16738 SW JORDAN WAY �ti� ` t,���{IiF�I�����, � ,i.. t R. �, � �wit�.At;�+`i�7NJf. �`24�Gd�Ma'�dWS ,y�y.n•.v r ,..+cY . . �. " .. �h '
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INSPECTION_N-TICE
City of Tigard Building Departmn_nt
10 M' '
11'1251 Sit Hall Blvd. T qard, Oregon 97223
-4M
' Inspection Ly'e (Rec-O hors): 635-4175 Busineas Phone: 679-4171
Inspection:.
Footing Flt j. Underslab Mcch. Rough-in Appr/Sdwlk
Found. P2bg. Top Out Gas Line FINAL: W.
lost/Beam Struct. San. Sewer Frar i.,y -e!.dg.
,,out/Beam Much. Rain Drain 1-.eulation -Plumb.
Pibg. Underfloor. Water Line Gyp. Ed.. L -Meeh. t
Date Requested: ~ l �_ �I_`-_'Tlme= -�AM - 'PM .
Pocmit f•�,
74
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( Bu i ldeir �
THE FOLLOWING CORRECT''iONS ARE REQUIREDt
s
Inepectore _ Dates -
'✓I APPROVBD DISAPPROVED APPROVED SUBJECT TO ABOVE
s�tir�►w-r,w ,vUs�� _, _-.all For Reinsp.
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CITYOFTIFARD
MY � PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPAMENT oaamuon PERMIT #• • • • • • • a PLM93—Qr�r7
RT
+13126 BW F WI Blvd P.U.Baer 23307,Tiprard,Oregon 07223(603)630-4176
C !
�T 3
SITE ADDRESS. . ,. ; T215iS tjW JURDAN WY, PARCELa 2BI16AD—BEDS
SUOD I V I S I ON. . . . BEDFORD GLEN - i6#1 �r � � ZONING:
BLUCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :9
CLASS OF WORK. . :ADD GARBAGE: DI SPOSALS. . n MOBILE HOME SPACES. :
:
]YPE OF USE. . . . 1:3F WASHING MACH. . . . . . . a BACKFLOW PRE.VIVTRS. . : 1
OL;CUPANCY GkF'. . P,:; FLOOR DRAINS. . . . . . . n TF(APS. . . . . . . . . . . . . . a
SI ORIES. _ . . . . . . : 1 WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . :
FX"TURES— __._..___.---__......_........ LAUNDRY TRAYS. . . . . . ; SF RAIN DRAINS. . . . . a
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GRE ISE TRAPS. . . . . . . .
LAVf.IORIES. . . . .. . OTHER FIXTURES. . . . . :
TUB/SHOWERS. . .. . : SEWER LINE (ft) . . . . :
WATER CLOSETS. . : WA'TE'R LINE (ft ) . . . . r e
}Iti14Wf=1SHERG). . . . : RAIN DRAIN (ft) . . . . :
Ftemar,ks: SPRINKL.E.R SYSTEM
FEES
SIMONSE.N type amor.rnt cute reept
12513 SW JORDAN WAY PRMT t 15. 04- J 03/0 :/93 —
5ePC'" t 0. 75 !H 03/02/93 — I
KT ,. C1"fY OR 9722,4
tlhone #:
S fEVENSON & ASSOCIA•TES, INC
PO BOX 1355
TUALA-11N OR 9'706c
I'Ihnna lk; 69- 2-6636 t 15. 75 IOTAL
Reg dl. . ; 5650
_._....._._.___ RE"JUI vi:'D 11ASPE:C1 I ONS
This permit is issued subiect to the reou]atiuns contained in the F" inaI InsuractIOn
Tigard Municipal Lode, State of Ore. bpecia]ty Lodes and all ot�er
applicable laws. All work wilt be done in accordance with
approved plans. ]his permit will expire it work is not started
within 180 days of issuance, or if work is suspended for more _
than 188 days.
I u m.rt.A,ue SiynatLa,e :
Call for inspection - 639-4175
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CJ-W. Alyli"HIAT c 154
IQAIll 17" STEVE?N,K1J�ASSUC r A144 AMl)(JPd f' 0. 00
PAYMLNT DATES i 03i2*":i9,�
�I ^' rhURPUblt CW PAYMENT AMOUNT PAID I"URP(7 A-1— OF PAYMENT AlIC.)1NT Pfi I'f.) '
11 ___...._..,�._.. ......,...__. ... ,.... �. _. . ._
'� I F'(._uMI?h1NCti 1�C.RM t:'a. 00 ST. BUILD PER 0. 7'5
13 SW JORDON WAY
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MAP-01-193 MON 14:27 I1):CT7 KING CITY FAX NO:3O3 639-3771 #580 PO1
- Post-It'"brand fax transmittal memo 7671 10 of page■
TO From 1
CITY K, .
KING � �_
Dept. e f
F.KN10.3 3
15:100 S.W. lltith Avenue,King City,Oregon 97V4 Phone: MK x 7-7�$t I — ,� � �_.
COMMUNITY D _ -1
APPLICATION FOR
(Instructions on reverse)
0SG't' Probe No. -f;
1. NAW- OF APPLICANT: __S- �1/ i/J
A'u^RFwyS
Ai;'JR,ESS OF PRDPOM IMPR '�T ■
Il4'ROVIal1.3IOR AaIST- jiaq FOR WHICH PERMIT IS REQUEb''I'E'D-2. TYPE OF C�IANG'r.., COPI1NS OR�INGS OF
A$Sl�IF3E gRIF�'T,Y ArT 5 WAJ
PROPOSED pRO,TEX.'I' -- ,� c
1 _ f,
3 .� ! �� PHONE NO. 2 6 .LICENSE NO.
1. tIEIGTiBOR5 WHO MAY BE AP'@'ErM BY THIS PROJECT WILL BE NOTIFIED BY THE CITY
5. APPLICANT CR HER/HIS REPRI 'A INE hAJST BE PRESENT AT THE PLANNING ccWISSION
METING NEST HELD ON .� � PRONE NO
REPRESENTATIVES NM4Z
(The King Cit) Planning Comi7�n—wl
i' Er Call those applications received at least five (5) dais
prior to a eeetiog.)
SIC�NATURE
APPLICATION MEIVE)
APPLACAA f37f
• LE FEE RECEIVED
pLF,NNINO CR`RdISSION ECISION:„Approve i_
.. Den
g/pND TIS' S
Ap to d applteatianlare valid for r DC hs only
Date ��
Signatur
NOTE':, [eq n aoDbui dere bact eV requires that all persons Who contrr Word oa their resonance be
registered With the Builde[s Board Which Deans the contractor is bonded and insured an the job site,
Po[ your protection, be certain your contractor is registered by call.'g City Ball Ph: 619-4062,
i
NOS: A permit Rust also be- obtained from the CiaY o of Tigard Dep-..rtment of
C:amnn-it y i�,el�t yes _-
*
-- _ - CIT)L OF TI Vii-9CTION REPOR
The above listed project has been irLspecte:i and Approved _J)enied— —
Date, Comreent3 --- ---
( ld i In bps�,tn�, pP.,a&6c, A&ttann a+o (1 copy #4 Q
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AR-01-'93 MON 14:28 ID-� OF K G CITY FAX NO:503 639-3771 0580 P02 I a
v N VIM -
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• ---- -. �&A__� Cl . IATES , INC .
STEVENSON
LANDSCAPERS, NATURALLY
F'n BOX 1355 11JALATIN , OR 97062 LICE"ISE# 5650 (503) 692 -6636
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INSPECTION NOTICE I �
City of Tigard Building Deparanent CffC .,1
3 .13125 SW Ball Blvd. Tigard, Oregon 97223
Inspe-tion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
i
�+ Inspection:
t booting Plbg. Inderelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:4 `2_ __Timer
., L I
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Address:
;
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Builder: ��
1•
THE FCALLOWT!M CORRECTIONS ARE REQUIRED:
Ole
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1
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Inspector
— Date:
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_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE k
Call For Reinsp.
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CITYOFTIGrARD
COMMUNfYV DEVELOPMENT DEPARTMENT oaaon t;f:i2+ i! a c<<�i r OF
13126 8W FWI BML P.O.Bac 23307.Tlpwd,Orrpai 07223(6031&W4176
(039--417.
112 �' s'
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:a I TE ADDRESS. . . a lryri l SW JORDAN WY PARCEL_i 2T) D--•AED9
tiUFiDtI/V I S I ON. . . . s BEDFORD C:aLwN N 7..(]ISI I NG e
HL_OCFt. . . . . . . • . . I Lm r . • r . • . . • . . • r 19
CCA B OF WURK. aIdEW
1 TYPE: OF USE. . . a BF'
■
OCCUPANCY GRP. z R3
OCC,UPONCY LOAD r 1 1 b 4
' I::NANT NHME. » . a
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Remarks)) F''WH I
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yuwner w_._ ._,.__.,...__.. _...._._.............._. __ .__ . . .._ _...
1 BEACON 1.40MES
Pa BOX 1368
BEAVERT01 OR 97075
Phone #i 524-A999
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Dant;rust or s ......�_.._..,. ._ ._.. __.w..__._._,._._._..__......._.._....
BEACON HOMES
FIC) BOX 1365
ti BEAVERT'ON OR 9 075
Phone fit 524-•-1999
Peg #. . 1 70782
Uccurw noy of the Above rei'evenred building ins het ehy giver , and r:'ert ifie>!i
a
the comj:)I iance with the ''3tete Of ut,s hill specialty Codes f )r, the group,
r occupatric y, and use und(DY' w10.01 the referenced pvr,mit wall issued.
F-IRE I)F F'WR 7 ME NT IAG.X1PD I NO I 1+4+_Ll
L_1)I No
FUST' IN CONSP I C1_IUU13 F'l..ACE:
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� INSPECTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phonc): 639-4175 Business Phone: 639-4711
j
Inspect Lon:
Footing Plbg. Underal,ar Mech, Rough.-in Appr/Sdwlk 41 �
t Found, Plbg. Top Out Gas Line FIN74,L:
! Fust/Beam Struct. San. Sewer Framing -BlIg.
Poet./Beam Mech. Rain Dram• Insulation -PlumL. It i
1.
Plbg. Underfloor Nater Line Oyp. Ed. -Mech.
Date Requepted: & .r� f—Cj� Times _ AM �` •
Addreae:__ —,:5 �(./(/j�ermit #:
Builders
THE FOLLOWING OObRECTIONS ARE REQUIRED:
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Inspector:
DAtei
APPROVED DISAPPROVED APPROVED SUR.7SCT TO ABOVE
_Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building De;v.•-tm+nt
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Fhone): 639--9175 Burinesa Phines 6 Q-4171
1r..
Inspections—_—` _- -- �-
Footing Plbg Underslab Mech. Rough-in Appr/Sdwlk
A
Found. Plbg. Top Out Gas Line FINAL; '
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requeete'Is-_/ L.� c7� � ��_ Times AM I;r�
Ac72F
/ `
l/ ?
Addreees1Pernit isC
Builders 1 J"
THE FOLLOWING CORRECTIONS ARE REQ11iRED:
i
,. . Inspector:
f
i—APPROVED —— bISAPPI'.OVED —_ APPROVEb BUBJSCT TO ABOVE �.
ti Call For Aeinap. f
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INSPECTION NOTICE Z�-^✓
City of Tigard Building M!partment
13225 SSI Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417'- i
i.lepection:—
Fo-)ting Plbg. Underslab Mech. Rough-in :%ppr/Sdwlk Xt.
Foun6. Plbg. Top Out Cas Line FINAL:
' Yost/B.um Struct. �San. Sewer Framing -Bldg.
Poet/Bea•a Mroh. Rain Drain Ineul. i nn -plumb.
Plbg. Underfloor Water Line h Gyp. 1 .. -Hoch.
Date Requested s ..,&2 _-20_�v� �Ti.rte: AH PM �
� Addses•� it #3 -
Y
Builder: J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
f
a^ r�fnllh rFrF��"t)
�a�f11yy(� Afp Y —
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Inepector:_ � 7 -- Date:
- - —-- --
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
- --- �t.
C t11 For Reinap.
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INSPECTION NOTICE.
City of Tigard Building Departoent
13125 SW Hall 41vd. gard, Oregon 97223 ! •'�. -.- _�
Inspection Line (Rec-0-Phune): 6..j-4175 Business Phone: 639-4171
Inspection:—_ --
Foot Lnq :11bg. Undersl ah Mech. (tough-in Appr/S, R
Found. Plbg. Top Out Gns Line L'INAL:
Poet/Beam Struct. San. Sewer --ing -Bldg.
} 1'ost/Borm Hoch. Rain Drain Insulation -Plumb.
,r, 1
Plbg. Underfloor / Water/Line Gyp. Bd. -Hoch.
Date Rogues.. /� r/ls' �Z _Times AN PN
Ar--r
Address:` � � - r.L1L�gefm�t I: Z' �l�7
Builder:_
THE FOLLOWING CORRECTIONS ARE "QUIREDs ,
�h�u ,tia T �a ri iyc�tT�p
F
1
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Inroector Vates -�-6
—__APPROVED _ DISAPPROVED APPROVED SCBJECT TO ABOVE
--Call For Reinsl,.
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INSPECTION NOTICE IL
City of Tigard Building Departwont
.0 13126 Sp Hall Blvd. Tigard., Oregon 97223
Inspection a (Rec-O-Phol,e)t 639-4175 Business Phone: 639-4171 I
Inspection:-_ , (,l
Footing Plbg. Undersl.ab Mach. Rough-in Appr/sdwlk •
Found. Plbq. Top out Gas Line FINAL:
Poet/Beam Struct• San. Sewer Framing -Bldg.
Yost/Beam Mach. Rain Drain Insulation
-Plumb.
P1bg„ Underfloor Water Line
Gyp. Bd. -Mach.
D to Requ .tear d— `c,1Z ■
p;,3� TiIDes PM
Aaareeer f J("r�ic cn ( l�Qa f
L/ t Permit Ir
HuilderCll�`11 5 lJ l �1 -e WNW ■
FOLLOWING CORRECTIONS ARE REQUIREDs i
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rw InOPOCtor s
Data•
---------__- �D_
APPAOVRb
DISAPPROVED A'PROVED SUBJECTS
TO ABOVE ! (M
Call Far Reinep. �
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� INSPECTION N' TlGE
city of Tigard Build_.ncj DepartAeent
13125 SA W l Blod. Tigard., Oregon 97223
Inspection Line (Rec-O-Phone): 6:39-43.7'i BusineBe Phone: 639-4171
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Inspecti.on,._
Footing Piby. Underj3ab Mech. Rough-in Appr/Sdwlk
Found. PI:ag. Top Out Gas Line FINAL:
Post/Beam Struct. Son. Sewer Framing -Bldg.
u.
1
Poet/Beam Mech. Rain Drain InsciatLon -plumb.
Plbq. Underfloor Wate Lin Gyp. Bd.
-Hoch.
Date Requestedt
v t �C� Time: AH ._PH
iAddress:' �ly�it fi
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: �'•; -
_ ,K
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I
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1 F°,
Inspector: _—_ Dates ��/ �
- APPROVED —_ DISAPPROVED APPROVED SUBJECT rO ABOVE
. _r Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departseat
13125 On Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. (tough-in Appr/S.wlk '
Found. Plbg. Top Out Gas Line FINAL:
�eSit/Swam Struct✓ San. Serer Framing -Bldg. t# �y
Post/Beam Mme) Rain Drain Ineulat).on -plumb.
i
Plbg. Underfloor Water Line Gyp. Dd. -Mect..
Data Requecteds Time: AN PM .
i
Addrese:—z-? / C) + Permit A z
Builder:
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TR'E FOLLOWING CORRECTIONS ARE REQUIRED: -
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_ ^ �/ -mac .c�C�� �i-P�1� ti.' .�,..�r�% •t,- '!� ✓+►--` '� r���"�'t-.
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Inspector:—_— '.`f. .. --_-- Date:
APPROVED DISAPPROVED APPROVED SUBJEC"P TO ABOVE
Call For -Z.Inap.
INSPECTION NOTICE1-
City or Akgard Building Departaent
13125 811 Hall B'114- Tigard, Oregon 97223
Inspection Line (IRgc-O-Phone)s 61-P-4175 Business rhone: 639-0171
Inspections —_
Footing Plbg. Underalab Mech. Rough-in Aper/Sdwlk
t ,t
bound. Plbg. Top Out Cas Line FWAL-
ii
Post/Beam Struct. San. Sewer Framing -Bldg. •a;
Post/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Linn Gyp. Bd. -mach.
Date Requestedl__ "� �.�L/ _Times X,—Timet PM �•
Address- /7-�-/A L� ��., l c- permit
�' ■
Builders
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r TAE FOLLOWING CORRECTIONS ARE REQUIRED.
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t ' Inspector- / Dates
--� —
APPROVED DIS PPROVED APPROVED R-iBJECT TD ABOVE
Call For Reinap.
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NSPECTION NOTICE
city of Tigard Building Departae,st
13125 ON Hail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Pho:.e: 6?9-4171
.
Inspection:— d
Footing Plbg. Underalab Mech. Rough-in J►ppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: -
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Nech. (_"71n Drain Insulation -plumb.
Plbq. Underfloor Nater Lino Gyp. Bd. -Mech. "
n �1
Date Requested:
L � Time:
l�dd�eeit 7 Permit 1
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
P
--------
1 {
Inspector:— Dater
/ APPROVED _– DISAPPROVED -- APPROVED SUBJECT TO ABOVE
Call For Reinsp.
1
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.:TION NOTICE
City of :igsrd Building Department /
13125 811 Ball Blvd. Tigard, Oregon 97223 Z
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection: ---
Footing Plbg. Underelab Mach. Rough-in Ap?r/Sdwlk
ound. ' Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Y
Plbg. Lnderfloor Water Lina Gyp. Bd. -Hoch. .
Date '4questeds -' � �� Time: AM ` PH
Address; ) �_,� L-t Permit
Builder: ��r •
THE FOLIA WING CORREC'IONS ARE REQUIREDs 1
i
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Inspector: _ Date
APPROVED DISAPPROVED APPROVED S BJECP 9'O ABOVE
Call For Reinep.
' ' •+a+9MIi;:Y'l+ifM1a,'r.+ ,..,...,:..,o...auroa::+�e�n.+:M.u�v+o+...a:n nw,w,. ,..,..,..... .
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t�CY OF ,� RD PERMI IIV# PERMIT
COMMUwrTY DEVELOPMENT DEPARTMENT anew
D �'1iRM:I 1' #. . . . . . , MO•i9i::--.0.1'37
'M6AWMYIOWP.O.Sm29987.TWW,Omgon97 (609)8394176 DATE ISSUED: 09/08/92
1�a73S1
PgRCELa ET11)
SITE ADDRESS. . . 1 tEM 13w SSW JORDAN WY
SUBDIVISION. . . . I BEDFORD GLEN 2 01\1 I NG
BLOCK. . . . . . . . . . 1 LOT. . . . . . . . . . . . . 19
CLASS OF WORK. . -NF cil (JBAGE DIS kj8ALc3. . a 1
'I YPE' OF USE. . . . I SF= WASHING MACH. . . . . . . 11 bFaCKF'I..OW PRE VN'1'F25. . �
OL,GLIPHNCY GRP. . : F�,s FLOOR DRAIN�3. . I RAPL;. . . . . . . . . . . « . .
STURIES. . . . . . . . 11 WP'lLR HEAT'EPS. . . . . . 11 CATCH BASINS. . . . « • . 10 �
F Iit'rURE - —_.____.__.._.. ....._.. LAUNDRY 'rRAYS. . . . . . ..0 SF RAIN DRAINF,. . . , . 1 1
6INKso 11 GREASE TRAPS. . . . . . . 10 '
L.AVATORlE9. -'3 OTHER FIXTURES. . . . . 10
} il.ILa/5tii3slERS. « . . I SEWLR LINE (ft) « . . . 'r?o ■
WETTER CLUVETS.ETS. . :to WATER LINE (ft) « . . . ' 100
UISHWAISHE . . • . ai ,Ip RAIN pF<AIN
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tiemarrk s e�r1ATHwI
4
IIWNF_RI . _._..•_._ __...____ BPRT^» 385. 00 PLL_ 09/013/92
l BEACON HOMES
PU BOX 1168 BPLC >f 40. 00 JLH 09/0) /92 231170
05PC i 19. 25 PLL W19/08/92 --
BEAVERTUN OR 9,7075 MISC Z1 3!f-. 00 PLL 09/013/92 -
Phone #I :X`:4._-1993 MPrdT $ 36. 00 V,LL_ 09/LAB/92 _
MPLC $ 9. 00 PLL 09/08/92 —
ttMF)PC $ i. SO PL.L 09/06/92 —
F��lS_rmbinrl L:ontr�ar_tur:--••- -_..•-.�__.___._____.__.
PPRT til• .13i-'. 50 PLL 09/06/92 -
Naame:—VAL"'.k._.._.._._.� _. _ __. _._.... PSPC $ 6. 63 PLL 09/06/92 —
C;i t y 1
Z i I,,I l_5t! Phone#1
Req
j pF:cju I RE D 114SPE:LT I ON6
This ppe►^ it s , is. uld ub,j t to the r^p -
�_rlaNFTA �• ronzainecl an the fTgar3 Munic_i�.al Foot/found Insp Rain drain Insp
1 I .Ode, State Of 1.4'e, FapeCiAlty (;odes and aa11 Noat/t:{eam Str�act Water I-. i.np Insp
rather^ applii,-:able laws. All wo4Will 1:16 done' Post/beam Mechan Appr/Gdwi•k In%j.)
in accordance with approyed plans. This Plm/undi:Iah Insp Mer_hanical rinni
permit will expire if work is not started PLM/Underfloor Plumb Final
within 1(30 day% cif i%sua+nc:e, oar, if work is Movilanir_al Insp 81.0. 1ding Final
suspencled for more than, 180 days. PIUMh TOP Glut Erosion Crntrol
Framing Insp Crawl Drain
Fireplace Insp
Ga% Line Insp
Inruiation Ing{:r
(.5 y+P Ll 0a r d 11-1 s Fr
01.1thor^r 4ed F'lumhintl Contractor bignwt uv-e
Call for inspection _ 63-)-4175
L.u n t,r at c.t o r•• N o t e s I M,
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CRY OF TIGN RDXND MASTER PERMIT
. _ IT #. . . . . . . : MST92--•0197 .
COMMUWY DEVELOPMENT DEPARTMENT ancon I
13126 SW IWI Blvd.P.O.9M 23M.TOW,O►pon ! ,
,U;( DATE ISSUED: ti.-,/O8/')c
SITE ADDRE:.SS. . . : 1-1�?3 SW JORDON WY PARCEL: 2S116AD-._LxED9 �
SURDIVIaION. . . . : BEF.,F=URD GLEN ZONING:
BLOCK. . . . . . . . . . : LOT . . . . . . . . . . . . :9
BUIL:TING - -..__.....__..___________.._..____.___.-•--_---.___.__._____._.__
REISSUE:MST'92-•1-1059 DWELLING UN'1'TS: 1 BASEMENT 0 s f
CLASS OF' WORK. :PIEW BEDRMS:2 BATHS-2 GARAGE. . . . . . . . . . :555 s f
TYPE OF USE. . . :SF' FLOOR AF2FAS---_-- -- -- REQUIRED SETBACKS------------
TYPE OF* CONST. :SN FIRST. . . . I bVI1Q !a f LEFT. . :5 ft R I GHT. :5 ft
OLCUFANCY GRP. :R3 SECOND. . . :0 s f FRONT. :20 ft REAR. . :20 ft a
STORIES. . . . . . . : 1 TH I RD. . . . :0 s f REQU I RED
HEIGHT. . . . . . . . : 18 ft T0T'F:4L.____---: 161710 s f SMOKE DET'ECTORG. :Y
FLOOR LOAD. . . . :401 p'sf VALUE. . . . . $ : 835917, f-ARK,ING SPACES. . 10
Remarks : PATH I '
_......._._.-___.._-._-_..____.__..__- ---_____..___.____- 17'L.IJIYILAIhh --
SINKS. . . . . . . . . . : 1 FLOOR DRAIN3. . . . :0 BACKFLOW PRE:VNTRS. . :0
AVATC)RIE::S. . . . . ::3 WATER HLATERS. . . : 1 TRAPS , . . . . . . . . . . . :0
L. �
TUB/SHOWERS., . . . :3 LAUNDRY TRAYS. . . :0 CATCH Bi;SINS. . . . . . . :0r R
WATER CLOSETS. . :2 SEWER LINE (ft ) . :171 GREASE- TRAPS. . . . . . . :V1
DISHWASHERS. . . . : 1 WATER LINE (f t ) . : 100 OTHER F I X TURES. . . . . :0 �
GARBAGE; DISP. . . . 1 RAIN DRAIN (f't ) . :0
WASHING MACH. . : 1 SF RAIN DRAINS. . : 1
MECHANICAL __.._.____._._____. _____..__---._____.__.._ 1-EES _•--.____.___ __..__._ ,
FUEL TYPES---- _.________.. UNI T HTR S. . :lb type amui_rnt by date recpt
/GAS/ / / VENTfi . . . . . ..0 BPR T 4 385. 00 FILL- 09/08/92 -- �
MAX INPUT:0 B f VENT F=ANS„ . : 3 BPLC fi 401. 00 JLH 019/01/92 231170
F•URN ( 1O0K . . : I HOODS. . . . . . : I BSPC $ 19. 25 VILL 0.19/08/92 --
FURN ) =1OOK - - :0 WOODSTOVE:S. :0 111 Sc $ 35. 00 PLL_ 09/08/92 -
F'L..00R F URN. . . . :0 CLO DRYLRS. : 1 MPRT $ ;36. 00 PLL 09/08/9;:`. -
BOIL/Clv1P ( 3HP:0 OTHER UNITS:O HPLC, $ '). 00 PLL 019/018/92
GAS OUTLE:T'S: 1 M5r'C $ 1. 81'1 FILL 09/08/92 -
Owner: ______.________._______.._._._ .____._.______ P1='RT $ 132. 50 FILL 09/08/92
BEACON HOMES F'S1='(.:; $ 6 � 63 PLL- Q.19/O8/9c -
PO BOX 1368
BE:AVER-rON OR 97075
Phone #: 524-199
Contractor: - - ._ .._._......___.._-..._. __....
BEACON HOMES
S@APPK T IAC'®R 9 7075
Phone #: `,114-1999 i
Req #. . : 70781'---. _..___.___._...__........_ ------------ ------___.__
`t; 665. 18 1'OTAL 3
This permit is issued subject to the regulations contained in the -- - - RECJUI RED INSPEC"1 I0Nb - - - -- -- r
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/f o l.md Insp Fireplace Ins p
applicable laws. All work will be done in accordance with approved most/Beam StrLlct Gas Line .Insp
plans. This permit will expire if work is not started within 180 Post/Beam Mechan InsLtlation Insp
days of issuance, or if work is suspended formore than days. 1-'l m/Lrnd s l ab Insp Gyp Board 171 s p
1-1I.-11/Underfln oor Rain draiInsp
,'er'mittee Siynati.tre: __-�____ lvlecl-ianical Insp Water Line Insp
Pli_rmb 'Top 01-rt Appr/SdwIk Insp 1
Isst-red By : Q� Framing Insp hlechanica.I FinaI
LAII for inspection - 6.39-4175
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SII 11'�NM I t�pili�Mlrl�i ��C!4AlI
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C I1.TY OF T I GARD RE GE I P'r or- PAYME'•..'NT RFCE I Pl' NO-
CJ IECK
CI.CEIECK AMOUNT s 6 ':`J. 18
CAS14 f' MOUNT 0 00
NAME a BEACON HOMES, INC. PAYMF"NT DATE: L 09 oil 9r'.
ADDRESS o 1905 NW 169TH PLAC:E:. SUBDIVISION
BEAVERTON, OR
97006-
1-lURPOSE Of POYMENT AMnL.IN'r PAIL) PURPOSE OF PAYMENT AMOUNT PW I C►
i _...._____..___......._ ..._._...._....._._ r E='LIJMI�INCA F='E=RM�
1)IJIL.IJINC� PERM MST9�J1'cf'= ::;8 x. 04
MECHANICAL_ P :36.0 1 ST. BUI!_..L) PER -'7 60 �
� G'L.NN cwEc:t% FE=
n. 00 SEWER INSPECT
.t
■
'J q
TOTAL AMOUNT PAID
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CITY OF T I CARD - RECE I F'T UF" f''AYI'^ENT RECEIPT NCL. s 92--0.13 l 1"i 0
CHECK AMOUNT : 40. 00
j NAME SI ,ICON HOMES CAS14 AMOUNT' : 0. 00
ADDRESS c PAYMENT DATE:: s 09/01/9P
i SUBDIVISION s
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PURPOSES OF PAYMI-N"r AMOUNT I-'rain PURPOSh OF PAYMF_N7 AMOUNT PAID
PLAN CHECK E=E 40. 00
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I_(]T 9 X='L..AN PPV T I-W
` TOTAL. AMOUNT PAIDow 0
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sewe age SAN ITARY• � QTH
Ufagency SI�RFACE WATER N. First Ave.,Suite 270,Hillsboro,Or.,97124
503 648-8621 _
CONNECTION PEPMIT �I
ISSUE RATE 090892 EXPI8ATIUN DATE QJU793 PERMIT 103169
STRUCTURE ADDRESS -4,'513' / 7 `x PROJECT 1908
STRUCTURE STREET SW JORDAN WAY
LOT 9 FLOCK
TYPE CONNECTION— NEW OF BEDF0RD GLEN NO. 1
TYPE INSTALLATION— ( 19) PLD SWR/ERO CON/SCIS O
TYPE UCC'.iPANCY— ( 1 ) SINGLE FAMILY PARCEL 251 13 AD 2430()
UIR SEC 4716 MH 16394 J
•
OWNER EtFACON HOMES r IN(:
ADDRESS 1905 NW 169TH PLACE TREATMENT PLANT DURHAM
BEAVERTON UR 97006
PHONE 524-1999 JUkr511
— `-----_—
FIXTURE^- - -- ~_ -'EOUIVALENT DWELLING RESIDENTIAL
UNITS SERVICE UNITS 0 .0 UNITS 1 SERVICE UNITS 1
CONNECTION FEES SURFACE WATEh DEVELOPMENT FEES
WATER QUALITY 180 .00
LESS CREDIT 4: 180.00:>
WATER OUANT'1'TY 100 .00
4 LESS CREDIT 0.00:>
ERUSIUN CUNTRUL
INSPECTION 40.00
FLAN CHECK 26.UO
t 8UPTOTAL 0.40 SUBTOTAL 16b.Ob` afi
ilt
TOTAL 16W.0`0�
• ��4'I��t' Y I
TER KUYS� r PHONE: — —. 1
A T7
I t •111 ; r Cr. k; j.� r l �yi( I'td ' I�
' x ?,VP�y .t't,fIYII',I.�'I °i' ', ` L �:a t �I,;r(}. �r J�., ,``Crd
yt w p
�7 ; ,���`1"I ,�jw +�tr'fyY y'�I,7r�}t� it ii �
JVi •f IC
5�PROJ# 19;48-�B�D`F ��i' L LtlT 9 "r, '�' J�i I
iVOTIC R " 118T N CONTROL; INSPECTIONS kE0UTRED
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e {, Mons ' The.applican -agr6i t;; comply with all rules and regulations 6f the Unlfted Sewerage Agency. date 0 i-s.
Cur
tion,"please refer (o the*,, ermit Number." The Permit expires one hundred eighty (180) 'days from"the'.\ ofr�r }�
rt Mfi►enCe'y ,The total amount paid permit'fee, connection charge; 11ne.tap fee end/or other charge will be forfeited 1f that
1t explret.
Agenr oes not guarantee the accuracy of the :;16cation of side sewer laterals. if the sewer is not located at,the �
Z 1rt i,gqlven, ,the installer sha11 prospect three feet. in all directions from the distance given if not oo.located,;the( r*� i
ller'tfl�dll purchase a,'Tap and Side Sewer" Permit at the current chargr and the Agency w111 nstall a lateral. �M
�: '"fir �'• >F,,. . , .(,/90 WHITE - USA,r BLUE - Accounting, G LEEN -Inspection, YELLOW - Customer ,,