Permit I N Ill` CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2007 -00156
• COMMUNITY DEVELOPMENT DATE ISSUED: 10/16/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112CC - GF005
SITE ADDRESS: 15744 SW 81ST AVE ZONING: R -12
SUBDIVISION: GAGE FOREST LOT: 005 JURISDICTION: TIG
PROJECT: GAGE FOREST
Project Description: New SF detached.
BUILDING
REISSUE: MS5AGL STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 974 54 BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,402 of GARAGE: 431 51 FRONT: 1 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: of RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,376 of — REAR: 15
PLUMBING 41a ii% , /
6o `
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 / RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
NAT FURN > =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 SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 • 200 amp: 0 • 200 amp: W/SVC OR FOR PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 4 201 • 400 am F 201 • 400 amp: lot Wi0 SVCEDR: SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 • 600 amp: 401 • 600 am R EA ADDL BR CR SIGNAUPANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 001+ampo•1000v: MINOR LABEL:
1000+ amplvolt :
PLAN REVIEW SECTOR
Reconnect only:
0 =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 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL - ENCO M BOILER: HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL II 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 6811H 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: $ 12,097.62
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued : t/4 / I , Permittee Signature : - Oaitc
■ Call 503.639.4175 by 7:00 a.m. for an inspection that busine 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.
n CITY OF TIGARD SEWER CONNECTION PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: SWR2007 - 00209
TIGARD DATE ISSUED: 10/16/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112CC - GF005
SITE ADDRESS: 15744 SW 81ST AVE ZONING: R -12
SUBDIVISION: GAGE FOREST LOT: 005 JURISDICTION: TIG
PROJECT: GAGE FOREST
Project Description: New SF detached
TENANT NAME:
CWS NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1.0
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Owner: FEES
TIMBERLAND HOMES INC
12670 SW 68TH AVE Description Date Amount
TIGARD, OR 97223
[SWUSA] Sewer Connection Fee 10/16/2007 $2,800.00
[SWINSP] Sewer Inspection Fee 10/16/2007 $35.00
Phone: 503- 620 -8860
Total $2,835.00
Contractor:
•
Contact #: REQUIRED ITEMS AND REPORTS
Reg #:
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued.
The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is
not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall
purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. 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 OAR 952 - 001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued b Permiftee Signature: C
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
. P 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.
RECE
Building Permit ApplicationwG 20 2001 /� FOR OFFICE USE ONLY Received 1111 City of Tigard F TIG p+AD Da eBy. 8 40,0 a 1 A , m Permit No.:W��07_� lSb
• C 13125 SW Hall Blvd., Tigard, OR Y p ISION Plan Review n,,,
Phone: 503.639.4171 Fax: 503.1 tiNG [�I Date DateB ea Y- l : • 5 • ', . ! Other Permit: tZAW
Inspection Line: 503.639.4175 D Ready': z Jur ® See Attached Checklist for
TIGARD
Internet: www.tigard or.gov Notified/Method- l!c1 t* Supplemental Information
Sita- e4c_wG4•
TYPE OF WORK REQUIRED DATA: 1- AND 2 -FA 1 Y DWELLING
Q'New 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.
01- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 31-S
4 ❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: 1
JOB SITE INFORMATION AND LOCATION Z
ON Total number of floors:
Job site address: ( 5144 S C..) (
�. I Anjt., New dwelling area: 1.31 k. square feet
City /State /ZIP: T(( a -(y -4 47 Garage /carport area: A3` square feet
Suite/bldgiapt. no.: 5 • �
1 Project name: (1 AAA Rp n r Covered porch area: 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.: 5 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
N C (C �u fn y r- » - -
- y ' 0 • CAN ' S Existing building area: square feet
0 New building area: square feet
k [PROPERTY OWNER ❑ TENANT Number of stories:
Name: <f N A S (NC , Type of construction:
Address: (2, 6 / 0:5 S (A..) (0 8 1 "VE Occupancy groups:
City /State /ZIP: T R, A eL p , an._ 172-23 Existing:
Phone: ( r3) ‘2o • t58(. 0 Fax: (P3) 512. 4 ( New:
I APPLICANT ❑ CONTACT PERSON
1 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: S ( (Please refer to fee schedule)
City/State /ZIP: t Structural plan review fee (or deposit):
•
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: 141 1 U r Total fees due upon application:
Amount received:
Authorized signal
This permit application expires if permit is not obta'
within 180 days after it has been accepted as corn
Print name: m p lettttt.) A9101c, Date: ` 7cs ' * Fee methodology set by Tri -County Building lndu
Service Board.
11Building \Permits\BUP- PermitApp.doc 03/21/06 440-4613T(t1 /021COM/WEB)
r
R ECEI' D .
Plumbing Permit Application FOR OFFICE I sH: ONLY
• City of Tigard Received , I p 6 7 W Permit No.: kb5r . 60/ 56
• 13125 SW Hall Blvd.. Tigard, 2 TIGABDr Plan R y :
l
Phone: 503.639.4171 Fax: � 1 Plan Review
_ 4 01\1 Date: Other Permit No.5) I 1
Inspection Line: 503.639.4 y - P�
T I GA R D Date Ready /By� 0 See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 7 Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑ Demolition For special information use checklist
Description 1 Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: . New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
011- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder ❑Other: Each additional bath/kitchen 45.00
Fire sprinkler ( _ sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION
Site utilities
Job site address: f 6 j 7 Leii ' t r t- Catch basin or area drain 16.60
City /State /ZIP: `1 CI ..A-0.-- ( cTIL 9122.4 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
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision: f 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
NEB .S(uct LF F 01.1,1„l( (_L( p_ f i) _ ce,,Ns auc tom Clothes washer 16.60
1 Dishwasher 'I 16.60
[PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: i t►ngFQ L.A-Kt D t t n s � tkiC • Expansion tank 16.60
Address: ('L( 1 V 5 c„_) ( 8 E. Fixture /sewer cap 16.60 -
City /State/ZIP: Tic .p / of( 9'722-3 -3 Floor drain/floor sink/hub 16.60
Phone: (3)S 62.P . Ua ( Fax: (5' ) 518 . 9o$ 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 16.60
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR Water closet f 16.60
Business name: C2-p -, . 3 °yam ? rvA (tit r - t Water heater _ i. 16.60
'l �
Address: - 2 5L.) �(f M it�s AVE " Other:
City /State /ZIP: 0 81:13 1 Ve19 --It?( 011k 1.-10° (:. Subtotal
Minimum permit fee: $72.50
Phone: 053 ) , f4 , is 6/(g Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lic.: 'Le (( Plumbing Lic. no.: 20 (48'? b Plan review (25% of permit fee)
A
Authorized signature L `t State surcharge (8% of permit fee) TOTAL PERMIT FEE
Print name: it l( E1m,J -- 0 Date: This permit application expires if a permit is not obtained withiq
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service
I:\ Building \ Permits \PLM- PermitApp,doc 06 /26/06 440- 4616T(10 /02 /COM/WEB) /
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard CEl 1� `, Received DDate/By: 4 b �•7 Permit No.:WG) //,a7 0 E
IN • 13125 SW Hall Blvd., Ti g 97223 •
Plan Review o � II Phone: 503.639.4171 Fax: 503.52A.110 0 DateBy: Other Permi . r /
T I G n R D Inspection Line: 503.639 AM 0 2001 Date Ready /By: . El See Page 2 for
Internet: www.tigard or.gov . TIG D Notified/Method: Supplemental Information
CITY OF t t
T `69►1Vca1 10N
COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
[t/rNew construction ❑ 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: $
�' I -and 2-family dwelling Accessory RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ❑ Commercial /industrial Accessor buildin g
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. I Ea. Total
JOB SITE INFORMATION AN� LOCATION Heating/cooling
/
Job site address: J y Air conditioning or heat pump
t ` �� (JJ r / I V (requires site plan showing placement) 14.00
City /State /ZIP: *IA (, -L.0 , (Z q - 1 2-2-4 Furnace 100,000 BTU (ducts/vents) 1 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: 4 "(4.E Far2l>v;$
Gas heat pump 14.00
Cross street/directions to job site: Duct work l 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
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater ( 10.00
Gas fireplace 1 10.00
Flue vent for water heater or gas
NV.....) S I Al (c Le FIt✓V(. t LA fz_c4I 0 . c c., 6,1 Sr a c c l t. cwt' fireplace L 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
[PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: l l Aft, 6E LA# p a-ar&t3 ( &cc- • Environmental exhaust and ventilation
Address: C1..(, Z 8 S C,.) ( T� P-V E Range hood/other kitchen
equipment ( 10.00
City /State/ZIP: T(4 , .1) / ,/L. Al X23 Clothes dryer exhaust 1 10.00
Single -duct exhaust (bathrooms,
Phone: (,58 3) c/o • Z8(00 Fax: (S 3 ) S" 4$ • It8 $ t toilet compartments, utility rooms) 3 6.80
2 ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: S $ 5.40 for first four; $1.00 for each additional
Address: fA Furnace, etc. I
Gas heat pump
City /State /ZIP: WalUsuspended/unit heater
Phone: ( ) Fax:: ( ) Water heater 1
Fireplace ( _
E -mail: Range '
CONTRACTOR Barbecue
Business name: tekL a . pr-1 a_ Clothes dryer (gas)
Other:
Address: ? 0 %6K 433 MECHANICAL PERMIT FEES*
City /State /ZIP: C LA P rr∎/tS f Cr oc l ocs Subtotal
Minimum permit fee ($72.50)
Phone: (ya3) (, ("lot Fax: ( ) Plan review (25% of permit fee)
CCB lie.: Vol(r) 11 State surcharge (8% of permit fee)
L.------ TOTAL PERMIT FEE
Authorized Signature: This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: inMe .tFW dn. Date: * Fee methodology set by Tri -County Building Industry Service Board
t\ Building \Permits\MEC- PermitApp.doc 04/06/06 440 -4617T (I I /02/COM/WEB)
11/30/2007 FRI 11:17 FAX 5036781108 Bear Electric,Inc. [001 /001
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1��' 200- 15 n ihQ.;n Y, L)
Electrical Permit pp A pp l ication FOR OFFICE USE ONLY ...
City of Tigard Received Permit No.:Ms ) -1_on) 5(P
13125 SW Hall Blvd., Tigard � Plan ��$$ ` Plan Review
Phone: 503.639.4171 Fax:�9�8�`v �r�,h Date/By: Other Permit
Inspection Line: 503.639.41 `���� //// 14� 1 . E' �, ` Date Ready/Br Juts: 0 See Page 2 for
Internet: www.ci.tigard.Or.us • , I / • t' ' I Notified/Method: Supplemental Information
Rik ,xq.IE- S raj:z7p'FS-NL.iV-I - �•
t -�=-�-:�.
k ... �.t Y,....r x_ ....`�,s ..•,;i: rs . 140
.,;.:
X New construction 1 ig Fi� Jplacement Please check all that apply:
Demolition B' 1 1. r: Ut ['Service over 225 amps, comm'1 OHazardous location
.:, = key _, ° f ., ; .,
['Service over 320 amps - rating DBuildng over 10,000 sq. ft.,
.,_ ❑s p lo,00
,y w A; ' isi. :.-�g/.1t..• ,,A_.._ .�^5 g. a �,�P ` TR,.I - ly` i u .. r „t, , fi; •„ _ , g of l- and 2- family dwellings 4 or more new residential
5 4 I - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
ED Multi - family ❑Master builder ❑Other: ❑Building over three stories OFeeders, 400 amps or more
i - �, :r; ; , _ , F , , _. _ `le _ ,,^� ;�_, _ „, , . :A „ .• ❑Occupant load over 99 persons ❑Manufactured structures or
1 7 : , r ; 'ZilitTTer tT x7 f °: _ �.. park
RV ' � :i. st;,;t• ..: rx: �,: O A„ �„...,A„f\b::L�QCA,„;, ,.,, a• ❑E ess lli M ing Ian R P
...� '=
t •� ..: :r.:mra; c. � . +- r::�:- ;- r.-xn. _ r� ?,.. >�� -t�� `S -: •. .. _
• : -.�' .- • r��z -w6;:- gr g P ❑Other:
❑ Health -care facility
Job no.: Job site address: 1 1 Lill W $` St A ve., Submit 2 sets of plans with any of the above.
City / State/ZIP: ko i Q CR . The above are not applicable to temporary construction service.
� Suite/bldg. /apt. no.. _ P ro j e c t na . .... _.... - - - • - a c_::. S = h' a ' .:.IM . -„ ' =.'-= :i :. `
Description ( Qty. •'• Fee. I Total 1 .•
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: 5 Ea. add'I 500 sq. ft. of portion ' 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
:;y ",,.- "? iava:�atr �7:y: ”' ` :< ^;� ; ir. ri :w.<` -r.,; ;a:^- Limited energy, non - residential 75.00 -- 2
i' a Y r''''•' tim •;=5'.R - D PI �i� }� ,;;4 OR;lfi �e,' -Art e: .%rii •�z4 lft. :rrr> Each manufactured or modular
• dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
. '437 `%I i,,, r,rr,. :;;ra. _ i S'`'° °`'=:4: is it '`� gi -. :•m k -z i ,-: :.& 201 amps to 400 amps 106.85 2
'!= `rrnA " I��PR {/7,''I'• � .4i:�G;f �?:' '+ =�; .r;t:�'a�:_s. -
;2 ?S ._.. ":.�1 ; r, ..�.� .z';::,3'y,;r, ".._.•_. , ., � .• , .- ..,: s:` :.; .. .'_ .., ...... ..
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
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 1 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 I 2
•
• Owner signature: - Date: Branch circuits - new, alteration, or extension, per panel
r. • . -"•. iG= : ' -� P-I1 "'r •• -. ( x s.f S A. Fee for branch circuits with
-•.. .•:Yx ' c•Af ', , n. ' Wek4a, " •�` .t`s .'3?„+'s :« r`Ir', �T °�, ,
a% + ..:in .- +�: .3s:,w 3:a� .v!rra,.vNR ":� :z > �.•':VL
Business name: service or feeder fee, each 6.65 2 ;
branch circuit
•
Contact name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'l branch circuit 6.65 1 2
City /State/ZIP: Miscellaneous (service or feeder not included) •
Phone: ( ) Fax:: ( ) Pump or irri circle 53.40 2 • .
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
M ik <,.: a':f ?r; _ '•'r y' : >e:u ' -s y, ,e � r ever panel alteration or ,...;, • ;`Gr x ..s c ..,. , giri .:.,exe.IM Q??? 1 _ ._ F.�t, nwz,., :. i t, ,. . yet g
r ..s .: i ` extension. Describe: Page 2 2
Business name: Bee \r [ ey ,_ i e...,,c_.., c ,, r
Address: p o° i::>.. ScgO Each additional inspection over allowable in any of the above
l Per inspection 62.50
City /State/ZIP: t z : - A - ) (\` d ) Gcz C`'1( Investigation per hour (I hr nun) 62.50
v03) \ .3 Industrial plant r hour 1 73.75
Phone: (5 c.>3) Uri `J`� Fax: (D ") P- i 3:4W??y' =a : R7'6A1 R4AB IM .
CCB Lie.: 2_0q 1Q Electrical Lie.: L.1 -1 O - 1C Suprv. Lie.: Subtotal
Suprv. Electrician signature, required: -_iN Plan review (25% of permit fee)
Print name* n ; Date: _ State surcharge (8% of permit fee)
— TOTAL PERMIT FEE •
Authorized signs ■ re: This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
CITY OF TIGARD
BUILDING DIVISION r` PERMIT #: MSl OU7-W 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10i !WWI
Phone: (503) 639 -4171 IttiA �
Ins pection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4 3Of.1 L )0 TIME: 7 :0GAM PAGE: 5
SITE ADDRESS: 1 c744 SW aim AVt: CLASS OF WORK:
SUBDIVISION: 0:1V,, F. I• C'; t .S1 LOT #: 00'J TYPE OF USE:
PROJECT NAME: 4.3.1,t ;t=. F:(.4 I
DESCRIPTION: Nett ;.;F 61. tr::.,i.
OWNER: 1IMBt° }21. AND HOMI: ":; INC, PHONE #: 603 -#3 0- i)S_` 0
CONTRACTOR: TIMBE.R:I. AND 1 10113 IN ' PHONE #: F;at3 -6210 f O
Inspection Request Scheduled For: Date: 4130/20W Pour Time:
Code # Inspection Description Confirm # Contact # Message
} Pitlt :ng thi 0 ( -41 503.131 -980
Corrections /Comments/ Instructions:
. -P.i e d t2c.5 K 1cv=1-r.4./ D i ��-. ,,.34.-5' r A a F
20 Ps s rvx - Pfe. r IP$
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ 1 a'O _ Date: LA ` V O t' Phone #: (503) 718-
.
CITY OF TIGARD • ..
BUILDING DIVISION PERMIT #: MST2007- 00166
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 4 N °dV9 'JI+V
Inspection Requests (24 Hrs.): (503) 639 -4175 • F_..
INSPECTION WORKSHEET FOR DATE: 3/21/2008 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 5.03 - 620.8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620.8860
Inspection Request Scheduled For: Date: 3/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 067146-05 603-737-9888 Y
Corrections /Comments/ Instructions:
136%,u4- v. PL M 20 o g— O /Uo %rn�- dot
1c w d 04,H ,.. ( PL rv1 200 - d 00 t--`7
Cam. i d - ', a ,.A.c t=t,1 PLC. .)o CR) a V2
/4-613' t,,,,or P,a4-tAii,c, -- Re_ 1 -A, A--64./ ,- ivLCt. v..u,-..
Ptit"■a l 1 90 P SG
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Lo (mac✓ N o ✓i- S I e_ o F j u- -� c . mfr lSW7,o veL
CaA co,/ T \ ,., J. L /vv-ST z%
- 2w'e - -z/u- e(o 1 *- 1 ►��- er I
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C r6 V� Date: )2jt.10 4> Phone #: (503) 718-
- r .
CITY OF TIGARD . - .
BUILDING DIVISION PERMIT #: M5T2007 -OQ156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 u y ,
Inspection Requests (24 Hrs.): (503) 639 -4175 W 'I � ..
INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7 :00AM PAGE: 77
SITE ADDRESS: 15744 SW 01ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detacht3d.
OWNER: TIMBERLAND FIOMES INC, PHONE #: 503.6208860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503.620.8860
Inspection Request Scheduled For: Date: 12/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 061222 -12 503- 737 -9888 N
Corrections /Comments /Instructions:
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v i \._- Date: r 2.1 j l / o 7 Phone #: (503) 718-
CITY OF TIGARD - - . .
BUILDING DIVISION PERMIT #: MST2007 -0()1 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 A* l
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I..
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7 :01AM PAGE: 21
SITE ADDRESS: 15744 SW 01ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503.620 -8B60
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: X03- 620 -8860
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
315 Post/beam plumbing 059540101 503.737-9888 Y
Corrections/Comments/Instructions:
_...... IP
AVIIIIIMPILIRDIA
s.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: 4,/ Date: 1 t 1 ✓ 0 7 Phone #: (503) 718 -A
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: M5T' 007 -QOi56
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 • ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 15744 SW 131ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 -820 -8850
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-820-8860
•
Inspection Request Scheduled For: Date: 10/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 058737 -07 503-737-9808 N
Corrections /Comments / Instructions:
1
I
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CP 1 /14 •4.4 l' 111 Date: 1/0 l ?) t Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00P 6
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 10/16/`1.007
Phone: (503) 639 -4171 7nm�r't i
Inspection Requests (24 Hrs.): (503) 639 -4175 . 'I:II 1
INSPECTION WORKSHEET FOR DATE: 10131i2007 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 15744 SW 01ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503- 620•6860
Inspection Request Scheduled For: Date: 10/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
506 Sanitary sewer 058737 -08 503 - 737 -9888 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (3 ���— Date: ( 1 I-°/ Phone #: (503) 718-
CITY OF TIGARD . • .
BUILDING DIVISION PERMIT #: MSTVW-00Th6
13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: 10115/7007 -
Phone: (503) 639 -4171 A II A
Inspection Requests (24 Hrs.): (503) 639 -4175 ...-.:. '_...
INSPECTION WORKSHEET FOR DATE: •10/31 /2007 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 1.57M SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: CAGE_ FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620 -8860
Inspection Request Scheduled For: Date: 10131!2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
310 Crawl drain 058737 -09 503.737 -9888 N
Corrections /Comments / Instructions: .
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: aDknih�A\ \\V Date: 8 131 10 Phone #: (503) 718 -
•
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1E1:2007
Phone: (503) 639 -4171 +�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 1J744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: ' TIMBERLAND HOMES INC. PHONE #: 503 - 620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860
Inspection Request Scheduled For: Date: 10/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
330 Water service - 058737 -05 503-737-9888 Y
Corrections /Comments / Instructions:.
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CYO LvN ---) 1 \\ -- Date: l/` I t o Phone #: (503) 718-
. t .
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639- 4171e*
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGF< FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: SAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 -620 -81360
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: J03 -620 -8860
Inspection Request Scheduled For: Date: 10/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 058737.06 503 -737 -9888 N
Corrections /Comments / Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (Th /i..A -. . Date: 10 /3)/6 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007-00156
1 3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 4 'r'
Inspection Requests (24 Hrs.): (503) 639 -4175 `� L •
INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: •7:00AM PAGE: 27
•
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 006 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detach« d.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620 - 81860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503620 -8860
Inspection Request Scheduled For: Date: 3/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
109 Electrical final 066732-01 503- 678-1355 V
Corrections /Comments / Instructions:
•
•
•
•
•
02 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES A SESSED
2 J441 l
Inspector: �, ' Date: > ; � /i Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 2007-00 a
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10116/2001
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 . , JAI- IL
INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7 :00AM PAGE: 25
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE" FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF dotached.
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
120 Electrical rough -iro 062970 -08 503731 -9888 Y
Corrections/Comments/Instructions:
I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ulf Date: 1 /1 . 6 (./ Phone #: (503) 718 -
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 :ni I l i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7 :00Am PAGE: 24
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 603620 -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
135 Low voltage 06297409 503.737 -9888 N
Corrections /Comments/ Instructions:
I►_4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: il/ohk (l/oh Phone #: (503) 718 -
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2.007
Phone: (503) 639- 4171F� ����
Inspection Requests (24 Hrs.): (503) 639 -4175 .�� `__..
INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7 :00AM PAGE: 14
SITE ADDRESS: 15744 SW 81ST AVE_ CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New ST detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 -620 -8860
Inspection Request Scheduled For: Date: 117/2 08 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 062693 -02 503 - 737 -9888 N
Corrections /Comments/ Instructions:
11111 •
•
Q 1 Z Zk' Makt
4 ' . c
or,), r tit 4970
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
X FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
1
-ICY .
Inspector: Date: 7 ( t D Phone #: (503) 718-
1 ...
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MST2007 -00 166
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 W�.,
Inspection Requests (24 Hrs.): (503) 639 -4175 -__..
INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7 :00AM PAGE: 8
SITE ADDRESS: 15744 SW AVE CLASS OF WORK:
SUBDIVISION: SAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620 -8860
CONTRACTOR: T1MBERI.AND HOMES INC PHONE #: 503.62U - 86E0
Inspection Request Scheduled For: Date: 1!712008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 062694 -04 503- 737 - 9888 N
Corrections /Comments /Instructions: Q�
W k 1 1
/4 ,R _ , fr
-4, - /
0. ..,-.1.wrillf.', Milikaar.
1 1 % V)
o
r I N
o. ; 1
()-1/T
1\j)2
❑ PASS ❑ PARTIAL APPROVAL bJ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 - 7 6 Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639 -4171 't At
Inspection Requests (24 Hrs.): (503) 639 -4175 ':� ° - _ �
INSPECTION WORKSHEET FOR DATE: 12/24/2007 TIME: 7 :00AM PAGE: 51
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK: •
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
•
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860
Inspection Request Scheduled For: Date: 12124/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 062.037 -19 503- 737 -9888 N
Corrections /Comments/ Instructions:
Ilitk k
P ((nu a 0_10'J 4 iatz..,v:4 ki4
Ft&.
L6NAJ V t=i, �� c,
WC( `►a.3 0
IN PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL 4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �v M '� 1G Date: * 0 Phone #: (503) 718 - 1,11+1
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2007- 00166
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 µad o 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ..': F --
INSPECTION WORKSHEET FOR DATE: 12/24/2007 TIME: 7:OOAM PAGE: 52
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503-621-886O
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620.8860
Inspection Request Scheduled For: Date: 12/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # - Message
120 Electrical rough -in 062037 -18 503- 737 -9888 N
Corrections /Comments /Instructions:
Naft Pia %D c s o Oct f oov AZetcolkaQ
g Q It Iv 1 1 -- )
Qoax Rao tzvett. iisb
❑ PASS ❑ PARTIAL APPROVAL ANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION DDITIONAL FEES ASSESSED
Inspector: &i S €L+ Date: I Phone #: (503) 718- 140
—*/—
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 2007 -001 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 157M SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 603 -620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 -620 -0860
Inspection Request Scheduled For: Date: 12112J2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 061377-02 503-6713- 1355 N
Corrections/Comments/Instructions:
•
e ?
ft
f
I do & 4/21d
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
'FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ( #:. (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: h�IST2007 Ofli56
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •10/ 16/10(j7
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 F L
INSPECTION WORKSHEET FOR DATE: 12112/2007 TIME: 7 :00AM PAGE: 39
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FORUM' LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-9960
60
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620.8860
Inspection Request Scheduled For: Date: 12/1212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
170 EIectlical rough -in 061377 -01 503 - 678 -1355 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED: 10/i6I2007
Phone: (503) 639 -4171 q��� . i r
Inspection Requests (24 Hrs.): (503) 639 -4175 "' I ..
INSPECTION WORKSHEET FOR DATE: 1/16/2008 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 00f, TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF dotached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503- 620-8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #:503620 -8860
Inspection Request Scheduled For: Date: 1/16/2008 Pour Time:
Code # srrection Description Confirm # Contact # Message
24? V jIn1 Interior :,bear walls 063330 -04 503 -9888 N
Correcti�� ommen / �ctions• s.._ � s � , 144 / ii1t��.Jlrr N /� 0 fr Aj
-‘.---ix.. Vs-4_ 1 1/ CV b‘c3. (e-gi .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - `�' D ate: 0 z-( d Phone #: (503) 718 - � �
I
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: M T2007_00l56
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10f16/2007
Phone: (503) 639 -4171 u �4ueh,,i11
Inspection Requests (24 Hrs.): (503) 639 -4175 W `'-_
INSPECTION WORKSHEET FOR DATE: 1/16/200 8 TIME: 7 PAGE: 14
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503.620 8880
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 603.620.8860
Inspection Request Scheduled For: Date: 1/16x2008 Pour Time:
Code # In)pection Description Confirm # Contact # Message
280 Insulation 063330 -01 503737 -9888 N
Corrections /Comments /Instructions:
N ;2 : <4.J2,) / 6 /vi P .
r-
-PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED k fiy Inspector: Date: Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16i2007
Phone: (503) 639 - 4171. ��.�Ir-�-' (�I
Inspection Requests (24 Hrs.): (503) 639 -4175 • `''.
INSPECTION WORKSHEET FOR DATE: 1/16/2008 TI E: 7:00AM PAGE: 11
SITE ADDRESS: 967114 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: Q05 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503. 520 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503.620 -8000
Inspection Request Scheduled For: Date: 1118,12008 Pour Time:
Code # Insction Description Confirm # Contact # Message
275 Framing 063330 -03 503- 737 -9883 N
Correction /Comments/Instructions: p
Y1 o/o (1g) .
4 ■E'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V(; / /1 i a b
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD `
BUILDING DIVISION PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 14*ItiiCi 11
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 1 /16120 08 T 7 :00AM PAGE: 7
SITE ADDRESS: 15744 SW 81ST AVE_ CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE. #: 503-620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503621 18860
Inspection Request Scheduled For: ( Date: 1116/2008 Pour Time:
Code # Inspection Description \ b confirm # Contact # Message
285 Drywall nailing S 06333005 503.737 -9888 N
(z •1 )
.S
Corrections /Comments /Instructs ns
N o iti ' 6_,e— ' , , (s D4 . k a /o Keg
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❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V(/tfi---- Va_o( 6 3 Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/200
Phone: (503) 639 -4171 Ahl 1iIli�
Inspection Requests (24 Hrs.): (503) 639 -4175 W
INSPECTION WORKSHEET FOR DATE: 1/16/2008 TIME: 7 :(0OAM PAGE: 12
SITE ADDRESS: 157M SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620.8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620-8860
O
Inspection Request Scheduled For: Date: 1/16/2008 Pour Ti -. ,
Code # Inspection Description Confirm # Contact # Me -age N
235 Shearwalls/anchors 063330-02 503- /37 -9888 ` 1 J
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Corrections /Comments /Instructions:
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❑PASS
111 PARTIAL APPROVAL !' CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
� Date: 1 1� G �I Inspector: Date. � / Phone #: (503) 718 -
CITY OF TIGARD '
■
BUILDING DIVISION ' PERMIT #: MST2007 -00166
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 11, t
Inspection Requests (24 Hrs.): (503) 639 -4175 - � II
INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7 :00AM PAGE: 23
SITE ADDRESS: 15741 SW 131ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 006 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF d Waled.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503620 -8860
CONTRACTOR: 11MBERLAND HOMES INC PHONE #: 503- 620 -8860
Inspection Request Scheduled For: Date: 1/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 062970 -10 503.737 -9888 N
Corrections/Comments/Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
l ' - FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ‘' / C 11 Phone #: (503) 718 -
1
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CITY OF TIGARD ,.
- BUILDING DIVISION , PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16.12007
Phone: (503) 639- 4171 � '
Inspection Requests (24 Hrs.): (503) 639 -4175 .. I
INSPECTION WORKSHEET FOR DATE: 1110/2008 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: (SAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 58860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503: -620 -3860
Inspection Request Scheduled For: Date: 1/10/2003 Pour Ti •
i "
Code # In ection Description Confirm # Contact # Mes age
I
276 Framing 062970-07 503 -737 -3888 Y J
Corrections /Comments /Instructions: -/
/
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❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V at IA Phone #: 503 718 -
Inspector:
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Date: ( )
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CITY OF TIGARD
1 BUILDING DIVISION „ ,,, ( #: �Vi`31'2007_Ul?156
13.125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
' . Phone: (503) 639 -4171 4 �I A A
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Inspection Requests (24 Hrs.): (503) 639 -4175 � 'I •
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INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 00f TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503.620.8860
CONTRACTOR: TIMBERLAND HOMES INC e PHONE #: 503- 620 -8860
%
Inspection Request Scheduled For: Date: 1!7/2008 I Pour Time:
Code # Inspection Description Confirm # Contact # Mes age ? IAA-
275 Framing 062693 -01 503 -737 -9888 Y
Co rections /Commen /Instructions:
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❑ PASS g PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES A SESSED
V ci l/ r Inspector: i D ate: G ' 0 P Phone #: (503) 718 -2A1(-
CITY OF TIGARD `
BUILDING DIVISION PERMIT #: MST2007 -00166
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1612007
Phone: (503) 639 -4171 . i g i
I Requests (24 Hrs.): (503) 639 -4175 . �! +L
INSPECTION WORKSHEET FOR DATE: 1/7/2008 ME: 7 :00AM PAGE: 12
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 006 TYPE OF USE:
PROJECT NAME: GAG': FOREST
DESCRIPTION: Now SF detached.
OWNER: TIMBERLAND FIOMES INC, PHONE #: 603.620.8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: +.03 -620 -8880
Inspection Request Scheduled For: Date: 11712008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 062694 -02 503 -737 -9888 Y
Corrections/Comments/Instructions:
/L . k z% 4:11"") — \ -6. A 7
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.. _ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �jl Date: \ 1 0 Y Phone #: (503) 718- Vitt/
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CITY OF TIGARD '
' BUILDING DIVISION PERMIT #: MST2007 -00 1a6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10116/2007
Phone: (503) 639 -4171 li I�I� le
Inspection Requests (24 Hrs.): (503) 639 -4175 '__..
INSPECTION WORKSHEET FOR DATE: 1/7J2008 lif 7:00AM AGE: 10
SITE ADDRESS: 157M SW 81ST AVE_ CLASS OF WORK:
SUBDIVISION: CAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: £03.620 43860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 603-620-8860
Inspection Request Scheduled For: Date: 1/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 06269403 503- 737 -9888 Y
Co rections /Comments /Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
V;t1 :\/ ®Y Inspector:
Date: / Phone #: (503) 718 -
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CITY OF TIGARD - `
BUILDING DIVISION PERMIT #: MST2007 00 56
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 4 w a 41104:i I
Inspection Requests (24 Hrs.): (503) 639 -4175 __�
INSPECTION WORKSHEET FOR DATE: 1/7/2008 IME: 7 :00AM PAGE: 13
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE: ,
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 -620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503- 620 -8860
Inspection Request Scheduled For: Date: 1/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 06269401 503-737 -9888 Y
Corrections /Comments/ Instructions:
ij w4 , L/ 7.-,, /a 1 (M)
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❑ PA -S ❑ PARTIAL APPROVAL ) I: CANCEL ❑ NO ACCESS
❑ FAIL ❑ C . L F01 INSPECTION ADDITIO ' FEE ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MS12007- 001f16
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 /470 i ��
Inspection Requests (24 Hrs.): (503) 639 -4175 A `'I ..
I
INSPECTION WORKSHEET FOR DATE: 17124/2007 TIME: 7 :00AM I PAGE: 1
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC. PHONE #: 503 - 62043860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620 - 8860
Inspection Request Scheduled For: Date: 12/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 062100-04 503- 737 - 9888 N
Corrections /Comments /In tructi ons :: �- 1 ` I
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X FAIL ❑ CALL FOR INSPECTION E] ADDITIONAL FEES ASSESSED /
Ins ector: Date: \ �� Phone #: (503) 718- Z /
P ` ,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 007- 0015E
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I(f/ 1612001
Phone: (503) 639 -4171 x 1 °
Inspection Requests (24 Hrs.): (503) 639 -4175 ! r I �..
INSPECTION WORKSHEET FOR DATE: 12/24/2007 TIME: 7:00AM PAGE: 2
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: CA(3F= FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503- 52U-0860
Inspection Request Scheduled For: Date: 12124/2007 Pour Time:
Code # Xspection Description Confirm # Contact # Message
:135 Shear walls/anchors 062100-03 503-737-9888 N
Corrections/Comments/Instructions:
•
g l,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: OV Date: 1 6 Phone #: (503) 718 -i
CITY OF TIGARD
• BUILDING. DIVISION PERMIT #: MST2007- 00166
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 tt i l l
Inspection Requests (24 Hrs.): (503) 639 -4175 '� `:_
INSPECTION WORKSHEET FOR DATE: 17J2112007 TIME: 7 :03AM PAGE: 25
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620.8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 -620-8860
Inspection Request Scheduled Fo'r: Date: 12121/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 062037 -16 503- 737 -9888 N
Corrections /Comments /Instructions:
7 k t 4</\?,(56
H'PAGS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
l ,�_� -� �
Inspector: 1/e- V ` - Date: ( 7 /7/ . / a Phone #: (503) 718 - ' L
‘.,,
CITY OF TIGARD - '
BUILDING DIVISION PERMIT #: RIST2007-00 15 6
to 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 ifreih ° l
Inspection Requests (24 Hrs.): (503) 639 -4175 67 f I..
INSPECTION WORKSHEET FOR DATE: 12/21/2007 TIME: 7:03AM1 PAGE: 26
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST .
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503620 -8880
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 50362f0 - 8860
Inspection Request Scheduled For: Date: 12/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 062037 -15 503737 -9888 N
Corrections/Comments/Instructions:
IX.1Lf i 4 ,
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IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 A -�
Inspector: " �' (,(..,/- Date: 17 4 M Phone #: (503) 718 - 24
CITY OF TIGARD
BUILDING DIVISION
.__ PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i /0115/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 J
INSPECTION WORKSHEET FOR DATE: 12/21/200 TI 7:03AM PAGE: 24
SITE ADDRESS: 15744 SW 01ST AVE CLASS OF WORK:
SUBDIVISION: (aA(3F FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
I
OWNER: TIMBERLAND HOMES INC, PHONE #: 603 -620 -0860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: :50'
Inspection Request Scheduled For: Date: 12/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 062037 -17 503 - 737 -9088 N
1 (4 ' ftz ,iA Ala . k ..., , . \ Correcti ns /Com P -nts /Instruction • Lty-s4-4--. i :
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❑ PASS • PARTIAL APPROVAL ❑ CANCEL P1] NO ACCESS
64F.IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
` �`
Inspector: Date: `Z/u Phone #: (503) 718- VI
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST'2007 -00166
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/iGJ2007
,
Phone: (503) 639 -4171 o.�yi,�� I
Inspection Requests (24 Hrs.): (503) 639 -4175 —,1911- k `.! .
INSPECTION WORKSHEET FOR DATE: 122121/2007 TI 7 PAGE: 29
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, • PHONE #: 503-62G-8860
CONTRACTOR: TIMBERLAND HOMES INC W PHONE #: 503.620 -8860
Inspection Request Scheduled For: Date: 12/21/2007 Pour Time:
Code # ,pection Description Confirm # Contact # Message
235 Shear walls/anchors 062037 -12 503- 737 -9888 N
Corrections /Comments /In tructions; &.-- _ -
cet-r 1 1 \ c ,-)
•
OP � S
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
4 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
"Ins ector: Date: ) / / l r) Phone #: (503) 718 -
p
•
CITY OF TIGARD
1 - BUILDING DIVISION PERMIT #: MST'2007_00i'ig
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 v .�4, -��1r
Inspection Requests (24 Hrs.): (503) 639 -4175 .�',�
INSPECTION WORKSHEET FOR DATE: 12/21/2007 TIME: 7:03AM PAGE: 28
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 006 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503- 620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503.620.8860
Inspection Request Scheduled For: Date: 12/21/2007 Pour Time:
Code # /Inspection Description Confirm # Contact # Message
240 Exterior sheathing 062037 -13 503 -/37 -9888 N
Corrections /Comments /Instructions: _
3 d 1 mS G. v-.�. -c ( tea
-1 1-f - o-A - -C-1/L.-U . --it , --- --- U ,,Q 1
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater • �� Phone #: (503) 718 - 1 �l
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 00156
13125 SW Hall Blvd., Tigard, OR 97223 ATE ISSUED: 10/I6/2007
Phone: (503) 639 -4171 '
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' I I
INSPECTION WORKSHEET FOR DATE: 12/21/2007 TIME: 7: AM PAGE: 27
SITE ADDRESS: 15744 SW 131ST AVE CLASS OF WORK:
- SUBDIVISION: GAGE FOREST LOT #: 005 ' TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 -G20 -8850
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 - 620 -8660
Inspection Request Scheduled For: Date: 12/21 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
242 Interior shear walls 062037 -14 503.737 -98t3B N
Corrections /Comments /Instructions: '
u7 .
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. (17/ IF ,
._ ._ .
__ ______
1
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
j; AIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: \-/(1 Date: 9,42A- /b Phone #: (503) 718 -
CITY OF TIGARD ,
-BUILDING DIVISION PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1011612007
Phone: (503) 639 -4171 +
Inspection Requests (24 Hrs.): (503) 639 -4175 — 4 11 !I. •
INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7 :00AM PAGE: 75
SITE ADDRESS: 15744 SW 8 AVE CLASS OF WORK: ,
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620 -86:60
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503- 620 -8860
Inspection Request Scheduled For: Date: 12/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 061222 -14 503- 737 -9808 N
i orre- tions /Comments /Instructions:
ak 1 .
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IF,5 r f
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1 7 0 1 A 4 W/ 9'i tA.' i /LL / ed .X P4
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCEal
[FAIL t..CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ /i
l Zl l J i Inspector: i Date: 6 Phone #: (503) 718 -
CITY OF TIGARD
'BUILDING DIVISION PERMIT #: MST2007 00Th6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 pryp
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' �'f�
INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7 :00AM PAGE: 76
SITE ADDRESS: 16744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC,
PHONE #: 603620 - 8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 5036248860
Inspection Request Scheduled For: Date: 12/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 061222 -13 503.737 -8808 N
Corrections /Comments /Instructions:
t r
'IA „•. 1, k L/' : A /
r /WWI „.•■• c ? ‘ )17,0 34 .7 'l
�II
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1i Date: t Phone #: (503) 718- _A.20
CITY OF TIGARD
'BUILDING DIVISION PERMIT #: MS12007-00i56
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639- 4171�g
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7 :00AM PAGE: 74
SITE ADDRESS: 15744 SW 01ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503 - 620 -B8€0
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503.620.1860
Inspection Request Scheduled For: Date: 12/11/2007 Pour Time:
Code# Inspection Description Confirm # Contact # Message
242 Interior shear walls 061222-15 503. 737 -9808 N
Corrections /Comments/ Instructions:
LW
rr r I
r
❑ PASS ❑ PARTIAL APPROVAL jE QANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r Date: fra Phone #: (503) 718-
CITY OF TIGARD
.BUILDING DIVISION PERMIT #: MST2007 -00156
13425 SW Hall Blvd., Tigard, OR 97223 DATE. ISSUED: 101WEJ2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: 19
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 603-620-8850
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 603- 620 -8660
Inspection Request Scheduled For: Date: 11/1312007 Pour Time:
Code # Inspection Description Confirm #' Contact # Message
225 Poct/beam structural 069540 -03 503- 737 -9888 N
Corrections/Comments/Instructions:
---- PST V520Y.14.31 Vocfrti
10
• -
• ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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• Phone #: (503) 718 -
` � /l i 4
Inspector: di", �� Date:
•
CITY OF TIGARD
'BUILDING DIVISION PERMIT #: MST2007 -00156
13425 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/i WON
Phone: (503) 639 -4171 t'i
Inspection Requests (24 Hrs.): (503) 639 -4175 `'- L
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7 :01AM PAGE: 20
SITE ADDRESS: 15744 SW 61ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF dotached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503. 620 - 8660
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 5.03 - 8660
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
606 Post/beam mechanical 059540-02 503 737 -9888 N
Corrections /Comments/ Instructions:
S. r
/ Ai 4 il '
0
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
E FAIL ❑ CALL FOR INSPECTION ❑ ADDITIAL FEES ASSESSED --Al(j
Inspector: Date: l i/I? 1 CZ Phone #: (503) 718- 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 l�*
Inspection Requests (24 Hrs.): (503) 639 -4175 ��' `:_"
INSPECTION WORKSHEET FOR DATE: 10/25/2007 TIME: 7:01AM PAGE: 62
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
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: 9:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 058266-03 503- 737 -9808 N
Corrections /Comments/ Instructions:
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . _ Date: >D Phone #: (503) 718- _Z4-4:1.25
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00156
13.125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 41# Inspection Requests (24 Hrs.): (503) 639 -4175 s 1
INSPECTION WORKSHEET FOR . DATE: 10125.12007 TIME: 7 :01AM PAGE: 61
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC. PHONE #: 503620 -8860 .
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503 -620 -8860
Inspection Request Scheduled For: Date: 10/25/2007 Pour Time: 9 : 00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 058266:04 503.737 -9808 N
��Corrections /Comments / Instructions:
20 or � . A G/�o.c— tic-a- - - t"
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /d5�_ Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 VW Inspection Requests (24 Hrs.): (503) 639 -4175 J __
INSPECTION WORKSHEET FOR DATE: 5/1/2008 TIME: 7:00AM PAGE: 102
SITE ADDRESS: 15744 SW 81ST AVE_ CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503.620-8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503. 620 -8860
Inspection Request Scheduled For: Date: 5/1 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 069097 -06 503 -737 -9888 N
Corrections/Comments/Instructions: (1
'/ ?ei/1 C1 . v. ' / (l ea/IGto� . l' &' ^� \ v‘ A A
/v6 ; 2eur ®ve mil/ ,,� � Prow. c�� / aycok .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
K FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: f>. 5. Date: /Mey68 Phone #: (503) 718 - ,2C62.3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007- 001156
- 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 te
Inspection Requests (24 Hrs.): (503) 639 -4175 W L.
INSPECTION WORKSHEET FOR DATE: 5/8/2008 TIME: 7:01AM PAGE: 48
SITE ADDRESS: 15744 SW 81ST AVE. CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503- 620 -8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503620.8860
Inspection Request Scheduled For: Date: 5/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 069551 -03 503- 737 -9888 Y
Corrections /Comments /Instructions:
ii g c- orrC 4,1 vnaJ
E PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 7Z. 5. Date: 8/0A/ ag Phone #: (503) 718 - ;2441
CITY OF TIGARD
il BUILDING DIVISION ' PERMIT #: MST2007 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007
Phone: (503) 639 -4171 ItiNN j ��I
Ins Requests (24 Hrs.): (503) 639 -4175 �_ ..
INSPECTION WORKSHEET FOR DATE: 5/1/2000 TIME: 7:00AM PAGE: 103
SITE ADDRESS: 15744 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503-620-8860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503-620 -8860
Inspection Request Scheduled For: Date: 5/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 069097 -05 503-737-9888 Y
Corrections /Comments /Instructions:
) /i I J 2 . 7 - ,s`: w` }, r a r\ rt 't v ^' ' ' v■ 4-6— c); I' . C-t'1 v .1 -eg Cif R iO(Z4)
( Plot nd t vl s i r) r y e .2 w s t- , C✓ i vv, Q ^-
53 0 T tr. i1 , 4 Y0.C . l ►nc, L r014 s d r ec.4 =ivet)
�
❑ PASS t< PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: S. Date: MA D g Phone #: (503) 718- 7 1. 2 3
' CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2007 -00Th6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10116121101
Phone: (503) 639 -4171 /
Inspection Requests (24 Hrs.): (503) 639 -4175 ...-'.
INSPECTION WORKSHEET FOR DATE: 6/8/2008 TIME: 7:01AM PAGE: 47
SITE ADDRESS: 16744 SW 81ST AVE_ CLASS OF WORK:
SUBDIVISION: CAGE FOREST LOT #: 005 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: New SF detached.
OWNER: TIMBERLAND HOMES INC. PHONE #: 503- 620M860
CONTRACTOR: TIMBERLAND HOMES INC PHONE #: 503.620 -8860
Inspection Request Scheduled For: Date: 5/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 069551 -04 503.137 -9888 N
Corrections/Comments/Instructions:
(.,,,,,%_ .
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•
/V a L -- vywo ✓ - a 1, d ekr ∎ S a-ktd l o, T Po wx C. r ; eL� ‘ C Y1 °l
e LCD wi b,, i i01.- Kneel-W.4.1 !` ro'W\ .. a C I , e- , 5a ''�
N. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (3,S. Date: g yG0 Phone #: (503) 718- AY ? 3
)1A6T-2.Lol- Co 161
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
•
July 2, 2008
T I GARD
Timberland Homes, Inc.
12670 SW 68 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 81 Ave., Gage Forest, Lot 3
MST2007- 00158, 15777 SW 81 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 81 Ave., Gage Forest, Lot 5
If you have any questions please contact me at 503.718.2430.
Sincerely,
/(-10
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: 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 - 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
[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 , �' AZ // yp oe
/,,
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: 6/2/p, I By: I , 9 ( / /----
I: \ Building \Refunds \RefundRequest.doc 05/23/07