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Permit (41) 11„, CITY OF TIGARD MASTER PERMIT ... ,, COMMUNITY DEVELOPMENT Permit#: MST2018-00062 I I(iAtt.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2018 Parcel: 2S109AC07000 Site address: 13179 SW MADDIE LN Jurisdiction: Tigard Subdivision: MADELINE HEIGHTS Lot: 8 Project: Madeline Heights, Lot 8 Project Description: New SF. DEMO CREDITS FOR TRANSPORATION AND PARKS APPLIED FROM BUP2017-00095. BUILDING Floor Areas Required Setbacks Stones: 2 Bedrooms: 5 Required First: 1567 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1855 sf Garage: 547 sf Front 15 Dwelling Units: 1Smoke Third: 0 sf Right 5 Detectors: Yes Total: 3422 sf Value: $425,105.48 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Lavatories: 5 Dishwashers: 1 Urinals:-0 Floor Drains: 0 Sewer Lines: 100 SF Rain Tubs/Showers: 3 Garbage Disp: 1 0 Storm Sewer: 100 9 Water Heaters: 1 Water Lines: 100 Drains: Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Catch Basins: 0 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 Furn<100K: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 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 p 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: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: NEW SF VB P Y SquareFeet: R-3 3422 2 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: 360-258-7900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $11,021.29 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001 90. Y u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. A.Z., Issued By: / -f ` /. Y4.-( Permittee Signature: . 4-4. .- Call 1 3.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential C FNED FEB 2018 FOR OFFICE USE ONLY . City ofTigard Received 13125 SW Hall Blvd.,Tigard,OR 9723 _, DateBy: „.. /17/3--„ Permit Nodi r Phone: 503.718.2439 Fax: 503 5,$ 1 Plan Review // S7OLCX a 'Ve�? N. Inspection Line: 503.639.4175 "-"J'' Date/By: ajt Other Perm tS/_ .i l �i���0 T1GARll p -a, ,%, _', Internet. www.tigard-or.gov Date Ready/By: n J 5-1M l, 7u is: f$See Page 2 for N 'fied/Method:C/n(` `/ Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ok [2/New construction ❑Demolitionfees*Permit are based on the value of the work performed. 0 Addition/alteration/replacement Indicate the value(rounded to the nearest dollar)of all ❑Other equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1. ['1-and 2-family dwelling 0 Commercial/industrial Valuation: $41-97984...35. 0 Accessory building 0 Multi-family Number of bedrooms: 5 'lac- l O s- . 0 Master builder 0 Other: Number of bathrooms: l v _ 3 . JOB SITE INFORMATION.AND LOCATION Total number of floors: 2 3 9 6 4 Job site address: 13179 SW Maddie Lane New dwelling area: square feet City/State/ZIP: Tigard, OR 97223 3422 Garage/carport area: 5547 square feet mSuite/bldg./apt.no.: Project name: Madeline Heights `C�overev�d�porch area 161 square feet gs'� N. �*� Cross street/directions to job site: �-}� 4/G q v �. square feet)567 &}' 0 e c 1< 16 O square feet REQU*D-DATA:Cf}M1tit,itc AL-USE CIIECIOST x Subdivision: Madeline Heights Lot no.: 8 Permit fees*are based on the value of the work performed.• Y Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION'OF WORK work indicated on this application. NSFR Valuation: $ Existing building area: square feet New building area: square feet `x _ ;E'PROPER1 OWNER NAN '�” 0TET Number of stories: Name: Lennar NW Inc. Type of construction: Address: 11807 NE 99th Street,#1170 Occupancy groups: IL City/State/ZIP: Vancouver, WA 98682 Phone:(360)258-7900 Fax: Existing: (360 ) 258 7901 61r`Ai=rLICAN , New: "'�r1. 12'CONTACT PERSON•: w BUILDING PERMIT FEES* 114 Business name: Lennar NW Inc. lPtearerejerigfeesebedrite} �; . Contact name: Juls Call Structural plan review fee(or deposit): Address: SAME AS ABOVE FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:(360-)258-7906 I Fax::( ) Amount received: E-mail: JU S call@lennar corn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* ONTRACTQR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: SAME AS ABOVE Submit two(2)sets of roof plan with connection details Address: and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review Phone:( ) I Fax:( ) and administrative fees): $180.00 CCB lie.: 195307 State surcharge(12%of permit fee): $21.60 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: Juls IS C a I I I *Fee methodology set by Tri-County Building Industry Date: Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONEY City of Tigard FEB Received V 13125 SW Hall Blvd.,Tigard,OR 97223�G Date/By: Permit No.: s Phone: 503.718.2439 Fax: 503.598.1960 e Associated permits: T I G A I.D 24-Hour Inspection Line: 503.639.4175 tIII ' 0 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov '��v ` i E✓twat 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ I03 Verification of approved plat/lot. ❑ CI CI 4 Fire district approval required. Name of district: ❑ El ❑ 5 Septic system permit or authorization for remodel. Existing system capacity CI CI CI6 Sewer permit. ❑ CI ❑ 7 Water district approval. ❑ ❑ 117 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ CI 9 Erosion control El plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- CI ❑ CI protection,etc. El ill ❑ 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size CI ❑ CI sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if El ❑ El there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. El El El 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. CI ❑ ❑ 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- floor,wall construction,roof construction. More than one cross section may be required to clearly portray CI ❑ CI construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. CI CI CI Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- prescriptive path analysis provide specifications and calculations to engineering standards. CI CI GI 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing, locations. Show attic ventilation. spacing,and bearing ❑ CI CI 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." CI CI CI 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists El ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. El 20 Manufactured floor/roof truss design details. CI 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ID El four or more appliances. CI ❑ 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or CI architect licensed in Oreton and shall be shown to be ap.licable to the Iro'ect under review. CI CI JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. CI CI CI 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ CI CI 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. CI ❑ CI 27 "Drawn to scale"indicates standard architect or engineer scale. LI CI ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ Cl Tree List. CI ID CI 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. ❑ 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, CI including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings CI CI on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application � : ` R ,v= FOR OFFICE•USE ONLY City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 6 2018 Date/By: Permit No. i = Phone: 503.718.2439 Fax: 503.598.1960 Plan Review T 1 t_ R D Inspection Line: 503.639.4175 ( ',: p;� Date/By: Other Permit: Internet: www.tigard-or..41gov BU t 1 a. ,Date Ready/By: Juris: Iff tat ''t s. 1. ' 'I'` 1Notified/Method: See Page 2 for Supplemental Information ' TYPE:OF WORK COMMERCIAL FEE* SCHEDULE-I:USE CHECKLIST: ' Mechanical permit fees*are based on the value of the work [ New construction ❑Addition/alteration/replacement ❑Demolition performed.Indicate the value(rounded to the nearest dollar)of all ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY;©F CONSTRUCTION ., Value:$ 12'1_and 2-family dwelling ❑Commercial/industrialRESIT)ENTIAL EQUIPMENT/.SYSTEMS FEES*;.. ❑Accessory building For special information use checklist ❑Multi-family 0 Master builderP l 0Other: Description Qty. I Ea. I Total 'JOB SITE`INFORMATION AND LOCATION Heating/cooling: Job site address: 13179 SW Maddie Lane Air conditioning 1 46.75 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name: Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Madeline Heights I Lot no.: 8 Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 1 23.32 23.32 V`DESCRFPTION`OF WORK Gas fireplace/insert 1 33.39 23.32 NSFR Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 `;PROPERTY f) NER Other: :< ,.Q:TENANT 23.32 Name: Environmental exhaust and ventilation: Lennar NW Inc. Range hood/other kitchen Address: 11807 NE 99th St.#1170 equipment 1 33.39 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Vnacouver, WA 98682 Single-duct exhaust(bathrooms, Phone:(360) 258-7900 Fax toilet compartments,utility rooms) 4 23.32 93.28 (360) 258 7901 Attic/crawlspace fans 23.32 =�APPLICANT:. :I CONTACT PERSON Other: 23.32 Business name: SAME AS ABOVE Fuel piping: Contact name: SUIS Call $14.15 for first four;$4.03 for each additional Furnace,etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Water heater Phone:(360)258-7906 I Fax::( ) Fireplace E-mail: JulS.call Q@lennar.corn Range Barbecue t: ,.i , , _ . ` CONTRACTOR _` Clothes dryer(gas) Business name: Development Northwest Inc. dba Wolcott Plumbing Other. Address: 1075 W Historic Columbia River Hwy MECHANICALPEI2IHTFEES* Subtotal $220.06 City/State/ZIP: Troutdale, OR 97060 Minimum permit fee($90.00) Phone:( 503) 667-1781 Ext. 3007 I Fax:(503 ) 667-9891 Plan review(25%of permit fee) CCB lic.: State surcharge(12%of permit fee) 112220 �6��)f� TOTAL PERMIT FEE This A��1�G�y� V � ���G / permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: Dennis L. Dunning I Date: 10/19/17 I:\Building\Permits\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:\Budding\Permits\MEC PermitApp_040113.doc 2 • ' Electrical Permit Applicatio 7 � 7 f �, . HIl s�.:� � FOR OFFICE USE ONLY City of Tigard Reoeivea ,111 'N 13125 SW Hall Blvd.,Tigard,OR 97223 F�pp y Date/B : I Phone: 503.718.2439 Fax: 503.598.1960 L U ` Plan Review Inspection Line: 503.639.4175 DateB : Related Permit#: T 1 G A RD Internet: www.tigard-or.gov Ready DateBy: Inds: ° 0 See Page 2 for RI „y Notified Method. ,ts1 r ,:. `_, $ ,,,,:C 3 Supplemental Information c� TYPE OF WORK IyJ New construction A ' ❑Addition/alteration/replacement Please check all that apply PL(submitN 2 setsREVIEWof plans w/items checked): ❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. CATEGORY OF CONSTRUCTION where the available salt current ❑Marinas and boatyards. exceeds 10,000 amps at 150 volts or ❑Floating buildings. gs 1-and 2-family dwelling ❑Commercial/industrialless to ❑Accessory building ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family ❑Master builder ❑Other: amps for all other installations. buildings. = TOD SITE''INFORMATIONAND=LOCATION ' 0Fire pump. ❑Installation of 150 KVA or ❑Emergency system. larger separately derived Job 4: I Job Site address: 13197 SW Muddle Lane ❑Addition of new motor load of system. looHP or more. City/State/ZIP: ❑°°A'°,°`E",°°1-2",°°1-s°', Tigard, OR 97223 ❑Six or more residential units. occupancy. Suite/bldg./apt.#: ❑Health-care facilities. ❑Recreational vehicle parks. name: ❑Hazardous locations. 0 Supply voltage for more than Project Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal. FEE SCHEDULE: .,` Description _..I Qty. I Each I T, ntal I * New residential single-or multi-family dwelling unit Subdivision: Madeline HeightsI Lot#: 8 Includes attached garage. Tax map/parcel 4: 1,000 sq.ft.or less 168.54 4 n-DESCRIPTION OE,WORK Ea. sq.ft.or portion 33.92 1 NSFR Limited ted eenernergy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 __Eic;PROPERTY O,_R ''- :-&:.-E1.,TENANT,_ Renewable Energy ❑ See Page 2 Name: Lennar NW Inc. Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 Address: 11807 NE 99th St. #1170 201 amps to 400 amps 133.56 2 City/State/ZIP: Vancouver, WA 98682 401 amps to 600 amps 200.34 2 (360 )258 7900 I Fax:(360 ) 258-7901601 amps to 1,000 amps 301.04 2 Phone: Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or Owner installation:This installation is being made on property that I own which is not 200 amps or less intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 ams to 400 ams 25.08 1 Owner signature: p p 125.08 2 Date: 401 amps to 599 amps 168.54 2 < 'El REPLICANT --,-_,'WBranch circuits—new,alteration,or extension,per panel . .�_. �ar1�AC'rrziRRs©N Business name: A.Fee for branch circuits with Same as above above service or feeder fee, Contact name: JUTS Call each branch circuit 7.42 2 B.Fee for branch circuits without Address: service or feeder fee,first branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) I Fax::( ) Each manufactured or modular 67.84 2 Email: juls.call@lennar.com dwelling,service and or feeder Reconnect only CONTRACTOR 67.84 2 Business name: Pump or irrigation circle 67.84 2 Lantil LLC dba Three Phase Electric Sign or outline lighting 67.84 2 Address: 11490 SE Jennifer St. Signal circuit(s)or limited-energy panel,alteration,or extension. ❑ See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: Clackamas, OR 97015 Phone:( 503) 908-8058 1 Fax:(503 )7Additional inspection(1 hr min) 66.25/hr l26-1823 Investigation(1 hr min) 90.00/hr m Industrialplant(1hrmin) 78.18/hr Email: rlane@threephaseelectric.co CCB Lic.: 162368 Inspections for which no fee is Electrical Lie.: 3-332C I Suprv.Lic.: 3398S specifically listed('A hr min) 90.00/hr Suprv.Electrician signature,required: ELECTRIGAL.FERMI otal Print name: Dennis Welch Subtotal: I Date: 10/23/17 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: I- t,,_ �{ �_ TOTAL PERMIT FEE: Print name: Robert Lane DateI This permit application expires if a permit is not obtained within 180 : 11/6/17 days after it has been accepted as complete. IABuilding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Number of inspections allowed per permit. 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 Fee for all residential systems combined: $75.00 Description Qty. Each Total * Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 F7 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 F1 Garage Door Opener* 50.01 to 100 kva 552.26 2 >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 [11 Vacuum Systems* >100 kva—no additional charge 0.0 3 H 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 specifically listed(Yz hr min) 90.00/hr C©MMERCIAL W()iRl QNLY. ELECTRICAL PERMIT FEES- Fee EES Fee for each commercial s ste 3 m: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: H Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation I Fire Alarm Installation ❑ HVAC Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* Medical n Nurse Calls I I Outdoor Landscape Lighting* Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Applicata F` ry Building Fixtures FEB 6 2013 FOR OFFICE USE ONLY City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 9723=,_ "1 Date/By: Permit No. !7 �f ��) 0 Plan Review ��v/v�`"� Phone: 503.718.2439 Fax: 503.5961 f F 4w n_ ,„ ;se• Inspection Line: 503.639.4175 Date/By: Other Permit No.: C I G A R D Date Read/B Internet www.tigard-or gov Ready/By: Saris I See Page 2 for Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE 'New construction ❑Demolition For special information use checklist 0 Addition/alteration/replacementDescription Qty. I Ea. I Total 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 'CATEGORY OF CONSTRUCTION _ SFR(1)bath 312.70 12(1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 1 500.32 500.32 0 Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE`INFORMATION AND,LOCATIO N Site utilities: Job site address: 13179 SW Maddie Lane Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97223 Suite/bldg./apt.no.: I Project name: Footing drain(no.linear ft.: ) Page 2 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 Subdivision: Water service(no.linear ft.: ) Page 2 Madeline Heights I Lot no.:8 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 =DESCRIPTION OF wpitic Backwater valve 12.51 NSFR Clothes washer 1 25.02 25.02 Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ._,'V PROPERTY'OWNER. C TENANT Expansion tank 12.51 Name: Lennar NW Inc. Fixture/sewer cap 25.02 Address: 11807 NE 99th St.#1170 Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 1 25.02 25.02 Vancouver, WA 98682 Hose bib 2 25.02 50 04 Phone (360)258-7900 Fax:( 360) 258-7901 Ice maker 12.51 I APPLICANT , ,'eo-NTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: SAME AS ABOVE Contact name: ,Juts Call Primer 12.51 Address: Roof drain(commercial) 12.51 City/State/ZIP: Sink/basin/lavatory 5 25.02 125.10 Solar units(potable water) 62.54 Phone:(360)258-7906 I Fax: :( ) Tub/shower/shower pan 12.51 3 37 50 E-mail: Juls.call@lennar.com Urinal 25.02 Water closet75.06 CONTRACTOR' 3 25.02 Business name: Water heater 1 37.52 37.52 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 CCB Lic.: 112220 Plumbing Lic.no.: 26-824PB Plan review (25%of permit fee) Authorized signature: �l �'G,�ty 41. 7 State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name: Dennis L. Dunning I Date: 10/19/17 I 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\PermitsTLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities QtyFee(ea) 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 Qty.= 'Tee(ea) Total ? each additional$100.00 or fraction thereof,to Other Inspections Or.Fees 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 Typeevi �F'lan Ree ,�or Piu>Ftrrig Installations Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. 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" Isometric or Riser:Diagram Car Wash Drain ❑ Isometric or riser diagram is required for new buildings s Garbage -Domestic-non-food q g 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 City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT Ili ■ T 1 c A li n Building Permit Review — Residential Building Permit Site Address: i i i )) Project Name: Matt on Ht� h Lot #: 8 (New dwelling=sub 'vision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1117/Verify site address/suite#exists and active in permit system. IV River Terrace Neighborhood: 27No ❑ Yes, See River Terrace Review Addendum Attached Sit Plan Elements: ree(3)copies of site plan xiLRCite plan must be on 8-1/2"x 11"or 11 x 17"paper [lsg structures on site ^� P P ootprint of new structure(including decks)with finished [3D awn to scale(standard architect or engineer scale) or elevations rth arrow tility locations&easements(required for new and additions)e address,project or subdivision name and lot number Err pplicant information(name and phone number) idewalk/driveway driveway approach Lot dimensions and building setback dimensions 'cation of wells/septic systems 15 Existing trees to be retained with drip line,and tree uare footage of buildings to be demolished protection measures �t area,building coverage area,percentage of coverage and reet tree jfnpervious area(applicable if R-7,R-12,R-25&R-40) treet name�e� e and location roperty 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? ❑Y ]No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Li f equired: ❑ Yes,applicant was notified 27-No erNo Received: ' / �pPnKtl Vt�� 44 ay, IT Public Facilities Improvement(PFI) Permit: ❑ YeN No Required: V Yes,applicant was notified ❑ No Applied For: 2/yeSlI ❑ No,stop intake UdZ `"', Land Use Case#: So16`QU003 PFX 40 g/ oning: R.I. ZO16 1611 V Required Setbacks: Front Rear D7Cj 5 Side 5 Street Side 10 Garage 20 andscape Requirement: Zp of Coverage Maximum: go us/It uilding Height: Maximum Height 35 It Visual Clearance �/ Actual Height Z 3 •S [i/Sensitive Lands: 0 Yes I No IY Urban Forestry Plan Type EY Conditionsp "Met"prior tot issuancepof building permit Notes: kilt Ihov4 1114+ 6.1 et 2-6-1 611 (4-411fin4 fa- ,cl/Bzoi 6-0000 3 kao (u^ rya. Approved By Planning: c , Date: Z--6 1 y Revisions (after Building Submittal only) Revision 1: 0 Approved ❑ Not Approved Reviewer Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\BuildingFonns\BldgPennitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: A 14s''':/', - Site Plans: # Building Plans: # Building Permit#: 13 "nter building permit#above. permit Coordinator .,,z-Building Workflow Routing: `►Planning (.153—Engineering Workflow Sign-off: D. 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. 'wilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / / ate Z/plr- By Permit Technician: r Engineering Review Slope at building pad: 51; I2<onditions"Met"prior to issuance of building permit [easements (encroachments)per engineering conditions of approval and plat ter Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes o0 Assess Water Quantity Fee in-lieu: 0 Yes 0 LIDA Facility on lot: 0 Yes o-3tf0 Er-Final Plat Recorded: Date: ❑ NOT Approved by Engineering: Notes: _ eri-p proved by Engineering: _ , Date: a. -[a,/ Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved q Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit Date: ❑ Approved,NOT Released: 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: SDC Fees Entered: Wash Co Trans Dev Tax: ''es ❑ N/A J" Tigard Trans SDC: ,Yes ❑ N/A C Parks SDC: Yes ❑ N/A LIDA ❑ Yes > /A OK to Issue Permit2, 17 roved b Permit Coordinator: Date: 1 App y I:\BuildingWorms\BldgPermitRvw_RES 010118.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13179 SW MADDIE LN, TIGARD, OR, 97224 July 26, 2018 at 12:32:57 PM Record Type: Record ID: Residential - Master Permit MST2018-00062 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: 13179 SW MADDIE LN, TIGARD, OR, 97224 August 6, 2018 at 11 :08:22 AM Record Type: Record ID: Residential - Master Permit MST2018-00062 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Correction from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13179 SW MADDIE LN, TIGARD, OR, 97224 August 6, 2018 at 11 :07:38 AM Record Type: Record ID: Residential - Master Permit MST2018-00062 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13179 SW MADDIE LN, TIGARD, OR, 97224 August 14, 2018 at 9:37:24 AM Record Type: Record ID: Residential - Master Permit MST2018-00062 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Previous corrections completed. 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