Permit ,
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00368
ig DEVELOPMENT SERVICES DATE ISSUED: 3/24/2005
'� I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112BA -11700
SITE ADDRESS: 07883 SW PICKLEWEED LN ZONING: R - 12
SUBDIVISION: BONITA TOWNHOMES LOT: 053 JURISDICTION: TIG
Project Description: New SFA.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 682 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 1,003 sf GARAGE: 440 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT:
VALUE: 166,884.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,685 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: 3 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: 4 CLOTHES DRYER: 1
GAS FURN > =100K: 0 UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 2 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:
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:
This permit is subject to the regulations contained in the
Owner: Contractor: Tigard Munidpal Code, State of OR. Specialty Codes
JLS CUSTOM HOMES JLS CUSTOM HOMES and all other applicable laws. All work will be done in
16280 NW BETHANY 16280 NW BETHANY accordance with approved plans. This permit will expire
BEAVERTON, OR 97006 BEAVERTON, OR 97006 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 - - 4006 Phone: 503 - 533 - 4006 adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through
952 - 001 -0080. You may obtain copies of these rules or
Reg #: LIC 139970 direct questions to OUNC by calling 503 -246 -6699 or
TOTAL FEES: $ 6,795.49 1- 800 -332 -2344.
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
High- strength bolts
Structural welding
Issued B • _ / 1 �_: Permittee Signatured — .44,,d•
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that 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.
r'
, Building Permit App1ib, .,r EWE FOR OFFICE USE ONLY.`
City of Tigard R eceived ` ay — \ C � y _ c 27 �� Perrrut No.1 : V VJ
Daie/B}':
13125 SW Hall Blvd., Tigard, OR 97223 DEC 0 ( Plan Review y�
Phone: 503.639.4171 Fax: 503 - 598.1960 9� "' ''1 i Ii Date/By: L f /v.� Other Permit; t rdy - ?/c
Inspection Line: 503_639.4175 _ j' �. .. - Date ReacjyIBv- burs 1 See Attached Checklist for
lntemet w;w.ci.tigard.or . us CITY OF S Notified/Method � I Cr Supplemental Information
BUIBUILDING DIM DIVISION
-`~ TYPE OF VvORK 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 an the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. 8
� I-!'
X 1_ and 2-family dwelling Commercial /industrial Valuation: • � y�_��
❑ Accessory building ❑ Multi- family Number of bedrooms 3
El Master builder ❑ Other • Number of bathrooms .L,
- JOB SITE- INFORMATION AND LOCATION Total number of floors, /L ✓
Job site address: ' I (75 2C p/lLK_Lul (11 New dwelling area: I`�� O'S square feet
Ciry %State /ZIP:T ,0 (Q � Garage /carport area: t square feet
Suite bldg. /apt. no.: Project name: 7elr\,/■.. Covered porch area: 4 �J - Z,!'� square feet
Cross street /directions to job site. yNx�0, m Vap \ TP2� Deck area: 11— square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdi vision: n ,•�y� lown (� Lot no.: PDS Permit fees* are based on the value of the work performed
� a �� �� x 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
PROPERTY OWNER - -- ❑ TENANT Number of stones:
Name: T 3 C .V A mgr-, Type of construction:
Address V (Da$O ` [�v��� - o�, r e-, Occupancy groups:
( _
Ciry.State-ZlP: +'
! `I 1 Existing
Phone: (Sol) S3 - Fax: (S 03) 3 _ L{'• c (0 New:
- El "APPLICANT - ) . k CONTACT PERSON •
. . NOTICE
Business name: l ' t All contractors and subcontractors are required to he
Contact name: licensed with the Oregon Construction Contractors Board
N I under ORS 701 and may be required to be licensed in the
Address- 3ROLE jurisdiction in which work is being performed. If the
CIN,'State /ZIP:
applicant is exempt from licensing,. the following reasons
. C� I t� apply:
o
Phone: (Sb3) (o `' `-l5 3 Fax: : ( ) liCi
E -mail:
C,ON7RACTOR
f ..
Business name: V m I--
- BOLDING .PERMIT FEES*
Address:
Please refer to fee schedule.
City/State/ZIP:
/State /ZIP:
Fees due upon application
Phone: ( ) Fax:( )
CCB lie l39 9 --pc) Amount received
Date received:
Authorized sigrrattjfe: i% This permit application expires if a permit is not obtained 1
4 within 180 dais after it has been accepted as complete.
r
Print name: T ! ; C - .$ Date * Fee methodology set by Tn- Counry Building Industry
L Service Board
:\Bo,tding'Yerm,ts Permit App doc 12/03 440.4613T(11 /02'COMJWEB)
JCACULI IL.i11 1 Cl MIL HIJI- IIL4t1011 e '
!.` City of Tigard Received
Date/By:
Permit No.:
13]25 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone. 503_639.4171 Fax: 503.598.1960 t +� Date/By y Ocher Perm
Inspection Line: 503.639 4175 di7 Date Ready /By toils 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified /Method 1 Supplemental Information
- - -
TYPE; OF. WORK . PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply
❑ Demolition 11 Other: ['Service over 225 amps. comm'l ['Hazardous location
['Service over 320 amps – rating ❑ Buildng over 10.000 sq. f
.- - CATEGORY OF CONSTRUCTION N . of 1- and 2- faruly dwellings 4 or more new residential
❑ 1- and 2- family dwelling II] Commercial /industrial ❑ Accessory building ['System over 600 volts nominal onus in one structure
Master builder Other:
CI load over 99 persons ❑ Building over three stones [1] Feeders, 400 amps or mot
Multi ❑ ❑ ❑ ❑ Manufactured structures c
• - - ,JOB SITE INFORMATION Am:) LOC - � � . ❑Egressilighting plan R \' park
Job no.. 5 < Job site address: gC59 /// 7 per ij,& - . �^ ❑Health -care facility ❑Other:
a / """ vl- + Submit 2 sets of plans with any of the above
City /State/ ZIP: - T; n ^ �--^` OV_ . I (n- Tne above are not applicable to temporary construction service.
1",V� V FEE* SCHEDULE
Suite /bldg. %apt. no.: Project name: 1 {
n {C� Description 1 Qn. I Fee Total
Cross street/directions to Job site: y\ Ci C). C V New residential single- or multi - family dwelling unit.
�1 v � Includes attached garage.
1,000 sq. ft. or less 1 1
Subdivision . Lot no : Ea. add l 500 sq- ft. or portion 33.40
Limited energy, residential 75.00
Tax map /parcel no : a 1 k.e, 1 a ii:,1 Limited energy, non - residential 75 00
DESCRIPTION OF WORK - � Each manufactured or modular
• dwelling, sen and: or feeder I 90.90
Services or feeders installation alteration, and /or relocation
. 200 amps or less 80 30
PROPERTY - OWNER • 111 TENANT 201 amps to 400 amps I 106 85
igl 401 amps to 600 amps 160 00
Name: – 31 – 'S C ( _,C11 l �YV i 601 amps to 1,000 amps 240 60
\ddress: 1
~ Ov'cr L000 amps or volts 454.65
''" • � , • � 1 III. ��� Reconnect only I 66.85
City/Stale /71P: CC �f �MQ..VC1111 1 Q� III.]- ([ 2 } /'�� _ Temporary' services or feeders installation, alteration. and /or
Phone: ( 66 ((��� \ ]� /[ relocation
3 ) S3g— gOp Fax: �7.>J) SEA-- L3 10 1 200 amps or less 66.85
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, accordine to ORS 447, 449. 670. and 701. 401 amps to 600 amps l 133 75
Ovvmer signature - • Date: Branch circuits — new, alteration, or extension, per panel
. ❑ APPLICANT . - CONTACT PERSON - A - Fee for branch circuits i,.id7 • service or feeder fee, each Business name: 5 WE ? branch circuit 6.65
Contact name: - A l ( _ B- Fee for branch circuits
'v without service er feeder fee,
each branch circuit 46 85
,address: ��
E ach add'] branch circuit 6.65
City .-'State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( stA L 1 v )q I ( C q Fax:: ( ) 5n rYlE Pump or irrigation circle 53 40
Sign or outline lighting 53 40
E -mail: - Signal circuit(s) or limned-
. .. .
_
. CONTRACTOR - - energy panel, alteration, or
r . extension Describe: Page 2
m
Business nae: 1.— 0, rt c
Address: (9,2 ~ 1 p ,_ r �l _ \ - F , I � A t �_ Each additional inspection over allowable in any of the about
�_ , , 0..J ^2 � - 1 Per inspection 62.50
City /State /ZIP: R v� cO l 0 e q -. t7s ]investigation per hour (1 hr min) 62.50
Phone: (9)3) ( C� 8p Fax: f ) 0.12 5R IS lndustnal plant per hour 73.75
V - ELECTRICAL - PERMIT FEES*
CCB Lic.: l l gaz Electrical 1 jc - q - Suprv. Lic.: Subtotal
Suprv. Electrician signature, required: '- ,q` (--, .
Print name: 5 - �v Plan review (25% of permit fee) '
II - Dam State surcharge (8% of permit fee)
� D -S^' C
t , TOTAL PERMIT FEE
�1
Authorized siQR121ure: — This permit application expires if a permit is not obtained within 18.
days after it has been accepted as complete
Print name: , r J( %)Z jJ (� . i/ , ' 11 C I Dale: ' Fee methodology set by Tri- County Building Indtuny Service Board
(l V (�C (1° [/, " Number of inspections per permit allowed.
i:'. Building.Perrruts`ELC- PetmitApp doe 12.'03 aa0- 46127(10102 /COMTWEB
,, wtecnaincai reriiiit /Application
City of Tigard Received
t ate:By: Permit No..
2 • 131'15 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503 598.1960 � N Plan Review
� � Date.By. ' Other Permit
Inspection Line: 503.639.41 75 " 1'Ir� Date Readv.B luiu RI See Page 2 for
Internet: www.ci.tigard.or . us E�W NotifiedJhlethod: Supplemental Information
- - 'TYPE 10}1 .WORK - - - COMMERCTAL, 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 a
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit -
CA_ TEOORY -OF CONSTRUCTION - . - . - Value $
['1- and 2- family dwelline XI Commercial /industrial 111 Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
For special information use checklist_
[I Multi- family ❑ Master builder ❑ Other: Descnption
Qty. Ea 1 Total
JO ,SITE INFORMATION ,AND' LOCATIO ` Healinp'cooling
Job site address: + g �-� pi( l r/I Air conditioning or heat pump
V / ✓ - \ (requires site plan showing. placement) 1.1 00
City/State/HP: — 1, r - - O 1Z... 9' 1 Furnace 100,000 BTU (ducts.'venis) 14 00 I
1 Furnace 100.000+ BTU (ducts: gents) 17 90
Suite /bldg. /apt. no.. Project name:
h1l Gas heat pump 14.00
Cross street/directions to job site ,li_( V.��_ & �c Duct work 14.00
1, � /\('� c Hydronic hot water system 14.00
�J \��/ Residential boiler (radiator or
hvdronic) 14.00
Unit heaters (fuel -type, not electric),
in-wall. in -duct. suspended, etc 10.00
Subdmsion , j } � Lot no.: �'" /
Other- e. for an of above 10.00
1. ✓ Other 10.00
L Tax map /parcel no.: S' 1 D� 1 Other fuel appliances
DESCRIPTION O F WORK Water heater 10 -00
Gas fireplace 10.00
• Flue vent for water heater or gas
fireplace 10.00
I Log lighlet beast 10.00
Wood/pellet stove 10,00
Wood fneplace;inscrt 10.00
M, PROPERTY OWNER ❑ TENANT Other
Chimney/liner. (lue.'ven; 10.00
Other: 10.00 I
Name: V - ,C'1/', IL kW En+ironrnental exhaust and ventilation
Address: { �a$O �1 , ■ ` �� _. Range hee kitchen
v3 equipment menl 10.00
City /State. /ZI': a , • ► . •9LI0411 Clothes dry er exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5 G 1 2 _ c Fax: (503)533- qv() toilet compartments, utility rooms) 6.80
' ,❑: - APPLICANT-; CONTACT PERSON Atuc /crawlspace fans 10.00
Business name: M E Other 10.00
Fuel piping
Contact name: ■ $5.40 for first four; $1.00 for each additional
Address: B M Furnace, etc.
Gas heat pump
City: /State /ZIP: Wall /suspended /unit heater '
Q /� (��/�
Phone: (5-by 6 - 1List Fax:: ( ) 5\ 1`' `F/ Water heater
Fireplace
E -mail:
Range
CONTRACTOR,:. Barbecue
A \^ (�/� (/+ �/� Clothes dryer (gas)
Business name:
, Reoli a ` 1 0 Other'
Address: MECHANICAL PERMIT FEES*
.� a�vC (.0 5 53 ,
Cite- State. /ZIP: 0�C O (Z . 9 - c `} Subtotal
; 1 �j(� Minimum permit fee ($7250)
Phone: (5) 591 – q 2. q Fax: (5 3) 8J () B
Plan review (25% of permit fee)
CCB lic.: i 4 131 Li State surcharge (8% of permit fee)
/-----' TOTAL PERMIT FEE
• - , This permit application expires if a permit is not obtained within 131
Authorized signature: y , days after it has been accepted as complete.
(
Print name: A._ BT. ye Q Date: - • Fee methodology set by Tn- Count; Building industry Service Board
r \Building +Permits\MEC- PermitApp dec 12/03 440.4617T (11102!COMIWEB) I
Jutmenng rixtures
Plumbing Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Date/By. Permit No
13125 SW Hall Blvd-, Tigard, OR 97223 Plan Review
Phone: 503 - 639.4171 Fax: 503.598 - 1960 ° r4� a ds: �� Date/By: Other Permit No.. —
24 Hour Inspection Line: 503.639 4175 Ready/By ° "'
lnteInternet nww.ei.ti aid -O us ' =ov D Rd y B See Page 2 for
g Notified/Method Supplemental Information
TYPE OF Y ORK ``c = ''.. . F E E S CAEDULE
gNew construction ❑ Demolition For special information use checklist _
Descnpnon Qty I Ea I Total
❑ Addition /alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft. for each utility connect ior
- -- CATEGORY, OF CONSTRUCTION SFR (1) bath 249 20
X1 and 2- family dwelling XCommercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft) Page 2
J OB STrE L \FO.R111AT1W?iNI.i,;Y A„TION � : " Y _ 3- +. -.,; Site utilities
;5���,
Job site address: 4 / '
` ` Catch basin or area dram 16.60
-
CityiS1ate / /ZIP: e"----.---
:c el ' P 9 Drywell, leach line, or trench dram 16.60
Suite bldg iapt. no.: Project name: Footing dram (no linear ft.: ) Page 2 I. Manufactured home utilities 110 00
Cross street/directions to job site Cs� e
Manholes 16.60
Rain dram connector 16.60
Sanitary se'•+er (no- linear ft.- ) Page 2
,�• T 1- Storm sewer (no. linear 0 - 1 Page 2
Subdi+isonf t 1 �lxxIk t(I Q.S Lot no.:S�
Water service (no linear R, ) Page 2
� o n 1 i K . J Absorption or item
Tax map/parcel no.:
Absorptt ion vale 16 60
- , DESCRIPTION, OF �..—.. Backflo pre: enter Page 2
Backwater valve 16 60
Clothes washer 16.60
Dishwasher 1 16 60
PROPERTY OWNER ® TEN A- ffi ` a� Dnnkm fountain 1 60
l _
Ejectors/sump 16.60
Name: L _ e,.V la r Expansion tank 16 60
Address: ' (o a O '.-,' - , _ Fixture /sewer c a p 16 -60
City / State//ZIP: ra` ` • • / M r, r/ll
Floor drairoor sinkrhub 16.60
i
Phone: t5,33) 5.23_ ypo(0 Fax: (5 )533_ q0 Garbage disposal 1 16.60
- :; ,"r rrtii-r., _ .,__,,, a ^r: •r Hose bib I 16.60
�4 j a . J APB_LIG �VF ..+' ` y ' t O N `FA . C � PEI v. g . . -
ice maker 16.60
Business name:
A OA A FJ Interceptor /grease trap 16_60
Contact name: l CNIt Medical gas (value. $ ) Page 2
Address: of; { Y lr J Primer 16.60
City /State/ZIP: Roof drain (commercial) 16.60
Phone: (5 ,) 4%94- 14153 I Fax: : ( ) c (A Sink/basin/lavatory 16.60
,• l Tub/shower/shower pan 16 60
E -mail:
Urinal 16 60
- CONTRACTOR r - _ a Water closet 16.60
E Business name: 1 `+ u ( 1\ � 1u. V;`� vvv Water heater 16 60
Address: o `1 `i ` � Q 1 kS Other:
I ` J c, �
^ Subtotal
City /State /ZIP: `-� j LI,Sbo �C'> _c 17 1 � 9 4-1 p' Minimum permit fee: $72.50
/
Phone: ( 5 6 3 t _ ) ID `3a Fax: (6753) 6 ag _ Residential backflow minimum permit fee: $36 -25
CCB Lic.: O to A9 Plumbing Lie. no..3q OCw Plan review (25% of permit fee)
/ �-+ State surcharge (8% of permit fee)
Authorized signature; l 1 / t
< c - /M, I TOTAL PERMIT FEE
I Print name e SI I 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 Boar(
Build \Permits \PLMF- PcrmnApp, doe 17.'03 440- 4616T(10 /02/COM/WEB)
CITY OF TIGARD ,
BUILDING DIVISION .. PERMIT #: MST2004 -00368
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/24/2005
Phone: (503) 639 -4171 Ao V y pi�jf l
Inspection Requests (24 Hrs.): (503) 639 -4175 '__..
INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 22
SITE ADDRESS: 07883 SW PICKLEWEED LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 053 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA.
OWNER: IS CUSTOM HOMES, PHONE #: 503 -53 -4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 -533 -4006
Inspection Request Scheduled For: Date: 10/7/2005 Pour Time:
Co e # Inspection Description Confirm # Contact # Message
199 N Electrical final N 017748 -05 503.642 -2800 N
Corrections /Comments /Instructions:
\ . ' c - \ 0 ,,IW't \' ‘ 4\ -- Y (/Y‘ ' t V b V1 kA (i'
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004- 00368
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/24/2005
Phone: (503) 639 -4171 dip ypi�fli�l''�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/10/2005 TIME: 7:04AM PAGE: 78
SITE ADDRESS: 07883 SW PICKLEWEED LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOME :S LOT #: 063 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA.
OWNER: JLS CUSTOM HOMES, PHONE #: 503.53 -4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 533 -4006
Inspection Request Scheduled For: Date: 10/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 017864 -08 503-209-6038 N
Corrections /Comments/ Instructions:
.41r>>,)
❑P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR IN' PECTION ❑ ADDITIO L FEES ASSESSED
Inspector:
thir 1 Date: 10 C5 "�—' Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004- 00368
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3124/2005
Phone: (503) 639 -4171 � " ° 11 °4puypi��1 1(
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_.L.. °`:_.,
INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 35
SITE ADDRESS: 07883 SW PICKLEINEED LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 053 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA.
OWNER: JLS CUSTOM HOMES, PHONE #: 503-53 -4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 533 -4006
Inspection Request Scheduled For: Date: 10/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 018250 -05 503 -209 -6038 N
Corrections /Comments/ Instructions:
4 - PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ���'2/7 Date: ///,/- Phone #: (503) 718-
CITY OF TIGARD 1
BUILDING DIVISION PERMIT # ` "120E • 00c3h�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 10 4u1Pq 'I 1 �' ��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 9Q5 1 ZAemlat w' CLASS OF WORK:
SUBDIVISION: �� LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
3C F ► N . IL jyv . 011)5
Corrections /Comments/ Instructions:
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: NO � Date: 10 In Phone #: (503) 718 - 2-WO 1 •
CITY OF TIGARD _0
B
0 UILDING DIVISION PERMIT #: �o r _(0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
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Inspection Requests (24 Hrs.): (503) 639 -4175 A- '1-...
INSPECTION WORKSHEET FOR DATE: to(174)s TIME: PAGE:
SITE ADDRESS: —7803 C{ x'&6 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: C___ PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
_ FAIL A C ' L FOR SPECTION ❑ ADDITI• AL F: ES ASSESSED P ti
Inspector: 1,II Date: D 1 Phone #: (503) 718 -