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Permit Ll • 11111 a CITY OF TIGARD MASTER PERMIT a . COMMUNITY DEVELOPMENT Permit #: MST2008 -00173 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/15/2009 Parcel: 1 S 135ACLC004 Jurisdiction: TIG Site address: 9456 SW MANDAMUS CT • Subdivision: Lot: Project: LONGSTAFF CONDOMINIUMS Project Description: New MF. Building 1 (unit type B -2). BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 2 First: sf Basement: sf Left: Parking Spaces: Height: 23 Bathrooms: 2 Second: 1163 sf Garage: 270 sf Front: Smoke Dwelling Units: 1 Third: sf Right: Detectors: Yes Total: sf Value: $0.00 Rear: PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: Rain Drain: Catch Basins: Lavatories: 3 Dishwashers: 1 Floor Drains: Sewer Lines: SF Rain Drains: Other Fixtures: Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: Bckflw Prevntr: • MECHANICAL Fuel Types Air Conditioning: Vent Fans: Clothes Dryers: 1 Heat Pump: Hoods: 1 Other Units: Fum<100K: Vents: Woodstoves: Gas Outlets: Fum > =100K: • ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 -200 amp: W/ Svc or Fdr: • Ea addl 500 sf: 1 20 1-400 amp: 201 -400 amp: 1st W/O Svc/Fdr: Limited Energy: '401 -600 amp: 401 -600 amp: Ea add! Br Cir: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: HVAC: Security Alarm: Vaccuum System: Garage Opener: All Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW Multi- Family VB R -2 1163 • Owner: Contractor: _ Required Items and Reports (Conditions) LONGSTAFF LLC RCM HOMES INC 7050 SW CLINTON 7050 SW CLINTON ST TIGARD, OR 97223 Tigard, OR 97223 PHONE: 503 -598 -7565 PHONE: 503 -598 -7565 FAX: 503 - 620 -9965 Total Fees: $6,788.62 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: S, Q SL. iplA Q �z ( Building Permit Application h(15 t zoo 8 . 6 0 1 G , 1 4 ommercial FO12 CIFFicy usl: ONI.1 Cit ECE WED of Ti and Received g 4 . Date/B : . . 0 : : J M I ; • f • 13125 SW Hall Blvd., Tigard, OR 972 7223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 DEC C L q 00 8 DateB : � / Other Permit•,' ► 2 B ; , - f I l � i\ 11 I) Inspection ® lion Line: 503.639.4175 Date Ready /By: See Page 2 for Internet: www.tigard -or.gov �1 OF TIGARb Notified/Method: Supplemental Information TYPE OF 4�I 1 DING ���� ©� ; . REQUIRED DATA: I- AND 2- FAMILY DWJ JNG ' ® New construction ❑ Demolition Pennit 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 CONSTRUCTION work indicated on this application. ;I-. Valuation: $ I 15j /0Z. l- ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ® Multi - family Number of bedrooms: 2 ❑ Master builder ❑ Other: Number of bathrooms: z JOB SITE INFORMATION AND LOCATION Total number of floors: 2- Job site address: 9456 SW Mandamus Court New dwelling area: I I G`3 square feet City/Stat ZIP: Tigard, Oregon 97223 Garage/carport area: 2:2) square feet Suit - 0 apt. no: I.--- Project name: Longstaff Covered porch area: square feet Cross street/directions to job site: SW 95 Avenue and SW Shady Lane Deck area: [ I square feet U DV 1 r F3-2. Other structure area: square feet _ REQUIRED DATA:-COMMERCIAL-USE CHECKLIST Subdivision: Longstaff 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 I ❑ 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 ® APPLICANT ❑ CONTACT PERSON NOTICE 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 Fax: : (503) 620 -9965 E -mail: RLightner @RCMHomes.net CONTRACTOR Business name: Longstaff LLC BUILDING PERMIT FEES* Address: 7050 SW Clinton Street (Please refer to fee scheda/eJ 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 Iic.:158043 Total fees due upon application: Amount received: Authorized signature: D , ✓ , r j L This permit application expires if a permit is not obtained ` +%/� _ within 180 days after it has been accepted as complete. Print name: Ron Lightner I Date: 12 -19 -08 ■ Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP -COM PermitApp.doc 2/23/07 440 -4613T(11 /02 /COM/WEB) Plumbing Permit Application r t ECE V � , irnSTz oo t • oo 64 Building Fixtures roll t)rrici: us': ()Nix DEC 19 2008 Received III City of Tigard Date/By: o . - Permit No.: tin c2.00 • it 66 • 13125 SW Hall Blvd., Tigard, OR 9722 i T OF TI fi Plan Rev C Phone: 503.639.4171 Fax: 503.598 ,` .'t � thy Other Permit No.:Q1 t \ln 70 , On i4 1 . 1 � _ �` n Inspection Line: 503.639.4175 1 IL®IIVG DIM �' ( irate Ready /By: kris: la See Page 2 Internet: www.tigard- or.gov Notified/Method: I ' c Supplemental Information TYPE OF WORKFE''E* "'SCHEDULE ® 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 ❑ I- and 2- family dwelling ❑ Commerciallindustrial SFR (2) bath ( 350.00 . CC ❑ Accessory building ® Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler (- sq. ft.) Page 2 SOB SITE INFORMATION AND LOCATION Site utilities Job site address: 9456 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.: B1-4 I Project name: Longstafi Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: SW 95 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 DESCRIPTION OF WORK Backflow preventer Page 2 Condominium Domestic Supply, Waste & Storm Drainage Backwater valve 16.60 Clothes washer I 16.60 Dishwasher ( 16.60 ® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: Longstaf[ 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 1 16.60 81 APPLICANT ❑ CONTACT PERSON 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 ( /ol.� 4- 16.60 Tub /shower /shower pan - 2...-- 16.60 E -mail: RLightner ®RCMHomes.net • Urinal 16.60 CONTRACTOR Water closet 2i 16.60 r _ Water heater ' 16.60 Wolcott Plumbing Contractors 1075 W Historic Columbia River Hwy Other: Subtotal Troutdale OR 97060 Minimum permit fee: $72.50 '503 -667 -9891 Residential backflow minimum permit fee: $36.25 t• CC' CCB: 23847 PLM: 26 -208PB Plan review (25% of permit fee) 47, Cr) ` -- - -- _ t State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE alZ 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 1 2/27/06 440- 4616T(10 /02/COM/WEB) I T2oc :.o•i _ . Yom Mechanical Permit A t t ilea !- y FOR R O F ICE U S E ONE 1 1 �„ ! 1.,... �- Received City of Tigard 0 ` %1 r Permit No.: :� . • 13125 SW Hall Blvd., Tigard, OR 972 3 S 008 Plan Ry: I �� �� d d0�'j 3 Plan Review Other Permit hone: 503.639.4171 Fax: 503.598.1960 pECl a Date/By: p 2068 - C co .31 b7 1 . I C A R p Inspection Line: 503.639.4175 I i � ii Date Ready /By: 7�: ® Page 2 for Internet: www.tigard - or.gov a • '..,1 ' ir, Notified/Method: Supplemental Information TYPE OF . • I t COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ® 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. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS PUS* ❑ 1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ® Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. ( Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 9456 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.: B1-4 Project name: Longstaff Gas heat pump 14.00 Cross street/directions to job site: SW 95` 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 Lot no.: Flue/vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Flue Condominium Mecanical Ventilation f i for ®t for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ® PROPERTY OWNER I ❑ TENANT 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 ( 10.00 Fax: 503 620 -9965 Single-duct compartments, r tme n ts (u tility Phone: (503)598-7565 ( ) partments, utility moms) 6.80 ® APPLICANT ❑ CONTACT PERSON 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 ®RCMIIomes.net Range CONTRACTOR Barbecue Clothes dryer (gas) (Oregon Comtort Heating Other: PO Box 190 MECHANICAL PERMIT FEES* Eagle Creek OR 97022 Subtotal iPh: 503 - 655 -0221, F: 503 - 650 -2933 Minimum pennit fee ($72.50) `72,'1" 1 CCB: 42519 Plan review (25% of permit fee) ,. _ _ State surcharge (12% of permit fee) ,x) TOTAL PERMIT FEE ) I . Authorized signature: This permit application expires If a permit Is not obtained within 180 days after it has been accepted as complete. Print name: I Date: • Fee methodology set by Tri -County Building Industry Service Board t:\ Building\Permits\MECPermitApp.doc 01/19/07 440-4617T (11 /02/COM/WEB) 20• • ,©• .(4 Electrical Permit Application milt orrlci.: use: ONLY City of Tigard ' permit No.: • 13125 SW Hall Blvd. Ti and OR 9 2 t ���l� Received Plan Review : 2 - .. — I a • . . g Plan Review III Phone: 503.639.4171 Fax: 503.598.1960 _ r l a t - DateB : Other Permit P • tt ° . q •/) � G.` �t 1_� Inspection Line: 503.639.4175 is L ,fin Date Ready /By: Jutis: See Page 2 for Internet: www.tigard - or.gov Notified/Method: `( Supplemental Information TYPE OF W °F MAP') PLAN REVIEW ® ❑ I�Itld��ly� V'e� ®� Please check oll that apply (submit 2 sets of plans w /items checked below): New construction Addition/alt ° ° ° ° cem cement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION 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 JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", Job no.: Job site address: 9456 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.: B1-4 Project name: Longstaff ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: SW 95 Avenue & Shady Lane Description I Qty. I Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Longstaff Lot no.: 1,000 sq. ft. or less t 145.15 (4 4 Ea. add'I 500 sq. ft. or portion ) 33.40 " AC 1 Tax map /parcel no.: limited energy, residential 75 �y 4 2 • ' DESCRIPTION OF WORK (with above sq. ft) t Limited energy, multi -family Condominium Electrical, Low Voltage Phone & CATV 75.00 2 g residential (with above sq. ft.) Services or feeders installation and/or relocation 200 amps or less 80.30 2 ® PROPERTY OWNER 1 ❑ 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 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 ® APPLICANT I ❑ CONTACT PERSON 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 first st 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 2 503 598 -7565 Fax: 503 620 -9965 Reconnect service on ye and/or feeder Phone: ( ) ( ) Reconnect onl 66.85 2 E -mail: RLightner @RCMHomes.net Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 LMS Electric Signal circuit(s) or limited - 8504 SE Stark energy panel, alteration, or extension. Describe: Page 2 2 Portland OR 97216 Each additional inspection over allowable in any of the above CCB: 118073, ELC: 37 742C, Sup: 4542S Per inspection 62.50 Investigation per hour (1 hr min) 62.50 - Ulf Lie.: I ilectncal Lie.: I Juprv. Llc.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: '2J5 ..' Print name: Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): E A- 3 Authorized signature: TOTAL PERMIT FEE: '2`E$3. 10 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\Permits\ELC- PermitApp.doc 05/23/06 440-4615T(Il/05 /COM/WEB • 11 a o Building Division One & Two - Family Dwelling T I G A R D Fees Checklist ;�RER IIT :�INFORMIATION: _ : .. Permit #: A - Z - CO /`7 »3( 3 Plan #: ' F 1j °2- Date: I i 4o . �&I Site Address: (4i5 , MAL31VotAuS cr Parcel #: Subdivision: t at FF-C DYI4 ail / ( J 't4 S Lot #: Zoning: Jurisdiction: .T' . Setbacks: Front: Rear: Left: Right: Class of Work: Stories: �.�� Z First Floor: Type of Use: - R _ Height: 2:5 ° Second Floor: r 1 6 °L' Construction: 'j P� Floor Load: ( Third Floor: Occupancy Group: - Dwelling Units: 1 Total Floors: f ( (7 Valuation: -. 1 6 B edrooms: .Z Basement:: Beaverton CET: Bathrooms: 2i Garage: 276 Tig -Tual CET: ` I I L 2 , CO Decks: 7 ( � Other: TVFR: Porches: Geo /Grading: FEES: Description: Fee Amount: . ' Amount P :.. ` BalanceDue: Plan Check: Building: Extra Set: Permit: Building: -. 01;0 . 20 Tax: - a- Metro CET: , 44 School CET: r , CO Mechanical 4 7 Z 1 • Tax: e. To Plumbing: t °3 D Tax: ' " . 00 Electrical: , - Tax: 2,I , ` `) Low Voltage: Qj' - 73, CO Tax: ., CDC: CDC Ping. Rev.: - W .06 CDC LRP Fee: (-, . Co SDC: Parks: to •a Z TIF Res.: (7 • I' • TIF MT: 11111ri C), • 0 Erosion Permit: s Erosion CWS: -2-0, Erosion COT: "NP 20, eleJ Water Quality: Water Quantity: ,. SUB - TOTAL: Sewer: Permit: Inspection: SUB-TOTAL: TOTAL MST & SWR: I: \ Building \Forms \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 Furnace 100,000 BTU (ducts /vents) 14.00 SFR (2) bath r 350.00 i'5?, .cc 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 - 1 100' 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 equipment I 10.00 Water service - 1 100' 55.00 Clothes dryer exhaust 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 I 16.60 Other: 10.00 • Dishwasher / 16.60 Fuel Piping Drinking fountain 16.60 "'(55.40 for first 4, $1.00 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 • 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 I /C/ 16.60 Subtotal: $ Tub /shower /shower pan 16.60 Minimum Permit Fee $72.50 $ 72.5z3 Urinal 16.60 Plan Review Fee (25% of Permit Fee) $ Water closet 'j- 16.60 State Surcharge (12% of Permit Fee) $ • 70 Water heater 16.60 TOTAL PERMIT FEE $ (, 20 Other: Other: ELECTRICAL FEES (new residential) • • • Plumbing Permit Fees • Subtotal $ "1,.j. C.I.:: Description Qty. Fee Total Insp Minimum Permit Fee $72.50 $ 1,000 sq. ft. or less ( 145.15 j'�5,1-5 4 Plan Review (25% of Permit Fee) $ Ea. add'l 500 sq. ft. or portion i 33.40 1•3 AC) 1 ° Limited energy, residential 75.00 CSC) 2 State Surcharge (12 /o of Permit Fee) $ �� • Each manufactured or modular TOTAL PERMIT FEE $ 7,9'z.Gb dwelling, service and/or feeder 90.90 • 2 Electrical Permit Fees ' . • . Subtotal: $ [ 7 , Plan review (25% of permit fee) $ State surcharge (12% of permit fee) $ Z V TOTAL PERMIT FEE $ ( ( . (, Mt( IITE6 . 7. 5 c 1: \ Building \ Forms \ResPlanCheckFees.doc 01/19/07 1 ' 9 , ino Page 2 84. ('} DATE: PLANS CHECK NO.: / 2,--- 3 le,,r 1 ODO) / PROJECT TITLE: , (1/17.. � / eb`fIe'6v COUNTYWIDE T'IZAFFIC IMPACT FEE - - -- -_ -. -- NT: WORKSHEET _ MA_ r ADDRESS Co 6� - Oa9'X S, c 23 (FOR NON- SINGLE FAMILY USES) . . „C.' Jooe.44314 d I? Ad, , Z Z TAX MAP NO RATE PER • AND USE CATEGORY TRIP • cSi3 .SAG 0/co 2sov le - -17ov SITUS N0. ADDRES 7> VA RESIDENTIAL $339 00 /D,Ir_v5' ` 9 34 T sw' .i IV, • 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 TI9�01 , F � 1 WEEKDAY AVG. T IP WEEKEND AYG. ® DEFER TO OCCUPANCY - .2. 3 C3 USE S f�7 N10 I RATE 57& WEEKDAY 1.1 1 RATE BASIS: 5 O . (HPLE / 2 _ - --- Ogiero O E & 7 ■/C,}c i CALCULATIONS:C NIX: 6 x d' GP 5 /5 ti/2.,c 39 00 1.37, 03Y' o 2 � Elyc7 2 /,.ytse� 242_7( 7 Z,•oo =— 4,,Oso. 2- 4.42- TZii'S _ ,` Ili. _ iearr7 -/ Z,Q3 a - 4-43 =ir' //, 0771"5-- PROJECT TRIP GENERATION: O 5 = 4/3 l-€/ 7O i Ew a " -� '�' 1 r, -)3 =, // �'lo V. /ao F ES/S» 0 3 8 E/-9e FOR ACCOUNTING PURPOSES Z� • ONLY ADDITIONAL NOTES: O i l fPCE /' -� 3 x 3 / p zz. ot� �I � Odd IT': cF - o. .LZ55 Sir � 2i , S .0D ' I / 1 / 4. R, n ' Bs • O't) "; � 2 7 .. I . JO , 0 • 0 T SIT • TOSO.co / €2 i)a lam: 73 .., ` O/.2 ,q2_ 19f . PREPARED BY E June 30, 2008 Worksheet 08- 09.doc CC'. WASHINGTON COUNTY TIF NOTEBOOK DATE: PLANS CHECK NO.: • PROJE TITL : f iVi- 7 /f 7 b t0/(lr5-7 - ,9F Cv0 COUNTYWIDE • • - - - -- -------- -.___. ___. ----- - - - - -. ------------.---..- T'RAFFIC IMPACT FEE AP B ve& /Owlet /� WORKSHEET MAVpBV e59le sr; re L 3 O (FOR NON - SINGLE FAMILY USES) • CITVIZIP /PHONE: / - -r »iv7 oiz 9,2-1 3 • RATE PER TAX MAP NO. LAND USE CATEGORY TRIP s T S N SDDRESS � /�Z�d�� v�/WAoo RESIDENTIAL /e DrS�9�'� 9 3GS, r 5 icAr65 d-- BUSINESS AND COMMERCIAL • :*. /f ® OFFICE - • , •3 ar i L011 t e INDUSTRIAL ,, f 5 PR De I • NSTITUTIONAL ® , 3 UM S Z 6� PAYMENT METHOD: 7 Vo / / CASH /CHECK E1•/618hL. i'ie /�- CREDIT • INSTITUTIONAL ONLY: • BANCROFT (PROMISSORY, NOTE) LAND USE CATEGORY I DESCRIPTION OF I WEEKDAY AVG. TRIP I WEEKEND AVG. TRIP DEFER TO OCCUPANCY 23•0 USE oe£5Col j RATE RATE • BASIS: e___ "- X 5 1 t v 2 d/ 772._/7 242_ X 0 2 g G'odioN.&/ 92,44149 • CALCULATIONS: 3 UKtr T &r L tj� • PROJECT T ERATION: 5.1-C 1 1 1 :7 7, 15-D. FEE 570 70 • 77/4. FOR ACCOUNTING PURPOSES ONLY �/4' / / /SID.? l 3 - 7 .--- c S .5 l>E"7� 71 7'3 • • 1 I 7 0. 5 TRANSIT Alf/4/4 • 7o - - - - - - - - - -• - - -- PREPARED-BY= June 30, 2008 Worksheet 08 -09.doc CC: WASHINGTON COUNTY TIF NOTEBOOK • ,: , r.. x, +,.. ,r,,, ,.. s.., ,c ., ,�r.".�g gym. : y ,� .� ;�.� �, „ , .:: � . �. :t y . - -« i � '.? .Y,�°t ;z � '."K', - ,w* _ e g,. ,.. , ==b . P . , . r .:.' Wit- ^ " _ s am- '1 :.. . � .;,.. . , . :,, +,c. ,.i� :::!:::::7:4:::: ? 7 . ;� • .. . :, � � , .. }. ? v °h. Y 3 'C Edi #1ns ec'taon ,�, • nee�. ile >Inspection a ... , : - °,_. ._<�__ .. ..__ � _ ��. emu..,. .��. . .._ , . F CAP Parcel Tools Map Tools He F. in t el r " C fil q. C 11311231 1 s l ....,„ .. , Project 1 CAP Inspection Guidesheet He Report Drawing Map ���r� , Select Address: <SELECT> . Number Fraction Prefix Street Type Suffix Unit Unit Type x Address: 9456 SW MANDAMUS C E--- a, City / ST / Postal Code: '<SELECT> j I Inspection Unit Number: Inspection Contact Number: 1503- 793 -5779 All G CAP IS L Addresses ocation 1 g Identifier: 1305 Plumbing underslab Category I Inspection Type: B_MST 305 Plumbing underslab ; Inspector: "Dan Nelson a°h.�m- /) ,,..,, .o_Q � �4 ---- Date: 12039-06-- ,a r. ' ; � ay Time C 4,n� T r ,- ; f .fy,. ' €._ cif 3 si'irr I At i -= ` irru ° ! i s_ ant 1 ,, .,„, Start Miles 3 End Miles Total Miles Vehicle Start 12:00 Time AM End 12:00 Time AM Total Time r ., Id Tracking: � 0 X00 1242 Scheduling Comments: 1002879-06 503- 793 -5779 Disposition: Scheduled 1 : J 1 J Sign -off Contractor Sign -off Inspe ctor ff I _ l /��,� 1 Standard Commen o ts Comments: � S If�3 t ', `�415 lJh► �O'V✓ �011'4ll eJ/ ( ! j e,N' ;� OwV L +r J L (424e-1,41 70i _ � ore )4 144i � /��� 1,1,,x411 Sc,yel 6/ -toy) 44445 ect\. 6)4— clai-i /4 ‘g 141165 (.641 4,,,,;::.7.7,::,„:";,..;,:i e,,... tr..1,4,:=., 4- ku-A- P, ...• , r,, , ,,X Action: B Create new copy after submit Edit CAP i a tt r #. Update Submit Save Cancel . -S r to , . <- Edrt Ins • Pctiari Ac+: :KUtc+ma ''''''3 } �� , d 2 b , ��> �� a P �p d, _�- ,. _,.. .2 'E „ < � +€ � k � 3�� iG c� � , i 2$'