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Permit
IN .. CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00197 TIGARD 1125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2015 Parcel: 1 S 136AA00201 Jurisdiction: Tigard Site address: 6695 SW LOCUST ST Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 12 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: $314,737.96 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 Line . 100 Drains: 0 Lines. Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywall-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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add]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 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: $23,226.84 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other appli .• - .w. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is -r-•-•ded •r more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. •ose a se forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. •8. or .•'0.3 • Issued By..44 } Permittee Signature: ,- 11■1111111kIk__ Call 503.639.4175 by 7:00 a.m.for the next available inspection date, This permit card shall be kept in a conspicuous place on the job site until completi*n of the pr•ect Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY' City of Tigard tiC1 DateB : Permit No.: Apia ii, —-'r 13125 SW Hall Blvd.,Tigard,OR a Plan Review . / 0 Phone: 503.718.2439 Fax: 503.598.1960 Date/B : )/ 'J-, / IA Other Permit: I a1iL T I G A It u Inspection Line: 503.639.4175 p W 20AS Date ReadyBy: ® See Page 2 for Internet: www.tigard-or.gov OC,� fi Notified/Method: /I 17— ;,,,A1 IFIM Supplemental Information TYPE OF Vii101 Nn PIN l'1u REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation3 l`t,� 73.--$ j--3-37-- n 1)J ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 3 . JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 6696" 514J L o c u sr s-- New dwelling area: z 599 7 square feet3 O I<I. City/State/ZIP: `7 c RR p 0 R 97223 Garage/carport area: 4,7 /square feet Suite/bldg./apt.no.: Y 1 Project name: Covered porch area: 7 ,449fiquare feet ci/\r Cross street/directions to job site: Deck area: square feet 16 9,, Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 0:9 if- Sne T' 6-7:5747-(=5 Lot no.: J z 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 99'h Street,Suite 1170 Total fees due upon application: City/State/ZIP:Vancouver,WA 98672 Phone:(360)258-7900 Fax::(360)258-7901 Amount received: E-mail:PORPermits @lennar.com 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.: /95307 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: *Fee methodology set by Tri-County Building Industry Service Board. 1 I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) L� Electrical Permit Application � � FOR OFFiC F. t SI: ONLY 11111 City Of Tigard �A C Received ' DaterBv. y 13125 SW Hall Blvd..Tigard,OR 97 �� _ $ G Plan Review Other Permit Phone: 503.718.2439 Fax 503.598.1960 .1"°C Date/B fi(i-V1t1) Inspection Line: 503.639.4175 �j Date Ready/By. Jam Ea See Page2 for Internet: www.tieard-or.gov (\C. ! M NotifiediMethod: Supplemental Information IV A‘k7} PLAN REVIEW •TYPE OF WORK ;.�i -•, New construction Please check all that apply(submit 2 sets of plans w-/items checked below). ❑ ; ❑Addition/alteration/replacement ❑Service or feeder 400 amps or more ❑Building over three stories. ❑ Demolition U Other: �-11 current where the available fault cent ❑Mannas and boatyards. _ CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 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 KVAor ❑Emergency system, larger separately derived system JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑°A". E", I-2°."I-3", Job no.: Job site address: 6,6 y,. W Lo C U 5 S-1 I ix or or mere R c Recreational r ❑Six or more residential units. ❑Recreational%chicle parks. City/State/Zip: /4 AT, 0 q 7Z 2 3 ❑Health-care facilities ❑Supply voltage for mare 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 Deuription I (11; i Fee. i Total I • ' New residential single-or multi-family dwelling unit. Includes attached garage. _ 1.000 sq.It or less 16854 I 14 Ea.Subdivision: OA ft., 5-77,-,e6-6.:! CS i!a 7- c Lot no.: 12. 1.0 add'I 500 sq.ft.or portion 33.92 I Tax map/parcel no.: Limited energy.residential 75.00 DESCRIPTION OF WORK (with above sq.ft) Limited energy.multi-family 75 00 residential i with above sq.ft.) I Renewable Ener v _ ❑ See Page 2 , j Services or feeders installation.alteration,and/or relocation fif PROPERTY OWNER ❑ TENANT f 200 amps or less ) 100.70 I l !0 v ' 201 amps to 400 amps 1 33.56 - tiame: 1�1J / �, �^ �'� 401 amps to 600 amps 206 33 _ Address: I l QI L3-1s i,P ri- . 5t,' 601 amps to 1.000 amps 301 04 l L V`al a Vi ver 1�(v 1,9-60,2 i T m er 1.000 amps or volts i 5.a.t6 ? Cit.'r51a[e-ZIP: I Temporary services or feeders installation,alteration.and/or Phone:St,Q 1352)— 190© Fax:(Q)a —1 10 relocation 71 200 amps or less 59.36 I Owner installation:This installation is being.made on property that I own which is not 201 amps to 400 amps 125.08 2 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: ),l�y NI w, ire J each branch circuit 7''- / B.Fee for branch circuits irirhour Contact name: f•i �rlaJ� i Id e��n service or feeder fee,first 56.18 v [/ branch circuit Address: ` (k?)(Y Cl`1 5 -4 ( 110 Each add'l branch circuit I 7.42 2 C'ity'State.ZIP: \ 'C c j_jVe� 1,0 - cl(,�)LFO-D.. Miscellaneous(service or feeder not included) �F \ 6 Each manufactured or modular dwelling.service and.or feeder 67 84 Phone:12)&0 l 3 L 1`l) Fax: :(300 '� -7 110! Reconnect only 67.84 ' E-mail: /�P p Q( arm i /3(>rl C Om ��// I Pump or irrigation circle 67 84 _ b"�'r`i' CONTRACTOR or outline lighting 67 84 Business name:?0 < ANe .Gj_ .c, -- I panel.alteration. lextensi energy Seel ' panel,alteration.tar extension Pace_ Address: C6/..k ee - Each additional inspection over allo++able in any of the above Cil■ `;talc-"LIP: °Ck ' CA- �2 Investigation mi(i hr min) 66.25 hr Inccstigauon I 1 hr mini 66?5-hr Phone:bS't 1 ....CAS_3�jj�7 I Fax:( 1 industrial plant ii hr min) 78.18'hr 1 a''+ t inspections for which no fee is CCB Lie.:a0-sc\9 G I Electrical Lie.: L VD C0 1 Suprv . Lic.:5 3Q5 5 specifically listed I%t hr min) 90.00'hr I ELECTRICAL PERMIT FEES Supr+. Electrician signature,required: _ Subtotal: Print name: I,r / r —�� I "ate: Plan review(25%of permit fee): !.[ C- , . e `r �, State surcharge(12%of pennit fee). Authorized signatur ,cw ,.4 an TOTAL.PERMIT FEE: l This permit application expires if a permit is not obtained within 18th Print name: �a �� \l O\c"�e-v�(: Date: days after it has been accepted as comptete. } • Number of inspections allowed per permit. I nurldirePermil e'ELC_Fermiup,_ELR_ERE doc Rev 05/71. 513 44U-161511 I It;5•COSiAwEn Mechanical Permit Application FOI'OFFICE USE ONLY Received City of Tigard ` AGO Date/By: Permit No.:�srav1✓s— �1,47 'I 13125 SW Hall Blvd.,Tigard,OR 97223 V y I �G— Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.0 V Date/By: Inspection Line: 503.639.4175 �1 '°1\ Date Ready/By: lung ® See Page 2 for TlGnliD p Internet: www.tigard-or.gov OC1 O w`Notified/Method: Supplemental Information TYPE OF WOt'{ OC GO VPS O`v AA,, COMMERCIAL FEE* SCHEDULE - USE CHECKLIST `ceme Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alter�acement 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. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning i 46.75 Job site address: 66 y j spy ..U C u 5/ S-- Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: `/7 4'4 R D QA7 9 7223 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: Qpe ..5";-,eG C �s 7-4r�s Lot no.: , 2. 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. 1 Address:11807 NW 996 Street,Suite 1170 Gas heat pump WalUsuspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater ) Phone:(360)258-7900 Fax::(360)258-7901 Fireplace i Range i E-mail:PORPermits @Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) __,, �� p� Other: Business name: tt 1/1/O Q L C O / / C-U f/II MECHANICAL PERMIT FEES* Address: f 0 7.5 IA/ J_fiS 70 RI e et)L lines/,1 a,!l,Lf/2 NN/r Subtotal City/State/ZIP: %740 i r D 4 L l: b 9'766 Q Minimum permit fee($90.00) !! / //�/ y 989/ Plan review(25%of permit fee) Phone:(303) 6 6 7 /78/e rye Fax: �'3 ) 6,l / _ 989/ State surcharge(12%of permit fee) CCB lie.: // 22 2 0 G TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 e.„, '. days after it has been accepted as complete. Authorized signature: atia.4407 " Fee methodology set by Tri-County Building Industry Service Board Print name: CL//-'7= a „/t'//`, Date: '?'16 ' 15- I:\Buildina\Permits\MEC PermitAoo 040113.doc 440-4617r(11/02/COM/WEB) Plumbing Permit Application e .Building Fixtures Gel G City of Tigard `� Received Permit No.: e 13125 SW Hall Blvd.,Tigard,OR 97223 C� 2 6 201 Date/By: /0%,.1 5Th!LS� 1�( III Phone: 503.718.2439 Fax: 503.598.1960 P Review C � Other Permit No.: Inspection Line: 503.639.4175 F'11GP1/4 Y T I G A R D �� O ^``''1•� �'� �YBY Juris: BI See Page 2 for Internet: www.tigard or.gov fl j, („ 1 V ott ed/Method: Supplemental Information TYPE OF WORK $U,L�`�v FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total El Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercialindustrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: G 6. 99 5 SGI/ Lo C us i .s.. Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: -7.74-71E 1) QR c9 7 2 2 3 l ) j Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: OA Y s Es 731 re 1 Lot no.: / 2 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 NSFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:LENNAR NW,Inc Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11807 NW 99th Street,Suite 1170 Garbage disposal 1 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 Phone:(360)258-7900 Fax:(360)258-7901 Ice maker 1 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:LENNAR NW,Inc Medical gas(value:$ ) 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 � - / Water heater 1 37.52 Business name: W U L c d 77 PL.ui-1 8 fAll n Water piping/DWV 56.29 Address: /U 7 5- ,. , /41 TDR/C 6,4 U m/3,4 63,7„-€ I r: I 25.02 City/State/ZIP: Vet 41 744 GL^1 (J/17 970 t O _ Subtotal Phone:(563)GG 7-/78'( k7fg/ Fax:(303) t6 7_ 57,91 Minimum permit fee: $72.50 CCB Lie.: / 22 200 Plumbing Lie.no.:G‘ 824 Pe - Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: e4, / TOTAL PERMIT FEE Print name: 1��66 /� Date: This permit application expires if a permit is not obtained within 180 days Cli//^f^ VQ/f//yid� 2'/�+" �� 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 4404616T(]0/02/COM/WEB) City of Tigard .74 " COMMUNITY DEVELOPMENT DEPARTMENT s T I G A FZ D Building Permit Review — Residential ■ Building Permit #: _fr,srAJ/5—(0q 7 Site Address: _ '6'63JS 7.Sc ) /j' Project Name: 0.1,4 -7ieS Lot #: /p� (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review 1� � Proposal: /V e& gi /� -- . g11 r-e-s id it e-Z IIO Verify site address/suite# exists and active in permit syste . iver Terrace Neighborhood: ❑ Yes 2No Sit• Plan Elements: I! P ree(3)copies of site plan F/ ". sting structures on site ►. to plan must LQ.on 8-1/2"x 11"or 11 x 17"paper 1►, ootprint of new structure(including decks)with finished rit ►,rawn to scale (standard architect or engineer scale) f]ioor elevations U 1}iorth arrow Utility locations(required for new,may apply for additions) S' a address,project or subdivision name and lot number y; ;.cation of wells/septic systems plicant information (name and phone number) O Erosion control(including drainage-way protection,silt fence ,�(Qot dimensions and building setback dimensions sign,location of catch basin,etc.) UlSt area,building coverage area,percentage of coverage and l✓J S et names impervious area(applicable if R-7,R-12,R-25&R-40) eet tree size,type and location operty corner elevations (2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Lettttee of platted prior to 9/10/1995): Jequired: ❑ Yes,applicant was notified LK No Received: ❑ Yes ❑ No [i2 Public Facili,_,t�,i�e Improvement (PFI) Permit: Required: L{d' Yes,applicant was notified ❑ No Applied For: 5/Yes ❑ No,stop intake Vnd Use Case #: Stf J _ oning P- 1-4 LIG Setbacks: Front c20 Rear Side Street Side Garage N, 41 andscape Requirement: !A i of Coverage Maximum: Ivo IE Building Height: Maximum Height , Actual Height 73 sual Clearance ,.,/basements IId ensitive Lands: V Yes ❑ No Type Lat.).— VI�i, ' �'lo kil-� rban Forestry Plan iej V Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: Date: ___10/262/61_— Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Bu i Iding\Forms\BldgPennit Rvw_RES_070915.docx Building Permit Submittal Original Submittal Date: Site Plans: # 3 Building Plans: # 3 Building Permit#: nter building permit#above. Workflow Routing: anning ngineering ermit Coordinator L4�sutldtng Workflow Sign-off: ff for Planning(include notes from planning review) Route Application Documents: neering: (1) copy of permit application, (1) site plan, (1) building plan and origin plan review routing form. wilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: /60g is ■■ Engineering Review Slope at building pad: ,.,1Z7 Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat �.1 Water Quality/Quantity Facility: 7„,21 Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 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 ❑ Approved, NOT Released: Date: Notes: • 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: )fhl■SDC Fees Entered: Wash Co Trans Dev Tax: >0 Yes ❑ N/A Tigard Trans SDC: ❑ Yes WN/A Parks SDC: Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: A(.A.46- Date: // /S I:\Building\Forms\BldgPermitRvw_RES_070915.docx 44 5T)--oiC- r)t7 I,Il i .. . i ___ too..>, �\z._." L1 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$338,059.00. (1 Credit card "return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. [7 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, „If .0 Ad/ J Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hail Blvd. • Tigard, Oregon 97223 • 503.639.4171 11y 1City of Tigard TIGARD Accela Refund Reques t This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for PermitActioaz 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 processing 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 UY: Dianna Howse Vancouver,WA 98682 TRANSACTION INFORMATION: Receipt#: Various Case #: Date: Various Various Pay Method: 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: Buildin: Permit Fee Exam.le: 2300000-43104 Refund $ Washin:ton Coun Transportation Development Tax 405-0000-43320 $Amount Parks SDC-Improvement 425-0000-43300 $237,723.00 Parks SDC-Reimbursement 425-0000-43301 20,203.00 Sewer Connection 500-0000-25500 3,633.00 111 111111111111111.1111111111111 11/11111111111111111111111 111111111111111111111111111111111111111111111111111■ TOTAL REFUND: APPROVALS: SIGNAT S DATE: �3��fIS�•tTO If under $5,000 Professional StaffEt �� C If under$12,500 Division Manager j�,�/ta If under $25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board _L0L-.5 w FOR TIDEMARK SYSTEM ADMINISTRI9.TION USE Case Refund Processed: ONLYDate: ' 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 6695 SW LOCUST ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00197 Chip Barnett Erosion control approved by CWS Insulation the certification at electrical panel Street tree certification received High-efficiency interior lighting systems form received Moisture content acknowledgment form received Violation Summary: Inspector Contractor