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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2012 00118 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/26/2012 Parcel: 1 S 133CA10000 Jurisdiction: Tigard Site address: 11057 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 23 Project: Village at Summer Creek, Lot 23 Project Description: Building 6, new SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 46 sf Basement: 0 sf Left: 3.5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 643 sf Garage: 509 sf Front: 8 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 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 > =10OK: 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 97123 HILLSBORO, OR 97123 PHONE: 971- 246 -1417 PHONE: 971- 246 -1417 FAX: 503 -608 -3061 Total Fees: $13,020.88 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 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: .act 4 ,14 Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the Job site at the time of each Inspection. Building Permit Application Residential FOR OFFICE USE ONl City of Tigard ° ; " M Permit No.: N5 A . „ !g I I I n 13125 SW Hall Blvd., Tigard, OR 97223 RE ; lan Review » ,A 711 Phone: 503:639.4171 Fax: 503.598.1960 _, I a ate/B • C~� der Permit: Qap/ 2..-00 All _ Inspection Line: 503.639 Date Ready : y: / kkris. ® S Page 2 for TIGARD MAY Internet: www.tigard -or.gov 3 2012 NotifiedlMethoa: SK a- A Supplemental Information TYPE OF W l D A1 REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition DIV ISION 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. ® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: �C j �, eo ❑ 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: 11057 .S'+'5rje Ter nee New dwelling area: 1332 square feet City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 509 square feet 63 Suite/bldg. /apt. no.: 6 Project name: VILLAGE AT SUMMER CREEK Covered porch area: 17 square feet (0A-3 Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet 1 SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: IN square feet 'ZZj REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 23 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: 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/Z>P: Hillsboro OR, 97123 applicant is exempt from licensing, the following reasons apply: Phone: (971) 246 -1417 Fax: : (503) 608 -3061 E -mail: bilLwaggoner@pulte.com CONTRACTOR Business name: CENTEX HOMES BUILDING PERMIT FEES* Address: 3884 SE Aerie Ave. (Please refer to fee scheduled City/State/ZIP: Hillsboro OR, 97123 Structural plan review fee (or deposit): Phone: (971) 246 -1417 I Fax: (503) 608 -3061 FLS plan review fee (if applicable): CCB lic.:182591 Total fees due upon application: ' Amount received: #7/5. cos- ' Authorized signature /` T his permit application expires if a permit is not obtained s /�� within 180 days after it has been accepted as complete. I Print name: Dave Templeton I Date: / ZO IC, • Fee methodology set by Tri -County Building Industry / Service Board: I:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(l1 /02/COM/WEB) Plumbing Permit Application Building Fixtures Ci of Ti and CEa n E D ceived _I�� Q g DemAry: � Pe rmit No.: r / 13125 SW Hall Blvd., Tigard, OR 97223 C . Phone: 503.639.4171 Fax: 503.598.1960 MaY 1 2012 Plan Review Date/By: Other Permit Noa 0, _ede,r Inspection Line: 503.639.4175 T I G A R D Date Ready/By: Ions: ® See Page 2 for Internet: www.tigardo ��'l+V r.gov '' ++ �+ OFTIGA Notified/Method: Supplemental Information TYPE OF WORK'""MGDIVISION FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 1 -and 2-family dwelling SFR (2) bath 437.78 ® y g ❑ Commercial/industrial building SFR (3) bath 1 500.32 500.32 ❑ Accessory g ❑ Multi - family 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: 1 05 7 51.- -_ . '7 - - Dr leach line, or trench drain 18.76 City/State/ZIP: TIGARD OR, 97223 Footing drain (no. linear ft.: Mk 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) I Page 2 Storm sewer (no. linear ft.: lig) 1 Page 2 Water service (no. linear ft.: 100) 1 Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: a Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 NEW SFR TOWNHOUSES Dishwasher 1 25.02 UNIT B 1332 SQ. FT. Drinking fountain 25.02 Ejectors/sump 25.02 0 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 3S5 .5EAer ■ e A b e Garbage disposal 1 25.02 City/ State/ZIP: j}r // r0, OR q7 ) ?, 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. 13, // Wo' on e f' -3, - Roof drain (commercial) 12.51 Address: 3 $8N( SE Aerie Ave__ Sink/basin/lavatory 6 25.02 City/State/ZIP: W /Jsboro/ 0 9 7/ 3 Solar units (potable water) 62.54 Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 E -mail: b t..a ,ere_ Pv / +C.CO#-1 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 %ofpermit fee) ��ll State surcharge (12% of permit fee) Authorized signature: "0,14/ re- (7 -/V TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: PETER POLLARD Date: after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(10/02/COM/wEB) Mechanical Permit A lication g � FOR OFFICE USE ONLY lig a City Of Ti and R etx i teJB y: �/ I pw PemritNo.: �� O� _,y� l ` / � w 13125 5 S50 Hall TF OR 23 Plan Review Phone: 503.639.4171 .4171 F ax: ax: 503.598.1�(Qv 3 1 2012 Da Date/By: Otter Permit_ /' co �fZ -� /() p 'f !GAR U Inspection Line: 503.639 M 1 Date Ready/By: . r : Jura ei See Page 2 for Internet: www.tigard -or.gov CITY TIGARD Notified/Method: Supplemental Information Y ; . ::: :, , t .,.:,zi? 3`a 7 i i! - x A ::cam ` -. , ._._.. . ° °_40 _@ t;V . E 10, IA I f E S .t0syygi w. ' Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition/alteration/replacement ❑ Demolition ❑Other. performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead, and profit ,s- >i .,-v7=11,--,-. , "-,- , f_ .,( ,.;, : c/V'ila�0`t r ( c a l I 4 t.1' ,,, . P -Nd.0 � Value $ - 1l/ it a1Vu ✓_V_,ar o e1 J- • r4 ..,d -1 ,..� ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building rte El Multi-family 0 Master builder For special information use checklist. ❑ Other: Description I Qty. I Ea. I Total ,.r - :`.a -al- ,41 ?' III r - I ,. o g y,�1 / _V,, � i� p e, a °-- 4 I o .,.- - x.'M Vii - .- =s Heatinglcooling Job site address: Air conditioning 1 0 5 7 . 5 ' - •S f' e / C/1e4 Ce (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 100,0004- BTU (duets/vents) 54.91 Suite/bldg. /apt. no.: ,6 I Project name: VILLAGE AT SUMMER CREEK Heat pump 61.06 Cross street/directions to job site: CORNER OF SW BARROWS RD, Duct work 23.32 SW 135TH AVE, AND SW SCHOLLS FERRY RD Hydonic 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 I Lot no.: a3 Flue/vent for any of above 23.32 Other. 23.32 Tax map /parcel no.: Other fuel appliances ° .. -v .., I •islet - Of Wia:; -> •f Water heater 1 23.32 23.32 Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT B 1332 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace insert 23.32 h ' } ' 0 'A I l ( �Ci/1 tt_ .Z ..-, i „ ° a ,,s °`1 D ; 7 'F'�1� :t: 'I' : : . fix: Chimney/liner/flue/vent 23.32 - :.: rte. a _., a .- c s Other 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Address: ,�8`>SS ,4e/1ie_ /4vt_ Rangehooel/otherkitchen L - equipment 1 33.39 33.39 City/ State/ZIP: 1 i //SUom, OR / 7ia3 Clothes dryer exhaust 1 33.39 33.39 Single -duct exhaust (bathrooms, Phono. q7/-A i -) y 7 Fax: (503)608 -3061 toilet compartments, utility rooms) 4 23.32 93.28 .'..A '! : 'T I °ir:' , 1 i;' iif' 7> •:): t r ,0 at ar. 0Ub _ e r. Atticicrawlspace fans 2332 Other. 23.32 Business name: CENTEX HOMES Fuel piping Contact name: O, /l wq9 /90 ,,�. $14.15 for first four; $4.03 for each additional /� / le± Furnace, etc. 1 14.15 Address: ' 388 L( .S Aet . I . Gas heat pump City/State/ZIP: L, /1Sbbro, O t 9 /1.1 WalVsuspended/unit heater Phone. Q71_aL 6_ /y Fax: : (503) 608 -3061 Water heater 1 - Fireplace E- mail: • I t - , oA e/ c. / it • CO/11 Range I ter ' $„ . '; 'WC a.]�ETdi e l..0 t,_, :,:gr1- F s - Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 -a��� 4 City/ State/ZIP: PORTLAND OR, 97224 Subtotal Phone: (503) 598 -0966 7iilf7 : (503) 598 -8498 Minimum permit fee permit fee) 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 h not obtained within ISO Authorized signature: days after It has been accepted as complete. I Print name: KYLE BI ' ` AN I Date: • Fee methodology set by Tri• County Building industry Service Board 1: \BuildvgtPennits\MEC•ParnmApp.doc 10/OI/09 440- 4617T(IIJ02/COM/wEB) • 6 Electrical Permit Application �j � FOR OFFICE USE ONLY n City of Tigard `` � `d 5�1.1 ;! Penult No.: N5I�I0 c� /4 N - ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Pemtit:�p�, .C2'j�QJ' . Phone: 503.639.4171 Fax: 503.598.19 4y 3 1 �,� Date/By: TIGARD Inspection Line: 503.639.4175 1 2012 Date Ready /By: Jurb. E1 See Page 2 for Internet: www.tigard- or.gov '�'/ Notified/Method: Supplemental Information „7 ).1--":. ,.i . " ' .._ TYRE: 1M t, ! L'' "1t = .. *` •_._ _' . = . PLAN`REVIEW .?`` `_ . ,: k ICI MOAT' Please check all that apply (submit 2 sets of plans w /items checked below): ' ® New construction ❑ Addition /alteration/replacemen ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. . _ _. - , � :,; "" "' _ - _ ��_. ; ?.CA;PE'GU7tY QF�;CONSTRUCT_ IUN � = = "? =- - _ c' _, ,'' s ` ' = > a ' ' s_ `` _ ? exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14.000 ❑ Commercial -use agricultural ❑ I - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi family ❑ Master builder ❑ Other: ❑Fire pump. ❑ Installation of 75 KVA or - ,,,:' "' : - _ � „ - ❑ Emergency system. larger separately derived system ' c" ' -- ' . - ' r' -' '''JOB: -SITE -0:10RMV]TIDN� AND;LO O : - °. , _ ... �='�, ti- � .� - A� �.,_ -� �`� k, -'. °ice'- ' ❑ Addition of new motor load of ❑ "A" °E" "I -2" "I -3" Job no.: Job site address: / /OS 75t , - s, 7-t,tet Sul or or omres. Recreational e � ❑ Six or mom residential units. ❑ Recreamion al 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.: 4, Project name: VILLAGE AT SUMMER CREEK ❑ Service or feeder 600 amps or more. Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Qtr- I Fee. I Total I • SW 135 AVE AND SW SCHOLLS FERRY RD New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: R 3 1,000 sq. ft. or less I 168.54 168.54 1 4 Tax map/parcel no.: Ea. add 500 sq. ft. or portion Z 33.92 _ Limited energy, residential 1 75.00 75.00 2 - :r'''-'' 3. T = <: . ; DESCRIPTIo of S of k' � - (with above sq. IL) Limited energy, multi - family 75.00 2 NEW SFR TOWNHOUSES _ residential (with above sq. R.) Services or feeders installation, alteration, and/or relocation _ 200 amps or less 100.70 2 Vi- `y PROPERT�'vOVI!IVER - - s - E - , if; TC3fA:N`:T '' 201 ampsto 133.56 2 Name: CENTEX HOMES 401 amps to 600 amps 200.34 2 /� 601 amps to 1,000 amps 301.04 2 Address: 8 `/ SAec; e A ✓ _ • ' ' Over 1,000 amps or volls 552.26 2 City /State/ZIP: NilLsJ,oro, oR 9?/?3 Temporary services or feeders installation, alteration, and/or Phone: / y/- a [ -/ y) Fax: (503 -503 -6031 200 amps or less 59.36 I Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 2 intended for sal lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 ` Branch circuits —new, alteration, or extension, err panel Owner signatur ) (� G-- t — Date: tS /L IZ A. Fee for branch cirwits,v;rh '''''$':;" ®` N. above service or feeder fee, ARPC:ICAN 4234- _ , r� ® '''05*ACf.` ' :- : , .42 2 .... �. .- �- -- -. -- .. �_. .... _ : _�__.:� _ -. - - .. _ ._ ... -_ - each branch circuit 7 Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: t _g 1-- ,,one/" branch circuit Each add'I branch circuit 7.42 2 Address: 388 if SE 4e'ti a / lot Miscellaneous (service or feeder not Included) /� Each manufactured or modular City/State /ZIP: /-t / S f'o OR 9 7/c13 3 dwelling, service and/or feeder 67.84 2 Phone: F -a y ,6 - /y/7 - 1 Fax: : (503) 608 - 3061 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: igs,/,7 /, a.RJ17ne-re f.'i/e ,60,7-, Sign or outline lighting 67.84 2 GON7 = = < >:�, ti.. '" �' ` �.� °' �'� " � Signal dreuit(s) or limited-energy Business name: GARNER ELECTRIC panel, alteration, or extension. Paget 2 Each additional inspection over allowable in any of the above Address: 2920 SE BROOKWOOD AVE, STE A Additional inspection (I hr min) 6625/hr City/State/ZIP: HILLSBORO OR, 97123 Investigation (I hr min) 6625/ 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/ hr specifically listed ('h hr min) CCB Lic.: 182591 Electrical Lic.: 34 - 305C I Suprv. Lic.: EI E'C1'RICAL:PERMIT a � `_` - . : 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: 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 permit I: Bulding Wermius\ELC- PennitApp.doc 07/01/10 440-461$T(I1 /05 /COM/WEB ' au HH /1 057 ) E �e J)7-'5 e ° Building Division 7eC106- Development Code Provision Review TIGARD Residential Projects Building Permit No: M ` TT a0 ! -6 / 1 g CWS Service Provider Letter Received: Yes ❑ No ❑ N/A 71 Routed Plans: 6- 3, Original Plan Submittal Date: 1st 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 at 503-7 18 O or 'L"7 @tigard- or.gov) La Use Case No. 1 7i?Da6 �a7 • Name V j'f 1 ® o at y�ri,/, [Zoning g- - .)-m C. e 0 Er Setbacks: Front ( Rear /' 9 Side t j- Street Side //b Garage 2 Z) O Maximum Building Height ti 5 -I Actual Building Height c:ZQ ❑ Visual Clearance '- ❑ Easements ❑ Sensitive Lands Type: � Notes: I' / Original Plan: Approved Er N ❑ Date: t 2 v7 /z lr 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) .a Actual Slope: Notes: Original Plan: Approved "Er Not Approved ❑ Date: (L/ 1 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 Not Approved ❑ Date: 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 No ❑ Date Routed to Building. s f t t Page 2 of 2 r illage at 1$7 rte. 1 7 ) 7O __ D -x x x x x x x x �, 31 2012 iirrirrier I1ree x x x x x x �,.,�� 12.0 I 12.0' I 12.0' B (RUNG 1 OF � GARD D 1vis ioN I OR% ... . :01 20.0' 20.0' 20.0' 20.0' ■ 0 0 I I I I I I n 0 3. 5' I4` r CI(tI I C �4 k \ _ I _ --� 3. I C4 ••■■cite,•e Building Plan: 6 22 ' 23 24 ' 25 1 Lots 22 23 24 & 25 SI Fe V1« FF/TOW 188.79 FF/TOW 189.79 FF /TOW 190.79 FF/TOW 190.79 Units A -B -C -A I GS 188.09 GS 189.09 GS 189.59 I GS 190.09 TOP 188.25 TOP 189.25 TOP 190.25 I � TOP 190.25 SITE PLAN ; I , Scale:.1 " -10' -1- o � y 1 1 \ I I ! 1 I 1 ..... 1- ... — ::I 3.5'x............I — :.:.:.:.: . 1 • • ........................ .................. :............., r L ' " " • • • • " " " • . • . ...... ............ .. .ci.... ....... .. ....,........................ .." ... ............ ..... • • ... . .. .... ....... . • • • • of. • • . • • • . • • • •I • • • • • .......... ., 1 .. . . . . .. . . . . ..."... • • • • • t • • • • (� ) I 15.0 L... 17.0 __ __:_ :; ... • .• • ..• .• • ..• .... [.................................. .....• 0 e ) . ... . .. ....... ..... ..... ".""_ ............ ill............................................ .. .......... ..... • " • .• .• • • • • . • .. • • . ............ ." " " • • " • .... ....... ............ .. ........ ,....... ..... ..... • • • • ..... ej 4 ......... ... ............. • . " . .• • .• ............ ..... • . 9 . , ..:.:.::.. _ \,1/4i % ............... i4i.., ....... ......... .......:....:.: / : .:::......... ... ...... : r:...; . ENGINEERING ASSOCIATES CORPORATION �s:::.' : :::::.:;:: c` S W SAGE TERRACE 17757 Kelok Road Lake Oswego, OR 97034 8" SS Tel. (503) 636 -4005 Fax (503) 636 -4015 I I I I a �a, . 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 mieru -o al t'f STREET TREE CERTIFICATION I, bat NA 0000 , owner/ agent for CelAA-G . VVIVS , (PnSE PR!N7) (PERMIT 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 site plan. SITE ADDRESS: ILO s3 S IA) Sqv. SUBDIVISION: S cat mme,,r Cri.ek LOT #: g5 SIGNAT. URE: y DATE: till' 1 tZ (OW/ ER /AG N:I) RE CEIVED �N VERIFIED BY DATE: (CITY OF T16 /11W) Tree location verified per approved site plan. 1:\ Building \ Forms \Street t.c Certificate 07/01 /2u 10 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, GO W N v ,,w , am the general contractor or the owner - builder at the following address: Site Address: ` b5--+ 914 54, Tt,ri■c-e City: "r, 5 Penn it #: N'1S �'L01�1• • Dot 11 Subdivision /Lot #: Sir." Cri t Z 1 L -j a 7 7 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 8318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: Date: � '&1' Genera ontractor or Owner - Builder 1. 11�uildine ' Fonn?RCS- MoisuueSensiti‘eW :d_doc 09)25.O Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Pemnit No.: MSY X012 —Dot l Jurisdiction: --� Site Address: I l7 $`l 50 S wv Subdivision /.Lot #: • SMV " e•∎• crc t ;.3 and/or Map and Tax Lot I: • 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: Date: /� /�� in.- - — 666 Owner /General Contractor /Authorized Agent Print Name: 1311 Nfl ft5 „ (/ • 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 he notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. L. ".t3uildinr Form;\RZES -I tigliI tJicienc.Lighting dim: 07/01108