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INSPECTION NOTICE rm
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1 _ City of Tigard Building IDeparta�ent
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspoction Lino (Roc-O-Phons)s 639-4175 Business Phones 6 9-4171
Inspect•#.ons
y' Footing Plbg. Underslab Mach. Rough-in Appr/8dwlk
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Found. Plbg. Top Out Gas Line FIKALt J .
Post/Beam 8tnact. ear. Sewer Framing
Post/Beam Mach. Rain Drain Insulation
Plhg. Underfloor Mater /L__ine) �/ Gyp. Rd. -Koch. � e
Gate AoquestedI '?_ ((0 `I 7 Timer ` AM ' / PM
iddresss. �JC'►� (�p1 �.� Permit fsG�
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Builders eel,
THE
THE FOLLONZNQ CORRECTIONS ARE PEQUIPED:
Inspaotorr—_ --A_---�^� Dates—
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PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_ :all For Reinsp.
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CITY OF TIGA"r%11 io!Mlo
r,:E:R`rI IPANC UEC�(�CUF�AhICY
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COMMUNITY DEVELOPMENT OEPARTMENT DATE: I SUED c 03/16/94
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{ 13125 SW H.0 Blvd.Tigard,Oregon 97223.8199 (503)839.4171
PARCEL.c E'1S1160D---1.'+ED4.4
'.;u'rr., nDmEss. . . a 16649 SW ;JORDAN WY
'iUEIDIVISION. . . . a BEDFORD GLEN 7.014INGa
PLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . s43
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GLASS OF WORK. aNkW '
HYPE OF USE. . . a St-
OCCUPANCY URP. c R3
OCC-UPANCY LOAD 1 117 4
Th ,DANT NAME. . . a IS
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N;.AC(JN HOML:1`3
FSO BOX 1368
HE:AVLRTOli OR 9/075
pho)w K A 524 A999
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Contractorp
E+EtICON HOMES r
.14500 sw 1e5'rH
PEAVEPTON OR 9701015/
Phone Ne 5L4-199-9 ;
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Ft c:�&3 #. . e "l V1'7�is �
Oc:(_ tpa)1(::y of the above referenced building its hereby given, and r,nr-tifiNst
the CvMPliAl- a With the btACe+ Of 0'('sQ0n !3pec^i.;tlty L:(�clr7«; fe►r tlte! yYOL
ncr_•'!.panc,yy and mse uncle( urF►.;r_h the re-ferenced _p.-mil, WASS; .
r,IRE DEPARTMENT F.+U NO 'PiXTUk
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POST IN I.;ONSPICU(:)(J(a PLACE
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INSY=MN NOTICE ��—•�
City of Tigard EkalU ag Department t
13125 SW Hall Blvc.. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 "yatlli4.i4
Inspection:
Footing Plbg. Undersla'i Fech. Rough--in Appr/Sdwlk
You.id. Plbg. Top Out Or.., Line Il1AL J
Poot Beam Stn:ct. San. Sewer Framing
-81
/ 9
Post/Beam Hoch. Rain Drain Insulation < Plumb
Plbg. Underfloor Wa[er Line Gyp. Sd. -Neoh.
Date Requested:_ ( 1 Time: AM P!I
k7;tf±s� Lr(t'�rN�w4YS I�• '"�I '
+ i,ttlG��PihY` Addreas[���i ��I, �� 1 Permit I. 'I3-Z1no
KFS r Irl+ Builders
ds�1 4F� {gk( ?ji' rliat, y Z ,dEr( ^i
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: 1,---41 7 __
Y -APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE }
'Call For Reinsp.
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INSPZCTIQN
NOTICE
„- City of Tigard Building Department /!
�r. 13125 BW Hall Blvd. Tigard, Oregon 97223
p' Inspection Line (Rec-O-Phone)= 639-4175 Business Phone: 639-4171
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Inspections_
t Tooting Plbg. Underolab Mach. f'ough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line
Poet/Beam Struct. San. Newer Framing g
Post/Beam Mech. Rain Drain Insulation -Plumb,
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Plbq. Underfloor Nater Line
Gyp. Bd. -Mach. � t
Date Requestodl
41— ' _Time: _._AMAddrewas
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Permit. tc_h
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� Builder:
¢. :,. ,., ,. '• TRE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inepecton
Dates
APPROVED /A DISAPPROVEr) APPROVED SUBJECT TC ABOVE
/Call For Reinep.
1 9PBCTION NOTICE
City of Tigard Building Department r�
13125 OW Ball. 31td. Tigard, Oregon 972231S,
Inspection Line (Rer.-O-Phonw)s 639-4175 Business Ph639-4171
Inspectiont_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. 'Cop out Gas Line FINAL&
Post/Beam Struct. San. !tower Frami•,g -Bldg.
Post/Beam Mech. Rain Drain Insulation Plumb.
Plbq. Underfloor Water Line Gyp, 8d ech. 1
Date Requeatedt. �J _ Times AM PM
Addresst c / i ► `i
` L l 11 eri ft �r ( IS
�tyfiy
Builders y�� ��
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THE FOLLOWING CoRRRCTIONS ARE REQUIREDt
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. �/:moi(!!'.. f S•� / S DGt_:�D? -� � },�:��t>,1� ��p °�C'tt°��y�+`�t t° �,y �.
4t-_rn�r�fs�
Inspector:_ _ ��
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"PROVED -J _ DI3APFROVED APPROVRD SUBJECT To ABOVE 'iir;
Call For Rsinap. sh
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INSPZCTION NOTICE
City or Tigard Building Department '
13125 BW Ball Bled. Tigard, Oregon 972 /
Inspection Line (Rec-O-Phone)s 639-4175 Business P 63 171
Inspections_
Footing Plbg. Underelab Hoch. Ro, ,h-in Appr/Sdwlk
44.
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Found. Pllq. Top Out Cas Line FINAL:
Post/Beam Strict. San. Sewer Framing -Bid'/.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Pl.hg. Underfloor Water Line �yp. !d. -Mech.
Date Requ acted s _ �„ Time: AM PM f �'' •
Address: Permit #i 73 `Cl 7>ey_-)
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Builders
THd FOLLOWING CORRECTIONS ARS REQUIRED!
41 �` s T
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Inapectorst
APPROVEDDatas� /C
�. DISAPPROVED APPROVED SU CT TO .MBOVE
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_Call For Reinap.
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INA}iM10" NOTICE
CLt.y or Tigard Building Department M 4
13125 SII Ball Blvd. Tigard, Oregon 97223;' r
Inepecti.on Line (Roc-O-Phone): 639-4175 Business PJSon K3�9c4144-''��
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Inspections
Footing FLM. Ur.deralao Msoh. Rough-in %Py.r/Sdwlk
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Found. P1� Top Out gtlf.Tinr FINI►Lf
Post/Ream Struct. San. Sewer Framing -Bldg. +
Post/Beam Mach. Rain Drain Insulation
Plbg. Underfloor t'.ter Line1 Gyp. Bd. -Me:h. .
Date Requestod fZ _ / TifOef _AM PM
Addresst 6 ' Permit #f r 6 3��r)
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Builder: ��C-f���' I w
THE FOLLOWING CORRECTIONS AAE REQUIRED:
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Inspectors
A PRLVED DISAPPROVED APPROVED St/BJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICB
City of Tigard Building Depae—ent
13115 811 Ball Blvd. Tigard, Oregon
97210
Inspection Lina (Roe-O-Phone): 634-4175 69wenesY ^.`.�Ae ;,639-4171
Inspection:_
-Pr--
Footing Plbg. Underel.ab Mach. Rowfh_-1 Appr/Sdwlk 1
Found. Plbg. Top Out Cas Line ��HALI
Post/Beam Struct. San. Sewer �.lrreming -Bldg.
Post/Beam Mech. Rain Drain Insulation' -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Much.
')ate Requested:_ ime: ---AM PM p
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Addressi �Vq 1 //�/iii�` Cii Permit ft-2
Buildari , LLEry" }1�.Q�
THE FOt.LOMING OGRRECtZONS ARE REQUIRED:-- __
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I ispector:_
OVEDDISAPPROVE - _ APPROVED SUBJECT TO ABOVE
1 Por Reinap.
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INSPECTION NOTICE
city of Tigard Building Depart=P--nr
1-3125 SW Sall Blvd. Tigard, Oregon 9722} ..;�
639-4175 Business Phone: 639-4171
Inspection Line (Rec-O-Phone): 0
Inspection:_ —
Footing Plbg. Underelab Mech. Rough-in APP:/Sdwlk
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Found. `/ Plbg. Top Out ' Gas Line FINAL:
Post/Beim struct. San. Sewer Framing -Bldg.
Post-/Beam Mech. Rain Drain Insulation -Plcmb.
Plbg. Underfloor ater Line Gyp. ad. -Mech.
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Date Requeetede_s
'tel Time: AM - .
+:aareea: / , Permit
Bulilgr• L ��-
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TRIP, FOLLOWING CORRECTIONS A"v REQUIRED:
klnspFctor:
APPROVED _ DISAPPROVED `_ APPROVED SUBJECT TO ABOVE
---
For Heinsp.
INSPECTION NOTICE
i City of Tigard Building tlspartaent
13125 SW Bal'_ ulvd. Tigard. Oregon 97223
[nspection Line (Rec-o-Phons)e 639-4175 Buaina�s Phones 9 4171 � I
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Iwpecti�:u —
" Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
1
Found. Plbg. Tor Out Gas Line FINAL:
Post/Beam Struct San. Sewer Fr ming -Bldg.
Post/Beam Mach. Rain Drain Insulation .-Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Meeh.
Date Rewestedt_ ` • Times _ AM PM
Address i �l"�/ l ( �r '�w. �:. (,A �17 .�--- Permit #t
Builders Lz ei ray) ( '�`. ( 1 1
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
Tnepector: r— Dhte c _
APPROVED DISAPPROVED APPROVED SUBJECT TO'ABOVE
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City of Tigard Buildim2 Departaent
y., 13125 HW Ball Blvd. TLW&rd, Oregon 97223
Inspection Line (Nec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections __•
Footing Plbg. Underslab Mech. Rough-ir Appr/Sdwlk
Fouid. Plbg. Top Out Gas Line FINALs
vi/Been struct.J San. Sewer Framing -Bldg.
Post/Beam Mech.; Rain Crain InsulatJon -Plumb.
Plbg. Underfloor Nater Lino Gyp. Bd. -Mach.
Date Requosteds /, ..+�� , _Times AM PM •
Addrasa: i� L .r[_ L1�uLPermit is �
Builders ��lll 11 a
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
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InspectorsL- pataz �
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_YAPPROVED —_ DISAPPROVRD APPROVED SUBJECT To ABOVE
Call For Reinsp.
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INSPECTION NOTICE
gg city or Tigard Building Department
13125 Sit Ball elyd. Tigard, Oregon 97223
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Inspection Lina (Rec-O-Phones 639-4175 Business Pito 639-4171 1
Inspection. 1 ��tiYlh �i�7C�f.( VVt� ti VN
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwl)c
Fcn.nd. Plbq. 'Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bld;.
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Post/Beam Mach. Rain Drain Insulation -Blumb.
Pll.q. Underfloor Nater Line Gyp. Ed. -Mach.
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Data Requested. I ,Times AM __X__Plf f'1��+ e �w" jY'•:
Address. � l L-x' !U'\ I _ Permit #:
Builder. ,�� „ y
THE FOLLOWING CORRECTIONS ARE REQUIREDs Vit• fvYH tp
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Inspectors
APPROVED DISAPPROVED APPROVED SUBJlCT TO AAO"
-Call For Reinsp.
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KiNG CITY
15300 SX. 116th Avenue.Sing City,Oregon 9T'>_'; Phone:639•40S2
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING HERMIT
(Instructions on reverse)
1. N?,'�E OF APPL; Phone No. -
ADDRESS: ---
PDDRES5 OF PROPOSED niF-FOVF2IF:NT�� �,�,! `/ � U,ZaL4 194.1 -- -
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2. TYPE OF C?lYGE, IMU-ROVEMEl"rL OR CCN=UCTION FOR WHICH PERMIT IS REQUESTED-
DESCRIBE BRI'EFLt - ATTACH TWO PIES OF PLP-NS OR DRAWINGS OF
FROPOSED F-FCJECT: ��-� l
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3. NA2 AND A_r.CRES.S OF
PHC NE NO. /-!1r%=LL I Cr'"1.VSE NO.
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4. NEIGr KRS WHO MAY BE AFF'ECT'ED BY THIS PaOJECI' W':LI, BE NOTT—T D BY THE CITY. �.
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5. APPLICAUTI CR HER/HIS REFRESEN'I'ATIVE MAST BE PRESENT AT TFE PLANNING CC4MS3SION
1•fEETING r,,ECr HETZ CN
RE1'RE=XTIVF.S NAME NONE NO.
(The lrinq City Planning Commission 9111 gonsider only those applications receivi.d at leant five (5) days E
prior to a nee q.) J
SIGNATURE 6 ' --
«
APPLICATION RECEIVED BY—'—'C =— DATE
APPLIC. E FE—E FIDZEIVED
PLANNING COMMISSION DMISION: Approved-. ----, Deni e4__
CONDITIONS
Approved ipplicat:ons are valid for six months only
a_� lSignator ��C���-c'I" 2n Date
TOTE: egon 3amebuilden Lav requires that all persons oho contract iur vnrk an their resideuc- Le
gistered o`.th the Builders Board vhich means the cantraLtor is bonded and insured or- the job site.
For your protection, be certain your contractor is registered by calling City 3aI1 Ph: 639-4082.
NOTE: A pen.Lit must also be obtained an the City of Tigard Department of
Camnnity Development Yes_ No
CITY OF TIGARL I?v5'PECTION REPORT
The aL-cve listed project has be--n inspected and Approved —Deni ed
Cate CCnrneslts
Signature
' (& i1dut.g .i.n,6pez tan ptz 6e xa tuAn Ono- ( 1 ) copy to King Cif-Y)
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INSPECTION NOTICE
City or Tigard Building Deparboant
13125 aR Ball Blvd. Tigard, Oregon 972 J
Inspection Line (Ree-O-Phone; : 639-4175 Business Phone: 639-4171
Inspectiont
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
1
:. Round. Mg. Top Out Gas Line FINALS
Post/Beam atruat. Ban. Bawer *raining -Bldg.
Post/Beam Mach. -'Bain Drain Insulation -Plumb.
6 Plbg. Underfloor -l *ter tai _� Gyp. ad. -Mech. +
Data Requesteds
Address: C ,� /,ll it fit` "/
Builders ) M
THE FOLLOWING CORRECTIONS %RE REQUIRED:
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Inspectors Dat
APPROVED UISAPPROVED APPROVED SU CT TO ABOVE
Call For Reinsp.
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JASPECTIJN NOTICE l
City of Tigard Building DePartasot
1312S SW Ball Blvd. Tigard, Oregon 97226.
Inopection Line (Roc-O-Phone): 639-4175 Business Pho a: 639-4171
Inspection:
� � l
! Footing Plbg. Underslab Mech. Rough-in Appr/8dwlk
Pound. Plbg. Tap Out Can Line FINALS
Post/Roam etruct. San. $ewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Oyp. Rd. -Mech. _
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Date Requested: Time: AN / PM
/
Address: L ! '�� � karoit 9:
�[!� / � 1�� ,L, 1. l
Builder:_
THE FOLLONINO CORRECTION$ ARE REQUIRED:
Inspector — Data l'
APPROVED DI8APPROVEO APPROVED SUBJECT TO ABOVE
Call For Reinsp.
F�,
CITY OF
TIGARD
1 COMMUNITY DEVELOrMENT DEPARTMENT
13126 BW Hall Blvd.Tigard,Oregon 07223.6199 (603)630-4171
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AV � �ANd. PLNCK/RECT CITY OF roMix
1,391 °
COMf11UNI"Il'hl:yl I PMI NT 1) ligan�(lrc nn 911)7 PERMIT N
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ARTM I:NT s
501 hJ9-4 11
I ' DATr ISSUED
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JOB ADDRESS: 16657. SW Jordan Way -TAX MAP/LOT ,2s i 16 Aa -
SUB: Bedford Glen
IOT: � 45 LAND USE:
VALUATION: ��1�0. "=- - ------------_ __ �`�,�'4 ■
owya SPECIAL NOTES
NAME: _ Deacon Hanes. Inc — REISSUE OF:
ADDRESS: 9500 SW 125tH Ave. LAST REISSUE_:
Beaverton, OR 97005 FLOOD PLAIN/ a
PHONE: 524-1999 _— _ SENSITIVE LAND:
QNTRACIOR APPROVALS REQUIRED
NAME: Beacon flames, Inc.
-- _ PI_ANN I NG:
ADDRESS: 9500 SW 125th Ave. ENGINEERING: A
j Beaverton, OR 97005 _
FIRE DEPT:
PHONE: 524-1999 OTHER:
CONTR. BOARD 0: 70782 EXP DATE: 12/93 t1'o
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ITEMS RE4UIRCD
,c ty�
SUBCONIRACTORS: PLUMB: QanbV Pliunbing LIST/SUBCONTRACTORS: '.
MEC,H: Muphe 4ual.ity floating BUS TAX• }
CII ENG• INEER
CALCULATIONS:
ry.
NAME: Argo Architect/AIA TRUSS DETAILS•
APORESS: 16325 SW Boones Ferry Rd. 201 OTHER:
Lake Oswego, OR 97035
PHONE: -- 636-0755
PROPOSED BLDG. USE: Residential' ►
+ AP—PL ICAN-TI—GN NTURF - -
Received By: _ 1fV -_ Dale Received: ''
� S
PERMIT 1; AcCi # DESCRIPTION AMOUNT AMOUNT PD. BAL. ,DU*E'
tU'S �fy 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit 'gees3j 2.5
10-431 01 Mechanical Permit Fees 40•SZ
i' 10-230 01 St-,te Building Tax (5x) oZ �1 / �• U r
Bjilding
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Plumbing G3
Mechanical •z
10-433 00 Plans Check Fee S 1 �� /6-1 3
� Building 40
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Plumbing _
Mechanical JIZ 13
10-230 06 Fire
30-262 00 Sewer Connection
30-444 00 Sewer Inspection �� _
25-448-02 Commercial TIF Fees _
25-448-04 Industrial TIF Fees
1
25-448-06 Institutional TIF Fees
25-448-03 Off=ice TIF Fees
25-448-01 Residential Traffic Fees
i
j 25-448-05 Mass Transit TIF Fees _
52-449 00 Parks System Oev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
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24-445-02 Water Quantity (Fee in lieu of)
TOTAL 717, S
n.,n/3587P.WPF
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CITY OF T I BARD — RECEIPT OF PA YMC:NT RECE I PIT NO. 03--;'4 t 517
CHECK AMOUNT a 117R. 5 4.
71
AME BEACON HOMES CR'3H AMOUhI'1 s . Q
�DDRESG s E'AYMFNT DA'T'E e
SUBU I V 151 ON
'URPOSE OF PAYMENT AMOUNT E'A I D PURPOSE OF PAYMENT :aMOUN f PAID
_UII._DINC3 F-ERM 4l.`;',. 016PLUMBING PERM 132. 50
ECHAN I CAL PIE 40. 50 ST. BUILD PER
:-L.AN CHECK FE 10.. 1SEWER INSPECT 3!5 VQ)
..OT 43 BEDFORD GLEN
16649 SW JORDAN W:'lY
AMOUNT PAID — _ - _> 662. 54
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"'f'edSANITARY• D o
Sewerage
155 N. First Ave.,SSuult�seHillsboro,Or.,97124 SURFACE WATER
503 648-8821
CONNF::C"FICIN PERMIT
ISSUE. DOFF. 0621.93 EXPERATInN DATE 1211193 PERMIT• 101435
STRUCTURE ADDRESS 16649 PROJFC'T 1'1;39 �
STRUCTURE STREET SW JORDAN -WAY
i(,., LOT 43 AL.(:ICK
TYPE CONNECTION- NEW " OF BEDFORD 01-EN PHASE 2
TYPE: INSTALLATIDN- ( 19);'PL'W 'bWR/FRO CON/SDC
TY,`1i- nr.,CUF:'ANCY ( 1. ) TNOLX FAMTI-Y PORM-1. 2131, 16 AD 27700
QTR SEC 4716 MH 101091. �
OWNER 9C:AGON MIMES
ADDRESS 9500 OW 125TH TREATMENT PI. ANT DUl"'HOM
PEAVE R I'ON ON 97005
PHONE 524-1999 JURIOD KING CITY
F IX'T'URE EQUIVALEINT DWELLiNG RFG)]DI"NTIAL_
I i.li•I1:TS qu"RVICC~ UNITS 0.0 UMITS 1 CRVICE' UNITS 1
CONNECTION FEES SI.1k1*ACr::. WOTE"R DI:'VFI..0F'MF:N'1 VVES
SEWER CONNECTION :100 ,00 WATER QUALITY 180 , 00
. LEC;" CREDIT 1 i:i0.00::r
WATER OUANTITY 100. 00 A
LESS CREDIT 0 , Oji::
I
ER03IIIN CONTROL
h
q INSPECTION 40 . 00
d! PLAN CHUCK 26 , 00
9UDT0 I'A1. 21.00 , 00 SUPTO I'AL 166 , 00
TOTAI. 2266 ,00
APC'l. NA11I" rr TL"R KUYSK PI-InNr
AF FI:I_I_.IATIrN VP
RE MARKS PR0JJ1939-'E)EDI70l'4D GLFN .'I_01' :t 43
*121 HOUR N01'I1:1l. I R rl�•OSMN CONTROL, IN F'EC1InN`; u0UIF2CFi
3IGNATUR ' .�� _. ........_....-._.........-__.........._ ISMXD IlY THhI.1C (MINJA
Permit Conditlo:,s: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. When calling
for an inspect,on, please refer to the Permit Number. The Permit expires one hundred eighty (180) days from the date of
issuance. Thr total amo nt paid (permit fee, connection charge, line tap fee end/or other charge) will be forfeited if the
permit expires.
The Agency do!s not guarantee the accuracy of the location of side sewer laterals. If the sewer 's not located at the
measurement given, the instailer shell prospect three feet in all directions frown the distancegiven. If not so located, the I
installer sha',l purchase a 'Tap and Side Sewer, Permit at the current charge and the Atiency will install a lateral.
6/90 WHITE - USA, BLUE - Accounting, GREEN -Inspection, YELLOW - customer
i';