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Permit U /0372 S4) /J-k/a')t 7r (qc _ ,,_ 5o 09 Building Pe ? it Appl - W""`�" FOR OFFICE USE ONLY.. City of Tigard ;, ; . ..� _ ., I? :'/ Received 1 ( / R Permit No(�IC C 't i �,/ ,{ Date/By: 1 (i / 0(v /.J 6 ' 1 ►J� T ,a. d' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review °hone: 503.639.4171 Fax: 503.598.1(�( G�E(t4 t • ? 701-1 h ral� I Date/By: /tA,, r / 5 .2 - G'7 Other P i �� �oop. 1 .nspection Line. 503 639 4175 e• I Date Read /B J Ready /By. /� yGa� F] See Attached Checklist for mamma r.0 Internet: www.ci.tigard.os :MI r - Notified/Method. s /i/1 ( J �� /� 4 Ste, / Supplemental Information ■' 4,4, . ... • _,..TYPE OF WORK REQUIRED DATA: 1 - AND 2- FAMILY DWELLING $( New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION• • work indicated on this application. ❑ 1- and 2- family dwelling CI Commercial/industrial Valuation: S (20 88 ❑ Accessory building f$ Multi - family Number of bedrooms: 2 • ❑ Master builder ❑ Other: Number of bathrooms: Z, S JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: L03 SSW d i e gy Leg "f t2i4C.E New dwelling area: ( 39 square feet City/State/ZIP: -nGAD , c 611123 Garage /carport area: 275 square feet Suit - . i, .pt. no.: Li Project name: OAK e r- - rpNAN O1.A6S Covered porch area: I c square feet Cross street/directions to job site: Deck area: 1(p square feet ahl 9 Ave . Other structure area: square feet 14,0 1 A REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: I 5 1 35AA03 co $ d- 039 0 ( 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. 0N/5112,0C-11 O AJ CC L -th IT 31 - _ . Valuation: S -";'I Ckc• Mu._ ( 4t L. (T$ t Existing building area: square feet New building area: square feet • .I PROPERTY OWNER - - ❑ TENANT Number of stories: Name: OAK &f. 1- - fCaA)Np -IDMs , Liz.. Type of construction: Address: (`LV SW (08 ,h16. , S - . 40C) Occupancy groups: City/State /ZIP: II GA2 -1), OR cr 223 Existing: Phone: (503) 00 39 • 3104 Fax: (5O3) 5I$ •9O8 I New: _ Z APPLICANT ❑ CONTACT PERSON NOTICE Business name: (cON I- fie /per( 1,1 (IQ G , (NG. All contractors and subcontractors are required to be Contact name: DA,,, C�CnAQ(Ct4 oI'Z M� 5 teEic licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: crT25 Sv■/ .A"ve - a - rcm + LLs1)AI, ("((y, s.24ce. jurisdiction in which work is being performed. If the City/State /ZIP: '� y aN r oR °r7 applicant is exempt from licensing, the following reasons apply: Phone: (5o3) Co4'- 1C0(o I Fax: : (503) (pe( -1(4699 E -mail: p j c-ovl a/ t -{ .0 oyyr - . _ - • • • CONTRACTOR Business nar oak Street Townhomes LLC eg--A/ 6 "Lz- - - - STONE BUILDING PER FEES* -.. . Address: 1.`,. 12670 SW 68th Ave Ste 400 e r D , i ES Please refer to fee schedule. City/State/Z1 Tigard OR 97223 Phone: ( a P: 503-639-3104 F: 503 -598 -9081 ��� a /D7? Fees due upon application ,B lie.: CCB: 169524 . /a.%e Amount received al ( � t ✓ I l Date received: Authorized signature: t Th permit a pplication expires if a permit is not obtained within 180 days after it has been accepted as complete. Pnnt name: ©q I Date: .27 .O c„, * Fee methodology set by Tn -County Building Industry Service Board t \ Buildmg\Pe:mns\BUP•PermnApp.doe 12/03 440-4f 13T(I I /OJCOM WEB) . . • Mechanical Permit Application FOR,OFFICE UtEsilkilr; ..,.::-...',...,. -'. s. :::: - . '• •-•-„.',..• Ci t' of Ti - d i i 22' Da::: sy. I P.:47:1:: Nn061:2 ... 331 )5 SW 1 loll "Blvd . , lt , : 7 .. Man itcyiuw Phone. 503 63 ! 71 Fai. .501 5r ■ 960 Da:: lir p . ..N Pcm.ii Ire-pet:110:1 Lille: 503.639.4)75 ..: -; 42iat. j : Dan: Rcadsliv• E X P 6 ill._ .h.n, o 'it rats: 2 for .. - • 'nu. ww‘%...:;.tiard.oi.es Notificit'N•i.r.11:,:. Supplemental Information • - • . TYPE OF. WORK. • - COMMERCIAL FEE SCHEDULE - USE CIIECia.-IST ; • Mechanical permit fees' ara based on the value of th work rE New construction 0 Aticlition'aiterationireplacernent periOnned. Indicate the value (rounded to the nearest dollar) of all 0 Dcanoiizion D Other • mechanical materials. ecitipment. labor. overhead. and profit. • . • 7, .• ' - : : ' ' 'CAl'EGOR:Y OF. CONSTRUCTION ..- . '-`- :- - • Value: S ' . . . _ . . - -. RESIDENTIAL EQUIPNIENTi SYS'ItNiS'its :-.• • DI- and 2-family dwelling 0 Commerciel/indust:ial 0 Accessory building For special olfarmation use clieekltst. al Multi-family 0 Master builder 0 Other Description riT. En. Total '. - . ..,.-.:;••• ,' ''..- ". • JOB SITE INTOR:NIATION AND 'Loc:kT1(5.N ' - ,., • . ' ... ;:::.." ..-;- . Ileatinaleonlina Job site address. I 039 2.. 501 A- 1 LEA-N -TA-ce Air conditioning or heat pump - i (=mires site elan showing olnernattu) I ( 14.00 I .---- - - City/State/ZIP: - 1 - 16AlaD , O zz 9/2,2:3 Furnace 100.000 BTU iductsivcias) I I 14.00 1 - itn 100.000+ ETU Utazisntsi 17.90 Suite/bldg./apt. no.: I Project narne:CAK s-re..- - IDL OA11-lit.:tvl.. as hem pump 14.00 Cross street/directions to job site: Duct work I 14.00 • I Hydronic hot water system 14.00 I 5■4 9o4t, Av5. Residential boiler (radiator or hvdmnic) 14.00 l Unit heaters (fuel-type not electric). r in-wall, in-duct, suspended. e4c. 10.00 I Flue/vent for any of above I I 10.00 I I 0 - Subdivision.: I Lot no.: --- 0th J 10.00 • Tax mapiparcel no.: 15r 5 ,d5 03800 -i- 1 5135 AA 0390( Other fuel appliances • DESCRIPTION OF NVOM: • - -• ". Water heater 1 10.00 [ 10 . • - . . . . Gas fireplace I I I 10.00 10 - C,0ts 5 u.crionl Oc UYl IT 3 I Flue vent for water ht=tc:r or gas firenlace 2- 10.00 2D- - tea-.7.; WILL- -Ile i.A.Y1 trS 1VT7-1-1- . L.o licluer (.3s) - • : 10.00 I I Wood/pellet stove 10.00 I I I Wood fireplace/insert I 10.00 I • . Chimney/liner/flue/vent 1000 - . . I . • 0",,EROJ'E-RTY..OW_NER --. .._ •: ' .. • . • :. . .0 :TENANT - . . -.. ,.....,-. other 10 00 I Name: Environmental exhaust and ventilation I Range hood/other kitchen Address: j94,2 5w (08-iin Ave- , S. -1 c) I eauipmcm 10.00 . City/State/ZIP: 11 & ik , c>eZ 912Z-3 Clothes dryer exhaust I 10.00 10 - Single-duct exhaust (bathrooms, I Phone: (568 ) (9. 5104 I Fax: (50.1 ) scig .9c,g-i toilet compartments. utility moms) 3 6.80 20. 40 . . ._-. PLICANT. I I' : . -• fl CONTACT ptt/soN - :: " : ... Attickrawlspace fans . :..--., 1.-.. . -. •-• . 10.00 I Other I 10.00 Business name: - /_p4 )101,44--(rigc.../1.4., /PIA KsiJima , PSC . Fuel pipina Contact name: DA N I 60:1DiatcH 'R ivt0 t CA S-nsi e. 55.40 for first four: S1.00 for each orid Furnace. etc. I I 5401 5.10 Address: e9 -715 su r f-1 usT)Aik.- R uby , SD; . 2.4 OE Gas heat pump City/State/ZIP: ..-Ccod , 1:71:2, cl-7co5 _ Wall/suspended/unit heter I I Phone: ( 1.53) (..044 - t I Fax: : (5)4 -7(,C Water heater S90 I 5.90 Fireplace Pi .-ri 640 E-mail: 4 :119 01 C.cr -CZ> Is'l Ranee I I 5. 40 I 540 toyi-RAttsiR.- ::: '. .:: ' ."::.-. ., ' :' Barbecue I Clothes dryer(gas) • I Business nat Thermal Flo Inc Other. I Address: 7236 SW Durham Rd Ste 100 ..., ,.. . . ... , ... . ,--':- -..:.111ECHAti1C.k.L P.L7tNIIT FEES* Portland OR 97224 Ciry/StaterZ.. Subtotal I P: 503-670-8343 F: 503-620-1953 Minimum permit fee (S72.50) I me: I CCB: 151847 Plan review (25% of pertnit fee) I , CCB lie.: 1 1 I State surchante OM of permit fee) I ,._... q i i L TOTAL PERMIT FEE l Th6 permit application expires if a permit is nut obtained v.itltin 180 I Authorized simanue: ' I days after it has been acceptor! as complete. ._..... i Print name: DA-Ni & -Deic...A I fle.,. cx 1 • Fe..: methorlolocy set by Tri-Cuunty Buliding Indust." Sem= rimml i.....Dzildiug.P=mits MEC-Pm-414.Am' cbc 110 :40-V:17(1 liCICOMAITS) L, Plumbing Permit Application ' . 211°16 FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit N�n`ro.� �/!�l o��/3 � - /_ VD .4 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review , • 1 J 'u_ Phone: 503.639.4171 Fax: 503.598.1960 ,, / Date /By: EXPIRED Other Permit No.: 24- Hour Inspection Line: 503.639 4175 7•I'l I Date Ready /By: runs El See Page 2 for Internet: www.ci.tigard onus Notified/Method. Supplemental Information • • 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 connectior - - , :: _ . CATEGORY OF CONSTRUCTION • • • ' : - • _ SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building X Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 - JOB SITE INFORMATION AND LOCATION Site utilities Job site address: ( SLA At .-t L.e Ir-12.12A-CE Catch basin or area drain 16.60 City/State/ZIP: --'(G D, CA q7 223 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: OW_ S(10ECr "MA hi E.I•oM Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 5W qo+i' Rain drain connector 16.60 Sanitary sewer (no. linear ft.: Page 2 Storm sewer (no. linear ft: ) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: 15 135A 0-3M0 d- 15I35Atk-o390 I Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 C j uc11 o aF Llyt 1 T 31 Backwater valve 16.60 - i 62E W I L!_ e q.(p U A l - T D Pt .. Clothes washer ( 16.60 1 (p , ( Dishwasher I 16.60 go ( Drinking fountain 16.60 Ig1 PROPERTY OWNER ❑ TENANT - Ejectors/sump 16.60 Name: (Me_ 5'11 - r TOW N - OMES , LLB Expansion tank 16.60 Address: I 2te,1 D SIN (peel" Ave , 5 u l rE 400 Fixture/sewer cap 16.60 City/State /ZIP: -11 &leap , or2 C O 223 Floor drain/floor sink/hub 16.60 Phone: (9p3) L . t 4 Fax: (5DS) 5913 .9 Og I Garbage disposal I 16.60 i G. 4,0 Eij APPLICANT ❑ CONTACT PERSON Hose bib 2 16.60 33.2 p Ice maker 16.60 Business name: I Co NI f tar ;N r(' TU E. / PtA N K) IMG 1 l IJC . Interceptor /grease trap 16.60 Contact name: DA44 G l c.j'1 b K mom ICA S' 12_llC JZ. Medical gas (value: $ ) Page 2 Address: 9-7 SW e,e,Avelarto •H WS Discs 41u)y . S12 a 0E Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 veYrlvtJ 1 a . 9loo5 Phone: (503) t !44 .7(OcOI Fax: : ( •C31 (0,44 •�GI Sink/basin/lavatory /shows r pan -� 16.60 (do. 2. 40 Tub/shower/shower 2 16.60 33. E -mail: d I @ Gp vl a rcJ t - 1 ec - . COW) Urinal 16.60 J CONTRACTOR Water closet .11. 50 ,. 2.5 16.60 Business 1 The Mullen Company Water heater 1 16.60 1(p. (Pp Address: 1601 SE River Rd Other City/State Hillsboro OR 97123 Subtotal P: 503-640-0113 Minrmum permit fee: 572.50 ( Phone: Residential backflow minimum permit fee• 536.25 CCB Lie.: v I CCB: 92689 PLM: 34 -260PB Plan review (25% of permit fee) ijU i State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: - DAN G 00DI21C1-I Date: (9.23 ,Occ, 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. i:\ Building \Permits\PLM- PermitAppdoe 06/05 440.4616T(I0/02/COM/WEB) • Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit 13125 SW Hall Blvd., Tigard, OR 97223 i , : • .- • 21 i Date /B : _ , I , • , ��� zqy Phone 503.639.4171 Fax: 503.598.1960 Other Permit. Inspection Line: 503.639.4175 �,' e •' I Date Ready/By: tuns 0 See Page 2 for 'ntemet: www.ci.tigard.or us Notified/Method. Supplemental Information TYPE OF WORK- PLAN. - REVIEW ' • New construction ❑ Addition /alteration/replacement Please check all that apply: ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'l 0 Hazardous location ❑Service over 320 - rating 2:1Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1 - and 2- family dwellings 4 or more new residential ❑ 1 - and 2 dwelling ❑System over 600 volts nominal units in one structure y g ❑ Commercial /industrial 0 building Multi family ❑ Master builder ❑Building over three stories ❑Feeders, 400 amps or more 21, ❑ Other: ❑Occupant load over 99 persons ❑ Manufactured structures or • • - - _ JOB SITE INFORMATION AND LOCATION " ❑ Egress/lightmg plan RV park Job no.: Job site address: (,0392 5)J MG( 4 'I C-E ❑Health - care facility ❑Other. Subm 2 sets of plans w any of the above. City/State/ZIP: -f-k A j C512 Cr? 2-23 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: C2 STYL.eir - 1 OLA FEE* SCHEDULE Description I Qty. I Fee. I Total Cross street/directions to job site: New residential single- or multi- family dwelling unit. SW Q 0 Av� . Includes attached garage. I 1,000 sq. ft. or less ( 145 15 1.45.I � i 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: 15135 A .kd3 ?00 - I S 13SA -Ac F)0 I Limited energy, residential 1 75.00 - ]<j.00 2 Limited energy, non - residential 75 00 2 DESCRIPTION OF WORK Each manufactured or modular 3 ( CoNS'f72L �T/0N 0� (.(An (T dwelling, service and/or feeder 90 90 2 Services or feeders installation. alteration, and/or relocation On ITS - fa'rA't_ 200 amps or less 1 80.30 $0.30 2 ' R PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2 401 amps to 600 amps 160.60 2 Name: 0A14.. Sikeer — (70k) i OM es , L.LC.- 601 amps to 1,000 amps 240.60 2 ,ddress: 124, 5jm ( -1-i- Arve- t STG . 400 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: --16 "D , OR 6 11223 Temporary services or feeders installation, alteration, and/or Phone: (522 ) Co39 . 3i o.1 Fax: ( 59 $. clog ( relocation 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 600 amps 133.75 I 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel (, APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 ( ( 2 Business name: 1C ,Kt'1� +L11A - 9 - 7 PL p w 1 s t , (N , branch circuit B. Fee for branch circuits Contact name: M0 ef( -�/L 0 K }n( G�-� e C without service or feeder fee, 46.85 2 first branch Address: 9125 SW E3,6Av tt4 H ILLSDkI - 1 +t4)Y , .210E circuit Each add'1 branch circuit 6.65 2 City/State/ZIP: (1 t,/[vZ 01,3 i C54.. 9 5 Miscellaneous (service or feeder not included) Phone: ( (,44 , I Fax: : (r•%'3) (0.4 ( � Q Pump or irrigation circle 53.40 2 I Sign or outline lighting 53.40 2 E -mail: of l e C a rG1. t-f - ct </Dr Signal circuit(s) or limited- , CONTRACTOR . - , - energy panel, alteration, or extension. Describe: Page 2 2 Business r Ross Electric Inc Address: 2870 SE 75th Ave #203 Each additional inspection over allowable in any of the above 1-lillsboro OR 97123 Per inspection 62.50 City/State/ P: 503 - 642 -2800 F: 503 - 642 -5815 Investigation per hour (1 hr min) 62.50 Industrial - per 73.75 Phone:( CCB: 157891 ELC: 34-436C SUP: 4232S - _. - . • - . ELECTRICAL PERMIT FEES* CCB Lie.: I Electrical Lie.: I Suprv. Lie.: Subtotal 'wry. Electrician signature, re uired: Plan review (25% of permit fee) State surcharge (8% of permit fee) Print name: Date: TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete Print name: -. 1)rlK GD 7i21 /, Date: ( ()� • Fee methodology set by Tri -County Building industry Service Board `�� �l •" Number of inspections per pens it allowed , \Building\Permus\IZ.C•Perm,tApp doe 12/03 440- 4615T(10 /02 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIALTWORK ONtY _ = 1 = -.� = - Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm Ni Garage Door Opener* 14 Heating, Ventilation and Air Conditioning System* El Vacuum Systems* ❑ Other: TCOI'II■ZERCIAL WQRK - ONLY:_ _s 777,_ Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other • Total number of commercial systems: • *No licenses are required. Licenses are required for all other installations • i:\ Building \Pa -mits\ELC- PumitApp.dx 04/03 Plumbi Pe rmit Application - City of Tigard ' Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities - :-: : :::= _ : - - _ r- ty. F ee ( _ - - -- - , t _- _ - S quare Footage: =_ -:- - Permit Fee:'...: -- -- - - - .. - To Footing drain - l' 100' 55.00 _0 to 2,000 $115 00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer- 1st 100' 55.00 7,201 and greater I $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 'aluatio-n; ;: _ _'; = Permit Fee: , --:= - -; _ storm & Rain Drain - 1st 100' 55.00 - $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each - - - - _ Qty: - Fee ( a F _= additional $100.00 or fraction thereof, to and FLlture'or Ytem : _ - - .. _ . including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including £50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: . ' Plan Review_ f or C omplex. Structures I - - Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees *. Please check all that apply. • s .,Quantity by,(Fix W ❑ Any new commercial building. Future Type: Replace' ❑ Any new exterior plumbing siteutilities. • - - , • - Previous' - Capped' Added ' Existing -. ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service - Drive Thar facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwasher - Commercial $t Any new residential building containing three (3) or more - Domestic • dwelling units. Drinking Fountain ❑ Any INTFPA 13 -D multipurpose fire sprinkler system. Eye Wash . Floor Drain/sink - 2" Submit 2 sets of plans with any of the above. -3" • Car Wash Drain - -Isometric,or R 15Qr Diagram : ':: Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - Commercial - Service Swimming Pool Filter . Washer - Clothes *Note: If the fixture work under this permit results in r Water Extractor Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued ai. Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. 1• 1Buildtng \Permits\PLM- PermitApp.dot 07/06/05 • 1 ' Building Division One & Two - Family Dwelling T I G A R D Fees Checklist PERMI T_INFORMATION: : ..: - .. -- - - -- .T- -�-�.: - - - � •s; :c°. ; -. -. ... :::... _ - --.,. -;. -. - .... a _���. ..x Permit #: Mc "2 00 6 OO)'i 2_ - Plan # : nR K s .r- . A • .._ - D ate: 1) - .2 - n r7 Site Address: 10 2) 9 2 Sw A K s i_a A Al Parcel #: Subdivision: OA k 572 f ! r ro..,J fj No M £ 5 Lot #: 37 Zoning. M ‘,1,c_ i Jurisdiction: -r, Setbacks: Front Rear: S Left — Right Class of Work: fl/f,� Stories: 3 First Floor: a y L ip Type of Use: F A Height 3.s ' Second Floor: 5-s-1 v Construction: Floo Load: 0 S n1 SU rf T hird Floor: Sa 1 Occupancy Group: R 3 Dwelling Units: / Bonus Room: Valuation: 1 i 71 £f /- 7n Bedrooms: Total Floors: / 3 9 I/ I Bathrooms: 3 Basement Decks: q A M Garage: )7S" Porches: ;1 p l7 Other: Wiz:. s . r - -.'-' ,,, .z „� ,.. ,.. :. FEts: - ; L= . D =; L; Fee Amount . : Amo Paid:_ _ _ YBa fiaoe Dae .; a Plan Check: Building 510. t 5% a SO - 0 7 256 r 1 v �/v • 0 7 _ - Extra Set: Permit: Building $9a • 5 1, 92 , 5 U Tax: 7 1 . NO 7/ 140 Metro CET: 14q .90 I r L! ej o MechanicaL• 9 3 to 9 3. i o Tax: 7 56 7. S Plumbing Spry. co .. 9 i 00 Tax: '3, D 3/ . 92 Electrical: P)1.95 � 1l q 5 Tax: 14 • 9 b /a . 9 , Low Voltage: 7s oo - co Tax: f .rxo 6-Cr) SDC: CDC LRP Fee: 6 oo (9 .co CDC Ping. Rev.: yS. cO lr 2. ,7) Parks: (Jos 3. oo /./J)).3 -(: c) TIF Res.: a5(00 or, 00 r ) TIF MT: 2 ( . 7 . o 0 d a o un Erosion Permit: Cy . . c� o Cy Go Erosion CWS: ao 10 62 0. ( ,c) Erosion COT: a - cr.? 90. c'60 Water Quality: - Water Quantity: — SUB- TOTAL: 9 1 ( n . Co ;...)S r - r' 5) !O cr) Sewer: Permit: Dino .rn 77 on Inspection: 3 s co 5 - SUB - TOTAL: 7 ?5 . v TOTAL MST & SWR: 1.2 , 1 95—. /•,9 : - . -1 ,) r • 11 / 9' /.3• cn I. \Buildmg\Forms\RcsPlanCheckFees doc 06/29/06 Page 1 PLUMBING FEES (for special information use checklist) MECHANICAL FEES (residential equipment/systems) Description I Qty. j Fee(ea.) I Total Description I Qty I Fee(ea.) I Total ' New 1- & 2-family dwelling. ' .. Headop/Coollna (Includes 100 It. for each utility eoaseeelo ' i) ' ` � Air conditioning or heat pump / 14.00 1/ SFR (I) bath 249.20 Furnace 100,000 BTU (ducts/vents) / 14.00 /1/ SFR (2) bath 350.00 Furnace 100,000+ BTU (ducts/vents) 17.90 SFR (3) bath 399.00 3 99. a, Gas heat pump 14.00 Each additional bath/kitchen 45.00 Duct work 14.00 Rain Drain, single famil 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 Flue/vent (for any of above) 10.00 Catch basin/area drain 16.60 Repair units 12.15 DryweWleach line/trench drain 16.60 Outer Fuel Appliances - - Footing drain - 1" 100' 55.00 Water heater / 10.00 / J - Footing drain - each additional 100' / 46.40 Gas fireplace / 10.00 v Manufactured home utilities 110.00 Flue vent (water heater /gas fireplace) 10.00 Manholes 16.60 Log lighter (gas) 10.00 Rain drain connector 16.60 Wood/Pellet stove 10.00 Sanitary sewer - I" 100' 1 55.00 Wood fireplansert 10.00 Sanitary sewer - each additional 100' 46.40 Chimney/liner /flue/vent 10.00 Storm sewer • 1" 100' Other 10.00 55.00 Environmental Exhaust & VestBadon Storm sewer - each additional 100' 46.40 Range hood/other kitchen equipment / 10.00 i Water service - l" 100' / 55.00 Water service - each additional 100' 46.40 Clothes dryer exhaust / 10.00 ' d Single duct exhaust Absorption valve 16.60 Asti toilet compartments, Badcflow ',revolter 27.55 utility rooms) '3 6.80 .70 . c)�� Backwater valve 16.60 Attic/crawl space fans 10.00 Other: Clothes washer I 16.60 10.00 Fuel Piping Dishwasher 16.60 ••(65.40 for first 4, $1.00 each additional) Drinking fountain 16.60 Furnace, etc. - / •• Ejectors/sump 16.60 Gas heat pump • • Expansion tank 16.60 WaWsuspcnded/unit heater • • Fixture/sewer cap 16.60 waxer heater / • • Floor drain/floor sink/hub 16.60 / •. Fireplace Garbage disposal I 16.60 Range • • Hose bib ,.,Z 16.60 BBQ I •• Ice maker / 16.60 Clothes dryer (gas) • • Interceptor /grease trap 16.60 Other. • • Prima 16.60 Total: /-/ 3 t/ O Roof drain (commercial) 16.60 Mecka lcal Permit Fees Sink/basin/lavatory i /0/ t 16.60 Subtotal: S of -2, ,q O Tub/shower /shower pan / 16.60 Minimum Permit Fee $72.50 $ Urinal 16.60 Plan Review Fee (25% of Permit Fee) $ Water closet 3 16.60 State Surcharge (8% of Permit Fee) $ .2 • SCE Water heater / 16 TOTAL PERMIT FEE $ Other: Other: Plumbing Permit Fees _ ELECTRICAL FEES (residential single- or multi - family) Subtotal $ 399.Ot7 Description Qty. Fee Total lisp Minimum Permit Fee $72.50 $ 1,000 sq. ft or less / 145.15 4 Plan Review (25% of Permit Fee) $ add'I 500 sq. ft or portion 33.40 I Limited energy, residential / 75.00 2 State Surcharge (8% of Permit Fee) $ 3 / • 9 Each manufactured or modular TOTAL PERMIT FEE $ dwelling, service and/or feeder 90.90 2 ElecMeal Permit Fees Subtotal: $ P H. .c • Plan review (25% of permit fee) $ State surcharge (8% of permit fee) $ /l. c) L TOTAL PERMIT FEE $ I•\ Budding \Forms\ResPlanCheckFees.doc 0629/06 Page 2