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Report (41) z._ y 7 N P/1-/2 ‘/D 12. 757 SJZL 44 411) 11A 57"; neIFamily Dwelling 1,L'''.1 I! Plan Check Fees 1 Citj of Tigard 0 PERMIT INFORMATION: Permit#: //57-2 00; -00/ 9,- Plan#: Pf/.Z 6 /0 Date: ` ^ Z 86)- Site Address: f,Z 9-1F S W LV# .'r-R y//Civ pR/vb' Parcel#: Subdivision: A2 jjp/Z 4'V/i.1/7 Lot #: 609 Zoning: Jurisdiction: 77 G Setbacks: Front: IS Rear: Z.0 Left: -7- Right: Class of Work: Nem/ Stories: 2.. First Floor: /34L0 Type of Use: 5 F Height: 2..G Second Floor: /Z 70 Construction: /k/ Floor Load: g D Third Floor: Occupancy Group: alla. Dwelling Units: / Bonus Room: Valuation: 0,54/18'/1/- Bedrooms: it Total Floors: 2.( /0 Bathrooms: 3 Basement: Decks: Garage: 17140 Porches: /Bo Other: FEES: Description: Fee Amount: Amount Paid: Balance Due: Plan Check: Building: 974,S6 .25-0 -- 6 26 . S( 2- Extra Setf /2.5. - I Z S Permit: Building: / 3'lB. SS NoT G. Tax: . '/ o7. 88 /,3yS . 8 no Ow �l f Mechanical: chanical: / dg, 30 l o>z . 88 T X 1'11 X 66 /B CC f I! Plumbing: 397, 00 . 3,9. 00 Tax: 31 . 91 Electrical: .3 /Z. /S. / Z. 1.f/ . Tax: 2N. 9] _3 / 2e • 97 Low Voltage: Yr-. _ 7S. po Tax: 4 6 SDC: CDC LRP Fee: 6 -- 6 — CDC Ping. Rev.: 9 2 "- 9Z Parks: 3 753 " TIF Res.: 2..'/T0 "-^ 2 q0 TIF MT: lee 2-do -- Erosion Permit: 8B — S8 w Erosion CWS: 2 S 60 Zg ."60 Erosion COT: ,. 8 6o Z$ .L6 Water Quality: Water Quantity: 2.7s- - SUB-TOTAL: O 3S, i 9 Z S l 2. SO — fib/ 085, /9 Sewer: Permit: J.S OO ZSOO Inspection: 35. -- i SUB-TOTAL: 2� S)$ 2 S 3S ,- TOTAL: i.\BuildingWormsaesPlanCheckFees.doc 04/03 Page 1 -x. A PLUMBING FEES ..0 ��j AI ,` FEE SCHEDULE(for special information use checklist) RESIDENTIAL EQUIPMENT/SYSTEMS FEE SCHEDULE Description I Qty. I Fee(ea.) I Total Description J Qty I Fee(ea.) Total New 1-&2-family dwellings Heating/Cooling 3 (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 350.00 Furnace 100,000+BTU(ducts/vents) , / 17.90 1 .t0 1 - SFR(3)bath / 399.00 39t- Gas heat pump 14.00 Each additional bath/kitchen 45.00 Duct work 14.00 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) 10.00 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 /6 Footing drain-each additional 100' 46.40 Gas fireplace 10.00 70 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- I"100' / 55.00 Environmental Exhaust&Ventilation • Storm sewer-each additional 100' 46.40 Range hood/other kitchen equipment 1 10.00 /6-- Water service- 1"100' / ' 55.E Clothes dryer exhaust /., Water service-each additional 100' 46.40 t IL �a Fixture or Item Single duct exhaust • . Absorption valve 16.60 (bathrooms,toilet compartments, ':a• u utility rooms) Backflow 7 Backflow preventer 27.55 j t1, } Backwater valve 16.60 • Attic/crawl space fans ;�_ 1 t. " t•1 t Other . }.; ' l Or t 1 1'J 0. `Z Clothes washer 5 16.60 -1 , 4, Fuel Piping t Vit- '' Dishwasher 16.60 ** • (55.40 for first 4,51.00 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 i... ** Floor drain/floor sink/hub 16.60 Fireplace ** Garbage disposal ' 16.60 Range I ** Hose bib 11. 16.60 BBQ ** Ice maker i 16.60 Clothes dryer(gas) ** Interceptor/grease trap 16.60 Other: ** Primer 16.60 Total: S (y0 Roof drain(commercial) 16.60 Mechanical Permit Fees Sink/basin/lavatory IA/4/ ` 16.60 Subtotal: $ /p .30 Tub/shower/shower pan 3 16.60 Minimum Permit Fee$72.50 $ a Urinal 16.60 Plan Review Fee(25%of Permit Fee) $ Water closet 3 16.60 State Surcharge(8%of Permit Fee) $ 8. 64 IP Water heater 1 16.60 TOTAL PERMIT FEE $ //6.. fiC Other: Other: Other Inscections and Fees: Plumbing Permit Fees 1. Inspections outside of normal business hours(minimum charge-two Subtotal $ 3 9' ' `--- hours)are$62.50 per hour. Minimum Permit Fee$72.50 $ 2. Inspections for which no fee is specifically indicated(minimum charge- Residential Backflow Minimum Fee$36.25 half hour)$62.50 per hour. u 3. Additional plan review required by changes,additions or revisions to Plan Review(25%of Permit Fee) $ plans(minimum charge of one-half hour)at$62.50 per hour. State Surcharge(8%of Permit Fee) $ .3 / .?Z 4. Stamp extra set of building plans at$62.50 per set. TOTAL PERMIT FEE $ *Residential A/C or heat pump requires site plan showing placement of unit. i:\Building\Forms\ResPlanCheckFees.doc 04/03 Page 2