Permit p,, EXPIRED ,5 .
. !.
Building Permit Application _ n FOR OFFICE USE ONLY
City of Tigard GtC 2 8 2007 Received
Date/13 • /- co% 07 Ali ilij, Permit L S %J -7�,(„,4
a 13125 SW Hall Blvd., Tigard, 1�K Plan Review
III Ill Phone: 503.639 4171 Fax: 1911.1 Ur 1 g �gA � DateB : Other Permit p�� �, / '
T I G A R D Inspection Line: 503.639 � 7 DI a T^ DTy Date otified/Method. S Ready/By tu�s� See Attached Checklist for
Internet: www.ti ardor. �J l�, lLp � �� il otified/Method. J 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. "
❑ I- and 2- family dwelling ❑ Commercial /industrial Valuation: 057 orb
❑ 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: 1/ 2 SW Hallmark Terrace New dwelling area: 1499 square feet
City /State /ZIP: Tigard, OR Garage /carport area: 345 square feet
Suit Id pt. no.: Z Project name: Barrows Rd. Estates Covered porch area: 30 square feet
Cross street/directions to job site: Barrows & Scholls Ferry Deck area: e y square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Barrows Rd Estates Lot no.: / t2 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:
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:( )
Total fees due upon application:
CCB lic.: 150268 /
/
' Amount received: 16
Authorized signatu This ermit application expires if a permit is not obtained
s.
P PP P P
within 180 days after it has been accepted as complete.
Print name: Ken Sprecher / l Date: • Fee methodology set by Tri -County Building Industry .
Service Board
I \ Building \Permits\BIJP- PermitApp doc 03/21/06 440-4613T(I 1 /02/COMAVEB)
fc - "p Mechanical Permit Applic r"� FOR OFFICE USE ONLY
III Ill City of Ti and i r' eceetved Permit No..
13125 SW Hall Blvd., Tigard, OR 97223 t Pia 'Review
Phone: 503 639.4171 Fax 503 98 I9 ` Date/By l• �, ' _ 111, Other Permit
T I G A It D Inspection Line: 503.639 � 1 y 20QJ Date Ready/By - - Juris El See Page 2 for
Internet: www.tigard or.gov,� / j � d O a Notified/Method Supplemental Information
TYPE OF WOR 4_, � COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
® New construction ❑ Addition /alteration/replacement UAT 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: $
® 1- and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ❑ Commercial /industrial ❑ Accessory building
❑ Multi- family ❑ Master builder ❑ Other: For speciesl information use checklist.
Description I Qty. 'I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: / f'Z l SW 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) 1 7.90
Suite'. t _ ..t. no.: 2...._ 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.: /2_
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
0 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
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: 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
Fax::
Phone: ( ) ( ) 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 Tri- County Building Industry Service Board
I\Building\Permns \NEC- PermitApp.doe 04/06/06 440-46I7T(II /02/COMAVEB)
s �.
Plumbing Permit Application Il "/: — FOR OFFICE LSE ONLY
City of Tigard `� g / ' =pa Be a Permit No 443
II C • 13125 SW Hall Blvd , Tigard, OR19.7.223 L / • �� _ - Phone: 503.639 4171 Fax 5''93 5/.1960 `C 0' D t / eH - Other Permit No
Inspection Line 503.639.41 .;4t•.
T I G A RI) L ti � �° ' /, �
Date Ready/By ions 65 See Page 2 for
Internet www.ttgard- or.gov - ki, J� � `, 7r,. Notified/Method Supplemental Information
TYPE OF WORK 1 � ',L r y„ FEE* � .� p.„, di ;;�� FEE SCHEDULE
® New construction ❑ Demolition `/ V� For special information use checklist.
�` °�,,�
n I Description p i Qty. Ea Total
❑ Addition /alteration/replacement 0 Other: � f a 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: / ('Z el) 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 g. pt. no.: Z Project name: Barrows Rd. Estates
Footing drain (no linear ft • ) Page 2
Manufactured home utilities 1 10.00
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.: r Z 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
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
❑ APPLICANT ❑ CONTACT PERSON Hose bib 2 16 60 33 20
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 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 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 (Buildm8(Perm ts(PLM- PermaApp dot 06/26/06 440- 4616T( IO /02/COM/WEB)
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Electrical Permit Application l,:v i( 11 ' ; FOR OFFICE LSE Oi\L's "
Ci ty of Tigard (-�� i u �-_ ! 1. No
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i iiii
13125 SW Hall Blvd., Tigard, OR 972 L LC plan c+Zo
Phone. 503.639.4171 Fax. 503.5986 f!^ Rv dBs �f Other Permit
;
T I G A R D Inspection Line 503 639 4175 • ^a • ((' q � (note Ready/B 6C L � , Li I •
toe ® s I See Page 2 for 1
, . Intern www.tigard - gov � � I t - t� � g ' , , , Noufied Method Supplemental Information
•
TYPE OF WORT: Z ' r . �•�j ` ' i . 'PLAN REVIEW
® New construction ❑ Addition /alteration /replacement 1 - 1 V -` '0) ! Please check all that apply (submit 2 sets or plans w /hems checked below)
❑ � � jO ! ❑ Service or feeder 400 amps or more ❑ Building over three stones
Demolition IL Other where the available fault current ❑ Marinas and boatyards i
CATEGORY OF CONSTRUCTION ; 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 amps for all other installations buildings
❑ Multi- family ❑ Master builder ❑ Other: i ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system- larger separately derived system
❑ Addition of new motor load of ❑ "A" "E" "1 - "I -3
Job no.: I Job site address: / j2 SW Hallmark Terrace IooHP or more. occupancy
❑ Six or more residential units ❑ Recreational vehicle parks.
City /State/ZIP: Tigard, OR . ❑ Health -care facilities ❑ Supply voltage for more than
—_ —__ ; ❑ Hazardous locations. 600 volts nominal.
Suit -41E0 apt. no.: .. , Project name: Barrows Road Estates i ❑ Service or feeder 600 amps ormore.
• FEE SCHEDULE
Cross street/directions to job site: Barrows Rd & Scholls Ferry Descriptive I Qi, I Fee. 1 Total I '
-- — " -- — New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Barrows Rd . Lot no.: / 2.— 1,000 sq. ft. or less ; / 1 145.15 , /yy ./S 11 4
Tax map/parcel no.: . Ea. add'I 500 sq. tt or portion ! / ! 33.40 ; 3.5. Vol 1
i Limited energy, residential . i 7 • 7S 2
D ESCRIPTION OF WORK ! . (with above sq. ft.) i
! Limited energy, multi - family i '
Installation of electrical residential (with above sq. R) j 75'00 I I 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30
1:83 PROPERTY OWNER ❑ TENANT I `201 amps 1o400 amps I I 106.85 j
2
Name: Milestone Homes LLC ' : 401 amps to 600 amps I 160.60 I '
— - -- - — -- - - -- : 601 amps to 1,000 amps : 240.60 1
Address: 3800 SW Cedar Hills Blvd., Suite 105 I 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 1 66.85 i ; 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps I 100.30 i _
intended for sale, lease. rent, or exchange, according to ORS 447, 449, 670. and 701. 401 amps to 599 amps _ 133.75
Owner signature: Date: __. - i I A Fee for branch circuits w ith alteration, or exleosioa, r panel
❑ APPLICANT i ❑ CONTACT PERSON above service or feeder fee, 6.65 2
Be: Same as owner Fee for circuit
Business name: I - __ _ B. Fee for branch circuits i
without service or feeder fee,
Contact name: first branch circuit 46.85 2
A`dr`N ; Each add'I branch circuit I 6.65 ' 2
: Miscellaneous (service or feeder not included)
C Stag• Z IP. Each manufactured or modular i
, dwelling, service and/or feeder ! 90.90 2 '
Phone: ( ) Fax: : ( ) • Reconnect only 1 66.85 1 2
•
E - mail: i ' Pump or irrigation circle 53.40 12
CONTRACTOR . Sign or outline lighting 1 1 53.40 ' 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 j 2
City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above
-- -- -- - -- - -- - --- - Per inspection 62.50
Phone: t 503 i 648-4552 I l a. 50.3; 642-7925 Investigation per hour (1 hr rain) I I 62.50 1 •
CCB Lic.: 121159 I Electrical ' .: • 05C 1 Supr'.. i.:�. 3707S ' ! lndit:trtal plant per hour . i 73 75
- - -- _ i ELECTRICAL PERMIT FEES I
Suprv. Electrician signature, required' �'" Subtotal .
':%� - Man :cs icy, t 25 o. ,t permit feel. i
Print name: Chuck Garner - b ate:
_ _ _ — State surcharge (8% of permit fee):
Authorized signature: t rOT. PERMIT FEE ■
.-- - —""" — This permit application expires if a permit is not obtaioed within 180
Print name: Chuck Gamer i Date:
i i u
days after it has been accepted as complete.
-- — -- — --
• Number of inspections allowed per permit.
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12 SITE PLAN LOT 12 BY Date
C -1 1" = 10' -0" N R EV Description BARROWS ROAD ESTATES
Butler LOT 12
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
•