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Permit ,, CITY OF TIGARD MASTER PERMIT ` '- COMMUNITY DEVELOPMENT Permit #: MST2011 00101 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/21/2011 Parcel: 1S133CA13200 Jurisdiction: Tigard Site address: 10994 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 55 Project: Village at Summer Creek, lot 55 Project Description: Building 16 - New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 46 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height: 33 Bathrooms: 3 Second: 643 sf Garage: 509 sf Front: 12 Smoke Dwelling Units: 1 Third: 643 sf Right: 3.5 Detectors: Yes Total: 1332 sf Value: $158,444.19 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 Storm Sewer: 100 Drains: 0 Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 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 Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 2 201 -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 1332 Owner: Contractor: CENTEX HOMES CENTEX HOMES Required Items and Reports (Conditions) 16520 SW UPPER BOONES FERRY 16520 SW UPPER BOONES FERRY 1 Ersn Cntrl 503 - 681 - 4444 RD, STE 200 RD, STE 200 PORTLAND, OR 97224 PORTLAND, OR 97224 PHONE: 503 - 608 -3060 PHONE: 503- 608 -3060 FAX: Total Fees: $12,873.91 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 OAR 952 - 001 -0090. You may or - • - • • • e rules •r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 1;•" Permittee Signature: L.Z A __ rI • 75 by 7:00 a.m. for the next available inspection date. This permit card - • • ept 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 ,-, Ri e �. , � w x�`3 � FOR OFFICE USE ONLY 4 � � A:. City of Tigard � Dat /B ✓ PemulNO.. rr 13'125 SW Hall Blvd., Ti ard, 0 . 9 223 1-'1\1\ Received 4 �� `v' • g Plan Revie∎ jZlls•� �J t Date /B + r Other Permit: + Phone: 503.639.4171 Fax: 503.5)8. t96�0� �i_ ��� _ , I T Inspection Line: 503.639.4175 JJ \ O° Date Ready/ cy: 0 See Page 2 for •Internet: www.tigard- or.gov C\ O \ \ \S \O Notified/Method: , i ( II 0l/ ��� I Su pplemental Information "� , ���' °� +�� �`'. ��� �� o �� ,- � �s �3�' �� ��.,,n�� ,�Tr"` �� >� .� ;?� � t r , � ` yew �` ' �"1 - * , W it 1✓ OF R 3 S 0 QUI RED DA TA' l�. RAMI CsMo (LC (XL k , � � Y , .4�z i a::_ a..a, ,: ? r w „,k ,,i -' - . , . ,k�z _ � , �, Ea ,E+,z �ks2 a: , , ,,,ti: r - `�... ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the r, _- fix... w .,r,.z. -..r .. M ra rA CATEGORY, OF CO , j C7 O k N sM 1 � work indicated on this application. Valuation:] ®1- and 2- family dwelling ❑ Commercial /industrial” .!l ❑ Accessory building ❑ Multi- family Number of bedrooms: 2 ❑ Master builder ❑Other: Number of bathrooms: 3 ri W ;r ,�x � i a ciao s�" ,' s W Total number of floors: 3 . -.., - 44 ,_V i �, 1 5 _, - RM, ,, ATI OrCA�I M�, „ .'� r ' ," Job site address: ern �i ,t) L New dwelling area: 1332 square feet City /State /ZIP: TIGARD OR, 97223 Garage/carport area: 509 square feet b 43 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 17 square feet PC'-' Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet SW 135 AVE, AND SW SCHOLLS FERRY RD ow- .3 Other structure area: 1 square feet 95 REQira iii, fSeiRdIA'L i GIIECKL I Subdivision: VILLAGE AT SUMMER CREEK Lot no.: Permit fees* are based on the value of the work performed. Tax neap /parcel no J Indicate the value (rounded to the nearest dollar) of all A . y equipment, materials, labor, overhead, and the profit for the r r ; 4, -7 RIPTIO'V OF WORK J t work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT B 1332 SQ. FT. Existing building area: square feet New building area: square feet � � PRO ER YW R r 0,�®ITENANT' 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: tt ra , � L C rL ,,' ® AGO t ,', ' 'SONS '- , 3 , � ��` NO C" ' '- 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.eulp rr pultegroup.com ,2a�:s `rritaft = .._ , 9 CONTRAGTQR ` .:' 4:1 , - , ' 1 Business name: CENTEX HOMES „'> �` �BUII7D1TtG PERMITFEES* �_ Address: 16520 SW UPPER BOONES FERRY RD, STE 200 'istr i .. .z;.(Ylerse ejer''rojeseutia atacz tv Structural plan review fee (or deposit): City/State/ZIP: PORTLAND OR, 97224 FLS plan review fee (if applicable): Phone: (503) 608 -3060 Fax: (503) 608 -3061 CCB lie.: 182591 Total fees due upon application: . Amount received: Authorized signature: f�-� -,.....ii This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: GARY CU J Date: —eV * Fee methodology set by Tri- County Building Industry Service Board. L\ Building \Permits\BUP -RES PerrnitApp.doc 10/01/09 • . 440- 4613T(I l /02 /COM /WEB) ;t Permit Application ns . : tF , ' M f , y g g ikfW OHO USEO k . r , .; o- City r r Ret -etved .� C of Tigard n n . �.y,,.`• 1\ Date By: Permit No ,/yl -t'dt1 1( —'ck) id I " 13125 SW Hall Blvd., Tigard, OR 9.223„ lo ( Phu Review I o ' a iZ • ° .k ., Phone: 503.639.4171 Fax: 503.598.1'60 ` \ Date/13y: Other Permit: pen Lin e: 503 . 639 . 4175 V� �'�® Date Ready /By: is See Page 2 for T iGAl 1 Insctio ttD ` ®� i interne( \vww.tigard or.gov -n1 n\ � 6 tJotiliedli�fethod: }u' El See P M rm manias y..,: , I \ PP Ol \VORh , v,. , ; PLAN REUIC \V ._ . .. i \5 b - Please check all that apply (submit 2 sets of plans w/iteins checked below): © NOV construction El Additionialteration 6eplacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demol ition ❑ Other: where the available limit current ❑ Marinas and boatyards. C \. i L(,OR\ z01 CONS 1 R UCTIOl exceeds 10,000 amps at ISO volts or ❑ Floating buildings. " "' " ' less to guard, ur 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: 0 Fire pump. ❑ Installation of 75 KVA or ,. ❑ 6men'geney system. lar separately derived system. J O B Si l E. INFORM TIOi\.= AND LOCATION " ❑ Addition 0 I new motor load or ❑ `•A" "E" "I - "I -3" / I Job no.: Job site address: V e �( p 1001-1P or more, occupancy. ❑ Six or more residemial units. ❑ Recreational %chicle parks. City /State /ZIP: TIGARD OR 97223 ❑ l- lealtlt -care litcilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK ❑ Service or feeder 600 amps or more. 1 LL SCIILDUI'L - Cross street/directions to job site: CORNER OF SW BARROW'S RD, o , ll� I Qt I F“. i a ,,,, I . 1 New residential single or multi family dwelling unit. SW 135 AVE, AND SW SCHOLLS FERRY RD Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 1,000 sq. II. or less i 168.54 168.54 4 Ea. add'/ 500 sq. ti. or portion 2 33.92 67.34 1 fax map /parcel no Limited energy, residential I 75.00 75.00 _ DLSCRIPI ION -OF WORK (with above sq. ft.) Limited energy, multi- family NEW SFR TOWNHOUSES residential (with.above sq. ft.) 75.00 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 ® PROPEIRT\ OWNER ❑ t- 201 amps to 400 amps 133.56 2 Name: CENTEX HOMES 401 asps 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 1 201 amps to 400 amps 125.08 I 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 snips 168.54 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with © 41 1 l ICANy ' ice (ceder I'ee, '.' ._ ❑� CON 11C I PLI250N € 7.42 2 ,..._.. .w_,. ,. , each above branc circu it Business name: CENTEX HOMES B. Fee for branch circuits 'without service or feeder fee, first 56.18 i 2 Contact name: GARY CULP branch circuit Each add'l 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 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 g nr col 3 a L3ulte tot f) eom Sign or outline lighting 67.84 2 i 1 CON1 RACTQR 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/ hr City /State /ZIP: HILLSBORO OR 97123 Investigation (I hr min) 66.25/ hr Industrial plant (I hr min) 78.18 / hr Phone: (503) 648 - 4552 Fax: (503) 642 - 7925 inspections for whirls no the is 90,00 / hr specifically listed ('/ hr min) CCi3 Lit.: 182591 Electrical Lic.: 34 - 305C Suprv. Lic.: „ s ,, LLCC I RIGA/ ,PLRN11 TOFLGS. Subtotal: Suprv. Electrician signature, require. P Plan review (25'%, of permit fee): i Print name: CHUCK GA 't j Date: State surcharge (12% of permit lee): � � / p - TOTAL PERMIT FEE: Authorized signature: Waif., This permit application expires if a permit is not obtained within 180 ® �/ days after it has been accepted as complete. Print name: Date: ./ /�/ Number of inspections allowed per permit. I: \Building \Permits \EEC- PermiiApp. doe 07 /e1/10 140 - 461ST( I I /oS /CO NI /WEB Mechanical Permit Application , ; a i 7 ;� FOR OFFICE USE ONLY,\ , ...,Ar .. , City of Tigard Received DatBy Permit No.: 13125 SW Hall Blvd. ?Tigard, OR 97223 Plan c Rev: iew •[ 1 ' Q ` ' 2 Phone: 50 Fax: 503.598.1960 � , Datc/By: Other Permit: TIGARD Inspection Line: 503.639.4175 _ � V.,, t� Date Ready/Fly: Juris: ® See Page 2 for Internet: wvnv.tigard or.gov � 1. Notifted/Method: Supplemental Information + u iln�"eh � � u ;,�,, t a c ',� '�,� � '1- "5- ;.t,,•� -s`��'" - r+a�s�� '�. fr ^.va �y�. �rar..aaa,•✓ssa^ -.;§ c� � me riUir USEICIIECKI 1 :/rt' - .r �wf.�' � ST -,�' 1 a. s = Tl'P cti W, reCrtl t n AL` E ® New construction ' 11 t • \ Mechanical permit fees* are based on the value of the work ❑ Addition /alteratioC. a e V performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ID � Other: .., ,® mechanical materials, equipment, labor, overhead, and profit. E` `. s '*rjg'PEGORSY OF'CON RUCTION a r" ` d Value. $ i- :. +^-ae.^.za -.. .. .nom.: �m ._>� .A.g .. J 4 RESIDENTALE ]PMENT%SYSTE 1S I' aco ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total , ,': d0]I SIT ' I NFORi ANON AND 41 AT -OrI N Heating/cooling /�(�� �j \ � //`i Z¢ yIQ� /lam- Air conditioning Job site address: `(/C 54) - 46E 7 ��.Iia (requires site plan showing placement) 46.75 City /State/ZIP: TIGARD OR, 97223 Furnace 100,000 BTU (ducts /vents) 1 46.75 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite /bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Heat pump 61.06 Cross street/directions to job site: CORNER OF SW BARROWS RD, Duct work 23.32 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.: G Flue /vent for any of above 23.32 '44�J Other: 23.32 Tax map /parcel no.: Other fuel appliances 7 a j �; DESCRII ON WORK* Water heater 1 23.32 23.32 �� Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT B 1332 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 ' µ - , Chimne /liner /flue / vent 23.32 „a m PROPER Y O NE� V t' ." ®�TEN.1`NT ., . , ,. 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 „- . 'P , L[C`'T r EF ., a af ® @ O NTT�P RSON 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. l 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 I ��� Barbecue x s� A' drtrav x � CONT1 CraOR � az u . INA Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 x ' i VIECH �N GALI PERM T FEES ` City /State /ZIP: PORTLAND OR, 97224 Subtotal Phone: (503) 598 -0966 ii r x: (503) 598 -8498 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lie.: 50096 State surcharge (12% of permit fee) / TOTAL PERMIT FEE This permit application expires if a permit is not obtained »ithin 180 Authorized signature: days after it has been accepted as complete. Print name: KYLE BIR AN Date: 6'Cr /( * Fee methodology set by Tri- County Building Industry Service Board I: \noilding \Permits \hf EC- Permit A pp. doe 10/01/09 4.10 -461 'r (11 /02 /COM /WELI) Plumbing Permit Application , Building Fixtures � • . FOR' b OFFICE USE ONLY . . p�� - Cl Of T1 RCd ,,` ( Received `'t g ` �1 Date/By: Per No.: I tc5� l 7- g 11 -00(0 13125 SW Hall Blvd., Tigard, OR 97223 J I , Phone: 503.639.4171 Fax: 503.598.1960 n 1`Z D Plan Review � Date /By: Other Permit No.: Inspection Line: 503.639.4175 P h T[GTIGARD c, ' V ==\ H " c Date Ready /By: Juris: See Page 2 for Internet: www.tigard- or.gov mot, As1.0\ �� 0� V Notified/Method: Supplemental Information .. :.� ' ti s M_ y h' TYPE OF�WORK , , , .. � F � . ' .,5 .a,. X "g� 4F ,, SCHL.,UULE f'£. ,:„.,01,2k.,,;:-,',,, . ® New construction ❑ Demolition For special information use checklist Description ] Qty. Ea. Total ❑ Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) t ' LA:1. 'SCAT GORYs G O NS CR I 7C O / � `` � 1 " , SFR ( b ath 312.70 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 I=) Accessory building SFR (3) bath I 500.32 500.32 g ❑ Multi- family Each additional bath /kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 £ '" y J00 SIfiE NFORM TIONi ND L Te4 '. ;'‘ TM 7 : Site utilities: lob site address: ,' .W �� Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: TIGARD 0 97223 Footing drain (no. linear ft.: 100) 1 Page 2 Suite /bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK Manufactured home utilities 50.03 Cross street /directions to job site: CORNER OF SW BARROWS RD, Manholes 18.76 SW 135 AVE. AND SW SCHOLLS FERRY RD Rain drain connector 1 18.76 Sanitary sewer (no. linear ft.: 100) I Page 2 Storm sewer (no. linear ft.: 100) 1 Page 2 Water service (no. linear ft.: 100) 1 Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.:'0 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 �� i�� �` � ��'-'� � y� . ,� �� �- Backwater valve 12.51 „ ESC RIP,Tio ifAi 1,'O�RK � � . ,� �, � _.. - �� w8�.. � � �� � r� x_ ` Clothes washer 1 25.02 NEW SFR TOWNHOUSES Dishwasher I 25.02 UNIT B 1332 SQ. FT. Drinking fountain 25.02 Ejectors /sump 25.02 t t - . ` `` 't Ex an sion tank 12.51 : r F! z 11 Y OV4'NER - � ` t ®TENAN i s P Name: CENTEN HOMES Fixture /sewer cap 25.02 Floor drain /floor sink/hub 25.02 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Garbage disposal I 25.02 City /State /ZIP: PORTLAND OR, 97224 Hose bib 2 25.02 Ice maker 1 12.51 •. v_. ® ?APP t('Aw i » a �$ 0 AC ON Interceptor /grease trap 25.02 Business name: CENTEX HOMES Medical gas (value: $ ) Page 2 Primer 12.5 I Contact name: GARY CULP Roof drain (commercial) 12.51 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Sink/basin /lavatory 6 25.02 City /State /ZIP: PORTLAND OR, 97224 Solar units (potable water) 62.54 Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 E -mail: gary.culp @pultegroup.com Urinal 25.02 z , Water closet 3 25.02 ` t AI n - GO'VTRAGTtOR ., � . $ ) Water heater 1 37.52 lw 3,.?. '' 2i ix f_G.A d u•. >3 $m .,, , &.kE li P,e. a. e ,,, J . ^ S�.a - ^ .: e Business name: CRAFTWORK PLUMBING INC. Water Pina r P � DWV 56.29 Address: 7737 SW CIRRUS DR Other: 25.02 City /State /ZIP: BEAVERTON OR, 97008 Subtotal Minimum permit fee: $72.50 Plan review (25% of permit fee) CCB Lie.: 79666 Plumbing Lie. no.: 20 -148PB State surcharge (12% of permit tee) Authorized signature: / (e- ( 7- 0 TOTAL PERMIT FEE ® /� This permit application expires if a permit is not obtained within 180 days Print name: PETER POLLARD Date: after it has been accepted as complete. "Fee methodology set by Tri- County Building Industry Service Board. e\ n„ ildins \ Perm ,s\Pi.MU- Pernutnpp,doc to /01/09 440- 46I IQ Building Division Development Code Provision Review T i GA>zD Residential Projects Building Permit No: fa15T3c) 1 1— 0010 I _ / CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Lit/ Routed Plans: Original Plan Submittal Date: G, �y% /f 1st Revision Submittal Date: ❑ Site Plan Only 2 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 JLL at 503 - 718- r:2q':Si or 14C'✓ @tigard or.gov) Lad Use Case No. Uf13 g)-6 oblO Name W -1.5 FER-/ci H DI Zoning as e� Er Setbacks: Front S Rear /J Sile 7 Street Side /d Garage ❑ Maximum Building Height 5 ' Actual Building Height 3 V Visual Clearance Er—Easements P C 3 PUE r -c a / Er Sensitive Lands Type: 01 P'� Notes: Original Plan: Approved EK Not Approved ❑ Date: (o I 101 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) ❑ Actual Slope: 5 Notes: Original Plan: Approved -Er Not Approved ❑ Date: / / S 1 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City,A rborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) // ❑ Street Trees ❑ Protected Trees Notes: Original Plan: Approved Ea Not Approved ❑ Date: yirc1011 Revision 1: Approved ❑ Not Approved ❑ Date: 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 r , No • Date Routed to Building: 'I/ y Page 2 of 2 R� T; �_ . .; - .:.V" .5:.!_. "•L [i;:et .� -' .S 1 14 , ..i'�o.'."'+ , aat',Lp +' - . �... - - .y.4'..3,!, :s,.,,.b :.W. gC'�km.ti0.•9i' . :: q:. .��+ x'' r.? a. �. n +ks�� „x,`r�Ca....�, {t. ✓�. -�hn:. ��': L::. .�rt. .,..,..t -L, .4 eZ -. r - -, 4: .��. . ?'.J � ',i j • lErFr r I ■,1: 4 „: Credit No.: f 7 O O JUN 9 2011 Date Issued: 6 / /loo . 6 01% WASHINGTON COUNTY DEPARTMENT OF LAND USE AND TRANS ORTATIOI 1 7 t*V LAND DEVELOPMENT SERVICES DIVI IO> I V I ° °.: ' LD 155 FSTAVEN B UILDING D l r !E ngineering ;< :z 1 1 11 OREGON 9 7424 (503) 646 8761 Authorization , �/ t '4 Date: ���� • TRAFFIC ACT FEE Land Use ..c--01--- `` • IT € Casefi No_: �� ®� ®I'�J , ` In accordance with the Traffic Impact Fee Ordinance, .—X /7? 0 60 '' J (name of developer) is entitled to $ f8 e 7/ 'P.52-- in Transportation Impact Fee Credits that can be.a plied to TIF charges for development on lot(s) 1 — d98 E :': of the V' ' /47 - *JO Hiri2 (�eee(Development. The use of TIF credits • are subject to. the rules and limitations of the TIF Ordinance which are listed on the back of this voucher. WARNING: This voucher must be presented at the time of ` 'k issuance of the Building Permit, or if defe ral as ranted, suance of an Occupancy • Permit. f • ,-,„- .�.� Dir ct M -, �� � >.� '.tea- -� � ,. =• • �+ - - 4 . ...: r _t • .... - \ ..;.. < S ?,1 -. ':2d - ]1L:�� _ '. if -. i. �' : 4�::', i Y ':1 :}'.: �Tkm' twr ,SV r. � i =�.2 . :r..::, �� Vi i,: ” - �`:L �::.,F if. ..{ . ,F� S'I Vii.. : R ' "iy^#}:.r • .r:: i s • 3 :. r >,�•i- Perm'1 �,.-: i • r �t:��!..r,- ,:.,.�sl<I_. hh.- r,:., -... . ).'sI�I.Ut1;l�b� :�rs•:> ,�,;: ; -� � { =SL. �_f.. �'r �'i {z� :x �.fi- �saf��:.x,,, -: .t 3LeF. ", 5 3^ ' -�!G ... ... ...: ��- ..��: >'� +..L�:S..- ..- �... -.Y,. .... \.c_...�l. •1.. 4�e`i -r.. �f: - ���.�� ,� >... •I . Beginning Balance /8 7 '9/9, 32_ /o. / /ii /I 49i3W A'S --.7, /o4, 4r-et /9•V, ef , 3.2. ° /0p//o mss; /o ADi3 ti'y 3 /off od /P' /, 7p , 3,2 e•''' 4) p /o /-.240/8 •- Da/..g . - %emu s;r ) /a- -oemy/ s:2 2,i06,00 / Sf95'. 3 ; ` �a/ �0 MSTa0/0 . 00 /' /O .5"i . /.06,0o /7 1, jg . ,:Ag. I f /o /7 / /.o A9.sr ger /o -- e D/ 5% I /06 , e0 /69 ,g P J. 302.. iv /8' (!o My' go/6-06 tl, 33. I W . v� I' (7C i /7.. 3a 131 ` . h l e lAlio NW" dole, Aq �; i0(4..i >�� / (03 �i-71. 3 (3 jj ru/Slro }!51`2.0,0 -aot7a go &lob •" j i i 4 , 5. 5a- PM) l !0 /c AI Hof "iMr - 0017'2) Alt gt 10 & - " 1 869 .32, 04 )! A /0/8 /I }2)r r)c0" 40- 31 146. l 3 - 7 3. 3 . ( , • � v Po/10 HA.). vo/7lp ' `1 ? � / - ,J jr >tv. ``° X50, (147 • •.”' C.0 . . /o /ao /� Mhr �olo. -00177 k) , At. . jcj 7 5q •1. 3�, (►� ,:. , /o /Ro/ro 1 -GO /78 €1 3 100 jqg 14-1 , (i � /0/P0/10 . r 2oro 0001 g • ,5 we, • GO I LI t, 3 A e1 - 3� (- 111) ` 3 + / /ao%o nor Aviv- oo /go $3 22 10 00 L as 3 . �� tP� %, • '004/ io )`t`•� Ar,tA.. �lBt 3 t3, 10( 17,6 117. 32, to(vetto 11yr 9,o10 -oo(82 35 A Inlo' is &, Olt. 32 t t0/ I to t�t�r9.oty- ex) 183 _ 31,0 ?1 I loco • l 2g /a5.3') P + . 1004 (to Mgr'aola -oo tic( 37 � to(,." t AS 7/9 , 3z 4 Y ) ' K Mh'ront0 °oo187 SO I / ../ Balance carried forward to T/F Credit No. ,. -.. T credit expires 10 years after the acceptance of the applicable public improvement by the issuing jurisdiction. . TIF 09 (Distribution: while to LDS; yellow to Applicant; pink to Engineering) + Date Permit Numbers Lot Numbers Credit Used Balance Beginning Balance * /AA, • 3a" ro h ro - •601 3t 0, 1bti '' 1/9 5`57. X 1151 , y .... - ul3jl n i'tyr�to- anr8i 39, g� foto' 0,:, ! «o, s{g l . � ,k?, Az ' f l l5i t v N9rAaty ..00140 33 Z I ta[o ' °°' 6V,...-17,5 376.#2- - ...e,.. -- / Als ,AoIt d406 Q/ <g' /d 1 ," z`, ; /i /`9S7: //•- 06 e9.2 /v 6 , " /D 9 /6-7.-2; - /7/// / 4 o 4 'e 6 4 Y hi % 6'S.7-,..41- .� _. 4 * Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 10 years from authorization. This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. • City of Tigard • = Building Division TIGARD TRANSMITTAL LETTER TO: i I\/4 DATE RECEIVED: DEPT: BUILDING DIVISION Q • s .4 a ! li d + � JUN 1 6 MI FROM: ZAP-1 -1 CL / • COMPANY: �f . f� 1 ��i. PHONE: 6 /7/ 61 317/ RE: x'<".(f_iV ;�, j 6 vZ MST - to, 01 r'(IJ q? (Site Address — *emit rinser y ,6665 C. ZZ= ,3 , ,A; j a ms T I 'G'J , '7 � , t) . / 7 'roject name or sub brvrsron name an of number ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and /or lateral analysis. Floor /roof framing.(?- F %5i -i6-) Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): • REMARKS: FOR.O F FICE USE ONLY Routed to Permit Technicia • Date: ?- ( (( Initials Fees Due: ❑ Yes [ io Fee Description: Amount Due: • Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011 , . M5 Zo i 1 - on in 1 Village at 44% A r_711 irr) E rAq-tU (1) 1 j ,-.-. V .., U) ( SW MALLOW TERRACE 1 i — JuN 10 2.011 Summer Creek _, — c B..* -7€ : -..- ','7 4: \ \ CITY OF TIGARD › > ---1 _1 BUILDING DIVISION • .,... › -4 • '..\ - \ . , - \ 1 , . 8 9 3 0 I \ .. i > : @ @ -- . . . 6 . ' 51 ' \ 6 \ \ ' \\ r■* , , ---..-- - ' -- , v ,, • , 1 1 \ -,\ • \\ - -I 3 5' i . • I , I, Building Plan: 16 \ 7.9' -', . ____ ____ ____ I ' -'- I Lots 53, 54, 55 & 56 1 - \ : v - Units B-C-B-A 53 I I 54 I 1 55 56 SITE PLAN FF/TOW 193.34 FF/Tow 193.34 FF/TOW 193.34 FF/TOW 192.34 I I GS 192.64 1 GS 192.14 GS 192.14 GS 191.64 I Scale: 1"-10 , , , , , , , ' .o,i, 1 1 1 ■ ■ : \ \ , '., - ■ \ \ 1 1 ■ I I 1 , . - \ \ ■ \ 1 ' / , \ ■ • ■ _,..„ \ I 1 ,, ••, \ --r- 1 , I . 22.3' ;,- \ — _ \ \ \ , _____ ___F \ --, _- 3 5' -- 1 I-- r : I 1 . 1 r 0 \ \ r F . . r --- - - CILEW_ -- -- - I . , : 1 \ I 15.4 0 1 • . , 1 - * t : — — '-, _.-\, •• t _ L .. 18.4 1 : : 3 — i 12.4' 7 7 7 :: 12.4' 15 --- — 1 — 7 — —133'— \ -0 / - - ,_----.:-..-:-. - '1' . .: ' • .,, I • I • kr/ .....^- . . • .■ . • - • • - u) -. u) u) . - • P . • : io s -- • • , „ : : . : . . . : . : : : : : : . H : — ' . : : : : - . . : • ..,i0:::::::1::::::.,:::::N:::::::::.::::: C 0 1:, SW SAGE TERRACE \ rEVGRTIEE'RING ASSOCIATES CORPORATION 1 1 ': : ,'''...- 17757 Kelok Road Lake Oswego, OR 97034 Tel. (503) 636-4005 Fax (503) 636-4015 STREET TREE , , i a . T,G .CERTIFICATION 1 j , 13 ,ii w, , owner/ agent for I k k0ir 5 (PLEASE PRINT) (PERMIT HOT .T)ER) 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. 4 20 Li PERMITNO.: oo ►o o 00 10 / o ( iv'' SITE ADDRESS: a ; c y . / u v 2 31,E e---5,e r >, C SUBDIVISION: S i v vim.,., C -,....e t Z LOT #: CS - 5L SIGNATURE: DATE: /17// ( ` (O ►. R /AGENT) RE CEIVED & '- VERIFIED BY. �� u� DATE: 1,216- l( (CITY OF TIGARD) Tree location verified per ..proved site plan. I: \ Building \Forms \StreetTreeCertificate 04/01/2011 • Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS 0 ) " c / I , 0 0 0 0 Permit No.: 0 t' i 0 O , Jurisdiction: 1 /case /09 70, /o Site Address: /I> 9 ti;i, /0a ��✓ sc, rU ��. � Op 9 75 /j®oZ Subdivision/Lot #: -Sup w.w- C € 12 j 3 -- 5 and /or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Signature: � �— Date: /zr9 /r1 Owner /General Contractor /Authorized Agent • Print Name: g . 1 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. tzt 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 R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, 1,.5 .11 , am the general contractor or the owner - builder at the following address: /o776 Site Address: u I9 ` /7 1) City: `r � G,Cir El 1 143 % 7i Permit #: r /°`-° ___f__ Subdivision/Lot #: 5 � "77 dr- C-c. c 5 3-- 5 c`. 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: Date: / 2 A /- Geri ?al Contractor or Owner - Builder I: \Buil ding\ Form \RES- MoistureSensitiveWood.doc 09/25/08 C1,57-0/1-06/01 ,sef-- FIXTURE U VET WORKSHEET - WATER METER Contractor Name a. /76/( Billing Address _f6620 6th G•teP MS Fr.-eli ie4 ' ■. ar-D Wiz. O X 97t'-/ • Address of New Meter /WYY / iaftt Lot # 0 Subdivision t/ /tbel6 e ol m Please fill in the number of each fixture as detailed on the plans, then multiply quantity by the point value given to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Quantity Point Value Point Total Bar Sink X 1 = Bidet X 1 = Clotheswasher _ I . X 4 = "4 Dishwasher I X 1.5 = I, Hose Bib 1 X 2.5 = 2.5 Hose Bib, each Adt'l I X 1 = 1 Kitchen Sink I X 1.5 = /.'D Laundry Sink X 1.5 = Lavatories 3 X 1 = 5 Water Closet, 1.6 GPF 3 X 2.5 = 7 5 Bathtub/Whirlpool X 4 = Shower Stalls / X 2 = 2 Bath/Shower Combo 1 X 4 = 41 Under 34= 3 /4" Over 34 = 1" Total Fixture Points 2 9 �r Meter Size � /ei Meter Cost Z5Z21 c& *********************************:********* * * * * * * * * * * * * * * * * * * * * ** ** * *** * ** FOR OFFICE USE ONLY Fixture Count Verified with Plumbing Permit Meter # Receipt # Emp. Name OFFICE COPY Revised 10/09/2007