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Permit CITY OF TIGARD MASTER PERMIT `' ' COMMUNITY DEVELOPMENT Permit MASTER MST2012 -00075 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/15/2012 Parcel: 1 S133CA10400 Jurisdiction: Tigard Site address: 11015 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 27 Project: Village At Summer Creek, Lot 27 Project Description: Building 7, 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: 33 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: $161,355.80 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 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'I 500 sf: 2 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mid 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: V 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 97123 HILLSBORO, OR 97123 PHONE: 971- 246 -1417 PHONE: 971 - 246 -1417 FAX: 503 -608 -3061 Total Fees: $13,071.97 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 u AR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling-S(4232.1987 os.1.800.332.2344. Issued By: Permittee Signature: 4f- tf Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each Inspection. - . 1 Building Permit Application ReSk elltial ` FO R OFFICE USE "ONLY C ity of Tigard �, N. Received / / . ° 13125 SW Hall Blvd., Tigard, OR °'r Plan Review r M • Phone: 503.639.4171 Fax: 503.59:.1960 4$.1.1-,..$) ,„.„2....... 1� i "2,._ Other Permit: TIGARD Inspection Line: 503.639.4175 ®� , \ Date Ready : s See Page 2 for Internet: www.tigard-or.gov P'�\ ' ` � r ® Notified/Method: , Supplemental Information G �:..= �'ae - rE..� fa; -, .: __ >kta -: :t•�:J- �= .:. " =Y::'= �:- '-=F_V C f_ V - ,>.; ��� k ..,g=''S._'f# :7{1s. >' '':� :;JF�a,y1. :- r£ � • _ :si : ; � _ 4 3 1 i- 'i� ti "sf::< - igiG ,� ; 2.,�7.�'�::... .s..�. :1'�'e- .F=:sy i'� .xr� '; - - .:....N��.3- °_',��' �'�'. _ � .v 4s�� �� s � c�a'ti:2�•;.1ma_s ® 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 s�: �;:sz -- - -- -f.- a r j r.:- z -r3 zzz,.w, -> I " ' ° . ' € .d ^ 'tEG ":O C r ib TR rl: •r'' �' : '` "'"' work indicated on this application. 1::-..:1.' ,� � a��."�"< < "c._;.,:r";r.�� �;_: �:,c_.� =r.a - �•' �. a:: s .�..:;c,__'��, _�.,.�:s'S.�,:.�. _�r,:r� ® 1- and 2- family dwelling El Commercial /industrial Valuation: ❑ Accessory building ❑ Multi- family Number of bedrooms: 2 ❑ Master builder ❑ Other: Number of bathrooms: 3 n'•.' ^4� : _ ;Y: _ '_ :r,-- ;s�'�:s =_= _ . a=te- zs:� ..:• c.- <r:. - , >�n - -...i Total number of floors: 3 x, la . <�- .;����JU �S�fBEU ,'F O �AND��I:O(�AT!fUN�,�c� '���� ��t:.��" .- �'��= :rK.(�� _ K � +i�. �,:- :�•r -. .,-3_ �:�"r._ -:-s � �t�=sa- ::.,i'�S.a'_.t:* Job site address: f I0I S 5 _S 4, / 4Ge. New dwelling area: 1332 square feet City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 509 square feet (45 Suite/bldgJapt. no.: I Project name: VILLAGE AT SUMMER CREEK Covered porch area: 17 square feet Vka Cross'' street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet 414, SW 135" AVE, AND SW SCHOLLS FERRY RD Other structure area: 04_1 square feet '�3 r' " 'Q m:C`' a scdi E v-gSS Subdivision: VILLAGE AT SUMMER CREEK Lot no.: R 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 r ,,4rii' equipment, materials, labor, overhead, and the profit for the 6 i # Z 0 2 W t 74 4 work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT B 1332 SQ. FT. Existing building area: square feet New building area: square feet :fry 3 Y - SY' 4F1, ' O R, -g -. " "' ' 4. ka Number of stories: xfi "�1`' - _ �- = s�'�s-c•� <��•� � ,e•• - -ate _ _.- :� �4,"`� !- .�F= a .�5,.�-. Name: CENTEX HOMES Type of construction: Address: ?gal SE ,leek_ Ave_ Occupancy groups: P Y P City/State/ZIP: (4-1 f0 � 0 P 97 / & 3 . Existing: Phone: 4'7( y4- N/7 Fax: (503)608 -3061 New: kg:MW - 07 . y'°4: �`;¢. 3 To. - . S.o-T sc_n•:%A.:- s^l.- ^?^N«. ".'. Y_r ^ -• ® APEJs �, V a s f rte' 4CO t 4".k. P. O �Wiz, a 3 El rr p }s - 1A Business name: CENTEX HOMES All contractors and subcontractors are required to be �"� Contact name: �j �I liey�pnG� licensed with the Oregon Construction Contractors Board // under ORS 701 and may be required to be licensed in the Address: 1 jurisdiction in which work is being performed. If the City / State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: 97( /y 7 Fax:(503)60B -3061 E -mail: INjI(igT 1 'Vo oM/ - Y ' r,,,, tmo. ._..ro "1,,O77 '42.1.'= `i:'Pr F . J r:.y"LoJm. l . J - . . ' , :V,Fg- :: S4 ;i F12.''_ <•�y::2 -e! �& �'la� °:.2f``:'� r" flc"� ... z_ :E'E r�'+ �� x - ' _ < - .._ _.._ . Business name: CENTEX HOMES - B.UIliD�!T�CS PERl�ilr *� •'' ' '- 4 �p � � "`•':�•.' ' .., � ':FE ' ES _: Address:. 2 8 l ,SE Acne__ Ave_ ' - ,_ - A- 7: : rkle`ase ejer,.'ioleirse.adi`!),�_..I, +_ `_ City/State/ZIP: , ' ` Structural plan review fee (or deposit): ( ` I k 0 i - 0 OP- 97 - / FLS plan review fee (if applicable): C Phone: l 1 _a7L /'(� 7 Fax: (503) 608 -3061 CCB lie.: 1 Total fees due upon application: Amount received: Authorized signature: C . This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: GARY CU Date: Fee methodology set by Tti- County Building Industry Service Board. I:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(I 1/02 /COM/WEB) • Plumbing Permit Application Building Fixtures City g of Tigard Received Permit No.: MOON, /� - QOO1 jig n 13125 SW Hall Blvd., Tigard, OR 97223 P Re Plan Review ( ^ w„„_c6 _ Phone: 503.639.4171 Fax: 503.598.1960 Date/By. Other Permit No : 1Vo t/ 01 -- U(�(J T I G A R D Inspection Line: 503.639.4175 Date Ready /By: Juns: El See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK . FEE* SCHEDULE" • ® New construction ❑ Demolition For special information use checklist. Description I Qty. j Ea. I Total ❑ Addition/alteration /replacement ❑ Other: New 1- 2 -famil • dwellings gs (includes 100 ft. for each utility connection) • CATEGORY OF CONSTRUCTION` - SFR (I) bath 312.70 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 ❑ Accessory building ID 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: Catch basin or area drain 18.76 Job site address: /( (015 St., Svc- /.Ace Drywell, leach line, or trench drain 18.76 City / State/ZIP: •IIGARD 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 1 18.76 Sanitary sewer (no. linear ft.: 100) I Page 2 Storm sewer (no. linear ft.: 100) 1 Page 2 Water service (no. linear ft.: 100) 1 Page 2 Subdivision: VILLAGE AT SLIMMER CREEK I Lot no.: 2 7 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 ' :. I ❑'TENANT Expansion tank 12.51 Name: CENTEX HOMES Fixture /sewer cap 25.02 Floor drain /floor sink/hub 25.02 Address: s.`t sE "or; e_ 4vP_..- Garbage disposal 1 25.02 City /Slate /Z1P: - t 4. ; /(4 0 r a R. 9703 Hose bib 2 25.02 Ice maker 1 12.51 ❑ APPLICANT ' ,. - ® CONTACT. PERSON ' ' . Interceptorigrease trap 25.02 Business name: CENTEX HOMES Medical gas (value: $ ) Page 2 Contact name: j/( 1I/i 9/4. /� Primer 12.51 j� Roof drain (commercial) 12.51 Address: Sink/basin/lavatory 6 25.02 City/State/ZIP: Solar units (potable water) 62.54 Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 E- mail: 1.441(‘‘10\ - . 1yufprit.rG . L0 ry� Urinal 25.02 r' ,32�� /}1. Water closet 3 25.02 CONTRACTOR • Water heater I 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 Ice: $72.50 Plan review (25% of permit tee) CCB Lie.: 79666 Plumbing Lic. no.: 20 -148PB 7).A State surcharge (12% of permit fee) Authorized signature: IA/ g' (7 -/C TOTAL PERMIT FEE This permit application expires if a permit is not obtained within I$0 days Print name: PETER POLLARD Date: after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I \Building\Permits\PL\MU•Pcrmit App -doe 10/01/09 440- 4616T(10 /02 /COMAVEB) . , F Mechanical Permit Application -' F OFFIC E USE ONLY`.. • - City of Tigard Received Permit No.: H 0. lig ° 13125 SW Hall Blvd.�Tigard, OR 97223 . Date/By: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit: (0i", co j W • ` ' " Date /By: 6 TIGARD Inspection Line: 503.639.4175 Date Read B Juris: El See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information ( '� ��.:.5:?< -:; a'3;_� yr:^ :`ate �- `?�`?\' ; s.:�:t' - __' � ` _ _ .:. rrlyg _ - _ _ ""uT' u ski: _ Y e -r.:,- - -: -: i�� a.r..�.;e �- .. .,..- ''4 v 7 ` ' _ -; YPF��,r,QI??? eli f _ , - x = >, z n r ` " a s* CU�MMERCIAte #E *" SC�IIEDUI! - `"LUSE%C�AE_.... - r�� 3u.. � pi - '� �s� ..: .y= �_:- r_�..- :- ,��.�„__ ..,�'�,am- .�- . <.. _ z .. ® New construction ❑ Addition /alteration /replacement Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. s r �� �= a .. ORYtUNCO rF_ .: :" ,� .14; Value:$ u�t;+ �.. ..>sf-�:' ==;':�.3zn,��A,�_,� - �s- - JS�R�CT10N,.f�: "1 �`,�'`�s`��:._ -. .. � =.:.W- _ t.: a= ,, -a -c.- ssa_, �. r :�- ...��rsa,rr ar t `�' ® - and 2 dwelling ' "RE' llk `P14 /,,S�YS *11,'7 y g ❑ Commercial /industrial ❑ Accessory building �' `a ❑ Multi family ❑ Master builder ❑ For special information use checklist. Other: _ _ Description I Qty. I Ea. I Total �_ ?=,�.,: 4 ; LR1 P);(bl; ,PID OCAT O r . ; ;%y=_- ?: �.�. ay,. R/ :s,r� :.it: �`�.,:.��.- ,,�MA'�. _,� e..:_. N�,t.. r �;s:i;•,, - Rea tin coolin R Air conditioning Job site address: 1 1 015 St,... S je T rl'q{t; (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.: 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 of above 23.32 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: a 7 Other: 23.32 Tax map /parcel no.: Other fuel appliances m2:1 -0: , 74„ r; 'i - S(wri O_ O O isi .de' ' yam` % Water heater 1 23.32 2332 �" . 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 #y « �� .. r , � r - ,,,''''', r - - - Chimney /liner /flue/vent 23.32 !r� ® I - 4r?I arira J�;•=', � e*T ME+62 k ?" �?� E`�t0 R O �� �_ s .. 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 ` -' :r 4 0.'� 1"'' = 3 --t - u"` ` it : �'`• Attic/craw1s ace fans 23. 32 ;� -�' sa�.�3 ®c �iEI97�C��1ViR`tY.: � � `�: �: � :. :C50N7rAG:11�� rr, 1;:", -�-�' p ,� �;, � �� a RSOL�: �t� F� : r � �.� °��,. ,=s�X .� -.:.�. _. . •�- �.r.�a.,, Other. 23.32 Business name: CENTEX HOMES Fuel piping Contact name: _gm G/ j .,ofisy-- $14.15 for first four; $4.03 for each additional Address: 1J'I 40'0 / 0 O t) 7 I Furnace, etc. I 14.15 ( Gas heat pump City /State/ZIP: A O Q /f 7/ Wall/suspended /unit heater Phone: 971,E I t/ ( � _ ✓ / (.,, Fax: : (503) 608 -3061 Water heater 1 I (l7 Fireplace E - mail: lovjll i4r" LVQyroner' v4'�t . {Q� Range 1 ^,_'.,>"r., �:: -y'is; 1� ,Yf: �' ',"xis "°`"`, - : • _ - �-, s.g ; F . - - , - 4- �__c..:-�i, : -{COPttjVc' O1R`f; - 'r.T Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 ; _, - • _'1�lECH'A_1�.IGA_�I:PE_RM_ ITi*- S *� "'.`_ - - - -- .._ City /State/ZIP: PORTLAND OR, 97224 Subtotal Minimum permit fee ($90.00) Phone: (503) 598 -0966 T. x: (503) 598 -8498 Plan review (25% of permit fee) CCB lic.: 50096 -. State surcharge (12% of permit fee) / TOTAL PERMIT FEE ,Oi • 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: • Fee methodology set by Tri- County Building industry Service Board I:\ Building \Permits \MEC•PrnnitApp.doc 10/01/09 440-4617T (11/02/COM/WEB) Electrical Permit Application � 4 ¢ t ' ` , FOR O USE O NLY r Reserved `�` �0O -ocio 1 r = City of Tigard Dale /By: Permit No.: 1 r , u 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 4.- . Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: *D.. -000(0 C T 3 " . Inspection Line: 503.639.4175 Date Read /B hnris: 0 Sec Page 2 for I G ' ARD Ready /By: g .- - ;4 -r . Internet: www.tigard or.gov Notified/Method: Supplemental Information '. TYPE `Of WORK: PLAN REVIEIV. ® New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w/items 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 ` I" -' exceeds 10,000 amps at 150 volts or ❑ Floating buildi .'_ . ' . - _ , _ _ ::- - - -_ - - " ; a? - - - less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all oilier installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pump. 0 Installation of 75 KVA or - ,-; ;.. -- FORMATION'- . . -. CA`FION'. „.`' ergency largerseparaelyd system. J OB SIT> 1N = - v hotor load of " i ` 7 " ' derived m m - ...; -_ _. ..-., -.- :_ _° __.�- - ... ❑Addition ofncl n ❑,. „ Job no.: Job site address: t 0 N 100HP or more- occupancy. (5 s,,, S c ( 9t rq(e CI 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. .. EEE. SCHEDULE _ - : , �; h:% ' :. . Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Qty. I Fee. I Total I , • SW 135 ND SW SCROLLS FERRY RD New residential single - or multi- family dwelling unit. AVE, r Includes attached garage. i Subdivision: VILLAGE AT SUMMER CREEK Lot no.: a 7 1,000 sq. ft. or less I 168.54 168.54 4 I Tax map/parcel no.: Ea. add'l 500 sq. ft. or portion 2 33.92 67.84 I Limited energy, residential - I 75.00 75.00 2 •~5 _ ": _ - xr 3 c . :DESCRIPTION OF. WORK • ;_ ,:i ?,=_.. (with above sq. IJ 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 _,.• '!;® PROP,- ERTY;'OWNER;: _ __ ' la 1rNiVt -' - : - _ _- 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: 3 ;et if SE , e re_ Ave- Over 1,000 amps or volts 552.26 _ 2 City/State/ZIP: Temporary services or feeders installation, alteration, and /or Cit Y 1-1..4 /r 0 relocation Phone: 97I — a, y4 — / y(? Fax: (503 - 503 - 6031 200 amps or less 59.36 1 l 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease a e, according to ORS 447, 449, 670, and 701. I /� Branch circuits - new, alteration, or extension, per panel Owner signature Date: A. Fee for branch circuits with f above service or feeder fee, _ ®;QCPP,L1CANT.- '___-• „_.:!._• _ _ __ , �' CONTACT _PERSON,. . - each branch circuit 7.42 2 Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, first 56.18 2 Q branch circuit 1 Contact name: P t 1 4 y�O�T��• Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) CI /State /ZIP: Each manufactured or modular 67.84 2 tY dwelling, service and/or feeder Phone: 171 -a yL ^ l'iri .Fax:: (503) 608 - 3061 Reconnect only 67.84 2 L Pump or irrigation circle 67.84 2 ?I E -mail: Wl �� p/)C/�L°� VITC Sign or outline lighting 67.84 2 .. _ _ ..;.. ; . -+:CONTRACTOR ., "_ ._. , _ : - - .. < . : 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 min) 78.18/ hr Phone: (503) 648 -4552 Fax: (503) 642 -7925 Inspections for which no fee is 90.00/ fir specifically listed (V, hr min) CCB Lic.: 182591 Electrical Lic.: 34 - 305C Suprv. Lic.: . _ELECTRICAL PERMIT FEES,, .: - _, Subtotal: Suprv. Electrician signature, require'. ` i Plan review (25% of permit fee): Print name: CHUCK GA•.''ER / Date: State surcharge (12% of permit fee): �jt+i TO TOTAL PERMIT FEE: Authorized signature: / - ,b„� i 4 - --- This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per penult I: IBuihlinglPcrmits \ELC- Pere,iiApp.doe 07/01 /Ill 440.46 15t( t i/05 /COnvWEB 0 ° Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: /157 - 20 — .) JT7 i ' CWS Service Provider Letter Received: Yes ❑ No ❑ N/A LAY Routed Plans: Original Plan Submittal Date: 1 1/3/ � 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 only if approved. '.y Planning Review (contact l QLf at 503 - 718 - . s or Ski- @tigard- or.gov) Land Use Case No. b' ( 01X71 Name 01 (44466 k( stom C7' Zoning as PJ la' Setbacks: Front (2/ Rear l Side 3 Street Side 7/ Garage d Maximum Building Height a.fi Actual Building Height 33 13 Visual Clearance el Easements Cr Sensitive Lands Type: r ( l' Notes: Original Plan: Approved I2r Not Approved ❑ Date: *it 1 Z 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: t 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) treet Trees ❑ Protected Trees Notes: . Original Plan: Approved i Not Approved ❑ Date: /� �/a PP PP 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 Ap�pli nt Okay to Issue Permit: .Yes CL ._. .No • Date Routed to Building: Page 2 of 2 Vill age at 9..bs __ _- -------- –A-PR- ma I . 1 C0 U mme r Creek — x _ ._ 12.2' 12.0' 1 12.0' 11.9 Fl , ___ I 11.3 20.0' 20.0' 1 j 20.0' — i )/k D I". a �� ee/' 7oo.ei ~ I 3 7 I a e, i I �� I I �/ 7). 5'1 ,..../C ,1 I --- %\ -=___ — _____c I —� ___=- I r - h — — r 10.8' 12.3' 1 X Plan: I Building 2 27 28 29 ::k C1 �.,' I , Prn�r,� Lots 26, 27, 28 & 29 x FF /TOW 191.77 FF /TOW 191.77 FF /TOW 191.77 1 FF /TOW 191.77 Units A-B-C -A \i (t r cn(L GS 190.57 I GS 191.07 GS 191.07 I ' GS 191.07 ./( TOP 191.23 I TOP 191.23 TOP 191.23 II TOP 191.23 II X X SITE PLAN , i I , Scale: 1"-10' 9 , _ s ) r ' \ \ I I 1 X. 4 1 ___ 5 I r r.. . .�_ 1 ,.. - . -t 4.4 �� to `� 19.0' _ ... i I: �........... .......l j�......... I _ — 17 G 1 ..2.2:1. j 18.0 -- JL. _ , 0 r i _ � I 15.0 ;... 0 0 ' 6 . t� _ . 1 181 \ _ � : .. ... . . ..... © i.. f ... ` I -1 • ...23 6 Q i i c ANWWWZaWN4 T 'b l Q 8 _.._.. .:: :::....... f y 0 .......... . .... . . ....... . • ...... I .... . ......: :: :: E.. v::: :04 , ..: . : ::k . : . ::: :.:" ::;:: „ : „ : „ : „,: :::: „ :: ,„ : . :: . ::.:: . „ 190 76 ,. SW SAGE - E "RACE )?o ENGINEERING ASSOCIATES CORPORATION - - ACE 7� 17757 Kelok Road Lake Oswego, OR 97034 I Tel. (503) 636 -4005 Fax (503) 636 -4015 1 8" S S STREET TREE TIGARD CERTIFICATION I, 1<< vI , owner /agent for Ce.pvIrrz 1--tove (PLEASE PRINT) (PERMIT HOLDER) do hereby cert j 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. PERMITNO.: 1Nisr1.o -0 0c) 75 HIE ADDRESS: 1 10 15 SW S .•rrac...c SUBDIVISION. 5 k,, sft h, (,v K LOT #: 2 SIGNATURE: U4)- DA 1 E: i 61111 -Z (OWNER/AGENT) RE CEIVED & VERIFIED BY DA"1 E: (CITY OF TIGARD) ❑ 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, I I 111 6 , am the general contractor or the owner - builder at the following address: Site Address: 1 I (7 1 S -5t4 f. "reatterc.a; City: T� 6.,44a) Permit #: IA4S72.47,a- boo 7S Subdivision/Lot #: S tat" iiiert C acaz /,t a z 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: /e/ ,, // Gener Contractor or Owner-Builder '' I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 • Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No: Jurisdiction: M 5T 20 it- 0 001 S - Ft d4•a.�"� • Site Address: • 1 kc i S Sal SAv` T�ci+.ze4c Subdivision/Lot #: cS►1 t�►w�e t C-e-ete. LZ Z. - 4 - 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: /b /h // O er /General Contractor /Authorized Agent • Print Name: /3 III W Dm ere__ ORSC Section N 1107.2. 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: \Building\Forms\RES- HighEfficiencyLighting.doc 07/01/08