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Permit CITY OF TIGARD MASTER PERMIT = ti Permit#: MST2015-00195 • COMMUNITY DEVELOPMENT Date Issued: 11/12/2015 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 136AA00201 Jurisdiction: Tigard Site address: 6757 SW LOCUST ST Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 10 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1258 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1376 sf Garage: 663 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2634 sf Value: $408,749.55 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 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: 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 of or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O SvciFdr: 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 2634 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: $24,106.83 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. o - rules are set forth in OAR 952-001-0010 through OAR 95 -I01-009•. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2.2.198 • :00 43 2344. i Issued By: /1 '� Permittee Signature: .. Call 503.639.4176 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 comliletion of t,a project. Approved plans are required on the job site at the time of each inspiection. Building Permit Application Residential FOR OFFICE USE ONLI City of Tigard BECE�VED Received IN - `J g DateBy: (� L :1� Permit No.:m. , ,1 -d0 13125 SW Hall Blvd.,Tigard,OR 972 3 Plan ate/B Review l 'i■ ` Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/B : & _ S— a TIGARD Inspection Line: 503.639.4175 OCT 2 6 2015 DateReadyBy: ® ® See Page 2for Internet: www.tigard-or.gov Notified/Method: ii if l J , . /✓� Supplemental Information CITY OF TIGARD 0C-era i c.e.Qt Jr..t3 TYPE OF BIDING DIVISION 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. ® 1-and 2-family dwelling ❑Commercial/industrial Valuations o a)l 74 9 $ _ 4d-0 ❑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: 6 75 7 Sli/ L o c u_5% S!. New dwelling area: 2 (,34..square feet3 a.i 7 City/State/ZIP: %/cg RD OR 9 7 2 Z5 Garage/carport area: 6 63 square feet Suite/bldg./apt.no.: `� Project name: Covered porch area: square feet i3 7 6 Cross street/directions to job site: Deck area: square feet i aS g Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: '94" S---7- 6.. .,7— 6757-A r 5 Lot no.: /p 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. s NSFR Valuation: $ Existing building area: square feet New building area: square feet CO 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* (Please refer to fee schedule) Business name:Lennar NW,Inc. 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 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. .siness name:same as above Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon •ess: Solar Installation Specialty Code checklist. ate/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): ) Fax:( ) State surcharge(12%of permit fee): $21.60 7 9 53 0 7 Total fee due upon application: $201.60 Mature: Z' rd4iThis permit application expires if a permit is not obtained 2 * within 180 days after it has been accepted as complete. �G��� Date: *Fee methodology set by Tri-County Building Industry .L/3 Jl7-2?•/S Service Board. BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application FOR OFFICF. I Si:ONLY tz City of Tigard aaeBva Pemut No: rap A.gip 13125 SW Hall Blvd..Tigard,OR 97223 oRECEIV Revie+ 1/111 i Phone: 503.718.2439 Fax: 503598.196 r.te'B OthnPrnnic .1 1t:s N I) Inspection Line: 503.639.4175 Date Re dy'By. Jais- 0 See Page 2 for Internet' www.tieard-or.gov 6 2 C 2015 Notifed'Methcd: Supplemental Information TYPE OF WORK OCT l I PLAN REVIEW ❑ Ness construction ❑Addition'alteratio 3IGARD Please check all that apply(submit 2 sets of plans worms checked below). U t DII DIVISION ❑Service or feeder 400 amps or more ❑Buildin_over three stories ❑ D.m(tlition ❑Other where the available fault current ❑Mannas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14.000 ❑Commercial-use agriculurl ❑ 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 derived system JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load cf ❑"A E "I-2`. 'I-3 Job no.: Job site address: 6/5.7 S'yl/ Z06' as / S-?-• Six or more residential Recreational cupancc. ❑Six or more residential units ❑R vehicle parks. City/State/Zip: //c��J J QA, 9 72 J3 ❑Hazadous canos. ❑60vovologaformornthan 4 ❑Hazardous locations, 600 volts nominal. Suitt%bldg.'apt.no.: Project name: ❑Service or feeder 600 amps or more FEE SCHEDULE Cross str'eet:'directions to job site: 1 Description I Qts. I Fee. I Total l • ' New residential single-or multi-family dwelling unit. Includes attached garage. /' _ _ 1.000 sq.ft.or less I I 168.54 14 Subdivision: t�p� �i�L I✓ t/� i-/L s Lot no.: /(> add'I500sq.ft.or portion ., 33.92 I Fax man'parcel no.: Limited energy,residential 7g.U0 DESCRIPTION OF WORK (with above sq.ft) Limited energy,multi-family 75 00 residential I with above sq.ft.) Renewable Energy ❑ See Page 2 I Services or feeders installation,alteration,and/or relocation I o.' PROPERTY OWNER I ❑ TENANT - I 200 amps or less ) 100.70 201 amps to 400 amps 1 3356 _2 Name: a..._ , }/ ii. 101 amps to 600 amps 200.34 ' Address: I.l8/ �-3- 1 Y P i- t `Jt - 601 amps to 1.000 amps _ 301 04 l 4 //// �� t V +J Over 1.000 amps or colts 1 552.26 2 i Cit}(State;ZIP: j J`>(119I vD I/Ja 1,607 Temporary services or feeders installation,alteration-and/or Phone:S,�,�, j 25 - 19.00 Fax:(�J Q. 0 =11i relocation ac to amps or less 59.36 I I Owner installation:This installation is being made on property that I own which is not , f , ' 01 amps to 400 amps 125.08 I - intended for sale.lease.rent or exchange.according to ORS 447.449.670.and 701. - 401 amps to 599 amps 168.54 l 2 Owner signature: Date: 1 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: L2)1(V t ' NI\ i I '�, each branch circuit 7;2 , r Vc/ V V l B.Fee for branch circuits without j Contact name: f 1 iv �/ i Vier,'0 service or feeder fee,first 56.18 branch circuit Address: (60 I V 1'le- `/`✓`-' .4r I I I V Each add•(branch circuit L 7.42 2 Miscellaneous(service or feeder not included) City State.'ZIP: 0rlit,UVel t c.(i)Le9,)- ` t L VV Each manufactured or modular I 7 I dwelling.service and.or feeder ' tt7 84 2 Phone:130 ! �� iLt�)�)'�j Fax: :(`� 11 ,,a^s `�0i I Reconnect only 67.84 E-mail: /��'lrm 1 7 "L�{ �(>ry t/ . C Or I 1 111 Pump or irrigation circle 67 84 _, CONTRACTOR Sign or outline lighting 67.84 Business name:\--;: W� ec ,-\.eck,,,G - -,,,,,,c, Signal clrcuit(slotlimited-energy See, panel,alteration.or extension Page_ 2 Address: $}..\0- e' 9(ycscr ,Vc - Each additional inspection over allowable in any of the above ` '� �/ Additional inapectiun(I hr min) l 66.25'hr Cll).'Statc ZIP: ?o( c\I,, • 0 1 + Investigation 11 hr min) t 66.25 hr ! 1 Phone:(TA)1 ut`_3v t Fa.',:( I Industrial plant 11 hr min) 78.18'hr Y r� Inspections for which no fee is CCB Lic.:a0-5/t t G Electrical Lie.: C \o "1 I Suprv. Lie.: 305 5 I specifically listed l S,hr mini 9(iA0'hr ELECTRICAL PERMIT FEES Suprv. Electrician signature.required: 0 _ Subtotal: Print name: '' / - I /ate: . Pion rev iev+(25%of permit fee): 1L G/ —'r K Stair surcharge(12%of permit fee). -en Authorized 3ignatur �� w TOTAL.PERMIT FEE Print name: v This permit application expires if a permit is not obtained within 18(1 ` ' L �`�L't\� v Ow�e_.1�L. I Date: dace after it has been accepted as complete. 0 • Number of inspections allowed per permit. I Bu.Idir.e+PennirsELC_PennitApp_ELR ERE doe Rev 05,21,20i3 4-t0--W15711 LGS'COSi WEB Mechanical Permit Application FOR OFFICE LSE ONLY City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 9722#1 X 1 �' I Phone: 503.718.2439 Fax: 503.598.19 ECE'VED Plan Review Date/By: Other Permit: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Suns: ® See Page 2 for Internet: www.tigard-or.gov OCT 2 6 2015 Notified/Method: Supplemental Information TYPE OF woorry OF TIGARG COMMERCIAL FEE* SCHEDULE - USE CHECKLIST �ll�1G DIVISIO N Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alterli Q 2 en performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 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. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: / ��/ Air conditioning 1 46.75 C� Job site address: 71 7 sly L D Ca sr sr. Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: // ('�fib/ O R q 7 2 2 1 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 Subdivision: Q,q� ,5-7-;e6-6. 7 ''..7s7-.47-6-5 Lot no.: /() 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 99th Street,Suite 1170 Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 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 99'h 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 I Range I E-mail:PORPermits @Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: -� j� Other: WG D L c D I / L U I1/.1!!3 by j� ,/ MECHANICAL PERMIT FEES* Address: /©7 5 IA/ J//S re)Ric L D L anism /TI vow 11147 Subtotal �7 Minimum permit fee($90.00) City/State/ZIP: !n Urn 4 L C 6l 9.7a 6 D Plan review(25%of permit fee) Phone:(3 0� ( 6 7..X 78/err-3(>' Fax:(j--,3 ) d,, 7_ 989/ State surcharge(12%of permit fee) CCB lie.: I/ 2 2 2 v b TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. /�� a,„,,,,....,Authorized signature: // /! * Fee methodology set by Tri-County Building Industry Service Board Print name: - - r ki n,U Date: •, d , 5 I.\Buildin¢\Permits\MEC PermitAov 040113.doc 440..4617T(11/02/COM/WEB) Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY • R eived _ - City of Tigard REC Perntit No.: 'u 13125 SW Hall Blvd.,Tigard,OR 97223 'anRe M ST�pS - f S Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.: Date/By: Inspection Line: 503.639.4175 (� 6 201, Date Ready/By: runs: ® See Page 2 for T I G A R D Internet: www.ti ard-or. ov O"� y o g g g 'fled/Method: Supplemental Information TYPE OF WORK Gt1'i QF o V1S,uN FEE* SCHEDULE ®New construction ❑DenekAL D G 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(I)bath 312.70 ® 1-and 2-family dwelling 111 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 El Other: Fire sprinkler(-sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: / Catch basin or area drain 18.76 Job site address: V 7 57 5 W Z0 eu 5/ .57-. Drywell,leach line,or trench drain 18.76 City/State/ZIP: !) (5 R P 6) OR 972 2. 3 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.: ) Page 2 Storm sewer(no.linear ft.: _) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: OA f; 6-772c-z.57- L-75 j yy 7e S I Lot no.: /0 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 1 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 99°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 6\k 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 lA 12.51 E-mail:PROPermits$Lennar.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 � I n Water heater 1 37.52 Business name: A v L C 4977 /�L ti m 8/A79 Water i in WV 56.29 Address: /07 5 it W. /4I 570/eic 6,4 ct err/3/4 A2,,ehre ,fi r: 25.02 City/State/ZIP: 'Vou 71.244 L. , OR 970 6'Q Subtotal Phone:(5-03)(o6 7•.179/ k73g1 Fax:(5a3) l0 67_ 57,?9 l Minimum permit fee: $72.50 CCB Lic.: // 2 22 co Plumbing Lie.no.:2,6.-824,DS Plan review (25%of permit fee) / y/ //� State surcharge(12%of permit fee) Authorized signature: C TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days CG//^/� VQ/ff/�.¢.(/ �'/�' �'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 II 1 COMMUNITY DEVELOPMENT DEPARTMENT T r G A It D Building Permit Review - Residential Building Permit #: /157ag0/y Gb /Is- Site Address: _ �Q9S ? -�, / ,� 7L Project Name: cc 9717 a "1-el' Lot #: /Q (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A/goo 2/ /e -- • i� 1-4eeiO4,e Y [ Verify site address/suite# exists and active in permit s ste . / iver Terrace Neighborhood: ❑ Yes [No Sit Plan Elements: ree(3)copies of site plan W ''. sting structures on site S to plan must ht on 8-1/2"x 11"or 11 x 17"paper 11 ootprint of new structure(including decks)with finished 1/ ►,rawn to scale(standard architect or engineer scale) 9.00r elevations 'r4 orth arrow OJUtility locations(required for new,may apply for additions) U ' 4 address,project or subdivision name and lot number /.:.cation of wells/septic systems plicant information (name and phone number) O Erosion control(including drainage-way protection, silt fence (Q Lot dimensions and building setback dimensions sign,location of catch basin,etc.) fit/At area,building coverage area,percentage of coverage and NJ S et names impervious area (applicable if R-7,R-12,R-25&R-40) eet tree size,type and location tOfioperty corner elevations (2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures A2klean Water Services—Service Provider Lettee of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified Ltt No Received: ❑ Yes ❑ No [ Public Faciliitieylmprovement (PFI) Permit: Required: ['Yes,applicant was notified ❑ No Applied For: [B'Yes ❑ No,stop intake 4-and Use Case #: 5116 c=20/171- ()ODD/ 1 Zoning: 12_471. c [ii Setbacks: Front cs26 Rear /S— Side `S' Street Side / Garage 6=20 ft 41 . dscape Requirement: !j ii' of Coverage Maximum: g Building Height: Maximum Height Actual Height c:, 0#4isual Clearance sements ensitive Lands: Yes ❑ No Type Lao -L AL eAdilkf rban Forestry Plan Ild Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: �_ ,, Date: ) .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: i/.06//S Site Plans: # 3 Building Plans: # 3 Building Permit#: nter building permit#above. Workflow Routing: Planning ❑ gtneering ermit Coordinator 1=1-13g Workflow Sign-off: L1 ff for Planning(include notes from planning review) Route Application Documents: Sneering: (1) copy of permit application, (1) site plan, (1) building plan and original 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: y r Date: l ii En ineering Review Slope at building pad: 6/n Conditions "Met"prior to issuance of building permit asements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-licu: ❑ 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: 1¢L, 0 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: ) :;'SFees Entered: Wash Co Trans Dev Tax: tp Yes ❑ N/A DC Tigard Trans SDC: ❑ Yes N/A Parks SDC: iYes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: ileffizate: //71 /' 5 I:\Building\Eons\BldgPermitRvw_RES_0709I 5.docx fri, S r)-0/ - Oe, 7� 7 5w am. t '5 ; 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. 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, <67 eird Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 U City of Tigard TLGAR 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 Reguest for Permit Action form (if applicable)must be attached to this request form. Refund requests are due to Accela System each Wednesday at 5:00 PM. Please allow up to 3 weeks for process g of refunds trAccountss 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 .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 cara be applied and all SDC fees paid by developer shall be refunded. REFUND INFORMATION: Fee Description From Receipt Revenue Account No_ Exam.le: Buildin_ Permit Fee Exam de: 2300000-43104 Refund Washin•ton Coun Trans.ortation Develo.ment Tax 405-0000-43320 Refund $237 Parks SDC-Im.rovement 425-0000-43300 203.00 Parks SDC-Reimbursement 425-0000-43301 20,203.00 Sewer Connection 500-0000-25500 3,633.00 _24898:00 11.1111111111 11111111111111111111111111. TOTAL REFUND: 4333;449701 APPROVALS: SIGNAT ; S DATE: 3?,0.5`?,try If under $5,000 Professional Staff SAINT If under$12,500 Division Manager If under $25,500 Department Manager --PIA— If under$50,000 City Manager 7711.- ' ,ate If over$50,000 Local Contract Review Board �jpEs TV ,44/7 -� t�7� �1�f'� y FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY •-- Case Refund Processed: Date: 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 6757 SW LOCUST ST, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final PASS MST2015-00195 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 6757 SW LOCUST ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00195 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