Permit � � EXPIRE®- /z7 / � v Bu><ld><ng Permit Ap L nt�nn FOR OFFICE USE ONLY
t Received / �
City of Tigard ii t � i .. ( , • P ermi t No .
° 13125 SW Hall Blvd., Tigard, O R`47223 2001 Date/B /� ,_I /, "'t7t7. /'
g Plan Review
1 C Phone: 503.639 4171 5 3 98 196Q AJAR]) Date/B . Other Per : _ • 003 -
TI GAItD 5� �q I
Inspection Line: 503.63 I Date Ready /By• ® See Attached Checklist for
Internet: www.tigar 1.711
,DING DIVISION Notified/Method 1 • Supplemental Information
TYPE OF j@J 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.
[X 1- and 2- family dwelling ❑ Commercial /industrial Valuation: S / SK 67
❑ Accessory building . El 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: f / a-1 1 SW Hallmark Terrace New dwelling area: 1499 square feet
City /State /ZIP: Tigard, OR Garage /carport area: 345 square feet
Suiteaapt. no.: ' Project name: Barrows Rd. Estates Covered porch area: 30 square feet
Cross street/directions to job site: Barrows & Scholls Ferry Deck area: --a— square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Barrows Rd Estates Lot no.: J J 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: ( ) I Fax: ( )
CCB lie.: 150268 Total fees due upon application:
Amount received:
Authorized signatur•illW i
_ _ This permit application expires if a permit is not obtained
r 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 \Buildmg\Permits\BUP- PermitApp doe 03/21/06 440.4613T(I I /OJCOMM'EB)
Mechanical Permit Application rolt or• rlcr usr ONLY .y
' City of Tigard �j.' •
Date/By _. Permit No
C q 13125 SW Hall Blvd., Tigard, 09 7223 Plan Review ■ 7 { C
Phone' 503 639.4171 Fax: 503 598 1960 t( 2007 Date/By Other Permit
T I G A R D Inspection Line: 503.639.4175 �Jt� v Date Ready /By lures 0 See Page 2 for
Internet: www.tigard- or.gov �' I) otified/Method Supplemental Information
Carl 1 U r �.,„ r„ 1 1
TYI�6,Q1 / N( �Jb v COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
® New construction ❑ 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. $
® 1- and 2 -famil dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
2-family g ❑ Commercial /industrial ❑ Accessory building
El ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 1 / SW Hallmark Terrace
Air conditioning or heat pump
Z� (requires site plan showing placement) 14 00
City /State /ZIP: Tigard, OR 97223 Fumace 100,000 BTU (ducts/vents) I 14.00 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite Idg./ pt. 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.: i 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
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 1 10.00 10.00
Fax: 503 643 -5608 Single -duct exhaust (bathrooms,
Phone:
(503)641-3147 ( ) toilet compartments, utility rooms) 4 6.80 27.20
,PPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: �.e(/1jty�,Q (.10 6 t,r Q J Fuel 10.00
L Fuel piping
Contact name: S5.40 for first four; $1.00 for each a dditional
Address: Furnace, etc. I
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater I
Fireplace I
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 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 Date: • Fee methodology set by Tri -County Building Industry Service Board
I \Buiding\Permns \NEC - PermitApp doe 04/06/06 440-46171 (I I /02/COM/WEB)
O \
...:%.,- V,
Plumbing Permit Ap ;� v -, A " \--
, � , ,� 1� ) &, FOR OFFICE LSE ONLY
of Tigard ` V .1 �`C�\u 0 Received Permit No
t �` Date/By a O
_ • 13125 SW Hall Blvd., Tigard. OR 9 2 6+
• flap g Reiew 1 'P
l I G A R D Phone: 503 639 4171 Fax: 503.59 +. �'� '•r y . v �/ r 4 D v . Other Permit No
Inspection Line 503.639.4175 '' � \ ' q Date Read. /B. 1 ` ` luns ® See Page 2 for
d
Internet www.tigard -or gov ra• f 0 -- ` 4� r" 4 • Notified/Method Supplemental Information
y .
TYPE ON*() ��� - \ FEE* SCHEDULE
qq (ID4 F special ® New construction '�y, 'LJ Demolition � information use checklist.
Description I Qty j 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
® l- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350 00
❑ Accessory building ❑ Multi - family SFR (3) bath x 399 00 399 0
❑ Master builder Each additional bath/kitchen 45 00
0 Fire sprinkler ( sq ft ) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: / I'Z'7 SW Hallmark Terrace Catch basin or area drain 16 60
City /State /ZIP. Tigard, OR 97223 Drywell, leach line, or trench drain 16 60
Suite) apt. no.: I Project name: Barrows Rd. Estates Footing drain (no linear ft : _ ) Pa 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 : /p 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 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
(APPLICANT ❑ CONTACT PERSON Hose bib 2 16 60 33 20
AO ��
Ice t 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 I 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 i
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 fcc: $36.25
CCB Lie.: 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 Tn-County Building Industry Service Board.
i \Buirding\Permiis\PLM- PermitApp doe 06/26/06 440-4616T(I0(02 /COMIWEB)
Electrical Permit Appli 1k_! f ( ti j � j r FOR OFFICE LSE ONLI
City of Tigard l; ! !':tint; No 4*?1,7
, Uate a.
a • 13125 SW Hall Blvd., Tigard. OR 97 s , .nr\
Plan RC. I T ' r ' !' - ' "
.• Phone. 503.639.4171 Fax: 503.598.11SW/ V �U U t ' Date.Bv i Other Permit
T.I GA R D Inspection Line. 503.639.4175 Date Ready/By I ho s I ® See Page 2 for
-. . • Internet: www.tigardor goCil x ur I IIUA NotifeiMethod Supplemental information
I �� T G DIVISION • i . PLAN. REVIEW
® New construction ❑ A2fdt on /replacement !. Please check all that apply (submit 2 sets of plans whtems checked below)
❑ Service or feeder 400 amps or more ❑ Building over three stones
❑ Demolition Otil:r where the available fault current ❑ Mannas and boatyards.
CATEGORY OF CONSTRUCTION I : exceeds 10.000 amps at 150 volts or ❑ Floating buildings
� 'p" � less to ground or exceeds 14,000 ❑ Commercial -use agricultural
J - 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 drnved system
JOB SITE INFORMATION AND LOCATION i I ❑ Addition of new motor load of ❑ A", 'E
•
Job no.: I Job site address: /('' /SW Hallmark Terrace 1 100HP 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
S t no.: , Project name: Barrows Road Estates ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Barrows Rd & Scholls Ferry j ' Dmenpt,oa I Qr.. I Fee. I Tort I '
-- - - - - " -- New residential single- or multi- family dwelling unit.
; Includes attached garage.
Subdivision: Barrows Rd _Lot no.: / (10 1,000 sq. ft. or less ; / ' 145.15 ; /((j ./b ii 4
t Ea. add 500 sq. ft. or portion ! / ; 33.40 ; 3 . Vo I
Tax map /parcel no.: .
Limited energy, residential ! / 7500 ; 7 2
I DESCRIPTION OF WORK (with above sq. ft.)
I Limited energy, multi - family i t •
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
•
® PROPERTY OWNER ❑TENANT I 201 amps to 400 amps I 106.85 ( . 2 ,
Name: Milestone Homes LLC ' ; 401 amps to 600 amps I 160.60 2 '
-- - -- — — - — - - - 601 amps to 1.000 amps . i 240.60 I 1 2
Address: 3800 SW Cedar Hills Blvd.. Suite 105 I I Over 1.000 amps or volts I I 454.65 I 12 I
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 1 '
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 i , 2
Owner signature: Date: __ i i A. Fee for branch circuits w eration
c alteration, or extension. panel
-_
1
� APPLICA \T I ❑ CONTACT' PERSON above service or feeder fee,
each branch circuit 6.65 j • 2
Business n e: Same as owner
B. Fee for branch circuits
85 Contact name: without service or feeder fee, I 2
first branch circuit 46.
��Jr ,> 1 Each add'I branch circuit I 6.65 I ' 2
- i Miscellaneous (service or feeder not included)
i_11% . Saatc % i P . Each manufactured or modular f 90 90 I 2 ;
dwelling, service and/or feeder I I i
Phone: ( ) Fax: : ( 1 i I Reconnect only i 66.85 i 2
E -mail: I Pump or irrigation circle 53.40 I 12
CONTRACTOR , Sign or outline lighting I I 53.40 i 1 2
I Signal circuit(s) or limited -
Business name: Garner Electric — -- ; energy panel, alteration, or
Address: 2920 SE Brookwood Ave., Suite A extension. Describe: Page 2 ! 2
I I .
. City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above
- -- - Per inspection 62.50
Phone. ■ 503) (,415 -4552 I i ,L 503! 642 -7925 Investigation per hour (1 hr min) I I 62.50 I
CCB Lic.: 121159 I Electrical • .: • 05C , Supn. i.:,.. 3707S ' ; Industrial plant per hour 73.75 ' .
- - - - -- I ELECTRICAL PERMIT FEES . •
Suprv. Electrician signature. required• '- Subtotal ; ,g; . ,f
':'7!. -- Plnn :cvicta t "i0 it permit fee). .
Print name: Chuck Gamer D ate: . •
State surcharge (8% of permit fee):
Authorized signature: TOTAL PERMIT FEE' j
- — — — It
This permit application expires if a permit is not obtained within 180
Print name: Chuck Gamer ; Date: i
t i
days after it has been accepted as complete.
- -- —
• Number of inspections allowed ter permit.
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16 SITE PLAN LOT 16
. REV Description
BARROWS ROAD ESTATES
C-1 1" '-" 1 r Butler
. LOT 16 BY Date
= 100
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