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Permit CITY OF TIGARD MASTER PERMIT 2 COMMUNITY DEVELOPMENT Permit #: MST2012 -00074 T I GA .R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/15/2012 Parcel: 1S133CA10300 Jurisdiction: Tigard Site address: 11023 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 26 Project: Village at Summer Creek, Lot 26 Project Description: Building 7, new SFA BUILDING Floor Are Required Setbacks Required Stories: 3 Bedrooms: 3 First: 60 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height: 33 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: $179,981.96 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 Srve/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 Ecom asin Y Other: N Other Description: p g 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) 3884 SE AERIE AVE 3884 SE AERIE AVE 1 Ersn Cntrl 503 - 681 - 4444 HILLSBORO, OR 97123 HILLSBORO, OR 97123 PHONE: 971- 246 -1417 PHONE: 971- 246 -1417 FAX: 503 -608 -3061 Total Fees: $13,579.27 , 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. A " 'TIO •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 -0010 through 0 • - 9 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by cal3.232.1987 or 1.80032.2344. Issue. =y: 1 Permittee Signature: — °GC �.7 ...-01-GQ J 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 sits until completion of the proj t. Approved plans are required on the job site at the time of each inspection. . r Building Permit Application Residential �� FOR OFFICE USE.ONLY. ` - City of Tigard o Plan 13 : • \L Received . 13125 SW Hall Blvd., Tigard, OR ' / ` ..✓ � 1 Plan R IM � ��• , I Phone: 503.639.4171 Fax: 503.59::, 9' t Other Pemut: TI GARD Inspection Line: 503.639.4175 P ®� ` ®, �. ' � n See Page 2 or ,.e• Internet: www.tigard or.gov ®�� ® 07 ° Su pplementalInformation _ ' .ri..'c'... - '�i -t':, -- T3 -,t - -- - °- :.; ^,+ ? < z.. _ = - _ ` -_ - - :.-cK_ IRF. : -.,,r, - - - :,.yr. `..i!S °.;F;;. :rt� ss; "< ,���..F- : ;E - - -,�^ - � .r'.tt� � 1 0. :: - �t'1.` - : `�I<tEQ,II 2A3 ; .A'P,TD �5:1►'IILY WE __. v :�� • ^s'.g''.�_u _.= _arf•�xc:_ a_ - s: sF�w.� �� -1� < - -� �,..r.�ax-ras�..:�_;.� �„ ® New construction ❑ Dem ition 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 '4"..= = i `= a: � �:`..� � - ;.,_ .° --,•*: – -4 -, „L ,11- r :7, work indicated on this a plication. , 'V"-' �s.`t..5., ;?5, -ACA, E„CSOR O,F:rCONSTRU :�y1 __ . ® I- and 2- family dwelling El Commercial /industrial Valuation: i �9�� l , ❑ Accessory building El Multi-family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 F "."41 7:,, ' t' F'1:1 •�r..-Sx:c.,� :_ k -4if`:.. . .._7 - eT10�' � r� -,.._ 1, ' ,t Total number of floors: 3 e ,% - . : '?�€-- ' a ..,—, TNEQ1 -AbU`CaAT10 '` r J" I Job site address: I/ 2 C - - i rp j . f New dwelling area: 1460 square feet . City / State/ZIP: TIGARD OR, 97223 Garage/carport area: 620 square feet (9 ill Suite/bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK Covered porch area: 33 square feet —703 Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 160 square feet 0 SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: square feet '� Q i A:, i Re. r SE.(QIIEOI IST3`` i I Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: a,6 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 P ^.. _ ��� _ _ � y equipment, materials, labor, overhead, and the profit for the ;A elii TI U iirj �_ r pP u ,..:2- rt < ` =xr�'' work indicated on this application. 7 �r-:.t s'r= xi_:z*5?< _'*_ �.__,+K.s� -r,K i....w.._r ?:?— : ;.,;i ° -_s�ti NEW SFR TOWNHOUSES Valuation: $ U NIT A 1460 S Q. FT. Existing building area: square feet New building area: square feet E ms'`{ f Rs R �., . • ms�`::F` ` 4-4 ~ ;.., ” -= - e �'v�i . 3 ` ® OE � #y r�,0 R l y'"q- !' i.& — . ._ 'k,. T ENAI� 4 2 c : ,- 4 . 3. - __0 _ �. �s ® � � • � � Y �� Number of stories: .5 Name: CENTEX HOMES Type of construction: Address:. j833 I/ S1 /q-e /'t - A v Occupancy groups: City/ State/ZIP: /1-11/51,6 to o & 477a3 Existing: Phone: .71 a Ca— 1y17 Fax: (503)608 -3061 " New: .*IO :, :" ': rii'r .',"'' "f ., 'It' ",.-":"•,'''P' ',rT ' . rs . .fir i� _ _ : a.' , - .i: r5_ : € - v im F iW' s� _Y _ - _ - ; w - .r `= r:.v=•.• . r._ - . �• ��'kr,�•r- � - " rte-" . � " � v tip _ "r' "a - - . 0:.. �- - ® COl!1TAC7:tiPERSUIY,_ , 7 3 '' p '✓rau.. = �.,tvsr - _.C.':.. - �:?4T.- ....r..4 = - a - _ a '�. - 1 � - ...:'� . �..... w. = .�h _ --. __._!X• _. �..�.w�... -_ �•.. � a , ,.tF� .. �,'�;.J,' r -. rs"i' Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: �i7� �/ /�er' licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: . . ., _ _ jurisdiction in which work is being performed. If the J City / State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: 9 7 ) - . L ( - /L, / Fax: : (503) 608 -3061 E mail: I 1 4/1 W4 ,0 Pv7`tr•GO� i:r 11? , ti `' o `y am 77..A dd r. .`CON 1 RA,`'"''E'O. •- _ - - - _ •. " -_` 7. ., Business name: CENTEX HOMES " 4 BU1liDlYG °ERN41T�FES':"T ' Address: ; Stall S : f}erf� llte t - =: '.: ( Plwise :ie"Jeiioje`esiticdiile1' :_'.:.; 4.._ City / State/ZIP: I ISk ro R Q 7iRa Structural plan review fee (or deposit): / 1 FLS plan review fee (if applicable): Phone: 9 71 -a y4 —m I Fax: (503) 608 -3061 CCB Iic.: 182591 Total fees due upon application: Amount received: Authorized signature: "fry" This permit application expires if a permit is not obtained Print name: GARY CULP. within 180 days after it has been accepted as complete. Date: r Fee methodology set by Tri -County Building Industry Service Board. 1: \Building\Permits\BUP -RES PermitApp.doc 10/01/09 440 -4613T(1 I /02 /COM /WEB) . r \ Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of d Received Tigard ^ ([ ll Date/By: PermitNo. CO " V 13125 SW Hall Blvd., Tigard, OR 97223 .1114 . • Phone: 503.639.4171 Fax: 503.598.1960 Plan Review TIGARD Inspection Line: 503.639.4175 Date/ Other Permit No.: By: ff� �oi2. -ACO6 Internet: www.tigard- or.gov Date Ready/By: )uric: ® 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 I Qty. I Ea. I Total CATEGORY OF CONSTRUCTION . - - • -- New 1- 2- family dwellings (includes 100 ft. for each utility connection) ® I- and 2- family dwelling ❑ Commercial /industrial SFR (1) bath 312.70 ❑ Accessory building SFR (2) bath 437.78 ry g ❑ Multi - family SFR (3) bath I 500.32 500.32 ❑ Master builder ❑ Other: Each additional bath/kitchen 25.02 JOB SITE 'INFORMATION AND .LOCATION -,_ . -. . - , Fire sprinkler ( sq. ft.) Page 2 Job site address: //6"R ? S 14 , . 57e. - pram 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.: Project name: VILLAGE AT SUMMER CREEK Footing drain (no. linear ft.: 100) I Page 2 Cross street/directions to job site: CORNER OF SW BARROWS RI), 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 fl.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: AA Water service (no. linear ft.: 100) 1 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 Ejcctors/sump 25.02 Name: CENTEX HOMES Expansion tank 12.51 Fixture/sewer cap 25.02 .3 864 Address: v � SE- r1 C.. A- Floor drain/floor sink/hub 25.02 City /State /ZIP: 1 t- 1 OR 'i r7113 Garbage disposal 1 25.02 Hose bib 2 25.02 ❑ APPLICANT ® CONTACT PE RSON Ice maker 1 12.51 Business name: CENTEX HOMES Interceptor /grease trap 25.02 Medical gas (value: $ ) Page 2 Contact name: Bo ( 3 0/1t 1�' `f Primer 12.51 Address: Roof drain (commercial) 12.51 City /State/ZIP: Sink/basin/lavatory 6 25.02 - - Fax: : (503) 608 -3061 Solar units (potable water) 62.54 E -mail: wt lP 1 a m, u onMrC V •CD w\ Tub/shower/shower pan 2 12.51 - - Urinal 25.02 CONT ACTOR Water closet 3 25.02 Business name: CRAFTWORK PLUMBING INC. Water heater 1 37.52 Address: 7737 SW CIRRUS DR Water piping/DWV 56.29 City /State /ZIP: BEAVERTON OR, 97008 Other: 25.02 Subtotal Minimum permit fee: $72.50 CCB Lie.: 79666 Plumbin Lic. no.: 20 -148PB A Plan review (25% of permit fee) Authorized signature: S late surcharge (12% of permit fee) TOTAL PERMIT FEE Print name: PETER POLLARD Date: gr.- 17.-0 1:\ Building \Permits \I'LL1■911- 1'ermitApp dor 10 /01109 440- 4616T(10/02'COM VF.B) • r Mechanical Permit Application ' -. ` , FOR OFFICEUSE.ONLY' , City of Tigard Received Permit No.:'�,,/ ,/ Date/By: I 6T O / - 10 0 6 77 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 2 ,.. Phone: 503.639.4171 Fax: 503.598.1960 Other Per,it: QUO (A.tJAO(p Inspection Line: 503.639.4175 Date TIGARD p Date Ready/By: ReadyBy: lug: 0 See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information k " - �-S, c ,?1'.T" � _ -�' -+�1. _ ,. � _ ��3.•.� - „ i .:; °_,��.:.. =x� F >= ��uuccccc.:ls.;x :. .14.:x -+z ,a..,-' =iA - }- i - YPC, .IY.ORK =.. _1.:Oz F T ,1 '.CO INIERQIAZ F7i ;SCHF7DDL a G3HEQJ s: K�r- Y:LT�'��: � .. _i -_ _.._ -._., ..c _.. .���.��[_'�.- �.: . ._ . e__ -. . ~ i '���; _iTr: _iiO_��'�_ . t^..Z.�� ✓'. --. -i ,L'n e��6Y a,�[n <�f iY -�.� ` ✓ N_pa'! ® New construction ❑ Addition /alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit. t:Rtg ' - 3v, r'.w` .... -.. ,a =± - GAbI IVR:1FOF ICO tT` `163 �*..':` a g6' y Value: $ !$szvya � ".i. -� �a .�a N s � ,: ._ _:n�: .:. � rsi.�>.� ,'i _ , a-.'. . ar- �:.ozisiei =- < 1 ;', .RES rss -x_, . ID IITIAL FQU P . a% «m . NW 5 l.LWa ® 1 and 2 family dwelling ❑ CommerciaUindustrial ❑ Accessory building "" ' For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description I Qt I Ea. I Total _ i :.�4::F: ° ='' ...i'r•;'� ~,v i JO' IY.S R \ Y y C' .'.� "r .s✓, r `-'�. ., �_'��,�._.:��:� B; . �![FO .- A=71IQ�; �I �-_,: '�"�' ,�'.�. J - - ,�1r �A1YPr _ , _':';= �� tt Heating/coolinR Job site address: Air conditioning 1 ' . a 5 L v �f l e r r( [ e_ (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 SW 135TH AVE, AND SW SCROLLS FERRY RD Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: a Flue/vent for any of above 23.32 Other: 23.32 _ Tax map /parcel no.: Other fuel appliances `fi- ,z` ---' ° aF a r _ Water heater 1 2332 23,32 ••y .. x SC T aO OF� K - bc3 " . •:prr;�i�g -:_ '^ _ = �.i.ay.- .��.��X�i. -: � ..� �c -.a`?7 i� :.r _ � � .. fi: 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 =t," � €P� Tot ''''''''''''T''''''''''''''",'" E R ` " - -F - r.:.1", - , T4.7 - 1 Y - ' ,--, - . ,-- - v` Chimney /liner /flue/vent 23.32 Other: 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Range hood/other kitchen Address: 3 S f A equipment 1 33.39 33.39 City/ State/ZIP: 11� II 6 f) T7i 3 Clothes dryer exhaust 1 33.39 33.39 (� ' tV / I Single -duct exhaust (bathrooms, Phone:, y6 _ I 1 Fax: (503)608 -3061 toilet compartments, utility rooms) 4 23.32 93.28 r a . �'. .�-��= ..ate L' s �t y rt0 . - - `.fs ;=-� s , i -a ti ct .mot.. - ::.�,r1) Attic/crawlspace fans 23.32 ® na .� C, : � ❑Pi,_coiv;�ACT= IZsol� c: ° =y ,� :.._._.� - - .- a.��...�. � Business name: CENTEX HOMES Other: 23.32 Fuel piping Contact name: 15111 �'t - V . k)1 e r $14.15 for Furnace, first four; $4.03 for each additional Address: Furnace, etc. 1 14.15 Gas heat pump City/ State/ZIP: Wall/suspended/unit heater ` p 7} - a t - 1 y/ y Water heater 1 Phone: 'S ( 1 Fax: (503) 608 - 3061 L Fireplace E -mail: IltgYn 0/Iere- ulfe•CO/�1 Range 1 t r�_ rrx ;.i +._`: � ; "' CU RA 6.4g1 ,_ ; tit;._ '' s:; :af `7� Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: • Address: 7301 SW KABLE LANE STE 500 • 1 - ; ; +_ " :: ' :'� ` :' ' iYlEGHrAlVIGAh:P,ERMI3'�7i EES _ _.. < . City / State/ZIP: PORTLAND OR, 97224 Subtotal Phone: (503) 598 -0966 Fax: (503) 598 -8498 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 50096 State surcharge (12% of permit fee) �/ • TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: d ays after it has been accepted as complete. Print name: KYLE BI • Date: • Fee methodology set by Tri- County Building Industry Service Board I:\Building \Permits \MEC- PermitApp.doe 10/01/09 440 (I 1 /02/COM/WEB) . . r n �' r°` _. '43' "?a wx : 1'°r w kyc . 4 ?a S� -t Electrical Permit Application -4 k ;, - c ,, FOR OEF C> USE'ONEY , Yz . •4-,•._ i.. s to zlmF c ...... _ _._, . lrr, ? A Receiv H4 /7' --0��V r „•,,. ; r. • Ci of Tigard Remit rtnitNo.: • ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review - -- Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: 4..go/9._-Oco6q f-' ...Ti4 = Inspection Line: 503.639.4175 Date Ready /By: Jura: El See Page 2 for � A 6AR +� =`rte . Internet: www.tigard or.gov NotifiedMtethod: Supplemental Information i ,TYPE OF;NORIC PLAN 'REVIEW • ... s ® New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w/itenss checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. . ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. - CATEGORY :OF CONSTRUCTION = " - ' - _ exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building arms for all other installations. buildings. I ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75 KVA or ;_, _ ' " '' ' Emergency system. larger separately derived system. ' , . ' _ -_ ° O B t SIT E INF . OhN1ATIOIV r';ND �LUCr1TlON - 7 ' • : _ ' . = _ .... _ - ❑ Additi o ne m load of ❑ "A" "E" "I - - I -3" d — IOOHP or more. occupancy. Job no.: Job site address: I lod S 44., Sye I erl'ae e ❑ Six or more residential units. ❑ Recreational vehicle parks. 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. on •' _ _ ;.' FEE; SCHEDULE, ` : • _.;r., ::-z =: '�: °_.. ;, Cross street/directions to job site: CORNER OF SW BARROWS RD, Description 1 Qty. I Fee. I Total I • New residential single - or multi- family dwelling unit. SW 135 AVE, AND SW SCHOLLS FERRY RD Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: A6 1,000 sq. It. or less 1 168.54 168.54 4 Ea. add'l 500 sq. ft. or portion 3 33.92 101.76 I Tax map /parcel no.: Limited energy, residential • DESCRIPTION O WOR = (with above sq. R.) I 75.00 75.00 2 - = Limited energy, multi - family 75.00 2 NEW SFR TOWNHOUSES residential (with above sq. ft.) Services or feeders Installation, alteration, and/or relocation 200 amps or less 100.70 2 'I PROPERTY =;01; NER - '' - ®' TENANT ''-•'• _ 201 amps to 400 amps 133.56 2 I Name: CENTEX HOMES 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: ' 3&2 1 S ,ertiell-vQ Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City/State /ZIP: i to O relocation Phone: 771 -2 y,6 -iv. Fax: i X 03 _ 6 Dg 3061 200 amps or less 59.36 I Owner installation: This instal ation is being made on property that I own which is not 20t amps to 400 amps 125.08 2 intended for sale, lease, re tcl nge, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 163.54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: y /'/7- A. Fee for branch circuits with = above service or feeder fee, 7 42 2 ® aPPI 1C�1NT h .' _ CONTACT; PERSON each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: ,if/ 14/49'oner" branch circuit Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) _ City/State/ZIP: Each manufactured or modular 67.84 2 Y dwelling, service and/or feeder Phone: 1'71— a yA - i YI 7 Fax: : Reconnect only 67.84 2 G ` Pump or irrigation circle 67.84 2 E-mail: 1 VIII IV 90�1t3 v Sign or outline lighting 67.84 2 :. _ . „ 7,-.:?•.: ' ::.:.: ;ICON . _ . cTOR; : , - - .. -. _ .. - _, 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 (1 hr min) 66.25 /hr - Industrial plant (1 hr min) 78.18/hr Phone: (503) 648 - 4552 ' 1141 t Fax: (503) 642 - 7925 Inspections for which no fee is 90.00 / hr specifically listed (h hr min) CCB Lic.: X 1$3 T 01(1 Electrical Lic.: 34 - 305C Suprv. Lic.: • _ . .. ELECTRICAL PERMIT 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: ,' I/ P57 This permit application expires if a permit is not obtained within 180 ',� ,Jr :' T/ f � days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per permit. I:\ BuildinghPenniu \ELC- Pcm,iiApp.duc 07101110 4a- 4615TI i i105/COM /WED 2 ° Building Division Development Code Provision Review T I G A R D Residential Projects Building Permit No: filSTalb /d -- t363 -7 1 1 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A .El" Routed Plans: Original Plan Submittal Date: Y / // 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 (✓) 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. c _ I Planning Review (contact at 503 - 718 -J ( or SILL)/ @ tigard- or.gov) La,pd Use Case No. 5L(6aloO6- 16/901 Name thuz.,•04(r 44 Ud(werzi Zoning cu. a -S P-b it Setbacks: Front 2— Rear 10 Side S� Street Side Garage d Maximum Building Height S Actual Building Height s3 C3' Visual Clearance Qr Easements Qr Sensitive Lands Type: VIA Notes: Original Plan: Approved Gr Not Approved ❑ Date: 4//1 /12, 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 Zf Not Approved ❑ Date: 4 / / 7/ Z Revision 1: Approved CI 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) I ,g6eet Trees Protected Trees Notes: Original Plan: Approved Vi Not Approved ❑ Date: �fl'p-olD 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 Appli ant Okay to Issue Permit: Yes; , .,, No ❑ Date Routed to Building: Ali • • Page 2 of 2 V illage / at q. ,� __ _ __ _________ U rnme r Cr e e _ X . I I 1 , 12.2' 12.0' I 12.0' I 11. 9' A � _ : .w _ 11 .3t 111111 O O 20.0' - 20.0' Ci 20.0' — ' 1\ °� C y I ���/��J /� y , 3.7' I ---L 1 Cy I I , I 12.3' ________ J ��`. ;Jt!!1:::;) / T 3.5' � - F — ' — _ __C I — — — � i 4 ai Pp2in ? 64 c - � — — 1 0.8' ) 1 ` 1 i ) Building Plan: 7 X 1 27 28 I; a �.� g ' I/'�P�� 29 Lots 26, 27, 28 & 29 M x FF /TOW 191.77 1 FF /TOW 191.77 FF /TOW 191.77 FF /TOW 191.77 Units A -B -C -A \%1+ �cn(L GS 190.57 1 GS 191.07 GS 191.07 I GS 191.07 TOP 191.23 I TOP 191.23 TOP 191.23 I TOP 191.23 i X SITE PLAN 1 II I' , 1 ti s I ; I Scale: 1"-10' 0 -p rY A( 1 \ \ 1 I I X _ — I 4, , _D-- — --J 5'f—r- . T I . 4.4' • j r I I `1 i • ... .......'. �. . -I , rl I I '.'.'.'.'. – – – _ 1 0 I 17.0 L :1: 8 0 .. Q, �e� ; 2 2:1 I j /I . . '. ' - 1 15.0 - 18.1 l.... © : '...... - Q 1 , 6 . 0 : ' ::-�j - -- 1- r. • ;.. .... •1 ot . . . .. _ .... . ..: I 1 L I i rt 1 r i . ___•, � ■. :: .... [} . rte i .. • ■ 0 r Q f y 0 . . . r 1 a 8 1 4 r .................... ........_. i t i' ...:: ;: : ::. 190. ENGINEERING ASSOCIATES CORPORATION :..:::, :::::::::: ::. = ; �::;:: :;:;;:;::..:...::::::::: ;:: S W SAGE - E 'RAGE 170.7a �/ - - I ' 17757 Kelok Road Lake Oswego, OR 97034 g" SS I I Tel (503) 636 - 4005 Fax (503) 636 -4015 I 1 • STR1ET TREE TIGARD C'ER TIFICA TIO N I, 1 i li 1n1 o 9 o►i.e." , owner/ agent for Cam., l \ k owte,S , (PLEASE 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. PERMIT NO.: - zo / z _ Quo 1 STl E ADDRESS: 1/0 ;.3 Sam Twv*c,e SUBDIVISION: ,S(4. Pr? & ,,. e, LOT #: SIGNATURE: DA "1 E: /pH z (OWNER/AGENT) RECEIVED & VERIFIED BY: DA"1 E: (CITY OF T7GARD) ❑ Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertificate 05/30/2012 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, B id W 4os a d,/ , am the general contractor or the owner- builder at the following address: Site Address: (d. Z.� Sw SacK i cev-4ce City: i,S et..- c k Permit #: 14tsr?;oi 1.-o46 1Y Subdivision/Lot #: Sit m" / Si,r7z CRd c /1 Z C. and/or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: Date: / Z General Contractor or Owner - Builder I:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 , Oregon Residential Specialty Code N1107.2 ,a. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: # SToto' a - 000 -7-4 Jurisdiction: T ,trc Site Address: /1o2 3 SW dAse /jerkcl Subdivision/Lot #: SI Cee4 h el at, and/or Map and Tax Lot #: i By my signature below, I certify that a minimum of fifty (50) percent of the permanently 1. 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: Date: /a /fi 2 Ow/ eneral Contractor /Authorized Agent Print Name: Fj 1 < ( 6) vAS d"A/ `I _ 1 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 t, permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. 1:\Building\Forms\RES- HighEfficiencyLighting.doc 07/01/08