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16636 SW JORDAN WAY 1 44. i ADDRESS: �!.fYy,Tj LO I&n dEnlw 7�nlr aGA LZ LIN �� 4r ,l i 1 is\records\mici oflm\t?:gets\tiuilding.doc E i I) 'PION_NOT ICE ! Citi of TigardgardBuilding Department J 13125 SIX Hall Blvd.. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)I 639-4175 Business Phone: 630-4171 I Inspections - Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk Found. Plbg. Top Out GA-s Line fINALf) Post/Beam Struct. San. Sews? framing Post/Beam Msch. Rain Drain Insulation -Plumb. Plbg. Underfloor Natar Line oyp. Bd. -Mach. Date Request.di G. -. ✓ Ti/Nf AN PM Addre.a s .(c 171/ %Y��l l•�. �� .t� Permit M! (t/i'✓�'�i. Pailderl � _4"'r C��� !�t}► � -{ '�`�(_1 t 1 b,-( B THE FOLLOWING CORRECTIONS ARE RlQUIREDI C ,r i I Inspector: Data: 4?_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Ca l for Reinep. F7 CITY CSF TIGARD � C O COMMUNITY DEVELOPMENT DEPARTMENT' C ErRF=ICAl_F 13125 SW Nall Blvd.Tigard,Oregon 97223.9199 (503)930-4171 �7CUPANC C:Y x)(x> PERMIT #. . . . . . . 0 MST921--0306 639...417 1 nATE: ISSUED: 1*1 $ PARCE'L0 c'S116AD -BE^D35 1 SITE ADDRESS. . . 0 16636 SW JORDAN WY I SUBDIVISION. . . . 0 ALDFORD GLEN ZON t NG 0 BLOCK* . . . , . . . . . . LOT. * . * . . . . . . 0 . . 05 � CLASS OF WOW. -NE W � TYPE OF USE:. . . :SF' 1 r)CCUPAN(.'Y URP. -.R3 OCCUPANC V L..OND a 1 18 4 TENANT NAME- . . : ■ Remarks : PATH I Own eI,a BEPCON HOME'S PU BOX 1368 BEAVE'.RTC1N OR 9'707; Ph o u e #s 524-19199 Contract or: _.._ ._.._.. .._..._ .___..____..,..........�. ._.._,._._.____r._.. BEACON HOMES 9!300 SW 125TH BEAVEwRTON OR 97005 Phone M0 5e4-..1999 Rep N. . O 70781.' Oc.c:upalncy of tllie above re "Gr,enced building is hereby given, and certifies the onmplianc^e with tho Gtratw Of Chre(jun Specialty Codes for the yroup, occupancy, ,�nri ttse under which the r°eferQnL d permit war. ivaued. W- + .F I REMDEPARTMENT LD i N(: 9--PE CTOR POST IN CONSPICUOUS PLACE: t i r , ,fix I11NPFFECTT ON NOT qz City a1 'iiqurd Building Departeant 13215 SO Hall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phoneft 639-4175 Business Phones: 639-4171 I t Inspection: Footing Plbg• Undersi.b Hoch. Rough-in Appr/.Sjwlk tir Found. Plbg. Trp Out sae Line FINALt Poet/Beam Struct. Ban. Sewer Framing -Bldg. Port/Beam Hoch. Rain Drain Insulation -Plumb. - P r �^ Plbg. Underfloor Mater Lane Gyp. Bd. -Koch. I r r Date Requested: 1 Timet A![ Address: l�l P "' I•N ' kY (. __ Permit Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: i i J �aInepso:ors Date- APPROVED APPROVED DISAPPROVEn APPROVED SUBJRCT TO ABOVE ----Call For. Reinep. I 41 i h ��tCpvr JNSPB4'�iv. .1�Ica city or Tigard Bu ld1mg Department 13125 SA Hall Blvd. Tigard, Oregon 97123 Inspection Line (Rec-O-Phons)s 639-4175 Business Phonds Inspections___ — yi.i'•7' 3 "�P ront..119 Plbg. Underelab Hoch. Rough-in Arpr/Sdw.lk round. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sower Framing ] Bldg • Post/Ream Hoch. Rain Drain Insulation Plumb. Plbq. Underfloor Mater Line Gyp. Rd. Date Raqueatods --)�� ,0 * -l7 > Times AN PH 01 Address s Li��Qy„LflL�� P LA Permit !s C -1 i Builders — � rrc XA.w THE MLLOW1N6 CORK MONS ARE REQUIREDs Al- Cw i v; a lr Inspector: r _ Dates / APPROVED DISAPPR APPROVED SUBM CT TO ABOVE Call ror ReinHp. 61 ol, i �hi;�akp t,ti �x ;?,tur, � +�rf'J.. J ;,5Mas,l7l` '.^�', 5t Yy � INSPECTION NOTICE City of. Tigard Building Depal-tisent 1.3125 SN Ball Bl.vd. Tigard, Oregon 97223 639-41']5 euaineee Phone: 639-4171 Inspection Line (Rec-O-Phone): `:nspection:_ ._ --- ___ --- I Underslab Mech. Rough-in Appr/Sdwlk Footing Plby• y � Found. Plby. Top Out Gas Line FINAL: post/Beam Strutt. San. Saver Fr.,minq -Bldg. 1 Post/Beam Mech. Rain Drain Insulation -Plumb. /Bd , -Hoch. Plbg. Underfloor Nater Line /"YY �� . Timet AM PM � Date Requested: -q 3 41,3 permit t v3 o(Q _ Q Civ,,•_ } �� �� 2'f I dreg Builder:__ ■ THE FOTAAY4ING CORRECTIONS ARE REQUIRED: Date: Inspector:- J/ — APPROVED DTSAPPROVED Y APPROVED SUBJECT TO ABOVE Call For Reinsp. r INSPECTION NOTICE City of Tigard Building bepa�'tmnnt / 13125 SW Hall Blvd. Tigard, Oregon 972 Inspection Line. (Rec-O-Phone): 639-4175 Business pppppp����� G3�f Inspection: - --- - - Footin•1 plbg. Underalab Mach. Rough-in Appr/Sdwlk } Found. Plb9. Top Out Gas LinFINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. 1 Poet/Beam Hoch, Rain Drain Insulation -P).umb. Plbg. Underfloor Water Line Gyp. Ed. -Mach. Date Requested:-` Time: .,AM __.PM � ermit t: TBS FOLLOWING LORRBCTIONS ARE REQUIRED: i 0101 � f ft"dil�t':� r I, � part Inspecto Oxtel t "PROM DISAPPROVED APPROVED SUBJECT TO ABOVE call For Reinsp. 4i7 t y- $ ` 4{ f,il Jnr }� ty i7�dl yy }try t w v ref tit. ��t • � �,�g]l�y,y�ji�r:��•��+����,�y�����J%l��Y� raj - � P $J �rlrsr �4- t s Aiw57 ` - 1 t W y�M QY t u daC a fF o y1' It .t INSPECTION NOTICE r City of Tigard Building Department 13125 S11 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rei:-O-Phone)s 639-4175 Business Phone 639-4171 Inspect Lon ?lbg. Undarslab �- ?tech. R,ugh-in) Appr.f",dwlk Footing a L -- Found. PLbg. Top Out Gas Line FIN%L: -Framing) Poet/Beam Struct, 5sn. Sewer -Bldg. Poet/Beam Nech. Rain Drain Insulation -plumb. Plbg. Undorfloot water Line ryp. Rd. -Mach. -- / O f? -� _Time: _ AM _PM Date Request:—_�_-1 -� Address• Permit 1: / / Builders •�e� THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors // _. Date: - APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE call For Reinsp. i INSPECTION NOTICE city of Tigard Building Dopartment 13125 SW Ba1L Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-417; Business Phone: 639-4172 Inspections__ --- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. bq. Top Out, Gas Line FINAL: I C Struct. San. Seeer Framing -Bldg. ,?oat/Beam Mech. Rain Drain Insulation -Plunb. Plbq. Underfloor Water Line Gyp. Bd. -Me-::h. Date 'Requested: Time:—,� — --AM PM Permit Address: — — Builder: —_---- ■ THE FOLLOWING �.ORF.ECTIONS ARE RLQUIREDs i I — i Inspector: -- Dat.es� ___ �( APPROM DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. :idwW{,a,/�'ai;�aG:U><at?dv'A+�:�:'�tvla.u�w»wawa+•uwnawrr,;.«.«ww,...M. ,. ".... ,..w�n,......+..<.••—-- b N[ y s ` { INSPECTION NCT1_9F "., city of Tigard Building DePMrtwent,,' 13125 SW Ball Blvd. Tigard, Oregon 97223�/MG Inspection Line (Rec-0-Phone: 639-4175 Business Phone: 639-4171 InspeutLon: Footing P1Ug. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbq. Top out Gas Line FINAL: San. Sower Poet/Beam Stru� Framing -Bldg. � Insulation -Plumb, oet/Baron Koch. � r Rain Drain Plbq. Underfloor Water Line Gyp. Bd. ime= AH M Date Requested: / lY","i / L �//j Permit Builder:-- -HR FOLLOWING CORRECIONS ARE REQUIRED= 1 I, 41 ec p I` Inspector — Date: I APPROVED DISAPPROVED APPROVED SUBIECT To ABOVE Call For Reinep. r r' r r INSPECTION NOTICE City of Ti.gard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 ,i Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i' Inspe Footing Pibg. Undurelab Hech. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL' -Bld Poet/Beam Struct. San. Sewer,, Framing 9' " - Poet/Beam Hech. /'•Rain Drain'-', Insulation -plumb. Plbq. Un.er:loor \ Water G.-�n`® Gyp. 8d. -Hech. Date Requested: Time: AM PH w/ Permit i -::Z,12 Addre s A: � ���--�� • Builder THE pOlLOWING CORRECTIONS ARE REQUIRED: tr, j i Inspec(tpr:_— �% Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. i l`Ic ,q�#. `'' t'�-"'tY',;� 1•,+� � �{e;.., Cti. _ 'ti''2: .,�!at nyu,C!` ,>t�r?.; _J;. �;. I INSPECTION NOTICE r City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 6 -4171 Inspection:— —— Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk 1 G ound. Plbg. Top Out Gas Li: i FINAL: Poet/Beam Struct. San. C -wer Fram s, -Bldg. Post/Beam Me7h. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hach. Date Requested= L!� �1 — Times J_/ AM PH Addr000:.L�"_L! 1 /L Penuit f= G40 3e. yl Builders THE FOLLOWING CORRECTIONS ARE REQUIRED• I _._- -_—�._— ..._— - -_-_ � 11 �+dfw•'�tl tj'�r Wisp' s N��11(��'M I •.•.,. I y y r ���1 �y'y 1 ��. ,_•.• I 1�1�rhee. t a r� Inspector ---- - Dates, —'L APPROVRD _ DISAPPROVED APPrv.1VED SUBJECT TO ABOVE Call For Reinsp. :i { i v S' 0*0 i F-C17YOFTIGARD CITYOFTWAND . T riF1STER ,SER lY II COMMUNITY DEVELOPMENT DEPARTMENT oinoa+ P,ERN 1 T a#. . . . . . . : PIST92­0306 13126 SW Hi Bbd.p.A.Ba 73397.TOW,orpon 07223(603)634.4176 r... DATE ISSUED: 12/28/'"•i ' P,ARLEL: 291 16AD--BED35 SITE ADDRESS. . . : .1..::��- 5W JORDAN WY SUBDIVISION. . . . BEDFORD GLEN ZOIuING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :35 BUILDING RE.ISSUE:1YIST9E-16062 DWELLING UNI T5: 1 BASEMENT. . . . . . . . :0 s f CLASS OF- WOR;.. :NEW BEDRhIS::3 BATHS,2 GARAGE. . . . . . . . . . ..573 S TYF,E OF USE. . . :SFFLOOR ARE A:3- - _- --- - REUU I RED SETBACKS---_._-__---_-_ TYPE OF CONST. :5N F I RS'T. . . . : 1913 s f LEFT. . :5 ft RIGHT. :5 ft OCCUP,AI\II-Y GRP'. :R3 SECOND. . . :0 s f FRONT. :20 ft REAR. . -20 ft STORIES. . . . . . . : 1 TPA I RD. . . . :it S f REUU I HE,IGHT. . . . . . . . : 18 ft TOTAL----_.--: 191:3 sf SMOKE DE•TECTORS. :Y 1y FLOOR LOAD. . . . :40 ps f VALUE. . . . . $ : 98312 PARK ING SP'ACES. . :0 ■ Remarks: PATH I P'LUMBING SINKS. . . . . . . . . . .. 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 .iRAPS. . . . . . . . . . . . . . :0 T'UB/SHOWE=RS. . . . :3 LAUNDRY TRAYS. . . :0 CAI.CH BASING. . . . . . . :0 WATER CLOSETS. . :2 SEWER LINE (ft ) . :O bRCASE TRAP'S. . . . . . . :0 DISHWASHERS. . . . : .I WADER LINE (ft ) . : . 0Q) OTHER FIX-TURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRf1IN (ft ) . :0 WASHING MOC:H. . . : 1 SF RAIN DRAINS. . . 1 MECHANICAL _. .___.__.______ _.________._..__.-._.___..-- F EES FUEL 'T'YP'vS-- -- - -- - U1\1IT HTRS. . :0 type aniount by date r,,?Cpt /GAS/ / 1 VENTS . . . . . :0 PE'R-r $ 4:30. 00 JI-1 1.2/28/92) - 11AX INr=!UT :Vi B'TU VENT FANS. . :3 BPIL(-- $ 40. 'P0 JLI1 7.2/10/92 92-234580 F URIJ ( I 00 — : 1. HOODS. . . . . . : 1 B5P'C $ 21. 50 JH 12/28/92 - FURN ) =100K . . :0 WOODST'OVES. :0 hlISc 'I 5. 00 JH 12/ 8192 i 1_brl'< FURN. . . . :0 CLO DRYE.RS. : 1 11P,RT b 40. 50 JH 12/28/92 - BOIL/CMP < 3HP.0 OTHER UNIT a: J. h)P,LC 10. 13 JH 12/28/92 - 1 GAS O1J-ILE:.TS I lyl5P,C $ 2. 03 JH 12/28/92 - __....._.__-P,P,R r 1:32. 50 J11 12/28/92 -- BErACON HOMES P'Si ( 9 6. 63 JH 12/28/92 - ' PIC) BOX 1368 i BE.AVERTON OR 97075 Phrne #: 524-1999 BE=ACON HOMES) F,O BOX 113'68 BE AVERTON OR 97075 :. P)one #: 524•-1999 $ 718. 29 1OTViL This permit is issued subject to the regulations contained in the --- - --- REQUIRE=D J.NSP,E:f_:TIONS - Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fir-eplace Insp applicable laws. All work will be done in accordance with approved F'ost/Beam Str,uct; Gas Line Insp plans. This permit will expire if work is not starte within 180 F'ost/Pearn Median Insulation Insp days of issuance, or if work is suspended to- ar an 180 days. P,lm/undslab Insp Gyp Board Insl:r PI M/Under-floor Rain drain In,ap I,ei-mittee Signature : _ ._ hleCl-TcrTliCa1 IT15p Water- Line Insp Plumb Top Out Ar1pr/Sdwll( Insp I s s r_r P ti B v: ..�___._. _ __� __ F T-a rc i n g Insp Iyl e e h a n i c a l Fina 1 C=all. for inspection 639.._4175 AN r . Oil "'" J 7� 171255 Hall bad. PLNCK/RECT # 42 CITY' OF TIGARD 110[lox 23397 Tigar4 Oregon;"LD PERMIT # COMMUNITY DEVELOPMENT DEPAR1,4ENT (503)639+171 DATE ISSUED i s CYcj fl v1 W _-- TAX MAP/LOT JOB ADDRESS: r SUB: (� r,,G C?��tl� LOT: __35 LAND USE: VALUATION: 7- sPFr.taL NOT(is_ � OWNER �_ REISSUE OF: NAME: —�L�C�-��'1- LAST REISSUE: ADDRESS: FLOOD PLAIN/ 2(� ie l(I _ — SENSITIVE LAND: -- I PHONE: _ t i I APPROVALS REQUIRED CONT PLANtIING: NAME: -- ENGINEERING: --- - ADDRESS: _ — - FIPE DEPT: — PHONE: _ _� _ _ OTHER: EXP DATE: � ' 611 C(1�t;1 R. BOARD #: _Z�1��- �— ITEMS RL- ULIRED SUBC)NTRACTORS: PLUMB: V ( 1(' �'� �c� F LIST/SUBCCNTRACTORS BUS TAX: -- ' MECH: — 'i CALCULATIONS: ARCHIFNGINErR _ -- NAME: �' r���t��C� �.1I�• — __ TRUSS CETAILS: _ --- — OIHM ADDRESS: AL PHONE: ` I r PROPOSED BLDG. USE: - COMMENTS: — -- 457 _J2 Z- APPLICANT SIGNATURE Recei-ed By: �- date Received: -- r i t 1 1. I PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE i (i►] op(o 10-432 00 Building Permit Fees � q3u• 10-431 00 Plumbing Permit Fees 34, 'v / / 3Z, � 10-431 01 Mechanical Permit Fees — I 10-230 01 State Building Tax (5%) Building � 1, SU Plumbing G,G3 Mechanical _ .2 ,63 ■ 10-433 00 Plans Check Fee I / Building �— Plumbing _ Mechanical _LP�i.-5 10-230 06 Fire — 30-202 00 Sewer Connection 30-444 00 Sewer Inspection __ 3 25-448-02 Fommercial TIF Fees 25-418-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees I 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 ' nm/3587P.WPF MOY', 1311.5 sw lieu nNd. PLNCK/RECT # . CITY OF TI GARD L N)Box 23397 PERMIT # COMMUNITY DEVELOPMENT DEPARTMENT Tigar4 Oregon 97223 (503)639-1171 DATE ISSUED _. I ' JOB ADDRESS: TAX MAP/LOT SUB: — LOT: LAND USE: _ VALUATION: ____ OWNER SPECIAL NOTES � NAME: REISSUE OF: LAST REISSUE. ADDRESS: ■ FLOOD PLAIN/ PHONE: — _ SENSITIVE LAND: — i CONTRACTOR APPROVALS REQUIRED � . NAME: _ J_ _ PLANNING: AD''ZESS: . ENGINEERING: - FIRE DEPT: i PHONE: _ OTHER: I � CONTR. BOARD #: EXP DATE: ITEMS REQUIRED I SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: ` MECH: _ BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: _ TRUSS DETAILS: ADDRESS: — OTHER: PHONE: PROPOSED BLDG. USE: — — COMMENTS: --- APPLICANT SIGNATURF Date Received: Peceived By: i { ,I (""T TY OF T I GARD REC:E T r-r OF PAYMENT RE'CE I F,T NO. c'3 c' -x'35,06 CHECK AMOUNT a 6'178. 2') + NAME w BEACON HOMES CASH AMOUN4T a 14. 00 � i4UDREC t PAYMENT DATE' a 12/20 'WE i SUBDIVISION a � a =PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT r-414OUI I!" FSH 1 U ?3UILCIINC PEF2h1 430. 00 Pt..UMBINB GERM 132. 50 � MECHANICAL PF 40. 50 ST. BUILD PER 30. 16 �9ay PLAN Cr14ECK FE 10. 1.3 SF=WF=R INSPECT `. 00 i l_�J'T :35 BEDFORD GLEN 1,311149 SW it'l—PIAN WAY TOT-1I-. AMOUNT 1--'AID — — fi 713. '-9 I CITY OF T I CARD - RECE:I p-r OF PAYMENT RECEI frv'T NO, t 92--P 34FjA0 � r CHECK AMOUNT r ';.1 0. ow � IgME t flCi�1:f1N Ial11HE';a CASH OMOUNT a ih. 00 W)DRFSS a PAYMENT DATE S0111f.T.VTSION a { I I I"URP01,3E�OF" PAYMENT' AMOUNT PAIL PURPOSE OF PAYMENT AMOUNT PAID PLAN CHECK FE 2812). eel I FLAN!3KS r. TCI'T AL AMOUNT Pn I i'1 .1471. Oki ; "+ a ) i qN'� H �,S/ t+ Ya M9S(gM�ypy.jN3+w•+ ' +.".'1�.. 1 1 n 3 I � A j � i `=C 4 .fNIT ' 4r h /� �T /•� yy �q RFACE WATER bSIlrot Aver Sult�i270,F1i1i,grit,Or,971.+t .� -- r,tiM.. �wNJ 503 848-8621 v;. t; ,r,'`"> f I.gNNFCT�QN PERMTT „ +:`.��^�...,of y.''f 4�id ;�;'.u'�Y)a `•, '..,� �ayrit i � �,�,, . 1�{ , .. I88UE""DATLP'%22e912-"�_..__- XF'IRATI00�,DATE 0626"t3 -^+'-� PERNIT 103597 r." t �;. ,, p p,JECT 1939 STRUCTURE k,DDRE3� k3049 1Gt�t�4'' ,,, aR ST UCTUI2 REST , ,-sw--�JORDAN WA n� } �' �' BLOCK NEW,r. .�DFO��n.~'pLEN' PHA EJ,.� TYp'E" INSTAL:LATICIN ( I ) iLVl 55WR% R ,.CaN/snC "' {{ TYPE OCCUPANCY-- ( I ) SINOLL FAMILY PARCEL '2S1 16 t AD 26900 QT�,,GEQj.4736f: c, MH J8092 • OWNER BEACQN� HAMa ADDREE66 -PO SOX �tNT IIURNArI I t 9`7076 + , PHONE '626-9029 FIXTURE ar. EQUIVALENT - DWELLING ": RESIDENTIAL umis ;' : SERVICE UNITS 0. UNITS ,1, ,;r r SERYxCE UNITS 1 CONNECTION FEES SURFACE WATER DEVELOPMENT FEES SEWER CONNECTION 2100 00 (DATER QUALITY 180.00 LESS CREDIT < 180000> WATER QUANTITY 100.00 LESS CREDIT < O.Op:>, EROSION CONTROL INSPECTION 40.00 FLAN CI•IECK 26,00 i� SUBTOTAL 2100 ,00 SIJDTOT AL 166.00 TOTAL 2266.00 APPL. NAME PETER KIJY:3K PHONE AFF'ILL4ATION VP REMARKS PROJ#1939-BEDFgRD GLEN 2•-I.OT # 35 *24' HOUR NOTICE CE- R f.,903 ON CONTROL INSPEC I ONS R J1RED RTGNATIJR� 0 w 1 IRF'.111711 .S i Permit Conditions. The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. When calling for an inspection. please refer to the Permit Number. The Permit expires one hundred eighty (180) days from the date of ''issuance. The total amount paid (pervit fee, connection charge, line tap fait and/or other charge) will be forfeited if the permit expires The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at the measurementy/vaf,. the installer shall prospect three feet 1n all directions from the distance ytven. tP not so located, the .installer shall purchase a *Tap and Side Sewer' Permit at the current charge and the Agency will install a lateral. 6/90 WHITE - USA, BLUE - Accounting, GREEN -Inspection, YELLOW - Customer i