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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00323 ' I ll DEVELOPMENT SERVICES DATE ISSUED: 2/4/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 07866 SW WATER PARSLEY LN PARCEL: 2S112BA -07200 SUBDIVISION: BONITA TOWNHOMES ZONING: R - 12 BLOCK: LOT: 008 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 THRD 793 sf RIGHT: VALUE: 182 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 1,819 s/ 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 FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st WO SVC /FDR: 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- 1000x: 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 LS CUSTOM HOMES JLS CUSTOM HOMES This permit is subject to the regulations contained in the JLS CUSTOM ST BETHANY 16280 LS CUSTOM ST 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 Rog a: LIC 139970 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or dired 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 lnsp Sewer Inspection Slab Insp Plumbing Top Out Insulation lnsp High strength bolts fina Smoke Detector Footing lnsp Plm /undslb Insp Framing lnsp Shear Wall Insp Rain Drain Insp Electrical Final Foundation lnsp Electrical Service Roof Nailing Exterior Sheathing Insl Storm drain insp Plumb Final Wtr Proofing Bsm't Wa Electrical Rough -in Gas Line lnsp Firewall lnsp Water Line lnsp Mechanical Final Issued By • ' / Permittee Signature : .e7 Cf' d-ei:1-64 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day F ,0,y,, I e l 7 060 Amohc r ,_ %1D-1 - ; " - ) . w ilding, Permit ;\pplication ; r F OR O Cit}' of Tigard Pece ri1 I I I . ( ",/� ! _ I?I_'. S':'. 11311 131%d .fir ,... _'F __ = li_; `�' P. I P I -- tZ) I - -- 47,,61 9 Phone 'C1: 6 ; -•' ` t ;I7 =)'�Y .._:-. 1 1' 1 ^ \\li L� I ^!�,1 5 -- `'ther Permi`\ \ �.I � / eh y/ ly - ) � r . 1_ V 1 �'L� Dal ^ -'F �. 0 ! J�LIfJ �_ 1 Inspection l.;ne r., �_ ^=n-1 I . \ �`/� V ':6 Da:e Read. B. / I O See : \ Chec Lioi tnr Ir;l:n;c' :.I l,c:rU ('r 1: t 4 �oo� ii5 `:onf:er.?'.;eW d� - - - 17 ._ 1.—T" I V 1 S r plemenral lnforrnarion -- ' :0\1 © _ a 1 e)- . ,, i Uh II- — — - - Gay ly — I R.EQUIRFD DATA: I- AND 2- FanIILI DWEI.LI�G I, -- - G1 Y G � P ' P ermit fees' are based on the \alue of the work performed '\ KNe•,w construcnou ` : ( D mohuu P -- - -- ; Indicate the %aloe (rounded to the nearest dollar) of all D \dditron'ahcra ion-r,'placernent I ❑ Other I I equipment. materials. labor, overhead and the profit for the work indicated on this application. CATEGORY OF CONSTRICTION - I_ �]I `: aluaIron. s . /82 / 0 I-- I - and _ f:umh_i_ellnis - -- XCornmercial.rndustn.tl Accessory building -- -- ❑ Olulu family - -- — E Number of bedroo'ns - 3 \lastet builder - - -- I `lumber of bathrooms 2 S t 0 � D Other .1013 SITE INFORijATION AND LOCATION local number of floors 3 Joh site address• -- — - C o `, � N`A — Nc++ d•. area /8 square feel Cir ;'Slate ZIP. a Gara carport area: "1 s--i... square feet Suite bld .fapt. no - I Project lame: Vim' 1 y��� Co. eyed porch area a ..14 square feet I� Cross strect'direcn u L1 onc to cob se i �J �l�_�� p , — �>� -[� .1a� I— Deck alga 1 square feet -t _ -- - ------- .-- ,. --__ I Other structure arca square feet __ _ _ I REQUIRED DATA: CO:\OIERCI:\L -USE CHECKLIST Suhdr+'ision. yy�� �_ r.ot no. Permit fees' tic based on the \clue of the work performed Indicate the value (rounded to the nearest dollari of all Tai ma)rpa:cel no : a, V 1Q t� equipment. materials. labor. overhead and the profit for the - DESCRIPTION OF WORK I work indicated on this application. - 1 � Valuation S r —j L.tsrrt r. building area square feet -- — - - -- New building area square feet — . PROPERTY OWNER I i ❑ TENANT J Nunil +er of stones. P - -Z) N'ime: a✓ CI t� �C� S I Type of construction Address: 1 ( �agO � L1` ne�T n - - I Occupancy groups: Cit\:State:Z1P: S7 1 Y O V 9 i I �- -- . I r_,isti.„: it Phone: (5b1) • LIC t _ Fax: (s o3) 3 - 1 -13(Y", New: ❑ APPLICANT CK CONTACT PERSON It NOTICE Business name: SC\ All contractors and subcontractors are required to be Contact name: 1 , . licensed n ith the Oregon Construction Contractors Board `Lid under ORS 71)1 and may be required to be licensed in the Address: 'e�c - jurisdiction in which work is being performed. If the Cir :State.:ZJP: v � L applicant is exempt from licensing. the following reasons apple: • Phone: (SOS) ° i (0 q .- it-I5 S 3 I Fax ( ) ' an � y � 1_E E -mail: 1 CONTRACTOR . • Business name. 5 Rrn L BUILDING PERMIT FEES= Address: Please non refer to fee schedule. Cit.: State:7_IP: Phone: I Fees due upon applica ( ) I Fax:( ) 9 �� i I ?mount received cc8 tic.: i 39 Date received: Authorized signal e: i This per mit application expires if a permit is not obtained '°" — — within 180 days after it has been accepted as complete. r Print name: e lE CS Dare: • Fee methodology set by Tn- County• Building Industry �t8_ Service Board ` 1Buildicg 'Perniu1Bl'P.Prrrr.i.rr dee 440.46iv'rirI!(s::CbM:u'CB) 1 Permit :Application -t I . , CII , of Tigard Reeet ei Perim N0 1 =1:. S`•`• 'lali f3; T!e of ''P _-- Plzn Fe' te, Phone ct,:'r.:,) - I Fa f' ... ■-.r • I C' +!er Fer -ter Inspect.' n Line `l'f 0.9 i '.6 .. 1 Daie Rea.'.. R: -- i E See Page' Ioi Inl:mel .s beard eard C r r!: I '`: c',Fiedi.ierr,cid — — — t I Supplemental Intor rnarion - -- I.\.PE OF \\O121C -- — I - - - PLAN REVIEW - - _ .e:: ,e:l. a ❑ ale, construclu•n Ii ',cidluon.:Jter:mon replacement P' ' ;he: ,r, 1. ❑Scr.:cc ci :25 :: reps. :0 ern 1 ❑flazatdous loca1!un ❑ Demolition ❑ Other - - --- - 115e.7 c'.c: E 7r.amps - ralteg ❑C'utldn o- e: 10.000 sq II . CATEGORY OF CONSTRUCTION Cl i I- a:'r'. ^r',:I'. J r.eilingF 4 01 mere nose residenl,al - ❑S e c: hart c•hs nominal gnus in one strucRile El 1- and _ fam,i', doo.en ing El Commercial Industrial [1] 'sccessor•. b•ullding ❑f , ,i',:ze ^•ci three scones ❑Fecde :s. - 100 amps or more ❑ lulu- fan [1 Master builder ❑ Other I Doe:: pan! Ir.id o Cr 99 Persons ❑`Ianufsclured sr tar JOB SITE INFORMATION AND LOC:\TION ❑f er '.a I,e1:::r.�' plan RV park -- ❑nlher �( f reaks -sale (::sill;, Job no - Job site address ' C ' � 1 � / y � — ( p� - ,-•:: •.,tilt n, of the abe - ---- - --' -'- Cu,: Si:Ite 7.1P 1':;c .:ho c .ice :,,it ao ;,able ter leo,porar. crnstrnc uon ser.,ce r -- -- ' FEE' SCHEDULE SIIIIC bide •apt no I Protect name ^ nt 4 -- - -- I - - -- -- nr.r,,,,,,,n - -- 1 or, I re. J rural .. Cross street directions to job silt i ` ^ N , ^ I fie res ) yr multi- Idmilc Jr■elling will. -- — — 1._ -�.�,.... ` C C�Q� I Includes attached ]rage.•• .'.'I. se ii c.r _es, 1... 1 - .7 • Ea nrI,l I f(!ti se n r portion 33 0 1 Subdivision Lot no _ _ _ I p I - - -- � * "'�� ` ����� -' - ! ;mired cni ,. restdennal -; 00 Tax re ap: parcel no : r� S I Lt_ L_I ____ — - _ ; 00 2 I untied enure••. non•iet•iden _ - DESCRIPTION OF WORK I ash i nn la. ors 1 n modular - I -- - -- -- d'e ell ne se r and or feeder 90 90 2 ------------------ - _----- ._ - - -- - --_ - � >er or lcedrrs nssrallation. alter atinn. aud.ur rrluratiun Tao PROPERTY OWNER ❑ TENANT I , = - ill amp!. !e_ ; a,,:1,) -- I - if'a ` ' - - - - -_ -3-1--S �/� - -- - .,(:I inii') :, a:,,Ps -- I c•) 6C, F 2 Name ` ( � C�Jy}� �! t� I 61)1 .ill`P < ;,' i...i)CI :I n,�S -.. I < '.tI (.' � f _._- Addle" l�q U t / � I Ro i I ,. I :.n :r.. t'I '.r, : ;s - a, S "' '— i I f(e ec•neeel on1. 60 S` �1SQ12 Q �� Temporary cCr it Ct Or feeders m5131130011. ]IlCratlUll, aI1J:Or L r 0r:cation Phone: ( 663 ) X3 3 - 400 r_ I Fax. ( 5 1 %S ) 5 .33= ' own =k I : oil amp!, 1 o Ic s> __ i 60 85 1 Owner installation: This installation is being made on property that I own sshlch is not 2ni am; Irani anir, I I loo air 2 intended for sale, lease, rent. or ex g_ change. according to ORS 4-17', 449. 670. and "(11 I amps to odic amps I =3 r r Owner signature: - - - Date' L3ranch circuits- no's. alieration. or extension, per panel • ❑ APPLICANT p_CONTACr PERSON .A l-cc for r'ancl, crrculls r -.r ;!r 1 r { 1 ser'•ic feeder ice each Business Warne: \ � 6 - 1 I I c - — J branch circuit Contact name c - I n:A f3 Fee for branch ensue G tt nut se ice or feeder fee. 46 S5 Address: JJJ ( A TA-E., l-E., I each branch clrcurl Fa 2 th add'I branch erreeat G 6> 2 Cit} /State /ZIP: Miscellaneous (service or [ceder not included) Phone: ( t)'3)) l ( �' _ 1 L e. S Fax:: ( ) yin Pump or IF circle S;.aO I 2 ` f ► t Sin or outline lighting I 5_ ,0 2 E-mail: Signal circulus) or hrmied• CONTRACTOR mere;. panel, alteration. or esacr.sion Describe Page 2 _ Business name: Q. �Er` C , Address: as i O Eacll additiorlal inspection oser atlossable in any of the above I Per Ir,_r 6_. -G 62.G Cit-State,Z1P: �j i ��c�� �.. 0� Q1- `�? I Imesneauon per lreur rI hr Wool r . L� (� . -__1 J i Phone. (503) CL{2_ - a8r�C I Fax ) ( a (] i s I Industrial plan' per hour 73..5 I CCB Lie.: l (BP2 I I Electrical I ,c.: y — , \ Supra. Lie.: C��]] � 1 E1_ECI R]C W7_ h.EIZ�SubtotalESi I _ 1 Supn. Electrician signature. required: votgi la j Plan re'.ie (25% of permit fee) Print name: , \' Eve if Dam Slate surcharge (S% of perms fee) TOTAL PERMIT FEE f Authorized sr , tore. - _ This permu application expires it a per mil is nor obtained „'ilhrn 180 days alter it has been accepted as complete Prior name: , (i C C - R - . C . Date: • Fee methodo!ees set bs Tn -C, u,r Building Industry Service Board " Number of inspections per pernvt allo•Aed . i%Building ais`ELC Perreurdpp r : : a<n.a6121110•c ?.COM•'•C'E8 4 . i\Iecllanical Permit Application .FOR O FFI CE , USBONL Y, City Df Tigard Recer.ed Permd No 1 S'.'. Hall Blvd . Tlsard C.ft - : - — Phone :0= 039 41 - 1 Fax :.n? :c; Flan Re it •: Dare 73.. Cher Ferrrut Inspc;tron Lire 50: (' 9 a ajlkit, Date Re:d:. B:. ..s 0 See Page 2 kr Internet ,, ''' - .r. it tigard or to vourir!•Nerhod Supplemental Infer matron TYPE. OF WORK - -- I CO■1\IERCIAL FEE' SCHEDULE - USE CHECKLIST r:et�' construction ❑ rlddUion •all.rahert rehl amen( I :•I(Chantia! permit lees' are based on the .aiue of he •sork. per fc•--?ec. Ino :ca!e the'. flue troundct: to the scares: cellar! of all ❑ Demolition ❑ Other tr:ee1 marerials. equterrent. abc•r. overhead. and profit CATEGORY OF CONSTRUCTION \ alue S - -- — RESIDENTI:11. EQUIPMENT SYSTEMS FEES' tSrl- and 2- family dseclllnc , ' Comm ercial•Industttal ❑ :Accessory building — — — -- - - - - -- f c:r :i0t.r .ci :r.• „ rc;; r. n s, - - — Dr: ;, I La r Total JOB SITE INFOR \IATIO:N AND LOCATION _Heating cooling - - -- Job site addr CS it conditioning or heli pump P `V' Q, t trc.lcucs 511C plan sh••s m� plxre Mc nil 1.1 (Q Cr Stare LIP. i ,r,,\ O ^ R � fuillaCe i_ii r00 III I! Iducts'.cius'i } I-I U -1 - VV } r Project name 1 I f: trace Irlri.i (., I t 1 (. BT1. t.luca •enbr I :� Sorte1idg.apt no — — — -- — 1 Naa _Glis hrat - pt,mr - -- 1- Cross street'dtrechons to lob site: nn L c i ,. Duc l :, c•rh — 14 00 1 — IItJn,n e hol?taicr s'•strm !4 00 -- — �� Residential boiler (radiator 01 — — — hvdronrc`) 14 00 — — — t Unit healr:s ttuel lspe. nor elccme). — I in-:.,_IIin- J_:Ct_ suspended cry . 10 rdr I — SuhJm Lot nr. I Me Neill 1.01 an_. of :I•rne { I lii0(t -- �_�LTV�CT _l s I — Other 1 I !ilcio Tax map. parcel no.' l a� ` Other fuel appliances _ DESCRIPTION OF WORK — aler ht•a'et I(1 00 -- — f 1 iTisf:rcp!aCC - -- ICt('0 — — -- I Fcn rnt for • h aiCi or gas I i ( t I uc!�I:!Ci !1 di - -- I _li - ier , eait I !ft,n j P.'ni,l PC!!” SI — — I 10 t h \\ e ?d lb tnscn 10 iPi ra PROPERTY OWNER I 0 TENANT (..1»nInc, hrer floc t en: -- I I r, , Q — — Other 10 ('i) Name: SAS - • ,�''/' 1 n ( is pC tit En, eshau and 'entilation ��� 1 � J1 � ,� Ranee h usher kitche :Address. lie 'as A__, erlutpm 10 I cnl rn Cih Slate:'ZLlf Clothes C.Nhzust i�i00 K vn , Srngie exhaust i.bathroorns, Phone: (5 )543_ cibntn Fax: (56S )53S_ 11366 I toilet contpartmems, utility rooms) 0.80 ❑ 7 APPLICANT'T . fa CONTACT PERSON AritC'crassispaec fans ICI (J0 Business name: Other. 10 00 , + loch pi ping Contact name: c 55.40 for first four: 51.00 for each additional Address: _ {� �' Furnace. etc. �- Gas heat pump CitvrStale.ZIP: \fall :suspended :unit heater Phone: (5 3) 9(09_ I L15' Fax: : ( ) 3CM )C water heater E -mail: 11 `' Fireplace Range CONTRACTOR Barbecue Business name: ` �� /�/`�' ' �/� Clothes dr.er (?...as) LC1-� *-�- O 1.1�. Other Address ___O—____11111.4) (9 _5- `� : !11ECIJ ANICAL PER'1 T FEES* Cirv.Stale.'ZIP: f�l.l O (7 . v C �j�/'y `1 Subtotal Phone: (e5 ) 591 -2 � Fa,s: ( L —T U�� n r e vi umpermlt feermit fee) J Plan review (25% of permit feel CCB tic.: 114 131 U State surcharge (S% of permit fee) 1 • �� --- TOT:1.L PERMIT FEE Authorized SI �1'ature: I - • r � Alb. This permit application expires it a permit is not obtained s 130 _ ` days abet it has been accepted as complete. I Print name: __ t Pe ' _ lc, 1 e Date: I • Fee methodology set by Tn.Count; Building Indusrr, Sersrce Board i iBnitding:Prr erirs C•Per nir �_ 4pp doe 12 430..:an1 I I1,02:COMAVEB) .4 13tiilditig fi: . : ..-'. Phi nibinf4 Permit A pplicAtimi OIV:CIFIFICW.USE''..ONLY7r 7 . -v.: , : , :::::::•.:6.4 , 1.. ,, .s.-4::- ,. . , . .....,- ..„ ..... •_.... •... ....-...... City of Tig3rd Recri 1 D:c...B... I i 25 SW Hall 131..d . •r:gaid. OR 9 F1.2n Re pt- c03 63? Al I Fa'. 503 593 1960 ,... D.re By I Oche, ?emu' No 2-:• I lour Inspection I. me 507. 639 .3 i 75 -- 4 .adliti . s ':!L Pale Fe ...d B Sfe re :10, Inicrner , ...v.... ci tisaid cc us 1-/cniiecrdell;c•••1 I Supplemeool Info, ration -- TNT E OF WOR.K : . • -:. FEE SCIIEDOLE _ —__ . -- For special information toe chechii5L i v( New construction (1) Demolition Dcscr;•nr.-n j I E. n" To:31 0 A Lidinon alit., ation'replacement E.1 Other N e } - 2- lamil ii,ellings (includes 100 fi for each 9111,1% connecoon) •- ---- _ . . ' • - • ••.. CA OF CONSTRUCTION • SFR i I I 1 I 249: al .... . . . • . . • - _ xI- and 2- family i..1..‘ ening 1;KCornmercial•inchistrial SFR C2 i bath 350 00 SFR f3,. laili y___ 39930 Eli Accessory building (1 Multi. family '' 13l. il additional 1 hen J.!. (A) [1] M 3SIC I budder 0 Oihei • . Fire :•pruildci ( sq II) L Page 3 • ••... - . • '• ' - -. - ... • . • • JOB SITE INFORMATION AND Loc.:TION:!...:: •:•-•.:..:-...::::-.:;1.-••. "(IC niiiiiirs ••- •, • •- ••• - - ' • • •••• • -'-' ' '•-• • ' - -'• -.'•••• --• Joh site aci ••-.) ' • !, I i.),.. ' . _ A. CalCh b35 VT area dr 3111 f 16 '..0 CilyState'ZIP •k" ) a, 9 - 1- _ I f), :. „ ell. Icach line, or 'Tench di3in 16 60 Fooling dram in linear ft i Pai 2 Stine:bldg., apt. no . .. Pioject name rs & I 1 VNAA_CA___ Manutactured home utilities 110 oil Cross street. „Iirections to job si rit • I __. _ 1,1anlwles i: 60 R3:11 dram connector 16 60 Samtar :. se........i ( no linear ft ) P3.,:e 3 Stc•rin sc cr trio linear ft 1 _ Pa!:e 2 ot no 0 • ... v, .!iel !•("1". •Ce (Ii0 r m III I,,, n FiAture ite . I Absorpoon -al. c f _ ) — 7 PJE:f —__. 10 . Fax imp 'parcel no ' (.1 UOalA. • • DESCRIPTION: OF WORK . ORK . . . „ : • - . . - Bak:kris. pi cycntei Page 2 Lta„1,-Aatci .-ale 16 Clr.11-ics , ashy, 16 60 Dish■sashci o. ___, • ., . . .. ta. „Rdpio ... i _ i; .. (4,:, . E ..... :. ,..... 1 . , ,.... ........ .:::, ....:.,........ :.: ti , : . 3 .,. 64;61 :„ .;, ...,,.. , ,, ii . : . Drinking fountain 16 Mi •:: ... • - - • .• • ' -'. .. • -' • .- •••• ' ''.• . - . - . ' -- - •••• • ' '''' • '''''''' :':' "'''' Fie( tors'sumn 16 60 Name t LS ( ,_ et a QLY`eS Expansion tank 16 60 Address I (D& • (3 (..,0 111.0..■ A Fix:me:sewer cap 16.60 Ciro State..ZIP. III a. • Al ■12_ • • fillAi • Floor drainlloor sinklmb 16 60 Phone: c50, 553- tiOnu, Fax: (56&)533- L/30(0 Garbage disposal 1 16 60 ..i ; . .i 7 .,- :-.-4 ?it .,4.7- Huse bib I 16 60 :,-.:.•'..v.';...:•1t7' •i:-. •; Ice maker 16 60 Business name: t m E Interceptorlgrease trap 16 60 Contact name: - Medical gas (value: 1 ) Page 2 Address: Primer 16 60 City/State/ZIP: Roof drain (commercial) 16.60 Phone: (SC) 6 f": 14?- j Fax: : ( ) aill\-i SinkAasinda\atory Tub;shmserishov.er pan 16 60 16.60 E-mail: Urinal 16.60 15 / Business name: E c. „ Water heater 16 60 Address: (5t.) dL-n .____z_iyAly..),_)__‘ KS Other. — Subtotal 1 CiryiStateiZIP: H i l,.....,\ QQ , cc , ( , 91123 Minimum permit fee: 1;2 50 Phone: (563) 6,21s 1 6,32 Fax: (a3) 6 2 s _ yi Residential backflow minimum permit fee: 536 25 CCB Lie.: befat Plumbing Lie. no.:3q -,?t,elvis Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized si nature; rt TOTAL PERMIT FEE Print name: c 1 • F-x-dz:LX 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-Counry Building industry Service Board BuildingTerrn;13 do, 17:0, 410.46 16T(10/02/COWWEB) ''' CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 04323 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/412005 Phone: (503) 639 - 4171`.'1`�' l I Inspection Requests (24 Hrs.): (503) 639 -4175 �!�±� -: �') �. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 70 SITE ADDRESS: 07866 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 008 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA. OWNER: IS CUSTOM HOMES, PHONE #: 503. 533-4006 CONTRACTOR: IS CUSTOM HOMES PHONE #: 503-533-4006 Inspection Request Scheduled For: Date: 4/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 004841 -01 503. 209-2005 Y Corrections/Comments/Instructions: , I' (■ c � � SC ' It4) — J A (- -( r7- � ,�t�Yf� - c , c , � s c � T 1 1 • d2r Liz - /titter s ' T E J RA. F6A-vvk fk) FL Ace_ Ireek 7 Voc. N t u 3G- (J T? -- OVEP-- kKiLS ireg4_45 sTRK-F 4 6F__mErrAi z'%'*V' -Mor riosTArt To iT t (( u r a- • - 175 r q7 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADD TIONAL FEES ASSESSED A10 .\) / gip Inspector: ate D Phone #: (503) 718 - CITY OFTIGARD BUILDING DIVISION PERMIT #: MST2004-00323 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/4/7005 Phone: (503) 639 -4171 4"y Inspection Requests (24 Hrs.): (503) 639 -4175 _ -!�+�- INSPECTION WORKSHEET FOR DATE: 4/12/2005 TIME: 7:09AM PAGE: 57 SITE ADDRESS: 07866 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 008 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA. OWNER: IS CUSTOM HOMES, PHONE #: 503 - 5334006 CONTRACTOR: IS CUSTOM HOMES PHONE #: 503533-4006 Inspection Request Scheduled For: Date: 4/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 She walls/anchors 004244 -01 503-209 -2005 N Corrections /Comments /Instructions: / A /7 tt) 4 ztJ' p yit re /0 /144/s 6111 id/ A i-ei-rx G nMI 7) 51 e 4-u ( tap ir-e ? X' Aletie3 6 N u `; C4-- 6- 3 StAJ C44 r (, rya�r.� 3 X ehiA%/ i i i . e-s 0 Iu Y 5 �G ��4eiil r tyun--L 4,- „ez,i' -.1 .90c 74-4/746 5 Ph / ,, M i 14 /zer O 4/% 4/4:4064114 (/Jeh,74 '77 'q9) BA AAA C 1 v' h c ”( g 4-41 np' / -ei,f l 7 # i i IJ . _ • 4 .. - 4 if I' 0 : I_. -i ■ I il r r6 LL # / U • ,i / - 4 r L .5 / 4 . .,, ( S V' Z) q vormoinow . �/s , , .9Z 4'4ivC ethI/4 ❑ PASS [PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FO INSPECTION ❑ ADDITI•NAL F. S ASSESSED Inspector: , Date: g P hone #: 503 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004-00323 13125 S V Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/4 /2005 Phone: (503) 639 -4171 . IIF II Inspection Requests (24 Hrs.): (503) 639 -4175 ___,61- I:_.. INSPECTION WORKSHEET FOR DATE: 6/10/2005 TIME: 7:05AM PAGE: 42 SITE ADDRESS: 07866 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 008 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: 6/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 008980-03 503-642 -2800 N Corrections /Commegs /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 ‘.- -- /L c Date: 6 - /° Phone #: (503) 718- CITY OF TIGARD . - BUILDING DIVISION PERMIT #: MST2004 -00323 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/4 /2005 Phone: (503) 639 -4171 Z I I Inspection Requests (24 Hrs.): (503) 639 -4175 ..:'. 1.L INSPECTION WORKSHEET FOR DATE: 6/22/2005 TIME: 7:13AM PAGE: 23 SITE ADDRESS: 07866 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 008 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: 6/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 009885 -06 503209 -6824 Y Corrections /Comments /Instructions: r i , ' . .i ,Iriann' - 74ypiii - ilr'°""" v PASS 111 PARTIAL APPROVAL E CANCEL 111 NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI•NAL FEES ASSESSED ---- -fi v 0- Inspector: Date: • 0 Phone #: (503) 718- CITY OF TIGARD , 1 BUILDING DIVISION PERMIT #: MST2004 -00323 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4 /2005 Phone: (503) 639 -4171 ° I N I I'I Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 6/22/2005 TIME: 7:13AM PAGE: 6 SITE ADDRESS: 07866 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 008 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA. OWNER: JLS CUSTOM HOMES, PHONE #: 503 - 5334006 CONTRACTOR: JLS CUSTOM HOMES PHONE #: 5035334006 Inspection Request Scheduled For: Date: 6/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 009891 -01 503-209-6824 Y Corrections /Comments /Instructions: .1__ ‘_ t /11 • t 1"1 (I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT NAL FEES ASSESSED We/ r 6/Z ' Inspector: ir Date Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00323 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2005 Phone: (503) 639 -4171 Abp '41 �' 1 Inspection Requests (24 Hrs.): (503) 639 -4175 — F ' I .. INSPECTION WORKSHEET FOR DATE: 6/21/2005 TIME: 7:11AM PAGE: 60 , SITE ADDRESS: 07866 SW WATER PARSLEY LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 008 TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: New SFA. OWNER: IS CUSTOM HOMES, PHONE #: 503 - 533 -4006 CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 533 -4006 Inspection Request Scheduled For: Date: 6/21/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 009760 -06 503 - 209-6038 Y Corrections /Comments /Instructions: 4-7 l ? I . a: SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i Date: 6 1 i6 Phone #: (503) 718 -