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INSPECTION NOTICE {
city ofH ll ardBlvd.
Building Orego 72'
13125 8w Ball Blvd. Tigard,
Inspection Lint Rec-3-Phone)t 639-4175 Business Ph 639-4171 t � •
y
Inspecti.on!_
Footing Plbg. Underelab Mach. Rough-in Aper/sdwlk
Found. Plbg Top Out Gas Line FINAL:
Poet/Beam Struct. San. Bawer Framing ��- -Bldg. ~�
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Data Requantedt_L Z 7 221, Times _AM PM
Addreses lllck �y� rztr� y l Permit t:_��--12 30
Builders_ _
THE FOLLOWING CORRECTIONS ARE REQUIREDi
_ I
5
.
F Inspectors Dates
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APPROVRD DISl1FI?ROVRD AFPROVKD SUBJECT TO ABOV2
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Call For ieirap.
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CTYIOF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT ■
17U!•1�Hvl�N� T4&N,OmW !7t!!991N (00)0.194171 C;E;,RT I F I C;A T'L OF
I
OCCUPANCY �
PsI�:rM1'T #. . . . . .
e
639---41
;
DATE ISSUEDa 05/27/93 '
31 VL 1665k., SW JORDAN WY PARCEL a 2S 1 i6AD-BED2,O
ZONING:
'=yUE1D I V 19 I ON. , . . : BEDFORD GLEN g
BLOCV. . . . . . . . . . ! LUT. . . . . . . . . . . . . a 30
' 0_ASG�gF�WORK. aNNr,W~...__.......�__.____.______w.._.___...._.__..___.___,_.,..,._.______.__......_____.._,_�_.._. .
1'YPE OF' ')5E. . . :GF
oCCUPANC;Y GRP. :R3 t
OCCUPANCY LOAD1118 4
■
I'ENANT NAME. . . a
Remaar'"-z a PATH I
Owners
BEACON HUMES
PO F,0X 1368
BrAVERTON OR 9 075
anr= #: 524-•1999
BEACON HOMES
9500 5W 1 c^:.5TH
BE..AVE:RTON OR 97WI05 l
Phone Ma 5241999
Reg #. . : 70782 �
Oc:r.i.►pearncy of the above referenced b..,: ldinC; is hereby given, and certifiers
r.ompl.i.aanc e with the State Of Or•e6orl iper_.Ia1L•y Ccdcmwi foi- the group,
cccupenr.y, Arid u¢e under which the referenced pe-, mit was issued.
FIRE DEPORTMENT IL INSPECTOR
BUILUI 03 OFFICIAL
POST IN CONSPICUOUS PI__ACF:
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nUU TION NOTICE .
City of Tigard Duildiog Department C_
13123 SW Ball Blvd. :�ilgs:�d, Oregon 47223
inspection Lino (Roc-O--Phone)t 639-4175 Business Pho : 639-•4171
Inspection: 4
4
Footing Plbg. Underslab Mec't. Rough-in Appr/Sdwlk
},au110. Tlbg. Top Out Gas Line YI�tl1T�t
Post/deam Strcct. San. Sower Framingldq
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Li72-:s
Gyp. 8d. kech.�
Date Requestedt _Timet AM PM
Permit #s
Bulldor: —
THE VOLIAiiING CORRECTIONS ARE REQUIREM,
Inspect; Date:
—_AP.Pn0VF1-t __ZDISAPPROVBD APPROVED SUBJECT TO ABOVE
L_-Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building hepar' t
13125 SW Ball Blvd. Tigard, Oregon 97223 '
- Inspection Line (Aec-O-Phone)c 639-4175 B.,ainees Phone;,' 639-4171
Inspect J.on c — --
looting P1lxU. Underslab Neck, Rough-in Appr/Sdwlk
Mo.o. Top Out oea Lino !_AALc
Post/Beam Struct. San. Sewer Framing
Post/Ream Mw-,h. Rai&. grain InKalation -Plusyb.
a
Plbg. Underfloor A-t+vr Line Gyp. Bd.
Date RequestwdeT1awr AM PM
Addrsu a (��� �-J//, 4C(��I-- Permit i c` L ^0
1 '�-- � •- y y ]', r'y�1 �
x1,� �1l°F� • '� l�tr�
Builders '� �1�t­' �� { F�! {i kr„&yn y�•,
THE FOLLOWINo UURRECTION3 ARE REQUIRED:
F.
1 ��C/C"L�W S/L �Tjec
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A" 154 Le
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D _ 8APP"RR..A __ APPROVED SUBJNCT T) AWrj
Call For. R&+inap.
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INSPECTION NOTICE V �.
City of Tigard B.•ilding Department
13125 9W Ball Blvd. '.•igard, Oregon 97273
Inspection Line Rec-O-Phone 631-
pe ( ): 4175 Business Phone.--639-4171
Inspections - -- ——
Footing Plbg. Under,:lab Mach. Rough-in Appr/'Sdwlk
Pound. Plbg. Top Out t-ta" 1,� nn/'AAcjb FINAL:
Post/Beam Strurt. San. Sewer Frsming -Bldg.
Poet/Beam Hoch. Rain Drair Insulation -Plu,nb,
Plbg. Underfloor Water L"ne Gyp. Bd. -Mach. 4
Date Requeuted: Z' 4 Time: AM PM
Address: -_'- OYI CLJC�crnermit 1:-1-=-�c� '
Builder:
TN3 FOLLOWING CORRECTIONS ARE REQUIRED:
` Inspector: —_--- Date:
PROVED DISAPPROVED APPROVED SUB.7E:-7' TO ABOVE
—_call For Reinep.
1
;
INSPECTION NOTICE
city of Tigard Buildiag Departrent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueineas Phone -4171
Y
,L Inspection:
Footing Plbg. Underelab Mech. Rough-in Aprr/Sdwlk
Found. 1:bg. Tcp Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
r
Poet/Beam Mech. Rain Drain Insulation -Plumb. i
Plbg. Underfloor Water Line Oyp. Bd�� -.aech.
Date Requested:_ -;L ` Timm _AM PM .
`(A dcees: / C - / - C L P9rmit #i ! �-e�3C�L
Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRE'): i r
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Inspector _ / Date: 2
—APPROVED —_ DISAPPROVED APPROVED SUBJECT TO ABOVE 4
` Call Far Reinsp.
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INSPECTION NOTICE
Cl.tl of Tigard Building Department
13125 EW 9all Blvd. Tigard, Oregon 97.123
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 a�
Inspection:
Footing Plbg. Ctnderslas, Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out oats Lino FINAL:
Pont/Beam Strt:ct. San. Sower ( Framing -Bldg.
Poet/Beam Mech. Rain Drain Innsulatior -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech. f
Date Requsaeted• _
:— � ? � Timet AM __PH
Address::l) aeswit #t��c1L
?/ a
Builder:_J'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors Datet__� / r
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rei.nap.
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INSPECTION NOTICE )
City of Tigard Building Departaent1-'
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phone): 639-405 Buoireee Phone: 6J9-4171
Inspection:- —
Doting Plbg. Underelab Mach. Rough A2pr/Sawlk r
Found. Plbg. Top Out Gas Line ?INAL: }
Poat/Beam Struci�., San. Sewer raining -Bldg.
Poet/Beam Hech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch. t
Data Rezptosteds i Time: AH —_PH
be:. Permit i: I_ _
Builder:
ThE FOLLOWING CORRECTIONS ARE REQUIRED:
i,
�Y
InspeFito : �,; — _ _ --- Dater
APPROVED DISAPPROVED AFPROV4D SUBJECT TO ABOVE "
Call For Reinsp.
INSPEI'rIGN NOTICE
j . t City of Tigard Building Department
13125 SW Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Ph,m,: C39-4171
Inspection:,_
Footing Plbg. Underslab Mef-h. Rough-in Appr/Sdwlk
Found. Plbg Top Out Gas Line iINALs
Poet/Beam St.lict. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb. ;I
Fj
Plbg. Underfloor Water Line Gyp. Bd. -Mech. { ,
Date Requested:_s� /p � Tlmes PM _PM
S/
Address / L Permit Y:
Builder: -
t r
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectori
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110V -Me— Date. �,..
APPROVED DISAPPAOVRD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
II �
1
INSPECTION NOTICE
City of Tigard Building Department
13125 an Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O- one): '-,v.4175 Business Phone: 639-4171
,
Inspection:_ ' —
o_,
Footing F Underslab Mach. Rough-in Appr/Sdwlk r
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg. y
Poet/Beam McCn. Rain Drain Insulation -Plumb.
Plbq. Undnrfl:•or Water Li:.9 Gyp. Bd. -Mech.
Dnto Ry est d: !" M -Z�— Ti- --AM --- PM •
Addrera•__JLSC71/ �— Permit
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Builder.^ ----�._,--— —_ ■
TPE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—_Call For Reinsp.
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XSJECTION NOTICE
City of Tigard Building Department
13125 SM Za11 Flvd. Tigard, Oregon 97
Inspection Line (Rec•-u-Phore): 639-4175 Busines Ph a -4171
-'y
Inspection:
rooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk r
Found.' PIby. 'fop Out Gas Line FINALS
og et/pea St-ct. San. Sewer Framing -Bldg.
t
Fo'at Beam Mech. Rain Drain Insulation -Plumb.
Underfl Water Line Gyp. Bd. -Mech.
Date Requested: __Times AM
ACdreees �-- �_T� it i:_ �
euildrrs
■
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
40.
jn
Inspectors_—� Date:
APPROVED —_ DISAPPROVED —� APPROVEr, SU8.7ECf Tn ABOVE
-_Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 rW Hall Blvd. Tigard, Oregon 97293
Innpe^tion Line (Rec-O-Phone): 639-4175 Buninese Phone: 639-4171
Inspection:
Footing r:bg. Underslab Mech. Rough-i: Appr/Sdwlk
Found. P,.q. Top Out Gas Line FINAL:
Pont/Beam Struct. �/ San. Sewer 1 Fra.ning -Bldg.
Post/Guam Mech. Rain Drain ."nsulation -Plur.n.
r
Plbg. Underfloor ater Line Gyp. Bd. -Mach.
mate Recruesteds_ -_ TlmeY�_Am PM
Address: '-� L _ �%�� Permit #:-t � (( ■
Builder:
THE FOLLOK'ING CORRECTIONS ARE REQUIRED:
4-d
Insoector: �1 _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_—Call For Reinsp.
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IKSPECTION NYTICE
City of Tigard Buildin.; Department
13125 SN Hall Blvd_ Tigard, Oregon 97223 337
K r ? Insp..,ct!on Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 lr
Inspection: I
Footing Plbg. deralab Hech. Rough-in Appr/Sdwik
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
i
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nate Lin Gyp. Bd. -Hoch.
nate Requested: q 3Time: —�AM
__PM
Aad, Permiteee: ,��C, � 4Y1 Permit ism>-Z
l
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inepe o Date:_
_APPROVED DISAPPROVED _T APPROVEJ SUBJECT TO ABOVE
�1 Call. For Reinep.
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sev - 0 0
V seweerage SANITARY•
agency
Sui
155 N.First Ave, URFACE WATER
.� Ave, H 270,Hillsboro,Or.,07124 �
503 648.8621
V CONNECTION PERMIT
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ISSUE DATC • = -EX? RATION DATE' 062693 PERMIT 103398
STRUCTURE ADDRESS RATION
PROJECTAztMr�io8
STRUCTURE STREET..
l ,;q tlt',_ct':I "r. LOT 30 BLOCK
TYPE CONNECTION— NEW.. ;.�_ ,� OF BEDFORD GLEN PHASE
TYPE INSTALLATION t19) I'AL. fTbR/ER(� 'CON/SY'iC F
TYPE OCCUPANCY— ( 1 > SINOl.E FAMILY PARCEL 2S1 16 AD 26400
QTR SEC: 4716 MH 1 Cc0^1
OWNER DEACON HC MES
ADDRESS PO BOX 1630' . TREATMENT PLANT DLIPHOM
BEAVERTON7075"
V1 Yr,.�t.i 11,I
PHONE 626-9029 .t , JURISD
FIXTURE EQUIVALENT DWELLING RESII rNT'IAL
UNITS SERVICE UNITS 0.0 UNITS 1 SERVXCE UNITE? 1
CONNECTION FEES SURFACE WATER DEVELOPMENT FEES
SEWER CONNECTION' ::100►00 WATER QUALITY 190.00
LESS CREDIT C 100.00:
. WATER QUANTITY 100400
LESS CREDIT < otoo>
EROSION CONTROL
INSPECTION 40.00
PLAN CHECK 26.00
i
SUBTOTAL 2100.00 SUBTOTAL 166.00
I
j TOTAL. 2266. 00
ADPL NAME PETER KUYSK PHONE
AFFILLIATION VP
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REMARKS PRUJ#1939--BE<DFORP gLEN 2--LOT 034
*24 HOUR NOTICE: ER ION CONTROL INSPECTIONG REQUIRCD
N Urev ISSLIE'Li FiY THO1'1PJnN.IA
Permit Conditions: The applice 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 (permit fee, connection charge, line tap fee and/or other charge) will be forfeited 11 the
permit expires.
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l
1 the Agency does not guarantee the accuracy of the location of side sewer laterals. if the sewer is not located at the
! easurement given, the installer shell prospect three feet in all directions from the distanceyivan. If not so located, the
+stalle.r shall purchase a 'Tap and Side Sewer' Permit at the current charge and the Agency will install a lateral.
"I
6/90 WHITE - USA, SLUR - Accounting, GREEN —Inspection, YELLOW — Customer
_. ,. 1�k d ll �( t I.• 4�.1+��;tlh�1'�r1 1� 't•'m� �-... �`._ -._..��__ — _
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C17YOFTIFARD
COMMUNITY DEVELOPMENT DEPARTMENT w4m MASTER PERMIT
19126 BWFWIBlvd. P.O.Ba 23997,Tfpod,Or"m 97223(609)639.4176 PERlyl I #. . . . . . . : MST92 0304
639--:4.171 DA" c. ISSUED: 12/28/9:
&(A.C-(_ I I a
SITE: ADDRESS. . . : 5W JORDAN WY PARCEL. 251 1 E'AD—BED30
SUBDIVISION. . . . : BEDFORD GLEN ZONING»
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :30
BUIP DING
REISSUE:MST92-0059 DWELLING UN1TS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORT•(. :NEW BE:DR1 1S:2 BA I I-IS:2 GARAGE. . . . . . . . . . :555 5 f
TYPE OF USE. . . :SF FLOOR AREAS------------ REQUIRED
"TYPE OF CONST. :51\1 F IRST. . . , : 1600 s LEF'T. . :5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R s SECOND. . . :Q) s f F RONT. :20 ft REAR. . -.20 ft
STORIES. . . . . . . : 1 T'H I RD. . . . :0 s f REQU I REU—
HE I GH T. . . . . . . . : 18 ft 1600 s f 5110KE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VOLUE. . . . . $ : 83590 PARKING SPACES. . -0
Re'mar•ks : PATH I
SINKS. . . . . . . . . . . I FLOOR DRAINS. . . . :'.n_ BACKFLOW F'REVNTRS. . :0
LAVATORIES. . . . . .3 WATER HEA'T'ERS. . : 1 TRAP'S. . . . . . . . . . . . . . ..0
TUB/SHOWE.RS. . . . :;3 LAUNDRY TRAYS. . . :0 CATCH B1-IS I NS. . . . . . . ..0
WATER CLOSETS. . :2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :IZI
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 O rHE:R FIXTURES. . . . . :VI
GARBAGE DISP. . . » I RAIN DRAIN (ft ) . :QI
WASH T IV1:3 MACH. . . : 1 SF RAIN DRAINS. . : 1
MICHANICAL. __________..__.________._._.____._______....._ FEES ---._.___—__—_—_..__
F'UL:1_ TYPES-___.__.____......_._ UNIT HTRS. . :0 type ama,_rnt by date rar_pt ;
VENTS . . . . . »0 BPHT $ ,-385. 00 JH 12/213/Sy2 —
MAX TNPLIT:O BTU VENT' F'01\153. . :3 FPLC $ 40. 00 JF-1 12/28/92 —
F1.1RN ( 100K . . : I HOODS. . . . . . : J B5PC $ 19. 25 JH 12/26/92 —
F'URN ) =100K . . :0 WOODSTOVES. :0 $ 15. 00 JH 12/28/92 — `
FLOOR FURN. . . . :0 CLO DRYERS. : 1 MISC + 35. 00 JH 12/26/92 — `
BOIL/CMP ( :31I1-':0 OTHEri UN.ITS: 1 lY1F'RT $ 40. 50 JI•A 1 /2,8/92 —
GAS OU FLE:TS: 1 1+1PLC $ 10. 13 JH 12/28/92 —
Owner: _..__.._____.___.___.__._..___.._.._______. _._..____..._...__..__.1,IJf'l $ 2. 03 JH 12/28/92 —
BEACON HOMES F'F'ftT $ 13 :'. 50 JH 12/28/9,-_ —
PO B(IX 1368 P5171C $ 6. 63 JH 12/:=8/9c
BEVIM-P`LION OR 97075 I
F'110ne #: 524-1999 �
BEACON FOMES
PO BOX 1368
BEAVERTOI\1 OR 97075
PhDne #: 524-1999
Reg fl. . : 70712
$ 686. 04 'TOTAL
This permit is issued subject to the regulations contained in the -- - - — - REQUIRED INLiPE::L T I ONS -------- I
Tigard Me,nirlpal Code, State of Ore. Specialty Codes and all other Frrot/fol.rnd Insp Fireplace Insp !'
applica;rle laws. All work will be done in accordance with approved POSt/Be AM Strutt Gas Line Insp
plans. This permit will expire if work is not started within 180 Fast/Beam Meehan Ins�_rlation Insp
days of issuance, or if work is suspended for more than 0 days. Plm/undslab Insp Gyp Board Insp
F'LIYI/UTI der,f10aRaid
r r, rain Insp
F'ermittpe Siynat�_Ir e : �!'� _ Mecliaiiic_al Insp Water Line Ir1sp
F'll.rm�j Top OLlt Appr/Sdw'1k Insp
T s S l_r e ra B y : F r a m i rn c) Insp
Oal 1 for inSpec:t i urr E ,:a9 �r 1 -15
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11 13125 S%iien uwa. PLNCK/RECT #
CIrlN QF TIGA,RD POBmc23397 PERMIT # tP 5t'^'Z
COMMUNITY DEVELOPMENT DEPARTMENT Irlprd.Oxgon 97223
(503)639- 171 DATE ISSUED
C C1 IGC//,�� ✓� �j
JOB ADDRESS: TAX MAP/LOT� �� -� � N 'vl
SUB: Cir �� L�Ya-- LOT: C-' LAND USE: —
VALUATION:
OWNER SPECIAL NOTES
NAME: T. (, REISSUE OF: i
��� C_l.�V�
7� LAST REISSUE:
ADDRESS: 7
FLOOD PLAIN/
PHONE: ��%?'LI " — SENSITIVE LAND:
CONTRACTOR
APPROVALS REQUIRED
NAME: �A`MQ BANNING: -
ADDRESS: __ — ENGINEERING:
FIRE DEPT:
PHONE: OTHER: --.—CONTR. BOARD #: _ U7�5'z— EXP DATE: �� � `"
I ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: U(�ll � UrN���C1T--- LIST/SUBCONTRACTORS:
MECH: Vk' C�UGII� lam_ BUS TAX: —
ARCH/ENGINEER CALCULATIONS:
NAME: _ Y �� ' nk-d LA ( A TRUSS DETAILS:
ADDRESS: I �)2� �lN I �I1�iS OTHER: —_
PHONE: _ � -- — --
PROPOSED BLDG. USE: �SlCliAh Ck -
i
COMMENTS:
1
APPLICANT SIGNATURE
Received By _ _ _,_ Date Received:
��1@.!119Yf1f4CF�F�lY�N7fM'�7RRN1�d1GwrfqKw>t�rv.«.r,H,las n.anrv;+.• ,.,•,.. _ . t:v.i'
,T..wMMMS161 ' 4/I•..SR'.. .i.o..:iN•.w*haMMI4YI.',viA..1T'�R'raMi.., ...vr-....._. . ......, .... ...,..u.aMWM�'i-" ,.
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
a
h► 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees s0 15Z''z
10-431 01 Mechanical Permit Fees d1o, Z) _y0,3-V
10-230 01 State Building Tax (5%) 7, W
Building 4 ?" -
Plumbing
j Mechanical _ �5
00 Plans Check Fee �3 -
.
10-433
Building
Plumbing
Mechanical O •
10-230 06 Fire
_ 30-202 00 Sewer Connection — — —
30-444 00 Sewer Inspection
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 �s --
52-449 00 Parks System Oev Charge (PDC)
31-450 00 Storm Drainage Sys` Oev Chrg
(SSDC) ----
24--445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/35C7P.WP1-
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CITY OF' T I CARD — RECEIPT OF PAYMENT RECEIPT NO.
CHEM-1, AMOUNT s 646. 04
NAME s BEACON HOMES CASH AMOUNT 0. 00
ADDRESS PAYMENT DATE s 12/28/92
SUB17I V I aION s
PUR4 OGn --. OF PAYMENT AMOUNT I-"A I D PURPOSE OF PAYMENT 4IMOUNT PA I D
BUII_DINO PERM 3f3 .,. w'o PLUMBING PERM 132. 50
MECHANICAL PE 4(A. 50 GST. BUILD PER 27. 91
PLAN CHECK FE ?5. t 3 SE=WER INSPECT 35. 00
I—OT 30 BEDFORD GLEN
t2951 SW JORDPN WY
TOTAL AMOUNT PP.ID - — > 64x.. 04
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1}f.