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16734 SW JORDAN WAY �. ,i. ML r ADDR.ESS: K� 1, `i � 1 Yr. �1 - I 7 hrecor.Is\microfIrn\t a rgets\building.dor Itis�A'!l,,r rv"Il �� .., � �.•AllA�1a'7a r\it� .. r-�..,�;?.. 1. 1' 7m"W' JUI J-04—'93 FPI 13:54 I Ii::CCK 1 NG CITY FAk NO:503 639-3?'71 #800 P�./ KINGCITY /Y►ST 9� . 01 �J - 13300 S.W.116th Avenue,King City,Oregon 9-,224 Phonn:639-3082 COMMUNIT' DEVELOPMENT APPLICATION FO1? BUILDING PERMIT 1 (Ins:ructioos on reverse) DATE -- 1. NAME' OF APPLICANT•`-1 4 M� rlarn�_. -�.� {,N- c c C Phrme No. y -i999 ADDRESS: '1 14 'S�✓ �'" �a�� ADDRESS OF OPOSED It�RlT11�ID1T� --�� ■ 2. TYPE OF CHANGE, IP(ROVEKENT OR CCvMJCTION FOR WHICH PERMIT IS REQUESTED. 1 DESCRIBE BRIEFLY - ATTACH TWO crPIES OF PLANS OR DRAWINGS OF PROPOSED PROJECT' l� 3. NAM AND ADDRESS OF CONTRACTOR PHONE NO- Z 11-I Tg'7—L I CENSE NO. -7 �Z 4 NEIGHBORS WHO MAY SE AF'FECIIED BY THIS PFOJECT WILL BE NOTIFIED BY THE CITY. 5. AFPLICANT OR HER/HIS REFREEZNMTIVE MIDST BE PPESFNT AT THE PLANNING COMISSION HWrING NEXT HELD ON - PHONE NO. REPRESENTATIVES NAME (the lying City planning coauission mil consider only those applications received at least five (5) daT1 prior to a meetinq. APPLI(2ITION RECEIVED BY �a -h'� �. Ti; APPLICABLE FEE FZ=IVED $ r S ��-- PUNNING COMMISSION DECISION: Approved Derded .- . CONDITIONS S U LJ �. pproved ap licatioas are valid for sir months only _ # `- �dif Date Signature_- 10TE: or on eoaebuilders Lae req ites that all persons who contract for work on their resideu=e be registered with the Builders Board which leans the contractor is bonded and insured on the job site, For your protte1on, be certails your contractor is registered by calling Citi 1111 Pt: 659-1082. NOTE: A permit mit also be obtained f.ram the City of Tigard Department of Cnmmnity DeveloptInt Yes—,)c. _ No giTy O1 TIGARD INSPECTREPORT The move listed project has been inspected and Approved Denied 1. Date_ Cannents__ - — Signature r _ (tea j"pertaL pLaa^1,e- 'rattan me 1 1) copy to King GUl) cn At 1 City of Tigard Building Department 131125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Re(.,-O-Phone)% 639-4175 Businews Phone: 639-417 cv Inspect ion: Footing Plbg. Underslab Hach. Roug -in Appr/sdwlk round. Plbg. Top Out Gas Lina FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Past/Beam Mach. :taln Drain Insulation -Plumb. � Plbg. Underfloor Nater Lina Gyp. Bd. 'x�`'• Date Requested: S r J / Times 1►M _v Address: r "SL � 1 Permit i:� Or'' Builder: TFT. IOLLOWING CORRECTIONS UIRRD: 30 4111 jIgIftn _ /�J�y.rC.riO^� AT-7�z. !N' �a L,:)iyi✓ ig c-L.9d�.r.YL..r`�Z��.� �. , Inn-actor: �/� Dater APPROVED /, DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Relnrp. r - - ----------- NSPEC'TION NOTICE / City of 74.4ard Build114 Departawnt i 13125 M Bal. Blvd. Tigard, Oregon 97223 i Inspection Line (ROC-O-Phone): 639-•4175 Business Phone: 639-4171 a Inspections �/ fLfir"c G 1_! (77 Lt ,1 Footing Plbg. Under•Aab Mach. Rough-in Appr/Sdwl'.: a_ Faund. Plbg. Top Out Gas Line FINAL: ' 1 Yost/Seem 9truct. Ban. Sewer Framing -Bldg. Post/Beam Necks. Rein Drain Insulation -Plumb. Fi Plbq. Underfloor Mater Line Gyp. Bd. -Meeh. ! ° i e TM Date Requestods_ - J -% Times AM�411,pK Addresse_/41 7 L atirmit :_1st-�)L)d Z Builder: TBE FOLLOWING RRECTION9 ARE REQIJT1tED: it P Inspector T APPROVED DI3hpPROVED _— APPROVRD SUR:TECT TO ABOVR Call For Reinap. ..._.y• Cxd;,r. XON+;'r_ •.:. -'. A 'i..;, r - .... .- "(. :cep` .,: •. ..z.. •,. .., ,.� ,. ,. °. CITY OF TIGARD . . . .. , COMMUNITY DEVELOPMENT DEPARTMENT 1.9125 SW Ha!I Bbd.Tigard,Orpon 97323sB199 (503)839-4171 0"i/04/9,. FiC►S C.1r' vi:,i{Ii. . :FiiS., 1 t r r. T"t1Al-: GOOLCr KS: .E, x..x.1 f:.. .. :�Ul=+t�1VC:Y C�I-�» . .H::y c..�„ �,, r;c'�-+.., u,-:N"r �;Y "r4;M; . (�C7#i]:�•=',^` x . . r ,. . J. ,..r i ... .'i. i,!i.. k.:r �.lid;:i I-ICJUL?;?s. x . . . . r. C ,cL TYi+ ,�;.,_.__.._._.._ .. ... F11-`. . » : i DOMES. 114"tilt cLE r i ).:.. ! I 'r• . x ! I iitli 11_.» I t�fl:I)`! +k I NPU•T's ka r,u ;wr ; ;P. , . » RD—A I R UNI" Ti.�a L;ifs Ci-•':+if`'EiF{ i ` . . :,e1 ;.4'. , .i • . r . Wil,"JI) a£5 F'!�k„,�UF�t . , . >(�*.. . . C;L.0 17F{YF'K�ti. « r 4 ,�. UF !.JNI I ; �,.I; r �H +.l i. l.. [i•�r.r iJhr; i . CJ I i'iE:f+! L.ilxdl'i »e, x URN i i td0K tV 1 1.1 c 4 4)„ ,!I Z' f'm . (:sAs ourLEM` S. . Jf"1� J ;e#1[tl]{;'� la 1 IJ: ) i 4.1:, 1414) __IIII !RlLtr"kms : INOI 6E RE Hs.r'.i NU HLOU I RLL frLF'1f rru`lF'i; y1".r aknur.,nt by ti:atr� _, ,'.34 SW . Ut"'1:1AN WAY F'fe1Yi i l y''wi. �tZ .1F{ 0�'i14h4 OR 'i :". '.0 it,7 'ri..' 'I C1•. 0q, ..TE'{ 0,15 i'I U n a #t t alit;r"4ct,)f`d ,PEC;IALTY• F•ILAIINLi (GARU OR k(.k 11e tt� M:�r. 'Yrs ..rayl:tk�:l 1C', 1.... i W I f�•.1.. 1 Il,ft=;l-rEi: T':C01741C: Nct'4A: A5 l§y1tu Su-rC�s t_ ole ("eglliatit115 CC^coined In t:1? :pard municipal Lodes `•tat? of are. Specialty Codes and all ot ,er .14icable laws. Fli'i ;mrk ni ii be done in actor`dance with ,lproved plans, This puroit scill expire if work is riot seam..ea _ __.. -___ ___w.._.M._-_-.-__-_._. .thin 180 days of issuance, +m if work is suspended for move an 182 days. Sckeodav • / _._w.._... ___ ____.._•__..._ ___........__._..._..._ V IMF t i i '�J{*` 1.y?�";'m:.�'��"'�'�y�y+'e.�'g'rx�py� ,,• �w ^m'.t�A! ,per,;:M��"'"'�;," "t�+�"�j9pCCt'" ,<... MK,� .m5rpw,. �•ryo vu C,w��,�'�� I I �!�" e CITY OF a GARD — RECEIPT OF PAYMENT" .CE I PT NO. CHECK AMOUNT n 46. 25 , NAME n SPLI-1 ALTY HEAT.i NG CASH AMOUNT o. NQ ODDRESS : PAYMENT DATU a 05 (oll4,193 SUBDIVISION n C',URPOS C]E PAYMENT AMOUNT PAID PURPOSE. OF PAYMENT AMOUNT PAID ME61-ANICii— PE_.__.__._ __ . .._2:51. 00 ST.. BUILD PER __. _ _ _.... 1. 25 I H.GCEL_t._ANEOLIS 2.0. rh�t i {I i I 'i 'I 16734 SW JORDAN WY it ro TAL. AMCH.INT PAIL? 46. 2$ �r liq }, liq l f INSPECTION NOTICE + City of Tigard Buildinq Depart— ©� �� k 13125 811 Hall Blued. Tigard, Oregon „_ .��.”9722 1" {, Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 r Inspection:_ - —' looting Plbq. Under•? rb !loch. Rough-in Appr/3dwlk � Pound. Plbg. Top CAt Gam Line FINALe Poet/Beam Struct. t)an. Sower Framing Post/neam Mech. Rain Drain insulation -Plumb. Plbg. Underfloor Water Lina Gyp. Rd. C h t Date Requested: 7/ ! `7 Time: AM • Addrq3a: ..j L/ C's Build,ar: TRE FOLLOWING CORRECTI()NS ARE REQUIRED: ,r r Ylj. M.5{691,' h Yi 1 Inspector: Dater 7_ y L_ _APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE Call For Reinap. CITY OF TIGARD CERTIFICATE OF COMMUNITY DEVELOPMENT DEPARTMENT DCC:UPANCY 13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)639-4171 " �f "(p PERMIT IF. . . . . . . a MST92--01 A 1 639-4171 DATE ISSUEDI 214/27/93 PARCELe 2SI16AD -8ED10 1 ,:SITE ADDRESS it 16734 SW JORDAN WY 4 SUBDIVISION. . . . a BEDFORD GLEN ZONING: BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . 110 CLASS OF WORK. I NEW TYPE OF USE. . . I SF OCCUPANCY t3RP. a R3 OCCUPANCY LOAD 1 1 1 7 4 TENONT NAME. . . a vc-m.ir-ksr Pir)"m I BEACON HOME'S PO BOX 1368 BEAVE:RTON OR 970% Phone #1 524--1999 Contrac L•or I BEACON HOMES 9500 15W 107174-1 BE;AVEPTON OR 937005 Phone MI 52,4- 1999 Rey #. . v 70782 Occupancy of the above referenced building is hereby given, 10,id certifies the compliance with the State Of Oregon Specialty Codes for he group, occupancy, and use under which the referenced permit as issued. FIRfi DEPARTMENT IL DING �'PE:CTOR EtL IL I FFICIAL POST IN CONSPICUOUS PLACE i ti s� INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection s— --�---- —, ' p Footing Plbg. Underslab Mech. Rough-in Appr/Sdalk. SPY. Found. Plbg. Top wt Gas Line FINALS r Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Ream Mach. Rain Drain Insulation -Plum`:. Pllig. Underfloor Water Line Gyp. Bd. -Koch. Date Requasted: c L� �. Time: AM PM Address: Permit f:Ltz Builders -- --_ O TBS FOLLOWING CORREC :nNt' ARE REQUIRED: G � t A y; Inspector: -_- --`— DatesX__ --- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE / __ -Call Fnr Reinnp. L.� I _ W1Y ' INSPECTION NOTICE City of Tigard Building Department t 13125 SW Ball Blvd. Tigard, Oregon 97 I Inspection Line (Rec-o-Phone): 639-4175 Buoinnas Ph ne: 639-4171 Inspection: A r Swl.k plbg. Underalab mech. Rough-in Pp d / t rooting i Plbg. Top Out Gas Line FINAL= Found. r Framing -Bldg. poet/Beam Struct. San. Sewer post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Undertloor. Wetsr Line Gyp. Bd. -Koch. ' -y'-� TIMI — PK Date Request Permit Address& „r Buildor& ��-�-�� = • TIM FOLLOWING CORRECTIONS ARE REQU?&tED: 'r I Y Y N(� h �- — i a CX! Date: / ��,� �},r' Inspector: I ri APPROVED DISAPPROVED) APPROVED EUBJBCT TO ABOVE R v call For Reinap. I 1 �l. Yal Y / 14•+ Y , P • E S� f T INSPECTION NOTICE City of Tigard Building Dop--tent 13125 SW Ball Blvd. Tigard, Oregon 97223 Imipection Line (Rec-O-Phone): 539-4175 Business Phone:�-39-4171 Inspection: Footing Plbg. Underslab Mech. Rough--in %ppr/Sdw1Y. 1� a;- r,•" Found. Plbg. Top Out Gas Line FINALS Poit/Beam Struct. San. :ewer Framing -Bldg. J Post/Beam Mech. Rain Drain Insulation umb- Plbg. Underfloor / Water Line! Gyp. ad- -Mach. ' Date RIequest d: �/ �� `,c�. _ ., '�•� AM Addree(e:, O / _ Permit / X71 lil— Builder: xs�y THM FOLLOWING CORRECTIONS ARE REQUIRED: 1 t{ Inspecto a — Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. r M 1 r . INN. v I W'.U",Ar" INSPECTION NOTICE ✓� ,T.v.J City of Tigard Bui ing Department 1 13125 SW Hall Blvd. Tigard, Oregon 97223 lwrda,. , Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 t Inspection: Footing Plhg. Underslab Hoch. Rot.gh-in Appr/Sd;, Found. Plbg. ToDt Gas Line FIFAL : { Post/Beam Struct. San. Sewer Framing -Bldg. :.} Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor. Waters Line Gyp. Bd. -Mech. Date Requested:- Zl'- - Time: AM PM Address: fes, - - ' - LQe L Permit f: J 11 u!_ y G7 Builder:_j _"�G� t THE FOLLOWING CJRRF. ONS ARE REQUIRED: i WO7 Inepechor: .�� Datas f/ APPROVED DISAPPROVED APP IOVED SUBJEM TO ABOVE; Call For Reinap. ,c L6� - r, I J Z' k 4 INSPECTION NOTIC. City of Tigard Building DepartAwAt 13125 SW Ball Blvd. Tigard, Oregon 9724a Inspection Lone (R,,c-O-Phonc`: 639-4175 Business Ph ie: 639-4171 Inspection:_ —. Footina Plbg. Underelab Mech. Rough-in Appr/Sdwlk Pound. Plbg. To Gas Line FINAL: �I a Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line Gyp. Rd. -Mech. Date Re ee od: 2)�-� Time: AM __PM Addceee: Permit #s _ j Builder: ■ THE FOLLCMING CORRECTIONS ARE REQUIRED: Inspector: Dat % f _^ APPROVED DISAPP 3D APPROVED SUBJECT TO ABOVE L Call For Rein.-p. �i �i 1 ' 13; M t'' 17 • I r INSPECTION NOTICE City of Tigard Building Deprrtnnnt _ 13125 SH Rall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639--4175 Buainese Phone: 639-4171 Inspection:—__ -- Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. F`bg. Top Out Gas Line FINAL: i Poet/Beam Struct. San. Sewer Framing -Bldg. Fl e Beam Mech. ^ ' Rain Drain Insul.ttivn -Plumb. Plbg. Underfl^or Water Line ryP. all. -Mech. ��Date Requt+atads �/� �U ! �� _Timet —_ AN •M { Addreset — - Permit t Builder - Gl! -- -- -----.— -- f � i :HE FOLLOWING CORRECTIONS ARE REQUIRED: v � i .v� Inspector- - -- Date APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. --- jr .,reYlaRWwaeuwrua,....„._......._..._ _-......-. ..................»r..wyw , ,i v n , Xj§PECTION NOTICF. �� orb City Of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 r; Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 inspection: 3 Footing Plbq. Underelab Mach. Rough-in Appr/Sdwlk r Found. Plbg, Top Out .tae Line FINAL: Poet/Beam Struct, San. sewer Framinc, -Bldg. Poet/Beam Hoch. Rain Drain ILNU1'AtiOn -Plumb. ?meq. Underfloor Water Line Gyp, Bd. -Hach. ■ Date Aegaee :_-�_�� Time: AM PN /(f 7 Address: L �l Permit :` _=� _ l e i �j) - b Builder:-----(.-�! 't- /) L ` ■ TBE FOLLOWING CORRECTION. ARE REQUIRED: �i a � d ;r. Inspector:� — �,- Dete:��- -APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp, t° E , r ^4 � e �INSPECTION NOT CE x � City of Tigard Building Departaen/ 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O_.Phone)s 639-4175 Business Phones 639-4171 Inapectiont Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Trp Out sae Line FINALt p' Post/Beam Struct. SnT Bawer- Framing -Bldg. Poet/Beam Mech. Rain Drain�' Insulation -Plumb. Plbg. Underfloor star a Gyp. Bd. -Mach. Date Re J quaetad Times AM C` "._XT IpM AddrAsss � J �' j �� (f`7 Permit ,: Builders_ TRE FOLLOWING CORRECTIONS ARE RE(NIREDt .1 i M r fp Y, WN 14 _ Inspectorr ��`•^ --___ bates�_�,�� yam. ,•� / APPROVED ( 7 _ DISAPPROVED APPROVED SUB JRCT TO ABOVE Call For Reinap. fr y, y d'd I+ S. 4FCtlW.7M5'�%R+VNAM+.At�nV++vreCw�+ws+ru ..na..•m.•. ... »-..., ,.m r.. *?„ '`+�, 'r ., i INSPECTION NOTICE City of Tigard Building Department 13125 SM Ball Blued. Tigard, Ozegc:n 9722 / Inspection Llrt (Roc-O-Phone): 639-4175 Business Phon 9-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. / Plbg. Top Out Gas Line FINAL: _-1 Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. } Plbg. Underfloor Water Line Gyp. Bd. r -Meeh. / Data Re et d r G' 2-- G� I • a�. �(�, Times AM PM (( _ p Address: -� - � 't- C' Per:di�L�1's 11•q BuUdert THE FOLLOWING CORRECTIONS ARE REQUIRED: yqv S1�n' „t m 1a'ti ' f f �.- r Inspec�: Date: z �. � --„�--cam-� �. __APPROVED DISAPPROVED APPROVED l4UBjRCT TO ABOVE T Call For Reinsp. v r jr dry. A f.. r IIS '•si �•s��`4•w 1.�s,m �! .-n t�5. ;F-; .�;;.,-,� 5$'X+,; �" ''a �tJ,f _y� 'I 1i 'lt' n ai ; CITYOF TMASTER PERMIT CITY Ti m COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : N:jT92-011'1 a 13125 SW Hrl Blvd.P.O.H"23397,7OW,Or@00n 97223(500)639.4175 h SITE ADDRESS. . . : 1*ems_ _ SW JORDAN WY PARCEL: 2S 1 16AD-BE:D 10 � SUBDIVISION. . . . : BEDFORD GLEN ZONING: P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 10 j BUILDING REISSUE:MSI 9E-0060 DWELLING UN•1 TS: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BE DRMS::3 BATHS:2 GARAGE:. . . . . . . . . . ..467 s f TYPE OF' USE. . . :SF FLOOR AREAS-__._.___.__-. REQUIRED SETBACKS-----_---_ TYPE OF CONST. :5N FIRST. . . . : 1894 sf L.EF T. . :5 ft R I GHT. :0 ft I a OCCUPANCY GRE'. : R,3 SECOND. . . :0 sf FRONT. :20 ft REAR. . : 15 ft STORIES. . . . . . . : 1 THIRD. . . . .0 sf REQUIRED--- HEIGHT. . . . . . . . : 17 Ft TOTAL----•--: 1894 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . 'b : 95530 PIA RKING SPACES. . : 1 ■ Remarks% PATH I PLUMBINC: ---------------------------------------- SINKS. . . . . . . . . . : 1 __------------- -----------_-.__-___- SINKS. . . . . . . . . . : l F1-0011 DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . :3 WATER HEATERS. . . . 1 TRAPS. . . . . . . . . . . . . . .0 l TUB/SHOWERS. . . . :3 LAUNDRY IRAYS. . . :0 CAT'CI.1 BASINS. . . . . . . :0 j WATER CLOSETS. . :c SEWER LINE (fc) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE ( ';t ) . : 100 OTHER FIXTURES. . . . . :0 � GARBAGE DISP. . . : 1 RAIN DRAIN ift ) . :0 1 WASHING MACH. . . : 1 GF RAIN DRAINS. . . 1 ---------------- MECHANICAL_ _ -___..____.__._.__._- -----_..___-----..__.__.__- EELS FUEL TYPES---------•----• UNIT HTRS. . :0 type amol-tnt by date recpt /GAS/ / / VENTS . . . . . :0 BPRT It 4,='_1. 00 JH 10/05/92 - hIVIX INPUT:0 11 TU VENT FANS. . :3 B.'LC $ 40. V10 J'LH 08,114/92 230 � FURN ( 100K . . . 1 HOODS. . . . . . : 1 BSPC $ 21. 05 JH 10/05/92 - FURN ) =100K . . :0 WOODST'OVES. :0 BPLC $ 15. 00 JH 10/05/92 -- FLOOR FURN. . . . :0 CLO DRYERS. : 1 MtSC $ ;35. 00 JH 10/05/92 -- BOII_/ChIP ( 3HP:0 OTHER UNITS:O NPRI 1, 36. 00 JH 10/05/° " - GAS OUTL.ETS: 1 MPLC $ 9. 00 JH 10/05/92 - Owners -- .__.________.___.__ _.__._.__..___._._..._.__.____ MSGC $ 1. 80 JH 10/05/92 - BEACON HOMES PF,FT $ 1;3::'. 50 JH 10/05/9 F'O BOX 1368 P5PC $ 63 JH 117 ' X5/92 . . BEAVERTON '')R 97075 Phone #: 524•--1999 Contractors BEACON HOMES PO BOX 1368 BEAVERTON 00 97075 Phone #: 524-1999 Rey #. . : 70782 t 717. 98 TOTAL This permit is issued subject to the regulations contained in the --- ---- REOUIREL INSPECTIONS -- --- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol_md Insp Fireplace Insp applicable laws. All wurE will be done in accordance with approved POSt/Beam Strutt Gas Line Insp r plans. This permit will expire if work is not start1d within 180 Post/Beam hlectian Insulation Insp days of issuance, or if work is suspended for mar han 180 days. Plin/tIndslab Insp Gyp Board Insp PLM/Under Floor Rain drain Insp Permittee Signatl-ir � Ihechaniccal Insp Water Line Insp 1: lumb Tap 01_it Appr/Sdw1k Insp Issl.ted By : Framing Insp Mechanical Final Call for, inspection •-- 639-4175 L -J w 1 H� 06%13/92 14:2. ' 603 684 7297 CITY OF TIGARD_ I�001/001 CITY OF TIS t�tasswH.uetia. PLNCK/REC7 Y •_�__��7� . COMMUNnY DEVELOPM LENT DEPARTMENT ,rye or.p a o7U3 PO Box 23397 PERMIT rY S (SOJ)U9�17t DATE ISSUED JOB ADDRESS: l ZSR I bra JQt&n way TAX MAP/LOT 15Z /0 fBedford Glen , I SUB: _ LOT: la _ LAND USE: z II ,; VALUATION: 1�5 SPECIAL N0I-ES NAME: Beacon Hanes, Inc. REISSUE OF: x'!15 - o G ADDRESS: _,0. Box 1368 LAST REISSUE: 1p Beaverton, ore. 97075 FLOOD PLAIN/ PHONE: -1 524-1998 Fax SENSITIVE LAND: i CONTRACTOR APPROVALS REQUIRED NAME: Beacon Hanes, Inc. PLANNING: ADDRESS: p_ o_ VQN 1368 _ ENGINEERING: Beaverton, Oregon 97075 FIRE DEPT: PHONE: 524-1929 OTHER. CONTR. BOARD N: 70782 EXP DATE: _a ITEOS RIOUIRED MNTRACTORS: PLUMB: _y&bt�Plumbing LIST/SUBCONTRACTORS: ` Plumbing— MECH. _ Nfiiahw �01ity Heating BUS TAX. 1 i - ARCH/ENGINEER CALCULATIONS: i NAME: Arcic/Architect/AlA TRUSS DETAILS: ADDRESS: 16325 Sw Boones Ferry Rd., Suite 201 OTHER: -- ---ko ,rasm, ;gon 97035 PHONE: 636-0755 PROPOSED BLDG. USE: giesirienl7jal ,... _ COMMENTS: Y L f� I APPOCANr SIGNATURE Received By: Date Received: 1 1; PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 1 1� � 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees Z 7) _ /3 u 10-431 01 Mechanical Permit Fees �� ` �� y .3(0,vu 10-230 01 State Building Tax (5%) /J Building Plumbing ' Mechanical I, s 10-433 00 Plans Check Fee / Building U ' 13 Plumbing Mechanical _ ! 10-230 06 Fire 30-202 00 Sewer Connection 30-444 00 Seer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-443-n3 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (POC) 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 nm/3581P.WPF I i •".. .: -,., , .- .. .'�'�;`i`Af4�N`r�?9,'d'�' ..,. :. .. ia�SVNaAeattMeeavt„wwM.c-,a+ns+w,.wM+! '! TIGARD u� OBox2 a awe. PLP�CK/RECT # CITE' OF �'O°°x�J97 PERMIT # COMMUNITY DE'VELOPMEN'C D111'ARTR'ENT Tignrd,Oregon 97223 (503)639.4171 DATE -ISSUED �I I • JOB ADDRESS: TAX MAP/LOT _ I SUB: LOT: LAND USE: VALUATION: OWNER SPECIAL NOTES • NAME: REISSUE OF: _ ADDRESS: _ _ LAST REISSUE: FLOOD PLAIN/ PHONE: _ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: PLANNING: ADDRESS: _ ENGINEERING: FIRE DEPT: —_ PHONE: _ OTHER: _ CONTR. BOARD #: EXP DATE: ._ +tiM ' ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: MECH: _ BUS TAX: ARCHANGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: � PHONE. PROPOSED BLDG. USE: COMMENTS: — APPLICANT SIGNATURE Received By: _ _ Date Received: E 4, ' ., .i&�''��'�G�"RpgT+ MMtt�D+A�7iMee w.n.. v,.ew,t...:,.nrNw"irt.-+nN.x=::... ,....r„.n • ... .:.........m..,.-,,,....w .;.. nH�k'lM+h�?},4;".�''t, ... .. 1 ilr F S I! t p i CITY OF "fICiARo RECEIPT OF F:'AYME'NT RECEIPT NO. @ I. NAMI.' I�CWC"IN HOP►N�i C HEM AMOUNTa 6 77. 98 ADDRL-•GIci a 1905 NW 169TH PLACE GAUH AMOUNT : 0. 00 8FAVE::RTON, OR PAYMENT DATE a 10/05/9p SUBDIVISION a -PURPOSEr' OF PAYMENT AMOUNT POI D PUR'C'OS E OF f'4aYMf<'14T HMUl.1NT PA t D _ - - -•-M..,_._.._�....._._..... __ 1 M�ihc—fh1�I 4cI . 00 F�I._UMBING PERM IIEwDiANICAL. PF 36. 00 S;1'. AUIL D PER 50 V'L.f--'FN CHECK FE c, .�...__..� 29. 48H 4. 0th '3PWFR I NSPE�CT 3s. oeo 1 "kl 1 TOTAL AMOUNT PAID 6 7'i V. 11 Fa ; • j j r, 1 ,• _,. '.PR..r>..7Nry,rpr.rn,..m -.rcC...N..:.n .. ,.. h" hpie,I SAN0 0 sl3wer�eITARY• �e �" y x ,24 SURFACEMATER r� a v9:,Suite 2 , ..503 848.8621.: d, ONNECTICiN PEf�MIT a' r IAS UE X0592 .µ EXPIRATION NAIL' 040393 PERM 11' 103269 �TRUCT k,1q'DRESS -"53r7-'Ke 73z/ PROJLL'I 1908 $TRUE„ > 'OEET SW JORDAN WAY L LO'f 10 BLOCK ;TYPE ON.- NEW DFOxD GLEN NO. 1 TYPE , ', ' ,TIOW C 19) kD' SWR/ERO CUNT SLiC TYPE A . X �1 GINGLC F'AKILY PARCEL 201 16 Ali 2,v400 ' GTR SEC 4716 MH 18026 w OWAR Rl�c� ADDRE '' d 1/,97 ; ;l.,QCE f EAT!?11:HtKIIANT DURHAM i SJh , } Tll� + J 4 qR 'q 7006 ' ( `;t '!"tt;Y1 w JUkIS>i DURHAM PHONE '.'.I24gr1 ►99, Ir k"{ '"� ..-------- ..-- � IXTURF'`'', �r'; i~ ~EgUIVA�.ENY -DWELLING _" - -- RESIDENTIAL UNITE :o` `� SERVICE' UNITS O.0 UNII•;i 1 SERVICE UNITS 1 ON FEES SURF ALE. WATER DEVELUPMENT F LLS f' WATER QUALITY 180 .00 LESS CREDIT 180.00: WATER (]Ufm I•I f Y 100.00 LESS CREDIT < 0.00:J EROSION CONTROL J INSPECTION 40.00 PLAN CHECK 26 .00 SUHTUTAL 0.00 SUBI'UTAL 166 .00 TOTAL 166 Qv r APPL NAME PETER KUYSK PHUN.. 1�,�� _•- AFFILLIATION VP 4 REMARK$f�PRQJ01908—BEDFORD GLEN—LOT # 10 *24 HQ id (3 ICE FUR "ROSIUN CONTROL INSPECTIONS REQUIRED I C' ':,e;R:. ,.144., Permit,iCondit ions ':r The appficent egrees'to comply with all rules and regulations of the Unified Sewerage Agency. When telling for an inspection, please refer to the Permit Number. The Permit expires one hundred eighty (190) days from the date of issuance. .;The,total esnunt paid (permit fee, connection charge, line tap fee and/or other charge) will be forfeited if the permit 4xpency1 �s , The A doe not g y guarantee the accuracy of the tocetloii of side sewer laterals. If the sewer 1s not located at the measuresent' yyivan, the installer shall prospect three feat In all directions from the distance given. If not so located, the Install 4) urchase a 4T4p and Side Sewer' Permit at the current charge and the Agency w111 install a lateral. r xis'x,, ...1. .:.. °� , t•i 6/90, ' ", 1PHITE - UBA, BLUE - Accountini, GREEN -Inspection, YELLOW - Customer :ve.