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Permit ' ). 1 'r, CITY OF TIGARD MASTER PERMIT :! : , COMMUNITY DEVELOPMENT Permit#: MST2015-00171 TWGARD 13125 SW Hall Blvd ,Tigard OR 97223 503 718 2439 Date Issued: 11/02/2015 a I;: Parcel: 1 S136AA00201 Jurisdiction: Tigard Site address: 10315 SW 67TH AVE Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 28 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms 3 First 1692 sf Basement 0 sf Left 5 Parking Spaces 0 Height 24 Bathrooms 3 Second 905 sf Garage 417 sf Front 20 Smoke Dwelling Units 1 Third 0 sf Right 5 Detectors Yes Total 2597 sf Value $314,976 33 Rear 15 PLUMBING Sinks 1 Water Closets 3 Washing Mach 1 Laundry Trays 0 Rain Drain 1 Urinals 0 Lavatories 4 Dishwashers 1 Floor Drains 0 Sewer Lines 100 SF Rain Storm Sewer 100 Drains 0 Tubs/Showers. 3 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 1 Drywell-Trench Drain 0 Other Fixtures 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 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 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&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 SF VB R-3 2597 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 PHONE 360-216-6423 FAX 360-258-7901 i Total Fees: $23,210 51 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtai -copy o - es or direct questions to OUNC by calling 503 232,-98)-. 1 800 332 2344 '. Issued By: i�j� �� Permittee Signature: A /✓ '/t/ "VI 3.639.4175 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 proje t. Approved plans are required on the job site at the time of each inspection. Building Permit Application W Residential FOR OFFICE USE ONLY,. City of Tigard CANSP Received _ Permit No 4 q 13125 SW Hall Blvd.,Tigard,O %R {. Plan Review Phone: 503.718 2439 Fax: 503 1 r�o�5 Date/B ' _ •) �,�, Other Permit ; • TIGARD Inspection Line: 503 639.4175 Date Ready/By. See Page 2 for Internet: www.tigard-or.gov S�Q �`�h�©��; Notified/Method- a „�/ ( MI Supplemental Information - TYPE O. OF 0 l�S Tom—.",„Z..t PI `` O�NG REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 1ilnolition 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 14 ® 1-and 2-family dwelling ❑Commercial/industrial Valuation:3)4 cri I ❑Accessory building El Multi-family Number of bedrooms: gi ❑Master builder ❑Other: Number of bathrooms: --- JOB SITE INFORMATION,AM).LOCATION Total number of floors: 2. -Z " Job site address: /0s/5 S 6, 7r<i 1 V New dwelling area:2 5 q.77.square feet 3014, City/State/ZIP: T j g/eyeb j eie 47223 Garage/earl/opt area: 4/ 7 7 square feet Suite/bldg./apt.no.: Project name: Covered porch area: 2 e)I square fee q 0,)---' Cross street/directions to job site: Deck area: square feet 1611 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: ale C`2,'7- Lot no.: 28 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: $ 4 Existing building area: square feet New building area: square feet • ® PROPERTY OWNER ❑ TENANT Number of stories: cY Name:LENNAR NW,Inc. Type of construction: IAddress:11807 NE 99th Street,Suite 1170 Occupancy groups: 0 City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)258-7900 Fax:(360)258-7901 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* 1 - . - - . • (Please refer to fee schedule) c)% Business name:Lennar NW,Inc. 1/� Structural plan review fee(or deposit): Contact name:Charles Webb �N Address:11807 NE 99`h Street,Suite 1170 FLS plan review fee(if applicable): City/State/ZIP:Vancouver,WA 98672 Total fees due upon application: Phone:(360)258-7900 Fax::(360)258-7901 Amount received: E-mail:PORPermits @lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of _ _ roof-top mounted PhotoVoltaic Solar Panel System. Business name:same as above Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) Z ��U State surcharge(12%of permit fee): $21.60 CCB lie.: Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: f�lCk `� Date: �_ ¢,�5� *Fee methodology set by Tri-County Building Industry /I y r 3/- Service Board I.\Building\Permits\BUP-RESPermitApp doe 02/24/2011 440-4613T(11/02/COM/WEB) s' n t~ t kY 1 1ttsf., •i F,z x C 'S EIectrkaL EEP— t Applicatio» �, Vii � VikAiS Ni'm - ;�: a ' ED Reczived City of Ali Red 10llrir��i�%ins i�M �V Dare Rev � 1 r�" . 13125 SW Haft Blvd.,Tigard,OR 9 t� GE. Plan Review yA. 1 C;,, Phone: 503.718.2439 Fax. 503 59.11"• "' Date/B . Other Permit. TI L" Est?9 Inspection Line: 503 639"4175 Q � 6 Date Ready/By. Jung El See Page 2 for .LL,, i,it': Internet: sswsv.tigard-or.eov SU % V Nolified'Method- Supplemental Information TYPE'OF WO of .- is�00, =' - -= - - *PIsil!1=REYEEW': `..-.__-- ❑New construction ❑Additionlaltet 151itiagAv I 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 0 Marinas and boatyards CATEGORY OF,CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floanng buildings. less to ground,or exceeds 14.000 0 Commercial-use acnculnual ❑ I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations buildings ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or 0 Emergency system. larger separately derived system JOB SITE.INIORMATtON.�ND, LOCATiON• , ❑Additionofnewnotorloadoi ❑-A",-E°,-1-2' 1-3. _ __ . - I00HP or mare occupancy. Job no.: Job site address: /03/5-SIN 6 77y YLf ❑Six or more residential units ❑Recreational vehicle parks CitviState/Zll?: 77442D 2b. Oe 9 7 2 2 3 0 Health-care facilities 0 Supply wltnge for more than ❑Hazardous locations, 600 volts nominal. Suite/bldg.r'apt.no.: Project name: ❑Service or feeder 600 amps or more. FEE SCIJEDULE 'I • ,_ . Cross street,/directions to job site: Description I Qts. i Fee i Total l New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: SAY, et,S-r Lot no.: 2 ) 1,000 sq,R or less 168.54 1 4 Ea.add'1 500 sq,ft.or portion �S 33"92 1 Tax map./parcel no.: Limited energy,residential 75 00 2 -DESCRIPTION.OF WORK - - (with above sq.ft l Limited energy,multi-family 75 00 residential(with above sq.ft.) - Renewable Energy ❑ See Page 2 1 Services or feeders installation,alteration,and/or relocation 1 • i 200 amps or less j 100.70•r:5 PROPERTY-Oa?VER _ .. - ".:� TENANT:.4;'11T _ i 1 201 amps to 400 amps 133.56 2 tiame. .._,,j j Y I 401 amps to 600 amps 200.34 Address: .`` A - 5� ,, 4 I 1-i-1)‘ 60I amps to 1.000 amps 301 04 2 I a new of- v\in 1' y 6 yn 2 Over m 1.000 amps services volts 5,a-t6 2 Citv-State(ZIP: I �v) (V� Temporary sen�ices or feeders installation,alteration,and/or relocation Phone:0421 ) — --9o0/ Fax:( )0 "MO i 200 amps or less 59.36 1 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 1'23.08 I intended for sale,lease.rent,or exchange.according to ORS 447.449.670.and 701. I - 401 amps to 599 amps 168.54 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel '. Aiiit.........;� .: - ::1�' °: TACf..ERSUN.-.;: .- A Fee for branch circuits with !� above service or feeder fee. 7 42 2 Business name: LeAlI C.A,r f V V t i I l (ii,, each branch circuit - . B.Fee for branch circuits without (?Contact name: "n 'i e service or feeder fee,first t (rf 17 branch circuit 56.18 2 Address: t I �Q-"J C9 C' ' - I 110 • Each add`'branch circuit I 1 7.42 L (� t Miscellaneous(service or feeder not included) Cily'State/Zl P: ` .n nco u'Je4 i t 1 - �9)L# Each manufactured or modular 67 84 Phone:? (j) v.-1...-t i ) 'i-i'"7CQO J FFaax� (30) 2sT —7401 dwelling.service and/or feeder J� �r�?' Reconnect only 67 84 3 E-mail: �� d n r . C Ot I,,^1 Pump or imeation circle 67-84 2 , .. _CONTR�iCI'OR _ . Sign or outline lighting 67.84 '_ Business name: lbwec\i, V1t Gk c,,G -" Signal circuit(s)or limited-energy 1 See panel,alteration.or extension See 2 2 Address: cbL\ c� Each additional inspection over allowable in any of the above O- (Art I Additional inspection mi ) hr mini 66 25.hr C il)'State/Z1P: �<k Imcstigauon i l hr min) 66-25 hr as Phone:(S`rii) '� ( �S_3 1,4 I pax:( 1 I industrial plant(1 hr min) 78 18'hr ' Inspections for which no fee is 90.00'hr CCB Lic.: �pla� Electrical Lie.: (� ( Suprv. Lic.:5 3t.)5 S specifically listed(',:hr mini ' ELECTRICAL,PERMIT FEES Supn.Electrician signature.required: / � Subtotal. ( Print name: 1+r r � rr��r -�� I te: — Plan review(25go of permit Fee): I"t /W v l State surcharge(12%of permit fee) Authorized signatur "��cw C° \ TOTAL PERMIT FEE. ` ' This permit application expires if a permit is not obtained nithin 180 Print name: __,‘,1,0,\.(7_,(\,e,_ J 0\0 J�`..C, I Date: days after it has been accepted as complete. Number of mspecuons allowed per permit I,Ruddire■Prrmi.u,ELC Pennio.pp ELR_ERE do.:Rev 05;:1 2015 440--15151111/O5COM'WEB Mechanical Permit Application FOR OFFICE USE ONLY ¢ . City of Tigard \�e Date/By: Permit No• - " 13125 SW Hall Blvd.,Tigard,OR 972 =, e�� plan Review ti `� .X0 Phone 503.718.2439 Fax: 503 598 19ij1 r�o1S DPateBy Other Permit T I G ARD Inspection Line: 503.639 4175 c Q �j y 'i Date ReadyBy Ions Fa See Page 2 for Internet www.tigard-or.gov Cj` oF�`G`rt5 Oki led/Method Supplemental Information (`\ �o�V \ `�� TYPE OF WORK" \N COMMERCIAL FEE* SCHEDULE — USE CHECKLIST 1:10V`' 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 ❑Commerciallindustrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: yJ Air conditioning I 46.75 Job site address: /4)3/6-- s-14) 6 7TH , i/L Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: //'/94"0 O K 97 2 2 3 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: 4� e -�7 Lot no.: 2 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 99th 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. i Address:11807 N 99th Street,Suite 1170 Gas heat pump W Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater Phone:(360)258-7900 Fax::(360)258-7901 Fireplace 1 Range ) E-mail:PORPermits @Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: Other: G�Q L/ C O % L it*M f/v�� -� MECHANICAL PERMIT FEES* Address: /U 7 3 t,i J 1-4is To R I e et)L tviem ��"r i/L/2 ,-/ity Subtotal City/State/ZIP: /Ro ci r DAL L OR 9 7O 6 Q Minimum permit fee($90.00) > Plan review(25%of permit fee) Phone:(303) 6 !7..rT9/L=!-r3B/Fax:(5v3 ) (r, 7_ 9,99/ State surcharge(12%of permit fee) CCB Iic.: // 2 2 2 U U 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: .... � tizt 4,,„/ * Fee methodology set by Tn-County Building Industry Service Board Print name: (L/�r itig,d Date: 9,16 , j5 I\Budding\Permits\tvlEC_PermitApp_040i 13 doe 440-4617T(11/02/COM/WEB) Plumbing Permit Application Building Fixtures �® FOR OFFICE USE ONLY City of Tigard _ �o®� Received Permit No. - .1 13125 SW Hall Blvd.,Tigard, S',,v.23 DateBy. f�� p�Q S—(�(7/ r _ Plan Review Phone. 503.718 2439 Fax: e'".,,:. 60 �10\ Other Permit No.: Date/By: Inspection Line: 503.639.4175* Q (� Date Ready/By: Juris ® See Page 2 for TIGARD Internet: www tigard-or.gov S�` .`,r,�O� Notified/Method Supplemental Information TYPE OF WOtirt0 R1i 0* '00%) FEE* S CHEDULE ®New construction jtion For special information use checklist. Description 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 III Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500 32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq ft) Page 2 JOE SITE INFORMATION AND LOCATION Site utilities: _ /G 3,5- G 7, . /f 7k Catch basin or area drain 18.76 Job site address: Drywell,leach line,or trench drain 18.76 City/State/ZIP: 77-1,/4,e/i) 0 e 9 7 2 2 1 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.. -) Page 2 Storm sewer(no linear ft. ) Page 2 Water service(no.linear ft.. ) Page 2 Subdivision: QA.� 5 Lot no.: 2 B 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 ® PROPERTY OWNER ❑ 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 Water heater 1 37 52 Business name: �� / 'C/0 7•� A.um 8n /4 Water piping/DWV 56.29 W Address: (075 , 141S7oie/c C-e,L.am/3/4 ✓i'r'[! AQ r: 25.02 City/State/ZIP: D4e 7�/4GL^/ a/(19 706.62 / Subtotal Phone:(52y j)6G 7../7 9(,k73b.` Fax:(503) �a 7_ 7a' ( Minimum permit fee. $72.50 Plan review (25%of permit fee)Lic.: / Plumbing Lic.no.: _p l 8 State surcharge(12%of permit fee) Authorized signature: �� 7-. ,t,. 7lttil TOTAL PERMIT FEE 0747/��e This permit application expires if a permit is not obtained within 180 days Print name: -N edit, 1A-A/ Date: 2,/6. /5 after it has been accepted as complete. *Fee methodology set by Tn-County Building Industry Service Board 1\Building\Permns\PLMU-PermitApp doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT C 4 Building Permit Review — Residential TIG`AR g Building Permit #: .e=' 7/957i JIS-0p 171 Site Address: J0315 Sw (o`7 Project Name: ( cIL Si . s4- ks ( pat' Ores{-) Lot #: (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: t.)e i SF R- Verify site address/suite # exists and active in permit system. ❑ River Terrace Neighborhood: ❑ Yes cit No Site Plan Elements: it7lhree (3) copies of site plan Xxisting structures on site Site plan must he on 8-1/2"x 11"or 11 x 17"paper Gk'footpant of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations 'orth arrow �®��/'CJnlity locations (required for new,may apply for additions) Site address,protect of subdivision name and lot number JLocation of wells/septic systems [XApphcant information (name and phone number) irosion control (including drainage-way protection, silt fence gLot dimensions and building setback dimensions design,location of catch basin,etc.) /Lot area,building coverage area,percentage of coverage and ,Nt'Street names impervious area (applicable if R-7,R-12,R-25&R-40) XStreet tree size,type and location Arroperty corner elevations (2 foot contour lines if more than DExisting trees to,be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified k'No Received: ❑ Yes ❑ No Ki Public Facilities Improvement (PH) Permit: Required: V.-Yes,applicant was notified ❑ No Apphed For: arYes ❑ No,stop intake Eir Land Use Case #: aet-t, U 0l 1 Suz ao M — 000 ry Zoning: -4 .5 Pk' Setbacks: Front aO Rear (S` Side 5 Street Side 15 Garage aO Landscape Requirement: ' Lot Coverage Maximum: t t Building Height: Maximum Height 30 Actual Height v2-7 arVisual Clearance Easements .Sensitive Lands: ❑ Yes No Type [Urban Forestry Plan ,Conditions "Met" prior to issuance of building permit Notes: Approved By Planning: 0,6,5,1_, a . A.A. Date: 9 a a /S Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:ABuilding\Forms\BldgPennitRvw RES 070915.docx Building Permit Submittal Original Submittal Date: q4,/,7 Site Plans: # Building Plans: # 3 Building Permit#: C rater building��permit__s�#above. �- ,_ _� Workflow Routing: []-Punning L i eering L�I'eri-- Coordinator lEl—T ildtng Workflow Sign-off: off for Planning(include notes from planning review) Route Application Documents: _ ngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. L` tiui-rag: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: / 1 : . e: Vi/-5"-- En1ineering Review l Slope at building pad: 3 • °Conditions "Met"prior to issuance of building permit L�.aements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Q Assess Water Quality Fee in-lieu: ❑ Yes - M�'/ �(C �A1° Assess Water Quantity Fee in-lieu: ❑ Yes - No �`F• (((/// LIDA Facility on lot: ❑ Yes --ET-No )(NOT Approved by Engineering: Al 0� Date: Notes: ,� ■AllrA ■ ..• _!..►-Row" ..--". Approved by Engineering: _/si - /J i Date: /0/Z�� 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 ` cok �'.tn.�, 410D ate: / // , Approved, NOT Released: �K� I �%��'� liate: �7 / S Notes: /V ea Ge=iliz t G40-7..�e 20.4e..- a1.L e:,-) e.e__„ / i_ __.,,i-.._/ i o.::_ ./. 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: rSDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: Yes ❑ N/A OK to Issue Permit - • ,/,' - D / � Approved by Permit Coordinator: Date: ��f I\Building\Forms\BldgPennitRvw_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 10315 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00171 David Young 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 10315 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00171 David Young 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 10315 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2015-00171 David Young Provide driveway for ﬁnal inspection. Provide address on site for ﬁnal inspection. 319.1 Provide guards at left side porch, over 30" above grade to 3' horizontal, missing guard at upper ﬂoor railing. Provide permit, inspection and test report for lawn irrigation Backﬂow devise. Provide approved plumbing ﬁnal inspection. Provide city required documents for ﬁnal inspection. Required tree in rear yard to be placed as shown on approved plot plan. 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 10315 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00171 David Young Provide address on site for inspection. Finish shower tile in master bath. Finish caulking WC in master bath. 310.4 Finish caulking base of tub/shower in main upper level bath. 310.4 Provide Backﬂow permit, inspection and test report for lawn irrigation Backﬂow devise. Violation Summary: Inspector Contractor P°/ 7/ G v 3 r s S ct) 6772' 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: ICheck#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. 4 Tigard, Oregon 97223 • 503.639.4171 T'T'V n_t Fn V • City of Tigard TIGARD Accela Refund Reques t This form is used for refund requests of land use, development engineeriiing and building permit application fees. Receipts, documentation and the Request for Permit Actio 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 distit:ibution to applicant. PAYABLE TO: Lennar Northwest Inc. DATE: 3/7/2016 Attn: Juls Call 11807 NE 99th St., Suite 1170 REQUESTED 13Y: 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: 23000C10-43104 $Amount Washin•ton County Transportation Development Tax 405-0000-43320 rovement $237,723.00 Parks SDC-Im �' 425-0000-43300 20,203.00 Parks SDC-Reimbursement 425-0000-43301 Sewer Connection 3,633.00 500-0000-25500 _4898700 . v;1 `, TOTAL REFUND: ,$33379100 APPROVALS: SIGNATI RFS/DATE: 3 ,fi If under$5,000 Professional Staff Y C If under $12,500 Division Manager If under$25,500 Department Manager If under $50,000 City Manager . - If over$50,000 Local Contract Review Board 22)4 - PVA /.7°f,L y FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: I Date: j/.„.70.67 By. 1 I 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 10315 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00171 Chip Barnett Previous corrections completed Violation Summary: Inspector Contractor