Permit 1
EXPIRED .
Building Permit Application a i CP11 , FOR OFFICE USE ONLY City of Tigard ; ecetv :drdal ' ' I'L 2-V o 7 Sg Permit No u e?4,47 _ _
q 13125 SW Hall Blvd., Ti ard, OR 97223 , , 7
111 II g L Pl an R eview
Phone: 503.639.4171 Fax C 503 598.19 0 L L 2 d 100 Date m /13 . Other Per r\Doo7 . G 3/
r l G A It 11 Inspection Line: 503.639.4175 1� Date Ready/13y. ®
y. , .See Attached Checklist for
Internet: www.ttgard or.gov y �= d � 1 j , , otified/Method: I Supplemental Information rt, Y y 1\ /-
TYPE OF WORK 't''- ,% 1 - 1(i j REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Y 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
ig I- and 2- family dwelling ❑ Commercial /industrial Valuation: S IS e9 2- 1 -
/
❑ 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: /13 3 0 SW Hallmark Terrace New dwelling area: 1499 square feet
City /State /ZIP: Tigard, OR Garage /carport area: 345 square feet
Sui ■ -/bld • . pt. no.: S Project name: Barrows Rd. Estates Covered porch area: 30 square feet
Cross street/directions to job site: Barrows & Scholls Ferry Deck area: / Z.() square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST -'
Subdivision: Barrows Rd Estates Lot no.: 1 7 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
DESCRIPTIION OF WORK work indicated on this application.
Construction of a townhome
Valuation: $
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: ( ) 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 lic.: 150268 Total fees due upon application:
Amount received: /4 75z, —
Authorized signat . A ' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ken S . recher Date: • Fee methodology set by Tri -County Building Industry
Service Board.
1 \ Building \Permits\BUP- PermnApp doe 03/ 21/06 440- 4613T(I 1 /02/COMAVEB)
• Mechanical Permit Application FOR OFFICE USE ONLY
III City of Tigard isti 2 . 3 I _
° 13125 SW Hall Blvd., Tigard, OR 97223 CC
it Phone: 503.639.4171 Fax: 503.598 1960 C'Qg 1 i U b 11 'a �. CX t Other Permit
T I G n It Inspection Line: 503.639 �, r �� s la
Internet: www.tigard- or.gov BUILD
ING ) - ti t N S See Page 2 for
Supplemental Information
TYPE OF WORK 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: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
SW H T erra ce Air conditioning or heat pump
Job site address:
�� IS / (requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 1 14.00 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite ldg. pt. 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 (fucl -typc, not electric),
in -wall, in -duct, suspended, etc 10.00
/9
Flue /vent for any of above 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
Installation of furnace /ducting and preplumb of A/C fireplace 1 10.00 10.00
Flue vent ent 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 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
A APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: ' C - 7 , ` „ ' 4 6..„1. 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
Minimum permit fee ($72.50)
Phone: (503) 253 -7789 Fax: (503) 253 -7693 Plan review (25% of permit fee)
CCB lie.: 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 I Date: • Fee methodology set by Tri -County Building Industry Service Board
I \Building\Pcrmus\.MEC- PermiApp doe 04/06/06 440-4617T (11 /02/COM1/WEB)
; � ! —, 1 1
Li Plumbing Permit Application FOR oFF1cr. t sf: (Nl.l
City of Tigard 4 r 1 veil Permit No
1
• 13 125 SW Hall Blvd , Tigard, OR 97223 �t°� U �� ? — Z.
g Plan Rene 1 Ls "` a h ' ' b 'd sue
C Phone: 503 639.4171 Fax. 503.598.1960, v �� Other Permit No
T I `, I, I) Inspection Line: 503.639.4175 �� 1 — L � t
Date R5adv/Bv Juns ® See Page 2 for
Internet: www.tigard -or gov ., i i - D ,II ' t t; eli od�
TYPE OF WORIL . (L'T..- •G { � .1 Supplemental Information
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 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: / 1 3 3y. SW Hallmark Terrace Catch basin or area drain 16.60
City /State /ZIP: Tigard, OR 97223 Drywcll, leach line, or trench drain 16.60
Suite .t. 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: S AI -s4 . 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 1 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 I 16 60 16 60
4PPLICANT ❑ CONTACT PERSON Hose bib 2 16 60 33.20
/ 40 Ice maker 1 16 60 16.60
Business name: :
Interceptor /grease trap 16 60
Contact name: Medical gas (value. $ ) 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: 572 50
Phone: (503) 640 -0113 Fax: (503) 640 -4483 Residential back(low minimum permit fee: $36 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 Suilding'\Permits\PLM- PermitApp doc 06/26/06 4404616T(10'02/COM /WEB)
•
Electrical Permit Application-,, , FOR OFFICE USE ON LY " "
City of Tigard (,--t.,'-'•
;) �\ i 1 ,C t rraw s i I „rmi;
° 13125 SW Hall Blvd., Tigard, OR 972..A. -_ - \-- d t J , a,c .. 1 - / '-
='_ Phone: 503.639.4171 Fax 503.598.1960 I .Bv. Date h ' Other Permit
fi l G A R D Inspection Line: 503.639 Litt; r ? 2ij�7 Not Date Read Julia See Page 2 for
• - I Internet: www.tigard - gov l� �• U i fiedMetho d I I Supplemental Information
TYPE 0 4 . 3 1 5 1 i 1 ( . . , , 1 PLAN. REVIEW -
New ® \t�v construction ❑ Additi t R •�” I Please check all that apply (submit 2 sets of plans w /hems checked below)
�r�c t IN jr n4 0 ° 3 v , ❑ Service or feeder 400 amps or more ❑ Building ostr three stones
Demolition � ()ti:•;r V y I , where the available fault current ❑ Marinas and boatyards.
• CATEGORY OF CONSTRUCTION ; exceeds 10.000 amps at ISO 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: ❑ Fire pump. ❑ Installation of 75 KVA or '
•
❑ Emergency system. larger separately denved system
JOB SITE INFORMATION AND LOCATION
❑Addit of new motor load of '
Job no.: I Job site address: /1 W Hallmark Terrace I !
3�
'/C 100liP or more occupancy •
_ — _ — _ - -_ r _ ❑ Six or more residential units ❑ Recreational vehicle parks. ,
City /Stat IP: Tigard, OR ❑ Health-care facilities ❑ Supply voltage for more than i
❑ Hazardous locations 600 volts nominal.
Sui Id pt. no.: Project name: Barrows Road Estates I ❑ Service or feeder 600 amps or more. i
FEE SCHEDULE
•
Cross street/directions to job site: Barrows Rd & Scholls Ferry I ' Dneripuoo I Qty. I Fee. I Total 1 •
- - - " " -- — , New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Barrows Rd . Lot no.: ( / 1,000 sq. ft. or less I I ! 145.15 I .". di ii 4
' Ea. add'I 500 sq. ft_ or portion ! / ! 33 40 I S3. I
Tax map /parcel no.: energy, residential i. / '' 75 00 ' ' ' vol I 2
Li
L
mited ener
DESCRIPTION OF WORK ! (with above sq. ft.) • •
• ' I Limited energy, multi - family !
Installation of electrical residential (with above sq. ft) I 75.00 i 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
IS PROPERTY OWNER I ❑ TENANT I 201 amps to 400 amps 1 I 106.85 i 2
Name: Milestone Homes LLC 401 amps to 600 amps i 160.60 I. '
- - - - — - 601 amps to 1,000 amps ; 240.60 ! 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 I Fax: (503)643 -5608 200 amps or less 66.85 I ; t
Owner installation: This installation is being made on property that I 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 1 ❑ 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 I •
•
Contact name: without service or feeder fee, ! 46.85 ' 2 '
first branch circuit
Add; `s ; Each add'I branch circuit I i 6.65 i ' 2
; Miscellaneous (service or feeder not included)
C 1:s - State 711' Each manufactured or modular
dwelling, service and/or feeder i • 90.90 2
Phone: ( ) Fax: : ( ) ! Reconnect only 66.85 ; 2
•
E -mail: i Pump or irrigation circle ! 53.40 ( 2 '•
CONTRACTOR I , Sign or outline lighting I j 53.40 i ' 2
Business name: Garner Electric Signal circuits) or limited- I i '
— energy panel, alteration, or
' Address: 2920 SE Brookwood Ave., Suite A extension. Describe: Page 2 I 2
City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above
--- - -' ' - -- -- - Per inspection 6250
Phone• t 503 t 648 : Fa. 503: 642 - 7925 ' Investigation per hour (I hr min) I I 62.50 I
CCB Lic.: 121159 I Electrical ' .. • 05C , Supr'.. i.:,.. 370 ' ! inditstnal plant per hour 73.75 I
- - -- I ELECTRICAL PERMIT" FEES . . I
Suprv. Electrician signature, required 5uolota; 1 7 ' 5s
. :i • -. Plan :cviess i25'io cif permit fcc): t
Print name: Chuck Garner ate:
- State surcharge (8% of permit fee): •
Authorized signature: — I i TOTAL PERMIT FEE' i
■
— This permit application expires if a permit is not obtained within 180
Print name: Chuck Gamer ! Date. days after it has been accepted as complete-
i -- , i
• Number of inspections allowed per permit.
t :auild,ng.Permits•ELC- PermitApp doe 05/23/06 440146I ST( 11,05/CONNVE6
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� 19 � SI PLAt' LOT 19 N RE V Description BY Date
C -1 1" = 10' -0" H BARROWS ROAD ESTATES
�� Butler LOT 19
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