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Permit CITY OF TIGARD % MASTER PERMIT 1111 a COMMUNITY DEVELOPMENT ), Permit#: MST2015-00182 Date Issued: 11/09/2015 T t C AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 i/ Parcel: 1S136AA00201 Jurisdiction: Tigard Site address: 10122 SW 69TH AVE Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 6 Project Description: New SF 3/27/2016: Demo credits applied from BUP2015-00091. 5/24/16: REPRINTED permit to include(1)laundry tray. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1198 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1250 sf Garage: 523 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2448 sf Value: $300,119.05 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 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: 1 Other Fixtures: 0 Drywell-Trench Drain: 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: 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 asin Y Other: N Other Description: Ecom P 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2448 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 Total Fees: $14,848.64 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. 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 ma obtain a copy frtt2ral s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: , Permittee Signature: Cal .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. q CITY OF TIGARD MASTER PERMIT 111 11COMMUNITY DEVELOPMENT Permit#: MST2015-00182 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/09/2015 Parcel: 1S136AA00201 Jurisdiction: Tigard Site address: 10122 SW 69TH AVE Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 6 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1198 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1250 sf Garage: 523 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2448 sf Value: $300,119.05 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: 2 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 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvciFeeders 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 Ecompasing: Y Other: N Other Description: 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2448 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 Total Fees: $22,502.22 This permt is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a c•q, • - les or direct questions to OUNC by calling 50 7 or 1.800.332. Issued By: —— - - • -e Signature: /of C 1.°4�'•9.4175 by 7:00 a.m.for the next available inspection ate. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. n Building Permit Application Residential RECEIVED FOR OFFICE I SI' ON 1.1 City of Tigard Date/By: /O/y /` - • . Permit Np jZ 7/s /f 2, - a 13125 SW Hall Blvd.,Tigard,OR 97223 r T 7 2015 Plan Review �a z 11, Phone: 503.718.2439 Fax: 503.598.1960 Date/B : �_• 'arPO�` Q/ �� Inspection Line: 503.639.4175 Date Ready:y: Juris: ® See Page 2 for T[GARll ++ V (Ak1) Notified/Method: Supplemental Information Internet: www.tigard-or.gov 7�Ll� 1 U� IMAM)v [,l �I 3 a>�- LDIN TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. - Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: 0, � i q�'$ 1 Q(o I 194-r1.4 ❑Accessory building ❑Multi-family Number of bedrooms: 4- ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: g. Job site address: /a/2 z _5-14,1 6 yn✓ Alva- New dwelling area:gi 44S /�square feet�C)7 1 City/State/ZIP: 77-6,4919D OR g 7 2 Z 5 Garage/carport area: 523 ` square feet I Suite/bldg./apt.no.: r Project name: Covered porch area: 78 square feet I ac° Cross street/directions to job site: Deck area: square feet ` 1 9 8 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 9p N $/ 7- Es 7-4 rL 5 Lot no.: 6 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. NSFR Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:LENNAR NW,Inc. Type of construction: Address:11807 NE 99th 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* (Please refer to fee schedule) Business name:Lennar NW,Inc. Structural plan review fee(or deposit): Contact name:Charles Webb FLS plan review fee(if applicable): Address:11807 NE 99`h Street,Suite 1170 Total fees due upon application: City/State/ZIP:Vancouver,WA 98672 Phone:(360)258-7900 Fax::(360)258-7901 Amount received: E-mail:PORPermits @lennar.com . .- .7zC L1 4i) --A/ „� ;/ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* / Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic 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:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: j 553 07 Total fee due upon application: $201.60 Authorized signature: /24This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: 9.21c./5- *Fee methodology set by Tri-County Building Industry /1 �{t/ � )/ Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24//2011 440-4613T(11/02/COM/WEB) RECEIVED Electrical Permit Application FOR OFFICE.. I SE O\l.\ City of Tigard 7 2015 Received _� �� • g QCT Received Permit No:��/ !�S°0v/ ■ 13125 SW Hall Blvd..Tigard,OR 97223 Plan Review Phone: 503.71 8.2439 Fax 503 q�c r1( Mu�i UaleB° Other Permit I t c,n 1.i) Inspection Line: 503.639.4175 �� Vh 11Vt1nV Date Ready/By: Juris Ida See Page 2 for Intemet: www.tigard-or.gov BUILDING niViSIO1� NotifiedMethcd Supplemental information TYPE OF WORK PLAN REVIEW Please check all that apply(submit 2 sets of plans w,'items checked bamsy. ❑New construction ❑Addition.alterations replacement ❑Service or feeder 400 amps or more ❑Building over three stories ❑ Demolition ❑Other: where the available fault current ❑Mannas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14.000 ❑Commercial-use aencuhural ❑ 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 ❑Emergency system. larger separately derived system 3OB SiTE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A `E",`I-2`.'t-±", 100HP or me occupancy. Job no.: Job site address: 5 ❑Six or more residential units ❑Recreational vehicle parks Clq'istaie/Zle: ❑Health-care facilities ❑Supply voltage for mare than /C��Q!] Q 9 T 23 ❑Hazardous locations. 600 volts nominal. Suite/bldE.�apt.no.: 1 Project name: ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: I Description I (try. I F . I Total I New residential single-or ntulti-family dwelling unit. Includes attached garage. Subdivision: //^t n s Lot no.: 1,000 sq.ft.or less 1 168.54 I i 4 v�� STi,�L �S 7-4/ G En.add'/500 sq.ft.or portion 33 92 1 Tax map parcel no.: Limited energy,residential DESCRIPTION OF WORK (with abose sq.11 , 75.00 Limited energy.multi-family residential(with above sq.ft.) 75.e0 I Renewable Enerz' ❑ See Page 2 IServices or feeders installation,alteration,and/or relocation PROPERTY OWNER I ❑ TENANT j 200 amps or iess ) 1 0.70 �� ;�� _ 201 amps to tO0 amps 133.56 Name: lost- 401 amps to 600 amps 200.34 2 Address: I 160-7 j�l r -{i„ �r 601 amps to 1.000 amps 301 04 2 I f V `Jv Oter 1,000 amps or volts 552 36 Cit.:State:ZIP: �Q new�,et I (A),1_ 3 Temporary services or feeders installation.alteration.and/or Phone:SO, ).'21— 1CJt;0 Fax:(Ap 1 052) 11O i 200 amps F 240 amps or less 59.36 1 i Owner installation:This installation is being made on ro erty that i own which is not p p 201 amps to 400 amps 123.08 i 2 intended for sale,lease.rent_or exchange.according to ORS 447.449.670.and 701. 401 amps 10'99 amps 168.54 ( 2 Owner signature: Date: 1 Branch circuits-new-alteration,or extension,per panel X APPLICANT l ❑ CONTACT PERSON Fee for branch circuits with above service or feeder fee. Business name: ,n�K NI 1, r L 'J„ each branch circuit 7�2 2 �/ (� A B.Fee for branch circuits without Contact name: 1 ha r- //�, rj l7 service or feeder fee,first r'�"' 1. 1J 56.18 branch circuit - Address: ` 1 . c1't 1 I Each add I branch circuit I 7.42 2 ✓v I Miscellaneous(service or feeder not included) C'ityState/ZIP: Arcuvery fly- ctcj(,��- I 67 84 I 2 Y Lt Vv f/ r Each manufactured or modular I �-' J dwelling,service and.or feeder Phone: 10 i t7 - (� i ceo Fax: :`,,(A/' a-5 -7 tioi 2 /�' Reconnect ooh t 7 8d E-mail: p R perm j �l e� f a 2,f 1 Pump or irrigation circle 67.84 _ °�� '�T'_`VV CONTRACTOR Sign or outline lighting 67.84 _ Business nante:go\Aec ,t�.' \e. Signal circuiion or limited-energy See 2 ' panel,alteration,or extension Page_ Address: (bL\o' egceac 9.c,- Each additional inspection over allowable in any'of the above Additional in pection(I hr min) 66.25'hr Cil\/State/ZIP: \)0(.\\(),.03, v 7 _0c- O , Investigation l 1 hr min) 66.251 hr I Phone:(gm) („jjg_'�Q,(�f i Fay( ) j Industrial plant 1 I hr min) 78.18'hr °'` S� o I Inspections for which no fee is Sri Uil'hr tf CCB Lie.: -56 l 6 Electrical Lie.: C ,0 a CJ j Suprv. Lic.:5 305 ,5 spenftcally listed 1 hr min) 1 40 ELECTRICAL PERMIT FEES Supra. Electrician signature. required: • / _dor _ Subtotal: Print name: —I-6r( fait: Plan review(25%of permit fee): C-I .- �. --` r _ State surcharge(12%of pcnnit fee). Authorized signatur t��w � ('7 � TOTAl.PERMIT FEE: ` This permit application expires if a permit is not obtained nithin 180 Print name: t{k_1„ . ., \ r J\O�e.1 (` ! Date: days after it has been accepted as complete. ' Number of mslecOnns allowed per permit. I Buildin5'.Permits'ELC_Pennit.4pp ELR_ERE doe RAN.J57212011 330-1615T(11:05.'CO]'WEB I A RECEIVEP Mechanical Permit Application FOR OFFICE I SE( yl.1 City of Tigard OCT 7 26'13 Received Date/By: Permit No.: =1 .2),) v 13125 SW Hall Blvd.,Tigard,OR 97223 �y Plan Review Phone: 503.718.2439 Fax: 503.598.19 9f 1V OF I��AA� Date/By: Other Permit: TI G A R D Inspection Line: B 03.63984175 BUILDING D1VISIOI� Date ReadiBy: Juris: ® See Page 2 for Internet: www.ti and-or. ov Notified/Method: Supplemental Information TYPE OF WORK 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 I Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: // Air conditioning 1 46.75 Job site address: /Q/22 5-15-14)� Ca 971.,, /lye Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: -7709RD DR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 f 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 Other: 23.32 Subdivision: S%/ [= T !�S TyTL s Lot no.: 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. j Address:11807 NW 99th Street,Suite 1170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater Phone:(360)258-7900 Fax::(360)258-7901 Fireplace f Range I E-mail:PORPermits @Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) ,i � 1- )7 •1 Other: Business name: WG O L C O r / / L U A4 13 JA)6 MECHANICAL PERMIT FEES* Address: 1 o7 g inl, ),/, 7 /j eat-wig/4 /7l e a jis7 Subtotal City/State/ZIP: Ra %vAL OR 9260 Minimum permit fee($90.00) l U I / G p Plan review(25%of permit fee) Phone:(3-61 6 G 7.. 781 ..toy Fax:(w3) 66 7- T O 9/ State surcharge(12%of permit fee) CCB lic.: i i 22 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: a44014ek * F ee methodology set by Tri-County Building Industry Service Board Print name: eL//�� i f w M44 Q Date: 9,/6 , /5 Plumbing Permit Applicati CEI r EP Building Fixtures OCT 7 2015 FOR OFFICE USE ONLY • City of Tigard Received /`/` 51,1 , ty Date/By: Permit No' 'r js Ue/e 2-- - 13125 SW Hall Blvd.,Tigard,OR liY OF 1 i(�(�4t11 ■ Phone: 503.718.2439 Fax: 5 Plan Review �� NG DIVISION Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: ruris: H See Page 2 for Internet: www.tigard-or.gov 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 SFR(3)bath 1 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinlder(-sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /d/ 2 Z s-14, zj YT�i/ 4 Catch basin or area drain 18.76 `r Q Drywell,leach line,or trench drain 18.76 City/State/ZIP: 7 7 c/R 0, OR / 7Z Z3 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.:i O ) Page 2 Storm sewer(no.linear ft.:.,L9i Page 2 Water service(no.linear ft.)`�i) Page 2 Subdivision: 0,4k ST/ZCL=T 45-.57-4 7 LS. Lot no.: 6 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 1 25.02 NSFR . Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® 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 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 • Business name: WV L W.I[9 7�l PL 11 M I.3((WV Water piping/DWV 56.29 I Address: /0 7 5• W , 14,5 TaR/C t^c,4 U/h r3 iA Pf t✓!fe 4/per• 25.02 City/State/ZIP: 7g6,/,e 7_47/446:^/ til? 970 46.0 Subtotal Phone:(5-03)667../78( k7 �/. Fax:(p3) 6 7- FEN( Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.:24.-824 ps Plan review (25%of permit fee) Z 2 co State surcharge(12%of permit fee) Authorized signature: (1 0,/-- TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: CGW=,- SD iii/i1.4-41 Date: 2./4. /5-- after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) I/ g City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Budding Permit Review — Residential Building Permit #: /`/c j p2p/5 - ('D/ePc.2_, Site Address: / 49 ,-Et() 6 94 �P Project Name: 0�,,i 3L. E /o S Lot #: (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /l '€, ,1j1 ,f c1,/ kwue Verify site address/suite # exists and active in permit syste . //fiver Terrace Neighborhood: El No Sit Plan Elements: 'ree (3)copies of site plan Ph,:, 'sting structures on site be plan mu he on 8-1/2"x 11"or 11 x 17"paper I:Footprint of new structure (including decks)with finished �rawn to scale(standard architect or engineer scale) floor elevations orth arrow IR tility locations (required for new,may apply for additions) V l21 tte address,project or subdivision name and lot number cation of wells/septic systems / !F pplicant information (name and phone number) II, rosion control(including drainage-way protection, silt fence lalLot dimensions and building setback dimensions sign,location of catch basin,etc.) MIAot area,building coverage area,percentage of coverage and .reet names firipervious area (applicable if R-7,R-12,R-25&R-40) LVJSeet tree size,type and location Nr6roperty corner elevations(2 foot contour lines if more than [ Existing trees to be retained with drip line,and tree 4 foot differential) protection measures 1> lean Water Services—Service Provider Lettey(lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified LV No Received: ❑ Yes El No IV Public Facilitie mprovement (PFI) Permit: ti-and quired: Yes,applicant was notified ❑ No Applied For: Ii2 Yes ❑ No,stop intake Use Case #: 4 &aQiL/_ O O_ oning: - Li. Lld Setbacks: Front 02C)' Rear /c' Side 45-1 Street Side /s/ Garage ae ' //4andscape Requirement: IQ of Coverage Maximum: Igt :uilding Height: Maximum Height c ' Actual Height 73 //co h 'I4 Visual Clearance sements LJ ensitive Lands: Yes ❑ No Type Ll� Urban Forestry Plan El Conditions "Met"prior to issuance of building permits _ / Notes: al3)}Jyh_2 meal- /7I7c r- 7'T) 112/�r4,-6 pn/i:4 74 /h Q74- pi) r 7? (p-9170/71-- ) Li _ • Approved By Planning: ■_ _ Date: /0/c/s- Revisions (after Building Submittal only) Reviewer / Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_0709 I 5.docx I A Building Permit Submittal Original Submittal Date: /0/5* Site Plans: # 3 Building Plans: # JT{ Building Permit#: P"-Enter building permit#above. Workflow Routing: E�] E�er -Planning Engineering iermit Coordinator wilding Workflow Sign-off: Et-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 o ginal plan review routing form. Dili Building: original permit application,site plans, building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: L_ Date: /D/7/45. En fineenng Review Slope at building pad: /7„. 9 nditions "Met"prior to issuance of building permit ld E ments (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engine ng: Date: Notes: .e.,5- - le: / Approved by Engineering: /1Z Date: /2).-X_/....5 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 'pproved, NOT Released: Date: /v / 3i S Notes: (D'-1 -' GCf*..1 - la - Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Datc Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ;SP3DC Fees Entered: Wash Co Trans Dev Tax: rYes ❑ N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: p Yes N/A frOK to Issue Permit Approved by Permit Coordinator: if0,11 -------Date: /rAir- � l.\Building\Forms\BIdgPermitR vw_RES_070915.docx /UC 51,),UlS��GY� tot 2_LSw 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: ® 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, Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTV 17_1 '- ,-• - .--- - V City of Tigard TIGAlti7 Accela Refund Reques t C., 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 form (if applicable)must be attached to this request form. Refund requests are due to Accela Ssystem Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for proces sing 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 99th St., Suite 1170 REQUESTED 13Y: 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. Exam.le: Building Permit Fee Example: 2300000-43104 Refund Washington County Transportation Development Tax 405-0000-43320 Refund $237,723.00 Parks SDC-Improvement 425-0000-43300 Parks SDC-Reimbursement425-0000-43301 20,203.00 425 0000 43301 3633.00 Sewer Connection 500-0000-25500 ' X1,898:00 • 261_ 0.14) 4'4 TOTAL REFUND: ,S333;449TJi APPROVALS: SIGNATI RFS DATE: -3 �,d��•t'D If under$5,000 Professional Staff t. / ar - If under$12,500 Division Manager jg/j If under$25,500 Department Manager If under$50,000 City Manager .- If over$50,000 Local Contract Review Board2 €-cj rvo FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: / _ 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 10122 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00182 David Young Main bath fan not on timer or de humidistat with bathing facilities. Note: add laundry tray to permit, installed without permit. 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 10122 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00182 Chip Barnett Previous corrections have been completed 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 10122 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2015-00182 David Young Provide approved street trees installed per approved site plan, missing 6 on exterior perimeter. Provide approved erosion control ﬁnal. Provide grading to code. Not ready for 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 10122 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00182 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Insulation certiﬁcation checked. Blower door test results checked. C of O left on site with contractor. Violation Summary: Inspector Contractor