Permit MASTER PERMIT
CITY OF TIGARD
PERMIT #: MST2004 -00309
�
I il DEVELOPMENT SERVICES DATE ISSUED: 3/7/2005
,,,14. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2 S 112 BA -10 50 0
SITE ADDRESS: 14487 SW PENNYWORT TERR ZONING: R - 12
SUBDIVISION: BONITA TOWNHOMES LOT: 041 JURISDICTION: TIG
REMARKS: New SFA
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 318 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 823 sf GARAGE: 480 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 TistOa 802 sf RIGHT:
VALUE: 194,052.40 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 1,943 sf REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 3 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 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/1RRIG: 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 - 53304006 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: $ 6,984.40 direct questions to OUNC by calling (503) 246 -6699.
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
High- strength bolts
Structural welding
c
Issued y : Permittee Signature
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business 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.
A ' •
Building Permit Application r
--
City of Tigard R sed 0 a
./.100.A.., 44. - C 7
13125 SW Hall Bkd . Tigard. OR 97223 .
Phone 503.639 4171 Fax 503.:'98 1960 r , , . - .,_., . . , A . , , ,4 , P n l a a t n e.„B R ..
.ttekr ; 1,,, Other Pe,
0 -1 2 , ./A: e ''''
Inspection Line: 503 4 1 5 FIEG ENE.t... w „, AL .:.__. Date Read..B.
JH ' 2 See Attached Checklist for
Internet ',.‘, or us Non riecL'•Itil /0., Supplemental Inforination
!, lactli r --0 u 11 It
nil- -,..- ....,-
row OF WORK r REQUIRED DATA: I- AND 2-FANIILY DWELLING
K Nev , construction 1- .' t 1 on Permit fees* are based on the \alue of the v■ ork performed
C. ,s11- Y (Il rr ,. IL;riisiON _ Indicate the \ :flue trounded to the nearest dollar:■ of all
El Adclition-alieration s uiLDINpither• equipment. materials. labor. OVei head. and the profit for the
v.ork indicated Oil this application
CATEGORY OF CONSTRUCTION
VaItiation. S if i f 0
1- :Ind 2-family dwellin. XCcumnercial'Industrial ' --- •
Num l ber o bedrooms.
3 1-
..-
III Accessory buildirn2. 0 Nititii-r,mit _
Number of baihroorn 2 .
El I\ taster builder 0 Other
..,..
--I
, . JO SITE INFORALATION AND LOCATION
Total number of floors
. 3
_ tc d-,‘. .0e3 iqy 3 square reci
j site address: " Mir 1517 . .a - t_u
---
_ .
Cit \-Staie,ZIP-1110411.4 ( )_ 1 ?.......... .. 1 .
Suite Ibldtt...Iapl. no . I Project name (---&-i---&l_k_C — 1 (Ar.ered polch area 3( square feet
Cr oss street :directions to Joh site 'T V --- cor\ryli _ e_ Deck area 1 3( square feet
Other snuctuie .ne.: square feet
---- ---------
REQUIRED 1):\ TA: (101)11:1ICL\ L-USE CHECKLIST
X_ _ICY-k_A NY\le TI 1 Vrif)
i _■■ r1., Lil
Pcnilit 1,.:,:::' On %% iomic,; _
Indic:ale the ..alnc 1 rounde‘I 16 'he ne;n Mk ' CT
est dollat i of all
IlaN inap parcel no : a 1 L .j..._ 1
equipment. 111, Irhoi ( and the profit for ihe
. 1 DESCRIPTION OF WORK - . , .oll , , 11],11;..1ial c,:i W)-: .11
t----
\ j i t ):::joil S c f I i B L obo
- 1
Lxistin: buildim 31-.:a squaie feet
L cc. 1.011,111,_ „I, A 5 .lil..11t. Illl
PROPERTY OWNER
j 11] TEN..v, Numb:, of 5101:5 ...
iNr HRS. C .__ A " e-S__ - IL - re of consirlicuun
- _
Addiess (paa° AIU.D IMO 1 , r ,,,:,,,a,,c,, •..poups
------- ---------
City'Sta Ilk
te•ZfP:Saxvecijz:y-) 0 v..._. 9 Ilb ... r—
_ ; 1,5i5tm,,?
•—• -1---. i
Phone (563) SZ3- 1-1(Y10 Fax IS 61) SVZ. - LIS C(c) N 1:-..■
0 APPLICANT 0( CONTACT PERSON
1 _
NOTICE
Business name: Al] coritr.iciors and subcontractor, 31 C l c:Tined to l's
licensed v.)th the Olck:on Cons,ii uction Contractors Bo.
COnl3C1 name
under ORS 701 and mai, he requited robe licensed in the
Address aM.C. _jurisdiction in - ..hich v.ork is IDeing performed If the
Cy State:ZIP aPPlIcIIIII Is e\I-IIIIPI from IIcensIIV Ole 101 )0" 9 2 1 reasons
it
apply
,
Phone: (SOS) 9 C, 1/-1.5 3 1 Fax . ( ) YI
- -
17111111 — 1 I
CONTRACTOR
HUSITICSS 11:1111C 5 p yyl E
I Bui,DiNG PERMIT FEES'
Address
_ice _%cherlitle.
Cir. State ZIP
Phone r )
Nif Fa- t 't ...________,
.
Fees due up00 ::1 r"
1 - Amount received
1
cc B lir. i SS --tc)
Date received
Authorized sianat e - / This pel mit application expires lin permit is not obtained •
within ISO da) s after it has been accepted as complete.
. . _
r- Print name
1 Date ! ' Fee rneihodeIog:. set 0-, Tri-Counr. P.tidd;n2 Indn5w.
S Board
PuTidulg,P,rng.s•Pd2P-PcmIgApp doc 12 0.7 .2.40-,t 11'7,11 :: 17 V.5•I3
•
r.leIU 1I.. 11 a rI mill PIflll . dl1U11 tl 1
Cite of Tigard Received PemlNo. Q
•' 1312 S \ \' Hall Blvd . Tigard. OR 97223
P , Date "B..1 ex.
Plan Re�le's
hone: 503 "639 4171 Fax. 503 598 1960 > - ( H 1;1 Perrvt
5l ; RE EIV' Da ;e.'Er ; - ctoe: 0_.639 a 1 ; _ ' 6 I " `" • Da:e Read'B: - r' See Pa 321
Interet - ss - ss',Ci Ilgard 01 N etlfled•l'.!ethod 1 Sup pie me al at I to, mason
n •s
PCT 7Bn�
. TYPE O a ORK v LUY PLAN REVIEW
❑ Ne construction [1] :�dditiol 1 +��r�H�n r )�la rrlenl I Please meek all lhal appl_.
t' 1 v1 1 iUh11 ( 22
❑ Demolition ❑ Other 1 ❑Set Ite • . el _ amps. com;r'I ❑Ha <ardou� local:on
13UILDI DIVISION ❑Ser. ce o er 220 amps - 1 ❑Bluldng over 10.000 sq f
' CATEGORY OF' CONSTRUCTION of I- and 2- farmv 3, u or more ire; lesldenual
El 1111d family di.velline ❑ Commerciallinduytnal ❑ .Accessor, building
❑Svstern e'.er G09' "ci a nominal r:mts In one ,trod '.Ire
❑Bui!dmee n cr share sli El Feeders. 400 amps or moi
❑ llulli- family ❑ \layter bui!dei ❑ Othei ❑r)ccll ^ant It. d o" :r c pe11 ❑ .I rl'.I(arures 111111C1111C11 c
•
JOB SITE INFORMATION ..AND LOCATION 1 ❑1 =_ rea I; p.!an R\ nark
Job no lob site address: it 4U W yl/ p r ,-�/�Y ❑I�c ^.1111 - are (c:lr;. fit' - - - --
— - -- I_�_ (LV 1 S l: b r: - al 2 se: (4 plans. . an of the abc
(l1 "Slaic'Z1P -' 1 { - \ C) - i 'the aho..e a ;e not aprl':, ;:b!, 10 ;;:mpolar. rbnstru,i.un sc".ICe i
Site bldg , apt. no: Protect nan,e� A { _ — I ' FEE' SC HEUIILE
1 x ] t [ Drser ; on I Fee j Furst
Cross street. directions (0 job SIIC: y� New residential singly- or multi- fatnils dsselling unit.
— ! _LL ��Q� j I Includes altalltetl y:lra.v . •
Subdin isial. 1 Lot t i nT �� C1 add I 500 s ti •r p!!! T
r-S i l� 1 a g] -- 1 1111111:1! ene:g_.'. rrr.;1: j I oo
Tax map; parcel no - I — —— _
DESCRIPTION OF \YORK Isach maiial.,,/:1,1 ,! „I
&., tll,nc :1 r-. ice a: ,cti•e, 1 9n QC. 1
Sr/ , itesorleedtr , ins 1. Il. Inon ..11nnalion,and,orriJiiiitiun
PROPERTY OWNER - ,- --- - -- - -- ”- -
_ -3-1.,S, _
1FV. -1NI
CL,...a 1,1 A -..
L
I
r
Address !- .i . . — I
Rcclnncc,.cltl_.
(211v SlalerZl 1 I Femporar. scr r'1 Il'l'rlt'1, Installallort allt•ralllltt. and.or II
e��2v � - L. - - -Cam -
P -- _
Pilot I�`b ) 1 I 1 �relncatio
3 - �Obco . 53 `A- 3 J i -1�r ; , �- r � -
n ,:• In I t h
Owner installation: This Inel:IIItiun is halm_ made on propel Ih•u 1 o','.it'.Ahlch is not I b 2!"I anti „•,,,_tl,r "1.,1n!,". l I011?11 i I --
Iniendeil for sale- lease. kilt. or c accoreline to ORS 4-1 "1.19 r'� ;, - 1 1 1 I — -- —r
Oa'•nci signature • D' n. or" e■tension. prr basil
❑ APPLICANT - KCON I -.CT PERSON j �', f cc I.•; 1-, 7:1 - :,i1 r. 1 , >— -1— I Business name I j o n`
c branc!t rc t --- — -- —
I-3 Fec tor hran.hc,I,ul:i
Contact name _ — „
li)i Oil: sr:-, Ice ICI fl'C_i CI ICU_
aG t3t
jj�'' t eachhrai llcli rat
\ddress: 1 l - -
! Fach add'I Stanch ::IC:nt - 1 j 6 65
' Cih;'State%ZIP: (((��� �Iiseellancous (set or Iteder nut included)
Phone: ( D �)9 - 1 (-} , \ 3 1 ( ; 5R } L i Pllnlp r 11 Gael' �' ( 1 —
• 7 1 ICJ 1 1' 1' l`IV• I SI_n, 01 01111111C 11C111lue _ ._ . +
{—
E mall 1 S icna l tncutl i sl• , r Imillcd -
CONTRACTOR enele panel_ alirl r•r 1 j
f � I en irncic he .n Pace 2 1
Business name ��� � o,er � ± r� I
— l
ll � ( � }'ash additional ins u•( 1 iii allussa bte in am of the above
Address: 1 O Sa A> �r —_1--1 L � I . p
L Pct Irsoe;u •u
City Stalc:'LIP i -- - -- - - - -- 1 I—
: ��c�(� C) e nresil catlln her hr'.:I null' I 6250
Phone 1563) (4'Z' i F;�x ( ) /- 1 i ' t i rndcsngal Flan! per hoar 1 = 5
�CJ` 5� 1 ELECTRICAL PERTIIT FEES'
CCB Lic - 1 0,2 1 Electrical L - q _ _ a \ Sups"_ Ltc - Subutlal
Supra. Electrician signature- required f!a e o. permit feel ig, �
Print name' � 1 State cc:l!r::ler- (.5 ofl lee)
S� C> Dare
� � — I TOTAL_ PER
FEE �
Authorized yl_ alllre r I This rmrl a r Ilunun es Tires 1(a per is not obtained ssithin l51
pe I p P
dass alter it has Seen accepted as complete
Print name c.I1 - G - gc...2.\-e Date - Pee methc.dr :el b,. Tn- C:.11n;v Building lndusm Ser:ice Bccrd
— — - Number rf!r:reuteus i p allowed
.'PuddIng PcrrJls`FI.C- Perm:lA,rp doc 12 C'? - 451!1 2 CO'd'•:(0
111C Il L ai 1 CI 1111 C% IJ11.JII L ddl j Vll e • 1 • _ _
Cite of Tigard Received �
DateB' Permit No / ! 4 _ ?
,' 13125 S \\ Hall Bled_ Tigard, OR 9 7223
Phone 503.1339 4 . 1 7 1 Fax 503.598 1960 � D Date 3
an - By :ie'.. Other Permit
y 41 �
inspection Line: 503 639 4175 : bete Read. B;;. he 2 See Page 2 for
Internet ,� ^ .t_ci.ti8ard or us
i .:4 � �Ws ...
- Non fied'Tlethod. Supplemental lnl'or mation
YYYY
. TYPE OPt 0! /r - I COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 4 ;\I :ch::nica! permit lees inc based on the value of the ..
X New construction ❑ AdditionietertIon. , replaceme
L, i ° performed Indlca :c the •.aloe 1:ounded to the nearest dollar? of a
❑ Demolition ❑ Other ".> ? 0 � 4 mcchan :cal r.aterraIr equtnn;ent.labor, 1v erhead. and profit
\ site 5:
C.- 1TEGORY a TC LJ r. a \S1? R UCI]OIN
.-
/
�(��111r � RESIDENTIAL EQ1'�IPi\1ENT!SYSTEMS FEES'
[Z1- and 2- family dxelhne Crnnnur d�'it1, 1O yr 4Z L ] .- op. budding I - - -
❑ multi-family vaster budder Other _ - - t - -
Dcscr I -1't_, T Ea . ial
JJ�OB SiTE INFORMATION AND LOCATION Heating cooling __ _
lob site address: �Lfg co �' fir .odir�i
naine he I uuniil' 1
�. _1 iii `�jf I VlitJ/ r C/Y 1' j i:eainres site pl. - :n ••h.• :_ l lacerxnt: I !.! 1 40
Oi p uma( 116
! r;11'iduci xnicl 1 60 i.
City,State:ZlP I d Q �. - � 1 �
II
Furnace 11)11.. ✓rim-: RTI rr.u' 1 l- 90 I
Suue.1 1d„ %apt. no Project name�A - - -- -- - ' 1
u (�'�-- �l LJ Q_ ,_,as Lc:,t hump Ii OD 1
Cross strect'direcons to _lob sire-` l ��� Duct . ' rI. - - ly V.
_._..
]I'.dirnitc hot ''. :Itrt_._.�1em l ii 1
Rcstdc1n:d hoiki ,r:n!;at,'a nt
14 00 1
T i -unt h: atet9 uci•[vl nr't plot, told. I I
:I 111-%\ :ill_ mi-ilmst c1,.,,,. ,,ii; i, C 1.-
Subdnisielt 7 0.4 5 L no 1'l /-- I -
UI!lrr l I. ( 1
Tax map/parcel n0.. r v ` Other furl ., a lianccs
\: he :it: -i 1 i''
DESCRIPTION OF WORK _ -- 1 - __
i - -
S l I :i :iri i
•
1I Ch1J,t' 11: 1i:, I
— — I 1','r r ;'c'Ir 1 1 ( n' 1
- -
j \,,,,,,,d u,r !a. - i , „,.,, •
PROPERTY OWNER • -- '. Inn' „ i _r In,'
�. ❑ TENANT - 1 --
Name: 31_,S C ,C'Y1 -- , t nononnunla1 r,h.111.1 and _enlil :uiun - -
Address _ r �� .� S C
mil! cqutpt nrnt
CiIv :St I I Zl2 L2.1hL.0 eh a ` ; . • a, L I Ihrsdr.'c1 1' : :I :;t - -- l' r..'1.1 I - -
Sit :cle diicic, :i :iuSt :halhlcrni;.
Phone 3 ) 533 - qbn� Fax. ( s 533 y366 — j 1
56 ) Int:rt cuniparimcnis. ittiltl: 'ec�nasl ,, , ,
- 9 APPLICANT X CONTACT PERSON Ant: ran • Isoa:c tan: If 4
Business name Other 10 0 k.SE I___Iu cl Pi1inL;
1
COn13Ci name- - 55.40 for first four: 51.00 for each additional
Address
3A V E, Furn ,e. etc
Gas heat pump
Citv'State: ZIP: `.A
' e all.'suspended ;:nu heater
Phone: (563) 969_ 1 I `1L2i F ax ( ) (N('N \Valor hr i.' -- J
` ` Fireplace.
E -mail p -- ._ - -_ -. _—
Ranne
CONTRACTOR - P,arbccui 1
Business name Oil ,` C!r 0 - .rc' . _ —.—
I
/� O !ier 1
Address: , %a W !_3 5 I �iECN :�N'1C.. L PER \i1T FEES
Cip State, ZIP }J O n S..J -- — - 1
1 \ `� Subtot 1
1 'r 8 �'' �\ 's1Intma :Ca perMII ice i 5 ^2 501,
Phone 5/1 - q 1p2 Fax: 56,3) c:
�
XJ I Plan re le-. ,__, a of pennil lee:
CCB lic.: , L-{ 131 1 - - M ate surcha: g =_ , of permit fee?
' �' TOTAL PERMIT FEE
r This per application empires if a permit rs not obtained ""ithin 180
.Authorized SI �lUt Ure. /� daps alter it has been accepted as complete
Pnntname: 1; .6_, L Dale i • Fee :ne -thed_ loo °et h. ; o. mt.BuildingIndusn..Ser.:er. Board
1',i3uild :nC Opp doe 1=03 11!'4 '3 1 -7 i 1 1.02'30. VAEB}
1CSUIIUIIIb rJlLUI CJ
Plumbing Permit application FOR OFFICE USE ONLY
City of 'Tigard Received
Date/By Pernu ,
13125 S .,, Hall Blvd . Tigard. CIR 9; 22_ — �K� o ` er ( 3` �y
503 503 t >' o 6 Plan Revie•x
Phone: 03 639.41 -1 Fat- 5,'` I ,6, Other Ferrrtii No
_ 1, Date/By 24- Hour inspection Line 503 639 9175 -- „
^..... - Date Ready: 3y. 0 See Page _ for
Internet. , a. -- v. -- .v ci Tigard cr us ��' .. `, _ � � Nohred. , Ieihed Supplemental Information
1..: - IYI'E OF - 5 \ORK ��m - Vi _ • FEE* SCIIED
�v LIIa4 1 For special information use checklist
g Nen construction ❑ D cr0 1 111on
-- Desccpuon Qty Ea 170•;
El Addwon'al ter au on. ruplaccmer -, lidaYOF TIGARD New 1- 2- family dwellings (includes 100 ft for each unlit_, conned r
CATEGORY OF. CONS1�i te_ild't&.o1v QN SFR (1) Lath Zug 20
1:Xf1- and 2- 1amil_; d.,cllhn'a e CornmcrcialiIrxiuctnal SFR (2) bath 350
SFR 3 bath 399 00
❑ Accessory burldnrm D Multi-family -
Each adduronal hath:krtchen 45 00
Master builder 1 ❑Other: _
Fire spnr.4;ci ( S9. ft) Page
JOB STYE INFORMATION AND'.1 LOCATION ='„ Site utilities
Job site address l q� � JJ P - � r ��
� Catch basin or srca drain 16 6(1
� 1
- -- cc , 4 Iiry leach line, t trench drain I'7 6( ) Cilv'Slate-ZlP %
bldg !apt no Prot me- �JL1 Fortmgdram (nc_hn::ar ft ) Page 2
Suite.
f.lanufactmed home utilities 110 09
Cross slre'et. directions to lmi' site n , tr
- - -_ -____ _ -_- ___ - --- -- _- Rain dram connector r, aU
• tianuar, sc. %cr (no I.0t:a1 it • ) Pap: 2
- - -- - - - -- -- -- - - - - -- - - -- -- - - -- Sn: rr sc• er tip linear i; ) P;, _ - --
z / i ".hater seise i �::,, l :1,0 i1 'a c e
S CJ��a^- ��_1��1 -QS _ Lot no � VZ — —
h I 1 t Fi�tnre or item
min , arccl nn — —
DESCRIPTION: OF WORK
— — .. — 13ac'n11i pie en:et P::C_c 2 i
j 16 60
---- ---- ------- -- -- - -- t7.IC•ihes --- 166!; --
— — I >ish_ashtr — — — � ! 6 idr —
- PROPERTY O11'1'A:R Drmkm�; fc��inlai:1 I (, 61.,1 T _ - 0-TE'A'U = .-- - -
-- FiceiDrs'sump 15 00
Nanic_ 1 1 C - - — --
3L_S C- ,_ tV II Expansion tank 19 r
Address' I co aso 3 . ,0 't-'' Fuoure•se:ver cap 16 60 -- —
Ch•,.Slaic Z1P Flour dram 'floor snrP huh 16 Eli
Phone_ i ) 53_ � /3V(, Fax: (503 3(�(_ Garbage disposal I 16 60
��.•TT��``�� - -- � ; Hose bib � 16 b0 --
D`APPLIC - ' , CON
<T.ACI' PERSONi
... i ce maker 16 60
Business name: rn
16 �0.t� hve g
ical gas Deane n 5 ) p ag 62
Contact name- lvledical a e. aloe 5 age 2
Address: Primer 1 60 -
L City:Stale%LIP. Roof drain (commercial) 16 60
Phone (5 ) 7 14/53 Fax:: ( ) Sink,basin /lavatory 16 60
Tub,sh0•.v2rshovvcr pan • I6 60
E -mail
Urinal 16 h
: - - CONTRACTOR' .. ::_. : - ° - • ia, al
.. ` - . -_ - .. .. er close! i 6 6.p
Business name. E CM, C h(-----
\ill Y�� r �, Water he "•e' I'7 61
:Address' t? a — T C?„__ ,1 ' � � L_ Other
Cit.:StaIe ZIP I- �LA�b �N'tt+s /\ rJ 9 Subtotal f -
V t� l� k?C
}- � - Nl iaimum permit fee Q -< Sll
Phone (663) (i)Z? _ L 3� Fax (S 3) 6__ _ y 3 Residential hackney. minimum permit fee- 536 25
CCB Lie.. ncia 1„ g9 Plumbing Lre no :314 �� r1 Plan re\ ie' :2.5% of pemnrt tee;
(`
mow I State surcharge (54% of permit fee)
Authorized signature-
laa51 TOTAL PERMIT FEE
Print name. _ - �� � —� ` Date: This permit application expires if a permit is not obtained within C� 180 da)s after it has been accepted as complete.
'Fee rnethodolomr, set by Tri- County Building industry Service Boar1
a,lldmg rc ^nrrSLMF Pernnr/ rp doe 1:C—, a. , 616T( Ior)_:COl17VEB)
r Y TIGARD ■ OF TIGARD .
BUILDING DIVISION PERMIT #: MST2004 -00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2005
Phone: (503) 639 -4171 . ° m���/�i TIlliq�lf�jlh�
Inspection Requests (24 Hrs.): (503) 639 -4175 +.-
INSPECTION WORKSHEET FOR DATE: W24/2005 TIME: 7:08AM PAGE: 26
SITE ADDRESS: 144137 SW PENNYWORT TERR CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 041 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: JLS CUSTOM HOMES, PHONE #: 503 - 53304006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 533.4006
Inspection Request Scheduled For: Date: 8/24/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 014200 -02 503 -642 -2800 N
Corrections /Comments /Instructions:
// / Pta . 1 1 4 1kk V -' . aizl aeP
OA e-
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ON Date: f / - V Phone #: (503) 718-
1
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2004 -00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/7005
Phone: (503) 639 -4171 'ar'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/29/2005 TIME: 7:13AM PAGE: 71
SITE ADDRESS: 14487 SW PENNYWORT TERR CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 041 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: JLS CUSTOM HOMES, PHONE #: 503 - 53304006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 533 -4006
Inspection Request Scheduled For: Date: 0/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 014470 -02 503 - 209 -6038 N
Corrections /Comments /Instructions:
Rc. WAu,,,w ter c vK3z ll u) Sl r A- O S' ¶L Mod cA 6c v c / 00 i
4 . F t/J- (....) 6.,.kv 1 ..4-,-,
•
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Q-b "Ai t' - - Date: 71 2,1 to C\ Phone #: (503) 718-
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: MST2004 -00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2005
Phone: (503) 639 -4171 i im1���p°�i°
Inspection Requests (24 Hrs.): (503) 639 - 4175±, -
INSPECTION WORKSHEET FOR DATE: 8/2W2005 TIME: 7:13AM PAGE: 70
SITE ADDRESS: 14487 SW PENNYWORT TERR CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 041 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA
OWNER: JLS CUSTOM HOMES, PHONE #: 503..53304006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 5035334006
Inspection Request Scheduled For: Date: 8/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 014471 -01 503-209 -6038 N
Corrections /Comments /Instructions:
411"...,;- -----------.----
) ,_,44
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL _ • CALL Fs - INSPECTION ❑ ADDITI NAL FE S ASSESSED
Inspector: / Date: r-e ` phone #: (503) 718-
i
CITY OF TIGARD - .
BUILDING DIVISION PERMIT #: MST2004 -00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2005
Phone: (503) 639 -4171 , , ,, , ��iigvig iNl��' l
Inspection Requests (24 Hrs.): (503) 639 -4175 `-_..
INSPECTION WORKSHEET FOR DATE: 8/26/2005 TIME: 7:O6AM PAGE: 79
SITE ADDRESS: 14487 SW PENNYWORT TERR CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 041 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: . New SFA
OWNER: ,.ILS CUSTOM HOMES, PHONE #: 50353304006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 533-4006
Inspection Request Scheduled Date: 8/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 014349 -04 503- 2036038 N
Corrections /Comments / Instructions:
)gl, ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
❑ FAIL ❑ C . LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
ft S
Inspector: Date: Phone #: (503) 718-