Permit EXPIRED /7/fo x --
•
Building Permit Appli : 6; F 1 V . FOR OFFICE USE ONLY
t I-. f.
M ' "° ! Cf.'
Received
City of Tigard Date/B Z . 07 I.
° 13125 SW Hall Blvd., Tigard, OR 97 r Plan Review
• Phone: 503.639 4171 Fax: 503.59 1007 Date/B Other Permits I
T I G A R D Inspection Line: 503.639.4 Date Ready /By. Ions /j 85 See Attached Chec ist for
Internet. www tigard or.go1, I I. . � J a i L Ij ( � UN. LI Notified/Method 1 Supplemental Information
BUIL DING U I I ON
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.
g I- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ) S 7 2-
❑ Accessory building El Multi- family Number of bedrooms: 2
❑ Master builder ❑ Other: Number of bathrooms: 2.1
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: //3 20 SW Hallmark Terrace New dwelling area: 1499 square feet
City /State /ZIP: Tigard, OR Garage /carport area: 345 square feet
Suite apt. no.: 3 Project name: Barrows Rd. Estates Covered porch area: 30 square feet
Cross street/directions to job site: Barrows & Scholls Ferry Deck area: / 7 square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Barrows Rd Estates Lot no.: aw 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.
Construction of a townhome Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Milestone Homes LLC Type of construction:
Address: 3800 SW Cedar Hills Blvd., Suite 105 Occupancy groups:
City /State /ZIP: Beaverton, OR 97005 Existing:
Phone: (503)641 -3147 . Fax: (503)563 -5608 New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: SAME AS OWNER All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax..( )
E -mail:
CONTRACTOR
Business name: SAME AS OWNER BUILDING PERMIT FEES* 0
Address: (Please refer to fee schedule)
City /State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax:( )
FLS plan review fee (if applicable):
CCB lie.: 150268 Total fees due upon application:
Amount received: /J5-4, •--
Authorized signatur,0 This permit application expires if a permit is not obtained
• within 180 days after it has been accepted as complete.
Print name: Ken Sprecher I Date: * Fee methodology set by Tri- County Building Industry
Service Board
1•\ Building \Permiis\BUP- PermitAppdoe 03/21/06 440- 4613T(t1 /02/COM/WEB)
L.
Mechaoical Permit Application FOR OFFICE USE ONLY
114 q City of Tigard f1 Permit No •
13125 SW Hall Blvd , Tigard, OR 97 3 l
Phone: 503.639 4171 Fax 503 598.1960 ew W I:1 aq Other Permit
Date/By
TI G A It u Inspection Line. 503 639 (',`{ 2 O 1001 Date Ready /By Juns ® See Page 2 for
Internet: www tlgard- or.gov u �s �. Notified/Method Supplemental Information
TYPE R " 1A RD COMMERCIAL FEE* SCHEDULE — USE CHECKLIST TAT L
® New construction ❑ Addition al eratlon re j T
v3 sio� Mechanical permit fees* are based on the value of the work
c t tl performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYS7'EM5 FEES*
❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 113 ZO SW Hallmark Terrace
Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /"LIP: Tigard, OR 97223 Fumace 100,000 BTU (ducts /vents) 1 14.00 14.00
Fumace 100,000+ BTU (ducts/vents) 17.90
Suite apt. no.: 3 Project name: Barrows Rd. Estates Gas heat pump 14.00
Cross street/directions to job site: Barrows Rd. & Scholls Ferry Duct work 14.00
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. 10.00
Flue /vent for any of above 10.00
�
Subdivision: Barrows Rd Estates Lot no.: 0
Other: 10 00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 1 10 00 10.00
Gas fireplace I 10 00 10.00
Installation of furnace /ducting and preplumb of A/C 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
PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: . 10.00
Name: Milestone Homes LLC Environmental exhaust and ventilation
Address: 3800 SW Cedar Hills Blvd., Suite 105 Range hood/other kitchen
equipment 1 10.00 10.00
City /State /ZIP: Beaverton, OR 97005 Clothes dryer exhaust I 10.00 10.00
Fax: (503 643 -5608 Single -duct exhaust (bathrooms,
Phone:
(503)641-3147 ) toilet compartments, utility rooms) 4 6.80 27 20
14 APPLICANT �� � ❑ CONTACT PERSON Attic /crawlspace fans 10.00
c�e "�C a+ W I a-ot. Other. 10 00
Business name: Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc. 1
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone:( )
Fax:: ( ) Water heater 1
Fireplace 1
E -mail:
Range
CONTRACTOR Barbecue
Business name: Sun Glow, Inc.
Clothes dryer (gas)
Other:
Address: 2428 SE 105th Ave. MECHANICAL PERMIT FEES* •
City /State /ZIP: 'Portland, OR 97216 Subtotal • 86.60
Phone: (503) 253 -7789 Fax: (503) 253 -7693 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 48131 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Ken Sprecher Date: • Fee methodology set by Tn- County Building Industry Service Board
I \Building\Permits\MEC- PermnApp doe 04/06/06 440-4617T (1 I /0'JCOM/WEB)
Plumbing Permit ApplicatioL :• ' ,, �, ;,
City of Tigard L L` - �� ! ; 'j // �� •ed J Permit No7 d3,
:� • 13125 SW Hall Blvd.. Tigard, OR 97223 =' / . Date y
C Plan i l2evtew
Phone 503.639.4171 Fax. 503.598 1960 f ' r , r D atc/S Other Permit No
Ins Line 503.639.4175 6 ' 2 U 2007 Date/By r,„,,,,, ) C C t L it
I I C, A R D C Date Ready /By G ".. ,—J runs HI See Page 2 for
Internet: www.tigard- or.gov Notified/Method Supplemental Information
TYPE O CI Li g �f day 4. FEE* SCHEDULE
w Tr 7% ? + r r For special information use checklist.
® New construction • / ' ' t$in ji � 4 g ^g P
A � 1 �y T Description I Qty [ Ea. j 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 ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath x 399 00 399.0
❑ 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: l 1 ± 3 2.40 SW Hallmark Terrace Catch basin or area drain 16 60
City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16 60
Suit= apt. no.: 3 Project name: Barrows Rd. Estates Footing drain (no linear ft _) Page 2
Manufactured home utilities 110 00
Cross street/directions to job site: Barrows Rd. & Scholls Ferry Manholes 16 60
Rain drain connector 16 60
Sanitary sewer (no linear ft • _ ) Page 2
Storm sewer (no. linear ft.: ) I Page 2
Subdivision: 1 12.1 I Lot no.:
Water service (no linear ft ) Page 2
•
Tax map /parcel no.: Fixture or item
Absorption valve 16 60
DESCRIPTION OF WORK Backflow preventer Page 2
Installation of plumbing Backwater valve 2 16 60 33 20
Clothes washer I 16 60 16.60
Dishwasher 1 16.60 16.60
® PROPERTY OWNER I ❑ TENANT Drinking fountain 16 60
Ejectors /sump 16.60
Name: Milestone Homes LLC Expansion tank 16.60
Address: 3800 SW Cedar Hills Blvd., Suite 105 Fixture /sewer cap 16.60
City /State /ZIP: Beaverton, OR 97005 Floor drain/floor sink/hub 16.60
Phone: (503)641 -3147 Fax: (503)643 -5608 Garbage disposal 1 16 60 16.60
)APPLICANT ❑ CONTACT PERSON Hose bib 2 16 60 33 20
C
Ice maker I 16.60 16 60
Business name: AO Interceptor /grease trap 16 60
Contact name: Medical gas (value S ) Page 2
Address: Primer 16 60
City /State /ZIP: Roof drain (commercial) 16.60
Phone: ( ) Fax: : ( ) Sink/basin/lavatory 4 16.60 66.40
Tub /shower /shower pan 2 16 60 33 20
E -mail: Urinal 16 60
CONTRACTOR Water closet 3 16 60 49.80
Business name: Edward Mullen Plumbing Water heater I 16.60 16.60
Address: 1601 SE River Road Other
City /State /ZIP: Hillsboro, OR 97123 Subtotal 697 80
Minimum permit fee: $72.50
Phone: (503) 640 -0113 Fax: (503) 640 -4483 Residential backflow minimum permit fee $36.25
CCB Lie.: 092689 Plumbing Lic. no.: Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature:
TOTAL PERMIT FEE
Print name: Ken Sprecher 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.
i 1Budding\Perm is\PLM- PermiIApp doe 06/26106 4404616T(10!02(COM)WEB)
•
Electrical Permit Applicatio, o�i�,• i7 -t - ., - 7 11 *, ( \ r` ' n - FQR OFFICE LSE O�- .
__ City of Tig L � % I l , ; I ; I a II ! .anti ::.
i
Q 13125 SW Hall Blvd., Tigard, OR 97223 t `� L I = � l � ; lan � -
a� Ocher Peamtt i
:' Phone: 503.639.4171 Fax. 503.598.1960 / 1 Date: t : t�C.? t r f- .
T.1 GA [t Inspection Line 503.639.4175 [J`L ) �� •• Dat - i C . .. ,- I lure 163 See Page 2 for
7 • Internet: www.tigard - gov U Noufied Method Su lemental Information
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•
T1'P Q-12-11'4 q y I •PLAN . REVIEW -
New ® New consconstruction t - on ❑Add' j nt9 t tt a �l!asin,� OR1'` El r �'�� 1t �� + 1 d Q 0 LP I Please check all that apply (submit 2 sets or plans w /items checked below)
c�C 7tt
�i.d � . d J 0 Service or feeder 400 amps or more ❑ Building over three stones
❑ Demolition La ther 1 t *, O Y i S IO}� T where the available fault current ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION 1 't J ' : 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 I I amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: I ❑ Fire pump ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system
■ JOB SITE INFORMATION AND LOCATION i j ❑ Addition of new motor load of ❑ 'A", ' I -2". -I -3'.
Job no.: I Job site address: f /32,a6W Hallmark Terrace IOOHPormore. occupancy.
—_ —__, ❑ Six or more residential units ❑ Recreational vehicle parks
I City / State/ZIP: Tigard, OR I ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Su e/bld apt, no.: 3 , Project name: Barrows Road Estates ❑ Service or feeder 600 amps or more.
• FEE SCHEDULE
Cross street/directions to job site: Barrows Rd & Scholls Ferry Description I Qt.. I Fee. 1 Total 1 •
- - -' - -- ' New residential single- or multi- family dwelling unit.
• Includes attached garage.
Subdivision: Barrows Rd . Lot no.: 1,000 sq. ft. or less ; / ! 145.15 ; /tf- ./s i 4
Tax map /parcel no.: Ea. add'/ 500 sq. R or portion ! / I 33.40 53. vol 1
Limited energy, residential f 75 00 ; I 2
i DESCRIPTION OF WORK (with above sq. It) I I
' 1 Limited energy, multi - family '
Installation of electrical residential (with above sq. ft) 1 75 00 j i 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
® PROPERTY OWNER I ❑ _TENANT I 201 amps to 400 amps I 106.85 j 2
Name: Milestone Homes LLC 401 amps to 600 amps I 160.60 • 2
-- - - - — - - 601 amps to 1,000 amps : 240.60 ! ' 2
Address: 3800 SW Cedar Hills Blvd., Suite 105 I Over 1.000 amps or volts ! I 454.65 I 1 2
City /State /ZIP: Beaverton, OR 97005 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)641 - 3147 I Fax: (503)643 - 5608 ' 200 amps or less 66.85 I ; 1
Owner installation: This installation is being made on property that 1 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: '
' Branch circuits- new, alteration, or extension, per panel
Owner signature: Date: _. _. -_— ! A. Fee for branch circuits with • ' •
• Ai APPLICANT I ❑ CONTACT PERSON above service or feeder fee, . 6.65 2
each branch circuit
j Business name: Same as owner _ I . B Fee for branch circuits I •
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Ad3i`s Each add'/ branch circuit I I 6.65 ' 2 •
Miscellaneous (service or feeder not included)
C t.: State 7. 1 l' , Each manufactured or modular ! 90.90 • 2 •
• dwelling, service and/or feeder I
Phone: ( ) : Fax:: ( 1 ; Reconnect only ! 66.85 ; 2
E - mail: . Pump or irrigation circle 53.40 1 2
CONTRACTOR j , Sign or outline lighting I I 53.40 ! ' 2
Business name: Garner Electric I Signal circuit(s) or limited- ! i
_ - energy panel, alteration, or
' Address: 2920 SE Brookwood Ave., Suite A extension Describe: Page 2 ! 2
. i .
City /State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above
- - - -- -- - -- . Per inspection 62.50 ; .
Phone: i5t)3) 6484552 I 1 IL 503:642-7925 Investigation per hour (1 hr min) I I 62.50
CCB Lic.: 121159 I Electrical • 05C . Supt.. Lie. 3707S ' : industrial plant per hour 73 75 ! I
• - I ELECTRICAL PERMIT FEES - .
Suprv. Electrician signature, required• /. Subtotal • 1 7fr,,Sc
. . flan :r%ic.. 'in of permit fcer
Print name: Chuck Garner I ate: . .
_ — State surcharge (8% of permit fee):
Authorized signature: rOT.AL PERMIT FEE
-- — This permit application expires if a permit is not obtained within 180
Print name: Chuck Gamer , Date:
i - i
days after it has been accepted as complete.
— —
• Number of inspections allowed per permit.
t 'BuildingPermiu'ELC- PermiiApp doe 05/23/06 44046151(1 /,05 /COMAVEB
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192.4'
20 SITE PLAN LOT 20 REV Description BY Date
S
® 1" = 10' -0" Butler LOT 20
Consulting, Inc. TIGARD, OREGON
16110 SE Goosehollow Drive SITE PLAN
Damascus, Oregon 97089
(503) 658 -0200 Job No. 229 - 0907 -01 Date 12/26/07 Sheet
(503) 658 -0204 Client Milestone Homes By MEB C -1
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