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Permit
CITY OF TIGARD MASTER PERMIT . ' " COMMUNITY DEVELOPMENT Permit #: MST2012 -00188 • Date Issued: 11/05/2012 • TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S 133CA09700 Jurisdiction: Tigard Site address: 11081 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 20 Project: Village at Summer Creek, Lot 20 Project Description: Building 5, new SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 46 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 643 sf Garage: 480 sf Front: 16 Smoke Dwelling Units: 1 Third: 643 sf Right: 0 Detectors: Yes Total: 1332 sf Value: $145,059.44 Rear: 12 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: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furne100K: 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 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 HILLSBORO, OR 97123 PHONE: 971 - 246 -1417 PHONE: 971- 246 -1417 FAX: 503- 608 -3061 Total Fees: $13,872.38 • 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 rough R 952 -001- 090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 2,1987 or 1.800.332,2344. Issued By: • Permittee Signature: 4 1 9 7 T ` u' - 1 tc9 -�`— . Call 503.639.4175 by 7:00 a.m. for the next available Inspection d e. 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. CITY OF TIGARD MASTER PERMIT v c -,` COMMUNITY DEVELOPMENT Permit #: MST2012 -00189 ' T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/05/2012 Parcel: 1 S 133CA09800 Jurisdiction: Tigard . Site address: 11075 SW SAGE TER .. Subdivision: VILLAGE AT SUMMER CREEK Lot: 21 • Project: Village at Summer Creek, Lot 21 Project Description: Building 5, new SFA BUILDING . Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 60 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 703 sf Garage: 620 sf Front: 17 Smoke Dwelling Units: 1 Third: 697 sf Right: 5.5 Detectors: Yes Total: 1460 sf Value: $179,981.96 Rear: 12 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 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 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: 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 +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 1460 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: $14,357.64 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 forth in OAR 952- 001 -001 rough R 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calli 03:232.1987 or 1.800.332.2344. Issued By: Permittee Signature: ( _ .....: 2? - t_. /d -, 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. p r r''V s a te 'Blinding Permit Application / 4 ' `'. Residential L ., 7 • FOIL OFFICE USE ONLY. • • • C a <2 O <2 T Date a I �' /7 /G !T t�t 111 ill City of Tigard �. ✓ / / AV I/ PermitNo.: 0 t" 13125 SW Hall Blvd., Tigard, OR 97223 r..,9:!rti , A>'f Plan Review /i •' Phone: 503.639.4171 Fax: 503.598.1960 ' ' ' q..111:: . " -- 1•9/^ n�ial • her Permit 5 Q p IA-et/ TIGARD Inspection Line: 503.639.4175 ' ` . Date Ready/By: Juris: Iii Sec Page 2 for Internet: www.tigard- or.gov °'j.r Notified/Method: Supplemental Information '..�'"� � ...•¢'�'' '7��.�.�'- - ,.2 ; ^''" °"';fit �"+: c"� '�i - L`s��. >- ,.- .,s A x �1'P 'W ORK , s ti - - REQ D_DAfItA al LAT'D 2- FAMIL +YkDWFti I GB ' t yL"fS.. Ct:: : i': - - _ . �` w 2fd ww�.v.u°mrA - er rr ..? . ° ilti .- .-, ^" �• r ' z '� sz }sr�as �r #t�3a:+ t = . _.:, ® 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 r? x r _ " k "� ate'Y�^ + r '� 4 „ sY L' work itlica -don his application. „ ,:, N A E 1 GzO R O ,- STR ON ` -. . ' • � Valuati. • . ri' $ -. "-,:55.22 z,p r ® I- and 2- fa dwelling ['Commercial/industrial m r ) '-1 + y�' El Accessory building ID Multi-family Number o bedrooms: 3 ID Master builder ID Other: Number of bathrooms: 3 - JOB SITE�YfVFO . fr:10 a Dg ert IWOMO ? � r bf floors: 3 ' d` �+ e+'�rrsft u6...zs.k�r�va� . �.c>_vs)ve � 3 3� �'IS�S t Total number Job site address: I 76 S tA./� ' eI'nl« New dwelling area: 1460 square feet City/State/Z1P: TIGARD OR, 97223 / Garage/carport area: 620 square feet b ( 7 Suite/bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK Covered porch area: 33 square feet 7 03 Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 160 square feet (00 SW 135'" AVE, AND SW SCROLLS FERRY RD v. A w Other structure area: 7060 square feet ] ----- s a TIRED tr CO R L US CHEC1 Subdivision: VILLAGE AT SUMME REEK Lot no.: Z I 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 s� ""f "r. E TRT, ON p �Vp _ . ° : •', work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT A 1460 SQ. FT. Existing building arca: square feet New building area: square feet -- ® O EPTYOW, ivER % z .,.,,, ® ,x:; ; Number of stories: Name: CENTEX HOMES Type of construction: Address: 3 8,5 ( .SE A e t; C "lye_ Occupancy groups: City/State/ZIP 14 ,llsh OR 9 7/ �3 Existing: Phone: t 971- 2 y6 -1 '/7 Fax: (503)608 -3061 New: 34, ® rpi -4,,,t t ° � . s 0 CONTrY1 .. PERSON e* + 'a ,� ., 1�.. ,. wr. .. -- _ ., OR t4 - .,,.. -_. , Asa rt.... : a ' _ . wx `:i n sG ,, . ,r � T,,�1 .4 dye to ∎ -.. R". :' - -2 Business name: CENTEX HOMES All contractors and subcontractors are required to be 1�?? / licensed with the Oregon Construction Contractors Board Contact name: u tva rn r under ORS 701 and may be required to be licensed in the Address: 1 3L S7, /4 et , e A K jurisdiction in which work is being performed. If the , applicant is exempt from licensing, the following reasons City/State/ZIP: 2L /.5 ,, Q .7 apply: Phone: , 9N- 2 ?6 _/ ( 1 7 1 Fax: : (503) 608 -3061 E -mail: 1 gl //, tvyyri et- e_ pi, t f�e. ((on., c. �� +�-3.�' iljx�a Wr�-d.- �,..�:- ,� sOMi: Business name: CENTEX HOMES = ` vk BU] D1N.GrPER7VIIT�FEES" a-_-_ i &-, < ,.•- ? R I e . l 'i i i. fir, ro ` eti : Av4f < Y om: E .e r Address: a? 7 SF Qei e �r e_ '<F , r(P ease,re(er, rojjeesc hc di rle d „4 cu lr City /State/ZIP: _bi., / V /Ab / 0 y ?/ Structural plan review fee (or deposit): / FLS plan review fee (if applicable): .Phone: (: g.7 y6 _/ (rl7 f Fax: (503) 608 -3061 CCB lie.: 182 I L /� Total fees due upon application: Amount received: 1 75 Authorized signature: („� +' . \' ,, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: a, if �l/ rya Ai' r. v I Date: J • Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 440 - 4613T(I I /02 /COM /WEB) . , .. Mechanical Permit Application FOR OFFICE USE ONLY _ , City of Tigard Received Perrnit No.: iliK9(719-- 60( itg , . 13125 SW * : Hall Blvd., Tigar OR 5 97223 , , ;; Phone: 503.639.4171 Fa: 503.98.12,50 - ' --/ ' 74 Date/By: Plan Review Date/By: Other Permit: 6-02,9.0)9-'60f1ca Inspection Line: 503.639.4175 JUL 'i7) 7, TIGARD 6 "L 2012 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard Notified/Method: Supplemental Information lC.:(iiiriiethiltIA(..iitt, SCHEDULE • - : US 4 CHECKLIST New construction 0 Addition/alteration/replint Mechanical permit fees* are based on the value of the work El aceit performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. : .CATEGORV:-.0F.CONSTRUCEION '.:',. .- . -, ' , .--- '' - -: Value $ -. ,1RESIDENTIALEQUIPMENT El I - and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 171 Master builder 0 Other: Description I Qty. I Ea. Total -- ' - .1013 SITE INFORMATION AND LOCATION - . - t - Air conditioning Job site address: ) ( 0 75 S 1 57c. i e rtqce (requires sitc plan showing placement) 1 46.75 City/State/ZIP: TIGARD OR, 97223 Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg./apt. no.: Project name: VILLAGE AT SUMMER CREEK Heat pump 61.06 Cross street/directions to job site: CORNER OF SW BARROWS RD, Duct work 23.32 SW 135TH AVE, AND SW SCHOLLS FERRY RD Hydronic hot water system Residential boiler (radiator or 23.32 hydronic) 23.32 Unit heaters (fuel-type, not electric), in-wall, in-duct, suspended, etc. 46.75 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 4.1 Flue/vent for any of above 23.32 Other: _ 23.32 Tax map/parcel no.: Other fuel appliances I 23.32 23.32 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 _, . . - , _ ,,....,. .„ - , -, - . Chimney/liner/flue/vent 23.32 '•'-': ' : - = 0: PROPERTY OWNER - I -' -LI TENANT - - _..- . - Other 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Range hood/other kitchen Address: s s- e r i c_ /q tre_ equipment 1 33.39 33.39 City/State/ZIP: P o re, o R._ 7/ 23 C dryer exhaust 1 33.39 33.39 Single-duct exhaust (bathrooms, Phone: ? - • - // 2},6-/Y17 Fax: (503)608 toilet compartments, utility rooms) 4 23.32 93.28 AFFEICANT , " : - I -" . - ' :,--- ' :Hi' CONTACT PERSON ; '. . ' Attic/crawlspace fans 23.32 Other: 23.32 Business name: CENTEX HOMES Fuel piping Contact name: 34, 1 e." $14.15 for first four; $4.03 for each additional Furnace, etc. 1 14.15 Address: - 338‘i SE /Yen( /9 rf- Gas heat pump City/State/ZIP: P, H-i)15,4 ro 0 1 7/23 Wall/suspended/unit heater Phone: t 2/ y6 -ft/ 7 Fax: : (503) 608-3061 Water heater 1 ' Fireplace E-mail: g 'Sin. ve,fry nere_ Pvi fr. (6) 0 11 Range I 'e , , :: -. :--: . i%= Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW 'CABLE LANE, STE 500 : MECHANICAL PERMIT FEES* City/State/ZIP: PORTLAND OR, 97224 Subtotal Minimum permit fee ($90.00) Phone: (503) 598-0966 Fax: (503) 598-8498 Plan review (25% of permit fee) CCB lic.: 50096 / State surcharge (12% of permit fee) TOTAL PERMIT FEE P This permit application expires if a permit is not obtained within 180 Authorizcd signature: 4' days after it has been accepted as complete. Print name: KYLE BIRM , . Date: • Fee methodology set by Tri-County Building Industry Service Board lAlluilding\ Permits\ MEC-PermitApp doc 10/01/00 440-4617T (I I/02/COM/WEB) Plumbing Permit Appliea1ion . S : , Building Fixtures JUL FOR OFFICE ('SE O\L1 U 2 3 201? ? City of Tigard Received Permit No.: /1r.�i' V • 13125 SW Hall Blvd., Tigard, 0A. ,9^'1223' o" �"�1 0 Phone: 503.639.4171 F 0 � 1i :598:4 - 19 0' " - .� Plan Review n w 00 I. �� Inspection Line: 503.639.4Y�5 .�, , ;. ", ?\ ' ; Date/By: Other Permit No 1V�7 17 TIGARD Internet: www.ti ard -or. ov g g Date Ready /By: luris El See Page 2 for Notified/Method: Supplemental Information TYPE OF WORK ® 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) ® I- and 2- family dwelling ❑ Commercial /industrial SFR (I) bath 312.70 building SFR (2) bath 437.78 ❑ Accessory g ❑ Multi- family SFR (3) bath I 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: / /075 OILS tom, e_ I r Site utilities: Catch basin or area drain 18.76 City / State/ZIP: TIGARD OR, 97223 Drywell, leach line, or trench drain 18.76 Suite/bldgiapt. no.: Project name: VILLAGE AT SUMMER CREEK Footing drain (no. linear ft.: 100) I 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) I Page 2 Storm sewer (no. linear ft.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: Z I Water service (no. linear ft.: 100) 1 Page 2 Tax map /parcel no.: Fixture or item: DESCRIPTION OF WORK BackOow 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 ! ❑ TENANT Ejectors/sump 25.02 Name: CENTEX HOMES Expansion tank 12.51 Fixture/sewer cap 25.02 Address: 1 3 n "l L S F/4 e(' i e. A re_ Floor drain/Floor sink/hub 25.02 City /State /ZIP: P 14440(0 OR 971 2-3 Garbage disposal 1 25.02 Hose bib 2 25.02 ❑ APPLICANT ® CONTACT PERSON Ice maker 1 12.51 Business name: CENTEX HOMES Interceptor /grease trap 25.02 g Medical gas (value: $ ) Page 2 Contact name: l B '// k ' yont Primer 12.51 Address: 3884 $ r j , 1 1 q e . Art_ Roof drain (commercial) 12.51 City /State /ZIP: 1 )4" lsJc9rO 0j 9 7 / '�3 Sink/basin/lavatory 6 25.02 9 Fax: : (503) 608 -3061 Solar units (potable water) 62.54 Tub /shower /shower pan 2 12.51 E -mail: j3j1/, wayyo/kr' e P4c. - Urinal 25.02 CONTRACTOR Water closet 3 25.02 Business name: CRAFTWORK PLUMBING INC. Water heater I 37.52 Address: 7737 SW CIRRUS DR Water piping/DWV 56.29 City /State/ZIP: BEAVERTON OR, 97008 Other: 25.02 Subtotal Minimum permit fee: $72.50 CCB Lie.: 79666 Plumbin Lic. no.: 20 -148PB 4 Plan review (25% of permit fee) Authorized signature: State surcharge (12% of permit fee) TOTAL PERMIT FEE Print name: PETER POLLARD Date: 0r- 17 -0 I:\ BuildingWermits \PLA1U- PermitApp.doc 10 /01/09 440-4616T(10/02/COWWEB) Electrical Permit Applica nt 3 26!1 FOR OFFICE USE ONLY City Tigard Received Ny !� Cit of Ti and t Permit No.: Date/By: Ob a 13125 SW Hall Blvd., Ti ;OR 97223, . M ill Plan Review Phone: 503.639.4171 s 503 598>1960 Date/By: Other Pcrmil: a rot9- Do l CP TIGARD Inspection Line: 503.639.4175 Da te Ready /By: turn: El See Page 2 for - Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORE PLAN REVIEW ® New construction ❑ Addition /alteration /replacement Please check all that apply (submit b sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at ISO volts or ❑ Floating buildings. less to gmund, 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: El Fire pump. ❑ Installation of75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ". "1 -_ 1 ] I OOHP or more. occupancy. Job no.: Job site address: (o 7S .s. lie. Sy h'. /recite_ ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: TIGARD OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt.no.: Project name: VILLAGE AT SUMMER CREEK 0 Service or feeder 600 snips or ullore. FEE SCHEDULE. Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Qt.. I Fee. I Total I • SW 135 AVE, AND SW SCROLLS FERRY RD New residential single or multi - family dwelling unit. Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: A ( 1,000 sq. R. or less I 168.54 168.54 4 Ea. add'l 500 sq. ft. or portion 3 33.92 101.76 I Tax map /parcel no.: Limited energy, residential I 75.00 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family 75,00 2 NEW SFR TOWNHOUSES residential (with above sq. ft.) Services or feeders installation, alteration, anti/or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER - ❑ 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 amps 301.04 2 Address: 3BSH, eAer e Are_ Over 1,000 amps or volts 552.26 2 L � Temporary services or feeders installation, alteration, and /or l4 City /State /ZIP: , ) /sbor0 t g g7/2 relocation Phone: 971-2tf 6 - pr'-? Fax: (503 -503- 6031 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 1 68.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits will ® APPLICANT El CONTACT PERSON 7.42 service orl'eederlee 7.42 2 each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: 3i/( w p n eP branch circuit 2 7 / Each add'1 branch circuit 7.4_ Address: 388 qt sE `re ft A r e__ 00 Miscellaneous (service or feeder not included) L to Each manufactured or modular City /State /ZIP: 1 I / /sho , B� . 72/ 3 dwelling, service and /or feeder 67.84 Phone: q7/ 2 1 ,6 -/ Fax: : (503) 608-3061 Reconnect only 67.84 2 ` Pump or irrigation circle 67.84 2 E - mail: g Bt'fr•w 7,o/ler'C.Pt.1 fr. (O/i1 Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited - energy Business name: GARNER ELECTRIC panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 2920 SE BROOKWOOD AVE, STE A Additional inspection (I hr min) 66.25/ hr City /State /ZIP: HILLSBORO OR, 97123 Investigation (I hr min) 66.25/ hr Industrial plant (I hr min) 78.18/ hr Phone: 503) 648 - 4552 Fax: ( 503 ) 642 - 7925 Inspections for which no fee is ( specifically listed (%, hr min) 90.00/ hr CCB Lie.: 182591 Electrical Lie.: 34 - 305C Suprv. Lie.: ELECTRICAL PERMIT FEES Subtotal: Suprv. Electrician signature, required: Plan review (25% of permit lee): Print name: CHUCK GARNE• Date: State surcharge (12% ofperrntt fee): • TOTAL PERMIT FEE: Authorized signature: �i�� This permit application expires if a permit is not obtained ttithin ISO ' `t' "' % ' .tom days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per permit. I \Building \Permits \ELC- PcnnitApp.doc 07/01 /10 440-- 16t5T( I 1 /05 /COyt/WEB . . • . 11075 ate- E i . I N . Building Division Development Code Provision Review �� T iGAR° Residential Projects Building Permit No: H t -01 -- c 0 r g 7 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A lir Routed Plans: 7/2-3 r 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 lef only if approved. �� Planning Review (contact at 503-718- D Lit 7 0 or /1A�-@tigard- or.gov) Land Use Case No. Su4�aL WOAD/ ,4 Name V,%1#, o Get n22w C!.6 Lr' Zoning a' -2- .`C P Q DEr Setbacks: Front / 7 Rear C 2- Side a /- "1 a s Street Side y Garage / f l� aximum Building Height 4 7 .0 ' Actual Building Height ?j lc ` 0 Visual Clearance 11 [B"Sensitive Lands Type: Notes: Original Plan: Approved / Not Approved ❑ Date: /A 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) -0' Actual Slope: Notes: Original Plan: Approve Not Approved ❑ Date: jrz_' Revision 1: Approved D 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 --121. Protected Trees Notes: Original Plan: Approved ...Etr Not Approved ❑ Date: Z 31 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: Page 2 of 2 Village __ __ __ __ 1S'sOO Pg. 79 1867- '-Y '4 i k? 7.%"' S ummer Cre e X , 1 , I I 1 x , x x—x x - c� �-,. x— I Oilk ►o I 2.0' © c I , LL.1 I I 1 Z I= II I I 1 1 I4.4-4r0//k I -I I'"s<1O.3 I— 3 [--- >- I I Building Plan: 5 1 ; I 17 18 19 20 21 ' Lots 17,18,19, 20 & 21 1('< 1 FF/TOW 185.56 FF/TOW 185.56 FF/TOW 186.56 FF/70W 186.56 FF/TOW 187.56 1 GS 184.36 GS 184.86 1 GS 185.36 GS 185.86 I GS 186.86 1 Units A- C -B -C -A / TOP 185.02 TOP 185.02 1 3 TOP 186.02 TOP 186.02 TOP 187.02 I (n I — PSITE , / , , . I Scale: 1"-10' 2 / -sfr 5 1r6t GL.w4dd I I \ J _ �- C /n, ■c ,c Flo wer ► �::. ' • • . • '� � 0 .. . � I ' 1 t Y .. r1 / 1 0.7 \ / : :..� 21:0': I � 1 : ':., �❑•\, 6'3. _ .' -'4 — T: :- .. �"`�`� ... .0 - .....� 0 1.S.:0' L p 19:0 s • •.:*.:•...•..-•.:•.....•...•.:........ 6 o :. ... • ....: I z Eas er R. t4 a 1 11 • • • Qrl • • . :: .. .. .., „ (,) H SIG T DISTANCE ...... G : ............. w . 30.0' .. ...... ........................... ..... . . . . .... .......................... ..........::: . . .. ....:::. .....:... ......::: :::::::::............ ........................ .:: r /8a fig ,� ;: .;;..::. W SAGE T E ° "ACE • is.if. 7s :' ° „`,: ENGINEERING ASSOCIATES CORPORATION • • •• • 17757 Kelok Road Lake Oswego, OR 97034 8” SS TeL (503) 636 -4005 Fax (503) 636 -4015 • I I 1 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 11075 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 04/17/2013 00:00 MST2012-00189 FAIL Ac unit not complete Violation Summary: Inspector Contractor