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Permit 1 p CITY OF TIGARD MASTER PERMIT • COMMUNITY DEVELOPMENTIN Permit#: MST2015 00269 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2016 TIGARD Parcel: 1S136AA12600 Jurisdiction: TIGARD Site address: 10236 SW 67TH AVE Subdivision: OAK STREET ESTATES Lot: 21 Project: Oak Street Estates, Lot 21 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First 1692 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 902 sf Garage: 417 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2594 sf Value: $314,976.33 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 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 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 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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 2594 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: $23,604.80 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. . e 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 ,03 Y!'9• r r 332.2344. Issued By: —i Permi •• ignature: �� Call 503.6 •.'5 by 7:00 a.m.for the next available inspe, ion date. This permit card shall be kept in a conspicuous place on the job site until ompletio of the project. Approved plans are required on the job site at the time of eac ' specti• . TIFfilIVVII Building Permit Appiict' o_ ((221 l S VV �� 2015 : Residential FOR OFFICE USE ONLY Received MIM'' 1 51 / J Cityof Tigar Permit No.: ^,� g r f,,,,, i to I � g:; Date/By: rev �� ♦ IiJ �d'E4 .1111 '� 13125 SW Hall Blv ;144atd,rO/t%97. 1 10 t/ 1 Plan RevieC S Other Permit:�(��a�S Q��Qg Phone: 503.718.2439 Fax: 503.598.1960 Date/B : 2O J i+ C I G A R ll Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method:t ��M Supplemental Information MnALa 4 ci.A4,j T 71,,t1 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 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation:3111 76, $ I � ❑Accessory building ❑Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: . JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: /�2 36 s / 7,-„ 4✓z-_-" New dwelling area: 2, 597 square feet 3 a 1— City/State/ZIP: / S� F,�',) I D4 9'7223 Garage/carport area: 417 square feet Suite/bldg./apt.no.: y Project name: ate .4 J t site: �7 Deck area:L_1/ 4 C Covered porch area: 2 d/ square feet 01 Cross street/directions to jobsquare feet 1 �6qa Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: i29 - STi-eCCT 6-.7574n:7 S Lot no.: 2 / 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 (Please refer to fee schedule) 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 City/State/ZIP:Vancouver,WA 98672 Total fees due upon application: Amount received: Phone:(360)258-7900 Fax::(360)258-7901 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:PORPermits@lennar.com 1 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 lie.: /953 6 7 Total fee due upon application: $201.60 Authorized signature: /Z-4 ,__ ; ;;#* /�Z 2 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date: 12 -21 ...../5 *Fee methodology set by Tri-County Building Industry Print name: i C`1/ �cLi3YService Board. I:\Building\Permits\BUP-RESPermit/App.doc 02/24/2011 440-4613T(11/02/COM/WEB) '�i 4 1 —.c ..1 _ ; Electrical Permit Applicit16,n2 2 2015 I O12 OH1( 1: I til 0\1.1 t City of Tigard i _ Received Miran" Permit No.:)/17 /5 OQ�9 g � V r, ' DaferBv: 13125 SW Hall Blvd..Taa 9 -3 a! xy Plan Review ■ 7' _, Other Permit: Phone: 503.718.2439 O 1� illuvZ ).� f 1R Date/B': 75' �'tJuris- 0 See Page2 for I ti,\k i) Inspection Line: 503.639-4I Date Ready/By: Internet: www.tieard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply(submit 2 sets of plans w/interns 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 snips at 150 volts or 0 Floating buildings. less to ground,or exceeds 14.000 0 Commercial-use aeriwl:ural ❑ I-and 2-family dwelling 0 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 ❑Emergency system. larger separately derived system. JOB SITE INFORMATION AND `I.00ABON 0 Addition of new motor load of 0"A",-E-,"1-2"."I-3", 10Job no.: Job site address: /v 2 36 SW G 7TH 4vL Six or oro emres. oeceatio , ❑ or more residential units. Recreational❑ vehicle parks. t, �-7 ❑Health-care facilities. 0 Supply voltage for more than CiryiState/Zllz: �� D� 1223 ❑Hazardous locations, 600 volts nominal. Suite/bldg./apt.no.: 1 Project name: 0 Service or feeder 600 amps or more, FEL SCHEDULE Cross street/directions to job site: Description I Qty. L Fin I Total ( • New residential single-or multi-family dwelling unit. Includes attached garage. ,5 7 7— _ boot)sq.ft.or less j 168.54 4 Subdivision: ..2,,,t1/.1, L�/�j/[: S Lot no.: 2 Ea.add']500 sq.ft.or portion 4 33.92 I Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK - (with above sq.11_) j 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 • a.' PROPERTY OWNER ❑ TENANT. 200 amps or less l _ 100.70 201 amps to 400 amps 133.56 2 _At" Y Name: � , ' 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 "' * '�� Over 1,000 amps or volts 552.26 2 I City/State/ZIP: )(iv-Tail Q v-Ta 1 i / � 9b )'2 Temporary services or feeders installation,alteration,and/or Phone:00 ) ��///L---i7 l_ W—PICf Fax:( )a j viol _ relocation �/ 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 125.08 1 2' intended for sale,lease.rent.or exchange.according to ORS 447.449.670,and 701. 401 amps to 599 amps 168.54 12 Owner signature: Date: Branch circuits-new,alteration,or extension,ter panel \/APPLicANT ❑COiriTACT PERSON: A.Fee for branchcircuits with above service or feeder fee, Business name: Lei-VA, i/ N W ' each branch circuit 7.42 2 . ! I '' B.Fee for branch circuits without Contact name: Chet /( l i/� service or feeder fee,first 36.18 p�/ �/" C/ branch circuit 2 Address: I ,)V ' f V /� '1-Lt , I Each add"'branch circuit 7.42 2 Cit} StateizlP: l!(� Miscellaneous(service or feeder not included) 9 L#C rJ- Each manufactured or modular 67.84 U',!l L�,, dwellin service and or feeder2 Phone:( � ) IOC)J Fat: : C�' r �(�, Reconnect only 67.84 2 E-mail: PQ R pe'r•m el Asn"4 L O( 1 Pump or irrigation circle 67.84 CONTRACTOR Sign or outline lighting 67.84 _ (�b ec •LTi\ _ c, ,- -. ,,,,,c, Signal circuits)or limited-enerev See Business namC: [ ►.� VBGpanel,alteration,or extension. _ Page 2 2 Address: 'l.%Q ` pec $ - Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25.'hr Cite/State/ZIP: Ci>oC v OV... OTZ alInvestigation hr min) 66.25%hr Phone:(grit) vs s_3 f Fa. :( ) Industrial plant(I hr min) 78.18'hr Inspections for which no fee is 90.00'hr CCB Lic.:)-St9, Electrical Lie.: CVO R Suprv. Lie.:5 305 5 specifically listed(%2 hr mint 1 ELECTRICAL PERMIT FEES Supn.Electrician signature,required: 1 r Subtotal: Print name: ' -�� ±art: — Plan review(25%of permit fee): LA C. r K . ---. State surcharge(12%of pennit fee). Authorized signatur•. '� O\v V �,y e' TOTAL PERMIT FEE: I This permit application expires if a permit is not obtained within 180 Print name: � �� 0`Q�� I Date: days after it has been accepted as complete. Number of inspections allowed per permit. I.ReildinePcrmits•ELC_PennitApp_ELR_ERE dw Rd,O5P_i.O13 4-50-4615Tt 1105'COSttWEB liLljAli Mechanical Permit Apl-icttom15 FOR OFFICE USE ONLY City of Tigard Received Date/By: /- Ay/5- CZ ', Permit No.: /�-v6) 1 114 n 13125 SW Hall Blvd.,Tig141 7 e1�R, ) Plan Review ,V— Phone: 503.718.2439 ax: f i ( TIGARDDate/By: Other Permit: Inspection Line: 5030.11191N‘ I 7.1'1111`' Date Ready/By: Juris: 1 Bf See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST rip'l-et t 9",, r r' r-, 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 0 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. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning r 46.75 , Job site address: / G Z 3 S W G /r�rH AV4 Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: s�6,givi)i hR 97 2 2.3 Furnace 100,000+BTU(ducts/vents) 54.91 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: Qp/r ...S.-7;7-267e S�7i.�7 s Lot no.: 2 , 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 Fuel piping: Business name:LENNAR NW,Inc $14.15 for first four;$4.03 for each additional Contact name:Charles Webb Furnace,etc. J Address:11807 NW 99th Street,Suite 1170 Gas heat pump WalUsuspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater i Phone:(360)258-7900 Fax::(360)258-7901 Fireplace Range J E-mail:PORPermits@Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) {�/ 1 1 Other: Business name: WG e)L O©i LA m a JA)(+ / MECHANICAL PERMIT FEES* Address: /©7 5 iiW/-5 TO R/e LDL 14IPII /T/VL-1-2 /,1✓y Subtotal City/State/ZIP: U%M A L C OR C17o 6 Q Minimum permit fee($90.00) / i Plan review(25%of permit fee) Phone:(3 o3 6 C 7..X 78/,..3B/Fax:(3-03) 6‘z- 989/ State surcharge(12%of permit fee) CCB lic.: // 2 2 2 O b TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 gj � , days after it has been accepted as complete. Authorized signature: `�/�GIGy/ylfL,r * Fee methodology set by Tri-County Building Industry Service Board Print name: eG// GkiMnV Date: 9,/6 ' /5• I:\BuildingWermits\MEC_PermitApp 040113.doc 440-4617T(11/02/COM/WEB) Plumbing Permit Ap11404iEP Building Fixtures FOR OFFICE USE ONLY 2 2 2015 Received Cityof Tigard n / Permit No.: 111111 a 131SW Hall Blvd.,Tigard,OR 97223 PlanDaReview f'/ a /� /Q�sW = Phone: 503.718.2439 1Di� U Date/By: Other Permit No.: Inspection Line: 503.639 T I G A R D p Li`�G 91V1's10 Date Ready/By: Juris: RI See Page 2 for Internet: www.tigard-oi 9 Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New constructionolition For special information use checklist av r Ic Description I Qty. Ea. I Total El 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 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 El Master builder 0 Other: Fire sprinkler( ,sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /O23h S'W 6 7rit �I/L' Catch basin or area drain 18.76 � c y Drywell,leach line,or trench drain 18.76 • City/State/ZIP: 159 A 0.6 ) /3 ! '72J 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 p .577726_77:7-- L S rA7ES ( Lot no.: 2/ 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 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 Water heater 1 37.52 • Business name: W OL Co IT PLUM a A/9 Water piping/DWV 56.29 Address: /0 75 W• I"15742/P/C l?e,Lam/3/4 1Q✓zpQ r: 25.02 City/State/ZIP: /Jrj,G[7.0446^/ e, Y7)6Q Subtotal Phone:(553)(o6 7,/7g'( ,,,,73g/ Fax:(5'3) �6 7. 57,9 Minimum permit fee: $72.50 PlumbingLic.no.: s, 824 Plan review (25%of permit fee) CCB Lic.: 22 Z 00 c a State surcharge(12%of permit fee) Authorized signature: a. TOTAL PERMIT FEE �7�- -:-/a- This permit application expires if a permit is not obtained within 180 days Print name: C /�� gD� �� 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(l0/02/COM/WEB) l ( City of Tigard INCOMMUNITY DEVELOPMENT DEPARTMENT T 1 G n li Building Permit Review — Residential Building Permit #: H HJT-o9-©l S- c o4 q Site Address: 10 2 3 6 5W 67-k4 ,AN,e Project Name: gal,k S+-ee i-- tz.. s+rk+es Lot #: 2 i (New dwelling= subdivision name;Addition or.Aiteration=last name of owner) Planning Review Proposal: new SF Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ Yes No Silk Plan Elements: Vhree (3)copies of site plan xisting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure (including decks)with finished rawn to scale(standard architect or engineer scale) 9oor elevations North arrow m Utility locations(required for new,may apply for additions) NtfLite address,project or subdivision name and lot number ocation of wells/septic systems pplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensionssign,location of catch basin,etc.) .tot area,building coverage area,percentage of coverage and `L,,�f�treet names )fripervious area (applicable if R-7,R-12,R-25&R-40) LJ reet tree size,type and location C1AProperty corner elevations(2 foot contour lines if more than QdExisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Lette lot platted prior to 9/10/1995): 7equired: ❑ Yes,applicant was notified L`S No Received: E Yes El No L`1 Public Facilities Improvement (PFI) Permit: Required: E Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake �/�"and Use Case#: jU`?j I `i — 0000 I LAS oning: R-Li .S t , 1 cs Setbacks: Front O' Rear t S Side 5 Street Side -- Garage 2,0 $Landscape Requirement: --EI/Lot Coverage Maximum: i ` ' y grA Building Height: Maximum Height 6U Actual Height 2 4-4 Visual Clearance lig Easements ,Sensitive Lands: ❑ Yes E( No Type rban Forestry Plan Conditions "Met"prior to issuance of building permit `' Notes: N y/ , Approved By Planning: 7-41 M Lel- o Date: 12. , 2,41 S 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 IdgPennitRvw_RES_070915.docx Building Permit Submittal / Original Submittal Date: / � 5 Site Plans: # ( 5 Building Plans: # 3 Building Permit#: . Enter building permit#above. � Workflow Routing: []Planning engineering erinit Coordinator �� Building Workflow Sign-off: '1 Sign-off for Planning(include notes from planning review) Route Application Documents: Er Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: QL.yL�-` / Date: /Z a� / Engineering Review Slope at building pad: ... !e V(Conditions "Met"prior to issuance of building permit ieEasements (encroachments) per engineering conditions of approval and plat eWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes /21-No Assess Water Quantity Fee in-lieu: ❑ Yes 7r No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: l .,f 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: rDC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A Tigard Trans SDC: ❑ Yes , N/A I Parks SDC: P'Yes ❑ N/A 'kk,OK to Issue Permit Approved by Permit Coordinator: ellinDate: 0f)/e-1".&" I:\Building\Fonns\BldgPenniIRvw_RES_0709I5.docx 44 5 TA o(-5 lv ›-3 56,9- �7 71- .1 jf 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. ❑ 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, #.6)Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 Y ;a City of Tigard TIGARD j Accela Refund Reques t This form is used for refund requests of land use, development engineeri.zig 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 S ystem y each Wednesday at 5:00 PM. Please allow up to 3 weeks for process ng of refunds trA c oar untss 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#: Various Date: Various Address/Parcel: Various Pay Method: CreditCard 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.le: Building Permit Fee Refund Example: 2300000-43104 $Amount Washington County Transportation Development Tax 405-0000-43320 Parks SDC-Improvement 425-0000-43300 $237,723.00 Parks SDC-Reimbursement 20,203.00 425-0000-43301 Sewer Connection 500-0000-25500 3,633.00 *0430 • erd TOTAL REFUND: ,$.4337449701 APPROVALS: SIGNATI RFS/DATE: Ri �� 0D If under$5,000 Professional Staff � 'artom// C " - ii If under $12,500 Division Manager _3/9// If under $25,500 Department Manager If under$50,000 City Manager ,LSD . - If over$50,000 Local Contract Review Board ..LO PVA�- ��e , ��-- FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY '�-- Case Refund Processed: I Date: 7//6f / By: ,4:9174— 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 10236 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00269 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 10236 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00269 Chip Barnett Erosion control approved CWS High-efﬁciency lighting systems form received Street tree cert received Moisture content acknowledged form received 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 10236 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00269 Chip Barnett Previous corrections have been completed Violation Summary: Inspector Contractor