Permit (193) CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permits: SWR2015-00171
. s 13125 SW Hall Blvd.,TTigardDate Issued: 01/06/2016ard OR 97223 503.718.2439 Parcel: 1S136AA11900
Jurisdiction: TIGARD
Site address: 10088 SW 67TH AVE
Project: Oak Street Estates,Lot 14 Subdivision: OAK STREET ESTATES Lot: 14
Project Description: New SF.
Contractor: Owner: LENNAR NORTHWEST INC
11870 NE 99TH ST, STE 1170
VANCOUVER,WA 98682
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/24/2015 $5,100.00
Sewer Inspection-Residential 12/24/2015 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $5,135.00
Required Items and Reports(Conditions)
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 co of as r direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
r
Call 503.639.4175 by 7:00 a.m.for the next available inspection te.
This permit card shall be kept Ina conspicuous place on the job site until comp) on f the project.
Approved plans are required on the job site at the time of each inspec
CO FK.111
R � � : r 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: ►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.
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,
.16 .48
Dianna Howse
Building Division Services Supervisor
Enc.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
IV City of Tigard
TIGM Accela Refund Reques t
This form is used for refund requests of land use, development engineeririg and building permit
application fees. Receipts, documentation and the Request for Permit Actio.o.z. 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: 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 c
an be a
lied and all SDC
fees paid by developer shall be refunded. PP
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No.
Exam.le: Building Permit Fee Example: 2300000-43104 Refund
Washin:ton Coun Trans.ortation Development Tax 405-0000-43320 Refund
$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
_21490430 •
TOTAL REFUND: 4333;449701
APPROVALS: SIGNAT S DATE: 3 6Fi 0_5-?.G'7J
If under $5,000 Professional Staff d �� yq4/---
///
If under$12,500 Division Manager _3/9//&If under$25,500 Department Manager
If under$50,000 City Manager
If over$50,000 Local Contract Review Board 21)OES iu0 y-- �f,L
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
I Case Refund Processed: I Date:
3��7//_62 I By: I .e !