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Permit „ CITY OF TIGARD SEWER CONNECTION PERMIT = COMMUNITY DEVELOPMENT Permit*: SWR2015-00172 . s 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/06/2016 Parcel: 1 S136AA12000 Jurisdiction: TIGARD Site address: 10106 SW 67TH AVE Project: Oak Street Estates,Lot 15 Subdivision: OAK STREET ESTATES Lot: 15 Project Description: New SF. Contractor: Owner: LENNAR NORTHWEST INC 11870 NE 99TH ST, STE 1170 VANCOUVER,WA 98682 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 12130/2015 $5,100.00 Sewer Inspection-Residential 12/30/2015 $35.00 Type of Use: SF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $5,135.00 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of th roles or direct questions to OUNC by calling 503.232.12a4r 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspe on date. This permit card shall be kept Ina conspicuous place on the job site until mpletion f the project. Approved plans are required on the job site at the time of each In II 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$338,059.00. f l Credit card "return" receipt in the amount of$ 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, <67 ,...4S Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. 4 Tigard, Oregon 97223 s 503.639.4171 11/4 4 City of Tigard TIGARD Accela Refund Reques t This form is used for refund requests of land use, development engineerit rig 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 99th St., Suite 1170 REQUESTED 13Y: Dianna Howse Vancouver,WA 98682 TRANSACTION INFORMATION: Receipt#: Various Case#: Various Date: Various Address/Parcel: Various Pay Method: CreditCard Project Name: Oak Street Estates EXPLANATION: Refund for transportation development and parks system development fees aid prior to demolition creditse 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. Example: Building Permit Fee Refund Example: 2300000-43 2 04 $Amount Washington County Transportation Development Tax 405-0000-43320 Parks SDC-Improvement $237,723.00 425-0000-43300 20,203.00 Parks SDC-Reimbursement 425-0000-43301 Sewer Connection 3,633.00 500-0000-25500 .21,898-00 TOTAL REFUND: _U337149-.0 APPROVALS: SIGNII,T • S/DATE: ..3.giFi©Sl-.trb If under $5,000 Professional Staff „ic:r '49.ir % If under$12,500 Division Manager j061 If under$25,500 Department Manager sk74:1A----- Aii If under$50,000 City Manager If over$50,000 Local Contract Review Board �j(�y- Aio r / f'L y , 44/---- FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: !� //6! 1