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Permit CITY OF TIGARD SEWER CONNECTION PERMIT '! COMMUNITY DEVELOPMENT Permit#: SWR2015-00127 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/09/2015 Parcel: 1S 136AA00201 Jurisdiction: Tigard Site address: 10122 SW 69TH AVE Project: Oak Street Estates,Lot 6 Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project Description: Sewer connection for new SF Contractor: Owner: LENNAR NORTHWEST INC 11870 NE 99TH ST, STE 1170 VANCOUVER,WA 98682 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 11/04/2015 $5,100.00 Sewer Inspection-Residential 11/04/2015 $35.00 Type of Use: SF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $5,135.00 Required Items and Reports(Conditions) 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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: C . 9.4175 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. S t i dol c- 00r Z-) [Or ZZ S 4(z_ 1r • , 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 � P ermit s) as follows: Site Address: Various Project Name: Oak Street Estates - Lots 1-23 and 25-31 Job No.: Refund: ►1 Check #220393 in the amount of$338,059.00. ❑ Credit card "return" receipt in the amount of$ 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, trie Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 � _' City of Tigard TIGARD Accela Refund Reques t This form is used for refund requests of land use, development engineer>i.ng and building permit application fees. Receipts, documentation and the Request forPermitActio form (if applicable)must be attached to this request form. Refund requests are due to Accela S=ystem 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 distr-*button to applicant. PAYABLE TO: Lennar Northwest Inc. DATE: Attn: Juls Call 3/7/2016 11807 NE 99th St., Suite 1170 REQUESTED BY: Dianna Howse Vancouver, WA 98682 TRANSACTION INFORMATION: Receipt#: Various Case#: Date: Various Various Pay Method: CreditCard Address/Parcel: Various 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. efund Exam.le: Buildin: Permit Fee Exam.1e: 2300000-43104 Rmou Washin:ton Coun Trans.ortation Develo.ment Tax 405-0000-43320 $A °unt Parks SDC-Im.rovement 425-0000-43300 $237,223.00 Parks SDC-Reimbursement 425-0000-43301 20,203.00 Sewer Connection 500-0000-25500 3,633.00 ,899-00 . Emmmommimminemini 111111111111111111111111111111.111111111111....11111111111111111 TOTAL REFUND: 4337449.0t APPROVALS: SIGNAT S DATE: -3.2?/.0-5" .LTV If under $5,000 Professional Staff �� /1/ • - If under $12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager 4P- If over$50,000 Local Contract Review BoardjpEcj iv FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: —/ _