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Permit y II CITY OF TIGARD MASTER PERMIT 2 COMMUNITY DEVELOPMENT Permit #: MST2012 -00185 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/05/2012 Parcel: 1S133CA09400 Jurisdiction: Tigard Site address: 11095 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 17 Project: Village at Summer Creek, Lot 17 Project Description: Building 5, new SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 60 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 703 sf Garage: 620 sf Front: 17 Smoke Dwelling Units: 1 Third: 697 sf Right: 0 Detectors: Yes Total: 1460 sf Value: $179,981.96 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 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: 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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add! 500 sf: 3 201 -400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 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 1460 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: $14,598.64 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 r 10 through 0 - ' • • —:61-0090. You may obtain a copy of the rules or direct questions to OUNC by callin • ! .232.1987 or 1.800.332.234i. 1 / , Issue. By: (I - ' Permittee Signatur L' 4 641 /c2,11fi i� Call 503.639.4175 by 7:00 a.m. for the next available Inspection dat =. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applica ' - Residential � FOR OFFICE USE ONLY City of Tigard � � 2 3 2 012 DateefB d 7 � � Permit No.: r o bi -GUr q 13125 SW Hall Blvd., "Tigard, OR 97 Plan Review Phone: 503.639.4171 Fax: 503.59 I / , tiler Pernut:4(Q TIGARD Inspection Line: 503.639.4175 ( fl ¥ ! ; LSA% Date Ready'= - Juris: p Sec Page 2 for Internet: www.tigard- or.gov BUILDS; fill iSIO ! Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA :1'- AND ® 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 - - - . work itbic. 4?this pplication. . - CATEGORY .OF .CONSTRUCTION , ; > ' ® 1 - and 2- family dwelling ❑ Commercial /industrial Valuation 1 5J. , 5.22 ( 7'i 1 ,, q� ❑ Accessory building El Multi-family Nutnbc of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION. AND LOCATION - ' - ' ,' Total number of floors: 3 Job site address: / lots. S w S , ) e cric e. New dwelling area: 1460 square feet City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 620 square feet c.,97 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 33 square feet `70" Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 160 square feet SW 135 AVE, � AND SW SCHOLLS FERRY RD Other structure area: �.) square feet — 12 s REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: VILLAGE AT SUM CREEK Lot no.: f 7 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 - DFS-CRIPT_ION' OF, WORK • . work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT A 1460 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: l 38s y 3 /er; to re__ Occupancy groups: City/State/ZIP: )+1IIsbotO, OR q 7/23 Existing: Phone: ( 017 1_ 2Y6-P117 Fax: (503)608 -3061 New: ' •,-` •-a APPLICANT - ❑ C - PERSON NOTICE . . Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: ( I5t �� �/ti �nf�" licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 3$8 ( S L E /++, e. /Q jurisdiction in which work is being performed. If the City /State/ZIP: /tliSJb/'0 OR .77/ a apply : is exempt from licensing, the following reasons Phone: (' 9 _ / y /7 I Fax: : (503) 608 -3061 E -mail: igrYI w ener'e P./1t-. (or> . - - CONTRACTOR- - __ -_ - - Business name: CENTEX a ' - - • BUILDING PERMIT FEES* Address: 1 388`i S P pen e Arc- rc- (Please refer to fee schedule) City /State/ZIP: i H, l re, OR 9 I Structural plan review fee (or deposit): r FLS plan review fee (if applicable): Phone: 71 y 4 -ly 7 F ax: 608 -3061 c 503 ) CCB lie.: 182591 /1 Total fees due upon application: ) Amount received: 4S .7 5 0 Pr) Authorized signature: d This permit application expires if a permit is not obtained Q within 180 days after it has been accepted as complete. • Print name: . ..___ Date: * Fee methodology set by Tri County Building Industry Service Board. I:\Building\Permits\BUP -RES PemiitApp.doc 10/01/09 440 -4613T(I I /02 /COM /WEB) • Plumbing Permit Application Building Fixtures FOR OI FICE Ise OLY l y Cit of Ti ar t d PEcEt Received 14 NI ll Date/By: Permit Nall ie I . '00 1gc 13125 SW Hall Blvd., Tigard, OR 9 3 g 7n1 2. 11 `` � t3 Phone: 503.639.4171 Fax: 503.59134966' Plan Review �� n � . O b ' I Inspection Line: 503.639.4175 n Other Permit No . W (l TIGARD n Y Internet: ard - or. ov www.ti {'�/ �c �'1 Dat g g CI ! ! 0. Date Ready /By: )uns ® See Page 2 for } , r r iii li Iu D N Notified/Method: Supplemental Information TYPE O ® New construction ❑ Demolition FEE* SCHEDULE ❑ Addition/alteration/replacement ❑ Other: For special information use checklist. Description 1 Qty. I Ea. I Total CATEGORY OF CONSTRUCTION New 1-2-family dwellings (includes 100 ft. for each utility connection) ® I- and 2- family dwelling ❑ Commercial /industrial SFR (I) bath 312.70 SFR (2) bath 437.78 ❑ Accessory building ❑ Multi- family SFR (3) bath I 500.32 500.32 ❑ Master builder ❑ Other: Each additional bath kitchen 25.02 JOB SITE INFORMATION AND LOCATION Fire sprinkler ( sq. ft.) Page 2 Job site address: (� Site utilities: ■ f . rr � a Catch basin or area drain 18.76 City/State /ZIP: TIGARD OR, 97223 Drywell, leach line, or trench drain 18.76 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Footing drain (no. linear ft.: 100) I Page 2 Cross street/directions to job site: CORNER OF SW BARROWS RD, Manufactured home utilities 50.03 SW 135'" AVE, AND SW SCHOLLS FERRY RD Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer (no. linear ft.: 100) I Page 2 Storm sewer (no. linear ft.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 1 7 Water service (no. linear ft.: 100) 1 Page 2 Tax map /parcel no.: Fixture or item: DESCRIPTION OF WORK Backflow preventer 31.27 Backwater valve 12.51 NEW SFR TOWNHOUSES Clothes washer 1 25.02 UNIT A 1460 SQ. FT. Dishwasher 1 25.02 Drinking fountain 25.02 ® PROPERTY OWNER ( ❑ TENANT Ejectors/sump 25.02 Name: CENTEX HOMES Expansion tank 12.51 Fixture /sewer cap 25.02 Address: 1 - SE /4-eri C Ate Floor drain/floor sink/hub 25.02 City/State/ZIP: I I4;I /S,b,O OK 7/ L3 Garbage disposal 1 25.02 Hose bib 2 25.02 ❑ APPLICANT ® CONTACT PERSON Ice maker 1 12.51 Business name: CENTEX HOMES Interceptor /grease trap 25.02 Medical gas (value: $ ) Page 2 Contact name: G j ;/( I7/• 1 , , 12.5 I �y Primer Address: 321$ y SE )3eri‘ e Pre- Roof drain (commercial) 12.51 City /State /ZIP: }-j.; J /,Q, p of, .1 Sink/basin/lavatory 6 25.02 _ Fax: : (503) 608 -3061 Solar units (potable water) 62.54 E -mail: 8i 1 walloper alloper e. Pv/ - 1 l � , (0 M Urinal pan 2 15.0al 25.02 2 CONTRACTOR Urin Water closet 3 25.02 Business name: CRAFTWORK PLUMBING INC. Water heater 1 37.52 Address: 7737 SW CIRRUS DR Water piping/DWV 56.29 City /State/ZIP: BEAVERTON OR, 97008 Other: 25.02 Subtotal Minimum permit fee: $72.50 CCB Lie.: 79666 Plumbin Lic. no.: 20 -148PB / 9 A Plan review (25% of permit fee) Authorized signature: S tate surcharge (12% of permit fee) �.- 17-.0 TOTAL PERMIT FEE Print name: PETER POLLARD Date: I:I Buildin \Permits\PLMU- PermitApp.doc 1 0!01 /09 440-4616T( 10/02/COM/WEB) • ..,„ Fiz,....itigED Mechanical Permit Applicatilit 2 2012 FOR OFFICE USE ONLY . 3 II 'I City of Tigard Received Date/By: Permit No.: Y1/21,910/ ,.... CO 1% 13125 SW Hall Blvd., Tigard, OR 4 OF rtGABD Plan Review . 7 • phone: 503.639.4171 Fax: 503.598t1960 ,;.., -,,a, iti,Q0r0.1 Date/By: Other Perntit:50) [Lao ID_ -W1&)2. TIGARD Inspection Line: 503.6394175 71 t!\Vitift1 a1' P Date Ready/By: Juris: El See Page 2 for Internet: www.tigard Notified/Method: Supplemental Information ,. ' '..' '-_-:' '', - ' • - • -, 'T\I'E OF - ,,---, :.• --:,--- -i - ..- :=, : ccormEROAL •FEE* SCHEDULE ‘-• CHECKLIST . . _ _ .. - .... .. .. . . ._ . ..-.., .. . . New construction 0 Addition/alteration/replacement Mechanical permit fees* are based on the value of the work gl perfonned. Indicate the value (rounded to the nearest dollar) of all 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. • .: . ". "---. • - -- ,- -:. .-.- - ATEGORY OF .aiNsritOcnoN --•:= ,.. •-• • - . .-- ., i,--': Value: $ - . ... - .• ...... • .•__. .. . - . . ... . . . , • -„ RESID.ENTIALEQUIPMENT /.SYSTE:MSTEES* .• . - El I- and 2-family dwelling 0 Commercial/industrial 0 Accessory building . _ ,, . - - .., ... . . For special information use checklist. 0 Multi-family 0 Master builder 111 Other: Description I Qty. I Ea. Total JOB SITE INFORMATION ANH,LOCATION.• f',..: , --- .; ,._ • Heating/cooling Air conditioning Job site address: NU .544. .57C I trflet. (requires site plan showing placement) / 46.75 6 . Z$ City/StatelZEP: 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 Hydronic hot water system _ SW 135TH AVE, AND SW SCROLLS FERRY RD Residential boiler (radiator or 23.32 hydronic) 23.32 Unit heaters (fuel-type, not electric), in-wall, in-duct, suspended, etc. 46.75 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: / 7 Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances : , - . _.•-; ,,..,,,••• ' ":_ ::: •...„,-. - ; iWORK - • : :-:: :'• -_;. ":-' -,- '..1- Water heater I 23.32 23.32 Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT A 1460 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 -. • - • - - ..- ,- • - -- . . Chimney/liner/flue/vent 23.32 -- „-KilOtql!_*A70.-tik -2 .- ! ; ' _ - :I:: . ':‘,- • .- ,-- ' •,- a TtrIANt-`,• : -.--,:-.:::,.,;. Other 23.32 Name: CENTEX HOMES F.nvironmental exhaust and ventilation _ Range hood/other kitchen Address: 384e If SE Arri-e_ A re_ ) equipment 1 33.39 33.39 City/State/ZIP: 1.1.;//th OK q 7) - Clothes dryer exhaust 1 33.39 33.39 Single-duct exhaust (bathrooms, Phone: ( q7( -2 yg - itrI7 Fax: (503)608-3061 toilet compartments, utility rooms) 4 23.32 93.28 . - ,...-';,:-;•,:'::; fEl 'A.1P.P.E,ItAls:1T -'.:....:- :T.'. ,N• - `,.1„ ? .'.--_.:-..:...' Attic/crawlspace fans 23.32 ' ' ' - Other: 23.32 Business name: CENTEX HOMES Fuel piping Contact name: Si 7/ 14/4,79/11r $14.15 for first four; $4.03 for each additional Furnace, etc. I 14.15 Address: 3gg(. _s i tl e iv e. 1 41 - t.. 21 Gas heat pump City/State/ZIP: 1 j4tY/S.kOril9 O. Cr 7/2 Wall/suspended/unit heater Water heater Phone:( q' N - 2 , -/ i - Fax: : (503) 608-3061 I Fireplace E-mail: g &il. L , "woe re Pi! fe.co/1-1 , Range I CONTRACTOR • _,- - -: -. - - ik, •,,.• , -. v - , . ., ...., , - Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 - . r ' ' ' .- mieftirsifcALOkiiMfi,Fks. City/State/ZIP: PORTLAND OR, 97224 Subtotal Minimum permit fee ($90.00) Phone: (503) 598-0966 Fax: (503) 598-8498 Plan review (25% of permit fee) CCB lic.: 50096 State surcharge (12% of permit fee) /,' * TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorizcd signature: days after it has been accepted as compiete. Print namc: KYLE BIRMA • Date: • Fee methodology set by Tri-Counly Building Industry Service Board lAlltuilding \ PermitsiMEC-PcrmitApp.doc 10/01/09 440-4617T (11/02/COMAVEB) Electrical Permit ApplicatioRECI3EiVED — . . .. . . FOR OFFICE USE ONLY - �UL232012 ab, -A; r. City of Tigard DatcrB d Permit No.: Er 13125 SW Hall Blvd., Tigard, OR 972 Plan Review Phone: 503.639.4171 Fax: 503.598 � T��:rf� � Other Permit: (L d 163e �, i UaleiBy: V TIGARD Inspection Line: 503.639.4175 c H3 1` ;�! j y" *1c ' n ® Date Ready /By: Su See Page 2 for Internet: www.tigard- or.gov jiL " , - / "' 1 ' ! ' Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ® New construction ❑ Addition /alteration /replacement Please check all that apply (submit; 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 150 volts or ❑ Floating buildings. less In 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: 0 Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION 0 Addition of new motor load of ❑ ' A "E "1 -2 "I -3 ". Job no.: Job site address: I /o? p I00HP or more. occupancy. ❑ 1 (.7 ❑ Six or more residential units. Recreational vehicle parks. City /State /ZIP: TIGARD OR 97223 ❑ Health facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt.no.: Project name: VILLAGE AT SUMMER CREEK U Service or t'eeder 600 amps or store. FEE SCHEDULE Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Qtr. I Fee. I Tout 1 " SW 135 AND SW SCHOLLS FERRY RD New residential single- or multi - family dwelling unit. AVE, Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 7 1,000 sq. R. or less I 168.54 168.54 4 Ea. add'] 500 sq. ft. or portion 3 33.92 101.76 1 Tax map /parcel no.: Limited energy, residential I 75.00 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) 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 I ❑ 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: Ii / / 095 S,,... S*7, rn(e Over 1,000 amps or colts 552.26 2 Temporary services or feeders installation, alteration, and /or City /State /ZIP: 14.) ro 0,g. 971 2 -3 relocation Phone: q 7 /- Z I_ f' f 1 7 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, and 701. 401 amps to 599 amps 1 68.54 2 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 4 2 each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits u•irltoui service or feeder fee, first 56.18 2 Contact name: g, 't/ tA/4y � e/"' branch circuit r r — / Each add'I branch circuit 7.42 2 Address: 1 �r )LsbDre 0 97123 Miscellaneous (service or feeder not included) Cit City/State/ZIP: > ?�� ct SE Each manufactured or modular y P r; A y dwelling, service and/or feeder 67.84 2 Fax: (503) 608 -3061 Reconnect only 67.84 2 Phone: G� - Z t � 6 .../ y (7 Pump or irrigation circle 67.84 2 E -mail: �y.� 3��� Wta�0/ICr a , �•(0 • - r Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited - energy Business name: GARNER ELECTRIC panel, alteration, or extension. Paget 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) 6625 /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 CA hr min) CCB Lic.: 182591 Electrical Lic.: 34 -305C Suprv. Lic.: . ELECTRICAL PERMIT FEES Subtotal: Suprv. Electrician signature, required: Plait review (25% of permit fee): Print name: CHUCK GARNE Date: State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized signature: J ✓� This permit application expires if permit is not obtained within ISO r 7 days after it has been accepted as complete. Print name: Date: ' Number of inspections allowed per permit. I \Building \Permits\ELC - PennitApp.doc 07 /0I/10 440.4615T( 1 1105 /CO\IAVEB A/t/ie-g-e- (Oaxifraired 6.6vi iihi m. " Building Division¢ -/ Development Code Provision Review f � S TIGARD Residential Projects Building Permit No: ' l 5T a, 17 "oe) Ns" CWS Service Provider Letter Received: Yes ❑ No ❑ N/A , I Routed Plans: Original Plan Submittal Date: 7 .43 // 2 1st Revision Submittal Date: ❑ Site Plan Only 2nd 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 m at 503-718J 1 / or /� 1 1 @tigard- or.gov) Lad Use Case No. SU,) 7h 7000 / P.1 O Name WAf eee 5i `ve - ,e.4 Zoning 2- 5 PP \ LE Setbacks; � , � ront / 7i : 4tear / ide U Stre Side Garage / 9 IW aximum Building Height 1 , O � Actual Building Height 3 S 4 LI Visual Clearance E iE sements I 'Sensitive Lands Type: Notes: \ Original Plan: Approved e( Not Approved ❑ Date: - 7/31;//7-- 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: I t Notes: Original Plan: Approved Not Approved ❑ Date: 7/ 2 -- 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) [71 Street Trees 1 `P Protected Trees Notes: • Original Plan: Approved Not Approved ❑ Date: 1 1 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 y No ❑ 4 3 i i ?� Date Routed to Building: ra t i 1 1 L 11 l I I 1 1 r t Page 2 of 2 it :I • • V illage at ► -- t 1z.1 - _ � � I8 r _- f X X ummer ree I I X X x .,: xi X , I 12.0 1 12.0 1 12.0' ; 12.0' ; ?( @ , c i _ I � O C I 1 , � Z I I ' I I I I I I J 1 0.3' 4- �- — — — -J- I ---1 3.5' >— Q I ; I I Building Plan: 5 I I & Li i 17 18 19 20 21 ' Lots 17,18,19, 20 21 O co I x I FF/TOW 185.56 FF/TOW 185.56 1 FT/TOW 186.56 FF/TOW 186.56 1 FF/TOW 187.56 I GS 184.36 GS 184.86 I GS 185.36 GS 185.86 I GS 186.86 I LJnitS A- C -B -C-A I TOP 185.02 TOP 185.02 3 TOP 186 TOP 186.02 TOP 187.02 I V) I 1 - SITE PLAN , / ' I I Scale: 1"-10' ' I 1 1 _.fpr o , stN W,dci1es \ 1 \ \ 1 1 x X x x _ 1 i ` ` - I —T C I . k� ►GiiC� �lawcl` P��i�' 30.0' I ■� { I i p r : 3.5' 10.7' \ a .. �� . I 1 : ..: . ..'...... 1 at' '. :.... :� 1 . 1 1 .... ..... : I - A- -,N ____ 1 9 .a: : : _ � ' (ti , '.'...� . C 0 _ . ' . - - - :1_8',f}._. I 1 6 _ 0' _ ... 0 U 15.0 �1 `` - - I • co !, IP?. o „ s T T I viii ■■ 8 - SIGHT DISTANCE . ..... ..... . : G D CE .. RI -A I T N GLE ... 11 0' 3 30. r f. .:::::....... CE A :::'11''.;;:;::;''::"::::::-:•:.::::"1::.::::::•:::::::::1::'. 1'F .K:::::,::,•::.:•: :: :•:: �1':`ii :: ::.: li:: ii 1•:::I:::::i : :::::::.. : : : : :� :: ; ..::: ;::::; , R P O RAT IO N:: ;::;; ; ::: ; ' : . . : : : W SAGE T E A LZE1 ENGINEERING ASSOCIATES CO RPORATION 17757 Kelok Road Lake Oswego, OR 97034 8" SS 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 11095 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 04/16/2013 00:00 MST2012-00185 PASS 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 11095 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 04/19/2013 00:00 MST2012-00185 PASS 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 11095 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 04/16/2013 00:00 MST2012-00185 PASS 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 11095 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 04/16/2013 00:00 MST2012-00185 FAIL 1. Extend porch rain drain riser above grade.1101.1 2. Storm cleanout plug needs thread sealant at: right side front 316.1.1 3. Remove brass sanitary sewer cover for inspection. 103.5.1.4/103.5.1.3/315.3 4. Extend rear left rain drain riser above grade.1101.1 5. dishwasher hose to be securely anchored to underside of cabinet top. 807.4 Violation Summary: Inspector Contractor 111‘ STREET TREE TIGARD CERTIFICATION o wner a ent o L -I S b , r /1 g f (PLEASE PRINT) (PERMIT HOLDER) do hereby certini 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. P E R M I T NO.: 2 - 0 i 2 - - o ©1 e Sri E ADDRESS: 1 I U 1 C S1A) is &- SUBDIVISION: AT u AT SCie& r LOT #: (7 SIGNATURE: DAB - - ZZ (O R/AGENT) RECEIVED & - ' L VERIFIED BY DA 1 E: ) 3 () TTY OF TIGARD) Tree location verified p: approved site plan. I: \Building \Forms \StreetTreeCertificate 05/30/2012 (Oregon Residential Specialty Code N1107.2 HIG - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: j S ^ j _ O 1 Q Jurisdiction: 7 - - Site Address: I (0 Q 1 C t T Subdivision/L•t #: t I� AT Smw r l 1 and /or Map and Tax i_,ot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lightjng 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 Residential Specia Code Ni 107.2) 1 I Signature: / Date: Ow er/ r' or /Authorized Agent ge t Print Name: V ( D Cak-t ORSC Section 1%11 107.2. 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 dfficacy 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 \Rtts- HighEfficiencyLighting.doc 07/01/08