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Permit ,, . , CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00324 �' Alt; DEVELOPMENT SERVICES DATE ISSUED: 2/4/2005 '= --' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 07854 SW WATER PARSLEY LN PARCEL: 2S112BA -07300 SUBDIVISION: BONITA TOWNHOMES ZONING: R -12 BLOCK: LOT: 009 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 OCCUPANCY GRP: 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 < 100K: 1 BOIUCMP < 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: W/SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st W/OSVC7FDR: 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 REVIEWSECTION Reconnect onIv: >=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 JLS CUSTOM HOMES JLS CUSTOM HOMES This permit is subject to the regulations contained in the 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 lnsp Sewer Inspection Slab Insp Plumbing Top Out Insulation Insp High strength bolts fins Smoke Detector Footing Insp Plm /undslb lnsp Framing lnsp Shear Wall Insp Rain Drain lnsp Electrical Final Foundation lnsp Electrical Service Roof Nailing Exterior Sheathing Insr Storm drain insp Plumb Final Wtr Proofing Bsm't Wa Electrical Rough -in Gas Line Insp Firewall Insp Water Line Insp Mechanical Final I Issued By : ` w — „Ayr Permittee Signature : Gz--, i C�'CL (— Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day . , (- .. . (. I3iiihi]ing Permit Applicitioii FOROFFICEUSEONLY •f City of Tiailyd Recei.ed �3! B ' � - ff ; n„ Ic as 3e / 1.12 s\ H31I BI r ti ;:;. r r. 9_ — -- _ -._ _ Fl ie ', Phone iflj r?'r' -'.I ' I iali. fii- :G'` rr iY � - � ' 4 c �.: �. an Re' oihet. erm n _ , _ t � � �..� a � :..� � Dz;e'S:. j2.-- / 1 -o '� �.5� - I ,S t,A�zol� �0 3�'9 Ins ccuo [:nc '1 h ? J1 y p � I '" Da:e Read 1; . 1 r � O See AlracheJ Checklist tor Interne! - .` - .ti ci lizard c•r u5 No.ii:ec'.le∎h:d 1 ` S I .� 1 Supplemental Information I -- - ± — -- _ b Uhl ti-- — YRE O F - , n , _ : . , 7 i REQUIRED DATA: 1- AND 2- FAM1LY DWELLING C( \e t construction .1•� _. e' . ®@D.em,mhisiun Permit fees' are based on the \alue of the work performed �` i indicate the 'clue (rounded to the nearest dollar) of all ❑ . \ddition'alterauon replacement ❑ Other equipment. materials. labor. overhead, and the pr0Gt for the ork aluauol indi application on th a lication CATEGORY OF CONSTRUCTION I_' ' __ -4 \r. S � 1 -and _ famil_dr`_ellln ` ' Commeicrnlrmdusinal I S 4 O .4.m. — A - -- — — - -- - - -- Number of bedrooms 3 _ — 777 — I .14 ❑ Accessory building 11 \lulu - famil \laster builder - -- -- Number of balhromns 2. S ID ; ❑ Other JOB SITE INFORMATION AND LOCATION 70131 number of floors 1uh site 3 ddress: 3 Ck) ^ _ I Ncc d•teI1 ne area f lei square f ee wlv Sin State -ZlP ���� �y]\ T ( 1 —_ G3ra e.c rport area C4 3'1 square feet • vvv \ i� r Sur bldg: apt. no — � C I Project name 7 , Co' erect porch area. ` square feet • Cress sireet'direcnons iv lob site __ (� • . 0 �Derk area — `!� square feet -- _ — — — — — - I Other structure area square feel 1 1 REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision. ., \ 1Q • { 1 l. \Ae p f Lol no. per,„„ fees' are based on the \clue of the \ +ork performed 1 \ lndreatc the value (rounded ro the nearest dollar) of 311 Tax rnap• parcel no a ,F...,1 equipment. materials labor. o\ et head. and the profit for the DESCRIPTION OF WORK a - ork indicated 011 Ihrs application- - --- Valuation S - - -- - - - - - -- — — -- - -- Existing building area, q uare feet —i — — Net building i r c.r square feel • A PROPERTY OWNER ❑ TENANT Number of stories: — — — —� Name: as C— rL �n I Type of construction: .Address. ` (0� Q O J ^ r _ !. '• `a_ A I Occupanc., groups - Cits''State- Z1.P:� "w V � _ 9 ' ' ' `� Exlslllre 2 Phone: (5b3) 533_ in Ln Fax ( So 3) 3 Li30(.0 New- . ❑ APPLICANT XCONTACT PERSON NOTICE Business name ' _P e ) All contractors and subcontractors are required to he Contact name: —1- licensed with the Oregon Construction Contractors Board under ORS 70.1 and may be required to be licensed m the .Address: q jurisdiction in which \ +ork is being performed. If the Cih_"State.-ZIP: applicant is exempt from licensing, the following reasons C apply Phone: (S O3) 9(0,9— l �{ 5 3 Fax:: ( ) 5 ► �p ]m V E -mail: I f ' • ' - CONTRACTOR -- • Business name: 5 1 ' 1 BUILDING PERMIT FEES* Address: Please refer to fee schedule. City/State./ZIP- Fees due upon a 1 Phone: ( ) Fax: ( ) { Amount received l CCB lie.- , 3q 9 ---fc) 1 Date received_ Authorized sienna e permit This permit application expires if a permit is not obtained within 180 dass after it has been accepted as complete. Print name: p t; ,; — ,,--,_ Date . Fee methodoloe} set by Tri- Count` Building Industry Service Board. :'l•Buildmg`lernicrBUP Perm:: App doe i 03 340.361 3T! I i:P2'COMi uTB) t Electrical Permit .Application FOROFFICEUSEOI4LY J C11, of Tigard Received Dzie.B_. Per No 1312. SSW 1 01 T i. R Per-mill - - R � Pl:n e ie (I) 631) -11_ _ . )t,. 1 Ciher Ferm!I Fh.�nr _ _ 1 Fay 5c.7 Dave �; � 1n5re(e1n Line .C'. 6 =^ i c e a S r -- -- - — _, ,` ��.: , Dale Reams. -c, e See rage : for lnlemet •,-•--,, ci ngr.id rr I s ` Nc ifiedT.iclhed I Supplemenial Inlormation TYPE OF WORK - 1 -- — — PLAN REVIEW ❑ New conslrucllon ❑ ',d luton.alleranon.'rerlacemenl I I - ID e..se._''iec1 . 7,,, ha — ❑Set - .:er r" ei 27 a rpc „Omm'I ❑Hozardous I0131!0(1 ❑ Demolition ❑ Other - -- - 05 C ei _ :C. amps - raring ❑Bondi, o'• er 10,000 5q h. CATEGORY OF CONSTRUCTION I of I and : aril'. ,i',eihnss d or more net, resrdenual III I- and 2- family dt 111 Commercial. indusitial ❑ . \ccessor� bullding ❑S,s,ern c • er 640 • oLs nen,Inal nits in one srucnne ❑flurh.i:nc_ o, ihrce stones ❑Feeders. 400 amps or more ❑ Multi- faint ❑ Master builder ❑ Other I Doc,: -pan! Ic.)d 0 n9 persons ❑),Ianuf Wiwi structures or JOB SITE INFORMATION AND LOCATION ❑LFTrSI IIg1,1:P.g plan R■ park r l ❑11e311!I care L:.:11;, ❑Other lob na — - lob SIIe add ress27 1 -- ( f _ i - -° L. I St hrr:: sc.s r l Ln ts',+rtl any cl the abe Ci1.'S1a1e 71P :c ,:host :re :::1 acpL,ablr IG le:nparr; construction ser.tce - -- �L ��') � - Il — - -- -- -- FEE' SCHEDULE — Stule•bldg art no Project nall- I ,. Cross street. directions tojoh site Nr ++ rcvdential single- ur multi •latnily dwelling unit. — - - - - ���' - s ?Q )rlutles attached n. nri sq It or !es.-- 1 145. 1 : - 4 Subilitlslon Lot no dG� Li l:a add I _c(!(j c It cr portion j 3t .iT1 inked 1 (� ] cnergs. residential -5 00 2 Tax map:parecl no . S t �' p1 I united er.cr non residential 75.00 2 DESCRIPTION OF WORK Mach in:mutate nu nr modular I - -- dwelling. sort ;ce and:or feeder I I 90 90 2 _._- -__._— —.- __ - _____— — __� f ti e r , i c e s or let-tiers i n s t a l l a t i o n . a l l . , anon, and: or relocation =uP .imps nr less i SO 30 2 I 201 amps ro 4011 amps I I06 S5 I PROPERTY OWNER ❑ f TENANT ---- • ----- - - - - -- — ^ - _ \ 4. , amp:. amp:. .' . 3 :1195 — I lb() 60 2 Name 1 FL C�� ���_ -\__ ADD _1 1?GI :imps to 1 n I(1 ,1m, s I 2.0 (r1 ., l l_/ o (. L C • (),,, i'l , ,' , i : n�.P_Vl (11(5 J5- I.L I _ J Pec•nnccl only I 66.55 C It\ 5(40.. ZIP T - ��+ =I) �. ` s n ' f � Q �� 1- (` ` �( Q �Ternpurar+ 5rr ices or feeders installation. alteration. and /or Phone. (56 1 Y F relocation 533 - Iax ( ` S ) 5.3 _,tip or 66.4_, 1 Owner installation: This installation Is being made on propel t\' that 1 own which is not 12 ?i amps to 400 sn,ps I 100 3n intended for sale. lease, rent. or exchange. according to ORS 447. 449. 6 70. and 7(11 J amps 10 bvi alr.ps I 1 I5 1 3 Owner signature - • Date: L 1ranch circuits- new, alteration. or extension. per panel ❑ APPLICANT • iKCONTACT PERSON 1 110 101 branch 110.0115 l+vlrr 1 r > i branch or feeder lets each — Business name: I G,65 csn ..._. branch circuit Contact name - T3 Fee for branch circuits �e_ _ - . „drhnur service or feeder fee, 46 SS Address: el � each branch 111 2 ( E ach add branch circuit 6.65 , 2 Citv%StateZIP Miscellaneous (service or feeder not included) Phone: (r)S) 9 (Q ! , I `I e7 `3 F - • ( ) 5 R {�^ E Pump or Imsation circle 53 40 I } 2 ti✓ 1 ► l Sun or outline hahtins 53 4p t 2 E - mail' Slgrla! (rrc011(5) or limited- . ' CONTRACTOR eners,, panel, alteration. or extension Describe Page 2 - Business name: t e i<r-) F J } „ r rI C I I , Address: g 1 O c �t - \ ��C(� 1 C � �/ , L.K. Each additional inspection oler allowable in any of the abo e «) is � J p`� C Per inspection I I 62.50 City- State, ZIP • v„k ``�S \C1 ['Q 1 r 0 1C L - 173 I per hr mini 1 Ins e5hgauon hour t i 62 50 Phone: 663) (.O L{ 2 _ a � I Fax: ( ) r_ �2._ l 5B s I ndustnal plant per hour 7:. ; 5 l tv ELECTRICA1 PERMIT FEES' CCB Lic.: I t gR2 Electrical tc.: -1 -1 1 (,‘ Supra Lic : i 1 Subtotal Supra Electrician signature, required - Via II j Plan review (25'-0 of permit fee) Print name: a Cv� I Darr State surcharge (S% of permit fee) c h- ' - TOTAL PERMIT FEE .AUihonzed si attire: - f. - ab ` — _ This permit application expires if 2 permit is not obtained within 180 days after it has been accepted as complete Print name. c 1 - c - R,„_� Date: ' Fee methodo:o ? vsetb_ +Tn- County Building Induan_yServiceBoard ” Number of inspections per permit allowed. . i `_ Bui lding'.Perrats- _FLC.Per:rutApp der 12 ._ a 4615Tj10'0:7C01t ' t r mechanical Permit Application FOROFFICE,USE city J f Tigard Received Dace B: 1 Permit o 13125 SW Hall Bl\ d . Tigard OR 9 - ?_' - (� 639 r Plan Rei. ie•: Phone 503 a3. o a 1 "1 fax Win : GC,^ 3 I r_ Gihet Fern'JI Inspection Line 503 639 -t 1 _ _ p l Date Fend} B.• it, 's © See Page 2 Inr Internet \VW" CI heard or t, - Vetiliedi?s leihodi Supplemental Inror mation TYPE OF WORK r C0N1's1ER0: \L FEE' SCHEDULE - USE CHECKLIST New construction El Addis On'allerauon. reps sccment ` chantcal permit fees' ale based en - aiue e' tF- • perfo r- ca Indicate the , aloe iroundcc to the nearest dc!lao el all ❑ Demolition ❑ Other n .zchanical material equipment. !abcr. es and pro0l CATEGORY OF CONSTRUCTION — — Value g - -- — RESIDENTIAL EQUIPMENT i SYSTEMS FEES' ! [Z1- and 2- family dt`:elhn2 ,ICommcrclal:lndustrial ❑ :Accessory burldin2 - " - - -- - - -- ! fur . :n::r.• ;cn rice ch %let: ❑'`loll fanuly ❑ i\lasrer builder —❑ Other 1)c;_rpitn, - — T(�t, La Total JO13 SITE INFORMATION .AND LOCATION Hearing cuoliIT Air iurahlia :�rng ,,, hea pu - - -- -- - r — Job site addressrs Cf .3 �� W � � ' 7 I Itentnres stie pInn sh we placemenn 1-i 1.'0 Cit'StatcZl.P. `' ,r ^ ` O V 9 .1 Furnace i00.000Bfl -! lduc is'. vale) 1400 T Smte no 11A_Ql VJ I_... P ro j { :rmc. 1 r„,,„., 100.000' BTU Iditcis , mist I_90 o I n4T� _ Gas h_al m pup _ _ la 00 Cross strecidirections to job site: {1 P � - Duci . - - I bQ I J � - - °� K 11N drrnte hot water s }slim -- !a p; Residential boiler iradraler or hcd*t•n:c i 1 -1.0 - - — -- Unit heaters (fuel-i,pe. net elccmc). ! in _'v. all. m- tl.;il_ suspended, etc _ 1') 0) I Suhdnlston 1 Lot no - _I luc _cn! for an_.' of ahmc 10 00 S — i ____ _ I -- -- - -- ll 4) Ta.N rnapparcel no.. • a • I Other fuel appliances DESCRIPTION OF WORK ',\ titer heater 10 00 _ -- — Gas fireplace 10 00 I Flue en( foi n :tici heath Or ens -- — " fireplace — I 1i. (.n 1 I inn ! i g h i r r f lay i I I0 iikI _l• Wood pellet sic 10 u0 \\ o.n1 hner`laie insert 10 00 .r, PROPERTY OWNER ! Chin ;i, bier flue 5 cn; - I0 ._'0 ❑ "TENANT — I V either _ 10_00 Name: at k la 'n/1 ,•w En, irunrnentalexha ust and , entilalion \ddress: :11 1 Ranee heed usher kitchen ' L. ■ 1. ts- _ Nutrient 10 0') Citv;State,'Z ► C lothes dryer exhaust i 0 00 Single-duct exhaust (bathrooms, Phone: 563 )533 _ cio Fax: (56 S ) 533 _ qsatr) I toilet compartments, utility rooms) 6.30 ' ' D APPLICANT-" . CONTACT PERSON Atuc.crawlspace tans 10.00 Business name: kS� Other. 10.00 Fuel piping Contact name: r 7 '' y A - , $5.40 for first four: 51.00 for each additional Address: [ 1 \ L \ V ' El Furnace. etc. � 1 Gas heat pump CiN State. ZIP: \Gall.•suspended.'unit heater Phone: (563) 9(p1_ 1 14,5, Fax: ( ) S (� F ! Water heater E-mail: SC Y\ Fireplace Range . CONTRACTOR Barbecue Business name Clothes dryer (gas) .■ &..._ ` 11111✓... II lb.a I .. Other: Address: b . l9 5 b ,, MECHANICAL PERMIT FEES* CirviState.'ZIP: �10 � 1 O � • 9 '} Subtotal -} \ �� Phone' (a 5 9i — t 2 Fax: (563) i - D -QZ 11ireview (25 permit feerrnit fee) c R 'r ) Plan res(25% of permit feel CCB tic.: ) L1 1 31 Li State surcharge (3` /u of perinit fee) -------` TOTAL PER\11T FEE r - Authonzed si u 'attire: • • r- This permit application expires if a permit is not obtained within 190 ,' _ Al. da after it has been accepted as complete. aell I Print name (' ) 4 • i TC — k Date: � ' Fee methodology set by Tri -County Building Indu rr. Service Board i ` MEC- PcrrmApp dcc I'.'03 440.46171 I I Ir021 COAtitEB) w r Building Hstures Plumbing Permit :\pplic:ition FOR USE ONLY Y,: City of 'Tigard Recer.ed De -�� Per ial N. a; 1312.5 S'l I-1211 81%d . T ;gard. OR 97223= Flan Re..lc Pbonc ' 6 41 Fax `G_ 50'S 1960 ocher Per cur No 2-1- Sn_ 6 _ Da�elip - -- — - — — Hour In_pccucn Lne l ' _ ::, `S..�t.;. Dale Re.:d •B- � - E See Page :tor lnlcvv. cl vr, ci ligard cr u5 NcNled'.-ie:hcd Supplemeoral 1nI0rmation -� (- • l�l e'5' COfLtitrL'C l)On J< --- - TYPE OE 1VOR - - - _ - FEE* SCIIEDIIE V' - - - - -- — -- -- — For special inform wl on use checklist. / r_ 111 Demolition r F. 1o,al ❑ Addition alteration'replacement ❑ Other Nevi 1- 2- laical liwellings (includes 1 o 0 for each twin', conneci'tin) - - - CATEGORY OF CONSTRUCTION S1 t, 1 1 hdlb lac 20 K I_ and 2- fanul': d c clling 1_ommerual:'mdtistrial SFR 12) bath 's000 ❑ Accessory builJnre [1] Multi-family SFR . bath :09 oo El \taster budder — — ill Other — I. ach additional bath-kilchen a2. 00 Fire ;sprinkler ( sq ft ) Pace ' _ _ _ -- < JOB SITE LNFORn]AT1ON_ AND LOCATION',_; site utilities - Job site address. r sy . \ � ( c k C atch basin or ::lea dram t 16 60 C YState'ZIP- 4 } • r 1 —4- Dr. leach line, or trench drain I 16 0(1 / CW Swte:bldg rapt no • Protect flame ( (x Footing dram inn linear ft ) Page — -- `�T 6lanufacnned home utilities 110 0 0 (=JOSS street directions to job site rnpph - -- -- - --- �� J Manholes 16 60 Rain drain connector 16 60 — Sanitar, 5e (no linear it ) Page -- -- — — . Su•rn: se. *cr (nu linear ft 1 Page Fixture or item Suhdrsisinn ` 1 1_ot no ,Mel se t. (tin linear n • 1 1 p..:1:<- p..:1:<- li,• 1 1 c. - _ 1 item -- - - -` -_ Tax map/parcel no a 1 t K_ica�` _ -- - +►�L lhsoiFuon .al.c I6r,f_I DESCRIPTION OF WORK 'hallo. pie. enter Pare _ - 1 l lethc asher 16 60 - - - — — --- Dish'',asher -- - - i 16 6 - - PROPERTY OWNER Drinking fountain 16 r 0_ Flecl Drs sump 16' Name. L 16 -60 `- w C�CYY'C E xpansion tank • Address' , a.O ( ., 3 . A h _ Fu;ure sewer Cap 16.60 Cily,State ZIP tt` ` `. •a_ S r• a Floor drain floor siniohub 16 60 • Phone ( ■ 333 L/ (D Fax. (56'05 _ 4806 Garbage disposal I 16 60 t ❑ PEIbSD r }lose bib I 16 60 r r.LICAN. r 4 ". ^ CONT C'F` l ` -X ]ce maker 16 60 Business name: L interceptor.'grease trap 16 60 Contact name: Medical gas (value: 3 ) Page 2 Address: 3f;\EJ Primer 16 60 City /State /ZIP: Roof dram (commercial) 16.60 ( 503)0 (34,9°- Iy53 -( ) (�� Sinkbasm.lai.ator}• 1660 Phone Fax: �. Tub/shower/shower pan 16 60 E -mail: Urinal 16 60 CONTRA ..__ aler closet 16 60 Business name 12 U!l r , 1 E, i • . u ' , Water healer 16 60 Address: 7 e _ \ Z \...... , \ hi _ Olher- Cih%State:ZIP: "'- til \.l�S C? 93-10 Subtotal (56� (.P2- g — G ' I Fax: (�3) ( _ (bk�� Minimum permit fee $26 -<� 6 5 Phone l Residential backflow minimum permit fee $. CCB Lic.: ra to t ") 1 Plumbing Lrc. no :311 a� f1 Plan review (25% of permit fee) S ---s permit fee) v State surcharge (8% of per Authorized srerrature: e r,---, TOTA L of IT FEE per Print nam c_ -(_- \ Date: This permit application expires if a permit is not obtained within 4 1 30 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board Eailding Pcrmils'YLMF- r'ernuIArp doe 1::97 '40.46 /02JCOMOVEB) CITY OF TIGARD , BUILDING DIVISION PERMIT #: MST2004 -00324 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 -_— INSPECTION WORKSHEET FOR DATE: 6/14 /2005 TIME: 7:10AM PAGE: 24 SITE ADDRESS: 07854 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 009 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: 6/1412005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 009220 -01 503 - 642 -2800 N Corrections /Comments /Instructions: *ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: l7 1W1`/ Date: 6/l Phone #: (503) 718- CITY OF TIGARD - • - BUILDING DIVISION PERMIT #: MST2004 -00324 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4 /2005 Phone: (503) 639 -4171 /0p joplli'I K Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 27 SITE ADDRESS: 07854 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 009 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: 6/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 009885-02 503 - 209 -6824 Y Corrections/Comments/Instructions: da t INSEM1111 1 IF 'V 1111111111111■ NMI/ - . 'r I I ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL C ' LL FOR INSPECTION ❑ ADDITIO L FE: S ASSESSED Inspector: i/ I Date: 0 Z IP 'hone #: (503) 718- CITY OF TIGARD - • - BUILDING DIVISION PERMIT #: MST2004 -00324 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 26 SITE ADDRESS: 07854 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 009 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: 6/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 009885 -03 503 - 209 -6824 Y Corrections /Comments/ Instructions: ..• I 1 UM Met PASS ❑ PARTIAL APPROVAL. ❑ CANCEL ❑ NO ACCESS ❑ FAIL U CALL FOR INSPECTION ❑ ADDITIO-AL FE - ASSESSED Inspector: , ,' Date: , hone #: (503) 718- CITY OF TIGARD • • BUILDING DIVISION PERMIT #: MST2004 -00324 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: X4/2005 Phone: (503) 639 -4171 /o iamra lf 'I����� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/21 /2005 TIME: 7 :11AM PAGE: 5B SITE ADDRESS: 07854 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 009 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 009760-08 503- 209 -603B N Corrections/Comments/Instructions: 4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS s1 :IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: d I/O Phone #: (503) 718 - G