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Permit (112) CITY OF TIGARD MASTER PERMIT d`IN Permit#: MST2017-00499 COMMUNITY DEVELOPMENT Date Issued: 12/27/2017 T(GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2 S 109AC07400 Jurisdiction: Tigard Site address: 13244 SW MADDIE LN Subdivision: MADELINE HEIGHTS Lot: 12 Project: Madeline Heights, Lot 12 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1098 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1469 sf Garage: 484 sf Front: 15 Smoke Detectors: Yes Dwelling Units: 1 Third: 0 sf Right: 5 Total: 2567 of Value: $319,172.81 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 Drains: 0 Tubs/Showers: 2 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: 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: 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 2567 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11807 NE 99TH ST STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $31,142.57 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo i ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ,L i''- . �� Permittee Signature:�Q `�/' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential 1 FOR OFFICE USE ONLY Ra 1'1 Received Cityof Tigard Z 'If"' Permit g Date/By: I X07 Y�s' i D0 W . INI . p 13125 SW Hall Blvd.,Tigard,OR 97223 �1r-1" ' )111 r` •Plan Review Phone: 503.718.2439 Fax: 503.598.1960 1 t.( ' ' Date By: - ,' t1 Other Perml, C2O/7-8e yo7 to-a T I GA R D Inspection Line: 503.639.4175 s ..,, tte Ready/By: frt._ orris: See Page 2 for Internet: www.tigard-or.gov k�lf r l,,,ef 4 t'•.+^; 3, ...ed/Method: 7 Supplemental Information teff� z( �`91��t""� : : . . ..�; '' i ,,,,,,144,,, :„„,,47.... TEF WORK .. ` -$ »,1 ;.,1t12EQTIItED bATI,¢:AND Z F4MILX DWELI� G A [ 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 z44 4 4 Y. -- R= e4 work indicated on this application. -_ GO .OF,�NSTRII T)(ON ,I - i it ,t gl-and 2-family dwelling ❑Commercial/industrial Valuation: $ Number of bedrooms3: ❑Accessory building 111Multi-family3 19,)7c1-� ❑Master builder ❑Other: Number of bathrooms: 1 2...s... t �O E ORN,IATION`,AND LOCATION Total number of floors: 2 3 0 S J Job site address: 13244 SW Maddie Lane New dwelling area: 2567 square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: 484 square feet Suite/bldg./apt.no.: Project name: Covered porch area: 58square feet 19 t C3 Cross street/directions to job site: Deck area: ' /6 a square feet,'09 g Other structure area: square feet RE ;t t a z l "Ai'C®MMERCIALTTSE CRECKLIST .' �:. ak ��,7. ,-a �s�� rte,., Subdivision: Madeline Heights Lot no.: 12 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 theprofitofit for the - - . % t REON OF WOK „; work indicated on this application. NSFR Valuation: $ Existing building area: square feet New building area: square feet RO ERTf e ' i"" Q"TENANT 4= i£ Number of stories: ,•,. .,,".�,,,. #.t.l _ ,..,e'_._ ,:�... . .3a, a.. ,!r. :ze; r'... . 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: *---2-'°-:-'-'0,:::--,g ` s :4%CON'IAC PERS .V.° 0 f?BUILDING PERMIT FEES t ,, ,APt `(Please refer to fee`sttkedule). .R€,., . 14-4.03 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- 58-7906 Fax' '( ) PI OTO OI`It'AIG SOLAR PANES 'STEIVI FEES* E-mail: juls.call@lennar.com ,. ,i g Cv vCommercial and residential prescriptive installation of t . ONTCTR r4 Rf4 ,. • 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.: 195307 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: 12/12/17 *Fee methodology set by Tri-County Building Industry Juls Call Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY �."" <�b� ��,s � � Received �x City of Tigard Date/By: Permit No�� y7 6 9 ? • 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 F t- - 1 9 ') iDate/BY: Other Permit: T I G A R D Inspection Line: 503.639.4175 1Tt_`' A i--'"' Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov ( g Y p .3 ". Notified/Method: Supplemental Information t9 � t :1 COMMERCIAL FEE* SCZIEDIT E USI6 IfECKLIST '; x -,,,4:. rte;,-.,. - 1'PE OF -Mechanical Mechanical permit fees*are based on the value of the work [ New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 111 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ''-l? `r-k::. CAT GORT vOF CQNiS'RUCT1r(7 , I RESIDE nnALEQTIIPMEIN'r7 ySTEM ES*t, Rf1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total i .: Heating/cooling: . '1 ,,013a SITE IFORMAIIOa ANDnLOCATI04 - „ t'.:' Air conditioning 146.75 46.75 Job site address: 13244 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.: 12 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 s;"., "l �� 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 23.32 if _ . '. `9. _ I 8.. L.; '''''--2,7x. . '° .T,� _..- -::'`& . 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 < : Other: LCNT �CONTA ` S6N � 23.32 <_,. i ,. S _ .w>; _ [. �..,.., 4 . .. .. a. Fuel piping: Business name: SAME AS ABOVE $14.15 for first four;$4.03 for each additional Contact name: Juls Call Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(360)258-7906 Fax: :( ) Fireplace Range E-mail: juls.call@lennar.com Barbecue xwz an ^�- A E - i -i ..-c•41)06, > C•-Q,N`i'RACTOR _ r,*'e$ 4;41 Clothes dryer(gas) Other: Business name: Development Northwest Inc. dba Wolcott Plumbing 11yCHANICALPERMITFEES L-A 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 Applicat ( ":4 t ,. ,.,r FOR OFFICE USE ONLY ' City ofTigard 201/ Received g r13 Date/B Permit#: /7�e r I ith 4 . 13125 SW Hall Blvd.,Tigard,OR 9721. Plan Review 2Phone: 503.718.2439 Fax: 503.598.1 60 Date/B : Related Permit#: Inspection Line: 503.639.4175 ("' CI!: 1t,4.r d.)1'Y, Ready Date/By: Juris: gi See Page 2 for T I GA R D Internet www.tigard-or.gov 1 t k �,`M1 Notified/Method: Supplemental Information ,c: +I,-17 L.P.l�iil,-e,),xi1tl N ll, , .. .. TYPE OF'WORK ., ._.- _k . PLAN REVIEW `s g/ 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 ❑Mannas and boatyards. Ali r ,; ' exceeds 10,000 amps at 150 volts or ❑Floating buildings. �,t.� ���., ,�.,,CATEGORY;OI�,CONSTRiICT�01�T x�.,, ,f,:.i 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. ❑Installation of 150 KVA or -'} r;= OB ITIS,INFORMATJQ A10D.y OCATION, ,.;.., 1 ,x--..''',- -:-.,5. ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 13244 SW Maddie Lane 10oHP or more. ❑"A "E "1-z °°1-3", ❑Six or more residential units. occupancy. City/State/ZIP: Tigard, OR 97223 ❑Health-care facilities. ❑Recreat onal vehicle parks. #: Project name: ❑Hazardous locations. ❑Supply voltage for more than Suite/bldg./apt. j 600 volts nominal. ❑Service or feeder 600 amps or more. Cross street/directions to job site: .;,TEErACHEDIILE .. . I f , `r Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Madeline Heights Lot#: 12 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 lwir`F -777 O,SOF ORT ;, 1N. . Limited energy,residential 75.00 2 N S F R (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 . PRO O #1"WV . .. a'...,'. 7- Nil is ,.., . 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 ri'le „ ® [ Branch circuits—new,alteration,or extension,per panel r ;7 P7 __ > -- Ga1�IT° E 2S0-6 "' .-' A.Fee for branch circuits with Business name: Same as above above service or feeder fee, 7.42 2 each branch circuit Contact name: J u is Call B.Fee for branch circuits without Address: bran h irceeder fee,first 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 dwelling,service and/or feeder 67.84 2 Email: juls.call@lennar.com Reconnect only 67.84 2 1, ,w ;;q.1: ; ONTRACTOR '.114.11V11::a 31:44t1Z:":4-i-i:MMMI 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 0 See Page 2 2 Address: 11490 SE Jennifer St. panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above t3 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 rlane@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 , x.,l EIECTRICAL;PERMIT FEES,, Suprv.Electrician signature,required: ems,,,,,.,;,, .-t)_44.--4-• Subtotal: Print name: Dennis Welch Date: 10/23/17 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: tirl— ` 2,"„ 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:�Buildiag�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 t' " '`ii FEE ySCHEDULEr . _; .. 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 n 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 I� Garage Door Opener* 50.01 100 kva 552.26 2 >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) 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(V hr min) Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 0 Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: I I Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n 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_PermitAppELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application Building Fixtures FOR OFFICE ISE ONLY .,;� Received 111 City of Tigard ~* ' i}: `ii ! ',Date/By: Permit No.://56720/7�.eaY� • 13125 SW Hall Blvd.,Tigard,OR 972 i'I.b M& ' * Plan Review 0 Phone: 503.718.2439 Fax: 503.598.960 Date/By: Other Permit No.: TIC A R I7 Inspection Line: 503.639.4175 ��C. : 1. 3 011 Date Ready/By: kris: Vi See Page 2 for Internet: www.tigard-or.gov u 4 Notified/Method: Supplemental Information "i 3 TYPE QF WO y _' ,' `- . FEE'S SCAEDUIE ,.# Er New construction f ') ,1.' ;'•' ,' € -a � 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) CEGtOFCO IRUCTI ` SFR(1)bath 312.70 1.- 0 ? TR SON V 1-and 2-family dwelling ElCommercial/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 0 ; OBSI! ORMATIO. "LO ©N 1 y Site utilities: , Job site address: 13244 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.: 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.:12 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 . a ,- Backwater valve 12.51 DIES OWN ® W -_1;- -1-1a.".' � �^ "` .' `F _ _ Clothes washer 1 25.02 25.02 NSFR Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ri WN , :: Ex ansion tank 12.51 ,,,:::: Inlvimii,-4 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 :„,x ALICATai ' : O�� PERSON1Interceptor/grease trap25.02 '* . ., ` " . > ,rrr 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 3 25.02 75.06 ;, /F. i..:, > ON ,ACTO w 4 1 , 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 931.87 Phone:(503) 667-1781 Fax:(503)667-9891 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: 112220 Plumbing Lic.no.: 26-824PB �u�t� State surcharge(12%of permit fee) Authorized signature: ,� tiZ( 1 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 10/01/09 440-4616T(l0/02/COM/WEB) City of Tigard ,IIN ,I COMMUNITY DEVELOPMENT DEPARTMENT T l c A R D Building Permit Review — Residential Building Permit #: /`1S r„.20/ 7 00 Y% 9 Site Address: 1219 SL' t' Uit Lone Project Name: MAl 411\b 1) Lot #: 12- (New dwelling=suidivision name;Addition or Alteration=last name of owner) Planning Review Proposal: C L;1-llr, d r+.ir s Fie Ei7V rift'site address/suite# exists and active in permit system. VRiver Terrace Neighborhood: VNo ❑ Yes,See River Terrace Review Addendum Attached Sitlan Elements: ree(3)copies of site plan . 'sting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper P2 Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) elevations Orth arrow Utility locations&easements(required for new and additions) lig e address,project or subdivision name and lot number idewalk/driveway approachii pplicant information(name and phone number) Z'1 .cation of wells/septic systems Lot dimensions and building setback dimensions 1 xisting trees to be retained with drip line,and tree quare footage of buildings to be demolished p tection measures Lot area,building coverage area,percentage of coverage and I��Set tree size,type and location /impervious area(applicable if R-7,R-12,R-25&R-40) GAStreet names �f Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? LJYes ❑No 4 fot differential) If yes,is a storm water quality facility shown? ❑Y7No cioClean Water Services—Service Provider Late;(lot platted prior to 9/10/1995): ( ? Required: CI Yes,applicant was notified I No Received: El Yes ❑ No 4 Or Public Facilities Improvement(PFI) Permit: 16...1-it Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake D/ and Use Case#: UR 2Z lb '-OOOQ j 1j QF1 L l6-00161 PP/Zoning: —'f gal equired Setbacks: Front IS Rear IS' Side ,' Street Side ,/t. Garage Zo Vi andscape Requirement: 20 % gi-of Coverage Maximum: 80 L.U' Building Height: Maximum Height 3 S Actual Height 23 �tsual Clearance ensitive Lands: ❑ Yes "No Type Bit Urban Forestry Plan rig Conditions "Met"prior to issuance of building permit Notes: (P•a-5 iv (it r.-L- f''4*-- pv,-,d- i1J:n Approved By Planning: L.'11 ( Date: l2-11)-- iL 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: /Z./4V/7 Site Plans: # Building Plans: # Building Permit#: LJ Enter building permit#above. Workflow Routing: Planning engineering Permit Coordinator E uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: .2'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: 4/ — Date: /..2-APA' 7 Engineering Review Slo Er pe at building pad: 3% 0.--C-onditions "Met"prior to issuance of building permit • Easements (encroachments)per engineering conditions of approval and plat R later Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [To Assess Water Quantity Fee in-lieu: ❑ Yes C'No LIDA Facility on lot: ❑ Yes [ No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 1.0-P- S Date: l2.-f 1,-17 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: F2.4)C Fees Entered: Wash Co Trans Dev Tax: g)Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes M N/A ='or OK to Issue Permit Approvedby Permit Coordinator: Date/,2-////0' I:\Building\Forms\BldgPermitRvw_RES_111617.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13244 SW MADDIE LN, TIGARD, OR, 97224 May 30, 2018 at 12:57:58 PM Record Type: Record ID: Residential - Master Permit MST2017-00499 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13244 SW MADDIE LN, TIGARD, OR, 97224 June 4, 2018 at 10:19:21 AM Record Type: Record ID: Residential - Master Permit MST2017-00499 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: 13244 SW MADDIE LN, TIGARD, OR, 97224 June 12, 2018 at 11 :12:08 AM Record Type: Record ID: Residential - Master Permit MST2017-00499 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Correction for cleanout body and cap not done for lower storm drain in back yard. Corrections are to be complete prior to scheduling re inspections. Re inspection fee applied for scheduling inspection prior to corrections being complete for lot 12. OPSC 103.5.6. (Corrections for lot 16 not complete, no fee issued.) Other corrections appear complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13244 SW MADDIE LN, TIGARD, OR, 97224 June 25, 2018 at 1 :41 :36 PM Record Type: Record ID: Residential - Master Permit MST2017-00499 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: 13244 SW MADDIE LN, TIGARD, OR, 97224 July 10, 2018 at 12:20:48 PM Record Type: Record ID: Residential - Master Permit MST2017-00499 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