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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00327 A rio,fi�yi DEVELOPMENT SERVICES DATE ISSUED: 2/4/2005 �=-° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 07818 SW WATER PARSLEY LN PARCEL: 2S112BA -07600 SUBDIVISION: BONITA TOWNHOMES ZONING: R -12 BLOCK: LOT: 012 JURISDICTION: TIG REMARKS: New SFA. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 266 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 760 sf GARAGE: 480 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 793 sf RIGHT: VALUE: 182,130.00 OCCUPANCYGRP: R3 BDRM: 4 BATH: 3 TOTAL: 1,819 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 c 100K: 1 BOIL/CMP c 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 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: WISVC 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: INTERCOWPAGING: 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 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. 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 lnsp High strength bolts fina Smoke Detector Footing Insp Plm /undslb Insp Framing Insp Shear Wall lnsp Rain Drain Insp Electrical Final Foundation Insp Electrical Service Roof Nailing Exterior Sheathing Insl Storm drain insp Plumb Final Wtr Proofing Bsm't Wa Electrical Rough -in Gas Line Insp Firewall lnsp Water Line lnsp Mechanical Final Issued By : �!1_.J,/ ■ Permittee Signature : M ? Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • r Building Permit.lpplicat ' oif 1 FOROFFiCEUSEONLY ,i - City of Tigard Recer.ed � �_ Dale s; 1 -0 y -Fe nut AN/1, _ 7 I . I _ . Hall s a,l Br. d rtti_r:,. t_'r. C _Plan Re�.le Phone _ !'i_'7 I fay - - " I cls� Pz;eB � 2_ /`� � Y!/J� (_Ihei . erml;.) IA (/ [r m Inspection line r•l' o79 .41 ,r Ei � L f' i Da:e Read B_ :,.5 I El See Alnched Checldnl !or L � Internet , . - .r a nt;rd C^ r:. c Nolil:eG'.ie0 - .Cd - _ - - - -_ 1 � rr V 1 Supplemental Infonnalion b Uri pi- - PE O 1 `ORK REQUIRED DATA: J- AND 2-FAMILY DWELLING 1 1 ` ° ' 6 - New' con construction construction C T V E- �' "4'D Lo mo lnu r• t elret,lr I Permut fees' are based on the value of the .cork performed e „ - - qi [I L ' 'it`.6C. - 3 ""'4" -. -- - -- indicate the clue (rounded lo the nearest dollar) of all ❑ . \ddiuon aircrauon'rcplacrnrtnl- ❑ Other equipment. material,. labor, orerhead. and the profit for O.e \�.ork Indicated on this application. C.\TEGORY OF CONSTRICTION — i_ -_ yy \ aluauon $ Z ! ?6 _ x I. and 2- family dd_•_elhne *Commercral'Indusinal r ). - :\ccesso l urldn10 - - ❑ \lulti_ family - - -- Number of bedrooms - 3 r - j El ❑ Master hider -- - I Number of bathrooms 2 Uther' JOB SITE INFORMATION .AND LOCATION Total number of floors Joh site address: 9J � \ , Vim--" —'°iQ' � � IMF _/\ e i Nev. d•. +elhnF area f E3 1 1 s feel ' � I v City 11 ( Garage carport area L4 '3')- square feet Suitebldg' apt- no.. l V �gyp - 7 I Project name {'�� � r Cur ered porch area �Li square feet Cross street'(lrrections to lob s `1 • 4 � — �� a• • I � Deck a 1 square feet Other structure area square feet I REQUIRED DATA: COMMERCIAL-USE CHECKLIST Suhdivision. I Lot no - fees' are based on the \clue of the work performed C `� ?..,\ indicate the attic (rotmded to the nearest dollar) of all Y rn Taap. parcel no . ( � 1 �^ `l 1 pj equipment. materials. labor- oN erhead, and the profit for the DESCRIPTION OF 1 V O R K - - I w o r k wichc:r(rd on this application. - S i Valuation - - -- -- - - - - -- - Existing huildme area. ' . feet - - Were building area square feel A PROPERTY OWNER _ ❑ TENANT J Number of stories - - l Name: OS �Y� T'.pe of construction: � Address: r - �IUa-RO 1 .._ !• ilik 411.■ i Occupanc} groups: City:State:ZIP. ••` L• i `a (1e-- 9 •' �� L - 1 — 22 rr . Phone: (5b1) 533 - LI�L Fax: (s o3) 3 '' rr � c (0 Nev ❑ APPLICANT CONTACT PERSON NOTICE Business name: 5C __) All contractors and subcontractors are required to be Contact name: - . �.J ``�� ,�_}�, c licensed with the Oregon Construction Contractors Board �~ under ORS 7 01 and may be required to be licensed in the Address: 3 0')P*_, jurisdiction in which work Is being perforrned 1f the Cite `State /ZIP: j applicant is exempt from licensing, the following reasons apPl` Phone: (So3) °t (.9- 1- t 15 3 Fax.: ( ) riyl t E -mail: I CONTRACTOR . ' Business name: 5 PA 1M 1---J BUILDING PERMIT FEES` • Address: Please re fer ro fee schedule. CCB tic.: Cite.- StateiZIP: Fees due upon appli Phone:( ) Fax:( ) 1399 �C� i I Amount received Date received: Authorized sienattlfe � �" ° � ���� / � 4v This permit application expires if a permit is not obtained • [{ wi+hin 180 dass after it has been accepted as complete. Print name: I D ��L�e� ( A • Fee methodoloe) set by Tri- County Buildin_ Industry Ser'ice Board. FiBmiding \Pernrcr BUP•PcrmApp doe I_ 03 340- a613T[ I I.r'2'CO'•OWEBI 1 Electrical Permit _application FOR OFFICE USE - / Cit.,. 01 1 110,:11"(] Received Caie$- PcrrruINo 1.125 SO.' 1 131A T'22' 1. OP 9 - - — - - - Plan Re te. Fht •ne frt3 , :39 - 1171 Fa _ ,'c 1';� - e L a : e , r ; G,!) r re nt inspection Line .0.1 6=9 - -_ . Date Rea"'c .„..x 1 El See Page 2 i r Inl:e,e ' -•, ci 1lgefd e us N enned'P•'etrod Suppirmental InIOrmat10n TYPE OF WORK - - -- PLAN REVIEW El . o. construction ❑ 'sddu rn.allernnon'repiacemenl — P e.!: 'leek a 1031 2 ❑Scr• ,- - c + e: 225 sirps. comm i 111Hazaidct15 to -cation ❑ Demolition ❑ Other - -- - ❑Se -, “ce .ci = ^ :imp , . -rau.g ❑Builds,e'.er10.000sq 0. CATEGORY OF CONSTRUCTION Cat 1- c:Id 2c21 4 eellmgs a or , Wore nev. residential El 1- and famiis- do- elling [1] Commercial industrial ❑ :\ccessor\ building ❑S s,cri c• cr brC '•oLs nominal mils in one sinxmre ❑ fknb.i:ng r.,ir three stones ❑Feeders. 400 amps or more ❑ 1u11i- ❑ ■triter budder ❑ Other ! poi.—:—pant Ic.id of ct 09 pclsons ❑ >.lanufaciured 51Tuc11::es or • JOB SITE INFORMATION ...AND LOCATION Of grei-s 1t?l:i:r.e plan R \' park e : —�j g `I 01- s l -cal ° f::c:ll;', ❑Other I Job site address /�� ' � � ,,,Q,� �� ��� ( � ------- - - -- -- Job no- _ - - - -- eJ�/U `r`n�?c�t�_�`?�kZ I t,. c :.. rf;;l:n s •. .7 ` -- - � i-c - n's re r., appL.ab e 10 lemporarr constrt cuon s ervice � \ Cil-..laie' L0. 0._'C - C` ) �� . 1 _ JJJ - - - -- , ; 1 i - — -- 0 FEE' SCHEDULE Suilc•bld9 apt no . I P rotect n m.rripnw„ 1 Or,. I f cc Tout Cross street d ifCCIIons to job stld i Vie residential single - ur multi- lamitr dvt citing unit. l Includes attached ryara;.e - I - _- I Stl It or less 145 1 4 -- RlSIQn - c , y-� ^, _ 1_01 no • C I � - a ad'l I (''J 5q If or pt:ruon 31 ail 1 �' 1 I 1 imltcd energy. residential 00 Z 1 map:'parcel no.: 1 • i l limited en.crc•. - . nonresldcnnal ;: 00 2 DESCRIPTION OF WORK Pach n'�am:facuneti ro modular tiskell:ne. scr and or feeder 1 90 90 2 — _--- tier, ic or Ieedcr installation- ulleralion, and; or relocation 200 amps or le,. I I f0 20 2 • PROPERTY OWNER ❑ TENANT r _� on tte 400 am _ l 1 1('6 S5 -- — ` 4 4 1 ant; > to h "rI amps 1 60 60 2 N'ame' -3-LS I hI)1 .unp5 amps 2 -1 i ; , Winn amr' (,( _ \ddtess. i� o � c .:_.t, :irons . t:15 �-- 45 6.7 ,� l Reeemneei e�r.1'. 66 Ss CII\. - St;II C. /.,iP. Ter» porar v scr ices of feeders installation. alteration. and,or 1,5 ) I retueanon Phone: ( - go o Fns ( ) s _i tl imp, of jOSS ; 66 85 1 Owner installation: This installation is being. made on property that 1 own s hich is not 2f amps u Jut) snips I00 _r. intended for sale lease, rent. or c\change. accordme to ORS 442. 449. 6-0. and T(11 i amps to Dili p amps 1 1:3 -` 1 - f.)ssner SI L'rlature: • - Date: ❑ ;ranch circuits- ne alteration. or extension, per panel ❑ APPLICANT �CON7:1"r PERSON l .A - F-cc loo branch circuits i•. 1 [ - C t i service or leerier iee, each Business name S \ I 6 is branch CITCUII Contact name: - � I f3 Fee (or hranch circuits S_ — ',- r;hnur sea tee Of feeder fee. Address: �[�/} e ach hranch cir tin a6 $5 ii ' ` I Each add'I hranch circuit 6 65 7 CitsiState /"LIP: Miscellaneous (service or feeder not included) Phone: ()9 ( c' _ 1`73- ?� - ( ) 5R yin Pump or imsatlon circle 53.40 1 2 Fax: ! I l ( Sion or outline lighting 53 a0 2 E -mail: Signal corcutr(5) or hmlted- - 1 1 CONTRACTOR i energy panel, alteration. or r extension Descri Page 2 Business name: z� F.\_12_ c -}- ri � I I , �C, 1� Address: an 1 O I I Each addilionaf inspection o,er alloable in any of the above {�"�' ����� ` /'` V- epee ., Inspection I I 62.50 Cit\: StateiZIP: �,.] l `� C� cO , r 0 e 9-�, t7 2 I ` ! ' ` U J lmesugatlon per hour tl hr min) t 62.50 Phone: (SO3) ( �'Z _A�Q/ \ Fa 4;11) J_ L j %_ 5 ! Indusrnal piani per hour i =. i5 E?')� Electrical c : ( f - tV -i j'� l ELECTRICAL PER Subtotal FEES* CCB Lic. 1 i 1 \ Supry- Lic : j Subtotal Sups'. Electrician signature, required A , �� i Plan review (25% of permit fee) 'CO ilk r Print name: a - - , - Dates Slate surcharge (8% of permit fee) ` —`," ,' - , - TOT.-\L PERMIT FEE Authorized sis ature: 41- • .r / - _i_ `` _ This permit application expires 42 permit is not obtained .vithin 180 da,s alter it has been accepted as complete Print name: c i C� � - f ____ Date: • Fee merhodoloe' :.et by Building lndusny Service Board "Number of inspections per perntit allowed. . i Buiiding.Perrrats`ELC- PerrutApp doe :2'7.3 ,40- 4611T(I0.'07.;COS1'•i-EB 4. Mechanical Permit Application •: FOR OFFICE USE ONLY _ Cit"~ 3f Tigard Receiied Diite E-: Perrin No 1:125 S'. \' Hall Bl d - Tteald- OR 472 Phone - 0: 539 I 1 Fax 593 196,4 Flan Re' ie • a :•n Date 3. Cihei Fermat 501 019 L l ins ec ion Line -117: p i411., 6. f '.: Dste Read. B'. iu. -5 © ire Page 2 Icr Internet . 0. - 9. - , \ ci Ueard or Ls - ueutled- Alethed Supplemrntal lnfor minion TYPE. OF WORK CO�r'\JERCIAL FEE' SCHEDULE - USE CHECKLIST New COns1TUCI on ❑ Addition alt ration repluccment .' perrnhl Ices' are based on the '.aiue of ft.,.. erk Fcr`r•rmed Inu:cate the '•;flue !roundel to Ole neatest ecIlar) 01 all ❑ Demolition ❑ Other rrechan:ca! n equipment. labor. e \erbezd. and Front CATEGORY OF CONSTRUC:TJOn - . -. - -- - \ `1Je g - RESIDENTL \]. EQL]P1\1ENT i SYSTEMS FEES' ( and 2- farruly dwclhne El Commercial. Industrial ❑ Accessory building - - - - - -- fur ; /'c'i tai H:;C ^rnCCn use cFfi 'r1: ❑ ".1unto- family El !Master aster builder ❑ Other - i?r :cniatin: - -T I Ea Total -- JOB SITE INFORMATION AND LOCATION Heating ng cuulinR - \u crrdwomng o: heat pump Job site address S 1 f � (icgcire site plan slit, me plait-men') t 4 (Q CIr\ -'ZLP: \� .!' - O �. 1 - futT)ate eentsl I 1) T - 1 1 VV { t -- Smte.l ldg..'apt. no , i Prot • n ;u ne �` \ f : ir ace IOC 00( BTl!_Juc!s, •mist 1 _90 -- .1�YLlT�. Gas neat pump — 1-r 00 Cross strect'dlrections to lob site. ^ Duet 'sett -- — 14 (1) `- 11\ drrn�c hot e ater s !4 p'j �i Rcstdennal boiler (radiator of _ — ImIror:c' la 0 Unit heaters Yuen -r,pe. no elccnitl. 1 t In ., -' Ind_ :ct. suspended, cu 10 or) Subdivision: T Lot no_ I Plus _cnt for an_. of ahrnc - I 10 idi • S - Other - -_ -__ -_ Ian(, Tax rnaprparcel no -: 0- • Other fuel appliances . - - DESCRIPTION OF WORK writer healer _ tire'.` -'- (i :is tIreplaic - i 10 Flag \rill for aaalci F,iatti to gac -- - T hrchlacr I I0 (nit I I %„ l i g h t e t mas I I 10 tit) ! V. nod pellet sto• e 1 u u0 \\ pod Ineplace insert - - -- 10 r, PROPERTY OWNER -1 II) TENANT Churl ;c'• liner true ii en; tt 1 n J(i T Other I 10.00 Name: V t- -` IO 1 r 1 1%Ui En\ironmental exhaust and v entilation Rank hod, tither kitchen ,Address • • r ` I. le ts, _ equipment 1 C' -00 Citv'State.711-Z �� r \ "� . • �� C'lnthes do l3 exhaust i 1 00 +Lr�L LU��`1J ) \ , In Stnele -duct exhaust (bathrooms, Phone' (53 )513- (.IO Fax: (56 S ) 53s.. q ( I toilet compartments, utility rooms) 0 -30 . D: AP•LJCANT- j. CONTACT PERSON Anic•crawlspace fans 10 00 Business name: shot) F Other 10 00 1 Fuel piping Contact name: re- t first for rst four: 51.00 for each additional ' Address: Furnace. elc. `� ' A + ` F J Gas heat pump CityiState.!ZIP: • \V all.'cuspended.'umt heater Phone: (563) 961_ `Lis ‘ Fax: : ( ) 5C•,(\ J Water healer E -mail: l ` Fireplace Range .. • CONTRACTOR - . Barbecue r •ll� \e ^^ • `^ Clothes diver (gas) Business name: 1 e, ^ _� 1 CO6 • o { lC Other: Address: • .`.. 0 • 2) ; - MIECHANJCAL PERMIT FEES* GrvState'ZIP: N Q • 9 `R `1 1 , 1 �� r Subtotal 7 Minimum permit fee (S 72 50) Phone (5:,) 591 -9Pz q Fax. ((503) 8[�ii- U -}QQ, l Plan review (25 °ro of permit fee) CCB tic.: ) 4 131 1..J Stare surcharge (3`i° of permit fee) l �� TOTAL PER\7JT FEE Authorized si lure: r This permit application expires it a permit is not obtained "(thin 130 - _.� dais after it has been accepted as complete. - Print name: (;' t t . 1 i -k Date. I • Fee methedo!osy set by Tn- Count; Building Indusn.• Service Board i' \Bo !ding C•PermirApp doe 12-03 440.46113 (11,02'CO',L \VEB) • Building Fixtures Plumbing Permit r \pplication '' FO1tOFF , ICE: USE O x s E ., Citr of Tigard Received Da;e,S I Pernui N.. 1.312. S'. Hall B1..d .'F'•gard.OR 97223 - -- - - - - - -- -- -- -- FI2n Re. I° Phone _503 639 4171 Fa-c `05 5^S 1960 44% Dare Fi' Cihet Per No . Hour Inspection 1.i 503 639 d . 5 Inlcrnci - v'v•+ a tigaid Ot us .��. : , male Feztriyi3. - e See Page : Mr Nculied'. •1et6ed Supplemental Inlnr mation _ TYPE OF, .1\ ORk _ — FEE' SC]IEDI?I_E �1�'e•.v censrn;cuon ❑ Demolition For special inforrnotion use check/or. Descr.; I Q:_, E.: P Total ❑ .Addiiion'alieration' replacement - ❑ Other y ei, I- 2- Tamil (1),cllings (includes 100 0 fn r each .inlii} connecnn) . CATEGORY OF CONSfRI _ S FR i; I i ha 2-19 20 t x:{1_ and 2- f_,mil•; d.'cllrng XComntcrc,aLrndus]rial SFR (2)h2:lr 350(x0 ( PR I3 ❑ Accessory bu,ldmg ❑ Multi - family bath 991 ❑ �lastcr hmldcr - -- I ❑ Other: -- 1. rich additional hath•kitchen a5. 0]) Fire ;I. f_ _ sq It) , P:rg: 2 JOB SITE EN FORMATION AND LOCATION; :_ Sate ut Job site address: _ • 1 t_. ,r Catch ras,n t +, .,ea Bran I , t 16 60 Cu, State'ZIP: ' ) cr. ` 0 c 41 I Dr_c+ell_Icach line, or trench drain 16 (-0 Suite.bldg rapt. no V Project name: (1/4 Footing drain (nn linear ft. 1 Pa_�e 2 t`lanufactured home utilities 110 ( Cross strect:Jirecuons to job site: , , lb to , f Manholes 16 60 -- — ____ -- - - — r r drain connector I 1 e (,( Sannar: se: (no l linear 0 ) 1 P — Sic.rn, sr•'•ccr l luicar 0 1 I I Pa : - p.r ;ter scr. cc (n, linear (1 1 1 Pare : .a • � � -- i - - - -- Fi.�ture or item - -- _ I- Tax n,ap'parcel no. 1(� ` la � — - 1 \ ,oipuon val.. e 10 t - - -- DESCRIPTION._ OF WORK. I)ack;Ic. Hier 1 2C _ L:,.k : irr „lie _ 16 ,T — -- -- tflc. ashen 16 60 — – -- — _ Dish,oa :her – — - __L_ IO c , Dr,nkme fount m If r'0 ., T PR OPERTY OWNER r, EJ IENANI”- — — Ejecti'Y sun :n 10 00 Name: L «.V A lb Expansion tank ]6 -50 Address: 1 to a8o W 3 • Ay, Frx rrre. :se•.ver cap 16.60 • Citv,'State%Z]P: r`` ` •. •/12- • • r, a Floor drain floor sink.hub 16.60 Phone: �3) 5 2a ` _ 1 460( .0 Fax: (563)5_ [80(0 Garbage disposal I 16 60 : _ 2 � -,?,w, <, ,. _ -,,� _ - •- _ 5 B 5t .r•,; c . o - (lo bib ( 16.60 r -' _ ` APJp L1C 4 t s e i t l V4 ;CONTACT PEIbS(TI ' ,vi +-:# „- - . �_ � . ._ rn . - _ .. . -F r- -�_ �� _-.! � �'`��"..'. �� � 'J/ , ^ ]ce maker 16.60 Business name: `, lntercepter.'grease trap 16 60 r Contact name: Cp t )Cl-7 LA Medical gas (value: S ) Page 2 Address: 3p l Y lE__1 Primer 16 60 Ciro /State/ZIP: Roof drain (commercial) 16 -60 ( 503) `�67 1 y53 I ( ) Met, T u b/ basinilavator y 16 60 Phone: Fa x: Tub shorter -sho per pan 16 -60 E -mail: Urinal 15.60 CONTRA�IOR rifer closet 16 60 Business name: E, • . u ,, � , ` water heater 16.60 Address: .2 `] 7n 6 � �� i � y I Other Cih %S[ate.Z7P: 1 ..1c "G 'fry Of? 1 a3 Subtotal Minimum permit fee. $72.50 Phone: ( ,3) t _ 1 c,3 Fax: (S/53) 1 _ c1 Residential backflow minimum permit fee: 536.25 CCB Lic.: b 10 A 1 - Plumbing Lic. no.:3q �U Plan review (25% of permit fee) Authorized signature: -- State surcharge (8% of permit fee) • ,£- ...A -. A i TOTAL PERMIT FEE Print name: Date This permit application expires if a permit is not obtained rithin 130 dabs after it has been accepted as complete. 'Fee methodology set by Tri -County Building industry Service Board E uitding - Perr,Jrs'PLMF. FernurArp doe ;2:03 a40. 46167( 10/02/COMTWEB) CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2004 -00327 13125 SW Hall Blvd., Tigard, OR 97223 Alio DATE ISSUED: 2/4/2005 Phone: (503) 639 - 4171 ° �,��rypullGl��l1� l Inspection Requests (24 Hrs.): (503) 639 -4175 '!!+�_ INSPECTION WORKSHEET FOR DATE: 6/21 /2005 TIME: 7:11AM PAGE: 27 SITE ADDRESS: 07818 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 012 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA. OWNER: JLS CUSTOM HOMES, PHONE #: 503533 -4006 CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503- 533 -4006 Inspection Request Scheduled For: Date: 6/21 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 009771 -02 503642 -2800 N Corrections /Comments /Instructio : ,\ t ) JS OrA tits, Li Gli E %IZT PPiwf_ f WIl C7 0 c -3 o-V*. 3>• -A,L '‘‘)kiArbLic._ ,g3 NotArtt oW Ofokit V Lob( 6 ONk \S Iti o‘V ) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 i. -- -Jc. - ( Date: -'/ - 'S Phone #: (503) 718- CITY OF TIGARD - , BUILDING DIVISION ' PERMIT #: MST2004 -00327 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/412005 Phone: (503) 639 -4171 � '.."'�'� Inspection Requests (24 Hrs.): (503) 639 -4175 ..._:_., • INSPECTION WORKSHEET FOR DATE: 6/22/2005 TIME: 7:13AM PAGE: 20 ' SITE ADDRESS: 07818 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWVNHOMES LOT #: 012 TYPE OF USE: PROJECT NAME: BONITA TOINNHOMES DESCRIPTION: New SFA. OWNER: JLS CUSTOM HOMES, PHONE #: 503 -533 -4006 CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503-533-4006 • Inspection Request Scheduled For: Date: 6/2212005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 009886 -01 503.209 -6124 Y Corrections /Comments / Instructions: 11 _ _ Al i y mil , ., P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR I SPECTION ❑ ADDITIO AL F ES ASSESSED ki4 , Inspector: f Date: Phone #: (503) 718 - % CITY OF TIGARD - BUILDING - B I ll I G DIVI S ON - MST2004 -00327 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/4/2005 Phone: (503) 639 -4171 ' ° " ""��° /�P��gp��PiN PE RMIT #: Inspection Requests (24 Hrs.): (503) 639 -4175 ___ __.. INSPECTION WORKSHEET FOR DATE: 6/21 /2005 TIME: 7:11AM PAGE: 52 SITE ADDRESS: 07818 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 012 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: 6/21 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 009760 -14 503 - 209.6038 N Corrections /Comments/ Instructions: / ' ---5- II,I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /O 9 / /,--) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00327 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/412005 Phone: (503) 639 - 4171 ����������U����I�ii� Inspection Requests (24 Hrs.): (503) 639 -4175 ._' °' °__., INSPECTION WORKSHEET FOR DATE: 6/23/2005 TIME: 7:10AM PAGE: 22 SITE ADDRESS: 07818 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 012 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: 6/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 009992 -01 503.209 -6824 N Corrections /Comments/ Instructions: 1i Agri . ��' J� I -.mop- — PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL F• R INSPECTION ❑ ADDITIO AL FE S ASSESSED `! Inspector: � 4kY/ Date: 1 W Phone #: (503) 718-