Permit A ‘g
tIT (r ®F TIGARD MASTER PERMIT
PERMIT #: MST2004 -00336
,' � I
DEVELOPMENT t , SERVICES 39 - 4171 DATE ISSUED: 3/11/2005
PARCEL: 2S1 12 BA -09500
SITE ADDRESS: 07825 SW DUNE GRASS LN ZONING: R -12
SUBDIVISION: BONITA TOWNHOMES LOT: 031 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 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 ADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: 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: 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: 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.
ATTENTION: Oregon law requires you to follow rules
Phone: 503 - 533 - 4006 Phone: 503 - 533 - 4006 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
TOTAL FEES: $ 6,890.70 direct questions to OUNC by calling (503) 246 -6699.
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
High- strength bolts
Structural welding
Issue. By : '_ � TI'/_l OL .t _� L Permittee Signature �� ��, ; t - •
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next busines day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
Buildins, Permit AOplication FOR OFFICE`USEONLY s
City of Tigard D
_ - Rece ateiB : / I _ _ D (, % /
F. b -.. y G Perrmt `` - _ 1 Aj /J��i 6
13 125 SW Hall Blvd.. Tigard, OR 97223 Plan Review f� t: •
Phone 503- 639 4171 Fax 503 -595 1960 � ` C' t Other Pemvi [ f�ji Q
Inspection Line' 503 639 4175 % Date Ready By 2 See Attached Checklist for
-rr te j l t l
Internet: rwna' ci.tigard - us . Notifiedrtitethod ' _ '1' 1 4 Supplemental Information
fD'V(.. c\' "C\ tt U01 \`.,
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
KNew construction '7C6 ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Additionialteration /replacement ❑ Other: equipment, materials, labor, overhead and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: S R Ia R� w
1 -and 2-family dwelling Commercial' industrial 1
❑ Accessory building ❑ Multi - family Number of bedrooms: 2 �
❑ Master builder III Other: Number of bathrooms: 2, 6
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 7e 1, 560 dJ ,l ,,...... " -R ¢,,,, New dwelling area: 1-4 - square feet
Ciry /State/ZIP: n j� -1 , C? Garage /carport area: 5 Fi 2 square feet
Suite /bldg. /apt. no.: " Project name: , -V �►� Covered porch area: 32 square feet
Cross streeUdirections to Job site: • .. 1 Deck area: i square feet
Other structure area. square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ` n1 \ `cy 1T\ '� Lot no.: S J Permit fees* are based on the value of the work performed.
^ C 1 � �� indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no. �( equipment, materials, labor, overhead. and the profit for the
DESCRIPTION OF' WORK work indicated on this application_
Valuation: $
Existing building area square feet
New building area: i square feet
. ,, OWNER 1 • 0 TENANT . - .: " Number of stories: 0 v
Name: as C,VS r(\ t . v Type of construction: 7 ��
Address: 1 ( Q l \
v � ��
�
n Occupancy groups
City /State /ZIP: " rge� , O� ,. 9 -1 Existing -
0 .
Phone: (5,51) 533- LIOc Fax: (S61)%3 L IUOo New: (1\\
,r - '4 - ❑ '.' ' - [
NOT ICE , . .
usiness name: SN -1 All contractors and subcontractors are required to be
ntact name: ce-: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Iress: ItA jurisdiction in which work is being performed. If the
State /ZIP: applicant is exempt from licensing, the following reasons
q t c apply • E
(SOS) ° f(.- 1LIS 3 Fax:: ( ) � V
CONTRA "CTOR,
name: 5 pi 1 ' l G
B
L.
UILAI9G- =,P IT FEES*
Please refer to fee schedule.
'ZIP:
Fees due upon application
) ,i. Fax: ( )
39 ! 7.-c Amount received
`-� Date received:
nat e:
This permit application expires if a permit is not obtained
't Ns ithin ISO days after it has been accepted as complete.
1I G i'9 — rArKtti, Date: * Fee methodology set by Tn- County Building Industry
Service Board.
°ern6tApp der 12'03 440- 4613T11 t /02.'COM/WEBI
A
, it
Electrical Permit Application , FOR,OFFICE
City ofeTigard Received
Permit No
DateBy
13125 SW Hall Blvd . Tigard, OR 97223 Plan Review
Phone. 503 639 4171 Fax. 503 598 1960 p t'1 Other Permit
Inspection Line: 503 639_4175 , := Dale Ready/By: Juris 0 See Page 2 for I
www.ci ww.ci tigard.or.us Notified/Method• Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition/alteration /replacement Please check all that apply
El Demolition ❑Other: ❑Service over 225 amps, comm'1 Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft ,
CATEGORY OF CONSTRUCTION of 1- and 2- family dh+elhngs 4 or more new residential
[I' 1- and 2- family dwelling ❑ Commercial /industrial ❑ .Accessory building ['System over 600 Volts nominal units in one structure
❑Building over three stories EFeeders. 400 amps or more
El Multi-family ❑ Master builder El Other:
Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION 'AND-LOCATION .; - ❑Egress /fighting 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: The above are not applicable to temporary construction service-
) �rc� t �� • PP FEE* SCHEDULE
Suite/bldg./apt. no.: Project name: N
7 Ltl._ Description Qty. Fee. Tout
Cross street/directions to job site 999�JJJx���111 , t l� c see New residential single- or multi - family dwelling unit.
�� �1 Ls includes attached garage..
1,000 sq. 0. or less 145 -I5 4
Subdivision �� C 1,�� 1� _y.� Q . Lot no.: Ea add
Limited e tier sq. ft -' portion 33 40 I
Tax map/parcel no.: ( -)S 1 '.- � a �� ` energy, residential 75 00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK 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
,, PROPERTY OWNER • . ' ' 111 TENANT
201 amps to f00 amps 10685 2
l 1 L 401 amps to 600 amps 160.60 2
J
Name: C(� � � 601 amps to 1.000 amps 240 60 2
Address: 1� 'lO r \ � � � y\ C k . Over 1,000 amps or volts 464.65 2 i
rti �L1`r ` Reconnect only 66.85 2
City /State /ZIP: ' 1• • 4.a Q i IA " ■ Temporary services or feeders installation, alteration, and /or
L� relocation
Phone: (663 ) ' 3_ � G Fax: ( S) 5 3 '? _ t 200 amps or less 66 85 1
Owner installation: This installation is being made on property that 1 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: - - Date: Branch circuits - new, alteration, or extension, per panel
- APPLICANT p� CONTACT PERSON A. Fee for branch circuits with
15'- s ..-
service or feeder fee, each
Business name: L� branch circuit 6 65 2
Contact name: ` B. Fee for branch circuits
without service or feeder fee,
46.85 2
Address: • (5 TA-E.. l[_ each branch circuit
Each add'1 branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
hone: (s.(A) 1(a l , 1 `7 3 2 Fax:: ( ) 5 n M E Pump or irrigation circle 53.40 2
1 `1 V Sign or outline lighting 53 -40 2
mail:
Signal circuits) or hmned-
CONTRACTOR' energy panel, alteration, or
r ` , _ — S Le r ±- ` extension- Describe: Page 2 2
iness name: • � '► ( . ` . 'L� ` �
ess: aS 1 p G c '0{� 'kE � `J� - Each additional inspection over allowable in any of the above
e i[ Per inspection 62 50
tale /ZIP: % ` . ��o ro _ O e - 43- 173
IInvestigation per hour (1 lu min) 62.50
,
(5D3)(Q42 - a8r Ov Fax: ) (,L -. 5psks industnalplantperhour 73.75
ELECTRICAL..PERMIT FEES* -
l t SR2_ Electrical ,c.: Suprv. Lic.: Subtotal
ectrician signature, required: r AllrA l Plan review (25% of permit fee)
S - k - GVE, • 1 Dates State surcharge (8% of permit fee) ■ - '
• TOTAL PER vIIT FEE
si: t ature: L `• _ .4r--___ ' This permit application expires if a permit is not obtained within 180
- - days alter it has been accepted as complete
c 1s C. Re...A- e_s Date: • Fee methodology set by Tri County Building Industry Service Board
•• Number of inspections per permit allowed.
PermitApp.doc 12/03 440- 4615T(I0 /02 /COM/WEB
, 4
MechaniCal_Perm Applicat FOR O USE ONLY
City of Tigard Received
Permit o
Date/By:
13125 SW Hall Blvd , Tigard. OR 97223 Plan Review
Phone: 503,639.4171 Fax: 503.5981960 GtherPemuc
11 Date. Re
Inspection Line: 50:.6_9 4175
�� . Date ad�•�By: 1ul's 8 See Page 2 for
Internet wv. ci tigard.or.us Notifed/Method: Supplemental I nformation
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
New construction ❑ Addition/alteration/replacement performed - Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials equipment, labor, overhead, and profit- ,
. , - CATEGORY OF. CONSTRUCTION ' . • Value: $
[ and 2-family dwelling Commercial /industrial g RESIDENTIAL EQUIPMENT /SYSTE<9S FEES*
y g ❑ Accessory buildin
❑ Multi - family ❑ Master builder ❑ Other: For special ,njormnrion use checklist.
Descnption Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: Air conditioning or heat pump
(requires sue plan showing placement) 14.00
City /State /ZIP: a_ Q �. 1 1 Furnace 100,000 BTU (ducts /vents) 14.00
1 1 Furnace 100,000+ BTU (ducts /vents) 17.90
Suite /bldg. /apt. n Project
h1}o. Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
���i Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -hype, not electric),
in -wall. in -duct, suspended, etc 10.00
Subdivision � T�_ Lot no.:
Other: for any of above 10.00
S Other: 10.00
Tax map /parcel no.: S 1 1 4.. 1 r1iS i Other fuel appliances
DESCRIPTION. OF :WORK ; Water heater 10.00
Gas fireplace 10.00
•
Flue vent for water heater or gas
fireplace 10.00
Loe lighter (gas) 10.00
Wood /pellet stove 10 00
Wood fireplace/insert 10.00
-',�; PROPERTY,OWlYER ❑ -- TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: [[ f Ct }- ^MeC Environmental exhaust and ventilation
Address: f /_ �} fl O N \ \ j ,1 VR . U Range hood /other kitchen
I l[7IX(� I���JV equipment 10.00
City /State/ZIIfp�t » r- W � (---,z_ (---,z_ ' r _ 7 C_L Clothes dryer exhaust 10.00
(5 t s. ll iilet t exhaust (bath y roo
'hone: 3 ) 5 _ �� Fax: (5 , s) 533 V g366 toilet compartments, artments, unlit rooms ) 6.80
- = J•',�AP LIC N r'"? T' 5111 CONTACT, •PE Attic /crawlspace fans 10.00
siness name:
sR I Other: 10.00
Fuel piping
tact name: $5.40 for first four; 51.00 for each additional
ess: [
::::2) Q ME./ Furnace, etc.
,
Gas heat pump
tate/ZIP: Wall /suspended /unit heater
(5 3) 969_ lLj5' Fax:: ( ) 5 \ `' `F Water heater
11 Fireplace
Range
`=s-' `,t,_.r j �ON`1:RA -ro r ti - S .
r F . ', ,. -. >r _:sue R'` "ate `..`,. -r �:- _�'.�°* ' Barbecue
f Clothes dryer (gas)
ame: \ ■ ,C._ 0 ` �,.� alb _ Other
- 0 • ■ (0 5 b3 ;, ■ ME;CHANI PER1vIII "
°: 1p1r\c,. ' O (Z • " 1 ` •• Subtotal
Minimum permit fee ($72.50)
591 —992 (I Fax: (563) gyii l _ U' Plan review (25% of permit fee)
131 � ® r State surcharge (8% of permit feel
TOTAL PERMIT FEE
lire: • • e-- This permit application expires if a permit is not obtained within 130
days after it has been accepted as complete.
�� ��
— 5 Date: • Fee methodology set by Tri- County Building Industry Service Board
•rnitApp.doc 12/03 440 4617T (11/02 /COM/wEB)
Building Fixtures
Flu mbYina Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Date.By Perrruw No
13125 SW Hall Blvd.. Tigard. OR 97223 Plan Review
Phone 503 639 -4171 Fax. 503.598 1960 Ai,w „ �t I Other Permit No -
"" y Date/13v
24- Hour Inspection Line. 503 639 4175 �J -�• 1� '' )ors
Internet. www ci h and or US 1:a. . Date R /Meth . I� See Page 2 for
g Notified/Method. Supplemental Information
TYPE OF • F E E * S
g New construction El Demolition For special information use checklist
Description Qty 1 Ea. Total
❑ Addition/alteration/replacement ❑ Other: New 1 - 2- family d.■ellings (includes 100 ft. for each utility connection)
iz" CATEGORY ORCONSTRUCTION SFR (1) bath 249.20
1X11- and 2- family dwelling . CommerciaUindustrial SFR (2) bath 350.00
❑ Accessory building El Multi-family SFR (3) bath 399.00
Each additional bath/kitchen 45 -00
❑ Master builder 0 Other:
Page 2
Fire sprinkler ( sq ft.)
4.*Sj"TFs � 1 - i01 .,*. ,geA -(
�.igz, e�` . - : � -�... :�.� - � )
. ...� - - - ,_ - ; Site utilities
Job site address: Catch basin or area dram 16.60
City /State /ZIP: / a 1 1 Drywell, leach line, or trench drain 16 60
Suite/bldg./apt. no.: Project name: Footing drain (no- linear 0.: ) Page 2
� - Manufactured home utilities 11000
Cross street/directions to job site �� �- C (-p e Manholes 16 60
v Rain drain connector 16.60
Sanitary sewer (no. linear 0.: ) Page 2
Storm seer (no. linear ft.: ) Page 2
Subdivision ` - 1 f: 03n / C C1 QS Lot no.:
Water service (no. linear It.: ) Page 2
Tax map /parcel no.: 0 1l� Fixture or item
r„ �, RIPT , . _ Absorption valve 16.60
+:J' s 4 "bESE °OF° �VORIC -
„.:, _,.;; . Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60 1
Dishwasher 1 16 60
Expansion tank 16.60
.0 : - 4
.:',- ' cl�- :+aiakr. ;Er•.,r.. 1
x 1:1= &-iL_:r= :i5;,:,ai�'r;x?.;:: .:r g F.-_.r Dnnkm fountain 16 -60 '
�r���- rt..� PROPE r0, s., '::;= G e ,� ..?,..; >r� . . ': - z'�� E `. g
..;', :. :, .�:...e`•' . ,.,r, y4•;:.. - [ �l A ;. i a .. ; i ` h :
/� u E ectors /su 16.60
Name: LS l _, t � f\"{_‘_\ r ►���5 Lµ �
Address: I l0 aBo 3u0 Fixture /sewer cap 1 6.60 7bn City/State /ZIP: r .}. ( ND 4- 1 Floor drain/floor sink/hub 16.60
Phone: c553) 5. N` 1J tJ(` 1 Fax: ( 543 ) 5 3_ q11 (0 Garbage disposal ` 16.60
': .Y u e t . s g na a�. -sir. r f t� Hose bib 1 16.60
rur i #...=- �3:._sNtr- x„•. , - - ,t.>s •:..� = t � . '?�� � vti ::f���.P�:.:. - - ,.... l cemaker 16 -60
usiness name: I R rn
e � � L ` s Interceptor /grease trap 16.60
'intact name: . Medical gas (value. $ ) Page 2
dress: 3p,mg Primer 16.60
/State/ZIP: Roof dram (commercial) 16.60
e: (555) 0 X69- 14153 Fax:: ( ) Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
l:
a ,��:�c i pr.f ;4 _ . : G Le r- ;: ;:,r,� .a ,:.x Urinal 16.60
f
:< v. x:'-,% Grr� ,. =ra� ; r r�.�-u:rr,- ,sr ����4*.re '"VIZW.='s ^.rFr Water closet 16.60
s name: , M 1_xx1e tit(- \ � `� Water heater 16.60
/ I '1 ) 3 L1. Zoan 3J l _ 6 Other.
1ZIP: 1�;1,1,bo f�� 9 4->� Subtotal
I � � � Minimum permit lee: $72.50
53 (On - 1 (030Q__ Fax: (v _ 11632 Residential backflow minimum permit fee: $36.25
'qa to Aci Plumbing Lic. no -:3L! 412/i Plan review (25% of permit fee)
ignature - 412/i0 AS surcharge (8% of permit fee)
. '` ..._k - -.. TOTAL PERMIT FEE
c j - Erdz:L.X 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.
- MF - PerrmtApp. dot 17703 440- 4616T(10 /O2JCOM/WEB)
V ITY.OF TIGARD ,
DING DIVISION -I PERMIT #: MST2004 -00336
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/2005
Phone: (503) 639 -4171 � ii'i
Inspection Requests (24 Hrs.): (503) 639 -4175 —All- ` -_
INSPECTION WORKSHEET FOR DATE: 8/18/2005 TIME: 7:06AM PAGE: 23
SITE ADDRESS: 07825 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 031 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA.
OWNER: JLS CUSTOM HOMES, PHONE #: 503-633-4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503-533-4006
Inspection Request Scheduled For: Date: 8/18/2006 Pour Time:
Code # Inspection Description onfirm # Contact # Message
399 Plumbing final 01;8 -4. 503-209-6824 Y
Corrections /Comments / Instructions:
( se6, " c tkLY.'
�. Ki`Tc.\\1110 sy 0 'L -- ca cs3.) `Co
!on n ° F 04 krf4ki si INK -
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , N (A U Date: (/ 0 Phone #: (503) 718- 2414
Il itTY / OF TIGARD
UIL ING DIVISION PERMIT #: MST2004-00336
13125 '6"W Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/11/2006
Phone: (503) 639 -4171 / °4 ° ,i ' I�
Inspection Requests (24 Hrs.): (503) 639 -4175 _ - - I--
1
INSPECTION WORKSHEET FOR DATE: 8/17/2005 TIME: 7:05AM PAGE: 75
SITE ADDRESS: 07825 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 031 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA. •
OWNER: . JLS CUSTOM HOMES, PHONE #: 5036334006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 533-4006
Inspection Request Scheduled For: Date: 8/17/2006 Pour Time:
Code # • • r iption onfirm • Contact # Message
188 Electrical final 013703-01 603 -642 -2800 N
Corrections /C• • ments /Instruction-:
- -G -- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C L FO INSPECTION ill ADDITIONAL FEES ASSESSED
.7 11_
Inspector: Date: VI Or Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00336
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/2005
Phone: (503) 639 -4171 "��n Up��lpiipnl '�
Inspection Requests (24 Hrs.): (503) 639 -4175 J '. 1.
INSPECTION WORKSHEET FOR DATE: 8/22/2005 TIME: 7:10AM PAGE: 4
SITE ADDRESS: 07825 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 031 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA.
OWNER: LS CUSTOM HOMES, PHONE #: 5035334006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503- 5334006
Inspection Request Scheduled For: Date: 8/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 014027 -03 503-209-6824 Y
Corrections /Comments /Instructions: ' (� (/11, LA-TE
i (2 Pc_
.EASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL g 1111 ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1
Inspector: / I Date: Phone #: (503) 718-
CITY OF TIGARD- : -
BUILDING DIVISION PERMIT #: MST2004 -00336
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/11/2005
Phone: (503) 639 -4171 /0, " ",,, I
Inspection Requests (24 Hrs.): (503) 639 -4175 � � _ �.
INSPECTION WORKSHEET FOR DATE: 8/16/2006 TIME: 7:05AM PAGE: 9
SITE ADDRESS: 07825 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 031 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA,
OWNER: JLS CUSTOM HOMES, PHONE #: 603. 633.4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 603- 633.4006
Inspection Request Scheduled For: Date: 8/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 01363602 603- 209 -6824 Y
Corrections /Comments/ Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO INSPECTION ❑ ADDIT NAL EES ASSESSED
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