Correspondence City of Tigard, Oregon o 13125 SW Hall Blvd. 6 Tigard, OR 97223
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December 28, 2010
Hills Development
735 SW 158 Ave.
Beaverton, OR 97006
Attn: Steve Pollard
Re: Permit No.: MST2010 -00093
Site Address: 13348 SW Alpine View Dr.
Project Name: Alpine View, Lot 31
Submittal Date: 5/28/2010
Dear Applicant:
This letter is to notify you that your plan review application for the above referenced
permit has expired in accordance with Section 105.3.2 of the Oregon Structural Specialty
Code. Applications are valid for a maximum of 180 days from the application submittal
date referenced above. Since the City of Tigard has not received a written request for a
plan review extension, it is expired by limitation.
Plan review was completed on 6/4/2010, therefore all associated building and site plan
review fees are due upon receipt of this letter. See attached invoice for balance of fees
due, less any deposit paid at time of application submittal.
In order to reactivate this plan review, a new application and building plans, along with
new plan review fees are required to be resubmitted and a new permit number will be
assigned. A copy of the building plans will remain on file for a period of six months
from the date of expiration, at which time the plans will be sent for records destruction.
You may obtain a copy of these building plans, for a fee, by contacting the Building
Permit Technicians at 503.718.2439 prior to their destruction.
If you have any questions, please contact me at 503.718.2448.
Sincerely,
//)494.
Mark VanDomelen
Building Official
Enc.
Phone: 503.639.4171 ® Fax: 503.684.7297 o www.tigard - or.gov o TTY Relay: 503.684.2772
l i g CITY OF TIGARD
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Building Division
T I G A R D 13125 SW Hall Blvd.,Tigard, OR 97223 503 - 639 -4171
• INVOICE
TO: West Hills Development Customer 1D: 104847
735 SW 158 Ave. Invoice No.: INV2010 -00016
Beaverton, OR 97006 Invoice Date: 12/28/2010
Attn: Steve Pollard Date Due: Upon Receipt
Gase Site : Address:; >; '= Subdivision = ..Lot: #'or;Project Name Amount:Due
MST2010 -00093 13348 SW Alpine View Dr. Alpine View, Lot 31 $91.53
Invoice Total: $91.53
® Please see attached fee schedule for description of fees due:
(Detach and return this portion with payment.)
Case No.: MST2010 -00093 Customer ID: 104847
Site Address: 13348 SW Alpine View Dr. Invoice No.: INV2010 -00016
Project: Alpine View, Lot 31 Invoice Date: 12/28/2010
Date Due: Upon Receipt
Invoice Total: $91.53
Amount Paid: $
Office Note: Remove parcel tag when paid. Route receipt copy to Accela System Administrator.
Please mail payment to:
City of Tigard, Building Division
13125 SW Hall Blvd.
Tigard, OR 97223
Attn: Dianna Howse
I: \Building \Accounting \Invoice.doc 04/06
CITY OF TIGARD FEE AND PAYMENT HISTORY
, 1111
fI p . _ 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TEGARD
MST2010 -00093 - 13348 SW ALPINE VIEW DR, TIGARD, OR 97224
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due
Building Permit - New Construction 2300000 -43104 $1,182.66 $1,182.66 $1,182.66
Plan Review 2300000 -43106 $751.34 $751.34 $750.00 5/28/10 Credit Card 178117 $1.3 )
Plan Review 2300000 -43106 $17.39 $17.39 17.39__.)
CDC Plan Review, RES 1003100 -43112 $46.00 $46.00 (i4 )
CDC Plan Review, RES - LRP 1003100 -43117 $6.00 $6.00 '- 6 .00:
$
12% State Surcharge - Building 1003100 -24001 $141.92 $141.92 $141.92
Metro Const. Excise Tax - Residential 2300000 -24010 $206.00 $206.00 $206.00
Use
Tig -Tual School CET- Residential 2300000 -24102 $1,558.00 $1,558.00 $1,558.00
Park - Single Family Unit 4250000 -43300 $4,811.00 $4,811.00 $4,811.00
Erosion Control 1003100 -22002 $64.00 $64.00 $64.00
Erosion Plan Review CWS 1003100 -22003 $20.80 $20.80 $20.80
Erosion Plan Review COT 2300000 -43102 $20.80 $20.80 $20.80 j
Permit Fee - Elect (per dwelling unit) 2200000 -43103 $270.30 $270.30 $270.30
Limited Energy 2200000 -43103 $67.84 $67.84 $67.84
12% State Surcharge - Electrical 1003100 -24001 $40.58 $40.58 $40.58
Furnaces < 100K BTU 2300000 -43102 $46.75 $46.75 $46.75
Water Heater 2300000 -43102 $23.32 $23.32 $23.32
Gas Fireplace 2300000 -43102 $33.39 $33.39 $33.39
Range Hood /Other Kitchen 2300000 -43102 $33.39 $33.39 $33.39
Clothes Dryer Exhaust 2300000 -43102 $33.39 $33.39 $33.39
Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $93.28 $93.28 $93.28
Utility Rooms)
Fuel Piping 2300000 -43102 $14.15 $14.15 $14.15
12% State Surcharge - Mechanical 1003100 -24001 $33.32 $33.32 $33.32
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due
SFR - Baths 2300000 -43101 $500.32 $500.32 $500.32
12% State Surcharge - Plumbing 1003100 -24001 $60.04 $60.04 $60.04
Totals for Fees $10,075.98 $10,075.98 $750.00 $9,325.98
Receipt # Payment Method Check # Payor: Receipt Date Receipt Amount
178117 Credit Card Dan Grimberg, West 05/28/2010 $750.00
Hills Development
Total Payments: $750.00
Balance Due: $9,325.98
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