Permit CITY OF TIGARD MASTER PERMIT
° COMMUNITY DEVELOPMENT, Permit #: MST2008 -00176
T [ GARL) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/15/2009
Parcel: 151 35ACLC001
Jurisdiction: TIG
Site address: 9482 SW MANDAMUS CT
Subdivision: Lot:
Project: LONGSTAFF CONDOMINIUMS
Project Description: New MF. Building 1 (unit type A).
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 1 First: sf Basement: sf Left: Parking Spaces:
Height: 23 Bathrooms: 1 Second: 833 sf Garage: 2 sf Front: Smoke
Dwelling Units: 1 Third: sf Right: Detectors: Yes
Total: sf Value: $0.00 Rear:
PLUMBING
Sinks: 1 Water Closets: 1 Washing Mach: 1 Laundry Trays: Rain Drain: Catch Basins:
Lavatories: 1 Dishwashers: 1 Floor Drains: Sewer Lines: SF Rain Drains: Other Fixtures:
Tubs /Showers: 1 Garbage Disp: 1 Water Heaters: 1 Water Lines:
Bckflw Prevntr:
MECHANICAL
Fuel Types Air Conditioning: Vent Fans: Clothes Dryers: 1
Heat Pump: Hoods: 1 Other Units:
Fum <100K: Vents: Woodstoves: Gas Outlets:
Fum > =100K:
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0 -200 amp: . 0-200 amp: W/ Svc or Fdr:
Ea add'! 500 sf: 1 20 1-400 amp: 201 -400 amp: 1st W/O Svc/Fdr:
Limited Energy: 401 -600 amp: 401 -600 amp: Ea add! Br Cir:
601 -1000 amp: 601 +amp- 1000v:
1000 +amp /volt:
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio 8 Stereo: HVAC: Security Alarm: Vaccuum System: Garage Opener: All
Other: Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW Multi- Family VB R -2 833
Owner: Contractor: Required Items and Reports (Conditions)
LONGSTAFF LLC RCM HOMES INC
7050 SW CLINTON 7050 SW CLINTON ST
TIGARD, OR 97223 Tigard, OR 97223
PHONE: 503 - 598 -7565 PHONE: 503 -598 -7565
FAX: 503- 620 -9965
Total Fees: $6,167.64
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work Is not started within 180 days of Issuance, or if work Is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952-001-0100. You may obtains copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
By: Issued B 6\ i V� AA Q /OU _
Permittee Signature:
ia\� ,� J •I •
Building Permit Application I(Vl. ST 2 0 c
c ommercial IUR OFFICE; USE ONLY
of Tigard RECEIVE , r �. PermitNo.: n - . est - ■
:� II 13125 h 1 n e SW Hall Blvd., Tigard, OR 98 .19 DEC 1 2008 Date/13 v .FIl�M MI Other Perini
Phone: 503.639.4171 Fax: 503.598.1960 r_ •+ L t5lnIe.ZAa&1• `4 •
t - (A it i Inspection Line: 503.639.4175 Date Ready : • El See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGAR I Notified/Method: lin Supplemental Information
TYPE OF 7I WING DIVISION REQUIRED DATA: 1- AND 2-FAMILY
CO 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.
Valuation: $ & qS5.52—
❑ 1- and 2- family dwelling ❑ Commercial/industrial J
❑ Accessory building ® Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: ��
Job site address: 9482 SW Mandamus Court New dwelling area: g ? ) 3 square feet
City/ State/ZIP: Tigard, Oregon 97223 Garage/carport area: 2.( square feet
SuitiE9apt. no.: JIL=I • 1, Project name: Longstaff Covered porch area: square feet
Cross street/directions to job site: SW 95" Avenue and SW Shady Lane Deck area: Z square feet
0 113 IT Pc Other structure area: square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision: Longstaff I 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.
6 Plex Condominium Staked Flats Valuation: $
R -2 Existing building area: square feet
Sprnldered New building area: square feet
® PROPERTY OWNER I 0 TENANT Number of stories:
Name: Langstaff LLC Type of construction:
Address: 7050 SW Clinton Occupancy groups:
City/State/ZIP: Tigard, Oregon 97223 Existing:
Phone: (503)598 -7565 Fax: (503)620 -9965 New: R -2
Eg APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Longstaff LLC All contractors and subcontractors are required to be
Contact name: Ron Lightner licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7050 SW Clinton jurisdiction in which work is being performed. If the
City/ State/ZIP: Tigard, Oregon 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 598 -7565 Fax: : (503) 620-9965
E -mail: RLightner @RCMHomes.net
CONTRACTOR
Business name: Longstaff LLC BUILDING PERMIT FEES*
Address: 7050 S W Clinton Street
(Please refer to fee schedule)
City/ State/ZIP: Tigard, Oregon 97223 Structural plan review fee (or deposit):
Phone: (503) 598 -7565 I Fax: (503) 620 -9965 FLS plan review fee (if applicable):
CCB Iic.:158043 Total fees due upon application:
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: Ron Lightner Date: 12 -19 -08 • Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Pemtits\BUP -COM PermitApp.doc 2/23/07 440 -4613T(11 /02 /COM/WEB)
Plumbing Permit Application R ECEV .= IMz00 •
Building Fixtures rOlt r)rrlcl: USE 0 N1.1
City of Tigard I 9 20 �teceived
`J g ,DEC t te/B 2 ' Q _ Permit No.: L _ r2 • ot:, • a • .
III • 13125 SW Hall Blvd., Tigard, OR 97223
C Phone: 503.639.4171 Fax: 503.598.1960 CITY OF TIG A r., Other Permit No.:
Inspection Line: 503.639.4175 � UILDIIOIG DIVI B Jtuis: ®S eePage 2for
I;
TIGAp Y Y
Internet: www.tigard -or.gov . ethod: 7 I, Supplemental Information
TYPE OF WORK FEE* SCHEDULE
■
® New construction ❑ Demolition For special information use checklist
Description j 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 (I) bath 1 249.20(• 7.0 y ❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 •
❑ Accessory building ® Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other:
_. Fire sprinkler ( sq. ft.) Page 2
JOB STILE INFORMATION AND LOCATION Site utilities
Job site address: 9482 SW Mandamus Court Catch basin or area drain 16.60
City/State/ ZIP: Tigard, Oregon 97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: BI -1 I Project name: Longstaff Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: SW 95 Avenue and SW Shady Lane
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Longstaff I Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item .
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Condominium Domestic Supply, Waste & Storm Drainage Backwater valve 16.60
Clothes washer 1 16.60
Dishwasher ' 16.60
® PROPERTY DOWNER , ® ANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Longstaff LLC Expansion tank 16.60
Address: 7050 SW Clinton Fixture/sewer cap 16.60
City/State/ZIP: Tigard, Oregon 97223 Floor drain/floor sink/hub 16.60
Phone: (503)598 -7565 Fax: (503)620 -9965 Garbage disposal I 16.60
® APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Longstaff LLC
Interceptor /grease trap 16.60
Contact name: Ron Lightner Medical gas (value: $ ) Page 2
Address: 7050 SW Clinton Primer 16.60
City/State/ZIP: Tigard, Oregon 97223 Roof drain (commercial) p 16.60
Phone: (503) 598 -7565 I Fax: : (503) 620 -9965 Sink /basin/lavatory /O f� ` Z 16.60
Tub /shower /shower pan ` I 16.60
E -mail: RLightner @RCMHomes.net Urinal 16.60
CONTRACTOR Water closet I 16.60 - Water heater ' 16.60
1i Wolcott Plumbing Contractors a Other:
1075 W Historic Columbia River Hwy Subtotal
. Troutdale OR 97060 Minimum permit fee: $72.50
1 503 -667 -9891 Residential backflow minimum permit fee: $36.25
Plan review (25% of permit fee)
l CCB: 23847 PLM: 26 -208PB State surcharge (12% of permit fee) - 2. 6 1, 4 ?‘"
Authorized signature:
TOTAL PERMIT FEE 2,73 JO
Print name: Date: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\ Building \Permits\PLMF- PermitApp.doc 12 /27/06 440- 4616T(10/02 /COM/WEB)
STZGOS• 00 l &LA
Mechanical Permit Applica I' , cEivED 1-()It 01:1. : l: usl: ON 1,1
City of Tigard Received Permit No.: _ —
• 13125 SW Hall Blvd., Tigard, OR 97223. 1
Date/By: 2 • • 7 �1.�r? • •.•
'� Phone: 503.639.4171 Fax: 503.598.1960 DEC 9 20fi$ Plan Review - Other Permit •
t ,r Date/By: il! Di. • • 6 y •
l' I ( i1 It I) Internet: www tigard -or gov 5 CITY OF TIGAAD Not Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Z New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
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 dwelling RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ y g ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
® Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 9482 SW Mandamus Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: Tigard, Oregon 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: B1 -1 Project name: Longstaff Furnace 100,000+ BTU (ducts /vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: SW 95 Avenue and SW Shady Lane Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Longstaff Lot no.: Flue/vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances '
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Condominium Mecanical Ventilation
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
® PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00
Other: 10.00
Name: Longstaff LLC Environmental exhaust and ventilation •
Address: 7050 SW Clinton Range hood /other kitchen
equipment 1 10.00
City/State/ZIP: Tigard, Oregon 97223 Clothes dryer exhaust 1' 10.00
Fax: 503 620 -9965
Single-duct lt compartments, exhaust t ts (bathrooms,
rooms) —2 s,
Phone:
(503)598-7565 ( ) partments, utility rooms) v 6.80
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Longstaff LLC Fuel piping
Contact name: Ron Lightgner $5.40 for first four; $1.00 for each additional
Address: 7050 SW Clinton Furnace, etc.
Gas heat pump
City/ State/ZIP: Tigard, Oregon 97223 Wall/suspended/unit heater
Phone: (503) 598 -7565 Fax: : (503) 620 -9965 Water heater
Fireplace
E -mail: RLighter®RCMHomes.net Range
CONTRACTOR Barbecue
Clothes dryer (gas)
'(Sregon tmfort Heating Other:
PO Box 190 MECHANICAL PERMIT FEES*
Eagle Creek OR 97022 Subtotal
Ph: 503 - 655 -0221, F: 503- 650 -2933 Minimum permit fee ($72.50) ?Z,
CCB: 42519 Plan review (25% of permit fee) _
i _ _ State surcharge (12% of permit fee) _, •7O
TOTAL PERMIT FEE re l :20
Authorized signature: This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Print name: Date: • Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits\MEC -PermitApp.doc 01/19/07 440-4617T(I1 /02/COM/WEB)
1(V'LS i 2 00 8 •Oa 1 (v
Electrical Permit Applicatio l'illiECEIV E.
rO 11 O r r i c l: u s l.: O, l .1
City of Tigard DEC 19 2008 Received
`J g DateB : • 10 • CI ; Permit No.: ... anew— `t r
'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
O
Phone: 503.639.4171 Fax: 503.598.1 DateB : Ot Permit
I OF R I G A 1 l lb a 't. • lis.■ X • VI
.1.1 ci A R I, Inspection Line: 503.639.4175 p� � e ` ' to Ready /By: Jab: See Page 2 for
Internet: www.tigard- or.gov lull t N C' OI V ISI' otified/Method: -C f (� 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 CONS"TRUCIION 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.
z 0 Addition of new w motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: 9482 SW Mandamus Court 1ooHPormore. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard, Oregon 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: B1 -1 Project name: Longstaff ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: SW 95` Avenue & Shady Lane Description I Qty. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Longstaff Lot no.:
1,000 sq. ft. or less I, 145.15 4
Tax map /parcel no.: L ded energy, y, sq.
r or portion ( 33.40 1
residential
esidential 75.00 2
DESCRIPTION OF WORK (with above sq. ft)
Condominium Electrical, Low Voltage Phone & CATV
Limited energy, multi-family 75.00 2
g residential (with above sq. ft)
Services or feeders installation,alteration, and/or relocation
200 amps or less 80.30 2
® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: Longstaff LLC 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 7050 SW Clinton Over 1,000 amps or volts 454.65 2
City/State/ZIP: Tigard, Oregon 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)598 -7565 Fax: (503)620 -9965 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, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
ID APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: Longstaff LLC B. Fee for branch circuits
Contact name: Ron Lightner
without service or feeder fee, 46.85 2
g first branch circuit
Address: 7050 SW Clinton Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Tigard, Oregon 97223 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (503) 598 -7565 Fax: : (503) 620 -9965 Reconnect only 66.85 2
E -mail: RLightner @RCMHomes.net Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
IU1V15 Electric energy panel, alteration, or
,18504 SE Stark extension. Describe: Page 2 2
Portland OR 97216 Each additional inspection over allowable in any of the above
-CCB: 118073, ELC: 37 -742C, Sup: 4542S Per inspection 62.50
_ Investigation per hour (I hr min) 62.50
_
Industrial plant per hour 73.75
I 1 _ ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: `
Print name: Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): 314=3
Authorized signature: TOTAL PERMIT FEE: 3,
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit_
I:\ Build ing\Permits\ELC- PermitApp.doc 05/23/06 440.4615T(II /05 /COM/WEB
A vu t r
o Building Division
One $c Two - Family Dwelling
T I G A R D Fees Checklist
: RERtMIT:.hNFORMATION: • � , • , ' •
• P ermit #: 5 •di - DO () 7. Plan #: ir is‘ Date: _ f 5 efis
Site Address: 4 2 /� �{/1/(,(� � Parcel #:
I/
Subdivision: / 1 5 rpc ccw l 4 j N 1 u ckA6 Lot #: Zoning:
Jurisdiction: 716- Setbacks: Front: Rear: Left: Right:
Class of Work: l0 Stories: 2. First Floor:
Type of Use: PC=S Height: '2 1 Second Floor: e33 &
Construction: t Floor Load: (3-,m L4- Third Floor:
Occupancy Group: R° Z, Dwelling Units: I Total Floors: 8 •j l
Valuation: 85 ' Bedrooms: I Basement:: .
Beaverton CET: Bathrooms:
f � Garage: _ 24_;7 i
Tig -Tual CET: 83��c: Decks: •52 Other:
TVFR: Porches: Geo /Grading:
; FEES . : - , , Description: Fee - Amount; Amount Paid :. : Balance,D`ue
Plan Check: Building:
Extra Set:
Permit: Building: ' T. .2.
Tax: '° E7 . !o
• Metro CET:
School CET: e--?, 3 , (.1.,
Mechanical 4 ' '12 , j
Tax: _ � 'c ei 70
Plumbing: 4 k 1 \920
Tax: '9? 29 , q(O
Electrical: 4 1-7R..5
Tax: ( .43
Low Voltage: .5 'Ti5, Of)
Tax: 2 §' 9 , C
CDC: CDC Ping. Rev.: Xr E, C:0
CDC LRPFee: ' .
SDC: Parks: * 4 0 1"Z
TIF Res.: (`7 fv 7,. 4
TIFMT: z i 4 ,70
Erosion Permit: `*' **D CC
Erosion CWS: 15 `. t CO •
Erosion COT: i f 13.0D
Water Quality:
Water Quantity:
SUB - TOTAL:
Sewer: Permit:
Inspection:
SUB-TOTAL:
TOTAL MST & SWR:
I: \ Bull ding \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 2 (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 • 1 15.00 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
Gas fireplace 10.00
Footing drain - each additional 100' 46.40 Flue vent (water heater /gas fireplace) 10.00
Manufactured home utilities 110.00 Log lighter (gas) 10
Manholes 16.60 Wood/Pellet stove 10.00
Rain drain connector 16.60 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 1 10.00 1 Qp[�
Water service - l' 100' 55.00 Clothes dryer exhaust 10.00 r(} to
Water service - each additional 100' 46.40 l
. -. -- Fixture or Item , Single duct exhaust
Absorption valve 16.60 (bathrooms, toilet compartments,
Backflow preventer 27.55 utility rooms) 2 6.80 (�j
Backwater valve 16.60 Attic /crawl space fans 10.00
Clothes washer I 16.60 Other: 10.00
Dishwasher 1 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 1 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 1 /0/1 'Z 16.60 Subtotal: $
Tub /shower /shower pan r 16.60 Minimum Permit Fee $72.50 $ 72: 5-0
Urinal 16.60 Plan Review Fee (25% of Permit Fee) $
Water closet 1 16.60 State Surcharge (12% of Permit Fee) $ 3 , 7 i-)
Water heater , 16.60 TOTAL PERMIT FEE $ 1 , 20
Other:
Other: ELECTRICAL FEES (new residential)
- • Plumbing Permit Fees •
Subtotal $ f f ,20 Description Qty. Fee Total Insp
Minimum Permit Fee $72.50 $ 1,000 sq. ft. or less I 145.15 iikS,I 4
Plan Review (25% of Permit Fee) $ Ea. add'l 500 sq. ft. or portion 1 33.40 '? 1
State Surcharge (12% of Permit Fee) $ 'ef , c(() Limited energy, residential ( 75.00 ' 'SL-p 2
TOTAL PERMIT FEE $ 2 , (C,) Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Electrical Permit Fees
Subtotal: $ (7 , . .5
Plan review (25% of permit fee) $
State surcharge (12% of permit fee) $ .. • 4k-?,:,, TOTAL PERMIT FEE $ ) c � • cvs
t! rit1 t rE 76700
I:\ Building \Forms \ResPlanCheckFees.doc 01/19/07 l2 - 1 : OG Page 2
L 1 IM 1TED TYt (---1 � 4 -C
ti ,
DATE: PLANS CHECK NO.:
ti
/2.13 /or
V eaDI/
PROJECT TITLE: ��}}
4I7LFF (._ ,2 c7G`✓ A60 f
COUNTYWIDE
TRAFFIC IMP1 -ACT FEE _ - - - - - - _ - - -- - - - - - -- - - -___ _ . - - - -- - - -- -
NT:
WORKSHEET
MA ADORES - -- - - --- --- - --
(FOR NON - SINGLE FAMILY USES)
TAX MAP NO •
RATE PER c-/3. 0 / oo dSov lid 4/700
AND USE CATEGORY TRIP - - - -- --- --
SITUS NO. ADDRES fin 93 / .f
BUSINESS AND COMMERCIAL $85.00
OFFICE $312.00 •
INDUSTRIAL $327.00
INSTITUTIONAL $141.00
PAYMENT METHOD: •
CASH /CHECK
CREDIT INSTITUTIONAL ONLY:
BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY DES TI OF WEEKDAY AVG. T IP WEEKEND AyG. IP
• DEFER TO OCCUPANCY _ sZ 3 C7 uS E S ? k i )O RATE �S• In I.) +.1 I RATE p
BASIS: -15 00(17 . 0, H/-L.E 2 -
oArE
CALCULATIONS: OW I 3 X 57, .2 5z �2/ 5
/.�.n,eter may? 25.0
ie .4Z,Q3 Z'-ra/ , 9 D PROJECT TRIP GENERATION:
ea. 05 -` /X/ 0 o 7 2 2.
77 S'�- r--�3 =� / FE O 3 8
FOR ACCOUNTING PURPOSES
ADDITIONAL NOTES: ONLY
G' rn� �!• 3 x /- ,/, /- � 1�� % c-�, moo: -c.:
O L� � /�� �. ot� /, T
mss z,tlL'rEa+n� Sz��II,',syy / - • / - � 988.0
O �YY. /die' - 70 T SIT T.:
/ A( ��- +113 '4/ O / 2 PREPARED BY:
June 30. 2008 Worksheel 08- 09.doc
CC: WASHINGTON COUNTY TIF NOTEBOOK
DATE TIT PLANS CHECK NO.:
, 0 2s 0o oc� //
PROJE L : l�h) . Ti AA e- HSTS
COUNTYWIDE — - _ - - - - ._
• TRAFFIC IMPACT FEE AP i _ HOC /..47)--Es
WORKSHEET T IN
MAI G ADDRE S'
• 7 - B y C49 Aye a - aw e L ae •
(FOR NON -SINGLE FAMILY USES) CIP /PHONE:
/ -DOL.77/9A/! 0 - 1" 7 21 3
TAX MAP NO. :
RATE PER 3/ ;4 -aoi0 D.Z‘yo o -Ydoe0- o '
LAND USE CATEGORY SITUS N*� • DDRESS' ,Z
- ,
RESIDENTIAL be, Sm/)yam /
BUSINESS AND COMMERCIAL •*
..... 5ar i 6) AtD'5
OFF ICE - �� � -� r
—
INDUSTRIAL ,, ,r.,) / P Dei D
® INSTITUTIONAL �� / 5 vim` h / ��Eb
PAYMENT METHOD: 7 /c /( › I''
CASH /CHECK E /G/QjE_ /evic 7
CREDIT INSTITUTIONAL ONLY:
BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY I DESCRIPTION OF WEEKDAY AVG. TRIP WEEKEND AVG. TRIP
DEFER TO OCCUPANCY 2 *sD USE Rs g ('p I RATE Trep RATE
BASIS: ne,i E 7 ( ' `7` X 5 Vex, ! 2 5 -7/
24 x 0 =, x' '7 �h #D�.e/
•
•
CALCULATIONS: •
•
L i 3 iktr O L IK W rr
tj6,.
PROJECT I5AP ERATION:
5j• t
7, /5-0. FEE: 3112, / 50
77/41 1's -�e ; - • • FOR ACCOUNTING PURPOSES
_ ONLY
�/� /� d✓/ S/D 9 �o/� ��f� / O jS� ROAD AMT A003 e 5
Z / 3 s o / z � / % - . , 1/, % 0 ✓✓ �` 5. TRANSIT AMM a t i o , 70
- -- - - -- - - - __ PREPARED BY:- rfJs
June 30, 2008 Worksheet 08 -09.doc
CC: WASHINGTON COUNTY TIF NOTEBOOK
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File Inspection CAP Parcel Tools Map Tools Help
I Project / CAP Inspection 1 Guidesheet 1 File 1 Report 1 Drawing ] Map
•
Select Address: '<SELECT>
I Number Fraction Prefix Street Type Suffix Unit Unit Type °;
1 ( Address: 19482 1 SW MANDAMUS C 1 . e
(( City ! ST ! Postal Code: <SELECT> w`,_` f ` r ` . ddr ss
Inspection Unit Number: Inspection Contact Number: ;503 -793 -5779 All CAP Addresses
I Identifier: 1330 Water service GIS Location 1 : . rie ri t 17 .1., . t .ti.1,-;. ?:,:.
Category / Inspection Type: F ,
9 y P yP 8_MST 330 Water service
Inspector: [Dan Nelson / 412/1/7A.4 L
, # (- D) 0eil4 _ 1- r► -t_ �g'Ir-�'^ ---
Date: 1 sal
Time __. _.
f . ; ir i " tt' c° ± t 1 l 21 Ai,7 �. i , i t it'iu C It i r_ , c -tE # #: :,,
I Start Miles End Miles Total Miles Vehicle Id Start Time End Time Total Time Y `
I Tracking: racking: 1 = 0 10 1242 112:00 AM --- 12:00 AM — :ii I
Scheduling Comments: 1002879-02 503-793-5779 �_, a : i 'c.� :r:.nt
Disposition: 'Scheduled _1 ign off Contractor Sign off (Inspector Sign off
i Comments: Li C.0•56 , i f ' ; -. c • r �I `� Standard Comments �
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