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Permit (127) CITY OF TIGARD MASTER PERMIT 14-g COMMUNITY DEVELOPMENT Permit#: MST2018-00014 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/31/2018 T t c, E It Dg , �� Parcel: 2S109AC06800 a Jurisdiction: Tigard Site address: 13237 SW MADDIE LN �'�474fra. A Subdivision: MADELINE HEIGHTS Project: Madeline Heights, Lot 6 Project Description: New SF. 4/18/18: REPRINT to add(1)laundry tray. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1567 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 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: $421,384.73 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 addl 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3422 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11807 NE 99TH ST STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $33,281.52 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.4. Issued By: .-Gt./ AL.-4,-7_, . Permittee Signature: ce-C- .a-/lr, e"-$ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building Fixtures `C VF FOR OFFICE USE ONLY City of Tigard Received i...../7/7/7,e , e 13125 SW Hall Blvd.,Tigard,OR 97223 Q 1 2 Q Date By: Permit N s7 /�`��i y Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175"�_ GAR Date Read /B Internet: www tigard or gov , Ready/By: Juris Supplemental See Page 2 for �� '3 n t ,i - 1"'t I Notified/Method: IIV ��' @ rt ", ,t ' I� a Ili n Information ❑New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) -��u t il�e I" i - a f;�- �G int ill- :, ,'!� - AT Go y t3F SCO STRHHT1 N it o, i� 4} .)0 ic., c ` SFR(1)bath 312.70 gc 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builder - Each additional bath/kitchen 25.02 ❑Other �. , Fire sprinkler( sq.ft.) Page 2 �= ��� ear-.q I `. R•� ,j,, ` : T 5 m ii* ; l'z1' �.= Site utilities: Job site address: 13237 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.: g 6 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 't., (t i lig: I ..1,,;;;;,„.4p;:,. "T` "oilYNr i „' 4r n �k � .A k o- � Backwater valve 12.51il'- . : . ' i7: " Rja , 4i ., ii . 1 Clothes washer 25.02 add laundry tray to existing permit MS12018-0014 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 1, 1, �,r l��l a T '44, �` , i; Vit` • ,1 i , 1.. -i "J ,a. 'i; ii �, i= it -- (, Expansion tank 12.51 Name: Lennar NW Inc. Fixture/sewer cap 25.02 Address: 11807 NE 99th St. #1170 Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Vancouver, WA 98682 Hose bib 25.02 Phone:(360)258-7900 Fax ( 360) 258-7901 Ice maker 12.51 11it `gito4 _) " ,ortl 7 ,rIiip) 04 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 1 25.02 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:(360)258-7906 Fax::( ) Tub/shower/shower pan 12.51 E-mail: Juls.call@lennar.com Urinal 25.02 j, 1rr_ qr `! � i rs ” » '� 6 i�..; fir 0"._ H qui--: Water closet is Z -�� ��' k I ,ii ( c i 25.02 �I,h ;4 .1� _� �' Water heater 37.52 Business name: Development Northwest Inc., dba Wolcott Plumbing Water piping/DWV 56.29 Address: 1075 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP: Troutdale, OR 97060 Subtotal 25.02 Phone:(503) 667-1781 Fax:( 503)667-9891 Minimum permit fee: $72.50 CCB Lic.: 112220 Plumbing Lic.no.: 26-824P6 Plan review (25%of permit fee) Authorized signature: 44040/114 State surcharge(12%of permit fee) 3,00 TOTAL PERMIT FEE ��UL 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\PLMLJ-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: i' ��,` 41'01064-;Y . fl S " 1e te-,704 040, I YIp .4 e. nt .r ; 4.i Footing drain-1'100' 50.03 0 to 2,000 $121.90 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 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 °Ala Ali. - r "� 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 at: am111_oP• each additional$100.00 or fraction thereof,to 4U ieI nSPeito r or,F91Nk: 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees* � y u w e Quanti by ixtur e ape rk . 'la.,ievll �4(fr 1* la i4liiki4! "--- Fixture 7 e r �� b `�o 01€ lace yp ri Plan review is required for any of the following. "Fork Perforirted. eaPi A ea Re(tlrate y; Please check all that apply. Baptistry/Font ❑ Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash -Each Stall -Drive Thru 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. Cuspidor/Water Aspirator Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. k t Wst iinei aro v Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\JuCall\Downloads\PLMF PermitApp(1).doc 2 114CITY OF TIGARD MASTER PERMIT 1 COMMUNITY DEVELOPMENT Permit#: MST2018-00014 T t c;AR L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/31/2018 Parcel: 2S 109AC06800 Jurisdiction: Tigard Site address: 13237 SW MADDIE LN Subdivision: MADELINE HEIGHTS Lot: 6 Project: Madeline Heights, Lot 6 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: 24 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: $421,384.73 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 -LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add',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 G NEW p yrou Group: Square Feet: SF VB R-3 3422 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11807 NE 99TH ST STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $33,253.50 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 rule are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo •• •• '•a copy of •: . • direct questions to OUNC by calling 503.232.1987 or 1.80 . Issued By: - -e Signature: _____,0 A Call. . 175 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 roj ct. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 9722314 Dan Review PermitNo.: S Phone: 503.718.2439 Fax: 503.598.1960 Plan �� � 11 �I' ,. AN 8 ?Q11' .fig_ F IG A RD Inspection Line: 503.639.4175 Date/B : Other Permit: f`!V�' 7v Internet www.tigard-or.gov Date Ready/By: t""yam '" q 1 1 1 54 Notifies ethod: cd,„," ' il '. See Page 2 for r- ,i C.t, , Supplemental Information L �1 Su le [2/ � � TYPE.,OF,�e4�� t ��� � LvJ New construction REQUIRED DATA-1-AND 2-FAMILY DWELLING<" 0 Demolition Permit fees*are based on the value of the work performed.) 0 Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY.OF CONSTRUCTION work indicated on this application. gi_and 2-family dwelling Valuation: $ 0 Commercial/industrial ❑Accessory buildingII 0 Multi-family Number of bedrooms: 5 a 0 Master builder 0 Other: Number of bathrooms: 3 JOB SITE.INEORMATION:AND,LOCATION", , --;, -,-' Total number3 of floors: 2 � .lob site address: 13237 SW Maddie Lane q • New dwelling area: 3422 square feet City/State/ZIP: Tigard, OR 97223 Suite/bldg./apt.no.: Garage/carport area: 547 square feet Project name: Cross street/directions to job site: o' Covered porch area: "` ‘rquare feet 1 `- arm: square feet Other structure area: square feet Subdivision: Madeline Heights RJQUIt DIr3Ta COMMERCIAL.-ESECHECKLIST- Lot no.: • 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 DESCRIPTIOI OE WORK �= � �" '� work indicated on this ap.lication. Valuation: $ Existing building area: square feet New building area: square feet PREIi)kWO NER . .. TEAI T__ t-k , , ,' ; Number of stories: Name: Lennar NW Inc. Address: 11807 NE 99th Street,#1170 Type of construction: City/State/ZIP: Occupancy groups: Vancouver, WA 98682 Phone:(360)258-7900 Fax: Existing: (360 ) 258 7901 PLICANP New •.Y .; I CONTACT PERSON m BUILDING PE Business name: PERMIT-FEES Lennar NW Inc. -•.- . Rkasereerto.eesehedtile Contact name: JUIS 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 Fax::( ) Amount received: E-mail: Huls call@lennar Com PROTOYOLTAICSOLARPANEL SYSTEMFEES5 COI TRACTOR ,' 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 detail Address: and fire department access,along with the 2010 Ore City/State/ZIP: Solar Installation S.ecial Code checklist. Permit Fee(includes plan review Phone:( ) and administrative fees): Fax:( ) CCB lic.: 195307 State surcharge(12%of permit fe Authorized signature: Total fee due upon applicz .1111 This permit application expires me: within 180 days after it has b .l111s ���� Date: L5�1 R *Fee methodology set by Tri-Cc Service Board. Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY INCity of Tigardyw ' d ® 13125 SW Hall Blvd.,Tigard,ORS+ .)It^- Date/By: Permit No.: Phone: 503.718.2439 Fax: 503. Plan Review � 8. 960 Other Permit:?0Date/By:Ins Inspection Line: 503.639.4175TtCAKD �MI DateReadYBy: Jurs. H See Page 2 forInternet www.hgard or gov PNotified Method. Supplemental Information a T'YPE ( W ll COMMERCIAL,FEE* SCHEDULE-USE CHECKLIST m New construction ❑Addition/alt�erlation/replacement Mechanical permit fees*are based on the value of the work Demolition performed.Indicate the value(rounded to the nearest dollar)of all ❑Other: mechanical ica]materials,equipment,labor,overhead,and profit. CATEGORI OF;CONSTRUCTION Value:$ mil_and 2-family dwelling ElCommercial/industrialRESIDENTIAUEQTJIPMENT l SYSTEMS,FEES* ❑Accessory building For special P information use checklist. ❑Master builder ❑Other: Description Qty. I Ea. I Total JOB SITE INFORMATION,AND LOCATION ;, Heating/cooling: Job site address: 13237 SW Maddie Lane Air conditioning 1 46.75 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name: Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Madeline Heights I Lot no.: 6 Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 1 23.32 23.32 DESCRIPTION,or womc t „xi 7 : Gas fireplace/insert1 33.39 23.32 NSFR Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 `PR©PR IE1 Y OWNER „ ''::'''''..''''''''t'.i 0`.TENAN ., Other: 23.32 Name: Environmental exhaust and ventilation: Lennar NW Inc. Range hood/other kitchen Address: 11807 NE 99th St. #1170 equipment 1 33.39 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Vnacouver, WA 98682 Single-duct exhaust(bathrooms, Phone:(360) 258 7900 Fax toilet compartments,utility rooms) 4 23.32 93.28 (360)258 7901 Attic/crawlspace fans ,.. . 23.32 . , .gAIICANT. � r.� ; :��CO2gGT PERSONS �`t � Other: 23.32 Business name: SAME AS ABOVE Fuel piping: Contact name: Juls Call $14.15 for first four;$4.03 for each additional Furnace,etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Water heater Phone:(360)258-7906 I Fax::( ) Fireplace E-mail: Juls.Call p@lennar.Corn Range Barbecue , . , ,Z: CONTRACTOR2 ;„-....;t ,� '.:",:!:,:'1, , :: Zr. ,, , '`:' Clothes dryer(gas) Business name: Development Northwest Inc. dba Wolcott Plumbing Other: Address: s , 1075 W Historic Columbia River Hwy C UALnR'EIi1YIITubtotal .: ,:' City/State/ZIP: Subtotal $220.06 Troutdale, OR 97060 Minimum permit fee($90.00) Phone:( 503) 667-1781 Ext. 3007 I Fax:(503 ) 667-9891 Plan review(25%of permit fee) CCB lic.: State surcharge(12%of permit fee) 112220 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: Dennis L. Dunning I Date: 10/19/17 I.\Building\Permits\MECPermitApp_040113.doc 440-4617r(11/02/COM/WEB) Electrical Permit Application • FOR OFFICE USE ONLY T City of TigardIMILIPReceived 'u 13125 SW Hall Blvd.,Tigard,OR 97223 3 ,t plan Review 9 `� / IAMIll ' Phone: 503.718.2439 Fax: 503 i��f9 '�a +� Plan R Inspection Line: 503.639.4175 `" „ '"" Date/B : Related Permit#: TIGAI�Ct per'" t \s ReadyDate/By. Suns: Internet: www.tigard-or.gov 11' B! See Page 2 for �y Notified/Method. Supplemental Information --: 1 1 TYPE"0�' 0 � :� ' S ' t i i , ,New construction �]Addition/alteratio ' 4' f -t '' r ,b r rik :k0it ° n 1I lu. y" : 1AmP1y5°4 ,4 Please check all that apply(submit 2 sets of plans w/nems checked): Demolition -'." t- ❑Other: � j�a z ❑Service or feeder 400 amps or more ❑Building over three stories. ' tC;417tGORY: C®,. I: i +.' where the available fault current ❑Marinas and boatyards. szi MONA -n' ''a" .- exceeds 10,000 amps at 150 volts or 0 Floating buildings. 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory $buildin less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family ❑Master builderamps for all other installations. buildings. ❑Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMA`'ION AND LOCATIO m ❑Emer enc s stem. g y y larger sepaza[ely derived Job 4: I Job site address: 13237 SW Maddie Lane ❑Additionofnewmotorloadof system. I OOHP or more. ❑"A" "E" "1-2" "1-3" City/State/ZIP: Tigard, OR 97223 ❑Six or more residential units. occupancy. Suite/bid /a t.#: ❑Health-care facilit es. 0 Recreational vehicle parks.g• p I Project name: ❑Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: 7,1.14:4❑Service or feeder 600 amps or more. 600 volts nominal. s 'A° F ,lir .SOHEI?tItk:: ription I Qty I Each 1 Total I.� Desc * Subdivision: New residential single-or multi-family dwelling unit. Madeline Heights I Lot 4: 6 Includes attached garage. Tax map/parcel 4: 1,000 sq.ft.or less 168.54 4 M ° �' "� Ea.add'1500 sq.ft.orportion i. r PESCR�Q 1r!' O1I i .t, k1 rtG �� , 33.92 1 ��' � �. � ,t:�p �"'� �4�' o-f .�� Limited energy,residential NSFR (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 PRbPEITX QWNE2 Renewable Ener g ,_ f: .10 TE 'A Nt gy ❑ See Pa e 2 Name: Lennar NW :! Services or feeders installation,alteration,and/or relocation Inc. 200 amps or less 100.70 2 Address: 11807 NE 99th St. #1170 201 amps to 400 amps 133.56 2 City/State/ZIP: Vancouver, WA 98682 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:( 360 )258-7900 I Fax:(360 ) 258-7901 Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocatin Owner installation: This installation is being made on property that I own which is not 200 amps or less intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 ams to 400 ams 25.08 1 P P 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2' t . APLiCAI . Jt 1 4:00XECti t Branch circuits—new,alteration,or extension,per panel Business name: A.Fee for branch circuits with Same as above above sery ce or feeder fee, Contact name: Juls Call each branch circuit 7.42 2 B.Fee for branch circuits without Address: service or feeder fee,first branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Phone:( ) Miscellaneous(service or feeder not included) Fax: :( ) Each manufactured or modular Email: juls.call@lennar.corll dwelling,service and or feeder 67.84 2 Reconnect only 67.84 2 re a 4"_ Pump or irrigation circle 67.84 2 Business name: Lantil LLC dba Three Phase Electric Sign or outline lighting 67.84 2 Address: 11490 SE Jennifer St. Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: Clackamas, OR 97015 ( 503) 908 058 Fax: Additional inspection(1 hr min) 66.25/hr 8 Phone: (503 )726-1823 Investigation(I hr min) 90.00/hr m Industrialplant(1hrmin) 78.18/hr Email: rlane@threephaseelectric.co Inspections for which no fee is CCB Lie.: 162368 I Electrical Lic.: 3-332C I Suprv.Lie,: 3398S specifically fisted(''/z hr mm) 90.00/hr Suprv.Electrician signature,required: IZ2I A P1GR1I - ' � t Subtotal: Print name: Dennis Welch I Date: 10/23/17 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: ( 1 TOTAL PERMIT FEE: Print name: I This permit application expires if a permit is not obtained within 180 Robert Lane I Date: 11/6/17 * Number of inspections allowed per permit. pp_FIR_ERE.doe Rev 06/17/2015 440-46t 5T(11/05/COM/WEB — of Tigard PageElectrical 2—SupplementalPermit InformationApplicationCity Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL;WORK ONLY•', 1 Fee for all residential systems combined: Each ` �75 00 Description Renewable electrical energy systems: Total Check Type of Work Involved: 5 kva or less 100.70 2 I I Audio and Stereo Systems* 5.01 to 15 kva 133.56 2 15.01 to 25 kva 200.34 2 Burglar Alarm Wind generation systems in excess of 25 kva: I [� 25.01 to 50 kva 301.04 2 "1 Garage Door Opener* 50.01 to loo kva 552.26 2 >100 kva(fee in accordance Z Heating, Ventilation and Air Conditioning with OAR 918-309-0040) 552 26 2 System* Solar generation systems in excess of 25 kva: I Each additional kva over 25 I 7.42 l 13 Vacuum Systems* >100 kva—no additional chargeI 0.0 3 Other: Each additional inspection over allowable in any of the above: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is specifically listed(Ye hr min) 90 00/hr Fee for each commercial system: (SEE OAR 918-309-0000) $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. Check Type of Work Involved: Audio and Stereo Systems U Boiler Controls I I Clock Systems Li Data Telecommunication Installation Fire Alarm Installation I HVAC U Instrumentation 7 Intercom and Paging Systems P1 Landscape Irrigation Control* 7 Medical Nurse Calls U Outdoor Landscape Lighting* I Protective Signaling U Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 .Plumbing Permit Application x if1' Building Fixtures . # '� 's ^` " FOR OFFICE USE ONLY City of Tigardi\ -1 16 Received III - "� 13125 SW Hall Blvd.,Tigard,OR 9723-" Date/By: Penn;t No.:��� `y lxll�`� Phone: 503.718.2439 Fax: 503.598.1960 �s' Plan Review 0 eC E ,�°4 Date/By: Other Permit No.: TI 111t1� Inspection Line: 503 639 4175 C~i iN ` a 4 Internet www.tigard-or.gov ;;� 1A fS 9 ' Date Ready/By Tuns See Page 2 for �' .- Notified/Method Supplemental Information TYPE GF' ORK' ,, ' I. 7fil �r r- a4 i a �� e VNew construction ;., ❑Demolition For special information use checklist ❑Addition/alteration/replacement Description Qty. Ea. [ Total ❑Other New I-2-family dwellings(includes 100 ft.for each utility connection) , CO41 EGORY OF CONSTRUC'T�ION L la '=�'' SFR(1)bath �� � 312.70 VI-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 CI Accessory building El Multi-family SFR(3)bath 1 500.32 500.32 I:]Master builder Each additional bath/kitchen 25.02 111Other Fire sprinkler( sq.ft.) Page 2 •,, . - JtMI S, T ,Nk2,,0 MATI(.NT AFM'Dr";L C&TI J; ,V� '' I1 i} Site •utilities: Job site address: 13237 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 Subdivision: Water service(no.linear ft.: ) Page 2 Madeline Heights I Lot no.:6 Fixture or item: Tax map/parcel no. Backflow preventer 1 31.27 31.27 i 41r . -.4 4„ �"lIuSCItC,F'1401$''QTS', Q.4K Backwater valve � �, _i * '. . 12.51 NSFR Clothes washer 1 25.02 25.02 Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ��.` P12f?' tY,} NSE I., 0 [ .-, .,-ii -- '4),II ly0 Expansion tank 12.51 t.: Name: Lennar NW Inc. Fixture/sewer cap 25.02 Address: 11807 NE 99th St. #1170 Floor drain floor sink/hub 25.02 City/State/ZIP: Vancouver, WA 98682 Garbage disposal 1 25.02 25.02 Hose bib 2 25.02 50.04 Phone:(360)258-7900 Fax ( 360) 258-7901 Ice maker y ( IAPPL,ICANT ,' u`- 1 &,/ d 12.51 .: L1Ef_ OCT PESIN Interceptor/grease trap 25.02 Business name: SAME AS ABOVE Medical gas(value:$ ) Page 2 Contact name: ,Juts Call Primer 12.51 Address: Roof drain(commercial) 12.51 City/State/ZIP: Sink/basin/lavatory 5 25.02 125.10 Solar units(potable water) 62.54 Phone:(360)258-7906 I Fax: :( ) Tub/shower/shower pan 12 51 3 37.50 E-mail: Juls.call@lennar.com Urinal 25.02 ON CTOW Ir Water closet 75.06 ..r .� r �� ,: ,?. _`'." 3 25.02 Business name: Water heater 1 37.52 37.52 Development Northwest Inc., dba Wolcott Plumbing Waterpiping/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 Lie.: 112220 y" Plumbing Lic.no.: 26-824PB Plan review (25%ofpermit fee) � � V�'4, State surcharge(12%ofpermit fee) Authorized signature: TOTAL PERMIT FEE I Print name: Dennis L. Dunning I Date: 10/19/17 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 1111 City of Tigard i " COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: in,5,�6l ‘,r, Site Address: /3,237 Cie9 A.?ac/ca%`<-' Project Name: Ma�ef'fr,�� ti c„4 5.. Lot #: �o (New dwelling=subdivision name;Ad tion2IAlteration=last name of owner) Planning Review Proposal: A4 , c/ -.R ❑ Verify site address/suite#exists and active in permit system. [2-River Terrace Neighborhood: _No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: •BThree(3)copies of site plan ggitistiftgstraetures on site ,.�Site plan must be on 8-1/2”x 11"or 11 x 17"paper otprint of new structure(including decks)with finished �, J Drawn to scale(standard architect or engineer scale) floor elevations LJNorth arrow ❑iJtility locations&easements (required for new and additions) -I�it "�ISidee address,project or subdivision name and lot number /,�,,�� walk/driveway approach licant information(name and phone number) �A"`tib cif wells/septic systems ' �-1Lot dimensions and building setback dimensions gusting trees to be retained with drip line,and tree ware footage of buildings to be demolished protection measures ❑J,efarea,building coverage area,percentage of coverage and treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) 1re'""- et names ❑�',poperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? elre's ❑No 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes,QNo HP d2 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified B�o Received: Public Facilities Improvement(PF1) Permit: ❑ Yes ❑ No Required: ❑ Yes,applicant was notified ❑ No Applied For: ,� - ��es ❑ No,stop intake I' L-and Use Case#: 0J3 QO/0- 00 0 0 3 ET-Zoning: ce_7 Required Setbacks: FrontRear Er l 1_.5 Side 5 Street Side Garage -esO Landscape Requirement: 2C % Lot Coverage Maximum: - E`Building Height: Maximum Height c q g 7 Actual Height (9 -Er-Visual Clearance 6 Sensitive Lands: ❑ Yes ❑ No Type f;} Urban Forestry Plan -E3-' Conditions "Met"pl�or[ n to issuance of builg permit / Notes: C_Or�c-/I -7 ,�OS --71c)c7 be m e .-,,\G ' -11,-)'i t ...S.5 L' t,r) c'& Approved By Planning: - -<______.. Date: L/�� 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\B1dgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: V l i 7 Site Plans: # 3' Building Plans: . # Building Permit#: nter building permit#above. Workflow Routing: fanning Eigineering ermit Coordinator udding i -off for Planning Sign-off: � (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. ITA-.1�wlding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: Date: 47 By Permit Technician: iL /1//d Engineering Review ikr-Slope at building pad: 0;2 �onditions "Met"prior to issuance of building permit 2/Easements (encroachments)per engineering conditions of approval and plat 12'-*--Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes g.4 Assess Water Quantity Fee in-lieu: ❑ Yes RKNo LIDA Facility on lot: ❑ Yes 2-"Ko Date: ❑ NOT Approved by Engineering: Notes: Approved by Engineering: _ S Date: 1 .-1 i., —!fi 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 XConditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: X Yes ❑ N/A Tigard Trans SDC: X Yes ❑ N/A Parks SDC: 1<Yes ❑ N/A LIDA ❑ Yes A N/A KOK to Issue Permit Approved by Permit Coordinator: AT\A1412 Date: I I 4 I:\Building\Forms\BldgPemutRvw_RES_061417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13237 SW MADDIE LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00014 Inspection Type: Inspector: 699 Mechanical final Allyson Armstrong Result: PASS Comments: Correction complete Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13237 SW MADDIE LN, TIGARD, OR, 97224 June 15, 2018 at 10:32:52 AM Record Type: Record ID: Residential - Master Permit MST2018-00014 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: 13237 SW MADDIE LN, TIGARD, OR, 97224 June 18, 2018 at 10:06:46 AM Record Type: Record ID: Residential - Master Permit MST2018-00014 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Correction 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: 13237 SW MADDIE LN, TIGARD, OR, 97224 July 3, 2018 at 12:43:26 PM Record Type: Record ID: Residential - Master Permit MST2018-00014 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Correction from previous inspection complete. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Moisture barrier form received. Insulation certification checked. Blower door test report checked. C of 0 left on site with contractor. Violation Summary: Inspector Contractor