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Permit lill q CITY OF TIGARD MASTER PERMIT 1 II COMMUNITY DEVELOPMENT Permit #: MST2011 -00132 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/24/2012 Parcel: 1 S133CA13400 Jurisdiction: Tigard Site address: 11010 SW SAGE TER Subdivision: Lot: Project: Village at Summer Creek, Lot 57 Project Description: Building 17. New SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 60 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height: 32.5 Bathrooms: 3 Second: 703 sf Garage: 620 sf Front: 12 Smoke Dwelling Units: 1 Third: 697 sf Right: 3.5 Detectors: Yes Total: 1460 sf Value: $169,855.22 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 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckfiw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 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' 500 sf: 3 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R -3 1460 Owner: Contractor: CENTEX HOMES CENTEX HOMES Required Items and Reports (Conditions) ATTN: OCHSNER, JOHN 16520 SW UPPER BOONES FERRY 1 Ersn Cntrl 503 681 - 4444 11241 SLATER AVE NE, STE 100 RD, STE 200 KIRKLAND, WA 98033 PORTLAND, OR 97224 PHONE: PHONE: 503- 608 -3060 FAX: Total Fees: $13,331.68 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. : - NTIO'. •regon I. . requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through • • - 9 . -00 '-00•1. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Iss By: �� Permutes Signature: � �!/ i. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. Building Permit Application RECEIVED Residential JUL 2 2 2011 ; FOR OFFICE USE, ONLY Mil City of Tigard rr Received �� _1 Permit No.: ii6r �O// / , ° 13 125 SW Hall Blvd., Tigard, OR 97223► 1�1� O TIG ARD Plan Re ,- / Phone: 503.639.4171 Fax: 503.598 M1Lp1NG DIVISION Date/B : �WA �. EM Other Permit: r Aq /.00!! TIGARD Inspection Line: 503.639.4175 Date Rea. y :: • Jurn: O See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information ': .. at - :c�+..�E. F�,it fir:. - .:h r'- 4'.''.x� s ` t y, .. s.-;.` - i�. c: � � - : ,.. :Q p . I .>K-t : - i44.1 - 6 Afi :$- D_ 7 - .t 4WXYI/Yd�WEI$I91L�G. .'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 e,', ; . R „.,; e r � saz _ .yz:-__ - 7 W,:f,: - .-, work indicated icated kt,' -. ' '' " . .T I +-EE Y' O . CsONST ; * 1 %' ': s 1 Y d on this application. ._'ser.�3':_. __-r.�.€s� i- =.,.Y_ ) ...:_ � . y_.,._ .7M , r. r..s_. ..- ___.�.f ��aL L., =..., `��.���":: ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $169,855.22 ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 ;: 1 e u. -1 :- _=:, 0 . '17VEU {G) O #„/ 750GA +7II05V4Z-s` --T . F . . 5, E' , Total number of floors: 3 � 3 •t�ci c :ii '.iu' - - _ - +.=M ..� �. ; z ; ,e r ; Job site address: /10/0 y New dwelling area: 1460 square feet City/State/ZIP: TIGARD ` OR, 97223 Garage/carport area: 620 square feet Suite/bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK Covered porch area: 33 square feet Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 160 square feet SW 135 AVE, AND SW SCHOLLS FERRY RI) Other structure area: square feet sAQ ` tIFiR R(0 ` , SE. GHE ®KI91S�11 . � � �..- —_�. _ �� :�v Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: `j.7 Permit fees* are based on the value of the work performed. Tax map /parcel no.: ✓✓ Indicate the value (rounded to the nearest dollar) of all _ _ equipment, materials, labor, overhead, and the profit for the � ��' :=;- 'ern_ -r _ - a; , ; °:= Y,r ; F �: ;_ .a,., �'4. �"'�"R- ."., �`_ TIES. _O W, % ` - -tt • ! work indicated on this application. NEW SFR TOWNHOUSES Q Valuation: $ UNIT A 1460 SQ. FT. Existing building area: square feet New building area: square feet . ,;:i * 's -4 w-`; ; ' : ; v r-- -...__ ._ - ;T .�rr•> ;.. -, 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: �`- =:F. := ! ®. T� _ ,.i I C % P,DRSU N 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, 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 r,•...r. ""� . `i.''�< � _,'<. "r4 �CULY r�'CC' ' R� %,`:':,��'? .. ._ =�� - � %'r "��-�' } s ? y�;�� -. Business name: CENTEX HOMES c ",,: v'T- BU11b.DG4ERivll1FEES' = 7'_.'. ' ' Ad dress: 16520 SW UPPER BOONES FERRY RD, STE 200 "` "- -. •. x( PIe'asct u l f a x; • City/State/Z1P: PORTLAND OR, 97224 Structural plan review fee (or deposit): Phone: (503) 608 -3060 I Fax: (503) 608 -3061 FLS plan review fee (if applicable): CCB lic.: 182591 Total fees due upon application: O Amount received: rig) • Authorized signature: �/ This permit application expires if a perm t is not obtained I �� �t within 180 days after it has been accepted as complete. Print name: GARY CULP Date: * Fee methodology set by Tri-County Building Industry Service Board. 1: \Building\Permits\BUP -RES PermitApp.doc 10/01/09 440 4613T(I 1/02 /COM/WEB) Electrical Permit ApplicatioRECEIVED : City of Tigard q 13125 SW Hall Blvd., Tigard, OR 9722/ M 960 , Date/By: O UL 2 2 2011 Received Date/By: Plan Review Perrnit No.: 3 ,, 40 3 Other Permit: i or 12 Phone: 503.639.4171 Fax: 503.598.1 Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juno: El See Page 2 for B mown DIVISION '-:., ;• -" - ' -." .-- . '- Internet: www.tigard-or.gov NotillecVMethod: Supplemental Information VA New construction 0 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans wine= checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. ' :-; •' • .• , ",-, t; • = - / = , ], CATEGORY - OF CONSTRUCTION - , . . _ .-- - ',,... = :,. , f - — .!..t.: t exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground, or exceeds 14,000 0 Commercial-use agricultural 0 I - and 2-family dwelling El Commercial/industrial 0 Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or ■ - - , . - . - 0 Emergency system. larger separately derived system. J OB -'-'' '-''''''''`" ' - ': di , • - - - - Iii , 1 • .', — - - ', ' OP T1 r*L op. ocAT... ,,-L-_.::. ,,_7,!:.,-...,.,:-....:,-,. 0 Addition of new motor load of 0 "A", Job no.: Job site address: 0(0 4a) 5At' nit 100HP or more. occupancy. - 0 Six or morc residential units. I: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 rec<lcr 600 amps or more. ,4-A,...:: . ,,:, .,:, - .' • frkl.kittlitiLt.: Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Qty. I Fee. 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.7 1,000 sq. ft. or less I 168.54 168.54 4 Ea. add'I 500 sq. ft. or portion 3 33.92 101.76 I Tax map/parcel no.: Limited energy, residential I 75.00 75.00 2 rigs,citypti.014,,pip, WORK %::.'.::, ._.:_,. . ,: - ;..... :„. , ,-.:*-,...,:: (with above sq. ft.) _ 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 ,-, • .. ... I :‘ '''' ,: : ' • IgIARROiEKTY i.:',. ...;•1111 TENANT :..::-;:!;;.,:-;.=!-:;. ', 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 City/State/ZIP: PORTLAND OR 97224 Temporary services or feeders installation, alteration, and/or 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 1 own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or extension, per panel Owner signature: Date: _ A. Fee for branch circuits with 1Ey I APPLICANT : -,,- ., , :: , r -',- -:' - 0 - \"etiATAet ';:iiti801 ' l i - '-:' above service or feeder fee, 742 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') 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 67 2 dwelling, service ancVor feeder Phone: (503) 608 Fax: : (503) 608 Reconnect only 67.84 2 Pump or irrigation circle 67.84 , 2 E gary.eulp@pultegroup.com Sign or outline lighting 67.84 2 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 (I hr min) 66.25/ hr City/State/ZIP: HILLSBORO OR, 97123 Investigation (I hr min) 66.25/ hr Industrial plant (I hr mm) 78.18/ hr Phone: (503) 648 Fax: (503) 642 Inspections for which no fee is 90.00/ hr specifically listed ( iS hr min) CCB Lic.: 182591 Electrical Lic.: 34 Suprv. Lic.: :. ': : • • 'ELECTIBCW RERMIT FEES Subtotal: Suprv. Electrician signature, required: Plan review (25% of permit fee): Print name: CHUCK GARNE • Date: State surcharge (12% of permit fee): • TOTAL PERMIT FEE: Authorized signature: .' .: - Thls permit application expires if n permit is not obtained within 180 ,i days after it has been accepted as complete. - , 7 - - -- Print name: Date: ?"it"/ • Number of inspections allowed per permit. 1 %Building\ Pemnts \ ELC-PenniaApp doe 07/01/10 440-4615711 I/05/COM/WEB Mechanical Permit A I -4 { . _r , :FOR OF FICE USE ONLY IVED Received - .. . L _. . � : :� � . City of Tigard Date/Ve Permit No.: 'j I � �OG i 3 2 ° 13125 SW Hall Blvd., Tigard, OR 3 602 2 p plan Review . 2 U 11 Phone: 503.639.4171 Fax: 503.50 Date/By: Other Permit: , ✓ lI /3 TIGARD Inspection Line: 503.639.4175 Date Ready/By: ; harts: El See Page 2 for Internet: www.tigard -or.gov CITY OF TIGARD Notified/Method: Supplemental Information t c s.^ - .":r-. - a -.�i3�R_p .AR� �/4,�7,',_,..,.. �sr';^� �^ -'•r- - �wu+ .. -�-sffia �lr .;ver .� g `'` '<. 4.74, `f p}� " ,m G01�T11'IERQP� EE , US CHE 'IS ,ca.�_zh:�.�^= rC'' x -��' Y.''P`I�'y �sF3W�rn;s���: .,.'k`,W ... dN;? '���" .. �.,,,._ � =+rn..c�r..�}'',ryr.�-��o 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. e y " ;;. =ar � ,� >T • Value: $ k u. Wl t RiZ A1)ECsO 1.O i'"@O, S 1I5Viiti • ; i "' =. ' i *A4i ® i -and 2- family dwelling ❑ Commercial /industrial ❑Accessory building ITAT Qi ME / . , , ❑ Multi- family ❑ Master builder ❑ Other: For special information risechecklist. Description I Qty. I Ea. I Total t �f 4r -' - J J 11iE 0 '� A C N - Heating/cooling / Job / j4 re Air conditioning Job site address: ` C/ J i m y o/C_ (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) 54.91 Suite/bldg. /apt. no.: I 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.: 57 Flue/vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances a kw`�' � .�:� r€° 1 . `>',.F3' , . �•;a Water heater 1 23.32 23.32 .. �� >xx,�'f �.�._•� :�c�.��" U�WOIt'K �°e.- , c�-T� < n':°_� an a: �-y Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT A 1460 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 �ri ® U F :�tl ® >T Chimney/liner /flue/vent 23.32 f t T : T.. sa :; . tom.- : Other: 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Range hood /other kitchen equipment I 33.39 33.39 City/State/ZIP: PORTLAND OR, 97224 Clothes dryer exhaust 1 33.39 33.39 Single - duct exhaust (bathrooms, Phone: (503)608 -3060 Fax: (503)608 -3061 toilet compartments, utility rooms) 4 23.32 93.28 mm im a mo ® ytA p Attic/crawlspace fans 23.32 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. 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 raWCO TR(O,R,''-- s#v'.:'"4:;i's fa Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 .: ;.� '�. GH A7V C'A1 ;iPrERMi�41070131 � "_ City/State/ZIP: PORTLAND OR, 97224 Subtotal Minimum permit fee ($90.00) Phone: (503) 598 -0966 I 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 ��r�/}j • days after it has been accepted as complete. I Print name: KYLE BP ' I Date: �%J�0 f I • Fee methodology set by Tri- County Building Industry Service Board IABuitding \Permits \MEC- PermitApp.doe 10/01/09 440-46I7T (I I /02/COM/WEB) . Plumbing Permit Appli,D Building Fixtures FOR OFFICE USE ONLY City of Tigard JUL L 2 2 2011 Received � Permit No. J /���� �� III V 13125 SW Hall Blvd., Tigard, OR 97223 n (n / C Inspection Phone: 503.639.4171 ar(` ��Iri ('jAl� Plan Review /� TIGARD Inspection tine: 503.639-40A, IinLDING DIVISION Date/By: Other Permit No.u)W o` / r3 Internet: www.tigard -or. Date Ready /By: Juris: El See Page 2 for Notified/Method: Supplemental Information ' : TYPE OF WORK _ ® New construction ❑ Demolition FEE *' SCHEDULE." . ❑ Addition/alteration/replacement ❑ Other: For special information use checklist Description 1 Qty. I Ea. I Total - CATEGORY OF CONSTRUCTION - _ . New 1- 2- family dwellings (includes 10011. for each utility connection) ® I- and 2- family dwelling ❑ Commercial /industrial SFR (I) bath 312.70 building SFR (2) bath 437.78 ❑ Accessory g ❑ Multi- family SFR (3) bath I 500.32 500.32 ❑ Master builder _ Other: h Each additional bath/kitchen 25.02 ' •,• JOB SITE INFORMATION AND LOCATION -- : Fire sprinkler ( sq. ft.) Page 2 Job site address: /1010 5 lee Site utilities: Catch basin or area drain 18.76 City /State /ZIP: TIGARD OR, 97223 Drywell, leach line. or trench drain 18.76 Suite/bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK Footing drain (no. linear ft.: , . 1 Page 2 Cross street/directions to job site: CORNER OF SW BARROWS RD, Manufactured home utilities 50.03 SW 135 AVE, AND SW SCIIOLLS FERRY RD Manholes 18.76 Rain drain connector I 18.76 Sanitary sewer (no. linear ft.: 100) I Page 2 Storm sewer (no. linear ft.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK Lot no.7 Water service (no. linear ft.: 100) I Page 2 'fax map /parcel no.: Fixture or item: - DESCRIPTION OF WORK Backflow preventer 31.27 Backwater valve 12.51 NEW SFR TOWNHOUSES Clothes washer I 25.02 UNIT A 1460 SQ. FT. Dishwasher I 25.02 Drinking fountain 25.02 ® PROPERTY OWNER' - • - ❑ TENANT - Ejectors/sump 25.02 Name: CENTEX HOMES Expansion tank 12.51 Fixture/sewer cap 25.02 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Floor drain/floor sink/hub 25.02 City / State/Z1P: PORTLAND OR, 97224 Garbage disposal I 25.02 Hose bib 2 25.02 ❑ APPLICANT, - _ ® CONTACT PERSON : lee maker I 12.51 Business name: CENTEX HOMES Interceptor /grease trap 25.02 Medical gas (value: $ ) Page 2 Contact name: GARY CULP Primer 12.51 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Roof drain (commercial) 12.51 City /State/ZIP: PORTLAND OR, 97224 Sink/basin/lavatory 6 25.02 Fax: : (503) 608 -3061 Solar units (potable water) 62.54 E -mail: gary.culp@pultegroup.eom Tub /shower /shower pan 2 12.51 Urinal 25.02 CONTRACTOR :',• Water closet 3 25.02 Business name: CRAFTWORK PLUMBING INC. Water heater I 37.52 Address: 7737 SW CIRRUS DR Water piping/DWV 56.29 City / State/ZIP: BEAVERTON OR, 97008 Other: 25.02 Subtotal CCB Lie.: 79666 Plumbin Lic. no.: 20 -148PB Minimum permit fee: $72.50 y/ Plan review (25% of permit fee) Authorized signature: ,�G�" / State surcharge (12% of permit fee) TOTAL PERM FEE Print name: PETER POLLARD Date: r 17-14 1.113uilding `,Permits \PLMU.Permit.4pp.doc 10/01 /09 440- 4616T( I0 /0JCOM11/VEB) 11 TIGARD City of Tigard March 2, 2012 Pulte Group Attn: Ron Spahman 11241 Slater Ave. NE, #100 Kirkland, WA 98033 Re: Permit No. MST2011 -00132 Dear Mr. Spahman: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 11010 SW Sage Terrace Project Name: Village at Summer Creek, Lot 57 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, A49M Dianna Howse Building Division Services Supervisor Enc. 1:\ Building \Refundall :Mt-K Ellatalu fu di) mon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard- or.gov Er, 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 #: 185669 Case #: MST2011 -00132 Date: 2/24/2012 Address /Parcel: 11010 SW Sage Terrace Pay Method: CreditCard Project Name: Village at Summer Creek Lot 57 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 r If under $12,500 Division Manager f` .A- If under $25,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM � ADMINISTRATION USE ONLY Case Refund Processed: I Date: I 44(7-/;.2. I By: I ,Tr L \ Buildin \Refunds \RefundRc x 09/01/2010 Cc 'PI e 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 e g City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) 0 o H N 4 PLC LSE 00/24uP Mailing Address: / / Az/ 1 dL *i/1, (Iowa i /OE x`0 City/State /Zip: kl2k Fa1D L04 F8033 Phone No.: (6 PL-t— �A DNC.� d' u : 97 / - -744 — /1/47) PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED ( ❑ CANCEL PERMIT APPLICATION. ASI 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 #: HS"rao // -- ■0/ ' � Site Address or Parcel #: / Cf n � l iW eo rG l i/1.0 t! Project Name: t U— 4 t . Hd -(£,e eh fjC Subdivision Name: le 11 le Lot #: EXPLANATION: t j T FE E. . ( irk e- h g Al ib - BY �DrT Cb -bi T 1/o u ift 4 Signature: Date: aZ / /9//�L / Print Name: /S / f 4 6b�� 5/e.,/ ((( Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 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,n7/ Rte to Bld: Admin: Date .349723111 B 6 7 Refund Processed: Date 3 .2 .i By _'IT Invoice Processed: Date By Permit Canceled: Date A9- By ,i -; Parcel Tag Added: Date By Receipt # /j56 6 S Date 224/, _ Method e C Amount $ l: \Building \Forms \RegPermitAction oc R6 04/26/2011 7 Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: f l 67 / (" 00159 - CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: Original Plan Submittal Date: 749-4/ 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 (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 along left only 'f approved. 47-31Te • Planni ng Review (contac '_ I e. �' - , at 503 -718 - L or e @tigard - or.gov) Land Use Case No. Stet. C 2 066 -/ 0 00/ Name cet E Zoning f 6a Setbacks:' p Front i 2 Rear {� Side 3 5 Street Side 8 ag % Z [ . 4aximum Building Height Y5 Actual Building Height lz'' Visual Clearance CJ./Easements nn � / / • � Sensitive Lands Type: W� S 4.43 xs Notes: Original Plan: Approved Not Approved ❑ Date: 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: Notes: Original Plan: Approved 0' Not Approved ❑ Date: 7 /11 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) r ] Street Trees ❑ Protected Trees N /A Notes: Original Plan: Approved Not Approved ❑ Date: 23 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 Z No ❑ Date Routed to Building: / �>� /�J ��� Page 2 of 2 Vi llag e at + I JUL22 2 G�' OFTIG ° �� B UILD 01 iI N - _ rah S ummer Cree " . _ le SW MALLOW TERRACE I n .' .'" . i . t ; . ' '' .. . ... . . .1-1 . ... � - T _ — ' '._ - -• • j O • .....itc• • ••• .• T • .. • 1.1.0. .... T \: 1 • 11 4h1 : . I ::.: . : :: . .: .: :. : ::3.5' • Building Plan: 17 ►�- ! , -- - I • Lots 57 58, 59, & 60 ,/ f . If U I nits A -B -C -B / / ' S 7 ' 1 58 59 I 6 0 I / ! 1 FF 192,28 FF/TOW 191.28 FF/TOW 191.28 I FF/TOW 191.28 I // • ' 1- ; G S 191.58 GS 190.58 SITE PLAN GS 190.58 GS 190.08 / TOP 191. I TOP 191.74 TOP 191.74 I TOP 191.74 A .... / 1 I 1 Scale:1 " -10' � / I . ; I 1 I ' me / ? IS EI i ii • I I / 7 I \ / / •' r I I I � I I l + 1 , • .J _. I WRf., • r-1 ,,, 1> .. r 15 5' � 3.5 1 s, -1 0 1 8. _� O 1 __ / © © . .5' 14.5' . • I .. ... • 120 . 3: -- -- .. .. ® I I ® 12:5 R, ,,,,,,,„,,„. �. M .: w. r 1 1 4 . � m'' „ k 44.1 � � ., y / N 4.a•%,', � "x •d .4.,, ,, , ,. J � � , , - -s �', -,.rym. .. .. . '. -. . -. " . -•� • 4r! '! h 6 9 /!�'. 'i+ii�H ,l ti ' ):���l.,.e y � /1'L . . . . . - . • . .. . .. :: : :: .. ..... :. . ' : ` :` Exari c 1SSOCIA ES CORPORATION f , S W SAGE TERRACE 17757 Kelok Road Lake Oswego. OR 97034 , I Tel. (503) 838 -4005 Fax (503) 838 -4015 1 I • Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS • MST 2o/! 0„,032_ ooi3y Permit No.: 0 �t9 !3S — G a 3 G Jurisdiction: // ster.lo Site Address: ! /oi o0 '1 /o 2. �^ !lo;3c - !!o Y�( S� � � /L- ic Subdivision/Lot #: Mitt t l.'' and/or Map and Tax I..,ot #: 5 (_. 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: (/' L Date: 00 ' Owner/ € neral Contractor /Authorized Agent Print Name: 3, 0 1A) f& 6dkticrc-- 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. 1:1I3uildinw \Porms`R1fS -I lighL•lTicicncyl.ightin2.doc 07101103 4 s Oregon Residential Specialty Code 8318.2 • MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, 5.►t.i.,., 1/36c.46,4 ea- am the general contractor or the owner - builder at the following address: 1lbt - 11u1.`I Site Address: t ‘0 36 — I I d'f K S S ")C 1 er�cre -e City: wCk Permit #: • MST to 01 0041,Z 4 Oa 13K 044 /3S °01 Subdivision /Lot #: C c.x+ ON" y s 7---Co and /or Map and Tax Lot #: " r te , To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 - 0140,1 am notifying the building official that I am aware ol'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: �t? t// Gener Contractor or Owner - Builder • LU3uildingWorm \RE S- ,MoisturctiensitiveWood.doc 09/25/08 STREET TREE CER TIFICA TION • I, -B,N , owner/ agent for ( • -x , (PLEAS PRINT) (PERMIT HOLDER) do hereby certify that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. • ME ADDRESS: 110 36 - 1 t o Wf SAY T•cAra..e SUBDIVISION• MIAAC (L Ce.G;G42 • LOT #: 57-C-0 . SIGNATURE: L✓ DA 1 E: 6/ ! / 2 (OWNER/AGEN2) RECEIVED & VERIFIED BY: Aar-- /4 , DATE: to (crl7- OF TICARD) Tree location verified p •r approved site plan. 1: \ Building \ Forms \Streci 1'recCertilicate 07/01/2110