Permit (175) CITY OF TIGARD y MASTER PERMIT
74 ,..' . COMMUNITY DEVELOPMENT :!. t Permit#: MST2015 00242
WDate
Issued: 01/06/2016
T kGA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 SIMI
Parcel: 1S136AA11900
Jurisdiction: TIGARD
Site address: 10088 SW 67TH AVE
Subdivision: OAK STREET ESTATES Lot: 14
Project: Oak Street Estates, Lot 14
Project Description: New SF. 3/27/2016: Demo credits applied from BUP2015-00091. 7/7/16: Reprinted permit to
include NC unit. Placement of NC unit must comply with manufacturer's installation
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1250 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1198 sf Garage: 523 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
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
0
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
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
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: 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
Ecompasing: Y
Other: N Other Description:
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: $15,212.73
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. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,` .%�%,`" Permittee Signature: Cf ,. ;,2'� c.ci
/,•• 03.639.4175 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 completion of the project.
Approved plans are required on the job site at the time of each inspection.
n
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permitil: MST2015-00242
Date Issued: 01/06/2016
. s 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 136AA11900
Jurisdiction: TIGARD
Site address: 10088 SW 67TH AVE
Subdivision: OAK STREET ESTATES Lot: 14
Project: Oak Street Estates, Lot 14
Project Description: New SF.
BUILDING
Floor Areas Reauired Setbacks Reaulmd
Stories: 2 Bedrooms: 4 First: 1250 of Basement: 0 of Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1198 at Garage: 523 at Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2448 sf Value: $300,119.05 Rear: 15
PLUMBING
Sinks: 1 WaterClosets: 3 washingMach: 1 Laundry rays: 0 Rain rain: 1 Unnas: 0
Lavatories: 5 Dishwashers: i 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 Prevnb: 0
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: N Vent Fans: 6 Clothes Dryers: 1
Heal Pump: N Hoods: 1 Other Units: 0
Furn<1001(: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum>=1001(: 0
ELECTRICAL
Residential Unit Service Feeder Temp Smc/Feeder Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0.200 amp: 0 W/Svc or Fdr: 0
Ea addl 500 st 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: 0 801+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vacuum 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 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: $23,273.37
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 nded for more the 180
days. ATTENTION: Oregon law requires you to follow the miss adopted by the Oregon Utility Notification Center. tO
ules re set forth in OAR
952-001-0010 through 9 1-0090 You may obtain a copy of the miss or direct questions to OUNC h`/calling 503.232.1987 or 12344.
Issued By: Permittee Signature:
Call 603.639.4176 by 7:00 a.m.for the next available inspection d
This permit card shall be kept In a conspicuous place on the job site until compi on of a project
Approved plans are required on the job site at the time of each Inspe on.
Building Permit Application
Regidenfial FOR OFFICE [ISE ONIA
Ci},, of Tigard Reeeived
`� g CG`v�D DateB : q Ir , PermitNo.: _
• 13125 SW Hall Blvd.,Tigard,OR 9722 �/ Plan Review
Phone: 503.718.2439 Fax: 503.598.1 15 Dete/B : / Other Permit
Inspection Line: 503.639.4175 ( 9 O Date Ready/By: mdz: ® See Page 2 for
Internet: www.tigard-or.gov O`C Notified/Method:/'f ��/ /� Supplemental laforma6ou
IGPR
TYPE OF W0R (�' REQUIRED DATA: ANND24FAMMYDWELLING
'.
®New construction ❑DroURZ 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
® 1-and 2-family dwelling E]CommerciaUValuation:industrial -ibc. $
❑Accessory building ❑Multi-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB STPE INFORMATION LOCATION Total number of floors:
Job site address: o(n)88 56/ f0 / C. New dwelling area: Z 44 e square fee
City/State/ZIP: Garage/carport area:Z 3 square feet
Suite/bldg./apt.no.: Project name: Covered porch area: 78 squarefeetflil
Cross street/directions to job site: Deck area: square feet'Dsb
Other stmcture area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 0 S --7- '.s 7wT=S Lot no.: 14 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the newest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRII'HON,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 990 Stree4 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*
era,fee schedule
Business name:Lennar NW,Inc. Please re
Structural plan review fee(or deposit):
Contact name:Charles Webb
Address:11807 NE 99"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 receive d:
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 deparbrimt 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:( )
Stale surcharge(12%ofpermit fee): $21.60
CCB lie.: 195307 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.
*/ Fee methodology set by Tri-County Building Industry
Print name: Date:C� S f 2- .3 - s Service Board.
\Building\Permits\BUP-RESPermitApp.doc 02/242011 4404613T(11/02/COM/WEB)
Electrical Permit Application
Received
City of Tigard `,!'Q Permit Na.:
i S V Receg : !� YA7 7
13125 Sxx'Hail Blvd_Tigard,OR 97223 v Plan Review
Phone: 503.718.2839 Fax: 503598.1960 Date/B': meter Peron:
Inspection Line: 503.b39A175 `'GVVV qo1� Date ReadylBp; hds' BSee page
2lor
Internet: wvcw.tigard-or.gov v 9 I. otific&Medmdv Bappkmmml lnformadou
TYPE OF WORK - '. PLO" REVIEW
❑
New construction ❑Addition/alterdtion/replga�`p� ,N ";D Please check all flat apply(wbmitjsms of plans w/hems checked belmv):
❑Service or feeder 400 amps m mate ❑Building over three stories
El Demolition ❑Other: G�` \ .
where the available fault Winners 0 Marinas and hmtyard.
CATEGORY OF CONSTRSWN exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ famil�dwellin less to ground,or exceeds 14.000 ❑Commercial-use agncalmral
I-and 2-
g ❑Cornmercial/industrial ❑Accessory building amps for all other installations. buildings.
❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB STIE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑`A',-E",
Job no.: Job site address: IC088 SW 6 77N /¢✓Cc at more. occupancy.
❑Sit Six oorr more residential units. ❑Recreadoosl vehicle parks.
CityiStale/Zle: W—nigQ , D 7 23 ❑Heahh- fcjlmes. ❑Supply vohage for more than
❑Hazardous locations. 600 volts nominal.
Suite bldg./apt.no.: Project name: ❑Service or feeder 600 amps or more.
+-:
Cross street/directions to job site: • Iba FEE.::SCnEDULIII Qty, I F. I Tow
New residential single-or multi-family dwelling aoiL
Includes attached garage.
Subdivision: _ Lot no.: LDD0 sq.ft.or less 169.54 4
�� r - -
Tax map/parcel no.: Fa add'I 500 sq.h or potion 33.92 I
Limited energy,residential 7500 2
-DESCRIPTION OF WORK (with above sq.ft)
Limited energy,multi-family 7500
residential with above sq.It -
Renewable Enerstri, ❑ See Page 2
Services or feeder installation,alteration,andfor relocation
PROPERTY owlimit TENANT 200 amps or less 100.70
V-- - - - 201 amps to 460amps 133.56 2
Name- / 401 amps to 600 amps 20034
Address 601 amps to LOW amps 301.04 2
Over 1.000 amps or volts 552.26 ?
Cin'lStata'ZIP: Temporary services or feeders installation,attention,and/or
Phone: 0 )O5j- -7 q�vo Fax:(VX)-0J� j-101 relocation
200 amps or less 59.36 I
Owner installation:This instal lotion is being made on property that f own which is not 201 amps to 400 amps 12s.Da 2
intended for sale.lease.renL or exchange,according to ORS 447.449.670,and 701. qOt ramps to 599 amps 168s4 2
Owner signature: Date: Branch circuits-new,altentil or extension,per minel '.
APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits synth
- CMOACT above service or feeder fee.
Business name: r each branch circuit 7.42 2
B.Fee for branch circuits withoai
Contact name: Irl 6 rVA service or feeder fee,first :f:
,l branch circuit 56.18 2
Address: 'N T.- I I Each add'1 branch circuit lA2 2
CipiSta[e;7-1 P: Miseetlaoeous service or feeder not included
Tach manufactured or modular 67.94 >
Phone:( ) lm FB.x : ` r.-7 dwelling,service andor feeder -
J 66 Reconnect only 67.84 2
E-mail: `�' C Pump or irrigation circle 67.84 _
CONTRACTOR Sign oroudine lighting 67.84
Business name: W¢C� G.kr Signal circuit(s)or limited-energy See
rel,aheation,or extension. P e 2 0
Address: " Q'�> Each additional inspection over allowable in may of the above
U_� Additional inspection(I hr min) 66.25:hr
Cilvistate/ZIP: C�JdJ. Investigation l l hr min) 66.251 hr
Phone:( i ) UA9__31Wq
Fax:( ) Industrial plant(I hr min) 78.18'hr
Inspections for which no fee is 90(10t hr
CCB Lie.: �(o Electrical Lie.: C ,� Supry Lie.: o5 5 specifically listed, hr mins
Suprv.Electrician signature,required: ELECTRICAL PERMT FEED
_ Subtotal:
Prin[name: r Kr -�� atz: Plan review l25%of Permit fee):
--- SIaIe surcharge(12%of permit
Authorized signatur . -�Sk ,4 TOTAL PERMIT FEE:
Print name: � 1 Date: This permitaayseter chairs enaccepte wnot obtained within 180
L'•(�2 LJ\oS2.4 1 . day's after it has been accepted as romplete.
11 • Number ofiuspecrinns allowed per permit.
I Buil6A0Perm1¢ELC Pemieipp ELREREdw Ro 05r J,2011 a (346i5Tp1,05CO1trwFB
IL
' Mechanical Permit ApplicationFOR OFFICE (ISE ON IA
• Received 't
City of Tigard DatelBy: Permit No.: 5 [5-Gt)aZ aZ
• 13125 SW Hall Blvd.,Tigard,OR 97223
Play Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By Other Permit:
Inspection Line: 503.639.4175 \�1� ` Date Ready/By: rude. RI See Page 2 for
Internet: www.[igard-Ot.gOv Notified/Method: Supplemental Information
TYPE OF WORR Q COMMERCIAL FEE- SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
W®New construction El Addition/altera a Iperformed.Indicate the value(rounded to the nearest dollar)of all
F-1Demolition ElOther: ���. mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES-
I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checktist
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
// �Y /7// Air conditioning1 46.75
Job site address of e s-(r✓ 6 ! ZN ✓G Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: I�' OR 97223 Furnace 100,000+BTU ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32 ISI
Cross street/directions to job site: H dronic hot waters stem 23.32
Residential boiler(radiator or
h dronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for my of above 23.32
Subdivision: `-� $T�
/- Lot no.: Other. 23.32
�/q/� �/ �G E C. 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 as 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vend 23.32
Other: 23.32
® PROPERTY OWNER ❑ TENANT
Environmental exhaust and ventilation:
Name:LENNAR NW,INC Range hood/other kitchen
equipment I 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/crawls ace 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 99m 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
Range
E-mail:POPPermitsQLennar.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: G 1-12O'i i (t Other:
� MECHANICAL PERMIT FEES*
Address: j' /STO / L L3/ TI 4 W Subtotal
City/State/ZIP: b y'!Q Q Minimum permit fee($90.00)
/� Plan review(25%of permit fee)
Phone:(50_V 6 �O 7 / .3� Fax'(Spy) (Y /7— /C / State surcharge(12%of permit fee)
CCB lic.: 2 06 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
���3 days after it has been accepted as complete.
Authorized signature: �� 1`;ucYl 4 • Fee methodology set by Tri-County Building Industry Service Board
Print name: Pt 814� �� Date: 9,16 • 15
I kauildiagTem itsU¢C_Pae i[App 040113 doe 4404617r(11/02/C01MVEB)
Plumbing Permit Application
,$ulilding Fixtures �(Q111111161101
City of Tigard �`�" Received
PemutNo.: "-0V4ZXQ
• 13125 SW Hall Blvd.,Tigard,OR 97223�(�� h
. Q� Plan Review
mistwi
Phone: 503.718.2439 Fax: 503.598 ) `L pO Icy; Other Permit No.:
Inspection Line: 503.639.4175 // r �' r�Q.T` ate ReadyBy: Jum: S See Paget for
Internet www.tigard-or.gov �J \V �� Notified/Medoul Suppleas 'I Information
TYPE OF WORK Q FEE" SCHEDULE
®New construction For special in ormatlon use checklist
Description I Qty. I Ea. Total
❑Addition/alteration/replacement ❑OthdV 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 ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building ElMulti-family
SFR(3)bath 1 500.32
Each additional bath kitchen 25.02
❑Master builder ❑Other: Fire sprinkler C_sq.ft.) Page 2
JOB SITE INFORMATION/AND LOCATION Site utilities:
Job site address: OO SB SW 6 7 H 4✓E Catch basin or area drain 18.76
Drywall,leach line,or trench drain 18.76
City/State/ZIP: Q� d 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.:
Subdivision: S - X57 ES Lotno.. 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 ❑ TENANT Expansion tank 12.51
Name:LENNAR NW,Inc Fixturcisewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 11807 NW W Street,Suite 1170
Garbage disposal 1 25.02
City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02
Phone:(360)258-7900Fax:(360)258-7901 Ice maker 1 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:LENNAR NW,Inc Medical gas(value:$_) Page 2
Primer 12.51
Contact name:Charles Webb
Roof drain(commercial) 12.51
Address: 11807 NW 990 Street,Suite 1170 Sink/basin/lavatory 5 25.02
City/State/21P:Vancouver,WA 98682 Solar units(potable water) 62.54
Phone:(360)258-7900 Fax::(360)258=7901 Tub/shower/shower pan 3 12.51
E-mail:PROPermits$Lennar.com Urinal 25.02
Water closet 3 25.02
CONTRACTOR
�7
Water heater 1 37.52
Business name: L C O T% A_u Al 13 64e0 Water piping/DW V 56.29
Address: /07 f-,wlcC.
p'yaLM
U /341,4 /Y!f r: 25.02
City/State/ZIP: 744 &r OSP ! / 0 60 Subtotal
Minimum permit fee: $72.50
Phone:(56�)��'7 (7 +� L k7 Fax:(y0,3) r- W Plan review (25%of permit fee)
CCB Lic.: 2 Plumbing Lie.no.:
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Date: 2.16- This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete
'Fee methodology set by Tri-County Building Industry Service Board.
I kBuildingNe,miuTLMIJ-Pe uApp.doc 10/0IN9 440-0616T(10/0VC011 13)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Residential
Building Permit #: 5y ao i s-c sty a K.l
Site Address: /
Project Name: 6Y+ k_ S796r Lot #:
(New dwelling=subdivision name,.Addition or,Unration=last name of owner)
Planning Review
Proposal: ,{AEU-d S
<f7-Verify Site address/suite # exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes >No
Site Plan Elements:
,Three (3) copies of site plan Existing structures on site
Site plan must 12.Q on 8-1/2"x 11"or 11 x 17"paper 2footprint of new structure (including decks)with finished
112nrawn to scale (standard architect or engineer scale) floor elevations
'�__;Aorth arrow L'tilin-locations (required for new,may apply for additions)
_,25ite address,project or subdivision name and lot number Location of wells/septic systems
.PT^\pphcant information (name and phone number) .2'1'.rosion control (including drainage-wac protection, silt fence
,2'Lot dimensions and building setback dimensions design,location of catch basin,etc.)
—' Loi area,building coverage area,percentage of coverage andreet names
impervious area (applicable if R 7,R-12,R-25& R-40) ,treet tree size,type and location
.E�mperry comer elevations (2 foot contour lines if more than )2rxisfing trees to be retained with drip line,and tree
4 foot differentialprotection measures
-Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Ycs,applicant was notified IO\o Received: ❑ Yes ❑ No
2-Public Facilities Improvement (PFI) Permit:
Required: P_Ycs,applicant was notified ❑ No Applied For: /2 " Yes ❑ No,stop intake
Land Use Case #: (3 ZOly- p �
Zoning: y,
❑ Setbacks: Front 20 Rear Side 5- Street Side X1)/} Garage
"-n Landscape Requirement: 'W
— 3- Lot Coverage Maximum: fl/T
I uilding Height: Maximum I leight Actual I leight .Z 3
;�'tsual Clearance
Easements
�E Sensitive Lands: ❑ Yes -ET-No 1'ype
,8 Urban Forestry Plan
Conditions "Met" prior to issuance of building permit
Notes:
Approved By Planning: g Date: /.Z —Y— 15
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
]:,Building Forrns'BldgPemtitRvw_RES_070915.docx
Building Permit Submittal
Original Submittal Date: 5- R/j
Site Plans: #
Building Plans: #
Building Permit#: G7-hVFer building permit# above.
Workflow Routing: Q-Ding 9--Engmeering 94-�rffut Coordinator e❑_j$iilding
Workflow Sign-off: Goff for Planning(include notes from planning review)
Route Application Documents: D-rngineering: (1) copy of permit application, (1) site plan, (1) building plan and
on . al plan review routing form.
Lng: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date:
E
ngineering Review
,YJ Slope at building pad: .2
Conditions "Met"prior to issuance of building permit
/�
r��Easements (encroachments) per engineering conditions of approval and plat
\Vater Quafitp/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:
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:
114DC Fees Entered: Wash Co Trans Dev Tax: ,-2yes El N/A
❑
Tigard Trans SDC: / Yes *'4V/A
Parks SDC: Yes ❑ N/A
f�OK to Issue Permit
/Approved by Permit Coordinator: �� Date: /Jl / _5//
I:`.Building`.Forms`,BldgPeimnRvw_RES_070915.docx -
/fits - 0v-211z
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.
H 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 Hall Blvd. . Tigard, Oregon 97223 • 503.639.4171
U
;B City of Tigard
TIGA t Accela Refund Reques t
This form is used for refund requests of land use, development engineering and building permit
application fees. Receipts, documentation and the Request for PermitActio 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 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 can 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.le: 2300000-43104 Refund
Washin:ton Coun Trans.ortation Development Tax 405-0000-43320 $Amount
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
,898{00
TOTAL REFUND: 43 •
APPROVALS: SIGNAT ..i_S DATE:
If under $5,000 Professional Staff 1afillinf .
If under $12,500 Division Manager j��/&
If under $25,500 Department Manager
If under $50,000 City Manager /L4
,014.4. 6Q--
If over$50,000 Local Contract Review Board BOE5 iv o r-
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: IIMZEFAMINIII B : ajar-
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
10088 SW 67TH AVE, TIGARD, OR, 97223
Residential - Master Permit
399 Plumbing final
PASS
MST2015-00242
Chip Barnett
Violation Summary:
Inspector Contractor