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Permit CITY OF TIGARD � MASTER PERMIT •` l: C OMMUNITY DEVELOPMENT al �� Permit #: MST2007 -00129 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/26/2007 Parcel: 1S125DC08700 Jurisdiction: TIG Site address: 7158 SW ASH CREEK CT Subdivision: Lot: Project: ASH CREEK ESTATES Project Description: New SF. 9/17/07, adding a/c & all encompassing low voltage. 2/11/11, Reinstated permit. BT. 2/15/11, reprinted to correct property owner name. -- uNG Floor Areas Required Setbacks Required Stories. 3 Bedrooms: 4 First: 757 sf Basement: sf Left: Parking Spaces: Height: 24 Bathrooms: 4 Second: 1248 sf Garage: 714 sf Front: Smoke Dwelling Units: 1 Third: 1040 sf Right. Detectors: Yes Total: sf Value: $348,602.44 Rear: PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 100 Urinals: Lavatories: 5 Dishwashers: 1 Floor Drains: Sewer Lines: 100 SF Rain Storm Sewer: Drains: 1 Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: 4 Drywell- Trench Drain: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 NAT Heat Pump: N Hoods: 1 Other Units: 2 Furn <100K: Vents: 0 Woodstoves: Gas Outlets: 4 Furn > =100K: 1 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 -200 amp: W/ Svc or Fdr Ea addl 500 sf: 6 201 -400 amp: 201 -400 amp: W/O Svc/Fdr. Mfd Home /Feeder /Svc: 401 -600 amp: 401 -600 amp: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo' N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF 5N R3 Owner: Contractor: STERLING SAVINGS BANK VERDE HOMES INC Required Items and Reports (Conditions) 111 N WALL ST PO BOX 1188 SPOKANE, WA 99201 LAKE OSWEGO, OR 97035 -1188 PHONE: PHONE: 503 - 550 -2421 FAX: 503- 297 -5108 Total Fees: $13,618.16 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be don ce with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952 001 -0010 through OAR • . -00 i r. • You may obtain a copy of the rules or direct questions to OUNC b 3.232.1987 or 1.800432.244. ! �/ C Issue y: / ��L�4 _. J Permittee Sign l/ // / Call 503.639.4175 by 7:00 a.m. for the next available inspection d This permit card shall be kept in a conspicuous place on the job site until comp n of the project. Approved plans are required on the job site at the time of each inspection. 4 ' � �� ®� �' '��® _ MASTER PERMIT Ph PERMIT #: MST2007-00129 COMMUNITY DEPeLOPMEN T DATE ISSUED: 10/26/2007 4IGARI 13125 SW Hall Blvd., Tig OR 97223 503.639.4171 PARCEL: 1 S125DC -ACO20 SITE ADDRESS: 07158 SW ASH CREEK CT ZONING: R -4.5 SUBDIVISION: ASH CREEK ESTATES LOT: 020 JURISDICTION: TIG . PROJECT: ASH CREEK ESTATES Project Description: New SF. 9/17/07, adding a/c & all encompassing low voltage. BUILDING REISSUE: MA22138AA STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 757 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,248 sf GARAGE: 714 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,040 sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 3,045 sf 343,876.68 REAR: PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 ' FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: 4 FUEL TYPES FURN < 100K: BOIUCMP < MP: 1 VENT FANS: 4 CLOTHES DRYER: 1 • NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 0 WOODSTOVES: GAS OUTLETS: 4 y . ELECTRICAL RESIDENTIALUNIT 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/0 SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 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: 1000. amp /volt : Reconnect only: PLAN REVIEW SECTION > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL 8. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: QTH: ALL ENCOMP BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: il, 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 alf other applicable GOODLETT MARSHALL BUILDING GOODLETT MARSHALL BLDG & DEV. laws. All work will be done in accordance with approved plans. This PO BOX 91551 PO BOX 91551 permit will expire if work is not started within 180 days of issuance, or PORTLAND, OR 97291 PORTLAND, OR 97291 -0551 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct Phone: Contact #: PRI 503- 297 -1881 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 297 -1650 • TOTAL FEES: $ 13,124.86 Reg # LIC 100882 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 f'.- "Th - §� i , Issued By ` � I SIN., ,r:� .�;, �,� Permittee Signature : 4 .�I��i 1. 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. CITY OF TIGARD BUILDING DIVISION PERMIT # iii: 13125 SW Hall Blvd., Tigard, OR 97223 DATE IS Phone: (503) 639-4171 , i i4x Inspection Requests (24 Hrs.): (503) 639-4175 ...JAI- 11- INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 07159 SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: 020 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding a/c & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: GOODLETT MARSHALL BLDG & DEV. PHONE #: 603-297-1881 , Th. c fl./ Inspection Request Scheduled For: Date: 12112/2007 Pour Ti -: Code # Inspection Description Confirm # Contact # Me :. - ge Y ‘ I ;# 1j d 330 Water service 061379-03 503.537-8654 V V Corrections/Comme ts/Instructiqns: 1 1 5-19-)i eljV • . Ki -CL-e_- - 6 64_ /, , I kA) C.... ) ) 4 71 7, c/ k..1) kAj aj'&.eftceir Atr liS _ 2( it N c 7 4 0... L'i k ea_6 ts , ,. - • k x .....■ Q)/e- Cir.f■eiL _ f- —0 0 PASS CIP;r:111AL APPROVAL 0 CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: VVe;.(fri l- Date: Zi 217°7 Phone #: (503) 718- -2*- i f , . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00129 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2007 Phone: (503) 639 -4171 - ''� � p\Al t Inspection Requests (24 Hrs.): (503) 639 -4175 s � �� . INSPECTION WORKSHEET FOR DATE: 12/11/2007 - ' : 7:00AM PAGE: 36 SITE ADDRESS: 07159 SW ASH CREEK Cr CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: O7( TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding a/c & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: GOODLETT MARSHALL BLDG & DEV. PHONE #: 503.297-1881 Inspection Request Scheduled For: Date: 12/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 061274 -02 503-537 -86:4 N Corrections /Comments/ Instructions: i � t (15; i 1 9e; ‘ ' F"-' .. v...7 ..... m......,..... ... l \ _______ t.s. ,‘ ______ _________ ,. cac , k itt.),A. I — erk______ re -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED VI) AY 7J9)"11 uk Ins ector: Date: 1 !/ i �. / d Phone #: (503) 718 - P CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00129 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2007 Phone: (503) 639 -4171 4 Il __ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7:OOAM PAGE: 34 SITE ADDRESS: 07150 SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: 020 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding ;31c & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: t30ODLET C MARSHALL BLDG & DEV. PHONE #: 503297 -1881 Inspection Request Scheduled For: Date: 12/11/ ?U07 Pour Time: Code # Inspection Description Confirm # Contact # Message 339 Water service 06127404 503537 -86FA N Corrections /Come is /Instructions: 1 .i \kj . ti 4 )V,, .1t.) 1■13_ --C s -- 15" Va, -- N - e-s 4 ( 1 'I \ ..-N - L__Q__-c- \-2.eik,d . ,P' ().?, s. ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: alq61 Phone #: (503) 718- VA7)1 2 /// /// Y . e r /, I r I ,, CITY OF TIGARD MASTER PERMIT {'I .' COMMUNITY DEVELOPMENT Permit #: MST2007 -00129 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/26/2007 Parcel: 1 S125DC08700 Jurisdiction: TIG Site address: 7158 SW ASH CREEK CT Subdivision: Lot: Project: ASH CREEK ESTATES Project Description: New SF. 9/17/07, adding a/c & all encompassing low voltage. 2/11/11, Reinstated permit. BT. BUILDING Floor Areas Required Setbacks Required Stories 3 Bedrooms 4 First. 757 sf Basement: sf Left: Parking Spaces. Height: 24 Bathrooms 4 Second: 1248 sf Garage: 714 sf Front: Smoke Dwelling Units: 1 Third: 1040 sf Right: Detectors: Yes Total: sf Value. $348,602 44 Rear: PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 100 Urinals: Lavatories: 5 Dishwashers: 1 Floor Drains: Sewer Lines: 100 SF Rain Storm Sewer: Drains: 1 Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: 4 Drywell- Trench Drain: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 NAT Heat Pump: N Hoods: 1 Other Units: 2 Furn <100K: Vents: 0 Woodstoves: Gas Outlets: 4 Furn > =100K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 -200 amp: W/ Svc or Fdr: Ea add! 500 sf: 6 201 -400 amp: 201 -400 amp: W/O Svc /Fdr: Mfd Home /Feeder /Svc: 401 -600 amp: 401 -600 amp: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo. N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF 5N R3 Owner: Contractor: GOODLETT MARSHALL BUILDING VERDE HOMES INC Required Items and Reports (Conditions) PO BOX 91551 PO BOX 1188 PORTLAND, OR 97291 LAKE OSWEGO, OR 97035 -1188 PHONE PHONE: 503 - 550 -2421 FAX: 503 - 297 -5108 Total Fees: $13,618.16 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090. You may obta'r , .. .f the r - o • . t questions to OUNC by callin cn3 or 1.800.332.2344. Issued B /r`� �i �' Permittee Signature: \ Call 50 .y 7:00 a.m. for the next available inspection date. ��' 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. Plumbing Permit Application Building Fixtures p r oll OFFICE LSE ,ONLY.! City of Tigard CE � � t ua 0 Date/By: d ti Permit No.: t . 13125 SW Hall Blvd., Tigard, OR 97223 " y' �� 3r l /��- t� 1 II Plan Review 1 , ,'.. 503.639.4171 Fax: 503.598.196 11 2.01 Date/By: Other Permit No.: V Inspection Line: 503.639.4175 •TIGA Ready/By: Rd /B Juris. 0 ee Page Pa e 2 for p � : R('� ea . Internet: www.tigard- or.gov 1. ,, t : - rii#^ryie'V Notified /Method: Supplemental Information ` 'TYPE OF WORK I LA I ' " ' . IISIO FEE* SCHEDULE a�a + 1F�If - ' aldlar o For special information use checklist ® New construction El Demohtton Description l Qty. Ea. I Total ❑ Addition /alteration /replacement ❑ Other: New 1 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ® 1- and 2- family dwelling ❑ 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. ft.) Page 2 JOB SITE INFORMATION AND LOCATION • , ' . . Site utilities: Job site address: 7158 SW ASH CREEK CT Catch basin or area drain 18.76 City /State /ZIP: PORTLAND, OR 97223 Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: _ ) Page 2 Suite /bldg. /apt. no.: 1 Project name: ASH CREEK Manufactured home utilities 50.03 Cross street/directions to job site: Taylors Ferry to 74th to Shady Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: ASH CREEK ESTATES I Lot no.: 20 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION, 'WORK Backwater valve 12.51 Clothes washer 25.02 NEW SFR Dishwasher . 25.02 Drinking fountain 25.02 - Ejectors /sump 25.02 ® PROPERTY OWNER ❑TENANT Expansion tank 12.51 Name: STERLING SAVING BANK Fixture /sewer cap 25.02 Floor drain /floor sink/hub 25.02 Address: 111 N WALL ST BR 919 Garbage disposal 25.02 City /State /ZIP: SPOKANE, WA 99201 Hose bib 25.02 Phone: (503) 363 -5127 Fax: ( ) Ice maker 12.51 ® APPLICANT in CONTACT PERSON Interceptor /grease trap 25.02 Business name: VERDE HOMES INC Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: SCOTT THOMPSON Roof drain (commercial) 12.51 Address: PO BOX 1188 Sink/basin /lavatory 25.02 City /State /ZIP: LAKE OSWEGO OR 97035 Solar units (potable water) 62.54 Phone: (503) 550 -2421 Fax: : (503) 716 -4577 Tub /shower /shower pan 12.51 E -mail: SCOTT @VERDE- HOMES.COM Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: EURO PLUMBING 1NC Water piping/DWV 56.29 Address: 10659 SE 172 AVE Other: 25.02 City/State /ZIP: HAPPY VALLEY, OR 97086 Subtotal Phone: (503) 558 -0903 Fax: (503) 558 -8143 Minimum permit fee: $72.50 CCB Lic.: 152186 Plumbing Lic. no.: 37 -486PB Plan review (25% of permit fee) -∎71 1 i y State surcharge (12% of permit fee) __,4 Authorized signatuf TOTAL PERMIT FEE Print name: PETREA VARGA Date:' _8 f S i This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board Building Permit Application • Residential - FOR : , ', C ity of Tigard k Date /B : �� !/ J. Permit No.: -7 I jm . ° 13125 SW Hall Blvd., Tigard, OR 97223 ® Plan Review � III ° . Phone: 503.639.4171 Fax: 503.598.1960 t o v "'" Other Permit. Date/B T.I G 4RD Inspection Line: 503.639.4175 �l Y v� pate Ready /By: Jeri$' EI See Page 2 for Internet: www.tigard- or.gov „ L rtS /Method. '�y Supplemental Information \ 1.. ,i'0, _^ TYPE OF WORK v 4� .. r't‘ REQUIRED DATA: I- AND 2- FAMILY DWELLING - ® New construction ❑ Demolition °�� V` �`�y\• Permit fees* are based on the value of the work performed. r� '" \�a Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement ❑Other: CO\�vt` . equipment, materials, labor, overhead, and the profit for the ' CATEGORY OF CONSTRUCTION work indicated on this application. ® I- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder . ❑ Other: Number of bathrooms: .JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 7158 SW Ash Creek Ct New dwelling area: square feet City /State /ZIP: Portland, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Ash Creek Covered porch area: square feet Cross street/directions to job site: Taylors Ferry to 74` to Shady Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST' Subdivision: Ash Creek Estates Lot no.: 20 Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. New SFR Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY. , OWNER ❑ TENANT Number of stories: Name: Sterling Savings Bank Type of construction: Address: 111 N Wall St Br 919 Occupancy groups: City /State /ZIP: Spokane, WA 99201 Existing: Phone: (509)363 -5127 Fax: ( ) New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: VERDE HOMES INC All contractors and subcontractors are required to be Contact name: SCOTT THOMPSON licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: PO BOX 1188 jurisdiction in which work is being performed. If the City/State /ZIP: LAKE OSWEGO, OR 97035 applicant is exempt from licensing, the following reasons apply: Phone: (503) 550 -2421 Fax: : (503) 716-4577 E -mail: SCOTT@VE RDE-H OM ES.COM CONTRACTOR., Business name: VERDE HOMES INC BUILDING PERMIT FEES* Address: (Please refer'to fee schedule)' y a (I City /State /ZIP: 4 . 0 1 Ug q - 1 d 3 5 Structural plan review fee (or deposit): i FLS plan review fee (if applicable): Phone: (S ) 556 ,_. 0 ,1 1 4 1 Fax: ( ) CCB lie.: 178545 / (i Total fees due upon application: Amount received: Authorized signature: ,j�f _ This permit application expires if a permit is not obtained � within 180 days after it has been accepted as complete. Print name: SCOTT THOMPSON Date: 2/8/11 * Fee methodology set by Tri- County Building Industry Service Board. CITY OF TIGARD , BUILDING DIVISION • PERMIT #: MST2007- 00129 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101210007 Phone: (503) 639 -4171 �' Inspection Requests (24 Hrs.): (503) 639 -4175 _' ^'IL INSPECTION WORKSHEET FOR DATE: 12111/2007 TIME: 7:OOAM PAGE: 35 SITE ADDRESS: 07154E SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ES'T'ATES LOT #: 020 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding a/c & all encompassing hro voltage. OWNER: PHONE #: CONTRACTOR: GOODLE TT MARSHALL BLDG & DEV. PHONE #: 503-297 -188 ) Inspection Request Scheduled For: Date: 12/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 061274 -03 503.537 -8654 N Corrections /Comments /Instruc • s: ()4,5 A 0/01 ( .. ....evi k i6u j v\. \.(A._,._ k frIAL L/V\ !...t/A — LO aNiN, --- Y, Ii 1P ■ / - X . / ' V2-64,;("• , , , Ufft.c fr't---d- \0 Vt•* e> _1LC) c ❑ PASS ❑ PARTIAL APPROVAL '7A CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V61 (A. Date: �/e ` 7 Phone #: (503) 718- 2-,`If CITY OF TIGARD BUILDING DIVISION PERMIT #: M ST2007 -00129 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 30/25,00o7 Phone: (503) 639- 4171��'1� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/10/2007 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 071613 SW ASH CREEK CST CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES* LOT #: 020 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding a/c & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: 0000L{• TT MARSHALL BLDG & DEV. PHONE #: 503-297- 1881 Inspection Request Scheduled For: Date: 12/1(3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 061184 -07 5503- 537 -8654 N Corrections/Comments/Instructions: yf PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL (l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 0 ∎ >> Date: 2 1 0 Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00129 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2007 Phone: (503) 639-4171 Aff i A, Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/10/2007 TIME: 7:01AIVI PAGE: 18 SITE ADDRESS: 07168 SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: 020 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding /c & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: GOODLETT MARSHALL BLDG & DEV. PHONE #: 603-291-1881 Inspection Request Scheduled For: Date: 12/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 061184-05 503-637-8654 Corrections/Comments/Instructions: t. k eAApt, a PASS &j PARTIAL APPROVAL Li CANCEL El NO ACCESS FAIL El CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: `7;) 6 k k Date: 12)10 16 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 011119 13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 1(f /26/ 2007 Phone: (503) 639 -4171 Ad Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1111011007 TIME: 7w01AM PAGE: 17 SITE ADDRESS: 07158 SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: 1J20 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding alc & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: GOODLE1T MARSHALL BLDG & DEV. PHONE #: 503-29 • Inspection Request Scheduled For: Date: 12110/2007 Pour Time: Code. # Inspection Description Confirm # Contact # Message 335 Rain drain 06118406 503- 537 -8651 N 5 taco-N , -- 1 1 Corrections /Comments / Instruc Pct./4" °k. V C." �'� 2 01 ✓ ‘1).r-A ►d►- N R eo� o.� ✓ 0V te i.J E -4- 1- r6 v., e Pc✓ OE 1 S+°k•Cr± LJ cz 1-Le (Cr- IIZCA A CV J -'-v ✓ Ufa D ; 'ter 5 +6 v D ✓a a, C S i,.f e/ ,-k✓-ef k ❑ PASS X PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 0 J k Date: L21i0 / 67 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: IvIST2007-00129 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2007 Phone: (503) 639-4171 • Tilt • Inspection Requests (24 Hrs.): (503) 639-4175 ............ ..... INSPECTION WORKSHEET FOR DATE: TIME: 7:00AM PAGE: 10/812008 8 • SITE ADDRESS: CLASS OF WORK: 07158 SW ASH CREEK CT SUBDIVISION: ASH CREEK ESTATES LOT #: 020 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding ac & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: GOODLEIT MARSHALL 13LDG & DEV. PHONE #: 503-297-1081 Inspection Request Scheduled For: Date: 1002006 Pour Time: I:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 076430-01 503-970-3824 N Corrections/Comments/ Instructions: I) Ze. 1416ve , AN V v , -- (Vv,,,e, ,i.1,0 Abeecs., 0 k 10 p PASS 0 PARTIAL APPROVAL ill CANCEL fl NO ACCESS • FAIL D CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED — - 1 7 5 Inspector. . ,-- Date: 8 ocr-To 6 Phone #: (503) 718- -24/23 1 CITY OF TIGARD BUILDING DIVISION . -' PERMIT #: MST2007-00129 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i0/26/2007 Phone: (503) 639-4171 A _E Inspection Requests (24 Hrs.): (503) 639-4175 reit INSPECTION WORKSHEET FOR DATE: 1/29/2009 TIME: 7:02AM PAGE: 26 SITE ADDRESS: 07169 SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: OW TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding a/c & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: cooDLETT MARSHALL BLDG & DEV. PHONE #: 603.297-1881 Inspection Request Scheduled For: Date: •/29/2008 Pour Time: 9 Code # Inspection Description Confirm # Contact # Message 220 Slab - 064117-01 503-637-8654 N Corrections/Comments/Instructions: 1 // PARTIAL APPROVAL El CANCEL I I NO ACCESS ..._. n 0 FAIL ,..//4 CALL FOR INSPECTION 0 ADDITIONAL FE S ASSESSED i Inspector: %11 Date: I 11 (2 Phone #: (503) 718- i CITY OF TIGARD - BUILDING DIVISION - PERMIT #: MST2007 -00129 13125 SW Hall- Blvd., Tigard, OR 97223 DATE ISSUED: 111, Phone: (503) 639 - 4171 " °��A Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/27/2007 TIME: 7 :00AM PAGE: 11 SITE ADDRESS: 07158 SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES • LOT #: 020 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding a/c & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: GOODLETT MARSHALL BLDG & DEV. PHONE #: 503.297 -1881 Inspection Request Scheduled For: Date: 12/27/2007 Pour Time: 12 :00 Code # Inspection Description Confirm # Contact # 1 Message 220 Slab 062209-01 503- 537 - 8054 N Corrections /Comments/ Instructions: r . / ( j — (po Abc p 7 j PASS ❑ P ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 2,4_ FAIL �� CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED Ins ector: .7 , J U Date: 1 P ne #: (503) 718 - P 1 CITY OF TIGARD s i BUILDING DIVISION PERMIT #: ao0 7 _ /a 9 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 - 41714° ,I I� Inspection Requests (24 Hrs.): (503) 639 -4175 .�''P'f_L INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: — 7 Ls-- a 00..4 d%Lk f � CLASS OF WORK: SUBDIVISION: LOT #: � v v TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: ^ Inspection Request Scheduled For: + / � .� � — I g'07 Pour Ti e: �� / vim Code # Inspectio s iption C Co # Contact # Message f a.A.&41.—, 1L . $ let-e-/-446(i 1 Aoritga _ST 3 _537 - e&s Corrections /Comments /Instructions: V&4 t /'o /o) ( . • `_ _ _ = �� ! I ��. - lip.,Aese" E PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS E FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: ��i Phone #: (503) 718 - - - ,___±_q_ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00129 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2007 Phone: (503) 639 -4171 u;i,1, i , Inspection Requests (24 Hrs.): (503) 639 -4175 .:t,�ii, INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 :00Am PAGE: 31 SITE ADDRESS: 07158 SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: 020 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding a/c & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: GOODLETT MARSHALL BLDG & DEV. PHONE #: 503 -297 -1801 Inspection Request Scheduled For: Date: 12/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 25f) Wtr proofing basement walls 061379 -02 503-537-86 FA N Corrections /Comments/ Instructions: PASS ❑PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS ❑ FAIL n CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED 1L!4' 1 2 / 6 7 Z- Inspector: Date: Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00129 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ...': F '_ INSPECTION WORKSHEET FOR DATE: 11/30/2007 TIME: 7 :00AM PAGE: 23 SITE ADDRESS: 07158 SW ASH CREEK (T CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: 020 TYPE OF'USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: Nev e SP. 9/17/07, adding a/c & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: GOODLETT MARSHALL BLDG & DEV. PHONE #: 503 -297 -1881 Inspection Request Scheduled For: Date: 11/30/2007 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 060572 -01 503- 537 -8654 N Corrections/Comments/Instructions: S�su� srz AI Pc. 7O�CL f." 4-2,5 - 7a72 7 - < - 7 - A-/ — � , 4f- - .� _ .. 's - 4'Oi " 1 ( I rJ'r r h-s , "Is p ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: a Date: 7 / —"70-07 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00119 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2007 Phone: (503) 639- 4171r�� Inspection Requests (24 Hrs.): (503) 639-4175 ° I INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: 102 SITE ADDRESS: 07158 SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: 020 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding a/c & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: GOODLE1T MARSHALL BLDG & DEV. PHONE #: 503-297 -1881 Inspection Request Scheduled For: Date: 11113/2007 Pour Time: 9:04 Code # Inspection Description Confirm # Contact # Message 205 Footing 059459 -01 503-537 -8654 N Corrections /Comments/ Instructions: CA-) Z " ' 7g Jt - 2j 4 li 7 s, /2. - d SQ_s /�,� L4 - ■ ...,►, .E AI Ail r- . c` s , — / G. e Z7IIP _ ( ''z -`S ( c - 34--/ ,: /L G." , . ,, -7 C t v . 1 1-t; ' . e a vsL- . . . - r , . z - 4,97 t X — PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i • Inspector: Dat /1- / 3 -07 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00129 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10126/2007 Phone: (503) 639 -4171 Al Inspection Requests (24 Hrs.): (503) 639 -4175 ��' r �'I.. INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: iq1 SITE ADDRESS: O7150 SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: 020 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: New SF. 9/17/07, adding alc & all encompassing low voltage. OWNER: PHONE #: CONTRACTOR: GOODLETT MARSHALL BLDG & DEV. PHONE #: 503.297 -181)1 Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 059459 -02 5(Th 537 -8654 N Corrections /Comments /Instructions: lAt 7 /V07 `rei by 1 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ./4 Date: 1/— l3 — 0? Phone #: (503) 718 - Z F -S Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDCEMENT FORM I . - /c)11- "A _ . am the 0-nerd contractor or the iwiter-buildei tho IaIkinig nddress: Site. Addresti: — 1 1 I (ity: Permit KV, Lck.. Ou 2 suhdk.isionfi .01 #: andlor Map and Ia. To conform Nvith the 2008 Oregon Residential Specialty Code tORS(. Section R".;' 18,2 and OAR 018-4804)14Th I am notifying the building official that I am aware of the moisture coocut Requirormnt of( )R!.;(.." Scetion 10 I 8.2 and have taken steps to meet this; code requircn win !Section R. 8,2 is provided lOr reference). R118,2 Moisture Content: Prior to the installation olinierior finishes. the building official shall he notilkd in writing by the general contractor that moislure-soisitive k.a.X)1i.1 rriiining members kised construction have a moisture content or not m than I pCrCell hy dry Nveigh t of dry framing mc..mhers. Signature: -S / 7 / ; g014. Contr:i )1' ir ( ) vrit'r 'fiutidcf I '.1tuilihngArooir,lati-Mooffic;-,cusitiviW,od.d,“: ■i•or S:'11X Oregon Residential Specialty Code N1107.2 • _ _ ilIGI-1-EITIC1FNCY INTERIOR 1..,ICIITING SYSTEMS Peraiii No.: rthor _ ool ihrusdlction: SItc Airktrk•': k ( r (42 CI kIi in, .01 tor 0 s andlor Map and 'ktx I ot I iy iii 4!,nalitre 1:11:10m.., I CCri I hal ; I Val n I In 1101 ( F t . 1116' 50) I•reelll i) he re rl 11:111C11 v i a I iist IecI lightink! tixture.s in the iI&v nIcniioncti buililiar have been intallcd with corripael or litton:..scent. or a 4htiin2 Nourec that has a minimum elficacy it 4t Iumcns pc:r inpul wail (Orevon :pccialry 'odc N 107:2) Signature: 77), Ciwni...176cno uric PrinI Name; 5T - nr10.+4 c is- )12. Nection N I 07.2 I igh interior lighting , :yActn A minimum or tiny c Oi percent ihc ciniuuieiiiiv installcd uiiLIrui (I.xtuuc hI 111; installcd with conip;K:t ur lincar Iluorc:scent, or a lighting soitruc that has a nt inimina criu or 411 honemi per input wall re in compel flunroscon complv with rolnicenioni t he building Official shall he intilied iii witing;tt the 1111;11 in:Tel:11011 minimum 01111. percent ui he permanently installed lighting fixtures are compact or linear llooresvent, or a mimintini cilicaLv of turiens pc' inniu wait n7:01,:os Westside .:',');:..' . ,- Y-:, all lit Insulation ... . Certificate of Compiiance This acw:clinc.ni cerii1 i0k 040 4tir fiftffttrtiss ifiNLI130011 It.i“ 600.0 iinititiltid in imiiri.wni:ifico• win) tho inituurail rficoninienditni310, And requirenteIrs to nimit thva n.:.s.istarc.r villtieW of: Batts and k_olls: (: R-Valtic l'llickne,ss . Leilingv. i'9-- 5 'i$''' -IT Now Ciniqruelittn ._ : Walk. cg ,:::,2/ a urgrad, . Rim Joi,i- 8 04 I 'loors over Garage Crawl 7-...5 .5f2._ .._ .. __...._ . . Loose-Fill Insulation ._...,, - 4_, sii i 17 bags of insulation ici cover _ ( g6 -11 7 squaw feel of ,ii at a illicknuss of / - -- ' itlehM. 01,1I 1.0514*, till iiisnlatton is nr,i‘le r.ty CcrttunIQQ4 (A)rp, v . ''f, Hid in illtitilS■Jte 4 FitAltoist tilowtnr, Instil:own Ttrr.RMAL pERFORNIANCL, - ,1101,17,.ONTAl„ OPF:',N RI .t. PN k- VAI I 0 f 14M iv mit MAXIMUM i'siFI' NIF'41 WF.IiiIIT MINI IMI JM 1 11.00 SC) FT COVFRA(.4F pt.;:k St.) 1J TIIICKN 17:SS To ■ 41t mit ;1 i NA). of tekigs per I 000 ski Cou'ivAits ni Iiii:-. hily Viieig10 ix...1 ski 0 0( Installed i reik.il ill . h11 i IA resimaii Ot.:, 1 rt . (if rio Arra: stioniti rust cetvo iffmttlit,s1 in 8 114 'Mid , iiiiii.J1(1001 hc. lo%;:... 1 4R) 04 Inort: thiln: (AI. 11..) cm N 1(...ti Ihon; 4:1h:5-) Litatt. (412) . — . . - 49 29 .6 -r- 3 4 0.K00 I 1 . .. : " 48 22.8 44 0:615 14 7 5, ._„..„ _ ... - — . 20 i5 zi +35 0.418 In 5 — . , .i 13 I 77 10 ' III 0 _I qi) . q)I 7,75 _ h. 1 k 7.7 129 0.200 '5,5 _ 1 I t 6.6 , . 1.5 I . 1 u p) _ , 0 _. LL* i , , . 1 ' . . citao ALI ce__,,, Property Address; 1 .. . di ' ,., ,.. , . _ . I .)ffie 01" Insiallwiim 4 ' 04'4'!, , ,.:1( it V1V4i 1 i 1‘.':1, InsuLtilitilikstii.mion -* ; CI ? - OS li , T481:ly'7, Ilmt• Ii4iii lirlp i '011034:rof'!.; Sii, , fd-t,)t . Ilis;)0k.o:(1 ii.... I Thic Poiililci iCi.031110.4..r , rki c) 7 ,C30 (,2 7 - P.O. BOX t.: * HUBBARD, OR 97032 (503) 010-7036 * FAX (503) 824-051'1 * MB # 71044 ....... _ / •••■MINIMININopessit." 1 III ST' ET T a 14, TIGARD- CERTIFICATION 1, 5 cs7T - 1 - 1-1-co".f*5 tor,..) offned agentlor do hereby certifi that the JO Ilowin,g location meets __.... (7/y of laud use and development standards ,-, /O street tree installation and is consistent J r with /he approved site plan. PERil 7 ' NO.: t ST 2)001 - SUL -IDDI.U: lt,c) ST *BD/ 1 'iSi()_\, 14 sAk Ct...a.e._ _ e Alt- 5 LOT At' 2, b _ ,S kii; N.-171. 'RL: C,),kz,tLiE,A OA Ti. 5_12_11 I, _ RIT,CF.11 b T1) c' I T. RIFT F.11) 8')' [ 1 1 i . 1 I" • /0,- ',-;1/0 ,I; t Y :"; e- ''1; r . .. • City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 1111 June 25, 2008 TIGARD. Goodlett Marshall Building & Development P.O. Box 91551 Portland, OR 97291 Attn: Michael Goodlett Re: Permit No. See "Notes" Below Dear Mr. Goodlett: 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: Ash Creek Estates Job No.: N/A Refund: El Check # in the amount of $ ® Credit card "return" receipt in the amount of $960.00. ❑ Trust account "deposit" receipt in the amount of $ Notes: Refund overpayment of TIF- Resident fee at $240.00 for each permit listed below: MST2007- 00181, 7169 SW Ash Creek Ct., Ash Creek Estates, Lot 2 MST2007- 00128, 7172 SW Ash Creek Ct., Ash Creek Estates, Lot 21 MST2007- 00129, 7158 SW Ash Creek Ct., Ash Creek Estates, Lot 20 MST2007- 00127, 7105 SW Ash Creek Ct., Ash Creek Estates, Lot 6 • 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 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: Goodlett Marshall Bldg & Dev. DATE: 6/12/08 PO Box 91551 Portland, OR 97291 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: Various — See Attached Case #: Various — See Attached Date: Various — See Receipts Attached Address /Parcel: Various Pay Method: Credit Card Project Name: Ash Creek Estates 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 [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 TOTAL REFUND: $720.00 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager <'� -rl� ' 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 ✓" Case Refund Processed: I Date: I ls, /„1 ye,f-- I By: I , f I: \Building \Refunds \RefundRequest.doc 05/23/07 I CITY . 4 OF TIGARD 6/24/2008 . 1312; SW Hall Blvd. 4:17:51 PM Tigard, OR 97223 503 ,1� b _ _.1.1.171 TIGARD` Refund Receipt #: 27200800000000002233 A..� 6/4 Date: 06/24/2008 Line Items: Case No Trail Code Description Revenue Account No Amount Paid • MST2007 - 00181 Reversal - [TIF - R] TIE Residen 210 0000 - 448001 (240.00) Line Item Total: ($240.00) Refund: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Credit Reversal MICHAEL GOODLETT 859646 In Person (240.00) Refund Total: ($240.00) 1 C Q a/\ 9 O o v H " .,,,.. „, 9 k . may W 'O a • Cd yry .- 4_, ,x ° q o y . • .0 , O 8 al " ' 'd E� d v w a ar as 0 'CI 6J z y h i N O W 4.) .. \ f fi v t o 5 4, 5 J p. i7 u c4 a " L d. w v a o °�' W x 7 U° W C F' ° ; 6. zra a Q w o •,”" p4c V w O � , € 0 iti '' J I H \ 1 ck,,ipi.rpn P'i_e I uls .;ur CITY OF TIGARD 6/11/2008 . 13125 Shy Hall Blvd. 1 2:34:35PM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000005204 oRte ://1 -- Date: 11/27/2007 . Line Items: /.51, ...'` ?_.. X .. Case No Tran Code Description Revenue Account No Amount Paid MST2007 -00181 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 46.00 MST2007 -00181 [LRPF] LR Planning Surcharge 100- 0000- 438050 6.00 MST2007 -00181 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 329.77 MST2007 -00181 [BUILD] Bldg Permit 245- 0000 - 432000 1,661.18 MST2007-00181 [TAX] Build 8% State Surchrg 100- 0000 - 207020 132.89 MST2007 -00181 [METCET] Metro Const Excise Tx 245- 0000 - 229202 362.04 MST2007 -00181 [MECH] MEC Permit 245- 0000 - 431010 90.50 MST2007-00181 [TAX] MEC 8% State Surcharge 100- 0000 - 207020 7.34 MST2007 -0018I [PLUMB] PLM Print 3Bth 245- 0000 - 431000 399.00 MST2007 -00181 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 31.92 MST2007 -00 1 8 1 [ELPRMT] ELC Permit 220- 0000 - 431510 345.55 MST2007 -00181 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 27.64 MST2007 -00181 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00 MST2007-00181 [TAX] ELR 8% State Surcharge 100- 0000 - 207020 6.00 MST2007 -00181 [PKSDC] SF Park SDC 270 - 0000 - 450000 4,812.00 MST2007 -00181 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 <------ MST2007 -00181 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00 MST2007 -00181 [ERPRMT] Erosion Control 100- 0000 - 207307 1 12.00 MST2007 -00181 [ERPLN] Erosn Phi Rv CWS 100- 0000 - 207308 36.40 MST2007 -00181 [EROSN] Erosn Phi Rv COT 245- 0000 - 433010 36.40 Line Item Total: $11,957.53 Payments: Method Payer User ID Acct. /Check No. Approval No. Flow Received Amount Paid CreditCard MICHAEL GOODLETT BB 859646 In Person 11,957.53 Payment Total: $11,957.53 cRcccipi.ml hoe I or `'''' CITY OF TIGARD 6/24/2008 ' ill 13125 SW Ilan Blvd. 4:19:16PM : . _. Tigard. OR 97223 503.639.4171 TIGARD, Refund Receipt #: 27200800000000002234 /� (.7"7/4_ =--- R3'./i - 2- Date: 06/24/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2007 - 00128 Reversal - [TIF - R] TIF Residen 210 0000 - 448001 (240.00) Line Item Total: ($240.00) Refund: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Credit Reversal MICHAEL GOODLETT 378802 In Person (240.00) • Refund Total: ($240.00) C`l 1 c 5) • v G o „ o y o a b a OJ . 07) W y cl 'CI .r 1i A u N O --i U z E or . Gd • ii)) 4• W a u o Q 4J 61 �+u H ,. tu cu ' t c n g W v �U oW 1` 5 w a x 1 v ii a. a C) (24t v a Q as 2 @ a m igi N • co q H w w • a .•Rcrripi.rpt fate I of I • I CITY OF TIGARD 6/I 1 /2008 • 13125 SW Hall Blvd. 12:30:58PM • Tigard. OR 97223 503.639.4171 TIGARD`, • Receipt #: 27200700000000004796 eA/ 6 I ni L-- Date: 10/26/2007 Line Items: Pi e- '/ C r`f. ,�.. - .. `..: _1- . Case No Tran Code Description Revenue Account No Amount Paid MST2007 -00128 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 46.00 MST2007 -00128 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00 MST2007 -00128 [BUPPLN] Pin Rv Balance 245- 0000 - 433000 587.26 MST2007 -00128 [BUILD] Bldg Permit 245- 0000 - 432000 2.057.33 MST2007 -00128 [TAX] Build 8% State Surchrg 100- 0000 - 207020 164.59 MST2007 -00128 [METCET] Metro Coast Excise Tx 245- 0000 - 229202 475.27 MST2007 -00128 [MECH] MEC Permit 245- 0000 - 431010 97.30 MST2007 -00128 [TAX] MEC 8% State Surcharge 100- 0000 - 207020 7.78 MST2007 -00128 [PLUMB] PLM Permit 245- 0000 - 431000 444.00 MST2007 -00128 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 35.52 MST2007 -00128 [ELPRMT] ELC Permit 220- 0000 - 431510 378.95 MST2007 -00128 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 30.32 MST2007 -00128 [PKSDC] SF Park SDC 270- 0000 - 450000 4,812.00 MST2007 -00128 [TIF -R] TIF Resident 2 0000 - 448001 3,200.00 MST2007 -00128 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00 MST2007 -00 [ERPRMT] Erosion Control 100- 0000 - 207307 112.00 MST2007 -00128 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 36.40 MST2007 -00128 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 36.40 MST2007 -00128 [MECH] Add1 MEC Permit 245 -0000 - 431010 14.00 MST2007 -00128 [TAX] MEC 8% State Surcharge 100- 0000 - 207020 1.12 Line Item Total: $12,782.24 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard MICHAEL GOODLETT BB 378802 In Person 12,782.24 Payment Total: $12,782.24 eReccipl.rpl Pat:.‘: I of I Er CITY OF TIGARD 6/24/2008 • 13125 SW Hall Blvd. 4:20:27PM Tigard. OR 97223 503.639.4171 TIGARI' Refund Receipt #: 27200800000000002235 /'C(%i, 5.' L Date: 06/24/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2007 I 29 Reversal - [TIF TIF Residen 210 (240.00) Line Item Total: ($240.00) Refund: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Credit Reversal MICHAEL GOODLETT 672543 In Person (240.00) Refund Total: ($240.00) M` co o -o .n 0J QJ w ca RI C4 t 1 t) t ;,; ,t ...4 . < 0 E • o v o z Q x A 4, � •� a y ti g y a 0 x . 9, i v v , z a '6 v 'd 4 -0 . 5 4.1., 0 ^. x ea v U . I rn cg . v �,Q � o a N El J 0 o � • cl 1_, w x a CI Ciic«iptspi Page I or I IT CITY OF TIGARD 6/11/2008 • 13125 SW Hall Bird. 12:31:12PM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000004793 6.)4(C,',J9� Date: 10/26/2007 Line Items: klsk C(e,e ; G ' .a :p .. .( -* ;f I) J Case No Trail Code Description Revenue Account No Amount Paid MST2007 -00129 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 46.00 MST2007 -00129 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00 MST2007 -00129 [MECH] MEC Permit 245- 0000 - 431010 90.50 MST2007 -00129 [TAX] MEC 8% State Surcharge 100 - 0000 - 207020 7.24 MST2007 -00129 [PLUMB] PLM Permit 245- 0000 - 431000 444.00 MST2007 -00129 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 35.52 MST2007 -00129 [ELPRMT] ELC Permit 220 -0000- 431510 345.55 MST2007 -00129 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 27.64 MST2007 -00129 [PKSDC] SF Park SDC 270- 0000 - 450000 4,812.00 MST2007 -00129 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 MST2007 -00129 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00 MST2007 -00129 [ERPRMT] Erosion Control 100- 0000 - 207307 112.00 MST2007 -00129 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 36.40 MST2007 -00129 [EROSN] Erosn Pin Rv COT 245- 0000 - 433010 36.40 MST2007 -00129 [BUPPLN] Pln Rv Balance 245 -0000- 433000 443.61 MST2007 -00129 [BUILD] Bldg Permit 245- 0000 - 432000 1,836.32 MST2007 -00129 [TAX] Build 8% State Surchrg 100 -0000- 207020 146.91 MST2007 -00129 [METCET] Metro Const Excise Tx 245- 0000 - 229202 412.65 MST2007- 00.129 [MECH] Addl MEC Permit 245- 0000 - 431010 14.00 MST2007 -00129 [TAX] MEC 8% State Surcharge 100- 0000 - 207020 1.12 Line Item Total: $12,293.86 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard MICHAEL T GOODLETT BB 672543 In Person 12,293.86 Payment Total: $12,293.86 • eRcceipi.ipi l'a c I of I ' V 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. G oo bL E r M072sH#-L-0 6uiG PEV PAYABLE TO: Michael T. Goodlett DATE: 6/19/08 P.O. Box 91551 Portland, OR 97291 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: 2007 -4223 Case #: MST2007 -00127 Date: 9/17/07 Address /Parcel: 7105 SW Ash Creek Ct Pay Method: CreditCard Project Name: Ash Creek Estates, Lot 6 EXPLANATION: Refund overpayment of TIF -R fee. 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 TOTAL REFUND: $240.00 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager f' IE 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 Case Refund Processed: I Date: I / L V C d % " B y : I .-q \ Building \ Refunds \Refundltequest.doc 05/23/07 q CITY OF TIGARD 6/24/2008 " 13125 SW Hall Blvd. 4:26:20PM Tigard, OR 97223 503.639.4171 TIGARD Refund Receipt #: 27200800000000002239 EV 2 S -9c-- Date: 06/24/2008 Line Items: Case No Tram Code Description Revenue Account No Amount Paid MST2007 -00127 Reversal - [TIF -R] TIF Residen 210- 0000 - 448001 (240.00) Line Item Total: ($240.00) Refund: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Credit Reversal MICHAEL T GOODLETT 644379 In Person (240.00) Refund Total: ($240.00) Z) M 2 O O O v W -a v to g Is V a+ ° D x • 1 ° in t3. N H � A � v p `� O 4. H • a, 4+ a N a • c g y a o. g 3 v o 'O c k \ a B W x a V ° w k f 1\ ik U c e - c b w W .9 a. Z 1S �, 2 C H o u ti 1a) tr P4 (,� Z), O a • A O € L \ :., II y u .. O t A I w r a cReccipi.pi Pave I or I • CITY OF TIGARD 6 V 13125 SW Hall Blvd. 11:34:29AM • Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000004223 C /2I6 /A/ ' Date: 09/17/2007 Line Items: Case No Tran Code Description Revenue Account No .amount Paid MST2007 -00127 [CDCPLN] CDC Pin Rev 100- 0000 - 433060 46.00 MST2007 -00127 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00 MST2007 -00127 [BUPPLN] Pln Rv Balance . 245 -0000- 433000 405.66 MST2007 -00127 [BUILD] Bldg Permit 245 -0000- 432000 1,777.94 MST2007 -00127 [TAX] Build 8% State Surchrg 100- 0000 - 207020 142.23 MST2007 -00127 [METCET] Metro Const Excise Tx 245- 0000 - 229202 395.10 MST2007 -00127 [MECH] MEC Permit 245- 0000 - 431010 90.50 MST2007 -00127 [TAX] MEC 8 %, State Surcharge I 00- 0000 - 207020 7.24 MST2007 -00127 [PLUMB] PLM Print 3Bth 245- 0000 - 431000 399.00 MST2007 -00127 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 31.93 MST2007 -00127 [ELPRMT] ELC Permit 220- 0000 - 431510 345.55 MST2007 -00127 [TAX] ELC 8% State Surcharge 100 -0000 - 207020 27.64 MST2007 -00127 [PKSDC] SF Park SDC 270 -0000- 450000 4,812.00 MST2007 -00127 [TIF -R] TIF Resident 210 -0000 - 448001 3,200.00 - MST2007 -00127 [TIF -MT] TIF Mass Ti 210- 0000 - 448005 240.00 MST2007 -00127 [ERPRMT] Erosion Control 100- 0000 - 207307 112.00 MST2007 -00127 [ERPLN] Erosn PIn Rv CWS 100- 0000 - 207308 36.40 MST2007 -00127 [EROSN] Erosn PIn Rv COT 245- 0000 - 433010 36.40 MST2007 -00127 [MECH] Addl MEC Permit 245- 0000 - 431010 14.00 MST2007 -00127 [TAX] MEC 8 %, State Surcharge 100- 0000 - 207020 1.12 MST2007 -00127 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00 MST2007 -00127 [TAX] ELR 8% State Surcharge 100- 0000 - 207020 6.00 Line Item Total: $12,207.70 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard MICHAEL TGOODLETT DEB 644379 In Person 12,207.70 Payment Total: $12,207.70 cRcccipl.rpt Pau.e I of I