Permit EXPIRED — /a7 /io
Building Permit Applieati 'n ' ! .` ..0 F — � � '; `� ? i__,.. FOR OFFICE USE ONLY
u U +`�-� 1 � C., , c 1 ` —. s Received
City of Tigard DateB is a _ 07 Permitt /— m0 _
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C . Phone: 503.639 4171 Fax: 503.598.1960 llil. U 2007 Date /B Other Perm * ..,,r/•"00 i ,
I' I G A K D Inspection Line: 503.639 Date Ready/By ® See Attached Checldist for
Internet. www tigard- or.gov CI 1 t kib .1 i.,,3A R i�ufieed/Method• Supplemental Information
TYP i T"1 MT( T 1
F Voitij1 V L' —L" ! 1. --)Lk- REQUIRED DATA: I- 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.
lip Valuation: S
- and 2- family dwelling ❑ Commercial /industrial 157 ��
❑ Accessory building ❑ 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 62 SW Hallmark Terrace New dwelling area: 1499 square feet
City /State /ZIP: Tigard, OR Garage /carport area: 345 square feet
Suite Id pt. no.: 3 Project name: Barrows Rd. Estates Covered porch area: 30 square feet
Cross street/directions to job site: Barrows & Scholls Ferry Deck area: 1 VD square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision: Barrows Rd Estates Lot no.: ,3..„2--, 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
0 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:
0 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: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: SAME AS OWNER BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City /State /ZIP: Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone:( ) Fax:( )
CCB lie.: 150268 Total fees due upon application:
/ Amount received: L 5 - 0
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 i Date: * Fee methodology set by Tri -County Building Industry
Service Board. -s
1 \Buddmg\Permits\BUP- PermitApp doe 03/21/06 440.4613T(11/02/COM/WEB)
am p
Mechanical Permit AnnliFitl'Onrc .. r FOR OFFICE USE ONLY
of Tigard t - �, \ J Received —A III 6 f
DDate/By Petmtt No . a •
1111 q 13125 SW Hall Blvd., Tigard, OR 97223 ,
C Phone: 503 639 4171 Fax: 503.598.196CUtt, �oo� Plan Review
Date/By Other Permit
Inspection Line: 503.639.4175 j'
"l I G n R D v ate ReadyBy. Juns El See Page 2 for
Internet: www.tigard - or.gov r g u • g
�� _� 1 � f i if d/Method Supplemental Information
Ir.,. Trl� I �Jt S ' 4 � '
TYPWg WOi2IC COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
® New construction ❑ Addition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: $
® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
❑ Multi- family ❑Master builder For special Information use checklist.
❑ Other: Description I Qty. I Ea 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
`� T Z Air conditioning or heat pump
Job site address: V SW Hallmark Terrace (requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) I 14.00 14 00
�. Fumace 100,000+ BTU (ducts /vents) 17.90
Suite{bl9apt. no.: Project name: Barrows Rd. Estates Gas heat pump 14.00
Cross 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
d
Subdivision: Barrows Rd Estates Lot no.:
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
Chimney /liner /flue /vent 10.00
® PROPERTY OWNER ❑ TENANT 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 1 10.00 10.00
Single -duct exhaust (bathrooms,
Phone: (503)641 -3147 Fax: (503)643 -5608 toilet compartments, utility rooms) 4 6.80 27.20
F AP ICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: g, Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc. I
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\Permas \NEC- PennitApp doc 04/06/06 440-4617T (I I /02/COM/WEB)
l;
'
i — ,1 \ / i'-- .
Plumbing Permit Application Lit(; 2 v FOR OFFICE t'SE ONE.l
City of Tigard rte, e rued
-, Permit No
13125 SW Hall Blvd.. Tigard, OR 97223 L = DateB r c r . •
C Phone 503 639 4171 Fax 6(
503 598!1 � 5 ' e % � '� L Lv Other Permit No
Inspection Ins Line: 503 639 4175 L-� "-., '- L,� I N U , r D' - - "
T I G A H D P `U' .4...,,L. a }tla,'d / Bj r turn i ® See Page 2 for
Internet: www.tigard - gov Notified ilbt�th 1 , Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description ( 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 (I) bath 249.20
IS I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi-family SFR (3) bath x 399 00 399 0
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: it 30 Z 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 Idg./ pt. no.: 3 I 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. ) Page 2
Subdivision: 1 Lot no.: 01a- 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
Installation of plumbing Backwater valve 2 16 60 33 20
Clothes washer I 16 60 16 60
Dishwasher 1 16.60 16 60
IS 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 I 16.60 16 60
IIND APPLICANT ❑ CONTACT PERSON Hose bib 2 16 60 33 20
Business name:
� a., �� Ice maker 1 16 60 16 60
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 1 16 60 16 60
Address: 1601 SE River Road Other.
City /State /ZIP: Hillsboro, OR 97123 Subtotal 697.80
Minimum permit fee S72 50
Phone: (503) 640 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 kBudding\Permns\PLM- PermuApp doc 06/26/06 440- 4616T( I0 /02 /COMM'EB)
4 .
1 17 Electrical Permit Application ` ' ` ' _ . � ,,,- �, , -i FOR OFFICE ISE ONL1
II City of Tigard _ „ -f J; � , ; ?' L -J I .�mr
1312 SW Hall Blvd., Tigard. OR 97223 I
g Plan - evie.. - ' - Nrci
`' ,' .; Phone. 503.639.4171 Fax: 503. 598.1960 L - / 1e .B y ' n i ' �:' '.. �. Other Permit
Tt6ijRD Inspection Line. 503.639.4175 e to eRead v- --•• -- . *' inns ® See Page 2for
. Internet: www.tigard -or.gov Cl C A f f Nb tifiedMethad I I Supplemental Information
I2j New TYPE O6 p �� 0 ! c f ` L + .4. .c '!�y A � I ° i PLAN REVIEW ,
construction onstruction Addition /altt:rati /? 3 , }` �6 ' �l � y "d" ❑ Service or feeder 400 amps or more ❑ Building over three stones
I Please check all that apply (submit 2 sets of plans whtems checked below):
J d 3 , �
❑ Demolition [; Oti::r V , where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION j I 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 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
i JOB SITE INFORMATION AND LOCATION ! ❑ Addnton of new motor load of ❑ A' . E". ' 1 -2". "I -3',
Job no.: I Job site address /1362�SW Hallmark Terrace 10011P or more 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 it dg./ pL no.: 3 . Project name: Barrows Road Estates ❑ Service or feeder 600 amps ormore.
• FEE SCHEDULE
Cross street/directions to job site: Barrows Rd & Scholls Ferry I ' Description I Qs.. I Fee. I Total I •
- -- - -- • New residential single- or multi- family dwelling unit.
• Includes attached garage.
Subdivision: Barrows Rd , Lot no.:d 1,000 sq. ft. or less I / I 145.15 , /4s ./,1, i 4
. ' Ea. add 500 sq. ft. or portion ' / I 33.40 ; 5 S . VOI 1
Tax map/parcel no.: Limited energy, residential - / : 75.00 ' 7S — 1 2
DESCRIPTION OF WORK (with above sq. ft_)
I Limited energy, multi - family
Installation of electrical residential (with above sq. ft.) • I 75.00 j , 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 106.85 1 2 I
• Name: Milestone Homes LLC 401 amps to 600 amps i 160.60
-- - - — — - — — - 601 amps to 1.000 amps 240.60 i . 2
Address: 3800 SW Cedar Hills Blvd., Suite 105 I I Over 1.000 amps or volts I I 454.65 I 12 ;
City/State /ZIP: Beaverton, OR 97005 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)641 -3147 1 Fax: (503)643 -5608 200 amps or less 66.85 ; , ,
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 _
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: _. I .
A. Fee for branch circuits with
❑ APPLICANT j ❑ CONTACT PERSON above service or feeder fee.
each branch circuit I I 6.65 2
I Business name: Same as owner ' B. Fee for branch circuits I • ,
Contact name: I without service or feeder fee, 46.85 I 2
first branch circuit
Addr:, ; Each add'I branch circuit 6.65 I ' 2
- - -- ; Miscellaneous (service or feeder not included)
C li st,::e L I p . Each manufactured or modular ; I '
I
90 90 2
, dwelling, service and/or feeder ! I ■
Phone: ( ) Fax: : ( ) i ; Reconnect only I 66.85 ; 2
E -mail: i' Pump or irrigation circle ; I 53.40 1 1 2
CONTRACTOR ; Sign or outline lighting i 53.40 j ' 2
Business name: Garner Electric ; Signal circuit(s) or limited-
i
energy panel, alteration, or
' Address: 2920 SE Brookwood Ave., Suite A I extension. Describe: Page 2 j 2
I i
City/State/ZIP: Hillsboro, OR 97123 . Each additional inspection over allowable in any of the above
- - - - -- - -= Per inspection 62.50
( I503)1)48 4552 ■ i. a. 503; 642 - 7925 Investigation per hour (1 hr min) I I 62.50
CCB Lie.: 121159 I Electrical ' .: • 05C 1 Suprv. i.:�.. 3707S ' ' Incitstnal plant per hour 73 75 ,
-- { ELECTRICAL PERMIT FEES ..
Suprv. Electrician signature, required* / , ' Subtotal : 17k.S.f
Print name: Chuck Garner 'a te.
Han :cv ievs (25% of permit fee):
- - State surcharge (8% of permit fee):
Authorized signature: i FOT.�L PERMIT FEE
-- — This permit application expires if a permit is not obtained within 180
Print name: Chuck Garner i Date:
t i ■
days after it has been accepted as complete.
--
• Number of inspections allowed oer permit.
I 'Building,Pennims'ELC- PermiiApp doe 05/23106 440-461 ST( 11/05 /COW WEB
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• - 2 - 2 SITE PLAN LOT 22 7 •••• • • REV Description , BY Date
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c i".10 • • . • • _ Butler BARROWS ROAD ESTATES
• • LOT 22
, TIGARD, • 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
, I (503) 658-0204 Client Milestone Homes By MEB C