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Permit Buildin! Permit Application ax�' I R E Y Residential ► c,►: c ► ► ►c ► ► ,► c,.►City of Tigard RECEIVED � 7 PermitNo.:X5/ �'tV 9 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' C Phone: 503.639.4171 Fax: 503.598.1M 1 7 2008 Date/E1 : Other Permit au) / erg-e.419/4 / T i t�,D Inspection Line: 503.639.4175 Date Ready/By: 65 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: ligMl Supplemental Information '6• ,.s, .. .._...'_ .,.g ,�. L',I '2.'`,`„,,`,t._. t! vx7`.}r. `R'°'�• ?'. :, F 4? y.�c _ .� ,r .ti,..r!� -k...+ue-.. i.. r ._.v �.�-zl ®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 ? "'''''''''-`;'V4V4`7. r work indicated on this application. ". Valuation: S180,000 ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: 2.5 r (9BllllllaRilVj211i(113�, r Total number of floors: 3 Job site address:)C V S LLD }e--r..1 .,v11Cj`Vt\ New dwelling area: 1834 square feet City/State/ZIP:Tigard,OR Garage/carport area: 541 square feet Suite/bldg./apt.no.: Project name:Village at Summer Creek Covered porch area: 36 square feet Cross street/directions to job site: Deck area: 664 square feet Other structure area: square feet Subdivision: Lot no.: U Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials.labor,overhead,and the profit for the 7 , ,` t4= , - d work indicated on this application. xs Y:� � ���- �� St��>{Di(II�T4kiF~_� .� ,•- �=t: NSFR }�..- Valuation: S Existing building area: square feet New building area: square feet 4r.1,E1 ®'�'ABWl' t' " ' •r -�%;t,r« e q^lam !i,., t ! q':::.': f ' Number of stories: Name:JLS Custom Homes Type of construction: Address:16280 NW Bethany ct Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)533-4006 Fax:(503)533-4306 New: • c -.:- ‘1,..4'''''"7:71.".q4 .• °c=•k F4'F r y �r';7`;`". Q vtt'- V--1-..--:,,- 2r _...t Y. t :t .A— _ + a . ,a T,'no. ,'":-1-=',,,,_',,:".4,. f w '3;7 f i4 Y; t _ . •v4Wr # Business name:JLS Custom Homes All contractors and subcontractors are required to be Contact name:Nicole Paulsen licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:16280 NW Bethany ct jurisdiction in which work is being performed.If the City/State/ZIP:Beaverton,OR 97006 applicant is exempt from licensing,the following reasons apply: Phone:(503)533-4006 Fax::(503)533-4306 111,-. / . ,g M4-y EyC.e7 E-mail:nicole@jiscustomhomes.com P1-410 /ly J/� t-- Business name:JLS Custom Homes g; o-, st,4, s`t -ai �E6"` ...it, mt*t `� ;.ms : rtes' •` x.-F. ) ' ,a�i,`,,:i Address: 16280 NW Behthany ct ,a �x� erg eaaitbrtlyle Structural plan review fee(or deposit): f'75n 4-, City/State/ZIP:Beaverton,oR 97006 FLS plan review fee(if applicable): ..- Phone:(503)533-0006 Fax:(503)533-4306 eV Total fees due upon application: # 757 CCB tic.:139970 Amount received: ft 7�D°� Authorized signature: \1 �() � r This permit application expires if a permit is not obtained VVV l�/ VVV���JJJ ✓V W.) within 180 days after it has been accepted as complete. Print name: Date: • Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RES PermitApp.doc 11/6/07 440-4613T(11/02/COM/WEB) Mechanical Permit ApplicatiR! ECEIV , FOR OFFICE l'si O\1.1 • City of Tigard Y Date/By: (( g Permit No.: 6J1�/ ,9%—e y 13125 SW Hall Blvd.,Tigard,OR 97223 JUN Phone: 503.639.4171 Fax: 503.598.1960 j "7 2008 Da Review Other Permit: t2,09 Q A 1 G A R n inspection Line: 503.639.4175 CITY 1„I/1nRD Date Ready/By: inns 63 See Page 2 for Internet: www.tigard-or.gov B I NG V Notified/Method: Supplemental Information DIVISION T:Y.PE 3_OF AVORK COM ERCIAL FEE*°SCHEDULE - jSECHEC 1ST:C ®New construction Mechanical permit fees*are based on the value of the work 0 performed.indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead.and profit. ttCATEGORY OF 4CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/-SYSTEMSFEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. Ea. Total :JOB 1 1FORMAa1ON l"ND L'OCA ION Heating/cooling '^ � ,2 e�� Air conditioning or heat pump Job site address: 111 I�� (requires site plan showing placement) I 14.00 City/State/ZIP:Tigard,OR Furnace 100,000 BTU(ducts/vents) ( 14.00 Furnace 100,000+BTU(ducts/vents) 17.90 Suite/bldg./apt.no.: Project name:Village at Summer Creek Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 Hydronic hot water system 14.00 Residential boiler(radiator or hydronic) 14.00 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended.etc. 14.00 Subdivision: Lot no.: Flue/vent for any of above 6.80 Other: 10.00 Tax map/parcel no.: Other fuel appliances =DESCRIPTION'OF WORK Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 2., 10.00 Log lighter(gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 TROP-ERTY-OWNER ❑ TENANT Chimney/liner/flue/vent/liner/flue/vent 10.00 Other: 10.00 Name:JLS Custom Homes Environmental exhaust and ventilation Range hood/other kitchen Address: 16280 NW Bethany ct equipment 10.00 City/State/ZIP:Beaverton,OR 97006 Clothes dryer exhaust 10.00 Single-duct exhaust(bathrooms, , f Phone:(503)533-4006 Fax:(503)533-4306 toilet compartments,utility rooms) LI 6.80 3iPRLICANT fl--CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name:JLS Custom HOmes Fuel piping Contact name:Nicole Paulsen $5.40 for first four;$1.00 for each additional Address: 16280 NW Bethany ct Furnace,etc. Gas heat pump City/State/ZIP:Beaverton,OR 97006 Wall/suspended/unit heater Phone:(503)533-4006 Fax::(503)533-4306 Water heater Fireplace E-mail:nicole @jlscustomhomes.com Range -CONTRACTOR Barbecue Business name:TBD Clothes dryer(gas) Other: Address: -MECHANICAL;.PERMJT: ES* City/State/ZIP: Subtotal Minimum permit fee($72.50) me:( ) Fax:( ) Plan review(25%of permit fee) CCB lic.: State surcharge(12%of permit fee) `���At C T( T OTAL PERMIT FEE Authorized signature: 1\\ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri-County Building Industry Service Board I:\Building\Permits\MEC-PermitApp.doc 01/19/07 440.46171(11/02/COM/WEB) Plumbing Permit Application • Building Fixtures RECEIVE I F'OR OFFICE USE ONLY City of Tigard Received 7 6K Permit No.:i4i;; - P7 11111 • 13125 SW Hall Blvd.,Tigard,OR 97223 U N 17 2008 Plan Review Q ,��p `fr I Phone: 503.639.4171 Fax: 503.598.1960 Date/13y: Other Permit NoG � \.�`�a ,.1 G li n Inspection Line: 503.639.4175 Daze ReadyBy: mrir VI See Page 2 for Internet: www.tigard-or.gov p�C�CITY OF TIGAR/D �Notified/Method: Supplemental Information TYPE OF---WOW ILDING DIVISION FEE" SCHEDULE ❑New construction ❑Demolition For special information use checklist. Description I Q . I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 4CA'TEGORY-OF-CONSTRUCTION SFR(I)bath 24920 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 350.00 ID Accessory building ❑Multi-family SFR(3)bath 399.00 Each additional bath/kitchen 45.00 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 -JOB`SLUE INFORMATION AND'LOCATION Site utilities Job site address: lecc.) Sly 12C6CYY .U.-V"4,q Catch basin or area drain 16.60 City/State/ZIP:Tigard,OR 1 Drywell,leach line,or trench drain 16.60 Suite/bldg./apt.no.: l Project name:Village at Summer Creek Footing drain(no.linear ft.:_) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Subdivision: Lot no.: u Fixture or item Water service(no.linear ft.:_) Page 2 Tax map/parcel no.: 1 Absorption valve 16.60 _ .DESCRIPTION OF WORD Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 TEI.;PROPERTY--OWNER ❑ TENANT Ejectors/sump 16.60 Name:JLS Custom Homes Expansion tank 16.60 Address: 16280 NW Bethany ct Fixture/sewer cap 16.60 City/State/ZIP:Beaverton,OR 97006 Floor drain/floor sink/hub 16.60 Phone:(503)533-4006 Fax:(503)533-4306 Garbage disposal 16.60 Hose bib 16.60 IA PLIICANT n-CONTACT PERSON Ice maker 16.60 Business name:JLS Custom Homes Interceptor/grease trap 16.60 Contact name:Nicole Paulsen Medical gas(value:$ ) Page 2 Address: 16280 NW Bethany ct Primer 16.60 City/State/ZIP:Beaverton,OR 97006 Roof drain(commercial) 16.60 Phone:(503)533-4006 Fax: :(503)533-4306 Sink/basin/lavatory 16.60 Tub/shower/shower pan 16.60 E-mail:nicole®jlscustomhomes.com Urinal 16.60 -- CONTRACTOR Water closet 16.60 Business name:TBD Water heater 16.60 Address: Other: City/State/ZIP: Subtotal Minimum permit fee: $72.50 Phone:( ) Fax:( ) Residential backflow minimum permit fee: $36.25 CB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) \Q po /i State surcharge T(12% E permit fee)Authorized signature: \ TO TAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:1 Building\Permits\PLMF-PermitApp.doc 12/27/06 440-4616T(10/02/COM/WEB) Electrical Permit AppIRECEIVED FOR OFFI( 11 1 SE()MA City of Tigard Received „®Q� Permit No.: J�` j� III • 13125 SW Hall Blvd.,Tigard,ORicbk31 7 2008 Plan Review / lO 0 Phone: 503.639A171 Fax: 503.598.1960 DateBv. Other Permit. I G A It D Inspection Line: 503.639.41CITY OF TIGARD Date Ready/By. luris: El See Page 2 for Internet: www.tigard or, v Notified/Method: Supplemental Information 'BUILDING DIVISION ' 'YPE°OF- YORK - - - K'LA'N=REVIEW - ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. TGOR' fIFs(IOATS,'IIRUCInON r r' exceeds 10,000 amps at 150 volts or ❑Floating buildings. less 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 of 75 KVA or .40B SITE OCATION ❑Addition system. larger separately derived system. ` - r -= ❑Addition of new motor load of ❑"A" "E" .•1-2" .'I-3" �,q 100HP or more. occupancy. Job no.: Job site address: 13 J 1(, YLj ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name:Village at Summer Creek ❑Service or feeder 600 amps or more. =SEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. i Total New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.:Li 1,000 sq.ft.or less 1 145.15 4 Ea.add'l 500 sq.ft.or portion Z. 33.40 1 Tax map/parcel no.: Limited energy,residential 75.00 2 9DESCRIPTION°OF KORK _=_ _ .. (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Services or feeders installation,alteration,and/or relocation 200 amps or less 80.30 2 ❑PROPERTY OWNER ❑TENANT 201 amps to 400 amps 106.85 2 Name:JLS Custom Homes 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 idress: 16280 NW Bethany ct Over 1,000 amps or volts 454.65 2 City/State/ZIP:Beaverton,OR 97006 Temporary services or feeders installation,alteration,and/or relocation Phone:(503)533-4006 Fax:(503)533-4306 200 amps or less 66.85 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale,lease,rent,or exchange,according to ORS 447,449.670,and 701. 401 amps to 599 amps 133.75 2 Branch circuits—new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with APPI.iGI _ above service or feeder fee, each branch circuit 6.65 2 Business name:JLS Custom Homes B.Fee for branch circuits Contact name:Nicole Paulsen without branch service or feeder fee, 46.85 2 q first branch circuit Address: 16280 NW Bethany et Each add'I branch circuit 6.65 2 Miscellaneous(service or feeder not included) City/State/ZIP: Beaverton,OR 97006 Each manufactured or modular 90.90 2 dwelling,service and/or feeder Phone: (503)533-4006 Fax: : (503)5334306 Reconnect only 66.85 2 E-mail:nicole(a�jlscustomhomes.com Pump or irrigation circle 53.40 2 _ .CONTRACTOR Sign or outline lighting 53.40 2 Business name:TBD Signal circuit(s)or limited- energy panel,alteration,or Address: extension.Describe: Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone:( ) Fax:( ) Investigation per hour(1 hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv.Lic.: industrial plant per hour 73.75 ="EL•ECTRICAL PERMIT.FEES tprv.Electrician signature,required: Subtotal: Print name: Date: Plan review(25%of permit fee): A. State surcharge(12%of permit fee): Authorized signature: Elt jmiI A. • TOTAL PERMIT FEE: Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits1ELC-PermitApp.doc 05/23/06 440-46t5T(11/05/COM/WEB Building Division One & Two-Family Dwelling 1 i n u D Fees Checklist PERMIT INFORMATION: Permit#: MST 2 008 . 00 0 9 Plan #: Date: 7. 2 . O 8 Site Address: V215°1 Lip OSQ �r Parcel #: Subdivision: v i ‘1 otp 2 ci* v rvl M FC" l , �K Lot#: Zoning: Jurisdiction: I,� 'Setbacks: Front: Rear: Left: Right: Class of Work: 2U3 Stories: 3 First Floor: q g Type of Use: re■c' Height: 30 Second Floor: 1 q 14 Construction: 5 Floor Load: C0 Third Floor: q•0 h Occupancy Group: K3 Dwelling Units: Bonus Room: Qj Valuation: 20 \ LA 275 Bedrooms: 1 Total Floors: C Bathrooms: Basement: 0 Decks: i [f:C7 Garage: to-1S Porches: `-A IQ Other: 0 FEES: Description: Fee Amount Amount Paid: Balance Due : Plan Check: Building: _80-2 • LE-7 -7��Q c -7 . t4 Extra Set: `0 Permit: Building: _ l Z.U 2 . -2-t0— T a x: _ i LiCi .0-7 Metro CET: 2i-41 .1 \ " � School CET: I-11.b .LA.T Mechanical c-1.1 3 O Tax: \ t, U Plumbing: Tax: � �L , c > Electrical: 21145.3 S, Tax: 9.41-1 Low Voltage: Tax: CDC: CDC Ping. Rev.: r,- C711 CDC LRP Fee: , .0 0 SDC: Parks: , 6.4 TIF Res.: 'Z51 45 0 TIF MT: 2 OO Erosion Permit: E .00 Erosion CWS: S ,(y O Erosion COT: Q_ Water Quality: Water Quantity: ) SUB-TOTAL: Sewer: Permit: Inspection: SUB-TOTAL: TOTAL MST & SWR: lz_a� .�a� i 2 ct 3 1 - 31 I.\Building\Forms\ResPlanCheckFees-doc 01/19/07 Page 1 PLUMBING FEES (for special information use checklist) MECHANICAL FEES (residential equipment/systems) Description I Qty. I Fee(ea.) I Total Description I Qty I Fee(ea.) I Total New 1-&2-family dwellings Heating/Coolin (includes 100 ft.for each utility connection) • Air conditioning or heat pump* 14.00 SFR(1)bath 249.20 Furnace 100,000 BTU(ducts/vents) 14.00 SFR(2)bath 350.00 Furnace 100,000+BTU(ducts/vents) . 17.90 SFR(3)bath F 399.00 Gas heat pump 14.00 Each additional bath/kitchen 45.00 Duct work 10.00 Rain Drain,single famil dwelling 65.25 Hydronic hot water system 14.00 Fire sprinkler-sq.ft. 0 to 2,000 115.00 Residential boiler Fire sprinkler-sq.ft. 2,001 to 3,600 160.00 (for radiator or hydronic system) 14.00 Fire sprinkler-sq.ft. 3,601 to 7,200 220.00 Unit heaters(fuel,not electric) • Fire sprinkler-sq.ft. 7,200 and greater _ 309.00 (in wall,in-duct,suspended,etc.) 14.00 Site Utilities Flue/vent(for any of above) 6.80 Catch basin/area drain 16.60 Repair units 12.15 Drywell/leach line/trench drain 16.60 Other Fuel Appliances Footing drain-1st 100' 55.00 Water heater 10.00 Footing drain-each additional 100' 46.40 Gas fireplace 10.00 Manufactured home utilities 110.00 Flue vent(water heater/gas fireplace) _ 10.00 Manholes 16.60 Log lighter(gas) 10.00 Wood/Pellet stove 10.00 Rain drain connector 16.60 Wood fireplace/insert 10.00 Sanitary sewer- le 100' l 55.00 Chimney/liner/flue/vent 10.00 Sanitary sewer-each additional 100' 46.40 Storm sewer- 1st 100' ► 55.00 Other: 10.00 Environmental Exhaust&Ventilation Storm sewer-each additional 100' 46.40 Range hood/other kitchen equipment 1 10.00 Water service-1st 100' i 55.00 Clothes dryer exhaust 10.00 Water service-each additional 100' 46.40 Fixture or Item Single duct exhaust Absorption valve 16.60 (bathrooms,toilet compartments, 6 Backflow preventer 27 55 utility rooms) 6.80 Backwater valve w 16.60 Attic/crawl space fans 10.00 Clothes washer d 16.60 Other: _ 10.00 Dishwasher 16.60 Fuel Piping **(55.40 for first 4,$1.00 each additional) Drinking fountain 16.60 Furnace,etc. I ** Ejectors/sump 16.60 Gas heat pump ** Expansion tank 16.60 Wall/suspended/unit heater ** Fixture/sewer cap 16.60 Water heater I ** Floor drain/floor sink/hub 16.60 Fireplace I ** Garbage disposal 16.60 Range 1 ** Hose bib 16.60 BBQ ** Ice maker 16.60 Clothes dryer(gas) ' ** Interceptor/grease trap 16.60 Other: ** Primer 16.60 Total: Roof drain(commercial) 16.60 Mechanical Permit Fees Sink/basin/lavatory ] /° /4 Cj 16.60 Subtotal: $ 9 7.-- ,c) Tub/shower/shower pan 3 16.60 Minimum Permit Fee$72.50 $ Urinal 16.60 Plan Review Fee(25%of Permit Fee) $ Water closet 3, 16.60 State Surcharge(12%of Permit Fee) $ 1 i. - 1.c.'' Water heater 'i 16.60 TOTAL PERMIT FEE $ Other: Other: Plumbing Permit Fees ELECTRICAL FEES(residential single-or multi-family) Subtotal $ Description Qty. Fee Total Insp Minimum Permit Fee$72.50 $ 1,000 sq.ft.or less 145.15 4 Plan Review(25%of Permit Fee) $ Ea.add'l 500 sq.ft.or portion 33.40 1 State Surcharge(12%of Permit Fee) $ Limited energy,residential 75.00 2 TOTAL PERMIT FEE $ Each manufactured or modular dwelling,service and/or feeder 90.90 2 Electrical Permit Fees Subtotal: $ 2(45,g S Plan review(25%of permit fee) $ State surcharge(12%of permit fee) $ 7 q_Li 4 TOTAL PERMIT FEE $ I:\Building\Forms\ResPlanCheckFees.doc 01/19/07 Page 2 CITY OF TIGARD FEE AND PAYMENT HISTORY N „t,, I i . 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGA.RD MST2008-00097 - 13596 SW ROSEMARY LN Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due [BUPPLN]Pln Rv Deposit 245-0000-433000 $750.00 $750.00 $750.00 6/17/08 Check 2720080000 $0.00 0000002095 [CDCPLN]CDC Pln Rev 100-0000-433060 $46.00 $46.00 $46.00 [LRPF] LR Planning Surcharge 100-0000-438050 $6.00 $6.00 $6.00 [BUPPLN] Pln Rv Balance 245-0000-433000 $57.47 $57.47 $57.47 [BUILD] Bldg Permit 245-0000-432000 $1,242.26 $1,242.26 $1,242.26 [TAX]Build 12% State Surchrge 100-0000-207020 $149.07 $149.07 $149.07 [METCET]Metro Const Excise Tx 245-0000-229202 $241.71 $241.71 $241.71 [BEACET] Beaverton School CET 245-0000-229204 $1,798.00 $1,798.00 $1,798.00 [MECH]MEC Permit 245-0000-431010 $97.30 $97.30 $97.30 [TAX]MEC 12% State Surcharge 100-0000-207020 $11.68 $11.68 $11.68 [PLUMB]PLM Prmt 3Bth 245-0000-431000 $399.00 $399.00 $399.00 [TAX] PLM 12% State Surcharge 100-0000-207020 $47.88 $47.88 $47.88 [ERPRMT] ELC Permit 220-0000-431510 $245.35 $245.35 $245.35 [TAX]ELC 12%State Surcharge 100-0000-207020 $29.44 $29.44 $29.44 [PKSDC]SF Park SDC 270-0000-450000 $5,215.00 $5,215.00 $5,215.00 [TIF-R]TIF Resident 210-0000-448001 $2,960.00 $2,960.00 $2,960.00 [TIF-MT]TIF Mass Tr 210-0000-448005 $240.00 $240.00 $240.00 [ERPRMT] Erosion Control 100-0000-207307 $88.00 $88.00 $88.00 [ERPLN] Erosn Pln Rv CWS 100-0000-207308 $28.60 $28.60 $28.60 [EROSN] Erosn Pln Rv COT 245-0000-433010 $28.60 $28.60 $28.60 Totals for Fees $13,681.36 $13,681.36 $750.00 $12,931.36 Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount 27200800000000002095 Check 912179 JLS CUSTOM HOMES 06/17/2008 $750.00 Total Payments: $750.00 Balance Due: $12.931.36 CITY OF TIGARD-SIT PLAN REVIE BUILDING PERMIT NO.: big/ja m4 ' 7 PLANNING DIVISION: r h n Required Setbacks: © Approved ❑ Not Approved �/ a e At Summer Creek 4' SANITARY SEWER 4' 5 ITARY SEWER Side: . 3•' Street Side: V 4' SA ITARY SEWER From. /z Garage: ° Rear: J_ R ECEIVED 4' SANITARY 5atigni Clearance: (Approved ❑ Not Approved Maximum Building Height feet JUN 1120n 12' 5TOi�i'1LINE. _� CWS Service Provider Letter Required: ❑ Yes ❑ No 8uan Tian. C ARp Q ❑ Received J CITY GF 13): 2 �y^'rTIGr1�%flt III.., Date: �1r7(v8'BV�� 12' WATER LINE SW R 0�SEMA 7. ENGINEERIN DEPARTMENT:Mill Lots : 1, Z ,3i . ' 4 ' A % Appnved 0 Not Approved ;� Site Plan Approved No roved Units: r�/ 4' SANITARY SEWER. —,. ____ -5,1i,..: Air ----- _____ _,Vin1��: jl & ���� , By: Date: �IN,R® , 1 Notes: c " �°`'`. ��r , _ D 4' STORMLINE. --'�' - _ _ �- ` - �, ' Ea tern Redbud _1 I. PROVIDE A MINIMUM 8' DEEP GRAVEL BASE FOR ALL `' i 11` �� '► `� DRIVEWAY AREAS. 2' fi• L , • r -3 g Eastern Redbu-�ir s I Qe m 2. MAXIMUM DRIVEWAY SLOPE SHOULD BE VERIFIED WITH ' r � • • \ ��+ W g- THE BUILDING DEPARTMENT PRIOR TO CONSTRUCTION. I 0.0 3. PROVIDE A MINIMUM 4' DEEP GRAVEL BASE FOR ALL w I SIDEWALK AND PATIO AREAS. J 4. PIPE ALL STORM DRAINAGE FROM THE BUILDING TO A O is DISPOSAL POINT APPROVED BY THE BUILDING : O : DEPARTMENT. Unit A .--...../ S. PROVIDE AND MAINTAIN POSITIVE DRAINAGE AWAY �• ` LLl 1 FROM BUILDING ON ALL SIDES. _ n • ''''.°7 z fl e>. NON-STABILIZED FILL MUST NOT EXCEED 2:1 SLOPE 1. NO CUTTING OR FILLING SHALL TAKE PLACE WITHIN TRACT "B" THE DRIP LINE OF AN EXISTING TREE UNLESS THE EXCEPTION IS APPROVED BY THE BUILDING DEPT. N 8. AFTER COMPLETION OF CONSTRUCTION, THE CONTRACTOR i, t' c 4, _it '1< • ,', ' � TIGARD-SITE PLAN REVIEW SEED THE EXPOSED SOILS. �_ < s r N BUILDIUUUIG�'ERM,1 NO: PROTECT STOCK PILES FROM OCTOBER 1st THRU -----,---4-_-_-__ i--04 ' ` i Strref Trees: Approved W TRACT "A" APRIL 30th PER THE EROSION CONTROL HANDBOOK. a A ❑ Not Approved U U °� 0 Approved ❑ Not pproved _ y-= - 0 Z L----------�- 44 Pry Date: C 3 0 LLl Notes: 1 . az2 Q ' o � � o co w ((�a w NORTH pecAN 1 = 201-0' a DATE RECEIVED Jeremy Krueger Jkru Design AUG 2 8 ?0, 8217 SW Seminole Tr Tualatin, OR 97062 CITY OF TIGARD (503)-577-8781 BUILDING DIVISION Loraine Sellers, Plans Examiner loraine@tigard-or.gov Phone: 503.718.2708 Fax: 503.624.3681 Ms. Sellers: This letter is intended to address the issues in the recent plan check for JLS Custom Homes Village at Summer Creek Lot 1, located at 13596 SW Rosemary Ln. Permit number MST2008-00097 . Item 1 - The elevation shows crickets of 5'. Details 1/8, 2/8, and the plan sheet 6 show a cricket less than 30". Correct the discrepancy and provide two copies of revised plan sheets. Details 1/8& 2/8 revised to show cricket greater than 30"talk Item 2- The mechanical permit applications show heat pumps are to be installed,please clarify if they are exterior, in which case they need to be shown on the site plan also. Not addressed by Jkru Design Item 3-All general notes at the cover sheet reference codes not used, change all references to the 2005 ORSC. Notes updated to reflect current code usage. Item 4 -No manufactured floor framing is provided with this submittal. Provide two copies of manufactured floor framing showing the beams in the same locations as the engineered design Not addressed by Jkru Design Sincerely, Jeremy Krueger RESIDENTIAL PERMIT APPLICATION REVIEW Permit No.: MST2008 -00097 Site Address: 13596 SW Rosemary Subdivision: Village @ Summer Creek Lot No.: 4 Contact Name: Nicole Paulsen Business: JLS Custom Homes Street: 16280 NW Bethany Ct. City: Beaverton State: OR Zip: 97006 As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or "complex" as defined in ORS 455.467 and 455.469. �f] The application is complete. ❑ The application is incomplete for the following reason: ❑ The submitted plans will be reviewed; however, a permit cannot be issued until the above information is reviewed and /or approved. ❑ The submitted plans cannot be reviewed until the above information has been submitted and /or approved. ❑ The plans are deemed "simple ". The plans are deemed "complex ". Signature: L ��Jir 0 8 Name: Brandon Shaw Date Tide: Plans Examiner Phone: 503 - 718 -2425 E -Mail: BrandonS @tigard - or.gov I: \Bull ding \Forms \RES- PcrmitAppRcvw- Blank.doc 1/18/07 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. ;I ■ BUILDING DIVISION TIGARD TRANSMITTAL LETTER TO: LW-V.-0-WL3-- DATE DEPT: BUILDING DIVISION D AUG 2 8 20( FROM: ). \_( CITY OF TIGARD BUILDING DIVISION COMPANY:-RS LOScz ek\--tV QS PHONE: SOS • -\ 5 fib (-----By:Is RE: ✓<.-\J i Ur)S .."4'1, -o y -( [ MJ (Site Address) a'ernvt/se umber) t �rn V Mme. 1� ro dCt n or b vi on nam�t J e and lot numl3er) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: 1 Copies: Description: Additional set(s)of plans. Nin Revisions: 1r. U.QS Cross section(s)and details. Wall bracing andifair later analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑ No Fee Description: Amount Due: $ $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 4/4/07