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Permit • • � CITY OF TIGARD MASTER PERMIT � :. COMMUNITY DEVELOPMENT Permit #: MST2012 -00186 • 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/05/2012 T l GAR D, g Parcel: 1 S 133CA09500 .Jurisdiction: Tigard Site address: 11091 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 18 Project: Village at Summer Creek, Lot 18 Project Description: Building 5, new SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 46 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 643 sf Garage: 480 sf Front: 16 Smoke Dwelling Units: 1 Third: 643 sf Right: 0 Detectors: Yes Total: 1332 sf Value: $145,059.44 Rear: 12 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 Tubs /Showers: 2 Garbage Disp: 1 Water,Heaters: 1 Water Lines: 100 Drains: 0 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: Y 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 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 Ecom asin Y Other: N Other Description: P 9 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) 3884 SE AERIE AVE 3884 SE AERIE AVE 1 Ersn Cntrl 503 - 639 -4175 HILLSBORO, OR 97123 HILLSBORO, OR 97123 PHONE: 971 - 246 -1417 PHONE: 971 - 246 -1417 FAX: 503- 608 -3061 Total Fees: $13,872.38 • 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. ATT : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001- 010 through • • R 9 : 1 1090. You may obtain a copy of the rules or direct questions to OUNC by callin .232.1987 or 1.800.332.2344. • Issued � 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. i i - Approved plans are required on the job site at the time of each inspection. Building Permit Applicat' n Residential - - fi ' „ q J', FOR OFFICE USE ONLY _ __ .. _ . ... FS a te; 4 ,t Received City of Tigard Dec : m a PermitNo.: 5r��a -�e'dl n 13125 SW Hall Blvd., Tigard, OR 97 196 2 3 201 Plan Review . / ^ II Phone: 503.639.4171 Fax: 503.598.196 p ; Other Permit: / l TIGARD Inspection Line: 503.639.4175 -� ; r„-.,,,,,,, Date Ready/By: luris: B See Page 2 for Internet: www.tigard or.gov It ea: , ` , Notified/Method: Supplemental Information - , ' _ - . - - t ,'I , :r. ifi. ? . '�� - � - -... _ - -•-- . -- .- _ _ _ _. ..,_" -• _ ' - :'TYPE OF WORK .. ''liEQLURED DATA: 1:AND 2 =-FA;I4LY:DWELLING: -^ ,. ® 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/replacetnent ❑ Other: equipment, materials, labor, overhead, and the profit for the ' , ;CATEGORY OF ; C ONSTRDCTION :- " -:' _ work in " ate. n 1's application. ® 1 - and 2- family dwelling ❑ Commercial/industrial Valuation; ��• $ 34 ��`S ❑ 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: / t ( J S l,✓ .Sy C_Te tri C e— New dwelling area: 1186 square feet City /State/ZIP: TIGARD OR, 97223 Garage/carport area: 480 square feet 643 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 18 square feet Ic2If Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet SW 135 AVE, AND SW SCHOLLS FERRY �J Other structure area: (!p(� square feet i L� REQUIRED C0M14IERGIAL ";USE'CAE'CKL7ST . Subdivision: VILLAGE AT SUMMER CREEK Lot no.: / 8 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 indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT C 1186 SQ. FT. Existing building area: square feet New building area: square feet ''® FROPERTY,OWNER ; • ® T .- TENAN:.': " - ._ - Number of stories: Name: CENTEX HOMES Type of construction: Address:: 3SO SE fir; C Ave_ ) Y Occupancy groups: City / State/ZIP: /+f&.ot0, O . 9 ?/'3 Existing: Phone: (: 9 /, oZ 4 - /!,'- Fax: (503)608 -3061 New: '4®" APEL' TCANT,'` : , . ' { ❑; CONTACT P . . .. - NOTICE.,, . .. Business ttatne: CENTEX HOMES All contractors and subcontractors are required to be Contact name: //� 1.4, licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1 8 S — Prie- iiVe- jurisdiction in which work is being perfonned. If the City /State /ZIP: /-r OK Qwa3 applicant is exempt from licensing, the following reasons apply: Phone: 97(-/6 _Fa 7 Fax:: (503) 608 -3061 E -mail: (vii. we e e-e t,I f CONTRACTOR Business name: CENTEX HOMES B_ UJLDINGRERMIT FEES" - - Address: 16520 SW UPPER BOONES FERRY RD, STE 200 (Please refer io fee sched,del Structural plan review fee (or deposit): City/State/ZIP: PORTLAND OR, 97224 Phone: (503) 608 -3060 Fax: (503) 608 -3061 FLS plan review fee (if applicable): CCB lie.: 182591 t ' / Total fees due upon application: ¢ Amount received: /667. Authorized signature: W This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: t 6!// u, y),,h E . / I Date: • Fee methodology set by Tri- County Building Industry ( v Service Board. l: \Building \Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(I I /02 /COM /WEB) . "'eau- Plumbing Permit App i !AO ri d4w Building Fixtures f I FOR OFFICE USE ONLY City of Tigard jUL 2 3 2012 Received ( �b • 13125 SW Hall Blvd., Ti t i 4 j Date/By: Permit No. Ov ' III Plan Review a Phone: 503.639.4171 pfqv; . • 0 r : ` R 6 Srjl ?f , Date/By: Other Permit No 12■1oo1 5 Inspection Line: 503.6394 rti ' TIGARD Internet: www.ti ardor. ov ( .31 ,•,'? `r Notified/Method: laris O SeePne2for g g Notified/Method/Metho d: Supplemeental 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 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 building SFR (3) bath I 500.32 500.32 ❑ Accessory g ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /1 (SIA•Syt TerP Cc Catch basin or area drain 1 8.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: TIGARD OR, 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 I35 AVE, AND SW SCHOLLS FERRY RD Rain drain connector I 18.76 Sanitary sewer (no. linear It: 100) I 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.: / e Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25.02 NEW SFR TOWNHOUSES Dishwasher I 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: .3ggir .SEf rit`Av,._ Garbage disposal I 25.02 City /State /ZIP: , 1 //s tro ©IR_ 1 3 Hose bib 2 25.02 Ice maker 1 12.51 ❑ APPLICANT ® CONTACT PERSON Interceptor /grease trap 25.02 Business name: CENTEX HOMES Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: t t t / Lt�py �` / Onto Roof drain (commercial) 12.51 Address: 3 g8 G ( , S L Ali t A Sink/basin/lavatory 5 25.02 U City /State /ZIP: t / / r0 1 Solar units (potable water) 62.54 (( Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 E -mail: g,J( w,y e.w /*e,(orn Urinal 25.02 �J CONTRACTOR Water closet 3 25.02 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 Lie.: 79666 Plumbing Lic. no.: 20 -148PB /4„/ State surcharge (12% of permit fee) Authorized signature: A TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO days Print name: PETER POLLARD Date: O.' /?.../0 after it has been accepted as complete. "Fee methodology set by Tri- County Building Industry Service Board. P \Building1Permits \PI .lU- PermitApp doe 10 /01/09 440- 4616T( 10/02/COMAYEB) ° aa , Mechanical Permit Applicati ll 4 » L g � , . FOR OFFICE USE Or' LY • / R eceived City of Tigard J ul �� � ONO • Date/By: Petmit No ": i v 13 125 SW Hall Blvd., Tigard, OR 97223 6 Phone: ."ax . - 1,34 c 2 0/2 Plan Review • I � ....01191) ' Ph 503639 4171 Fax: 503598 1 Date/By: Other Permit: „„./ / ((j TIGA Inspection Line: 503.639.4175 t, ( � ' ' Date Ready/By: lain: El See Page 2 for Internet: www.tigard or.gov M q• ti � r •.7{ L e D Notified/Method: Supplemental Information '''' L' t v it..:if i ya : ��'`'�- L 1'- s° " _ »wrr. sh±ezf,;e,�� -e:.. 'fir �` -' i +.�.— :r;..�� �. r -.s• a;:A•�,".r M t; I Q AreTIZ -' r ed.-AV ER IAL FEE,riSGHED-C)1 E` — — E CH,...63 $ < _ � . .�,.��. � ms's. ® New construction ❑ Addition /alteration /replacement 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. ,. , -�z ; t;.- - : 4: a ':x�;z -r -+gym._ -".- �ti�x .�su�c.�-oa'- - ;.r " Value:$ ;,CafiGORYOF CON3TItUCT10Ns �- r: ,_: ,� -�• ... - - _ .�.-: �K..�. .te �,..��. - ._.�% ' D 3' x��xt;<'; rev.- " - o-sv.a >.oA • � r ,� F"°s , -- SI 14.711 4,,,,,k7,,,- 1JI 1'/ Y ,ilWES* ' 1 - a nd 2 dwelling Commercial /industrial �K� - ;lEl T ..;: n ® y g ❑ 0 building For speciel information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total r ' =s. a .r,OB, ,L E, NFORIFIATIWIN LO AKI . Heating/cooling Air conditioning Job site address: cc. `i ' 1 nQ ( S w$it S L I'rt (requires site plan showing placement) I 46.75 . 7S 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.: 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.: / 8 Other: 23.32 Tax map /parcel no.: Other fuel appliances r w s v '� S R1P7t ©PI p UFWORI{ "� d, =.' Water heater 1 23 "32 23 -32 ;Ta 16i ", 1,- w," .a o-cvti,^ . `i:ax A' S �cmmvm ` _..k" . ' ,.4' u Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for 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 , - - -_ _.�� P a b - Chimney/liner /tlue/vent 23.32 XEINQP,ER OM R 1`l .cr g .' ,, � T •: ; Other. 23 "32 Name: CENTEX HOMES Environmental exhaust and ventilation Address: -mgt.( SE / e A .n e_ Range hood /other kitchen t equipment I 33.39 33.39 City/ State/ZIP: mff i r,0 oR 9?/ Clothes dryer exhaust 1 33.39 33.39 / Single -duct exhaust (bathrooms, Phone: q 7/ - 2 ( -/ ti /7 Fax: (503)608 - 3061 toilet compartments, utility rooms) 4 23.32 93.28 F #: Apl'ire IVTr : t " 4 C n A —PERSON" Attic /crawlspace fans 23 "32 ,ta. ..., ® _ �x� by "�y3- s. .` ei: >Ri .`t ��wF�,�" �a.�,- h� ,acn3 -� .. ,as -, Other 23.32 Business name: CENTEX HOMES . Fuel piping Contact name: 1? IV Q pe e / " $14.15 for first four; $4.03 for each additional Address: 3 8c y SG / 1 /t t_ A. y.e.,_ Furnace, etc. 1 1 4.15 Gas heat pump City/ State/ZIP: ,//f/' 0 / Qg..„ 712a Wall /suspended/unit heater Phone: (: 9?l -.2 Y 6 _ 7 Fax: : (503) 608 -3061 Water heater 1 /� Fireplace E-mail &7 1,1„4„pt,t� e_Pt/l.0•1.1 Range 1 { na _• " K: -� � CUNT ' CTOR1 �` ` ,4VM S7M � v ; q 1 Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW }CABLE LANE STE 500 any •" '"'°" s °�' ` ` �'R r = `�`'r : f,5 „1, ` z .... -- H-.CN IC AI PERMI FEE A S,, ' `,,, 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 lie.: 50096 State surcharge (12% of permit fee) TOTAL PERMIT FEE This permit application expires i f a permit is not obtained within 180 Authorized signature: ' days after it has been accepted as complete. Print name: KYLE : R • Date: ' Fee methodology set by Tri- County Building Industry Service Board I: \Building \Permits \MEC- PertnaApp doc 10/01/09 440 -4617r (I 1 /02 /COM /IVEB) . . f , s ,• ? a 0 ., ,, 0, .y rr I,: _ t Electrical Permit Appliq tin ' mrl ,47' • - FOR OFFICE USE ONLY . . 4 3 201 Received 1 City of Tigar Penult No.:Mh (90/2-..00 ° 13125 SW Hall BIv 23 ` "irk, a_ 0;71; Plan Re : t r . I D an Review 61,01,9,..019, 0oie 3 • Phone: 503.639.4114i a sc! . 03,5 0fLi Datc/By: Other Permit: TIGARD Inspection Line: 503.63 .x11 'U 14;/,',:;1011i . Date Ready /By: Inns: ® Sec Page 2 for Internet: www.t or.gov ` Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ® New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at I50 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps fur all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: El Fire pump. ❑ Installatiottof75KVAor JOB SITE INFORMATION AND LOCATION El Emergency system. larger separately derived system. Addition of new motor load of "A' , "C•' , "1 -? ", "1 -]' , n/y� IOOHP or more. occupancy. Job no.: Job site address: //of/ S Lie. - , )c / rI � 7c_ ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: TIGARD OR 97223 ❑ Health -care facilities. ❑ Sup voltage _Or mn re than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK ❑ Service or feeder 600 amps ormore. FEE SCHEDULE Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Qtv. I Fee. I Total I SW 135" .AVE, AND SW SCHOLLS FERRY RD New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: / 8 1,000 sq. R. or less I 168.54 168.54 4 Ea, add'; 500 sq. It or portion 2 33.92 67.84 I Tax map /parcel no.: Limited energy, residential I 75.00 75.00 2 DESCRIPTION OF WORK (with above sq. R.) Limited energy, multi - family 7j,00 2 NEW SFR TOWNHOUSES residential (with above sq. R.) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: CENTEX HOMES 601 amps to 1,000 amps 301.04 2 Address: 1 383 ( 5F Aerie e Avg Over 1,000 amps or volts 552.26 2 1 I / 4' ro 0 � �' � Temporary services or feeders installation, alteration, and/or City /State /ZIP:. t t Irs relocation y 6 -/y ) 7 200 amps or less 59.36 1 Phone: 7/-2 O Fax: (503 503 - 6031 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 1 68.54 Branch circuits - new. alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: I Ea 1,Va jyotet _ bland, circuit E ach add'I branch circuit 7.42 2 Address: / 388Le �& �er� C Aire 1 0 Miscellaneous (service or feeder not included) LI / Each manufactured or modular City/State/ZIP: I 2 !j H! Io o iZ 97/ dwelling, service and /or feeder 67 84 Phone: q‘71-2Y6-»//7 Fax:: (503) 608 -3061 Reconnect only 67.84 2 — Q / )70r.e� P / 69 Pump or irrigation circle 67.84 Sign or outline lighting 67.84 .CONTRACTOR 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 (1 hr min) 66.25/ hr Indust] ial plant (I hr min) 78.18/ hr Phone: (503) 648 Fax: (503) 642 - 7925 Inspections for which no fee is 90.00/ hr specifically listed ('A hr min) CCB Lic.: 182591 Electrical Lie.: 34 -305C Suprv. Lie.: ELECTRICAL PERMIT FEES Suprv. Electrician signature, require.. Subtotal: Plan review (25% of permit fee): Print name: CHUCK GA' ' ER Date: State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized signature: " ,•' / Thls permit application expires if a permit is not obtained within 180 " J - days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per permit. I Building \Per \ELC - PcrntitApp doe 57/01 /t 0 440- 1615T( I tiosicOM/w ED . - //o 7 to . ihIste IN ( c544.44.0141.4 (L, Building Division Development Code Provision Review 4/4 T I G A R D Residential Projects Building Permit No: H 5T t o 2- -00 t€ CWS Service Provider Letter Received: Yes ❑ No ❑ N/A , Routed Plans: / Original Plan Submittal Date: 7 A 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 (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. ar4 Planning Review (contact at 03 -718 -A 1 or kir @tigard- or.gov) La "Use Case No. `l Gltgl 'Vb4'' / (/'flame &t2T.L62 %Ll1'i/19f' /V Zoning fZ ° 5 PP Er Setbacks:` O Front I �I Rear 1 2 " Side 0 Street Side 1 Garage 2 1 Maximum Building Height Actual Building Height 'r ' l Visual Clearance 13 Easements Sensitive Lands Type: Notes: Original Plan: Approved V Not Approved ❑ Date: ( 7/ 3 P// 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: L ' Notes: Original Plan: Approved. Not Approved ❑ Date: 7 Revision 1: Approved ❑ Not Approved ❑ Date: 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 Protected Trees Notes: Original Plan: Approved 1Y Not'Approved ❑ Date: - 1300 t- 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�o ❑ Date Routed to Building: . 1 • Page Vill at Fl*P --- - - i$i.i-s-- - , 'gs0-0 _- __ _ — — — / _ ...._ , / _ x x i : &„„ i 1 • i x 1 x x x X— f x x - X ��.ii� �Ai.:— . S u mmer Creek I x x X X X x _ 12.0 I 12.0' 12.0' 1 , 1 UPI OF r, 49.0 � I 1 12.0 � I i r i © C - o c p °Ilikiticil__IN W � I i 1 I I Z I I 1 I 1 , J 10 i - — — —1 3.5' - _ .___L— 1 1 — —L 1 — —L 1 > Q - I 1 � I I Building Plan: 5 I ; 17 18 19 20 I 21 ' Lots 17,18,19, 20 & 21 0 1 x i FF/TOW 185.56 FF /TOW 185.56 FF/TOW 186.56 FF/TOW 186.56 FF/TOW 187.56 GS 184.36 GS 184.86 I GS 185.36 GS 185.86 I GS 186.86 I Units A- C -B -C -A TOP 185.02 TOP 185.02 1 TOP 186.02 TOP 186.02 I TOP 187.02 1 0 I 1 — SITE PLAN , , , , _ , , I Scale: 1"-10' 2 / I _ilfir S I. w4dd les II I I I 1 \ \ TT ' L C Gir F/0wCri Peet I . .. j . . ..: { Y 3.5 I � 3 0.0 ! ... /4414 r ... ....... � �... 10.7' \ � . •A / 21:0 1 ,,�. 6. ......... \A � I 0 a. / -0' - 1.$,f}.:: 16.0 _0 _19:fl... % 1 4) I • a, 15.0' - f n a ��� / \ I :I o p I o • r c: I ., _: .. ' :: 8 , SIGHT DISTANCE TRI -AN ANGLE w 30.0' ... ....... .... . . . ...... . .... ...............:: ..... ........ . .::. ....::: ::::::::::...... ;: ; : :: : :::: ::::::: ,\::,.::.:,.,./,/::::.:„..,.././„.:,., r. :;;: : , ,::;:::: = W SAGE T : : ; '. . ::: . : : ::: , : ::1,; : : : : :: :::•;;: :::. , ..... . :. . E ACE l 1 8 4 t 3 ENGINEERING ASSOCIATES CORPORATION ;. 1 �' 7S 17757 Kelok Road Lake Oswego, OR 97034 8" SS i Tel. (503) 636 -4005 Fax (503) 636 -4015 I I I Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11091 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 04/17/2013 00:00 MST2012-00186 FAIL 1. Support CPVC T&P pipe every 3' installation standards 2. dishwasher hose to be securely anchored to underside of cabinet top. 807.4 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11091 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 04/23/2013 00:00 MST2012-00186 PASS - C of O *Erosion Control (CWS) approval received *Street Tree Certification, checked for trees. Received signed/dated completed *High-Efficiency Interior Lighting Systems Doc Received *Moisture Content Acknowledgement Form. Received Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11091 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 04/17/2013 00:00 MST2012-00186 FAIL 1. Support CPVC T&P pipe every 3' installation standards 2. dishwasher hose to be securely anchored to underside of cabinet top. 807.4 Violation Summary: Inspector Contractor Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, U b CA/3k--1 C , am the general contractor or the owner - builder at the followin': address: Site Address: ( 6 � (' S SMc r kt City: - T G Permit #: VI'tST 2012— 0°1040 Subdivision/L t #: \ ! , u.ikelc AT S1,04 Lot ( 0 and/or Map and Tax of #: 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.. Moisture Content: Prior to the installation of interior finishes, the building officia shall be notified in writing by the general contractor that all moisture - sensitive wood ;laming members used in construction have a moisture content of not more than 19 percen by dry weight of dry framing members. Signature: /� Date: , ` 227 13 Gene'Int . • or Owner- Builder I:\ Building\ Form \RE. - MoistureSensitiveWood.doc 09 /25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: '2 (o Jurisdiction: T /4 / Site Address: st"i sm ThezA Subdivision/Lot #: r / Simmt-e_ Craw__ b and /or Map and Tax of #: By my signat re below, I certify that a minimum of fifty (50) percent of the permanently installed light ng fixtures in the above mentioned building have been installed with compact or linear fluores •ent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Resi • ential Specialty Code N1107.2) Signature: ��i Date: Owner Gene : ' ontractor /Authorized Agent Print Name: —i V 1 ORSC Section X11107.2. 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 N STREET TREE TIGARD TI CERTIFICA ON I V1 D CAD-1 wner / agent o P L 7E 1' &S 1 r g f (PLEASE PRINT) (PERMIT HOLDER) do hereby certify 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.: I V t ST id 2-- 001 ( SI'1 E ADDRESS: 1 101) Sk) SAq - TFWA(6 SUBDIVISION: _A , , 4 C • LOT #: IS SIGNATURE: - DA 1 E: - Z -1 j • WNER /AGENT) RE CEIVED d� e VERIFIED BY / DA l E: 4 //j_VI) (CITY OF TIGARD) ❑ Tree location verified pe approved site plan. 1:\ Building \Forms \StreetTreeCertificate 05/30/2012