Permit A ,. CITY OF T FGARD MASTER PERMIT
_ , PERMIT #: MST2004 -00307
` w4 DEVELOPMENT SERVICES DATE ISSUED: 2/17/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07876 SW DUNE GRASS LN PARCEL: 2S112BA -10300
SUBDIVISION: BONITA TOWNHOMES ZONING: R -12
BLOCK: LOT: 039 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 TURD: 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: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/rELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,890.70
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 - 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
A
^ / .
iL Issued By : =� Permittee Signature : /`..__1J AA
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
4 Vk "
,r Building Permit Application FoROFFtcE USE ONLY . ,
hh /
Clty'of Tigard Date/By' t Vf / Permit No
l 3125 SW Hall Blvd., Tigard, OR 9722 , Plan Review
Phone: 503 639 417] Fax: 50)9$ �?m=�'�t� f ;�� Ft" 2Z / eJ �S� 1111M5.2— Other Pernut � �s ...6,42.97 ...6,42.97 _ 503 63
Inspection Line. 59 d f . � "� Date Ready/By E See Attached Checklist for
f rJ YV
Internet w�ww.Ci n U$) � NotifiedMethod: / Supplemental information 0 II
T.;\ , - .TYPE na WORK • A
,REQUIRED DATA: 1- ND 2- FAMILY DWELLING
�OF
���'�, `O ❑ Demolition
Permit fees* are based on the value of the work performed.
12. New construction
`! nW "ids Indicate the value (rounded to the nearest dollar) of all
El Addition/ alteration /repi4 >u0 ❑ Other: equipment, matenals, labor, overhead, and the profit for the
- V) ' work indicated on this application./9 3l . 30
CATEGORY OF CONSTRUCTION
14 1- and 2- family dwelling Valuation:
Commercial! industrial –}-.
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms
2, 6
JOB SITE INFORMATION AND LOCATION Total number of floors 3
Job site address ii�in�p1'ji��� S� �
New dwelling area: 1 -4 q square feet
Ciryr'Slate /Z1P: �1 ` r = Garage/carport area: b g� • 2 square feet
Suite/bldg./apt. no.: Project name: , ` Covered porch area: 32_ square feet
Cross street/directions to job site: .V , .. ` ._ ' „ • `, • , Deck area ` L square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
EINEM a lG • S , • Lot no : 3 Permit fees* are based on the value of the work performed.
� lJU
� t . ` • ' indreste 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: $ / g 0 •
Existing building area square feet
New building area r5 , square feet
1: PROPERTY OWNER - . - • ❑ TENANT Number of stories o o
�` I
ENNIK IRCL_T ,,� . Type of construction
Address: . o- Z.0 , — • '. 11 ,_ • Occupancy groups:
City /State /ZIP: - ,t5,`4• t ` . (Z 9 ',,; Existing
Phone: (Sd3) 53 – t fieA . Fax: ( S61 ) • • – • New:
❑ ,APPLICANT CONTACT PERSON NOTICE
Business name: ' V All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: a ' le. under ORS 701 and may be required to be licensed in the
Address jurisdiction in which work is being performed. If the
applicant is exempt from licensing the following reasons
Ci rv; S to tei'ZIP:
l apply
Phone: ($c.3) q c9.- l L's 3 '�
E -mail:
CONTRACTOR -
Business name:
- BUILD ING 'PERMiT FEES*
Address:
Please refer to fee schedule.
City /State /ZIP: .
Fees due upon application
Phone: ( ) _ Fax: ( )
l �� `' Amount received
CCB lic.- •
Date received:
Authonzed signatt e This permit application expires if a permit is not obtained
s %ithin 180 days after it has been accepted as complete.
Print name 6 ] ; C, 1e- rhri-ts_l Date: * Fee methodology set by Tn- County Building Industry
Sernce Board -
1 BuildmgTennitclBUP- PermitApp dot 12'03 440- 4 613TI l i /02;COM/ EBI
•
6 Electrical Permit Application FOR,OFFICE USE.ONLY. - _,,,
Y Date/By:
City of Tigard oft D Received o p Permit - 2 r
13125 SW H Blvd.. Tigard, OR 972,' G YA 1100�� (/�/ �l
Plan Review
Phone: 503 6j9.4] 7l Fax. 503 59811190 Date/By: Other Permit:
tit
Inspection Line: 503 - 639.4175 Date Read By. Jurts 8 See Page 2 for
Internet: www.ci.ttgard.or.us OCtl Notified/Method: Supplemental Information
.:. TYP L.9IM0''O R O - PLAN REVIEW
❑ New construction ❑ Ad�l er /m9tl��ement Please check all that apply
U Service over 225 .
amps. comm1
❑ Demolition [1] Other
P ❑Hazardous location
['Service over 320 amps - rating ❑Bulldng over 10,000 sq. ft -,
CATEGORY OF CONSTRUCTION of 1- and 2- farruly dwellings 4 or more new residential
❑ 1 - and 2 family dwelling [1 Commercial /industrial [11 Accessory building ❑System over 600 volts nominal units in one structure
•
Building over three stories ❑Feeders, 400 amps or more
❑ Multi family ❑ Master builder ❑ Other:
['Occupant load over 99 persons ❑ Manufactured structures or
. JOB SiTE INFORiLA AND LOCATION - - ❑Eg ess /fighting plan RV park
Job no.: Job site address: I v �) ❑Health -care facility ❑Other
/ t 1 9 / �� /�� 61Ka . SSubint 2 sets of plans nigh any of the abm e
Clty!State /ZIP: •_ ` 1 I7 The above are not applicable to temporary construction service.
1 FEE* SCHEDULE
Suite/bldg /apt. no.: Project name: N 1 }�
It . 1l Descripuon Qt}. Fee. Total
Cross street/directions to job s ite: � - — • 1 ,., New residential single- or multi- family dwelling unit.
T T includes attached garage--
1,000 sq. ft. or less 145 15 4
Subdivision: ot no. Ea. add - 1 500 sq. ft or portion 33.40 I
�' 1tx�e1 Q� L: 7 '
Tax map /parcel no as' i t� 1 a g' Limited 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. andlor relocation
• 200 amps or less 80 - 30 2
. PROPERTY OWNER - ❑ TENANT • 201 amps to 400 amps 106 S5 2
401 amps to 600 amps 160.60 2
SL S
Name: �� � Qw �Q , 601 amps to 1,000 amps 1 246.60 2
Address: 10 . z , Over 1,000 amps or volts 434.65 _
staff_ a Reconnect only 66.85
2
City /State/ZIP: n,�,� �^ Q� . �1��^ (
Temporary services or feeders installation. alteration, and /or
1 � ��� VVV L� — / (ems �) ]�) relocation
Phone: (S
3 t..t gsr Oo Fax ( 5%S 53_a=4-360 200 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
intended for sale, lease. rent, or exchange, according to ORS 447, 449, 670, and 701 101 amps to 600 amps 1.3.75
Owner Signature Date: Branch circuits - nevi, alteration, or extension, per panel
❑ .APPLICANT I - - . PERSON -_ A Fee for branch circuits with 1 SR service or feeder fee, each
— Business name: 6 65 2
'branch circuit
B Fee for branch circuits
Contact name: - — ��•
without service o feeder fee,
Address: -
each branch circuit 46.85 2
C Ea ch adult] branch circuit 6.65 l 2
City /State /ZIP: Miscellaneous (serxice or feeder not included)
Phone: (s er( 9t , 1 413 ? 1 Fax.. ( ) 5n 1(V1 E Pump or irrigation circle 53 40 2
l Sign or outline fighting 53 40
•
E - mail: Signal circuit(s) or limited-
. ' _ - CO NTRACTOR' . ' • - energy panel, alteration, or
f . extension- Describe: Page 2 7
Business name: � �' l� C C C
Address: aSg 1 p (7 ' 9 ' t ` - — Each additional inspection over allowable in any of the above
a I� Per inspection 62_50 1
City /State /ZIP: l `���� `O , O e9 Q Investigation per hour (1 hr min) 62.50
Phone: (563) to L {z _aUo/� � / )l 2_ 5Ri l�� Indusmalplantperhour 73.75
V Fax: ) 1D ` l 1
ELECTRICAL PERb1IT FEES
CCB Lic.: l t ii,az 1 Electrical I \.c.: q _ Suprv. Lic : Subtotal
Su •
rv. Electrician si ature. re uired: ' ( Plan review (25% of permit fee)
P q iA t.
State surcharge (8% of permit fee)
Print name: a w � I Dates ■ ' TOTAL PERMIT FEE
Authorized si% afore: .4_ • "-- ah ` � __ This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete
Print name: � �t C` C - o- 1 T e ._ Date: . Fee methodoloav set by Tn -County Building lndusrr Service Board
'` Number of inspections per permit allowed_
* `. Build ;nglPermits\E.LC- PermitApp doc 12'03 a40.461ST(10!02/COM /WEB
... Mechanical Permit Application F ;
City of Tigard
IA � Received
Permit No_ �/�
1312 T
SW Hall Blvd., Tigard, OR 97223 DateBy. M/ao0 � C.J°� --
Plan Review
Phone! 503.639 4171 Fax: 603.598.1960 ��
Other Permit
Inspection Line: 503.639.4175
j r i- DateBy.
G . �' Date Ready /By: Jens See Page 1 for
Internet wwx ci.tigard.or.us t
� O Notified/Method Supplemental Information
I 1 _• cl
T�NPE OF R'OR C 0 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
X New construction III Addilionfalte i ce%, e Mechanical permit fees* are based on the value of the work
��^^�( " � \V performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ l9t r \� � mechanical matenals, equipment, labor. overhead and profit
- CATEGORY OF CONSTRUCTION • Value: 5
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
r and 2- family dwelling XCommercial /industrial ❑ Accessory building
ill Multi-family 111 Master builder ❑ Other: For special information use checklist
Description Qty. Ea 1 Total
- JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: `;��� •, ` k ' l
Air conditioning or heat pump
Y / (requires site plan shov-ing placement) 14 00
City /State /ZIP: — t Y Q �� q Furnace 100,000 BTU (ducts /'vents) 14 00
, Protect name V�I
Furnace 100,000 BTU (ducts /vents) 17 90
Suite bldg. /apt. no.: �Q. Gas heat pump 14_00
Cross street'directions to job site PC,_ � r,,.,/\ Duct work 14.00
`�- CSE E_ K 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 1
Subdivision�,��� Lot no - : � Flue /'vent for any of above 10 00
Other: j 10.00
Tax map /parcel no.: 51 t a ` Other fuel appliances j
DESCRIPTION OF WORK Water heater 1 10 00
Gas fireplace 10.00
Flue vent for w ater heater or gas
fireplace 10 -00
Log lighter (gas) 10 00
Woodipellet stove 10.00
Wood fireplace/insert 10.00
tg, PROPERTY OWNER ❑ TENANT Chimne, /liner,'11ue. %vent 10 00
T Other: 1 10 00
Name: V LS ` lisirn Ilk Ib ka
Environmental exhaust and v entilation
Address: • ■
Range hood /other kitchen
Y' ■ �� �t�. _. "�, equipment 10.00 ,
City /State /Z_11 (Is)? r+c\q(1 Qp ' • 6 4 ` l J Clothes dryer exhaust 10 00
/ / J ^ V Single -duct exhaust (bathrooms,
Phone: (5p3 ) 5 r � ' - `IOM1 Fax: ( 5 . 6 3 ) 533- y366 toilet compartments, utility rooms) 6.80
' - ❑',;APPLICANT;`, N, CONTACT PERSON Attic /crawlspace fans 10.00
Business name: 14 Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: fThA M C / Furnace, etc-
� Gas heat pump
City /State /ZIP: - Wall /suspended /unit heater
2� r �
Phone: (563) 969_ 145 Fax:: ( ) 5CC ` `F i Water heater
Fireplace
E -mail: • Range
CONTRACTOR - • - - Barbecue
Business name , ` 41" Clothes dryer (gas)
11 ",,-- 1 alb ' Other:
Address: c , PERMIT MECHANICAL PER FEES*
City/State /ZIP: in ` .. _ CAL • • " Subtotal
Minimum permit fee (872_50)
Phone: (5c)3) q 3) 11 -992 Fax: ( 8 q ., _ D cJ
Plan review (25% of permit fee)
CCB hc.: 1 /4131q State surcharge (8% of permit feel'
j� --- TOTAL PERMIT FEE ,
Authorized si ature: This permit application expires if a permit is not obtained within 150
( _ .P__ days after it has been accepted as complete.
—� • Fee m ethodolo gy set by Tn-County Building Industry Service Board
Print name: C 1 , : , � 4 ., - �� S D ate: _ >'
i'; .Building\Permits\MEC.PerrrutApp doc 12/03 440-4617T 11 Il02 /COM/WEB)
Building Fixtures I
P lumbing Permit Ap7l ttll FOR'OFFICE USE, ONLY' >_
City of Tigard Received W Date/13y �� 20 7
0‘..
Date/13y Permit No
13125 SW Hall Blyd., Tigard, OR 97223
Phone: 503 639.4171 Fax: 503.598 1960 f \{ P��//"4
G' Plan Review
DateBy Other Permit No.-
24 Hour Inspection Line: 503 - 639.4175 �e �T 0 0 , \I\ ; g .� h :... ts ,
1 . .ter ;. Date Ready/By: El See Page 2 for
Internet: w'. w ci.tigard - or.us ,..110 Nonfied/Method Supplemental information
?.: TYPE. : WORK EE* SC
g New construction [I] Demolition For special information use checklist.
Description Qty Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft. for each utility connection)
• - CATEGORY, OF CO NSTRUCTION - = SFR (1) bash 249.20
tg:f1- and 2- family dwelling XCornmerciaUlndustrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi family SFR (3) bath 399 -00
❑ Master builder ❑ Other: Each additional bath kitchen 45.00
1 Fire sprinkler 4 ) Page 2
spn kl r s - t Pa e "'
'JOB SITE-JNFORMATION- AND; LOC•�TIONr G
� =<f• - -- : .z � ...,.. _ S ut
Job site address: y1' -7( V i I ' ' Catch basin or area drain 16.60
CitYStaleiZlP -- � ` l Drysvell, leach line, or trench drain 16 60
Suite; bldg. /apt. no -: fiProject nam Foot drain (no. linear ft.: ) Page 2
G.. Manufactured home utilities 1 10 00
Cross street/directions to job site�\��.�y� ��.�.,_ C M e [ j
�ss—�— Manholes 16.60
Rain dram connector 16.60
Sanitary sewer (no- linear ft : _) Page 2
Storm sewer (no. linear 0.- ) Page 2
Subdivision: _.:1616 Q % J Lot no: 3`� Water service (no. linear R- ) Page 2 •
Tax map /parcel no.: 1 C 7� `at` ✓ Future or item
1 1
Absorption valve 16 60
DESCRIPTION OF- „.'9OR1k, - - Backflow preventer Page 2
Backwater valve 16 60
Clothes washer 16 60
Dishwasher 16.60
%: ❑ . . Drinking fountain 16.60
T� PROPLR FY OWNIOR = TE NANT S :
� ' . .� ' C. = .., - .- -. - -' . , - Ejectors /sump 16 60
Name ON. A a I. Expansion tank 16.60
Address: 1 to agO 5L Fixture /sewer cap 16.60
City/State./7_IP: �Jl` r.^ ' h1� S � ' Floor drain /floor sink/hub 16 60 •
Phone: ( 3) 5 l lj( l Fax: (5 ,)5 ,r ���111 f Garbage disposal 1 1660
+� �7 ( --P” r D '. •; ) '': ,ia - u : — - :_ :4 e�-o.; Hose bib I 16.60
:., ,, � � '. ` � ;... . = z��`<..; mss.
�`�': ...r. � ` CONTA„CT "PERSI'11�1� -.,
-` �.::: ! !' »�. �, x'.S,'.S' �•+... �:7.4,.'."'.. , .. : - = "S. �'w i ; -y
�' l ,^ A Ice maker 16 60
Business name. � �/ l
Interceptor /grease trap 16.60
Contact name: ts ,t. Medical gas (value. $ ) Page 2
Address: ' Primer 16 60
City /State /ZIP: Roof dram (commercial) 16 60
Phone: (5 (s) 4 /_ 1 y53 Fax: : ( ) Sink/basin /lavatory 1660
�-<' +' Tub /shower /shower pan 16 60
E -mail:
Urinal 16 60
z 0ONTRACTOR F
. Water closet 16.60
Business name E,` (At \\e y\ ' \1,,, ��• Water heater 16 -60
Address: ) Other
City /State /ZIP: 171; \,1,00Z) M 9 3- Subtotal
-6 / n � �' 1Minimum permit fee: $72.50
/
Phone: (563) WZ a _ 1 lD3O� Fax: (5b3) 6* .. Residential backflow minimum permit fee $36 25
CCB Lic.: oqa ID A9 Plumbing Lic. no.: 3I-1 --ii,?bv Plan review (25% of permit fee)
�-+ State surcharge (8% of permit fee)
Authorized signature:
. a_ —� - -- ) TOTAL PERMIT FEE
Print name: 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.
Build ineennits\PLMF- PrnnitApp doe 12,013 440- 4616T(I0 /02/COtA/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00307
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2006
Phone: (503) 639 -4171 �on���oa�Ul
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/1/2005 TIME: 7:05AM PAGE: 77
SITE ADDRESS: 07876 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 03g 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: 8/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 012472 -06 603-209-6824 N
Corrections /Comments/ Instructions:
❑ PASS ❑ PARTIAL APPROVAL % CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,7 / ` 1 Date: /7 Phone #: (503) 718-
CITY OF TIGARD
0 ' ' )
BUILDING DIVISION PERMIT #: MST2004 -00307
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2J17/2005
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 _�! __—
INSPECTION WORKSHEET FOR DATE: 8/9/2005 TIME: 7:05AM PAGE: 55
SITE ADDRESS: 07876 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 039 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: JLS CUSTOM HOMES, PHONE #: 5
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 5035334006
Inspection Request Scheduled For: Date: 8/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 01315503 503-209.6824 N
Corrections /Comments /Instructions:
1
1111114 J./
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI • NAL FEES ASSESSED
----- ,?1P,V/0 ilare 40
Inspector: Date: 110 l ` — Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00307
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: (503) 639 -4171 /ligj,
Inspection Requests (24 Hrs.): (503) 639 -4175 — ! :!� i
INSPECTION WORKSHEET FOR DATE: 8/2/2005 TIME: 7 PAGE: 7
SITE ADDRESS: 07876 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 039 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: JLS CUSTOM HOMES, PHONE #: 603 - 633 -4006
CONTRACTOR: ,BLS CUSTOM HOMES PHONE #: 503 - 533 -4006
Inspection Request Scheduled For: Date: 8/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 012630 -07 503-209-6824 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:. Dater Phone #: (503) 718-
CITY OF TIGARD 4
BUILDING DIVISION PERMIT #: MST2004- 00307
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: (503) 639 -4171 4 /m 1) pulf'il\
Inspection Requests (24 Hrs.): (503) 639 -4175 N ` - _..
INSPECTION WORKSHEET FOR DATE: 8/1/2005 TIME: 7:05AM PAGE: 5
SITE ADDRESS: 07876 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 039 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: 8/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012557 -02 603- 209 -6824 N
Corrections /Comments /Instructions:
, ArSl
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❑ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED -4114
Inspector: / Date: I 617 Phone #: (503) 718-
OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00307
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: (503) 639 -4171 44, NlI
Inspection Requests (24 Hrs.): (503) 639 -4175 ...5 -_-.
INSPECTION WORKSHEET FOR DATE: 7/29/2005 TIME: 7:07AM PAGE: 54
SITE ADDRESS: 07876 SW DUNE GRASS LN CLASS OF WORK:
SUBDIVISION: BONITA TOVVNHOMES LOT #: 039 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: JL;S CUSTOM HOMES, PHONE #: 5035334006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 5334006
Inspection Request Scheduled For: Date: 7/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 012443-03 503-642-2800 N
Corrections/Comments/Instructions:
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❑ FAIL ❑ ALL FO.�/, •N ❑ ADDITIONA EES ASSESSED
Inspector: A .I11II , Date: � � Phone #: (503) 73?
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