Permit ,
' MASTER PERMIT
, CITY: OF TIGAR
PERMIT #: MST2008 -00148
COMMUNITY DEVELOPME p DATE ISSUED: 10/24/2008
TtIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102CD - 02605
SITE ADDRESS: 09608 SW HILLVIEW CT ZONING: R - 4.5
SUBDIVISION: TWALITY HILL LOT: 005 JURISDICTION: TIG
PROJECT: BHATTACHARYYA
Project Description: 392 sq ft sunroom addition over existing concrete patio.
BUILDING
REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: N
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BERM: BATH: TOTAL: 0 sf 14,786.00 REAR: 15
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 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 8 STEREO: 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: DATPJTELE 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
KEYA BHATTACHARYYA OREGON HOMES LLC laws. All work will be done in accordance with approved plans. This
9608 SW HILLVIEW CT 2032 SW 33RD. ST permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 GRESHAM, OR 97080 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: Contact #: PRI 503 - 544 - 2982 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 171917
TOTAL FEES: $ 471.74
REQUIRED ITEMS AND REPORTS
Mk . C
7
Issued = : i�� WT / Permittee Signature : A
Call 503.639.4175 by 7:00 a.m. for an inspection that bus 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.
� J ,-
•
.wilding P A I • licati I.
Residentlai . ' _i FOR OFFICE USE ONLY
City of Tigard b 1+
ee$ • ° CEA Received , / Date /B • de jef / I Permit No.: r�/j OO l y g
_ ° 13125 SW Hll Blvd., Tigard, OR '' 3 - Plan Review r
Phone: 503.639.4171 Fax: 503.598.1960 CJ� 12�r •� Date/B : Ir' Z • r A � y
. Other Permit:
TIGARD Inspection Line: 503.639.4175 P ate Ready /By: ` ] FA See Page 2for
Internet: www.tigard- or.gov � � k �A of ed/Method /12A it 1 77 r�ey Supplemental Information
_ : TYPE OF WORIS M - , ' ' QUIRED1DA • 1- AND 2-FAMILY,.DWELLING-
r d'i Permit fees* are based on the value of the work performed.
❑ New construction ❑ Demohtton P
Indicate the value (rounded to the nearest dollar) of all
V , Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION•
work indicated on this application. ( Li 7S 4, •
4 1_ and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
III Master builder El Other:
Number of bathrooms:
!JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: q6( ' S Lo U 1 i 1 j v e Lu C New dwelling area: $q) square feet
City /State /ZIP: 7'( c Q) r 0 12 9 7 it I2_3, Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: / 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: J Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
_ I - • ' DESCRIPTION OF WORK work indicated on this application.
0 4 C� C`t I �1 .l 1 V q Q - /f• ��n -n� Valuation: $ y
t "J V_ Existing building area: square feet
New building area: square feet
PROPERTY.. OWNER ; ❑ TENANT`" Number of stories:
Name: / q 13 h p ot 4 C 4I r Type of construction:
Address: c � f s (,t) l / lc 11 (A(V c4 Occupancy groups:
City /State /ZIP: �It (( pa '7 23 Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT . , . , . 'Ell CONTACT PERSON _ .
• NOTICE
Business name: b rw o n Ho nits t i- e All contractors and subcontractors are required to be
Contact name: rn t ` 2_ /1 tt Uolea V licensed with the Oregon Construction Contractors Board 3 � / w under ORS 701 and may be required to be licensed in the
Address: �J 3 jurisdiction in which work is being performed. If the
City /State /ZIP: 6--r.e_,,$) haws DP q 7 Of 0 applicant is exempt from licensing, the following reasons
Phone:ij 5'1 /4 , 9_61 x2 Fax:: ( ')
a pp l y : r.E�Mt� 20?). 2c1 tP
E -mail: - �! 2 h 0 r e ho rvt� l e co pr �' Z Q VI 32 • 1
CONCTOR V+• ���'�- 2
Business name:
- BUILDING PERMIT FEES*
Address: pn / A' (Please refer lo fee, schedule) '
P 2 .V C.)
City /State /ZIP: Structural plan review fee (or deposit): a/ of .
Phone: ( ) F. : ( )
FLS plan review fee (if applicable): - 63 --
—
CCB lic.: 1 3 ! 71.-f Total fees due upon application: a/ Z • P'so
/ / .- Amount received:
Authorized signature: This permit application expires if a permit is not obtained
Print name: Z V4Q1/ t'C �% within 180 days after it has been accepted as complete.
/ d Date: * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(1I /02 /COM/WEB)
Building Permit Application Checklist ra l
One- and Two- Family Dwelling FOR OFFICE USE ONLY -
City of Tigard Received Permit No..
I I I V 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated
2 Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
T I G A R D
Internet: www.tigard - or.gov El Other
i THE FOLL ITEMS ARE REQUIRED FOR PLAN REVIEW l Yes l No I N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: - ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and /or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS - 1 1 I
23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
IA Building \Permrts\BUP- RES- PermitApp doc 03/21/06 440- 4613T(1 I /02 /COM /WEB)
C / pf 0
N - Electrical Permit Application .-
• .. OFFICE liiSE LY ON ' '°s
y � S � , �Z - -- Date received: % , i/ es Permit no.: } y �j % g- C N. TY
:' ,7 - Project/appl. no.: Expire date:
/., ' Address:155 N. 1st AV, Suite 350 - Hillsboro, OR 97124 — 7P 'tREG• Phone: 503- 846 -3470 Fax: 503- 846 -3993 Date issued: B Receipt no.:
Internet Address: www.co.washington.or.us Case file no.: Payment type:
Land use approval:
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
-
JO
Job address: 9(OOFS ,-1,6 1 /ikc C City: Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: N/A Subdivision:
Project name: Description and location of work on premises:
Estimated date of completion/inspection:
CONTRACTOR DiPPLICATION FEE SCHEDULE' ' ,.. J l y4
Job no: I Fee Max
Business name: A. 0 0- -La.c '_ L.i_ __ Description (ea.) Total no. ins.
New residential - single or multi - family per
Address: . 6' e (,5 N 5 , / 2_ ---' .3:76v-e___ dwelling unit. Includes attached garage.
City-. &2-0 Si-.t 4e (j State: 6U,k ZIP: el8u - 6 A Service included:
e l
Phon -39 re Fax:UA -•9 . �: - • , f1-ec ee4'pk tea =2+'' sq. ft. or less 150.00 4
Each additional 500 sq. ft.or portion thereof - 42.00
CCBno.: 56 00 ,` Elec.bus.lic.no: - 10 3' — C Limited energy, 1 & 2 Family - 60.00 _ 2
City /me i� ,• .c. no.: N/A " / / fc � a= Limited energy, Multi - Family III 66.00 _ 2
`� �� ,_ Each manufactured home or modular dwelling
Signature of Supervising ectrician (Requiree) Date a ( -. Service and/or feeder .102.00. 2 .
Sup. elect. name (print):�,���._d� License no_�J/ Services or feeders – installation,
alteration or relocation:
y M ., PROPERT ; . OriiblER _ :., 200 amps or less I 90.00 2
Name (print): 201 amps to 400 amps - 120.00 _ 2
401 amps to 600 amps - 180.00 _ 2
Mailing address: 601 amps to 1000 amps - 270.00 _ 2
City: State: ZIP: Over 1000 amps or volts IN 504.00 _ . 2
Phone: Fax: E-mail: Reconnect only - 78.00 _ 1
Owner installation: The installation is being made on property I own Temporary services or feeders - .
which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation:
200 amps or less 78.00 2
ORS 447,455,479 , 670, 701.
201 amps to 400 amps - 108 -00 _ 2
Owner's signature: Date: 401 to 600 amps M 150.00 _ 2
'EadilNEER - Branch circuits - new alteration,
'. . or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 8.50 2
City: State: ZIP: B. Fee for branch circuits without purchase 4 ''4t y
ofservice or feeder fee, first branch circuit: .4 1 2
Phone: Fax: E -mail: Each additional branch circuit: allER111111
PLAN REvatNi (Please check all that apply) ' _" Misc. (Service or feeder not included):
❑ Service over 225 amps-commercial ❑ Health-care facility Each pump or irrigation circle 60.00. 2
O Service over 320 amps- rating of 1&2 ❑ Hazardous location Each sign or outline lighting - 60.00 2
" family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal more residential units in one structure new, alteration, or extension* II 2
O Building over three stories ❑ Feeders, 400 amps or more *Description:
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
0 Egress/lighting plan ❑ Other. Per inspection _ 90.00
Submit 2 sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Notice: This permit application Permit fee ... $ • •
expires if a permit is not obtained Plan review (at 25 %) .... $ '
within 180 days after it has been State surcharge (8 %) .... $ I . 14'2,
accepted as complete. TOTAL 5 LjCl , 9 ?.
i,
440-4615 (7/02/COM)
City of Tigard, Oregon ® 13125 SW Hall Blvd. Tigard, OR 97223
I1
T:IY
March 20, 2009 -_ ..:;b ;. - w :•- �..
Keya Bhattacharyya
9608 SW Hillview Ct.
Tigard, OR 97223
Re: Permit No. MST2008 -00148
Dear Ms. Bhattacharyya:
The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the
following:
Site Address: 9608 SW Hillview Ct.
Project Name: Bhattacharyya
Job No.: N/a
Refund: ® Check #62307 in the amount of $215.72.
n Credit card "return" receipt in the amount of $
I Trust account "deposit" receipt in the amount of $
Notes: Scope of work changed. Refund 75% of permit fees and resubmitted under
MST2009- 00080.
If you have any questions please contact me at 503.718.2430.
Sincerely,
4 7c
Dianna Howse
Building Division Services Supervisor
Enc.
1: \ Building \Refunds\ Administration \LtrRefund- CancelPerm t.doc 01/16/07
Phone: 503.639.4171 o Fax: 503.684.7297 e www.tigard - or.gov o TTY Relay: 503.684.2772
City of Tigard
TI c n iz D 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: Keya Bhattacharyya DATE: 3/17/09
•
9608 SW Hillview Ct.
Tigard, OR 97223 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt #: 2008 -3670, 2008 -3682 Case #: MST2008 -00148
Date: 10/23/08, 10/24/08 Address /Parcel: 9608 SW Hillview Ct.
Pay Method: Check Project Name: Bhattacharyya
EXPLANATION: Scope of work changed. Refun % o mit fees. Resubmittal under MST2009-
00080. n / �
REFUND INFORMATION:' . , .. . .., -
Fee From- Receipt, . Re Account N o.,':- . - Refund-:
. Example : - [BUILD] PermitTee . • . , .Ex ample:;" 245;0000:-4"32000:. ` _ : •:$ Aiiiqunt'
[BUILD] Bldg Permit 245 - 0000 - 432000 152.47
[TAX] Build 12% State Surcharge 100 - 0000 - 207020 18.30
[ELPRMT] ELC Permit 220 - 0000 - 431510 40.13
[TAX] ELC 12% State Surcharge 100- 0000 - 207020 4.82
TOTAL REFUND: $215.72
APPROVALS:
If under $500 Professional Staff
If under $7,500 Division Manager X` � - r �
If under $22,500 Department Manager
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
' FOR TIDEMARK SYSTEM: ADMINISTRATION:. ONL -, .
i„,-- Case Refund Processed: Date: / f C9 By: 'K�
I. \Building \Refunds \RefundRequestdoc 05/23/07
CITY OF TIGARD RECEIPT
3111 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 2009-00611 - 03/17/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
MST2008-00148 $-215.72
A/7
Total: $-215.72
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check DHOWSE 03/17/2009 $-215.72
Payor Keya Bhattacharyya
Total Payments: $-215.72
Balance Due: $215.72
` '; CITY OF TIGARD 2/19/2009
13125 SW Hall Blvd. I :19:47 PM
Tigard, OR 97223 503.639.4171
TIGARD,
Receipt #: 27200800000000003682
Date: 10/24/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
MST2008 -00148 [CDCPLN] CDC Pln Rev 100- 0000 -43 3060 46.00
MST2008 -00 1 48 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00
MST2008 -00148 [BUILD] Bldg Permit 245- 0000 - 432000 122.23
MST2008 -00148 [TAX] Build 12% State Surchrge 100- 0000 - 207020 24.39
MST2008 -00148 [ELPRMT] ELC Permit 220- 0000 - 431510 53.50
MST2008 -00148 [TAX] ELC 12 %, State Surcharge 100- 0000 - 207020 6.42
Line Item Total: $258.54
Payments:
Method Payer User ID Acct. /Check No. Approval No. Hol■ Received Amount Paid
Check OREGON HOMES LLC DEB 1421 In Person 258.54
Payment Total: $258.54 •
CRecelpt rpt Page 1 or I
CITY OF TIGARD 2/19/2009
1312; sw mu Blvd. I :19:
O M
• Tigard, OR 97223 5(13.639.4171
TIGARD
•
Receipt #: 27200800000000003670 /YEA: -
Date: 10/23/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
MST2008 -00148 [BUPPLN] Pin Rv Balance 245- 0000 - 433000 132.14
MST2008 -00148 [BUILD] Bldg Permit 245- 0000 - 432000 81.06
• Line Item Total: $213.20
Payments:
Method Payer User ID Acct. /Check No Approval No. How Received Amount Paid
Check OREGON HOMES LLC DEB 1387 In Person 213.20
Payment Total: $213.20
cReccipi.rp1 Pa I of 1
l ig " Community Development
TIGARD Request for Permit Action RECEIVED
FEB 1 9 2009
TO: CITY OF TIGARD C TTYOFTIGARID
Building Division Services Coordinator BUILDING DIVISION
13125 SW Hall Blvd., Tigard, OR 97223
Phon . 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov
FROM: Owner ❑ Applicant ❑ Contractor El City Staff
(check one)
REFUND OR Name: ,
INVOICE TO: (Business or Individual) K E U ! ' Pc R H 4 - /� /r - `/ v A
Mailing Address: 16 6 e so &I-II/vice.) CV.
v rs: ! j City/State/Zip: �/
I 1t 6 t 9/-0223
v✓
Phone No.: c 03 . 63 q. 72 06/ CO3. .6,6', 62 //S
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
E l - CANCEL PERMIT APPLICATION.
REFUND PERMIT FEES (attach receipt, if available).
❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below).
❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Permit #: M T Zcc 'GC /4
Site Address or Parcel #: 6tCC38 — ( V(
Project Name: 41 6 6 8 S43 d-i Ill VI'crt) culefi h
Subdivision Name: Ali . a /i/ Cctit, /e Lot #:
EXPLANATION: cp ti O p,v1 ettoi Oa, € ?> 19 41 - `0 teRuy I i k.oi -1 4)0-146 rd -Bt-E,
( au tJ RoCH Ta a b7-0O4 ----61 2,JTi r9-U &O M- L 0#J - toca'. Tar...1E
Lt_oz) t2.
H ' T oo 9 -coo So ••
Signature: k • 1 6=.40tXeree,PA 4 1- Date: 021 ' ql ) C1
Print Name: K Y A B4 - i /477 Alt 1. 0 203, a9
'13 ,
Refund Policy • 5 • j, SO
1. The Director or Building Official may authorize the refund of: • 4 . yQ
a) any fee which was erroneously paid or collected. -
b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended.
c) not more than 80% of the land use application fee for issued permits. a P , 4 a
d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. 75-
e) not more than 80% of the building permit fee for issued permits prior to any inspection requests.
2. Refunds will be retumed to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refund-5 V T
FOR OFFICE USE ONLY
Rte to S 's Admin: Date B t. Rte to Bld• Admin: Date , 02d D %' B SAY
Refund Processed: Date • 3� // 00 9' By W : Invoice Processed: Date By
Permit Canceled: Date.3VAA 9. B p ;, A mm Parcel Tag Added: Date By
Receipt # Date Method Amount $
I: \Building \Forms \RegPermitAction.doc Rev 07/26/07
B uilding Division
One & Two-Family Dwelling
TIGARD Fees Checklist
fro,Etimirro,waroN-Mr;i 0 ' ',4=9
Permit: DA (ST anta . ELM Reissue: u.,,,4drvt. Date: lc) - Z3. og
Address: ( c8 5uS INZA)3 Subdivision:
Class of Work: c ket First Floor: Lot:
Type of Use: Second Floor: Zoning:
Construction: SB Third Floor: Left:
Occupancy: Total Floors: Right:
Stories: Basement; Front:
Height: Garage: Back:
Floor Load: Decks: Beaverton CET:
Dwelling Units: Porches: Tig-Tual CET:
Bed rooms: Other: 392 TVFR:
Bathrooms: Valuation: 14 .24- Geo/Grading
CDC Pln Rev: c)4
LR Planning Surcharge: Q. 0
Pln Rev Deposit: 2o„ )23
Pln Rev Balance: \52.- I 2.1 3 . 2o 1/ - et • Otso
Pln Rev Extra Set: PS
Bld Permit: 103 2-9
Bld Permit 12% State Surcharge: 24- 39
Metro Const Excise Tax: (2Y
Tig-Tual/Beaverton School CET:
MEC Permit:
MEC 12% State Surcharge:
PLM Prmt:
PLM 12% State Surcharge:
ELC Permit: 55 .56
ELC 12% State Surcharge:
ELR Permit:
ELR 12% State Surchrge:
SF Park SDC:
TIF Resident:
TIF Mass Tr:
Erosion Control:
Erosion Pln Rv CWS:
Erosion Pln Rv COT:
Water Quality:
Water Quantity:
SUB-TOTAL:
Sewer Permit:
Inspection:
SUB-TOTAL:
TOTAL MST & SWR:
10000Maro.2. hog; 1.1B 1 Description Qty. Fee. Total
u .. -, �y�� Heating/Cooling
Description Qty. Fee. Total
A/C or heat pump 14.00
New 1- 2- family dwellings (inc. 100 ft. for each utility connection)
Furnace 100,000 BTU (ducts /vents) 14.00
SFR (1) bath 249.20 Furnace 100,000+ BTU
SFR (2) bath 350.00 (ducts /vents) 17.90
SFR (3) bath 399.00 Gas heat pump 14.00
Rain drain
Duct work 10.00
Hydronic hot water system 14.00
Each additional bath kitchen 45.00 Res. boiler (radiator or hydronic) 14.00
Fire Sprinkler -Sq. Ft. 0 to2000 115.00 Unit heaters 14.00
Fire Sprinkler -Sq. Ft. 2001 to 3600 160.00 Flue /vent for any of above 6.80
Fire Sprinkler -Sq. Ft. 3601 to 7200 220.00 Other: 10.00
Fire Sprinkler -Sq. Ft. 7201 & greater 309.00 , Other Fuel Appliances
Site Utilities Water heater 10.00
Catch basin or area drain 16.60 Gas fireplace 10.00
Flue vent for water heater or gas
Drywell, leach line, or trench drain 16.60 fireplace 10.00
Footing drain -1' 100 ft. 55.00 Log lighter (gas) 10.00
Manufactured home utilities 110.00 Wood /pellet stove 10.00
Manholes 16.60 Wood fireplace /insert 10.00
Rain drain connector 16.60 Chimney /liner /flue /vent 10.00
Sanitary sewer -1 100 ft. 55.00 Other: . 10.00
Storm sewer -]s' 100 ft. 55.00 Environmental Exhaust & Ventilation
s Range hood 10.00
Water service -1 100 ft. 55.00 Clothes dryer exhaust 10.00
Fixture or Item Bath/toilet exhaust 6.80
Absorption valve 16.60 Attic /crawlspace fans 10.00
Backflow preventer 27.55 Other: 10.00
Backwater valve 16.60 Fuel Piping
Clothes washer 16.60 S5.40:first four- S1.00:each add'I
Dishwasher 16.60 Furnace, etc.
Ejectors /sump 16.60 Gas heat pump
Wall /suspended/unit heater
Expansion tank 16.60
Water heater
Fixture /sewer cap 16.60 Fireplace
Floor drain/floor sink/hub 16.60 Range
' Garbage disposal 16.60 Barbecue
Hose bib 16.60 Clothes dryer (gas)
Ice maker 16.60 Other:
Interceptor /grease trap 16.60 t t $iibtotaf(Muninuin.peimit fee $ 2 50) 14. ;' fish
r illi . i i 2°% State�surchai .
Primer 16.60 "' � ���� � ��` ^ {°'
Roof drain (commercial) 16.60 4 "" ,01 PAIL FRMi t "
Sink/basin/lavatory 16.60 a . t, , 4., 1
Tub /shower /shower pan 16.60 Description Qty Fee. Total
Urinal 16.60 New Res.(Habitable + attached garage)
Water closet 16.60 First 1,000 sq. ft. or less 145.15
Water heater 16.60 Ea. add'l 500 sq. ft. /portion 33.40
Other: 16.60
Limited energy, residential 75.00
a r,,� -; y -- ,,�� ", ;�,,:., q ,,p Services or feeders installation, alteration, and/or relocation
�, , g$ubt pe fe $73.50) a� 200 amps or less 80.30
i i i 7 f t3 °/O Sta a fiiiiai 201 amps to 400 amps 106.85
: k '. - ' Il , t . TOTAL P ITSA E A4%4 401 amps to 600 amps 160.60
601 amps to 1,000 amps 240.60
Over 1,000 amps or volts 454.65
Branch circuits - new, alteration, or extension, per panel
A. Fee for first branch circuit
W /service /feeder 6.65
B. Fee for first branch circuit
W /out service /feeder fee 1 46.85
Each add'l branch circuit t 6.65 e 4
- 2 S te e
.V 1 .
` _z Z TUTAL' P RWF:Ct ih n- a
. I
. -goi CITY OF TIGARD -SITE PLAN REVIEW �4 .
� . ' �
BUILDING RERMIT NO: �S a0, - (1argew'
130 ■ Street Trees: Approved ❑ Not Approved
l j PPt'�
B ected T AO �� e wed N ved
/C e, 9 ell I ka 44-
C.J e i,iy-1 Date: / err
(
Notes:
0
y it. 1
, _ u „ 96 o 3 C t . cl t , e_v.) 4,
lj .
CO cr'' 3 a (j e 1k 4 72J--
4
0 et - I CITY OF TIGARD - SITE PLAN REVIEW
• 5 Q BUILDING PERMIT NO.: 11‘ � cOlif (fir
- ,,Z . CI PLANNING DIVISION:
S Required Setbacks: Approved ❑ Not Approved .
Side: . S St cet Side: ../...t—
Front. >c) Garage: - Rear: iL
e ---- --- S � Visual Clearance: Approved ❑ Not Approved
'+ Maximum Building Height. feet
C�/ S Servce ovider r iced: s
o • lian, /tPd t /emLettes . c risiZt 9)
. n 'j ❑ Ye Recety
�� 1 , B, : P-�e Date: 2� z y f „7
S ENGI DEPARTMENT:
L # Actual SI pe: % gs Approved ❑ Approved ,I
N.
a Site PI* . • ['Approved j] rproved
BY= Date: 1 2 °8
.
125 it -- : - 14 f51-1 Ilan
No '
. ,
„„,,, L , 6 ,. ,AA0
______ 411) atiAN-A-e , 't -
i ,o-AitOj (4 �.���S�� . ` [��
f
Pli CL k)51 PI" '''-t)
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
•
. ,11
• m1:-
March 20, 2009 ..a�4 Iit. -, '._sf • iki . : .A
Keya Bhattacharyya
9608 SW Hillview Ct.
Tigard, OR 97223
Re: Permit No. MST2008 -00148
Dear Ms. Bhattacharyya:
The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the
following:
Site Address: 9608 SW Hillview Ct.
Project Name: Bhattacharyya
Job No.: N/a
Refund: ® Check #62307 in the amount of $215.72.
❑ Credit card "return" receipt in the amount of $
❑ Trust account "deposit" receipt in the amount of $ .
Notes: Scope of work changed. Refund 75% of permit fees and resubmitted under
MST2009- 00080.
If you have any questions please contact me at 503.718.2430.
Sincerely,
'kW
Dianna Howse
Building Division Services Supervisor
Enc.
1: \ Building \ Refunds \ Administration \LtrRefund- CancelPermitdoc 01/16/07
Phone: 503.639.4171 • Fax: 503.684.7297 •.. www.tigard- or.gov • TTY Relay: 503.684.2772
1 1 11 111 • ° City of Tigard
r W n R r 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: Keya Bhattacharyya DATE: 3/17/09
9608 SW Hillview Ct.
Tigard, OR 97223 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt #: 2008 -3670, 2008 -3682 Case #: MST2008 -00148
Date: 10/23/08, 10/24/08 Address /Parcel: 9608 SW Hillview Ct.
Pay Method: Check Project Name: Bhattacharyya
EXPLANATION: Scope of work changed. Refun % o mit fees. Resubmittal under MST2009-
00080. 7
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: [BUILD] Permit Fee Example: 245- 0000 - 432000 $ Amount
[BUILD] Bldg Permit 245- 0000 - 432000 152.47
[TAX] Build 12% State Surcharge 100 - 0000 - 207020 18.30
[ELPRMT] ELC Permit 220 - 0000 - 431510 40.13
[TAX] ELC 12% State Surcharge 100- 0000 - 207020 4.82
TOTAL REFUND: $215.72
APPROVALS:
If under $500 Professional Staff
If under $7,500 Division Manager
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 0 — ,
i Case Refund Processed: Date: 3 / 7 0 p By: ' T
I:\ Building \Refunds \RefundRequest.doc 05/23/07
•
CITY OF TIGARD RECEIPT
If
2 _ _ 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD .
Receipt Number: 2009 -00611 - 03/17/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
MST2008 -00148 $- 215.72
5E6 ii67:i(Nb Total: �f� $-215.72
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check DHOWSE 03/17/2009 $- 215.72
Payor: Keya Bhattacharyya
Total Payments: $ - 215.72
Balance Due: $215.72
INVOICE •
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� °da"" 872 INVOICE
•
IN v
° Community Development
TIGARD
Request for Permit Action i ICEI ED
FEB 1 9 2009
TO: CITY OF TIGARD crr 0F'�IGA
Building Division Services Coordinator BUILDING DIVISION
13125 SW Hall Blvd., Tigard, OR 97223
Phon . 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov
FROM: Owner ❑ Applicant ❑ Contractor p City Staff
(check one)
REFUND OR Name:
INVOICE TO: (Business or Individual) C y p , - 8 � 4 r Ar N A Y A
I Mailing Address: 16 d 6 .S j J-1-,ii ✓, eW C. .
v - q .
City /State /Zip: � � ('j a/v-01 6 g.. 91-,2,2 3
. Phone No.: ,c OS . 63 1 . 72_ 66 I co 3. g QZ/ /s
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
CANCEL PERMIT APPLICATION.
REFUND PERMIT FEES (attach receipt, if available).
❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below).
❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Permit #: 2cc-8 'GC /4S
Site Address or Parcel #: c tCo D8 Q) HILL L 1/( -.4)
Project Name: d t6 6 S3 d-J i II V{'C Oidd, h
Subdivision Name: A-4- cyj ply Cale Lot #:
EXPLANATION: e Qa c p {c Ofr' P Ctivi tJro € 73 ( o lef uy t F -1 4,3- 14+16. rR -Bi_ti.
Ca tL iJ RooH Ta 4 roo ��51.D 2tJT1 A t, f OD L fo,J • tu,,21i Tn
it- ID it-ISID tiL H I'Jrr oo 9 —DOPE 80 •
Signature: W I . rb.l roso a. ,mir Date: o') ) q J d.
Print Name: K A B4-1 A T ` r ��� ,{}C VV4Yl j -} __ t_ A' „203, a 1
Refund Policy 3, SO
1. The Director or Building Official may authorize the refund of: . 6 . y,Q
a) any fee which was erroneously paid or collected.
b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended.
c) not more than 80% of the land use application fee for issued permits. a 4 '7', 6 0
d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. 7s � J
e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. _ _
/
2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refun . 5,70
FOR OFFICE USE ONLY
Rte to S • s Admin: Date B �., • to to Bld • Admin: Date 3 �® B v
Refund Processed: Date $ /7Z= B � ' i Invoice Processed: Date B
Permit Canceled: Date 6 .7 B r:rAillill • Parcel Tag Added: Date By
Receipt # Date Method Amount $
I: \Building \Forms \RegPermitAction.doc Rev 07/26/07
a CITY OF TIGARD 1 51 S1PM
p 13125 SW Hall Blvd. Fees Associated With
Tigard, OR 97223 503k39.4171 Case #: MST2008 -00148
TIGARD '
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 9/24/2008 213. 0.00
CDCP 1/1/1990 12/31/2020 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 LS 10/23/2008 46.00 0.00
LRP1 12/28/2004 12/31/2020 [LRPF] LR Planning Surcharge 100- 0000 - 438050 LS 10/23/2008 6.00 0.00
BPLD 1/1/1990 12/31/2020 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 LS 10/23/2008 132.14 0.00
BPRT 1/1/1990 12/31/2020 [BUILD] Bldg Permit 245- 0000 - 432000 LS 10/23/2008 20129 0.00
SURI 12/31/2007 12/31/2020 [TAX] Build 12% State Surchrge 100- 0000 - 207020 LS 10/23/2008 24.39 0.00
ELCF 1/1/1990 12/31/2020 [ELPRMT] ELC Permit 220-0000-431510 LS 10/23/2008 53.50 0.00
SUR4 12/31/2007 12/31/2020 [TAX] ELC 12% State Surcharge 100 - 0000 - 207020 LS 10/23/2008 6.42 0.00
BPLC 1/1/1990 12/31/2020 Refund - [BUPPLN] Pin Rv Depos 245- 0000 - 433000 CTR 10/23/2008 - 213,20 0.00
Total Due: $0.00
Page 1 of 1 CaseFees..rpt
CITY OF TICARD 2/19/2009
7 13125 SW Hall Blvd. 1:19:47 PM
Tigard, OR 97223 503.639.4171 -
TIGARD
Receipt #: 27200800000000003682
Date: 10/24/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
MST2008 -00148 [CDCPLN] CDC Pin Rev 100- 0000 - 433060 46.00
MST2008 -00148 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00
MST2008 -00148 [BUILD] Bldg Permit 245- 0000 - 432000 122.23
MST2008 -00148 [TAX] Build 12% State Surchrge 100- 0000 - 207020 24.39
MST2008 -00148 [ELPRMT] ELC Permit 220- 0000 - 431510 53.50
MST2008 -00148 [TAX] ELC 12% State Surcharge 100- 0000 - 207020 6.42
Line Item Total: $258.54
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check OREGON HOMES LLC DEB 1421 In Person 258.54
Payment Total: $258.54
cReccipt.rpi Page I of I
CITY OF TIGARD 2
n
13125 Shy Hall Blvd. 1 : 19:30PM
• Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000003670 /VC- vt/
Date: 10/23/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
MST2008 -00148 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 132.14
MST2008 -00148 [BUILD] Bldg Permit 245- 0000 - 432000 81.06
Line Item Total: $213.20
Payments:
Method Payer User ID Acct. /Check No. Approval Nu. How Received Amount Paid
Check OREGON HOMES LLC DEB 1387 In Person 213.20
Payment Total: $213.20
cRcceipt.rpt Page I or I
CITY OF TIGARD 2
13125 SW Hall Blvd. 1:1 I5Pii\M1
• Tigard. OR 97223 501639.4171
TIGARD
Refund Receipt #: 27200800000000003669 / l/ 7LS 9"L—
Date: 10/23/2008
Line Items:
Case No "Tun Code Description Revenue Account No :-Inonllt Paid
ST200S -00148 Refund - [BU1'PLN] Pln Rv Depos 245 (213.20)
Line Item Total: (S213.20)
Refund:
Method Paver User II) Acct. /Cheek No. Approval No. Ilow Received Amount Paid
Check Refund OREGON HOMES LLC 1387 In Person (213.2(1)
Refund Total: (S2I3.20)
ALDLL-te.,,k --t-,- 4 /4 79c.0 •
•
.
..
cKrcripr.ryn Plot: I of I
1, 11 CITY OF TICAR.D 2/19/2009
q 13125 SW Hall Blvd. I :1 8:59PM
Tigard, OR 97223 503.639.4171 .
TIGARD
Receipt #: 27200800000000003343 t' 2, 1i ^v>1
Date: 09/24/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
MST2008 - 00148 [BUPPLN] Pln Rv Deposit 245 0000 - 433000 213.20
Line Item Total: $213.20
Payments:
Method Payer User II) Acct. /Check No. Approval No. How Received Amount Paid
Check OREGON HOMES LLC DEB 1387 In Person 213.20
Payment Total: $213.20
cReccipi.ipt Page I of I
•
Dianna Howse
From: Dianna Howse
Sent: Wednesday, March 11, 2009 12:34 PM
To: 'Keya Bhattacharyya'
Cc: Brian Blalock
Subject: RE: Spectic System
Attachments: image001.jpg
Importance: High
Brian Blalock, the Building Official for the City of Tigard, has just completed a conversation with Heather at the
Washington County Environmental Health Department. According to Heather, you did not disclose to them that you have
recently poured a new foundation for an addition to your residence and that your building plans submitted to the City of
Tigard included two additional bedrooms.
The Washington County Environmental Health Department is requesting that you contact them for a complete review of
your project.
The City of Tigard will not issue your building permit for the addition to your residence until we have written approval
from the Washington County Environmental Health Department.
Thank you.
Dianna Howse
Building Division Services Supervisor
City of Tigard
503.718.2430
From: Keya Bhattacharyya [mailto:bhattacharyya_keya @hotmail.com]
Sent: Wednesday, March 11, 2009 11:18 AM
To: Dianna Howse
Cc: Keya Bhattacharyya
Subject: Spectic System
Importance: High
I have spoken with Washington County Environmental Department. Per Oregon Administrative Rule
Chapter 340, Division 071, since the foot print of the house is not changing, plan review is not needed.
Therefore, tomorrow, I'll stop by to get the permit.
Thank you,
Keya Bhattacharyya, Ph.D.
Electrical Engineer
503 - 639 -7206
keva.bhattachar yaC verizon.net
This e-mail (including any attachments) is intended only for the person or entity to which it is addressed and may contain
information that is privileged, confidential, and /or protected from disclosure under applicable law. Any review,
retransmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or
entities other than the intended recipient is prohibited without authorization from the sender. If you received this e-mail or
any attachments in error, please forward this e-mail to keya.bhattacharvva ac verizon.net or
bhattacharvva keva and then delete this e-mail message and all attachments from your computer. Thank
you.
1
•
•
•
From: Dianna @tigard - or.gov
To: bhattacharyya_keya @hotmail.com
Date: Thu, 26 Feb 2009 16:33:54 -0800
Subject: RE: Permit # - MST2008 -00148
Dear Ms. Bhattacharyya,
Thank you for the copy of the invoice with notations of payment received by your contractor. On
February 19, 2009, you submitted a request for refund for permit MST2008 -00148 for
construction of a 392 sq ft addition. Because the permit fees for this permit were paid by your
contractor, the City's protocol is to refund all payments to the payor named on the original
receipt, unless the applicant can show proof of reimbursement to the payor. You indicated that
all permit fees were paid by you to the contractor in advance of the permit submittal, and have
provided a document to serve as evidence that your contractor has been reimbursed for his
payment of the permit fees.
Per our discussion during your visit to our office on February 23 the Building Official has
approved a refund equal to 75% of per permit fees paid as two inspections have been completed
on this project. As per your request, I am transferring the entire refund amount to the new
permit, MST2009 -00080 for construction of a 1,024 sq ft addition. The entire refund amount will
be applied to the plan review fees that are due in the amount as follows:
Building Permit Fee Paid: $203.29 x 75% refund = $152.47
Building Permit Tax Paid: $24.39 x 75% refund = $18.30
Electrical Permit Fee Paid: $53.50 x 75% refund = $40.13
Electrical Permit Tax Paid: $6.42 x 75% refund = $4.82
Total refund applied to MST2009 -00080 = $215.72
Per our discussion on February 23r regarding the School Construction Excise Tax, you were
unable to review the requirements with me during your visit to our office, so I will provide you
with additional information at this time. Per the document that I provided you, this tax applies
to all permit applications submitted on or after March 1, 2008. Your original permit, MST2008-
00148 was submitted on 9/24/08. You were not charged at that time as the tax does not apply
to residential use for sunrooms that do not have an opening into the house as per the plans that
you submitted. Your new permit, MST2009 -00080 submitted on 2/19/09 is subject to this tax
as it qualifies as an addition to a structure for residential use as defined under this document.
Unfortunately, the site plan that you submitted did not include location of a septic system which
is listed as a requirement for plan review on the permit application form. Upon further review by
Debbie Adamski, Permit Technician, she discovered that this property contains a septic system
and is included in a reimbursement district for sewer connection. Therefore, you were notified
on 2/23/09 during your visit to our office, that the Building Official, Brian Blalock, is requesting
that you obtain a letter from Washington County Health Department giving approval that your
septic system will support the completion of the addition to your residential dwelling.
Plan review is complete on this project, however a building permit will not be issued until we
receive Washington County's approval. Please submit a letter from Washington County at your
earliest convenience so that we may complete your permit.
2
r •
Please contact the Building Permit Technicians at 503- 718 -2439 if you have any further
questions regarding your permit.
Sincerely,
Dianna Howse
Building Division Services Supervisor
City of Tigard
503.718.2430
From: Keya Bhattacharyya [mailto:bhattacharyya_keya @hotmail.com]
Sent: Wednesday, February 25, 2009 3:59 PM
To: Dianna Howse
Cc: Debbie Adamski; Keya Bhattacharyya
Subject: Permit # - MST2008 -00148
Importance: High •
Hi Dianna,
I'm asked to send you the copy of the receipt that I have received from the contractor upon the payment
of $2000 by me. I'm told that the above mentioned permit will be cancelled and a new permit will be
issued for the revised plan. I would like to see the refund from the previous permit goes to the new
permit. The refund must not go to the contractor. Also I need to know the refund amount.
Look forward to hearing from you soon.
Thank you,
Keya Bhattacharyya, Ph. D.
Electrical Engineer
503- 639 -7206
keva.bhattacharvyaLa verizon.net
This e-mail (including any attachments) is intended only for the person or entity to which it is addressed and may contain
information that is privileged, confidential, and /or protected from disclosure under applicable law. Any review,
retransmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or
entities other than the intended recipient is prohibited without authorization from the sender. If you received this e-mail or
any attachments in error, please forward this e-mail to keva.bhattacharvya a(verizon.net or
bhattacharyva kevaa.hotmail.com and then delete this e-mail message and all attachments from your computer. Thank
you.
Windows LiveTM: Discover 10 secrets about the new Windows Live. View post.
Windows LiveTM: Keep your life in sync. Check it out.
3
•
.- Dianna Howse
From: Keya Bhattacharyya [bhattacharyya_keya @hotmail.com]
Sent: Wednesday, March 11, 2009 11:18 AM
To: Dianna Howse
Cc: Keya Bhattacharyya
Subject: Spectic System
Attachments: - WRD000.jpg
Importance: High
I have spoken with Washington County Environmental Department. Per Oregon Administrative Rule
Chapter 340, Division 071, since the foot print of the house is not changing, plan review is not needed.
Therefore, tomorrow, I'll stop by to get the permit.
ank you,
Keya Bhattacharyya, Ph.D.
Electrical Engineer
503- 639 -7206
keva.tihattacharyyana verizon.net
This e-mail (including any attachments) is intended only for the person or entity to which it is addressed and may contain
information that is privileged, confidential, and /or protected from disclosure under applicable law. Any review,
retransmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or
entities other than the intended recipient is prohibited without authorization from the sender. If you received this e-mail or
any attachments in error, please forward this e-mail to keva.bhattacharvvat verizon.net or
bhattacharvya keya(a�hotmail.com and then delete this e-mail message and all attachments from your computer. Thank
you.
From: Dianna @tigard - or.gov
To: bhattacharyya_keya @hotmail.com
Date: Thu, 26 Feb 2009 16:33:54 -0800
Subject: RE: Permit # - MST2008 -00148
Dear Ms. Bhattacharyya,
Thank you for the copy of the invoice with notations of payment received by your contractor. On
February 19, 2009, you submitted a request for refund for permit MST2008 -00148 for
construction of a 392 sq ft addition. Because the permit fees for this permit were paid by your
contractor, the City's protocol is to refund all payments to the payor named on the original
receipt, unless the applicant can show proof of reimbursement to the payor. You indicated that
all permit fees were paid by you to the contractor in advance of the permit submittal, and have
provided a document to serve as evidence that your contractor has been reimbursed for his
payment of the permit fees.
Per our discussion during your visit to our office on February 23r the Building Official has
approved a refund equal to 75% of per permit fees paid as two inspections have been completed
on this project. As per your request, I am transferring the entire refund amount to the new
1
permit, MST2009 -00080 for construction of a 1,024 sq ft addition. The entire refund amount will
be applied to the plan review fees that are due in the amount as follows:
Building Permit Fee Paid: $203.29 x 75% refund = $152.47
Building Permit Tax Paid: $24.39 x 75% refund = $18.30
Electrical Permit Fee Paid: $53.50 x 75% refund = $40.13
Electrical Permit Tax Paid: $6.42 x 75% refund = $4.82
Total refund applied to MST2009 -00080 = $215.72
Per our discussion on February 23 regarding the School Construction Excise Tax, you were
unable to review the requirements with me during your visit to our office, so I will provide you
with additional information at this time. Per the document that I provided you, this tax applies
to all permit applications submitted on or after March 1, 2008. Your original permit, MST2008-
00148 was submitted on 9/24/08. You were not charged at that time as the tax does not apply
to residential use for sunrooms that do not have an opening into the house as per the plans that
you submitted. Your new permit, MST2009 -00080 submitted on 2/19/09 is subject to this tax
as it qualifies as an addition to a structure for residential use as defined under this document.
Unfortunately, the site plan that you submitted did not include location of a septic system which
is listed as a requirement for plan review on the permit application form. Upon further review by
Debbie Adamski, Permit Technician, she discovered that this property contains a septic system
and is included in a reimbursement district for sewer connection. Therefore, you were notified
on 2/23/09 during your visit to our office, that the Building Official, Brian Blalock, is requesting
that you obtain a letter from Washington County Health Department giving approval that your
septic system will support the completion of the addition to your residential dwelling.
Plan review is complete on this project, however a building permit will not be issued until we
receive Washington County's approval. Please submit a letter from Washington County at your
earliest convenience so that we may complete your permit.
Please contact the Building Permit Technicians at 503 - 718 -2439 if you have any further
questions regarding your permit.
Sincerely,
Dianna Howse
Building Division Services Supervisor
City of Tigard
503.718.2430
From: Keya Bhattacharyya [mailto:bhattacharyya_keya @hotmail.com]
Sent: Wednesday, February 25, 2009 3:59 PM
To: Dianna Howse
Cc: Debbie Adamski; Keya Bhattacharyya
Subject: Permit # - MST2008-00148
Importance: High
Hi Dianna,
I'm asked to send you the copy of the receipt that I have received from the contractor upon the payment
of $2000 by me. I'm told that the above mentioned permit will be cancelled and a new permit will be
issued for the revised plan. I would like to see the refund from the previous permit goes to the new
permit. The refund must not go to the contractor. Also I need to know the refund amount.
Look forward to hearing from you soon.
2
•
Thank you,
Keya Bhattacharyya, Ph. D.
Electrical Engineer
503- 639 -7206
keya. bhattacharvyaa verizon. net
This e-mail (including any attachments) is intended only for the person or entity to which it is addressed and may contain
information that is privileged, confidential, and /or protected from disclosure under applicable law. Any review,
retransmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or
entities other than the intended recipient is prohibited without authorization from the sender. If you received this e-mail or
any attachments in error, please forward this e-mail to keya .bhattacharvya or
bhattacharvya keya and then delete this e-mail message and all attachments from your computer. Thank
you.
Windows LiveTM: Discover 10 secrets about the new Windows Live. View post.
Windows LiveTM: Keep your life in sync. Check it out.
•
3
Dianna Howse
From: Dianna Howse
Sent: Thursday, February 26, 2009 4:34 PM
To: 'Keya Bhattacharyya'
Subject: RE: Permit # - MST2008 -00148
Attachments: — WRD000.jpg
Dear Ms. Bhattacharyya,
Thank you for the copy of the invoice with notations of payment received by your contractor. On February 19, 2009, you
submitted a request for refund for permit MST2008 -00148 for construction of a 392 sq ft addition. Because the permit
fees for this permit were paid by your contractor, the City's protocol is to refund all payments to the payor named on the
original receipt, unless the applicant can show proof of reimbursement to the payor. You indicated that all permit fees
were paid by you to the contractor in advance of the permit submittal, and have provided a document to serve as evidence
that your contractor has been reimbursed for his payment of the permit fees.
Per our discussion during your visit to our office on February 23` the Building Official has approved a refund equal to
75% of per permit fees paid as two inspections have been completed on this project. As per your request, I am
transferring the entire refund amount to the new permit, MST2009 -00080 for construction of a 1,024 sq ft addition. The
entire refund amount will be applied to the plan review fees that are due in the amount as follows:
Building Permit Fee Paid: $203.29 x 75% refund = $152.47
Building Permit Tax Paid: $24.39 x 75% refund = $18.30
Electrical Permit Fee Paid: $53.50 x 75% refund = $40.13
Electrical Permit Tax Paid: $6.42 x 75% refund = $4.82
Total refund applied to MST2009 -00080 = $215.72
Per our discussion on February 23` regarding the School Construction Excise Tax, you were unable to review the
requirements with me during your visit to our office, so I will provide you with additional information at this time. Per
the document that I provided you, this tax applies to all permit applications submitted on or after March 1, 2008. Your
original permit, MST2008 -00148 was submitted on 9/24/08. You were not charged at that time as the tax does not apply
to residential use for sunrooms that do not have an opening into the house as per the plans that you submitted. Your new
permit, MST2009 -00080 submitted on 2/19/09 is subject to this tax as it qualifies as an addition to a structure for
residential use as defined under this document.
Unfortunately, the site plan that you submitted did not include location of a septic system which is listed as a requirement
for plan review on the permit application form. Upon further review by Debbie Adamski, Permit Technician, she
discovered that this property contains a septic system and is included in a reimbursement district for sewer connection.
Therefore, you were notified on 2/23/09 during your visit to our office, that the Building Official, Brian Blalock, is
requesting that you obtain a letter from Washington County Health Department giving approval that your septic system
will support the completion of the addition to your residential dwelling.
Plan review is complete on this project, however a building permit will not be issued until we receive Washington
County's approval. Please submit a letter from Washington County at your earliest convenience so that we may complete
your permit.
Please contact the Building Permit Technicians at 503 -718 -2439 if you have any further questions regarding your permit.
Sincerely,
Dianna Howse
Building Division Services Supervisor
City of Tigard
503.718.2430
1
From: Keya Bhattacharyya [ mailto :bhattacharyya_keya @hotmail.com]
Sent: Wednesday, February 25, 2009 3:59 PM
To: Dianna Howse
Cc: Debbie Adamski; Keya Bhattacharyya
Subject: Permit # - MSf2008 -00148
Importance: High
Hi Dianna,
I'm asked to send you the copy of the receipt that I have received from the contractor upon the payment
of $2000 by me. I'm told that the above mentioned permit will be cancelled and a new permit will be
issued for the revised plan. I would like to see the refund from the previous permit goes to the new
permit. The refund must not go to the contractor. Also I need to know the refund amount.
Look forward to hearing from you soon.
Thank you,
Keya Bhattacharyya, Ph.D.
Electrical Engineer
503- 639 -7206
keva. bhattacharyya0 verizon. net
This e-mail (including any attachments) is intended only for the person or entity to which it is addressed and may contain
information that is privileged, confidential, and /or protected from disclosure under applicable law. Any review,
retransmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or
entities other than the intended recipient is prohibited without authorization from the sender. If you received this e-mail or
any attachments in error, please forward this e-mail to keva.bhattacharvya(averizon.net or
bhattacharvva keva c(D hotmail.com and then delete this e-mail message and all attachments from your computer. Thank
you.
Windows LiveTM: Discover 10 secrets about the new Windows Live. View post.
2
Dianna Howse
From: Keya Bhattacharyya [bhattacharyya @hotmail.com]
Sent: Wednesday, February 25, 2009 3:59 PM
To: Dianna Howse
Cc: Debbie Adamski; Keya Bhattacharyya
Subject: Permit # - MST2008 -00148
Attachments: Invoice- 9608Remodel.pdf
Importance: High
Hi Dianna,
I'm asked to send you the copy of the receipt that I have received from the contractor upon the payment
of $2000 by me. I'm told that the above mentioned permit will be cancelled and a new permit will be
issued for the revised plan. I would like to see the refund from the previous permit goes to the new
permit. The refund must not go to the contractor. Also I need to know the refund amount.
Look forward to hearing from you soon.
•
13 hank you,
Keya Bhattacharyya, Ph.D.
Electrical Engineer
503 - 639 -7206
ke va. bha ttachar vya lad verizon. n e t
This e-mail (including any attachments) is intended only for the person or entity to which it is addressed and may contain
information that is privileged, confidential, and /or protected from disclosure under applicable law. Any review,
retransmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or
entities other than the intended recipient is prohibited without authorization from the sender. If you received this e-mail or
any attachments in error, please forward this e-mail to keva.bhattacharyva a(�.verizon.net or
bhattacharvva keyaahotmail.com and then delete this e-mail message and all attachments from your computer. Thank
you.
Windows LiveTM: Discover 10 secrets about the new Windows Live. View post.
•
1
q CITY OF TI �/"��® MASTER PERMIT
-
PERMIT #: MST2008 -00148
.0• ° ' COMMUNITY DEVtLOPMENT
DATE ISSUED: 10/24/2008
,TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 10X0 - 02605
SITE ADDRESS: 09608 SW HILLVIEW CT ZONING: R - 4.5
SUBDIVISION: TWALITY HILL LOT: 005 JURISDICTION: TIG
PROJECT: BHATTACHARYYA
Project Description: 392 sq ft sunroom addition over existing concrete patio.
BUILDING
REISSUE: CUSTOM STORIES. FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: sf BASEMENT. s1 LEFT. 5 SMOKE DETECTORS' N
TYPE OF USE: SF FLOOR LOAD: SECOND: st GARAGE: sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD sf RIGHT. 5
VALUE
OCCUPANCY GRP: R3 BDRM. BATH: TOTAL' 0 sf 14,786.00 REAR: 15
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS. RAIN DRAIN. TRAPS:
LAVATORIES. DISHWASHERS' FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS'
TUB /SHOWERS: GARBAGE DISP WATER HEATERS' WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS' CLOTHES DRYER'
FURN > =100K• UNIT HEATERS HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS; WOOL/STOVES, GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS' 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION.
EA ADD'L 500SF. 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR• 1 SIGN /OUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 SIGNAUPANEL. IN PLANT: A _
MANU HM /SVC /FDR: 601 - 1000 amp 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt
P
8
LAN REVIEW SECTION
Reconnect only:
Ce
> =4 RES UNITS. SVC /FDR> =225 A.: > 600 V NOMINAL' CLS AREAISPC OCC:
ELECTRICAL - RESTRICTED ENERGY O
A. SF RESIDENTIAL B. COMMERCIAL
0
AUDIO 8 STEREO. VACUUM SYSTEM AUDIO 8 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 6 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
KEYA BHATTACHARYYA OREGON HOMES LLC laws. All work will be done in accordance with approved plans. This
9608 SW HILLVIEW CT 2032 SW 33RD ST permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 GRESHAM, OR 97080 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: Contact #: PRI 503 -544 -2982 questions to OUNC by calling 503.246 6699 or 1.800 332.2344.
Reg #: LIC 171917
TOTAL FEES: $ 471.74
REQUIRED ITEMS AND REPORTS
j -
"Y
Issued . ( • i ), Pik- ''��`�+ Permittee Signature : 4---1
V/
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST 2000-00148
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/2008
Phone: (503) 639 -4171 '' �1M�uu161
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 11/21/2008 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 09608 SW HILLVIEW CT CLASS OF WORK:
SUBDIVISION: TWALIIY HILL LOT #: 005 TYPE OF USE:
PROJECT NAME: i3HATTACFIARYYA
DESCRIPTION: 3$1 sq ft sunroom addition over existing concrete patio.
OWNER: . BHA1`I ACHARYYA, KEVA PHONE #:
CONTRACTOR: OREGON HOMES LLC PHONE #: 503- 544 -2982
Inspection Request Scheduled For: Date: Pour T e: paix. p q 11�21/200 .
Code # Inspection Description Confirm # Contact # Me ag vl
315 210Whea a 1izmb'n __, 070377 -01 503-639-7206 Y
Z ' - G.wx c WV � v V`'
Corrections /Comments /Instructions:
2 �
r
/ ,
)14/ ___
❑ PASS ❑ PARTIAL APPROVAL ' CANCEL _ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 733 Date: a G ii-/ Phone #: (503) 718- ' `/2 D
CITY OF TIGARD
BUILDING DIVISION
it PERMIT #: PST 008 001 8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1004/2008
Phone: (503) 639 -4171 gimrps /4 0
Inspection Requests (24 Hrs.): (503) 639 -4175 `'' � ..
INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7 :00AM PAGE: 40
SITE ADDRESS: 09608 SW HILLVIEW CT CLASS OF WORK:
SUBDIVISION: - 1 NAl,ITY HILL LOT #: 005 TYPE OF USE:
PROJECT NAME: BHATTACHARYYA
DESCRIPTION: 392 sq ft sunroom addition over existing concrete patio.
OWNER: BHATTACHARYYA, KEYA PHONE #:
CONTRACTOR: OREGON HOMES LILAC PHONE #: 5033 - 544 - ?882
Inspection Request Scheduled For: Date: 10/31/2009 Pour Time: 9 :00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 077435 -02 503 -5'44-2982 N
Corrections /Comments /Instructions:
n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1� t/ [/ Date: 1 6 9 Phone #: (503) 718- 1 2-4
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: t S1 2I�I1r�, Of41�i8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/2008 Phone: (503) 639 -4171 4 @ � y�i �� l �� La Inspection Requests (24 Hrs.): (503) 639 - 4175 -__..
INSPECTION WORKSHEET FOR DATE: . 10/31n008 TIME: 7 PAGE: 4
SITE ADDRESS: 09608 SW HILLVIEW CT CLASS OF WORK:
SUBDIVISION: TWALITY HILL LOT #: 005 TYPE OF USE:
PROJECT NAME: BHAITACHARYYA
DESCRIPTION: 392 sq ft sunroom addition over existing concrete patio.
OWNER: BHA1TACHARYYA, KEYA PHONE #:
CONTRACTOR: OREGON HOMES LLC PHONE #: 50344-28
Inspection Request Scheduled For: Date: 10/31/2000 Pour Time: 9:
Code # Inspection Description Confirm # Contact # Message
206 Footing 077435 -01 6603 - 544-2982 N
Corrections /Comments /Instructions:
s
V PASS H PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: fki Date: / O/ 3 Phone #: (503) 718 : 2 - -51
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: MST2008 -00148 REQUIRED ON GREEN INSPECTION CARD.
t ' Code:Inspeci7on' Desciigixori.. ; °' "' PASS Date ° 'Byy HI,.
MST - Master Permit
405 Excavation
410 Fill
415 Grading
X 205 Footing
805 MFG - Structure grading /footing ( (S
X 210 Foundation walls
215 Footing drain
305 Plumbing underslab
105 Underground /slab cover
220 Slab
310 Crawl drain
315 Post /beam plumbing
605 Post /beam mechanical
225 Post /beam structural
230 Underfloor insulation
235 Shear walls /anchors
X 240 Exterior sheathing
242 Interior shear walls
245 Firewall
250 Roof nailing
255 Wtr proofing basement walls
265 Masonry
270 Reinforcing steel (rebar)
320 Plumbing rough -in
, 322 Shower pan
610 Gas line
615 Mechanical rough -in
110 Temporary electrical service
115 Electrical service
X 120 Electrical rough -in
135 Low voltage
910 Sprinkler rough -in
X 275 Framing
810 MFG- Structure set -up
280 Insulation
330 Water service
335 Rain drain
340 Storm drain
505 Sanitary sewer
350 Septic tank
285 Drywall nailing
289 Approach /sidewalk
295 Misc. inspection:
899 MFG- Structure final
498 Grading final
699 Mechanical final
399 Plumbing final
X 199 Electrical final
X 299 Final inspection
I: \ Building \ Forms \InspCard- MSI'- Blank.doc 02 /02/07
2/20/09
Keya Bhattacharyya
9608 SW Hillview Ct
MST2008-00148 and MST2009-00080
Refund on original permit:
No refund on plan review portion of the fees —City has already performed that work by reviewing
and approving the original plans.
Only 75% of the permit portion of the fees can be refunded as we have performed 25%of the
required inspections. (2 out of the 7 required inspections)
Our standard practice is that any monies we refund,be refunded to the original payee. Your general
contractor paid both the submittal fee and the fee balance.
**If you can provide documentation that you have already paid your contractor for these fees, then
we can refund the monies to you. You will need to provide us with the contractor's detailed invoice
and verification of your payment to him, cancelled check, credit card statement, etc.
Septic tank requirements:
At plan submittal your site plan did not indicate location of a septic system. Review of our parcel
records indicate your property is on a septic system. Because your addition includes (2) bedrooms,
we will need a copy of an approval letter from Washington County Environmental Health
Department that states your existing septic system is acceptable for this addition. Without an
approval letter we cannot issue this permit.
Washington County Environmental Health Department: 503-846-8722
Connection to sewer service:
You have the option to connect to sewer service. You are in Sewer Reimbursement District#28.
You would need to pay the sewer reimbursement fee (currently $13,366.40), the sewer connection
fee (currently$3,135.00),plus the plumbing fee for the installation of the line work ($81.20 or
$113.57).