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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00268 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2016 Parcel: 1 S 136AA 13100 Jurisdiction: TIGARD Site address: 10377 SW 67TH AVE Subdivision: OAK STREET ESTATES Lot: 26 Project: Oak Street Estates, Lot 26 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1376 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1258 sf Garage: 663 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2634 sf Value: $326,271.35 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 O 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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>=10OK: 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: 5 201-400 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+a mp/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 2634 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: $23,731.38 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 hose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy LQs or direct questions to OUNC by calling 503. 3 . 8 or 1 2.2344. Issued By: Permittee Signature: Ca 9.4175 by 7:00 a.m.for the next available inspection ate. This permit card shall be kept in a conspicuous place on the job site until comp tion of th project. Approved plans are required on the job site at the time of each inspec Building Permit ApplicationRECEIVED Residential DEC 2 2 2015Received cFOR OFFICE USE ONLY City of Tigard Date/By: Permit 0 13125 SW Hall Blvd.,Tigard,OR 9720 ITY OF T I GAR LD Plan Review �p r Other Per�je pZQ/�Q Phone: 503.718.2439 Fax: 503.5cc����gq��oo qq��++r�'//� ��yy��/�� ��� Date/B : / 0 9 "L7VILVING V,tJ.: a Inspection Line: 503.639.4175 Dale Ready/By: Juris !� See Page 2 for Internet: www.tigard-or.gov Notified/Method:/� 40 Supplemental Information TYPE OF WORK REQUIRED DATA:I-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 a7 $ I ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 14-g YG New dwelling area: 9 6 3 square fee13Q11 City/State/ZIP: Z73,q R D1, Q ? 3 Garage/carport area: 3 square feet Suite/bldg./apt.no.: Project name: Covered porch area: 3g square feet IQLS Cross streetidirections to job site: Deck area: square feet 13 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: S _ 7- - }�T=S Lot no.: 2 lj 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 991"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 re er to feeschedule Structural plan review fee(or deposit): Contact name:Charles Webb Address:11807 NE 991'Street,Suite 1170 FLS plan review fee(if applicable): 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* CONTRACTOR Commercial and residential prescriptive ins n 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 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:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 19-5307 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained z4wwithin 180 days after it has been accepted as complete. Print name: l L Date: 1 21 5� *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) 3�V ,,Electrical Permit Application G City of Tigard C 2 2015 Received Permit No. 13125 Sul Hall Blvd..Tigard,OR 9 t' tr , Plan Review 0 1- TIG r a 1 Other Permis: MIR Phone: 503.718.2439 Fax: 50301FA9 p� ptan •: Inspection Line: 503.639.4175 -`I �'j Date Ready.By: lads' B See Page 2 for Internet: wvw.tigard-or.gov NotifiedMethod: Supplemental information TYPE OF WORK .. PLAN REVIEW ❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whurns 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 agris coral ❑ I-and 2-family dwelling ❑CommerciaL/industrial ❑Accessom building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of I50 KVA or ❑Emergency system. larger separately derived system JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A-,-E-,`I-2-."1-3', Job no.: Job site address: 1,0,377 s 7'N ✓t'sIOOHP ormore, occupancy. ❑Six or more residential units. ❑Recreational vehicle parks. CityiState/Zl?: ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suitelbldg.iapt.no.: Project name: ❑Service or feeder 600 amps or more. FEE-SCUMULE Cross street/directions to job site: Das' tion Fee. I Tota New residential single-or multi-family dwelling unit, Includes attached garage. Subdivision: v� 5l�__— 7 _ Lot no.:Z 1.000 sq•ft.or less 168.5 4 Ea add'1500 sq.ft.or portion 33.92 1 Tax mapiparcel no.: Limited energy,residential DESCRIPTION`OE WORK (with above sq.FO j 75.00 2 Limited energy,multi-family 7500 residential with above sq.ft.) Renewable Energy ❑ See Pame 2 Services or feeders Installation,alteration,and/or relocation PROPERTY O'W'NE_R_ ❑ TE-t+4NT. s 200 amps or less 10270 ' 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 C ity,'State,'ZIP: Temporary services or feeders installation,alteration,and/or Phone:) ) — '�® Fax:(,5W)a ��� relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps125.08 2 intended for sale.lease,rent.or exchange.according to ORS 447.449.670,and 701. 401 amps to 599 amps 1 168.54 ) 2 0%%mer signature: Date: Branch circuits-new,alteration,or extension, r panel APPLICANT 13;CONTACT PERSON- A.Fee for branch circuits with above service or feeder fee. 7.42 2 Business name: L"06 K + each branch circuit - B.Fee for branch circuits without Contact name: service or feeder fee,first 56.18 2 branch circuit - Address: N ( Each add'l branch circuit 7,42 2 Cith'StateiZIP: Miscellaneous service or feeder not iaeluded Each manufactured or modular 67.84 2 Phone:( �) Fal; : —16 �-� dwelling,service and:or feeder Reconnect only 67.84 2 E-mail: Corn Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 Business name: Signal circuit(s)or limited-eneren See pec 1� V�Gk.� panel,alteration,or extension. Page 2 ? Address: '`6L1o­-�> _ - Each additional inspection over allowable in any of the above `�I_ Additional inspection(I hr min) 66.25,'hr Cil1:/Stale%ZIP: nt�C7tt1� Investigation I I hr min) 66.25%hr Phone:(�� ) S_� Fal:( ) Industrial plant(I hr min) 78.18'hr Inspections for which no fee is 90.00'hr CCB Lie.: rf Electrical Lie.: C ko Suprv. Lic.: o5 5 s ecificalh-listed(si hr min) ELECTRICAL PERMIT FEES Supra.Electrician signature,required:b" Subtotal: Print name: G r Xr Plan review(2590 of permit fee): --- State surcharge(12%of pennit fee): Authorized signatur . �'VO\vim e TOTAL PERMIT FEE: ` ( This permit application expires if o permit is not obtained within 180 Print name: V�`�JeJ C Date: days after it has been accepted as complete. ` Numbcr of inspections allowed per permit. L Ruildinv.Pcm.ns ELC_PenniL4py_ELR_ERE dx Rev 05,21•]013 • U-4615Th 1!05'COSLWEB l ` • Mechanical Permit ApplicatiobFOR • Received City Of Tigard E—C t` Date/By: Permit No1'1Sr�/ -0096,' v 13125 SW Hall Blvd.,Tigard,OR 97223 n, Plan Review V Phone: 503.718.2439 Fax: 503.598.1960 DEE C 2 2 7';.' �; Date/By: Other Permit: Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov (; j `{ Notified/Method: TSupplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE – USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/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 checldlst. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning l 46.75 Job site address: 7 7 S 7m A Var Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: 7TqI D� `T Z Z Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: H dronic hot water system 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 any of above 23.32 � SLot no.: Other: 23.32 Subdivision: dZG 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 ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen equipment 1 33.39 Address:11807 NW 99"'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 Fuel i in Business name:LENNAR NW,Inc $14.15 for first four;$4.03 for each additional Contact name:Charles Webb Furnace,etc. 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 Range E-mail:PORPermits@Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Wo o L C"°O.r% �L U M 61 MECHANICAL PERMIT FEES* Address: /5Tb / L ,f3/ T! G W Subtotal City/State/ZIP: 7Minimum permit fee($90.00) _.D 7–DAC G 1 7Q Q plan review perm of permit fee) Phone:(391 6 W 7 Fax.(Sp�) �_ `l f State surcharge(12%of permit fee) CCB lic.: 2 (j U 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: �u> 7 * Fee methodology set by Tri-County Building Industry Service Board Print name: A,�/ Date: 9,16 , 5 IABuilding\Permits\.WC_PermitApp.040113.doc 440-4617T(11/02/COMMEB) Plumbing Permit Application`; :_ Building Fixtures r 2615FOR OFFICE USE ONLY L' C 2 Received City of Tigard Permit N � O�f--� (p n 13125 SW Hall Blvd.,Tigard,OR 97 -+ 1p PlanDateRy: g �� jj � ^,1� ;+' ) Plan Review Phone: 503.718.2439 Fax: 503. i96 �., Other Permit No.: l,' � r.,! � Date/By: Inspection Line: 503.639.4175 �.. - Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: I I Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I 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 ❑Commercial/industrial SFR(2)bath 437.78 ElAccessory building ❑Multi-family SFR(3)bath 1 500.32 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: d,j S A Catch basin or area drain 18.76 --� Drywell,leach line,or trench drain 18.76 City/State/ZIP: C! e"A 2 Z'3 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I I roject 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: r S' =- -'S%/�7r�S 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 02 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 99"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 99"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 12.51 E-mail:PROPermits$Lennar.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: L Cd77 PLu/Yt 13 �� Waterpiping/DWV 56.29 Address: 7 J ° 15 7D Cl�G u/h r3/� rr r: 25.02 City/State/ZIP: �!y � L © p � � ^ � ! 70 Q Subtotal Phone:(563)66 7 /76' g> o Fax: Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: 22200 Plumbing Lic.no.:2,,l1� 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. L\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/C0M/WEB) City of Tigard gar COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential Building Permit #: /`'lam T.2-0/.5"- D0.2-G ap Site Address: /0 3 7 7 J ,J / 7 /- ''�� Project Name: a� � � Lot #: (New dwelling=subdivision name;Addition or,\Iteration=last name of owner) Planning Review Proposal: A/e*,0 Sl=e— Verify site address/suite# exists and active in permit syste . lever Terrace Neighborhood: ❑ Yes I No Sly Plan Elements: VJ ree(3) copies of site plan -sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure (including decks)with finished Xrawn to scale (standard architect or engineer scale) FL-or elevations rth arrow Li�J U tility locations (required for new,may apply for additions) VplicS e address,project or subdivision name and lot number cation of wells/septic systems U Vot ant information(name and phone number) Erosion control(including drainage-way protection,silt fence dimensions and building setback dimensions sign,location of catch basin,etc.) t Offi area,building coverage area,percentage of coverage and eet names �mpervious area (applicable if R-7,R-12,R-25&R-40) ,treet tree size,type and location roperty corner elevations (2 foot contour lines if more than O ftisting trees to be retained with drip line,and tree 4 foot differentialprotection measures Olean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: El Yes,applicant was notified No Received: E] Yes ❑ No ,/Required: Facihti�Improvement (PFI) Permit: jZequired: 7 Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake V/Setbacks: and Use Case#: � �Q% oning. �— Front Rear Side 47— Street Side /5— Garage Oftandscape Requirement: of Coverage Maximum: it Building Height: Maximum Height 30 Actual Height -Z23 49 V[Etsual Clearance asements Itensitive Lands: ❑ Yes VIN o Type rban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: —�,c Date: -19 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Bui(ding\Forms\BldgPermit Rvw_RES_070915.doc x Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ Sign-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 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: Engineering Review Slope at building pad: �a Conditions "Met"priorto�ante 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: Of Approved by Engineering: Date: f2.-7 7_/S 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: SDC Fees Entered: Wash Co Trans Dev Tax: rYes ❑ N/A Tigard Trans SDC: ❑ Yes �N/A Parks SDC: `�Z? Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: /` Date: 1:\Building\Fonns\B1dgPennit Rvw_RES_070915.docx U� 7 ? S GJ 7 , 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: ® Check#220393 in the amount of$338,059.00. ❑ Credit card "return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. [7 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 1503.639.4171 U City of Tigard TIGAR Accela Refund Reques t This form is used for refund requests of land use, development engineeriarag 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 99`h 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 d evelopment 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 $237,723.00 Parks SDC-Improvement 425-0000-43300 Parks SDC Reimbursement 20,203.00 425 0000 43301 3,633.00 Sewer Connection 500-0000-25500 ' . 1,898-00 . 261. a did 'elr TOTAL REFUND: ,$33374491)t APPROVALS: SIGNAT 'I�S/DATE: -3cPi ITV If under $5,000 Professional Staff rI < 744- 1/%I/ - ' If under $12,500 Division Manager + j9�/ep If under $25,500 Department Manager If under$50,000 City Manager .- If over$50,000 Local Contract Review Board Z065 A/O FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: 1111WA /G2 By: 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 10377 SW 67TH AVE, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 399 Plumbing final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2015-00268 Inspector: Chip Barnett Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 10377 SW 67TH AVE, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: CWS final erosion approval Moisture content: received I efficiency interior lighting systems form: received Street tree CERT: received Violation Summary: Tel: 503.718.2439 Inspection Date: November 21, 2016 at 9:22:12 AM Record ID: MST2015-00268 Inspector: Chip Barnett Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 10377 SW 67TH AVE, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: November 18, 2016 at 9:42:23 AM Record ID: MST2015-00268 Inspector: Chip Barnett Contractor