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Permit CITY OF T I G A R D PERMIT #: MST2004 -00325 ,1 iii� DEVELOPMENT SERVICES DATE ISSUED: 2/4/2005 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 MASTER PERMIT SITE ADDRESS: 07842 SW WATER PARSLEY LN PARCEL: 2S112BA -07400 SUBDIVISION: BONITA TOWNHOMES ZONING: R - 12 BLOCK: LOT: 010 JURISDICTION: TIG REMARKS: New SFA. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 266 st 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 THRD: 793 sf RIGHT: VALUE: 182,130.00 OCCUPANCYGRP: R3 BMW 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 BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 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 FOR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st WIO SVOFDR: 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 +amts-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: TOTAL FEES: $ 6,890.70 JLS CUSTOM HOMES JLS CUSTOM HOMES This permit is subject to the regulations contained in the 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 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 lnsp Gas Fireplace Structural welding final Water Service Insp Sewer Inspection Slab Insp Plumbing Top Out Insulation Insp High strength bolts fina Smoke Detector Footing Insp Plm /undslb Insp Framing Insp Shear Wall Insp Rain Drain lnsp Electrical Final Foundation Insp Electrical Service Roof Nailing Exterior Sheathing Insr Storm drain insp Plumb Final Wtr Proofing Bsm't Wa Electrical Rough -in Gas Line Insp Firewall Insp Water Line Insp Mechanical Final Issued By - / � Permittee Signature : �'7 �r /� ' L- Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day I e . Bu Permit ,Application - FOR.OFFICEUSEONLY .4' City of Tigard :I I ED Recl.. / I ?1? >S\'•'HailBP,d_ 9 ECEIVC D�i:B:�r�+, emu) �0-_ Fian Re. re I P1 r ,�) 2 / . 7 6 'one �5( r?';= 1:: ?. ��_ : lr: r, i - !L� /` o /1/15500 ( er Pe ni (•1 l ,� /// y^ -oO ' Q 2 c: 1n5pccuon 1 m c!`_ ,, p � Da:e Rea - B ' ' See AlucheJ CIIecklt i for NOV �l 1 2004 ' T/ (r p P n;e! ntaN r u_ ollG ed'-ielhc_J � S u lemenul Information lnlc CITY OF TIGARD b Uh ! - — $ err„ ►,.,.,. �T��P.EI :Q1i 6'ION REQUIRED D. -ETA: 1- AND 2- FAMILY DWELLING _Nei' construction _ (11 Demolition P ermit fees' arc based on the slue of the wo performed -- -- -- indicate the %aloe (,rounded to the nearest dollar) of all ❑ .- \ddution'alterauon replacement ❑ Other ! equipment. materials. labor. o erhead. ythe p for !! ork indicated on this application, / ; CATEGORY OF CONSTRUCTION I_ pp -_ -, �X I- and Z- family elfin' XCommercial'undustnJl i t --- -- - - - -- — I Number of bcdroan -`- - ❑ Accessory building ❑ 1\ Jul ulti- fa1 -- - umber of bathrooms M ❑ aster Mulder Other I ':d _ 2. ❑ 3OI3 S TE INFORMATION AND LOCATION Total number of floors . r - .I oh site address -A _ - . _„— r New d'• chine area '� I� square feel Cin-Srate:ZIP. • �1 � Garase carport area: 4+31.• square feet Suite bldg :'apt no : I Protect n inic � (.o Bred porch area. a square feel Cross stre to loh s ilo : s � ^ , � � • 'r � Deck ea ) square feet _ - = - -1 I ar Other structure arca: square feet 1 REQUIRED DATA: COMMERCIAL-USE CHECKLIST Suhchvlsion - 14c L � n e � I Lot no ID I Pemnt lees' ;Ire haled on the value of the work performed (e...„,\ Indicate the value (rounded to the nearest dollar) of all Tai map a pce! no . aS 1(� ` 1 IX I equipment. materials labor. o\ el head. and the profit for the DESCRIPTION OF WORK - - I V , Incheated on Ih1s application. 1 _ __ � Valuation 3 - -- - - - - -- - Existing building. area: quare feet - - Nev. buddlne area square feel PROPERTY OWNER ❑ TEN, \NT I Number of stories: I N,Ime: tS C 1 1C - (') Me I Type of construction_ Address. 1 1\. ` 0 � a .._ . - 1 Occupancy groups _ �7 q Cir ■:State ZIP. ,` I r 4, • 0 ?_ 1 �� •b ` . f n I Lxrstln_- Phone: (563) 533- L' Fax: L S D3 S'63 - 1 -130(.0 Ne\\: ❑ APPLICANT Dit CONTACT PERSON NOTICE Business name 5 PiTY1F. , All contractors and subcontractors are required to he Contact name: - \ • < licensed w h the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address '` qf I urisdiction In which + ork is being performed If the C1t :'State.-ZIP `--�� I applicant is exempt from licensing_ the following reasons C� t) S y� 1 apply: Phone: (S D3) �t �0 1' 1—{ 3 Fax:: ( ) �Ei 1 ' E -mail: • •' -- CONTRACTOR - Business name. 5 pi ' Y\ BUILD ING PERMIT FEES* Address - Please refer ro fee schedule. CitvState-Z1P r Phone: ( ) I Fax: Fees due upon application ( ) I Amount received CCBhc.: ►39 n - i Dale received. Authorized signatt?fe This permit application expires if a permit is not obtained r t within 180 days after it has been accepted as complete. Pnnt name'. i k' 6:63 - -x -tom Date. • Fee methodoloe} set by Tn -Counn Building Industry Service Board i'- Bu;IdicgJ'crmis.BL'P Pcrrni:Ar.p dcc i2..03 44O-6 I3T! 1 I :COI t :uTB) 1 Electrical Permit application FOR OFFICEUSEONLY r C 1t, of Tigard Received I P.zIeB•. Pcmui No 1 125SW` T'gard.CIR 9 -- — _ Plan Re le., Phone _n; r,_941 -1 Fay 5M3 ;r.i ' r`' — C;!Ifr r m e•I ti Inspecon 1. ine =('_ o39-I _ . :6. ILL, DDaae� l T e R :2', c:' 1 0 See Page'- ler lnt:mer ., .. - .r ci its, c -r 1'S Nonfiedl'. :ela•d I Supplrmrnlal Information TYPE OF WORK PLAN REVIE\j ❑Ner'.construction ❑ . \ddition :alteration'replaacemen' Pc ;se I. i h a: 'pFl., ❑S c : :5ncps.ccmm ❑Hazarda.,_ location ❑ Demolition ❑ Other' i DSc-, •cc C. et _:0 amps - rau'-g ❑B;uldng o•• et 10.000 sq 11 . CATEGORY OF CONSTRUCTION of I- 2:,(1!:-;2: :1. 3 '.ellinos a or more net. resrdenual ❑ I- and 2 -Emil? do elling ❑ Commercial Industrial [1] Accessory burldinS ❑S (, r tarn • oLs nominal imits In one srnicn)re ❑f3ull-ifng o' cr three stones ❑Feeders. -100 amps or more ❑ \1u11i- famtl'. ❑ :Master builder ❑ Other I ❑(1i; t.pant Arad o` n 99 persons ❑ >.Ianufaclured sn unlres or 3013 SITE 1NFORr T10N AA'D LOCATION ❑I t're•:, li l,::irrg plan RV park Job no. 1 Job site addresg3(.� Cj f /� l , r I ❑Ilealih,rale fac:1; ;} ❑Other -- - -- [C�s r �"" �""' (� pp_ �1- 5„:1,-,,,..:2_ sea r i pl.:ris'x101 am 01 the 3b0ve Gr..'S131e•711 ' ` - 11:e .:' .,!e .:•.;t airL, able Io lempolan construction service L`�C') .�1L . - -- - -- FEE SCHEDULE — .. -- Suite bldg' :apt no. _ I Project name: - l I u,.r,t I plc. tee J 'T0131 New resldenfiai single tar multi farnilc dr+elling. unit. Cross street directions 10 300 site - al l J� C S.e� C LZ� Includes anal �ara" - -- I . ( t ") s y . I t Or !ess I45 I ` — 4 Sulrinlston: 1'`n ,�, -� �a Lot no 1� ) a dJ l f(`;) sq If _r prfllOn — 31 •70 I A )�� ysL ` r • S 1 1 a C � � milted cnr:e . residential 00 Tai mop: parcel no.- - • I I 1-nnued goer,.. non - residential 75 00 2 -- DESCRIPTION OF WORK 1 Ich manulai ;ure,l nr modular l d ,relj!ne. ;ce and or feeder 1 1 90 90 - 2 — tier r lies or feeder installation. alter alion. and :tar relocation . 200 amps or ,e.s SO 3 M. PROPERTY OWNER 111 '01 : ml_s - !<!i, Intl am -- I 1 ('C, 87 I ❑ TENANT — -3-1 \ — i n -lr' I .!rips ti` o amps I It() 6(/ 2 Narrre L f S � ��/t / ADD I or)] ■:ps le i . (,11 0 m p :l, s I 210 00 .�ddless \� 1� )� 1C 1� J � ♦ O,,.r i.l': n_:PS 01 c,ils 4 (. l Reconnect only 66 -$5 r. C ta r State: %]P_� -_1�� , I - - -- — — 1 empuran son lies or (ceders nrstallatiun, alteration. and'or hone (66 ) I .?\ ( I relocation P 3 400 (� 1 S 5 — q ,,rap; I,r 66 85 I Owner installation: This installation is being made on property that I own which is not 1 201 amps (r -trill amps I I('0 _O 2 inlended for sale, lease, rent. or exchange. accordm_ to ORS 4-17. 449. 6 70. and "01. r - t] amps f( oi:G amps p p I 1 133_ , 1- Owner signature: - - _ Date L3ranch circuits - new. alteration. or ea tension, per panel 111 ' APPLICANT CONTACT PERSON - I .A Fen 101' brand') circuits 1,r;0 I r ser inc or I ceder lee, each 6 65 Business name branch circuit ` Contact name: • _ j T3 Fee for branch circuits J i„irhour service or feeder Inc . 46 S5 Address: n l I euh branch circuit ` Each add'1 branch circuit 6 65 2 CitviStatc'Z]P: Miscellaneous (service or feeder not included) Phone' 2 q(� 2 Fay Pump or imgatron circle 53.40 2 ( s� �• )) t `/ ��t.J ) 5 Sign or outline lig_htin? 5. 40 , I 2 E -mail: Signal clrcurt(s) or limited- l CO NTRACTOR enere,, panel, adoration. or ( extension Describe Page 2 _ Business name �� r�^��' F 1 e c t rt C I I Address: 1318 1 Q c ]k V ' f\ � L__ I Each additional inspection over allowable in any of the above n p N inspection I I 62.50 Cir. State, ZIP: 4 . 1 \ ( 0 K - l �, 173 L 1 n estisaiion t per hour (i h nuns i 62.50 Phone: (SO3) (. c le,Q� \ / Fax ) ( w__ 5{,�! 117 C Indusmal plant per hour 73.75 c 7 ELECTRICAL PER)11T FEES' CCB Lic : t g 2._ Electrical ;c.: q - 2, Suprr Lic.: j Subtotal Supra. Electrician sieTiature, required: a i. . i Plan re're.r (257 of permit feel Print name: 5- - Ev� -17 � � � � ,!' •,-..k_ Dar Slate surcharge ((8% ofpermit fee) F TOTAL PERMIT FEE Authorized si?pature: / : - , — This permit application expires if a permit is not obtained •vithin 180 � `.4 I�ttwww... ///—t_ days .diet it has been accepted as complete Print name , 1/C.A. T t ���� Date • I • Fee methodology scr by Tri-County Building Indusrry Service Board '— Number of inspec;fens per pernur allowed- . i`•Bmrding•Perrr,s ELC.PcrmltApp dcc 17-57 aco- 4615T(10'e2COSL'.+•EB it 1\Iechanical Permit application • ;FOItOFFICE.USE - City 3 f Tigard Recessed _ DzieE: 1 Pe��ai 1:125 S'•\ Hall Blt d . TI_ard- OR 9-223 - Phone =03 639.1 Fax ` yGR I 9h0 P!zn Re re _. - - Dare 3. ;;;For F ^rnLl fns etitren Line, 502 639 a1' p - 6� " Date _Read Fi •, .' © See Pa e 2 Ir., Internet v• ci u_ard or us °'� g vonlled- Alethcd Supplemental Inl or mason TYPE: OF WORK r COM7MERCJAL FEE' SCHEDULE - USE CHECKLIST New construction El Addu,on alteration.'replaccment .s permit ices' are based en the .aiue e t; , perk perFormed Indicate the •.zlue (rounded to the nearest de!lar) of all ❑ Demolition ❑ Other rncchan:cal n equipment. tabus. os encezd, and ;rofll CATEGORY OF CONSTRUCTION ___ _ \aloe t �{ - - - - 'RESIDENTIAL EQUIPMENT / SYSTEMS FEES' �1 and 2- family dwellme ,�! Commercial industrial ❑ Accessory building - - -- - -- ! f or ;/ :ec,r.r :rT, rice chrii.! , ❑ , .\11:1H-family El Master builder El Other- i?r ;.apnea I Qtr I Ea Total JOB SITE INFORMATION AND LOCATION - _- llcaunP cuulint _ Job site address '' eel i ris ing hl pump ea • 'd• � / � f r,. i t es Sue Ian <h• - ing lacenisntl — E � !-1 I.•0 � � :��..' p = / am � . \tr cr 1 1 _' P_ P Clr 'Slalc'Z1P: ' O E. R F,,,,,, i r4l 000 4 fl.rlducts_csn 1 1 (rQ FSIr-1Jcc 1 BTU •ii,cgs •entsr I 90 Sulte1ldg- .`apt. no' i Pr name. '� l — - - — - t �C�Y` Gas heat pump la 0. Cross street'directions to job site . Duci sotk _ _ 14 (0 - Ilsdnsn :c hot slater s•slem 14 99 —_ Residential boiler (radiator or hcdre'ntc ) 1-1.00 -- - -- I Unit heaters cruel-type. net elccnii). In :' irrd.;it_ suspended, etc I1 10 (0 Suhdtt T LOI n 0' ° I Hutt tent for au of ahmc 19010 i • • . :nil-' S — ether -- I 10 1 Tax map parcel no.. �- . i _Other fuel appliances - DESCRIPTION OF WORK �-\ - :uer heater 10 i'�' I (;as i,rcp!aic - -- ' 10 00 { I Flue • for , ..stet iscatei or eas -- - - I , I_uchlacc + !i 60 1 ell light.' i oai r I 1 (') uu 1 \''reel pci!cr stole -- I lu 00 II��rt Wood Inerlacc insert f 10110 C tCi, PROPERTY OWNER ❑ • hm„,i. bier Ilue s en: 10 C'0 EF,NA1'T — (.lther 111.('0 Name: TLS C__A ,_Q�� Q (�/1p 5 Ens ironmental es haunt and ventilation el. v + , A Range hoed other kitchen Address: r' , '� tS equipment 10.00 City State :'Z1.1- c y r-1-�� �O . • �, Clothes doer exhaust i 0 00 ��� 333333 �Jc! 1 It V! Single -duct exhaust (bathrooms, Phone: c563 )533_ �yn(c) Fa: (5a s) 533- 4 13 6 toilet compartments, utility rooms) 6.80 . • : r APPLICANT A CONTACT' PERSON Artrc.crawlspace fans 10 00 Business name: S � E Other 10 00 j Fuel piping Contact name: $5.40 for first four: $1-00 for each additional Address 3B ME, Furnace. etc Gas heat pump City/State /ZIP: A' 2 p / M all.'suspendedhmit healer Phone. ( 56 7 09- 114 Fax: : ( ) S\ `, `FJ Water heater Fireplace E -mail: Ranee ' 'CONTRACTOR - Barbecue • Business name: �(� e -4- `� - c Clothes dryer (gas) `� C1 �` Other Address:CR 0 W - S 6, MECBA,NICAL PER.7.17T FEES* CityiState %ZIP: 1\\Q�. 0 I'} Subtotal Minimum permit fee (572.50) Phone. (3)3) 591 -9 4 Fax: (56.3) 8,qh_ .0--).K., Plan review 125 % of permit fee) CCB lic. I L1 131 � State surcharge (8% of permit fee) TOTAL PERMIT FEE r - This permit application expires it a permit is not obtained within 190 Authorized si trot.: � days after it has been accepted as complete. -_ 1 Pam name: C I; i +0 ill-- ' Fee methodology Service Board �� Date: gy set b Tn- Count; Building lndu i Building (lcc 12 140. 4615711 102'COnytEB) • . Building Fixtures • • Plumbing Permit f\pplication T , ... ,-, :, , , ,, , ,,,, ?...- , .- , ....-, , g3f--:•:::• ,,--,, : , ,-- ,, ,,..,:-.4 ., -,„-.-••,---•-•:•*--,-• -..,,,------ •---,::,----:,,,,-..:;:,,,,,,.: ..,., City of -Tigard Recr,ed Pet■IJI N-• Dwe'S 15125 SW Hall Bird . '1g3r,.1. OR 97223 F!an Re% It, Phone 503 65? 117 Fa 20 3 59S 1960 Ayr t Da.•13• °the, Per7rut No 2-1. Hour Inspection Inc 1. 502 659 ,1175 A P ,,, ..:,_,....,,,, Date F.e.:•.1 e See Page 2 For 1ifirrno1 ‘VW cl lieVd Cl us Noilfied Suppleineof 31 In For mation . . 'TYPE OF WORE: - : :- ' - - - --E. - FEE* SCREDULE --.---------- For special information use checAlist. )21Nr.v con_struction 1 Ej Demolnion pcsir.., 1 E,: r 10;31 E ..\ ddmonralieration!replacemeni E] Oiher Ne 1- 2 - 1 a mil% 111 Ihngs (Includes 100 0 Inr each wility connec 0nn) ,. , ... .. . .. • • . " .. :- -:- '.. • '' ' CATEGORY OF -CONSTRUCTION. • - - - SlR (1 1 1 2 al ._ ... . ..,.,,_•_ ..• , ... " , . - - _ - .--. - .. .. 1X1 l. and 2- family diA ening XCommcrcralimcinstrral SFR (2) b.rili 35000 SFR ■;3-,i 11219 X.... 399 00 [1 ] Accessory boildine 0 Niultr-f3nult Each additional kraliAlichen a5 ((.) El ',\ 13.5.1Cr bUlltICT I [1] Other: Fire :.pnnkler 1 5q it ) Pace '.',.- ' --•'-', :-,. 'd. . i :JOB M SITE' LNEORATION AND. LOCATION f:', ."--::-.,-..---- ..--. 7 Y. ::: -,''. ,.. ... - .. — — --- - - - . " ' •-...,- _ ---.:,, -',:...' , ' - l i r e e ii tin! JCS - . - - •.: . 7 _ Job site address: .- /-1:. :: - Cl . -• "' /NIIII -. Catch basm or area dram 1 16 60 ,---,....-- Cil:,Stsile:ZIP• 1 1 Cli,... ""■ Drywell. Ic3t.h line, Or rrench drain .._ 16 60 --- - - --4-1-- ) 1 11 ) Pa ee 2 Suile:bldgd apt. no. Pro F00111F. dT:1111 (110 il/lear ject name r" & 20t A r,..A_ Manufactured home tuthtics . 1 i 0 t Cross .Streclidirections to job stie ____CcO■NM,)LCLCSkek_ Nlanholcs 1 t., 60 Ram dram connector 10 00 — _____ Samtar, : (no linear It. ) P3r.re* 2 St6rin sc ino lineal fr _ 1 Pal:e 2 _ ..... • \\:iiei sen (no brie :IT n ) 1 I Page 2 ' S"hd1"51": lila c i L 0 t no - / liAture or item , 'Fax rrrapparcel no :(-) ) ( 0 1 ,a(?:)\ •bscmptton ' e 16 66 .. y - - : • ' • - DESCRIPTION: OF WORK - - - - •., ' ' . 113:Jekil,-... pie enler Par2C 2 • (33:k.. ater val-..e 16 00 (1c•thc5 ,, ashei 16 (0 __ ------- ------ -------- 1)15.1 16,0 16 60_ ....'• -.-.. PROI - OWNER ---,-. • ' - -: "T' ': '' .. / . ' . . . '.- :. 9 ' ItNAN t V .,' .-.. . ' I 6.60 Name tLS ( . t_ A E\ 4a.ta a CLLY\eS Expansion rank 16.60 Address: I (0 & 2, c) (_„,_ "Aims _ _I _ _a fimure cap 16.60 City/StateiZIP: 14 i 6, a &\12.. a • . Floor drain:floor sinkrhub 16.60 Phone: • ) - • 11.-. , Fax: (5oS)533- 4/30(.0 Garbage disposal I 16.60 ri` 'rl:R.i! ,--,..: L! Hose bib 1660 I . 16 60 Business name: : re% f-LA Interceprorr trap Nledical gas (value S ) 16_60 Contact name - Page 2 Address: 3p,m Primer 16 60 City/State/ZIP: Roof dram (commercial) 16.60 Phone: (55S) 0 (14,7- 11/53 I Fax: • ( ) cT RE, Sinkibasimla 16 60 Tub/shower/she %Ner pan 16_60 E-mail: Urinal 16.60 16.60 Business name: r , w3,,, he.e., 16.60 . • . ■■ 11 • v Address: c 2 lig 7-r) 5 U k.. c? y-\\0Qt ),... L K s ,,,,T, Subtotal Ciry/State/ZT: 6 ; \15'f 5 O t? iv 9 3--I,Q, Minimum permit fee• S72.50 Phone: (6 (02- T 1 (Dga- Fax: (a3) LRB _ q6.33 Residential backflow minimum permit fee: S36.25 - , CCB Lic.: r ,c iato Aci Plumbing Lic. no.. 3q Toa)(SAS Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized SI mature: _ ...Alb , AL:-.. TOTAL PERMIT FEE Print name: ce.1.4 C I *. F-Cd:1_,X Dale: This permit application expires if a permit is not obtained within 380 days after it has been accepted as complete. ' *Fee methodology set by Tri-Counry Building lndusrry Service Board. ,::.. Building'prrrnitsTLMF. Fel dc, : 2:01, 4J0.461671 10/DVCOM^NEB) CITY OF TIGARD - . BUILDING DIVISION PERMIT #: MST2004 -00325 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2005 Phone: (503) 639 -4171 % ' ���� /r� Inspection Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: 6/22/2005 TIME: 7:13AM PAGE: 24 SITE ADDRESS: 07842 SW WATER PARSLEY LN CLASS OF WORK: 1 SUBDIVISION: BONITA TOWNHOMES LOT #: 010 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA. OWNER: JLS CUSTOM HOMES, PHONE #: 5035334006 CONTRACTOR: JLS CUSTOM HOMES PHONE #: 5035334006 Inspection Request Scheduled For: Date: 6/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 009885 -05 503-209-6824 Y Corrections /Comments/ Instructions: I �� f PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR IN •ECTION ❑ ADDITIO AL FE S ASSESSED Inspector: a .1, Date: (3 517one #: (503) 718- CITY QF TIGS 4D( BUILDING DIVISION PERMIT #: MST2004 -00325 13125 SW Hall Blvd., Tigard, OR 97223 �� DATE ISSUED: 2/4/2005 Phone: (503) 634 -4171 �°���° Inspection Requests (24 Hrs.): (503) 639 -4175 '! INSPECTION WORKSHEET FOR DATE: 6/22/2005 TIME: 7:13AM PAGE: 25 SITE ADDRESS: 07842 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 010 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA. OWNER: JLS CUSTOM HOMES, PHONE #: 5503 -533 -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 009885 -04 503 - 209 -6824 Y Corrections /Comments/ Instructions: [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: fl Date: 6 t -) 1 Phone #: (503) 718 - CITY OF TIGARD . . BUILDING DIVISION PERMIT #: MST2004-00325 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/4/2005 Phone: (503) 639 -4171 i ������� i ���� °1 N��'���I' j Inspection Requests (24 Hrs.): (503) 639 -4175 . -' INSPECTION WORKSHEET FOR DATE: 6/16/2005 TIME: 7:10AM PAGE: 20 SITE ADDRESS: 07842 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 010 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: 6/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 009449 -01 503 -642 -2800 N Corrections /Comments/ Instructions: ). (e WT 1-1011,) PO QOM , �ll \ CP .1 \ .RotmE c� 'fi1 `�-, PL' )�5 P i)c \ N *- AQ. o OIL 5- \l &Piny I Ate \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED s Inspector: � Date: / —� Phone #: (503) 718 - CITY OF TIGARD . . J BUILDING DIVISION PERMIT #: MST2004 -00325 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2005 Phone: (503) 639 - 4171 l� Inspection Requests (24 Hrs.): (503) 639-4175 WORKSHEET FOR DATE: 6/23/2005 TIME: 7:1bAM PAGE: 1 SITE ADDRESS: 07842 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 010 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: 6/24/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 010015 -01 503-209-6824 N Corrections/Comments/Instructions: Ok/( ' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CAL FOR INSPE ' ION ❑ ADDIT ONA FEES ASSESSED Inspector: ® L Date: > di W Phone #: (503) 718 - W