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Permit n CITY OF TIGARD MASTER PERMIT IIII I COMMUNITY DEVELOPMENT Permit#: MST2015 00174 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/22/2015 Parcel: 1S136AA00201 Jurisdiction: Tigard Site address: 10335 SW 67TH AVE Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 27 Project Description: New SF, model home. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First 1384 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1508 sf Garage: 717 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2892 sf Value: $362,225.57 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 ' 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing. V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2892 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11870 NE 99TH ST,STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE 360-258-7900 PHONE: 360-216-6423 FAX: 360-258-7901 Total Fees: $24,059.84 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATT . •,. a -gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 110 through OA' 952-0' X090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 1.800.332.2344 Issue By: _ L / Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ■ Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY City of Tigard Received /O / /5 Permit No.: 5 9c/5 40 /7 n 13125 SW Hall Blvd.,Tigard,OR Date/By: g 1 2 0 Plan Review Phone: 503.718.2439 Fax: 503.59-8.1960 Date/By: `O �,y'--kc , Other Permit: 6wR 5--x!/7 TIGARD Inspection Line: 503.639.4175 r /�g g 1 Y Date ReadyBy:jiti Juris: Eg See Page 2 for Internet: www.tigard-or.gov CI1 V Of 1l(AKL Notified/Method ♦�∎ Supplemental Information BUILDING OPINION pa cs TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ��lJ ® 1-and 2-family dwelling 111 Commercial/industrial Valuation:3 c /Iz$- e ❑Accessory building ❑Multi-family Number of bedrooms: ...6— El Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: / 0- 3.5 s_514 647/ ACC/ New dwelling area: 2, sy z square feet3 C r,I 9 City/State/ZIP: 7 ', ,eb J c R 9 7 2 2, Garage/caffoe*-t area: 7/7 square feet )O w Suite/bldg./apt.no.: Project name: Covered porch area: 2+8 square feet 3 g g. Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: a€w e,e,:-S. Lot no.: 2 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 DESCRIPTION OF WORK work indicated on this application. NSFR Valuation: $ Existing building area: square feet New building area: square feet Z PROPERTY OWNER ❑ TENANT Number of stories: Name:LENNAR NW,Inc. Type of construction: Address:11807 NE 996 Street,Suite 1170 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)258-7900 Fax:(360)258-7901 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Lennar NW,Inc. (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Charles Webb �1A,i, to FLS plan review fee(if applicable): Address:11807 NE 99 Street,Suite 1170 Total fees due upon application: City/State/ZIP:Vancouver,WA 98672 3 Amount received: C Phone:(360)258-7900 Fax::(360)258-7901 7J� y E-mail:PORPermits @lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:same as above Submit two )sets of roof plan with connection details and fire dep. •-nt access,along with ': I 0 Oregon Address: Solar Installation '.-cialty Co.- ecklist. City/State/ZIP: Permit Fee(inc .` plan review $180.00 .s: .s • is I: 've fees): Phone:( ) Fax:( ) State–rcharg- 2%of perms ee): $21.60 CCB lic.: / 95307 �� Total fee due upon application. $201.60 Authorized signature: .7 I'/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: / „Gk� 1 G'Li3 y Date: Q_Ztf.- /. '"-•• *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Applicat C(EIVED 1,-0k 0[1,1( F. I �1 ■)\I ) ill 1.2.1 City of Tigard Received Date,Bv: V / i< 10-e--h Permit No.: /`1h{p'7A/rJ,O0/79 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �'" ' a Phone: 503.718.2439 Fax: 503.59®G b 1 2 017 Date,'S Other Permit: Q.90/S-CZ((7 1 �,tt Inspection Line: 503.639.4175 Date Ready/By: Juri ® See Page 2 for / r Internet: w sw.tigard-or.goe ,1 g u Notified/Method: Supplemental Information CITY V� �lUflKll PLAN REVIEW ❑New construction ❑Addipt n'alteraL zPare Tfriettls N Please check all that apply(submit 2 sets of plans w/items checked below): ❑Service or feeder 400 amps or more ❑Building over three stones. ❑ 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: 0 Fire pump. ❑Installation of 150 KVA or ❑Emergency system. larger separately derived system JOB SITE INFORMATION_AND LOCATION yyJ/ ❑Addition of new motor load of ❑"A",-E","I-2". 'I.3", Job no.: Job site address:J 333 ski 6 7r!/ Hllt%" I Six or more tires. Recreation. ❑Six or more residetnial units. 0 Recreational vehicle parks. City/Stale/Z I e: /I f qR 1) d,2 9 722.. ❑Health-care facilities. ❑Supply voltage for more than 600 vo ❑Hazardous locations. 600 volts nominal. Suite/bldg.iapt.no.: Project name: 0 Service or feeder 600 amps or more. FEE SCHEDULE - Cross street/directions to job site: Description I qty. I Fee. 1 Total I • New residential single-or multi-family dwelling unit. Includes attached garage. CAI? Ce S 1.000 sq.ft.or less 168.54 4 Subdivision: Lot no.: �7 � Ea.add'1500 sq.ft.or portion a 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK with above sq.ft.) Limited energy,multi-family residential(with above sq.ft.) 75.00 Renewable Energy ❑ See Page 2 Services or feeders installation.alteration,and/or relocation PROPERTY OWNER J .` ❑ TENANT ; 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: lid r NI Inc . 401 amps to 600 amps 200.34 2 Address: 11,8/ -' jN r �r-�„ I�� ; 601 amps to 1,000 amps 301.04 2 v `VQRl V vet w ^I,hS'2 Cher mIora amps services volts 552.26 2 (:it�'rStatt-'ZIP: (/�(V/t' Temporary sen�ices or feeders installation,alteration,and/or Phone:(PA]O) ) 1-3-0— 1c100 Fax: ? )a ro` ( relocation 200 amps or less 59.36 1 1 Owner installation:This installation is being made on property that 1 own which is not tot amps to 400 amps 125.08 1 2 intended for sale.lease.rent-or exchange.according to ORS 447.449.670.and 701. 401 amps to 599 amps 168.54 t 12 Owner signature: Date: Branch circuits-new.alteration,or extension,per panel 'X APPLICANT i ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee. Business name: �� i/ IA! + 1' each branch circuit 7.42 3 I V�/ N t- B.Fee for branch circuits without Contact name: Chu rVA w e r service or feeder fee,first 0 branch circuit 56.18 2 Address: ` Q�; t\ q l-Li . •4 1 �10 Each addll branch circuit 7.42 2 Vv r Miscellaneous(service or feeder not included) Cil3'S[a[e/ZIP: n 6�yt u�Q/K { 1 ��j��- Each manufactured or modular 67.84 Phone: 0 ) >� 1 eit,y)" Fax: -(SW 9- -7 4o1 dwelling,service and or feeder /� x e Reconnect only 67.84 2 E-mail: �r`m j�Si ip�lll� . C or► t Pump or irrigation circle 67.84 CONTRACTOR Sign or outline lighting 67.84 Business name:?0. <\.,�c:?\e Gk c,G � Signal circuit(s)or limited-energt See panel,alteration,or extension. Page 2 2 Address: cbl..VQ ' ( c� - Each additional inspection over allowable in any of the above Additional inspection(1 hr minl 66.25'hr Cil)'State/ZIP: S oc , o(� -T� Investigation 11 hr min) 66.25'hr Phone:(grit) UkS_3ed Fax:( ) industrial plant t ht min) 78.18'hr n inspections for which no fee is 90.00'hr CCB Lie.: \l 6 Electrical Lie.: C �o `1 Suprv. Lie.: 305 5 specifically listed I'',:hr min) . ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: _ Subtotal: Print name: r -�� ( ate: Plan review(25%of permit fee): LA G, - �' r n State surcharge(12%of pennit fee): Authorized signatur i aO � ('0.3 TOTAL.PERMIT FEE: ` 1 This permit application expires if a permit is not obtained within 180 Print name: �j j,∎`,n V 0\a--�J�C I Date. days after it has been accepted as complete. �J • Number of inspections allowed per permit. I•RuildinpPennits.ELc_Pennitxpp_ELR_ERE doe Rev 05P-1:_013 4204615T)11x 05 C01UWEB • Mechanical Permit Applica FOR OFFICE USE oNL\ ECEIVEI� / � Q City of Tigard DateBy: /oh/i S p�J Permit No.:H 7 4/5pp/7¢ 'r 13125 SW Hall 71 Blvd. Tigard,OR 97223 Phone: 503.718.2439' Fax: 503.598.19 Plan Review Other Permit: 12� 5"--.06//7 r T 1 2 015 Date/By:Inspection Line: 503.639.4175 T I G A R D Date Ready/By: Sufis 0 See Page 2 for Internet: www.tigard-or.gov ��T�IT��,��U'FTn1iGAclZh Notified/Method: Supplemental Information TYPE (&11 1B 11%DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: t 1 / Air conditioning 1 46.75 Job site address: /o.33 S S 6 7rK Art; Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: / i tj ARD OR c72 23 Furnace 100,000+BTU(ducts/vents) 54.91 / Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: 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: C,P.e-.s 7 Lot no.: 2 7 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas NSFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen equipment 1 33.39 Address:11807 NW 99'Street,Suite 1170 Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:(360)258-7900 Fax:(360)258-7901 Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:LENNAR NW,Inc Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Charles Webb Furnace,etc. 1 Address: 11807 NW 99th Street,Suite 1170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater i Phone:(360)258-7900 Fax::(360)258-7901 Fireplace j Range I E-mail:PORPermits @Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) 1 Business name: p C O� % L L I/v 'G L Other MECHANICAL PERMIT FEES* Address: /©7 g iv y s r-nve en 1.4,113,/ M vG/2 1- wy Subtotal City/State/ZIP: 9706o Minimum permit fee($90.00) �� i)4 L�> OR �/� y Plan review(25%of permit fee) Phone:(g 6 6 7 /78/c=rr-Sef Fax:(1,--,,,3 ) (,o�/ _ 989/ State surcharge(12%of permit fee) CCB lic.: J / 222 U o i/l r/1 -7 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: a.mik, • Fee methodology set.by Tri-County Building Industry Service Board Print name: eL/,�- f,,,,,,,,,,t, Date: 9,/4 , /5 I:\Buildingt Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) . Plumbing Permit ApplicUi 1 J ,E � Building Fixtures FOR OFFICE USE ONLY City of Tigard OCT '1,01-1-- Received Byy: /! � ) �5 5 IIIII . /! l ;) Permit No.: �� 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: /D /5 -GL� 7 1 14 1 6ARI, Date/By:an Review Phone: 503.718.2439 Fax: Jp 0 ' Other Permit No.: ,,,a-..90/C.-45e71/7 TIGARD Inspection Line: 503.639. I Date Read B Y Juris: Fd See Page Internet: www.tigard-or.g ILDNi )r VISION 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 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building SFR(3)bath 1 500.32 ry 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: / .1.3,5--- .13.5 ' 811/ 6 7'm _41, Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: ` 7 ',q [) ` G 9 7 Z Z 3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:)�o) Page 2 Storm sewer(no.linear ft.:j• ) Page 2 Water service(no.linear ft.:) ) Page 2 Subdivision: 614// pe s I Lot no.: 2 7 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 NSFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Z PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:LENNAR NW,Inc Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11807 NW 99th Street,Suite 1170 Garbage disposal 1 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 Phone:(360)258-7900 Fax:(360)258-7901 Ice maker 1 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:LENNAR NW,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Charles Webb Roof drain(commercial) 12.51 Address: 11807 NW 99th Street,Suite 1170 Sink/basin/lavatory 5 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)258-7900 Fax: :(360)258=7901 Tub/shower/shower pan 3 12.51 E-mail:PROPermits$Lennar.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 n Water heater 1 37.52 Business name: WO L 'C- /0 7••7 /'L Li/Yl 73/il/� Water piping/DWV 56.29 Address: /11 75 IA 1L 1 7a/ /C 6,4_4i m/3/4 law 4I7 er: 25.02 City/State/ZIP: / Subtotal Phone:(51x3)66'7,./7g(„X7„Q/ Fax:(5'3) ‘6 T- 51,91 Minimum permit fee: $72.50 CCB Lic.: / 2 27 00 Plumbing Lic.no.:24,-821 P8 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: (1' /.7YJlfi.4,4,0/ TOTAL PERMIT FEE h This permit application expires if a permit is not obtained within 180 days Print name: C�/�F aD/a/WA,v Date: ./4- /5- after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard .114 " COMMUNITY DEVELOPMENT DEPARTMENT ■ T I GAR D Building Permit Review — Residential Building Permit #: 5 -001 Site Address: 1033 5 5 t..7 (ol ivy Ave- Project Name: Oa- 61 ale-s Lo .x Cres - ) it #: a7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review 6-1 Proposal: NPR 5F/_ 01) Er-Verify site address/suite#exists and active in permit system. kr-River Terrace Neighborhood: ❑ Yes I No Site Plan Elements: kiiiree(3)copies of site plan ktxisting structures on site Site plan must ht on 8-1/2"x 11"or 11 x 17"paper Wootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations CeNorth arrow Da'CJtility locations(required for new,may apply for additions) lirgite address,project or subdivision name and lot number ocation of wells/septic systems Applicant information(name and phone number) f Erosion control(including drainage-way protection,silt fence .ot dimensions and building setback dimensions design,location of catch basin,etc.) )2Cot area,building coverage area,percentage of coverage and treet names impervious area(applicable if R-7,R-12,R-25&R-40) reet tree size,type and location Property corner elevations(2 foot contour lines if more than GU xisting trees to be retained with drip line,and tree 4 foot differential) protection measures INY Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified a"-No Received: ❑ Yes ❑ No 1 Public Facilities Improvement(PFI) Permit: Required: ,L Yes,applicant was notified ❑ No Applied For: [$.Yes ❑ No,stop intake jl Land Use Case#: c5-Ba014- 0000 1 5UZ a014- -00001 zo 'c - .5 Setbacks: Front ,90 Rear 15 Side 5 Street Side 15 Garage P" andscape Requirement: — U Lot Coverage Maximum: ❑ Building Height: Maximum Height Actual Height jR-Visual Clearance 'Easements kSensitive Lands: ❑ Yes No Type ❑ Urban Forestry Plan .N--Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: , i� Date: /0�-� /J Revisions (after Building Submi only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_070915.docx Building Permit Submittal Original Submittal Date: /O/ i c Site Plans: # _ Building Plans: # 3 Building Permit#: la-Enter building permit#above. Workflow Routing: ❑ Planning 12--Engineering [I ermit Coordinator laBuilding Workflow Sign-off: a Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ffrBuildin g. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: 1' 4 v7 `c L N-6,i'1/4--/ E. By Permit Technician: 01 1 / Date: /Oh//S En ineeringReview J,, �A� �_ .Q_PL� [ Slope at building pad: o- t nditions "Met"prior to issuance of building permit y, .1 / --, 7 ' • ` - / IV Easements (encroachments)per engineering conditions of a_ and plat NWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes V No Assess Water Quantity Fee in-lieu: ❑ Yes 4 No LIDA Facility on lot: ❑ Yes ail No ❑ NOT Approved by Engineering: ,,.‘iii,e,,... Date: Jct_-, Notes: Approved by Engineering: ____Artgfirei Date: !o 9i-9/b5 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit / Approved, NOT Released: f 'i4 c, g< ylo/e9 ., Date: /��s/"/S Notes: 444e-,gr c eV—of-y.4— ae�•-`JiG� d/ /40/1 ¢// S 4...,),-, Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: g Yes ❑ N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: c"Yes ❑ N/A _r; =it K to Issue Permit /0 / �i Approved by Permit Coordinator: /,Al _ Date: I:\Building\Fonns\BldgPermitRvw_RES_0709I 5.docx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10335 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00174 David Young Provide approved sealant on clean out plugs. 316.1 Provide permit and Backﬂow test report for lawn irrigation Backﬂow devise. Finish shower tile in master. Provide address on site for inspection. 103.2 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10335 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00174 David Young Note: protect copper tubing with line set in mechanical room from contact with metal electrical conduit. G2415 Will check at building ﬁnal inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10335 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2015-00174 David Young Provide driveway for ﬁnal inspection. Provide approved plumbing ﬁnal inspection. Provide approved plumbing ﬁnal for lawn irrigation Backﬂow devise. Provide address on site for inspections. Provide city required documents for ﬁnal inspection, street tree certiﬁcation, moisture content form and high efﬁciency lighting form. Insulation certiﬁcation and blower door test results. Required rear yard tree to be placed as located on approved site plan. Remove ground cover from contact with non pt or decay resistant wood. Violation Summary: Inspector Contractor U 3 5— SGS 1i7 — TIGARD City of Tigard March 9, 2016 Lennar Northwest Inc. Attn: Juls Call 11807 NE 99th St., Suite 1170 Vancouver,WA 98682 Re: Permit No. Various New SF Residential Permits - See Attached List Dear Applicant: • The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: Various Project Name: Oak Street Estates - Lots 1-23 and 25-31 Job No.: Refund: ►i Check#220393 in the amount of$338,059.00. n Credit card "return" receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account "deposit" receipt in the amount of$ Comments: Refund for SDC fees paid prior to available credits applied from demolition permit BUP2015-00091 for armory building and SF residential building. See attached spreadsheet for SDC credit balance and list of permits that credits were applied to. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. + Tigard, Oregon 97223 • 503.639.4171 I1 City of Tigard TIGARD Accela Refund Reque t This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Actio,v-z form (if applicable)must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Lennar Northwest Inc. DATE: Attn: Juls Call 3/7/2016 11807 NE 99`h St., Suite 1170 REQUESTED BY: Dianna Howse Vancouver,WA 98682 TRANSACTION INFORMATION: Receipt#: Various Case #: Various Date: Various Address/Parcel: Various Pay Method: CreditCard Project Name: Oak Street Estates EXPLANATION: Refund for transportation development and parks system development fees paid prior to demolition credits for armory structures and (1)residential structure. Received final inspection for BUP2015-00091 on 2/10/2016 so credits can be applied and all SDC fees paid by developer shall be refunded. REFUND INFORMATION: Fee Description From Receipt Revenue Account No, Example: Building Permit Fee Refund Example: 2300000-43104 $Amount Washington County Transportation Development Tax 405-0000-43320 Parks SDC-Improvement 425-0000-43300 $237,723.00 20,203.00 Parks SDC-Reimbursement 425-0000-43301 3633.00 Sewer Connection 500-0000-25500 ' .,.714898:00 TOTAL REFUND: .$333;449701 APPROVALS: SIGNAT S/DATE: 3.26F,dS`Y.ero If under$5,000 Professional Staff <(<1 <rt If under$12,500 Division Manager jy/j If under$25,500 Department Manager If under$50,000 City Manager If over $50,000 Local Contract Review Board .Lp /1--7°f'c_y , FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: —/ B Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10335 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00174 Chip Barnett Previous corrections completed Violation Summary: Inspector Contractor