Permit CITY OF TIGARD MASTER PERMIT
* COMMUNITY DEVELOPMENT Permit #: MST2013 -00094
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2013
Parcel: 1 S 133CA16300
Jurisdiction: Tigard
Site address: 13543 SW ROSEMARY LN
Subdivision: VILLAGE AT SUMMER CREEK Lot: 86
Project: Village at Summer Creek, Lot 86
Project Description: Building 23, new SFA
BUILDING
Floor Areas Reauired Setbacks Reauired
Stories: 3 Bedrooms: 2 First: 46 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 34 Bathrooms: 3 Second: 643 sf Garage: 509 sf Front: 12 Smoke
Dwelling Units: 1 Third: 643 sf Right: 3.5
Detectors. Yes
Total: 1332 sf Value: $166,251.09 Rear: 10
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 Tvoes 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 TIMID 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: 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)
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: PHONE: 425- 216 -3400
FAX:
Total Fees: $14,064.50
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 OAR 952 - 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 By: K-- ` 6-.—t t✓d -k) Permittee Signature: <. —L G7J I rte`-- 4_c__--
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 ApplicatC PVE
Residential 1 t11 I It I I. til. l IN, 1
City of Tigard APR 1 5 2013 Received Permit No
tY g Date/By: `1 / S / J ) ,( --- 1 .,,o 7 1 /To? > /3 -ecio 9Y
• 13125 SW Hall Blvd., Tigard, A _
I I Phone: 503.639.4171 Fax: SG01 t9 I /GARD Da1C/p t , ' - 1 ('- 1' �j C'ther Perm,t 51t-) 3 -O s
Tic A RD Inspection Line: 503639.4 179 filLt to Date Ready y: + t H See Page 2 for
Internet: www.tigard-or.gov ttVU D�V� S�� Notified/Method:: 5" r / f �5 •' Supplemental Information
&p/__ - -- a
TYPE OF WORK REQUIIiD DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work incased on this application. b
® I- and 2-family dwelling Valuation: j52,2505 - ,
❑ CotnmerciaVindtutrial
❑ Accessory building ❑ Multi - family Number of bedrooms: 2
❑ Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION / Total number of floors: 3
Job site address: 1 SS ¥3 3 w R0re/rbt y L 1A r , New dwelling area: 1332 square feet
City/State/ZIP: TIGARD OR, 97223 / Garage /carport area: 509 square feet (-43
Suite/bldg. /apt. no.: lif A Project name: VILLAGE AT SUMMER CREEK Covered porch area: 17 square feet ((
Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet 4 ...,
SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: ( ,CL>� square feet ?A—
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: VILLAGE AT SUMMER CREEK Lot no.:". 86 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 OF WORK work indicated on this application.
NEW SFR TOWNHOUSES Valuation: S
UNIT B 1332 SQ. FT. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: CENTEX HOMES Type of construction:
Address: 3884 SE Aerie Ave. Occupancy groups:
City/ State/ZIP: Hillsboro OR, 97123 Existing:
Phone: (971)246-1417 Fax: (503)608 -3061 New
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: CENTEX HOMES All contractors and subcontractors are required to be
Contact name: lillIMO§kons& AA /e O f f t•ASen I licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 3884 SE Aerie Ave. jurisdiction in which work is being performed. If the
City/State/ZIP: Hillsboro OR, 97123 applicant is exempt from licensing, the following reasons
apply:
Phone: (atorNges•t*^ S y/ 2 L1,/S3q Fax: : (503) 608 - 3061
to
E -mail: ili e .x/xf rt1'19P/(t[illesAt,., (ek
CO CTOK
Business name: CENTEX HOMES BUILDING PERMIT FEES*
lease
Address: 3884 SE Aerie Ave. fp rem 1D fee uhi
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 signet l �__ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Dave Templeton Date: s /LS j C fc. • Fee methodology set by Tri - County Building Industry
Service Board.
I :\Building \Pemrits\BIJP -RES PermitApp.doc 10/01/09 440 - 4613T(1 I /02 /COM/WEB)
•
Plumbing Permit Applicatio
Building Fixtures RECEIVER ul I!, 1 1 ,I O.I ,
City of Tigard Received
Da gy: y /5 3 Permit No MTab/ j - y
• 13125 SW Hall Blvd., Tigard, OR 97223 APR 15 2013
DardBy:
111 I
Plan Review
Phone: 503.639.4171 Fax: 503.598.1 Date/By: Permit No e 001 3_,�p 89
i 1 ; i� Inspection Line: 503.639 I Y OF TIGARD Date Ready/By: orris &! See Page 2 for
Internet: www.tigard or.gov
..BUILDING NG DIVISION N Notified/Method: Supplemental Information
TYPE OF W � 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 (1) bath 312.70
® I- and 2- family dwelling 0 Commercial /industrial SFR (2) bath 437.78
❑ Accessory building ❑ Multi - family SFR (3) bath I 500.32 500.3
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address:
43513s w itaktimt
City /State/ZIP: TIGARD OR, 97223 Drywall, leach line, or trench drain 18.76
Footing drain (no. linear ft.: 191) I Page 2
Suite/bldgJapt. no.: as 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 I 18.76
Sanitary sewer (no. linear ft.: ER) 1 Page 2
Storm sewer (no. linear ft.: j) 1 Page 2
Water service (no. linear ft.: JQQ) I Page 2
Subdivision: VILLAGE AT SUMMER CREEK [ Lot no.: lig 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 Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 1 3 &`JSE fly
Garbage disposal 1 25.02
City /State/ZIP: J / 4,I'o. oR q7/).'3 Hose bib 2 25.02
Ice maker 1 12.51
❑ APPLICANT ® CONTACT PERSON Interceptor /grease trap 25.02
Business name: CENTEX HOMES �J, �� [� ' ' _+
- ' Medical gas (value: S ) Page 2
� � LQCe�� t/[' fi Roof 12.51
Contact name.
Roof drain (commercial) 12.51
Address: 3 8$it SE ANPie A- ye._ Sink/basin/lavatory 6 25.02
City /State/ZIP. f l.1' /) j opoo 0g C i 21-3 Solar units (potable water) 6234
r Fax: : (503) 608 -3061 Tub/shower /shower pan 2 12.51
E -mail *h e t i �dL Urinal I 25.02
CONTRACTOR �Y Water closet 3 25.02
Water heater I 37.52
Business name: CRAFTVORK PLUMBING INC.
Water pipinglDWV 56.29
Address: 7737 SW CIRRUS DR Other: 25.02
City /State/ZIP: BEAVERTON OR, 97008 Subtotal
Minimum permit fee: $72.50
Plan review (25% of permit fee)
CCB Lic.: 79666 fi Plumbi rf ng Lic. no.: 20 -148P8 State surcharge (12% of permit fee) Authorized signature: 1,4/ .. / 0 TOTAL PERMIT FEE
O V This permit application expires if a permit is not obtained within ISO days
Print name: PETER POLLARD Date: after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
1: 1Building \Permns\PLMU.PennhAppdoe 1W01/09 4404616T(I11/02/COM/WEB)
•
Mechanical Permit Applica CFIV i ()I? Or ICI 1 SE OyLv Rece
City of Tigard APR 1 5 2013 DateB 7 A Pemdt No.: /tyre, 3-�i yv
13125 SW Hall Blvd.!Tigard, OR 97223 Plan Review
' g Phone: 503.639.4171 Fax: 503.58 Q( - D Other Permit: �g g ;
1 t G At:v Inspection Line: 503.639.4175 lJf" T IGARD Date Ready/By: lurk ® See Page 2 for
Internet: www.tigard-or.gov B UILDING DIIVI Notified/Method: Supplemental Information
L: 'i , ' 1 `n y.. ° L-Yn W r ..M '1:.'?.rt. :.1: 7'"771 sx: /1U V ; ? % '9 1L;1 - §. - - �s, 51
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
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
l -, 7',7,-'2A-7;,...:1
Value: S
_ ..> 1 co
. rf c �? cotl e�11I off= , '.'.• _
® I- and 2 - fatnil dwelling .. %I , ID � RI( vV �,t a e" ; rJI� _ _ iii -riti
2-family g ❑ Commercial /industrial ❑ Accessory building ' a
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
1 . - , . x i 7 - . . ' 'o i u +! , s!.ct l+ol v ++ -1.41 . I e..l1 tr s 4I . 7- _ , . *.e Reating/cnoling
Air conditioning
Job site address:
i. -.Z 7 t3 .S a. & f
(requires site plan showing placement) 46.75
City/State/ZIP: TIGARD OR, 97223 / Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75
�� I Furnace 100 ,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt no.: 4 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
Flue/vent of above 23.32
Subdivision: VILLAGE AT SUMMER CREEK , Lot no.: ��` 86 23.32
Tax map /parcel no.: Other fuel appliances
[4-1,'"`- + "t::- " -� 111 e1 `1 r+ 1 0 li' o i 0 7 c '* ' ° Water hater 1 2332 2332
_._:. Gas fireplace 33.39
NEW SFR TOWNHOUSES Flue vent for water heater or gas
UNIT B 1332 SQ. FT. fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
r . , < 'f. � � 1c , ,Trp'�t at Z. ,..4,„....1.., . ,,46 - , _' Chimney/liner /flue/vent 23.32
v
� `LJ fu r - v ll +' y
, 23.32
Name: CENTEX HOMES Environmental exhaust and ventilation
Address: 7 �8 S /4 e/+i e !4v Range hood/other kitchen
J`� 1 equipment 1 3339 33.39
City/State/ZIP: r AIL //Sb)oro, oR 9 7/a3 Clothes dryer exhaust I 33.39 33.39
Single -duct exhaust (bathrooms,
Phona. / - a l -)59 Fax: (503)608 -3061 . toilet compartments, utility rooms) 4 23.32 93.28
w ! .r ..r , n " vS - 1 -.G� p t ,, . .. ._ . r ._ !�µ . CO I t _ . #-_ RSO:j �`,,, .:`, Attic/crawlspace fans 2332
_ .._ -- Other. 23.32
Business name: CENTEX HOMES
Fuel piping
Contact name: ,r_ ._...._._. 1 � ey trAcensenr� ion
514.15 for first four; S4.03 for each additional
al
- • Furnace, etc_ I 14.15
Address: 388 F. 1 .1 SAef;t Ave_
Gas hat purrlp
City/State/ZIP: /- Jf s ro DR, ? / 2.1 WalVsuspended/unit heater
Phone - - j _ , , 22 . k ax:: (503) 608 -3061 Water heater 1
E-mail: Fireplace
___� / - � a, .1 m. * _ 'e4. Range i
01.;:-.7'.." S' ' } 4 * �A•J Ai 1 .a.° . `,'3, . 7' 4': b`'yl .k r^
2 F ' ,n f Barbecue
Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas)
Other.
Address: 7301 SW KABLE LANE, STE 500 kee 7 ri t � j=" ,cy _7
City/State/ZIP: PORTLAND OR, 97224 Subtotal
Phone: (503) 598 -0966 x: (503) 598-8498 Minimum permit fee (590.00)
�� ff Plan review (25% of permit fee)
CCB lic.: 50096 .01401
State surcharge (12% of permit fee)
���f TOTAL PERMIT FEE
Authorized signature: This permit appllealHoa expires If ■ permit Is not obtained within ISO
days after It has been accepted as complete.
I Print name: KYLE BI • AN j Date: • Fee methodology set by Id- County Building Industry Service Board
1: la,uldin`Wennis\MEC•PcnnitApp.doe 10/01/09 440 -4617T (1 tro7/COM/WF9)
6 �
Electrical Permit Application' F I R ca I OR ON1 ICI: I SE ONLY
III City of Tigard 1 2 013 Receives S ` > r� ! d 5y
��ss/` Date ay: / /3 < ,�! Permit No.: d —,Q '� ,,„
. > 13125 SW Hall Blvd., Tigard,ORJA # Plan Review ,, [[ �
: 017/GI Other Permit: - S9
4175 '
P hone: 503.639.4171 Fax: t � Date/By: 7
TIGARD Inspection Line: 503.639."U t ' 11 � � ® Date l I ® See Page 2 for
Internet: www.tigard- or.gov fi° Notified/Method: l Supplemental Information
7 ' TYPE OF WORK ..,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 0 Marinas and boatyards.
CATEGORY OF4CONSTRUCTION exceeds 10,000 amps at ISO volts or ❑ Floating buildings
❑ I -an 2-family dwelling less to ground, or exceeds 14.000 ❑ Commercial -use agricultural
y g ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑Fire pump. ❑ installation of 75 KVA or
. - fu ,.;+_ ❑ Emergency system. larger separately derived system.
JOB "SITE INFORMATION AND hLOCA] ION ❑ Addition of new motor load of ❑ °A ", ~E", ' I - ?". ' 1 -3",
Job no.: Job site address: �t 100HP or more. occupancy.
1rt'
_ 1 J Sw Rose ! _ ❑ Six or more residential units. 0 Recreational vehicle parks
• City/State /ZIP: TIGARD OR 97223 O Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: If a3 Project name: VILLAGE AT SUMMER CREEK ❑ Service or feeder 600 amps or tore.
FEE SCREW: E
Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Qtr. I Fee. I Total I •
SW 135 AVE, AND SW SCHOLLS FERRY RD New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 1,000 sq. lt. or less l 168.54 168.54 4
Ea. addl 500 sq. ft. or portion 3 33.92 101.76 I
Tax map/parcel no.: Limited energy, residential
' OF WORK (with above sq. R.) I 75.00 75.00 2
Limited energy, multi- family 75 00
NEW SFR TOWNHOUSES residential (with above sq. R.)
Services or feeders installation, alteration, nod/or relocation
200 amps or less 100.70 2
N 201 amps to 400 amps ®wPRO1,,LRTY'OW11ER 0 P P - 133.56 2
Name: CENTEX HOMES 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: ' 3889 S f Jt Ave . ' ' Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City /State/ZIP: //kbot0, OR ??P3 relocation _
Phone: ?7/.- p y6 -/ ,) Fax: (503- 503 -6031 200 amps or less 59.36 1
7 201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168.54 2
intended for sal lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
, / Brunch circuits — new, a, or extension, per panel
Owner signature: Date: J / Zs/le)Z A. Fee for branch circuits with lteration
/ above service or feeder fee,
® = ®
APPLICANT I aCONTAGT PERSON 7.42 2
each branch circuit
Business name: CENTEX HOMES B. Fee for branch circuits without
service or feeder fee, first
Contact name: t /1j branch circuit S 8 2
` 0 ���Clf{ / Each add'I branch circuit 7.42 2
Address: 3881 SE Aerie A et- rr Miscellaneous (service or feeder not included)
1� oR Each manufactured or modular
City/State/ZIP: : /T r //5 /'0 oR 9- 7/x13 dwelling, service and/or feeder 67.84 2
Phone: y/ ezi.454 Fax: : (503) 608 -3061 Reconnect only 67.84 2
[ Pump or irrigation circle 67.84 2
E - mail: +4ie� fk/+ oetrk/I(�pqu.sAw.Le7 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) 6625/ hr
City /State /ZIP: HILLSBORO OR, 97123 Investigation (1 hr min) 6625! hr
Industrial plant (I hr mm) 78.18/ hr
Phone: (503) 648 - 4552 Fax: (503) 642 - 7925 Inspections for which no fee is 90.00 / hr
specifically listed (7. hr min) _
CCB Lic.: 182591 Electrical Lie.: 34 - 305C I Suprv. Lie.: ELECTRICAL PERMIT FEES
Subtotal:
Suprv. Electrician signature, required: (25% Plan review (25/0 of permit fee):
Print name: CHUCK GARNE Date: State surcharge (12% of permit fee):
TOTAL PERMIT FEE:
Authorized signature: jrj This permit application expires If a permit Is not obtained within 180
'i days after it has been accepted as complete.
Print name: Date. • Number of inspections allowed per permit.
I \ nuilding1Perrnits \Et.C- PannitApp doe 07/01 /10 410- 1615T( 11/05/COM /WEB
1
Building Division
Development Code Provision Review
r i n ii D Residential Projects
Building Permit No.: hT o Z o t 3— D DD
Project /Subdivision Name: 1) l t_► /1- , Lot #: 8�
Site Address: 3 S 4 3 gw 054 Nt L �
CWS Service Provider Letter:
Required: Yes ❑ No la
Received: Yes ❑ No CT
Plans Routed: J
Original Plan Submittal Date: Oft 5 I f 3 Routed By:
1 Revision Submittal Date: ❑ Site Plan Only Routed By:
2 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 Ayes V (Z at (503) 718 -2.421 or tiles k @tigard-
or.gov)
Land Use Case No. 5..A162.obcp-Icool 4 lD -\tc%
Zoning Q - ZS
EVSetbacks:
Front _? t Rear Side or 3-5 Street Side N/A Garage es'
12 Maximum Building Height: #Gt Actual Building Height t31-il
❑ Visual Clearance N jk
CVEasements
� Sensitive Lands Type: f a ' i e i l U G h i
172 Street Trees
❑ Protected Trees
Notes:
Original Plan: Approved Et Not Approved ❑ Date: k/1 I J
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)
0' Actual Slope: 4
Notes:
Original Plan: Approved B' Not Approved ❑ Date: 7
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
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
4 V illage at ,8750 / 186.88 / 1.86.70 ,186.3 �� O __. , ,-- 152:71
CITY p LARD
uiriiiriier IreeIk . `4 I BUILDING t/ VISION
` l.< I 16.0' I 16.0' I 16.0' I 16.0'
• •4 I I
24.0' 24.0' 24.0' 24.0' 24.0'
5.1
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I
...
I
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r4` 5.0' r-- 5.0' I-- --]
4 , 4 ` I _1_ I - - _L__ - -
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Building Plan: 23 '. 1 ; I I
Lots 84 85 86 87 & 88 : 84 85 86 87 88
r r r _ _ 4 •` I FF/TOW 186.86 1 FF /TOW 186.86 FF /TOW 185.86 FF /TOW 185.86 FF/TOW 185.86
Units A- C-B-C-A . k , I GS 186.16 I GS 185.66 I GS 185.16 GS 185.16 GS 184.66
TOP 186.32 I TOP 186.32 TOP 185.32 TOP 185.32 1
TOP 185.32
SITE PLAN , I I 1
. . . 2 ,,
. . •. ,,,
. .. .
.. .... ....
:•..:...::•: k ,
Scale: 1"-10 �� - - .
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• . ENGINEERING ASSOCIATES CORPORATION ,$ t :
17757 Kelok Road Lake Oswego, OR 97034 J
Tel. (503) 636 -4005 Fax (503) 636 -4015 I
I R O c I MARY LA N
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
13543 SW ROSEMARY LN, TIGARD, OR, 97223
Residential - Master Permit
205 Footing
06/06/2013 09:00
MST2013-00094
FAIL
Not Ready for Inspection OSSC 110.5 and ORSC R109.3
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
13543 SW ROSEMARY LN, TIGARD, OR, 97223
Residential - Master Permit
205 Footing
06/06/2013 09:00
MST2013-00094
FAIL
Not Ready for Inspection OSSC 110.5 and ORSC R109.3
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
13543 SW ROSEMARY LN, TIGARD, OR, 97223
Residential - Master Permit
205 Footing
06/06/2013 09:00
MST2013-00094
FAIL
Not Ready for Inspection OSSC 110.5 and ORSC R109.3
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
13543 SW ROSEMARY LN, TIGARD, OR, 97223
Residential - Master Permit
105 Underground/slab cover
06/18/2013 00:00
MST2013-00094
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
13543 SW ROSEMARY LN, TIGARD, OR, 97223
Residential - Master Permit
220 Slab
06/21/2013 12:00
MST2013-00094
PASS
NOTE raydon pipe installed.
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
13543 SW ROSEMARY LN, TIGARD, OR, 97223
Residential - Master Permit
220 Slab
06/21/2013 12:00
MST2013-00094
PASS
NOTE raydon pipe installed.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13543 SW ROSEMARY LN, TIGARD, OR, 97223
Residential - Master Permit
699 Mechanical final
2013-11-12 00:00:00
MST2013-00094
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13543 SW ROSEMARY LN, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
2013-11-12 00:00:00
MST2013-00094
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13543 SW ROSEMARY LN, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
2013-11-12 00:00:00
MST2013-00094
PASS - C of O
Violation Summary:
Inspector Contractor
a
11111
STREET TREE
TIGARD CERTIFICATION
I, 04i C { , owner/agent for ' !Te- Abovis ,
(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.: �J a)(3--fir(
SITE ADDRESS: )3543 . c./t) iq 4)G. 1-64g-
_,,,,,,
SUBDI VISION: ! ' _ s; r , ,< , _ LOT #:
SIGNATURE: DA'1 E: 1 (-11 - 15
(OI[71\NER/AGENT
RECEIVED & �..
VERIFIED BY: r 411. DA1 E: /1 f Z ./3
(CITY OF TIGARD)
❑ Tree location verified per approved site plan.
I:\Building\Forms\Strcct'I rccCcrtificatc 05/30/2012
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: yy 7- 20 I J __ qt( Jurisdiction: /)
Site Address: C(A) os.
Subdivision/Lot#: '`1i"ti4 & j 4•e-
•y
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: �S Poo/
Date: 11 .t�
O Ge' Contractor/Authorized Agent
Print Name: ()ilv/yJ
6401
ORSC Section N1107.2.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.
I:\Building\Fortes\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, j 4 ii / rito4 , am the general contractor or the owner-builder
at the following address:
Site Address: c 3-v 444446 j-J4
City: 110/140
Permit#: ,?�
Subdivision/Lot#:
110-4 i 17/16e--- eq10,1
and/or
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 R318.2 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 fr. ing members.
Signature: / Date: 1/
{ I1 (3
General Con tor or Owner-Builder
1:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13543 SW ROSEMARY LN, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
2013-11-05 00:00:00
MST2013-00094
FAIL
A/C not connected. Sh rock repair at garage door outlet NEC 314-21. Washer rev.
Polarity
Violation Summary:
Inspector Contractor