Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00264
jib DEVELOPMENT SERVICES DATE ISSUED: 10/27/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07850 SW BROOKLINE LN PARCEL: 2S112BA - BT021
SUBDIVISION: BONITA TOWNHOMES ZONING: R - 12
BLOCK: LOT: 021 JURISDICTION: TIG
REMARKS: New SFA
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 167 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 820 sf GARAGE: 585 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 787 sf RIGHT:
VALUE: 181,320.30
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,774 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 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: $ 6,903.03
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: 503 969 - 1453 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 lnsp Plm /undslb lnsp Framing lnsp Shear Wall Insp Rain Drain Insp Electrical Final
Foundation Insp Electrical Service Roof Nailing Exterior Sheathing Ins F Storm drain insp Plumb Final
Wtr Proofing Bsm't Wa Electrical Rough -in Gas Line lnsp Firewall Insp Water Line Insp Mechanical Final
� Issued B Y ��� A Permittee Signature : t. ��.. - J
■
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
Building Permit Applicat FOR OFFICE USE ONLY
City of Tigard Date/By: p / v d Permit No. / f ... g a4
13125 SW Hall Blvd., Tigard, OR 97223 18 20 • Plan Review j �
Phone: 503.639.4171 Fax: 503.598 1960 AUG k or' N / � 'Qiibyl�"I Date/By: io -I-01 /5 -S 3 Other Permit � (ghee � 00 Og
Inspection Line: 503.639.4175 ` 1, . Date Ready/By �' Su 0 See Attached Checklist for
Internet' www.ci.tigard.or.us CITY OF TIGA Notified/Method• pplemental Information
BUILDING DIVISION t" 4 kXV\
`
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°a. A1GI ltiX�DW ELL
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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, and the profit for the
�:, . ',� ° _ : -; :yr' r� = %s; "�'s work indicated on this a lication. �
r n , §t ;,� , ` CA GOERl OF C ON If AiJGT IO N :... . ; .,, : <r . O.
Valuation: S / 01 J -Z - -
X 1- and 2- family dwelling Commercial /industrial —
Number of bedrooms: 3
❑ Accessory building ❑ Multi - family
❑ Master builder 0 Other: Number of bathrooms: 2. !.�
:tw,,, ;x -. ;.:,, ; r� ".'W 4,; , i ° :IO �", _„ . .. . Total number of floors: U
':' ( x ; . JOB $ITETNF }AND I;QCATIQN 3
>:a =}� s vt �.3�$3"�:� - .�� � : . A, .. c3,7»'m �a :1+",cSa. �..a ,.: , ,. . >::.__.� ��•'' � :..'. - , .�...
Job site address: 8,5 s tio .6gODi 6-IM (°4Aic New dwelling area: ', - 3 .(J square feet
City/State /ZIP: 15 c Q") ) NZ- 7 Garage /carport area: 5 g A.
�� � square feet
J V - •
Suite/bldg. /apt. no.: Project name: � � Covered porch area: �. square feet
Cross street/directions to job site: 1n xk..n c\-- cay\ (XI, e VP-eV T' Deck area: l square feet
Other structure area: square feet
f EQYJIRED DATA .:a...,,..:� GOMMERCJA = 1SEsCBE,CKLIST
r �,:�.
Subdivision: i t6n: dWn 1 \ y.sp s Lot no.a 1 Permit fees* are based on the value of the work performed.
� � � � � Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
'�: J t 'it "k = l',i, ,r,1?%; .r^�" R . t '`' • ...., e:>£3 f `es?2- t3'-." t, i :K. :5" � v 7+�t' 0'
it V D4,w,: II'TTQ_ N.Ok` :'WOIb,K ` t* ,* ,�. - wo rk indicated on this application.
� � y r .' :� e,,. ` t . y ' _ 1� \ a - 4.- -- 4. , a(?),(. Valuation: V.�1 $
Existing building area: � square feet
New building area: `b , I - L! 4 square feet
°' � .v �'+ _ ' � ` ' t : r � Number of stories: ‘'id ,. , ;, (5 9 z.gRg1. ,.wa I SOW - N E R ' 7 *t I - � a ; , :tk . a« 3 NAME 1 ' ' +: i t V .P.< <',n': `.jlieR£.. ,3�^...sss'E f- a' # ..7 -.4'4- t.
Name: �.1 L5 Cujtrn s Type of construction:
Address: fi (Dag NY K.) 1� Occupancy groups:
City/State /ZIP: ` vi r 0re 9 •� Existing:
Phone: (b) 5;�3 - L[dp( ' (S 03 ., Lie7010 New:
'�y';kiy,"P�" �* ;-:a''a"�'�x�;F`�" °.T::�- ,,,.9 n • ''3 v =`"" .-�' .� _ �, �.'S -, - .,s„ r '�y�.+r , g3 ts'�'= _
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Business name: S' f F -) All contractors and subcontractors are required to be
_ �
Contact name: / licensed with the Oregon Construction Contractors Board
-S under ORS 701 and may be required to be licensed in the
Address: 9 .\1 : jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: apply:
t� W�c Y
`hone: (S C$) at (e q t ' — t s 3 Fax: : ( ) * � 1< • l C_,
mail:
y?2! +.,It 5 7 ?¥ °t. ..^, kiie•�5;+st,3;.4:v. r,:€}7' :: ^ - r ? it'�4: : 5..� "Vi'4s„Sct.�y i+. + %<
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'ness name: - g ,4-�•;' m`';.�u unit `•-; 4P,'
m ;;, B Lb IN E R1l.TI T EES , ,. ...
:3':.'m'<. M�a fi g::';. , l�Yr'' t'.. ;,,:�*.:•�`sG'lY'Z?;:
,..:
Please refer to fee schedule.
tate/Z1P:
L Fees due upon application
( ) Fax: ( )
Amount received
199 Date received:
d signatl}fe: / This permit application expires if a permit is not obtained
••
, lag\ ■Air_ within 180 days after it has been accepted as complete.
b G i - rj -i- j Date: * Fee methodology set by Tri Building Industry
Service Board.
BUP- PcrmitApp doc 12/03 440- 4613T(11/02/COM/WEB)
Electrical Permit Ap -ii �caf aQ FOR OFFICE USE ONLY
t� � E.
City of Tigard Received Permit No.:
Date/By:
13125 SW Hall Blvd., Tigard, OR 97223 AUG 1 8 2004 Plan Review
Phone: 503.639.4171 Fax: 503.598.196 -4 tr, 'di� ivi l l "� Date/By: Other Permit:
Inspection Line: 503.639.4175 i'I I� Date Ready/13y: lures 0 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method Supplemental Information
`V, .r,tw:"Aivi :.r:; . ?�z:., ,..,p= : r.: .- }
z V.t;trEe = r,:r;'g-:
E . u
k ^ +c3z-
�� �• - PlAN t R . E �'•'IE.
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, xs: x»i+?t _ -, _ � _ -ivP�_ „ ,. „ - .rx.•.a_ �» ^�%� �. _ ...� , .
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l EHazardous location
s *: „_ Vi _.., _ ” F r „� y „ y _ x ^ _, r k _, ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
iy „ t,K `' "-- '` ., , .= A16.-97 =OF° ia,.: R,,P ' '�'r� °` - °'" ` r i t of 1- and 2 -fami] dwellings 4 or more new residential
�r i'r�w:.:.;:'�.3. ?..,.; �:i,.�.°2�^�*:xG.%_5ste� x:;:.�.rs ;. ...',.,* =rte �: �:? �c +!:iw;.sc::o... »::r- a�r�+•+�: =, :x`,.'s;�......”
.. , .� -... i.J , i.. _. y g
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other: ❑Building over three stories ['Feeders, 400 amps or more
ry y Multi fn + Pr,... m, e , r tl _ y , :..f-> ❑Occupant load over 99 persons ['Manufactured structures or
;? > "•. ,t-; � ,,, i J OB SII•T "�AINA O CAT I OPI "- i,r M µ ❑Egress /lighting plan RV park
Job no.: Job site address: ❑Health -care facility ['Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: C - ^ ` O� - The above are not applicable to temporary construction service.
V f .u.:. r z�,'.;t =� .: - - -
Suite/bldg./apt. no.: Project name `� .162 -.:<.: FEE *': §07 PULE' -
�tAn....... Description Qty. Fee. I Total
Cross street/directions to job site
rbC3'A. � � � n O � S . QQ � New residential single - or multi - family dwelling unit.
` Includes attached garage...
1,000 sq. ft. or less 1 145.15 4
Subdivision: .� ei �� Lot no.
Ea. add'1 500 sq. ft. or portion 3 33.40 1
�� } 1 ' ' " � < Limited energy, residential 75.00 2
Tax map /parcel no.: (..)S I IX � Limited energy, non - residential 75.00 2
- 1=3� �`�n -_ -^*.�` �:�t; =r. ,x -,+%� - - - � mss:- cr •. � w.,,�s•c,� }� .erow - ,.m�c;�,;�; �.
j E , = , DESC 0 rizi gl ; � 4 `= -a Each manufactured or modular
. dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
• 200 amps or less 80.30 2
':, ' •.°..t'p ;: 4;a- e> x .-: fnz�z:: iN r -t ry z x .,: ,...;rrr, °.; . ..1' 201 amps to 400 amps 106.85 2
ir;_1'RO 'R'Ti'= OWNE' ", ` , k fE T .. , as ., , tLi
.','.'#44;? . vat*.. z`:, x„ r+:s:. -. ray' ?< ��,`,+<:' a f,'"�u.''�x3`$'si5� >n- . �v..saa;; « -: 3= _
=ia.::rF.'.:t
� s 401 amps to 600 amps 160.60 2
Name: C j . C t� �Y � 601 amps to 1,000 amps 240.60 2
Address: l (' p�
`6 ^ F � 0r ` �: ..\V _ t l
c k • " Over 1,000 amps or volts 454.65 2
Reconnect 66 2
City /State /ZIP�M v � � Q� � ��� Tempompo y se services or feeders installation, alteration, and/or
,
e � ..l � f/� jj�� relocation
Phone: (gp3 ) SA2 /Ay) G F ax: ( Z ) 533-- 4 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Dater Branch circuits — new, alteration, or extension, per panel
� I . il -rAPYL c NT i- 7 ' V "aCOI >FA EERSb IF i , ° A. Fee for branch circuits with
� �''�'''�„�'`�" [ "'"'��'° � �` '�. �•' -.�' service or feeder fee, each
Business name: branch circuit 6.65 2
Contact name: — B. Fee for branch circuits
without service or feeder fee, 46.85 2
Address: 1 • � , • each branch circuit
CS i ► /� l [ l.J Each add'1 branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: (s ) Cj (2O - 1 q I Fax: : ( ) s / J ME Pump or irrigation circle 53.40 2
i Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
aa55, : rr'. ; w - =° ;; -- ��> : y;r� , off'{' `■ �-..��',° „ '�• _ 'e` = ^rv' = Jr; energy panel, alteration, or
+', } ","„'Y;.,Y;{rti:. 4 :" -h� "i$ P`' i . T'z?ed3,}sx;as ! a: 5 v - 6 .,:
r � `I �� E U. .' •
Address: a3g
Business name: �' - C extension. Describe: Page 2 2 1 V w �' , ` 'Q�E 1 t_.N ' . ` Each additional inspection over allowable in any of the above
L Per inspection 62.50
City /State /ZIP: t \ _.'\ c ro Q1. t73 Investigation per hour (t hr min) 62.50
Phone: (�3) t� 42 _ j a OCR 1 Fax. Wet) 042 5 1S Industrial plant per hour 73.75
"'=E4EGTRIC'2 RP gA FTEL S*
CCB Lic.: l `gg2 I Electrical :c.: q - , Suprv. Lic.: Subtotal
Suprv. Electrician signature, required: ,„.1 / / Plan review (25% of permit fee)
Print name: a 6V tom-' 11 `
l" ue ,s State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized si: • ��\ , ' , This permit application expires if a permit is not obtained within 180
L A �S
days after it has been accepted as complete
Print name: c, ii CL e - Qom _�1 Date: * Fee methodology set by Tri Building Industry Service Board
** Number of inspections per permit allowed.
i Building \Permits\ELC- PennitApp doc 12/03 440- 4615T(10 /02/COM/WEB
Mechanical Permit Application fir — Th m FOR OFFICE USE ONLY
City' of Tigard iri= Vla —410 Received
Permit No.:
Date/By:
13125 SW Hall Blvd., Tigard, OR 97223 . Plan Review
Phone: 503.639.4171 Fax: 503.598.196AUG 1 8 2004 444410001 Date/By: Other Permit:
Inspection Line: 503.639.4175 '- ill Date Ready/By: Jurls. El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
CITY OF TIGARD
.dieta,h iqw :=-,,,:, ,,..--- CO S
.--c-------- —; --- '• , ', - ' . -
, 4„:•, , -f , rit. ,-, -,•.i.vir ,- -,,,:pni•,• - •TyPEO- , x...m•- '': USE CHECKLIST
•
't,-,:.-::::-,,, i."." ' ' '' '
Mechanical permit fees* are based on the value of the work
New construction 0 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
riql4W:iV' VOVSirirefltW'qg-r l''W:':''': Value: $
L . 1 .,,,. , i;l,ll'i., ,.,._--
RESMENtIAL-EQUIPMENT./ SYSTEMS FEES*
5;(1 and 2 dwelling 4 Commercial/industrial D Accessory building
For special information use checklist.
0 Multi 0 Master builder El Other:
Description Qty. Ea Total
i:t-VZPeq Heating/cooling
;/.4 .- .'',11,-:-IMM, -.s..c, -4 ..ei! :,,, e.,,,,,,-5'.V.0....A.,.■'U.:-,,^i,',,,) :tili
Air conditioning or heat pump
Job site address: (requires site plan showing placement) 14.00
—.....--
City/State/ZIP: 1 i . 4...clu r - C) 0..... i 1 . Furnace 100,000 BTU (ducts/vents) / 14.00
I Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: 0 Project name.Zo
Gas heat pump 14.00
. C .
Cross street/directions to job site: j %)..& 26 c \.....c any . l. s Duct work 14.00
Hydronic hot water system
14.00
Residential boiler (radiator or
.
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
I
Subdivisionr6 '1 – T ett. , 1 1..V ilvos , Lot no.: 2, 1
vmliv. Other: 10.00
Tax map/parcel no.: 4; 5 1 u i... 1 vi,. 1 Other fuel appliances
4r4„,appici„mt•or...wizz;,, Water heater / 10.00
•
Gas fireplace / 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
. .
• Wood/pellet stove 10.00
Wood fireplace/insert 10.00
30:31:0 wAetripir iszvAtsf AfXVI ffi.W;MR Chimney/liner/flue/vent 10.00
iiimaii
',1•44 3 ;i1M-, , ONAV 1Aliftiir.roW o t h er: 10.00
Name: T. C_A ) .1\00VeS Environmental exhaust and ventilation
Address: 1 6 „,,Q8c. ) t ,.. a , 3 ar:,(ria..L. Range hood/other kitchen
equipment 10.00
City/State/Hr& r i s .., , , IN - cy, Clothes dryer exhaust / 10.00
V1/4_ • Single-duct exhaust (bathrooms,
Phone: (563 )5 . _ cloNtn s ` )
Fax: (56 S ) 53s. 4136 ( toilet compartments, utility rooms) 3 6.80
OrinettliWirerNV% 4ailX:nntlfl-Vt 'Ittb Mr6Irifil Attic/crawlspace fans 10.00
rh:CA!" tr•flvite.,..:.:•" ......-..66u'..761, ,:r :, rir:5r-V".0.6',-1,li - : ;i' - -i. .i.';:'..,i
Other: 10.00
Business name: sf\liv E
Fuel piping
Contact name: 1 Irtb......
e.... $5.40 for first four; $1.00 for each additional
\cv\c, Furnace, etc. /
Gas heat pump
Address:
C
City/State/ZIP: . Wall/suspended/unit heater
Phone: (56) 969_ 1q53 I Fax: : ( ) Sk;cy\C
V . Water heater
Fireplace
E-mail: .
Range
` Barbecue
f••::i••&:,• ,,,:m.,,,1
Clothes dryer (gas)
Business name: It . • 4. lb & .
Other:
Address - 0 • b ` (0 S63 : . . li L.'alEi,,",:!,. 't,g:jrlf,trAtse-,A,I,=-„;,:,
z•tzt...:,:tENVI:M-W
•
City/State/ZIP: 0 C • 9 i-b0; Subtotal
i Minimum permit fee ($72.50)
Phone: (561) 5 91 _ct 2 i i Fax: (53)q.. (y) .
Plan review (25% of permit fee)
CCB lic.: 1 4 1 31 Li State surcharge (8% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized siy ature: • • ..--- sh days after it has been accepted as complete.
,. ._
% IMINIO•' - •*•••;:a//// -
Print name: p 1 :.. 4- - er-la.le Date: * Fee methodology set by Tri-County Building Industry Service Board
i: \Building \Permits \ MIC-PerraitApp doc 12/03 440-4617T ( I I /02/COM/WEB)
Building Fixtures
Plumbing Permit Applica`ia( (� 1�/ �rn) FOR OFFICE USE ONLY �:
City of Tigard Received
Date/By:
No.
13125 SW Hall Blvd., Tigard, OR 97223 AUG 18 ^ r Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 //H:in uii� 1' Date/By. Other Permit No.:
24- Hour Inspection Line: 503.639.4175 c .;.�„�. `I + Date Ready/13y: Juris. El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TI!Cir p4' Notified/Method: Supplemental Information
»..;3.w , .= .�gsr:; ' "hi8 ";;t$ >__ ^ _ - .:x: •e„ : s�ys�i: �z ° `i 'Hx. -,°' �• - 2i� "' ^�'s>��-?.14��: e. � - . ,
a.Nd jxrs. • _ : a, -;.g - �}yy..�t -., ^ ". - - - :S '" ^�a:z_:* N'1 - r - -
^z , t ... ° -.0 ,� g S `T'•1PIu`;O :3 OFCl -� +:: ` z : 4... FE, .. SCHEDiJI E
• Y zru�� :...� Sr i..' s? � t. t�=.• � - �„3�'� -. �:4�"'���'�'.e�� ;��:_x's%i�?a i�' ...-� - ...�.n ..... ,.. > . ... .. ... ...... ... ... .. ..W. ...
gNew construction ❑ Demolition For special information use checklist
Description Qty. I Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
_, y: sw''+ .4'.• '6`d `.1t ;- ,'t.7; ; e {' FC;.�a�:',�it ssba" V :es'�n .Y.:a #tsi fM`.:. : `9' : r,`�? , •;t•:: `: � ;1= • "s w:!
lit a. - ; :... GbA l } O. RU T)La 17i' ,'ag I �:.,..,. SFR (I) bath 249.20
.+ =",zr, �e::x;xe �''��.,�;. v.. �» :S!.:7 d-^ s� 1 ... � .s.:a. > ,. ..
tXr1- and 2- family dwelling ►. Commercial/industrial SFR (2) bath 350.00
❑ Accessory building El Multi-family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft) Page 2
�i � 4 a.° _��°�s� �• �. • t:= c: ;��;::�t�Ga��.a�����4�°.�� a' t'. Site utilities
Job site address: Catch basin or area drain 16.60
City/State /ZIP: 1 Ice ' ` P 9 - Drywell, each line, or trench drain 16.60
Suite/bldg./apt. no.: v Project name: Footing drain (no. linear ft.: ) Page 2 k Manufactured home utilities 110.00
Cross street/directions to job site: ' ii t t _ , iial
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
' Storm sewer (no. linear ft.: ) Page 2
Subdivision: _ •� t Q r V . Lot no.: a Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: a Fixture or item
' r A � � � a "t ., mow : ,t-iu Absorption valve 16.60
' z :of`� .` `, :;s I ® s , a . ;, ' is Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher i 16.60
,• �.:.> Drinking fountain 16.60
1 . 2 P a R . te _ `,i tors su
Ejec / mp 16.60
Name: Ti-S (,t,). ZC\ml?S Expansion tank 16.60
Address: I l0 aBc 3u3 ( 'A Fixture /sewer cap 16.60
City/State/ZIP: , iai t• A • p . �, Floor drain/floor sink/hub 16.60
Phone: a ) • ._ Li a . . Fax: (SS )5 _ q ..(0 Garbage disposal 1 16.60
u� ._ Hose bib 16.60
. h � a Or .. . - '« . + , I A a s -
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
r
Contact name: q et..N. Medical gas (value: $ ) Page 2
Address: 3PW‘E, Primer 16.60
City/State/ZIP: Roof drain (commercial) 16.60
Phone:
( 5 p 0 C6- Fax:
14'53 ( ) % V E Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
gyp' ' - T° F fi.
', • �29 ,,, i - x .r * { $ '' � t. wa _ water closet 16.60
Business name: E la - • lb • Water heater 16.60
Address: `f t t� �
�� _
■ Oth
a er:
��,Sbd vO ' ' L <�.. � Subtotal
City/State/ZIP: \Ai
¢' Minimum permit fee: $72.50 p
Phone: (553 t L `.� Fax: (as) La t L Residential backflow minimum permit fee: $36.25 3 1
CCB Lic.: b Ct.. , r' Plumbing Lic. no.:3Lf - : Plan review (25% of permit fee) L -
State surcharge (8% of permit fee) 3 LI
TOTAL PERMIT FEE .
Authorized signature 3 ^ I=
A.
_-411
Print name: - Date: This permit application expires if a permit is not obtained within
" t *' 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
' BuildingVermits \PLMF- PermitApp.doc 12/03 440- 4616T(10 /02/COM/WEB)
� •L '` �, \
- .r�t� r �\
October 1, 2004 .434.-A /I' ` (
CITY rxT 6 : :1
JLS Custom Homes OREGO I- - j.£r
16280 NW Bethany , .
Beaverton, OR 97006
3 4 ,,'k. ,.,1
rJJ*r
RE: NEW TOWNHOME DEVELOPMENT i , } [
Tenant Name: Bonita Townhomes Occupancy Type: R3 �, „l; ;�-,.y; {:;..
Construction Type: VN Stories: 3 S ' ”` ``4 }
� ,��ss- . fi t
The plan review was performed under the State of Oregon Structural Specialty Code (OSSC) ; .,
1998 edition; Rowhouse Construction Interpretive Ruling No 00 -10 (RCIR -10)• and the : J= 't;'4.1 ' ?,
Tualatin Valley Fire & Rescue Ordinance 99 -01 (TVFR99 -01) 1999 edition. The submitted ''ts`. u }
plans are approved. The following permits are approved for construction subject to the "-,; ", k-,-4 -.
following conditions. ` - ^' ": v ' , ' , V
mar
Lot 19 7872 SW Brookline Lane Permit Number MST2004 -00242 q _ `2
Lot 20 7868 SW Brookline Lane Permit Number MST2004 -00243 ,;,x. '' =,';
Lot 21 7850 SW Brookline Lane Permit Number MST2004 -00264 '._.
Y
Lot 22 7838 SW Brookline Lane Permit Number MST2004 -00265 ==
Lot 23 7820 SW Brookline Lane Permit Number MST2004 -00266
Lot 24 7804 SW Brookline Lane Permit Number MST2004 -00267 ` .
} .
CONDITIONS ,
1. Attached is a copy of Interpretive Ruling 00 -10. Please use it as a guide. Q:
:f
2. Shearwall Sheathing and Gypsum Sheathing shall be attached and inspected in
stairwells prior to the construction of stairs or landings. ; .
°C ':
I ,.
3. Special Inspection is required for STRUCTURAL WELDING and HIGH-
STRENGTH BOLTING. The special inspection agency of record shall furnish
inspection reports to the Engineer of Record, ROWELL ENGINEERING &
DESIGN INC., the General Contractor, JLS Custom Homes and the City of Tigard,
Building Division, attention Hap Watkins. All discrepancies shall be brought to the
immediate attention of the general contractor for correction. The special inspector
shall submit a final signed report stating whether the work requiring special
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
CITY OF TIGARD
BUILDING DIVISIONr PERMIT #: MST2004 -00264
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1W27/2004
Phone: (503) 639 - 4171 °a4� 4pgj � ll A\
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3118/2005 TIME: 7:24AM PAGE: 61
SITE ADDRESS: 07850 SW BROOKLINE LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 021 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: JLS CUSTOM HOMES, PHONE #: 503 - 869.1453
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 5314006
Inspection Request Scheduled For: Date: 3/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 002186-06 503. 208.2005 N
Corrections /Comments/ Instructions:
r d p w wpw
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL- • CALL FOR INSPECTION ❑ ADDIT ONAL F ES ASSESSED
I nspector: 4414 Date e — Phone #: (503) 718 -
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 3— (; AM PM BUP
Location 7 gS SL_.) Suite MEC
Contact Person Ph ( ) ' ya - z-E60 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing (� \
Firewall £�b O t 'yam //\ � Vl
Fire Sprinkler l( ))
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage /V0 4&
Fire Alarm
r Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
'ASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line � / � � /
ADA
Approach /Sidewalk Date _ Inspect Ext
Other:
Final DO NOT REMOVE this inspection record f ' m the Job site.
PASS PART FAIL
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00264
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/27/2004
Phone: (503) 639 -4171 in 1 1 1 1 v
Inspection Requests (24 Hrs.): (503) 639 -4175 '__ I
INSPECTION WORKSHEET FOR DATE: 3/17/2005 TIME: 7:13AM PAGE: 82
SITE ADDRESS: 07850 SW BROOKLINE LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 021 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: 'LS CUSTOM HOMES, PHONE #: 503.969.1453
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 533.4006
Inspection Request Scheduled For: Date: 3/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 002061 -02 503 - 209 -2005 N
Corrections /Comments /Instructions:
iff i . . Ifiar ,,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
Inspector: � t D at e: - Phone #: 503
p � _
Ins ( ) 718 -
CITY OF TIGARD 1
BUILDING DIVISION PERMIT #: MST2004 -00264
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/27/2004
Phone: (503) 639 -4171 1 �Ip��� i ; E i
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!+� __..
INSPECTION WORKSHEET FOR DATE: 3/17/2005 TIME: 7:13AM PAGE: 69
SITE ADDRESS: 07850 SW BROOKLINE LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 021 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: JLS CUSTOM HOMES, PHONE #: 503 - 969.1453
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503- 533 -4006
Inspection Request Scheduled For: Date: 3/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 002071 -02 503 - 209 -2005 N
Corrections /Comments/ Instructions:
I
1, m.* _tom ..'
I
n P ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO. AL FE S ASSESSED 1
Inspector: ! Date: 17 Phone #: (503) 718- i
I