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Permit , 4 CITY OF TIGARD MASTER PERMIT $ COMMUNITY DEVELOPMENT Permit#: MST2015-00257 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/22/2016 Parcel: 1 S 136AA12200 Jurisdiction: TIGARD Site address: 10156 SW 67TH AVE Subdivision: OAK STREET ESTATES Lot: 17 Project: Oak Street Estates, Lot 17 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1738 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 1442 sf Garage: 583 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3180 sf Value: $384,181.83 Rear: 15 PLUMBING Sinks: 2 Water Closets: 4 Washing Mach: 2 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 2 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel TYPOS Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 2 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: 6 201-400 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 1 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 3180 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: $25,080.21 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: ON ��G./6'4-770/V 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. .. 111111 , r Building Permit Application Ls 1//s--- Residential SResidential RECEIVED FOR OFFICE USE ONLY City of Tigard Received permit No. DEC.,2f2015- Date/By: IOZ o�oZ //i MS`ro?o���pa?.�7 v 13125 SW Hall Blvd.,Tigard,OR 97223 Plan RevieTO ' C Phone: 503.718.2439 Fax: 503.598.196f�rry � A D DateBy: `"� �� OtberPer �,g�/ �0/��r f I G A IL D Inspection Line: 503.639.4175 ((�� '1 Date ReadyBy: Juris: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION, Notified/Method: � ' lei /87Y Supplemental Information *3140 TYPE OF WORK REQUIRED DATA:1-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._ Valuation3Q0 �. $ 1 Tz7,-6? -0)--- ® 1-and 2-family dwelling ❑Commercial/industrial ) ❑Accessory building 0 Multi-family Number of bedrooms: 4- ❑Master builder ❑Other: Number of bathrooms: 4. JOB SITE INFORMATION AND LOCATION Total number of floors: Z Job site address: /a/ 5-6 _5-14/ 6, 70/ ,4y4-- New dwelling area: 3, /g R p square feet City/State/ZIP: TORR b ) z 9 R 9 7zz 3 Garage/carport area: 5-8.3 square feet Suite/bldg./apt.no.: Project name: Covered porch area: 3a square feet III Z Cross street/directions to job site: Deck area: square feet 1 73 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: r ,9, S7ec 'T 6.-7574 T�5 Lot no.: / 7 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 tofee 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* Commercial and residential prescriptive installation of CONTRACTOR 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.: 'tel `J 3 07 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: e i j �z.". Date: >2-17- 16— Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/20114/ 440-4613T(11/02/COM/WEB) • 6 . f Electrical Permit Applica f a< rf)R 011 1( 1 I \I a)\I 1 City of Tigard r Received DateiBv: Permit Ntl�ff�i5�•00 7 13125 SW Hall Blvd.,Tigard,OR 97 - ,-0I 2 I5 Plan Review i Phone: 503.718.2439 Fax: 503498.1960,,,_ ._ Date/B': Other Permit: 1 ,,nRf) Inspection Line: 501639.4175 (..,a I f ">.,'';" 3 :`,;:;'-'•!:•. Date Ready/By: hues- H See Page 2 for Internet: uww•.tigard-or.gov 1:,,...,;.,.....-!,:,,,„".:, %1 NotifiediMethod: Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply(submit Z sets of plans wiises checked below): ❑New construction 0 Addition/alteration/replacement ❑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 CONSTRUCTIONexceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14.000 0 Commercial-use agricultural ❑ I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or ❑Emergency system. larger separately derived system JOB SITE INFORMATION AND LOCATION 0 Addition of new motor load of 0"A-,"E`,"I-2-,"I-3", Job no.: Job site address: /U/6—C, S 1 Six or or more more. occupancy. !� . I'"&" 0 or residential units. 0 Recreational vehicle parks. City/State/z, : q,q D) O fZ ❑Haza dour (cations. Supply voltage for more than !► [� ❑Hazardous locations. 600 volts nominal. Suite/bldgiapt.no.: Project name: ❑Service or feeder 600 amps or more. - FEE SCHEDULE . Cross street/directions to job site: Description 14n. I Fen 3 r°tat I New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: /' fr., '-� /., Lot no.: // 1.000 sq.ft.or less i 168.54 4 C��f' ���C'�" 7-4-76- ] Ea.add]500 sq.ft.or portion C 33.92 I Tax map.'parcel no,: Limited energy,residential 75,00 DESCRIPTION OF WORK .. (with above sq.ft) Limited energy,multi-family 75.00 residential(with above sq.ft.) Renewable Energy 0 See Page 2 , Services or feeders installation,alteration,and/or relocation t.' PROPERTY OWNER 0 TENANT 200 amps or less i 100.70 2 201 amps to 400 amps 133.56 2 Name: , J1 / Y , I . 401 amps to 600 amps 200.34 ' Address: 601 amps to 1,000 amps 301.04 3 I ��SCrf .5�. D + l Over 1.000 amps or volts 552.26 2 Cit}'/State:'ZIP: VQ Rai I i�e / lA 96'S 2 Temporary services or feeders installation,alteration,and/or Phone: 3 2O ) — lcf 00 Fax:a0)-0592--'1101 relocation — 200 amps or less 59.36 I 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 12 intended for sale,lease.rent.or exchange.according to ORS 447.449.670.and 701. 401 amps to 599 amps 168.54 l 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel X-APPLICANT ❑ GOLYTACT PERSON: _ _ A.Fee for branch circuits with 1 above service or feeder fee. 7 4� Business name: LrAl 1� t/ N [ n each branch circuit f v V B.Fee for branch circuits without (1 Contact name: I�Q � k/"J � 1� service or feeder fee,first 56.18 u branch circuit Address: t + % , I Each add'I branch circuit 7.42 2 h l,^ C� Miscellaneous(service or feeder-not included) Citi State,21P: \,nnnjuVl 11IIVp-- �(/ �`� /I�, V l `� �] Each manufactured or modular 67 84 V \�i) 1 COO � ) 2-53 — `401 dwelling.service and, feeder 2 Phone:13670 � Fax: : Reconnect only 67.84 2 E-mail: r , C O'^1^1 Pump or irrigation circle 67.84 3 CONTRACTOR . Sign or outline lighting 67.84 '_ Business name:V?Ox ,�T�\,,G.�,c �L Signalcircuit(slorlimited-energy See panel,alteration.or extension. Page 2 2 Address: ti..\d3 ' cQ, - Each additional inspection over-allowable in any of the above City/State/ZIP: �oc , O - cvn Additional al in 1 1 inspection O hr min) 66.25.'hr Imcstigation t 1 hr min) 66.25 hr Phone:(({'17v) Yv 5-- - ■ Fax:( ) Industrial plant I1 hr min) _ 78.18'hr Inspections for which no fee is 90.00'hr CCB Lic.:WWI(a Electrical Lie.: C ‘0 Suprv. Lic.:S it.:)5 5 specifically listed(;2hrmin) ELECTRICAL PERMIT FEES Supt'.Electrician signature,required: D _ Subtotal: Print name: r - ate: _ Plan review(25%of permit fee): G r r State surcharge(12%of permit fee): Authorized signaturC • OV , TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: \cj��t')n� \I.7\o52J�G I Date: days after it has been accepted as complete. Number of inspections allowed per permit. I Ruitdini6Pernics ELC_PermiiApp ELR FREdoc Rev 05/_1,701 t 440-4615T(I I/05COMtWEB I Mechanical Permit Applicata � ` _- ,,x FOR OFFICE USE ONLY Cityof Tigard Received g Date/By: Permit N . / s' .205 0� ? lig a 13125 SW Hall Blvd.,Tigard,OR 97223 1 20150 ■ Phone: 503.718.2439 Fax: 503.598.1960 DECG L 2 Date/By:an Review Other Permit: Inspection Line: 503.639.4175 .:-. r` T I G A R D Internet: www.tigard-or.gov c:- • 1 { 1 4°' DDate Ready/By: Juris: ® See Page 2 for -I,: .s i p Notified/Method: Supplemental 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 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address: /G/ 5---6 5 M) 7711 A v.L Furnace 100,000 BTU(ducts/vents) 1 46.75 7 / City/State/ZIP: I � c g 7 22-3 Furnace 100,000+BTU(ducts/vents) 54.91 l `j g3/ 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: e7Mfi .$ ?i e r �747-6-5 Lot no.: /"7 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 ® 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: 7 Other: Wo Q L c O r / L(,(�tl f3 IA)Cj MECHANICAL PERMIT FEES* Address: /©7 5 iv. His Ta Ric CID G i„,,,//h Mi/Ls/2 h NIy Subtotal Ci e Minimum permit fee($90.00) ty/Stat /ZIP: /RpcDALC (R 97ej�o0 Plan review(25%of permit fee) Phone:(503) ( 6 7.../70 ->7-3of Fax:(w3 ) 667— 9679/ State surcharge(12%of permit fee) CCB 1ic.: J/ 22 2 0 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:na (._, -.,1 e,,,,, l�y`t'�r * Fee methodology set by Tri-County Building Industry Service Board Print name: 4�G/��. h„tin t/ Date: 9j , /5 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617r(11/02/COM/WEB) ,• Plumbing Permit Applicatio>v Building Fixtures i ,. ..y, .. ,,r.,,1,...i' FOR OFFICE USE OI\I City of Tigard n Received ` 1f g G C L O! Date/By: Permit No f7 /5-oo 6.25.7 a 13125 SW Hall Blvd.,Tigard,OR 97223 an C Phone: 503.718.2439 Fax: 503.5981910y -• 1 , D view ._�-...-.1 y Other Permit No.: Inspection Line: 503.639.4175 F,• ` Date Read/B ]oris: ® See Page 2 for T I G A R D Internet: www.tigard-or.gov t . ,; - y 4 .•�>.'`i Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description Qty. I 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 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AM) LOCATION Site utilities: Job site address: / Q/ 6 5 hi 7 ,4Y� Catch basin or area drain 18.76 City/State/ZIP: +�- c/� Drywell,leach line,or trench drain 18.76 ��w / ! / 2 2 .? 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: OA K S>� L 5 74 7ES I Lot no.: /7 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(P otable 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 n Water heater 1 37.52 Business name: WO t C U 77 PL u M !3/A/C' Water piping/DWV 56.29 Address: /a 75- IV, /I15 70R/C 62 u m/3/4 law r: 25.02 City/State/ZIP: 7i5; i 7,2/44L^/ a/12 9'7.060 Subtotal Phone:(5-63)66 7,-179( k7,.rgt Fax:(303) to‘T- ggy Minimum permit fee: $72.50 CCB Lic.: / 22200 Plumbing Lic.no.: 824 pQ Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: elf/A0, /7YJLhrhldii TOTAL PERMIT FEE _ t This permit application expires if a permit is not obtained within 180 days Print name: Date (1)47/^� Dlit�.��/ 2'/G /5 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) i 11 ■ ill City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: '7ST' /,j DD.gS-7 Site Address: /0/.s4 S1() c7//i i9v- Project Name: no,k ,�,J f S Lot #: n_ (New dwelling= subdivision name;.Addition or.Alteration=last name of owner) Planning Review Proposal: Arno ` k /Verify site address/suite # exists and active in permit syste . I/ Iver Terrace Neighborhood: ❑ Yes V No Sit/Plan Elements: �ree(3) copies of site plan 1 Ill'xisting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paperFootprint of new structure (including decks)with finished awn to scale (standard architect or engineer scale) 1 oor elevations orth arrow I!J Utility locations (required for new,may apply for additions) to address,project or subdivision name and lot number .kation of wells/septic systems plicant information (name and phone number) 7!Erosion control (including drainage-way protection,silt fence Lot dimensions and building setback dimensions sign,location of catch basin,etc.) 1 111 1 ot area,building coverage area,percentage of coverage and reet names /mpervious area (applicable if R-7,R-12,R-25&R-40) trees tree size,type and location 6LJ Property corner elevations (2 foot contour lines if more than lailkisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: E Yes ❑ No HAI Public Facili ' s Improvement (PFI) Permit: / Required: l Yes,applicant was notified E No Applied For: t2 Yes E No,stop intake Vj•Land Use Case#: Qfl-J-Ocw/J f L.(o2O/mss oC,aJ Soning: /es- etbacks: Front (20 Rear /,'-'-' Side Street Side / Garage QQ Landscape Requirement: °% 1 1111 '" ot Coverage Maximum: °% [► Building Height: Maximum Height i Actual Height h\ Visual Clearance t I I Y►Easements Slensitive Lands: ❑ Yes No Type rban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: ,,-_ j ,i, A Date: *WA-- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved E Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B IdgPennit Rvw_RES_070915.docx Building Permit Submittal Original Submittal Date: /.2.../.2._/AS- Site Plans: # .3 Building Plans: # '3 Building Permit#: enter building permit# above. Workflow Routing: Planning ©ingineering Permit Coordinator 'f"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. 2 Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: J- — Date: %2-/z-z-/45— Engineering -/ZZ- L$" Engineering Review Slope at building pad: .J, 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: /1L p Date: _��y., 1.__ 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: Yes ❑ N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: / Date: 1-2 3<-/S– I:',Building`,Forms\BldgPennitRvw_RES_0709 I 5.docx 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. Ifou have anyplease contact questions me at 503.718.2430. Sincerely, eirie Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 y City of Tigard TIGARD Accela Refund Reques t This form is used for refund requests of land use, development engineeriii rig and building permit application fees. Receipts, documentation and the Request for Permit Actioo•-z. form (if applicable) must be attached to this request form. Refund requests are due to Accela System ratr by each Wednesday at 5:00 PM. Please allow up to 3 weeks for process ng of ends t 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 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 cart 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 Washin•ton County Transportation 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 _71,890:00 26/ 0.vJ 11111111111 TOTAL REFUND: ,$333;449 , APPROVALS: SIGNt1,T OS� , .� S DATE: i `� 17-D If MOW under$5,000 Professional Staff If under $12,500 Division Manager -+ 0 / . If under $25,500 Department Manager , / If under$50,000 City Manager If over$50,000 Local Contract Review Board _Le PVo FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: j. ' '/ 2 B : ,4��