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Permit q CITY OF TIGARD MASTER PERMIT 114 el COMMUNITY DEVELOPMENT Permit #: MST2011 -00134 TIGARD 13125 SW Hail Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/24/2012 Parcel: 1 S133CA13500 Jurisdiction: Tigard Site address: 11024 SW SAGE TER Subdivision: Lot: Project: Village at Summer Creek, Lot 58 Project Description: Building 17. New SFA BUILDING Floor Areas Required Setbacks Required Stones: 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: 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 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: 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: $13,001.41 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 -01 : - gh OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 32.1987 or 1.800.332.23,44. Issued = - Permittee Signature: f 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 ApplicREC Res JUL 2 2 2011 z FOR OFFICE USE'ONLY : City of Tigard Rere�aed -pQ�p Pemti l No.: �� a , i ° 13125 SW Hall Blvd., Tigard, s itzie OFTIGART ' I Phone: 503.639.4171 Fa • DIVISION Date/BNe1V �r Other Permit f / -, of / J TI GARD Inspection Line: 503.639.4 D ate Ready /By: fug ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information N t r 2. eµ'� _ r - � "fe < ,r .v�,.. .,�- ..KF - >''- _., :'S,''A: ,.�: ,_ ,..., y` 4?rA - . N.% - g? �E' - t=k ,` _ . _x1T YP,E 61WAI i #`; i F . ,,, p 45 , V z:�RE [ 9) D j A , = AfiiD 2 - s r.� :fir, .:44` �_ �; ,r.d � € -W ?'. �- ti.a-_ � .ss�� i _ `k:Z°': xr ` -"_'� 44% . :-Q _ �MII5 1�1 ?mac ® 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 i`'" , ' , -� ° � � r--.`� -.;s- s - a; I work indicated °'„•e C2►tIiECOIL H . Lam d'cated on this application. t:_•.n�ss:..a� ..�' . ai ..�a � . - .�:.ss� t��r �� . ���� '�S�TT � => ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $152,258.93 ❑ Accessory building ❑ Multi- family Number of bedrooms: 2 ❑ Master builder ❑ Other: Number of bathrooms: 3 7 ; q rSLT!F IN (r 0 W'A`N O A - t r a Total number of floors: 3 Job site address: OW lb Z f 40 . ' °'- 7w New dwelling area: 1332 square feet City/State/ZIP: TIGARD 97223 Garage carport area: 509 square feet SuitefbldgJapt. 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 SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: square feet oia iar: I_': ;l) i CaSE Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: a 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 fi� `'Z > , _. _ equipment, materials, labor, overhead, and the profit for the , . �„� 1 I , Z "D S @ JO, W O ` s. .�.0> ' , work indicated on this application. NEW SFR TOWNHOUSES Valuation: S UNIT B 1332 SQ. FT. Existing building area: square feet New building area: square feet ' 43gym '' , R l ES U. , z " T O U R Vial S E: �r �'�.s 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 ,�2� �. s- ._ � r � °�.��+ - . > z'�. p.^ - �_�" =� `- ' nei- a �_.. Y . , ',mac �> -. pnT _ii i. °� .._ r c N __-'aa' 'r 1P TATTAW..4 P� 1 `Fig':: -( VS 'S ", ? rya -' �x, ` y41; 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 �; --- � r1z '$ a,� =' �`P�,�:�':.Y3". a ,' t , sM .. �`t'''�e.: SS O iilt:T < ..�', , 'y J+4t� 'a ci.% -ry .' �r Business name: CENTEX HOMES r f.- ^s:r ==;,s' 1 BCIRSD Cs,PERil' f)gEEDS �`V6T.F" F 'i t ` =: `,,.? ;, X�' ir l'iras'er'r - aji'al/ seh brig c�> .� �' ;rfi J 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 I Fax: (503) 608 -3061 CCB lie.: 182591 — Total fees due upon application: Amount received: i 7 45 Authorized signature:__ _ — - This permit appheation - expires if a permit is not obtained / ' within 180 days after it has been accepted as complete. Print name: GARY CU �'� I Date: � • 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 " .9 � 4 * ,t FOFV USE O NLY ` , Electrical Permit Applicatio>�UL 2 2 2011 . . A; �,. ;nrl• .. , F: _ . ,7:-, Recei City 1 of Tigar 3 nt'.& Date/By: Permit No.: i t7 er' r ° 3 125 SW Hall Blvd., T .0, j ,��. Plan Review -= - =.t Phone: 503.639.4171 Fax: I t I �pG DIVISION Date/By: Other Permit: r, ' Iq ^. R Inspection Line: 503.. gal -fi r _f Date Ready /By: ��^s 0 See Page 2 for ' T I GAItD. 6394175 Notified/Method: Supplemental Information 1== �r�. - =�: . Internet: vvww.tigard- or _ — '7 - _'_T* OC'WORK` ` ` -- ..' r. PLAN REVIEW' = ; '' -': Please check all that apply (submit 2 sets of plans whims checked below): ® New construction ❑ Addition /alteration /replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. C:4TECORY- or;C ONSTRU C TJON : = ' ' " : ` " . - -:, exceeds 10,000 amps at 150 volts or ❑ Floating buildings. •,• '', .N•: _.- ._- _ -. - . - - -: _ - - • - - - - -- -. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑Multi- family ❑ Master builder 0 Other: El Fire pump. ❑ Installation of75KVAor i- : - -.- system. ❑Emergency system larger separately derived s s1 e r .,JOB'SIT - INFORMATIO LOCATION:=..; `< . :; -`' = v motor load of : x,: ,t ❑Addition of 0 "E ", Job no.: Job site address: / /QV( 4 5i Six residential units. rmore. occupancy. C/ ❑ ix or more ❑ Recreational vehicle parks. S City / State/ZIP: TIGARD OR 97223 ❑ 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. Cross street/directions to job site: CORNER OF SW BARROWS RD, Description ' FEE S CI Q I Fee. `s 1 - ` Total I..• SW 135 ND SW SCHOLLS FERRY RD New residential single- or multi - family dwelling unit. AVE, + Includes attached garage. i Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 5u 1,000 sq. ft. or less I 168.54 168.54 4 Ea. add'l500sq. ft. orpolion 2 33.92 67.84 1 Tax map /parcel no.: Limited energy, residential I 75.00 75.00 2 - _ ° : .t DSECRIPTO OF WOK, «_, ``_ " -:,:` :;i,; >� _`- >- :;',,' "M- �_ + ,_ . -.. � N ..I ...N. R . .. .. _ . ._.• .. �s = . ;.:�,::':a , YF`'=''•r -_i .' °- (with above sq. ft.) ry Limited energy, multi - family 75.00 ? NEW SFR TOWNHOUSES residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 _I PR N •--- - I ' . " -' r TENANT 7 ,- 201 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 ty + relocation Phone: (503)608 -3060 Fax: (503- 503 -6031 200 amps or less 59.36 I 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 I68.54 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 ' - < , above service or feeder fee, 7 42 2 ® AI'P IC A NT ' - =- � ; ' - ' : : ❑ '. G_ O NT4CT';PE _ -- - , each branch circuit 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'I branch circuit 7.42 2 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Miscellaneous (service or feeder not included) Each manufactud or modular City/State/ZIP: PORTLAND OR, 97224 dwelling, servic 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 - mail: gary.culp@pultegroup.com Sign or outline lighting 67.84 2 CONTRACTOR %. ;:.`_'- 1. = . '-° : c ` , .._.. `.�:..:.._ -';'11'. ..., :`,i? .�_ ---- --.. -- ---.. _ ...: .... .. ....._ _�- t_'`u_. -. _ Signal circuit(s)orlimited-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) 66.251 hr City /State/ZIP: HILLSBORO OR, 97123 Investigation (1 hr min) 66.25/ hr Industrial plant (I hr min) 78.18/ hr Phone: (503) 648 - 4552 I Fax: (503) 642 - 7925 Inspections for which no fee is 90.00/ hr specifically listed CA hr min) CCB Lic.: 182591 I Electrical Lic.: 34 -305C Suprv. Lic.: . ELECTRICAL `PERMIT FEES_ 1 ';':: _'::_,,r;: Subtotal: Suprv. Electrician signature, require' ' a - Plan review (25% of permit fee): Print name: CHUCK GA' '' ER Date: State surcharge (12% of permit fee): � TOTAL PERMIT FEE: - — Authorized signature: J - - / .% / This permit application expires if a permit is not obtained within ISO Print name: I Date: -004 days after it has been accepted as complete. 111 • Number of inspections allowed per permit. I: tBuildittgdPermits \ELC•PermitApp.doc 07 /01/10 440.46 tartti /05 /COM/WEB RE CE IVED Mechanical Permit Applicatio = FOR OFFICE USE ONLv City of Tigard J��. 2 2 C 9 �� Received / '190 '190 y Date/By: („ i /G 5 II 13125 SW Hall Blvd. ..Tigard OR Plan Rev P hone: 503.639.4171 Fax: LIG;� ^ Date/By: 1 , � � B Other Permit: T 1 GA RD , 5 03. � Ins p ection Line: 503.639.4175 BU ILDIN Ql. G Date Ready/By: Juris: ®See Page 2 (or Internet: www.tigard - or.gov NSIpN Notified/Method: Supplemental Information (' = 3i �• • c� ._., -� s.r= m'9';� �� �..�� :: � 7S� iiC37 ; - " 7�zn -�raa -r - n.= ��^a-- -^�a,a - s '��� ,;��:� _�.. sW �- �.:,=�a- �'' - �.. - r , ��f . • _ y; CU�IMER @r�.:F�E�E�AF.D o ES�F CHE(1KL�IISR?" - :,�.�.y,_.,._ ,�.'�e - - �- ,�:�,+k r., - ,ems �.v.._ 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. OW= Q` a (elri - CS O • a ' @O 3 UWCtlt10 ,fr-. , W `` F ;��:� -' ' lf4- '���t -. � :a„� 3`< 1' �':�.,�'- �,�:�.''���``a,s�-q F �ESID ' e.�s. - .-asza /%SYS u.yc�r..t..,,vert ® I- and 2- family dwelling ❑ Commercial/industrial El Accessory building `� Value: $ ° ' �� Q' ' M D ; CI Multi ❑ Master builder ❑ Other. For special information use checklist. _ Description I Qty. Ea. I Total `i <•.4 A 7-7,.„,,,M 'a. - nli ..�.: - te ,--- �. x, •- . Heating/cooling Heati O S1 11Ffi O © t O�G O ,r< K w_v i 1/ � A % j H W. Air conditioning Job site address: G (requires site plan showing placement) 46.75 City/ State/ZIP: TIGARD OR, 97223 Fumace 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 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.: 513 Other. 23.32 Tax map /parcel no.: Other fuel appliances *- s z 3D SCRIP O O , o - C.:- ' Water heater I 2132 23.32 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 - Krr-�� Chimney/liner/flue/vent 23.32 ,. ®.. -. ° R�O.STi I litga- I TE .A11' y . Other: 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Range hood /other kitchen equipment 1 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 a �t ta ���� F ,. ® EI3 G I ®COR C RSON . S% Attic/crawlspace fans 3.32 2 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 l Fireplace E -mail: gary.culp®pultegroup.com Range I W- e' : '`CO Q ��f; r Barbecue ...:> - .s =- .t_•- �'3'�...:r`.�,��''.. �^:t•z�s_„ Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE STE 500 =r . ,};- Y ='� r r T i -.1 ' s ,, �',. �" �t '� `�:+� City/State/ZIP: PORTLAND OR, 97224 Subtotal Phone: (503) 598 -0966 F. : (503) 598-8498 Minimum permit fee ($90.00) `� Plan review (25% of permit fee) CCBIic.:50096 % State surcharge (12% of permit fee) - / - _- --- - TOTAL PERMIT FEE This permit application expires If a permit Is not obtained within 180 Authorized Signature: days after It has been accepted as complete. Print name: KYLE BI • AN I Date: O•'' // I • Fee methodology set by Tri -County Building industry Service Board I:\ Building \Permiti\MEC- PmnitApp.doc 10/01 /09 440-46177 (II/02/COM/WEB) Plumbing Permit Applicatio Building Fixtures JUL 2 2 2011 FOR OFFICE USE ONLY • R eceived M� /� n10 12 14 City of Tigard Permit No.: I ` ` _ t 7 n 13125 SW Hall Blvd., Tigard, OR 9 Pla Re o • • Phone: 503.639.4171 Fax: 503 i OF TIGARD Plan Review , t Other Permit No.: Inspection Line: 503.639.4175 13 ING DIVISION �IeB 11 j!!4 TIGARD Internet: www.lieard or. ov Date Ready /By: furls' ® See Page 2 for g Notified/Method: Supplemental Information . TYPE OF WORK. ;" ' ", > . " ' . , FEE *SCHEDULE ® New construction ❑ Demolition For special information use checklist. 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 SFR (3) bath 1 500.32 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 ' JOB /#51( SITE INFORMATION AND LOCATION C. : Site utilities: Job site address: 7[/CJ riW ZG? C tY, -7 Catch basin or area drain I I 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 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) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: Y Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25.02 NEW SFR TOWNHOUSES Dishwasher I 25.02 UNIT B 1332 SQ. FT. Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER .,1 I ❑ 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 1 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 CULP 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 : i' . Water heater 1 37.52 Business name: CR4FTWORK PLUMBING INC. Water piping/DWV 56.29 Address: 7737 SW CIRRUS DR Other: _ 25.02 City /State /ZIP: BEAVERTON OR, 97008 Subtotal Minimum permit tee: $72.50 Plan review (25% of permit fee) CCB Lie.: 79666 Plumbing Lic. no.: 20 -148PB �/ �'l State slLrcharge(12 %ofperrnit fee) Authorized signature: A Rp6417 D ����V TOTAL PERMIT FEE ,`'- , This permit application expires If a permit is not obtained within 180 days Print name: PETER POLLARD Date: after it has been accepted as complete. "Fee methodology set by Tri- County Building industry Service Board. P\ auilding \PcrmilAPL\ttl- PermitApp.doc 1 0,01/09 4404616T(10/02/COM/WEB) 4 M TPGARD City of Tigard March 2, 2012 Pulte Group Attn: Ron Spahman 11241 Slater Ave. NE, #100 Kirkland, WA 98033 Re: Permit No. MST2011 -00134 Dear Mr. Spahman: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 11024 SW Sage Terrace Project Name: Village at Summer Creek, Lot 58 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, /C( . Dianna Howse Building Division Services Supervisor Enc. I:\ Building \Refundslaa> 5i. &Winaea fullZdgaad9ar,,®gon 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 #: 185671 Case #: MST2011 -00134 Date: 2/24/2012 Address /Parcel: 11024 SW Sage Terrace Pay Method: CreditCard Project Name: Village at Summer Creek Lot 58 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 ✓ (11NW' If under $25,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYST ADMINISTRATION USE ONLY Case Refund Processed: I Date: I _ I By: L I:\ Buildin \Refunds \RefundRo x 1)9 /1)1/2011) cc 711 o q 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: ` ^Q^ INVOICE TO: (Business or Individual) 14 0 Cp/L /1 )•- 4, J PLA L� g � aoe tP Mailing Address: I 1 °Z I / CCC. jelT �T 1// " I�gR) lie, )3E . City/State /Zip: k<- 2 k 1, 616/5 , (,06- 9T03 3 Phone No.: (6 ILL— LOACA013E2 aeu : 97f -h4—/4'/ 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 #: Hs-r ti - co / 3 Site Address or Parcel #: /1O94 UD o c:"E t i4- 444-c! E_. Project Name: Ji Ll ,j, t . }-ra -t f a l- eK- Subdivision Name: � � « �� Lot #: 51 EXPLANATION: l A4,JT, 1 Fe„., FED o - 8 E Ait lb "3 Y 7 0_21.viT Vou.0 ' Signature: / / • —dorLA _i .L Date: ,„t/ Print Name: - - D EA& L. I I. 6?6f} �-/ Sly/ /// 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 „ff/MIEIMM Rte to Bid. Admin: Date ,ffAd17. B _ Refund Processed: Date 3 Z /n. By (•• Invoice Processed: Date By Permit Canceled: Date ,(/ ff By .� Parcel Tag Added: Date By Receipt # /F56 7/ Date ..21-/A..2.- Method e G Amount $ I: \Building \Forms \RegPermitAction.doc Rev 04/26 /2011 s' o ° Building Division Development Code Provision Review r i c n H Residential Projects Building Permit No: Hh 1 OD D // — OD 4,6 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A F Routed Plans: - Original Plan Submittal Date: 749 / 1st Revision Submittal Date: ❑ Site Plan Only 2 ^d 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 on if approved. Aske Planning Review (contact o TI t., ee.�'wta ' at 503 -718- Zll• . or @tigard - or.gov) Land Use Case No. Su$ 2 . V /o Obi Name J- a .k Er Zoning R • LS pb 1 etbackj;,t, n Front I 2. Rear I v Side 3. Street Side s Garage 8 - zz ( IVfaximum Building Height 1 45 Actual Building Height 3 Visual Clearance ,l,__'a ements �r n 41.41-4:t4 Wo'Sensitive Lands Type: a aol- S "� Notes: Original Plan: Approved g/' Not Approved ❑ Date: VI/ // / 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) 12 Actual Slope: ` Notes: Original Plan: Approved =LI Not Approved ❑ Date: 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) At Street Trees ❑ Protected Trees — N/A Notes: Original Plan: Approved Not Approved ❑ Date: Z '4 — i ( eArt/ PP PP Revision 1: Approved D 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 P N ,❑! ; }, > , Date Routed to Building. • • • • • • • • • • Page 2 of 2 I b se • e at 11 Villag JO/ 2 2 2011 MITI' OF T,VgRD Su mmer Cree - 1tU11,Q�NG �SION ,.._ SW MALLOW TERRACE a I :': ') • :. X 14.1 - I :' : : .:. 1 .'. Blxildin Plan 17 i it _ _ -- I - I I , : ::::: :: �3.5'I g I I. LI, — - Lots 57 58, 59, & 60 / ► I� - Units A -B -C -B , ' ' ; 57 58 59 I f> ® I / I I FF/TOW 192.28 • a : ' 191.28 FF/TOW 191.28 I FF/TOW 191.28 I 1 GS 191.58 / ' i GS 190.5 190.58 GS 190.08 SITE PLANT At / 1 0S 191.74 I TOP 19 1.74 / • , I TOP 191.74 I TOP 191.74 I Scale:1 " -10' 0 � , 1' ► - . + I / I PIE � Ie I5 • // I 1 I I I / ". T I IT Pr< I r —r -F— I : WTRF. , `� �— r } I 15 3.5 , 5' - , - - 1 -.-1..,...... -15. -L • ® 18.5' p 1' © 14.5':: -_ - 13. ' -_. - -- -- - -I-- - . = i I - I : (\ . 6.. i . ....... .. ........ .... %t;. , d n R. 5' Vi i" ..++�. '.+J , v y ;bH`' •�,� x%y. �. � f i b, ri; M :'ir , r ,�' , il",p:,7._`- 7;'n.��,,.�,y.,. 7"y� 7i :%�'d4iJ,P'u 0'3 ,+, .gn 9 ,y"�,.1'��'..�', :�i!' 1 1, / �L „ :1 :: I : : : ::...."):::::::::*:::::::.:::::..:::::: . : ::: • : ::: 1: :: - ::: : :: . :: • :: : : : : • :: : : . :::: : .::::::.::::::::;::.;:":•:.:::::::::.:::.::..A...,!:1:::::•.:.::::::;./ ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: : .: ENGINEERING ASSOCIATIi CORPORATION 4' r c A RCLOEg ��tl 17757 Kelok Road - - -- — - -Lake Oswego. OR-97034 - - , I I - - J W JA �� R A r E Pilkre..A1 Tel. (503) 638 -4005 Fax (503) 836 -4015 1 I I 1 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM • 1, �u itc 0.41 V(- . am the general contractor or the owner- builder at the following address: ltblo -fiu3 Site Address: 1.036 , I `f Y S W S' e -ervc-e..e City: 1 ' Gr(4, Permit : • MST to 00t z. ®a 1St 04> /3S 00/ 3 6. Subdivision /Lot: oren S 7----6-0 and /or c � Map and Tax Lot 4: 5 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 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: �Z (// /a_ Gener Contractor or Owner - Builder LU 3uildin,`. PormlKES- MoisturcSensiu%e\V &c'd.d oc O9 /225 :OS S TSTREET TREE C 1TON I, '&1k1 \./J �� , owner/ agent for cep x �-lo W..`� , (PL , � - PRINT) (PERM1'1' 1 TOLD • do hereby cert f 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. 1LOtO - UOZ'-{ . SITE .A.D.DRESS. 1 I o 36 - 1 l o LH S° T-c.rrc�c�e SUBDIVISION: SKAAlvt.eg- CCE; 42 LOT #: 5 1 C SI.GNATURE: (// DATE: 2 - (OJewER/Aic ;EN-l) RECEIVED & VERIFIED BY r ►, DATE: P (01Y OF 7'ICARIB) - Tree location verified p 'r approved site plan. 1:\ Building \ Forms \SlrceITrecCerrilicate 07/01/2010 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS iusr 2.4) 00437......21)11.V Permit No.: p /35 — / 3 Jurisdiction: Site Address: / 0 3e - / / o Y`f S tA S T s/C — Subdivision /Lot #: Su Mit4 C'r2dEc'!1 — — and/or Map and Tax Lot r: (.5 1— 6 b By my signature below, I certify that a mininmun 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: 00 'L Owner/ •neral Contractor /Authorized A_‘ Print Name: 11) Vv f6 ORSC Section N1107.2. Fliah- 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 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. l:+Nuildmg farm; IZt. -I linEtticicncy 0' %0I /U5