Permit I •
CITY O F T I d A R D MASTER PERMIT
PERMIT #: MST2004 -00301
' DEVELOPMENT SERVICES
39 -4171 DATE ISSUED: 2/17/2005
SITE ADDRESS: 07808 SW DUNE GRASS LN PARCEL: 2S112BA -09700
SUBDIVISION: BONITA TOWNHOMES ZONING: R -12
BLOCK: LOT: 033 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 THAD: 787 sf RIGHT:
VALUE: 181
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: BOIUCMP < 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 ADO'L 500SF: 3 201 • 400 amp: 201 - 400 amp: 1st W/O SVCJFDR: 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 REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor TOTAL FEES: $ 6,890.70
CUSTOM HOMES This permit is subject to the regulations contained in the
JLS CUSTOM HOMES JLS CUST
JLS CUSTOM T BETHANY HOES JLS C ST BETHANY Tigard Municipal Code, State of OR. Specialty Codes
BEAVERTON, OR 97006 BEAVERTON, OR 97006 and other applicable laws. All will done in
accordance anrace with approved ed This p 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
rules are set forth in OAR 952 - 001 -0010 through
Reg #: LIC 139970 952- 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503) 246 -6699.
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
High- strength bolts
Structural welding
\\
Issued By : �G�-GG Permittee Signature : • � �� .J
■
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
n • Buildin Permit Application �� FOR OFFICE USE ONLY , ,, \.
1' l�j U \\ j/ �y�[� �/
di. of Tigard it r" \��J R eccr c d : / r vv`� 7 ""7
Permit v o
13125 SW Hall Blvd., Tigard OR 9 '6,.... Daterl3y: � yT ��
!' l an 13; R
Phone: 503 639.4171 fax: 503.595.19(,1) 1T 1QOq g 2.2. - u,t/13S� Other Perr wgP —
Inspection Line: 503.639 4175 00 � PD a ;c: cvte:e ' Date Read.aF3q: Q ) ° "s ❑ See Attached Checklist ti r
Internet: `.� ld �D Notifiedtelhod /K..2. 1 l�Y _� -p a, SupplementalIntormalim,
•
1:`re I K DATA: DAA: 1- AND 2- FA�III.Y DWELLING
- KNew construction TD" ❑ Demolition Permit fees" are based on the value of the work performed. 1
• Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
• CATEGORY OF CONSTRUCTION
• work indicated on this application. /1 / .0 .30
• x I- and 2- family dwelling Valuation: S
XCommerciaPindustrial _ _
Number of bedrooms: 2
❑ Accessory building ❑ Multi-family 3J
Ili Master builder ❑ Other Number of bathrooms. 2 6 _________
JOB SITE. INFORMATION AND LOCATION _ Total number of floor 3 •
L i . (lb site address: ∎ I ■ ♦ 14' 6- ` ] KJ New dwelling area: ' '. 1 .4 square f eet
( it':!St:uerlif': UU�� / u - J— Gararercarl,ort area: Square feet
r_� , o_ -. 58�. 1
Suiicfbld_.rapt. no.: Project rame: �• kn. Covered porch area: 32.- square feet -
CIoss sueeGdirections to job site: Deck area: square feet
Other structure area: square feet
r ...,_— REQUIRED DATA: COMIMERCI: \L -USE CHECKLIST
Subdivision: A _ \A S Lot no.. �3 Permit fees' are based on the value of the �~•or performed.
v +y C. Indicate the ::flue (rounded to the nearest dollar) of all
lax tap -parcel no.: N, , I� a ,e `
ti]_I - - --.- equipment. materials. labor. overhead, and the profit for lie
DESCRIPTION OF WORK work indicated on this application.
— Valuation: S 0 gig //DO
Existing building area: square feet
— New building area: () \ \ l5(4�
� PROPERTY ( square feet - �
OWNER •_ p TENANT NAN 1 Number of stories: fir 3 _- ••�
..
as �l?k5 �o5 ,
N-- f:: pc of construction:
Address: 1 ba ° ^4 Q \0X'1- I Occupancy groups: -- - --
_ Existing:
Phone: ( "sa3) 53 - 1. ii, Fax: 1 $ 03. 1 5 - y3oc0 New:
❑ APPLICANT (CONTACT PERSON
•
NOTICE
Business name: 5 F • All contractors and subcontractors are required to be
Contact name: V, C licensed with the Oregon Construction Contractors Board
_ �-'Lil under ORS 701 and may be required to be licensed in the
Address' _M.j, jurisdiction in which work is being performed. If the o
City/State/ZIP: applicant is exempt from, licensing, the following reasons
. q 1 �py� apply:
p
Phone: (sb3) 1 (01_ t 3 I Fax: : ( ) 71 le_
E -mail:
•
. CONTRACTOR. -
Business mine: 5pi - .
BOLDING PERMIT FEES'
Adth ess:
Plea refer ro fee schedule.
City; State /ZIP:
Ph -
tync: ( Fees clue upon applica
I Fax: )
CCB lie.: i39�`i Amount received
I [ Date received:
Authorized slgnatt : ���
This permit application expires if •a permit is not obtained
'{-- within 180 days after it has been accepted as complete.
I Print name: L Date: * Fee methodology set by Tri- Counr.• Building Industry
�� I��1� Q - - - - -- Service Board.
i .nuddicg.i' r its %BUP•t'amaAt:p dec 12103 .140.4:11_•Tl 1 1;02:CCM/W EB)
, Electrical Permit A lication ���-(J
= FOR OFFICE USE ONLY
City Of Tigard REG N D Received '
i DareB Perrr» No �/sn[ iO6 3o/
�
LSW Hall S all Blvd., Tigard, OR 97223 Ilan Reciew
Phone: 503.639.4171 Fax: 503 595.1960 ®(` 5 200 �r I P' Date /B':: Other Permit: 6 �
Inspection Line: 503.639.4175 e Dare Ready /By: Juris El See Page 2 for
Internet: www.el.tigard.or.us RD Notified /Method' Supplemental Information
`TIGA PLAN REVIEW
rv ( r � � t % , QX �� Q VISION
❑ New construction ❑ Ad It /replacement Please check all that apply
❑ Demolition ❑Other: ❑Ser:•ice over 225 amps. comml Hazardous location
❑Ser•.ice over 320 amps - taring ❑ Buildng over 10,000 sq. ft..
CATEGORY OF _CONSTRUCTION of I - and 2- family d•.veilings 4 or mole new residential
❑ I - and 2 family dwelling ❑ Commercial /industrial ❑ :Accessory building ❑System over 600 volts nominal units in one structure
❑flutlding over three stones ❑Feeders. .100 amps or more
❑ \lulu family ❑ Master builder ❑Other:
❑Occupant load over 99 persons ❑Manufactured su ucr u reS or
JOB SITE INFORMATION AND LOCATION . • [] Egress /lighting p RV park
01-coo facility
Job no 1 Job site address: (/ � - -
sw ID� _ I t S u b mit = sets of plaii rih any of the abosc.
City, State: ZIP: i cr I The above are not applicable to temporary cons:ruction service
C.)?.. •
FEE* SCHEDULE
Suite' "bldg /apt. no.: l Project ,
rteseriprion I °ts. I F. Twat I • •
Cross Strect.dircctions to job site: ' a _� cs \fss residential sin -or multi - family dwelling unit. •
4...J�� ` IIIfI111I1'C:11111'Irl ' �:11':I�Y' •'
1.000 Sq. ft. or less 145.15 I 4
Stlbclis'isiott: cis __ Lot Lot rto. 3 3 1::1. - c i d - I 50 0 sq. ft. or portion 33.401 1
^� - - - - 00 7
Tax reap /parcel no.: ds ` 1 a $ I Limited energy, residential 75.
Limited energy. non-residential 75.00 00
I 2
. DESCRIPTI OF WORK Each manufactured or modular
dwelling, set: ice and!or feeder 90 2
— St•rviet•s or feeders installation. alteration. and /n relucatiut
• 200 amps or less 80 30 I
•
201 amps to -11)0 amp:'. 106.55
ig PROPERTY OWNER • ❑ TENANT -- =
�
1 .101 amps to 600 amps 160.60 ..
l
Nano: - 31 .. s
c_ . 51__ 601 amps to I.000 amps 2 -0.60 I
: \ililress: \ 4,, Q i,v
Over !,000 amps or volts t.i>` I I 2
C _.
Reconnect only I GG.SS
City: St %IP:� ` t o li Q Temporary services or feeders installation, alteration, and;ur
Phone: (6 mss_ 1W ( 20 line _
Fax: (��) 533 - talc 3(,r, amps of less 66.8 l
Owner installation: This installation is being made on property than I own which is not 201 amps to 400 amps 100 30
intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. 4 :11 amps to 600 amps 133 i5 '
Owner signature: Date: - Branch circuits - new, alteration, or extension. per panel 1 —
❑ APPLICANT CON "1'AC: "1' PERSON A. Fee for branch circuits wait — - —
S _ bra service or feeder lee, each —
Business name: branch circuit 6.65 2
Contact name: — 1 � � -A 13. Fee for branch circuits
without service Or feeder fee, 46.85 2
Address: `
y „^ l — ! 1 y y E ach add'I branch circuit 6.65 I I_
CitviStatelZIP: Miscellaneous (service or feeder not included)
Phone: 6 -b2 CA2 1 ., l 13 V ( ) 5n yyn E Pump or irrigation circle 53.40 I 2
1v / Fax: f " 7 r l Sion or outline lighting 53 40 1
2
E -mail: S
mal circuit(s) or limited-
CONTRACTOR • . energy panel, alteration, or
r • - exicrision Describe: Page 2 2
Business name: F , Le c_i c.
Address: 1 �1 o r 1 '` Each additional inspection over allowable in any of the abos•t'
� ` — �`V �/U.— Fer Inspection 62.50 I
CityiState!ZII': 1 \ r lxrL L C \^ h ^A � � 1 1 72 Invesri per hour (I to nun) 62 50
Phone: (� 1 xx ]]]�1w ( J i3. i5
�3: (042 -a o� Fax: f ) Gy2- 5BtS Industrial plant per hour
F.:LECTitI m. PERMIT FEES*
CCI3 Lie.: ` 1 Electrical I. c.: q Suprv. Lie.: Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit feel
Print name: Sk w� • • I Darr— State surcharge (8% of permit fee)
�
- TOTAL PERMIT FEE
Authorized sig�i:irure:
\ \\ -� This permit application expires it a permit is not obtained within ISO
� - - days alter it has been accepted as complete
Print name: u_�i c: gc ,, , Date: : ire me:hnrlologt set b.: - I'ri- Connt;: Building Indurr•; Serytce Beard
T • Number of inspections per permit allowed.
I'•. iiuild ,ng`Pcrnitslt:LC- PcnnitApp doc 12102 s s4or ST(iS: O'_'CO:•1MTB
.Mechanical Permit Application .• FOR OFFICE USE ONLY = •
r City'' Of Tigard ECE�' Received
Date/By: // O9t,.�v/ Permit No. j y s ,'/ , 061, bl
Q
+
13,25 S''•\' Ilan Blvd., Tigard, OR 972 Plan Review
Phone: 503.639.1171 Fax: 503.593.1960 I Other Pennit:
Date!
By Line: 503.639.4175 OCT 5 2004 + By Date Read}rB- : lugs p See Page 2 for
V �w
Internet: R- ww.Ci.tigard.or.us - Notified/Method: Supplemental Information
TY OF T!GARD
• - T ,TANISION -••..- CoMMERCIAI. FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value of the work
X New construction 1:1 Addition /alteration /replacement per formed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials. equipment, labor, overhead. and profit.
CATEC:ORY OF CONSTRUCTION
$
RESIDENTIAL E:QIJII'MENT / SYSTEMS FEES`
5rI and 2 dwelling , Commercial /industrial ❑ Accessory building — --
l For special it :Jormnr(on use C,ICCkIIS:
❑ Multi-family ❑ Master builder ❑ Other:
Description Qr; fa i Total
--
JOOB SITE INFORMATION .AND LOCATION Ilcating'cnolint
I/I I � D� �/'�. \1i C('•n ( Or (,Cat pump
Job site adds ess: r 1/
'v_r� itequ;res site plan shot :ore placement) 14 00
City /StatcJZIP: Furrtac'e 100.000 BTU (ductt'':ents) I -I OU
} — Furnace 100,000 BTU (duca /vcnts) 1 7.90
Sulte••blde. /apt. no.: Project name:
{!tl► }(� Gas heat pump_ — 14.00
Cross sueei'directions to jot) siic: y� l , Z,\ ca��^ Duct :s.ork I 14.00
- , V C (� c l� _ Ilvehonic hot water system I ! 4.00
`� ?�C_j Residential boiler (radiator or —
hydtonic) 14.00
Unit heaters (fuel -type. not electric).
1n- wall. in-duct. suspended. etc. 10.00
•
Flue/vent am of above for bo 10,00
Subdivision \ --� } e ] Lot no.: —
Tux map /parcel no.: J 5 1 1 , /'\
♦ z. 1 I f Otter- fuel a - —
(!, DESCRIPTION OF WORK Waft: neater 1 Iii.GU
— - -'- - -- - - - - Gas ineplace I I 10.00
• ' Flue vent for 'valet heard or gas
fireplace 10.00
Lot! lighter (eras) 10.00
I \Vi,od.'pellct stove 10.00
Wood lireplace'inscrt I 10.00
PROPERTY OWNER Chinlne.. :hoer tlueivent I 10.00
[;et. ❑ TENANT -- -
t� �QQ}}--�� �,�] - Other: _ � 10.00
Name: 3 3. C-ll_V'M /'fit e � _ Environmental exhaust and venation_
Address: f l . S0 - � � CiL Ranee hoed :ot - kitchen
venal
/_SLR equipment 1000
City /Stale /"L11 602LUL�1 ^J` • Cl othes ^ CO _ Clothes dr :er exhaust 10.00
+L1 1 l Stnele -duct exhaust (bathrooms,
C�!� 2
Phone: (5 3 )5V 4.10 Fax: (56 S ) 53s. X366 toilet compartments, utility rooms) 6.80
. ❑ APPLICANT ' CO1NTAC•I' PERSON Attic /crawlspace fans - 10.00 —
Business name: s � Other: 10.00
Fuel Cping _
Contact name: G � $5.40 for first four; $I•OU for each additiona
Address: A F Furnace. etc.
��+ `J Gas heat pump
City /State;ZII': Wall/suspended /unit heater .
Phone: (5 69 9_0_ 1453 Fax: : ( ) S Water heater
Fireplace
E -mail:
Ranve
CONTRACTOR: : •' . Dal hectic
Business Hanle: �/1 ec: � � —& L, ,^ Clothes dryer (gas) w v-- � tom\ 1 � other:
I
Address. �_5 53 . MECHANICAL PERMIT FEES*
City /State /ZIP: IIIJJJ � � T O V- • Subtotal
�ro3) 11 -99z Fax: (5 3) Q c)-}e; (� - Minimum ,permit fee permit Phone: ( tee)
5 1 - v��- flan review ( of permit fee)
CCB lie.: i L 1 31 LJ Stare surcharge (8% of permit fee)
1 _,...----------_ . - 101 AL PERMIT FEE
.\ uthorized src1mmh ur c: Z.:....` Phis permit application espires it a per nor mit is obtained within ISO
� days after it has been accepted as complete.
Print nam 1 r � _ 17: ::10 3 e � I Date: • Fee rne drodo!ogy set by Tri•Count. Building Industry Service Board
i \Ilm '.P
tdrneetmitomEC -Pernv App dnc 12/03 .:40.4617T I t I/O: /COat/ \VEFtl 1
.. Building Fixtures
/5
Pl umbing :Permit Application. . .:-.,. - FOR OFFICE USE ONLY • •• -•,:--. • . ,...-_,,,,:•:,,,..-,
. :-..
City a Tigard f i . ; .‘_I Received
. Pe rmi t Noi/1 d o.
131 SW' Hall Blvd.. Tigard . OR 97223 ,,,,, . .(„..\._
k_.., Date/By
Plan Revtew
Phone: 503 639.4171 Fax. 503 598.1900 f " Other Pernut No
9.4
24- Flour Inspection Line: 503.63175 '—) P Date/By.
_ , 44.1,,,..0_,, Date R /By .. ts P
,, , ,. e See age 2 for
Internet: w■....-. ci igard onus OC :a
NOtifiett'klethe.d Supplemental Information
:.:... ...,...:.. . ..: ....,. ,..;...,.: .....„:,,,.:, . : ....:-. •...... JAPE .9! - --.TIGAVA ..• • . ._ - ---•• I
,z(New construction • II bi, I,: tiiilicgIVISKOI F o r s p r c i a I information use checklist.
A " 1,3 Description 1 Qt I Ea. I To:al
-" -
0 Addition;alterationireplacement II Other: New I- 2-fa mil■ dwellings (includes 100 ft. for each utility connection)
CATEdORY.OF:: rioN.. • = • : • . ? . . - . . SFR Mbar') 249 20 I
tg1 and 2-family dwelling XCommercial/industrial SFR (2) bath 350 00
. >e ...... ,
111 Accessory budding 0 Multi-family SFR (3) bath 399 00
Each additional bath:kitchen 45.00
0 Master builder Ei Other:
Fite sprinkle' ( sq. ft.) Page 2
..- -.'••••••-.-. :•-, - - . -JOB. srrE INFORINIATION:AND LOCATION ,.-:..,--.,.:.:''‘.: '-- :' Si T l •
Job site address: , U WS:5 i 4 Catch basin or area drain 16 60
,-..„....•
City/State/ZIP: Vi • • - Dr :. ell, leach line. or trench drain 16 60
--)
Footing drain (no linear ft. ) Page 2
Suitelbldg.la n
pt. o.: 0 11 P name roject
- S
CI VNA I--C,1/4_ • manufnclult-d home utilities 110 00
C:ross street'ilirections to job site it V-C.K.Nsfin Q-e_.
_ _ _ __ _ Manholes 16 60
_. _ _
Rain dram connector 16 60
.
.S il : it, , : r is i ii i (et t : : i i rl r )st - -, 1. • ,. . i.,: s ), : r:..1 -; :c e :1 7H ili .1,1.1.e 1 i • )) 1 P pa a g g e e 2
Storm se',ser (no linear ft . ) Page 2
Lot no.: Solidi vision:11 --- V st,L,OV I no..
y , , ...... _ - — - — —
16 60
Tax map 'parcel no.:a_ 1 Lit___>1a_\
' . • ,
_ DEscRwrioN. OF WORK 7 .:. - --• • . .. • - _ .
•• • • • • . - - • • '• '.. .' ' 13aekilow t met ['age
Backwater valve 16 (./..1
Clothes , ,:is-her 16 60
Dishwasher 1 16.00
• .,..., • "•• .•-• .• - ....• - - _. . ..• • •••. ....
•••. . ---,,,-.,...........-. • Drinking u
g fontain 10 60
:: :S ..: • 1 PROPERTi OWNER •-:.. ' .•' ; ;•'.,.. ' ' :',' ': 0-TENANT
- ' ''' ' . ' ' ' '• ' - • - " • ' • ----- bjeetors'sump 16 (.0
Name: Expansion tank 16 60
Address: I to aRe3 3,0 _,_ Fixture/sewer cap 16 60
City/State.'ZIPI CS Floor dr:1110100r s 16.60
3., 1 1—
Phone: (5n) 5 II Om, Fax: (5tS)55a.11130(0 Garbage disposal 1 16.60
-'--. ' 191 .--' C66■1 i
14 i4ligiA
: ,.... 7 . 70 Hose bib 1 16.60
'•:•;:'i: .::'--:•••; ;-: :. la..',.!-I,c,A1,.?:F:::?, f: ::,, •";•.,. ,...,,,::',„!?.: • : i'.'1 ,_,,„.„). ,.. . ..-;-_ ,:-.,,.,-;,,-.1-.I..-J-,;.;".'-•,-,: Ice make r
16 60
Business name: (... t E ....)
IntereeptcMgi ease (Tap 16.00
Contact name: Medical gas (value: S ) Page 2
Address: (514/__\E__ Primer 16 60
City/State/ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16 60
Phone: (56&) 4 0.- i 5 3 Fax: : ( ) (.. NY‘E,
Tubisbower.;shower pan 16 60
E
Urinal 16 60
. ... - r •
:-.•'. : ..... -...' ..:.:-.• ..",' -. ; z - •.••• : CON ... : . Water closet 16.60
Business name: Watel heater 16 60
Address: c 2 LIA3 0 6 1 V \NoKykyais,S_ Other
.-- — Subtotal
CilyiState/ZIP: WI \ Ic.,\er 1 qlinr:
fr_i_l_fr 11 -- 1- I■1 mmu
irn m
perit feel S72.50
Pn
hoe: (563 t - 1 4 Fax: (.6153) t - til..„3 Residential backflow minimum permit permit fee: 536 25
_ _
CC13 Lic.: OCial 89 Plumbing Lic. no.:3 -19/- i'‘AS Plan review (25% of permit fee)
_
: ., 6
State surcharge (8% of permit fee)
cey‘
Authorized siimaturc;
TOTAL PERMIT FEE
I Print name: c e.... 11 l --- B 1)ate: 'This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
'Fee methodology set by Th-County I3uilding Industry Service Board
BuildingTermlis \ I'LMF-PcnnitA pp dec I :TO 44 0.4616T( I 0/02.'COMIWEB)
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: MST2004 -00301
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 "I I..
INSPECTION WORKSHEET FOR DATE: 8/1/2005 TIME: 7 :05AM PAGE: 10
SITE ADDRESS: 07808 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 433 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: JLS CUSTOM HOMES, PHONE #: 5503 - -4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 533 -4006
Inspection Request Scheduled For: Date: 8/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012555 -03 503 - 209 -6824 N
Corrections/Comments/Instructions:
r
v __ OL'c'
s,...,
‘ \., 0 •
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V l
Inspector: Date: v Phone #: (503) 718 -
P �
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MST2004 -00301
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: (503) 639 -4171 I I
Inspection Requests (24 Hrs.): (503) 639 -4175 I �..
INSPECTION WORKSHEET FOR DATE: 8/2/2005 TIME: 7 :03AM PAGE: 13
SITE ADDRESS: 07808 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 033 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: JLS CUSTOM HOMES, PHONE #: 503.533 -4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 5Q3- 533.4006
Inspection Request Scheduled For: Date: 812/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 012630 -01 503 - 209 -6824 Y
Corrections /Comments/ Instructions:
04\
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - . Date: /6 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00301
13125 SW Hall Blvd., Tigard, OR 97223 41111) DATE ISSUED: 2117/2005
Phone: (503) 639- 4171Ill
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7:08AM PAGE: ?8
SITE ADDRESS: 07808 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 033 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: IS CUSTOM HOMES, PHONE #: 503-533 -4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 533 -4006
Inspection Request Scheduled For: Date: 8/4/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 012828 -04 503-209-6824 Y
Corrections /Comments /Instructions:
Fk( ,)► ,oee r O'ik .
•
RASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR IrPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: 8" -1-169 3 "--
vJ Phone #: (503) 718-
1 Illk OF TIGARD `
BUILDING DIVISION . . PERMIT #: MST2004-00301
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: (503) 639- 4171 it
Inspection Requests (24 Hrs.): (503) 639 -4175 ,�-
INSPECTION WORKSHEET FOR DATE: 7/29/2005 TIME: 7:07AM PAGE: 56
SITE ADDRESS: 07808 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 033 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: 7/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 012443-02 503.642 -2800 N
Corrections /Comments /Instructions:
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11 1 1 ' ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
" " 111 CALL FOR IN - • ❑ ADDITIONAL FEES ASSESSED
r-- (IN Ze_ALI Ins ector:Date: Zq o . 5 Phone #: (503) ./;':7
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