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Permit (173)
114CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2017-00417 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/13/2017 Parcel: 2S109AC06600 Jurisdiction: Tigard Site address: 13261 SW MADDIE LN Subdivision: MADELINE HEIGHTS Lot: 4 Project: Madeline Heights, Lot 4 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1567 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1855 sf Garage: 547 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3422 sf Value: $418,701.28 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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 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: 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 3422 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 98682 VANCOUVER,WA 98682 PHONE: 360-258-7906 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $33,271.83 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952/-0090. You m- obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By; V �� f�. ) Permittee Signature: -rf121.)//d/(baiVit-, Call 503.639.4176 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. a , Building Permit ApplicationHE''''', Residential i,` 17„ , FOR OFFICE IiSE ONLY City of Tigard OCT 2 4 2017 Received ; �'o /7 III . ® DateBy: l U .07-C/ 11 '-rmit N ;.12 / 13125 SW Hall Blvd.,Tigard,OR 97 PlanReview 1 v t Phone: 503.718.2439 Fax: 503.5,2 0 'i' TY3.1ARD DateBy: , ) — Ca ' -.1 1 Other Permit:SGL ,O/,. O 3 y3 TIGARD Inspection Line: 503.639.4175 t5 #LD sl G DIVISION Date Ready/By: // Jam/ t Juris 0 See Page 2 for (J /J Internet: www.tigard-or.gov Notified/Method: f ! //3 4 Supplemental Information TYPE OF WORK REQUIRED DATA-1-:AND 2-FAMILY DWELLING 'New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all LI Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY`OF CONSTRUCTION` work indicated on this application. [�1-and 2-family dwellingValuation: "§-41-379557a5. ❑Commercial/industrial ❑Accessory building IIIMulti-familyNumber of bedrooms: 5 14 g) 7 + © III Master builder Ill Other: -4/ Number of bathrooms: 3 I Total number of floors: 3 9G c .JOB SITE INFORMATION AND-LOCATION 2 Job site address: 13261 SW Maddie Lane New dwelling area: 3422 square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: 547 square feet Suite/bldg./apt.no.: Project name: Covered porch area: ....2446"8 square feet j 8 S.S- Cross street/directions to job site: tittle-area: square feet/45,6 7 p err,0 cam.✓ Other structure area: f 3 q square feet REQUIRED DATA:COMMERCIAL,USE CHECKLIST Subdivision: Madeline Heights I Lot no.: 4 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 OF WORK - .-», work indicated on this application. NSFR Valuation: $ Existing building area: square feet �-,�y./ New building area: square feet PROPERTY OWNER 0,TENANT 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: V APPLICANT. It CONTACT PERSON - E BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Lennar NW Inc. Structural plan review fee(or deposit): Contact name: ,J u is Call FLS plan review fee(if applicable): Address: SAME AS ABOVE Total fees due upon application: City/State/ZIP: Amount received: Phone:( 360)258-7906 Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: juls.call@lennar.com t.w = = Commercial and residential prescriptive installation of NCONTRACTOR 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:( ) 195307 State surcharge(12%of permit fee): $21.60 CCB lic.: Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained 51X) ... within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: J u Is CalI Date: 10/23/17 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApiiiiEGEIVED FOR OFFICE USE ONLY ` Z O Received City of Tigard ((��(( 2 Date/By:,74 13125 SW Hall Blvd.,Tigard,OIN9�zz3 Plan Review Phone: 503.718.2439 Fax: 503 9 1Other Permit: ( .1 i .ARD Date/By: T I G A R D Inspection Line: 503.639.4175 Internet: www.tigard-or.gov BUILDINGiN DIVISION Date Ready/By: Notified/Method: Juris: Bi See Pagee 2 for Supplemental Information ,, , TYPE OF WORK • -, .. COMMERCIAL FEE* ''SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work [ New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENTISYSTEMS FEES* [I 1-and 2-family dwelling El Commercial/industrial ..,❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 13261 SW Maddie Lane Fumace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97223 Fumace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: Madeline Heights Lot no.: 4 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF WORK 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 Other: 23.32 V PROPERTY .OWNER [3.TENANT. 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 It APPLICANT -'" ` EfCONTACT PERSON Other: 23.32 Fuel piping: Business name: 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©Iennar.com Barbecue ..4 CONTRACTOR `` 4Clothes dryer(gas) Other: Business name: Development Northwest Inc. dba Wolcott Plumbing ,,4,-,. •MECHANIGAI:PERMTI'TEES* :?1,7:1-'' 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 application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: Dennis L. Dunning Date: 10/19/17 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) 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 Electrical Permit A licatiJ UP FOR OFFICE osE ONLY 1,111 City of Tigard OCT 2 4 2017 Received Date/B : ' • 13125 SW Hall Blvd.,Tigard,OR 97223 p Plan Review Phone: 503.718.2439 Fax: 503.598.t9166py 11, Date/ : Related Permit Inspection Line: 503.639.4175 `�' R� T I G A R D f [, Ready DateBy: Juris: H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information - ' TYPE OF WORK ` PLAN REVIEW,,.. : --- g New construction El Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 1-and 21 family dwelling ❑ Commercial/industrial El Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agr cultural amps for all other installations. buildings. ❑ III Multi-family ❑Master builder Other: ❑Fire pump. 0 Installation of 150 KVA or JOB'SITE INFORMATION AND LOCATION' ❑Emergency system. larger separately derived Job#: Job site address: ❑Addition of new motor load of system. 13261 S W Maddie Lane 100HP or more. ❑"A",°`E","l-2","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. ❑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 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Es.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential NSFR (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ' E:PROPERTY"OWNER ❑ TENANT Renewable Energy ❑ See Page 2 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 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 .:ge APPLICANT,., , EA/CONTACT PERSON Branch circuits—new,alteration,or extension,eer panel A.Fee for branch circuits with Business name: Same as above above service or feeder fee, each branch circuit 742 2 Contact name: JUTS Call B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular Email: dwelling,service and/or feeder 67.84 2 juls.call@lennar.com Reconnect only 67.84 2 '�'R CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Lantil LLC dba Three Phase Electric Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy 11490 SE Jennifer St. panel,alteration,or extension. ❑ 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 Email: rlane@threephaseelectric.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 162368 Electrical Lie.: 3-332C Suprv.Lie.: 3398S specifically listed(/hr min) ELECTRICAL;PERMIT FEES Suprv.Electrician signature,required: ,xe , G.-a.e Subtotal Print name: Dennis Welch Date: 10/23/17 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: Lc- Q____ 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.\Building\Permits\ELC_PerrnitApp_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 Qty. I Each I TotalI Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 Q 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: A6.5' ELECTRICAL PERMIT FEES 1,= Fee for each commercial system: $75.00 Subtotal(Enter on Pagel): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls Clock Systems PI Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* I l Medical [1 Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Applicat'01'iCr i'VED - Building Fixtures OCT 24 2017 FOR OFFICE USE ONLY City of Tigard Received W 13125 SW Hall Blvd.,Tigard,OR 97 Date/By: IIIg # �� 1 l I�A.�'t� Plan Review Permit NA/5y:0-kap f7/t(i �` Phone: 503.718.2439 Fax 503.ti ltEDI G DIVISION Date By: Other Perrm t/�N4`o: (iL/ T I G A R D Inspection Line: 503.639.4175 Date y Read/B Juris: H See Page 2 for Internet: www.tigard-or.gov Ready/By: Notified Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE Eir 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) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 gr 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 111 Accessory SFR(3)bath 1 500.32 500.32 buildin g ❑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: 13261 SW Maddle Lane Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97223 Footing drain(nolinear 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.: g 4 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF,WORK ; Backwater valve 12.51 14 NSFR Clothes washer 1 25.02 25.02 Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 [PROPERTY OWNER"M ~❑ 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 ,;. _vl APPLICANT 'CONTACT PERSON Interceptor/grease trap 25.02 Business name: SAME AS ABOVE Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 JUTS 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 -ry Water closet 3 25.02 75.06 • -- CONTRACTOR ...- 4,-, - Waterheater 1 37.52 37.52 Business name: Development Northwest Inc., dba Wolcott Plumbing Water piping/DWV 56.29 Address: 1075 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP: Troutdale, OR 97060 Subtotal 931.87 Phone:(503) 667-1781 Fax:(503)667-9891 Minimum permit fee: $72.50 CCB Lic.: Plan review (25%of permit fee) 112220Plumbing Lic.no.: 26-824PB 0 . )� �� 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) 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"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 Valuation: . Permit Fee: 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 Other Inspections or,Fees Qty. 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 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 Fixture Type for Replacer Plan review is required for anyof the following. Work Performed: Capped Added Relocate 9 Baptistry/Font Please check all that apply. Bath Tub/Shower 111 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 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ 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. -3" Car Wash Drain Isometric or Riser Diagram. Garbage Domestic-non-food 0 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 *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 NII COMMUNITY DEVELOPMENT DEPARTMENT 111 TIGARD Building Permit Review — Residential c� /'J Building Permit #: (1/(571,00—00!7l l Site Address: 3 2 Co l S W M vt 4.4.,te. L n • Project Name: M U d e t i nuc.. ti 2 i l-1 fi3 S' U 6 Lot #: 9 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (VAN SF- K. ygVerify site address/suite# exists and active in permit system. River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan .�.. ar ctures on site �J Site plan must be on 8-1/2"x 11"or 11 x 17"paper yFootprint of new structure(including decks)with finished /Drawn to scale(standard architect or engineer scale) ! floor elevations /North arrow Zi.Jtility locations&easements(required for new and additions) tte address,project or subdivision name and lot number Sidewalk/driveway approach Applicant information(name and phone number) .meta Tr twells/septic systems vfot dimensions and building setback dimensions /Existing trees to be retained with drip line,and tree Square footage of buildings to be demolished protection measures SLot area,building coverage area,percentage of coverage and /Ll Street tree size,type and location / impervious area(applicable if R-7,R-12,R-25&R-40) Street names /Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced?,Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? 7Yes ❑No-S V. ' yr Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notifiedNo Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Perste: PCi 2-01b Fj 00 Required: 7 Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Land Use Case#: Si- g W 10 - 000o 3 Zoning: IL 7 Required Setbacks: Front I S Rear f S Side ç Street Side l0 0 Garage Z 7 Landscape Requirement: Z-o 0,0 gr Lot Coverage Maximum: 9 0 % 5 ra g Building Height: Maximum Height 3 Actual Height 2 Visual Clearance eve Lands: ❑ Yes ,zr No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: (Q"L"-- �" ! V l Date: to/ 2.1 l 11 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal , Original Submittal Date: '', Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning ngineeringt Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes rroomrplanning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Il3uilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: X By Permit Technician: ,�i„` �,L_ /4 i/ _Al'. Date: l'Q/,7 0 Engineering Review li2rS5e at building pad: Conditions "Met"prior to issuance of building permit irt asements (encroachments)per engineering conditions of approval and plat [g•-- ter Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [ o Assess Water Quantity Fee in-lieu: ❑ Yes 2rNo LIDA Facility on lot: ❑ Yes 12('No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: (4 I<cS1-4.tit) Date: /a_0),1– I—1 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: DC Fees Entered: Wash Co Trans Dev Tax: ;Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes t/A OK to Issue Permit / /1/` Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPennitRvw_RES_061417.docx FOR OFFICE USE ONLY–SITE ADDRESS: ?7_4( &tet/ � � ` . ! 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. City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www. gard-or.gov TO: DAT r i►� ; ,�. 4 , DEPT: BUILDING DIVISION ' DEC . 1 I FROM: Juls Call a 1 k rs' \>YA E; 31 COMPANY: Lennar NW Inc. dL; i ° 'K �( PHONE: 360-258-7906 B� RE: LOT 16, 15, 14, 13, 4, , 2, 1 7-00455, -00448, -00447, -00446, 00 17 -000416, -00415, -00419 (Site Address) .1it Number) Madeline Heights (Project name or subdivision name and lot n .er) ATTACHED ARE THE FOLLOWING «Description: Description: , . i P P Copies. , =Descript><onr Additional set(s) of pla s 3 Revisions: Edit the bathroom OPTION Cross section(s)ani 4ei \ \.< Wall bracing and/or lateral analysis. Floor/roof framing. \ \ Basement and retaining walls. Beam calculations. \ 7 \ Engineer's calculations. Other(explain): REMARKS: We are using the option on plans,so we X out teh originally had on plan and circled the option. FOR OFFICE USE ONLY Routed to Permit -chnician: Date: ) Z— ) Z �� Initials:` Fees Due: .. J Y;s ❑No Fee Description: Amount Due: .� )4r PJch Ycv: $ Cs-- Special Instru ions: Repr' t Permit(per PE): ❑ Yes y� Li No ❑Done Ap.licant Notified: .. Date: LI. 101(3 Initials: \BuildingWorms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13261 SW MADDIE LN, TIGARD, OR, 97224 April 27, 2018 at 10:29:19 AM Record Type: Record ID: Residential - Master Permit MST2017-00417 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: 13261 SW MADDIE LN, TIGARD, OR, 97224 April 27, 2018 at 10:27:37 AM Record Type: Record ID: Residential - Master Permit MST2017-00417 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed. Water pressure =60 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13261 SW MADDIE LN, TIGARD, OR, 97224 May 7, 2018 at 1 :46:41 PM Record Type: Record ID: Residential - Master Permit MST2017-00417 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide tempered window or railing to code at window side of rear covered porch stairs. R308.4.4(7). Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13261 SW MADDIE LN, TIGARD, OR, 97224 May 9, 2018 at 10:55:25 AM Record Type: Record ID: Residential - Master Permit MST2017-00417 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received Moisture content form received. High efficiency lighting form received. Moisture barrier form received. Duct seal test report checked. Insulation certification checked. C of 0 left on site with approved plans. Violation Summary: Inspector Contractor