Permit Al litb 4g CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00331
��I� DEVELOPMENT SERVICES DATE ISSUED: 11/29/2004
J�+L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14418 SW PENNYWORT TERR PARCEL: 2S112BA - BT027
SUBDIVISION: BONITA TOWNHOMES ZONING: R - 12
BLOCK: LOT: 027 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 'T RD: 787 sf RIGHT:
VALUE: 181,320.30
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: 1 BOIUCMP <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/O SVC!FDR: SIGN /OUT LIN LT: PER HOUR: I
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR 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 & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,890.70
This permit is subject to the regulations contained in the
J LS CUSTOM HOMES J LS CUSTOM HOMES BETHANY L CUSTOM ST BETHANY Tigard Municipal Code, State of OR. Specialty Codes
16280 CUSTOM ST
BEAVERTON, OR 97006 BEAVERTON, OR 97006 acc rd racer with approved plans. s . This will done in
accordance with approved plans. This permi t 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
Reg #: LIC 139970 rules are set forth in OAR 952 - 001 -0010 through
952 -001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 681 -4444 Ftg Drain Bsm't Walls Electrical Rough -in Gas Line Insp Firewall Insp Water Line Insp
Sewer Inspection Slab Insp Mechanical lnsp Gas Fireplace Structural welding final Water Service Insp
Footing Insp Underfloor insulation Plumbing Top Out Insulation Insp High strength bolts fins Smoke Detector
Foundation lnsp Plm /undslb Insp Framing Insp Shear Wall lnsp Rain Drain lnsp Electrical Final
Wtr Proofing Bsm't Wa Electrical Service Roof Nailing Exterior Sheathing Insc Storm drain insp Plumb Final
Issued : Permittee Signature — /if
CaII (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
1, ' Y.) L , –....)
BuildinE. Permit Application FOR OFFICE ONLY sj.
Tigard R ECEIVE Recei edy y /�
City of Date By {-- — 0 ...1M11 PemutNo ,a — ,)33
13125 SW Hall Blvd.. Tigard. OR 9722 - Plan Review
y �
Phone 503 -639 4171 Fax 503.598 1960 ID' ' it Da;e:Tv 1-11
' I �T "p� �S/ Other Permit J --
�� �y •
Inspection Line: 503 -639 4175 t sv 0 1 20 - ►. . Date Ready/By' lures O See Attached Checklist for
l ' 1 zr �.�
Internet: ci.tigzrd or_us 4oufedtitethed. • Supplemental Information
CITY OF TIGARD " " U.Y\1' , •
. Y,'E_° FiVlV`O ���II IO REQUIRED DATA: 1 - AND 2- FAMILY DWELLING
KNew construction 111 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Additionialteration /replacement ❑ Other: equipment, materials, labor, overhead, and the r ofit for the
CATEGORY OF CONSTRUCTION work indicated on this application. 1 S / � 3ZO •3p
Valuation: $
1- and 2- family dwelling XComercial!industrial J
m
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: 2, t;
JOB SITE INFORMATION AND LOCATION Total number of floors- 3
r
Job site address: 1C-1 L.,./ i q C�cyr ie 11 n New dwelling area: 1 -4 " square feet
City /Stale /ZIP: c � Garage /carport area: 5 Q5 7 square feet
• Suite/bldg. /apt. no.: Project name: Covered porch area: square feet l
• Cross street/directions to job site: YV \ t �otY>i e ree k( 1 Deck area: ' square feet
�'FF'"�� Other structure area square feet
� REQUIRED DATA: COMMERCIAL -USE CIIECJCLJST
Subdivision: ( -N-_– ,� ' � U : � LJ Lot no.:9 P ermit fees* are based on the value of the work performed.
a 1 l`a E� Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead. and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
..itPROPERTY OWNER - - _ ' ❑ TENANT -. Number of stories- �f
/ j
—
Name: 3 1_$ CUB YYI _S Type of construction
Address: rl (DagO f\S `),)(V),Q_- 1c / Occupancy groups:
City /State /ZIP: ,c)0,1/47 f-+.....Nn vV_ . 9 41Ib' t rr22 rr Existing:
.hone: (5,51) 533_ LI� I Fax: (561) D3) 3 ' '' `IUOtD New:
®; APPLICANT [ CONTA •PERSON NOTICE
usiness name: 5NYIE--) All contractors and subcontractors are required to be
.ntact name: licensed with the Oregon Construction Contractors Board
��7�5 under ORS 701 and may be required to be licensed in the
dress: 3ql*YLE jurisdiction in which work is being performed. If the
Sate /ZIP: applicant is exempt from licensing, the following reasons
apply'
(Sc ) °( C.9- L L {S S Fax:: ( ) .3nY' E J
t.
•
- n - s CO
name: ry VI t. J BUILDING' PERMIT FEES*
Please refer to fee schedule.
'ZIP:
Fees due upon application
) Fax: ( )
Amount received
39 9 �� Date received:
riatyfe: This permit application expires if a permit is not obtained
{ within 180 days after it has been accepted as complete.
r 1i Cl !i - e @-t_i__.), Date: * Fee methodology set by Tri- County Building Industry
Service Board.
Permit A pp doc 12!03 440- 4613T(11 /02'COMJWEB)
A
• Electrical Permit Application F
Received
City of Tigard R Re eBy Per rutNe
13125 SW Hall Blvd . Tigard, OR 97223 Plan Re'ie'-v
Phone: 503 639.4171 Fax 503.598 1960 Other Permit j
���'�'�i'I' Dat e.�By. {
Inspection Line: 503 639.4175 ■
�W. Date Ready:By. ]tars El See Page 2 for
Internet: wwnv.ci.ligard.or. us Notified/Nleihod I Supplemental Information
TYPE OF WORK _ PLAN REVIEW
❑ New construction ❑ Addition/alteration /replacement Please check all that apply
❑ Demolition ❑Other ❑Service over 225 amps, comm'I EHazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. 0 ,
CATEGORY OF CONSTRUCTION - of I - and 2- family dwellings 4 or more new residential I
❑ 1 - and 2 - family dwelling III Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one s ructure
❑Building over three stones ❑Feeders 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other:
Occupant load over 99 persons
❑is1anufactured structures or
-, ,JOB SITE INFORIIIATION AND LOCATION r ❑Egressiliohting plan RV park
Job no.: Job site address:p iat 1g � � — ❑Health - care facility ❑Other:
N� 1 -4 v Submit 2 sets of plans with any of the above
�0
City /State /ZIP: ^ - (NZ . a The above are not applicable to temporary construction service,
" t FEE* SCIIEDULE
Suiteibldg. /apt. no.: Project name:
nti Description Qt). Fee Total
Cross street/directions to job site:r C SQe� New residential single- or multi - family dwelling unit.
�r ^ w Includes attached garage.•-
1.000 sq ft or less 1 145.15 4
• n: �� �y� Lot no.: Ea- add "I 500 sq. ft. or portion 3 33 40 1
Subdivisio
��� (� Qa Limited energy, residential 75.00 2
Tax map /parcel no.:S 1 � 1 a �1 Limited energy, non - residential 75 00 2
. DESCR1PTION OF WORK ' , . .;
Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 I 2
201 amps to 400 amps 106 -85 2
' la' PROPERTY - OWNER ' .. l ❑TEN. NT
��'� ` 401 amps to 600 amps 160 -60 2
Name: C L } _gym t- _ 601 amps to 1,000 amps 240 60 2
Address: 1� t \ .: �a,�, � „ ` Lam C k . Over 1 amps or volts 454.65
I 66.85 2
�J 1 ! +u Reconnect only 2
City /Stale /ZIP: :M v( j Q� 4 Temporary services or feeders installation, alteration, and /or
' ��..1►_ �w , �j'�', relocation
Phone: ( ba3 ) sAe3" zW Fax: (S�) 537_ [- J'�]�CJ . 200 amps or less 66 35 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100 30 2
intended for sale, lease, rent, of 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
r' , ,•. , p "' r PERSON':: A- Fee for branch circuits with
®APPLICANT: - - ,;.T .CONTACT service or feede w-
c ) r lee, each 6 65 2
Business name: n _ v .,, ` branch circuit
B Fee for branch circuits
Contact name:
W.-- � without service or feeder fee, 46 85 2
Address: each branch circuit
• CS � E ach add'I branch circuit 6.65 I 2
City /State /ZIP: Miscellaneous (service or feeder not included)
'hone:(;he)C1(QCr - i (.3.`s Fax: : ( ) 5n r� Pump or irrigation circle 53.40 2
t I Sign or outline lighting 53 40 2
mail: - Signal circuit(s) or limited-
"r :"`" ' ener
. s :. C ON__TRAC TO_R , = ti < ganel, alteration, or
.. P
r �� . . r t extension. Describe. Page 2 2
Mess name: R/I� Q /`
- ess: aSg . sua -02 c _ � I t ` Each additional inspection over allowable in any of the above
�e � V .. Per inspection 62.50
;fate /ZIP: i l c�V ( ro
` (° v � t 173 Investigation per hour (1 hr min) 62 50
(S3) ( iv/ _
� a8o/' V v Fax: ) ` AZ_ 5P S industrial plant per hour 73.75
ELECTRICAL - PERMIT FEES
c.: �Z ( Electrical -c.: q - • Suprv. Lic.: Subtotal
'ectrician signature, required: „A j I a Plan review (25% of permit fee)
Q - -en-b_. State surcharge (8% of permit fee)
a 6vE • Dates
_ TOTAL PER MIT FEE
signature: – L • == _ ` — _ This permit application expires if a permit is not obtained within 180
c \\\ days after it has been accepted as complete
l; Cl - gCa t°n Date: • Fee methodology set by Tri- County Building Industry Service Board
" Number of inspections per permit allowed
C- PernitApp.doc 12'03 440- 4615T(10102 /CW4/WEB
4
•
//Mechanical Permit Application -F OR OFFICE.USE ONLY
City of Tigard . Received I
DateBv Permit No I
13125 SW Hall Blvd., Tigard, OR 97223
Date Read,: 'By Jurs
Phone: 52.639 4171 Fax 503_598 1960 Plan Review
� �iYl DateB
Other Pe:nur
Inspection Line. 503- 639.4175I� O See Page 2 for 1
�, °��
Internet: www.ci tigard or.us - Notifed/Method' 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 matenals, equipment, labor, overhead, and profit- ,
CATEGORY OF CONSTRUCTION ' . Value. $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
[ZI and 2 family dwelling Al ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Descnpnon Qty. I Ea. Total
JOB SITE INFORMATION "AND LOCATION Heating/cooling
/� r� Air conditioning or heat pump
Job site address: + Lf I { (n Y , \ > 1 4 • \ jar (requnes p p
t Tv — \ 1 re cores site plan showing placement) 14 00
City /State/ZIP: - � Y O q 1 Furnace 100,000 BTU (ducts/ vents) / 14 00
1 Furnace 100,000+ BTU (ducts /vents) 17.90
Suite /bldg. /apt. no.: Project name: 1 l }0
.
Gas heat pump 14.00
Cross street/directions to job site: ,wy\` 6 6_ c - Duct work 14.00
• I {'� ` 2 " Hydronic hot water system 14.00
�� Residential boiler (radiator or
hydronic) 14.00
•
Unit heaters (fuel - type. not elecmc).
in -wall, to -duct, suspended. etc 10.00
Fluel
Subdivision �, T�� Lot no.:
Other : vent for any of above 10 -00
S Other: 10.00
C^
Tax map /parcel no.: J S' `1(... 1 1 D s6 Other fuel appliances
DESC Water heater 1 ( 10.00
Gas fireplace / 10.00
Flue vent for s.ater heater or gas
fireplace 10.00
Loe lighter (gas) 10 00
' Wood /pellet stove 10.00
Wood fireplace /insert 10.00
Chimney/liner/flue/vent 10 00
M. PROPERTY OWNER ~; ❑ :.T ENANT • Other: 10.00
Name: S.S C C )YY\ O (N/�ps Environmental exhaust and ventilation
J S � o �.r` , B ` • ^� Range hood /other kitchen
Address: f r a`p r1� ^l _ ` I equipment ment 10.00
City/State/Z]F - . Clothes dryer exhaust i 10 00
1 C * >r, �, �� ��ll 1 � Single -duct exhaust (bathrooms,
'hone: (5 )53 qb6 Fax: ( s) 533- /136 toilet compartments, utility rooms) 3 6.80
' _, °(, 11 F IC NiZ:=- CON"�"ACT p
ace Cans 10.00
z Atnc /crawls
t. Other: 10.00
siness name:
� �5� Fuel piping
]tact name: l A 7 ( S5.40 for first four; $1.00 for each additional
ess: S�c -- A M Furnace, etc.
` J ■ ! ` ` �J Gas heat pump
;tate /ZIP: Wall /suspended/unit heater _
(jai) 901_ 11-15 Fax: S1 ;(N(� � l Water heater
v ( ) ` ` Fireplace 1
i.�.�y� Range
. v , ". r . C04 ..r,fy O? i �� $ _ ` r ' nfd _ Barbecue
•
Clothes dryer (gas)
tame ■ �`� `
IL.... 11 •.r a . Other:
_ 6 , b ■ CO 5 b3 ,, , MECHANICAL PERMIT.FEESi
P: 1c A , O CZ • 9 LS V � Subtotal
Minimum permit fee ($72.50)
591 9924 - Fax: (5�) B /1'�p�
(1 Plan review (25% of permit fee)
. 1 131 Li (OO �J `I
State surcharge (8% of permit fee)
------------ TOTAL PERMIT FEE
tllre: • . This permit application expires if a permit is not obtained within ISO
' _ _ .• days after it has been accepted as complete.
11C -
_�+ Date: ' Fee methodology set by Tn- County Building lndusny Service Board
trmitApp.doc 12/03 440 -4617T (I Ii02 /COM/WEB)
/ Building Fixtures
Plumbing, Permit Application FOR OFFICE USE ONLY -'. vnt;
City of Tigard Received
Date/By Pe ui No
13125 SW Hall Blvd.. Tigard. OR 97223 Plan Review
Phone: 503.639 4171 Fax 503 598 1960 �� Other Permit No
DateBv
24 Hour Inspection Line' 503 639_41 .�� 6jj• -. i ,
fir,_. Date ReadyB;: El See Page 2 for
Internet. \v ww.ci.tigard.or.us Notified/Method f Supplemental Information
,�/ - TYPE OF -WOR7C '- .' FEE SCHEDULE .
V'4 New Construction ❑ Demolition For special information use ch ecklisr.
/" Description Qty. I Ea- Tolal
❑ Addition/alteration/replacement ❑ Other: New I- 2- family dwellings (Includes 100 ft- for each utility connection)
c' >'-' * :CATEGORY OF' CONSTRUCTION SFR (1) bath 249.20
K1- and 2- family dwelling XCommerciaUindustrial SFR (2) bath 350.00
ID Accessory building ❑ Multi- family SFR (3) bath 399 -00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq ft.) Page 2
t 70B SI7 ZVF OR
lT70N AD_ -L . ...-
NOCATI
- , i. _. . �-v
_. -. . -. . ; �.,,-.�� ... Site utilities
Job site address: f ii ) As 'Te IA. - " rJ • it Catch basin or area dram 16.60
City /State /ZIP: a 1 4 Drywell, leach line, or trench dram 16.60
Footing dram (no linear ft • ) Page 2
Suite /bldg. /apt. no.: Project name: \ G
Cross street/directions to job sit Manufactured
Cr - �� 1 U ee h "tan red home utilities 110 00
R 1t_ Manholes 16 60
Rain dram connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no linear ft . ) Page 2
Subdivision( l —1 Qtn��� .2 `�
Fixture or item
Tax map /parcel no.:
Water sernce (no linear fl.: ) Page 2
o la� +��� e S Lot no. t � `
Absorption valve 16.60
- : DESCRIP OR �vO
-.`? :- . Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16 60
Dishwasher , 16.60
F.a,... >so�r.. > -x ; e:r:.� i = F,- s rr,:; •^ Drinking fountain 16.60
�fi •�'3 PT��PE "O�l`!IEiI;� :��Yi ' ?�Z + -F• n`+�.' °�- S '�_ •� d_�� `.' �'�
it:16i-i-lk a.` =- _,-- t .ti.+c4:'-4 :.:r,4&. ,,. F;- : _ ,w.s•..g;.>y.� ..4 .:5g i Ejectors /sump 16.60
i=
.:... .. -._ .. `;.� =:r. — �u.a. ��_..,�.�sas"4�
Name: t sLS C , A xd-E � � Expansion tank 16.60
Address: l to aso 3L3 (' Fixture /sewer cap 16.60 •
City/State/ZIP: 00 1 r' ' (NO • 4 �>
� 1 Floor drain/floor sink/hub 16.60
Phone: (s 5 - L1�� Fax: ( ) C _ 480(0 Garbage disposal 16.60
b N, a zr ' „L , g - Hose bib [ 16.60
r� .. a r,• •ua : . a4ti_- :s -,..,, r '.::a^:r.,.... = :: ice maker 1 6.60
usiness name: f <. j r Interceptor /grease trap 16.60
intact name: ^ �` to � �—� Medical gas (value: $ ) Page 2
dress: 3�1 ` j Primer 1660
' /State/ZIP: Roof drain (commercial) 16.60
re: (663) 4 ci7 14153 Fax :: ( ) m � Sink/basin/lavatory 16.60
` Tub /shower /shower pan 16.60
il:
. • �4 a 1. ;G• r r- 3:fiix Urinal 16 60
y " = ': r= 1 L y a `*1- ; w l Water closet 16. 60
:tom �'c = ''`�" - .T�� ' :d,��
:s name: V' �l a \\e \t_ w,1��tr Y Water heater 16 60
• � 'T`t . Jl.)... Zo-iy 1 _it.S Other'
� ^� �C r1 . l Minimum ' /ZIP: t 1-1; 'r Unbo C_ 1 't' � �' ( inimum permit fee: $72.50
63) 102.9 - i to3n Fax: (553) t o _ q Residential backflow minimum permit fee: $36.25
2 g, 167 A9 Plumbing Lic. no.:3/4 abC,AS Plan review (25% of permit fee)
ignatwe State surcharge (8% of permit fee)
- �__ �_� _ , -... [tt , TOTAL PERMIT FEE
_FrAie 1 - j &t±t.,_>, 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.
.1 PemtitApp,doc 12'03 440- 4616T(10 /02C0M/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00331
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: imn�� 11/29/2004
Phone: (503) 639 -4171 , ill�N�mp ° l �l
Inspection Requests (24 Hrs.): (503) 639 -4175 . _-_- - I-
INSPECTION WORKSHEET FOR DATE: 5/10/200 J TIME: PAGE:
7:16AM 25
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 14418 SW PENNYWORT TERR LOT #: TYPE OF USE
PROJECT NAME: BONITA TOWNHOMES 027
DESCRIPTION: BONITA TOWNHOMES
New SFA.
OWNER: PHONE #:
JLS CUSTOM HOMES 503-533-4006
CONTRACTOR: , PHONE #:
JLS CUSTOM HOMES 503 - 533 -4006
Inspection Request Scheduled For: Date: 5/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 006505 -04 503.209 -2005 N 1
Corrections /Comments / Instructions:
i ii,/ / ,
Ilr
'vv
.,
r P ',, : e ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n71' ' AIL ❑ CALL FOR INSPECTION ❑ ADDITI • AL FEES ASSESSED
---
Inspector: Date: 0 PAIF Phone #: (503) 718-
CITY OF TIGARD ' , S
BUILDING DIVISION PERMIT #: MST2004_00331
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2004
Phone: (503) 639 -4171 „,0 ° �IU��q 11' l
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 4/26/2005 TIME: 7:10AM PAGE: 79
SITE ADDRESS: 14418 SW PENNYWORT TERR CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 027 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA.
OWNER: JLS CUSTOM HOMES, PHONE #: 503. 5334006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503-533-4006
Inspection Request Scheduled For: Date: 4/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message � �
199 Electrical final 005358 -03 503 - 642 -2B00 N 9 '
Corrections /Comments /Instructions: //V')
1 i cN) --\ S ),, ,V .\ 4 r f 0'1 \'& ■ (, i p.v �3 0\1,
i P pi'c,1A i� i o vvf 'PLJr& —\ O N l� s 1 Ot. w f L \ Y
.\4 V' I s W- ) 0 -1'1\i\ Nk'L 3) 4,.1
1
. P°/\r ifvPi),114'/'
1
../ 1
. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ✓, l l Date: V '0 ‘ - d � Phone #: (503) 718 -
A
CITY OF TIGARD '
BUILDING DIVISION ' PERMIT #: MST2004 -00331
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2004
Phone: (503) 639 -4171 m �n���� , ��/lillipi �lh
Inspection Requests (24 Hrs.): (503) 639 -4175 .-_-_-_W
INSPECTION WORKSHEET FOR DATE: 5/3/2005 TIME: 7 :14AM PAGE: 72
SITE ADDRESS: 14418 SW PENNYWORT TERR CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 027 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: 5502006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 005946 -05 503-209-2005 N
Corrections/Comments/Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI • AL FEES ASSESSED
Inspector: Date: _ 0/ Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00331
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2004
Phone: (503) 639 -4171 i ,, ll i����Np,il p�l ' l l'\
Inspection Requests (24 Hrs.): (503) 639 -4175 _�':
INSPECTION WORKSHEET FOR DATE: PAGE:
6/1W2005 TIME: , .,f6AM 26
SITE ADDRESS: CLASS OF WORK:
14418 SW PENNYWORT TERR
SUBDIVISION: LOT #: TYPE OF USE:
BONITA TOWNHOMES 827
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA.
OWNER: PHONE #:
JLS CUSTOM HOMES, 503-533 -4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503-533-4006
Inspection Request Scheduled For: Date: 5/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 006505-03 5032032005 Y
Corrections /Comments / Instructions:
/-3 /
g ',6„-7
ili -' • ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 57, �� Phone #: (503) 718-