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Permit n CITY OF TIGARD MASTER PERMIT I 13 .:`- COMMUNITY DEVELOPMENT Permit #: MST2010 -00141 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/24/2010 Parcel: 1S133CAl2700 Jurisdiction: TIGARD Site address: 10938 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 50 Project: VILLAGE AT SUMMER CREEK LOT 50 Project Description: Building 15. New SF Townhome. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 60 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height 33 Bathrooms: 3 Second: 703 sf Garage: 620 sf Front: 12 Smoke Dwelling Units: 1 Third: 697 sf Right: 3.5 Detectors: Yes Total: sf Value: $169,855.22 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 0 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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 3 20 1-400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir: 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: Owner. Contractor: Required Items and Reports (Conditions) CENTEX HOMES CENTEX HOMES 1 MST Ersn Cntrl 503 - 681 -4444 16520 SW UPPER BOONES FERRY 16520 SW UPPER BOONES FERRY RD, SUITE 200 RD, STE 200 PORTLAND, OR 97224 PORTLAND, OR 97224 PHONE: 503 -608 -3060 PHONE: 503 -608 -3060 FAX: Total Fees: $13,630.64 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 wit' expire if work is not started within 180 days of issuance, • if work is u pended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C-n r. Thos rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 56 • -. •9 or 1.801.33'. : • 4. ,�(j F* ',1 / / Issued By: ���17��' v`v � Perrnittee Signature: / i � mil. Enifiding Permit Application Residential � '' FOR OFFICE USE ONLY CI of Tl and ' �-;) y Received `J g % ` DateB : _ 0 0 ' i Permit No.: u // 1 — • / y ° 13125 SW Hall Blvd., Tigard, OR 97223 O�0 Plan Reviewr)� Other Permit: r Illq C Phone: 503.639.4171 Fax: 503.598.1960 1 D ateB : _,.V I • — 1 TIGARD Inspection Line: 503.639.4175 ` \G 1 Date Ready /By: n See Page 2 for Internet: www.tigard-or.gov pv v ^� Notified/Method: FM Supplemental Information TYPE OF WORK :. REQUIRED 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 indicated on this application. ® 1- and 2- family dwelling Valuation: $169,855.22 ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: 09j 4Ae mee New dwelling area: 1460 square feet City /State /ZIP: TIGARD OR, 97223 Garage /carport area: 620 square feet (A 7 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 33 square feet 70. 1 Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 160 square feet (G3 SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: a:780 square feet 35 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: VILLAGE AT SUMMER CREEK Lot no.: L7 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: $ 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: 16520 SW UPPER BOONES FERRY RD, STE 200 Occupancy groups: City /State/ZIP: PORTLAND OR, 97224 Existing: Phone: (503)608 -3060 Fax: (503)608 -3061 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: GARY CULP licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 16520 SW UPPER BOONES FERRY RD, STE 200 jurisdiction in which work is being performed. If the City/State/ZIP: PORTLAND OR 97224 applicant is exempt from licensing, the following reasons apply: Phone: (503) 608 -3060 Fax: : (503) 608-3061 E -mail: gary.culp @pultegroup.com CONTRACTOR Business name: CENTEX HOMES BUILDING PERMIT FEES* Address: 16520 SW UPPER BOONES FERRY RD, STE 200 (Please refer to fee schedule) City /State/ZIP: PORTLAND OR, 97224 Structural plan review fee (or deposit): Phone: (503) 608-3060 Fax: (503) 608 -3061 FLS plan review fee (if applicable): CCB lic.: 182591 Total fees due upon application: Amount received: Authorized signature: iP, / ' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: GARY CULP / / Date: /7/0 * Fee methodology set by Tri County Building Industry • Service Board. I: \Building \Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB) . , t Electrical ]Permit Application - r F OFFICE IJS>J OI\rLY ,'^ ,-4 , v s a ;' ;;. �'* Received �^ K.. City of Tigard Date /By: Permit No. ff 5 r�I0 --- 00/ 4 // 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review - '- G i', Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Permit TIGA &D Inspection Line: 503.639.4175 Date Ready /By: runs: 8 Sec Page 2 for Internet: www.tigard-or.gov Nolified/Method: Ty Supplemental Information TYPE. OF WORK PLAN REVIEW ® New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial-use agricultural ❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or • ❑ Emergency system larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ' I - ? ". ' I -3", Job no.: I Job site address: OW 1.. 5140 rgre 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: TIGARD OR 97223 ❑ Health - care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK ❑ Service or feeder 600 amps or more. . FEE SCHEDULE Cross street/directions to job site: CORNER OF SW BARROWS RD, Description 1 Qtv. 1 Fee. 1 Total ► • SW 135 ND SW SCHOLLS FERRY RD New residential single- or multi- family dwelling suit. AVE, r Includes attached garage. • Subdivision: VILLAGE AT SUMMER CREEK Lot no.: .5-0 1,000 sq. 6. or less I 168.54 168.54 4 Ea. add'! 500 sq. ft. or portion 3 33.92 101.76 1 Tax map /parcel no.: Limited energy, residential 1 75.00 75.00 " .DESCRIPTION OF. WORK . (with above sq. ft.) 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 I, 0 TENANT • 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: CENTEX HOMES 601 amps to 1,000 amps 301.04 2 Address: 16520 SW UPPER BOONES FERRY ROAD, STE 200 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City /State /ZIP: PORTLAND OR, 97224 relocation Phone: (503)608 -3060 Fax: (503- 503 -6031 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps I68.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with © APPLICANT above service or feeder fee, f ❑ CONTACT PERSON _ 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: GARY CULP branch circuit Each add'I branch circuit 7.42 2 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Miscellaneous (service or feeder not included) City/State/ZIP: PORTLAND OR, 97224 Each manufactured or modular 67.84 2 Y + dwelling, service and/or feeder Phone: (503) 608 - 3060 Fax: : (503) 608 - 3061 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: gary.culp @pultegroup.com 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 (1 hr min) 6625/ hr City /State /ZIP: HILLSBORO OR, 97123 Investigation (1 hr min) 66.25/ hr Industrial plant (1 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) Uy CCB Lic.: jr /a,,$q Electrical Lic.: 34 -305C Suprv. Lic.:-2 ELECTRICAL PERMIT FEES v Subtotal: 1.31,...3G Suprv. Electrician signature, required: Plan review (25% of permit fee): Print name: CHUCK CARNE Date: State surcharge (12% of permit fee): 41 ,4- signature: TOTAL PERM IT FEE: 6,74- Authorized si �, g � � ; ; r/ / T his permit application expires if n permit is not obtained within 180 f 1 "-I Z.. —. � �� days after it has been accepted as complete. Print name: , r Date: i • Number of inspections allowed per permit. IAauilding \Permits \ELC- Penni(App doc 07 /01)10 44(1- 4615TI t l /05 /COM /WEO Mechanical Permit Application F O FFICE USE ONLY / S 7� ta 6D / City of Tigard Received , - Date/By: Permit No. III q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: Date/13y: TIGARD Inspection Line: 503.639.4175 Date Ready /By: WI El See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information . TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • CATEGORY OF CONSTRUCTION Value: $ ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* For special information use checklist. ❑ Multi- family 0 Master builder ❑ Other: Description 1 Qty. 1 Ea. l Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: /OM G Air conditioning (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.: 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 Hydronic hot water system 23.32 SW 135TH AVE, AND SW SCHOLLS FERRY RD Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Flue /vent for any of above 23.32 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 1 23.32 23.32 Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT A 1460 SQ. FT. fireplace 23 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 Chimney /liner /flue /vent 23.32 ,® PROPERTY OWNER . ❑ TENANT Other: 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Range hood/other kitchen Address: 16520 SW UPPER BOONES FERRY RD, STE 200 equipment 1 33.39 33.39 City/State/ZIP: PORTLAND OR, 97224 Clothes dryer exhaust 1 33.39 33.39 Single -duct exhaust (bathrooms, Phone: (503)608 -3060 Fax: (503)608 -3061 toilet compartments, utility rooms) 4 23.32 93.28 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: CENTEX HOMES Fuel piping Contact name: GARY CULP $14.15 for first four; $4.03 for each additional Furnace, etc. 1 14.15 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Gas heat pump City/State/ZIP: PORTLAND OR, 97224 Wall /suspended/unit heater Phone: (503) 608 -3060 Fax: : (503) 608 -3061 Water heater 1 Fireplace E -mail: gary.culp @pultegroup.com Range 1 CONTRACTOR Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW }CABLE LANE, STE 500 MECHANICAL PERMIT FEES* . City /State /ZIP: PORTLAND OR, 97224 Subtotal 244 - . Minimum permit fee ($90.00) one: (503) 598-0966 Fax: (503) 598-8498 Plan review (25% of permit fee) tiVCCB lic.: 50096 State surcharge (12% of permit fee) 21. TOTAL PERMIT FEE z 7 3 , 5' 07 This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. . 49 Print name: KYLE BIRM Date: ' Fee methodology set by Tri- County Building Industry Service Board 1:\ Building \Permits \MEC- PermitApp.doc 10/01/09 440- 4617T(II /02/COM/WEB) . • 1 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received 0 13125 ll SW Llall Blvd., Tigard, OR 97223 Date/By: Permit No/ w/O - DO/ i f/ C Phone: 503.639.4171 Fax: 503.598.1960 Plan Review U TIGARD Inspection Line: 503.639.4175 Date/By: Other Permit No.: Internet: www.tigard or.gov Date Read /By: 1 u fJ�'/ e H See Page 2 for Notified/Method: / 1 Supplemental Information . _ TYPE OF WORK ® New construction ❑ Demolition ' ,FEE* SCHEDULE ❑ Addition /alteration /replacement ❑ Other: For special information use checklist. Description I Qty. 1 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 (1) bath 312.70 building SFR (2) bath 437.78 ❑ Accessory g ❑ Multi- family SFR (3) bath 1 500.32 500.32 ❑ Master builder ❑ Other: Each additional bath/kitchen 25.02 JOB SITE INFORMATION AND LOCATION Fire sprinkler ( sq. ft.) Page 2 Job site address: /093f 9. lA6 Site utilities: "� �v 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.: 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 dram connector 1 18.76 Sanitary: sewer (no. linear ft.: 100) I Page 2 Storm sewer (no. linear ft.: 100) 1 Page 2 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: ID Water service (no. linear ft.: 100) 1 Page 2 Tax map /parcel no.: Fixture or item: • DESCRIPTION OF WQRK • 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 • ❑ TENANT Ejectors/sump 25.02 Name: CENTEX HOMES Expansion tank 12.51 Fixture /sewer cap 25.02 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Floor drain /floor sink /hub 25.02 City /State /ZIP: PORTLAND OR, 97224 Garbage disposal 1 25.02 Hose bib 2 25.02 ❑ APPLICANT El CONTACT. PERSON lee maker 1 12.51 Business name: CENTEX HOMES Interceptor /grease trap 25.02 Medical gas (value: $ ) • Page 2 Contact name: GARY CULP Primer 12.51 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Roof drain (commercial) 12.51 City / State/ZIP: PORTLAND OR, 97224 Sink/basin/lavatory 6 25.02 Fax: : (503) 608 -3061 Solar units (potable water) 62.54 E -mail: gary.culp@pultegroup.com Tub /shower /shower pan 2 12.51 Urinal 25.02 CONTRACTOR • Water closet 3 25.02 Business name: CRAFTWORK PLUMBING INC. Water heater 1 37.52 Address: 7737 SW CIRRUS DR Water piping/DWV 56.29 City /State/ZIP: BEAVERTON OR, 97008 Other: 25. Subtotal G-1):02„, #. Minimum permit fee: 572.50 I lr CCB Lic.: 79666 Plumbin Lic. no.: 20 -148PB ' Plan review (25% of permit fee) Authorized signature: 4 State surcharge (12% of permit fee) 4.:;(3, Oak TOTAL PERMIT FEE r c 7 4 0 , Print name: PETER POLLARD Date: r- 17 -0 t:\ Building \Perrnits \PLML PermitApp.doc 1 0r01 /09 410- 4616T(10 /02JCOWWEB) r Dianna Howse From: Dianna Howse Sent: Wednesday, October 06, 2010 3:52 PM To: 'Gary CuIp'; Debbie Adamski Cc: Debbie Adamski; Branden Taggart; Albert Shields Subject: RE: TIFF credits Attachments: ReqPermitAction.doc; TIF- Voucher- VillageAtSummerCreek.pdf; image001.gif Hello Gary, I have attached a copy of the TIF Credit Voucher, now known as TDT, for the Village at Summer Creek. I have also attached a form for you to request a refund for the TDT fees that you have paid for each of the (6) permits for buildings 11 and 15. Please complete (1) request form for each permit with the following information: MST2010-00136, 10907 SW Sage Ter, Village at Summer Creek, Lot 45 MST2010- 00137, 10911 SW Sage Ter, Village at Summer Creek, Lot 44 MST2010- 00138, 10919 SW Sage Ter, Village at Summer Creek, Lot 43 MST2010-00139, 10944 SW Sage Ter, Village at Summer Creek, Lot 52 MST2010-00140, 10940 SW Sage Ter, Village at Summer Creek, Lot 51 MST2010- 00141, 10938 SW Sage Ter, Village at Summer Creek, Lot 50 I have copies of the receipts so it is not necessary for you to attach a copy to each request form. You can email those requests back to me, or you can fax them to me at 503- 598 -1960. I will process a refund of $3,679.00 for each permit back to your credit card and deduct the amount from the TIF Credit Voucher. When paying for and picking up future permits, please present the TIF Credit Voucher each time so that you will not be charged for the TDT fees. As for distributing the TDT costs equally across all 88 lots of this project, I will address that issue under separate email later this week. Thank you and please let me know if you have any questions. Dianna Howse Building Division Services Supervisor City of Tigard 503.718.2430 From: Gary Culp [ mailto:Gary.Culp @PulteGroup.com] Sent: Wednesday, October 06, 2010 3:21 PM To: Dianna Howse; Debbie Adamski Subject: TIFF credits Were you able to come up with a way to refund the tiff credits as well as the original overcharges we discussed last week? 1 J , tPuLte GARY CULP Division Product Manager :: Pacific Northwest Division direct (503) 608 - 6036:: Cell (971) 246 -1391 garv.culpftultegroup.com • CONFIDENTIALITY NOTICE: This email may contain confidential and privileged material for the sole use of the intended recipient(s). Any review. use, distribution or disclosure by others is strictly prohibited. If you have received this communication in error, please notify the sender immediately by email and delete the message and any file attachments from your computer. Thank you. 2 / ,Zo, o - DO/ Si City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: Pulte Homes, Inc. (Centex Homes) DATE: 10/7/2010 16520 SW Upper Boones Ferry, 200 Portland, OR 97224 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: Various - See Attached Case #: Various - See Attached Date: 9/23- 24/2010 Address /Parcel: Bldg 11 & 15 Pay Method: CreditCard Project Name: Village at Summer Creek EXPLANATION: Refund TDT fees paid by applicant and charge to TDT credit voucher. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000 -43104 $ Amount TDT - Transportion Development Tax 4050000 -43320 $22,074.00 TOTAL REFUND: $22,074.00 APPROVALS: If under $5,000 Professional Staff If under $12,500 Division Manager If under $25,500 Department Manager C . / , i , am % If under $50,000 City Manager {V. If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: I Date: 1 /p/7/ /O 1 By: " I: \ Building \ Refunds \ RefundRequest.doc x 09/01/2010 I I Community Development TIGARD Request for Permit Action U L OCT ' 1 • TO: CITY OF TIGARD GITY U!* Building Division Services Coordinator �UILD�N� �' 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 w 430 Fax: 503.598.1960 ww.tigard- or.gov FROM: [X1 Owner n Applicant n Contractor ❑ City Staff (check one) REFUND OR Name: Pulte Homes Inc. (Centex Homes) INVOICE TO: (Business o r Individual) Mailing Address: 16520 S.W. Upper Boones Ferry Rd, Ste 200 City/State /Zip: Portland, OR 97224 Phone No.: 503 - 608 -3060 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): ❑ CANCEL PERMIT APPLICATION. ® REFUND PERMIT FEES (attach receipt, if available). ❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). n REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: MSI'2010 -00141 Site Address or Parcel #: 10938 SW Sage Ter Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 50 EXPLANATION: Tiff Credits transferred from JLS Signature: 41111( , , , _ 1 1 Date: /0/7/(0 Gary 1p r Print Name: Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80'Z of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80" S% of the building plan review (se when an application is canceled before any plan review effort has been expended. c) not more than 80% of the building permit fcc for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR OFFICE USE ONLY Rte to Sys Admin: Date rs 1 (D B Rte to Bldg Admin: Date /0/7/40 By 4 Refund Processed: Date / By ' OW Invoice Processed: Date By Permit Canceled: Date 401 By Parcel Tag Added: Date By Receipt #/ // // Date TA/V/0 Method e C Amount $ 36 7 I:\ Building \Forms \RcaPermitAction.0oc Rev 07/26/07 r. Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS u'r le ).. pa dto Permit No.: oar eAu 0 ONO Jurisdiction: mss" ka 0013 Site Address: l 3iiida O /099y 564J 49e lieelto Subdivision/Lot #: 044 ' / LA 7.3 ° SO 5/ 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 NI 107.2) Signature: td:f Date: Z.-/Z-Z14-0e c, O Gene ral Contractor /Authorized Agent Print Name: l/ 017 of af - t 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. is \Building\ Forms \RES- HighEfiieiencyl.ighling doc 07/01/08 Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, d v d , am the general contractor or the owner- builder at the following address: Site Address: 10 9 � yea ifay. .$00 City: tre Permit #: AISToz,oi No Subdivision/Lot #: , /te. 046-is ar 4 67 • and /or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918 -480 -0140, 1 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: d Generi'Contractor or Owner- Builder 1:\ 13uilding\ Porm \RES- MoistuieSensiliveWood.doc 0925108 < > ST - ET 7 1 . 1 ';:' E CERTIFICATION I, M 1 o , owner / agent for , (PLEASE PRI1vT) (ERAI T 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. S SA T. SITE ADDRESS: lO ?iV, /0, c/o /0 Vol (3 -P1e SUBDIVISION: e.,..- 1 -- • LOT #: S , 6 t a 5 2.,. SIGNATURE: ' ' DATE: '2. /ttz -A4to p VAT R /A GENT) RECEIVED & VERIFIED BY DATE: (cJTY Or II/CARD) Tree location verified d per approved site plan. (: Buildin \I'unns \Str,,,, I'rceCeni(icatc. 00I1 /201U 3. ' • s . . ,.... • PERMIT NO. :.:.: /2 ,./--,/ / ,,-. • CleanWater Services Our commihnent is clear. LOT EROSION CONTROL INSPECTI•N REPORT. (-- ----5 DATE '-'J I/ INSPECTOR . 41 / ../P/' / SUBDIVISION 1, ,----"' / / . , t OWNER/PERMITEE C, „, cf ,..,, /---,,, >,- • SITE ADDRESS • .. , ___ ..,.....,:_„..... , . .„. '•',kq "•'..,, •p, ''''zt.: .,,,,::;•'-'' ''';:‘,,,,, '''-" 1:,6if ---, FINAL v , . ., ., , ,, , , „:., ..,, . ..„.. . .. 'A „.0:;'. i::,;, „ow .:iy :!0 '',, / l m ,'.. , ..., ,,._ . .....,„,.. , ., . _. _ ..,.. .1 41111L,:l . ,.:',,._; • • i te :0: ttt. .....: ;:f '..4,... ./ $,,,5 ,! • „. . ",,: ,. ._ .. .....„,..,„„_ :.......... .,„..,„......„. , . _..:::,,,! ...,,,- '$ x v- , ..... "ilk SPE c T THIS SITE MEETS THE POST-CONSTRUCTION EROSION CONTROL REQU ! i. MENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND 0-:".: IER NOTE: IF POST-CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING • . EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND COVER IS ESTABLISHED. ... A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. OTHER -- --74ilANK YOU FOR YOUR COOPERATION! / ...- _ , -'"; INSPECTOR • / ...,,,,- .--" .---,. / . ,i,--- 7----./ -- PHONE ' — - --- i4.-- ,, .„ CITY OF TIGARD RECEIPT q c C . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 179783 - 10/07/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 - 00141 TOT - Transportation Development Tax 4050000 - 43320 $3,106.00 Total: $3,108.00 PAYMENT -M HOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Trust Account 08 -0002 DHOWSE 10/07/2010 $3,106.00 . ENTEX HOMES Total Payments: $3,106.00 77, L � / 7 14 12e 4 ", y leN / Balance Due: $0.00 • • Page 1 of 1 CITY OF TIGARD RECEIPT c g 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD ,& 1 ,l/v Receipt Number: 179782 - 10/07/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 - 00141 $ 3,679.00 Total: $- 3,679.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 024000 DHOWSE 10/07/2010 $- 3,679.00 Payor: Gary Culp, Centex Homes Total Payments: $- 3,679.00 Balance Due: $3,679.00 Page 1 of 1 CITY OF TIGARD RECEIPT n 11 p . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD 6 G /5 - V/ _ /9 /5-7 ,_s.0 /AiMe e -z-- ne / 6'i,9 t, L U T $, Receipt Number: 179611 - 09/24/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 -00141 Building Permit - New Construction 2300000 -43104 $1,173.74 MST2010 -00141 Plan Review 2300000 -43106 $1.34 MST2010 -00141 Plan Review 2300000 -43106 $11.59 MST2010 -00141 CDC Plan Review, RES 1003100 -43112 $64.00 MST2010 -00141 CDC Plan Review, RES - LRP 1003100 -43117 $9.00 MST2010 -00141 12% State Surcharge - Building 1003100 -24001 $140.85 MST2010 -00141 Metro Const. Excise Tax - Residential 2300000 -24010 $203.83 Use MST2010 -00141 Beaverton School CET - Residential 2300000 -24101 $1,460.00 MST2010 -00141 Park - Single Family Unit 4250000 - 43300 $4,811.00 MST2010 -00141 ---1, TDT - Transportation Development Tax 4050000 -43320 $3,679.00 MST2010 -00141 Erosion Control 1003100 -22002 $64.00 MST2010 -00141 Erosion Plan Review CWS 1003100 -22003 $20.80 MST2010 -00141 Erosion Plan Review COT 2300000 -43107 $20.80 MST2010 -00141 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $270.30 MST2010 -00141 Limited Energy 2200000 -43103 $75.00 MST2010 -00141 12% State Surcharge - Electrical 1003100 - 24001 $41.44 MST2010 -00141 Furnaces < 100K BTU 2300000 - 43102 $46.75 MST2010 -00141 Water Heater 2300000 -43102 $23.32 MST2010 -00141 Range Hood /Other Kitchen 2300000 -43102 $33.39 MST2010 -00141 Clothes Dryer Exhaust 2300000 -43102 $33.39 MST2010 -00141 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $93.28 Utility Rooms) MST2010 -00141 Fuel Piping 2300000 -43102 $14.15 MST2010 -00141 12% State Surcharge - Mechanical 1003100 -24001 $29.31 MST2010 -00141 SFR - Baths 2300000 -43101 $500.32 MST2010 -00141 12% State Surcharge - Plumbing 1003100 -24001 $60.04 Total: $12,880.64 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 024000 DHOWSE 09/24/2010 $12,880.64 Payor: Gary Culp, Centex Homes Total Payments: $12,880.64 Balance Due: $0.00 /D yJe S h) S 4 =-e 7 Page 1 of 1 tf� Community Development • TIGARD. Request for Permit Action �i :: TO CITY OF TIGARD • Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www. tigard- or.gov FROM: ® Owner n Applicant ❑ Contractor ❑ City Staff (check one) REFUND OR Name: • Pulte Homes Inc. (Centex Homes) INVOICE TO: (Business or Individual) Mailing Address: 16520 S.W. Upper Boones Ferry Rd, Ste 200 City/State /Zip: Portland, OR 97224 Phone No.: 503- 608 -3060 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED ( n CANCEL PERMIT APPLICATION. • REFUND PERMIT FEES (attach receipt, if available). ❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: MST2010 -00141 Site Address or Parcel #: 10938 SW Sage Ter Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 50 EXPLANATION: Tiff Credits transferred from JLS Signature: ry Date: _ _d / (' _ / 7 l0 Print Name: Gary p Refund Policy 1. The Director or Building Official may authorize the refund of: • a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. . • ;`FOR_ OFFICE USE ONLY •• • Rte to Sys Admin: Date /6 1 ( B , ' Rte to Bldg Admin: Date /p/v, By i!• Refund Processed: Date / /7 ,O • By Invoice Processed: Date By Permit Canceled: Date ^/ By Parcel Tag Added: Date By Receipt #/.794 // Date 7/4:2y /i0 Method e e Amount $ SO: 7 r • az) I: \Building \Forms \RegPermitAction.doc Rev 07/26/07