Permit CITY OF TIGARD MASTER PERMIT
' Ill : . COMMUNITY DEVELOPMENT Permit #: MST2008 -00166
T I. GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/15/2009
Parcel: 1 S135ACLC013
Jurisdiction: TIG
Site address: 9378 SW MANDAMUS CT
Subdivision: Lot:
Project: LONGSTAFF CONDOMINIUMS
Project Description: New MF. Building 3 (unit type C).
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 1 First: sf Basement: sf Left: Parking Spaces:
Height: 23 Bathrooms: 1 Second: 972 sf Garage: 822 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: 2 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: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet
NEW Single Family VB R -3 972
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: PHONE: 503 -598 -7565
FAX: 503 - 620 -9965
Total Fees: $9,061.59
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 obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
�
Issued By: Of l 1/LO &d QJt l Permittee Signature: A�r `( (kA' OR
Building Permit Application 5
Commercial RECEIVED r(,iz tlrrlcr: i,sl: t>:vl.i
' City of Ti and DEC 1 Permit No.:
h' g f>! Datem : - 0 12O,;. 40 • 13125 SW Hall Blvd., Tigard, OR 97223 9 2003 Received
Plan Review
•
' C Phone: 503.639.4171 Fax: 503.598.1 Date /B : Other Permit 1 d • t , d u
T I i; A it D Inspection Line: 503.639.4175 ul 1 Y OF TIGAR Date Ready /By: ® See Page 2 for
Internet: www.tigard -or.gov �l��I n�N ,J� V�s�ol� Notified/Method: Supplemental Information
TYPE OF WORK J 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.
Valuation: $ 1'7 1- and 2- family dwelling ❑ Commercial /industrial
its:‘ .�
❑ Accessory building lti-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9378 SW Mandamus Court New dwelling area: 97 2 square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: a 03 ,. square feet
Sui ldg. pt. no!. I Project name: Longstaff Covered porch area: square feet
Cross s eet/directions to job site: SW 9510 Tr F Avennue /�� and SWWShady Lane Deck area: square feet
O tJ /T Other structure area: square feet
REQUTRRDTIATA: COM CIAL-U®3' . f'
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: $
-„-a— (g3 Existing building area: square feet
Sprnklered New building area: square feet
® PROPERTY OWNER l 0 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/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 SW Clinton Street (Please refer to fee sal+eevla)
Structural plan review fee (or deposit):' . 12
City/State/ZIP: Tigard, Oregon 97223
Phone: (503) 598 -7565 I Fax: (503) 0 -9965 FLS plan review fee (if applicable): ,2.61i.814
CCB lic.: 158043 Total fees due upon application:
Authorized signature: / Amount received: /„ 7 ( . 9 t,
L This permit application expires if a permr is not obtained
Print name: Ron Lightner Date: - within 180 days after it has been accepted as complete.
r
Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Petmits\BUP -COM PennitApp.doc 2/23/07 440 -4613T(11 /02 /COM/WEB)
Plumbing Permit Application ,
Building Fixtures ,. ECE V: rolz rrlcl: ur: c�.lN
Ci of Ti rd ` s ; `` eived �) )�,,
:� 1 3125 SW Hall Blvd., Tigard, OR 97223 Date/By: Permit N cj Uz) I (l�6
C Phone: 503.639.4171 Fax: 503.598.1960 DEC 1 9 2 00 Plea Review Other Permit No.:
Date/By:
Inspection Line: 503.639.4175
T I c A I: I) CITY OF TIGA'' to Read /B kris: El See Page 2 for
Internet: www.tigard- or.gov rot lfied/Method: Supplem Information
TYPE OF WORK 3UILJING DIVIS ON • FEE SCREDULE
® New construction ❑ Demolition For special information use checklist
Description I Qty. 1 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 ( 249.20 4, an
W1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ Accessory building 40 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: 9378 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.: B3 -13 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 I 16.60
Dishwasher ' 16.60
® PROPERTY OWNER I ❑ 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 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) 16.60
Phone: (503) 598 -7565 Fax: : (503) 620 -9965 Sink/basin/lavatory (/0 /i 2 16.60
Tub /shower /shower pan I 16.60
E -mail: RLightner ®RCMHomes.net Urinal 16.60
CONTRACTOR Water closet I 16.60
Malmedal Enterprises Inc Water heater 1 16.60
PO Box 207 other:
Banks OR 98106 Subtotal
Ph: 503- 324 -0759, F: 503 - 324 -0580 Minimum permit fee: $72.50
Residential backflow minimum permit fee: $36.25 2-41:20
CCB: 102535 PLM: 34 -276PB Plan review (25% of permit fee)
Authorized signature: State surcharge (12% of permit fee) , j, C r
TOTAL PERMIT FEE 2 I C
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 \Permits\PLMF- PermitApp.doc 12/27/06 440- 4616T(10 /02/COM/WEB)
Mechanical Permit Auulicati ifn: ECEw j Foiz OFFICE usl: (1■1.1
City of Tigard R eceived Permit No. 4 T',� / /
• 13125 SW Hall Blvd., Tigard, OR 97223 C 1 A 2O 3 y �"' o
�i L J u Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 D ate/By: Other Permit:
1 i t ;nit 1') Inspection Line: 503.639.4175 � . D ate y:
Ready /B Jurb: Si See Page 2 for
Internet: www.tigard- or.gov �, ® // F ''�� YiG , otified/Method: Supplemental Information
l` fl fl(N19 twig ISI 0 11
TYPE OF WORK C COMMERCIAL FEE* SCHEDULE — USE CIIECI&IST
CO 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 OP CONSTRUCTION "1 Value: $
RESIDENTIAL EQIJ PMENT tFaroe FEES*
Il- 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: 9378 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.: B3 -13 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
El PROPERTY OWNER 1 ❑ 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 ( 10.00
Single -duct exhaust (bathrooms,
Phone: (503)598 -7565 Fax: (503)620 -9965 toilet compartments, utility rooms) 1 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
C�reg Comfort Heating Clothes : dryer (gas)
PO Box 190 MECHANICAL PERMIT FEES*
Eagle Creek OR 97022 Subtotal
Ph: 503 -655 -0221, F: 503 -650 -2933 Minimum permit fee ($72.50) 2.' )'
CCB: 42519 Plan review (25% of permit fee)
1 _ _ State surcharge (12% of permit fee) p.70
TOTAL PERMIT FEE (, 2.0
Authorized signature: This p ermit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Print name: I Date: • Fee methodology set by Tri -County Building Industry Service Board
I :\ Building \Permits\MEC- PermitApp.doc 01/19/07 440.461TT(I1 /02/COM/WEB)
Electrical Permit Application ■ rt) l2 c) r r i c l us!: t ):N I. N
' E CEVE - �' eceived
City of Tigard Daffy Permit No/14
I
• 13125 SW Hall Blvd., Tigard, OR 97223 0 ' I' !L l U! ' � _ '
`" i Date/B 1
`� a Phone: 503.639.4171 Fax: 503.598.1960 U L Other Permit:
T I G :\ I: I Inspection Line: 503 CITY OF TI(�AR Date Read /B kris: El See Page 2 for
Internet: www.tigard- or.gov ` /� a Noti6e d /Method: Supplemental Information
TYPE OF W , t' I�111N(� ®IVISI � ` 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.
'1 dwelling less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
-and 2-family g ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
431, Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
of n
❑ Addition of new w motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: 9378 SW Mandamus Court 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, Oregon 97223 ❑ Health facilities. ['Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: B3 -13 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 Qn. 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 ( 145.15 (45,1'5 4
Tax map /parcel no.:
Ea. eddd'l 500 sq. ft. or portion Z 33.40 (ppp,� I
energy, residential
DESCRIPTION OF WORK (with above sq. ft) ( 75.00 m 2
Limited energy, multi-family
Condominium Electrical, Low Voltage Phone & CATV 75.00 2
g residential (with above sq. It)
Services or feeders installation and/or relocation
200 amps or less 80.30 2
ISI 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 I
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 ex tension, per panel
Owner signature: Date: 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, first 46.85 2
g st 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 inigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
DMS Electric Signal circuit(s) or limited -
energy panel, alteration, or
8504 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 (1 hr min) 62.50 _
o. -i, L.1 • _ - _ - -_ _ Industrial plant per hour 73.75
— 1 - -' ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 7P,(,.9.
Plan review (25% of permit fee):
Print name: Date:
State surcharge (12% of permit fee): 2 �4 , At--3
Authorized signature: TOTAL PERMIT
Print name: Date: This permit application expires if a permit Is not obtained within 180
days after it has been accepted as comgete. -
• Number of inspections allowed per permit. . 3
1:\ Building \PennitstELC- PermitApp.doc 05/23/06 440-4615T(tt/05 /COM/WEB
i a °
IIII .
Building Division
One & Two-Family Dwelling
TIGARD
Fees Checklist
,..
TSJR:mpr ii..motwATION.: . -.. '.:..: : .: :::.:,,.:•;:', . '.:. : : -', ; ' ,:,: :, : ':
Permit #: Plan #: Date: .;., ,:../. ..;, .•,:, :.:: : i:
1A/ ViOn C, / 6 cj?
Site Address: • '378 9.,t) ' ifivt, . Parcel #:
Subdivision: toejr,' -5nN 4iii (U 600.4 1 ji-t0 Lot #: Zoning:
Jurisdiction: T-(6 Setbacks: Front: Rear: Left: Right:
Class of Work: Val Stories: 2- First Floor:,
Type of Use: RFS Height: aa Second Floor: ci77 iv
Construction: '5E5 Floor Load: .15` Third Floor:
Occupancy Group: - Dwelling Units: Bonus Room:
Valuation: I Z77. 1 0 Bedrooms: '2.. Total Floors: ci 72 Le
Bathrooms: 1 Basement:
Decks: 77 Garage:
------2.*
Porches: Other: e 54C)
T.Es:. : :::• .: D :: :: ' ,: :''::: Amount Paid :: .f.sA4no
Plan Check: Building:
Extra Set:
Permit: Building: 4.; 89'7 0 4-
Tax:
Metro CET: CET: .t. 1
School CET: .`'. 9`7c
Mechanical 72._
Tax:
Plumbing: • * 2-4
Tax: 4 25 . 9'0
•
Electrical: ' . i l l .95
Tax: 45 Z. .4'3
•
Low Voltage: 4 5 7 5 . CO
Tax: •t C ? , 0 0
CDC: CDC Ping. Rev.: ; 4(c) , CO
• CDC LRP Fee: 4 (0 % CO
SDC: Parks: 4; AC)12:72-
TIF Res.: i' - ___La l lt D
TIF MT: t. ilkOf '7)
Erosion Permit: 0 .00
Erosion CWS: 4) 2Q. Be
Erosion COT: 5 71D% 80
Water Quality:
Water Quantity:
SUB-TOTAL:
Sewer: Permit:
Inspection:
SUB-TOTAL:
TOTAL MST & SWR:
IABuilding\FonTIAR.esPlanCheckFees.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 1 • 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 ':_.: Zli 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 •
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 ( 10.00
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 1 1 16.60 Other: 10.00
Fuel Piping
Dishwasher r 16.60 * *($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 ( /() / ( Z 16.60 Subtotal: $
Tub /shower /shower pan ( 16.60 Minimum Permit Fee $72.50 $ '72 -
Urinal 16.60 Plan Review Fee (25% of Permit Fee) $
Water closet 1 16.60 State Surcharge (12% of Permit Fee) $ 70
Water heater f 16.60 TOTAL PERMIT FEE $ 4 ,
Other: •
Other: ELECTRICAL FEES
... . •Plumbing Perniit•Fees (residential single - or multi- family)
Subtotal $ 7oeiCt.2.' Description Qty. Fee Total Insp
Minimum Permit Fee $72.50 $
1,000 sq. ft. or less 145.15 145 5 - 4
Plan Review (25% of Permit Fee) $ Ea. add'l 500 sq. ft. or portion (,
33.40 _ • (4 1
State Surcharge (12% of Permit Fee) $ 2-'1 , r Limited energy, residential ( 75.00 "75:00 2
TOTAL PERMIT FEE $ '2 'o , Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Electrical Permit Fees • •
Subtotal: $ Z( ( , 9rj
Plan review (25% of permit fee) $
. State surcharge (12% of permit fee) $ 05
TOTAL PERMIT FEE $ Z - 37, p
LimiTeb 7�,cam
I:\ Building \Forms \ResPlanCheckFces.doc 01/19/07 ( Z 1 . C: Page 2
DATE: PLANS CHECK NO.:
I 2- 3 i ? Daj °eel
PROJECT TITLE:
4,i79FF 6/17eb`if/A601--/ S .
COUNTYWIDE
TRAFFIC IMPACT FEE . NT. c
WORKSFIEET M , " ADDR S v
(FOR NON -SINGLE FAMILY USES) - 3
stit5p0Hisca i _ z-
RATE PER TAX MAP NO
AND USE CATEGORY TRIP ` 0 /400 15 l(pod �70 �7
SITUS NO. ADDRES
V RESIDENTIAL • $339.00 /O �% 9034c S�/ �'' ��
BUSINESS AND COMMERCIAL $85.00
OFFICE $312.00
INDUSTRIAL $327.00
INSTITUTIONAL $141.00
PAYMENT METHOD:
CASH /CHECK . -
CREDIT INSTITUTIONAL ONLY:
BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY DES TI OF WEEKDAY AVG. T IP WEEKEND- Ay Gj. IP
DEFER TO OCCUPANCY a 7 US S I RATE SOt /L I RATE /
BASIS: /5 O 'f, %_ CO'V�O ZE 2 ' )-- y
•
CALCULATIONS:Q / 7J . f / . X 5T E3 4 .2 5 Z —72
—
2h/Z,n / 3 9 60 =/ 2 038' �°2___
eikr' 12,03 a =;1 // 9 D J PROJECT TRIP GENERATION:
t. oSc2 =-y3 =2, /A • / 2 2—
7 0 try- -.J3 / V. / C, 0
FOR ACCOUNTING PURPOSES
• ONLY
ADDITIONAL NOTES: / • •
Co HP LE �' 3 x''S// � - /p ''7.00 ON Jr: % ccirc ix L
L.Is5 ZPi - 5; z /S ,/ . v c7 � ` 1 • / '01g-14765.0-o
7r/ v2, �1. 00 / D .7v T$ NSIT T.:
g °r 1° � , o ho • 0.0 i)� �� - 4 0/ .q 2_ n ifty PREPARED BY:
June 30, 2008 Worksheet 08.09.doc '7
CC: WASHINGTON COUNTY TIF NOTEBOOK
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9378 SW MANDAMUS CT, US
Building/Res/Master Permit/NA
299 Final inspection
2013-11-21 (null)
MST2008-00166
PASS - C of O
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9378 SW MANDAMUS CT, US
Building/Res/Master Permit/NA
199 Electrical final
2013-11-21 11:23:00
MST2008-00166
PASS
Violation Summary:
Inspector Contractor