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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2011 -00100 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/21/2011 Parcel: 1 S 133CA13100 Jurisdiction: Tigard Site address: 10988 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 54 Project: Village at Summer Creek, lot 54 Project Description: Building 16 - New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: • 2 First: 38 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height: 34 Bathrooms: 3 Second: 573 sf Garage: 480 sf Front: 12 Smoke Dwelling Units: 1 Third: 573 sf Right: 3.5 Detectors: Yes Total: 1184 sf Value: $142,453.58 Rear: 10 PLUMBING Sinks: 1 Water Closets: 2 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 Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea addl 500 sf: 2 201 -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 1184 Owner: Contractor: CENTEX HOMES CENTEX HOMES Required Items and Reports (Conditions) 16520 SW UPPER BOONES FERRY 16520 SW UPPER BOONES FERRY 1 Ersn Cntrl 503 -681 -4444 RD, STE 200 RD, STE 200 PORTLAND, OR 97224 PORTLAND, OR 97224 PHONE: 503- 608 -3060 PHONE: 503- 608 -3060 FAX: Total Fees: $12,626.80 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 throu• • •AR 952 - 001 -0090, You . - -- - - .f-the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23&4. Issued By: / /_tf /Lc Permittee Signature: _ ./_' #4 ii / . 503.639.4175 by 7:00 a.m. for the next available inspection date. This per ' • ■ 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. ,f, , P. Building Permit Application Residential �" � Ili ,� f` , r . ..�� ..�.w_, � �., � _ F � � ,� � , FFI FOROCE`U5 ONLY t� City of Tigard q 'm Date/Bed Jy� (- �U tub '\ II G M t /r : I at c 13125 SW Hall Blvd., Tio OR 97223` 0 '�1 o Flan Revie raj { Phone: 503.639.4171 Fax: 503.598.1960 � \ Date/B `��, �C�! POcthmut No. ��(/v er Permit: 7�2, _ if TIGARD Inspection Line: 503.639.4175 ,� \ � '�� �` D ate R eady By: tuns: r. See Page 2 for Internet: www.tigard or.gov � ( � �\ , as vx Notified/Met od: ; }( /I „ 'e/ Supplemental Information r , 74 . z ar r , , 5 z n - A l .: ..R •U RI ail $. ' � lb N T - L E z r 1` z w Y1'kE OF WO �,n.u. ..� �. > ��1 w.�`..,�. �x���r�. _ �� . , �, �,.:, ,,� a.,..., _. w.,.. �>.t,�= ® 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 ' rrA O Ti CONSTRUCTION z ''� rs work indicated on this application. ® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: (4�jq� ❑ Accessory building ❑ Multi - fancily Number of bedrooms: 2 ❑ Master builder ❑ Other: Number of bathrooms: 3 �� , g 4 " JOB, SIT AINFORAfATION SID OCAT gr,, Yr r " ' �F" '= Total number of floors: 3 . � _ .. , err. . , z. t, -. _ � se4 . 3 ` �, � �{ntoz Job site address: I09O a 4,0 e New dwelling area: 1186 square feet City /State /ZIP: TIGARD OR, 97223 Garage /carport area: 480 square feet .5 7- - Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 18 square feet /�j Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet SW 135 AVE, AND SW SCHOLLS FERRY RD viii 1 C Other structure area: (( (p6 square feet —'� 74 ' REQUIRED DP�TA OMMERG OS ::W.1-A1 LIIS'IM Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 0 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 Fn, � i 1. y _ DEScRIP I'ON O WORK ,II � : . work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT C 1186 SQ. FT. Existing building area: square feet New building area: square feet ®trAMR'l OWN.EIt , ,.. tt ,', , °,�. n` . t T ENA`iYT " : , ' 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: 1 .��'- w r �, .:s �,z�� � e �e� .sum . .� � � � .m%.a'�rrt.A^+.x„� .sue' � �, ` F ®Bri aAi ta ; t - i CON`iaA G'r PEElRSON f s s t r,,. s ,-;�� �,..,; �,t .. , �- . ��� � � � ' 101 C � a � ���' 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, STF. 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 ai A ar <,. ` CONTRACTOR " `. `I V .. .r ...e• -N dA): - 4 ,. t.; s :: :.a ;, ,. ,�q.. A , _. x....- '7�rt,'ws„: _ Business name: CENTEX HOMES BUILDING PERMIT FEESz Address: 16520 SW UPPER BOONES FERRY RD, STE 200 -- 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 lie.: 182591 1 Total fees due upon application: / Amount received: Authorized signature: ("01"/---7 This permit application expires if a permit is not obtained f within 180 days after it has been accepted as complete. Print name: GARY CULP Date: ke X * Fee methodology set by Tri -County Building Industry Service Board. 1:\ Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(I I /02 /COM /WFB) Plumbing Permit Application,, Building Fixtures ' / FOR OFFICE, USE QNLY Received Pl • ill City of Tigard ° +�'� Date Re Permit No.: Mr(.01) ,-- Cc) 1 U0 13125 SW Mail Blvd., Tigard OR 9 v � , m Plan Review Phon 503.639.4171 Fax: 503. ..1t9 0 6 Other Permit No.: "' ® a t e /B Inspection Line: 503.639.4175 �� „ , r� 4Si Ready /By: Juris: H See Page 2 for Internet: www ti TIGARD and or g ov \ GG g� c , (� ``\3 Notilied/Method: Supplemental Information a s' ' TYP OF WORK � P , ; �v ! # ti $ N4; �" : � h l<.L *aSCH iii E :-. ":"'. • _',,, , ,yaw. w ... ; :,, _ - "(e44,, ' i- fsZf�.,,fee . ', n. A� � 4.£' :. o.fa�. .4 .4 23s= , - �.� w4.u_ 7L,.:..• _.,A5,_.... • _ _ _ :1 . �r.a.. _ - - E New construction El Demol it �n\x�\� For special information use checklist. ��, Description Qty. I La. I Total III Addition /alteration /replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) ' . ,VR CATEGORY OF O NSTR � U U CTION a re SFR (I) bath 312.70 ® 1 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath I 500.32 500.32 ❑ Accessory building ❑ Multi - family Each additional bath /kitchen 25.02 ❑ Master builder ['Other: Fire sprinkler ( sq. ft.) Page 2 w 4 JOBJSITE I APLD�LOCAT OiV inn , Site u til i ti e s: n asue, " ,h1, , Job site address: 1g i� Catch basin or area drain 18.76 '^' e4 . 1� Drywell, leach line, or trench drain 18.76 City /State /ZIP: TIGARI) 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 BARROWS RD, Manholes 18.76 SW 135 AVE, AND SW SCHOLLS FERRY RD Rain drain connector 1 18.76 Sanitary sewer (no. linear ft.: 100) I Page 2 Storm sewer (no. linear 0.: 100) I Page 2 Water service (no. linear ft.: 100) 1 Page 2 Subdivision: VILLAGE AT SUMMER CREEK Lot no.:Sgf, Fixture or item: . Tax map /parcel no.: Backflow preventer 31.27 ti rK, Backwater valve 12.51 } ' . _ Q t ) :Z I FS rise, T ION O,- WORk Y t ''' - .,x4, 4 44/1" - '1. Clothes washer I 25.02 NEW SFR TOWNHOUSES Dishwasher I 25.02 UNIT C 1186 SQ. FT. Drinking fountain 25.02 Ejectors /sump 25.02 ,I : a 4 .Vz ,. PRO Eitl`Y OWNFR � L i NA' gi Expansion tank I_ Name: CENTEX HOMES Fixture /sewer cap 2 5.02 Floor drain /floor sink/hub 25.02 Address: 16520 SW UPPER BOONES FERRY RI), STE 200 Garbage disposal I 25.02 City /State /ZIP: PORTLAND OR, 97224 Hose bib 2 25.02 Ice maker I 12.51 *1 ~ , ® LAPP! .N 3 MATT r: tpd N TACT PEw I nterceptor /grease trap 25.02 Business name: CENTEX HOMES Medical gas (value: $ ) Page 2 Printer 12.51 Contact name: GARY CULP Root drain (commercial) 12.51 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Sink /basin /lavatory 5 25.02 City /State /ZIP: PORTLAND OR, 97224 Solar units (potable water) 62.54 Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 E-mail: gary.eulp@pultegroup.com Urinal 25.02 a 4 . Water closet 3 25.02 x g w t? n ` CON TRA � CTOR c � • f x � Water heater 1 37.52 ', 4 - ` r . s " . ., „era Business name: CRAFTWORK PLUMBING INC. Waterpiping/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) CCB Lic.: 79666 Plumbing Lic. no.: 20 -148PB State surcharge (12% of permit tee) Authorized signature: '' .� _ TOTAL. PEIZMI "f FEE $ "' This permit application expires if a permit is not obtained within 180 clays /6 4 Print name: PETER POLLARD Date: � /?../0 after it has been accepted as complete. ® *Fee methodology set by Tri -Coumy Building Industry Service Board. 1:\ BuildingdPennits \PI.Mtt- PermitApp,doc 10/01/09 440- 461 Cr( IO /02 /COSUWL'H) r ,, 4 kAinr '" .. :r , u: s ,may ` � u .. "^.! 2 , 'F Electrical Permit Application _ 1�©o GEwsE oI L 0W w r City of Tigard < � r 1 , ® Receive Permit No: 13125 SW Hall Blvd.,'figard 9`773 ,X\ Plan Review 2 ' Phone: 503.639.4 171 Pas: 50� 593 19� �`® Other Permit: .. t V Ste age 2 for . GeIRD Inspection Line : 503.63).4175 , {{ ` , :' , .,‘\‘''' DateRcady /IIy: Lurie: I t �+' - Internet: \v\v\v.tigal'd- or.gov �V ® Notilied /Method: Supplemental Information �.\ ,a T\ PI Ol \VOR0, w , .iE PI A lN RC I . EW 'x , . f� --` • • x _ ._. _ that apply (submit 2 sets of plans wlitenrs checked below): © New construction ❑ Addition /alteration eplacement Please check all th ❑ Service or !Ceder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. C I L(, OR\ ' ;01 CONS I RUCI IOi ' exceeds 10,000 amps at 150 volts or ❑ I loating buildings. .' .. ,. „ °" - ` ' ' less to giouud, ur exceeds 14,000 ID Conunercial -use agricultural ❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family D Master builder ❑Other: ❑ Fire pump. ❑ Installation of 75KVA or ._ ❑ Emergency system. larger separately derived system. :, . JU11 6 11 L. INFO12M11TiO 1ND L ❑ Addi anew motor load of ❑ •'A" "E•' "1 -2" •' I -3" Job no.: Job site address: . , ..... . . ... � .... .: OC ... 1001- ur more. occupancy. / � ` l �/l ❑ Si or more residential units. ❑ Recreational vehicle parks. City /State /ZiP: TiGARD OR 97223 ❑ Health -care facilities. ❑ Supply voltage For store than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK ❑ Service or feeder 800 amps or more IUL SCIILDULL Cross street /directions to job site: CORNER OF SW BARROWS RD, n , y h u e „ I Qty. I rec. I Total I ; Nosy 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.: ' 1,000 sq. II. or less 1 168.54 168.54 4 Ea. edd'I 500 sq. it. or portion 2 33.92 67.84 1 lax map /parcel no.: Limited energy, residential f 75.00 75.00 2 DESCRIP ION OF \YORK i (with above sq. Ii.) Limited energy, multi - family 75.00 2 NEW SFR TOWNHOUSES residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 . i-® PROPLRT\, O \Y\TR . TENANT 201 amps to 400 amps 133.56 2 Name: CENTEX HOMES 401 amps to600amps 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 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 aml ssto599amps 168.54 I 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 fur branch circuits with above s ervice circuit or feeder I'ee i p 4PP1 (AN I ; E CON Nk r IZS PLON 7.42 2 `- � each b Business name: CENTEX HOMES B. Fee for branch circuits rvitlhout service or feeder fee, first 56.13 2 Contact name: GARY CULP branch circuit Each add'I branch circuit 7.42 2 Address: 16520 SW UPPER BOON ES FERRY RD, STE 200 Miscellaneous (service or feeder not included) /State /ZIP: PORTLAND OR, 97224 Each m service and/or or r Feede Cit 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.eulp@pultegroup.com Sign or outline lighting 67.84 Z CON7 RAC:TOR , Signal 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 BROOI<WOOD AVE, STE A Additional inspection (i hr min) 66.25/ hr City /State /ZIP: HILLSBORO OR, 97123 Investigation (i hrminj 66.25/ hr Industrial plant (I lir min) 78.18/ hr Phone: (503) 648 - 4552 Fax: (503) 642 - 7925 Inspections ibr which no fee is 90.00 / hr specifically listed ('L hr min) CCB Lic.: 182591 Electrical Lic.: 34 -305C Suprv. Lic.: k ;,- ,, LLL C i,RICAI PLRMI I „,I�LLLS n?'i w3 .. .... , Subtotal: Suprv. Electrician signature, require. / Plan review (25% ofpermi lee): Print name: CHUCK GA /ER / f Date: State surcharge (12% of permit fee): / WO f TOTAL PERMiT FEE: Authorized signature: � _ Tilts permit application expires if a permit is not obtained within 180 - days after it has been accepted as complete. Print name: Date: / u Number of inspections allowed per permit. is \ Building \ Pet !nits \ELC- PermiiApp. doe 07/01/10 440 -46I ST( II /115 /COM /WEB , f Mechanical Permit Application a II WA''' OFFICE U S E ONLY t .. City of Tigard Received , Date /By: Permit No.: . � 13125 SW Hall Blvd., Tigard, OR7.2 1 p 1 � 1� \� Plan Review Phone: 503.639.4171 Fax: 503.5 8��1960'J r L \\ D ate /By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.ti or.gov V ` KV Notified/Method: Supplemental Information X6 1 1\ C " . : \t C C � "" t T Ea rhyo isigir Iw FEE* SCHEDUI E' 1ISFrGH S ` ® New construction ❑AdditionlalteratioO ent Mechanical permit fees* are based on the value of the work l� performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. s. � . � �'r, -- 'A`T`EGORY OF CON$T 17..- O , sp - .r,. .,. Value: $ kt SIDENTIe Qif�,IPMENT / SYSTEMS &FEES* U,A ® 1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building �= ` For special informations use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description p Qty. l Ea. I Total °' 1J 111111- LIFO a TI N 4, era 0, - s 1 r Heating/cooling Job site address: /er � / /J b /' Air conditioning `i a � j t� /7�%� (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 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.: Outer fuel appliances , "z .. SCRIPT O1VVOK - W ater heater 1 23.32 23.32 Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT C 1186 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 ' : ° R gy p, 0 ` ) Chimney /liner /flue /vent 23.32 t � � arikVi i kY_ OWN ERi r. Q • . TENA . ; .. `, _ ' s.,,.vg` '. 0, N`%� Other: 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Range hood /other kitchen Address: 16520 SW UPPER BOONES FERRY RD, STE 200 equipment 1 33.39 33.39 City /State /ZIP: PORTLAND OR, 97224 Clothes dryer exhaust l 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 APPLICANTf " "`� y ° rgrab A TE ERSON_ �" Attic /crawlspace fans 23.32 Other: 23.32 Business name: CENTEX HOMES Fuel r mr P 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 @pultegrottp.com Range I T r 7 -C� . OPT+ a I �- 4,10 rx /. i,. a .s.WfP Barbecue � .,.. �a,�<rx,�.._ �� . _.� �.� �,.... :rte Business name: MUELIE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 Ar�'DECHANICALgPERti]I�FEES*2 ,1 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) / TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: KYLE : RI' N Date_ t V `( I * Fee methodology set by Tri- County Building Industry Service Board I: \0uilding \Permits \NI EC- Permit App.doc 10/01/09 440.4617T (1 I /02 /COM!\VE 1111 Building Division Development Code Provision Review rlcaRD Residential Projects Building Permit No: (1157 .O ( 1. CWS Service Provider Letter Received: Yes ❑ No ❑ N/A 10 Routed Plans: Original Plan Submittal Date: 011/4 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 _(.L' at 503-718- (9 (9 or ,54.1-14-41/ @ tigard or.gov) r Land Use Case No. SPaf�.:]C3D(� I 001)+ Name � e 17 --e-k. 1 11f' D' Zoning 1 c)-- 5 P.O Er Setbacks: Front j S Rear j S Side Street Side ID Garage a Maximum Building Height ` S Actual Building Height 3 i ( Visual Clearance CJ EasementsP t tC I 3 Pte re ./ (Sensitive Lands Type: Notes: Original Plan: Approved l21 Not Approved ❑ Date: 41 l5 /l 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: S Notes: Original Plan: Approved Not Approved ❑ Date: 6 15 ) I I Revision 1: Approved ❑ Not Approved ❑ Date: 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) E '/ Trees Protected Trees Notes: Original Plan: Approved l/ Not Approved ❑ Date: 6 /f g hat( Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@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: Yes ■_ N. i Date Routed to Building: / Page 2 of 2 • - . . , . ,. " . ... ''f'', , .rr,: ...••r „D . v , - ,. .:"'ri ..- p' "Jal�+r.+', :: :.;p , :t1r.:^ D! . Na"�%- c: ` ;: - . c ad... p. ' f_..,_.> V' :9 ..+ c. ...<..3.r,�..,.,:h�..�3s :�:•;.,�,�i�:., s 1 %: ..,n ,'%:::.!'.-';:k:2'",';'.:...'::!•:::::'..1„-..? 1 b. t!� ,' Credit No Cpl/ Oa, 16.... Date Issued: �,/ /off . WASHINGTON COUNTY 011 1 40111% DEPARTMENT OF LAND USE AND TRAM g}�i LAND DEVELOPMENT SERVICES DIVISt ;`„ 9‘ ' 155 NORTH FIRST AVENUE r_p r3 Engineering „ •; HILLSBORO, OREGON 7124 , � c Q l 5 �8� 48�7S t � ` � p���"V�r,� �rlZatlOn Authorization '( v 111 !J V 1 lJ /� /r� TRAFFIC ;FACT FEE Land Use IT Casef N ��� ® ®� �� ®�� ile o. '' O In accordance with the Traffic Impact Fee Ordinance, O EA{ 7 ? .. X (name of developer) ?? is entitled to $ /8'; f / c1..5'2. in Transportation Impact Fee Credits that can be.a applied to TIF charges for development on lot(s) ;4:; of the V" , - 47 OReei\ The use of TIF credits if are subject to. the rules and limitations of the TIF Ordinance which are listed on the if back of this voucher. WARNING: This voucher must be presented at the time of ; , issuance of the Building Permit, or if defe ral as 'ranted, ' suance of an Occupancy ., • Permit. 41111P I . k Dirt cl.: _ ,. } '7�� 5^.�' >��ir..:ri� "�'�. s:.. dx - r� ' =�9 •. Vic ... '.x, �r ! ;g' iPE^.,ix v ,:e s"iu:.: :�c zrr.- :L'SR:{Y�� .t�: %. �;i R- �`� y� nl',� ..J ir:,. ., � _ .. {`_� �.7 l:.. ,K`:�- -,6, ::Jr''w.i-� _ a ; : r =:i; ' a r ;,C,. `: F : ; 1 < Vi i:,: ; t : 7.t �� ..? ?.:: taa..,.,. ��:��,..� r f._.: _. _ .... �Perrrij�N.urrit'.�rs::: Lot. ' ink : r�:�.;;:,,; °r �� �x'��. s� i �., r �tF_�_... ? a. , . ..b_... .,..: #.�t]�e�.S';b�'.� c o-c2- .icr�tmt:!S}i��1��i:..�.i�., :l�a'cr l Beginning Balance /8 2 '/9. '' /IWi0 /t7 ST2p /0 -' e0 d5'.5 ...S /o6 r o- /P-, / 1'73, 3o . /4 /v 0 MST s/0 X01:37 i`7< 3 /D� • 00 /J // `70 �, 3 .t • " : :. i % y / o A t s r a z d i o •- 0 0 / S P 5<:q • a , 00 / 7 P , 6 0 / , 3 ,2.- /0/77` u /1/Si ,Acya •- &my 512., 2,/,06. 00 / ...5. 99.$ 3 < 2. ft /0/7/ Afs7aa/0 -- 00/%0 S"i 3 /06 , on /7a, j e .g,:z. , /0 /2 /io A•f-sr ..tci0 -- 00 /.'/ .s .3, /0 4, , 00 /W 9 ,;g6 .5 02 , 10/8' (to Hyr 2.oto.- 06UPI/ 33- 3 tts(t,. CC) I (� G � } t `77 .. -. a 11 ;1 '- 0/8/id Nw- to- 00.17( Act J i iO(,,, i > , ; ) I ( 'o - 3 ti 7 1. 3 v. 1 ' fro }t 5t'aota -ovt7 2 Flo a,10 to -°G7 t6 Q 1 to 5 — P2 y It, /c /U 1101 iThro - con 3 W t t lole -" l51 $5' .3a• 00 ''- • /OA //v H'If - A.6io -0017y 4 a, lala."' 153 3',),. (r : . t Sri /;W ha MA,1'Aoio- mcri96 • 7 c( Z raty, " t5r7) 4,47 • P " wake /rp Mhr9 -oo177 St7 d / to to ,cc tq7 5q 1. P' ' P 'I > io /storio Msrstot° - au rrg $ 1 3 roc ' lCIq r I35 . 3a CI-0 /v/,aolto . H6 r Aoto° owl eA ,5! 104 ' 44 tai i , 3 D.9 .."' ` t ' /o /ao to 1 Aviv- 00iio 33 e tap 1 3 AA 3." ''p/ t io'di.tp (o _ h�A,,fh..Go ' 311 , /0 to.' j?, l I T. '3 '/ f' > tn(OGO(to Myr aot° -a41 35 .'� Into'" _ i 521 dtt • 39. 41'2141 '.. too 4 Ito 145r2.otb- Caa 83 3(,0 - e) 1010 (R$ ch5.3v)- ., to(g4 /to Mgsao,b - 1 $c( 37 3 I rob." t aS '19 .32 l Y = 11/ 0 Mh-rA910 -4018 30 a (0(9." t om ' L, � , .t Balance carried forward to TIF Credit No. 4 This credit expires 10 years after the acceptance of the applicable public improvement by the ti issuing jurisdiction. z i . TIP 09 (Distribution: while to LDS; yellow to Applicant; pink to Engineering) r (*D /r AL,.: 6$w oca Gz..., Date Permit Numbers Lot Numbers Credit Used Balance Beginning Balance * /2J& 493• 3a io GJ To�OlO"OOI SS �t 6, tot?• //9 557.52• ri�;f `r A . u 1311 a t tyr'�►o- QOt85- 3A Z, toto • G'° / 1 Co, 4'8 t . sa . 4 - - - l I t / 31, 0 Mgrdtnw P ool4c, 3 3 z , h,40.0- 6 k 47 3,375'"- P ,,, - -- / ris Aoii --eo Gam% e/ s /0G . °� /i/r r 9, 3 °� � - // itts z20 / /._ 0406.5- 11.E , ,:. /0 4, " "" sf 615/// c7;zeir• 004 (2 f .3 /e G , `'% // �z�� ?S/ ,.3, z - Balance carried forward to TIF Credit No, • Ordinance 379 provides for an expiration 10 years from authorization. This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. ?pi City of Tigard _ Buildin g Division TIGARD TRANSMITTAL LETTER TO: 1\iLI ) DATE RECEIVED: DEPT: BUILDING DIVISION L . • 3 id1\1 FROM: .u� -. � ELL ;I OF TIGARD � BUILDING I�I'�' iSIO�� COMPANY: - RATE r ,,,/L r . PHONE: 97/2}/67 By. %// (Site Address 'ermit 1 Tm•er • (Project name or subdivision name and ofnumber) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: • Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and /or lateral analysis. Floor /roof framing.(?1+} t�� -ik: ) Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: FOR O . FICE USE ONLY ' • Routed to Permit Techn_ic�ia Date: �j fz-®( (( Initials ^I �':�j Fees Due: ❑ Yes l o Fee Description: Amount Due: $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: L \Buildin g \ Forms \TransmittalLetter - Revisions.doc 02/08/2011 MT 0 — 0©100 Vill. ge at I _0,, N ,Lk.),(, . l Cn i t. .11.MM "- Creek I SW MALLOW' TERRACE D _ — ' JUN 0' 2011 , BUILDING DIVISION > > 0 010 ' CITY OF TIGAR D • \\ 10 . 4°141% I e di 3.0' E 83.1' 4.5 \�\ \. \\ i I \ I 3 5 ' I I I __ I ' i _i_ 7.9' \ \ \ Building Plan: 16 I , \ Lots 53, 54 55 56 I I 1 , ` \ \\ Units B -C -B -A t 5 3 , 5 4 1 5 5 56 , ,\ FF /TOW 193.34 FF /TOW 193.34 FF /TOW 193.34 FF /TOW 192.34 I \ GS 192.64 GS 192.14 GS 192.14 GS 191.64 I I I I: ' .\� \\ 1 I I SITE PLAN 1 I I I \\ 6. Scale: 1"-10' °ti ■ ` \\ 1 1 . I 1 1 , \ \ / \ ■ \ I \ t l TI 1 22.3 / .. / 1 1H - I r _ I F'I_0 IA e RIO ._ FFPNg it -------- 15.4' 18.4' I p - _ 13.9' I --_ I I 12.4' 13.4 1 2. 4 15.4' 1 13. I I i — i _ tea �.._ • .. 4 i ° • 111 1 P { I� .I SW SAGE TERRACE : ENGINEERING ASSOCIATES CORPORATION 17757 Kelok Road Lake Oswego, OR 97034 Tel (503) 636 -4005 Fax (503) 636 -4015 , \ i x T STREET 4:1: � o y CERTIFICATION i GA.RD'' I, 13,0 < W,5, , owner /agent for g 1 k 5 , (PLEASE PRINT) (PERMIT HOLDER) i do hereby certi 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. MST 2o ci ODblcl . civ.lOU PERMIT NO.: Oo 10\ ooi.l %o'i76 Man SITE ADDRESS: / o v q Y / //o 02 Ste✓ _< t-- S� rt....„ 4_,-- . SUBDIVISION: S N pti f CN LOT #: S3 - 5 C SIGNATURE: k, DATE: / z// (0 ■•" R /AGENT) RE CEIVED & , '---- VERIFIED BY: _ f,- DATE: 0 6 (CITY OF TIGARD) Tree location verified per ..proved site plan. I: \ Building \ Forms \StreetTreeCertificate 04/01/ 2011 • Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS /3 s Lou 000 9q / ow oo Permit No .: 0 0/ 0 i 0 0 / oZ Jurisdiction: I �� 1o9767 09$ /09 7C,,, 0 9F Site Address: /off stsA /0 egt So✓ Sc;y /097y /1 • Subdivision/Lot #: Suw. .. Csce 12 53-- 6 and/or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code Ni 107.2) Signature: '� �— Date: /Oh/ Owner /General Contractor /Authorized Agent Print Name: �' � `` /yo,w✓ 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. li 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: \Building\Forms\RES- HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM (( A J L., 35'17'e , am the general contractor or the owner- builder at the following address: Site Address: / 0 // `/ / //bon_ 5w S City: 1-1 5 �r /'V15 Permit #: goo gti v Q /0,.›...2 as /D/ / c,L` /ot Subdivision/Lot #: S 1 nim . Crc c s 3 - 5 (.. and/or Map and Tax Lot #: 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: Date: / 2 / 1 1/4r Gei g al Contractor or Owner - Builder I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 A/57-70 a - 00 100 FIXTURE UNIT WORKSHEET - WATER METER Contractor Name C0' t1 / ►, � �, Billing Address 16'520 640 (P P ? i ` at `kitegAlqb 1 9/C 970Z1 Address of New Meter /Ee �� YNailer Lot # 6 Subdivision tJ /16466 € 2/1,M41 1 CR Please fill in the number of each fixture as detailed on the plans, then multiply quantity by the point value given to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Ouantity Point Value Point Total Bar Sink X 1 = Bidet X 1 = Clotheswasher I . X 4 = __ Dishwasher / X 1.5 = 1/5 Hose Bib ! X 2.5 = 2.5 ' Hose Bib, each Adt'1 I X 1 = / Kitchen Sink / X 1.5 = 1/ Laundry Sink X 1.5 = Lavatories 4 x 1 = . Water Closet, 1.6 GPF 3 X 2.5 = `7, .5 Bathtub/Whirlpool X 4 = Shower Stalls / X 2 = 2_ Bath/Shower Combo 1 X 4 = _,4 r Under 34= 3 /4" Over 34 = 1" Total Fixture Points 26 t� Meter Size 34 Meter Cost Z62/2- ; bo ****** * * * * * * * * * * * * * * * ** ** * * * * ** * * * * ** : * * * * * * * * *: ** * * *** *x * * * * * * * *** * * * * ** FOR OFFICE USE ONLY Fixture Count Verified with Plumbing Permit Meter # OFFICE COPY Receipt # Emp. Name Revised 10/09/2007