Permit •
CITY OF TIGARD MASTER PERMIT
• '' • a .' COMMUNITY DEVELOPMENT Permit #: MST2013 -00101
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/03/2013
Parcel: 1 S133CAl2600
Jurisdiction: Tigard
Site address: 10926 SW SAGE TER
Subdivision: VILLAGE AT SUMMER CREEK Lot: 49
Project: Village at Summer Creek Lot 49
Project Description: Building 14 New SFA
BUILDING
Floor Areas Required Setbacks Required
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
Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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 ,
Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Fumy =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'l 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: $14,205.50
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 th R 952 -0001 -0090. You may obtain a of the rules or direct questions to OUNC by calling 50 232.1987 or 1.800.332.2344.
Issued By: Q10/1 .�'K�+� ai --1 Permittee . 4 liZl arg,7111
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 Applica z '1 ' ";'GENE®
Residential 1 1)11 OI I It I.: I SI: O\I.1
City of Tigard APR 15 2013 may: `� up 6 5 — Permit No., 4 % .90/ 3j ' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
II Phone: 503.639.4171 Fax: 503. TIGARD DatdBy. ICI Z °Ct 5 A r aherP JIa ZV i 3 IUDU
. 1 G .-„-R n Inspection Line: 503.639.4175 Date Ready/By: r hu;s ® See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: 7/'/ 3 T Supplemental Information
TYPE OF WORK D 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 Z
CATEGORY OF CONSTRUCTION work indicated on this application.
j�p( 25/. o fly VP
® 1 -and 2- family dwelling ❑ Commercial/industrial ndustrial I 1 $1b3 .93 '' ' �"'
❑ Accessory building ❑ Multi- family Number of bedrooms: 2 P
❑ Master builder ❑ Other: Number of bathrooms: 3 `)
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 48851eaaViIfogefreaelm /OW S w _c+ C ']��.����� New dwelling area: 1332 square feet
City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 509 square feet /5
Suite/bldgJapt. no.: 0/Y I Project name: VILLAGE AT SUMMER CREEK Covered porch area: 17 square feet � )
Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet A.k,
SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: te.)41 square feet
REQUIREDDATA: COMMERCIAL -USE CHECKLIST
Subdivision: VILLAGE AT SUMMER CREEK I Lot no.:11,11q Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
■
NEW SFR TOWNHOUSES
Valuation: S
UNIT B 1332 SQ. FT. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name: CENTEX HOMES Type of construction:
Address: 3884 SE Aerie Ave. Occupancy groups:
City/State/ZIP: Hillsboro OR, 97123 Existing:
Phone: (971)246 -1417 I Fax: (503)608-3061
New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: CENTEX HOMES All contractors and subcontractors are required to be
Contact name: ISIRVireffeste Ash ��, Q(�� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 3884 SE Aerie Ave. jurisdiction in which work is being performed. If the
City/State/ZIP: Hillsboro OR, 97123 applicant is exempt from licensing, the following reasons
apply:
Phone: (9010440tiVISW 22 b1$,31 I Fax:: (5033) 608 -3061 11
E -mail: A Qt/`/'WrIe lltY10A4S1
CO CTOR
Business name: CENTEX HOMES BUILDING•PERMIT FEES"
Address: 3884 SE Aerie Ave. (Please
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 signat i Z..— �_ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: Dave Templeton I Date: s LD fL I • Fee methodology set by Tn County Building Industry
` Service Board.
I:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 440 -4613T(1 I /02/COM/WEB)
t
Plumbing Permit Application
Building Fixtures FOIZ ()F1:1(.1: liti1: O:NI.I
City of Tigard eBy 4, 1 t 13 Iv Permit No. ite 5) a- - (U(
13125 SW Hall Blvd. Ti r CEVED Plan Review
14 I Phone: 503.639.4171 Fax: 5 0 .598.196 Other Permit 2xx 3 059 • 5
Dale/By:
T IC C. A R D Inspection Line: 503.639 75 PR R 1 5 2 013 Date Ready/By: 1 ris//_ I B See Page 2 for
Internet: www.tigard- or.gov Notified/Method: 1 ( J� Supplemental Information
. . .. .. . _ _ . T YPE @ IGARD . . . . _ . . FEES SCHEDULE
® New construction BUILD ENOISION For special information use checklist. 75
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 ,CON'SrR UCTION _ SFR (1) bath 312.70
® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 r
❑ Accessory building ❑ Multi - family SFR (3) bath I 500.32 500.3 V'
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 _
Ca
JOB SITE INFORMATION AND; LOCATION' _ Site utilities:
Job site address: l r,pa Sw i PMt� Catch basin or area drain 1 8.76
�� ll Drywall, leach line, or trench drain 18.76
City/State/ZIP: TICARD OR, 97223 Footing drain (no. linear ft.: . ) I Page 2
Suite/bldgJapt. no.: IS pi 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.: HD) I Page 2
Storm sewer (no. linear ft.: 100 1 Page 2
Water service (no. linear ft.: 100) I Page 2
Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: A if/ Fixture or Item:
Tax map /parcel no.: Beckftow 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 0 ' jYAlirr Expansion tank 12.51
Name: CENTEX HOMES Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 1 388' SEACr i e Ate
te
Garbage disposal I 25.02
City /State/ZIP: / o pR g7j,).3 Hose bib 2 25.02
Ice maker I 12.51
❑ APPLICANT ,® =coNTAer Interceptor /grease trap 25.02
Business name: CENTEX HOMES y Medical gas (value: $ _ ) Page 2
- _ / _0fI e ' �r� - Primer 12.51
Contact name. � Roof drain (commercial) 12.51
Address: 3 $6' SE4e/';e Ave_
Sink/basin / lavatory 6 25.02
City /State/ZIP: f - j1sboro 0 9 zi a3 Solar units (potable water) 62.54
1 Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51
E -mail: / r t o rf4,1 f � lM ittori*nal I 25.02
CONTRACTOR / lwater closet 3 25.02
• Water heater I 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
Plan review (25% of permit fee)
CCB Lic.: 79666 Plumbing Lic. no.: 20 -148PB -
fdllimi State surcharge(12%ofpermitfee)
Authorized signature: /f le" ( 7 - /C ) 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.
I :\auilding'Mmits\PLMU- PermitApp doe 10101/09 4404616T(10/02/COM/WEB)
Mechanical Permit AnnlicatiR
and EC i � I E ' FOR t)I' 1' IC.:I USE USE oN I
City of Ti CC U R Ceived '- ( ( KSTa -or ov to l
`, Tigard Date/Br ( Perm No �',�
13125 SW Hall Blvd. {Tigard, OR 97223
APR fl 5 2013 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
111, ilk Ins Line: 503.639 late Ready/By: lmis: ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: '77 , Supplemental lnformattoa
11► 1 A:
; >'"sw .�S ` - lket 4 T ti 7. - - �n 0° .-`• a"y ' ,. .. ta-_.�J�rt�.i_, � ' '
... .!VIAL lt 11e • 4.
Mechanical permit fees* are based on the value of the work
® New construction ❑ Addition /alteration/replacement
❑ Demolition ❑ Other: perfumed. indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit -to
C ;, ,�� : :77. f.-AM$30 IToV; c ti a rid'Ce `T-V.ii, : 41. r • - .:Z Value: $
1 and 2 family dwelling ❑ Commercial/industrial ❑Accessory buildi !1-°. # i?':�. ! ! . ' o r, iii
® is /au -
'
Multi For special information use checklist.
❑ y ❑ Master builder ❑ Other. Description I Qty. I Ea. I Total
.. - ';1Q 'i' - tl_ u% il: OA, T(o l /Y,, i clip e _. Il .°f��/b`r�sir "^1 = 1 ` . -'• :r Heating/cooling
address:
conditioning
lob site addr
0 2(s S 1 Spe T (Ate (require 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
4
Suite/bldg. /apt. no.: IS/ ` 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
SW 135TH AVE, AND SW SCHOLLS FERRY RD Hydron ti 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 I Lot no.: Soy Flue/vent for any of above 2332
Other. 2332
Tax map/parcel no.: Other fuel appliances
i. i E aT' 'x '' , 1 r : _ -- r 1 ' „ tr , " i Water heater 1 23.32 23.32
' ,, -^ ' -- �,t ` � � O�I� o�� 'r :�oj7 �ti,��i+ -,s.�fi -.„ � �w �,ysr�s..;
Gas fireplace 3339
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
-yam � Chimney/liner/flue/vent
T =' :EIP 't +�V ilA 4: ,- �' 2 f aw SSfr� •n 'y -ar4 ;:-' I` z, �Y /liner /(lue/vent 2332
t �4'r , '• Other. 23.32
Name: CENTEX HOMES Environmental exhaust and ventilation
Address. 3889SE,4e0; e i 4 v e_ Range hood /other kitchen equipment 1 33.39 33.39
City/State/ZIP:. �.j //g of oR g7ra3 Clothes dryer exhaust I 33.39 33.39
Single -duct exhaust (bathrooms,
Phont.. q 7/ - a La -) 7 Fax: (503)608 -3061 . toilet compartments, utility rooms) 4 23.32 93.28
° "d 11� . : :'-' . -, c ' .r sr? "s 3 r ; -" Anic/crawls ace fans 23.32
>y.:T :��J.a.. �Y ~ •.ik., . 1t'l:2,41:.a '.�?; ` - 1. - ; . - . r ' I7 + t U 1 r ca 1 r) 1, o .: P
Other. 23.32
Business name: CENTEX HOMES ,p� - ��,�" -4 �� Fuel pi
�f r"
Contact name: $14.15 for first four; $4.03 for each additional
f Furnace, etc. 1 14.15
Address: 388 L i S E 4etre Aye_
/StatdZlP: t' _I_ , p Gas heat purr
Ci
ty ('T;/i rot a 97/a Wall/suspended/unit heater
Phone �, S Fax:: (503) 608 -3061 Water heater 1
/ Fireplace
E-mail:- a ; �'r� iii - , % , 101* n • 40 ,i h, Range I
rt :'i /7Yr% :..., < �a P 1 C f t Z �= Ei� ='fir
.+�•..- .`k'.F .. ,'s � .��� �. � ,-+ +3�. .' i;ti*A Barbecue
Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas)
Other:
Address: 7301 SW KABLE LANE, STE 500 a,.3i , Ac_ "i'1 • p • _I - i t _ L, .r . a te ^ :.
City /State/ZIP: PORTLAND OR, 97224 Subtotal
Phone: (503) 598 -0966 x: (503) 598 - 8498 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: 50096 t . State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires If a permit Is not obtained within ISO
Authorized signature: 1 days after It has been accepted as complete.
Print name: KYLE BI • ' AN I Date: • Fee methodology net by Tri- County Building Industry Service Board
I:! BuildiasTe rmitstMEC•PamitApp.doe 10101109 440.46177 (11/02/COM/WEa)
E\IE
Electrical Permit Applic2A1 n1 5 2013 rots 01' VICE Usk. MIA'
City of Tigard Re ed 4 T i 3 S PermitNa.)0 Si .?"0 10 1
13125 SW Hall Blvd.. Tiga e TIG Plan Review `�
'I 0 ' Phone: 503.639.4171 F DIVISION D Other Permit �()Q 1 Ot 3 B-
I' I c A R. n Ins tion Line: 503.639. Date Ready/By r ® See Page 2 for
PK
Internet: www.tigard- or.gov Notified/Method: �o Supplemental Information
' TYPE OF WORK PIA REVIEW
® New construction ❑ Addition/alteration /replacement Please check all that apply (submit E sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories. r ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION - exceeds 10.000 amps at ISO volts or ❑ Floating buildings.
❑ I -an 2 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 of75 KVA or
JO SITE INFORMATION AND LOCA'L70N ' ❑ Emergency system larger separately derived system
.:•_. ❑ Addition of new motor bad of ❑ "A ", "E" "1 -2" "1.3"
Job no.: Job site address: IOO1iP or more. occupancy.
❑ Six or more residential units. ❑ Recreational tehicle parks
City/State/ZIP: TIGARD OR 97223 i Sw to re etsiee ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 0/ ii I Project name: VILLAGE AT SUMMER CREEK ❑Service or feeder 600 amps or morn
FEE .SCHEDU ,..E _
Cross street/directions to job site: CORNER OF SW BARROWS RD, Desertption I Qty. I Fee. I Thiel I •
SW 135" AVE, AND SW SCROLLS FERRY RD
New residential single- or molt { - family dwelling unit.
Includes attached garage.
Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: AS rt 1,000 sq. 11. or less I I I 168.54 I 168.54 14
` Ea. add'1500 sq. R. or portion ''L 33.92 1 1
Tax map/parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. R.) I 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
.® PROPERTY OWNER 1 .. ❑ _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 301.04 2
Address: ' 338YS'Aerir Ave Over I,000 amps orvolts 552.26 2
Temporary services or feeders installation, alteration, nod/or
City / State/ZIP: '' /yrli56Dco, o . 9?/a3 relocation
Phone: ?71.-? I Fax: (503- 503 -6031 200 amps or las 59.36 I
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 — new, alteration, or extension, per panel
Owner signature: • 1 C.—. Date: �ts/1 A. Fee for brunch circuits with
® APPLICANT 1 ❑ CONTAGI' PERSON above service or feeder fee,
each branch circuit 7.42 2
Business name: CENTEX HOMES B. Fee for branch circuits without
service or feeder fee first 56.18 2
Contact name: I v t / branch circuit
�J Each add'I branch circuit 7.42 2
Address: 388 t( SE Reny e Are Miscellaneous (service or feeder not Included)
n Each manufactured or modular
City / State/ZIP: ,
S,,po o q 7/03 dwelling. service and/or feeder 67.84 2
Phone: Y1.22�. f,§3 Fax: : (503) 608 - 3061 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail: ,
MY ! S or outline lighting 67.84 2
CONTRACTOR Signal circuits) or limited - energy
Business name: GARNER ELECTRIC panel, alteration. or extension. Page 2 2
Each additional Inspection over allowable in any of the abov
Address: 2920 SE BROOKWOOD AVE, STE A Additional inspection (I hr min) 6625/ hr
City/State/ZIP: HILLSBORO OR, 97123 Investigation (I hr min) 66.25/ hr
Industrial plant (I hr min) 78.18/ hr
Phone: (503) 648-4552 I Fax: (503) 642 - 7925 Inspections for which no fee is
90.00/hr
specifically listed ('/, hr min)
CCB Lic.: 182591 I Electrical Lic.: 34 - 305C I Suprv. Lic.: ELECTRICAI. PERMIT FEES
Subtotal:
Suprv. Electrician signature, required: Plan review (25% of permit fee):
Print name: CHUCK GAME Date: State surcharge (12% of permit fee):
TOTAL PERMIT FEE:
Authorized Signature: 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 AOoadin2Wermlts1ELC•PenoiApp.doe 07101 /10 44O- 1615T(I I/051COMIWEB
I
o ° Building Division
Development Code Provision Review
T i c e rz Residential Projects
P-NCe I, ( --f
•
Building Permit No.: M.Yr / i - o /0(
Project /Subdivision Name: ()fc 9 --- G9 -- 1" -- ill awn- =- , Lot #: 4 1
Site Address: /0g a-LO cad S4C0IJ 3n-/
CWS Service Provider Letter:
Required: Yes ❑ No ❑
Received: Yes ❑ No ❑
Plans Routed:
_ Original Plan Submittal Date: ( (NI/ 3 _Routed By:
1St 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 YES Vov4a12, at (503) 718 -2i421 or R @tigard-
or.gov) V
Land Use C se No. SL4 l'oocP—Itxoo[ (Pr?r61.1Q- lad
Zoning K -29
Setbacks: 1
/Front V. Rear Id Side 013.5 Street Side NIA- Garage 0 Maximum Building Height: 45 Actual Building Height t
❑ yisual Clearanceq A-
:O asements ..rr
ensitive Lands Type: [ J o Iv £i
LEl Street Trees .
❑ Protected Trees tsi' f"
Notes:
Original Plan: Approved Not Approved ❑ Date: 1011-)7
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: 2 -
Notes:
Original Plan: Approved Not Approved ❑ Date: 4 / �/ 3
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.
ifiq 5
Page 2 of 2
I: \CURPI.N \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
V illage at I \ ��
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1 3.6 3 hi3 . 17 1'15. � 'L
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1 19.0 \ I 19.0' �' (�
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Building Plan: 14 1 I
/
Lots 48 & 49 ` � ;
48 49 1 `�'
Unit B -B `
FF/TOW 197.01 I FF/TOW 197.01 I \ \
GS 196.31 I GS 196.31 \ ` , .
SITE PLAN TOP 196.47 TOP 196.47
HlaON \
Scale: 1 " -10'
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i ENGINEERING ASSOCIATES CORPORATION ' — — - S e I `��
17757 Kelok Road Lake Oswego, OR 97034 `'
Tel. (503) 636 -4005 Fax (503) 636 -4015 5
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
10926 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
2013-12-17 00:00:00
MST2013-00101
PASS - C of O
*Erosion Control approval Passed
*Planning Approval Passed
*Street Tree Certification, checked for trees. Received
*High-Efficiency Interior Lighting Systems Doc Received
*Moistuxre Content Acknowledgement Form. Received
*Insulation Certification checked. Checked
*Carbon monoxide Detector checked. Checked
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
10926 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
699 Mechanical final
2013-12-11 00:00:00
MST2013-00101
FAIL
1. Correct gas leak in kitchen area. All else ok
Recall
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
10926 SW SAGE TER, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
2013-12-11 00:00:00
MST2013-00101
PASS
Violation Summary:
Inspector Contractor
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 1457 Z 0t 3 - 001 0 Jurisdiction: - /`
Site Address: iouc. tAi � y '
Subdivision/Lot #: v « s(JIm,k,74 awe tor q7
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: 1 2-- 16 -13
O 'er /G 'a C tor/Authorized Agent
Print Name: 10/1r101 S • C11-0
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 fmal 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, (jth Ul , am the general contractor or the owner- builder
at the following address:
Site Address: logzf , !. � VA ,, n
City: TI
Permit #: „SOT zots, 6
Subdivision/Lot #: 0 124 0 4. _
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 a dry framing members.
Signature: 4IKAZI Date: ( IC -13
Gene S ontractor or Own- -Bu' .er
I:A Building\ Fonn \RES- MoistureSensitiveWood.doc 09/25/08
STREET TREE
TIGARD CERTIFICATION
I, QiIvik2 o1i , owner/ agent for
(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.: VACT -Co1Q(
SITE ADDRESS: j( 7z6 ,
SUBDIVISION: (, /(L 4f w LOT #:
SIGNATURE: _ DATE: 12 I& (3
/OWNER / NT)
RECEIVED &
VERIFIED BY: DATE: 0'1 ?_
f �i IGARD)
I Tree location verified per approv d site plan.
I:A Building\ Forms \Streetl'recCertificate (15/3(1/2(112