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Permit
CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00242 A, DEVELOPMENT SERVICES DATE ISSUED: 10/27/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07872 SW BROOKLINE LN PARCEL: 2S112BA -BT019 SUBDIVISION: BONITA TOWNHOMES ZONING: R - 12 BLOCK: LOT: 019 JURISDICTION: TIG REMARKS: New SFA. DEMOLITION CREDITS FROM BUP2004 -00079 APPLIED TO THIS PERMIT. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 167 sf BASEMENT: sf LEFT: 0 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 REVI E W S ECTION 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: Owner: Contractor: TOTAL FEES: $ 2,775.03 This permit is subject to the regulations contained in the JLS CUSTOM HOMES JLS CUSTOM HOMES Tigard Muniapal 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 fina Smoke Detector Footing lnsp Plm /undslb lnsp Framing Insp Shear Wall Insp Rain Drain Insp Electrical Final Foundation Insp Electrical Service Roof Nailing Exterior Sheathing Insr Storm drain insp Plumb Final Wtr Proofing Bsm't Wa Electrical Rough -in Gas Line Insp Firewall lnsp Water Line lnsp Mechanical Final Issued C � .G1Y Permittee Signature : G " • _ ___,.., l Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building Permit Appl C ��O�� m FOR OFFICE USE ONLY " Internet: www.ci.tigard.or.us City g Of Tigard Received ^y , � 7 V 1 Date/By: Pernut No. 1 iq —00,2/1_, 13125 SW Hall Blvd., Tigard, OR 9 b i V 200 4, Plan Review Phone: 503.639.4171 Fax: 503.598.1960 y 'ii�, pgH'�I'� Date/By: /v " 1 - D y Other Perna /aS� ` /(,[ a ge29� `/ Inspection Line: 503.639.4175 �I y► "' Date Ready/By: ]urns- El See Attached Checklist for CITY OFI'IGA, -� N Supplemental Information BUILDING • I GD IV 1 SP � us- �u_ ,, -, _. E: a ., _° Tex, t -: .��, ..:... - ::; -: i . ,t2•- a"' .*• 4— =,. 51 ,. ;. �3;:. •'r" = :-: _ tDWELLING .�;x,.., � 'fi -�:Ju .,:M�'�:*rf �r�. .. {., - ..7r�-�,_ �.sZS� r:R �:aRE- CJ A AT ,1..D`:2 "�AIVIII, `,: - a - s` . `:,, : ' : IiT:l F` ORai -g$ .; ,...,:V . ,,.. - - - . . (� , ...., ..s ,:.,rt- „:, :.: -...- , .�'3 .7� =� �'y.. �a � t,. ,G.:r_ s.,,w�•< k%3;, ,:��x, k��.BHG.`._ � �"�`:r..,_,. �:- �,^','. -"n as ' .r. :n:��L�t, �"v, . .. . -;..� .���_i . �: �����..... a.,'' 8�� +a,�:i&c'.ri:s�E'=;.. ' o �+:b��` :�'s.?�..<�..3z;:d �� c� „ . KNew 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 -: w,r. e 15o66 ;K-W : f 4a -As- g,l .g.t•. 1:s-: work indicated on this application. rY Ts ��� �, X..;� Y ^,.ZS..'FiQb �`.. ; %y"i .....ti .n ''avY�.:�%•.v �e �1.,'� -,, ..< "r > .1 ., '4 ,? I- '.CATEGQRl O r,, -, STRi1CTION. - X N , r q ; 'E.^ .,.;v. 7'�4 x's�. •r' ,�r _- ;;':z:: 5m..:,:F.c. `r�vv > =,sti'r ... , :..i�,• „ �.. y 3O ,.,�� : ::s.��«:�.��- �.a..�;.;.;�: -...tea .x�:t�� Valuation: $ V I- and 2- family dwelling Commercial /industrial ❑ Accessory building Number of bedrooms: ❑ Multi -famil y ❑ Master builder ❑ Other: Number of bathrooms: .. (.� cr: *-. ? ,ts�,•:r = : _-, -.. :, Total number of floors: 3 1 . t',4,” ` , JOB: = T'E` N F O R� `1VIA T ION^ , A1VD:'LOOCATION,. > �t i 3�l =k�: '.°�'. '.'�i "i ��;�i. >, x's °<.Y:s' Asa# � �.. ie. ri-,°,,. �g. r_.;€ �.'; ,, �. �„ r': �%,:” �.: z.^ �: Y. h „ r. d�..' z ;,,_n�,; k.��r.-- ..;;-... . .... ..... .... ., Job site address: 7 -7 3u.,1:;(---, ©'\'\ �4_- \\,_...- New dwelling area: Ill./4 square feet City/State/ZIP C� ' J Suite/bldg. /apt. no.: Project Garage /carport area: 5 du. 2 square feet P name:7 \ Cover porch area: 3� square feet N Cross street/directions to job site: � O VaY1 1 1.12 Deck area: ' 1 � s quare feet Q Ki Other structure area: square feet n r : REQUIREDRDATA ``COMIVIERGIAI JJSE;CHECKLIST I Subdivision: n O�� 1�\c( .s Lot no.: Q('J 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.: 1 equipment, materials, labor, overhead, and the profit for the .1 4 ,- .s „�°r;^ f , z ruTt s " " :: l ' 6 1;f ; ' - � Wa: * 1 +rz=,.r.Fi. c;.a t4tt z . '.rt I'N K r4 ._t .A : 9llES 1 1IQ N F 0,- 3 t o } work k indicated on this application. • Valuation: lD uy\ " $ 1A a� Existing building area: kI n square feet New building area: l b ' 6(424 square feet �' `� ER ,� �`� �' -i :u � "`"�' ` }� � : Number of stories: S EL or. OWN,: Name: V CO, rY\ C‘otxvS Type of construction: Address: i (0 t e6C2,-1CLYI Occupancy groups: City/State /ZIP: 1(1 OVZ— • C Existing: Phone: (ses) 5:;3' Lictr, ' Fax: (S b S3 — `1Up(0 New: 0 . �.. �Yart� "r�.an ;.nt&z�a; x� •� � � ��: —. ^"i - �. yn : .:�.- :.:�s;°;°t; ;rs`��. ".. ,:� a?�- <r ..s: - ;;� ... �s � Sri , �- -- - e� P 4 . , , T s , C ONI� AC T ERSOI! LW ` �. ���� �� m �.r��,Y�. *. e%� �aw€�� .. �=erz�:�t '�. ,`� x i �.�>��, ,, , �. "_NOO T r. -` _ • Business name: 5E All contractors and subcontractors are required to be Contact name: r— licensed with the Oregon Construction Contractors Board 5 under ORS 701 and may be required to be licensed in the Address: n E jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State /ZIP: apply: 1J G PP Y: `hone: (SOS) °t (0/, /, I 3 Fax: : ( ) � • y� ►C_, mail: 7 ?��i ��`"�_ ` ` ;c I &` ,', � 'e, ` = CO��TRA� UR�1 - f`:; . : <r���e �`°�S � - "` >,r .ness name: H y�� ;4 : I sae- �K�_.::::: C J ' J 1 ' L - t IT�T. G P IT EES,* ";d :- ;s :. _ x . `?x�:.-a.°•"..r°.,.«,- �.'2:.., n°2"'a. e..; +;`- .��r a�'r. i�':,t:�er . , °ss: Please refer to fee schedule tate/ZIP: Fees due upon application ( ) Fax: ( ) 1 : (Yi t Amount received { Date received: d signat e: / This permit application expires if a permit is not obtained . . •.• 11112\ !A a within 180 days after it has been accepted as complete. i - ,, — C. - Date: * Fee methodology set by Tri Building Industry Service Board. BUP- PernutApp doc 12/03 440- 4613T(1 l /02/COM/WEB) ■ , Electrical Permit Application FOR OFFICE USE ONLY City of Tigard u v Elln Received Date/By: Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 AUG 18 y N / 1��'pNy1i' ti� Date/By: Other Perrrur. Inspection Line: 503.639.4175 200,, e'' Date Ready/By: Juris El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method. Supplemental Information n•?<x =ere°, ;. .. .;�, �.� -�,,: . � �:.;: ;r�t;:esrc•- ti rr � - : :�:. �.:A. - : ,,.;., � , `' t ., w M : rzy, n : `, r = - M,t: ;f :". " , Y l '-i °PLAN:;:REVIEW �'r 5:-G ;..Na sa4,i, -.r � -, ,....� em-s`x..'huR...'aie•sn.f '�x+�.. �+�,• T . M1. �.iuw .: .n ...- <d -..:: ,:s<- .'r #.. -�.5 - .- x.... .. - •` -,'-,< ° :: _ .'` ' Ne w construction Addition/alteration/replacement Please check all apply: ❑ ❑ p lacement Pl hk ll that ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'l ❑Hazardous location .'.d ^ _mss,:,rte 'r$-;nr <r ° ,..:.:. = Oth :< t;.,y=y: OF�.0 .. t,efi. :. -, ,_. :;:a_; ::,...,.:: r ['Service dwellings over 320 amps - rating ❑ Buildng over 10,000 sq. ft., �ia:� `- t' rG�iT. E, G. ORY.� =Ol�'STRUCTION �;� " . -= a:�f'r'£:'f" of 1- and 2 -famil dwellin s 4 or more new residential ,,,,�;? y ,Ak. { -^.st- 'r.:£;. 'A 3rik3 .,xfas ^e z a . a �- . � . A,,,,,11 ;, r ,;:,.;. r : z ,, _ . i2 .,,,. i Li 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building System over 600 volts nominal units in one structure ❑ Multi - family El Master builder ❑Other: ❑Building over three stories ['Feeders, 400 amps or more .mar:. o f , r. i, =4 r <� - = Ma s t =)ate �,� ".: rz a{ r.�w:,-. Other: -4Atl. ",;sa -;V ['Occupant load over 99 persons ['Manufactured structures or *"" 1 : .:J013M4� $145 ,7�,� , TON AND -,O O G A TION:; • - ; _ ❑E ess /lt htin t �; � - �k -": �� ?_ .,:s" :7t :;� > ..., � t' s:- gr g g lan park plan �.� •r,d� i•'.".� �:�t�: ` -c � n '' v.. �a. �>:� av� .,�s'�: ?r r '.. °s. Job no.: Job site address: ❑Health -care facility ['Other: Submit 2 sets of plans with any of the above. City /State /ZIP: T The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: , Project name 1 v' ". }� ~i� ` ' x i 5170• � SC itij K - - • ` �, � Description Qty. Fee. 1 Total Cross street/directions to job site: tn. l 1 0. i k - l 522y_ New residential single - or multi - family dwelling unit. Includes attached garage.• 1,000 sq. ft. or less / 145.15 4 Subdivision: L Ea. add'1 500 sq. ft. or portion 3 33.40 1 �� 1' 'gy ` Q� Lot no.: Limited energy, residential 75.00 2 Tax map /parcel no.: ( S i W l a O1 ,r`. e? : °'s; �. „�:,; #., .,. s., �;� +il =_ ' sF Limited energy, non- residential 75.00 2 , i������ "' ; � r r +F DES ;,y� T QN +O� ``t Each manufactured or modular ham'= ��;' t'�- .r�a"'r ' r' �,:.. s+' �`", �.-,: �;,, �- s, �-. �*. a& t. rr. ��sx= �a���� ,�:,. . dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation • 200 amps or less 80.30 2 " `°'wgR P R R Y� r Rte' I g iriti • � F ' ,` 201 amps to 400 amps 106.85 2 .,' * 3+ ii i..., -�, -a .= st ��“ z- "v � er4 • % >.�w,. ,i �:, ;,, -,- . <. ,;. ` z tz 401 amps to 600 amps 160.60 2 Name: -3---L, S C��eN �A 601 amps to 1,000 amps 240.60 2 Address: ac, 1V O t \ �t . .i �,� n c k . Over 1,000 amps or volts . 454.65 2 W 1 Y ! + 1� Reconnect 66.85 2 City /State /ZIP M v �� ,� ,�,^ I Q � • Tempomporary y services or feeders installation, alteration, and/or u � ']� , u , ^' — relocation Phone: (b'a3) c e�'- L 4 Fax: ( S) 53'." — I 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 2 'fir""', r - � �'�'"�;"°'`�"" �°'=�' :� I �" �' °"�'� ��" `•`� =� A. Fee for branch circuits with , �''S .. PLI,C I ,,,1 OJ�I , K* •PERSON",sr _` service or feeder fee, each 6.65 2 Business name: , c ) branch circuit Contact name: _ B. Fee for branch circuits without service or feeder fee, 46.85 2 Address: each branch circuit CS n i r l� Ea ch add'l branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( g� Of _ I ( I Fax: : ( ) s I 1 Y 11 Pump or irrigation circle 53.40 2 Sign or outline lighting 53 40 2 E - mail: Signal circuit(s) or limited - .i fYr . ,_ ,t - , w , ; tr y,;• ' ` lz. r m t 'm ,:. energy panel, alteration, or .: � ?� . ONTtRA FO . z �'t�'l Lis' a :, si P �K 5 E L2 as' ri C, extension. Describe: Page 2 2 Business name: Address: asg 1 b 5L,,_ �Yy l' `� 1 Each additional inspection over allowable in any of the above �/U . Per inspection 62.50 City /State /ZIP: �,.`1 C \L rO O e 9.-4- t23 Investigation per hour (1 hr min) 62.50 Phone: 663) _;g o , I Fax: ) ( u Industrial plant per hour 73.75 "' ` - 7,S 4. °.: < > _ < .E E;CTRTC;Al I'ER II F FEES' *l CCB Lic. _ '. Electrical .c.: y - . ;r S uprv. Lic -S Subtotal Suprv. Electrician signature, required: i� � ■ 0 1 . Print name: a G l0 / 0t/ Plan review (25% of permit fee) _ v� • , /- Dz - State surcharge (8% of permit fee) z TOTAL PERMIT FEE Authorized si:'attire: r f� ' _ This permit application expires if a permit is not obtained within 180 � _ � � _ days after it has been accepted as complete Print name: c 1e C.1L -k_e - ge...Te. Date: * Fee methodology set by Tri- County Building Industry Service Boa ** Number of inspections per permit allowed. isVBuilding \PemutstELC- PemutApp.doc 12/03 440- 4615T(10 /02/COM/WEB / Mechanical Permit Application FOR OFFICE USE ONLY Clty'of Tigard r DateBed PernvtNo.: Y 13125 SW Hall Blvd., Tigard, OR 97223 R Plan Review Phone: 503.639.4171 Fax: 503.598.1960 , „ , Date/By: ther Permit: Inspection Line: 503.639.4175�1'II� Y ard.or.us �.� Date Ready/By: Juris 0 See Page 2 for Internet: www.ci.tig AUG 1 g 2 u4 Notified/Method: Supplementallnformation '2;.u:S'•:,..„ V 7 , � i C•- - r" - , `k °TYP -E -t xKLI MNIERGT-�E >S'CHED.FJI.:E''` "17SE�CHE T C S t_ 49M�- �«? r�r;a......,..`.�y'F'sr5st r: - k'.. :`S�k ._.. _..:..1i1 r e' �,��}•j��yg���; ,. S" }.� � e Y l° � b," � ^ ^I A New construction Mechanical permit fees* are based on the value of the work ❑ Additlaer�tio��e�i�cem�nt performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ; *'sana,.< fps.:. �- `;t".'. =�9flsr.:q�[;�:n`>�, °=�: __ra "iid..� Va1UC: $ va•4? ,s z?;R CA' ,EF.O& • OF- CONSTRYIGTIONd fit' °:? `: a;. _ m > :. w. �..: sz; �.. r-: x�x,. �.: rts;.:. ��; �:; >:�•,.¢ ax�:� -.s:a H ^J{ RESIDE$7lIAL ,EQUIPMENT /;SYSTEMS FEES* �1- and 2- family dwelling Commercial/ industrial ❑ Accessory building " "'' " " "'' " "` °'- " "' ' For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: _ Description Qty . Ea. Total zy?,u";.:t ?y��>�-. a;,,v�..,x;i ' .. -:., - ::ik:+'xnmaa:e,:a.s �WM,Se' '2•'�,fY':� =^r:c:<(?.« -,q .,, „3*�Ee =F.- �:i' *i;.> -_ .... .`..�J.rQB;SIT'F ;lIY1rOR1VTAIONAp�I O:CAIONt; h: „'; *:'' Heating/cooling ....., ... '# ZF2. ?E2`rt "fa.= DK.:NS.a�"n +�&k✓E". us.ed`L.a ✓•.t}!: �P .,.>✓ Job site address: Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State /ZIP: ^� i f •3 Furnace 100,000 BTU (ducts/vents) / 14.00 1 1 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: V\t }O- Gas heat pump 14.00 Cross street directions to job site: Duct work 14.00 C_2.E z . Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Flue /vent for any of above 10.00 Lot no.: �vv.T�L'�n5 ' Other: 10.00 Tax map /parcel no.: € 5 , t. 1 Other fuel appliances a �» •, °' +'u_.L -e_,> +sue; Water heater 10.00 10 �9�..aiifi@ra.F"�ir... ., �- ���: Gr�?�$ rS•, S.” r.... '..tF'V.1�1'?.��.SL'�dM�.'iv'1 - �'dS��x � ;.- `a �`�'.. :'s�:S / Gas fireplace / 10.00 /O” 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 � * ��PO p E 7 j� TxSfy"�O� Rg r"� •`.�z��:, �.�TEN <ALVT*� x �:= Name: 3LS C t ) Oy1p3 Environmental exhaust and ventilation Address: t f �SO �� U �� Range hood /other kitchen equipment 10.00 City/State/Zl 0 » r.} �•�� C • Clothes dryer exhaust / 10.00 /0 `�.► j r Single -duct exhaust (bathrooms, Phone (5,3 ) J e ' a _ (��� Fax (5 $ ) f3 - j q� 3l_ )1Q toilet compartments, utility rooms) 6.80 2 0 ^— ' €Z t �Ap '�� t �' O TAG' " ' �pFR$01�i - >r Attic /crawlspace fans 10.00 Other: 10.00 Business name: cS� Fuel piping Contact name: $5.40 for first four; $1.00 for each dditional Address: M C Furnace, etc. v Gas heat pump yQ City/State/ZIP: Wall /suspended /unit heater (5 3) c09_ r (L1 I ( ) Hrepla eater / Phone: J' Fax:: \�`' ` / Fireplace E - mail: Range ,�' -, . ,...- .f..+«:. s�;. „+.,Y, ^ �€p; x^ r. ''s'r;4paX,. #X , „,.� w �':. :fix.. �;,a- •r,^. r � , Business name: , .� $ • ` ' Clothes dryer (gas) - _ Other: Address: ��; .�:;.�r: X11% IEGHAI�I 'ff,•ALPE'RIYTIT;EEES: *'` ' City/State /ZIP: 10 O (Z l l W Subtotal 6 q — • 1 Minimum permit fee ($72.50) . j Phone: (�? 559I - 92 4 Fax: ( 5�.3 ) q U'?• .nQr Plan review (25% of permit fee) CCB lic.: 4 t7 '6 0 '7 State surcharge (8% of permit fee) / 8� TOTAL PERMIT FEE Authorized suture: � This permit application expires if a permit is not obtained within 180 after it has been accepted as complete. Print name: ; 4 - S Date: Fee methodology set by Tn- County Building Industry Service Board i :\Building\Permits \MEC- PervutApp doc 12103 440 -4617T (11 /02 /COM/WEB) 1 Building Fixtures Plumbing Permit Application FOR OFFICE USE ONLY °; t.' Received City of Tigard UECEVE Date/By: Permit No.: 7 i� , /3 13125 SW Hall Blvd., Tigard, OR 97223 y Plan Review Phone: 503.639.4171 Fax: 503.598.1960 1 Q p / /t+�u,d� �,��r {r + � Date/By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 AUG Al7 200 E�' Date Ready/By: Jura. p See Page 2 for Internet: www.ci.tigard.or.us Notified Method: Supplemental Information '•£ Y :. y �' a�;R x =��a ..�..� �. �.r,,+• '` ?i.�'.`.:%2' - �S'+t��SV Y't` $''` .rx �M•.. ;t'•� �✓� •, ie59 }'a��Y .s .f ® .�.: i,T 104 t M;I f �k " " °°_ :414= ' h'7a 0'f" ' '.,t; ; if '. • C0 ` : ' * :FED* � CHEDag New construction BUILDIPitd)yemolihon For special informat use checkl Description Qty. i Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) �, ;, , +r �. .ycK �..ca ; >rcr., e, >; :•r,,.. =_ .yam- a,Y,'aoo ^k- x ". ��.;.s. c-a xt r ire . CATEGORY; (? _ O i 4 rte,.•. ` : t =-. <•s.. SFR (1) bath 249.20 tgr1- and 2- family dwelling IXCommercial/industrial SFR (2) bath 350.00 ❑ Accessory building El Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: a - ..• ' '.' '.• Fire sprinkler (- sq. ft.) Page 2 -1P �B � S�T A PI[ TIO 0 , � 7t � a � - 4 •.4 "x�_ :S. rc" f . a e.; :., + '. " ,.cf� ! _. i, Site utiliti , .es Job site address: Catch basin or area drain 16.60 City/State /ZIP: Q 9"4- Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: v 1Pro3ect ame: Footing drain (no. linear ft.: ) Page 2 C)V\ Manufactured home utilities 110.00 Cross street/directions to job sitel• -, I t ��M � h > >�� ' e.,7 `` Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivisionf tP,_ � Iv S Lot no.: 19 Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: a � t Fixture or item } Absorption valve 16.60 sas . st r ... "• tu. ' t .. P � s% • 0 ' rsE$ ,� . _ � 4 � ..' �, : a , n . Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16 60 ' Dishwasher 1 16.60 ,crr . , "- w _ Drinking fountain 16.60 Ejectors /sump 16.60 Name: LS C L)A '\n S Expansion tank 16.60 Address: 1(0 aso 5 ,.., 3 4T , y� Fixture /sewer cap 16.60 City/ State/ZIP: r ( (II- ko Floor drain/floor sink/hub 16.60 Phone: a ) • .. q 6 . , Fax: (SS )5 .. [l .. Garbage disposal 16.60 : 4/ `" : )( e.E w s -''''-1-'-'41,-,.-.• t i y Hose bib I 16.60 °,Z7 i . -.Y -R, -rV Y . , ti P a l: -r , Ice maker 16.60 Business name: m V � r ��� Interceptor /grease trap 16.60 - Contact name: t Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/ State/ZIP: Roof drain (commercial) 16.60 Phone: (653) 0 X6 9 - 153 1 F ax: ( ) fI M Ed Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 217 , -- w,,,,.. °Ax. . .x 4 ' a - .tsz� }` im . ..L 3? Water closet 16.60 Business name: E z � �1` P 1n \( 1L i ty Water heater 16.60 Address: a'1`'L 3Id y a - '`+y � R w 1 l ` _ Other: City/State/ZIP: \A , \ � 1� I�► Subtotal 1 ' \A O � '' ( J 4. Minimum permit fee: $72.50 / // Phone: ( 3) (a29 ` ! t o ga_ Fax: ( 33) I� Reside backflow minimum permit fee: $36.25 t % g 3/f 2/ : Plan review (25% of CCB Lic.: _o F 9 ('S Plumbing Lic. no.: - (,T� permit fee) State surcharge (8% of permit fee) 3 / 9 L Authorized signatur . ` 1911 a9C TOTAL PERMIT FEE / 30 Print name: c et 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. 4 ' Building\Permits\PLMF- PermitApp doc 12/03 440- 4616T(10/02/COM/WEB) • October 1, 2004 ....44-.441,11' _, i CI1 i JLS Custom Homes OREGO ► i- • 1' 16280 NW Bethany -, f : �* Beaverton, OR 97006 t , � ; ,. 1:: RE: NEW TOWNHOME DEVELOPMENT 'rr ��' < Tenant Name: Bonita Townhomes Occupancy Type: R3 13- ,: ; fi ' Construction Type: VN Stories: 3 7 3- Y . : r 4 , _' ' .. t ' The lan review was performed under the State of Oregon Structural Specialty Code (OSSC) ':r;t;Y,s :fir--:; P P g P Y ( ) 1998 edition; Rowhouse Construction Interpretive Ruling No 00 - CIR -10 • and the Sz_';ti, [ , Tualatin Valley Fire & Rescue Ordinance 99 -01 (TVFR99 -01) 1999 edition. The submitted - '.s.I y ° {ter : w .. , v' Tans area roved. The following permits area roved for construction subject to the ' € �' P PP g P PP ) { .I e ; f.: following conditions. r , - `R = = ` � -, Lot 19 787 SW Brookline Lane Permit Number MST2004 -00242 . `' r ;< , ; ., ; . : t . ? , ? , , Lot 20 7868 SW Brookline Lane Permit Number MST2004 -00243 : � ` N• Lot 21 7850 SW Brookline Lane Permit Number MST2004 -00264 , - l - i n'7 Nit Lot 22 7838 SW Brookline Lane Permit Number MST2004 -00265 14° Lot 23 7820 SW Brookline Lane Permit Number MST2004 -00266 ".µy '''9` l Lot 24 7804 SW Brookline Lane Permit Number MST2004 -00267 " - :_aa': , "' CONDITIONS G � s y 1. Attached is a copy of Interpretive Ruling 00 -10. Please use it as a guide. ° •':;: Y -k - 2. Shearwall Sheathing and Gypsum Sheathing shall be attached and inspected in •:k5, . stairwells prior to the construction of stairs or landings. : +a > , 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 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ���00 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested AM PM BUP Location / g� � Suite MEC Contact Person Ph ( ) l � / PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing y� Firewall ! \ Fire Sprinkler 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 (/\k\-\3 \� � Shower Pan 6 ' ' � " \\(\ �. )1 ( 1° Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final P PART FAIL ( ELECTRIC L Service Rough -In UG /Slab Low Voltage Fire Alarm 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P. • PART FAIL Please call for reinspection RE: - ❑ Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk D ate f ` P Ins Inspector gt Ext Other: Final DO NOT REMOVE this inspection record rom th Job site. PASS PART FAIL CITY OF TIGARD - 24 -Hour r BUILDING Inspection Line: (503) 639 -4175 MST 240V-- ' - CJ Z INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 2 ' 7 - 3 AM PM // BUP Location 7 0 7 Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation 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 i ■ i Fire Sprinkler / �� ��- �' 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 4 O S PART FAIL C HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line / Approach/Sidewalk Date / � I nspec tor �` ' '� Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL A CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00242 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/27/2004 Phone: (503) 639 -4171 ��..��j °1���fl���'I Inspection Requests (24 Hrs.): (503) 639 -4175 J .. INSPECTION WORKSHEET FOR DATE: 3/17/2005 TIME: 7 :13AM PAGE: 83 SITE ADDRESS: 07872 SW BROOKLINE LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 019 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES MODEL HOME DESCRIPTION: Neva SFA. DEMOLITION CREDITS FROM BUP2004 -00079 APPLIED TO THIS PERMIT. OWNER: JLS CUSTOM HOMES, PHONE #: 503 -533 -4006 CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503-533 -4006 Inspection Request Scheduled For: Date: 3/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 002061 -01 503- 209.2005 N Corrections /Comments/ Instructions: �1 /"' /A 8 ' \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI• : AL FEES ASSESSED Inspector: ( /4• Date: 1 I 05 #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00242 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/27/2004 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 7:12AM PAGE: 67 SITE ADDRESS: 07872 SW BROOKLINE LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 019 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES MODEL HOME DESCRIPTION: New SFA. DEMOLITION CREDITS FROM BUP2004 -00079 APPLIED TO THIS PERMIT. OWNER: JLS CUSTOM HOMES, PHONE #: 503- 533 -4006 CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 -533 -4006 Inspection Request Scheduled For: Date: 4/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 005164 -01 503 - 209.2005 N Corrections /Comments /Instructions: ikCy PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL SPECTION ❑ ADDITION L FEES SSESS Inspector: Date: P one #: (503) 718 - c