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Permit (73)
CITY OF TIGARD MASTER PERMIT IN -11 . COMMUNITY DEVELOPMENT , ,7 Permit#: MST2018-00064 13125 SW Hall Blvd.,Tigard OR 97223 503.718.24391 Date Issued: 03/12/2018 TrC;AI;I� Ail Parcel: 2S109AC07200 Jurisdiction: Tigard Site address: 13204 SW MADDIE LN Subdivision: MADELINE HEIGHTS Lot: 10 Project: Madeline Heights, Lot 10 Project Description: New SF. 4/18/18: REPRINT to add(1)laundry tray. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1098 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 1469 sf Garage: 484 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2567 sf Value: $317,864.91 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 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: 360-258-7900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $31,143.88 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, 2-001- 090. Yo,may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /i /41 A,it tol--- Permittee Signature: ---776/91/(1"4:7 -2 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. Plumbing Permit Applic` >< ? ';'', Building Fixtures City of Tigard i\Pi 6' 231118 Received permit No + 13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: �7l�tl� SDi Oir- y Phone: 503.718.2439 Fax: 50359&1 0` `1111 Plan Review � ui Date/By: Other Permit No.: Inspection Line: 503.639 4175 r I G A R D Internet: vvww.tigard-or.gov s: '.,-;,:1,1 1 Date Ready/By: Juris: Vi See Page 2 for _ Y'i�. Notified/Method: Supplemental Information w:- i r - 0 0 i V i itr NII•. $E =�n: %#r !`l,',',',:'7....-:,::,:-:11l(�. �k. tATI_. �l,. .m� 4A a' 414 �O7,f' V-7.., '�'.,u`: -it: rfg ',,-'. �'''` at e-- .a^-m •xI ; fib' �� ,.�:,_#p 0 New construction ■ Demolition For special information use checklist 621 Addition/alteration/replacement 0 Other: Description I Qty. I Ea. I Total New 1-2-family dwellings(includes 100 ft.for each utility connection) ,z t � 1� k sr, t ��t r� D # n r . - 4. Wj ' I .Gt1 C IMS R is it 'p 1 `= SFR 1 bath t P -. e .` ( ) 312.70 V 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 o Each additional bath/kitchen n 25 .02❑Master builderOther:0 Fire sprinkler( sq.ft.) Page 2u4n JQ * ' O1 ii hLCA':IOAi A� i9' � Site utilities:, 1 i4' Job site address: 13204 SW Maddie Lane Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Madeline Heights I Lot g 10 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 4 iir m � LIST kY Fa " 1 Backwater valve 12.51 Clothes washer 25.02 add laundry tray to existing permit MST2018-00064 Dishwasher 25.02 0 Drinking fountain 25.02 Ejectors/sump 25.02mao q t "O* ' = > TENjT ) : Expansion tank 12.51 Name: Lennar NW Inc. Fixture/sewer cap 25.02 Address: 11807 NE 99th St.#1170 Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Vancouver, WA 98682 Hose bib 25.02 Phone:(360)258-7900 Fax:( 360) 258-7901 Ice maker 12.51 r f ® Interceptor/grease trap 25.02 Business name: SAME AS ABOVEMedical gas(value:$ ) Page 2 Contact name: Juls Call Primer 12.51 Roof drain(commercial) 12.51 Sink/basin/lavatory 1 25.02 25 02 Solar units(potable water) 62.54 Phone:(360)258-7906 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Juls.call@lennar.com Urinal 25.02 i r 1 " ' GG)N2 G i5 ra ` ,mm Water closet 25.02� r 4CRre . Ar ' l yi ` Water heater 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 25.02 Phone:(503) 667-1781 Fax:(503)667-9891 Minimum permit fee: $72.50 CCB Lic.: 112220 Plumbing Lic.no.: 26-824P6 Plan review (25%of permit fee) State surcharge(12%of permit fee) 3.0 Authorized signature: �����1__1 ��U t0 TOTAL PERMIT FEE AZO U Z 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\Permits\PLMU-permitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule:' s . •, ResidentialFire SuA:pression Sy1stems G i ! N $, .` �0 ( ,5,-:-...-,„-at,,-„ , ' r � tSu 7 __,,,i, - � ,r � O *:A .d� '" ti . ,P.,412,' " Footing drain-1'100' 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' 37.52iA " "' l tO - i er 1<t', ee z r :a Storm&Rain Drain-1st 100' 62.54 $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$1.52 for C-hy do Ce , e J -. 'P j, �. Feach andystaems: Waa$l$0 000 00.100.00 fraction thereof,to 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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*. Quath6by Fixture type ? MJ ellis ra. ltlosdU PlaI evIw oruibngna Fixture Type for Replace Plan review is required for any of the following. Work F,'erf©rmed:-' 'u =Capped - scddel Retocate Please check all that a 1 pp y. Baptistry/Font ❑ Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash -Each Stall ❑ New exterior plumbing site utilities for any complex structure -Drive ThruCu as defined in OAR918-780-0040. Dishwasher her Coirator Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 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. 4» .,- rttr o*IIx1 !i r ' ` : ' iY ..I le 4 g „ , '' Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor 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 MASTER PERMIT "r COMMUNITY DEVELOPMENT Permit#: M ST2018-00064 T (G y1,RLQ 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/12/2018 Parcel: 2S 109AC07200 Site address: 13204 SW MADDIE LN Jurisdiction: Tigard Subdivision: MADELINE HEIGHTS Lot: 10 Project: Madeline Heights, Lot 10 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: 35 Bathrooms: 3 Second: 1469 sf Garage: 484 sf Front: 15 Dwelling Units: 1 Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 2567 sf Value: $317,864.91 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100, Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1Water Lines: 100 Drains: 0 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 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC. N Security Alarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet: 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: 360-258-7900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $31,115.86 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 permi 'I ex.ire if work is not started within 180 days of issuance, or if work ' suspended for more the 180 days. ATTENTION: Oregon law requires you ,o follow the rules :.pted by the Oregon Utility Notification Center. A e ru,s are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y. may•. :'• - o• of the rules o direct questions to OUNC bycalling503.@32.1 - I.332.23.4. Issued By:..„.../.111r _ -_ Permittee Signature: �^•f!39.4175 by 7:00 a.m.for the next available inspecti.n date.��� This permit card shall be kept in a conspicuous place on the job site until c-'mpletion •f the project. Approved plans are required on the job site at the time of each spe n. 7 4 Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard r 2013 Received 13125 SW Hall Blvd.,Tigard,OR 97223 Date/BReview: �� Permit No.. S Ili _ Plan �/ - — Phone: 503.718.2439 Fax: 503.598:4Q60 - Date/By: '� Other Permit:�4 W f g.�t\cti Inspection Line: 503.639.4175 .a `� /J ✓(/V r I G A R D p Date Ready/By: Juris: Internet. www.tigard-or.gov _. = L ,'';f,-;::;!0::\J / / 69 See Pagel for Notified Method:-` f/ /i I Supplemental Information . TYPE OF.WORK . QUIRED DATA:1-AND2 FAMILY DWELLING (/New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit foT ti e AP CATEGORY OF:CONSTRUCTION • work indicated on this application. 31-7 1 g�ft t VI-and 2-family dwelling 0 Commercial/industrial Valuation: $ 1 0 Accessory building 0 Multi-family Number of bedrooms: 3 0 Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 05-1 Job site address. 13204 SW Maddie Lane New dwelling area: 2567 square uare feet ibi$ City/State/ZIP: Tigard, OR 97223 Garage/carport area: 484 square feet ((( Suite/bldg./apt.no.: Project name: 1 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DA`T`A CO INEERCIAL,IISE CHECKLIST . Subdivision: Madeline Heights 1 Lot no.: 10 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DEsiclitpttOS' OF O work indicated on this application. NSFR Valuation: $ Existing building area: square feet New building area: square feet 1a ..-_ .' a 1;TEkT T OPEIY`CA. Number of stories: Name: Lennar NW Inc. Type of construction: Address: 11807 NE 99th Street,#1170 Occupancy groups: City/State/ZIP: Vancouver, WA 98682 Existing: Phone:(360)258-7900 Fax (360 ) 258-7901 New gtAPPLICANT , ,. i 0,0: *T PERSON .' BUILD,1 GPERMITFE+ES* Business name: Lennar NW Inc. EFtearereferta'fe"es hertuief_ Contact name: Juls Call Structural plan review fee(or deposit): FLS plan review fee(if applicable): Address: SAME AS ABOVE City/State/ZIP: Total fees due upon application: Phone:(360)258-7906 I Fax::( ) Amount received: E-mail: Huls call@lennar corn PIIOTOVOLTAICSOLARF NELSY TEMFEES* ,.Y,` ,; COINTRAE:1`9, 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:( ) x:( ) and administrative fees): $180.00 CCB lie.: 195307 ' State surcharge(12%of permit fee): $21.60 , aii, Total fee due upon application: $201.60 7Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name: Juls Ca ll J I Date: 12/12/17 I *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , f ✓ Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE ISE ONLY . City of Tigard Received • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: PennitNo.: I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 1'IGARD 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing 0 Mechanical Yes No N/A Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. GI 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. CIEIC73 Verification of approved plat/lot. g ❑ El4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. El El 7 Water district approval. El ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. El le ❑ 9 Erosion control 'plan Elpermit catch-permit required. Include drainage-way protection,silt fence design and location of ElCI ❑ basin protection,etc. ❑ ❑ 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state E ' ❑ 111building 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 g 111 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 Ef ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, [7 ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 21" 111 floor,wall construction,roof construction. More than one cross section may be required to clearly portray 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. I ' ❑ ❑ 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- [a' ❑ 111prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing g ❑ IDlocations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 111 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 f' ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ' ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ CI 111 four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or [' ❑ CIarchitect licensed in Ore•on and shall be shown to be a.•licable to the project 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". ❑ El 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ El 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. El Ill ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. El ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ El Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, El ❑ 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, ❑ GI ❑ 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 440-4613T(11/02/COM/WEB) Mechanical Permit Applica .,., FOR OFFICE USE ONLY' City of Tigard Received a 13125 SW Hall Blvd.,Tigard,OR 97223E L� V Date/By: Permit No`, Phone: 503.718.2439 Fax: 503.5981960 Plan Review G/ Inspection Line: 503.639.4175 DateBy: Other Permit: T I G ft R D p Date Read B Internet: www.tigard-or.gov 1 1 { , ' Ready/By: Juris: Supplemental See Pent 2Inr .o�_.,. . Notified/Method: Information TYP1l o r WORK "$ COMMERCIAL R,FEE* SCHEDULE USE CHECKLIST, .' Mechanical permit fees*are based on the value of the work [ New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. .. ..-. CAIEGOIL OF CGNSTRUCTION,< , Value:$ 9963.00 [�1_and2-family RESIDENTIAL EQIIH'MEi�IT/SYSTEMS FEES* dwelling ❑Commercial/industrial ❑Accessory building For special information on ase checklist.❑Multi family ❑Master builder ❑Other Description vit a : ,. ,i,JOB SITEINFORMATIOr A1LM LOo TI(J + Heating/cooling: I Q� Ea. I Total Job site address: 13204 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 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Madeline Heights I Lot no.: 10 Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 1 23.32 23.32i t ,,va S R. 'IWORK " t ; 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 .: � eblYNE _ �'#uT Other: 23.32 Environmental exhaust and ventilation: Name: 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, 5 Phone (360) 258-7900 pax toilet compartments,utility rooms) 23.32 93.28 (360) 258-7901 Attic/c rawlspace fans 23.32 6, �, APT�. 1tal n �q-**0 'ESoNti : Other: 2332 Business name: SAME AS ABOVE Fuel piping: Contact name: Juls 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 aeIennar.corn Range N ��� ti ��- t;- , � IME � Barbecue ` 0= 11` 0 '0aRI` S Clothes dryer(gas) Business name: Development Northwest Inc. dba Wolcott Plumbing Other: SiNAddress: 1075 W Historic Columbia River Hwy , eM*7:4A # NiN 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) State surcharge(12%of permit fee) CCB lie.: 112220 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized Signature: 41 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board I Print name: Dennis L. Dunning I Date: 10/19/17 I I:\Building\Permits\MEC_PermitApp_040113,doc 440-4617r(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\PermitsVvMEC_PermitApp_040113.doc 2 177 I` M1l , ' Electrical Permit Applicali I '., ---,-1 FOR OFFICE USE ONLY City of Tigard FEB6 D Received • 13125 SW Hall Blvd.,Tigard,OR 9722311111 a Date/B ' gPhone: 503.718.2439 Fax: 503 g8 196p j Plan Review Inspection Line: 503.639.4175 S1 + Date B : Related Permit#: T I G A K D 9- d t 11 Ready Date/By: Juris: Fa See Page 2 for Internet. www.tigard-or.gov NotiSed/Method - ;, Supplemental Information TYPE OE.WK- OR VCf New construction _ PLAN..REVIEW-`l . . ❑Addition/alteratio replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition 0 Other: ❑Service or feeder 400 am s or more P ❑Building ovethrea es. ,CATEGORY:OE .where the available fault current ❑Marinas and boatyards . CONSTRUCTION exceeds 10,000 amps at 150 volts or Q�I_and 2-familydwelling ❑ ❑Floating ial-us gs. Commercial/industrial 0 Accessorybuildingless to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family ❑Master builderamps for all other installations. buildings. Other' 0 Fire pump. 0 Installation of 150 KVA or ` JOB_SITE.IINFORMATION=ANTD,LOCATION ❑Emergency system. larger separately derived Job 4: I Job site address: 13204 SW Meddle Lane ❑Addition of new motor load of system. I001W or more. ❑"A","E","I-2","1-3", City/State/ZIP: Tigard, OR 97223 ❑Six or more residential units. occupancy. ❑ SUite/bld /a t.#; ❑Health-care facilities. Recreational vehicle parks. g P I Project name: ❑Hazardous locations. 0 Supply voltage for more than ross street/directions to job site: CI Service or feeder 600 amps or more. 600 volts nominal. FEE SCHEDULE Description = . I Qty. I Each I Total I Subdivision: New residential single-or multi-family dwelling unit. = Madeline Heights I Lot 4: 10 Includes attached garage. Tax map/parcel 4: 1,000 sq.ft.or less 1 168.54 168.54 4 DESCRIPTIOXl Ea. 500 sq.ft.or portion 2 33.92 67.84 1 ' Limitedited energy,residential NSFR (with above sq.ft.) 75.00 2 Limited energy,multi-family �. / residential(with above sq.ft.) 75.00 2 -'' " I>PROPERTY. OWNER=', :I] ENAIIT, 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 2 601 amps to 1,000 amps 301.04 2 Phone:(360 )258-7900 I Fax:(360 ) 258-7901 Over 1,000 amps or volts 552.26 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 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 ams 25.08 1 Owner signature: p 125.08 2 Date: 401 amps to 599 amps 168.54 2 'k , ?'V APPLIC I wl" ''`,T; Branch circuits—new,alteration,or extension,per panel .., �- �;.r.,� , �-:C�Cf,(IIYT'AOT frl?ERSON".=- .: 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'1 branch circuit 7.42 2 Phone:( ) I Fax::( ) Miscellaneous(service or feeder not included) Each manufactured or modular Email: JUIS.Call@lennar.00171 dwelling service and or feeder 67.84 2 € <r C=P81-R43,C'pOR Reconnect only 67.84 2 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 Phone:( 503) 908 8058 Fax: Additional inspection(1 hr min) 66.25/hr (503 )726-1823 Investigation(1 hr min) 90.00/hr m Industrialplant(Ihrmin) 78.18/hr Email: rlane@threephaseelectric.co CCB Lie.: 162368 I Electrical Lie.: Inspections for which no fee is 3-332C Suprv.Lic.: 3398S specifically listed(Ys hr mm) 90.00/hr Suprv.Electrician signature,required: C��,,,,,,,i, /.rJ�L� -.t� ..- f 1 RICC;AT -PE12 I REFS Print name: Dennis Welch Subtotal: 236.38 Date: 10/23/17 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: (r4-,-,..:( L,-_-__Q____ TOTAL PERMIT FEE: Print name: Robert LaneI Date: This permit application expires if a permit is not obtained within 180 Date: 11/6/17 days afons allowter it has ebdpeeenr acceptepermit.d as complete. I.\Budding\Permits\ELC PermitA * Number of inspecti pp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY FEE SCHEDULE 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 5.01 to 15 kva 133.56 2 Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 MGarage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 \4 Heating, Ventilation and Air Conditioning System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 n 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 charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is specifically listed('/z hr min) 90.00/hr COMMERCIAL WORK©NLY ERIC TEr TRI al E ° P`=FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1). (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: I I Audio and Stereo Systems Boiler Controls I Clock Systems n Data Telecommunication Installation Fire Alarm Installation HVAC Instrumentation Intercom and Paging Systems Landscape Irrigation Control* n Medical I Nurse Calls I I Outdoor Landscape Lighting* H Protective Signaling I I 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 ApplicationE ""'fa Building Fixtures FOR OFFICE USE ONLY City of Tigard FEB 6 20 I 1 Received :� ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: Permit No.: _ �� e g t ,,- /LlS/dfJlf Phone: 503.718.2439 Fax: 503.598.196e(1u r . v •� IB Plan Review Inspection Line: 503.639.4175 " ,``''' tia I�i�1oateBy: Other Permit No.: T 1 C A 1:D Internet www.tigard-or.gov ate Ready/By: 7uds: I Fil See Page 2 for Notified/Method: Supplemental Information .. . TYPE OF'WORK FEE* SCHEDULE.. New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) t,-;'-',-',.`CATEGORY,OF CONSTRUCx'ION SFR(1)bath 312.70 liZ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 1 500.32 500.32 CI Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATIONT Site utilities: Job site address: 13204 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.:10 Fixture or item: Tax map/parcel no Backflow preventer 1 31.27 31.27 I)EseRwiltaI OT ORK 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 'PRORTf'-fy' R ❑,T ENT ` Expansion tank 12.51P _; ,-.1,..:, N : 4. N 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 y Vancouver, WA 98682 Hose bib 2 25.02 50.04 Phone:(360)258-7900 Fax:( 360) 258-7901 Ice maker '_ � 12.51 APPLJCR 4 T ,t . ,, ,5 Interceptor/grease trap 25.02 .N r .,:;, s -iGON7'A6 PERSON 11 , Medical gas(value:$ ) Page 2 Business name: SAME AS ABOVE Contact name: Juls Call Primer 12.51 Address: Roof drain(commercial) 12.51 Sink/basin/lavatory 5 25.02 125.10 City/State/ZIP: Solar units(potable water) 62.54 Phone:(360)258-7906 I Fax::( ) Tub/shower/shower pan 12.51 3 :i7.50 E-mail: JuIs.call@lennar.com Urinal 25.02 ' cO THA Water closet 25.02 75.06 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: State surcharge(12°/n of permit fee) ,. TOTAL PERMIT FEE Print name: Dennis L. Dunning I Date: 10/19/17 l This permit application expires if a permit is not obtained within 180 days 1 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-Permit App.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-1 s`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 Water Service-each additional 100' 37.52 Medical Gas Systems: Storm&Rain Drain-1st 100' 62.54 Valuation ' Permit;Fee: „ . Storm&Rain Drain-each additional 100 $1.00 to$5,000.00 Minimum fee$72.50 37 52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Wither Inspections or Fees Q Fee(ea} '; Total> = each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr (minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to Inspections outside of normal business 90.00/hr and including$25,000.00$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 bFixture Type kr' R Fixture Type for Replace) eleWGtr. ]UlTthm y .')nStitaCOII `;= 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" • Car Wash Drain I61T1et2'1C'`,or R1SQi`D>tagram Garbage Domestic-non-food El Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an 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 'I COMMUNITY DEVELOPMENT DEPARTMENT 11111II T 1 A R n Building Permit Review — Residential Building Permit #: /0 /al,C)/M— �� .. . Site Address: R C2/ l M fo 1NA e Project Name: kit ;nt t4c -- Lot #: /0 (New dwelling=sub ivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /llQe Fie_ erify site address/suite#exists and active inpermit system. ►, y 4' River Terrace Neighborhood: (/No ❑ Yes,See River Terrace Review Addendum Attached Si/Plan Elements: INV7hree(3)copies of site plan ��A. •sting structures on site d110ifife plan must be on 8-1/2"x 11"or 11 x 17"paper 7 Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) i.or elevations rth arrow YA Way locations&easements(required for new and additions) Szife address,project or subdivision name and lot number r'Sidewalk/driveway approach A,plicant information(name and phone number) III t•cation of wells/septic systems II •t dimensions and building setback dimensions hI Existing trees to be retained with drip line,and tree W!1uare footage of buildings to be demolished otection measures P.' of area,building coverage area,percentage of coverage and reet tree size,type and location t-Ipervious area(applicable if R-7,R-12,R-25&R-40) Street names Illaroperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? NJ Yes ❑ o �44ffoot differential) If yes,is a storm water quality facility shown? ❑� o r Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): equired: CIYes,applicant was notified U!' No Received: �� � ,;k ❑ Ye�� No lil Public Facilitie Improvement(PFI) Permit: 144 44e. Required: [Y Yes,applicant was notified ❑ No Applied For: PPd Yes ❑ No,stop intake CiLand Use Case#: S ue Z0 I6-0000 3 1-1 f F7/016 -0016 11 Zoning: 11.3. 6111 Required Setbacks: Front 15 Rear 15 Side 5 Streete % Side lo Gara g 20 V;i7 dscape Requirement: LO of Coverage Maximum: g0 Building Height: 0/0 Maximum Height 35 Actual Height vr2 3 \ Visual Clearance [117/Sensitive Lands: 0 Yes [No Type Urban Forestry Plan C✓(Conditions "Met"prior tat issuancepof building permit SV11p Notes: AC(t14 Jkovi -Put- at et' 2-6-it, all (a-.Jikin.1 fw- 2016-00003 kGrt 6ttn Yid. 0 Approved By Planning: Date: ' ^e /L /l Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\B1dgPennitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: 2 f(f, fir Site Plans: # _ Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning Ingineering [permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes Cfrom planning review) Route Application Documents: 7Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing forma [Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: j By Permit Technician: AZ /A Date: /(i Engineering Review � [Slope at building pad: O ECJ Conditions "Met"prior to issuance of building permit a—Easements (encroachments)per engineering conditions of approval and plat ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes []'No Assess Water Quantity Fee in-lieu: ❑ Yes I N LIDA Facility on lot: ❑ Yes o 0--Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: L7�Approved by Engineering: ,R/4i r",s44.1.2_,_ Date: 0,2 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: E es ❑ N/A Tigard Trans SDC: -a-Yes ❑ N/A Parks SDC: clia"Yes ❑ N/A LIDA ❑ Yes '=N/A OK to Issue Permit / fri;a � / Approved by Permit Coordinator: te. I:\BuildingTonnsBldgPennitRvw_RES_010118.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13204 SW MADDIE LN, TIGARD, OR, 97224 July 26, 2018 at 12:14:27 PM Record Type: Record ID: Residential - Master Permit MST2018-00064 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: 13204 SW MADDIE LN, TIGARD, OR, 97224 July 27, 2018 at 11 :13:27 AM Record Type: Record ID: Residential - Master Permit MST2018-00064 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: 13204 SW MADDIE LN, TIGARD, OR, 97224 August 16, 2018 at 10:54:26 AM Record Type: Record ID: Residential - Master Permit MST2018-00064 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 Moisture barrier acknowledgement 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 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13204 SW MADDIE LN, TIGARD, OR, 97224 August 16, 2018 at 10:49:35 AM Record Type: Record ID: Residential - Master Permit MST2018-00064 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed. Violation Summary: Inspector Contractor