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Permit r C ITY OF TIGARD • MASTER PERMIT PERMIT #: MST2004 -00311 � j DEVELOPMENT SERVICES DATE ISSUED: 3/7/2005 '� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1 12 BA -10700 SITE ADDRESS: 14463 SW PENNYWORT TERR ZONING: R - 12 SUBDIVISION: BONITA TOWNHOMES LOT: 043 JURISDICTION: TIG REMARKS: New SFA BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 318 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 823 sf GARAGE: 480 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 802 sf RIGHT: VALUE: 194,052.40 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 1,943 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 10 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 SVaFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: 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: This permit is subject to the regulations contained in the JLS CUSTOM HOMES JLS CUSTOM HOMES Tigard Municipal 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. ATTENTION: Oregon law requires you to follow rules Phone: 503 - 533 - 4006 Phone: 503 - 533 - 4006 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 TOTAL FEES: $ 6,984.40 direct questions to OUNC by calling (503) 246 -6699. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 High- strength bolts Structural welding Issued ' : \ _ .__ 4!_. Permittee Signature : ?(. ., Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application FOROFFICEUSEONLY 0 City of Tigard RDa1:71371. h ` I P ern" 1''c z- i 1 -355// I 3125 S \ \` Hall Al d .Tigard, OR 97223 Plan Re.le 11312 B} /� f 65Y //A,j Other Pe � �_ { /� 30/ Phone 503 639 4171 Fax 503 598,1960 ' R± CE11 " 3' � 'v' Inspection Line- 500 639 4 i 5 ?� Dave F.ead..B • / 1� I 0 See Atraehe•d Checklist for Internet 'N '-' cl heard or us Noufied'`.iet1 d 1 1 Supple me ntai 1nfor moron OCT T 3 2004 n 1 TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING hoi Nc« construction r I D "crrlOn�T ltCt� �A1kL7 Permit value p' performed Permit fees' are based on the value of the .cork erfored y,I lNG ti^�br ?CAN Indicate the valoe (rounded to the nearest dollar) of all ❑ Addition altcrauon replacement �❑"�lher: I equipment matcnals. labor. overhead. and the profit for the v.ork indicated on this application CATEGORY OF CONSTRUCTION 1- :rnd2- fanulydo.elhm_ ' industrial ! LVandauon s ! f0SL. Ccmmerctal'indus s �, 3 Number of bedrooms ❑ AccesSOFy building ❑ \111 i- fantih Number of bathrooms � . ❑ AIasI2r builder I ❑ Other I — -- JOB SITE INFOR�1.-1 AND LOCATION Total number of floors 3 I ,h site address �y /]j�/f j/ _ Nov. d:s lllnc area /trig 3 4 1312 ieor f 4 �lLl1J 1- .fir_ -.._._ I, Clt': Jlatc -7_[P Cara e c;: port ar y60 squar f Sunc "bldg ' ,1- 110 . I Project nonce - _� - P 1 � Cos porch area '3L square feet ( street_ directions to lob sift. �1 ! -�,\1- I-aYN �ACQ-� i_ Deck area I 5( square for — — I Other structure at ca 5;31;15 Icel REQUIRE!) DATA: CO,\DIERC7. \L, -(SSE CHECKLIST rsnhdmsi0n- — cm Lot no f Permit' fees` are based on tits'.,du'e „( tthe ".ork performed YV i+�t�es — 1 Indlc;uc the ...due I rounded to the ne:irc. dollar I of all I "lax map parcel no as i V� la �, c matcn3ls 1,0 ,1 r , rhea'. ?. ,aid the plufil fi i the DESCRIPTION OF WORK 01 ntdlcaicd (11 11110 :tphli,_'un1 — — i1 rsrr s buil101g a1ca 5 11312 feet Nev. building area ;)role feet PROPERTY O \ \__ \'ER 1 — - Nknnbcl of stories 3 ❑ lEN.1 \1' r N3nlc aSw -- `�__ CIO — _ T:. of construction - -- — \,151trss � V 1 - l ( l - ---- Oc'ctlpanc_ — �7 - 1- c) 1e- 9 CiI� .'StatcLLP. i - 1 (�2 Phone (11 e 1$b ) 533_ 'ti�_ Fax- lSo3 IVO(? NI eu- ❑ APPLICANT cit CONTACT PERSON NOTICE Business name - T _ -_ All contractors and subcontractors are required ro be 1' _ 1 c licensed .Ith the Orc'on Consuucum) Contractors 130311 Contact name: under ORS 701 and May be required to be licensed to the Address %- � lurisdrenon In - 3'1115h , +olk is being perforated_ If the Cie, State :ZIP applicant is exempt from licensing. the follo.�.in2 reasons ) �p - — apply. Phone. (S c ) 9(c. q `- 1 /—1 5 3 1 Fax :( ) � ? L _E -- , - — E -mail — { CONTRACTOR Business (131112. j — BUILDING PEK\11T FEES* Address — — -- Please re fee to fe'e 5e'llcdule'. Clr. State. ZIP: — - - - - -- Fees due upon apphcauon Phone:1 ) F,1;,.1 .amount r eceived f CCR tic. 139 ci �c) — s�\ - -� Date recer. ed: Authorized signall}fe This permit application expires if permit is not obtained �� within 180 dass after it has been accepted as complete. • P rint name' p e t I � l - Date — —i , Fee methodoloc} set hr Tn- Count Building ;nd.utr:. 1 Ser.tce Beard Buile_mg,Pernus'E P'P- PerrnnApp doe i s p_ :.1n. _e. i , Th I i :000'•1 .100 .C1CLll 1141 1 Cl Illll 9IJPlll:4L1011 • s 1 City of Ti .lid ® Dat er d Pe mu No A J /�,,, 13125 SW Hall Bl d -. Tigard. OR 9;222 Date B.: h /pl/� 'dd3l/ Plan Ae.Iea c • 4171 S t C't'•rer Perrin Phone:, 503 639 Fax , , I T,�,Ie.B Inspection Line. 50. 6lA'9 1`,0 '- ... Da:e Read.:B j ©Sec Pa e z for .. Internet •. -,V beard r rie� NotifiedMelhod Supplemennl Inlormarion • ' (1 i TYPE OF on, repacement WORK PLAN REVIE Next.' Ne.' construction [1] Addad:roO oratil Please check all Ihal appl; nc � �" S � QN I ❑Sir -Ice o.er 225 amps. comrn l ❑Ha <rdous location El Demolition D in . 1 M � se R ❑See -::ce o•� er = arrl;s - r2 t', 1s ID 10,000 Bufldng over 10,000 0 sq SVA E OY OF CONSTRUCTION of I and 2 final. d :e climes or mere ncu residential El and - family dwelling III Commerciahlndustnal [11 Accessory building ❑S_ s:crn 0%er 600 , ..01;!, nou na1 101115 In one structure ❑Building o% Cr Ihrec S;0004 Feeders -100 amps or root ❑ \lulu -tamrl ❑Mas builder ❑Other ❑rr;:cup;,nl load o.or c '`� pelsons ❑ ^.■:nw L:r.ure•d ioruc,ta04 r JOB SITE INFORMF1ON AND LOCATION I ❑E heht;n.:< RV park 1, 1 1 4 / C-20.) I ❑Ile :llh :ale 1 ; ❑Othcl — — - Job no Job site address • Schr. Il , .ea of pi,n, +lu.:::;. of Ihlc above C II ..'State 7_1P n ^ c. (:)V___ --- r b Ti:', ,h0,., ate riot :;1 hi;c : :bie to I ,; ^.t . :onsuucuon_e :_icc_ Sure tide . apt no 1 Project more FEE' SCIIEDCLE Drsc nprion - -- — �Qn fir runt 1 Cross street. directions (opt? nit 1 1 � C r � Q 1! New residential single- or multi- lamily 11 unit T i� 1 — Includes attached gara!• l.' Sq 11 01 !0,S4 1- 14_ 1 ; l!'1) Subdivision Lot no Ea add 1 500 sq it ':r p it,rn I -_ an 1_nnrcd coin residential s 00 1 Ta.x map/parcel no S 1 t L ag` _ - - - -� -- Limited er.rr:�. r,nn- rr <:i!rnlc!I nIl DESCRIPT ION OF WORK -- Lail; mal,utacllucd nr m.'du1.11 — 0.1c11me. scr. i:e an',! , 1rcdcr 9n oO I --- —,__ -- _ -- Scrsites n1 Icedcr -- -- s Inslall:runn_ and•or relo : bun _IIn nrpS nr .e- s, ( --- 1 ---- - - - - - � NI PROPERTY OWNER N, \ _. 2vl ; _, rh _ „_u': ,II_,, l — nr, : \ — ❑ TE: 1, F 1 1 r•1.) c l) S — \ddress me AS ��]1!_1 —nh_ i, i :�I:�_:'�n— — '�� 11 — — Rtc,an ,,,-,1., rec,,,-,1., I (_ Ire Si ate :71P: pempur >&r icr> or feeder, installation alteration - and.ur 4�7.� f1 l2�' '� r elocation Ph onc l LI.a i ) 3 3 _ `LCD — rJV3 1 3— 5 -IdI :nnp< nl '.5> (�(, 1 ,_ (h. ner installation: This mst:ill:ruon Is helm, made on properi'• Thai 1 os', t htih Is nut Zell amps ;r' al'r :',i 6u :Il intended l r sale. lease. rent. i c',tl i •c. :ticordrng Io ORS a-1 - 4 -G') (, - rl ; - (l l r ribs. 1, I ” —1 O ,•:ne'rsignature- itra cir rr , s .isle&i_r1io1.orratens ' --- = _ -- hate - -- I er panel Ill APPLICANT I g_CON FACT PERSON 1 1 i'. i a 1. :i r u.. ∎!:is ' 1 r — 40 100 e! 1 I ,er- _..el. Business name- S U — - bra (�, (, S nch urcrui - r Contact mine IS Pee liar hrarti h s I :i tills - wiilioiti scr.ICe r feeder icc. ;Address: Y\ each branch utt tnl 46 S ir L Each :rai'l blan cac:at 9 65 Crt_v;State:ZiP' q, � N Miscellaneous (ser nr feeder not included) Phone: ) .. 9� ! _ 1 [ / 3 - P � ) f ' ► lE Pump or Imlgation circle Slgnn or outline hghtine _ -- 5, 40 1 a x: t- 5; 40 E-mail I Sigoalincullisrnrlunucd- — 1 • CONTRACTOR I ene1 ], panel. alterauta1. 0r 1 • Business name. er.cnsron nc-tribe Page 2 r- — L2 ckS C l l Address �.� -+.J c )� Each additional inspection o alio.,able in anv of the above • 1 �� • -- .— Pcr Inspcitl Cll I I ''_Si' l � -�4 23 5 Cris State:ZIP: q \L 1 In per hou 1 1 in mi 62 _.0 ( _ — 8p]]] Q 1 li,dusn;al plant per iu,ur 5 Ih ne (563) ) �p 47 � Fay ? � �Z' 5U `� ! ELECTRICAL PERMIT FEES' CCB Lic_ l ( BP2 , Electrical 1 c q _ . 2, Supt•, Llc _1 Subtotal Supra re- required. - Electrician signatu Ic '_,'t of p . &emit feel _ L }'tan State sti:chaiee S ".o of permit ee) I Print name: 5A- E _ D Dare ` —� TOTAL PERMIT FEE I • Authorized srg atu re. This li permit applicaun expires it a permit is not obtained svirhrn 181 ' i rz � loss alter it has been accepted a5 complete Print name e ``` �� — �c� Dal = Fee me :hedr _cI b. Tn- Cbunt_; Building indu.r•• Ser.ice Board " N lumber , 5f ms, eeuons pet permet allow ed : B0:ldin€ Pc:rarr1LC- PrrniArp : to 1= G3 ,e 40157(10 C0 :•1' •0 0B iric�iiaii.m.att i ci iijii. rwpima'Jou City of Tigard r" ^ U Received 1 ' f 2 �� Da,eB - Permit tio)y( [�- 0d// • 13125 SW Hall Blvd . Tigard, OR 97223 Plan Re re '( (/�" Phone: 503 639 4 i•71 Fax 503593 1960 Olher Femur cct Ins ,on ine L 503 639.4175 p • 1 1 : 1. - Date Read: 'B;. Jms 0 See Page 2 tor Internet svw'. - ci.tigard or.us ' - Or I v Ww • Notified/Method Supplemental Information TYPE OF WORKc.1T� OF rtIGAH� COMMERCIAL FEE* SCHEDULE - ESE CHECKLIST G+1 l �;� 1�'?1I nI Mechanical permit lees' are based on the value UI the .,orlc New construction ❑ Additionialteratio l tit performed Indicate the s.alue (rounded to the nearest dollar) of a ❑ Demolition ❑ Other: mechanical materials. equipment. labor, overhead, and profit CATEGORY OF CONSTRUCTION S RESIDENTIAL EQI ifTIEtiT / SYSTEMS FEES' [(l- and 2- family dwelling ,N:1"Colnn,crcial:Industrial ❑ : \ccessor_, budding -- — - -- ` Fr„ ,; r•, - ,r.i rr., , ;r. ;n r,,cr ck ❑ Multi-family El : \]aster builder El Other I Dcscnpiit•n — 1 Qt; 1 Et Total .NOB SiTE INFORMATION AND LOCATION Ileatin;g couliiig 111.-464 lob site address: scA Ve,�� �c t� �C Yl req n ie ; ; ilr ionic p'.: r:p ( requnes s 1 1 e p l a n : Mho's i l l : placcmem i 1 14 l'0 Furnace i 1 id,nt :coi �, CirrSlare 7_1P �� ' O �. — � 1 -1 C : — . 1— : 0(,' I • - iii f 7,,,c, IUU - ( C'�T :'t'JUCls .rr, c; Sui re,bl - apt no Prc nc1 name — — - � 0. Gas heat pump -- 1.1 00 Cross strecl'direcuons to rob site. i Duct sort. 1a (n! 1- Iydiomc hot stater s-,tilem u � Residential holler :radiate,' bi h\dronici l 00 1 Unit heaters ii It ni- I•. - pe. net deem. i. tit- 'sail. in -1 - ,n: su etc 1 - - Suhdi uron: Lot no / / „i, Flue ,. cot m ,ui . , - – - 1 1 ,)1 p � �h T "I — „the, — — - -- — l i r c i Tax map, parcel no:: Other fuel aJhp11 nccs 0. DESCRIPTION OF WORK ! \\ titer heat', 1!! ('' i ,as l; place I'I t — — — Flue'. cm 1 r 0.....i I _' :,Iii - g :i — -- — I— — - -- i I og I,_hlei - 1 1 — � 101.0., — M PROPERTY O \V'NJhR 1 III rENANT hm :tie liner I`,uc -,e;' t ri er . Name: at 13t,n/ _ , ^ se ^C l Ens itonrnental ex hantt and -- - ---- - - - - - -- :\ddress 1 (Ca 4 — \� N K:,nuie I „Ihet k ),.her. cquipmc it 1 (' i ■ CihrSrate.'ZII Clothes dr.ci r..liaust — n 00 Sn :el-e! esh tut ihathio(me. Phone. 3 ) 533_ O Fax: (5(s 3 _ (�O s �� 56 s) 53 ei 36 e du . s in ,) - u c , c v i,,,, , , unhl: iUOms) 6 50 ❑''APPLICANT N. CONTAC PERSON Atuc cras tan, 10 -�!� • Business name. Other _— 10 01) 1 ��� _ Fuel 1rilriti Contact name: �� ' LQ ♦ 55.40 for first four: 51.00 for each additional Address- M Furnace. etc — Gas heat pump City/State. -ZIP- \\ all.'cuspended. um! heater - -- Phone: (5 3 ) 969_ 1Li5t Fax : ( ) (\(\ C \ \'air heater — ' ♦ Fireplace E -mail: Range _ 1 — CONTRACTOR Barbecue • Business name. • �� Clothes de / ■ L_ Address: j Other 111111_ � V.) ; _ I MECHANICAL PER'S - iIT FEES - Cir.-rStare -ZIP: 0 C- • q- J _ , Subtotal qt Q / 'r 1 1 llnlmuni permit fee (572 50) Phone: 5 I l – Iyz`f � Fax: (5 Q�)8L�– U� I l Plan re.'e: : of permit feel CCB Ire.. �' 131 L State surcha:ee (S °o of' permit fee) / � �' TOTAL PERMIT FEE Authorized signature- - • • `This permit application twit ili perrmt is not obtained ssith,n 150 - t L-__ __ s _ i dais after it has been accepted as complete. Pont name: 1c _ Date: � • Fee :ncihndo!og -. set b. To-Count, Budding Indust Sen ice Board i' .Bu - id1r J'rrmts'PfEC- PerrutApp der ! :03 inn.' -17T 1 I I,a"CO'.l '\\TB', i)UllUJIJg r I,ltUl eJ s Plumbing Permit application FOIt OFFICE USE ONLY E � city < Tigard � ° 0 Recei +ed / si 13125 Sw' Hall Blvd . Tigard. OR 97223 @� V r Et Uare � y Pe ci Nyi �� i. ! - Plan Review Phone � t 503 639 4171 Fax 503 598,1 � �A!'4, p Other Per7rui ND. 24- Hour Inspection Line_ 503 639.417 R•� 1'= DatelBy: :.. , Date Read,:B �� � =�� ; r" See Page 2 Internet `.i-- a • cif i.ard or us a1 ,T 7Qt Nchfied Supplemental Information - . - -- TY PE O. \ (ARK FEE SCHEDULE �j i - it n�U For special information use checklist. fL-1 Nc cOnsm,cuon Gill ( I ` . v cJrr�IV Descr.pucn Qt} 1 Ea 1 1 • ❑ : \ddition'allcrai,on replacement $UZL�t Z ":Illei New 1 - 2 dwellings (includes 100 fi for each wilily conneu:iv CATEGORY QF CONSTRU &ION.• - SFR (1) bath lac 2r, KI- and 2- family dwelling 1Cuntmcrcial'rinduslrial SFR (2) bath 35000 1 ❑ Accessory building ❑ Multi- f. +nil r SFR (3) bath ___X__ 399 C "j i - - — Each additional bath /kitchen 45 00 ❑ Master builder ❑ Other - Fire sprinkler 1 sq. 11) Page 2 - 3011 SI'1 - F INFORMATION_ AND LOCATION . :: ?` , _.'. - ..4::T__ -: .- - ,-. - : ,-, Site utilities Job site adores Catch balm or area dram 16 60 Sit Sl ;at_ ` n ( � In a` - Dr., leach line. or trench drain 16 60 -_ Sutic.bldg •apt no V Vnalname Footing dram (no. linear 6 ) Page 2 1C,N. Manufactured home utilities 1 1000 Cross street detections to Job site y (.,� r` - -V�� -e--V-- - t`la'nholes 16 90 — - - - - -_ -_ __ -_ Ram drain connector I( C(' 1 -- - - - Sanitary seo'cr (nu linear 11 ) Page 2 Storm scvct (no linear ft ) I Pace 2 L - . -- - -- ate' , Cr. :CC OW linear f! 7 Pe 2 S i - L - uhdn tsion 1 of nn. t i - - -- ` ... � \� � -- -- - I-- Fi slure or item -- -- fa>: neap parcel r11 1 l.J� � -- -- a :lbsiplion caf:c I6 f DESCRIPTION 'OF WORK - . -- - Backllew p Back valve 16 90 Clothes „asher 19 69 — Dishv.ashcr 19 (t(! I'KOI'FK'11' O \V \k ;R .- . - .. - Drinking fountai 16 6u • ❑ TENA r . , -- - -- - - -- - f-icc tors.- sunmp 16 90 Name k3 LS -- ('�C A.).(4. �Q Expansion tank 16 Err Address I a� ,..J3 Fi\ture,se\rercup (66(i - l 1 ����CCSS��11__ 1P � W C • � � Floor drain smk.'hub 16 (0 Phone. (Cn ) _ L Faz :' ( 56 3 ) 5 3 •_ 4/30(0 (Garbage disposal I 16 6(t - - Hose bib l b.6u ❑ al'P1 ICANJ CO NrAC1 PERSON = - ice maker 16.60 Business name_ r lnrerccptodgecase trap 16 60 Contact name � � Medical gas (a alue $ ) Page 2 Address: 3� Pnmer 16 60 R L= J L Cih, State ,ZIP. Roof drain (commercial) 16 60 Phone (5 Fax ( � 1 y 53 > M t u Stnk'basrnila�.atory 16 60 3� J Tubisho■ser'shoa.'er pan 16 60 E - ma rl i Urinal 16 (,n -- \ \ C 1CTO , `. - ' \'ater close! 16 90 ustncSS name_ E . �1 _!\L(o]� ' \ h 16 eater B _ ( ,('.dies. ejJ7 SILL- ,.v.-1-n C)(her. minimum permit fce $36 25 - li \ V ) ' Subtotal ('trr:State 11P L e Q /�dJ C'7 l AL- �t 1_]"" 1.lmimum permit lee: S 72.S0 Phone ( 56� �Zg _ )6 ) I Fax. ( )_14 rf _ II • • _ Residential CCB Lie: D io85 _ Plumbing Lic. no% ential backflow 7 �� : Plan re-.iew (25 %ofpernio fee) State surcharge (8% of permit fee) Authorized signature; /t- TOTAL PERMIT FEE Print name - Date: This permit application expires if a permit is not obtained withir - t 180 datis after it has been accepted as cornplete. 'Fee methodology set by Tri- Counry Building Industry Service Boar( B :ddinc Pcrrniu'PLMF- PernnA d 15.'0' _40- cr.15T(I0M 2CONVWEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/24/2005 TIME: 7:08AM PAGE: 24 SITE ADDRESS: 14463 SW PENNYWORT TERR CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 043 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA OWNER: IS CUSTOM HOMES, PHONE #: 503- 533 -4006 CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503. 533.4006 Inspection Request Scheduled For: Date: 8/24/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 014200-04 503 -642 -2800 N Corrections /Comments/ Instructions: JI 1 / A/ WA/ J 4/_._ a RA X PASS El PARTIAL,APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: O �� ✓ U Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2005 Phone: (503) 639 -4171 / ,, ° �WVIP Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7:11AM PAGE: 59 SITE ADDRESS: 14463 SW PENNYWORT TERR CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 043 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA OWNER: IS CUSTOM HOMES, PHONE #: 503,533 -4006 CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503.533..4006 Inspection Request Scheduled For: Date: 8/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 014577 -04 503-209-6038 N Corrections /Comments/ Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4b l Ylc1#1,..a_. Date: ?l ab 6d." Phone #: (503) 718- CITY OF TIGARD r BUILDING DIVISION PERMIT #: MST2004 -00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2005 Phone: (503) 639- 4171gr �� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/26/2005 TIME: 7 :06AM PAGE: 75 SITE ADDRESS: 14463 SW PENNYWORT TERR CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 443 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: 8/26/2005 Pour Time: Code # Inspection Description j Confirm # Contact # Message 699 Mechanical final 014349-08 503.209 -6038 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r / Date: 5 l0 Phone #: (503) 718- CITY OF TIGARD - 0 BUILDING DIVISION PERMIT #: MST2004 -00311 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2005 Phone: (503) 639 -4171 Ah P�ii iph'�I� Inspection Requests (24 Hrs.): (503) 639 - 41751._.._ INSPECTION WORKSHEET FOR DATE: 8130/2005 TIME: 7:11AM PAGE: 58 SITE ADDRESS: 14463 SW PENNYWORT TERR CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 043 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: 8/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 014577 -05 503 -209 -6038 N Corrections /Comments /Instructions: Aer — ' ,w of vi -rip- 1 1 /` 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL EES ASSESSED Inspector: Date: _ ' Phone #: (503) 718- __&„1_______