Permit EXPIRE® X027 tRE CEIVED
• Building Permit Application FOR OFFICE USE ONLY
11,1 City of Tigard (id; 28 2001 R Da a /Bed I ° 13125 SW Hall Blvd., Ti / P tray
722 ma WsTaso7-
g ,� n , y Plan Review
C Phone: 503.639.4171 FaIwki548.19681. 1 lUA r ;�� � •
T I G A R D
I ns pection Line: 503. WILDING I) Date Ready/By ® See Attached Checklist for
nternet: www tigard 1 y YJIAAlV�d DIVISION' Date/B Other Pel Notified/Method. Supplemental Information
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. d
�.l- and 2- family dwelling ❑ Commercial /industrial Valuation: $ / r /`
El 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: ii Z g-7 SW Hallmark Terrace . New dwelling area: 1499 square feet
City /State /ZIP: Tigard, OR Garage /carport area: 345 square feet
<-
Suite dg./ t. no.: Z- Project name: Barrows Rd. Estates Covered porch area: 30 square feet
Cross street/directions to job site: Barrows & Scholls Ferry Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Barrows Rd Estates Lot no.: /3 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
El -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 namc: 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:
FLS plan review fee (if applicable):
Phone: ( ) Fax:( )
CCB lic.: 150268 Total fees due upon application: /
Amount received: 1
Authorized signal 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 \Permus\BUP- PermitAppdoe 03/21/06 44046t3T(11/02/CO11/WEB)
Mechanical Permit Application FoR OFFICE USE ONLY
City of Tigard Received
Date/By
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax. 503.598 1960 DateBy �. ® •� i Other Permit
TI G n It D Ready/ By. Line: 503.639 Date Read /� - Juris
Internet: www.tigard - or.gov Notified/Method Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
® New construction 1:1 Addition /alteration /replacement 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 $
IS 1- and 2- family dwelling ID Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 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: (Z e, SVV 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
Suitee9apt. no.: Z„ 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
Subdivision: Barrows Rd Estates Lot no.:
Flue /vent for any of above 10.00
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
Range hood/other kitchen
Address: 3800 SW Cedar Hills Blvd., Suite 105 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
pE APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
;'� ��� �� n� w. Other. 10.00
Business name: 4a x 6 iv 1". c Fuel piping -
Contact name: $5.40 for first four; $1.00 for each additional
Address: Fumace, 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
I \Building\Permits\MEC- PermitApp.doc 04/06/06 440-4617T (I 1 /02/COM/WEB)
Plumbing Permit Application FOR OFFICE I'S[: ONL.l
City of Tigard Received
Date/By Permit No
• 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review q r r,
C Phone 503.639.4171 Fax: 503 598 1960 �- ` .. I! � Other Permit No
DateBy 1.
l I G n I: D Inspection Line. 503 639 Date Ready /By tuns ® See Page 2 for
Internet: ww'w.tigard -or gov Notified/Method Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
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
❑ 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: P7 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. t. no.: Z 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.. _) I 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 1 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 1 16.60 16 60
[p APPLICANT ❑ CONTACT PERSON Hose bib 2 16 60 33.20
Ice maker I 16.60 16.60
Business name: S q"j QyryIAyl 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 -0113 Fax: (503) 640 -4483 Residential backflow minimum permit fee 536 25
CCB Lic.: 092689 Plumbing Lic. no.:
Plan review (25% of permit fee)
Authorized signature: State surcharge (8% of permit fee)
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\ Budding\Permits\PLM•PermiAppdoc 06/26/06 440 -4616T(I0 /O2/COMM'EB)
Electrical Permit Application FOR OFFI LSE' ,
ty of Tigard ' I::.: ' a ! 1 erne
.._.•, City , Datc.av ,. •mot •''ci % No
13125 SW Hall Blvd., Tigard. OR 97223 Plan Rums. --
Phone: 503.639.4171 Fax. 503.598.1960 ; Data Other Perms
TIGA : RD , Inspection Line 503 639.4175 . Date Ready/By mrs RI See Paget for
_ w
Internet: ww.ugard - gov i NottfiectMethod I I Supplemental Information ■
TYPE OF WORK • j 'PLAN REVIEW
® New construction ❑ Addition /alteration /replacement ! Please check all that apply (submit 2 sets of plans whims checked below).
❑ Service or feeder 400 amps or more ❑ Building over three stones
. ❑ Demolition L ; Other where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION 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: ! ❑ Fire pump ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system
1 JOB SITE INFORMATION AND LOCATION j j ❑ Addition of new motor load of ❑ "A ",'•E ", "I -2 ". "I -3 - ,
Job no.: I Job site address: /Rig/ SW Hallmark Terrace I IOOHP or more occupancy ❑ Six or more residential units ❑ Recreational vehicle parks
I City/State/ZIP: Tigard, OR Cl Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal.
Sui Id pt. no.: Z , Project name: Barrows Road Estates ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Barrows Rd & Scholls Ferry Deseript,00 I Qty. I Fey. I Toiul [ •
-- —' -- '- • New residential single- or multi- family dwelling unit.
' Includes attached garage.
Subdivision: Barrows Rd , Lot no.: 1 3 1,000 sq. ft. or less ! / ! 145.15 ; /t/j .. ii 4
Tax map /parcel no.: Ea. add'I 500 sq. R or portion ! / I 33.40 5J . Vol 1
; Limited energy, residential `: / 75.00 ' I 2
DESCRIPTION OF WORK (with above sq. Il.) 1
I Limited energy, multi - family ! 75.00 j
I
Installation of electrical residential (with above sq. H.) . I 1 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80 30 2
® PROPERTY OWNER I ❑ • TENANT 201 amps to 400 amps I I 106.85 ; 2
' Name: Milestone Homes LLC 401 amps to 600 amps i 160.60 '
-- - - - -- — - — 601 amps to 1.000 amps ; 240.60 I
Address: 3800 SW Cedar Hills Blvd., Suite 105 I Over 1.000 amps or volts I 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 I 1 66.85 ! ■ ,
100.30
Owner installation: This installation is being made on property that I own which is not
201 amps to 400 amps I
intended for sale, lease, rent, or exchange, according to ORS 447. 449, 670, and 701. 401 amps to 599 amps 2
133.75 ;
Branch circuits- new, alteration, or extension, p er panel
Owner signature: Date: ! A. Fee for branch circuits w ith '
• i i •
❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, '
, each branch circuit I 6.65 ! 2
I Business name: Same as owner B. Fee for branch circuits ; i I
Contact name: without service or feeder fee, 46 85 I 2
first branch circuit 1
JJ : Each add'l branch circuit ! 6.65 I ' 2 ;
Miscellaneous (service or feeder not included)
C ry - State / - I P Each manufactured or modular 90.90 2 '
dwelling, service and/or feeder , ,
Phone: ( ) Fax:: ( 1 i Reconnect only ! 66.85 ; 2 .
E -mail: I Pump or irrigation circle I 53.40 I 12 '
CONTRACTOR Sign or outline lighting ; j 53.40 ! ' 2
Business name: Garner Electric I Signal circuit(s) or limited- ! t
energy panel, alteration, or
Address: 2920 SE Brookwood Ave., Suite A extension. Describe: Page 2 ! 2
1
. City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above
— -- - -- -- Per inspection 62.50
Phone: i503 641s -4552 i i a. 1503 / 642 -7925 Investigation per hour (1 hr min) } I 62.50 !
CCB Lic.: 121159 I Electrical ' .: • 05C , Supr'.. 1.t:: 3707S ' Industrial plant per hour 7,3 75 !
•
- I ELECTRICAL PERMIT FEES . . I
Suprv. Electrician signature. required'n Subtotal ; i 7k.,S,f
Plan :es icy. (2:% , I
Print name: Chuck Gamer b ate:
- I State surcharge (8% of permit fee):
Authorized signature: TOTAL PERMIT FEE
— — — ii
Print name: Chuck Gamer Date: i This permit application expires ifs permit is not obtained within 180
i _ — - - -- i t days after it has been accepted as complete.
• Number of inspections allowed oer permit
l• BuildtnguPermitPF1C PcrmiiApp 0512.3/06 440461ST /I 1+05 /COM1/WEB
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BIG LEAF MAPLE
13 SITE PLAN LOT 13 /� OR WHITE OAK
TYP REV Description BY
C -1 1" = 10' -0" Butler BARROWS ROAD ESTATES
LOT 13
Consulting, Inc. TIGARD, OREGON
16110 SE Goosehollow Drive SITE PLAN Date
Damascus, Oregon 97089 Job No. 229 - 0907 -01 Date 12/26/07 Sheet
(503) 658 -0200
(503) 658 - 0204 Client Milestone Homes By MEB C-1