Permit City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
•
•
T I GARD
July 2, 2008
Ferd & Catherine Alexander
21820 SW Elwert Rd.
Sherwood, OR 97140
Re: Permit No. MST2007 -00171
Dear Mr. & Mrs. Alexander:
The City of Tigard has processed a refund for overpayment of permit fees on the above
referenced permit for the following:
Site Address: 11467 SW 107 Pl.
Project Name: Alex Estates, Lot 4
Job No.: N/A
Refund: ® Check #58043 in the amount of $240.00.
❑ 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.
If you have any questions please contact me at 503.718.2430.
Sincerely,
'4WOZ€7%e--
Dianna Howse
Building Division Services Coordinator
Enc.
•
•
I:\ Building\ Refunds\ Administration \LtrRefund- Ovetpay.doc 01/16/07
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772
I
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: Ferd & Catherine Alexander DATE: 6/19/08
21820 SW Elwert Rd
Sherwood, OR 97140 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt #: 2007 -4687 Case #: MST2007 -00171
Date: 10/18/07 Address /Parcel: 11467 SW 107th P1
Pay Method: Check Project Name: Alex Estates, Lot 4
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 / / /' 1 - � / —0 8
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 6/2.5 /G By: I
I: \Building \Refunds \RefundRequest.doc 05/23/07
a CITY OF TIGARD 6/19/2008 . --
. Fees Associated With 11:16:55AM
I 13125 SW Hall Blvd.
TIGARD Tigard, OR 97223 503.639.4171 Case #: MST2007 -00171 /26 7 J10 7 - y f 7 /e/i07
c 7 /o e3
T Fee-r ?; Start , End - . -- - r _ _ Revenue - • .:. . Created •, ; . , ;. '
Type Date .. Date '` . Dept Description . .. , - .:,. •• Account Number By • . IDate. . Amount - . . Due
BPLC 1/1/1990 12/31/2020 [BUPPLN] Pin Rv Deposit 245- 0000 - 433000 SLN 9/5/2007 750.00 0.00
CDCP 1/1/1990 12/31/2020 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 MAV 10/2/2007 46.00 0.00
LRP1 12/28/2004 12/31/2020 [LRPF] LR Planning Surcharge 100- 0000 - 438050 MAV 10/2/2007 6.00 0.00
BPLD 1/1/1990 12/31/2020 [ BUPPLN] Pin Rv Balance 245- 0000 - 433000 MAV 10/2/2007 101.25 0.00
BPRT 1/1/1990 12/31/2020 [BUILD] Bldg Permit 245- 0000 - 432000 MAV 10/2/2007 1,309.62 0.00
B5PC 1/1/1990 12/31/2020 [TAX] Build 8% State Surchrg 100 - 0000 - 207020 MAV 10/2/2007 104.77 0.00
MCET 7/1/2006 12/31/2020 [METCET] Metro Const Excise Tx 245- 0000 - 229202 MAV 10/2/2007 261.40 0.00
MPRT 1/1/1990 12/31/2020 [MECH] MEC Permit 245-0000-431010 MAV 10/2/2007 86.60 0.00
M5PC 1/1/1990 12/31/2020 [TAX] MEC 8% State Surcharge 100- 0000 - 207020 MAV 10/2/2007 6.93 0.00
PL2B 1/1/1990 12/31/2020 [PLUMB] PLM Prmt 2Bth 245- 0000 - 431000 MAV 10/2/2007 350.00 0.00
P5PC 1/1/1990 12/31/2020 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 MAV 10/2/2007 28.00 0.00
ELCF 1/1/1990 12/31/2020 [ELPRMT] ELC Permit 220 - 0000 - 431510 MAV 10/2/2007 278.75 0.00
ELC5 1/1/1990 12/31/2020 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 MAV 10/2/2007 22.30 0.00
ELRP 1/1/1990 12/31/2020 [ELPRMT] ELR Permit 220-0000-431510 MAV 10/2/2007 75.00 0.00
ELR5 1/1/1990 12/31/2020 [TAX] ELR 8% State Surcharge 100- 0000 - 207020 MAV 10/2/2007 6.00 0.00
PRK6 7/1/2005 12/31/2020 [PKSDC] SF Park SDC 270 - 0000 - 450000 MAV 10/2/2007 4,812.00 0.00
TIFR 7/1/2002 12/31/2020 [TIF -R] TIF Resident 210 - 0000 - 448001 MAV 10/2/2007 3,200.00 0.00
TIFM 7/1/2002 12/31/2020 [TIF -MT] TIF Mass Tr 210 - 0000 - 448005 MAV 10/2/2007 240.00 0.00
EROS 1/1/1990 12/31/2020 [ERPRMT] Erosion Control 100- 0000 - 207307 MAV 10/2/2007 88.00 0.00
ERPU 1/1/1990 12/31/2020 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 MAV 10/2/2007 28.60 0.00
ERPC 1/1/1990 12/31/2020 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 MAV 10/2/2007 28.60 0.00
WQUL 7/1/2001 12/31/2020 [WQUAL] Water Quality 520- 0000 - 445002 MAV 10/2/2007 225.00 0.00
WQAT 7/1/2001 12/31/2020 [WQUANT] Water Quantity 520- 0000 - 445001 MAV 10/2/2007 275.00 0.00
Total Due: $0.00
C)-7 FER.6 19 xI9AJ))E7Z
•
Page 1 of 1 CaseFees..rpt
N ., CITY OF TIGAR® MASTER PERMIT
PERMIT #: MST2007 -00171
COMMUNITY DEVELOPMENT DATE ISSUED: 10/18/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 134DD -02200
SITE ADDRESS: 11467 SW 107TH PL ZONING: R -4.5
SUBDIVISION: ALEX ESTATES LOT: 004 JURISDICTION: T1G
PROJECT: ALEXANDER ESTATES
Project Description: New SF
BUILDING
REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 18 FIRST: 2,000 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 644 sf FRONT: 20 PARKING SPACES
2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE: 217,829 70
OCCUPANCY GRP: R3 BDRM: 4 BATH: 2 TOTAL: 2,000 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: 1 VENT FANS: 4 CLOTHES DRYER: 1
NAT FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS 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: 2 201 - 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: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amplvolt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL -ENCOM 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
ALEXANDER, FERD F + CATHERINE M DBR CONSTRUCTION INC. laws. All work will be done in accordance with approved plans. This
TRUSTEES 7185 MONTE VERDE DR. permit will expire if work is not started within 180 days of issuance, or
21820 SW ELWERT RD GLADSTONE, OR 97027 if the work is suspended for more than 180 days. ATTENTION:
SHERWOOD, OR 97140 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 - 722 - 1296 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503 - 650 -2474
Reg #: LIC 84664
TOTAL FEES: $ 12,329.82
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 - 4444
Issued By : Permittee Signature • .,,,i,� ;i ,Jo, , P
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.
.
,
:-' I ( Y&-1 14)
fi ! , ' , .1 q'''`M:. 1-I IV I,, - ', ,, ..- ' -. ":N'
'Builailig Permit Application OVEcEl ,fEp ',,,,k:H.;,i4,4.4.04. EtSEdri•''
. : p tt,:;.v..:N Art-
- 204401; City of Tigard Received i
OR 97223
SEP 0 5 Z007 Plan Review Date/By. * 9 Permit No.: /4372evo i q.-
r t
., 1312... SW Hall Blvd., Tigard, - 1 —
ig.tt,d ;1! ii Phone: 503.639.4171 Fax: 503.598.196 Timm Date/By ri141,0 10_ 1.6_,,, .. Other Pemiit ,574) e. ,.. .- •
A •
......
/..I •
zilli Inspection Line: 503.639.4175 Date Ready/By. X) D ,, See Attached Checklist for
'l,lifiFf,i'.', I nternet: www.tigard-or.gov UILUING DIVISION Notified/Method: i is, o • Supplemental Information
/A . s
#p*'4i-: n.'-'; PA ,11°73 4'3:'-'i: 7,'::::401kiiii*k A`.::)V ef,TA
consruction 0 Demolition Permit fees* are based on the value of the work performed.
— e in ti d u i t c p a h t t e en th t e rn va a l t u et e tal (rou t r a id b e o d r, t o o v t e h r e he n a ea d re a s h t d dollar) th epro t al f l ot the
• [3 Addition/altecation/replacement 0 Other:
CATEC,010 r" ' '' -1 ' ' ..'" 1 • `*l'irl 4" /A , work indicated on this application.
{,,.F4 9:11■1$11211.1cTitr.ri m
,...., _. Valuation: S 1 /(;) e)00 1
i IA I - and 2-family dwelling U Commercial/industrial i /
Number of bedrooms: / AZ_
D Accessory building 0 Multi-family
1 ! Master builder 0 Other: Number of bathrooms: 3
------:
,,.,z • !,- 5 4114:r440 - 414-,-;108 iSITVINFORMATIONVANDOLOCATIONA,;Zpp''w , Total number of floors: / 1
job site address: 8 4 4, 1... es ,,,,, /C ?' V /0 / 6 . e ., dr New dwelling area: ‘ 0,0.C) square feet I
i City/Slatt/ZIP. iZ-d 04- q 7 Z Z 3 Garage/carport area: i oifi/ square feet I
I
_ Suil,f,b1dg.iapt. no.: Project name: , Covered porch area: g 2./ square feet
L ::. street/directions to job site: SCA) / /3 iigd 5 / Deck areal —6/— square feet
—I
Other structure area: square feet
I REQUIRED DATA:VOMMERCIAL-USE'CHECKLIST l'-
1
Subdivision: Lot no.: li Permit fees* are based on the value of the work perfor:ned.
1:-
Indicate the value (rounded to the nearest dollar) of all
I 'Tax map/par:xi no.: 1 _5/ 31;DD p2?..47:7
equipment, materials, labor, overhead and the profit for the
4
i*e4, ? , work indicated on this application. i I
L C / i eV/4 S./g tc. Cfrd 24 c g / A/45t, ) Valuation: S
Existing building area: square feet
New building area: square feet
r - .::;:,!:' , .. 1;a6i.iitiv)4*** , ./.„;:d,, 4`ti.
% ' - - - Number of stories:
1
I Name: Type of construction: I
f _____ i _________. _ ,_
Alin css : 2 / y zo 6(.) gi, lei L / 2..A Occupancy groups:
City/State/ZIP: s.. i . de"..) 00 d eV-- Existing: _1 !
I Phone: (5 6 z 5 6. gy & Fax: ( ) New: .,.1
0 APPII:IC*I" ,,.;;, .,,.'.•:.‘,•::: :(-!;'-':'-: i I" '''Ir '''''''"". '' ' • H
' ' • ' ' '-' `'", - ', NOTICE -,.:.-: ,;.; . , f':,,.
Business name: 8 4 celsis zgmc,zzozLL___z6( c- - All contractors and subcontractors are required to he
licensed with the Oregon Construction Contractors Board
Contact name: 667Viv i s /2 s e / . 0 1
under ORS 701 and may be required to be licensed in the
Address: 7/ Er c plo/v ie c/.6-x. 06- i p/t jurisdiction in which work is being performed. If the
City/State/ZIP 9 7 O applicant is exempt from licensing, the following reasons
: 6.44..els/0 Al 6 OA z_ '7
• apply:
Phone: 6)3 ) 7ge, 9o9 Z_ Fax: : (6 ‘ 5 - 0 • zi 7e../
E-mail: .
! ' ''' :'",•••‘• •
Business name: /..)/3 L ce Itizgi,d,iiot-JA./ c. kii - ply. : ' i,... ;BUILDING PERMIT FEES* 4 ' : O 1 ,
ePlease refer to fee schedule,
Address: 7/ % ./ I // z i t 4 ,7„._ j
9 70 - 7 4.-/At.ei / d .,,) e
Phone: (5 7Z7--. / a 9 6 60/.._ e -
lie Total fees due upon application: iT 7 I , Fax:
0 : 7 Z
4 5--° 1 7 5/
Structural plan review fee (or deposit):
City/State/ZIP:
FLS plan review fee (if applicable):
----1
— -
Amount received:
Authorized signaturelpg • 4 ff_ .
This permit application expires if a permit isnot obtained _I
within 180 days after it has been accepted a.6 complete.
Print name: /i/i\///..$ A. 4. ,,,,,...„ /30 ,,, Date:
I " Fee methodology set by Tr-County Building Industry
Service Board.
I: \BuildingWermits 1 BUP-RES-PermitApp doc 03/21/06 440-46131(1 l/O2JCOM/WEB)
t +
One- and Two - Family Dwelling
Building Permit Application Checklist , r„ ,3 OFFICE L''S . O\LI` , C , ! } k n �
a � r } C l of Tigard Received
iA: -; � ! City g Date/By
No
a 13 125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
a Phone: 503.639.4171 Fax: 503.598.1960
"^ 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑Mechanical
TI GnRD
, .s. , r Internet: www.tigard - or.gov ❑ Other.
,, I AY R:PLAI, REV..,1 . ,
ri i ,' " " es �� " N() 1(1
.
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district al 1 royal re t uired. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -fl. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. _
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ • ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer' . . ions."
19 Beam calculations. Pros . e two sets of ...: Iculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or . be. ii .'st carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
l
architect T licensed in * Ore _onand shall be shown to be .1 s livable to the •ro'ect under review.
j 3 ta. '1`L1R1x5DIC ; I ION =AG SPECI I -;1' ^r .' + o - ti y.. ; 'S C', i t 1 t 4 + '' \ '.:,fir. „r~ tt :, ) ' , 41,.,m
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2” x 11" or 11" x 17". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" buildin • .lans must meet criteria outlined in the Permit & S stem Develo.ment Fees document. ❑ ❑ ❑
'27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ 0
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ 0
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑
30 A Clean Water Services' Sensitive Area Pre Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\ Building \Permlts\BUP -RES -Perm 0App.doc 03/21/06
4 I -- : - ,..r.; .. -'';'.;;;.!••• ''-`.:;':..-1 1g" "li , k 4 1 1 ' ,- ,;r . '':''.:I;q: ,
- ' Mechanical Permit AuplicatioiREBvE, ,i- ,:,,.,:, 1 ep '.',,E9,11.,OE.F.T.C-E„kiS 15:p, N'IA',.., •47;,,L; -, ,.:' :: ;4
01 ''''.4.', 1' '. City of Tigard Received
MEM Permit
13125 SW Hall Blvd., Tigard, OR 97223
SEP 0 5
Plan Review
2007 Date/BY ..
Phone: 503.639.4171 Fax: 503.598.1960
n/ oF nem) Date/B Other Permit:
Y
Inspection Line: 503.639.4175 Date Ready/By: Egli 0 See Page 2 for
Internet: www.tigard-or.gov BUILDINDIVISION NotifiecVMethod: Supplemental Information
. : ' ' '' ''',.. 3: ' 1 . - *1 3 00 . * 6 .435-it',Ii'ViW , i '-; `"
. .
Mechanical permit fees* are based on the value of the work
4 „,
New construction 0 Addition/alteration/replacement
0 Other: . performed. Indicate the value (rounded to the nearest dollar) of all
Demolition
mechanical materials, equipment, labor, overhead, and profit.
afiediii,?,iiyeeiiiiiij'atio..srlx,,ro,'..,„',.,?..,,,,,p,1;.:4,,, Value: $
1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
sg
Multi-family 12 Master builder 0 Other: , 04
For special L,SySTEMIS ,F!FSj,0
Description information use checklist.
I Qty. I Ea. I Total
..t.,t; ,.„.,,,,,, iki 1 4 , Heating/cooling .
Air c.onditioning or heat pump
Job site address: I 1,4(01 • to / 7 171 / (requires site plan showing placement) 1 14.00
City/State/ZIP: rt fa 07Z— Furnace 100,000 BTU (ducts/vents) 14.00
— Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: I Project name:
Gas heat pump 14.00
Cross street/directions to job site: / c . ) — /,- A ,z,_ 4 67,467-7-7- Duct work
— 14.00
Hydronic hot water system , 14.00
Residential boiler (radiator or
jydronic) 14.00 ___
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.: 1/
Other: 10.00
Tax map/parcel no.: Other fuel appliances
,,,,..,,,,,..,.;,...;..,,, ,1„k.:,;A - ,::; , !'qikkitipili f fji■V.50 , wii itiz '*:.,=',, 0 ,- 1..rv,.::-,i , z , .re;- , w.:4 , :tsq?.;;,,, Water heater / 10.00
Gas fireplace / 10.00 __
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00 —
/ r/flue/vent 10.00
X PitoiEltti • ti4SIE10 '':•:':".k . •it' : :.1' ,. z',' SI, '740' iti ' NA'Nf.?, ', .• Cl n
.—I" line --
Other: 10.00
Name: Environmental exhaust and ventilation I
Range hood/other kitchen
Address: g I 8 0 .... CAJ °... ii.A) ./Z-•/ i O equipment 10.00
. -
City/State/ZIP: „9/442-414-Yr'd ox_ Clothes dryer exhaust I 10.00
—
Single-duct exhaust (bathrooms,
Phone: (50.3) 6 2.5 6 ?'/ ( , Fax: ( ) toilet compartments, utility rooms) 6.80
- : - . ,,L . •, ..,, 0 ,Aii,L .., `,., Attic/crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping __
Contact name: be s 4 ,,,,,--- $5.40 for first four; $1.00 for each additional
Furnac,e, etc.
Address: 7 i ( 3 "" / i vz-r_o...... 4 ,,e_
Gas heat pump
City/State/ZIP: ‘:///4S /0 AY 6. 0/4- 170 Z 7 Wall/suspended/unit heater
Phone: 53) 7Er9 904/ Z. Fax: : (303) 65-6 zed 7 t./ Water heater
Fireplace ,
E Range
dNTICAeTOk:::::: A:: : i l :' ,;.: ' Barbecue ,
/$
Business name:72' t ",f, c1,- ...a„vt ir ie.. _ )----Clothes dryer (gas) other:
Address: FEE
', 'Y.. ' ' ' ':' ' .. ' 'IS :' '' ''' ' IiitdIASIIC ,
City/State/ZIP: Subtotal
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( )
Plan review (25% of permit fee)
CCB lic.: 1 5( - 1 - 9 —0 State surcharge (8% of permit fee)
signatur4V9v4) $(;-------
1.--/__.. TOTAL PERMIT FEE
Authorized
This permit application expires if a pe rm it is not obtained within 180
days after it has been accepted as complete.
Print name: . Date: * Fee methodology set by Tn-County Building Industry Service Board
1: \ Building \Perrnits \MEC-PermitApp.doc 04/06/06 440-4617T (11/Cr2/COM/WEB)
•
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
-
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I: \BuildingWermits\MEC-PermitApp.doc 12/30/05 2
11/01/2007 06:36 FAX 503 625 4567 NORTHSTAR PLUMBING Oql
--
i hail $I
13125 SW Hall
ph_ j.w.t....g_iim penuit • , , , ,... , ,,, , . r vED - ; : :. ...,:i :,,, ,, , i., ., , "-.,'. -, , , ,',.- '..:,.' ' : ' ' r;' ,. CillerngSrd
' 6-. ` �: 5 03.639.4171' Tips* Fax 5034 - 2 c00 l Raw=
> .: y , .�� X17 r
btn ire: 503.639.4175 ® ■ .._ ,
Otharlieradt No.:
TTFIE OF .' '
New cwt Q Demolition z* SCHEDULE
0 > te, a
CI AelditiettAdattatiooliwplaccaneot •� �[ Total
CATEGORY OF New 1- 2.r.�, (®cloche 100 n ex Iamb ..
CI 1-- and 2-falwily dwelling 1:3 conllnaziaiiinckistritti CONSTRIXTION EFIFIIIIMIIIIII 249-2 11111111
bandit in Accesmy n MWU. 350m Mil
0 'wast builder
a 399. E .� MU
Each e
JOB BITE INFORMATION Aim / BACA LOCATION Fite �__ 6q. R) IIIIII I 10 13
45.1#9
.., / /0 l
rstemerVP: MEN
, , 16 0 '
�apc no.:
Drywall, leach tine, or treaty drain mg 16.60 Mil
Cr * ease: Pinion name: _ Footing d (no. T R : �) � �
11"
WORK
Bt�ow ' 16.60 :I .
Iii‘■iiiiijommeimmilin 1 " MN
romgralwaroperni........_11111 16 6 ° 11.111111
11111111.1.111111.11111.11111111111111111111mur no.: Tar map/gored no.:
O•
Fiesta
Badman. valve nil mho 0
ciadux witch.. MIN
iS.60
Distrwaslur ME 1 " Min
Donlon fountain EMI -16 .11111
CI FROMM/ OWNER 0 Thum
CiiYJStatefZlP: 16.6°
W 16.
c.( ! Floor drain/floor 91ttl� 60 ub 16.60 mom
in AP131L6C"AWY ❑ CONTACT PL+t � 1640 MEI
name: ��� 1
Contact amines >
Ise maker MR
tceptaN� , 1111 0
Adder Metrical gas (value: $ ) 2 MOM
City/State/ZIP: Primer 16:60
� 1640 •
> ,mail: ? �_� 16 Mai
L_ f 16.60
1 111111 16.60 M
+ a A _ J A KW C+ /5wwl�. • a LI MPZ .._ ► ' a► ate: �� 1b1
IIMMI • - $36.25
1 mtbia8 tic. no.: • • �1 ME
signature- Antitoriced � � t# j •.1 Plea i�11 {Z i )
- 11.1111111111111====m
fhnanamc ` k V
ToTAL MAST FEE 11111111
1190 clays saw k If tas canalized irge.
° per mrthrifIninav tors try Tri.0 ,,nn. RnitAirn Inttoverry Sesvirr Rimy/
Electrical Permit Applicatio ' ,:,•.1. '; , '..;:,
Eli : t,'A ' fr-
40, Permt No.: fr
City of Tigard ,w., Received
i — ,
t ,„
, 13125 SW Hall Blvd., Tigard, OR 97223
II Plan Revew
i
Phone: 503.639.4171 Fax: 503.598.196 5 Date/ t Ep 0 2007 Other Permit:
Inspection Line: 503.639.4175 Date Ready/By. Ea See Page 2 for
Internet: www.tigard-or.gov Notified/Method: M
1 • CITY OF . 11 • Supplemental Information
,,, t. .:.,..,,...1.r.. III
''"..i,, • •:„Y" '4;iPP':K'':-Zji...-rri-cIirirPi.-1 •-• '` . 4 iiiv,ii. i' .i. ". (44^-'4' .41 ;• . '''. ?i'i '• .- 4 ' 4 PUAN:'REVIENV:'.';:-'
New construction 0 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
e'i'fkb-iiitv',iii,-eiisrgtii-tfe'fi'o'sr';::i,':.',7.,-,.I',,,,r,..ceif.,rj.w;;i:-.•4', exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 0 Commercial-use agricultural
and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: CI Fire pump. 0 Installation of 75 KVA or
• , t , , - me
-,,i,-, , 0 Emergency system.
'''..'; '''''''', . "`,....2 ' . :iiiii:giTi e "Aisfii LoCAliiii '' z '•4 --:-. • • larger separately derived system.
Adchti
- :,...,.. e, ...-..-: ..- 4 ',. 4. 4 ,i 4 ., 4 .„ „ii, .,, , • , . , , , ..„, . , ■. .4 .,„ , 1 „ ., . * ■ ..4.,.. ':.+ 4 44; ,i, *).,:. ;;.: .!-'" .r, ,, , , ,4: 0 on of new motor load of
Job no.: Job site address: I/46..7- Ls ,,,, / -27'.-/p/eee 100HP or r more.
0 Six or moe residential units 0 occupancy.
Recreational vehicle parks.
City/State/ZIP: 140;07i Ci--/ ? % 7 Z 2 . 0 Health facilities.
0 Hazardous locations. 0 Supply voltage for volts more than
600 nominal.
Suite/bldg./apt. no.: Project name: 0 Service or feeder 600 amps or more.
:fATA',115.4`•;',.;:ri'::;-::::FEE•':gcaEbtftt,....,,i,,..i
Cross street/directions to job site: ..... / s i Description I Qty. I Fee. I Total I •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: ' 1,000 sq. ft. or less 145.15 4
Ea. add] 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
Limited energy, residential
'.'•''''''?tF Y -'rro''. 1 (with above sq. ft.) 75.00 2
Limited energy, multi-family
75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less / 80.30 2
:, jr,': II *461*iri•yiii*NE:ti ti:;-,';' , V•i: -. ;':IiVrili !irOY 201 amps to 400 amps 106.85 2
Name: --i...•--ea, n 14-AP061-g— 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 2/ 5 ....," s/,.., ,...„7- P,0 Over 1,000 amps or volts 454.65 2
City/State/ZIP: jillsi4,0,0,ef Temporary services or feeders installation, alteration, and/or
relocation
Phone: (53 ) Z S 8-4716 Fax: ( ) 200 amps or less i 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
,
C i i'; - . .' ` 1 above service or feeder fee,
6.65 2
each branch circuit
Business name: B. Fee for branch circuits
..-...„
Contact name: b..67,./Al tS (.. L.. ../ 5 - without service or feeder fee, v first branch circuit 46.85 2
r•
Address: Each add'I branch circuit 6.65 2
7/ Ts 747
Miscellaneous (service or feeder not included)
• City/State/ZIP:C_/7 d ".0. )'t 0 a- 7 Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: (573 ) 7 8- 9 9avz Fax: : (613) 6 .50 2ci,c/ Reconnect only 66.85 2
E Pump or irrigation circle 53.40 2
i',: ,',, .'., ,,, :i 4 : : . - ii"„i, ,, '•:.";4.•:,...],..r , -; 'Atj'iteR';",.:r:,47s=?':A: '-''' ,,, ',:. rr.: Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
Business name: / a._ ,
D ,i.t.,61 , U__0__e energy panel, alteration, or
_.-
Address: extension. Describe: Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic /.Vi fj Electrical Lic.: -- 104_,Suprv. Lic.i,„2 1 5
Sit Industrial plant per hour 73.75
il•Ii"'" ',
','4'. '
t ..- .C.
'X'ELECTRICAPERMIT'FEES,14
Suprv. Electrician signature, required: Subtotal:
Print name: Date: Plan review (25% of permit fee):
.. State surcharge (8% of permit fee):
• , Authorized signature: .. /),,,,--.. ) ,,2, TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
I: \ BuddingWermits \ELC-PermitApp do c 05/23/06 440-4615TO 1/05/COM/WEB
Electrical Permit Application - City of Tigard.
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
ft 1 Audio and Stereo Systems*
Burglar Alarm
LgL Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
I Q, Vacuum Systems*
El Other.
COMMER,:CMVORB ONI Y:A74:; ` :',T , °� - 4 F 7A
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
El Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
El Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
El Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
' \Building\Pertnits\ELC- PamitApp doc 03/23/06
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
II
'ACRD •
•
July 2, 2008
Ferd & Catherine Alexander
21820 SW Elwert Rd.
Sherwood, OR 97140
Re: Permit No. MST2007 -00171
Dear Mr. & Mrs. Alexander:
The City of Tigard has processed a refund for overpayment of permit fees on the above
referenced permit for the following:
Site Address: 11467 SW 107 Pl.
Project Name: Alex Estates, Lot 4
Job No.: N/A
Refund: Fl Check #58043 in the amount of $240.00.
❑ Credit card "return" receipt in the amount of $
n Trust account "deposit" receipt in the amount of $
Notes: Refund for overpayment of TIF -R fees due to calculation error.
If you have any questions please contact me at 503.718.2430.
• Sincerely,
d i J
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: Ferd & Catherine Alexander DATE: 6/19/08
21820 SW Elwert Rd
Sherwood, OR 97140 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt #: 2007 -4687 Case #: MST2007 -00171
Date: 10/18/07 Address /Parcel: 11467 SW 107th P1
Pay Method: Check Project Name: Alex Estates, Lot 4
EXPLANATION: Refund overpayment of TIF -R fee.
:REEUND;INFORMATION: _ , .. >;. G`•''' '. ';'N „ ## ' ' : .
Fee Descrip "tion Frorn'Receipt ",:; Revenue Account Nos Refund; ,4
Example:,• [BUILD] Permit FeeEsample: 245 - 0000. 432000 ",i >: $ Amount
[TIF - R] TIF Resident 210 - 0000 - 448001 $240.00
TOTAL REFUND: $240.00
APPROVALS:
If under $500 Professional Staff G
If under $7,500 Division Manager / , /
If under $22,500 Department Manager
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
r'e` '° :-'_... - FOR TIDEMARK SYSTEM 'ADMINISTRATION USE ONLY .
Case Refund Processed: Date: ( /G ' By:
I:\ Building \Refunds \RefundRequest.doc 05/23/07
7
- „ CITY OF TIGARD 6/19/2008 .
Fees Associated With 11:16:55AM
13125 SW Hall Blvd.
TIGARD Tigard, OR 97223 503.639.4171 Case #: MST2007 -00171 / &e4 ,'f' i .- ?O 7 - ,7 f7 A747 7
3 .avrk" -.•. b =fix• _ :�', . -� �� �:.� .r..'r.�- v"�� _.Ei:�`��- � �'� t,;:T. 4 *,-rc" :3 "'-" Y " +-� - -=- 7'7-'�-r -�r:.
Fee ."t*Start. -: -, Q ;��Enii �; `- �.�a -��v '�_ ���. - � �,��',�;'° � ..,, #;�-: , t - "" .�`�.ti� ::-�= _,': �. =�,. - Y'�- _. s ,. �..�.:- .� t
-`� � 5 ,.:_y ..�. -_ �%'� `,s-,. "' -iw7k' '�,'r - .--•. � .�" �s�r. r" - _ "��r t <'�.l :- 1Ze U B , � .Cre '� _
>`� . �.. ," 4 w K ;;mss r , s �. .,,.�.. ,A . T,- 4- _y: ,, ry,,.. -? ; ;; -
T e #.. Date. D DePti: _,. Desc r = - r. ` " : - t
�Dte ? r :' + ti s ;
� ,YP.�: ,.. y�•���...a ..:..,ri # -. � � � .�' `� " � c.Acc "Numb ' -. B Y:tr. -•° .� ' ' , - �' -
'-+y'. . :�; �'� -:3.: i{•t!�ia' "': .t Et �.- _ - - .� , ..�. ,�.st t: +a c.•.'�,�::�Y;a �°_; " ,,.°'�, ::z if',r: -' P , O UII .. ti •+ 7 ' � •�D U�e,'A. f '
BPLC 1/1/1990 12/31/2020 [ BUPPLN] Pln Rv Deposit 245- 0000 - 433000 SLN 9/5/2007 750.00 0.00
CDCP 1/1/1990 12/31/2020 [CDCPLN] CDC Pln Rev 100 - 0000 - 433060 MAV 10/2/2007 46.00 0.00
LRP1 12/28/2004 12/31/2020 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 MAV 10/2/2007 6.00 0.00
BPLD 1/1/1990 12/31/2020 [BUPPLN] Pin Rv Balance 245- 0000 - 433000 MAV 10/2/2007 101.25 0.00
BPRT 1/1/1990 12/31/2020 [BUILD] Bldg Permit 245- 0000 - 432000 MAV 10/2/2007 1,309.62 0.00
B5PC 1/1/1990 12/31/2020 [TAX] Build 8% State Surchrg 100- 0000 - 207020 MAV 10/2/2007 104.77 0.00
MCET 7/1/2006 12/31/2020 [METCET] Metro Const Excise Tx 245- 0000 - 229202 MAV 10/2/2007 261.40 0.00
MPRT 1/1/1990 12/31/2020 [MECH] MEC Permit 245- 0000 - 431010 MAV 10/2/2007 86.60 0.00
M5PC 1/1/1990 12/31/2020 [TAX] MEC 8% State Surcharge 100 - 0000 - 207020 MAV 10/2/2007 6.93 0.00
PL2B 1/1/1990 12/31/2020 [PLUMB] PLM Prmt 2Bth 245- 0000 - 431000 MAV 10/2/2007 350.00 0.00
P5PC 1/1/1990 12/31/2020 [TAX] PLM 8% State Surcharge 100 - 0000 - 207020 MAV 10/2/2007 28.00 0.00
ELCF 1/1/1990 12/31/2020 [ELPRMT] ELC Permit 220-0000-431510 MAV 10/2/2007 278.75 0.00
ELC5 1/1/1990 12/31/2020 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 MAV 10/2/2007 22.30 0.00
ELRP 1/1/1990 12/31/2020 [ ELPRMT] ELR Permit 220 - 0000 - 431510 MAV 10/2/2007 75.00 0.00
ELR5 1/1/1990 12/31/2020 [TAX] ELR 8% State Surcharge 100 - 0000 - 207020 MAV 10/2/2007 6.00 0.00
PRK6 7/1/2005 12/31/2020 [PKSDC] SF Park SDC 270 - 0000 - 450000 MAV 10/2/2007 4,812.00 0.00
TIFR 7/1/2002 12/31/2020 [TIF -R] TIF Resident 210 - 0000 - 448001 MAV 10/2/2007 3,200.00 0.00
TIFM 7/1/2002 12/31/2020 [TIF -MT] TIF Mass Tr 210 - 0000 - 448005 MAV 10/2/2007 240.00 0.00
EROS 1/1/1990 12/31/2020 [ ERPRMT] Erosion Control 100- 0000 - 207307 MAV 10/2/2007 88.00 0.00
ERPU 1/1/1990 12/31/2020 [ERPLN] Erosn Pln Rv CWS 100 - 0000 - 207308 MAV 10/2/2007 28.60 0.00
ERPC 1/1/1990 12/31/2020 [EROSN] Erosn Pin Rv COT 245- 0000 - 433010 MAV 10/2/2007 28.60 0.00
WQUL 7/1/2001 12/31/2020 [WQUAL] Water Quality 520- 0000 - 445002 MAV 10/2/2007 225.00 0.00
WQAT 7/1/2001 12/31/2020 [WQUANT] Water Quantity 520- 0000 - 445001 MAV 10/2/2007 275.00 0.00
Total Due: $0.00
e//// A ,"J2)7&
Page 1 of 1 CaseFees..rpt
, ,
STREET TREE CERTIFICATION
,.,, , _
: , ,. ,
,. , . ,
, ,,
,, , , :
; .
; . .
I, f) NAJ /s ,Q i0X..Zs : , Owner /Agent for D8ii< Co Ai 57;LU.GTd.%) ,(
(PLEASE PRINT) (PERMIT HOLDER)
,..
s ,
Do hereby certify that the.'following location meets
r,_
City o f Tig ands. W as h iri gt on C o unty
land use and deve_ lopmerit_ - standards. -for street tree installation.
; __
ADDRESS: // 7 3 (,, /0 ?
1/
SUBDIVISION: /4 /G - %s LOT: oo l
SIGNATURE: /� DATE: �j /. zoo a-
(0 [VNER /AGENT) /
RECEIVED BY: DATE:
(Cm' OF TIGARD)
I: \ Building \Forms \StreetTrecCertificate 01 /19/07
„ „. , •
CITY OF TIGARD
1
BUILDING DIVISION ,
A PERMIT #: MST2007-00171
D ATE 1 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 101100007
Phone: (503) 639-4171 hot i i i t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12J11/2007 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: 'New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: 503722-1296
Inspection Request Scheduled For: Date: 12111/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 061290-01 503-789-9042 N
Corrections/Comments/Instructions:
A/4-i L. ( va6 "", (__ iiii- 1-face.,1.1 al ‘ d (VC 44
‘‘,4Z-----
PASS 0 PARTIAL APPROVAL El CANCEL NO ACCESS
1 1 FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
/
Inspector: . '
if
Date: /' ..-----//- Phone #: (503) 718-
CITY �����-Q�������� '
��wm w OF wm�m��wm��
BUILDING DIVISION PERMIT &
| ~�~°^~~~~^^~~~ ~~^~^~~^~~^~ �� ".2007' 00171
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10110/2007
Phone: (503) 639-4171 AIA, 1,
Inspection Roque�a(24Hs.):(5O3)630'4175 AA ^ � ��
INSPECTION WORKSHEET FOR DATE: 13111/2007 TIME: 7:00AM PAGE: 13
' SITE ADDRESS: 11467 SVV107ll1pL CLASS OF WORK:
SUBDIVISION: N� ALEX LOT #: TYPE OF USE: '
~ PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
^
OWNER: ALEXANDER, FBR[)P+ CATHERINE M. PHONE #:
' CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: W3-722-1290
+`
Inspection Request Scheduled For: Date: 13y1112007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 061290'02 503'789-9012 f
Corrections/Comments/Instructions:
el /�u/ ^^ /�_ ���� xo/c- ~= ^c u�^ ^ ^ '
ir.-411 ' / - at;'' �'~4' 0 L - � ei-,
~.
-- pi PARTIAL APPROVAL D CANCEL El NO ACCESS
| I FAIL pi CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: A'I Date: ^/t~–vV—d Phone #: (503) 718- 24–cPS
–
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1W2007
Phone: (503) 639-4171
1
Inspection Requests (24 Hrs.): (503) 639-4175 ,2.4: IL
INSPECTION WORKSHEET FOR DATE: 3127/2008 TIME: 7:03AM PAGE: 2
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
. SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: 603-722-1296
Inspection Request Scheduled For: Date: - 3/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 067454-01 503-7899042
Corrections/Comments/Instructions:
ac,k C Dit. ce, VV
. \P.c. -e mov-o\A Co ,a
flJ cc- 1 7 -6 .CC. kp
-- re- s t"J Ptyv—c P-Ovx/.0071 oo [3 1 06,<)-C'e L..'
PASS j PARTIAL APPROVAL LI CANCEL n NO ACCESS
I FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: CnA44,- Date: 3 1,21) 1 Phone #: (503) 718-
_ .
. 1
CITY OF TIGARD
BUILDING DIVISION _
PERMIT #: M5T2007-00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1812007
Phone: (503) 639-4171 14°11411,11t
Inspection Requests (24 Hrs.): (503) 639-4175 ,4q1- IL.
INSPECTION WORKSHEET FOR DATE: 2/12/2008 TIME: 7:05/NM PAGE: 43
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTA I tS
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: cx3R CONSTRUCTION INC. PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 2/1212008 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
322 Shower pan 0648513 503 y
Corrections/Comments/Instructions:
X PASS I I PARTIAL APPROVAL n CANCEL fl NO ACCESS
I FAIL CALL FOR INSPECTION Ti ADDITIONAL FEES ASSESSED
Inspector: 6\714-&-- i \ --- Date: 2112_,A. Phone #: (503) 718-
, .
1 -
CITY OF TIGARD
BUILDING DIVISION
A
ti PERMIT #: IvIST2007-00171
13125 SW Hall Blvd., Tigard, OR 97223 D ■ - ISSUED: 1W02007
Phone: (503) 639-4171 b_ ,ffsfilliNAI#
Inspection Requests (24 Hrs.): (503) 639-4175 'IL
INSPECTION WORKSHEET FOR DATE: 1/3/2000 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F 4. CATHERINE M, PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: 503
Inspection Request Scheduled For: Date: 1/312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 062440-01 03489-9042 N
- - --.- -
Corrections/Commkts/lnstr 1 ctions:
L i erfs e-°- ,A...
ThLV■ \KJ re-
_AA ___-V ak''' vv•" ' ,- 3(
•-,-,--- ,„--
• •-•--- -" .,.. e K, ... 4■ \
--1-.1 a...".---.
\-V\ r' - (r 1 . 1 ' ' 1/1■" '''
)
•
Lli PASS [ PARTIAL APPROVAL I] CANCEL El NO ACCESS
FAIL pi CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
' CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: IVIST2007 -00171
13125 SW Hall Blvd., Tigard, OR 97223 ( r DATE ISSUED: i0 /18/ a0f
Phone: (503) 639 -4171 . µ ' gi�1pi���1l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/2/2008 TIME: 7 :01AM PAGE: 23
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: NOW SF
OWNER: ALEXANDER, FERI) F + CATHERINE M, PHONE #: '
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: �: 03 - 1285
Inspection Request Scheduled For: Date: 1/212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 �0 Plumbing rough -in 052404M1 503 - 789 -9042 N
Corrections /Comments /Instructions:
PASS Li PARTIAL APPROVAL ri CANCEL I NO ACCESS
FAIL I I CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED
Inspector: (7 Date: 7 / 21 OF Phone #: (503) 718-
.
CITY OF TIGARD
,
BUILDING DIVISION A _ -' PERMIT #: MST2007-00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1812007
Phone: (503) 639-4171 ia:1111 lirlt\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: 83
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: of TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: DE3R CONSTRUCTION INC. PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 059486-01 503-789-9042 N
Corrections/Comments/Instructions:
---- -1
e Kfr.) -• .k.-A :.t t
•
,, ,„,,,,---
ASS /PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
n FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: (.,4C) Date:. Phone #: (503) 718- 2.1 z•ii
i
, • _ . , ,, .
,e .' � . . �_��
CITY OF ' '
��mm.0 n�'m TIGARD A",
BUILDING ��U���� ��U��U��U��0� ' PERMIT ~�~°.~~~°".~~� ~~"~"~~"~~"~ #: k8E
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1U/\020]7
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639~4175 ��h�' «��..
INSPECTION WORKSHEET FOR DATE: 11/212007 TIME: 7:01AM PAGE: 36 C.
SITE ADDRESS: 11407 QyV1U77HpL • CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: OO1 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: QBR CONSTRUCTION INC. PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 11/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 068913-01 503-78$'9042 N
Corrections/Comments/Instructions:
�� PASS El � NO ACCESS
�� . ' �� ��
El FAIL ri CALL FOR INSPECTION n ADDITIONAL FEB ASSESSED
� �\^.
Inspector: r-r�� \^ y��J . ^ � h~~�-~ Date: ) / /�./ � � Phone #: (503) 718-
'' - � ' '/ ! ^ ' ` '
' '' . . .
CITY OF ' '
��mn n n�'w mm���mwm�� '
BUILDING DIVISION
PERMIT #: M 2OO7-D0171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/ 02007
Phone: (503) 639-4171 4 41411 1 1
Inspection Requests (24 Hrs.): (503) 639-4175 �8,1N- IL
INSPECTION WORKSHEET FOR DATE: 11i2/2007 TIME: 7:01AhN PAGE: 37
SITE ADDRESS: 11487SVy107THpL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALF.XANDERESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC, PHONE #: 503-722-1298
Inspection Request Scheduled For: Date: 11/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl chain 058912-03 503-789.9042 N
Corrections/Comments/Instructions:
.
X PASS � ��|ALAPPRO�L ��ANCEL ��NOACCES8
. / �� ��
U FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
\` |
, |nooa�toc r7 � |\)�~-~�-- Date: � / /�-� Phone (503) 718-
. , ' ` '
� .' .
` ` ^
CITY ������8�������� ' .
��mm n ��w xn���mnu�� —
| BUILDING DIVISION PERMIT #: M 0]171
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639-4171
|nopo��iunRequo�o(24Hno.):(5O3)S39-4175 "��N� ^���
INSPECTION WORKSHEET FOR DATE: 11/]K2007 TIME: 7:01AK4 PAGE: 39
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 0.04 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FER[)F+ CATHERINE hX. PHONE #:
CONTRACTOR: Df3R CONSTRUCTION INC. PHONE #: 603722.1298
Inspection Request Scheduled For: Date: 11/N20O7 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Raiodrmin 058912'01 W3-789'9042 N
•
Corrections/Comments/Instructions:
■ .
�� �� I |
10 PASS �� PARTIAL �� CANCEL / , NO ACCESS
| ( FAIL lEI CALL FOR INSPECTION Ill ADDITIONAL FEES ASSESSED
Inspector: ' ^ /` i k.v~~~~--' Date: 0124 0 Phone #: (503) 718-
_ _
CITY OF TIGARD • v..
BUILDING DIVISION PERMIT #: IvIST2007-00171
l i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639-4171 0
Ah
111I11-
Inspection Requests (24 Hrs.): (503) 639-4175 A:
INSPECTION WORKSHEET FOR DATE: 11/2/2007 TIME: 7:01AM PAGE: 38
SITE ADDRESS: 1'1467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: J1 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: MR CONSTRUCTION INC. PHONE #: 503-722-1295
Inspection Request Scheduled For: Date: 11/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
215 Footing drain 058912-02 503-789-9042
Corrections /Comments/ Instructions:
_Ew goc,tz. n A&i. ieo Pew-.
o R c Q-ce Li DS"
•
1 )4 PASS 111 PARTIAL APPROVAL El CANCEL n NO ACCESS
EI FAIL El CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
1,/ti
Date: 2-1
Inspector: Phone #: (503) 718-
.. „ „
- . ' ' . ____
CITY �������W�������� . .
��uu o OF mn��u~unn�� .
BUILDING DIVISION ' PERMIT #: MST2007-00171
ilk 13125 SW Hall Blvd., Tigar . OR 97223 DATE ISSUED: 18/102007
Phone: (503) 639-4171
Inspection Requests �4Hraj:�@3)G3A��175 ~� U.
INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7:02AM PAGE: 14
SITE ADDRESS: 11467EW1077MpL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 0W TYPE OF USE:
PROJECT NAME: /H-[YANDERESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, PERDF+ CATHERINE k4. PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 11/1/2007 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
506 Sanitary sewer 069821'01 503-799.9042 Y
Corrections/Comments/Instructions:
��
�� PASS I 1 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
1 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ^�7� ��' Date: / / � � //� 7 Phone (503) 718
^ �- .' - -- � . � � �� ^ #: ` ' 718-
' ' -`'-' '
CITY OF ��mw m ��n mm��������
BUILDING DIVISION ^
~°"~~~�"".~= ~°"°"~~"=~"~
PERMIT t�8T2OU7-00171
| ~~ �
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Inspection Requoaffi. (24Hraj:�Q3 639-4175 ...1111W - ' 1 ---
INSPECTION WORKSHEET FOR DATE: 6/19/2000 TIME: 7:02A1Vi PAGE: 7
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEX ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERDF+ CATHERINE IA, PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: • 503-722`1296
Inspection Request Scheduled For: Date: 5/1]/20{8 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 069814-01 505'789-9042 Y
Corrections/Comments/Instructions:
~
e PASS �� PART�LAPPROVAL ��CAN[)EL NO ACCESS
�� � _
|| FAIL An CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
--
CITY OF
��mn m ��u TIGARD
BUILDING DIVISION -
~°~°.°~~~""~~° ~~.~.~°"~~"~ PERKA|T h1
13125 SW Hall Blvd., Tigar , OR 97223 DATE ISSUED: 1011020)7
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 839-4175
INSPECTION WORKSHEET FOR DATE: e/9/2008 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 11467 SW107TH CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEX ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: Dt3R CONSTRUCTION INC. PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 4/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 &4wtheilimaihncV 068107'01 503'789-9042 N
Corrections/Comments/Instructions:
| 7 PARTIAL APPROVAL CANCEL NO ACCESS
El FAIL 7 CALL FOR INSPECTION Ej ADDITIONAL FEES ASSESSED
Inspector: ' Date: 4 --9— Phone #: U503\ 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2007- 00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101/8/2007
Phone: (503) 639- 4171 u�l�n�p�llli(I'�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/9/2008 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEX ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERO F + CATHERINE. M, PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: 60 - 722.12$6
Inspection Request Scheduled For: Date: 4/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Final in& pection 008107 -02 503-789-9042 N
Corrections /Comments/ Instructions:
•
❑ PASS_ n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: S Date: "C '° & Phone #: (503) 718 - 2-1'0'—
• •
CITY OF
��mm m ��m TIGARD
BUILDING DIVISION '
~~~~^~~~°""~~" ~~.~"~~"~~"° °^ PERMIT #: k4ST2007-O0171
13125 SW' Hall B|vd.. Tigard, OR07223 DATE ISSUED: 10118O{07
Phone: (503) 639-4171
Inspection Request (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/5112008 TIME: 7:01AM PAGE: 4
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: DER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANQEQ.FER[> + CATHERINE h#. PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: 603722-1256
Inspection Request Scheduled For: Date: 3/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 E]ecihcal final 067593-01 5037099042 N
Corrections/Comments/Instructions:
•
PASS 7 PARTIAL APPROVAL CANCEL NO ACCESS
r �FAIL 7 CA L FOR INSPECTION fl ADDITIONAL FEES ASSESSED
J 1
�� � �� 0
Inspector: >' � Date: - ( / ^ / ~ Phone #: (508) 718-
. .
�
CITY OF TIGARD
BUILDING DIVISION ,, PERMIT •
#: MST2007 -00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639 -4171 :70ryili A
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 3/27/2008 TIME: 7 :03AM PAGE: "I
SITE ADDRESS: 11.467 SW 107TH P1.. CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F # CATHERINE M, PHONE #:
CONTRACTOR: D13R CONSTRUCTION INC. PHONE #: 503-722-1296
0
Inspection Request Scheduled For: Date: 3/27 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess
11)9 Electrical finial 087454.02 503789.9042 Y Al___
7` /S
0 ` r K.c v r c' fa- F C ( I'd r` Z- ^4 (jam mu c- l . ?LU
l am? 3 / ca/1- i -z cam pJ( iZ) z_y'a fz---
z-j?Kov , bi Li air' . 7-L- (...,c.: tAi- rri-4- I-A--/ Z-S°
OP cot' t P g.(; 6
Af
❑ P PARTIAL APPROVAL [I CANCEL El NO ACCESS
tri FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
o _�
Inspector: Date: 77A Phone #: (503) 718- ,7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00 71
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/ I012007
Phone: (503) 639 -4171 °"� ill
Inspection Requests (24 Hrs.): (503) 639 -4175 , _��
INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7:01AM PAGE: 21
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F .1- CATHERINE M, PHONE #:
CONTRACTOR: DI3f CONSTRUCTION INC. PHONE #: 503.722 -1296
Inspection Request Scheduled For: Date: 1/11/200 Pour Time:
Code # Inspection Description ' Confirm # Contact # Message
135 Low voltage 063081 -01 503-789-9042 N
Corrections /Comments /Instructions:
..=._ L 7 L.... A6,- 7; r _Lik477 Z.--/....- ,
/4 av ,z_.s4ve--1 •
PASS ❑ PAR L APPROVAL ❑ CANCEL n NO ACCESS
1 I FAIL , e e. L F• R e • ., n ADDITIONAL FEES ASSESSED
. di I/VD
Inspector: Date: Phone #: (503) 71
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-001 71
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101180007
Phone: (503) 639-4171 A 4
vfietivoi\
Inspection Requests (24 Hrs.): (503) 639-4175 ..-. 61... f.
INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7:01AM PAGE: 2
SITE ADDRESS: 11467 SW 107TH PL . CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: DER CONSTRUCTION INC. PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 1/4/2008 Pour Time:
Code # Inspection Description _Confirm-# Contact # Message
115 Electrical service 062602-01 503-789-9042 N
Corrections/Comments/Instructions:
%)-i:i e.A.N.A1 c 1..b.olL.
c.AtT 6 1 c Q.04t J Ilts i'lvvuc.-
P ASS fl PARTIAL APPROVAL El CANCEL I I NO ACCESS
AIL • fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: '----` N be:. 1-- Date: I ' 9. b ?) Phone #: (503) 718- 1-1411k)
CITY OF TIGARD '-
BUILDING DIVISION PERMIT #: MST2007-00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ioioenooi
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 44 - s
44. - IL
INSPECTION WORKSHEET FOR DATE: 112/2000 TIME: 7:01AM PAGE: 21
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: f34 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 1/2/2008 Pour Time:
Code # Inspection Description - CbTifirm,# Contact # Message
120 Electrical rough-in 062404- 503-789-9042
Con
TI ,
F. (oX Ntool Mslit IBA/
PASS PARTIAL APPROVAL CANCEL fl NO ACCESS
El FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: NiSL, Date: V O Phone #: (503) 718-
. , .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639-4171 A
Inspection Requests (24 Hrs.): (503) 639-4175 ,_. I
INSPECTION WORKSHEET FOR DATE: 1/2/2008 TIME: 7 PAGE: 22
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F .1- CATHERINE M, PHONE #:
. CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 1/2/2008 Pour Time:
Code # Inspection Description —Gonfirm-# Contact # Message
'115 Electrical service (062404.02 503.789-9042 N
Corrections/Comments/Instructions:
----......_
p RA31.1- GIN 5 Bit:
,■ lz:. at Kaii S: • = •. -. ,I.t.41■ 11........
,
15 /kt, ;,, h/ort , mAto,v_________
0 PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAIL MI CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: 6 -----7 0 U 1---‹ Date:I " 2 '01) Phone #: (503) 718- _21_44___
CITY OF TIGARD
BUILDING DIVISION
Ak i ,
PERMIT #: tv1ST2007-00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 on 812007
Phone: (503) 639-4171 notilpii ,
-_....W ' .
Inspection Requests (24 Hrs.): (503) 639-4175 ,L.
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: 81 1
.._ I
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
225 PoWbeam structural 059486-03 503-789-9042 N
/
Corrections/, ,•rn ents/lnstr ctions:
0 oq. 4 • .: Wle..- . k. 551A-A
. ,,d4 0 ' L.„.......A.A.„9........ ,-
ih-- 671,8..."s? :
IV
‘9.) + e Lto- uco,..4-- ct ,s9.4
1) - 7_,0 , 6 c
.....- -- ---- ( / 9, ii ,)
g _ 4, -- 3 s.-. ( -7 RI)
-------- ii
1 3 y2-e& r_r_
Lk.,(- --kv\f, cl.-4E.. cSt_ 2) c.)
C--Ct ' - f 1
..... ..., , .
V 4 . e..4_ 1:2,„ ,..ekilz___te ) 4 _ 0.4 ,...,,_ c , , , I \ 7
'
I , - , -
\ v , , 4---- \g-e.....
- VI . ,lit • .id,. ..-____. -..___ 1.1-0_4L-..e.fx .
/ v
— 1 c . / J?-L2 : i n 4 1 a. ,
PAS e....
gm '. ep ,,ARTIA AP A NCEL NO ACCESS
?I-AIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ±___ Date: 1 03/6) Phone #: (503) 718- 9-4?-4
, N. ., .,, ' . r + ..., , -•, ._•. . °, _._
. .
CITY OF TIGARD
BUILDING DIVISION
A ,c) PERMIT #: MST2007-00171
13125 SW Hall Blvd., Tigard, OR'97223 ' DATE ISSUED: 10/1812007
Phone: (503) 639-4171 , AnSiti (4
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: '11/13/2007 E: : IAM PAGE: 82
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: pm TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F 4- CATHERINE M, PHONE #:
CONTRACTOR: DE3R CONSTRUCTION INC. PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 11/1312007 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
60f) . Post/beam mechanical 059486-02 503-789-9042 N
Corrections/Comments/Instructions:
Li
_ ■ ?
< IF
_______Le_ , , _ 7 . _ , ce , \ 0:0-
•
4 .
pi - SS
PARTIAL APPROVAL El CANCEL fl NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 1 /0 V t (,„ --------- Date: V3/0 ?Phone #: (503) 718- 242-4
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: Iv1ST OO7 Otj'17'i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/181200
Phone: (503) 639 -4171 �� 4��i @'�l
Inspection Requests (24 Hrs.): (503) 639 -4175 s !.!.-
INSPECTION WORKSHEET FOR DATE: 10/3012007 TIME: 7:02Am PAGE: 36
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 10/30/2007 Pour Time: 12:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 058614 -02 503-789-9042 N
Corrections /Comments /Instructions: .
U ' --r. c, C
laallo 4. - * ,2 )-y ,-.
I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
A Inspector: Date: /1-1 -- 0? Phone #: (503) 718- '24-
1
CITY OF TIGARD `
BUILDING DIVISION PERMIT #: gOSi"2O )�r -{)t �'j• i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10i10/2007
Phone: (503) 639 -4171 opu�
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_ _�
INSPECTION WORKSHEET FOR DATE: 10/30/2007 TIME: 7:02AM PAGE: 37
SITE ADDRESS: 1147 SW 107TH PI. CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: DDR CONSTRUCTION INC. PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 10/30/2007 Pour Time: 12:00
Code # Inspection Description Confirm # Contact # Message
2'10 Foundation walls 068614-01 503- 789 -3042 N
Corrections/Comments/Instructions:
J 1 ,6,z- 6., 5, - - z - - - 5l -),y_5 4-5' "
PASS ❑ PARTIAL APPROVAL 1 1 CANCEL n NO ACCESS
1 1 FAIL 1 .1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ...,.
Inspector: Da te: /0 --�a —a? P hone #: (503) 718-
, .
CITY OF TIGARD -
/
BUILDING DIVISION 0
A „..- - - PERMIT #: MST2007-00171
1315 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639-4171 pltiliT
Inspection Requests (24 Hrs.): (503) 639-4175 ,.Ni■ ...
INSPECTION WORKSHEET FOR DATE: 11/16/2007 IME: 7:01AM PAGE: 3
SITE ADDRESS: 11467 SW loTril PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
• OWNER: ALEXANDER, FERD F 4. CATHERINE M, PHONE #:
CONTRACTOR: (X3R CONSTRUCTION INC. PHONE #: 503-722-1296
.
Inspection Request Scheduled For: Date: 11/16/2007 vp Pour ime:
Code # /nspection Description Confirm # Contact # Me sage
225 Postibeam structural 059734-01 503-789-9042 V
Corrections/Comments/Instructions:
1\f c , \d„ 1A , \ kic
„„...—
5"---it._S L" -L.4.,
I 1
-
,..,------
I i
- 4:h-f' - -4--6 v-,„ \.1 \ ■j- C .
-- "■,13-L"...*- ....-„, ts
.4C 6 ,
S v--e....a-., ( •,\,.-.-.. J.> \ -s -- -i k_A
--'1/•-e,-: k S
As Al■
‘,/ _■,---■ o N. (.,.......v.‘....1 j
7 l/
oa t'
A R T I A L APPROVAL fl CANCEL El NO ACCESS
El FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
- ;7__________
Inspector: _ Date: k k /‘ C I 6 - 1 Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST :M(17-00171 ■
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10110/20(17
Phone: (503) 639 -4171 !� Aaft, i�ypigill ' I II
Inspection Requests (24 Hrs.): (503) 639- 4175!�i
INSPECTION WORKSHEET FOR DATE: 1/16/2008 TIME: 7 :02Am PAGE: 26
SITE ADDRESS: 11457 SW 107TH RI_ CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: OW TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: 50;1,722- 1296
Inspection Request Scheduled For: Date: 1/1812008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 1nsul ution 063518-01 603°783 -9042 N
Corrections/Comments/Instructions:
PASS ❑ PA' IAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL ' ALL FO'►: = ION ❑ ADDITIONAL FE S ASSESSED
Inspector: • Of
Da ter /� 1 Phone #: (503) 711
, .
CITY OF TIGARD
. ,
BUILDING DIVISION -
A vi> 4 PERMIT #: MST2007-0017 I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639-4171 ir
Inspection Requests (24 Hrs.): (503) 639-4175
r INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7:00AM PAGE: 49
/
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: . ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: DM CONSTRUCTION INC, PHONE #: 503-722-1296
Inspection Request Scheduled For: Date: 1/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
27f) Framing -
062466-01 503-789-9042 N
Corrections/Comme ' /19stru tions:
Nbig: liA.- • . ___ .(), loi ‘310 ()
J .,-.6..„,„...:A. e.,,,,Q._ (
..:: cL_s
,
\ )3/tic A
, •
0--, — • I
Mk -, .
' , — VI -.f7k,q_ -
I \
al ' • - ' J ' / »
4 , PASS (JF1 'ARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: V?) Date:01 /6q
,-.
Phone #: (503) 718-
., _,
CITY OF TIGARD
. ,
BUILDING DIVISION , PERMIT #: MST2007-00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: mar2ocr7
Phone: (503) 639-4171 iouiti
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/312008 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: DM CONSTRUCTION INC', PHONE #: 503
Inspection Request Scheduled For: Date: 1/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 062465-03 503-789-9042 N
Corrections/Comments/irytructions:
L lo 72I'y .,
ASS PARTIAL APPROVAL El CANCEL fl NO ACCESS
El FAIL ri CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
\11 IAA/ \ ) 1 (
Inspector: Date: Phone #: (503) 718-
- -
CITY OF TIGARD ' _
BUILDING DIVISION
PERMIT #: MST2007-00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639-4171 zlitilil
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/3/2008 TI : 7:00AM PAGE: 48
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: ALEXANDER, FERD F + CATHERINE M, PHONE #:
CONTRACTOR: Dt3R CONSTRUCTION INC. PHONE #: 603-722-1296
Inspection Request Scheduled For: Date: 1/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 06246&02 503-789-9042 N
Corrections/Comments/Instructions: ,,..
kkitute. kJ U:va kAP tlitzli \ LANA S-4-A .--vv----0-9‘
Q4 cts
- "Rcii • .
•
i l PASS ' V PARTIAL APPROVAL fl CANCEL 1 NO ACCESS
n FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
_
Inspector: Date:
vt .
T 2/1
\ / i 1S Phone #: (503) 718- 1q
7
CITY OF TIGARD
BUILDING DIVISION
_,A
PERMIT #: MST2007-00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639-4171
Inspection Requests Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/13/2007 TIME: 700A1v1 PAGE: 26
SITE ADDRESS: 11467 SW 107TH PL CLASS OF WORK:
SUBDIVISION: ALEX ESTATES LOT #: 00,41 TYPE OF USE:
PROJECT NAME: ALEXANDER ESTATES
DESCRIPTION: New SF
OWNER: , ALEXANDER, FERO F + CATHERINE M, PHONE #:
CONTRACTOR: DBR CONSTRUCTION INC. PHONE #: 50-722-1296
Inspection Request Scheduled For: Date: 12/13/2007 Pour Time: '
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 0614M-01 503-789-9042 N
Corrections/Comments/Instructions:
(Tiej.) -9 ,i7 A-g--,4--S' 6' 66 e-)%'t- /7.. ,:../k.e.r
G - -5 -71 4.7_... •
, •
. .
•
...--
fl PASS AL APPROVAL 0 CANCEL El NO ACCESS
11] FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
, Inspector: , Date: /L - 1 3-0 ? Phone #: (503) 718- —2....,