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Permit (187) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT71 Permit#: MST2017-00447 T F CSA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/29/2017 Parcel: 2S109AC07600 Jurisdiction: Tigard Site address: 13280 SW MADDIE LN Subdivision: MADELINE HEIGHTS Lot: 14 Project: Madeline Heights, Lot 14 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1384 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 1508 sf Garage: 494 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2892 sf Value: $360,638.86 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2892 Owner: Contractor: SAGE BUILT HOMES LLC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 1815 NW 169TH PL STE 1040 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97006 VANCOUVER,WA 98682 PHONE: 360-258-4900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $31,928.09 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 sus•ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those - e set forth in OAR 952-001-0010 through OAR 952-0 - 090. You may obt jn a copy of rules or direct questions to OUNC by calling 503.2321987 or,17,890.46. Issued By: _..ieeze!/ — Permittee Signature: A.. 44. Ces Call 503.639.4175 by 7:00 a.m.for the next available inspectio date. This permit card shall be kept in a conspicuous place on the job site until co pletion of the project. Approved plans are required on the job site at the time of each ins•-ction.- ' wilding Permit Application I .'i Residential Cl , FOR OFFICE USE ONLY Cityof Tigard '^Z L AON ReceivedII // / �(7 /`00 6-/7 g 1_LJ131 Date/By: Permit No.: �7 r 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review /� /� � Phone: 503.718 2439 Fax: 503.598.1960 DateB : 11 , Other PermitSk442 D c 7 Inspection Line: 503 639.41750 't ¢ /U T IGARD p g g i 6 C..tee : � Date Ready/By. ���� Juris: • � a Page 2 for Internet: www.ti and-or. ov 'fled/Method: Supplementallnformation . TYPE OF WORK. 41REQ IRED 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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION '-' work indicated on this application. 31/0,Li 32 t t` Eif1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 111Accessory building 11Multi-familyNumber of bedrooms: 5 El Master builder III Other: Number of bathrooms: 3 C � JOS Sll=1 INFORMATION AND LOCATION I Total number of floors: 2 33 :.(Q Job site address: 13280 SW Maddie Lane New dwelling area: 2892 square feet IIIIIIIIIIE City/State/ZIP: Tigard, OR 97223 Garage/carport area: 494 square feet 1508. Suite/bldg./apt.no.: Project name: Covered porch area: 1-32"' square feet `3gC-1+ Cross street/directions to job site: Deck area: `st.i square feet Vit.Other structure �� square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Madeline Heights Lot no.: 14 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 #I ' work indicated on this application. NSFR Valuation: $ Existing building area: square feet New building area: square feet �. ['PROPERTY OWNER ' 0 TENANT Number of stories: fr 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: V APPLICANT i.`` ' V CONTACT PERSON 1= EES* ' BUILDING PERMIT F (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:(360-7158-7906 Fax::( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* juls.call©Iennar.com 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.: 195307 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 11/6/17 *Fee methodology set by Tri-County Building Industry Print name: Juls Call Date: Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatiai ,-, , - 3 FOR OFFICE USE ONLY 1114 City of Tigard 7 2017 Date/ReceivBy: Permit N 9 13125 SW Hall Blvd.,Tigard,OR 97223 NOVIV v yL y ■ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 } y DateB Other Permit: T I G A R D Inspection Line: 503.639.4175 y y. See Page 2 for Internet www.tigard-or.gov rel , y;i j 1° v k�; Date Read B Juris: g Notified/Method: Supplemental Information TYPE OF WORK -COMMERCIAL FEE*SCHEDULE -USE CHECKLIST , . Mechanical permit fees*are based on the value of the work [ New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION:; Value:$ u .;' RESIDENTIAL EQUIPMENT/ SYSTEMS FEES* 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total ' JOB SITE INFORMATION AND LOCATION " -2214. Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 13280 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 Other: 23.32 Subdivision: Madeline Heights Lot no.: 14 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION,OF WORK y ` Gas fireplace/insert 1 33.39 23.32 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 la PROPERTY OWNER t ' 0 TENANT 3, Other: 23.32 `'" ,, 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 `V APPLICANT ' • .'' p1 V CONTACT PERSON ..'' Other: 23.32 Business name: SAME AS ABOVE Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Juls 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.call@lennar.com Barbecue CONTRACTOR '',26 Clothes dryer(gas) Development Northwest Inc. dba Wolcott Business name: Other: P Plumbing MECfIANICAL"PERMIT 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 lic.: 112220 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ��"' daysafter it has been cepted as complete. Authorized signature: « •, Fee methodology set by Tri-County BuildingnIndustry Service Board Print name: Dennis L. Dunning Date: 10/19/17 I:ABuildingVPermits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total,Valuation:: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional $100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 -electrical Permit tili Ap ca > r p O��� ,- r,_ ''s.,:::. FOR OFFICE USE ONLY Received �4P I !7 t.,_`�,J`/7 City of Tigard {7 DateB Perm t#: (� 4 13125 SW Hall Blvd.,Tigard,OR 97223N O v 01/ g Plan Review l 11 Phone: 503.718.2439 Fax 503.598.16Q Date/B : Related Permit#: Inspection Line: 503.639.4175 ' 1 , Ready Date/By: Juds: fid See Page 2 for TIGARDt ' -+; Notified/Method: Supplemental Internet: www.tigard-or_gov �i.. - � l v �. h= Information �( TYPE OF WORK PLAN REVIEW u New construction ❑Addition/alteration/replacement Please check all that 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 cur ent ❑Mar nas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. f7 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use ag cultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or ". JOB SITE''INFORMATION AND LOCATION mergency system. larger separately derived Job#: Job site address: [lir ddition of new motor load of system. 13280 SW Maddie Lane IOOHP or more. ❑"A","E",`°I-2",°`l-3", City/State/ZIP: Tigard, OR 97223 ❑Six or more residential un ts. occupancy. 0 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 EE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Madeline Heights Lot#: 14 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sqft.or portion 33.92 1 `jIESCRIPTION;OF WORK Limited energy,residential NSFR (with above sq.ft.) 7s.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 'PROPERTY OWNER ❑ TENANT 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 =1 Branch circuits—new,alteration,or extension,per panel APPLICANT t;[CONTACT PERSON ': A.Fee for branch circuits with Business name: above service or feeder fee, Same as above 7.42 2 each branch circuit Contact name: J u is Call B.Fee for branch circuits without 56.18 2 Address: service or feeder fee,first branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: juls.Call@Iennar.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 ation,00rextensionr ergy 11490 SE Jennifer St. Pane ❑ see Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above ty 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 Industrial plant(1 hr min) 78.18/hr Email: rlane@threephaseelectric.com Inspections for which no fee is CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lic.: 3398S specifically listed(4 hr min) 90.00/hr It'-,. ,,, ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Grr�e-zx-.wz, z:,f/.d.e,.-- Subtotal: Print name: Dennis Welch Date: 10/23/17 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): {t Authorized signature: �t(ct«_-Y _ TOTAL PERMIT FEE: - - -— This permit application expires if a permit is not obtained within 180 Print name: Robert Lane Date: 11/6/17 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: RESIDENTIAL WORK ONLY: FEE SCHEDULE . ,. Description .. , * p I Qty. I Each � Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: s kva or Less 100.70 2 5.01 to 15 kva 133.56 2 Audio 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 IV Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 R1 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 Vacuum 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) COMMERCIAL ORT 'ONLY• ELECTRICAL PERMIT FEES Fee for each commercial system:• $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: Audio and Stereo Systems Boiler Controls Clock Systems ❑ Data Telecommunication Installation 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 1:\Building\Permits\ELC PermitAppELRERE.doc Rev 06/17/2015 • `Plumbing Permit Applicationt.r •• -� , i 77: _ ,, r Building Fixtures FOR OFFICE USE ONLY City of Tigard NOV 7 2017 Received _ Permit No. 1111 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 y �� �� g ' "'l Plan Review g Phone: 503.718.2439 Fax: 503.598.196 Date B Other Permit No.: TI G A A D Inspection Line: 503.639.4175 BUI1 1 1 i Date Ready/By: Juris: FA See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK; FEE* SCHEDULE ;-:..0.1'„' VNew 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 V 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 AN) LOCATION;, ,,, Site utilities: Job site address: 13280 SW Maddie Lane Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97223 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: Madeline Heights I Lot no.:14 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 ,_:. =(. y Clothes washer 1 25.02 25.02 NSFR Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Et 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 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 ,_,/ Interceptor/grease tra 25.02 ,`Lrl.APPLICANT•; EX CONTACT'PERSONP 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: JUTS call p©lennar.com Urinal 25.02 Water closet 3 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 Address: 1075 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP: Troutdale, OR 97060 Subtotal 931.87Minimum permit fee: $72.50 Phone:(503) 667-1781 Fax:( 503)667-9891 Plan review (25%of permit fee) CCB Lic.: 112220 Plumbing Lic.no.: 26-824PB State surcharge(12%of permit fee) Authorized signature: .M2roa,(2v/a / TOTAL PERMIT FEE Print name: Dennis L. DunningDate: 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 10/01/09 440-46t6T(10/02/COM/WEB) 'de'lunibing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site.Utilities Qty Fee te,ar Total ,Square Footage: Permit,Fee: Footing drain-l 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 # Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for :Inspections or'Fees '' Qty.1 Fee(ea) 'Tot*l each additional$100.00 or fraction thereof,to Other and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for plumbing Installa ions; Fixture Type for Replace/ Plan review is required for anyof the following. Performed: Capped Added- Relocate 9 Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" -4» Isometric or Riser Diagram Car Wash Drain Garbage Domestic-non-food CI Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: l C:\Users\JuCall\Downloads\PLMFPermitApp(1).doc 2 City of Tigard 1,1 " COMMUNITY DEVELOPMENT DEPARTMENT III T I c A RD Building Permit Review — Residential Building Permit #: 44 57-40(7-- 00 yy7 Site Address: / '°0 0 C?&-) m7I/(-//'.e LQu1€ Project Name: `966 /, 1-74:):7. h � Lot #: t9 (New dwelling=subdivision na(n Addition or Alteration=last name of owner) Planning Review Proposal: -et) � /e Id Verify site address/suite# exists and acti_v,e 'permit system. pliff iver Terrace Neighborhood: t No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ree(3) copies of site planxisting structures on site Orbe plan must be on 8-1/2"x 11"or 11 x 17"paperootprint of new structure(including decks)with finished Orb awn to scale(standard architect or engineer scale) or elevations rth arrow tility locations&easements(required for new and additions) to address,project or subdivision name and lot number Sidewalk/driveway approach plicant information(name and phone number) ,/ocation of wells/septic systems ['Lot dimensions and building setback dimensions [7Existing trees to be retained with drip line,and tree _�uare footage of buildings to be demolished p tection measures L tot area,building coverage area,percentage of coverage and treet tree size,type and location pervious area(applicable if R-7,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? Yes No 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes fto Clean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): q��r�' `i/1tk °� Required: E Yes,applicant was notified RNo Received: ❑ Yes E No /Public Facilities Improvement(PH) Permit: 012.016-x16'4 Required: V Yes,applicant was notified E No Applied For: Yes E No,stop intake N1/Land UseCase#: 5a2,016—00003 —/Zoning: R-"7- R equired Setbacks: Front 1 ti Rear i S Side S Street Side 0Garage 2Q [Landscape Requirement: LU (Lot Coverage Maximum: 30 0,0 Ltd Building Height: Maximum Height SC Actual Height 7...3 FLS isual Clearance �/ Z' Sensitive Lands: CI Yes R/No Type Pi prban Forestry Plan V Conditions "Met"prior to issuance of building permit Notes: No..- Approved By Planning: a,Z Date: I' 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: `/ /7/17 Site Plans: # 3 Building Plans: # 3 Building Permit#: nter building permit#above. Workflow Routing: Planning Engineering ❑i?P$rmit Coordinator / 1..Building Planning Workflow Sign-off: Sign-off for (include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 7 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: / By Permit Technician: i' - _`�A, Ids,.yiji Date: Alr Engineering Review {� Slope at building pad: ":,, a Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat ErWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes Z'No Assess Water Quantity Fee in-lieu: El Yes a-No LIDA Facility on lot: ❑ Yes ra No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering:,-; 51iii/t_ ICc_.__ A__ Date: It - C-5 - 17 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El 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: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: 7 SDC Fees Entered: Wash Co Trans Dev Tax: 11 �O es 1:17 N/A Tigard Trans SDC: MP'Yes CI N/A Parks SDC: f�Yes ❑ N/A LIDA ❑ Yes T/A OK to Issue Permit Approved by Permit Coordinator: 4 0 Date: // // 3 J9- I:\Building\Forms\BldgPernvtRvw_RES 061417.docx FOR OFFICE USE ONLY—SITE ADDRESS: 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 DEPARTMENT lill : " Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE R , ,, , I ,. 4 DEPT: BUILDING DIVISION JA 82018 FROM: Juls Call '' ! F TIGARD IG COMPANY: Lennar NW Inc. 11hlNIVISIO N PHONE: 360-258-7906 By:6 7,- RE: 'RE: 13280 SW Maddie Lane MST2017 00447 (Site Address) (Permit Number) Madeline Heights I it \ 1 (Project name or subdivision name and lot number ) ATTACHED ARE THE FOLLOWINGIT M . Copies: Description: Cops•s: Description: Additional set(s) of plans. f 3 Revisions: Main Framing Plan Cross section(s) and details. l 3 Wall bracing and/or lateral analysis. Floor/roof framing. ,'` Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): / REMARKS: Crawlspace cppple walls incresed in size from 3' to 6' fs } FOR OFFICE USE ONLY Routed to Permit ician: Date: 1 9 a i-7 Initials: Fees Due: i e ❑No Fee Description: Amount Dud: . 4..- c.,--, r-s,v-, -e.„ q 0 ----z.,-- Spec' Instructions: Reprint Permit(per PE): ❑ Yes la No ❑Done iii/j1/4._ Applicant Notified: Date: ! r/l 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: 13280 SW MADDIE LN, TIGARD, OR, 97224 May 11 , 2018 at 10:41 :35 AM Record Type: Record ID: Residential - Master Permit MST2017-00447 Inspection Type: Inspector: 199 Electrical 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: 13280 SW MADDIE LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00447 Inspection Type: Inspector: 699 Mechanical final Allyson Armstrong Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13280 SW MADDIE LN, TIGARD, OR, 97224 May 21 , 2018 at 8:49:10 AM Record Type: Record ID: Residential - Master Permit MST2017-00447 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Crawl drain was approved to stub outside the building, see Inspection notes dated 1/25/18. Per conversation with Tonino, crawl drains to common drain at easement were to be inspected at time of installation and prior to cover to verify material, depth and tracer wire installed. Pipe installed without inspections for multiple houses. Investigative fee applied for covering work prior to approved inspection. OPSC 105.2 Pot hole for Inspection as noted on previous inspection or uncover All Work covered without Inspection per OPSC 105.2.1 Building and storm cleanouts to be glued in place and cut down to grade for plumbing final inspections as noted on previous inspections, see inspections dated 5/17/18 and 5/18/18. Investigative fee applied for scheduling inspections prior to corrections being complete and ready for inspection. Investigative fees to be paid prior to next re inspections. OPSC 105.2.5 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13280 SW MADDIE LN, TIGARD, OR, 97224 May 29, 2018 at 12:06:18 PM Record Type: Record ID: Residential - Master Permit MST2017-00447 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: 13280 SW MADDIE LN, TIGARD, OR, 97224 June 18, 2018 at 10:30:52 AM Record Type: Record ID: Residential - Master Permit MST2017-00447 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Approximately 9" Step from garage to house exceeds 8" maximum rise to top of threshold. R311 .7 Hard cap or cleanout cap not done at back yard storm piping as noted 2 inspections previous. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13280 SW MADDIE LN, TIGARD, OR, 97224 June 19, 2018 at 12:15:27 PM Record Type: Record ID: Residential - Master Permit MST2017-00447 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Corrections from previous inspection complete. Final erosion control approved. Street tree certification received. Moisture content form received. Moisture barrier form received. Insulation certification checked. C of 0 left on site with approved plans. Violation Summary: Inspector Contractor