Permit CITY OF TIGARD MASTER PERMIT
1_ .- COMMUNITY DEVELOPMENT Permit#: MST2013 00067
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 t�/� Date Issued: 04/15/2013
Parcel: 1 S 133CA 14500
Jurisdiction: Tigard
Site address: 11096 SW SAGE TER
Subdivision: VILLAGE AT SUMMER CREEK Lot: 68
Project: Village at Summer Creek, Lot 68
Project Description: Building 19 New SFA. 9/11/13,adding a/c, placement of a/c unit must comply with
manufacturer's clearance requirements.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First. 60 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 31 Bathrooms: 3 Second: 703 sf Garage: 2080 sf Front: 14.5 Smoke
Dwelling Units: 1 Third: 697 sf Right: 0
Detectors: Yes
Total: 1460 sf Value: $179,981.96 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
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
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Fum>=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: 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
asin Y
Other: N Other Description: Ecom p 9
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)
ATTN:OCHSNER,JOHN 11241 SLATER AVE NE STE 100 1 Ersn Cntrl 503-639-4175
11241 SLATER AVE NE,STE 100 KIRKLAND,WA 98033
KIRKLAND,WA 98033
PHONE: 971-246-1417 PHONE: 425-216-3400
FAX:
Total Fees: $14,416.04
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENT•. •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-I: I through OA"- -001-9: ; You may obtain a copy of the rules or direct questions to OUNC b ., 03.232.1987 or 1.800.332.2344.
Issue. By: I —�'Of i/L�.! / Permittee Signat =• :_!i a �is y:�r '
- Call 503.639.4175 by 7:00 a.m.for the next available inspe on date.
This permit card shall be kept In a conspicuous place on the job site un I completion of the project.
Approved plans are required on the Job site at the time of each inspection.
Sep 10 13 11:31a Muehe Quality Heating 503-598-8498 p.2
Mechanical Permit Applicati t; VEECEiVE.1.-s-' .1FOR OF FICE LSE ONLY
- Received / e>�jJO//,{-�
' , - City of Tigard Date/By: 9 /0 3 .- .0 Permit No.: -0 J
13I25SW Hall Blvd.,Tigard,OR 97223 SEP 1 0 2013 Plan Review
Phone: 503.718.2439 Fax:•503598.1960 DatdBy: Omar Permit:
Inspection Line: 503.639.4175 Lmr. El Page 2 for
T I G�\KD t CITY OF TIGARD Date ReadyYBy. a
Internet: www.tigardor.gov Nonfred/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees"are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials.equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ❑Commercialfindustrial ❑Accessory building For special infon ationusechecklist
®Multi-family ❑Ma-erbuilder ❑Other: Description Qty. I Ea. I iota]
JOB SITE INFORMATION AND LOCATION Heatrng/woltag: -
Air conditioning 1 46.75 46.75
Job site address:110%SW Sage Terrace Furnace 100,000 BTU(ducrs/tcnts) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100.000+Bill(ductsrvents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: ; Project name: •
. Duct work 23.32
Cross street/directions to job site:SW 135t°Ave and SW Seholls Ferry Road Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit hem=(fuel-type,not electric),
in-wall,induct,suspended:etc. 46.75
Flue/vent for any of above 23.32
Subdivision:Summer Creek Lot no.:68 Other: 23.32 ,
Other fuel appliances:
Tax map/parcel no.: Water hewer 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water healer or gas
Addition of air conditioning, fireplace 23.32
QM277 rO H rd-ci 27-t /p 7 Log lighter(gas) 23.32
Wood/pellet
stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER Other 23.32
®
❑ TENANT
Environmental exhaust and ventilation:
Name:Pule Homes Range hood/other kitchen
Address:11241 Slater Ave,NE Suite 100 Clothes dryer 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Kirkland,WA 98033 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(425)216-6007 Fax:(425)216-3401 .Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Business name:Muehe Quality Heating,Inc. i Fuel piping:
i $14.15 for first four;54.03 for each additional
Contact name:Kyle Birman furnace,etc.
Address:7301 SW Kable Lane,Suite 500' i Gas heat pump
Wall/suspended/unit hearer
City/State/ZIP:Portland,OR 97224 Water heater
Phone:(503)598-0966 Fax::(503)598-8498 Fireplace
Range
E-mail:MQHKYLE@INTEGRA.NET Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Muehe Qaality Heating,Inc. Other:
MECHANICAL PERMIT FEES*
Address:7301 SW Kable Lane,Suite 500 Subtotal 46.75
City/State/ZIP;Portland,OR 97224 Minimum permit fee(590.00) 43
Phone:(503)598-0966 Fax:(503)598-8498 Plan review(25%of permit fee)
State surcharge(12%of permit fee) 10.80
CCB tic.:50096 /^� /? TOTAL PERMIT FEE 100.80
//, / ,■ This permit application expires if a permit is not obtained within 180
fdays after it has been accepted as complete.
Authorized signature: / . ` ✓`�� • Fee methodolog set by Tri-County Building industry Semi=Board
Print name:Kyle Birman i Date:9/10/13 ' q� _ *.. 6
r �/✓fU 'J5a
1.\Building\Permits\MK' PermitApp_040 113 doe 440.4517r(I WLCOMMIIII)
Sep 1013 11:30a Muehe Quality Heating 503-598-8498 p.1
( uehe q ua 't
heatpgjp )c.
AND AIR CONDITIONING
7301 sw kable lane,suite 500, portland,or 97224
PHONEI503,598.0966 ceu_1503.572.3594 FAx1503.598.8498
mqhkyle@integra.net
Fax Cover
To:City of Tigard
Attention: Building/Permits Department
Office Location: Tigard,OR
Fax Number: 503.598.1960
Date:September 10,2013
Total Pages, including cover: 3
• For review
• Please reply
Comments:
To whom it may concern,
Here is a mechanical permit application and credit card authorization form for
processing. Thank you.
Sincerely,
Kyle Birman
� � CITY OF TIGARD MASTER PERMIT
s COMMUNITY DEVELOPMENT Permit #: MST2013 -00067
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/15/2013
Parcel: 1 S 133CA14500
Jurisdiction: Tigard
Site address: 11096 SW SAGE TER
Subdivision: VILLAGE AT SUMMER CREEK Lot: 68
Project: Village at Summer Creek, Lot 68
Project Description: Building 19 New SFA
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 60 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 31 Bathrooms: 3 Second: 703 sf Garage: 2080 sf Front: 14.5 Smoke
Dwelling Units: 1 Third: 697 sf Right: 0
Detectors: Yes
Total: 1460 sf Value: $179,981.96 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
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: 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 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: 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
Ecompasing: Y
Other: N Other Description: P 9
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)
ATTN: OCHSNER, JOHN 11241 SLATER AVE NE STE 100 1 Ersn Cntrl 503 - 639 -4175
11241 SLATER AVE NE, STE 100 KIRKLAND, WA 98033
KIRKLAND, WA 98033
PHONE: 971- 246 -1417 PHONE: 425 - 216 -3400
FAX:
Total Fees: $14,363.68
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 • - - f . OAR 9 . 0100990. You may obtain a copy of the rules or direct questions to OUNC by calli . 987 or 1.800.332.2344.
Issued By: . t Permittee Signatu 16 c J
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 RECEIVED
Residential I (IN t,l I I( I ■ sl t,vl 1
MAR 1 9 2013
Received ('
City of Tigard D 3 { e� i G1 Permit No : µ 1 , `, f 3 I UD et
SW Hall Blvd., Tigard, OR 97223 CITY NG OF D,yI ; :�E toner Permi 4
Phone; : 503.639.4171 Fax: 503.598.19 SUILDING DNISIO '' tCUL °° ( - b
f t C; A R D Inspection Line: 503.639.4175 Date Ready, : y: � 1ws 0 S Pag 2 f or
Internet: www.tigard -or.gov NotifiedMethod: 4-4' ( l i Supplemental Information
TYPE OF WORK REQUIRE DATA: 1- AND 2- FAMILY DWELLING V
® 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 is application.
® 1- and 2- family dwelling ❑ Commercial/industrial Valuation; 51169, 5.22 ( 79 IC:J (,
❑ Accessory building ❑ Multi - family Number of bedrooms: 3 �1
❑ Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: I i Of,/ 5 IA, $ve, l r (ire_ New dwelling area: 1460 square feet
City/State /Z1P: TIGARD OR, 97223 �, Garage/carport area: 620 square feet b l 7
Suite/bldg. /apt. no.: 1(j Project name: VILLAGE AT SUMMER CREEK Covered porch area: 33 square feet .7o�
Cross street/directions to job site: CORNER OF SW BARROWS RD, _ Deck area: 160 square feet ‘.....0
SW 135 AVE, AND SW SCHOLLS FERRY RD f
Other structure area: 2��'� square f eet l
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 6p Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
NEW SFR TOWNHOUSES Valuation: S
UNIT A 1460 SQ. FT. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: CENTEX HOMES Type of construction:
Address: 3884 SE Aerie Ave. Occupancy groups:
City/ State/ZIP: Hillsboro OR, 97123 Existing:
Phone: ,3,i -RR 1 -IS3 Y Far: (503)608 -3061 New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: CENTEX HOMES All contractors and subcontractors are required to be
Contact name: lCS� � Q f �� � n 4 licensed with the Oregon Construction Contractors Board
f under ORS 701 and may be required to be licensed in the
Address: 3 881 -Se f'le a t. 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. , (j.. 2 l - / j q_ _ Fax: : (503) 608 -3061
E-mail. 1 4 �1�t? ° L.. PC /`f'0e414,ltt; OAte.S/1W CC 1
/ +_ CONTRACTOR
Business name: CENTEX HOMES BUILDING PERMIT FEES*
Address: 3884 SE Aerie Ave. Mom refer to fee schedule)
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 lie.: 182591 Total fees due upon application:
Amount received:
Authorized signat \ L _
This permit application expires if a permit is not obtained
1 / within 180 days after it has been accepted as complete.
Print name: Dave Templeton Date: .r L f/ 20 r - • Fee methodology set by Tri -County Building industry
/// Service Board.
1:1Building\Permits1BUP -RES PermitApp.doc 10/01/09 440 -4613T(I 1 /02/COM/WEB)
Plumbing Permit Application RECEIVED
Building Fixtures MAR 19 2313 1Ilk OI FI( I- I til O \11
City f Tigard ty Received g �"' OFT Dwell 3 / Ir 3 Permit No
Si�13-D� (07 = Phone: 503.639.4171 Fax: 503.598.1 Plan Review
13125 SW Hall Blvd., Tigard, OR 9722��'y
96''
'Inspection Line: 503.639.4175 BUILDING DIVISIO '
O ther Permit
"
t �:•, r n � Date/By _ �Jle.o�l3`�ly
Internet: www.tigard- or.gov Date Ready/By:
Jay/ Bl See P■ge 2 for
Notified/Method: ((5o Supplemental Information
TYPE OF WORK
N ew c onstruction
® 0 Demolition FEE* SCHEDULE
❑ Addition/alteration/replacement ❑ Other: For special information use checklist
Description I Qty. I Ea. I Total
CATEGORY OF CONSTRUCTION New 1 - 2- family dwellings (includes 100 ft. for each utility connection
® 1 - and 2- family dwelling ❑ Commercial /industrial SFR (I) bath 312.70
❑ Accessory building SFR (2) bath 437.78
ry g ❑ Multi- family SFR (3) bath I 500.32 500.3:
❑ Master builder ❑ Other:
Each additional bath/kitchen 25.02
JOB SITE INFORMATION AND LOCATION Fire sprinkler ( sq. ft.) Page 2
Job site address: 1/ Ot p / d 514., SFy� - �Cf f Q Ce Site utilities:
!` r/ Catch basin or area drain 18.76
City/ State/ZIP: TIGARD OR, 97223 Drywell, leach line, or trench drain 18.76
Suite/bldg./apt. no.: i q I 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.: j) I Page 2
Storm sewer (no. linear ft.: IN) t Page 2
Subdivision: VILLAGE AT SUMMER CREEK Lot t . Water service (no. linear ft.: 100) I Page 2
Tax map /parcel no.: Fixture or item:
DESCRIPTION OF WORK BackFlow preventer 31.27
Backwater valve 12.51
NEW SFR TOWNHOUSES
Clothes washer 1 25.02
UNIT A 1460 SQ. FT. Dishwasher I 25.02
Drinking fountain 25.02
® PROPERTY OWNER l 0 TENANT Ejectors/sump 25.02
Name: CENTEX HOMES Expansion tank 12.51
Fixture/sewer cap 25.02
Address: 3Wet - FA Ave Floor drain/floor sink/hub 25.02
City / State/ZIF //// o R , 77/A3 Garbage disposal 1 25.02
Hose bib 2 25.02
❑ APPLICANT"` ." 2.51
®CONTAty 1' PERS , ON , Ice maker 1 1
Business name: CENTEX HOMES Interceptor/grease trap 25.02
Medical gas (value: S ) Page 2
Contact name: *s1%. (e„ p f f ie
Primer 12.51
Address 3.& 5E rt'A. A ✓e Roof drain (commercial) 12.51
City /State/ZIP: /- //51Or0 OR q7/.13 Sink/basin/lavatory 6 25.02
Fax: : (503) 608 -3061 Solar units (potable water) 62.54
E- mail: .11+5417 t i orn.uov oAles /I v. C O 4h Tub/shower /shower pan 2 12.51
Urinal 25.02
..:iNCRACTUR
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
CCB Lic.: 79666 Plumbin Lic. no.: 20 -148PB Minimum permit fee: $72.50
Plan review (25% of permit fee)
Authorized signature: State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Print name: PETER POLLARD I Date: •^ 17
1:\ HuilMnalPennits \PI.MIJ- PermitApp doe 10/01/09 440 -4616T( I0 /02/COM/WEB)
Mechanical Permit Application
City of Tigard MAR 19 2013 Rt}aeCe7YCd /B to / 3 permit j7 i 3 OW(f7
1e
, - ■ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Other P 2
Phone: 503.639.4171 Fax: 503.598.196p^tl 11 of l n�rg+frAD� IG Dai Re y : ` () (�
/ otU l - Q
T I ti A 1. U Inspection Line: 503.639.4175 BUILDING DIVISION Date ReadyBy 0 ® See Page 2 for
Internet: www.ti - or.gov .. Notified/Method: / i Supplemental Information
s-r' r I:SI `'' ?Ca b'i" 7-'7 - .�.. - 7 :3:-- re. . a •- ma _
.,.... _.. � .::. � ,� ... .rl U� . . s. O � c ..' .. Ts" :ialt tr a.;_�•il$1t'cf:jafTc;�.I., .
❑ 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_
Al r� " �DE�OXt 3 r O1 r 4z0 A$0 ; ; % r, Value: $
ik �zo.. O � � ` 3 ,' e.�e y _. _ t - 'tl Wiz.,
{ r, x.10 � k) tL)VZi•1 e i is 8-11.t:l S '11 lYJS FS
® 1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
For spec inforniation use checklist.
❑ Multi family ❑ Master builder E Other:
Description 1 Qty. Ea. 1 Total
",s., t
it 's .1 . , k '• ='':. Heating/cooling
,�,� o� ud> 1`ta[o)_� ✓gQ051' - .�►fZOC�: O i
Air conditioning
Job site address:
((b q L 5 4, S4ye Tor((__ (requires site plan showing placement) 46.75
City/State/ZIP: TIGARD OR, 97223 Furnace 100,000 BTU (ducts/vents) 1 , 46.75 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: 1 9 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 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
6 Flue/vent for any of above 23.32
Subdivision: VILLAGE AT SUMMER CREEK Lot no.: � J Other: 23.32
Tax map/parcel no.: Other fuel appliances
. -77.77-77 1 'ox] Ce( Tna "..(0. r , ..". ; • Water heater 1 23.32 23.32
NEW SFR TOWNHOUSES Gas fireplace 33.39
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
O E) #O ] o �� O 0{
Chimney/liner/flue/vent 23.32
4 -• °--� p I n• " - -� -N Other. I 23.32 _
Name: CENTEX HOMES Environmental exhaust and ventilation
Address: ' p Y 3EAei' e 41/e.. equipment hood/other other kitchen
equipment I 33.39 33.39
City/State/ZIT 79 ; flAko r0 0 R 9 7) a 3 Clothes dryer exhaust 1 33.39 33.39
Single -duct exhaust (bathrooms,
Phone: 97/ - y,6 -I y/ Fax: (503)608 -3061 toilet compartments, utility moms) 4 23.32 93.28
,fay .: `A d' t: c-f!V," R ': '.sFt0 r t' II b1. - '' s as Attic /crawlspace fans 23.32
Other: 23.32
Business name: CENTEX HOMES
Fuel piping
Contact name Asp (, 0 f fen.eh N $14.15 for first four; $4.03 for each additional
Address• , �I Furnace, etc. 1 { 14.15
3 8 t! St / r :e A � e Gas heat pump
City/State/ZIP f {i ��S / D, r� g Cf 71
Wall/suspended/unit heater
•
Phone: . 5 y I - Z 2 (. r j Fax:: (503) 608 -3061 Water heater I _
�/� / Fireplace •
E -mail: 4.5 4 ks CA O/'Alrtq(e • ',nes iv. , 01'1 Range I
"`"--,::: ' - ' s..2AIE !:_i`u: „��'`+c'a: s I i1z r Barbecue
Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas)
Other:
Address: 7301 SW KABLE LANE, STE 500 aim, , .y, I :G i 66:011 : : , 3; : • ?
City/State ZIP: PORTLAND OR, 97224 Subtotal
Phone: (503) 598 -0966 Fax: (503) 598 -8498 Minimum permit fee (590.00)
Plan review (25% of permit fee)
CCB lic.: 50096 State surcharge (12% of permit fee)
r
r 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 BIRMA . I Date: • Fee methodology set by Tri- County Building Industry Service Board
1.\13uiiding1Pcrmin1MEC- PmrdtApp doc 10/01/09 440 -4617T (I1 /02/COMnWE0)
Electrical Permit Applicatio FOR OFFICE USE ONLY
City of Tigard L D 3 3 st Pcnnit T / )f 3 • ( v - )t) 7
IN ° 13125 SW Hall Blvd., Tigard, OR 97223.. ^ 17 1 2013 Plan Review
t Phone: 503.639.4171 Fax: 503.598.1 Date/By: Other Penni 1 a_cA013• Cod ui
T f G A RI?
Inspection Line: 503.639.4175 Date Ready /By: Ju See Page 2 for
Internet: www.tigard or.gov CITY (*TIGARD Notified/Method, Supplemental Information
TYPE OF likiliDING DIVISION 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 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 for all other installations, buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. !urger separately derived system.
o
❑ Addition (new new motor otor load of ❑ "A ", "E ", "h -_ 13
Job no.: Job site address: 100HP or more. occupancy.
/ lt� gm ,5,, Sze 1 c ❑ Six or more residential units. ❑ Recreational vehicle parks
City/State /ZIP: TIGARD OR 97223 ❑ Health-care facilities. ❑ Supply voltage for store than
❑ Hazardous locations. 500 volts nominal.
Suite/bldg. /apt. no.: f c Project name: VILLAGE AT SUMMER CREEK ❑ Service or feeder 600 amps ormom.
FEE SCHEDULE
Cross street/directions to job site: CORNER OF SW BARROWS RD, Dereriptton I Oty• I Fee. I Total I •
SW 135 AVE, AND SW SCHOLLS FERRY RD New residential single or mutts- family dwelling unit.
Includes attached garage.
Subdivision: VILLAGE AT SUMMER CREEK Lot no.: Ce 1,000 sq. 8. or less 1 168.54 1 68.54 4
arcel no.: Ea. add'/ 500 sq. ft. or portion 3 33.92 101.76 1
Tax ma
P/P Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 1 75.00 75.00 2
•
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
E PROP.ERTY 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 I 301.04 2
Address: 388 Ave Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City /State/ZIP:' f 9 7/a3 relocation
Phone: ! 7/'- it6 — )'j/ 7 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 sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 70
401 amps to 599 amps ` 168.54 2
� Branch circuits — new, alteration, or extension, per panel
Owner signature:.a� • y Z.-- t-- Date: ./74 teri-- A. Fee for branch circuits with
E APPLICANT I ❑ CONTACT PERSON above service or feeder fee
r each branch circuit 7.42 2
Business name: CENTEX HOMES B. Fec for branch circuits without
service or feeder fee, first
56.18 2
Contact name: le pTf,� branch circuit
Each add') branch circuit 7.42 2
Address: 388( .5'Aer 4 v€ Miscellaneous (service or feeder not included)
a Each manufactured or modular
City/State/ZIP: 67
h /Stte /ZIP: �, itsbc/'0 Q R 971x dwelling, service and/or feeder 67.84 2 Phone: ( 5til _ as 1 -4 e Fax: : (503) 608 -3061
Reconnect only 67.84 2
'- Pump or irrigation circle 67.84 2
E - mai, Asst le e_ Cr f �
rw e_I-10 eS (L ' "l . Sign or outline lighting 67.84 2
/ CONTRACTOR Signal circuit(s) or limited - energy
Business name: GARNER ELECTRIC panel, allcration, 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) 6625/ 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 ('h hr min)
CCB Lie.: 182591 Electrical Lie.: 34 -305C Suprv. Lic.: ELECTRICAL PERMIT FEES
Subtotal:
Suprv. Electrician signature, required: o
Plan review (25% of permit fee):
Print name: CHUCK CARNE' Date: Stale surcharge (12% of permit fee):
TOTAL PERMIT FEE:
Authorized Signature: . %j This permit application expires If a permit Is not obtained within ISO
fulr ' ' I _ days after It has been accepted as complete.
Print name: Date
• Number or inspections allowed per permit.
I 1BultdiaatPermits \ELC- PemidApp.doc 07/01/1 440 46157111 /OS:COM/WEB
Building Division
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No.: )11 0 3 - £ 3Uln
Project /Subdivision Name: 01 41 emu! 0- 102 -C'12 - , Lot #: (v'
Site Address: / ( ( , S4, GAL
CWS Service Provider Letter:
Required: Yes ❑ No E
Received: Yes ❑ No Er
Plans Routed:
Original Plan Submittal Date: 34i f( 'J Routed By:
1St Revision Submittal Date: ❑ Site Plan Only Routed By:
2n Revision Submittal Date: ❑ Site Plan Only Routed By:
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 b 1O'' at (503) 718 - V VO or liar @tigard-
or.gov)
Land Use Case No.9uh ?-004"' / jpt2/
Zoning fZ 'oZ5 /'i)
Cr Setbacks:
Front / 5 Rear / ( Side O Street Side / / Garage / ' - 5
l:12 Maximum Building Height: WS — Actual Building Height t
ID Clearance
13 Easements
❑ Sensitive Lands Type:
El' Street Trees
❑ Protected Trees
Notes:
Original Plan: Approved El Not Approved ❑ Date: — a U 1 ?
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
Actual Slope:
Notes:
Original Plan: Approved ,e1 Not Approved ❑ Date: 3 2 to
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 A. i licant
Okay to Issue Permit: Yes 'A No ❑
Date Routed to Building: Id ,
Page 2 of 2
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
Village 1 1 \ _ RECEIVED
at IA
R192013
I _ _ 0 \ ,
CITY OFTIGARD
B ILDING DNIS1 ON
Summer Creek SW MALLOW TERRACE
- ,18. ,1 0
188.05 1y 43 187.58 )27.al
II . T 0'
5. 5 1
O
11.0' �- 1 11 fl' C�. \\ 1
i.
I mo ` 113
i 1
L ... I i I 1
Building Plan: 19 : �s
Lots 65, 66, 67, & 68 , FF TOW 189.10 66 67 68 \, W
Units B-C-B-A / FF /TOW 189.10 /TOW 189.10 FF/TOW 188.10 z
GS 188.40 GS 187.90 I GS 187.90 GS 187.40 I J c
TOP 188.56 TOP 188.56
I I TOP 188.56 TOP 187.56 I . " CC
SITE PLAN A
I -
SIGHT W
Scale: 1" -10' DISTANCE V) v)
TRI —ANGLE OH OO U' I I 00
NS � or L0^fita .ti
0 f .51-e f, IZ ed b. 4
c e ❑ 1
1 li \ I I I
h�S Csn,�t �s;s) , —
- 3.9' ,-- s — -- r
r
, f�
• C - 114 ;t; �eer' � /o t � Qfaf' ' ' /12.6'
7 30.0 '
�P7� "s �9{'leri4..�'C�►.wi:cietr' ( .
I w —.T , — 18.5' .
.,.
® 15.5' : / / y . I /_, 15.5' . . 13. ' ' 12.5' 14.5 16.5
1 _./ ..... , : ' "Nf A 'i i_ _ II _ _
c, 4 .,,„,,,,,
4 paw, . .. � . .....�.� 1.85.... . .....
SW SAGE TERRACE _ i 30.0
ENGINEERING ASSOCIATES CORPORATION
17757 Kelok Road Lake Oswego, OR 97034 I r
Tel. (503) 838 -4005 Fax (503) 838 -4015 I
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
11096 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
205 Footing
05/09/2013 14:00
MST2013-00067
PASS
Site Development Erosion Control City of Tigard, passed
Geo Tech Report 20% or greater slope not required
Ufer tag installed, yes
Front and side setbacks, hub and tack done.
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
11096 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
335 Rain drain
05/17/2013 00:00
MST2013-00067
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
11096 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
610 Gas Line
05/23/2013 00:00
MST2013-00067
CNCL
There is no high pressure gas test for this unit. Low pressure gas test to come.
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
11096 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
505 Sanitary sewer
05/17/2013 00:00
MST2013-00067
FAIL
Not Ready for Inspection OSSC 110.5 and ORSC R109.3
test for sanitary sewer required 723.0
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
11096 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
340 Storm drain
05/17/2013 00:00
MST2013-00067
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
11096 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
305 Plumbing underslab
05/22/2013 00:00
MST2013-00067
PASS
NOTE: drain, waste, vent (DWV) rough/test with water, 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
11096 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
205 Footing
05/09/2013 14:00
MST2013-00067
PASS
Site Development Erosion Control City of Tigard, passed
Geo Tech Report 20% or greater slope not required
Ufer tag installed, yes
Front and side setbacks, hub and tack done.
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
11096 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
505 Sanitary sewer
05/20/2013 00:00
MST2013-00067
PASS
NOTE DWV rough/test with water, 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
11096 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
340 Storm drain
05/17/2013 00:00
MST2013-00067
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
11096 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
505 Sanitary sewer
05/20/2013 00:00
MST2013-00067
PASS
NOTE DWV rough/test with water, 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
11096 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
105 Underground/slab cover
05/22/2013 00:00
MST2013-00067
PASS
Violation Summary:
Inspector Contractor
�1ST�� ► 3 -cruz�(o7
STREET TREE CERTIFICATION
I, / Ehk Q f fens end , Owner/Agent for fr f f e- /-om
7 (PLEASE PRINT) I (PERMIT HOLDER)
Do hereby certify that the following location meets
City of Tigard and Washington County
land use and development standards for street tree installation.
ADDRESS: f l 0 7 6 s wS 7mc& i ark y- 70? -3
SUBDIVISION: 5411/hf Y CteP l< LOT: (68
SIGNATURE: ,J_.- I / /v DATE:
(Vr E NT)
RECEIVED BY: . - DATE: /D-/--
i' ---GARD)
1:\Building\Forms\StreetTrecCettificate 01/19/07
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit o a0' ^ 0006 Jurisdiction: r4 •
Site Address: �—
110`l, ' c Sa,� ( e, iNc
Subdivision/Lot#:
and/or
Map and Tax Lot#:
By my signature below, I certify that a minimum of fifty (50) percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)1
Signature: G Date: /b/7 /
Owner G ral Contra or/Authorize Agent
Print Name: 11-s I- Offet 'itc(
I ORSC Section NI 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, ---h-hle Off ek\ , am the general contractor or the owner-builder
at the following address:
Site Address: l lti/ c ri
(
City: G �,ll
Permit#: M ao43-0 006 7
Subdivision/Lot#:
and/or O
Map and Tax Lot#:
To conform with 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 8318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official 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
percent by dry weight of dry framing members.
Signature: Date: 1677//3
General on ct or Ow - ut der
1:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08