Loading...
Permit CITY OF TIGARD MASTER PERMIT li• 0 ' COMMUNITY DEVELOPMENT Permit MST2010 00136 T [ G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/23/2010 Parcel: 1 S 133CAl2200 Jurisdiction: TIGARD Site address: 10907 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 45 Project: VILLAGE AT SUMMER CREEK LOT 45 Project Description: Building 11. 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: 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 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 2 Prcl Pln Before Building final, record deed restrictio RD, SUITE 200 RD, STE 200 BEAVERTON, OR 97006 PORTLAND, OR 97224 PHONE: 503- 608 -3060 PHONE: 503 - 608 -3060 FAX: Total Fees: $13,683.00 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 i suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cen .r. Th• -e les are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obta'i . . • 1 _ • •irect questions to OUNC by calling 503.246.6• :9 or 1.8 • .3.2 o, 4. // r v. i ri' Issued By: /�t�r / _ �� Permittee Signature: i/hryi /, v . 1 IThi iillig Permit Application Residential • FOR OFFICE USE ONLY • City of Tigard , Q�'; Received Permit No.: IN .Q Date/B I f a1. Mr* 0 — 001 ° 13125 SW Hall Blvd., Tigard, OR(97223 . Q Plan Review ► B P hone: 503.639.4171 Fax: 503.598.1960 � `� Date/B : dm if, I !.t/ Other Permit: i TIGARD Inspection Line: 503.639.4 5, , '1 • CA \o' sa te • ea. y/: . See Page 2 for Internet: www.tigard- or.gov .. .� � N J� Notified/method: 9 0 a /O if "' r IM Supplemental information En9#74_ C�/1 G a.4/° TYPE OF W�I r�ckz. REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demo 1i tion 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: Z l��) , 1„Z ❑ 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: f07 /a New dwelling area: 1460 square feet City/State /ZIP: TIGARD OR, 97223 L.4 - 1/ Garage/carport area: 620 square feet Suite/bldg. /apt. no.: .k Project name: VILLAGE AT SUMMER CREEK Covered porch area: 33 square feet Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 160 square feet SW 135 AVE, AND SW SCROLLS FERRY RD Other structure area: square feet 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 SFRTOWNHOUSES 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) 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): �( f � CCB lic.: 182591 Total fees due upon application: 1 Amount received: Authorized signature: e,%1 ' , This permit application expires if a permit is not obtained 4740 within 180 days after it has been accepted as complete. Print name: GARY CULP / Date: * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits\BOP -RES PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB) ]Electrical Permit Application FOR OFfIGE ONLY . ° l - '''C' ''' ` City of Tigard Received Permit No f� • -e y g Date /By: ,J j2/O W /3 13125 SW Hall Blvd., Tigard, OR 97223 plan Review - Phone: 503.639.4171 Fax: 503.598.1960 Datc /By: Other Permit: 'TsiGA'7D Inspection Line: 503.639.4175 Date Ready/By: Juris: E1 See Page 2for • . _ Internet: www.tigard - or.gov Notified/Method: 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. Tess 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: El Fire pump. ❑ installation of75KVAor ❑ Emergency system. larger separately derived system. .. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E "I 2 "1 -3' , Job no.: I Job site address: 007 5.3 ,S/1 ' ellar 100 or more. occupancy. ❑ ❑ Six or more re residential mots. Recreational vehicle parks. City /State /ZIP: TIGARD OR 97223 ❑ Health -care facilities. ❑ Supply voltage mor for more than 12 Hazardous locations. Suite/bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK ❑ Service or feeder 600 amps ormore. FEE SCHEDULE • Cross street/directions to job site: CORNER OF SW BARROWS RD, Description 1 Qnv. 1 Fee. 1 Total 1 • SW 135 AVE AND SW SCHOLLS FERRY RD New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 416- 1,000 sq. 0. or less I 168.54 168.54 4 Ea. add'l 500 sq. ft. or portion 3 33.92 101.76 1 Tax map /parcel no.: Limited energy, residential . 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 I PROPERTY OWNER ❑ 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 1 El CONTACT PERSON above service or feeder fee, 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 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. 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 (I hr min) 78.18/ hr Phone: ( 503 ) ( ) 648 - 4552 I Fax: 503 642 - 7925 Inspections for which no fee is specifically listed (%, hr min) 90.00 / hr z.41 CCB Lic.: 182591 Electrical Lic.: 34 -305C Suprv. Lic.: 3 7 0 7 s ELECTRICAL PERMIT FEES _,../ Suprv. Electrician signature, required: Subtotal: 3ika Plan review (25% of permit l'ee): Print name: CHUCK GARNE', Date: State surcharge (12%ofpermit lc): e , , . TOTAL PERMIT FEE: 0 Authorized signature: _ This permit application expires if a permit is not obtained within 130 , 9 • ' 7'' '�_ �J days after it has been accepted as complete. Print name: Date: A. 7,0 ' Number of inspections allowed per permit. l:\ Building \Permits \ELC- PcnnitApp.dor 07 /01 /10 440.4015T( I I /05 /COf/WEB Mechanical Permit Application FOR OFFICE USE.ONLY City of Tigard Received Permit No.: �y 2 /- iti Date/By: ijJ7 9/ 7 0D 13 �c a 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: ® 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: $ ® I -and 2-family dwelling RESIDENTIAL EQUIPMENT /SYSTEMS FEES* y g ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: icr,d 2 54 Air conditioning g p ) 1 �j (requires p uires site plan showing lacement 46.75 - fts:n - 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 SW 135TH AVE, AND SW SCHOLLS FERRY RD Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 1 23.32 23.32 NEW Gas fireplace 33.39 EW SFR TOWNHOUSES Flue vent for water heater or gas UNIT A 1460 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 1 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 ® 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 'CABLE LANE, STE 500 MECHANICAL PERMIT FEES* City /State/ZIP: PORTLAND OR, 97224 Subtotal ZII I .c Phone: (503) 598 - 0966 Fax: (503) 598 - 8498 Minimum permit fee ($90.00) Plan review (25% of permit fee) 6VCB lic.: 50096 State surcharge (12% of permit fee) 63A, q2 TOTAL PERMIT FEE 3 75-,/5 This permit application expires if a permit is not obtained within 180 Authorized signature: i r o 7 days after it has been accepted as complete. Print name: KYLE BIRMA • Dat ` 1 /7) * Fee methodology set by Tri -County Building Industry Service Board 1:\ Building \Permits \MEC- PermitApp.doc 10/01/09 440- 4617T(11 /02JCOM/WEB) . • • N Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received g Date/By: Permit No.: 1 . . V 13125 SW Itall Blvd., Tigard, OR 97223 /157; / 0 - 0 Ci5 ' Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Inspection Line: 503.639.4175 Date/By: Other Permit No.: TIGARD Internet: www.ti ard -or. ov g g Date Ready /By: Juris: 0 See Page 2 for Notified/Method: Supplemental Information TYPE OF WORK . . . ' ' ' ® New construction ❑ Demolition FEE* SCHEDULE, ❑ Addition/alteration/replacement ID 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) ® I- 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: / "' .49 51Veg Site utilities: T7 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) 1 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 drain connector 1 18.76 Sanitary sewer (no. linear 11.: 100) 1 Page 2 Storm sewer (no. linear ft.: 100) 1 Page 2 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: Water service (no. linear ft.: 100) 1 Page 2 Tax map /parcel no.: Fixture or item: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 NEW SFR TOWNHOUSES Clothes washer 1 25.02 UNIT A 1460 SQ. FT. Dishwasher 1 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 /LIP: PORTLAND OR, 97224 Garbage disposal 1 25.02 Hose bib 2 25.02 ❑ APPLICANT 0 CONTACT PERSON . Ice 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: CRAl 1'WORK PLUMBING INC. Water heater 1 37.52 Address: 7737 SW CIRRUS DR Water piping/DWV 56.29 City /State /ZIP: BEAVERTON OR, 97008 Other: 25.02 Subtotal , 3a. VCCB Minimum permit fee: $72.50 Lic.: 79666 A Plurnbin Lic. no.: 20 -148P Plan review (25% of permit fee) Authorized signature: State surcharge (12% of permit fee) GO r TOTAL PERMIT FEE 5j, 3 Print name: PETER POLLARD Date: g 17-1e) t:\ BuildinulPcrmits \PLMU-PcrmitApp.doc 10/01/09 440 -4616T(10 /02/COMAVEB) r 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 tPuIte GARY CULP Division Product Manager :: Pacific Northwest Division direct (503) 608 - 6036:: Cell (971) 246 -1391 garv.culpeoultegrouo.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 Afsr o /o - 0 0 /3 G, 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 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 ' �� / �� ' 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 /0/7/ /O 1 By: 1 „ l: \Building \Refunds \RefundRequest.doc x 09/01 /2010 i : " Community Development RE e �`c� uest for Permit Actin r TIGARD O OCT 7 2.010 TO: CITY OF TIGARD CITY OF TIGARD Building Division Services Coordinator BUILDING DIVISION 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ® Owner ❑ 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 /Zip: 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 -00136 Site Address or Parcel #: 10907 SW Sage Ter Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 45 EXPLANATION: Tiff Credits transferred from JLS Signature: A i .. �� Date: _k2/__76 Ga' ;Pip - r Print Name: Refund Policy 1. The Director or Building Official may authorize thc refund of: a) any fcc which was erroneously paid or collected. b) not more than 8(r 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 8(N:L of the building plan review fcc 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 0) any inspection requests. 2. Refunds will be returned to the original Payer in thc 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 /um maim Rte to Bldg Admin: Date /0 0 /0 By •s"- Refund Processed: Date a / //D By 'i Invoice Processed: Date By Permit Canceled: Date W /9- By Parcel Tag Added: Date By Receipt # /775, Date dt 3 /d Method CC_ Amount $ 36 79 , p) \D l:\ Buildin orms\ RceemitAction. Rc 07/26/07 CITY OF TIGARD RECEIPT . i I ! . 13125 SW Hall Blvd., Tigard OR 97223 _ 503.639.4171 TIGARD Receipt Number: 179781 - 10/07/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 -00140 TDT - Transportation Development Tax 4050000 -43320 $3,106.00 Total: $3,106.00 PAY OD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Trust Account 08 -0002 DHOWSE 10/07/2010 $3,106.00 : CENTEX HOMES Total Payments: $3,106.00 Balance Due: $0.00 TZ c _ / V/ iteiV ,gyvi& f7 Page 1 of 1 CITY OF TIGARD RECEIPT U E C _ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 179780 - 10/07/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 -00140 $ - 3,679.00 Total: $- 3,679.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 024630 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 III CITY OF TIGARD RECEIPT q C . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD £ I-6 C /5 — 1//t- C. 1 9 — C - - /} ..ret"yi`!e Cyr (,e.._ 02 /E /• /42- Lo T 5/ Receipt Number: 179613 - 09/24/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2010 -00140 Building Permit - New Construction 2300000 -43104 $1,026.56 MST2010 -00140 Plan Review 2300000 -43106 $1.34 MST2010 -00140 Plan Review 2300000 -43106 $ -84.08 MST2010 -00140 CDC Plan Review, RES 1003100 -43112 $64.00 MST2010 -00140 CDC Plan Review, RES - LRP 1003100 -43117 $9.00 MST2010 -00140 12% State Surcharge - Building 1003100 -24001 $123.19 MST2010 -00140 Metro Const. Excise Tax - Residential 2300000 -24010 $164.27 Use MST2010 -00140 Beaverton School CET - Residential 2300000 -24101 $1,184.00 MST2010 -00140 Park - Single Family Unit 4250000 -43300 $4,811.00 MST2010 -00140 ---> TDT - Transportation Development Tax 4050000 -43320 $3,679.00 * MST2010 -00140 Erosion Control 1003100 -22002 $64.00 MST2010 -00140 Erosion Plan Review CWS 1003100 -22003 $20.80 MST2010 -00140 Erosion Plan Review COT 2300000 -43107 $20.80 MST2010 -00140 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $236.38 MST2010 -00140 Limited Energy 2200000 -43103 $75.00 MST2010-00140 12% State Surcharge - Electrical 1003100 -24001 $37.37 MST2010-00140 Furnaces < 100K BTU 2300000 - 43102 $46.75 MST2010 -00140 Water Heater 2300000 -43102 $23.32 MST2010 -00140 Range Hood /Other Kitchen 2300000 -43102 $33.39 MST2010 -00140 Clothes Dryer Exhaust 2300000 -43102 $33.39 MST2010 -00140 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $93.28 Utility Rooms) MST2010 -00140 Fuel Piping 2300000 -43102 $14.15 MST2010 -00140 12% State Surcharge - Mechanical 1003100 -24001 $29.31 MST2010 -00140 SFR - Baths 2300000 -43101 $500.32 MST2010 -00140 12% State Surcharge - Plumbing 1003100 -24001 $60.04 Total: $12,266.58 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 024630 BTAGGART 09/24/2010 $12,266.58 Payor: Gary Culp / Centex Homes Total Payments: $12,266.58 Balance Due: $0.00 1419 5 s& S 9-C- -E 7 &it_ Page 1 of 1 Community Development TIGAR)D, Request for Permit Action V 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: VI Owner ❑ Applicant n 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 -00140 Site Address or Parcel #: 10940 SW Sage Ter Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 51 EXPLANATION: Tiff Credits transferred from JLS I Signature: Date: /6/7,C.) ary ulp 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% 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 le 1 ' a B �� Rte • to Bldg Admin: Date ip/7 /0 • By �. Refund Processed: Date /o y//p By spy4C_ Invoice Processed: Date 13y Permit Canceled: _ Date y4fjF By Parcel Tag Added: Date By Receipt #/194- /,3 Date p / Method C Amount $ 75'. t't/ 1:\ Building \ Forms \ Rey PennitAction.foc Rev 07/26/07 I Al, 4.1.: ,,..,,,,,„-.1rki V illage at 'r :� ,,, ,,, ED X , / - x X 1 X n ,o X- r / / t i • E- 1 h, 1 14.2' IIree /I/ / 18.8' / 1 19.0' I I l�L_f'°: . u I� 2 r 7 20 / 18.8' 26.8' / 26.8' -5Id' 1 rl ° , i�U�� �'s.1,�r �ir { CITY O TIG 21 5' — O A RD - STFE PLAN � I B I N(; PER I , L I • 5i2�/Q oo ! o I I n _ I : Ill , Street T ADPr ad / / 1_4.2'. I Appooved 1a. 0' 4 , I I \ Building Plan: ✓ I I ' Lots 43 44 :d i l \ _4 45 I 1...�,, \ 43 I , Units B -C-A FF /TOW 196.76 /TOW 196.76 FF /TOW 196.76 GS 196.06 GS 196.06 GS 196.06 Ilk \ TOP 196.2 ?_ � TOP 196.22 i TOP 196 SITE PLAN Scale: 1"-10' NORTH \ \ \ c,rn OF MAR - SITE P Ri VIEW I I w I Q1t NG PERMIT NO.: lt owro -oor3 - \ I I MANNING DIVISION I - \ I I I f !hired Setbac : 'Approved ❑ Not Approved _ I Side 3 •S Street Side: g t — 4.2' r r run -i...2C.- G rage: t ` 2 0 Rear: /D — � • ...... .......�. isua Clearance: 1Z Approved 0 Not Approved 3. I I I......L I Maximum Building Heighi _...�.. feet ■ • . i I I I ii l GWS Service Provider !_etre: R i:, - .;a.: 0 Yes ❑ No B kit- E te: 31 ll (� - -1 I. Qir::: 21.0.....1 I H ENGINEERING DEPARTMENT: � i) 19. ;— _ I — — — — Actual Slo % \ @ 9 .8 . . �........... - T pe `-Approved Not A ppove d __ A — Site Plat,. "" ., T Ap proved ❑ Not Approved © T 1 I l B == ,� : ,� ;; =<:; Date: \ ...:.. ....... s . ` �►� 1 ........... \ I Notes: �.. .. I �........... 1 ..... i / ■ ■ I� E 1 4 . 1 ` � ........: .:: . ...:..:.....:..: � C i .. I . ...:::::.:::.... t. CHAti1TtC r- v' €0 ' ENGINEERING ASSOCIATES CORPORATION R- 7��I61 17757 Kelok Road Lake Oswego, OR 97034 2_ 'k_ TeL (503) 636 -4005 Fax (503) 636 -4015 3 I I 1 .71 STREET TREE TIGARD ER TIFI A I 8 c c r o1v I, �A\,r,e cADH , owner/agent or AA �-�� g f (PLEASE PRINT) (PERMIT 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. PERMITNO.: VVI5T 2010 — O013 (o SITE ADDRESS: 0' d r) S . k Z 1 SUBDIVISION: V i u ,c vnevterz. CizteiC LOT #: f s SIGNATURE: DATE: 10 I a)/3 (OII-NER/AGENT) RECEIVED VERIFIED BY DATE: 9_ p_ o f I (CI"1TOF TIGARD) ❑ Tree location verified per approved site plan. I:\Building worns\SrrcctfrccCcrrilicatc 05/3n/2012 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: ► Y I sr- 20/0 0013(0 Jurisdiction: I 9312t) Site Address: ( O�D� d V V S&fi -'e j Subdivision/Lot #: Su m r►l1 C1--0 "(4 1*1—G 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 tha'has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N 07.2)1 Signature: i Date: ( I Owner/Generprtractor/Authorized Agent Print Name: bA(E Cci>i ORSC Section N1107.2. High-efficiency interior lighting systems. A minimum of fifty(50)percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent,or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per input watt. 1:\Building\Fonns\RES-HighEliiciencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, lAY C 1 , am the general contractor or the owner-builder at the following address: Site Address: !00107 S ,EJ -rti9PACE City: J� Permit #: l ll �YIc 201 d -0013(0 Subdivision/Lot#: urnme2 Ci &i * 45 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 construcfon have a moisture content of not more than 19 percent by dry weight of dry framing embers. Signature: 1111011V Date: (1(‘)/241 3 Gene 'Contract,. o Owner-Builder l:\Building\Fonn\RES-MoistureSensitiveWood.doc 09/25/08 m5 T.zero - Uo r 3 C Westside Drywall & Insulation. Certificate of Compliance This document certifies that the fiberglass insulation has been installed in conformance with the manufacturer's recommendations and requirements to provide thermal resistance value(s)of: Batts and Rolls: Coverage R-Value Thickness Ceilings: /e '9 New Construction Vaults/Slopes: Walls: ',, � ,�9���n� i •-- O Upgrade ��Z wwtt/ ' 1 // Rim Joist: Iea2 Floors over Garage EM. Crawl Loose-Fill Insulation R- `/( using I q _bags of insulation to cover ( / p square feet of area at a thickness of ( r inches. Our loose fill insulation is made by CertainTeed Corp. We utilize InsulSafe 4 Fiberglass Blowing Insulation: THERMAL PERFORMANCE-HORIZONTAL OPEN BLOW R-VALUE BAGS PER MAXIMUM NET MINIMUM WEIGHT MMUMUM 1000 SQ,FT. COVERAGE PER SQ.FT. THICKNESS To obtain a No,of bags per 1000 sq. Contents of this bag Weight per sq.ft.of Installed insulation thermal resistance ft.of net area: should not cover installed insul.should should not be less (R)of: more than:(sq.ft.) not be less than:(lbs.) than:(in.) 49 29.6 34 0.800 18.5 38 22.8 44 0.615 14.75 30 18.0 56 0.485 12 26 15.5 65 0.418 10.5 22 13.1 77 0.353 9 — 19 11.1 90 0.301 7.75 13 7.7 129 0.209 5.5 tl / 6.6 151 0.179 4.25 Property Address: / 69 97 cL' I /i 7 !n &' L -- -e- �loud eve e / 1 Date of Installation Westside Drywall&Insulation authorizati r 9 /F5 Today's Date Building Contractor's nature _ eo,nzfliz Si f 64d6,a,,,,q) inspected By Date Builder/Customer P.O. BOX 99* HUBBARD, OR 97032*(503)620-7036*FAX(503)624-0599*CCB#71044