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Permit
ilIN ,� CITY OF TIGARD MASTER PERMIT Ili . COMMUNITY DEVELOPMENT ®,�, •?fid/ Permit#: MST2018-00061 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2018 Parcel: 2S 109AC06900 Jurisdiction: Tigard Site address: 13193 SW MADDIE LN Subdivision: MADELINE HEIGHTS Lot: 7 Project: Madeline Heights, Lot 7 Project Description: New SF. 3/8/2018: REPRINT to correct number of tub/showers to(4). BUILDING Floor Areas Required SetbacksRequired Stories: 2 Bedrooms: 4 First: 1738 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 1442 sf Garage: 583 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sfRight: 5 Detectors: Yes Total: 3180 sf Value: $389,052.07 Rear: 15 PLUMBING Sinks: 2 Water Closets: 4 Washing Mach: 2 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Bckflw Prevntr: 0 Catch Basins: 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: 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: NEWp y Square Feet: SF VB R-3 3180 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 Cntri 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: 360-258-7900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $32,731.01 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 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. Issued By: - Permittee Signature: e)Ar ,wry 0/49L/ ( l-r7e"Ali 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 a. COMMUNITY DEVELOPMENT Permit#: MST2018-00061 T6GA.R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2018 Parcel: 2S 109AC06900 Jurisdiction: Tigard Site address: 13193 SW MADDIE LN Subdivision: MADELINE HEIGHTS Lot: 7 Project: Madeline Heights, Lot 7 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: 4 Second: 1442 sf Garage: 583 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3180 sf Value: $389,052.07 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 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 addl 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 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: $32,731.01 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 9 -001-0090. Y.. may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: S t"r �///f eq-7 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 Applicata ; 4' ' Residential `" 3` 1 k �r - City of Tigard Received r 13125 SW Hall Blvd.,Tigard,OR 97223') t1 ( x Date By: No.: Phone: 503.718.2439 Fax: 503.5,98,41,9§0 Plan Review^� 5 ����( ,�j T I C A R D Inspection Line: 503.639 417.5; rA i Date/By: �C..+ j ç _Penmt Other Permit: 5���(>l������ 7 Date Read/B U Internet: www.tigard-or gov G ,,-,,,,,i!,,,,.; y y' / Juris: I 0 See Page 2 for . .# Y :8 t Notified Method: C /l(� : _ ( [ Supplemental Information % LvJ �I QUIRED DATA 1 AND 2 FAMIL f'DWELLING New construction ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ` .%-. .'CATEgORY. OFA CONSTRUCTION _= work indicated on this application. [t1-and 2-family dwelling 9 Commercial/industrial Valuation: 79384-71-7.9:59 ❑Accessory building 0 Multi-family Number of bedrooms: 4 Cj -- ❑Master builder / r 0 Other: Number of bathrooms: �. :.` JOB DSII L INFOR1kMAI'ION A.I D LOCATION Total number of floors: 2 Job site address: 13193 SW Maddie Lane 37 C3 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 117 a Cross street/directions to job site: Deck area: square feet 173 g Other structure area: square feet ,., 9 . e. Is' - �` ~-4-9: C i .subdivision: Madeline Heights Lot no.: 7 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 3 _ DESGRIPTZOL�F O � equipment,materials,labor,overhead,and the profit for the •., ., work indicated on this application. NSFR Valuation: $ Existing building area: square feet _• „„..,.-......,„,„,,,, ,,,-*-1:1R New building area: square feet =.-; ., -. ' ,,-,- ;7',:, ,,,,.':,-kY. . TENANT Number of stories: Name: Lennar NW Inc. Address: Type of construction: 11807 NE 99th Street, #1170 COccupancy groups: City/State/ZIP: Vancouver, WA 98682 A ° r Existing: Phone: ing:Phone.(360)258-7900 Fax:(360 ) 258 7901 New hnAP1ICt+s ' �, ,:x; 's CTACJEI2So '° I ,--,--- „a-44":;11004------- t . . l : ig 55 , ABLDnTOPER T W4,- -.:i.:,:,:-,:t,::1-,,,?:::N.St _. <. `¢Tasrfreuesherit ,1Business name: Lennar NW Inc. 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: Email Huls call@lennar coin PR.OTUVOLTAICSOLARP' _� �1�ECFSYS'I�EES* _<.• ._� .- . �=;,r , iS=CQ1VTRr1CsTQR'”* ; ., Commercial and residential prescriptive installation of 't. 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:( ) and administrative fees): $180.00 I Fax:( ) CCB lic.: 1 95307 State surcharge(12%of permit fee): $21.60 nn Total fee due upon application: $201.60 Authorized signature: C)12-' This This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Print name: J u IS ca Fee methodology set by Tri-County Building Industry Date: 1/28/18 I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 Service Board. 440-4613T(11/02/COM/WEB) Building Permit Application Checklist't One- and Two-Family Dwelling - j�„ FOR OFFICE USE ONLY City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.: : IIPhone: 503.718.2439 Fax: 503.598 1960 k`" Associated permits: TIGARD 24-Hour Inspection Line: 503.639.4175 ' 0 Electrical Internet: www.tigard-or.gov ❑ Plumbing ❑ Mechanical 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/:t 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. P ❑ 3 Verification of approved plat/lot. ❑ CI ❑ 4 Fire district approval required. Name of district: L ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. El El ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ CI 9 Erosion control plan El permit required. Include drainage-way protection,silt fence design and location of catch- L7 ❑ ❑ basin protection,etc. [a El DI 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 ❑ ❑ 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 [a" 0 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. ❑ ❑ 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. El El 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 ❑ ❑ construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,sidingpma portray 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. ❑ ❑ 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- Ki prescriptive path analysis provide specifications and calculations to engineering standards. ❑ CI 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing, locations. Show attic ventilation. spacing,and bearing [� ❑ ❑ 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." ❑ ❑ ❑ 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists [2 ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load.over 20 Manufactured floor/roof truss design details. V El 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping ❑ schematic is required Li ❑ for four or more appliances. El 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or Egr architect licensed in Oregon and shall be shown to be a..licable to the I roject under review. ❑ ❑ 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. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. CI ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. ❑ ❑ 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, including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings ❑ ❑ ❑ on a lot of record approved prior to September 9, 1995. I.\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613 T(11/02/COM/WEB) , Mechanical Permit Applicatibhi° FOR OFFICE USE ONLY' City of Tigard Received ""'t 13125 SW Havd.,Tigard,OR 9721 .`.i!t DateDate/By:: Perm t N ■ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review �� ll Bli'< . Inspection Line: 503.639.4175 Date/By:: Other Penuit: TIGARD Internet www.tigard-or.gov Date Ready/By: suds: B(See Page 2 for fi E x Notified/Method: `� Y-,! Supplemental Information TYPE of=WORK' , COMMERCIAL;FEE*,SCHEDULE-,USSE CHECKLIST " Mechanical permit fees*are based on the value of the work [ New construction ❑Addition/alteration/replacement Il]Demolition performed.Indicate the value(rounded to the nearest dollar)of all ❑Other mechanical materials,equipment, labor,overhead,and profit. Value:$^ ' ''CATEGORYOFCONSTRUCTION' 0 ' E:' ; , RESIDENTIAL EQUIP110T/SYSTEMS FEES* 1-and 2-family dwelling ❑Commercial/industrial D Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description IOB SIE I Qty I Ea. I Total s T INFORMATION AND LOCATION n,- Heating/cooling: Job site address: 13193 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 Hydropic 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.: 7 Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 1 23.32 23.32 ;`4;,p DE,S IPTI011 PI 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 t'-v. PROI?ER i �k �R _ y' ) ;TEI�IApTOther: , Environmental exhaust and ventilation: 23.32 Name: Lennar NW Inc. ` "`f Range hood/other kitchen Address: 11807 NE 99th St. #1170 equipment i/ 1 33.39 33.39 City/State/ZIP: Clothes dryer exhaust�-y(1,11 1 33.39 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"I ARTICN - `o „ CTERSON ' Other: 23.32k_° v- s : r = ; ' Fuel piping: Business name: SAME AS ABOVE 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: jUIS.call@Iennar.com Range arbecue ., ' '4CONTRA POR 3 ,, .4'4 ClothesCdryer(gas) Business name: Development Northwest Inc. dba Wolcott Plumbing Other: Address: 1075 W Historic Columbia River Hwy - :, .�:' , 04.Ti* HTI� E * t : - 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 lie.: 112220 State surcharge(12%of permit fee) / /!�, TOTAL PERMIT FEE 4144;V4.44(21/4/114-'41 ����G�O4>2'/4/G� This 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. DunningDI Date: 10/23/17 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:\Building\Permits\MEC_PermitApp_040113.doc 2 '`,1,.,) is f , 1 �: 4 is Electrical Permit Application FOR OFFICE USE ONLY City of Tigard3 Received IZI . el 13125 SW Hall Blvd.,Tigard,OR 97223 Q Plan R : �� Plan Review Phone: 503.718.2439 Fax: 503.598,1;960,;III Related Permit#: Inspection Line: 503.639.4175 I Date/B T 1 G A R D Ready Date By: Tuns: fid See Page 2 for Internet: www.tigard-or.gov "' {, Noti&ed Method: � z 3 _ Supplemental Information TYPE OF,.WORK, ., . . PLAN.REVIEW _ gr New construction El Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): El Demolition El Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Mannas and boatyards. _- ., CATEGORY, OF CONSTRUCTION exceeds 10,000 am s at 150 volts or ;. P 0 Floating buildings. [�/ 1-and 2-family dwelling ❑Commercial/industrial ID Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural Multi-familyEl amps for all other installations. buildings. El Master builder 9 Other: 0 Fire pump. '"..,JOB xSITE;:INFORMATION,AND LOCATION 0 Emer enc system 0 Installation geat 150 KVA or g Y Y larger separately derived .lob#: I Job site address: ❑Addition of new motor load of system. 13193 SW Maddie Lane 100HPormore. City/State/ZIP: Tigard, OR 97223 ❑Six or more residential un ts. occupancy. ❑Health-care ficilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name: 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal. FEE;,,SCHEDULE 2.: Description I Qty. I Each i Total i New residential single-or multi-family dwelling unit. Subdivision: Madeline Heights I Lot 4: 7 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 '" ' s<. '" DESCRIPTION O ORI Ea.itedaddener sq.ft.or portion 33.92 1 Limited energy,residential NSFR (with above sq.ft.) 75.00 2 Limited energy,multi family residential(with above sq.ft.) 75.00 2 `k `� �•tom � Renewable Energy ❑ See Page 2 }' IER . .. .f'<:TEk�I`e TENANT , :,-4-, ; Services or feeders installation,alteration,and/or relocation Name: Lennar NW Inc. 200 amps orless 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 2 601 amps to 1,000 amps 301.04 2 Phone:(360 )258-7900 I Fax:(360 ) 258-7901 Over 1,000 amps or volts 55226 2 Email: Temporary services or feeders installation,alteration,and/or 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 < ;' g,,=,-Ii AOL C 1*N` ?' '" , Branch circuits—new alteration,or extension, r er anel Business name: A.Fee for branch circuits with Same as above above service or feeder fee, Contact name: Juls 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 Phone:( ) I Fax::( ) Miscellaneous(service or feeder not included) Each manufactured or modular Email: dwelling,service and or feeder 67.84 2 luls call@lennar com IN - ; r.,i Reconnect only 67.84 2-VE j :. V, ' , 7f,'O .a `t.L, �• n_ ,, Pump or irrigation circle 67.84 2 Business name: 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 Additional inspection(1 hr min) 66.25/hr Phone:( 503) 908-8058 I Fax:(503 )726-1823 Investigation(1 hr min g ) 90.00/hr Email: rlane@threephaseelectric.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: 162368 I Electrical Lie.: 3-332C I Suprv.Lie.: 3398S specifically listed(/hr min) 90.00/hr Suprv.Electrician signature,required: L/ - -' ErcCT ALI PET+I I.IZ' I S ; Subtotal: Print name: Dennis Welch I Date: 10/23/17 0 Plan Review Required(25%of permit fee): —P w State surcharge(12%of permit fee): Authorized signature: " TOTAL PERMIT FEE: Print name: RobedI This permit application expires if a permit is not obtained within 180 Lane I Date: 10/23/17 days after it has been accepted as complete. # Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015 440-46t5T(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 I Qty. I Each I Total i Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01to15kva 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 VI Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 I 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(%hr min) Ct 1 Il IER WsOR O Y,._. ELECTRjCO 'ERIKA LEES qeg Fee for each commercial system: $75.00 Subtotal(Enter on Page 1). (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: I I Audio and Stereo Systems n Boiler Controls I I Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC I I Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* Fl Medical I I Nurse Calls I Outdoor Landscape Lighting* I I 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.doe Rev 06/17/2015 Plumbing Permit Application Building Fixtures -. FOR OFFICE USE °NLN City of TigardReceived S7A cv�-ce �f DateBy: Permit No.: C��% III v 13125 SW Hall Blvd.,Tigard OR 4'72PlanReview G Phone: 503.718.2439 Fax: 503 ;t9091' ' Date/By: Other Permit No.: T 1 G A R n Inspection Line: 503.639.4175 ' Date Ready/B y: kris: See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK ,. FEE* SCHEDULE Et New construction 111 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) SFR 1 bath 312.70 � _"'� v,i=CATEGORY,OF. CONSFRUCTIOr. ( ) VI-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 III Accessory buildingSFR(3)bath 1 500.32 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB,SITE INFORMATION AND LOCATION Site utilities: Job site address: 13193 SW Maddie Lane Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 y Tigard, OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Madeline Heights 1 Lot no.:7 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27* € 4 Backwater valve 12.51 :/ is F,ESIfRI]TIO1 OF WORK :, 4 t, NSFR Clothes washer 25.02 25.02 Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 [ PROPER <,OWNR 0 ❑TENANT Expansion tank 12.51 Name: Lennar NW Inc. Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 11807 NE 99th St.#1170 Garbage disposal 1 25.02 25.02 City/State/ZIP: Vancouver, WA 98682 Hose bib 2 25.02 50 04 Phone:(360 )258-7900 Fax:( 360) 258-7901 Ice maker 12.51 Ir API?,LTCANT '? , CONTAC' ;PERSO' 10, 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 a, S lAlk.$ 6 av,S25.02 150.12 City/State/ZIP: Solar units(potable water) 62.54 Phone:(360)258-7906 Fax: :( ) Tub/shower/shower pan 3 12.51 37 50 E-mail: Juls.call@lennar.com Urinal 25.02 ,. Water closet 3 25.02 75.06 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 Plan review (25%of permit fee) CCB Lic.: 112220 Plumbing Lic.no.: 26-824PB State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Dennis L. Dunning Date: 10/19/17 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:Buildiog\Permits\PLMU-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 Qty ;Fee(ea) Total Square Footage Permit Fee: Footing drain-1s`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 ValuatioII 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 Fee(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 Type Ply Re 1Ie f0:%‘1, tIt Fixture Type for Replaeetllwu)Cg;} ItS s`1hti4I1S 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 Thus plumbing New exterior lumbin site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" -4» TsonEetrt ser I fagr Car Wash Drain Garbage Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/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 11 I e COMMUNITY DEVELOPMENT DEPARTMENT T l c A R o Building Permit Review — Residential Building Permit #: , 57.Np/�00©(o( Site Address: )3113 SV haJoit La-IR Project Name: fr j iht 1-Itto-i- Lot #: 1--- (New dwelling=sub ivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ((As/7A kUt, S nli S F ri. /Verify site address/suite#exists and active in permit system. M. River Terrace Neighborhood: "No ❑ Yes,See River Terrace Review Addendum Attached eSit Plan Elements: ree(3)copies of site plan Footprint structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) oor elevations pi orth arrow Ititytility locations&easements (required for new and additions) te address,project or subdivision name and lot number umberL✓ISidewalk/driveway approach IV/Applicant information(name and phone number) riA ocation of wells/septic systems IlLtof dimensions and building setback dimensions L Existing trees to be retained with drip line,and tree lquare footage of buildings to be demolished rotection measures of area,building coverage area,percentage of coverage and [reet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) [ Street names Di Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [ {Yes No 44ffoot differential) If yes,is a storm water quality facility shown? ❑Y INo M Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): �.-.+j f} uired: pP tYd Vt�� e q ❑ Yes,applicant was notified LN No Received: ❑ yeOk No VPublic Facilitie Improvement(PFI) Permit: I�'� ✓Ie Required: [ Yes,applicant was notified ❑ No A lied For: 2/ PP L14 Yes ❑ No,stop intake dLand Use Case#: S a LO(6-0000 3 1--i PFX 1016 -oof 6 y g//Zoning: It-1- LJ Required Setbacks: Front I CJ Rear 5 Side 5 Street Side 10 Garage0 I1,Landscape Requirement: 2.D % 2 g of Coverage Maximum: go % Building Height: Maximum Height 35 Actual Height z1 MA/Visual Clearance _ / EK/Sensitive Lands: E Yes CiNo Type [ Urban Forestry Plan dConditions "Met"prior t9issuance of building permit Notes: ACuli Jkovi .1.11„t- 4.1 of Z-6-ie, 411 (4-41441,\I -+'- %WV-016-00003 k44.0 bur. rid% 'Approved By Planning: .1-4A,k.rl p Ce Date: 2--6 -13? Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: A (C7?r- Site Plans: # Building Plans: # Building Permit#: I' "nter building permit#above. Workflow Routing: !► lanning Engineering Permit Coordinator [ Budding Workflow Sign-off: Pt 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. 7 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ' i Date: 7_ Engineering Review V%:).lope at building pad: Conditions "Met"prior to issuance of building permit [Easements (encroachments)per engineering conditions of approval and plat eater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes D'No Assess Water Quantity Fee in-lieu: ❑ Yes [ No LIDA Facility on lot: ❑ Yes ['1rNo 2' final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: il.ina 6„,, Date: d-/a ..f 8 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: SDC Fees Entered: Wash Co Trans Dev Tax: '. Yes ❑ N/A Tigard Trans SDC: 0' es ❑ N/A Parks SDC: Kt Yes ❑ N/A LIDA ❑ Yes '�N/A (le OK to Issue PermityZ 1 Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES_010118.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13193 SW MADDIE LN, TIGARD, OR, 97224 July 16, 2018 at 12:17:02 PM Record Type: Record ID: Residential - Master Permit MST2018-00061 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13193 SW MADDIE LN, TIGARD, OR, 97224 July 27, 2018 at 10:47:59 AM Record Type: Record ID: Residential - Master Permit MST2018-00061 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13193 SW MADDIE LN, TIGARD, OR, 97224 August 6, 2018 at 11 :07:17 AM Record Type: Record ID: Residential - Master Permit MST2018-00061 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections 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: 13193 SW MADDIE LN, TIGARD, OR, 97224 August 9, 2018 at 10:27:19 AM Record Type: Record ID: Residential - Master Permit MST2018-00061 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