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Permit
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 I1 T I GARD June 16, 2008 • RHI Builders 14385 Fosberg Rd. Lake Oswego, OR 97035 • Attn: Jeffrey Kremer Re: Permit No. MST2008- 00030 Dear Mr. Kremer: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 7080 SW Taylors Ferry Rd. Project Name: Rankin Job No.: N/A Refund: ❑ Check # in the amount of $ ® Credit card "return" receipt in the amount of $193.11. ❑ Trust account "deposit" receipt in the amount of $ Notes: Refund overpayment of plan review fees $340.43, less additional fees due for Metro Construction Excise Tax $147.32 = total refund $193.11. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. I: \ Building\ Refunds\ Administration \LtrRefund- Overpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: RHI Builders DATE: 6/11/08 14385 Fosberg Rd. Lake Oswego, OR 97035 REQUESTED BY: Dianna Howse Attn: Jeffrey Kremer TRANSACTION INFORMATION: Receipt #: 2008 -1050 j .: y j Case #:. MST2008 -00030 Date: 3/31/08 Address /Parcel: 7080 SW Taylors Ferry Rd Pay Method: CreditCard Project Name: Rankin EXPLANATION: Overpayment of plan review fees, less charge for Metro Construction Excise Tax: $340.43 overpayment, less $147.32 Metro = $193.11 refund. REFUND:INFORMATION'.; .' .: ': .'Fee= Description From: Receipt. . Revenue' Account No:: • : `Rnd i efu `!. :Example: [BUIL Permit Fee • • • : Example:.. 245- 000.0 - 432000' (BUPPLN] Pln Rv Deposit 245 - 0000 - 433000 $193.11 TOTAL REFUND: $193.11 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager 7-. - /f - 0 If under $22,500 Department Manager / If under $50,000 City Manager If over $50,000 Local Contract Review Board .. FOR TIDEMARK SYSTEM 'ADMINISTRATION USE ONLY; Case Refund Processed: I Date: i i .. I .. I: \Building \Refunds \RefundRequest.doc 05/23/07 CITY OF TIGARD 6/12/2008 . II ' 13125 SW Hall Blvd. 3:30:07PM ` Tigard, OR 97223 503.639.4171 `TIGARD• Refund Receipt #: 27200800000000002042 i 1. � r' -% S ;7 L Date: 06/12/2008 Line Items: • Case No Tran Code Description Revenue Account No Amount Paid MST2008 - 00030 Reversal - [BUPPLN] Pin Rv Dep 245 0000 433000 • (193.1 I ) Line Item Total: ($193.11) Refund: Method Payer User ID Acct. /Check No. Approval No. Flow Received Amount Paid Credit Reversal RHI BUILDERS - JEFFREY C 090097 I n Person (193.11) KREMER Refund Total: ($193.11) CO c O 0 0 o els b w W V tad V \ Ca. • b .v O U v V e, � a Q o � t:4_ 0 ' - i � , 14, al RI 4 4 :v a. 0 ► Wx 4 u OW -, h X ii 'n . 4 N +, -ti s '� w v v o v P 8 v ti H O ` a o • „ a . v < I J A H w c 4-) 01 LReccipi.rpi I'agc I of I .`: 'z: C ITY OF TIGARD 6/12/2008 I N 13125 SW Hall Blvd. 3:26:57PM .. Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200800000000002041 -/� /6:- /,v-:( Date: 06/12/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2008 -00030 [METCET] Metro Const Excise Tx 245- 0000 - 229202 147.32 MST2008 -00030 [BUPPLN] Pln Rv Deposit 245- 0000 - 433000 193.11 Line Item Total: $340.43 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard RHI BUILDERS - JEFFREY C DLH 090097 In Person 340.43 KREMER Payment Total: $340.43 • • iiticiipLipi ]'age I of I ' `- v 1 CITY OF TIGARD ,. ' . r 13125 SW Hall 131rd 3:'_(i:57P1�'I „ ^ ,"� ,1 Tigard, OR 97223 503.639.4171 T;1q . 1 ' Receipt #: 27200800000000002041 ii, /,:: • Date: 06/12/2008 Line Items: Case No Trail Code Description Revenue Account No Amount Paid • MST2008 -00030 [METCET] Metro Const Excise Tx 245 -0000- 229202 147.32 MST2008 -00030 [BUPPLN] Pln Rv Deposit 245 -0000- 433000 193.11 Line Item Total: $340.43 Payments: Method Payer User ID Acct. /Check No. Approval No. H o,v Received Amount Paid CreditCard RHI BUILDERS - JEFFREY C DLH 090097 In Person 340.43 KREMER Payment Total: $340.43 y 4:,) 2 0 re a., • CI G4 .1 0 0) V .k v Q .�\ iri ;; `�, � v 4,;) o o e 3 y u w z v v v O 11 v 'n y y 5 0.i v» fi c a 4) z' y v o .� t!l •o in 0 CA . o Cr. � oW 1 cE a . C C 6; N 'a w 4J 6. ti C Q x o 0 • a V \ N C 2 ° x G1 `n ` v1 ct A H w a _.... I or I u, :� -;; ,� CITY OF TIGARD 6/12/2008 Il I'll 13125 SW Hall Bird. 1:24: I4PM • � Tigard, OR 97223 5113.639.4) 71 TIG Refund Receipt #: 27200800000000002033 j G t _74_. ., -4._ Date: 06/12/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST200S - 00030 Reversal - [BUPPLN] Pln Rv Dep 245 0000 - 433000 (340.43) Line Item Total: ($340.43) Refund: Method Payer User ID Acct. /Check No. Approval No. H ow Received Amount Paid Credit Reversal RHI BUILDERS - JEFFREY C 090097 In Person (340.43) KREMER Refund Total: ($340.43) ■ • Page I oI l il■iii1111.1111 CITY OF TIGARD 6/5/2008 td„!,-.. s 13125 SW Hall Blvd. 8:08:07AM . ' y - ii Tigard. OR 97223 503.639.4171 '•f Receipt #: 27200800000000001050 ,:)/Z / C / Al l49 L. Date: 03/31/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid MST2008 - 00030 [BUPPLN] Pln Rv Deposit 245 0000 - 433000 340.43 Line Item "Total: $340.43 Payments: Method Payer User ID Acct. /Check No. Approval No. Flow Received Amount Paid CreditCard RHI BUILDERS - JEFFREY C DEB 090097 In Person 340.43 KREMER Payment Total: $340.43 • rl <::ripi.rpi Nue I UI NI a CITY OF TIGARD 8 06 26AM • • Fees Associated With Tigard, OR 97223 503.639.4171 Case #: MST2008 -00030 TIGARD I- - (OCG O 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 BLD 3/31/2008 _ 40.43 0.00 CDCP 1/1/1990 12/31/2020 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 BLS 4/7/2008 46.00 0.00 LRP1 12/28/2004 12/31/2020 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 BLS 4/7/2008 6.00 0.00 BPLD 1/1/1990 12/31/2020 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 BLS 4/7/2008 591.29 0.00 BPRT 1/1/1990 12/31/2020 [BUILD] Bldg Permit 245- 0000 - 432000 BLS 4/7/2008 909.67 0.00 SUR1 12/31/2007 12/31/2020 [TAX] Build 12% State Surchrge 100- 0000 - 207020 BLS 4/7/2008 109.16 0.00 TCET 3/1/2008 12/31/2020 [TIGCET] Tig -Tual School CET 245- 0000 - 229205 BLS 4/7/2008 1,280.00 0.00 MPRT 1/1/1990 12/31/2020 [MECH] MEC Permit 245- 0000 - 431010 BLS 4/7/2008 72.50 0.00 SUR2 12/31/2007 12/31/2020 [TAX] MEC 12% State Surcharge 100 - 0000 - 207020 BLS 4/7/2008 8.70 0.00 PPRT 1/1/1990 12/31/2020 [PLUMB] PLM Permit 245- 0000 - 431000 BLS 4/7/2008 83.00 0.00 SUR3 12/31/2007 12/31/2020 [TAX] PLM 12% State Surcharge 100 - 0000 - 207020 BLS 4/7/2008 9.96 0.00 ELCF 1/1/1990 12/31/2020 [ELPRMT] ELC Permit 220-0000-431510 BLS 4/7/2008 86.95 0.00 SUR4 12/31/2007 12/31/2020 [TAX] ELC 12% State Surcharge 100- 0000 - 207020 BLS 4/7/2008 10.43 0.00 ELRP 1/1/1990 12/31/2020 [ELPRMT] ELR Permit 220-0000-431510 BLS 4/7/2008 75.00 0.00 SUR5 12/31/2007 12/31/2020 [TAX] ELR 12% State Surchrge 100 - 0000 - 207020 BLS 4/7/2008 9.00 0.00 /iitTao 4 xC.rSt: Total Due: $0.00 - Pi 7.3 -y O. 1 - - / q 3 . / / ` • 7, \ ?/, 9 Z______ � f3 / Page 1 of 1 CaseFees..rpt • $: p MASTER PERMIT CI 1 ®� I`� PERMIT #t: MST2008 00030 , COMMUNITY DEVL�OPMENT ;SAT ISSUED: 4/25/2008 T1' . AIR D' , 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 .., { 'r - PARCEL: 1S125DB - 01300 SITE ADDRESS: 07080 SW TAYLORS FERRY RD ZONING: R -4.5 SUBDIVISION: SHADY DELL LOT: 014 JURISDICTION: TIG PROJECT: RANKIN Project Description: 1,310 sq ft 2 -story addition. Mechanical other- duct work for addition. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK; ADD HEIGHT; 22 FIRST: 655 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 625 sf GARAGE: sf FRONT: 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: st RIGHT: 5 VALUE: 1 22 764.80 OCCUPANCY GRP: R3 BDRM: 2 BATH: 1 TOTAL: 1280 sf REAR: 15 PLUMBING SINKS; WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: - WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 'ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 • 200 amp: • W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: ���� //// EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR; LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: su it v MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 5 1000+ amp /volt PLAN REVIEW SECTION Reconnect only: �q > =4 RES UNITS: SVC/FDR> =225 A. > 600 V NOMINAL: CLS AREA/SPC OCC: 6 �. 7 � V/ � • ELECTRICAL • RESTRICTED ENERGY l A. SF RESIDENTIAL • B. COMMERCIAL ' AUDIO & STEREO: X VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: B HVAC: DATA/TELE COMM; NURSE CALLS: TOTAL 6 SYSTEMS; , ( r ` J , � This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code. State of OR. Specialty Codes and all other applicable . SCOTT & JULIE RANKIN JEFFREY KREMER laws. AS work will be done in accordance with approved plans. This 7080 SW TAYLORS FERRY RD 14385 FOSBERG RD permit will expire 4 work is not started within 180 days of issuance, or TIGARD, OR 97223 LAKE OSWEGO, OR 97035 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 -381 -9130 Contact #: PRI 503 - 516 - 9456 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 - 699 -4006 • Reg #: LIC 156954 TOTAL FEES: $ 3,638.09 • REQUIRED ITEMS AND REPORTS . . i A Issued By Permittee Signature : / . /�� Call 503.639.4175 by 7:00 a.m. for an inspection that bus ,r s ,lefy. 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. ' MASTER PERMIT „ t CITY F TIGARD PERMIT #: MST2008 -00030 : ; COMMUNITY DEVELOPMENT DATE ISSUED: 4/25/2008 RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S125DB 01300 SITE ADDRESS: 07080 SW TAYLORS FERRY RD ZONING: R -4.5 SUBDIVISION: SHADY DELL LOT: 014 JURISDICTION: TIG PROJECT: RANKIN Project Description: 1,310 sq ft 2 -story addition. Mechanical other- duct work for addition. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 22 FIRST: 655 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 625 sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 2 BATH: 1 TOTAL: 1,280 sf 122,764 80 REAR: 15 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOILJCMP < 3HP: VENT FANS: 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVG /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FOR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LW LT: PER HOUR: LIMITED ENERGY: 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 & STEREO: X VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable SCOTT & JULIE RANKIN JEFFREY KREMER laws. All work will be done in accordance with approved plans. This 7080 SW TAYLORS FERRY RD 14385 FOSBERG RD permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 LAKE OSWEGO, OR 97035 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 - 381 - 9130 Contact #: PRI 503- 516 -9456 questions to OUNC by calling 503.246.6699 or 1 800 332.2344 FAX 503 - 699 -4006 Reg #: LIC 156954 TOTAL FEES: $ 3,638.09 REQUIRED ITEMS AND REPORTS • I ' Issued By . . / �• Permittee Signature : . %/, Call 503.639.4175 by 7:00 a.m. for an inspection that busiX74 y. 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. • .& ,4 P-81. Ct ry O lCo D i7kiti: ��oa G; •� / Oly � ; . yA Building Permit Ap • c � ti ;� Date received: ye U Permnt no. o � z City of Portland, Bureau of Developm • t . O j� * • I W s�� ` 1900 SW 4th Avenue, Portland, Oreg e 8 4 //d .c 503 -823 -7310, FAX: 503 - 823 -4224, TTY: 503-823-6868, wuwv.portlandonline.comlbds TYPE OF WORK REQUIRED DATA: 1- AND 2 -FA ' Y DWELLING ❑ New construction Permit fees* are based on the value of the work performed. ❑ Demolition Indicate the value (rounded to the nearest dollar) of all jzi Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhe2d, and the profit for the 73.5. work indicated on this application0 /.2.2,'36V. SO CATEGORY OF CONSTRUCTION Valuation .141_ and 2- family dwelling ❑ Commercial/industrial Number. of bedrooms: _ ❑ Accessory building ❑ Multi - family Number of bathrooms: ' ❑ Master builder ❑ Other: Total number of floors: • Z JOB SITE INFORMATION AND LOCATION New dwelling area: square feet i .3 / O Job site address: 7-0 3 0 s tx.i ( A'I (i i iL S F trUA IZ{J, l Garage /carport area: square feet & City/State /ZIP: 0 iLC 6 - v .•t c 11- Z L 3 Covered porch area: square feet Suite/bldg. /apt. no.: Project name: RAN ici ,v Deck area: square feet Cross street/directions to job site: Other structure area square feet cat tV ti / Nl '7L±I, t T(w,NJ ofr S w O T1 A "t, REQUIRED DATA: COMMERCIAL - USE CHECKLIST . ` ' . S eJ T 41 - - r (.2. f 2 4 t.t - / 2 . Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the Subdivision: Lot no.: work indicated on this application. Tax map /parcel no.: Valuation DESCRIPTION OF WORK Existing building area: square feet 2 S re 124 -1 /A ,�nr7t cnJ - 7`0 E.,‹, _.---7,,0 (r- Z # - u s S -1 New building area: square feet N D� a Number of stories: Type of construction: 0 PROPERTY OWNER ❑ TENANT Occupancy groups: Name: S Ge ; -T —t- /a; J,- J u LAG 1 &j is , Ai Existing: Address: "1-0 p S New: $ f r�H c u jr �w{ r� . City/State /ZIP: "' ( + OZGCrb /� _3 NOTICE Phone: (�C S) (.- 9 13 0 Fax: ( ) 1�(�iq All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board APPLICANT ❑ CONTACT PERSON under ORS 701 and may be required to be licensed in the jurisdiction in which work is being performed. If the Business name: ;ap L U ; L,a ELL. S applicant is exempt from licensing, the following reasons Contact name: SE rh K ur E-,-\--- apply: Address: I j 3& C % _)S I� ..e., j ? . City/State/Z1P: j 1 G; p ��CG asJ CO 1 BUILDING PERMIT FEES` Phone: (5 ( S C.5 - c %%1S( 2 , Fax: :(5 ) 6:9 9-' I 00(o Please refer to fee schedule y� E - mail: , J Lrl IP-i i to I Lo fa i-S : C_-_/.1-, Y � • �� CONTRACTOR Fees due upon application ifit -- I /, .r Amount received g, N Business name: ( . (�U I Lip ei,'+ -- C/ �� I� Address: II C j-33 85 I, g Ec G- I4) Date received: City/State /ZIP: jVe 0S r.,.JU76 1 00 C»y.1 U 3 C Phone: (SD3) S /(o - c tio S (o Fax: (S 6 � i , -/O0 (a CCB lie.: LS S� ( / ( This permit application expires / I if a permit is not obtained within 180 days Authorized t after it has been accepted as complete signature: 1 '- , 2 Date: /3 / /U g # Fee methodology set by Tri- County Building Print name: j - e I ,j Industry Service Board permitapp_bu ldmg 02'08/05 j 3 - 3 - AJ 6 r3 (1,0 1 1...vc I tO 2 -1 1 c9 .A4 7 Fl— -r 3 Electrical Permit Application FOR OFFICE USE ONLY o City of Tigard .r p tom* Date/By: Permit No.: I N * 13125 SW Hall Blvd., Tigard, OR 9 2 '- EC ,� ' iw' Plan Review Phone: 503.639.4171 Fax: 503.59 4 r ' s.R . Date/By: Other Permit: TI G A R D Inspection Line: 503.639 n r� 1 00 Date Ready/By: runs: la See Page 2 for Internet: www.tigard or.gov IV1 '� Notified/Method: Supplemental Information l ; .. r TYPE OF WOI ti �r 1 • �tyt PLAN REVIEW ,,. 04011Cl N El New construction 1Z Addition/alter E1 i@pittC? ii a t v • ." Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas 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 ENI 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 JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", I Job no.: Job site address: ' 8 - 6 , L o 1,q1( U/6 R1-1141 Six or or more residential R occupancy. Recreational 1 AO ❑ Six or more residential units. ❑Recreational vehicle parks. City/State /ZIP: t � �,t,p I Q 2:2-3 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: IRAN /Lt N) ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 / arcel Ea. add'I 500 sq. ft. or portion 33.40 1 Tax ma no.: map /parcel Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, multi - family 75.00 2 ptrl t-.7S $ i i (yta-7 5 F-zti /, .3/ 0 -SO , residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation /- 0 / r' ' (c 200 amps or less $ 80.30 2 ,gi PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 5 ccr7- 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: '3O g v .SL-v - TAY Logs FfIZ -tal R-io , Over 1,000 amps or volts 454.65 2 City/State /ZIP: i ja p ti Temporary services or feeders installation, alteration, and/or t �� '2Z� relocation Phone: ( SG3) 3 $ I - ' 13 0 Fax: ( ) Ni //y 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, I 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'I 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 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: Signal circuit(s) or limited - �L L / 2 /C energy panel, alteration, or Address: / 'NS gv" 74-1)E, extension. Describe: Page 2 2 City/State /ZIP: ZA./£�J 7 — L. A . ..) 0 2 9 76C Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( 5 0 3 ) .q 6 7 - 5" Fax: (5 ) ,g3 ? t / I7 9- Investigation per hour (l lir min) 62.50 CCB Lic.: lgv/ 95— Electrical Lic.: !/,? 3 Suprv. Lic.: ,55 S Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: 84 ,95 Print name: Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): MI_ �3 Authorized signature: TOTAL PERMIT FEE: Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Building\Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(I 1/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: "Audio and Stereo Systems* n Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: 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 I: \Building\Permits\ELC- PermitApp.doc 03/23/06 MS.it B -rte 3G Plumbing Permit Application ' . Building Fixtures plEc _ s V m F OFFICE USE ONLY Received City of Tigard 1 7oo`� Date/By: Permit No.: . 13125 SW Hall Blvd., Tigard, OR 97223 111 Phone: 5036394171 Fax: 50359819 - I rP i' ' Plan Review 0 503. 639.4171 . . (� i \ ; U r, �� Other Permit No.: Ins 'l! .� ateB y Inspection Line: 503.639.4175 /� 1 U . ate Read /B Jurs: TIGARD p BUIL��INGLINi Y Y la See Pagelfor Internet: www.tigard- or.gov Notified/Method: Supplemental Information ' TYPE OF WORK FEE* SCHEDULE ❑ New construction 0 Demolition For special information use checklist Description I Qty. I Ea. 1 Total 2/ Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 1 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: - -Q 8 p s W 74 S fE P-.0 , Catch basin or area drain 16.60 City /State /ZIP: yi 6- jp / 0 9 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: 'R /Nk_ 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 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I 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 f-) 40-7 A-7/..., / r. Al p 0 r -7 ( p,J l..) r (l-1 Backwater valve 16.60 - FOE I S�bL+��t� + To I t -/ �U7o &_. S /iJk. -S Clothes washer 16.60 Dishwasher 16.60 ,R PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: 5o '?.,, 1 Ai IL.' JJ Expansion tank 16.60 Address: - 4-6). S o St_,.., -7raL/Qn_S 7-egi./.A-I fL. Fixture /sewer cap 16.60 City /State /ZIP: / 6,p M) O A.- e:: )'"i 223 Floor drain/floor sink/hub 16.60 Phone: ( Say) 3 5 l .- 9 / 3 6 Fax: ( ) 1-1 /A Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 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 2 16.60 Tub /shower /shower pan 2. 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet I 16.60 Business name: 'got/ ,p t� pu / N 0- Water heater 16.60 Address: /54135 „W.v 6,8-' Other: City /State /ZIP: -f,f JQ,e-rz vg 2 7700 Subtotal /d Minimum permit fee: $72.50 Phone: (9,3 )- c- S .- a Fax: ( ) 0/ Residential backflow minimum permit fee: $36.25 CCB Lic.: /7,A. 79 Plumbing Lic. no.: c` -3//" _ Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: 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\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 Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: 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 - Ist 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: 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 Fixture or Item Qty. Fee (ea) Total 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 and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Plumbing Installations 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. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ 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 Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" -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, a sewer 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\Permits\PLM- PermitApp doc 12/27/06 MsTao e- 3 0 Mechanical Permit Application R 5 - i , FOR OFFICE USE ONLY ' , T .r City of Tigard AR 3 �nn .DateBy: PermitNo.: • 13125 SW Hall Blvd., Tigard, OR 97223 3 I'l t = • Phone: 503.639.4171 Fax: 503.598.1960 i Other Permit: CITY OF I l�hrl ��= 1l G A R D Inspection Line: 503.639 LI IL J �� n tt � , e , � luris: ® See Page 2 for Internet: www.tigard- or.gov CJ t' 'l ie d/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work El New construction 1E Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* J 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling SLA Job site address: 0 8 j 7/C‘ tom S Air conditioning o heat pump Y �^ • �'t � , (requires site plan showing placement) 14.00 City/State /ZIP: 7/ 6_„ aftio , O g_ 9 Furnace 100,000 BTU (ducts /vents) 14.00 Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts /vents) 17.90 �A1 ( ' ) Gas heat pump 14.00 Cross street/directions to job site: Duct work j 10.00 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. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 1- 1 / - "re t.) Cr- AM, Duo- C...)ert —te._ F 0 A _, Flue vent for water heater or gas fireplace 10.00 1 , 3 I 0 S C3 . F--r , A O p / —' ',Dr.) Td Log lighter (gas) 10.00 e w i S n7 Cr /Ja rr-. U , Wood/pellet stove 10.00 Wood fireplace /insert 10.00 Chimney/liner /flue /vent 10.00 AZI PROPERTY OWNER ❑ TENANT Other 10.00 Name: S G. Q-Q/v Environmental exhaust and ventilation Range hood/other kitchen Address: —4-0 i 0 S L.J AY e /t_ S F en, t- x.17 equipment 10.00 City/State /ZIP: 1 I C3--.ort4D 0 >z— 9 '3, 2`Z 3 Clothes dryer exhaust 10.00 / Single -duct exhaust (bathrooms, Phone: (SD3) 3$I — ' ( 3 0 Fax: ( ) ps/ / toilet compartments, utility rooms) I 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue -��/ e iL c2 5 (TC-trfc y +/GY elyw 1 " Clothes dryer (gar) Business name: (5 l / Q /� Ot her: Address: /Zig $S `S efza 2� MECHANICAL PERMIT FEES* City /State /ZIP: k..4t . t, :CYede 02 Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: /5 ep ?5 State surcharge (12% 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: , - v�, Date: Li /- - I h r * Fee methodology set by Tri -County Building Industry Service Board 1:\Building\Permits\MEC- PermitApp.doc 01/19/07 4404617T(I1 /02/COM/WEB) Mechanical Permit Application - City of Tigard • Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $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. 1:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2 Ilr'll lJ - GUCJO CA.J•1VI Gl0 IJO1 IV iVVVLJIGZIC I `, CITY OF TIGARD COMMUNITY DEVELOPMENT 11 A R r' 13125 SW Hail Blvd., Tigard, OR 97223 503.639.4171 Electrical Signature Form IMPORTANT PERMIT NOTICE NELSON ELECTRIC LLC 1745 4TH AVE WEST LINN, OR 97068 Permit #: MST2008 -00030 Date Issued: Parcel: 1S125013-01300 Site Address: 07080 SW TAYLORS FERRY RD Subdivision: SHADY DELL Lot: 014 Jurisdiction: TIG Zoning: R -4.5 Project Name: RANKIN Descnption: 1,310 sq ft 2 -story addition. Mechanical other- duct work for addition. Your company has been indicated as the electrical contractor for the permit referenced above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624,3681. If you have any questions please call 503.718.2433. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: SCOTT & JULIE RANKIN NELSON ELECTRIC LLC 7080 SW TAYLORS FERRY RD 1745 4TH AVE TIGARD, OR 97223 WEST LINN, OR 97068 Phone #: 503 -381 -9130 Phone #: 503- 267 -8529 Reg #. Et.E C123 LI(' 1110195 SUP 3506S A I . SIGNATURE IS REQUIRED ON THIS FORM MICHAEL. S. IAL�a(2_ 350 S Signature o Supervising Electrician Name (printed) SUP LIC # CITY OF TIGARD a. COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Plumbing Signature Form RECEIVED MAY 1 4 2008 CITY O TIGAtkiL IMPORTANT PERMIT NOTICE BUILDING DIVISION ROYAL PLUMBING 14035 SW 6TH ST BEAVERTON, OR 97005 Permit #: MST2008 -00030 Date Issued: Parcel: 1 S125DB -01300 Site Address: 07080 SW TAYLORS FERRY RD Subdivision: SHADY DELL Lot: 014 Jurisdiction: R-4.5 Zoning: TIG Project Name: RANKIN Description: 1,310 sq ft 2 -story addition. Mechanical other- duct work for addition. Your company has been indicated as the plumbing contractor for the permit referenced above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: SCOTT & JU RANKIN ROYAL PLUMBING 7080 SW TAYLORS FERRY RD 14035 SW 6TH ST TIGARD, OR 97223 BEAVERTON, OR 97005 Phone #: 503 - 381 -9130 Phone #: 503 - 975 -8603 Reg #: LIC 156954 LIC 180195 LIC 156954 LIC 121274 PLM 34 -31 1 pb AN INK SIGNATURE IS REQUIRED ON THIS FORM igna re • Plumber Name (printed) City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • . . . T I GARD June 16, 2008 RHI Builders 14385 Fosberg Rd. Lake Oswego, OR 97035 Attn: Jeffrey Kremer Re: Permit No. MST2008 -00030 Dear Mr. Kremer: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 7080 SW Taylors Ferry Rd. Project Name: Rankin Job No.: N/A Refund: ❑ Check # in the amount of $ ® Credit card "return" receipt in the amount of $193.11. ❑ Trust account "deposit" receipt in the amount of $ Notes: Refund overpayment of plan review fees $340.43, less additional fees due for Metro Construction Excise Tax $147.32 = total refund $193.11. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. I: \Building\ Refunds\ Administration \LtrRefund- Overpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: RHI Builders DATE: 6/11/08 14385 Fosberg Rd. Lake Oswego, OR 97035 REQUESTED BY: Dianna Howse Attn: Jeffrey Kremer TRANSACTION INFORMATION: Receipt #: 2008 -1050 . ter' `/J Case #: MST2008 - 00030 Date: 3/31/08 Address /Parcel: 7080 SW Taylors Ferry Rd Pay Method: CreditCard Project Name: Rankin EXPLANATION: Overpayment of plan review fees, less charge for Metro Construction Excise Tax: $340.43 overpayment, less $147.32 Metro = $193.11 refund. REFUND. INFORMATION:. .• °Fee: =Description From Receipt Revenue Account No Refund Example: [BUILD] Permit Fee Example: 245 - 0000- 432000 $ Ainount IBUPPLN] Pln Rv Deposit 245 0000 - 433000 $193.11 TOTAL REFUND: $193.11 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager �� ( - /% - e" If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY • . Case Refund Processed: I Date: I �. , , {'� � �� 1L I By: I ' I: \Building\ Refunds \RefundReguest.doc 05 /23/07 'I a- G' -O" CEDAR FENCE ALONG RECEIVED SOUTH PROPERTY LINE MAR 3 1 200 C w 1�'CFTi'3A ID i „ / .I y (e) LANDSCAPE AREA © Z G -O CEDAR FENCE ALONG � y . y 4, . o w EAST PROPERTY LINE . 0 / Q co / . . . . . . . z >, N 0 . n0 c_ / _----- - - - --• (e)WALKWAY --- 'a---- - - -'* . / L p--) / � r rArAr " " " " " " " " (e)GARDEN SHED z / EXISTING STRUCTURE u 0 6 55'SQ. FT. o 1 SQ. FT. / 6 -0 EDAR FENCES GATE < o m /© l iI i r ; ! 7; Ii z f` G 0 p 4 ..... © Q • / / / / / / / / / / / / /� / / / // / RHI Builders D DRIVEWAY The right choice - ■ T CCy _ - (e)S. R '• Mli . / (e)ShR 7 -:k / 4 -O CHAIN LINK FENCE \ A Jeff Kremer " ALONG WEST PROPERTY LINE G O CEDAR FENCE GATE PARKING / 14 I G' 1 8 - ' 503.516.9456 / CCB# 156954 . 514'7.- DRAWN BY: kburke '■ / 4c-LC � HK'D BY: J. Kremer �S ��RY \� ��T \ CITY OF TIGARD - SITE PLAN REVIE, „• )ATE: RO h ' B I ILDING PERMIT NO.: " " ©0 ' qp � \ j REVISIONS: v CANNING DIVISION: Not Approved LEGAL DESCRIPTION: IT oi; G" ARb= PLA N.itE . BUILDING PERMIT NO: :rn«Fred Setbacks: ❑ Approveds ❑ hP `� r' 8 -00C • T Street Side: / �U Garage: Rear: �.. Not App roved HEFT TITLE: Property ID: W27I 759 , .. . ,.._ 0 Ap ❑ Washington County, Ore on Street Ell Approved ❑Not Approved � „ „ :. 3o feet g Protected T ea Approved ❑ Not Approved .. N Height t „_?...0...... Y eived No By: �o erugaf� Date' 1/3/70% . ' Prov Lett r °ce qtiired: ❑ Owner: Notes: 1 � p e� ider "" ` ❑ . ec I T E PLAN / Date: 3 � 3 JI U� SITE PLAN EVR N DEPARTMENT: ( Approved ❑ Not Approved Address: 7080 SW Taylors Ferry Rd. SCALE : I / I G = I O : ,ctua Sop N t Approved Tigard, Oregon 97223 Site Pl r pprO pate: D A p B W " v edo I Notes: R G a 7`2a��'L`°� SHEET I OF 9 a � CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Q /2512008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/11/2008 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 07090 `W TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2 -story addition. Mechanical other- duct work For addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503-38'1 -9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503 - 516.9456 Inspection Request Scheduled For: Date: 9/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 075312-02 503 -51& -9456 N Corrections /Comments/ Instructions: • ig- PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 01)VM-J Date: I I I 0 (1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 000: 0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 412512008 Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 .j ^__ INSPECTION WORKSHEET FOR DATE: 9/11/2008 TIME: 7:00AMV1 PAGE: 22 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sit ft 2 -story addition. Mechanical other- duct work fear addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503-381 -9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503. 516.9456 Inspection Request Scheduled For: Date: 9/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 PI rough -in 075312 -01 503 -516 -9456 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: L (l\ j2. -2.. Date: 1 1 11 \DT Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION ® PERMIT #: MST200B- 00030 13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 4/25/2008 Phone: (503) 639 -4171 / I w eilii Inspection Requests (24 Hrs.): (503) 639 -4175 ...:'.- "__.. INSPECTION WORKSHEET FOR DATE: 6/4/2000 TIME: 7:01AM PAGE: 3 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANI',IW . DESCRIPTION: 1,310 sq ft 2- story addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503 -381 -9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503 516 - 9456 Inspection Request Scheduled For: Date: 6/4 /2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 070860 -01 503-516-9456 N Corrections/Co e s /Instructions: j W V Vim--✓ dC' • S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS i Ti FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED D (07 Inspector: Phone #: (503) 503 718- l'12--1 CITY OF TIGA 1 D - BUILDING DIVISION - - PERMIT #: MST2000 -00030 13125 SW Hall Blvd., Tigard, OR 97223 � I1/ DATE ISSUED: 4/25/2000 Phone: (503) 639 -4171 i P II Inspection Requests (24 Hrs.): (503) 639 -4175 A F'I . . INSPECTION WORKSHEET FOR DATE: 5/30/20013 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 07080 SY'I TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2••story addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503.381 -9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503-516-9456 Inspection Request Scheduled For: Date: 5/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 070603 -01 503.516.9456 N Corrections /Comments/ Instructions: t 1 I 1 1 I I ) l 1 J r I i b-jrvv■ (t 41 - \1/k_,/ Ai Glfre . I V ] PASS E PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES AS ESSED 1 D Inspector: V Date: Phone #: (503) 718 - v�� ., f CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2008 Phone: (503) 639 -4171 p ' Inspection Requests (24 Hrs.): (503) 639 -4175 ... �''_.` �I : INSPECTION WORKSHEET FOR DATE: 5114/2008 TIME: 7:04AM PAGE: 41 SITE ADDRESS: 07080 SW TAYLOR S FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2 -story addition. Mechanical other- duct work for addition. . OWNER: RANKIN, SCOTT & JULIE PHONE #: 503 381 -9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503516.9456 Inspection Request Scheduled For: Date: 5/14 /2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 069836 -01 503.516 -9456 Y p AVvtar e k ,lb--6^ - Corrections /Comments /Instructions: A --64, A g A I ,—, 0,1 ,--; TZ) P ( kn, s--b i,,.. p, E,,,,,,c,,,...,..k vc.A._,_ a c,-....., 0,-,,,, f 1 J 1 ., 1 i J i l r I 1 I PASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS I ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I Inspector: ( ti1S�� Date: 3` 1, 4 lc� Phone #: (503) 718 -. I CITY OF TIGARD BUILDING DIVISION PERMIT #: M S`C'20()6. 0()030 iihi 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4125/200 Phone: (503) 639 -4171 Aftryikt1 Inspection Requests (24 Hrs.): (503) 639 -4175 =�,L 'F1IL INSPECTION WORKSHEET FOR DATE: 9/11/2008 TIME: 7:00AM PAGE: 19 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2 -story addition, Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE. PHONE #: 503-381 -9130 CONTRACTOR: JEFFREY KRF_MER PHONE #: 503 - 516.9456 Inspection Request Scheduled For: Date: 9/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 075312 -04 503.5169456 N Corrections /Comments/ Instructions: 4 y I PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1-(e-1- Inspector: Date: 9.-11 --. Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200B. 00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/20013 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 - .:� k INSPECTION WORKSHEET FOR DATE: 9/11/2008 TIME: 7:00AM PAGE: 18 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2 -story addition. Mechanical other- duct work f or addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503- 381 -9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503-516-94 Inspection Request Scheduled For: Date: 9/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 075312 -05 503 - 516.94516 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 14 l Date: Ct — 1 Phone #: (503) 718- CITY OFTIGARD BUILDING DIVISION u PERMIT #: IMSl2l)t)B 00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25n006 Phone: (503) 639 -4171 AvNn i A Inspection Requests (24 Hrs.): (503) 639 -4175 4E. INSPECTION WORKSHEET FOR DATE: , 12/8/2008 TIME: 7;0OAMMM PAGE: 32 SITE ADDRESS: 07080 W TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2- story addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503381 -9130 CONTRACTOR: JEFFREY KREMER PHONE #: 5035/09456 Inspection Request Scheduled For: Date: 12/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 07881001 603 -616 -9456 N Corrections /Comments/ Instructions: '21.. © :. :nor _ _1L a' is:l. 1 " V/ / . U _ ` , AO ®lam..- '. ice G .0.A...eC__ 0 --tom G� ik-I PLzetz - A T CI -' SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: t9 OP? ( Phone #: (503) 718- ---10 CITY OF TIGARD BUILDING DIVISION PERMIT #: msr.).00aoomo 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1 1/18/2008 TIME: 7:0iAM PAGE: 2 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1.310 sq ft. 2-story addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503-381-9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503_5159466 Inspection Request Scheduled For: Date: 11/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 078202-01 503-515-9456 Corrections/Comments/Instructions: E-'1:CPS PARTIAL APPROVAL CANCEL [I] NO ACCESS 111 FAIL 1 CALL FOR INSPECTION II] ADDITIONAL FEES ASSESSED Inspector: , Date: //- Phone #: (503) 718- CITY OF TIGARD = . BUILDING DIVISION ... PERMIT #: i ST2008 C 00 0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25,000 Phone: (503) 639 -4171 1I Inspection Requests (24 Hrs.): (503) 639 -4175 ... `' INSPECTION WORKSHEET FOR DATE: 11/3/2008 TIME: 7:00Am PAGE: 10 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DE LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1.310 ,• :q ft. 2 -stoiy addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503- 381 -9 °130 CONTRACTOR: JEFFREY KREMER PHONE #: 503. 516 -9456 Inspection Request Scheduled For: Date: .11/30000 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 07756:3 -01 .503- 516-9456 Corrections /Comments /Instructions: 1-4.440C2 PM a it 0 " Z'- 08 G-'2> . • J nw - , . C O 04'C rL 6ffr. ■ • PA 1A PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS gi " A a CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � F _ Date: Phone #: (503) 718 - _. .. CITY OF TIGARD BUILDING DIVISION PERMIT #• MST2008-00030 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/200L? Phone: (503) 639 -4171 Ada A A , ,,� Inspection Requests (24 Hrs.): (503) 639 -4175 ._ INSPECTION WORKSHEET FOR DATE: 11/312008 TIME: 7 :()0AM PAGE: g SITE ADDRESS: 070I3() SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: ' 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2 -stogy addition. Mechanical other - duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503 - 381 -9130 CONTRACTOR: JEFFREY KREMFR PHONE #: 503-516-9456 Inspection Request Scheduled For: Date 11/312008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 077563 -02 503-516-9456 6 Gam` t& Corrections /Comments /Instructions: —. O C / I `: 8 s Co ` • dIPIR_. tII PASS A PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspector: _ ■ Date: ii ( Ge) Phone #: (503) 718- Z CITY OF TIGARD BUILDING DIVISION ^ PERMIT #: S M,s1 20Ut3 0f)0;30 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2008 Phone: (503) 639- 4171a+di Inspection Requests (24 Hrs.): (503) 639 -4175 __.._ i INSPECTION WORKSHEET FOR DATE: c3/241 C)OS 7:00AM PAGE: 2 SITE ADDRESS: 07080 SWTAYLOR � FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DI =LL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 s„.4 ft 2 -story addition. Mechanical other- duct work for addition. OWNER: RANKIN, �'Ct 7T & JULIE PHONE #: ? 0 -381 -9130 CONTRACTOR: JEFFREY KREM % R PHONE #: 603-516-9466 Inspection Request Scheduled For: Date: 9t 14 /2008 Pour Time: Code # Inspection Description /f Confirm # Contact # Message �7S Framing 075871 -01 503 -M6 -9456 Y Corre s /Co ents /Instructions: }u �. ,1 z/ a r (Vig9 4 / U t ......---- rza._&",,__ci UL--t‘__S /:.___ 1 ) 5 Lp . V&.- ,_ _ W\ 61-- -- e '' sLA s - li r \u _`. _ . I r - UN w. O'< - Sc U. 11 6 I :I t'VJ� Gem 0 Li/vo-s) 1( v I _IN,/ 4, , , IL■ ' ' - '' • a — &. / _ fa ' a t_c, / I 1 / l.-- ',C—J` , o Iv. r c..-12..„ Eli 1 Lk--9-4-17 G. - q/ »/° \r PASS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1/ AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSES - D Inspector: V//1 Date: qi Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 000:30 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2512008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .� _�.•'F'f I.. INSPECTION WORKSHEET FOR DATE: 9/17J2008 TIME: 7 :00AM PAGE: 35 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq It 2 -story addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503-381-9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503 - 516 - 9456 Inspection Request Scheduled For: Date: 9/1:2008 Pour Time: • Code # Inspection Description Confirm # Contact # Message 275 Framing 076313-01 503. 516 -9456 N �yrrections /Comments /Instructions: L i' ._ Grp G i.. icG ' u' t / r+iZ�i • - e I'v �� "/74-7G_ ezr y ( / 4 - L n G �OS z i - - rrt, / - LI -. ._ _ _ A4c757., ,1716 b 2'- r 0107 n PAS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /A Inspector: A Date: Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2000 Phone: (503) 639 -4171 Ayr dpa, A Inspection Requests (24 Hrs.): (503) 639 -4175 I INSPECTION WORKSHEET FOR DATE: 9/11/2008 TIME: 7:00AM PAGE: 20 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 s q ft 2 -story addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503-381 -9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503.516 -9456 Inspection Request Scheduled For: Date: 9/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 075312 -03 503 -516 -9456 N Corrections /Comments /Instructions: ,J 1 02..?‘ ✓ S '�' c c4 wok h 5)-c •ke S C G' -'.cam_ a \ d 0 ilk . 1V ..9%_ r 21.) V c.)42- ba...%\ • 9 . ", o ,k \-.2 ", r j_k k n PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /3s Date: //Se e& Phone #: (503) 718- 2'23 CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2008-00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 412F12000 Phone: (503) 639-4171 • ''LL Inspection Requests (24 Hrs.): (503) 639-4175 -- INSPECTION WORKSHEET FOR DATE: 6/20/2008 TIME: 7:02AM PAGE: 11 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2-story addition. Mechanical other- duct work for 'addition. OWNER: RANKIN, SCOTT ft JULIE PHONE #: 503-381-9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503-516-9456 Inspection Request Scheduled For: Date: 6/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 071662-01 503-516-9456 Corrections/Comments/Instructions: A -- C°Yrec 4 ;0- d.t. - 3+rap xle ( • PASS pi PARTIAL APPROVAL El CANCEL El NO ACCESS FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 7. 5 • Date: ,205-i-t 08 2/.2 3 Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MST2008.00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2008 Phone: (503) 639 -4171 At , +� Inspection Requests (24 Hrs.): (503) 639 -4175 ': ' lll• INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7:01AM PAGE: 1 SITE ADDRESS: 07OB0 SW T AYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 011 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2-story addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503 - 38147130 CONTRACTOR: JEFFREY KREMER PHONE #: 503 -516 -9466 Inspection Request Scheduled For: Date: 6/13/2008 Pour Time: . Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 071378-01 503 - 616.9456 N Corrections /C•mments /Instructions• ' ' 1 ... 1 — - 1 � V\ J Z-J`' 4- Ai N " Lti �S I -. k k J titer ...t 7 ("? � \ i,t • s o�) kl,5 O G p , .__ , , , 4 A. 0 / i 0 B A k./..-- e 1 .0" 0 . • WV k / 1 ‘ 1 3 - ) 141 rC C S Y Nn � e. )` IS a. k‘ „ r e • ,..-i, - • vu n PASS PART ' APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (//1/ Date: 63 4 r Phone #: (503) 718 - 2.4 Z CITY OF TIGARD '- BUILDING DIVISION PERMIT #: MST2008.00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/20013 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 . ' : ' !. _ INSPECTION WORKSHEET FOR DATE: 6/5/2008 TIME: 7:OOAM PAGE: 53 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2 -story addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503 -381 -9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503-616-9466 Inspection Request Scheduled For: Date: 6/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Mes a e 230 Underfloor insulation 070860 -04 603 516.9456 Y Corrections /Comments / Instructions: 'j: -ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS • FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 64,,t Date: / U� Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4125120013 Phone: (503) 639 -4171 i it ' Inspection Requests (24 Hrs.): (503) 639 -4175 • - INSPECTION WORKSHEET FOR DATE: 6/4 /2008 TIME: 7:01AM PAGE: 1 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2 -story addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503 -381 -9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503-616-9456 Inspection Request Scheduled For: Date: 6/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 221 Post/beam structural 07086x03 503.516 -9466 Y Corrections /Comments /Instructions: /4 -cc6: - i 4vy\ V` PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: � - --4 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ' � — INSPECTION WORKSHEET FOR DATE: 6/4/2008 TIME: 7:01AM PAGE: 2 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2 -s-tory addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503- 381-9130 CONTRACTOR: JEFFREY KRE:MER PHONE #: 503 - 516 Inspection Request Scheduled For: Date: 6/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 070860-02 603.516.9456 N Corrections/Comments/Instructions: CD ' ) .r2e�ye ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL • CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED If Inspector: Date: 8 Phone #: (503) 718- "� CITY OF TIGARD BUILDING DIVISION PERMIT #: M: T2008 00031 13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 4/25/2008 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: .5/30/2008 TIME: 7:01AM PAGE: 11 SITE ADDRESS: 07080 SW TAYLOR S FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: : 1,310 sq ft 2- story addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503- 381 - 9130 CONTRACTOR: JEFFREY KREMER PHONE #: 603 516 - 9456 Inspection Request Scheduled For: Date: 5/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # • Message 226 Post/beam structural 070603-03 603 516 -9456 N Cor ctions/Comments/ omments/ tructions: - r 14 / / - (•e)5.5 . (.>(7k) 9,40 0 a , A ,. *4 .0 ) LL- Lil PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS V tAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED V() Inspector: Date. 1 Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION r PERMIT #: MST20U8- 00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25'2000 Phone: (503) 639 -4171 f1l Inspection Requests (24 Hrs.): (503) 639 -4175 l- INSPECTION WORKSHEET FOR DATE: 5/30/2008 TIME: 7 :01AM PAGE: 12 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2 -story addition. Mechanical other - duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503- 381 -9130 CONTRACTOR: JEFFREY KREMER • PHONE #: 503 - 516-9456 Inspection Request Scheduled For: Date: 5730 /2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 070603-02 503.516.9456 N Corrections /Comments/ Instructions: • ` -ASS (l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION 11 ADDITIONAL FEES ASSESSED p 0.„; �9 361 _ Ins ector: Date. I Phone #: (503) 718- _?A_ • CITY OF TIGARD BUILDING DIVISION , PERMIT #: MST2008-00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2008 Phone: (503) 639-4171 A B Inspection Requests (24 Hrs.): (503) 639-4175 1 INSPECTION WORKSHEET FOR DATE: 5/30/2008 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft 2-stoly addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503-381-9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503-516.9456 Inspection Request Scheduled For: Date: 5/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Underfloor insulation 070603-04 503-516-9456 N Corrections/Comments/Instructions: I V;51) 1. , P S PARTIAL APPROVAL 0 CANCEL [11 NO ACCESS 0 FAIL H CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED V6I c ti2/ Inspector: Date: 1 31 3 ?' / 6 8 'hone #: (503) 718.7}(21 CITY OF TIGARD BUILDING DIVISION .. #: MST2008- 00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2`5/2008 Phone: (503) 639 -4171 t; l' + Inspection Requests (24 Hrs.): (503) 639 -4175 .,J' '`'_�.. INSPECTION WORKSHEET FOR DATE: 5/14 /2008 TIME: 7:04AM PAGE: 44 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL. LOT #: 014 TYPE OF USE: PROJECT NAME: RANKIN DESCRIPTION: 1,310 sq ft. 2-story addition. Mechanical other- duct work for addition. OWNER: RANKIN. SCOIT & JULIE PHONE #: 503 -301 -9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503-516-9456 Inspection Request Scheduled For: Date: 5/14/2008 Pour Time: Code # Inspection Descri tion Confirm # Contact # Message 215 Footing drain 'jet-, .-rod—c 069833 -01 503 - 516.9456 N Corrections /Comments /Instructions: �` PASS ❑PARTIAL APPROVAL ❑CANCEL n NO ACCESS E FAIL n CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED Inspector: Date: . S= I `f- 8 Phone #: (503) 718- -) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2008 Phone: (503) 639 -4171 f � l i �_ Inspection Requests (24 Hrs.): (503) 639 -4175 . .: '. . . W 1.1. INSPECTION WORKSHEET FOR DATE: 515/2003 TIME: 7:O1AM PAGE: 48 SITE ADDRESS: 07080 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: SHADY DELL LOT #: 014 TYPE OF USE PROJECT NAME: RANIKIN DESCRIPTION: 1,310 sq ft.2•story addition. Mechanical other- duct work for addition. OWNER: RANKIN, SCOTT & JULIE PHONE #: 503381 -9130 CONTRACTOR: JEFFREY KREMER PHONE #: 503516-9456 Inspection Request Scheduled For: Date: 5/5/2008 Pour Time: 10:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 069312 -01 503 - 516 -9456 N 2/6 Pi o .v. Corrections /Comments /Instructions: el G,ere- -n n CTIa -51 P� ASS ❑ PARTIAL APPROVAL _ CANCEL ❑ NO ACCESS _ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED d4 . Inspector: , Date: 5 S' Phone #: (503) 718- 294--- ri ` r ilr,d- Jr = -;1r� ihi f j �r E ? -:' _ - db 1'' � �.i'1 �f1 _ 3°.PJ' • e http i tici propery.summa ardmaps.comimox52_multimapl index. cfm?fuseaction= try&CFID= 68130 &t `;- S ' X P File Edit View Favorites Tools Help -, - rftil - b Page °,z Tools .3 7080 SW TAYLORS FERRY RD j 7 t Q F 1 (p a *VP 1 �- }} CUSNMAN CT - . TAYLORS FERRY RD 7 4 1: i 0 Y M _ t r ._... - - -' .. t E! 2 W a ...,.,.. 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