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Permit q CITY OF TIGARD MASTER PERMIT ill 1 - - - COMMUNITY DEVELOPMENT Permit #: MST2012 -00043 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/16/2012 Parcel: 1 S133CA08800 Jurisdiction: Tigard Site address: 13658 SW ROSEMARY LN Subdivision: VILLAGE AT SUMMER CREEK Lot: 11 Project: Village at Summer Creek, Lot 11 Project Description: Building 3, new SFA 8/2/2012: REPRINTED to add A/C. Unit must meet setbacks as approved by planning on site BUILDING Floor Areas Required Setbacks Required Stones: 3 Bedrooms: 2 First: 38 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height: 33 Bathrooms: 3 Second: 573 sf Garage: 480 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 573 sf Right: 3.5 Detectors: Total: 1184 sf Value: $150,625.12 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 1184 Owner: Contractor: CENTEX HOMES CENTEX HOMES Required Items and Reports (Conditions) 3884 SE AERIE AVE 3884 SE AERIE AVE 1 Ersn Cntrl 503 -681 -4444 HILLSBORO, OR 97123 HILLSBORO, OR 97123 PHONE: 971 - 246 -1417 PHONE: 971- 246 -1417 FAX: 503- 608 -3061 Total Fees: $12,818.16 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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: q 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. 1VIechasnical Permit Application FOR OFFICE USE ONLY City of Tigard • Received Permit : �j 'a 13125 SW Hall Blvd., Tigard, OR 97223 Da Review . ��- v C ' Phone: 503.718.2439 Fax: 503.598.1960 Dan atr./By: Other Pmt: Date/By: T I G A R D Inspection Line: 503.639 Date Ready/By: IN s 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. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* • 14 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 1365 v Q S ) R {t (requires site plan showing placement) 1 46.75 46.75 Furnace 100,000 BTU (ducts/vents) 46.75 City/State /ZIP: Tigard, Oregon 97223 Furnace 100,000+ BTU ( ducts/vents) 54.91 Suit ldg. pt. no.: Project name: Village at Summer Creek Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job ste: 135 and Scholl Ferry Road Duct work 23.32 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 23.32 Gas fireplace /insert 33.39 'SFR Town Houses —Add A/C to exsisting Permit t" 6r ZO /2 ()Q 0 `I/ 3 Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ® PROPERTY OWNER ❑ TENANT Chimney/liner /flue/vent 23.32 Other: 23.32 Name: Centex Homes Environmental exhaust and ventilation: Address: 3884 SE Aerie Ave Range hood/other kitchen equipment 33.39 City/State /ZIP: Hillsboro, Oregon 97123 Clothes dryer exhaust 33.39 Fax: Single -duct exhaust (bathrooms, Phone: (971)246-1417 ( ) toilet compartments, utility rooms) 23.32 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Centex Homes Other: 23.32 Fuel piping: Contact name: Bill Waggoner $14.15 for first four; $4.03 for each additional Address: 3884 SE Aerie Ave Furnace, etc. Gas heat pump City/State/ZIP: Hillsboro, Oregon 97123 Wall /suspended /unit heater Phone: (971) 246 -1417 Fax: : ( ) Water heater Fireplace E -mail: Bill.Waggoner @Pulte.com Range CONTRACTOR Barbecue Business name: Muehe Quality Heating Inc. Clothes dryer (gas) Other: . Address: 7301 Kable Lane, Ste# 500 MECHANICAL PERMIT FEES* City /State/ZIP: Portland, Oregon 97224 Subtotal 48 75" • Phone: (503) 598 -0966 Fax: ( ) Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 50096 State surcharge (12% of permit fee) ,S, t TOTAL PERMIT FEE SA. ,'-;A t / Authorized signature: Y This permit application expires if a permit is not obtained within 180 v days after it has been accepted as complete. Print name: Bill Waggoner I Date: • Fee methodology set by Tri- County Building Industry Service Board I \Building \Permits \MEC- PermitApp.doc 03/07/12 440 -4617T (II /02/COM /WEB) I' j t. • OFFICE COPY V i llage - -- _ - _ -- = .__ __ X-�� - -X X X- X I n .. X X ' I �i; 10 i 10.0 I I S urrirner IIreeI'z � / 18.0' �_ 18.0' 1 18.0' I 18.0' � 15.3 p 7 --------A\-- ,------- 15.8' — - _ - - - - - I \ —�— ■ l> I I r47 9 ' 10 11 FF/TOW 187.64 FF /TOW 187.64 12 1 Building Plan: 3 ■ GS 186.94 GS 1 GS 1886.9 4 4 GS 186.44 FF/TOW 186.64 I \ I 1 Lots 9,10,11 & 12 TOP 187.10 1 TOP 187.10 TOP 187.10 TOP 186.10 I Units A -B -C -A w o � \ 1 I I SITE PLAN S o I t I Scale: 1"-10 i — vi 1 I \ _ — f1 I _LI_ x\5.1' :..1 r - -� r -- 3.5' r . I I. r L I • \ • • - • • • -• • 1 1 1 O \ - ..24:.0. • . . • 20.0' . e..• # \ ..24.1'. — _ - . — . — — — — I 22.1 — I �I • 25.9' 1 25.9' 1 — I 1 • r . O 1m I lip • • \ _ 1 o. .::... .. ::..: ................::::...... .::::........: : . .... .. 7-,, ENGINEERING ASSOCIATES CORPORATION .- .• • O M A 17757 Kelok Road Lake Oswego, OR 97034 \ \1 WAT S ill Tel. (503) 638 -4005 Fax (503) 636 -4015 • 12" — CITY OF TIGARD MASTER PERMIT • Is COMMUNITY DEVELOPMENT Permit #: MST2012 -00043 T I GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/16/2012 Parcel: 1 S133CA08800 Jurisdiction: Tigard Site address: 13658 SW ROSEMARY LN Subdivision: VILLAGE AT SUMMER CREEK Lot: 11 Project: Village at Summer Creek, Lot 11 Project Description: Building 3, new SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 38 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height: 33 Bathrooms: 3 Second: 573 sf Garage: 480 sf Front: 12 Smoke Dwelling Units: 1 Third: 573 sf Right: 3.5 Detectors: Yes Total: 1184 sf Value: $150,625.12 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 Drywell -Trench Drain: 0 Other Fixtures: 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 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R - 3 1184 Owner: Contractor: CENTEX HOMES CENTEX HOMES Required Items and Reports (Conditions) 3884 SE AERIE AVE 3884 SE AERIE AVE 1 Ersn Cntrl 503 - 681 - 4444 HILLSBORO, OR 97123 HILLSBORO. OR 97123 PHONE: 971 - 246 -1417 PHONE: 971 - 246 -1417 FAX: 503 -608 -3061 Total Fees: $12,765.80 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 ugh 0 952- -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 B : < Permittee Signature: tp Call 503.839.4175 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. 6tLet...At nr. 3 j Buildint Permit Application Residential /� FOR OFFICE USE ONLY 14 City of Tigard Date /B d �n C O Permit No.: era 41 3 I • 13125 SW Hall Blvd., Tigard, OR 97223 RECEIVE ,.Ian Revie , ' 1,. I Other Permit: �l (a /i1 Phone: 503.639.4171 Fax: 503.598.1960 Date/B :� TIGARD Inspection Line: 503.639.4175 Date Rea . y : y : Juris: ® See Page 2 for Internet: www.tigard or.gov FEB 2 9 2012 Notified/Method: Supplemental Information TYPE OF WORK CITY OF TIGARD REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ DeiUING DIVISION 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 ❑ CommerciaUindustrial Valuation: 50 &2-5 l2 ❑ Accessory building ❑ Multi- family Number of bedrooms: 2 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: lat 6 71,05f NPAy 0 New dwelling area: 1186 square feet City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 480 square feet S73 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 18 square feet 573 Cross street/directions to job site: CORNER OF SW BARROWS RI), Deck area: 128 square feet SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: (b (( square feet 33 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 1 I Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT C 1186 SQ. FT. Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: CENTEX HOMES Type of construction: Address: 3884 SE Aerie Ave. Occupancy groups: City/ State/ZIP: Hillsboro OR, 97123 Existing: Phone: (971)246 -1417 Fax: (503)608 -3061 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: Bill Waggoner licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 3884 SE Aerie Ave. jurisdiction in which work is being performed. If the City/ State/ZIP: Hillsboro, OR 97123 applicant is exempt from licensing, the following reasons apply: Phone: (971) 246 -1417 Fax: : (503) 608 -3061 E -mail: bill.waggoner ®pulte.com CONTRACTOR Business name: CENTEX HOMES BUILDING PERMIT FEES* Address: 3884 SE Aerie Ave. (Please refer to fee sehedrrl J City/ State/ZIP: Hillsboro OR, 97123 Structural plan review fee (or deposit): Phone: (971) 246 -1417 Fax: (503) 608 -3061 FLS plan review fee (if applicable): CCB lic.: 182591 Total fees due upon application: Amount received: $�67� Authorized s ( ....---/_z___ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Bill Waggoner Date: OV/4„,_ ■Fee methodology set by Tn County Building Industry Service Board. I:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 440 -4613T(11 /02/COM/WEB) Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE. LSE ONLY City of Tigard Received y }k t,' Permit No.: Vac? 1 g- - 3 a 13125 SW Hall Blvd., Tigard, OR 97P$R 2 8 2012 C Phone: 503.639.4171 Fax: 503.59$ I Plan Review Other Permit No.: DateBy: 411,./ II , T I c A R D Inspection Line: 503.639.4175 CITY OF TIGARD Dale Ready /By: kris: ® See Page 2 for Internet: www.tigard -or.gov Notified/method: Supplemental Information TYP OFWIPING FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration /replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 6. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath I 312.70 ® I - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath I 500.32 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Pagc 2 JOB SITE INFORMATION AND LOCATION Site utilities: - Job site address: I 3e,y s - Rpgf-1'�A4 y Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State/ZIP: TIGARD OR, 97223 Footing drain (no. linear ft.: 100) I Page 2 Suite/bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK Manufactured home utilities 50.03 Cross street/directions to job site: CORNER OF SW BARROWS RD, Manholes 18.76 SW 135"' AVE, AND SW SCHOLLS FERRY RD Rain drain connector I 18.76 Sanitary sewer (no. linear ft.: 100) 1 Page 2 Storm sewer (no. linear ft.: 100) I Page 2 Water service (no. linear ft.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: I I Fixture or item: _ Tax map /parcel no.: Backllow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer I 25.02 NEW SFR TOWNHOUSES Dishwasher 1 25.02 UNIT C 1186 SQ. FT. Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: CENTEX HOMES Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 3 88 Li SC 4.E RIF AVE Garbage disposal I 25.02 City /State /ZIP: iir. /c/RO(Z77 / OR 97/Q3 Hose bib 2 25.02 (q7))@/6 f l7 Ice maker I 12.51 ❑ APPLICANT IN CONTACT PERSON Interceptor /grease trap 25.02 Business name: CENTEX HOMES Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: ■ firez W, bbo/YER Roof drain (commercial) 12.51 Address: 3ggy S Sink/basin/lavatory 5 25.02 City /State/Z1 P: it 0, oR 97) x3 Solar units (potable water) 62.54 C47)) d'16-1111 Fax: (503) 608 -3061 Tub /shower /shower pan 2 12.51 1,�11�q/l1 • wAGGONFa - TE.CCa1 Urinal 25.02 E- mail: Water closet 3 25.02 CONTRACTOR Water heater I 37.52 Business name: CRAFTWORK PLUMBING INC. Water piping/DWV 56.29 Address: 7737 SW CIRRUS DR Other. 25.02 City / State/ZIP: BEAVERTON OR, 97008 Subtotal Minimum permit fee: $72.50 Plan review (25% of permit fee) CCB Lic.: 79666 Plumbing no.: 20 -148PB a State surcha (12% of permit foe) Authorized signature: //,e4,,/ TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: PETER POLLARD I Date: A" /710 after it has been accepted as complete. •Fee methodology set by Tri- Counry Building Industry Service Board. 1:\ Building \PermitstP1.MU- PcrmitApp.doe 10/0I/D9 440- 4616T(I0102/COWWEB) Mechanical Permit Application rt h ' ()I t ICI' I : t ( ) , \ 1 , 1 City of Tigard RECEIVE; 0. - - : - A6a ` i e / ,MII '� • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Phone: 5 3.63 171 Fax: 7503.598.1960 FEB 2 8 9012 t s Ry mw Other Penile 51 0 .4 . 01 ' e 1 1 3 T I G A R D 1 Date Ready/By: Awl= H See Page 2 for Internet: www.tigard- or.gov Notified /Method: Supplemental Information CITY OFTIO t a � ' ) { A,: _ C ,c ^ _ w aA- 1 i i i ' -� •- �- .. .,. ; ..': ....1 I1 r17�:,Q� 1 0)�� __�rt, -. :? M y .:_ 0 �I �!J.,1•V- ti'atd 0_x I�, Ll� � ' .L.�_ f i_I 5_l' El New construction ❑ Addition/alteration/replacement Mec}mmcal permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. k , .. - i 0 .C) r_ r ant- e� a1 a 3, _ ue: $ ;: y }-1 iii ,,.,5._st,,c ? ?I 33nINC''li„ i t t2, ® 1- and 2- family dwelling ❑ Commercial/mdustrial ❑ Accessory building ❑ Multi For special information use checklist. y ❑ Master builder ❑ Other. Description I Qty. 1 Fa. I Total �r r: -_ +, o i .ct U I .rII 1-X7-2 'tI U V? ,,_ I I 0 c9 ∎ H QL 3I " ? 1 z ;',..: Heating/tooling /� 4 ^ Air conditioning Job site address: I 3498 p ✓, _ kt 44 y (eapurw site plan showing placement) 46.75 City/State/ZIP: TIGARD OR, 97223 Furnace 100,000 BTU (duets/vents) 1 46.75 46.75 Furnace 100,000+ BTU was/vents) 54.91 Suite/bldg/apt. no.: I Project name: VILLAGE AT SUMMER CREEK Heat pun, 61.06 Cross street/directions to job site: CORNER OF SW BARROWS RD, Duct work - 23.32 Rydron t hot water system 23.32 SW 135TH AVE, AND SW SCHOLLS FERRY RD Residential boiler (radiator or . hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in-duct, suspended. etc. 46.75 Subdivision: VILLAGE AT SUMMER CREEK I Lot no,: 1' Flue/vent for any of above 23.32 Other 23.32 Tax map/parcel no.: Other fuel appliances Water heater 1 23.32 2332 NEW SFR TOWNHOUSES Flue fireplace 33.39 Flue vent for wafer heater or gas UNIT C 1186 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fneplaexfinsert 23.32 z �) u) „ r ❑ u l E Chinmey/liner/flue/vent 23.32 • . � � r Other 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation : /� SE t e�-F A - v t , Range hood/other kitchen Address: 3��' equipment 1 33.39 3339 Ci r-i‘ OQ 9 7)Z3 Clothes dryer exhaust 1 33.39 33.39 / Single-duct exhaust (badtroons, Phone:. (771 ay6 -I y/ 7 Fax: (503)608 -3061 toilet compartments, utility rooms) , 4 23.32 93.28 1 I �7 3 c , r _ ' : e v .n r +. v u `r . A ttic/crawlspace fans 23.32 F Business name: CENTEX HOMES _.� �..._ --- = . - - -- . -- _. --- Other: 23.32 Fuel piping Contact name: ■ 8�L t✓�6,0ER 514.15 for first four, $4.03 for each additional Furnace, etc. 1 14.15 Address:. 3g$ If ,S5 ,t} fsi�fi lz._- Gas heat purr, City/Stale/ZIP:' dra seoRo,D2 97/0?3 Wall/suspended/unit heater Phone: ■ (ei 7/) a I Fax: : (503) 608 -3061 Water heater 1 Fireplace E-mail: 1 Ws4 j4 7. lA/AbbONEQ e_ Pug - Fay Range 1 L 'x l ( F r . ..� r _. ._:,, z s_ -..� { malt - faw�� -; c. �Y. .... "'�c , -'t Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (seas) Other: Address: 7301 SW KABLE LANE, S T E 5 0 0 : ? !T ;, ; 4 - : - . x i!_ •vCVXvti; 111VOLT ri' k:= ::. City/State/ZIP: PORTLAND OR, 97224 Subtotal Minimum permit fee ($90.00) Phone: (503) 598 -0966 I Fax: (503) 598 -8498 Plan review (25% of permit fee) CCB tic.: 50096 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: / / • Thb p ermit application expires If a permit Is not obtained within 180 - days after It has been accepted as complete. I Print name: KYLE . t' i ' r Dater. I • Fee methodology set by Tri- amty Building Indusny Service Bond L I1dlttgTermhslMEC- PemdtAppdoe IWO1/09 440.46171 (I1102/COM/wEB) Electrical Permit Application FOR OFFICE USEONL City of Tigard RECEI J E ? ,,a - Penni, No.:11600 I,- . DoG'4 : 114 ° 13125 S W Hall Blvd., Tigard, OR 97223 1 d � Plan Review PAL (�� a Phone: 503.639.4171 Fax: 503.598.1960 DateBy: v 80 2., 5 . T I G ARD Inspection Line: 503.639.4175 FEB 2 9 LULL Date ReadyBy: JtJurist I ® See Page 2 for Internet: www.tigard- or.gov Nodfud/Method: Supplemental Information s a�.� '4 r .a � t~lts trialL q s 1 &4' h K_ ' � r4t ..: �'�i.4* l�v �; � y wr .. �2,x 'i:.�,4 .. �._ 1 .. �5�,.'f�. �.�..a`LL'.. - '.� �. .�M� r nP ..6i -.r.+� +avn` - `�{'31'�"- kVf-l- ��`, -� ® New construction ❑ Addition /alteratiJ )I4jIVISION Please check all that apply (submit 2 sets alphas w/itellss cheeped below): ❑ Service or feeder 400 Imps or more Q Building over three navies. ❑ Demolition ❑ Other: where the available Get current ❑ Marinas and boatyards. � V� ' , , ; ., . Tuft ECti� © ∎ 1O -fit, , 1 - " e � � � �." se w exceeds 10,000 amps at 150 volts or 1:1 Floating buildings. • less to ground, or exceeds 14,000 ❑ Commercial-use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or ❑ Emer s larger separately derived system - . B4 )MA.„B0 0 1 "..:4 ° is , s' ,', its 0 Addition of new motor load of ❑ Job no.: I Job site address: l j . 0 1g,c5elifejl 10 or a residential guy. ❑ ❑ Sic or or more rrsidential units Recmational vehicle parks. City/ State/ZIP: TIGARD OR 97223 ❑ Healthcare facilities. ❑ Supply voltage for more than ❑ Hazardota locations. 600 volts nominal. Suite/bldgiapL no.: I Project name: VILLAGE AT SUMMER CREEK ❑ Service or feeder 600 arms or more. Cross street/directions to job site: CORNER OF SW BARROWS RD, Desnlwbn I oty..1 Fee. I Total I • SW 135" AVE, AND SW SCHOLLS FERRY RD New residential single or multi dwelling unit. Includes attached garage. , Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 1 I 1,000 sq. fl. or less 1 168.54 168.54 4 ( Fa. add'I 500 sq. ft. or portion 2 33.92 67.84 1 1 Tax map/parcel no.: Limited energy, residential I 75.00 75.00 2 °g T.t sniff _- -{-` 4*- ri 70 ax K - ' " i 4 7 ` s `,: :'` -4s.V : (with above sq. ft.) Limited energy, multi - family 75.00 2 NEW SFR TOWNHOUSES residential (with abovesq. It.) _ Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 WOOL s RO .ER ]1QWAI .1 � z - ' • �""._� - TEj1 r °4 _,__:,, =u' ' 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 i Name: CENTEX HOMES 601 amps to 1,000 amps 301.04 2 Address:. 38s if SE kregy5 Over 1,000 maps or voles 552.26 2 City/ State/ZIP: f tr�58C1�'� t7R 97/?3 Temporary services or feeders installation, alteration, and/or relocation Phone: ICq 7I) a tf6 - /h/l Fax: (503 - 503 -6031 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, d 71 401 amps to 599 amps 168.54 2 --- Branch circuits -- e new, alteration, or extension, per pan Owner signature • i �o L, Date: - 1 Z A. Fee for branch circuits with .,Y " _ r . C�eTNJ _:, �: - ; .7 B., I - ; ' - above service or f f 7.42 2 e a ch branch circuit Business name: CENTEX HOMES B. Fee for branch circuits without • service or fader fee. first 56.18 2 i Contact name: CSfLG wfl6Go/ie. brand' circuit - ' Each add'l branch emit 7.42 2 Address: WI 1 4 sF A v. Miscellaneous (service or feeder not included) o i o Ok 7) a 3 Each nuutufactured r modular City/State/ZIP: / - fUL$i . 9 darellitlg, service and/or feeds 67.84 2 Phone: (q ay6 - /y /? I Fax:: (503) 608 -3061 Reconnect only 67.84 2 E -mail: W W 14fl • ),1406oNER e. Pti-Tr• CCviet Pump or irrigation circle 67.84 2 1 e ?r w _ . x Signor outline lighting 67.84 2 J • '� r a.. r, 3eU lt4.:10iS = • , :4 W" Si dreuit(s) or limited- energy Business name: GARNER ELECTRIC panel, alteration, orextension. Page 2 2 Each additional inspection over allowable in any of the above 1 Address: 2920 SE BROOKWOODAVE, STE A Additional inspection (1 hr min) 66.25/hr I City/State/ZIP: HILLSBORO OR, 97123 Investigation (I hr min) 6625/ hr industrial plant (I hr min) 78.18/ hr Phone: (503) 648 - 4552 I Fax: (503) 642 - 7925 Inspections for which no fee is 90.00/ hr specifically listed ('A hr min) CCB Lic.: 182591 I Electrical Lic.: 34 -305C I Suprv. Lic.: 'VffMlIIlR ;z Subtotal: Suprv. Electrician signature, requir (25% Plan review (25.6 of permit fee): Print name: CHUCK OA ER Date: State surdtarge (12% of permit fee): Authorized signature: ` , TOTAL PERMIT FEE: This permit appltotlmr expires if a permit is not obtained within 180 Print name D ate: days after it has been accepted as complete. N um b er o inspections allowed per permit. 1: tBuildingWenaitatELC- Pem:hnpp.doc 07/01/10 440- 46151111/05/C061/WEB 1, 2 'II J ALL/ CiaS20-L, III e ° Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: l x $901 d' a CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: 1 Original Plan Submittal Date: 7 I I -s 1st Revision Submittal Date: ❑ 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 Sly- l 2i6"1 at 503- 718-A4Si or 2414'441 I L @tigard - or.gov) Land Use Case No. •6 e1�60 -1 /?Dl) ( Name ..000-4S Fe J '14 ❑ Zoning Q as - ❑ Setbacks: Front /1 Rear /D , Side 3 Street Side ll Garage g — .1.) ❑ Maximum Building Height ¥S' Actual Building Height $ 3 ❑ Visual Clearance ❑ Easements ❑ Sensitive Lands Type: to.) S i/ Few Wait age, to OAL S" Step E414 - P010 Notes: Original Plan: Approved 12 Not Approved ❑ Date: 3/ ti I V 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: -2 % Notes: Original Plan: Approved4f Not Approved ❑ Date: /BA Z' Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 � d Citty Review (contact Todd Prager at 503- 718 -2700 or todd @tigard- or.gov) I treet Trees Protected Trees r / Notes: a l f zJ f f Ovid' 1rtxi 0 (Cc t ore,,+ Original Plan: Approved Not Approved ❑ Date: 7-- - 13-- 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 • No.. ❑ Date Routed to Building: Page 2 of 2 V illage at .____. _ _.� - �bh�I 10.0' I 10.0' 1 10.0' $�� �� `� I I MAR simmer Cree , O 18.0' _ 18.0' I � 18.0' 18.0' . ‘ 15.3 Cl�F G i•i[� BUlLDlNG � V .ION G-(.1\'‘ I I I Al% )( x I I II S, LT F A / \ 15.8 , - — — __ -L ' i — --L ___ . — , — — 3.5' I I 10,11 '' \ 9 10 1 1 12 �` F F /TOW 187.64 FF /TOW 187.64 FF /TOW 187.64 FF /TOW 186.64 Building Plan: 3 ' GS 186.94 I GS 186.94 GS 186.44 Lots 9,10,11 & 12 ` TOP 187 o TOP 187 o I GS 185.94 L I TOP 187. �` t,..-3. I TOP 186.10 . f Units A -B -C -A I I SITE PLAN S ' 1 f Scale: 1"-10' I I 1 \ �. -1I - � 3.5' ` J t i": 4 ) Vleteree40 - CE A Jt"1tL � - r � I \ L 2 .I 1 - I • ` 24.1 I 1 1922.1' _;4 _- 1 >� I I I� 1 • o C A (L Ea $v ` t . 25.9 25.9 t3D I— — -1 • I � • • .. ' - \ \ \ - . 1%1; -. , 1 . l - . . . . I t ----' \ • . . . ' ... . ' \ Is C.....0 l to 1 C h .. ............. 1 i 9 0 `.. i s • ` v� :.. . ENGINEERING ASSOCIATES CORPORATION 0 A "‘ iii Kelok Road Lake Oswego, OR 97034 � / L , \1 T s O _ _ _ ^_ - Tel. ( T \ l \ 5 el. (503) 636 -4005 Fax (503) 636 -4015 12 " Nf A Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM • 1, 17th , am the general contractor or the owner- builder at the following address: • Site Address: ,36 ,5$ Std Posemmej 1 _ City: �l q Cval Permit #: T20VZ- 0004' , 'Subdivision /Lot ` fir' Cle4.-P LeI and/or Jug► 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 R3I 8.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall he 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: 8/47/;2 Ge rr>� al Contractor or Owner - Builder • Cmuilding or \RES- MoisturIScnsitir..wood.doc 09125/03 • Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 07-2412-00o 4(3 Jurisdiction. ' T 5ci, • Site Address: � e-w4n SCO Subdivision/Lot #: SUANIVA4ae Cet Uri I and/or • Map and Tax Lot ir: 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: W‘i..- Owne eneral Contractor/Authorized Agent Print Name: g1( 6 P.4/ ORSC Section N 1 107.2. I- ligh- 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 he 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:431tildingtl' ormslltl,' S- tlight:l1iciencyl.i_ghting.doc 07/01/08 psi z0 —cm) to STREET TREE CERTIFICATION I, 1311( L ' 0w•- , owner / agent for (PLEASE PRINT) (PERM11 * HOLDER) • do hereby certiO 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. DIE ADDRESS: 1-2J LS Sw Q'°S.eww,, SUBDIVISION: � {�w�, (arc e.( LOT #: ( t SIGNATURE: DATE: 5 14 Z (OWNER /AGE, r) RE CEIVED d� VERIFIED BY: _ ' 7iG DATE: CS m ( ' FTIGARD) I Tree location verified per approved site plan. L:\ Building \Forms \Streetlie Certificate 07/01/2010