Permit CITY OF TIGARD ' • MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2008 -00179
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/15/2009
Parcel: 1 S135ACLC009
Jurisdiction: TIG
Site address: 9396 SW MANDAMUS CT
Subdivision: Lot:
Project: LONGSTAFF CONDOMINIUMS
Project Description: New MF. Building 2 (unit type A).
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 1 First: sf Basement: sf Left: Parking Spaces:
Height: 23 Bathrooms: 1 Second: 833 sf Garage: ,26 sf Front: Smoke
Dwelling Units: 1 Third: sf Right:
Detectors: Yes
Total: sf Value: $0.00 Rear:
• PLUMBING
Sinks: 1 Water Closets: 1 Washing Mach: 1 Laundry Trays: Rain Drain: Catch Basins:
Lavatories: 1 Dishwashers: 1 Floor Drains: Sewer Lines: SF Rain Drains: Other Fixtures:
Tubs /Showers: 1 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 Srve/Feeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 -200 amp: W/ Svc or Fdr:
Ea add! 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'I 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 - 2 833
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: PHONE: 503 -598 -7565
FAX: 503 -620 -9965 •
Total Fees: $6,167.64
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 t ough OAR 952- 001 -0100. You may obtain l a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: C 4 A -N Permittee Signature: Q .A A (i C-y
Building Permit Application e i o Q . • • G ,
[Com 1° ' \ IED colt orrlcl use: o ►.,
• a
City of Tigard Received
Permit .:
City g 9 't�o$ Date /B : • • _ 1 • '; U.
13125 SW Hall Blvd., Tigard, OR 97223 DEC Plan Review, '
0 Other Permit: i •e7-111
Phone: 503.639.4171 F ax: 503.598.1960 ry ® Date/B Re : dy /By�� r/ i
'r WARD
1`�� ®� ���AR Date a ' %
Inspection Line: 503.639.4175 � See Page 2 for
Internet: www.tigard - or.gov tnt®' Notified/Method: Supplemental Information
��� Div 1
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® 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 CONSTRUCTION work indicated on this application.
Valuation: $ 81 "C JS 52—
❑ 1- and 2- family dwelling
El
❑ Accessory building ® Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: I
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9396 SW Mandamus Court New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: '7 square feet
Suit ]dg. apt. no.: ° 0i Project name: Longstaff Covered porch area: square feet
Cross street/directions to job site: SW 95 Avenue and SW Shady Lane Deck area: )5 . square feet
V k) ( r A- Other structure area: square feet
REQUIRED DATA: COIUHVIERCI AL- USEtHECKLIST
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 Hex 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 schedule)
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: 1249 -08 * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Pennits,BUP -COM PermitApp.doc 2/23/07 440- 613T(11/02 /COM/WEB)
Plumbing Permit Applicatio E ce Er 008. 4 41 i t
g
Buildin Fixtures `" IL FOR Order-: USE ()Nil
City of Tigard DE C 1 9 2008 Received Permit No.:
IN • 13125 SW Hall Blvd.; Tigard, OR 97223
Date/By: Z . lq -n$ fflSTZ0Oe• C30 17 Q
C Phone: 503.639.4171 Fax: 503.598. �/ OF TIGAR®
Plan Review
Inspection Line: 503.639.4175 bs g
Li Date/By: Other Permit No. 1/022008.0a7 �
8.7 It
TI C A I: IJ to Re a d y /By: k r i s: ® S ee Page 2 for
Internet: www.tigard-or.gov �� III ���c ®���SI ®1 ` Notifie d/Method: T 1 e Supplemental Information
0
TYPE OF WORK FEE* 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 7 2 ()
❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ® Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
, Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 9396 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.: B2 -9 I Project name: Longstaff 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
ID PROPERTY OWNER I ❑ TENANT 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 I 16.60
El 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 14 /' -2,-- 16.60
Tub /shower /shower pan I 16.60
E -mail: RLightner ®RCMHomes.net
Urinal 16.60
CONTRACTOR Water closet I 16.60
Wolcott Plumbing Contractors Water heater I 16.60
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 Z t
CCB: 23847 PLM: 26 -208PB Plan review (25% of permit fee)
r -- - - - - .
Authorized signature: State surcharge (12% of permit fee) 2.9 ,
TOTAL PERMIT FEE 2.71 " 10
Print name: I 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 Boand.
I:\ Building \Permits\PLMF- PermitApp.doc 17/27/06 440-46 16T( 1 0/02/COM/WEB)
IIII, f• la 'T •O:•O. .
Y'
Mechanical Permit Application r ECE ii F011 ()FFiCl.: USE ONE
City of Tigard d Received
Permit No.: •
g
• 13125 SW Hall Blvd., Tigard, OR 97223 DEC 1 9 200 "-•.": Date/B 'Z •
. Phone: 503.639.4171 Fax: 503.598.1960 :.. Other Perini i kel t _, • ' i . •
-1. 1 c; It n D Inspection Line: 503.639.4175 CITY OF RIG t y. F te Ready /By: ® See Page /B 2 for
Internet: www.tigard -0r.gov .50i on fl01V( owl* ed/Method: Supplemental information
1 �1 ;►j
TYPE OF WORK COMMERCIAL ;FEE* • :° E - 4 }SE 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 cONS1htUC ON Value: $
RESIDENTIAL EQUIP NT /'SYS`T`EM fE.4 *,
13 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
JOB SITE INFORMATION AND LOCATION „ Heating/cooling
Job site address: 9396 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.: B2 -9 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 I 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
Condominium Mecanical Ventilation Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
0 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 I 10.00
Single -duct exhaust (bathrooms,
Phone: (503)598 -7565 Fax: (503)620 -9965 toilet compartments, utility rooms) 1 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 WalUsuspended/unit heater
Phone: (503) 598 -7565 Fax: : (503) 620 -9965 Water heater
Fireplace
E -mail: RLighter ®RCMHomes.net Range
CONTRACTOR Barbecue
Clothes dryer (gas)
l OF 6ii comfort Heating Other:
!PO Box 190 MECHANICAL PERMIT FEES*
Eagle Creek OR 97022 Subtotal
'Ph: 503 -655 -0221, F: 503- 650 -2933 Minimum permit fee ($72.50) `70, 59
j CCB: 42519 Plan review (25% of permit fee)
_ State surcharge (12% of permit fee) , � • Q
TOTAL PERMIT FEE 7'7 f ,
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 \Permits\MEC- PermitApp.doc 01/19/07 440-46I7T(11 /02/COM/WEB)
`i'Z•• : ••04 1 .S
Electrical Permit Applicati i ECEt rcl lz 0,:,: l C l u s l: c 1.1. l
City of Tigard Received . at 4 Permit No.: . f • 0 , • •
13125 SW Hall Blvd., Tigard, OR 97223 19 20 J 3 P lan R eview
' I Phone: 503.639.4171 Fax: 503.598.1960U L Other Permit
Q A. o ■ • , , I
I !GARD Inspection Line: 503.639.4175 Date Ready /By: iwis: See Page 2 for
• Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: .` 1 Supplemental Information
TYPE OF r 1 " 1 t ' ' • PLAN REVIEW ---
® 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.
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
i JOB SUE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: I Job site address: 9396 SW Mandamus Court IOOHP 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.: B2 -9 I 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 tom. 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 1 145.15 ,11 , / 4
Ea. add'l 500 sq. ft. or portion I 33.40 ?�, 1
Tax map /parcel no.: Limited ergy, residential
( 75.00 _
2
DESCRIPTION OF WORK _ (with above sq. ft.)
7�
Limited energy, multi -family
Condominium Electrical, Low Voltage Phone & 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
0 PROPERTY OWNER I 0] 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 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
0 APPLICANT 1 ❑ 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 Lightner 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
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
! R 1V7S- .IeCtr1C energy panel, alteration, or
8504 SE Stark extension. Describe: Page 2 2
• Portland OR 97216 Each additional inspection over allowable in any of the above
'GCB: 118073, ELC: 37 -742C, Sup: 4542S Per inspection 62.50
Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
_ t ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 25z,
Print name: Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): ), 3
Authorized signature: TOTAL PERMIT FEE: 3 A
Print name: Date: This permit application expires if a permit b not obtained within 180
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(1 /05 /COM/WEB
A v/ki / 7
: a
• Building Division
One & Two - Family Dwelling
T I G n R D Fees Checklist
L
; R ERM M
IT:INFORATION:
Permit #: i,(j' (7 � -Go Plan #: MIT' ... Date: ( C (10? ..
Site Address: 13 6 L> Parcel #:
Subdivision: /...00& S( OFF COO rx m j xi i u S Lot #: Zoning:
Jurisdiction: Setbacks: Front: Rear: Left: Right:
Class of Work: 1.0 Stories: Z First Floor:
Type of Use: Height: '0 Second Floor: Fi.g G.
Construction: j Floor Load: (. it Third Floor:
Occupancy Group: R- Z Dwelling Units: I Total Floors: 8
Valuation: 85 5..
Ba sement:: .
Beaverton CET: Bathrooms: I Garage: 2-C,7
Tig -Tual CET: 83__,CG Decks: r> ' Other:
TVFR: Porches: Geo /Grading:
;FEES:: • . • • Description: 'Fee Amount: Amount Paid: Balance, Due:. • Plan Check: Building:
Extra Set:
Permit: Building: " 730 , Z--
Tax: -. (cF.
• Metro CET:
School CET: e -33 , t X ,
Mechanical ' '72 . r'
Tax: _ 4 c E 70
Plumbing: -49
Tax: le 2-9,q0
Electrical: 4 1 R. 5
Tax: `P ( , `'3
Low Voltage: 47 -7-5 C�
Tax: 2 5 9.00
CDC: CDC Ping. Rev.: •C 4( CO
CDC LRP Fee: ' (r , o(!`
SDC: Parks: 4 4 012— 72—
0 . 0
Erosion Permit: `1' ' a GO
Erosion CWS: 1 • ( y
Erosion COT: ' 13, CO
Water Quality:
Water Quantity:
SUB - TOTAL:
Sewer: Permit:
Inspection:
SUB-TOTAL:
TOTAL MST & SWR:
I:\ Building \Forms \ResPlanCheckFees. 01/19/07 Page 1
PLUMBING FEES (for special information use checklist) MECHANICAL FEES (residential equipment/systems)
Description 1 Qty. 1 Fee(ea.) 1 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-kci.2Cs 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 - 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 hood /other kitchen equipment i 10.00 I Orr) O
Water service - 1 100' 55.00 Clothes dryer exhaust 10.00 (
Water service - each additional 100' _ 46.40 1 t
Fixture or Item Single duct exhaust
Absorption valve 16.60 (bathrooms, toilet compartments,
Backflow preventer 27.55 utility rooms) 6.80 (. r 10
Backwater valve 16.60 • Attic /crawl space fans 10.00
Clothes washer i 16.60 Other: 10.00
Fuel Piping •
Dishwasher ` 16.60
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 1 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 r /0/1 2.• 16.60 Subtotal: $
Tub /shower /shower pan r 16.60 Minimum Permit Fee $72.50 $ 7Z:.)
Urinal 16.60 Plan Review Fee (25% of Permit Fee) $
Water closet 16.60 • State Surcharge (12% of Permit Fee) $ ' , '70
Water heater 1 16.60 TOTAL PERMIT FEE $ I , 20
Other:
Other: ELECTRICAL FEES (new residential)
• • Plumbing Permit Fees •
Subtotal $ 249.20 -Description Qty. Fee Total Insp
Minimum Permit Fee $72.50 $ 1,000 sq. ft. or less ( 145.15 1 S, (5 4
Plan Review (25% of Permit Fee) $ Ea. add'l 500 sq. ft. or portion 1 33.40 "33,40 1
State Surcharge (12% of Permit Fee) $ `Z�, �C Limited energy, residential 75.00 r7�.i 2
TOTAL PERMIT FEE $ 27`t , tf✓ Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Electrical Permit Fees .
Subtotal: $ (78 ,' S
Plan review (25% of permit fee) $
State surcharge (12% of permit fee) $ 2. • A--.." TOTAL PERMIT FEE $ �' � i I s
Lilt I rEib 76700
I:\ Building \Forms \ResPlanCheckFees.doc 01/19/07 ‘ Z - 1 :bo Page 2
L I GVl rrb Toll \(--- got -c'
•
0 DATE: PLANS CHECK NO.:
/ 3 /A) v Oeo'/
PROJECT TITLE:
COUNTYWIDE
TRAFFIC IMPACT FEE
NT:
a ,
WORKSHEET M :ZADRS v S, _ c-
(FOR NON -SINGLE FAMILY USES) _...__
TAX MAP NO •
RATE PER
AND USE CATEGORY TRIP /3 o roo 1Soo le 4700
SITUS N0. ADDRES 7�
V RESIDENTIAL / O,`• O 5•A/cf -- Fgd SAVES 'IV
$339.00 __.._ !/ .
BUSINESS AND COMMERCIAL $85.00
OFFICE $312.00 •
INDUSTRIAL $327.00
INSTITUTIONAL $141.00
PAYMENT METHOD: -
CASH /CHECK -
CREDIT INSTITUTIONAL ONLY:
\\
BANCROFT
OCCUPANCY ,„2.. NOTE) LAND U�C�EG0RY I U SED SLbIIJ )O RATE WEEKDAY T [ J f J "I I RATE KEND_ .4 IP
oofJ I � py �•�T
BASIS: /� . (2HPLE
CALCULATIONS: i > LE/ . / 5 ) ( .2 5 Z —7-72
2- 3 S 9 afl - 82, 033 — /
e AZ,03 X4-43 D PROJECT TRIP GENERATION:
ooSc� –Ars = /9 ixio• i a
�I
( T-S- 1 !- // T. /4. FE 2 O 3 e
FOR ACCOUNTING PURPOSES
ADDITIONAL NOTES: / ONLY
CoHPLEI: -13 Lis 5PR-T pfo - 5; a �I , , S .y• t .0D �� �"(o • / R j , 9 89 • �
/T / y �f 7 3 C� 0 .70 TNISIT9MT.e. co
jr : --- /3 /SCI 0/Z • �Z /97r ° PREPARED BY:
June 30, 2008 Worksheet 08- 09.doc
CC: WASHINGTON COUNTY TIF NOTEBOOK
l _
DATE: � 000//
PROJE r TITL : f lv2 nA e- AySTS
Cvv
COUNTYWIDE - - -- - - - - -- - --
TRAFFIC IMPACT FEE APPLICANT.
7 . `3 OC //''�TE
WORKSHEET MAI�l ®D R e39oesr g .- 1 3 / re
(FOR NON - SINGLE FAMILY USES) CIT V(7IP /PHONE:
DMZ NZ) OR 1 2 Z 3
RATE PER TAX MAP NO.: S4
LAND USE CATEGORY TRIP S / 54e. ° OD/49,20D/4/(0dd Q� Poo
RESIDENTIAL SITUS N DDR SS
BUSINESS AND COMMERCIAL �T
OFFICE ..3 vim/ i L ® A)OS
INDUSTRIAL _ F _} / P De-HO •
INSTITUTIONAL .
PAYMENT METHOD: 7 7z) / //c>?'
CASH /CHECK E1./crie4E_
CREDIT INSTITUTIONAL ONLY:
BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY I DESCRIPTION OF WEEKDAY AVG. TRIP WEEKEND AVG. TRIP
DEFER TO OCCUPANCY 23 USE RE5�ont � RATE 5 Tr(o RATE
BASIS: e____Cotler,k,£ R - X 5 d . 2 5 2 77/ PS
!
2 2 — i 2 h 7 'S •
242 x /3 =, ' 672,44 4 -5 &w, & IR/
CALCULATIONS:
I 3 thctT"1 r L till a
- it �. r PROJECTTj ERATION:
it
1F, : ��j �
4' '5 FEE
D. : 2, i 5O
72,4. -)'s ""�e ; FOR ACCOUNTING PURPOSES
ONLY
1 ROAD AMTf�OO 3 f
3 So
��i� / / SJO � - 4 �,�0.� O
l . 2 t' / � / % J % 04 6Q TRANSIT AM»,/ 4
- - - - - - - - - ,'PREPARED• - - -
June 30, 2008 Worksheet 08 -09.doc
CC: WASHINGTON COUNTY TIF NOTEBOOK