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Permit 11 a CITY OF TIGARD MASTER PERMIT ` 2:i COMMUNITY DEVELOPMENT ( Permit #: MST2008 -00172 T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/15/2009 Parcel: 1 S 135ACLC005 • Jurisdiction: TIG Site address: 9432 SW MANDAMUS CT Subdivision: Lot: Project: LONGSTAFF CONDOMINIUMS Project Description: New MF. Building 1 (unit type B -1). BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 2 First: 1073 sf Basement: sf Left: Parking Spaces: Height: 23 Bathrooms: 2 Second: sf Garage: 229 sf Front: Smoke Dwelling Units: 1 Third: sf Right: Detectors: Yes Total: sf Value: $0.00 Rear: PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: Rain Drain: Catch Basins: Lavatories: 3 Dishwashers: 1 Floor Drains: Sewer Lines: SF Rain Drains: Other Fixtures: Tubs /Showers: 2 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'I 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 & Stereo: HVAC: Security Alarm: Vaccuum System: Garage Opener: All Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet NEW Multi Family VA R - 2 1073 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: $6,685.51 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 -00 0th .ugh OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: � t \ 1 \ ♦ ' 1 Permittee Signature: _ App - 1 `-ld Building Permit Application I1131 -oo t i ommercial p Ec FOR OFFICE USF: 0y1.1 �- - -- EIRE® Received City of Tigard 1 " t Date /B : 2 ' • 0 o ' • Pemtit No.: L 20.: . 0011 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 DEC i 9 2008 Date/B u • 4 v Ol►terPermit� , , • _4 . •41,61 o l I G n It f) Inspection Line: 503.639.4175 Date Ready /By: EMI ® See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF ING ®IVICIV1`t REQUIRED DATA: 1- AND 24AMELY 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. El 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ � � . 7' ❑ Accessory building ® Multi- family Number of bedrooms: '.. ❑ Master builder ❑ Other: Number of bathrooms: 2 JOB SITE INFORMATION AND LOCATION Total number of floors: lob site address: 9432 SW Mandamus Court New dwelling area: 1073 - square feet City/ State/ZIP: Tigard, Oregon 97223 Garage/carport area: - square feet Er /apt. no: J Project name: Longstaff Covered porch area: square feet Cross street/directions to job site: SW 95 Avenue and SW Shady Lane Deck area: square feet V P / T T Y Pc 13 1 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 Sprnklered New building area: square feet ® PROPERTY OWNER I ❑ TENANT Number of stories: Name: Longstaff 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 0 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/Z1P: 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: l eegatafLLjG. / C i 1 ijf,11 JC BUILDING PERMIT FEES* Address: 7050 SW Clinton Street (Please refer w fee setieduk) 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 lic.:158043 Total fees due upon application: Amount received: Authorized signature: `� / This permit application expires if a permit is not obtained Print name: Ron Lightner / ate: 12 - 19 - 08 t within 180 days after it has been accepted as complete. Fee methodology set by Tri-County Building Industry Service Board. I: \Building\Pemtits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB) Plumbing Permit Application Yv1 ST 200; (3(3) 1 Building Fixtures !i r c rl lc l: usl: (),l.i ECEVE ; Rec eived City of Tigard 1 i Ill • 13125 SW Hall Blvd., Tigard, OR 97223 Date/By' n . 1 c • O S Permit No.: s 2008 • on i 7 2 0 Phone: 503.639.4171 Fax: 503.598.1960U C C 1 9 2 00 3 Plan Review Other Permit No.� 7nng . I� r Inspection Line: 503.639.4175 Date Re ir' r I G A R 1) Internet: www.tigard-or.gov Date Ready /By: ® See Page 2 [or CITY OF TIGARD Notifi ed/Method: l (p Supplemental Information TYPE OF WILDING olvIslo vt . • 0 New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION - SFR (1) bath I I 249.20 ❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath C 350.00 '36:i! CID ❑ Accessory building 0 Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION. Site utilities Job site address: 9432 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.: B1 -5 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 $ESCR OF WORK • Backflow preventer Page 2 Condominium Domestic Supply, Waste & Storm Drainage Backwater valve 16.60 Clothes washer 1 16.60 Dishwasher 1 16.60 0 PROPERTY OWNER 1 ❑ TENANT 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 1 16.60 in APPLICANT I [] 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) 16.60 Sink/basin/lavatory '3 /OA A- 16.60 Phone: (503) 598 -7565 I Fax: : (503) 620 -9965 IIII Tub /shower /shower pan 2...- 16.60 E -mail: RLightner ®RCMHomes.net Urinal 16.60 CONTRACTOR Water closet f, 16.60 r Water heater 16.60 - Wolcott Plumbing Contractors - Other: ` 1075 W Historic Columbia River Hwy - Subtotal 4 Troutdale OR 97060 Minimum permit fee: $72.50 1503 -667 -9891 Residential backflow minimum permit fee: $36.25 52o. ,l^) (CCB: 23847 PLM: 26 -208PB Plan review (25% of permit fee) State surcharge (12% of permit fee) 4' .Q) Authorized signature: TOTAL PERMIT FEE ti 2 ,C4 Print name: I 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. 1:\Building\Permiu\PLMF- PermitApp.doc 12/27/06 440- 4616T(10 /02/COM/WEB) o© • Mechanical Permit A l 1 lica ' I 1 _ E City of Tigard •' ? - cE iv E E,,, Received • t . lam. Date/By: 12 • i Q . t Permit No.: y t Y y l5 200g ' 00 C7 2 13125 SW Hall Blvd., Tigard, OR 97 23 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Inspection Line: 503.639.4175 DEC 19 Date/By: Other Permit: WYz.20Ckfi • Od I we 1 I C n It I) Date Ready/By: Juris: la See Page 2 for Internet: www.tigard -or.gov CITY OF TOGARD Notified/Method: 'r ( Supplemental Information TYPE OF R fl O %NG DIVISION .. ' COMMERCIAL FEE* SCHEDULE – MFG :, ^ a Mechanical permit fees' are based on the value of the work ® New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ 'RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 and 2 family dwelling ❑ 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: 9432 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 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: B1 -5 Project name: Longstaff 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 Condominium Mecanical Ventilation fireplace vent ] 0.00 Flue vent for 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 ( 10.00 City/State/ZIP: Tigard, Oregon 97223 Clothes dryer exhaust r 10.00 Single -duct exhaust (bathrooms, Phone: (503)598-7565 Fax: (503)620 -9965 toilet compartments, utility rooms) 3 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 B'Oregon Uomtort Heating Clothes dryer (gas) A l PO Box 190 Other: ;Eagle Creek OR 97022 MECHANICAL PERMIT FEES GPh: 503 - 655 -0221, F: 503 -650 -2933 Subtotal P +CCB: 42519 Minimum permit fee ($722 .50) -72..2 - Plan review (25% of permit fee) Ci......,.. State surcharge (12% of permit fee) 8.76 TOTAL PERMIT FEE S(r 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 l :\Building \Permits \MEC- PermitApp.dot 01/19/07 440-4617T(II /02/COM/WEB) l,1 _. r t - r Ep - Electrical Permit Applicati " ECE' FOR OFFICE: SSE. O. I.1` Received City of Tigard Date/B : • . . r ` . .3 Permit No.: ,. _ a S , a • 2 11 • 13125 SW Hall Blvd., Tigard, OR 97223 DEC 1 a 20� Plan Review ' C Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit: 4, i ♦ 6 6 a . ` • - .r I ( C n I: i) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: kris: 7, See Page 2 for Internet: www.tigard -or.gov Notified/Method: - r l G Supplemental Information al 1 11 !NG DIVISION TYPE OF 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. 0 Addition of new motor load of ❑ "A ", "E ", "I 2 ", "I - ", Job no.: Job site address: 9432 SW Mandamus Court 100HP or more. 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 -5 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 1 145.15 i (j 4 Tax map /parcel no.: Ea.a d l500 sq. ft. or portion ( 33.40 1 energy, residential ' 75.00 � 2 DESCRIPTION OF WORK (with above sq. R) Limited energy, multi - family Condominium Electrical, Low Voltage Phone & CATV 75.00 2 g residential (with above sq. ft.) Services or feeders installation and/or relocation 200 amps or less 80.30 2 ® PROPERTY OWNER , ❑ 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)59 8-7565 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 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with .® 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 fast 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) 59 8 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 Bu Signal circuit(s) or limited - iY ��ectric energy panel, alteration, or Aci 8504 SE Stark extension. Describe: Paget 2 Ci iPortland OR 97216 Each additional inspection over allowable in any of the above 'CCB: 118073, ELC: 37 -742C, Sup: 4542S Per inspection 62.50 Phi Investigation per hour (1 hr min) 62.50 CC. Industrial plant per hour 73.75 I I ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: '2.. 1 Print name: Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): rJ, I- %2 Authorized signature: TOTAL PERMIT FEE: 7€72,•98 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. 1:\ Building \ Permits \ELC- PermitApp.dot 05/23/06 440-4615T(I I /05 /COM/WEB . . i I ° IN 8 uilding Division One &. Two-Family Dwelling FIGARD Fees Checklist -•-i:!ptmyr INFORmAnoN:: ' T . : .:: :,? :. ' '.. !. . .::: :: , .:i . • ' . ..-'' • s - Permit #: Plan #: OMIT- -P-- I Date: Site Address: . Parcel #: Subdivision: Loi06,6 (2,01 IN Ofirj Lot #: Zoning: Jurisdiction: 116 Setbacks: Front: Rear: Left: Right: Class of Work: ONO Stories: 2- First Floor:, I 073 L _- Type of Use: RES Height: 2-V Second Floor: _ . Construction: SB Floor Load: C, imf. Third Floor: Occupancy Group: R . z. Dwelling Units: '1 Bonus Room: Valuation: (0%4,24- Bedrooms: 2. Total Floors: (O7 ' Bathrooms: 2 Basement: Decks: Garage: Porches: — Other: FEES:, 1 , Description :. : .::: ',' :" :: ::::*eeArtclinit::: ::'.. :Amount Nid: : • .: iivai4oCeiXie;:: Plan Check: Building: Extra Set: Permit: Building: -1, 8 3 Tax: Metro CET: • 1; ( 2...-5 - 57 School CET: 4 107'3.00 Mechanical 4 Tax: '$ g:70 Plumbing: 4 -•- ..;.. e 0 Tax: 4 42_, CO Electrical: Tax: 4 2J.43 Low Voltage: `5 .--- e5: cn Tax: CDC: CDC Ping. Rev.: CDC LRP Fee: .: , • s. OM SDC: Parks: 2-7Z- TIF Res.: - (7( , .1, TIF MT: •% [40,'7C) Erosion Permit: k &Aro Erosion CWS: •:t 2.0 te0 Erosion COT: 45 20. 80 Water Quality: Water Quantity: .-- SUB-TOTAL: Sewer: Permit: Inspection: SUB-TOTAL: TOTAL MST & SWR: 1:\ 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 I 350.00 60.00 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 - 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 Flue vent (water heater /gas fireplace) 10.00 Manufactured home utilities 110.00 Log lighter (gas) 10.00 • Manholes 16.60 Wood/Pellet stove 10.00 Rain drain connector 16.60 Sanitary sewer - 1" 100' 55.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 Sanitary sewer - each additional 100' 46.40 Other: 10.00 Storm sewer ] 5' 100' 55.00 Environmental Exhaust & Ventilation Storm sewer - each additional 100' 46.40 Range hood /other kitchen equipment ,) 10.00 Water service - ls 100' 55.00 Clothes dryer exhaust 1 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 1 16.60 Other: 10.00 Dishwasher j 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: *1 Primer 16.60 Total: Roof drain (commercial) 16.60 Mechanical Permit Fees Sink/basin/lavatory , /Q /3 4- 16.60 Subtotal: $ Tub /shower /shower pan Z 16.60 Minimum Permit Fee $72.50 $ "7Z ,' > Urinal. 16.60 Plan Review Fee (25% of Permit Fee) $ Water closet Z 16.60 State Surcharge (12% of Permit Fee) $ 70 Water heater 1 16.60 TOTAL PERMIT FEE $ (, 20 Other: Other: Plumbing Permit Fees ELECTRICAL FEES (residential single- or multi - family) Subtotal $ �dj6(:), dG Description Qty. Fee Total Insp 1,000 sq. ft. or less 145.15 k Minimum Permit Fee $72.50 $ �' Plan Review (25% of Permit Fee) $ Ea. add'l 500 sq. ft. or portion l 33.40 , , � 4 1 State Surcharge (12% of Permit Fee) $ Limited energy, residential 1 75.00 2 TOTAL PERMIT FEE $ Each manufactured or modular dwelling, service and /or feeder 90.90 2 Electrical Permit Fees Subtotal: 111EUltri_ Plan review (25% of permit fee) • . State surcharge (12% of permit fee) TOTAL PERMIT FEE - f . L W ITE /7 - 7.5,00 I:\ Building \Forms \ResPlanChecl:Fees.doc 01/19/07 • t 9 ,co Page 2 • DATE: PLANS CHECK NO.: / le? v O'C) / PROJECT TITLE: 7� A6 / 6 1 /1 COUNTYWIDE TRAFFIC IMPACT FEE NT: WORKSHEET MA ASS °' U�A1C G� (FOR NON -SINGLE FAMILY USES) ��� DDRE � H E' • J o n l � O!c !_Z -- • • TAX MAP NO RATE PER . AND USE CATEGORY TRIP 3S21G cioo 1Soo i( - 4700 SITUS N0. ADDRES 1 RESIDENTIAL • $339.00 o�r: C �S �3GS ' . '' 1 V_. 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 ® DEFER TO OCCUPANCY - a Q I USE SU AIIO I RATE S�i �UN RATE 7 4 BASIS: %� L% �� DN� . H 'L 2 — 9 ,2 ‘7 , -- Og BPD 2( c�P/ . „ /c'5- • CALCULATIONS:COW 113 X 6 ( .2 --7-72 i O 09c2 c N�SrY Zh/ZX 39 60 ln 038' .S/..2__TZ /3 • 75cw, ater — 2,D3 a-T</ 3 = // PROJECT TRIP GENERATION: D 5 =-y3 �� • •i 2 2— ,°� -r�� V. /4 ( - ) / 0 3 7 2) c. . FOR ACCOUNTING PURPOSES ADDITIONAL NOTES: �[�_ •� � ON / ' L � Y PfP �/ x/ / p / '� «- VN ►r: ??..ea er O L��� -�' 3 � 3'T - � °�'' r �Z. 00 ,L R� �ss ��2 �r E� 5; a ► S . v /116,V. • I � 7 5 ' , 9 85.0 - v 7r! 0 54q'. e3 t� / 4 TONSIT TO J�C7 . CTC� / ',Mir '4'3 7 - 0 / z , qZ �i PREPARED BY: June 30. 2008 Worksheet 0B- 09.tloc CC: WASHINGTON COUNTY TIF NOTEBOOK DATE i PLANS CHECK NO.: 1 C) ► , 2005 ocr, // PROJE' TITL : fpJ Ms s COUNTYWIDE ,L©/1i� -ia�3F evvs TRAFFIC IMPACT FEE AP soc..grEs WORKSHEET MA 42zv R �oe sr ... re z s H (FOR NON - SINGLE FAMILY USES) CIZY(7IP /PHONE: 1 - �o9Z NZ), 02 d i g 2.- 1 3 TAX MAP NO.: LAND USE CATEGORY RATE PER J 6 / x5,46 r dOl�A- 2Sip/040eO�900 RESIDENTIAL SITUS N . DDR SS' 4 � � zoo /6D�� 964.55 icv►r6 BUSINESS AND COMMERCIAL `r OFFICE S ari i a® j '5 INDUSTRIAL . . ,t `. / P^ ' INSTITUTIONAL ; ;.. PAYMENT METHOD: ? /a2 7� Vf / CASH /CHECK 6.I6I84E iv2 77F, CREDIT INSTITUTIONAL ONLY: BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY I DESCRIPTION OF WEEKDAY AVG. TRIP WEEKEND AVG. TRIP DEFER TO OCCUPANCY 2 . 6D USE R qb I RATE S2o RATE BASIS: e____ • .4 X J • v6, = . 2 -5 -2_ -7- PS ! D 1c�afa 24 x RA 3'8z _ x' 12f/4 &',i, tee/ CALCULATIONS: 3 j4 tT"1oT W/r y � , r 7 PROJECT TAI i ERATION: t �j�j, c 71 ���. FEEP2! /St0 7? - D FOR ACCOUNTING PURPOSES ONLY x/9/7 4// /O A. T7ft_ .e.„,,0,415-,- . ,,0d6 S, 'RO ADAMT .?003 � 7 / 3 . -- 7 - 5 /JET 71 -021 % `S • 1/, % 041, 5-0 TRANSIT AMl piLO • 60 - - -- - - - -- -- -- --- • / PREPARED / Y; - -1�j� June 30, 2008 Worksheet 08.09.doc CC: • WASHINGTON COUNTY TIF NOTEBOOK „3 �::3` nr3?,.. ._. ”` , � � g :: � ' �'" � '� `i ce' s 4..e..„:4'--,,.:17:.' �' ° � "� ^"."'.,.� - r ��„ tea. Jr :,-- , +.,�.r~ „'s " .: s "as ° , °?-° .. a -''- <..u _. -• .i. g..�� ..,. E „ iT Vi° * s l i. ; fin, ,, , , . . ; 4 --. ,- ,,., Win p.^ :' `. e � " a .:z - . r„ `= . ---" • x _ ", , y. -- ''.:;:;•,' :::-...1':' .:.;••4-7 '-'; ;J•:::',= '•..-. '-':;:•i','''''',. ,:•-•"•' 2 ,''''''' , ', fai I gs! 511 , 4 t File Inspection CAP Parcel Tools Map Tools Help evsi 1 Project / CAP Inspection 1 Guidesheet 1 File 1 Report l Drawing 1 Map 1 Select Address:<SELECT> �:�, Number Fraction Prefix Street Type Suffix Unit Unit Type A ddress: 9432 SW MANDAMUS C� City / ST / Postal Code: j<SELECT> 1 `..: 1 Inspection Unit Number: Inspection Contact Number: 1503_783.5779 All CAP Addresses Identifier: 1 330 Water service GIS Location -. Category / Inspection Type: _ Water service 9 y P yP 8 MST 1330 Inspector: /J _ e P �D an N e lson ale/Mt- �— �p�yL 1 � g " "-- . Date: 12 - n I Time: Y.('3; i ,E"i: r .fs ?, l � J - �� rrrn.` "49. Tyr'. °108:1 `i 7 _� ,�1 dC [ cis!l!F? 1,'it: "8'llu'lt : Start Miles End Miles Total Miles Vehicle Id Start Time End Time Total Time , Tracking: 10 - 10 J0 1242 112:00 AM _ _� j 12:00 AM I �` 43 Scheduling Comments: 1002879 -08 503 - 793 -5779 -_- :, di. , nr :_erF?.; - _ Disposition: Scheduled S 1 ign off Contractor Sign off Inspector Sign off _: Comments: s: � " f �q — I. `tqv� 1 n?Y►$ AYJ,��`!!V� / U /lll�lf� (� (> � Q✓Y� !�{C'�iIG�O�? - Standard Comments 1 A J� . . �� 1 r Create new copy after submit Edit CAP 1 r...1-C 7., t fpn-. ! Action: !Update Submit Save Can cel , 8rz 1 0 Outgoing, 9 Returned successfully, 0 Failed t7 . - °Eat :Iris ecti0wi£ ' AGCeIaE Aut n U d r: , .. r - e Y ^ • v s tmt � � r r ` : I _ I? .. . _.:,1:,-,-, : .. . _�,. +� ;� � � , � . �.�, � �� „s•is�rlF