Permit CITY OF TI GARD MASTER PERMIT
PERMIT #: MST2004 -00302
1, DEVELOPMENT SERVICES DATE ISSUED: 2/17/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 07822 SW DUNE GRASS LN PARCEL: 2S112BA -09800
SUBDIVISION: BONITA TOWNHOMES ZONING: R - 12
BLOCK: LOT: 034 JURISDICTION: TIG
REMARKS: New SFA
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 167 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 820 sf GARAGE: 585 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 TI4RD: 787 sf RIGHT:
VALUE: 181
OCCUPANCYGRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,774 sf REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP c 3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 3
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 • 200 amp: W/SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st W/OSVCIFI7R: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL ER CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps•1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAJTELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,890.70
This permit is subject to the regulations contained in the
JLS CUSTOM HOMES JLS CUSTOM HOMES Tigard Munidpal Code, State of OR. Specialty Codes
16280 NW BETHANY 16280 NW BETHANY and all other applicable laws. All work will be done in
BEAVERTON, OR 97006 BEAVERTON, OR 97006 accordance with approved plans. This permit will expire
if work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days.
Phone: 503 - 533 - 4006 Phone: 503 - 533 - 4006 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through
Reg #: LIC 139970 952- 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503) 246 -6699.
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
High- strength bolts
Structural welding
G I
Issued By : ;_d, _ -/.. /.. Permittee Signature : ,I(/ 014
.4-- l
CaII (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
• Building Permit Application FOR OFFICE USE ONLY
City of Tigard C EI'J Received
13125 SW Hall Blvd., Tigard, OR 9�7 Date,By ioie i ' j !I � Q�
�� 200 III Plan Review ��`�v 135,B / �, /�
Phone' 503 -639 4171 Fax: 503.598 -1960 a„ t � Other Pew
D a t e . Bv _....s... / / / /„
Inspection Line: 503.639 4175 u �� Date Ready/13y El See Attached Checklist for
Internet: \tiww.ci tigard.or, us NotifiedMethod e Supplemental information
-.,-ry a1 TIGABG tt it �N..\1..
. . � IQ5 1V'Vfp REQUIRED DATA: 1- AND 2- FAMILY DWELLING
yew i' 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, matenais, labor,. overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application / 9 j 32O, 30
Valuation: 6- a 1 a •
x 1- and 2- family dwelling XCommercialhndustnal I
❑ Accessory building ❑ Multi-family Number of bedrooms
II Master builder ❑ Other, Number of bathrooms. 2e15
,JOB SITE .INFORMATION T AND LOCATION Total number of floors- 3
Job site address b� �.I�/ ' & - New dwelling area 133. Li square feet
City/State/ZIP. ' 0613... ' �� Garage /carport area: 5- 85 square feet
Suite/bidg.apt. no: Project name. �n kn ` Covered porch area 32...._ square feet
Cross street:'directions to job site , in, h at • OP Deck area square feet •
Other structure area: square feet
• I REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: }"Y \Y iOU � -► �r(� J Lot no : 34 Permit fees* are based on the value of the work performed •
- �!�-' L a t -b t . \1Jv ! �� indicate the value (rounded to the nearest dollar) of all
Tax mapiparcel no . 1
equipment, materials. labor. overhead. and the profit for the
DESCRIPTION OF WORK work indicated on this application n / / / //I
. Valuation: s 1, 3914 I o O
Existing building area: square feet
New building area: i5(„ rr - 7( square feet
PROPERTY OWNER El TENANT TENANT Number of stories: 3
Name: as C S ri\ \ 1) \r Type of construction: �
Address: l (D O p�� � Occupancy- groups:
CindStateiZIP: c C�
2 rr -- Existing.
Phone: (s-6.1) 533_ i3 aiN Fax: (5 e ) ' Ligp(D New: •
❑ APPLICANTT'' [(CONTACT PERSON
NOTICE
Business name: S.►- i=-1 -C All contractors and subcontractors are required to be
Contact name- C licensed with the Oregon Construction Contractors Board
Ll under ORS 701 and may be required to be licensed in the
Address: L] r'J jurisdiction in which work is being performed. If the
City /State /ZIP:
applicant is exempt from licensing, the following reasons
1 p apply:
Phone: ($03) °i (09_ 1.. 1 L15 3 Fax.: ( ) ‘r7�E
E -mail:
. CONTRACTOR
Business name: m BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
` •
Cit\"State /ZIP.
Fees clue upon application
Phone: ( ) Fax:( )
sct ^ y Amount received
CCB tic.:
Date received:
Authorized signat e: / This permit application expires if a permit is not obtained
<a� - L . ■ within 180 days after it has been accepted as complete.
Print name: e 1; cA - - A o I Date. * Fee methodology set by Tn- County Building Industry
1 Service Board
i ", Building •.Permtts`.BL'P- PerminApp dec 12:03 a40- a613Ti 11102:C0Nt/WEB)
Electrical Permit Application FOROFFICE USE ONLY
City of Tigard R C E . :ece
eiv
Permit NO �j��/� "� ,_
'� 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.595 -1960 - OCT Awf1o"b'C . i DateBw Other Perrrut:
Inspection Line: 503 639 -4175 t_8 J +'- Date ReadyBy. J rs 0 See Page 2 for
Internet' ww■v.ci.tigard.or.us Notified/Method 1 Supplemental Information
. - T O F •W vt ,. U ARO PLAN REVIEW
❑ New construction ❑ Addittonialteratton /replacement J1UN Please check all that apply
❑Service over 225 amps, comm'1 ❑Hazardous location
❑ Demolition ❑ Other
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft..
CATEGORY OF CONSTRUCTION ., of 1- and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling 0 ❑ Accessory building ❑System over 600 voles nominal units none structure
❑ Multi family ❑ Master builder Other: ❑Buildin over three stones ['Feeders. 400 amps or more
❑ Occupant load over 99 persons ❑Manufactured structures or
JOB SiTE INFORMATION AND LOCATION ❑Egress /lighting plan RV park
�J � ❑Health -care facility ❑Other:
Job no-: Job site address: y-/, 3. I f w ) I UV Q /�
Ka ) Submit 2 sets of plans pith any of the above
City/State/ZIP: : �; c C •- C \ (ja - /�( /�,� � � The above are not applicable to temporary cons:ruction service.
Suite /bldg. /apt. no -: Project name
� FEE* SCHEDULE
� De<cnpnon Qti- Fee- Toial
Cross street/directions to job site y\ 1 i eev New residential single- or multi - family' duelling unit. j� CS nnO I includes attached garage..-
1.000 sq ft- or less 145.15 4
Subdivision: /� ` Lot no.:2� Ea. add'l 500 sq. ft. or portion 33 40 1
1 �[xl n,�oa ,J
Tax map /parcel no.: as i �,�, , a �} Limited energy, residential 75 00 2
Limited energy, non - residential I 75 00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling. service and/or feeder , 90 90 2
, Services or feeders installation, alteration. and /orrelocation
200 amps or less 80 30 I 2
Ni. PROPERTY OWNER ❑TENANT 201 amps to 300 amps 106.05 2
401 amps to 600 amps j 1 u0 60 2
Name: CL 5 Cr _ \ (\+y\^ i Y L� .n . YLS \ p 601 amps to 1.000 amps 1 240 60 2
Address: I w ,^ V , _ , Over 1.000 amps or ■ olts x53.65 2 1 , ��'�' , Reconnect only i 66 -85 2
City/Stale. %ZIP p jzs t �� . �1 �c r
Temporary' services or feeders installation, alteration, and /or
3_ ( � Fax. ( �) 5 -�_ [1 relocation
Phone: (663 )
1 _00 amps or less 66 85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100,310
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133 75 2
Owner signature: - Date- Branch circuits - new. alteration, or extension, per panel •
❑ APPLICANT - CONTACT di
PERSON A_ Fee for branch circuits ui
�� service or feeder fee, each
Business name: branch circuit 6 65 2
B Fee for branch circuits
Contact name: -
without service or feeder fee,
Address:
each branch circuit 46 85 2
C � Ea add'I branch circuit 6.65 I 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( )g Cr , 1 43 Fax:: ( ) 5 n N/1 & Pump or irrigation circle 53.40 2
''r / C / 1 f l Sign or outline lighting 53 40
E - mail: Stenal circull(s) or limited-
CO NTRACTOR' • energy panel, alteration, or
• ( . extension- Describe Page 2 2
Business name: r_ • V . 1
Address: lo b , O B SI -.. - 171 As 1 Each additional inspection over allowable in any of the above
� i Per inspection 62.50.
•
City/State/ZIP: \,�] � T �
- [ Imeshgahon per hour 11 hr irunl 62.50
Phone (563) (oil Z _ a8c�. Fax ) ( D`( l )j") ll) ) I �_ C('� 1 C industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: ` r r _ Electrical ' C.: q _ ■ Supr. Lic : Subtotal
Suprv. Electrician signature, required: .11 r Plan review (25% of permit feel
Print name. a we.-. D^� 1 Date: State surcharge (8% of permit fee)
Fw TOTAL. PERMIT FEE
Authorized gig iature: • r This permit application expires if a permit is not obtained within 180
L days alter it has been accepted as complete
Print name: c l Cl e - Q — ��� Date - Fee methodology set b Tn- County Building Industry Service Board
— Number of inspections per permit allowed_
i' •.Buitdog'Pemtits\ELC- PerrrutApp doe 12703 440 461 5T110IO2/COM'WEB
vlechanical Permit Applioatil(n IV >; FOR OFF1cE. ONLY . ,_
City of Tigard n��I— Rec eived
d Date/By- Permit No. /� /�/C 1
13125 SW Hall Blvd - , Tigard, OR 97223 y �[/L! O
Plan Review
Yhone: 503.639.4171 Fax: 503.598.1960 v
win Other Permit,
O �tAN� `�i I i`� DateBy
Inspection Line: 503 .639.4175
p . Date Ready/By: brig El See Page 2 for
Internet: www.ci.tigard.orus Notified/Method: Supplemental Information
CITY OF TIGARU
r,r ill ntn[r, nIVIS1ON
. TYPE OF WORK' - COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
X 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: S
RESIDENTIAL. EQUIPMENT / SYSTEMS FEES*
IrI and 2 family dwelling ,Commercial /industrial ❑ Accessory building
I For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other:
Uescnpuon
Qry Ea I Total
- JOB SITE INFORMATION .AND LOCATION Heating' cooling
.,
Job site address: �� 5 >, J� 67 I'2 C Jj� Air (requires i omne or heat pump
r . J s, I Q f s / I / Air c n see plan showing placemem) 14.00
City /State /ZIP: l i � • Q E. 9'3 Furnace 100,000 BTU (ducts/seats) 14.00
t Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project e
vl1 }� Gas heat pump 14.00
Cross street'directions to job site•r\ � Duc work 14.00
Hydronic hot water system 14.00
�� Residential boiler (radiator or
hvdronic) 14.00
Unit heaters (fuel -type. not electric).
in -wall, in -duct. suspended, etc 10 00
nston: (� 71 s Lot no -. Flue cnt for an of above 10
Subdl 00
�`'h1�C> ,3q
Other
1Q00
Tax map/parcel no.: ` J 5 1 (, � 1 ^ 1 Other fuel appliances
DESCRIPTION OF WORK Water heater 10 00
Gas fireplace 10.00
' Flue vent for water heater Or gas
fireplace !0_00
•
Log lighter (gas) 10 -00 I
\Woody pellet stove 10 00 1
Wood fireplace. insert 10.00
,PROPERTY OWNER Chlmne }'1lneriluc:yent 0.00
❑ T ENANT
Other ; 10 -00
Name Environmental exhaust and ventilation
Address: f (0a8C) ,, A �t Ranee hood /other kitchen
'v`•'�1 equipment 10.00
City %Stale /ZIT eax r +'C 1 Q Clothes dryer exhaust 10 00
Single - duct exhaust (bathrooms,
Phone: (563 )513_ qbo� Fax: (5 ) 533' qvO toilet compartments, utility looms) 6.80
L '-APPLLCANT; Attic /crawlspace fans 10 00
(� CONTACT PERSO
Business name: 1/45F\ � E Other 10 00
Fuel piping
Contact name: c 7 I -t-�-p S5.40 for first four: 51.00 for each additional
Address: M � �` Furnace, etc.
Gas heat pump
City'State /Z1P: Wail /suspended /unit heater
,a2) 9L_ Li : ( ) 5 Water er heater
Phone: ( n l ss
' J' 7 lD `1 Fax: `` `
Fireplace
E -mail:
Range
CONTRACTOR: Barbecue
Business name: c • , • ` Clothes dryer (gas)
C..— I alb o
Address•
II Illrllrl MECHANICAL PERMIT FEES*
City /State /ZIP: N .� 4 C • 9 -} Subtotal
Minimum permit fee (572.50)
Phone: (5t,) 591 —992 (,i Fax: (5pg) gyQ_ 0 - ) .89, I Plan review (25% of permit fee)
CCB l i c . : 1 1 . 1 1 3 l Li ( �� State surchat ge (8% of permit fee)
TOTAL PERMIT FEE 1
Authorized SI attire: This permit application expires if a permit is not obtained within 150
�_ a _ days after it has been accepted as complete.
Print name: ; e ; TC - ke -�
p Date: ' Fee methodology set by Tii- County Building, Indtsrry Service Board
i \Bmldmg',Permirs \M:EC- PermilApp doe 12/03 a a0 -46I7T (11 OJCOMiWEBI
l ir Building Fixtures RECElvtu
> Plumbing Permit Application 'u 20,11 ;
Plan Review
FOR : OFFICE USE ONLY:: ,
City of Tigard Received
Permit No. ' `
Op--
Date/By: SW Hall Blvd., Tigard, OR 97223 OF T(GA --
Phone: 503.639.4171 Fax. 503.598.1960 � o �T Date/By �. Iy� te /B • Other Permit No.:
24 Hour Inspection Line: 503.639.4175 ���Q- ®IBC' ���I �� "y I� 1. 1 rs ,
Nod6ed'Met hod_
Internet: uz w.ci.tigard - onus ' �- + : Date y- S See Page 2 for
dTtet Supplemental Information
TYPE -. WORK ," FEE* SCIHEDULE
g New constriction ❑ Demolition For special information use checklist.
Descnpuon Qty. 1 Ea Total
❑ Addition/alteratiorvreplacement ❑ Other. New 1- 2- family dwellings (includes 100 ft- for each utility connection)
- "CATEGORY OF CONSTRUCTION - -- SFR (1) bath 1 249 -20
X1- and 2- fancily dwelling XCommercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399 00
❑ 1`4aster builder [II Other: Each additional bath/kitchen 45 00
_,_.' : r,I : -, ;:_.. <... .,:, :::, : ,:, : , z _:_:> r = _ , T -r?..: = >v -= ;; :- :; :. : :., : =. ire sprinkler ( sq. ) Page 2
F spn klr s t. Pae
_'�r: JOB - SITE ;INFOItIi•IATION °AiND1LOCATION Site utilities
lob site address: jam" 1 ` ,L & 1 4 '` Catch basin or area drain 16 60
City /State /ZIP: 1 [, ( , �,, `•0 ct Drywell, leach line, or trench drain 16 60
Suite /bldg /apt. no.: ? v Pro)ect name: �y ('� Footing drain (no linear ft, ) Page 2
�� `�■ Manufactured home utilities 1 1000
Cross street/directions to job site ie\ O d _. , �' M Q �'j
vS K Manholes 1660
Rain drain connector 16.60
• Sanitary sewer (no linear ft.: ) Page 2
Slemi sewer (no linear ft - ) Page 2
Water
Subdivision( ` b. - 1 Q ` F e\ S Lot no -. Fi service I,no linear R ) Page 2
Tax map /parcel no.: a 1 t „ la` !1 xture or item
1 _ Absorption valve 16.60
DESCRIPTION OR WORK - IIackflow prccenter Page 2
Backwater valve 16 60
Clothes washer 16 60
Dishwasher ` 16 -60
t. .; b„ Drinking fountain 16 60
PROPER_ TY OWNER
T :', „ll CC . p. ENANT'
�?LJ J ,.. -. - - Ejectors /sump 16 60
Name: Ot,V A • V. Expansion tank 16 60
Address: 1 to ago � • ,' Fixture /sewer cap 16.60
City/Slate, /ZIP: ` K -. ^ ' c � . R 0 Floor drain /floor sink/hub 16 60
Phone:( 3 ) 5 y/�/ l Fax: (56s)533_ ` q3 (0 Garbage disposal 16.60
:-��s - - ,; :; - a ',_t.. -. -_ - ; ,, U� - J • s ' lD ' = ,.- ;_>,: - ; �;x " :vim, - :rs�s "�- „ :r.;: 1-lose bib 1 16.60
"; 1° - _ ` :`. .. �.AP-PIL 'A=2«:.=_f.. *CO C'F PE RS. ' - '
< NT' Sri'
.... ,.,. a °- `t/' .i< <x;r_.. •• _,' _ _ �.: � ]ce maker 16 60
Business name: {
�J� ..r � � Interceptor /grease trap 16 60
Contact name: cp ' tOL.t Medical gas (value: 8 ) Page 2
Address: 3piF Primer 16.60
City/State/ZIP: Roof dram (commercial) 16 60
Phone: (SOS) 4 %Q t/53 I Fax: : ( ) � rn ` Sinlubasinilavatory 16.60
1• Tub/shower/shower pan 16 60
E -mail:
., i Urinal 16 60
ONTRA-
e C TOR;
Wate closet s 60
- .
Business name: E ` � .. 1 r \_k k x i ` Water heater 16 60
Address: e2 q `1 ` ( i , \ 1 J l � Other
/ ' ' t��J 1 1V Subtotal
City /State /ZIP: \i' 1 \,,i,\00, � S �\{� �
"' 9 � �•�
Phone: (563) t128 _ 1 (o Fax: (5 3) 6 Rs .. q Residential backflow M mi imum p it f : $ $ 36 72 25 50
CCB Lic.: Oga to A� ill) V Plumbing Lic. no. :3q �� Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature:
_ ..A1111 _ -_ TOTAL PERMIT FEE
Pnnt name: ` 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.
Bu ilding , P emit s1PLMF- PermiApp, doe I 2103 440-1616T(]0 /02/COMMT.B)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00302
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: (503) 639 -4171 Aite'\ ioNP
Inspection Requests (24 Hrs.): (503) 639 -4175 - _-.
INSPECTION WORKSHEET FOR DATE: 8/1/2005 TIME: 7 PAGE: 9
SITE ADDRESS: 07822 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 034 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: JLS CUSTOM HOMES, PHONE #: 503 -533 -4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503-533-4006
Inspection Request Scheduled For: Date: 8/1 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012555 -04 503 - 209.6824 N
Corrections /Comments/ Instructions:
i^ 41P
am 4 —, low wo
rill
1 w ily
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NA FEES ASSESSED
Inspector: , Date: I Phone #: (503) 718-
CITY OF TIGARD
• BUILDING DIVISION PERMIT #: MST2004- 00302
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2117/2005
Phone: (503) 639 -4171 :u „, IoiIIP'iijil'I
Inspection Requests (24 Hrs.): (503) 639 -4175 _:. _..... _..
INSPECTION WORKSHEET FOR DATE: 8/212005 TIME: 7:03AM PAGE: 12
SITE ADDRESS: 07822 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 034 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: JLS CUSTOM HOMES, PHONE #: 503 - 533.4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503-533-4006
Inspection Request Scheduled For: Date: 8/212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 012630 -02 603 - 209-6824 N
Corrections /Comments /Instructions:
V I -Pk ' SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date:I - Phone #: (503) 718-
C ITY OF TIGARD
BUILDING DIVISION 1 PERMIT #: MST2004 -00302
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: (503) 639 -4171 / ,,,1 al0yp,�pl!N 1ti
Inspection Requests (24 Hrs.): (503) 639 -4175 -'—
INSPECTION WORKSHEET FOR DATE: 8/3/2005 TIME: 7:06AM PAGE: 22
SITE ADDRESS: 07822 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 034 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: IS CUSTOM HOMES, PHONE #: 503 - 533 -4006
CONTRACTOR: IS CUSTOM HOMES PHONE #: 503- 533.4006
Inspection Request Scheduled For: Date: 8/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 012721 -01 503-642-2800 N
Corrections /Co ments/lnstructions:
CC4- — S It_9 14 .-t- C-
AD V tZ -4c-r
--7
PASS 111 PA'TIAL APPR' AL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ;/ - ON ❑ ADD N L FEES ASSESSED Inector: Da Phone #: (503) 718-
CITY OF TIGARD
,. A
BUILDING DIVISION PERMIT #: MST2004 -00302
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _-
INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7 PAGE: 27
SITE ADDRESS: 07822 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOVVNHOMES LOT #: 034 TYPE OF USE:
PROJECT NAME: BONITA TOM/HOMES
DESCRIPTION: New SFA
OWNER: JLS CUSTOM HOMES, PHONE #: 503- 533 -4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503-533-4006
Inspection Request Scheduled For: Date: 8/4/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 012830 -01 503-209-6824 Y
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I Date: ( 1 Phone #: (503) 718 -