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Permit
Building Permit Application RECEIV • vii SS T2 o ;• r to FOR OMfIC'E LSE O\l 1 City of Tigard DEC 19 2008 Received Permit No.: • 13125 S W Hall Blvd.,Tigard,OR 97223 _• I ,�:' .�• g Phone: 503.639.4171 Fax: 503.598.1960 CITY OF TIGAR,�" Other Permit mi•1 i•`.a i ,i \, ,, Inspection Line: 503.639.4175 RuIt f ING DIM ip,p�a Ready/By: See Page 2 or Internet: www.tigard-or.gov V1�+ �fied/Method: 1�� Supplemeotallnformstion TYPE OF WO' .t, [ REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction El 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 El Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. _ El I-and 2-family dwelling ❑Commercial/industrial Valuation: $ , 1 ,rJZ ❑Accessory building ®Multi-family Number of bedrooms: , ID Master builder El Other: Number of bathrooms: 1 MMIIMJOB SITE INFORMATION AND LOCATION Total number of floors: v Job site address:9362 SW Mandamus Court New dwelling area: 83, square feet City/Sta ZIP:Tigard,Oregon 97223 Garage/carport area: 20 square feet Suit 1dg apt.no.: I Project name:Longstaff Covered porch area: square feet Cross street/directions to job site:SW 95n Avenue and SW Shady Lane Deck area: 45?j square feet UV IT TY 1=E- A Other structure area: square feet 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 WO' 4 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 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 ❑ CONTACT PERS. 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 I Fax::(503)620-9965 E-mail:RLightner @RCMHomes.net Business name:Longstaff LLC Address:7050 SW Clinton Street Structural plan review fee(or deposit): City/State/ZIP:Tigard,Oregon 97223 Phone:(503)598-7565 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 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\Pem its\BUP-COM PermitApp.doc 2/23/07 440-46131(11/02/COM/WEB) Plumbing Permit Application Ili Zoo : .a S , Building Fixtures RECEIVED ,(Hz 0111( 1 1 til ()N1 1 City of Tigard Received �+, 114 in E C 2008 Date/By: ► • i ` ♦ Permit No.: 11� •i -CS i LA - r 00 . - EP • 1 -7 Mechanical Permit Applicat i CEIVE 1 FOR OFFICE csi;O\l.\ IN City of Tigard /B� - _ Permit No.. �� •� G•13125 SW Hall Blvd.,Tigard,OR 97223 v Phone: 503.639.4171 Fax: 503.598.1960 DEC 1 2008 Plan Review rew 2.' • 4 Other Perini• i i, is 1i Inspection Line: 503.639.4175 CITY OF TIGARD ��Ready/By: Jurist ® See Page 2 for w Internet: ww.tigard or.gov Notified/Method: T l C� Supplemental Information ZI a nl't(;1)IVISI© ®New construction ❑Addition/alteration/replacement Mechanical permit foes*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. Value:$ ❑ 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 Heating/cooling Air conditioning or heat pump Job site address:9362 SW Mandamus (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.:B4-16 I Project name:Longstaff Gas heat pump 14.00 Cross street/directions to job site:SW 95th 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 I Lot no.: Flue/vent for any of above 6.80 Other: 10.00 Tax map/parcel no.: Other fuel appliances Water heater 10.00 Gas fireplace 10.00 Condominium Mecanical Ventilation Flue vent for r water heater or gas fireplace 10.00 Log lighter(gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 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 ( 10.00 . Phone: 503 598-7565 Fax: 503 620-9965 toilet compartments,(bathrooms, ( ) ( ) partments,utility rooms) � 6.80 Attic/crawlspace fans 10.00 Other: _ Business name:Longstaff LLC Fuel piping Contact name:Ron Lightgner $5.40 for first four;$1.00 for each additional Furnace,etc. Address:7050 SW Clinton . Gas heat pump City/State/ZIP:Tigard,Oregon 97223 Wall/suspended/unit heater , Phone:(503)598-7565 I Fax::(503)620-9965 Water heater • Fireplace . E-mail:RLighter @RCMHomes.net Range . Barbecue •regon Comfort Heating Clothes dryer(gas) PO Box 190 Other: Eagle Creek OR 97022 Subtotal Ph: 503-655-0221, F: 503-650-2933 Minimum permit fee($72.50) 72,56 CCB: 42519 Plan review(25%of permit fee) CLts tic.: -- - -- • State surcharge(12%of permit fee) 6.-70 TOTAL PERMIT FEE _evj.' Q 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'Perntits)MEC-PermitApp.doc 01/19/07 440-4617T(11/02/COM/WEB) IV i 04, 8 •00' •7 Electrical Permit Applicatio EIVE ' I OR 01 I I( I 111 (►M1 1 Received City of Tigard ECj Date/B : 2 • Permit No.: A. +• • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie Phone: 503.639.4171 Fax: 503.598.1960 D E C 1 Q: 2008 Date/By: Other Permit: C Ye2e e. 'R 1 1 1,, \1:I 1 Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: 7 I C Supplemental Information ®New construction ❑Addition/alteratio replacement Please check all that apply(submit 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. 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 ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","1-2","1-3", Job no.: Job site address:9362 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.:B4-16 I Project name:Longstaff ❑Service or feeder 600 amps or more. Cross street/directions to job site:SW 95th Avenue&Shady Lane Description Qty. Fee. Total • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Longstaff I Lot no.: 1,000 sq.ft.or less ( 145.15 ( .1 4 Tax map/parcel no.: L�ed end energy, s or portion ( 33.40 -35. i ergy,residential 1 75.00 '75, 2 (with above sq.ft.) Limited energy,multi-family Condominium Electrical, Phone Low Voltage Ph &CATV 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 MEI ❑ 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 I 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 above service or feeder fee, 6.65 2 _ each branch circuit Business name:Longstaff LLC B.Fee for branch circuits without service or feeder fee, 46.85 2 Contact name:Ron Lightner first branch circuit Address:7050 SW Clinton Each add'l 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 I Fax::(503)620-9965 Reconnect only 66.85 2 E-mail:RLightner @RCMHomes.net Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 VMS r lectric Signal circuit(s)or limited- ' 8504 SE Stark energy panel,alteration,or extension.Describe: Paget 2 . Portland OR 97216 CCB: 118073, ELC: 37-742C, Sup: 4542S Each additional inspection over allowable in any of the above Per inspection 62.50 Investigation per hour(1 hr min) 62.50 CCB Lic.i I Electrical Lie.: I auprv.L.ic.: Industrial plant per hour 73.75 Suprv. Electrician signature,required: Subtotal: G'5Sj• Plan review(25%of permit fee): Print name: Date: State surcharge(12%of permit fee): .4.' Authorized signature: TOTAL PERMIT FEE: 78-3. l 8 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:\Building\Pmnus\ELC-PermitApp.doc 05/23/06 440.4615T(1 I/OS/COM/WEB A. thNf lig ■ II Building Division One & Two-Family Dwelling T l G A R U Fees Checklist PERMIT INFORMATION: Permit#: 14 r20^8-Q©1 J Plan #: n- Date: t IG' (Cj Site Address: ' 'w /,A:c, S Parcel#: Subdivision: LIS -a- 5 Th-FF CDtO tz 11 h 11.110 S Lot#: Zoning: Jurisdiction: Setbacks: Front: Rear: Left: Right: Class of Work: t0 Stories: 2. First Floor: Type of Use: 12,&:-'S Height: 'OS/ Second Floor: Construction: , g Floor Load: 6-, Third Floor: Occupancy Group: 1R-Z Dwelling Units: I Total Floors: e- -3k.. - Valuation: *8-5)4, 5-:&7iBedrooms: I Basement:: Beaverton CET: Bathrooms: I Garage: 2J7 Tig-Tual CET: 4CE3 c S�Decks: , Other: TVFR: Porches: Geo/Grading: FEES: Description: Fee Amount Amount Paid: Balance Due., Plan Check: Building: Extra Set: Permit: Building: 7O •Zk Tax: "" 87. Metro CET: ' School CET: e33,c_. Mechanical 4" -T2 . r, Tax: 2cc 6, 7O Plumbing: -4t4411.'2 ' Tax: 2.9 C) Electrical: F V7 p,,,5� Tax: 1' ( . Low Voltage: 4, ?,j, C Tax: IV 61 . 00 CDC: CDC Ping. Rev.: * *.CD CDCLRPFee: 4 CD .CO SDC: Parks: 4 40 ra:72 TIF Res.: < (-7-�1 0 +16) TIF MT: `( (4G .70 Erosion Permit: 157 i(Dr CO Erosion CWS: 4 t"?. ,CO Erosion COT: 'f 13• CO Water Quality: Water Quantity: _ SUB-TOTAL: Sewer: Permit: Inspection: SUB-TOTAL: TOTAL MST & SWR: L\Building\Fomu\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.el,20 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 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;00 Manholes 16.60 Wood/Pellet stove 10.00 Rain drain connector 16.60 Wood fireplace/insert 10.00 Sanitary sewer- I 100' 55.00 Chimney/liner/flue/vent 10.00 Sanitary sewer-each additional 100' 46.40 Other: 10.00 Storm sewer- l' 100' 55.00 Environmental Exhaust&Ventilation _ Storm sewer-each additional 100' 46.40 Range hood/other kitchen i Water service- l"100' 55.00 g equipment 10.00 l Opp Clothes dryer exhaust 10.00 `r� Water service-each additional 100' 46.40 f l Fixture or Item Single duct exhaust Absorption valve 16.60 (bathrooms,toilet compartments, t Backflow preventer 27.55 utility rooms) 2 6.80 I.3r 1 Backwater valve 16.60 Attic/crawl space fans 10.00 Clothes washer 1 16.60 Other: 10.00 Dishwasher 1 16.60 Fuel Piping Drinking fountain 16.60 **($5.40 for first 4,51.00 each additional) 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 i 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/QA 'Z 16.60 Subtotal: $ Tub/shower/shower pan 1 16.60 Minimum Permit Fee$72.50 $ `-r2 .5-0 Urinal 16.60 Plan Review Fee(25%of Permit Fee) $ Water closet 16.60 State Surcharge(12%of Permit Fee) $ 1 ?C..) Water heater 16.60 TOTAL PERMIT FEE $ ,2O Other: Other: ELECTRICAL FEES new residential)Permit Fees ( ) Subtotal $ Z/1 .2C', -Description Qty. Fee Total Insp Minimum Permit Fee$72.50 $ 1,000 sq.ft.or less 1 145.15 I ikS,US 4 Plan Review(25%of Permit Fee) $ Ea.add'l 500 sq.ft.or portion I 33.40 3�.4O 1 State Surcharge(12%of Permit Fee) $ 2_6i,c� Limited energy,residential 75.00 -T.5.80 2 TOTAL PERMIT FEE $ 2 ,IC, Each manufactured or modular dwelling,service and/or feeder 90.90 2 Electrical Permit Fees Subtotal: $ (78 , Plan review(25%of permit fee) $ State surcharge(12%of permit fee) $ 2 �� TOTAL PERMIT FEE $ I C(i , L.mirrE2> 7CC� oo I:\Building\Forms\ResPlanCheckFees.doe 01/19/07 (2 -1 `�v °CMG Page 2 1 tV1 (r i Td7k t-'� L 4.c�c= DATE: PLANS CHECK NO : /2_ 3 i C0� 000i/ PROJECT TITLE: 4w & 71FF (1."7. eGY,n6UhS COUNTYWIDE TRAFFIC IMPACT FEE . " 271" s inc . WORKSHEET MA InADUS d, S23 v (FOR NON-SINGLE FAMILY USES) H E. / TAX MAP NO.• % USE CATEGORY RATE PR ERR /c .i3S .- p,00/15oc/1�6 - .x/700 vvi,✓ $339.00 SITUS NO. 95 93GS S�/h ys RESIDENTIAL 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 I DES TI�O.Ft WEEKDAY AVG T IP WEEKEND�AYG /RIP DEFER TO OCCUPANCY �Z 3 C7 USErS(p,1O I RATE 5751,/U'J"I I RATE 0.4 A-- BASIS: ......e./5 0ArTT-OOAD 0 Cie h,PLE / 2 ���2� CALCULATIONS:C,DN 1-N,,....CX 3 X 57;F S cO r .2 5 Z ----772/ 5 24Z'c S9.ay=��2 0 38 �o �2 �E J`sc� nos"T 2-e/2 /2S o0=_ /.,Oso . -S/ZTi�/iS ---(e-- ; �_ Jt(c e1)4 r-- 2,03 a'-%-43 = ? r,C o PROJECT TRIP GENERATION: G OSc) --4'3 = l�O• 7p i 2-"'L 2-- 7 7 i-�3 s, // G /C 1 F E a'2 0 3 8 r„,, FOR ACCOUNTING PURPOSES ONLY ONAL NOTES: �,c Ai: �3 x -5//3 - /7 ' (..z_.op 2 ONlv": n. V 07)9-1 ! L,Z35 5Ir2-aEM0Of./ 2, 54 .-- �Ny 2 1C •v D i, V• / R 0s`,7 V 8.O-L) Wit C3() / �/� ."7v T JJSITcp. ,U`J •CTCD / CA/iv --di3 /T 0/2 . z- �`//gill'T PTR/EPAR(E�EDD BY June 30,2008 Worksheet 08.09 doc CC'. WASHINGTON COUNTY TIF NOTEBOOK WOLCOTT °`SCENE Street Address �75 W Historic Columbia River Hwy Troutdale,Oregon 97060 PLUMBING APR 2 9 2009 (503)667-1781 Fax(503)687-9891 CITY OF TIGARD COB#23847 CONTRACTORS, INC. BUILDING DIVISION April 29, 2009 City of Tigard 13125 SW l lall Blvd. Tigard, OR 97223 C/o Debbie Re: Longstalf Condominiums. To Whom It May Concern: This letter confirms that Wolcott will be the Plumber of record for the Longstaff Condominiums, Thank you, 7r Petwejoa Terry M. Proud foot Project Manager 503-667-1781 X102 tproudfoot @wolcottplumbing.com Td 1417160:T T 600E 6E 'adti 1686L9920S: '0N Xtid : woaA