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Permit lq CITY OF TIGARD MASTER PERMIT 3' • COMMUNITY DEVELOPMENT Permit #: MST2012 -00119 Date Issued: 06/26/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S133CA09900 Jurisdiction: Tigard Site address: 11069 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 22 Project: Village at Summer Creek, Lot 22 Project Description: Building 6, new SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 60 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height: 28 Bathrooms: 3 Second: 703 sf Garage: 620 sf Front: 8 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 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 SrvclFeeders 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 +ampNolt: 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 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: $13,360.27 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. 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 -001 roug AR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by callin 3.232.1987 or 1.800.332.2344. Issued By: • � ; ;V .8 t� L0 Permittee Signature: 4 if %c.)..-1 Call 603.639.4175 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 rou orrlcl: USt: o:Nl.V • 9 City of Tigard Q _ aw (__ U Received Daz � ( Permit No.: 1g �J J? II 111 • 13125 SW Hall Blvd., Tigard, OR 9 I f Plan Revie Phone: 503.639.4171 Fax: 503.59 . l 1�rr nate�ay .19 I' 1 mother Permit: ,5e,0149€:42•-e)0/403 i G n lt. p MAY 3 Inspection Line: 503.639 1 2012 Date Ready y: tuns: Other See Page 2 for Internet: www.tigard- or.gov Ngtifi e l[ t p Supplemental Information O TIGABD Iu ( TYPE O REQUIRED DATA: 1- AND 2- FAMILY DWELLING G DIVISION Permit fees* are based on the value of the work performed. ® New construction 13§ D emolition P 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 ;plication. ® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: 17 8(. ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ❑ Other. Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: 11069 SW Sage Terrace New dwelling area: 1460 square feet City/State /ZIP: TIGARD OR, 97223 Garage/carport area: 620 square feet Suite/bldg. /apt. no.: 6 Project name: VILLAGE AT SUMMER CREEK Covered porch area: 33 square feet '7072-) Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 160 square feet SW 135' AVE, AND SW SCHOLLS FERRY RI) Other structure area: ZC • square feet 2 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 22 Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT A 1460 SQ. FT. Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: CENTEX HOMES Type of construction: Address: 3884 SE Aerie Ave. Occupancy groups: City/State/ZIP: Hillsboro OR, 97123 Existing: Phone: (971)246 -1417 Fax: (503)608 -3061 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: Bill Waggoner licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 3884 SE Aerie Ave. jurisdiction in which work is being performed. If the City/State/ZIP: Hillsboro OR, 97123 applicant is exempt from licensing, the following reasons apply: Phone: (971) 246 -1417 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 jee schedule) 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: Q Amount received: 1 76.2. / 3 Authorized signat C s �...../ This permit application expires if a permit is not obtained I Print name: Dave Templeton I Date: Sit s �� • within 180 days after it has been accepted as complete. Fee methodology set by Tri -County Building Industry Service Board. 1:\Building\Permits\BUP -RES PermitApp.doc 10/01 /09 440 -4613T(I 1 /02/COM/WEB) Plumbing Permit Application • Building Fixtures City of Tigard �� i "� Permit No.:�/� / • 13125 SW Hall Blvd., Tigard, OR 97223 �+ • L1J �� y ' 3/ / m r�f� ` ��! 9 e Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit N95€1.4.6100 - OG /Q3 TIGARD Ins p ne: ection Line: 503.639.4175 ' 6 2012 Date/By: Internet: www.tigard -or.gov 2012 Date Ready/By: tuns: ® See Page 2 for fr.." ^ Y . . Notified/Method: Supplemental Information TYPE OF WORK .. _ .. '4.1 f .IS' ® 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) ® 1 -and 2- family dwelling ❑ Commercial/industrial SFR (I)bath 312.70 ❑ Accessory building ❑ Multi- family SFR (2) bath 437.78 SFR (3) bath 1 500.32 500.32 ❑ Master builder ❑ Other: Each additional bath/kitchen 25.02 JOB SITE INFORMATION AND LOCATION Fire sprinkler ( sq. ft.) Page 2 Job site address: i 1061 51,4./ Sgge T ePAve 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.: 6 Project name: VILLAGE AT SUMMER CREEK Footing drain (no. linear ft.: o) 1 Page 2 Cross street/directions to job site: CORNER OF SW BARROWS RD, Manufactured home utilities 50.03 SW 135 AVE, AND SW SCHOLLS FERRY RD Manholes 18.76 Rain drain connector I 18.76 Sanitary sewer (no. linear ft.: 100) 1 Page 2 Storm sewer (no. linear ft.: 1j ) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: p? p` Water service (no. linear ft.: 100) 1 Page 2 Tax map /parcel no.: Fixture or item: DESCRIPTION OF WORK Backflow preventer 31.27 Backwater valve 12.51 NEW SFR TOWNHOUSES Clothes washer 1 25.02 UNIT A 1460 SQ. FT. Dishwasher I 25.02 Drinking fountain 25.02 ® PROPERTY OWNER I 0 TENANT Ejectors/sump 25.02 Name: CENTEX HOMES Expansion tank 12.51 Address: 3g &'1 S�AtR.z� / 9 t o Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 City / State/ZIP: iliks lofo C) 17 /di Garbage disposal I 25.02 Hose bib 2 25.02 ❑ APPLICANT ® CONTACT PERSON Ice maker 1 12.51 Business name: CENTEX HOMES Interceptor /grease trap 25.02 Contact name: OM Lt/4t / m e r" Medical gas (value: $ ) Page 2 Loy /me 12.51 Address: 32,81 5 epic C 4 VC Roof drain (commercial) 12.51 City/ State/ZIP: }40.5120 re, O R 97 /A.3 Sink/basin/lavatory 6 25.02 I Fax: : (503) 608 -3061 Solar units (potable water) 62.54 E -mail: b • tv f1oAeCe pai.e . (orr, Tub/shower/shower r na pan 2 25.02 CONTRACTOR 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 CCB Lic.: 79666 Pltunbin Lic. no.: 20 -148PB Minimum permit fee: $72.50 Plan review (25% of permit fee) Authorized signature: State surcharge (12% of permit fee) I t� ! r I7" f y o TOTAL PERMIT FEE Print name: PETER POLLARD Date: 1: \ Building \Permits\PLMU- PerrnitApp.doc 10/01/09 4404616T(10/O2/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Date/By: �; Permit No.: „I 0,,.,61 !, 13125 SW Hall Blvd., Tigard, OR 97223 ��-1 plan Review n l Phone: 503.639.4171 Fax: 503.598.1960��+ -e�D Date/By: Other Permit _. laatvg ..661/3 T I GA I: D Inspection Line: 503.639 Date Ready/By: i kris RI See Page 2 for Internet: www.tigard -or.gov MAY 31 2012 Notified/Method: Supplemental Information � :_. C � ' = ' a'21d O ryo , MS. ' ' x a -:. y : Ce0 t/V t a r u u 4 I al • ... 3:�i�.,�F +'"� .` u. --s� . . ;S T, ' : 7'.7. E ztr.��.,. ..r fr, � "'• s���.1— 1 l � '+�� --, ® New construction 0 Addition/altentLIMINGDIVISION Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit t -, o u o t o 4 . Value: $ t.. _ � `=° ZA :.�tREGO ! O ._ T. _ » - .A :i ce .n'' 'it *V -LV.V o e t pc e..' L . ® 1- and 2- family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑ Multi- family 0 Master builder ❑ Other. Description ( Qty. ( Ea. I Total z - ? j,r QB , ii r _- Z,-t . riT o T _ ' t 0 '' ii O` ? z ="� ', _ Heating/cooling , ___ Air conditioning Job site address: ' l06 e t Str.•syf /ettf (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/bldgJapt. 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 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 I Lot no.: Flue/vent for any of above 23.32 Other. 23.32 Tax map /parcel no.: Other fuel appliances •-e z._ _r' ,:;i: 1 i Tni. ei, - t, -- Water heater 1 2332 2332 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 g' 7- ® .0- tom-:0 - ,�,-4',;�3 3' ® ' I rgN i� �€ Y W . .. Chimney /liner /flue/vent 23.32 Other. 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Rane Address: 3E81 SE, (; e ' AVM p ment then kitchen 1 33.39 3339 City/ State/ZIP: ,L/ j / /,5,,0 f o R 9 7)x3 Clothes dryer exhaust 1 33.39 33.39 Single-duct exhaust (bathrooms, Phone: 97/ a L (,6 I r nl r, Fax: (503)608 -3061 toilet compartments, utility moms) 4 23.32 93.28 v -- 4 `/ 'i 4-5:01,:,„:„I; , :,:.'-'2,4:-=:. ., ® , c o Attic/crawlspace fans , 2332 Other. 23.32 Business name: CENTEX HOMES Fuel piping Contact namr. 9 ,11 I ne Ps $14.15 for first four; $4.03 for each additional Address: 388 i S£ > r; e. r 4 ve Furnace, etc. 1 14.15 Gas heat pump City/State/ZIP: Hi / /sj, f0, aR 17/ a.3 Wall/suspended/unit heater Phone: 0 7! - a y6 - (yl 7 I Fax: : (503) 608 -3061 Water heater 1 Fireplace E -mail: big. 1 4/4 deere,Qul ix. COP/1 Range I �- , .. . ' . -4 phi` 4 Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 ':=�'"'''" - G � 11M"'� IAr' " = ' 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 lie.: 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 BI l Date: I • Fee methodology set by Tri- County Building Industry Service Board t: Mildmg Wemdts \MEC•PcrmitApp.doe 10/01/09 44046t7r(I1/O2/COM/WEB) Electrical Permit Application RE CEIVE D FOR OFFICE USE ONLY City O R eceived Tigard PermitNo.: I li ° I3125 SW Hall Blvd., Tigard, OR 97223 3 P lan Dal y: Rewt'ew g - Phone: 503.639.4171 Fax: 503.598.1960 MAY 3 1 2012 Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready /By. : el See Page 2 for Internet: www.tigard or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYJ'E O F?V l]�{ (11)IV1 §.t'U - . : ELAN REVIEW . - 1 ':ztir';2,•t •, ® 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. , `e? s ` „ CEGORY -:OF='CONST_ RUCTION:.:.V' exceeds 10,000 amps at 150 volts or ❑ Floating buildings. j ' ' ``~ T s ' ': ,- ,. �w _ A'r ' •,, ` - , : i V ~ T ..° _ less to ground. or exceeds 14.000 ❑Commercial -use agricultural El I- and 2-family dwelling ❑Commercial /industrial Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: 0 Fire pump. ❑ Installation of 75 KVA or I = -. •::: _-.,.:::.?;,. ,,.: _ - n _, v _._ .., _ t ; ❑ Emergency system. larger separately derived system. (, ,: , , * ,,,,oOB ITE S INFORiVIAT.)ONi -AND LOCH ON _ , ; ;. ❑ Addition of new motor load of ❑ 'A”, "E ", "1- 2" < "1 -3", 100 Job no.: Job site address: /065 S ��yeT rAC occupancy. / / ❑ Six o or r mom or more. mo residential units. ❑ R ecreation onal vehicle parls- City/State/ZIP: TIGARD OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt.no.: 6 Project name: VILLAGE AT SUMMER CREEK 0 Service or feeder 600 amPs or more. - 4' _ `: FEE''SCHEDUP; _ : - is .' Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I OW. I Fee. I Total I • SW 135n1 ew residential single or multi - family dwelling unit. AVE, + A S W SCROLLS FERRY RD Includes attached garage. I Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 21'91 1,000 sq. 0. or less I 168.54 168.54 4 map/parcel no.: Ea. add'' 500 sq. ft. or portion 3 33.92 101.76 1 Tax ma NP Limited energy, residential 1 75.00 75,00 2 I -t-� :, y R1PT i ' . ,:. r:; : (with above sq. ft -) t - r 4 ,- .. . z - __ - � :DESC I OP, OF W _ O tI{' - "' '- ,_ _. :.._:_ . ;.__ z_ ��:: r< -= T _�. =, -. - - = Limited energy, multi- family 75.00 2 NEW SFR TO WN HOUSES residential (with above sq. R.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 400 _. - '� - �; '? `' ' ''' -, - " ` amps to amps 133,56 2 . ®] =LItQI��R'I'�1'�Ua'VNER,_ - . ��x :,. �. TENANT � ���� f,�, , �, � °:: _Y�'i_. -. - ..._ ._ —., a - tea .._ _,�... .- � Yil� �a�._._� -_. .w,..t.�_._ _.i < -. -. < :.�;R -.c. .. .,. 201 Name: CENTEX HOMES 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: I 3,5` , Figeri e A O e _ ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City /State/ZIP: / r % /S,boro, DR 77) 3 relocation Phone: 97/ -a I - y /7 I Fax: (503 -503 -6031 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for lease, rent, or exchange, according to ORS 447, 449, 670, and 70 401 amps to 599 amps 168.54 2 Branch - w, , or extension, per panel Owner signature: 41.-----_ Date: / t-. j s/� A. Fee for bnm circuits ch circuneits with alteration ti _ : - : - - ,: . - 111 above service or feeder fee, T ,� r4 PRL@' 7A' r; -i" `::.3": ` :�. .. r, ,C NTAGII"FERSO 7:..'1'.---`.:4S. - . ,• --. . .I ,,. . _ _ .. k . .,,I'r.. •_ _ -� ...._ _ _ _. - _ - each branch circuit 7.42 2 Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, first 56- I8 2 Contact name: 13; // Lv • yip c' branch circuit f� Each add'I branch circuit 7.42 2 Address: 1 38$ / e A Ve. Miscellaneous (service or feeder not included) Ci City/State/ZIP: p Each manufactured or modular 67.84 2 tY r l/S b 0/ i 0 / Dk 1 5/ 5__ dwelling, service and/or feeder Phone: if 7/ - p� l ie - 1 ii Reconnect only 67.84 2 Fax:: (503) 608 - 3061 Pump or irrigation circle 67.84 2 E - mail: bj //• 14-.1e 0/1Cie pa✓/ f e. (0 Sign or outline lighting 67.84 2 Signal circuit(s) , az: =w '. ' CONTRACTOR ,> .: rr :._; , " " ° � ,�,_, _ _ .� :.. -: :, ;: _ -� r..� re.:. =�._..- .t: = �t;••� -,: ts) or limited-energy ` .:� :r.. _.r:_ "•sue �_..._,.,:� >,..-_'-�- -.. -- panel, alteration, or extension. Page 2 2 Business name: GARNER ELECTRIC 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/Z1P: 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 / hr specifically listed (''A hr min) CCB Lic -: 182591 Electrical Lic.: 34 - 305C I Suprv. Lic.: i :_= _ _= =''.EI;E0'R1CAL =PPRMIT,FEES ' ::. Suprv. Electrician signature, required: Subtotal: 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: tBuildingtPermits ■ELC-PemtitApp.doc 07/01 /10 440 - 461 ST(II /05/COM/WEB J L c% IINE 2 e2_-K IN l 10(0 9 (5-t4.) S/ a E 7 4 4.0 o ° Building Division // Development Code Provision Review �o TIGARD Residential Projects Building Permit No: f '5T 02O p. _CO 1 i 9 CWS Service Provider Letter Received: ' Yes ❑ No ❑ N/A gi Routed Plans: _ Original Plan Submittal Date: rJ 31 I 1 Z Pt 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 -718- or @tigard- or.gov) Lapd Use Case No. D a) Name . i _ ,i e __dd.._: 1 " Zoning - 5 ( A 7 . Setbacks: / Front r'> Rear / Side L Street Side / ) 4. Garage Z D ErMaximum Building Height t/ 5 Actual Building Height ' 9 ❑ Visual Clearance ----- ❑ Easements ❑ Sensitive Lands Type: .---- Notes: • ow, , /MiMi /7 /7 ►�M . �,r „ '�, »a ��f� — . / / D Original Plan: Approved Not Approved ❑ Date: `/2. / t 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) -Er Actual Slope: t Notes: Original Plan: Approved Not Approved ❑ Date: q 4 l L Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 . i 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: Co LT/ Revision 1: Approv ❑ 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 • Page 2 of 2 I • 1 11 a e a t t87. (88.7 1823.7R 187. 7 -7 - EN T - ,� D -x x x x x x� x x x x x � ,,I .r 3 1:1rrl:I1:duler Iree x x I x 1 10, 2 I 12.0 , I I 12.0 12.0' I I �III�p[N FTT 20.0' 20.0' 20.0' © 20.0' ARD © D , . 4 I I I I I I 1 9„ . Q I �`�S C4/let C l1anfi.c.ice.^ 3.5 �-- I C.11QA-; deer Flower" fee< v Building I Plan: 6 I ' 2 3 2 4 ' 1 g 5,�+- Fen L 22 25 Lots 22, 23, 24 & 25 FF/TOW 188.79 FF/TOW 189.79 FF /TOW 190.79 I FF/TOW 190.79 Units A -B -C -A I GS 188.09 I GS 189.09 GS 189.59 I GS 190.09 I TOP 188.25 TOP 189.25 TOP 190.25 I TOP 190.25 I SITE PLAN I , Scale: 1 " -10' , o � y I \ T 1 __.] ___7 - . .1 - " " 3.5 .. _ I 7 - 1 - 1 j '..' .**'. ..'....'...' ' ii i L , . ....:.:: .. 1 . . I . .. . . .. .: .., :..:::::'::'.'. • • , .. . .. . . ..... .:.. 9 _, 1 j • _i � .'.' ........ t...... i i:: 21 0�:... .:.'.':. 1 7.0 - - - - : - s,4 - m - Q'.1 - _'.' : 17.0' :'1.9,0!.:.•i r. - Ell . ....... I 15 .0, 16-. 0' �..... -]�- I -- • I? . :...:::.:. . : ...........:..:.:::..... _....... : :... 186.8b 7 8 0 1 �6 is I' � 1 0 .. Y ... :::: .: :::::: q. r Y : X11 ' `: �:. 4 l:: � +�:�:r ::::.....::.....::::..:::::....:::....:::....:::....::::..:.:::....::.....:::.....:::. ...::.....:::.::::....::::....: SW SAGE TERRAC ENGINEERING ASSOCIATES CORPORATION t ,;. . .- 17757 Kelok Road Lake Oswego, OR 97034 8" SS Tel. (503) 636 -4005 Fax (503) 636 -4015 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 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: t 6 I' / t LcX Jurisdiction: ...... ` CM,' Site Address: to b1 SW S4tit "TveV -t Subdivision /Lot #: S katekil Crt/eL (,p1 - 0-41 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 NI 107.2)' Signature: W Date: _ Is /H iZ Owne Jeneral Contractor /Authorized Agent Print Name: __ngr 1 ORSC Section N 1 107.2. High - efficiency interior lighting systems. A lnininiuln 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. I:'.I3uddin;;tform:UtES -I IrvhIlliciencyl.iehling.doc 07%01:1)8 • Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, B I`( N..1pr,3C„ Ji./ , am the general contractor or the owner- builder at the following address: Site Address: Ito 6c 5%1,1 Sitv City: lh4 Permit #: k, vr `). 01 1 - ct i 'Subdivision /Lot #: S oval / GetifitC. Lit 4- . z and/or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section 8318.2 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]. 8318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall he 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: I LEHI General Contractor or Owner - Builder • I: \I3uildine form% tliS- \toislureSensilivcWopd.duc 09/25/0 STREET T E CERTIFICATION • .••.•,•.... . • . ••••,„ • • • „.. . . ...,..... . I l i l( �,t/ owner ent:. r n -- o �, R wee � a g.f (PLE PRINT) (PERMIT HOLDER) do hereb•.cert' that the following location meets City of Tigard land use and de standards for street•tree installation and is consistent • ..with the approved site .plan: , HIE ADDRESS: (( 0 b SO. s 4 5y j 1,( SUBDIVISION: 1.4~w Cef wV-- LOT #: 01-02 SIGNATURE: DATE: 1,111/ (O lf/NF_: R /.AG F.,' N' I ) RECEIVED & VERIFIED BY: DATE: (CITY OF TIGARD) Tree location verified per approved site plan. I:\ Building \Forms \Streei freeCertificate 07/01/2010