Permit Building Permit Application �
lication> , r l j EXPIRED -s` 2 /o FOR OFFICE use ONLY
City of Tigard rt.iL ,� \ -�/ L =am J \i � (`„
Date/B i Permit N. a _ ✓ I '00,
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I 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
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11 Phone: 503.639.4171 Fax: 503.598.19Rn L� z 8 200, DateB '. Other Pere _ ems — 00 3/b
T I G n 1t D Inspection Line: 503.639.4175 -DLL Date Ready/By tuns y HI See Attached Checklist for
Internet' www tigard- or.gov ��� h A J , n p /y R Notified/Method I Supplemental Information
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Ti bk , , 1W U RI+ '' :. •-� - ` 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.
05.1- and 2- family dwelling ❑ Commercial /industrial Valuation: S 1 .2-2-elp
❑ 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: / /I ' 7 SW Hallmark Terrace New dwelling area: 1499 square feet
City /State /ZIP: Tigard, OR Garage/carport area: 345 square feet
Suite el .pt. no.: a Project name: Barrows Rd. Estates Covered porch area: 30 square feet
Cross street/directions to job site: Barrows & Scholls Ferry Deck area: 6 y. square feet
•
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST _
Subdivision: Barrows Rd Estates Lot no.: 9 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: 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:
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)
Structural plan review fee (or deposit):
City /State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: 150268 Total fees due upon application:
i Amount received:
Authorized signature: / r 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
1 \Buildmg\Permns\BUP- PermitApp doe 03/21/06 440- 4613T(11/02/COM/WEB)
Mechpnical Permit Applicat�,ott" FOR OFFICE USE ONLY
City of Tigard
Li. `: E .. -;� . Q �9 �1 ( �
- - teB Ex r„„ 1 L _ ® Permit No 1/`
° 13125 SW Hall Blvd , Tigard, OR 97223 r .
11.
Plan Review 1 IL
Phone: 503 639.4171 Fax: 503.598.1960 L 2001 D ate/By Other Permit:
T I G A R D Inspection Line: 503.639 Date Ready /By ions ® See Page 2 for
Internet: www.tigard- or.gov Cil X 4 2 Notified/Method. Supplemental Information
TYPE OF
Bu
OR ° 1‘41`-/ Lo V�j p r COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Z New construction ❑ Addition /alteration/replacement 9 d Mechanical permit fees* are based on the value of the work
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 0 Commercial/industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Accessory building
❑ Multi- family ❑ Master builder For special information use checklist
❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: ' ( e M1SW Hallmark Terrace Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) I 14.00 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite apt. no.: � 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
7
Flue /vent for any of above I 10 00
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 1 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 I ❑ 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 I 10.00 10.00
City /State /ZIP: Beaverton, OR 97005 Clothes dryer exhaust I 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
V APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
�
Other 10.00
Business name: CO`^'� �at/ �"� t� r � ` e Fuel piping
Contact name: �nw A �I $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
Minimum permit fee ($72.50)
Phone: (503) 253 -7789 Fax: (503) 253 -7693 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 Tri- County Building Industry Service Board
1.\ Building \Permits'.MEC- PermitApp doe 04 /06/06 440. 46171(11 /02/COM/WEB)
•
Plumbing Permit Application ; t
City of Tigard . _ _ ; Received to —o c °-
. /i ; _ • / . DateBy L A d II i L Petmit No
. • 1 3125 SW Hall Blvd.. Tigard, Olt 97"224- - P lan Review
Q Phone 503 639.4171 Fax 503.598 1960 Date/By Other Permit No
I I C. r1 F D Inspection Line 503.639.4175 LL-- L 2 a 7001 Date Ready/By Juns ® See Page 2 for
Internet www tigard -or goy � l G Notified/Method Supplemental Information
TYPE OF dl_ a ki i;' d (-. 1 -.� - - R' FEE* SCHEDULE
® New construction 1 �2? I i ❑ - 7, r ; /v / i For special information use checklist.
,:. � , ' � `` -/ ' ° .. J „ ; Al Description I Qty 1 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
® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
El 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: ' (a I SW Hallmark Terrace Catch basin or area drain 16 60
City /State /ZIP: Tigard, OR 97223 Dryw•ell, leach line, or trench drain 16 60
Suite( pt. no.: 2.... 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: I Lot no.: 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 I 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 I 16.60 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 2 16 60 33 20
Ice maker I 16 60 16 60
Business name:
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: Sink/basin /lavatory 4 16.60 66 40
( ) Fax: )
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 $72 50
Phone: (503) 640 -0113 Fax• (503) 640 - 4483 Residential backllow 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 \Building\Permits\PLM- Permit App doe 06/26/06 440 -4616T(10 /024COM;WEB)
•
. I ! ;' , - • 1
Electrical Permit Applicat - - = ` FOR OFFICE LSEONLI
City of Tigard L Z: � 2 d 2007 Uat B.
i l .rent, ��
° 13125 SW Hall Blvd., Tig OR 97223 . Plan Retie, - ' .. p "•,., Phone: 503.639.4171 Fax: Inspection ��34. I960 . '-�, ?- pateBv: Other Permit i
ection Line• 503.639.417 = 0 Z j 1 11 �; I yBy:
RD, P lyjuteRead Judi, Judi, el SeePage - for
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: _ Internet: www,ttgardor :�•!' T`',, ' f - \ e _ • tiftedMethod I I Supplemental Information
TYPE OF WORK • _ i • j •PLAN. REVIEW
® New construction ❑Addition /alteration /replacement
! Please check all that apply (submit 2 sets of plans whtems checked below).
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition L t _ L I a r where the available fault current ❑ Mannas and boatyards.
CATEGORY OF CONSTRUCTION I : exceeds 10,000 amps at ISO volts or ❑ Floating bgildings
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
JOB SITE INFORMATION AND LOCATION i ❑ Emergency system.
❑ Emer e larger separately derived system
Addition of new motor load of ❑ "A ",' E "• "1 -2 ", "1 -3
Job no.: I Job site address / 7SW Hallmark Terrace 10OHP or more occupancy
❑ Six or more residential units ❑ Recreational vehicle parks.
I City/ State/ZIP: Tigard, OR ❑ Health -care facilities ❑ Supply voltage for more than
—_ - - -- — ❑ Hazardous locations 600 volts nominal
Suit %]'_ pt. no.: Z re : Project name: Barrows Road Estates t ❑ Service or feeder 600 amps or mo
���� FEE SCHEDULE
Cross street/directions to job site: Barrows Rd & Scholls Ferry Description I Qt.. I Fee. I Totst I •
-- '- -- - New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Barrows Rd . Lot no.: 1 1,000 sq. ft. or less ! / ! 145.15 .1ti- .IS ! 4
Ea. add'I 500 sq. ft. or portion ! / I 33.40 I S S . 1t) I
Tax map /parcel no.: ; Limited energy, residential 75.00 ' 2
DESCRIPTION OF WORK • (with above sq. ft.) i
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 1 2
® PROPERTY OWNER I ❑ TENANT I ( 201 amps to 400 amps I I 106.85 I 2
•
Name: Milestone Homes LLC 401 amps to 600 amps i 160.60 1 ? '
- — - — -- — - -- - - - — - -- 601 amps to 1.000 amps ! 240.60 ! ' '
Address: 3800 SW Cedar Hills Blvd., Suite 105 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 I Fax: (503)643 -5608 ! 200 amps or less I 66.85 i , r
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps .30 i 2
intended for sale, lease. rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 1 133.75 ; 2
Branch circuits - new, alteration, or extension, per panel _
Owner signature: Date: __. _ -__ i ! A. Fee for branch circuits with
i
❑ APPLICANT I ❑ CONTACT PERSON I above service or feeder fee, !
each branch circuit ! 6.65 j 2
I Business name: Same as owner I
' B. Fee for branch circuits I •
Contact name: I without service or feeder fee, '
first branch circuit 46.85 i 2
A`dr `:, Each add'I branch circuit ! 6 65 I ' 2
- i Miscellaneous (service or feeder not included)
:;. tit::;:. 7. I P. ' Each manufactured or modular I 90 I 2
. dwelling, service and/or feeder I ,
Phone: ( ) Fax: : ( ) ; Reconnect only ! 66.85 I 2
E -mail: . Pump or irrigation circle 53.40 I 12 '
CONTRACTOR . Sign or outline lighting I j 53.40 I 2
Business name: Garner Electric ;Signal circuit(s) or limited-
_ _ _ __ -. energy panel, alteration, or
' Address: 2920 SE Brookwood Ave., Suite A extension Describe: Page 2 i 2
• 1 .
City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above
- - -- - -= • Per inspection 1 62.50
['hum: t 5031 648 -4552 ! C,L 503: 642-7925 ' . Investigation per hour (l hr min) I I 62.50 I
CCB Lic.: 121159 I Electrical ' .: • 05C . Supt,. 1.:; : 3 7075 ' ! Inda:tnal plant per hour ! 73 75 !
I ELECTRICAL PERMIT FEES
Suprv, Electrician signature, required P `, _ - Subtotal • Ilk .g
- Ilan evict% ( % of paresis fcc)
Print name: Chuck Garner a ate:
— - State surcharge (8% of permit fee):
Authorized signature: r'OTAL PERMIT FEE'
-- - I This permit application expires if a permit is not obtained within ISO
Print name: Chuck Gamer ' Date:
t i
days after it has been accepted as complete
-- —
• Number of insxtttons allowed per permit
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9 SITE PLAN LOT 9 REV Description BY Date ,
•
C -1 1" = 10' -0" 1 - 1 Butler BARROWS ROAD ESTATES
LOT 9
Consulting, Inc. TIGARD, OREGON
\\ 116110 SE Goosehollow Drive SITE PLAN
Damascus, Oregon 97089
(503)-658-0200 Job No. 229 - 0907 -01 Date 12/26/07 Sheet
(503) 658020 Client Milestone Homes By MEB C -11