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Permit CITY OF TIGARD MASTER PERMIT .71 s COMMUNITY DEVELOPMENT Permit #: MST2010 00140 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/24/2010 Parcel: 1S133CAl2800 Jurisdiction: TIGARD Site address: 10940 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 51 Project: VILLAGE AT SUMMER CREEK LOT 51 Project Description: Building 15. New SF Townhome. BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 2 First: 38 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height: 33 Bathrooms: 3 Second: 573 sf Garage: 460 sf Front: 12 Smoke Dwelling Units: 1 Third: 573 sf Right: 3.5 Detectors: Yes Total: sf Value: $136,890.34 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea addl 500 sf: 2 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir: 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) CENTEX HOMES CENTEX HOMES 1 MST Ersn Cntrl 503 - 681 -4444 16520 SW UPPER BOONES FERRY 16520 SW UPPER BOONES FERRY RD, SUITE 200 RD, STE 200 PORTLAND, OR 97224 PORTLAND, OR 97224 PHONE: 503 - 608 -3060 PHONE: 503 - 608 -3060 FAX: Total Fees: $13,100.66 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, o if work is - . •ded for more the 180 days. ATTENTION: Oregon law requires you to follow th- files adopted by the Oregon Utility Notifica ". r en -r. Thos rules =, e set forth in OAR 952- 001 -0010 through OAR 952- 001 -0100. You may obt- ' a copy of th rules or direct questions to OUNC by callin • 03.2 9 or 1.80'.332. 44. PAPP Issued By: /'`�f�' /, _A _..A....-/../ '' Permittee Signature: Ai _ /A.� � te Buicling'Yermit Application Residential OFFICE USE ONLY cA ONLY � V City Of Tlgal - id� Received Permit No.: ° 13125 SW Hall Blvd., Tigard, OR 97 % Plan Review 711. : ° : , Phone: 503.639.4171 Fax: 503. , . $ ^ ` f%� Date/R : , 1 , r r 3 1 � 1'J S c4 /L, Permit: c4 /L, a ca i Ins Line: 503 'ate • ea.y :y: ® i� Supplemental Information See Page 2 for TIGARD Internet: www.tigard- or.gov 1 O �a Notified/Method: N ° Z q �� �� \ ) 1 C. ® TYPE OF WOR 0 ‘ REQUIRED DATA: 1- AND 2- FAMILY DWELLING �` Permit fees* are based on the value of the work ® New construction ❑ DraKJ} P f• l performed. tt�n p `��``"" Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1- and 2-family dwelling Valuation: $136,890.34 y g ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 2 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: /MO W • 14y Yt -r -t , New dwelling area: 1186 square feet City /State/ZIP: TIGARD OR, 97223 Garage /carport area: 480 square feet /51'3 Suite/bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK Covered porch area: 18 square feet 573 Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: I 6(4, square feet 3 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: VILLAGE AT SUMMER CREEK I Lot no.:4 / Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT C 1186 SQ. FT. Existing building area: square feet New building area: square feet . ® PROPERTY OWNER .,I . ❑ TENANT Number of stories: Name: CENTEX HOMES Type of construction: Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Occupancy groups: City /State /ZIP: PORTLAND OR, 97224 Existing: Phone: (503)608 -3060 Fax: (503)608 -3061 New: • ® APPLICANT ❑ CONTACT PERSON NOTICE ' • Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: GARY CULP licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 16520 SW UPPER BOONES FERRY RD, STE 200 jurisdiction in which work is being performed. If the City / State/ZIP: PORTLAND OR, 97224 applicant is exempt from licensing, the following reasons apply: Phone: (503) 608 -3060 I Fax: : (503) 608-3061 E -mail: gary.culp @pultegroup.com CONTRACTOR . „ Business name: CENTEX HOMES BUILDING PERMITFEES* . ' • (Please refer to fee schedule) . Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Structural plan review fee (or deposit): City /State /ZIP: PORTLAND OR, 97224 P one: (503) 608 -3060 I Fax: (503) 608 -3061 FLS plan review fee (if applicable): CCB lic.: 182591 Total fees due upon application: / ' Amount received: Authorized signature: �t/ 02//e, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: GARY CULP Date: • Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(I I /02 /COM /WEB) / i t Electrical ]Permit Application ' - - _ oMOFFICE USE ONLY- _ ` ., r� -1 r :t, City of Tigard Received Pen»il UPI ti t3' g Date/By: 9'�STaO /0 -O0 /ye 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review a t 2 . . , �,,, • . Phone: 503.639.4171 Fax: 503598.1960 Dotc/By: Other Permit: TT � Inspection Line: 503.639.4175 Date Ready /By: lnris/ ��/ El See Page 2 for faIntemel: www.tigard- or.gov Not7ed/Mcthod: !7 Supplemental Information TYPE OF WORK PLAN REVIEW ® New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or JOB SITE 'INFORMATION AND LOCATION ❑ Emergency system. larger separately 2 derived system. • ❑ Addition of new motor load of ❑ "A ", "E ", "I -_ 1 3 Job no.: Job site address: /ONO IOD io roes. occupancy. ❑ �KJ ❑ or Six or more residential units. Recreational vehicle parks. City /State/ZIP: TIGARD OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK ❑ Service or feeder 600 amps or more. F EE: SC HEDDLE :. Cross street/directions to job site: CORNER OF SW BARROWS RD, Description 1 Qtv. 1 Fee. 1 Total 1 SW 135 AVE AND SW SCHOLLS FERRY RD New residential single- or multi- family dwelling unit. • Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.7 1,000 sq. ft. or less 1 168.54 168.54 4 Tax map/parcel n0.: Ea. add'l 500 sq. ft. or portion 2 33.92 67.84 1 Limited energy, residential by 1 75.00 75.00 2 DESCRIPTION OF WORK _ . (with above sq. ft.) Limited energy, multi- family 75.00 2 NEW SFR TOWNHOUSES residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER I ❑ TENANT - • - • 201 amps to 400 amps 133.56 2 Name: CENTEX HOMES 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 16520 SW UPPER BOONES FERRY ROAD, STE 200 Over 1,000 amps or volts 552.26 2 Ci / State/ZIP: PORTLAND OR, 97224 Temporary services or feeders installation, alteration, and/or tY r relocation Phone: (503)608 - 3060 Fax: (503 - 503 - 6031 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, 7 47 each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: GARY CULP branch circuit Each add'I branch circuit 7.42 2 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Miscellaneous (service or feeder not included) City/State/ZIP: PORTLAND OR, 97224 Each manufactured or modular 67.84 2 tY dwelling, service and/or feeder Phone: (503) 608 - 3060 Fax: : (503) 608 - 3061 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: gary.culpn(Qpultegrotlp.com Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: GARNER ELECTRIC panel, alteration, or extension. _ Page2 2 Each additional inspection over allowable in any of the above Address: 2920 SE BROOKWOOD AVE, STE A Additional inspection (1 hr min) 66.25/ hr City /State /ZIP: HILLSBORO OR, 97123 Investigation (1 hr min) 66.25/ hr Industrial plant (1 hr niin) 78.18/ hr Phone: (503) 648 - 4552 Fax: (503) 642 - 7925 Inspections for which no fee is 90.00 / hr specifically listed CA hr min) AVCCB Lic.: /9, Electrical Lic.: 34 - 305C Suprv. Lic.: 3 -702 s' ELECTRICAL PERMIT FEES Subtotal: 31k , 3e Suprv. Electrician signature, requires,/ Plan review (25% of permit fee): / Print name: CHUCK GA ; ' ER Date: State surcharge (12% of permit fee): 3 X4. • , j ; i %, TOTAL PERMIT FEE: , (1 Authorized signature: 4W/4% /,� ' � This permit application expires if a permit is not obtained within 180 ! S // days after it has been accepted as complete. Print name: Date: OO • Ntnnber of inspections allowed per permit. I:\ Building \Pcnits \ELC- PcrmitApp.doc 07 /0!!11 440- 4615T(II /m5 /COM /WEB Mechanical Permit Application FOR OFFICE USE ONLY , City of Tigard Received Permit N Perm 4/ / 11114 Date/By: No.: HST, - oe,/� / q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review / ' /O 7 Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: Date/By: TIGARD Inspection Line: 503.639.4175 Date Read y /B o EA El See Page 2 for Internet: www.ti and -or. ov g g Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: i��V ,4a466--- Air conditioning (requires site plan showing placement) 46.75 City/State/ZIP: TIGARD OR, 97223 Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Heat pump 61.06 Cross street/directions to job site: CORNER OF SW BARROWS RD, Duct work 23.32 Hydronic hot water system 23.32 SW 135TH AVE, AND SW SCHOLLS FERRY RD Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Flue/vent for any of above 23.32 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 67 Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 1 23.32 23.32 Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for r water heater or gas UNIT C 1186 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 ® PROPERTY OWNER ❑ . TENANT Chimney/liner /flue /vent 23.32 Other: 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Range hood /other kitchen Address: 16520 SW UPPER BOONES FERRY RD, STE 200 equipment 1 33.39 33.39 City/State/ZIP: PORTLAND OR, 97224 Clothes dryer exhaust 1 33.39 33.39 Single -duct exhaust (bathrooms, Phone: (503)608 -3060 Fax: (503)608 -3061 toilet compartments, utility rooms) 4 23.32 93.28 . ® APPLICANT • ❑ CONTACT PERSON . ' Attic /crawlspace fans 23.32 Business name: CENTEX HOMES Other: 23.32 Fuel piping Contact name: GARY CULP $14.15 for first four; $4.03 for each additional Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Furnace, etc 1 14.15 Gas heat pump City /State/ZIP: PORTLAND OR, 97224 Wall /suspended/unit heater Phone: (503) 608 -3060 Fax: : (503) 608 -3061 Water heater 1 Fireplace E -mail: gary.culp @pultegroup.com Range 1 CONTRACTOR Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 MECHANICAL PERMIT FEES* City/State/ZIP: PORTLAND OR, 97224 Subtotal 2A4-;,2.0g, Phone: (503) 598 -0966 Fax: (503) 598 -8498 Minimum permit fee ($90.00) Plan review (25% of permit f �� " OEB lic.: 50096 State surcharge (12 o f permit fee) 1. - 1 � j 1 �� TOTAL PERMIT FEE i i I 61 let 7 O This permit application expires if a permit is not obtained within 180 Authorized signature: 404 / • days after it has been accepted as complete. Print name: KYLE Date. * Fee methodology set by Tri- County Building Industry Service Board 1:\ Building \ Permits \MEC- PermitApp.doc 10/01/09 440- 4617T(1I /07JCOM/WEB) Prumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received .: Date/By: Permit No / 7;0/0 -D eyv o ' 13125 SW I -tall Blvd., Tigard, OR 97223 Plan Review 0 • Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 Date Ready /By: tun See Page 2 for Internet: www.tigard- or.gov Notified/Method: rite Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total ❑ Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath I 500.32 500.32 ❑ Accessory building ❑ Multi - family Each additional bath /kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Pagc 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /0910 i,c 06 Catch basin or area drain I 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: TIGARD OR, 97223 Footing drain (no. linear ft.: 100) I Page Suite/bldg. /apt. no.: 1 Project name: VILLAGE AT SUMMER CREEK Manufactured home utilities 50.03 Cross street/directions to job site: CORNER OF SW BARROWS RD, Manholes 18.76 SW 135 AVE. AND SW SCHOLLS FERRY RD Rain drain connector 1 18.76 Sanitary sewer (no. linear ft.: 100) 1 Page 2 Storm sewer (no. linear ft.: 100) I Page 2 Water service (no. linear ft.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.:57 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 NEW SFR TOWNHOUSES Dishwasher 1 25.02 UNIT C 1186 SQ. ET. Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: CENTEX HOMES Fixture/scwcr cap 25.02 Floor drain /floor sink/hub 25.02 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Garbage disposal 1 25.02 City /State /ZIP: PORTIAND OR, 97224 Hose bib 2 25.02 Ice maker 1 12.51 ❑ APPLICANT ® CONTACT PERSON Interceptor /grease trap 25.02 Business name: CENTEX HOMES Medical gas (value: 5 ) Page 2 Primer 12.51 Contact name: GARY CULP Root drain (commercial) 12.51 y Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Sink/basin /lavatory 5 25.02 City /State /ZIP: PORTLAND OR, 97224 Solar units (potable water) 62.54 Fax: : (503) 608 -3061 Tub /shower /shower pan 2 i 1 2.51 E-mail: gary.culp(a)pultegroup.com Urinal I 2 5.02 Water closet 3 25.02 CONTRACTOR • - Water heater I 37.52 Business name: CRAFTWORK PLUMBING INC. Water piping/DWV 56.29 Address: 7737 SW CIRRUS DR Other: 25.02 City /State /ZIP: BEAVERTON OR, 97008 Subtotal 45 Minimum permit fee: S72.50 Plan review (25% of permit fee) Q(CCB Lic.: 79666 Plumbing Lic. no.: 20 -148PB o 0 4,/ State surcharge (12 /o of permit lie) Authorized signature: / TOTAL. PERMIT FEE 560,3k, / ��/(/J/ Phis permit application expires if a permit is not obtained within 180 days Print name: PE; TER POLLARD !! Date: 9•••• /, / after it has been accepted as complete. "Fee methodology set by Tri -C oumy Building Industry Service Board I \ Building \ Permit s \PI.MU- PennitApp doc 10!01,09 440- 4616I( 10!02 /COMA\'E13) Dianna Howse From: Dianna Howse Sent: Wednesday, October 06, 2010 3:52 PM To: 'Gary Culp'; Debbie Adamski Cc: Debbie Adamski; Branden Taggart; Albert Shields Subject: RE: TIFF credits Attachments: ReqPermitAction.doc; TIF- Voucher- VillageAtSummerCreek.pdf; image001.gif Hello Gary, I have attached a copy of the TIF Credit Voucher, now known as TDT, for the Village at Summer Creek. I have also attached a form for you to request a refund for the TDT fees that you have paid for each of the (6) permits for buildings 11 and 15. Please complete (1) request form for each permit with the following information: MST2010-00136, 10907 SW Sage Ter, Village at Summer Creek, Lot 45 MST2010-00137, 10911 SW Sage Ter, Village at Summer Creek, Lot 44 MST2010- 00138, 10919 SW Sage Ter, Village at Summer Creek, Lot 43 MST2010- 00139, 10944 SW Sage Ter, Village at Summer Creek, Lot 52 MST2010-00140, 10940 SW Sage Ter, Village at Summer Creek, Lot 51 MST2010- 00141, 10938 SW Sage Ter, Village at Summer Creek, Lot 50 I have copies of the receipts so it is not necessary for you to attach a copy to each request form. You can email those requests back to me, or you can fax them to me at 503 -598 -1960. I will process a refund of $3,679.00 for each permit back to your credit card and deduct the amount from the TIF Credit Voucher. When paying for and picking up future permits, please present the TIF Credit Voucher each time so that you will not be charged for the TDT fees. As for distributing the TDT costs equally across all 88 lots of this project, I will address that issue under separate email later this week. Thank you and please let me know if you have any questions. Dianna Howse Building Division Services Supervisor City of Tigard 503.718.2430 From: Gary Culp [mailto:Gary.Culp @PulteGroup.com] Sent: Wednesday, October 06, 2010 3:21 PM To: Dianna Howse; Debbie Adamski Subject: TIFF credits Were you able to come up with a way to refund the tiff credits as well as the original overcharges we discussed last week? 1 J ' IPulte GARY CULP Division Product Manager :: Pacific Northwest Division direct (503) 608 - 6036:: Cell (971) 246 -1391 gary.culoaoultegroup.com • CONFIDENTIALITY NOTICE: This email may contain confidential and privileged material for the sole use of the intended recipient(s). Any review. use, distribution or disclosure by others is strictly prohibited. If you have received this communication in error, please notify the sender immediately by email and delete the message and any file attachments from your computer. Thank you. 2 • 11111 CITY OF TIGARD RECEIPT p C . _ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIG ARD Receipt Number: 179771 - 10/07/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010-00136 TDT - Transportation Development Tax 4050000 -43320 $3,106.00 Total: $3,106.00 PITT MET D CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Trust Account 08 -0002 DHOWSE 10/07/2010 $3,106.00 . CENTEX HOMES Total Payments: $3,106.00 77/ - eA.Ed /T k.L''f7/�,e- , y/'7EN Balance Due: $0.00 Page 1 of 1 CITY OF TIGARD - RECEIPT q a ... 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 179764 - 10/07/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 - 00136 $ 3,679.00 Total: $- 3,679.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 023300 DHOWSE 10/07/2010 $- 3,679.00 Payor: Gary Culp, Centex Homes Total Payments: $ - 3,679.00 Balance Due: $3,679.00 Page 1 of 1 1 CITY OF TIGARD RECEIPT I : 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD 6 L - // I iL ,Ce ,9 ,.SL•c'li7 ex'-e C)/- /�i,vy Zo7 /S Receipt Number: 179584 - 09/23/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 -00136 Building Permit - New Construction 2300000 -43104 $1,173.74 MST2010 -00136 Plan Review 2300000 -43106 $1.34 MST2010 -00136 Plan Review 2300000 -43106 $11.59 MST2010 -00136 CDC Plan Review, RES 1003100 -43112 $64.00 MST2010 -00136 CDC Plan Review, RES - LRP 1003100 -43117 $9.00 MST2010 -00136 12% State Surcharge - Building 1003100 -24001 $140.85 MST2010 -00136 Metro Const. Excise Tax - Residential 2300000 -24010 $203.83 Use MST2010 -00136 Beaverton School CET - Residential 2300000 -24101 $1,460.00 MST2010 -00136 Erosion Control 1003100 -22002 $64.00 MST2010 -00136 Erosion Plan Review CWS 1003100 -22003 $20.80 MST2010 -00136 Erosion Plan Review COT 2300000 -43107 $20.80 • MST2010 -00136 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $270.30 MST2010 -00136 Limited Energy 2200000 -43103 $75.00 MST2010 -00136 12% State Surcharge - Electrical 1003100 - 24001 $41.44 MST2010 -00136 Air Conditioning 2300000 - 43102 $46.75 MST2010-00136 Furnaces < 100K BTU 2300000 -43102 $46.75 MST2010 -00136 Water Heater 2300000 -43102 $23.32 MST2010 -00136 Range Hood /Other Kitchen 2300000 -43102 $33.39 MST2010 -00136 Clothes Dryer Exhaust 2300000 -43102 $33.39 MST2010 -00136 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $93.28 Utility Rooms) MST2010 -00136 Fuel Piping 2300000 -43102 $14.15 MST2010 -00136 12% State Surcharge - Mechanical 1003100 -24001 $34.92 MST2010 -00136 SFR - Baths 2300000 -43101 $500.32 MST2010 -00136 12% State Surcharge - Plumbing 1003100 -24001 $60.04 MST2010 -00136 Park - Single Family Unit 4250000 - 43300 $4,811.00 MST2010 -00136 -- TDT - Transportation Development Tax 4050000 -43320 $3,679.00 < - Total: $12,933.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 023300 BTAGGART 09/23/2010 $12,933.00 Payor: Gary Culp / Centex Homes Total Payments: $12,933.00 Balance Due: $0.00 • hi 9c --Cm) Sr9 -� TA i/ Page 1 of 1 • Community Development . , TIGARD Request for Permit Action r i i t uL, TO CITY OF TIGARD Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard - or.gov FROM: ® Owner ❑ Applicant ❑ Contractor El City Staff (check one) REFUND OR Name: Pulte Homes Inc. (Centex Homes) INVOICE TO: (Business or Individual) Mailing Address: 16520 S.W. Upper Boones Ferry Rd, Ste 200 City/State /Zip: Portland, OR 97224 Phone No.: 503 -608 -3060 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED ( ❑ 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 #: MST2010 -00136 Site Address or Parcel #: 10907 SW Sage Ter Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 45 EXPLANATION: Tiff Credits transferred from JLS Signature: AY; -AI /Ap Date: j) G. Iv p Print Name: Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid ur 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 been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will he returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR OFFICE USE ONLY Rte to Sys Admin: Date / 1 � d By 11/ Rte to Bldg Admin: Date /0 gy /0 By Refund Processed: Date a /�/ie By A, Invoice Processed: Date By Permit Canceled: Date „f/9- By Parcel Tag Added: Date By Receipt # /79se Date R 3/id _ Method . �' Amount $ 3( 79 , mm pl} I:\ Building \Forms \RcgPeitAction. oc Re (17/26/07 persTao/o - !i9v/ City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: Pulte Homes, Inc. (Centex Homes) DATE: 10/7/2010 16520 SW Upper Boones Ferry, 200 Portland, OR 97224 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: Various - See Attached Case #: Various - See Attached Date: 9/23 24/2010 Address /Parcel: Bldg 11 & 15 Pay Method: CreditCard Project Name: Village at Summer Creek EXPLANATION: Refund TDT fees paid by applicant and charge to TDT credit voucher. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000 -43104 $ Amount TDT - Transportion Development Tax 4050000 -43320 $22,074.00 TOTAL REFUND: $22,074.00 APPROVALS: If under $5,000 Professional Staff If under $12,500 Division Manager If under $25,500 Department Manager /0, ' ' � � °�% Ai • 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 /pN/O 1 By: 1 _. I:\ Building \Refunds \RefundRcquest.doc x 09/01/2010 RE.C ,. i' : " Community Development OCT 7 20 i° TIGARD Request for Permit Action CITY 0F TIGAD BUILDING DIVISION TO: CITY OF TIGARD Building Division Services Coordinator 13125 S \V Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ® Owner ❑ Applicant n Contractor ❑ City Staff (check one) REFUND OR Name: Pulte Homes Inc. (Centex Homes) INVOICE TO: (Business or Individual) Mailing Address: 16520 S.W. Upper Boones Ferry Rd, Ste 200 City/State /Zip: Portland, OR 97224 Phone No.: 503- 608 -3060 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ CANCEL PERMIT APPLICATION. ® REFUND PERMIT FEES (attach receipt, if available). n INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: MST2010 -00140 Site Address or Parcel #: 10940 SW Sage Ter Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 51 EXPLANATION: Tiff Credits transferred from JLS Signature: g,/ A _ _ ... lM Date: /6/7 ,6 ary ulp Print Name: Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fcc when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80'7 of the land use application fee for issued permits. d) not more than 80'7 of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80"/o 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 refunds. FOR OFFICE USE ONLY Rte to Sys Admin: Date / 7 ( d B} , 7' Rte to Bldg Admin: Date /e /7 //e By 4. Refund Processed: Date /et 7 //o By Apgy._ Invoice Processed: Date By Permit Canceled: Date �/ /ff By Parcel Tag Added: Date By Receipt #/794.-/...1 Date f / / AYtet Method C & Amount $ .36 7'?, cry I:ABull din \Forms \Re oc Rev 07/26/07 /'°7,2ola -141 Village a --�-# _, �� ■ ivm „ 9 An 27 2010 u) _ � � a - C,' ,. Summer C ree k — is , SW MALLOW TERRACE �99�D�h G r�I It u C7TY .0' TIGARD -SITE PLAN RVf . y v : ' LyILQIMG kRMfr NO: t�'Y(a-ot b - 00 1 v D .� I' ` 2 ` : 6pproved ❑ Na Approved , 2, : 0 I : ® r ® ved L.y p► PP � r i, Appro ved . — — _ _ _ , , ;TO y II I I �: j - - d ! , c A � �� � Date: / _ 9 e P . I , 0� � ` / .. Notes: 5 0 , L ' : 5 0 ' : 7 I ': 1:1.:0': : 11 0'. :1:1.0'. : ' © ©, , I 8.0' Building Ilan. 15 I I - I 3.5 Lots 50, 1 & 52 W >> ' Units A -C -B Z a 50 I IGO :52 I - I FF /TOW 194.51 FF /TOW 194.51 ' FF /TOW 194.51 S i ' T E PLAT V �d'pti I GS 193.81 GS 193.81 1 GS 193.31 I Z . , TOP 193.97 I TOP 193.97 I TOP 193.97 Scale: 1 " -10' Q _ o o I I 0 CITY OF TIGARD - SITE PLAN Rt V j E W U BUILDING PERivh1T NO.: 11 ii `° I b - bO (ND (- , P) , • I I I PLANNING DIVISION: (' ) I I Required Setbacks: Er Approved 0 Not Approved C) , Side: 3 •� Street Side: f 3 ... Front. Z Garage: - Rear: 0 \ \ Visual Clearance: Dppr'ed ❑ Not Approved I I I Maximum Building Height . ...`L feet CWS v Service Provider Letter Required: 0 Yes [] - No I 8.0' �— - r — — r I r R ceived r H 3.5' B} D Ile . Dart: X 13r 1( r r _ cNaN et -FEZ ENGINEERING PARTMENT: �, _ A SI pe :a. °/ . Approved ❑ N t Approves! — LUTING Qi6 .4' I 1 ° — ■ F —I— — = P_ =x='''''21(3) -___ Site P . proved of A roved - 1 4.4 • 13.4' B :: D :.. ate. o I 12 1 4 5.4 o G t 'S: No � : C � r - t ' ........:::.::::::....... ::. ... ............. " I ::'':: :::::: 4 ::::::.*::::.1:: ;.:::i :;.:i :: 1 ..'1:... ' r'. • 11 ' ° ENGINEERING ASSOCIATES CORPORATION 17757 Kelok Road Lake Oswego, OR 97034 S W S E TERRACE cn Tel. (503) 636 - 4005 Fax (503) 636 -4015 r. Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS u'r le ).. pa dto Permit No.: oar eAu 0 ONO Jurisdiction: mss" ka 0013 Site Address: l 3iiida O /099y 564J 49e lieelto Subdivision/Lot #: 044 ' / LA 7.3 ° SO 5/ and /or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code NI 107.2) Signature: td:f Date: Z.-/Z-Z14-0e c, O Gene ral Contractor /Authorized Agent Print Name: l/ 017 of af - t ORSC Section N1107.2. High- efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. is \Building\ Forms \RES- HighEfiieiencyl.ighling doc 07/01/08 Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, d v d , am the general contractor or the owner- builder at the following address: Site Address: 10 9 � yea ifay. .$00 City: tre Permit #: AISToz,oi No Subdivision/Lot #: , /te. 046-is ar 4 67 • and /or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918 -480 -0140, 1 am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: ✓` Date: d Generi'Contractor or Owner- Builder 1:\ 13uilding\ Porm \RES- MoistuieSensiliveWood.doc 0925108 < > ST - ET 7 1 . 1 ';:' E CERTIFICATION I, M 1 o , owner / agent for , (PLEASE PRI1vT) (ERAI T HOLDER) do hereby certift that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. S SA T. SITE ADDRESS: lO ?iV, /0, c/o /0 Vol (3 -P1e SUBDIVISION: e.,..- 1 -- • LOT #: S , 6 t a 5 2.,. SIGNATURE: ' ' DATE: '2. /ttz -A4to p VAT R /A GENT) RECEIVED & VERIFIED BY DATE: (cJTY Or II/CARD) Tree location verified d per approved site plan. (: Buildin \I'unns \Str,,,, I'rceCeni(icatc. 00I1 /201U 3. ' • s . . ,.... • PERMIT NO. :.:.: /2 ,./--,/ / ,,-. • CleanWater Services Our commihnent is clear. LOT EROSION CONTROL INSPECTI•N REPORT. (-- ----5 DATE '-'J I/ INSPECTOR . 41 / ../P/' / SUBDIVISION 1, ,----"' / / . , t OWNER/PERMITEE C, „, cf ,..,, /---,,, >,- • SITE ADDRESS • .. , ___ ..,.....,:_„..... , . .„. '•',kq "•'..,, •p, ''''zt.: .,,,,::;•'-'' ''';:‘,,,,, '''-" 1:,6if ---, FINAL v , . ., ., , ,, , , „:., ..,, . ..„.. . .. 'A „.0:;'. i::,;, „ow .:iy :!0 '',, / l m ,'.. , ..., ,,._ . .....,„,.. , ., . _. _ ..,.. .1 41111L,:l . ,.:',,._; • • i te :0: ttt. .....: ;:f '..4,... ./ $,,,5 ,! • „. . ",,: ,. ._ .. .....„,..,„„_ :.......... .,„..,„......„. , . _..:::,,,! ...,,,- '$ x v- , ..... "ilk SPE c T THIS SITE MEETS THE POST-CONSTRUCTION EROSION CONTROL REQU ! i. MENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND 0-:".: IER NOTE: IF POST-CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING • . EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND COVER IS ESTABLISHED. ... A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. OTHER -- --74ilANK YOU FOR YOUR COOPERATION! / ...- _ , -'"; INSPECTOR • / ...,,,,- .--" .---,. / . ,i,--- 7----./ -- PHONE ' — - --- i4.-- ,, .„