Permit •
f MASTER PERMIT
C ITY OF T I G A R D PERMIT #: MST2004 -00333
av X111 DEVELOPMENT SERV ICES DATE ISSUED: 11/29/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14442 SW PENNYWORT TERR PARCEL: 2S112BA -BT029
SUBDIVISION: BONITA TOWNHOMES ZONING: R -12
BLOCK: LOT: 029 JURISDICTION: TIG
REMARKS: New SFA.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 82 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 659 sf GARAGE: 570 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 627 sf RIGHT:
VALUE: 142 644.60
OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL: 1,368 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 BOIL/CMP < 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: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVCJFDR: SIGN /OUT LIN LT: PER HOUR:
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 AREAISPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVESIGNL:
' GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 8 SYSTEMS:
Owner: Contractor TOTAL FEES: $ 6,591.49
LS CUSTOM HOMES S CUSTOM HOMES This permit is subject to the regulations contained in the
J J L U
LS CUSTOM ST BETHANY L C ST BETHANY Tigard Municipal Code, State of OR. Specialty Codes
BEAVERTON, OR 97006 BEAVERTON, OR 97006 and all other applicable laws. All work will done in
accordance with approved plans. This permi twillexpire
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 Mechanical Insp Gas Fireplace Structural welding final Water Service Insp
Sewer Inspection Slab lnsp Plumbing Top Out Insulation Insp High strength bolts fins Smoke Detector
Footing lnsp Plm /undslb lnsp Framing lnsp Shear Wall Insp Rain Drain lnsp Electrical Final
Foundation lnsp Electrical Service Roof Nailing Exterior Sheathing Ins[ Storm drain insp Plumb Final
Wtr Proofing Bsm't Wa Electrical Rough -in Gas Line Insp Firewall lnsp Water Line Insp Mechanical Final
Issued B■ : f` —� = !_ - .
t. , Permittee Signature
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
jv
`3
Buildinu. Perinit Application FOR OFFICE' USE ONLY
Cit of Tigard �`' C r Rect ed t /�U *�
F�f G CE1V Dal: �j i �(: ( Pemut tool\ VJ 1 ..-- �(1 / --14, ✓,1
1312 SW Hall Blvd.. Tigard. OR 97223 l !!! `
Phone 503.639.41 i1 Fax. =03 598 1960 t Plan Re. tea
I
� 0 9 Other Permi[ ni
Inspection Line: 503.639 , 1175 ' 0 I' D a R 0 See Attached Checklist for
Internet w +\ ci tigard er -us Notif lethod ( ( Supplemental Information
CITY OF TIGARD _ r U/?
TYPE OF,1 OPPS66J REQUIRED DAT A: 1- AND 2-FAMILY DWELLING
New construction ❑ Demolition Permit fees' are based on the value of the work performed
Indicate the \aloe (rounded to the nearest dollar) of all
❑ , Addition'alteratiorvrcplacement ❑ Other equipment. materials. labor. overhead and the profit for the
work Indicated on this application
CATEGORY OF CONSTRUCTION FF 14/2. .4141
Valuation $
14 I- and 2- family dwelling .Comvnercial / industrial 1W�
❑ Accesses building ❑ \lulu- famll}
-
Number of bedrooms: 7 �.
[I] Master builder ❑ Other: Number of bathrooms- 7S
j o
JOB SiTE INFORMATION AND LOCATION Total number of floors 3
Job site address: lu Fe_hn C�
[J �{ � ck , ` Ne++ dwelling area 1 ,5 square feet
CigrState %ZIP 11 { r , O ` � Garage carport area: S70 square feet
Suitebldg.apt. no Project name: 7 {'s/'� Co+ered • porch area. a.y square feet
Cross street'directions to job site �CJJl _ r
YNx\ -n, V a3a .. e• Deck area. , square feet
Other structure ar ea square feet
� __ REQUIRED DATA: COMMERCIAL-tiSE CIJECKLJSf
Subdivision: , 1� +(� Lot no - ^c Pernut fees* are based on the value of the work performed
�� U
Indicate the +attic (rounded to the nearest dollar) of all
Tax map; parcel no -: 1, ..1. 1 ^ qt equipment. materials. labor, overhead. and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S
Existing building area: square feet
New building area square feet
A P ROPERTY OWNER ❑ TENANT Number of stories:
5 C .Vk: m, S —I
Name: T`. e of construction
Address: i (D0 ! ^e+iK.)
/ Occupancy groups
Clt y.St ate.'ZIP: awsii&y, T7 9 I Existing
Phone: (Sb3) Sg3- L J L Fax: (St ,1) 3 Lisp(o Nev,:
❑ APPLiCA.NT CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: - n licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
.Address: q Jurisdlcnon in which work is being performed. If the
Cth State %ZIP: applicant is exempt from licensing, the following reasons
p apply:
Phone: (Sb3) 9 (..1- 1145 3 Fax:. ( ) ' T7 1C �
E -mail
CONTRACTOR
Business name: BUILDING PERMIT FEES`
Address:
Please refer to fee schedule.
Cih /State:ZIP:
Phone: ( ) Fax: ( ) Fees due upon application
Amount received
CCB lic.: 139 9 - fc> -
1 Date received:
Authorized sigt7aftjfe: This permit application expires if a permit is not obtained
'{
r _ within 180 days after it has been accepted as complete.
Print name: i e b ci ire - Trx—t.....1— Date * Fee methodology set by Tn- CounN' Building Industry
Service Board.
i'iBuilding'Perm &BUP•PertnuApp doe 12.03 440- 4613T11 UO2'COM /wEB)
, 4 Elftrical Permit Application FOR OFFICE USE ONLY
......__ 22.52.
City Of•Tigard Received
Permit vo'
13.125 SW Hall Bl\ d . Tigard. OR 97223 Da
Plan Date Review Qlher Perrrul
Phone - 503 639 4171 Fax 503 598 1960 DateBv
Inspection Line 503 639.41 75 C! I� Date Read_ ;B 1u'ris I 0 See Page 2 for
Internet: s1• 01 beard or us Notified Method I I Supplemental Information
• TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition; allerationireplacement Please check all that apply
❑Ser over 225 amps. comni•1 ❑Hazardous location
❑ Demolition ❑ Other•
❑Son ice over 320 amps - rating ❑Buldng over 10,000 sq ft .
CATEGORY OF CONSTRUCTION oI I - and 2- far.ul!, d.tellines d or more new residential
❑ 1 - and family dwelling ❑ Commerciahlndustrial ❑ Accessory building ❑S■ stem cner 600 volts nominal units in one structure
❑ \- ]u111 -famil ❑ Master builder ❑Other ❑Buildin over three stones ❑Feeders, 400 amps or more
❑Occupant load o\er 99 persons 91'lanufactured structures or
JOB SITE INFORj\LATION AND LOCATION ['Egress lighting plan RV park
Job site address
Job no.. s)([ Z� i
`_� e --- ❑Health -cafe facihij ❑Other-
/ - 1 - 1_L /� �e- rrl,,,f1� �� � , Cube -nt Z se ;sefplsns�•�11ham�oflheabo�'e
Cite %State:'l_IP - � 0..A ` (' - 0 "figs above are not applicable to temporarm construction service.
' `� v FEE* SCHEDULE
Suite -bld - ;ap t . no Project name ^�/_ .
l ]t l� 1L� Descripnon l 0.n Fee Total 1
Cross street - directions to job site t l L 0,1/4..._ '� Qe V New sidential single- or multi - family dwelling unit.
A N `(� S' i. Includes attached garage--
1 . Sq- It or less J f 145.15 .4
Subdivision `� ` Lot no.: a Ea add 1 500 sq it or portion 33.40 1
� S 1 ` a D� ►��e' Limited energy. residential 75.00 2
Tax map/parcel no.:
Limited encrr_ non-residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, son ice and.'or feeder I 90.90 , 2
Services or feeders installation. alteration, and,'or relocation
• 200 amps or less i 80.30 I 2
PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
-3—LS • 40! amt 600 s I600 amps 160.60 2
Name - � �,� _Y V ISL� , r s r, n 240.60 2
b_ I amp.. e 1 . 0 amps 240 60
Address N ( Over 1,,x -,9 m or, aps or yaks I • .454.65
Reconnect only 66.35 2
City 'State -ZIP \3Q kNi\. / Q C. �1 ,�■ Temporary services or feeders installation. alteration. and!or
Phone 3 ) ass_ s_ Lt Fax: ( S) S c _4 2i i i
(6 amps or less 1 66 -35 1
Owner installation: This installation is being made on property that 1 own which is not "--,-- l atop; to 400 amps 1 100.36 2
intended for sale. lease, rent. or exchange. according to ORS 447, 449. 670, and 701. -101 amps to o00 amps p F I I I3= 75 2
Owner signature: - Date: Branch circuits - new. alteration. or extension, per panel
❑ APPLICANT . g_CONTACT PERSON' .A Flee for branch circuits i,.ir/i
son ice or feeder tee, each
Business name. SR branch circuit 1 6.65 2
— B Fee for branch circuits
Contact Warne:
�* . ■ i,.rrliour service or feeder fee.
46,35 2
Address: A I\/�
1 e ` Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
�r)S)1�C' 1�C3 -( ) 5n ME, Pump
rnull eationcircle 53.40 2
Phone: Fax: r - }
J Stgri or outline lighting 5= 40 2
E-mail:
Signal circuit(s) or limited-
- CONTRACTOR ' energ,. panel, alteration. or
• • f I . extension Describe Page 2 ?
< �' ' c �
Business name: rl I
Address: g 1 O n 1 . \
�V -- o(L yL icv(-,E 1 l •1l - Each additional inspection over allowable in S of the above
/ Per inspection 62.50
any
City StaterZIP u • ` _ C � / 0 e q1, 17 1
` `l �� Invesheanon per hour (t hr it ni 62.50
Phone: (SO3) G L{2 _afo \ Fax. ) / �2_ • 1 industnal plant per hour 73.75
- ] • l ELECTRICAL PERMIT FEES'
CCB Lic.: ( Electrical is -: q - f,( S Lic : j Subtotal
Suprv. Electrician signature, required �I i� Plan re .-ie •�- (25% of permit fee) i 1. . .
Print name: 5-\- Ev � D ^ � �
I Dates State surcharge (8% of permit fee) '
-� TOTAL PERMIT FEE
Authorized st elute: This permit application expires if a permit is not obtained within 180
� �` days after it has been accepted as complete
Print name: c i t C` e - Rak- c Date: • Fee methodoloev set by Tri- Count;; Building industry Service Board
•' Number of inspections per permit allowed.
r \Building∎Pernuis PerrruiApp dos 12 03 04 0546111] IO.'02iCOSL'WEB
Mechanical Permit Application FOR OFFICE USE ONLY
Received
City �f Tigard Date.Br, Permit No.
1312:• SW Hall Blvd -, Tigard, OR 97223 Plan Re.ie.
Phone 503.639 4171 Fax 503 598 1960 :
Other Pert
R
Inspection Line - 503 639.4175
�,. Dale Read.. By tuns 8 See Page 2 for
Internet www.c1.l1gard.or u5 Notified/Tlethod Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
New construction ❑ Addition'alteration'replacement Mechanical permit lees' 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 $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
!Zl and 2 dwelling XCommcrcial :industrial ❑ Accessory building
For special inflermailon 1150 chec;(tsr
❑ ?Multi - family ❑ Master budder ❑ Other -- — — -
Descnpnon I Qty. I Ea Total
JOB SITE INFORMATION AND LOCATION / Heating'cuoling
) i - .Air conditioning or heat pump
Job site address ? LILJ `. a r ` �/ p ;„ � \ C(C trequires sne plan rho•..-tng placement) 14.00
CttyiState /ZIP: Itacatf O �. 3 Furnace ih0.000 BTU (ducts', ems) 14 00
ns ,enis) 17 90
Suite,bldg..'apt. no.: Project name:
�17� Gas heat pump _ la 00
Cross street'dtrections to job sue 0.V• n Duct .'ork _ 14 - 00
�) Hedronic hot . \\aver sdstem 14.00
Residential boiler (radiator or
hvdronlc) 14.00
Unit heaters (fuel -npe, not elecnic),
in -•A all. in -duct. suspended, etc 10 00
Fl
�h \1 ^ �� ue vent for any of abote 10 00 Suhdn
Subdivision L. I Lot no. g 1
i�� '� S Other I 10.00
Tax map parcel no : e;_ 5 1 1 aris 1 Other fuel appliances_
DESCRIPTION OF WORK , water heater 10.00
Gas f :replace 10 00
I Flue •.ent for tsatet heater or eas
4 tircEine 10 00
1 og lighter i gas i I 10 00
Wood. pellet stove 10.00
Wood Iireplace_nsert I 10 00
r . PROPERTY OWNER ❑ Chino e • liner flue' 'vow 10 !i0
TENANT
Other 10 00 I
Name: 3 CA )\starn O s Entironmental exhaust and ventilation
lay , Range hoed. other kitchen
Address! r
• •_ Y I. ■ lilt Lt. equipment l0 -tin
t
City State /Z1 a0 17 r -. r....,
�z • t ��•� Clothes doer exhaust 10.00
�Ji �! ! 1 1 Smele -duct exhaust (bathrooms,
Phone: (563 )533_ (.t0m Fax: (563 ) 533• 4136(c) toilet compartments, utility rooms) 6.80 .
❑- 'APPLICANT-ir . CONTACT PERSON Attio'crasvlspace tans 10.00
Business name: Other. 10.00
th Fuel piping
Contact name: 85.40 for first four: 81.00 for each additional
Address: c 9\ M E, Furnace. etc.
Gas heat pump
City/State.'ZIP: Wall: suspended /unit heater
( 562)96 _ /1`C ( ) C ^ F ^ J Water heater
Phone: 9 i
J ' lD `•t ] Fax: : J ``
E -mail: Fireplace
Range
CO . - '. Barbecue
Business name: ' Clothes dryer (gas)
Other
Address: • 553 , MECHANICAL PERMIT FEES *
Ciro Slate.ZIP: 1 �0 � O Q. • 9 -1- * 1 T I Subtotal
q \ �J Minimum permit fee ($72,50)
Phone:
(a)3) 59‘ -9p2 LI Fax: (563)gyk- U�
Plan review r25% of permit feel '
CCB lie. j L{ ) 3) q State surcharge (5% of permit fee)
(( ' TOTAL PERMIT FEE
Authorized si azure This permit application expires if a permit is not obtained within 150
_ - -_ ■ _ days atter it has been accepted as complete.
Print name' (. '; ; ,.. — ? Date. ,
j ' Fee methodology set by Tri- County Building Industry Service Board
i' \Building'Pern: its \MEC- PermnApp 12105 aa0 -4617T (11102'CO14 /WEB)
,- • Building Fixtures
Plumbing Permit =application ' :FOR OFFICE USE: ONLY K _'
City of Tigard Received
Date/13v
Permit No
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503 639.4171 Fax 503.598 1960 Awi rl, ! , r�� Date,By Other Permit No
24- Hour Inspection Line 503 639,4
:.far,''.'. Date Ready.B )ur,r
El See Page 2 for
Internet wsww' .ci.tigard,or.us NotifiedMethod Supplemental Information
TYPE OF `,� OR]C FEE* SC]]EDULE
For special information use checklist
g Nen construction [I] Demolition
_
Description Qt-;. Ea. Total
❑ Addition alterauon'replacement ❑ Other- No. 1 - 2- fami dwellings (includes 100 ft for each utility connection)
'CITEGORY.OF- CONSTRUCTION - SFR (11bath 24920
XI - and 2- family dwelling XC.ornmercial /industrial SFR (2) bath 350 00
❑ Accesson building ❑ Multi -family SFR (3) bath 399 00
Master builder Each additional hatJvkitchen 45 00
❑ Other: — Fire _
sprinkler sq. I} p ..
spn kl'r s t Page
- JOB SITE 'EN FOR _ MATION 'tLND- LOCATION' ` ,
Job site address: /N Site utilities
� - + . e t r Catch brim or area dra 16.60
Citv'Slate.'ZIP. j • Drywell, leach line, or trench dram 16.60
Suitebldg.'apt- no : ` Project name: L Footing dram (no. linear 0.. ) Page 2
� r M
e anufacnrred home utilities 1 I O 00
vdi
Cross strecrections to job site: ' ^. M
x �J .]�— Manholes 14 60
Ram drain connector 16.60
Sanitary sewer (no. linear ft. ) Pace 2
Storrs sewer (no. linear ft . ) Page 2
I '3 iner service (no linear fl : ) Pace 2
Subdivision '`iii i� •�QS Lot no - �
Tax ma arcel no.: e .• v o nt\ Ahs or item
. , . ,,.,- Absorption valve 16.60
DESCRIPTION'OF WORK Backtdo.. pre :enter Page 2
Back'.\mcr-.al• :e 16 40
Clothes , .dasher 16 60
Dish , 16.o0
ffi PROPERTY OIVNER ❑ TENA]VT .. _ Drinking fountain 16 60
_ ... .
Ejectors 16.60
Name: L
�.V A Expansion tank 16 60
Address 1 (D ago ( ....,,_ � 5 , A 1n Fixture/sewer cap 16 60
City /State /ZIP: r i\
` n r- o l (� • 4--+ Floor drain /floor sink :hub 16 60
Phone: Cs 553_ �OLL Fax: (56' )5 4430(0 _ 4430(0 Garbage disposal 16.60
:rx� .._ Hose bib � 16.60
- Q APPLICA]VT � s r . f� - x: ONTACT`- RC21�1 , .: ` lee maker 16 -60
a . rF � .. ?, x .
Business name A rn F
L` 1 ' r ` / Interceptor.'grease trap 16.60
Contact name:' t 1-- g
Aledical gas (value: $ ) Page 2
Address: 3p, l v lE Primer 16 60
Cat} /State /ZIP: Roof dram (commercial) 16.60
(SOS) 0 9 — l ys3 ( ) L `^ w „ E T u b / sm/lavatory 16_60
Phone: Fax:: ��I,
Tubishowerishower pan 16.60
E -mail.
Urinal 16 -60
f t;
- e� _C9.n.., iCTOR -, ' ' closet 16 60
Business name: \ \ M �1 ` r � \ �� �� Water heater 16.6_
n
`'` b 1 ``
Address: iii 5 Z�m t 1 ` s _ Other
l4 \.‘,...;, � C» 9 1�2� ��` 111 Subtotal
, � Minimum permit fee: $72.50
Phone: (563) (CZ� — ) `�� Fax: ( r 53) ld ag _ 9633 Residential backflow minimum permit fee: $36.25
CCB Lic.- O A9 v Plumbing Lrc. no_:3q ab(, Plan review (25% of permit fee)
v State surcharge (8% of permit fee)
Authorized signature;
• TOTAL PERMIT FEE
'� ..4011 �—
Print name: Celt _ r Date: This permit application expires if a permit is not obtained within
C 180 days after it has been accepted as complete.
'Fee methodology set by Tri -County Building Industry Service Board_
BuildingPersniu '3LMF.PermnAppdec 12103 4 40- 4616T(I0 /02!COMI EB)
CITY OF ■ IGARD
BUILDING DIVISION PERMIT #: MST2004 -00333
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2004
Phone: (503) 639 -4171 41111,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/25/2005 TIME: ' 7 :10AM PAGE: 63
SITE ADDRESS: 14442 SW PENNYWORT TERR CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 029 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA.
OWNER: ,ILS CUSTOM HOMES, PHONE #: 503 - 633-4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503-633 -4006
Inspection Request Scheduled For: Date: 4/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 005267 -02 503 -642 -2800 N
,_ orrections /Comments /Instructions:
1
PASS / ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
111 FAIL ) ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( Date: V i1S Phone #: (503) 718 - •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00333
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2004
Phone: (503) 639 -4171 �,1 IN
Inspection Requests (24 Hrs.): (503) 639 -4175 ! 41. - `__..
INSPECTION WORKSHEET FOR DATE: 5/13/2005 TIME: 7 :12AM PAGE: 61
SITE ADDRESS: 14442 SW PENNYWORT TERR CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 029 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: 5/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 006820 -08 503- 209 -2005 N
Corrections /Comments/ Instructions:
r to d i ;.r.„ c 0 r (._ .. ... .. .. . .. ... .. ...
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION L FEES ASSESSED
f
Inspector: 1e 1 tf,. Date: � Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #:i 24154-6°333 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ht 'n "j
Inspection Requests (24 Hrs.): (503) 639 -4175 '__..
INSPECTION WORKSHEET FOR DATE: 57 7 TIME: PAGE:
SITE ADDRESS: (444. - /..y 9 CLASS OF WORK:
SUBDIVISION: t3c 1 TIN 1 &)U LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: ey S PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
(oq p UA-t- AEciec
Corrections /Comments/ Instructions:
ilIONWIES
INIMIPMIRVitag I'W
p p ,tio' I
[ P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL.— ❑ CALL FOR INSPECTION ❑ ADDITI AL FEES ASSESSED
Inspector: P Date: 13 hone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION if PERMIT #: MST2004 -00333
13125 SW Hall Blvd., Tigard, OR 972: V Aiillogi DATE ISSUED: 11/29/2004
Phone: (503) 639 -4171 ,,11 �1�I\
Inspection Requests (24 Hrs.): (503) 639 -4175 . JR— _ _–
INSPECTION WORKSHEET FOR DATE: 5/512005 TIME: 7:16AM PAGE: 41
SITE ADDRESS: 14442 SW PENNYWORT TERR CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 029 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA.
OWNER: JLS CUSTOM HOMES, PHONE #: 503- 533.4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 5035334006
Inspection Request Scheduled For: Date: 6/5/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 006178 -07 503209 -6038 N
Corrections/Comments/Instructions:
nil PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: n72 Date a Phone #: (503) 718-