16653 SW JORDAN WAY .�, sJ7.yry1 1`.y. rt •:; 4 d1` x�,Y,�y-; r « '+`� ' .•', Fz, ;' �' '� �r, Plt ,l, •' t .t * �., a
ir
t
i
f
k
1;1
J
1
i
r
/�+lEI(I4 T•+w fi+Ma ":T••�1'•Yt.t lr '�'ya+lk 1�.l.•"kn � r, I i�'t , `t b r. 1 i.' ( i AI ti J
I l 44u��f p �j
•iar R' � �'! �I , � � 1�.� �t��Y f. ♦. ICF '. yyNFn u�V`...
INSPECTION NOTICE r
City of Tigard Buildlag Departraat
13125 SA Bal.]_ Blvd. Tigard, Orey9722#•"on
Inspection Line (ROC-J-Phone): 639-4175 Business Pho
I y I 4I
InsP^rtions l�r 1 W)0-
Footing Plbg. Underelab Mach. Rouvh iu Appr/Sdwlk
Found. Plbq. Top Ou` Gas LinePam
'IIp11.t 1
L'
Poet/Beam Struct. Ban. Sewer Framing
I+
Post/Beam !tech. Rain Drain InaLlation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
P�., 'r �G� Date Requestedi Z Times _ ) AM PM 41
Adores.:. I.1'l.0 L J <.. od G-o, LKI Permit tt G(� Z`�•�
1
Builders �a
�-7y y9
THE FOLLOWING CORPE^,TIONS ARE RFQUIRED:
jog `
_ 7
i
{
'i
Y5,
� I
i
.1"
I
....., ..'
_Len1(4ROVED -_ DISAPPROVEII APPROVED .iUBJECT TO ABOVE
t'tlF
Call. For Reinep.
T
f
r
AL -22-94 MON 10;54 MARINER HOMES, INC, FAX NO. 5241.998 P, 04 '
Cttl of Tlyas�d suildisqboot
13125 norill]J 'DYed. x!q'v_ o,ea" 97223
e, inspection Line (Aec-O-phne)' .t39-1177 HusineA■ phoney 619,-4111
r' Inspection:
looking, Plbg. cndersl+;b Hach. Rough-in ApprjSdwlk
found. Plbq. Top Out Gas Line
poet/Deas fitru,t' 54n. Saver Framing Bldg.
Post/Seas Koch. Raln Drain Insulation Plualb-
,w
Mg. Underfloor Water Line G7/P. 84• oeh-
Date Requested i�j _ T iAm: AK
Permit #1 0271
' •
TEM PoLl4vand ARF! RRQUIR&D: ■
4
xnapBctor: T Date: �D/ 1
APPROVED DISAPPROVED APPROVRD 6"P.11CP TO ASCR
i
i_Call
For Reinop.
i
POP I ! �. ��� r�5i='i�,e�(ti..4_9t�Rrs ';.sWk;1�;1,''.','Yiirai9Gti'k�11111i1W � 4`raw'
,:
�Yl.,
i
,
CITY OF TIGARD
i COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE: OF 0
13125 SW Hall 91vd.Tigard,Oregon 97223.8199 (503)839.4171 QCC URANC:1
A111 <;-. PERMIT #. . . . . . . MOTy� x291.
f+ 39_�F1 ri DATE ISSUEDc 10/12I93
PARCELit 2S 116AD--BED44 '
,ITE ADD R"5S. 11'EC', SW JORDAN WY
`SUBDIVISION. . . . > BEDFURD GLEN ZONINGc �
i
jDL.00K. . . . . . . . . . : LOT. . . . . . . . . . . . . 144 ■
I::LASS�pC"_ WORK. aNFA._.__.._ .w.._.._...._.._.__._.__._.,___.__.._.____.._..__._...__.__...._.. ...._....___.___�_.__...��.___..........
TYPti OF USE:. . . c SF i
OCCUPPNC:Y GRP. c R.3
OCI.JPANCY LOAD: IIB 4 I
TF1 tAN'T NAME. . . c
ilemar ks : PATH I
BEACON HOME2
PO BOX 1368
)3EI)VL=17TON 1712 97075
Phone Ot 524-1999
Conti+;'.�~C��r•e -____._.__._._._............_._..__.___.....__.__�__.._
BEACON ))C)ML::S
V;00 �W 125TH
BE1 VERTON OR 97005
i Phone #c 5 !4-•19134
Reg #. . : 71117132
Occupancy of the above referenced building is hereby giveli, avid certifies
the compliance with the State Of Orwyon Specialty Codes for the group,
occk.+panr..y, anti 1.lae imcier which the referenced permit was issued.
r..t. i OR
i
POST 111,1 CF-WSP 1 CUOU',3 PLACE:
i
I
i
I
3 _
as
INSPECTION NOTICE r�
city of Tigard Building Departnwt
13125 S* Ball Blvd. Tigard, Oregon 972231//,'
72231
Inspection Lina (Rec-O-Phone)t 639-4175 Business P o t �st�il
Inspectiout_ Y _
Footing Plby. Underslab Mech. trough-in Apps/Bdwlk
Pound. Mg. Top OuL Gas Line �1IUAL,
Post/Beam Struct. Ban. Sewer Framing -81dg.
Post/Bean Mach. Rain Drain Insulation -Plwttb.
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
Date Requeste4t cr Timet Am _ZPM
�l�:'
Address: `"7 GILe P it 1t
Builder: CrYl 1
TBs.*(lLLoi7INa cORRECTION23 ARE REQUIRE :
tv) Gu -
"C
i
V
Inspector:__
---
�_-----APPROVED ��ISAPPROVSU PPPROVED SUBJECT TO ABOVE
_—L—cai1 For Reinap.
dW1N�NrY+wu+.w.wsWwrarwWMr+M.+.w'+nYMNAwu+MPS•':•.Ys^w+.-rr«.wrn.,w...:+w+..r..-..... .....« ,.,......,.+..w..r++.w.rinasrM`WIR4MW� ,., �:
l�
i
.te i rl 'r`r 'it
.
7
y,
INarTION NOTICE
City or Tigard Building Departemt
13125 811 Ball Blvd. Tigard, Oregon 97223 11
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Int pec:tion:
rooting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
rFound. Plbq. Top Out Gas Line •INALt i `� „ t , rayl.�'x'•k
Post/Deam Struct. Sal- Sewer
Framing -Bldg.
ji � IL��J iltle��p5, yf. ,
' ai'�1 i
Post/Basin Mech. Rain Drain Insulation -Plumb., �,4
P.lbg. Uk_derfloor Nater Line Gyp. Bd. -Mech.
Date Requestedt I I `` �``/ _ Timet 7y AM P
t.JN.
Address: :> rN�"'i-✓1 u di t
Ruildsr: 215 1 _ V23 f '1
THE 7OLLOWING CORRECTIONS ARE REQUIRED: p t�
_ Date:
Ins to
—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_____Ctll For Reinsp.
e
I
l l�aA�u
I
N� SPECTION NOTICE
City of Tigard Building Departeent !(
13125 SII Ball Blvd. Tigard, Oregon 97223
Inepaction Line (Rec-O-Phone)c 639-4175 Business Phone: 639-4171
e,
Inspection:
Footing Plbq. Underslab Rech. 'dough-in Appr/Sdwlk
Found. Plbg. Top out Gan Lint FINALS
Post/Beam Struct. Ban. Sewer framing -Bldg.
a
Post/beam Mach. Rain Drain Insulation -Plumb. A4`
Plbg. Undorrloor Nater Line pyP, Bd, _Hoch,
Date Requested: Z �� Time:
5 i t
f i 1�1,
Address: u^ .� fJr 1 3 _�Z A w
� _ Permit is � z•"�k�ti� °?`_�-�°,�
Builders /�-Gh� V�Y('Pi
• �"�" 5 4 �{jay R�
TB3 FOLLOWING oORR=CTIOlfB A.tE RtQUIRSD:
'i Y
1 t.•
Inspec
- Dete:
_APPROVED i_- DISAPPROVED APPROVED SUBJECT TO ABOVE
--Call For Reinep.
z�1v7WtM,12iN'�31 :
r
I \ �����LYK �✓4 w
�.:. ....:w1as�1M'w�N�i,e��ar.lr»ti�'w+w.W.•shm�M��►bMMFM1n=a, p„�y,.;� .. .._.da., .. ,..
INSPECTION NOTICE nTM
City of Tigard Building [-apartment
13125 SW Hall Blvd. Tigard, Oregon 9722
Inspection Line (Rec-4 -Phones 635-4175 Business Ph n 9-4171
Inspection: `` 1V' 7 1
Footing Plbg. DndersA Mach. Rough-i Appr/Sdwlk
Found. Plbg. Top Outtaa Line FINAL:
Post/Beam Struct. San. Sewer Framing ! -Bldg. I
Post/Beam Hoch. Rain Drain Insulation ) -Plumb.
Plbg. Underfloor Fater Line Gyp. Ed. -Koch. a
,1
Date Requested: i) I a� > _Times _AM PM
L
r QL
Address:, iQ(QS � c�f�Y,,' G�-Vl U,_ .e-( Permit i:�' �
r
Builder:
THE FOLLOWING CORRSCTIONJ ARE REQUIRED: 7-"7
�2
A
i
i
` I
I —
,
Inspector• Datti
APPROVED DISAPPROVED APPROVED SUB.72CT TO ABOVE
call For Reinsp.
'I�M'�111Cq�T]6MA�4MitlARVfTSMpMWWIW YN11�7YNM4MNONf+lM1WlWW+vMfN[WYVIR�•M1!RAMMrw.w'::n'-wMiYMkG::,M.:�a
kr U
p.,
.
� MR.
' A �rt� �tfg;�„ ���J���Ya V����i�yn.,tf��hl��j ✓ ' '�y w (t �'�� r i�
it
INSPECTION NOTICE '
City of Tigard Building Depart—t
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Lire (Roe•-o-Phone)c 639-4175 Business Phone: 639-yi71
Inspection:_
Footing Plbg. Undo lab Mech. Rough-in' Appr/Siwlk
¢' Founn. <�-V . To Out�� Oa■ Line FINAL:
Post/Beam Struct. San. Sewer �FremingI -Bldg. •
i
Post/Beam Mech. Fain Drain Insuletlon -Plumb. i
Plbg. Undo.-floor Maser Line Gyp. Bd. -Hoch.
�i,.�
Data Requeetad: ��T L� I � Times —AN PH
Address: �'r: -Jh ' Ci Permit f s _U' .L_ w ;;
Builder:_: �---
.tr i)•
TRE FOLLOWING CORRECTI S UIR :
� 2
r _
4
Inspectors Dates
I ,APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
r
r E ��,..... - .....w.�+...ro.uwur..w�w+,wn+.rr...wcuaw••.w.wa..w,....,,,m.- ....,•..w.a„.v�nMr, 1,, , '
ne x ,1td�J C
r_
t e
R
t. 8
V ,•�. . m..rw�r-wr•'n�+NMe � a eMK:n yo�bb�4, yy ,��yy; giyws r.w nw+
, ;�, .,F',. .,y-.m' lY �,k1'�rt, �"`",�?,+ '.'�'G��:�n1�i, F "�L, � '�'A,v�*;"`" ,` t�eJs�X'i,�rtN►�'i3�+rb r�! 'R'�""°Y4�'i', .�;7kM""
d '°;;!
• I�, I
3
tk
1 ' ...... .. ,
Ap
.I ' .. it it �• �''�a ''.I
ib
t.
Y
L
IpSI'ECTIOt1 NOTICE #
City of 719ard Building Departaemt //
13125 8w Ball Blvd. Tigard, Oregon 9722Y `•
Inspection Line (Roc-o-Phons): 539-4175 Puniness Pho 639-417'
�f
Inspections
ilooting Plbg. Undarelab Mach. Rough-in Appr/Sdw..k
round._ Plbg. Tip Out Gas Line FINALs
st/Beg@_¢truu San. Stwer Framing -Bldg.
Croat/Beam Maoh Rain Drain Insulation -Plumb. _
Plbg. Underfloor Water Line Gyp. Bs_. -Hoch.
`- 1-�--i
ata as Requosteds '! - - `� Timms: --- —AM _ PM
Address: I lP U'C��� _�f`� t".L.bL Permit is '
Builder:_ CC
THE FOLLONI10f3 OORRECTIONS ARE REQUIRED:
a
L) _�/
i
f
,r
Inspectors
APPRUvAD DISAPPROVED APPROVE') SUBJECT TO ABOVE
Call For Reinsp. �'
i �
INSPECTION NOTICE
City of Ttgard Building nepr.iti ent //
13125 OW HAL11 Blvd. TigarJ, Or agora 9722 ^-"'•'~
Inspection Line (Rec-O-Plone)s 6394175 B-iciness Phones 639-4171
Inspections —
Footing Plbg. Underslab Vlach. FtGugh-in Appr/Sdwlk 1
a I,
Found. Plb,,- Top Out Gas Line FINAL:
Post/Beam F.truat. San. hewer Framing -Bldg.
P• /Beam Hach. Rain Drain insulation -Plumb.
. Undurfloo� Nater Line Gyp. Bd. -Mech.
Date Requa et sd - Tim[ AM PM
Address: � .J �-- ,� Petna4. s - .z--
Builder:_
I
THE FOLLOWING COKT*RCTI S ARE RRQUIREn,
1 .
•.�, .._-�-_-_ � `y J$AM�•°�h 1'
i c}Qt
I
°
Inspector:
APPROVRD DISAPPROVED APPROVED SUBJECT TO AFOVE
Call For Rsinsp.
t,
i r
4. Yr. xS.; kc - �,.t }r•i4,
I KING CITY
lumuw� 1x300 SN. 116th avenue,lung City,Oregon 97-124 ?`one:539.1082 S
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Iastzz-tious an reverse)
DATE � C
1. NP.ME OF APPLI CANT: ��i%.Q-C`{ I 1 1*1 it I Phone No. ��,/- ���`�____ ■
ADDRESS: 0 k L 136 1 iL a
ADDRESS OF PROPOSED
2. TYPE OF C.4 NGE, IMPRn�-ajEYT OR C'ZNSTRUCTION FOR WHICH PERMIT IS REVJESTED. ■
DESCRIBE BRI=f - ATTACH TWO COPIES OF PLANS OR DRAWINGS OF
PROPOSED PROJECT: /lc"--
3.
1 "--3. NAt�E AND ADDRESS OF CONTFACTOR `f.'& --
PHONE NO ;Z L/ -i) LICENSE NO. 27 Y S-/
4. NEIGH kRS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT OR HER/HI:S REPRESENTATIVE MUST BE PRESENT AT THE PLA?+NING CCWISSION
MEET I NG NEXT HELD ON -- -----—
REeRESENTATIVES NAME PHONE NO.
(?he Ming City Planning Comoiss'jn will consider only those appl.-at:ans received at least five (5) daps
prior to a npf ing.) /
SIGNATURE
APPLICATION RECEIVED BY__ —
c z�i n�
APPLICABLE FEE RECE VID $ 'TCII'AL
-
PLANNING C'CMISSION DECISION: Approved Denied
CONDITIONS
Approved ap.lications are va�,id for si months only /
Signa
tv� �he
QDate (V 3GNOTE: 0 egos BonebuildLaw riquires that all persons who contract for work an their residence be
egistered with Builders Board which means the contractor is banded and insured on the job site.
Tor your protection, be certain your contractor is registertO by calling City Ball Ph: 639-4082.
d
t
)
NOTE': A permit must also be obtained cm the City of Tigard Department of
ei*
Cc enmity Delopment Yes No
CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected and Apprcrved _Denied
Date Ccarments
Signature
(Bu iZJ ing ,in-c pQr-tD t. mow, ",fti►n ons. ( 1 ) copy to Kin-9 City)
.y
CD 2-37
INSPECTIJN NOTICE
city or Tigard Building Department
13125 SW Nall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Forting Plby. Underslab Koch. Rough-in Appr/.idwlk
Found. PMv. Top out Can Line FINALr i
Pont/Beam &-ruct. "ran. Sewer Framing -Bldg.
Post/Beam Koch. *in Drain Insulation -Plumb.
Plbg. Underfloor &ter Line Gyp. Bd. -Koch.
Date Requsated: r/ c T1JNi� AN PM
address- �. ' �l E� L.3Li MLt rI 4�
Builders
THE FOLLMING ODRRECTIONS ARE REQUIRED:
i
-- 4
Inspector:
�--
/ —APPROVED - DISAPPROVED -- P11PROVEb SUBJECT TO ABOVE
Call For Reinap.
�� Irr1w.�44' Mm
INSFIgrzO_1,3TSCZ r#
City of Tigard Badding Department
i 13125 IM Hall Blvd. Tigard, Oregon 972213 -�
c Inspection Line (Rec-o-Phones 639-+1175 Business Phones 639-4171
,y Inspections
�ootissq Plbg. Underslab Mach. Rough-in AAppr/Sdwlk
K Found. ) Plbg. Top Out GasLine FIMALs
Post/Beam S*.cuct. San. Sewer Framing -Bldg.
Past/Beam Fisch. Rain Drain Insulation -Plumb.
Plbg. Unverfloor Nater Line Gyp. Bd. -Hoch.
� PM /
Daf.s Requestsds /-- --Times AM �_
Address s
Builder:_
TM FOLUWIMG OORRECTIONS ARE REQUIREDs
i
r
r
Inspectcti Dates
y \ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Rainsp.
OR
ti"raa
i
f.
11` ❑
uniflec0 SAMITARY6 0 0
U155 N. Flrat Ave.,S�uit�i2�70"I�+II, ro,Or.,97;24 SURFACE WATER I,
503 848"8621
CONNECTION PE:RMTT
ISVIL7.. DATE 061773 EXPIRATION MATE 121493 PERMIT 104121
STRUCTURE ADDRESS 16653 PROJECT 11;:3"1 �
STRUCTURE STREET SW JORDAN WAY { '
i;h^r LOT A,4 BLOCK
rYF'I` COMNEI;'TIIJM, NEW OI'' NE,,,waf T1 r)L["N PWASL 2
I
1•Yr'E INSTALLATION... ( A) MLD SWR/r'RO CON/SDC
A RCI?A. 2!.")1 1.6 AD 2.7000
t�Ll;lll�';1`Ir;Y c( 1. ) ,.,ZNl7t..l': F'Ah11;L,.Y F I
01-N- 0 k4:C 471.6 M FI J fi 01T ■
[JIJi•!r lI I11`'ACOP!` HOMES
ADDRESS X500 SW 12 '1'H TRFA'TMI'::N'1' PI.ANI 11111\Ik'Jl
BEAVERCON OR 9/Ob5
F'MONL' 524-199 81 JIJRISD
FIXTURE EQUIVALENT DWELLING RF.'L;JIll NT 101-
G GI:RVICE" UNIT�3 , 0,0 UNITS 1 F3E.RVI1;1 IJN:['f;: i
CONNECTION r'EE:.S 01.1 RV AC E: WA'TER DEVf L0I'M EN] I' EJ_S
SEWE'rt C,011NEXTION 2100 ,00 WATER QUALITY 1.1:10100
LESS CREDIT 1 r10 ,00:`.
WATER QUANTITY 100, 00
L)F$03 CREDIT 0 , 00:
• �, 1 l� ) 1 t� EROSION C1")N l R1)L..
I I
INSPECTION 40 , 00
I'I
PLAN CHECK 26.,00
Sl.1D T'O l AL " '.0b ,00
SUBTOTAL � 166 . 00 i
TOTA1. 2266 , 00
IaF,F I re(I�jf, 1:1 r: rR KUYSK r')I0r11- _.
of-'FIL..L.. CF1 TON VP
ItiEMARKS PRO JO153�- BEiIr O1"1'.rfl:, 2--I..A I '44
<''1 I)IJI.11't Nr1l'TI;I' Qlt F'T, .'a T.rJN Cf.1N1'Rf)I.. TNF'EC1'ION�3 REQUIRED
SIGNATUR604 ISULIEII 31Y
Permit Conditions: The applicantrtes to comply with all rules and regulatigns of the Unified Sewerage Agency. When calling
for an inspection, please refer o the Permit Number, The Permit expires one hundred eighty (180) days from the date of
issuance. The total amount paid (permit fee, connecUoll,charge, line tap fee and/or other charge) will be forfeited if the
permit expires.
J The Agency does not guarantee the accuracy of the location, of side sewer laterals. If the sewer is not located at the
measurement ggiven, the installers ll prosplct three feet in all direction's from the distance given. If not so located, the
installer shall purchase a "Tap a Side Slwfb" Permit at the current charge and the Agency will install a lateral.
6/90 WHITE — DBA, BLUE — Accounting, GREEN —Inspection, YELLOW — Customer
y
, 7
Fw
14.114 MAN" 1
CITY OF TIGARD U
"t.4itil
COMMUNITY DEVELOPMENT DEPARTMENT
13120 SW Hall Blvd.Tigard,Orogon 9722300199 (503)030.4171
• .. Iii'-91 t: 1:S4:iUt:i,i; a�� ,i
•_ t F;I:+Ur�tL:.tr,a,.. . ;. 1c:.is,ry 5hd
IEIUN. . Eir.:DF'0R1) (nLL:N '.0i,iIPJG
. . . : . . . . . . . . . . . . .4-t
.
__._ _...._._.,_ . .._.,... . _ .. _._ BUILDING .... ._.._.._ _. ._ _. __._.. --
f '
1.1 11ST32—;U -2 Hr-13EMCNs . . .
OF" WURK. NEW RI:.i)RMS:3 I:11'iTI IS: GARAGE.... . „ . rr ■ » r e. . :,`l 3 5 f �
Irl•' i.�«":.» J i.'. JR
,i: O CUNST» )r4 r iRs,r. » - iciio S t, i_LF . r !J ft RIGi•i1.. f i
_iJi~'i�;Ul:'r' ,: 21'« ,ti.:. :��:i Cil`di:, . . ,v! VT�DNI., d,:.iIS t
aTURILS. . . . . . . : 7 I TWIRD. . . . :0 !
i.G ft .i lII0L f a4�lIJl4G Epi t"t_,CTt)i?a', : Y
'LOUR LOAD. .40 psVG1LUL.. . . . . 'b : r"iU: i PARKING SPACFS. . -0
I r mai 'i a F'fiT6f L .. _ ��
Kms. .. » . . . .. , L.l;l�li? );: ,£ DPi,K�LOW l.)lrlr'JN'l r2,a, '4'.' l
04 OR 1.ES. . . . .. : 3 Wt i l::R riL41f.W:i. . . : i TRAPG. . . . . . .
._. -1SHOWER. S.
�JFi'1'f~�t C:LLl5t:T S, . » WLR t..: ;•iL {fit) . 9
i �i�' f31itf.f3. . » , i ��ha"i T',I? L .i '•i;_ ( ft' ? . e1 i , L.D14iL!'-: FIXTURES- .
rnsp. . . : I A;11N 1)R01l.; t ft 7 . :L71
fAt TING Iv44:31. ■
1 L LS
3 n, 1111 i, U}+ date r E't:P +
ytE-Nr. , . . . t4r-IN T 00 JH06 1.7A+)
4-ld)T110 klli40. 00 3LH 0;.:,r;:4i'3, t
UHN ( 100K . . : 1 2J.. ro JF'1 (At., r 175 93 E
s';;, 0121 .1y i cif /I
i '• 1,
' I Fi.IFiN. E,
s)i Yl , .. Iy, ';,T 40. 30 3t-I X16 i 7193 �
arfF ( t1 IC:Ee _;+. � ) L. ♦k',. 1.�. Jfi k'14: , ir/
Lrr;'.a E)l.l : ... .. �!^ 1. rY,",+I:-'i: f• ��. IlJs .JF'f 4'7Gi i7/": �:'�
. 7 rf r•
(' 13P. '—"0 3h ti's,,
►I»�GC}I'J ;-10ME:S
;1V E Ti 101 INi is k 9'V 75
): C)l 7i
�:i 't i:)rlr�
;,y ', a 'ii 5535: _._. _ .._..,__... _. _.... _ ......_... . .
his permit is issued sa6)er.t to the rq la:.�rs co tsinei to tne ii.-Qij I RE
-rd Municipal Gane, State of Jr4. Specisity ;.rues ani all other Fuotifri'_;nd Insp Fit-eplace insp
:e :6115. Pl wDP'ii Will Le 0010 .1 K%:0(644i 'nit` appNCre':i PustikleaTl ;it;', +_l C":is l_,:.ii LirrQ llisp
liE reset-. OIL. .m4lfR i! ' '. Mithin LIR P0 L-,L /PP-0-nl Ole :han (iis+.tart ion Irtt;p
Ir? 6vp Boat-d ,Et i::17
1E 1'i Ef1G7" Alr, fiY'iaa 'iIIN9f7
1."�� _— _ __...� ft:•+ t,.i.+ ). Etre Wa,:en kn, ri
rap l..iut App) '1t3clw1la iir
,
,r
y •�
),12
13M SW li.0 nwa. P!_NCK/RECT = rte/
CIZY CIT TIGARD roflow 23397 PERMIT # �Y15ff3 --ya2�L_
COMMUNITY DEVELOPMENT DEPARTMENT Tiprd4 Oregon 97223 I
(50])6)9-4171 D/ITL ISSUED
a
JOB ADDRESS: 16653 b'W Jordan Way _ TAX MAP/LOT d23/;l G/� �' vd 4'/ I
SUB: _Bedford Glen _— LOT: 44 _ LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: Beam HmLs, Inc _ REISSUE OF: kr5k �2 4° w 2--
ADDRESS:
ADDRESS: 9500 SW 125tH Ave. _— LAST REISSUE:
Beaverton, OR 97005 FLOOD PLAIN/ I:
PHONE: 524-1999 — SENSITIVE LAND:
CONTRACTOR APPRO'ALS REQUIRED
NAME: Beacon Hanes, Inc. PLANNING:
ADDRESS: 950e SW 125th Ave. ENGiNLERING:
_ Beaverton, OR 97005 FIRE DEPT: _
PHONE: 524-1999 OTHER: ,
{ CONTR. BOARD : 70702 _ EXP DATE: 193
ITEMS REQUIRED
SUBCONTRACTQP PLUMB: nby PlumbincL_ _ LIST/SUBCONTRACTORS:
MECH: Muehe Quality Heating I3US TAX:
CALCULATIONS:
� ARCH ENGINEE�I --
NAME: Argo Architect/AIA TRUSS DETAILS:
ADDRESS: 16325 b'W Boones Ferry Rd. 201 OTHER: —
Lake Oswe22, OR 97035
PHONE: 636-0755
PROPOSED BLDG. USE: Residential' 5T
---
COMMENTS:
APPLICANT SIGNATURE
Received By: ` _ Date Received: `2- �3
a
z.
i 4 1
per PERMIT # ' ' ACCT A DESCRIPTION AMOUNT AMOU14T PD. BAL. DUE _
i / t4 -Gl,2y/ 10-432 00 Building Permit Fees / 30 3U
L l3 ,v
10-431 00 Plumbing Permit Fees
3 10-431 01 Mechanical Permit Fees ✓ O w
10-230 01 State Building Tax (5x)
Building
Plumbing ,bJ
Mechanical _�' 3 V
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
i
10-230 06 Fire
30-202 00 Sewer Connection _
30-444 00 Sewer Inspection ✓ s/ 3}
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 Fens
25-448-05 Mass Transit TIF Fees _
i
52-449 CO 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 or)
'1
TOTAL ZV, 2
'j
nm/3587P.WPF
FRI
r
I]
V+
R
F
• CI'TY OF TIGARD - RECEIPT OF POYMENT RECEIPT NCI. :93•-241451
(.-,1-41"-CK AMOUNT' 678. L19
NAME t BEACON HOMES CASH F?'ICIUIyT 0. 00
ADDRESS PAYMENT GATE 06/17/93
SUBDIVISTON
PURPOSE OF PAYMC.N1' AMOUNT P141 D PUtZr0gF: O ' PAYMENT AMOUNT PAID
GU I L.D I NG f3ERM 430. 00 PLUMBING PERM 1:32. a0
MECHANICAL CSE:' 40. 50 ST. BUILD ["SER 30. 16
i_1aN CMEC K FE 10. 13 SEWER INSPECT 35. 00
I...CIT 44 BEDFORD C;L.EN
166:53 SW JORDAN WAY
OTAL. AMOUNT PAID - - > 678. 29
3
I
1
I
1.
r
�ryM
it� t �r •'��n; r, IVI
Rr
AyYuln F 1 � F