Permit CITY OF TIGARD SEWER CONNECTION PERMIT
s COMMUNITY DEVELOPMENT Permit #: SWR2012 -00112
T I G A R n 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/14/2012
Parcel: 1 S135ACO2500
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: Owner: J.T. SMITH CO
5285 MEADOWS RD SUITE 171
LAKE OSWEGO, OR 97035
PHONE: PHONE: 503 - 975 -7639
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 08/14/2012 $27,000.00
Sewer Inspection - Commercial 08/14/2012 $45.00
Type of Use: MF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 6
Total $27,045.00
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. p ,/�
Issued By: kj , APP L Signature: D / L( C.� 471 �
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.
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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 $ - $ 19 525.20 ���D
TDT - Transportation Development Tax $ 25,950.00 $ - $ C oC �y'
le
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 t
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 Fe es. 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