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Permit CITY OF TIGARD MASTER PERMIT Iri ' COMMUNITY DEVELOPMENT Permit #: MST2011 -00065 TIGARD 13125 SW Hall Blvd Tigard OR 97223 503.718.2439 Date Issued: 05/25/2011 . Parcel: 1 S133CA07900 Jurisdiction: Tigard Site address: 13572 SW ROSEMARY LN Subdivision: VILLAGE AT SUMMER CREEK Lot: 2 Project: Village at Summer Creek, Lot 2 Project Description: Building 1 - New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 46 sf Basement: 0 sf Left: 3.5 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 643 sf Garage: 509 sf Front: 12 Smoke Dwelling Units: 1 Third: 643 sf Right: 3.5 Detectors: Yes Total: 1332 sf Value: $158,444.19 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: 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 Furn > =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! 500 sf: 2 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R -3 1332 Owner: Contractor: CENTEX HOMES CENTEX HOMES Required Items and Reports (Conditions) ATTN: OCHSNER, JOHN 16520 SW UPPER BOONES FERRY 1 Ersn Cntrl 503 - 681 - 4444 11241 SLATER AVE NE, STE 100 RD, STE 200 KIRKLAND, WA 98033 PORTLAND, OR 97224 PHONE: 503 - 608 -3060 PHONE: 503 - 608 -3060 FAX: Total Fees: $12,873.91 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: d r e9 . Ar∎ Permittee Signature: QA-/ ') / G / c'`9 Via" f Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. q - Building Permit Application Res d nt al 4 1 \\) r; ,. ' a FOR OFFICE USE ON LY , ; , s , ..ti , City of Tigard \ \ Received `. Q Date /B 7 f�. I PemutNo.: a 7,`,, ° 13125 SW Hall Blvd., Tigard, OR Plan ttevie�v f�� Phone: 503.639.4171 Fax: 503.59 9 � � ` �Q , Date/B : ��•��� Other Permit: r , )0� TIGARD Inspection Line: 503.639.4175 . ( �\ j cc\'� , Date Ready /By: E+] See Page 2 for f Internet: www.tigard or.gov A , OS O � \7 Notified/Method: � r / j' ` Supplemental Information �` " . '�, XAr •�'r� y. ° �.� +' r � � x �x '. ,� U D'A54 1 "Alsl�U 2 Z�Y�WEI.LYG` N ew construction Demolition Permit fees* are based on the value of the work ® ❑ Dcmohtton performed. P Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the °' - als o ' r r rak "v,i . w ,.-= so �° work indicated on this application. a, C A y O ' Y4 C ,. O N ST R : ' -0 ,., "�e� . s s ® I- and 2- family dwelling ❑ Commercial /industrial Valuation: 4er1 c(' ❑ Accessory building ❑ Multi - family Number of bedrooms: 2 ❑ Master builder ❑ Other: Number of bathrooms: 3 Total number of floors: 3 iN 1: " , �'JQIl S�E�INFO'MATIO�AND LO 4 �.�� Job site address: f3 57 _ / 1; e4 New dwelling area: 1332 square feet City /State /ZIP: TIGARD OR, 97223 Garage/carport area: 509 square feet 6kj Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 17 square feet k:r41-- Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet 46 SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: 164-) square feet 50 e ,Q RED DAT MMER 1� (sHECxKLIST, i Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: Permit fees* are based on the value of the work performed. Tax map/parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the h n.. '4 ` iESCR TIONP © :I C ` " �� '''" - work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT B 1332 SQ. FT. Existing building area: square feet New building area: square feet �F .Yp°"�` +cis.; + .. e ��. �, ..� :-�' z n � n .: �+, ® PRO OWI "RE W r, "I � TENAN T . ," - p • 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: �!. ® f.1�P . CO NT CT I Ci 7 - 6 ' 5'. - : 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 pultegroup.com Business name: CENTEX HOMES lq_BUlIDNGERi�11TTEiS *- ``1 *'..- Address: 16520 SW UPPER BOONES FERRY RD, STE 200 s- - -Mpiasesce(er.�rojeescheihrie) ,_ isiI, Structural plan review fee (or deposit): City /State/ZIP: PORTLAND OR, 97224 FLS plan review fee (if applicable): Phone: (503) 608 - 3060 Fax: (503) 608 -3061 CCB hc.:1xz591 Total fees due upon application: Amount received: Authorized signature: ' / / v This permit application expires if a permit is not obtained within 180 (lays after it has been accepted as complete. Print name: GARY CU / Date: �" 7jz ` /� * 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) • j r Electrical Permit Application �-FO t o � usEo� ` , o • C it y 0f �'Iga Received Permit No.. , . , r z rA DatelBy: T , 13125 SW Hall Blvd., Tigard, ORO t � Plan Review Other Permit: IriSA ', Phone: 503.639.4171 Fox: 503.5 ^ 60' �% sate /By: "r inspection Line: 503.639.4175 Date Ready /By: taxis: m See Page 2 for ;MARDI Q, r^� ]nlerne vv ww.tigm•d- or.gov 4 �R�`c1 0 _ Notified /1`4elhod: Supplemental lnl'ormation , . 5.- K r , } ^� i+ ' �,i : i, ^•1.-f o.:x:-ti g , ..� ra i 'y' Sa'x " .,.... , .,,.?„ .,,. *. , T1PrOI? :1�F0- ��� %.��' 4 Vi ...., � :`^~^��wx :''Y:;i w PL�r1lVA3REU�IG�! :i ^ -ems ?y ® New construction ❑ Addition /alteratiol - t A ent Please check all that apply (submit 2 sets of plans \\/items checked below). ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories. where the available fault current ❑ Marinas and boatyards. s , : := 1x. ` •'. :;. ' . '' s . - exceeds 10,000 amps at 150 volts or Floating buildin _::,:. CCO Y :; 01 ^ C UNS`I +RUC1]ON „''� . .... -. . „ _ ., , __,..... <. s., ..: .� . ,..�__, r,. .....��. . < , . .....;_., �. -- less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I - and 2- family dwellin ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pump. ❑ Installation of75 KVA or > .J -- ..,_.__,.., ,,, .: ❑ Emer ent system. larger separately derived s m. , " _ � :JOB , Slit INFORi1 ' N D`I:OC A TION ' b Y )' b I ste >' ,. :r_,'s.- <;� -.. ., - ..;._...,.. :, :�__..., ...._ ,. ,_., -.. .. ., Addition ..,.E.•,.l- ? ^••.,I_ }.. ❑ Add it ❑ „A Job no.: Job site address:` MI I oP or more. occupancy. ❑ ❑ Six x or more residential units. Recreational vehicle parks. City /State /ZIP: TIGARD OR 97223 ❑ Health -care facilities. ❑ Supply voltage for inure than ❑ Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: Project name: VILLAGE AT SUMMER CREEK ❑ Service or feeder 600 amps or more. vim; ,sr u . _, 3riki,..,u iI LL 'SC : 1.It 1.1 eir .. Cross street /directions to job site: CORNER OF SW BARROWS RD, Description i Qty. I Fee. 1 Total 1 SW 135 t71 AVE AND SW SCROLLS FERRY RD New residential single- or milli- family dwelling unit. Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: Z 1,000 sq. It or less I 168.54 168.54 4 ' Tax map/parcel no.: Ea. add'l500sq. ft. or portion 2 33.92 67.84 I Limited energy, residential si �st,.;,r -'- - - - - 1 75.00 751)0 u. '. `- :,:,." _s., „';' ,.".,Dl S C40,,iR OF \:ORh., i .. ? ei ,. 4" (with above sq' it.) Limited energy, multi-family NEW SFR TOWNHOUSES residential (with above sq. fi.) 75.00 Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 ,i� i' .is 2 amps 400 amps _ ��.,. - _01 s to OO a s 133 5G •cI,R ,�� :. - `,r - :- O : := : O�Y NG12;� TENr1NT,. P P 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 City/State/ZIP: PORTLAND OR, 97224 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)608 - 3060 Fax: (503 200 amps or less 59.36 I I 201 amps to 400 amps 125.08 I 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. l l Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for bt anch circuits with ?:;s a;;:.c;: , + = shove service or feeder lee, .4 2 '1 - 7 _ : Is1 N "i� . . :._�. , : - = '•�;�; -;�'' = each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, first Contact name: GARY CULP branch circuit 56.13 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 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.culp@pultegroup.com ;; : 67.84 Si gn or outline lighting 7 _,-. : '-,CONTRA(TOR , , , ,,; c_..' ,.: _ Signal circuits) or limited- energy Business name: GARNER ELECTRIC panel, alteration, or extension. Paget 2 Each additional inspection over allowable in any of the above Address: 2920 SE BROOKWOOD AVE, STE A Additional inspection (I hr min) 66.25 / hr ' City /State /ZIP: HILLSBORO OR 97123 Investigation (1 hr min) 66.25/ hr industrial plant (l hr min) 78.18/ hr Phone: (503) 648 - 4552 Fax: (503) 642 - 7925 Inspections for which no fee is 90.00 / hr specifically listed (%: hr min) CCB Lic. : l Electrical Lic: 34 -305C Sury . Lic: .p. . e �t ti�;�,�� -� �' ��? �:'- LL` CC7I21C 'i1 >Is= rl'(rGS�rn';� :: ;- ..,,,; , �)-l1, ' Subtotal: Suprv. Electrician signature, require Plan review (25% of permit lee): Print name: CHUCK GA /�y /� � , Date: State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized Slgnatttte. f ey// This permit application expires if a permit is not obtained within 180 Print name: ° Date: 1-30...-1/ / days after it has been accepted as complete. ' Number of inspections allowed per permit. I:lnuilding \ Pe. mits \6LC- PcrmitApp.doe 07/0I/I0 - 610 -•I6 I ST( it /05 /COM /wen . Mechanical Permit Application = t '� "° ; -4 ' . : (, �1 ; 3 FOR OFFICE USE .. . _ r . .' _ .• • Cl of Tigard Received g Date/By: Permit No.: ` ,99 _ „i, ' ` ° 1 SW Hall Blvd. ±Tigard, OR 9722 i F Plan Review / - F Phone. 503.639.4171 Fax 503.598.190 j p ,c° Date/By: Other Permit TIGARD Inspection Line: 503.639.4175 2 2 0 11 Date Ready /By: , lures: ® See Page 2 for Internet: !r www.tigard or.gov APR NotifiedMcthod: Supplemental Information . .yf - T,r '.. I TYPE ..OF � 6 f ? 7 , ) = gyp t ,, . w, , OMMERe1 1.,,,, yEE* -SCHEEE LE' USE^GH @KLIST ® New construction ❑ Addition /alterati �ina m 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. " @4TtEGO Y OTGUNSO �'`;v Value:$ - :..e,3 :�-.c. irf3 2,NATI• >.mx.,:._ ...,a<tilaVir,/a3 L: - .. ; .xu - s..,... 'zs�� .,- RESIDENs IAL LIC VIEN,Ttf/ SYSIA $ ES 'I ® i - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description J Qty. I Ea. Total x i . 4. ali/ ,INFO i l �, O ., N �1 A ND QCAT ;. „: 7 Heating/cooling Job site address: ` � * L o��/i 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 SW 135TH AVE, AND SW SCHOLLS FERRY RD esid R ni i hot water system 23.32 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.: Other: 23.32 Tax map /parcel no.: Other fuel appliances "" ,,. °,A SGR ION, Q A©R _ z_e ti - hg- Water heater 1 23.32 23.32 Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT B 1332 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 * A - 10.1 17-4 4. 1 421.5/42 .4 ; .. =."k .® ENAu�I C y ', `1 Other: 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Range hood /other kitchen 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 • < - ° „ SIlr CA 7 ' s 'l y ' ,, d N TAfCT� P,ERS , Attic /crawlspace fans 23.32 Outer: 23.32 Business name: CENTEX HOMES 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. I 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.eulp @pultegroup.com Range I 4 , AITIZ CONTRACTOR W Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 O. ` IECHrCCXPERM iNEES;".'" *- City /State /ZIP: PORTLAND OR, 97224 Subtotal Minimum permit fee ($90.00) Phone: (503) 598 - 0966 r x: (503) 598 - 8498 Plan review (25% of permit fee) CCB lie.: 50096 S tate surcharge (12% of permit fee) / TOTAL PERMIT FEE / This permit application expires if a permit is not obtained within IN Authorized signature: _ days after it has been accepted as complete. Print name: KYLE B1 ' �N Date: i j fJ * Fee methodology set by Tri- County Building Industry Service Board I BoildinglPcrmits \ MIC- PermitApp.doc 10/01/09 .1.10 -4617T (Il /02 /COM /WGB) • •Plifmbing Permit Application i Building � Fixtures FOR. OFFICE USE ONLY .. � R eceived City of Tigard `�. Permit No.: ow QS' II "� a 13125 SW Hall Blvd. Tigard, OR 97223 nQ� Date /By: �'y )1 o a • .: Phone: 503.639.4171 Fax: 503.598.1960 cl C?Q` o Plan Review Other Permit No.: G AQateB y• Inspection Line: 503.639.4175 ` \ `, c�� 0 TIGARp '� Date Ready /By: Janis: See Page 2 for Internet: www. tigard- or.gov 0 � C,, v 6 Notified /Method: Supplemental Information ', 'TYPE F u�-u.; ,. ,0 WOIZti� "= _���AL 0s: r: _ 4 «.. a. . °FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) " °• '' •CA SFR (1) bath 312.70 T.EGORY "UF;"GO�iSTRUCI'IO I Y`t " '•' - " ' m ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 ❑ Accessory building SFR (3) bath I 500.32 500.32 ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft) Page 2 " JOB SITE INFORMATION •AND " 't ` t ' y 'I;OGATION�� ,, ��",.:�� '� Site utilities: .lob site address: /i,5-22, ` '^.'i° ' / Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: TIGARD OR, 97223 Footing drain (no. linear ft.: 100) I Page 2 Suite/bldg, /apt. no.: I Project name: VILLAGE AT SUMMER CREEK Manufactured home utilities 50.03 Cross street/directions to job site: CORNER OF SW BARROW'S RD, Manholes 18.76 SW 135 AVE, AND SW SCHOLLS FERRY RD Rain drain connector 1 18.76 Sanitary sewer (no. linear ft.: 100) I 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.: y Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 • Y`- '� :: _:: Backwater valve 12.51 DESCRIPTION:OF :WORK - ` " w�' , ::`' _. Clothes washer I 25.02 NEW SFR TOWNHOUSES Dishwasher 1 25.02 UNIT B 1332 SQ. FT. Drinking fountain 25.02 Ejectors /sump 25.02 :Ig PROPERTY %42, ER: - ., .v N, � «, rN � ®; TENA Tu"�� , �� ��'` Expansion tank 12.51 Name: CENTEX HOMES Fixture /sewer 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: PORTLAND OR, 97224 Hose bib 2 25.02 Ice maker 1 12.51 ❑° APPLICANT ,z • Z CONTAcE PERSON`cx° Interceptor /grease trap 25.02 Business name: CENTEX HOMES Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: GARY CULP Roof drain (commercial) 12.51 Address: 16520 SW' UPPER BOONES FERRY RD, STE 200 Sink/basin /lavatory 6 25.02 City /State /ZIP: PORTLAND OR, 97224 Solar units (potable water) 62.54 Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 E -mail: gary.culp @pultegroup.com Urinal 25.02 . „U: .,. .,, - Y ,, ,,.,, Water closet 3 25.02 ,CONTRM TOR " -, ' a ' ' Aia = 3.n , •• ,. , . _ , ..- - � . _ � , ` a , _ e �xk '.' _ '.. .y'c , r �; • ; - , Water heater I 37.52 Business name: CRAFTWORK PLUMBING INC. Water P" tp in g/ DWV 56.29 Address: 7737 SW CIRRUS DR Other: 25.02 City /State /ZIP: BEAVERTON OR, 97008 Subtotal Minimum permit fee: $72.50 Plan review (25% of permit fee) CCI3 Lie.: 79666 Plumbing I-,ic n o.: 20 -148PB �/ ` State surcharge (12% of permit fee) Authorized signature: gp O / 7 ., / /'1 TOTAL PERNIIT FEL l./ This permit application expires if a permit is not obtained within IRO days Print name: PETER POLLARD Date: after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board, t:\ Building\ Permits\PLM1U-PcrmitApp.doc 10/01/09 440 -061 Sr(10 /02/C0MAV13.9) . Revenue Payment -: Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due Fuel Piping 2300000 -43102 $14.15 $14.15 $14.15 12% State Surcharge - Mechanical 1003100 -24001 $29.31 $29.31 $29.31 SFR - Baths 2300000 -43101 $500.32 $500.32 $500.32 12% State Surcharge - Plumbing 1003100 -24001 $60.04 $60.04 $60.04 Totals for Fees $12,853.61 $12,853.61 $750.00 $12,103.61 Receipt # Payment Method Check # Payor: Receipt Date Receipt Amount 182272 Credit Card Gary Culp! Pulte 04/26/2011 $750.00 Homes Total Payments: $750.00 Balance Due: $12,103.61 t i 13s. s1-Q i ___ , CITY OF TIGARD FEE AND PAYMENT HISTORY -- t 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD MST2011 -00065 - 13572 SW ROSEMARY LN, TIGARD, OR 97223 • Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due Building Permit- New Construction 2300000 -43104 $1,124.68 $1,124.68 $1,124.68 Plan Review 2300000 -43106 $751.34 $751.34 $750.00 4/26/11 Credit Card 182272 $1.34 12% State Surcharge - Building 1003100 -24001 $134.96 $134.96 $134.96 Plan Review $ -20.30 $ -20.30 $ -20.30 DC Provision Review, SF - Ping 1003100 -43112 $64.00 $64.00 $64.00 DC Provision Review, SF - LRP 1003100 -43117 $9.00 $9.00 $9.00 Info Process /Archiving - Sm Sheet (up to 2300000 -43135 $62.50 $62.50 $62.50 11x17) Metro Const. Excise Tax - Residential 2300000 -24010 $190.13 $190.13 $190.13 Use Beaverton School CET- Residential 2300000 -24101 $1,332.00 $1,332.00 $1,332.00 Park - Single Family Unit 4250000 -43300 $4,811.00 $4,811.00 $4,811.00 TDT - Transportation Development Tax 4050000 -43320 $3,106.00 $3,106.00 $3,106.00 Erosion Control 1003100 -22002 $64.00 $64.00 $64.00 Erosion Plan Review CWS 1003100 -22003 $20.80 $20.80 $20.80 Erosion Plan Review COT 2300000 -43107 $20.80 $20.80 $20.80 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $236.38 $236.38 $236.38 Limited Energy 2200000 -43103 $75.00 $75.00 $75.00 12% State Surcharge - Electrical 1003100 -24001 $37.37 $37.37 $37.37 Furnaces < 100K BTU 2300000 -43102 $46.75 $46.75 $46.75 Water Heater 2300000 -43102 $23.32 $23.32 $23.32 Range Hood /Other Kitchen 2300000 -43102 $33.39 $33.39 $33.39 Clothes Dryer Exhaust 2300000 -43102 $33.39 $33.39 $33.39 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $93.28 $93.28 $93.28 Utility Rooms) I' Building Division :IN I " Development Code Provision Review T i c n itp Residential Projects Building Permit No: P15 1 1--C)c) CX:t S' CWS Service Provider Letter Received: Yes ❑ No ❑ N/A 4Y Routed Plans: p Original Plan Submittal Date: 2-a- /1 ' /) 1st Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked ( ✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. ' Planning Review (contact at 503- 718_0 or .S @t or.gov) Land Use Case No. Sib 30;10_ l ; 1 ; 0-11 Name Sc� -k?LiS FE q 17)16.(1401—/ t 0/:„Zoning ' P D E Setbacks: a S Front I Rear I Sr Side Street Side / d Garage Er Maximum Building Height Actual Building Height 3 1 Er Clearance I2 asements Pa Sensitive Lands Type: Notes: Original Plan: Approved !CJ Not Approved ❑ Date: i-0 / I,i Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Actual Slope: Notes: Original Plan: Approved Not Approved ❑ Date: 4/2-7/11 / ( Revision 1: Approved Not Approved ❑ Date: 6 ( 1 J Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) D treet Trees D Protected I Tr es� Notes: A 7 s ( p• , 4 11/ 1A^m{J 4v0 (s't-e / s /0er.cd , O£ 'N) Original Plan: Approved I T Not Approved 01 Date: 1� 72 1) Revision 1: Approved Not Approved ❑ Date: i/i / i) Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or abert@tigard- or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yesy N ❑ '7 Date Routed to Building: if Page 2 of 2 Vill age a_ -- -- -- - -- - I _ _ _ �s x--- -'x� -x x x x x x -x I x x x x �''° r 6.6' 9.0' 1 1 9.0' 1 9.0' u met ee I I I 17 , 0' I 17 17.0' 14.1 O O 5.0 I I --13. 5' OmFD 1 1 � 3 1 1 1 4 I Bu Plan: 1 FF /TOW 186.09 FF ' •09 FF /TOW 187.09 GS 185.39 GS 185.89 GS 186.39 FF /TOW 187.09 Lots 1, 2, 3 & 4 x TOP 185.55 1 TOP 186.55 TOP 186.55 I GS 186.39 1 Units A-B-C-A 1 I TOP 186.55 1 1 1 H180N 1 1 I 1 SITE PLAN I 1 \ Scale: 1 "- 10' S-r��rJ 1 --I I m KLDBUh RECEIVED ..., 1 MAY 11?PM I • -- m — 25.0' CITY OF`TIGARD 20.5' 20.0> 23:0' ..: . BUILDING DIVISION � n� _ _ ` _ 18.5' 21.0 .____ ? � I 1 + 1 • Fri g= w. .....::..... m 1 C Q b Q ' Q 0— _mss D f� B ENGINEERING ASSOCIATES CORPORATION S W R OSEMARY LANE o 17757 Kelok Road Lake Oswego, OR 97034 _ I 12" SD Tel (503) 636 -4005 Fax (503) 636 -4015 e. , • lh City of Tigard June 7, 2011 • Pulte Homes Inc. Attn: Gary Culp 16520 SW Upper Boones Ferry Rd., Ste. 200 Portland, OR 97224 • Re: Permit No. MST2011 -00065 Dear Mr. Culp: . The City of Tigard has processed a refund for Traffic Impact Fees (TIF) paid on the above referenced permit and processed a new payment by TIF credit voucher for the following: Site Address: 13572 SW Rosemary Ln. Project Name: Village at Summer Creek - Lot 2 Job No.: Refund: ❑ Check # in the amount of $ . ® Credit card "return" receipt in the amount of $3,106.00. Notes: New receipt for payment by TIF credit voucher is attached for your records. If you have any questions please contact me at 503.718.2430. Sincerely, • / r j . Dianna Howse Building Division Services Supervisor • Enc. • 1:\ Building \ Refundig11185igriirli rlieblankF4bug¢gid9CQ , Qigon 97223 0 503.639.4171 TTY Relay: 503.684.2772 ° www.tigard- or.gov 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. DATE: 6/7/2011 16520 SW Upper Boones Ferry Rd. Ste. #200 REQUESTED BY: Dianna Howse Portland, OR 97224 Attn: Gary Culp TRANSACTION INFORMATION: Receipt #: 182608 Case #: MST2011 -00065 Date: 5/25/2011 Address /Parcel: 13$651W Rosemary Ln. /35'72- Pay Method: CreditCard Project Name: Village at Summer Creek EXPLANATION: Refund Transportation Development Tax (TDT) paid by credit card. Applicant presented credit voucher to pay TDT fees from trust account. REFUND INFORMATION: . • 'Fee Description From Receipt • Revenue Account No. Refund • Example:. Building Permit Fee Example: 2300000 -43104 $ Amount TDT - Transportation Development Tax 4050000- 43320 $3,106.00 TOTAL REFUND: APPROVALS: If under $5,000 Professional Staff �p If under $12,500 Division Manager " .\ If under $25,500 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: Date: 1 4///// By: I:\ Building \Refunds \Refundltcqucst.doc x 09/01/2010 CITY OF TIGARD RECEIPT 1; 13125 SW Hall Blvd., Tigard OR 97223 • 503.639.4171 TIGARD N ,i Receipt Number: 182744 - 06/07/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2011 - 00065 • TDT - Transportation Development Tax 4050000 - 43320 $3,106.00 Total: $3,106.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT • Trust Account 08 -0002 DHOWSE 06/07/2011 $3,106.00 Payor: Centex Homes - Village at Summer Creek, Lot 2 Total Payments: $3,106.00 . Balance Due: $0.00 , /9 • Accela System Administration Finance Department Request Date: 4/7/ // • To: Liz Lutz Kathy Gende From: Dianna Howse/ • Re: Receipt #: /� p f /f2 7y3 )I ? 7Y9 Please process this request as follows: • Journal Entry (route copy of JE to . Dianna. Howse). Reversal (fees have been reversed on Revenue Account Report). Credit Card Return (fees have been reversed on Revenue Account Report). Other /Explanation: 6 TAUS r 1i—e c , Thank you! • • [: \Buildin Forms \RteSlip.Finance Re • Page 1 of 1 • • • • • I I CITY OF TIGARD RECEIPT C • 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 182743 - 06/07/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID M ST2011 -00065 $- 3,106.00 Total: $- 3,106.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 025131 DHOWSE 06/07/2011 $- 3,106.00 Payor: Gary Culp, Pulte Homes Inc. Total Payments: $- 3,106.00 Balance Due: $3,106.00 • • • • Page 1 of 1 CITY OF TIGARD RECEIPT r Q 131 25 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD (,)/e /C- / /J/9( -- Receipt Number: 182608 - 05/25/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2011 -00065 Building Permit - New Construction 2300000 -43104 $1,124.68 MST2011 -00065 Plan Review 2300000 -43106 $1.34 MST2011 -00065 12% State Surcharge - Building 1003100 -24001 $134.96 MST2011 -00065 Plan Review $ -20.30 MST2011 -00065 DC Provision Review, SF - Ping 1003100 -43112 $64.00 MST2011 -00065 DC Provision Review, SF - LRP 1003100 -43117 $9.00 • MST2011 -00065 Info Process /Archiving - Sm Sheet (up to 2300000 -43135 $62.50 11x17) MST2011 -00065 Metro Const. Excise Tax - Residential 2300000 -24010 $190.13 Use MST2011 -00065 Beaverton School CET - Residential 2300000 -24101 $1,332.00 MST2011 -00065 Park - Single Family Unit 4250000 - 43300 $4,811.00 MST2011 -00065 TDT - Transportation Development Tax 4050000 -43320 $3,106.00 ✓ MST2011 -00065 Erosion Control 1003100 -22002 $64.00 MST2011 -00065 Erosion Plan Review CWS 1003100 -22003 $20.80 MST2011 -00065 Erosion Plan Review COT 2300000 -43107 $20.80 MST2011 -00065 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $236.38 MST2011 00065 Limited Energy 2200000 -43103 $75.00 MST2011 -00065 12% State Surcharge - Electrical 1003100 -24001 $37.37 MST2011 -00065 Furnaces < 100K BTU 2300000- 43102 $46.75 MST2011 -00065 Water Heater 2300000 -43102 $23.32 MST2011 -00065 Range Hood /Other Kitchen 2300000 -43102 $33.39 MST2011 -00065 Clothes Dryer Exhaust 2300000 -43102 $33.39 MST2011 -00065 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $93.28' Utility Rooms) MST2011 -00065 Fuel Piping 2300000 -43102 $14.15 MST2011 -00065 12% State Surcharge - Mechanical 1003100 -24001 $29.31 MST2011 -00065 SFR - Baths 2300000 -43101 $500.32 MST2011 -00065 12% State Surcharge - Plumbing 1003100 -24001 $60.04 Total: $12,103.61 PAYMENT METHOD CHECK # ,CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 025131 DHOWSE 05/25/2011 $12,103.61 Payor: Gary Culp, Pulte Homes Inc. Total Payments: $12,103.61 Balance Due: $0.00 Page 1 of 1 Community Development - -. � . - -: �aU Request for Permit Action TIGARD ;i: TO: CITY OF TIGARD ' NN 1 n1\ 1 1: :i <: 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 ❑ City Staff (check one) REFUND OR Name: Puke 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 #: / 7c204 -Qn0 6S . Site Address or Parcel #: 13572 SW ROSEMARY LN Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 02 EXPLANATION: Tiff Credits transferred from JLS, Signature: Date: 0 -3 -11 Gary Culp - 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 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% 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. KW4y 1_ : 1- pa `rg7,. ` g'FOROFFICE .ON.fi < 4 � 5 t k� r NP y a - •. ,.W... = � � �� �. ,w .�: �,, �u - -.. Rte to S s Admin: Date B Rte to Bld• Admin: Date AM. B , L`7 Refund Processed: Date ( V, By f 7' Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date - By Receipt # /426 of.— Dater/25A Method C Amount $ 3 /e9 G , I: \Building \Forms \RccPcrmitAction.doc lt.. 07/26/07 m57,1 Sid D ' r STREET TREE CERTIFICATION I, 1, 4 , owner / agent for : Cesr. § . ' 0 (PLEASE PRIN>) (PERb1IT1 do hereby certify 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. !354,3 135"7Z- S1 I E ADDRESS: SUBDIVISION. Sidaieri eir Ca- C- _.__. -_ _.___ - - -. — LOT #: /'/ 2`34 SIGNATURE: 6 s/ 6 e/ (OUTER /AGENT) RECEIVED & �. VERIFIED BY. .. .._ DA "U //« ( OFTIGARD) ✓✓" �/ Tree location verified pe proved the plan. I \Buildhng \fromu, SacaTrcrLeroficxr 07/01'2010 Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, , am the general contractor or the owner - builder at the following address: 1:36 35 Site Address: c - fig z3..s$G ,S . - City: Permit #: Subdivision/Lot #: and/or 05r 7 000-0j 000 45 Map and Tax Lot #: 00O 4■+i. / ®a O t� 7 To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918 - 480 -0140, I 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: _ _ r Date: /0 6 / Ger I Contractor o Owner- Builder t 1 Ruildin glt'ormlRES- MouwrcSensmveWcxxi doc 09/2508 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS r2 boca4i-/ aaa Permit No.: (717 a ail, 0 Jurisdiction: Site Address: 13 5f. s , t 3,s72 3_615 1361 6h0 -- �- —_. Subdivision/Lot II: and/or Map and Tax Lot 4: 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: Date: O er"General Contractor'Authorized Agent Print Name: _ � /( .W77 ORSC Section N1107.2. High- efficiency intenor 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. I Lruilding\Fonns RL.S -t lighLtTicienc} I.ighnng doc 07/01/08