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Permit
CITY OF TIGARD MASTER PERMIT ;� COMMUNITY DEVELOPMENT Permit #: MST2011 -00097 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/08/2011 Parcel: 1S133CA08400 Jurisdiction: Tigard Site address: 13620 SW ROSEMARY LN Subdivision: VILLAGE AT SUMMER CREEK Lot: 7 Project: Village at Summer Creek, lot 7 Project Description: Building 2 - 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: 33.5 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: 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 SrvclFeeders 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: 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. ATTEN• it • : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952- 001 -08 • through 0' R 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 _32 1987 or 1 800.3 .2344. Issued B : • . Permittee Signature: ? w • 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 ,., lResldentIal _\ keccivc d '; t r , " - ' FOR OFFICE USE ONLY t , City of Tigard v 1 n Date/113 : , m P Permit No.: Mg 6 - .— y t „ 13125 SW Flail Blvd., Tigard, OR 97223 ,U \t 0 ro j` n Q � ,r, Plan Revie Phone: 503.639.4171 Fax: 503.598.1960 �\ Date /B : �`'r � Other Permit T RD Inspection Line: 503.639.4175 Vt � Da Read / ��h L I � '''',. ' - - ` v�, Y ~' I D See Page 2 For .. Internet: www.tigard or.gov C _ �' Notified/Meth:H �� Supplemental Information '..'a`sw s..:,;.,, ..x,,i's:as- .:zz ='.' ^..'%T -.� 3`f:.� a u.:� - ra..;?,., < " ,;. ,,�., _ _ -:, ,, '" *, ; iP r -, . n >r; :..t ,,, Rat- . ' . _ . r ,. x ,..w . 1 t-V g1 4: Y,PE OF ORK, u�, � 'r . " ;k ,1 : e* REQUIREDD TEA.1&I ANAj' IIL —• L IN1tee ® 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 ?,..;x;`.; =3--r, . W .. F „ «»,k. ,, ?. j:; ;.xaaa�s�;:: . , * „ s_-^' .r:.+- �,.>�..', *„;.,tom.' r�rs<%?°^a-u ;y , .r'c. , ;,- ;z. `� - 'CAT,EG©RY�OFCONS,mRUCT10NV''`�; work indicated on thisplication. ® I - and 2- family dwelling ❑ Commercial /industrial Valuation: //�= z . ❑ Accessory building ❑ Multi - family Number of bedrooms: 2 ❑ Master builder ❑ Other: Number of bathrooms: 3 .: , ,s a s .:3 .,fir= . - Atrt ; ' dirt E N QRI RVIN LVOCA TION P i Total number of floors: 3 Job site address: 4.3/e2,0 ter - 40 7 / " T New dwelling area: 1186 square feet City /State /ZIP: TIGARD OR, 97223 Garage/carport area: 480 square feet 5 �� Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 18 square feet 5-73 Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet ` J j SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: t ljci square feet .. 33,' - --- �REQ ED DA COMh1ERG USF HEGKLI5T 1 ` Subdivision: VILLAGE AT SUMMER CREEK Lot no.: ei7 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 ' V � work indicated on this application. c. `. r � SC�RIP�T ONWOl2Cy N f� NEW SFR TOWNHOUSES Valuation: S UNIT C 1186 SQ. FT. Existing building area: square feet New building area: square feet s y ' 1 ' : � O E11 OWNS EW:. ' 7 EN'ANT - 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: — -, g PE CA` � n ® COIVTA P RSON .=. a' - d r , 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 x14 z `.e. a : ', ' xa J itrI r O R h ,.6 {: I. - .y n A l .1 %,& *, ;* COi N Rt ie.iA ..1012 ,1 , �� `: ` :a ,'_ ? a . Business name: CENTEX HOMES _ � ti TIILD'ING)PERIcI1TF'EESx'-` . `�� "i : • t ,'', i` '' ; (Please l ft fee:sc / ri i 1 . r -a' 1 ' a _. 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 Total fees due upon application: O F Amount received: Authorized signature: 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: /La` * Fee methodology set by Tri- County Building Industry Service Board. 1: \Building \Permits \BUP -RES f ermitApp.doc 10/01/09 440- 4613T(11/02/COIvt /WEB) • ., .. ..:Sks. \\ ' j i".14.4,40,0044MOSAYVA*43 Electrical Permit Application ,„,,t -, mov as o# 0,000F, 94 to m eR i us k o m mtvgaumaz.v...* .. .. Ktofolgom cit of Tigard e ‘ ved Pe 11%02:'; In c .10. 1 . fat 1-\\ Recei DatelBy: nnit No i .: n s I ..._ utro 9 7 60 - i 13125 SW Hall Blvd., Tigard, OR -,72_23 . s 0 ,„.,r,, Plan Review ...,. itg Phone: 503.639.4 I 71 Fax: 503.598.1960A \\A r , ' ..W t : Date/13y: Other Permit: dr Inspection Line: 503.639.4175 ..r ( .-A\V • i''' , c.,\CIN ' Date Ready/By: turis• El See l'age 2 for gl. intern& WWW. l i gard • oo r , ,... C5c . Notified/Method: Supplemental Information ‘ ii: 01 r1 W - N7 - J'"i . ;=':' R'''='4.. E New construction 0 AdditionialteratioNterlacement Please check all that apply (submit 2 sets of plans w/iterns checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. III Demolition [1] Other: where the available fault current 0 Marinas and boatytuds. C ATti' -.,::-;,,-,,.!:.:::-.',- .- „ ,,, , , r , exceeds 10 F ,000 amps at 150 volts or 0 Floating buildings. less to glutted, ur exceeds 14,000 0 Commercial-use agriculttnal El 1- and 2-fan dwelling (11 Commercial/industrial El Accessory building amps for all other installations. buildings. El Multi-family [S] Master builder ['Other: 0 Fire pump. 0 Installation of 75 KVA Sr 0 Emergency system. larger separately derived system. ' 191.1 $ITE INEOMATl0N.f4ND::E00-■T19N -?,:;::::'':V1, 0 Addition of new motor load of 0 "A'', "r, Job no.: Job site address: ) gifeginSW6V 10011P or more. ID Six or more. residential IInit. Ocelipalley. 0 Recreational vehicle parks. City/State/ZIP: TIGARD OR 97223 0 Health-care lbeilities. 0 Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite/bldg/apt, no.: Project name: VILLAGE AT SUMMER CREEK D Service or lbedcr 600 amps or more. :Oe.1 Cross street/directions to job site: CORNER OF SW BARROWS RD, Dcacoipt Ion I Qty. I Fcc. I Total I . New residential single or multi dwelling unit. SW 135" AVE, AND SW SCHOLLS FERRY RD Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no...e37 1,000 sq. It. or less I 168.54 168.54 4 Ea. add'l 500 sq. rt. or portion 2 33.92 67.84 I fax map/parcel no.: Limited energy, residential 1 75.00 75.00 2 Di'st.lia)fiONictir Wetz*,::.! Z :: ::2-: (with above sq. It.) Limited energy, multi-family NEW SFR TOWNHOUSES residential (with above sq ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 T2.0PF_IIIVONyN1P2 . ,,' " '-,:: , - ':::,:r*,gE..r''-"-7,', -0 I amps to 400 amps 133.56 2 Name: CENTEX HOMES 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 16520 SW UPPER BOONES FERRY ROAD, STE 200 Over 1,000 amps or volts 552.26 2 . City/State/ZIP: PORTLAND OR, 97224 Temporary services or feeders installation, alteration, and/or relocation Phone: (503)608 Fax: (503 201) amps or less 59.36 I 1 201 amps to 400 amps 125.08 I 2 Owner installation: This installation is being made on property that I own which is not I intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 - Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for Nandi circuits with 5„in; al ."0 fi:;:::;': ,11; , :,;f '',';:.::: ':.:: , : .,''':, O§.-!'Xcta.)1:;4'g4c:itcy-',.g-I-::',;=1 above service or feeder 742 2 lee, each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits without I service or feeder fee, first 1 56.18 1 2 I Contact name: GARY CULP branch circuit Each add'l branch circuit 7.42 I 2 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Miscellaneous (service or feeder not included) ' Each manufactured or modular City/State/ZIP: PORTLAND OR, 97224 67 2 &welling, 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 gary.eulp@pultegroup.com , Sign or outline lighting 67.84 2 :.'7,: :' .; eciRttiAcirow ::i 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 BROOK\VOOD AVE, STE A Additional inspection (1 hr min) 66.25/ lir Investigation (1 hr min) 66.25/ hr City/State/ZIP: HILLSBORO OR, 97123 Industrial plant (1 hr min) 78.18/ hr Phone: (503) 648 Fax: (503) 642 Inspections for which no the is 90.00/ hi . specifically listed (1/4 hr min) CCB Lic.: 182591 Electrical Lic.: 34-305C Suprv. Lic.: " Subtotal: Suprv. Electrician signature, require. / Plan review (25% of permit fee) Print name: CHUCK GA / .' , / Date: State surcharge (12% of perrnit fee): / 7 / ',,' T . TOTAL PERMIT FEE: Authorized signature: 401X e, .• This permit application expires if a permit is not obtained within 180 n days after it has bee accepted as complete. Print name: i Date: Number or inspections allowed per permit. IA no ildingWermits 1 ELC-PermitApp.doc 07/01/10 4411 4615T( I I/OS/COM/WEB Mechanical Permit Application t 4t 4' ;i '. ` ; F OR OFFICE USE ONLY ; ' _; r4�. City of Tigard °�, Received �, it � $� L' Date /By: Permit No.: .�� t ;, Phone: 503.639.4171 Fax: 50313125 SW Hall Blvd., Tigard, OR 97,223' t �� Plan Review i4Jtt `^598 :19ti0, `�0 Plan e: Other Permit: TIG 1 Inspection Line: 503.639.4175 Q1 ^ Date Ready/By: lads: El See Page 2 for Internet: www.tigard or.gov \ � ; , o o\ Notified/Method: Supplemental Information . :?S. .�.b -;::�, ;�'°r'„<. ,. r- �.z,:.�w, .,,,.,, �,u ,.a^zr z= ,��= :.;��:. -s..�� �,,::,,.;.R: .,.¢e ,. - :, . .:: =�:y. ^�rxR�c�'r+"+�,� saa'»x .. ^a; > ?; ' ;:,F�:�- ,a ,z„�s -x a ;'.t?e'�s�.mv '�..�.�: , N.,:xs. - . �s: .'�.,, . w,�- :4ae„hv .s <n,: 6.�wp ;...:KZ- -= a�s m�:;. a g- * g : `�"T iE OFr V WORK r .. ,. 1 f COMIV F r E rgaiiDD E USE ,CHECKV I ® New construction 111 Addition /alterationnt `placement 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. =�J s �= � =�1^". �-�- ,�.� - w•ar,�- a "- , .�c . •;,�.; :r - ., �.... �� , .:; , c� r.;sx .�. .,; r^ _ __ - ax� $ z ' z 3 . :w C:A EG ,OR Y OF�ONSTRIUCZ I ON 4 3 v ' ,. ,.- �-,... ;. � :. ss s,:, ....M.,1 _ sr:ro . ,ZI xv EQUIPMEIVTr/ SYSATEP1sITZ ele* ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ` ' For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total "'".f ��z" x , *`- °�'�"�;�;�w� " �'r�;a:�n, - �,�,- �- w�rr�rcz ras ;ar,�::- � " -�s.+ � w _�� ; T.a�.. 3�," -Y` " ,^'"•.:r , 4 mil ; OB SITE °INFORMATION; 'AND OCATiION x '�` ni b Heatin cooling Job site address: imai ay 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) I 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 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 Flue /vent for any of above 23.32 Subdivision: VILLAGE AT SUMMER CREEK Lot no.:07 Other: 23.32 Tax map /parcel no.: Other fuel appliances 4V y * r e � = w,. . .• t* m,xa..: ' t1 �! P Water heater 1 23.32 23.32 t . Am,a , . ,, . :,.. .r, :CRI1 T .,< YOR C , .: ' Wig.• . Gas fireplace NEW SFR TOWNHOUSES 3.39 Flue vent for r water heater or gas UNIT C 1186 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 rovi { '® PRO isci i .x ` 6cfo I ` e, Chimney /liner /flue /vent 23.32 y r� ,. .�-„ -x � _>< y_� ,., . . _ „auQ, 4..... r . n=._� l. Other: 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Range hood /other kitchen Address: 16520 SW UPPER BOONES FERRY RD, STE 200 e ui ment 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 Snila likq 'LI Chart < -MC D, 9al ,ERSON - Attic(crawlspace fans 23.32 sk.c,,,. - .L=`' Y- '-fib. �,.�,'sz., ,r-. Vb _� !� ,Y..e'`�'k�»is., _....�a,:.�3, s.-P. _ >r. - ..y� -, �.r�'.rv✓,: Other: _ 23.32 Business name: CENTEX HOMES Fuel tin p 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. 1 14.15 Gas heat pump City /State /ZIP: PORTLAND OR, 97224 Wall /suspended /unit heater Phone: (503) 608 -3060 Fax:: (503) 608 -3061 Water heater 1 Fireplace E -mail: gary.culp @pultegroup.com Range 1 .. W-4": _V ,4114 <. < ". �;t;:„-=y; -01W- A=t. tIgg ,-f s„ .J. COt�lITRAC"TO� , V- a ,. -... tw: Barbecue ... s3,� ..5 ✓ �,.. m�.M�,,.2_..r...:-rs�s.x.:, -..r u��a���:.a.;eWz'm�,� .,.�. �- ,>.Y -_.. �q � � ..:.. - �.... -.: �'%: Business name: IVIUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 5 -, - }IECHANICAL;�i',ERV`11 �FEES* City /State/ZIP: PORTLAND OR, 97224 Subtotal Phone: (503) 598 -0966 Fax: (503) 598 -8498 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lie.: 50096 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized SigllatUre: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: KYLE RN N Date:---3 - I * Fee methodology set by Tri- County Building Industry Service Board I:\ BuildinglPermits \MEC- PermitApp.doc 10/01/09 440 -46t sr it i /02 /COMt \vEB) Plumbing Permit Application. Building Fixtures r a \\ » G FOR OFFIGE Y` USE ON Received Permit No.: IN i� � 0.\\ Date/By vn 5Th ti" COO q 7 ro 13125 SW Hall Blvd., Tigard, Om - V: 273 9 flan Review Phone: 503.639 4171 Fax: 503.598.196 \ ��(� Other Permit No.: Y) x � ` Datelt3y' Inspection Line: 503.639.4175 (` 9�` TIGARD' �'C \„^t �C� Date Ready /By: Juris: 0 See Page 2 for Internet: www.tlgard- or.gov Supplemental b .nl C; ,,,,AS Notified /Method: Su lmental Information :• , ; ,..�. -._ - .t - 3 . „m.z,- s i.,'' « ,,. , .,;;, .rrs, „-,,, ,�5g -- ° p .sw"' o , •,-. . ,y7 �., ; TYEE'....OE W i iert -,q e s VO4 :: ,c:° :' '+. F lib'i I` t" s , '.., -..v n.. .r .... ,,,,. w,.e ' : r: •fz "�,, , .w�. -c. ,m,,,w +? a> 4 a�. 4A ;'sz=*. ,ti, ,,,,,, AC,,,, I' I,,x, T r'L , _ :,c:,,.°, •*. .,_ , -, a •,r..,, .,6,.. . , •.. r ® New construction moh ❑V'�)r o tton For special information use checklist. Description Qty. La. I total ❑ Addition /alteration /replacement ❑ Other: New 1 dwellings (includes 100 ft. for each utility connection) v, _ , . y , , . ....� ar t, a tZ:v ems' -. G"^sr �,•, SF 1 s z ' CATE(:OR i`n ( ) bath 312.70 .��e5. �.,�� , �,.. .. ._ �...:�..�a� ° „�:��r° .�N. , sa�;^ac✓mi�:: �»Zfl, • -, x,.,, sit � ��.�. s.< ® I- and 2- family dwelling El 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 ,t sprinkler ( _ sq. ft) Page 2 '`u'a ; ='w #• ky , pr ,x: ;, s�± ` -c•. �:.z: xrc�zcr,,: t' r a p rn. r wr� aemre e ar' i �. '. '1 y ,.. *�„ Site F . JQB } SITE i3VTORMAYTION !.AND LOCrt;TION�s a � j utilities: Job site address: i 3G e. I 144,41 /jTT ' 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 BARROWS RI), Manholes 18 76 SW 135 AVE. AND SW SCIIOLI.S FERRY RD Rain drain connector I 18 76 Sanitary sewer (no. linear ft.: 100) I Page 2 Storm sewer (no. linear ft.: 100) t Page 2 Water service (no. linear ft.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK 1 Lot no.: Cr, Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 6 lia ,« ,,ol tea' , " _4,, , L� .' i: a r -6 . DESCRIPTION'�OF'WORK' ' �;: ' °'` , Backwater valve 12.51 Clothes washer I 25.02 NEW SFR TOWNHOUSES Dishwasher I 25.02 UNIT C 1 186 SQ. FT. Drinking fountain 25.02 Ejectors /sump 25.02 ;.. �, zx�sx:�t�. "' :� a - :.a.c;rn. - o,�: -,M E ; �a I , Expansion tank 12.51 ;« ® ° PROI G$�1'�Y�O�� IYER i ®x�TENANT ,� 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 I 25.02 City /State /ZIP: PORTLAND OR, 97224 Hose bib 2 25.02 Ice maker I 12.51 �,.,,_r .d.._� ,�x.- , ..•.,._ �� �,:�^ � `�°,,_„ cam�r�r "r <.<c ;, .::%�,': , . �a °�c�. 2i ' - h APPLICANC � . Xli a .. Interceptor /grease trap .02 ,; , 3 I�GONTACT PERSO w 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 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 Urinal 25.02 E - mail: gary.culp @pultegroup.com „.Y xv'''"W, ,; ,. u=;? lt;,,,' ti` - t :tiz•:t � y � 'a:.�- ' ,2FT v ; • ,q: s.� - . . �t, it „•. " t ', 7 , : f Water closet 3 25.02 °a cofyT RAC roR 3 _ r. . ..x - y +:z . t � €.r.. Water heater I 37.52 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: $72.50 Plan review (25% of permit fee) CCI3 Lie.: 79666 Plumbing Lie. no.: 20 - 148PB State surcharge (12 /0 of permit fee) A ie w Authorized signature: TOTAL. PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: PETER POLLARD Date: 1"' /, /64 after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. l'1 t3uildinl: \ Perm its\l'L\tl1- I'ermitApp.doc 10/01/09 440 -461 G'I'(10 /o2 /COM /win) Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: 01,5 — OW 6 1 7 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A LEK Routed Plans: L I Original Plan Submittal Date: 6/11/I/ trr 1st Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left o if approved. Planning Review (contact . ' -2 a r..._. at 503-718-Z 0"Z or i'I /1 C @tigard - or.gov) Land Use Case No. 6 4$ 1006- /000 / Name \facto R.' 511.411 ."&t. lit a. (KLoning - Z5 Po,e 2..004 - /040 I ff 'Setbacks: Front 1 2 Rear 10 Side 3 .5 Street Side 8 Garage o ' 2 0 [ Maximum Building Height ys Actual Building Height 3 3 '/ C- Visual Clearance Ga''Easements ' B Sensitive Lands Type: O 4 ( S ,4tR. a ,,a • Notes: Original Plan: Approved ® Not Approved ❑ Date: 6 /[(o /// 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) olfl Actual Slope: 5 Notes: Original Plan: Approved Not Approved ❑ Date: Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 • Ci / Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) S treet Trees LJ Protected Trees Notes: Original Plan: Approved Q� Not Approved ❑ Date: c Thf 7bil 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 Ap. cant Okay to Issue Permit: Yes /;,, o ❑ . , Date Routed to Building: . Page 2 of 2 t IV sj AN/ - DDS 97 FIKTURE UNIT WORKSHEET - WATER METER Contractor Name h Billing Address /1520 $() fit PP BON—ES I-0-2a t/LA/ h, (9/C 97zzq Address of New Meter /36 9) ,si 4i""/ c —/y Lot #7_ Subdivision 01664t9C € - 60.40076 Cie 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 i X 1.5 = h Hose Bib 1 X 2.5 = 2.5 Hose Bib, each Adt'l I X 1 = t4 Kitchen Sink I X 1.5 = h `- Laundry Sink X 1.5 Lavatories 4 X 1 = Water Closet, 1.6 GPF 3 X 2.5 = 7, `7 Bathtub/Whirlpool X 4 — Shower Stalls / X 2 = 2 Bath/Shower Combo I X 4 = _ Under 34= 34" tt Over 34 = 1" Total Fixture Points 26 Meter Size 3/4 Meter Cost Z6D2. - %b® ********** * * * * * * * * * * * *..:x * * * * * *.. * * * *.* ** * * * * * *..... * * * * * * * * * * * * * * * * ** FOR OFFICE USE ONLY Fixture Count Verified with Plumbing Permit Meter # Receipt # Emp. Name OFFICE COPY Revised 10/09/2007 V illage at __ .. _X X X X x b x X X X ` X x ' x X X X X Su mmerCree k I 10.0'I 1.0.0' 10.0' • © 18.0' 18.0' - 18.0' ! 18.0 © REcElvErj 011111111% , 1 1 JUN 1 0 201 - -13.5' 1 1 , ITY OF TIv .c;a A il I — — — __:_L___ - _L. - ' - I BUILDING GI■ ISION �P 17.3' 5 ' 6 7 8 Building Plan: 2 FF /Tow 187.62 FF OW 187.62 FF /TOW 187.62 FF /TOW 187.62 Lots 5 6 7 & 8 GS 186.92 GS 186.92 GS 186.92 GS 186.92 Units A -B -C -A r I / 1 1 H12i0N SITE PLAN ' ' 1 Scale: 1"-10' i 1 . 1 \ 1 i ' —.... L 1 //. - 'H _ �.... 4.6' -- , 1 Ica ..22:Q'. {... e� �.'.. ^_1 RED_ 20.0 21:0 • 18.0' / 1 I 1 Vii, ... I ' I - _ 4, ® I. ,i- rte; ... .. ..... ... ... .. .... � ...... ...... of -- ... Q I . . ..................... • • . ..............:................ . ........................ ........:............. ENGINEERING ASSOCIATES CORPORATION ��.•:;,:;;' 17757 Kelok Road Lake Oswego, OR 97034 I SW ROSEMARY LANE - Tel. (503) 636 -4005 Fax (503) 636 -4015 f57 1/ -err-roc77 STREET TREE CERTIFICATION I, 3 U ( \s ctc6 a near , owner / agent for I--k o.4._ s , (PLEAS N1) (PERMTI HOLDER) do hereby certin 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. t3 Gort SITE ADDRESS: triggft 36 9.k) Zo 5 i et-t _ SUBDIVISION: ,z CeL -(Z LOT #: 5( SIGNATURE: DATE: /342, (OU7NER/AGEIVI) RECEIVED & VERIFIED BY: �/- _ DATE. (CITY OF TIGARD) Tree location verified pe approved site plan. 1: \13uildin \Forms \5trcetl'reeCerti0cate 07 /01/2010 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Ooo 9S o n o S a Jurisdiction: coo 0o y / 1172 Site Address: /36021/g6ibr 3 6 Zv113 G 3 gf .S W Ros rrty 1 Subdivision/Lot #: Are_ CRtcil S G t 7 S and/or Map and Tax Lot 1: S - $ 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 Iighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Signature: Date: // /i - Z Own r /General Contractor /Authorized Agent Print Name: 51 ti W 4.A) l ORSC Section NI 107 2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:\ building\ Porm s'RES- HighEfficiencyLighting.doc 07/01i08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, 13 ; ` W M6 0 , am the general contractor or the owner- builder at the following address: 136c.Z. 13L. 4 Site Address: 50 65‘2,- (5(.341 1Zose4zuotrey (./h. City: MSc zc Permit #: oa o gs ooc.£C aoo t 66 Subdivision/Lot #: _54_4 Allyt e R Goec e-l2 S - �f 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: //3f ! Gee I Contractor or Owner- Builder ►:\Building' Forth \RES- MoisturcSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, T L . am the general contractor or the owner- builder at the following address: 3C24.1Z, t 3 445 Site Address: 13 1 .2.0 / (3 G 3 S) i2osk'rl trt-4( ("0 0 e City: toH - ,Z g9 ..445r z o Permit #: oo�ys v00 5 7 , a o t. 5 Subdivision/Lot #: S ie a Goy erg 5r and/or Map and Tax Lot #: / �C To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section 8318.2 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 8318.2 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: /AV/ Z Ge al Contractor or Owner- Builder • I:\13ui1din8\ Form \RES•MoistureSensiuv'eWood.doe 09/25/08 Oregon Residential Specialty Code N1107. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS /1457 Permit No.: Ooo 95 , 000 5 C. Jurisdiction: aoo97 Doo y $ l c�„f Site Address: /3 60 2 /36lbr / /3 634( sw Ro6 eovi -- Subdivision/Lot #: and/or Map and Tax Lot #: S - 4S 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 N1107.2) Signature: __� Date: ////a/-2__ Own r /General Contractor /Authorized Agent Print Name: 5 t t I W 0 ,,,, 64 ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. L1ttuilding\. forms , RLS- IlighEfticienc }Lightinedoc 07/01/08 STREET TREE CERTIFICATION I, 1 \, a o netr- , owner/ agent for RD,5 (PLEASMNT) (PERMIT HOLDER) do hereby certift that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. (3(o2., i3c.�5s SIT E ADDRESS: ( 36 Zo 13 6 3 `4 Si (o 5 zi w�f L�q -,uti SUBDIVISION• ,, % z C►z(5: LOT #: 516,7 SIGNATURE: DATE: 0342_ (OWNER/AGENT) RE CEIVED / VERIFIED BY. ; DAM: G (CITY OF •� • Tree location verified per approved site plan. . I: \Building \Forms \Street frecCertificate 07/01/2010