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Permit - u CITY OF TIGARD MASTER PERMIT . 'l a COMMUNITY DEVELOPMENT Permit #: MST2012 -00187 T IGARD; 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/05/2012 Parcel: 1 S133CA09600 Jurisdiction: Tigard Site address: 11083 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 19 Project: Village at Summer Creek, Lot 19 Project Description: Building 5, new SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 38 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 573 sf Garage: 509 sf Front: 15 Smoke Dwelling Units: 1 Third: 573 sf Right: 0 Detectors: Yes Total: 1184 sf Value: $161,355.80 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 Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp. 0 W/ Svc or Fdr: 0 Ea add, 500 sf: 2 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 . Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 . 601 -1000 amp: 0 601 +amp- 1000v. 0 1000 +amp /volt 0 . ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecomposing. Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R -3 1184 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: $13,666.26 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. ATTEN : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -00 through AR 9 -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 y —i Permittee Signature: IIIIIk,_' _■,.. L..-1Zti6� F td -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. Building Permit Application I. -, -, _ Residential FOR OFFICE USE ONLY . � City of Tigard ^ ��/�� 7 2 :- '� ''�� ' I 7 ; I, Permit 7-10 �r ° 13125 SW Hall Blvd., Tigard;�R(,9 - � i � � � R eceived Date/B : /�� ��7 l/���0 Plan Review ' p Other Permit: - t1Q / 7- -DOF(o t .: Phone: 503.639.4171 /-,mac 503.598.1 Date/B : � a711 1 TIGARD Inspection Line: 503.149A71 7 ' Date Rady :y: Ark: El See Paget for Internet: www.tigard=Or,g*: ` " ,('-'.',..=(,,„ , -., Notified/Method: Supplemental Information I i y - ' .. TYPE -OF WORIC t . , ' REQUIRED DATA: i -AND 2= FAMIILY 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/alteration1replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the - CATEGORY OF ;CONSTRUCTION - - - work indicated on is application. I y dwelling ❑ Commercial /industrial Valuation` $ > 58.93 C ® 1 -and 2 -famil dwellin ❑ Accessory building ❑ Multi - family Number of bedrooms: 2 El builder ❑ Other: Number of bathrooms: 3 JOB SITE - INFORMATION. AND LOCATION. - Total number of floors: 3 Job site address: Hon S w s'4 y -t- r ^ rrfe p New dwelling area: 1332 square feet City/State/ZIP: TIGARD OR, 97223 / t 2 Garage /carport area: 509 square feet 573 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 17 square feet 5 Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet `38 SW 135 AVE, AND SW SCHOLLS FERRY RD iv ' C it Other structure area: (go 1 square feet �- 5 REQUIRED DATA: -USE CHECKLIST Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: / t 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' O)~ WORK : - work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT B 1332 SQ. FT. Existing building area: square feet New building area: square feet ® PROPERTY OWNER ., ❑, TENANT Number of stories: Name: CENTEX HOMES Type of construction: Address: 1 33sy SE Aeri Rol Occupancy groups: City/State/7i /4 /Lskolb,OR 97/x Existing: Phone: (5 9 -Ay 6 _N/7 Fax: (503)608 -3061 New: ' ' ®APPLICANT • • l CONTACT PERSON _ NOTICE Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: j/� iA/Q snt/' licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1 388 SE 4- K d jurisdiction in which work is being performed. If the City/State/ZIP: tir/tio r0 OR 971 applicant is exempt from licensing, the following reasons i.— — - a pp l y : Phone: y 7i_ a &, -/ y17 Fax: : (503) 608 -3061 E -mail: 3O• t•viont/' a P� I fe • [om CONTRACTOR •' _ Business name: CENTEX HOMES n = .' , BUILDING PERMIT FEES* - Address: I 3281-1 SE /� et; e. Q d (Please rrjer to fee. schedule) Structural plan review fee (or deposit): City / State/ZIP: / +1 oro oR' 97R.3 q ]�_ a Fax: (503) 608 3061 FLS plan review fee (if applicable): Phone: y 6 - pi l l /---'. Total fees due upon application: CCB lic.: 182591 i Amount received: #7/5. 7/3,61 Authorized signature: This permit application expires if a permit is not obtained p within 180 days after it has been accepted as complete. Print name: z 131// U. y Ont e-- / /1 Date: +' Fee methodology set by Tri- County Building Industry // ( V Service Board. I:\Building\Permits\BUP -RES PerrnitApp.doc 10/01/09 440.4613T(I I /02 /COM/WEB) • Plumbing Permit Applic r; . Building Fixtures 1 ,?A �. w l'-_ FOR OFFICE USE ONLY City of Tigard JU Received f ., • 13125 SW Hall Blvd., Tigard, OR 9722 3 20 �� Plan Re: Permit No.:, +y ��� �� view 11 Plan Rep 11 Phone: 503.639.4171 Fax: 9$96(L. D ate / By Other Permit Nn.: L ri o`� Q O/ 04 � Inspection Line: 503.639.4 r . = ` ). . TIGARD : : i _ Date Ready /By: luris 1d See Page 2 for Internet: www.tigard- or.goV:C;�__' . yr 1 Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 312.70 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 building SFR (3) bath I 500.32 500.32 ❑ Accessory g ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: p Catch basin or area drain 18.76 / 0 O S 1 t -S4ye T /w Drywell, leach line, or trench drain 18.76 City /State /ZIP: TIGARD OR, 97223 / Footing drain (no. linear ft.: 100) I Page 2 Suite/bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK Manufactured home utilities 50.03 Cross street/directions to job site: CORNER OF SW BARROWS RD, Manholes 18.76 SW 135 AVE, AND SW SCHOLLS FERRY RD Rain drain connector 1 18.76 Sanitary sewer (no. linear ft.: 100) I Page 2 Storm sewer (no. linear ft.: 100) I Page 2 Water service (no. linear ft.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.:' R Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25.02 NEW SFR TOWNHOUSES Dishwasher 1 25.02 UNIT B 1332 SQ. FT. Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: CENTEX HOMES d Fixture/sewer cap 25.02 Address: 3g3 y SEA,r; r I V Floor drain/floor sink/hub 25.02 Garbage disposal I 25.02 City /State /ZIP: /$,i46 f o r O K q 7/ t 3 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 Contact name: Primer 1 2.51 / `/ 1't. Roof drain (commercial) 12.51 Address: 3$$y SE /{p /tie J 4 vc-- Sink/basin/lavatory 6 25.02 City /State /ZIP: ,qI1/5.Oro OR 97 /z 3 Solar units (potable water) 62.54 Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 Urinal 25.02 E-mail: 84. wac�0Acc e_i ie• emn-, // CONTRACTOR Water closet 3 25.02 Water heater I 37.52 Business name: CRAFTWORK PLUMBING INC. Water pipingJDWV 56.29 Address: 7737 SW CIRRUS DR Other: 25.02 City /State /ZIP: BEAVERTON OR, 97008 Subtotal Minimum permit fee: $72.50 CCB Lie.: 79666 Plumbing Lic. no.: 20 -148PB Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: �� �+ (7�/� - if PERMIT FEE A This permit application expires a permit is not obtained within 180 days Print name: PETER POLLARD Date: after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I \Building \Permits \PLMU- PermiiAppdoc 10 /01/09 440- 4616T(10/02/COM/WEB) /f / ,� : � . / , �. Mechanical Permit Applicat ott - ; L,,, FOR OFFICE USE ONLY City of Tigard ,l(J( g S ( ) Dateive� ( Permit M.: } D�7 I• O y 13125 SW Hall Blvd..Tigard, OR 97223 ev 2 p - 012 Plan Review , Phone: 503.639.4171 Fax: 503.59�;��i0'� � , ,- , DattlBy: Other Permit: 51,0p...90 1"). � •oc/v�l Inspection Line: 503.639.4175 / l -, . - . , TIGARD ^ / . ' ,A,i) Date Ready /By: Avis: El See Page 2 for Internet: www.tigard j , J Notified/Method: Supplemental Information - . ' . ' TYPE OF •WORK . _ - _ " COMMERCIAL - FEE" SCHEDULE ' =. USE CHECKLIST Mechanical permit fees* are based on the value of the work New construction ® 0 Addition/alteration/replacement • performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY CONSTRUCTION. - - Value: $ " RESIDENTIAL � EQUIPI1EN9 , SYSTEMS -FEES• ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building -"- • ' - - ❑ Multi family ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. I Ea. I Total ' .- ; . I'JO , S ITE - ,IN F ORMATION , AND LOCATION_' Heating/cooling Air conditioning Job site address: 1 1 bILS S%-4/ S2,e I erAce ,/ (requires site plan showing placement) 1 46.75 yh. 73 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 Suitelbldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Heat pump 61.06 Cross street/directions to job site: CORNER OF SW BARROWS RI), Duct work 23.32 SW 135TH AVE, AND SW SCHOLLS 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 Flue/vent for any of above 23.32 I Subdivision: VILLAGE AT SUMMER CREEK Lot no.: / l Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION - - Water heater I 23.32 23.32 NEW SFR TOWNHOUSES Gas fireplace 33.39 Flue vent for water heater or gas UNIT B 1332 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace/insert 23.32 - • - - Chimney/liner/flue/vent 23.32 . PROPERTY O' YNER . I - ' - ❑ TENANT Other: 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation A Range hood/other kitchen Address: e 3 �8 Y sr_ �9Pr l v.,_ equipment 1 33.39 33.39 City/State/ZIP: 1411I4010, Cl 1?-7/a...3 Clothes dryer exhaust 1 33.39 33.39 Single -duct exhaust (bathrooms, Phone: 9 7 f - 9 t/6 - /y/ Fax: (503)608 -3061 . toilet compartments, utility rooms) 4 23.32 93.28 -® APPLICANT. ' - ❑: CONT PE Attic /crawlspace fans 23.32 • • Other. 23.32 Business name: CENTEX HOMES Fuel piping Contact name: I g, Lf/ , , s ne/ ' $14.15 for first four; $4.03 for each additional 3 d 8Li S E /�T ge e i � A � Gas hea etc. I 14.15 Address: O II Gas heat pump City / State/ZIP: � /b o (Z q 7/A3 Wall /suspended/unit heater Phone: 9 7I _ a Y6 _ 7 Fax:: (503) 608 - 3061 Water heater 1 /��J 7 Q Fireplace E-mail: I D ,')/. 1�1/ejy Aer''Q (�/ . [Or)'- Range 1 . -/ CONTRACTURE '_ Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW !CABLE LANE, STE 500 : . : MECHANICALP.ERMIT• •FEES *,'. City /State /ZIP: PORTLAND OR, 97224 Subtotal Minimum permit fee ($90.00) Phone: (503) 598-0966 :. x: (503) 598-8498 Plan review (25% of permit fee) CCB lic.: 50096 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signaturo This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: KYLE BI • AN Date: • Fee methodology set by Tri- County Building Industry Service Board I: \Building \Permits \MEC- PcrmitApp..oc 10/01 /09 440 -4617T (I I /07/COM/WEB) rPP) �.:' :, Electrical Permit Application •'-, t . ' i , L 7 FOR OFFICE USE ONLY City of Tigard i" Q ` G 3 ��;' Received � � 2---(A, �,/� 2 Date/By: Permit No.: �t r 3 ° 13125 SW Hall Blvd., Tipard,�f�i/3,1, O, � Plan Review �iw2aoia' 0016,4 Phone: 51)3.639 -4171 Fax: 1 ,0(!'7 1242 r. , c Date /By: Other Permit: TIGARD Inspection Line: 503.639.4175 '.7 ' Date Ready /By: luris: ® Sec Page 2 for Internet: www.tigard or.gov v Notified /Method: Supplemental Information :flit TYPE OF WORK 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 three stories. ❑ 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 El Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. 0 Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. Addition of new motor load of Job no.: Job site address: // o 3 3 �`r c` G IOOHP ormrs. Recreation. F - r � � �r��� residential ❑ Six or more sidemial units. 0 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 ❑ Service or feeder 600 amps ormore. FEE SCHEDULE Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Qty. I Fee. I Total I • SW 135 AVE, AND SW SCROLLS FERRY RD New residential single- or multi - fancily dwelling unit. Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: l 1 1,000 sq. It. or less I 168.54 168.54 4 Tax map /parcel no.: 1 Ea. add'I 500 sq. It. or portion 2 33.92 67.84 1 Limited energy, residential I 75.00 75.00 2 DESCRIPTION OF WORK (with above sq. I.) Limited energy, multi - family 75.00 2 NEW SFR TOWNHOUSES residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER ❑ TENANT 201 ampsto400amps 133.56 2 Name: CENTEX HOMES 401 amps toG00amps 200.34 2 /� 601 amps to 1,000 amps 301.04 2 Address: 3 85LS /7 E er�e Ra( Over 1,000 amps orvolts 552.26 2 rO 01 \ Temporary services or feeders installation, alteration, and/or City /State/ZIP:i f 0 7 ' relocation Phone: 97( -91t6 -Il 17 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 163.54 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 I ❑ CONTACT PERSON above service or feeder fee, 7 47 each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, First 56.18 2 Contact name: r // w po tier" branch circuit Each add'I branch circuit 7.42 2 Address: I 38811 Si Aerie Q ci Miscellaneous (service or feeder not included) LL Each manufactured or modular Cit /State /ZIP: 67.84 2 y / - //S,//O ro, O e 97/ 3 dwelling, service and /or feeder Phone: ( Cl 7 /-al y‘-iii R only 67.84 2 /� Fax: (503) 608 - 3061 l Pump or irrigation circle 67.84 7 E g 60. U' pf pion et — {)0/ I.c� 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 (1 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, lcr min) CCB Lic.: 182591 Electrical Lic.: 34 - 305C Suprv. Lic.: ELECTRICAL PERMIT FEES Suprv. Electrician signature, require Subtotal: Plan review (25% of permit fee): Print name: CHUCK GA ER 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. P\nuilding \Permits \ELC - Permit Apo doe 07/01 /10 440- 1515T111/osicovtAVL•D . , . //023 o§W e. L rzi1/4►. Building Division .14 . Development Code Provision Review /mil � g� rIcAR° Residential Projects U Building Permit No: N ')T 1 9 1 CI -7 CWS Service Provider Letter Received: Yes ❑ No ❑ N /A- Routed Plans: Original Plan Submittal Date: 43 I ,y 1 st 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. /, _ n Planning Review (contact at 503-718- 011) or �-�/" @tigard- or.gov) Lad Use Case No u Z DO 1 - 0 ' / 000 1 Miliame I"" e O 52 c'v 1511 Zoning eZ S'- r 0 L9 Setbacks: Front t S5" Rear / Z / Side c, Street Side /t// Garage / S Ermaximum Building Height % 5 ' Actual Building Height - 3 c ' ffrVisual Clearance Easements l ensitive Lands Type: Notes: Original Plan: Approved 7 Not Approved ❑ Date: 1( p/2---- 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) H Actual Slope: - 1 Notes: Original Plan: Approved„-0' Not Approved ❑ Date: - 7 ///, 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) l Street Trees II Protected Trees Notes: Original Plan: Approved $ Not Approved ❑ Date: 77/7///1 0401 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: Ye. :", No ❑ Date Routed to Building: Page 2 of 2 • 1 a e at ,--18.0 -- -_ - 18`I.l - -��s __ , _ ors 79 186 7 J : VG - - / JUL 2 - 3 20 - T X X - :SKIL X X X X X � X X . —. _ if' . - ro t., ummer ree x X X X .;� - X _ . 12.0' I 1 I I .f� ± , tics L V. y 104. i I 12.0 1 12.0 I 1 2.0' I I © C I 1 Z I 1 1 1 1 .... IIIIIki; ,. J ' 10. 3' ► —13 • 5' >— I I Q I Building Plan: 5 I 17 18 19 20 I 21 ' Lots 17,18,19, 20 21 0 � x & I FF/TOW 185.56 FF/TOW 185.56 FF/TOW 186.56 FT/TOW 186.56 FF/TOW 187.56 Units A- C -B -C -A GS 184.36 GS 184.86 1 GS 185.36 GS 185.86 I GS 186.86 3 I TOP 185.02 TOP 185.02 TOP 186.02 TOP 186.02 1 TOP 187.02 SITE PLAN , , � Scale: 1"-10' ti ' 1 I 0 / iffilr I 5fr . w Ies I I/ 1 I _ \ 1 ► C lt"W e r HO we N i 'Pes 30.0' ry ' , . . : ; : .. : � ,--1 , r i rI 10.7 � �. t �.��' . ...._.. � � �..�.. ::�. .� 0 I / ` 2 1:0' . {� a e �...... � . \A � :.. . 21 ///noq _ _ _ 0 — �._ _ _ _ — 6 . 0 : 1 16_0' = - • - - : 6 I • 1 V 4 - - -- �as{�er'n �e I r SIGHT DISTANCE - TRI ANGLE 4.. 30 .0 . 3 ....:::::::::::::.... ... . .................. =W SAGE T :;; ��;::: 1�;::::::. k ,.: ;:. ;;i:;::.;: ACE ::: : :: ::::: 86.9 ::: s a ::: :::::: .: : : :: : ::::::...... LiZA 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 11083 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 04/17/2013 00:00 MST2012-00187 FAIL Ac unit not complete 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 11083 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 04/17/2013 00:00 MST2012-00187 FAIL 1. Correct all bathroon/laundry fans on 3rd not working 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 11083 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 04/23/2013 00:00 MST2012-00187 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 11083 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 04/23/2013 00:00 MST2012-00187 PASS Violation Summary: Inspector Contractor N STREET TREE TIGARD CERTIFIC A TI ON I bAv cAD\1 owner/ agent for PUL /1if j (PLEASE PRINT) (PERMIT HOLDER) do hereby certift 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. PERMIT NO.: - MST / 2 00 I b SITE ADDRESS: ((0, 3 ) S'thE SUBDIVISION: \ 1 LtAq e- AT SLA yy, Ciert K LOT #: SIGNATURE: P- DA E: T - i WN /AGENT) RECEIVED & VERIFIED BY.• � DA 1 E: 03 4) OI - TIGARD) 1 Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertiFicate 05/30/2012 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: iy � n ( , L+ oo e l t // Jurisdiction: l (() Site Address: f t 0 8 ; sw *t 1 c Subdivision/L, t #: \'i AT S'a m nic C,iE& C ( 1 1....6 and/or Map and Tax of #: By my signat re 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 N Signature: , r/110 Date: —ZZ —1 ri:' er /Gen - . fontractor /Authorized Agent Print Name: ' 1 ( CAN ORSC Section N1 107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall 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 \RES- HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, ! , 9 , am the general contractor or the owner - builder at the followin. address: Site Address: 1 N 2 Ske = am, ) +c 117JJ �(f�J l City: 1 1l 61D Permit #: 111 S r23 l 2_ - oO I Q 1 Subdivision/L t #: y I l S hi '1 AT , 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 of ORSC Section R318.2 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: General Contractor or Owner - Builder I:\Building\ Form\ RE.- MoistureSensitiveWood.doc 09 /25/08