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Permit (102)
CITY OF TIGARD MASTER PERMIT II: ' COMMUNITY DEVELOPMENT Permit#: MST2017-00419 Date Issued: 11/07/2017 T k CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109AC06300 Jurisdiction: Tigard Site address: 13319 SW MADDIE LN Subdivision: MADELINE HEIGHTS Lot: 1 Project: Madeline Heights, Lot 1 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1567 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1855 sf Garage: 547 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors. Total: 3422 sf Value: $419,310.13 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm 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 Furn>=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!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 3422 Owner: Contractor: LENNAR NW INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11807 NE 99TH ST#1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: 360-258-7900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $33,280.38 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 -t forth in OAR 952-001-0010 through QA: 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.,F0� 1) Issued By. ( .. / 1-1—e......______ Permittee Signature: ilI.1 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 •f the project. Approved plans are required on the job site at the time of each inspectio . , Building Permit Application Residential ''_ FOR OFFICE USE O\LI' Cl of Tigard Received `J g OCT2 DateBY: /(� i7 J Permit No.: 1(T Oil it 9 11 I v 13125 SW Hall Blvd.,Tigard,OR 97223 # 4 ?017 Plan Review ,G/J��z�pp��, Phone: 503.718.2439 Fax: 503.598.1960 _ Date/By: s Other Permit:�+,°V£ir't'i 7,.c....03 Ii TIGARD Inspection Line: 503.639.4175 cI OF'MAR' DateReady/By: 7uds: H See Page 2for Internet: www.tigard-or.gov BUILDING i d Method: II U.If?f 7�- -G Supplemental Information '4.9 3 TYPE OF WORK ; t RE 0 ' D DATA:1-AND 2-FAMILY;DWELLING dNew 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 --i-' rr' CATEGORY OF CONSTRUCTION ". work indicated on this application. V1-and 2-family dwelling ❑Commercial/industrial Valuation: `'.C'�735 ❑Accessory building ❑Multi-family Number of bedrooms: 5 L I I 19,310 0 Master builder ElOther: Number of bathrooms: 3 "`JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3C) 6 9 Job site address: 13319 SW Maddie Lane New dwelling area: 3422 square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: 547 square feet Suite/bldg./apt.no.: Project name: Covered porch area: -2+9.6-3 square feet,e Cross street/directions to job site: p ,grga:C.orve✓ 17 ) square feet ws 6 7 Other structure area: square feet REQUIRED DATA COMMERCIAL USE CHECKLIST=?:. Subdivision: Madeline Heights Lot no.: 1 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 Z :{ DESCRIPTION OF WORK work'm icated 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 99th Street,#1170 Occupancy groups: City/State/ZIP: Vancouver,WA 98682 Existing: Phone:(360)258-7900 Fax:(360 ) 258-7901 New: ,:S4 APPLICANTT s° . 11'- CONTACT PERSON BUILDINGPERMIT FEES* (Please refer to fee schedule) Business name: Lennar NW Inc. Structural plan review fee(or deposit): Contact name: Juls Call FLS plan review fee(if applicable): Address: SAME AS ABOVE Total fees due upon application: City/State/ZIP: Amount received: Phone:( 360) 258-7906 Fax::( E-mail: juls.call@lennar.com PAOTQVOLTAICSOIARPANELSYSTEMFEES* 1tRCommercial tprescriptived residential installation of CONTACTORy roof-top mounted PhotoVolaic SoarPanelSytem. 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. Permit Fee(includes plan review City/State/ZIP: $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 195307 t7l'&f/9 Total fee due upon application: $201.60 Authorized signature: 1C° 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 Juls Call 10/23/17 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY' City of Tigard pit hCE € Received Permit No.: - > Date/By: y A ,1 C 13125 SW Hall Blvd.,Tigard,OR 912A Plan Review Phone: 503.718.2439 Fax: 503.598.19600 c l 2 4 L�?0 1 7 Date/By: Other Permit: T I G A R 1� Inspection Line: 503.639.4175 Date Ready/By: Jure Bf See Page 2 for Internet: www.tigard-or.gov - 1 Notified/Method: Supplemental Information CrrY OF ;.,,, TYPE O> IN toll bt- 16a COMMERCIAL FEE*:SCIIEDIJLE TISE CRItcKLIST .:, 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 E UIPMENT I SYSTEMS FEES* [f 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total .,. Heating/cooling: € JOB'SITE`INFORMATION AND`LOCATION Air conditioning 1 46.75 46.75 Job site address: 13319 SW Maddie Lane Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97223 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 Subdivision: Madeline Heights Lot no.: 1 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 ; DESCRIPTION OF WORK � 'Y`F Gas fireplace/insert 1 33.39 23.32 ::, . ; > i,N a,.: 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 � Oth er 23.32 PROPERTY OWNER. ❑TENANT Environmental exhaust and ventilation: Name: Lennar NW Inc. Range hood/other kitchen equipment 1 33.39 33.39 Address: 11807 NE 99th St.#1170 Clothes dryer exhaust 33.39 City/State/ZIP: Vnacouver, WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 93.28 Phone:(360) 258-7900 Fax:(360) 258-7901 Attic/crawlspace fans 23.32 ; APPLICANT. ? . _ . CONTAOTi,PERSON ': Other: 23.32 Fuel piping: Business name: SAME AS ABOVE $14.15 for first four;$4.03 for each additional Contact name: Juts Call Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(360)258-7906 Fax::( ) Fireplace Range _ E-mail: juls.calll©lennar.com Barbecue 'CONTRACTOR Clothes dryer(gas) Business name: Development Northwest Inc. dba Wolcott Plumbing Other: MECHANIOALPERMIT,FEES* ,., Address: 1075 W Historic Columbia River Hwy Subtotal $220.06 City/State/ZIP: Troutdale, OR 97060 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( 503) 667-1781 Ext. 3007 Fax:(503 ) 667-9891 State surcharge(12%of permit fee) CCB lie.: 112220 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: * Fee methodology set by Tri-County Building Industry Service Board Print name: Dennis L. Dunning Date: 10/19/17 I:\Building\Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB) .,.., . , Electrical Permit Application FOR OFFICE USE ONLY City of Tigard R Received 41 13125 SW Hall Blvd.,Tigard,OR 97223 DPlate an Review ® Phone: 503.718.2439 Fax: 503.598.1960 OCT2 2017 Related Permit#: Inspection Line: 503.639.4175 Date/B T 1 G A R C} P Ready Date/By: Juris: BI See Page 2 for Internet: www.tigard-or.gov •• a Atli' t Notified/Method: Supplemental Information GITY O :> TYPE OF W PLAN RENEW g/ New construction � �c Addition/alteration/replacement Please check all that ❑Addition/alteration/replacement apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. ,v,, CAT EGORYI OF:CONSTRUCTION :z _ exceeds 10,000 amps at 150 volts or 0 Floating buildings. 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. •, , °JOB'SITE,INFORMATIOlI AND LOCATION :;. ❑Emergencysystem, largerlseparatelyderiv dation of 150 KVA or Job#: Job site address: ❑Addition of new motor load of system. 13319 SW Maddie Lane 100HP or more. ❑°`A °`E",°`1-z",°`1-3", ❑Six or more residential units. occupancy. City/State/ZIP: Tigard, OR 97223 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Madeline Heights Lot#: 1 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 4 33.92 1 l DESCRIP`T'ION OF WORK r . ` _ . .. .. .:. a: Limited energy,residential 75.00 2 NSFR (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 PROPERTY OW)>1ER, l. ;31411a-L- u❑: NAT=',. Services or feeders installation,alteration,and/or relocation Name: Lennar NW Inc. 200 amps or less 100.70 2 Address: 11807 NE 99th St. #1170 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Vancouver, WA 98682 601 amps to 1,000 amps 301.04 2 Phone:( 360 )258-7900 Fax:(360 ) 258-7901 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 I'CONTACT'PERSON Branch circuits—new,alteration,or extension,per panel ..: � :�j��APPT.ICANT . w __ , A.Fee for branch circuits with Business name: Same as above above service or feeder fee, each branch circuit 7.42 2 Contact name: Juls Call B.Fee for branch circuits without service or feeder fee,first Address: branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone: ( ) Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and or feeder Email: juls.call@lennar.com Reconnect only 67.84 2 CONTRACTOR .„ °• '" �•.` `, "' Pump or irrigation circle 67.84 2 Business name: Lantil LLC dba Three Phase Electric Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy 0 See Page 2 2 11490 SE Jennifer St. panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above n Clackamas, OR 97015 Additional inspection(1 hr min) 66.25/hr Phone:( 503) 908-8058 Fax:(503 )726-1823 Investigation(1 hr min) 90.00/hr Email: rlane three haseelectriacom Industrial plant(1 hr min) 78.18/hr @ p ?li 1.:, I 7/(C7 Inspections for which no fee is CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lic.: 3398S specifically listed('/hr min) 90.00/hr : '.ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: c,,,,, „ l-tl_44v Subtotal: Print name: Dennis Welch Date: 10/23/17 0 Plan Review Required(25%of permit fee): a State surcharge(12%of permit fee): Authorized signature: r G ._1 .._ TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Robert Lane Date: 10/23/17 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: DescriptioRESIDENTIAL'WORK ONLX FEE..,;S JIIEDULE combined: $75.00 Qty' Each Total Fee for all residential systems Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 El and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 Fl Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ V• acuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(Y:hr min) ELEC'RICAL EFR VII`E,FEES OM1VIERCIA -WORK ONLY <.f... Subtotal(Enter on Page 1). Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls U Clock Systems ❑ Data Telecommunication Installation I I Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing . • Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard '`' Received ateB y Permit No.: nSTI 7)%7 iij1 11111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review !' t Phone: 503.718.2439 Fax: 503.598.1 q� T 1 Other Permit No.: Inspection Line: 503.639.4175 `� ��" Date/By:Re TIGARD Date Ready/By Juris 0 See Page 2 for Internet www ttgard or gov ; p) Notified/Method. Supplemental Information IT OF 1 lo.t', p� TYPEOF i � Ovi .. FEE* SCHEDULE V New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I 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 Ir 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 _ JOB SITE INFORMATION AND LOCATION:'. Site utilities: Job site address: 13319 SW Maddie Lane Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 y Tigard, OR 97223 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: Madeline Heights I Lot no.:1 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 SBackwater valve 12.51 DECRIPION OFWORK Clothes washer 1 25.02 25.02 NSFR Dishwasher 1 25.02 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 NE 99th St.#1170 Garbage disposal 1 25.02 25.02 City/State/ZIP: Vancouver, WA 98682 Hose bib 2 25.02 50.04 Phone:(360)258-7900 Fax:( 360) 258-7901 Ice maker 12.51 APPLICANT; IS CONTACT.PERSON Interceptor/grease trap 25.02 Business name: SAME AS ABOVE Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Juls Call Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 5 25.02 125.10 City/State/ZIP: Solar units(potable water) 62.54 Phone:(360)258-7906 Fax: :( ) Tub/shower/shower pan 3 12.51 37 50 E-mail: Juls call@lennar com Urinal 25.02 , ., ._ •_,. Water closet 25.02 75.06 CONTRACTOR ::�,. ._ . .. > ,. _.: . _: . Water heater 1 37.52 37.52 Business name: Development Northwest Inc., dba Wolcott Plumbing Water piping/DWV 56.29 I Address: 1075 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP: Troutdale, OR 97060 Subtotal 931.87 Phone: (503) 667-1781 Fax:(503)667-9891 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: 112220 qty Plumbing Lic.no.: 26-824PB '� /4 / State surcharge T(12%Lofpermitfee) EE Authorized signature: TOTAL PERMIT FEE Print name: Dennis L. Dunning Date: 10/19/17 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\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard h COMMUNITY DEVELOPMENT DEPARTMENT II I T 1 c A R D Building Permit Review — Residential Building Permit #: p-252-86 17-6014 Site Address: 133 I q s vj M0ot oU Ln . Project Name: M 0 pl„.l t l..L 1-(-f vrt3 S V(3 Lot #: I (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: New./ S e-2 /I Verify site address/suite# exists and active in permit system. gi River Terrace Neighborhood: / No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan plani'lEt'r—i'MRITTTrcnIres on site iffSite plan must be on 8-1/2"x 11"or 11 x 17"paper ,`Footprint of new structure(mcluding decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations North arrow /Utility locations&easements (required for new and additions) tte address,project or subdivision name and lot number Sidewalk/driveway approach Applicant information(name and phone number) s/septic systems Lot dimensions and building setback dimensions -1Q-Emistingarees to be retained with drip line,and tree C are4sotage of buildings to be demolished protection measures (Lot area,building coverage area ercentage of coverage and eErStreet tree size,type and location impervious area(applicable i ,R-12,R-25&R-40) .Street names /Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced?/6Yes ❑No rue 4 foot differential) If yes,is a storm water quality facility shown? 1Yes ❑No yr Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified /No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: PC.S 2,01G -00 1 b Required: 7Yes,applicant was notified ❑ No Applied For: JQ Yes ❑ No,stop intake Land Use Case#: S U a U) ( (p — DDOo3 Zoning: g7 ,Z1 Required Setbacks: Front 15 Rear j 5 Side 5 Street Side 1 0 Garage Lo gi Landscape Requirement: Z1Lot Coverage Maximum: GO % Building Height: Maximum Height 35 Actual Height 2t0 7 Visual Clearance ❑ Sensitive Lands: ❑ Yes / No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: OA, e' rL &. Date: 10 / 24 / 11 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\BldgPermitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: i0 TV/7 Site Plans: # Building Plans: # ) Building Permit#: enter building permit#above. Ta Workflow Routing: nning t`TJ;ngineering rmit Coordinatording Workflow Sign-off: U.-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 orial plan review routing form. L�hBuilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Aff,�-c,/ 7 Engineering Review �j r Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat . Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes yf No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Mi Kk. Date: 16/ 3.7 17 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El 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: rg,,, Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: C Fees Entered: Wash Co Trans Dev Tax: es CI N/A Tigard Trans SDC: Yes CI N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes `�N/A !20K to Issue Permit / Approved by Permit Coordinator: Date:/° v 31 I:\Building\Forms\BldgPermitRvw_RES_061417.docx FOR OFFICE USE ONLY—SITE ADDRESS: 1 3 3 / Ski Mag0 t_. This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENTIli I : Transmittal Letter / T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gbv -11 TO: DATE RE iv ko 1.: DEPT: BUILDING DIVISION DEC i n17 t'SIF IA FROM: Juls Call ' COMPANY: Lennar NW Inc. PHONE: 360-258-7906 By: a"i LOT 16, 15, 14, 13, 4, 3, 2 1 MST2017-00455, -00448,C044 :00446, -00446, RE: -00417,-000416, -00415. -00419 (Site Address) (Permit Number) Madeline Heights (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS• Copies , Description Copies:. -Description: Additional set(s) of plans. Z/1` 3 Revisions: Edit the bathroom OPTION Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. \J \\ Basement and retaining walls. Beam calculations. V �5 Engineer's calculations. Other(explain): \1 REMARKS: We are using the opti. on plans,so we X out teh originally had on plan and circled the option. FOR OFFICE USE ONLY Routed42 Permit Te • ician: Date: ).— J Z— ) 7 Initials: --//) Fees Due Y= ❑No Fee Description: Amount Due: .� 3'� ✓ ��ch �oV i sv $ Special Instr ions: Res int Permit(per PE): ❑ Yes ❑No i Done//ffes�,� -pplicant Notified: Date: /,2 l/X7/'7 Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13319 SW MADDIE LN, TIGARD, OR, 97224 March 6, 2018 at 10:01 :06 AM Record Type: Record ID: Residential - Master Permit MST2017-00419 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13319 SW MADDIE LN, TIGARD, OR, 97224 March 6, 2018 at 10:00:29 AM Record Type: Record ID: Residential - Master Permit MST2017-00419 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: This inspection was previously approved on 3/5/18 A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13319 SW MADDIE LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00419 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13319 SW MADDIE LN, TIGARD, OR, 97224 November 21 , 2018 at 10:04:44 AM Record Type: Record ID: Residential - Master Permit MST2017-00419 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Outlet in garage with no cover plate and wires not saved off left side. Outlet in garage taped over. Not ready for final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13319 SW MADDIE LN, TIGARD, OR, 97224 November 26, 2018 at 10:38:52 AM Record Type: Record ID: Residential - Master Permit MST2017-00419 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13319 SW MADDIE LN, TIGARD, OR, 97224 November 21 , 2018 at 10:04:44 AM Record Type: Record ID: Residential - Master Permit MST2017-00419 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Outlet in garage with no cover plate and wires not saved off left side. Outlet in garage taped over. Not ready for final inspection. Violation Summary: Inspector Contractor