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Permit �r CITY OF TIGARD MASTER PERMIT III I • COMMUNITY DEVELOPMENT Permit#: MST2015-00196 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2015 Parcel: 1 S 136AA00201 Jurisdiction: Tigard Site address: 6715 SW LOCUST ST Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 11 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1198 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1250 sf Garage: 523 sf Front: 20 Smoke Detectors: Yes Dwelling Units: 1 Third: 0 sf Right: 5 Total: 2448 sf Value: $300,119.05 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: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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: 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: V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2448 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: $22,859.85 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is sus•- • for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Tho - r es - •t forth in OAR 952-001-0010 through O R 952-0 1-009 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1980..33..2344 Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspecti date. i This permit card shall be kept in a conspicuous place on the job site until c mpletion o the project. Approved plans are required on the job site at the time of each in . Building Permit Application Residential . FOR OFFICE USE:ONLY `� Received City of Tigard �eCjE1 " DateB : ,' , Imp Permit No.:Au '�_ _ . V 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _ Date/By: J Other Permit: " ,p Phone: 503.718.2439 Fax: 503.598.1960 r7 6 201 y; ' )3/ IS r ' w1e�15 (1 /3p T I GARD Inspection Line: 503.639.4175 0�+1 . :ate ReadyBy: 7uris: See Page 2 for Internet: www.tigard-or.gov C4-,-..`LU '"wed/Method: /�Ay5- 8iz- -,.� Supplemental Information CITY ,kpikS ep ,-.,I!.,( its TYPE OF WORI{$u1L0,� 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 Valuation:3C) 1, �`�. f 1.-147-736).6 -j ❑Accessory building ❑Multi-family Number of bedrooms: `T ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 6, 7/ j sw Lcj u s r S;. New dwelling area: 2, 448 square feet al 7 City/State/ZIP: 77I 9'PRJ) OR 9 72 23 Garage/carport area: 52 3 square feet Suite/bldg./apt.no.: Project name: Covered porch area: 7 8 square feet' cs O Cross street/directions to job site: Deck area: square feet j j 9 8 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 0,9,r Sr 6..z.--T GSTA re.S Lot no.: / / 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* (Please refer to fee schedule) Business name:Lennar NW,Inc. Structural plan review fee(or deposit): Contact name:Charles Webb Address: 11807 NE 99th Street,Suite 1170 FLS plan review fee(if applicable): 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 Photo Voltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:same as above ( ) p 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:( ) a State surcharge(12%of permit fee): $21.60 CCB lie.: 1 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. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440 4613T(I1/02/COM/WEB) Electrical Permit Application �` Leo FOR OFf1(1-:L Si:O\I.l .5 �t Received City of Tigard �,G Date/By: Permit No. STNS—�Jul�- ` 13123 SW Hall Blvd..Tigard,OR 972_ p1�J Plan Review 2 Other Permit: = Phone: 503.718.2439 Fax 503598.1960 QC� 2 Date/By: f It k 1) Inspection Line: 503.639.4175 R s.te Readys,By: tuns 0 See Page?for Internet: wltw.tieard-or.gov IO r'` �•�.led-Mellod Supplemental Information 0." tY,r 10\v‘5 TYPE OF WOM%wo v�-�` PLAN REVIEW ❑New construction ❑Addition'31teBU replu ement Please check all that apply(submit 2 sets of plansµ'items checked below): ❑Service or feeder 400 amps or more ❑Building_over three stories. ❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14.000 ❑Commercial-use agricultural ❑ I.and 2-family dwelling. ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings ❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or ❑Emergency system. larger separately derived system JOB SITE INFORMATION AND LOCATiON ❑Addition of new motor load cf ❑"A E", I-3". I.3', 1 L I00HP or mere. occupancy. 6 Job no.: Job site address: 67/6- ✓ t pc a 3(— ST ❑Six or more residential units. ❑Recreational vehicle parks. CityrState%ZT: / i AR 6 I OR 9 7✓L jj y ❑Health-care facilities ❑Supply voltage for mare than 9 C ] ❑Hazardous locations. 600 volts nominal. Suiterblde.iapt.no.: Project name: ❑Service or feeder 600 amps or more FEE SCHEDULE Cross street'directions to job site: I Dmeripuan I Qty. I Fee. I Total 1 New residential single-or multi-family dwelling unit. { Includes attached garage. 1.000 sq ft.or less ) 16854 I 1 Subdivision: alb, e---'' 5 ? - --L L ! �� Z�-fez 5 Lot no.: j add]500 sq,ft.or portion 4 33 92 I Tax map parcel no.: Limited energy,residential 00 DESCRIPTION OF WORK 'with above sq.ft.) ] 75. - Limited energy.multi-family 75.00 residential;with above sq.ft.) Renewable Energy ❑ See Page 2 j Services or feeders installation,alteration,aodior relocation •PROPERTY OWNER ❑ TE'SANT j 200 amps or less I 100.70 �1 201 amps to 400 amps 133.56 2 Name: /tf }/ ��,�,F l l� sU I amps to 600 amps 200.34 2 f Address: O 't�� G �� 601 amps to 1.000 amps 301 04 o 4�y 1� � L,\)(1 �� Tem I.00 ry services sob n.a t_6 Cin•:Slate;ZiP: t 2 Temporary services or feeders installation,alteration.andior Phone: (C )1 — -Iwo/ Fax:(AD)052)•-10 i relocation 200 amps or less 59.36 I i 1 Owner installation:This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 1 2 intended for sale• lease.rent_or exchange.according to ORS 447.449.670.and 701. 401 amps to 599 amps 15:3.54 Owner signature: Date: Branch circuits-new,alteration,or extension.per panel X APPLICANT I ❑ CONTACT PERSON Fee for branch circuits with above service or feeder fee. Business name: Le.��i k" NRAJ �' each branch circuit 3? 2 I �' ►�-� B.Fee for branch circuits n'irhmu Contact name: in 1!J ) 1 service or feeder fee,first 1 ` � V" 'J I/ branch circuit 36.18 Address: 01 N}i 1`'"' ‘ � .' ( (10 . Each add I branch circuit I 7.42 n l!!! I Miscellaneous(service or feeder not included) City State:ZIP : t t A y a n{=1'u V � 1 A N D" Each manufactured or modular I 67 84 I 2 VV dµelhnb,service and.or feeder I Phone:( i71.) 1 ) 1C 1l�1�,J Fay. .(51} �9/�s -7 qo, Reconnect only 67.84 2 E-mail: ��rmi_=t4..�iefl f. COt r I Pump or irrigation circle - 67.84 CONTRACTOR I Sign or outline lighting 67 84 Business name:? \. '\e G.�,s4c. -.nG Signal lteratt(s)orlextensi energy See panel,alteration,or extension Page 2 2 Address: cbL\0" Each additional inspection over allowable in any of the above i CQk� i Additional inspection(I hr min) 66.35'hr I Cil)'State%ZIP: '?:360S,\,0, ` S rt ; E investigation i I hr min) 66.25;hr + Phone:(st7i) s t -31 Fay:( I Industrial plant I1 hr min) 78.18'hr I Inspections for which no fee is CCB Lie.: Electrical Lie.: I 90.00.hr 05cA``(� Lip (,.1 i Suprv. Lie.: 3o5 S ■ specifically listed'':hr mine ,d/4.,_,.._ ELECTRICAL PERMIT FEES Supn. Electrician signature. required:Ad — Subtotal: Plan ret iew(25%of permit fee): Print name: ( - - � LG'I f� r Slate surcharge(12%of pennit fee). :>utltorized signatur av . t, J TOTAL.PERMIT FEE: { ` This permit application expires if a permit is not obtainedµithin 180 Print name: �a �� t 0\,...,_ i2vyr, I Date: days after it has been accepted as complete. `} • Number of inspections allowed per permit. 11t.,Iding,Permits'ELC_tennaapp ELR_ERE doe Res 05i-1V:013 :40-4GI5iIil l'C051,55'513 Mechanical Permit Application FOR OFFICE USE ON1.1" Received lii .City of Tigard DateB : Permit No.:�C'_ /S. 13125 SW Hall Blvd.,Tigard,OR 97223 V\I „,0 Plan Review J 1 II Phone: 503.718.2439 Fax: 503.598 G Other Permit: Date/By: T 1 G A R D Inspection Line: 503.639.4175 r o15 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov { p U Notified/Method: Supplemental Information 1 L TYPE OF WO_O+ rm.la1 S 011 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST - Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alter. s+ 41 A. - ent performed.Indicate the value(rounded to the nearest dollar)of all • mechanical materials,equipment,labor,overhead,and profit. ❑Demolition ❑Other: Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning i 46.75 Job site address: 67/6- S w L©C U S T S% Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: / f rnEio OR 9722_1 Furnace 100,000+BTU(ducts/vents) 54.91 i / 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: 7gli 5/1---,e6-6-- �S 7317-6-5 Lot no.: ` / 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 12 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 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: .-f� ILL to to!3!A)�' Other: G D L C O r / �1 ) MECHANICAL PERMIT FEES* Address: /©7 5 VI/. Lis Te)R/C (,0 G L(Ma/ 17 va i2 J/Wy Subtotal r�`� Minimum permit fee($90.00) City/State/ZIP: Fia Gi rb 4 L C e 0170 6 o i Plan review(25%of permit fee) Phone:(5-o3) 6 G 7 �78v 3e Fax:(5-03 ) 6,6 7- !G O 9f 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: �uf4 * Fee methodology set by Tri-County Building Industry Service Board Print name: ZA ki 4 Date: 0, 6 , 5 1:\13uildina\Permits\MEC PermitAoo 040113 doc 440-4617T(11/02/COM/WEB) Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard �[� Received Permit No.: 1 c 111111 II II 13125 SW Hall Blvd.,Tigard,OR 97223 tom` rj �'J�/ Phone: 503.718.2439 Fax: 503.598 Plan Review C 1 Date/By: Other Permit No.: Inspection Line: 503.639.4175 Date Read B Juris: ® See Page 2 for T I G A lL D Internet: www.tigard-or.gov q 6 �01S y y g t� T PP Date ReaMethod: Supplemental Information TYPE OF WORK U�t �At�0 FEE* SCHEDULE rIF®New construction T, SUN For special information use checklist ❑D6�l�t�rl" p��1S `` ®,�� Description I Qty. I Ea. I Total El Addition/alteration/replacement ❑ !L- 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 1:=1 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: 4D 7/ 6 sW (U C-5 _5-/--... Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 77c 70 J v 9 7 2 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.:0'J)`'J) Page 2 Water service(no.linear ft.:t' ) Page 2 Subdivision: 0,4h, 5-7?-T ES 417E'S I Lot no.: / / 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 ® 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/ 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 41 12.51 E-mail:PROPermits$Lennar.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 ,- I Water heater 1 37.52 W Business name: O L W.6,7 pL 14 4,1 8 A/s7 Water piping/DW V 56.29 Address: /lj 7.5 W/. kb STD,e/C eoLGl ni/ ,, (ft+r,# r: 25.02 City/State/ZIP: yak 7'�L�'� id y74 O Subtotal Phone:(5 5 )66 7,./79/„k Ise/ Fax:( '3) 6 6 7_ 7 9( Minimum permit fee: $72.50 CCB Lic.: i/ Z 2200 Plumbing Lic.no.:, 6._824 d°6 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: e: . I 0/ 7.- . TOTAL PERMIT FEE Print name: ^� Date: ,/ _ This permit application expires if a permit is not obtained within 180 days C� � W/y � after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. r:lBuilding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 71 4. City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: 7))STa 0 j s^Cd() y , Site Address: _ �p /sue ) / /-. Project Name: 0,/,4 Sinev,i t .7lt'S Lot #: // (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review /� Proposal: A e& S'/ l� -- •-gV re �tCL Verify site address/suite #exists and active in permit syste . ,/ fiver Terrace Neighborhood: ❑ Yes V No Sit- Plan Elements: P, r ree (3)copies of site plan II •'."sting structures on site IE S to plan must he on 8-1/2"x 11"or 11 x 17"paper IC ootprint of new structure(including decks)with finished IP P rawn to scale(standard architect or engineer scale) 9or elevations 'TA Torth arrow IZiptility locations(required for new,may apply for additions) VS" e address,project or subdivision name and lot number f..cation of wells/septic systems plicant information (name and phone number) �I Erosion control(including drainage-way protection,silt fence (ALot dimensions and building setback dimensions sign,location of catch basin,etc.) mitl,t area,building coverage area,percentage of coverage and C/J S et names impervious area(applicable if R-7,R-12,R-25&R-40) eet tree size,type and location XSoperty 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 Lettee of platted prior to 9/10/1995): ,equired: El Yes,applicant was notified L!S No Received: El Yes ❑ No Eu Public Facili,t,i�e Improvement (PFI) Permit: Required: E Yes,applicant was notified ❑ No Applied For: 01/Yes ❑ No,stop intake 122//and Use Case#: ` iv 00/4— O—0/ oning: — S- IlQ Setbacks: Front cj Rear /S Side `S' Street Side /S— Garage F!'1 andscape Requirement: raj of Coverage Maximum: Ir Building Height: Maximum Height 3/' Actual Height a3>& " Id4isual Clearance Inti`'asements ',1• &nsitive Lands: VYes ❑ No Type 1 pip_ VJ/�J % h:* t rban Forestry Plan [1 Conditions "Met"prior to issuance of building permit Notes: __141262/571 Approved By Planning: ,11 Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved L\Bui I ding\Fonns\BIdgPermitRvw_RES_070915.docx Building Permit Submittal / Original Submittal Date: /()4&4 /3 Site Plans: # Building Plans: # 3 Building Permit#: nter building permit# above. Workflow Routing: annin Engineering Permit Coordinator ❑ Building Workflow Sign-off: ign-off for Planning(include notes from planning review) Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1) building plan and c2,60nal plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: !"' - Date: /4671-1-/5— En 'veering Review lope at building pad: Conditions "Met"prior to issuance of building permit (encroachments) per engineering conditions of approval and plat /asements ater 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: 9L 27 Date: J/ '—� 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: ....r1 SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: p Yes ❑ N/A OK to Issue Permit �� i pproved by Permit Coordinator: �- Date: (11 , 5- 1:\BuildingTonns\BldgPermitRvw_RES_0709 1 5.docx 44 SI 4 1c- 67l Ste ;^LUC� s� s-f- .111 Si 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$338,059.00. n Credit card "return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. E Trust account "deposit"receipt in the amount of$ Comments: Refund for SDC fees paid prior to available credits applied from demolition permit BUP2015-00091 for armory building and SF residential building. See attached spreadsheet for SDC credit balance and list of permits that credits were applied to. If you have any questions please contact me at 503.718.2430. Sincerely, / ;r7.7874/3-C.. Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hail Blvd. • Tigard, Oregon 97223 • 503.639.4171 U City 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 forPermitActio . be attached to this request form. Refund requests are due S" to Accela - form (if applicable)must each Wednesday at 5:00 PM. Please allow up to 3 weeks for process ng of refunds. Accouny ts 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 13Y: 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 car-. be applied and all SDC fees paid by developer shall be refunded. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Exam de: Buildin: Permit Fee Exam.1e: 2300000-43104Refund Washin:ton Coun Transportation Development Tax 405-0000-43320 $Amount $237,723.00 Parks SDC-Improvement 425-0000-43300 Parks SDC-Reimbursement 425-0000-43301 20,203.00 Sewer Connection 500-0000-25500 3,633.00 .71,898:00 1111111111111111.11111.11111111111111111111111111111111111111111.1111...1.111111.111111111.111111.11111111111111111 TOTAL REFUND: $333714970i APPROVALS: SIGNAT _; S DATE: 6F,05"?.Gro If under$5,000 Professional Staffer If under$12,500 Division Manager j9�/& If under $25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board 234E-cam- Air r FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: ILEMI ErAgl I Iegib� 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 6715 SW LOCUST ST, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00196 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 6715 SW LOCUST ST, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00196 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 6715 SW LOCUST ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00196 Chip Barnett Violation Summary: Inspector Contractor