Permit (144) a CITY OF TIGARD MASTER PERMIT
'`�! s COMMUNITY DEVELOPMENT Permit#: MST201500260
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/22/2016
Parcel: 1S136AA12800
Jurisdiction: TIGARD
Site address: 10282 SW 67TH AVE
Subdivision: OAK STREET ESTATES Lot: 23
Project: Oak Street Estates, Lot 23
Project Description: New SF
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: $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
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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 Tvaes 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>=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 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: $23,268.25
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: '<e Permittee Signature: 1A/ ii /fie-/C'-770'/
Call 503.639.4175 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.
. ` Building Permit Application
�E LE �� , J /S.-
Residential
S
Residential ' `E � u FOR OFFICE USE ONLY
City of Tigard DEC 2 2 015Received ., Permit N .. r
` 'i 13125 SW Hall Blvd.,Tigard,OR 972231 111
1 Plan Revie��� �� a • //J70/f. a 0
Phone: 503.718.2439 Fax: 503.5�q�+j ' TIGARD DateBy: ] ] Other Pernyt;S() O1�D/90
Ci�"f T 1 I��r1'atJ `�
TI G A R U Inspection Line: 503.639.4175 I`` , Date ReadyBy: Juris: I Ed See Page 2 for
Internet: www.tigard-or.gov BUILD11 t—���,la��r11'� Notified/Method: ?/� f�Q /1� Supplemental Information
iiIi .h l Cad , (.1.3 d- C .u-1'4
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this applicatiQk
3AA t 1 4 $ I 4..`--0
® 1 Valuation:
and 2-family dwelling ❑Commercial/industrial J )
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2.
Job site address: /i)2 S 2 S' G, 77i 4/L New dwelling area: 2J 448 square feeta4--i'
City/State/ZIP: Ti c3 A2� 5-
, OR q 7Z 2 3 Garage/carport area: Z 3 square feet I
Suite/bldg./apt.no.: Project name: te /ceel � J (.41-0)-3 Covered porch area: 73 square feet; ,c)
Cross street/directions to job site: � Deck area: square feet) J t 8
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 7q/( .57 '( T z..7..-s7-47-67-5 I Lot no.: 2 3 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 0 TENANT Number of stories:
Name:LENNAR NW,Inc. Type of construction:
Address:11807 NE 99th Street,Suite 1170 Occupancy groups:
City/State/ZIP:Vancouver,WA 98682 Existing:
Phone:(360)258-7900 Fax:(360)258-7901 New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Lennar NW,Inc. (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Charles Webb
Address:11807 NE 99th 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 received:
E-mail:PORPermits@lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: /9 53 O
Total fee due upon application: $201.60
Authorized signature:
Reelzr
/` '`" / 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: /1/c �,/ S2,--y./.3S2,--y./.37 Date: i 2-/ _/S Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
i
i v
- Electrical Permit Applica l 1 01.z 01 1 1( i-: ( til. 1)\1.1
Ilpi 1 2 0 1 5 Received
City of Tigard DEC 2 B Permit No/y ,/� ,v? 0
g Date, v: i L �
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
i r'n Other Permit:
Phone: 503.718.2439 Fax: 5U3(5�18I1116A- Date/B
Inspection Line: 503.639.4175* } i 0 r`! Date ReadyiBy: loris" 0 See Page 2 for
Internet: www,tigard-or-goe Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
Please check all that apply(submit 2 sets of plans wlitems checked below):
❑New construction 0 Addition/alteration/replacement
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at ISO volts or 0 Floating buildings.
less to ground,or exceeds 14.000 0 Commercial-use agncultural
❑ I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
0 Emergency system, larger separately derived system.
JOB SiTE.INFORMATION AND LOCATION 0 Addition of new motor load of
Job no.: Job site address: %0282. Sjv 6 7 ,4k'L Iixor ormore, Recreationalocceatio .
77-ft 0 Six or more residential units. ❑ vehicle parks.
CityiState/ZIl : �``, g,� QR 9 7Z 23 ❑Health-care facilities.s. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: 0 Service or feeder 600 amps or more.
FEE:SCHEDULE -
Cross street/directions to job site: Description I Qtr. 1 Fee. -- Total 1 '
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: / �' S 2 3- Lot no.: 1,000 sq.ft.or less 168.54 4
�p 5.-:?=p6-6_,- t/S//9� Es.add'1500 sq.ft.or portion 33.92 1
Tax map/parcel no,:
Limited energy,residential 1 75.00
DESCRiPTION:OF WORK (with above sq.ft) J
Limited energy.multi-family
residential(with above sq.ft.) 75.00
Renewable Energy 0 See Page 2 _
Services or feeders installation,alteration,and/or relocation
•
r.' PROPERTY OWNER - 0 TENANT. 200 amps or less ) 100.70 _
201 amps to 400 amps 133.56 2
Name: a J1 , Y A 401 amps to 600 amps 200.34 2
Address: �jr�} �� 601 amps to 1.000 amps 301.04 3
1180—T
• • ' 5-t,.;
` Over I,000 amps or volts 552.26 2
4bilaD
Cin:/StaterZlP: VQ k(' (l vp / �� 602 Temporary services or feeders installation,alteration,and/or
Phone: ti�) )g---0-
51 L—�w1tctOo Fax:( )a 1101 relocation0ams
�J 200 amps or less 59.36 1
Owner installation:This installation is being made on property that 1 own which is not ,
201 amps to 404 amps 125.08 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
)‹APPLICANT 0 cortfAC3.PERso.N: A.Fee for branch circuits with
above service or feeder fee.
Business name: Le, �� I/ N 1 ' [ e each branch circuit 7 a2 2
1 V V N �' B.Fee for branch circuits without
Contact name: f n ��/� q service or feeder fee,first
t l�(lea,i L/" �� branch circuit ?6.18 2
Address: `\, V t N . C' •* 1 I lo Each add'1 branch circuit 7.42 2
w t '�- Miscellaneous(service or feeder not included)
City,State.2IP: n,/3�t•�t��� t ' ct( 1191?
�V W (/ Each manufactured or modular 67 84
l� dwelling„service anti or feeder
Phone: � ) � �J Far :�(�/' �� ----/401
Reconnect only 67.84 2
E-mail: Pp e np`rmi-K g, left({ , C O/cl Pump or irrigation circle 67.84
CONTRACTOR . Sign or outline lighting 67.84 2
Businessname:??0�p� 1Aa`t1;G C C.c, '' '� Signal terat(s)orlimited-ener¢v See
panel,allteration,or extension. Paso 2 2
Address: L\ 3 ' , c - Each additional inspection over allowable in any of the above
� �f Additional inspection(1 hr mm) 66.251 hr
Ci1yiState/ZIP: o(* __ O – CT Investigation I 1 hr min) 66.25 fir
Phone:( c7 ) 5-3`v" t Fax:( 1 industrial plant(i hr min) 78.18'hr
Inspections for which no fee is 90.00'hr
CCB Lic.:aCysen 6 Electrical Lie.: C VI) Suprv. Lic,:S 305 5 specifically listed(%2 hr min)
2? ,, ii
ELECTRICAL PERMIT FEES
Supra.Electrician signature,reuired: _ Subtotal:
Print name:if/� r ate: Plan review(25%of permit fee):
`IG k - 2:4� , --- State surcharge(12%of permit fee):
I Authorized signstur �00&.!;A:_.,C TOTAL.PERMIT FEE:
Print name: �s 1��Q�� v
\ rThis permit application expires if a permit is not obtained nithin 180
�`������ I Date: days after it has been accepted as complete.
+ Number of inspections allowed per permit.
I,Ruildirc+PermiesELC Permit4pp ELR_ERE doe Rev 05121-20 i 3 440-4G 15TIIl;OSCOSUWEB
i
�'eceived
• r� f, f� FOR OFFICE USE ONLY
Mechanical Permit Application i t; , 'iI-:. ,1
'I�
City of Tigard ``� Date/By: Permit No.: �n/
0 13125 SW Hall Blvd.,Tigard,OR 97223 DEC 2 1 2015 Plan Review ��O
Phone: 503.718.2439 Fax: 503.598.1960DateBy: Other Permit:
� -; 'O,-�y r-Inspection Line: 503.639.4175
T l G A R D C I t Y t- pr.;n 1!rate Ready/By: Juris: B1 See Page 2 for
Internet: www.ti ard-or. ov r-; % r+:,,,,L g g +x ;. !rate
Supplemental Information
L.'i. .si
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTIONRESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
/ Air conditioning P 46.75
Job site address: /0 2 S 2 8 6 11/ 777./ ✓L Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: 7 6,�R r R 972-2..g Furnace 100,000+BTU(ducts/vents) 54.91
L I J Heat pump 61.06
Suite/bldg./apt.no.: Project name: 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
Other: 23.32
Subdivision: 4-1,24/1, ���L E 7 s 7-47-6-5 Lot no.: 23
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 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/crawlspace fans 23.32
0 APPLICANT 0 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 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)
Business name: •{�// -1 Other:
Wo D L c a r / L(,(��r1 l/v MECHANICAL PERMIT FEES*
Address: /o75 W. Hisre) (,RIC O G Gine/4 M v /2 My, Subtotal
City/State/ZIP: R0 ci!i 4 L G OR 97060 Minimum permit fee($90.00)
(( J Plan review(25%of permit fee)
Phone:(3 p3) 6 67_/78/4-17.3oi Fax:(5-03 ) 64 7_ 989/ State surcharge(12%of permit fee)
CCB 1ic.: J/ 2 2 2 O G 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: atie044 * Fee methodology set by Tri-County Building Industry Service Board
Print name: ai�r �Witig VDate: q,/6 , /5
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
• Plumbing Permit Applicgn
i-�• :�. ':::f,1. !{-,71,,-1
• Building Fixtures
I �R-p- ,'
`,.. =- ' i-_Li FOR OFFICE USE ONLY
City of Tigard _ Received Permit No.
/ 1 `� 2015
Date/By: '!J Tcj26y.S(0,200
a 13125 SW Hall Blvd.,Tigard,OR 9 2 3
, Plan Review
' 0Phone: 503.718.2439 Fax: 5 „' Date/By:
Other Permit No.:
Inspection Line: 503.639.41 t" " pDate -
TIGARD Ready/By: Juris: Ed See Page 2 for
Internet: www.tigard-or.gov <->t t... �o ;'<. L.)i a i to �
Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction D Demolition For special information use checklist.
Description I Qty. Ea. Total
❑Addition/alteration/replacement 0 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
SFR(3)bath 1 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
/ Catch basin or area drain 18.76
Job site address: /U (D 2 8 2 S�/ 777,1 4VL Drywell,leach line,or trench drain 18.76
City/State/ZIP: / R 1)
R , 0 R C� 7 2 2 ? Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I I 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: 04 kr .S - L5 jJ76S I Lot no.: 22 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 I 0 TENANT Expansion tank 12.51
Name:LENNAR NW,Inc Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:11807 NW 99th 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 0 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 99th 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
i. / Water heater 1 37.52
�W
Business name: o L C 0 77 PLUM 13(A79 Waterpiping/DWV WV 56.29
Address: /lj 75 w. /it 570/e/C 624um/3m Rrlfe 41pr: 25.02
City/State/ZIP: -WOG[744465 em2 970‘Q _
Subtotal
Minimum permit fee: $72.50
Phone:(563)66 7.-/79( ,,,,73g'` Fax:(5-63) 6 4 7_ ?ENS Plan review (25%of permit fee)
CCB Lic.: // 22 2 00 Plumbing Lic.no.:,26 824 P8
/ State surcharge(12%of permit fee)
Authorized signature: e 3 JG4�ff�leri9 TOTAL PERMIT FEE
PThis permit application expires if a permit is not obtained within 180 days
Print name: C�/---7-,.. D���,(/ Date: �,' after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
•7 City of Tigard
I'111S
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: rIcri-c2p/S.- l70..26 O
Site Address: , ag S' i c ' /1/e
Project Name: QQJ• '.S�j Es?7W _ Lot #: rQ3
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: A/g{,U ,`.i
'Verify site address/suite# exists and active in permit syste,ol.
Ol//Viver Terrace Neighborhood: ❑ Yes V No
Sit Plan Elements:
ree (3)copies of site plan Ni'xisting structures on site
e plan must be on 8-1/2"x 11"or 11 x 17"paper IPA Footprint of new structure(including decks)with finished
awn to scale(standard architect or engineer scale) oor elevations
orth arrowq3e[JUtility locations (required for new,may apply for additions)
��
.te address,project or subdivision name and lot number �U ..cation of wells/septic systems
P
(name licant informationandphone number) 7�
Erosion control(including drainage-way protection,silt fence
Lot dimensions and building setback dimensions sign,location of catch basin,etc.)
1 Illi ot area,building coverage area,percentage of coverage and l reet names
impervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location
6CJ Property corner elevations (2 foot contour lines if more than isting trees to be retained with drip line,and tree
4 foot differential) protection measures
oftClean Water Services-Service Provider Lett (lot platted prior to 9/10/1995):
1Required: ❑ Yes,applicant was notified No Received: E Yes ❑ No
NJ Public Facili ' s Improvement(PFI) Permit:
FiRequired: Vil Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake
•Land Use Case#: SlOJI-I-cC r_)/
oning: le-4, c--
tz Setbacks: Front c2C) Rear A`- Side 5 Street Side /c- Garage Q
Landscape Requirement: 0/0
i t!' ot Coverage Maximum:
t' Building Height: Maximum Height 3) Actual Height d 3
1 I1°Visual Clearance
IC''Easements
4ensitive Lands: ❑ Yes �No Type
up
dijrban ForestryPlan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: _a,,,�-- ^_— Date: it <
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\B ldgPeimitRvw_RES_070915.docx
Building Permit Submittal
Original Submittal Date: 402/2Vt_.5/-
Site Plans: # 3
Building Plans: # .3
Building Permit#: ['Enter building permit#above. ��
Workflow Routing: [ Planning Engineering 'ermit Coordinator t7 Building
Workflow Sign-off: ®'Sign-off for Planning(include notes from planning review)
Route Application Documents: 42- Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Er-Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: /4/2.05-
Engineering
4/2. 5Engineering Review
71 Slope at building pad: (e?
,Zr 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: El Yes ❑ No
Assess Water Quantity Fcc in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
El NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: jrt��, Date: /� --•L5-'
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
El Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
,QRevision Notice 3: Date Sent to Applicant:
(J SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes El N/A
/ Tigard Trans SDC: ❑ Yes (N/A
Parks SDC: �' Yes ❑ N/A
OK to Issue Permit
�� Date: � �� �5
Approved by Permit Coordinator:
l:\Building\Forms\B1dgPennitRvw_RES_070915.docx
s T,ZOl .-+ Oul-CrAc6T
aj
TI CARD
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,
?le
Dianna Howse
Building Division Services Supervisor
Enc.
13125 SW Hail Blvd. • Tigard, Oregon 97223 4 503.639.4171
1 4
•
City of Tigard
TIGARD Accela Refund Reques t
This form is used for refund requests of land use, development engineers ng and building permit
application fees. Receipts, documentation and the Request for Permit Actio form (if applicable)must
be attached to this request form. Refund requests are due to Accela Ssystem 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 care be applied and all SDC
fees paid by developer shall be refunded.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No.
Exam.le: Building Permit Fee Example: 2300000-43104 Refund
Washington County Transportation 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
X1,898:00 y
vJ J/V
TOTAL REFUND: _U337149706
APPROVALS: SIGNAI,T S DATE: 03-?•0-0
If under $5,000 Professional Staff Apr . C
fit// -
If under$12,500 Division Manager j9�/&
If under$25,500 Department Manager
If under $50,000 City Manager p` • •
If over$50,000 Local Contract Review Board jOES �
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date:
Mr/62
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
10282 SW 67TH AVE, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
November 14, 2016 at
10:12:37 AM
MST2015-00260
Jeff Grove
Violation Summary:
Inspector Contractor
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
10282 SW 67TH AVE, TIGARD, OR, 97223
Residential - Master Permit
399 Plumbing final
PASS
November 14, 2016 at
10:11:35 AM
MST2015-00260
Jeff Grove
Violation Summary:
Inspector Contractor
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
10282 SW 67TH AVE, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - C of O
November 14, 2016 at
11:15:04 AM
MST2015-00260
Jeff Grove
Violation Summary:
Inspector Contractor
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
10282 SW 67TH AVE, TIGARD, OR, 97223
Residential - Master Permit
699 Mechanical final
PASS
November 14, 2016 at
10:12:06 AM
MST2015-00260
Jeff Grove
Violation Summary:
Inspector Contractor