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Permit
building Permit Application !//€ j J �r Residential I R OFIICE USE ONLY `City of. Tigard Received / Date /B I /Rr� Permit No.: D /D 13125 SW Hall Blvd., Tigard, OR 97223 S EP 0 9 2010 Plan Review � } , 1 Phone: 503.639.4171 Fax: 503.598.1960 D ate /By: ' I Li ` 16 Other Permit: r : I 11A It t') TIGARD Inspection Line: 503.639.4175 CITY OF Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: k h 00 - 1 r ,,ILO Supplemental Information � L IL T ve BUILDING DIVISION ,g ar t E "z -o ra ` w ... , ki : TYP E OF WORKS r.' i UIRED''40 : r n ' 3r .,,� i a .�_ i ,a.e ; y ?' r... r..i'il �.k.,, r .. . ,..;.7 .,_.....;, , .. . '., _ , a .,� r 1.'k . Q + ;:...,- . . r rA�n AND 2 FAMILY DWE LLING ,e as ■ ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed, Indicate the value (rounded to the nearest dollar) of all ja,Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the work indicated on this application. a • ' r � " tkt °' 7k "' x �'' x x .i "�ti W : 'u�ra `q t " ''s CATEGORY OF CONSTRUCTION k" r . v ,( ��N�`,��d _ .w,y� �u;c� .fi y..W�.� s_..,��a,ur„, .a- mr,�,.uu ep �o +r ...+ �. .,, .., tN 1- and 2- family dwelling ❑ Commercial /industrial V S 1 1\ 4 ` / !J do ❑ Accessory building ❑ Multi - famil i� Number of bedrooms: �/ -_ N L..) ❑ Master builder ❑ Other: P) of bathrooms: .. .K/ t" i f a l JOB "S1TE' INFORMATIONAND) d ' , rr �� + _ Cc.) � 4, _a., rr_4ewl . �. rx..� , , ,YH. LA: �. _e 101, ,, . ,Oi' :0 . LOCATION l q Total number of floors: Job site address: l .--1 Z 4 Sv.3 �4.: New uiJ k ovh-� New dwelling area: i 0,z, i square feet City/State/ZIP: — 7 l. 02 ') 2 13 rtftiarage /carport area: t( " square feet Suite/bldg. /apt. no.: Project name: R i __8 ,p, (Al Covered porch area: g f square feet 6 Cross street/directions to job site: Sum r 1.q 144_ Deck area: 9 square feet 31 Other structure area: square feet _ RE QU IR 1D DAT ,COMMERCIAL U Subdivision: .lk ,/, © Su m.n tr taut -e #3 I Lot no.: i) Z Permit fees* are based on the value of the work performed. Tax map /parcel no.: ) s 1 3 30 0 O 1 3 0,-7 Indicate the value (rounded to the nearest dollar) of all z a 4" r m equipment, materials, labor, overhead, and the profit for the u ? V k„it ,, 1 ' , ar ,, "C w', DESCRIPTION turee t° work indicated on this a lication. Valuation: S ADP v of Nk-vu 4 _ Existing building area: square feet New building area: square feet • /fly s� a r ar x ry w r3 i,'." r (?�'. #, PROPERTY VOWNERI g "' R a� _ 4 ,-. _ n, oi ❑' T E NANT ,,,.„ t ,,,,1..' ;,, d Number of stories: Name: J �e 0 � �� Ao p TA 1 b�� 5 Type of construction: Address: `'J._ -? (l 0' `D f\ N CST" Occupancy groups: City /State /Z_IP: --K cs 0 OR o'" 2. J Existing: Phone: ( ) Fax: ( ) *'r [ i,.�e 7wp k "' f, 5'a �, � -�. ,r yn e G i 7 I s' as NeW . ` w.,.'.l.�q "tr�"�xV ':Viiti }x,. ?.. v ...' '� >VCONTACT PER a ar r g + , a ,s ..,.. .,,, .. ,,,, i yj I 'e rNOTICL` t r, io n, .I s ")t " �K ,�s a ..,,,, Bey �, �. ��.'.,x�,2�' .w„k�� �_,.t'iE Business name: S.,___.& �c , teo-e L t- (> c4 c0 , ;J All contractors and subcontractors are required to be Contact name: ��.� licensed with the Oregon Construction Contractors Board e under ORS 701 and may be required to be licensed in the Address: 1 (-- 1 O o - 5 jurisdiction in which work is being performed. If the City /State /ZIP: u A 4rs - n.a 0Q CA' t - I__ applicant is exempt from licensing, the following reasons apply: Phone: (5c3 ) lu ci \ ° 10 8 Fax:: (5sD3) (., ci Z Q 2'3 E - mail: 5 A - ev2 Qj SLS R-0fntJ ., C," �. r r .,„ "+s ' �"� ' v,r � ' � t a � MS na, i . + ii1 -. �s� x v : ,� 8 a� i ��, i : s y °� ,, �.; r �a, �CONTRACT,OR . ar r° n t r ....a,d,.rcr -�.wn u,. tn.. �' :, .�..,, r ,r,� a,a, e« -ww 9�r.�,.r.E�.. .._ .. �. ,... :, z ,.id,,,.o.r Business name: 9r� , t b r1N, �` ,.. PP4',DINGlPERIY,IIT ) FEr$WA k'( Address: R-3 tIgi i= r bN2'ePle serej � 4,a)�"a,1, e, ?r,�r,.s; , City/State /ZIP: S. Structural plan review fee (or deposit): Phone: ( ) Fax:( ) — ELS plan review fee (if applicable): CCB lic.: G; S 1 Total fees due upon application: a Amount received 777. '70 Authorized signature: ,/���(.. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: S� eV r S, (), Date: CI I 3 ) J /c * Fee methodology set by Tri- County Building Industry Service Board. 1: \Building\Permits1BUP -RES PermitApp.doc 11/6/07 440-4613T(1 I /02/COM/WEB) R Electrical Permit Application SEP 0 9 2010 µ:x _ :., FOR OFFICE l fit. 0 \1.1 ,. City of Tigard Rc-ceivea l W �/D 2Y DatclBy: Permi 1Jo_' �� J j 13125 S W Hall Blvd., Tigard, OR 97223 ITY OF TIGA plan Review Phone: 503.639.4171 Fax: 503.598.19.6 DIVIC Dak'Dyc other Permit. T 1 GARD Inspection Line: 503.639.4175 II Date Ready/t3y: kris Bi Sec Page 2 fir Internet: www.tigard- or.gov ( NotttieM.tethod: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ Ncwconstruction -F] Add Won/alteration/replacement Please check all that apply (submit 2 sets of Mans w /iiems checked below]: El Demolition Other: Q Service or feeder 400 arras or more ❑ Buildinb three ee bionics. where the available fruit current D Marinas and boat•mpc. Zr- EGORY OF CONSTRUCTION exceeds 111,000 amps at 150 volts or ❑ Floating huddings. I and 2-family dwelling Commercial/induslrial less ter m°- orexc exceeds 14.000 ❑Lom'ndcial -use agricultural y g ❑ ❑ Accizsory building amps for all Otheriralitlations_ bui kiln gr. ❑ Multi - family ❑ Master builder ❑ Other: °Fire pump. ❑ installation of75 KVA or JOB Sue INFORMATION AND LOCATION CI Emergency �• > separately derived 3 system. ❑ Addition of new motor load of ❑ `A " `lT, "1 -3 ", ° 1 -3", 100HP occupancy. Job no.: I or m ore Job site address: l , t I"'''' Vic. - 9, b " }y e c�,ionol vehicle t Q Six or more residcatial units. ❑ l?�- City/State/ZIP: - c /4 oft_ 00 .1'11- 2— y 0 Hratth facilities. 1=1 supply voltage for more than a Hazardous locations. 600 volts nominal. " — Su bldgiujL no,: I Project name: alt, Q Service or feeder 600 amps ormore. FEE SCHEDULE Cross street/direct ions to job site: 5w M Mt r_ (,A \G-t new ^tom" 1 Qr1 I Fee. 1 T _T New residential single -or multi - family dwelling unit. _ -- -- Indtdes attached garage. _ Subdivision: V �q it L.otno, I,W ft or less 16854 4 ny� co gh,h•c,, l . 3 11 L Tax map /parcel no.: (S , 3 3 o O '1 ®.� Ea add'I 500 sq_ ft. or portion 33 ► - -.. LIO11431 CI In gy, IL-skle:101W 75.00 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi -family • /� 75.00 2 Oo -^a l r -Jgi.T1v.✓1 - - !VELA/--- - 6C.l1 s .C2/ 5 4,v 5 r u idcntiel(wi thabovesq.fL) Services or feeders installation, alteration, and/or relocation mac' t./ (3 % t 200 amps or less 100.70 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,00u amps 301.44 23 Address: Over 1,000 amps or volts 552.26 2 City /Sta#e/7TP: Temporary services or feeders installation, alteration, and /or relocation ■ Phone: ( ) Fax: ( ) 200 amps or kss 59.36 I 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 549 amps 168.54 2 ' Branch circuits — new, alteration, or extension. per panel Owner signature: Date: A. Foe for branch circuits with above service or feeder fee. Q APPLICANT' ❑ CONTACT PERSON 7.42 2 each branch circuit Business Warne: B. Fee for branch circuits without service or feeder Ice, first 56.18 54"1/ }j 2 Contact names branch circuit Each add'l branch circuit / e' ..__ 7.42 1 t i../ v 1 2 Address: Miscellaneous (service or feeder not included} _ Each manufactured or modular City /StateJZIP: 67.84 2 dwell ing. service and/or feeder Phone: ( ) F ( ) Reconnect only 67.84 2 E Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited-energy r panel, alteration, or extension. , Page _ 2 Business name: G ''-4) hl' J �+ ( Each additional inspection over ailowalde in any of the abov Arcs g ) / 5 56,J / ti? Ar 7 ,',-, 4 - 2 2 -; 4 ,C. Additional inspection (1 hr min) 66.25/ hr CtlylSldlrlZlP: investigation (I hr min) 66.251 hr 7u// /�+ 7 , — O C 70 2 Industrial plant (I hr min) 78.18/ hr Phone: (563) r/ d — $ .2 1 3 Fax: (So '9 pi 7 — C. 3 / Inspections for which no fee is 90 -00/ hr Electrical Lic.: L Suprv. c.: L� specifically listed (:4 hr min) CCB Lic.: J �3� 0 1(� ., C / ( / 5� S ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: / 30,3y l `�r/ 1 Plan review (2S% of permit flee): > Print name: 5, 5c y . c I le4,k_ y,2"-- � Da e: , /,/ o all: St surcharge (1 Teo of permit fax): i S r (,� r TOTAL PERMIT FEE: f (i r 0 Authorized signature: / ( � Z pp p L 2 , This rmit a Ocadoa ex ices if a permit is not obtained within 180 flays after it has been accepted as complete Print name: • / _ .• _ ` r \ Date: A • Nwubea of unpeetruaa allowed per peMA 1: ',Buildinetrmiu' •PCFnitApp.doc 01/01/10 440P16i15 COS/COMM EB 6'd 9EZ9L 2E09 c!-0 M'V'O e6t7: L L 0 1. LO deS Mechanical Permit Applicati' r FOR OFFICE USE ONLY City of Tigard C Rece 1 3125 SW Hall 1 vdTigard, OR 9722 e "'= Dale/ Permit No.: M5 ��� C Phone: 503.639.4171 Fax: 503.598.1960 S E P 0 9 2010 Date/By: Other Permit: TIGARD Inspection Line: 503.639.417 Internet: www.tigard- or.gov Date Ready /By; luris: H See Page 2 for CITY OF TIGARD Notified /Method: Supplemental Information . . ....._. _,. .... ,.. c..^ _ _..._.- :aC.:..i • " "-- _,....ns.t�a:::a r` ._ .. cu. . , '_° .., ..:.._:_' _ : _•.,� , • . — R,a._. - - - �U.. rir.. .: ::ii;.i. ^"t:�••:�_:• . .'. '__- :::c:a;..,... 5...io.,,..•._....,_ •..._,-•._...., ... .. X.) r :::u:m .r-� : , •- t :•: - ,. _........ ,! .�,: +c•.. �.. - :— , :.. , c:::;,:r,!:r ^" =� s�i�:�= s- �`r�_ +��,; �,rror :i tL�M_ M_ ERC';(�- .EE?�', C��_.__ ��.Tc,.. , , ..._ .)..:,> =:rii 5'._:- �__> ::'- „:wU.;:), �,;ti::._,)�:.- :,��Ei' 4E >?G�ECKL Igtil ❑ New construction Yq1 Addition /alteration /replacement Mechanical permit fees* are based on the value of the work ❑ Demolition ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead, and profit. - -- • , ^...._._ .... -.d -.� ;"g,nsrim i u .a,n_r:•a�n:.<".rr:a.- ` -.: ;:u_.! iii! gu: ar'• r:•:r.:(...._...... {; _:::_ : :� ::::_,.. ....... _,•a - 4'44TEGOI? OF w:;;F . r........, • _ r :, , ?GO�SPftC) „1 ? rY017 y .” !.t= :!i Value: $ xi dwelling #0: -gI .... _ QYJYP Y , ::- . ^ _ 1- and 2-family g ❑Commercial /industrial ' . ����� •_... �._..,.,-��._� =_ "`�� ❑ Accessory b uildin g ••' • -•••�• - • - -- .:- •.�::,•a' ` �– '- ��.;� ❑ Multi- family ❑ Master builder For special information use checklist. ❑ Other: :::::,---- :,:::� �,••sT;:o,,,): s;i; �': �:;<. °_ ...... , ._ .,.._•_ Description --:, .,:::-• .. )):,,: �,; uss::::::-: ::::.:-- :,i.,�,_,r_= ,v::::_ :::a�:. :: . ;)::,,::.,� : :; =.. 1 Qty. Ea. I Total ,::..::!�:, :r,:;!; ^r;;, °'its -;�� ;:- ;:,a:::: J"USs „r t - •- .,...,... , •,,!- :..,_- ,::::_,:,:. ,......., 4>:Y„ 3`,-OCATI ):::- „<,, -_ > i Heatinglcooting Job site address: \ x-1-1 y -- 0 W ,DA3 u.L C T Air conditioning (requires site plan showing placement) 46.75 City/State /ZIP: r— L 0 Fumace 100,000 BTU (ducts/vents) 46.75 Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts /vents) 54.91 b At.A_`. �— bleat pump 61.06 Cross street/directions to job site: Duct work 23.32 • 3 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances --___ _.. >.,.,::.�:._.,,.._,.,.. -_ - __.._.....,,.,,.._._ -�.: �- c- � - -;;_� __:_�::::: =ms t�:•:- >:- ::: -::� ::::<�.�::�:�:::_ • ::,: -::; :;: .;,�, : w ::_• _-_:� : t Pi:lf ES_C if0.45 v-0 s:. = = 'i-: :— =rs, �.,: q:__ ,� ,- Water heater •,,.,_.;: !;..__.- ....•.._.._. ^_..._..._. _��:,,;- ,,::. ... WO _._...... � - --- -' - = r 23.32 �( q r / Gas fireplace 33.39 Add .5typ !y 'Duds AJeci.) Add i-4n_... a- d70W iJ Flue vent for water heater or gas fireplace 23.32 3' ,.,(,..54..1-v$. Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 .... __... .._.�., ...•.___- _. .;_:.�..:,...;, _ - 23.32 ...,..,..._,::,_..!..._._. .... 7- � ' . - � _O �'l!: ISLRs• � ; ; ;t;t �: : <::: � . - �c s __ . - -- �"l:i:_' Chimney /liner /flue /vent , _ ._ ,. _.,_,,.'. Other: 23.32 Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 33.39 City/State /ZIP: Clothes dryer exhaust 33.39 Single-duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet ...__.. .- -� : . 1�« c;_;;°,--: i'::::! ,i�__ s_ tr✓+ stz;-_..;: yr:— �. •.v,, :a:� ��::,•_, :::: e:,c,:r..:d_°c_;.. ,.. .- ^..% a: '..AP ;_ {. 'ct . , _sr - -r d ='agia iii: :m:^.e u S _. t.•�.. At is pa compartments, u �3 32 utility rooms) -- --= .:..;�:.._,._._.. , _.....,._,. � Is fans 23.32 , _ -._ Business name: PYRAMID HEATING AND COOLING Other: 23.32 • Fuel piping Contact name: MEMORIE BROWN $14.15 for first four; $4.03 for each additional Address: 5699 SE INTERNATIONAL WAY STE A Fumace, etc. Gas heat pump City/State /ZIP: MILWAUKIE OR 97222 Wall/suspended/unit heater Phone: (503) 753 -9522 Fax: : (503) 786 -3432 Water heater Fireplace E -mail: mbrown@pyramidheating.com Range CUNT - p :...;, i; :i; ): = i .......,_ --- -r -..... .w�.,�:o..:::._ ,,,,at::.,:�_ -- Cn. -R _'- ..... :.:: - = '= :�^- 'i:�iri= Barbecue Business name: Pyramid Heating and Cooling Clothes dryer (gas) Other:. i_-, Address: 5699 SE INTERNATIONAL WAY STE A oils;; ;:- :, ++:�_:�, +„ --•. .__.._.....___.......,,,.�., .. • ..._ : iz;! ....c:' ^'_' �,^.1:Y.. C. -,-, .� „„,,,;:c:.<._�Yre ni:ni -:. - . : ._:._ City /State /ZIP: MILWAUKIE OR 97222 Subtotal .4- , r Phone: (503) 786 -9522 Fax: (503) 786 - 3432 Minimum permit fee ($90.00) a j i Plan review (25% of permit fee) CCB tic.: 59382 State surcharge (12% of pennit fee) (0 ,O TOTAL PERMIT FEE .. .This permit application expires p Authorized Signature: p pp te it h ties if a permit is not obtained within 180 days after it has been accepted as complete. Print name: MEMORIE BROWN (J\c e t Date: ` -11,3 f It_ * Fee methodology set by Tri -County Building Industry Service Board r: \Building \Permits \MEC- PennitApp.doc 10./01/09' 440- •1617T(II /0✓COM/WEB) Plumbing Permit ApplicatioRECEIVED Building Fixtures SEP 0 9 2010 FOR OFFICE I SI. 0\1.1 City of Tigard R " °i ° � / r 14 • �' �' Da / jJ Prrtoit No.: ",/ 0'10 (3125 SW Hall Blvd., Tigard, OR 97201TY OF TIGARD �� ^ ��'� Pl R ev i ew Phone: 503.639.4171 Fax: 503.5 J�� DING DIVISION Date /By per Permit No.: 1. tYi An D Inspection Line: 503.639.4175 � Date Ready/Hy: !aria: fa See Page 2 for Internet: www.tigard Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. 1 Ea. I Total ® Addition /alteration/replacement ❑ Other New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ( 1- and 2- family dwelling 0 Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. R) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: lob site address: i, 9--' -( 5 rS/ l>v^3 - .,...k-- Cs Catch basin or`arca drain 18.76 City/State /ZIP: ` . Zs O 0..N...-- _Drywall, leach line, or Bench drain 18.76 Footing drain (no. linear ft.: ) Page 2 Suitddbldg, /apt. no.: I Project name: I N ∎ trj,q - Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 J .∎- tr1/4..rs.,t Lik, Rain drain connector ( 18.76 �g r�� Sanitary sewer (no. linear ft.' ) Page 2 Storm sewer (no. linear ft.: Itcp Page 2 (02,5*-- Water service (no. linear ft.: _ ) Page 2 Subdivision: I Lot no.: Fixture or item: 1 Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 ��,� - Clothes washer 25.02 2 floor bathroom addition to include new tub/shower, 1 new water closet, 2 new Dishwasher 25.02 lays, 1 new hosebib Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Atbangb Fixture/sewer cap 25,02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 1 25.02 25.02 Phone: ( ) Fax: ( ) Ice maker 12.51 - 0.. APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: Venne Plumbing Medical gas (value: $ �) Page 2 Primer 12.51 Contact name: Ryan Venne Roof drain (commercial) 12.51 Address: 176 78 SW Galewood Drive Sink/basin/lavatory 2 25.02 50.04 City/State/ZIP: Sherwood Or Solar units (potable water) 62.54 Phone: (503) 624 -9309 Fax: : (503) 684-0940 Tub /shower /shower pan 1 12.51 12.51 E-mail: venoeven@comacast.oet Urinal 25.02 CONTRACTOR Water closet 1 25.02 25.02 Water heater 37.52 Business name: Wane Plumbing Watcr P tP in B/D W V 56.29 Address: 17678 SW Galewood Drive Other: 25.02 City/State/ZIP: Sherwood 97140 Subtotal , ;44:;, y Phone: ( 503) 624 -9309 Fax: (503) 684 -0940 Minimum permit fee: $72.50 CCB Lic.: 164204 5111.1 h Plumbing p �� Plan surcharge (25'/0 of permit fee) Pltmtbin Lic. no.: 6599 f /1/ State surcharge (12 %of permit fee) 2.AI,? Z Authorized signature: . _ TOTAL PERMIT FEE Z1 1 ,1 - 7 I Print name: Lindsay Venne Date: 8/31/10 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. j'd Ot'60 t83 EOS 2utgwrtjd auuan eST :60 01 20 daS CITY OF TIGARD Building Division TIGARD 13125 SW Hall Blvd.,Tigard, OR 97223 503 - 639 -4171 INVOICE TO: SLS Remodel & Additions Customer ID: 91577 Attn: Steve Stolze Invoice No.: INV2010 -00014 PO Box 1093 Invoice Date: 11/23/2010 Tualatin, OR 97062 Date Due: Upon Receipt Case No. Site Address Subdivision Lot .# or Project Name ` : Amount _Due MST2010 -00158 12726 SW Danbush Ct. Albaugh Fees due for plan review completed $93.80 prior to cancellation request • Invoice Total: $93.80 ® Please see attached fee schedule for description of fees due. (Detach and return this portion with payment.) Case No.: MST2010 -00158 Customer ID: 91577 Site Address: 12726 SW Danbush Ct. Invoice No.: INV2010 -00014 Project: Albaugh Invoice Date: 11/23/2010 Date Due: Upon Receipt Invoice Total: $93.80 Amount Paid: $ Office Note: Please mail payment to: City of Tigard, Building Division 13125 SW Hall Blvd. Tigard, OR 97223 Attn: Dianna Howse I: \Building \Accounting \lnvoice.doc 04/06 CITY OF TIGARD FEE AND PAYMENT HISTORY „ 13125 SW Hall Blvd., Tigard OR 97223 - , • 503.639.4171 T IG A R? • MST2010 -00158 - 12726 SW DANBUSH CT, TIGARD, OR 97223 Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due Plan Review 2300000 -43106 $777.76 $777.76 $777.76 9/9/10 Check 179415 $0.00 CDC Plan Review, RES 1003100 -43112 $64.00 $64.00 $64.00 CDC Plan Review, RES - LRP 1003100 -43117 $9.00 $9.00 $9.00 Erosion Plan Review COT 2300000 -43107 $20.80 $20.80 $20.80 Totals for Fees $871.56 $871.56 $777.76 $93.80 Receipt # Payment Method Check # P Receipt Date Receipt Amount 179415 Check 30212 SLS Remodel & 09/09/2010 $777.76 Addition Total Payments: $777.76 Balance Due: $93.80 Dianna Howse /1 O2O /O -- 604.5 From: Dan Nelson Sent: Thursday, October 14, 2010 10:53 AM To: Dianna Howse Subject: FW: Tigard Remodel Cancellation From: Steve Stolze [mailto:steve @slshomes.com] Sent: Thursday, October 14, 2010 10:28 AM To: 'Jim Parks'; Estimator_DBEC @comcast.net; flannery4 @netzero.net; john.hill @parr.com; 'Darrel Thrasher'; 'Billy'; 'Scott Parks'; 'Ryan Venne'; 'Gregg Walther'; 'Dale Bell'; nwnewwall @yahoo.com; cleves3 @comcast.net; daveS @suburbandoor.net; 'Oren Painting'; naglfloor @juno.com; 'Tom Nelson'; alan @mountainviewwoodfloors.com; Dan Nelson Subject: Tigard Remodel Cancellation To AII: The project at 12726 SW Danbush Court, Tigard, known as Albaugh remodel is no longer a viable project. The appriaisal from the bank killed the deal. Thank you all for taking time to bid this project. I will continue to follow all new leads and keep our team busy. Thanks again, Portland Area Remodeler of the Year e 1:Lir 0>abt> :REMODEL-ADDITIONS. ww-w.slshomes.com Steve Stofze, President SLS Custom Homes Inc. Ph. 503 - 691 -9878 Fx: 503 - 692 -7983 CCB# 91577 1 October 4, 2010 RE: RESIDENTIAL IMPROVEMENT AND ADDITION Project Information Building Permit: MST2010 -00158 Class of Work: Add /Alt Address: 12726 SW Dan Bush Ct. Lot Number: 112 Area: 1024 Sq. Ft. Stories: 2 Builders Name: SLS Homes Subdivision: Village@ Summercreek The plan review was performed under the State of Oregon Residential Specialty Code (ORSC) 2008 edition. Please respond to conditions below. 1) Please provide engineering requirements for lateral bracing on new and renovated existing construction. 2) Please provide foundation details showing minimum size, rebar, anchor bolts, and type of ledger anchor. 3) Provide truss lay -out detail. 4) Show number and placement of roof vents for new roof. When responding, provide an itemized letter stating in what way each numbered issue has been addressed in the revision. When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and processing the documents. Respectfully, Dan Nelson Senior Plans Examiner (503) 718 -2436 dann @tigard- or.gov •