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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2011 -00067 Date Issued: 05/25/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S 133CA08100 Jurisdiction: Tigard Site address: 13596 SW ROSEMARY LN Subdivision: VILLAGE AT SUMMER CREEK Lot: 4 Project: Village at Summer Creek, Lot 4 Project Description: Building 1 - New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 60 sf Basement. 0 sf Left: 3.5 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 703 sf Garage: 620 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 697 sf Right: 3.5 Detectors: Total: 1460 sf Value: $176,760.49 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add9 500 sf: 3 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R -3 1460 Owner: Contractor: CENTEX HOMES CENTEX HOMES Required Items and Reports (Conditions) ATTN: OCHSNER, JOHN 16520 SW UPPER BOONES FERRY 1 Ersn Cntrl 503 - 681 - 4444 11241 SLATER AVE NE, STE 100 RD, STE 200 KIRKLAND, WA 98033 PORTLAND, OR 97224 PHONE: 503 - 608 -3060 PHONE: 503 - 608 -3060 FAX: Total Fees: $13,183.68 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OA' • 2- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: t •'�, Permittee Signature: /2/l/ // 98 4 / «�O Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application i eS dhen al ik,,. `> \rc. • !..' , ° {�. z l `t F OR O FFI C E USE ON t Er City of Tigard � a Received 13125 SW Hall Blvd., figard, OR 9722 ,' q la 1.0‘ P Review ' 4 / i �ty *!L/ Phonc: 503.639.4171 Fax: 503.598.19 0 B Date/13 : ( Other Permit: i • TIGARD Inspection Line: 503.639.4175 `' \ \� + �' 44 to Ready/By luri 0 See Page 2 for Y Internet www.tigard or.gov � O� 0 3\�� ohficd/Method: , , f1 ' Supplemental Information TYP OF, WORK ° * ° � -� ` D "` ,'. i r '�:,,- .. .. A �FAIViIL� W�aE -� -' . � :.cam...: �� ..r _ � :.� 'e» �r��.� . �' � �' �t -:�Q _.�:,�a>z� =. - ® 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 0 Other: equipment, materials, labor, overhead, and the profit for the �- �� °' R F ONATR iCTriW � r t work indicated on this application. ® 1- and 2- family dwelling ❑ Comm�ercial /industrial • Valuation: ' 1 ?(c �7O ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 algI f INE AY AND =z �' .Mgi - Total number of floors: 3 Job site address: /35/6 4) ;"�e6 6711 eel ( New dwelling area: 1460 square feet City/State /ZIP: TIGARD OR, 97223 � Garage /carport area: 620 square feet 077 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 33 square feet `70 J Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 160 square feet VI SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: E square feet >v �:4USE OHEG v •ISA Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 4 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 a� °n ., „ w ` ! cT i i ' O 3i CI ge' :k , - t A work indicated on this application NEW SFR TOWNHOUSES Valuation: $ UNIT A 1460 SQ. FT. Existing building area: square feet New building area: square feet "' '" r '� ® RQ ER Y O ` ` s " . ° 4'` T T' . 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: E * . 1E� LIFT/ A 11 .CON CTe N `' ° ' ;,. r _ � ". ° �. `, y ,,, • 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 maybe 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 Ml r _ ` ,,. . - - z:.a y . 14r' i5 ,+� - e r P , f it *, x . w t. ail, . dCONTR.CT©R -fi U`:� t4 Business name: CENTEX HOMES . ' r ` 1 51) T, fiEES *�- : ; ' Address: 16520 SW UPPER BOONES FERRY RD, STE 200 ` . ';r;;(Pleuse tc(er tf o f e /rer t )I 6r,g g. City /State/ZIP: PORTLAND OR, 97224 Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone: (503) 608 -3060 Fax: (503) 608 -3061 CCB tic.: 182591 Total fees due upon application: Amount received: Authorized signature: lift/ ' This permit application expires if a permit is not obtained - �� within 180 days after it has been accepted as complete. Print name: GARY CULP / ' Date: 4 0e—ai/ v Fee methodology set by Tri- County Building Industry Service Board. I: \Bu ilding\Permits \BUP -RES PermitApp.due 10/01/09 440- 4613T(I I /02 /COM /WEB) Electrical Permit Application � v`o � � "�t� mutt a , i e " � Y OR O ar of SL ONI Y tr s fi �' - s e... . � ` -,as ,(�: E�Fs ate. -.�,: . °�1'w;�•�s enr ,. m , �eu,� .,.,.+: T�zt w4 Received ; Cit o f Ti gard t \ Permit No.: 4 w ` 't 13125 SW Hall Blvd., Tigard OR 9 2 r t Date /By: T� // �) 3 b •,, 1 1.111 Review � t ' ° .e Phone: 503.639.4171 Fax: 503.598. 6� V r `Da !By: Other Permit: - tr ' Inspection Line: 503.639.4175 _ �' Read /B )axis: E7 See Page 2 for • In t TsiIrGA D P v? .t Ready /By: ernet: \vw\v.tigard- or. gov U \� A.r allied /Method: Supplemental Information � :nom. .- .y'+.�.n. - l. f.4 �'� - - ) � [ ax�`�v�.rx � 1 Y uw., :,-• T'YLE liY,0121:... - �� !:>.' , .1t' ^ s:•:LLr1N =14 �1 . r - s... �' -„ aK .... - :c:.i5'z .. �a: <4 - . �, ..r :,� - .. , -�<- .. „. "'�j�x =' t?'',' >.:�:,.. ., ... e'�:�3 ,. � '- ”` ..- _ . ,. : ., ,. ® New construction ❑ Add ition /alteration /rep fl 4� eat Please check all that apply (submit 2 sets of plans \v /items checked below): V— ❑ Service or feeder 400 amps or more ❑ Building over three sum ies. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas Lind boatyards. 'aFo-:z xC ed 10 000 amps al t - e, c s is , >U volts or Floalim buildin 4:1:-..' .rv ^ - - I o ❑ v, C .A -c is: a.; �� -...., . " . " � � _' `. � �` � ,' ,; ,.1., =`-> ii less to ground, or exceeds 14,000 ❑ Commercal - use agricultural ❑ I- and 2- family dwelling ❑ Commercial/industrial L ❑ Accessory building amps for all other installations. buildings. 1 ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of75 KVA or uW '1 `=;;', c y ., °::ag;, •r } ❑Emergency s l separately derived system. rf JOB�'SITE= INFORMATION 1ND t OCA'i ION "_ _``' ° ��..., ..` ..- 'ti ❑Add o ne motor l oa d o ❑ °A..., Job no.: Job site address: / q4 j,. I( 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 snore. Cross street /directions to job site: CORNER OF SW BARROWS RD, Description I Qtr. I Fee. ' I T I New residential single or multi - family dwelling unit. SW 135 AVE, AND SW SCIIOLLS FERRY RD Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 1,000 sq. It.orless I 168.54 168.54 - 4 Tax map/parcel no.: Ea. add'l 500 sq. ft. or portion 3 33.92 101.76 1 Limited energy, residential sw: <:• . ,. ,..,- .:...,, .:::.,.,..: r;;,_ :Y >. a :- ..?i,:.;. _i <r: 1 75.00 75.00 2 : " llCS(RIPTION , oipiii:,OR1 , 4 , ie r rn , A5;, '„ (with above sq. IL) Limited energy, multi - family 75 00 NEW SFR TOWNHOUSES residential (with above sq. Ii. ) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 „,,,: „" y r `" ®TCNrINT - c is'n. 201 amp Ps 133 s to 400 am 2 .� ®APROP) 4 OWNI'R ,..,,. , , ,. , 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 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 163.54 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 , : Fa- =,'. above service or feeder fee ©,l iYLIG - x COlVTAC7s:lpEl2SOVtin s ''= 7.42 _ w- . ._ .. _.. _ , , '''''''''''''''''''"'''"'`I'''''' ` '''''''''''°'''''' 0 _ -.. . . , . , .... each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder lee, nrst 56.I S 2 Contact name: GARY CULP branch circuit Each add'( 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 service and/or or modular 67.84 2 ; dwelling, service and /or (ceder Phone: (503) 608 - 3060 Fax: : (503) 608 - 3061 Reconnect only 67.84 2 Pump or irrigation circle 67.54 2 E -mail: gary.cnlp @pultegroup.com �¢ ; : A; :P;; 67.84 Sign o outlin lightin 44) ' I -- j ':<..- ,�a�7��'�:,,._,,..,,;`a °. ,-, . ,�.. r_.,,. " \s ar_ CON'1;R�CC7;Q.2,1 _- . _... . , . S ignal 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 (I hr min) 66.25/ hr City /State /ZIP: HILLSBORO OR, 97123 investigation (I hr min) 66.25 / hr Industrial plant (1 hr min) 78.18 / hr Phone: (503) 648 - 4552 Fax: (503) 642 - 7925 Inspections for which no the is 9100 / hr specifically listed ('b hr min) 1:. : GA11:4',01.0 Tf10E.ES:Jr `.;`` _ ,`,. '' CCB Lic.: 1 25t 1 Electrical Lic.: 34 -305C Suprv. Lic.: ,��;�s Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): Print name: CHUCK CARNE Date: State surcharge (12% of permit fee): 1 TOTAL PERMIT FEE: Authorized si )nature: fir- -r — 3 r T his pe rmit application expires if a permit is not obtained within 180 t 'ti' fj days alter it has been accepted as anuplete. Print name: "- "_-+� Date: 9--a....// . Number of inspections allowed per permit. t: \nu itding \Permits \Bi.C- nenniu\pp.dnc 07/01/10 III 4444615't'( /05;COM /NEB Mechanical Permit Application 104 ' ? ' ' x *� *I"OR OFFICE USE O , 4 : ' i i t:: ;,:; City of Tigard Received ,'` Permit No.: Date/By: • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ��� •••• Phone: 503.639.4171 Fax: 503.598. a�Q tLQ Date/By: OtherPermil: TIGARD inspection Line: 503.639.4175 CO Date Ready /By: .luris: 0 See Page 2 for Internet: www.tigard- or.gov p p� l � 01 .tified/Method: Supplemental Information '' . =rses � ..�: PATE �x��z ?:. sraar•. sz N- GrOI MERC}}AC F C EC : a. S .:. , �t o � Mechanical permit fees* arc based on the value of the work ® New construction ❑Addition /alteration /rep • performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • �� � ,��' Z C} OR�x OF CUNSt +R[1 =' ' f . ... fl s<w,.3, , ..e:.' ` ce:*+a.ac bn,r .e ...1. , p +.-,4, .r . -..c. - ' u s..�., 1sa.a�:s.:a 1170 s ,n xt, ^ ® 1 - and 2-family dwelling RESIDEN EQU , ADEN / µ _ y g ❑ Commercial /industrial ❑ Accessory building `�� �' ' "'''�� For special it formation use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. I Total " JOR STfE INFwi O �F D I. CATi©PT : Heating /cooling Job site address: /3i5 440 4956M4,11 Air conditioning ✓✓ �`WW �.ICr (requires site plan showing placement) 46.75 City/State /ZIP: TIGARD OR, 97223 Furnace 100,000 BTU (ducts /vents) l 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 Flue /vent for any of above 23.32 Subdivision: VILLAGE AT SUMMER CREEK Lot no. :i Other: 23.32 Tax map /parcel no.: Other fuel appliances = r -, AM CR]PT ON OF*WORK` , ' i `' 0s Water heater I 23.32 23.32 . . "T . , A� ., a, � ; :. - Gas fireplace 33.39 NEW 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 23.32 2PI20PF}RsMt1 n s c TE1VT a 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 v "�L ONNACT ERSO� <: 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@pultcgroup.com pultcgroup.com Range I P r � �� v ,� A��- -- � -rte ;'i - � i,. '- e. i #v, ON r '„CTO r r ` x ''� _ Y ri Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 ' ''' 3'" ' , IEC13Ai!]Cr1U FRM1•fiitS ' City /State /ZIP: PORTLAND OR, 97224 Subtotal Phone: (503) 598 -0966 Fax: (503) 598 -8498 Minimum permit fee ($90.00) Plan review (25% of permit fee) COB lie.: 50096 State surcharge (12% of permit fee) �p TOTAL PERMIT FEE 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 BIRMA Date: l/ * Fee methodology set by Tri- County Building Industry Service Boatd l.\nuildinglPermits \MCC- PermitApp.doc 10/01/09 440-4617T (I1 /02 /COM /Wiii) . Plumbing Permit Application Building Fixtures . FOR ' OFFICE USE 'ONLI' �. Received . C of Tigard III `r' c„)C-- Date /By: a 13125 SW Hall Blvd., Tigard, OR 972 Permit No.: /� f 0 - 1 �Q� 1 c -00 Phone: 503.639.4171 Fax: 503.598.11;1 `�� d"" I an Review TIGARD Inspection Line: 503.639.4175 Vs? F �B Other Permit No.: Internet: www.tigard- or.gov „,c.:\ \1/45:.. ` Notified/Method: Supplemental Information S R eady /By: Juris: See Page 2 for \ V . = ' %, <:; -- ;f :r a'`,& t 4 TY woRK , , 7 . � _ ' A ), t „ N ew c onstruction � DU ® ❑ Demoliti " }V,; 4 ti `� ;` ' ^ F,E0. SCHEDUL•`,, . ° m • °��e "b.� .. - ��- .z��rc� - ter. . ❑ Addition /alteration/replacement ❑ Other: For special information use checklist Description I Qty. I Ea. I Total ! '37 I �. �i �' S > Y g, f: �, kF."' i�2£ �w` stwY: C-. i��n:t;��}H.r2Z�`45�a''�tY�"§ -« �•, �� t'- ��j'•�,��� -` 1, ? "„- ' �; 1GATEGORY "OF GONSTRU�CfION 1711 "4-n for each utility connection) �. " �.'.�`''�'�` - .�s��:�n._F,;,:..- _. >. =�x.�. Haves. �s_ �.:; z� :a...»s� <�����`:sl.e= s•��`"� :, New 1- 2- family dwellings (includes 100 ft. I- and 2-family dwelling y g ❑ Commercial /industrial SFR (I) bath 31170 ❑ Accessory building ❑ Multi - family SFR (2) bath 437.78 SFR (3) bath I 500.32 500.32 ❑ Master builder ❑ Other: Each additional bath /kitchen 25.02 • rg $, , ,, , „ I OBSITF; INFFT�IMA�TION'AN�U9,9 9,1 5 e• Page >:�; -;� _,_ �� ",� �.a Fire s prinkler ( sq. ft.) Pa e 2 Job site address: /35% eel/ utilities: ''� Y Catch basin or area drain 18.76 City /State /ZIP: TIGARD OR, 97223 Drywell, leach line, or trench drain 18.76 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Footing drain (no. linear ft.: 100) I Page 2 Cross street/directions to job site: CORNER OF SW BARROWS RD, Manufactured home utilities 50.03 SW 135 AVE, AND SW SCHOLLS FERRY RD Manholes 18.76 Rain drain connector I 18.76 Sanitary sewer (no. linear ft.: 100) 1 Page 2 Storm sewer (no. linear ft.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 4 Water service (no. linear ft.: 100) I Page 2 Tax map /parcel no.: Fixture or item: . t.r ;,1 : - v � :.,, ;. .qi> r. .;,max .,t ,��:_- E 7zi q: rfie Backflowpreventer 31.27 :,,,! ,r :, , ; ; r.. I )ES . GRIP T iQN OF' WORKx= ' "r ? r _ - -_ � <- �_s rsa �.�•, �`�si :u�. - :� .��,»;w�a �"::�. ins terse =�.:._•_ - �)�a. «`ikilx+1 6 ,4 Backwater valve 12.51 NEW SFR TOWNHOUSES Clothes washer 1 25.02 UNIT A 1460 SQ. FT. Dishwasher I 25.02 Drinking fountain 25.02 '> aPROPEKIxl a r P � ^ `» y E 25.02 sl jectors /sum e..i. ,® . M • • ' NI y. r ®. ,TENN x 6, J P 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/huh 25.02 City /State /ZIP: PORTLAND OR, 97224 Garbage disposal 1 25.02 Hose bib 2 25.02 . w.a >_ 4-V . , ,,a -; w r? ° 2.51 • k4. � s %.�:.. APRtiICANT A , , r ,, , l �; ®` PERSON - i k , . Ice maker 1 1 Business name: CENTEX HOMES Interceptor/grease trap 25.02 Medical gas (value: $ ) Page 2 Contact name: GARY CIULP 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 t��, a ...•. >..., _ fi . , Urinal 25.02 , V , , , , r ?: ,,`'_ , eN. > -0 .. W „R co�rrRACroR j z: . "��s . ,_��� u- ,�.rs.�.���r _.r ��� �����su:..`, ��� Water closet 3 25.02 Business name: CRAFTWORK PLUMBING INC. Water heater 1 37.52 Address: 7737 SW CIRRUS DR Water piping/DWV 56.29 City /State /ZIP: BEAVERTON OR, 97008 Other: 25.02 Subtotal Minimum permit fee: $72.50 CCB Lie.: 79666 Plutnbin: Lie. no.: 20 -148PB Plan review (25% of permit fee) Authorized signature: // /0,z' ; State surcharge (12% of permit fee) 17- TOTAL PERMIT FEE Print name: PETER POLLARD Date: ffi 1: \Building \Permits \PLMIU -Per mil App.doe 10 /01/09 440- 4616T( I 0 /02 /COM /WEB) ., • Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due Fuel Piping 2300000 -43102 $14.15 $14.15 $14.15 12% State Surcharge - Mechanical 1003100 -24001 $29.31 $29.31 $29.31 SFR - Baths 2300000 -43101 $500.32 $500.32 $500.32 12% State Surcharge - Plumbing 1003100 -24001 $60.04 $60.04 $60.04 Totals for Fees $13,183.68 $13,183.68 $750.00 $12,433.68 Receipt # Payment Method Check # Payor:, Receipt Date Receipt Amount 182279 Credit Card Gary Culp / Centex 04/26/2011 $750.00 Homes Total Payments: $750.00 Balance Due: $12,433.68 q ) (0 1 ... C9 i C;i: CITY OF TIGARD FEE AND PAYMENT HISTORY 6 g ;, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TICARD MST2011 -00067 - 13596 SW ROSEMARY LN, TIGARD, OR 97223 Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due Building Permit- New Construction 2300000 -43104 $1,204.96 $1,204.96 $1,204.96 Plan Review 2300000 -43106 $751.34 $751.34 $750.00 4/26/11 Credit Card 182279 $1.34 12% State Surcharge - Building 1003100 -24001 $144.60 $144.60 $144.60 Plan Review $31.88 $31.88 $31.88 DC Provision Review, SF - Ping 1003100 -43112 $64.00 $64.00 $64.00 DC Provision Review, SF - LRP 1003100 -43117 $9.00 $9.00 $9.00 Info Process /Archiving - Sm Sheet (up to 2300000 -43135 $62.50 $62.50 $62.50 11x17) Metro Const. Excise Tax - Residential 2300000 -24010 $212.11 $212.11 $212.11 Use Beaverton School CET- Residential 2300000 -24101 $1,460.00 $1,460.00 $1,460.00 Park - Single Family Unit 4250000 -43300 $4,811.00 $4,811.00 $4,811.00 TDT - Transportation Development Tax 4050000 -43320 $3,106.00 $3,106.00 $3,106.00 Erosion Control 1003100 -22002 $64.00 $64.00 $64.00 Erosion Plan Review CWS 1003100 -22003 $20.80 $20.80 $20.80 Erosion Plan Review COT 2300000 -43107 $20.80 $20.80 $20.80 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $270.30 $270.30 $270.30 Limited Energy 2200000 -43103 $75.00 $75.00 $75.00 12% State Surcharge - Electrical 1003100 -24001 $41.44 $41.44 $41.44 Furnaces < 100K BTU 2300000 -43102 $46.75 $46.75 $46.75 Water Heater 2300000 -43102 $23.32 $23.32 $23.32 Range Hood /Other Kitchen 2300000 -43102 $33.39 $33.39 $33.39 Clothes Dryer Exhaust 2300000 -43102 $33.39 $33.39 $33.39 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $93.28 $93.28 $93.28 Utility Rooms) s . Building Division Development Code Provision Review T i c n Fz Residential Projects Building Permit No: /) U 1d I I — Uc) ( -) 6 7 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A 0 Routed Plans: Original Plan Submittal Date: i I a 1st Revision Submittal Date: 3"! / / //i � ❑ Site Plan Only 2 °d Revision Submittal Date: / ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact _ f at 503 - 718 - a (. / or @tigard- or.gov) Lan_d Use Case No. U 3 0 - 1) (P -1 I Name ° bt4 f ?W 1 �lL�1 -Foo Zoning � U 13' Setbacks: ----- ,,`` Front Rear 1 Sid Street Side I U Garage ❑ Maximum Building Height t-t-5 Actual Building Height 30 Er Clearance Cr-Easements Cl Lands Type: Notes: Original Plan: Approved Er Not Approved ❑ Date: L f / .3--s-/ 1 / Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) ,E Actual Slope: ti---' Notes: Original Plan: Approved, Not Approved ❑ Date: Z� 1 Revision 1: Approved -Er Not Approved ❑ Date: 7 /? � l i Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City �Arborist Review (contact Todd Prager at 503-718-2700 or todd @tigard or.gov) Street Trees 1 i iri �� c ❑ Protected Trees ✓ I 1 Notes: 1tc / Li , 4 ' , ' A, rusi P„SciAdu- L . Original Plan: Approved ❑ Not Approved Ul Date: f ti 11 Revision 1: Approved Not Approved LI " Date: 4 Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes No ❑ Date Routed to Building: ch 3 /J,i Page 2 of 2 V illage at -_ __ __ __ _ X _ X _X x X X X x X- X x x X 6.6, 9.0' I 9.0' 1 9.0' S ummer Creek I I 17.0' O 17.0' 17.0' 14.1' I Alki . ___I - , 5.0 — I 1 3.5' — '';:* .,-- 1 ' 2 3 � / 4 i F F /TOW 186.09 FF /TOW 187.09 FF /TOW 187.09 Building Plan: 1 GS 185.39 GS 185.89 GS 186.39 FF /T• 87.09 Lots 1, 2, 3 & 4 TOP 185.55 1 TOP 186.55 TOP 18635 I GS 186.39 ' I I TOP 186.5 I Units A -B -C -A I SITE PLAN I I I I Scale: 1"-10' 1 1 5T e=e RECEIVED x Iz Deup -' MAY 11 2011 5.0 r r .. -� r .... ........ . . • CITY OF TIGARD :.:. • BUILDING DIVISION _.. I • I :... ` I �.... ..... . • z 5:o'.. ; ....... . .. • 20.5' • . 23 0. © 21.0 3 18.5 ® 20 �� ' �n� t I : I I - )___ . . . . . . .. . . . . . Q — � — w:: �� s I H .......... j: � in T fd � — -- - f-; - - Q � Q �.1 _� S i:^;;;; i4k::;: iQ<: isi:; ;'ri;; %;i4:i:i; /'::::C:iii.;r;; Q _ b , (n ?� (n --- - -- . L ENGINEERING ASSOCIATES CORPORATION \ S W ROSEMARY LANEE, 17757 Kelok Road Lake Oswego, OR 97034 Tel. (503) 636 -4005 Fax (503) 636 -4015 ^ 12" SD 1 v 1 I • pp� • • City of Tigard June 7,2011 Pulte Homes Inc. Attn: Gary Culp • 16520 SW Upper Boones Ferry Rd., Ste. 200 Portland, OR 97224 Re: Permit No. MST2011 -00067 Dear Mr. Culp: The City of Tigard has processed a refund for Traffic Impact Fees (TIF) paid on the above referenced permit and processed a new payment by TIF credit voucher for the following: Site Address: 13596 SW Rosemary Ln. Project Name: Village at Summer Creek - Lot 4 Job No.: Refund: Check # in the amount of $ ® Credit card "return" receipt in the amount of $3,106.00. Notes: New receipt for payment by TIF credit voucher is attached for your records. If you have any questions please contact me at 503.718.2430. Sincerely, i f 41■ i • Dianna Howse Building Division Services Supervisor Enc. • • 1: \ Building \ Refunds \Mn tISTONN$urNTRI n Mtegon 97223 ° 503.639.4171 TTY Relay: 503.684.2772 ° www.tigard- or.gov 114 City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: Pulte Homes Inc. DATE: 6/7/2011 16520 SW Upper Boones Ferry Rd. Ste. #200 REQUESTED BY: Dianna Howse Portland, OR 97224 Attn: Gary Culp TRANSACTION INFORMATION: Receipt #: 182613 Case #: MST2011 -00067 Date: 5/25/2011 Address /Parcel: 13596 SW Rosemary Ln. Pay Method: CreditCard Project Name: Village at Summer Creek EXPLANATION: Refund Transportation Development Tax (TDT) paid by credit card. Applicant presented credit voucher to pay TDT fees from trust account. ,REFUND INFORMATION: . Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee • • Example: 2300000 -43104 $ Amount TDT - Transportation Development Tax 4050000 - 43320 $3,106.00 TOTAL REFUND: APPROVALS: If under $5,000 Professional Staff If under $12,500 Division Manager (�; Dmk_ 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 4./j // I By: I ,64-- • I:\ Building \Refunds \RefundRcqucsr.doc x 09/01/2010 CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 182748 - 06/07/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2011 - 00067 • TDT - Transportation Development Tax 4050000 - 43320 $3,106.00 Total: $3,106.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Trust Account 08 -0002 DHOWSE 06/07/2011 $3,106.00 Payor: Centex Homes - Village at Summer Creek, Lot 4 Total Payments: $3,106.00 • Balance Due: $0.00 • /9z'y 6- Accela ° a System Administration ' ' `, "` I Finance Department Request Date: W// • To: Liz Lutz ✓ Kathy Gende • From: Dianna Howse/ Re: Receipt #: / f , 2 6 / 3 q / I� 7Y? ) 2yf Please process this request as follows: Journal Entry (route copy ofJE to • Dianna Howse). • Reversal (fees have been reversed on _. ' • f Revenue Account Report). • Credit Card Return (fees have been • reversed on Revenue Account.Report). . Other /Explanation: . 7V eog l'"i Alp/67i 7 • At A - 10 77l ces7 6lee7: . Thank you! . l:\ Building \Fortes \Rteslip- FinanceReq.doc • Page 1 of 1 CITY OF TIGARD RECEIPT • � . I( . I 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD A CA---ti//o Receipt Number: 182747 - 06/07/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID M ST2011 - 00067 $ - 3,106.00 Total: $- 3,106.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 025535 DHOWSE 06/07/2011 $- 3,106.00 Payor: Gary Culp, Pulte Homes Inc. Total Payments: $- 3,106.00 Balance Due: $3,106.00 • • • • Page 1 of 1 r CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 • 503.639.4171 TIGARD Receipt Number: 182613 - 05/25/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2011 -00067 Building Permit - New Construction 2300000 -43104 $1,204.96 MST2011 -00067 Plan Review 2300000 -43106 $1.34 MST2011 -00067 12% State Surcharge - Building 1003100 -24001 $144.60 MST2011 -00067 Plan Review $31.88 MST2011 -00067 DC Provision Review, SF - Ping 1003100 -43112 $64.00 MST2011 -00067 DC Provision Review, SF - LRP 1003100 -43117 $9.00 MST2011 -00067 Info Process /Archiving - Sm Sheet (up to 2300000 -43135 $62.50 11x17) - MST2011 -00067 Metro Const. Excise Tax - Residential 2300000 -24010 $212.11 Use MST2011 -00067 Beaverton School CET - Residential 2300000 -24101 $1,460.00 MST2011 -00067 Park - Single Family Unit 4250000 -43300 $4,811.00 MST2011 -00067 .Park - Transportation Development Tax 4050000 -43320 $3,106.00 • MST2011 -00067 'Erosion Control 1003100 -22002 $64.00 MST2011 -00067 Erosion Plan Review CWS 1003100 -22003 $20.80 MST2011 -00067 Erosion Plan Review COT . 2300000 -43107 $20.80 MST2011 -00067 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $270.30 MST2011 -00067 Limited Energy 2200000 -43103 $75.00 MST2011 -00067 12% State Surcharge - Electrical 1003100- 24001 $41.44 MST2011 -00067 . Furnaces < 100K BTU 2300000 -43102 $46.75 MST2011 -00067 Water Heater 2300000 -43102 $23.32 MST2011 -00067 Range Hood /Other Kitchen 2300000 -43102 $33.39 MST2011 -00067 Clothes Dryer Exhaust 2300000 -43102 $33.39 MST2011 -00067 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $93.28 Utility Rooms) MST2011 -00067 Fuel Piping 2300000 -43102 $14.15 MST2011 -00067 12% State Surcharge - Mechanical 1003100 -24001 $29.31 MST2011 -00067 SFR - Baths 2300000 -43101 $500.32 MST2011 -00067 12% State Surcharge - Plumbing 1003100 -24001 $60.04 Total: $12,433.68 • PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 025535 DHOWSE 05/25/2011 $12,433.68 Payor: Gary Culp, Pulte Homes Inc. • Total Payments: $12,433.68 Balance Due: $0.00 Page 1 of 1 Community Development ‘f • :TIGAR Request for Permit Action CITV TO: CITY OF TIGARD .�a Yli I3ri'� L f'Vi. "�- :�i 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: Pulse 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). O INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: '2.S72// r- 000 6 7 • • Site Address or Parcel #: 13596 SW ROSEMARY LN Project Name: Village at Summer Creek Subdivision Name: Village at Summer Creek Lot #: 04 EXPLANATION: Tiff Credits transferred from JLS, Signature: Date: 63-3 -11 Gary 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% 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 budding 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. Z r�t,?�g:.Wr�ttaWai r ti`` F5 M 7PR USEONLY�' 3 ./r.�;gr r� ( 'sa f �i �;M's. "`�p �t .A _. .G..n0.?. �..�. F 1R":L � rL...,�•.^ 1_, ! �-.. i.a�d'c�,..V.;a��rt y�'... Yr;�. �. S�'i"a. tl. :�i-�� ���1'.., ?.. n?.._i Rte to Sys Admin: Date By Rte to Bldg Admin: Date 6 7 // B ri. r Refund Processed: Date ( /�J //, By „Aril . Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By Receipt #/��6/ 3 Date 573 //, Method C Amount $S /i G.- ez) I:\ Building \Forms \Real ermitAction.j oc R v 07/26/07 ims — 0,00(07 35q& /20-P31/r_ Lie), ST 4: ET T E CERTIFICATION , owner/ agent for Cetiv.Ve-Y... (PLEASE PRIN7) (I'ERMffHOLDF) do hereby certin that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. 13543 1357 I 3516 3sq SW G .511 E ADDRESS: SUBDIVISION: Siemei Cee-eg LOT #: “313 SIGNATURE: DATE: / 6 (DfPNER/AGEN7) RECEIVED & VERIFIED BY: /j, DA 1 b: le, 14 , (. , OF 'TIGARD) I I Tree locatton verified pe oprod site plan. I \BuilrbogOonn; itrocITrtcCe3t6rArt 07/01 N10 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, 0 , am the general contractor or the owner - builder at the following address: Site Address: .�; _.. __ _.._ . n 644 City: 7454404.. Permit #: SubdivisionlLot # and/or 17 ibir 000.44,1 000 45 Map and Tax Lot #: 000 / cl 0 To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918 -480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: Date: /0 r 6 -I( Gee I Contractor or Owner Builder I 1liuildiug\J'orm \RES MossIureSensunveWuxxi doe 09/25:08 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS /116r 7,4)(( Oo04i'1 , oov$ Permit No.: ��� ., Jurisdiction: `�` Site Address: $" s 1306:7 Subdivision/Lot tf: 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: Date: ! a " ' __ Ow erGeneral Contractor / /Authorized Agent Print Name: Belt ,•-�' __. _.. . 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. t. i3uilding\Forms•RLS -1 tighl_tliciencyl fighting doc 07/01/08