Permit I y u CITY OF TIGARD MASTER PERMIT
II 2 COMMUNITY DEVELOPMENT Permit #: MST2013 -00091
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/17/2013
Parcel: 1S133CAl2300
Jurisdiction: Tigard
Site address: 10903 SW SAGE TER
Subdivision: VILLAGE AT SUMMER CREEK Lot: 46
Project: Village at Summer Creek, Lot 46
Project Description: Building 12 New SFA
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 46 sf Basement: 0 sf Left: 3.5 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 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: 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: 971 - 246 -1417 PHONE: 425- 216 -3400
FAX:
Total Fees: $14,172.50
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
952-001-6. . l roug- S • R 9 .01 -6090. You may obtain a copy of the rules or direct questions to OUNC by calling • .232.1987 or 1.800.332.2344.
Iss -d By: ' ■ ∎/ I , � Permittee Signature: /-r I /(
:4
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 sits until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
Building Permit Annlicati C IV ED
Residential APR 15 2013 Ft?It t)I FIt I I .l. ll \I.1
l • City of Tigard may: Gr f / (, / Permit No.: 01.4 si / 3 -• cooi1
13125 SW Hall Blvd., Tigard, OR 97 OF TIGARD Plan Revie
■ Phone: 503.639.4171 Fax: 503.59. Date/B : f t' ,' i (0( k-- �I.t
Other Permit:) e-ar7l3- x(� '
i . i t °,, it o Inspection Line: 503.639.4175 R DIVISION Date Ready/By.. ® See Page 2 for
Internet: www.tigard - or.gov Notified(M f eth• . le [ ZIII Supplements! Information
TYPE OF WORK REQ r *' I DATA: 1- 5 I 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 r
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1- •
and 2- family dwelling ❑ Commercial/mdtstrial Valtratio 1." # 5152 ,� -°
❑ 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: PrEftedFAGRIAPSParm /0903 Sh...So `; feliqCt 7 New dwelling area: 1332 square feet
City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 509 square feet (A3 b
Suite/bldgJapt. no.: 4 /9 Project name: VILLAGE AT SUMMER CREEK _ Covered porch area: 17 square feet 6k-2-2
Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet
SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: 1 e square feet - 2- —
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 4 1 1,6 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 B 1332 SQ. FT. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name: CENTEX HOMES Type of construction:
Address: 3884 SE Aerie Ave. Occupancy
grou Ps:
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: $.. ( off +w r .�, licensed with the Oregon Construction Contractors Board
`�"'"'1 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/State21P: Hillsboro OR, 97123 applicant is exempt from licensing, the following reasons
apply:
Phone: forgafrow.5402 2 J. Ism I Fax: : (503) 608 -3061
E-mail: biThisitgewajudva.am 1451: , � fr MIMmheate n In ( dYt
CO CTOR
Business name: CENTEX HOMES BUILDING PERMIT FEES*
Address: 3884 SE Aerie Ave. Mew rrfamfer)
City/State/ZIP: Hillsboro OR, 97123 Structural plan review fee (or deposit):
Phone: (971) 246 -1417 I Fax: (503) 608 -3061 FLS plan review fee (if applicable):
CCB lic.: 182591 Total fees due upon application:
Amount received:
Authorized sign • ' (____ 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 — Lc/O /L I • Fee methodology set by Tri County Building Industry
Service Board.
I ABuilding\Permits\BUP -RES PermitApp.doc 10/01/09 440 -4613T(I 1 /02/COM/WEB)
Plumbing Permit ApplicatioIRECEIVED
Building Fixtures APR 1 5 2013 FOR 01:1-1(•1.1 t St. O \I 1
City of Tigard Received
111 • 13125 SW Hall Blvd., Tigard, OR 97223G' OF TIGARD Date/B 14 / to / 3 � T Permit No,�sf 2l 3 (�c( I
Plan Review
Phone: 503.639.4171 Fax 503.598 .1 Other Permit No.:
I LDING DI Dale/By: TIC A I; p Inspection Line: 503.639 Date Ready/By: ut , H See Page 2 for
Internet: www.tigard- or.gov Notified/Method: I I 1 Supplemental information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist
Description Qty. E a Total
❑ Addition/alteration/replacement ❑ Other. New 1 dwellings (includes 100 ft. for each utility connection -
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 cs'
® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 25
building , SFR (3) bath I 500.32 500.3 l
❑ 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: Catch basin or area drain I 18.76 I
��35 e N' Kt Drywell, leach line, or trench drain 18.76
City /State/ZIP: TIGARD OR, 97223 (°
Footing drain (no. linear ft.: 100) I Page 2 r
Suite/bldgJapt. no.: 6 lg 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 5
SW 135 AVE, AND SW SCHOLLS FERRY RD Rain drain connector I 18.76
Sanitary sewer (no. linear ft.: AT I Page 2
Storm sewer (no. linear ft.: Q) I Page 2
/ Water service (no. linear ft.: 100) I Page 2
`
Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: � 7Q 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 I 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: 1388y SEAer i e f 4 k
'1- Garbage disposal I 25.02
City /State /ZIP: / l thi9f0, OR Q7Q.I Hose bib 2 25.02
Ice maker 1 12.51
❑ APPLICANT ® CONTACT PERSON Interceptor /grease trap 25.02
Business name: CENTEX HOMES Medical gas (value: $ ) Page 2
- - o fe Primer 12.51
Contact name.
Roof drain (commercial) 12.51
Address: 3 $$ .s Aer/ 4v�
( Sink/basin/lavatory 6 25.02
City / State/ZIP: fT i i LSboro, 0 R 9 7 / -3 Solar units (potable water) 62.54
Fax: : (503) 608 - 3061 Tub /shower /shower pan 2 12.51
E -mail: t Urinal 25.02
� p �P� . ri 14,ePer"NeAv►71:4itlh"y Water closet 3 25.02
CONTRACTOR
Water heater 1 37.52
Business name: CRAFTWORK PLUMBING INC. Water piping/DWV 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: fi P e.' (7- //'1 TOTAL PERMIT FEE
O V This permit application expires if 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 'ermitsWLMU- PermitApp doe 10/01/09 4404616T(10/02/COM/WEB)
Mechanical Permit Apphc` tl geEiVED FOR OFFICE I;sr•, ONLY
City of Tigard AP . & 2013 D Received ' ( 3 Permit No.: 7r . 3 - ocYJJ /
13125 SW Hall Blvd. •Tigard, OR 972 Plan Review
.''• 9 : `': Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
rlisAl:u Inspection Line: 503.639 CITY OF TIGARD Date Ready/By: ® See Page 2for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: NM Supplemental Infarmadon
A ' f i�r' z 4 :r 0 'j: - 0 7 ' .-f •'.1+'�`s� ��,a - i . s ;i+ C.0 1 6 t} l ll J J 1 a
l
.2S•.ss tin"`.#,`- .- .���. -_-.' > r��}r,:'.11�� �A�i_ s���iof "t�_Sz�3!`'.r'7�±:�:?'�... cs:, .�� /�l� �. _ �: �... �.�5���_� 1 ?LCl:I1T01:411 } L
® New construction Mechanical permit fees* are based on the value of the work
❑ Addition/alteration / replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
g I J E 0 -it i 0 10 a ' r' C ain Value: $
1 - 2 dwelling .y 7 1irl t�l�tit, a ei i }iiTS.3)' - u J, t ;d ,
® y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. Ea. Total
..:=7 - Ld ja5,db M 1 0 TE 011) I I I: 0 '��f V� I tl A 1 I G �.. a. �• r t '�'y i
i
3Ta_..C�c%er.:.•':;B,A+. ���1�. ,-., _�.uu �1 �' O a °��tew �a:>� = rraG;�r.�:' Flea ti oPJrnolinl;
lob site address: C Air conditioning
�o9g3 5..... y . T AMre. (requires site plan showing placement) 46.75
City/ State/ZIP: TIGARD OR, 97223 / Furnace 100,000 BTU (ducts/vents) I 46.75 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt no.: 41a I 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 r 1.,
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
Subdivision: VILLAGE AT SUMMER CREEK 1 Lot no.: 71 Flue/vent for any of above 23.32
Other. 23.32
Tax map /parcel no.: Other fuel appliances
;. �-zriY bra, "tTfl sJ1_e`Ir1II 0 �IrO I a7 C'TYx a _ �z a te, „ , Water heater 1 2332 2332
` . rte ,� l �: � r� � ��..:� _ �?
NEW SFR TOWNHOUSES Gas fireplace 3339
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
, ' to o ii+ un^ o '7�2 z1v< �' F� s h Chimney/liner /flue/vent 23.32
° Other: 23.32
Name: CENTEX HOMES Environmental exhaust and ventilation
/4 v Range hood/other kitchen
Address:
388 e equipment I 33.39 33.39
City /State/ZIP: t l pr, oR g 7/a3 Clothes dryer exhaust I 33.39 33.39
Single -duct exhaust (bathrooms,
Phonr.. q 7/.- £# --)iii 7 Fax: (503)608-3061 . toilet compartments, utility rooms) 4 23.32 93.28
ri•''C� r, °iL° i a t ':nl i 6 t Ti •t.� , : .it •? r„� p
:,.,�,..r,?�e �x :?�1�,- ._lr��+�"7i ; ^rs F �� ��? i� ..�!�O�1�r }di:1_ s ? 1�e��.sr_=; Amic /crrwls ace fans 2132
Other. 23.32
Business name: CENTEX HOMES ,f Fuel piping
Contact name: / 4y $14.15 for first four; S4.03 for each additional
Ave_ O Furnace, etc. 1 14.15
Address: 386 S E Aet,e /eve
Gas heat pump
City/ State/ZIP: / -+.,j/ ro a 77/a.1 Wall/suspended/unit heater
Phone 0 ;: -,�, i., ,5 , . , ax: : (503) 608 - 3061 Water heater I
Fireplace
E-mail: a r . / �_ [..L_�N. . xi R ange I
: s2+' fJ eg x t: . 4 Sit , W'r r.- r Barbecue •
Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas)
Other.
Address: 7301 SW !CABLE LANE, STE 500,,,..3rlati -_ g _ _ _
City /State/ZIP: PORTLAND OR, 97224 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 598 -0966 of : x: (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 Ir permit h not obtained within 180
Authorized signature: 10i Jays otter It has been accepted as complete.
I Print name: KYLE BI ' ' AN I Date: • Fee methodology set by Tri- County Building Industry Service Board
IABuildinipPerrnitswiEC- PermitApp.doc 10(01/09 440 - 4617T ( 11/02/COM/WEB)
Electrical Permit Aaulica CEIVED roll op FIC:E USE ONLY
City of Tigard APR 15 2013 ReCG1VCd
DateBy y (��, 3 Cr Permit Na:� ST '-0009 '
13125 SW Hall Blvd., Tigard, OR 97223 n Plan Review
0 ' Phone: 503.63 Fax: 503. TIGARD Daffy: Other Permit:
TIGARD
Inspection Line: 503.639.4175 Date Ready/By: r 1 See Page 2 for
Internet: wmv.tigord- or.gov BUILDING DIVISION Notified/Method: � Supplemental Information
TWA 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 ❑ 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. larger separately . derived system
❑ Addition of new motor load of ❑ "A ", - E ". "1 1
100 Of10re, occupancy.
Job no.: I Job site address:
❑
t.
Six or more residential units. ❑ Recreational vehicle parks
City/State/ZIP: TIGARD OR 97223 / fOj S'''' S' f Te "'flit. ❑ Health -care facilities. ❑ Supply voltage for nom than tp
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 10 Jok I Project name: VILLAGE AT SUMMER CREEK ['Service or feeder 600 amps ormore.
- FEE .SCHEDU -E •
Cross street/directions to job site: CORNER OF SW BARROWS RD, Daertpllon 1 Qtr. I Fee. I Tool I •
SW 135 AVE, AND SW SCROLLS FERRY RD New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: f� 1,000 sq. ft. or less _ I I 168.54 168.54 4 r .
Ea. add'l 500 sq. R. or portion 2 - 33.92 7 b
Tax map/parcel no.: Limited energy, residential
DESCRIPTION OF WORK' (with above sq. It) 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, and/or relocation
200 amps or less 100.70 2
® PROPERTY OWNER I.. El _TENANT 201 amps to 400 amps 133.56 2
Name: CENTEX HOMES 40 1 amps to 600 amps 200.34 2
�1
' 601 amps to 1,000 amps 301.04 2
Address: ' 388`i Ave_ e_ • Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City / State/ZIP: ' ' h ) /LsI, oR 9 ?ia3 relocation
Phone: ?7f I
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 sa lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
, / Branch circuits —c new, alteration, or ex tension, per panel
•
Owner signature: G /...-- Date: 3/ rs /CDIZ A. Fee for bnmch circuits with
® APPLICANT 1 ❑ CONTAGI' PERSON above service or feeder fee, 7.42 2
each brands circuit
Business name: CENTEX HOMES B. Fee for branch circuits without
service or feeder fee, rust 56.18 2
Contact name: t branch circuit
Each add'I branch circuit I 7.42 2
Address: 388 if SE A,er, a Avg Miscellaneous (service or feeder not included)
Each manufactured or modular
City /State /ZIP: , 67.84 2
S, j/'0, OGZ 9 9 7/�3 dwelling. service and/or feeder
Phone: 5 j. f Fax:: (503) 608 - 3061 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - trail: M�rd1e1 sAdy Sign or outl l 67.84 2
CONTRACTOR Signal circuit(s) or limited-energy
Business name: GARNER ELECTRIC panel, alteration. orextension. , 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 (I hr min) 6625! hr
Industrial plant (I hr min) 78.18/ hr
Phone: (503) 648 - 4552 Fax: (503) 642 - 7925 Inspections far which no fee is 90.00 / hr
specifically listed Sh hr min)
CCB Lic.: 182591 I Electrical Lic.: 34 -305C I Suprv. Lic.: - -, ........ ELECTRICAL PERMIT EFTS
Subtotal:
Suprv. Electrician signature, required:
Plan review (25% of permit fee):
Print name: CHUCK GARNE • Date: State surcharge (12% of permit fee):
-
TOTAL PERMIT FEE:
Authorized signature: 7 7th permit application expires If a within 180
I%/ P PP xP permit h not obtained P
days after It has been accepted as complete.
t
Print name: Date: • Number of inspections allowed per permit.
ttaaailding %Pennits%Et.C- Pem,itApp.dac 07/01/10 440- 46t$T(11m5/COM/WEa
•
e Building Division
Development Code Provision Review
T 1 G A R D Residential Projects
Building Permit No.: u Si)r 3 DUO 9 /
Project /Subdivision Name: O I U_44 Cow d � wC'P ClLC - -a--- , Lot #: `
Site Address: /U 'tO 3 S46L' -7
CWS Service Provider Letter:
Required: Yes ❑ No ❑
Received: Yes ❑ No ❑
Plans Routed:
Original Plan Submittal Date: ` 3 � � Routed By:
1St Revision Submittal Date: ❑ Site Plan Only Routed By:
2nd 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 (i) 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 at (503) 718 -2121 or GUI'liS V- @tigard-
or.gov) v
Land Use Case No. LO — 10001 1 pLDR2c0x- " I l
Zoning (R C Q D YGU✓ 'r^� r(� J
111 Setbacks: 1
Front 1 Rear tO Side 3.5 Street Side 1 \ `
Garage
+
EK Building Height: 4 Actual Building Height –-
❑ Visual Clearance NIA
Er Easements
❑Sensitive Lands Type: NON
C"Street Trees
❑ Protected Trees rl / p
Notes:
Original Plan: Approved Not Approved ❑ Date: `i lit
\ I
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
r
•
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov)
Er Actual Slope: 2
Notes:
•
Original Plan: Approved ,0' Not Approved ❑ Date: 71 7/1 3
Revision 1: Approved ❑ Not Approved II 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:
•
�� l3
\ . I
ht.
di
IJ
• d S
y �
Page 2 of 2
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
I
x X \ APR 15 2013
V illage at .1
CITY OF TIGARD
�; 06. R UILDNG DIVISIO
S ummer Creek '
15.9' I
10.4' I
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/1 II '
4.1' I
/
.L49.1' - -I I
Building Plan: 12 I \ , ____ ___L-
46 I
Lot 46 I FF/TOW 196.78
Unit B GS 196.08 1
TOP 196.24 I 1
I I
I I
SITE PLAN I
I . .
Scale: 1"-10' NORTH
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17757 O
Kelok Road Lake Oswego, OR 97034 I I I
Tel. (503) 636 -4005 Fax (503) 636 -4015 1 1
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STREET TREE
TIGARD CERTIFICATION
I, Ah) �fSer at , owner/ agent or (e,, o s
g f fit � •n e
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certify 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.: Ooof
SI'1 E ADDRESS : n3 w
SUBDIVISION: s vnt Creek LOT #: L f
SIGNATURE: '� DATE: / Z /3/
i (Ott ' R /AGEN )
RE CEIVED
T /T RIFIED BY: �� DATE: /2/3//3
(C OF TIG )
Tree location verified per approved site plan.
IA nrm. \Strcc(I rcc(:cruhcalc 05 /10/2012
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Rol 3 _ 000 c l Jurisdiction: /
Site Address: / l . w S, 7 v AQ re
Subdivision/Lot #: S `� // l er Creek / 2 � /
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)
Signature: Date: ) Z/ y
Owner /G al ontra uthorized Agent
Print Name: ,5h I Q Of-fens e ✓1d
' 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.
1:\Building\Forms\RES- HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, , I g k (5' evl , am the general contractor or the owner - builder
at the following address:
Site Address:
•'• S • -
City:
i i'af'd
Permit #: R.10/ - 000q
Subdivision/Lot #: . ( - ,4 '7/)1e/' ileek / o y,6
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 framing members.
Signature: Date:
General Contractor or Owner- Builder
1:\ Building form \RES- MoistureSensitiveWood.doc 09/25/08