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Permit . City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 July 2, 2008 • • .1.TYGARO Riverside Homes, Inc. r 1925 NW Amberglen Pkwy, #200 Beaverton, OR 97006 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: Bella Vista Job No.: N/A Refund: ® Check #58039 in the amount of $480.00. ❑ 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- 00220, 12797 SW Da Vinci Ln., Bella Vista, Lot 14 MST2007- 00207, 12674 SW Rembrandt Dr., Bella Vista, Lot 31 If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. I: \Building\ Refunds\ Administration \LtrRefund- Overpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 a : 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: Riverside Homes INC DATE: 6/12/08 1925 NW Amberglen Pkwy #200 Beaverton, OR 97006 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: Bella Vista 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 -R] TIF Resident 210 - 0000 - 448001 $240.00 [TIF-R] TIF Resident 210 - 0000 - 448001 $240.00 TOTAL REFUND: $480.00 APPROVALS: If under $500 Professional Staff l i If under $7,500 Division Manager ��ri!� / - /9- CV 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 ONL /�_ Case Refund Processed: I Date: ] /ZS /C6 J By: I aCbY� I: \Building \Refunds \RefundRequest.doc 05/23/07 CITY OF TIGARD 6/11/2008 � 13125 SW Hall Blvd. 12:38:13PM : .. Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200800000000000153 • Date: 01 /15/2008 Line Items: @e&\ Vista Lo k- 14 Case No /'ran Code Description Revenue Account No Amount Paid MST2007 -00220 [CDCPLN] CDC Pln Rev 100- 0000 - 433060 46.00 MST2007 -00220 [LRPF] LR Planning Surcharge 100 -0000- 438050 6.00 MST2007 -00220 [BUPPLN] Pln Rv Balance 245 -0000- 433000 383.98 MST2007 -00220 [BUILD] Bldg Permit 245- 0000 - 432000 1,744.58 MST2007 -00220 [TAX] Build 8% State Surchrg 100 -0000- 207020 139.57 MST2007 -00220 [METCET] Metro Const Excise Tx 245- 0000 - 229202 385.61 MST2007 -00220 [MECH] MEC Permit 245- 0000 - 431010 97.30 MST2007 -00220 [TAX] MEC 8 % State Surcharge 100- 0000 - 207020 7.78 MST2007 -00220 [PLUMB] PLM Prmt 3Bth 245- 0000 - 431000 399.00 MST2007 -00220 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 3 I.92 MST2007 -00220 [ELPRMT] ELC Permit 220 - 0000 - 431510 345.55 MST2007 -00220 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 27.64 MST2007 -00220 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00 MST2007 -00220 [TAX] ELR 8% State Surcharge 100 -0000- 207020 6.00 MST2007 -00220 [PKSDC] SF Park SDC 270- 0000 - 450000 4,812.00 MST2007 -00220 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 MST2007 -00220 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00 MST2007 -00220 [ ERPRMT] Erosion Control 100- 0000 - 207307 1 12.00 MST2007 -00220 [ERPLN] Erosn Pln Rv CWS 100- 0000 - 207308 36.40 MST2007 -00220 [EROSN] Erosn Pln Rv COT 245- 0000 - 433010 36.40 MST2007 -00220 [WQUANT] Water Quantity 520 - 0000 - 445001 275.00 Line Item Total: $12,407.73 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check RIVERSIDE HOMES INC DEB 23550 In Person 12,407.73 Payment Total: $12,407.73 elteceipt.rpi Page I of I ITIF CITY OF TIGA. 6/11/2008 • 13125 SW Ball Blvd. I2:34:48PM "Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000005229 Date: 11/28/2007 1 V�� -f Lp�- 31 Line Items: 521 Case No Tran Code Description Revenue Account No Amount Paid MST2007 -00207 [CDCPLN] CDC Pin Rev 100- 0000 - 433060 46.00 MST2007 -00207 [BUPPLN] Pln Rv Balance 245- 0000 - 433000 468.00 MST2007 -00207 [BUILD] Bldg Permit 245- 0000 - 432000 1,873.85 MST2007 -00207 [TAX] Build 8% State Surchrg 100 - 0000 - 207020 149.91 MST2007 -00207 [METCET] Metro Const Excise Tx 245- 0000 - 229202 423.48 MST2007 -00207 [MECH] MEC Permit 245- 0000 - 431010 109.30 MST2007 -00207 [TAX] MEC 8% State Surcharge 100- 0000 - 207020 8.74 MST2007 -00207 [TAX] PLM 8% State Surcharge 100- 0000 - 207020 35.52 MST2007 -00207 [PLUMB] PLM Permit 245- 0000 - 431000 444.00 MST2007 -00207 [ELPRMT] ELC Permit 220- 0000- 43I510 312.15 MST2007 -00207 [TAX] ELC 8% State Surcharge 100- 0000 - 207020 24.97 MST2007 -00207 [ELPRMT] ELR Permit 220- 0000 - 431510 75.00 MST2007 -00207 [TAX] ELR 8% State Surcharge 100- 0000 - 207020 6.00 MST2007 -00207 [PKSDC] SF Park SDC 270- 0000 - 450000 4,812.00 MST2007 -00207 [TIF -R] TIF Resident 210- 0000 - 448001 3,200.00 MST2007 -00207 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 240.00 MST2007 -00207 [ERPRMT] Erosion Control 100- 0000 - 207307 112.00 MST2007 -00207 [ERPLN] Erosn Pin Rv CWS 100- 0000 - 207308 36.40 MST2007 -00207 [EROSN] Erosn PIn Rv COT 245 -0000 - 433010 36.40 MST2007 -00207 [WQUANT] Water Quantity 520- 0000 - 445001 275.00 MST2007 -00207 [LRPF] LR Planning Surcharge 100- 0000 - 438050 6.00 Line Item Total: $12,694.72 Payments: Method Paver User ID Acct. /Check No. Approval No. How Received Amount Paid Check RIVERSIDE HOMES INC. BB 23192 In Person I2,694.72 Payment Total: $12,694.72 CRecripi.rpi Page I or 1 C ITY OF TIGARD MASTER PERMIT PERMIT #: MST2007 -00207 COMMUNITY DEVELOPMENT DATE ISSUED: 11/28/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S109DD -10100 SITE ADDRESS: 12674 SW REMBRANDT LN ZONING: R - SUBDIVISION: BELLA VISTA LOT: 031 JURISDICTION: TIG PROJECT: BELLA VISTA Project Description: New SF BUILDING REISSUE: 2415 -00 -B STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 20 FIRST: 971 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,245 sf GARAGE: 494 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,223 51 RIGHT: 5 VALUE: 352,897.33 OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 3 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 2 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 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: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: SIGN /OUT UN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ ampNolt : 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 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL- ENCOMP BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 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 RIVERSIDE HOMES, INC. RIVERSIDE HOMES INC laws. All work will be done in accordance with approved plans. This 1925 NW AMBERGLEN PKWY #200 1925 NW AMBERGLEN PKWY permit will expire if work is not started within 180 days of issuance, or BEAVERTON, OR 97006 SUITE 200 if the work is suspended for more than 180 days. ATTENTION: BEAVERTON, OR 97006 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- 645 -0986 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 690 -2942 Reg #: LIC 70065 TOTAL FEES: $ 13,444.72 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued By: Permittee Signature t Call 503.639.4175 by 7:00 a.m. for an inspection that basine s 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. 51t, ... . 1 I £ , .AA.... l Building Permit App : :.. � , ` ' WED FOR OFFICE USE ONLY V City of Tigard Received Date/By: ( 11 D . . ' Permit No.:14 rpoo7 +DOS 7 13125 SW Hall Blvd., Tigard, OR 97223 OCT 1 1 COW Plan Review �y `� • X 5 •l...) 7 Other Permit: i 7'�� b - Phone: 503.639.4171 Fax: 503.598.1960 Iii Date/By: Inspection Line: 503.639.4175 CITY OF rtGAR� !p� _ - Date Ready/By: 3 ® See Attached Checklist for Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: Supplementallnformation TYPE OF WORK A � REQUIRED DATA: 1- AND 2- FAMILY DWELLING Ni New construction El Demolition Permit fees* are based on the value of the work performed. Indicate the value (mu nded to the nearest dollar) of all ❑ Addition/alteration/re placement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. IN 1 -and 2-family dwelling Valuation: $ 501 �g601 ©0 y g ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 2 Vi (41. ,/� $ / W f �� � jlW/�4. n New dwelling area: square feet e ?i City/ State/ZIP: 1 d 1L, c 1, a , Garage/carport area: square feet � p . Suite/bldg. /apt. no.: J 1 Project name:. ,l1a v i Covered porch area: square feet Cross street/directions to job site: Deck area: square feet �3 Other structure area: square feet REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: 6Q.N.,) \ \ Lot no.: . 3 1 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 t he profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ 17,e ,/ 7 S U -t- 7 v t° 5 7 P i\i 0 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: IC V4iX 1 c.,1 1-1p t j ` - 1 - c . Type of construction: Address: I q 2 5 Nw A-Y41 h, g beM , IS i(w . - # 2-0 0 Occupancy groups: City/State/ZIP: l? V{, -- -C yL Or— quo (47 Existing: Phone: (9f (Q LI S - C,/ e Fax: (50?") facto .. Zcj 4 Z New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: V -.YS1 d _ /-f0v✓l u 5 J---c. All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: 4LL J01,1 M _ ,...r t; . + p i under ORS 701 and may be required to be licensed in the Address: I q 25 Ai W ArY1 h- 691x,, I t,w (` i (,1 6i/t Pe Zo o jurisdiction in which work is being performed. If the 1 ) applicant is exempt from licensing, the following reasons City/ State/ZIP: ijr'ct v vY 4 v 12 g 7 U U (i> apply: Phone: (5C3) te L( S -O7 b�> Fax: : (C 6a ))(G i 2_ 142 E -mail: C(.,r"1'IL {.t,� -( r ∎ V .p� ; e.Le k1(JYI4 L.. ( O`yvt / r CONTRACTOR Business name: [7 t /, r-5 & - frN1C_ • BUILDING PERMIT FEES* Address: 1 9 2 S AV W A-- . L vL/ P rv1.0 '30i le 20 0 '^ Please refer to fee schedule. , J City/State/ZIP: f 4_ V 4-r- 0 q -7 00 (-p Fees due upon application Phone: (gP) ) (P 4. 5 - G 'r (p Fax: ( ( r - 21(4 Z Amount received CCB lic.: Date received: Authorized signature: (, . r�Y1i %Lr .1 C PC ") This permit application expires if a permit is not obtained �' �, within 180 days after it has been accepted as complete. Print name: fit, i on- ,{�r� ` Date: ] Z' 7_ (j - 69 * Fee methodology set by Tri-County Building Industry - U r Service Board. i:\ Building \Permits\BUP- PermitApp.doc 12/03 4404613T(II /02/COM/WEB) 'Plum b' lumbing Permit Application FOR OFFICE USE ONLY City of Tigard FIECEIVEri Date/By: PS 11 o 1 Permit No.: hiyr2.po7A) -6 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 0 C T 1 1 201 14 j 111 1 Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 /a4 � Ail.- Date Ready/By: � ', y: e See Page 2 for Internet: www.ci.tigard.or.us CI l i OF TIGh`w i NotifiedfMethod: Supplemental Information TYPLIAinaftla DIVISION FEE* SCHEDULE For special information use checklist XI New construction ❑ Demolition Description I 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 51 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/lcitchen f 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: L 7j 1 4 �� �, k L. f /� Catch basin or area drain 16.60 City/State/ZIP: -- � D e -1i a Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name:11a q SkA, 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: - V6: ,-ke ` I Lot no.: J 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 34r a r Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER ❑ TENANT Drinking fountain 16.60 }� 1 1) Ejectors/sump 16.60 Name: 1...1 v-ei - 1.1.42. ti . '-,'iC r 16.60 Address: J of 2 5 /V W /` 71/1 ? PAY - t.een Pit{,->t * ?. G Fixture/sewer cap 16.60 City/State/ZIP: ,J &i,v A-v_ q 100(.c J drain/fl.. ,l _ Garbage disposal 1 Phone:( 3) I g 4 6-. -b 2) (.p Fax: lino - Zi Li 2. ..t Hose bib 16.6 ❑ APPLICANT ❑ CONTACT PERSON I Ice maker Business name: 12_,j v,, rt Hoyt, S tL• Intercept. r/grease trap 16.60 Contact name: AL (..1 8°2/t- r" ) Medical gas (value: $ ) Page 2 Address: ZE A/VN J�rr1 GI 2,.. pY(,(,tJ(/ti # zoo Primer 16.60 _ Roof drain (commercial) 16.60 City/ State/ZIP: Sink/basin/lavatory 16.60 Phone: ( ) Fax: : ( ) Tub/shower/shower pan .1 E -mail: Urinal 16.60 CONTRACTOR Water closet 660 Business name: ` -r ea, kri I nil C pl Vvlib( Water heater 16.60 Address: Z S OS • S • (,t/ . AL/5 tl S 4 . _ bf • Other: Subtotal City/ State/ZIP: 1.&4h Ot ' 7O06 t Minimum pemdt fee: Phone: (5 oc38 - b 6s 7 Fax: (50 3) 3V z - 95'13 Residential backflow minimum pemdt fee: $36.25 CCB Lic.: (y Z III Plumbing Lic. no.: 3 y - 370 j [j Plan review (25% of permit fee) State surcharge (8% of permit fee) 2 qa Authorized signature G ii • TOTAL PERMIT FEE 39 Print name: 30net`PM101, vx 8 I I Date: 2 - g -- O3-- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. i:\Building\Permits\PLM- PermitApp.doc 12/03 440 -4616T(10 /02/COM/WEB) echanical Permit A lic s „1. , r -` El� _ _ FOR OFFICE USL ONLY .. Rec eived C ity of '�igard. DateBy: 6 0 Permit No.: 0 —/r '94)7 lns ection Line: 503.63 CITYOFT 13125 SW Hall Blvd., Tigard, OR 97223 C r C I Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �Sagd : Other Permit: P ^ ^ ;. 1;v , ,i DateB y � Date Ready/By: � E5 See Page 2 for Internet: www.ci.tigard.or.us BI I ® t� e 1 . ` _ { ` Notified/Method: Supplemental Information • TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST l New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ ® 1 and 2 -famil dwellin RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. 1 Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling )ob site address: [I 1, ) 6 w Il i'"ly �" 1 j r eN l4 y * Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State/ZIP: IA 50 ,,,,,, ' O 61 ,2n Furnace 100,000 BTU (ducts /vents) 14.00 Te`1Q Y� c Gas Furnace 100,000+ BTU (ducts/vents) 14.00 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydonic 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: ' (a Vt S -� 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 i 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ❑ PROPERTY OWNER I ❑ TENANT Chimney/litter /flue/vent 10.00 Other 10.00 Name: Ei i O i 5 -.-)-)c., Environmental exhaust and ventilation ZO U equipment 10.00 Range hood/other kitchen Address: let 2 5 AIt,v Ar ydae'? l PYi,t t_JC� City/State/ZIP: V ‹ cC V , e4 .- Te ►' 1 C '1 7 Q d 4, J Clothes dryer exhaust I 10.00 Single -duct exhaust(bathrooms, Phone: (Ge Lp t-!'-5 — C ` T 19 Fax: ( .j) ( t_) - Z ? ./ Z toilet compartments, utility rooms) 5 6.80 • ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Business name: )2.:1 V et e g , AMC . Other PP in i 10.00 >; Contact name: -L_1_ c CM (.4.-. $5.40 for first four; $1.00 for each additional Address: 1 5 No/ Ani j)Y,,t,u 1 # Z O d Furnace, etc. i Gas heat pump City/State/ZIP: 0 e rai/e4. (gam 3 7 0 WalUsuspended/unit heater I Phone: ( ) j t . ' S - 05 ,ry Fax :: ( ) LO % 0 ` 2 6 t- 1 Z Water heater t R a g ne E -mail: Ctil)1 r 1 ✓P.(i5ic'i(:.e,{'lorv� -C c'vit� Ran e g CONTRACTOR Barbecue Business name: kit - M, to ,ia , i. 0.., t r C Clothes dryer (gas) Other. Address: ., N.- 1 Z ° . "L S=tn rU C 16 r., w^- F a e Jr'✓ tn. MECHANICAL PERMIT FEES* City/ State/ZIP: ( , r _ c _ c L_, � , 6 re Li A - 6 - 6 Subtotal -t Minimum permit fee ($72.50) Phone: (S .. 3 ) .3 23 i - Y' S S` -1 Fax: ( ° '�) S q ' - 3 T S Plan review (25% of permit fee) CCB lic.: j j i 13 - State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: --}„� This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. Print name: 373, 2_ , „_ cJ Jr' Date: D"t. J c+', 16 i * Fee methodology set by Tri County Building Industry Service Board i:\Building\Permits\ EC- PermitApp.doc 12/03 4404617T(t1 /02/COM/WEB) ip p Electrical Permit Application US Date/By: t City of Tigard / 41111?" Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 RECEflJE Plan Review O /� H . Phone: 503.639.4171 Fax: 503.598.1960 Line: I '` Date /By: Other Permit: Inspection te: 503.639.4175 OCT 1 1 ! �, U 4 . r '/ Date Ready/By: luris: 0 See Page 2 for Internet: www.ci.tigard.or.us •F Notified /Method: /� Supplemental Information L` `'. ��i��f[i'�±e�`' .l ► '. PLAN. REVIEW.. - al New construction El Addition/alteration/replacement Please check all that apply: ■ Other: 0 Service over 225 amps, comm'l ['Hazardous location 0 Demolition 0 Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF • • of 1 - and 2 - family dwellings 4 or more new residential Commercial/industrial 11 1- and 2-family dwelling ID • • ❑ System over 600 volts nominal units in one structure ■ ■ ■ Other: ['Building over three stories ['Feeders, 400 amps or more ❑Occupant load over 99 persons ['Manufactured structures or • • : SITE INFORMATION t LOCATION. ❑Egress /lighting plan RV park Job no.: Job site address: til ' '' W l ' ''' 4: .4. ealth -care facility ❑Other: '` m it 2 sets of plans with any of the above. City/State/ZIP: 5CA G.A ) D it lle The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name FEE* SCHEDULE .. _ �Iq v � S kr+. Description Qt.•. Fee. Total ** Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less I 145.15 4 Subdivision: e\\ N vs\-o . I Lot no.:,1 Ea. add'l 500 sq. ft or portion 33.40 1 Limited energy, residential t' 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 - . DESCRIPTION OF WORK . ' 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 ❑PROPERTY OWNER I , ❑ TEriANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: _ -) -,,)' C, •, 601 amps to 1,000 amps . t Over 1,000 amps or volts H Address: I VI 2 5 '/tV Aiii j7i'ca LeA,L 1)ItL )1, 2 6 Reconnect only 66.85 2 City/State/ZIP: /3e Ct "y C 0a ') 4 1700 (e Temporary services or feeders installation, alteration, and/or relocation Phone: (r (pi-t5 _ 0 6) F, (.d Fax: ( 3) 1 v- 221 47 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT ' _. - - , _ .❑ CONTACT PERSON " A. Fee for branch circuits with service or feeder fee, each Business name: 2 ` v ,,,,,_;,-)„ . _ i_ UY1'L� a?1C branch circuit 6.65 2 � / B. Fee for branch circuits Contact name: J C4. (ri S „,,,l AA t., B. without service or feeder fee, Address: a -) ` 1.6.1,\., each branch circuit 46.85 © 7 A./ 1/�/ 1') kl.t ):� C/ 0 Each adds branch circuit 6.65 — Cit 6et. tV - 74'-')C , Y” GYl l'j 53.40 —© Phone: (c v (C t{-` —UC1 ° (� Fax:: ( r; j) 7 . . U � `7v � Z �1 ( - � -�- Sign or outline lighting I= 53.40 —© E -mail: 0..414.4_,‘ r 1 ✓ hO ' , C cYvk__ Signal 'CONTRACTOR . energy panel, alteration, or extension. Describe: Page 2 2 Business name: UDE- Q,,,, ( f :`-'.L - D_scri.t 'L. ,, :, above Addresr p. e r f ' City /State/ZIP: fJ 4.. I b _ ■ ® , ELECTRICAL PERMIT FEES" , CCB Lic.: ,7< 3 `// L' Electrical Lic.: - • . Li di f6zS' Subtotal Supry Electrician signature, required: Plan review (25% of permit fee) Print name: State surcharge (8% of permit fee) s ate: . ' ' ' — TOTAL PERMIT FEE Authorized signature: • This permit application expires If a permit is not obtained within 180 Print name: days after it has been accepted as complete [Date: * Fee methodology set by Tri- County Building Industry Service Board * Number of inspections per permit allowed. i:\ Building \Permits\ELC- PemtitApp.doc 12/03 4404615T(I0 /02 /COM/WEB CITY OF TIGARD ° COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Electrical Signature Form IMPORTANT PERMIT NOTICE WESTERN CASCADE ELECTRIC INC PO BOX 23124 TIGARD, OR 97281 Permit #: MST2007 -00207 Date Issued: 11/28/2007 Parcel: 2S109DD -10100 Site Address: 12674 SW REMBRANDT LN Subdivision: BELLA VISTA Lot: 031 Jurisdiction: TIG Zoning: R - Project Name: BELLA VISTA Description: New SF Your company has been indicated as the electrical contractor for the permit referenced above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: RIVERSIDE HOMES, INC. WESTERN CASCADE ELECTRIC INC 1925 NW AMBERGLEN PKWY #200 PO BOX 23124 BEAVERTON, OR 97006 TIGARD, OR 97281 Phone #: Phone #: 503- 521 -0000 Reg #: ELE 34 -616C LIC 153416 SUP 4625S AN INK SIGNATURE IS REQUIRED ON THIS FORM X �eSe-c.. acv,. s L\8D ( 2 Signatur upervising Electrician Name (printed) SUP LIC # City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 July 2, 2008 • . • T I GARD Riverside Homes, Inc. 1925 NW Amberglen Pkwy, #200 Beaverton, OR 97006 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: Bella Vista Job No.: N/A Refund: ® Check #58039 in the amount of $480.00. ❑ 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- 00220, 12797 SW Da Vinci Ln., Bella Vista, Lot 14 MST2007- 00207, 12674 SW Rembrandt Dr., Bella Vista, Lot 31 If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. I: \ Building \ Refunds \ Administration \LtrRefund- overpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Riverside Homes INC DATE: 6/12/08 1925 NW Amberglen Pkwy #200 Beaverton, OR 97006 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: Bella Vista 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 TOTAL REFUND: $480.00 APPROVALS: If under $500 Professional Staff - If under $7,500 Division Manager /' ��� /9- If under $22,500 Department Manager ' If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: I Date: I /2 /per By: I I: \Building \Refunds \RefundRequest.doc 05/23/07 AA i acro7- 7 STREET TREE CERTIFICATION SA-tvk Scocti— I w n e r A ent- t es, t (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard land use and development standards for street tree installation. ADDRESS: I o 76 1 (, t) Ret/dx(444 • SUBDIVISION: &1 ���„� LOT: . J SIGNATURE: - DATE: J - -08 (OWNER /AGENT) RECEIVED BY: DATE: (CITY OF TIGARD) I: \ Building \ Forms \Strcctl'rccccrtificatc 01 /19/07 i CITY OF TIGARD, • BUILDING DIVISION PERMIT #: MST 2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2812007 Phone: (503) 639- 4171ybal Inspection Requests (24 Hrs.): (503) 639 -4175 F__.. INSPECTION WORKSHEET FOR DATE: 3/25/2008 TIME: 7:01AIVi PAGE: 20 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 Inspection Request Scheduled For: Date: 3/25/20013 Pour Time: Code # Inspection Description Confirm # Contact # Message 689 Mechanical final 067285 -03 503 -572 -8689 N Corrections /Comments/ Instructions: 0 c) V, v4v/7 •' -/L-- J /v 3779-1-i- c-=z7 � I mo.-- e.c.e4 -L-- - • • al PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i Date: -�.e)g"' Phone #: (503) 718- - 2A- - 06 CITY OF TIGARD. BUILDING DIVISION PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20120()7 Phone: (503) 639 -4171 �� j 6, Inspection Requests (24 Hrs.): (503) 639 -4175 " 1. INSPECTION WORKSHEET FOR DATE: 3/25/2008 TIME: 7:01AM PAGE: 19 SITE ADDRESS: 12674 SW REMBRANDT IN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: F3ELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -G4& -0986 Inspection Request Scheduled For: Date: 3/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 2% Final inspection 067285-04 503.572 -8689 N Corrections/Comments/Instructions: • • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- Z� CITY OF TIGARD .. BUILDING DIVISION PERMIT #: . MST20J 7- 00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2812007 Phone: (503) 639- 4171 te Inspection Requests (24 Hrs.): (503) 639 -4175 '`_- INSPECTION WORKSHEET FOR DATE: 3/24/2008 TIME: 7:00AM PAGE: 10 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT'NAME: EBELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: 'i CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 G41r0986 Inspection Request Scheduled For: Date: 3/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 239 Final inspection 067212 -05 503 - 572 -8689 N Corrections /Comments/ Instructions: 'e G 1 - i �.rL -- - , — •".� I 4-T t -- , ' , dZir - .., G � 14 r J AQA 5 (� t — c/4- cJ S /r u X 01 4ii1 e%,l (.2. ,/�� ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 3- - a8 Phone #: (503) 718- -2-4.4s . CITY OF TIGARD , I BUILDING DIVISION PERMIT #: MST2007- 00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 I/28/2007 Phone: (503) 639 -4171 l '� Inspection Requests (24 Hrs.): (503) 639 -4175 fi'I I.. INSPECTION WORKSHEET FOR DATE: 3/24/2008 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 - 0986 Inspection Request Scheduled For: Date: 3/2.4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message • 699 Mechanical final 067212 -04 503-672-0689 N Corrections /Comments /Instructions: 40/ S i!'-,i,nc ,4 I,,,,, ( ---- D --__---—#.4- e#41.rd iS L • old -P'S ( . 4 •2•■ - / ,_ /- . `. a , . , ,, _ �d #4-172, ._._-:.-./.-• , e.•� I- ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: .3 ��7 OS Phone #: (503) 718 - 2_` 'J ` • C) Y OF TIGARD ., ' J 1 _ BUILDING DIVISION PERMIT #: . MST20)7 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 : Inspection Requests (24 Hrs.): (503) 639 -4175 ..W IJ— INSPECTION WORKSHEET FOR DATE: 3/21/2008 TIME: 7:01AM PAGE: 17 SITE ADDRESS: 12674 SIN REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA , DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603 - 645.0986 Inspection Request Scheduled For: Date: 3/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Eloctiical final 067136-01 503- 572 -8689 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date Z I ' Phone #: (503) 718- CITY OF TIGARD . . BUILDING DIVISION PERMIT #: •MST ?_007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 Phone: (503) 639 -4171 / � di ,� l Inspection Requests (24 Hrs.): (503) 639 -4175 1! INSPECTION WORKSHEET FOR DATE: 2/1/2008 TIME: 7 :02AM • PAGE: 48 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BFLLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BE.LLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 2/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough.in 064351 -OB 503- 572 -8689 N Corrections /Comments /Instructions: • ti-- fp box 0 //14.4 k PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ( // U Phone #: (503) 718- CITY OF TIGARD .. ` i . BUILDING DIVISION PERMIT #: MST 047 an n7 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/26i20I;i F Phone: (503) 639 -4171 i � l � Inspection Requests (24 Hrs.): (503) 639 -4175 . J INSPECTION WORKSHEET FOR DATE: 2//12008 TIME: 7 :02AM PAGE: 47 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: Q31 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503615.0986 Inspection Request Scheduled For: Date: 2/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 064351.09 503-572-8689 N Corrections/Comments/Instructions: • • 4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I DI Inspector: Date: Phone #: (503) 718- CITY OF TIGARD . 1 . BUILDING DIVISION PERMIT #: MST 2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 t DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 It Inspection Requests (24 Hrs.): (503) 639 - 4175 "� INSPECTION WORKSHEET FOR DATE: 2/1/2008 TIME: 7:02AM PAGE: 49 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 603 - 645.0386 Inspection Request Scheduled For: Date: 2/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 064351 -07 503572 -8689 N Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4 1 / oc‘ Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION • PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 /..Wtt ° Inspection Requests (24 Hrs.): (503) 639 -4175 .�'!.i "I INSPECTION WORKSHEET FOR DATE: 3/5/2008 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503. 615-0386 Inspection Request Scheduled For: Date: 3/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Mes - 206 Misc. inspection 066110-01 503 - 572 -8689 Corrections /Comments /Instructions: 11111. • • ►L,P P •ARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ FAIL / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: L — Date: -S/ "& Phone #: (503) 718 - ��/ CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2812077 Phone: (503) 639 -4171 il Inspection Requests (24 Hrs.): (503) 639 -4175 .J W' "_ .. INSPECTION WORKSHEET FOR DATE: 2/1311008 T E: 7 :01AM PAGE: 23 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA • DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645-0986 Inspection Request Scheduled For: Date: 2/13/2008 Pour Time: Code # lispection Description Confirm # Contact # Message 280 kl,P Insulation 064951 -05 503572 -8689 N Correct'•ns /Com ents /Instructions: A' Q e _,(4/jYce-c1),K___ mss- CS' (Ag - Ve___-- / V -- -/t 72 --t , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: '' --Lj Date: ' / 3/ 7Phone #: (503) 718- ZY CITY OF TIGARD . ;_.. BUILDING DIVISION PERMIT #: •M�;T007_00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28120(17 Phone: (503) 639 - 417- A I I Inspection Requests (24 Hrs.): (503) 639 -4175 1 `'I .. INSPECTION WORKSHEET FOR DATE: 2113/2008 TI : :01AM PAGE: 24 SITE ADDRESS: 12674 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: Q31 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 Inspection Request Scheduled For: Date: 2/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 064951 - 04 503 572 - 8689 N Corrections/Comments/Instructions: N o-ite : . -- z It (_ -- 11" - • L /7 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 14_/(—}_________ Date: V J Phone #: (503) 718 - -Z-- LI CITY OF TIGARD . ' BUILDING DIVISION #: MST20Q7 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ::40011 . Wj INSPECTION WORKSHEET FOR DATE: 2/13/2008 t Y E: 7 :01AM PAGE: 25 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BEI-LA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645 -0906 Inspection Request Scheduled For: Date: 2/13/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message ' 242 Interior shear walls 064951 -03 503. 572 -8689 N Corrections /Comments /Instructions: 1\4-T11 v( .ii-4. 2-_-/‘ / a 1v •"-- ek-- s l PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: LIIP Date: / KPhone #: (503) 71811-(12-1-1 CITY OF TIGARD BUILDING DIVISION PERMIT #: .M$T2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 1/28/2007 Phone: (503) 639 -4171 4t (` Inspection Requests (24 Hrs.): (503) 639 -4175 1 �.. INSPECTION WORKSHEET FOR DATE: 2/13/2008 TIME: 7 :01AM PAGE: 26 SITE ADDRESS: 12674 SW RFMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF • OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 2/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Me- :ge 615 Mechanical rough -in 064951 -02 503.572 -B689 Y Corrections /Comments nstructions: Ti✓ ? d*S. • b , f t ir\&A, S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASS SED Inspector: • Date d 3 /� Phone #: 503 N � ) 718 - CITY OF TIGARD - 1 BUILDING DIVISION , PERMIT #: .MST2007- 00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 y g ,, I Inspection Requests (24 Hrs.): (503) 639 -4175 I . INSPECTION WORKSHEET FOR DATE: 2112/2008 TIME: 7 :05AM PAGE: 24 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: Now.SF I OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 5033645-0986 Inspection Request Scheduled For: Date: 2117/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 064879.02 503-572-8689 N Corrections /Comments /Instructions: Qi 7-14 c.,) dar_. It. _,e,t i: . -1 — 1 Mall I.- i 4;,; •L Et-GL- i .r.w iC s-e' hiig fI, 1 /2Lo4 APe o2n v7 _,. 54 c ❑ PASS 11 PARTIAL APPROVAL El CANCEL El NO ACCESS W,I FAIL r/ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ..w Date: /c)8 Phone #: (503) 718 - _____W CITY OF TIGARD . - ' BUILDING DIVISION #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28(2.007 Phone: (503) 639 -4171 illt Inspection Requests (24 Hrs.): (503) 639 -4175 4 °:_— INSPECTION WORKSHEET FOR DATE: 2/1/2003 TIME: 7:02AM PAGE: 46 SITE ADDRESS: 12674 SW RF_MBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: J03- 645.0986 Inspection Request Scheduled For: Date: 2/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message • 275 Framing 064351 -10 503- 572 -8689 N Correc ions /Com nts /Instru ns: ( ) k b _ p XP/6 (Y12.J".6_--1, c_es_s2_ ot Get- 3 Lz - 72 <A -, e c .c.A . c --c—Q. ( tZ Z7/o-1 '�--t3 zi3vai s.. 1: e i.f4--(e---y• I J2._4--,_:,-- VA_ v c:V ---- Of'ti_____, 404- Z\- c ,', - .' . _k - t--7 6 .] . 11:1 .0:i_ ? )Z vG - S Lej C7 -- - G I U2 ii 4 L't IIC/CCZ/Al c - \i ///e \-<6\ '` _ `-'^. k % Ai 5t elut,w1/61,:. v 6 * \ �1 ,.. -Ikep _ _ -_____I 3 4 1 / ROMP W _ ' lAlt- e V 6 1- e it/vvis-1.-- '*-- • �� 0 • _ . , _ ` � • ❑ P ❑ PARTIAL APPROVAL , ❑ CANCEL ❑ NO ACCESS p f•k' I ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4-0(------, Date: 7. /k/ 15 K Phone #: (503) 718 - 23 1 `ill CITY OF TIGARD ' 1 BUILDING DIVISION PERMIT #: MST2007 -00207 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 `'I � .. INSPECTION WORKSHEET FOR DATE: 2/1/2008 TIME: 7 : 02AM PAGE: 54 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: B ;ELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986 Inspection Request Scheduled For: Date: 2/1/2008 Pour Time: Code # I pection Description Confirm # Contact # Message 42 A Ini shear walls 064351 -02 503-572-8689 N Corrections/Comments/Instructions: L ' w� . i0 C6 c Cam) -- . � , A 4 l • t( 0 z I . .. C SIflNr4 — V • 1\6 /C ' a -' - s 1 f - Mgr v 1■/4 - _ . , At....a V ZP '6,LD p z...v.1 S 1J fc..,IL t__ a --x.-- ‘ • . D A:A Vt 1 ■ 2..1—r ;;.-----s . .T ---- ,3 ' ❑ PASS IAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , Inspector: t,?/15-11...*Date: 71 tb Phone #: (503) 718- _/ CITY OF TIGARD .. BUILDING DIVISION PERMIT #: id1ST20g7 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11 /28/2007 Phone: (503) 639 -4171 glit Inspection Requests (24 Hrs.): (503) 639 -4175 IL INSPECTION WORKSHEET FOR DATE: 211/200 T 7:02AM PAGE: 60 SITE ADDRESS: 12674 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: A3.1 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 3J1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 064351 -06 503 -572 -8689 N Corrections .o s /Instructions: Idle c , i,....--C 6\ 6 (" (2,z,c...ar-.9 , ig Q e& 1.,.-=,�. 7 ' .. 4 -- , (--cL-Q .S L-116-4)2.- ' 7r 1 ‘ I 6 • 111111011MMIIM 1110 01 ) -� --__ w - w Ate • S !rte L iw . J tiVl� - c-4 Q leA. . It( v 9- 1\__4 ` � VVC .e_JQch 8_49 _6,.'' V.J7 -_-.�- a `___ A - 2> 6-12 < k----A,_ c _L-. .6-__.-e . ,s, . ❑ PASS J''ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �/ Inspector: Date:` `' Phone #: (503) 718 - 2-1- CITY OF TIGARD BUILDING DIVISION PERMIT #: M5T2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/1/2008 TI 7 :02AM PAGE: 52 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645.0886 Inspection Request Scheduled For: Date: 2/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 064361 -04 503.572 -8688 N Corrections /Comments /Instructions: • ,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �`� Date: 2-7 1<) Phone #: (503) 718 24 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST'20g7 Ot)207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •1 Phone: (503) 639 -4171 aa� 1"'' r ia Inspection Requests (24 Hrs.): (503) 639 -4175 �'!+� F'� �� INSPECTION WORKSHEET FOR DATE: 211/2008 TI 7 :02AM PAGE: 51 . SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BEI. VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645-0986 Inspection Request Scheduled For: Date: 711/2Q08 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas lino 064351 -05 503 -572-8609 N Corrections /Comme 1 44e 6,4 vk_s- u___),,J ,Gw.,,,,4 . c, A w /,. O- v . lA1ZS t"‘"--- ,) , -- ......-e_z:7 r-c,.-4 -- ( L-e_e_e -- \ -- A8 e irY5 - 1.-v - \ ' c - 6) 41 ejr) /. . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �/� Date: V/ / Phone #: (503) 718 - CITY OF TIGARD „ _ . BUILDING DIVISION PERMIT #: ,MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 ha,� - a' Inspection Requests (24 Hrs.): (503) 639- 4175 ,, � INSPECTION WORKSHEET FOR DATE: 2/1/2008 TIME: 7 :02AM PAGE: 56 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645.0986 Inspection Request Scheduled For: Date: 711/2008 Pour Time: Code # Irspection Description Confirm # Contact # Message 235 -'/ Shear walls/anchors 064351 -01 503.572 -8689 N Corrections /Co ments /Instruuctions: p / A,A',' � /�1l 0 g Ca0 /‘C & 'A _____ 0-44 ......„ P AS S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • 2j \,/7) O -�4 Inspector: `/ C� 0 Y Date: Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1'1/28/2:007 Phone: (503) 639 -4171 bmaip mI Inspection Requests (24 Hrs.): (503) 639 -4175 -IL INSPECTION WORKSHEET FOR DATE: 2/1 /20013 • 7:02AM PAGE: 53 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BEI.LA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: EBELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645 Inspection Request Scheduled For: Date: 2/ 1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 06435 -03 503 -572 -8689 N Corrections /Comments /Instructions: 2 q A &1%k DC - \ Ti3 A An CCA) — — 73 - 3:I_ S . 6 T9-ei A-(,; - V vt2 e-' � - k s' -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED lzAla e Inspector: 4 Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 l `,e DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 / u h ,I�l I 7 `( Inspection Requests (24 Hrs.): (503) 639 -4175 .- _-_- �:_.. I � / � INSPECTION WORKSHEET FOR DATE: 1/18/2008 TIME: / ` AM PAGE: 14 SITE ADDRESS: 12674 SW REMBRANDT LW N CLASS OF WORK: SUBDIVISION: BELLA VISTA L• o' a Q31 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503645 -0986 Inspection Request Scheduled For: Date: 1/18/2008 Pour Time: `� Code # I pection Description Confirm # Contact # Mess.• - 1 240 Yv Exterior sheathing 063531 -01 971- 246 -1996 Corrections/Comments/Instructions: • 'j PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES SSESSED Inspector: Date: \, \ Phone #: (503) 718 - `L41 • CITY OF TIGARD BUILDING DIVISION r" PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 F -_— INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7 :00AM PAGE: 29 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.645 -0986 Inspection Request Scheduled For: Date: • 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 063426 -01 971 - 246.1996 N Correcti ns /Comments /Instructions: Poi:t3 -.e-t--- - • r, 1 S , & . -- lv : erg .Q r `^- \2Q G � ( : - L/1l\jJs \(&& L -� '3 x _, c).01t446 S ,x g-,r,A `-ik ` 5 ` 5 , . ( . : 26 / n .7171 i i ,, 0 _ C - - - . . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS V IFLaL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �� (/' Date:tb / Phone #: (503) 718- 7,424 Dec 28 07 02:24p JRR Engineering Inc. 4256974506 p.1 JRR Engineering, Inc. /14 5 J d_da 7- D- 7 18609 76 Avenue West, Suite B Lynnwood, WA 98037 -4149 Phone: (425) 697 -5108 Fax: (425) 697 - 4506 December 28, 2007 Aaron Boyle Riverside Homes, Inc. 1925 NW Amberglen Parkway, Suite #150 Beaverton, OR 97006 SUBJECT: Construction Revisions, Plan 2415, Lot 31, Bella Vista, City of Tigard, OR, Riverside Homes, JRR # 07-03R Dear Mr. Boyle: JRR Engineering, Inc. (JRR) understands 3x pressure treated (PT.) mudsills were not installed as shown on the approved plans for the above subject building. JRR has reviewed the plans and calculations and determined the following construction modifications are required: 1. The I -joist floor framing system shall be anchored to the full height basement wall as shown on the enclosed detail 'H 2. The living room front wall may be constructed as shown on the enclosed detail "C. Revisions shall be incorporated into construction with reference to the previously approved plans, specifications and details. Please advise if you have any questions or concerns regarding this matter. Sincerely, JRR Engineering, Inc. �O PROpe,. E NG INE ' ; ' : • 9 P itra • • • 'AO " '• z5,1'' CT 4 C D K. /i1ssizoa I EXPIRES: OA f2tXi 1 Concurrence: Ronald K Riach, P.E. Encl.: muir U JRR1LETTERS107o3RL17.doc CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST20Q7 -00207 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/23/7007 Phone: (503) 639 -4171 qg '� Inspection Requests (24 Hrs.): (503) 639 -4175 J' INSPECTION WORKSHEET FOR DATE: 1/17/200 TIM : 7:00AM PAGE: 28 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 063426 - 02 971 246 - 1996 N '' Corrections /Comments /Instructions: ‘` lei, t- V t (Ret,QL-v•A w ` '1■o--4X 4 , kili/ V\A W V W hiF1... ,e? c \J,6, A.,,,,-,‹. ,_ U....,, c� (Y0-12A(1) VI A/ _ . .2.c,0 �� 1 — - D ,emu . Nra__ • . ' ik ---,-_\. ■,..,\ z..2_,.-1_,-,e7- - 1 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ty■EAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: '/ `- D ate: t ° � (4 Phone #: (503) 718 - l-/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 -!�+1- "'I I- INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7:00AM PAGE: 27 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 03.1 TYPE OF USE: PROJECT NAME: F ;ELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: . 503645 -09136 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 063426 -03 971-246-1996 N Correction /Comments /Instructions: / • • ��� tS 11111... L MIL Arra& . - l�� / . l , `_ - 7 d--P4 _ 6 e-t- `1)AA .. Vt-/-2-- (%'‘) C .-')______ \ a( /5-2- C r,- Co ) 0 ,..... . 4 P/ -2C,R..) C1 3) , -;) l a- ,- 1- ( 6 44(4 1<- b i 5-2 ( W - - . 1 ( C .3 ) km 1 [I PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V2,- Date: 001 Phone #: (503) 718- �� P � ) CITY OF TIGARD - "' • BUILDING DIVISION PERMIT #: MST2007- 00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20/2031 Phone: (503) 639 -4171 r� Inspection Requests (24 Hrs.): (503) 639 -4175 . ' " .. INSPECTION WORKSHEET FOR DATE: 12/31/2007 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BFLLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: C3ELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 5Q3- 645-0986 Inspection Request Scheduled For: Date: 12/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Messa•e 225 Post/beam structural 062351 -01 971 - 246.1996 0 ,a., cc) Corrections /Comments /Instructions: PKu \l1 c S t� l _i /9 SP ( M.4 _- 1. &)Selma 2z7 ' a ,: 4 Alb" t emA / eSell, MP _ -..(� Grp —[__ s 1' c �-z- r & f • ol< -l0 The:,---z_4‹, ❑ PASS #4.A `•'' RTIAL APPR• AL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ( L- FO_:.6SINI01i ► ❑ADDITIONAL FEES ASSESSED Inspector: ■ . ��_ _ Date: 1 Z t 07 Phone #: (503) 718 7,4 L 1 CITY OF TIGARD ,‘, BUILDING DIVISION • PERMIT #: MST2007- 00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 .-_.._ °__.. INSPECTION WORKSHEET FOR DATE: 12/27/200 TIME: 7 :00AM PAGE: 21 SITE ADDRESS: 12674 SW REMBRANDT LW CLASS OF WORK: ' 1 SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: 1 PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -G45 -0986 Inspection Request Scheduled For: Date: 12127/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 226 Pos/beam structural 062198 -03 971- 246 -1996 N Corrections/Comments/Instructions: i) M 1 s s/ 6Z . / 4 - I a. P, oii 1 * < A '- _ 1 Alri l - .. - :. - 1 1 IS 0 ? Po ,-IN C./it 4444_, 4G -< S LO t 4'T76 ALI 6 1 1 ` 5 lio-" S 0FP01Q .S l J l o r / e ; = 1 2 A i o r r i - f ( — A c , ( o Z.--7: .HM 1)17,41 6 tpgoV 1 b 3 ,4--_ s4 z.c-- /> Pz3 0 (- 44 L . _ C r y r z/ N _/ -4111... ❑ PASS r, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ril CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I Inspector: L — ___ Date: It Z ��) 7 Phone #: (503) 718 - Z - % y ■ CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2007- 002117 13125 SW Hall Blvd., Tigard, OR 97223 =-DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 " 'IL. i INSPECTION WORKSHEET FOR DATE: 17/26/2007 TIME: 7:06AMn PAGE: 10 SITE ADDRESS: 1 674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: [ ELLA VISTA • LOT #: 031 TYPE OF USE: PROJECT NAME: E3ELLA VISTA DESCRIPTION: N SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: - • 503-645.0986 Inspection Request Scheduled For: Date: 12/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Past/beam structural 062/23-01 971-246-1996 N Corrections/Comments/Instructions: s (f/) Ai6tri,..-4 ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED - Inspector: Date: ! 2. —c Phone #: (503) 718 - -t---(k/ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2W2007 Phone: (503) 639 -4171 111 Inspection Requests (24 Hrs.): (503) 639 -4175 _.' ..� F:_.. INSPECTION WORKSHEET FOR DATE: 12/18J20p7 TIME: 7:01AM PAGE: 21 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645-0986 Inspection Request Scheduled For: Date: 12/18/2007 Pour Time: g :00 Code # Inspection Description Confirm # Contact # Message 220 Slab 061750-01 971 - 246 -1996 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS III ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /g- -/8— e,---› Phone #: (503) 718 - 2- g - / CITY OF TIGARD BUILDING DIVISION PERMIT #: .MST2007 -00707 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . "LL INSPECTION WORKSHEET FOR DATE: 12/17/2007 TIME: 7 PAGE: 21 SITE ADDRESS: 12674 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: Q31 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 - 09636 Inspection Request Scheduled For: Date: 12/17/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 220 Slab 061648-03 971 - 246-1996 N Corrections/ Comments/ Instructions• 4 (25-- A — V AP<1D PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL W CALL FOR INSPECTION El ADDITIO AL F ES ASSESSED Inspector: Date: IZ 1 7 Phone #: (503) 718 - ___ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00707 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 421011 '1I Inspection Requests (24 Hrs.): (503) 639 -4175 ._' ' : INSPECTION WORKSHEET FOR DATE: 12/7/2007 TIME: 7 :00AM PAGE: 33 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0386 Inspection Request Scheduled For: Date: 12)7/2007 Pour Time: 1200 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 0610M-02 503.572 -5276 N Corrections /Comments/ Instructions: ' • ' _ d`— _ "IL l earb.. ()F-----t-&iC _,(MTh r- c= 3p}r____KS A- p � u 1 �� v�� _ = `r (—)V6:=: . - U \e ,q—r ,�i1L + Dc'i_i ce ?Kt o K ?o0 - I) 10 P ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED n z,zzr Inspector: i� 1 Date: /07 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: ,MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1//2810007 Phone: (503) 639 -4171 rl ' l Inspection Requests (24 Hrs.): (503) 639 -4175 "'I INSPECTION WORKSHEET FOR DATE: 17J712007 TIME: 7:00AM PAGE: 34 • SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: Q31 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645 -0986 Inspection Request Scheduled For: Date: 12/7/2007 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 061054 -01 971-246-1996 N Corrections /Comments /Instructions: , 1 PA) VA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /7 Inspector: A - ! Date: � D Phone #: (503) 718 - 1...C6/ Jan 18 08 10:51a JRR Engineering Inc. 4256974506 /� �✓-7` . 1 7 1,i1A417, JRR Engineering, Inc. FAX 7." E:WG FAX Fax to number: I (503) q ?-116,c Compan I RSUERSiD J ptf 5 TRIG Aftendm: I AARON (5o From: I RI/S.5 FO1 Date: I elm/Lope Number of pages (Ind. cover): J 3 PLAN 241G LOT 31 REF - LETTER 0703RL 17 Subject: IACCEPTAI3Vf A LTER NATe ADHFS_T naj comments: IT 1 s Au.6PrA6I.6 TO USE k o BPS ,N ACRY Lit —T IF AI- IF.SLVe PA " AS AN • ALT6RJATIVE FOR SIMPSQN HT4P1 510 6 N TH EPgx „ s6T Fo& Th6 ANLH oik B °LA'S w rri-1 THE FoLL 0144.1∎/( LORI DITIOAJS n 2�' MI N. ED AC _PISTAN CC goVil T 4 6 6x(e FOR ED AA OF 1 ON T s t11 .EriREo116Ni IN CONCRETe bR.ILL &LT 01A. = 11 4b Mailing Address: 18609 76th Ave. W, Suite B Lynnwood, WA 980374149 www.JRREngr.com Phone: (425) 697 -5108 Fax: (425) 697 -4506 • E -Mail: JRR @JRRengr.com CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2007- 00207 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 1/128/2007 Phone: (503) 639 - 4171 �i� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/24/2008 TIME: 7:00AM PAGE: 12 SITE ADDRESS: 12674 SW REMBRANDT Ltd CLASS OF WORK: SUBDIVISION: E3ELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: EBELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0906 Inspection Request Scheduled For: Date: 3/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 067212 -03 503.572 -8609 N Corrections /Comments /Instructions: • L-bccZ i / / • ► � MRTIAL APPROVAL ❑CANCEL ❑ NO ACCESS ❑ FAIL /I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 3 -4o Phone #: (503) 718 - zh q . _ CITY OF TIGARD - BUILDING DIVISION • PERMIT #: M ST2007- 00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/ 007 Phone: (503) 639 -4171 : S r o � 1 Inspection Requests (24 Hrs.): (503) 639 -4175 `:_.. INSPECTION WORKSHEET FOR DATE: 2/1/2008 TIME: 7 : 02AM PAGE: Q4 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645_U906 Inspection Request Scheduled For: Date: 2/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 316 Post/beam plumbing 064351 -11 503. 572 -8689 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CTI vvZ Date:l > I 0 0 Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20r2007 Phone: (503) 639 -4171 el Inspection Requests (24 Hrs.): (503) 639 -4175 -Mt INSPECTION WORKSHEET FOR DATE: 2/1 /200a TIME: 7:02AM PAGE: 43 SITE ADDRESS: 12674 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986 Inspection Request Scheduled For: Date: x/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 064351 -12 503572 -8689 N Corrections /Comments /Instructions: 4 PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CjiN Date: 2 1 `rczt Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 i/20/20j7 Phone: (503) 639 -4171 j � l Inspection Requests (24 Hrs.): (503) 639 -4175 " __ INSPECTION WORKSHEET FOR DATE: 1/31/2008 TIME: 7 : 00AM PAGE: 17 SITE ADDRESS: 12674 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 -645-0986 Inspection Request Scheduled For: Date: 1/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 064291 -01 503-672 -5278 N Corrections /Comments/ Instructions: I . Nr t6t,a -e. I f' c-( " W w e i p`o�. L0 6,,14 r .Q.,iOL.,J 1k■.5 • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: w�. \L1 —.-- Date: I \ 3i O 6� Phone #: (503) 718- CITY OF TIGARD. BUILDING DIVISION PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/28/20117 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . �!4+- B1� �� INSPECTION WORKSHEET FOR DATE: 1/31/200 TIME: 7 : 00AM PAGE: 16 SITE ADDRESS: 12674 SW REMBRANDT IN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503-645-0986 Inspection Request Scheduled For: Date: 1/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 064291 -02 503572.5278 �- N Corrections/Comments/Instructions: t 1--4.--71- C" f� S 1j '" J `t, ki \ P 1 fin q i� ✓ O� �-2` J �o w �✓ `\ ✓ 1 U yo If 1 .ND � o, ,A C ea.f l ct o °, 41 1 Lo -ki-S � .a n p o - re r -- \ -- W fit,/ P i i 3O �� .,0 . . (1),ro: c, LA.,,e,--vc.. 4_, 0 4_,:::V it ,% g■Js1 i---\6\ A1,. 1 bew i —trer s ■-„,e., ec„.., .,._ g.„,,c, 0 1 I i v--ce t - k - 01,A , ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS X FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: QR( Ns- A- n Date: 1 , 31 1.0 % Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 17J1 7/2007 TIME: 7:01AM PAGE: 23 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: p31 TYPE OF USE: PROJECT NAME: BFLLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503.6450986 Inspection Request Scheduled For: Date: 12/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mes 305 Plumbing underslab 061640 -01 971 -246 -1996 Corrections /Comments/ Instructions: ftlol P. s PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: IC (i ( o7 Phone #: (503) 718- _2(9_W CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-002 07 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/29/2007 Phone: (503) 639 -4171 ill Inspection Requests (24 Hrs.): (503) 639 -4175 it -_ INSPECTION WORKSHEET FOR DATE: 12/17/2007 TIME: 7 :01AM PAGE: 22 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: ' CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 50_645.09N Inspection Request Scheduled For: Date: 12/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 061649 -02 971-246-1996 N Corrections/Comments/Instructions: • vl "A - / • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED 1 _ Z6 C A - Inspector: ` Date: Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00207 13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 11/2f3/20O7 Phone: (503) 639 -4171 Ake .. 11 t� Inspection Requests (24 Hrs.): (503) 639 -4175 .._'!`; 1. • INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 : 0t1At PAGE: Q6 SITE ADDRESS: 12674 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: Q31 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986 Inspection Request Scheduled For: Date: 12/17J2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 061371 -02 971 - 246.1996 N Corrections /Comments /Instructions: C c.L - U "u e✓ i. l $ PASS ❑ PARTIAL APPROVAL , ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1•A-.J + ■ h to.......-- Date: 12A 1'2 O) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION • PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21{/2(307 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 F_ -. INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 :00AM PAGE: 45 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: Q31 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: Nevi SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645-0986 Inspection Request Scheduled For: Date: 12/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 061372 -01 971-246-1996 N Corrections /Comments /Instructions: j ug- Ca„,tic0,1 ❑ PASS g PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: k, Date: 12'! t'2, . 7 Phone #: (503) 718- CITY OF TIGARD. BUILDING DIVISION PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639- 4171°I«�pi Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 :00AM PAGE: Q4 SITE ADDRESS: 12674 SW REMBRANDT LW CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: Q31 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF • OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 Inspection Request Scheduled For: Date: 12112/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 061372 -02 971.246 -1996 N Corrections/Comments/Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: c'71 IN Date: t ( - Z to -7 Phone #: (503) 718- i ' CITY OF TIGARD. • BUILDING DIVISION PERMIT #: MST2007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11f2I /20;)7 Phone: (503) 639 -4171 w- 1l � ' Inspection Requests (24 Hrs.): (503) 639 -4175 °° "II INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7:00AM PAGE: 43 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503- 645 -0986 Inspection Request Scheduled For: Date: 12112/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 061372 -03 971-246-1996 N • Corrections /Comments /Instructions: %PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VirA.As 1 l i .— -- Date: 1.21 1. 0"7 Phone #: (503) 718- CITY OF TIGARD. BUILDING DIVISION PERMIT #: MST 007 -00207 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1//2012007 Phone: (503) 639 -4171 41li t Inspection Requests (24 Hrs.): (503) 639 -4175 "'II INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 :00AM PAGE: 42 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 031 TYPE OF USE: PROJECT NAME: BELLA VISTA • DESCRIPTION: New SF • OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0906 Inspection Request Scheduled For: Date: 12/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 061372 -04 971.246-1996 N Corrections /Comments /Instructions: [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CM ' Mj\ \ k 1 i ce - Date: 1 2A v2_, t . • ^) Phone #: (503) 718- _ • . _ . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -0007 13125 SW Hall Blvd., Tigard, OR 97223 , /1 DATE ISSUED: 1 if28f2007 Phone: (503) 639 -4171 Il Inspection Requests (24 Hrs.): (503) 639 -4175 ...' ': INSPECTION WORKSHEET FOR DATE: 12/12/ 2007 TIME: 7 :00AM PAGE: 47 SITE ADDRESS: 12674 SW REMBRANDT LN CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: Q31 TYPE OF USE: PROJECT NAME: BELLA VISTA DESCRIPTION: New SF OWNER: RIVERSIDE HOMES, INC., PHONE #: CONTRACTOR: RIVERSIDE HOMES INC PHONE #: 503 - 645.0986 Inspection Request Scheduled For: Date: 12/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 061371 -01 971- 246 -1996 Y Corrections /Comments /Instructions: F 6 D +t +t-, 0 , L1 s Le. 1/1 6e Re„ . g a,c,v ci Vt4..,1 - p -A, M c,-4- Cspra/Le- e.e. Se -4 o R 4,0 < 0 RS c ❑ PASS Q( PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: l , 1-1_&...;'" l \l - -- Date: 12A v2-40 Phone #: (503) 718-