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Permit CITY OF TIGARD MASTER PERMIT a COMMUNITY DEVELOPMENT Permit #: MST2013 -00098 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/03/2013 Parcel: 1 S133CAl2500 Jurisdiction: Tigard Site address: 10922 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 48 Project: Village at Summer Creek Lot 48 Project Description: Building 14 New SFA BUILDING Floor Areas Required Setbacks Required • Stories: 3 Bedrooms: 2 First: 46 sf Basement: 0 sf Left: 3.5 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 643 sf Garage: 509 sf Front: 12 Smoke Dwelling Units: 1 Third: 643 sf Right: 0 Detectors: Yes Total: 1332 sf Value: $166,251.09 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 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 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 adds 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 +ampNolt: 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 1332 Owner: Contractor: CENTEX HOMES CENTEX HOMES Required Items and Reports (Conditions) ATTN: OCHSNER, JOHN 11241 SLATER AVE NE STE 100 1 Ersn Cntrl 503- 639 -4175 11241 SLATER AVE NE, STE 100 KIRKLAND, WA 98033 • KIRKLAND, WA 98033 PHONE: 971- 246 -1417 PHONE: 425- 216 -3400 FAX: Total Fees: $14,064.50 • 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 ION: Ore 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 OAR 9 0. You may obtain a copy of the rules or direct questions to OUNC by calling32.1987 or 1.800.332.2344., Issued Permittee Signature: /O'Z.---' 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. • ¶, y Building Permit Application Residential City of Tigard � � V � D Date/B 4-1(p I g Sif Permit No.: ti157�0(3 -00 0 q g/ • 13125 SW Hall Blvd., Tigard, 111 Phone: 503.639.4171 Fait: 503.59 1 t( 60 C Dme/B I/ to (3 Other Permit: % � I . I :� i, n Inspection Line: 503.639.4175 1 J 2013 Date Ready/By. ' 1 + RI See Page 2 for Internet: www.tigard -or.gov Notifi ethod: 7 r � 7 Y✓ , 0 , Supplemental Information CITY ()F TIGARD . . {- t 01', i 1. tae. • TYP L DIVISION REQUIRED D TA:1- AND 2- FAMILY 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/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ®1 -end 2- family dwelling ❑ CommerciaUndtstrial Valuation S j 2 /5 (' - ❑ Accessory building ❑ Multi - family Number of bedrooms: 2 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION To number of floors: 3 Job site address /O9 2 a Sw 5 / (Mee New dwelling area: 1332 square feet City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 509 square feet bin SuiteJbldgJapt. no.: $ / if I Project name: VILLAGE AT SUMMER CREEK Covered porch area: 17 square feet ( 4 Cross street/directions to job site: CORNER OF SW BARROWS RD, _ Deck area: 128 square feet SW 135 AVE, AND SW SCROLLS FERRY RD Other structure area: 1 ek1 square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: VILLAGE AT SUMMER CREEK I Lot no.:•' 18 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: S UNIT B 1332 SQ. FT. Existing building area: square feet New building area: square feet IN PROPERTY OWNER I ❑ 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: IrMR:In -A/14 Or en,1 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/State2[P: Hillsboro OR, 97123 applicant is exempt from licensing, the following reasons apply: Phone: (111110031141P 5k (, l 2 ) . /SA1 I Fax: : (503) 608-3061 E-mail: C� Q _9 f p Anhflf¢/to4as R Ia.. t'0 ^ti CO Business name: CENTEX HOMES BUILDING PERMIT FEES' Address: 3884 SE Aerie Ave. (Please refer OD fee sch City/State/ZIP: Hillsboro OR, 97123 Structural plan review fee (or deposit): Phone: (971) 246 -1417 I Fax: (503) 608 -3061 FLS plan review fee (if applicable): CCB lic.: 182591 Total fees due upon application: Amount received: Authorized signat ' I L ia p This permit application expires if a permit is not obtained I Print name: Dave Templeton S' within 180 days after it has been accepted as complete. I Date: S t ZD fC. a Fee methodology set by Tri-County Building Industry Service Board. 1 :1Building\Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(I 1 /02/COM/WEB) Plumbing Permit Application Building Fixtures DECEIVE® City of Tigard Received 4 ( (0 1 3 i permit No.:i4 aol 3 - -c e`ik Ill I • 13125 SW Hall Blvd., Tigard, OR 972 Plan Review Phone: 503.639.4171 Fax 59. I6QZ 0 3 Date/By: Other Permit Nod e / 3 U(X�Z..3.- - T I G A I: I) Inspection Line: 503.639.4175- Date Ready/By: See Page 2 for -I rt Internet: www.tigard -or.g. ' c • 0 Notified/Method: fv Supplemental Information 4, • a � S � N -.- - - - - FEE• SCHEDULE -- -. - - i _ _ . . . . - :.. IN New construction 111 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 O_ F ,CONSTRUCTION SFR (I) bath 312.70 ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 V) ❑ Accessory building ❑ Multi- family SFR (3) bath I 500.32 500.3 Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 4OB SITE INFORMATION -AND, LOCATION' _ -" Site utilities: r, Job site address: Catch basin or area drain 18.76 , oq2 5 �'�� �� , e" Drywell, leach line, or trench drain 18.76 City / State/ZIP: TIGARD OR, 97223 Footing drain (no. linear ft.: Q) I Page 2 Suite/bldgJapt. no.: 4 1 it 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.: LW) 1 Page 2 Storm sewer (no. linear ft.: ) I Page 2 Water service (no. linear ft.: 100) I Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: (G yB Fixture or Item: Tax map /parcel no.: Backflow preventer 31.27 - DESCRIPT_ ION (F' WORK Backwater valve 12.51 - -- - - Clothes washer I 25.02 NEW SFR TOWNHOUSES Dishwasher I 25.02 UNIT B 1332 SQ. FT. Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER . 'I ,❑. t--1040. Expansion tank 12.51 Name: CENTEX HOMES Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1 352 SEAer le_ 14 t Garbage disposal I 25.02 City /State/ZIP: ) //. fb OR ?7 )a3 Hose bib 2 25.02 Ice maker I 12.51 e APPLICANT -® CONTACT ER . •PSON Interceptor /grease trap 25.02 Business name: CENTEX HOMES Medical gas (value: $ ) Page 2 Contact name. Art , r �q,ryr- h_ 01 4 - Primer (commercial) 12.51 il" - Roof drain commercial) 1 l 12.51 Address: 3 $8 j .S Ae/`ie Ave_ Sink/basin/lavatory 6 25.02 City /State/ZIP: f 1-1'l )sboro o f 9 Z/ a3 Solar units (potable water) 62.54 Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 E -mail: _ �-, - Urinal 25.02 C ONTRA C TO R 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 Lic.: 79666 Plumbing Lic. no.: 20 -148PB State surcharge (12% of permit fee) Authorized signature: f R O rf / V "' r7- /mil TOTAL PERMIT FEE This permit application expires if a permit is not obtained within I80 days Print name: PETER POLLARD I Date: after It has been accepted as complete. 'Fee methodology set by Tri -County Building Industry Service Board. I:\Building'Permits\PLMU- PermitApp doc 10/01/09 4.40-46t 67( l 0/07/COwWEB) Mechanical Permit Application FOR OF FICE USE ONLY 114 City of Tigard r'� �_~ I �® Received L4-( I (e i I S Sr Permit Nall Sida/ 3 _ Om d • 13125 SW Hall Blvd.; Ti , r . • DatdB ' � Pion Review 3 ' Phone: 503.639.4171 Fa : 'r Date/By: other Pu,ni ) 12_ ,301 3 -000 't I i is I: o Inspection Line: 503.639.4175 5 20 13 Date Ready/By: t I nternet: www.tigard -or.gov A PR 1 ®Sce Page for NNotified/Method: 1u, Supplemental information ° l'. ♦s 0 a V ra -;n- 1 t J l % 1 . :- k- '.:: ¢%lig C. 1 C ✓� --/ Y J r J 1 ° L• a 1 ) >_ ® New construction ❑ Ad 141IN." 1 i.. ,1, rep acement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 1 ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ,, ... -tc Value: S �`' :yr,�: ' •�'�1'�lc7o�i ° {i]~; c o '� u ' a c,ld'o �fl' •.'.. :t�'�+)3,�: &,� � -War ;.,.- ..;._.. _ . CP ® -and 2-family dwelling ;) .1 y ii_ �jliVyt;i=_o el ;iAky%., yi . rill -1 J y g ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total eV ...ii ,n�' ^ un,?, i l ! �l i � ° , iTo�_/N,,t,i OC AI I o I >�R�w.. :� _ . - oft � � ��lL�v r '� -•t- , q?;' Heating/cooling Air conditioning Job site address rr rTaR it t/ ZZ 5 6ti541oG Tae (requires site plan showing placement) 46.75 City/ State/ZIP: TIGARD OR, 97223 Furnace 100,000 BTU (duets/veots) I 46.75 46.75 Furnace 100,000+ BTU (duets/vents) 54.91 Suite/bldg. /apt no.: 4 p 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 SCHOLIS FERRY RD Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 4,1gr L8 Flue/vent for any of above 23.32 Other 23.32 Tax map/parcel no.: Other fuel appliances w: „F r .�.,. �_ r ?lf fizz. I 1 .4 4 l. °.`1'°�.;.M?<< ""-qaAC A45.(^�4.g:i Water heater 1 23.32 23.32 Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT B 1332 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ' `yC, 3a o i�J uT% o ,�zI 2 `' ': ��If'r ' ✓r "�T p r' � <. , ' "` :fir Chimney/liner/flue/vent 23.32 - � '� �'"'�•• Other. 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Address: 388 AO i e /4v e_ Range hood/other kitchen - equipment 1 33.39 33.39 City/State/ZIP: t /7L///chat oR 5 70,3 Clothes dryer exhaust I 33.39 33.39 Single -duct exhaust (bathrooms, Phon,.. t 7 / - a 1/,6 -)1 j 7 Fax: (503)608 -3061 . toilet comparunents, utility rooms) 4 23.32 93.28 r'% 4ri.)` L{G :: '' r .',.✓ZJ _ ' _ g r,= �; r' `. ? ?3 4 4 i O 0 - �I r ca�d O Attidcrawlspace fans 2 i: - RS3.32 ;; ,�- 1�.._..._ `f' =s a :t...'�Q_cU�` ' _ �? , Other. 23.32 Business name: CENTEX HOMES Fuel pi Contact name: i� _ // Jf ox,Q�shilc D l%AseA,1 r $14.15 for first four, $4.03 for each additional Furnace, etc. I 14.15 Address: 38,641 S E Aette Ave* Gas heat pump City/State/ZIP: 4,1fS/,ro‘ a 97/13 Wall/suspended/unit heater Phone 3 v 2 2'. Fax: (503) 608 -3061 Water heater 1 Fireplace L E-mail: • 41' r. ... r . „ . -- 4 e. / l vaotfeAtoiacfiu.0,,, Range I .�,'- r,.7}.n f! :,N -^�•' a }iP} - �� .a� r -•�SY� dn• -y: t,'i= _ ?`i. as.i;�sir3.�'�`12fi�N44 . ,. JI :'. ' i .iWT;3r + - ''• T "k r v^?'i ;asirr�'?, Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other. Address: 7301 SW KABLE LANE, STE 500 .'". 1 3y i , ., . • c_ ` • ij • _i 1 i;l,,i i a ' :, a? , City/State/ZIP: PORTLAND OR, 97224 Subtotal Minimum permit fee ($90.00) Phone: (503) 598 - 0966 pi. x: (503) 598 -8498 Plan review (25% of permit fee) CCB lic.: 50096 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: Thus permit application expires If a permit Is not obtained within ISO days after It has been accepted as complete. Print name: KYLE BI ' ' AN I Date: • Fee methodology set by Tti - County Building Industry Service Board I: % 8uitdtegPermitssMEC- PermitAppdoe 10101/09 440.4611! (I I,ID/COM/WES) �4 . Electrical Permit Appl�?� ;�� :, . 1�+ : R AE � rots i�hrlcl�: l,sl UNI.,' City of Tigard Penn it ° � b �l �- 1 "d Received / Sr ST Pit N � OOV r j `' Date/By: t t Il! l � I :I ° 13125 SW Hall Blvd., Tigard, 0 iye23� 5 2013 Plan Review ' Phone: 503.639.4171 Fax: 50.9 1 Date/By; Other Perrni Q,I(f� 3 - p -� Il TIGARD Inspection Line: B OY OF TIGARD GARD Mit Ready/By. rw6. / /..... I ®Page 2 for w Internet: ww.li and - or. ov ��tF�(� Notified/Method: r Supplemental Information l��� T R'�ili�IF ISIOitJ ©©tt PLA REVIEW -tt ® New construction ❑ Addition /alteration/replacement Please check all that apply (submit 1E sets of plans w /items checked below): ❑ Service or feeder 400 arms or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault currant ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION - exceeds 10,000 amps at 150 volts or ❑ Floating buildings. • I -and 2-family dwelling less to ground, or exceeds 14.000 ❑ Commercial -use agricultural v t ❑ y g ❑ Commercial/industrial ❑ A ccessory building accts for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire Punt. ❑ Installation of75 KVA or ❑ Emergency system larger separately derived system i p JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor bad of ❑ "A ", "E ". " -_ 13 Job no.: Job site address: 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks City/State/ZIP: TIGARD OR 97223 104 22 S Svc / e�e... ❑ Heabh -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt.no.: lif I Project name: VILLAGE AT SUMMER CREEK ['Service or feeder 600 amps ormore. FEE.SCHEDU _E - Cross street/directions to job site: CORNER OF SW BARROWS RD, Desolation I Otte I Fee. I Total I • SW 135 ND S SCROLLS FERRY RD New residential single- or multi - family dwelling unit. AVE, + includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: XS K3 1,000 sq. 0. or less I 1 168.54 168.54 4 Ea. add'1500 sq. It or portion Z 33.92 I Tax map/parcel no.: Limited energy. residential DESCRIPTION OF WORK with above 1 75.00 75.00 2 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 - AN PROPERTY OWNER 1 • ❑ ..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: ' 388Y 3 ', 4r ;,` Ave- . . Over 1,000 amps or volts 552.26 2 Temporary ty nil/s6ot°, OR 9?1a3 relocation services or feeders installation, alteration, and/or City/State/ZIP: Phone: ?7I-- ?7f.- ?t /'/7 l Fax: (503 -503 -6031 200 amps or less 59.36 I Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps I25.0e 2 intended for sa lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits- rcunew, its alteratio n, or extension, per panel Owner signature: • u L.- Date: �ts /leIZ A. Fee for hmnch ci 1 ® APPLICANT above service or feeder fee. ❑ CONTACT PERSON each branch circuit 7'42 2 Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: t Y (e , D Pre/lien � branch circuit Each add'I branch circuit 7.42 2 Address: ?8$ ( SE Arric flee_ a Miscellaneous (service or feeder not included) Ci / State/ZIP: n Each manufactured or modular 67.84 2 tY ht '/�5Jv/'0 OII� 47/x3 dwelling, service and/or feeder Phone: forA, mil. ( Fax: (503) 608 - 3061 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: 16 411 MI. • • itte• 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) 6615/ hr Industrial plant (I hr min) 78.18/ hr Phone: (503) 648 -4552 I Fax: (503) 642 - 7925 Inspections for which no fee is 90D0/ hr specifically listed ('A hr min) CCB Lie.: 182591 I Electrical Lie.: 34 - 305C I Suprv. Lic.: . ELECTRICAL PERMIT 'EFTS Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): Print name: CHUCK GARNE Date: State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized signature: T his permit application expires permit Is not obtained within 180 If a %%� P PPa sxP P days after It has been accepted as complete. Print name: Date: • Number of inspections allowed per permit. 1. taoadiagWemds%ELC- PenrseApp-doc 07/01/10 440- t61ST(11103ICOMIWEa • lig 0 ° Building Division Development Code Provision Review 1 i c n R Residential Projects Building Permit No.: A l �r a-0/ 3 - bo a l b Project /Subdivision Name: U I LCM A - 7 - SUOUa-t Ci -- , Lot #: `rd Site Address: /OQ a- SO Se.ACo65 49--- , CWS Service Provider Letter: Required: Yes ❑ No ❑ Received: Yes ❑ No ❑ Plans Routed: sr Original Plan Submittal Date: 4 3 Routed By: 1" Revision Submittal Date: ❑ Site Plan Only Routed By: 2n Revision Submittal Date: ❑ Site Plan Only Routed By: 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. Planning Review (contact AY}PS KONki at (503) 718 - 2 or @tigard- or.gov) Land Use Case No. al BWOCP - 1010 1 [pp 2—001.0-1 WO i Zoning r7 - 2-5 g Setbacks: i Front 12 Rear Id Side 01 3. Street Side IJI k Garage S DVMaximum Building Height: 4S Actual Building Height t ❑ Visual Clearance N I A- EKEasements Densitive Lands Type: IJowa 9 Street Trees ❑ Protected Trees 1\1/ Pr Notes: Original Plan: Approved Not Approved ❑ Date: 4 I (1 I Revision 1: Approved ❑ Not Approved ❑ . Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard- or.gov) $ Actual Slope: Z % Notes: • Original Plan: Approved a- Not Approved ❑ Date: 4' 1 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: Y Date Routed to Bac"- Page 2 of 2 1: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 RECEIVED ir), 15 2013 I 1 � �, , � , , � TY IN 1 a e at BUILD I ., 7, S ummer Creek - - �� 11.3 hi3 4 1 �q .;� � � 11.0 F ` 19.0' 1 I 1 9. 0 �� I I i 0 I IIII I I1 „ , © � <(` z © 9.4' �' � �� - 13.5' . r r 5.0' — I / ',, 35' Building Plan: 14 I I / Lots 48 & 49 48 49 I Unit B -B ` \, ,, FF /TOW 197.01 I FF /TOW 197.01 I \ GS 196.31 I GS 196.31 \ \ , SITE PLAN TOP 196.47 TOP 196.47 H180N \ Scale: 1"-10' I \ „ It 1 I I / </ Q C. � u„`r; c(e er' �l� r: A '( / \ 3 I - p7r "s C4ilet . `C.bw�+k - - -- x1 - i 1 5.0' / • I I All 1 -..% '5""10 _ r_c ____,,, 0 1 0 ,- --- ...... ........„ 1 \ a 18.4'1 1 (11 ovili 0,, 4 I' IL II, 0 10 X, ...... 11 -- i, 0.01* ° ii,4 A F �r b• N In 1 I . r . • :I 6 8" 1 • E ... :......:..:. .............:..:.....:.... _ i — I — .� ER AC ENGINEERING ASSOCIATES CORPORATION 1:.:::;;.: — 5 . 17757 Kelok Road Lake Oswego, OR 97034 Tel. (503) 636 -4005 Fax (503) 636 -4015 S 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 10922 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 2013-12-17 00:00:00 MST2013-00098 PASS - C of O *Erosion Control approval Passed *Planning Approval passed *Street Tree Certification, checked for trees. Received *High-Efficiency Interior Lighting Systems Doc Received *Moistuxre Content Acknowledgement Form. Received *Insulation Certification checked. Checked *Carbon monoxide Detector checked. Checked Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10922 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 2013-12-11 00:00:00 MST2013-00098 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 10922 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 2013-12-11 00:00:00 MST2013-00098 FAIL 1. hose bibb requires positive attachment and sealed to building at: front and rear of bldg. 313.3/314.5 2. Expose outside sanitary cleanout. (Remove brass cover). 3. Expose backwater valve at footing drain to storm connection. 1101.5.2[3]/310.4 4. Correct 1/2 bath lav popup not working. 310.4 Recall. 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 10922 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 2013-12-11 00:00:00 MST2013-00098 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 10922 SW SAGE TER, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 2013-12-11 00:00:00 MST2013-00098 FAIL 1. hose bibb requires positive attachment and sealed to building at: front and rear of bldg. 313.3/314.5 2. Expose outside sanitary cleanout. (Remove brass cover). 3. Expose backwater valve at footing drain to storm connection. 1101.5.2[3]/310.4 4. Correct 1/2 bath lav popup not working. 310.4 Recall. Violation Summary: Inspector Contractor I . $ . STREET TREE TIGARD CERTIFICATION ,, ..„, o ..,,-40,_ I, £) O owne /a r agent o tVLT - 1-104466 , �� , g f (PLEASE PRIM) (PERMIT HOLDER) do hereby certj 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.: Mgr Zpl, - 00 SITE ADDRESS. `e ,Scy SUBDIVISION: i 5 1 vi r vt 69. ,(_ LOT #: . SIGNATURE: DATE: j Z--, j g- iv ir (OWNER /AGENT) RECEIVED & / Op • VERIFIED BY /e DATE: 47 -0 V (C O F TIGARD) El Tree location verified per ...roved site plan. I:\ Building \I'1,nnsVStrcc(Irccl.rrt1ticit 05/1U/21112 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: L107 _ Lt ,. es Jurisdiction: `Ti6# Q Site Address: I zz - J ,5frfe V � Subdivision/Lot #: int/ 4 tar Lig 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: 3 O 'Genera ' • nt . tor thorized Agent Print Name: 0100 S. 6.f ° 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 fmal 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- HighEPficiencyLighting.doe 07/01/08 Oregon Residential Specialty Code R318. MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, �4'ui M, ( , am the general contractor or the owner - builder at the following address: 1 Site Address: 1tnzz- v w 4 /lit Yr City: nieger Permit #: 4 �- 2-013-024e Subdivision /Lot #: u tti fr nr � 1 and /or T �-fS� Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture- sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members, Signature: / / Date: I Z 1,D —I 3 ��e 4 ontractor or 2t er- Builder 1:A Building\ Fonn \RES- MoistureSensitiveWood.doc 09/25/08