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Permit in CITY OF TIGARD MASTER PERMIT '� 2 , COMMUNITY DEVELOPMENT Permit #: MST2011 -00064 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/25/2011 Parcel: 1 S 133CA07800 Jurisdiction: Tigard Site address: 13568 SW ROSEMARY LN Subdivision: VILLAGE AT SUMMER CREEK Lot: 1 Project: Village at Summer Creek, Lot 1 Project Description: Building 1 - New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 60 sf Basement: 0 sf Left: 3.5 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 703 sf Garage: 620 sf Front: 12 Smoke Dwelling Units: 1 Third: 697 sf Right: 3.5 Detectors: Yes Total: 1460 sf Value: $176,760.49 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: 0 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 SrvclFeeders Branch Circuits • 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add9 500 sf: 3 201 -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 1460 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: PHONE: 503 - 608 -3060 FAX: Total Fees: $13,308.18 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 R 9 01 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19 or 1.800.332.2344. ,� / Issued By: i1 N Permittee Signature: // / �G/ e�770'v 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. Building Permit Application ' ;Residential a m'c ; t: F � FOROFFiCE USE •ONLY_: w { t Received 7 City of Tigard ; �0 \\ Date /B : �� '� PennitNo.: Itiu i1 iy ' 13125 SW Hall Blvd., Tigard, OR 972 y Plan Rcvicw Phone: 503.639.4171 Fax: 503.598.1960 �� � +ate /B : �+ M� Other Permit: ,r" i nn • TIGARD inspection Line: 503.639.4175 Pe !.. \\ ° y ,\11 to Read •y: Juris: m ee Page 2 for Internet: www.tigard - or.gov ("j( + Notified/Method: M / ' �7 , /. •� , Supplemental Information S `aG 43101 G ,• '' . ` 74" OF WORK i � - _ �� REQU rr 1 F ■■ 2 , 9AA� W INC • ® New construction ❑ Demolition Permit 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 -° ' `7 . work indicated on this application. ' x CATE. 4. 4. (... ,- R[iC pp ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: M' J ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 AF y�V, `J013rr R,., = a. ;gig ; ss rsIPN I '�> EE: ' ° 1,. • .,,,,-.,• ' , f • T,TE I Azdz o a 2 3A ION. y LOC T10N ' . Total number of floors: 3 � . „ Job site address: /55,pA *� R 7, /t , , f New dwelling area: 1460 square feet City/State /ZIP: TIGARD OR, 97223 Garage /carport area: 620 square feet 6,17 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 33 square feet "7(33 Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 160 square feet ' SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: 2,0��°� square feet F3!J t ` eQ IF . 1 -17 SE� ' GHE(.KI g" Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 7 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 �._kF »y• �5 - � � 477 WW ° � � � ` . � j � �, � work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT A 1460 SQ. FT. Existing building area: square feet New building area: square feet ®PROI'ERT e i d f A NER " . • W S � TEN`, T , * 'a Number of stories: _. 4,m, �= .e%as'�'!rx:;d{,��-a .5".�r. ^..1 � �� � � �*+��;,:.1:=x � � .�t '��,.xz� - .�r 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: ' t1PEI3I&IM ''''.7 „" ;k` i7ONTA, ,' Pk aiii e �aa t ,.�:..zc .a-" ., .. ,A. _. . � ,..6 aie r',,.^e, r. m _ �c;* � W .PI O C r, Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: CARP 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 � � :", r i f-i v ' _ CONTR GTORY 4E . -0 x; ' Business name: CENTEX HOMES �y : r: ,91) 3 , -„S *; . . P; , ; r, - •te k", ���= �r, �„ I3UiUD ,IIIG *,P�Rt�'I1T�FEES -,�. Address: 16520 SW UPPER BOONES FERRY RD, STE 200 '' z , �'(P,ledse refer t e sc/ie l 1)f' 'iz: " ` 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: 4 c" Authorized signature: / Amount received: ,.. pi / / 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. 1: \Bu ilding\Perntits \BUP -RES PerntitApp.doc 10 /01/09 440- 4613T(I I /02/COM /WEB) • *Co°C1) ....., ,, Electrical Permit Applllcaltll ®Ill � ° ° Sri � J © rt VP- ;%WW1 = 3 a' A Received City Of Tigard I • O�' Date/By: Permit No.: .sYlrc70 V! ._ 600(4 .. 13125 SW Hall Blvd., Tiga d. ORrV 1 q� 1' Data By: Plan Review / 0 N Phone: 503639.4171 fax: ', .1 t )0 V tti Outer Permit: V ! !!! ! ! htspcction Line: 503.639.4170 ti (� r �` d , D atc Ready /By: Judi: 121 See fage L for Internet: www.tigard-or.gov \'Cj Notified /Method Supplemental Information ;1.x,.1. - TYPE; _�`�1.. ! . � :K. G`'. i, .'.1.'`m('.P .��.u„, '�f•: :i rP ., <.�., t i- � • �:. w•�"s:'Lr`1V >.I2LVIEW� r Please cheek all that apply (submit 2 sets orphans w /items checked below: ® New construction ❑Addition /alteratiooMr� ` + ment ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over duce stories. where the available fault current ❑ Marinas and boatyards. - i ,,, _�_,`.� _ _ h" , • mps at ISO volts or Floating buildings . ; c : �� EGOa.�: � F: coNS7rRtc ioN ...$ , = : '' exceeds Iu 000 '':' ...,_ ,.t, .- . .� ,. ...- i _ -. - ... ......... .nv. ,.. - , -..� _: w n� < .. ,u+ ...k, _.. �.. ,. a „-:,., - i ^�k' ^: ,.:_., . ' ' ` i ' ' " Icss to ground or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1 -and 2- family dwelling ❑ Commercial /industrial ~ ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75 KVA or -- _ - - _ - ; - .,� ..:, - ❑ Emergency system. larger separately derived system, 1 ITT ` =iS1T R A 1 N;r•1 TIOM1, '° - `- �.���. ^ fir ,,,, A 'a .. Addition al motor load of 0 "A" "E" "I-2", ' i -3" Job no.: I Job site address: /3Q;e f l 7,4 % 4 4 IOOHP ormore. occupancy. Six or more residential units. ❑ Recreational vehicle parks. ❑ City /State /ZiP: TiGARD OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than 0 Hazardous locations. ❑ S ervice or feeder a, volts nominal. AT Suite /bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK 60oam m y>sunure. 6 ` ;; II EE;�,SCI'I E U U G L. : Cross street /directions to job site: CORNER OF SW BARROWS RD, o scrtptt ,; I Q t ;.J rm. I 'Gant i . New residential single or multi - family dwelling unit. SW 135 AVE, AND SW SCHOLLS FERRY RD Includes attached garage. 0 00 s Subdivision: VILLAGE AT SUMMER CREEK Lot no.: / 1,000 q' lt. or less I 168.54 168.54 4 Ea. add'I 500 sq. ft. or portion 3 31.92 101.76 I Tax map /parcel no.: L energy, residential 1 75.00 75.00 2 'i - (with above sq* It. T "llCSGliI]w I ONf, =:Oh����ORIcfC�.?: r> wiw :xt ( NEW SFR TOWNHOUSES Li (with above sq, ft.) 75.00 I ' f Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 ® -01 am s t0 400 amts 133.56 _ - � I i : „O V'1tiC - )?� N , rt,;,,�•s..,., .�.,. 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 Y relocation Phone: (503)608-3060 Fax: (503-503-6031 200 amps or less 59.36 I 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that 1 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 will ;. , , , , above servi or tee er fee, 7.4 - 2 'i ' '1''A`�'];:1 -Ll2i '�V = Al 'C.al 7.' C 50 :: r ''..CON - :.,_.� :_,:., _ .... � .. .° �;, each brmh 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 Y 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 - Sign or outline lighting 67.84 2 CONTRACT 012 _ :`��:<<.: „ .,. � ' . . •` - ;�,... - . ..,..: .. . . _ ....... . . .... Signal circuit(s) or limited 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 inspectiun (I hr min) 66.25/ hr City /State /ZiP: HI Investigation (I hr min) 66.25/ hr LLSBORO OR, 97123 Industrial plant (i hr min) 78.18 / hr Phone: (503) 648 -4552 I Fax: (503) 642 -7925 Inspections for which no fee is 90.00/ hr specifically listed (''A hr min) CCB Lic.: � � Electrical Lic.. 34 -305C p. .. .: _� w % . ;tf > .r -- - �Ti� I Su tv . Lic I � 3�Q w „� _ �:- :>'•,..,. ; iz: �$ L CliC7l21CA_ li�Nl_ �IZ�'ll'fr'�LS: „' "'. =�X�'�., °„ - f.�H >. / Subtotal: Suprv. Electri n signature, required: Plan review (25 %of permit free): _ Print name: CHUCK GARNE / Date: State surcharge (12% of permit Ice): TOTAL PERMIT FEE: Authorized signature: ,! This permit application expires if a permit is not obtained within ISO r . `, f *-�- .d / days after it has ices accepted as complete. Print name: Date: !/ Number of inspeclimrs allowed per permit. I. \Bu ilding \ Penults \EI .0 -Perm it Apo duc 07/0 I n0 411 ST( 11/05/COOL/WEB Mechanical Permit Application ' : - ," = ' . 463 .0 / m FOR [' El C C USE ONLY' £ ; ` �� Received P 1, „:. Ci ty o Tigard ermit Na: 13125 SW Hall Blvd., Tigard, O' Date/By. Review mS t J _ / a+J Phone: 503.639.4171 Fax: ;t 1� Plan 50 j 6 1 Date /By: Other Permit: Inspection Line: 503.639.4175 8 See Page 2 for �O Date Ready/By: Ju ris: Internet: www tigard or.gov a 1i` �p� Ow ` Notified/Method: Supplemental Information f 1F 1 \ S\ \V '' CW ' �r ' • : Z : 4 C O M R TerlE SCH D ULE - US CHE@ 7 S' I 3' E,�. , � ���� , - �5 . } � ,. YP OC a a ; �.. _ s , r . � �°� ., �� .a>a �� � = ��=w, -ms ,:� � � „%.- . ,��x�,��,,,,��' T ® New construction ❑ Addition /alters replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. �_ , 21 " rl 0 C I Sk,T,s=,R,p UG I, y ',' ', RA Value: $ rt 1FES- m - QUIP j SY : E re fit , , ID 1 EN3'd Aw EQ1iIPMEN� � SYST.EMS FEES ��' ®i and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building $ �` ' ` "� For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total tim : - JU STT:Ewairi ,,� A:ND LUCAT1ONv` . -i .. ,�. Heating/cooling / �Z 7KJ / / {/ Air conditioning Job site address: (requires site plan showing placement) 46.75 City/State /ZIP: TIGARD OR, 97223 Furnace 100,000 BTU (ducts /vents) I 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 streeUdirections to job site: CORNER OF SW BARROWS RD, Duct work 23.32 _ SW 135TH AVE, AND SW SCHOLLS FERRY RD Hydronic 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 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 • r t SCRI V' .O ��ORIC , ' ' Water heater I 23.32 23.32 - i . a ; - � :a , � 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 r . e = K.. << k g . r ,,, e Chimney /liner /flue /vent 23.32 PROEE 0 ER * $ - ® TEN ° ir t s� Other: 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Range hood /other kitchen Address: 16520 SW UPPER BOONES FERRY RD, STE 200 equipment l 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 ' -; g. ®: A , i _ �, r Attic/crawlspace fans 23.32 ° - ® CONiI ACT PERSON � a P Other: 23.32 Business name: CENTEX HOMES Fttel i In Pp g 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.culptapultegroup.com Range l _" '41 4 4,4 T_RACTO�R t' "" ` 1 �, �,° 'T Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE STE 500 '° e" ° �I>;C[IAVlCAU3P,FRM1TTlS i E* " `_ - 1;r - � �1+�-r.''•S3�- .."��.".'Y.i.. �.. i+ x :�rx a.. ��_asa+zp:: � tYrC"bJ�'�'l/'.�' = ^:�'�-- `� s`r''..{ City /State /ZIP: PORTLAND OR, 97224 Subtotal - Minimum permit fee ($90.00) Phone: (503) 598 -0966 Fax: (503) 598 -8498 Plan review (25% of permit fee) CCB lie.: 50096 State surcharge (12% of permit fee) , p TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: KYLE BIRMA . Date: y !/ * Fee methodology set by Tri- County Building Industry Service Board 1 :\ Building \Permits1MEC- PermitApp.doc 10/01/0s s 440 -4617T (I I /02 /COM /WEB) Plumbing Permit Application Building Fixtures . ' ' - FOR OFFICE. ,USE ONLY: ' C of Tigard , Permit No.: 13125 SW Hall Blvd., Tigard, OR 9 _.te Date/By: �� ,' � Received = . •. Phone: 503.639.4171 Fax: 503.5" t .0 Plan Review Inspection Line: 503.639.4175 `\ `_ Date/By: Other Permit No.: TI,GARD �Q o > Internet: www.tigard- or.gov L .. ( 0 ' N ate Ready /By: Juris: ® See Page 2 for n� ` • „AN Notified/Method: Supplemental Information . ., ��.;� .r,�, :.:,17::-.,.; - •�. i �:sw•,a<.. mts.iz"h � �Vr. °''S *� -s:°'ix '.; a 'E is'�� °.. .r:(�c`�`s ... 3+xs .aS.i � �...' :•:^n�;,eaa» 'a ���, >' �.'�,' �`.v�Yd2::�r:. °4-� _ _ .;._ = �� �� �;� � ��,�, �. , � t � ��;� � , _,�:_�., - -- .3" - _ ® construction Demo g . 7 'SCH EDiJLE 7a• : ` : ; ❑ Demo."' r#�el` -zc 'aLrYdb::n` r'A�x^' .y am• »a9.:.xs- ,ma�o ^4�e��s�,'•s «+•: ' _ - ❑ Addition/alteration /replacement ❑ Other: For special information use checklist M x oa „ a •nnMA : ,rte. , , Description I Qty. 1 Ea. I Total ' °" ` * - e! Y } ` ',"• '� - ' e New 1 - 2-family dwellings (includes I R. for each utility connection) �,,�. - .�:_ xy � ::�;•,�.. yCA, 7 EGOR #� „OF�.CONST,Rti.C'TCO =.•�,� � =z �`�� . y s 00 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (1) bath 312.70 ❑ Accessory building SFR (2) bath 437.78 ❑ Multi - family SFR (3) bath 1 500.32 500.32 ❑ Master builder ❑ Other: Each additional bath /kitchen 25.02 .�. .,.. ,,: ;� ,. ,.� a - � . - , . � .0 � ,. :m �:��, e. aka-- �.•nes�.�;,� ry , -.,., � stk; . `= '' " '�- ` JO SIT IN FO R MA"T(ii sT AN ~OCATION F i re • sprinkler s R. Page . , ....: . as i , , „,, .� rx*"°",t.t-cn„,,;+ / s.= ,, ,„ , , , 'BSS.-_`.. :d >ki, ,,4.._ p (_ q• ) Pae 2 o Job site address: /35p8 . ` /0% / 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 Page 2 Cross street/directions to job site: CORNER OF SW BARROWS RD, Manufactured home utilities 50.03 SW 135 AVE, AND S \V SCHOLLS FERRY RD Manholes 18.76 Rain drain connector I 18.76 Sanitary sewer (no. linear ft.: 100) I Page 2 Storm sewer (no. linear ft.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: / Water service (no. linear ft.: 100) I Page 2 Tax map /parcel no.: Fixture or item: °N7' ,., s °s r r _.., s;� »:�, Backfl ow preventer 31.27 t ;, ° i _ F * : °'DF G lIPT1O1V 0 x E WOR `v'x? a, `- r.:= - z� 't' ,.. . w.;,.., ,_,,Y.'-7 „' .,:...k " � , _, � e',; Backwater valve 12.51 NEW SFR TOWNHOUSES Clothes washer 1 25.02 UNIT A 1460 SQ. FT. Dishwasher I 25.02 Drinking fountain 25.02 :mom t • ®A PI20_ FE t; k T E I V`A . ''i '' l 0'P�y 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 )`-' `:t: `x ® APPLICANT ' , '' s '`V . : ',®rCONIt,:kd .AAOA* t ; Ice maker I 12.51 �� =� °.mac .. >. . ; �:- z».-_... �,- f .��� °:;;�v<�`�-�a��.,�4.,u,.=,d �_.�s ,��- ._...��,�.�� •��"�.�. 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 water) 62.54 E - mail: gary.culp @pultegroup.com Tub /shower /shower pan 2 12.51 e v:, ti icy, . ",^r'; ` e ;;,;- ti'' cr'=' i,, r� -e:';s.- :z:.,�:��;. ^ � ,. r . ` �. k -= e ::,�, s Urinal g 25.02 , z : ti '. i , ;F '' t5 TRACTORS =�' `7:' ,- x4Vt'i;t�5z^''X r n r4,','; :4 " 4. ..w;a., -:;., 4,4AP :r . „74A e V.A, .- ,,'., s' ,="A 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 j (�/ Subtotal SV1 - C'G - U/ qr Minimum permit fee: $72.50 CCB Lie.: 79666 U� Plumbin: Lic. no.: 20 - 148PB ii Plan review (25% of permit fee) Authorized sig11a �/ . State surcharge (12% of permit fee) TOTAL PERMIT FEE Print name: PETER POLLARD Date: x -17-0 1:1Building '. Permits \PLN1U- PertnitApp.doe 10/01/09 4404616T(10/02/CONVWED) Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due SFR - Baths 2300000 - 43101 $500.32 $500.32 $500.32 12% State Surcharge - Plumbing 1003100 -24001 $60.04 $60.04 $60.04 Info Process /Archiving - Lg Sheet (over 2300000 -43135 $112.00 $112.00 $112.00 11x17) Info Process /Archiving - Sm Sheet (up to 2300000 -43135 $75.00 $75.00 $75.00 11x17) Totals for Fees $13,308.18 $13,308.18 $750.00 $12,558.18 Receipt # Payment Method Check # Payor: Receipt Date Receipt Amount 182271 Credit Card Gary Culp / Pulte 04/26/2011 $750.00 Homes Total Payments: $750.00 Balance Due: $12,558.18 C 1616ill i a CITY OF TIGARD FEE AND PAYMENT HISTORY _a I yg 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD MST2011 -00064 - 13568 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 $1,204.96 $1,204.96 $1,204.96 Plan Review 2300000 -43106 $751.34 $751.34 $750.00 4/26/11 Credit Card 182271 $1.34 12% State Surcharge - Building 1003100 -24001 $144.60 $144.60 $144.60 Plan Review 2300000 -43106 $31.88 $31.88 $31.88 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 Metro Const. Excise Tax - Residential 2300000 -24010 $212.11 $212.11 $212.11 Use Beaverton School CET - Residential 2300000 -24101 $1,460.00 $1,460.00 $1,460.00 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 $270.30 $270.30 $270.30 Limited Energy 2200000 -43103 $75.00 $75.00 $75.00 12% State Surcharge - Electrical 1003100 -24001 $41.44 $41.44 $41.44 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) Fuel Piping 2300000 -43102 $14.15 $14.15 $14.15 12% State Surcharge - Mechanical 1003100 -24001 $29.31 $29.31 $29.31 IS " Building Division Development Code Provision Review TIGAIiD Residential Projects Building Permit No: MST aQ 1I — 0 0 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A L7 Routed Plans: Original Plan Submittal Date: i 1st Revision Submittal Date: ,,,,as ❑ 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. j� Planning Review (contact _ ___ at 503 - 718 - �' s( or �[.i% @tigard- or.gov) Lan Use Case o. 8 �- 0 (0 -- 1OLV ( Name l -,,t k0 f dVY1 lihdt 1 1-!S — 1 Zoning 1 ld Setbacks: ront I ` Rear 1. - ___Side 5 Street Side ID Gara Maximum Building Height �� Actual Building Height :30 0- Clearance G sements U' sensitive Lands Type: Notes: Original Plan: Approved II Not Approved ❑ Date: `'( (a f Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: E n ineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Actual Slope: 1' Notes: Original Plan: Approved.0 -Y Not Approved ❑ Date: 4/8/0 Revision 1: Approved . Not Approved ❑ Date: f Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I Ci Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) Street Trees i hik4. ) Cil Protected Trees Notes: - 46 f b, '7 i � r K - rA S,, tt- p/ ) Original Plan: Approved • Not Approved Ig Date: y 2 y I Revision 1: Approved it Not Approved ❑ Date: 5 /'! f L Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or abert@@ard- 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 Ap licant Okay to Issue Permit: Yes No ❑ Date Routed to Building: Page 2 of 2 e • _ ‘...,.„._ .. I V illage at __ _ __ __ : __ I -- x x x x x x x x x x x- x- x 6.6 9.0 1 1 9.0' 1 9.0' S ummer C reek I I 17.0' I 17.0' 17.0' 14.1 T I I I Al% 5.0' ---I 3.5' ' ` ` � ' T I4 (----' I Z I 2 3 � 4 � FF /TOW 186.09 FF /TOW 187.09 FF /TOW 187.09 Building Plan: 1 I GS 185.39 GS 185.89 GS 186.39 FF /TOW 187.09 Lots 1, 2, 3 & 4 A TOP 185.55 I TOP 186.55 TOP 186.55 I GS 186.39 I I Units A -B -C -A 1 I TOP 186.55 Hi.aoN 1 I I SITE PLAN I I X Scale: 1"-10' s - r�� l� \ \ 1 Y +�: X tzF DBl.IlR _� I - 7 7, .�� r 1 iiiiiiiiiiiiiiii 5.0 • , �.... H 3.5' T- I , r .. DECEIVE , , I I 1 25 .. . M AY 1 1 2011 ..,...,----___3____________ I 23 D : . ln�. — 20.5' ln� 200' ' CITY OE TIGARD , — — — - — — — — Is: PLANNIW/FNGINEEi ING . . 4 1 r ................. Q Q - cn Q _ (r) Q .::....... _ D_— SAS iC::\: :`,':::5_ :::::::: ;;: `` 7;;: i i i ' : ?: - : : : :;: ENGINEERING ASSOCIATES CORPORATION 1`.:: ,.:;,:,;!;; \` S W ROSEMARY LANE N 17757 Kelok Road Lake Oswego, OR 97034 _ 12" S� Tel. (503) 636 -4005 Fax (503) 636 -4015 _ i c2 of - 60 � Ln 13 6?' s& o� � STREET TREE CERTIFICATION rt I, 1 tit3 o+vav' , owner a en't or. . 1-1 014,4e-is (PLEASE PRINT) (PERMIT HOLDE,1 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. ISS4P3 13572- 1 / 35q - SI "I ADDRESS: SUBDIVISION: 94 C,re- t' 1 OT #: / SIGNATURE: t _._. __ -- DATE: /a' 4 77 rl j, /'[^ ,J ( UIP'NER / AGENT) -. R ECEIr� ED V / VERIFIED BY: r ! DA 1 E: I. /`<2 4 I I Tree location verified pe proved rile plan. I \Nuildrng r-wrni,Sucnrrc<Ccmficuc 07/01 2010 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, x t\ tti3 am the general contractor or the owner - builder at the following address: Site Address: 136$ Si 1.25_519., /3 SIG 5 ._._ e - -- City: Permit #: Subdivision/Lot # and/or / sr 2 000-GY 000 45 Map and Tax Lot #: 000 4.6 / ®0 0 C. 7 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: /0 - G ~ / Gei I Contractor . or Owner - Builder I U 3udding Torm \RES- MoisturcScnslilvcV,'o xJ doe 0927 =08 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS ,446r 7.0i( 0004 , 60V�5. Permit No.: 00 Jurisdiction: Site Address: t3 sio s + 15,67z 3.6.6®.. 4 _..8. t° . S! . f LAv Subdivision/Lot if: _ '_ . C. „-- and/or Map and Tax Lot 14: 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: a ” 6 - r'' O er General Contractor. Authorized Agent Print Name: , / t l n. 0 1, /,. ,_... .. 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 01 40 lumens per input watt. I •LiuildingWFonnsRl.` Ilighh. frrcienc ∎ Lighting duc 07!01/08 • 17-3-0mod 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 -00064 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: 13568 SW Rosemary Ln. Project Name: Village at Summer Creek - Lot 1 Job No.: . • Refund: ❑ Check # in the amount of $ . • ® Credit card "return" receipt in the amount of $3,106.00. Notes: New receipt for payment by TIF credit voucher is attached for your records. If you have any questions please contact me at 503.718.2430. Sincerely, • . � Dianna Howse Building Division Services Supervisor Enc. • • 1:\ Buildin tefundsl 6s&Wnfi b$bvidEveuTavreb*,®resgon 97223 0 503.639.4171 TTY Relay: 503.684.2772 0 www.tigard- or.gov 1111 . 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 PermitAction 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 #: 182606 Case #: MST2011 -00064 Date: 5/25/2011 Address /Parcel: 13568 SW Rosemary Ln. 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 If under $12,500 Division Manager 4, t 6-7- 1 I 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: I Date: i 677/ // By I 1 :\ Building \Refunds \RefundRe x 09 /01/2010 CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 • • 503.639.4171 TIGARD AfC-c Receipt Number: 182742 - 06/07/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2011 -00064 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 1 Total Payments: $3,106.00 Balance Due: $0.00 • • , y G • Accela System Administration Finance Department Request Date: 6/7/// • To: Liz Lutz • Kathy Gende From: Dianna Howse/ Re: Receipt #: /d'4 ‘ 14, , /4? 7%2 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: • Tv CHI-A/C-Le A -" r c2. 7 77Lcc s7 /9 r . Thank you! I: \Building\ Forms \Rteslip - FinanceReq.doc Page 1 of 1 CITY OF TIGARD RECEIPT 'I g . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD t 67—F-e.LAii,3 . Receipt Number: 182741 - 06/07/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID M ST2011 -00064 $- 3,106.00 Total: - $- 3,106.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 025592 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 • II III CITY OF TIGARD RECEIPT C 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 182606 - 05/25/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2011 -00064 Building Permit - New Construction 2300000 -43104 $1,204.96 MST2011 -00064 Plan Review 2300000 -43106 $1.34 MST2011 -00064 12% State Surcharge - Building 1003100 -24001 $144.60 MST2011 -00064 Plan Review 2300000 -43106 $31.88 MST2011 -00064 DC Provision Review, SF - Ping 1003100 -43112 $64.00 MST2011 -00064 DC Provision Review, SF - LRP 1003100 -43117 $9.00 MST2011 -00064 Metro Const. Excise Tax - Residential 2300000 -24010 $212.11 Use MST2011 -00064 Beaverton School CET - Residential 2300000 -24101 $1,460.00 MST2011 -00064 Park - Single Family Unit 4250000 -43300 $4,811.00 ' MST2011 -00064 TDT - Transportation Development Tax 4050000 -43320 $3,106.00 MST2011 -00064 Erosion Control 1003100 -22002 $64.00 MST2011 -00064 Erosion Plan Review CWS 1003100 -22003 $20.80 MST2011 -00064 Erosion Plan Review COT 2300000 -43107 $20.80 MST2011 -00064 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $270.30 MST2011 -00064 Limited Energy 2200000 -43103 $75.00 MST2011 -00064 12% State Surcharge - Electrical 1003100 -24001 $41.44 MST2011 -00064 Furnaces < 100K BTU 2300000 -43102 $46.75 MST2011' -00064 Water Heater 2300000 -43102 $23.32 MST2011 -00064 Range Hood /Other Kitchen 2300000 -43102 $33.39 MST2011 -00064 Clothes Dryer Exhaust 2300000 -43102 $33.39 MST2011 -00064 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $93.28 Utility Rooms) MST2011 -00064 Fuel Piping 2300000 -43102 $14.15 MST2011 -00064 12% State Surcharge - Mechanical 1003100 -24001 $29.31 MST2011 -00064 SFR - Baths 2300000 -43101 $500.32 MST2011 -00064 12% State Surcharge - Plumbing 1003100 -24001 $60.04 MST2011 -00064 Info Process /Archiving - Lg Sheet (over 2300000 -43135 $112.00 11x17) MST2011 -00064 Info Process /Archiving - Sm Sheet (up to 2300000 -43135 $75.00 11x17) Total: $12,558.18 • PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 025592 DHOWSE 05/25/2011 $12,558.18 Payor: Gary Culp, Pulte Homes Inc. Total Payments: $12,558.18 • Balance Due: $0.00 • • Page 1 of 1 . • k, � r ti i r• • Community Development ...,;. Request for Permit Action ;1�,, $ 5 );./.- _ � '''' 'TIGARD . • TO: CITY OF T•IGARD Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 wv, 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). El REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: " - D f Site Address or Parcel #: 13568 SW ROSEMARY LN Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 01 EXPLANATION: Tiff Credits transferred from JLS, . Signature: Date: 0 -3 -11 Gary Culp Print Name: Otir 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 804 4 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. c) 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 1 -2 weeks for processing refunds. ' � I`OR�OFFIC� US1✓ ONLY'`-- �-. �° � � �� r '�• Rte to Sys Admin: Date By Rte to B1dt Admin: Date ��� B Refund Processed: Date 4/7/// By ;210-, Invoice Processed: Date B Permit Canceled: Date By Parcel Tag Added: Date By Receipt #/ OCR Date S1251/1 Method e L Amount $ , /e C , 1:\ Buildin \Forms \Rc \ction.dt c Ret(07/26/07