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Permit
ti CITY OF TIGARD MASTER PERMIT 111 71-7 COMMUNITY DEVELOPMENT Permit#: MST2015-00181 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/09/2015 Parcel: 1 S 136AA00201 Jurisdiction: Tigard Site address: 10138 SW 69TH AVE Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Estates, Lot 5 Protect Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1384 sf Basement: 0 sf Left: 5 Parking Spaces' 0 Height: 24 Bathrooms: 3 Second: 1508 sf Garage: 494 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2892 sf Value: $352,216 26 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters 1 Water Lines' 100 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: 5 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 WI 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 Ecomoesing Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2892 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: $23,879.87 This perm t 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. •= or 1.800.332 234, Issued By: Permittee Signature: Ate/ C 9.4175 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. ' 11 Building Permit ApplicationRECErVE Residential r� n FOR OFFICE USE ONLY / City of Tigard OCT / ��5 Received /7 7 /C `�! Permit No � /J"�ipi III - 13125 SW Hall Blvd.,Tigard OR 97223 Plan Review QQ /' r.mitSC(/I I/ 6Q/c2 b Phone: 503.718.2439 Fax: 503.598.1ail ] �/ ® (' DateB : I/� j Other Pe T I GARD Inspection Line: 503.639.4175 1 i 11 OF I IGARD Date Ready/By: Juris. 13 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: 1 3 I S if Supplemental Information : ;Iv,10..x4 ® ® ' 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 ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION b .�:n ...0 . ; 3�a,al�-- ® 1-and 2-family dwelling 0 Commercial/industrial Valuation $ ❑Accessory building 0 Multi-family Number of bedrooms: ,5"' ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 1()/ye ,5 iv 6 / ,gid, New dwelling area: 2 . square feet .31 S C City/State/ZIP: L /ongb 02 '9 7 2,2 3 Garage/carport area: 4 cj'lf square feet Suite/bldg./apt.no.: Project name: Covered porch area: 232. square feet a,4-0 g Cross street/directions to job site: Deck area: square feet $ti Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 4/( j7 "7 ,-..:.-cm j[_s Lot no.: `j Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the - i s work indicated on this application. DESCRIPTION OF WORK- �tr pp 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 99th Street,Suite 1170 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)258-7900 Fax:(360)258-7901 New: IE APPLICANT �� ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Lennar NW,Inc. Structural plan review fee(or deposit): Contact name:Charles Webb FLS plan review fee(if applicable): Address:11807 NE 99th Street,Suite 1170 Total fees due upon application: City/State/ZIP:Vancouver,WA 98672 Amount received: Phone:(360)258-7900 Fax::(360)258-7901 E-mail:PORPermits@lennar.com .e.---- ,c GS Ole / .2.&r --4 �f PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of --_,1 -,,, ' 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:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: J 5,530 7 Total fee due upon application: $201.60 Authorized signature: i'' '',./..-44 �''�'� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date: Z!f g' *Fee methodology set by Tri-County Building Industry Print name: �c,tey &-4/3 j/ / Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I RECEIVEP Electrical Permit Application rOR OFFI( F t til: totil_} City of Tigard and Received Permit No 7 OCTU l 7 2015 as r Bv: .�s ;� 65=-0 1 / t 13125 SW Hall Blvd..Tigard.OR 97223 Plan Review ' 8 Phone: 503.718.2439 Fax: 3.03.598.1962Q ! gi, Datel3 Other Permit: 1-16.It 1) Inspection Line: 503_639.4175 i I Y(iF 11.,AKl-'. Date Ready/By: Judy 121 See Page 2 for Internet: wsvw,tigard-or.gov TIIy g12IR,Yl��" j ISlO •:notified P:tzthod Supplemental information TYPE OF WORK • PLAN REVIEW . 0New construction 0 edition alterdilon trepla ement. Please check all that apply(submit 2 sets of plans uiitems checked below). ❑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 150 volts or 0 Floating buildings. less to ground,or exceeds 14.000 0 Commercial-use aencul:ural ❑ 1-and 2-family dwelling 0 CommerciaVindustrial 0 Accessory building amps for all other installations, buildings ❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVAor ❑Emergency system. larger separately derived system, JOB SITE INFORMATION AND LOCATION 0 Addition of new motor toad cf 100HP or mere. occupancy. Job no.: Job site address: /0/3 g $NJ 6gilNL 0 Six or more residential units. 0 Recreational vehicle parks. CItydState/ZI y 9 ©Health-care facilities. 0 Supply voltage for more than PS / C /?�� l �� < 72 Z .7 0 Hazardous locations. 600 volts nominal. Suitt/bldg.iapt.no.: Project name: 0 Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Description 1 Qty. I Fit. I Taw I New residential single-or multi-family dwelling unit. Includes attached garage. �. 1.000 sq,ft.or less 4 168.54 14 Subdivision: �gh, 5!!c'/ ,i- L=S%;4!e 5 _ Lot no.: Ea.add]500 sq.ft.or portion 4. 33.92 I Tax map/parcel no.: Limited energy,residential DESCRIPTION OT.WORK Iwith above sq.ft) ) 75.00 Limited energy,multi-family 75.00 residential((with above sq.ft.) I Renewable Energy 0 See Page 2 I Services or feeders installation,alteration,and/or relocation PROPERTY`OWNER - 0 TENANT = 200 amps or less 1 100.70 201 amps to 400 amps 133.56 2 I Name: /@N 401 amps to 600 amps 200.34 3 Address: IA 801iN p 9 I 601 amps to 1.000 amps 301.04 2 i Nr Oi L /� Over 1.000 amps or volts 552.26 1 2 City/State,ZIP: Oa Real ver L R ° b 6, 2 Temporary services or feeders installation,alteration,and/or Phone:0�0 ) 19. 0 Fax:I 1�1V '�10 i relocation - 1 !d , 200 amps or less 59.36 , I Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.082 intended for sale,lease.rent.or exchange.according to ORS 447,449,670.and 701. 301 amps to 599 amps 168.54 I 2 Owner signature: Date: 1 Branch circuits—new,alteration,or extension,per panel , Ni APPLICANT 0 CONTACT PERSON A.Fee for branch circuits ever. above service or feeder fee . 7.42 2 t Business name: 1.1411 16,,I NI ° each branch circuit a J° B.Fee for branch circuits without i Contact name: n P 1.: service or feeder fee,first �6 18 , l branch circuit Address: L V2:10-1 ., -4-- - 1 I , Each add]branch circuit , 7.42 2 Miscellaneous(service or feeder not included) Citi.=State:211P: a(ti Cb tie?-- Each manufactured or modular t� I 67,84 2 Phone:--3(10. ��) ' — t L - Fax: �tt) 2-s —7 401 dwelling,service andror feeder Reconnect only 67.84 E-mail: 9 Pump or irrigation circle 67.84 CONTRACTOR Sign or outline lighting 67,84 _ Business name:?cogs \ kc�,C, I Signal circuii(s)or limited-energy See panel,alteration,or extension. Pace 2 2 Address: c.7"\O- ' �c _ Each additional inspection over allowable in any of the above Additional inspection(1 hr nun) 66,25'hr City:StaterZIP: �aC O (.1137-GG I Investigation 11 hr min) 66.25'hr I Phone:(Oti) —3. Fax:( ) Industrial plant(1 hr min) 78.18'hr Inspections for which no fie is 90.00'hr CCB Lie.: satri6 Electrical Lie.: C, V) CI I Suprv.Lic.:5,if.: 5 specifically listed(r:hrmin) ELECTRICAL PERMIT FEES Supe.Electrician signature.required:A Subtotal r Plan review(25%of permit fee): Print name: % -ir ate: S,[ �- ._ " 'r_ State surcharge(12%of permit fee): Authorized signatur �.- ��• TOTAL PERMIT FEE: ��c� y J _ Print name: t{isk.c e_A. \\I This permit application expires if a permit isnot obtained within 180 V J`gje3C, Date: days after it has been accepted as complete. L ' Number of inspections allowed per permit. I,Buildirr.Permit,ILC_PenniiApp_ELR FRE this Rev 0541 2013 440-46151)11-05.'COMiWEB Mechanical Permit Applicati ECEIVEP i of OFFICE ['SE ON 1.1 City of Tigard DatReceived Permit No.: v 13125 SW Hall Blvd.,Tigard,OR 97223 (� Plan Review �J /s�O`�/ 0 0"T 7 2015 Other Permit Phone: 503.718.2439 Fax: 503.598.1960 Date/By: TI G A R D Inspection Line: 503.639.4175 y Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov CITY OF TI(ARIJ Notified/Method: Supplemental Information BUILDING O11WISIO1' 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 checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address: /4)/38 Sb✓ & Ft// ,4Y Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: T-( �+ Furnace 100,000+BTU(ducts/vents) 54.91 </r�'/t}�/J.J AR 7 7ZZ 3 Heat pump 61.06 Suite/bldg./apt.no.: 11 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 Subdivision: Lot no.: Other: 23.32 spy 1�TRL-c- r s7-gTL s 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 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 ❑ 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 99`h Street,Suite 1170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater i Phone:(360)258-7900 Fax::(360)258-7901 Fireplace i Range f E-mail:PORPermits @Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) - J •Business name: .1 Other: W O L O ILL(4 I3 iiv q MECHANICAL PERMIT FEES* Address: /U 7 S W. 1-//s rd Ric Co L LlMf3r /I/vL l2 liwr Subtotal City/State/ZIP: RV U ri)4 L C OR 9 70 6 a Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(5p8 6 ‘7../7cfy -ergo./ Fax:(5-p3 ) d4 7 9699/ State surcharge(12%of permit fee) CCB lic.: 1/ 222 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: U` / ate * Fee methodology set by Tri-County Building Industry Service Board Print name: eL.ire ami,,,,,,,„ Date: 9,/6 , 15 Plumbing Permit Application RECEIVEP • Building Fixtures OCT FOR OFFICE USE ONLY p C I 201 Received Permit No/ f r j s oD/O / City of Tigard Date/By: 11111 II • 13125 SW Hall Blvd.,Tigard,OR 97223 ,r e r Phone: 503.718.2439 Fax: 503.598.196 ,!Y U� i 1VA1��Dan Review Other Permit No.: Date/By: Inspection Line: 503.639.4175 BUILDING T I G n u D MITT S n to Ready/By: Juris H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description I Qty. 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 SFR(3)bath 1 500.32 ❑Accessory building ❑Multi-family Each additional bath/lcitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /U/3 5w G 9,. , Catch basin or area drain 18.76 _ Drywell,leach line,or trench drain 18.76 City/State/ZIP: //g�� / e).e 97223 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 j 18.76 Sanitary sewer(no.linear ft.:1 el O) Page 2 Storm sewer(no.linear ft.:j(0) Page 2 Water service(no.linear ft.:)OO) Page 2 Subdivision: 62,9 y . 7-,, G-4.7-. 6.-5,--A TL S I Lot no.: S Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 1 25.02 NSFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ 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 ❑ 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 L} V A 12.51 E-mail:PROPermits$Lennar.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: WO L C U 7T p2.4 M !3/i1/-97 'j Water piping/DWV 56.29 Address: /0 7 5 W W. kit S TOR/C LPL,L /ni/3/4 /i t ,fif er,- er: 25.02 City/State/ZIP: "Tijou 7/2/446.-// DR 97Q 60 Subtotal Phone:(5-03)G6 7"/75'( (I / Fax:(503) l 47- 7g9( Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.:24.-824 pe Plan review (25%of permit fee) Z ZZ t�Q State surcharge(12%of permit fee) Authorized signature: £f AA„ f. , �leoy� TOTAL PERMIT FEE 1 _ This permit application expires if a permit is not obtained within 180 days Print name: Cr.� 13�W,y,�,v Date: �'',,6_ /5' P complete. after it has been acce ted as *Fee methodology set by Tri-County Building Industry Service Board. I:1 Building\PermitswLMU-PermitApp.doc 1 0/01/09 440-4616T(10/O2ICOM/WEB) If " City of Tigard 1 COMMUNITY DEVELOPMENT DEPARTMENT T I G n 1l D Building Permit Review — Residential Building Permit #: /-/S-7,29/5"— eo/f/ Site Address: /')/38 5 J &94 / Project Name: 047,4 a7: ES-441 S Lot #: ,S (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: OVw,!O Sij1 /P 4w* i Verify site address/suite# exists and active in permit syste . // fiver Terrace Neighborhood: ❑ Yes No Sit Plan Elements: 'J ree (3)copies of site plan 9i sting structures on site be plan must be on 8-1/2"x 11"or 11 x 17"paper 1: ootprint of new structure (including decks)with finished frawn to scale (standard architect or engineer scale) floor elevations orth arrow IP tility locations(required for new,may apply for additions) LrJ ite address,project or subdivision name and lot number V. A:cation of wells/septic systems FifiYpplicant information(name and phone number) 11, rosion control(including drainage-way protection,silt fence L✓JLot dimensions and building setback dimensions sign,location of catch basin,etc.) /lot area,building coverage area,percentage of coverage andreet names . kripervious area (applicable if R-7,R-12,R-25&R-40) ,L fSyeet tree size,type and location MOroperty corner elevations(2 foot contour lines if more than Intxisting trees to be retained with drip line,and tree 4 foot differential) protection measures /,lean Water Services—Service Provider Lettey(lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No Public Facilitie mprovement (PFI) Permit: / quired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake LLand Use Case #: 40 acil/_ ovOo/ oning: P- Li. C. 12 Setbacks: Front 9 ' Rear /S' Side 45"/ Street Side /s' Garage cQ /'landscape Requirement: of Coverage Maximum: Oil: Building Height: Maximum Height / Actual Hei ht oe� �i Height V /1:4,isual Clearance /0,:asements li nsitive Lands: Yes ❑ No Type aLll, 0,.%.' " cQ ) Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit — / / / / Notes: L Y1al732ry1 /1'142 — )0 l7of A ,—S Ni/'7 1�� ,ins 74 21e fILQ Approved By Planning: 411111111■Jr _ _�, Date: /0/S/1 Revisions (after Building Submittal only) Reviewer / Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw RES 070915.docx i Building Permit Submittal Original Submittal Date: /Q/r Site Plans: # Building Plans: Building Permit#: ErEnter building permit#above. Workflow Routing. C {ngineering El-15ermit Coordinator [ 'uilding 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. O'13uilding: original permit application,site plans, building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: E6�� Ifye _ Date: ID/7/ACS En g' eering Review n Slope at building pad: •nditions "Met"prior to issuance of building permit G E ements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ o Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes No El NOT Approved by Engine 1 ing: Date: Notes: A_ i y _ _ • i(t Approved by Engineering: AWL Date: An 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 pproved, NOT Released: /G Date: /v/I 1V, Notes: ‘111- g ( / 014.7 !�+ 0' 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: 1EPYes ❑ N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ( Yes ❑ N/A ` 7,,IN"OK to Issue Permit Approved by Permit Coordinator: Date: )D/241'5-Dl 241'5- I:\Building\Forms\BIdgPermi tRvw_RES_0709I 5.docx STAc1 F-. cI J 5 Li 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$338,059.00. (1 Credit card "return" receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ri 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 • 503.639.4171 If Cityof Tigard gard TIGARD Accela Refund Reques t This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for PermitActio 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`' St., Suite 1170 REQUESTED BY: Dianna Howse Vancouver,WA 98682 TRANSACTION INFORMATION: Receipt#: Various Case#: Date: Various Va.tious Address/Parcel: Various Pay Method: CreditCard Project 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. Exam.1e: Building Permit Fee Example: 2300000-43104 Refund Washin•ton County Transportation Development Tax 405-0000-43320 Amount $ Parks SDC-Im.rovement 425-0000-43300 $237,723.00 Parks SDC Reimbursement 20,203.00 425 0000 43301 3633.00 Sewer Connection 500-0000-25500 ' X1,898:00 • 26,.*e ' TOTAL REFUND: ,$333744970t APPROVALS: SIGNAT „i S DATE: —3. d-'Y.tro If under$5,000 Professional Staff If under$12,500 Division Manager j__. 91/6-) If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board �(E ''o r FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: MAIS "1"7 B : 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 10138 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final PASS MST2015-00181 Herb Stabenow 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 10138 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final PASS MST2015-00181 David Young 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 10138 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final PASS MST2015-00181 Chip Barnett previous corrections have been completed 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 10138 SW 69TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00181 Chip Barnett Moisture content acknowledgment form received High-efficiency lighting form received Street tree certification form received Insulation certification posted at furnace Erosion control final approved by CWS Violation Summary: Inspector Contractor