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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit*: MST2015-00259 Date Issued: 02/22/2016 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 TIGARD g Parcel: 1 S 136AA12500 Jurisdiction: TIGARD Site address: 10220 SW 67TH AVE Subdivision: OAK STREET ESTATES Lot: 20 Project: Oak Street Estates, Lot 20 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Reauired 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: 4 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: 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 Tvpes 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 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: 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 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: $25,082.21 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 160 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: ��— 8or Permittee Signature: /9/✓ %��(-jet'/L-770A/ 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. I • Building Permit Application Lc j - ills..-- Residential REC 1ED / FOR OFFICE USE ONLY City of Tigard 1 ! Receivede /i2.2 iC5' ,i. Permit Ngt�/�7A/��/vas'9 13125 SW Hall Blvd.,Tigard,OR 972TWC 212.015 plan Review/ / !`�/o� C ,,�� )) Other Pernut. Phone: 503.718.2439 Fax: 503.598.1 0 A Dant Ry: �d.>>c �Gcl�o�0� TIGARD Inspection Line: 503.639.4175 GF'�rY�OF TIGARD DateReadyBy: Jugs: I BI See Page 2 for Internet: www.tigard-or.gov BUILDING UILDS %� DIVISION Notified/Method: :431.4.4. Supplemental Information 43 f VCi Y d l ) A t 1 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 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:..3 1, Jo� $ ❑Accessory building 0 Multi-family Number of bedrooms: 44- 0 Master builder 0 Other: Number of bathrooms: I- 3� JOB SITE INFORMATION AND LOCATION Total number of floors: / 2. Job site address: /022 a 5"w 677-/, X41 t/e: New dwelling area: 3 /go square fee 7 63 City/State/ZIP: /j;192 b di-? 972..z . Garage/carport area: 5613 square feet Suite/bldg./apt.no.: Project name: Covered porch area: 3 'L square feet)4 9 2 Cross street/directions to job site: Deck area: square feet 1' 3g Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 04/r Srj '6 T 7,j f S Lot no.: 20 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 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 996 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): City/State/ZIP:Vancouver,WA 98672 Total fees due upon application: 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.: /Q 53 0 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 /e,l. / L/42-i7-/3- Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit ApplicationDEC 2 1 2015 roll Otri( i 1 ,i t1\1 ' City of Tigard C:'�'' 7;_ "� s= ed DateReceiv Permit No/yn7a/5 , 59 13125 SW Hall Blvd.,Tigard,Op.:9-4..j;,, . ;, :,,-,•:.,. Plan Review i r'. i1i'a:•,siL-'r Other Permit: Phone: 503.718.2439 Fax: 503598.4?#6(1 Date/8 I I It t l inspection Line: 503.639.4175 Date Ready/By: Jur id See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK - PLAN REVIEW , ❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/hems checked below): 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'CO VSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14.000 0 Commercial-use agricultural 0 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. gs. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or 0 Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION 0 Addition of new motor load of ❑"A",-E","I-2`,"I-3", Job no.: Job site address: /0 2 20 s w t' 7 , AU- or more. occupancy. ❑Six x oor r more residential units. 0 Recreational vehicle parks. CityiState/ZT: � 72 3 ❑Health-care facilities. 0 Supply voltage for more than `/ ��fd/q Q� cJ� 0 Hazardous locations. 600 volts nominal. Suite/bldgiapt.no.: Project name: 0 Service or feeder 600 amps or more. FEE SCHEAULE . Cross street/directions to job site: Description 1 4� I Fee. I Tow I • New residential single-or multi-family dwelling unit Includes attached garage. Subdivision: Opt. - Lot no.: 2 1.000 sq.ft.or less 16834 4 Vp f` ��6.7......7 '�' �� G s U Es.add'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential � 75.00 DESCRIPTION-OF WORK with above sq.ft) 2 Limited energy,multi-family 75.00 residential(with above sq.ft.) Renewable Energy 0 See Page 2 IServices or feeders installation,alteration,and/or relocation • t.` PROPERTY OWNER ❑ TENANT. 1 200 amps or less i 100.70 1 201 amps to 400 amps 133.56 2 Name: , J, ` y- 1 , I . 401 amps to 600 amps 200.34 2 Address: V L pt/� 1!Ei dr I-0,, ,�� 601 amps to 1.000 amps _ 301.04 2 V Vl t Y` Over 1.000 amps or volts 552.26 2 City/State:'ZIP: Va Real ver 1,/�p- 1,9-60� Temporary services or feeders installation,alteration,and/or Phone:SO ) vvvVt—t•7-- ' fQO t/ Fax: )05-V ----1`101 relocation o�� I 200 amps or less 59.36 I I Owner installation:This installation is being made on property that i own which is not201 amps to 400 amps 125.08 -I 2 intended for sale.lease,rent-or exchange.according to ORS 447,449.670.and 701. .. l 401 amps to 599 amps 168.54 e Owner signature: Date: Branch circuits-new,alteration,or extension,ter panel X APPLICANT ❑ CONTACT PERSON: A.Fee for branch circuits with above service or feeder fee. 7.42 2 Business name: L °J'h C, 1/ N (Iv,. each branch circuit I N w .` B.Fee for branch circuits without Contact name: (• 1rlQ(1/sA J ��/jt0 service or feeder fee first u I v" t� branch circuit 56.18 3 Address: ` VV r N /- q-i=i -4 I I Each add'(branch circuit 7.42 2 Cit)'Statei7_IP: n�Vre u vee I, 1 til u 1 "Q)'-'1_ Each Miscellaneous(service or feeder not included) ht s V L �' ` 4 jf l P t r7 Each manufactured or modular 67 84 dwelling.service and.or feeder Phone: /610) ) .- o .Fix: :(3 401 Reconnect only 67.84 2 E-mail rmi tClt�.n�i COlYPump or irrieation circle 67.84 ' CONTRACTOR Sign or outline lighting 67.84 ' Business name:1b' ex 1.�,� c' .. -%..\,,c. Signal circuit(s)or limited-enerev See panel,alteration,or extension. Pace 2 2 Address: kbi.kC) ' rte - Each additional inspection over allowable in any of the above t� Additional inspection(1 hr mm) 6625.'hr City/State/ZiP: �oC , a?... O + Investigation u i hr min) 66.25;hr Phone:( 7 ) (AS-IA Fax:( ) Industrial plant I I hr min) 78.18'hr v, Inspections for which no fee is 90.00'hr CCB Lic.:a0,/6 Electrical Lie.: C is Suprv. Lic.:Jr 305 S specifically listed(%2 hr min) Supn.Electrician signature.required: 0 ELECTRICAL PERMIT FEES Subtotal: Print name: r - � ate: Plan review(25%of permit fee): G � K . --- State surcharge(12%of permit fee): Authorized signatur �. ok‘.() C TOTAL.PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Ne_kknQn C \Io`c752.1„G I Date: days after it has been accepted as complete. ' Number of inspections allowed per permit I nuitdingTermits'ELC_PennoApp_ELtt_ERE dos Re,05%21,2013 440-4015TH I.05 CO14W E6 Mechanical Permit Applicatio I FOR OFFICE USE ONL\ City of Tigard `a_, j �� Received Permit N qIII 13125 SW Hall Blvd.,Tigard,OR 97223 Dan Re9'y�'�?Q��-� 9 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 D E C 2 12 015 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: I 63 See Page 2 for Internet: www.tigard-or.gov •(-1,4.:( i'k"tf t- lr,n-,} Notified/Method: Supplemental Information L-_,!,%!i.0: C: D i tti i J M Y 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 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: / �77N 1�J Air conditioning I 46.75 Job site address: /G 2 Z U sw (p '/ V Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: i,C��D DR 9 72 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 I Flue/vent for any of above 23.32 Other: 23.32 Subdivision: ,t ,„Cif i 5-2^-2676: -'-'7s7-4r6.-15 Lot no.: 2C 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) Other: Business name: w� . L c D-% PL U M�/A)c,� MECHANICAL PERMIT FEES* Address: f©15 W. )J,s 7a Rie Cd G wM/hm My /2 /7W v Subtotal City/State/ZIP: {/�©Gt r v 4 C OR 9706.0 / Minimum permit fee($90.00) !! i Plan review(25%of permit fee) Phone:(3-03) 66 7_X 78/4,-17 fey Fax:(j'v3) 66 7_ 989/ State surcharge(12%of permit fee) CCB lic.: J/ 222 U G TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 aa,44.440/�j days after it has been accepted as complete. Authorized signature: /� y__ / • Fee methodology setby Tri-County Building Industry Service Board Print name: eL J�tr-,.- Mit,vDate: '9,J6 , /5 I:\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(11/02/COM/WEB) • Plumbing Permit Application t r- OItI - Building Fixtures 'h F... 1 V; FOR OFFICE USE ONLY City of Tigard ReceivedDate/By: Permit No S��/,r D0o259 III e 13125 SW Hall Blvd.,Tigard,OR 97223 DEC 12 015 Plan Review • Phone: 503.718.2439 Fax: 503.598.17.61-1, 03.598.19A _.Y cFs_ r try etr� Date/By: Other Permit No.: Inspection Line: 503.639.4175 TIGARD _ ' jt,' ^ 4,s,:` . ,D Date Read BY Juris: H See Page 2 for Internet: www.tigard-or.gov , ;ie.io,: t - 0fkli 11OIWotified/Method: Supplemental Information ormation TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description Qty. 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 ❑Multi-family Each additional bath/kitchen j 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /a 2 2 U s W 6 77h' ,j/GS Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 fl�j'�j/�/ 1 C!� '9 72 2 3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: f 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: 04 S ES M 765 l Lot no.: 2 3 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(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 CONTRACTOR Water closet 3 25.02 n Water heater 1 37.52 Business name: 'W O L 'C 6,77 l /_L u 18(A7 Water piping/DWV 56.29 Address: /U 7 5 WI. kit 5 70R,c e,.a m/3,79 gi eh. ler: 25.02 City/State/ZIP: Subtotal ty �©u77RL�"/ �� 7_D O Phone:(5i3)667,/79( / Fax:(�p3) 4 6 j_ 57891 Minimum permit fee: $72.50 x�.3P CCB Lic.: / 2 Z 2 0,0 Plumbing Lic.no.: .-82,1 PQ Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: eit` JG(b1_4402, TOTAL PERMIT FEE l7�% This permit application expires if a permit is not obtained within 180 days Print name: C �-` 62 /1.014-.41DDate: �' 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) li 71 City of Tigard w COMMUNITY DEVELOPMENT DEPARTMENT , ■ T I G A R D Building Permit Review — Residential Building Permit #: /yf 7-020/S-- 66 ?Sic Site Address: /0›.1Q0 ) (, i-e Project Name: Q.',k •-S);5-.4)___7/ EgkieE _ Lot #: (QC (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A/e&v 3=/e "Verify site address/suite # exists and active in permit syste . ,�� iver Terrace Neighborhood: E Yes 7No Sity Plan Elements: r ree(3)copies of site plan t FA 'xisting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper i►Footprint of new structure(including decks)with finished awn to scale (standard architect or engineer scale) oor elevations Orth arrow Utility locations (required for new,may apply for additions) s, to address,project or subdivision name and lot number 4L11..cation of wells/septic systems Isignplicant information (name and phone number) i•/Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions ,location of catch basin,etc.) 111 i ot area,building coverage area,percentage of coverage and 'reet names impervious area(applicable if R-7,R-12,R-25&R-40) reet tree size,type and location 6CJ Property corner elevations (2 foot contour lines if more than existing trees to be retained with drip line,and tree 4 foot differential) protection measures 01.Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No MI Public Facilis Improvement(PFI) Permit: Required: V Yes,applicant was notified ❑ No Applied For: I2 yes ❑ No,stop intake V•Land Use Case#: Sjl 2e7/y—OCC/j / Ut-QO/S— 00002-/ oning: R-4, 1(J Setbacks: Front c.20 Rear ,cSide Street Side /S— Garage QQ Landscape Requirement: i ill ' ot Coverage Maximum: 0/0 [r. Building Height: Maximum Height ) Actual Height a 2/ OVisual Clearance idkasements Sensitive Lands: ❑ Yes VI/No i��/) Type Vi rban Forestry Plan art Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: , ---�--. Date: /!1/2//5 Revisions (after Building Submittal only) Reviewer �r Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPenn itR vw_RES_0709 1 5.docx J Building Permit Submittal Original Submittal Date: /.2/2 Site Plans: # �3 Building Plans: # 3 Building Permit#: Er-Enter building permit#above. E Workflow Routing: Er Planning r ngineering LTh15ermit Coordinator C�Building Workflow Sign-off: 0- Sign-off for Planning(include notes from planning review) Route Application Documents: s-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: Date:%02A��-5-- Engineering Review ,,Slope at building pad: /j Conditions "Met"prior to issuance of building permit .LTJ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: E Yes E No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: di, co Date: / _.2r?to 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 207 N/A Parks SDC: Yes ❑ N/A OK to Issue Permit / Approved by Permit Coordinator: / Date: /.A7 /:/ 1:\Building\Forms\B 1dgPennitRvw_RES_O70915.docx 44 s7--,,Z /s- 002-c, /02_2-0 S4") x,71 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, Al Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 1503.639,4171 City of Tigard TLGAR j Accela Refund Reques t This form is used for refund requests of land use, development p nt engmeeri.ng 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 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#: Date: Various Various Pay Method: CreditCard Address/Parcel: Various Project Name: Oak Street Estates EXPLANATION: Refund for transportation development and parks system d evelopment 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 cari be applied and all SDC fees paid by developer shall be refunded. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Exam ile: Building Permit Fee Example: 2300000-43104 Refund Washington County Transportation Development Tax 405-0000-43320 $Amount $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 21498700 " ??1s2O rd II 1111111111 11.111.1111.11111111111111 TOTAL REFUND: „$333-714970 APPROVALS: SIGNAT S DATE: -3 ?iO3"?. If under $5,000 Professional Staff 1Y/' If under$12,500 Division Manager j9�/ip If under $25,500 Department Manager If under $50,000 City Manager i - If over$50,000 Local Contract Review Board -LOES PVo7" FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY --- Case Refund Processed: Date: IWAWA 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 10220 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00259 Chip Barnett 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 10220 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00259 Chip Barnett 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 10220 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00259 Chip Barnett Violation Summary: Inspector Contractor