Permit Building Permit Application V Ex P` R
ED —
YV1 STZDO • 1 7
Commend
City of Tigard Received �--7 r
Date/By: t 2. 1 i Os 4i 613 1008 (50 18 S
eeive: l �U Permit No.: 1-�j �^ Q
13125 SW Hall Blvd.,Tigard,OR 97223 DEC 19 2008 Plan Review G�1�2� 8•C)0iOa-
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit V o
i c Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: ruris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: (� Supplemental Information
1111 IN
OF REQUIRED D
®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 CONSTRUCTIO'• work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ + 6)402_, (e3Z--
❑Accessory building ®Multi-family
Number of bedrooms:
El builder ❑Other: Number of bathrooms: L
• JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address:9368 SW Mandamus Court New dwelling area: (l j3 square feet
City/S ZIP:Tigard,Oregon 97223 Garage/carport area: 2 70 square feet
Suit ]d /apt.no.: -1 Project name:Longstaff Covered porch area: square feet
Cross street/directions to job site:SW 951h Avenue and SW Shady Lane Deck area: 71 square feet
l/N Cr 1-t 1) ( 0 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 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 ❑ 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
MK® APPLICANT ❑ CONTACT PERSON
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
CONTRACT 1"
Business name:Longstaff LLC
Address:7050 SW Clinton Street
City/State/ZIP:Tigard,Oregon 97223 Structural plan review fee(or deposit):
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\Permits\BUP-COM PermitApp.doc 2/23/07 440-4613T(l l/02/COM/WEB)
•
Plumbing Permit Application 4l�1 Z o Q 8 - 00 1 107
Building Fixtures ► I u It t)I I I c I City of Tigard RECE 'JE Received ` Permit No.: AS
11111 • 13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: l� -��� 1ST .CfG
. 1 9 2008 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 DEC Date/By: Other Permit No. 122 9
I I G A R D Inspection Line: 503.639.4175 f Date Ready/By: ups: ® See Page 2 for
Internet: www.tigard-or.gov 1TY OF TIGARL Notified/Method: Supplemental Information
. FEE* SC:EDU
®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)
SFR(1)bath 249.20
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath t 350.00 '?j 50,00
❑Accessory building ®Multi-family SFR(3)bath 399.00
Each additional bath/kitchen 45.00
❑Master builder ❑Other:
Fire sprinkler(-sq.ft.) Page 2
Site utilities
Job site address:9368 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.:B4-15 I Project name:Longstaff Footing drain(no.linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:SW 95`s 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
Backflow preventer Page 2
Condominium Domestic Supply,Waste&Storm Drainage Backwater valve 16.60
Clothes washer I 16.60
Dishwasher ' 16.60
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 k 16.60
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 I Fax::(503)620-9965 Sink/basin/lavatory l /O/ 16.60
Tub/shower/shower pan 16.60
E-mail:RLightner @RCMHomes.net Urinal 16.60
Water closet '2 16.60
Water heater
1 16.60
Wolcott Plumbing Contractors Other:
1075 W Historic Columbia River Hwy Subtotal
Troutdale OR 97060 Minimum permit fee: $72.50
503-667-9891 Residential backflow minimum permit fee: $36.25 .
-
Plan review (25%of permit fee)
CCB: 23847 PLM: 26 208PB State surcharge(12%of permit fee) 4'1
Authorized signature: TOTAL PERMIT FEE ' 1'Z,
Print name: Date: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\Building\Permits\PLMF-PermitApp.doc 12/27/06 440-4616T(10/02/COM/WEP)
(( _ I, r2-007 • 00 10
Mechanical Permit ApplicationRECEI V�/ n ' O't O' ' '( ' ' i ()"
City of Tigard Received
Da"' (• r ,_� _ Permit No. rd
Plan Review y
• 13125 SW Hall Blvd.,Tigard,OR 97223 DEC 1 9 2OOd V
Phone: 503.639.4171 Fax: 503.598.1960
s te/By: Other Permit: ( • O.! •
I I I Inspection Line: 503.639.4175 CITY OF TIGA", �..,te Ready/By: rurb: 0 See Page 2 for
Internet: www.tigard-or.gov 3ultn,NG oIVISI• 'fied/Method: �y Supplemental Information
New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building
For special information use checklist.
®Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total
Heating/cooling
Job site address:9368 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.:B4-15 1 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
Condominium Mecanical Ventilation Flue vent fireplace vent foor r 10.00
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 10.00
City/State/ZIP:Tigard,Oregon 97223 Clothes dryer exhaust f 10.00
Single-duct exhaust(bathrooms, `�
Phone:(503)598-7565 Fax:(503)620.9965 toilet compartments,utility rooms) J 6.80
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
Barbecue
Oregon Uomtort Heating Clothes dryer(gas)
PO Box 190 Other:
- Eagle Creek OR 97022
Subtotal
_ Ph: 503-655-0221, F: 503-650-2933 Minimum permit fee($72.50) 72,• 1
CCB: 42519 Plan review(25%of permit fee)
-- - -- State surcharge(12%of permit fee)
TOTAL PERMIT FEE SI W
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri-County Building industry Service Board
I:\Bui lding\Permits\MEC-PermitApp.doc 01/19/07 440-4617T(II/02/COM/WEB)
-2_0. : •00Ik27
Electrical Permit Application RECEI'J I (l It 1)1 I I( I I ,N I t)v l 1
`eceived r�I
City of Tigard »aura i PermitNo.: «
III
• 13125 SW Hall Blvd.,Tigard,OR 97223 7IM.1•!!_ haw t`_•c,
I Phone: 503.639.4171 Fax: 503.598.1960 DEC 19 20C$ Plan Review
Other Penn",`�11 �/ r�
Date/B . : r,
1 i,, \r I Inspection Line: 503.639.4175 CITY OF TIGAR s to Ready/By: Jura: 0 See Page 2 for -
Intemet: www.tigard-or.gov otified/Method: .--t ( Supplemental Information
®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.
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","t-3",
Job no.: Job site address:9368 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.:B4-15 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 Lot no.: 1,000 sq.ft.or less + 145.15 1 ,1 4
Tax map/parcel no.: Ea.add]500 sq.ft.or portion 1 33.40 7p,,, 1
Limited energy,residential 1 75.00 "7506 2
(with above sq.R) l
Limited energy,multi-family Electrical, Phone Low Voltage Ph &CATV ifamily 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 ❑ TENANT 111 201 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 l
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 •
Contact name:Ron Li htner without service or feeder fee, 46.85 2
g first 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 irrigation circle 53.40 2
Sign or outline lighting 53.40 2
UMJ hlectric Signal circuit(s)or limited-
8504 SE Stark energy panel,alteration,or
- extension.Describe: Page 2 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
C CI LitF' I Electrical Lic.: I Suprv. Lie.: Industrial plant per hour 73.75
Suprv. Electrician signature,required: Subtotal: ��j?,,•95
Print name: Date: Plan review(25%of permit fee):
State surcharge(12%of permit fee): .• )4'3
Authorized signature: TOTAL PERMIT FEE: Z 'S 5S
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\Pennits\ELC-PerrnitApp.doc 05/23/06 440-4615T(11/05/COM/WEH
_ " Building Division
One & Two-Family Dwelling
T I G A R D Fees Checklist
PERMIT INFORMATION:
Permit#: ksr -OO1 S- Plan #: ')ti fl .0.-2— Date: 1 /6 /C5C1
Site Address: ' 61,(3 ,C,' it 04j Cr Parcel #:
Subdivision: (0it 1Y- .1F IIMeibil, llit 0Iti Lot #: Zoning:
Jurisdiction: Setbacks: Front: Rear: Left: Right:
Class of Work: Stories: Z First Floor:
Type of Use: es Height: 2-'5 ° Second Floor: /1 cfi
PLUMBING FEES(for special information use checklist) MECHANICAL FEES (residential equipment/systems)
Description I Qty. I Fee(ea.) I Total Description I Qty Fee(ea.) l 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 r 350.00 �,CY 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-15t 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- 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 hood7other kitchen equipment I 10.00
Water service-13' 100' 55.00 Clothes dryer exhaust t 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) .3 6.80
Backwater valve 16.60 Attic/crawl space fans 10.00
Clothes washer / 16.60 Other: 10.00
Dishwasher 16.60 Fuel Piping
**(55.40 for first 4,S1.00 each additional)
Drinking fountain 16.60 Furnace,etc. *
Ejectors/sump 16.60 Gas heat pump **
Expansion tank 16.60 Wall/suspended/unit heater *5
Fixture/sewer cap 16.60 Water heater *5
Floor drain/floor sink/hub 16.60 Fireplace **
Garbage disposal I 16.60 Range **
Hose bib 16.60 BBQ 5*
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 t�8I'S 1- 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 16.60 State Surcharge(12%of Permit Fee) $ . 7C;
Water heater 16.60 TOTAL PERMIT FEE $ ( ,
Other:
Other: ELECTRICAL FEES new residential)Permit Fees ( )
Subtotal $ 'Z, j,C.C> Description - TY. Fee Total Insp
Minimum Permit Fee$72.50 $ 1,000 sq.ft.or less 145.15 (4 . 4
Plan Review(25%of Petmit Fee) $ Ea.add'l 500 sq.ft.or portion 33.40 ,' ' 1
State Surcharge(12%of Permit Fee) $ ,Lb Limited energy,residential i 75.00 `5 L1C 2
TOTAL PERMIT FEE $ `,_ Z,Cp Each manufactured or modular
dwelling,service and/or feeder 90.90 2
Electrical Permit Fees
Subtotal: $ (7fg, "S"
Plan review(25%of permit fee) $
State surcharge(12%of permit fee) $ Ai>
TOTAL PERMIT FEE $ l
4
,,,,,1((T- 6 7 '.0 C
I:\Building\Forms\ResPlanChecl:Fees.doc 01/19/07 i. 9 . Page 2
DATE: PLANS CHECK NO.:
/2- 3 //Ur- C-0.0.01/
PROJECT TITLE: /�}}
4 - 7FFC2it7 e `t n6v
COUNTYWIDE
TRAFFIC IMPACT FEE N2,/ sic .
WORKSHEET DR7 Sr
2 v
(FOR NON-SINGLE FAMILY USES) �H�/1�j c7 f.?r 9T Z 2_
RATE PER TAX MAP NO.•
AND USE CATEGORY TRIP SI"/35: ESo/Ooh/1soc>/'J1(�OO - //7Ov
V RESIDENTIAL $339.00 /07-1c •/95 /93GS SA/XJ*1-3 pV
6.
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 TIq+V OF� WEEKDAY AVG T IP WEEKEND AYG/�IP
DEFER TO OCCUPANCY .2 3 C7 1 usErSLt*fl O l RATE Sll/V W"II RATE /
BASIS: -15 (%r/%--00, 0 0D�fFZ K / 2 — 0��2y
PO o�(E /& . 2'T-c-F___= / .
CALCULATIONS:C I-J.F�• .1`3 X 57-2E3 4 - ...25-2_ 772/- 5
T 2"/2,X)�,3 39.dD= e.2,D38' — �Z E�ic7
/,ty,v, 24 - *" 2j•o0=- 6,,OSo . 2
,.. 7 9
---7--. ;e thi r 7--42,o3 S-4-4 3 -.?-% 1,`I D PROJE2
RIP GENERATION:
G o 5-C.7 i---€/3 = i'4/ 7T-
7
°I r Fla =,i, /, G ./6 FEsrc p 3 8
/9 FOR ACCOUNTING PURPOSES
ADITIOAL NOTES: ONLY
fr,>zel: -1/3 w9-1/ 311= p,'�/' Lz..oa '7- 01'1 n-: % c i C C, .0
LZa5 5N?--" E1i0�-��y 65 2-I S .v D /176V. � C. "PAL;9 5P .0-C
/P/ .12, JAY . C3 C) / �/� ."7v T SIT T.:
�2 ��,� 'd/3 ' { 0/2 . 2._y i• II-.7 PREPARED BY
June 30.2008 Worksheet 08-09 doc
�T '7
CC. WASHINGTON COUNTY TIF NOTEBOOK
WOLCOTT RECO-VE.0 Street Address
"7D 75 W Hiatorlc Columbia River Hwy
2 9 Troutdale,Oregon 97080
APR
PLUMBING 2009 0
Fax(503)87.9891
CITY OF TIGARD CCS#23847
CONTRACTORS, INC. BUILDING DIVISION
April 29, 2009
City of Tigard
13125 SW hall Blvd.
Tigard, OR 97223
C/o Debbie
Re: Longstall'Condominiums.
To Whom It May Concern:
This letter confirms that Wolcott will be the Plumber of record for the Longstaff Condominiums,
Thank you,
70t, * Flig044041e
'ferry M. Proud foot
Project Manager
503-667-1781 X102
tproudfoot@wolcottplumbing.com
Td Wd60:TT 600E 6E T686L9920S: '0N Xtjd : WOdd