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Permit CITY OF TIGARD MASTER PERMIT 111 • COMMUNITY DEVELOPMENT Permit#: MST2015-00263 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/22/2016 Parcel: 1 S136AA13600 Jurisdiction: TIGARD Site address: 10263 SW 67TH AVE 1 Subdivision: OAK STREET ESTATES Lot: 31 Project: Oak Street Estates, Lot 31 Project Description: New SF BUILDING Floor Areas Reauired SetbacksRequired Stories: 2 Bedrooms: 3 First: 1692 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 905 sf Garage: 417 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2594 sf Value: $314,174.54 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 Rain0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: N 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 Temo 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: PHONE: 360-216-6423 FAX: 360-258-7901 Total Fees: $23,611.84 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. Y u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 40A) P)U«�0&I 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 LS • Q / S— Residentil RECEIVED FOR OFFICE USE ONLY' g DEC 2 2°15 Date/By: Z?/��2/5- �d i/$0x0243 Cityof Tigard 1 ReceivedPermit No 11111 'l 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review, ` C Phone: 503.718.2439 Fax: 503.598.19 DateBy: 3))L "-iir Other Perm (,ae25V_fer/5� TI G A RD Inspection Line: 503.639.4175 �� OF T1 �R Q Date Ready/By: Jurist H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: I Supplemental Information 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 ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: $ ® 1-and 2-family dwelling ❑Commercial/industrial 3 7�" ! ❑Accessory building 0 Multi-family Number of bedrooms: 3 ❑Master builder 0 Other: Number of bathrooms: 3 --?;"5....„--.7Z JOB SITE INFORMATION AND LOCATION Total number of floors: 2. Job site address: /0 2 4,3 Sjlf Z,7iw A✓t_.- New dwelling area: 2, 5 9 7 square feet 0 1 L4. City/State/ZIP: 74g/2r,) (1))? 9'7 Z Z 3 Garage/carport area: 4/ 7 square feet 11 Suite/bldg./apt.no.: Project name: Covered porch area: 1 6 4_ square feet C)0 ca_ Cross street/directions to job site: Deck area: square feet l6 cia Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: .9/( �1eL C7- 6.-: T:T'L S Lot no.: 3/ 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 name:Lennar NW,Inc. (Please refer tofee sckedule) Structural plan review fee(or deposit): Contact name:Charles Webb - FLS plan review fee(if applicable): Address:11807 NE 99th Street,Suite 1170 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:( ) o State surcharge(12%of permit fee): $21.60 CCB lie.: /Q 53 0, 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. *Fee methodology set by Tri-County Building Industry Print name: / �� rGi3 v Date: /2-/.7_ !, Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , • Electrical Permit Applicati CEi��,JED Received }-(m OF I R I 1 'si: O\1.1 ' City of Tigard DateB i.: Permit No./17:57 .415.---.06/.263 13125 SW Hall Blvd..Tigard,OR 9722@ C C 21 2015 Plan Review tI ' Phone: 503.718.2439 Fax: 503.598.1960t Date/•: Other Permit` 11, 1.i) Inspection Line: 503.639.4175 CITY OF TIGAP7 Date Ready/By: Judi !a SeePage2for tA Internet: www.tigard-or.gov BUILDING Div: t( Notified/Method: Suppkmental Information TYPE OF WORK - PLAN REVIEW New constructionPlease check all that apply(submit 2 sets of plans w/items checked below): ❑ 0 Addition/alteration/replacement 0 Service or feeder 400 amps or more 0 Building over three stories. 0 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 aencuhurat 0 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 derived Emergency system. larger separately deved system JOB SITE INFORMATION AND LOCATION 0 Addition of new motor load of ❑"A",-E","I-2"."I-3" Job no.: Job site address: I 0 26,3 _SW 6 7TH A v L 1 Six or more more. Recreational ❑ or residential units. ❑Rrnvehicle parks. CityiState/ZIP: 7T<3ARD 1 0/e 9 7 Z 2 3 ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: 0 Service or feeder 600 amps or more. ` FEE SCHEDULE Cross street/directions to job site: Description I Qty. l Fee. I Total l • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: OAS 5' L ! � -7-4 7-6 S Lot no.:.2` 1.000 sq.ft.or less 1 168.54 14 Ea.add'I 500 sq.ft.or portion 4 33.92 1 Tax map!parcel no.: Limited energy,residential DESCRIPTION.-"OF WORK (with above sq.ft) J 75.00 t 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 I.' PROPERTY OWNER - - ElTENLANT. 200 amps or las ' 100.70 _ ' 201 amps to 400 amps 133.56 2 Name: .... ._'_41 , r I ' 401 amps to 600 amps 200.34 2 Address: q 601 amps to 1.000 am 301.04 2 L�� `� •�� m� Over 1000 amps or volts 552.26 2 City State'ZIP: +��4�(17V 11, r !Ail_ 6S Temporary services or feeders installation,alteration,and/or 1 Phone:� O )?5- 19VD V "Fax:(0)`059 7�i relocation 200 amps or less 59.36 I I Owner installation:This installation is being made on property that i own which is not 201 amps to 400 amps , 2 intended for sale.lease.rent.or exchange.according to ORS 447,449.670,and 701. I 1 401 amps to 599 amps 168.54 _ 1 2 Owner signature: Date: Branch circuits-new,alteration,or extension, r panel A.Fee for branch circuits with X'APPLICANT 0 CONTACT PERSON above service or feeder fee. � ,Q �, � I 7.42 2 Business name: v---t�li Y I i/ J V� . each branch circuit I/ L t` ' B.Fee for branch circuits wirhvnr Contact name: (• I'Q�/� V q '�ji service or feeder fee,first 56.18 li ' Yr V" Yf branchcirc-uit 2 Address: (60-1 �'l ( I Each add]branch circuit 7.42 2 1 ' Etiscellaneous(service or feeder not included) City/State/ZIP: Q a)e u V 0- cicb Li OD- Each manufactured or modular 67 84 t Phone:-(3/00 v'�7) f) .� 1/0/'1V) Fax: :r5 �-� -71101 dwelling,service and/or feeder ()nil Reconnect only 67.84 2 E-mail: �'m j�S �n� Q'/L 1 Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: CbWeC�-t•`ke.. �C.kc� Signalcircutt(s)or limited-energy See panel,alteration,or extension. Pace' 2 Address: 931\O'3Ciibta.,ct....k?G t,- Each additional inspection over allowable in any of the above ,` _� Additional inspection(1 hr min) 66.25.hr Cil) ?o�"C�tJ. , T NQ ��7[� in estigation 11 hr min) 66.25,fir Phone:(Cki 1) (�,5_-p [j CR- I Fax: ((sw I industrial plant(I hr min) - 78.18'hr 1 �'` Inspections for which no fee is 90.00'hr CCB Lie.: ci 6 Electrical Lie.: C v) Suprv. Lic.:5 3o5 5 specifically listed('',=hr min) D ELECTRICAL PERMIT FEES Supra.Electrician signature,required: Subtotal: — Print name: rJ ate : Plan review(25%of permit fee): 1G / lK w-C>J State surcharge(12%of permit fee): Authorized signatur kacj L� f TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within ISO Print name: 0.�� 0\�SeJ3C I Date: days after it has been accepted as complete. J • Number of inspections allowed per permit. 1-ftuilding'PcrmitsELC PcnniApp ELR ERE dw Rev 05/26^013 440-1615111 I:CSC05,1AV R Mechanical Permit Application FOR OFFICE USE ONLY ENED Received 3—��/ aoa6 3 City of Tigard R�,C Permit V Date/By: III13125 SW Hall Blvd.,Tigard,OR 97223 1 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DEC 2 1 20'5 Date/By: Other Permit: TI G A R D Inspection Line: 503.639.4175 t', Date Ready/By: Juris: I ® See Page 2 for Internet: www.tigard-or.gov OF TICPn0 Notified/Method: Supplemental Information CI�'� �- �/IS,GN 8Ut1Ql +.- °.. TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commerciallindustrial ❑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: / Air conditioning i 46.75 Job site address: /G 2(O 3 544/ ‘ 77-7./ ,✓L' Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 l c ARD ofe 9 7 Z Heat pump 61.06 Suite/bldg./apt.no.: l 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: dpfiL C r '..—"'S r, 7-6'5 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 Other: 23.32 ® PROPERTY OWNER 0 TENANTEnvironmental 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 Fuel piping: Business name:LENNAR NW,Inc $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) Business name: G O L G O�7% ` Other: W � j� MECHANICAL PERMIT FEES* Address: f U 75 VI// y/s rU Ric Co 101g/4 M1/4._:72 1-wivy Subtotal City/State/ZIP: MO U i7 A, bR CJ 7Q 6 Q Minimum permit fee($90.00) // ! Plan review(25%of permit fee) Phone:(3-c8 6 67 w/781 FnYT 3e/Fax:(coo) 6,6 7 C/i89/ State surcharge(12%of permit fee) CCB lic.: 1/ 2 2 2 U a TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: 6,,,,, * Fee methodology set by Tri-County Building Industry Service Board Print name: et//% /?7,„„,'M 'J Date: 9./6 ' /5 I:\Building\Permits'MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) . . Plumbing Permit Applicatio ,-* Building Fixtures " FOR OFFICE USE ONLY City of Tigard D E C 21 Received ,�t� 2 !5 Permit No INDate/By: /f 7-020/5"--00.2 3 e 13125 SW Hall Blvd.,Tigard,OR 97,7, 3 Plan Review _ Phone: 503.718.2439 Fax: 503.59 a( ' OF I.;(,-.-.ARD DateBy: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 3 L f t. �1 IN t 1 D R;y/�;7 V N Date Ready/By: Tuns: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description Qty. 1 Ea. 1 Total _ ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinlder(-sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /026 2 5)4r/ 77-/ 4 Ki-:-7- Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 77$' RD OR q 72 21 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: OA h Sn2�-- S;j 7E5 I Lot no.: 2/ 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 Water heater 1 37.52 • Business name: WO L c e0 7 j PL um 73(A/9 Water piping/DWV 56.29 Address: /v 75 h, 141570,e/C 1' am/3/A /7,y r 25.02 City/State/ZIP: ,/?7�/446r, dA2 9.70 60 Subtotal (� ) Minimum permit fee: $72.50 Phone:(5-0x)66 7"/79(ex,7. ti Fax: 6 6.T- sgey CCB Lic.: `/ 2 22 00 Plumbing Lic.no.:26 8241 13 Plan review (25%of permit fee) ` State surcharge(12%of permit fee) Authorized signature: f't doe 7 TOTAL PERMIT FEE �-� �/� Date: f This permit application expires if a permit is not obtained within 180 days Print name: (1)4//�� lJD/f✓/�.�•v G ,/6after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) / City of Tigard 114 ■ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G n R D Building Permit Review — Residential Building Permit #: /7.ST�0/S�- DO 6 3 Site Address: /OQ6 3 ` ) 6 . Project Name: 0,7", ,S ,J- Es arks Lot #: 3/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A/ito .,`j ,e az(Verify site address/suite# exists and active in permit syste . ever Terrace Neighborhood: ❑ Yes [No Sit Plan Elements: ree(3)copies of site plan , NF'xisting structures on site e plan must b&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) Poor elevations Orth arrow Utility locations (required for new,may apply for additions) Or A to address,project or subdivision name and lot number 9l1 ..cation of wells/septic systems plicant information(name and phone number) Y4 Erosion control(including drainage-way protection,silt fence IlaiLot dimensions and building setback dimensions sign,location of catch basin,etc.) i Illi ot area,building coverage area,percentage of coverage and l reet names Impervious area (applicable if R-7,R-12,R-25&R-40) reet tree size,type and location 6C1Property corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Rni Public Facili s Improvement (PFI) Permit: Required: Vii Yes,applicant was notified E No Applied For: /Yes ❑ No,stop intake Land Use Case #: ' .^ " m oning: ,Q44s- - Setbacks: Front c2 ) Rear /` Side Street Side /c Garage QC7 ljeLandscape Requirement: i El ' ot Coverage Maximum: M Building Height: Maximum Height s Actual Height Qa 62 \1 % isual Clearance L7 Easements Oftensitive Lands: ❑ Yes No Type /Jrban Forestry Plan ®/Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: `L".. '�-� C---„,,.Z# Date: ' /g— Revisions SRevisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPennitRvw_RES_070915.docx Building Permit Submittal Original Submittal Date: /�/a/- Site Plans: # 3 Building Plans: # '3 Building Permit#: Enter building permit#above. Workflow Routing: -Planning Engineering E.-Permit Coordinator 3uilding Workflow Sign-off: 12-Sign-off for Planning(include notes from planning review) Route Application Documents: 0'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. er-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: /a,A.2` " En ineering Review fro Slope at building pad: Conditions "Met"prior to issuance of building permit asements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: �,� / Assess Water Quality Fee in-lieu: ❑ Yes ',L_J,�No Assess Water Quantity Fee in-lieu: ❑ Yes ,� No LIDA Facility on lot: ❑ Yes No E NOT Approved by Engineering: Date: Notes: Approved by Engineering: W/,17 Date: /Z--_,„3-7 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: FiPSDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: rYes ,P N/A Parks SDC: S Yes ❑ N/A ii OK to Issue Permit Approved by Permit Coordinator: Date: /2/16/5— I:\BuildingTomis\BldgPennitRvw_RES_070915.docx 2 //1:\Building\Fonnns\BldgPennitRvw_RES_070915.docx S7 c (S-- 00/-4-3 ( vase 3 v_ ) �'! -� 1111 q 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: ►1 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. ❑ 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, rc..0Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 f 503.639.4171 City of Tigard TIGARD Accela Refund Reques t This form is used for refund requests of land use, development engineeriimag and building permit application fees. Receipts, documentation and the Request for Permit ActioArz 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 MY: 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, Example: Building Permit Fee Example: 2300000-43I 04 Refund Washington County Transportation Development Tax 405-0000-43320 $Amount $237,723.00 Parks SDC-Improvement 425-0000-43300 Parks SDC-Reimbursement 20,203.00 425-0000-43301 Sewer Connection 500-0000-25500 3,633.00 TOTAL REFUND: .$33374911 APPROVALS: SIGNT S/DATE: — i C S�.trb If under $5,000 Professional Staff If under $12,500 Division Manager If under $25,500 Department Manager If under$50,000 City Manager i If over $50,000 Local Contract Review Board _LO ES iV 0 r FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: �� ©gar 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 10263 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 120 Electrical rough-in FAIL MST2015-00263 Herb Stabenow Overhead stapling missing upst hall and mbed(?). Running boards missing within 6ft of access 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 10263 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final PASS November 14, 2016 at 11:16:22 AM MST2015-00263 Jeff Grove 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 10263 SW 67TH AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final PASS November 14, 2016 at 11:17:03 AM MST2015-00263 Jeff Grove Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 10263 SW 67TH AVE, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: November 16, 2016 at 10:41:56 AM Record ID: MST2015-00263 Inspector: Chip Barnett Contractor