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Permit CITY OF TIGARD MASTER PERMIT IIII a • COMMUNITY DEVELOPMENT Permit #: MST2010 - 00137 1 G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/23/2010 T Parcel: 1S133CAl2100 Jurisdiction: TIGARD Site address: 10911 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 44 Project: VILLAGE AT SUMMER CREEK LOT 44 Project Description: Building 11. New SF Townhome. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 40 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height: 33 Bathrooms: 3 Second: 573 sf Garage: 480 sf Front: 12 Smoke Dwelling Units: 1 Third: 573 sf Right: 3.5 Detectors: Yes Total: sf Value: $136,890.34 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 3 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: 4 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Tema SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add( 500 sf: 2 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( Br Cir: 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 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 Prcl Pln BEFORE BUILDING FINAL 16520 SW UPPER BOONES FERRY 16520 SW UPPER BOONES FERRY 2 MST Ersn Cntrl 503 - 681 - 4444 RD, SUITE 200 RD, STE 200 PORTLAND, OR 97224 PORTLAND, OR 97224 PHONE: 503- 608 -3060 PHONE: 503 -608 -3060 FAX: Total Fees: $13,192.42 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, •r if work i- spended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce - r. Tho ru es are set forth in OAR 952- 001 -0010 through R 952 - 001 -0100. You ma obtain a • py of the roles or direct questions to OUNC by calling •.. • .99 or 1.80 %.3 2. i L� � , Issued By: / Permittee Signature: _ , B� iiididg Permit Application Residential .• ' FOR OFFICE USE ONLY City of Tigard c1t, j ® Date/B a (d : 0 Permit No.: k ly` , , L , 1 1111 V 13125 SW Hall Blvd., Tigard, OR 9722 "-` , Pl R ev i ew / r� ^ I= ' , Phone: 503.639.4171 Fax: 503.598.19 C � ' O DateB : , e a ' CJ Other Perntit: /: ., • 0, 00 Inspection Line: 503.639.4175 'l0� Date • ea y/: y: ® See Page 2 for TIGARD Internet: www.tigard- or.gov 1 Not �� / r7 Supplemental Information P SG 1 pP TYPE OF WORK r',`c.' ' _ ,„ 540 REQUIRED DATA:1- AND 2- FAMILY DWELLING ® New construction ❑ Demoliti8n'tw"' 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 ❑ Commercial /industrial Valuation: $136,890.34 ❑ 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: /09J/ A. 9 . 4.,66 .- New dwelling area: 1186 square feet City /State/ZIP: TIGARD OR, 97223 £L.&" 7/ Garage/carport area: 480 square feet k. j-.. 3 Suite/bldg. /apt. no.: C., Project name: VILLAGE AT SUMMER CREEK Covered porch area: 18 square feet 573 2 Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet 2e SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: square feet '? V- HT, REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 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 C 1186 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 GULP 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 (Pkase rifer to fee schedule) . 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: / Amount received: Authorized signature: T his permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: GARY CUL / Date: 8 /� * 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) . 1 Electrical ]Permit Application _ S , . 3, y a r ` ` o ' of ICE ONLY' v ° _ e r Received ' - City of Tigard Date/By: Permit No.: X157 — 00137 4 13125 SW Hall Blvd., Tigard, OR 97223 plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: .-. Inspection Line: 503.639.4175 Dare Ready/By: htris TrIGARD P 0 See I'rge 2 fur - . Internet: www.tigard or.gov Notificd/Mcthod: Supplemental Information TYPE OF WORK PLAN REVIEW ® New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /itenu 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 ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pump. ❑ installation of75 KVA or ❑ Emergency system larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑'.A ", "E "1 -2 "1.3 ". Job no.: Job site address: / ��,,�� :m /�{�/ �/ ❑Six IOOHP or more more. occupancy. residential units. ❑ Recreational vehicle parks. City /State /ZIP: TIGARD OR 97223 ❑ Health -cart 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 I Ow. I Fee. 1 Total I • SW 135 ND SW SCHOLLS FERRY RD New residential or multi - family dwelling unit. AVE, , Includes attached d garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: t '1 1,000 sq. ft. or less 1 168.54 168.54 4 Ea. add'l 500 sq. R. or portion 2 33.92 67.84 1 Tax map /parcel no.: Limited energy, residential 2 - DESCRIPTION OF WORK _ . . (with above sq. ft.) I 75.00 75.00 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 ` ❑ 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: 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 I 201 amps to 400 amps 125.03 2 Owner installation: This installation is being made on property that I own which is not intended for sale, 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: Date: A. Fee for branch circuits with • El APPLICANT 1 ❑ CONTACT PERSON above service or feeder tee, 7 42 2 each branch circuit 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 tY dwelling, service and/or feeder Phone: (503) 608 - 3060 Fax: : (503) 608 - 3061 Reconnect only 67.84 2 Pump or irrigation circle 67.34 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) 66.25 /lir City/State/ZIP: Investigation (I hr min) 66.25/ hr ity /State /ZIP: HILLSBOROOR,97123 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 ('/1 hr min) CCB Lic.: 182591 Electrical Lic.: 34 -305C Suprv. Lic.: ELECTRICAL PERMIT FEES Subtotal: 31 1 .38 Suprv. Electrician signature, require., ' / Plan review (25% of permit fee): Print name: CHUCK GA' / 'ER , ' Date: _ State surcharge (12% ofpermitfee): '3 7. %/ TOTAL PERMIT FEE: ‘ 3 . 4 S 75 Authorized signature: 1 I - g - � ` , This permit application expires if a permit is not obtained within IRO li.. P - a ---' j r I n days after it has been accepted as complete. • Print name: ■ ^ Date: • ` / • Number of inspections allowed per permit. \ \ E w I: \ Building Permits LC- PcrmitApp.d 07 /01/10 440- 46I /05 /COM/WEB Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received ^ / Date/By: Permit No.: / ST� o�O - 00 3 7 ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 503.598.1960 I N Ph 5036394171 F 03 Date/By: Other Permit: T I G A RD Inspection Line: 503.639.4175 Date Ready/By: Juris• ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental lnformation TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ® New construction Mechanical permit fees* are based on the value of the work ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION . . Heating/cooling Job site address: Air conditioning � / -�r- ���/ � (requires site plan showing placement) 1 46.75 f5 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 O F WORK Water heater 1 23.32 23.32 NEW SFR TOWNHOUSES Gas fireplace 1 33.39 333`1' Flue vent for water heater or gas UNIT C 1186 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 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 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 ,24 ,.Z Phone: (503) 598 -0966 Fax: (503) 598 -8498 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 50096 State surcharge (12% of permit fee) t c '( '3 TOTAL PERMIT FEE V (p�J, S. Authorized signature: / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: KYLE i • Date: 0 7/4 * Fee methodology set by Tri-County Building Industry Service Board I:\ Building \Permits \MEC- PermitApp.doc 10/01/09 440 -4617T (11 /02 /COM /WEB) • Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received Permit No. sZ� q 13125 SW1fallBlvd.,Ti Tigard, 97223 Plan Review ��'�0 %�7 INI: Plan Review C • Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 Date Ready /By: r Juris: &I 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. [ 'total ❑ Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 fl. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ® I- and 2- family dwelling 0 Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 500.32 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. fl.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: ._ Job site address: /OW � LV/' i Catch basin or area drain 18.76 !� Drywell, leach line, or trench drain 18.76 City /State /ZIP: TIGARD OR, 97223 - Footing drain (no. linear ft.: 100) I Paee 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 1 18.76 Sanitary sewer (no. linear ft.: 100) 1 Page 2 Storm sewer (no. linear ft.: 100) 1 Page 2 Water service (no. linear 6.: 100) 1 Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 1 I Fixture or item: Tax map /parcel no.: Backflow preventcr 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 NEW SFR TOWNHOUSES Dishwasher I 25.02 UNIT C 1186 SQ. VF. Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER 1 0 TENANT Expansion tank 12.51 Name: CENTEX HOMES Fixturclscwercap 25.02 Floor drain /floor sink/hub 25.02 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Garbage disposal 1 25.02 City /State /ZIP: PORTLAND OR, 97224 Hose bib 2 25.02 Ice maker 1 12.51 ' ❑ . APPLICANT . ® CONTACT PERSON Interceptor /grease trap 25.02 Busincss name: CENTEX HOMES Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: GARY CULP 51 Roof drain (commercial) Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Sink/basin/lavatory 5 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 Urinal 25.02 E -mail: gary.culp,@puttegroup.com Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: CRAFTWORK PLUMBING INC. Water piping/DWV 56.29 Address: 7737 SW CIRRUS DR Other: 25.02 City /State /ZIP: BEAVERTON OR, 97008 Subtotal 67)5,3 Minimum permit fee: 572.50 Plan review (25% of permit fee) CCB Lic.: 79666 Plumbing ° Lie. no.: 20 -148PB `/ /7 0 _ / State surcharge (12% of permit fee) ( � %, ,7K Authorized signature: / / /����' ! TOTAL PERMIT FEE � A This permit application expires if a permit is not obtained within OM days Print name: PETER POLLARD Date: 4/ /7../0 after it has been accepted as complete. "Fee methodology set by Tri -County Building Industry Service Board 1113uildin0Pcrmits1 Permit App dos IO!OI/09 440 -461 GI'( 10102rCOMAVIin) 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? IPulte GARY CULP Division Product Manager :: Pacific Northwest Division direct (503) 608 - 6036:: Cell (971) 246 -1391 aarv.culraoultegrouo.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 TIGA Receipt Number: 179779 - 10/07/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 -00139 TDT - Transportation Development Tax 4050000 -43320 $3,106.00 Total: • $3,106.00 PAYMENT CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT (Trust Account 08 -0002 DHOWSE 10/07/2010 $3,106.00 Payor: CENTEX HOMES Total Payments: $3,106.00 Balance Due: $0.00 • Page 1 of 1 CITY OF TIGARD RECEIPT p c D 1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD t/LLC/v6 Receipt Number: 179778 - 10/07/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 -00139 $- 3,679.00 Total: $- 3,679.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 024987 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 � C . _ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD 6 -t C /5 - V /t.i.... 4-6f' 4-7 -C `-7 k eicEc-x- 02/6-/ Z-o 2 _5 Z. Receipt Number: 179609 - 09/24/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 -00139 Building Permit - New Construction 2300000 -43104 $1,097.92 MST2010 -00139 Plan Review 2300000 -43106 $1.34 MST2010 -00139 CDC Plan Review, RES 1003100 -43112 $64.00 MST2010 -00139 CDC Plan Review, RES - LRP 1003100 -43117 $9.00 MST2010 -00139 12% State Surcharge - Building 1003100 -24001 $131.75 MST2010 -00139 Metro Const. Excise Tax - Residential 2300000 -24010 $182.71 Use MST2010 -00139 Beaverton School CET - Residential 2300000 -24101 $1,332.00 MST2010 -00139 Park - Single Family Unit 4250000 -43300 $4,811.00 MST2010 -00139 —y TDT - Transportation Development Tax 4050000 -43320 $3,679.00 f MST2010 -00139 Erosion Control 1003100 -22002 $64.00 MST2010 -00139 Erosion Plan Review CWS 1003100 -22003 $20.80 MST2010 -00139 Erosion Plan Review COT 2300000 -43107 $20.80 MST2010 -00139 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $236.38 MST2010 -00139 Limited Energy 2200000 -43103 $75.00 MST2010 -00139 12% State Surcharge - Electrical 1003100 -24001 $37.37 MST2010 -00139 Furnaces < 100K BTU 2300000 - 43102 $46.75 MST2010 -00139 Water Heater 2300000 -43102 $23.32 MST2010 -00139 Range Hood /Other Kitchen 2300000 -43102 $33.39 MST2010 -00139 Clothes Dryer Exhaust 2300000 -43102 $33.39 MST2010 -00139 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $93.28 Utility Rooms) MST2010 -00139 Fuel Piping 2300000 -43102 $14.15 MST2010 -00139 12% State Surcharge - Mechanical 1003100 -24001 $29.31 MST2010 -00139 SFR - Baths 2300000 -43101 $500.32 MST2010 -00139 12% State Surcharge - Plumbing 1003100 -24001 $60.04 MST2010 -00139 Plan Review 2300000 - 43106 $ -37.69 Total: $12,559.33 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 024987 BTAGGART 09/24/2010 $12,559.33 Payor: Gary Culp / Centex Homes Total Payments: $12,559.33 Balance Due: $0.00 /AO 7 S GO £ - - — 7 Page 1 of 1 IN Community Development TIGARD Request for Permit Action , ...:............ 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 ❑ Applicant ❑ Contractor ❑ City Staff (check one) REFUND OR Name: Puke 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 (1): n CANCEL PERMIT APPLICATION. N REFUND PERMIT FEES (attach receipt, if available). II INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: MST2010 -00139 Site Address or Parcel #: 10944 SW Sage Ter Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 52 EXPLANATION: Tiff Credits transferred from JLS A f / Date: G Signature: ' r Ade am ., - . , Print Name: 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. 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 Payer 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 , ` MINA it Rte to Bid! Adrnin: Date /0A760 B , - -. Refund Processed: Date /e /7 /C By Invoice Processed: Date By Permit Canceled: Date N By Parcel Tag Added: Date By Receipt # /75 a Date ? 4e//0 Method -C _ Amount $ .34 7 v'. [re l: \ Building \Forms\ ItegPennitActiort.doc RCv 07/26/07 /% TZo /o - 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 fiction 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 fiDT - 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 r � . / � itt/ 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: I /p /7 // By: 1 - — L: \Building \Refunds \RefundRequest.doc x 09/01/2010 7 1 " Community Development" ; , . Request for Permit Action g' TIGARD oCi. 7 20'10 TO: CITY OF TIGARD C N �'� � Building Division Services Coordinator BUILDING DiV�Wta 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: M Owner n 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 ( ✓): n CANCEL PERMIT APPLICATION. ® REFUND PERMIT FEES (attach receipt, if available). n INVOICE FOR FEES DUE (attach case fee schedule and explain below). n REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: MST2010 -00137 Site Address or Parcel #: 10911 SW Sage Ter Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 44 EXPLANATION: Tiff Credits transferred from JLS Signature: ill' p / Date: _LO/7/0 Ga 7 p ‘ 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 811 "1. of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 811"5o 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. c) not more than 811' o 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 Sts .Amin: Date 470, Rte to Bld: Admin: Date /et 7 /0 B ' leer Refund Processed: Date /Op /d By =.., Invoice Processed: Date By Permit Canceled: Date / / A / 0 .49- By Parcel Tag Added: Date By Receipt # /795,6 Date 9/9. 3 //d Method ( c_ Amount $ 3L 7 9. ere I:\ Building \Forms\ Reg1krmTlAction.doc Rev 1)7/26/07 1 , -\ i11 a .. t ; 7 x x--- X ✓� / / X x X t, d ! t i .{,- I l '• -; � ' :1 \ ff�ia - I / / / I ��u AUG 2 7 2 / / I/ / / 1 18 19.0' I MY fie= s IIro Sum Cre U IL��Ii.' i�fdSl +�� 14- 2' / / 18.8' 26.8' / / 26.8 CITY OJ TIGARD - SITE PLAN ' VIEW / / / a�.�µ r /21.5 r° BUILDING W ERM1tNO: )-I T 8•�'I - 6(2 - I — r 1 : O' ' ' ' B . 0 crii /7 , DtIte: /- 1 -.n' A • _ _ — _ _ _ 15.4' I Building Plan: 11 } Lots 43 44 8& 45 \ ' 1 I ' 43 A 4 45 , Units B-C-A FF /TOW 196.76 FF /TOW 196.76 FF /TOW 196.76 GS 196.06 GS 196.06 GS 196:06 SITE PLAN TOP 196 I TOP 196.22 I TOP 196.22 4 ' I Scale: 1"-10' \ NdRTH ` _ CITY OF'1t'KGARD -SITE PLAN REVIEW \ I BUIL_QING PERMIT NO.: )--1 ,,, 0 - 00/ 7 . _).4 _ , 1 I III\ PLANNING DIVISION: 4.2 -© N A Required Setba JD 3.5 — I _ ■ ■ Side: 3 ' Street Side: �� Rear. � � +......... ... I �'....-� . . From _Lie- Gar e: S''' .• ............. s��'■ .. .......... .... ..... .... Not Approved I Visual Clearance: Apprcl ed ❑ pP .................. �_ Maximum Building Height feet /... • ...: \ - � © ii� CWS Service Provider Letter Required: Yes ❑ No t Q 21,:... ❑ Received \ ...... � — I - . ... .. 19. _ 0'. - . t 1 ENGIN . RIN DE - " O • .. Nib % 'IAPpro ❑ 91"r of ApprovetF ... � �� } .. \ Approved ❑ opproved ‘: ... 1 G a `� �. ....... .... \ / Date: .. .. .. . .... ...... - .. u) . . . .. . . . ..:. .._:.:::;:. .... ... . .... ........... l + . ' :.::::„....: \...,..:...".,„ :.::.:::.....::::.,:....\ :::':.:::::: ,:,::,::.. : ,1 ,, :lir ..... , . :` . :: .i� � lr: : : :r ;: 1. . . . . .. . . . .. �. ' � 3. " ` ENGINEERING ASSOCIATES CORPORATION Kam_ 7� (P -_ _ 0 . 17757 Kelok Road Lake Oswego, OR 97034 j Q� ` _ _ Tel. (503) 636 -4005 Fax (503) 636 -4015 1 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: MST 1.40/ 0 — 00 13`? Jurisdiction: TerecL Site Address: I S a� Sol - T ve44..e Subdivision/Lot #: k it 4 q 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: 1/ Date: ///3/!a Owne eneral Contractor /Authorized Agent Print Name: $ 4I I GJ 6 55 ORSC Section N 1107.2. 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 • Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, S 1 . 4 01801A . 04/ , am the general contractor or the owner - builder at the following address: Site Address: pi 1 ( .St,) S444 -T-� City: ■5d Permit #: 7,42 t a , O0 is-4- Subdivision/Lot #: e I} 44 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: V Date: /1 3/zoic) Generntractor or Owner - Builder / I: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 SRET TREE CERTIFICATION I, 13,/i 04 , i nner/agentfor x (PLEASE J RINT I (PERMIT HOLDER) do hereby cep that the f11 Ovznelocatzon meets ( I rJ S � City of Tigard land use and d e velopment standards for street tree -- installation anddzs consistent z with the approved site plan. G, ) 1 -F [v F �� SITE ADDRESS: tort ti Sw S - t = om , -- — - — _J SUBDIVISION. bi yw ewe LA LOT #: 911 SIGNATURE: Wl /, DATE: / / 3/20 ( I (OWNER /AGENT) RECEIVED & VERIFIED BY• DATE: (CITY OF TIGARD) Tree location verified per approved site plan. I: \Buil ding \Forms \StreetTreeCertifiicate 07/01/2010 • r a • 1. ' • i -... ::. 1 a" :'' CleanWater - Services Our commitment is clear.. !1 . EROSION CONTROL INSPECTitc,-._ 1 „ , ,]. DATE 46%.7.----- INSPECTOR 47:0: •:- - SUBDIVISION 1 , ,,e OWNER/PERMITEE 7 Ae ie. ,(4:4'1W;- <7 • ...." - ........- SITE ADDRESS /) /7 'C--;,c, <, ,,,.. - y:.;,-..--, -] . -- n_:.4 • , _ , L ' „ 1 f 1 APPROVED 0- vED .,, _., ._., , _ THIS SITE MEETS THE POST-CONSTRUCTION , ,. • EROSION CONTROL REQUIREMENTS SET _..,„ „ FORTH IN CLEAN WATER SERVICES RESOLUTION AND ORDER :.,. 4 NOTE: IF POST-CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING • EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROYED „FINAL INSPECTION, -, THE MEASURE(S) REMAIN TN UNTIL LANDSCAPING15,COMPLETE t• . OR PERMANENT GROUND COVEWIS,ESTABLISHED. A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE 4, FORWARDED TO THE NEW OWNER; AT WHICH TIME NEW OWNER ASSUMES. THE RESPONSIBILITY FOR MAINTENANCE; REPAIR AND. REMOVAL ..., OTHER . . THANK YOU FOR YOUR COOPERATION! INSPECI ,..... -..-‘4>- „2-a,..4.7i„NE . C . ,V6,," 271—_-,?‘-57.6-'