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Permit CITY OF TIGARD MASTER PERMIT 2 COMMUNITY DEVELOPMENT Permit #: MST2012 -00076 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/15/2012 Parcel: 1S133CA10500 Jurisdiction: Tigard Site address: 11007 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 28 Project: Village at Summer Creek, Lot 28 Project Description: Building 7, 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: 574 sf Garage: 480 sf Front: 12 Smoke Dwelling Units: 1 Third: 574 sf Right: 3.5 Detectors: Yes Total: 1186 sf Value: $145,059.44 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 Fumy =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 add'I 500 sf: 2 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mid Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +ampNolt: 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 1186 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: $12,778.27 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 -001 OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.11Q0.332.2344. Issued By: Permittee Signature: 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. ... I 1, Building Permit Application Resid FOR OFFICE USE ONLY_ City of Tigard ` ��j �� Date ''/ i1n ts 13125 SW Hall Blvd., Tigard, OR 97.:3' �+ r1 Q Plan Review Other Permit: � ` �� � 2 ... Phone: 503.639.4171 Fax: 503.598.''4.: ' N. l• — A I ate/g TIGARD Inspection Line: 503.639.4175 .�� C. S See Pag for Internet: www.ligard- or.gov 1 O ,.('�3ttC ` ,"'��� , M Supplemental Information P '�'' " -' F» - - •TF• - _.� - ^' -3.'r- g n N - / rl . - d - ,.3 - +fi. � .. > :n = : :: %}�- . , x h.r :T Y -1 > E `'h, t 1 ,- •. Y .i ii �. _ x . ✓ `r _, . E' _ , E' iJIltl-, A.,l ANDdl =F ,...,,.. :.. ® New construction ❑ Det4�`�t P ermit 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 j. -ir ^. ,„,3 r r,;.i:.� �'�— " —°� - = =���..�' -_ . tx . -i;;�: � �';x�- �; >..i work indicated on this application. 1, r . -r.- :PL - `P:: r,"_ iCA E_,_ORYt, R -� n:! : : , z � : 71 :i r.: • :zs i�:�y� >. __- .. :<�` y: � s - '�?r.•.. �� ti*°fr__ ,:�C�� z�;+/r;<tir - - «.,.A.. v.. �...ds.E��.:� <.:t;u�::<' <�:: :,:; ® I- and 2- family dwelling ❑ Commercial/industrial Valuation: r�� ©�j�(,_ ❑ Accessory building ❑ Multi family Number of bedrooms: 2 ❑ Master builder ❑ Other: Number of bathrooms: 3 uvQ ? r--h 1 :., ,. -. Via' .: P , �s <- - i ii :.� -- ; Total number of floors: 3 s; . '- r JU-. -- _, OR1IIA�T ©!1Ps LTD IIOGA3T[U K:•r4 "^�- r'', ��s 1 1 Job site address: I' ()7 S t„V S. je _ i etegce_ New dwelling area: 1186 square feet City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 480 square feet 57.4. Suite/bldg. /apt no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 18 square feet 2j l4— Cross street/directions to job site: CORNER OF SW BARROWS RI), Deck area: 128 square feet S SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: I b6(, square feet FiEQi RDD, _ ii 0; i R I S ® HE I €RL S r� itD s- , v z a ss C: Subdivision: VILLAGE AT SUMMER CREEK Lot no.: RN 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 * . t'Y - D ; '' ... ��'• 1 work indicated on this application. NEW SFR TOWNHOUSES Valuation: S UNIT C 1186 SQ. FT. Existing building area: square feet New building area: square feet 1g � . ERrf U R � '+ ` P; TENA14,T , VAA Number of stories: 3i� . ���,�. :.- �es+'si�.i -� ..b8 � � ...ra.a.f1 }., _.�- . ��.t.'. ;3. ;�: <� Name: CENTEX HOMES Type of construction: Address: 388 5 f A(- Ave__ 1 Occupancy groups: City/ State/ZIP: ' 1 :,ro , 0 cf 7(a_3 Existing: Phone: 971 — , y 6 -t (-7 Fax: (503)608 -3061 New: �- :? '- "� - �-,•� p ����•.:. = .s:- K- �z�z:-Z "-'?,t;.��,�,�;�c ���'� - ' :: �,- -� rsa;a:-�.t',� -�• � ;[^ -F,� r, � _ ,2...� s,'a- ® " ` r,:" ,I -s I�, 'fl G� 3EERS b`' w � s� * ; Ni ,_. . vs C •r x . ,,... Y C:7�.`y,�...iZi�sr <a �s .:� �` � �L' t � �� *l-e, 'Y. a, 'vt �'�, Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: �;� �gLnt licensed with the Oregon Construction Contractors Board J under ORS 701 and may be required to be licensed in the Address: 1 jurisdiction in which work is being performed. If the City / State/ZIP applicant is exempt from licensing, the following reasons apply: Phone: 4 77f - ), 'y 6 -/ c (? Fax: : (503) 608 -3061 E -mail: )y; Ili 40\.1/valmer �; /� 1tti- C0141 — >~� „K'i. n � "'�.;° _ w;t:(CO�!IIT`RACZO' - � : - > ;.'. _ . _. - .• _ � c.':... c � , = [ r . - __ ._ . . .__ . i i . . _-. _,z ... _ .- ..- :- :.GL+ .�...^ « .-..e .. _. `._- �".- z.....ci?l+:� at � 1:� Business name: CENTEX HOMES ,.: - .7 -` '" = BC JILDIPIG :EERItiIIT�?FEES_ *” - °` "° c : : .- ' -f .. +.'. , (Paease/i ferrr?oife'Zii/ edu %)r ,..-__: : .:, ' ^�-' Address: ' S rl (rte � ! Structural plan review fee (or deposit): tr City/State/ZIP ` /0/ 0 P 71 Phone: e ( 1 6, _/ l7 Fax: (503) 608 - 3061 FLS plan review fee (if applicable): CCB lie.: 182591 ff Total fees due upon application: O F Amount received: Authorized signature: 4:a./t/j This permit application expires if a permit is not obtained 7 , Date: within 180 days after it has been accepted as complete. Print name: GARY CUL ' Fee methodology set by Tri- County Building Industry Service Board. l: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(I 1102 /COM /WEB) Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY d v So 1p--0001 Received / I City of Ti Recei e: Permit No.: II v 13125 SW' Hall Blvd., Tigard, OR 97223 Plan Review M� � Phone: 503.639.4171 Fax: 503.598.1960 Uate Fay: Other Permit l.o. Qi .000 TIGARD Inspection Line: 503.639.4175 Date Ready /By: tune: ® See Paget for Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK - 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 It. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 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. R.) Page 2 JOB SITE' INFORMATION AND LOCATION. r., ' . Site utilities: Job site address: 1 1007 si,. �' .yC rt woe 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.: 10(1) 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 SCHOL I.,S FERRY RD Rain drain connector 1 18.76 Sanitary sewer (no. linear ft.: 100) I Page 2 Storm sewer (no. linear R.: 100) I Page 2 Water service (no. linear ft.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 8 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 . Backwater valve 12.51 DESCRIPTION OF WORK - Clothes washer 1 25.02 NEW SFR TOWNHOUSES Dishwasher I 25.02 UNIT C 1186 SQ. FP. Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER I ' ' - ❑ TENANT Expansion tank 12.51 I Name: CENTEX HOMES Fixture/sewer cap 25.02 A e_Ave Floor drain/floor sink/hub 25.02 Address: ,5 E Garbage disposal I 25.02 City /State/ZIP: H.; tr, to in r7 1 Hose bib 2 25.02 Ice maker I 12.51 ❑ • APPLICANT ® CONTACT P ERSON Interceptor /grease trap 25.02 Business name: CENTEX HOMES Medical �a (value: $ 1 Page 2 Primer 12.51 Contact name: r NQ � ( ( - �oA! Roof drain (commercial) 12.51 Address: / - - Sink/basin/lavatory 5 25.02 City /State/ZI P: Solar units (potable water) 62.54 Fax: (503) 608 -3061 Tub /shower /shower pan 2 12.51 E -mail: II�� _ Urinal 25.02 WI u i 4 T • 4ti4y - 1Q ter - O Water closet 3 25.02 CONTRACTOR Water heater I 37.52 Business name: CRAFTWORK PLUMBING INC. Water pipingll.)W V 56.29 Address: 7737 SW CIRRUS DR Other: 25.02 City /State /ZIP: BEAVERTON OR, 97008 Subtotal Minimum permit Ice: $72.50 Plan review (25% of permit fee) CCB Lie.: 79666 Plumbing Lic. no.: 20 -148PB o State surcharge (12% of permit fee) Authorized signature: ,e4,,,/ TOTAL PERMIT FEE 'P his permit application expires if n permit is not obtained within ISO days Print name: PETER POLLARD Date: 0" /710 after it has been accepted as complete. 'Fee methodology set by Tri- County Building Industry Service Board. 11 Building \PermitsU'LMI:.PermitApp doe lo/evai 440- 4O1OT(IO /02ICONIAYEB) r t Mechanical Permit Application FOR OFFICE USE ONLY.: : City of Tigard Received Permit No.: £ O L , bOO1 13125 SW Hall Blvd., Tigard, OR 97223 P a n Re Phone: 503.639.4171 Fax: 503.598.1960 Plan Other Permit: to Q I _000(1 ( TIGARD Inspection Line: 503.639.4175 Date Ready/By: turi El See Page 2 for Internet: www.tigard- or.gov Notified/Method: S plemental Information ..�.. .� Gras -r _ - :r - w r: �. �- �- - �-.s'�+T..�, = n .+rc�, P -c..�= �r -� �1� r = �_.... s= ',��,,y , _•::���]'P m 0 � �U - - , - �s�; _ _ _ ',= �' '�=- °; � -, ��COIVIMERO�ABEE SCHEA�1jE USE GaHE @IQ�ISg � ® New construction ❑ Addition/alteration/replacement w Mechanical 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. `: =?s". r ,- - - °q', Y n r :�; r .w '- - ' s Value: $ ; a s ,, r VAT OF CO SfFRI�C�lIO ;: "+;,a'a^2" < ;.• t �ffe r. � - ,. - r .. z . skrs - .sF::�. - - . ,... -:.,. r:.e ..r - '�'-:-;s. �:d- += :. _...:�.: r: -s _ ?t: Frl Q - 1 - and 2-family dwelling (z. ItESID E� M EN /SYS EMS ES' ® y g ❑ Commercial/industrial ❑ Accessory building For special information use checklist. Multi -famil ❑ Multi-family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total :fie x. ., E iti , o ©3�IO . n m on orr�-.r_fg- ={ ,� -,,.._ S �� HeatinpJcoolinR � - Air conditioning Job site address: CC7 5�. 57- ( c (race... (requires site plan showing placement) 46.75 City/State/ZIP: TIGARD OR, 97223 Furnace 100,000 BTU ( ducts/vents) I 46.75 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: I 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 Resid n t 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 ,,4 ; ?: `t` „ 4;4:412.4 p I f D SCyRI O t O t) 1 : S r , f y=y Water heater 1 23.32 2332 Gas fireplace 33.39 NEW SFR TOWNHOUSES Rue vent for r water heater or gas UNIT C 1186 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 KM- tRl `? 1EE W r ' t31 - ; " - - 11-t %rtil�ii '. ." _ Chimney/liner/flue/vent 23.32 ° '' 4 ` ` ' - Other. 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Address: age Lt SE A r - 4 t/ e __ Range hood/other kitchen equipment 1 33.39 33.39 City/ State/ZIP: /. f ISl /O 0 1, ?. Clothes dryer exhaust 1 33.39 33.39 r Single -duct exhaust (bathrooms, Phone: 97( - a I0 ._/(.( Fax: (503)608 -3061 toilet compartments, utility rooms) 4 23.32 93.28 _ ma y. 4 4. - Vi a-," --4' .F. -.. ... t ®a. s .0- CON&AC7, PF*LSO i4. Attic/crawlspace fans 23.32 Business name: CENTEX HOMES Other: 23.32 Fuel piping Contact name: IS; l j ( c7 o ne f" $14.15 for first four; $4.03 for each additional Address: / 1 Fumace, etc. 1 14.15 Gas heat pump City/State/ZIP: I Wall/suspended/unit heater Phone: ! / ( -ay6 -pia I ? Fax:: (503) 608 -3061 Water heater 1 , Fireplace t t E-mail: �`I f l 4/'h . �t/+2/ier of f L•COn\ Range 1 ^* Via, Tga -s, ? ' z r : - r - rr ; err• sss % . s ? --_.._ :. ° . ;..e.- : ,- > > yCONtIiRAG G. O � r : ,.. _ 4. ^ • ._ . - -1 . ,� Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 _ „:,. , .. _ . . 1, '',: ;MECHANICAL PERMITFES'c "`- -, 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) CCB lic.: 50096 State surcharge (12% of permit fee) / 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 Dale: • Fee methodology set by Tri -County Building Industry Service Board I:\ building \Permits \MEC- PermitApp.doe 10/01/09 440.4617T (I I /07./COM/ \VEB) n D ,. 1 1� 9� _ FOR OFFICE USE; ONLY - Electrical Permit App Ica( �`, - _ 6 City Of Tigard . 1 N. rL Date/By: f cw Permit No.: Received a 13125 SW Hall Blvd., Tigard, O 3 Y . /Dy: � w 1vp 1 2_000110 TIGA =" R D V Ins Line: 503 � V ►'OW Date ReadyBy: tur : ® Sec Page 2 for Internet: www.tigard -ocgov ,� C°��� Notified/Method: Supplemental Information TYPE' OF JYQRJG.t�� ` . ' ,. � PLAN REVI - : - -... ® New construction _ ❑ Add ition /alteratio replacement Please check all that apply (submit 2 sets of plans wlitems checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. '- "` ` ' • CATEGORY -OF "CONSTRUCTION- - ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings. - - _ _ ` less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ntp Installation ❑ Fire pump. ❑ n of 75 KVA or t o ❑Emergency system. larger separately derived system. y ' JOB�S1Tl' ;1NFORt�•fATION _ ... .�...._ -�•' .:.. -. _- _ .«:.. --" _ _ _ = - - - ,... - • . . _ � ❑ Addition anew mover load of ❑ "A" "E" "I -_ . , I -3 - , p�� �— 100HP or more. occupancy. Job no.: Job site address: ! I W7 (.v Sa „ ['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 nalne: VILLAGE AT SUMMER CREEK ❑ Service or feeder 600 amps or more. F.EE °SCHEDULE' .. _ .; ` Cross street/directions to job site: CORNER OF SW BARROWS RD, Desolation I Ow. 1 Fee. 1 T otal I • SW 135 ND SW SCHOLLS FERRY RD New residential single or multi- family dwelling unit. AVE, , Includes attached garage. I Subdivision: VILLAGE AT SUMMER CREEK Lot no.: aR2 1,000 sq. ft. orless 1 168.54 168.54 4 i Ea. add'I 500 sq. ft. or portion 2 33.92 67.84 I r Tax map /parcel no.: , Limited energy, residential 2 4,k: `„ � "DESCRIPTION - OF WORK; _ _ -_ _ _ ,. (with above sq. ft) l 75.00 75.00 Limited energy, multi - family 75.00 2 NEW SFR TOWNHOUSES residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 PROPERTY OWNER• ; :' ' ❑ TENANT-': ° - _ •' • - 201 amps to 400 amps 133.56 2 Name: CENTEX HOMES 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 3513 S J4ef j e-- 1 ve— Over 1,000 amps or volts 552.26 2 I �y ' O 971 Temporary services or feeders installation, alteration, and /or City / State/ZIP: r0 relocation Phone: l 7 I _A I' -1i (Z Fax: (503 - 503 -6031 200 amps or less 59.36 l 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 168.54 2 intended for sale, lease, r j. • ! ange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel ___ Own signature: . Date: A. Fee for branch circuits with above service or feeder fee, . .__ -, , PLIGANT:;` - = ' ; -'" ® CONTACT 'PERSON'_ 7A2 2 each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: (( 4/7149/-ter" branch circuit Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 67 84 2 tY dwelling, service and/or feeder Phone g ii —a L( 6-1'07 — Fax: : (503) 608 -3061 Reconnect only 67.84 2 ^ Pump or irrigation circle 67.84 2 1 E - mail: I (( 'Oh , ln/* e r Li Ie. oft\ Sig n or outline lighting 67.84 _4 . _ � 2 -. _-- . . ' .1 _ .CONTRACTOR , : '':. -: : ,-7 '‘':',.:::-;:' 7 ' ' '''' ' : 7' ,. - , : 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 (I 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 which no fee is 90.00/ hr specifically listed ('Vu hr min) CCB Lic.: 182591 Electrical Lic.: 34 - 305C Suprv. Lic.: -ELECTRICAL PERMIT :FEES': , Subtotal: Suprv. Electrician signature, require. " Plan review (25% of permit fee): Print name: CHUCK GA ER Date: State surcharge (12% of permit fee): A' TOTAL PERMIT FEE: Authorized signature: / , / i � � // l ___.,,_ This permit application expires If a permit Is not obtained within 180 Print name: Date: days after it has been accepted as complete. N um b er of inspections allowed per permit. I\ Building \Pcrmits1ELC- PcrmitApp.doc 07/01/10 440-- 4615T(I t /05 /COM /WEB I N o ° Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: /7STac) ( kks CWS Service Provider Letter Received: Yes ❑ No ❑ N/A L`l Routed Plans: Original Plan Submittal Date: //3/ 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 (1) 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. ,L Planning Review (contact S ile 1 at 503 - 718 - acs or s @tigard- or.gov) Land o U�gaseJ�T ��Jf7D(o-1 0001 Name l K l" Setbacks: Front iL" Rear I b Side _3 . S Street Side 5i Garage Pf Maximum Building Height 'fS Actual Building Height 33 6 Visual Clearance d Easements Cf Sensitive Lands Type: Viik Notes: Original Plan: Approved Er Not Approved ❑ Date: q((I.( /2-■ 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: k cyo Notes: Original Plan: Approved fd" Not Approved ❑ Date: 4 r 11-- Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City orist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) " S t reet Trees Protected Trees Notes: Original Plan: Approved 13 Not Approved ❑ Date: yvOtra-- 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 - N ❑ - • - , ,- Date Routed to Building: . • i Page 2 of 2 V illage at -- 29 �s - - -- __ —___ � ..�c- -mac ���� -- ��_ i;, 191 S r C -- - - ____ __ _ -- , 1. �IS ■ . N U mme e - — 12.2' 12.0' I 12.0' 1 11 9' I + Q A 11.3,1 14R ,_ 20.0' 20.0' i 20.0' I O ) /k . @— �`� II , I j 12.3' I ��`. - L - - - - -� _ -- L- -c -I - - _=-1-....------ 1 1 0.8' ) �°/ 11/`44„ n �, ' 1111 x I j I � . ,,k Building Plan: 7 26 �1 27 28 ,� 29 o Lots 26, 27 , 28 & 29 FF /TOW 191.77 FF /TOW 191.77 FF /TOW . FF /TOW 191.77 Units S A -B -C -A -� , � , � ��� (- t� ��tL TOP 191.23 TOP 191.23 TOP 191.23 I � GS 190.57 , GS 191.07 GS 191. 7 I� GS TOP 191 23 �� I . ______ SITE PLAN I I II 1 ' Scale: 1" -10' �� j X s I \ \ I I X _ ___ ___d_ l I z • S .� I T. . I Y... ...... 4.4' • r. .. r 401 I • j ,, ;. 1 j I � : • . " l I II I. .. _ . . i 1 Ch .'.19.0 � 2 .2:.1 17 18.:0' G • - 3: 6 • �l 1 • . l .a Q N. - 8 ; CI. /. -:.:,. . --::'.! ..:::.......: 0 y 1 :: : E RING ASSOCIATE ENGINE . ... ....: :::.::: : .... :.: �; ::::;:::. ;;_ :::::::::.: .:.: :;::;:: . :::. S W S AGE — E ' R A G E 76 Q o, a . . E S CORPORATION 7� �� " 17757 Kelok Road Lake Oswego, OR 97034 I . :: Tel. (503) 636 -4005 Fax (503) 636 -4015 8" SS r 1 STREET TREE TIGARD CER TIFICA lION I, 311( , owner/ agent for Cenf ex- Homes , (PLEASE PRINT) (PERMIT HOLDER) do hereby certifi 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. PERMIT NO.: MST zoi . -06 0 HIE ADDRESS: l to U sw S 45¢ SUBDIVISION: $ 0.4,04- Ceeek. LOT #: c28 SIGNATURE: W �/ DA'1 E: 0 1 ,� 0 (OWNER /AGENT) RECEIVED & VERIFIED BY: DATE: (CITY OF TIGARD) -_ ❑ Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertificate 05/30/2012 Oregon Residential Specialty Code 8318.2 T CONTENT ACKNOWLEDGEMENT MOISTURE U CONTE1 \ T ACKNOWLEDGEME1 \ T FORM I, N/i , am the general contractor or the owner- builder at the following address: Site Address: //007 j14/ S dig c= 7d ■tre City: //6 R/, Permit #: 7 - ®Q 76 Subdivision/Lot #: Se40401 , Citet # 2 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: kj■ Date: A / , General Mntractor or Owner - Builder I:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: MsT?.o - 00oT!o (. to Site Address: c , s Subdivision/Lot #: 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: fi /2 Own /General Contractor /Authorized Agent ` ' Print Name: / , /1 W ,,vcg - ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. 1:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08