Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015-00179
Date Issued: 11/12/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S136AA00201
Jurisdiction: Tigard
Site address: 10186 SW 69TH AVE
Subdivision: 2007-031 PARTITION PLAT Lot: 2
Project: Oak Street Estates, Lot 3
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First 1738 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 4 Second: 1442 sf Garage: 583 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right 5
Detectors Yes
Total: 3180 sf Value: $384,181.83 Rear: 15
PLUMBING
Sinks: 2 Water Closets: 4 Washing Mach: 2 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 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
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 2
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: 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&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 3180
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: $24,669.31
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 war. spended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ',Nose rule are set forth in OAR
952-001-0010 throug .=•R• 101-0190. You may obtain a copy of the rules or direct questions to OUNC by calling 503 —- 11 '32.2344
P f�
Issued By: '
, L'lJ� Permittee Signature-
Call 503.639.4175 by 7:00 a.m.for the next available ispection dat•.
This permit card shall be kept in a conspicuous place on the job site ntil complet.n of the project.
Approved plans are required on the job site at the time o ach insp-. tion.
Building Permit Application RECEIVE'
1 Residential FOR OFFICE USE ONE1
City of Tigard p c T 7 2015 Received/ 7 5 2 w/�-vO/7
DateBy: Q�/� Permit No o (/ 7
IIIII
. a 13125 SW Hall Blvd.,Tigard,OR 97223 Y Q Plan Review. OtherPermi �j��/s=Q(J �'
Phone: 503.718.2439 Fax: 503.598.1960 V Of Tl(>-AV" DateB : */ ) - it /
T I GARD Inspection Line: 503.639.4175 �� " ` t11S1n I IDate Ready/By: Juris. 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING�! . `II `Notified/Method: 1/ 10/15 — Supplemental Information
EIYV.I(R-G TA()
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Z 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.
3 --�jJ
® 1-and 2-family dwelling ❑Commercial/industrial Valuation,3 set))g is $ , 1 r
❑Accessory building ❑Multi-family Number of bedrooms: 4
❑Master builder ❑Other: Number of bathrooms: 1. ,
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: /a/8( 5-y,/ G ". ,9yr; New dwelling area: 3 /90_square feet 7 f t�3
City/State/ZIP: ;'N,P/0 J ,O,Q 9 7 Z Z 3 Garage/carport area: 583 square feet l
Suite/bldg./apt.no.: Project name: Covered porch area: 2 square feet ,14 L.
Cross street/directions to job site: Deck area: square fee L 7,a
Other structure area square feet•' ` �,
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Q,4Y 3---7-A,74._:-&-7- �s yq i s Lot no.: 3 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:
Z 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 ,TuLS Gc,/f �` �I 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 lic.: 530 7 Total fee due upon application: $201.60
Authorized signature: ' -4 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Remy S47/ v Date: 9 2¢, f 5 *Fee methodology set by Tri-County Building Industry S
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I
Electrical Permit Appli �ehdJ�V^" FOR OFFICE I SI: ONLY
City of Tigard 7 7 2015 Received
Datr Bx: Permit N STS S C
l/
• 13125 SW Hall Blvd..Tigard,ORG2E3
l'il
Plan Review
I ' Phone: 503.718 2439 Fax: 503.598.1960 DateBv: Other Permit:
1 1c,A.1W Inspection Line: 503.639.4175C�ir'" . '�j�ARO Date Ready:By. ) �5 53 See Paget for
Internet: ssssw'.tieard-or.goc 1111 l.
Notifedhlcthcd Supplemental Information
14l •
TYPE OIle k
PLAN REVIEW
❑New construction ❑.Addition/alteration/replacement Please check all that apply(submit:sets or plans w items checked bolo I.
❑Service or feeder 400 amps or more ❑Building over three stories
❑ Demolition El 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 acricuhural
❑ I-and 2-family dwelling ❑Commercial%industrial ❑Accessory building amps fnr all other installations buildings
❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
❑Emergency system. larger separately derived ss vent
. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A E", 1-2`."l
Job no.: Job site address: �j /(, IOOHP or mere occupancy.
G`p �jr �� b <rN ve ❑Six or more residential units. ❑Recreational vehicle parts.
City/State/Z le: ? 2 /RD OR �'7z 2.3 ❑Health-care facilities. ❑Supply 00 vo voltage for more than
/ ❑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: I Description I Qts. I Fee. 1 Total I •
• Ness residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: O�X 5— z�cr /_:.--s-, 7-4.„-- - Lot no.: ,,7
1.000 sq.ft or less 168.54 14
Ea.add')500 sq.ft.or portion 4 33 92 t +
Tax map./parcel no.: i Limited energy,residential
DESCRIPTION OF WORK 1 (with abuse sq.ft i I 75.00 _
Limited energy.multi-family
75.00
residential(with above sq.ft.I
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation I
PROPERTY OWNER I ❑ TENANT 200 amps or less i 100.70 ! ' 2
Iv I �J I�� 201 amps to 400 amps 13356 2
Name: N 401 amps to 600 amps 200.34
Address: a -- '3t, : 4 I 1 601 amps to 1.000 amps 3+0)04 3
Over 1,000 amps or volts 552 26
C it}."State:ZIP: a new t�e rr- I"JP 619602 i Temporary services or feeders installation,alteration.and/or ,
Phone:( Q ) &— 19100 L L Fax:( jury) relocation 0 s
3� �,.�rte' �-""" �� ��I I 200 amps or less 59.36 ! I
Owner installation:This installation is being made on property that I own which is not 1 ,
201 amps to 400 amps 125.08 ,
intended for sale. lease.rent.or exchange.according to ORS 447.449.670.and 701. 4 )amps to 199 amps 16854 ! 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
)(APPLICANT . ( ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee.
7.42 2
Business name: �J�l �,t i l 1 ' each branch circuit i
r v� V B.Fee for branch circuits without
Contact name: n r1 1 f service or feeder fee,first 56 13
�� 1�' Yv`�" �/ branch circuit 3
Address: i ( }� 11 �C1' - 1 I Each add.I branch circuit 1 , 7.42" � Miscellaneous(service or feeder not included)
C'ilx State/ZIP: ` 111
V��( ' V�� �� I Each manufactured or modular I 111IIIi! i n 7 84 ?
Phone:j j ) r3 .— -7 cal) Fax: :�0) 2- -7401
dwelling,service and or feeder
/s x Reconnect onh 67 84 2
E-mail: Pn�`r' n ' (dam Iefl 1 C(O__Inn Pump or imeation circle 67 84 _
CONTRACTOR Sign or outline lighting 67 84 _
Business nante:?0W��, e.�'k_ `„r Signal circuitlst or limilcd-energy See' '
"� panel,alteration.or extension. Page_
Address: $l..)‘0 3 4V- S\t‘ecce,vc 9- Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25'hr
Cil1`State/LIP: g0C\10. \, O — C 12_(40 , Investigation t 1 hr min) 66.25,hr
Phone:(grit) (;,Jj 5_"�i,,,;['�;] Fa\:( I Industrial plant I l hr min) 78 18'hr
` �✓\ +.rte t I Inspections for which no fee is 90 U(1 hr
CCB Lie.:�0'sc 9(� Electrical Lic.: C ,q (;t I Suprv. Lic.:5 305 S specifically listed( hr mint
A/ ELECTRICAL PERMIT FEES
Supn. Electrician signature,required: / . r _ Subtotal:
Print name: �/� r ' �� J,<e: Plan review(25%of permit fen)
F 1 LC fir r I State surcharge(I'o of permit ice).
:Authorized stgnatur "� k,,,,0`V y J TOTAL.PERMIT FEE:
_ L
This permit application expires if a permit is not obtained Within IRO
Print name: �� �?�� v J`0je� L• I Date: days after it has been accepted as complete.
�� • Number of inspections allowed per permit.
i RuildinsTennits'ELC_PennitApp ELR_EREdoe Rev 05212011 440-P515T111,05YOWNER
•
Mechanical Permit Applicatl ICEIVEP FOR OFFICE USE O\I.1
City of Tigard Received Permit No �r�/s�0/ I
7 2015 y
q 13125 SW Hall Blvd.,Tigard,OR 97223j�(,T Plan Review
' 0 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TI G A R D Inspection Line: 503.639.4175 'o a{_ �y Date Ready/By: luris: 65 See Page 2 for
Internet: www.tigard-or.gov 11 v 1" 1�� Notified/Method: Supplemental Information
IW1!L1)INC DWVlS101�
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
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 Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning I 46.75
Job site address: /lj/ 84 5-14,/ 6977./ A✓L- Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: 'pR J OR 9 7283 , Furnace 100,000+BTU(ducts/vents) 54.91 _
7 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: QAL ST E r L sr-re.s Lot no.: 1
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 1
• Range
E-mail:PORPermits @Lennar.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: W 7- - 1�`U ma II)�� Other:
Woo L t<`O / / �r MECHANICAL PERMIT FEES*
Address: /0 75 4 . iiLs TL'R/G [ D L r.(Mf3/f1 m,,,,,_,_,2 M Subtotal
City/State/ZIP: %/RO(�r,)AL c 4 y'706 Q Minimum permit fee($90.00)
!! i Plan review(25%of permit fee)
Phone:(.303) 66 7../76,/��38 Fax:(5-03 ) 66 7._ 989/ State surcharge(12%of permit fee)
CCB lic.: 1/ 2 2 2 U G TOTAL PERNHT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: az(44,44 ' Fee methodology set by Tri-County Building Industry Service Board
Print name: CLIFF' '�,,," Date: q,/6 , is
Plumbing Permit App
licatioili_aCE1VEP
• Building Fixtures OCT 7 2015 FOR OFFICE USE ONLY
City of Tigard Received ��'T ,js v0/7 y
�y Date/By: Permit No.
13125 SW Hall Blvd.,Tigard,OR �t? Y OF 1 I�AIt�
Plan Review Other Permit No.:
Phone: 503.718.2439 Fax: 5QbP IMNG DIVISI01'k DateBy:
r I G A}t D Inspection Line: 503.639.4175 Date Ready/By: Iuris: lift See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
- Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen I 25.02
❑Master builder ❑Other: Fire sprinkler(-sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: /(�/ £j3'6 5-� ( gTw 4,/,..., Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: 77-c,
gj f/ OR 9722Y Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:)o' ) Page 2
Storm sewer(no.linear ft.:I v m) Page 2
Water service(no.linear ft.:)w) Page 2
Subdivision: 74k' 577 S7i¢j[=$ Lot no.: 3 Fixture or item: -
Tax map/parcel no.: Backflow preventer 1 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer i 25.02
NSFR
Dishwasher 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 I 25.02
City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02
Phone:(360)258-7900 Fax:(360)258-7901 Ice maker a 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 7 \ 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 44 25.02
CONTRACTOR
Water heater 1 37.52
Business name: w 0 L C d 77 Pt:um 8 fA/91 Water piping/DWV 56.29
Address: /U 7 5 W.1/i 570,E)ic C,G j/)7/3/,4 /3 rrfi /0, r: 25.02
City/State/ZIP: 7N4G[7 0444.^/ aA9 y706Q Subtotal
Phone:(563)66 7..1781 C k>j'g Fax:(5p3) to 4 7_ 489! Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic.no.:L� .-821 Pe Plan review (25%of permit fee)
Z Z�d� no State surcharge(12%of permit fee)
Authorized signature: ete. /,a'1zia TOTAL PERMIT FEE
Print name: Date: This permit application expires if a permit is not obtained within 180 days
C4/,^` �'Q/f//f1,r�il� 2'/�n' �rJ 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)
City of Tigard
III II 111
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Residential
Building Permit #: /1.57120/S- '2/77
Site Address: /o Sk) (0 9 v.e
Project Name: Qom, 3/-. a P S Lot #:
(New dwelling= subdivision name;Addition or Alteration=last name of owner)
Planning Review //
Proposal: New S/h k c i'/
v
Verify site address/suite # exists and active in permit syste .
/4.iver Terrace Neighborhood: El Yes ENo
Sity Plan Elements:
l ree (3)copies of site plan rL,;f, 'sting structures on site
' plan must be on 8-1/2"x 11"or 11 x 17"paper 1: ootprint of new structure(including decks)with finished
yawn to scale(standard architect or engineer scale) floor elevations
forth arrow
IF tility locations (required for new,may apply for additions)
g ite address,project or subdivision name and lot number r/. ..cation of wells/septic systems
I Ve pplicant information(name and phone number) I► rosion control(including drainage-way protection,silt fence
Lot dimensions and building setback dimensions sign,location of catch basin,etc.)
A44bot area,building coverage area,percentage of coverage and (reet names
kripervious area (applicable if R-7,R-12,R-25&R-40) Eeet tree size,type and location
Varoperty corner elevations (2 foot contour lines if more than E Existing trees to be retained with drip line,and tree
4 foot differential) protection measures
,dean Water Services—Service Provider Legg/(lot platted prior to 9/10/1995):
ailquired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
ltblic Facilitie mprovement (PFI) Permit: /
,� quired: Yes,applicant was notified El No Applied For: Yes ❑ No,stop intake
�Lld' and Use Case#: 4(6cQQ1l�_ Ovv
oning: �- �{. S O/j , 'Gl•�Ul� CXXX>�
L!G Setbacks: Front av'Rear /c' Side 4-S--/ Street Side /s' Garage c„96'
1IPandscape Requirement:
of Coverage Maximum:
L►1 Building Height: Maximum Height ' Actual Height a3'Co ''
g
isual Clearance
easements
ensitive Lands: Yes ❑ No Type c9 �d�PJ �aC'l l
Urban Forestry Plan //��
1\\(+\`\ Conditions "Met"prior to issuance of building permit
Notes: �airr iai,Ek.....461_torms,ziri:1 .„ ,. . _
.0 a
Approved By Planning: _ Date: imkr� — ft/9/6--
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Forms\BIdgPermitRvw_RES_070915.docx i
Building Permit Submittal
Original Submittal Date: /p/:lS
Site Plans: #
Building Plans: #
Building Permit#: a Enter building permit#above.
Workflow Routing: Planning g. ngineering El—Permit Coordinator Building
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.
g"-g-uilding: original permit application,site plans, building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: ////5.-._ 4( =____
Enieering Review
gr Slope at building pad: %"
Teiditions "Met"prior to issuance of building permit
ments (encroachments) per engineering conditions of approval and plat
'ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ilio
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by En_' eel.' g: Date:
Notes: ,.... _ i f�
Mi/
Approved by Engineering: ielZ Date: /> ....9_45-
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
AiP Approved,NOT Released: .41/1 Date:/D Ar
Notes: C-44e 1-44" _
v.
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:
' I SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
( Tigard Trans SDC: ❑ Yes N/A
J Parks SDC: Yes ❑ N/A
T OK to Issue Permit
/Approved by Permit Coordinator: W I Date: l' /A-5-
1:\Bui(ding\Forms\BldgPermit Rvw_RES_0709I 5.docx
,i/ts7AvrC- oo17S
01f(4°. sC$o
`J
Li
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: /1 Check #220393 in the amount of$338,059.00.
❑ Credit card "return" receipt in the amount of$
Note: Please allow 2-5 days for this refund transaction to be
credited to your account by the company that issued your card.
❑ Trust account "deposit" receipt in the amount of$
Comments: Refund for SDC fees paid prior to available credits applied from demolition
permit BUP2015-00091 for armory building and SF residential building. See attached
spreadsheet for SDC credit balance and list of permits that credits were applied to.
If you have any questions please contact me at 503.718.2430.
Sincerely,
Dianna Howse
Building Division Services Supervisor
Enc.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
u
: City of Tigard
TIGARU j Accela Refund Ropes t
This form is used for refund requests of land use, development engineering and building permit
application fees. Receipts, documentation and the Request forPermitActio form (if applicable)must
be attached to this request form. Refund requests are due to Accela Systemr by
each Wednesday at 5:00 PM. Please allow up to 3 weeks for process g of refunds. A c Accounts
Payable will route refund checks to Accela System Administrator for distr-ibution to applicant.
PAYABLE TO: Lennar Northwest Inc. DATE:
Attn: Juls Call 3/7/2016
11807 NE 99th St., Suite 1170 REQUESTED BY: Dianna Howse
Vancouver,WA 98682
TRANSACTION INFORMATION:
Receipt#: Various Case#:
Date: Various Various
Pay Method: CreditCard Address/Parcel: Various
Project Name: Oak Street Estates
EXPLANATION: Refund for transportation development and parks system development fees paid prior
to demolition credits for armory structures and (1)residential structure. Received final
inspection for BUP2015-00091 on 2/10/2016 so credits care be applied and all SDC
fees paid by developer shall be refunded.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No.
Exam.1e: Building Permit Fee Example: 2300000-43104 Refund
Washin•ton County Transportation Development Tax 405-0000-43320 Refund
$237,723.00
Parks SDC-Improvement 425-0000.43300
Parks SDC Reimbursement 20,203.00
425 0000 43301
3633.00
Sewer Connection
500-0000-25500 '
X1,898:00
TOTAL REFUND: _U337449701
9701
APPROVALS: SIGN•T S/DATE: -3r,fi 03-?•try
If under $5,000 Professional Staff in
If under$12,500 Division Manager + j��/6.
If under $25,500 Department Manager
If under$50,000 City Manager
`1
If over $50,000 Local Contract Review Board �j4E-c PV0 Tr-
FOR
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
1 Case Refund Processed: j Date:
3� 3/062 I 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
10186 SW 69TH AVE, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2015-00179
Jeff Grove
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
10186 SW 69TH AVE, TIGARD, OR, 97223
Residential - Master Permit
699 Mechanical final
PASS
MST2015-00179
Jeff Grove
Violation Summary:
Inspector Contractor