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Correspondence Mar. 5. 2014 5: 07PM No. 9965 P. 2 City of Tigard - COMMUNITY DEVELOPMENT DEPARTMENT Request Permit Action � REC�IVED T l�_D 13125 SW Hall Blvd. •Tigard, Oregon 97223 •503.718.2439 •www.tiga or.gov MAR -6 2014 TO: CITY OF TIGARD Building Division Services Supervisor CITY OF TIGARD 13125 SW Hall Blvd.,Tigard,OR 97223 BUILDING DIVISION Phone: 503.718.2430 Fax; 503.598.1960 www.tigard-or.gov FROM: ® Owner ® Applicant Cl Contractor ❑ City Staff (check one) REFUND OR Name: Timberland Homes,Inc. INVOICE TO: (13wir`rw or 1ndrvid a Mailing Address: 12670 SW 68th Ave.,Ste. 300 City/State/Zip: Tigard,OR 97223 Phone No.: 503-620-8860 PLEASE TAKE ACTION FOR THE ITEMS) CHECKED (1): ❑ CANCEL/VOID PERMIT APPLICATION_ ❑ REFUND PERMIT FEES (attach copy of o 'l nel receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Permit#: 2014-00002 Site Address or Parcel#: 12315 SW Winterview Dr.,Tigard Project Name: Troy Park Lot 1 _ Subdivision Name: Troy Park Lot#: 1 EXPLANATION: We have a new electrician-Dreamt-louse Electric,LLC.They submitted a new permit already,and no electrical inspections have taken place yet on this job. Signature: Date: 3/5/2014 Laura lake Print Name: Refund Policy 1. The Director or Building offie ial may anrborize the refund of 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 b) not more than 80%of the land use application fee when an application is withdrawn or canceled before any review effort has been expended.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 d) not more than 80%of the building plan review fee when an application is canceled before any plan review effort has bear expended. 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 2-4 weeks for protesting refunds, Ate aeJ .-itcn: Date 3 1,, iv B Rte to Bldg Admix: Date By _ Refund Processed: Date By Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By Receipt# Date Method _ Amount$ I:\13uilding\Forma\RegPerrnitActioadoc Rev 05/B/2012 RECEIVED • .. Electrical Permit Application _ 5 2014 FOR 0)1;1(7:iiSk:0531Lie City of Tigard I i -• Hall r1GARD �: D11¢`,Q 0 �t 3125 S W ' , 912DVIV p 1_k• 501712.2439 Red:'5 51966- P Oper permit: r'c;,,F.l. higeetiOr Lino:54941 76 nen Worm; wwv.o .0o govt 1 has Set Puylt 2tor -- - J__ u lalay..Cne 1 YPE OX WORK PLAN REVIEW 0 New construclioe Q Addition/altoratirmireplaatnan list check as that apply(pagan;sob of plant wli:ems Checissr bel)w): 0 77e no1itian ��• ❑Secvfoe ea tome 490 amps oe rase 0 a.ixmg over iamo sienea. I wane the avalyhb w fault rrm M Mouse sod bomyandl. CATEGORY OR CONSTRUCTION worm,10.000 i�1-ea 2-fa;plil dwelling - feu, amps as i1t Wye a 0 Y1aom g buildings_ Y ing n Co mmerelalrmtlnsariat ❑Accessory building ( t> .a Gcemr wO00 0 catamm. . , Muw'fsml' QMawrbuima �r9um .o mom. mu �� •' �1'�p�mp, t.}NSN1iCUn at 130KVA OC QLo`PoQYarloci• tux-] OAMAZTOK AND LOCA190N " tt_" 0 JWiiute anew mow toad of 0,.p-•^E••.-,; ••i,3. job no_rft. Iobsiteaddre}b:1a3tS SW W1YhR.y_ ted•� '• 100IfParmore. «atDaecY- Y r-- Gl s; or men rc tdrar tit units. 0 Rureaaoeu Wwide pehi" i City/State/MP:Tigard,OR97224 0 Health.out ratalilies- O Supply voltage rot MAW thav C rtafsdw,.tomtlrns- 600 veil, gee. Suite/bldg/apt,no.: i Projcct name:flay Park Lot d SaYwt or fordpf 4ao as a more Cross In job site: w— I SC�ti A1JLB �' l ,�Ns �gte-a•mn1Ffinn1y throning will. Subdivision:Troy Pack _ ! Lot no„� 11 1100 si.or lets 168.54 ! , 4 I Tax lr. parr�l no. fa,odd•1500 ..ft_or pvIDOn �11 B Ip[7017(}F WORK — _ Limited twerp,.asaidaatial ("ill above tq.1t.1 f 7540 2 i Single Family Residence ��e0ag'•�d -. 2500 I 2 i Ream,.. _ •sown:, z Services.%, feadeurs instal:aka,ttea,alteration • Macedon a PROPERTY OWNER 0 TENANT amps or less 10010 IMM© Name:'1"unbarland Uomcs,Inc. 201 amps to 400 emx 13356 1 2 ' ! Adtfrosa:126'70 SW 6641 Ave.,Suite 300 -- 401 amps to 600 sops 7011.04 2 i 601 amp b I A00 amps 301A4 City/314;1ra Tigard,OR 97273 : ow,.100(1.....a Holm r� 2 Phone S08 Temporary services or feeders in—steyalba, bon~� - Fax:(503)598-9081 • relocation 200 autos Owner statlatioa:This installation is being made on property that Y own which is not a loss MI 5936 ! 1 intended for sale,]case,rent,Or ax5hang6,atcOrding i0 ORS 447,449,670,and 701. �1 p"'°B°a00 soma 2 Owner signature: Dart 401 saps it 494 amps _ 168.5s 2 • ®APPLICANT T _ Q COttrFACl ream* BAesn trfr hcanryt cites wfrfl Business acme Timberland Hanes,Inc. above rervice a:fevom-fee, eat*branch circuit ' Contact name:Laura Blake i S.Pea for Draocti e;,cuir� out Address; txodor bee,tint 14.18 IIIIII A4iV • .G :++'Y.0 31.Off' Arm,Suite 31 O w Each o4tfl b0➢cb circwL 7.42 ! 2 CityiStilie2 Tigard,OR 97223 ..1••- ..,coon • or freder not/winded maoufsesure4 or modular I z Phony(S03)62,6960 L Fax::(503)598.9081 dwcliln•.�'ic•aod/ofloader F.mail:latrralkiinberlandhomes.net — xGOnnan only 67 pa — —72 awrit oR haw at bliss/on circle 1 67.S4 u y� P- sign mouth=b�mog 7 6724 8uslaGlsliante: C�41 t I Signal aZalunitod�ergy see �© �LQ l9'l ±yyf' panel,altesadan,or OSMAN. pa .Address: Rai_ G .lN�pnet.p Ilar—e.. Each additional ins •on over allowed*in.a or die above J ; addw°'tal1 (1brmini 66.25/hr 1 City/Statr2P "a r r £ °i1- Phone: ./pig Fax ( 1�7 ,,. 'Nictitation(1 hrmsal 66251 Hr .Y S' � `1 !.2 mf>•) r 78J6f hr lin ". •mecums for wan*no fee u CC4Lit jq(j l ElmcsiclLc. a . Suprv.Lic� ��, . ,••-t1ra0 tuna •to 9000l 1r Supt•v,Fiecaiekin signature.required: . 1 ��± IiI.BLRRI(^ ++.;foul z:��� Subtotal: Print tram= 'S � DatC Plan review 2596 at Dump bur): t - - ��r o - � I' T _ t Authorized signature: State su (1296 of permit let): r TOTAL Pf!RMIT FEE: Print sun= This remit appltaNba aph%if a remit is sot olitaimed.itliln 1130 dui Rea it leer IMO ecremd as couplets. wean'.KV4.maYZLQI•com,Appf-l- fRt:ur nor all'VIM i rataolsrrh sag • "`wa.bor of a,cpette ec,l}ored pea p+rmit.