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Permit
CITY OF TIGARD MASTER PERMIT III COMMUNITY DEVELOPMENT Permit #: MST2010 -00138 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/23/2010 Parcel: 1S133CAl2000 Jurisdiction: TIGARD Site address: 10919 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 43 Project: VILLAGE AT SUMMER CREEK LOT 43 Project Description: Building 11. New SF Townhome. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 46 sf Basement 0 sf Left 3.5 Parking Spaces: 2 Height: 33 Bathrooms: 3 Second: 643 sf Garage: 509 sf Front 12 Smoke Dwelling Units: 1 Third: 643 sf Right: 3.5 Detectors: Yes Total: sf Value: $152,258.93 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: Y 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 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 st: 2 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 addl 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 Y Other: N Other Description: Ecompasing: 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 2 Prcl Pln Before Building Final, Record Deed Restrit RD, SUITE 200 RD, STE 200 PORTLAND, OR 97224 PORTLAND, OR 97224 PHONE: 503- 608 -3060 PHONE: 503- 608 -3060 FAX: Total Fees: $13,399.38 , 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 sus. •;-d for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those ru s a set forth in OAR 952- 001 -0010 through O • R 952- 001 -0100. You may obtain a les or direct questions to OUNC by calling 503 • : • • 1.800.332 '34 . / i -- 4l Issued By: / /�:-. ..� �_�i:' Permittee Signature: , i ■ �i ' - •• _ r i IIu ldibg Permit Application Residential �: t,, - FOR OFFICE USE ONLY III City of Tigard \ � V "\.\ �t R • • / P No.: � ) q 13125 SW Hall Blvd., Tigard, OR 97223 �` D v ` V k ,. -' Q y Other Permit: `` 11 Phone: 503.639.4171 Fax: 503.598.1 a ? ' C { T� f! - • d --Ch71 l a TIGARD Inspection Line: 503.639.4175 .4C \V Date Ready : IO See Pag 2 for Internet: www.tigard-or.gov (c �q� Notified/ Method: / .7-2- �a �i 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: $152,258.93 ❑ Commercial /industrial ❑ 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: /OM ' Sm 7 ce New dwelling area: 1332 square feet City /State/ZIP: TIGARD OR, 97223 d [,a rr // Garage/carport area: 509 square feet 643 3 Suite/bldg. /apt. no.: T3gA Project name: VILLAGE AT SUMMER CREEK Covered porch area: 17 square feet - 3 Z Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet 46 SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: square feet /j NT REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 43 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 B 1332 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 ro fee schedrd) Structural plan review fee (or deposit): City /State /ZIP: PORTLAND OR, 97224 Phone: (503) 608 -3060 Fax: (503) 608 -3061 FLS plan review fee (if applicable): CCB lic.: 182591 Total fees due upon application: 977 Amount received: Authorized signature: a permit is not obtained / T his � within permit 180 days application after it has been expires if accepted as complete. Print name: GARY C / Date: N " t>iv * 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) Electrical Permit Application _-1 o e CF ICE ( ONLY` ' ''I'';'' K Date/By: e /(-14172.0/0 ' DD/3" City of Tigard eceive Permit No.: n 13125 SW I -lall Blvd., Tigard, OR 97223 Plan Review 1 . - :x Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: TIGARI) Inspection Line: 503.639 Date Rcady /B Juris: RI See Page 2 for - Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ® New construction ❑ Addition /alteration /replacement Please check all that apply (subunit 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. Tess to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑Multi- family 0 Master builder 0 Other: El Fire pump. ❑ Installation of75KVAor JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived systcn,. ❑ Addition of new motor load of ❑ "A" "E" "I -_ 13 Job no.: Job site address: / /q I Six or 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.: 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 on•• 1 Fce. 1 Total 1 • SW 135 ND SW SCHOLLS FERRY RD New residential t or multi - family dwelling unit. AVE, , attached Includes attached d gara garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: Z.10 1,000 sq. ft. or less 1 168.54 168.54 4 Ea. add'I 500 sq. R. or portion 2 33.92 67.84 1 Tax map /parcel no.: Limited energy, residential 1 75.00 75.00 2 DESCRIPTION OF WORK _ (with above sq. ft.) Limited energy, multi - family 75.00 2 NEW SFR TOWNHOUSES residential (with above sq. ft.) Ito '/ _ y � � Pr - Services or (ceders installation, alteration, and/or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER J ❑ 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 City/State/ZIP: PORTLAND OR, 97224 Temporary services or feeders installation, alteration, and /or y 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 I own which is not 401 amps to 599 amps 168.54 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 I ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits wit /tout 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 ty 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. Paget 2 Each additional inspection over allowable in any of the above Address: 2920 SE BROOKWOOD AVE, STE A Additional inspection (1 hr min) 66.25/ 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 ('V hr min) CCB Lic.: 182591 Electrical Lic.: 34 -305C Suprv. Lic.: ELECTRICAL PERMIT FEES Suprv. Electrician signature, require., Subtotal: r (,� j Su p g / Plan review (25% of permit fee): / Print name: CHUCK GA' /I ER Date- '1 State surcharge (12% of permit fee): —_6 A' TOTAL PERMIT FEE: `3 Authorized signature: / / ;� / � ' --- This permit application expires if a permit is not obtained within 180 f F r days after it has been accepted as complete. Print name: ' Date: • Number of inspections allowed per permit. (:\Building \ Permits \ELC- PemitApp.dor 07 /01 /I0 440 - 40 1 5T111 /05 /COMtWEB Mechanical Permit Application FOR OFFICE USE ONLY • . City of Tigard Received g Date/By: Permit No./YS7 - a f 3 13125 SW Hall Blvd.•Tigard, OR 97223 Plan Review _ , • Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: Date/By: TIGARD Inspection Line: 503.639.4175 Date Ready /By: Juris: El See Page 2 for Internet: www.tigard - or.gov Notilied/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 0. ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work ® New construction performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. 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. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: /4/9/■7 j�/� 7 G - � Air conditioning _ (requires site plan showing placement) 1 46.75 7� 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 43 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 NEW SFR TOWNHOUSES Gas fireplace 33.39 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 ® PROPERTY OWNER ❑ TENANT Chimney /liner /flue/vent 23.32 Other: 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Range hood /other kitchen 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 Z APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 • Other: 23.32 Business name: CENTEX HOMES Fuel piping Contact name: GARY CULP 514.15 for first four; $4.03 for each additional Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Furnace, etc. 1 14.15 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 KABLE LANE, STE 500 MECHANICAL PERMIT FEES* City / State/ZIP: PORTLAND OR, 97224 Subtotal a9 ` , Phone: (503) 598 -0966 / T.X: (503) 598 -8498 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 50096 State surcharge (12% of permit fee) Vi ,y'z, � TOTAL PERMIT FEE ` Z ' t / / This permi application expires if a permit is not obtained within 180 Authorized signature: � days after it has been accepted as complete. Print name: KYLE BI / AN Date: /q//2,//7 • Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits \MEC- PermitApp.doc 10/01/09 440 -461Tf (II /02/COM/WEB) Plufnbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received `r g Date/By: Permit Notys2a6i0 - 00 II V 13125 SW Hall Blvd., Tigard, OR 97223 C ` • Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit No.: Date/By: TIGARD Inspection Line: 503.639 Date Ready /By: Juns Fa See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE" SCHEDULE ® New construction ❑ Demolition For special information use checklist Description 1 Qty. ( Ea. 1 Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 312.70 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 500.32 ❑ Accessory building ❑ 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: /09/.7 O'( 1/1.-6,0 Catch basin or area drain j 18.76 City /State/ZIP: TIGARD OR, 97223 Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: 100) I Page 2 Suite/bldg. /apt. no.: 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.: 100) 1 Page 2 Storm sewer (no. linear ft.: 100) 1 Page 2 Water service (no. linear ft.: 100) 1 Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 43 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: 16520 SW UPPER BOONES FERRY RD, STE 200 Garbage disposal 1 25.02 City /State2lP: PORTLAND OR, 97224 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 Primer 12.51 Contact name: GARY CULP Roof drain (commercial) 12.51 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Sink/basin/lavatory 6 25.02 City /State/ZIP: PORTLAND OR, 97224 Solar units (potable water) 62.54 Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 E -mail: gary.culp @pultegroup.com Urinal 25.02 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 /Statc /ZIP: BEAVERTON OR, 97008 Subtotal rC(:), Z Minimum pcnnit fee: 572.50 Plan review (25% of permit fee) CCB Lic.: 79666 Plumbing Lic. no.: 20 -148PB u 6004- State surcharge (12% of permit fee) Authorized signature: �� re- ( 7 -,' - TOTAL PERMIT FEE �j� 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: U3uilding \I'ermits \PLMU.PermitApp do 10/01/09 4•0- 4616 I 0 /02/COWw'Fn) • Dianna Howse From: Dianna Howse Sent: Wednesday, October 06, 2010 3:52 PM To: 'Gary Culp'; 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 IPuLte GARY CULP Division Product Manager :: Pacific Northwest Division direct (503) 608 - 6036:: Cell (971) 246 -1391 garv.culpApulteqroup.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 • CITY OF TIGARD RECEIPT n C . 13125 SW HaII Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 179777 - 10/07/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 -00138 TDT - Transportation Development Tax 4050000 -43320 $3,106.00 Total: $3,106.00 PAY -M OD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Trust Account 08 -0002 DHOWSE 10/07/2010 $3,106.00 ayor: CENTEX HOMES Total Payments: $3,106.00 eitEzs. lro Acy Balance Due: $0.00 • Page 1 of 1 CITY OF TIGARD RECEIPT ,I C . 13125 SW Hal Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 179774 - 10/07/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 00138 $ 3,679.00 Total: $- 3,679.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 023795 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 ! . g _ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD a L,6 6 // - Viz_ L .�9-�- ,9 S 1 l/l e, �;‹ C , /Erf✓,94„.- L0 T L/3 Receipt Number: 179588 - 09/23/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 -00138 Building Permit - New Construction 2300000 -43104 $1,097.92 MST2010 -00138 Plan Review 2300000 -43106 $1 MST2010-00138 Plan Review 2300000 -43106 $ -37.69 MST2010 -00138 CDC Plan Review, RES 1003100 -43112 $64.00 MST2010 -00138 CDC Plan Review, RES - LRP 1003100 -43117 $9.00 MST2010 -00138 12% State Surcharge - Building 1003100 -24001 $131.75 MST2010 -00138 Metro Const. Excise Tax - Residential 2300000 -24010 $182.71 Use MST2010 -00138 Beaverton School CET - Residential 2300000 -24101 $1,332.00 MST2010-00138 Park - Single Family Unit 4250000 - 43300 $4,811.00 MST2010 -00138 Erosion Control 1003100 -22002 $64.00 MST2010 -00138 Erosion Plan Review CWS 1003100 -22003 $20.80 MST2010 -00138 Erosion Plan Review COT 2300000 -43107 $20:80 MST2010 -00138 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $236.38 MST2010 -00138 Limited Energy 2200000 -43103 $75.00 MST2010 -00138 12% State Surcharge - Electrical 1003100 -24001 $37.37 MST2010 -00138 Air Conditioning 2300000 - 43102 $46.75 MST2010 - 00138 Furnaces < 100K BTU 2300000 - 43102 $46.75 MST2010 -90138 Water Heater 2300000 -43102 $23.32 MST2010 -00138 Range Hood /Other Kitchen 2300000 -43102 $33.39 MST2010 -00138 Clothes Dryer Exhaust 2300000 -43102 $33.39 MST2010 -00138 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $93.28 Utility Rooms) MST2010 -00138 Fuel Piping 2300000 -43102 $14.15 MST2010 -00138 12% State Surcharge - Mechanical 1003100 -24001 $34.92 MST2010 -00138 SFR - Baths 2300000 -43101 $500.32 MST2010 -00138 12% State Surcharge - Plumbing 1003100 -24001 $60.04 MST2010- 00138 --. TDT - Transportation Development Tax 4050000 -43320 $3,679.00 *— Total: $12,611.69 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 023795 BTAGGART 09/23/2010 $12,611.69 Payor: Gary Culp / Centex Homes Total Payments: $12,611.69 Balance Due: $0.00 /D 9 -S c) S — G-- i /- V Page 1 of 1 I I Community Development �% �� Request for Permit Action '`r j " TIGARD lr:''..01i`'d{ i.� , `,r' . TO: CITY OF TIGARD • Building Division Services Coordinator 13125 S \V Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ® Owner ❑ Applicant ❑ Contractor n 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 ( ❑ 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 #: MST2010 -00138 Site Address or Parcel #: 10919 SW Sage Ter Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 43 EXPLANATION: Tiff Credits transferred from JLS Signature: Av.. _t / Date: /0077//o Ga Culp / 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°'0 of the land use application fee when an application is withdrawn or canceled before any review effort has been upended. 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 upended. c) 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 Paver 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 to 7 iA • J Rte to Bldg Admin: Date rp / //p By it. .. Refund Processed: Date c /7//O BMW-- Invoice Processed: Date By Permit Canceled: Date N /,} By Parcel Tag Added: Date By Receipt # /795 ?d'' Date 71.,23//d Method C C Amount $ S 7 y. e r- c 1 I:\ Building \Forms \RegPermitAction.dhc Rev 07/26/07 . 1s7;20/C) - COiQ3F City of Tigard T I G A RD 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 t(/1, / • / � • . ' � . If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: I Date: 1 /0/7//O 1 By: 1 " 1: \Building\ Refunds \RefundRequest.doc x 09/01/2010 RECFPIED OCT 7 2010 • Community Development CITY OF liGARQ Request for Permit Action TIGARD BUILDING GiVISIOAd TO: CITY OF TIGARD Building 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 n Contractor n 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 /lip: Portland, OR 97224 Phone No.: 503 - 608 -3060 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ CANCEL PERMIT APPLICATION. n 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 -00138 Site Address or Parcel #: 10919 SW Sage Ter Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 43 EXPLANATION: Tiff Credits transferred from JLS Signature: � Date: g 7 Xv Gary Culp ` Print Name: Refund Policy 1. The Director or Building Official may authorize the refund if: a) any fee which was erroneously paid or collected. h) not more than 80" of the land use application tee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 81r of the land use applicatiom fee for issued permits. d) not more than 80" 0 of the building plan review fee when an application is canceled before any plan review effort has been expended. c) not more than 11(Po of the building permit tee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Paver in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR OFFICE USE ONLY Rte to S s Admin: Date o ff4 LWJ Rte to Admin: Date /) ) to By I1 Refund Processed: Date C /7,/0 B Invoice Processed: Date By Permit Canceled: Date N,,5 By Parcel Tag Added: Date By Receipt # /795 ?r Date 9/j 3/40 Method C Amount $ t � 6 7 Y . l:\ Building \Forms \Rc. lkrnit. \etion. oc Rev 07/26/07 1 ,„„1 _ rt — x --- x"" -\ x t . , '-.: ), 3 vill at No.77..,,,,e4.0. ._, X wieto sE , 0 2 , , __ i. CITY OF "fi '' ut rnrner II ree I k. \ 1 18.8 19.0' I BUILDING i« a s °.s 2 14.2' 18.8' 26.8' / 26.8' CTIrY O� TiGARD IT = 3ITE P Rkv EW ` / 21.5' I o I I • NG PE RM NO: f r -- ,•� �. o I I �w 7l�e l: ad \ ; / iii :01ze Ir_I , 'Posibmil Di Appioved -g \ \ \ _ — r;4". ar 1,4.4P-1v Date: A do A \ ------ Build Plan: 11 15.4' I g \ I I I Lot 43, 44 & 45 \ 43 44 45 I FF /TOW 196.76 Units B-C-A FF /TOW 196.76 FF /TOW 196.76 GS 196.06 GS 196.06 GS 196.06 A TOP 196.22 TOP 196.22 I TOP 196.22 SITE PLAN I 1, \ II Scale: 1"-10' NORTH CITY OF TiGARQ •SITE PLAN REV E W I I BUILDING PERMIT NO.: ' , i a - a0 I _ ; 4' \ I I I PLANNING DIVISION: \ I Required Setba . s 1:3-Approved I Side: �_�. Srrel °t :fide: I' ❑ Not Approved — — 4.2' Front. I 2.-- - .... .. ... ... . .......... . . . . e. Rear: 11 0 .... . ... .. .. Visual Clearance: I' pF ed 3.5'�� — ■ Maximum Buildin�u . ❑N ot Approved :. �■ .':':'� I AP, :. . H eight __ f eet . .... . .. ■ CWS Service Provider Leiter Reg et irf..li : 0 Yes 7�//� p ❑ N I I _ I �.' F Z _ is B 7 Rec e i ved . '. .. \ :.....,.. ........ \ 0 ... . ia:�: v Q;;,i • ... 21.0 .. ..'. I �I_'1 ENGINEERING D PA TMENT: ... .. • . • .. • \ I © 1 1 •. — — i:' .... -� tes: _ . ., ;�. 'hS ih!ir f�ii r lr. 6� 'LI Y L,! • I. � I a:..r '^ 4... !'� 1 n'i + "i'4 1 ;;sh i r, : ilr , '' ' 011•11100".11 1' I r4 `m 1 °' ENGINEERING ASSOCIATES CORPORATION �.. - .. , 17757 Kelok Road Lake Oswego, OR 97034 i� N \-2 Tel. (503) 636 -4005 Fax (503) 636 -4015 N 3 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, gill thk” , am the general contractor or the owner - builder at the following address: Site Address: 079 SW .Safe City: 4,'4., Permit #: #�.. ? -coo !3 $ Subdivision/Lot #: � y C 1 43 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: j✓, Date: 11/3/7 General tractor or Owner- Builder I: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: /� 2 � 3 9 Jurisdiction: "1"; d Site Address: LD 90 SLa Sake r -e Subdivision/Lot #: 3 and/or n 1, 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: 03 /?.sir/ Owne r/General Contractor /Authorized Agent Print Name: ?A it h ✓ ' 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\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 STREET TREE CERTIFICATION f i _ t I, 13,11 Olt •"•'b., H vner/agentfor en ficse , (PLEASE PRINT) 1 I - - — (PERMIT HOLDER) I r do hereby cert that the fo ng J loca meets City of Tigard?land use and develo standards for street tree - _instillation and�is consistent ,with the a]proed site plan. f � ` % u SITE ADDRESS: dal IA S io Y- So - �e, n.wce - - - - - -- - SUBDIVISION: SCt ' M oe .' &eig /k LOT #: 93 SIGNATURE: 1/.17 - DATE: 03/z.01/ " (OWNER/AGENT) RECEIVED & I VERIFIED BY: DATE: (CITY OF TIGARD) Tree location verified per approved site plan. I: \Building \ Forms \Streetl'reeCertificate 07/01/2010 ---‘\--,-. . . . CleanWater '' Services - • _,, - ,. Our commitment is clear. , ,-,.• .: s, . . .. EROSION CONTROL .INSPECTI.- ,, • ,....1 =-•,., ,., DA;a: „ INSPECTOR ' SUBDIVISION , • , , • ••„_-.:...,..,,..,..---,,, OWNER/PERMITEE 7 ." x. ..,4%':kifkit- c • SITE ADDRESS - ./(;) , ,9_5/4 / ‘-''.:;17; Y .,....;, AP p RovED :•'- /9 -,.=.• ' - --7! ,: • H - :.1 • . , • , ) 1 q - .:, •.i ,,, • .,,,, . ..... , . ..„. • ,.... • ... FINAL INSPECTION. , THIS SITE MEETS THE POST-CONSTRUCTION'., .:-., EROSION CONTROL REQUIREMENTS SET _ FORTH IN CLEAN WATER SERVICES -. ,.. . RESOLUTION AND ORDER . . z- — 'k.' • , , - . NOTE: IF POST,CONSTRUCTION'.EROSION CONTROL MEASURES ARE STILL BEING 1 . 4 . EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED ,FINAL INSPECTION, THE MEASURE(S) MUST 'RE MAIN: PLACE UNTIL LANDSCAPI'IS'COMPLETE , ,-, OR PERMANENT B S E GROUND COVER IS - - . . A n ..,, A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE .. - • , • . - ) FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES- ' . • ,. 7: THE RESPONSIBILITY FOR MAINTENANCE; 'REPAIR AND .REMOVAL. ..' .' ' ' . :.'-. • . . OTHER - , . --,:- • . ..., ... .,- • . THANK YOU FOR YOUR COOPERATION! ... ...7 ,:.,. INSPEC i Abb. .. • e—lock.