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Permit n CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00267 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2016 Parcel: 1 S 136AA 12400 Jurisdiction: TIGARD Site address: 10206 SW 67TH AVE Subdivision: OAK STREET ESTATES Lot: 19 Project: Oak Street Estates, Lot 19 Project 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: 23 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: $354,188.23 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 0 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: 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: 4 Fum-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: 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+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 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: 360-258-7900 PHONE: 360-216-6423 FAX 360-258-7901 Total Fees: $24,328.90 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 wor suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T se r es are set forth in OAR 952-001-0010 t OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 o 1.8 . 32.2 4. Issued By: A Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection da 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 ins ection. Building Permit Applic � 4 Residential FOR OFFICE USE ONLY � n1 t_. Received Ci of Tigard Permit No.: s cO �J g DateB 22 �S � ! 2 't 13125 SW Hall Blvd.,Tigard,OR 97223 a Plan Review Phone: 503.718.2439 Fax: 503.SQSz " Other Permit: `ygb 14 i� DateB : i� o �v�0[S'DOl4 Inspection Line: 503.639.4175 1, 3 1, Y �' Date Read B Juris: H See Page 2 for P >• Y Y Internet: www.tlgard-Or.gov �?5', az,ryKq No tified/Method:�ow (a Supplemental Information 3a /L L� S Ls 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.,3 $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: Z Job site address: 10206S bl 7721 XJA= New dwelling area: 2 8 Z square feet3 City/State/ZIP: /D jQ 97222 Garage/carport area: 4f square feet Suite/bldg./apt.no.: Project name: Covered porch area: 2 3Z square feet /,E-4:3 Cross street/directions to job site: Deck area: square feet IZ9 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: T = /�T 5_-Tot no.: j 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 991h 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* 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 99`h 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 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of 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.: 7 9 `, 3 b 7 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. Print name: Date: *Fee methodology set by Tri-County Building Industry L/ Z' 2 �S Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r LA, Electrical Permit Application City of Tigard Received /S Permit No: STYS-CY�a(o 13125 SW Hall Blvd..Tigard,OR 9 Plan Review tk3a a Other Permit: Phone: 503.718.2439 Fax: 503.59 6l Date/By: Inspection Line: 503.639.4173 (1T � �ly (';i� DateReadytBy: See Page 2for Internet: Nww^.tigard-oc.gov NotifiedMethod: Supplemental Information TYPE OF WORK PLAN REVIEW ❑Ncx4'construction Please check all that apply(submit 2 sets of plans w/items checked below): Addition/alteration/replacement pp y ❑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 101000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14.000 ❑Commercial-use agriculnnral ❑ I-and 2-family duelling ❑Commercial/industrial ❑Accesson'building amps for all other installations. buildings ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or ❑Emergency system. larger separately derived system JOB SITE.LVFORMATION AND LOCATION ❑Addition of new motor load of ❑W,-E-,-1-2 .-I-3', Job no.: Job site address: 10 206, SW 6�N �✓G I OOHP or more. occupancy. _ ❑Six or more residential units. ❑Recreational vehicle parks. CityiState/Zl e: �'� OR ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: ❑Service or feeder 600 amps or more. FEE SCHEDULE - Cross street/directions to job site: Dw fian I I Fee rural New residential single-or multi-family dwelling unit Includes attached gauge. Subdivision: 04 ' �� __— "7,- Lot no.: 9 1.000 sq,k.or less 168.54 4 Ea.add'I 500 sq.ft.or portion S 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.tt) - Limited energy,multi-family 75.00 residential with above sq.ft.) Renewable Energy ❑ See Pace 2 Services or feeders installation,alteration,and/or relocation PROPERTYOVY?VER ❑ TE 200 amps or less 100.70a X'1P," - _ 201 amps to 400 amps 133.56 2 Name: Y 401 amps to 600 amps 200.34 2 Address: I 601 amps to 1,000 amps 301.04 A Over 1,000 amps or volts 552.26 2 Cin Sta[e,'ZIP: ac 1AAv �rlTemporary services or feeders installation,alteration,and/or Phone: �o jt5�— _11WO Fax:(FJW) 52) 1-101 relocation 200 amps or less 59.36 1 Owner installation:This installation is brine made on property that l own which is not 201 amps to 400 amps 125.08 2 intended for sale.lease.rent or exchange,according to ORS 447.449.670,and 701. ant amps to 599 amps 168.54 ! 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per ane] APPLICANT ❑:CONTACT PERSON A.Fee for branch circuits wish _; above service or feeder fee. 7.42 2 Business name: r each branch circuit B.Fee for branch circuits without Contact name: service or feeder fee,first 56.18 2 branch circuit Address: z i I Each add]branch circuit 7A2 2 Cih"Sta[er7_1P: I I liscellaoeous service or feeder not ineluded ry C Each manufactured or modular Phone: Fay: : �� dwellin ,service and or feeder 67'84 2 Py Reconnect only 67.84 2 E-mail- ann Pump or irrigation circle 67.84 2 CONTRACTOR Signor outline lighting 67.84 , Business name: �\�, y tiTIC GL+C Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address: %L\075 VC _ Each additional inspection over allowable in anv of the above Additional inspection(1 hr min) 66.25'hr Cilt:'Stale/ZIP: �� Investigation(I hr min) 66.25 hr Phone:( } ,� Fax:( ) Industrial plant(I hr min) 78.18'hr Inspections for which no fee is 90 00'hr CCB 1.ie.: Electrical Lie.: (_ \Q Suprv. Lic.: �� s ecifically listed( i hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature.required: Subtotal: Print name: ' - � ate: Plan review(25%of permit fee): State surcharge(12%of permit fee): t Authorized signatur . ��Owy t TOTAL PERtvfIT FEE: This permit application expires if a permit is not obtained hithin 180 Print name: e�� �`��t✓J C Date: days after it has been accepted as complete. Number of inspections allowed per permit. I Awldinc�Pemits'ELC_PenniLXpp_ELR_EREdm Re,05,71!7013 430-16151"II IrC,5 Co.%t,WEB Mechanical Permit Apel �t,> ' ,I Ei FOR • ONLY Received City of Tigard Date/By: Permit No.:��%�y��� V 13125 SW Hall Blvd.,Tigard,OR 323 qq Plan Review v� Phone: 503.718.2439 Fax: 503. 98.196 g 2 ?0�5 Other Permit: Date/By: 6 Inspection Line: 503.639.4175 Date Ready/By: runs: ® See Page 2 for Internet: www.tigard-or.gov 0 d IURD Notified/Method: Supplemental Information 0 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. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: n Air conditioning i 46.75 Job site address: 1-0266 S W 'rr4lly &- Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: / 4�91? Q l? 972,0-.3 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat pump 61.06 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 Other: 23.32 Subdivision: Op�� LS�'f�TC Lot no.: �� 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`h 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/crawls ace 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 Phone:(360)258-7900 Fax: :(360)258-7901 Fireplace Range E-mail:PORPermits@Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: G L r-0,9-1 / �L U!N l 1 MECHANICAL PERMIT FEES* Address: IS 60 L YN9/ T/ 4 2 w Subtotal City/State/ZIP: ___..Q(4 77D AL b C1 fiB Q Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(501 667-1 Fax:W,>3 ) (O 7_ �! / State surcharge(12%of permit fee) CCB lic.: J / 222 06 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: l ��� * Fee methodology set by Tri-County Building Industry Service Board Print name: &k/2444 1U Date: 6 , 5 IABuilding\Permits\WC_PermitApp.040113.doc 440-4617T(I1/02/CONVWEB) • Plumbing Permit Applicatimr Building Fixtures `" ' ' VEJ ) FOR OFFICE USE ONLY Received / City of Tigard , ,� DateBy: �� Permit No.: 7 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.: Date/By: a Inspection Line: 503.639.4175 k j[ V ()p I I(,,A I(t) Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov R1111 WATO Notified/Method: I Supplemental Information TYPE OF WOR >r FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description IQty. Ea. 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 [jMulti-family Each additional bath/kitchen 25.02 El Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: f U ZOC9 Sw �/ /��L Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 9 M� Of fj A? Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 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: jAyLot no.: 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 ❑ TENANT Expansion tank 12.51 Name:LENNAR NW,Inc Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11807 NW 99t1i 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 99t'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: WJ t C n 7'j PL U Al 13 A,1_0? Water piping/DWV 56.29 Address: /075- W. 15 7D ev 4 a 1h l3/1 r: 25.02 City/State/ZIP: �ZoW 7�i4G^ �2 y70 4�0 Subtotal Phone:(5a3)66 7•.l79X7 Fax: 03) to T' 8�� Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: 22200 Plumbing Lic.no.:� _ �� ' State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Pnnt name: C� 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. I:\Building\Permits\PLW-PermitApp.doc 10/01/09 4404616T(10/02/COM/WEB) City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential Building Permit #: Site Address: Project Name: �4,� � - S Lot #: (New dwelling=subdivision name;.Addition or_alteration=last name of owner) Planning Review Proposal: Ale4o S�'� Verify site address/suite# exists and active in permit syste a[�I iver'Ferrace Neighborhood: ❑ Yes VNo Si Plan Elements: Xteree(3)copies of site plan 4 sting structures on site plan must be on 8 1/2"x 11"or 11 x 17"paper Footprint of new structure (including decks)with finished Site to scale(standard architect or engineer scale) �or elevations Vrth arrow 14utility locations (required for new,may apply for additions) sitc address,project or subdivision name and lot number cation of wells/septic systems plicant information(name and phone number) Erosion control(including drainage-wap protection,silt fence ;: of dimensions and building setback dimensions sign,location of catch basin,etc.) t area,building coverage area,percentage of coverage and eet names pervious area (applicable if R 7,R 12,R-25&R-40) Street tree size,type and location VI Property corner elevations (2 foot contour lines if more than 1W_ trees to be retained with drip line,and tree 4 foot differential `` rotection measures tj 1 lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No U Public Faciliti Improvement (PFI) Permit: equired: es,applicant was notified ❑ No Applied For: /Yes ❑ No, stop intake Vand Use Case#: Voning: Setbacks: Front a(J Rear s Side S Street Side ., Garage , kandscape Requirement: °o kilding f Coverage Maximum: % Height: Maximum Height Actual Height // !� isual Clearance Easements ensitive Lands: ❑ Yes No Type VCrban Forestry Plan onditions "Met"prior to issuance of building permit Notes: Approved By Planning: --` Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Ruiifiino\Fnrmc\RIAvP�iniiRvw RFC mnoicA­ Building Permit Submittal Original Submittal Date: /it Site Plans: # Building Plans: # Building Permit #: 2r Enter building permit#above. Workflow Routing: Planning Engineering 9'1'ermit Coordinator -Building Workflow Sign-off: [7 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. d 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: 9� Conditions "Met"prior to issuance of building permit I�Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes X No Assess Water Quantity Fee in-lieu: ❑ Yeso LIDA Facility on lot: ElYes No O NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 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: ,gDSDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A ( Tigard Trans SDC: /❑ Yes N/A Parks SDC: g'Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: I*k Date: 1/117- 1-\Ruildinv\Fonns\B1dePennitRvw RES 070915.docx At c 7`J- i7l S - 72-C- ? ce77,1 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$338,059.00. n Credit card "return"receipt in the amount of$ 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, Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. t Tigard, Oregon 97223 • 503.639.4171 111 • City of Tigard TIGARD Accela Refund Reques t c• This form is used for refund requests of land use, development engineering 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 S-ystem 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 can be applied and all SDC fees paid by developer shall be refunded. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Exam.1e: Buildin: Permit Fee Exam.1e: 2300000-43104 Rmoui Washin•ton Coun Transportation Development Tax 405-0000-43320 $Aount Parks SDC-Improvement 425-0000-43300 $237,723.00 Parks SDC-Reimbursement 425-0000-43301 20,203.00 Sewer Connection 500-0000-25500 3,633.00 _21,896:130 . 6 Scud,v;T TOTAL REFUND: ,$333;449701 APPROVALS: SIGNAT _; S DATE: 0-C?,O"D If under$5,000 Professional Staff ..7r _ q41-/— If under $12,500 Division Manager j9//& If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board 21:.4ESiVt r-- FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: WAW .:aa. B :