16727 SW JORDAN WAY y YN'VV V*A*.—low,�ygp�p�pl� � "AIM'?•/1�`HMw� 074ro 7," � ,♦
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i CITY OFTIGARD BUILCING INSPECTION NOTICE
Inspection Lino (Rec-O-Phone): 6'9-4175 Business Phone: 639-4171 '
i
! Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdw1k
Foundation Plby. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. T(.) Out E!cc. Rough-in FINAL:
Post/Beam �Mech. San. Sewo Gia Bldg.
Plbg. Underfloor Rain Drain Framing -Plum
Alarm Water Line Insulation Mech.
Underfir. Insul. Shear Wall Gyp. Bd. -Elect. 2�`z'til
Date Requested: 1. J _Time:/ , i PM ■
Address.
ti
Builder. �'��`I _ /�i�/� �f'f Permit #:0it-C,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
s I.
Inspector: Dater—
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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1 +
CITY OF TIGARDMECHANICAL
COMMUNITY DEVELOPMENT DEPART.AENT / PERM I
13125 3W Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PERMIT T #. . . . . . . : ME0.95--0060
DATE ISSUED: 0.3/14/95
T'ARC EL: 2, 1 1 +li-}+E D52
i Tk ADDRESS. . . 1 E /c'7 `aW JORDAN WAY
,ju8DIV1SION. . . . : BEDFURI) GLEN ZONING.
BLOCK. . . . . .. . . . . . LOT. . . . . . . . . . . . . :52
CLPSSyOF WORK. . :ALI FLOOR FURN. . . . : EVAP COOLERS:
1 YPE OF USE. . . . :SF UN17 HEATERS. . : VENT TANS. . . :
-3(r'L:UF-'PNCV C:, R3 VENTS W/O FaPPL: VENT SYSTE.ME :
+ Ur;1t•b. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . .
.
f UE— TYPE.a-______-___-.-- 0__3 HF'. . . . : DOMES. INCIN:
- /GAS/ / / 3-15 HP. . . . : COMh'r_.. I NC I N o
MAX I APUT: BTL) 1.5-1-30 HP. . . . : fREPA I R UNITS: �
F"1 HE UWMPE:RS?. . . .30•-50 HP. , . . . WOOUc TOVES. . a 1
GAS PRESSURE. . . : 504- HP. CLU D IYERS. . : t
NU. OF UNI IS------- AIF? HANDLING ON 1 TCi O T'HEiR UNITS. :
1- URN t 1.00i� BTU: 10000 0-m: GA 9 OU'I LF I S. -. 1
r-iJHN 1=100K BTU: ) 11000 cfm :
Remarks : Gasline to flTepl,�ce for ya+ insert.
Owner:
F LOREO PEYTON type amortntr L, data r�eccpt
lb i . ' t;W JURL)AFV WAY PRMT 4 25. 0171 S 03/14/95 -
5PC:T % 1. 25 N 03/ 14/95 -
KING CITY OR 9/224
Phony' #: 639-1946
hunt Tactor,:
F i RLS l DE C:UNTRAC:TORS
16363 SW BOONE S FERRY RD
F1J1;'f LNIVD OR 9'7E24
664--8535 t 2,6 5 1-01 AL
Reg #. . : 40979
_--- --- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the iia= Line irisp
'Tigard Municipal Code, State of Ore. Specialty Codes and all other Final lnspvcut ion
applicable laws. All work will be done in accordance with ___� ____M_•_ _-.____,___-� �_ _ ._ _-______,__ __W_._
approved plans. This permit will expire if work is not started ____•_�____ _.__• _-�.� ..
within 160 days of issuanr-e, or 1f work is suspended for• er°e
than 160 days.
ai ► L t e e S i y n cl t u r:?
sf.red LA c
Lall for, inspection - 639--4175
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-----MAR-02-'00 FRI 12:11 ID: FAX NO: #OM P02
:ity of Tigard MECHANICAL PERMIT Planck/Rec. #_ _
I
13125 SW Hall Blvd. APPLICATION Permit # NIIEC - 5-'�010�
Tigard, OR 97223
;503) 639-4171
Table 3A Mechanical Code OTY PRICE AMM
Jobla) -��� erre , 1) l Permit Fee ^'- — 0 0- - 10.00
Address �n
Q 2) 6upplamentai Permit 3.00
�. X
l urriaceTn
Incl. ducts&vents 6.00
w Umace,
7 1 q g 2) Incl. ducts&'vents 7.50
Owner t �-- orurnanaeT-J
3) incl.vent Soo
iia-
4) or floor mounted hsu+a 6.00
- vent not InrJ.in
Occ6parr aj appliance permit 3,0
-&poor--_ ----- --- -- �apav or ha wig,r np -
6) cooling,absorption unit a^o0
h4at pump,'-O),-eoonnd
7) to 3 HF absorp unit to IOOK t;fU ,no _
Bailor or reap pump,aK co
Q� - k) 3.15 HP absorp unit to SW(BTU 1100
Contractor LUQ --ai-� - I oror comp,heat ISM p, aK co
0) 15 30 HP absorp unk.5-1 n:il BTU 15,00
7 �f THBoiler orpomp', eF at pump,ali co
h� ,G�1�_^_T`7 (� to) 30 5o NP ebsory unit 1•1.76,;:N BTU 22. 1
There Y a ow go a va mr qtr a app"an,1111811119 - Soffer or comp,heat pump,sN cn�-mg---
information given is comae&, fin,I an,014 ownar or authorized agent 11) >So HP ahso- unit 1.75 mil BTU 37.50
of the owner,that plans submined are In compliance with State ---A"rTir ming unci to—
iaws,that I am registered with pia Construction Convectors Board, 12) 10,000 CFM _ 4.60 _
that the number given is Correct (If exempt from State registration, -LTi aSapio
please give reason below,) 13) io,000 CTM a M 7.50
Ron Foi-tiEw-
14) evaporate cooler 4.60
----VenT lan conn _-
15) to a Ringte Acct 3.00
---— 1Venhlabon sy& m no
16) included in appdFnos periost 4.50
h 1) mechanical exhaust 4.50
TO-Sq, a worx new U s ,by0erabo - repair 1� �ommrirc,aT x- ►iii!
ro be done rusldondal00- rosidentiel O l 10) typo incinerator 3000
r id"rigg use off-� --y-- er i a,wvvr3s7hiv,wiiCrir- 1
bidding or property 19) heater, solar,clothes dryers,etc. 4.50
------ — -- ------- --__f_ '. -
P(opeRad lzse of j 20) Gas piping one to four outlets 2,00 rN
building or property --
21) `Aare than 4 per outlet
Type of fuel oil Q natural gas X LPG O electric.Q
Minimum Fee$25.00 SUBTOTAL r
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS,OA 5%SURCHARGE (iJ
IF CONSTRUCTIGN OR WORK IS SUSPENDED OR
ABANDONED FOE,A PERIOD OF 190 DAYS AT ANT TIME PLAN REVIEW 2S%OF SUBTOTAL
AFTER WORK IS COMMENCED
I - - - TOTAL
:excel Conditions t,L�f►YLQL'J�Q'ex LQCc-
Date lisued by
.�fLMIt
eea.d.
„,,;�,,� +,:: . •;.. - ,,:. �, ,.,.meg
MAR-02-'00 FRI 12:11 ID: FAX NO: 4088 P01
KING CITY
15800&W.118th Avenue,King City,Oregon 97°.°.3 Phone:(439-40n
,i
A 2, l>T R:TZ i rr A _ T I O N
eZ
D!TL_ `�_ _-�-_- King City Bus nnss License, No _
NAME Ok APPLICANT: ,lr'�I? _. PNONE:
ADDRESS :—
NAME
SNAM£ AND %DDRESS OF PROPOSED JOB : � - --
PHONE:
NAME OF CONTRACTOR:��1Q[�11i�! ��' y� PRONE
ADDRESS:-��.�?��_57_ �-- LICENSE NO ,
'"T-17.-0 ,QQ- 972ZY
L
DESCRIPTION -,F WORK TO BE DONE: t��C�t� �� _` .SC1�l __LKT�'. 1_� �ly�^
�G(V
FOR INSTALLATION OF AIR CONDITIONERS PLEASE FILL OUT THE FOLLOWING
AND ATTACH TO THE AMICATTON A DIAL-RA.N OF WEE1RZ THE COMPRESSOR IS
SITUATED ON THE PROPERTY,
BRAND OF AIR CONDITI'ONEb.
BTU'S : NO. OF DECIBE-:S (BELLS) :__ —
SI!'•NATURE OF APPLICANT: __ c --
"APPROVED APPL•ICAT (014S ARE VALID FOR SIX MONTHS ONLY”
NOTEOregon !iomebuilders Law requires that all. persons wl�o contract for work
on a residence be regist9rnd with the Builders Board which moans the
contractor is bonded and insured on the ;ob sit. For your protection,
be certain your contractor is registered by crlling the Construction
k Contractery Board ,it 1-503-379-+621.
----- ----_ _..— Fifa OFFICE USE ONLY — -- ---
Ar?LT_CATION RECEIVED BY_ - DATE
APPLICABLE FEE RECF'IVED CONDITIONS/COAMENTS�
_ S f7 ,a,f `l t T(twr 4
. P F?ROVED BY --- __� _ DATE.._.__.
tfote_ A permit must a _ obta_ned from the City of Tigard Departtuent r3f
Community Development Yes No
i•tt*ii•ri*:x****t**xt***Ott*ttt:itttttx�x**,rxt*rt*,rtx�r***t***,tx*�r**:t
-- — _ ,TTY OF TIGARD VISPECTION REPORT _
This protect has boen irspe.ted and Approved Den+ed
Post-It"brand Sax transmittal memo 7611 ct P-9°-' J
CoFrnm
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none r l 3 9
rail_# 1 X39
'dam :rar1 � r}moo ``
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.q. ...ice.•
r` INSPECTION NOTICE
u City of i'igard Building Department
' 13125 811 Ball Blvd. Tigard, Oregon 97223
A Inspection Line (Rec-O-Pho,ie): 6.39-4175 Business Phone: 639-4171
Inspections `
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk } '}
Found. Plbg. Top Cut Gas Line FINAL
Poet/Beam Struct. San. Sewee Framing -Bldg.
Post/Beam tech. Rain Drain Insulation -Plumb.
Underfloor Water Lin
Plbg. e Gyp. Bd.
-Meeh. I
Raquested: _t Z... Timet -4—AM PN ,
Address: L? - r --- Permit is�
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
{
`� /-�.J —
Ole-
r Inspector:y
— ----_�^.._ --- bates
APPROVED DISAPPROVED APPR(,VED SUBJECT TO ABOVE
Call. For Relnsp.
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} INSPECTION NOTICE ` I
t ' City of Tigard Building Department
137.25 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections__------- _
7ootin 9 Plbg. Underslrb Mech. Rough-in Appr/Sdwlk
i
Found. Ylbg. Top Or . Gas Line FIN
y
Pout/Beam Strutt. Sats. Sewer Framing 9•
__-Bld_g
Poet/Bemn Mech. Rain Drain insulation -plumb.
Plbg. Underfloor Watr Line , Gyp. Bd.
Date Requested: -�/�— Time: �Pli
Address: Per
)
Builder: • 7 �S_�1kv--- - 4 Ipra f"} r i)
THE FOLIANING CORRECTICNS ARE REQUIRED:
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Inspector �-� — ---_-� Date:
i
APPROVED DISAPPROVED APPROVED SUBJECT T3 ABOVE
Call For Reinsp.
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'!�S3tiRa .,, ''.,` , I, .. ::; ': ;5°t• •:+iia?r1xdx�MA�it,wadMYaldMt+ild',iMnwwtrand,... �tl� I �I,J
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F�, ,CAY OF TIFA RD WYOFTIM
COMMUNITY DEVELOPMENT DEPARTMENT anaat CERTIFICATE OF
13126 SW HWI Blvd. P.O.B 23307,r4md,Oregon 07�z+(5W)6301176 aCCUPF+Nir Y
tv
VATE ISSl ED1 10/07/92
SITE jjjj§4,+ 'JW ,JORDAN WY PARCEL: 2G 1 t 6A1)--8E.F 5,`
SUBDIVISION. . . . i BEDFORD ORD GLEN 70NIN6;
BLOCK I LUT. . . . . . . . . . . . . 152
LLASS OF WORK. oNEtd
TYPE OF USE. . . I SF"
OCCUPANCY ORP. I R3
OCCUPANCY I_CIAL!i lie 4
TFNANT NAME".. . . I ri
t.emevIt P("'TIi
Ur)ner l
BFfIC;0N WOMEN
PO Box 1368
BEAVE'RTON OR 97075
Phone #s 324•-1999
C ontratctora
BEACON MOME.S
FSC? sox 1366
13E.AvER'f ON 04 9'7075
Phone Ov i*-1999
Reg #. . : /0782
f:lvct.tpancy of the Above ref ev evil.-er.i Cis i ldinq 0. hersby yy Uer,, and vert i f i.es
the compliance with the State C.IF Oregon Specialty Cadres fo , the group,
oevupanry, Anti rase under which the rafPrenved roermit was ' asued.
_..._...w-_..�.....-._. _........._...._....._.__.._._ ..........."....
FIRE' DEPAFtMldi _._.... e!a�.et1..17.I._N_a �. N3
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P0!1i1' IN Ct7NSP T CUOU4 PLACE /
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I
Inspection:
Footing Plbg. Unders)ab Mech. Rough-in Appr/Sdwlk
Found. Pibg. Top Olt ae Line �
PINA'i t !'A' 14 ri
rltitdW
Post/Beam Struct. San. Sewer Framing -Bldg.
Past/Beam Mech. Rain Drair. Insulation
-Plumb. u
,r
Pl
bg. Underfloor Water Lino Oyp. Bd. -Hoch.
Date Requestedt �('/Z.! 9L r `G�
Time _ PM r.
Address: Z'S(7 /�Q-y` (�/n t+ S�- ?c
Permit
eullder:�_4Z��� _ /Cl y q
N
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THE FOI.LOWTNG ODTtItSI'T1UNS ARE R$QUIRF.D: �
51,
,
Inspector:_
-_- �--- Dates
,` -APPROVED DISAPFROV?D
APPROVRD SUBJECT TO ABOVI!
---call For Reinsp.
+
d
„ �
INSPECTION NOTICE
Q
city of Tigard Building Department
13125 Be Ball Blvd. Tigaru, Oregon 97223 �
Inspection Line (Rec-O-Phone): 639-4175 Business Phoue: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALS
Poet/Roam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Gndarrloor Water Line Gyp. Bd. �) -Mech.
Date Requeatel: �'Z_!7 ^��” Time: AM PM
Ar r<
Add?,880- Permit 1:
7
Builder•_ �_,1��=.� 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
t.
Inspector: -- rim
s
APPROVED DISAPPROVED APPROVED UBJECr TO A'tOVE r'
_Call For Reinsp.
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I
INSPECTION NOTICE f
City of Tigard Building Departmient
' 13125 BW Ball Blvd. Tigard, Oregon 97223
-Phone 639-4175 Bueineas Fhone: 41
Innpection Line (Rec-0 )
i
Inspection: ---• --—
Footing Plbg. Undorslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Tap Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Koch. Rain Drain -aulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. / -Hoch.
Date Requested: - `L �,_ .'f-13: AN PH
A '7 _
r'7
Builder: --- —
THE FOLLOWING CORRECfIONS ARE REQUIRED:
Sy
li
_ r
i;
t
S
Inspect �s _ Date:_
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE,
,_Call For Reinap, ri
t,.
ia5
F
e INSPECT NOTICE
Citq Of Tigard Building Department t ;
13125 SA Hall Blvd_ Tigard, Oregon 97223 4 j;
Inspection Line (Rec-O-Phone)s 639-4175 business Phone: 639-4171
Inspections
Footing Ro
Plbg. Undernlab MMh. u h
i �q N� Appr/S 1k
Found. Plbg. ::Ip Out Cast nAi FINAL:
Poet/Beam Struct. San. Sewer ^F, rasgin -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mach.
Date Reques`edt G �Z_ Times — AN PM
Kkr.ess Permit is ex�
Builder:_
THE FOLLOWING CORRSCTION3 ARE RSQUIREDs
9 a
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4
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` ',' >i zae"fir `"{�'`�'t�,��(�h•' !
nspectOY S
• � Datil!
APPROVED
DISAPPROV
SG APPItOVEU SUBJi+s`T TO ABOVE N
Call For Reinep, e + µ
L�—
INSPECTION NOTICE
City of Tigard Building Department
131<S SSI Hall Blvd. Tigard, Oregon 9;223 '
Inspection Line (Roc-O-Phone): 639-4175 Busineee Phone: 639-4171
IInspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Pl.bg Toe Out Cas Lina FINAL:
Pont/Beam Struct. San. Sewer Framing -Bldg.
M
^.,et/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor U Water Line Gyp. Bd. -Hoch.
D e R; estod: / �}it - �.�-. Time: AM _,�PM
7
E
Addreee: . c= Y - L��G Permit
Builder:
T`"E FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ���% Date:
"PROVED DISAPPROVED APPROVED SUBJECT To AEOVE
—Call For Ref-ap.
14
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 635"4175 Business Phone: 639-4171 I
Inspection: — -- '
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Bach. Rain Drain Insulation -Plsuab.
s,
t Plbg. Underfloor Water Linu Gyp. ed. / -Mech. ti
Date Requesteis 1 L2 / Time: AM PH
Address: �� "ePermit 1: 2–
:.r Builder: --- - �_ //----3—-.., 1
THE ibLLOWING CORRECTIONS ARE REQUIRED:
M — —
_ w
s
' Inspector: f//' �- Date: L
! APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cal-1 For Reinnp.
• i.
1
i
INSPECTION NOTICE
City of Tigard Building Depart—t
13125 OW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
iInspection: --
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
t
1 Post/Beam Mach. Rain Drain insulation -Plumb.
1
Plbg. Underfloor Water Line Gyp. Bd. -Mach. p .
Date Requoi ad: -�T�— Tom: 1�_Am —_PM
164.7 2- RR 1
Address: . _ ,� � sv7 Z1L�� ermlt
A Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I;
a
I
.h r,
4'
Inspector: J J Date:
G' APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
i
' �11:�tGi«*9k?IM,hY,i1r'nAa.��....:w'^:�PM�'.�4 i3 i�..w.f��w- r,, . .,,rr, .*.'w»'h.0}I'! rTM�1 «'Y9+4L��r♦�.7
INSPECTION NOT_[CE
Cit! of Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)e 639-4175 Business Phone: 639-4171
Inspection:__ -
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk k
Found. Plbg. Top Out Gas Line• FINAL:
Post/Beam Struct. San. Sewer lraming -Bldg.
Post/Beam Mach. Rain Drain Insulation -P.umb. °
Plbg. Underfloor Water Line Gyp. Bd. -Hoch. n
Date Requested: Time: _ AM _ PM
Address: J`r - ' .�- Permit is
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector: ;� _ Date:
4;
APPROVED DtSAPPROVED APPROVED SUBJECT TO ABOVE pi
__Call For Reinsp.
-
1
INSPECTION NOTICE _
City of Tigard Building Department ,
13125 BW Sall Blvd. Tigard, Oregon 97223 k..,
Inspection Line ;Roc-o-Phones 639-4175 Business Phones
Inspections I
Footing Plbg. Underslab C�ech. Rough-n, Appr/Sdwlk '
Fwnd. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer i rraaming -Bldg.
a g•
Poet/Beam Mu^h. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line G
yp. ed. -Nsch.
Datequestd: Time= AM PN
aif 71•� —�
Address: L' . LP rmit i: —
i
i
'AMR FOLLOWING CORRECTIONS An K_QUIRED:
At
Inepector:_���.j/�/�_ —J _ Dates
i—APPROVED t' DISAPPRgVED —_ APPROVED SUBJECT TO ABOVE
Call For Reinnp.
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INSPECTION NOTICE
City of Tigard Building Departemt
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineus Phone: 639-4171
Inspw.ion:_
A i
I footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PINALt
Post/Beam Struct. San. Sewer Framing -Bldg. 4 n ;'•
et/Beam Mach,? Rain Drain Insulation -Plumb. h"
Plbg. Underfloor Water Line Gyp. Bd. -Nwch.
t '
Da�aReQuestedt _ Time: _ AM
<4 , 1
Addross: 1 Y l `�� 1 .�_ _ Permit #: �L • n C)
r
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
`f
i
Inspector: / Oates
♦ __PePROVED —�_ DISAPPROVED .gre' APPROVED
SUBJECT TO ABOVE
- _—Call For Reinsp.
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NSPECTION NOTICIi
City of Tigard Building Department
13,25 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/3dwlk
Found. Plbg. Top Out Gas Line FINALt
P /Beam Struct. San. Sewer Framing -Bldg.
ost/Been Mach Rain Drain Insulation -Plumb,
Plbg. Underfloor Water Line h Gyp. Rd. -Mach.
'
Da,, Requested:--- � .� �' Tlme: PM
���^��!
At1r/ it rJ grmit
,rte tt �
Bulkier:
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspectors_ _ Date:. 7 � Z'
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-�APPROVSD DISAPBROVED APPROVED SUBJECT TO ABOVE r
Call For Reinap.
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INSPECTION NOTICE f
City of Tigard Building Departoent
13125 Sit Hall Blvd. Tigard, Oregon 97223 �
Inepe^tion Line (Rec-O-Phone): 639-4175 Business Phones 639-4171 — �E
Inspection:
i,
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
*ound. Plbg. Top Out Gas Line FINALS
ii
i
Post/Beam Struct. San. Sewer Framing -Bldg.
1 Post/Beam Hoch. Rain Drain Inaniation -Pl�unb.
k' �Plbq Vlo / Water Line
Gyp. Bd. -Neck.
DRequeated: / _IV. Time:
7�
Address r` Z _ Permit I: -76Z) 1_ 4
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Builder:--� _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L
A.
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Inspector:1
Data:
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APPROVED `— DISAPPROVED APPROVED GUBJECT TO ABOVE
__Call For Reinnp. "
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INSPECTION NOTICE
City of Tigard Building Department
13125 SIN Ball Blvd. Tigard, Oregon 9'x223 ,. ..
Inspection Line (Roc-O-Phone)s 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab. MGch. Rough-in Appr/Sdwlk
i
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. j San. Sewer rrawing -Bldg.
Post/Beam Hoch. min Drain Insulat!on -Plumb.
Plbg. Underfloor (-Water LLn* s Gyp. Bd. -Hoch.
Date Requested s �— ~ ,�' Times AN PM •
C Address �. W ermit i `� -1,0r-1-
Builder. _
TBE FOLLOWING CORRECT NF ARE REQUIRED:
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77'
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Inapoctor: �[7- 2 � S
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APPROVED —_ DISAPPROVED APPROVED SUBJECT TO ABOVE ° a.
— Call For Rei.nsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 an Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-:171
Innoections
Footing Plbg. Undorblab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
i
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Ineulation -Plumb.
Plbg. Underfloor Water. Line Gyp. Bd. -Mach.
Date Requested:_ ���Gl ���L Time: _AM —PM �
Address:r II > Permit fie
BuiIder:�
■
THE FOLLOWING CORRECTIONS ARE REQUIRED:
64
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Inspector: - "� Date: 3 Z• �� / ��
y APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
- --Call For Reinsp.
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ai
unified °
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sewerage SAN ITARY• D
NW ge SURFACE YVATER
M. First Ave.,Suite 2 8-Hillsboro, Or.,97'124
503 648.8621
CI NNEL ['IuN E'I-kMl I'
1SIS U: UFIiL U ,a6y•'
It X!:- -1.k A I I U N LtAIE V9I'y92 1.,rakm1T Iv:'36b
S I'RUC V U R E Af,DI",ESs f-4"4&472 7? F'kUUE L 1 1 vu8
STRULTUkL :1Ih;tLI L.W JU),,0fiN WAv
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I' IFE`. LUNNhL-T IUiq - NEW OF 1tLLIFUKLI LLLN NO. 1
111='E INSTALLATION- tlyr EILII SWK/EKU LUN/ ,, DC.
T 1'F'E uLLUF'ANL r -- t 1 P blNbLL FAMILY PAXULL 21-i1 It, Alt X8600
UTK SLI. 4/16 MH lbv2b
i OWNER HLALUN HUME1-•
ADDRESS F'O BOA 1 abe TREA I ML•r! 1 PLAN I LIUKHAM
BEAVLKT ON LIK Y/")-,,5 `il'KLRIi 1'11 s l
PHONE 524-1'999 . �K1511
F 1 XTLIRE EQUIVALENT IIWCLL.NL, RE,- IDLN I .IAL
UNITS atKVIL.E UNIIti UN11b 1
ULKV1l;E UNT 15 l
LUNNLC T ION FLEb SUMP ALL WWI LK ULVLLUF'MEN I F EL S
WA I LK UUALI T T 1;.tu.00
E_L_Sb LkE1114 60. UO.:• i
WA I'LR OU1414 1 IT 1 I UU .00
LESS LKE11I1 O.uV:%
4
ERCib I0N LI-1141`1<01-
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Ui4f1<UI_.1 NSFCI:. f ION 4, .00
1 FLAN LHF-.Gh,
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�b6.00
fO I AL 28c,.00
AMI'I_ NAME I'LT'C.F; I�U'o ► I, I'HtiN;. ._ .___..------ _._._
I)Fi-ILL IAT [ON HUIL11EF;
kEMNriF,b 1 �IEJ L:I�Lll! 'I cx, I ;:NI.icll IU THIS LW
*24 HOUR NO f' f CE F UK ERLl`,1 UN LUN f ROL 1 N:,F'EC I 1 UNC kl_i.;u11:LI1
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Permit Conditions: The applicant agrees to comply with all rule; 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 amountaid
p (permit fee, connection charge, line tap fee end/or other charge) will he forfeited if the
permit expires.
9i
t The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not
measurement given, the installer shall prospect three feet in all directions from the distance given, located at the
if not so located, the
installer shall purchase a "Tap
i
and Side Sewer" Permit at the current charge and the Agency will instAli a lateral.
6/90 WHITE — USA., BLUE — Accounting, GREEN —Inspection, YELLOW — customer
CITYOFTIOARD C---OFU7
COMMUNITY DEVELOPMENT DEPARTMENT �'� MASTER PERMIT
13125 BW Hrl Blvd. P.O.Box 23307,Tipvd,Onpon m7223(603)639J -5 p
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-i 1 Dr.TE ISSUED: 'T3/23/9a
Ice 79-7
9 T T E ADDRESS. . . - = T SW JORDAN WY A 1 h� C 1 ly PARCI'_I_: 25116AD—DED5tL
SUBDIVISION. . . . : BEDFORD GLEN ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :5E
BUILDING ---_...•._____._-._.__._._._.---.._.._.__.__.._......___________.
REISSUE: DWELL I NG UN I TS: 1 r HSEMEN1.. . . . . . . . 'lb f I'
CLASS OF WORK. :NEW BEDRMS:2 PATHS:2 f3ARAGE:. . . . . . . . . . :556 s f
1•YPE OF USE. . . :SF FLOOR ARCAS- ---- --- REQUIRED SETBACKS-------- ----
TYPE
ETBACKS—.---._ ._- -TYPE OF' CONST. :51\I FIRST. . . . : 1449 sf LEFT. . :5 ft RIGHT. :5 ft
OCCUPANCY GRA''. :R?, SECOND. . . -0 saf FRONT. :20 ft REAR. . : 15 f t.
STORIES. . . . . . . : 1 THIRD. . . . -.0 sf REQUIRED------________________. f
HEIGHT. . . . . . . . : 17 ft TOTAL--•------: 14413 of SMOKE DErTECTORS. :Y j ea
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 7666' PARKING SPACES. . :0
Remav-4(5 : 1='f-,'tH I I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. :0 BACKFLOW PREVNTRS. . :O i
LAVATORIES. . . . . .3 ..TER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . .3 LA.JNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . .
:0
WATER CLOSETS. . SEWER LINE (f•t ) . : i00 GREASE= TRAPS. . . . . . . :0
DI'3I(WASIiE R: . . . . : 1 WAFER LINE (ft ) . : 100 OTHER FIXTURES....—:O
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WPSHINC MACH. . . : 1 GF RAIN DRATNS. . : i
__._____________._ _________._. .._.._...__._..--•_-- FEE'S
., MECHANICAL
UNIT HTR5. . :0 type ,�.mo .'rlt by date rec--pt {
/GAS/ 1 / VENTS . . . . . :0 BPRT $ 31',4. 00 JLH 03/23/92 —
MAX INPLJT:O BTU VENT FANS. . :3 BPLC $ 23C. 6 ! 31-1.1 02/14/92 22334:3
FURN ( 100K . . : 1 HOODS. . . . . . : 1 B5PC $ 18. P"A JLH 03/23/92 —
FURN )=-100V . - :0 WOODSTOVF_S. :0 MPRT $ 36. 10 JLH 0 /-)6:2 -
FLOOR FURN. . . . -0 CLO DRYERS. : 1 MPLC $ 9. k 0 JLH V,3123191! -
BOIL/CMP ( : Iif=':0 OTHER UN175:0 M3PC $ 1. 80 JLH 03/23/9,2 -
GAS OUTLETS: 1 PPRT $ 170. 00 JLP 03/23/92 —
Qam P5PL q, 8. 50 JLH 03/2,3/92 -
BEACON HOMES
PO BOX 1368
iaEHVE=RTON OR 97075
P!tone #: 524-1999
Cont ract or:
BEACON HOMES
PO BOX 1368 �.
BE:.AVERTON OR '37073
Phone #: 524-1999
$ 844. 10 TOTAL
This permit is issued subject to the regulations contained in the ----._-- REQUIRED INSPECTIONS - - -
Tigard Municipal Code, State of Ore, Specialty Codei and all other Foot/found Insp Fireplace Inst+
applicable laws. All work will be done in accordance with approved Post/Beam Str,1.trt Gas Line 3nsp
plans, This permit will expire if work is not started wit in 188 Post/Beam Mech an Insulation Insp
days of issuance. or if work is suspended for more than .0 days. P 1 m/ands.lab Insp Gyp Boar-d Insp
/ P1_M/Underfloor Rain dt-ain Insp
F?ermitf e(� Signatutp - Mechanical Insp Writer, Line Insp
lir Plumb Top Out Appr/Sdwlk Insp
(ed S y "I,
Frami.nq lnso Mechanic^al Finat.l
Ca11 for inspection — 639-4175
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DATE: PLANS CHECK NO.:
DING CITY
' r
PROJECT TITLE:
!b,W SW.118th Avenue,Bing City,Oregon 9x224
COUNTYWIDE '
TRAFFIC IMPACT FEE APPLICANT:
WORKSHEET MAILING ADDRESS*
(FOR NON-SINGLE FAMILY USES) I ` - ,;
CITY/ZIP/P ONE:
RATE PER
LAND USE CATEGORY TRIP TAX MAP NO.:
} RESIDENTIAL $138,00 S /
BLIBINESS AND COMMERCIAL $35.00 SITUS NO.ADORES 4
E26
"RIAL 1 3.00 A0727..7 U t
INSTITLITIONAL $57.00
I
PAYMENT !METHOD:
A,'H/CHECK
CREDIT INSTITUTIONAL ONLY:
BANCROFT PROMISSORY NOTfl LAND USE CATEGORY DESCRIPTION OF USE rEEKDAY AVG, TRIP RAT WEEKEND AVE TRIP RAT
t DEFER TO OCCUPANCY aZ l U
BASIS:
Utq
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CALCULATIONS: X / x /3 G : 13� I n
/a o
rPROJECT TRIP GENERATION:
FEB:
ADDITIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY:
Transit
TIF /'F(pe, 00
PREPARE
CC: WASHINGTON COUNTY
TIF NOTEBOOK
form tif10
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KING CITY
\�
16200 SW.110th Avenue,King City,OreQun 97'224 S
Building Permit No.
COUNTYWIDE
TRAFFIC IMPACT FEE Planning File No.
PAYMENT OPTION FORM mss//, A 5�
Tax Map& Lot No.
Date 1
Project Na
I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore I
request the following (Choose whichever option or options are applicable):
Cash or Check
Credit Voucher
Bancroft or Installineni Payments
and/or
The Ordinance allows for deferral of payment of the TIF until issuance of the occupancy permit If the
TIF is greater than$5,000.00. If the TIF meets this requirement, I also request this option. I under
stand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF
will be recalculated based on the prevailing rates at time of payment. Please be advised that TIF rates
may increase up to six percent each July 1 st. This rate Increase Is not subject to appeal.
Am / ./
OWNER-APPLICANT OW R A LICANT
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CC: Bullding PennR File
!
Pevmellt Option Notebook form tifO2
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I.+f x +do- x
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1'rY QT` '1'7riACi1� RECE':rF'1' (.1F" 1'f�Y'1'If:hl'1' FtT (:F.. ri'1' hlfl. xt)r,�_i?r` U1F.�:1
(:FTS.C, AMOUNT r. 5'aA. .1 pJ I
HAM, a FSks:rac:;tlhl Wrll�i cnSf4 WMUUN T' a �
A
T)d)f4T �� � PAYME-1,11- DATE;, t�:3lht 1:'ak'
E"rUDDIVrSION n
g f,UI(r,C)LSC 13F PAYME:N f AMOUNT PAID PU114-:101-IM or PAYMEINT AMOUN'T' PAID
rf ,:C HF1Nrt�F�L. T'' 36. 00 $J; 1+U'rl_1i PER 28.'Al
I
1-01 DEI)CIAD (31 rJ4
SW JORDAN WAY
147 Z'/ _ r,. A 1
ff i cT1'f•,1... AMl1UN'r C~�pll) ...., > 594, 1 W
i
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".0 { "�r^"'.,,'_'^'�^�"'a.,""._... .-..^^!*1+�n„w.•rrte�M.w�w�w,.,.... NRMM...............
Tn't
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131?S sw H311 Mve'. PLNCK/RECT n 2 - _
CITY OF Z IGARD ��'R"xv397 PERMIT # /�� � ' z -
COMMUNIW DEVELOP,MEN'I'DEPARTMENT rga�a•orog 3 K
(503)639-41714171 DATE ISSUED `
s�
llv7 Z7
JOE ADDRESS7 TAX MAP/LOTS �
/- / l� " S
SUB LOT: _ S Z _ LAND USE:
VALUATION: --
SPECIAL NOTES
{ OWNER
1S REISSGE OF:
NAME• -
1 LAST REISSUE: —
ADDRESS:
FLOOD PLAIN/
PHONE: 6'r/9-1.7 q' _ SENSITIVE LAND:
i.
APPROVALS REQUIRED
CONTRACTOR
NAME: ��o.,. e� PLANNING: —
ADDRESS:
ENGINEFRING: ,
a FIRE DEPT: _
a
PHONE: _ OTHER: _
C%"NTR. BOARD #: 22 ,
S EXP DATE:
ITEMSREQUIRED
SUBCONTLIST/SUBCONTRA
RACTORS: PLUMBCTORS:lA4w j y
MECH: c c, BUS TAX: _
ARCH ENGIN ER CALCULATIONS: _—
i
NAME: ��� �Cc. D" TRUSS DETAILS:
ADDRESS: _ OTHER: _
PHONE:
PROPOSED BLDG. USE: ea- _— —_— -
COMMENTS:
APPUCANT Si—GOT-WE
Received By: __ ` ___ Date Received: __ _
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PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
fg.� y�_vdL 10-432 00 Building Permit Fees �U � ` ---
10-431 00 Plumbing Permit Fees -
- .�
!0-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) �—
' Cuilding
Plumbing
` Mechanical i "=� ✓ ����� a
10-433
00 Plans Check Fee
Building
Plumbing
Mechanical rc ✓
i .
10-230 06 Fire — --
30-202 00 Sewer Connection _
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees I'
r;
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees _ � _ APW
52-449 00 Parks System Dev Charge (PDC) _
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) � =
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL
02• o a tt�
nm/3587P.WI'f'