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Permit CITY OF TIGARD MASTER PERMIT 11 . 1 11 ° COMMUNITY DEVELOPMENT Permit #: MST2009 -00129 T IGARO 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/11/2009 Parcel: 1 S133DC13100 Jurisdiction: Tigard Site address: 13236 SW SHORE DR Subdivision: Lot: 0 Project: Ogden Project Description: Relocate door and electrical wiring. BUILDING Floor Areas Required Setbacks Re quired Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: sf Value: $10,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Other Fixtures: 0 Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Bckflw Prevntr. 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvGFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 0 20 1-400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr. Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add Br Cir: 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 Ecompasing: N Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) OGDEN, DANIEL ALLAWAY CONSTRUCTION LLC PO BOX 230285 PO BOX 86 PORTLAND, OR 97281 BEAVERTON, OR 97075 PHONE: PHONE: 503- 329 -3523 FAX: 971 - 228 -2645 Total Fees: $316.45 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 do n accordan = ith 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 da . ATTENTION: Oreg • law r- • uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 - 001 -0010 through OAR 9' -, -0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 99 or 1.800.332. k sued By: Permittee Signature: 11/06/2009 07:12 5036489723 JERMOE ELECTRIC INC PAGE 01 1V ilk • ' 4 ., 't , •w k i'( )12 OI• 1i ( I ,: v'., r i ElectricalPer>onitApplicatil I ,� , � :,, e_«ti, .- �. � ' a 1 . ' • r City of Tigard NOV 0 5 2009 R e iv 13125 SW Hall Blvd„ Tigard. OR 9722 Other Pamir Q Phone: 503,639.4171 Fax: 503.598 a Datc/13 � °t', cotton Line: ine: 503,639.417. 5 ( OF TIGARD Ws; 61 Sec Page 2 for Date R C,ARn P N otifictf/Mcthod: $upplemcntal Information r�d,rr Internet: www.tigard or.gov BUILDING DIVISION TYPE J PLAN REVIEW TYPE OF WORK — please check all that apply (submit 2 sets anions w /hems checked below) New construction ❑Addition /alteration /replacement ❑ Scrvicc or feeder 400 amps or more ❑ Building over three - tones. ❑ Dcrrtolition ❑ Other: where the available Will current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings, less to ground, or exceeds 14,000 ❑ Commercinl•use agricultural vii - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. Q b A . of 75 KVA or ❑ Multi family Other; ❑ Fire pump. Master builder ❑ ❑ Emergency system. larger scpnrntely derived system, •IOB SITE INFORMATION AND LOCATION a Addition of now motor load of r f 1001•IP or more. occupancy, �O J Job site address: . ` 1 /4,� %6r ' ` Job no.: ❑ Six Or more residential units, 0 Recreational vehicle parks. Ti ❑ Hcalth•caro facilities Supply voltage for more than City / StatclZlP: ' ��? / I J . _ ❑ Hazardous locations. 600 volts nominM. 1 ' ❑ Service or feeder 600 amps or more, Suite/bldg. /apt. no.: Project name: /9 L1 l� �<E • FEE SCHEDULE Cross street/directions to job site: Dderlptlan t• Feu TI *t hew residential single- or multi- family dwelling unit. includes attached garage. Subdivision: Lot no_ �� 3,000 sq. R, or Icss 168.54 lal — Fa. add'I 500 sq. ft. or portion 33,92 1 Tax map /parcel no.: Limited energy, residential 67.84 2 • PTI DESCRION OF WORK with above s•. R . ' r / CC / Limited energy, II / multi -family 67 84 �5 � � � reesidential with above s.. >l. ,: r�s Services or feeders installation alteration and/or relocation lY�/ 200 am .s or less 100.70 2 t�C 1:1 PROPERTY OWNER ❑TENANT 201 amps to 400 amps 111 133.56 2 • 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps .. 301. — Address: Over 1,000 amps or volts Ell 552.26 I 2 Temporary services or feeders insinuation, alteration, and /or City /StatclZlP: _ relocation 200 amps or less 59.36 1 Phone: ( ) Fes ( ) 125.08 2 20 t amps to 400 amps Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168,54 2 intended for sale, (case, rcpt, or cxchangC, according to ORS 447, 449, 670, and 701. Branch circuits- new alteration or extension i cr • and Owner signature: Date: A. Fcc for branch circuits with 0 APPLICANT p CQNTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: / ' . I , ,„. -.11/1 C. B. Fcc for branch circuits without service or feeder fee, 56.18 2 Contact name: -.--/ Eirst branch circuit — Each add'' branch circuit 7.42 1 2 Address: Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 CitylStatc /7.1P: dwelling, service and /or feeder Fax; • ( ) Reconnect only 67,84 MO 2 Phone: ( ) 67.84 2 }L Pump or irrigation circle E-mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuits) or limited- Business � Business name: '6'. r f energy panel, alteration, or ' extension. Describe; Page 2 2 Address: rl`�tf�. r Each additional ins • ection over allowable in an of the shove City /State /ZIP ' �� Per inspection 66. IIIIIMIM A Investigation per hour (1 hr min) 66.25 Phone: ( ) � r� Pax: ( )+ ) Industrial plant per hour 78.18 "I" / Suprv. Lic,: , ELECTRICAL P FRMIT FEES _ Subtotal: Suprv. Elect 'clan signature, required; Plan review (25' %of crtrtit fcc): ' V w Print name_ T ' ! , 1 I Hatt: ` - - State surcharge (12% of permit fee); — '�` TOTAL PERMIT PEG: Authorized signature: fhie permit application expires ifs p is ant obtained within 1. - ----. Date: days sitter it hax been accepted as complete. Prior name: • Number of inspections allowed per permit. 440.441 3T(1 I /a5/C0MUNFa l;\ auilding \PermittllF,I- C•ParmNApp.dce 10101 /Oo Building Permit A lication Residential R ECEIVED FOR OFFICE USE ONLY City of Tigard Received � G ream il_OD/�Q �I Date/By: Permit No.: 7 QJ / 13125 SW Hall Blvd., Tigard, OR 97223 U N 1 1 2009 Plan Review I 1 I C Phone: 503.639.4171 Fax: 503.59 Date/By: i C� Other Permit: Inspection Line: 503.639.4175 111 jj �Y OF TI Date Ready : Juris: ® See Page 2 for l' I G n R D Internet: www.tigard- or.gov B UILDING D VISI Notified/Method: 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 ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling ❑ Commercial /industrial Valuation: $ p mo V' ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION 1 AND LOCATION Total number of floors: Job site address: P 3 a3 ' SW S 1tere. 4) 1." New dwelling area: square feet City /State /Z1P: "rr,� / OI / Garage /carport area: square feet Suite/bldg. /apt. no.: J Project name: (Ye" Lys Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 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 DESCRIPTION OF WORK work indicated on this application. / 1 -rm (' o� T.t�. c k doo v-- w- Srf Z_ I L l - - hC M/ Valuation: $ La � t J � � / 149 e&f.' O Na S . v Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Ila VI. di d - Vt Type of construction: Address: 13 a 3 C S k C?io Dv- Occupancy groups: City /State /ZIP: T✓ ✓ q qy-o 0 / Existing: Phone: (So3) 37x— 43,40 Fax: ( ) New: • ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: / CONTRACTOR Business name: I ia.W Covig -4 Y't*,L -+r,d t LL G BUILDING PERMIT FEES* Address: � O (j x gtS (Please refer lo fee schedule) K, p r� 17 Ss. Structural plan review fee (or deposit): 96. g City/State/ZIP: Y Yer .- Z," 0 K, L L Phone: ( 5/3) 3x1 - 35-a.i Fax: ( 9% ) a a g - it ‘L fs FLS plan review fee (if applicable): _ 149 CCB lic.: l 6a 300 Total fees due upon application: C Amount received: Authorized signature: This permit application expires if a permit is not obtained ^� / within 180 days after it has been accepted as complete. Print name: ✓ aI So / (�GI �KLty Date: C/( /09 • Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02/COM/WEB) Building Permit Application Checklist One- and Two- Family Dwelling FOR OFFICE USE ONLY 11111 City of Tigard Received Date/By: Permit Nn • 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits: C Phone: 503.639.4171 Fax: 503.598.1960 T I G A R D 24 - Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard - or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 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 ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ 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- ❑ ❑ ❑ 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. ❑ ❑ ❑ 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- ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ 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 ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be ap to the . ro'ect under review. JURISDICTIONAL SPECIFICS 23 Five (5) 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 accompanied by 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- RES- PermitApp.doe 03/21/06 4404613T(11/02/COM/WEB) .Electrical Permit Application RECEIVED FOR OFFICE USE ONLY Received Permit No.: (/t�CJ V/ / n0 6 . Q /�7 City of Tigard 'V Receive I .114 0 ° 13125 SW Hall Blvd., Tigard, OR 97223 J AI 1 1 2009 Plan Review Phone: 503.639.4171 Fax: 503.59 ' OF T Date/By: Other Permit: Inspection Line: 503.639.4175 IGA RD Date Ready /By: Juris: 63 See Page 2 for T I G A R D Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below): • ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ", Job no.: Job site address: 13 Q 3 C .SW St. ov e 100HP or more. occupancy. �� ❑Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: r q gird Health-care facilities. ❑ Supply voltage for more than Q ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. J � °off FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. 0.) Limited energy, multi - family 75.00 2 residential (with above sq. N.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 _ ,®. PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 04 II ©Je h 401 amps to 600 amps 160.60 2 � / t d 601 amps to 1,000 amps 240.60 2 I �� - Address: St/ SG Dr Over 1,000 amps or volts 454.65 2 City/State /ZIP: (/ ©R 17 as 3 Temporary services or feeders installation, alteration, and/or relocation Phone: (5 ) ,3 g - ,5' 3 5Q Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, le e, rent, or excha ge, according to ORS 447, 449, 670, I nd 7 1. 401 amps to 599 amps 133.75 2 6' Branch circuits — new, alteration, or extension, per panel Owner signature: Date: / A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERS above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, r 46.85 4,/ t-3 2 Contact name: first branch circuit / tC�� Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 � Et—..— Signal p l,( e a) limited- or Business name: Sig panel, s) alteration, o Address: extension. Describe: Page 2 2 City/State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lie.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: 4 t Print name: Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): .5 Authorized signature: TOTAL PERMIT FEE: Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440 - 46151(11 /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: • RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* • ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* • ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: . *No licenses are required. Licenses are required for all other installations . I:\ Building \Permits\ELC- PermitApp.doc 03/23/06 e 41 Building Division One & Two - Family Dwelling TIGARD Fees Checklist 'P.ERMIT INFORMATION: . _ • . Permit #: Plan #: Date: Site Address: . Parcel #: Subdivision: Lot #: Zoning: Jurisdiction: Setbacks: Front: Rear: Left: Right: Class of Work: Stories: First Floor:, Type of Use: Height: Second Floor: Construction: Floor Load: Third Floor: Occupancy Group: Dwelling Units: Bonus Room: Valuation: Bedrooms: Total Floors: Bathrooms: Basement: Decks: Garage: Porches: Other: FEES:. De _ . • Fee - Amount: . Amount Paid: Balance pile: Plan Check: Building: _7 ,8I Extra Set: Permit: Building: l I mo( ' Tr.) Tax: (A" . C-- Metro CET: • School CET: Mechanical Tax: Plumbing Tax: Electrical: • Tax: Low Voltage: . Tax: CDC: CDC Ping. Rev.: CDC LRP Fee: SDC: Parks: TIFF Res.: TIF MT: Erosion Permit: Erosion CWS: Erosion COT: Water Quality: Water Quantity: SUB - TOTAL: Sewer: Permit: Inspection: SUB- TOTAL: TOTAL MST & SWR: I: \Building \Forms \ResPlanCheckFees.doc 01/19/07 Page 1 PLUMBING FEES (for special information use checklist) MECHANICAL FEES (residential equipment/systems) Description I Qty. I Fee(ea.) I Total Description I Qty I Fee(ea.) I Total New 1- & 2- family dwellings Heating/Cooling .. (includes 100 ft. for each utility connection) Air conditioning or heat pump* 14.00 SFR (1) bath 249.20 Furnace 100,000 BTU (ducts /vents) 14.00 SFR (2) bath 350.00 Furnace 100,000+ BTU (ducts /vents) 17.90 SFR (3) bath 399.00 Gas heat pump 14.00 Each additional bath/kitchen 45.00 Duct work 10.00 Rain Drain, single family dwelling 65.25 Hydronic hot water system 14.00 Fire sprinkler - sq. ft. 0 to 2,000 115.00 Residential boiler Fire sprinkler - sq. ft. 2,001 to 3,600 160.00 (for radiator or hydronic system) 14.00 Fire sprinkler - sq. ft. 3,601 to 7,200 220.00 Unit heaters (fuel, not electric) Fire sprinkler - sq. ft. 7,200 and greater _ 309.00 (in wall, in -duct, suspended, etc.) 14.00 . Site Utilities • Flue /vent (for any of above) 6.80 Catch basin/area drain 16.60 Repair units 12.15 Drywell /leach line /trench drain 16.60 Other Fuel Appliances Footing drain - 1' 100' 55.00 Water heater 10.00 Footing drain - each additional 100' 46.40 Gas fireplace 10.00 Manufactured home utilities 110.00 Flue vent (water heater /gas fireplace) 10.00 Manholes 16.60 Log lighter (gas) 10.00 • Rain drain connector 16.60 Wood/Pellet stove 10.00 5 , Wood fireplace /insert 10.00 Sanitary sewer - 1 100' 55.00 Chimney /liner /flue /vent 10.00 Sanitary sewer - each additional 100' 46.40 Other: 10.00 Storm sewer - 1 100' 55.00 Environmental Exhaust & Ventilation Storm sewer - each additional 100' 46.40 Range hood /other kitchen equipment 10.00 g eq P Water service 1 100' 55.00 Clothes dryer exhaust 10.00 Water service - each additional 100' 46.40 . • Fixture or Item • • Single duct exhaust Absorption valve 16.60 (bathrooms, toilet compartments, Backflow preventer 27.55 utility rooms) 6.80 Backwater valve 16.60 Attic /crawl space fans 10.00 • Clothes washer 16.60 Other: 10.00 Dishwasher 16.60 Fuel Piping * *($5.40 for first 4, $1.00 each additional) Drinking fountain 16.60 Furnace, etc. ** Ejectors /sump 16.60 Gas heat pump • ** Expansion tank 16.60 Wall /suspended /unit heater * * Fixture /sewer cap 16.60 Water heater ** Floor drain /floor sink/hub 16.60 Fireplace ** Garbage disposal 16.60 Range ** Hose bib • 16.60 BBQ ** Ice maker 16.60 Clothes dryer (gas) ** Interceptor /grease trap 16.60 Other: ** Primer 16.60 Total: Roof drain (commercial) 16.60 Mechanical Permit Fees Sink/basin/lavatory 16.60 Subtotal: $ Tub /shower /shower pan 16.60 Minimum Permit Fee $72.50 $ Urinal 16.60 Plan Review Fee (25% of Permit Fee) $ Water closet 16.60 State Surcharge (12% of Permit Fee) $ Water heater 16.60 TOTAL PERMIT FEE $ Other: Other: • Plumbing Permit Fees ELECTRICAL FEES (residential single- or multi - family) Subtotal $ Description Qty. Fee Total Insp Minimum Permit Fee $72.50 $ 1,000 sq. ft. or less 145.15 4 Plan Review (25% of Permit Fee) $ Ea. add'! 500 sq. ft. or portion 33.40 1 State Surcharge (12% of Permit Fee) $ Limited energy, residential 75.00 2 TOTAL PERMIT FEE $ Each manufactured or modular dwelling, service and /or feeder 90.90 2 Electrical Permit Fees Subtotal: $ Plan review (25% of permit fee) $ State surcharge (12% of permit fee) $ TOTAL PERMIT FEE $ I:\ Building \Forms \ResPlanCheckFees.doc 01/19/07 Page 2