Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00373
j�i+* DEVELOPMENT SERVICES DATE ISSUED: 1/12/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 07861 SW BROOKLINE LN PARCEL: 2S112BA -BT018
SUBDIVISION: BONITA TOWNHOMES ZONING: R - 12
BLOCK: LOT: 018 JURISDICTION: TIG
REMARKS: New SFA.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 77 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 585 sf GARAGE: 470 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 633 sf RIGHT:
VALUE: 133
OCCUPANCYGRP: R3 BDRM: 2 BATH: 3 TOTAL: 1,295 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 BOILJCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN 5=100K: UNIT HEATERS: HOODS: OTHER UNITS:
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: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 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 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: $ 7,219.77
This permit is subject to the regulations contained in the
JLS CUSTOM HOMES JLS CUSTOM HOMES Tigard Muniapal 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 8: 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 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 lnsp Shear Wall Insp Rain Drain Insp Electrical Final
Foundation Insp Electrical Service Roof Nailing Exterior Sheathing Ins l Storm drain insp Plumb Final
Wtr Proofing Bsm't Wa Electrical Rough -in Gas Line lnsp Firewall Insp Water Line Insp Mechanical Final
•
Issue s = y : =I, ,.1 Permittee Signature ,
.= /!IWPII/
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
0 B uilding Permit Application FOR OFFICE USE ONLY : 0
City of Tigard D ECEIVE Da te Be y: a - O / I �/ ' 4— Pernik !vo /1 Q (� �(J1
V / \ n 3
, , Received
1325 SW Hall Blvd., Tigard, OR 972 Pfau Review- �/ a (/
Phone: 503.639 4171 Fax: 503.598.1960 - j it. Date/By: 2."1.5 ! L.JS Other Permir.SL v /y_ e 7 0
inspection Line: 503.639.4175 r / O 2O ,,,, t 6 - - Not ifiectiNtethod Date Ready,By: Jut is See Attached ChecWist for
Internet
i I _ Su PP tementallnformation
+y- +w.ci.tigard.or.us 1)[' i T �1 ! 7
CITY OF TIGARD I _ E U i'1 ji'
{ �( �SlON 1 RE DATA: A: 1- AND 2-FAMILY DWELLING
KNew construction ❑ Demolition 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. materials. labor, overhead, and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION _
4 I- and 2- family dwelling Xj Commercial /industrial I Valuation: S /3
11] Accessory building El Multi-family Number of bedrooms
❑ Master builder ❑Other
Number of bathrooms
JOB SITE INFORMATION AND LOCATION Total number of floors
Job site address: . Jffl LI ritrAyLL New dwelling area 29S square feet
City /State /ZiP: ` • 1 OR._` Garage.%carport area: 6 square feet
Suite bldg..•'apt. no.: , Project �
name: n' Covered porch atea:l square feet
Cross streeVdirections to job site: 1 � Deck area:
!x�a —�- Vo,�r_�o —exeQ� _ LO 5 square feet
Other structure area square feet
` t 4 f REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdi ision: nt _ Qlm }-� f Lot no :l Permit fees' are based on the .aloe of the + +orkperformed
1 indicate the value rounded in the nearest dollar) of all
Tax Wrap /parcel no.: 111 ���
a w �a g� I equipment. materials. labor. overhead. and the profit for the
DESCRIPTION OF WORK work indicated On t his application
•
Valuation: S
Existing budding area square feet
New building area: square feet
}-
. PROPERTY OWNER - ' t . ❑ TENANT 1' Number of stones. —
Name: OS ,Yl } ,S Type of construction
Address: 1 (-0 O t �{� n ••• ��' -�Y Occupancy groups
City: State 7_IP: t-,C nY O 7 _ ` -�,�
1� 1
[ xisting
Phone: (Sb ) 533- Lick. (0 Fax: (5 ) bay . L (0 Ness:
. ❑ APPLICANT ( CONTACT PERSON NOTICE
Business name: 5-NT I All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
1 �'�� _ . under ORS 701 and may be required to be licensed in the
Address. "�n _ jurisdiction in which work is being performed. If the
Cih :'State /ZIP: fit,— applicant is exempt from licensing. the following reasons
1, y� aPPIe.
Phone: (Sb3) °1 (09- l.. I LIS S Fax:: ( ) � `' LV
E mail:
- CONTRACTOR.
Business name: C.JPAM E-.
BUILDING PERMIT FEES'
.Address
Pleapplase refer ru fee schedule.
City /State /ZIP:
Fees due upon applica
Phone: ( ) Fax: ( )
CCB Iic.: i 39 q �('1 Amount received
LL--�� Date received
Authorized signal e: This permit application eapires if a permit is not obtained
E � ° ' _ _� < \ � ++ it bin 180 days after it has been accepted as complete.
I Print name: Na Coif rz„e\ie 5 �J [Date: • Fee methodoleg) set by Trr- Count_: Building Industry
Service Board
i +BE 1 .g'Pemuts \BUP•Pcrro App doe 12 %03 440.3613M i c:'COFi!'oEB)
Jr...ACLU it. a1 J C.111111 I t)IJ•ulauOil .
I
City of Tigard Received
.� DateBy: Permit No.
13125 SW•l-lall Blvd.. Tigard, OR 97223 � Plan Review
Prone: 503.639.41 71 Fax: 503.598.1960 y t� Date/6v Other Permit.
Inspection Line: 503 639 4175 ,fill I Date Ready /By. 1 eris O See Page 2 for
Internet: www.ci.tigard.or us Notified/Method Supplemental Information
TYPE` OF WORK ' ' PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply
111 Demolition ❑Other: ❑Service over 225 amps. comm'I ❑ Hazardous location
❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq ft
• CATEGORY CORY OF CONSTRUCTION of I. and 2- faruly dwellings a or more new residential •
Ell I - and 2 family dwelling ❑ Commercial/ industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure
❑ Building occr three stones ❑ feeders. 400 amps or mor
❑ Multi family ❑ Master builder ❑ Other
1 ❑Occupant load over 99 persons ❑ lanufacuned snucuues c
. .JOB SiTE JNFORAiATION AND LOCATION ❑Eeress;ltehting plan RV park
'Al ❑Health -care facile;. ❑Other
Job no.. I Job site address:la I SVv b' / � (4 n -
C "v I V �-1L. Submit Z sets of plans with an} of the above
City /State /Z1P: — 1 i Icc� O'CZ. Tne above ate not applicable to temporar• construction service
1 r 1 ' FEE' SCHEDULE State /bldg. /a ri. no.: l Project Warne •
n ^ /� Descnpiion I Qnv I lee. 1 Foot -
Cross street/directions 10 J01) Sile: �"�,� �� �A 1 ���� New residentirl Si ngle- ur . multi-family dwelling unit. 4Y ..Jl�� --» �] y Includes att �rra:4
1,000 sq. ft. or less 145.15
•
Subdivision: Lot no.: Ea add 500 sq ft or portion 40
�1Y1_l 1 �Q _ ) Limited energy, residential 33
00
Tax map /parcel no.: d S iI k.itO I .91-1 —
Limited energ•;. non - residential 75 00
: DESCRIPTION OF WORE • Each manufactured or modular --
. dwelling, service curcl.or feeder 90 90
Sers ices or feeders installation, alteration. and /or relocation
200 amps or less 1 =� sU 0
• NI PROPERTY OWNER • ❑ TENANT 201 amps to- r00 amps - -- ! I 1
-31- l • .10 amps to 000 amps 160 60 I
Name: S �u�}� ft
t - —
^ � _ 601 amps i0 .000 amps 240 60 � 1
: \ddress `6 ...1 . E _C ' ' \ L - (' - . C A I .000 amps or '.alts 45 of
1W �JJJ_ Lh -'— Reconnect on!v t.,6 85
City /State /ZIP:TLe ' ^ �
L`JS���QY -� � ��. ��(� Temporary l,l feeders ItIS1aII:11111r1, alteration. a1lll:or
Fax: relocation
Phone: ( _
Sa3 5,�3 ( S 53 - �3 o 20o amps or less I - -I 66 85
Owner installation: This installation is being made on property that I own which is not 1 201 amps to $00 amps I 100 30 -- _l-
intended for sale, lease. rent, of exchange, according to ORS -147. 449. 670. and 701. 101 amps to 600 :,raps — f I 122 5 •
Owner signature: Date: Branch circuits – new. utteration. or l'siensiun. per panel
❑ APPLICANT I • XCONT.ACr PERSON A Fee for branch circuits isuh
_ service or feeder fee. each
Business name: S n I r �^ l E branch circuit _— 6 65 • N (( O _
13 Fee for branch circuits
Contact name: V
virhour scn ice or r feeder fcc. 46 85
Address: m I
1 • ` Each add'I branch circuit 6 65
City /State /ZiP: Miscellaneous (service or feeder not included)
Phone: ( t. L (Q ( - I £' C� 2 Fax:: ( ) 5 _ 1 & Pump or irrigation circle 53 40
t � - + I ► Sign or outline lighting 40
-
E -mail: - Signal cncuu(s) or limited-
- CONTRACTOR energy panel, alteration, or
extension Describe Page 2
Business name: ` e � -}- V t
Address: C7� I ' , \ _ F , Each additional inspection over allowable in any of the above
`�-� �� -1��.• Per Inspection I i 62 5C' 1
CIIV I nvestigation per hour (I hr nrn 62.=0 .
�; \ v SVc�co O � 4 173 t
Phone: (53) 1D /4 2 - � YO \ Fax: ) (q2_ 5{ol,e Industrial plant per hour ELECTRICAL - PERMIT F i3.i5 EES ;I
1J v
CCB Lie.: t 1 2 „... Electrical I .c.: q — 1 Sup v. I_ic.: t Subtotal
Suprv. Electrician signature, required: �A iitt
�WO
Plan review (25% of permit fee)
Print name: 5-k Cv�
D^ � Dat>
Authorized si attire: State surcharge (8% of permit fee)
` N/ .. TOTAL PERMIT FEE • __
This permit application expires it a permit is not obtained within I&t
N � cv1-� 2S U Date: • Fee method days after it has been accepted as complete
Print name: ology set by Tri.County Building Industry Service Board
•' Number of inspections per permit allowed.
i\ Building \Permits\ELC.PerrninApp doe 12.03 a40.a61 sT(10:02 :CO'•tn+'tEB
lvlecllaul scat r ot 11111. J- 1)I)IICIII t1 r • ' • I • ' : •• - .
City of Tigard Receives
DatdE3v: Permit o
13125 SW HO Blvd , Tigard, OR 97223
Plan Review *
Plto se: 503.639.4171 Fax: 503.598 1960 Other Permit
I Date' R e
Inspection Line: 503.639 1175 e.
� � Date Read.:. "By: lures 8 See Page 2 for
Internet: wwv v.ci. tigard.or.us Notilied'tvlethod: Supplemental Information
T't "YE OF YVORK COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value of the , .■ork
X New construction ❑ Addition /alterationireplacernent performed. Indicate the value (rounded to the nearest dollar) of
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
• • CATEGORY OF CONSTRUCTION . Value S
•
RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
5;rI and 2 family dwelling AlCornmercial /industrial ❑ Accessory building
For special infcrnraiion use check/of
❑ Multi family ❑ Master builder ❑ Other: - --
Descnptron Qty fa IotaI
JOB SITE INFORMATION .AND LOCATION Heating /cooling
Air conditioning or heat pump
Job site address: }7 ea _ ( ( 4 (requires site plan showing placement) I.1 00
City: /Statc/ZIP: l' �� s e O IZ Q 1 Furnace 100,000 BTU (ducts.• -erns) la 00 _I
L j Furnace 100.000 BTU iducis: senrs) 17 90
Suite/bldg. /apt. no.: Project name: 1
� T Q Gas heat pump 1-1 00
Cross street/directions to job site , _R G..,.,,n Duct •.work I -t 00
V �� � ��. Hydronic hot water system I -I 00 00 Residential boiler (radiator or
hcdronic) 14 00
Unit heaters (fuel -type, not electric),
in-wall. in -duct. suspended, etc 10 00
�
,� Flue•seni for any of abovc 1000 I —
Subdiyision T ���C ���� s Lot no.: 1 IV
Other 10 00
Tax map /parcel no.: 1 a 3(f .1 Other fuel appliances
(/� . DE ESCIiII'r10 1 N OF WORK Water healer 10 03
Gas Fireplace ;0 00
•
Fla(' v ent for water healer rr gas
Fireplace j IG (dr
Log lighter (gas) I 10 oCt
\'•bod pellet stove I 10 00
Wood fit eplaccrinseiI 1 10 Or) — —
PROPERTY OWNER
Chi ninc•.rliner, flue 'vent t 10 c.:0
�, ❑ TENANT l
Other 10 ('I.
Name: C_ ✓ at- v v v K Qt -{'e ^ Environmental exhaust and 'entilai
Address. V Rank houd:orher kitchen r
���� C equipment I 10 00
City /State /Z11 n� 2 �-�^� Q - - C dryer dcr exhaust 10.00
t�LS��J ��-r - � Single -duct exhaust (bathrooms,
Phone: (53 ).5 7 _ (.�Ol�r _ Fax: (563) 53'IJ C436(_ toilet compartments, utility rooms) 6 80
. ❑' . , .1P PL1C:1N'I =:., : - IX CONTACT PERSON Anic%crawlspace fans 10 00
Business name: Other 10.00
hf___YIE, Fuel griping
Contact name: S5.40 for first four: $1.00 for each additiona
Address: c\-\ E Furnace. etc.
Gas heat pump
City /State /ZIP: - Walt/suspended /unit heater
Phone: ( �l Q Fax:: ( ) (� \Vater heater
Ja L ! 1 � �� F a x: `� Fireplace
E -mail:
Range
CON ' - Barbecue
Business name: 1 \ ' /' _ A l k-nC � Clothes dr;.er (gav)
C1 ��(� 1�t/+1 Other'
Address: ...__ _ co a63 f� \JI MECHANICAL PERMIT FEES`
City /State /ZIP: %��0 :1jt/'� `} Subtotal
�� hi inirnum permit fee ($72 50)
Phone: (503) 591 - 992 1J Fax: (503) ge(g_ (y).Es Plan revie.v (25% of permit fee)
CCB lie.: I LI I 3 State surcharge (Solo of permit fee)
j �� �� TOTAL PERMIT FEE
�I This permit application expires it a permit is not obtained s.iihin ISO
Authorized Sr tuTe:
( 6 �4 dabs after it has been accepted as complete.
Print name: /(J l 1 t / 1.... 1 , {J Dale: j • fee methodology set by Tri- Count, Budding Industry Service Board
ar"
r :Building.Permits \p¢C- PcrmitApp der 12/03 440.46 12T (i I /02 /COSt'wEB)
.0 uliurrl% r unites
Plumbing Permit Application • '
FOR OFFICE" USE ONLY
City of Tigard Received
Date/By: Permit No .
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639 -4171 Fax: 503.598.1960 89„ 1:11i.• Dat Other Permit No
24- Hour Inspection Linc: 503.639.4175 u■�'� :.J• Date Ready/By. �- 8 See Page 2 for
Internet: csww.ci.tigard or us Notified/A Supplemental Information
-=c. . : - . • PE OF :.WORK' F EE* SCHEDULE
New construction ❑ Demolition For information use checklist
Descnption I Qty. I Ea J To
❑ Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft for each utility connecrior
:4".' "C1'fEGgi2YAOF'. 'CONS "iKL'C "f7ON;., •••'• (I ) bath 2x920
t 1 - and 2- family dwelling _XCommercial /industrial SFR (2) bath 350 00
❑ Accessory building III Multi-family SFR (3) bath 399 00
Each additional bath kitchen 45 00
❑ Master builder ❑ Other:
-• r._, >.. : ..............- . .:,_., -. Fire sprinkler ( sq. 0.) Page 2
, -� :;,' < JOi3, S17F; : I\ 1?nF2M► 1' InN'.' ANi)'. I. nC. C' i' IQt! 1,.- ..a:;r;:7�,�; S ut
Job site address: W Mill .....' .L Catch basin or area drain 16 60
City /State!ZIP: 1 1 `�` ` ° ct 1)tywell, leach line, or trench drain 16 00
Suite bldg.r'apl. no.: v Project name: Footing drain (no linear ft.. ) Page 2
���C Manufactured home utilities 11000
Cross streeu'directions to job site C cr � - t?
Manholes 16 60
Rau, dr ain connector 10.60
Sanitary sewer (no linear ft.: ) Page 2
Stonn sewer (no linear ft 1 Page 2
Water service (no linear ft - ) Pace 2 di Subdi visit of �Q�n � QS - Lot no.: ,
!� Pi.cWrcut item Tax map.'parcel no.:a_ 1 !.- -\ Abserpuon valve
- • - DESCIRiiITION ;'OF` WI•OR.K 13ackflow prrventcr [ 16 00
Pace 2
Backwater valve 1000
-- — Clothes 's ashci I 0 60
Dishwasher 1 16 60
. . . - �. - . - :. :;: : _ r Drinkin fountain I0 (tO
YROPF:K'1:]' •OW EIZ "(;` : :. ; f •. : •:': ❑�;; ice;'! — -
: f � Ejectorsrsurnp IG 60
Name: kS ... .. 0
� . _ c1 �.S Expansion tank I6.60
Address: I (0 a c, 3w ',- ii 1n - Fixture /sewer cap 16 60
City /SlatelZ_IP: t e � ��yn � D ` 1 ' door sink/hub 16 60
Phone: (�3) 553 11601 - Fax: (5 )553- �Q Floor drain/floor
Garbage disposal 16.60
t , - <;. .. "'j;r' =�„ 'i. s c iva,�.�. vi.^,_a�•�3+- �- Hose bib I 1660
:';t:::' ? - :
:-i :- f]AI'YI : i5.- ^ -' , '`
;: �. "> I; : CON A PFfiTe r
.. :::. f.i:` , _ e,. z .:,:, _ ,,,...�•,.... �. ,.�:rr: .1;,. :,£Z:e;-k-4- s >xr._, :,.r, Ice maker 16.00
1usiness name: (. 54:-N\ rn E -
Nt (OIL
Interceptor/grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: 3fA I Primer 16 60
City /State/ZIP: Roof drain (commercial) 16.60
Phone: (5 ) 4 ? 1 Fax:: ( ) M Sink,�basin/lavatory 16 60
x `� Tub/shower/shower pan 10.60
E-mail:
Urinal 16.60
EONTR�iC'IORs - "'
16.50
Business name: E ( -- r•r m k ,1p r Water heater 16.60
Address: a QLL 3 k ^ f , \ — l\ l s . �L� Other.
i I -� tiJ. Subtotal
Cin• /State /ZIP: Li1l O V � - l t � � 9 -4._ La s
}- Minimum permit fee- $72.50
Phone: (553) /02S - t c , Fax: (6153) 6' _ qk,„3 Residential backflow minimum permit fee: $36.25
CCB Lie.: ,9atc, 8 ��/ 9 Plumbing Lie. no.:3y --i,„?/_/"\V6 Plan review (25% of permit fee)
' / ) S surcharge (8% of permit fee)
Authorized signature; - /' � I / / _ ir .: TOTAL PERMIT FEE
Print name: -/ 1 " �f Q e , � � e5 e to I Date This permit application expires if a permit is not obtained withir
Y 180 days after it has been accepted as complete.
• Fee methodology set by "Fri- County Building Industry Service Boar(
mu itding4ermns - FLMF. Prrrr LA pp doe 1 2:07 440 -46 16T( I 0 /021COMC•VEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00373
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/12/2005
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 6/6/2005 TIME: 7:13AM PAGE: 35
SITE ADDRESS: 07861 SW BROOKLINE LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 018 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: 6/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 008529-/0 503 - 209-6038 N
Corrections /Comments /Instructions:
I i Ini
O 1V41' Niw-.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR SPECTION ❑ ADDITI AL F ES ASSESSED
� Ins ector: Ail f �k Date: t! � #: 503 P 'I (503) 718 -
•
CITY OF TIGARDO
BUILDING DIVISION PERMIT #: MST2004 -00373
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I � ..
INSPECTION WORKSHEET FOR DATE: 6/9 /2005 TIME: 7:09AM PAGE: 8
SITE ADDRESS: 07861 SW BROOKLINE LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 018 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA.
OWNER: JLS CUSTOM HOMES, PHONE #: 503- 5334006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503-533-4006
Inspection Request Scheduled For: Date: 6/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 008858 -02 503-209 -6038 N
Corrections/Comments/Instructions:
•
•
►: 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
rir
Inspector: Date: Y q Phone #: (503) 718-
CITY OF TIGARD
i BUILDING DIVISION PERMIT #: MST2004 -00373
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2005
Phone: (503) 639 -4171 �' f
Inspection Requests (24 Hrs.): (503) 639 -4175 . -_' -!. I I..
INSPECTION WORKSHEET FOR DATE: 6/13/2005 TIME: 7:08AM PAGE: 4
SITE ADDRESS: 07861 SW BROOKLINE LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 018 TYPE OF USE:
PROJECT NAME: BONITA TOWNHOMES
DESCRIPTION: New SFA.
OWNER: JLS CUSTOM HOMES, PHONE #: 503533 -4006
CONTRACTOR: JLS CUSTOM HOMES PHONE #: 503 - 533 -4006
Inspection Request Scheduled For: Date: 6/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 009105 -01 503209 -6038 N
Corrections /Comments /Instructions: aA
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL :' . LL OR SPECTION 111 ADDITIOI.AL FE S ASSESSED
Ins ector: 4&L / Date: 111 Phone #: 503 718 -
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00373
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/12/2005
Phone: (503) 639 -4171 4'4416
0 Inspection Requests (24 Hrs.): (503) 639 -4175 4+�-
INSPECTION WORKSHEET FOR DATE: 6/13/2005 TIME: 7:08AM PAGE: 59
SITE ADDRESS: 07861 SW BROOKLINE LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 018 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: 6/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 009073 -02 503 -642 -2800 N
Corrections /Comments /Instructions:
V \ c7 it 01 C,Dk V D Y`,—r \■c "` 12" Q6C4
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* PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /4 Date: 4 - 1 - 7- 7 Phone #: (503) 718-