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1"s-ECT„ION NOTICE
City of Tigard Building Depart�rYt
13125 RN Ball Blvd.. Tigard, Oregon 97223. �.��
Inspection Line (Rec-O-Phone)t 639-4175 Busiudae Phones 639-4171 e
1 _
i
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
i
Found. Plbg. Top Out Gas Line FINALS
Post/Bean+ Struct. son. Sewer Framing -Bldg. 1 .
Post/Beam Mach. Rain Crain Insulation
P s--
Plbg. Underfloor Water Lin. Gyp, Bd. -Koch.
Date Requested: a ✓2 i/ �/ Timer AM PM
/ eL? - i._ L- f
Add Perm r� _ Permit #r C
Builders-_
77?E FULLOWINO ODRMCT10NO I= REQUIRED: Ja,
C?
Inspectors• �_. Date[_A )
—7�T--TTT
APPROVED DISAPPROVED "PROVED SUBJECT TO ADOVh
�.—Call Fc r Reinop.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CLRT I F I GAT L OF �
13125 SW Hell Blvd.Tlgerd,Oregon 9'1223.8199 (5031 839.4171 OCCUPANCY
PERMIT IL. . ., w . MST 9: --10;,�7�;.'
639--4171 DATE 13SUEDI 08/27/93
PARCELS c S 1 16AD -8F 833
aITC ADDRESS. . . I 16644 SW JORDAN WY
SUBDIVISION. . . . I BEDFORD ULEN Z ON I Nr I
f7 ■
G11..lJCK• . • • • • • • w . I LOT. . . r . r r • • • • r • I�i3
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CLASS�CJF�WDRK. aNEvW.._.._._......w_.._..........__ �,___.w___�_,..._.
TYPE. OF USE. . • I 9 �
0GC:!..'aANCY EIRP, I R3
C.)GULIPANC'Y LOAD: 117 4 I
� i
IT".NANT NAME. . • ■
Hea+Av+s c PATH I
Owner:
bl "CIJN E1OME'S
PO BOX 1368
BEAVERTON OR 97073
Rhone O r 524--1999
Contractor)
BEACON HOMES
9500 SW 125TH
BEAVERTON OR 97005
Phone #0 5c'_'4--199 3
Reg #. . c 7078
Occupency of the above referent-ad building is hereby given, and certifies
the r_oalpl iAnce with the Gtaat a Of tDregun Spec. ialty Codes for the group, 6
occupancy, and use under which the referenced permit was issued.
F IRC DEF'AR f MfwN'T LEd k.1)1 I N:Pt,(:TOR
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v I L IY I IVIS 'FI C I AL. �
POST IN CONSPICUOUS PLACE
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IN6P6.'fION NOTI
Cit? of T;V&rd B+sildiog Depazt t
1.9125 811 Ball Blvd- TLlsrd, Oregon
9
Inspection Line (Rea-O-Phone): 639-4175 Business P e: 634-417:
Inspections____
� (
footing Plbg• Dnderslab Mesh• Rough-in Appc/Sdwlk
found. ?lbq. Top Out
Gas Line FINALS
pow,./seam Struct. San. Sewer
framing -Bldg.
Post/Seam Mech. Rain Drain
Insulation -plumb.
- - `1 -Mach.
Plbq. Underfloor Natter Lino Bd.� �YP• _ /
L'Z T ime i --/—�—
Date Requesteds
1
f G / Permit t: rd �T
Address:_ �✓ ,
Builder: '-
�Ivitr TBE FOLLOWING OORRECTIONS ARE REQDIRE17s —
1
1
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Inepecto'k:t
V APPROVED DISAPPROVCD --. APPROVED SUBJECT TO ABOVE
Call For Reinap.
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INSPECTION NOPICE 1
City of Tigard Building Department
f'
13125 SW Hall Blvd. Tigard, Oregon 97223 p�
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Unaerslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. P1,
Post/Beam Mech. Raln Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_ �? — lime: AM PM
Address: ��✓[P I��. _ //����/1��/ Permit 1: q3-0.?Q �i,1
L� .crr� to �t �''1:.'�+�'Iri Pr,^
to r
Builder:_ Q
r�dy'yh rl �Vt r.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: �_ �,• '�
APPROVED _-
DISAPPROVED —_ APPROVED SUBJECT TO A VS
__Call For Reinsp.
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INgP$MION NOT ICE
City of 11gard Building Depart-ant
13125 SW Hall Blvd_ Tigard, Oregon 97223 fl✓
Inspection Line (Rec-o-Phone): 531:-4175 Business Phone: 839-41.11
Inspection: y
Footing Plbq. Unders.ab �1�ch. Rough-in r Appr/Srlwlk
a1 M1
Lound. Plbg. Top Our, Gia Line FINAL: '+ 9
t
-Bldg.
Post/Beam Struct. San. Sewer FraDA' ..
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Linj Gyp. Rd. -Mach.
Data Requested: y Time: - PH
Address L L '��� Permit t: .Z
Builder: --
THE FOLLOWING OORREC"MONS ARM REQUIRED:
:5
di 8y1
iXr''t -iM'.
� kI
14,
� Ter �M1,�tijq"ti.
`C
-- -._ ----- - ---- Hifi+�
4vi $ � ,
7 c is a
Inspector: --------- Dates-
�PrROVED DISAPPROVED - APPROVED BUPJRCT TO A E fv141 Yw-
Call For ReLnnp,
ri
INSPECTION NOTICE 11
City of Tigard Building Dopar
13115 SW Hall Blvd. Tigard, Oregon 9
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 r,
11
Inspection:_ — —
t .
Footing Plbg. Otderslab Mech. Rough-i.n Appr/SAwlk
_ r
round. (,_Plbg. 'a',-,p ou Gas Lina FINALt .
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Meeh•
Data Request,bdr l TLoss
Address s � _1 6 Permit f r'.;
f /
Builders
TEE FOLLOWING CORM-TIONS ARE REQUIRRnx
LL,
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IrepsctorsDates
i° nes:""Ak,
—_APPROVED __— DISKPPROVRO APPROVED SUBJECT TO AROVF
yy
_Call
For Reinnp. stip S`
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JUN-04-193 FRI 14:02 iD:CITY OF KING CITY
NO:503 639-3771 4800 P12
33
KIN. G Cly M
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i 16WO S.W.116th Avenue,King City,Oregon 97224 I ,nne:639.4082
COMMUNIT." DEVELOPMF'NT f
i\PPLICATION FOR BUILDING FERMIT �
(Instructiaos an reverse)
MTE �- 7- p-5
1. NAME OF APDLICAMP: - vn., No._
■
ADDRESS: LO
ADDRESS OF PROPOSED IMPo'AVTt2mw c: .3 A /(i —
r
2. TYPE OF CHANGE, IMPROVF2•+l iT OR C0NSTRUC P I ON FOR WHICH PMHI T IS REWESTED.
DESCRIBE BRIEFLY - ATTACH TWO COPIES OF PLANS OR DRAWINGS OF
PROPOSED PROJECT
3. NAME AND ADDRESS OF CONTRACTOFR��•-e�a-at _
PHONE NO.S fl?f LICMVSE NO-
4. NEIC;4XORS WHO MAY BE AF'F'ECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITt.
5. APPLICANT OR HER/HIS REPRESENTATIVE MUST BE PRE57M AT THE PLANNING CCWTS3I0N
MEETING NEXT HELD ON-----
REPRESENTATIVES
N _REPRESENTATIVES NAME _,HONE NO.
(the Ring city Planning coni sic m will con 'd r only those applicatins received at least five (5) Mars
prior to a meetin
SIGNATURE
APPLICATION RECT LVED SY
APPLIMBL E FEE LEC EIVED $ y J ` TOTAL_. oo
PLANNING COWISS ON DECISION: Approved Denied .
OONDITiCVS
A roved applicat' as are valid for sic months only
g
Signature .44�ate_ .j /n—
ROM 01 a Bomebuilders Lar requires ha�ersons who cantrart for work on their residence be
9 P
r lstered with the Buildtcs Board which means the contractor is bonded and insured on the job site.
For mir protection, be certain your contractor is rt9istered by calling City Ball Ph: 639-4012, '
NOPE: A permit rrn.rst also be obtained frau the City of Tigard Departmmt of
C;aemnmity Developy*nt Yes No
CITY O1 _TI INSPF=IAN REPORT
The above listed
project has been inspected and Approved___penied —
Data Comrents
Signature
(&&aAing -:Mp& t ,t pted4e 'e.Q.#uxn, ono- ( 1) copy #e Kung Cit-4)
,
Co 2-87
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AN +A .:{r�7 f 7 �j'1n� i 'i ;. Hie al ;d •u 0.
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INSPECTION NOTICE
City of Tigard Building Dapartamtt �� t //
13115 Sw Hall Blvd, Tigard, Oregon 97:23
EI
Inspection Line (Rec-O-Phone)x 639-4175 .._s+��eee ?h 39-4171
Inapsetion:
Footing Plbg. Ussd•ralab Mech. Rough-in Appr/Sdwlk
iA
Found. Plbg. ToF Out Gas Line FINAL:
66tiB•as 8truat. San. Sewer Framing -Bldg.
`fbst/Beam Mech. Rain Drain Insulation -Plumb. ,
P!bg. Underfloor Nater I.i.te Gyp. Bd. _Nwh,
Date Requestedt_ -��_7 Tlmei AN
/ L. L t
Addy a e: /4 -�t �./ Permit i t �+U L ^
Buildert ,17
' ! THE FOLLOWING CORRECTIONS ARE REQUIRED: � a ;•
f4;';0 04laFla
an 1
07 ----�..
1
Inspecto�. --\�— Date: z "7�
`J _
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
L -_—_Call For Reinep.
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INSPECTION NOXICB � 1
City of Tigard Buildiag Department d
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons)e 639-4175 Sus.Lness Phone: 639-4171
Inspections I1
"p
Tooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Femnd. Plbg. Top Out Gas Line FINALS .
Post/Seam Struct. San. Sewer Framing -Bldg.
Post/R..am Mach. - Rain Drain L.sulation -Pluab. .
/Flbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date 3equesteds Times _AN PM
Address t / / f t L 1 Permit
0,111d.rz
THE FOLITAMING OORRECTIONS ARE REQUIRED:
Inspectors Debs �� �+ .
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�(__APPROVED DISAPPROVED APPROVED SJBSECT TO ABOVE
_Call For Reinap.
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INSPECTION NOTICE -t -
City of Tigard Building Department v
13125 SW Ball Blvd. Tigard, Oregon 97223 a
Inopectton Line (Rec-O-Phone): 639-4175 Business rhone: 639-4171
Inspection: —---- --
Footing P1bg. Undeielab Mech. Rough-i,k Appr/Sdwlk
Y Found. Plbg. Top Out Gas Line FINAL:
A
Poet/Beam Struct. 3a:.. Sewer Framing -Bldg.
Poet/Ream Mach. �'`Reis. Lrain.., Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
J++te Requested: ys G — Time: `—AM PM
AGdrese: �(-� P@alit a°--
L,
Buildor•�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
f
All
1LL.
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Inspectors, '] Date:
APPROVED -_ DISAPPROVED APPROVED SUBJECT TO ABOVr
Cs11 For Relnep.
tWl�I1N(Illd�'
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,�Nfi ECT Obi NOTICE
City of Tigard Building Departaent b
13125 SR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phonc): 639-4175 Business Phone: 639-4171
yR Inspection:
woot" Plbg. Underalab Mech. Rough-1 Appr/Sdwlk t �
tnd. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg. .
Post Beam Mech. Rain Drain Insulatlon -Plumb.
N` Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Rested: : S Time: %AM PN
%1 7 i j -
)�ddrees:_ Permit f: ` ✓. �[l�
Builder: _ ! -
■
'PBE FOLLOWING CORRECTIONS ARE REQUIRED: ,,;•::
2nepeotor� Date
E
APPROVED DISAPPROVED APPROVED SUBJXCi mn ADM
_—Call For Reinsp.
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CITY OF TIGARD IYr;cilLri� �IwR�1_ �.
COMMIVNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orapon 97223.6199 (503)339-4171
:.,w ..i UFki)Fif l,iY f'laF2CF✓l.
1JBDIV!t TION. . . . : hE_DF`FJf--'L GLEN
' ....,,IJT..,1'�,• e. • . • • .. . .. L.1.1 1 • . • V w . a • M • v . • n
_..._ .__,_,..... .__. ._..._...._...... _..._....__...._....._......_....._ SUIL11IN6 _. ..__... ... ..,__. _.. _._...
L1lvC:L..L.IP`i ??i T. �' ., 3 is P''L•:IeiLNT. • . . cQ1
i:I s ii_if,o I41Li'1'`+E' 006 � . • • . ■
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OF WORei. :NEW 5E'D1411 S s :, 1-1A i f4 0ARAl"• E. . . . . . . . . . .I
' 13I f :1) ai.�Txt
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v"P- z. OF CONST. . N FIRST. . . . « 1 4 Sf L.LF 1 . . as >`t RiC•H'.
C"L;UPANCY C:41P. IR.' aL::CUidli. . . �; f'[tLii�i"i . w,•:'V1 t ft::paF..
iCJRIEE... . . . . . . . s TH!RU. . . . :171 =, t ili-:QUIRE_U___._.,._._,.._
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UK—L' iTE'rC_C T ft`3. aY
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alnar't«
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NUWT'f3FtII.L3. . . • . f�tF1't1-R R•f1:W` ERS. . w I l RA c;. . . . . . . . . . . . . . :�
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F?Y �3'f s. , . -0
VA", f::1 i ii!aIi'd:i. . . .
•'ITER CL.C1;E76. . :r'. SEWER LINL k f t 1 . «0 T'RA "S. . . . . . .
ISI•il rf"='AA 1"'3. ,. , . : 1 Wp-)T;-P i... , �J12 ( ft
,ARBAGE GISPI. . . : i RAIN 1)R OIN ( ft , . -.0
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VACH. ,: : I SF` RtP I N 1)F20 1N 3. . : 1
.................._._... _ ...._ ..... IriEC!•,FaIwICHL. ('FwE'a _..__._..... . .
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UtiC,. "Y�-_y:�.. .. ,.... ........__ lJhRl 1` FiTR1ii, r� tyl.�. ��in,:,l_Tnt by nate Ra+, r
dyfa�ii / / VENTS T 415. V,0 ,.1f-i Q14/27i 93 �
ax INi'UI '.0 L"TU VE:ItI`T' T (af i::::,. .. ::5 Pial...: 40. 1110 JL_H 1;
,, RN { I00 . • ; a 7ICi(M";. . . . . " i 1Jf-'f $ e 121" J JH 04C2'7 '�.•ti
o.l.JUL,,:,TU ,L'.:;•. ;'. hi 'L i._. 00 .31 I 4+4;x_7 I
l..LiC)R FUI iN- . . . iY1 C;f_.CL DRYERtEi. •: 1 iYf1SC 3Z, . Oka JI.1 401.4/ic,
i}IL;C�i�IF ( IJt':s f:T'IIC~f; Ui�i .'+'.`."
i'1t•i .,111 4.140i:..ri'
GAES '3U T L.e'.T-, I IY1F`I..(• L 1 0. J-3 JI-1 04/c 7;"�,., l
i11:iF>C. R 03 JOi 04/27i`�,r
0 JH 04/e /93
7
r,:i-1Vr:RT�,ty C]R2
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hunp
ns perelt is i;5ued -Alect to the regulatic•ns curtained in tr.+ __ _.... I»'i:C! liR LT) ihisal 'k l: FIcl'6:
11arn Puric pa. Code, ."tate 0 Ore, 5penalty Lodis and ai'i otoer t u t/ L 0kAfl(1' i7,T) F 1t-e place IrT f:r
ppi;cable labs. ell worts Nil a none r ar.•co`oance aitr -ippr;,,td t'i, st/ 3e_Am -.-t,l^alc't GSC• L_inei Ir1�,F,
;ane, This pereit ai;L fxpl�-; A,1Pk :5 nc0' 5 alteil 4& i' i&Y I:: t;i '-'t, i,`•;a 1il " 1e1r1 irlS _I.IPitt iiYh LT1tiI�
ay5 of l3SVArlce, :f i:ofld RiF^GeV fc R211' rv' 1;1'Y! G•iy'_ 1 j.' oyp Loan-d 1.nsp,
?In�ati . ':,i i F•} 1.. 1.r.F+ .i 1'1r R-i
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r IT 13125 SWIlafllWd. PLNCK/RECT #
CIIN O T.�GAM Mx 23397 PERMIT #
-
CoA,,ML'NI'CY DL• Vi�LOPME'NT DEPARTMENT Tigard,Orcgon 9 7W
(507)63"171 DATE ISSUED _
JOB ADDRESS: :5W _�(JI�G�BVI W� __. TAX MAP/LOT .13t &4f) -9,E7033
SUB: (`C11Z�1r (' LOT: �� _ LAND USE:
VALUATION. �
OWNER SPECIAL NOTES �
NAME: (ACURNZ'`l'Y�P� .YV 1C _, REISSUE OF:
ADDRESS: S� I�(ks— LAST REISSUE:
�i
.,.,,,,, �':•;:aw.wog„wnann%hMRaataMlwr».xwr."...vw ...».,,..w„,nn+.l�.,.,n: .e..k,,.,._.
PERMIT # ACCT # DESCRIPTION
AMOUNT / AMOUNT PD. BAL. DUE
Mifft-a3oZ 10-432 00 Building Permit Fees '
10-431 00 Plumbing Permit Fees
v
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building _%11�� ■
� Plumbing
G.�
Mechanical a•�3
10-433 00 Plans Check Fee — 7
r , ■
Building do
Plumbing
Mechanical --Z-0 I
` 10-230 06 Fire
1 — {
30-202 00 Sewer Connection
� 30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TI1= Fees
2E 448-03 Office TIF Fees --- — —
25-448-01 Residential Traffic Fees _ --
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm brainage Syst Dev Chrg
(SSDf,) — — — - ---
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.WPF
1.�......o•r N,I'4R i'.SnLW�.. `jry'r IS.-..rY'i•„wW:Sy;....._ -
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Mlmmffw
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CITY OF T I GARD — RECEIPT CIF- PAYMENT RECEIPT NO. a 93- . ; 9434
CHECK AMOUNT : 6"77•. 54
NAME: a BEACON HOMES CASH AMOUN,r a 0. 00
ADDRESS a PAYMENT DATE 04/i2719.N
SUBD'.VISICIN e
FVJURPOSE OF PAYMENT OMCIUNT PAID PURPOSE OF PAYMENT AMOUNT' PAID
BUILDING PERM 415. 00 PLUMBING PERM� 132. 50
ME.C:HAN.ICAL, PF 40. 50 ST. wji D c9. 4.1 �
PLAN CHECK FE 13 SEWER INSPECT 00
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N
LOT 33 BEDFORD GLEN
!.6644 SW JOH0014 WNY
1 �
TOTAL AMOUNT PAID -> 6.7'7. :54
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"1
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unifies!
sewerage SANITARY* D o
agency • .
155 N.First Ave.,Suits 270,Hillsboro,Or,97124 SURFACE WATER
503 848.8821
CONNECTION PE:RPIT T �
DATE. 042/93 EXPIRATION DATE 102493 Pr.K 1'IT 104 a13
STRUCTURE ADDRESS 16644 PROJC.CT J939 '' 4
STr;UC.TURC STREET SW ,.JORDAN WAY
L 0 BLOCK
TYPE, CONNECTION- NEW OF VIEDF'ORD GLEN PHAGE 2
1
INSTALLATION- ( 19) RL11 •SWR/ERCT CON/SDC
i
TYF'1' OCCUPANCY-• ( ). ) SINGLE FAMILY PARCEL 2GI 16 AD 26700
OTR SEC 4716 MH 1.0092
i
l OWNER BEACON HOMES
ADDRESS PO BOX 136E1 TkF.ATMrNl PLANT DURHAM
BEAVERTON I t015
PHONE 524M.1999 ... ... .... .....ti.... ..__»...... ._....._.._.. ....._�...JURISD KING 'CIT.Y._..........,.... .. .
t I X T U R E EQUIVALENT DWF:1.t.IN0 RESIDENT?AI..
UN'FTS SERVICE. UNITS 0.0 UNITS 1 SERVICE IJNI•fa J
CONNrCT I ON FEES SURF ACF WoTER DEVELOPMENT FEES
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SEWF::R CONNECTION 21OOoOO 1JATF:R QUAI.I.TY 180.00
LESS CREDIT < 100,00:.:-
WATER QUANTITY 100.00
LESS CRE:f1I'1 0.00:1•
ERC 3TnN CONTROL
4
INSPECTION 40. 00
FLAP! CHI?:Cn 26.00
SUBT01'AL 2100 ,00 GUBTOTAL 166 , 00
(fTOTAL 2266.00
API I_ NAME. 1:117•FER KIIYSK F'I•If.1NE ��`.!...
AFF' IL.LIATICIN VP
REMARKS PROJ#19 9•-TlF1) ORn GLEN 2 LOT 1;33
*24 HOUR Nfll'I CIR •ROSION CONTROL.. IN13PE.CTION S Rr-ounE"D
SIGNATURE _ t......_�` SS s
_. __........_.__.. _ . . ._... . . ... J,�.,LIF}1 fFIONF'.+O1JJA
Permit Conditions: The applica t agrees to comply with all rules and regulations of the Unified Sewerage Agency. When calling
for an inspection, please refer to the Permit Number. The Permit expires one hundred eighty (180) days from the date of }
issuance. The total amount paid (permit fee, connection charge, line tap fee and/or other charge) will be forfeited if the
permit expires.
The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at the
measurement given, thi installer shell prospect three feet In all directions from the distance givea. if k.+t so located, the
installer shall purchase a "Tap arrd Side Sewer" Permit at the current charge and the Agency will install a later,l, r
6/90 WHITE — USA, BLUE — Accounting, GREEN —Inspection, YELLOW — customer
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