Permit CITY OF TIGARD PLUMBING PERMIT
a - COMMUNITY DEVELOPMENT Permit #: PLM2012 -00161
TI G A P. O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/14/2012
Parcel: 1 S 135ACO2500
Jurisdiction: Tigard
Site address: 9208 SW MANDAMUS CT
Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25
Project Description: New MF. Building 7 (6 units).
Contractor: WOLCOTT PLUMBING Owner: J.T. SMITH CO
1075 W HISTORIC COLUMBIA RIVER HWY 5285 MEADOWS RD SUITE 171
TROUTDALE, OR 97060 LAKE OSWEGO, OR 97035
PHONE: 503 - 667 -1781 PHONE: 503 - 975 7639
FAX: 503 - 667 -9891
FEES
Quantity Description Date Amount
100 If Sewer Service 08/14/2012 $62.54
Specifics: • 100 If Storm and Rain Drain 08/14/2012 $62.54
100 If Water Service 08/14/2012 $62.54
Type of Use: MF 6 ea Clothes Washer 08/14/2012 $150.12
Class of Work: NEW 6 ea Dishwasher 08/14/2012 $150.12
Type of Const: 1 ea Expansion Tank 08/14/2012 $12.51
Occupancy Grp: 6 ea Garbage Disposal 08/14/2012 $150.12
Stories: 2 ea Hose Bib 08/14/2012 $50.04
6 ea Sink 08/14/2012 $150.12
14 ea Lavatories 08/14/2012 $350.28
10 ea Tub /Shower /Shower Pan 08/14/2012 $125.10
10 ea Water Closet 08/14/2012 $250.20
6 ea Water Heater 08/14/2012 $225.12
1 12% State Surcharge - 08/14/2012 $216.16
Plumbing
Total $2,017.51
Required Items and Reports (Conditions)
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 24Ajjeti !" Permittee Signature: OM APPuei 1 V OKL
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbin2 Permit Application
Building Fixtures Ft /R 014 It . .1 I Si: ON 1.1 6 0
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City of Tigard Received , / / 4Q
Da/e/BY: kr7/./. Al#Y Pawit N I fi ZA/0 2 10/0 2 '4 0 /6 /
1 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit Nc65 4, il
inspection Line: 503.639.4175 Date Ready/fly: laic 0 See Page 2 for rli
riGAI:n .1%
Internet www.tigard Not Supplemental Information
71ti.0,tii9V4Cr :::-.'-`;' :- : - i
(11 New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total t il
0 Addition/alteration/replacement 0 Other: New 1.2-family dwellings (includes 100 ft. for each utility connection) V
".ii-le SFR (1) bath 31170
0 1- and 2-family dwelling 0 Commercial/industrial SFR (2) bath 437.78
SFR (3) bath 500.32
0 Accessory building IA Multi-family
Each additional bath/kitchen 25.02
0 Master builder El Other: Fire sprinkler ( sq. II.) Page 2
14100m9P Site utilities:
,„ c i.. Catch basin or area drain 18.76
;
.y- Job site address: q 2,47- ‘i Z:51, al z-v-t ei-2_1i, 60 Fv(
Drywell. leach line, or trench drain 18.76
City/State/ZIP: - 1 - , ittret f 02- ci 9.2 /02 , F. ef- Footing drain (no. linear ft.: ___) Page 2
Suit&apt_ no.: 9 1 Project name: 1,..C7/nS Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
- \L011 211 a e n r e e_A(7 LAI - 1 42_,eil S k_e_d-L L vx Rain drain connector 18.76
Sanitary sewer (no. linear It.: 100) ( Page 2
Storm sewer (no. linear ft.: 10)
I Page 2
1" 1 Li 2_ 1 el zo2 s,) rvx,,,,,,caz a Water sesvice (no. linear It: l_) 1 Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer - 31.27
--, 12.51
- , --k:: Backwater valve
Clothes washer
- CYN-N.-•-m-■o< - ?■tA......‘c2,... '' VZ• C., - 1 Dishwasher G 25.02
Drinking fountain 25.02
Ejectors/sump - 25.02
1 .i '_ ,?';:=1:Ft ' ,kN.At: Ex ansion tank I . Il51 ta,sk
-!! P
Fixture/sewer cap --- 25.02
Name: --%:\ St C..Cank■Iktri\A qt..... Floor drain/floor sink/hub .-- 25.02
Address: 5243S toNe ? s,e10... A .. VA \
Garbage disposal (0 25.02 lgo. t'
City/State/ZIP: 1,...ckNeje_,.. O g
s n CAZ "to ST Hose bib 2.. 25.02 go . 04
Phone: SO1) 3012 - 1 / 2..44 ..4 Fax: (Sal )(434- 0 \ te Ice maker 12.51
. . . :. ..,„ - .: - :„; " -;. - 2, - E - 0.044:0:$0.0
Interceptor/grease trap -- 25.02
Medical gas (value: S ) ■-• Page 2
Business name: - i - IRA 4 5 L. I__ C_
I Primer 12.51
Contact name: e_AA"--(Le._ Br-tc.,ver Roof drain (commercial) - 12.51
Address: i g5 INA e_ J.41_ ' k A i si 1 I Sink/basin/lavatory 2 0 25.02 5cat,.
City/State/ZIP: L. tuke_ Os -1 o Ca ql. r-) 5 Solar units (potable water) 62.54
1 1 1 C) %""'
Phone: ( 51)3 ) 1:1, 5 - -1,U ,5ei I Fax: : (5t)3) L4 D 2_ Tub/shower/shower pan 12.51 10
Urinal --- 25.02
E-mail: eAor t (..k. /Jr g. sk h" Lik.- C-0 , ttVi&
..- .........,...."-" -'' . ' •-• . ''''''''" ''''''T' z.-' - '41 -- "i ;.,..;:, - s. Water closet I 0 25.02
Water heater (0 37.52
Business name: 04 41.1.o.y.g."..r A.U.J. Water piping/DWV 56.29
Address: i 61S \J. \4■sktic C..dtv4v0z:A,%■34,c ‘AuS1 Other. 25.02
City/State/ZIP: - N - 1- 4:: ",.-.40,1, e _ ug,... c.t cA0c) Subtotal
t Minimum permit fee: $72.50 -
Phone: (C4)1 )46-1.-‘12‘ % 34,2_ Fax: (Sol ) \
Plan review (25% of pennit fee) --
1 CCB Lic.: \VD..,,,.../...C Plumbing Lic. no.a6 -8A1.4
State surcharge (12% of permit fee) ,201 . 1 40
Authorized signature: -- TOTAL PERMIT FEE t '1 I
Print name: - rex vl v Date:9-26_ k .. I 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.
lAlluilding \ Pamiu \ PLMU-ParnitApp.doc 10/01/09 440-4616T(10/02/COIWWEB) 010/1.5/
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TIGARD
City of Tigard
INVOICE DATE: 06/06/2012
Project Name: Longstaff - Building 7
Fee Item Fee Amount Fees Paid Fees Due
Building Permit Fees:. BUP2012 -00038
Permit Fee - RES - New Construction $ 3,271.04 $ - $ 3,271.04
12% State Surcharge Building - $ 392.52 $ - $ 392.52
Plan Review $ 2,126.18 $ 2,075.85 $ 50.33
Plan Review - Fire Life Safety $ 1,308.42 $ 1,277.44 $ 30.98
Park - Multi Family Unit - Apartments & Condominiums $ 19,525.20 $ - $ 19 ��
TDT - Transportation Development Tax $ 25,950.00 $ - $ X25 i> CCp1
d
DC Provision Review, COM New - Bldg $ 129.00 $ - $ 129.00
DC Provision Review, COM New - Ping $ 129.00 $ - $ 129.00
DC Provision Review, COM New - LRP $ 38.00 $ - $ 38.00
Info Process /Archiving - Lg $2.00 (over 11x17) $ 64.00 $ - $ 64.00
Info Process /Archiving - Sm $0.50 (up to 11x17) $ 24.00 $ - $ 24.00
Erosion Control $ 184.00 $ - $ 184.00
Erosion Plan Review CWS $ 59.80 $ - $ 59.80
Erosion Plan Review COT $ 59.80 $ - $ 59.80
Metro Const. Excise Tax - Residential Use $ 785.74 $ - $ 785.74
Tig -Tual School CET - Residential $ 6,494.90 $ - $ 6,494.90
Total Building Permit Fees: $ 60,541.60 $ 3,353.29 $ 57,188.31
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City Contact: Dianna Howse, Building Division Services Supervisor, 503 - 718 -2430
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard- or.gov
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• TIGARD
INVOICE DATE: 06/06/2012 City of Tigard
Project Name: Longstaff - Building 7
Fee Item Fee Amount Fees Paid Fees Due
Mechancial Permit Fees: MEC2012 -00304
Range Hood /Other Kitchen $ 200.34 $ - $ 200.34
Clothes Dryer Exhaust $ 200.34 $ - $ 200.34
Single Duct Exhaust (Bathrooms, Toilet, Utility Rooms) $ 373.12 $ - $ 373.12
12% State Surcharge - Mechanical $ 92.86 $ - $ 92.86
Sub - Total: $ 866.66 $ - $ 866.66
Electrical Permit Fees: ELC2012 -00351
Electrical Permit $ 708.61 $ - $ 708.61
12% State Surcharge - Electrical $ 85.03 $ - $ 85.03
Sub - Total: $ 793.64 $ - $ 793.64
Plumbing Permit Fees: PLM2012- 00161
Sewer service $ 62.54 $ - $ 62.54
Storm and Rain Drain $ 62.54 $ - $ 62.54
Water Service $ 62.54 $ - $ 62.54
Clothes Washer $ 150.12 $ - $ 150.12
Dishwasher $ 150.12 $ - $ 150.12
Expansion Tank $ 12.51 $ - $ 12.51
Garbage Disposal $ 150.12 $ - $ 150.12
Hose Bib $ 50.04 $ - $ 50.04
Sink $ 150.12 $ - $ 150.12
Lavatories $ 350.28 $ - $ 350.28
Tub /Shower /Shower Pan $ 125.10 $ - • $ 125.10
Water Closet $ 250.20 $ - $ 250.20
Water Heater $ 225.12 $ - $ 225.12
12% State Surcharge - Plumbing $ 216.16 $ - $ 216.16
Sub - Total: $ 2,017.51 $ - $ 2,017.51
Sewer Connection, Permit Fees: SWR2012-00112 .
Sewer Connection Fee $ 27,000.00 $ - $ 27,000.00
Sewer Inspection - Commercial $ 45.00 $ - $ 45.00
Sub - Total: $ 27,045.00 $ - $ 27,045.00
Total Mechanical, Electrical, Plumbing & Sewer Fees : $ 30,722.81 $ - $ 30,722.81
City Contact: Dianna Howse, Building Division Services Supervisor, 503 - 718 -2430
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard- or.gov