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Permit CITY OF TIGARD MASTER PERMIT 1111 q ti COMMUNITY DEVELOPMENT Permit #: MST2012 -00117 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/26/2012 Parcel: 1 S 133CA10100 Jurisdiction: Tigard Site address: 11041 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 24 Project: Village at Summer Creek, Lot 24 Project Description: Building 6, new SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 40 sf Basement: 0 sf Left: 3.5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 573 sf Garage: 480 sf Front: 8 Smoke Dwelling Units: 1 Third: 573 sf Right: 3.5 Detectors: Yes Total: 1186 sf Value: $145,059.44 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 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 8 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 1186 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: $12,936.79 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. AT • • • egon 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 OA" 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by callin 03.232.1987 or 1.800.332.2344. 1 Issue. =y: . .' /��d_1. _ Permittee Signature: /eitt4 /6 - 4_-- Call 503.639.4175 by 7:00 a.m. for the next available Inspec on ate. 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. Buirding Permit Application Residential RECEIVED ( P ermit N o .: N l f►ll OVFICI I Sli ON1,1 City of Tigar Rece Date/By: 5 13125 SW Hall Blvd., Tigard, OR 9722 S i oi - -Gb!! :� Phone: 503.639.4171 Fax: 503.598.1960 C 97221/My 312012 Plan Re Date/B y: view . • t / C '7f Other Petmit ���� QvQ/ 1 . l �, n �t �� Inspection Line: 503.639.4175 C t D Date ReaayBy: / rte: ® See Page 2 for Internet: www.tigard -or.gov p BUILDING pI D GA N otified/Method: a ! Supplemental Information TYPE OF WORK QU D 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. 0 1- and 2- family dwelling ❑ Commercial/ industrial Valuation: /45 45,.44- ❑ Accessory building El 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: 11041 SW Sage Terrace New dwelling area: 1186 square feet City/ State/ZIP: TIGARD OR, 97223 Garage/carport area: 480 square feet , Suite/bldg. /apt. no.: 6 I Project name: VILLAGE AT SUMMER CREEK Covered porch area: 18 square feet 5 73 Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet 40 SW l35' AVE, AND SW SCHOLLS FERRY RD Other structure area: I H square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 24 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: S UNIT C 1186 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 / f/ 7 All contractors and subcontractors are required to be Contact name: Bill Waggoner elr 5C(r _.a.i/ - /5 3 ? licensed with the Oregon Construction Contractors Board 4 / 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 I Fax:: (503) 608 -3061 E -mail: bilLwaggoner@pulte.com CONTRACTOR Business name: CENTEX HOMES BUILDING PERMIT FEES* Address: 3884 SE Aerie Ave. - (Please refer m fee schedule) Structural plan review fee (or deposit): City/State/ZIP: Hillsboro OR, 97123 - Phone: (971) 246 -1417 Fax: (503) 608 -3061 FLS plan review fee (if applicable): CCB lic.: 182591 Total fees due upon application: /,, Amount received: 1667, Authorized signature [ ` \ l This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Dave Templeton I Date: s/ 5 j,()/ L_ • Fee methodology set by Tri-County Building Industry Service Board. I: 1Building1Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB) Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY n City of Tigard Received DateJBy: 5- '3/ IT / Permit No.: �jr�l /�e_z5/ - a 13125 SW Hall Blvd., Tigard, OR 97223 MAY 31 2012 Plan Review Ill Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit NoAQ 9 - -* fII T I G A R D Inspection Line: 503.639.4175 Dat ReadyBy: infix: : 10 See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD t ead ethod: Supplemental Information TYPE OF WOm. - -- ...BUILDING DIVISION 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 (I) 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 SITE INFORMATION AND LOCATION Site utilities: Job site address: Catch basin or area drain 18.76 j / o li -s ("' Sa /eTeW'rt « 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.: 6 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) 1 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.: Rt.( Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer I 25.02 NEW SFR TOWNHOUSES Dishwasher I 25.02 UNIT C 1186 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: 1 3 g S 4ee; e Al v-e_ Garbage disposal 1 25.02 City /State/ZIP: f-+.j /i,soto, oR 9'?113 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: og.' /f lnin 0 Ae/'` �/ Roof drain (commercial) 12.51 Address: 388tI S E /Tel ye Arc Sink/basin/lavatory 5 25.02 City/State/ZIP :: 6;61 to, O R `/ 7Ja Solar units (potable water) 62.54 Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 E -mail: /bi /(.\s.0 ,' /}r.CO/yi Urinal 25.02 Water closet 3 25.02 CONTRACTOR 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 Lie.: 79666 Plumbing Lic. no.: 20 -148PB Plan review (25/o permit fee) A /4„/ %of State surcharge (12 of permit fee) Authorized signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: PETER POLLARD Date: i 9- /, f 0 after it has been accepted as complete. a Fee methodology set by Tri- County Building Industry Service Board. I:\Buitding\Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(10/02/COMINEB) Mechanical Permit Application FOR OFFICE USE ONLY l ig City of Tigard ty Received � g/ 1 ,- ; Permit No.: F 4./......41//7 ° 13125 SW Hall Blvd., T OR 97223 \V1� t3 \ Plan Review n Phone: 503.639.4171 Fax: 503. 598.1960 DaWBy: OdterPermit: e-90/2"-10/0/ TIGARD Inspection Line: 503.639.4175 1 1 ^ pate Read B : hair I Page 2 for nternet: www.tigard-or.gov ��v 1 L Notifie d /Melhod: Supplemental Information r ' r ft " ` 4 7V. .. : :4 of `3�� tg c e l 1- Am c o t i a ®_tea ; * cl u a t u . o (9)I elt yy -- X_ _ _ .. - � f1 � rL" �. :Z'�YS �� sr ° Fti J'�_YL -`yii �1F �_ �� . - �- ...�T� ,� �T, I . Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition /alteration performed, Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: D`''� mechanical materials, equipment, labor, overhead, and profit. k ,, . - -OrAf-g'Z 9 lift , C0 ,i. - u cl iff U -: ,r; t A` ' > , �l Value: $ , ®1 -and 2-family dwelling 'a s r o 017 ... to r /, , 1,R SWES , K y g ❑ Commercial/industrial ❑ Accessory building ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. I Ea. I Total ;t ' ' t tI A DD l; li" °S ,-+-'� + o ,. L JD t ? e O in - Heating/cooling Sw C /Y4c Air conditioning Job site address: 1 � o Y � .�� G 1 a (requires site plan showing placement) 46.75 City/State/ZIP: TIGARD OR, 97223 Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75 Suite/bldgfapt. no.: 6 I Project name: VILLAGE AT SUMMER CREEK Furnace 100,000+ BTU (ducts/vents) 54.91 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 I Lot no.: y Other: 23.32 Tax map /parcel no.: Other fuel appliances n a. c 1 _ o `` o "'` ,� o ` - c _ _.. 3 1 ���, _ Water heater 23.32 23.32 - . . ,., ... n it _ v Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT C 1186 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 .: ; - . �. y3' ] - E ,Srisl ,o O 4 �.r , -, - . E I:s - ; ,.,,, Ot Chimney/liner/flue/vent 23.32 Other. 23.32 Name: CENTEX HOMES Ave_ nvironmental exhaust and ventilation Address: 1 3 881 SE /4P/)`e /l , Ran equipment 1 33.39 3339 City/ State/ZIP: I 1+413 6 r0 , OR q7 / 3 a Clothes dryer exhaust 1 33.39 33.39 4 7 Single-duct exhaust (bathrooms, Phone: ( /71- d (6 -) 4 C7 Fax: (503)608 -3061 toilet compartments, utility rooms) 4 23.32 93.28 .4 , e : f - r :; M• 4 :.+,;;, Attic/crawlspace fans 23.32 Other: 23.32 Business name: CENTEX HOMES Fuel piping Contact name: g,./ wp ;90 frt ,, ., $14.15 for first four, $4.03 for each additional Address: 388 ( AP r; e !t . r Furnace, etc. 1 14.15 Gas heat pump City/State/ZIP- /..)-" /f S b r p o ft 9 7A Wall/suspended/unit heater Phone: 57/ - p 16 -/'i'( Fax: : (503) 608 -3061 Water heater 1 Fireplace E -mail: {b-'/l, IA, 44,. O/ler . j , ,I7"1 Range 1 ` -Y,'. k..° `= co - 3 J p '' '= ,: k . � s. , Barbecue . 61 a . ,.:•-t .. .,, a " ..2_ ��..,;" f ,,, at, - ° t. Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW }CABLE LANE, STE 500 C �,; :x2;7" City/State/ZIP: PORTLAND OR, 97224 Subtotal Phone: (503) 598 -0966 I Fax: (503) 598 -8498 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB tic.: 50096 State surcharge (12% of permit fee) / TOTAL PERMIT FEE Authorized signature: / / - This permit application expires if a permit is not obtained within 180 /` days after It has been accepted as complete. Print name: KYLE : • .i I Date: * Fee methodology set by Tri -County Building Industry Service Board I :tBui dingtPemiits MEC- PermiApp.doe 10/01/09 ., 440.4617r ( I 1/02/COM/WEB) . . .. . Electrical Permit A lic ' D FOR OFFICE USE ONLY City of Tigard i eilinelk i Permit No.: .0 90, ,..ean// 7 041P I 3125 SW Hall Blvd., Tigard, OR WA* 3 1 2012 Plan Review I ° I I g ' -- Phone: 503.639.4171 Fax: 503.59SV1t430 Date/By: Other Penniti.02 -cso/o/ Inspection Line: 503.639A175 Date Ready/By: luris: to See Page 2 for . TIGARD i Internet: www.tigard CITY O1 TIGARD NotifiecVMethod: Supplemental Information ': ‘ .: : 7 :,-. ;:.:,..,,•-';:: ". . ,:,, ., -..,..-. ‘.,---.,--.,,,::_,--.=•-• --•• •:, --.•'- ' -=5 ( PLAN' REVIEW .-- • - •": - II'-.• Ik'"' x New construction ' . . LI r Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below): Lai ['Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 12 Other: where the available fault current 0 Marinas and boatyards. '_"!: ''' • :',..--, :=', CATEGORY ::--- .. ;:' .,2'....."..'-7f.! exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground, or exceeds 14.000 0 Commercial-use agricultural ID I- and 2-family dwelling 0 Commercial/industrial [3 Accessory building amps for all other installations. buildings. I 0 Multi-family 0 Master builder El Other: 13 Fire pump. 0 Installation of 75 KVA or I : . SITE — - ' ''' " . ' '' ' ' --"-- — "=•',, •.---, -,-.- ? ••-, 0 Emergency system. larger separately derived system. ' tT.'. -•' -", '•. C--) --".INFORMATIOSP ANII:XiICATIOli , . - -. 4,, ' 7 4- - " rn LJ Addition of new motor load of I 00HP Or more occupancy. Job no.: Job site address: 1/0111 5,.... ieritce 0 Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: TIGARD OR 97223 0 Health-care facilities. 0 Supply voltage for more than • 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: 6 Project name: VILLAGE AT SUMMER CREEK ['Service or feeder 600 amps or more. lt.t.:Sdift:15. fitif.i'-='!:',',IfiiRIA: Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Ow. 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.: 2)1 1,000 sq. It. or less I 168.54 168.54 I 4 Ea. addl 500 sq. fl. or portion 2.. 33.92 I Tax map/parcel no.: Limited energy, residential _____ I 75.00 75.00 2 7-- ' - -.7.- 1:0i§ettlititok - OgrAVOitIC . :' ' ' . % ''''''":'"'-'• ''' ''''' ''.-:-' (with above sq. ft.) Limited energy, multi-family 7500 2 NEW SFR. TOWNHOUSES residential (with above sq. ft) ) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 2 .. ..„ . . - - ., .. ,...,.....— --------- - ...-- --, „-,.,,,,, *- ,..'t '-,-.•-• - - - - ---1 - -, '-' ., amps ,•,/grttRoPERTYFIMYNER ................... .:..:: -.::.'-'.-....„',...: iiii .:r1PEPUW:-- 201 am to 400 amps 13356 C I' -, . 401 amps to 600 amps 200.34 2 Name: CENTEX HOMES 5 601 amps to 1,000 amps 301.04 2 ■ Address: 3a5 1 1 _Sr /1 en' 4 LC 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City/State/ZIF. I - }I' I I 41 2 o l'0, O ?-7/A-3 relocation Phone: q.1-?, L i -/ Fax: (503-503-6031 200 amps or less 59.36 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, orpchan e, according to ORS 447, 449, 670, and 70 Branch circuits - new, alteration, or extension, per panel Owner signature: • Date: 5 — , 1Z. A. Fee for branch circuits with above service or feeder fee, gy:APPLIC. Nt: t.,.; "'T=7.3':C:ONTA .. _ . ,1_ ;' ,:._•,,..', 742 2 each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: ,63 /1/ ,,,42,0Acf- branch circuit Each addl branch circuit 7.42 2 Address - '■ gggit ..,c5 ifleti;e_ 4 rr Miscellaneous (service or feeder not included) Each manufactured or modular . City/State/ZIP .. kfiyi ciz 9 ?yas dwelling, service and/or feeder 67.84 2 Phone: ' 's ? 71-ai Fax: : (503) 608-3061 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail. 0,11. 6.9,9pitt..rpvikelg2 Sign or outline lighting 67.84 2 ,•'-' e_ N..,T e_„..ipti.ia?.. 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 Investigation (I hr min) 66.25/ hr City/State/ZIP: HILLSBORO OR, 97123 Industrial plant (I hr min) 78.18/ hr Phone: (503) 648-4552 Fax: (503) 642-7925 Inspections for which no fee is 90.00/ hr specifically listed ('/ hr min) CCB Lic.: 182591 Electrical Lic.: 34-305C I Suprv. Lic.: :: ," . ,' - _ 'ElSeiria. CAL. :tERSIT, 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: , • ..- //V This permit appticatIon 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 permit. • 1:113uildingWematAELC-PennitApp.doc 07/01 /10 440-46 1 ST(1 1 /05/COWWEB • I/I L[_<I-e iloyl S& o ° Building Division f� Development Code Provision Review TIGARD Residential Projects Building Permit No: /679/2' / 1 7 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: Original Plan Submittal Date: 5 51/9- 15 Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: • Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) 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 . t 503- 718 y/> � or k4 @tigard- or.gov) Land Use Case o. J �/ (7/ ' '/ /P Name ' 1 f' / • - .,Az, 4 ` i Zoning Setbacks: Front / 5 Rear /- Side Street Side / Garage O Er Maximum Building Height 7 t f Actual Building Height ❑ Visual Clearance ❑ Easements . ❑ Sensitive Lands Type: Notes: I . • i /,24 14,7 Original Plan: Approved [ Not Approved ❑ Date: C0/ 2- Ake 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: L Notes: Original Plan: Approved Not Approved ❑ Date: Co ' I Z 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) ❑ Street Trees ❑ Protected Trees Notes: Original Plan: Approved ►B Not Approved ❑ Date 77 _--- 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: Yes o ❑ Date Routed to Building: ¶// 4 ). ' • Page 2 of 2 illage a , 0.7a g, q. 7 / (17 T -X X X X X X X J E i VED S ummer Cree I , I ,, x X ,X 312012 12.0 I 12.0 1 12.0 I 20.0' 20.0' 20.0' 20.0' I CITY OF TIGAGD f 3 UILDING DIVISION © © I I I © 0 Wu-5 Cqflq, ( C.h , 11i c. tee e I I I � > ( 3.5'H I r44' Ck c f e el' F�v+e�; fe -� — — _�— — - - — --� 3.5 I I Building Plan: 6 22 I 23 4 I f� , I T l - reKC� , 2 5 Lots 22, 23, 24 & 25 FF/TOW 188.79 FF/TOW 189.79 FF /TOW 190.79 FF/TOW 190.79 Units A -B -C-A 1 GS 188.09 I GS 189.09 GS 189.59 I GS 190.09 TOP 188.25 TOP 189.25 TOP 190.25 I 1 TOP 190.25 SITE PLAN ______ I , Scale: 1"-10' 2 0 ti I \ \ � I 1 r - r- i.. . . . . _L__ . _ . ..___ , L ....� I ��,:.:.: ;') r: :: r .:: ' ;';';':� ::. 3.51 .: . ...I ... . -.. • ... i - • - • � ... � . 1 ...: :1 - . 1 . :.. .. 7.0' : 1 8 :0 :Q:l 1 1 7 .� 19 0. ffil 15.0' _- Q I 16 - -f 4- -• _ _ -- - - 0 I I Q t .. . ;:.• :: • Bk . o y' ' ... .... .. .. .... . "'ii v� i ........ ..... . .::: : . ..:: . . N8 €0 187.7 I . . I ENGINEERING ASSOCIATES CORPORATION t ` '... : . : ,.. SW SAGE TERRACE 17757 Kelok Road Lake Oswego, OR 97034 8" SS Tel. (503) 636 -4005 Fax (503) 636 -4015 I , I - , V illage at / 17.' - is /1F8.17 / 13.7 a ($1.7a ree I S u mmer 2 1 12.0 i 12 ' 12.0 ' T ir•01 ' I °�z � � ' �L.1 ) l ,� j �� l �j d �j 20.0' 20.0' 20.0' 20.0' S /ON aOrk O p I I I O I I I 3.5' I---- i 4 PAS (/!e P II ____L__ _____L_ - --.--I 3.5' I I , I Buildin Plan: 6 CINl n -Lietc Ftp ' e�� ' g 22 23 24 25 Lots 22, 23, 24 & 25 F F/TOW 188.79 FF/TOW 189.79 FF /TOW 190.79 /TOW 190.79 ✓ if. F� GS 188.09 I GS 189.09 GS 189.59 I GS 190.09 I I Units A -B C I TOP 188.25 I TOP 189.25 TOP 190.25 I I TOP 190.25 SITE PLAN I 1 1 Scale: 1 " -10' I o n ti I s I I 1 1 I �yoia- do << 7 //ow 5-r,) ice- d ay -.- I I s7 - D 5 7 9A/ a T� L a 3 -_ - -, r ,-- - �Ta ©1 vo 1 I / / '` 3 .5'r-- I L , � .r - Lai" 27-- r T- -r _D.-- --r //157- 0Z 0/o2- U°'/' / /°&7 6w 1 i n s - '{ 3.5 1 1 �i15T�2�1 0 "6'39 5v✓ S e 7 Go t o 2 5 Q I I � . 19.0' . • -� I .. . ® • .. 21 0' � - -. 17.0 18.0 Q I 1 17.0' 1 9.0' 0 hI : 5° 160' . - 1 �, . 0t • i1SC.So A g a $$,60 1.1 0 f 29.4 D .: .,‘, p • ENGINEERING ASSOCIATES CORPORATION SW SAGE TERRAC 1 7757 Kelok Road Lake Oswego, OR 97034 8" SS TeL (503) 636 -4005 Fax (503) 636 -4015 I I MST zotZ..• 06 11 STREET TREE E CERTIFICATION _ . . . . . . ..„.. .....:.,. n G71it ete owner /a g• e �'re r Cei W Dote : f (PLEASE PRINT) (PERlb111 HOLDER) do hereby certi that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved plan. • STl E ADDRESS: I I o 1- 1( SW SiSc 1 SUBDIVISION: s w "me,/ C, LOT #: 2 `l SIGNATURE: It/ DATE: 1431 I Z ER /.AGENT) RECEIVED & VERIFIED BY DATE: / /Ay (CITY 01 IIGARD) Tree location verified,.er approved site plan. • I: \Building \Dorms \Streee reeCcrtifiicate 07/01/2010 • Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, L7I \ W ftvd ,V am the general contractor or the owner - builder at the following address: Site Address: lib `AI 614 sky, ,.. c c o/1. t .4. City: Permit #: a- tool Subdivision /Lot #: .ShMAW C✓e4 - 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]. 8318.2 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: 14 I 11( .ral Contractor or Owner - Builder I I l*� USuildinuU Fornt' RIiS- \loisturRScnsitiveWood.doe 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: /V - %DM 00 6l Jurisdiction: --r, Site Address: •101 t &NI 50 N Ce Subdivision/Lot #: 5 tAIARA Cruk Ltd . 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: lf�4 Own General Contractor /Authorized Agent Print Name: IS t‘k \V A 0∎Aa✓ 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 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 arc compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:Utuitdint \tones \t s -I lightinicicncyl,lghting.doc iMotiOS