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Permit
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00446 T[GA PD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/06/2017 Parcel: 2S109AC07500 Jurisdiction: Tigard Site address: 13266 SW MADDIE LN Subdivision: MADELINE HEIGHTS Lot: 13 Project: Madeline Heights, Lot 13 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: 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: $425,849.63 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 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywall-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: SAGE BUILT HOMES LLC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 1815 NW 169TH PL STE 1040 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97006 VANCOUVER,WA 98682 PHONE: 360-258-7900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $33,333.68 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 -r- se forth in OAR 952-001-0010 thro AR 952-001-00•.. You may obt,in a copy of the rules or direct questions to OUNC by calling 503.232.1987 0 1.800.332.2 .-, • Issued By: Permittee Signature: I'� i 9 � . X Call 603.639.4175 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 th• project. Approved plans are required on the job site at the time of each inspection. Building Permit Applicata Residential i-irt NOV t 201 FOR OFFICE USE ONLY. . City of Tigard Received �r .711 a 13125 SW Hall Blvd.,Tigard,OR 972 3;-i ; h r, Date/By: /+ f�'� s •t y Permit No• ���� /y(/ / Plan Review 1 e/ l Lam(/%�(p Phone: 503.718.2439 Fax: 503.59{�, b Other Permit. Inspection 503.639.4175 f �l}19 � Date/By: ���2i� .‘‘,61.4).0/7....1.635-7 TIGARD P Date Ready/BY (41:4: � tis: WI See Pae2 for Internet. wwwttgard-or.gov ` �..� / Supplemental Information Notified/Method: r Su le TYPE OF.WORK , '• ' 1 UIRED DATA:I-AND 2-FAMILY DWELLING' 2/New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value ElAAddition/alteration/replacement ❑Other: (rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the " . CATEGQRY OF.'CONSTRUCTIQN , .; work indicated on this application. � 8 9Q / g1-and 2-family dwelling 1=ICommercial/industrial Valuation: ❑Accessory building ❑Multi-family Number of bedrooms: 5 1:1Master builder ❑Other: Number of bathrooms: JOB,SITE INFORMATION AND LOCATION - Total number of floors: 32 31(ot� Y/ Job site address: 13266 SW Maddie Lane New dwelling area: s square feet 3422 q t S(.4""7 City/State/ZIP: Tigard, OR 97223 Garage/carpea: 547 ta square feet r2 Suite bldg./apt.no.: Project name: `' Covered Leh area: square feet Cross street/directions to job site: /1 Deck area: tat% square feet Cc � oir4h ISS square feet t REQUIRED DATA:COMMERCIAL-USE CHECKLIST, Subdivision: Madeline Heights I Lot no.: 13 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 ;1 . . ' DESCRIPTION OF`WORK, ;- - work indicated on this application. NSFR Valuation: $ Existing building area: square feet New building area: square feet =» ('PROPERTY OWNER: , [ ❑ 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: - -,:lcir APPLICANT . Kft CONTACT PERSON • ' - - BUILDING PERMIT FEES* Business name: Lennar NW Inc. (Pleaserefertofeeshedule) Contact name: .Juts 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: julS.Call@lennar.com PITOTOVOLTAICSOLAR PANEL SYSTEM FEES*.; ,° ,, '' CONTRACTOR 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:( ) and administrative fees): $180.00 Fax:( ) CCB lac.: 1 95307 State surcharge(12%ofpermitfee): $21.60 Total fee due upon application: $201.60 Authorized signature: !` This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: .j U iS Ca I Date: i 1/6117 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) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received w 13125 SW Hall Blvd.,Tigard,OR 97223 Date iat PermitNo.: Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: TIGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 1 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ 0 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control t2'plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- E' ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state [a' ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if [a' 0 ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, W 0 ❑ 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- m' ❑ ❑ 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. g ❑ ❑ 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' ❑ ❑ prescriptive 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 ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 12' ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. Rf ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ for 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 g ❑ ❑ architect licensed in Oregon and shall be shown to be asplicable to the iroject under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit A s 1 lic :t - l!i. .1 . o FOR OFFICE USE ONLY City of Tigard Received ,111 Date/By. Permit No.: All 0.q 13125 SW Hall Blvd.,Tigard,OR 972nv 7 2017 y' Phone: 503.718.2439 Fax: 503.598.19'6TPlan Review Date/By: Other Permit: T I i ARD Inspection Line: 503.639.4175 Internet: www.tigard-or.govI r :7F ;-!:::;!"%flO Date Ready/By. Juris: Bl See Page 2 for B U I ( ill/tr'w Notified/Method: Supplemental Information TYPE OF WORK' COMMERCIAL FEE* SCHEDULE-USE CHECKLIST replacement Mechanical permit fees*are based on the value of the work [ New construction ❑Addition/alteration performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. „" `' CATEGORY OF CONSTRUCTION'" Value:$ 1-and 2-familydwellingRESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑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: Job site address: Air conditioning 1 46.75 46.75 13266 SW Maddie Lane 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.: 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.: 13 Other: 23.32 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: V PROPERTY OWNER ©',TENANT 23.32 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) �� 23.32 93.28 Phone:(360) 258-7900 Fax:(360/) 258-7901 Attic/crawlspace fans 23,32 gr APPLICANT R,CONTACT.PERSON Other: 23.32 Business name: SAME AS ABOVE Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Juls Call Furnace,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 CONTRACTOR f° Clothes dryer(gas) Other: Business name: Development Northwest Inc. dba Wolcott Plumbing -,MECHANICAL PERMIT FEES* , Address: 1075 W Historic Columbia River Hwy Subtotal $220.06 City/State/ZIP: Troutdale, OR 97060 Minimum permit fee($90.00) Phone:( 503) 667-1781 Ext. 3007 Fax:(503 ) 667-9891 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.. 112220 TOTAL PERMIT FEE /� This permit application expiresaenf a accepted is not obtainedae. 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 440-4617r(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\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Application - . ([ a FOR OFFICE USE ONLY City of Tigard Received D /B Permit#: llii ® 13125 SW Hall Blvd.,Tigard,OR 97223 N Q V 7 2017 Platean Review `� 57 � '�� 9 Phone. 503.718.2439 Fax: 503.598.1960 Date/B Related Permit#: T I CrA RL? Inspection Line: 503.639.4175 ri Ready DateBy: Juris: H See Page 2 for Internet: www.tigard-or.gov IriUl(L \.C1 D!Ji, 311 Notified/Method: Supplemental Information ' TYPE OF WORK` _ _", PLAN REVIEW ' - LiNew construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stores. where the available fault current ❑Marinas and boatyards. ' CATEGORY OF CONSTRUCTION ' exceeds 10,000 amps at 150 volts or " ❑Floating buildings. iszl-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑commercial-use agr cultural ❑Multi-familyamps for all other installations. buildings. ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND',LOCATION' 0 Emergency system. larger separately der ved Job 4: Job site address: 13266 SW Maddie Lane ❑Addition of new motor load of system. 100HP or more. ❑"A","E","l-2","l-3", City/State/ZIP: Tigard, OR 97223 ❑Six or more residential touts. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.4: Project name: ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nom nal. Cross street/directions to job site: FEE'SCEIEDULE - w" > , Description I Qty. I Each Total I * New residential single-or multi-family dwelling unit. Subdivision: Madeline Heights Lot 4: 13 Includes attached garage. Tax map/parcel 4: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION,OF WORK "i. Limited energy,residential NSFR (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 PROPERTY OWNERRewE ❑ g 2 R E] TENANT, ' Services orable feedersnergy installation,alteraSeetion,Paaned/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 APPLICANT., EY CONTACT PERSON' Branch circuits—new,alteration,or extension,Per panel A.Fee for branch circuits with Business name: Same as above above service or feeder fee, each branch circuit 7.42 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'l branch circuit 7.42 2 Phone: Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular dwelling,service and or feeder 67.84 2 Email: juls.call@lennar.com Reconnect only 67.84 2 CONTRACTOR 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. ❑ See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: Clackamas, OR 97015 Additional inspection(1 hr min) 66.25/hr Phone:( 503) 908-8058 Fax:(503 )726-1823 Investigation(1 hr min) 90.00/hr m Industrialplant(1hrmin) 78.18/hr Email: rlane@threephaseelectric.co Inspections for which no fee is CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lic.: 3398S specifically listed('A hr min) 90.00/hr Suprv.Electrician signature,required: t/ <,ELECTRICAL PERMIT FEES �� z4 Subtotal: Print name: Dennis Welch Date: 10/23/17 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature:` v TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Robert Lane Date: 11/6/17 days after it has been accepted as complete. * Number of inspections allowed per permit. F\BuildingWarmits\ELC_PermiiApp_ELR_ERE.doc Rev 06/17/2015 440-46151(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: FEEa scH>rDULE, Fee for all residential systems combined: $75.00 Descript on Qty. Each Total * Renewable electrical energy systems: Check Type of Work Involved: s 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: I I Burglar Alarm 25.01 to 50 kva 301.04 2 Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 Heating, Ventilation and Air Conditioning * Solar generation systems in excess of 25 kva: System Each additional kva over 25 7.42 3 n Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: I I 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('/z hr min) COMMERCIAL WORK'ONLY ; :; ELECTRICAL PERMIT°FEES fi 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: Audio and Stereo Systems Boiler Controls Clock Systems n Data Telecommunication Installation Fire Alarm Installation HVAC Instrumentation Intercom and Paging Systems Landscape Irrigation Control* Medical Nurse Calls Outdoor Landscape Lighting* 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 Appli i.i • n• '!":: BuildingFixtures NOV 7201 FOR OFFICE USE ONLY City of Tigard Received �y� u/_ • 13125 SW Hall Blvd.,Tigard,019-172,23.--- H; Date By: PemitNo��/S��U/7 C.IJ�%fad O'„ i.. '-" Plan Review III ir, Phone: 503.718.2439 Fax: l ',� 96¢ 1,n(-3, 1 Other Perm t No.: � Inspection Line: 503.639.4175'' d I I°````° Di' ' Date/By: T I G A R D Internet: www.tigard-or.gov Date Ready/By: Sum FasSee Page 2 for Notified/Method: Supplemental Information TYPE.OF WORK .; FEE* SC Eir New construction ❑Demolition For special information use checklist Description 1 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 VI-and 2-family dwelling ❑Commercial/industrial y SFR(2)bath 437.78 ElAccessory building ❑Multi-family SFR(3)bath 1 500.32 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITEINFORMATION AND LOCATION Site utilities: Job site address: 13266 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.:13 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION.OF'WORK` 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 I PROPERTY OWNER , D TENANT Expansion tank 12.51 Name: Lennar NW Inc. Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 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 II APPLICANT E'CONTACT PERSON Interceptor/grease trap 25.02 Business name: SAME AS ABOVE Medical gas(value:$ ) Page 2 Contact name: Juls Call Primer 12.51 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 12.51 37.50 E-mail: Juls.call@lennar.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 75.06 Water heater 1 37.52 37.52 Business name: Development Northwest Inc., dba Wolcott Plumbing Water piping/DWV 56.29 Address: 1075 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP: Troutdale, OR 97060 Subtotal 931.87 Phone:(503) 667-1781 Fax:( 503)667-9891 Minimum permit fee: $72.50 CCB Lic.: Plumbing 26-824PB Plan review (25%of permit fee) 112220 y�,)� Lic.no.: G 'P ��u2� State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Date: 10/19/17 This permit application expires if a permit is not obtained within 180 days Print name: Dennis L. Dunning 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 Qt r;Fee(ea) - .Total Square Footage: Permit Fee: Footing drain-1s`100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 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 Other Inspections orFees° Qa 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 Replace! Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower 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" 4 Isometric or Riser Diagram Car Wash Drain Garbage Domestic-non-food CI 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 a COMMUNITY DEVELOPMENT DEPARTMENT IN . T 1 c A u D Building Permit Review — Residential Building Permit #: //riS'To/7- G q . Site Address: 13266 S\Ai Matte LAtnr Project Name: httatl ne 141111-1 Lot #: 1 3 (New dwelling=subdivision Addition or Alteration=last name of owner) Planning Review r ii Proposal: �ZLl S n k e. F0t tt i 7 EL 1 lter, Verify site address/suite# exists and actio in permit system. 0 River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ree(3)copies of site plan ,Existing structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper it Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) i.or elevations Orth arrow O"r I tniity locations&easements(required for new and additions) te address,project or subdivision name and lot numberdewalk/driveway approach plicant information(name and phone number) cation of wells/septic systems .t dimensions and building setback dimensions Existing trees to be retained with drip line,and tree FA quare footage of buildings to be demolished protection measures k IgLot area,building coverage area,percentage of coverage and treet tree size,type and location P";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? es ❑ 4 foot differential) If yes,is a storm water quality facili shown? , Oyes 'No Or r Clean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995): c pr 2 i It) it U '�Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facili4es Improvement (PFI) Permit: p F 1 2Ot b •-00 l� ( Required: Yes,applicant was notified ❑ No Applied For: [ yes ❑ No,stop intake I' and Use Case#: S u� L O 1( l} 0� �3 2 Zoning: R-'7- equired Setbacks: Front IC Rear ISide S Street Side NA Garage LO Inr andscape Requirement: a 0/0 Ltd Lot Coverage Maximum: 0144 Building '�(_S' Height: Maximum Height ✓ Actual Height Z1 Isual Clearance up /Sensitive Lands: ❑ Yes L;Y No Type Urban Forestry Plan Vi Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: _ _ // . Date: 11-7-13— 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: 1/77 7/7 7 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning 'Engineering 7 Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ,' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: / l By Permit Technician: ,Ar-_. .A i, Date: Engineering Review ©--Slope at building pad: 3 D'onditions "Met"prior to issuance of building permit Ceasements (encroachments)per engineering conditions of approval and plat eater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Er&o Assess Water Quantity Fee in-lieu: ❑ Yes El'No LIDA Facility on lot: ❑ Yes E"No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ��, Ili 51.1 i;(2_, Date: ) ) -�3—j —J 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: N/ es 0/ ❑ N/A Tigard Trans SDC: �Yes ❑ N/A Parks SDC: r_/ es ❑ N/A LIDA ❑ YesN/A OK to Issue Permit Approved by Permit Coordinator: Date: // 13 /? I:\Building\Forms\BldgPermitRvw_RES 0614 17.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13266 SW MADDIE LN, TIGARD, OR, 97224 May 21 , 2018 at 12:50:36 PM Record Type: Record ID: Residential - Master Permit MST2017-00446 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Outlet in master sticking out of wall. 314 Outlets trims removed for painting. No access to upper level main bath. Not ready for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13266 SW MADDIE LN, TIGARD, OR, 97224 May 21 , 2018 at 12:52:05 PM Record Type: Record ID: Residential - Master Permit MST2017-00446 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal line set penetration thru floor in mechanical room. R302 All else mechanical appears ok at this time. Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13266 SW MADDIE LN, TIGARD, OR, 97224 May 21 , 2018 at 12:49:39 PM Record Type: Record ID: Residential - Master Permit MST2017-00446 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Glue rear clean out body in place and provide approved thread sealant at cap. OPSC 707.3 Provide approved cap at rear yard cleanout. No access to upper level main bath for inspection, painters masking and painting. Re schedule with access for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13266 SW MADDIE LN, TIGARD, OR, 97224 May 25, 2018 at 12:26:13 PM Record Type: Record ID: Residential - Master Permit MST2017-00446 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor FOR OFFICE USE ONLY—SITE ADDRESS: ` 3,26., S4/ Mc.--(6(-- ("2This 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 r Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Ie DATE DEPT: BUILDING DIVISION �CititavED7 . JAN 8 1; r6 FROM: Juls Call COMPANY: Lennar NW Inc. 6PWISION PHONE: 360-258-7906 By:8 RE: 13266 SW Maddie Lane 4MST2017 00446 (Site Address) _ (Permit Number) Madeline Heights (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITE Copies: Description: Coes: Description: Additional set(s) of plans. W 3 Revisions: Main Framing Plan Cross section(s) and det.'ls.& 3 Wall bracing and/or lateral analysis. Floor/roof framing. 1 1 Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Crawlspa cripple walls incresed in size from 3' to 6' FOR OFFICE USE ONLY Routed to Permi 'Tec ician: Date: — Initials: Fees Due: �'es ❑No Fee Descri tion: Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑ YesNo ` ❑ Done A(Applicant Notified: Date: �///r Initials: I:\Budding\Forms\TransmittalLetter-Revisions.doc 05/25/2012