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Permit ,l CITY OF TIGARD MASTER PERMIT III COMMUNITY DEVELOPMENT Permit #: MST2012 -00042 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/16/2012 Parcel: 1 S133CA08700 Jurisdiction: Tigard Site address: 13652 SW ROSEMARY LN Subdivision: VILLAGE AT SUMMER CREEK Lot: 10 Project: Village at Summer Creek, Lot 10 Project Description: Building 3, new SFA 8/2/2012: REPRINTED to add A/C. Unit must meet setbacks as approved by planning on site 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: $158,444.19 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 0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 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 • Furn > =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) 3884 SE AERIE AVE 3884 SE AERIE AVE 1 Ersn Cntrl 503 - 681 -4444 HILLSBORO, OR 97124 HILLSBORO, OR 97123 PHONE: 971 - 246 -1417 PHONE: 971 - 246 -1417 FAX: 503 -608 -3061 Total Fees: $12,965.05 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 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: ...d:4,.._____ Call 603.639.4176 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. Mechanical Permit Application FOR OFFICE USE ONLY Cl of Tigard Received ; ; %h. - Permit III ° 131 Hall lvd., Tigard, OR 97223 y 42. Pl �_ �� � /O2 --DO0 — C Datc/By: Phone: 503.718.2439 Fax: 503.598.1960 an Review Other Permit: TI G A R D Inspection Line: 503.639 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard or.gov Notified/Method: 76 Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 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 Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* k if 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist It Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: JZ Air conditioning Job site address: 1 J S �� rn �� y `p � (requires site plan showing placement) 1 46.75 46.75 City/State /ZIP: Tigard, Oregon 97223 Furnace 100,000 BTU ( ducts/vents) 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suiteeapt. no.: 3 Project name: Village at Summer Creek Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: 135 and Scholl Ferry Road Duct work 23.32 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 Lot no.: 1e Flue/vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplace/insert 33.39 SFR Town Houses —Add A/C to exsisting Permit /US T 2 ,4 fz.. 000 ca. Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ® PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: Centex Homes Environmental exhaust and ventilation: Address: 3884 SE Aerie Ave Range hood/other kitchen equipment 33.39 City/State /ZIP: Hillsboro, Oregon 97123 Clothes dryer exhaust 33.39 Phone: 971 24(x1417 Fax: Single -duct exhaust (bathrooms, ( ) ( ) toilet compartments, utility rooms) 23.32 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Centex Homes Other: 23.32 Fuel piping: Contact name: Bill Waggoner $14.15 for first four; $4.03 for each additional Address: 3884 SE Aerie Ave Furnace, etc. Gas heat pump City/State/ZIP: Hillsboro, Oregon 97123 Wall /suspended /unit heater Phone: (971) 246 -1417 Fax: : ( ) Water heater Fireplace E -mail: BiIl.Waggoner @Pulte.com Range CONTRACTOR Barbecue Business name: Muehe Quality Heating Inc. Clothes dryer (gas) Other: Address: 7301 Kable Lane, Ste# 500 MECHANICAL PERMIT FEES* City/State /ZIP: Portland, Oregon 97224 . Subtotal it , 24 Phone: (503) 598 -0966 Fax: ( ) Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 50096 State surcharge (12% of permit fee) .5 Authorized signature: TOTAL PERMIT FEE 5c1-4/36 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Bill Waggoner Date: ' Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits \MEC- PermitApp.doc 03/07/12 440 -4617T (I t /02/COM/WEB) . • - Village OFFICE COPY at -- _ - - -- - x -- - K Y. X- X X x -n- , x___,_„ . �/ 10.0' I 10.0' 1 10.0' 1 Summer Creek // 18.0' ! 18.0' 1 18.0' 18.0' © / i 15.3 � p I ON% A�I I --� 3.5' \ 15.8' I ' 1 1 ' - r ' n _� - 1 �> I ''� 9 I 10 1 1 F F/TOW 187.64 4 FF /TOW 187.64 1 Building Plan: 3 \ GS 186.94 /TOW 187.6 GS 186.44 FF/TOW 186.64 \ GS 186.94 Lots 9,10,11 & 12 TOP 187.10 I TOP 187.10 TOP 187.10 TOP 186.10 1 Units A -B -C -A 13 6 52 sw "' \ MST 2017.-000' z I I SITE PLAN ,e �0 \ Scale: 1"-10' I I 5.1' -I r — Z [.._ -:......... d 3 .5 r I \ . L • . • .' © \ 241'.'. 20.0_ _ • . . — — — — • �► 22.1 �.� .�. I — - 1.... - ..... �I • 25.9' 25.9' !S� I— I 1 I .. W j__. __ @U I ' Il l; • y . I riallik Ail; f:,.. �ca4,:�4i;y:. \.• / % —�� W ilwill.."....."." 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(503) 636 -4005 Fax (503) 636 -4015 12" — CITY OF TIGARD MASTER PERMIT :1111 111 - ''' COMMUNITY DEVELOPMENT Permit #: MST2012 -00042 T t G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/16/2012 Parcel: 1 S133CA08700 Jurisdiction: Tigard Site address: 13652 SW ROSEMARY LN Subdivision: VILLAGE AT SUMMER CREEK Lot: 10 Project: Village at Summer Creek, Lot 10 Project Description: Building 3, 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: $158,444.19 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: 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 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn > =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 +ampNolt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8, Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasin g 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) 3884 SE AERIE AVE 3884 SE AERIE AVE 1 Ersn Cntrl 503- 681 -4444 HILLSBORO, OR 97124 HILLSBORO, OR 97123 PHONE: 971- 246 -1417 PHONE: 971 - 246 -1417 FAX: 503 -608 -3061 Total Fees: $12,912.69 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 through 952- - 09 You may obtain a copy of the rules or direct questions to OUNC by calling 5 232.1987 or 1.800.332..2 - 344 .. ,- Issued ' Permittee Signature: L/r�o Call 503.639.4175 by 7:00 a.m. for the next available inspection da e. 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 --Stu 1. ` 3 Residential FOR OFFICE USE ONLY 1 m City of Tigard �ED Received n/ � � � Permit N o.: p � g � ,� • Date /B : p� 9 ��, 13125 SW Hall Blvd., Tigard, OR 97223 RECE Plan Review ►"1a a � n „ Phone: 503.639.4171 Fax: 503.598.1960 FEB Date /g : ` 1 1 �� Other Permit 4/tf! TIGARD Inspection Line: 503.639.4175 CC DD 2 9 2012 Date Ready /By: lam: El See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information CITY OFTIGARD TYPE OF DIVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® 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 CATEGORY OF CONSTRUCTION work indicated on this application. ® I- and 2- family dwelling ❑ Commercial/industrial Valuation: V , a ❑ Accessory building ❑ Multi- family Number of bedrooms: 2 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: I (PS a .-) P 5 E. 11 /}Q, New dwelling area: 1332 square feet City/State/ZIP: TIGARD OR, 97223 Garage /carport area: 509 square feet "3 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 17 square feet Cross street/directions to job site: CORNER OF SW BARROWS RI), Deck area: 128 square feet .A 1 SW l35 AVE, AND SW SCHOLLS FERRY RD Other structure area: le3A..k square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: VILLAGE AT SUMMER CREEK Lot no.: '0 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 DESCRIPTION OF WORK work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT B 1332 SQ. FT. Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: CENTEX HOMES Type of construction: Address: 3884 SE Aerie Ave. Occupancy groups: City/State/ZIP: Hillsboro OR, 97123 • Existing: Phone: (971)246 -1417 Fax: (503)608 -3061 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: Bill Waggoner licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 3884 SE Aerie Ave. jurisdiction in which work is being performed. If the City/State /ZIP: Hillsboro OR, 97123 applicant is exempt from licensing, the following reasons apply: Phone: (971) 246 -1417 Fax: : (503) 608 -3061 E -mail: bill.waggoner @pulte.com CONTRACTOR Business name: CENTEX HOMES BUILDING PERMIT FEES* Address: 3884 SE Aerie Ave. (Please refer to fee schedule) City/State/ZIP: Hillsboro OR, 97123 Structural plan review fee (or deposit): Phone: (971) 246 -1417 Fax: (503) 608 -3061 FLS plan review fee (if applicable): CCB lic.: 182591 Total fees due upon application: Amount received: �7�3 eel signature. 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Bill Waggoner • Date: Z. 4 /L • Fee methodology set by Tri-County Building Industry Service Board. I:\Building \Permits \BUP -RES PermitApp.doc 10/01/09 440 -4613T(I I /02/COM/WEB) Electrical Permit Application F O t OFFICE USE ONLY City of Tigard RECEIV _'..4. g7L teed Permit N. V y ply —OCIO a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: / /) _/.4. (,�� Phone: 503.639.4171 Fax: 503.598.1960 Date/Ely: /1p TIGARD Inspection Line: 503.639.4175 FEB 2 9 2 U; Ready1By' turn: I ® See Page 2 for Internet: N•ww.tigard- or.gov onfiedFMedrod: Supplemental Information V_ 11.: '" ';..r` n .• ' fir_ .. -. ©4r :56 . C 5. ei nN O [ '' r F- Y a 4 a„.- . . . s , ..... � v taw "°cr " � ® New construction R ❑ Addition/alteration/r� � Di 1 ' Please check all that apply (submit 1 sets ofphns w/items checked below): ❑ Service or feeder a00 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. _ 4%0,.. ` A ' i Cy ©' ,..4 -t Q ,.. .7 ,a t _ , .t y"'` n , r . r ' t° exceeds 1000 amps at 150 volts or ❑ Floating buildings. I - and 2 dwelling less to ground, or exceeds I4,0D3 ❑ Commercial-use agricultural l y g ❑ Commercial /industrial ❑ Accessory building amps for all other installatioms. buildings. ❑ Multi family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Installation of7S KVA or y x s , 4 a . 'T e ...n-7.1 -.s� ❑ Emergency system larger separately derived sys [ern a __ - �. fi e. S a 1.. ' 0 . M . . ` D .E .. �o +. -N . ^:' ❑ Addition of new motor load of ❑ "A'. "E". "1 -2 ". "1-3 ". Job no.: I Job site address: ( ,Sa 1206 i (4 Qy ( 1°d or mom. ncy. ❑ Sac or more residenthl units. ❑ Raze:Mota! vehicle parks. City/ State/Z1P: TIGARD OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK ❑ service or feeder 600 amps or more. ^ Cross street/directions to job site: CORNER OF SW BARROWS RD, Desatattoa I ots. I Fee. I Taal I • SW 135" AVE, AND SW SCROLLS FERRY RD New residential single- or multi - family dwelling unit. Includes attached garage. ■ Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: Q 1,000 sq. fl. or less 1 16854 168.54 4 map/parcel no.: Ea. add'I 500 sq. IL or ponion 2 33.92 67.84 1 I Tax iota P/P Limited energy, residential "l`'- wv� � a (with above sq. it.) 1 75.00 75.00 2 Limited energy, multi - family 7500 2 NEW SFR TOWNHOUSES residential (with above sq. ft.) . Services or feeders installation, alteration, and/or relocation 200 arms or less 100.70 2 � ° " "'i ,° �� "O 201 to 400 amps 13356 2 tip � - Name: CENTEX HOMES 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 i Address: i 304 SE 7 Q 5 AVE- Over 1,000 amps or volts 552.26 2 City/ State /ZIP: if rLLSBORO / O R Q7R3 retention Temporary services or feeders installation, alteration, and/or Phone: (971) 91/6 - )'1 / 7 I Fax: (503 - 503 -6031 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for Ie, lea er exc nge, according to ORS 447, 449, 670, : d 70 . 01 amps to 599 amps 168.54 2 s'_r_cn Branch circuits - new, alteration, or extension, per panel - Owner signature C r Date: Z ' /Z A. Fee for branch circuits with F-;a„ ,t - +r M ' !fir above s ervice or feeder fee, a_ �? ?��� co z; Q5 r 7.42 2 ` �- � eadl brand) fcircuit f Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee. first Contact name: l rLL w'rb6O,Y branch circuit 56.18 2 i Each add'I branch circuit 7.42 2 Address:: 388 / AER.JE f Jvt Miscellaneous (service or feeder not included) City/ State/ZIP: , /- {st`SBoko,oR t7�?3 n l of and/or � 67.84 2 Phone: (471) o?416 Fax:: (503) 608 -3061 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: 1 Wst.,Zq/11 • WI}6 /EQe t LTTCO/j( Sign or outline lighting 67.84 2 ),__ J.(7' l' s ate. i �� g gi S • d • or l Business name: GARNER ELECTRIC panel, alteration, orextatsion. Page 2 2 Each additional inspection over allowable in any of the above i Address: 2920 SE BROOKWOOD AVE, STE A Additional inspection (1 hr min) 66.25/ hr City/State/ZIP: HILLSBORO OR, 97123 Investigation (1 hr mid) 66.25/ hr Industrial plant (1 Iv min) 78.18/ hr Phone: (503) 648-4552 I Fax: (503) 642 - 7925 inspections for which no fee is 9000/ hr specifically listed ('A hr min) CCB Lic.: 182591 I Electrical Lic.: 34 -305C I Suprv. Lic.: __; P t _i51MBIT . Subtotal: Suprv. Electrician signature, requir Plan review (25% of permit fee): Print name: CHUCK GA ER Date: State surcharge (12% of permit tee): TOTAL PERMIT FEE: Authorized signature: j / This permit application expires if a permit is not obtained within 180 Print name: I Date: • N days alter it has been accepted as complete. Number of inspections allowed per permit. 1:1 0uldargSPenoilSSEr .C- PainhApp.dec 07/01110 440 - 461ST( I IIOS/COM/WEa Mechanical Permit Application DUCEw I O R O i F I C E LSE ()NI .1 m�BY• ' City of Tigard I al d z�,r �� . � Permit rto.:)43.:).. at- -f 1 • 13125 SW Hall Blvd.pTigard, OR 97223 � a Phone: 503.639.4171 Fax: 503.598.1960 FEB 2 9 20 Br Other Permit: _ ' ._:, -Ctvei TIGARD Inspection Line: 503.639.4175 Date Ready/By: .. Ark ei See Page 2 for Internet www.tigard or.gov CITY OF TIGA ; i Scd""t"bod Supplemental Information . ;. 1Ri1 .SJ , .r:I< ii. )1 ",:- . ;-.. - „Cc.1 ? �, 17 : 7 1::” ; v c: c.1 ifli.J J.1.13-1:4 11c1'`1 J IN New construction ❑ Addition/alteration/replacement t Mechanical permit fees' are based on the value afire work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit. value: s ®1 -and 2-family dwelling f,-3i5 DIff vG6, L ,1 T ti ,',.-� , ,c _. . _ y g ❑ Commercial/industrial ❑ Accessory building — — For special information useehecklist. ❑ Multi- family 0 Master builder ❑ O ther: Description I Qty. I Ea. I Total = - aJ D 977 :!R ( : GoE A O) � e It.i!t✓ i _ Heating/cooling Job site address: pLj ^� / Air conditioning 5 f M 7 L.Z (fires site plan show ng pbcernens) 46.75 City/State/ZIP: TIGARD OR, 97223 Furnace 100.000 BTU (duets/vents) 1 46.75 46.75 Furnace 100,000f BTU (dogs/vats) 54.91 Suite/bldgJapt 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 Hydron t hot water system 23.32 SW 135TH AVE, AND SW SCHOLLS FERRY RD Residential boiler (radiator or hydronic) 23.32 Unit beaters (fuel -type, not electric), in-wall, in-duct, suspended, etc. 46.75 Fhrolvent for any of above 2332 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: /O Other. 23.32 Tax map/par d no.: Other fed appliances Water heater 1 23.32 2332 Gas fireplace 3339 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT B 1332 SQ. FT. fireplace 23.32 Log lighter (pas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 -- Chimney/liner/flue/vent 23.32 IBS 11r)� <i uY t 1 P h: i4 -n!> -- - - Other 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Address 1 13f f iFQr� 4, Range hood/other kitchen equiprwtt 1 33.39 3339 City /State/ZIP: f fi[$.'oRO, op. q7 /a3 Clothes dryer exhaust 1 3339 3339 1 b - ti/ ( 503 609 -3061 . toil Single-duct exhaust (bathrooms, Phone c 7) a y / 7 Fax: ) compartments, utility rooms) 4 2332 93.28 t <,,�? LEt v u _ i Et , (E .1 r1i Atudcrawlspace fans 2332 -- — Other. 23.32 Business name: CENTEX HOMES Fuel piping Contact name: 8J4 I.,RGboNE/Q $14.15 for first four, $4.03 for each additional Address: 38Vi <4.QZAPg Furnace, etc. I 14.15 Gas heat pump City/State/ZIP: KTL<S,BORo OR 97/x3 Wall/suspendedhmit heater Phone: (9 /I) a L( -1117 I Fax: : (503) 608 -3061 Water heater 1 Fireplace -TT E-mail: 1 vru_rdam• w 6 # f3ci rezaii �.' Range 1 t ' . . _ . TrP 3. -_j:Q : n _ _., - -r-- t �- . ! Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW 'CABLE LANE, STE 500 _ r - ;,i'1 NAa-1111197i74 City/State/ZIP: PORTLAND OR, 97224 Subtotal Phone: (503) 598 -0966 yr : ( ) 598 -8498 Minimum permit fee (590.00) Plan review (25% of permit fee) CCB lic.: 50096 State surcharge (12% of permit fee) / e TOTAL PERMIT FEE Authorized signature This permit application expires If a permit b not obtained within 180 days after it has been accepted as complete. I Print name: KYLE B 1 • I Date: I • Fee methodology set by Tri- County Building Industry Service Board t'BuDfunpetmIctMEC-PemotApp .doe 10o1ro9 440-0617r(11a2"COMIWEB) '' Plu)nbine Permit Application Building Fixtures RECEIVED /1111!IlMiliniiiii City of Tigard Received 1"( Cp.,Qf `J ll Date/By: „94? /A. No.: • 13125 SW Hall Blvd., Tigard. OR 97223 p t Phone: 503.639.4171 Fax: 503.598.19W 2 9 2 P lan Revie Other Permit No /n `+�/.7 Date/By: s TIGARD Inspection Line: 503.639 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF W 9ILDING DIVISION FEE* SCHEDULE - IN New construction ❑ Demolition For special infomtarion 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 (I) bath 312.70 ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 ❑ Accessory building ❑ Multi- family SFR (3) bath I 500.32 500.32 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: 1 3 !052" ,,, -fig t iikizy 1-43 Catch basin or area drain 18.76 Drywell, leach line, or trench drain 1 8.76 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 l35 AVE, AND SW SCHOLLS FERRY RD Rain drain connector I 18.76 Sanitary sewer (no. linear ft.: 100) 1 Page 2 Storm sewer (no. linear ft.: 100) I Page 2 Water Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 1 0 a or service (no. linear ft.: 100) I Page 2 m 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. VI'. Drinking fountain 25.02 Ejectors/sump 25.02 Z PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: CENTEX HOMES Fixture/sewer cap 25.02 Floor drain/floor sink/huh 25.02 Address:. 3 3 4 /Qyff. Garbage disposal I 25.02 City / State/ZIP: y:=a$,gpQQ /OR 77),53 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: S ) Page 2 Primer 12.51 Contact name: aril wA 66oNEQ Roof drain (commercial) 12.51 Address: 3881 sE AFRTF Avg-. Sink/basin/lavatory 6 25.02 City /State/ZIP: }}rju,$OIQD, Pg. g 7) 3 Solar units (potable water) 62.54 D I Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 E -mail: WSuiJ9ffl. WifWareQC.T ULTE•/O/71 Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater 1 37.52 Business name: CRAFTWORK 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: $72.50 CCB Lic.: 79666 Plumbing Lic. no.: 20 -148PB Plan review (25% of permit fee) fiti State surcharge (12% of permit fee) Authorized signature: " r/ /7 - / TOTAL PERMIT FEE o /V This permit application expires if a permit is not obtained within 180 days Print name: PETER POLLARD I Date: I after it has been accepted as complete. "Fee methodology set by Tri- County Building Industry Service Hoard. 1:\ Building \Permits\PLMU- PermitApp.doc 10101/09 440.4616T(10 /02/COMAVta) V I ' n 1_0—$ r e ° Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: 11 ST6) I - vd D' CWS Service Provider Letter Received: Yes ❑ No ❑ N /Ala Routed Plans: Original Plan Submittal Date: 5/7 1 1 9" 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 along left only if approved. Planning Review (contact sat e L( at 503 - 718 - 9 / or S @tigard- or.gov) Land Use Case No. SN6 amp- I coo 1 Name $ ou-s FIal2 &A( 77t' ❑ Zoning g. L3 ❑ Setbacks: o Front l,� Rear L. Side .3 Street Side Garage d'0 ❑ Maximum Building Height 45' Actual Building Height 3(f ❑ Visual Clearance ❑ Easements ❑ Sensitive Lands Type: tU&S JkrrO. GAeted 11a1P.-", 607 ie lump Notes: Original Plan: Approved l7" Not Approved ❑ Date: A/ id/ V 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: 2 . Notes: Original Plan: Approved Not Approved ❑ Date: 8/ z, Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Review (contact Todd Prager at 503 - 718 -2700' or todd @tigard - or.gov) S treet Trees Protected Trees I Notes: at f rtv...J iv s"�rtc.4 frecl 6 Ai (CPdKs N,4- tor.4 f) Original Plan: Approved / Not Approved ❑ Date: 1 `:,,-i?-- Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: ' Ye ,No ❑ Date Routed to Building: Page ras.sii � is s.si. 1 %9s r r$y•ips V illage at - - _ .7.�•L — bh� 10.0' I 10.0' 10.0' 'Q i VED \� ` 1 V MA R ' i S ummer Cree , 0 18.0' 1 8 . 0 ' 18.0' 18.0' 15.3 CI MOF G BU!! D[NG �'D ION x x x . i /RIO S 1 LT VENCC \ 15.8' �- — — —i � — —� — - 3 I � ''� 9 10 1 1 )` 12 FF /TOW 187.64 FF TOW 187.64 Building Plan: 3 GS 186.94 187.64 GS 186.44 FF /TOW 186.64 g FF /SOW 0 * � TO 1 87. 10 I GS 186.94 TOP 187.10 I GS 185.94 Lots9,10,11 &12 TOP 187.10 , l.-T TOP 186.10 Units A -B -C -A I I ______ SITE PLAN ‘zs Scale: 1"-10' I — � ,—\ 5.1' — — — — z r i 17N f i 1 r� 3.5' ` O 12 tH C E A It"tZ o h � .', I I ,I ..... . :•••-.-- ..:-. 1.. • ... .• • . -ii .: ...:::... .: .......: ' cp \ 24.0 . 1 l- • \ `t. �e5 I 241 g 22.1 �.y � . , 7. 0 [ c�-#4 Rea ElyP \ I 25.9' 25.9 �� L - , 1 I _ Agfik, . • \ V. . \,› -... .....• . A I i . : -. . i tiaa . . . .. .... . . .. St .. i t • !� s ; 2 tr si ti;. �.r�... 1 s 1. lJ1 tt 1 ,.::::fgss::::::::mg:: • O . .. ..- ...\ \.....-. . .......\.:.• \. .. .. - .. ... I : • ENGINEERING ASSOCIATES CORPORATION c 1 2 " W 17757 Kelok Road Lake Oswego, OR 97034 ��. - \ Tel. (503) 636 -4005 Fax (503) 636 -4015 1 t e J 1 \1 s - -- - — Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, gat. 0 a,l,A„P , am the general contractor or the owner- builder at the following address: Site Address: 1 scAZ e s' n O 5 City: �� vawct Permit #: %Msr_sott o0o q2 • 1Subdivision /Lot #: e G/r, /4 [ 1 v and/or W � Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section 8318.2 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 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: V Date: 4/ Z i Gene Contractor or Owner - Builder !!! • • • 1: \BuildI,1 \}on \RI'?S- MoislureSensItj%' Vood.doc O925/03 0 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: sr 2 Ooo L Jurisdiction: - rt. arc Site Address: 13651- Std aoscivun 4 Subdivision/Lot #: Q/ VI"'e.�C.e („ot ` o and/or • Map and Tax Lot #: • • By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Signature: v Date: 102- OW /General Contractor /Authorized Agent Print Name: & It (4,56,").--- ORSC Section N 1 107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent; or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. t:\.t 3uiidingtFormsU tLS- tlighEtliciencyLighting.doc 07101/03 /�s iotataZ —o - '/2 STREET TREE CERTIFICATION I L t U � W ��✓ owner/ agent f ent or Cc-01- ,`` (PLEASE PRINT) PE ( RMIT HOLDER) do hereby certli9 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. ST1 E ADDRESS: 13 655 Z ae s`vicon SUBDIVISION: Sim amt Ce44 C LOT #: I (7 SIGNATURE: DATE: 6/6/Z---- , . a /.AGENT) _4 RECEIVED & VERIFIED BY "� DATE: IT1' OFTIGARD) I Tree location verified per appro 'ed site plan. I:\ Building \Forma \Srrecc CreeCcrtifuatc 07/01/2010