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Permit ,, CITY OF TIGARD MASTER PERMIT 1111 r COMMUNITY DEVELOPMENT Permit#: MST2015 00180 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/09/2015 Parcel: 1S136AA00201 Jurisdiction: Tigard Site address: 10162 SW 69TH AVE Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 4 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: $318,855.26 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 100 Catch Basins: 0 Bckflw Prevntr: 1 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: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Tamp 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: 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 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: $23,234.95 This perm.t 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 or direct questions to OUNC by calling 5•3. •87 or 1.800.3• .2344. gift Issued By: /�fi/_�. , .. .�.�� •ermittee Signature: / C,• ••.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 completio of the project. Approved plans are required on the job site at the time of each inspection. Building Permit ApplicatiIkECEIV P f Residential T FOR OFFICE IHSE ONL,l City of Tigard 0�I 2015 Received : ,liO /fir Permit N f5 $' r/ / _ a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie J■ _ ' 2 Phone: 503.718.2439 Fax: 503. a I fl +� Date/By: Other Per Inspection Line: 503.639.4175 V 11 y OF TIGARD Date By: I y: 1 i 1 2Ag/�as FIGARll Juris: El See Pa e2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: :1/3/ 1S ler Supplemental Information � 4 V J+41 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 ap'p�l"icati ® 1-and 2-family dwelling ❑Commercial/industrial Valuation:3`n y�s�1. s 5 I 6,1 ❑Accessory building ❑Multi-family Number of bedrooms: 3 J��J/J ❑Master builder ❑Other: Number of bathrooms: .3 +'• JOB SITE INFORMATION AND LOCATION Total number of floors: Z Job site address: !O/6 2 5-ki ‘q721 Ave New dwelling area: 2,597 _square feet30 j 4 City/State/ZIP: Ti)A, ) Gie 9722 3 Garage/carport area: 4/ 7 -"square feet Suite/bldg./apt.no.: Project name: Covered porch area: 2 /D square feet 9 OS Cross street/directions to job site: D e14 area: c ,7 ware feet 16 9 l Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 0,4t/r- s 7,2 L L 7 z__:-&-,7,,,,,,z-5 Lot no.: 4 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 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 ‹---- ,x- L.S 4.34/Eiv/ &&---4---47 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR 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:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 5 3G 7 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained �t�� within 180 days after it has been accepted as complete. Print name: /TiL/,fr S U37 Date: q.2'* /sue *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) RECEIVEP Electrical Permit Application FOR 0141('t Sr. Oy1.1 • City of Tigard OCT 7 2015 Received Permit No�3%� „/ af��O d g Plan Rye 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ✓C Phone: 503.718.2434 Fax: 503.598. 9 O R Date/B Other Permit: f fit A R t) Inspection Line: 503.639.4175 Date Ready/By: luris- ifi See Page 2 for Internet: w•ww.tigard-or.g_ov BUILDING DIVISIO Notified/Method Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply(submit 2 sets of plans vi/items checked below): ❑New construction ❑Addition/alteration/replacement 0 Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑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 ❑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 desired system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A",'E"."1-2".1-3", Job no.: Job site address: /!)/ shy 6liilf /4i/L� Six or eres, Recreational 12 ❑Six or more residential units. ❑Recreational vehicle parts. )'IState/ZI 0 Health-care facilities. Supply volmgefor more than CIC / s RR b G� 7 2 23 ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: ❑Service or feeder 600 amps or more. _ FEE-SCHEDULE Cross street/directions to job site: nescriptian I Qty. l Fee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:eztff 521)4..-76:7- L-757-47a--7.5 Lot no.: L_ 1,000 sq.ft.or less 1 168.54 4 Ea.add'1500 sq.ft.or portion 3 33.92 1 Tax map.'parcel no,: Limited energy,residential DESCRIPTION OF WORK (with above sq.ft) ! 75.00 2 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 • t.' PROPERTY OWNER 1 ❑ TENANT. j 200 amps or less i 100.70 ' 201 amps to 400 amps 133.56 2 Name: , ___A" i I Y I 401 amps to 600 amps 200.34 2 Address: 1 v SCE 1 V r ,�t 601 amps to 1.000 amps 301.04 VQ new U �� 6 „ -2 Tem ora y services iceolts 5,a t6 2 Cit~'iStatelZlP: t ,IJ-�l ((JJ, Temporary sen•irrs or feeders installation,alteratioo,and/or �O° ) �— '1 Q®>! a �M01 relocation Phone: Fax: ) 200 amps or less 59.36 I 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 115.08 ? intended for sale,lease,rent.or exchange.according to ORS 447.449.670.and 701. 401 amps to 599 amps 168.54 I 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel X APIt'LICAIVT. I ❑CONTACT PERSON A.Fee for branch circuits with Lan�l �/L r w' above service or feeder fee. Business name: ;I+nV1 + each branch circuit T;2 2 . B.Fee for branch circuits without Contact name: Ciro /� I A 1 eio_ii service or feeder fee,first 2 r r` V" t i branch circuit 56.18 Address: (b0/ ,N 114t . -* 1 I Each addl branch circuit 7.42 3 Cih"StateiZlP: n �/� Miscellaneous(service or feeder not included) 6`aro u VC( 1I a 9, lge-D " Each manufactured or modular 67.84 2 Phone:-(3(00) �) 1 ,y)) FaxV: :(500 a-s-3 --•-1 4o1 dwelling,service andor feeder Reconnect only 67.84 2 E-mail: Pp R pe`�l'°(� t Qi the c , C o o Pump or irrigation circle 67.84 �' �; CONTRACTOR Sign or outline lighting 67.84 2 Business name: Signal circuit(s)or limited-energy See 1 'K G '�v-c panel,alteration,or extension. Page 2 2 Address: `bL\Q S\ekepce,- - Each additional inspection over allowable in any of tht above Additional inspection(I hr min) 66.25;hr I City State'ZIP: SitiC , CCU- k'17 Investigation t 1 hr min) 66.25:hr Phone:(SCA) _3Q YI l Fax:( I Industrial plant(1 hr min) _ , 78.18'hr b� Inspections for which no fee is 90.00'hr CCB Lic.:a0-sCkki 6 Electrical Lie.: C 'II li 0 Suprv. Lie.:5 305 5 specifically listed(s,hr min) n ELECTRICAL PERMIT FEES Suprv,Electrician signature,required: l% _ Subtotal: _Ai Print name: 4r ate: Plan review(25%of permit fee): �� State surcharge(12%of permit fee): Authorized signatur ��CA.C.) y C° J TOTAL.PERMIT FEE: ` + This permit application expires if a permit is not obtained within 180 Print name: "c�1n.e.n� V 0\aS2J�G I Date: days after it has been accepted as complete. J * Number of inspections allowed per permit. 1,Ruilding'•PermitrELC PennitApp ELRERE doe Res OSP-1,2013 440-4615T)11:05TOWWEB RECEIVED Mechanical Permit Application 1()1t 01 I I( I I SI (1v1 1 City of Tigard OCT 7 2015 Date/By: Permit No.115rpoo45:-..00/4e0 IN 0 13125 SW Hall Blvd.,Tigard,OR 97223 �j Plan Review C Phone: 503.718.2439 Fax: 503.598.1V [V OF'FIGARO Date/By: Other Permit: Ti c A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date ReadyBy: Juris: WI See Page 2 for Internet: www.tigard-or.gov 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. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: �/ Air conditioning i 46.75 Job site address: Q p/ 2 SM /) C�99,..„ f,7 la= Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: ( I 4,e1/ Q 0 9 7223 Furnace 100,000+BTU(ducts/vents) 54.91 7 J 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: D�� S-pc.12'% 6 f47LLS' Lot no.: 4 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 991"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 NW 99t"Street,Suite 1170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater i Phone:(360)258-7900 Fax::(360)258-7901 Fireplace 1 Range E-mail:PORPermits @Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: 11� � `` Other: do o L a%% /'L m a I/J 6'' MECHANICAL PERMIT FEES* Address: /0 1 S 141 y s 7-6,Ric (1,4 r„4„,, / ✓i / Ny Subtotal City/State/ZIP: %gv U rI)AL C OR 97060 Minimum permit fee($90.00) I i Plan review(25%of permit fee) Phone:(3 01 6 ‘7.../76:y fr_..4,73:61 Fax:(5--3 ) 6‘7_ 989/ State surcharge(12%of permit fee) CCB tic.: 1/ 2 2 2 O G TOTAL PERIVIIT FEE This permit application expires if a permit is not obtained within 180 atai44,7 te days after it has been accepted as complete. Authorized signature: ef/ * Fee methodology set by Tri-County Building Industry Service Board Print name: Ci_/fir:* / 4, Date: 9,16 , 15- RECEIVED Plumbing Permit Application ' Building Fixtures OCT 7 2015 FOR OFFICE USE ONLY City of Tigard WY() i l(><Al�l� Received e Permit N 57 /s Od//D • 13125 SW Hall Blvd.,Tigard,OR 9'-• DING QIVISIO1' Plan Review NI C Phone: 503.718.2439 Fax: 503.59 i�>;.1 ` Other Permit No.: Date/By: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® 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 El 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 AND LOCATION Site utilities: Job site address: Jo/ 6 2 3-14) 6 9 7F, Av6 Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: -Q p/Q 0 U/? '7223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: [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.:)c)o) Page 2 Storm sewer(no.linear ft.:j%)' ) Page 2 Water service(no.linear ft.:N 6) Page 2 Subdivision: Q,4/1. s7)2GS�j L-= 1' s Lot no.: ¢ 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 0 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 C U 77 AL u m !3/A/9 Water piping/DWV 56.29 Address: /U 75 W. /.4, 57OR/C capearrr/3/4 /Qirrfe Aplle r:• 25.02 City/State/ZIP: -710--©u7,7,446^/ evt9 970 lip Subtotal Phone:(563)66 7, /79/„cry's/ Fax:(jp3) £ 7_ 5,89( _ Minimum permit fee: $72.50 CCB Lic.: / 22 2 op Plumbing Lie.no.:�� .-824 pr3 Plan review (25%of permit fee) State surcharge(112/a of permit fee) Authorized signature: et. ,(; at4'24:0f TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: 6-474,-/-z-F- �D��,v Date: 2./6 /� accepted as complete. after it has been acce *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02ICOM/WEB) City of Tigard .71 el COMMUNITY DEVELOPMENT DEPARTMENT I T I G A R D Building Permit Review — Residential Building Permit #: "f_c o2O/ - CV/Pot Site Address: /()Arc= .)-)A) & 94 4 Project Name: Q 34. E ,Le S Lot #: // (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review J Proposal: OV ew sih k c1 i� Ai7vu' CP/Verify site address/suite# exists and active in permit syste2. //,4iver Terrace Neighborhood: ❑ Yes No Sit Plan Elements: : ree (3)copies of site plan , .sting structures on site � 9i e plan must be on 8-1/2"x 11"or 11 x 17"paper It ootprint of new structure (including decks)with finished frawn to scale(standard architect or engineer scale) floor elevations orth arrow IP tility locations(required for new,may apply for additions) `U' tte address,project or subdivision name and lot number v.. Acation of wells/septic systems pplicant information (name and phone number) 11, rosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions sign,location of catch basin,etc.) / of area,building coverage area,percentage of coverage and t'reet names pervious area (applicable if R-7,R-12,R-25&R-40) ,I[ Seet tree size,type and location lldl'roperty corner elevations(2 foot contour lines if more than [Existing trees to be retained with drip line,and tree 4 foot differential) protection measures 7> lean Water Services—Service Provider Lettey(lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified Lig No Received: ❑ Yes ❑ No Public Facilitieylmprovement (PFI) Permit: / ,_ equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Llrl' and Use Case#: G(,cQO/L{_ 060 ll��oning: - 2.4 S LIB Setbacks: Front ) 'Rear /S' Side S—/ Street Side /S/ Garage ae) Mkandscape Requirement: IQ of Coverage Maximum: Building Height: Maximum Height Actual Height Q3 s / .sual Clearance asements )Sensitive Lands: IllYes ❑ No Type Apes ( J c2 / / Urban Forestry Plan 7` ❑ Conditions "Met"prior to issuance of building permit Notes:Notes: Genal�2JY1_2 meal— /2l7 yr 7A >1ifv-- -6 ,'v,.s 4e "e 7'- r' Or 7' p-9:974/7- itSi{ — f Approved By Planning: 1111/1111 .. Date: 0 S' ____ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw RES 070915.docx Building Permit Submittal Original Submittal Date: /Q/j /5. Site Plans: # Building Plans: # Building Permit#: Et-Enter building permit# above. Workflow Routing: Planning -a Engineering [ -P rmit Coordinator Er Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 0'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. "f Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: /D///s En, reering Review Slope at building pad: g,„ c��onditions "Met"prior to issuance of building permit E E ents (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: CI Yes No ❑ NOT Approved by Engineeri.g: Date: /'. Notes: r_ _� � � _ //,' Approved by Engineering: Wi: mil/ Date: J��.�/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��/� Notes: Cr/"�r�✓�/v.v tic y 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: Yes ❑ N/A Tigard Trans SDC: ❑ Yes !f'"N/A Parks SDC: Yes ❑ N/A OK to Issue Permit pproved by Permit Coordinator: /� , Date: /D j 1:\Bu ilding\Fonns\B1dgPermit Rvw_RES_0709 1 5.docx • 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. E. 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 .._-- If City of Tigard I AR Accela Refund Reques t 10 This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Actioxv. 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 MY: 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 d 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 car' be applied and all SDC fees paid by developer shall be refunded. REFUND INFORMATION: Fee Description From Receipt Revenue Account No Exam sic: Building Permit FeeRefund Example; 2300000-43104 $Amount Washin•ton County Transportation Development Tax 405-0000-43320 Parks SDC-Improvement 425-0000-43300 $237,723.0020,203.00 Parks SDC-Reimbursement 63 425-0000-43301 363 Sewer Connection 3.00 500-0000-25500 _71,398-00 . 26/.. 0.14/ *//Y TOTAL REFUND: 433371497D APPROVALS: SIGNAT • S/DATE: 3 3cfi trO If under$5,000 Professional Staff / .iii - If under$12,500 Division Manager jy/j If under $25,500 Department Manager If under$50,000 City Manager 1111 If over $50,000 Local Contract Review Board 21:0Efue , —��FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY '�r-- Case Refund Processed: I Date: 3 i.-7//6.? 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 10162 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00180 Herb Stabenow 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 10162 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00180 David Young Seal penetrations in mechanical closet at line set and condensate drain. Finish installing door handle and latch at mechanical closet in garage for separation from unconditioned space or insulate ductwork in non conditioned space. Bath fan in upper level main bath not working. Provide 3" clearance above grade for AC unit. 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 10162 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2015-00180 David Young Provide approved plumbing ﬁnal inspection for lawn irrigation Backﬂow devise. Provide approved mechanical ﬁnal inspection prior to building ﬁnal inspection. Not ready for building ﬁnal. Violation Summary: Inspector Contractor