Permit MASTER PERMIT
CITY OF T I CAA R D
PERMIT #: MST2004 -00340
� DEVELOPMENT SERVICES DATE ISSUED: 3/18/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112BA - 11000
SITE ADDRESS: 07898 SW PICKLEWEED LN ZONING: R - 12
SUBDIVISION: BONITA TOWNHOMES LOT: 046 JURISDICTION: TIG
Project Description: 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 TURD: 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 FD R: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC1FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MAN 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 Municipal 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: adopted by the Oregon Utility Notification Center. Those
Phone:
503 - 53 3 -4006 503 533 - 4006 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: $ 6,591.49 1- 800 - 332 -2344.
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
High- strength bolts
Structural welding
Issued By : A _ -_ ,, �� "1 Permittee Signature : & 9-- ) d r_ (_Z 7
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.
P i.
Building Perm Appl ' ' `FOROFFICE USE ONLY :4I
City of Tigard mi R ECI J V RD:cteei B ed i '/ - / l 1 Permit l„ �i f
J vQ `7 --I -g/
13125 SW Hall Blvd . TlEard, OR 9 ' Plan Re in ti ,)r / /�j
Phone 503 (_ 1 Fax - r1 = =c" 1960 '', Da;e.B /
;. Z lO� ' I ,4 ✓. Oiher Permit✓ /6 ! 33
rnc 5c�_
his ection L r;9 41 n
� r t i / I a 1
p ,'0 V l7 �W:. Dare Read B-. j , J'u'gs O See A unched Checkl*t tor
Internet -x ci heard or us - " - - NonfiedAteihcd f� 11 — �/ [ I & Supplemental Information
CITY OF TIGARD - k�, c,a\-c.. v r7 Uh (f _
T,`P OAF- «`O`RK lV!S O[ r R EQUIRED DATA: 1- AND 2- FAMILY DWELLING
\e« construction ❑ Demolition I Permit fees' are based on the \slue of the work performed t
-- -- I Indicate the value (rounded to the nearest dollar) of all
❑ ; \ddition'alteratiori replacement ❑ Other- equipment. matenals. labor, o%erhead, and the profit for the '
work indicated on this application.
I
CATEGORY OF CONSTRICTION I- _
� 6(/
s _ t pl
\ aluarion. $ -� ,
,x,_ and 2-family dwelling XCommercial`rndusinal ... - __,__
-❑ Accessory building —_- - ❑ \lulu -fanul -- — i Number of hedroans_ _ .)-•
Master builder Number of bathrooms' ,
❑ ❑ Other 2
JOB SITE IN'FORMATiON AND LOCATION Total number of floors "5 --1
Job site address: i _ \ i + • . _ ± I 1 N," d• a_ea - 3(/' square feet
Ci State /Z1P M1 Garage:carport area 570 square feet
Surre'bldg..•'apt no -. , I P rotect name 7 21 � Co\ ered porch area- / square feet
Cross SI reel :directions to lob s '
�-�n 1 Deck area: q� square feet
I Other structure area square feet 7
_
1 REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision L-oI no Perm; fees' are based on the value of the work performed
Tax map:parcel no : ,.. `u , 1 a R Ltdii ate ihz aluc (rounded to the nearest dollar) of all
` , equipment. materials, labor. overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
-
Valuation' $
Existing building area: square feet
1 New building area square feet
A PROPERTY OWNER ❑ TENANT I Number of stones. -
Name as c Q`' i Type of construction:
.Address: r-
�� yK)TjQA-V10.Y� Occupancy groups,
Ct\:SlateZIP: `/� VV_ 9
(' v 4 f Existin
Phone: (583) S33_ L`CL Fax: (5p3) '' rr rr�� rr �
��' `1t7��0 Nev..
❑ APPLICANT XCONTACT PERSON
NOTICE
Business name: SgMU_J All contractors and subcontractors are required to be
Contact name: - �{? - �' 1r %c licensed \kith the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 3 giYt Jurisdiction in which work is being performed. If the
Cft State; ZIP applicant is exempt from licensing, the following reasons
y�� apple
( S I t -1s 3 Fax:: ( ) � �' 1 �
E -mail:
•- CONTRACTOR : '•
Business name: 5 A in 1.._.
j BUILD
UILDING - PERMIT FEES*
Address:
City /State :21P:
Please refer to fee schedule.
Fees due upon application
Phone: L ) I Fax: ( )
9 n 7 j I Amount received
CCB ]ic: 3`� `-(
Date reserved:
Authorized signal y`fe` / !' This permit application expires if a permit is not obtained
•01174e /' � within 180 days after it has been accepted as complete.
Print name:
� 6 t1 Cl Jtv - �-k j Date: Fee methodology set by Tri- Country Building Industry
Service Board
i .Bu ildicg.Per -, is 3UP PcrrnnAp, des I_ 43o- 4613TH .o2 COidNIB)
} Electrical Permit :application FOR OFFICE USE ONLY
1
` Cit of Tigard Received Pe
Dare B. ul No
13125 S\V Hall Bled . Tigard. OR 97223 —_— —
Phone • 503 6394171 Fa Sri_ 598 1nr,rl D an 13 Ir., C'U rer F' ern l
Inspection line 503 639 4 i_; fi '.:.
�► - �i:: -. Dale Read�� 8 See Page_ tor
Intemel +:,.\+ ci (102nd C•r us NeiifledT.lernod Supplemental Information
TYPE OF WORK PLAN REVIEW
11 New construction ❑ Addition, alterati onireplacement Pie: se check a 1153i app!
❑ Ser.;Cc r er 225 :imps. comm'I ❑Hazardous location
❑ Demolition ❑ Other
Eiseniceo•. - ir =20 amps - rating ❑ Buildng0 %er10 0.
CATEGORY OF CONSTRUCTION of I- aad 2- 12nul•, d.•ellings a or more ne++ residential
❑ 1 and 2 family dwelling ❑ Commercial; Industi ial ❑ Accessory building ❑S ■ sicrn c: er 600 volts nemin�l :nits In one stnunire
l ❑f3u e iluin 0 . or T1100 stones ❑Feeders. 400 amps or more
❑ Multi ❑ M aster builder ❑ Other
❑Oc,:Lrpan! lead o \. er 99 persons ❑ ^- lanufauure.d saunuies or
3013 SITE INFORALATION AND LOCATION ❑Egress h0 1 :rig plan R. park
❑l
lea
Job nu_ - Job site address
I % _fib L. pl i e o ? sc!s td ll!1-Cale f:;c:ll pl;:ns +'iih any of the ❑ abe +•e Other _
Cit.'State Z1P Y ] 15e oho + are not oeplicable to temporan construcnon service
I LQI� �C) �� i FEE* SCHEDULE
Suite bide -rapt no • 6 I Project name-
pr - I 6) Fee_i .1-013I (� I
Cross street. directions to Job site' �� 1 ` c , l,ar See l \ 'e, rctildenrial sin qr multi - Tamil+ d+ +ellinr unit
994..__JJJ� r r Y i ] I Includes att ara -
1 �'I:'0 sq. rt or !esS I 4
Subdivision. Lot no Ea. add'I 500 sy rl crportion l 33.40 I
o y a -1 ��— t
` �' n � 1 united energy. residential wide 5 00
Tax mop:'parccl no.: S O( —
1 umled cn.cra,. non .residential 75 00 2
DESCRIPTION OF WORK Mach manulau'lured or modular
d\sell:ne. scnv,ce and:or feeder I 90 - 90 2
— —. ___ tier ices or feeders installation, alter anon. and; or relocation
• 2U! .imps or !es 5G 30 2
1 201 amps to - R , t1 amps I 106 S5 I 2
ig PROPERTY OWNER ❑ TENANT - — —
T -V.)! amps to 600 amps 160 60 2
Name V L S Csb J c � l V tit,i ,ripe tt , 1 ,odor amps 240.60
-
\ddtess l�7 . r, (�' .�,. i_r l.l amps or ••oils t54 65
► '� �� _ d * — I Reconnect onl.' I 66.$5 2
C It s'Stale: Z1P. A )Lr M , \.1 (z. / . ‘ Q 1111A 1 '1- �Temporary son ices or feeders installation. alteration. andtor
,,''^^ ^^ 1 ` J ff�� relocation
Phone: (6-6 S&3_ ` ) (o I Fax ( ) 5.' l - T.
� c I =iiU a nipi or less 66.85 1
Owner installation: This installation is berm made on property that I own which 1s not 201 amps 1 401) 31093 � 100 -30 2
intended for sale, lease- rent. or exchange. according to ORS 447. 449. 670, and - 01.
[411 amps to b .r ati;ps 133 7 5 2
Owner signature: — Date: L};ranch circuits - new. alteration. or extension. per panel
❑ APPLICANT JR_CONTACr PERSON 1 A Fee fen branch circuits r,uh
j ser. ice or feeder iee, each
Business name- I ( 1 6 65 2
branch circuit
Contact name. - l B Fee for branch circuits
Sike---ta.-_,A without sen ice or feeder fee.
46.S5
Address: 45 ` r l each branch circuit
Each add'1 branch circuit 6 65 2
CitviSlate -ZIP. 1 Miscellaneous (service or feeder not included)
q. u Pump or irrigation circle 53 40 2
Phone: ( r)S ) 1 ( 4? ( /�S Fax: : ( ) SR ME
Sign Or outline lighting 5: -40 2
E -mail: Signal Circutt(s) or limited-
.
.
. . CONTRACTOR ' ener , panel, alteration. or
- r extension Describe Page 2 2
Business name: K/ti � ' c ¥ f i t
�3� 1 .address c C � +. Each additional inspection user allowable in any of the above
J ) JL �� Per inspection I 62.50
City: State;ZIP 41 LS�N�e� C( l O e. T vzs I i
Investigation per hour (t hr min) I 62.50
Phone: (03) e�g2_a .soc I Fax. ( ) G142- SR,S Industrial plant per hour 73.15
ELECTRICAL PERMIT FEES
CCB Lic_ t SR� Electrical lc.: q - �� Suprv. Lic -: j Subtotal
Supn. Electrician signature- required: 0 „,1111 i Plan re•.ie•+ (25° %� of permit fee)
Print name S'�- Eve D � I Dam State surcharge (8% of permit fee) 1
-- -1 �c - I TOTAL PERMIT FEE
Authorized si! attire- This permit application expires if a permit is not obtained within 180
� „ -t� eee""���111 days alter it has been accepted as complete
Print name: c, ti - - s t _ t! - R c. _ A _ e ___ Date: • Fee melhodolosy set b■ in—County Building lndu<ny Service Board
" Number of inspections per permit allowed.
∎ '' , Buldin €5Perriis ELC•PerrrutApp de•c I_.- an5- 461'T(10:02 ;COSV:OEB
M echanical Permit Application ,., , - ::: ,- ,:::::: ., :; . :-::-;:: , :•:.:-, -. -::::::: . :•...: , .;: ,, A FOR,OIFFICEUSE CINLY-
City DI Tigard . , Received
Pernalt No
Da te.By
13125 SW Hall Blvd . Tigard. OR 97223
Plan Re..ie
Phone 503 639 4171 Fax 503 596 1960 Other Femur
.' 7 l'' Date "By
Inspection Line. 503.639 41 ...Li:,. Date Read:, Th.. 1, 5 El See Page 2 for
Internet w. ci ti9,ard.or us NotifiedNethod. Supplemental Information
TYPE OF WORK 1 , M M
COERCIAL FEE' SCHEDULE - USE CHECKLIST
t_
Nlechanical permit fees* are based on he value of the ',
Nev construction [1] Addttion'altinatioa replacement
pericled Indicate the a alue younded to the nearest dollar) of all
[1] Demolition 11] Other mechanical ma!erials. equipment. labor. overhead. and profit
• CATEGORY OF CONSTRUCTION Value `..;
RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
[ 1 - and 2-far dwelling x C o in m c r c i a I : - i n d u ( r i a 1 ii Accesso budding —
F or spericl In use chec;dis:
0 !■11:1Ii-familv 0 Master builder [1] Other ___. ___
Dr:•imptioii TQiy Ea Total
JOB SITE INFORMATION AND LOCATION Heating cooling_
Job site address ' r coi r he .)urn
) 0 Al. •. - . - o .. , n
F
' 611111 . ■ "AI ( , trt•qt:ires 5iie plan showing placement) 14_00
--_-----
City...Slate/ZIP: t • 0 E. '11 F urnace ;NI 000 B•rt_t tthic is 14 00
I I 0111/4 j
1 1 100 000." BTU i iuc:s.. ems) 17 90
Suite:bldg.:apt. no (---) 1 Project narneZc --
Gas heat pump 14 00
Cross street:directions to job site Duc 1 ".,. _
r1k - _ 14 00
I-lvdronie hot NNater s■stem
- -
14 00
Residential boiler (radiator oi
hydronic) 1.4 00
Unit heaters t.ruel-type, not elccnic).
in-, .fl:. in-,Ilet. sucocnded etc .10
---- .
Lot no.: el
E e
llie Nro of above 10 00
SIMI vision (
O for 311V i 0 00
Tax mapTarcel no . 5 1 u 1 cii 1 Other filel appliances
DESCRIPTION OF WORK , Water heater
10 00
I C.is i3replaec 1 10 00
1 Hue sent for 1' IICT healer or gas
— I I fireplace
1 og lightei 1 g_ a s i 10.00
Wood pellet sto c _ 10.00
Wood in eplace'insert 10.00
. Chimney liner, fltic.ent 10 00 , 1
ns PROPERTY OWNER 0 TENANT
Other 10.00 I
Name: LS (\ ,k ).3...Ty\ Environmental eNhatist and ventilation
_
Range hood. other kitchen
Address- * • : lb ' I as. _ equipment 10 00
Citv!State:IIIi.60akx, r fib r •P , Clothes dryer exhaust i 0.00
Sing.le-duct exhaust (bathrooms,
Phone: ( 503 ) cio Fax: (56 S ) 53s_ (4366 1 toilet compartments, utility rooms) 6.80 .
. . . .9 APPLICANT Z, CONTACT PERSON Attic•erawlspace tans 10.00
Business nae
• Other-
uel pipi
F ng 10.00 1
m
Contact name. y,.., - $5.40 for first four: $1.00 for each additional
r t - 7 1-1 ± 51 --Na.
Address: 3P\ (\i g) F urnace. etc_
Gas heat pump
City/State/ZIP: W'all.'suspendediunit heater
Phone: (56,3) 9( I/45 Fax: : ( ) 5 cc\(\F ...., Water heater
Fireplace
E-mail:
Range
. , . . .. , .. . .
-..- • . ,:,, . ' CONTRACTOR ' ,.' '• - - .'. . - . - '' '. Barbecue
Business name: M( 1 - CnaCKYActi-, Clothes dryer (gas)
Other
Address
. _ - 4 (-0 - 6.. :' f‘IECBANICAL PERMIT FEES*
City,'SlateIZIP: , \ ( 1\ i-.#-,
C) V- `A- Subtotal
Minimum permit fee (S72.50)
Phone: (51:5) 59k -9 q Fax. (583) gqii• 0--i.g Plan review 125% of permit fee)
CCB lic.: i 4 131 Li State surcharge (8 of permit fee)
' TOTAL PERMIT FEE
t . - This permit application expires it' a permit is not obtained nithin Iso
Authonzed sits•ture: • • r ai
H .... days after it has been accepted as complete.
r ... --; - 41■011.•-•1116H".111111111
d
i Print name: Date_ , • Fee methodology sett); Tri-County Building Industry Ser, ice Board
' e t l
I • -1-e e na \ '
i \BuildingTermns\ MEC-PermilApp doe 12 440.46177 (11/02!CONLAVEB)
Building Fixtures
Plumbing Permit application FOR':OFFIC ONLY
Cit'• of Tigard Recer ed
na;e,G Perm; N,,•
13125 SW Hall Blvd . Tigard, OR 97223 Flan Re:;—, -- - --
Phone' 503 639 41 71 Fax 503 598 1960 y I■ Other Penn; No
24 }lour Inspection Line 503 639 4175 - —
P -y Date P.ead !B e See Page :tor
.
Internet ,w ci heard or us NotifiedIAethed Supplemental Information
' . - - T OE -WORK - FEE' SCIIEDITLE
V'l New construction — —_ - -- _ — For special information use checklist.
r . III Demolition
- - -- - - - -- Descrph<. :n 1 Q::; Ea. 1 To,al
❑ Addition alteranon'replacement ❑ Other. N•■■ I- 2- famit\ d++ellings (includes 100 ft for each utility connection)
C ATEGOItY. OF CONSTRL`CTION; SFR (1) bath I 249 20
tg:{I - and 2- family dwelling l'IRECornmerciallindustrial SFR (2) bath
35000
SFR i3i6 ih :99.00
❑ Accessory buildrng ❑ Multi- family
builder -- -- — Each additional bath 4 5 00
�lasler
❑ ; I ❑ Other:
F-ire - -- - - -- -
( sq. t )
spnnkler s . - t Pace
< 30B_ SITE' L \FORMAT AND LOCATION, - - Site uTities
Job site address: MIMI Catch basin or area dram t 16 60
Crty'State'ZIP � ` 0 9 -I- - Dn', leach line, or trench drain 16 (••0
Sutte.bldg rapt no - v Pro name ('� Footing dram (no linear ft- ) Page 2
� t`lanufactured home utilities 1 i 0Olt
Cross strccudirections to job site: ^� �e - --
�J �s�t Manholes 16 60
--------- Rain dram connector 16 -60
Sanuarvm --.r (no. linear ft.. ) Paige 2
- -- -- - -- Stnrrn 5(". CT (no linear 0 : ) I Page 2 1
T
Water service (no linear fl ) 1 Page 2
Subdivision Lot no —._ -- � - - - --- ima �i Absorption r or item
T3): map-'parcel no - -
bsctpt , cn .al.e 14
DESCRIPTION: OF WORK 1
- - - -- - 13ackllc.v pre..-en ei Pa 2
U a :kv.aur:al:'e 1640
t.'Iothcs -. + ashen 16 60
--------- - - -- Dishwasher _ - 10 or) I
pROYERTY OWNER ;-- _ Drmkir.g fountain I t+ 60
❑-JENANf -,
me- Ejectors sump 16.60
Na
1— S ( ,t � � �Mt� Expansion tank 16 60
Address. I 110..-1• - , - Frxturersewer cap 16.60
City/State/ZIP: l k ` . • •- • r4 a Floor drainfloor sinkhub 16 60
Phone. ( ) 523 L/ T ( Fax (56S)533- ‘133(0 Garbage disposal l 16.60
t Nose bib t 16.60
, - - i r - E AP>'LICriNT ., : `stn ' u, C ON' el ACV P ...
7,
t- ,_ . - • , k .b : ]
Business name: L ce maker 1616.60 60
' 1/ 1
Interceptor /grease trap .
Contact name: Medical gas (value: $ ) Page 2
Address: 5P, m. Primer 16 60
Cux' /State /ZLP: Roof drain (commercial) 16.60
4 3
( 50) �7 1q5 - ( ) Srnkbasrn•lavatory 16 60
Phone: Fax: c ��
Tub/shower/shower pan 16 60
E -mail: Urinal 16.60
CONTRACTOR • : ,.5,7:4 ',:`ater closet 16 -60
Business name: E, . ( . ' , Water heater 16 60
)� ` ` ■ Other
Address: c2 t.Lq j '� e t , 1 Z� y\NoN � � { - KS
Cth%State,'ZIP: l6 i ki i S N O 1 c ' C �� " � 9� Subtotal
(563) Z$ ` 3 f 3a I ( 3) 6 minimum permit fee: $ 36.25
CCB Lic.: D inimum permit fee: $36.25
Phone: J' � 1 1O Fax: Residential backflow m ra Lo A i 9 Plumbing Lic. no•: 3 -pa:;,(1 Plan review (25% of permit fee)
• - �+ State surcharge (8% of permit fee)
Authorized signature: ` /
1 ,4 _ es TOTAL PERMIT FEE
C t �`
Print name: ' JC JJN 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
Suilding'TemtirdyLMF.PcimirApp der 12;03 440 461 6T(10 /OZCOMI.b-EB)
■
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00340
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1812005
Phone: (503) 639 -4171 j° "m / "nN @I�" t
Inspection Requests (24 Hrs.): (503) 639 -4175 `''
INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 66
SITE ADDRESS: 07898 SW PICKLEWEED LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 046 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: W12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 015393 -01 503-642-2800 N
Corrections /Comments /Instructions:
40 'Sc ( stb A i rt 11 11211- kde►rf, ). 1 •. c' .`PP t _ i N
Ociiiitsg VYyo.N ate.
,PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Oe L-E Date: Q (I liar Phone #: (503) 718-
CITY OF TIGARD "
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31 003 4O
Phone: (503) 639 -4171 i ���r��b�wypi�llf�li' I `
Inspection Requests (24 Hrs.): (503) 639 -4175 !!+r '__-.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE
'8/�0 /2ao5 7 ; 07AM er
SITE ADDRESS: 07898 SW PICKLEWEED LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 046 TYPE OF USE: ',
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA. ,
OWNER: IS CUSTOM HOMES, PHONE #: 503 - 533 -40a
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 533 -4006
Inspection Request Scheduled For: Date: 9/70/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016057 -07 503 - 209 -6038 N
Corrections /Comments /Instructions:
, I
N ikk 1J
ex-i- -k -
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL EES ASSESSED
Inspector: Date: i Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #:
MST2004-00340
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 31113/2005 Phone: (503) 639 - 4171 " 1 w' 01 IP���mllWl�l� 1 (�'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 912312005 TIME: 7. 07AM PAGE: 76
SITE ADDRESS: CLASS OF WORK:
SUBDIVISI 07898 SW PICKLEWEED LN LOT #: TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES 046
DESCRIPTION: BONITA TOWNHOMES
New SFA.
OWNER: JLS CUSTOM HOMES, PHONE #: 503 - 533 -4006
CONTRACTOR: PHONE #:
JLS CUSTOM HOMES 503 -533 -4006
Inspection Request Scheduled For: Date: 912312005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 016418 -04 503 - 209 -6038 N
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL IN CALL FO' INSPECTION ❑ ADDITI AL F S ASSESSED
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Inspector: Wg Date: q 23 6 : 6— Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MST2004 -00340
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i 311812005
Phone: (503) 639 -4171 7,,,, Still
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Inspection Requests (24 Hrs.): (503) 639 -4175 . _!:
INSPECTION WORKSHEET FOR DATE: 9/23/2005 TIME: 7:n7AM PAGE
SITE ADDRESS: 07898 SW PICKLEWEED LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 046 TYPE OF USE:
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: 9/2312005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 016418 -03 503-209-6038 Y
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 Date: i, ? i Phone #: (503) 718 -
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