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Permit
'- a 'F CITY OF TIGARD MASTER PERMIT • • 741.,,„ PERMIT #: MST2007 - 00167 • COMMUNITY DEVELOPMENT DATE ISSUED: 10/16/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112CC GF021 SITE ADDRESS: 08191 SW LANGTREE ST ZONING: R -12 SUBDIVISION: GAGE FOREST LOT: 021 JURISDICTION: TIG PROJECT: GAGE FOREST Project Description: New SF. BUILDING REISSUE: MS4C - STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 861 of BASEMENT: sf LEFT: 5 SMOKE DETECTORS: ¥ TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,277 sf GARAGE: 408 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD. sf RIGHT: 5 VALUE: ._..OAO - - OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,138 sf (J( REAR: 15 PLUMBING �/ 7 / • 0. S 3 SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: 0 SEWER LINES: 10 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 10 0 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN 0=100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: WSVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 - 400 amp: 201 • 400 am P 1st W/0 SVCJF OR SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA AD DL BR CR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601•emps- 1000v: MINOR LABEL: 1 1000+ amp /volt : PLAN REVIEW SECTOR 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 & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOM BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTALS 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 TIMBERLAND HOMES INC TIMBERLAND HOMES INC laws. All work will be done in accordance with approved plans. This 12670 SW 68TH AVE 12670 SW 68TH AVE STE 300 permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TIGARD, OR 97223 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: 503 620 - 8860 Contact #: PRI 503- 620 -8860 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 141715 TOTAL FEES: $ 11,894.43 - REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 (r____ . 1 J Issued ay : . I --iii L,, ; I , i Permittee Signature Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. I Building Permit Application s' FOR70F FI(E I SE O\ l 1 c ' A� �`fi City of Tigard RECE - DateByd .. _. , J A Permit No. sT' g iVw N A- ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review • 503.639 4171 Fax: 4175 Date Ready /By: 503.598 1960 AUG 2 t" 20 0 7 DateB y O JO _O Other Permit tO / � , • � Phone: . V I Date/By. ! , M l j, ?i " Inspection Line. 503 639. iuris El See Attached Checklist for Internet www tigard -or gov CITY OF TIGARD otified Method t TGAI D! p N /0/,,v,47 pP Su lemental Information Pee DIVISION TYPE OF WO REQUIRED DATA: 1- AND 2- FAMILY DWELLING v❑rNew construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. �., Valuation: $ Lt - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building [1] Multi - family Number of bedrooms: 4 El Master builder ❑Other: Number of bathrooms: "_, JOB SITE INFORMATION AND LOCATION Total number of floors: Z Job site address: , 9, I Sw 1.-"7.(k j (-loci " S ( New dwelling area: d square feet City /State /ZIP: Tt ( r, - c,41 17 22-4 Garage /carport area: C> square feet Suite/bldg. /apt. no.: 1 Project name: ((pA E' ■9-t1 ( Covered porch area: t..j square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Lot no.: 21 Permit fees* are based on the value of the work performed. Tax map /parcel no.: - Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ t■i [RCfPft cf" .l Gt • ($A SriltAcrt ( Existing building area: square feet New building area: square feet [PROPERTY OWNER ❑ TENANT Number of stories: Name: T [ ey q � Type of construction: Address: (2 (. b $ GJ 6 872! I -VE Occupancy groups: City /State /ZIP: T (G A-L2 D , a A 7 22S Existing: Phone: ( 5'a3) (.20 • 1<'}a ( 0 Fax: ( r03) raj$ . 4 ( New: - APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: CONTRACTOR Business name: BUILDING PERMIT FEES* Address: C (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lie.: �� ( `t (S— Total fees due upon application: �_� Amount received: Authorized signature�� / !! �� �Qjt This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: m /i. t. Ott ;) 1 aok. Date: * Fee methodolet by Tri- County Building Industry Service Board. ' ' - t \Bu iIding\Permits\B UP-Perm i tApp. doc 03/21/06 440- 4613T(I1 /02 /COM/WEB) Pl Permit Application, FOR ' ; ' ' ' u 7 E S O i ,. `f , £x Permit No r City of Tigard Rec eived Pl A,(6 7`(9067 -czi / 677 k < ® 13125 SW Hall Blvd , Tigard, OR 97223 Date an e Review Phone: 503.639.4171 Fax: 503.59 0 2 ( 2007 Date/By Other Permit No . ° Inspection Line: 503.639.4175 HIV TIGAR Date Ready/By Jaris' El See Page 2 for I nternet. www.tigard - ocgov CITY Q 1 _ r T�GA Notified /Method. Supplemental Information TYPE OF D DIVIJIO� FEE* SCHEDULE New construction ❑Demolition For special information use checklist Description Qty. Ea. Total ❑ Addition /alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) � CATEGORY OF CONSTRUCTION SFR (I) bath 249.20 E I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 111 Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 1 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: q Catch basin or area drain 16.60 City /State /ZIP: i � C j.-11.. f C�� 11224 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: Manholes 16.60 Rain drain connector 16.60 I Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: _) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 M 5 C. LE Fern( L -4 P-ES c D _ C. At C1eO Clothes washer 16.60 Dishwasher 1 16.60 PROPERTY OWNER ❑ TENANT Drinking fountain ( 16.60 Ejectors /sump 16.60 Name: i lrri gErzL-�rt`t D �c,,, S ( /vtc • - Expansion tank 16.60 Address: (Z-(o 't (3 S L4} (8 bt piVe- Fixture /sewer cap 16.60 City /State /ZIP: T1 t l O & ¶7 22 j Floor drain/floor sink/hub 16.60 Phone: ( 353) ( . a$ (vCj Fax: (s ) c • c(a$ I Garbage disposal 16.60 a APPLICANT ❑ CONTACT PERSON Hose bib ° l. 16.60 Ice maker i 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax::( ) Sink/basin/lavatory .4 16.60 Tub /shower /shower pan 2 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 1 16.60 Business name: C _.r(�0 Ne___ ?L- t.A..r ■Rj (Al r - Water heater i 16.60 Address: ''� "Z' Sc..) N f M P�eA..$ p.v " Other: Subtotal City /State /ZIP: e891\y i ( C}t, tkiCO 6 Minimum permit fee: $72.50 Phone: (s ) € 44 . t 6/(8 Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: let (p C Plumbing Lie. n_'L- ( no.: Plan review (25% of permit fee) • Authorized signatures✓ / y L.V-` State surcharge (8% of permit fee) TOTAL PERMIT FEE Print name: ni Oct ( e ( /4- a Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits\PLM- PermitApp.doc 06/26 /06 440- 4616T( I 0 /02 /COM/WEBI Mechanical Permit Application ,hoa OF:r Ic F (SFrON A - ° b ' � . .` .. .f' f n City of Received Tigard Permit No 7 ° 1 3125 SW Hall Blvd.,Tigard,OK Date /By /t/l� I7—ULl((p 7 Phone: 503.639.417 Fax: 5 03._ 9 Plan Rev ew Other Permit 3 , [ Date/By t ' Inspection Line 503 639.4175 Date Read /B t nris ':"1.A.,'''', T 1 GA ? Ready /By 8 See Page 2 for Internet: www.tigard - gov A 2 o 2007 Notified/Method. Supplemental Information TYPE (4 �R1Y�F I IGARD COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ $ f ttii�G pia-mom Mechanical permit fees* are based on the value of the work New construction Addition /alteration re ace performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ [� I - and 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: -r(( A- A...0 1 , c ,- 2 112_7_,1 Furnace 100,000 BTU (ducts /vents) ! 14.00 Furnace 100,000+ BTU (ducts /vents) _ 17.90 Suite/bldg. /apt. no.: Project name: CA A ( FcsA Gas heat pump 14 00 Cross street/directions to job site: Duct work i 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10.00 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 1 10.00 Gas fireplace i 10.00 Flue vent for water heater or gas fit, S t At 4 (. L 'FPevtn, t 1.--4 ( i f). Cu N St - t t o fireplace I, 1 0.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 [PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00 Other: 10.00 Name: (e t ( AIC • Environmental exhaust and ventilation Address: ('1_(,19 S e_....) ( T� etv E Range hood /other kitchen equipment C ] 0.00 City /State /ZIP: 'j ,44)..4) ! p/L in 2. Clothes dryer exhaust ( 10.00 Single -duct exhaust (bathrooms, Phone: (,S03 ) (® Zo . 48 9(00 Fax: (PI 3 ) S • ° C° 8 ( toilet compartments, utility rooms) 6.80 0 ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: f/A $5.40 for first four; $1.00 for each additional Address: Furnace, etc. l Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater 1 Fireplace E -mail: Range 1 CONTRACTOR Barbecue Business name: (��L � a_ Clothes dryer (gas) Other: Address: '� 0 %bx i 33 MECHANICAL PERMIT FEES* City /State /ZIP: CA_ g a r (,k,." -v ∎A"S r ail i O(S Subtotal Minimum permit fee ($72.50) Phone: ('1J) ( - t q Oi Fax: ( ) - Plan - review-(25%-of permit - CCB lic.: t (0'� (a 71 State surcharge (8% of permit fee) TOTAL PERMIT FEE / !% Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: lieVra1 0 -yz... Date: * Fee methodology set by Tri -County Building Industry Service Board L\Bmlding \Permits\MEC- PermitApp doe 04/06/06 440 -4617T (I I /02 /COMIWEB) Electrical Permit A l 1 ileac % a u . . `� , F OR ;t1E1 Ic F tS, ON .r 1 . , 7- , it b r ~FM City of Tigard Date/By d tt Penni'No S/ pR�7- C'ci /Jo ® 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Ili ` {.. ;'� Other Permit r ` Phone: 503 639.4171 Fax: 503 598 I U . , .1 Date . TAI GAIi •-Dx Inspection ection Line: 503.639.4175 (( �II� Date Ready /By tans a See Page 2 for a sir : ,' vl Internet www.tigard or.gov t IYtC -film "• -!�� Notified /Method Supplemental Information kti4 tillIA i+ft 1J 1'r E� G. TYPE 0 1 PLAN REVIEW ErNew 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 ❑ Other: where the available fault current ❑ Mannas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings less to ground, or exceeds 14,000 ❑ Commercial -use agricultural DI- 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 JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system El Addition of new motor load of ❑ "A ", "E' "I - ", I - Job no.: Job site address: IooHP or more. occupancy ❑ Six or more residential units ❑ Recreational vehicle parks. City /State /ZIP: ••( t LI 4--4_,;-) ( 0-0__. - t ") 2. 2.. ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite /bldg. /apt. no.: Project name: (-1. 4 C E '?--t_ST. ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Description J Qty. I Fee. I Total New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less t 145.15 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion I 33.40 1 Limited energy, residential DESCRIPTION OF WORK (with above sq. B) 75.00 2 Limited energy, multi - family 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation S Ffilln. t S . Cic •S' cTtet" i 200 amps or less I 80.30 2 E - rPROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 7 (M:60 l,_ y i'i 'rb-ry- -• I Ai L . U L 601 amps to 1,000 amps 240.60 2 Address: . i U Z C� si ^-= l� i /CL's �� Z� Over 1,000 amps or volts 454.65 2 City /State /ZIP: T /�i� -� a__ e 72.23 Temporary services or feeders installation, alteration, and /or relocation Phone: ( ,V) (2_C _ `w G J Fa x: (�Z3) (� G E. I 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 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with APPLICANT ❑ CONTACT PERSON above service or feeder fee, • each branch circuit 6.65 2 Business name: B. Fee for branch circuits without service or feeder fee, Contact name: 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: (5j ) ('L(3 - FA, k) Fax: : (S Z3 ) ,S . 9 0e) i Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: VL (( (4 t,,sE cAe '� t c- Signal pa circuit(s) er or limited- o or il�c � - energy panel, alteration, or Address: `)_"1• SY) S q5 111 A-Vc , lcT extension. Describe: Paget 2 City /State /ZIP: W i t,5'cv V l LLG ,-j i� 1 - UZ 0 Each additional inspection over allowable in any of the above r ( Per inspection 62.50 Phone: (5t) ) S 2 _ �b Crc) Fax: (5 ) 5 - ''44 Investigation per hour (1 hr min) 62.50 CCB Lie.: (S -. ? c' Electrical Lie.: 3 ��'- C S uprv. Lie.:;5 C'..S'� Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: J P g 9 �cv I�.�,L,L Subtotal: if Print name: '2 + i Date: Plan "review (25% of permit fee): oA l r State surcharge (8% of permit fee): Authorized signature # 1 C L • TO TAL R Print name: ` q Date: This permit a pplication exp ires if a PE per mit is not FEE: o btained within 180 {nom ���- j ,� / `. days after it has been accepted as complete. Number of inspections allowed per permit I.\ Building \ Permits \ELC- PermitApp_doe 05/23/06 440- 4615T(I I /05 /COM/WEB �i. City of Tigard, Oregon 13125 SW Hall Blvd. A Tigard, OR 97223 July 2, 2008 • ,', p.- d A RD Timberland Homes, Inc. . 12670 SW 68t Ave., #300 Tigard, OR 97223 Re: Permit No. See "Notes" Below Dear Sir /Ms.: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: See "Notes" Below Project Name: Gage Forest Job No.: N/A Refund: ® Check #58048 in the amount of $1,200.00. n Credit card "return" receipt in the amount of $ ❑ Trust account "deposit" receipt in the amount of $ Notes: Refund for overpayment of TIF -R fees due to calculation error at $240.00 for each of the following permits: MST2007- 00161, 15766 SW 81s Ave., Gage Forest, Lot 3 MST2007- 00158, 15777 SW 81s Ave., Gage Forest, Lot 32 MST2007- 00167, 8191 SW Langtree St., Gage Forest, Lot 21 MST2007- 00160, 15758 SW 81" Ave., Gage Forest, Lot 4 MST2007- 00156, 15744 SW 81' Ave., Gage Forest, Lot 5 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 m Fax: 503.684.7297 0 www.tigard- or.gov 0 TTY Relay: 503.684.2772 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution., Please allow 1 -2 weeks for processing. PAYABLE TO: Timberland Homes INC DATE: 6/12/08 12670 SW 68 Ave #300 Tigard, OR 97223 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: Various — See Attached Case #: Various — See Attached Date: Various — See Receipts Attached Address /Parcel: Various Pay Method: Check Project Name: Gage Forest EXPLANATION: Refund overpayment of TIF -R fees REFUND, INFORMATION: 7 Fee Description From Receipt Revenue Account No Refund • • Example: [BUILD] Permit Fee Example: 245 - 0000 = 432000 $ Amount [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 [TIF - TIF Resident 210 - 0000 - 448001 $240.00 [TIF - R] TIF Resident 210 - 0000 - 448001 $240.00 [TIF -R] TIF Resident 210 -0000- 448001 $240.00 [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 TOTAL REFUND: $1,200.00 APPROVALS: If under $500 Professional Staff ,, If under $7,500 Division Manager 7 If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board • FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY • Case Refund Processed: Date: a, /2 0 ° By: r r I:\ Building \Refunds \RefundRequest.doc 05/23/07 .. .. . • -• mow. A PERMIT NO. 0,4sT m o® CleanWater Services Oar commitment is Hear. LOT 2-U EROS ION CONTROL INSPECTION REPORT DATE 3 • a - O g, INSPECTOR of coyc e . SUBDIVISION FortitSi" / OWNER/PERMITEE /714 ,- ) ADDRESS i3 ICI S &A3 L, e -- ,s1" .,PPROVED , FIN I NSPECTION THIS SITE MEETS THE .POST - CONSTRUCTION . EROSION CONTROL REQUIREMENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND ORDER NOTE: IF POST - CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING ,, EMPLOYED ON THIS SITE TO MEET CRITERIPA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S) MUST REMAIN IN PLACE'UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND COVER IS ESTABLISHED. y- A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE NEW OWNER, AT WHICH .TIME 'NEW OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. OTHER • • i ,, • • - - + - HANK YO U FOR YOUR COOPERATION! • INSPECTOR I PHONE 11 ST2.. 9 3 • .(S:' l'• • • ST ? — cc) ((, ) 7 STREET TREE CERTIFICATI 1 JUL 3 02008 CITY OF TIGARD BUILDING DIVISION I, li oii fko W o , Owner /Agent for ^1 ∎ vvi is e_ u e I'tc - (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard land use and development standards for street tree installation. ADDRESS: ) 271 SUBDIVISION: LOT: 21 SIGNATURE: a 110(1'--- DATE: `1 - 3 p - pZS WNER /AGENT) RECEIVED BY:_ A <</ 4, a DATE: 7 i (CI'I Y OF TIGARD) I. \Building \ Forms \Street I'reeCertificate 01/19/07 S ►4 I ti - t• . DIAMOND ENGINEERING, LLC FIECEIVED 121 Jefferson Street, Oregon City, Oregon 97045 Phone: 503 - 723 -7237 — Cellular: 971- 235 -4301 ,.. email: diamondengineer @msn_com 2 S BOO$ CID Um' maim autmenici 'IN RECORD OF SITE VISIT / RFI Date: January 15, 2008 Job #: 08003 -4 -5 Time: NA Job Name: Plan: Gage Forest Lot #21- 4C_G.R. Engineer: David Gorton Attendees: Dorian Weather: NA Purpose of Visit / Question: 1) IDP Wall located at the back garage wall can not have gypsum board sheathing applied to both faces of the wall due to the venting requirements for the range. Please provide similar design using one layer of plywood sheathing. 2) Garage portal frame wall has been modified from the plans to show the garage door header located at the top of the door instead of the top of the wall. Please provide a new engineering detail to reflect this modification. Progress of Construction: Framing Comments: 1) The gypsum board wall in question is approximately 15' -6" in length. Given the maximum shear capacity of a ' /2" gypsum shear wall applied to both faces using 1 -1/4" screws at 7" o.c. is 150 plf for a total lateral resistance of 2325 lbs. In place of the gypsum shear wall in question, use 7/16" OSB on one side with 8d nails @ 6" at panel edges and 12" o.c. in panel field for a capacity of 240 plf and a total lateral resistance of 3720 lbs. Since the exterior sheathing consists of plywood sheathing, no changes occur in seismic and wind loading designs. 2) Se ached detail for a new garage portal frame. ct 51 63471"E f i R''N/TIST.ON,_) vo vi1EG011 l • l � ro , � I f r w •� �' OO 1/15/2008 RFI 08003 - 21 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: TI)07 47t!1a7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: P9i .� Phone: (503) 639 -4171 A114„,, @ gyp 10i16.1200 7 Inspection Requests (24 Hrs.): (503) 639 -4175 �� ' I.. INSPECTION WORKSHEET FOR DATE: 7/31/2008 TIME: 7:00AM PAGE: SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT # 071 TYPE OF USE: PROJECT NAME: DACE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 50.3-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: Inspection Request Scheduled For: Date 7/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 99 Final inspection 073542-07 503.737-9888 N Corrections/Comments/Instructions: 1 / �A fQc) ,nSU.T�aw C /� er't, kcU 6.o P r) td . \ A--‘&4 I (5Q � V\G1 ASS _ _ n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: -S Date: 3/J Ll of Phone #: (503) 718- c/2 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE Phone: (503) 639-4171 ISSUED: 10/16,2007 A., A ..„...1,11 11 1 • Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 713112008 7:00AM SITE ADDRESS: CLASS OF WORK: 08191 SW LANGTREE ST SUBDIVISION: GAGE FOREST LOT #: TYPE OF USE: 021 PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: PHONE #: TIMBERLAND HOMES INC, 503-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503.620-8860 Inspection Request Scheduled For: Date: 7131/2008 Pour Time: * pt u Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 073542-06 503-737-9888 Y Corrections/Comments/Instructions: , All 'ASS ri PARTIAL APPROVAL El CANCEL El NO ACCESS 1 FAIL I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 0-5 Date: 3(3 I ), Cg- Phone #: (503) 718- 2V-23 . , CITY OF TIGARD . . BUILDING DIVISION A , PERMIT #: MST2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/i6/2007 Phone: (503) 639-4171 444 i i +;■,\ Inspection Requests (24 Hrs.): (503) 639-4175 ...A, IL.. INSPECTION WORKSHEET FOR DATE: 7/21/2008 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 603-620-8660 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 7/21/20013 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 072936 503-737 Y Corrections/Comments/Instructions: /" Ai -- Ne /9 --- --/-- ---freree 6 _.., c ei — irk_ • 1 ''' 3 A A ' 7 ' A- ccyvk-tokei cr--' A° q ro ti-A 6 e / - .440.44.1,6 o,k." Cle-4AX— )4-a-,55 6 f'---- 1 01 "c 1 oNi 8 C.2( I I PASS I I PARTIAL APPROVAL fl CANCEL El NO ACCESS 1;0■1-11 ''' I1 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: ' - 2 t-t> e Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION `' PERMIT #: t�;ST' 0I 7 00 67 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1(I/,160007 Phone: (503) 639 -4171 � " ' � °n I -*vino it � Inspection Requests (24 Hrs.): (503) 639 -4175 .4.4- INSPECTION WORKSHEET FOR DATE: 7/21/20013 TIME: 7:01AM PAGE: 9 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 7/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 072936 -02 503-737-9888 N Corrections /Comments/ Instructions: ;l � !s1 '.! / l� I L ° • "no // "A14/ .9'L_— "1r-- � ,Z fie/ I I . PASS -- ❑ PARTIAL. APPROVAL ____ __❑ CANCEL__ n NO ACCESS `FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 -- Date: 21 & Phone #: (503) 718- —5 `I �� CITY OF TIGARD • ., BUILDING DIVISION PERMIT #: IVIST2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 Phone: (503) 639-4171 ii —NOttilil- Inspection Requests (24 Hrs.): (503) 639-4175 ....,_141■ ..1.1 INSPECTION WORKSHEET FOR DATE: 6/17/2008 TIME: 7:00AM PAGE: 33 SITE ADDRESS: 08191 SW LANOTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF OWNER: TIMBERLAND HOMES INC, PHONE #: 603-620.8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 6/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071467-01 503-678-1356 Y Corrections/Comments/Instructions: C M al PT /Nr 1/" PASS fl PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 7 FAIL 7 CA L FOR INSPECTION 7 ADDITIONAL FEES A SESSED r A .. C((7 (6 Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101/6/2007 Phone: (503) 639 -4171 :ft:it/ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/22/2008 TIME: 6 :59AM • PAGE: 34 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620 -886 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 603. 620.8860 Inspection Request Scheduled For: Date: 5/2212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 189 Electrical final 070252 -02 503- 737-9888 Y Corrections /Comments /Instructions: : = 1 9 — . 1 ( - 2Z - 1'6 (/i ___ NI d c) 7-1.1 — 7 - 11N4 C--, • ❑PASS `ARTIAL APPROVAL_ T ❑ CANCEL ❑ NO ACCESS r CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4 Phone #: (503) 718 - ITY OF TIGARD UILDING DIVISION PERMIT #: MS 2007 0010;7 3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1&007 t "hone: (503) 639 -4171 Np�1 : 1 i i�i d ■ Inspection Requests (24 Hrs.): (503) 639 -4175 ,J INSPECTION WORKSHEET FOR DATE: 5/2/2008 TIME: 7:00AM PAGE: 12 SITE ADDRESS: 06101 SW LANGTREE ST - CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. ■ OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 520.8860 IL CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620 -5860 1 . nspection Request Scheduled For: Date: 5/2/2008 Pour Time: i l Code # Inspection Description Confirm # Contact # Message if V 199 Electrical final 00927401 503 - 678 -1356 Y G 0 Corrections /Comments /Instructions: / < 0 - E 4RHAAlf b y 14,01,(7 /�' 5z if / 4. ®.— 145/13 0/ ��/ ) y � r! /1, 1 Al ! 1� �4�, P A�'� ,3Zi'l a r n F '0Y117� At" /a : ��e Gam, /LL .07 4 k' • A Fefi- A'z' - . ' - 5< --2 10 , Y ruAbl. //NIG Or 15q6e0 / i 1. t . _ 0 /I6.'D 0,4 4; 61■1 P E35= osibs( Q A ,4- 4 - ?•- A. 40 7 0 47775 2 6)7 1- 6 / 0,5 < .4/A7 , ---,. e_ , 6 7E____ 0 Ar 1 /7/0 7- 14 ie . .Lo / , ay/ , te , O e i � ( . � ( , ; � � , � U / / V & '� � , L., t2-'-' NO k- b o AF J -----&:* r3 z. e ft' C,Pi-- el e'i-g.c -rte 1 e-ile--:--- tL-71 2----. , I PASS ❑ V RTIAL APPROVAL. ❑ CANCEL n NO ACCESS FAIL =7 CA , FONSP. TION ❑ ADDITION A FE ASSESSED Inspector: ., „ , Date: ® 8 Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: M5T2007 0(I I$7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10116/2007 Phone: (503) 639 -4171 b �niv�l�p u � i n j I Requests (24 Hrs.): (503) 639 -4175 I . INSPECTION WORKSHEET FOR DATE: 1/9/2008 TIME: 7 PAGE: 23 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503 -620 -8860 CONTRACTOR: TIIYMBk RI.AND HOMES INC. PHONE #: 503-620-81360 Inspection Request Scheduled For: Date: 110/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 062846-01 503-678-1355 N Corrections /Comments /Instructions: I , Z 0, ' 0 C, I 1),(2_ (,s l i • a I � . 1 �t p —/ �t n ,//�^- F r� / / r I y PASS El PARTIAL APPROVAL El CANCEL n NO ACCESS eeee \ \ \ \ ❑ FAIL El CALL FOR INSPECTION ❑ ADDIT ONAL FEES ASSESSED Ai ,....- / ' Inspector: '/ Date: Phone #: (503) 718 - I' CITY OF TIGARD BUILDING DIVISION :-. . PERMIT #: MST2007-001 67 13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 10/16/2007 Phone: (503) 639-4171 . / 011,1001 Inspection Requests (24 Hrs.): (503) 639-4175 .4111. - -IL INSPECTION WORKSHEET FOR DATE: 1/9/2008 TIME: 7:01AIVI PAGE: 22 - SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 603-620-8860 . CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 1/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 062846.02 503-678-1355 N Corrections/Comments/Instructions: )4 PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED t\_...62 Inspector: Date: t q I Phone .#: (503) 718 • CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: M3T2O07 -00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 Phone: (503) 639-4171 " o ICI Inspection Requests (24 Hrs.): (503) 639 -4175 - - __ INSPECTION. WORKSHEET FOR DATE: 5/22/2008 TIME: 6 :59AM PAGE: 33 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503.620 -8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620 -8860 Inspection Request Scheduled For: Date: 5122/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 _ Plumbing final 070252 -03 503.737 -9888 Y Corrections /Comments/ Instructions: • 1rA PAS I . •ARTIAL APPROVAL _ __ _❑ CANCEL _ ❑ NO ACCESS / • AIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /6, _' Date: `�� Z-` Ph # : (503) 718 - CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: M,ST2807 -80167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007 Phone: (503) 639 -4171 a �n4011 1111 �P Inspection Requests (24 Hrs.): (503) 639 -4175 '__.. - INSPECTION WORKSHEET FOR DATE: 1f10//2008 7 :00AM PAGE: 13 SITE ADDRESS: 08.91 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 603-620 -8860 8EO CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 1/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Piurnbinr rough in 052970.20 503.737 -8888 N Corrections /Comments /Instructions: . b r•PAS,L s... ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED ,0 / �Y1 Inspector: Date: Phone #: (503) 718- CITY OF TIGARD -,u BUILDING DIVISION PERMIT #: , � "d0O7- f1g167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 ; Phone: (503) 639 -4171 a#8` n P j1 � ' ( Inspection, Requests (24 Hrs.): (503) 639 =4175 A- __.. INSPECTION WORKSHEET FOR DATE: 1 2/6/2007 TIME: 7 :06AM PAGE: 4 SITE ADDRESS: 08191 SW L ANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503 -620 -8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503- -620 -€ 860 Inspection Request Scheduled For: Date: 12/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 060986-01 503.737 -9880 Y Corrections /Comments /Instructions: n PASS ❑ PARTIAL APPROVAL __ ❑ CANCEL _ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: i � �+ Phone #: (503) 718 - p 1 1�•�- Date: ��i CITY OF TIGARD BUILDING DIVISION PERMIT #: ST2007 -00 1 67 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.) (503) 639 -4175 - _�.. INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7 :01AMM6 PAGE: 14 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: (3A {3E FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503.620 -8860 CONTRACTOR: TIMBERt AND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 PoWbcar plumbing 0 41 -05 503-737- 3888 N Corrections/Comments/Instructions: / • rdi • ;i= • S ❑ PARTIAL APPROVAL .❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED Inspector: t r Date: , I Phone #: (503) 718- • ,`l CITY OF ' ��nn o *�*n TIGARD BUILDING DIVISION ~ ` ' PERMIT #: kd6T2007-80187 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1612007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1031/2007 TIME: 7:O0AM PAGE: 13 SITE ADDRESS: 081918VVLANGTAEE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: N SF OWNER: TIMBERLAND HOMES INC PHONE #: 503..620_8680 CONTRACTOR: T|K4BFRLANDM{}kdES INC PHONE #: 503.62m3860 Inspection Request Scheduled For: Date: 10V31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 058737-14 503-737'9888 N Corrections/Comments/Instructions: • ��| PASS I I APPROVAL CANCEL ri NO ACCESS ` El FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: ) z. \ � ) �� Phone #: (503) 718- .`' • ~ ' CITY OF TIGARD BUILDING DIVISION PERMIT #: f�I;,'T2Q07 -00167 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 101116/2007 Phone: (503) 639 -4171 A 4 1 - Inspection Requests (24 Hrs.): (503) 639 -4175 I INSPECTION WORKSHEET FOR DATE: 10131/2007 TIME: 7 :00AM PAGE: 14 ' SITE ADDRESS: 013191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 603G20 - 13060 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 5033- 620.8860 Inspection Request Scheduled For: Date: 1013112007 Pour Time: Code # Inspection Description Confirm # Contact # Message f•45 Sanitary sewer 058737-13 503- 737 -9888 N Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL _ ❑ NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1.0 13 1 ) 1 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00167 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 10/16/2007 Phone: (503) 639-4171 14 ! tWil# Inspection Requests (24 Hrs.): (503) 63914175 - 112. - INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 PAGE: '16 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE:" FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620.8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 Inspection Request Scheduled For: Date: 10/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 33() • Rain drain 068737-11 603-737-9888 N Corrections/Comments/Instructions: E PASS 0 PARTIAL APPROVAL n CANCEL El NO ACCESS I FAIL D FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: CrIIII.A..;; 1/1.,)\--- Date: 1 In Phone #: (503) 718- . , CITY OF TIGARD BUILDING DIVISION Aillhi4„, PERMIT #: i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 Phone: (503) 639-4171 . zo odoptili c - . Inspection Requests (24 Hrs.): (503) 639-4175 - ,,, -...... INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 00Aivi PAGE: 15 SITE ADDRESS: 08191 SW LANGTREE ST - CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: N SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860 CONTRACTOR: TilvIBERLAND HOMES INC PHONE #: 503-.620-8860 Inspection Request Scheduled For: Date: 10131/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 058737-12 503-737-988 N Corrections/Comments/Instructions: g PASS El PARTIAL APPROVAL n CANCEL 0 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: al 4)-A--A 1 11...- Date: I c1131 1 01 Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION A, PERMIT #: 4ST2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 Phone: (503) 639-4171 Aysosipivot il- Inspection Requests (24 Hrs.): (503) 6394175 ARIL t 'lla INSPECTION WORKSHEET FOR DATE: 10/31/2007 . TIME: 7:00AM PAGE: 17 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 603-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 1013112007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 058737-10 503-737-9888 Y Corrections/Comments/Instructions: • IX PASS I I PARTIAL APPROVAL _ = CANCEL _ pi NO ACCESS I I FAIL 17 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED s.A . Inspector: 0 v v).......... Date: JO 1 31 10 Phone #: (503) 718- , CITY OF TIGARD n4 cr5- ®7 -66i 4) BUILDING DIVISION #: 13125 SW Hall Blvd., Tigard, OR 97223 r D ATE ISSUED: Phone: (503) 639 -4171 �oi U NU ubI I)" el Inspection Requests (24 Hrs.): (503) 639 -4175 ! u '' �.. & ball INSPECTION WORKSHEET FOR DATE ' j G16 TIME: PAGE: SITE ADDRESS: 0 / ( ki-sr,022_ CLASS OF WORK: SUBDIVISION: LOT #: 6 / TYPE OF USE: PROJECT NAME: DESCRIPTION: aace— ° � 7 OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: . Date: Pour Time: Code # Inspection --n_ Descri tion Confirm # Contact # Message / Corrections /Com nts /Instructions: - WI tk/ • — Si; PASS PARTIAL APPROVAL ❑ CANCEL _ El NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ��� ____ Date: 3 /c/('' ..-- / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: I iST 007 00'I57 if 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 Phone: (503) 639 -4171 'llntl 11lr Inspection Requests (24 Hrs.): (503) 639 -4175 °`:_.. INSPECTION WORKSHEET FOR DATE: 2/22/2008 TIME: 7 :00AM PAGE: 14 SITE ADDRESS: 08191 SW LANOTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620 -8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 03 62i 8860 Inspection Request Scheduled For: Date: 2122/2008 Pour Time: �/� Code # Inspection Description Confirm # Contact # Message V_ 275 Framing 065496-03 503-737-98813 N Correcti ns /Comments /Instructions: o ' 1 * w - . 4 Z/ t /b (/2) . j_ SS PARTIAL APPROVAL ❑ CANCEL n _ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FE ; ASSESSED Inspector: V1 ^ Date: �d° © Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: IviST2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 Phone: (503) 639-4171 goviltowil Inspection Requests (24 Hrs.): (503) 639-4175 .-, "' INSPECTION WORKSHEET FOR DATE: 2/22/2008 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 212212008 Pour Time: Code # „ Itit. 4pection Description Confirm # Contact # Message 240 Exterior sheathing 065496 503.737 N Corrections/Comments/Instructions: Litg. . 2,./V/4 A SS 7 PARTIAL APPROVAL El CANCEL El NO ACCESS 7 FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES, ASSESSED _ Inspector: \4) 1 7/_ Date: 2 / 21)/ ° (t. Phone #: (503) 718- • - • __. _ `'. ' CITY OF - ' ��um w ��u TIGARD �UUU K�UN��� DIVISION ` ' "�~°"~~~°""°~= ~~"°"~°"~~"� PERMIT #: ��[T2OU7OO187 | 13125GVVHuU Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A. IL INSPECTION WORKSHEET FOR DATE: 2/22/2008 TIME: `` 7:i0AM , PAGE: 16 SITE ADDRESS: 081916WLANGTREE8T CLASS OF WORK: . SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-6860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503'620-0060 Inspection Request Scheduled For: Date: 2/22Y2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 KA*chaniod,mVohiA 065495-02 503-737-9008 N CorngoUono/Connnnenta/|natruc1ione Y � / 1/4-\ ^ ~--~ Ale ^ • ' PASS R4 ^ PPROVA J� �-- . N{] AC '-��� i^ I \ /AL -- CAL FOR ~ CTIO �� ADDITIONA F' GAGS^ Si ' __ __ Inspector: 4/' "/ t Oate:��� «^ °^ � - `#� /503) ~ v -- y y ' ` ' CITY OF TIGARD BUILDING DIVISION 4 PERMIT #: MST2007-00167 . 13125 SW Hall Blvd., Tigard, OR 97223 1 DATE ISSUED: 10/10/2007 Phone: (503) 639-4171 itt Inspection Requests (24 Hrs.): (503) 639-4175 it -----' INSPECTION WORKSHEET FOR DATE: 2/84'2008 TIME: 7:00AM PAGE: 41 SITE ADDRESS: 08191 SW LANGTREE ST /----CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #7 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 603-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 603-620-8860 Inspection Request Scheduled For: Date: 2/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 InsulEdion 06469G09 503437-9888 N Corrections/Com ents/Instructions: - ( . -\k--1----1/ .■ _SAILJL.a") \-. C kj I\J 6 ( 5/li1/4---12__S U)/ L.V S ..„.111110 ....9 Li PASS PARTIAL APPROVAL _ ___ CANCEL _El NO ACCESS 11 - 0 CALL FOR INSPECTION I l ADDITIONAL FEES ASSESSED .7Z_____--- Date. fl 6 e ----7 Inspector: Phone #: (503) 718- ...___42---.; • CITY OF TIGARD • , BUILDING DIVISION A . PERMIT #: MST2007-00167 a 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2001 Phone: (503) 639-4171 7.1 II Inspection Requests (24 Hrs.): (503) 639-4175 ...2.0■ --.. INSPECTION WORKSHEET FOR DATE: 202008 : 7:00AM PAGE: 42 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 071 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-960 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: ' Date: 3/W2009 Pour Time: Code # I spection Description Confirm # Contact # Message 276 Framing \\V" 064696-08 503-131-98813 N Corrections/Comments/In tructions: IN o--r-e- , . f, _m . \ n 0 r (vz — No • Lre_,,a-c-c, - 5/2,2_,_,(- \/7,(1/4,4L3-5 -? „.....„..A.,., 4.kAl2 Q47 Lk__ \f `, )4 4 / 0 k ( _. . . . dip , rt 1 r1 13 ' 0 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS _ 0Y:1...FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 1 ; (1/ Date: /6 Y" Phone #: (503) 718- 2)r_q_ CITY OF TIGARD .BUILDING DIVISION . PERMIT #: MST2007.00167 13125 SW Hall Blvd., Tigard, OR 97223 A , DATE ISSUED: 10/.16/2007 Phone: (503) 639-4171 "to Inspection Requests (24 Hrs.): (503) 639-4175 ..._,......1* _..... INSPECTION WORKSHEET FOR DATE: 2/8/200B : . :b0AM PAGE: 43 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-6860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 2/8/2008 Pour Time: Code # Xnpection Description Confirm # Contact # Message 240 Exterior sheathing 064696 503 N Corrections/Comments/Instructions: a ,.1 \Z p 6,7 1- - a 1 . ',A 0 / 6 S c- ---- ■/t(16 Tc (cAs) V-0 kr it-eLALt\ \ a_s t Oca1 (1(' 74/ . v AS , 0 PARTIAL APPROVAL Ell CANCEL fl NO ACCESS__ )41FAIL 0 CALL FOR INSPECTION r -- 1 VZ./ u ADDITIONAL FEES ASSESSED Inspector: Date: V / .16 Phone #: (503) 718-2 CITY OF TIGARD BUILDING DIVISION Ml T # : Iv 13125 SW Hall Blvd., Tigard, OR 97223 '. PE DATEIS R Phone: (503) 639-4171 , , init io l i t Inspection Requests (24 Hrs.): (503) 639-4175 ..„.,._W --. INSPECTION WORKSHEET FOR DATE: 111712008 TIME: 7:00AM PAGE: 79 SITE ADDRESS: 06191 SW LANOTREE ST CLASS OF WORK: SUBDIVISION: . GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE: FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: '1117/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 063333-06 503-737-9888 N Corrections/Comments/Initruction [ 1 12t1ASS ri PARTIAL APPROVAL 0 CANCEL El NO ACCESS I I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Vti' ____ / ct / 6 P h one Inspector: __ Date: Phone #: (503) 718- • CITY OF TIGARD -- 4 BUILDING DIVISION PERMIT #: WTI-2007-00167 DATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 10/16/2007 Phone: (503) 639-4171 kosin Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/1712008 TIME: 7:00AM PAGE: 80 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF OWNER: TIMBERLAND HOMES INC, PHONE #: 603-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 063333.05 503-737-9888 N Corrections/Comments/Instructions: f h PASS -- PARTIAL APPROVAL El CANCEL _ 7 NO_ AC_CESS _ [ FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ---1-*1-7 t//‘ 7/6 Phone Inspector: Date: Phone #: (503) 718- CITY OF TIGARD " m: BUILDING DIVISION A , PERMIT #: IVIST2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1612007 Phone: (503) 639-4171 eatvutilil‘ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME 7:00AM PAGE: 78 SITE ADDRESS: 08191 SW LANGTREE ST ' CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: 1*1Iv1BERLAND HOMES INC, PHONE #: 603-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620.8860 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 063333-07 503-737-9808 N Correctipns/C ments/Instructions: --/ i t, l r.L. W c %,.....y.- :‘ LA.....- C.4 ><, (.-At \14!--k kiltia : 1 f ...---- „ I ,- 0 5 - ( -1`_, z . -) , C ' , f- A,e_e_i N • /a)-- ,_ ., ry>`-i - : cser ..."..-1 ji'" ..' ,S 7-.! k1 / - hrlik._ ss Vue--,Ai, trc" . P65 v\ c,c .. j - fe: . -2.v (7 Y - s-- 1 u i. , 64,(Sr vLA )/,/ A ■Iggigti. ' iC,L: 1 05 3 " J €_.(2-.7 , 6-_ . '1/4.,..)c-AJLA., , • 2 __. 0 ,,\,,,,,/,..,,,,, Cuul (5) , y-P1 ' i/ I Nry N-142_ta_ ..co \9_,2,e.t..„A 6 )-1,.__----a_vk_ (....1.2_. a H PA' 1 , 1 PARTIAL APPROVAL E CANCEL El NO ACCESS 71-FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: / . --- Date: 7 ( 6 Phone #: (503) 718- -2424 CITY OF TIGARD BUILDING DIVISION PERMIT #: M5T2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 Phone: (503) 639-4171 ialkbg Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/1612008 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 603-620-8860 CONTRACTOR: IIIViBERLAND HOMES INC PHONE #: 503-62048860 Inspection Request Scheduled For: Date: 1/16/2008 • Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough 063333 603 Corrections /Comments/ Instructions: L. • Cc2> _ tJ Ni F1 rz)1. _ _ _,ARTIAL APPROVAL 111 CANCEL NO ACCESS LI FAIL CALL FOR INSPECTION ADDIT ONAL FEES ASSESSED Inspector: Date: / / 6 / 0 g Phone #: (503) 718- CITY, OF TIGARD BUILDING DIVISION _.: PERMIT #: M ST2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 A, A Phone: (503) 639-4171 Jai lir Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/16/2008 TIME: 7: 00AM PAGE: 1 SITE ADDRESS: 08191 SW LANGTREE sr CLASS OF WORK: SUBDIVISION: GAGF FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGF FOREST DESCRIPTION: New SF. • OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 1/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 063333-04 503 N Corrections/Comments/Instructions: • 1 if 0/0c3 (K-43 CO C N10-1- Cv 1 I PASS Ily RTIAL APPROVAL 0 CANCEL NO ACCESS __ _ 4.00"1/01h.r: VA CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED / . Inspector: 4 ■ - Date: t /6-, 08 Phone #: (503) 718- Z. 4 V' ql\ .." • • CITY OF TIGARD BUILDING DIVISION ■t_ PERMIT #: MST2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .1 (y1612007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ,a 'LL.. INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC. PHONE #: 603-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 1/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 062970-18 503-737-9888 N Corrections/Com —ts/lnstruction : . , , . / , ...._.......i....... A ( ki-.) _ of i • 0. / / U PASS El PARTIAL APPROVAL fl CANCEL NO ACCESS fr ir4 FAIL [ CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED .._.., ..-. Inspector: ---- Date: i A / 61C----. 1;, one #: (503) 718- . .. _ _ . - . .. _ • CITY OF TIGARD .._. BUILDING DIVISION A _ PERMIT #: IvIST2007-00167 ll 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 10/16/2007 Phone: (503) 639-4171 agoSmAti I l'i Inspection Requests (24 Hrs.): (503) 639-4175 .,,-44/■. -'' INSPECTION WORKSHEET FOR DATE: 1/10p009 TII, )()AM PAGE: • 16 1 SITE ADDRESS: 08191 SW LANGrREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST . LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503.620-8960 Inspection Request Scheduled For: Date: 1/10/2008 Pour Time: Code # . Inspection Description Confirm # Contact # Message 615 - Mechanical rough-in 062970-17 503.737-9808 N Corrections/Comments/Instructions: 1\1 a-kl , - ki■Nia" VA . 1 U.A_• ,` - A - vatg-e4 Qvuci c • i & , A I ---- Q---ie•c -\_ • C $ ( IAA-t.}c -- ..-\.-NicL c 7 t Kil ,,g 9 '1"1 vii—e s i I. A: Ar■Ae ' 1 41ki.jildr.■; 41 ■11-:--Ade ff ./lei- -1 wir Ns/ MI ki - ,-- ( 7----. PASS E PARTIAL APPROVAL El CANCEL E NO ACCESS V A -7 1;1 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Utt Date: k . 1 b / tr Phone #: (503) 718- 254 Ul • . CITY OF TIGARD BUILDING DIVISION A PERMIT #: MST2007-00167 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: latie/2007 i Phone: (503) 639-4171 -4101111 Inspection Requests (24 Hrs.): (503) 639-4175 II INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIM V:00AM PAGE: 18 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF.. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8660 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 1/1(19008 Pour Time: Code # Inspection Description Confirm # Contact # Message • 240 F.,:xterior sheathing 062970-15 503-737-9888 N •rrpc • I. /Comments/Instructions: 71 N. 1 6-0 : '' • — ""\ l...4"- F a_ • 5 :5 4- ---, 7 614-S^-- .-- ' • , k , aist7,_. --- , 4 4 tkr1 --6,es 4-, • ,A,...x.----5- - - PO 5 0 i 111S Oc- If s Q , ,............„ ‘, . . ,i 4,,., ,A.„,_ e it a, tli,L€1.( 5t.L--(„,z._ &-5- T-kz___ s?,-e---t, 5 I \-) , r n PASS El PARTIAL APPROVAL 0 CANCEL I l NO ACCESS 44 FAIL _ El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED \7(.47.. t"? ty 0- ( og-- Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION ._, PERMIT #: MST2007-00 167 13125 SW Hall Blvd., Tigard, OR 97223 „A cTE ISSUED: 10/16/2007 Phone: (503) 639-4171 -41,141111iii Inspection Requests (24 Hrs.): (503) 639-4175 ...43# 'I.-a INSPECTION WORKSHEET FOR DATE: in 0/2008 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: it-10120w Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 06297016 503-737-9888 N 1 _ Correctirs/Commerit , /Instructions: v...)) Ni 0 `,, ..' ■ „ , , – ''' ' (---- 6N1 31- . $ ? v. 9L3--y4.4c • 9- r v \Ac ce../v_Az . Arlo ) , , ,‘„,,,_________ ,,,.:°* A-5p a.)ch, ei_. L„.„),---- -4 --. _ . i _.416.iir .... I I PASS I I PARTIAL APPROVAL r7 CANCEL 0_ NO ACCESS OrrKr L ---- _ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED ‘,&, i-----. 1,1,0 (&.r "7--- 7- '1 Inspector: Date: v Phone #: (503) 718- • CITY OF TIGARD Si BUILDING DIVISION A,,, t, PERMIT #: mgr2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 i DATE ISSUED: 10/16/2007 Phone: (503) 639-4171 i„,yillipitiT Inspection Requests (24 Hrs.): (503) 639-4175 Of — INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME 7:00AM PAGE: 14 SITE ADDRESS: 08191 SW LANGTREE ST / CLASS OF WORK: . SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620.8860 Inspection Request Scheduled For: Date: 1/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 062970-19 503-737-9888 N Corrections/Comments/Instructions: ((Do cfritx- ( A/ --(z. - rt S14 ) 0 PASS 0 PARTIAL APPROVAL 0_ CANCEL {1 NO ACCESS Xf FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: 1/61 i Date: ) ‘. 6 Phone #: (503) 718- bt CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1612007 Phone: (503) 639 -4171 4,441,4114i l '� Inspection Requests (24 Hrs.): (503) 639 -4175 s I_.. INSPECTION WORKSHEET FOR DATE: 121612007 TIME: 7 :06AM PAGE: 1 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 603- 620 -8860 CONTRACTOR: TIMBF'RLAND HOMES INC PHONE #: 503 - 620- 3860 Inspection Request Scheduled For: Date: 12/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 22.6 Postlhaam structural 060986-03 503.737 -9888 Y Corrections/Comments/Instructions: J `'r^t'r'L `1/4`° 't--- <7r B'■l e al "-O , -- e- iY17V 'i-,13-r 4> t2--- • I " PASS ❑ PARTIAL APPROVAL ❑_CANCEL I I NO ACCESS I I FAIL I ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: l - Phone #: (503) 718- Z— CITY OF TIGARD 1 ' BUILDING DIVISION A PERMIT #: M5T2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10116/2007 Phone: (503) 639-4171 fil t Inspection Request p - (24 Hrs.): (503) 639-4175 ...„.......bil- INSPECTION WORKSHEET FOR DATE: 12/6/2007 TIME: 7:06AM PAGE: 3 SITE ADDRESS: 08191 SW LANOTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES (NC, PHONE #: 503-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 _ Inspection Request Scheduled For: Date: 12/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 606 Pot=ft/beam mechanical 060986-02 603-737-9888 N Corrections/Comments/Instructions: OP c -1-- 1)- J S-0 7 PASS 0 PARTIAL APPROVAL n CANCEL El NO ACCESS I I FAIL p CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED / '--404 -----" Inspector: 7 . Date: /1___---C —0 Phone #: (503) 718- "2–Stszbes CITY OF TIGARD BUILDING DIVISION #: 1Ni:S7 007 -001 7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10116/2007 Phone: (503) 639 -4171 A it I l Inspection Requests (24 Hrs.): (503) 639 -4175 W' ' ... INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 08191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 60a-620.88W CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 520 -8860 Inspection Request Scheduled For: Date: 11/13/2007 Pour Time Code # Inspection Description Confirm # Contact # Mes- - 22E Post/beam structural 069E41.04 503.737-981)0 Corrections /Comments /Instructions: (Y (2P--CS - A{ 1 "' 75 , , III . [ C k/ 4 M c e a\ Rk i — ....r _ Apitp„,.. ./ Ali .:A111Pr illa i WW Fir P • v irjr Nigy9- or , 4, N ' PARTIAL APPROVAL ❑CANCEL n NO ACCESS FAIL El CALL FOR IN ' ECTION ❑ ADDITIO AL F ES ASSESSED Inspector. F Date: ( a _ Phone #: (503) 718 . , ,. . _ . . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 06191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-860 CONTRACTOR: THviBERLAND HOMES INC PHONE #: 503-620-8660 Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: • Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanic:al 059541 503 Corrections/Comments/Instructions: • ' .4111 _f 4,M mom or ■NI/ • PASS O' PARTIAL APPROVAL pi CANCEL I I NQ ACCESS I FAIL fl CALL FOR INSPECTION:, ' fl ADDITI I NAL EES ASSESSED I r Inpector: •. Date: U #: (503) 718- • •• „ •• . CITY OF TIGARD BUILDING DIVISION , PERMIT #: 4ST2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 AO DATE ISSUED: 10/16/2007 Phone: (503) 639-4171 tiltigt Inspection Requests (24 Hrs.): (503) 639-4175 .-41 W i . ' INSPECTION WORKSHEET FOR DATE: 10/2E42007 TIME: 7:01AM PAGE: 21 SITE ADDRESS: 08191 SW LANGTREE, ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 031 TYPE OF USE: PROJECT NAME: GAGF FOREST DESCRIPTION: N SF, . OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860 Inspection Request Scheduled For: Date: 10/25/2007 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 058348-01 503-737-988e N Corrections/Comments/Instructions: MI .0 c dy0.14„4-4-6. 02/C...- 7" t= s 42-5 - >:,4,4,, t _/ _.' PASS El PARTIAL APPROVAL , _11 CANCEL El NO ACCESS Li FAIL 7 CALL FOR INSPECTION E] ADDITIONAL FEES ASSESSED Inspector: . ,/.. Date: /0-7,5 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION • . PERMIT #: M5T2007-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101i612007 Phone: (503) 639-4171 At ..., Inspection Requests (24 Hrs.): (503) 639-4175 4-..... ■ --... INSPECTION WORKSHEET FOR DATE: i0125/2007 TIME: 7:01AM PAGE: 20 SITE ADDRESS: ()8191 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 021 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860 CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 Inspection Request Scheduled For: Date: 10/25/2007 Pour Time: -10 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 0583413-02 503-737-9888 N Corrections /Comments/ Instructions: c 1/4-S-r - 1-4-4-- fia-tel(kx-- ‘40 5, - 2 6 ff '''''-~ 1 --!--- A ..$7,er....-0-1A--- ...... I PARTIAL APPROVAL _ELCANCEL __ I I NO ACCESS I FAIL 2 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ,--' Inspector: / Date: la—s Phone #: (503) 718- 2-4.-Q-- City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • July 2, 2008 • -TIGA Timberland Homes, Inc. 12670 SW 68t Ave., #300 Tigard, OR 97223 Re: Permit No. See "Notes" Below Dear Sir /Ms.: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: See "Notes" Below Project Name: Gage Forest Job No.: N/A Refund: ® Check #58048 in the amount of $1,200.00. ❑ Credit card "return" receipt in the amount of $ ❑ Trust account "deposit" receipt in the amount of $ Notes: Refund for overpayment of TIF -R fees due to calculation error at $240.00 for each of the following permits: MST2007- 00161, 15766 SW 81St Ave., Gage Forest, Lot 3 MST2007- 00158, 15777 SW 81S Ave., Gage Forest, Lot 32 MST2007- 00167, 8191 SW Langtree St., Gage Forest, Lot 21 MST2007- 00160, 15758 SW 81St Ave., Gage Forest, Lot 4 MST2007- 00156, 15744 SW 81St Ave., Gage Forest, Lot 5 If you have any questions please contact me at 503.718.2430. • Sincerely, /(-7 Dianna Howse Building Division Services Coordinator Enc. I:\ Building\ Refunds\ Administration \LtrRefund- ovetpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 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 di'stribution.. Please allow 1 -2 weeks for processing. PAYABLE TO: Timberland Homes INC DATE: 6/12/08 12670 SW 68 Ave #300 Tigard, OR 97223 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: Various — See Attached Case #: Various — See Attached Date: Various — See Receipts Attached Address /Parcel: Various Pay Method: Check Project Name: Gage Forest EXPLANATION: Refund overpayment of TIF -R fees REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: [BUILD] Permit Fee Example: 245 - 0000 - 432000 $ Amount [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 [TIF -R] TIF Resident . 210 - 0000 - 448001 $240.00 [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 fTIF -R] TIF Resident 210- 0000 - 448001 $240.00 [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 TOTAL REFUND: $1,200.00 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager /� ��•� /7- ^ o If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONL 41V-- Y. ✓� Case Refund Processed: I Date: 44/2570, I By: I - I: \Building \Refunds \RefundRequest.doc 05/23/07 Er CITY OF TIGARD 6/11/2008 13125 SW Hall Blvd. I2:33:55PM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000005174 Date: 11/26/2007 Line Items: Ci-D•Ae, Fo e t LO+ 3 Case No Tran Code Description Revenue Account No Amount Paid MST2007 -00161 [CDCPLN] CDC Pln Rev 100 - 0000 - 433060 46.00 • MST2007 -00161 [LRPF] LR Planning Surcharge 100 -0000- 438050 6.00 MST2007 -00161 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 82.10 MST2007 -00161 [BUILD] Bldg Permit 245- 0000 - 432000 1,280.15 MST2007 -00161 [TAX] Build 8% State Surchrg 100- 0000 - 207020 102.41 MST2007 -00161 [METCET] Metro Const Excise Tx 245- 0000 - 229202 252.49 MST2007 -00161 [MECH] MEC Permit 245- 0000 - 431010 90.50 MST2007 -00161 [TAX] MEC 8% State Surcharge 100- 0000 - 207020 7.24 MST2007 -00161 [PLUMB] PLM Prmt 3Bth 245- 0000 - 431000 399.00 MST2007 -00161 [TAX] PLM 8% State Surcharge 100 -0000- 207020 31.92 MST2007 -00161 [ELPRMT] ELC Permit 220- 0000 - 431510 245.35 MST2007 -00161 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 19.63 MST2007 -00161 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00 MST2007 -00161 [TAX] ELR 8% State Surcharge 100- 0000 - 207020 6.00 MST2007 -00161 [PKSDC] SF Park SDC 270- 0000 - 450000 4,812.00 MST2007 -00161 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 MST2007 -00161 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00 MST2007 -00161 [ERPRMT] Erosion Control 100- 0000 - 207307 88.00 MST2007 -00161 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 28.60 MST2007 -00161 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 28.60 Line Item "Total: S11,040.99 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check TIMERLAND HOMES BB 12237 In Person 11,040.99 Payment Total: $11,040.99 cReceipt.rpi Page I or I l CITY OF TIGARD 6/11/2008 13125 S" Hall Blvd. 12:33:42PM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000005172 Date: 11/26/2007 _ Line Items: G e.. FOYC.S Lai 32.. Case No Tran Code Description Revenue Account No Amount Paid MST2007 -00158 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 145.04 MST2007 -00158 [CDCBLD] CDC Bld Rev 245- 0000 - 433060 23.00 MST2007 -00158 [CDCPLN] CDC I'In Rev 100- 0000 - 433060 46.00 MST2007 -00158 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00 MST2007 -00158 [BUILD] Bldg Permit 245- 0000 - 432000 1,376.98 MST2007 -00158 [TAX] Build 8% State Surchrg 100- 0000 - 207020 110.16 MST2007 -00158 [METCET] Metro Const Excise Tx 245- 0000 - 229202 280.25 MST2007 -00158 [MECH] MEC Permit 245- 0000 - 431010 86.60 MST2007 -00158 [TAX] MEC 8% State Surcharge 100- 0000 - 207020 6.93 MST2007 -00158 [PLUMB] PLM Print 3Bth 245- 0000 - 431000 399.00 MST2007 -00158 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 31.92 MST2007 -00158 [ELPRMT] ELC Permit 220- 0000 - 431510 278.75 MST2007 -00158 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 22.30 MST2007 -00158 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00 MST2007 -00158 [TAX] ELR 8% State Surcharge 100- 0000 - 207020 6.00 MST2007 -00158 [PKSDC] SF Park SDC 270 -0000- 450000 4,812.00 MST2007 -00158 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 MST2007 -00158 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00 MST2007 -00158 [ERPRMT] Erosion Control 100- 0000 - 207307 88.00 MST2007 -00158 [ERPLN] Erosn Pin Rv CWS 100- 0000 - 207308 28.60 MST2007 -00158 [EROSN] Erosn Pin Rv COT 245- 0000 - 433010 28.60 Line Item Total: SI 1,291.13 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check TINBERLAND BB 12237 In Person 1 1,291.13 Payment Total: S11,291.13 ckccci Page I of I prill . CITY OF TIGARD 6 /11/2008 _� 13125 SW Hall Blvd. 12:26:39PM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000004644 Date: 10/16/2007 e Line Items: G ta,a\ e, Eore.5t Lod 21 Case No Tran Code Description Revenue Account No Amount Paid MST2007 -00167 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 46.00 MST2007 -00 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00 MST2007 -00167 [MECH] MEC Permit 245- 0000 - 431010 97.30 MST2007 -00167 [TAX] MEC 8% State Surcharge 100 - 0000 - 207020 7.78 MST2007 -00167 [PLUMB] PLM Prmt 3Bth 245- 0000 - 431000 399.00 MST2007 -00167 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 31.92 MST2007 -00167 [ELPRMT] ELC Permit 220- 0000 - 431510 278.95 MST2007 -00167 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 22.30 MST2007 -00167 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00 MST2007 -00167 [TAX] ELR 8% State Surcharge 100- 0000 - 207020 6.00 MST2007 -00167 [PKSDC] SF Park SDC 270- 0000 - 450000 4,812.00 MST2007 -00167 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 MST2007 -00167 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00 MST2007 -00167 [ERPRMT] Erosion Control 100 - 0000 - 207307 88.00 MST2007 -00167 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 28.60 MST2007 -00167 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 28.60 MST2007 -00167 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 101.25 MST2007 -00167 [BUILD] Bldg Permit 245 -0000- 432000 1,309.62 MST2007 -00167 [TAX] Build 8% State Surchrg 100- 0000 - 207020 104.77 MST2007 -00167 [METCET] Metro Const Excise Tx 245- 0000 - 2 261.34 Line Item Total: S 1 1,144.43 • Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check TIMBERLAND HOMES INC DEB 2965 In Person 11,144.43 Payment Total: SI1,144.43 cReceipl.rpl Page I of 1 Eir CITY OF TIGARD 6/11/2008 13125 SW Ilan Blvd. I2:26:25PM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000004640 Date: 10/16/2007 Line Items: Gay. Forest Lo 4 Case No Tr., n Code Description Revenue Account No J Amount Paid MST2007 -00160 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 46.00 MST2007 -00160 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00 MST2007 -00160 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 166.93 MST2007 -00160 [BUILD] Bldg Permit 245- 0000 - 432000 1,410.66 MST2007 -00160 [TAX] Build 8% State Surchrg 100- 0000 - 207020 112.85 MST2007 -00160 [METCET] Metro Const Excise Tx 245- 0000 - 229202 289.47 MST2007 -00160 [MECH] MEC Permit 245 - 0000 - 431010 86.60 MST2007 -00160 [PLUMB] PLM Prmt 3Bth 245- 0000 - 431000 399.00 MST2007 -00160 [TAX] PLM 8% State Surcharge 100 -0000- 207020 31.92 MST2007 -00160 [ELPRMT] ELC Permit 220- 0000 - 431510 278.75 MST2007 -00160 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 22.30 MST2007 -00160 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00 MST2007 -00160 [TAX] ELR 8% State Surcharge 100- 0000 - 207020 6.00 MST2007 -00160 [PKSDC] SF Park SDC 270 -0000- 450000 4,812.00 MST2007 -00160 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 MST2007 -00160 [ERPRMT] Erosion Control 100- 0000 - 207307 88.00 MST2007 -00160 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 28.60 MST2007 -00160 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 28.60 MST2007 -00160 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00 MST2007 -00160 [TAX] MEC 8% State Surcharge 100- 0000 - 207020 6.93 Line Item Total: $11,335.61 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check TIMBERLAND HOMES INC DEB 2965 In Person 11,335.61 Payment Total: $11,335.61 Mcccipt.mI Page 1 of I CITY OF TIGARD 6/11/2008 • 7 13125 SW Ball Blvd. 12:26:09PM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000004642 Date: .10/16/2007 Line Items: Cs0■ F Okre-Si LOS 5 Case No Trait Code Description Revenue Account No Amount Paid MST2007 -00156 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 46.00 MST2007 -00156 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00 • MST2007 -00156 [BUPPLN] Pln Rv Balance 245 -0000- 433000 166.93 MST2007 -00156 [BUILD] Bldg Permit 245- 0000 - 432000 1,410.66 MST2007 -00156 [TAX] Build 8% State Surchrg 100- 0000 - 207020 112.85 MST2007 -00156 [METCET] Metro Const Excise Tx 245- 0000 - 229202 289.93 MST2007 -00156 [MECH] MEC Permit 245- 0000 - 431010 97.30 MST2007 -00156 [TAX] MEC 8% State Surcharge 100 -0000- 207020 7.78 MST2007 -00156 [PLUMB] PLM Print 3Bth 245- 0000 - 431000 399.00 MST2007 -00156 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 31.92 MST2007-00 I 56 [ELPRMT] ELC Permit 220- 0000 - 431510 278.75 MST2007 -00156 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 22.30 MST2007 -00156 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00 MST2007 -00156 [TAX] ELR 8% State Surcharge 100 - 0000 - 207020 6.00 MST2007 -00156 [PKSDC] SF Park SDC 270 -0000- 450000 4,812.00 MST2007 -00156 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 MST2007 -00156 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00 MST2007 -00156 [ERPRMT] Erosion Control 100- 0000 - 207307 88.00 MST2007 -00156 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 28.60 MST2007 -00156 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 28.60 Line Item Total: $11,347.62 Payments: Method Payer User ID Acct. /Check No. Approval No. Flow Received Amount Paid Check TIMBERLAND HOMES INC DEB 2965 In Person 1 1,347.62 Payment Total: $11,347.62 cneccipt.rpi Page I of I