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Permit III n CITY OF TIGARD MASTER PERMIT N COMMUNITY DEVELOPMENT Permit#: MST2015 00177 T1 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 t �)(D Date Issued: 11/02/2015 Parcel: 1S136AA00201 Jurisdiction: Tigard Site address: 10240 SW 69TH AVE Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 1 Project Description: New SF 3/27/2016: Demo credits applied-from BUP2015-00091. 3/31/16: Reprinted permit to show address correction from 10236 to 10240 SW 69th Ave. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 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 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: 4 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 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 POWER LINE ELECTRIC INC Required Items and Reports(Conditions) 11870 NE 99TH ST,STE 1170 8403 SE SHERRETT ST 1 Ersn Cnlrl 503-639-4175 VANCOUVER,WA 98682 PORTLAND,OR 97266 PHONE: PHONE: 971-645-3807 FAX: Total Fees: $10,230.40 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 1.800.332,344. Issued By: ��rs-•ie�09 -� the ee igable : Call 503. 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. n CITY OF TIGARD MASTER PERMIT '1111111 Ilt ' • COMMUNITY DEVELOPMENT Permit#: MST2015-00177 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2015 Parcel: 1S136AA00201 Jurisdiction: Tigard Site address: 10236 SW 69TH AVE Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 1 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 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 addl 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 POWER LINE ELECTRIC INC Required Items and Reports(Conditions) 11870 NE 99TH ST,STE 1170 8403 SE SHERRETT ST 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 PORTLAND,OR 97266 PHONE: PHONE: 971-645-3807 FAX: Total Fees: $23,206.00 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 se__forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a..py of les or direct questions to OUNC by calling 503.231.800.3 .2344. / !/ - Issued By: /Li ___ _� •-rmittee Signature: v/ obOTT..639.4175 by 7:00 a.m.for the next available inspection date. This permit car. all 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. i r- Building Permit Application ECELVEP Residential OCT FOR OFFI( E 1 S1? O\L\ 7 2015 Received City of Tigard DateB : 49 7 /f •d, Permit No 757jVS--a, ?7 - n 13125 SW Hall Blvd.,Tigard,OR 97231[V OF TIGAIt) Plan Review i Phone: 503.718.2439 Fax: 503.598. l DateB : :, -,c tuber Pe-J.e?p/S-00%3 T I GA RD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: ilk ,y— y:.ir- Supplemental Information :,∎.+- -f Jli0 TYPE OF WORK w41Pr REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 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 appli ation. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation:31 .J 9-lb� $ l I 0714 ❑Accessory building El Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: 3 .g i JOB SITE INFORMATION AND LOCATION Total number of floors: 4 Job site address: /U p3 6 _5-14/ 4 9 ,, 4V` New dwelling area: Z' S q'7_square feet� )Li- City/State/ZIP: 7-73/3 NRlj OR 9 7 2 23 Garage/carport area: 4/ 7 square feet Suite/bldg./apt.no.: 1 Project name: Covered porch area: 20 / square feet 9 Cross street/directions to job site: Deck area: square feet i 6 9,1 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 04 S L:-- 4=6-74 72.-::-.s. Lot no.: I 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 0 PROPERTY OWNER ❑ TENANT Number of stories: Name:LENNAR NW,Inc. Type of construction: Address: 11807 NE 99°'Street,Suite 1170 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)258-7900 Fax:(360)258-7901 New: 0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Lennar NW,Inc. (Pleaserejertojeeschedute) Structural plan review fee(or deposit): Contact name:Charles Webb FLS plan review fee(if applicable): Address: 11807 NE 99°i Street,Suite 1170 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 Ef �Y PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* �e�LL�� - (4l 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.: r q,�'' 3Q 7 Total fee due upon application: $201.60 Authorized signature: /i : '/4 2�// This permit application expires if a permit is not obtained CyJ within 180 days after it has been accepted as complete. Print name: 57s�jy Date: c.Z /SJ *Fee methodology set by Tri-County Building Industry /C/�(/ / q Service Board. I:\Building\Permits\BUP-RESPermitAppp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application '-'EIv FOR OFFICE t SE ONI,1. City of Tigard Received /�J r/�/� 6,077 g +lf Reeive PemnitNu. /J IN 13125 SW Hall Blvd.,Tigard,OR 9VP¢3T 7 2ut5 Plan Review i Phone: 503.718.2439 Fax 503598.1960 DateeBy: Other Permit Inspection Line: 503.639.4175 'i "'CR I31;rJ DateReady:By: luris ` ® See Page2 for 1 t t K f) NotiftedMethcd: I Supplemental Information Internet +vww.tieard-or.¢ov !ov pp TYPE OF WORK PLAN REVIEW Please check all that apply(submit 2 sets of plans w iteins checked belo:v) ❑New construction ❑Addition/alteration'replacement ❑Service or feeder 400 amps or more ❑Building over three stories ❑ Demolition ❑Other: where the available fault currtt ❑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 ❑Commerciallindustrial ❑Accessory building amps for all other installations buildings ❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation 01 150 KVA or ❑Emergency system. larger separately derived system JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A E". I-2`. 'I °, Job no.: Job site address: /^ �] 100HP or more occupancy. tJ 2.3(fl S �✓ G7 7 7%! ///L' ❑Six or more residential units ❑Recreational vehicle parks. CityiState+ZI . _'qj av? ql G Z3 ❑Health-care facilities. ❑Hazardous locations. ❑Supply voltage for more than 600 volts nominal. Suitt/bldg./apt.no.: Project name: ❑Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: I Description I tit■. l Fee. 1 Total 1 New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.000 sq.ft.or less 1 168.54 ) I d C��Y �rki — /=s TArv'S Ea.addf1 500 sq.ft.or portion 33.92 I Tax rnap.'parcel no.: Limited energy,residential DESCRIPTION OF WORK (with above sq.ft) 1 75.00 _ Limited energy,multi-family 75 00 residential(with above sq.fr.) Renewable Energy' ❑ See Page 2 Services or feeders installation,alteration,and/or relocation I •PROPERTY OWNER 0 TENANT 200 amps or less ' 100.70 L 7\1 A l/� 201 amps to 400 amps 1 33.56 2 Name: (la Y 1,V) 11 e 200.34 , 401 amps to 600 amps 00.34 Address: -. , - '- n 5� . * I 1 601 amps to 1.000 amps 301,04 2 f i Over 1,000 amps or volts 552 226 2 Cit:State,ZIP: a`/�ejy 1 J�� NA 1,9602 Temporary services or feeders installation,alteration.and/or Phone: tt0 ) —w11, v/)O Fat:(AO)059 = ' 200 amps V V t ?00 amps or less 59.36 1 I Owner installation:This installation is being made on property that i own which is not I ! , 201 amps to 400 amps 125.08 1 intended for sale, lease,rent-or exchange,according to ORS 447.449.670.and 701. 401 amps to 599 amps 168.54 ! 2 Owner signature: Date: Branch circuits–new,alteration,or extension.per panel X APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee. Business name: -t i'1 1i C� 1 - x 1 A�I i 'J„ each branch circuit 7 3? ! 1 B.Fee for branch circuits trirhotu ' Contact name: e. f rla rwA, I ft J eo 0 service or feeder fee,first �i v` 56.18 branch circuit Address: ` tb; NI q C1 3L, ( I" Each add.I branch circuit I 7.42 2 I Miscellaneous(service or feeder not included) City State:7_1P: aa��r 11 V�� 1 110 �,0 — f l; e f t Each Miscellaneous d or modular I 67 84 2 j � Y) -I�� `) �� 9-S16 --7 gel dwelltng,service and or feeder 1 Phone: n I ��/ ) Far. : L � Reconnect only 07 84 2 E-mail: eo R ne'r�'}i�31 t� , e fl/i 1 Pump or imeation circle 67 84 _ b°`"�"ij��``" CONTRACTOR Sign or outline lighting 67 84 , _ Business name:?Os <1,, , - I Signal circuit(sl Or limited-energ See �`e G�e� panel,alteration.or extension. /2 3 Address: 'Ld' ` y ce,�� 9._ Each additional inspection over allots able in any of the above Additional inspection(I hr nun) 66.25'hr City/State/ZIP: QoCk,\U.r( v Oc- CWZ Investigation 11 hr mint 66.25:hr Phone:(O7 ) (_-J1s,�"2a�,(�] I Fa\:( ( Industrial plant(I hr min) 78.18'hr `'�v ate– 1 Inspections for which no fee is 9q U(1'hr C'CB lie.: �cOG Electrical Lie.: (, 1t�•q ! Suprv. Lic.:5 3o5 5 Inspections listed I'c hr mini r ELECTRICAL PERMIT FEES Supn. Electrician signature, required: / –4+ice r Subtotal: Print name: r e �r fact;: Plan review(25%of permit fee) [G Gt�.. n , ___ j State surcharge(1_%of pennit Ice). Authorized signature,. \C 1 , TOTAI.PERMIT FEE: This permit application expires if a permit it not obtained within ISO Print name: `{ Date: �t t�Q 0\c.,--2`�C, days after it has been per accepted as complete. ' Number of inspections allowed per permit. 1 Doi tdinfPcrmitsNELC Pennitapp,ELR_EREdoc Rev 05/71,2013 440.4615TI I ImO5TOM1r1VEn A Mechanical Permit Applica W EP FOR OFFICE l SE ONE) City of Tigard Date/By:d �T�/,5-00/77 T Permit No.: Iliq II 0 13125 SW Hall Blvd.,Tigard,OR 931 20�� Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: TI G A R D Inspection Line: 503.639.4175 CITY O1 11(AR1 Date Ready/By: Jug WI See Page 2 for Internet: www.tigard-or.gov V Notified/Method: Supplemental Information RahJU)ThT(r1VJSIO1i 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. I Ea I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning ) 46.75 Job site address: /U 2 3 6 _s--w G y TN 4✓C: Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: 77-c A� ok 9 7 223 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 Other: 23.32 Subdivision: O c S 7' r . L r Es 7,47-4.75 Lot no.: I 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 Fuel piping: Business name:LENNAR NW,Inc $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 ) Range ` E-mail:PORPermits @Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: jj Other: �G Q L C`O % /�L U�/1 13 JA) MECHANICAL PERMIT FEES* Address: /U 7- I/V, Jis Ta R/e L D L W,li3//4 Mee-72 J-/w Subtotal City/State/ZIP: Ro U%/)AL C OR 97660 Minimum permit fee($90.00) !! Plan review(25%of permit fee) Phone:(563) 6 G,7../78/ —j7.Ay/Fax:(5o3) '<7- 989/ State surcharge(12%of permit fee) CCB lic.: / / 2 2 2 O G TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 A,,, days after it has been accepted as complete. Authorized signature: gle d �l1S/�Y+„/ * Fee methodology set by Tri-County Building Industry Service Board Print name: ct�,r.." 01,, in 41 Date: q,/,‘ , 15 _._ .... .- _._... . I . Plumbing Permit Applicati; CE1VEP ,Building Fixtures FOR OFFICE 1S1: ()NIA NI City of Tigard O CT 7 r� ?O 1 T Received Permit No.: II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan eReview ��/� �/7 NI ■ Phone: 503.718.2439 Fax: 50451 8it C, MAW) Date/By: Other Permit No.: Inspection Line: 503.639.4175 h•i ,,,, , t r� Date Ready/By: Jaris H See Pa g e 2 for T f G A R D Internet: www.tigard-or.gov a vt� Notified/Method: Supplemental Info rmation 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 ❑Multi-family SFR(3)bath 1 500.32 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: /023 t%O .S W 6 grw (s Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 77-11,9 R 45' ) G4-' 9 72 23 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 i ) Page 2 Storm sewer(no.linear ft.:)es)) Page 2 Water service(no.linear ft.)�0 ) Page 2 Subdivision: e,,M 5 , ,37gr 5 Lot no.: f 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 PLUM Water heater 1 37.52 Business name: WO L C 6,77 PLUM 8 file Water i m WV 56.29 n PP� F� Address: /O 75- IA . /(./l570/P/C 6,4u/h/3/4 //rise Appel.: 25.02 City/State/ZIP: 1:14, C 77.24LLr/ 0/7 970 60 Subtotal Phone:(563)667-/79/ / Fax:(�'3) 66 7_ 7g'9( Minimum permit fee: $72.50 k7f? CCB Lic.: Plumbing Lic.no.:G� -821 p8 Plan review (25%of permit fee) - Z 2 Z t�0 no State surcharge(12%of permit fee) Authorized signature: (f /. r4, TOTAL PERMIT FEE �7 This permit application expires if a permit is not obtained within 180 days Print name: C�/-` �jQn/,y,�,�/ Date: 2,/6. /rj' after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:tBuilding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Al City of Tigard 114 ■ COMMUNITY DEVELOPMENT DEPARTMENT I I C;A lz D Building Permit Review — Residential Building Permit #: /17_57-074/3" -00/7 7 Site Address: /o 34 St(J (b - A /%40 Project Name: C Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A jea) s ?ir6o ria-Mtir AI1),k .e_ J❑" Verify site address/suite#exists and active in permit syste . liver Terrace Neighborhood: ❑ Yes V No Sit Plan Elements: ')tree(3)copies of site plan 1! !.': ling structures on site V) to plan must Ix on 8-1/2"x 11"or 11 x 17"paper I i Footprint of new structure(including decks)with finished Vrawn to scale(standard architect or engineer scale) or elevations F rth arrow Utility locations(required for new,may apply for additions) address,project or subdivision name and lot number r/t:)cation of wells/septic systems pplicant information(name and phone number) to L 11 rosion control(including drainage-way protection,silt fence ot dimensions and building setback dimensions d sign,location of catch basin,etc.) 40ot area,building coverage area,percentage of coverage and eet names pervious area(applicable if R-7,R-12,R-25&R-40) feet tree size,type and location Property corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures 5 1 lean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): ,$equired: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No PE Public Faci�liti Improvement(PFI) Permit: quired: 1CJ Yes,applicant was notified ❑ No Applied For Lld'Yes ❑ No,stop intake 057 nd Use Case#: 3�1500147/-- (ZOO/ EtiaZoning: / it Setbacks: Front ,,,Q0 Rear /S---/ Side c" Street Side /S'' Garage c:Q0 /landscape Requirement: .., 4; t Coverage Maximum: % r N. Building Height: Maximum Height 330 Actual Height c9. ,Y',isual Clearance I ,Easements lL ensitive Lands: VYes ❑ No Type c �5 a e 112' ' �� lld Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit / /� Notes: � �idS n'1�� `�'i�1 f 74) , �LIL�Jrii i �f j /I? q Jl'l e Approved By Planning: , ` Date: — Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BIdgPermitRvw_RES 070915.docx L Building Permit Submittal Original Submittal Date: /0/5/S Site Plans: # .' Building Plans: # 3 Building Permit#: 'Enter building permit#above. Workflow Routing: Planning L gineering ■r: lsermit Coordinator 'ErBuilding 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. et'Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: /VV 4S Engineering Review Slope at building pad: �a' d$ ditions "Met"prior ssuance of building permit ements (encroachments)per engineering conditions of approval and plat LET Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes e No Assess Water Quantity Fee in-lieu: ❑ Yes -Er No LIDA Facility on lot: ❑ Yes ,�No El NOT Approve y Engineering: Date: Notes:7 ,,..4......j., sz„,,..JW Approved by Engineering: I) Date: a 15,--zs- 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: Affj/F----D-ate: / //1/1_5- Notes: h'I- l vv/ ZG 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: 7ZISDC Fees Entered: Wash Co Trans Dev Tax: 0Yes ❑ N/A Tigard Trans SDC: ❑ Yes ,E°l\l%A Parks SDC: (27Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: 'AAiii� Date: 1 Df / I:\Buil ding\Forms\BldgPermitRvw_RES_070915.docx J 4 (S7d-01S• 00/ 102-3(v Sw 9711 rc- 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$338,059.00. (1 Credit card "return"receipt in the amount of$ 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 1, 1 Y City of Tigard TIGARD Accela Refund Reques t This form is used for refund requests of land use, development engineeri x-ig and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable)must be attached to this request form. Refund requests are due to Accela Systemr by each Wednesday at 5:00 PM. Please allow up to 3 weeks for process g of refunds tratAccounts 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. Example: Building Permit Fee Refund Example: 2300000-43104 $Amount Washin•ton County Transportation Development Tax 405-0000-43320 Parks SDC-Improvement 425-0000-43300 $237,723.00 20,2203.00 Parks SDC-Reimbursement 425-0000-43301 3,633.00 Sewer Connection 500-0000-25500 .^]1,899-00 TOTAL REFUND: ,$ 3379.i t APPROVALS: SIGNATI RFS/DATE: _336F,03"-- .ro If under$5,000 Professional Staff 147, If under$12,500 Division Manager /9//& If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board 2 ,0Ecj- X07•- //.70f,4_ FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: I Date: 7//6. B : 4"7 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 10240 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00177 David Young Backﬂow devise for lawn irrigation ﬁnal to be completed prior to 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 10240 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00177 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 10240 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00177 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 10240 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2015-00177 David Young Provide street trees per approved site plan. Provide approved ﬁnal for landscape Backﬂow devise. 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 10240 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00177 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 10240 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00177 Jeff Grove Street tree Moisture content Lighting efﬁciency All forms recieved 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 10208 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00178 David Young Violation Summary: Inspector Contractor