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Correspondence Mar. 5. 2014 5:08PM No. 9965 P. 5 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1114 : Request Permit Action r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • v TO: CITY OF TIGARD Building Division Services Supervisor MAR —6 2014 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.ligard-oig Y OF TIGARD BUILDING DIVISION FROM: ® Owner ® Applicant ❑ Contractor Li City Staff [check one) REFUND OR Name: Timberland Homes,Inc. INVOICE TO: Mtn or In i Mailing Address: 12670 SW 68th Ave.,Ste. 300 City/State/Zip: Tigard,OR 97223 _ Phone No.: 503-620-8860 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): ❑ CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below)_ ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). E REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: 2013-00236 Site Address or Parcel#: 14787 SW 122'd Place,Tigard Project Name: Troy Park Lot 9 Subdivision Name: Troy Park Lot#: 9 EXPLANATION: We have a new electrician-DreamHouse E.lecttic,LLC.Theysubmitted a new permit already,and no electrical inspections have taken place yet on this job. Signature: Date: 3/5/2014 Laura Bla Print Name: Rrfund Policy 1- The Director or Building Official may authorize the refund of a) any fee which was etroneously paid or collected. b) nor more than 80%of the land use application fee when an application is withdrawn or canceled before any review effort has been mniendcd. c) not more than 80%of the land use application fee for issued permits. d) not more than 80%of the building plan review fee when an appticadoa is canceled before any plan review effort has been a rpended c) not more than 80%of the building permit fee for issued permits poor to any inspection requests. ? Refunds will be renamed to the original Payer in the satoc method in which payment was received Please avow 2-4 wee]rs for processing refunds. Rt e, Date _ 4, /41 Rte to Bldg Admin: Date By Refund Processed: Date By Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added Date By Receipt# Date Method Amount$ 1:\Building\Forms\RegPesaitActiorndoc Rev 05/25/2012 RECEI V ii Electrical Permit Applica H FOR OrPIUS,UM!:ONLY City of Tigard �e MAR — 5 2014 P t l�-: ©1 a a 2 ; • a 13125 SW Flail Blvd., OR 47223 Tyra�vry Phoec:503.7182434 Aux: 503598,1980 TIP atriBY' otosa Parma 1!{;.1 R[y tns�ttan Linc: 503.639A175 V r '.�qR,. Dace Reads�Y I 1°",, fief See Page:.for Internet: www.tlgerd-ar,gov , Nonnee McG I Sopptanntra1loforntrriou ' TYPE OF WORE PLAN REVIEW 2)New construction ❑Additioauzlterationfreplacement Please rbeck all that apply(att6rait a fat,of p>an,nfiteaoclaccia-d balcony t--�Demolition C]Other: ❑Smtce OT fender 400 ATOM or more 0 nailding over trues swim. _ +..here the available fault=wet ❑Wows sum noatyans. CATEGORY OF CONSTRUCTION maids 10,000 amps at 130 roar or ❑flUU:ty a:Itd1neJ. ®1-and 2-family dwelling kw,CO grotmd or exceeds 1ap00 0 Corrtoercial-use agrinrinila l y g 1 CommerciaWinds sn4al ❑Accessory buildin Amps for all other m,maaroas. watdegs. ©Multifamily Q M a s t e r builder (]Meer: f 1 Flit Pomp. ©rnnerama of 150 XYA or 0 JOB Sl'TE INPOI[MAISON AND IUCAT70dt Emergency syaten. Ismersepa1-2 derive stem, 0 Addirim of new mow salad of Job no.:TP9 Job site address:147SI SW 122°°Place WOW or more. occupancy. M gu or more residrdlial vdt'e. ❑Rosmnrlorrl vehicle Tarim. i CigdStaoerI P:Tigard,OR 97224 ❑rtalth-ram racilines. ❑Supply vatuge tar room than ❑Hamislee,7osaicra. 600 yobs no>chial- SulteJbldglapt.no.: Project mane:Troy Park Lot 9 D Service or feeder 600 amps or mare. FEE SCHEDULE Cross stre t/dit6Crions to job site: ,-- . • Sitrs111 llal — "` --/ New raidentiat single-or multi-fam0y dwelling molt. lnchtdet ttttaclrod ...e. Subdivision:Troy Paris : Lot no_9 1800 r 1.ft.or less -'; .16851 I U ,Tax map/parcel no.: Ea.add t 5W sq.R a lJartirm i._ 33.92 t In _ �Lintired energy.residential t..-.. DESCRIPTION OF WORK (Mid,above sq.R.) 75m 2 j Coned energy.aa9Ai-family i 7$100 z Single Family Residence residential(with above sq.ft) Renewable Energy 0 See Pare 2 9ervittts or Rulers installation,alteration,andlarrelocation gg PROPERTY OWNER 1 ❑ ;ANT 200 amps or Less T 100.70 - 2 H " 201 ampsto400amps 13336 " i 2� Name_Timberland Homes,Inc. a01 atom w UW notpe 2go 74 --T 2 Address:12670 SWOP Ave.,Sidle 390 t f 601 amps to 1000 amps - 1 301.04 ti- t—SLytStaterzlP Tigard,OR 972a3 - Over 1.000 or volts I 55226 2 Tammary services or feeders instaJAtion,alteration,Astor Phase:(503)620-8860 Fax:(S03)398-9081 ar3ocrrtlna 200 amps car lets I 1936 I 1 Owner Installation;This installation Is being made on property diet I own which is not 201 an w a coo aatp � t zs.ott ' ) 2 intended for sale,!case,rent,or exchange,according to ORS,447,449,670,and 701. r 401°a0 s to 599 amps J 16834 2 Owner signature: Branch circuits-oe.,41Sererion,or eamaidower panel ® APPLICANT J D CONTACT PERSON A.Fee for=ode Oy,tha watt aio..e service or Feeder fee, 742 2 • Business nsme:Timberland Homes,Inc. each branch circuit • a broach Fee for circufa wa4*e n ___ "_' _•• ' Contact um=Laura Blake service or facia fee,Era — ---- - 56.i a 2 cicu t Address;12670 S W 68a Avc SoIte 300 n add 1 branch circuit --s___. 7.42 2 etty-StaterCIP:Tigard,OR 971.23 Miscellaneotac(9ervtce or feeder tot meloded) t?acn am=Cleared or tondo= 6784 1 2 ' Phone:(503)62043860 t Pax::(503)598-9061 dwdliaa.srrvlcaendfor finder_ l Recaonxt only 6744 E-mail:laura@t1 iberlapdbomes.net Pram."Imeatlon circle 67.84 -. 12 t T CONTRACTOR Sig to outline lighting 6184 ' ' 2 BusiaeSSframe: flea li (lf_'sP. 1 i 1 S � t[a)urIimitec:energy See E 1'` F r/ f W V I panel,aherm:Ion.or=tension. _I ._aKe_2 2 • Address: Ptak-e.... leech afdli5oasl inspection overadlowable in aogr of the above 1 I,-- � GSM 1100"tr.1 Ci�'J�eld�P: Aciitioesiimpution{ilirmin) ' 667Sihi Vbr t WL t a 12 144-5 1n. paon0 brmial I 66251 I Pnoaa: Fax'( -97,2 Industrial pleat t1 fir min) Ili he _ u Inspections for which no fie is AoI _ _�_ ' C C B Lic:l,1 o'�. , Plecerical Lic.: l 3uprv-Lic. 'l5bo 4j` spec 6calty listed(II ire rnio) i L `_...L . - ELECTRICAL P RWT FRS { Supra.Electrician signature,requited: ' �^ /.�,- e ••J • _ Subtotal: Print natnc ) Date: - ( Man review(25%of permit fee): 1�S r3 Y1B I a f,N. !f State sulehalpe(1296 of pctmlt Yee): Authorized eigrtatutn �'PVC TOTAL PERMIT FEE.: Print name: This p�h appllntisrt eepbis if■permit 6 00l obtained aldllo 180 I Date: 4.3r after a boo has accented as omaplata. 'vp,uhcr of mveet.00s al!o.md per permit Llauitdi..0.1e00b1 PenalfApp_v_x_t mac aes117/210011 44040127(1 I/)7/Ct1miwal3