Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00304
T t G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/14/2012
Parcel: 1 S135ACO2500
Jurisdiction: Tigard
Site address: 9208 SW MANDAMUS CT
Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25
Project Description: New MF. Building 7 (6 units).
Contractor: JT SMITH COMPANIES Owner: J.T. SMITH CO
5285 MEADOWS RD, STE 171 5285 MEADOWS RD SUITE 171
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035
PHONE: 503 - 975 -7639 PHONE: 503 - 975 -7639
FAX: 503 - 684 -0102
FEES
Specifics: Description Date Amount
Type of Use: MF Range Hood /Other Kitchen 08/14/2012 $200.34
Class of Work: NEW Type of Const: Clothes Dryer Exhaust 08/14/2012 $200.34
Occupancy Grp: Occupancy Load: Single Duct Exhaust (Bathrooms, Toilet, 08/14/2012 $373.12
Utility Rooms)
Stories: 12% State Surcharge - Mechanical 08/14/2012 $92.86
Project Valuation: $0.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0-3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $866.66
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: fit. L—f -mil Permittee Signature: Ox) 4 PPU C DLi
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RE�"E I DDateBy ! o 77
uZ , - Permit No 164,20/2 ea20
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' Phone: 503.718.2439 Fax: 503.598.1 I Y 2 4 2 0 t 2 Date/By: Other Permittete�0/9 zfQQ
TIGARD Inspection Line: 503.639 Date Ready/By: kris 6:1 See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
T gtl CI DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
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
re "'°ir94Q mechanical materials, equipment, labor, overhead, and rofit.
❑ Demolition ❑Other: P
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
Pdwdliug— ❑ Commercial/industrial ❑ Accessory building For spedal Information use checklist.
Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
' JOB SITE INFORMATION AND LOCATION . Heating/cooling:
' Air conditioning
Job site address: 4 Z (,, 2 elzgo Q Z Z c j q 2lb Sw - , r, !- ,, (requires site plan showing placement) 46.75
d / t / / Q � fat)? p Furnace 100,000 BTU (ducts/vents) 46.75
City /Slat IP:
Tl J and , O '( 7 Z Z.3 / v a t) Q Furnace 100,000+ BTU (ducts/vents) 54.91
Suit Idg pt. no.: I Project name: 4 tow 4sh„- t./Z,'p a _ Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: J Duct work 23.32
/fw '2-1 7 (,/Cen 6v/' Act/ s L Reside is hot water system 23.32
((( h Residential boiler (radiator or
X e Zi 'T z0 8 $ w M� vS t � hydronic) 23.32
T / Unit heaters (fuel -type, not electric),
in -wall, in-duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
/ , Flue vent for water heater or gas
AL M A
. , , fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
121ROPERTV OWNER I .❑ ' TENANT .
Chimney/liner /flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
,� / A� Range hood/other kitchen
Address:
t�Z� /'7��C�` equipment 6 /- 33.39
u -le,
City/State /ZIP: Ge_ (�,,,, ,a4' Clothes dryer exhaust CP 33.39
Single -duct exhaust (bathrooms,
Phone: (5 '25: -6 5' Fax: ( /
) 6 — p/ 6L. toilet compartments, utility rooms) Iwo 23.32
❑ APPLICANT (C NTACT PERSON : . Attic /crawlspace fans I 49 23.32
� s m, , /Q 6 . Fuel 23.32
Business name: �f'!� Fuel piping:
j // P P g•
Contact name:
�/Idil• � �j y� C,rlPiy $14.15 for first four; $4.03 for each additional
Address: 52,8 ,,,�,s , Furnace, etc.
Gas heat pump
City /State/ZIP: Lai., c C5 U, J OAP `7 703 Wall/suspended/unit heater
Phone: ( 3j) 75 — '76 Fax: : (5e3) 6gy O /a, Water heater
- / Fireplace
E -mail: � / Y C- e J P S /?lire Ce , CdI .-t Range •
CONTRACTOR Barbecue
Business name: A Clothes dryer (gas)
Address:
4 , Other:
• MECHANICAL PERMIT FEES*
City/State/ZIP: / Subtotal
Minimum permit fee ($90.00)
Phone: ( ) F ( Plan review (25% of permit fee)
CCB lic.: Iir - State surcharge (12% of permit fee)
- � TOTAL PERMIT FEE e(p6, 64
Authorized signature: ' /a / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name ' ay( - es' /G7G�'1-' I Date: • Fee methodology set by Tri -County Building Industry Service Board
1:\ Building \Permits \MEC- PermitApp.doc 09 /09/10 440-4617T (11 /02/COM/WEB)
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7 COPY
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TIGARD
City of Tigard
INVOICE DATE: 06/06/2012
Project Name: Longstaff - Building 7
Fee Item Fee Amount Fees Paid Fees Due
Building Permit Fees: BUP2012 -00038
Permit Fee - RES - New Construction $ 3,271.04 $ - $ 3,271.04
12% State Surcharge Building $ 392.52 $ - $ 392.52
Plan Review $ 2,126.18 $ 2,075.85 $ 50.33
Plan Review - Fire Life Safety $ 1,308.42 $ 1,277.44 $ 30.98
Park - Multi Family Unit - Apartments & Condominiums $ 19,525.20 $ - $ 1_2
TDT - Transportation Development Tax $ 25,950.00 $ - $ C25.950 0" OCer
1
DC Provision Review, COM New - Bldg $ 129.00 $ - $ 129.00
DC Provision Review, COM New - Ping $ 129.00 $ - $ 129.00
DC Provision Review, COM New - LRP $ 38.00 $ - $ 38.00
Info Process /Archiving - Lg $2.00 (over 11x17) $ 64.00 $ - $ 64.00
Info Process /Archiving - Sm $0.50 (up to 11x17) $ 24.00 $ - $ 24.00
Erosion Control $ 184.00 $ - $ 184.00
Erosion Plan Review CWS $ 59.80 $ - $ 59.80
Erosion Plan Review COT $ 59.80 $ - $ 59.80
Metro Const. Excise Tax - Residential Use $ 785.74 $ - $ 785.74
Tig -Tual School CET - Residential $ 6,494.90 $ - $ 6,494.90
Total Building Permit Fees: $ 60,541.60 $ 3,353.29 $ 57,188.31
— a S95o.o - z
City Contact: Dianna Howse, Building Division Services Supervisor, 503 - 718 -2430
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard- or.gov
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TIGARD
INVOICE DATE: 06/06/2012 City of Tigard
Project Name: Longstaff - Building 7
Fee Item Fee Amount Fees Paid Fees Due
Mechancial Permit Fees: MEC2012 -00304
Range Hood /Other Kitchen $ 200.34 $ - $ 200.34
Clothes Dryer Exhaust $ 200.34 $ - $ 200.34
Single Duct Exhaust (Bathrooms, Toilet, Utility Rooms) $ 373.12 $ - $ 373.12
12% State Surcharge - Mechanical $ 92.86 $ - $ 92.86
Sub - Total: $ 866.66 $ - $ 866.66
Electrical Permit Fees: ELC2012 -00351
Electrical Permit $ 708.61 $ - $ 708.61
12% State Surcharge - Electrical $ 85.03 $ - $ 85.03
Sub - Total: $ 793.64 $ - $ 793.64
Plumbing Permit Fees: PLM2012 -00161
Sewer service $ 62.54 $ - $ 62.54
Storm and Rain Drain $ 62.54 $ - $ 62.54
Water Service $ 62.54 $ - $ 62.54
Clothes Washer $ 150.12 $ - $ 150.12
Dishwasher $ 150.12 $ - $ 150.12
Expansion Tank $ 12.51 $ - $ 12.51
Garbage Disposal $ 150.12 $ - $ 150.12
Hose Bib $ 50.04 $ - $ 50.04
Sink $ 150.12 $ - $ 150.12
Lavatories $ 350.28 $ - $ 350.28
Tub /Shower /Shower Pan $ 125.10 $ - • $ 125.10
Water Closet $ 250.20 $ - $ 250.20
Water Heater $ 225.12 $ - $ 225.12
12% State Surcharge - Plumbing $ 216.16 $ - $ 216.16
Sub - Total: $ 2,017.51 $ - $ 2,017.51
Sewer Connection Permit Fees: SWR2012 -00112
Sewer Connection Fee $ 27,000.00 $ - $ 27,000.00
Sewer Inspection - Commercial $ 45.00 $ - $ 45.00
Sub - Total: $ 27,045.00 $ - $ 27,045.00
Total Mechanical, Electrical, Plumbing & Sewer Fees : $ 30,722.81 $ - $ 30,722.81
City Contact: Dianna Howse, Building Division Services Supervisor, 503 - 718 -2430
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard- or.gov