Permit (185) CITY OF TIGARD /' ��` MASTER PERMIT
I'! COMMUNITY DEVELOPMENT Permit#: MST2017-00448
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/29/2017
Parcel: 2S 109AC07700
Jurisdiction: Tigard
Site address: 13314 SW MADDIE LN
Subdivision: MADELINE HEIGHTS Lot: 15
Project: Madeline Heights, Lot 15
Project Description: New SF. 12/12/2017: REPRINT to correct number of washing machines to(2). 3/12/2018:
REPRINT to correct number of exhaust fans to(6).
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1738 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1442 sf Garage: 583 sf Front: 15 Smoke
DwellingUnits: 1 Detectors: Yes
Third: 0 sf Right: 5
Total: 3180 sf Value: $392,840.47 Rear: 15
PLUMBING
Sinks: 2 Water Closets: 4 Washing Mach: 2 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 2
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: 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 NW INC. LENNAR NORTHWEST INC Required Items and Reports(Conditions)
11807 NE 99TH STREET#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: $32,944.03
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 thro : 'AR 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 / j—fC--- Permittee Signature: tr� �G-/C''977en
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 pans are required on the job site at the time of each inspection.
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CITY OF TIGARD MASTER PERMIT
° 1111 'y , COMMUNITY DEVELOPMENT FE
Permit#: MST2017-00448
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/29/2017
Parcel: 2S109AC07700
Jurisdiction: Tigard
Site address: 13314 SW MADDIE LN
Subdivision: MADELINE HEIGHTS Lot: 15
Project: Madeline Heights, Lot 15
Project Description: New SF. 12/12/2017: REPRINT to correct number of washing machines to(2).
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1738 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1442 sf Garage: 583 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3180 sf Value: $392,840.47 Rear: 15
PLUMBING
Sinks: 2 Water Closets: 4 Washing Mach: 2 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 2
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: 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:
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: 360-258-7900 PHONE: 360-949-9128
FAX: 360-258-7901
Total Fees: $32,764.03
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 throARR�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.
J4
Issued By: 4 . Permittee Signature: t ' ,,,--/-7,4....e r¢-717
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.
CITY OF TIGARD MASTER PERMIT
r , ' COMMUNITY DEVELOPMENT Permit#: MST2017-00448
1 1 ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/29/2017
Parcel: 2S109AC07700
Jurisdiction: Tigard
Site address: 13314 SW MADDIE LN
Subdivision: MADELINE HEIGHTS Lot: 15
Project: Madeline Heights, Lot 15
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1738 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1442 sf Garage: 583 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3180 sf Value: $392,840.47 Rear: 15
PLUMBING
Sinks: 2 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm 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
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 2
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: 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
asin Y
Other: N Other Description: Ecom p g
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 3180
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: 360-258-7900 PHONE: 360-949-9128
FAX: 360-258-7901
Total Fees: $32,764.03
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other ---.'cable 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 wo uspe •ed for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce ter. 41• - -s a - set forth in OAR
952-001-0010 through OAR -001-00 . You m obtain a copy of the rules or direct questions to OUNC by calling 503.232.1•: •r 1 ,4.
c
Issued By: Permittee Signature: L :—
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 . the proje t.
Approved plans are required on the job site at the time of each inspection.
•
Bulldin Permit A lication £.s .
Residential `
NOV '] FOR OFFICE CSE ONL1'
City of Tigard y 7 201 Received `'!
II - PlanRe Date/By: /1 Permit N /�i 7 /W/1
'� 13125 SW Hall Blvd.,Tigard,OR 97223 (�
Plan Review al ' 1 �� ���) )��k��
Phone: 503.718.2439 Fax: 503.5'FCI 'O(�. ? Date/By: Other Pennit`�`,t�1/).1 /!_ �/,5w
TIGAKD Inspection Line: 503.639.4175 g(jlL l�.y ., ;, ��� DateReady/By: } �� i Juts 0 See Page 2 for
Internet: www.tigard-or.gov ified/Methed:tI "N / Supplemental Information
TYPE'OF WORK' 'QUIRED 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.
V1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 3$4-77
❑Accessory building ❑Multi-family Number of bedrooms: 4 39a, 81).0
j
❑Master builder ❑Other: Number of bathrooms: 'X4..
JOB'SITE INFORMATION AND LOCATION Total number of floors: 2 .3 763
Job site address: 13314 SW Maddie Lane New dwelling area: 3180 square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: 583 square feet
Suite/bldg./apt.no.: Project name: Covered porch area: 32 square feet' 494
Cross street/directions to job site: Deck area: 16 S square feet 17 3 g
Other structure area: square feet
t REQUIRED DATA:COMMERCIAL USE CHECKLIST -
Subdivision: Madeline Heights I Lot no.: 155 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'-40F WORTS t 4't 4 44, work indicated on this application.
NSFR Valuation: $
Existing building area: square feet
New building area: square feet
I /PR1OPERTY OWNER ❑e4EiNiANT 4 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:
s
APPLICANT - CONTACT PERSON A 1 ' '.
BUILDING PERMIT FEES* .
(Please refer to feeschedute)
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
City/State/ZIP: Total fees due upon application:
Phone:( 360)258-7906 Fax: ( ) Amount received:
E-mail: juls.call@lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEMFEES*
"" ,. ., .. 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 lie.. 1 95307
Total fee due upon application: $201.60
Authorized signature: 'i°0 - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Juls CaII Date: *Fee methodology set by Tri-County Building Industry
11/6/17 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicati ' - , krL. LFOR OFFICE USE ONLY
City of Tigard 7 2017 Received Petmit N,94 C /
" NOVI� ( t Date/By: �'c J
13125 SW Hall Blvd,Tigard,OR 97223 Plan Review
Phone: 503.718 2439 Fax: 503.598.1960 e 7111
Other Pemut:
Inspection Line: 503 639.4175 �^ 7 ate y:
T I U A R L� BUIL._ .1✓�1J,t 'V NotiSDate ReadyBy: Juns: RI See Page 2 for
Internet. www.tigard-or.goV �... ed/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE*-SCHEDULE-FUSE CHECKLIST
Mechanical permit fees*are based on the value of the work
EzNew construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORI'OF CONSTRUCTION •. ' RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ,
Kai 1-and 2-family dwelling LI Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB;SITE:.INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address: 13314 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: Other: 23.32
Madeline Heights Lot no.: 115 Other fuel appliances:
Tax map/parcel no.: Water heater 1 23.32 23.32
DESCRIPTION OF WORK 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
t# Other: 23.32
f..17 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
'I Eir'APPLICANT --` Other: 23.32
CONTACT PERSON ... ..
Business name: Fuel piping:
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.call@lennar.com Barbecue
_ CONTRACTOR Clothes dryer(gas)
Business name: Development Northwest Inc. dba Wolcott Plumbing other.
MECHANICAL PERMIT FEES* t .'.
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: 10/23/17
I:\Buidding\Permits\MEC PermitApp_040113.doc 440-4617T(I l/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 Applicatio i iD
'- �� r VE FOR OFFICE USE ONLY'
IL w City of Tigard Received
NU 1 7 2017 DateB : , Permit 41/457A0/ ,i V%13125 SW Hall Blvd.,Tigard,OR 97223 'l� '1 Plan Review
MI II Phone: 503.718.2439 Fax: 503.598.1960 Date/ : Related Permit#:
- Inspection Line: 503.639.4175 �. " 1ICARD ReadyDate/By: Suns:
age 2 for
TIGARD Internet: www.ti and-or. ov DIVi3I N See entalInf
g g Ei,_;;, , Notified/Method: Supplemental Information
' =:. TYPE OF-WORK PLAN REVIEW .>.
Igf 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 current ❑Mannas and boa ards.
CATEGORY OFuCONSTRUCTION' exceeds 10,000 amps at 150 volts or 0 Floating buildings.
g 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agr culhual
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other:
0 Fire pump. 0 Installation of 150 KVA or
'40B SITE.INFORMATION AND`LOCATION .: 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job 4: Job site address: 13314 SW Maddie Lane 100HP or more. ❑'`A", `E",°t-2","1-3",
City/State/ZIP: Tigard, OR 97223 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.4: Project name: ❑Hazardous locations. 1=1 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE"-N,
Description I Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: Madeline Heights Lot#: 15 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea add'l 500 sq.ft or portion 33.92 1
.;:>,ts,:~ DESCRIPTION-OF WORK. Limited energy,residential 75.00 2
NSFR (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
RenlEgy
14 :. PROPERTY.OWNER ❑ TENANT r,
Serveiceswaboener
r feeders installation,al❑teraStioeenP,age and2/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
APPLICANT'; ,
EI CONTACT'PERSON , Branch circuits—new,alteration or extension,per panel
` A.Fee for branch circuits with
Business name: Same as above above service or feeder fee, 7A2 2
each branch circuit
Contact name: Juls Call B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
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@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
Signal circuit(s)or limited-energy
Address: 11490 SE Jennifer St. panel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
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: Industrial plant(1 hr min) 78.18/hr
Slane@threephaseelectric.com 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: id,,sc.x •, z>d/.,c s/ Subtotal:
Print name: Dennis Welch Date: 10/23/17 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: L�. _ - TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Robert Lane Date: 1 0/23/1 7 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 440-4615I(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 I Qty. I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
I 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
Garage Door Opener*
>100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
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)
C171 ERCIAL:WOW1(ONLY: • ELECTRICAL PERMIT,%EEEs
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
Clock Systems
I I 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
I.\Building\Permits\ELC_PermeAppELR ERE.doc Rev 06/17/2015
Plumbing Permit ApplicationF = ` . -A IV -i,
Building Fixtures NOVr ry(� 7 FOR OFFICE USE ONLY
l� V d C U1I Received STA0/) �e�"
- City of Tigard Permit V `7�
II . 13125 SW Hall Blvd.,Tigard,OR 97223 i. , Plan Re:
Plan Review
Phone: 503.718.2439 Fax: 503.598.1968i„'i ,, ate/By: Other Permit No.:
Inspection Line: 503.639.4175 i1 L L". ` ,,,,./„:i
i 3I�'' ate Read/B ods: See Page 2 for
Internet: www.tigard-or.gov I G A R 1? g gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
gNew 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
gr 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:
Catch basin or area drain 18.76
Job site address:
13314 SW Maddie Lane 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.: 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.:15 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27 31.27
F 4*'''"
i ' Backwater valve 12.51
1{ . z N ORK
NSFR Clothes washer 1 25.02 25.02
Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
1-v PROPERTY,OWNER `< i:,,,4%,0 TENANT` - Expansion tank 12.51
Fixture/sewer cap 25.02
Name: Lennar NW Inc.
-
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
RI'APPLICANT V'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 6 25.02 150.12
City/State/ZIP: Solar units(potable water) 62.54
Phone:(360)258-7906 Fax: :( ) Tub/shower/shower pan 3 12.51 37.50
Urinal 25.02
E-mail: Juls.call@lennar.com
. .;, ..
; CONTRACTOR. t
Water closet 3 25.02 75.06
.°t_r;'(:'`
,. _..., 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 956.89
Phone:(503) 667-1781 Fax:( 503)667-9891 Minimum permit fee: $72.50
CCB Lic.: 112220 Plumbing Lic.no.: 26-824PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: 44/4 't,3 � ,Gyp�a, / 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)
•
1,
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities ... Qty. _ Fee(ea) Total Square Footage: t Permit Fee:
Footing drain-151 100' 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
Qty
Other Inspectionsnor Fees ` Fee(ea)` " Total each additional$100.00 or fraction thereof,to
` 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 Installations, ,'..
Fixture Type for Replace/ Plan review is required for any of the following.
Work Performed: Capped Added Relocate
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.
,�
Car Wash Drain Isometric or Riser Diagram
ElIsometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
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/Lay -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:
C:\Users\JuCall\Downloads\PLMF_PermitApp(1).doc 2
L 1
v4
S rDv G '
Cit r�
City of Tigard
IIu COMMUNITY DEVELOPMENT DEPARTMENT
II
T1cARD Building Permit Review — Residential
Building Permit #: /1/( 7--A0/7-00`..-Nr t
Site Address: 1331 LI S',✓ h ie l.Ank
Project Name: ha.AtIl lc
kihil Lot #: 15
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review f I {
Proposal: �t S'Apt -kpo ly fvc l Ulf k
Verify site address/suite# exists and active .n permit system.
River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
ree(3)copies of site plan L''f xisting structures on site
;�Ste plan must be on 8-1/2"x 11"or 11 x 17"paper II Footprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale) poor elevations
Orth arrow
)Sitility locations&easements(required for new and additions)
to address,project or subdivision name and lot number tW S dewalk/drivewa approach
Y PP
'ail/Applicant information(name and phone number) 2 cation of wells/septic systems
P Y
P
Lot dimensions and buildingsetback dimensions - Existingtrees to be retained with dripline,and tree
IAquare footage of buildings to be demolished protection measures
VLot area,building coverage area,percentage of coverage and Vtreet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) Street names
t, Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Z Yes ❑ •
4 foot differential) If es,is a storm water quali facility shown? ,,'es I',No
/
li, Clean Water Services—Service Provider Lett !
(lot platted prior to 9/10/1995): ��� / ii E
Required: ❑ Yes,applicant was notified All No Received: ❑ Yes ❑ No
ggf Public Facihis Improvement(PFI) Permit: / f FI2O)6—MI 64
Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
Land Use Case#: J U 6 2016- 00003
Zoning: R-
a Required Setbacks: Front Rear I S Side ' Street Side WA Garage 2.7
Landscape Requirement: 2-0 %
VLot Coverage Maximum:
ICJ Building Height: Maximum Height S Actual Height
Ved Visual Clearance
Sensitive Lands: ❑ Yes [/No Type
rban Forestry Plan
Lid Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: _ —
'imill4' Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\BuildineForms\BldgPermitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: 1/17/f?
Site Plans: #
Building Plans: # I
Building Permit#: Enter buildingFit#above.
Workflow Routing: Planning ngineering 7 ermit Coordinator "'Building
Workflow Sign-off: 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
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: ,r ,AI L ����-de Date: `f
Engineering,� Review
0 51ope at building pad: -'
Conditions "Met"prior to issuance of building permit
12r-Easements (encroachments)per engineering conditions of approval and plat
a Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes E No
Assess Water Quantity Fee in-lieu: ❑ Yes Er-No
LIDA Facility on lot: ❑ Yes ErNo
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: ;,�-( 6,,,i'=4__, Date: 1 1 -;3 - 1 --1
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:
DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: 'es ❑ N/A
Parks SDC: cr Yes ❑ N/A
LIDA ❑ Yes I6-N/A
OK to Issue Permit L_-----
) 117))5"--
pproved by Permit Coordinator: /1/1"- Date:
I:\Building\Forms\BldgPermitRvw_RES_061417.docx ,
FOR OFFICE USE ONLY—SITE ADDRESS: t 331 l'/ sW 444,44:-.. £ I1 •
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.
,,II
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
2 Transmittal Letter
T 1 GA1 R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard/r.gov
TO: r rt
DAT •.1 W i
DEPT: BUILDING DIVISION
1" 2 7 ?in/
FROM: Juls Call ITV (.)f OtrARii
'.Ul WING DIVISION
COMPANY: Lenanr NW INC.
PHONE: 3602587906 `�0
e---
RE: LOT 15 13314 SW Maddie Lane MST2017-00448
(Site Address) (Permit Number)
Madeline Heights ./.\ \,�
(Project name or subdivision name and lot number \I
r
ATTACHED ARE THE FOLLOWING ITE : qj '\
Copies: Description: \ opies: Description:.
3 Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Front of house, : gineering was incorrect, submitting new.
FOR OFFICE USE ONLY
Routed to Permit Tec cian: Date: )I— Z,-7 )7 Initials: 4T)
Fees Due: IN Yes V ❑N Fee Description: Amountee_�.
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes _rANo ❑ Done ioekc._
Applicant Notified: --- Date: /A /j4-7/7 Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
FOR OFFICE USE ONLY—SITE ADDRESS: / ?.?f' ( Sol /444ellt 617
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
•
2 .� Transmittal Letter
T l G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE it` at ',Rt` iV
741)
DEPT: BUILDING DIVISION
DEC t ._ }i, ,.
FROM: Juls Call ' f', ' r 11
COMPANY: Lennar NW Inc. - TG c
PHONE: 360-258-7906 BY.` 9``�
RE: LOT 16, (5)14, 13, 4, 3, 2, 1 MST2017-00455 00448 -00447, -00446,
(Site Address) -00417~-000416. -00415, -00419
(Permit Number)
Madeline Heights
(Project name or subdivision name and lot nu,-nl r
ATTACHED ARE THE FOLLOWING IT I 64 .
: SI'
e
Copies: ,Description:
< E, � _ - opies. Description:
Additional set(s) of plan . 1\ 3 Revisions: Edit the bathroom OPTION
Cross section(s) and deta `" s� Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations.
Engineer'ss calculations.
Other(explain):
REMARKS: We are using the o• ion on plans,so we X out teh originally had on plan and circled the option.
FOR OFFICE USE.ONLY
Routed to Permit Tec nician: Date: )Z—j-1 — ) 7 Initials:
Fees Due: 131,Yes ❑No Fee Description:p Amount Due:
•S i-Ir P/c.h Yc,e► c.,• $ i ft---
$
$
$
Special
Instructi► s:
Reprin 'ermit(per PE): ❑ Yes No ❑Done
App ant Notified: Date: /e2._/(117 Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
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
Iii r. Transmittal Letter
T 1 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /Ui i DA
ttiktp_, Of,
DEPT: BUILDING DIVISION
LAN 8 ZU1B
FROM: Juls Call rr ' of-TIGARD
COMPANY: Lennar NW Inc. jus06 D SION
PHONE: 360-258-7906
RE: 13314 SW Maddie Lane MST2017-004 8
(Site Address) (Permit Number)
Madeline Heights
(Project name or subdivision name and t number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: C piens: \ ription:
Additional set(s) of plans. ` ` ! evisions: Main Framing Plan
Cross section(s) and details. "3 Wall bracing and/or lateral analysis.
Floor/roof framing. t,� Basement and retaining walls.
vi Beam calculations. '' Engineer's calculations.
Other(explain): pp
?
REMARKS: Crawlspacecripple r ks ineres dAin size from 3'to 6'
/ FOR OFFICE USE ONLY
Routed to Permit Tech ian r` Date: ) — 9 -i Initials:
Fees Due: it Yes VNo Fee Description: Amount D e: ,.
1�r ') rc\f c $ cm -
$
$
$
Specialt'
Instructio s
Repri• 'ermit (per PE): El Yes ANo � one
/A.. icant Notified: Date: `7/1 /1 Irii als:
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:
13314 SW MADDIE LN, TIGARD, OR, 97224 May 9, 2018 at 11 :38:12 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00448
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Ac installed.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13314 SW MADDIE LN, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2017-00448
Inspection Type: Inspector:
699 Mechanical final Allyson Armstrong
Result:
PASS
Comments:
Locking access port caps installed. Correction complete.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13314 SW MADDIE LN, TIGARD, OR, 97224 May 25, 2018 at 12:32:33 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00448
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
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