16632 SW JORDAN WAY aim+Ma,, •ww�vanla«MOil.40 °�+•+ 1kwv�v-
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INSPEC11gN NrvzICE / k,
City of Tigard Building Department
13125 .SW Ball Blvd. Tigard, Oregon 972[
Inspecti,n Lin- (R#,--O-Phone): 639-4175 Business Ph 639-•4171
Inspections_,__ �-- --- ----- K
Eaoting Plbg. Underel.ab Mech. Rough-in Appr/Sdwlk
{
Fourd. Plbg. Top Out Gas LinFINALS 1
Post/Beam Strc7t, San. Sewer Framing Bld
Post/neem Mech. Rain DraLn Insulation lumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Regjested: _—�— Cl ne: ___AM
nddresss 1f V � l�,f� ,�----- Permit
Builder- --_____--
THE FOLLO'-ING CORRECTIONS ARE REQUIRED:
inspector. —�
APPROVED DISAPPROVED APPPOVED SUBJECT 743 ABOVE
Call For Reinsp.
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CERTIFTCATF_ OF
CITY CSF T I GARD OCCUPANCY
GERM I T 4!. » . « . « . s MCi T'93-03!A2 �
COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUE"D: 03/18/134
j 13126 MY Hall Blvd.Tiger i.Oregon 97223*81 OG (603)830-4171
PARCF C ; r""_131 1$AD'-SED:3E
SITE: +3G�DF1C a:;. « . s lbc: 3Z' SW .fl�RUtIN WY
r SUBDIVISION. . . . c BEDFORD GLEN Z ON'I N0 s ,
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BLOCK « « » , . . « , s LOT. . . . . . . . . . . . . :36
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CLASS-.or"._Wfl17K« tIVE1d~_.____».__. . .
TYNE OF USE. . . r 9F
OCCUPANCY GRP- v R;3
OCCUPANCY LDAP s 117 4
TE:NONT NAME. . . s I
't Re agar l�s s PATH J OWNER "ro COMPLETE LAND I NG SY RLAR KITCHEN SLI DER �
Yy,
Owilerl
BF-f4C ON HOME.-
PC.) DOX 1368
BEAM'R T,9N OR 9707 -5
Phone
Cant raact nr s
BEACON HOMES
9500 SW 125T'N
j St.JIVER ON OR 970101,11
I Phone #: "ic4 1 '39
Rett 0- 2 7@78F
!
Occupancy c,F the irhnve referenced til-kildilig is her''Whv given, and certifies
the compliance qt!-i ijhr State Of Or'•eiIon Speriatal.ty :•cede% for the gr'n'ap,
i cicuupaltrr..y, and ,iae undeti• which the refer•anc^ed pp1-mit c•t?�q ed.
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11..I1G TAE.
PO: 1' TN CONSPICUOUS FILAC U
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�ra�r'E
City of Tigard Building D8P--Lmeot
13125 Se Ball Blvd. Tigard, Oregon 97223
inspecti_�n Line (Rec-4.)-Phonn)t 639-4175 Business phone: 639-4171 t
Inspectdont_ -- 9p
Footing Plbg. Underelab Hoch. Rough in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL, ' ;1t fif i��y l S/tLL yp}.
Port/Beam Strutt. Ban. Hewer Framing
Post/Beam Mach. Raln Drain Insulation - lamb s' lt,
Plbq. Underfloor Va';.er Line Gyp. Bd. -Neth.
7
Date Requested: C- - Time: .____AM PH
Addrau: l�(r'�Z JC YC'�II L,1,-V\ C 0C t_ Permit hq.J
TRE FOI.WAING CORRECTIONS ARE REQUIREDt
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Inspectors Dates_ � ^_
APPRO11ED L--DISAPPROVED APPROVED SUBJECT TO ABOVE
�-` L,'Cr-all For Roinsp.
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. INgp&CT�ON NOTIGB ` l�
City of Tigard Building Department
131.25 8R Hall Blvd. Tigard, Oregon 97223 /
Inspectiou Lina (Rec-O-Phone)c 639-4175 Business Phone: 639-4171
Inspections
Pooting Tlbg. Underelab Mach. Pough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lino FINALS
Po,-15eam Struct. San. Sewer Framing -Bldg. .
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plhg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requesteds 1 - ti Time: --AM PN
Addrese: �J Z.-- z, -✓� WZti,.� Pozr.lt /I _�J.,JC12
Builders .�t - -_- -- -- a; ■
THE lOLLOWING CORRECTIONS ARF. RE(lUIREDs
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Inspectors `/� -.'�_.____r�.,_.� Dates Z_
APPROVED _ L,15'iBAPPROVED "PROVED SUBJECT TO ABOVE
—_Call For Reinap.
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INSPECTNOTICE
city of Tigard Building Department I A
13125 SW Ball Blvd. Tigard. Oregon 97223
Inspection Line (kec-O-Phone)s 639-4175 BueLnelae 2hon 639-4171
r• Inspection:_ ff
Footi.ig Plbq. Underslab N&A. Rough-in Appr/Sdwlk
5 Found. Plbg. Top Out Gas Line FINAL: t+
post/Beam Struct. Ban. Sewer framing -Bldg.
post/Beam Mech. Rain Drain insulation -plumb.
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Plbg, Underfloor Mater Line !d. -Mach.
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DPM
ate Requestedt It - r - �� Tlmes !►M
Addreas e ! A �)2-- Jal JxV-, UAUA Permit 1 2z, d7J�
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TRIC FOLLOWING CORRECTIONS A" REQUIRED:
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�!\PffPROVSD DISAPPROVED APPROVED SUBJECT TO ABOVE
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DEC-21-''33 TUE 12:02 ID:CITY OF i<ING CITY FAX NO:503 639-3771 tt199 P03� ; k .
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KING (CITY .
� 1 15.300 S.W.116th Avenue,Bing City,Oregon 97224 Phone:639.4082
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructions on reverse)
DATE�_A/ 2
i 1. NAME OF APP_
Phone No. �—/`�`� •
ADDRESS: r' ��' - ----- — _
ADDRESS OF PROPOSED IMPROVRe24 & r:1 e7v t 4
2. TYPE OF aWGt:, LMPROVEHENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED.
DESCRIBE BRIE ,y — ATTACK TWOP� PLANS OR DRAWINGS OF
PROnOSED PROJECT:.- /7ea.c
3. NAME: A-M ADDRESS OF C ONTRACPOR_6!fa t r) �{U/� o_-s
(ice.Q 5, r2 -P _ PHONE NO.. L I CENSE NO _7
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROTECT WILL BE NOTIFIEL BY TrIE CITY.
5. APPLICANT HER/HIS REPRESENTA� MUST BE�RESENT A THF. PLANNIN C�IISSION
MEETINC3 HELD
ATIVES _ �/ PHONE NO
(The/King City PI iag Cossissiae'vill cunsia!r only those ipplticitions received least tine (5) days
prior to a oeet'og,)
IGNATURE
APPLICATION RECTIVED BY �'sFIA-1 _ DATE_ �r —c2 t'� —3
APPLICABLE FEE RECEIVED $ c�� , �2} TOTAL
FLANNING 'X:bHISSION DE/C1STON: Approved
CONDITIONS
Approv d_applica ons are valid for sir contbs only
Signature Date
NOTE: Oregoa Ras ail rs Law requires that all persons eho contract for lark on their residence be
regis m ed vitir the Builders Board which seaas the contra:lar is bonded and insured on the job site,
For your protection, be certain your conl:icur is registered by calling City Hall Ph: 631.4082.
i
NOTE: A permit must alsc be obtained f the City of Tigard Department of =f .
Ccmmmity Dorielopment Yes__ No
_ CITY OF TIGAFtt7 INSPECTION REPORT
The above listed project has been inspected and Approved Denied I
Date Cotrtner.ts _
Signature
r ftt Ud inq i"pocto& r1eaze. R>4hAAn one. f 1) copy ;to Miu+g City)
CD 2-81
.,._.!_,._.,..:...
INSPECTION NOTICE
City of Tigard Building Dempart—nv (�
13125 SW Ball Blvd. Tigard, Oregon 97223 y
Inspection Line (Rec-o-Phone)s 639-4175 Dueineaa Phone: 639-4171
Ine.ection: --— -
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out K-G-as Lin ' FINAL: }
i
Poet/Beam Struct. San. Sewer Framing -Bldg. .
Poet/Beam Mach. Rain Drain Insulation -Ptumb.
Plbg. Underfloor water Line Gyp. Bd. -Mach. '
Date Requested:---_ \ -C� Timet -y AM/1 2 7 PN .
Address:
�() 4- -,/_ Permit V30Z
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Builders _ _ - !a1� t .;� i ■
THE FOLLOWING CORRECTIONS AAS REQUIRED:
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� Inspector: —_ —� Date:
IZAPPROVED —_ DISAPPROVED _. APPROVED SUBJECT TO ABOVE
call For Peinup. g
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INSPECTION NOTICE 1
City of Tigard Building Depaxtaent 1
13125 BN Ball Bled. Tigard, Oregon 97213
Inspection Line (Roc-O-Phone): 639-4175 Busineue Phone: 6.39-4171
Inspwctiont (EF -('V)��4C
Footing Plbg. Dnderslab eck h. Rough-in"*`j.,o "}►ppr/Sdwlk
Found. P)og. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewez l�� FrasLng " -Bldg.
Post/Baas Hoch. Rain Drain Insulat).on Oe -Plumb. •
Plbg. Underfloor Nater Line gyp. Ed. -Hoch.
Date Requestedt_ II _ 1 _� _ 113 I'Lmet
Addreast lF�/ .� _1"06 V\ �` `' >>
1. Permit �t ( � � ��z
Builders 1ElC/'G'}"\ � IC}v lr j I tVy' i Z-`tI_ ( x199
FOLLOWING OORRECTIONS ARE REQUIREDt —5 (2 -3
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_��_.,�.�_ ��► u Q_ � s �z �-Zee.._
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Inwpectort �//L All / Dates
APPROVED __ DISAPPROV-;D ►' APPROVED SUBJECT TO ABOVE
L�L C ___CeLl For Reinap.
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;y INSPECTION NOTICE
city of Tigard Building Departme,M-
1 13125 Sit Ball Blvd. Tigard, Oregon 'x7223
Inspection Line (Sec-O-Phone): 639-'175 Business Phone: 639-4171
i
Inspection:
Footing Plbg. Underalab Mech. Rough-1 Appri'Sdwlk
Found. Plbg. Top Out bas Line FINAL: 61 ,
Poet/Beam Struct. San. Sew+jr Framin -Bldg. a
Past;Beam Mech. Rain Drain +neulatl -Plumb. .
Plbg. Underfloor Water Line Gyp. Bd. -Nech.
Date Requested:_„ _ ` Time: _AM PN
Address..
Permit r: �r3 a z:
Builder:
l A
TSlF. FOLLOWING CORRECTIONS ARE RRQ!'IRED:
do
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Inspe^tor:__ ( 'Akv— `- -- -++-^_ Date: I I /` C1
n -APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
^—Call For Reinnp.
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INSPECTION NOTICE
City of TL98i Buildio9 DepartivAi
13125 BW Ball Bled. Tigard, Oregon 97223
Inspection Lino (Rec-o-Phone)s 639-4175 Business Phone: 639-4171
Inspection:_ ------
Footing Plbg. Undorelab 1 Mech. Ro:gh-in Appr/Edwlk
Found. Plbg. Top Out Cas Line FINALS
Post/Beam Struct. San. Sewer `!taming -Bld'i.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Ono. Bd. -Mev".
c
Date Request/ods '
_ 1�) f _Time: AN _PM
Address: I(�" C� '_.J�(CsGl t,, �.�lt 1 Permit f s
Buildersni ll } 4
THS soLLiJ4•aNO OORRECTION4 ARA REQUIRED:
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fid+ nrs Date:
APPROVED I DISAPPROVED APPROVED SUBJECT To ABOVE
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MiCall For Reinap.o
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INSPECTION NOTxCE l
city of Tigard Building ^epartssaat
13125 811 gall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:, - --
!�
Plug. Underslab ��Msch. Rough-in Appr/Sdwlk
Round. Plbg. Top Gut Gas Line FINAL:
et/Seam St.ruct. San. Sewer `. lring�;, -Bldg. 8
em
sst/Rcem Asch. Rain Drain Insulation -Plumb. I
Flbg. Underfloor Wator Line Gyp. Rd. -Mec.l. .
Date Rwr4steds \`� U __Tine: AM PN
"
0
'
Address: `4`. � ' uv � `-']__ Permit t: ' V �uZ- a5 ,
Builder:- _ _ _ ' •
TBE FOLLOWING CORRECTIONS ARE RRQUIRED: P
J'
Inspector: - t-"' �--- - Date.-
-APPROVED
ate:APPROVED t,DISAPPRO'VED APPR(WRD SUBJECT TO ABOVE
V
Call dor Reinsp.
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INf-?FC'rloN NOTICE
Clry of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 972
Inspection Line (ROC-0--Phones 639-4175 Business hp s -
Inspections
Y_wting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top OL%t Gas L1Be PTNALi
Post/Beam Struct. San. Sewer t�raminq� -Bldg.
Post/Beam !loch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requelsteds l —Time __AH PN
Addre.s s Permit #s L�
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Builder.: •_��(1�,�4.�fx 1 i s `� '��� i / - ■
THE POLUJWING COR"CTIONS A" REQUIRED:
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Inelnctors — - -------- tr. c,
Dates. L! - -•,,�---
APPROV!'D ���1ISAPPROVtD APPROVED suBJECf To t-Bove
tit.lt�1 ��yr --
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—Call Ror Reinep.
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IN-Sig=- ON M011-CE
Cit? of Tigard Building Dapnrtebat ;r
13125 Eft Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phonet 639-4171
Inspections
Footing Plbg. Und*i.tlab Mach. Rough-in Appr/Sdwlk
Found. Plbg. ftp Oux Gan Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
P1bg. Underfloor water Line Gyp. Bd. -Hoch.
Dat* Raquested: ( " `_) _L)-Z> Timet _AN PM
Address s L11'�'77 2. (!Y ,�1 ✓\ �GlL1 Perm(i/t'If t >�7� _..�
Builder: LQL -7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-...i. .. ..... w .. ..
Inspector:_/ Datei_�
APPROVEDAPPP.OVgn APPROVED SUBJECT TO A14OVE
&--Call For Reinep.
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61
INuPECTION nOTICE
City of Tigard Building Department, �� '•.
13125 M Hall Blvd. Tigard, Oregin 9722
Inspection Line (Rec-O-Phone): 639-4175 Business Phw: 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
� r � Found. Plbq. Top Out au Line FINAL:
ty
Post./Beam Struct. San. Bir Framing -Bldg. slot '•� i ",
r et/Beam Heeh.-) Rain Drain Insulation -Plumb.
i
1. ?ilfq. Ond-sil9or' Nater Line Gyp. Bd. -Hoch. .
c"
r¢+G Date Requested c - V ! - -- f lme i AM __ PM
Address. lX Y� Z GD�1� Permit #t
3Z
Buildmrs
THE FOLLOWING ODRREl7TIOHB ARE REQUIRED:
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Inspectors Datws1
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE / b
city of Tigard Building Departaent !
13125 SW Ball Blvd, Tigard, Oregon 97223 /
Inspection Line (Rec•-O-Rhone): 639-4175 Business Phones 6 71
Inspections — —
Footing Plbg. Underslab Mech. Rough-in A /Sdwlk I
f
Found. Plbg. Top Out Gas Line FINAL:
I
Post/Beam litruct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
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Plbq. rnderfloor water Line Gyp. Bd. -Mach.
:ate Requesteds 0 3 — Times AM Q PM
Address s//1.4, SLS/ Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
— PROVED ` _ DISAPPROVED -- APPROVED SUBJECT TO ABOVE
s
Call. For Reinsp.
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110-
C11Y CSF TIGARWrP��r;=R PERMIT
COMMUNITY DEVELOPMENT DEPAUTMENT DATE
13126 SW Mall Blvd.Tigard,Orpon 07223.6109 (WI 630.4171
t' l hiliUW.l✓ri . . . s 1fa� r? SW t " �
1 F.DFORD GLENZONING:
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i:.IS Ilt±wtrlS:iT`�w k74"I( DWELL vtJ UN i._ : 1 D(iJrr-Pil[:N . ,. . . . . . . :t ,-
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YPC Cl F= CONST. :5N r X RST. . . . o 1�1u 4• F.f LEF T. . :` ft R I t Fi I . »5 F+,
G''[:rrPANC'Y GRP. : Fi1 `:.C:[31v�t, . . r.0 r PRONT. ".-I Q, 117,t.: ft e
THIRD. . . . ;.,D T; ' REWIREU _
TU! „L. _. ._._... . 1 Li 4 1' !3i`1CiKE DL 1 Li:rUr(`;. Y
4.C.',•_ ,'i I...OAD. . . . -40 Ps,f VR.-UE.
93390 �'Ah'l:Ih1G �F'>1CL:6i. .
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P1LU111:1ING __..__._.........._ ..._ ._..___._.....__..,_.____.__
>TMtt6. .._.. .. _w..u..A_...._,_......_-' I._
_ '.lt+r ._D1tf�IrlFi. . . . .+ Gf�G!'FL.i.JW I�,REUh!"rR . int
WFITER I.1EATLRS. . . : 1 TPAPS. . . . . . . , . . . . .. . .0
lJF?IChI%ltJE ,. . . . � i-PUNr�RY t'RAY ..,. . . .,,� r lar[.11 cia4,zty ;. . . . . . . , t
:► w c.,_.u�i raf WE F� LINE ( ft . c0 GJ4EA�r.. Tr,saPS. . . . . . . rG
XCi!i'�<sr�HFI11 „ . WATERf..l'NL' f? ; . . 100 t3l'11t:�? r"
,ARSAGE D 1r-,P. . . : I RAIN DRAIN ft) . :0
Urt OINS. . . I
IeICI"F1:aNIC�aL __:..,._..._..__._._. ....___.__..___._.. ....__ : ._.. .._ _ ......_._.__._
FEES
!,lLL T•Yr'EE3. .._._._ LIN17 1-11'RS, . -0 type r.InM .11'tt b/ date recut.
CFJSI / ! VE:NTW . . . . . :0 Bl✓'w•r $ 415. 00 Ji-i r119/30/SL
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1 'tt11. 1V',l .JLH 015/24/'-x,:3
�r�x ��1•.1;�,,�1. ,1 �,�ru Vr_1+I i_ r..r�t,l�;. , : :� r1_c, �
100K, 1 HOOM!,. . . . . . : 1 B5PC $ '7Z JH 09/30/93 -..
URN } =1001, . . :0 WOO 1-Ll.i l !a. :14i Ih l':':t� ! ,35. 00, ,11 i 09/30/':'
'LUOR F'•URN. . „ . :vl C:t_CJ E)WE RS. : 1 NPRT $ 40. 50 .JH 09/30/93
OT'HI P IJPJI'r',:?: 1 MP1,11_C' $ 111. 13 ihi 013/`0/"_ 3
GAS OUTLETS: 1 M5PC s 2. 0.3 JH 09/30/97,
....... _ .. .._.. _ _..._ ..._ F r'R*1 1, 1., .. . :'l _
111:F•CON P(UME S tpr, t C . E 3 JH 09/3G1./C3a
10 BOX 1.,:68
.'1EW;'::R1 01\1 W. ci l07
:1 GTlC #: rlt:,•e 19°J9
�.,��,1^�i eft 1 aC,t�..�V:,n �_._...._, .... _....._..... .._....._.._...... _._..... i'.
�W7,ACTIN HUMUS
`:1". 00 FEW 1 'STH
'�fi:f'-1VFi:.1?T'CI!'I G)•? ':i r',��;'':.
=chane #t: 5214- 1999
70- 34 TOTPL
i•.is perwit is iss'u'ed subject to the r"egtiotio!ls cartained it the RE'C>?UIRED TW3PEUTT0W,'
'•igard Mun1:'ip�.!
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claws. This re,t:` i:. egire i= work is "at starts: :otn 160 "'oat/Beam Mecham insF.11ation Inq.
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fall for iTISPeCti0r) %39.4175
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PERMIT IIn5 --Q -
(:OMMIINI'11'l)I VELQI'MI"sNTbt;PARThiEN7 Tta��•1�'�R^��97u1
' i (501)6194171 DATE ISSUED
YI
108 ADDRESS: 1h632 SW Jordan Way- TAX MAP/LOT S�/�61' � � 3G
36 — _—
SUB: Bedford Glen LOT: �__ LAND USE:
VALUATION: f D -
OWNE SPECIAL NOTES
NAME: —_ Bea�t�11 . Inc. REISSUE OF:
ADDRESS: __ 9500 SW 125th Ave. _ LAST REISSUE:
Beaverton, OR 97005 FLOOD PLAIN/
PHONE: 529-1999 SENSITIVE LAND:
i
CONTRACTOR (1PPROVALS RCOUIR.ED
NAME: Beacon Elanesl Inc. _--_-- _ PLANNING: -._,_-- .--
ADDRESS: 9500 SW 1251:h Ave. LNGINEERING:
Beaverton, OR 97005 — __ FIRE DEPT:
PHONE: 529-1999 OTHER:
(:ONTR. BOARD P: 70782 EXP DATE: 12/93
ITEMS REQUIRED '
SUBCONTRACTORS: PLUMB: — ranbY Plumbing LIST/SUBCONTRACTORS:
MECII: Muehe (�iality heating _ BUS TAX:
RCII ENGINEER CALCULATIONS: _
NAME: Argo Architect/AIA TRUSS DETAILS:
- a
ADDRESS• 632.5 SW Bcones Ferry Rd. 201 OTIIER:
_ Lake Oswwq o1 Cit 97035
PHONE: 636-0755
it
PROPOSED BLDG. USE: Residential
CUMMENTS:
.1
Ah l C11R1 SIGNAT E
Received By: D I.c Received: 45-
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PERMIT i ACCT 0 DESCRIPTION AMOUNT AMOUNT PD. BAL_ DUE
Ind 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees /3 2,
10-431 01 Mechanical Perdt, Fees
r -
10-230 01 State Building Tax (5X)
a Building �� ✓
1 Plumbing, �3 B
Mechanics] n7,o 3 �-
i
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10-433 00 Plans Check Fee
Building v
I �
Plumbing
j Mechanical .1 i
10-230 06 Fire _ —
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
1
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees _
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
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 z/ U
i no/3587P.WPF
• f i. � �. 1 1.li q,)W _
CITY OF 'I L a►=RD — RECEIPT OF PAYMENT RECEIPT NO. :93-24469c`
CHECK AMOUNT 66i?. 54
NAME s BEACON HOMES CASH AMOUNT' 0. 00 I
ADDRESS a PAYMENT BATE- 09/:30/93
SUBDIVISION
GfURF�OFiF OF PAYMENT AMOUNT PAID PURPOGE OF PAYMENT AMOUNT PAID
BUILDING PERM 415. 00 PLUMBING PERM _.._.._.__ ._.._13 J0
MECHANICAL PE: 40. 50 ST. BU I L1:) PER c'9. 41. �
PI-..AN CHECK FE 10. 1.3 EWER INSPE.CI' ::'s5. 00
1
i,1-0'1* 36 BEDFORD GLEN
16632 SW JORDAN WAY
iT'OTAL.. AMOUNT PAID 54
�,..__ _.r.....�..r_...n...nir.rwta...n.s...r.�_+.�-.��.,.,� •___...�.-L..+--.+.........—_..f.....r'w+w.:kw.N'4--''f'--h<w,r_�,_._.........y,.�
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CITY (1F T i'nARD RECEIPT OF PAYME.N7 RECEIPT NO. :9 3- it 404"9
CHECK AMOUNT r 600. 00
NAME s BEACON HOMES CASE•I AMOUNT s 0. 00
A1)DRF:'GS a 1905 NW 1691-14 r-'-L PAYMENT DATE a 05/24/93 �
GUBDIVI5ION s
BE AVE:RTON, OR 97006—
p t.i ri P us
7006--
Pt.iriPt')E E: of 7,nYMtw NT (IMCIONT PA 11) PURF''C ,SF OF POYME~.N 1 E1h1OL N'T 14,411)
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f?L_AN CNE CEt F'
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J5 RE—ISSUES
f'01 AL AMOUNT r'.-AID
•..,. .,. ,. ... .. r ,� X41 � � e . •� i f
Yn' 11 V r
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unified SANITARYO
Vfsewerage •
155 N. First Ave.,SuiteagencyHillsboro, Or.,97124 SUPFACE WATER J
503 648.862
CONNECTION I'L.RMIT
0929,73 FXPIRATInN J)A'14.: 032094 1,0 4 lil 4'*�
PR III
F) ri"n.im'uRE, ADDRESS 166_1:?
X111 JORDON WAY 1_01 36 B 1.0 CK
9ED1,1111"o 0I.J:'N PHA',i!]. 2
1"111INNIT I DIN . MEW
11 0 IN! �1)C,
I (FT I NS T A L I AT TO N A0 27000
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FA1411,Y PARCE.L. 2011. 111)
Q*rk t.r.C.' 1711, MH 111092 •
0 4 N C R 84'"ACIIN HOMI-SI"I.ANI' LiLIF-11AM
'TRESS 9500 1;111 1.1!1:"11-1 1 '
BEAVERTON OR 97()05
524- t999 JORTSIt P314C..) CITY
... .........
XT U R E E Q I I T V A 1.V 14 T D 11j r'r I I. 1 NI(}l R El 13,I ti U'NTT 0 L
I 1.1ttRVICE. UNIT!") I
W pt'I r k k 1,0 P M F,N i' r.i.-T.so
CONNECI I ON rrF's
SEA-11':R CONNECTION 22W00 14ATr., aIle' L (TY 1,80 ,00
CUrPT'l < 190 , 00,
WATER QUAI'l T ( I Y tooloo
L I.:il S CR F 117 T 0
ERIIS)TON CONIROL
IN15PEC'I :r(IN 40 , 00
PLAN 26 .00
SUR VIITAL 12200 00 '511N10 I'AL. 16!) 00
TOTOI 2,�6 (10
HAMI':'. PI- ER KIIY'1K
'I T I-L I AT I(IN VP
F: "MARK!.', PRIFIJ 13 939•- 111:111' (IN 11 01 F"I'l 4 I.OT
TN!-")VVrJ10N5) REIII)TRU
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11 V" it Itti ljjUjJL.L.ttij
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Permit Cordtions: The applicant agrees to compty with all rules arxi regulations of the Unified Sewerage Agency When railing for an inspection. rlleamc
refer In the Permit Number The Pemil expires one hundred eighty (180) days from the date of issuanre. The Agency does not guarnnfee the ar-nirary
of the location of side sewer laterals.
7193 WHITE USA, BLUE -Accounting, GREEN -inspection, YrLLOW - Customer