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Permit • il ' ro .� fyCITY OF TIGARD MASTER PERMIT PERMIT #: MST2008 00017 COMMUNITY DEVELOPMENT DATE ISSUED: 5/8/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102 DC -05200 SITE ADDRESS: 13794 SW HALCYON TER ZONING: R -4.5 SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT: 002 JURISDICTION: TIG PROJECT: GERTZ HOMES AT EDGEWOOD Project Description: New SF. DEMO CREDITS APPLIED FROM BUP2007 -00197 TO THIS PERMIT. BUILDING REISSUE: KINGFISHER STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,403 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,613 sf GARAGE: 522 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 3,016 sf 323,206.62 REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIUCMP 0 3HP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 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+ amp /volt : 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 - ENCOMP BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL S 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 GERTZ CONSTRUCTION COMPANY, INC. GERTZ CONSTRUCTION CO INC laws. All work will be done in accordance with approved plans. This 19200 SW 46TH AVE 19200 SW 46TH permit will expire if work is not started within 180 days of issuance, or TUALATIN, OR 97062 TUALATIN, OR 97062 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: 503 - 692 - 3390 Contact #: PRI 503 692 - 3390 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 692 -5433 Reg #: LIC 34350 TOTAL FEES: $ 13,287.01 REQUIRED ITEMS AND REPORTS E2pyr o lv eD,0 to 81 — irlY go- Issue By : _ L � l , , � � J � ,/ , L � Permittee Signature :k Call 503.639.4175 by 7:00 a.m. for an inspection that busi ss 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. 1 3 7c( 5 � � t -ed,,, . � C) B ui diln2 Permit Application : i- ir' Residential FOR OFFICE USE ONLY - as WEIVEI City of Tigard ' 'eceived ) ��'� Date/By: ( /3,/ Plan Review Permit No.: �vvV'� (,Il ° 13125 SW Hall Blvd., Tigard, OR 97223 �,! IN C Phone: 503.639.4171 Fax: 503.598.1960 I LB 2 - [ U DateB : / . a Ma t Q a Other Perm vo it: A l / a ,s--_ , , TIGARD Inspection Line: 501639.4175 �!`T ` DateReadyBy: �� orris; El See 'age 2for Notified/Method: Intemet: www.tigard or.gov CITY ® 6 �I � ® I - S a 1 Supplemental Information BUOL®INCDWISI ti 7 ,.<� 1 . ..}r, r :.y Rbau v $ a xth *TM`'snrza±#xas',� +u`" as< .� - -xF:., �' — i i� .�,a � , �,,w�"' "`�. �s`- °irsy�.,�.� , .�i�; ,gr, ;,,� a,yr� F�nn<t',?i.4.k�ts��,'�'�r� s:�^a�, ° ., ;r,��.�rxaxt�a: =- •r:... � +- ,r �r„_ ^ -�.- t *.:,`S a, ^Y�',;llei :c ?_ „a�1T+'O5 €�7 t . t r:' i�1.a�'S ,°�. :REsQ . 9" e l , i t ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 73. g ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the # 'wc'"'x e *.. - ` <,�,%i�,'+'^;,' .a+ �zm., »d;'� .�,�f�..,q.: -?a;r '° ,w =r,a� k�.z ,, ;t "' 1 ". C� N p1IX 1( O ;a 1 o q work indicated on this a lieation y6 .6 2 �"�`' �:��' " ��.'�� tT' 1 ° U �,� �S�1C"PI ®i� � � �°� �'z�i�n� � PP c, �xaw , s'� `�a. Y�a� ��: _ r.;,.,,n1.�i=r '�,. � FG'�n» as�4;zr�r.aii�r�Fd;tr, , �.�� .Yf �..a...� a L.,. 3 J C ® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: l 5- ❑ Master builder ❑ Other: Number of bathrooms: fie- 3 R . , r Qz `i T s A rta .4 N s i r zr� , ay Total number of floors: '. , _ ,. S ,. a fe . x l # „ ,,,,, ION , , .. z x 2_. Job site address: 1 3 7 ?Li s4) �4 ley 04 7tRiz4fe New dwelling area: 3o/4 square feet City /State /ZIP: ''7/ S IQ J 4,4 G QAr 1 ' /722 3 Garage /carport area: square feet Suite/bldg. /apt. no.: V Project name: 1 Covered porch area: 3./ square feet Cross street/directions to job site: 1-1/4 If S f • y Y e 3 it ZrN Deck area: /c-40 square feet Oki 4 /L4 lb 6ct & e- er e Other structure area: ,...------- square feet Subdivision: 6 eAt Awes ar -t a ce et 0 4 Lot no.: 2 Permit fees* are based on the value of the work performed. Tax map /parcel no.: Z S` b Z 057.00 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the g . �� ;�aa�'`� +mr^�. s�rwti� s�a�,.� r � .,�.' `?�'� rx nom' ^ ��.�s�* �� , i ,. �s. is ' , „.;,, - dire °l 'I11I�Ol Qrtr*F MP, at,.f work indicated on this application. _ .•._, .., _ .. a. e . , . .2 ,. t,. n+ 'z e L e i :a _ du .• ,. Ne 45 ht Valuation: $ Existing building area: square feet New building area: square feet ' 'sma 3 r '. `t, c" " ,; < ': 4 % l g ? " : „„ .-u Number of stories: Name: •cf Cab”, s.1CR c 4 Co AV et rr ( Type of construction: Address: / 7 26e) Sri] i/ 4 A y e . Occupancy groups: City/State /ZIP: 7 et Lc fi C/ k 9 704 a- ? 7 b Existing: Phone: (5 3) C ? Z - 3 3 ? 6 Fax: (5 3) (e ?Z — $ Y33 New: J , d ` 'a ,- , , ck, z,. .A „ ,T,,. , .� e E.. ` ' ' : . 1 . sc ,,F.:,,, X 11 . , -z+� z�# t`� 5L d` t , . t b ,, , �+ � >'�wLYfl*,. zt91i�'F+ ai�.fia. ��„+� m�'d -7' ; �� Business name: 4 ,.. 610N Sfz it a l a Ar Ce, 4 G • All contractors and subcontractors are required to be ' Contact name: �� e -�� licensed with the Oregon Construction Contractors Board , under ORS 701 and may be required to be licensed in the q Address: / ! Z O 0 S CI a.) 4/G . ,e . jurisdiction in which work is being performed. If the City /State /ZIP: -7,4 4 o applicant is exempt from licensing, the following reasons R. K D (Z 77oGZ- app Phone: (s"O3) tv ? Z — 3 ? 0 Fax:: (5 3) 6.472.- 5 _. E-mail: /<edy 6 a e /zfz, e O G e e-r //�� x n �,^�e��+�ssz ,� �s "' � `"�k : � uc.a1 .xxa �",�;,A ` �r73 • Business name: (. te°/t. f _ �Yd fi fitt4a.-d_ 7' t O 66 . 41 c. d °i 6e� ' s a i ,� �<' , Address: / 7 , 0 f w </G 4 A %e e . a-,. + ,. ;5..' � ` - t . -;s -441 Structural plan review fee (or deposit): City/State/ZIP: � / :4 , (4 - %/t - 6/Z._ 1- ' 06.2 £ 7 7 D FLS plan review fee (if applicable): p Phone: ( sa3) 4 I Z.. - 3 3 9 C F ax: (S t53) 4. ? ' z - 5 ” I' 3 3 CCB lic.: 3 3 SQ Total fees due upon application: Amount received: 1 Authorized signature: . C This permit application :expires ifa permit is not obtained // within 180 days after it has been accepted-as complete. Print name: ``rte . . e ,,c. l 1 Z Date: Z -Z ? -O: 8 * Fee methodology set by Tri County Building Industry • Service. Board. L:\Building\Perrnits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02/COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE USE ONLY „ v • 1 City of Tigard Received q 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: No.: M Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: 24- Hour Inspection Line: 503.639.4175 . ❑ E lectrical TIGARD p � ❑Plumbing ❑Mechanical Internet: www.tigard- or.gov ❑ Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l cs. No `/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ 0 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 • Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 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. t / 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 -ft. 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's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ / over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 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 ❑ ❑ ❑ architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. ' 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" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and accompanied by the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ 1 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 \Permits\BUP- RES- PermitApp.doc 03t21/06 440- 4613T(11/02/C0M/WEB) Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY ' City of Tigard 1" 1 Date/By: a Date/By: ?A Apt OTT- Permit No.: /}� C7-� -� y 1 Ci- 114 13125 SW Hall Blvd., Tigard, OR 9 22' , I /��OGV u [CIj 7 Phone: 503.639.4171 Fax: 503.598.1960 Plan Review - °? 9 1008 Date/By: Other Permit No.: C� _ 2i_ Inspection Line 503.639.4175 P r �(� T I G A R D Date Read B Jurist H See Page 2 for Internet: www.tigard CITY Ok„ A Ready /By: �� i � � N otified/Method: Supplemental Information r zi. i r r igiNif` ' n '� s t Z 3 + . r' a �`"`. : t 3+ v t� � F 4 , � a, .t � t. _.. =.. otti ...u?5:i01..sx - +•xs; i .. 3 ?it,: Nt w. "�:.,s ...,.r rc. „ "a r' -fw,.. 4,.�` "*,',t :. ` °Q`� 9 U -� d✓�n d 4 ', New construction ❑ Demolition For special information use checklist. Description Qty. I Ea. 1 Total ❑ Addition /alteration/replacement 0 Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) :�{ it . , +a� j��A„ ,,,,,,aS� ,,,,,, 6ivC -. " .- „,. '.,1. ., i:Fa:?d:'YTi vV,VS. "MH?t w N h 7vc . a x13 - - V a C GORY+ OF` CONS+It1R GAT" IO7 '` ".' % a oaf "z •t; ,a+ ,.>w..s. 44, ? .,,, =v °.. =. „e � „d.ra =,,A,:z.. aontz, . V'�?V'; SFR (1) bath 249.20 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ID Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler s . ft) Ale ', erg mto p , �.r ^rs t vx A tz P ( 9 ) Page 2 MI "�:- ^ . trot. �; ..ilk xa2 ,t. er. x ak'�," ras r,':. �€_ �#�,.W Site Utilities Job site address: / 3 7 7 5/ 3 (J A‘ /, y d Ar. reigigivre a Catch basin or area drain 16.60 City/State /ZIP: `rf. , 6.€ o/t ? 7 22 3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: /hi/ S.74 � l e s f o„/ r Manholes 16.60 d Oa 4 A 4 'to c e1. / '� WO e d Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 4 ea. 12_ Ra S ,,,,,11-- E , 4e w cae(I Lot no.: 2.., Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: 2 Z �J C O Fixture or item sib S Z Q Ors „�„�� ,� € .:�:�, f ' r . ,, Absorption valve 16.60 t5'i''. s, �,P ,11 rSC . g V Q Vi + •4. ¢ wt',� ,.s7" E i'.:. '.Ssi? . ` . , � Aeu w :, r t "g. r �+ z . > � �; a `" . • ,z '". Backflow preventer Page 2 �F •e• <+-1 14 site Z i„-. _ .4 f . r� f -C Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 : g �p - s *r e 's : ¢=s , : �I l Drinking fountain 16.60 i 5,'i=' 4 � , a-.: man . . ; . .,. 's � � , `c:%., ',, , ;I ,t t Ejectors /sump 16.60 Name: covet_ a ij S f", cd._ . Ire" Cam /A/4.. Expansion tank 16.60 Address: • J 9 z Q 0 S W 4 / C -{. A r Fixture /sewer cap 16.60 City/State/ZIP: 71..1 2 ( ,,, 6eZ 12 Off a-2; 7 ? d Floor drain/floor sink/hub _ 16.60 Phone: ( 5-03) G Z- 9 a Fax (51* 6, 2 y , 3 Garbage disposal 16.60 - - a • m`1 ,, :.� i ' f i a e � q , ?et &al ` t 1 , ,, n . t � V -44 44, ,ii t Hose bib 16.60 Ice maker 16.60 Business name: a ,e,e f t_ Cp p4 ,, 4 /ive, Interceptor /grease trap 16.60 Contact name: KC Al 0 TA. fz- Medical gas (value: $ ) Page 2 Address: / Z e ■ v SW de G -`' A V >ti Primer 16.60 City/State/ZIP: Tit 4 L .4.. O f 70 Z _ g 2 2 6 Roof drain (commercial) 16.60 Phone: (3 6, 1 Z 3 3 ?a Fax: : (56) ) Gi 2 _ 4 33 Sink /basin/lavatory j 16.60 E -mail: ‹ ,1 G e 'f 2 G• p , Cep. -, •+� Tub/shower/shower pan 16.60 � +, 10 x " ,` ,s 5 C r , 3 a'� ; .° u r ur p Urinal 16.60 AO 4 ." t ��' %, �. ? * " ,A � „ , f Water closet 1 16.60 Business name: - 4A t . c 1 ,/c i /Xi Water heater 16.60 Address: / d f3 G x 2 2 y Other: City/State/ZIP: Ici .e.S7L- 4,Aiar O2 1 7 d•`g Subtotal Minimum permit fee: $72.50 Phone: (3' q 3) 93 [ .. 43 ! �' U F ax: (�3) C.37 •• S2 / Residential backflow minimum permit fee: $36.25 CCB Lic.: / 63- 7 9`?,, ( Plumbing Lic. no.: 3 - 257 9/.),5- Plan review (25% of permit fee) , State surcharge (12% of permit fee) Authorized signature: - ...we es7 � TOTAL PERMIT FEE / Print name: l q„,„ 4, /7 -71400,11./ S Date: Z-Z F.-at 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 Service Board. I:\ BuildingTennits \PLMF- PermitApp.doc 12/27/06 440 -4616T(10 /02 /COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su 1 ression S stems: k�)l' E- ». -+ "' 5 at+t. Q ,' ee' ea s3 s�''"TOt&Ir , ( ,, """ "4mSb`a'� e t '"` t; . R � � � � ? off „ - ° i Footing drain - 1" 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 S /O Water Service - 1st 100' r kZ w r -e-4 ,�5�. - ( t u1 + , M edical Gas Systems: Water Service - each additional 100' 46.40a,�t�r # fit G 5w�ermY'G +! YLS , Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 • Storm & Rain Drain each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each i , K h i ' 7003- (1 101,11 } !OW, additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first$10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to - (minimum permit fee $36.25) 27.55 and including $25;000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Commercial Fixture Work: a Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accuratel re tort fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and � e greater, except systems designed and stamped by licensed or � r�t�It . x . engineer. x 4 0: + d '` ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial • - Domestic Drinking Fountain_i i i w� ti `_ t a z ok Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -4" Car Wash Drain • Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory . - Bradley *Note: If the fixture work.under this permit results in an - Commercial • increase of sewer EDUs, asewer permit will be issued and - Service _ fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing•permit.can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\Building\Pennits\PLM- PermitApp.doc 12/27/06 Electrical Permit ApplicatioIR ECEI VE , . FOR OFFICE USE ONLY City of Tigard Receive g ��Q 87- � ) . Permit No.: � � � e � QQ/ 13125 SW Hall Blvd., Tigard, JUN 0 2008 DateB d, OR 97223 L UP Plan Review ' M. • Phone: 503.639.4171 Fax: 503.598. Date/By: Other Permit: T I G A KD inspection Line: 503.639.4175 Y OF TIGARD Date Ready/By: Juris: 0 See Page 2 for BUILDING DIV'S Internet: www.tigard- or.gov ION N /Method: Supplemental Information TYPE O F °WORE, y §, PI AN' "REVIEW 0 New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. El Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. '''::,i'''',--4. s, e xceeds 10,000 amps at 150 volts or . "° �' �� ` . ; ;.. ' =CATEGORY;`CQF�:CONSTRUCTION �- .� =` -: �+; ° " ' ° '� P 0 Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ►_ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or h ", ❑ Emergency system. larger separately derived system. i', JOB ,SITE; INFORMATION- "•.AND,,. LOCATION,' ? - �. , _ < , , ,. „_ :,.. -' , ❑ Ad ,. Addition of new motor load of ❑ "A ", "E ", "] -2 ", "1 -3 ", Job no.: Gj O _ ® )..... Job site address: ‘ j� / � p 100HP or more. occupancy. /3 1 C, 0 A/ 1 e'er., ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: / � j� ® 4+ `'2 t: Health-care facilities. ❑ Supply voltage for more than J J 1F' V /� / / c) 2 ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Pro name: ❑ Service or feeder 600 amps or more. Cross street/directions to job site: '° :j` , °'.FEEa. ,. ;`' ; $:::-..:'20,5.- J O A Description I Qty. I Fee I Total I II New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: ►t 5y1 6, w iz - 0 Lot no Q 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential �" a DESCRIPTION OF WORK: r (with above sq ft.) 75.00 2 • A � ) Limited energy, multi- family 75.00 2 'tiA) y3--6 el 6iC� residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 - ° D` PROPERTY OWN ERA , � ... °' . - ' F : , �. TENANT; ' _ 201 amps to 400 amps 106.85 2 Name: �, �d�F l� 401 amps to 600 amps 160.60 2 7 601 amps to 1,000 amps 240.60 2 Address: �� ( ��/� Over 1,000 amps or volts 454.65 2 Ci /State /ZIP: � , � r � / � Temporary services or feeders installation, alteration, and /or / °, �✓ ; / / _ relocation Phone: (;7,) F ax: ( ) 200 amps or less 66.85 1 Owner installation: This in stallation is being made on property that I own which is not Owner signature: Date: 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 A. Fee for branch circuits with d ❑ ;_APPi C,ANT' " , - I ❑ ''CONTACT. PER �• „ above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 ail: Pump or irrigation circle 53.40 2 - "' r- _. ` 7 a ..'CON_ TR_ ACTOR' Sign or outline lighting 53.40 2 usiness name: 3 4 -� �' Z c Signal circuit(s) or limited - /� j�)Z energy panel, alteration, or Address: 46 �, �� :?_7 extension. Describe: Page 2 2 City/State /ZIP: f- �� Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: '}) Fax: ( !3) G, '73 �`'j Lf Investigation per hour (1 hr min) 62.50 CCB Lic.: /32222, Electrical Lie.: 3 � 82 C I Suprv. Lic . w33 5 Industrial plant per hour 73.75 „11..`;',:' ELECTRICAL PERMIT , FEES- °',s "° ' . Suprv. Electrician signature, required: /y Subtotal: Print name: /1 74 0 ' , 5 ' f 'w 4 { Date: 6 4 6 Plan review (25% of permit fee): 't�v / State surcharge (12 12 /o of permit fee): Authorized signature: d 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. 0 Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T( l I /05 /COM /WEB Electrical Permit Application - City of Tigard Page 2 - .Supplemental Information LIMITED ENERGY PERMIT FEES: • RESIDENTIAL:;WQRK., NLY'': • —ki: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* n Vacuum Systems* ❑ Other: �_ ,,COIV MERCIAL:WORK O1VLY =' Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems H Boiler Controls ❑ Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC ❑ Instrumentation n Intercom and Paging Systems H Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* • ❑ Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations h\Building\Permits\ELC- PermitApp.doc 03/23/06 Electrical Permit Application • FOR OFFICE USE ONLY - Received IN City of Tigard C 1 . 8 : :?'% ' Off - 3 Permit No.: LS 13125 SW Hall Blvd - , Tigard, OR 9722 �" t • p Plan Review Phone: 503.639.4171 Fax: 503.598.1960 FEB 2 9 [ U U d Date/B : Other Permit: (.. ,t) ,, ; ... o : ,, Inspection Line: 503.639.4175 P Date Ready/By: orris: Internet: www.tigard - or.gov C TY0E- HOARD S T I G A R D Notified/Method: See Page lint HOARD ll� Supplemental.Information ;,4 Zk # *7.# � NAP >'1._4.0 -„ ,p0::::k4 s .':.t t ,„+. "??l*k'"..n,.,: "aw hi ii. e,'. a,:fdtg:a:MI' (r•c vPr, ,a ""d,,,yrs° ie''`?�`. 1 New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition 0 Other: u ,; where the available fault current ❑ Marinas and boatyards. • a;, M, r �" �, rat ° t � ati r Sy J 0 `£��'c Mal ' ''a exceeds 10,000 amps at 150 volts or g buildings. •x� s 1. r•� , '�, ��;�- P ❑Floatin buildin > -. 4 I } k less to oun, or exceeds , dwellin d d 14000 ❑Commercial -use agricultural 1- and 2-family g ❑ Commercial/industrial 0 building amps for all other installations. buildings. Multi- family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 75 KVA or k, ` et § ..r tia. e :10110-t100 x u h ❑ Emergestem larger separately derived system. �� :�' r! �°�xa�aY.,, „c ❑Addition of ncy system mo tor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: /3 ? 9 y Sic.) /1 A .C1 7"= 100HP or more. occupancy. ❑ Six or more residential units, ❑ Recreational vehicle parks, City/State /ZIP: T Q �� 6 4- 7 2 2 Z3 • (9 ❑ Healt -care facilities- ❑ Supply voltage for more than J ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. ,[� £I'�C 4. ERE ¢ r... # 4 ! �i �,$ tat' l s 1, t E '44i 7' k Cross street/directions to job site: e e �' • ' • /Trey L6 � �, B s' � r Description I ... Qty. I Fee. I Total I ` New residential single- or multi- family dwelling unit. o/« t R q 'Ito 6 w• 4.4 e e ne C Includes attached garage. 6, #4�,„ 3 4,t re( , �,,1 aw l Lot no.: 1,000 sq. R. or less 1 145.15 4 Subdivision: G Tax map/parcel no Q � 7 Ea. add'I 500 sq. ft. or portion 33.40 1 a$ / C) 7 0 5 Crn v x'wxzv' y � ay,, 3 , Limited energy, residential if a s ,;� � E t_. A i' t Qr1x: t il t , -. t, <r . p��",.,,, , .- ,, v (with above sq, ft.) , 75.00 2 Limited energy, multi - family /kit d ' residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 1 1-A aP� �' I #r5 '„�` t1 � .ft' ^ tea ' '( ,W r e 'l '' z" ,> 'F' 201 amps to 400 amps € ....,,,, ,,,,... � .i tV1 s !° AVW '7 r,, .,. .i/ r �a _ ` F 4 P P 106.85 2 Name: G ex fz_ CpKtS�R u e 1 4is 401 amps to 600 amps 160.60 2 Address: / 7 Z D C) 5 co y/ Ri Over 1,000 to amps amps 240.60 2 L 4 Over 1,000 amps or volts 454.65 2 City/State /ZIP: 71 4 l a 1 ` DR 77o42-8270 Temporary services or feeders installation, alteration, and/or relocation Phone: (5 3) 6, g 2 - 3 3 ? 6 I Fax: ('e3) ‘i2 - �j •C y33 200 amps or less 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 Owner signature: Dat Branch circuits - new, alteration, or extension, per panel „ e ' A. Fee for branch circuits with L t ` s a Wit' l a�. 1 � "�`' ,� � 'l �'�s�s�' �� ate x x a.t�• ;� O s �..�;g g- i'r£;: s .. Ofii .��u.� V DTs 1 �, k above service or feeder fee, each branch circuit. 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular. 90.90 2 dwelling, service and/or feeder Phone: ( ) I Fax: : ( ) Reconnect only - 66.85 2 E-mail: Pump or irrigation circle 53.40 2 ,A ` `. '�' . r m i . , . , ' CF A, r•" ,�+° x , #`±. " a'r?1sk� s: ' ' "'" .; �.�.�� . �- � �ap �;��,„ ,,,� {;�„�� .�� i � : �. Sign or outline lighting 53.40 2 l Signal circuit(s) or limited - Business name: } C r / „,„,_ a e e 7 tt �,, 44 C, energy panel, alteration, or Address: / o G- 3' 7 5 E ,,e // ,, fi,k extension. Describe: Page 2 2 City/State /ZIP: PaiA. f( Q x y 2 2. 2 2.____ Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( Y3) 7 8 `- 0 884 Fax: (SC 3) 784.-z a It % Investigation per hour (1 hr min) 62.50 CCB Lic.: 93,3s- Electrical Lie.: ZG 3 Z (C_ Suprv. Lie.: 2S / yS Industrial plant per hour 73.75 Suprv. Electrician signature, o< "¢ T A O t �.' ,� t i gnature, required: rt_� �_ Subtotal: Print name: /� D ate: , Z 6 Plan review (25% of permit fee): 4: V re / i/ �G`� t / v State surcharge (12% of permit fee): Authorized signature: / ,y TOTAL PERMIT FEE: ✓ � This permit application expires if a permit is not obtained within 180 Print name: /C : •le f Z- Date: Z = Z7'. G /� days after it has been accepted as complete. * Number of inspections allowed per permit. I:\ Building \Permits1ELC- PermitApp.doc 05/23/06 440- 4615T(11 /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 T e of Work Involved: Audio and Stereo Systems* EBurglar Alarm . Gara Door Opener* Heating, Ventilation and Air Conditioning System* K Vacuum Systems* Other: n'e op. k ez , . Fee for each commercial $75.00 system - - (SEE .OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for. all other installations • 1:\ Building \Permits\ELC- PermitApp.doc 03/23/06 Mechanical Permit Application FOR OFFICE USE ONLY - City of Tigard d 14 ® DReceiveateBy: Permit No.. 13125 SW Hall Blvd., Tigard, OR 97223 . ,. v ' Date/By: Plan Review Phone: 503.639.4171 Fax: 503.598. Other Permit: 1'6 S T I G A R D Inspection Line: 503.639.4175 r to 1' L U �i Date Ready /By: Juris: ®See Page 2 g e 2 s__ / � � • � ; - Internet: www.tigard- or.gov for F 4 OA ® Notified/Method: Supplemental Information 1+ `yl IB , ,�.�.,„ ��,� � -� �',� f ,�r.�s�,� t �q i � i� • tiR �F �k'�'".�'��*, §}*�, ;� t � *k-:an...r „��xa, „. '� 1r ��*.� �. �4ws5., .r, „. M'�k « a.,r»,�"3,w�. ., ......+3s _, �;.... �w:.. '- `fir. sx..,.,dr�'ht` �.{ar.?^�� spa ,� $,!(��. �. � "� � �. °l • -x� , �,.: -` M New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Or - v+ ^x� ��'%�%';'iri�'�` . " "i'�;�-- �s- 5 >:�e�„vs.'a�..� ._�- gra, ^z,��.'��.�rx k'x*�.4= 'd�zr+a�sa�;:"fi,.n �':W' ` "; x, ��,.�..;•p,,,,, . , 41111, A,rTE47 001: N g U, ,0L��I' i , e y: `�, t t t `",t,1 ; '' ;a � £ Value: $ vaT* �x srntrsaxi�a -- °*Fx�c.:roczea a. Ja r?.J'4..aK"' �.� � .., » � X l- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ° ' ^ » 1 . •,:�� h: A ❑ Multi - family 0 Master builder For special information use checklist. ❑ Other Description Qty. Ea. Total e�>a� °" x. `>e D �ss;�wA,•, A' � �a b^;:9.: � + mow w . - r .,, v ,: i .)b, o- )11 °F I 0 eras x z t ` $" 7 F9 2 >��.� :- � F ,��>„�»� t � >., � _• t -,�� Heating/cooling Job site address: 3 g SL S (A) IA ! C T',� Air conditioning or heat pump / me e _ (requires site plan showing placement)' 14.00 City/State /ZIP: 4 o 2 7 22-3 Furnace 100,000 BTU (ducts/vents) 1 14.00 Suite/bldg. /apt. no.: � Project name: Furnace 100,000+ BTU ( ducts/vents) 17.90 ,/ Gas heat pump 14.00 Cross street/directions to job site: ,4 4 l( 5 w e s .t 45 Ae Duct work 10.00 r Hydronic hot water system 14.00 6 14g 4 t/1...i it, G .d., es 0. C s. Residential boiler (radiator or hydronic) 14.00 ' Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: /! Flue /vent for any of above 1 6.80 c/2. i w e.5 wy Ea( t t o 'rc( Lot no.: Z Other: 10.00 Tax-map/parcel no t. ,s" / A 2, 4 c c Y2 * Other fuel appliances e , Al Y ,=,, Ti" ; �C f ) �1� , a �. , > at as " 4 a�a,a,1.t» �a gym, a.s.< w a„s i�s; �` ° � ,� � � d��,� Water heater �C � 10.00 �( / Q le_ Gas fireplace 1 10.00 �l 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 Chimney/liner /flue /vent 10.00 ' rrC Other: 10.00 Name: G e R.tx Ce K i 6Xu.e e, a a /,.. C- Environmental exhaust and ventilation Address: / 7 a 0 s w 4 G t...4. /� Range hood other kitchen - U r equipment 1 10.00 City/State/ZIP: -re.t,• C‘w "1 , OR 1706, Z 8 6 Clothes dryer exhaust ( 10.00 Single -duct exhaust (bathrooms, Phone: ($63) G g L 3 3 p O Fax: (SG3) L P 2 5V3 3 toilet compartments, utility rooms) L i 6.80 _ Y >- w m .w t . + µ� ;' g r N ota 4 Attic /crawlspace fans 10.00 Other: 10.00 Business name: 4 CA - ec �- 4 . Fuel piping Contact name: t eA. L $5.40 for first four; $1.00 for each additional Address: i g Z p S ci Y C A c, Furnace, etc. I Gas heat pump City/State /ZIP: 1 4 6a, f/dy C,. y e 7 0 02 - g 770 Wall/suspended/unit heater Phone: ( 2-O3) G f 2. _ 3 3f p I Fax: : (s-o 5 p Z- sy3 3 Water-heater 1 Fireplace E -mail: `Cek t '¢tee et , CG Ran e 1 sf a „ *n ° ? g r>ar.:. `'„ t ,.�'� z B arbecue Business name: O A trK 4, G �-,e Clothes dryer (gas) `� Other Address: p 0 /q0sgsit as City/State/ZIP: `C 4, . le C, - �i 6 / ? 7 � 2. Z Subtotal L Minimum permit fee ($72.50) Phone: ($'6 3) 6. d Z Z ( Fax: (5103) 6.510 -- 2'7 73 Plan review (25% of permit fee) CCB lic.: 4 57 (' State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 X4. days after it has beemaccepted.as complete. Print name: g. e u y y�. /.+ 5 Date: Z- 2- ?-d`8 * Fee methodology set by Tri- County Building Industry Service Board C\ BuildinglPermits \MEC- PermiiA 01/19/07 440 4617T(II/02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information • Commercial Fee Schedule: y k Y ® � �' 4.* ;r; @ t S A $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:\Building\Permits\MEC- PermitApp.doc 01/19/07 2 r City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 tI • • 3 t 'TInGARD' June 16, 2008 Gertz Construction Co., Inc. 19200 SW 46` Ave. Tualatin ,OR 97062 Attn: Ken Gertz Re: Permit No. MST2008 -00017 Dear Mr. Gertz: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 13794 SW Halcyon Ct. Project Name: Gertz Homes at Edgewood, Lot 2 Job No.: N/A Refund: ❑ Check # in the amount of $ ® Credit card "return" receipt in the amount of $750.00. n Trust account "deposit" receipt in the amount of $ Notes: Refund overpayment of plan review fees $750.00. No additional fees due for SDCs as demo credits applied. 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 , xi 1 s 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: Gertz Construction Co., Inc. DATE: 6/13/08 19200 SW 46 Ave. Tualatin, OR 97062 REQUESTED BY: Dianna Howse Attn: Ken Gertz TRANSACTION INFORMATION: Receipt #: 2008 -746 Case #: MST2008 -00017 Date: 3/7/08 Address /Parcel: 13794 SW Halcyon Terr Pay Method: CreditCard Project Name: Gertz Homes at Edgewood, Lot 2 EXPLANATION: Refund overpayment of plan review deposit. ,�,_ ..\ ' x„' - �,. }r '" :�»s � u,�:�„ ,;;'.�':. r eh; =; gsj, %:sea'; x ..'�»;' _ °.�> f;', .� ":,s+r 0rREEUND; ^INB.ORMATION: -- { :;Vai i� �':. .._x h ig. z.r - ....ijtg. m. t.. , : Fee Description Fr Receipt °�;' RevenueAccount No t k ' il a Resfund' ,�.,- a } �� ,z � 5 d � � � Alai "§� '''w�" :s�ts;�., � �.. i 4� � ns ,s� GF i �,.`.� s .y � �. „� £'+ 5 � ^� S-� "Y+�.�,� Example v ,�[BUIL'D},F ermat F ee x , , . . Ex' 245.0000;,;432000 ,'.. „ ,. $ A [BUPPLN] Pln Rv Deposit 245 - 0000 - 433000 $750.00 • TOTAL REFUND: $750.00 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager If under $22,500 Department Manager y If under $50,000 City Manager If over $50,000 Local Contract Review Board i S ' FOR'440..EMARK SYSTEM :ADIVIINi ST IRATI+ ®,N��i1'SfE_ ONLY a " °� 1 u #...- ..+,.._ r d, "-.y� _ ��. ... ..,.. .. _.^ r, .-.. :..,,...- .--,. ar ..�..,..�.a,n....,.�k,.�- ,�-,.. ,._vs.. ..,.,_, _:•!•�s�'�F'+'. �,v�h • > ;'.*#?agi 1 Case Refund Processed: Date: ‘M / YY' By: ..c1;:&$.6"-- 1:A Building \Refunds \RefundRequest.doc 05/23/07 g` S .. a CITY I pp p��( 6/ 13/2008 gal r � 13125 SW Hal Blvd. l ia. 4:46:5 2 P M Tigard, OR 97223 503.639.4171 MIGAckEij Refund Receipt #: 27200800000000002065 �x . �, ; �___ ' Date: 06/13/2008 Line Items: Case No Trau Code Description Revenue Account No Amount Paid MST2008 00017 Reversal - [BUPPLN] Pin Rv Dep 245 0000 - 433000 (750.00) Line Item Total: ($750.00) Refund: Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid Credit Reversal GERTZ CONSTRUCTION 02445B In Person (750.00) Refund Total: ($750.00) 0 y 0 O 8 4.. L. v ` y x ++ ,.+ O Q )\ 9 s 4- .e .� ~ a) • H 5 q cad N *® X x "' o Wx vV °W 6 v v v ya o a. 0 . a) : ss ct 1 Q H , w p. ..:, cr.„..e• ry u Pngc I or I .tWA CITY OF TIGARD 6/5/2008 • : o 13125 sir Hall BIN d. 8:07:OSAM i Tigard, OR 97223 503.639 4171 R; � TtI4GIA Receipt #: 27200800000000000746 OA-W:17,14 Date: 03/07/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2008 -00013 [BUPPLN] Pin Rv Deposit 245- 0000 - 433000 750.00 . MST2008 -00014 [BUPPLN] Pin Rv Deposit 245- 0000 - 433000 750.00 MST2008 -00015 [BUPPLN] Pin Rv Deposit 245-0000-433000 750.00 MST2008 -00016 [BUPPLN] Pin Rv Deposit 245- 0000 - 433000 750.00 MST2008 -00017 [BUPPLN] Pln Rv Deposit 245- 0000 - 433000 750.00 MST2008 -00018 [BUPPLN] Pin Rv Deposit 245- 0000 - 433000 750.00 Line Item Total: $4,500.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard KEN / GERTZ CONSTRUCTION BTT 024458 in Person 4.500.00 • Payment Total: $4,500.00 • cReccipi.ipn Paso I oI I „ CITY OF TIGARD 2 3o8s3PM 1 111111 Fees Associated With C 13125 SW Hall Blvd. TIGARD Tigard OR 97223 503.639 Case #: MST2008 -00017 20% - 074(0) I Z- Fee Start End Revenue Created Type Date Date Dept Description Account Number By Date Amount Due BPLC 1/1/1990 12/31/2020 [BUPPLN] Pln Rv Deposit 245- 0000 - 433000 BTT 3/3/2008 ki t) 75 0.00 CDCP 1/1/1990 12/31/2020 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 BLS 3/25/2008 46.00 0.00 LRP1 12/28/2004 12/31/2020 [LRPF] LR Planning Surcharge 100- 0000 - 438050 BLS 3/25/2008 6.00 0.00 BPLD 1/1/1990 12/31/2020 [BUPPLN] Pin Rv Balance 245- 0000 - 433000 BLS 3/25/2008 1,139.40 0.00 BPRT 1/1/1990 12/31/2020 [BUILD] Bldg Permit 245- 0000 - 432000 BLS 3/25/2008 1,752.92 0.00 SURI 12/31/2007 12/31/2020 [TAX] Build 12% State Surchrge 100- 0000 - 207020 BLS 3/25/2008 210.35 0.00 MCET 7/1/2006 12/31/2020 [METCET] Metro Const Excise Tx 245- 0000 - 229202 BLS 3/25/2008 387.84 0.00 MPRT 1/1/1990 12/31/2020 [MECH] MEC Permit 245- 0000 - 431010 BLS 3/25/2008 _ 120.20 0.00 SUR2 12/31/2007 12/31/2020 [TAX] MEC 12% State Surcharge 100 - 0000 - 207020 BLS 3/25/2008 14.42 0.00 PL3B 1/1/1990 12/31/2020 [PLUMB] PLM Prmt 3Bth 245- 0000 - 431000 BLS 3/25/2008 399.00 0.00 SUR3 12/31/2007 12/31/2020 [TAX] PLM 12% State Surcharge 100- 0000 - 207020 BLS 3/25/2008 47.88 0.00 ELCF 1/1/1990 12/31/2020 [ELPRMT] ELC Permit 220-0000-431510 BLS 3/25/2008 t 278.75 0.00 SUR4 12/31/2007 12/31/2020 [TAX] ELC 12% State Surcharge 100- 0000 - 207020 BLS 3/25/2008 33.45 4 0.00 ELRP 1/1/1990 12/31/2020 [ELPRMT] ELR Permit 220 - 0000 - 431510 BLS 3/25/200 75.00 0.00 SUR5 12/31/2007 12/31/2020 [TAX] ELR 12% State Surchrge 100 - 0000 - 207020 BLS 3/25/2008 9.00 �1 0.00 PRK6 7/1/2005 12/31/2020 [PKSDC] SF Park SDC 270 - 0000 - 450000 BLS 3/25/2008 , . 51 0 0.00 - 4O3 TIFR 7/1/2002 12/31/2020 [TIF -R] TIF Resident 210- 0000 - 448001 BLS 3/25/2008 W 0.00 TIFM 7/1/2002 12/31/2020 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 BLS 3/25/2008 20 2.10 A 0.00 -2c EROS 1/1/1990 12/31/2020 [ ERPRMT] Erosion Control 100- 0000 - 207307 BLS 3/25/2008 112.00 0.00 ERPU 1/1/1990 12/31/2020 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 BLS 3/25/2008 36.40 0.00 ERPC 1/1/1990 12/31/2020 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 BLS 3/25/2008 36.40 0.00 Total Due: $0.00 0 3 / Co. • ad / -2 5 o - ...c 4: = / - / - c4^ 4.e /2 c %cn.6 Page 1 of 1 CaseFees..rpt CITY OF TIGARD 6/5/2008 _.. 13125 SW Hall Blvd. 8:07:2 3AM Tigard. OR 97223 503.639.4171 TIGARD Receipt #: 27200800000000001552 Date: 05/08/2008 Line Items: Case No 'Fran Code Description Revenue Account No Amount Paid MST2008 -00017 [CDCPLN] CDC Pln Rev 100 -0000 - 433060 46.00 MST2008 -00017 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00 MST2008 -00017 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 1,139.40 MST2008 -00017 [BUILD] Bldg Permit 245- 0000 - 432000 1,752.92 MST2008 -00017 [TAX] Build 12% State Su rchrge 100- 0000 - 207020 210.35 MST2008 -00017 [METCET] Metro Const Excise Tx 245- 0000 - 229202 387.84 MST200S -00017 [MECH] MEC Permit 245- 0000 - 431010 120.20 MST2008 -00017 [TAX] MEC 12 %, State Surcharge 100- 0000 - 207020 14.42 MST2008-00017 [PLUMB] PLM Prmt 313th 245- 0000 - 431000 399.00 MST2008 -000 [TAX] PLM 12% State Surcharge 100- 0000 - 207020 47.88 MST2008 -00017 [ELPRMT] ELC Permit 220- 0000 - 431510 278.75 MST2008 -00017 [TAX] ELC 12 %, State Surcharge 100- 0000 - 207020 33.45 MST2008 -00017 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00 MST200S -000 7 [TAX] ELR 12% State Surchrge 100- 0000 - 207020 9.00 MST200S -00017 [ERPRMT] Erosion Control 100- 0000 - 207307 112.00 MST2008 -00017 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 36.40 MST2008 -00017 [EROSN] Erosn PIn Rv COT 245- 0000 - 433010 36.40 Line Item Total: $4,705.01 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check GERTZ. CONSTRUCTION CO DEB 2884 In Person 4,705.01 Payment Total: $4,705.01 ckeccipi.1pt Page I of I • • Elev 214 61.00 ... 1n _ ,`- Elev 214 ,11 i ence � ' i 2 Itfence o 0 N A ui • , , • - / \ 5.00 0 5.00 in LOT 2 8,286 SQFT TREE PLANING SCHEDULE w r.t Imo abe Pod I.r WO* r A t■ ... �...b+ .t w d...1. e w tit.wr0ww Y 4•44mordl WO. "Cr Vier 044m Vino CO 4/6 Elev 216.5 "fiffp V "- Z «°i If OA CC) 14111.41144 M ■ I Y "� +0 x} a Maim 0 4404441 to lie 4. Os Om tor 4n144111. 4.44 am Lol 4 • 444.44444 4•44444 4s 16.4. 444 L Maw V7t 5.34 1.4:C= `\ _ I = =_ 5.66 . � s ' Elev 216 lait Iier Z � a 1 I.,, ' 1 1 ` ' WARNING: .; ->� 1 1, ' "., I OBTAIN LOCATES PRIOR TO ANY Q , _ 1 r - EXCAVATION •I o _ Gravel Drive J N .�;; P.* for Erosion 0 cv a III ill PVIVA OW 11111.1111111111111111111 Elev 216 U 61.00 Elev 216 co SW HLCyON TERRACE CONSTRUCTION HOME SQUARE FOOTAGE ` GERTz COM I NC . MAIN FLOOR =1403 SQ.FT. UPPER FLOOR =1613 SQ. FT. BUILDING CUSTOM HOMES SINCE 1977 � � / TOTAL = 3016 SQ. FT. (503) 692 -3390 GARAGE = 650 SQFT. 13794 SW Halcyon Terrace Lot 2 Gertz Homes at Edgewood SCALE 1" = 20' GERTZ CONSTRUCTION COMPANY INC. PLOT PLAN 4/8/08 / 3 p i e - / 5(.0 L. a� ' IcYrCi ct' CITY OF TIGARD - SITFPLAN REVIEW ' BUILDING PERMIT NO.: ►'YI'15Tacx c /"P PLANNING DIVISION: Required Setbacks: ['Approved s ❑ Not Approved Side: Street Side: Front. ' Garage: � Rear: __ Visual Clearance: .[Approved ❑ Not Approved Maximum Building Height feet CWS Service Provider Letter Required: ❑ Yes ❑ No ❑ Received B) : St 4 a Date: 4 /oar ENGINEERING DEPARTMENT: Actual S ope: 6 % in Approved ❑ Not Approved Site PI : 7 O-- Approved No Approved ` By: L Lx Date: Z. of Notes: /l CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: Street Trees: Approved ❑ Not Approved Protected T_ f / 7 Dr Approved F I ...,..._8�C._._...— _ b ! /✓'l r Date � J Notes: - _ . . ' - —� --_' � � CITY OF ��mn m n�'n TIGARD ' ,- � BUILDING DIVISION � PERMIT | =°~~"~~~~""~~= ~="°"~~"~="~ ' : kAST2008'00O17 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2008 Phone: (503) 639-4171 Inspection Requests �4Hroj:(5U3)63Q~4175 ^�� «� � INSPECTION WORKSHEET FOR DATE: 1/12/2009 TIME: 7:00&kA PAGE: 17 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ. HOMES ATEDGEVV0{)C` LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM 13UP2007'00167TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503,092.339O Inspection Request Scheduled For: Date: 1/12y2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 079586-01 503-7807793 Corrections/Comments/Instructions: I y Y2 -1ZWE �...b^ ill I PAS F� PARTIAL ��CANCEL / �� / NOACCE8G FAIL 112 CALL FOR INSPECTION [1] ADDITIONAL FEES ASSESSED Inspector: / _ . ~~1111~ , Date� Phone #: (503) 718- 7:61/ ~' lib � ' ' ' / _-_ ' .,.._•. :•.._ • CITY OF TIGARD BUILDING DIVISION 14 , PERMIT #: MST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2008 Phone: (503) 639-4171 hao110 i t Inspection Requests (24 Hrs.): (503) 639-4175 A.RI AL. INSPECTION WORKSHEET FOR DATE: 12/11/2008 TIME: 700Am PAGE: 6 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: op TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 603-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503.691339Q Inspection Request Scheduled For: Date: 12/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 078981-04 503-780-7793 N Corrections/Comments/Instructions: (Itilifok.-40 i II PARTIAL APPROVAL 0 CANCEL El NO ACCESS Il FA I L Z CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED i - ------_ , ) Inspector: Date: I 2- ii 5 Phone #: (503) 718- V _ • _ ( , .CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/80008 L Atl I Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/10/2008 TIME: 7 PAGE: 8 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: _ SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY. INC., PHONE #: 603492-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: *12/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 078946-03 503.780-7793 N Corrections/Comments/Instructions: 1 \ iLi l'- S i IL) t-v 5'14_ o K... c- - 'N e _..--r--> ( C - 4---c 1.--/c---. — • 't r PARTIAL APPROVAL D CANCEL pi NO ACCESS '0 FA I r I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 17--// 19/o cf) Phone #: (503) 718- . , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00017 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 5/8/2008 Phone: (503) 639-4171 ioNditiii- . Inspection Requests (24 Hrs.): (503) 639-4175 ,,-4, e l--- INSPECTION WORKSHEET FOR DATE: 7/8/2008 TIME: 7:00Alvl PAGE: 25 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 7/8/2008 Pour Time: .Code # Inspection Description Confirm # Contact # Message 115 Electrical service 072321-01 503-780-7793 N Corrections/Comments/Instructions: '4101 thi6 ,--- El PARTIAL APPROVAL 1:11 CANCEL fl NO ACCESS ri FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: A .4a...— _ ' Date: 0' Phone #: (503) 718- _ vr , %I. , . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00017 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 502008 Phone: (503) 639-4171 "11101111111- Inspection Requests (24 Hrs.): (503) 639-4175 ,,_411 - ..... INSPECTION WORKSHEET FOR DATE: 7/B/2009 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM 13UP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 7/0/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 072321-03 503-780-7793 N Corrections/Comments/Instructions: - C . Li PARTIAL APPROVAL 0 CANCEL ri NO ACCESS , e4N FAIL / 0 CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED Inspector: •••■■ Date: VgA Phone #: (503) 718- -` � CITY ,OF ' ' ��nm m .n��w TIGARD BUILDING DIVISION ~�~°.~~~°""~~" ~�"°.~,"~~"° PERK4|T#: W1ST2008-00017 | 13126SVV Hall B|vd.. Tigard, OR07223 D/TEISSUED: 502008 Phon*:(503)638'4171 ti- Inspection Requests (24Hmj:(5O3)638'4175 =� �� INSPECTION WORKSHEET FOR DATE: 778/2008 TIME: 7:00AIVI PAGE: 24 SITE ADDRESS: i37W4SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, |NC.. PHONE #: 583-692-3398 CONTRACTOR: GERTZ CONSTRuCTION CO INC PHONE #: 603-692-3390 Inspection Request Scheduled For: Date: 7/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message . 120 Electrical rough-in 072321'02 503-780-7793 N Corrections/Comments/Instructions: . �~�� 1� � �� °�— ��X� FA ' �— ' ~_~ ^�/ ��`'^__. � . . ~~^ '~~. __ . ,`�'. . .—~,~^~ , / PARTIAL APPROVAL 0 CANCEL 17 NO ACCESS lij FAIL f CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED / _ ^^ �� |Inspector: - Date: ~-~-�� Phone #: (503) 718- %.. /, .2t . • CITY OF TIGARD f BUILDING DIVISION 1 hlo , , PERMIT #: MST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: A 5/13/2008 Phone: (503) 639-4171 liell'llilltil` Inspection Requests (24 Hrs.): (503) 639-4175 ,,,-41-1 't--• • INSPECTION WORKSHEET FOR DATE: 119/2009 TIME: '7 PAGE: r -1 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 001 TYPE OF USE: PROJECT NAME: GFRTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00Th7 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ. CONSTRUCTION CO INC PHONE #: 503-692-3390 ' Inspection Request Scheduled For: Date: •02009 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 079558-01 503-78G-7793 N Corrections/Comments/Instructions: i— 0 C.- /64 — 9/,z) 4 • [ piss rA " A R T I A ' !-P-"• L 0 CANCEL 'k rA NO AC dm - )72 ALL -OR INSP • 0 ADDITIONAL FEES ASSESSED _....--- Inspector: .4 ■...-______ Date: / Phone #: (503) 718- %1116. CITY. OF TIGARD . , BUILDING DIVISION ,,- q6\ __ PERMIT #: MM1008-00017 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/13/2 Phone: (503) 639-4171 4„, w i timittit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: .012/2000 TIME: PAGE: 28 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: • PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 6034592..3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 12112/2008 Pour Time: Code # 1 ) nspection Description Confirm # Contact # Message 399 \ Plumbing final 078981-06 503-780.7793 N Corrections/Comments/Instructions: . . -ASS fl PARTIAL APPROVAL Ei CANCEL 0 NO ACCESS I I FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: - 1?-)Ive Phone #: (503) 718- _ , . CITY OF TIGARD BUILDING DIVISION A PERMIT #: MST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 510/2008 Phone: (503) 639-4171 ‘AllgiullOilli ' Inspection Requests (24 Hrs.): (503) 639-4175 ,,--141 ''''---• INSPECTION WORKSHEET FOR DATE: 12/10/200B TIME: 7 PAGE: 9 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD . DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 603-G92-3390 CONTRACTOR: GERT7 CONSTRUCTION CO INC PHONE#: 503-692-3390 Inspection Request Scheduled For: Date: 12J10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 078946-02 603-180-7793 N Corrections /Comments / Instructions: Cc> L7 g.C VEg-- L _ i"-, cy t 6 3 P P(-:-TAZ__ /- c..- #2 ....'. 4 7 L t5L"-- /a• I I PASS PARTIAL APPROVAL 0 CANCEL Ei NO ACCESS 'NOM rCALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: . A. _ -1 Date: /Z/C1 Phone #: (503) 718- Z op , , --..... NI\k, . , „ . . , CITY OF TIGARD BUILDING DIVISION At PERMIT #: MST200E-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: a.f8/2008 Phone: (503) 639-4171 tillillitilil'\ Inspection Requests (24 Hrs.): (503) 639-4175 Ap....-4 ■■..1 INSPECTION WORKSHEET FOR DATE: 7/18/2008 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 7/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 072876-01 503-780-7793 Y Corrections/Comments/Instructions: , • PASS fl PARTIAL APPROVAL El CANCEL pi NO ACCESS n FAIL, n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED • Inspector: \ .■,0,, Date: - 7 1 I q 1 01. Phone #: (503) 718- • . .r ■• . . CITY., OF TIGARD BUILDING DIVISION PERMIT #: MST2009- 00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5iWt2000 Phone: (503) 639 -4171 itt�u�'�II Inspection Requests (24 Hrs.): (503) 639 -4175 _ L INSPECTION WORKSHEET FOR DATE: 7/9/2009 TIME: 7 :00AM PAGE: 16 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007- 00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: X03-- 692 -3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692- 3390 Inspection Request Scheduled For: Date: 7/9/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 072389-01 503-780 N Corrections /Comments/ Instructions: or JCA10p "U✓ c 1 ✓. A- gc Pf o j - .- ✓vim \ r , bd o,1c - C i-o ccr A-. a ve, S c(_ Mat/LA/GL, c' V1 c,/ S r (�� Z to S La cc-0 - t/awe/ Ll„4 S L ge. Secl Tb i' `TL. lit la% o ✓ 1 pq.+) - l:arol SGve,t.. r1 �� U1 t Le cad c...)1 - M N �,., 1 _ 1 U F ' FA'C -C ©� S---A-c.. o k u1 • I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 17) v ' I I b Date: - 7 19 ` 2A dZ Phone #: (503) 718- • CITY, OF TIGARD '- BUILDING DIVISION Allii PERMIT #: IVIST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: f)/8/2008 Phone: (503) 639-4171 Jl Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR . DATE: 5/22/2008 TIME: 6:59AM PAGE: 17 SITE ADDRESS: 13794 SV HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEVVOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00197 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 5/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/bearn plumbing 070272-01 503-780.7793 N Corrections/Comments/Instructions: 7 4g PASS PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 0 FAIL / ) , :r1 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: z z7y_.___ Date: c Z-2-106 Phone #: (503) 718- 'N., CITY. OF TIGARD BUILDING DIVISION A, PERMIT #: MST2008-00017 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 502008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/16/2008 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: NON SF. DEMO CREDITS APPLIED FROM BUP2007-00197 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 5/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 3•torm drain 070007-08 503-780-7793 Corrections/Comments/Instructions: yi PASS n PARTIAL APPROVAL LII CANCEL 0 NO ACCESS pi FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED — Inspector: CiD'‘/NA---AlATh---- Date: cfrC t 7) Phone #: (503) 718- . • . Aga CITY. OF TIGARD BUILDING DIVISION A PERMIT #: MST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51812008 Phone: (503) 639-4171 pplt Inspection Requests (24 Hrs.): (503) 639-4175 ..„.......W .... INSPECTION WORKSHEET FOR DATE: 5/16/2008 TIME: 7:00AM PAGE: 12 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00197 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 5/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 070007-09 503-7E07793 N Corrections/Comments/Instructions: • • . g PASS El PARTIAL APPROVAL Ej CANCEL NO ACCESS 0 FAIL D CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 0 t'\,x.----- Date: Si /1 1- Phone #: (503) 718- . . _ CITY„ OF TIGARD ' BUILDING DIVISION A, PERMIT #: IvIST2008-00017 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 5/8/2008 Phone: (503) 639-4171 Jort l Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/16/2008 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGE-WOOD DESCRIPTION: New SF, DEMO CREDITS APPLIED FROM 6UP2007-00197 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., , PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 5/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 070007-06 503-780-7793 N Corrections/Comments/Instructions: lg PASS n PARTIAL APPROVAL 0 CANCEL n NO ACCESS 0 FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: crarvi."-_,,f MN-1,-- Date: 6-1/H4'o Phone #: (503) 718- • CITY, OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00017 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 6/8/2008 Phone: (503) 639-4171 iiimillit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/16/2008 TIME: 7:00AM PAGE: •5 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEVVOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGE:WOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00197 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 5/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 070007-06 503-'780-7793 N Corrections/Comments/Instructions: Vt El PARTIAL APPROVAL fl CANCEL I NO ACCESS El FAIL pi CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: A Date: c71-‘ PI) 7 Phone #: (503)' 718- , . .. • CITY OF TIGARD • BUILDING DIVISION . PERMIT #: MST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/0/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A- 67 .11. INSPECTION WORKSHEET FOR DATE: 5/16/2008. TIME: 7:00AM PAGE: 14 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGE1N00D DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007•00197 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., ' PHONE #: 603-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 5/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 336 Rain drain 070007-07 503-780-7793 N Corrections/Comments/Instructions: • [Xt PASS ri PARTIAL APPROVAL 0 CANCEL fl NO ACCESS 0 FAIL [ CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: (TO km.A...A\A Date: SIK-1/6cr Phone #: (503) 718- -` CITY �*U~��.��N��&�� ' ��m mm�mm��no�� UUUU ��KN�� U��U��U��0� '' ~�~°"~~~°""°~= ~°"°"~°"~~"~ PERMIT #: kAST2000-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/0/2008 Phone: (503) 639-4171 Inspection Requests �4Hnaj: (503) 639-4175 ‘.41.30- '�� INSPECTION WORKSHEET FOR DATE: 12/10/2008 TIME: 7:01Am PAGE: 10 SITE ADDRESS: 13704 SVVHALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZMOK4ES ATEQGBNQ()D DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUPJDD7'DO187T0 THIS PERMIT. OWNER: GERTZC()NGTRUCDON COMPANY, INC., PHONE #: 603_692,3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 12K102008 Pour Time: Code # Inspection Description Confirm # Contact # Meao 899 Mechanical final 078946-01 603-780-7793 �-�-i-- Corrections/Comments/Instructions: . 4 . rAll PARTIAL APPROVAL 0 CANCEL n NO ACCESS | I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED �,�- - /2- �� ^^_'�� Inspector: Date: �� /~~- Phone #: (503) 718- .-- / ^�',' �~~^ ' ` ' • ��U�� OF ^ CITY. TIGARD ) BUILDING DIVISION 4, pER/NiT#: hAG�'2OO�D0U17 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2008 Phone: (503) 639-4171 i II Inspection Requa�a(24Hnaj:(S03)G30'4175 . �4- t i �J.. INSPECTION WORKSHEET FOR DATE: 7Y23V2008 TIME: 7:02Ah8 PAGE: 9 1 379��M4L�Y{)NTE� SITE ADDRESS: CLASS OF WORK: SUBDIVISION: GEATZ HOMES ATEQGI-IWOOC> LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES ATEQGBxOO[} DESCRIPTION: New. SF. DEMO CREDITS APPLIED FROM DUP2007-OO1O7T{) THIS PERMIT. OWNER: {9ERT7 CONSTRUCTION COMPANY, |NC.. PHONE #: 603-692-3390 CONTRACTOR: SERTZ CONSTRUCTION CO!MC pHONE#� 5O�58�33BO Inspection Request Scheduled For: Date: 7y23/2008 Pour Time: 11 Code # Inspection Description Confirm # Contact # Message 220 Slab 073OM-06 503-780-7793 Y . . Corrections/Comments/Instructions: PASS I I PARTIAL APPROVAL 111 CANCEL NO ACCESS 1| FAIL �� C ALL FOR |NSPECT|ON I 0 ADO|T|ONAL FEES ASSESSED Inspector: / � Of Phone #: (503) 718- '/ �� //^� ' ' ' - " `27, . . , .. CITY, OF TIGARD .' BUILDING DIVISION . • PERMIT #: MST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/812008, • — Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 iol INSPECTION WORKSHEET FOR DATE: 7/2212008 TIME: 7:01AM PAGE: 11 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 7/2212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 073007-01 503-780-7793 Y • , Corrections/Comments/Instructions: 0 ('4z p") — 7 — / y -0 6 -5, S7 Af PASS 7 PARTIAL APPROVAL El CANCEL El NO ACCESS 0 FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: - , Date: — 7-02---er Phone #: (503) 718- Ze-v----# CITY .OF TIGARD BUILDING DIVISION PERMIT #: MST20013-00017 13125 SW Hall Blvd., Tigard, OR 97223 kAg, DATE ISSUED: 5113/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 1379f SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. • OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #.503-G92-3330 Inspection Request Scheduled For: Date: 712212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 073007-02 503-780-7793 • Corrections /Comments/ Instructions: . El PARTIAL APPROVAL El CANCEL El NO ACCESS FAIL CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED • ' Inspector: Date: -a 5-.4:4 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: IViST200I 000 f7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61812008 Phone: (503) 639 -4171 4004vOilk Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/18/2008 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES Al EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007- 00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503692 -3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC . PHONE #: 503692 -3390 Inspection Request Scheduled For: Date: 7118/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 244 ►- Intc riorr shear wails 07.2.876-102 503 - 780.7793 N Corrections /Comments/ Instructions: r c fi dcx ) - 3 c - 0 - 1-) Iv) 37- cy (L 6,,,d PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: 13 • 5_ Date: 1 ti' 08 Phone #: (503) 718- 2444 CITY'OF TIGARD BUILDING DIVISION „, PERMIT #: MST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2008 Phone: (503) 639-4171 A „ Inspection Requests (24 Hrs.): (503) 639-4175 lt INSPECTION WORKSHEET FOR DATE: 7/18/2008 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: . PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ.CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 7/18/2008 Pour Time: Code # Inspection Description Confirm # ,. Contact # Message ( 7/0 I 275 Framing 07287€-03 503-780-77 , . Y Corrections/Comments/Instructions: • • O • K . PASS n PARTIAL APPROVAL n CANCEL NO ACCESS FAIL ri CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED • Inspector: -3- Date: le Phone #: (503) 718- . .. ,.. _ • CITY. OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2008 Phone: (503) 639-4171 :hopptiliT\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPI..IED FROM 6UP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 603-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 7/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 072815-03 603-780-7793 Corrections/Comments/Instructions: 1 t.)15'03; AC1 2en.41 P. " 1° Z %led - 4rs 9lect411 °‘ %A) ?e-ev )11-6 c ?a \ R-- 72 oac El- ct' ec) /() Of.)) 7 PASS I PARTIAL APPROVAL CANCEL 7 NO ACCESS I FAIL fl CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: 5. Date: /ISLA kt 0 Phone #: (503) 718- _ . CITY. OF TIGARD tt.51.2leye - oco / BUILDING DIVISION PERMIT #: tyt&T 6 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 5/13/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 '- INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 12 SITE ADDRESS: 4444 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 003 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. OWNER: GERTZ CONSTRUCTION COMPANY, INC., . PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 7117/2009 Pour Time: Code # e . Inspection Description Confirm # Contact # Message 4V 615 Mechanical rough-in 0721315-06 503- 780-7793 Corrections/Comments/Instructions: 5re_ c)aa - 9 - to • oe Cr;i5S -13 r k • ) 2e--v■ s ) eR. ■ q6 PASS [1] PARTIAL APPROVAL El CANCEL El NO ACCESS n FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 7 • S. Date: /- y 6 g Phone #: (503) 718- 4 / 2 _ . . CITY. OF TIGARD BUILDING DIVISION d I PERMIT #: ms 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 7/17/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 R Exterior sheathing . 072815-01 503-780-7793 • Corrections/Comments/Instructions: 3.ce fOr-k A4e0 7-3-05 b > \m., k°, tkc. rre k_ ■ PASS 0 PARTIAL APPROVAL CANCEL NO ACCESS FAIL E CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector:. S Date: Pr d Phone #: (503) 718- 2/2 CITY, OF TIGARD ' BUILDING DIVISION PERMIT #: M ST2008 -00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 518/2008 Phone: (503) 639 -4171 lx . Inspection Requests (24 Hrs.): (503) 639 -4175 'aII�.. INSPECTION WORKSHEET FOR DATE: 7110/2006 TIME: 7 :00AM PAGE: 12 SITE ADDRESS: 13791 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGE- - 'WOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007 -00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503 -692 -3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 7/10/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framirng 072448 -02 503 700.7793 N Corrections /Comments /Instructions: I) pure; L--, Gov G- — (F 7/11. e) Z- (-17,-.1Z I v R s H- (5-F-T 41 NI &, Cede-r- A-a-- Li z.-"t e- 1 % q r -t tom) 2TI i — C':e_t of. S1-71-T -1 . 1.- /41.— . (AJc-r A-F PIZ L i14--is • -7-1,11- 1._c-r M - , r ,... ..._r . lc 1 ■ - r 1 - r‹:_' _ Pe.- - i� • t4 . .S" . 7/ 4 v n PASS PARTIAL APPROVAL ❑ CANCEL I1 NO ACCESS fi FAIL \ % CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: _ • - Date: 7 L a /D Phone #: (503) 718- 2-G� CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/812008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/10/2008 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503.692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 7/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 072448.01 503.780-7793 Corrections/Comments/Instructions: g ■10. e.D My • U z.) P\//O A-1 r3, fe-- A-& _ I-I S7 1 tVer Mon fl PASS r ( PARTIAL APPROVAL CANCEL n NO ACCESS 114111111 V CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: 7 /48 Phone #: (503) 718- r k CITY OF TIGARD i' --‘ BUILDING DIVISION ,,h, PERMIT *0 MS120013-00017 13125 SW Hall Blvd., Tigard, OR 97223 5 -// DATE ISSUED: f10/2008 Phone: (503) 639-4171 Ano i 70 Inspection Requests (24 Hrs.): (503) 639-4175 " .1. la INSPECTION WORKSHEET FOR DATE: 7/8/2008 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPUED FROM BUP2007-00187 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 603-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 .,, Inspection Request Scheduled For: Date: 7/812008 . Pour Time: Code # Inspection Description Confirm # Contact # Message 810 Gas line 072321-04 503-7130-7793 N Corrections/Comments/Instructions: c1)9734- 7 • -.....".. . ••....: , • A -BSS fl PARTIAL APPROVAL ril CANCEL 0 NO ACCESS I l FAIL El CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: Date: -7 1 6 7 ° (C..- Phone #: (503) 718- , • CITY, OF TIGARD ' • BUILDING DIVISION - t PERMIT #: IvI5T2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/81408 Phone: (503) 639-4171 A A • i 1, , ,irill Inspection Requests (24 Hrs.): (503) 639-4175 ,,t LL INSPECTION WORKSHEET FOR DATE: 7/8/2008 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGMOOD LOT #: 002 TYPE OF USE: PROJECT NAME: (..3ERTZ. HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM 8UP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692.3390 Inspection Request Scheduled For: Date: 7/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 072320-01 503-780-7793 N Corrections/Comments/Instructio ie 0 i / CfrA Vh 0_ 6 &O lo /©- . *- — ...e.../....... 0,12-7,,,;- 1 _c-- 0 PASS r 'l PARTIAL APPROVAL fl CANCEL NO ACCESS El FAIL H CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED 172A' 6)1L, /e1 -- '-- Inspector: Date: Phone #: (503) 718- / CITY. OF TIGARD BUILDING DIVISION A PERMIT #: IvIST2008.00017 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: fd8/2008 Phone: (503) 639-4171 irtolitii lit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/8/2008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #:. 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503 Inspection Request Scheduled For: , Date: 7/812008 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 072320-03 503-780-7793 N orrections/Comments/Instruct ns: S 6 / .- reb 6 6 t 0 5D • Pks 7 2- E --- s'YN-->-_e --s 0.4_4 ,-- -:-, i 01 ---- ci1,-_,_,A, C t..-( .(4---1.--"-ej,_____ 1- , . . _ — PASS PARTIAL APPROVAL CANCEL n NO ACCESS _ fl FAIL n CALL FOR INSPECTION, n ADDITIONAL FEES ASSESSED Inspector: ____„ Date: Phone #: (503) 718- c . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00017 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 502008 Phone: (503) 639-4171 Atb Inspection Requests (24 Hrs.): (503) 639-4175 J. INSPECTION WORKSHEET FOR DATE: 7/8/2008 TIME: 7:00AM PAGE: 27 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00167 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 7/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shea walls/anchors 072320-02 503.780-7793 Corrections/Comments/Instructions: • ff4ASS El PARTIAL APPROVAL CANCEL fl NO ACCESS I FAIL I I CALL FOR INSPECTION LII ADDITIONAL FEES ASSESSED Inspector: / Date: 7 A/ tr- Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: IVIST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2006 Phone: (503) 639-4171 Ja Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/22/2008 TIME: 6:59AM PAGE: 16 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: . PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00197 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 5,12212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 070272-02 503-780-7793 N Corrections/Comments/Instructions: ._... ' . . • PARTIAL APPROVAL pi CANCEL pi NO ACCESS 0 FAIL El CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: , Date: :5 Z z--- Phone #: (503) 718- _Z_______ . . _ . CITY OF TIGARD �� <, ��n u n' n��m m m��nm�� BUILDING DIVISION • ~~~~"~~~�""~~� ~�" ° .~°"~~"° PERN1|T #: &1ST2008-00017 13125 SW Hall Blvd., Tlgand, OR 97223 DATE ISSUED: 578/2008 Phone: (503) 639-4171 ' Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/22/2008 TIME: 6:59AM PAGE: 15 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEVVOOQ DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00197 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-092-3330 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503 Inspection Request Scheduled For: Date: 5/22K2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 070272-03 503'780-7793 Y Corrections/Comments/Instructions: PASS 7 PARTIAL APPROVAL El CANCEL 7 NO ACCESS pi FAIL | I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: � Date: Phone #: /503\ 718- CITY. OF TIGARD BUILDING DIVISION Ailto,, PERMIT #: MST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61812008 Phone: (503) 639-4171 u tgeoroiliviti,,t; Inspection Requests (24 Hrs.): (503) 639-4175 ..., „ -.!.. INSPECTION WORKSHEET FOR DATE: 611412008 TIME: 7:04AM PAGE: 27 • SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00197 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503692-3390 Inspection Request Scheduled For: Date: 611412008 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 069866-04 503-780-7793 N Corrections/Comments/Instructions: Lo .„ . . 4._. . _.,.. .41:ta 'CPACP/v- ,5,i;4AV___._ • • n PASS 0 PARTIAL APPROVAL 0 CANCEL ri NO ACCESS I I FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY. OF TIGARD , BUILDING DIVISION AilIll PERMIT #: IVIST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/W2008 Phone: (503) 639-4171 ,tillitiii Inspection Requests (24 Hrs.): (503) 639-4175 A IL INSPECTION WORKSHEET FOR DATE: 5/1412008 TIME: 7:04AM PAGE: 28 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD ' DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00197 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-682-3380 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 5114/2008 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 069866-03 503-780-7793 N Corrections /Comments/ Instructions: e/f6X. --r :-r-i6--'s) • 14 I I PARTIAL APPROVAL [11 CANCEL n NO ACCESS n FAIL ( CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: , Date: 5 - 14---a & Phone #: (503) 718- CITY- OF TIGARD BUILDING DIVISION A, PERMIT #: MST2008-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2008 Phone: (503) 639-4171 ;oil it I' Inspection Requests (24 Hrs.): (503) 639-4175 L. INSPECTION WORKSHEET FOR DATE: 5/13/2008 TIME: 7:02AM PAGE: 38 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGEWOOD DESCRIPTION: New SF. DEMO CREDITS APPLIED FROM BUP2007-00197 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 • CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 5/13/2008 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 069762-04 503-760-7793 N Corrections/Comments/Instructions: a l0 .tiEr. - oSia kJ j - 4 -- ' At 1 I PASS 1 PARTIAL APPROVAL fl CANCEL NO ACCESS L-FiiT CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: 4 Date: 5 - /3 -a Phone #: (503) 718- 7-1 q 7) • . , 4. . , _ •. , . , v . . CITY. OF TIGARD BUILDING DIVISION AO . PERMIT #: MST200B-00017 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &M0(8 Phone: (503) 639-4171 .t%ii?\ Inspection Requests (24 Hrs.): (503) 639-4175 ,, _,W !... INSPECTION WORKSHEET FOR DATE: 5/13/2008 TIME: 7:02AM PAGE: 39 SITE ADDRESS: 13794 SW HALCYON TER CLASS OF WORK: SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 002 TYPE OF USE: PROJECT NAME: GERTZ HOMES AT EDGE:WOOD DESCRIPTION: New SF, DEMO CREDITS APPLIED FROM BUP2007-00197 TO THIS PERMIT. OWNER: GERTZ CONSTRUCTION COMPANY, INC., PHONE #: 503-692-3390 CONTRACTOR: GERTZ CONSTRUCTION CO INC PHONE #: 503-692-3390 Inspection Request Scheduled For: Date: 5/13/2008 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 069762-03 503-780-7793 N Corrections/Comments/Instructions: 4) /77 2oSr 0 I I PASS El PARTIAL APPROVAL r7 CANCEL El NO ACCESS —,------- FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: i Date: S I -- /1-6r, Phone #: (503) 718- 2_4-4-->" _ _ .. RESIDENTIAL PERMIT APPLICATION REVIEW Permit No.: V.71- 2008 - Cleo/ 7 Site Address: / 3 7 ' 5/ s&) //G /c_y rr a C e Subdivision: 6 e ,, E Uo»i s E c)c c of Lot No.: 7 Contact Name: '/ evl Business: (7 r + (,, S¢ v v c�'�o'l Street: /9„200 Ste! �G ; k ✓G . City: Tva lek 4 ■ v\ State: Z Zip: 97 «d2 - E r7TU As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. The application is complete. ❑ The application is incomplete for the following reason: n The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. n The submitted plans cannot be reviewed until the above information has been submitted and /or approved. ❑ The plans are deemed "simple ". The plans are deemed "complex ". Signature. I, -- 5Yr/GY'0 Name: Brandon Shaw Date Tide: Plans Examiner Phone: 503 - 718 -2425 E -Mail: BrandonS @tigard - or.gov I: \Building\ Forms \RES- PermitAppRevw- Blank.doc 1 /18/07 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • T I GARD June 16, 2008 Gertz Construction Co., Inc. 19200 SW 46 Ave. Tualatin ,OR 97062 Attn: Ken Gertz Re: Permit No. MST2008 -00017 Dear Mr. Gertz: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 13794 SW Halcyon Ct. Project Name: Gertz Homes at Edgewood, Lot 2 • Job No.: N/A Refund: ❑ Check # in the amount of $ ® Credit card "return" receipt in the amount of $750.00. ❑ Trust account "deposit" receipt in the amount of $ Notes: Refund overpayment of plan review fees $750.00. No additional fees due for SDCs as demo credits applied. 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 T I G A RD 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: Gertz Construction Co., Inc. DATE: 6/13/08 19200 SW 46 Ave. Tualatin, OR 97062 REQUESTED BY: Dianna Howse Attn: Ken Gertz TRANSACTION INFORMATION: Receipt #: 2008 -746 Case #: MST2008 -00017 Date: 3/7/08 Address /Parcel: 13794 SW Halcyon Terr Pay Method: CreditCard Project Name: Gertz Homes at Edgewood, Lot 2 EXPLANATION: Refund overpayment of plan review deposit. IREFY7ND;,I,NFORMATION: '" Y y, ^� , =i 4 Description From Receipt `;.7. Revenue Account No::: Refund' I✓xainple:. [BUILD] •Permit Fee • ?: ;- �E iaiiiple ?' 245= 0000 - 432000'' • .. $ Amount [BUPPLN] Pln Rv Deposit 245 - 0000 - 433000 $750.00 TOTAL REFUND: $750.00 APPROVALS: If under $500 Professional Staff ti- If under $7,500 Division Manager _ - ~ ," ti ~ . , / If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARKSYSTEKADMINISTRATION :USE.ONLY; •: Case Refund Processed: I Date: I By: I . t. I: \Building \Refunds \RefundRequest.doc 05/23/07 CITY OF T1GAR® 6 Er 13125S \� Flail Blvd. 4:46:52PM Tigard, OR 97223 503.639.4171 T IGA RD, Refund Receipt #: 27200800000000002065 r',. %.-7` c -e_ Date: 06/13/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2008 -00017 Reversal - [BUPPLN] Pin Rv Dep 245 -0000- 433000 (750.00) Line Item Total: ($750.00) Refund: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Credit Reversal GERTZ CONSTRUCTION 02445B In Person (750.00) Refund Total: ($750.00) • CA 0 ► a "� (1) W b N U I • ' t v W J • o xl a ' I aC y w w 0 i,i ' � •. `,i o V g ' N e t2 5 y v" V 0 ,1 ^1 C'' I � O 2 o � A x .� ,� �v v .k At, V I A \ I Ch i1 ▪ to 8 ^ y fi ..,, y � � N Ni., 0 � � W V / b , � ~ {� � y C to `�S 3 a O M x J O t P N rftl a 4 V N ▪ 0 3 � � A a 4 0 a . co CCI 1 O + 4.) as • A E w w a .Recci p:.rp: Pale I or I , CITY O T[CARD 6/5/_008 /I 13125 SW Hall Blvd. 8:07:05AM ' Tigard, OR 97223 501639.4 171 _T LGARD Receipt #: 27200800000000000746 G'1,--'/6-j As it -.. Date: 03 /07/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2008 -00013 [BUPPLN] Pln Rv Deposit 245- 0000- 433000 750.00 . MST2008 -00014 [BUPPLN] Pln Rv Deposit 245- 0000 - 433000 750.00 MST2008 -00015 [BUPPLN] Pln Rv Deposit 245- 0000 - 433000 750.00 MST2008 -00016 [BUPPLNJ Pln Rv Deposit 245 -0000- 433000 750.00 MST2008 -00017 [BUPPLN] Pln Rv Deposit 245- 0000 - 433000 750.00 MST2008 -00018 [BUPPLN] Pln Rv Deposit 245- 0000 - 433000 750.00 Line Item Total: $4,500.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard KEN / GERTZ CONSTRUCTION BTT 024458 In Person 4,500.00 Payment Total: $4,500.00 CRrreipi.rpi Page I of I . 5/28/2008 N a CITY OF TIGARD Fees Associated With 2:30:53PM g ' C 13125 SW HaII Blvd. yy�� #: M ST2008 -00017 _ Tigard, OR 97223 503.639.4171 Case //�� TIGARD V } � 7479, 155 2_ Fee tartaa•,.;....: X...':i,: °.End.,-, ''- - . - •.4rr': 1 4 , G . �.•�, .,,,,- � , . _..., .. �?�.:�• � : "�r;�` _ � Re ure,� '' rr��,,��. r _ �f- ,�, °'�; � -=�t�' . ,t , . ie - � F.B + : D te ; ; .:� '.Amou Due . y...: � �. e t .k � Dcs� n��r ..`'�; 1 A ccou um e r .. . Y�� '�t4 TYPe •. "1) a � : D ate � ; . P P,�_ .r et , . . ... _ , k: • BPLC 1/1/1990 12/31/2020 [BUPPLN] Pln Rv Deposit 245- 0000 - 433000 BTT 3/3/2008 PfFtem11 . 0.00 CDCP 1/1/1990 12/31/2020 [CDCPLN] CDC Pln Rev 100 - 0000 - 433060 BLS 3/25/2008 46.00 0.00 • LRP1 12/28/2004 12/31/2020 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 BLS 3/25/2008 6.00 0.00 BPLD 1/1/1990 12/31/2020 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 BLS 3/25/2008 1,139.40 0.00 BPRT 1/1/1990 12/31/2020 [BUILD] Bldg Permit 245- 0000 - 432000 BLS 3/25/2008 1,752.92 0.00 SUR1 12/31/2007 12/31/2020 [TAX] Build 12% State Surchrge 100 - 0000 - 207020 BLS 3/25/2008 210.35 0.00 MCET 7/1/2006 12/31/2020 [METCET] Metro Const Excise Tx 245- 0000 - 229202 BLS 3/25/2008 387.84 0.00 MPRT 1/1/1990 12/31/2020 [MECH] MEC Permit 245- 0000 - 431010 BLS 3/25/2008 , 120.20 0.00 SUR2 12/31/2007 12/31/2020 [TAX] MEC 12% State Surcharge 100- 0000 - 207020 BLS 3/25/2008 14.42 0.00 PL3B 1/1/1990 12/31/2020 [PLUMB] PLM Prmt 3Bth 245- 0000 - 431000 BLS 3/25/2008 399.00 0.00 SUR3 12/31/2007 12/31/2020 [TAX] PLM 12% State Surcharge 100- 0000 - 207020 BLS 3/25/2008 47.88 0.00 ELCF 1/1/1990 12/31/2020 [ELPRMT] ELC Permit 220 - 0000 - 431510 BLS 3/25/2008 278.75 V 0.00 SUR4 12/31/2007 12/31/2020 [TAX] ELC 12% State Surcharge 100- 0000 - 207020 BLS 3/25/2008 33.45 0.00 ELRP 1/1/1990 12/31/2020 [ELPRMT] ELR Permit 220- 0000 - 431510 BLS 3/25/2008 75.00 0.00 SUR5 12/31/2007 12/31/2020 [TAX] ELR 12% State Surchrge 100- 0000 - 207020 BLS 3/25/2008 9.00 J 0.00 PRK6 7/1/2005 12/31/2020 [PKSDC] SF Park SDC 270- 0000 - 450000 BLS 3/25/2008 , Stir o 0.00- Na3 TIFR 7/1/2002 12/31/2020 [TIF -R] TIF Resident 210 - 0000 - 448001 BLS 3/25/2008 W 0.00 TIFM 7/1/2002 12/31/2020 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 BLS 3/25/2008 220 09 gyp 1. 0.00 -a EROS 1/1/1990 12/31/2020 [ ELPRMT] Erosion Control 100- 0000 - 207307 BLS 3/25/2008 112.00 0.00 ERPU 1/1/1990 12/31/2020 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 BLS 3/25/2008 36.40 0.00 ERPC 1/1/1990 12/31/2020 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 BLS 3/25/2008 36.40 0.00 Total Due: $0.00 • o3 /e. Rio # ?5o - S9'= _ / - /z-u^ia Ac %cam Page 1 of 1 CaseFees..rpt Er . CITY OF TIGARD 6/5/2008 • 13125 SW Hall Blvd. 8:07:23AM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200800000000001552 Date: 05/08/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2008 -00017 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 46.00 MST2008 -00017 [LRPF] LR Planning Surcharge 100 -0000- 438050 6.00 MST2008 -00017 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 1,139.40 MST2008 -00017 [BUILD] Bldg Permit 245 -0000- 432000 1,752.92 MST2008 -00017 [TAX] Build 12% State Surchrge 100- 0000 - 207020 210.35 MST2008 -00017 [METCET] Metro Const Excise Tx 245- 0000 - 229202 387.84 MST2008 -00017 [MECH] MEC Permit 245- 0000 - 431010 120.20 MST2008 -00017 [TAX] MEC 12% State Surcharge 100- 0000 - 207020 14.42 MST2008 -00017 [PLUMB] PLM Prmt 3Bth 245- 0000 - 431000 399.00 MST2008 -00017 [TAX] PLM 12% State Surcharge 100- 0000 - 207020 47.88 MST2008 -00017 [ELPRMT] ELC Permit 220- 0000 - 431510 278.75 MST2008 -00017 [TAX] ELC 12% State Surcharge 100- 0000 - 207020 33.45 MST2008 -00017 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00 MST2008 -000I 7 [TAX] ELR 12% State Surchrge 100- 0000 - 207020 9.00 MST2008 -00017 [ ERPRMT] Erosion Control 100- 0000 - 207307 112.00 MST2008 -00017 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 36.40 MST2008 -00017 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 36.40 Line Item Total: $4,705.01 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check GERTZ CONSTRUCTION CO DEB 2884 In Person 4,705.01 Payment Total: $4,705.01 rReeeipt.rpi Page I of I