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Permit (179) CITY OF TIGARD MASTER PERMIT 2." COMMUNITY DEVELOPMENT Permit#: MST2017-00415 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/13/2017 T[ - 9 Parcel: 2S109AC06400 Jurisdiction: Tigard Site address: 13299 SW MADDIE LN Subdivision: MADELINE HEIGHTS Lot: 2 Project: Madeline Heights, Lot 2 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1384 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1508 sf Garage: 494 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2892 sf Value: $356,760.26 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2892 Owner: Contractor: LENNAR NW INC. LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11807 NE 99TH STREET#1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 9700698682 VANCOUVER,WA 98682 PHONE: 360-258-7900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $31,888.64 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 0 952-001-0090. ou may obtain a copy o,the rules or direct questions to OUNC by calling 503,232.1987 or 1.800.332.2344. t Issued By: 1: 'J(4: s(M. ' ` . Permittee Signature: ,c '. /i1, GG a Call 503.639.4176 by :00 a.m.for the next available inspection date. 7/ 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. J Building Permit Application Residential RECEIVE* FOR OFFICE SE ONLY . City of Tigard 2ReceiPermit No Illr 13125 SW Hall Blvd.,Tigard,OR 97223 OCT C T d 2017 Date Bya lQ/� /7 /� �/ ����.{ �/�Jf- Plan Review _✓ Phone: 503.718.2439 Fax: 503.598.1960Date/By: - 1 ii Other Permit:51,044 Inspection Line: 503.639.4175 Cirt 1 OC T IGARD ReQ a , s�/ag 2 f�����/ `� ' T I G A R D p � Date Ready/By: / / 7 �,, Iuris: 0 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION No •ed/Method: c/ Supplemental Information LL<< eF. TYPE OF?WORK ' rQUIRED DATA:1-AND`2 FAMILY DWELLING NtiNew construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. g1-and 2-family dwelling EI Commercial/industrial Valuation: $ `` n ElAccessory building EDMulti-familyNumber of bedrooms: 5 3S 6/ 7G j o EI Master builder EI Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3 3 O Job site address: 13299 SW Maddie Lane New dwelling area: 2892 square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: 494 square feet Suite/bldg./apt.no.: Project name: Covered porch are -.2,8z, square feet J 50 5 Cross street/directions to job site: _ �: covedcoved )SC square feet j 3 t_' Other structure area: O square feet 8`� REQUIRED DATA COMMERCIAL-USE CHECKLIST Subdivision: Madeline Heights I Lot no.: 2 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION€y WORK work indicated on this application. . - � PP NSFR Valuation: $ Existing building area: square feet New building area: square feet E' RPETYOWNER e [• TENANT Number of stories:POR ,A, s 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 i.2/APPLICANT CONTAPERSON .:... .. .: ... .:. CT .. w II BUILDING PERIVIIT FEES Business name: '?Please efertofeeschedule) Lennar NW Inc. Structural plan review fee(or deposit): Contact name: Juls Call Address: FLS plan review fee(if applicable): SAME AS ABOVE City/State/ZIP: Total fees due upon application: Phone:(360)258-7906 Fax::( ) Amount received: E-mail: julS.Call@Iennar.com PHOTOVOLTAIC SOLARB 1NEL€ SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of ' "°l .. -. ' roof-top mounted Photo Voltaic Solar Panel System. Business name: SAME AS ABOVE Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 195307 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Juls CaII Date: Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Aup _c_gIRECEIVED FOR OFFICE USE ONLY City of Tigardq 2017 Received IZOINZEIr II ' 13125 SW Hall Blvd.,Tigard,OR 97223 OCG Date/By: fj ■ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review TIGARD Inspection Line: 503.639.4175 CITY O TI{ ARD Date/By: Other Permit: BUILDING 1 IVISION Date ReadyBy: Elm: See Page 2 for Internet. www.tigard-or.gov Iv Notified/Method: Supplemental Information < ;., `TYPE OF WORK ...COMMERCIAL,;FEE*:SCHEDULE=USE CHECKLIST Mechanical permit fees*are based on the value of the work EzNew construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION, Value:$ RESIDENTIAL EQUIPMENTISYSTEMS FEES*, y 1-and 2-family dwelling D Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description P Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 13299 SW Maddie Lane Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: Tigard, OR 97223 Fumace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: 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 Lot no.: 2 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 ` . DESCRIPTION OF WORK i. Gas fireplace/insert 1 33.39 23.32 Flue vent for water heater or gas NSFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPERTY OWI�tER 'i!":''''''' Other: 23.32 -, , ,_ _. " Q TENANT .r a" '' Environmental exhaust and ventilation: Name: Lennar NW Inc. Range hood/other kitchen equipment 1 33.39 33.39 Address: 11807 NE 99th St.#1170 Clothes dryer exhaust 33.39 City/State/ZIP: Vnacouver, WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 93.28 Phone:(360) 258-7900 Fax:(360) 258-7901 Attic/crawlspace fans 23.32 1. APPLICANT , ' .,,.. •� :CONTACT PERSO&IOther: 23.32 Business name: Fuel piping: SAME AS ABOVE $14.15 for first four;$4.03 for each additional Contact name: Juls Call Fumace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(360)258-7906 Fax::( ) Fireplace Range E-mail: juls.call@lennar.com Barbecue A 4 ri n._i _ V. CO,NTRACTOR s '.. : .F Clothes dryer(gas) Business name: Development Northwest Inc. dba Wolcott Plumbing Other: IYIECHANICAL PERMIT FEES'v , Address: 1075 W Historic Columbia River Hwy Subtotal $220.06 City/State/ZIP: Troutdale, OR 97060 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( 503) 667-1781 Ext. 3007 Fax:(503 ) 667-9891 State surcharge(12%of permit fee) CCB lic.: 112220 TOTAL PERMIT FEE This permit applicationsr expiresaif a cc ptet is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: Dennis L. Dunning Date: 10/19/17 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard RECEIVED Page 2 - Supplemental Information OCT 242017 Commercial& Multi-Family Fee Schedule: CM'OF IfAFD Total Valuation: Permit Fee:.:. BUILDING DIVISION $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC PermitApp_040113.doc 2 Electrical Permit Application ,..,17.i V E1 FOR OFFICE USE ONLY City of Tigard OCTI �17 Received . 1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 I A L DateB : ��` ' —CeGf p; Plan Review Phone: 503.718.2439 Fax: 503.598.1960DateB Related Permit#: Inspection Line: 503.639.4175 CIT t. . 'IIGARD ReadyDate/By: Juri5: T1GAR f3 c, ,.,�. Y H SeePage2for Internet: www.tigard-or.gov BUILT : �; DIVISICt Notified/Method: Supplemental Information ', TYPE OF.WORKi . ,-::.t'-'- 2.1::.,,..:.]]-, .. *:PLAN REVIEW' V[�New construction D Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building over three stones. where the available fault current ❑Marinas and boatyards. %' CATEGORYrz OF CONSTRUCTION'S exceeds 10,000 amps at 150 volts or ❑Floating buildings. Rr 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or JOB,SITE INFORMATION AND'LOCATION ❑Emergency system. larger separately der ved ❑Addition of new motor load of system. Job#: Job site address: 13299 SW Maddie Lane 100HP or more. ❑'°A","E", `1-z",°`1-3", City/State/ZIP: Tigard, OR 97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. 1:1 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Madeline Heights Lot 4: 2 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION OIC WORK Limited energy,residential NSFR (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) :PROPERTY OWNER. .;; t Renewable Energy ❑ See Page 2 ' ❑_-,TENANT Services or feeders installation,alteration,and/or relocation Name: Lennar NW Inc. 200 amps or less 100.70 2 Address: 11807 NE 99th St. #1170 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Vancouver, WA 98682 601 amps to 1,000 amps 301.04 2 Phone:( 360 )258-7900 Fax:(360 ) 258-7901 Over 1,000 amps or volts 552.26 2 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 I 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 _Et APPLICANT.... ... :.CYCONTACT;PERSON ;;,' circuits—new,alteration,or extension,per panel Branch A.Fee for branch circuits with Business name: Same as above above service or feeder fee, 7A2 2 each branch circuit Contact name: Juls Call B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular dwelling,service and or feeder 67.84 2 Email: juls.call@lennar.com " Reconnect only 67.84 2 1 " CONTRACTOk ; Pump or irrigation circle 67.84 2 Business name: Lantil LLC dba Three Phase Electric Signor outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy 11490 SE Jennifer St. panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above Clackamas, OR 97015 Additional inspection(1 hr min) 66.25/hr Phone:( 503) 908-8058 Fax:(503 )726-1823 Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: rlane@threephaseelectric.com Inspections for which no fee is 90.00/hr CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lic.: 3398S specifically listed(%hr min) ELECTRICAL PERMIT FEES . .a Suprv.Electrician signature,required: e,,ti,,.,,,,�, 4-tl_yt'v Subtotal: Print name: Dennis Welch Date: 10/23/17 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: a..,�`i L,-.---_,?,...__. TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Robert Lane Date: 10/23/17 days after it has been accepted as complete. * Number of inspections allowed per permit. I:�Buildisg�Permits�ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB RECENED • OCT 2d 2017 Electrical Permit Application—City of Tigard F Page 2—Supplemental Information CITYOl _S!aaARD BUDDING DIVISION Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY "' E SCHEDULE I Qb'. Each Total * Renewable '. Fee for all residential systems combined: $75.00 Description 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 Wind generation systems in excess of 25 kva: r❑ Burglar Alarm 25.01 to 50 kva 301.04 2 I"I Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee 552.26 2 with OAR 918-309-0040in1accordance) 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) COMMERCIAL WORK ONLY t cTRICAL E[ �e Fps , , ,, Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems n Data Telecommunication Installation Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems I I Landscape Irrigation Control* ❑ Medical n Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\B°ilding\Permits\ELCPermitApp_ELR ERE.doc Rev 06/17/2015 Plumbing Permit Application R ,, I Building FixturesOCT 2 d 20 FOR OFFICE USE ONLY' City Of Tigard E1ew �DPennit N/��' ' �/213125 SWHall Blvd.,Tigard,OR 97223 r Tl rg /�/ J IIICIS a Phone: 503.718.2439 Fax: 503.598.1960BU1€ y Other Permit No.: Inspection Line: 503.639.4175 F 1 G A R D Date 10 See Page 2 for Internet: www.tigard-or.gov Notified7ur s /Method: . Supplemental Information TYPE OF WORK �.., FEE* SC HEDULE - _: VNew 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) < .fCATEGORY OF CONSTRUCTION SFR(1)bath 312.70 1-and 2-family dwellingSFR(2)bath 437.78 ❑Commercial/industrial I]Accessory building IIIMulti-family SFR(3)bath 1 500.32 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION:AND LOCATION 4 Site utilities: Job site address: Catch basin or area drain 18.76 13299 SW Maddie Lane Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Madeline Heights I Lot no.:2 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 t. [ -= Backwater valve 12.51 _s DESCRIPTION CI 'WORK ,,., , :<,.... „ "I; Clothes washer 1 25.02 25.02 NS FR Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 lir PROPERTY OER >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 mit 4 . APPLICANT CONTACT PERSON Interceptor/grease trap 25.02 Business name: SAME AS ABOVE Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Juls Call Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 5 25.02 125.10 City/State/ZIP: Solar units(potable water) 62.54 Phone:(360)258-7906 Fax: :( ) Tub/shower/shower pan 3 12.51 37.50 E-mail: Juls.call@lennar.com Urinal 25.02.,_ Water closet3 CONTRACTOR ' 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 931.87 Phone: Minimum permit fee: $72.50 Fax: (503) 667-1781 (503)667-9891 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:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) RECEIVE OCT 2Q 2017 * Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information CITY ''F T iG 'R© BUILDING DIVISION Fee Schedule: Residential Fire Suppression Systems: Fee, Site Utilities : Qty (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 Sewer-1st 100' 62.54 3,601 to 7,200 $233.20 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. Fee(ea) Total;: additional$100.00 or fraction thereof,to eachincluding Inspections or Feesand including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type ;Plan Review for Plumbing Installations .4 Fixture Type for Replace/ Plan reviewis requiredany forof the following. Work Performed: Capped Added Relocate Baptistry/Font Please check all that apply. Bath Tub/Shower CI 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 ;-Isometric.or.Riser Diagram Garbage -Domestic-non-food GIIsometric 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 *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 Il " COMMUNITY DEVELOPMENT DEPARTMENT III T 1 c a R o Building Permit Review — Residential Building Permit #: 0/f 5 7 /7-00 !?//c--- Site Address: w n3 2q 9 gN1 of pC Arc Ln . Project Name: 1v �►01cL21irti. Heic2h4-3 SV (3 Lot #: _ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: New fc It- )44 Verify site address/suite# exists and active in permit system. L2f River Terrace Neighborhood: !f#No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: 711ree(3)copies of site plan res on site site plan must be on 8-1/2"x 11"or 11 x 17"paper p'Footprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale) /floor elevations orth arrow Utility locations&easements(required for new and additions) jite address,project or subdivision name and lot number Sidewalk/driveway approach Applicant information(name and phone number) ozati:vnrerfteells/septic systems ILot dimensions and building setback dimensions yxtsting trees to be retained with drip line,and tree ILquare footage of buildings to be demolished protection measures ot area,building coverage areay rcentage of coverage and (/Street tree size,type and location impervious area(applicable i f/R 7/,R-12,R-25&R-40) treet names Property corner elevations (2 footoocontour 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? EYes ❑No 4 (1j3 VFClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified X No Received: ❑ Yes CINo P Public Facilities Improvement(PFI) Permit: ES jos to - 00 ( 6 y Required: C 'es,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake Land Use Case#: soaio1 (a " 00003 4 Zoning: R vRequired Setbacks: Front ` S Rear I .S Side S Street Side 1 Q Garage ZO V Landscape Requirement: 2_0 % Z Lot Coverage Maximum: —53—(7 % Building Height: Maximum Height 3S Actual Height Z Y AVisual Clearance fie.: s_Lands: ❑ Yes Z No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: { Approved By Planning: ill,O4.A . , (lam, Date: t o/2q / 1 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved LRevision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: 0 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning (TEI' Engineering 7 Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 71 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. pt Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: • By Permit Technician: P I i v Date: MA ci7/7 Engineering Review Slope at building pad: 4./717 'Conditions "Met"prior to issuance of building permit LU Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: ,�� Assess Water Quality Fee in-lieu: El Yes I�'No Assess Water Quantity Fee in-lieu: ❑ Yes o LIDA Facility on lot: ❑ Yes ❑ lo ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: )im (stlDate: /041.—t 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved El 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: El Yes 0 N/A Tigard Trans SDC: ❑ Yes El N/A Parks SDC: ❑ Yes ED N/A LIDA El Yes Q N/A OK to Iss;: ornator: Permit � � io 431 '?� Approved by Date: I:\Building\Forms\BldgPermitRvw_RES_061417.docx FOR OFFICE USE ONLY—SITE ADDRESS: / 3Z, 5'42 /4 a 1?t- fj j This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. 111 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT il " Transmittal Letter T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard r.gov TO: DATE 3,D :. r . DEPT: BUILDING DIVISION ' '� ./'• .� DEC :i i 7017 FROM: Juls Call CITY A COMPANY: ET 1 �r�, ;D N Lennar NW Inc. �r� x PHONE: 360-258-7906 Bye RE: LOT 16, 15, 14, 13, 4, 301 M0417, - -00455,00447, -00446, (Site Address) -00417, -000416, 00415, 00419 (Permit Number) Madeline Heights (Project name or subdivision name and lot numbe ATTACHED ARE THE FOLLOWING IT L �� :'1 Copies.r` Description: feopies: Description: Additional set(s) of plans tr \(N 3 Revisions: Edit the bathroom OPTION Cross section(s) and detai :.\� Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. \Y' Engineer's calculations. Other(explain): REMARKS: We are using the ••tion on plans,so we X out teh originally had on plan and circled the option. FOR OFFICE USE ONLY Routed to Permit •c 1cian: Date: )1— /1,— )'J Initials: Fees Due: IA Y V u No Fee Description:P Amountt: • 3' ).-/r PJ, f cv; Qv $ ii --z='— $ $ $ Spec'.1 I • ructions: eprint Permit(per PE): ❑ Yes [XNo ❑Done Applicant Notified: Date: IA�/I/f) Initials ��� I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13299 SW MADDIE LN, TIGARD, OR, 97224 April 20, 2018 at 9:33:16 AM Record Type: Record ID: Residential - Master Permit MST2017-00415 Inspection Type: Inspector: 699 Mechanical 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: 13299 SW MADDIE LN, TIGARD, OR, 97224 April 20, 2018 at 9:30:55 AM Record Type: Record ID: Residential - Master Permit MST2017-00415 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide breaker lock for dishwasher. NEC 422.30 Provide gfci protection or change outlet to single labeled non gfci protected in laundry. OESC 210.8A(10) Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13299 SW MADDIE LN, TIGARD, OR, 97224 April 25, 2018 at 9:10:58 AM Record Type: Record ID: Residential - Master Permit MST2017-00415 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide 2 missing trees in rear yard per approved site plan. Provide moisture content form as noted on previous inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13299 SW MADDIE LN, TIGARD, OR, 97224 April 24, 2018 at 10:25:18 AM Record Type: Record ID: Residential - Master Permit MST2017-00415 Inspection Type: Inspector: 199 Electrical 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: 13299 SW MADDIE LN, TIGARD, OR, 97224 April 24, 2018 at 10:29:02 AM Record Type: Record ID: Residential - Master Permit MST2017-00415 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide city required documents at final inspection. Street tree certification, moisture content form, high efficiency lighting form and blower door test report if required. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13299 SW MADDIE LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00415 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Collected Street tree certification and verified tree locations Moisture content acknowledgement form Moisture barrier acknowledgement form Air leakage test report High efficiency lighting form Left C of 0 on the counter Violation Summary: Inspector Contractor