16723 SW JORDAN WAY ,.t r. rrra,,n'M'rut1R'�j� tNNkJ �'RwMwFMI+MAMN^NYNwei�eNMIMM111F1AMWMXM�'W1M' �RN!" 4kMMMMM� .�y1RWN3ruMo'WrN "'�M#V�i1�'yA'9MW:'�R s'MMf.�9�.1"y7+b s•1" •.e
1� .,.s n•�.d..
'fa. Ihs!'. .+.I yYa.,tr,llly Ilii.ul9.,. r
4
R'
Cr
r
F,
s'
d
+
.i.
•w
i
I
yr
f
,,,
a.,IW+YADI
,'}� �� rnsn=!w4"'+a+ ,w.ea,•..anr�o+rarer,�v?+d,..µw._::.,. .,esuwllltlbl�
CI1Y CSF TIGARD
j COMMUNITY DEVELOPMENT DEPARTMENT CIrRTIFICf�sE Of
i
13'2.5 SW Hall Blvd.Tigard,Uragoo 97223.8199 (503)839-4171 OCCUPANCY
PERMIT #. . . • . . . a MST9:3 *9
639--41 DATE: ISSUEDs 01/20/94
PARCEL: cS 1 1&AD--BED51.
SITE ADDRESS— . 16 723 SW JORDAN W'+'
SUBDIVISION. . . . s REDFORD GLEN Z UN I NG e
CLASS OF W'JRK. a NEW
TYPE OF USE:. . . a SFS
OCCUPANCY C3t1P. c R3 �
OCCUPANCY LOAD c 1 18 4 �
TENANT NAME„ . . e
PATH I
BEACON HOMES
9500 SW 125TH AVV
w
13EAVERTON OR 9 005 �
j Phone 01 524--1999
1)t rACON 110ME0
'3500 SW 125TH
BEAVERTON UP 97005 i
+'hone 44 524-1999
J faey 70-182
i
cicr_•UPancy of the «bore refer-ended building in hereoy given, and certifier-,�
the c:r>mrr.t i.anr.e with the State Of Ur^egon Opec:i.al,ty ::",odos for thr- qt-uup,
occupanco, and use r.lydetr which the referenced permit was issmed.
1j �
FIRE DEPARTMENT RUI I NSI' TOR
I
cU IE IF NC3I IAL
FSC ST IN C ONSP I CUOU3 PLACE
k
r
k.
t.
"t
r �
71L
City of Tigard Building Depart1MM0t
13125 aR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)c 639-4175 Busineas Phone: C39-4171
Inspections —
,s
Footing P1bg. Underelab Hoch. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gaa Line INALs
Past/Bean 8tru�t. Ban. sewer Framing
Poet/Beam Mach. Rain Diain Insulation
Plbq. Underfloor Nater Line Gyp. Bd. l -Meoh.
Date Requesteds I r 0- / —Times `""3111 PH
Address: I��� `- _ Permit I s-1 rr l•'Z 2'?
I2
Builders 1 ���L'"1'� - << 1 -��7l — •
THE FOLLOWING COMECTIONS ARE REQUIRED:
s;�.�,��%Wiz_---- --- ►
Inspector: Date
`• - r � "�S F�"SJ"1�Nt�i.
APPROVED —� DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
�. .„...'4 OW ! ficraahw.,g; est.', .ale'^ k i . i" �: sae iv ;+:+hr: .,•t :i.�mr•s � t ^ii f-s r "[
INSPECTION NOTICE j
v` Cit? 0! S11,ard Building Departasot
13125 SII L&Al Elva. Tigard, Ore7311 97223
Inspection Line (Roc-O-z'hene): 639-4175 Business Phone= 639-4171
Inspections
Foo`inq Plbg. Underslah Koch. Rough-in A.ppr/Sdwlk
Found. Plbg. Top Out G-s Line FINAL=
" Post/Beam Struct. San. Sower Framing -Bldg.
i
Post/Beam Koch. Rain Drain Insulation -'dlumb.
Plbg. Underfloor Nater Line (`Gyp. Bd._)
Date Roquestid: 11 '�
ai- Time= 1111 PM
Addrr •_ jZ 1�1�fc��i-� ( 'k( Permit 1=
'7
�-
Builder
THE FOLLOWING MRRECTIONS ARE REQUIRED=
' 4
V
.... n
V
7c{,7�+�li r� 1� ;�y,� G�yit,
p 7a n
1l+ ,
i. �pvlil T-'�St u'
Xcrm "tib '.
rte {�1'"Yi
Inspector=—� Date:
APPROVED DISAPPROVED APPROVED SUB..TECT TO ABOVE
Call For Rainsp.
�n�lrta'gA r1 yy .
.W, �?�7�.�P..:. Mu�r�.:" EN
'{ ` , ,4i'+ '
_
19
IRSPECTION NOTICE
Cit? of Tigard Building Dapartaent
13125 BE Hall Blvd. Tigard, Oregon 97223
Inspection Linn (Rec-U-Phone)It 63.-4175 Business Phon 639-4171 `••
�/ j a 4.
Inspection: �a uO y�
y
Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS ! ,�ruY
at i YAH ,r.
Post/Beam 9truat. sen. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. ;rnder:loor Nater Line Gyp. Bd. -Mach.
Date 'Raquesteds - 17 3 _Time: AM _�-PM F
Address✓�v 2 i ��,/�• - �J
�*-� Persalt r: 9'3—':n�-zz� 9 r
Builders -
THE FOLLOWING CORRECTIONS ARE REQUIREDt 5
'Q. .
Ilk
01 Y
yEn
_ tt
1 1 '
p
Inspectors � I
-�. /PPROVICD
Dates _.�_—_APPROVED bI - APPROVED SUBJECT TO ABOVE
____Call For Reinsp.
�y,a .:. -._..•,°..._.,,...•�Ir»wet'a+urrewr....,...a.,...,,�,,,c=r,.ou+�N+pyq,.wno!swrus�u++rerev.�.» -.
t
i
'u t;
IUpECTION NCVTICE
Cid of TigaM Duildinq Departissnt
1
13125 SK Ball, Sled. Tigard, Oregon 97223
Inspection Line (Rec-O-Phoneis 639-4175 Business Phone: 639-4171
k
1�
Inspections
Footing Plbg. Underslub Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Ou'.: Gas Line IINALs
Post/Beam St .uct. Ban. Sewer Framing -Bldg.
{f.
9
Post/Beam Mach. Min Drain Insulation -Plumb.
Plbg. Underllaor Nater Line gyp. Bd. -Mach.
a
Date Requ
ested: Z ` Times _ + AM PN
Address: t�( �L"J IC?`(C �{(� UJO.Lj Permit is
■
Builder: QQ_r/`I
TBE FOLLOWING CORRECTIONS,_ARE REQUIRUD:
j
Inspectors Late
,APPROVED DISAPPROVED
APPROVED AUB. CT TO ABOVL►
---Call For Reinap.
r "�r.eawmalpc4hiY11NSdChlP':iav'KM�r+f'a sem++o„:+,,. .,.,,. .
i;
:I
i
i�
jpScTjON NOTICK 10
10
City of Tigard Building Depart—t
13125 Bw Ball Blvd. Tigard, Oregon 972"
Inspecticn Line (ROC-O-Phone)c 639-4175 Business Phone: 6 -4171
Inspections_
rooting Plbg. Unders'ab Mach. Rough-ink Appr/Sdwlk
round. Plbg. Trop vut Gas Line FINALt
, r
,
Poet/Beam Struct. Sen. Sewer `�raB -Bldg. V
ay '•..:
post/Bean Hoch. Rain Drain Insulation -dumb.
n
Plbg. Underfloor Water Line Gyp. Rd. -mech.
"
Date Requesteds Time: AM --PH ,
Address �����'� �� � � (��C�1 Permit #!�
.._llderl .>
TBE FOLLOWING CORRECTIONS MM RaQUIRan:
i
x
�y
q 4l
Y
Inspectors Dates_ _
APPROVED DISAPPROVED APPROVED SUB.IECT TO ABOVR
—call For Reinap. ',. '
,4
INSPECTION NOT_
City of Tigard Building Department
13125 811' Ball Blvd. Tigard, Oregon 97223
Inspection Lire (Rec-O-Phone)t 639-4175 Business Phone: 639-4171 i
Inspections f
Footing Plbg. Underslab Hoch. Rough-in Appr/sdwlk
Found. Plbq. Top_ou Gas Line FINAL t
444
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Lino Gyp. Bd. -Necn. i
1
Time: pm
Date Requestedt
4 t v
Addreaa t t,-7 Y A,rx-V,, u-)o—L( Permit #:
J.
Builders 1 �(l��V�GI 2 IS
THE FOLLOWING CORRECTIONS ARE REQUIREDs
1 d4 .'
r�zh
r} 11 f1,de; 42
r
7
Inspect es Date
1
Inspect Date
DISAPPROVED APPROVED SU&MCT TO ABOVE
_`Call For Reinsp.
J
N
INSPECTION NOTICE e
City of Tigard Building Department
13125 BE Ball Blvd. Tigard, Oregon 97223 �
Inspection Line (Rec-O-Phooe)s 639-4175 Business P oWi 39 171
Inspections
Footing lhg. U Rech. Rough-in Appy/Sdvilk
F
c
Found. Phg `3'8g out Gas Line lIIp1L+
Poet/Beam Struct. Ban. Sewer Framing
PONt/Beam Mach. Rain Drain Insulation -Plumb.
Pibg. Underfloor Mater Line Gyp. Bd.
t
, ,
Date Requested:_ Times AM PM
I -7 J _ ,x�
Addrese c { �.l / l- <' �71 lf)-y� 7 Permit
•/fit e- 222
Builders /- � "J 1 ■
TRF: to G RRF,Cl[ONS ARE RSQUIRSDs
,
l
Inspector: `- _ Dates
PPROVED DISAPPROVSP APPROVRD SUB.1 ABOVE
__Call For Reinsp.
S
KING CITY
�e 15300 S.W.116th Avenue,Kirg City,Oregon 97221 Phone:639.4082
COMMUNITY DEVELOPMENT
j APPLICATION FOR BUILDING PERMIT
(Instructions on reverse)
DATE
1. NAME OF APPLICANT: Phone No.
-r•-
ADDRESS:
ADDRESS OF PROPOSED IMPROVEMENT_ J(P 7 2 ?
2. TYPE OF CHANGE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT I3 F-ZJESTED.
DESCRIBE BRIEFLY - ATTACK TWO COPIES OF PLANS OR DRAWINGS OF
PROFOSED ;'ROJECT' .`J ^L`
■
3. NAME AND ADDRESS OF CONTRACTOR (y1ti
PHONE NO.�,-jJ- `3qf�LICENSE NO. �z 7
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS ROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT OR HER/HIS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING CCt*4ISSION
a
MFZTING NEXT HELD ON
REPRESENTATIVES NAME_ PHONE NO.
(The Hing City Planning Commission w 11 cider only those applications receivers at least five (5) days
*. prior to a me g.)
SIGNATURE
APPLICATION RECEIVM BY DATE
APPLICABLE FTT RECEIVED $_ ` S 6-2�_ TOTAL_ _J d
PLANNING CCK-1ISSION DECISION: approved Denied
CONDIT>;ONSl�
+a roved ap'pl' ations are valid for sir months only
Si
gnatur Z n JZADate ;1
MOTE:
gon Aomebuilders Law requi es that all persons who contract or work on their residence be
registered with the Builders Board which means the contractor is bonded and insured on the job site.
Fat your protection, be certain your contractor is 1-gistered by calling City Ball Ph: 639-4082.
NOTE: A permit must also be obtained f7n the City of Tigard Department of
Camunity Development Yes No
**********************************************************************************
CITY OF TIGARD INSPECTION REPORT
7!,t! listed project has been inspected and Approved— ___Deni.ed �
Late_ _ Carmen
S.gnat.ure
(S1)tE ,; •i.nMpeata2 plea,�e A&tum one. ( 1 ) cops! #o V i.ng City)
CD 2-81
A+
P.
Citi of Tigard Building Department
t 13125 BA Ball Blvd. Tigard Oregon 97227,
Iaspsction Line kR#c-O-Phons)e 639-4175 Business Prone: 639-4171
Inspections ----
footing Plbg. Underelab Mach. Rough-in Appr./Sdwlk
ound. Gas Line FINAL:
st/Beam 8t;tsat San. Sewer Framing -Bldg.
1 /Postt�/Beam Hoch. Rain Drein insulation -Plumb.
pu lbg� Underfloor No or Line Gyp. k" -Hoch. •
Date '!kgquestedsC _Timer _ AM
Address: 7 �� it i s •=� A
p.
Builders
THE FOLLOWING CORRECTIONS ARE RRVUIRRD:
r
70
6'
Inspectors � --- _ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Rainep. !
i
r
F
INPPECTION NOTICE
City of Tigard Buildimg Departsrent
13115 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec.-O-Phone?: 639-4175 Business Phone: 639-4171
Inspection:_.
t �
Footing Plbg. Underslab Hoch. Rough-in Appr/ —4.
Found. Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rein Drain Insulation -Plumb.
Iy�/v�1 �
Plbg. Underfloor ; _ Gyp. Bd. ...Mech.
Data Requeateds I ' Times _ AM PN ,
_ , 1
Address: r 4"1l�CL Permit is Z l I
r
Builder: 4
THE FOLLOWIhO CORRECTIONS ARE REQUIRED:
Y
C.
(.- gel:.
/t
Inspector: Dute:
_APPROVED _— DISAPPROVED r APPROVED SUBJECT TO ABOVE
es 11 For Reinap.
p, :F
e�
_.�
I
v
F
MSP - JQN A.L ,
City of Tigard Building Departermt _
131'5 811 :111 811,3. Tigard. Oregon 97223 I
Inspection Line (Rec-O-Phones 639-4175 (Blusin`ess Phone: 639-4171
Xnapeotions
Plby. Underelab Mech. Rough- in Appr/Sdwlk
' Jnr• !�' Plbg. Top Out
Gas Line FTNALe
Post/Beam Struct. San. Sewer Framing -3ldg.
Port/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Natter Line Gyp. Ed. -Mach.
' s
Data Requested:_ l I
." Times AK =PM
Addreer s_ 72cry do-11\ Permit 1 t
Builders22
} 'r ,Pv, THE aOLLOWING ODRRECTIONS ARE REQUIRED:
j rr r +.k •--mss, _.
r - 12
24
la-L3
to t ;4.LV F.
�
Inspecto
Y1 l
Date:
APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Ca.1 For Rsinep
r.
.r
is
vyr;
I•
CITY OF TIGARD
COMMUNIn DEVELOPMENT DEPARTMENT
13125 BW 4411 Blvd.Tigard,Oregon 97223.6199 (603)630•+!71
A t4 L._l.
N'► .l}i qtr ",LSF'
L'1cr£up rflut'_'Y
U T UIR 111E S. . . . . . . c ) 1fI1 cu,
• I'2.1s��a1 k"'t'R 9'i . t�"t` li ...
,I..:W'._R 1..
W4aF�L:Fi: . . .
���`���h lel.it,;r?., � . u 1 ;.,,• h�'i�13�- i.i��t 3, ,�'_,a . .. ;.
1' 4;1` /F lfllrtl J1
40 JLrq I,
i
V:41,".W..i ,i
! l^ JH 1
r
l '
E
I
a
. ;r��W1'�6. nwr.., ._:It:pa G,F is�X•"::iG., ...�-.�....�
r.
URP
ww
I r
Cinby Plumbing & Heating Co.
605 NE 4th Ave.
CANBY, OREGON 97013
Fa
12--16-92
City of Tigard
This is to authorise Peter Kusyk or Rays Brock to sign
plumbing permits for Canby Plumbing INC. .
■
{
BB #33572
., State License # 3-7PB
Ben Sandsness
1462 JP
r,
I �
1
1:
�n
�r t
{
l
4
1
""`� rwtrya! rtv'enew��we+:mww�anaa,w,arNYe�xw.._�...:.«.vsarw..r.».
P►/
»iu SW HA ON& PLNCK/RECT # cl J
C1'1 1r CSF TIG"D PERMIT # M5"11-3 U2Zy
COMMUNITY DEVELOPMENT DEPARTMENT TprckOm-gon97M
(503)0 "" DATE ISSUED
2.
(P 7 3
JOB ADDRESS: 32r-Dr-'*j wA-"-( T_ TAX MAP/LOT
SUB: 15 1-V.-0 loLk-)'t-J LOT: 51 LAND USE:
VALUATION:
OWNER SPECIAL NOTES
1.t�,ivl
NAME� _ k'��-@� so-;. REISSUE OF:
ADDRESS: (T95 a v �yu� I"zS '� _ LAST REISSUE: —
y Kyt s r� '7c�o FLOOD PLAIN/
PHONE: 5 2 4 l�nc1 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
i NAME: t�'lgtMW,, t��""'r� _ PLANNING:
ADDRESS: q.57Vv 1>w I-Z ENGINEERING: —
FIRE DEPT:
PHONE: _ OTHER:
CONTR. BOARD #: -7<r7'E32- EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: tI LIST/SUBCONTRACTORS:
MECH: �'1��2�j �' J BUS TAX: _
ARCD/ENGINEER CALCULATIONS: _
NAME: tA+tNWAV---io TRUSS DETAILS:
ADDRESS: Lk-J%VC7> OTHER:
PHONE:
PROPOSED PL DG. USE: � St v.-,o Lst;r 4�,F- lL-1
COMMENTS:
APPLICANT SIGNATUR
Received By: _ Date Received:
c .
,
7
nn�•n.,.,w.RIltM7k1`.ttYli �'rsn nr:nmv ..,,., ,.,......,._....wr....... _.,........�. ...... ...,__.
PER,4IT # ACCT # DESCRIPTION WUNT AMOUNT PD. BAL. DUE
m5413-o 22 10-432. 00 Building Permit Fees
7/, .0 /- 37�rw-- I p
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees o.Sv
10-230 01 State Building Tax
Building
Plumbing
Mechanical 0 3
�5 , S3
10-433 00 Plans Check Fee --
Building 2 yqt U •
I
Plumbing
Mechanical /0./3
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Se,:-r Inspection
25-448-02 Commercial TIF Fees —
25-448-04 Industrial TIF Fees —
f
i
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees _
I
25-448-05 Mass Transit. TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
i
24-445-01 Water Quality (Fee in lieu of) _.
24-445-02 Water Quantity (Fee in lieu of)
TOTAL so
nm/3587P.W1,
RR+ rnr��r)r�l � ¢ �r71n arr 'r*rx1m -
' :;, TIM:7�7f7wr7
/i1...{. •C
'+1
wT I�
f
r!
�l
l
- C'.I-I Y OV" T I GAR0 - RECD'I VIT OF PraYMENT REC E"I PI NC]. a 93 .:.14305.3
CHECK AMOUNT 615. 99
[DDREGS
AMC:. : BEACON HOME"; (:ASIA AMOUNT 0. 00
a PAYMENT DATE OP/09/93
f,,)UBDIVISICUN
r.URPOSC OF PAYMF..IV'f AMOUNT F'nID P11f31=OSE OF PAYMENT AMOUNT PAID
. 376. 00 fI._IJMB I IV(, PERM 132'. 50alI _ Ch 40. ST. kUTL.D PER 27. 4F'
MECHANICALPE
PLAN CHECK FE 4. ;_';:s SEWER INSPECT
{
1.6723 SW JORDON WC4'
1 o I fil AMOUNT F'AI17 __ .... ._ ..-� E, l.:�. 99
{y
T't
k
r
i
IM*,T,nµ�✓=4ila � 7�x�rlMlw ge "�'�Mlpdtjt�BFM .
Am
,:.,-.R•NMlri afpMa►tl ..i, , :t^.,:cw...i�llr/wwgMpynwY:e�•: ,
4.
unlii�t�'�
sewers�ik '. SANITARYUj
d o
155 N.First Ave.,Suite 270,Hlllsborb,Oc,97124 SU RFACE WATER
503 648.8821
CONNECTl:('1'
PER14TT 1046801
IS:11Jr: DIM: 0130993 I:X01RATIOM I.Iill'I: 020594 F'RfIJE:i'.T ],908
STRUCTURE ADDRESS 11!723
STrt111;TUftl. •fRI.rr 8W .laaaAN' WAY L 0 ";1 BLOCK
TYPE CONNECTION— NEWOF BEDFORD OLEN NO ! 1.
TYPE INSTALI.ATION•-1 '. 19)' DL� $'MIFt/ERO CON/SlIC I
b1M01 E
TY _ PARCEL �;�1, 14 AD 2850TYPEOCCUPANCY—ANIOCCUPANCY— t 1 ) i'AM,X.1 Y ' i
QTR .SEr 471.E FSM 0090
OWNUR BEACON 1.10 ES
ADDRESS 9500 r3W.r 12:T�} °phi � rtuT`,ni TRF ATMEN r• PLANT kf►C Kl"I I':I.K
BEAVf R I•llN . : N1 $•, ,� Vii; ,
PHONE 524 JUftf6D n
F I XTIJRE EQUIVAL:EN1 D14Ul 1..1NO REGI IIFN'T 1 1)L
UNI'r5 3CRVirf: UNT.T r 1 C3CRVICC UNITS 1.
CONNECTION FEES ' ' ': r'4''"1w St.wrACf. WATER DEVIL 01'MF:N1
SEWER CONNI CtION � O,I ` . WATER QUALITY 190.00
LESS CREDIT 1: )80100? �
WATER QUANTITY 100100
LESS CREDIT 0, 00:,.
EROS CON CONTROL �
I
1
INSPECTION 10, 00
PLAN CI-ILf;K 25,00
, I
SUBT11TAL 2Wrion CVJBT0TAL 166,00
/ TOTAI. 2766/ 00
Arv,i. Mihir ' r:,E1•r.R KIMIK
AFF ILLIATION VP
REMARK!:') PROJ MR •• LOT 51
124 HOUR NOTICE r0R f.: ' . rITON CONTROI. 1.I45P1=C7101dS T2f: MINI'D
r. /. 'I i r
61 G 1, 111 .1
Permit Conditions: The applic nt agrees to comply with 611 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 feo end/or other charge) will be forfeited If the
permit expires.
The Agency does not guarantee the eccotacy of the %cation of side sewer laterals. If the sewer is not located at the
measurement given, the installer shell prospect three feet In r.11 directions from the distance given. if not so located, the
Installer shalt purchase a •Tap and Side Sewer'-Permit at the current charge and the Agency will install a lateral.
6/90 WHITE — USA, BLUE 4614hting, GREEN Inspection, YELLOW — Customer