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117SPEt"T_ION NOTICE
City of Tigard Building Departner•.c
13]]5 8A Bali Blvd. Tigard, Oregon 9722
Inspection Line (Ree-O-Phone): 639-4175 Busiress pl. t6: d39-4171
Inspy,.tions— _ 1 '+ F }# x�i�rd(�tl��#hkh��;;
Footinq, Plbg. Underelab Mach. Rough-in Appr/adwlk
Found. Plbg. Top Out lax Line (LlIN11Lt i t i'+�U�vj f
Crtr"#� 4PY,�rot:
Poet/Beam 3tn:ct. San. Sews,.: Framing
Post/deam Mech. Rain Drain Insulation
?lbg. Underfloor water Line Gyp. Bd. -Hach.
Date Requestin/d: I 1 1 Time: AM G� PM
Address t V�ll' " ��!4 Permit 1 t
Builder:
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TP. FOLLOWING CORRECTIONS ARE REQUIREDt09
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Inspector: Date: Z
—APPROVED -- DISAPPROVED APPROVED 8UBJP4T TO ABOVE f
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IGARD���� �� TL,EFCIIFICATE OV
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY m
I 13125 SN'Hall B'vd.Tiga•d,Oregon 97223.8199 (503)639-4171
;i X X), PERMIT 1F. . . . . . . a MfiT93~�tic'"3• I
DATE ISSUEDa 01/12/94
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PARCEL; 23116AD•-DED47
SITE ADDRESG , . a 16665 SW JORDAN WY
SUBDIVISION. . . . I BEDFORD GLEN ZONINGS
i BLOCK. . . . . . . . . . >I L07-
CI-ASS
.07.CI...ASS OF WORK. tf IUEW
TYPE OF USE. . . a rsF
OCCUPANCY GRP. s R3
J! (-)C:CUPCNCY LOAD e 1 1 o-5) 4
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TENANT NAME. . .
Remarkaa PATH 1
[3C:ACON HOMED
t Q BOX 1.ibs
BEAVE ETON OR 97075
Dhone #1 524-1999 j
1:3LACON HOMES
1500 SW 125TH
BEAVERTON OR 97005 0
Phone fla 524-1999
Reg 7078
Occupancy of the above referenced bUilding i. s '•rereby given, and certifies
t;he compliance with t•he State 0f Ore QOn Spec ialt •; CoriPta for then groupr
uecur'r,ancy, al-ld LI9B ander which the referenced per liit was issued.
_� F 1'RE D F�ARTMENT Nca W E:CTOR
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P00)7 IN CONSPICUOUS PLACE:
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INSPZCTION NOTICE /�
City nf Tigard Building Depart-ent / i
13125 BW Hall Bled. Ti.yard, Oregon 97223
Inspection Line (Rec-O-Phonw): 639-a175 Burinarr Pho 6 -417Y
Inspect Lon: ----
Footing Plbg. Underelab Hoch. Rough-in Appr;sdwlk
Found. Plbg. Top Out Gas Line FINALS
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Port/Beam Ntruct. Ban. Sewer Framing Bldg. J
Post/Beam Hoch. Rain Drain Insulation �-Plumb. *'�Ali"
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Plbg. Underfloor Mater Line Gyp. Rd.
Data Requested: �� Time: —AM PM
Permit
Builders
THE FOLLOWING COP.RECTIONS ARS REQUIRED:
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Inepectnr� � � Date 5-17
APPROVED DISAPPROVED APPROV3D SUBJECT TO ABOVE ::
Call For ReLnsp.
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INSPECTION NOTICE A-4 City 02 Tigard Building Department131it 25 S3x11 Blvd. Tigard, Oregon 97223Inspection Line (Rec-O--Phone): 639-4175 Busi,:ess Phone: 6
Inspection:
Footing Plbg. Underal,b Mach. Rough-in Appr!Sowlk
Found. Plbg. Top Out Ga- Line FINAL: E
Pont/Beam Struct. San. Swwer Framing -Bldq.
Post/Beam Mech. Rain Drain Inoulati,in -plumy,
Plbg. I'ndertlx Fater Line Gyp. :,a. _Mach, �
Date Requestedr& d �`� _ —_.Time: AM PM
Addross& l��
Builder: `l�CN� l lei •
THE FOLLOWING CORRECTIOWS ARE REQUIRZL`:
InepectoVAPPROVRD
�
Dates
DISAPPROVED APPROVED EQ SUBJECT TO AAA1VE
--Call For Reinsp.
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INSPECTI27L NOTICE
City of Tigard Bull.ding Depnrtaetst ��
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Bual eos Phones i39-4171
Inspecl inns
Footinq Plbg. Underslab Mech. Rough-ir, App.-/Sdwlk
Found. Plbg. Top Out4-Gas Line_) FINAi.:
Post/Beam Struct. San. SJwer k. Framing! -Bldg.
Post/Beam !Bach. Ruin DrainInsulation -Plumb.
Plbg. Underfloor Neter Line ^yp. ad. -Hoch.
Date Requestede / Times AN __ PM
Address: �t"n((Aa VN �. �1j ( 1Ci
._ Permit �t1
Buildors
TBE FOLI"4INO OORRECfIONS ARE REQUIRED:
Inspectors Date:
APPROVED DISAPPROVED --- APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 OW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phono): 639-4175 Business Phone -4171
Inspections,
Footing Plbg. Underelak, h Mach. Rough-ji Appr/Sdwlk
Found. Plbg. Top Out oas Lina,) FINAL: i.
Post/Beam Struct. San. Sews: FramLnq -Bldg. -
Post/Beam Koch. Rain Drain Insulation -Plumb.
'f.
Plbg. Underfloor Water Lina Gyp. Bd. -Koch.
Date Requestod s •� Times -4—AM PM
I Address: -- ( Permit
i �1�-�Ury4tia� �1
Builder: �
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TM FOLLOWING CORRECTIONS AHE REQUIREDf
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Inspectcr• / Date:—C
_-_ APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
Cal'. For Reinsp.
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INSPECTION NOTICE
City of Tigard Bu!.lding Degertaeat
13125 SW Ball Blvd. Tigard. Oregon 97223
'Ni
InsRection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection: _ --
Footing Plbq. Gnderalab Nech. Rough-in Appr/Sdwlk
I ,
/ Mg. Top Out Gas Line PINALs
Found.eiy
Post/Beam Struc-t. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -!tech. ,
Date Requested: L _z' � Time: �.A14 ^�Px
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Addrose: �lPl�� 13 d,4-v-\ LI Permit #2 ,
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A1zA �,�stri ijai F' Builder: � � 1' -QS .Q /
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THE FOLLOWING CORRECTIONS ARE RZQUIRED:
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APPROIRD DISAPPROVED APPROVED SUMTECT TO MMS
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—Call For Reinsp.
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INSPECTION NOTICE ,
Pity of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223 {
Inspection Line (Roc-O-Phone)s 6/39-3175 Business Phone: 639-4171 231
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr./Sdw1A
r.
Found. Plbq. Top Out Gas Line FINAL: aJ Ito � '
Post/E*-- Struct. San. Sewer Framing -Bldg.
Post/Bean Mesh. Rain Drain Insulation -Plumb. j- �g
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Plbq. Underfloor Mater Lints Gyp. Bd. -Hoch.
Date Requestode U Tlmet AM PK
Addreee t Permit t
BuildertG'l-C_O�
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TBE FOLLOWING CORM-21ONS ARE REQUIRMCs
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Inspectors_ Dates l/
Ix__WAPPROVED DISAPPROVED APPRGVED SUBJECT TO ABOVE
Call For Rei'ssp.
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k INSPgCTION NOTICE
City ar Tigard 9411ding Department
13:25 SO Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-"Ione): 639-4175 Buoiness Phone: 639-4171
i
Inspection:,_
Tooting Plbg. Underelnn Mach. Rough-in Appr/Sdwlk
found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. in Drai�j Insulation -Plumb.
Plbg. UndaLlloor Mat�„�,lM� Gyp. Rd. -Koch.
Date Requested: 13 2 _ � '3 Timsls 19) AN PM
Addrau:. D [ Permit #1 j } _
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Builder:__ _THE FOLLOWING CORRECTIONS ARE RM.)"IRED:
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Inspector:_ Date:
:X_APPROVED vISAPPROVED APPR(AIND SUBJECT TO ABOVE
J'— 4
Call For Rainsp. ct
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INSOMTION NOTZCE
City of Tigart! Bu' ding Department
131^.. SA Ball Blrf.. Tigard, Oregon 97223
Inspects..^ L1ne (Ree-4),-Phone)t e39-4175 Business Phones: 619-4171
Inspections \.. c t i - It"k
octan Plbg. Underelab Mach. Rough-in Appr/Sdwlk
.laic found. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
4'
Pon /Beam Mach. Rain Drain Insul,�tion -Plumb. ('
Plbg. Underfloor Water Gine Gyp. Bd. -Mach.
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)at:e Requested:
Address:
S PermLt #1 3
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TBT. fOLLOWINO ODRRECTIONS QRZ REQUIREDt
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Inspector'+ 1._. ^ -� Dates J
` APPROVED i DISAPPROVED _�_ APPROVED SUBJECT TO ABOVE
Call For Relnep.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orapon 07223.8199 (503)838-•.17+ 1(t
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-,ATER C(—OSE—f-6. . SEWER LINE (*t) . :0 '1'Rof)u. . . . . . c LA
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URN VJ W1.)L.1`:., I1J11k.` . aV1 lylr'ItI Ilrti. ;lti tiltl 4 J/�.k3/s:'
i—OOR ;r'URN. . . . -0 ULU CfltYLHS. n 1 wlr''I..0 It, 10. 1:.i JH 07/e'.6/�
,fJli_lf.;t"ICS C ,J;l-II-�'a4's ?iilki:.F: I_Ii�1al"'':'�� J. 1�I;5wI; � .._. �1. Jk•I >z+l/cw8�s:`�:: ,
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31 i. 00 S H
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500 5W 1 c_'5 1 H
IFAVE'RfUN OR
`i c n to #: '5241 _; .
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:•:e persit as issued subject to the reSuiativs ^c�taineJ in the ?t 111_li RED iM! -'f
hard Municipal ods, State cf Ore, Spec;alt y Cader and ai: other ;,c': i f l~aln»I I ti s p 1:1, •' pi cac_F
aplic&e laws. All Mork will to dint _n acm,dance v:kt, approved 1-'105t/Beam Utruct ; (_Lite
ate. This �eroit Will erpirt if wary. is not _tatted Blit in Ae I'L).t/L•�aiim Mec:hR), i.roF,..kIar
f Issuance, or ie mrk 1§ s,,.ipended f or'e �'d" V Java. PIwr. 1.maslata frisp i.:i
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• 13125 Sw i[au Blvd. PLNCK/REC T
C IIN OF 1 I G�..RD ro Box 23397 PERMIT #
DEVELOI'MEN7'DEPARTMENT Tigard Orcgon91213 --
(501)6" 171 DATE ISSUED
JOB ADDRESS• _ 16665 sw Jomian way TAX MAP/LOT _25dS'�—_
SUB: Bedford Glen LOT: — 47 LAND USE:
VALUATION. q? / 3 Z
OWNER SPECIAL NOTES
NAME: -- Beacon llgWa, Inc. — _ REISSUE OF:
ADDRESS: 9500 S'W 125t13 Ave. _ _ LAST REISSUE:
_ — Beaverton, OR 9"005 _ FLOOD PLAIN/
PHONE: 524-1999 _ __— SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: _ Beacon Homes, Inc. T PLANNING:
ADDRESS: 9500 SW 125th Ave. ENGINEERING:
Beaverton, OR. 97005 FIRE DEPT:
PHONE: 524--1999 OTHER:
CONTR. BOARD II: 70782 _ EX" DATE: 12/93 ;
ITEMS RE(LIREO
SUBCONTRACTORS: PLUMB: Canby Plumbinq LIST/SUBCONTPACTORS: _
MECH: Muehe Quality Ileati_nncBITS TAX:
ARCIVENGINEER CALCULATIONS:
NAME: Argo Architect/AIA TRUSS DETAILS:
ADDRESS: 16325 SW Boones Ferry Rd. 20' OTHER:
Lake C>swefjo, OR 97035
PHONE: 636-0755 j
PROPOSED BLDG. USE: Residential'
COMMENTS:
APPLICANT SIGNATURE _.
Reneived By ___ -- --��� Date Received: •' ��" �/
'�f .. rw.vin r.µr.,r:�Pw°✓ryw . n ,n,.„ ,..,. .. ... .. ... ... ... ... _ .. ...
PERMIT # ACCT N DESCRIPTI04 AMOUNT AMOUNT PD. GAL. DUE
7
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L",rf m3 3 vdl 3 10-432 00 Building Permit Fees �J a
10-431 00 Plumbing Permit Fees Z 13 L.S�
10-431 01 Mechanical Permit Fees U• )-v
10-230 01 State Build'ng Tax (5%) 0. O 1
1 Building , / 3
i I'lrimbing _ CSG-3 `
Mechanical 3 '. t'
•
10-433 00 Plans Check Fee ���•/-3
Building a •
Plumbing
/
Mechanical _/L _
10••230 06 Five --_
30••202 00 Sevcar connection
30-444 00 Sewer Inspection _ 3 v2 }
25-448-02 Commercial T4 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 0 Parks System Oev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of) _
24-X145-02 Water Quantity (.•ee in lieu of) _
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TOTAL -730 , 1 _
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CITY OF 'TIGARD — RECEIPT OF F-IAYMT!:N'T 'EIF''"T P!;. .^;a—c_4►d670
CHECK r-)I101.JN7 675,. 14
NAME o BEACON HOMES C:AGH AMOUNT 0. 00
DDRE't;c:; : PAYMENT DATE : 07/c'8/93
.)UDD I V T S I ON
arti
,URPOGE OF PAYMf=1\11` AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
.UIC,.DING VIE'RM 427. : 0 PLUMBING PF':F21+1 132. 50
F CIAC)N I CAL PF 40. 50 ST. BUILD PFR
¢ ' PLAN CHECK FC I'A. 13 SEWER T.Nc;PF.�C:T 35• ' 0 Q
I_OT `:7 BEDFORD GLEN
16665 1;W JORU"N WAY
(IMOUNT PATI) -) 679. 14
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WIN MANDIPA 1114
F
unified) I
sewerage SAN ITARY• D NTH ]
:
V agency i;
155 N.First Ave„Sults 270,Hillsboro,Or.,97124 SURFACE WATER �a�`
503 848-8821 >~.
CONNF"C110N F'F'RMIT
,.
V')'!!;LIF•: DATE 0/;'.:193 I:XPT.RA'I'TIM DA1'C: 01'3494 1'I"RMT'T 1041.112 :;
STRUCTURE A11DRUSS 1.6665 F'R0j[.'(::T 1`1'19
3T1�11CT'l1F�l' t'JRr:.f::T fill JORDAN WAY
LAO'1' 47 EtL11C,K 'T'
IYI'F (:JINN(::CT.1'.0N 11CW OF D DFORi) OLF-M 1''105F.
i '01 TN^1TAL.L.ATT014 ( 1.57) DL.L1 MA/FRO C,0N/5TIC'.
I Pi: 13 1.,C,1!;'�i,NC,Y ( 1. ) ;i1NGLE FAMI:L.Y PI)rk .;Fl_ <7:i1, l 1 h1:I '�O1.QU
0"f R SEX I M 6 till 10091,
0WNI::R T.IL::AC0N I11.)1•1Lf, '1!
ADDREGS 9500 "W 1 25TH TRi- ATMEN'T r'I ,*AT i111RLI(IM
BE AVC:fi 1'0N OR 97005
f"MINE ;:124•••1991' JUR:ISD KING ('31Y
F IX1URE Ell11fV.'%I EN DWE",I LING, RF,siriENTTAL.
UN I I'S iil_12VT1;1:: I.INI'T ") 0 . 0 11NT'T'13 1 !!)ERVICE IANJ'T *.; 1
CONNUA10I4 FEES SURVoCk' WATER DEV171-01'MIA T EFF S
SEWER !::ONMUC1ION 2200 .00 WATER f.ILJoLI*T'Y 100100
LESS CRF7D1T 100 / 00 ;
WA1'FR QUANTITY 1,00 ,00
I.Lf-35 CREDIT 0 . 00;
F'F( 510N C,0NTR0L
INSPECTION 10100
PLAN C'M'.CK 26 . 00
SI. D1 01,11)1 0U 100 51IDTO I'AI_ J.66 4 00
1'0'1 AL 2366, 00
nlT'I'I. H(lill' 1''1' f1::1? Kll'(fiK PITUIIIE
i)FI TL..L 1 A110N VP
REMARKS F'Rn,M939. 111"..11FORD GLEN 81•-1.0'1' .R 47
4.21 1101IR Nill [Cl'. -( . I_RO jai CL'INTRU. IN,";P[`.(JION51 RLOUIREE,
Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unif+ed 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 bp forfeited if the
permit expires.
I The Agency does not guarantee the accuracy of the location of s!de sewer laterals. If the sewer is not located at the
measurement given, the installer shall prospect three feet in all dlractions from the distance given. If not so lorated, the
installer shall purchase a "Tap and Side Sewer" Permit at the current charge and the Agency will install a lateral.
Fi90 WHITE — USA, BLUE — Accounting, GREEN —Inspection, YELLOW — customer
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JUN-04-'93 FRI 14:00 ID:CITY OF KIh,3 CITY FAX NO:503 639-3771 9800 P0�-fig '
KINGCITY Ms-t Y3 . 0�'93
1x300 S.W. 116th Avenue,King City,Oregon 97224 Phure:6,9.4082
g COMMUNITY DEVELOPMZNT
APPLICATION FOR. BUILDING PERMIT
(Ia�tructiens an reverse) �
� DATE
i
1. NAME OF APPLICANT: cfilh_ / c a C Phone No. =A P-1222
ADDRESS: C, 6ex i lrt
AD=. S of AOFOSED IMPRovEI rrI'
2. TYPE OF CE�NGE, IMFROVE2�NT OR t�NSTRUGTI FL`R.Iil4'FiP'e'RMIT IS
AE::C.RIBE BRIEFLY - ATTACH TWO COPIES OF PLANS OR DRAWINGS O_..___--
PROPOSED PROJECT:
i
3. NAME AND ADDRESS OF CGNTRAC`rOR,_
PHONE NO. .F22 4-/?4`/ LICENSE
4. NEIGHBORS WHO MAY BE AFFECI'II) BY THIS PROJECT WILL BE NOTIFIED BY THE CIT'I.
S, APPLICANT OR HER/HIS REPRESENTATIVE MUST BE PRESENT AT THE F"NNING M44ISSION
MEETING NEXT HELD ON
REFRE► ??TATIVE:S NAME FHONE NO.
(The kiag city Planning Co ission I consider call those applicatins received at least five (5) days
prior to a eeeti
SIGNATURE
*
? APPLUATION RECEIVED BY
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APPLICABLE FEE RECEIVED $�.�• TOTAL
PLANNING CCMISSION DECISION: AFpro' ,xd_ - Denied
CONDITIONS c� fe Cx ,5�' .I
Ipproved a plicitioas are valid for sit Booths only
l:' V 3
Signatul-e o-�r Date
10TI: 0 goo lostivilders We requires that ail Persons who caatract for tort an their residence be
registered lith thi Builders hard which leads the can..fetor is handed end insured an the Job site. ,
hr your proteetion, be certain !aar contractor is registered by calling City 1111 Ph: 639-4002.
i
IYc7PE: A pern;iL nest also be obtained frau the City of Ti;=cd Department of
Canardt.! Developneaat Yes, _. No
C�T�,Qg TIGARD INSPECTION REPORT
The above listed project has be,m inspected and Approved Denied__
Date Cements_
_ 9
Sic�ature __ _
(&r..i Ana 1nep9x1,an ptxa ae. AAAWtn ons, ( 1) COPY tD K.JW C-L4) fff
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