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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. Building Permit Application P" 4 7 Residential , �� • . , . ✓ -;,, ;. g y4 - FOR OFFICE USE ONLY City of Tigard o o( ,Receives ...." N�i���o� -613/ 2 3 � O DateB : , �g� �' Pe rmit No.: 13125 h S50 Hall A17 1, Tigard, OR 97 . �� Plan Review - t ' A in • r v �r Phone: 503.639.4171 Fax: 503.59© eC J`, . DateB : � 012. -co r6 TICARD Inspection Line: 503.639.4175 - , .;t %rt ' 4.20 7 Date Ready /:y: orris El Sec Page 2 for Internet: www.ti and -or. ov ( 1 )1;' �� P g g t' , .1 Notified/Method: Supplemental Information � ? YP,E' U OA vi.. � r'" ' . RFQ I FD D T ;1-' AND 2=FA` HL MOM FR t. n+ �"4- .x#crt� ^te- �•' ,.�'-' . �. rz- a.�.^o��aat�x�?*:w�a- ?���r" i re- 3� -a 2 ® 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 ' : *p ,"t "t.� •• OIC i.- f: `,' F work indicated on this application. DW .if* � �, , r�c-'. �` y„ r, ? s���N`K: a ��,�, r �a� ® I - and 2- family dwelling CI Commercial/industrial Valuation - 4 1Q-5-,0-53 . 44_ Number of bedrooms: 2 ❑ Accessory building ❑ Multi- family . ❑ Master builder 111 Other: Number of bathrooms: 3 ,1 �I. OB S +E IItFORM O� Ltr OLV~° ° Total number of floors: 3 'r:... , s = - ��:,,:�- :�.- .._ _ x ..- a Job site address: ' s,.., s ,,r�'RCe- New dwelling area: 1186 square feet • City /State/ZIP: TIGARD OR, 97223 / Garage/carport area: 480 square feet (A-3 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 18 square feet CA3 Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet SW 135 AVE, AND SW SCROLLS FERRY RD 13, Other structure area: I � square feet 7 ) It Y� f � -'� ,6. �+�h� >:.F . E(� U�IRED DAr sio @OMMER(s'.11VI¢S C' EC�I� -LIS� - R��`.:sesnur� �a� '�.act 'rt^. Subdivision: VILLAGE AT S 1'IER CREEK Lot no.: Zfj 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 „. , ' ' ,, - IES 0� Y4 , .3u 4 *' ',1,-''''::1 ' ^" _` work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT C 1186 SQ. FT. Existing building area: square feet New building area: square feet �xPRO ER �sss a ie - " r# ® e p iVA, °' , Number of stories: Name: CENTEX HOMES Type of construction: Address: 3,01/ St= 4 L ve. Occupancy p y groups: City /State/ZIP: k /sbOro ` ! q 7/2 Existing: 1 � 6 Phone: 9 J7/ -2 y( -/107 Fax: (503)608 - 3061 New: y , � 11%ME G;AN ®PAC ER g a .n t �-.; OT ( .. 1. - tr. ::.. t,4 wyR Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: SI/ t, , �X,pKf licensed with the Oregon Construction Contractors Board i� under ORS 701 and may be required to be licensed in the Address .may SE /g em_ Are_ jurisdiction in which work is being performed. If the City/State/ZIP: � // {�0r0 2 7/73 applicant is exempt from licensing, the following reasons P p Phone: ( g ? -2 yb _/ y Fax:: (503) 608 -3061 E-mail: 13,.11. t'1,I4t9/ctr e. P' j 5•10 P 1 / - i°r• :d'%+iF'.'v'R.�3�r:' �? 4.r.CCty -o. i , _ > . 4 . c>oNTR7466R ,'-, ;°ii-' ^ `. 4 t , :l s . _ ._ �w rir�,.» ,.�r.^.�s�c=. �c��.�'a�1_r`.t�.,,-r��� ���Y�.. ��- .;`.�. � =.it ' Business name: CENTEX HOMES x. }� v - : „ K .. _ . Y , ; _ ,_,�- , BUILD�Pi ,iG�`l'.ER1V � fib. • Address: 16520 SW UPPER BOONES FERRY RD, STE 200 m .. ` Pieaserejer;tofeschedrite) .tV.5., z & Structural plan review fee (or deposit): City/ State/ZIP: PORTLAND OR, 97224 FLS plan review fee (if applicable): Phone: (503) 608 -3060 Fax: (503) 608 -3061 CCB lie.: 182591 Total fees due upon application: Amount received: t547- Authorized signature: - � � T his permit application expires if a permit is not obtained . P PP P P within 180 days after it has been accepted as complete. Print name: ( Q // k/ Date: yy °rte U I * Fee methodology set by Tri-Couniy Building Industry Service Board. I:\Building \Permits\DUP -RES PermitApp.doc 10/01/09 440- 4613T(I 1 /02 /COM /WEB) Mechanical Permit Application , . ; FOR OFFICE USE ONLY City of Tigard , k ,. , , c _ "s . • ,, R . Permit No.: � ... AO �� � a 13125 SW Hall Blvd., Tigard, OR 97223 ✓ / /, .. II N Phone: 503.639.4171 Fax: 503.598.1960 F Other Permit: :0,41' 14 TIGARD Inspection Line: 503.639.4175 Cy -,,, t! ?O, '' care Ready/By: tors: H See Page 2 for Internet: www.tigard - or.gov 6 /i' 2 Notified/Method: Supplemental Information ems: 41 y/ _P .,:...Q:411, ""7 .z• .,pr. ..• �'" p>,rx.. •�,y...„y z � � q ^+u��.R.,r• a .Y- sgc ..�.- . wa.._r�„ -z", l.� " r' : •` ::,�r I F WU tK �r; v „" . h 'xCOIII ER T4TE SCIIED,ULr�E IISE CAEe SST ❑ Addition /alteration /replacement °� Mechanical permit fees* are based on the value of the work ® New construction performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. l am: , :-- :.r:.� -�•-- - _- �,- ��<r-- - . � � C+A?I EG Aria F,'CONSTRUCT Y ai " '`z- Value: l.... -E- n:,,,. -., : --,- - .u,.. � --" • i' ...- - F _: ..-._1::'- e rns.. e �ar_.,c stma:Taa:r�.,ra • e Ysaan- k: ' SrEN77 E ° MEg /SYST -- ml - s ES Q ® 1- an d2 -famil dwelling C ., , �� y g ❑ ❑Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description I Qty. Ea. Total _ �r bfi3^�L'r.•sR• i+.aebsWM,fi zss�= .iii =4i s` S�=e'4 4�.- t ^ 6 ` :`� : o r Fm,,i' IO 1JA ND 'QGAT 0 , ; �� _,,_ Heatinp,/cooling Job site address: O $ w S 4s r Air conditioning 1 y 6 . 73 // 6 f e. (requires site plan showing placement) 46.75 7 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 Hydronic hot water system 23.32 SW 135TH AVE, AND SW SCHOLLS FERRY RD 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 Lot no.: Flue vent for any of above 23.32 �b Other: 23.32 Tax map /parcel no.: Other fuel appliances ` ' " "� " "" °° Water heater 1 23.32 23.32 ` to $z . ;: I ESCRI, E'ItlON- etis R v� ' Gas fireplace NEW SFR TOWNHOUSES 3.39 Flue vent for r water heater or gas UNIT C 1186 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 WZ �1. R -gga ='- •i TfN iIVT - _: _ Other. 23.32 '"� > Other. 23.32 Name: CENTEX I'IOMES Environmental exhaust and ventilation Address: I ggSii S C Ilene Aire_ Range hood /other kitchen equipment 1 33.39 33.39 City / State/ZIP:. 4,A)20/ 0g. 9 2/ Clothes dryer exhaust 1 33.39 33.39 Single -duct exhaust (bathrooms, Phone: q 7 / -2 '« / y 17 Fax: (503)608 -3061 toilet compartments, utility rooms) 4 23.32 93.28 t~ • .W. SAP r` ii ° 2 , �- x . 4 ... . ��� YLIC�A T a rb ��k�� .1�,���4- ��COnA�PERSO�:�'�� � Attic/crawlspace fans 23.32 Business name: CENTEX HOMES Other. 23.32 Fuel piping Contact name: GARY CULP $14.15 for first four; $4.03 for each additional Address:. .70ett LE A4 r e. A re- Furnace, etc. 1 14.15 Gas heat pump City / State/ZIP: fit ro f o (Z 9-7/23 Wall /suspended /unit heater r , Phone: ( C�7!- ZG16-� Fax: : (503) 608 -3061 Water heater 1 I! Fireplace E -mail: ? f1/, w fr9'reIt t e, cc»1' Range -,.. 55v'.., '� i%Y -/ sr^ . ',p yvrs r^µFw,.:e''`u,�' '"r�a�':':�<',r`..= "'�:`� °:L;' �?'. - z ;eG., 1 ° C.ONTRACTO +;n;�-T;.. -_ °s a Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE STE 500 ,. ,, , C �1V1CALPERMITaFEESV` LANE, e' .. 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 This permit application expires if a permit is not obtained within 180 Authorized signature: / days after it has been accepted as complete. Print name: KYLE i R • Date: • Fee methodology set by Tri -County Building Industry Service Board 1: \Building \Permits \ M EC-Permit App doe 10/01/09 440 -4617T (I I /02/COM /NEB) Plumbing Permit Applicatio - Building Fixtures .;`-, FOR OFFICE USE ONLY Received 1 701)12 , 1:01q City Of Z Tigard /` Pennit No, I 711 • 13125 SW Hall Blvd., Tigard, OR 9723) Date/By: / P hone: 503.639.4171 Fax: 503e5 1960 c z D an Review iew i 2901 f / J _ C ` Other Permit No C/" ltd (� ` Date/ By: TIGARD Inspection Line: 503.639.417� ' ..; /� Date Ready /By: lur s 0 See Page 2 for Internet: www.ti ardor. ov " ''.7 ,' g g � Notified/Method: Supplemental Information TYPE OF WORK ` T FEE* SCHEDULE El New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. 1 Total ❑ Addition /alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath I 500.32 500.32 ❑ Accessory building ❑ Multi family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: , /b8/ �l y.'/9 L I ti t "qCe Catch basin or area drain 1 8.76 / ( Drywell, leach line, or trench drain 1 8.76 City /State /ZIP: TIGARD OR, 97223 Footing drain (no. linear ft.: 100) I Page 2 Suite/bldg. /apt. no.: 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 1 18.76 Sanitary sewer (no. linear ft.: 100) I Page 2 Storm sewer (no. linear ft.: 100) I Page 2 Water service (no. linear ft.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 2_0 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer I 25.02 NEW SFR TOWNHOUSES Dishwasher I 25.02 UNIT C 1186 SQ. FT. Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: CENTEX HOMES Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 33;84 SE Pe(tl & Aire- ) Garbage disposal I 25.02 City /State /ZIP: f - i / /sbo D (Z 97/23 Hose bib 2 25.02 Ice maker I 12.51 ❑ APPLICANT ® CONTACT PERSON Interceptor /grease trap 25.02 Business name: CENTEX HOMES Medical gas (value: $ ) Page 2 Primer 12.51 Contact name J13//( / I4. fir Roof drain (commercial) 12.51 Address: 3 Y S E net e A v'L Sinllbasin/lavatory 5 25.02 Cil 1S[a[e/ZIP: Solar units (potable water) 62.54 14 ►11� aro 97 /Z _ (P ) - Fax: : (503) 608 - 3061 Tub /shower /shower pan 2 12.51 E - mail: ,�(l(til2�et. P .1ifc.,CO& _ Urinal 25.02 �� / /vv Water closet 3 25.02 CONTRACTOR Water heater I 37.52 Business name: CRAFTWORK PLUMBING INC. Water piping/DWV 56.29 Address: 7737 SW CIRRUS DR Other: 25. City /State/ZIP: BEAVERTON OR, 97008 Subtotal ' Minimum permit fee: $72.50 Plan review (25% of permit fee) CCB Lie.: 79666 Plumbing Lic. no.: 20 - 148PB o State surcha (12% of permit fee) Authorized signature: / TOTAL PERMIT FEE ` This permit application expires if a permit is not obtained within 180 days Print name: PETER POLLARD Date: g /, fe) after it has been accepted as complete. *Fee methodology set by'tn- County Building Industry Service Board. I' \Building \Permits \PLNlU- PermitApp doe 10/01/09 440- 4616T(10/02/COM)WEB) Electrical Permit Applicat ` t • FOR OFFICE USE ONLY / mar City of Tigard ,./04 2 3 Received Permit No.: f�ol ��bt)(� '�+� DatelBy: l 13125S Hall 639. ;vd.,Tigard } .3 ' 2Q, Plan ,�� a � o �� 5 tp Other Permit Phone: 503.639.4171 Fay ?, 503�3:.1 Datcil3y: TIGARD • Inspection Line: 503.639.4175 - - • - ,:-. , '. 1 . ; ,) Date Ready /By: turfs ® See Page 2 for . . Internet: www.tigard or.gov '• '4,/ Notified/Method: Supplemental Information TYPE OF WORK ,l� PLAN 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 ❑ Building over t stories. El Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION 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 fur all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A" "E "1 2 "I -3" /�6/ S w Se /c rt r/ � I x or more a rest occupancy. Job no.: Job site address: / ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: TIGARD OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more [ban ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Qty. I Fee. I 'rata I • New residential single- or multi - family dwelling unit. SW 135 AVE, AND SW SCROLLS FERRY RD Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: ZO 1,000 sq. It. or less I 168.54 168.54 4 Ea. add'; 500 sq. It. or portion 2 33.92 67.84 1 Tax map /parcel no.: Limited energy, residential 1 75.00 75.00 2 DESCRIPTION OF WORK (with above sq. fl.) Limited energy, multi - family NEW SFR TOWNHOUSES residential (with above sq. fl.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: CENTEX HOMES 601 amps to 1,000 amps 301.04 2 Address: 1 3g2 If SE/4 ! e R re_ Over 1,000 amps or volts 552.26 2 City /State /ZIP: F /- l'/1s�p 0 % �/ �, Temporary services or feeders installation, alteration, and /or relocation Phone: / 7/ -2 yb - /y('7 Fax: (503 -503 -6031 200 amps or less 59.36 I f 201 amps to 400 amps 125.03 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps I68.54 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 with © APPLICANT l=1 CONTACT PERSON above service or feeder fee 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: grtyI 14, f1,pree- branch circuit / nn / - e'/ i Each add'l branch circuit 7.42 2 Address: 1 388 SC /T t_ � ► Miscellaneous (service or feeder not included) City/State/ZIP: F r Each manufactured or modular 67 84 2 /�'� "� /b � Q f 7 / Z 3 dwelling, service and /or feeder Phone: 4 7/-2 y6 -/ y l7 Fax: : (503) 608 - 3061 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: 0'11 I 4y9 e,-'e f / C•(B Sign or outline lighting 67.84 2 f/ 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 (1 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 90.00 / hr specifically listed ('V, hr min) CCB Lic.: 182591 Electrical Lie.: 34 -305C Suprv. Lie.: ELECTRICAL PERMIT FEES Subtotal: Suprv. Electrician signature, required Plan review (25% of permit fee): Print name: CHUCK GA ER Date: State surcharge (12 %ofpermit fee): TOTAL PERMIT FEE: Authorized signature: i1 / / T his permit application expires ifs permit Is not obtained within ISO • f days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per permit. (\Building \Permits \ELC- Pcmiit App doc 07/01/10 440- 16157(11 /05/COtet /WEB x/08/ 6 VIII . @ 4441 C . � - ' i . If '' Buildin Division 43 Development Code Provision Review TIGARD Residential Projects Building Permit No: ' ( 40 17' rc / S g CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: / Original Plan Submittal Date: 7/P r 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 (V) 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. ,` 7� Planning Review (contact a .14 1 ) at 503- 718 -y7'�' or ``�", @ tigard- or.gov) Lad Use Case No. 1 2t0; 7.0,06r o0 / Pi) Name e 1 9f449&2G'/ - l.Gh Zoning <7 Pi) Lr Setbacks: // Front / V Rear l � Side Street Side 11/ Garage c- / IB Maximum Building Height "t 1 Actual Building Height 7i S ' EKyisual Clearance L �Easements E Sensitive Lands Type: Notes: Original Plan: Approved Not Approved ❑ Date: '/� o //7s l Pp pP 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) I2'"Actual Slope: If Notes: Original Plan: Approve Not Approved ❑ Date: J 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) g o Street Trees 1 Protected Trees Notes: Original Plan: Approved Not Approved ❑ Date: 1 /g I cA ' Revision 1: Approved IJ 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: / "/ i'. Page 2 of 2 • Vill age at 1 -- __ __ �$�.�- _ _ __ __ _ _ _ Igs.00 x x x x x x �' � x ��■ ■■ / Summer Creek x x • x _ x x :_ x x - _ : _ 12.0 I 12.0' 12.0'I 12.0' EL! p. ;: , _ _ ' o 1_ 1 . C I 411111111% I G' O C ,. W I I I I I I z 1 I I I I I ° lerp J ' 10.3' - --I 3.5' Imo I — — — — — — Q > - - I I I Building Plan: 5 I ; & 18 19 20 21 Lots 17,18,19, 20 21 0 � x i FF/TOW 185.56 FF/TOW 185.56 FF/TOW 186.56 FF/TOW 186.56 FF/TOW 187.56 Units A- C -B -C -A GS 184.36 GS 184.86 I GS 185.36 GS 185.86 I GS 186.86 3 I TOP 185.02 TOP 185.02 TOP 186.02 TOP 186.02 TOP 187.02 / Cr) i / SITE PLAN / , II ' I I Scale: 1"-10' d / y I / S-h`u�. w,dd les it;',''-\( I I I - x X x x — !� ■ .. I ` L........... I • Ckm.-1-1Gci F/OWei' Peet r 30.0' � 1!... : :':':':' :' ■ `Y.'.' .'.'. '■ : .. �■ 3.5 10.7 \ .. • • • • • ] ithi IA / 21:0. ... .... A... ii • :Z p asfetn lea � v I I T ® .'• • • - • SIGHT DISTANCE • • • • • • • • • ill . . . . . . . I . p.. T R I -ANGLE 30. 0 ...... . .. 186.11 R . . . .. ... . .. . ;:: ; r :;; :;;';::;'; : : ; ; ::: ;:.; ;: ;; �; ., ,:;: IO ;:::::::::; AGE T E A C E yiii iss: If ,53 5), /,,,. 3, ENGINEERING ASSOCIATES CORPORAT f Wt. 7S 8" SS 17757 Kelok Road Lake Oswego, OR 97034 Tel. (503) 636 -4005 Fax (503) 636 -4015 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 11081 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 04/23/2013 00:00 MST2012-00188 FAIL 1. Provide complete building address. 2. Did not take final building documentation All else ok Violation Summary: Inspector Contractor 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 11081 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 04/19/2013 00:00 MST2012-00188 PASS Violation Summary: Inspector Contractor 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 11081 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 04/17/2013 00:00 MST2012-00188 PASS Violation Summary: Inspector Contractor II N STREET TREE CER TIF TIGARD TION b igv C_AO\ , owner agent or tAc 40144E5 (PLEASE PRINT) (PERMIT HOLDER) do hereby certifi 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. PERMITNO.: PVisf2o12- 001 gS SI"1 E ADDRESS: ((O? ( SA) SAkf 7 & SUBDIVISION: Vi LL * A S tfrt hi; 01 / LOT #: 2_6 SIGNATURE: - -- -_ - -- DAZE: (OWNER /AGENT) RE CEIVED & VERIFIED BY: DA DAM: � )5" - ( "(CITY OF TIGARD) I Tree location verified per .pproved site plan. I: \Building \Forms \StreetTreeCertificate 05/30/2012 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: ! l S l Zo 1 Z_ 00 e Jurisdiction: l l yQ/2 b l Site Address: i + O I SA) cA Tekiekt Subdivision/L t #: ' mitt / gt , -�J n\ and /or V c � Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Signature: Date: � — Z l 3 0 - eral • actor /Authorized Agent Print Name: y ORSC Section 1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently inst lied lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum fficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. 1: \Building\Forms\R S- HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOI `TURE CONTENT ACKNOWLEDGEMENT FORM I, -,w I C 4 0 1 , am the general contractor or the owner - builder at the followint address: Site Address: (l 60 I Su) S;44qE- TwAce City: Ti 6 .A Permit #: xitc , 2012_ Od 100 Subdivision/L It # V • I C A c T' a ��� Cit&i � 2 and /or `! Map and Tax of #: To conform w th 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 f ORSC Section 8318.2 and have taken steps to meet this code requirement. [Section R318 2 is provided for reference]. R318. Moisture Content: Prior to the installation of interior finishes, the building officia 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 percen by dry weight of dry framing members. Signature: //.' Date: q — I 5 G err • or Owner- Builder l:\Building\ Form \RE. - MoistureSensitiveWood.doc 09 /25/08