINCI LN CLASS OF WORK:
SUBDIVISION: t3ELLA VISTA LOT #: ())4 TYPE OF USE:
PROJECT NAME: EiELLA VISTA
DESCRIPTION: New SF
OWNER: RIVERSIDE HOMES, INC., PHONE #: 603-645.0g%
CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986
Inspection Request Scheduled For: Date: 1/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
216 Footing brain 063623-03 503572 -5278 N
Corrections /Comments/ Instructions:
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n PASS ❑ PARTIAL APPROVAL i ❑ NO ACCESS
Ti FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v
p Date: 1 / z/' Phone #: (503) 718 - -2-____Y