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Permit (176) .. CITY OF TIGARD MASTER PERMIT III COMMUNITY DEVELOPMENT x R�' Permit#: MST2015-00241 T1GA D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 FIITABEN Date Issued: 01/06/2016 Parcel: 1/06/2 A11800 Jurisdiction: TIGARD Site address: 10052 SW 67TH AVE Subdivision: OAK STREET ESTATES Lot: 13 Project: Oak Street Estates, Lot 13 Project Description: New SF. 3/27/2016: Demo credits applied from BUP2015-00091. 7/7/16: Reprinted permit to include A/C unit. Placement of NC unit must comply with manufacturer's installation BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1198 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1250 sf Garage: 523 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2448 sf Value: $299,252.25 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: 1 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 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 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: $15,079.50 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 oft ules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 1 a Issued By: Permittee Signature: p.CQ£ Call 503.63 175 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. CITY OF TIGARD MASTER PERMIT s y COMMUNITY DEVELOPMENT Permits: MST2015-00241 Datelssued: 01/06/2016 . s 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136AA11800 '. Jurisdiction: TIGARD Site address: 10052 SW 67TH AVE Subdivision: OAK STREET ESTATES Lot: 13 Project: Oak Street Estates, Lot 13 Project Description: New SF. BUILDING Floor Areas Repulred Setbacks Reculmd Stories: 2 Bedrooms: 4 First 1198 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height 23 Bathrooms: 3 Second'. 1250 sf Garage: 523 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total'. 2448 sf Value: $299,252.25 Rear: 15 PLUMBING Sinks: 1 WaterClosets: 3 Washing Mach: 1 Laundry Trays. 0 Rain rain: 1Urinals: Lavatories: 5 Dishwashers: i Floor Drains. 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Clap: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckfiw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 DrywelkTrench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heal Pump: N Hoods: 1 Other Units: 0 Furn<1001<: 1 Vents: 0 Wbodstoves: 0 Gas Outlets: 4 Fum>=1001<: 0 ELECTRICAL Residential Unit Service Feeder Temp$mc/Feeders Branch Circulb 1000 sf or less: 1 0-200 amp 0 0-200 amp: 0 W/Svc or Fdc 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 401600 amp: 0 601-1000 amp: 0 60i+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 Descriplioo, 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 Emn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: PHONE: 360-216-6423 FAX 360-258-7901 Total Fees: $23,140.14 This permit is issued subject to the regulations contained in the Tigard Municipal Code, Stale of OR. Specially 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. se les are set forth in OAR 952-001-0010 through 0 952-0 -009 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 00.332. Issued By: 1/J V�'�--� Permittee Signature: Call 603.639.4175 by 7:00 a.m.for the next available inape on date. This permit card shall be kept In a conspicuous place on the job sae and completion f the project Approved plans are required on the job site at the time of ea inspectl Building Permit Application ' Residential Received City W Tigard CENED DateB : 17 I S Permit No.:/ ?9- Q�S- 13125 SW Hall Blvd.,Tigard,OR @fie plaz RmeW • Phone: 503.718.2439 Fax: 503.y�8 DatJB : Other Permit IS- Inspection Line: 503.639.4175 p 2015 Date Ready y: orris: See Page2lor Internet www.tigard-or.gov p-C •l Notified/Method: /2 / Supplemental laforma8ou D TYPE OF NASI REQUIRED DATA:1-AND 2-FAMH.Y DWELLING ®New construction emolition Permit fees'are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteratioiVreplacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this appl' tion. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ ' 4(� Number of bedrooms: ElAccessory building ElMulti-family ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10062 SW G 77?v- l/L New dwelling area: 2 s square feet;tg 7 ' City/State/ZBs: T R R l7 U'e 97223 Garage/carport area: square feet Suite/btdg./apt.no.: Project name: Covered porch area: 3le square fee[lelsb Cross street/directions to job site: Deck area: square feet 9 17 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: �,� S --T '.S AT=5 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 991h Street,Suite 1170 Occupancy groups: City/State/ZUs:Vancouver,WA 98682 Existing: Phone:(360)258-7900 Fax:(360)258-7901 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES` Business name:Lennar NW,Inc. Plearerefer to ferschedute Structural plan review fee(or deposit): Contact time:Charles Webb FLS plan review fee(if applicable): Address: 11807 NE 99`"Street,Suite 1170 City/State/ZIP:Vancouver,WA 98672 Total fees due upon application: '. Phone:(360)258-7900 Fax::(360)258-7901 Amount received: E-mail:PORPermits@lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES- Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. 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:( ) Stale surcharge(12%of permit fee): $21.60 CCB]ic.: ej 3 b Total fee due upon application: $201.60 Authorized signature: /✓ This permit application expires if a permit is not obtained l within 180 days after it has been accepted as complete. Print name: t L Date: G _ 3- S 'Fee methodology set by Tri-County Building Industry Service Board. 1:IBuilding\PermitslBUP-RESPennitApp.doc 02/242011 440-4613TH 1/02/COM/WEB) Electrical Permit Application RECEIVE Received City of Tigard Permit No: 15 Date,Bv. 37'I�oK'—�,v?1+1 13125 SW Hall Bird..Tigard,OR 97223 C C 9 LO Plan Review Phone: 503.718.2439 Fax 503 598.1960 DL elB, Other Pontile Inspection Line: 503.639.4175 .[/ pF TIGA �>'�>': )on. 0 See Paget for Internet: wxvwtigaN-or.gov C,1 7 vrI 'Methods Sapplemeonrinformalloo mODI TYPE OF WO V PLAN REVIEW ❑New Construction Please check.all that apply(submit 2 stns of plans Winans checked belma): ❑Addition/alteration/replacement ❑Service or feeder 400 amps or more 13 Building over du«stories. ❑ Demolition ❑Other: where the available fault corset ❑Minutes and bwryards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. - - less to ground,or exceeds 14.000 ❑Commercial-use agrieubmral ❑ 1-and'_-family dwelling ❑CommerciabindusWal ❑Accessory building amps for all other installations. buildings. ❑ Multi-family ❑Master builder ❑Other: ❑Firepump. O Installation of 150 KVA or ❑Emergency symem. largo separately domed system. JOB SITE INFORMATION l{ND LOCATION ❑Addition ofine motor load of ❑` .-E-,-1-2-.-1-3 Job no.: lob nice address: 190 S i,U h '/' 100 or ore res. Recreation. L� ❑Six or more residential units. ❑Recreational ssln<le parks. CiryiSta[e/ZIP: d Q� 7 �22 [I Health-care facibics. 1:1 Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suits/bldgJapt.no.: Project name: ❑Service or feeder 600 amps«mom. FEE-SCHEDULE- Cross street/dinections tojob site: Fwd T.w New residential single-or multi-tam(ly dwelling unit Includes attached gauge_ Subdivision: - Lot no.: 1.000 sq.ft.or less 16954 s vA s � __- ; ,- i3 Fi sq. porton 33.92 I Tax map)parcel no.: Limited energy,residential � 73,00 0 DESCRLMON'OF WORK (with above .ft) - Limited energy.multi-family 7500 residential with above sq.ft.) - Renewable Eaergy ❑ See Pattie 2 Servle-or feeders installation,alteration,■ndfor relocation PROPERTY ota-UR ANT - 200 amps or Tess 100.70 _ 201 amps to 400 amps 133.56 2 Name: Y 401 amps to 600 amps 1 20034 Address: NEI �h 601 amps to 5,000 amps 301.04 2 / V /� Over 1.000 amps or vola 552.26 2 City/Stale;ZIP; Jana I qIma -{� Temporary services or feeders installation,alteration.and/or Phone: O )05 V��- C]0 Fax:(� )959') --1-101 "Intention 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not201 amps to 400 amps 125.08 2 intended for sale.lease.rent or exchange.according to ORS 447.449.670,and 701. Ooh amps to 599 amps 168.54 1 1 2 Owner signature: Date: Branch circuits-new,alteration,or extension,Per mel APPLICANT CONTACT PERSON A.Fee for branch circuits with -' "- above service or feeder fee IX,. each branch circuit 7A2 Business name: - B.Fee for branch circuits without Contact name: service"feeder fee,first 56.18 l /� branch circuit - Address: �sv Each add'I branch circuit 7.42 2 Cilc'S[a[crZIP: Miscellaneous service or feeder not included Foch manufactured or modular 6784 x Phone:( ) Fax; ; - ` �-7 Jwe1h senicY and.nr feeder - J 6 Reconnect only 67.84 2 E-mail: C Pump or irrigation circle 67.84 CONTRACTOR Sign or outline lighting 67.84 Business name: WP-<t. ;GNCGk.0 Signalcircuit(s)orlimited-energy See ' panel,alteration,or extension. Page 2 Address: Q' R - Each additional inspection over allowable in anv of the above Additional inspection(h hr min) 66.251 hr UnvSta(e/ZIP: oC 1 Investigation l l hr min) 66.25%hr Phone'( 7 ) S- Fav:( I Industrial plant(I hr min) 78.18'hr Inspections for which ria fee is 90.00'hr CCB Lic.: t"f 6 Electrical Lic.: C `0 Supry Lic.: 05 5 specifics lv listed(s,hr min) 'ELECTRICAL PERMTf FEES Suprv.Electrician signature, required: Subtotal: Print name:MtCLA- r Kr -.�� ate: Plan review(25%of permit fee): 1 -- Slate surcharge(12%of peril fee): Authorized signatur . 1L` U`U�, TOTAL.PERMIT FEE: Print name: �3,1� �1 Date: This permit application expires if a permit u not obtained within 180 'QQ O`oSE-tet - days after it has been accepted as complete. ' Numbero(inspzctimns allowed per permit. I ftwtdlnrPr ,,UC Penni0py ELR EREdx Rev O59L]UIJ +10.615nil65COxewM Mechanical Permit Application 7Ready/13y: City of Tigard 1�IED Date/By: Permit No.:Al 5 • 13125 SW Hall Blvd.,Tigard,OR 9 V h Phone: 503.718.2439 Fax: 503.598 CEOther Permit: Inspection Line: 503.639.4175 9 2p15 rurtr ® See Page 2 forInterne[: www.[igard-Of.goV EC : Supplemental Information `1AAS TYPE OF W 1v COMMERCIAL FEE" SCHEDULE -USE CHECKLIST Mechanical permit fees•are based on the value of the work ®New construction ❑Addition/alt replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES- ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning r 46.75 Job site address: /00 6-2 -5- 7X VU- Furnace 100,000 BTU ducts/vents I 46.75 City/State/ZIP: AQ d 9 "� Furnace 100,000+BTU ductswents) 54.91 Heat pump 61.06 Suite/bldg./apt no.: Project name: Ductwork 23.32 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 an of above 23.32 Other: 23.32 Subdivision: Qpm .S L E— C.�7�rE Lot no.: ! 3 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 Loa li ter as 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 0 PROPERTY OWNER ❑ TENANT 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/crawls ace fans 23.32 0 APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:LENNAR NW,Inc Fuel piping: $14.15 for first tour;54.03 for each additional Contact name:Charles Webb Furnace,etc. Address:11807 NW 991h 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 RanLe J E-mail:PORPermits@Lennar.com Barbecue CONTRACTOR Clothes dryer as Business name: Other. fi6 L C O"% RWA413JAM MECHANICAL PERMIT FEES- Address: Zi27-5 EES•Address: ,`- W U157-,1RIC COt,64WdIdI Ls W Subtotal City/State/ZIP: —ro /C y'7t. Q Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( Fax:(ip ) // y G 3031 6 (7- 7 t 3B 3 !D / _ ` State surcha ge(12%of permit fee) CCB lic.: 22206 TOTAL PERMIT FEE This permit application expires if permit is not obtained within 180 P PP P Q/�) �� t�,, days after it has been accepted as complete. Authorized signature: ✓ ?12wW'1�/ Fee methodology set by Tri-Cowry Building Industry Service Board OLDate: 19,146 5 LtBeadin,,Temits\daC PermhApp_940113.dm "aa It (iimvcoM/wFe) Plumbing Permit Application 'Building Fixtures cD ry G 7,7b City Df Tigard RrCCEI Pe mitNo.:13125 SW HaII Blvd.,Tigard,OR e172Z3 Phone: 503.718.2439 Fax: 503.598.IQ$a f 011 C.1. Other Permit No.: Inspection Line: 503.639.4175 r mds: ® See Page 2 forInternet wwwtigard-or.gov {1 d: Supplemental Information 'TYPE OF WO G�� FEE* SCHEDULE ®New construction emolition For special informant use checklist Description Q Ea. Total ❑Addition/alteration/replacement ❑Other: 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 ❑Commerciallindustrial SFR(2)bath 437.78 ❑ y SFR(3)bath 1 500.32 Accessory building ❑Multi-famil Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler L_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: -J loo` 2 S /rr77T/J ✓L p Drywall,leach line,or trench drain 18.76 City/State/ZIP: I neo 15)e Z If Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions;to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: Page 2 Subdivision: S ' : 797ES Lot no.: p I J 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 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 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:LENNAR NW,Inc Medical gas(value:$_) Page 2 Primer 12.51 Contact name:Charles Webb Roof drain(commercial) 12.51 Address:11807 NW 99t°Street,Suite 1170 Sink/basin/lavatory 5 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)258-7900 Fax::(360)258=7901 Tub/shower/shower pan 3 1 12.51 E-mail:PROPermits$Lennar.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business dame: ('077 A-Um7j a Water piping/DWV 56.29 Address: /07 W. 1570 LJLU/I7/3/A /Y!f r. 25.02 City/State/ZIP: Po 7v,4 L-" D,? y7060 Subtotal Phone:(S6j) Fax:(jp ) Minimumpermitfee: $72.50 �67-/78 ck� 3 G61- 891 CCB Lic.: Z Plumbing Lic.no.: - Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 19BuildingTamiuIPLW-PermitApp doc 10/01/09 4404616T(l W0VCOM/ m City of Tigard COMMUNITY DEVEI.OPMI?N'I'DEPARTbIEN I' ■ Building Permit Review — Residential Building Permit #: Site Address: P2695�Z Project Name: 09(c S!/Z&-Z�-I E STA 113 Lot #: (.New dwelling= subdivision name;.Addition or Ntcration=last name of own(i) Planning Review Proposal: pr-W sr, > ,2 Verify site address/suite #exists and active in permit system. ❑ River Terrace Neighborhood: ❑ Yes -FfrNo Site Plan Elements: 1��/niree(3) copies of site plan Existing structures on site 4,-n,&,�te plan must 1�on 8-1/2"x 11"or 11 x 17"paper X-ootlnint of new structure(including decks)with finished ,�Klawn to scale(standard architect or engineer scale) floor elevations }.d'N orth arrow Ottilin.locations (required for new,may apply for additions) Site address,project or subdivision name and lot number ocation of wells/septic systems 10-�pplm cant information (name and phone number) rasion control(including drainfrc age- aprotection, silt fence Z .ot dimensions and building setback dimensions design,location of catch basin,etc.) W-21 of area,building coverage area,percentage of coccrage and 12$treet names nZpervious area (applicable if R-7,R-12,R-25& R-40) S treet tree size,Hype and location r'perty comer elevations (2 foot contour lines if more than F.xisting trees to be retained with drip lie,and tree d foot differentialProtection measures E� Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified -L� No Received: ❑ Yes ❑ No 12 Public Facilities Improvement (PFI) Permit: Required: 0--Yes,applicant was notified ❑ No .Applied For: Yes ❑ No,stop intake ,F�"Land Use Case #: O/t/-O�QO .0 Zoning: 2-N S Setbacks: Front ,2p Rear JS Side Street Side qv{q Garage �p t -4a Landscape Requirement: `ff Lot Coverage Maximum: /V/-1 ,ErBudding Ileight-. 'Maximum I[eight �)V Actual I leight a 3 Visual Clearance Easements Or Sensitive Lands: ❑ Yes ErNo 'Type Urban Forestn' Plan C�Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: Date: Revisions (after Building Submt only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved C Building Fonns BldgPennilRew RES 0709l5.doex Building Permit Submittal Original Submittal Date: 14115- Site Plans: # _'_ Building Plans: # q — Building Permit#: 9-115—ter building permit# above. Workflow Routing: anning L -Erofieering �t Coordinator tg Workflow Sign-off: off for Planning(include notes from planning review) Route Application Documents: a—m-meering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. C4ffuildmg: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: -q /r En meering Review ,,{Slope at building pad: b XJ Conditions "Met"prior to issuance of building permit Easements (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: /Z f 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 ❑ N/A �DOOK to Issue Permit 10 01 �Approved by Permit Coordinator: Date: 1:\Bu i(ding\Forms\BldgPeiiritRvw_RES_070915.docx 00SL IN 4. to u 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: i4Check #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. 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 • 503.639.4171 111 " v City of Tigard TIGARi) Accela Refund Reques t This form is used for refund requests of land use, development engineers -jg and building permit application fees. Receipts, documentation and the Request for Permit Actioaz 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 Address/Parcel: V Pay Method: CreditCard arious 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_ Example: Building Permit Fee Example: 2300000-43104 Refund Washington County Transportation Development Tax 405-0000-43320 Amount $ Parks SDC-Improvement 425-0000-43300 $237203.00 Parks SDC-Reimbursement 425-0000-43301 20,203.00 Sewer Connection 500-0000-25500 3,633.00 X1,898:00 S1J0,uJ TOTAL REFUND: ,$833;44970t APPROVALS: SIGNAT S DATE: 33 F 03-Y.lr0 If under $5,000 Professional Staff �� /1/ If under$12,500 Division Manager j9//& If under $25,500 Department Manager If under $50,000 City Manager 4///24.0vOla— If over$50,000 Local Contract Review Board 21,0EPV0 /��f L FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY i Case Refund Processed: Date: 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 10052 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00241 Chip Barnett Violation Summary: Inspector Contractor