Permit 4. CITY OF TIGAR MASTER PERMIT
PERMIT #: MST2004 -00342
i� DEVELOPMENT SERVICES DATE ISSUED: 3/18/2005
I' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112BA -11200
SITE ADDRESS: 07920 SW PICKLEWEED LN ZONING: R -12
SUBDIVISION: BONITA TOWNHOMES LOT: 048 JURISDICTION: TIG
Project Description: 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
OCCUPANCYGRP: 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/FCR: 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:
This permit is subject to the regulations contained in the
Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes
JLS CUSTOM HOMES JLS CUSTOM HOMES and all other applicable laws. All work will be done in
16280 NW BETHANY 16280 NW BETHANY accordance with approved plans. This permit will expire
BEAVERTON, OR 97006 BEAVERTON, OR 97006 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 adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952- 001 -0010 through
952 - 001 -0080. You may obtain copies of these rules or
Reg #: LIC 139970 direct questions to OUNC by calling 503 - 246 -6699 or
TOTAL FEES: $ 6,890.70 1 -800- 332 -2344.
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
High- strength bolts
Structural welding
Issued By : � a -2 � �..�� Permittee Signature : //U/ i_.,,, „f : .,4114f
-,411/
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that 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.
Building Permit Application FOR OFFICE USE ONLY s •
City of Tigard �� Dd1e$ /�—� /I�
Pet —S ^O4y 60
13125 SW Hall Blvd.. Tigard. 0)Z 6 VE® Y i
P lan RevIe..
Phone: 503 639.4171 Fax: 503 -59 id pv + Other Pern " � Daie:" `Z�IG "dY 45, l a t„'� i ad . 1
Line: 503- 639 4175 .11 . �.JL,•
v. Date ReadvlBv' 3 See Attached Checklist for
Internet: w-w.ci tigard.or NOV 31 2004 NotifiedMethod ,D d ∎�/- i v Supplemental Information
( " Tr.... �p1
�C ` ` 1� GO k. tr UnA _,
B *i I IF• I'T�{r (? a _ , .REUI
OARED DATA: l- AND 2- FAMILY DWELLING
New construction t. ❑ � Demohtion 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, matenals, labor, overhead, and the profit for the
- work indicated on this application.
CATEGORY OF CONSTRUCTION - Q
/ �
Valuation: $ i at, n J
1- and 2- family dwelling XCommercial: industrial
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other Number of bathrooms: Z IS
JOB SITE INFORMATION AND LOCATION Total number of floors. 3
Job site address: a ■•-■ _ -1 t eft �, _,,' Nev dwelling area 1-4-3.4 square feet
City /State /ZIP: n k j� +�1 C� Garage /carport area 5-85- square feet •
Suiteib]dg.;apt. no.: ` Project name: J) �� % — Covered porch area: 32 square feet
Cross street/directions to Job sue: •
1 0.46 , �, � e_ h �� t.. _ iv Deck area: ' t square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
•
__..
Subdivision: . • lib_ ilk \lam �j{� . Lot no.: / V Permit fees* are based on the value of the work performed.
Tax map /parcel no.: a� l IQ i2.)1 Indicate the value (rounded to the nearest dollar) of all
equipment, matenals, labor, overhead and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation. $
Existing building area square feet
New building area: square feet
I PROPERTY OWNER ❑ TENANT Number of ston 4
Name: r tl IK✓• • Type of construction:
Address: 1 (.0 O NY TDQ_ 03•1 _ Occupancy groups:
City /State /ZIP: vo r g c , n OIL. 9 '' t Li 2( ^_ Existing:
°hone: (VS) S33_ Liwo ,
Sb Fax: ( 561 ) S3 VO W New:
,APPLICAT - N - T ESO
PRN
;.�: - f R CONTAC .. NOTICE
usiness name: All contractors and subcontractors are required to be
.ntact name: — L- S licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
dress: 3 qfvL jurisdiction in which work is being performed. If the
State /ZIIP applicant is exempt from licensing, the following reasons
t y� c apply:
9(.9-
(Sb3) L- 3 Fax:: ( ) t+' l V
t
CONTRACTO
a name: 5 A "
.. 101,P1NC'P.ERiVIIT. FEES* •
Please refer to fee schedule.
'ZIP:
Fees due upon a
) Fax: ( )
(� Amount received
1 39 ! -1-c Date received:
?nat e:
>� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
r 11 r .L - r��i__>, Date * Fee methodology set by Tri-Counry Building Industry
Service Board -
PertmtApp doc 12)03 440- 4613T11 I /02.'COM/\VEBl
Electrical Permit Application FOROFFICE
`' City of Tigard R eceived
Date,Br Permit No.
13125 SW Hall Blvd.. Tleard, OR 97223
Plan Re�ie•.v n
Phone: 503 639 4171 Fax 503.598.1960 9F��,,,,, � Date.B',' Other Peri
Inspection Line 503.639 4175 � �`$ Date ReadyBy' Jt't s 0 See Page 2 for
internet. www.ci.tigard.or us Noufed/b1ethod- I Supplemental Information
TYPE OF WORK PLAN REVIEW 1
❑ New construction ❑ Addinom'alteration /replacement Please check all that apply
El Demolition 11 Other: ❑Service over 225 amps, comm'I EHazardous location
❑Service o%er 320 amps - raring ❑ Bulldng over 10,000 sq. 0 ,
' CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
. . . .
❑ 1- and 2 family dwelling ❑ Commercial /industrial El Accessory building ❑S }'stem over 600 Volts nominal units in one structure
❑Building over three stories ❑Feeders. 400 amps or more
❑ t9ulti farruly ❑ Master builder ❑ Other:
Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND' LOCATION ' ❑Egressiliehting plan RV park
Job no.: Job site address: - -.--,t , `
❑Health -care facility ❑Other:
� `-'� ` 1 r .!J . A. _ , ' Submit 2 sets of plans «ith any of the above
City /State /ZIP: n ^ cc 012 • - The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: `� t Project name:•'`, 1 FEE* SCIIEDULE
cn t 1, Description Qty. Fee. Total
Cross street/directions to job site: x +
C �r ��l a (1. w C tee 1_ New residential single- or multi - family dwelling unit.
includes attached garage..•
1.000 sq ft or less 145.15 4
Lot no.: Ea. add 500 sq. ft or portion 33 40 1
Subdivision:
C`�Yl ikf'� \Oc � t k1n 0.X
t � t � � Limited energy, residential 75.00 2
Tax map /parcel no.: O
Limited energy, non - residential 75.00 2
- DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and /or feeder 90.90 2 i
Services or feeders installation, alteration, and /or relocat
200 amps or less 80.30 2
- $1; PROPERTY - OWNER I - ❑'-TENANT 201 amps to 400 amps 106 85 2
�� _ ,`- 401 amps to 600 amps 160 60 2
Name: C e �C\m t e \4 601 amps to 1.000 amps 240 60 2
Address: n N t \ c . ���Q , C i • Over 1,000 amps or volts 414.65 2
�L tV`� �1 Reconnect only 66.85 2
City /State, /ZIP: rya \y1.� . �� c c '1. C \ J ' (Q Temporary services or feeders installation, alteration, and /or
�aa3 5 33 — ` ' (�) 533- 1t3 relocation
Phone: ,^ F ax:
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: Date: Branch circuits - new, alteration, or extension, per panel
❑.•APPLICA . ._- CONTACT PERSOr ' A. Fee for branch circuits with
' service or feeder fee, each
� Business name: �� branch circuit 6.65 2
B. Fee for branch circuits
Contact name: I without service or feeder fee, 46.85 2
Address: 5 A Y r l� each branch circuit i
Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
'hone: (;tA)9(42 1 , 1 `/c 2 Fax:: ( ) 5n E Pump or irrigation circle 53.40 2
11 `� V Sign or outline lighting 53 40 2
mail: Signal circuit(s) or limited -
CONTRACTR O l :
'.-2. , ,- .�. energy panel, alteration, or
r Y �� extension. Describe: Page 2 2
mess name:' ` P r C't
- ess: aS 1 CI) �1_J �1 _ \ 1t Y L-�- Each additional inspection over allowable in any of the above
L 1 [ F'� Per inspection 62.50
;fate /ZIP: ■ • _ Or lib .' • t
Investigation per hour (1 hr min) 62.50
(5p3) ( in -d8o Fax: f ) c 5B15- Industrial plant per hour 73.75
ELE ] CAL . - ; PER M IT - FEE `
c.: l `gat Electrical ;c.: q -
• Suprv. Lic.: Subtotal
'ectrician signature, required: �_ i ( Plan review (25% of permit fee)
�i / _
c V State surcharge (8% of permit fee)
�
` -- - 1 . TOTAL PERMIT FEE
si attire. L • • / =_ ` � Alb. This permit application expires if a permit is not obtained within 180
days alter it has been accepted as complete
c tit CA. Ire ' E C- Date: • Fee methodology set by Tri- County Building Industry Service Board
" Number of inspections per pemrit allowed.
C- Perrni!App_doc 12103 440.4615T(10/02/cort/ 'EB
i Mechanical Permit Application - FOR OFFICE.USEONLY
City of Tigard Date/By: Permit No .
13125 SW Hall Blvd., Tigard, OR 97223
3.6 41 Fa x: 03- 598.1960 y Plan Review
Phone: 50
7 ^o �� tither Perrrut,
ate.y:
ts" I i D'B
Inspection Line. 503 639 -4175 �(L �a' „
Internet tvww ci a and onus
_Air Date edllvl By s O See Page 2 for
g Notified/Method Supplemental information
TYPE OF WORK COMM ERCIAL FEE* SCHEDULE — USE CHECKLIST
X New Construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit. i
CATEGORY OF- CONSTRUCTION Value. S .
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
[ 1 - and 2 family dwelling AT ❑ Accessory building
For special information use checklist.
❑ Multi - family ['Master builder ❑ Other
Description Qty. Ea Total
JOB SITE INFORMATION AND` LOCATION Heating/cooling
Job site address: ? R _ t S � C Q. � I \ Air g conditioning or heat pump
v �.r• J� (requires site plan showing placement) 14 00
City /State/ZIP: —.---- ,./State/ZIP: O E. 9' 3 Fumace 100,000 BTU (ducts / ents) 14 00
0 1 Furnace 100,000+ BTU' (ducts /gents) 17 90
Suite/bldg. /apt. no.: Project name 1
h1} Gas heat pump 14 00
Cross street/directions to job site: \ — Duct skork 14.00
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 �,1 T� . Lot no : Ot ervent for any of above 10.00
S Other 10 00
Tax map /parcel no.: J 5 ` � 1 /1� 1 Other fuel appliances
v1
'DESCRIPTION OF: WORK;r .. 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
\Vood Greplaceimsert 10.00
PROPERTY -OW
X ... Chimney /liner /flue /vent 10.00
:TENANT
• - Other: 10.00
Name: S, e �� ) ' _s Environmental exhaust and ventilation
Address: f r W 3-LS
1 A v k
� X11 ganpe hood /other kitchen
` ` equipment ment 10.00
City /State /Z I':.„ a I , . , `► • lig`44• Clothes dryer exhaust 10 -00
• Single -duct exhaust (bathrooms,
'hone: (553 ) 5, ' ' _ (406/ Fax: (56s ) 533' y3b (� toilet compartments, utility rooms) 6.80
ce ^xar. , �,• r - ,
8 APPLICANT >, '' - , y` " CONTACT! PERSON Atnc /crawispace fans 10.00
SR ,y^ Other: 10.00
lsmess name: , r 1
Fuel piping
itact name: c2.-. $5.40 for first four; $I.00 for each additional
`
ess: C`'
3B E Furnace, etc
`
Gas heat pump
;fate /ZIP: - Wall /suspended /unit heater
(5 3) 969_ 145' Fax: : ( ) 5c 1 Water heater
. Freplace
Range
t ; CnOi`]R. CTORa * 4` :: � ' Barbecue
•
tame: Clothes dryer (gas) • • IL,— • •.r Other
- 0 • b_ (D 5 6,s :, , ME;CIIANICAL PERMIT "FEES.
P: 10` .'J O CL • (� I + � Subtotal
i
) 591 -992 q Fax: (56.3) 1q �( Minimum permit fee ($72.5
I 13i ii !9 �() Plan review (25% of permit fee)
)
State surcharge (8% of permit fee)
,-------` TOTAL PERMIT FEE
(lire: • • This permit application expires if a permit is not obtained within 150
r
�_ - _ , days after it has been accepted as complete.
Il l T
t — [ Date: • Fee methodology set by Tri- County Building industry Service Board
emiitApp.doc 12/03 440-4617T (1 t /02 /COM/\VEB)
Building Fixtures
._
Plumbing Permit Application :: FOR OFFICE' USE ONLY:1 ' :..',:•-•!---..-- ..•. , Izi - :-I , z , , , '. , •'. , `" , i - ',
City of Tigard Received
Permit No .
Date/By
13125 SW Hall Blvd.. Tieard, OR 97223
Plan Review
Phone 503.639 4171 Fax: 503.598 1960 A Other Permit No.:
24- Hour Inspection Line 503 639 4175 AlAtriill Date/By:
Da Juris
te Ready/By El See Page 2 for
Internet: www.ci.tigard or us Notified/Method. Supplemental Information
TYPE OF WORK , :: -l' =.- = T -': ' " ''''' ' ' ' ' ' ' .... ' : ' Ei - SCHEDULE
For special information use checklist
gNew construction 0 Demohtion
Description 1 Qty 1 Ea. ) T
, oial
E Addition/alteration/replacement [21 Other: New 1- 2-family dwellings (includes 100 ft. for each utility connection)
.... - ,_ ... .
k;1::'6i..idoR i.
:- ii. -, '.',..- -,--: . ' - - SFR (1) bath 249.20
X 1 - and 2-family dwelling XCornmercialimdustrial SFR (2) bath 350 00
e ..... _
E Accessory building 1 Multi-family SFR (3) bath 399 00
Each additional bathfkitchen 45.00
E1 Master builder 111 Other:
Fire sprinkler ( sq 0.) Page 2
JOB - SIT&.;;INFORMATION ;LOCATION '',&1. - . Sit e u t i . ti es
1", ,, :,, , , , ---i.- .- .., k.t.--,..,-- :-...- ,,,,...•- ..:,,,-,..,,,.....,-,:.- l i
Job site address: ?._9270 ..,. c LADet2e <,_ p Catch basin or area dralll 16.60
City/State/ZIP: r.--Circic q Drywell, leach line, or trench drain 16 60
. , Footing drain (no linear ft ) Page 2
Suite/bldg./apt. no.: Project name: rs- C..:IV\■ a 110 00
1,s..cce,.__cser L Manufactured home utilities
Cross street/directions to job site
Y \ \ Manholes 16 60
Rain dram connector 16.60
Sanitary sewer (no linear 0.. ) Page 2
Storm sever (no linear if- ) , Page 2
. . •
Lot water service (no linear ft. ) Page 2
Subdivision!ZrY\ .- C.r._ - 1 Cl)-3VAV _S no9 e-fg
Fixture or item
Tax map/parcel no.:a 1( olay-A . _ Absorption valve 16.60
'-.1 t:=: ', Backflow prevent er Page 2
Backwater valve 16 60
Clothes washer 16 60
Dishwasher 1 16 60
nri kin oun
ftain
- •-- .-Gs__.,, ,,;,,,,,,,, .,.......*-...,-, ...., .. n ,
.*..-A$13RQTERI.LA4- 4 16_60
16 60
Name: LS CA x -(.._ cmws Expansion tank 16.60
Address: i 6 ,,as c ., 3(
(.. . Fixture/sewer cap 16 60
City/State/ZIP: ky? ri:Cn (42_ T
t..._ Floor drain/floor sink/hub 16.60
1
Phone: (5 5 tiOc _ I Fax: (5 Garbage disposal 16.60
Lay
tVeiMatettpai-MiV',, Hose bib i 16.60
i,„,....,t4* t..J.:4- .,..d'7, •... lee maker 16 60 .
usiness name:
Interceptor/grease trap 16_60
r
intact name: t)0±-1-.N Medical gas (value: $ ) Page 2
dress: 31r-YA Primer 16_60
/State/ZIP: Roof drain (commercial) 16.60
me: (66,) 4 ,49._ 1 t /5 3 Fax: : ( ) N 11'\--J Sink/basin/lavatory 16.60
Tub/shower/shower pan
11:
... Unnal 16 60
'AZtiVilt
..-1:;;Z:XW.*:Tete. Water closet 16_60
:s name: m ki A\ eh r \ IN ___ Water heater 16.60
• 0 I I I I ) 6 UO CZ_Oxv - 6' Other:
Subtotal
VZIP: li; \1,C o , ntz_ 97-wR Minimum permit fee: $72.50
6 3 ) 102. - 1 103a___ Fax: ( f _ in33 Residential backflow minimum permit fee: $36_25
250 ID A9 Plumbing Lic. no.:311 - 02W.SAS Plan review (25% of permit fee)
, ,, State surcharge (8% of permit fee)
lgriature.:- . .---
• 41— , SI. 16.. TOTAL PERMIT FEE
T r—Lic 1 - , f7(:)._.±11.3\ 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-P crrnitApp.doc 12103 440-4 6 1 67( 1 0/07JCOWWEB)
e
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: MST2004 -00342
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3118!2005
Phone: (503) 639 -4171 A � „ rd iq�,,, y �ii�l�l������ '\
Inspection Requests (24 Hrs.): (503) 639 -4175 ° °:_-.
INSPECTION WORKSHEET FOR DATE: 9/20/2005 TIME: 7:07AM PAGE: 81
SITE ADDRESS: U7920 SW PICKLEWEED LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 048 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA.
OWNER: IS CUSTOM HOMES, PHONE #: 503-533-4006
CONTRACTOR: LS CUSTOM HOMES PHONE #: 503-533-4006
Inspection Request Scheduled For: Date: 9/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016057 -13 503-209-6038 N
Corrections /Comments /Instructions:
I
i , _ ter 1I �
t ,ice iv 1
1
_.
Z PASS❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOlil INSPECTION ❑ ADDI • AL F ES ASSESSED
Inspector: Date: Phone #: (503) 718-
.,Y OF TIGARD -
BUILDING DIVISION PERMIT #: MST2004 -003.42
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1812005
Phone: (503) 639 -4171 / �iimm ' frgVplypup6l�"� ( 11 "�
Inspection Requests (24 Hrs.): (503) 639 -4175 'I...-
INSPECTION WORKSHEET FOR DATE: 9/1212005 TIME: 7:04AM PAGE: 62
SITE ADDRESS: 07920 SW PICKLEWEED LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 048 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: 9/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 015393 -05 503-642 -2800 N
Corrections /Comments /Instructions:
. 1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
kj 1•
Inspector: " Date #: (503) -718-
CITY OF TIGARD -
4
BUILDING DIVISION -- ' PERMIT #: MST2004 -00342
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/18/2005 � 01
Phone: (503) 639 -4171 IVmypullNl i�l'I
Inspection Requests (24 Hrs.): (503) 639 -4175 _.. , t __m
INSPECTION WORKSHEET FOR DATE: 9/231005 TIME: 7:07AM PAGE: 74
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 07920 SW PICKLEW/EED LN LOT #: TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES 048
DESCRIPTION: BONITA TOWINHOMES
New SFA.
OWNER: PHONE #: 503
CONTRACTOR: JLS CUSTOM HOMES PHONE #:
JLS CUSTOM HOMES 503- 533 -4006
Inspection Request Scheduled For: Date: 9/ 2312005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 016418-06 503 - 209 -6038 N
Corrections /Comments/ Instructions:
F --" ( j il\,iv, A 1
awl
1
1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL C ALL FOR INSPECTION ❑ ADDITI• AL F: S ASSESSED
Inspector: 1I 2 Date: Phone #: (503) 718-
CITY OFTIGARD __
BUILDING DIVISION - PERMIT #:
MST2004-00342
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3f18J2005
Phone: (503) 639 -4171 �o'wilt /914 jt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/23/2005 TIME: 7 :07AM PAGE: 75
SITE ADDRESS: CLASS OF WORK:
07920 SW PICKLEWEED LN
SUBDIVISION: BONITA TOWNHOMES LOT #: 048 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION:
New SFA.
OWNER: PHONE #:
JLS CUSTOM HOMES, 503-533-4006
CONTRACTOR: JLS CUSTOM HOMES PHONE # : 503 - 533 -4006
Inspection Request Scheduled For: Date: 9J2312005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 016416 -05 503-209-6038 N
Corrections /Comments /Instructions:
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❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
✓ ✓ ✓ ✓ ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ir Date: / /-? #: (503) 718-