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Permit
n CITY OF TIGARD MASTER PERMIT IN la COMMUNITY DEVELOPMENT Permit #: MST2010 -00184 Date Issued: 10/26/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S133CA11400 Jurisdiction: TIGARD Site address: 10959 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 37 Project: Village at Summer Creek, Lot 37 Project Description: Building 9. New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 60 sf Basement: 0 sf Left 3.5 Parking Spaces: 2 Height: 33 Bathrooms: 3 Second: 703 sf Garage: 620 sf Front: 12 Smoke Dwelling Units: 1 Third: 697 sf Right: 3.5 Detectors: Yes Total: sf Value: $169,855.22 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Other Fixtures: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Bckfiw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <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 add'I 500 sf: 3 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 & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y . Other: N Other Description: Ecompasing: 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 10959 SW UPPER BOONES FERRY 16520 SW UPPER BOONES FERRY RD STE 200 RD, STE 200 PORTLAND, OR 97224 PORTLAND, OR 97224 PHONE: 503 -608 -3060 PHONE: 503 -608 -3060 FAX: Total Fees: $13,057.64 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, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.248.6699 or 1.800.332.2344. /(e rr Issued By: Penittee Signature: SCE' �-f-� �,L / Ci9-770 Building Permit Application a113 ReSl(lential -1E'cFria FOR OFFICE USE ONLY City of Tigard Received D Date/B �� /O Permit No.: N 5 � ,,,,,e,_ �a 13125 SW Hall Blvd., Tigard, OR 97 2 Q I O Plan Revie� m _ Phone: 503.639.4171 Fax: 503.59860 p : � IU� i� Other Permit: c5kJ1e Polo- Qol4 r Inspection Line: 503.639.4175 CITY p Date Rea. 37: y: Juris: 0 See Page 2 for TIGARD 1�I11 TIGARD ®F Internet: www.tigard- or.gov Notified/Method: Supplemental Information BUILDING DIVISION � 7.. . r ., .D, 7 - ,iii,,O. ,f f r, ._ .b.� . ._ r . ,�REQU_II2ED- AD'1�A W1 �i' MII��Y9A1p3TiLIl f f ® New construction El Demolition ✓ Pennit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the r F' i ` $ - ' '• TCAt te6bi i © editicheiV 't i ' ` + . . F work indicated on this application. ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $169,855.22 ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 f M SOB °S�fI :E �INEO _ { tD :ON 7Al`TD LOCAA.�0v5' ' ° x a . Total number of floors: 3 Job site address: /9 6 � New dwelling area: 1460 square feet City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 620 square feet 07 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 33 square feet `j' Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 160 square feet (8 SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: 2.6e0 square feet �3 'Q JI 114:1 A %(4,©**WrS_ �HEQRI Std Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 37 Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the . Di3Se lino -- Av0 *70 work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT A 1460 SQ. FT. Existing building area: square feet New building area: square feet 14 i4 i edi R F _'_. ".___. 0150 7 . ,tL' ' -} 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: i JAPEIACANIF _ s i ~ t i OONV{P,AG`Tr cl'ERS©1T3 r, Naiii i ': 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 Fax: : (503) 608 -3061 E -mail: gary.culp @pultegroup.com x 's -N ,_,._ -__,_..._._, . . CONTRACTOR __ _.__ .. ._ ;_ I._. Business name: CENTEX HOMES 3U11A) VQ,ITI MTi FEE"-: Address: 16520 SW UPPER BOONES FERRY RD, STE 200 ' (Pfearr."ejeroJe'e sclicrLrle)? .:;,;r._ Structural plan review fee (or deposit): City / State/ZIP: PORTLAND OR, 97224 Phone: (503) 608 -3060 Fax: (503) 608 -3061 FLS plan review fee (if applicable): CCB lie.: 182591 Total fees due upon application: Authorized signature: / Amount received: 750' of A -� -..—.4...111 / This permit application expires if a permit is not obtained j• within 180 (lays after it has been accepted as complete. Print name: GARY CULP / I Date: i * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP -RES PermitApp.doc 10 /01/09 440- 4613T(I 1102 /COM /WEB) Electrical Permit Applica ii 1 7_, 11\\ ,,---:_ ::44:::'.Y.g.tv--2:: , ,.'FoRoglia,sjszy -•'-„, ,,,, ,i ,r, ,, 1 a - City of Tigard E__, ;/ , :.! . : : . .., ii,sp io " 13125 SW Hall Blvd., Tigard, OR 97Z12i-• ID 2 3 2010 IN Date/By: V A /c) Plan Review h.... Permit No.: Argopeo..--00/8' 1 !" I Phone: 503.639.4171 Fax: 503.598g 460 Other Pennit: a g 0 A A,69-oall9— Date/B 1 ZVI f 11 Inspection Line: 503.639.4175 Date Ready/By: Ions: EI See Page 2 for Lisillesevo0 Internet: www.ligard-or.gov CITY OF MARD Notificd/Method: Supplemental Inform filth :.: _ „, ... - .•-2 ri .. - -;: - :::::' , j. - : ; :.: ': . . :.',.:-... O New construction 0 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans tv/items checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. O Demolition 0 Other: where the available fault current 0 Marinas and boatyards. .:1-:',. - 11:::- . '', ',":::_a- ::::-'*•:.?::;:::': ';'' Oitdok:.0..014:g041.061:. ::.:-,;.: : .._, ,.11' - ,,,:: exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground, or exceeds 14,000 0 Commercial-use agricultural O 1- and 2-family dwelling 0 Commercial/industrial El Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: D Fire pump. 0 Installation of 75 KVA or larger separately derived system. " '.-11■IFOrtiSTAtION . — .i, .. 0 Addition of new motor load of Job no.: Job site address: /095 ,. cA(96 7-eg_ 100HP or more. D Six or more residential units. 0 occupancy. Recreational vehicle parks. City/State/ZIP: TIGARD OR 97223 0 Health-care facilities. 0 Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Su ite/bldg./apt. no.: Project name: VILLAGE AT SUMMER CREEK ['Service or feeder 600 amps or more. 1■*k Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Qty. I Fee. I Tutol I • New residential single- or multi-family dwelling unit. SW 135 AVE, AND SW SCHOLLS FERRY RD Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: ...7 1,000 sq. R. or less 1 1 1 68.54 168.54 I 4 Ea. addl 500 sq. ft. or portion I 33.92 1 (.7 I Tax map/parcel no.: Limited energy, residential 1 75.00 75.00 2 7 •'' , ' -,r, •- , ..,.'"., . •,,- ,:-,• --'-' - -'' .-DESCRIPTION50E r. ,'.:,...,,.---. ',,,,, .--, .,,.. :,.....-- ',....:, (with above sq. ft.) Limited energy, multi-family NEW SFR TOWNHOUSES residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 iiiiiiiiiieff.4iWiiiii':','- .:.]::',-=''' - -.- ''''-' ..c., i :':": ' ',':'::1-11:tir■AMt,::,..?"..T.-'1-,'-':---:, 201 amps to 400 amps 133.56 2 Name: CENTEX HOMES 401 amps 10 600 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 City/State/ZIP: PORTLAND OR 97224 Temporary services or feeders installation, alteration, and/or relocation Phone: (503)608-3060 Fax: (503-503-6031 200 amps or less 59.36 1 201 amps 10 400 amps 12).08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 163.54 ? 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 1 Oisit;±igt1;it4itilsir''7'..::. "iT ; above service or feeder lee, 742 2 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) Each manufactured or modular City/State/ZIP: PORTLAND OR, 97224 67.84 2 dwelling, service and/or feeder Phone: (503) 608 Fax: : (503) 608 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E gary.culp@pultegroup.com Sign or outline lighting 67.84 2 : '..,-:,.,, . ' ..;;j .1.:: ':--., .: ::. : .6ON1IWITilt ::' ' :. •: : .. :' : Si circuit(s) or limited-energy Business name: GARNER ELECTRIC panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 2920 SE BROOKWOOD AVE, STE A Additional inspection (1 hr min) 6G.25/ hr Investigation (1 hr min) 66.25/ hr City/State/ZIP: HILLSBORO OR, 97123 Industrial plant (1 hr min) 78.18/ hr Phone: (503) 648 Fax: (503) 642 Inspections for which no fee is 90.00/ hr specifically listed (Vi hr min) CCB Lic.: 182591 Electrical Lic.: 34 Suprv. Lic.: • :' .. ELE:C114C PER&II'y PEES Subtotal: Suprv. Electrician signature, requires Plan revi '# review (25% of permit fee): _Z • Print name: CHUCK GA . Date: State surcharge (12% apermit fee): , GA TOTAL PERMIT FEE: 3 7 Authorized signatuie. NA," — I. ' --7 . • ' ' . .— —1 r ' - r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. . Pri ; nt name: Date: .9/71,A0 * Number or inspections allowed per permit. I: \ BuildingWennits \ ELC-PcnnitApp.dne 07/01/10 4-10-1615T(11/05/CONI/WEB Mechanical Permit Application �, ,_,4,, i, , '� / ' _ / -„ e � r FOR OFFI USE ONLY :` ' , City of Tigard Tig al ". ecetved /- b Pl Rev oe' /o( I`, Permit No : ' 0 111 13125 SW Hall Blvd., Tigard, OR 97223 SEP 2010 !� Phone: 503.639.4171 Fax: 503.598.1960 Da Re y tew Other Permit: d� / � /O'Oei , TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: turis: El See Page 2 for Internet: www.tigard- or.gov BUILDING DIUISIpA Notified/Method: Supplemental Information ` _ -- rj ? __ _s. .:` .54,E cqF OO . ' ,,I <_- .y .- _ , Y ea ) :rG-o,0 1. R01Ai PT: SC pTILFF 1US 1,1 [ / ® N ew construction Mechanical permit fees* are based on the value of the work ❑ Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. 7- .._-7::_.` . 'IC 01.0C`LirO, , __. { . + _ XL - ® I- a 2 dwe i RESII)1)1fIilelLaE UIP 1�illilSYSF1VjSVF�kES }. y g ❑ Commercial /industria ❑ Accessory building - : ' For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. i Total r ._ o �iS_ Ii J I'O `PA yo - it]? ANA oOoA(II ONE . r _ Heating/cooling Job site address: i t L� lJ 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 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances 5 _ -0S(1RfP�IIrOIAJ �sWolti .___ _�_ : 1 Water heater 1 23.32 23.32 t' Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT A 1460 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace/insert 23.32 -. -- Chimney /liner /flue/vent 23.32 __. 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Range hood /other kitchen equipment i 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 i. ' -IUIeA E� :- }i 7 :1 'LTA ©IerAC7FilftSON 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 n pultegroup.com Range 1 71. :.:..v _. _. ... _. t CONTRACTOR • '':='-' Barbecue Business naive: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 MECHANLCA:L PERMITFEES *` City/State /ZIP: PORTLAND OR, 97224 Subtotal 2 .2.8 Phone: (503) 598 -0966 Fax: (503) 598 -8498 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB Iic.: 50096 State surcharge (12% of permit fee) 2. , 31 ,i / TOTAL PERMIT FEE 77 Authorized signature: This permit application expires if a permit is not obtained within 180 �� days after it has been accepted as complete. Print IVI t name: KYLE BIRA's Date: 0) • Fee methodology set by Tri- County Building Industry Service Board I:\ Bu ilding \Permits \MEC- PcnnitApp.doc 10/01/09 440 -4617T (1 I /OJCOM / \EB) Plumbing Permit Application Building Fixtures r. FOR OFFICE USE ONLY City of Tigard REC:i:TP----r Received i , , Permit No.: n 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: 0234) �A Ifyr�io 2 Phone: 503.639.4171 Fax: 503.502 3 2 010 Plan Review TIGARD Inspection Line: 503.639.4175 Date/By: Other Permit No.:a Internet: www.tigard or.gov CITY OF �CARD Date Ready/By: kris See Pagc 2 for Notified/Method: Supplemental Information TipE :0F8PgaNG P1V,I$V4 ® New construction ❑ Demolition FEE* SCHFUULF. ID Addition/alteration/replacement ❑ Other: For special information use checklist. Description 1 Qty. 1 Ea. 1 Total CATEGORY OF CONSTRUCTION New 1- 2- family dwellings (includes 100 ft. for each utility connection) ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (1) bath 312.70 SFR (2) bath 437.78 ❑ Accessory building ❑ Multi - family SFR (3) bath l 500.32 500.32 ❑ Master builder ❑ Other: Each additional bath kitchen 25.02 ' JOB SITE INFORMATI.ON' AND I,OCATLON ' ' ' ' Fire sprinkler ( sq. ft.) Page 2 Job site address/095i 2 5 Site utilities: Catch basin or area drain 18.76 City /State/ZIP: TIGARD OR, 97223 Drywell, leach line, or trench drain 18.76 Suite/bldg. /apt. no.: ( Project name: VILLAGE AT SUMMER CREEK Footing drain (no. linear ft.: 100) 1 Pagc 2 Cross street/directions to job site: CORNER OF SW BARROWS RD, Manufactured home utilities 50.03 SW 135" AVE, AND SW SCHOLLS FERRY RD Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer (no. linear II: 100) 1 Page 2 Storm sewer (no. linear ft.: 100 ) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK Lot no.:3 7 Water service (no. linear ft.: 100) 1 Pagc 2 Tax map /parcel no.: Fixture or item: DESCRIPTION OF WORK Backtlow preventer 31.27 Backwater valve 12.51 NEW SFR TOWNHOUSES Clothes washer 1 25.02 UNIT A 1460 SQ. FT. Dishwasher 1 25.02 Drinking fountain 25.02 E PROPERTY OWNER ❑, TENANT ' . , Ejectors /sump 25.02 Name: CENTEX HOMES Expansion tank 12.51 Fixture/sewer cap 25.02 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Floor drain /Floor sink /hub 25.02 City /State/ZIP: PORTLAND OR, 97224 Garbage disposal 1 25.02 Hose bib 2 25.02 ❑ APPLICANT ® CONTACT PERSON Ice maker 1 12.51 Business name: CENTEX HOMES Interceptor /grease trap 25.02 • Medical gas (value: $ ) Page 2 Contact name: GARY CULP Primer 12.51 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Roof drain (commercial) 12.51 City /State/ZIP: PORTLAND OR, 97224 Sink/basin/lavatory 6 25.02 Fax: : (503) 608 -3061 Solar units (potable wafer) 62.54 E -mail: gary.culp @pultegroup.com Tub /shower /shower pan 2 12.51 Urinal 25.02 CONTRACTOR Water closet 3 25.02 Business name: CRAFTWORK PLUMBING INC. Water heater 1 37.52 Address: 7737 SW CIRRUS DR Water piping/DWV 56.29 City /State/ZIP: BEAVERTON OR, 97008 Other: 25.02 Subtotal 660,32...- Minimum permit fee: $72.50 CCB Lic.: 79666 Plumbin> Lic. no.: 20 -148PB Plan review (25% of permit fee) Authorized signature: /0 O. St ate surcharge (12% of permit fee) 40.�� ��� TOTAL. PERMIT FEE t0 ✓✓' b Print name: PETER POLLARD Date: 1: 1Building \Pennit0'12,111- PermnitApp.doc 10/01109 440- 1616T(10 /02 /COM/\VEB)