Permit Ji,., CITY OF TIGARD MASTER PERMIT
e'`jy:- `.
�''� ,xtCOMMUNITY DEVELOPMENT Permit#: MST2015-00222
A Date Issued: 12/16/2015
TidARIf 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S136AA00301
Jurisdiction: Tigard
Site address: 6821 SW LOCUST ST
Subdivision: OAK STREET ESTATES Lot: 2
Project: Oak Street Estates, Lot 8
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1384 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second 1508 sf Garage: 494 sf Front' 20 Smoke
Dwelling Units. 1 Third: 0 sf Right. 5
Detectors. Yes
Total: 2892 sf Value: $351,956.22 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: 0 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 Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp' 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 4 201-400 amp 0 201-400 amp 0 W/O Svc/Fdr 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp 0
601-1000 amp 0 601+amp-1000v. 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC. N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2892
Owner: Contractor:
LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions)
11807 NE 99TH ST,STE 1170 11807 NE 99TH STREET SUITE 1170
VANCOUVER,WA 98682 VANCOUVER,WA 98682
PHONE PHONE: 360-216-6423
FAX: 360-258-7901
Total Fees: $23,916.35
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 ru- -•..ted by the Oregon Utility Notification Center. Thos cul-s are set forth in OAR
952-001-0010 throe AR 952-001-0090. You u- •• •'•a copy of the rules or•erect questions to OUNC by calling 503 232.1987 or .::32.23.
Issued By / ...e"-`_-_ - _ — �— - Perm •• Signature:
C .-4 4175 by 7:00 a.m.for the next available inspo ion date.
This permit card shall be kept in a conspicuous place on the job site unt completion of tjho project.
Approved plans are required on the job site at the time of ea specti
Building Permit Application l1°1 ✓t-�
Res_i�lenti l CIVI
FOR OFFICE USE ONLYr, e•. Received
City of Tigard Date/By: f'` GS Permit No.:M5 v5_, 2
13125 SW Hall Blvd.,Tigard,OR 97223 ^ Plan Revie / L�
III
2 Phone: 503.718.2439 Fax: 503.598.1969 1�,� Date/By: iv 1O/ 1 S , Other Permit: S_.r�>st/
TIGARD Inspection Line: 503.639.4175 QV Date Ready/By: �ar I See age 2 for •C 2117
Internet: www.tigard-or.gov t ®��p Notified/Method: J t3/(SI e Supplemental Information
•
TYPE OFIW o,'�p• V - REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction l D emolition 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-familydwellingValuation: $ oo
❑Commercial/industrial 1� ��� ;
0 Accessory building 0 Multi-family Number of bedrooms: S.
❑Master builder El Other: Number of bathrooms:2
JOB SITE INFORMATION AND-LOCATION Total number of floors: 1 g
Job site address: _rg9 I ')C' 6, 5,, New dwelling area: ag q square feet`.
City/State/ZIP: /aQyd, O� Garage/carport area: C square feet
Suite/bldg./apt.no.: v� Project name- ayr S Covered porch area: O1 20 square feet 1 Q
o
Cross street/directions to job site: Deck area: � square feet I 3$ (9-1
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: /94- S7'( T Z.:-.-.c74 iL S Lot no.:A 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 99`x'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 sekedule)
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 Photo Voltaic 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
and administrative fees): $180.00
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: i 9 3-3 0 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(11/02/COM/WEB)
Electrical Permit A ppl lea tion v ctl.N
F-s7-0,4 City of Tigard Receied
litW)
v
Date,By: Permit No.in )/S--oodjok
I 13125 SW Hall Blvd..Tigard,OR 97223
.''
n, \C-3 Plan Review
Phone: 503.718.2439 Fax 503.598.1960 ,..\\1 A. zi(L4 Date/By: Other Permit:
Inspection Line: 503.639.4175 \A\-)4 •ti-t Date Ready/By: kr iS' 1 El See Page 2 for
4.111.1.:.e.lvii.fTh
Internet: WWW.tt-eard-or.eor -,v,il 1'NAW NotifietWethock Supplemental Information
" . . •.• .1..-' r '-, -.
TYPE OF#00:11,11k:, •-•: ..mAk4'0 .•- -• '.. .,-.. -'-: .:?.„..,-,:..:-..:.:-:,„.-., -:.-,,:.: ',:-..tiasi.;..p:Evikov :: ::::. :!.,•,,,..._:-,:
-? New construction
-f4 0 Additionlalterateah&ent Please check all that apply(submit 2 sets of plans whtems checked below):
9 0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF:IONSifitIliCtIOS. -- - '•:- HI ' - :- :' exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14.000 0 Commercial-use acncultural
4 l-and 7-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: C3 Fire pump. 0 Installation of 150 KVA or
larger separately derived system.
-' -- - - - - ----,JSIT .;INTOBIVI,.!“1.13N.:ANIJ. 11...00A:171O14.1l-!..,...:.:f.,-::; -.-,-,-., ...-- .: 0 Addition of new motor load of 0"A'',"E",
)00HP or more. occupancy.
Job no.: Job site address:
(2f S ) koceat al 0 Six or more residential units. 0 Recreational vehicle parks.
CityiState/Zle: 'riga i oi2-- 0 Hazardous locations.0 Health-care facilities.
ID Supply voltage for more than
600 volts nominal.
Suiteiblde.lapt.no.: Project name: ( ..4/, ativiej 0 Service or feeder 600 amps or more.
.tlgt.:, 0PLE
Cross street/directions to job site: ntscrirption 1 Qty. I Fee. 1 Total I • '
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: 5-/ _
-,17C c Lot no.: l 1,000 sq.ft.or less
i . 168.54 4
Ea.add',500 sq.ft.or portion 1 33.92 1
Tax map/parcel no.:
Limited energy,residential
75
) .00 2
DESCRIpTjON":-.Q.E,W9ftli:.:-;* - . ":::,__ , , •:- 1,, . (with above sq.ft)
Limited enemy,multi-family
Nr-teresidential(With above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
I
1% Services or feeders installation,alteration,and/or relocation
..-d ,4,--...?,4 - -•-..: .- •: i 200 amps Or less ) 100.70 1
_
PROP.F1101; OV1iNER1 -., ,,.. : .:,- ...--- . ..-.....-.. 42:ZIL.L. 1".. .. . ..,' ,
1 201 amps to 400 amps 133.56 2
Name: 1, Jr)ylci y- N tu , IfIC _ 401 amps to 600 amps 200.34 "
_
Address: , ili ,
-.°A -4--1-13C0 601 amps to 1.000 amps
Over 1.000 amps or volts 301.04 1 i
552.26 2
City/State/ZIP: ,(14Cal\per von_ 1,9-602 Temporary services or feeders installation,alteration,and/or
relocation
Phone:soc) ) -- - - /7100 Fax:( 0)05?)------1oi
200 amps or less 59.36 1 I I
Owner installation:This installation is being made on property that I own which is not I 201 amps to 400 amps 125.08 I 2
intended for sale.lease,rent.or exchange.according to ORS 447,449.670.and 701.
401 amps to 599 amps 168.54 I 2
Owner signature: Date: Branch circuits-new,alteration,or extension,per panel
. . • •--. .• ' ' - - .- 7. ', --,--. A.Fee for branch circuits with
. ' .)(Ar-171,4A`7;' ......:-., .-..,..,':-,:.'.:'" '-.--:-.:-,.'.1.,;1.::c,9197-Ac.r.,. .g.5.9.,1`1. ... .•:.--,'',. .
•- above service or feeder fee.
7.42 .2 1
Business name: t2A/Vyj r N\Ai ire each branch circuit
i 1' B.Fee for branch circuits without
Contact name: eivyarvAi IAJ e Q to service or feeder fee,first
56.18 2
branch circuit
Address: 1 (b9-1 N . 61-151- .5 _, - 4 Illo Each adcf 1 branch circuit I 7.42 2
CityiState/Z1P: nru Ver tiOft 9,c3t.09):)- Miscellatieous(service or feeder not included)
Each manufactured or modular
I 67.84 2
PhOne:13(c(j) 9E-..)-73 -.- --1(-70,0 1 Fa-X: :(500 2-s-ft.3 - 74°! Reconnect only dwelling.service and/ ,or feeder
i
67.84 2
E-mail: Pak Xrriii-K ei len(11( .. C Orin Pump or irrigation circle 67.84 1
_
..
'„ • :. . ', -,-'..,;,..1:...:."..r: -,.;,,COINT4.4,,CTQR, .-. ..:'.-:.. •-.; .7,.....• ., :•-. :- ' .1 Sign or outline lighting 67,84 '
Business name:?O Vette:0%e ck.‹..c. --;\,\C. I Signal circuit(s)or limited-energy I See
panel,alteration.or extension. I Paec 2 2
Address: Ci?Di.\0 • i,,reccf.;,3C-/G 9s,- Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.251 hr
City/State/ZIP: vb(I&J.,4 N.. c\vi 2-kio Investigation t 1 hr Min) 66.25/hr I
, 1
Phone:TT\) Uks-_--5bc9 I Fax:( 1 Industrial plant(I hr min) 78.18)hr I I
- Inspections for which no fee is
90.00 hr
CCB Lic.:a0-s6rT G Electrical Lie.: C. ‘40 q Suprv. Lic.:5 31,6 S specifically listed(.%i hr min) .. .FEES ;
Suprv.Electrician signature,required: ,
Nitd
j
-
, „. ...... .. .,,:.-.ELECy.RICAL PERMIT
Subtotal:
r Plan review(25%of permit fee):
Print name:ffrfic 4 --kyr( ate:
State surcharge(12%of permit fee):
Authorized signaturCa\-7)&_,AAr' _3 TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Ncsko \I 9\a---e....-?%-) Date: days after it has been accepted as complete.
‘..._...) . Number of inspections allowed per permit.
1,fluikling,PerraissELCPermit.AppELR_ERE Goo Rev 05/21,2013 440.4615711 165 r OM(WEB
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard1V Received
Date/By: Permit No.: , r IS-2....o
't 13125 SW Hall Blvd.,Tigard,012.69e,� Date/By: "
Plan Review
Phone: 503.718.2439 Fax: 503.59 Other Permit:
T I GA RD Inspection Line: 503.639.4175 �01� Date Ready/By: Juris: Ei See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
U
( �`' COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
TYPE OF WO ;c4SAS
�/ .1• .�"t py' Mechanical permit fees*are based on the value of the work
® 111New construction Addition/alteratiAt ment performed.Indicate the value(rounded to the nearest dollar)of all
IDDemolition IDOther: 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:
6062/ 8� �� (� Airconditioning1 46.75
Job site address: U\ F
Fumacrnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: 7/C/,kr. 0 / D/L Furnace 100,000+BTU(ducts/vents) 54.91
n sf Lam-,
Heat pump 61.06
Suite/bldg./apt.no.: Project name:(t//J C/ � 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: ,� / Lot no.:
Other: 23.32
���1 j�L– r C_S T/�l r�� 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 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:LENNAR NW,INC Range hood/other kitchen
equipment 1 33.39
Address:11807 NW 99t'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. I
Address:11807 NW 99"'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 ,
Range 1
E-mail:PORPermits@Lennar.com Barbecue
•
CONTRACTOR Clothes dryer(gas)
Business name: a,„,,, Other:
G Q L G O % (3!/1) , MECHANICAL PERMIT FEES*
Address: /Q 7 5 A/. )4/3 TCJ R/C CDG Wni'/f/ s/)11/L/2 I-/wy Subtotal
City/State/ZIP: 'MO cf%ZEAL C GR 9 26 Q Minimum permit fee($90.00)e
/ / Plan review(25%of permit fee)
Phone:(503) 79/evilly/Fax: _6, ) do 7_ 989/ State surcharge(12%of permit fee)
CCB lic.: 1/ 2 2 2 O O TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
•
Authorized signature: �d / a ,„4„,14 * Fee methodology set,by Tri-County Building Industry Service Board
�
Print name: et/�r oma, Date: 9.j ,
I:Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Plumbing Permit Application
Building Fixtures �( qui FOR OFFICE USE ONLY
• City of Tigard \\ '; Received _
fi A DateBy: Permit No.: ns r ko i S ,moo 1\l
1111 . a 13125 SW Hall Blvd.,TigarN,pf$ 225..a' Plan Review tJ o`or+C
• Phone: 503.718.2439 Faxes 3\598.1960 Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 r1-0C3 Date ReadyBy: Juris: ® See Page 2 for
Internet: www.tigard-OGgov le �, Notified/Method: Supplemental Information
TYPE OF WORK � I _ FEE* SCHEDULE
h � a �Y
®New construction ® em hltlou Q�� For special information use checklist.
S�\ `Vy Description Qty. Ea. Total
❑Addition/alteration/replacement �c\Y1QtFi 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 ElCommercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
0 Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
El Master builder El Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
/�g7 3 ) Lig 616.491- S J Catch basin or area drain 18.76
Job site address: (�J / �(�(J (�(✓J J�j
City/State/ZIP: Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Cal'Bei-dotC/-- Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:)0C) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: CA er S7, S SATES Lot no.:
/ Fixture or item: -�.�
Tax map/parcel no.: Backflow preventer �N 31.27
DESCRIPTION OF WORK Backwater valve J 12.51
Clothes washer 1 25.02
NSFR
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:LENNAR NW,Inc Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:11807 NW 996 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) _ii 12.51
Address:11807 NW 99th Street,Suite 1170 Sink/basin/lavatory 6 '�4! 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
CONTRACTOR Water closet 3 25.02
• +- , Water heater 37.52
'W
Business name: O 1. ' 1l
c-W.
7,•lJ A.Gf/N 13/A/1 Water piping/DWV 56.29
W
Address: /0 75 . [ 57ow/C ee,Ga/Y7/344 g✓rr`Q r 25.02
City/State/ZIP: 7-goG(7,/2/4L6r/ ljA2 y 70 ep
Subtotal
Phone:(563)66 7,/75 �x�3P� / Fax:(5-03) G�l_ iigp f/ Minimum permit fee: $72.50
CCB Lie.: l/ 22706 Plumbing Lic.no.:2G,._824 p8 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: Mir, XLL7A TOTAL PERMIT FEE
�� This permit application expires if a permit is not obtained within 180 days
Print name: CGi7-N��*�`' Dk��9,�Ri Date: 2,/6.. /5
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\Building\Permits\PLMU-PermitApp doe 10/01/09 440-4616T(I 0/02/COM/WEB)
Sizing of Residential Water Meter Worksheet
Date: TVWD Rep:
Site Address: , _ _
City: ' / /�,t7P./) Oregon Zip Code: 9722 3
Subdivision/Lot#: .6) //- .5 j-RE 6_77 L S 74 7 S L o r
Builder/Contact Person: eiyARL(5 IA)c'33 Phone: (.36a ) 2 S-6, - 7 f'Ua
Fax(36o) 23-8 - 744/
Number ofX Fixture unit = Fixture
1. Kitchen fixtures fixture(s) equivalent count
A. Dishwasher i X 1.50 =
B. Sink I X 1.50 =
2. Utility room fixtures
A. Washer 9 X 4.00 =
B. Laundry tub X 2.00 =
3. Bath fixtures
A. Toilet \S X 2.50 =
B. Lavatory sink 5 X 1.00 =
C. Bathtub or shower/bath combination,
Whirlpool bath or shower/bath / X 4.00 =
D. Shower only X 2.00 =
4. Miscellaneous fixtures
A. Outside hose bibb (enter only one here) 1 X 2.50 =
B.Additional hose bibb / X 1.00 =
C. Bar sink X 1.00 =
D. Irrigation (Largest zone only) Number of heads: X 1.00 =
5. Total fixture count(fixture units) Total of 1 through 4
Additional questions: /No I) Is there an auxiliary water source, i.e. well, pond or creek at this property? ❑Yes
II) Is this property going to have a underground irrigation system? E]Yes L+11<o
III) Is this property going to have a fire sprinkler system? ❑Yes LVA No
If yes, check the meter size: 1113/4" ❑1"
NOTE: You will need to provide the fire sprinkler design calculation report before the meter will be installed.
IV) Is this property going to have a decorative water feature(pond or swimming pool)? ElYes all N
V) Is this property going to have a solar unit or boiler? ❑Yes u No
A COPY OF THE BUILDING PERMIT AND PAYMENT IS REQUIRED AT THE TIME OF PURCHASE
For information, call (503) 642-1511
Fax: (503) 591-0986
E-mail: engineering@tvwd.org
Mail: 1850 SW 170th Ave., Beaverton, OR 97006
,,
1 City of Tigard .
v SCOMMUNITY DEVELOPMENT DEPARTMENT
1111I
'" Building Permit Review — Residential
'DTII GA R ;.
Building Permit #: n57-A0/5- a--,t.
Site Address: ,Gf62,-t SVS ( 0 C.) C+ s+ ,
Project Name: 0C Sit- Si('QQF- CS Azi k-e.s Lot #: e
(New dwelling= subdivision name;Addition or Alteration= last name of owner)
Planning Review
Proposal: IV€A/M/ S F R
,.�f Terify site address/suite # exists and active in permit system.
ver Terrace Neighborhood: ❑ Yes '$moo
Site Plan Elements:
hree(3) copies of site plan existing structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper /Footprint of new structure (including decks)with finished
rawn to scale (standard architect or engineer scale)71215
floor elevations
�NTorth arrow /Utility locations (required for new,may apply for additions)
, rte address,project or subdivision name and lot number ❑location of wells/septic systems
Applicant information (name and phone number) X rosion control (including drainage-way protection,silt fence
of dimensions and building setback dimensions design,location of catch basin,etc.)
• rn area,building coverage area,percentage of coverage and Ztreet names
impervious area (applicable if R-7,R-12,R-25&R-40) ,reet tree size,type and location
Property corner elevations (2 foot contour lines if more than casting trees to be retained with drip line,and tree
''N 4 foot differential)
protection measures
--$Elean Water Services-Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified E No Received: ❑ Yes ❑ No
Public Facilities Improvement (PFI) Permit: e�Z ��( S - 40 T
Required: E Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
Land Use Case#: S'U B 2.131 _Q600
Zoning: P-4 .
Setbacks: Front 1,0 Rear C S Side S Street Side \ S Garage 7
ndscape Requirement:
Lot Coverage Maximum: .---. % ,�
Building Height: Maximum Height S l.� Actual Height
i'kual Clearance
'Easements
-R-Sensitive Lands: ❑ Yes ❑ No Type
` ban Forestry Plan
,Conditions "Met" prior to issuance of building permit
Notes:
Approved By Planning: Mz-i0 r)/7-,I_ d a Date: /1 / 10 / 1 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
p
Building Permit Submittal t
Original Submittal Date: #0 /5—
Site Plans: '3
Building Plans: #
Building Permit#: nter building permit# above.
Workflow Routing: ( — canning IDI—e giiieering ermit Coordinator nr-137iiraing
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original 3lan review routing form.
uilding: original permit application, site plans,building plans, engineer and
, beam calculations and trust details,if applicable, etc.
Notes: hi/7�/�1 Aur d/'l�liiYt /417, rw _ Ae7 r ins ///its- / yam.A .r4e,'t " .4„2,----
By
4.i#By Permit Technician: 1/ �� `_ Date: /0/-Y lam '"Sr(--' ,
Engineering Review
l Slope at building pad: ?,74.
Conditions "Met"prior to issuance of building permit
7Easements (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 E No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: WG jj Date: '`_ - ` __ �j
Revision's (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:
7
4IDC Fees Entered: Wash Co Trans Dev Tax: I'es ❑ N/A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: Yes ❑ N/A
7J.2.OKto Issue Permit J
Approved by Permit Coordinator: ,e Date: 1)/ c
I:\Building\Foims\BldgPennitRvw_RES_0709I5.docx
/frtST)v«- O& 2
&F;,!
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: ZCheck #220393 in the amount of$338,059.00.
(l Credit card "return"receipt in the amount of$
Note: Please allow 2-5 days for this refund transaction to be
credited to your account by the company that issued your card.
n Trust account "deposit" receipt in the amount of$
Comments: Refund for SDC fees paid prior to available credits applied from demolition
permit BUP2015-00091 for armory building and SF residential building. See attached
spreadsheet for SDC credit balance and list of permits that credits were applied to.
If you have any questions please contact me at 503.718.2430.
Sincerely,
Dianna Howse
Building Division Services Supervisor
Enc.
13125 SW Hail Blvd. • Tigard, Oregon 97223 4 503.639.4171
•
City of Tigard
TIGARD Accela Refund Reques t
This form is used for refund requests of land use, development engineeri.rig and building permit
application fees. Receipts, documentation and the Request for Permit Action 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 13Y: 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 cart be applied and all SDC
fees paid by developer shall be refunded.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No,
Exam.le: Bulldin: Permit Fee Exam.1e: 2300000-43104 Refund
Washin:ton Coun Trans.ortation Develo.ment Tax 405-0000-43320 Refund
Parks SDC-Im.rovement 425-0000-43300 $237,723.00
Parks SDC-Reimbursement 425-0000-43301 20,203.00
Sewer Connection
500-0000-25500 3,633.00
21,898{00
mommimmomm......._1111111111111111111111.11 6 re dr()
TOTAL REFUND:
APPROVALS: SIGNAT _; S DATE: _3 ?,OC?,v7J
q44-
If under $5,000 Professional Staff � ��
��l//// ' r
If under $12,500 Division Manager _3/9/I&
If under $25,500 Department Manager
4.
If under $50,000 City Manager i -
If over $50,000 Local Contract Review Board 22)4 PV
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: Ilegar 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
6821 SW LOCUST ST, TIGARD, OR, 97223
Residential - Master Permit
399 Plumbing final
PASS
MST2015-00222
Jeff Grove
Ok
Ok
Violation Summary:
Inspector Contractor