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Permit ' EXPIRED 3 /s /� Building Permit Application FOR OFFICE USE ONLY City of Tigard Received 0 0 I p :: �` i t g 13125 SW Hall Blvd., Tigard, OR 9722 9 r- t J DateBy. IIII Plan Review Phone: 503.639.4171 Fax: 503.598. '� , E t � � .,' DateBy Other Pe .i„ - ,, , .. O inspection Line: 503.639 4175 A I Date Ready/By: 1ul„„ 0 See Attached Checklist for Internet: www.ci.tigard.or.us 1401 y 7 21 ( Notified/Method: Supplemental Information - - • • T Yieloli IGARP REQUIRED DATA: llzlt 1- "AND.2- FA11'IILY DWELLING • kg N p ®IVIgI ew construction BU1L emolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration / replacement 0 Other: O� 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: S + 20, (pgSi ❑ Accessory building 1st Multi - family Number of bedrooms: Z 1=1 Master builder ❑ Other: Number of bathrooms: 2.6 • JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: Long $(/v /1j( -j4 -rm..12A c_ New dwelling area: 1 "jc9 7 square feet City/State /ZIP: c__A a•D 91 223 Garage/carport area: Z7'5 square feet Suit dg. .3, t. no.: Project name: QA S I2e61 - -FOU)MN 01A6S Covered porch area: / ( square feet Cross s reet/directions to job site: Deck area: 9 square feet 51/4 9041- Ave . Other structure area: square feet Vt N _Tr 7 ,,e, . A REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: 1 S 1 3SAAo3 S'Gb d- 039 D 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. Valuation: S 4701 1-)C :fl o ?.1 L ti IT 35 - -.- • 'ti -1e12G MU- - 4(p L(PI (TS t Existing building area: square feet New building area: square feet 10 PROPERTY OWNER 0 TENANT. - Number of stories: Name: OAK S gr -r JSl -foMLs , Lit_ Type of construction: Address: ( 'L(p'7 0 5.A/ (0E AA/ , S1.40o Occupancy groups: City/State/ZIP: -n &A-Y -b , c 4'7 223 Existing: Phone: ( 5 c3) Co3 t ' 310,4 Fax: (5o.3) 8 •9O I New: rg APPLICANT . ❑ CONTACT PERSON NOTICE Business name: (m C 1- maize /Q i N (11/4.16, 1 NG. All contractors and subcontractors are required to be Contact name: D� GGr'7�►21C Gk O� /Vl�1t�1 S-� 1K; licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 9 -72 5 5v�) 'bekvE(Z -rO H1 LLS"1p .e f-t& y, 31 - e - .240E jurisdiction in which work is being performed. If the ~� ��OIJ r OR 9 ' 7 applicant is exempt from licensing, the following reasons City/ State/ZIP: apply: Phone: (503) (4'.I :(G(p I Fax: : (503) (0e14 -1(4,9 E -mail: d (9@ 1 y d ,i (t e-c Gow - _ • ,.. ,.., •CONTRACTOR ' _ ... . -..._ -.... • Business Oak Street Townitomes LLC — _ B UILDING PERMIT FEES* • Address: 12670 SW 68th Ave Ste 400 — Please refer to fee schedule. City /State Tigard OR 97223 Phone: P: 503 -639 -3104 F: 503 -598 -9081 — Fees due upon application CCB: 169524 - Amount received -. lie.: t— , ... I z i Date received: Authorized signature: r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: DA-Ni to p n--1 Date: (._ .23 .0c,,, * Fee methodology set by Tri-County Building Industry Service Board. i :' Buil ding \Permits\BUP "PermitApp.doc 12/03 440- 4613T( I I/02/COM/WEB) . , • Mechanical Permit Ap_plication ., . • ': :--• '.. :'.-, ,‘ FOR OFFICE Uk ONLY.1:,:: '', '''',-.' ' ': . :. ' •• • - •:•"- City of Tigard 1 tm.+:,..d I j o.,..,•B y . .-- ,--..., 13125 SW :hill Blvd . Tigard, OR `,•722:' t' , i ., j a . e. Review .,(;,,.;"' Pho:le. 5(11 63 4 171 F.-i. 503 5":•: 1% , 0 inspection Line. 503. :52';•.4 175 1 . : 1.).:::: It I law E3 See tae 2 for "crnet. ttiVW..::.1.1!.:Iird.U1 US V 1 ell 2006 Nol.fierl Nic:liod: Supplementai Information . „ TYPE OF WORK 1 i COMMERCIAL FEE* SCHEDULE - USE CIIECIaIST • ; I Mechanical permit fees* are based on the value oldie work rE \W construction 0 Additialterationireplaccntent I performed. Indicate the value (rounded to the nearest dollar) of all 0 Detnoi i: ion 0 other. I mechanical materials, equipment. labor. overhead. and pmfit. I ,...: 1.- '1'2.. .'..::: ;.... .. - , Of, 'CONSTRUCTION '‘':: ,.... • ' '.- :: .'.._ . ,.. - _ Value: S . . . ... .... _. _ . . . v • '.. RESIDENTIAL EQUI.P.NIENT / SYSTEMS FEES1 r 0 1- and 2-family dwelling 0 Commercial /industrial CI Accessory building Fo"specia/ information use checklist. LYI Multi-family 0 Master builder 0 Other Description I Qty. I Ea. I Total . • . .r . ' • ' .- ' JOB 1 isroRmsrio.N.x.sp:L2.c.‘310;■■ . - .... . -• fleatine/cooling • • -r I Air condig or heat puinp Job site address: s: [0408 4) i ke_iL/11/4,1 e*"0eale.,ACE I (irouires siie tioninho plan swin • ntantruein) I ( I 1 1 - i 1 City/StatefZIP: .. o 9/223 Furnace 100.000 + BTU U (deers/vents) 1 I I 14.00 - Tiffnace 100.000 BT (chic:s'vents) I I 17.90 ; • 1 Suiteibldg.iapt. no.: Project name:OAK. S112-1 -rtz.,10-ppiv, heat „ 1 14.00 • I Cross street/directions to job site: Duct work I 14.00 I I Uvdronic hot water system I 14.00 I I SW otcp - AvE- - 1 Residential boiler (radiator or I 1 I I hvdronic) 14.00 Unit heaters (rud-type, not electric). in-wall, in-duct, suspended. etc. I I 10.00 Flue/vent for any of above I t I 10.00 I 10 - 1 Subdivision: I Lot no.: I Other. I I 10.00 Tax map'pareel no.: (51 .t -i-- 15 [35 AkA a390( Other fuel appliances . . . ' '. • ' ' ",..---:' ". DESCRIPTION .9F, .W.01.1K • - - ..: , Water heater I f I 10.00 ID - I Gas fireplace 1 f l 10.00 I 0 - C 5"T LI.C110&S O WI IT 35 Flue vent for water heater or gas I firenlace 1 2- I 10.00 20- 100-45: IJJIL-.L & -1 Uri tTS -- TVVI-L . Log lig (gas) 1 I 10.00 i I Wood/pellet stove I 10.00 • . ."-• 0 PROPERTY =Oil.`NER 1 - • • • :' 0 Ti."ti 1.NT -. • I . Wood fireplace/insert t Chi:rmey/liner/flue.lvent - I Other. I I 1 10.00 10.00 J io.00 1 1 I I Name: oArg ST32.seT - rcbtlikli-io was i-L.c.. I Environmental elhatist and ventilation Range hood/other kitchen Address: (2...( 3W (c-8' Atie- , Sta.. "- equipment I 10.00 1 I CityiSmterar: - & A-12../) , 0;2 9 -pi-3 • Clothes dryer e.shaust I [ I 10.00 10 - - Single-duct exhaust (bathrooms, Phone: (5e23. ) (0:39 . 5] 0.4 I Fax: (I.1 ) 59 g .9 ogl toilet comnartment.s. utility rooms) I 3 I 6.80 I 2t). 40 i)PI.Jc.iN:r.. , • - I''•- .' ', ..- F.ERSON --• ' ' Attiderawlspace fans I 1 moo Other I I 10.00 Business name: :. Aiv-% 44 rrese.oluE /PLAKIA in! 6 , P.SC . Fuel piping Contact name: DAN Gcci ort Mom I ott S-n2-c-eer_ I S5.40 for (h-st four: S1.00 for each additional Furnace, etc. I I 5401 .4O Address:. 5 Sw P."E". - H itzsDAtz. i_k Lby , ST. ?_.to-E. Gas heat pump I I City/State/ZIP: E;e*vE5erlD"S , c74& 9 Wall/sus-pr.:nth-4/unit heater Phone: ( fj"3) Co-i4 . 1 I Fax: : (5t;t3) ( :-/C4;(4,9 Water heater I 1• .40 1 Fireplace 1 E-mail: c:/ I (3 01 Ccn Ctr C..k . C L7) Iv-1 Range. t 15 40 540 (' VI , . '.-.. , ...:CTil..A.c.i."01t', ? =t - ....: : :;:.]: ; ''....;: . ;•.!f.,:. : . - .::,.- '..- . - • . Barbecue . Clothes dryer (gas) Business n Thermal Flo Inc ollicr. 1 Address: 7236 SW DurIlanl Rd Ste 100 f;: - .• .. •••". PLRINIIT FEES' - - - . . . . . . , . . • . . L City/State' Portland OR 97224 Subtotal P: 503-670-8343 F: 503-620-1953 Minimuin permit fee (S72.50) me: ( CCB: 151847 I Plan review (25% of permit fee) -. I CCB lie • I I State suitharge (8% of pannit fee) I 1 (gii TOTAL PERMIT FEE I This permit applicmiun expires if a permit iS nut utnnined nithin 150 Authorized si..ature: I/ / data after it has bees nencpted as complete. I Print name: DA-Ni Deick-4 I Data: O •2 ,-3 . r .,1 _ • Fu Incthminlory tan by 1 ti-County BuiLitnu industry Service Board "a"-., I %Bundle; Nrmin MIT-PcmitArp (be 121) 44046 ITT , 1 Ift4ICC. )%1VE111 Plumbing Permit Appleation , FOR OFFICE USE ONLY City of Tigard 2006 Received By. Perms fi1,`/t'i -C9 3� Date/By. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review It t• - r ' -> r -- -'■ Phone: 503.639.4171 Fax: 503.598.1960 D i• Date/By: - • , C t ,� Other Permit No.: 24- Hour Inspection Line. 503.639 4175 e!/ I Date Ready /By: runs H See Page 2 for Internet: www.ci.ttgard.or.us Notified /Method: Supplemental Information TYPE OF V1'ORK = FEE* .SCHEDULE - CZ 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 249.20 ❑ 1- and 2- family dwelling ❑ CommerciaUindustrial SFR (2) bath 350.00 ❑ Accessory building igl 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: i 0403 5,A1 AV..-11--VAN Catch basin or area drain 16.60 City/State/ZIP: --ric,,eti2D, DA 91 Z23 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Cork $(KEG 'Ow hl l- 1(2Mti`S Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 ,5 w g IQ / Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: ) I Page 2 Fixture or item Tax map /parcel no.: I S 135AA D3 3.00 d- 15135A1-o d 9 I Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 - COM 't12uc1I00 DV un(T 35 • Backwater valve 16.60 11-1 6V-E. WILL l i 4(p WI i 1 tr L • ▪ Clothes washer 16.60 1 Co , ( Dishwasher I 16.60 I(0 . (oC Drinking fountain 16.60 N. PROPERTY OWNER ❑ TENANT Ejectors /sump 16.60 Name: £Ase_ S Z 1 - NN OMES , L-L -L- Expansion tank 16.60 Address: 1 2-( D 5W (pert'1" A 1 1 , 3(i..( T E 400 Fixture/sewer cap 16.60 City/State /ZIP: -t'1 G Art2D , p12 91 Z23 Floor drain/floor sink/hub 16.60 Phone: (9p3) (039. 510 Fax: (Cj 5Iy , 9 pg I Garbage disposal I 16.60 I Co. (p Q ICI APPLICANT ❑ CONTACT PERSON Hose bib 2 16.60 33. ? D Ice maker 16.60 Business name: I L' o1J ,ca c -1 rr Crtit2. . / PLC} N 0IA1G r OJC . Interceptor /grease trap 16.60 Contact name: D C t) t » Z t Ci- D K MpmICA MUG. y2 Medical gas (value: $ ) Page 2 Address: 9115 SW aeAve12it l 4- (tuS'DAt Huy , siElioE Primer 16.60 City/State /ZIP: ref.. vebe r j r ail gloo5 Roof drain (commercial) 16.60 03 ( 014 . 1(p�pl G r s) & �� Sink/bSink/basal/lavatory 16.60 (do. 40 Phone: ( ) i Fax: ( /' Tub /shower /shower pan 2 16.60 33.20 E -mail: d 19 0 'I O a rC_l r -I• +. Cowr Urinal 16.60 J CONTRACTOR Water closet 2,5 16.60 " /.5Q Busine The Mullen Company Water heater I 16.60 f(o. Addres 1601 SE River Rd Other. City/St Hillsboro OR 97123 Subtotal P : 503-640-0113 Minimum permit fee: $72.50 Phone: Residential backflow minimum permit fee. $36.25 CCB Li CCB: 92689 PLM: 34 -260PB Plan review (25% of permit fee) I t - r State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: SAN G 00 -1 Date: c 23.Oco 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.\Buildmg\Perm,a\PLM- PermitApp doe 06/05 440- 4616T(10 /02 /COM/VEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Da By. Permit No e 3 Dat [y��,i�^°° 13125 SW Hall Blvd., Tigard, OR 97223 .., f I Date/By: ILC� : - a. . - , Plan Review Phone: 503 639.4171 Fax: 503.598.1960 r. _ , 29 00° i Other Perm Inspection Line 503.639.4175 .' e'. Date Ready /By: runs El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method. Supplemental Information • • • TYPE OFrWORK "• ,. PI AN REVIEW E New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑ Other • ❑Service over 225 amps, comm'l ❑ Hazardous location ❑ Service over 320 amps - rating CgaBuildng over 10,000 sq. ft., " - CATEGORY OF CONSTRUCTION ' - - of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure VI, Multi- family ❑Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons 0 Manufactured structures or . JOB SITE INFORMATION AND LOCATION . . ❑Egress/lighting plan RV park �(L(LI� ❑Health -care facility ['Other. no.: Job site address: I OlDy SW QR,ACE Submit 2 sets of plans with any of the above. City/State/ZIP: -('(6 pi , C5JQ 9 223 The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg. /apt. no.: Project name: OAK SCJZ TTCWNt1OL(Eg Description Qty. Fee I Total •` Cross street/directions to job site: New residential single- or multi - family dwelling unit. Q Includes attached garage. SV I O' A . 1,000 sq. ft. or less I ( 145.15 I4 . J C j 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: (S 135�A - 03800 4 - I S 135.61-A01901 Limited energy, residential ( 75.00 X5.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90.90 2 Co N161/2 EX CM OF w'1 K 35 _ Services or feeders installation, alteration, and/or relocation '4(.o Vi ITS 1a-rAL 200 amps or less I 80.30 $0.30 2 • R PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: OM' 5 Meer -lvL I-I OM ES , LL-C- 601 amps to 1,000 amps 240.60 2 kddress: I2—(p'1 Q sW (p8` - Pr e- t Sr e . 400 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/ State/ZIP: •11 fl D OQ 912.1.....s Temporary services or feeders installation, alteration, and/or relocation Phone: ( 03 ) (039 • 31 44 Fax: ( o3) 59 & clog ( 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 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel - 0, APPLICANT. I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 ( ( 2 Business name: 1 C-e:w4 A1& u 1'E� - M..� / (�[./•� Na IA G (NC . branch circuit B. Fee for branch circuits Contact name: M p,,(1 c 5-f ..-eyL Cj i 'CAN Gam D Q C1-( without service or feeder fee, Address: c n first branch circuit 46.85 2 V ON H 1U- 'KI�y , x • 2 106, Each add'I branch circuit 6.65 2 City/State/ZIP: (?jr�l 1 y2 t ►J , c1/Z 9')5 Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (o3 (9} 4 ,7 ('( I Fax: : 6o3) ('44 7 Sign or outline lighting 53.40 2 E -mail: p11 p (, ) c. .- a•rc t-f -CI' .wry) Signal circuit(s) or limited- ' , ' , - ,:,. CONTRACTOR .• energy panel, alteration or extension. Describe: Page 2 2 Business r Ross Electric Inc Address: 2870 SE 75th Ave #203 Each additional inspection over allowable in any of the above Hillsboro OR 97123 Per inspection 62.50 City/State Investigation per hour (1 hr min) 62.50 P: 503- 642 -2800 F: 503- 642 -5815 Industnalplantperhour 73.75 Phone:( CCB: 157891 ELC: 34 -436C SUP: 4232S . ELECTRICAL PERMIT- FEES* . • ' . CCB Lie.: I Electrical Lie.: I Suprv. Lie.: Subtotal 'uprv. Electrician signature, re uired: Plan review (25% of permit fee) State surcharge (8% of permit fee) Print name: Date: TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 f days after it has been accepted as complete Print name: -D AI, Go Drz1 ` Date: ( 0(0 • Fee methodology set by Tn -County Building Industry Service Board � O Number of inspections per permit allowed. i .\Building\Permns1ELC- PesmitApp doe 12/03 440- 4615T(10 /02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL, = V�.O ONLY,: � '�" : ^_ Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm [Z Garage Door Opener* 14 Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: CU vuviERCIAL WORK ONLY: j Fee for each commercial system $75.00 • (SEE OAR 918 - 260 -260) 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\Pemit.\E.C- PermitApp doe 04/03 Plumbing Permit Application - City of Tigard ' • • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities - Qty - F eeea ) Total S •- Permit Fee, _ =- = - - Footing drain - 1' 100' 55.00 0 to 2,000 $115.00 _ Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 I S220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture,or feni ° .Qn'j-'' Fe - 'Total additional $10O.00or fraction thereof, toand including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $3625) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and S1._' 0 for each additional $100.00 or fraction thereof. Fixture Work: • - - Plan Review f :Co S truct u res - Are you capping, adding or replacing futures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report futures could result in increased sewer fees *. Please check all that apply. Quantity by (Fixture) Wo'rklerforined• ❑ Any new commercial building. Fixture Type:` Replace ❑ Any new exterior plumbing site utilities. - - • • • . .. Previous Capped . Added Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities • - Jacuzzi/Whirlpool providing services to human beings. Car Wash -Each Stall ❑ Plumbing installations, alterations or additions to food service -Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwasher - Commercial Et Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain ❑ Any NFPA I3 -D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink - 2" Submit 2 sets of plans with any of the above. -3" Car Wash Drain Isometr.3c :orR11ser Diagram Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice MachiRefrig. Drains • Oil Separator (Gas Station) Comments regarding fixture `York: Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in Water Extractor Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued at. Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. r• 1Buildmg'Permits\PLM- PamitApp.doc 07/06/05 I Building Division One & Two-Family Dwelling IIGARD Fees Checklist Permit #: Al ST) 60 6 ,_ co 3 0 Plan #: OA x- -T- A Date: /' - A - 06 Site Address: 16 Li 08 ,s, j Mc , nn A.) 7-4,2p._ . Parcel #: Subdivision: OAK ST & f f 7 70v.),0 ilk m E S Lot #: -- Zoning: fA _ i Jurisdiction: Setbacks: Front Rear. Left Right Class of Work /WL, ) Stories: 3 First Floor: ,2' l/ fp Type of Use: F A Height 3 S" Second Floor: 5-s-I y , • Construction: 5-4 Floor Load: _5'0 ±-1 Third Floor Sq 1 Vt) Occupancy Group: g Dwelling Units: / Bonus Room: Valuation: ji 7 /- 7, Bedrooms: ? Total Floors: i3 9 t/ , Bathrooms: 3 _ _ _ _ _ Basement Decks: Q A M Garage: Porches: /1) Other Plan Check Building: 5 ? 90. 25r) f ) 0 1 10 . 0 7 Extra Set: Permit: Building it.l. 5 Tax: 7 i - t -10 7/ LI 0 Metro CET: A.,/ .90 I PI e 0 Mechanical: Tax: 756 7 S0 Plumbing: On. oo ,317 oo Tax: j 4 ) Electrical: Tax: Low Voltage: 7.5 00 J. co Tax: SDC: CDC LRP Fee: 4: . or, CDC Ping. Rev.: Parks: '10) cc' 113 ) 3 -PA TIF Res.: TIF MT: Erosion Permit Cy _ (-)O Erosion CWS: Erosion COT: 90 -9(.1' ) 0 ci0 Water Quality: - — Water Quantity: — — SUB-TOTAL 9 e, ,,) CO ..';"0 r 0 9 2 )0 KO Sewer: Permit: )7 or) rp )7 CX7 - Inspection: - 3 5 . co 5 - SUB-TOTAL is 7 ?5 . 0,7 2 73 S oo TOTAL MST & SWR /.2 , i -. 4',-, i - -, , ?f- 9(1 4 n I \BuildingTonns■ResPlanCheckFees doc 06/29/06 Page I PLUMBING FEES (for special information use checklist) MECHANICAL FEES ( residential ui men ) Description I Qty. I Yee(ea.) I Total Description J Qty I Fee(ea.) I Total New l - ii. : , Heating/Conlin . .. • ' : fh rela 1-44 ea lee R. for ea uWlt i inneetisal : . ' - ' °- ` Mr conditioning or heat pump' / 14.00 / q - SFR (I) bath 249.20 Furnace 100,000 BTU (ducts/vents) / 14.00 /1/ SFR (2) bath 350.00 Furnace 100,000+ BTU (ducts/vents) 17.90 SFR (3) bath I 399.00 3 ' . a ' Gas heat pump 14.00 Each additional bathhitdten 45.00 " Duct wait 14.00 • Rain Drain, single Tamil dwelling 65.25 Hydronic hot water system 14.00 Fire sprinkler - sq. R 0 to 2,000 115.00 Residential boiler Fire sprinkler - sq. R. 2,001 to 3,600 160.00 (for radiator or hydronic system) 14.00 Fire sprinkler - sq. R. 3,601 to 7,200 220.00 Unit heaters (fuel, not electric) Fire sprinkler - sq. R. 7,200 and greater 309.00 _ (in wall, in -duct, suspended, etc.) 14.00 . . , • s - - , gIM =Mar 4tsetellir,cit;•:;".k.!::: t Flue/vent (for any of above) 10.00 Catch basin/area drain 16.60 Repair units 12.15 Dowell/leach line/trends drain 16.60 • • .- - . Other Frd Appliances • _ • Foodng drain - 1 55.00 Water heater ! 10.00 / D Footing drain - each additional 100' / 46.40 Gas / 10.00 r1 Manufactured home utilities 110.00 Flue vent tamer heats /gas fireplace) 10.00 Manholes 16.60 Log Hilda (gas) 10.00 Rain drain connector 16.60 Wooc Bove 10.00 Sanitary sewn -1' 100' / 55.00 Wood stow 10.00 Sanitary sewer - each additional 100' 46.40 Other yAioed>)udvermt 10.00 O Storm sews - 1" 100' 1 55.00 tba 10.00 tfaviaesad la'slatat & Ventilation Storm sewer - each additions! 100' 46.40 Range hood /other kitchen equipment - / - 10.00 - V Water service - I ° 100' I 55.00 Water service - each additional 100' 46.40 Clothes doer exhaust / 10.00 d- `-M- Oe":0• 714 4. Nature sr item .• ;•a: .._..c:,i-. : Single duct exhaust Absorption valve 16.60 (bathrooms, toilet compartments, Bad�ow preventer 27.55 _utility rooms) 3 6.80 ___4 i Backwater valve 16.60 Attic/aawl space fans 10.00 Clothes washer 1 16.60 Other 10.00 Dishwasher ! 16.60 •• Feel !Wm , • Drinking fountain 16.60 F (u for first 4, SLIM end additional) � / •• Ejoctors/sump 16.60 Gas heat pump • • Expansion tank 16.60 Wall/suspended/unit heater • • Fuxt re/sewa cap 16.60 Water heater / • • Floor drain/floor sinklhub 16.60 Fireplace / • • Garbage disposal I 16.60 Range • • Hose bb 4 16.60 BBQ •• Ice maker I 16.60 Clothes dryer (gas) • • Interceptor /grease trap 16.60 Other • • l Prima 16.60 Total: !-/ - `/ O Roof drain (commercial) 16.60 Meehan al Permit Few Sink/basin/lavatory 1 70/3 k/ 16.60 Subtotal: S Cj " O Tub/shower/shower pan / 1 � 16.60 Minimum Permit Foe $72.50 S Urinal 16.60 Plan Review Fee (25% of Permit Fee) S Water closet 3 16.60 State Surcharge (8% of Permit Fee) S . 2 • cC.) Water heater / - 16.60 TOTAL PERMIT FEE _ $ Other. Other ELECTRICAL FEES (residential single- or multi - family) . .... _• Plaebing Permit Fars -.... _ .. ... - �eri�m Qty. Fee Total Imp - S 39Y 40 1,000 sq. R. or less / 145.15 4 Minimum Permit Fee 572.50 5 Plan Review (25% of Permit Fee) S add'I sq. R. a portion 33.40 1 Limited energy, residential 75.00 2 State Surcharge (8% of Permit Fee) S 31.5 D Each manufactured or modular TOTAL PERMIT FEE S dwelling, service and/or feeder 90.90 2 - ' Meadral Permit Fm Subtotal: S 1 1. Ci Plan review (25% of permit fee) $ State surcharge (8% of permit fee) $ /1. or z. TOTAL PERMIT FEE $ • I \ Building \Forms\ResPlanCheckFees.doc 06/29/06 Page 2