Loading...
16657 SW JORDAN WAY MMA.q"it aOMMAIINI"ill .Mr\Rd*YIMf.RMrMYe' fM•RrM4� r;.••,.4 ;'�••' 'r ���` �i�,' r ��c�a' Vn }';' NCr�''ti'�� -�,7 � �+f �y�y� �t' �r �`F '�'�'� c' ! t.�' +;�'.. Y 1 I ".I i 4 1-. F� Ar f l i r 1 • M � I `q �r 'i • • lm\targets\building.doc a a •, * �7 `"py • 'I i INSPECTION NnTICF • City of Tigard Buf.ldinq De •� "' � , 13125 SR Ball Blvd_ Tigard, 3 Inapection Line (Rec-C-Phones 639-4175 n hone: 639-4171 Inspection t_., t . Footing Plbg. Underslab Koch. R,,agh-ln Appr/Sdwlk Found. Plby Top Out Gas Line FIN11Lt �, s Post/Roam Struct. San. Sewer Framing }dq.' Post;Beam Mach. Rain Drain Insulation {? umb - Plbg. Underfloor water Lino Gyp. Bd. -Koch. cr Date Requested:_ Time: AK FM / Addr seas �tn�l-� �J L�Y Qla-{/� .A.. Periost #s y Builder: LSC tt rm, t t- > I( 1919 C7 IRE FnLLOWINO CORRECTIONS ARE REQUIRRD: �/ 3b,�t/,]g+Cp}yy7retlw�dq'• { - ,s Id Inspector:i.__ -- Dates 4, L'APPROVED DISAPPROVED �-- APPROVED SUBJECT To ABOVE _Call For ReLnsp. r Pn e , �"ldNwt.rw .�;.Anu,�r"pcw � M vrN �'11.+F`aN"moi ..ya♦ 3 A "'�R"M9MF1F' YgMMMkwMI—�,µ'gM�' MMlIM.�M�"h'� . lFll •i; ] e49W 4y:iyHi•' M{ ^ 11 gq y i ► 1 i *�n f J �': e. N I I M „ • i A• d � rr I X �d ��V � .��� M�....,„Jm w�' a•���'� ,w� �¢'.. r�WwW4w�: ��i'�� w,�` rb ����� ;;, 'F CITY OF TIGARD LI RTJF-7CATh. O COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY 13125 SW Hall Blvd.Tigard,Oregon 97223.6 9 (503),lR9,4171 PERMIT #. . . . . . . I MST93 '0<<99 (_•_;r; t�17.l I)ATE" UISUE D: 01/12/94 Ftfaf'<CE I_ : 23i ll AE).•-'DED45 ■ SITE ADDRESS. . . a 16657 SW ,JORDAN WY �:=y�1.►�BDIV1,1310N. . . . : BEDFORD ZONINGS 1 lJ(...LJU.. . . . . . . . . . I LOT . . . . . . . . . . . . . s45 I T YPIE OF USE.. . . a 8F OCCUPANCY Y GRP. I R:3 OCCUPANCY LOAD s 1 17 4 'i'C.N aNT NAME . . s r r„,.. Remarks s PATH I OwnerI _.».»_...:_._..__.___.._ ,_......__.. ._. ._..... _.__._ DEACON 140MES PO BOX 1368 EL:AVErRTON OR Phone Phone #I 5c% 1999 3 ICont ralc:f• or> __..»�_w. ..._._••.w_,..._._._...._. .___.__._._ BEACON HOW.`, J 500 SW 125TH 0,EAVE:.RTON OR 9'700':p l hone #: 524-1999 ,Ieg #_ 3 s 70792 +t Ilu�c upancV of the above veferenced building ib hereby given, and cert i fl ets 1 I:lis, compliance with the 6i,,+.ate Of Oregon 9psrc: ialty Codes for the group, ,c•cc_cpacrlry, and rase under whi..l1 the referenced permit, was igsst,ced- i i”i RE DEPARTMENT _ I _ r�` PECTOR �'�'��:►'1N F'1( TO; PnST IN CONSF�I CUOUG PLACE } aMa•MM?'#i+'� A .M1YwMmu.,.wYAw '.n'.�a.'IasM.rMM.aW. ' 5 y S a tb' INSPECTLON �70TICE City of Tigard Building Deparbsent 13125 aw Hall Bled. Tigard, Oregon 9722 Inspection Line (Rec-O-•Phone)s 639-4175 Busir-se Ph s 639-4171 1 Inspection: -- — — -- "� j Yl�l Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk ;h Found. Plbg. Top Out Gas Line FINAI Post/Beam Struct. Bar. Sewer Framing -Bldg. AIR Past/Beam Hoch. Rain Drain Insulation -Plumb. .: Plbg. Underfloor Mat,.r Line �ayp. 1a. 1 -Hoch. Date Requestods 1�) Times )) AH ---PH -- Addreaws (L Permit Is d Builders on( ervN Lfyy�.�_`> ;�_ ► � TRE FOLLOWING MRRjtMIONS APS REQUIREDa — i :i ilLw { • i lnapecto s _ — [Yate: '�• APPROVED DISAPPROVED APPROMI SUBJECT TO ADM Call For Reinsp. r" „9 Mf } rf , l�a�vi}k,of4hW:WM�tyF�r4�7�tY',�[RIM'1p1,�'I. , . { i vn1 4, y 3I- 1 d yy N O N(sT CR INSPECTION ...�_ City of Tigard Buildia,q Department 13125 811 Ball Blvd. Tigarr,, Oreo ) 97223 Inspection Line (Roc-O-Pha.^.c►: 639-417!, Business Phone: 639-4171 Inspection:^ _ 1` Footing Plbg. Underalab Hech. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gaa Line r FINAL: Pon-/Beam Struct. San. Sewer �(, ? � �' -Bldg. f v PostiBeam Hoch. Rain Drain I*lation .-Plumb. Plbg. Underfloor 11a.or Line Gyp. Bd. -Hoch. . Date ReTiesteds (� - Times AH PH Address I I� 7 c )r C-y- l( l Permit 1s q3 -aZ l ! —1 BuiWar: y1�L�,�rl�L�� t ■ �t THE FOLLOWIH6 CC)RR!-TIONS ARE RRQUTABDs1 ' C 4,u�, L +1 � � F ' s r Cl- It � If �.1a �/V Vv • V �V "— ` �a k ,rr��'Yr rvy,�'��r� r. 1 C�^�_'��— �✓1 ref*� f "� U i Inspectors. 17t, Date: —' V J APPRn1rD DIBAPPRCVBD L APPROVED SUBJECT It, ABOVE ► 7l Call For Reinsp. � K INSPECTION NOTICE _ City of Tigard Building Department 13125 Sw Bail Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 r ( Inspection:___ - -- --- . Footing Plbg. Underslab /Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Olt [ Oaf LLE. FINAL: ------ Yost/Beam Struct. San. Sewer Framing / -Bldg. y Poet/Beam Mech. Rain Drain Insulation -Plumb. a' A Plbg. Underfloor Nater Line Gyp. Ed. -Mach. . •--�' Date Reuested: -_Tlroe: AM PM q 11 1 JJ Ci 9 Address' c'• ensit 1s�� 2- Builders _ �'� THE FOLLOWING CORRELITI04S ARE REQUIRE'1: � CA- ce kAJ �-1;�� c� -yam �C-.�--•�f'/ �� 2 Z ���T''\/>,.l'..�. ri�r �) ����� �-_� .�• �,�� (�.�-,tee. �-.�- :,~..��—� � ,,,,r� Inspector:— �f Dat / G P 6 APPRIVED DISAPPROVED APPROV?D SUBJECT TO ABOVE 112`t Call For Reinsp. ,yv' j ': at 1' 1* r ry t� 1 v 1 " i; 1'. `:r r. 'OSPECTION NOTICE City of Tigard Building Department V Y 13125 BA Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phones 639-4175 Business Phone: 9-4171 Inspections—__ _ r 0 Footing Plbg. Unde•slab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Osit pas Liao FINAT.s Post/Beam Stru'ut.. San. Sewer Framing -Bldg. Post/Beam Meeh. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. k54 -Mach. F: � � � 3 Date Requesteds 1 nes Address: L(�.IC� IL. 4 ( l� ll Permit h GI 7 (r �• J' - r uq 4��i r Builders L", j THE FOLUVINC CORRECTIONS ARE REQU AEDs c T > JU -- 4. i N c 'h M 04 . .i,,. N Is Jaj _ - �.,` Inspectnrs _— Dater�' 5•. __APPROVED DISAPPROVED PROVED SU CT TO ABOVE T ^_ Call For Reinap. D s , i • `. N S P C CT LQN YMMOR City of Tigard Building Departaen;t 13125 671 Ball Blvd. Tigard, oregen 97723 Inspection Line (R6c_4>_Phone)t 639- 175 Busine s Phones 639-4171 Inspect ion: pun. Q�=slab Mech. Rough-in OLVjpr/Sdwlk Y Fcot-nq _-� rP { i ty 5 p1bQ. 1bp Our Gas Line V7WhLt ° 4, Found. r' Post/Beam Struct, San. Bower Framing -Bldg. rFh yyM T ti yfl post/Beam Meth. Rein Drain Insulation -plumb. plby. Underfloor Water Line Gyp. Bd. -Meeh. Date !Iegr!ested:.� ' Cl (.L f Permit #t Addresa as Buil,ier:, ■ THE FOIJ.oWING OOpjtXCTIOMS \RE REQUIRED: ; r Ale fAMr • � �i C ) � �,C S��G� � I ttt /// � � c./mss �'- � � ��" . ,•`. 7� Date: Inslx ctor: --APPROVED DIskPPROVED ^ RROvED SUBJECT ABOVE Call For Reinep. y r r i ,i IMPPEGTION NOTICE ( City of Tigard Huilding Department 13125 Sw Ball Blvd_ Tigard, Oregon 97223 , Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639 1 i Inspection:_ i Footing Plbg. Underslab Hx:h. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FIN:1L: c. Po _ �as Btruat7. San. Sewer Framing -Bldg. nt/se" mc . Rain Drain Insulation -Plumb. 1 fi Mg. Underfloor Nator Line Gyp. Bd. -Hoch. Dat* Requestod: V / % - Time: Address:,' �c% !TL L� _ Permit #: _ Builder: THE t7LLOWTNG CORRECTIONS ARE REQUIVED: T 1 1 � to Ji 1 7-77 1'}. 14 , p - Inspector: / Dates, `APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE ,r 1 Cnll For Reinsp. i N " tl. INSPECTION NOTT" � city of Tigard Building Department '..jf' ---° 13125 Aw Ball Blvd. Tigard. Oregon 97223 Inspea'aon Line (Rer.-O-Phone)+ 63S-4175 Business1. (� Phone: 639-417 Inspection: -- footing Plbg. Underrlab Hoch. Rough-i Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: p Poet/Boam Strvot. San. Sewer Framing -B1Qg. t `( ' Post! Rain Drain Insulation -Plumb. I' kfihy. Undwrfl-jorMater Lin* Gyp. Bd. -Nec.n. - � Data Reques*.ed: � q sinst ___—.AM Address: \ OLOC? 1 JC 41 61 �l.l Cll y Pws7it #t Builder:_ �C�/fn a .S ��r- �� —_ �, ■ 4 THE FOLLOWING CORRECTIONS ARE REQUIRED: � s t { i 1 Q M Inspector: Data:— APPROVED DISAPPROVED _-LAPPROVED SUBJECT TO AB(A. r Call For Reinsp. �1 M ^I 4.f k t, t ry :, a t',• : ,.amu, -MemoWt .: KING T 1 GITY I�� 15300&W. 116t,i Avenue,Eiing City,Oregon 97-4 Phone:&39-4082 1 CL"UNITY DEVELOPMENT APPLICATION FOR BUILDING PERMIT e (Instr:,ctions on reverse) DATE_ [ 2 1 _ 1. NAME OF APPL CANT,: Phone No. ADDRESS OF PROPOSE) IMPROVLI 2. TYPE OF MANGE, LMpROVE02" OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED. i ')ESCCRIBE BRIF_.FLY -• ATTAC; IWO COPIES OF PLANS OR DRAWINGS OF °ROPO= PROJECT: 3. NAME. AND ADDRESS OF CX)NTRACTOR -- PHONE NO._57`i / %9 LICENSE NO. lu 4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PF.OJECT WILL BE rKOTIF'ED BY THE CITY. 5. APPLICANT OR HER/HIS REPRI=FrATIVE MET BE PRESENT AT T11E PLANNING, CCWISSiON MEETING NEXT HELD ON _-- REFRESENTATIVES NAME PHONE NO._ (The Ring City Planning Commission will consider onl, those applicatie:s received at lea3t five (5) gays prisr ►a a m ting,) S I GVIATURE IZ9_ -- _ „4 APPLICATION RECEIVED BY _ `�DATEn APPLICABLE FEE RECEIVFf $f ,�?, 6"L- PLANNIIIG CXH4iTSSION DISION: Approved _ Denied CONDITIONS_ ( Apprcved applications are valid for sir months only Signatur�� Date XOTF, Or qen Homebuilders Law re uires that all persons who contract for work an their r�!i dence be 4iistered with the Builders Hoard which means the contractor is bonded and insr.ced on the job site, h,- vour protection, be certain your contra�.�ol is registered by calling City Ball Ph: 639-4082. ; t NOTE: A permit must also be obtained from the City of Tigard Department of Canrnmity Development Yes )LIfo _ CITY OF TIGARD INSPECTION REPORT The above listed yroject has been inspected and Approvecl Denied Date_ — Currnents Signature (Bwirfding .in.bpe tot ptga_, e. -kefiu►n one ( 1 ) copy to King Uty) Co 2-91 INEPBCTION NUPE City of Tigard Buildlny Papartmnt 13125 alb Ball Blvd. T!gard, orer/on 97223 Inspection Line (Hoc-O-Phone): 639-4175 Business Phons: 639-•4171 G Inspection: Footing 11bg. Uuderslab Hoch, Rough-in Appr/tidal'. Found. Plbg. Top Out Cap Line FINAL: Fort/Ba em Struct. san. somr Craning -Bldg. Post-/!team Hoch. ie Drain) InsuLsLion -Plumb. Plug. Underfloor _(Nater L Gyp. Bd / -Hoch. • Dete Roqueetad, _'l ims: �_V AM �j'�,/PM Address:_.//� ' Permit fi ^� DZ [ ! �■ l Builder: _ THE FOLLOWING OORRECTIONS ARE REQUIRSD: zlol 'r If � i y n P f _ 7_7--__—_"— ---- inspector: Date:_ `` APPROVED DISAPPROVRD APPROVSD nCBJRCP TO ABOVR Call For Reinsp. �+wa 3ekHt � I INSPECTION_VOTICE City of Tigard BuildjL•rt Departamlti_,, 25 811 Ball Blvd. Tigard, Oregan 9722 1.91 9 Inrl.etiaon Line (Roc-O-•Phone): 639-4175 Busineau Phone: 639-4171 Inspections__ Footing Plbg. Underelab Mach. Rough-in Appr/Sdulk I t `IAl (,'Pound. Plbg. Top Out Gas Line FINALt Post/Beam Strutt. San. Sewer Framing -Bldg. Post/Siam Meth. Rain Drain Insulation .-Plumb. Olbg. Underfloor Nate. Lina[" 22 Gyp. Bd. -Meth. Date Re *at T��— / --7 Timet AM Address: Cr7 \� '7.�1 rl trait N� i !,i `i L�_ t•" Builder:__ !; t THE FOLLOWING CORRECTIONS ARE REQUIRED: I " 1, Ip: � Inspectors _- Date: (i APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call Por Reinsp. 4 a � y . Now ,4 I l Imo. -� CITY OF TIGARD 1 COMMUNITY DEVELOPMENT DEPAF.fMENT 1 13126 6W Hall Blvd.Tigard,Oregon 072230199 (FJ3)630-4171 is ..J�.16fIL t•i1 —kL:'it:, �.if' W0fll,. � ,��fL_W 14...f, 1Ci�{... . . t:�rt ,;_,•<+.. •..7,a{"i�•iu7t:.,. r . . . . . . I bE' I ' .. t I' .- '.JY �J., .. � •. '. ., '.:' l i..l� A ! S.'i'�'1l 1 f4'I�: 1- .'.�.. I ✓!~•IE i?r` ! t t iUl tt: � .«.CtfJn _GF1t?. . , . ,�'•... ,,• ' .. u_+sr_, . . . •. ,,, , 1, . ,c;T ,.tal�fi',I'��r., :��►At�c:I:;'. , . 1. I, NV;f rtilf�: r 1.;. i.:•i•+, . 1'1. , . ,+t1 , :Td—MA? L.41'14L. t t ; . :w ,F i.:.H�.it. r idr l�-'�, . . . . . . «4.'+ rwv•.�Ji-tL1�;«. . .. .F of I�I r... ..vat.i. j ;°t !i . {. !: i. i_�RC:.-I' 1 ' 4IA NE.; bf!�P, . . : 1 R PAt W 1)Rk4',N ; ft. til ;�,:.,��i:9'�Eir� �'If'rC'ri„ , . i. ._I� 'r�1.i� i:i('�F•+i{`d.«, I - , 4 .. ...... . ,. ,,. �L.GI ua!"�l(~:.GSI_ _ . .. . .. .....•._ ,. . .., ._ . __ - . . _. .. ..._.«,..• .. . _... LES CCG,J ...._. ' _ rn t by i:'1 n-A'�;t� 1;"1X I N P U 1 «71 (:> t_i i i..: 1, [ 0'- it J1,_61 fi1'i `,.:'4/ . , , . . . : .ti ;.k ir::f:; A «:0, 7b .JH r-16 i. /l7{''( r lkti0i'. 1.ltifi {'°t)ki>,i. . . . : J k.Ltl U'rYf�.►tiis. s t IYI II'd l 6 40. 50 .,)I••9 4:6fr_'1ft:�. y �,.),L�i t:ltra'• „ i .ri iL ��.� �.I i f r4.i•a ..-frwa , .:.,: 1i {ii='1_(., : tk�,, F-i .� C3 r4J Ou 1 l_t:.�GJ 1 7l1..l t. y Q:• 03 ''u 11F.'i, ,,• ..� ... ,. _ _ .. r:j:'itit � 1,;��. ;`:IV?I � HOMES, "';t�'t-r � r. .✓F..�y .fft �t�irc I .r I.A.JiA l -;i-)Y, 1,3bL4 • r ,.:f'i E' �4 �]►:'.'r .m Ht1:i1 - y{titd ?;1lJ.:,{td) lCif@t a:dtBYJ� tY°. c.;iy : i !•t il , Rai :lf, 01.010 1i1 -h.• f" tt 'I;ljaf.e �! Fl4Cfs�ite Dabs. All H v 11 i :E l(tie c[ i::i'ti.F D 0.:. r ',,FErIQI .yt'r"'.iE':�• i s I Ilw' A.rt i8W5, "his perl,:l sill, RN .,1' +"u' iL 3; Paint ef.:f<A11 3 Of 198f1a5C�f 01" if MG'it i f J. !r151��.(J a l ,'!,7 yr: (,3f1.rt'd 3jr b"ain iO4��� fidwEi+( t ey` 1 Y IDTT/ A ' gra' w mu nta PLNCK/RECT U nOR 30)CITY Or TIGARD uzs 3U�1 St PERMIT N � 5th 3 U l/ yi? UI COMMUNITT VGLOPMI'sNT i) �PARTMENT Tig(50Orcgon9727J �► so>)IMAM DATE ISSUED I B ADDRESS: _ 16649 SW Jordan Wa _ TAX MAP/LOT �SII/O Aj} ,i JOB �9 SUB: Mord Glen LOT: 43 LAND USE: 4 VALUATION: _2-3 3 90, SPECIAL NOTES OWNEQ x NAME: ,— Beacom, Inc. REISSUE OF: ADDRESS: 9500 SW 125th Ave. LAST REISSUE. —_ Beaverton, OR 97005 FLOOD PLAIN/ PHONE: 524_1 ,99 SENSITIVE LAND: _ CONTRACTOR APPROVALS REQUIRED NAME: _ Beacon Hcmes, Inc. _ PLANNING: ADDRESS: 9500 SW 125th Ave. _ ENGINEERING: Beaverton, CE 97005 FIRE DEPT: _ - -- PHONE: 524-1999 OTHER: V., CONTR. BOARD 9: 70782 EXP DATE: 12/93 ITEMS REQUIRED SUBCONTRACTORSi PLUMB; Ganb Plumbing LIST/SUBCONTRACTORS: MECH: Muehe Quality Heat'.ng BUS TAX: RCN ENGINEIR CALCULATIONS: ' NAME: _t'+-c3o Architect/AIn _ TRUSS pE.TAILS: ADDRESS: _ _ ---- �' 16325 SP! Bcones Ferry Rd. 201 OTHER: Lake Oswego, OR 97035 r PHONE: 636-0755 PROPOSEt1 BLDG. USt: Residential COMMENTS: APPLICANT SIGNATURE Received By: _ Date "eceived: _ :� 21-f-c( 3 AMOUNT AMOUNT PD. BAL. DUE. . PERMIt 0 - ACCT DESCRIPTION l71 ,03 ) 10-432 00 Building Permit Feesis� 10-431 00 Plumbing Permit Fees iz 10-431 01 Mechanical Permit Fees 10-230 01 State Builjing T?A (5%) Building Plumbing Mechanical r i r 0-t-3 10-433 00 Plans Check fee . 4 Building m Plumbing Mechanical 10.E 3 10-230 06 Fire ti 30-202 UO Sewer Connection — 30-444 00 Sewer Inspection i 25-448-02 Commercial; TIF Fees --- 25-448-04 Industrial TIF Fees 95-448-06 Institutional TIF fees - 25-448-03 Office TAT 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 G =/3587P.WPF I r 1 l CITY OF 'T I GARD - RE CE I F-"T OF' PAYME=NT RE•GE.I F'T NO. s 9w;- X4151 ("HFOK AMOUNT 66,x.. 54 NAME a BEACON HOMES CASH AMOUNT s 0. 00 IDDRE CiE3 s PAYMENT DATE a 06/21/93 IJDpIVTSION . i-,,RPO SE OF:7 F'AYMF:NT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAI E) 1.:32. '50 � t3U I l..E)I NC3 PERM 415. 00 F'I_.LIMB I NCS PERM 40- 50 ST. BUILD PER 29. 41 J ME--CHANIC;AL. PE 1, 1 PLAN CHECK F FA 1 N. 1 3 SEWER I NSF FC T i i I 1f 65*7 OW JORDAN WAY LOT 45 BEDFOPD GLEN TOTAL_. AMOUNT F'�aI D - _ - -) 662. 54 i r t. ,,>. ,, w;,,e;.. �, s 4114 unified • SANITARY PITH Uf a�enlcy�e C'N.First Ave.,Sults 270,Hillsboro,Or.,97124 SURFACE WATER 503 848.8621 CONNECTION F'EkMI T �l k 1 SGuh n ATI' 01,21,93 EXPIRATION DATE 1211193 PErMT 1041 STRUCTURE ADDRESS 16657 F'R[I,II !"! ].'i'i9 STRUCTURE 3TREET SW .JORDAN WAY L01' 4T BL.QCK TYI''E CONNECTION- NEW " or BED, ORD OL.EN PHASE: 1 11 TYRE INSTAC.L.ATTON• ('19) TILD S'WR/ERO CON/aIIC ' 'rYF'f.:: O[:CI.11`ANCY-• ( 1 ) $.INOLt' FAMzI_Y PARCEL. 281. 16 ATI 27900 ,I QTR SEC 47] 6 MH 1 809 1. s OWNER BEACON HOMES ADDRESS 95100 SW 125TH, TREA'TMEN1' V-1-ANT DON-1,10M BEA IIf"RTON OR 97005 PHONE _, U T VI D KING t:7 J Y f I XTURE EQUIVALENT 111dEL1. 1Ij01 REST DENT 161.. LlHTTS SERVICE IJNI1'S 0 , 0 UNITS 1 G'ERVICE UN7Tt:; 1 CONNECTION FEES stiR ACE kioTFR r1EVrL-0P [N1 F'f:.F.:S SE14f:R COPIMF:I.TIOM ?1.00,00 4:ATE:R QUAL.11'Y 100 .00 LESS CREDIT < ISO , 00';� ' WATER QlJANrTTY 100 , 00 LESS CREDIT * 0 ,00::. EROSION CONTROL INSPECTION 40 , 00 PLAN CHECK 26,00 i SUTI 1'0 1'AC_ 2100 ,00 3UBTOTAL 166400 TQ1AI.. 2266 , 00 , NAM[.'-' F'1' 1 f:R KIJYSK PHONE AF'F"TC.C_IATION VP REMARKS PROD#1939-FIEDFORD GLEN 2-1 OT # 45 *24 FIOUR NOTICE' .OZFR BION CONTRUI. INSPECTIONS REQUIRF''I 51GNATUFrE ...__. _.._,_.w_.._._.....___,,..,_.. .... I S(EILIED BY "•FIOMPSONJA Permit Conditions: The appilcan agrees to comply with all rules and regulations of the Unif led Sewerage Agency. When cal IIng for an Inspection, please refer to t':e Permit Number. The Permit expires one hundred eighty (180) days from the date of issuance, The total amount paid (permit fee, ronnectlon charge, line tap fee and/or other charge) will be forfeited if the permit expires. I The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at the 1, measurement given, the installer %hail prospect three feet in all directions from the distance yivn. If not so located, thr installer shall purchase a "Tap and SIde Sewer" Permit et the current charge and the Agency will Install a lateral, Ij ,f I 6/90 WHME — USA; BLUE — Accounting, GREEN —Inspection, Yru,ow — customer