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Permit CITY OF TIGARD MASTER PERMIT f y. 4 '' COMMUNITY DEVELOPMENT Permit#: MST2015-00178 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2015 Parcel: 1S136AA00201 Jurisdiction: Tigard Site address: 10208 SW 69TH AVE Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 2 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1384 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1508 sf Garage: 494 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2892 sf Value: $352,216.26 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 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 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 add9 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio 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 2892 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11870 NE 99TH ST,STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cnlrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: PHONE: 360-216-6423 FAX: 360-258-7901 Total Fees: $23,899.48 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 •- . 1.800.332.2344. / Issued By: (�.-/ Permittee Signature: AI�a4e� `�,/ C .639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the p oject. Approved plans are required on the job site at the time of each inspection. Building Permit ApplicatioRECEIVEP Residential I OR ( I 1 it I. t ,L0y1.1 City of Tigard OCT 7 2015 Date/By: /0/%s 441 Permit No /$. '1/7/ n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re p n 1 Phone: 503.718.2439 Fax: 503.5900401 OF IIGAKD Date/By: ) ` �i — 1,s -tSJ other PermiiSu/rC /S%Q©`o'S...> TIGARD Inspection Line: 503.639.4175 DateReadB / Jana. ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: f ��, ► . ,,fly Supplemental Information * T PA 13_ 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. Valuation. iL� ® 1-and 2-family dwelling ❑CommerciaUindustrial 3�r �Gr 71-1-- — 40—T-JA El Accessory building ❑Multi-family Number of be ooms: ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: /G 208 S w to 9TN Ava New dwelling area:� gy 2 square feet%G City/State/ZIP: %I qR D ) OR 9 72,23 Garage/carport area: 4Q 1 square feet Suite/bldg./apt.no.: Project name: Covered porch area: 3 2 square feet f cc 2 Cross street/directions to job site: Deck area: square feet 13 8`4 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Q yy 3.--/- 6-.4......77— S7-416,.5 Lot no.: 2 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 ® 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* Business name:Lennar NW,Inc. (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Charles Webb FLS plan review fee(if applicable): Address:11807 NE 99th 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 „(�� '�LS !mitt, / 2�/p-4, 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.: / 9 3'1 0 7 j Total fee due upon application: $201.60 Authorized signature: /7 This permit application expires if a permit is not obtained ,� ! within 180 days after it has been accepted as complete. Print name: !1/C/-:),. �L13� Date: 4'.24.. . *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Irl Electrical Permit Application CEIVy FOR OFi'ICE t tit: t)NI 1 y City of Tigard Received Permit Nor /Std p/ g 7 1015 Date Be: 13125 SW Hall Blvd..Tigard,OR 97223 OCT Plan Review ' i Phone: 503.718.2439 Fax: 503.598.1960 Date13•: Other Permit: Inspection Line: 503.639.4175 a • ,ITV'`t•1`1� Date Ready'By�: tins- ® See Page 2 for 1 Ie:AR1) CITY V! Notifed'Medicd Supplemental Information Internet: www.tisard-oreov s1'F P TA��t., TYPE OF WOii ,. . PLAN REVIEW ID construction ❑Additiorvalteration/replacement Please check all that apply(submit 2 sets of plans w,items checked below). ❑Service or feeder 400 amps or more ❑Buildine over three stones ❑ Demolition ❑Other: where the available fault current ❑Mannas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,030 amps at 150 volts or ❑Floanne buildings. less to ground,or exceeds 14.000 ❑Commercial-use agncuh-ural ❑ I-and family dwelling, ❑Commercialindustrial ❑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 . JOB SiTE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A". E "I-3"."I-3 100FIP or more occupancy. Job no.: Job site address:/6)2‘)62 SAY 4=7-././ Ave; ❑Six or more residential units. ❑Recreational vehicle parks. City/State/Z1 : (� •) ❑Health-care facilities. ❑Supply voltage for more dims l f c�<3Rn (J7/ 7 G ❑Hazardous locations. 600 volts nominal. Suite/bldg.lapt.no.: Project name: ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: I Description 1 Qty. 1 Fee. 1 Total 1 • New residential single-or multi-family dwelling unit. Includes attached garage. �. 1.000 sq.ft.or less ' 16854 I I , I Subdivision: QAy S 3747' 5 Lot no.: 2 (, � G�'� Ea.add'1 500 sq.ft.or portion 4 33.92 I j Tax mapfparcel no.: Limited energy,residential DESCRIPTION OF WORK sq. 7�00 'with fti Limited energy.multi-family 75.00 residential(with above s_q.ft.l Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation PROPERTY OWNER I ❑ TENANT i 200 amps or less - ) 1 00.70 I 7 201 amps to 400 amps 133.56 2 Name: Oar J v 1, I I n�. . 401 amps to 600 amps 200.34 2 Address: L 1 V t�t' J 601 amps to 1.000 amps 301.04 2 1 l t V V Oser 1.000 amps or volts 552 26 E 2 City/State:ZIP: 1 /a new 1 v� ' tr\A 1,9 tf�2 Temporary services or feeders installation-alteration.and/or Phone:( �,�1 )25122— t.1"jC, e) Fax:( )a 'j 1 relocation 1 nr V 1 200 amps or less 59.36 I I Owner installation:This installation is being made on ra em'that 1 own which is not p p 201 amps to 400 amps 125.08 ; 2 intended for sale.lease.renL or ekchange.according to ORS 447.449.670.and 701. 401 amps to 599 amps 163.54 2 Owner signature: Date: I Branch circuits–new.alteration,or extension.per panel X APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee_ �,ei'�/,l r Ni' ,ft l t ' each branch circuit 7 4? 2 Business name i Iii CC �J�f fyl 1 B.Fee for branch circuits without Contact name: (..// {n a rv, 1 l el9 i/y service or feeder fee,first 2 1 l ' Y r V" /� 1/ branch circuit o 18 Address: 1 ( 2)0-1 N q q 5 -4 I I Each add I branch circuit 1 J 7.42 Cih'State.ZIP: \ n(�-t u Viet)/ t t ltd- 1, a ,O-D- Miscellaneous(service or feeder not included) `/4` 1; �`f t Each manufactured or modular I 67 83 2 dwelling,service and or feeder Phone: nU ) �,3 -7�u.��I Fax: �L0 �5 ��U Reconnect only h o7 84 3 E-mail: e (.2 pe r"(�'lI 1� 1 , C O� Pump or irrigation circle 67 84 ' �" CONTRACTOR Sign or outline lighting 67 84 2 Business name:? \_;,,,e_ .C,c, -S� I Signal lteratfslorlexited-energy See, ' I panel,alteration.or extension Pace_ Address: `bLhQ' ` ` ge e 9_ Ii Each additional inspection over allowable in any of the above t Additional inspection I I hr min) 66.25 hr Cil):'Sfate/ZIP: �00c\j„4{ , a� CV cro I Investigation'l hr min) 66.25-hr ' Phone:(�i71 l (;.Jl g_--m oi`' " Fax:"("V I , Industrial plant 0 I h r mini 78.18'hr ` �✓ + ` t inspections for which no fee is CCB Lie.:ar0s 9 6 Electrical Lie.: (, \c o!C{ � Suprv. Lic.:5 305 S specifically listed('•c hr mini 90.00'hr r ELECTRICAL PERMIT FEES Supn. Electrician signature,required: I , r Subtotal: Print ttatnr. . I �3te: Plan review(25%01 permit fee) State surcharue(12%of permit ice). Authorized sienatur°. TOTAL.PERMIT FEE: i This permit application expires if a permit is not obtained within 180 Print name: �� ` C Date: days after it has been accepted as complete. L • Number of ntspecunns allowed per permit. i Bin idinetPermitsELC_Penniixpp ELR ERE doe Rev OS/L_013 440.46157111:05TOyLWFB Mechanical Permit Applicati, CEIVEP FOR OFFICE ESE 0y E1 1 Received • City of Tigard Date/By: Permit No.: 0 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ��/� 0D/ : C Phone: 503.718.2439 Fax: 503.598.19 CT 7 2015 Date/By: Other Permit: l'I GA R D Inspection Line: 503.639.4175 Date Ready/By: Juris: See Page 2 for Internet: www.tigard-or.gov y y pp `y' V(A i 1bAti) Notified/Method: Supplemental Information l tTI�”1111S11,0r ��t, , TYPE o ) �, �� 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* ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. l Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: /_ Air conditioning 1 46.75 Job site address: 1 02 OE? S.w &q1 4✓L Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: y� 9 �i Furnace 100,000+BTU(ducts/vents) 54.91 T191/2 U ) G 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: Lot no.: Other: 23.32 �� j�C L�T sr�TLS 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 CO 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 991h 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. } Address:11807 NW 99th Street,Suite 1170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater 1 Phone:(360)258-7900 Fax::(360)258-7901 Fireplace j Range I E-mail:PORPermits @Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: pi. I3 I/ j G Q L Other: MECHANICAL PERMIT FEES* Address: /v 7 5 IA/ MS Td R/e et)L WM,.V4 /7 l VLf/2 lliy y Subtotal Minimum permit fee($90.00) City/State/ZIP: —qo G 7-7)AL C e 9 7Q 60 / ! Plan review(25%of permit fee) Phone:(561 6 6 7../my L__17,16. Fax:(5-03) 6,67_ 989/ State surcharge(12%of permit fee) CCB lic.: / 222 v o 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: g y * Fee methodology set by Tri County Building Industry Service Board Print name: , – rgir w /1"V Date: 0 i 6 , 5 Plumbing Permit Applicati CEIVEP • Building Fixtures FOR OFFICE USE ONLY City of Tigard OCT Date/By:Received Permit No./lirc:?0/ -.a/71' .1 13125 SW Hall Blvd.,Tigard,OR 97223 ,y 11110.1) Plan Review • Phone: 503.718.2439 Fax: 503.5k3 V t DateBy: Other Permit No.: TI G A R D Inspection Line:g503.639..4175 � 1 �v ��,� ��r Date ReadyBy: Juris: H See Page 2 for Internet: www.ti azd or. ov lG 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 sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AANDD LOCATION Site utilities: Job site address: /0206 SW 6 97-,,i A✓L Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: l/�'g4o t�� 9 7 2 23 j Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 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: 0 4 f; $7 7-T �S 7.476=5 Lot no.: 2. Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 1 25.02 NSFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:LENNAR NW,Inc Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11807 NW 99th Street,Suite 1170 Garbage disposal 1 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 Phone:(360)258-7900 Fax:(360)258-7901 Ice maker 1 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:LENNAR NW,Inc Medical gas(value:$ ) 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 n Water heater 1 37.52 Business name: WO L W.I0 77 /-Lama(A/9 I}Water piping/DWV 56.29 Address: /07 5 W . 1-/i 5 TaR/C eve_u rii/3 61 /43,,-&-e AI er: 25.02 City/State/ZIP: 7rpo 4e7.0,4 46.-/ a '7 )6o Subtotal Phone:(563)66 7./79/,X7 fg/ Fax:(5-03) ‘4 7- Q8.99( Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.:�� .-821!tea Plan review (25%of permit fee) 2 Z7. oo State surcharge(12%of permit fee) Authorized signature: Cfr401e10,1 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: C�i-� adni art v Date: 2,/6. /5 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:1Buildineermits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard III r COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: / 17Z5/$- j1/7d Site Address: /QQ 0 8 &(,() (Q 944 ,v,p Project Name: OQ4 B PS Lot #: o? (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review (744,,,,y__/ �� Proposal: New s,k Verify site address/suite#exists and active in permit syst /liver Terrace Neighborhood: ❑ Yes LE No Sit Plan Elements: 'k ree(3)copies of site plan 'sting structures on site FA e plan mu he on S-1/2"x 11"or 11 x 17"paper I%Footprint of new structure(including decks)with finished yawn to scale (standard architect or engineer scale) �floor elevations (L' �orth arrow Utility locations(required for new,may apply for additions) r ite address,project or subdivision name and lot number rZ Acation of wells/septic systems 1pplicant information(name and phone number) g rosion control(including drainage-way protection,silt fence FJLot dimensions and building setback dimensions sign,location of catch basin,etc.) A4tAot area,building coverage area,percentage of coverage and eet names ,� pervious area(applicable if R-7,R-12,R-25&R-40) 9�/JSeet tree size,type and location gd?roperty corner elevations(2 foot contour lines if more than E txisting trees to be retained with drip line,and tree 4 foot differential) protection measures itilirlean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified f No Received: ❑ Yes ❑ No Et? Public Facilitieylmprovement(PFI)Permit: , squired: Yes,applicant was notified ❑ No Applied For: V yes ❑ No,stop intake Lld' and Use Case#: t(esc 0 j'-1_ 0600 oning: - i-/ S Y Setbacks: Front av' Rear /S' Side S/ Street Side /s f Garage aE' /W4andscape Requirement: % t Coverage Maximum: % Building Height: Maximum Height <)/ Actual Heigl c99 i (v , isual Clearance !; 4. asements V_f ensitive Lands: Yes ❑ No Type S1 ) A�PS ��'Qs-TX) Ltd' Urban Forestry Plan r ❑ Conditions "Met"prior to issuance of building permit Notes: J ndY) i& /hall- 440f7 C)r- 71t ,-_]1LiY1/7`,44 /77ii,E fr 7& pi,°Or- ,7i- its Approved By Planning: �.. LI_....4ti. Date: /0A--/-S--- 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\BldgPermitRvw_RES 070915.docx Building Permit Submittal Original Submittal Date: AV-Z/---C Site Plans: # Building Plans: # 3 Building Permit#: (enter building permit#above. �� Workflow Routing: [ '€ 1'!anning © ngineering t'1 Permit Coordinator tuilding Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: a-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /1/0"-- r / Date: /e/0_5. En?" eering Review 14 Slope at building pad: 4 j C ditions "Met"prior to issuance of building permit ements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ o Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes No / ❑ NOT Approved by Eng'.eeri g: Date: Notes: ; I� _ . - Cafr Arr• Approved by Engineering: 1/L Date: f ._.9__ s- 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 /1C)Approved,NOT Released: 0 Date: j i /S r Notes: Cfri-e. l [d '(J k.CV Ale e Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: eNgi Yes ❑ N/A Tigard Trans SDC: ❑ Yes �N/A Parks SDC: >a Yes /❑ N/A OK to Issue Permit //e., Approved by Permit Coordinator: Date: 145A1/6- I:\Bui lding\Forms\BldgPermitRvw_RES 07091 5.docx frt r), ' - 0 o 7r to,&or ci c 57L zacc 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$338,059.00. n Credit card "return" receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. n 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 503.6.39,4171 u City of Tigard TLGAlz Accela Refund Reques t This form is used for refund requests of land use, development engineers .rig and building permit application fees. Receipts, documentation and the Request for Permit ActioArz 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 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 cl evelopment 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 care 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 Example: 2300000-43104 Refund Washington County Transportation Development Tax 405-0000-43320 Amount $ Parks SDC-Improvement 425-0000-43300 $237,723.00 Parks SDC-Reimbursement 20,203.00 425-0000-43301 Sewer Connection 500-0000-25500 3,633.00 ._71,899-00 tri) TOTAL REFUND: ,$33379701 APPROVALS: SIGNATI RFS DATE: .33 F try If under$5,000 Professional Staff If under$12,500 Division Manager j__ 9//6 If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board �jpk--S 'Voy , FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: ��,a B : Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10208 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2015-00178 David Young Provide approved plumbing ﬁnal for landscape irrigation Backﬂow devise. All else ok. Final erosion control approved. Street tree certiﬁcation form received. Moisture content form received. High efﬁciency lighting form received. Blower door test results checked. Insulation certiﬁcation checked. Recall building ﬁnal inspection with plumbing 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 10208 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00178 David Young Correction complete. City required paperwork received, see previous ﬁnal inspection. Final approved. C of O left on site in kitchen. 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 199 Electrical ﬁnal PASS May 4, 2016 at 1:06:32 PM MST2015-00178 David Young Violation Summary: Inspector Contractor