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Permit . CITY OF TIGARD MASTER PERMIT I q ° COMMUNITY DEVELOPMENT Permit #: MST2011 -00136 TI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/24/2012 Parcel: 1 S 133CA13700 Jurisdiction: Tigard Site address: 11044 SW SAGE TER Subdivision: Lot: Project: Village at Summer Creek, Lot 60 Project Description: Building 17. New SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 46 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height: 34 Bathrooms: 3 Second: 643 sf Garage: 509 sf Front: 12 Smoke Dwelling Units: 1 Third: 643 sf Right: 3.5 Detectors: Yes Total: 1332 sf Value: $152,259.00 Rear: 10 PLUMBING Sinks: 0 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 Drywell- Trench Drain: 0 Other Fixtures: 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 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 2 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R -3 1332 Owner: Contractor: CENTEX HOMES CENTEX HOMES Required Items and Reports (Conditions) ATTN: OCHSNER, JOHN 16520 SW UPPER BOONES FERRY 1 Ersn Cntrl 503 - 681 - 4444 11241 SLATER AVE NE, STE 100 RD, STE 200 . KIRKLAND, WA 98033 PORTLAND, OR 97224 PHONE: PHONE: 503 - 608 -3060 FAX: Total Fees: $13,115.41 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 -0 0 thro h OA -0 0090. You may obtain a copy of the rules or direct questions to OUNC by callin 32.1987 or 1.800.332.2344. Issued B _ • Permittee Signature: �, �L[ 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. i . Building Permit ApplicationRECENED Residential FOR OFFICE USE'ONLY.;- II City of Tigard JUL 2 2 2011 Date /B : f �lT:A. PemtitNo.: COL 9 q 13125 SW Hall Blvd., Tigard, OR 9734 Plan Revi 'J- Phone: 503.639.4171 Fax: 503.59 ITY OFTIGARD Date1B : A Mara Other Permit: eap(` QQI/0, T I GARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Read ?'" Juris: ® See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information - :t ��•.��' - _.+�- .�,�s. . .= ,�x.-'R�:��:.- �;��f�'_K�CPF,_ T.3.s�£. %-- - _ _ r-"`>: ;c �'�'c. __ � c�N ; ,+xti�y= af,.. - �'rf� y , P >?y'' W f'4f - 4 -- `:,: alc `.`ii F as v w, emu.. . _:QF%�`: =' ° A'= ri.s'r ° xv._ YS ` ",.RE �UIREDtA':- L=1� autiiit# . o: n '' G i._�Li � .7?.>'8:'Y. ' {`. £ ^ !�f ... ,.�. .....:.ti.- *.�_� :l�.z � Q .. �> �' _f,S, a/oi a;.,L2�: ., �, _ iS�'.St^2eY3�9•s - 'ae-"k^�' a'k..� ® 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 �. �� .�.. a , ^': '-": r?�-`w ri i a e'=`iTi - iT 4' CASDE(sOR3' O E GO STRZIC » , fi ' >.` f- �' '- work indicated on this application. �� ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $152,258.93 ❑ Accessory building ❑ Multi - family Number of bedrooms: 2 El builder ❑ Other: Number of bathrooms: 3 t =-, . A- 'S "_: : _SIOiE°=TNFU i IO ANIt' tOf O) t '" F Total number of floors: 3 Job site address: //�y *�� ; ) S1 New dwelling area: 1332 square feet D City /State/ZIP: TIGARD OR, 97223 Garage carport area: 509 square feet Suite/bldg. /apt no.: I Project name: VILLAGE AT SUMMER CREEK Covered porch area: 17 square feet Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet VE SW 135 A, AND SW SCHOLLS FERRY RD Other structure area: square feet Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: e0/ 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 XA �y � _.yam t a5C ON © W a O 4` r ' - work indicated on this application. . .._. - , ":f PP NEW SFR TOWNHOUSES Valuation: $ UNIT B 1332 SQ. FT. Existing building area: square feet New building area: square feet ® _ '10:' '7 0 z i w -q' E - � ,g ° 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: _ 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 I Fax: : (503) 608 -3061 E -mail: gary.culp®pultegroup.com , i 4 fit-. v' .y. t �':+>;_ ,�. ��' =: C O y N rt ( yet'``. tn�-' ..Y�':E:��`�a`S�' = Business name: CENTEX HOMES I an r' °'" ° ': 4 .BRIVAIITHEES * ^'t t s'= e <r: = i'j x ` Brall GVE .?rte f� i a-. s -- _'' '� =', :" - Address: 16520 SW UPPER BOONES FERRY RD, STE 200 gy "t_? •_ ,dr(P!ease er<> m'taschednl)I =y'' Structural plan review fee (or deposit): City/State/ZIP: PORTLAND OR, 97224 FLS plan review fee (if applicable): Phone: (503) 608 -3060 I Fax: (503) 608 -3061 CCB lic.: 182591 Total fees due upon application: 'n / / Amount received: 1 7/ ��WS Authorized signature:_. �� / — r _ !� -- - - - - - -- This permit application expires a lication permit is not obtained (/ P ires if a within 180 days after it has been accepted as complete. Print name: GARY CU ' Date: — 7. -zz✓/ I • Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 440.4613T(11/02 /COM/WEB) RECEIVED Electrical Permit Application . on JUL 22 2 p .taiMft4t.:74 ' Received City of Tigard Penult No.: 0 fre)e) 1 ■ . " 13125 SW Hall Blvd., Tigard, OR 97223 CITY OF TIG ' 1 111 4 " an Review 4 :...,, Phone: 503.639.4171 Fax: 503.598.196StRupun n nr ,.. y: A i Other Permit: ' ... 314 : /free 0 4-.da . Inspection Line: 503.639.4175 LiTki .1/1 V.131.t1 Ready/By: lads: 121 Sec Page 2 for , it..r.:': Internet: www.tigard Notified/Method: Supplemental Information TYPE Orw'ORIc PLAN REVIEW 0 New construction 0 Addition/alteration/replacement Please check all that apply (subunit 2 sets of plans w/items checked below): 0 Service or feeder 400 amps or more 0 Building, over three stones. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. ."-. -• - - - ' ' - -' — - --'- ---%.,-.- ,-, i:.' — ::- ]'''-- exceeds 10 000 amps at 150 volts or 0 Floating buildinuts. CATEC_cIRY:-, ::: .,: ,.' : : less to grou or exceeds 14,000 0 Commercial-us:agricultural 0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. 0 Multi-family D Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or 0 Emergency system. larger separately derived system. ‘r ': 1::: - i'49!1;gT511N}:PRIv16119,1%fikNPj,qe , YrION'''':: ',`.".'-',:., ': ' ,:::i17 El Addition of new motor iO3d Or 0 "i' E I 13 . Job no.: Job sitc address:It/6V 90 Q•ze 7-4e. 0 100HP or morc. Six or more residential units. 0 occupancy. Recreational vehicle parks. City/State/ZIP: TIGARD OR 97223 0 Health-care facilities. 0 Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: Project name: VILLAGE AT SUMMER CREEK 0 Service or feeder 600 amps or more. ' - 2 - - .: ' :• - : - L'' At 8tAttitift. '''': • ' 'D..':: Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Olv. I Fee. I Total I • New 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. ft. or less I 168.54 168.54 4 Ea. add 500 sq. ft. or portion 2 33.92 67.84 I Tax map/parcel no.: Limited energy, residential I 75.00 75.00 2 Z 76E Pile& j -- i''V:c .' :: (with above sq. ft.) 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 12) PROPERTY OWNER '-' ' ' 1 --"--..-- -, ,.'" J- ' ill TENANT -' - --r -, .: , ;-., - 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: CENTEX HOMES 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 Temporary services or feeders installation, alteration, and/or City/State/ZIP: PORTLAND OR 97224 relocation Phone: (503)608-3060 Fax: (503-503-6031 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not . 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with e service or feeder fee 04ii-iVC:Allq-41V,I',:-,St',k.i4, . :7E1: eOP4friktisPERSOI :::-,.':,-:,, ' abov branch circuit . 7.42 2 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'l branch circuit 7.42 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 dwelling, service and/or feeder 67.84 2 Phone: (503) 608-3060 Fax: : (503) 608-3061 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 ; E gary.culp®pultegroup.com Sign or outline lighting 67.84 7 ' 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 BROOKWOOD AVE, STE A Additional inspection Cl hr mm) 66.25/ hr Investigation (1 hr min) 66.25/ hr City/State/ZIP: HILLSBORO OR, 97123 Industrial plant (I hr min) 78.18/ hr Phone: (503) 648 Fax: (503) 642 Inspections for which no fee is 90.00/ hr specifically listed (V, hr min) CCB Lic.: 182591 I Electrical Lic.: 34-305C Suprv. Lic.: : ,.: ELECTRICAL PERMIT TEES: Subtotal: Suprv. Electrician signature, requir- • Plan review (25% of permit fee): Print name: CHUCK GA' ER Date: State surcharge (12% of permit fee): _ - . ...tc . TOTAL PERMIT FEE: Authorized signature: , , - .' - 1// i "' -:,_41 ;-.)•/- it --- - This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. Print name: Date:7,ZZ -- • Number of inspections allowed per permit. Muildineermits 1 ELC-PermitApp.doc 07/01/10 440-4615711 1/05/COMAYEB Mechanical Permit Application : FOR OFFICE USE ONLY ` - ' City of Tigard JUL 2 2 2011 Received Pt No.: 13125 SW Hall Blvd.!Tigard, OR 97223 Date/By: �1,� Phone: 503.639.4171 Fax: 503.598.1 OF TIGARD Da g Review Other Permit: r 2 .. / - I TIGARD Inspection Line: 503.639.4175 Date Ready/By: '„ kris: 0 See Page 2 for Internet: www.tigard- or.gov BUILDING DMS10N Notified/Method: Supplemental Information ('�': ? �!i�ati��%? -- .�'� �. i ^ -.,��. __ _ •= �. -"�_� _ _ ^- pr - . �� r : .a �%.:3y =:�c =_, � - s -. R �- r,.;,_- n.r�_r x P. f =?s aiy ra 15 **1C ` . ". 60 _ R ,�,. EI2n = a-_-NSF 6_HEGu,167S .?; ��� ,".i �, -.��` '�'c„ ':r: c ", ham .. �'4+�� 01 CI;A`[, Ei"`S DU E � ��z<1�'"4�' :rte- "�' � � '�`.._ �_.. - _ � _ a,: .... .<.._. _�ti ._��` ..c., , ...�.. > ±..'d -'t.v. :a.�.s� -� .- . -.-u -r.. .'_` �.. rn..-. tis.= �. c-. 3xetnw .. ;..�c- �.,.- �- ? Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. -. ° z i reol i �._:�, �-' a- j- Value: °�- rr -i' '�_r� , � '' � IT C.TI Q r ,� :. :r � , rc�;' >� :� aue: $ .- m 7'- `? @ A7!EGO O t �`O S 1� , r , . : _._z_ a: . . ;�'�' -.ss .acd�.rs. > ° Sc'��... � �s�v� -� s�..z� at '._� :xs�� - *�- � : f• ct. i� - - �+ - -a ..�.s. a s;r , =- �ss� -- x- ; , RES `.4: ; / „ S y1 l S W. A ® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ` "``� `` "� �� �`£ E �� El Multi-family 0 Master builder ❑Other. For special information use checklist. _ Description I Qty. I Ea, I Total ;JS - *b „k . -.v ' :J S.`_ "'''S " � :.'s Z`'F- � :k'JyG�'y' "`< �', .%, ._ �.:1 ITCOII Ol4 `OGA Qo , f ,Wt„> i HeatiaP./ c0aEag Job site address: /�V7 7 74 Air conditioning (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/bldgJapt. 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 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.:40 Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances Frivei x. rfi `� l l _ 9J : .,` '= Water heater 1 23.32 23.32 �� ' �S "t�RI�Ii�ONF�O:y1 O�tTC�� `�- �n -`� f_ ` Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT B 1332 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace/insert 23.32 . i .; - r ; : r- : :,r,: , s :r _r_ > Chimney /liner /flue/vent 23.32 1 Za O R O i s= r tE a _.., L am, _ ¢ = =.r: -_- n _ z �.�,..,: <__�� :s�._�f <.> 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 1 33. 33.39 Single -duct exhaust (bathrooms, Phone: (503)608 -3060 Fax: (503)608 -3061 . toilet compartments, utility rooms) 4 23.32 93.28 Attic .'.r" ®I A ffiC'AN'I ;IV - °"` `'° ` : `e% ._ -, TT t.; a .�i Attic/crawlspace fans 23.32 ,r. � �.� .,.- `�<- .ai:�..'�.`: i<% � :�_ `uCO, __fGAC�ItSOLV` :` : :- :. -. Other: 23.32 Business name: CENTEX HOMES Fuel piping Contact name: GARY CULP $14.15 for first four; $4.03 for each additional Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Furnace, etc. I 14.15 Gas heat pump City/ State/ZIP: PORTLAND OR, 97224 Wall /suspended/unit heater Phone: (503) 608 -3060 Fax: : (503) 608 -3061 Water heater 1 Fireplace E -mail: gary.culp ®pultegroup.com Range 1 Fb 4 3 74S T-trai ON=T' `RA' Kl 4 : Mtu r rier4 -.15. *4 Barbecue Ss b.•- y Business name: MUEHE QUALITY HEATING INC. _Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 14 500 � „�� �II� ' + = t� �t City/State/ZIP: PORTLAND OR, 97224 Subtotal Minimum permit fee ($90.00) Phone: (503) 598 - 0966 F. : (503) 598 -8498 Plan review (25% of permit fee) CCB tic.: 50096 % State surcharge (12% of permit fee) -- i' - -- - - TOTAL PERMIT FEE This permit application expires If a permit Is not obtained within 180 01, Authorized signature: days after It has been accepted as complete. Print name: KYLE B • AN I Date: 1C./ • Fee methodology set by Tri- County Building Industry Service Board I:\ Building \PermitstMEC- PennitApp doe 10/01/09 440.4617T (I 1/07/COM/WEB) ,. RECEIVED Plumbing Permit Application 2 2 2011 i Building Fixtures J FOR OFFICE USE ONLY ` City of Tigard CITY OF TIGARD Received Mh,�� l�a�! v 13125 SW Hall Blvd., Tigard, WILDING DIVISION Permit No.: ISION Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit No.,l�� // � 1/ Inspection Line: 503.639.4175 � TIGARD Internet: www.tieard- or.gov No�fed/Meth Juris See Page /l Supplemental lnformation TYPE OF WORK. - FEE* SCHEDULE ® New construction ❑ Demolition For special information use check list. • Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION .. SFR (1) bath 312.70 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 ❑ Accessory building SFR (3) bath I 500.32 500.32 ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION `• - Site utilities: Job site address: i/OgV`'' �) t" Catch basin or area drain 18.76 City /State/ZIP: TIGARD OR, 9772 I)rywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: 100) 1 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 I 18.76 Sanitary sewer (no. linear ft.: 100) I Page 2 Storm sewer (no. linear ft.: 100) 1 Page 2 Water service (no, linear ft.: 100) 1 Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.:k0 Fixture or item: Tax map /parcel no.: . Backflow preventer 31.27 DESCRIPTION :OF WORK . - - - - ' - . Backwater valve 12.51 Clothes washer 1 25.02 NEW SFR TOWNHOUSES Dishwasher I 25.02 UNIT B 1332 SQ. FT. Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER + } ' ❑'TENANT - • Expansion tank 12.51 Name: CENTEX HOMES Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Garbage disposal I 25.02 City /State/ZIP: PORTLAND OR, 97224 Hose bib 2 25.02 Ice maker 1 12.51 - ❑ APPLICANT _. .' . • ' ® CONTACT PERSON Interceptor /grease trap 25.02 Business name: CENTEX HOMES Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: GARY CULL Roof drain (commercial) 12.51 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Sink/basin/lavatory 6 25.02 City / State/ZIP: PORTLAND OR, 97224 Solar units (potable water) 62.54 I Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 E -mail: gary.culp @pultegroup.com Urinal 25.02 ;: Water closet 3 25.02 CONTRACTOR • Water heater I 37.52 Business name: CRLAFTWORK PLUMBING INC. Water piping/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 Lie.: 79666 Plumbing Lic. no.: 20 -148PB -._ /n/ �/ �l State surcharge (12% of permit fee) .60.1 Authorized signature: / / O � (7 1't TOTAL PERMIT FEE Th permit application expires if a permit is not obtained within ISO days Print name: PETER POLLARD Date: after it has been accepted as complete. "Fee methodology set by Tri- County Building Industry Service Board. P\Building\Permits\PL.M U•PermitApp.doc 10 :01109 4404616T(10 /02/COMM'EB) I TI GARB; City of Tigard March 2, 2012 Pulte Group Attn: Ron Spahman 11241 Slater Ave. NE, #100 Kirkland, WA 98033 Re: Permit No. MST2011 -00136 Dear Mr. Spahman: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 11044 SW Sage Terrace Project Name: Village at Summer Creek, Lot 60 Job No.: Refund: ❑ Check # in the amount of $ . ® Credit card "return" receipt in the amount of $3,976.00. Note: Please allow 2 -5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account "deposit" receipt in the amount of $ . Comments: Refund TDT fees paid by applicant as fee is to be paid by credit voucher for this project. If you have any questions please contact me at 503.718.2430. Sincerely, 4 i - / Dianna Howse Building Division Services Supervisor Enc. i:\ Buildin \ Refunlai 2r5 +ubttWriilKkhlivd.4ieftinT u3d Qire,,gmn 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard- or.gov M I I City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: Pulte Group DATE: 3/2/2012 Attn: Ron Spahman 11241 Slater Ave. NE #100 REQUESTED BY: Dianna Howse Kirkland, WA 98033 DEB TRANSACTION INFORMATION: Receipt #: 185675 Case #: MST2011 -00136 Date: 2/24/2012 Address /Parcel: 11044 SW Sage Terrace Pay Method: CreditCard Project Name: Village at Summer Creek Lot 60 EXPLANATION: Refund TDT fees paid that are to be paid by TDT credit voucher. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000 -43104 $ Amount TDT - Trans Dev Tax 405- 0000 -43320 $3,976.00 TOTAL REFUND: $3,976.00 APPROVALS: If under $5,000 Professional Staff , If under $12,500 Division Manager ✓ A V c)/■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 ON Y Case Refund Processed: I Date: I yc:2/4.2.— I By: I I:\ Building \Rcfunds \RefundRcqucst.doc x 09/01/2010 C. v il • ° Community Development TIGARD Request for Permit Action TO: CITY OF TIGARD Building Division Services Supervisor 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor , City Staff (check one) REFUND OR Name: TO: (Business or Individual) 0 cYq � R 1_1 (gyp Mailing Address: r7 Jo'L /1 . LA- T 14 }-�/1 iP__. ET At,F SUE, 1 £ /OD City/State /Zip: k 112 K( , ►4iJT l Lop. 903 Phone No.: () !Lt. CADA C,600t2. eta! 47 /'074 — / l l/7) PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED ( ❑ CANCEL PERMIT APPLICATION. /] REFUND PERMIT FEES (attach copy of original receipt). ❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: HS7 // -- 00 f 3(P Site Address or Parcel #: 0 0 o/4 o�u ::) l C. Project Name: Jt LL,f} -Ij E 4 p -t£4 f _ Subdivision Name: << !( !l Lot #: EXPLANATION: £Au,J - n T T iE s✓ . / Et o Z 6 P4 ib — BY —E Cb -v/ r- ✓o 14cIle2 -.. I Signature: /.�i �� Date: ,g/ Print Name: A ff -! L 1 . 6?) '--1 S/A / / Refund Policy I. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% 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 2 -4 weeks for processing refunds. FOR OFFICE USE ONLY Rte to S s Admin: Date ,.`77/MIEMPTA' Rte to Bid: Admin: Date, /SWIM B ,ar Refund Processed: Date ,3 /Z /Z By . Invoice Processed: Date By Permit Canceled: Date hi— By ,;— . Parcel Tag Added: Date By Receipt # /f5 75 Date ,2_/2 y/ Method c _S Amount $ L: \Building \Forms \RegPermitAction.doc Rev 4/26/2011 711 Building Division Development Code Provision Review T i c A ° Residential Projects Building Permit No: H 5 / &611 ^ on / 3 CWS Service Provider Letter Received:' "Yes ❑ No ❑ • • N/A .Routed Plans:, 7/� � //' Original Plan Submittal Date: 1st Revision Submittal Date: ❑ Site Plan Only 2 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 (1) 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 alon left o if approved. Planning Review (contact rt 37,P� e�XvnQ at 503 - 7182 02 or IS'/7P @tigard- or.gov) Land Use Case No. 5 'K32ool. - /0061 Name V 04 5 A, CA LAL CY�oning a • 2. ?/), [Setbacks: ,� 8 -2-0 Front (2•.. Rear i D Side 3.5 Street Side 8 Garage C$- Building Height YS Actual Building Height . 3 y ■Y Visual Clearance CB"-Easements A lY Sensitive Lands Type: t= co ` J .4481.4 k- e-t Notes: Original Plan: Approved fig"' Not Approved ❑ Date: - 7/2-9(// 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) J21 Actual•Slope: Notes: / O Original Plan: Approved , Not Approved ❑ Date: / �= / d / . Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 A I City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) Street Trees Protected Trees Nipt Notes: Original Plan: Approved Not Approved ❑ Date: % • q - I Revision 1: Approved 0 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 19 N ❑ Date Routed to Building: ' Page 2of2 1 r RECEIVED . t V illage at • • t .... i CITY OFTIGAR O as S ummerCreek_ _ . .._ _„... 1 7 SW MALLOW TERRACE e -- sa II ` I 1,II©. . .. . : :. '... ........ • ......... •••• • i I r Buildin Plan: 17 I J _ I i ... . . . . • . .. .. . .. •.--`13.5'; g / I. i -- Lots 57, 58, I ij , 5 9 , & 60 / Units A -B -C -B / + : 57 ; 58 ! 5 g / I , FE/TOW 192.28 FF/TOW 191.28 I ® 1 FF/TOW 181.28 £ / i GS 191 G S 190.58 SITE PLANT 190.58 GS 190.08 Ai / r TOP 191.74 / : .. TOP 191.74 TOP 191.7•'4 1 TOP 191.74 I i ! Scale: 1"-10 � / I' I , I � / I � � -j lr • / ' FIEIeI S (0 E1 1 I I / 1 7. ' 4 FIK I I I ! 7:1;) W 1� r . M■ as I - `�3.5' ,— ti I 1 . 15. __ - E _ 0 0 I : : ,„ M - -- -' --- - --1- - -__1 9 18.5' I 0 • f / - I1 © ..5 14.5' .... ' ' - 1, ..� - _. _. - .- - - — It.., VI ,0-,,- -� I 12:5 I / � r ^l.Yiu:iiA;xt. k ✓ pd: u.4' 41. R4 : :. l iki *S ' /l °' .... - - - .......: 1. :...........:......:::....:::::......:::: .... : ::......:.:: :::::: SW SAGE TERRACE >NZ ENGINEERING ASSOCIATES CORPORATION ' 17757 Kelok Road Lake Oswego. OR 97034 l I Tel. (503) 636 -4005 Fax (503) 636 -4015 1 I Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR .LIGHTING SYSTEMS //AST 20 / / OoaiO32 -. (" Permit No.: o X35 Jurisdictio — 0 13 1 /Cw0172-0 Site Address: ! /Gi o //6 Zy r-_ Subdivision /Lot #: S MP( tR _Cif and/or Map and Tax Lot N: 5-7 _. 6 b 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: _ Cam / ZI Owner •neral Contractor /Authorized Ag6nt !jj Print Name: 31 1) A) /3'6 bc1� 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 of40 lumens per input wan. 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. l: +liuildin hi nus`ILL1 -t ii hlalieicn��'I.igtuing.dnc 07l01 /OF Oregon Residential Specialty Code R318. MOISTURE CONTENT ACKNOWLEDGEMENT FORM • l 6-6 d.! ea- . am the general contractor or the owner- builder at the following address: lld►v - 111/4)Z`1 Site Address: l 0 36 I S w 'S"5-C TQvG.e,Q City: t virck Permit n: l467 1 • oo61,z Oa 134 o ,5/35 00/ 'Subdivision/Lot er S 7 CI' CeCoe k_ and /or c � Map and Tax Lot #: r_, 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: 67?1/ /2_ Getter Contractor or Owner - Builder I,illuildin.r.Form: RIBS- Moisturctiensimc \\`ood.doe 0912; :0S S TSTREET TREE C TIFICA'ITON owner/ agent for , (PLEASM PRINT) (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. Hato - ttoz.%4. SF] L ADDRESS: I t o 36 - lioLN to She 7-- ci,rat—e SUBDIVISION: ,A ;An. LOT #: 5i C-O SIGNATURE: L✓ DATE: 6x7 1 /4 2 (oICIVER /,<i RECEIVED & VERIFIED BY Ay-- DATE: '- (crrl' OF T IGARD) Tree location verified p'r approved site plan. I:\ Building \Font \Stred:T cCcrilicate 07 /01/2010