16672 SW JORDAN WAY I
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INSPECTION NOTICE
City or Tigard Building Depart
13125 811 Ball Blvd. Tigard, Oregon 97223 /��
*.nspection Line (Rec-O-Phone)s 639-4171 Business Phone: 639-4171
Iniper.1.ons -- — -- —
I
t►cats^� Plbg. Underslab Mach. Rough-in Appr/&Wlk
Fo:md. Plbq. Top Out Gan Line I�INRLL
Post/Berm Struct. San. Sewer Framing Bldg.
Post/Beam Hoch. Rain Drain Insulation Plumb.
Plbq. Underfloor Nater Line� Gyp. Bd. -Hoch.} .
Data Requested: I� ( I � Time: 11N �. PN
Address, I LCnj Z Permit #I � y t
gBu:lders_�('t�
THE FOLLOWING CORREC4Ims ARE REQUIRED:
Inspector:
_ Date: `�/
PPR(WRD DISAPPROVED _—_ APPROVED SUBJRI T To ABOVE
�-
call For Reinsp.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CE �1T iFirATE OF •
1317.6 SW Hal,Blvd.TI lard,Oregon 97223.8199 (503)639-4171 OCCUPANCY
PERl,IT #. . . . . . . I MST93 -Q1317+f+
DATE I E SUED r I
PARC;Er.-s 231 1 f)AD--BED26
1IE ADDRESS. . . I 1667,E SW JORDAN WY
�;UBDIV3SION. . . . I BEDFORD GLEN ZONINL31
BL.00:K. . . . . . . . . . I LOT. . . . . . . . . . . . . a 26
CLASS OF WORK. tNEW
rYPE OF USE. . . I F" ■
OCCUPANCY ORP. aK3 '
OCCUPANCY LOAD I118 '+
' TENANT NAME:. . . z •
Remark$I PATH I
Owner.
BEACON HOMES
P0 BOX :1368
BEAVE:R'TCN LIR 97075
Phone #I 524-1999
Contractor;
BEACON HOMES
a '
9500 SW 125TH i
RE=AVE ETON OR 97005
Phone #h 524- 1999
Reg #. ., r 70782
I.:)e..LU�)zalWy of the above rrrferenc,ed building ie hereby y:,ven, and c•ertifiprs
tt•le c:umplialnce with the State Of Oregon SpectsIttr Code!; for the group,
ul�r_ apanc 'y, and ,_lee under which the referenced pl';t- rit was issued,
r- IRE: DEPARTMENT I L L GI NSPE � R
1IUIl_bINFFICINL.
POS1 114 CONSPICUOUS PL(ILE
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�{SPBCTION NOTICE
Broil pepartaent
Citi of Tigard dl�q
13125 rw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 631.4-4175 Business Phoae: 639-4171 —
Inspection:
rooting Plbg. Underslab Mach. Rough-in Ap,?r/Sdwlk
Found. Y1D., Top Out 4a■ Line FINAL'
Post/Beam Struct. San. Sewer. Framing -Bldg. f
post/Beam Mach. Rain Drain Insulation -plumb. k
1 -Hoch.
plhg. Underfloor Nater Line O� yp• ad• r�
Date Requested& J / _� Time& AM
Addresse ILI„��' Permit
— /
t Cj O
Builder:
THi FOLLOWINO CORRECTIONS ARE RrQUIRED:
— i
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Inspector s -/ Date:_
�./ APPROVED DISAPPROVWD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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j"SPEcTION NQT'.ICE
City of Tigard Building Departarmt
13125 SW Ball Blvd. Tigard, Orogon 97223
Inspection Line (Roc-O-Phone)t 639-417° Business Phone: 639-4171
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Inspection: " 'V�'U'� ✓ L --
Footing Nlbg. Underslab Mech. Rough-in Arpr/Sdwlk
Pound. Plbg. Top Out Gas Line FTNALI
Post/Beam struck. San. Sewer ltawldg -Bldg.
Post/Beam Mach. Rain Drain [ '+ IAsttlatLon -Plumb.
Pibg Underiloor Nater LLne Gyp. Dd. -Hoch. g
D.ite Requestedt Times _ ,#JI IPM
Addresns_ //Zl Z., Permit Is
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Builder t
THE FOLLOWING CORRECTIONS ARE RIQUZMDt
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{1P Ri g' V app �- oIsAPPROVED VL,APPROVED 9UA.TECT TO XwM
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Cell For Reirssp. :
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IMSPECTION NOTICE
City 3f Tigard Building Departasut 1
13125 Bw Ball Blvd. Tigard, Oregon 9722:
Inspection Line (Rec-O-((Phone)t 639-4175 Business Phcne: 639-4171
Inspections
loAinq Plog. Underelab Nath. Rough-ink Appr/Sdwlk E
round. Plbq. Top Out O s Lino rINALt
Post/Beam Struct. SAn. sewer ram nq -Bldg.
�W� 4
Post/Beam Mech. Rain Drain <� ° � -Plumb.
Plbg. Underfloor Nater Line
Gyp. ed. -Mach.
h
Date Requested: �!� Fl �� Timed AM
Addroess-TOVIZ < 1/� lA-C1l t Permit f
Bu1Idert IS 1n (lpV1/Lt`>
TNM FOLLOWING CORRECTIONS ARE RMQUIREDt
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Inepectort Dates � ' 5.
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APPROVED DISAPPROVMD APPROVMD 8119JECT To ABOHM
-_061.1 For Reinsp. �
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INSPECTION NOTICE
I
City of Tigard Building Dopartgem-It u
13125 811 Ball Blvd. Tigard, Oregon 97223 ti
Inspection Line (Roc-O-Phune)t 639-4175 Business Phone: 639-4171 , 1
Inspection:
Footing
Plbg. Underalab Mach. L,ugh-in Appr/Sdw).k
Pound. Plbq. Top Out. Gas Lin. FINALe t
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Post/Beam atmct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain nrain Insulation
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Plbg. Undwrflaor water Line Gyp. Bd. -Mach. t {
Date Requested:_ AM PM
Address:JI& c 1 NL Permit �: �'"a—C�L_ { ' f! b!j ' ■
Builder: CC/1 ✓1�5 � t�?y-J T_ji
rM FOLLOWING CORRR!rIONS ARE RRQUIRED:
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7, 17 me, Lee
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Ins
- -- Date
I✓} Fl�G6 #:W
APPROVED _ ISAPPIIOVSD _ APPPOVED SUBJECT To ABOVE
ppuu l'
-Call For Relnsp.
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INSPMTICN NOT7 CM t
City of Tigard Building Deprrtment
13125 SA Hall Blvd. Tigard, Oregon 972
,..::. ..,., . •-. .
Inspection Line (Iec-O-Phone)t 639-4175 Business Pho
s -4171
-r_:.--!-tion i_
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Footing Plbg. Underelab Mech. Ro,_?h-in Appr/Sdwlk :
Rte_.-^"+xa!rh• - o-� t
Found. Plbg. Top Out Gas Line FINALt
POSt/54M itraO@. San. Sewer Framing -Bldg.
Post/Beam Keoh.� Rain Drain insulation -Plumb. "
Mater Line gyp. Bd. -Koch.
vstodt —Timet
Address: lrb �. �L"'V L�/r y Permit #:
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Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inepsctor:
Dater
/` APPROVED DISAPPROVED APPROVED S CP TO knon
_Call For Reinap.
_. Mr�vfkJ4M10ewwwww.rwn .w.n..w,ramewww�srww wew.,nrr,�•��._•.•,...•...,.•. .. .. - .._..,.,,,
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;.., ., •; 3N6P8l'f�ON NOTICE •," .
C1ty Of T14ard Building Departeept
13326 aw Hall Bled. Tigard, Oregon y _
Inspr_tion Line (Rec-o-Phone)r 639-4175 Businoas Phoney 639-4111
Inspection:
Footing Plbq. Underelab
Hoch. Rough-in Appr/Sdvlk
Found. Plbg. Top out Can Line
it �• FINAL:
ZN+et/Beam Btruct. sever
Framing -Bldg.
Post/Beam Meah. n Dr
Insulation -Pluab. k I
l`lbg, Underfloor (Atter Un*) Gyp. Bd. RR .
-Meeh.
Date Requested: �l f
Time: , AN PH
Address:
Builder:
M1'
THE FOLLOWING MRRECTIONs ARE REQUIRED:
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Inspecto : c J
APPROVED nrEAPPRCIVED
APPROVED SUBJECT TO ABOVE
V Cell For Psinsp,
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3 INAPECTIOM MOTICE
y city or Tigard Building Depai"Gaent
13125 BN Ball Blvd. Tigard, Oregon 87223
Inspection Line (Roc-O-Phone)c 639-4175 Business Phone: 639-4171 1,
n Inspection:
Footing Plbg. Underelab Mech. Rough-in hopr/Sdwlk
lcund. \) Plbg. Top Gu'_ Gas Line FINAL:
post/Beam Struct. Sar. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch. _
Date Requested: V(� TLme: AN �F
Address; � .�- CI � Permit
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Builder: J `£ 's;` ■
TUX FOLLOWING OORRBCTI06S ARE REQUIRED: :
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rlY f���l'u{It Maty�.+Ji
33
Inepoctur: Data: b /�
G/APPROVED DISAPPROVED APPROVED SUBJECT Tn ABOVE
Cnll
For Reinap.
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COMMUNITY DEVELOPMENT DEPAR'i MENT
13125 SW Hall Blvd.Tigard,Grogon 97223.6199 (503)639.4171
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v r 1. Y (fir TIGAR v ��k,.z»�, 3. 0 30
PERMIT `�
,yF+ COMM.UNI1YDEVELOPMENTDEPARTT4EN7 Tig(503)rc9-4t712J
(SO))6J9- 171 OATS ISSI:ED
11
JOB ADDRESS: 16672 SW Jordan Way TAX MAP/LOT
(.a,u�,,, 26 LAND USE:
SUB: B ,ford Glen --- LOT: — -----
:`I VALUATION:
I —
OWNER SPECIAL NOTES
l �
NAME: > cinH;�1;'�. to _ REISSUE OF: t 5t '.-�-------
9500 SW 125th Ave. — LAST REISSUE:
ADDRESS: _
Beaver,=on, OR 97005 -- F'_000 PLAIN/
PHONE: 524-1 a. 99 _ SENSITIVE LAND:
CONTRACTOR &Lff(OVALS RE U RED
NAME: Beacon Hanes! Inc. PLANNING:
ADORFSS: —9500 SW 125th Ave. ENGINEERING:
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Beaverton, OR 97005 FIRE OFi-T:
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PHONE: 524-1999 0111C.R:
CONTR. BOARD #: 70782 EXP DATE:. 12/93
I1EMS REQUIRED
SURCONTRACTORS: PLUMB: _ C=anb_y plunbinQ — LIST/SUBCONTRACTORS:
MECH: Muehe Oualitv Iieatiug BUS TAX:
ARCH]ENGINEER CALCULAI IONS:
NAME: Argo Pu,-hitect/AIA TRUSS DETAILS:
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ADDRESS: 16325 SW Boones Ferry Rd. 201 OTHER: �—
Lake Oswego, OR 97035 _
PHONE: 636-0755
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PROPOSED BLDG. USE: Residential
COMMENTS: _ __ --------
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APPL I C/7 T SIGNATURE
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Received By: -` ?�--___-_ Date Received:
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PERMIT 0 ACCT I DEXRIPTION AMOUNT AMOUNT PD. BAL. DUE
aY
i-v 3u'{ 10-432 00 Building Permit rees «�_ _j��
10-431 00 Plumbing Perkzi t Fees y
10-431 01 Mechanical Permit Fees G Z' s U
7 �l
10-230 01 State Building Tax (Sx) _
Building
Plumbing
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Mechanical
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10-433 00 Plans Check Fee
Building _
Plumbing
Mechanical
I
I 10 "30 06 Fire
30-202 00 Sewer Connection _
30-444 00 Sewer Inspect;vn 35 .35
25-448-02 Commercial -.Y Fees
25-448-04 Industrial TIF Fees
2S-446 .06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Oev Charge (PDCJ
31-450 00 Storm Drainage Syst Dev Chrg
(SSUC)
24-44170-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL (�'6� q ,� — lfi1,
nm/3587P.MPF
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C I'TY (:)F -FI on - RE'CE'IPT f�F" PAYMENT RECEIPT NO. :9-3--24126(
CHECK AMOUNT : C�s 1.. 04
AMF : BEACON HOMES CASH AMOUNT �, 0�'�
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DI)FtE':SS :
PAYMENT DATE 06/t4/93
SUBDIVISION
URPOSE OF PAYMENT AMOUNT PAID F11_1RF OSE OF PAYMENT AMOUNT' PAID E
UI�_r i,4G PERM 3A5. 00 Ftl.„I. MB rNG PERM 50
ECHAN I CAI... PE 40. SO ST. BUILD F'ER
LAN '...H C! FE t 0. t 3 SEWER I NSP C 1' 315. 00
_OT 26 BEDFORD GLEN
16672 SW JORDAN WAY
OTAI._ AMOUNT PAID - - - -) 631. 0/+.
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7+. .., -
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uniiiec!, ,: SAN ITARY• D o
a�enay SURFACE WATER
UfI55
N.First Ave.,5ulto21'8521
�Hillsboro,
ill boro,Or,,07124 f
CONNECTION PFRMIT
ISSUE DATE 061493 EXPIRATEON DATE 1211.93 PERMIT 1.04370
STRUCTURE ADDRESS 1.6672 PRCIJECI 1939
STRUCTORT_ 3TREE'T SW JORDAN WAY
LOT 2.6 BLOCK
TYF'f" CONNECTION— NEW OF BEDFORD GLEN PHASE: 2 •
TYPE T.NSTAI L.ATION— ( 19) BLD SWR/FRO CON/CDC ly,t`ti'
TYF'V, OCCUPANCY ( t ) SINOi..E FAMILY PARCEL 31. 16 AD 26000
QTR SEC 4716 Mil 11:1091.
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OWNI"R DEACON HOMES
ADDRESS 9500 SW 1.25TH TREATMFNT P'LAN'T 11UNIVih
BEAVER ON OR 97005
PHONE 524-1999 JURIST► KING CITY
MIXTURE E141.11VALENT D14VI.LING REcIDEN'TT01...
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UNI T'S 8KIZVICEi:. I.1NITS 0 .0 1.)NI:TS 1 ISERV:[CP: UN.1,Js I
CUNNL'C;TICIN FEES SUltl'0C:1: IJhTEF: I1F::VF:1. 0f'MI"N'1' I"'IFr,
SE*(JE f: CI)NNjE7CTION 2100 ,00 WATER GUALI:TY t80 , 00
LESS CREDIT 1 F10 . 00'.;'
WA'TEk GUANT.1TY 100.00
LESS CREDIT 0 , 00:>
j
EROSION CONTROL
INSPECTION 40 . 00
PLAN CHECK 26 .00
8UBTOTAL 2100 ,00 C3UBT1:)TAL. 166 , 00
TO'TAI,. 2266 00
APPI. NA1.11-: "PE TF"R K1.1Y'3K PIICJNC
(iF"F IL L-IATION VP
REMARKS PROJ#1939--DEDFORD GLEN 2-I. 01 # 26
X21 HOUR NOTIC1" R F'R0!3 .0 CONTROL INSr'ECTfONS REQUIRED
K �Z/ l� c•r s
11.E.I
Permit Conditions: The applicant agrees'to comply with ell rules end 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
iisuance. The total amount paid (permit fee, connection charge, line tap fee and/or other charge) will be frrfeited if the
permit expires.
T1,• Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at the
mea;urement given, the installer shall prospect three feet in all directions from the distance given, If not so located, the
insta `.r shall nurchase a "Tap and Side Sewer Permit at the current charge and the Agency will install a lateral.
6/90 WHTTE — USA, BLUE Accourting, GREEN —Inspection, YELLOW — Customer
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JUN-0 9j r I 13:56 ID71TY OF KING CITY FAX NO:503 639-3771 #800 PP05�
KING CITE
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1S300 SW.116th Avenue,Ring City,Oregon 9-imn Phone:639.1082
COMMUNITY DEVELOPMLNT
APPLICATION -OR BUI11DING tcRMIT •
(Instructions on cevorse)
DATE_ 5-1 9 q q
1, NAME OF APPLICANT* ^� f • � - ?L� c have No- 4.=A y --
ADDRESS:
ADM -SS OF PAOPOSED — g , l�
a'
2. TYPE OF CHANGE, IMPROVrC0T OR CoNs TRUCTION M WHICH :?FFMIT IS REQUES'T'ED. �p
DESi-tIBE BRIEF f - ATTACH TWO COPIES OF PLAITS OR DRAWINGS OF
PROPOSED PROJECT'
3. NAME AND ADDRESS OF OCNTRAC-'TORPHCM NO. /TqLIaNS NC- �7 72 q!5
4. NEIGHBORS WHO MAY BE AI:'F'EC'TM BY THIS FRojEc'T WILL BE NOTIFIED BY THE CITY.
s
5, APPLICANT OR HERMIS REFRESENTATIVE 941sT BE PRESENT AT THE pLANNINC3 Ca4IISSION
MELTING NEXT H= ON PHONE NO.
REPRESENTATIVES NAME --
(the finq City Planning Co fission rill aO cider colt' those applicatiaos received at leant five (S) dols
prior to a seeti
SIGNAW cE
*,t*iritirir*i�:�r*irie>ririr*iter*irir�t*x*irx ***��iririri<*1r*xxxxxx,�xirtxxx*x*i<ir�t*stir*atlr*ieiririr:t*yt***�**
APPLICATION RECEIVED BY_.- C -- DATE 5-1 q4
ABPLICABLE FEE RECEIVED 2 OT_ TOTAL � •
FEANNING CCIrWISSION DECISION: Approved pDenied —
CO MITIONS-_� cL-k-2 k C -bo
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proved applications are valid for sit months Only
Signature
L►''
Cr on saubuilders bar requires that all persons rho contract for tort On their residence be
registered lith the luildsts Board thick means the con'-actor is bonded and insured on the Job site.
por your protection, be certain your contractor is registered by calling city sell Ph: 639.1012.
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NOTE: A pern:t t must alsaa bo cl-�taineed frau the City of Tigar.' Department of }
Comrnalit,► Development Tes_--')j�_ No
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CITY OF�GAPD TN5PECTIO�F3'� �,;
The above listed project has beFn inspected and Approved__peniecd
Date, Carta_ .
T
1 Sigtature -
r:N (8u i.Fdilv9 1n�petatar, ptaa$4. one. ( 1) COCA! tv K1ng CUM)
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1 co 1-87
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