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Permit jl , CITY O F T I G A R D MASTER PERMIT PERMIT #: MST2004 -00328 lI� J DEVELOPMENT SERVICES DATE ISSUED: 2/4/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07806 SW WATER PARSLEY LN PARCEL: 2S112BA -07700 SUBDIVISION: BONITA TOWNHOMES ZONING: R - 12 BLOCK: LOT: 013 JURISDICTION: TIG REMARKS: New SFA. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 266 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 760 sf GARAGE: 480 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 793 sf RIGHT: VALUE: 182,130.00 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 1,819 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: 4 CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: 0 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 FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFOR: 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 8 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 JLS CUSTOM HOMES This permit is subject to the regulations contained in the JLS CU 16280 ST BETHANY 16280 CUSTOM BETHANY Tigard Municipal Code, State of OR. Specialty Codes BEAVERTON, OR 97006 BEAVERTON, OR 97006 and all other applicable laws. All work will be done in 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 Reg #: LIC 139970 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Ftg Drain Bsm't Walls Mechanical Insp Gas Line Insp Firewall Insp Water Line Insp Sewer Inspection Slab Insp Low Voltage Gas Fireplace Structural welding final Water Service Insp Footing Insp Plm /undslb Insp Plumbing Top Out Insulation Insp High strength bolts fina Smoke Detector Foundation Insp Electrical Service Framing Insp Shear Wall Insp Rain Drain Insp Plumb Final Wtr Proofing Bsm't Wa Electrical Rough -in Roof Nailing Exterior Sheathing Ins[ Storm drain insp Mechanical Final / Issued By • 1 Z �— Permittee Signature : `1� o� - Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day 1 • 3D lb • : Building Permit Application FOROFFICE Cite of Tigard Re _ _ ' .- _� /� g 1 312 S\�: 50; ti;Hall Bl,d fI Ean;. E Plan Re le.., Phon /4s Cibei Pc ( �� /� /� / /y/ /a /, . 2 /q2 e ;- -4 1 1 ::> r _ _ 0 i. /2.'4744 0 rnut\ I�l� ' L.,'.,"� y,-a) V Dzte'B . Inspection Line ` o , ^ -11-:' ^ : .r:.' Dare Read. B. = tee atrx bed Chec ldist fur ]mane! - a a II£:rd N u5 1,1 ^, r 0 1. 2 004 NOIIfeG'.Ieibcd 1 j $upplemenrol lefcr nDItoe ° III ^ MIAN REQUIRED DATA: 1- AND 2- FA.N11LY DWELLING K Nex‘ construction - ❑ Demolition i Perrrut fees' are based on the attic of he •`. ork performed — Indicate the \aloe lronnded to the nearest dollar) of all ❑ . \ddttion'alicration replacement ❑ Other I equipment. matenaL. labor. overhead and the profit for the ork indicated on this a hcanon, CATEGORY OF CONSTRUCTION i_ -_ RF _� \ aluanvm g ® Z ��� 1 x 1- and 2- family �m _ Comerci r1'rndustrial 1 —°— � _ ❑ Accessory butldine ❑ Multi_ Tamil - -- Number of bedroans - 3 v ,� I \taster builder - Number of bathrooms -- ❑ I ❑Other 2. - JOB SITE INFORMATION AND LOCATION Loral number of floors 3 I Job sire address ` Nc dwelling. area 18 19 square feet City Slate,Z1P:d . �1 Garase.carport area: y3-1- square feet Suite bld lap1 no._ _ n; I P IOJCCI , m e {'�� � ^� - C o% ered porch area • / square feet Cross sireet'direcnons to lob site. • • • l• Deck area ) square feet I Other structure arca square feet 7 REQUIRED DATA: COW JERCIAL -U5E CHECKLIST Suhdi ision: I Lot n, Pernur fees' arc based on the \ 31ue or the work performed s g as 1 �l J IQ �� i I Indicate the attic (rounded he nearest dollar) of 311 1 map - parcel no : equipment. materials. labor. o\elhead. and the profit for the DESCRIPTION OF WORK -- work indicated on this application. - 1 Valuation g - - - - - -- -- — Existing huildtne g area / care feel 1 -- - Ne\5 buildlne ^IC.i S square feet A PROPERTY OWNER ❑ TENANT J I Number of stones BLS C , rn I Nanre: r� 1 T'.pe of construction: Address: l(p° __�L0 � Q TY l��'1 Occupancy grou p- • Cit1:StateiZTP:: ••` L• ` \ a o� 9 q �� C �� I Existing. Phone: (563) 533- L k y l i ( c ) Fax: (s ) ,3' 1E Nov ❑ APPLICANT CONTACT PERSON NOTICE Business name: S,i All contractors and subcontractors are required to be Contact name: - , S licensed \kith the Oregon Construction Contractors Board under ORS 7 0] and may be required to be licensed in the Address: `3 of lE-� junsdreiron in which 'a ork is being performed- If the Cih:'Srare. %ZIP: ''�� applicant is exempt from licensing. the following reasons q t aFPIv: Phone: (SOS) °( C !- i -! 5 3 Fax:: ( ) . 1 �p 7 E -mail: • • ... : CONTR- ACTOR ': - • Business name: m f--, BUILDING 'PERMIT FEES* Address: Cih:: State: ZIP: Please refer ro fee schedule. _ Fees due upon ed ac Phone:( ) Fax: ) r� n n 7 � i mount received CCB tic.: S`� `-( Dale received: Authorized sienalyfe: t �'�/ t / r----- //2 This permit application expires if a permit is not obtained r within 180 daas after it has been accepted as complete. Punt name: l 1; C` — x Date: * Fee methodoloe\ set by Tri -Counn Building Industry Sen Board %Buitdirg`,Perrtna dee i - .0 440- 4613T( 11 :02'CO:l-\V5B) • electrical Permit .Application O . ./ - FOR OFFICE USE ONLY Cit of Tigard Received Ferrari No Dale "B., 13122" S\,- Hall Blvd Tigard. OR o - _ , 3 — Flan Re le: Phpne _r ( ,: ,5) .1! - I Fay - _ - - c ,r—,r—.i• I 1 D a:e„ --- - - - -_ C;!,cr Fern.ii Inspect' cn 1 ore `03 C.39 4 i - _ c 1 - Pate Rea�� c+ .�. E l See Page 2 for ailg i 101:00e1 '., :•. cr I,e, pd Pr 1!` I N onfiedT'c,nod _ I Supplrrnen,al Information — TYPE OF WORK -- I — PLAN RE \1EW .. [j] �1e,,: construction ❑ :',dduton. al!eranl�n'rer� acement P'e.:se : - ne_Ik Di' ; hn:, r F t 05rr.:rr. r.. 2".'f- 21 1 ❑1H2:ardous lo:at!on ❑ Demolition ❑ Other l - -- - -- ❑See ..c Cr -2C amps - rating ❑Builds, 0.. et 10,000 sq 1 . C. \'FEGORY OF CONSTRUCTION c, ! - a:,' 2. 'r.gI_i. J , e!hngs d or more tie residential 11 ❑ I- and lunliyd,' :erring ❑SS:Cr',c.erl.GC,olisnominal units in one SITIICnrre Commercial indusnlal ❑ :\cceesor\ building ❑ liiiiii:re r••• Cr three Stones ❑Feeders. -100 amps or more ❑ Multi- family ❑ \]rifer builder ❑ Other ❑[)i;: - p an! Ir.1,J o 0 9 persons ❑'`.Ianufaciured Encmules 01 J013 SITE INFORMATION A,N1.) LOCATION ❑Egress 112111:110 plan R\ park ❑1lcalth - care L:c:hr, ❑Othcr Job no — I Job site address ad i r � S!:h ---- - - - - -- — i I�� r S l = sc r i ;,I::nS . l h m cl the Abe e City.•Srate'71P 0 r fj7P 1'i':• .:ho .,:e i::;i aopl,,'able to le:nporr. construcnon se1'.ice FEE* SCHEDULE Suite•blde •apt. no PrtaleCl nm a e y� 1 — .. �11( . - - - -- ne,rrlp;; „ pr, I e j To;al CrOSS Street d1rCCtlrn1S 10)01? Stle: ► i e 1' N esr resident S ur multi family dwelling unit. 99999......___JJJh'�VV� \ 7 ` l anac hed g3rag�e.• -- . i )..t") Sq If in !CS} 145 I 4 Subiln'ISlon:T 1_ o I no j I La ^ id I 500 sq it or portion I 33 40 1 S 1 I ] iml!ed ends . resldennal 00 2 Tax mop :parcel no 1 a I I,nnveJ en,cn non-residential 75 00 2 DESCRIPTION OF WORK • Each manul'a, tuned (.1 modular - -- dPclime see, ;cc and. or feeder I 90 90 2 __� tier or feeders installation, :diet anon. and;ur relocation • r 5015 amps n cSS 50 30 2 IR PROPERTY' OWNER ❑ TENANT ! I ?l l :1: , ps ! — i[C 5 - -- T �`}. � \� � \� - _ \ - -- 1 a 0 � L S Q l / � "► y� r \ \ V�SZ�D 1 rn)C1 amps I 2.10 (,1; - --- - \ddlrss ' O K.L_ts- L �k_f � C R ey eci o n_:ncn '.r,{is i 4 < a 6 ,_ . 1 j R tconr;cU nl: I 66.55 C Its'. SIaIC: %1P ��LLL rye s , � � 1 " Z( ` / � - / _ 1 r) e nporan' set, s ices or (cede installation, 3!1erarion, andior I�) I l` tn ^ l ] � e ( �SQ relocation Phone: (66. ) SZ 3__ L I Fa x f e,S) 3 a � Cb 5 :i1./ amps or less j 66 55 I Owner installation: This Installation is being made on property that 1 own which Is nor i 2 amps !1 1; Sn1]' i(' __( • intended for sale, lease- rent. or exchange. according to ORS 44 449. 6 -0- and -01- amps rc ota; a mps I I 133 5 1- Owner signature: Date I Branch circuits- new. alteration. or extension, per panel ❑ APPLICANT -- XCONTM T PERSON I .� Fcc In, branch circuits I , ill I r service or feeder ire, each 1 6 65 Business name: n E I branch circuit ` Contact name: _ l 23 Fie for hranch circuits �� ,s:irhnur ser■ ice Or feeder fee. 46 85 Address:C each branch circus Each add'I branch circuit 6.65 2 City /State-ZIP: Miscellaneous (se■ice or feeder not included) Phone: (6 c' , 1 `7 e� Fax:: I ( ) 5Y y�/1 � Pump OT u t]ine ton circle 53.40 I 2 1 I L Sign or outline li2htins 53 ail 2 E -mail Siena! circuit(5) or limited- - CONTRACTOR energy panel. alteration. or r extension Describe Pa 2 , - Business name: i, (�� ) F j} �, i ,3- r, I Address: aSg 1 � e �l _ \ ��2_lA�E LAS_ � Each additional inspection os'er allonable in am of the above ��l Per mspechen I 62 50 yr'State Cit: ZIP: �.j i k V�\F )0 e e_ p J�,� L t7 I ` — Im esugauon per hour !l hr stint 62.50 , _ " l Phone: (503) 1„42 _a8oem 1 Fax: 41AI) r y2_ 5Q lS Industrial pion( per hour 73 -75 u� [ J ELECTRICA.1. PERMIT FEES CCB Lic : 1 `gRZ Electrical 1.�c.: q - Supry. Lic.: j Subtotal ! Suprv. Electrician signature. required: i ( — i Plan review (25% of permit fee) Print name: 5 - w� ___c2;.S Da I Slate surcharge (8% of permit fee) TOTAL. PERMIT FEE 7 Authorized si attire: L - � . ` — _ This permit application expires if a permit is not obtained within 180 {� - days after it has been accepted as complete Print name: Ti' I ; Qt -�-C - RAT C— y Date: ' Fee methodotoe set b Tri- Count, Building Induarry Servue Board 1 " Number of inspections per pen allowed . i'• Building.Prrmits'ELC- Per:ni;App doe 12 J 4615T( ;COSt-'•+'•EB - I1 Igchanical Permit Application FOROFFICE`USE Cite Jf Tigard Pe P . ecci.ed Date B : r ii ,• 131 S - ?; Hall Bled T 23rd. OR 1 -L' 639 d ;nil G9S 1 n Plan Re.. ie Phone :0> 639 1 1 fax S ? I: G∎het Fernut _ Da:e 3, Inspection Line 503 C:9 -11 6. I D R B, '�' 's © See Pa e 2 Ire G3, �.� :.. g Internet c'•• CI ti2ard or !:5 Notified le ∎hod' Supple menial Information TYPE. OF \YORK r COM'\IERCIAL FEE' SCHEDULE - USE CIrECKl_1ST New constTUCUOn [1] Addition Mechanical perm(! Ices' are based on the - .aiue o' 1�,_ - .'crk n alrruonleplace-men( Fcrfc•:-lcci Indicate the •.glue troundcu to the ncales; dollar! of all ❑ Demolition ❑ Other rr:ech3 .c2! n'a!enals. equipment- 13bc•r. overhear+- and ero'u CATEGORY OF CONSTRUCTION — \ aloe c - — — RESIDENT]: \1. EQUIPMENT/ SYSTEMS FEES' I 1- and 2- family d\ \elhng XCommercial-Industrial ❑ - \ccessory burldin2 — - -- - - -- fur ;pericl rc;c "nc•ron use Cf Ce!.:Jr ❑ .Multi- family ❑ Master builder ❑ Other ?rs.n [Then -'- Total J l Qr,, La J013 SITE INFORMATION AND LOCATION 1)eaunt; cooling _ Job site address NM- 1r \ir coudinon!ng o _ ilea pump AM1� • l t�. -`�' NS_ ( - Irv: to lles <ue plan .h• - ...uigplacement) 13(0 Ciry S13ICZIP: —11v_ O 1 - I Cl 3 Furnace _i_10.0q(i 0 H.! Our is_e•vsi 1 - 1 (.,C) Fanacc 1i'1U.u0( BTU %ducts..ent,1 1 90 • Sulte'1 de.. apt no I Project name ' } — — - — — l�l ( Gas heat pump I-1 0`i Cross street'directions lo job site �C� • ,, , Duct •'nik — _ 14 ('0 -- - E f - Il.dron ii hot serer s }stem l 4 OG Residential ocher (radiator or hvdr.'n:c ) 14 00 — -- — --- L hearers (fuel -hpe. not elccincl. 1 t in :11; in- i11 susocnded• etc 1;100 Subdivision �L Lot no. :6 ]_lc,c _cni fnr an_. of abmc 1 10 00 S _ Other - J 10 00 Tax rnrprparcel no.: S �� t ' a Other fuel appliances IP - DESCRT)O OF WORK \\ ater hratrr -_ —_— 10 00 Ci3s {:replace _ 10 r `0 I Flue 3-rit for 's:llci heater or 3333 I - - -' - - -- - fireplace I ! 0 CIO -- 1 1 0,, Iighni ■9331 I 10 ut) \'. no 1 pellet 0019 10 UC \\ o ti Inrplsce insert I 10 00 t. PROPERTY OWNER TENANT C hnrre'• lirer floc's cnt _ I C1 ! Ij I ❑ t Other _ I IU.G(i Name: I L.S C__t C 1, g �-(j' fY\ ' (\ \{ ?� En.ironmental exhaust and ventilation Address: 1111 ` ` v 1 '� • w R3nec hood other kitchen • • lb ■ 1e at. equipment 10.00 CityState:'Z. 1 Jv clip r -}- Q � !� , Z • • Oft In Clothes dr. ei exhaust i 0,0') 1 l Single -duel exhaust tbathrooms, Phone: 5, )5 _ (.{O Fax: (St) S ) 533- 41366 1 toilet compartments, Wilily rooms) 6.80 Q' APPLICANT-' ' X CONTACT PERSON Antccr3s.lsp3ce fans 10.00 Business name: NSF\ E Other 10.00 Fuel piping Contact name: c;_' 15.40 for first four: SI.00 for each additional Address: ��A l M Furnace. etc. Gas heat pump City/State/ZIP. • \\'all.'suspended.'unit heater Phone- (563,) 9(o S I LI '. Fax: : ( ) S'r ` f- J Suter heater E -mail: 7 Fireplace Ranee CONTRACTOR Barbecue _ ,� \ <� er — Clothes drier (gas) Business name: Y �}` Other Address: 5 53 111ECBANICAL PERMIT FEES* I City -$tale ZIP �,� O CL • 9 - IN C `1 Subtotal i l l 1�) [ Minimum permit fee ($ 72.50) Phone: (5b) 59 -9W 2 Li Fax: ( S03) gC{ii_ . Plan review (25% of permit fee) CCB tic.: l L 1 31 � 0 V fvc 8p) 1 State surcharge (8` %0 of permit fee) TOTAL PERMIT FEE Authorized Sl attire: This permit application expires if a permit is not obtained s'ithin 190 � _ __ Al, days after it has been accepted as complete. - -- �� `�_ 1 • Fee methodology set by Tri -County Building Indusn.• Service Board I Pnn1 name: W I t [ i � ��� Date. I _ i \ Bui !ding'Pcrrrns •A1EC- PerrrulApp dec 12,03 430-4617T f 1 liO2rCOM/WEB) ; ` Buildi Fut ures Plumbing Perinit . \pplic tion FOR- OFFICE.USE ONLY Yz rr ` _ 0111• of Recri.rd 'Tigard Dale$. Penrul V.. 1.125 S's'.' Hall B1'.d . Tigard. OR 9722: — — -- — Phone 503 639 d 171 Fax 503 575 1960 . M1, F n Re If, C• her Feral No �1 Da:e:P: 2 -- }lour Inspcelion I. 502 039 d1 .1%.,. �' Bale Pe d;:3. E See Page : for Inlcmcl '. .+"'•t' CI li2 ru CI US Ncliled'..1e!hed Supplemealat motor m,tion • - Tl PE OF N ORK ` FEE SCIIEDIjLE �-�( New For Special informafro use checAhsr. V't CORStruction ❑ Demolition -- —__ _ _ _ /" -- Dcscc; I •nc;; l Q :5 E. 7 10,31 ❑ Addim on alleratron'repiacement - — - ❑ Other 1 - 2 - 13 mih dwellings (includes 100 f1 for each Jolly, connecu - - CATEGORY. OF. CONSTRUCTION SFR (1 1 t-alh 239 20 t gi I - and 2-family d-.yel ling XC oinntcrcrl.'mndristrral SFR t2) ha:h 350 00 ❑ \ccessor builJme ❑ �'luln- famrly -- SIR ,;3! hall) _99 00 111 \master builder I ❑ Other I'3ch addlnonal bath-kiichen a5 OC Fire s pnnkler ( sq ft) f Pace 2 < JOB SITE' LNFORh1 ATION AND LOCATION; f:::,..-- ti ne utilities Job site address. � 9 O C o _ . , Catch basin or :re3 drain 1 1 16 !0 ■ Citj:State.' "LIP' o i 0l - Dr_. ell_ leach line, or t dram 16 P_G Fooling dram (nn linear 0 -- r Page 2 Suite:bldg. no Project name \ — - - -- -- 11`- 1\ lanulaculred borne ulihhes 11000 Cross siren :drrecnons to job site: , , ! -- - - --- , % t Manholes It: l — -- -__ --- -- __ -- -- Ram dram connector 1 ('.00 Sanitar, sever (no linear ft • ) Page 2 - -- — - -- - -- - -- Clr•r .5r'• CT r,nu 1111c3r ft - ) Page 7 ..0•1111 r— 3 Set. :.CC linear ') 1 Pace S uhdi .'isrnu Lot no. -- — — nature or item 'Fa\ n,ap,'parcel no a } t , t a �` — - -- - ibis - LLL lhsorpucn ,a1.e I( Vi - DESCRIPTIO` \1ORX _ - 13ackfl. pre % enler Page _ f • Ba,h.`.:tict - .31'. e 1 (7'. - - — Irlhcs'..3sher If,(il - -- - - -- - Dist—masher - - — i I I(. ( 1' PROPERTY OIVNER Drmkm? fountain 16 r - TENAN T — - Fject,•rvsun n 16 60 Name L � �` /� �• A �L' - - Espansron lank 1 6.60 Address: 1 lD a 2O Lo , o1'• _ , Fixture se••cer cap 16 -60 City;State.%ZlP: r i ` . •. •Na . • 6 Floor drain flour sink'hub Ib 60 Phone. LA3) a2, 1 .160( Fax: (56S)533.. t806 Garbage disposal t 16 60 '�� ..", 6 -APYLIC - r -W.i �S ,�, fir.. .•i_r_., - . _ •i.t+' s15 v J Hose bib I 16.60 , - ,: ; : a x * � C --K 3:\ �� = 3:r.a - 7r¢"' lee maker 16 l)0 Business name: Interceptor /grease trap 16.60 Contact name: ' Medical gas (value: 5 ) Page 2 Address' 5A I Y lg Primer 16 60 Citv /State /ZIP: Roof dram (commercial) 16.60 ( 563) g ? — 1 y 5 3 I F ax:: ( ) O { , Sink.basin:lavater 16 60 Phone: /"'J 1. Tubishov er pan 16.60 E -mail: Lirrnal 16.60 f' F CONTJ CrE5R• - � . , . . ,. . _ - � '2: ater close! 1 G.60 Business name. i tr. ' � ' Water heater 16.60 Address: c2 `I'1 7. ' 5 Z� r\ �\ ` t I i N Other. // �c �� .� 1 1 Subtotal City/State/ZIP: \,- 1 lc��Q' M " C - q 3•• Minimum permit fee. $ 72.50 Phone: (563) 1028— I 1 &„3a_. Fax: ( 6 R _ (../ l Residential backflow minimum permit fee. $36.25 CCB Lic.: 0 4 a 60 A 1 - Plumbing Lic- no..3L( a� Plan review (25% of permit fee) Authorized signature: State surcharge (8% of permit fee) . • 4 _ � ...PA -_ a..-_- Vb. TOTAL PERMIT FEE Print name: c I _ , r _ > Date: This permit application expires it a permit is not obtained within 180 dabs after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board Eml ding ' Pemuls'PLMF. PernmArp dm :2 .'03 aeo.46 r6T(10 /02/COMOVEO) CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2004-00328 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/4/2005 Phone: (503) 639 -4171 / ° /�N� Inspection Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: 6/23/2005 TIME: 7:10AM PAGE: 20 SITE ADDRESS: 07806 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 013 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA. OWNER: JLS CUSTOM HOMES, PHONE #: 503-533-4006 CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 -633 -4006 Inspection Request Scheduled For: Date: 6/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 009995 -01 503 - 209.6824 N Corrections /Comments / Instructions: �_ IA 1 �- 11 II \ \, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FC t INSPECTION El ADDITI• AL P ES ASSESSED ■ 1 Inspector: 411074, Date: /. �/� Phone #: (503) 718- CITY OF TIGI :D _ • BUILDING DIVISION PERMIT #: MST2004 -00328 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4 /2005 Phone: (503) 639 -4171 4,,,, ' d° 091 1 1l filPl� l1 IN Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/22/2005 TIME: 7:13AM PAGE: 19 SITE ADDRESS: 07806 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 013 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA. OWNER: JLS CUSTOM HOMES, PHONE #: 503.53; -4006 CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503. 533.4006 Inspection Request Scheduled For: Date: 6/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 009886 -02 503-209-6824 Y Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / 2'714 Inspector: Date: ����� Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00328 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4 /2005 Phone: (503) 639 -4171 . " " p11t\ 11 l\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/21 /2005 TIME: 7:11AM PAGE: 26 SITE ADDRESS: 07806 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 013 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA. OWNER: JLS CUSTOM HOMES, PHONE #: 503-5334006 CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503533 -4006 Inspection Request Scheduled For: Date: 6/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message X99 Electrical final 009771 -03 503.642 -2800 N Corrections/Comments/Instructions: R3 \JO k?.1) I Pi r /VI - J \ Alt‘it) PL r•O i 1/( t aA CAI 2 , " vo\411-(zA c pLAt,-,N r\-)-- 400( wiN\ rn§vV)p- BiOD. Rvym VA) \1V\ -\ RQ C\\P 14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: a1 -S #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00328 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4 /2005 Phone: (503) 639 -4171 �!° ajVgyoq;j�' Inspection Requests (24 Hrs.): (503) 639 -4175 _!_- ° _ INSPECTION WORKSHEET FOR DATE: 6/22/2005 TIME: 7:13AM PAGE: 18 SITE ADDRESS: 07806 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 013 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA. OWNER: JLS CUSTOM HOMES, PHONE #: 503- 533.4006 CONTRACTOR: IS CUSTOM HOMES PHONE #: 503 - 533 -4006 Inspection Request Scheduled For: Date: 6/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 009886 -03 503 - 209 -6824 V Corrections/Comments/Instructions: 1 all 4 ti frOW•--- r — ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CAL OR INSPECTION ❑ ADDITI NAL F S ASSESSED Inspector: 0°1‘ Date: v #: (503) 718 -