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Permit �� CITY OF TIGARD MASTER PERMIT = COMMUNITY DEVELOPMENT Permit#: MST2015 00194 Date Issued: 11/12/2015 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136AA00201 Jurisdiction: Tigard Site address: 6783 SW LOCUST ST Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 9 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First 1367 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1258 sf Garage: 663 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2625 sf Value: $328,134.97 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 0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 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 2625 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: $23,394.54 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 suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ' ose -s - - set forth in OAR 952-001-0010 throu• O•• • -00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1•;,p•r .800.3 344. Art /OIL Issued By- Permittee Signature: — 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 coitipletion of . e project. Approved plans are required on the job site at the time of each inspe .•n. I Building Permit Application Residential FOR OFFICE USE ONLY Received � City of Tigard DateB : Permit No.: _ III r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • ' 7 �• C Phone: 503.718.2439 Fax: 503.5 . 0 E` Date/By: i i 3I 1' J I Other Permit: is--wi 37 T I GA Rll Inspection Line: 503.639.4175 (t�Q' Date Ready/B : / Juris: See Page 2 for Internet: www.tigard-or.gov 4O Notified/Method: "/11 I" ,9n l!p Supplemental Information OC - \- L-1NQ� Fz LL J 1) . TYPE OF WO/Iii Q,.. 0 REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 1� bn Permit fees*are based on the value of the work performed. V 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 Valuation .0 ill`�?x 7 Q.1 4j ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2. Job site address: 783 5.-1,/ LDece S7' S% New dwelling area: 21 6 34 square feet3C) 1 City/State/ZIP: T/(/42) j 4 e 9 7Z 2 3 — Garage/carport area: 66 3 square feet Suite/bldg./apt.no.: Project name: Covered porch area: /e.g. square feet j a.,s-g Cross street/directions to job site: Deck area: square feet i 3 7 Other structure area: square feet L� REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 0,91r- S-re&-e ' L-57,q r(-7 S Lot no.: nJ 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 Address:11807 NE 99th Street,Suite 1170 FLS plan review fee(if applicable): 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* CONTRACTOR Commercial and residential prescriptive installation of 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 k CCB lic.: /9 5 3 a 7 Total fee due upon application: $201.60 Authorized signature: I wG iG� This permit application expires if a permit is not obtained within 180 days after it has been accepted as comb t name: _ Date: �d,12, �� *Fee methodology set by Tri-County Building Industrya Service Board. ling\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) j 1 Electrical Permit Application ``t, ec) FOR 01:1:1(1:. I Si;ONLY City of Tigard \V Received Date/By: 11111121/MME 13125 SW Hall Blvd..Tigard 9 O'� Plan ROOM' 1111 Other Permit: ti Phone: 503.718.2439 F .196 �� nO w` Date`Bv: l��s p See Pale?for f lv, F !) Inspection Line: 503.639.1} ((..��Q.�`O`'° DateReady.'B). Internet: tvnw.tigard-or.gov t�C, (��'`•\\'\ Netifiedhlethcd Supplemental Information TYPE OFI IN ka V PLAN REVIEW ❑New construction El Addition/al�eF placement Please check all that apply(submit 2 sets of plans ss itetns checked below): ❑Service or feeder 400 amps or more ❑Building over three stories ❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyard. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14.000 ❑Commercial-use agricultural El I-and 2-family dwelling El 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 s}stein JOB SITE INFORMATION AND LOCATION 0 Addition of new motor load of ❑"A','E", I-2 , 'I-:", I OOHP or more occupancy. Job no.: Job site address: i✓i 7e 3 _5 W Zc:)C`as% 7 ❑Sixormoreresidential units. parks. ❑Recreational vehicle a ❑Health-woe facilities 0 Supply voltage for more than j J�q�D C7 G Z ❑Hazardous locations. 600 volts nominal. Suite/bldg:apt.no.: Project name: ❑Service or feeder 600 amps or more i FEE SCHEDULE Cross street/directions to job site: 1 Description I Qty. I Fee. I Tocal 1 • ' New residential single-or multi-family dwelling unit. includes attached garage. /' I 1.000 sq.ft.or less a 168.54 Subdivision: (2,41 ft, j--7,-pc-c-/ LS'/�7� Lot no.: ,add•/500 sq.ft.or portion 3 33 92 1 1 Tax map/parcel no.: Limited energy,residential 75.00 DESCRIPTION OF WORK (with above sq.fc) Limited energy.multi-family 75.00 residential(with above sq.0.1 , Renewable Enemy _ ❑ See Page 2 Services or feeders installation,alteration,and/or relocation PROPERTY OWNER ❑ TENANT i 200 amps or less ) 100.70 h 201 amps to 400 amps 1 33.56 2 Name: 1 1�Cl Y t j j r 'o 401 amps to 600 amps 200.34 2 Address: / l` , _ V x-e- 5r * I y-V 601 amps to 1.000 amps 301.04 ' f �new Uri IAA 1,9602 Over 1.000 amp or ces or 552 26 alteration. ? Cin';'State:ZlP: Temporan services or feeders installation,alteration.and/or Phone: tct(1 ) — 19000 I Fax:( ) a no� relocation 1 200 amps or less 39.36 Owner installation:This installation is being made on property that 1 own which is not 201 Ol amps to 400 amps 125.98 l _ intended for sale.lease.rent_or exchange.according to ORS 447.449.670.and 701. 401 amps to`49 amps 168.54 2 Owner signature: Date: i Branch circuits-new-alteration,or extension,per panel • XAPPLICANT . ❑ CONTACT PERSON A.Fee for branch circuits will/ ` .,above service or feeder fee. Business name: t each branch circuit 7 42 - t S.Fee for branch circuits wirhaur Contact name: Cho 4/ Wei,...)P�0 service or feeder fee,first V V branch circuit ?h'18 ? Address: l 4 cool I V /fi G`1 54 -4 t 1 I�j 1 Each add l branch circuit 7.42 City'State:ZiP: l �/ ' . 'l� Miscellaneous(service or feeder not included) V Q(Icy u L�r/ 1 11)� �)�� Each manufactured or modular I 67 84 Phone's/,� I L 1 Fax: 1 dwelling,service and.or feeder 1 62� D`�� i icy)J •C5 N�a ✓ J -7 qoi Reconnect only 67.84 E-mail: e R p 'roc r}�(t�„ n(ti7 t/ C�m Pump or irrieatiun circle 67.84 j I'°"�'r" CONTRACTOR or outline lighting 67 84 _ Business name: Signal circuihs)or limited-energy See Pewee� �G��,c � panel.alteration.or extension. Paec 2 2 Address: (RA03 S-vscecc. 9c.- Each additional inspection over allowable in any of the above I � \ Additional in,pection f 1 hr min) I 66.25'hr I Cit)'State-ZIP. Fo('c..o..v( , a'- 0 T2. D investigation i 1 hr min) 66.25:hr I 1 Phone:(silk) G.Jass,_��{ ] I Fax:( ) industrial plant I I hr min) 78.18 hr `✓\ 1�' t /� I Inspections for which no fee is gt�00 hr CCB Lie.:aosco G Electrical Lie.: �., V:), "t Stipp:. Lic.:5 305 5 specifically listed t',2 hr min) 1 ELECTRICAL PERMIT FEES Suprv. Electrician signature,required:�� p _ Subtotal: r � 3[t: Plan review(25%of permit fee) Print name:Ait lG �.arl i �� I ,--- State surcharge(12%of permit fee). Authorized signatur - ,�aw (' ) TOTAL.PERMIT FEE: This permit application expires if a permit is not obtained w irhin IAn Print name: 1,Ri4i_ \I J`tD,se.4-N Date: days after it has been accepted as complete. J ' Number of inspections allowed per permit. I ttw ldir._:Pernits.ELC_Pennitapp ELR_ERE da:Rev 05262,013 440-1615T)I I:Os rostwEn Mechanical Permit Application FOR OFFICE USE ONE'S City of Tigard ,�� y Permit No.: ` IIPI a 13125 SW Hall Blvd.,Tigard,OR 97223 V ' a Phone: 503.718.2439 Fax: 503.598.1960 ��` �� Plan Review Other Permit: Date/By: TI G A R D Inspection Line: 503.639.4175 �� c 1,� Pate Ready/By: Juris: Ed See Page 2 for Internet: www.tigard-or.gov �� V r, l:,Med/Method: Supplemental Information TYPE OF WORK . O GV`V` � COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ,�� echanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/re I .,, nt performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: 1r 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 1 Qty. 1 Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning i 46.75 Job site address: 676,3 5 kit z t7 CUs Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: 7 , /2j) d? 972 Z / Furnace 100,000+BTU(ducts/vents) 54.91 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: dq, 57;26-C% C $7�r�s 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 3339 _ Address:11807 NW 996 Street,Suite 1170 Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, / toilet compartments,utility rooms) 6 s" 23.32 Phone:(360)258-7900 Fax:(360)258-7901 Attic/crawlspace fans 23.32 0 APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:LENNAR NW,Inc Fuel piping: $14.15 for first four;$4.03 for each a dditional Contact name:Charles Webb Furnace,etc. I . 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 I . Range i E-mail:PORPermits @Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) , Business name: i� .1 Other: WG p L c O!% / L(.(!�t 13 I/v�t MECHANICAL PERMIT FEES* Address: l©7 S VI! ups TOR/C (.D L ri lesrn /TI VL-`/2 //ivy Subtotal Minimum permit fee($90.00) City/State/ZIP: 7740 1 4L C OR c17O�v O / Plan review(25%of permit fee) Phone:(501 6 G 7„X 78/ ,-3o% Fax:(ca3 ) 6,‘7_ <46 / State surcharge(12%of permit fee) CCB lic.: J/ 222 0 G TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: adai414,7 * Fee m ethodology set by Tri-County Building Industry Service Board Print name: Date: , ��r—r O�M�,v 9 t+6 /5 I:\Buildin&Permits\MEC PernitAno 040)13.doc 440-4617x(11/02/COMWEB) Plumbing Permit Application Building Fixtures !� FOR OFFICE USE O\I,l • City of Tigard !`�Ti Received Permit No.: MSTtdcs- icy y lig 'I 13125 SW Hall Blvd.,Tigard,OR 9722 �j Date/By: ✓/,o C Phone: 503.718.2439 Fax: 503.5' A�` •! c'LQ�h Plan Review Other Permit No.: V Date/By: T l G A R D Inspection Line: 503.639.4175 P� Ready/By: Juris: 65 See Page 2 for Internet: www.tigard-or.gov cC G �� ttfied/Method: Supplemental Information TYPE OF WORK Q.�`` Q�J�• FEE* SCHEDULE ®New construction ❑Dem W1 For special information use checklist pp,, Description I Qty. I Ea I Total E l Addition/alteration/replacement ❑Othe'r? 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: 7693 sit/ /D CIIS,/ r Catch basin or area drain 18.76 (-. City/State/ZIP: %�`R�� , 7 Z Drywell,leach line,or trench drain 18.76 I 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.:1,33 ) Page 2 Storm sewer(no.linear ft.: to%) Page 2 Water service(no.linear ft.:J' ) Page 2 Subdivision: OA 57 8 m 7ES I Lot no.: 9 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 ( 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 4:‘ 12.51 E-mail:PROPermits$Lennar.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: W 0 L Corr EL Gim a /WV Water piping/DWV 56.29 Address: /U 7 5 w. /41 $70/P/C 6,4a/r//3/4 rye Dyer: 25.02 City/State/ZIP: TA,/,.?74,q4L^, QR 97)6p Q i Subtotal Phone:(5-63)66'7.1781 67.,v7stil Fax:(5P3) 467- g89/ Minimum permit fee: $72.50 CCB Lic.: / 227. 00 Plumbing Lic.no.:26.-821/DS - Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: a TOTAL PERMIT FEE Print name: /� Date: �f This permit application expires if a permit is not obtained within 180 days 614/3_,-/----- '/�+' /5-- after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits1PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: / ? jl S CX0I/y Site Address: _ S ) /see�sL- Project Name: ,4 .J . We • Lot #: (New dwelling= subdivision name;Addition or.1iteration=last name of owner) Planning Review Q Proposal: New S�/ l� •--- ,v r-e- ioLtcL VVerify site address/suite# exists and active in permit syste . ,,fiver Terrace Neighborhood: ❑ Yes V No Sit Plan Elements: ree(3)copies of site plan VI ''.'sting structures on site S to plan must i on 8-1/2"x 11"or 11 x 17"paper P ootprint of new structure(including decks)with finished il. ►,rawn to scale(standard architect or engineer scale) or elevations 'TA orth arrow ErPtility locations(required for.new,may apply for additions) 1L 1' a address,project or subdivision name and lot number /!J ;•cation of wells/septic systems rVgr. plicant information (name and phone number) n Erosion control(including drainage-way protection,silt fence (aLot dimensions and building setback dimensions sign,location of catch basin,etc.) t area,building coverage area,percentage of coverage and U✓S et names impervious area(applicable if R-7,R-12,R-25&R-40) eet tree size,type and location PSoperty corner elevations (2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures lean Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No gt Public Facili,�t.,i�e Improvement (PFI) Permit: Required: ltd'Yes,applicant was notified ❑ No Applied For: a Yes ❑ No,stop intake rt�"and Use Case#: `S/( J'9_ () / Wing: E—L.S Setbacks: Front cscb Rear l5- Side `s-- Street Side /'.- Garage c2Q '►t P andscape Requirement: r i) of Coverage Maximum: % I Ji 14 Building Height: Maximum Height Actual Height / isual Clearance $a easements `/ ensitive Lands: 12 Yes ❑ No Type Z.dam- 1 ia,J2 J .1 rban Forestry Plan [Pit Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: - P4* rirf 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::\B u i lding\Fonns\B IdgPenn it R vw_RES_070915.docx Building Permit Submittal Original Submittal Date: i0/X// Site Plans: # 3 Building Plans: # Building Permit#: nter building permit# above. Workflow Routing: I ring veering mtt Coordinator E—Bt>fding Workflow Sign-off: E i—gh-off for Planning(include notes from planning review) Route Application Documents: neering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: _ `-- Date: //6. 15---- E eering Review Slope building pad: b nditions "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-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: AV' — 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: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: ❑ Yes �N/A Parks SDC: Yes 7❑ N/A OK to Issue Permit F' Approved by Permit Coordinator: / d ate: 1/4./5- I:\Building\Forms\BIdgPermitRvw_RES 070915.docx /ix ST.Zo1L( &'?k-3 5G0L sys5 1111 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. Fl 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 Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 City of Tigard TIGARD Accela Refund Reques t This form is used for refund requests of land use, development engineeri.ag and building permit application fees. Receipts, documentation and the Request for Permit Actio A.'7. 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 99`h St., Suite 1170 REQUESTED BY: Dianna Howse Vancouver,WA 98682 TRANSACTION INFORMATION: Receipt#: Various Case #: Date: Various Various Address/Parcel: Va Pay Method: CreditCard rious 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. Exam.le: Building Permit Fee Example: 2300000-43104 Refund Washington County Transportation Development Tax 405-0000-43320 Amount $ Parks SDC-Im.rovement 425-0000-43300 $237,223.00 Parks SDC-Reimbursement 425-0000-43301 20,203.00 Sewer Connection 500-0000-25500 3,633.00 X1,899:00 26/.. 10.UJ ' TOTAL REFUND: 4.333; 9701 APPROVALS: SIGNAT S DATE: 0 If under $5,000 Professional Staff � If under $12,500 Division Manager j9//te. If under $25,500 Department Manager If under$50,000 City Manager If over $50,000 Local Contract Review Board iv FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: IN/ASEPY B : maw 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 6783 SW LOCUST ST, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00194 Chip Barnett 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 6783 SW LOCUST ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00194 Chip Barnett 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 6783 SW LOCUST ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00194 Chip Barnett Violation Summary: Inspector Contractor