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Permit IN n CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT Permit #: MST2012 -00138 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/04/2012 Parcel: 1S133CA14100 Jurisdiction: Tigard Site address: 11078 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 64 Project: Village at Summer Creek, Lot 64 Project Description: Building 18, new SFA 3/21/13 REPRINT add NC Placement of NC unit must comply with manufacturer's clearance requirements BUILDING Floor Areas Required Setbacks Regulad Stories: 3 Bedrooms: 2 First: 46 sf Basement: 0 sf Left: 0 Parking Spaces: 2 Height: 32 Bathrooms: 3 Second: 643 sf Garage: 509 sf Front: 12.5 Smoke Dwelling Units: 1 Third: 643 sf Right: 3.5 Detectors: Yes Total: 1332 sf Value: $161,355.80 Rear: 11 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 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: Woodstoves: 0 Gas Outlets: 3 Fum > =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: 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 - 639 -4175 HILLSBORO, OR 97123 HILLSBORO, OR 97123 PHONE: 971 - 246 -1417 PHONE: 971 - 246 -1417 FAX: 503 - 608 -3061 Total Fees: $13,410.64 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 f rth in OAR 952- 001 -0010 through 9 R 952- 1 -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: V`-f ./ 6 -1 Permittee Signature: it * 61' / 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 a project Approved plans are required on the job site at the time of each inspection. • • r n CITY OF TIGARD MASTER PERMIT �� '!'. a COMMUNITY DEVELOPMENT Permit #: MST2012 -00138 T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/04/2012 Parcel: 1 S133CA14100 Jurisdiction: Tigard Site address: 11078 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 64 • Project: Village at Summer Creek, Lot 64 Project Description: Building 18, new SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 46 sf Basement: 0 sf Left: 0 Parking Spaces: 2 Height: 32 Bathrooms: 3 Second: 643 sf Garage: 509 sf Front: 12.5 Smoke Dwelling Units: 1 Third: 643 sf Right: 3.5 Detectors: Yes Total: 1332 sf Value: $161,355.80 Rear: 11 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'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 & 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 503 639 - 4175 HILLSBORO, OR 97123 HILLSBORO, OR 97123 PHONE: 971 - 246 -1417 PHONE: 971- 246 -1417 FAX: 503- 608 -3061 Total Fees: $13,358.28 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. ATT • - Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0 through e • R 95 - 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 B • 1 a ,tV - � `� Permittee Signature: C542€ i� ec 1 ' — 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. • Buildin Permit A licatia p�.. ra •r Residential ' rut; nl II(I I tic (1\1 1 1, I • City Tigard Received g JUN 19 2012 Dat&B : Iffinrilin Permit No.: ti ola - 0 0 /38 13125 SW Hall Blvd., Tigard, OR 97223 Plan R Phone: 503.639.4171 Fax: $03.59 DatelB : , ,,∎ ,,,.. ' Permit: a P, / 2. -41 OF T! i r: r , Inspection Line: 503.639.4175 ' � p Date Read "y: ...7 0 See Page 2 for Internet: www.tigard-or.gov BUJ/ ) l ti y /; C : 9ii� ' '=�ai. �. t Notified/M ' IA / Supplemental Information _ D,��...�.� 2'1 101 % f TYPE OF WORK REQUIRED DATA: 1- I Ir 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. ® I- and 2- family dwelling ❑ Commercialfmdustrial Valuation: �t 1 S : ! �o r ❑ Accessory building ❑ Multi- family Number of bedrooms: 2 ❑ Master builder ❑ Other Number of bathrooms: 3 0 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: 11078 S 4 Tet i^4 << New dwelling area: 1332 square feet City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 509 square feet 64 Suite/bldg./apt. no.: 1 I Project name: VILLAGE AT SUMMER CREEK Covered porch area: 17 square feet 6A-3 I' Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet "Ct g:.;• SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: t841 square feet '2...„. REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: Of Permit fees* are based on the value of the work performed. Ir► Tax map/parcel no.: Indicate the value (rounded to the nearest dollar) of all fy equipment, materials, labor, overhead, and the profit for the �/ DESCRIPTION OF WORK work indicated on this application. NEW SFR TOWNHOUSES Valuation: S UNIT B 1332 SQ. Ff. Existing building area: square feet New building area: square feet el PROPERTY OWNER I ❑ 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: IN APPLICANT ❑ CONTACT PERSON NOTICE Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: Bill Wagoner 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 Fax: : (503) 608 -3061 E -mail: bilLwaggonen@pulte.com CONTRACTOR Business name: CENTEX HOMES BUILDING PERMIT FEES* Address: 3884 SE Aerie Ave. (Please rrleu flee xlreid0 City /State/ZIP: Hillsboro OR, 97123 Structural plan review fee (or deposit): Phone: (971) 246 -1417 Fax: (503) 608 -3061 FLS plan review fee (if applicable): CCB lic.: 182591 ? Amount received: t Total fees due upon application: Authorized signat ' L ( This permit application expires if a permit is n not t g •�S obtained Print name: Dave Templeton r Date: S f t, om 1 • witin 180 d a ays after it has bn accepted as complete. to Fee methodology set by Tri -County Building Industry Service Board. 1:1BuildingtPermitslBUP -RES PermitApp.doc 10AI/09 440- 4613T(I I /02/COM/WE0) Plumbing Permit Applicati PIE Building Fixtures City of Tigard p Received Permit No.: 5g : • 13125 SW Hall Blvd., Tigard, OR 97223 J U N 1 9 2012 Date/By. t ( « t0l Plan Review ra Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit No., Q2aW Da Inspection Line: 503.639.4175 T I v A CITY OF T G 9 f1 I: D Internet www.ti -or. ov CITY " �l1 '1I�l DateR y: iuos d/Meth I S See Page 2 for S� 8 Notified/Method: l Supplemental Information TYP OF WORKILD DiviSIUN FEE* SCHEDULE ® New construction ❑ Demolition For spedal information use cheep list Description ( 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 Accessory building SFR (3) bath I 50032 500.3 ❑ Ac ry ng ❑ Multi - family Each additional hath/kitchen 25.02 ❑ Master builder ❑ Other. Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: 1 1 / 8 , S Catch basin or area drain 18.76 Job site address: Q, t-- g , rl�ore City /State/ZIP: TIGARD OR, 97223 / - Drywrll, leach line, or trench drain 18.76 Footing drain (no. linear ft.: 100) I Page 2 SuitelbldgJapt. no.: 18 f 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.: IQQ) I Page 2 Storm sewer (no. linear ft.: 100) I Page 2 Water service (no. linear ft.: JpQ) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 4 Y Fixture or Item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK • i 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 IIVANT Expansion tank 12.51 Name: CENTEX HOMES Fixtmt/sewercap 25.02 Floor drain/floor sink/hub 25.02 Address: 1 38 8 y .FAeP i e. /I tl° Garbage disposal 1 25.02 City /State/ZIP: / OR q7) Hose bib 2 25.02 Ice maker I 12.51 ❑ APPLICANT El CONTACT PERSON Interceptor /grease trap 25.02 Business name: CENTEX HOMES Medical gas (value: S _ ) Page 2 Primer 12.51 Contact name. 2,11 li/o' o Aty -• f7 Roof drain (commercial) 12.51 Address: 3 Self sr Aerie Ave- Sink/basin/lavatory 6 25.02 City /State/ZIP: i, boro / 0g 9 1 /o3 Solar units (potable water) 62.54 J Fax: : (503) 608 -3061 Tub/shower /shower pan 2 12.51 Urinal 25.02 E- mail: b;11. t,.a yy0nl(l& Per /te.t: o/11 �/ 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: 572.50 CCB Lie.: 79666 Plumbing Lie. no.: 20 -148PB Plan review (25 %ofpermit fee) A State surcharge (12% of permit fee) Authorized signature: /j1 /%/ AVi / 0 r7,. TOTAL PERMIT FEE m V This permit application expires If • permit is not obtained within ISO days I Print name: PETER POLLARD I Date: l after it has been accepted as complete. 'Fee methodology set by Tri- County Building Industry Service Board. 1: 18uitdittePermitsOPLMU- PermitApp doe ID/01/O9 410-4616T(IWO21COMIWEB) Mechanical Permit ApplicatiT I 1. tr= 51 1 i Ir. FOR OF F10E t;sr. ONLN City of Tigard t ,„... ,..l,'1; I 2 !1_..t /ffial111111111111111 Pernitt No.: e l9. 0 op 11 13125 SW Hall Blvd.,•Tigard, OR 972 - - ---'-' - - Plan Review ' sr • Phone: 503.639.4171 Fax: 503.598.1960 JUN 19 2012 Date/By: Other Permit: i)2 , .- 00 Inspection Line: 503.639.4175 Date Ready/Bys Jut* fii See Page 2 for Internet: www.tigard Notified/Method: Supplemental Information rA Tv OF '11.0..P.90 r2liaoiv6,-, Mechanical permit fees* are based on the value of the work ' 0 New construction 0 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all El Demolition 0 Other mechanical materials, equipment, labor, overhead, and profit. Value: S . ' , '`o•itAi o • f6ifici,C o ' , '- '--1 -' ji' 7 1' - ''-- - - -.'"'-''' ' - - - - - - ' - - • ' - - '----- ' '';'' - 4 '1 0L Et i f §0•S W- ' - ii [8] I- and 2 dwelling 0 Commercial/industrial 0 Accessory building For special infonnadon use checklist. 0 Multi 0 Master builder 0 Other Description I Qty. 1 Ea. 1 Total ^ ' ,' : .:,.• -' ' ' . " 0B. 7 f .c - ' Healing/coolin Air conditioning Job site address: /i07$ r 5,5 Ti regce (regains the plan showing placement) 46.75 City/State/ZIP: TIGARD OR, 97223 Furnace 10000 BTU (ducistvene) 1 46.75 46.75 Furnace 100,000+ BTU (ducts/vans) 54.91 Suite/bldg./apt. no.: 1 8 ( 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 Hydronic hot water system SW 13511I AVE, AND SW SCHOLLS FERRY RD Residendal boiler (radiator or 23.32 hydronlc) Unit heaters (fuel-type, not electric), in-wall, in-duct, suspended, etc. 46.75 Subdivision: VILLAGE AT SUMMER Flue/vent for any of above 23.32 CREEK I Lot no.: 411 Other 23.32 Tax map/parcel no.: Other fuel appliances ~tit:COV:Ii0K, ,''.-'::." - 2, 7' ''::',.-2..,1, ,':`:'-. Water heater I 2132 2132 Gas fireplace 3339 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 3339 Wood fireplace/insert 2332 Chimney/liner/fluelvent 23.32 fP- :.:47 , '...--=-7. Other 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Range hood/other kitchen Address: 388/ Sg /40:e._ Av e._ equipment I 33.39 3339 City/State/ZIP:, ." /;//.b0/Y/ oR 170.3 Clothes Myer exhaust 1 33.39 33.39 Single-duct exhaust (bathrooms, Phone q ifes -) 1 1 J 7 Fax: (503)608-3061 . ' toilet compartments, utility mum) 4 2332 93.28 inglik*to4416cig 7 AtticierawisPace nuts 2332 Other 23.32 Business name: CENTEX HOMES Fuel piping Contact name: go ,,, .. ,. S14.15 for first four; 54.03 for each additional Furnace, etc. I 14.15 Address: 388 SF Aelk Av_ .‘ Gas heat pump City/State/ZIP: ki-Visbo/'0 OR_ 97/4.1 Wall/suspended/unit heater Phone Water heater I 40 Fax: : (503) 608-3061 ...._ ( r, Fireplace E ' 1)11/ 6.--1 ge.(011, Range I :-. .: ,- ,': iiW 07 ".:'-=' Barbecue Clothes dryer Business name: MUEHE QUALITY HEATING INC. (gas) Other. Address: 7301 SW !CABLE LANE, STE 500 . ', - 401AL'ilkdifEFAULIOXEPS: * : . _. . City/State/ZIP: PORTLAND OR, 97224 Subtotal Minimum permit fee (590.00) Phone: (503) 598-0966 0 F : : (503) 598-8498 Plan review (25% of permit fee) CCB lic.: 50096 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: i TM permit application expires If • permit Is not obtained within ;so of dsrys after it has bun accepted as complete. Print name: KYLE B • ' • ( Date: I • Fee methodology set by Tri Building Industry Service Board MuildheennitsIMEC-PerrokApp.doe I010IAP9 440.46177 (11/)2/COMAVEB) . . mar1 Electrical Permit ApplicaR , FOR M1•1C E 1 SE ()NIA' City of Tigard I Received Permit N°- i 13125 SW Hall Blvd., Tigard, OR 972/V N 19 2012 Plan 1 � ` ��' � I � � I L � i Other Permit pp ��,, ea +poi I Phone: 503.639.4171 Fax: 503.598.1960 ^f Date/By: d l 1 7' 1 C ,1 R I) Inspection Line: 503.639.4175 0 N OF T . 1 %3 Date Ready/fly. lure: I ID See Page 2 for Internet: www.tigard-or.gov R Not ified/Method: Supplemental Information � �!�l�•t a TYP O ORK PLA REVIEW ® 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 0 Building over three stories. ' ❑ Demolition ❑ Other: where the available fault tartan ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts ar ❑ Flooring buitdinp. less to ground, or exceeds 14.000 ❑ Commercial -hoe agricultural ❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other instillations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. 0 Installation of75 KVA or J SITE INFORMATION AND LOCATION ❑ Emergency o new m larger E". -1 separately 2-. - t derived system. - ❑ Additonofnewmotorbadof ❑ "A', "E ". "1- 3 ". " - Job no.: I Job site address: //o 78 .5 k S 7 - e r �� t 100 or n70Tmore. R °atioy "Je ❑ S ix or mere residential units. 0 Recreational vehicle parts. City/State/ZIP: TIGARD OR 97223 ❑ Health-care facilities_ 0 Supply voltage for more than ❑ Hazardous locations. 600 volts norniaal. Suite/bldg. /apt. no.: ( I Project name: VILLAGE AT SUMMER CREEK 0 Service ar feeder 600 ants or note. ;FEE?SCHED - 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, + Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: ,eel , 1,000 sq. 0. or less _ 1 I 168.54 168.54 14 Ea. odd'l 500 sq. R. or ponion 2- 33.92 I Tax map/parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. fl.) I 75.00 75.00 2 Limited NEW SFR TOWNHOUSES resident haboves sq. 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 ' 2 ® 'PROP-,ERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 Name: CENTEX HOMES 401 amps to 600 amps 200.34 2 601 amps to 1,000 attps 301.04 2 Address: ' 328 5.eAet k- Ave. , • Over 1,000 amps or volts 552.26 2 Temporary servkes or feeders Installation, alteration, and/or City/State/ZIP: -' N;Iskto, OR 9 Na3 relocation Phone: ?7/- a y6 -/ y, 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 sa 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, per panel Owner signature: • L Date: �t sPere - k Fee for branch circuits whh above service or feeder fee, ® APPLICANT I ❑ 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 Contact name: i '/i it w} pO�IC/' branch /' Each add'I branch circuit 7.42 2 Address: 388'( SF ,ger, e A v-e_ Miscellaneous (service or feeder not Included) , n Each manufactured or modular 67.84 2 City/State/ZIP: I S,Ip/'0 OR 4 7/a3 dwelling, service and/or feeder Phone: y' / -a y$s - I (f/7 I Fax: : (503) 608 -3061 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: 'Mob If, •,,•y r'e f/ - e , co ,7 , Sign or outline lighting ' 67.84 2 CONTRACTOR Signal circuit(s) or limited Business name: GARNER ELECTRIC panel, alteration. orextension. 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) 66.25/ hr Industrial plant (I hr min) 78.18/ hr Phone: (503) 648-4552 I Fax: ( 503) 642 -7925 Inspections for which no fee is 90.00 / hr specifically listed (6 hr min) I CCB Lic.: 182591 I Electrical Lie.: 34 -305C I Suprv. Lie.: . . ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): Print name: CHUCK GARNE' Date: Suite surcharge (12% ofpermit fee). TOTAL PERMIT FEE: Authorized signature: y/� T6Is permit application expires If a permit Is not abrslned within 180 ■ ' %! ' �' - " days after II has been accepted as complete. Print name: Date: • Number of inspections allowed perperttit. Racal gee srets%ELC PameAppdoe 07/D1115 440a51STi 11laSICOIWWEa 1// 1 -1-4 - eve (J c -- Building Division Development Code Provision Review T I G A R D Residential Projects Building Permit No: Mx, 1 do/2-0 3 g CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: Original Plan Submittal Date: &//q i A y 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 /i t 503- 718 - or Alt-t@tigard- or.gov) La d Use Case No.5 MP / Name ,�} . -ei /■ "" 2__ [ Zoning %1 - lE" Setbacks: I f ,� N 45; t ' rout 4,1 Rear ide *� Street Side f Garage Maximum Building Height 1 ( 1 Actual Building Height 37 Er Visual Clearance C sements LW-Sensitive Lands Type: Notes: P-) Original Plan: Approved [J Not Approved ❑ Date: 69 /P 5 10 . 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: t Notes: Original Plan: Approved Not Approved ❑ Date: 2 -1 5 I L' 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 Trces Notes: Original Plan: Approved LY Not'Approved ❑ Date: C 7 - Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: 'k 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 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11078 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 03/20/2013 00:00 MST2012-00138 FAIL 1. Add to existing permit, added AC unit. 2. Provide bollard for AC unit. Violation Summary: Inspector Contractor — — ..-- _ RECEIVED Vi ____ llage at MAR 2 1 2013 Os „0 I. CITYOF TIGARD BUILDING DIVISION/ Summer Creek ss „ 2 SW MALLOW TERRACE MUM _ _ 7 _ K - ? al 11 t 5.0,B : .5:b' e e 5 0' 74 v ; IFD 11 1--- itcy 7.7 0 c6 , li.o. i T© ,... . © —f-- . , . 1 " —135' 1---- -: . , . l_________ Building Plan: 18 Lots 61, 62, 63, & 64 61 62 63 64 FF/TOW 190.39 I FF/TOW 190.39 FF/TOW 189.39 1 Units B-C-C-B FT/TOW 190.39 189.69 GS 189.69 GS 189. GS 189.19 GS 188.69 TOP 189.85 TOP 189.85 TOP 189.85 TOP 188.85 SITE PLAN At , Scale: 1"-10' 0 AC Unit i - T - - - 1 - I 3.5' T --- T__ T i -7 - 11 1 1 ...._ —..-1 51 r -•-- 7 1 r , 3.5 -1 r' : r t r * 1 _ L__ 155 • • 185 I 18.5 __1_ 0 0 _ i I , 1 3.5' 15.5' (;) 12.5 135 : 125' i t i>isso:::Yfisege:: . JAMt.8:Zign;§:::*;S:W.::::, i■ - . . ii.: .:: .: 0 I.111 .:,! ::::: ,. SW SAGE TERRACE " ENGINEERING ASSOCIATES CORPORATION 8 WAT ;: . : . : 17757 Kelok Road Lake Oswego, OR 97034 Tel. (503) 636-4005 Fax (503) 636-4015 - � 1 a e at RE0F117,.,,.,. as „o1. JUN 19 201; S ummer Creek is,. - 1g8.5 - 18s. Y0F7` 9 ss „9 V] •' . 1.81 W MALLOW T RACE _ 5 .O' MC V rI I 5.0' 1 5.0 1 7 ! /� Y J O 11.0' _ 11:0' ,- 11 }�- ! 11.0' ig 0 .. I /\ } , ��1� "Fen I ; 1 I i I 1 t I. -13.5'1- I I H i 1 3.5' I~ I Building Plan: 18 . tos;c,,, C o f - - -L_ Lots 61, 62, 63, & 64 61 6 2 1 63 1 64 I >C Units B-C-C-B Q I, DUS 1 FF TOW 19039 I FF / /TOW 19039 . 1 (a)(e7ra / FF/TOW 189.39 I I / GS 189.69 GS 189.69 GS 189.19 GS 188.69 C J 4 i c (eer 110'44'y r' TOP 189.85 TOP 189.85 TOP 189.85 I I I I TOP 188 1 SITEPLAN 1 1 1 I 1 1 1 1 I Scale: 1 " -10' >< 1 1 1 1 1 I I 1 I I 1 I r1 ,_ - - 1 1 1 1 J _ -T - 1 - - T T 3.5' G- - , r 7 r -1 r -- " - I 3.5' F Starr Sewer A/ �wC r ��� �we r' I 15.5 - -- --l- , ��� 18.5 I - 18.5 . •1 - - ® 125 x13.5 13.5' 12.5 ' 15.5' ii c- „ _ - - - - - - _ I 1 - - HH - I ' �`�. `,.. ! 187. �BS.7s ' Y ($ 65 ,`M. 68 , � _ : ... -..- ..: \ . f. \ \. . :.. .. :� SW SAGE TERRACE � 1 ENGINEERING ASSOCIATES CORPORATION • _ - 17757 Kelok Road Lake Oswego, OR 97034 8" WAT Tel. (503) 636 -4005 Fax (503) 636 -4015 r