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CITY OF TIGARD CERTIFICATE OF^ I
OMMUNITY D17VEL0PMENT DEPARTMENT OCCUPANCY ,
13125 SW Hall Blvd. ipard,Oregon 97223.8199 (503j,09,4ot71 PERMIT #. . . . . . . a hl:I T9 3-029'4
DATE ISSUED:
'ii'TE ADDRESS. . . t 16676 SW JORI)AN WY
';l.1BDIVIS1tJN. . . . x SEDF'DP.D tii_.E:N ZCININGe
13LOCK. . . . . . . . . . e LOT , . . . . . . . 125
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E� C1F
TYPE ti UiE. . . ASF
OCCUPANCY GRP. t R3 i ■
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OCCUPANCY LOAD e 1 13
fC.hJANT NOW-. .
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ttC:f.(.''0N t13ME5
l r n Brix 1366
I!Lj:IVERTON OR 97075
Phone O a 524.. 1999
Contraac:tnrn _....._... _ . . _ ....... ..
BEACON HOMES
I qW0 SW 125TH
r1VF RTr.1N OR 97005
1 X14 ane #: 7j."'4 1999
tteg #. . x 1078L
tJ(_(_LIpMfiCy of the above vefe •enc:ed t.)i.iilclirljj i.x hel,eby given, And certlfie.
t';ic' compl iaanrre with ttie Fit to Of Ot-9900 SPOc"i„-alt , C;rcies for thm group,
occupancy, and use un(jet- w•�ich the referenced permit waah luv .!ed.
FIRE DE:PAF7TM[7j\1T UIt._D 6{•:1ECTOR
_. ._._..... .. ._._.... _ _.__..._..... _.. _
.� BL ILD1 c3 Ct �-.�itC Ill
POIST IN C ONSP I(]JOU")
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�NSPEcrION_O� �\�
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Citi of Ti¢ud Building Depar:veat
13125 611 Hall Blvd. Tigard. oxv9o,% 97223
Inspection i,ine (Ree-O-Phone): 639-4175 Busireeie Phone: 639-4171
Inspections
Footing Plbg. Underslab Hoch. Rough-ir Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIN
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam 4ech. Rain Drain Insulation -Plumb.
Plbg. Undorlloor Nat..-- Line Gyp. Bd. - ech. ��.
Date Requested: L ` ` II ,,. TLme: _-. ?AN/�_ PM •
Address: �� '_ W s:n, Permit i s J "�✓
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Builders
THE FOLLOWING OORRECTIONS ARE REQUIRED:
Inspwctor: _ -`_ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE «t
Call Fo_ Reinsp.
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INSPEC L09 N c!
city of Tigard Building Depart sent `
19125 aw nail Blvd. TLgul•. Oregon 97223
Inspection Line (Rx-•O-Phone)s 639-4175 Business Phone: 639-4171 ,
Inspection:__ -
� �s
iv tooting Plbg. Undsrelab Mech. Rough-in Appr/
Sdwlk
qq
gdyt� Pound. Plbg. Top Out Gas Line 1IN71L1J
Post/Beam Ftruct. Ban. Sewer Framing
Ineulatiun Fl:sasb�
Post/Beam Mech. Rain Drain
Plbg. Underfloor Nater Line DYP• Rd. ``Mec . .../
Date Re guested: CI L` _ Time: 11!( PM
Permit #: - /71 0 l 7
Address
Bt.i: ler: Ct.Cry—,
ZTHE LLOWINO OORRECTION& ARE itEQUIRED: V/,
-� �.t,�� ✓� -rte �-�--- `•7�e. �
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Inspectors__ � � 1 Dates�•
AppROVSD —DIS
�AP
�PROVED APPROVED SUM)ACT TO ABOVE
9 `� Call For Reinep.
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INSPECTION NOTICE
City, of Tigacd Building Departow-it
13125 BII Ball Blvd. Tigard, Oregon 97223
Inspection Lino (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection:
Rooting Plbg. Underalab Hoch. R,,ugh-in Appr./S ilk
Round. Plbg. Top Out Gan Line FINAL:
Port/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Urderfloor water L!v Gyp. Bd. -Hoch.
�,
Date Requested: y aims: AM _ PM
Address: CrJ C�.tri �► Pe[riit is �+ ?Gt4
BuildersQ �-/�-
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
�\�� ��'�-e� �_�--t- , `'�-'tom a-_-'-L �✓3.,, '
Dates
_APPROVED a/ DISAPPROVRD APPROVRD SUBJRCP Ti ABOVE
_,Call For Reinsp.
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INSPECTION Na:IC
Ci{.-7 of Tirivrd Building Dspsrtaeat
13125 so Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-6175 Business Phones 639-4171
Inspections_ _. --- -----
t-%oting Plbg. Underslab Hoch. Rough-in Appr./Sdwlk
Fount. Plbg. Top Out use Lino FINhLs
Post/Beam Struct. San. Sewer Framing -811g.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underflocr Water Line^Z oyp. Bd. -Hoch.
ct!� Tmes AH PH
Date Requwteds _ --- i --- -
Address:
Builders
THE IOLLOWINq CORRECTIONS ARE REQUIRED: \ '�
— C7 V S W
1✓ Dates.
inspectors--
APPROVE:) k__DISAPPROVED APPROVED SUBJECT TO ABOVE
Cc11 For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departitsent
13125 SW tall Blvd. Tigaru, Oregon 97x]1 \ .
InsnAction Line (Rc--O Phone)s 639-•4175 Business 'sone: 639-4171
Inspect i.on r —
rooting Plbg. Undccslab leech. Rough-in Appy/Sdwlk
round. Plbq. Top Out Gas Line fItillLs
_ p} rl
Post/Beam Struct. San. Sewer framing - dq. w �
Vn
Post/Beam Hoch. Rain Drain Insulation -dumb.
Pltq. Underfloor Water Line Gyp. Bd. -laah.� 4,,.! ,:pV;; !; .
Date Requn.teds S�— Time: AM PM
Address s . Permit i t`� U 2 i4
Bu.l.lder s — ( ■
1T,m, FOLLOWING OORRECTIONS ARE REQUIREDs
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Inspectors d_ s,.�..� Dater
�lf4PAOVID DISAPPROVRD APPROVRD SUBJECT TO ARM �s
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Call For Reinsp.ON
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jNBPECT(ONJIMCE
Cit? of Tigard Building Depart—t►t .'
1.31:5 aw Hall Blvd. Tigard, Oregon 972123
Inspection Line 11«ec-O-Phone): 639-4175 Business Phone: 639-4171 �
Inspection:_ ___—
Footing Plbg. Undel71ab Mech. Rough-in Aper/3dwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Strucc. San. Sewer Framing -B'•dg
Post/Beam Mech. Rain Drain insulation -.Plum}:.
4 Plbg. Underfloor Nater Line Oyp. Bd.� -Mach.
7
Date Requestedt
Addrese:� L2..� pwaa
Bull.der._L �� Ctry1
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THE FOLLOWING OORRECTIONS ARE REQUIRED:
Inspectors_— Data
PROVED DISAPPROVED APPROVED SULINcT TO ABOVE
Call For Reinsp.
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INSP.CTO NOTICM ■
City of Tigard Building Deparroment
_....,
13125 611 Ball Blued. Tigard, Oregon 97223 i, '
Inspection Line_ (Rec-O-Phone)e 639-4175 Businoas Ph n�, 63b-.#171
Inspections
*opting Plbg. Underslab Hoch. Rough-'_n Appr/Sdwlk
Found.
Plbg. Top Out Gas Line FINAL=
post/Beam Strutt. ban. Sesror Framing
-Bldg.
pcet/Be+va Mech. Ra.n Drain
Insulation -plumb..
p14. Underfloor Nater Line i aYP Sd• -!tact:• •
` z Timet P'4
Date Regwetea:•__I G �.�--
Adlrsse: I�nLojb JM,0-v,, l ■
Builder: t(et
TAE FOLLOW1Dto coRRECTioNa ARE RapniRRn:
10,
I Inspectors ___ __, Dates_— %r
APPROVED DISAPPROVED APPROVRD SU9JRCT TO ABOVE
_Call For Reinsp. ;+
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k 'k * Ci of Tigard Building Departaent
9 LLv//
roe'°'x 13125 BR Nall Blvd. -rLgard, Oregon 97223
Ina +-tion Line (Rec•-O-Phone)s 639-4175 Business Phones 6�F9171
Inspections -
Footing Plbg. Underelab Mech. Rough-in Appr/Adwlk
Found, Plbg. Top Out Gas Lino FINAL:
iii
Poet/Ream 8truct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Mach.
Date Requenteds 11 Times _AN pN
Addreses f�D�Q 7(v - 1� - Permit f e GI �/
I L�
Builder:1
I THE FOLLOWUM CORRECTIONS ARE REQUIRED:
Inspectors— ,=-- -- - Date
✓APPROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinep.
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�Nt�PEGTION 'M�CE /
.:it7 of Tigard Building Department
13125 811 Ball. Blvd. Tigard, Oregon 97223
InspectLon Line (Rec-O-Phone)t 639-4175 Business Phone
Inspection: _ V-4 _k'V-\ - f
Footing Plbg. Underslab �.Naah. Rougn-in ppr/SdwLk
Found. Plbg. Top Out Oats Line FINAL:
Post/Beam Struct. San. Sewer I, .aing,l -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nates' Line OV9. IN. -,Mach.
Date Recpiesteds_ Z ?j, 13 __Timet AM
! 0(11" e _.f ar d L J
Address: 10( Ice 0..h q�Gt- • remit it
Builder:
THE FOLLOWING CORRECTIOffS ARE REQUIRED:
IL
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Inspectors-�— ---- ------ Dates
DISAPPROVED ---- APPROVED AU&IECT TO ABOVE .
Call For Reinsp.
,��: llwew.l+srl,ry�•.a.n.«.,...�...,,..ei. ••••• •�..nmr:Mx q
NRPACTION NOTIcz
City of Tigard Building Department
1312S SW Ball Blvd. Tigard, Oregon 972 3 w
Inspection Line (Roc-O-Phone): 639-4175 Business 39-401
Inspections
Footing Plbg. Underslab Appr/�dwlk
Found. Plby. Top Out ..� FINAL:
Post/Beam struct. San. Sewer 'TramLng -Bldg.
Pvst/Beam Much. Rain Drain Insulation -Plumb.
P1'39. Undorf!:,or Nater .:e Gyp. Bd. -Mech.
rate Requeeteds_1/- Times
Pes:wit
1
Builders !' ! ..t _� - ■
THE FOLLOWING OORRECTIONS ARt REQUIRED.
.! �•
- ,
' Inspectors_ Date:-
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VEDb�tor
APPROVER StlBJECf TOABOVE
Reinsp.
lit
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INSPECTION NOTICE
City of Tigard Building Department
ii 13125 BW Ball Blvd. Tigard, Oregon 97.'.23
Inspection Line (Roc-O-Phons):��639,,-....4175 Business Phones 639-4173.
e
Inspe.aions
Footing Plbg. Underelsib Hoch. Rough-in/" Appr/Sdwlk
Found. Plbq. Top Out as Line FINAL&
Poet/Beam Struct. San. Sewer Framing �o -1 dg.
-
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested:_ I� 7 CI?7 - Timss AH PM
r + (� a
Address: ��1`;l �� J VII c' Gl Y` �.J�_(. Permit i s
Builders ' 'l1.(�L`1\
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1�
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Inspector:_ — /l_���. Dater ( -
APPROVED DISAPP'�1YSD APPROVED SUBJECT TO ABOVE
Call For Reinep.
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INSPECTION NOTICE ' •
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Inspection: -- _—_
Footing Plbg. Underalab Mach. Rough-in, Appr/Sd• lk
Found. Plbg. Top Out Gas Line J---� FINAL:
Poet/Beam Struct. Sar.. Sewer. Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -2lumb. -
j Plbg. Underfloor Water Line Gyp. Bd. -Mech.
N".
Date Requested: �- \ i Time: __AM PN
vi
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� w '� d� Address: �� `� _ Permit
-42
L, rk� yjy Builder.:— — — -
THE FOLLOWING CORRECTION.', ARE REVu1RED: Ci
fy\t.� *-t +� � � L,/�"r �•s f �.Z(,� ,
VZL L) ^ 1
ZA
47-
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.�./\ `-tom\/'•_a- ,
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Inspector: — _ Date:—
APPROVED 1 DISAPPROVED APPROVED SUBJECT TO ABOVM,, y
C� all For Relnap.
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INSPECTION NOTICE r
Citi of Tigard Bus_lding. Departasnt
11125 Bw Ball Blvd. Tigard, Oregon 97223
Inapection Line (Roc-O-Phones 639-4175 Busin.+ar Phones 63
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Inspections
Footing /Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. ` Plbg. Top out Cam Line PINALs
'oat/Beam Struct. San. sewer Framing -Bldg.
Poat/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Wistar Line Gyp. Bd. -Noch.
Date Raquesteds—, 1 `� ■
/ I.-q,-L'-, Times --AN PN
�U
Address: ( I(0 ,._]DYl b-V� UllG� Permit iel'7 �Z�l
Builders <{• ( 11 1) (0
TRE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspectors ` Dates
APPROVED DISAPPROVED APPROVED SUBJBCT TO ABOVE
Call For Reinap.
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— ?1 12199 PO4
KING 39 3
7 1
FAX N0:503 6
KNaCI
771,
TY
DEC-21—'93 TUE 12.0 ID•CIlY OF I
KINCITYG •
13.300 S.W.116th Avenue,King City,Oregon 97=4 Phone:639.4082
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructions nn reverse)
1
DATEL alvq-3
f 1. NAME OF APP Phone No.�. 519
ADDRESS: _.
y
ADDRESS OF PROPOSED IMPROVS:gNT SCS 2 'fin a
2. TYPE OF CHANGE, LMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUF,STED.
F DESCRIBE BRIEFLY - A CH TWO PIES OF PLANS OR DRAWINGS OF
PROPOSE'') PROJECT
--1L --- --- -
-10
I
3. Atm AND ADDRESS OF CONTFWCTOR, r__VUC p r-) I'Vl Ps.
`au n �� l�r`1 c PHONE NO.
LICENSE NO. 7 7 /
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4, NEIGHBG..� WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY. i
5. APPLICANT OR HE1;/HIS S TIVE MUST E PRESENT AT PLANNING ISSIOC4
MEETING ESLD ON
REPRES ATIVES ONE NO.
(?h Ring City Plan ng Collis on rill cons i only those apple tions received least five (5) dais
prior to a oeeti )
i IGNATURE
APPLICATION RECEIVES TEIl
APPLICABLE FEB RECEIVED $ , e � CIU TOTAL
PLANNING C10WISSIOP' DECISION: Approved Denied i+
CONDITIONS � LG�1"7�
In J i �, ; d c
llpptaveda icati s a valid for sic months only C?�J ,&94 -
Signature _ Late f_ �2 7_ G
ADtB: egoo Bosflebui der Lar requires that all persons who ec:,rsct for work an their residence be
registered with the guilders lo:,d ehich deans the coottactnr is bonded and insured on the job sits.
for your protection, be certain your contractor is registered by calling City Ball Ph: 639-1089.
NOTE: A permit must also be obtained an the City of Tigard Department of
Carmwdty Development Ye No
No
I
g-ITY OF INSPECTION REPORT
The above listed project has been inspected and Approved __Denied
Date _ Ccmnents_� _
signature
(Awi.2ding -UL4pec to_-ar pl as a -%eA An ons- (1) cnpy *b King Wy)
CD 2-87
k :r e .,^�. •4, .. 4..
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INSPECTION NOTICE /
city of =igard Building Depa b-nt
11125 " Ball Blvd. T'igerd, Oregon 9722
Inspec'.Lon Lina (Rec-O-Phone)s 639-4175 Buaieaeu Pho : 39-4171
Inspections r•.
booting Plbg. Underslab Hach. Rough-in Appr/Bdwlk '
found• Plbg. Top Out Gas Lino FINALs
ft/81s _QL'ff Ban. Sewer framing -Bldg.
Apat/Beam Hach. ' Rain Drain Insulation -Plumb.
RIS9. Underlloc Nater Lina Gyp. ed. -Koch. r
Date Aequoateds ILS � � 5 Time: AM
Addreess 1l('�!'"1CP �bt/ _-jv. ��'.� _ permit 1sel3 �Z�� ■
TBE FOLLOWING CORRECTIONS ARE P"UIRZD-.
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Inspectors_ i — Dates
_ PA7VE0 DISAPPROVED APPROVED SUBJECT TO ASUM
call For Reinsp.
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Cite LSB@3�TiOn narres /
of Sigard uuildiog Deparlt f 7�Z- �.
13US " Hall D1M. 2'Agard, Oregon 97223 f�
In•P•ction Line (Rer-O-Phon•)s 639-4175 B,»i,joe■ Phone: 639-4171 f
Insp•ctlont
Footing
Plbg. Und•relab Mach. Rough-in Appr/Sdwlk
found.
Plbq. Top out Gas Line
"�_y(�IIBALt ,
Poet/Beam etruot. -�
San. Sower Framing -Bld
g•
PO•t/Beam Meeh. Rain Drain i
Ineulatton
Plbg. underfloor. Nater Line
Date f r� 1; .� Gyp. Bd. -Rech.
R•que•tedt__ ( Timet AM --G�
1 PR
Addreses J(
Permit f t
Builders
TOM 1OLLOMrnO CORK MONS ARE 'tXMIREbt
----------------
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-- v Datet_ —�
APPROVED DrSAPPROVB;b
APPROVED 808,TECT TO ABM
—__Call For R•inap.
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,INSPECTION NOTICE, ' b[
City of Tigard Bcildinepartsieat
g D '
B
1312:. 811 Ball Blvd. Tigard, Oregon 9722
I �2
neoection Line (Rec-O-Phone): 639-4175 jusiness Phone: 639-4171
Inspection:
Tooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found.
Plbg. Top
gne
Out
� Gas Line FINAL:
Post/Beam Strvet. 1 Framing -Bldg.
G
Post/Beam Mech. RInsulation -Plumb.
Plbg. Underfloor WGyp, Bd. -Mach. )
Date Requested: F
7/ Time: AM —A—Pit �
Address: Permit
Builder: r
THE FOLLOWING CORRECTIONS ARE REQUIRED:
,0 11J1 1Wd! ),
A `
-0
::Y t
�— •�� ! n
Inspector: Date:
APPROVED
--_ DISAPPROVED APPROVED SUBJ$CT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
Citi of Tigard Balldfng Departrasnt ���V•"�•'�/
f 13125 aw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-phone): 639-4175 Business Phone: 639-4171
Inspection: t
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
_ �• / Plbg. Top Out Gas L_ne FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Noah. na'.n Drain Insulation -Ply, 71, .
Plbg. Underfloor Water Line Gyp- Ed.
Date Requestedr Timer /I P!( `
Address: ��r� r.�� �� v, (t1Permit #Iy
I
Builder:
TBE PoLLOMING CORRECTIONS ARE REQUIRED:
`1
Inspector r,1�
Date:
APPROVED DISAPPROVED APPROVED SUBJECT To ABo1it
__Call For Reinsp.
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CITY OF TIGARD
FIS ,'i:i; PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT 'S
13126 SW Hall Blvd.Tigard,Orapon ti7223.81118 (503)A38.4171 DATE 1 Cs 3L1E:D: �t)/30/93
r.
1 S'rC- flliUrtC . . . : ,'.6676 SW J(Ji%.0iq WY
' L113LSVI81CTN, . . .
I .'LOC K. . . . r . . . . ..
I-.LD 'ORD I...IOJ Li E. N.
ZONING:
BUILDING
_. . . .
' 'tE ISSUE:MST92--0002 DWELLING UNITS): 1 BHSEMENI. . . . . . . . 10 f I
;:I..ISIS OF WORK. a NEW BE'DRr~S:.3 BATHS:2 GARAGE;:. . . . . . . . . . :556
'
r1�'L'•--. OF USE . . . ,aS'.c^ F S._...t' l•2 AI�C�:Fla REGIL)I Rf U '3<«'rB0UKr......
. _
1 : rI.l ..._._._.
YPE; OF CON5'f. :5N F=1 R57. . . . : 1894 a'' LEFT. . *5 ft R I&.1 '. «`, f
Ir:CUPANCY GRT"'. s(i;:a SLCC1a�u. :0 c,f FRONT. .L�!O 1't RE:6-lP. . : J ..j f
' 70RIE:S). . . . . . . .. I THIR1). . . . .0 sf RLUU'l r7cX) _..,._._,.. w__.__..._........
G)17'. , . . , . _ . : 1.'•; 1't '1GTPL..- SMOV.r Dre•:•TECTURS. rY
LOOK LOAD. 40 psf VALUE'. . . . . $ a 97132 PA RKINC's SPA(MS. . : 1
_ .._ .......__._._._.......___,.__ _.. _. _.._. .._.. PL.LJMD INt=, _ ..._._......... ____.w_.� ...,........_._. .._._ .__....._ .. . .
1"1:1_00f;0f; U'•tiI-i I Nfa. . . . :tag S(ICKF i_.UW PRE'VN1 R a. . :0 r'
AVATURII~F;. . . , . :3 WATER HEATERS. " . : 1 TRAPIS. . . . . . . . . . . . . . ..�' S
LAUNDRY TRPYS. . „ :t? GATC1-f PA`3IN::,. .
AIA-'ER GL(JSL:T'S. , : SEWER LINE ( ft , . -0 GREASE TRAPS. . . . . . . t16
WATER I...T NE oft ) - U rS-LR F I X TIJRL.:i
.1ARBPGE: D I SE='. . . : 1 RAIN DRAIN (ft ) . :0
,�CIESI:I n'C; MAC:I-i. . . : 'I SF RAIN URc't x 1VS. , « 1 }
MEC1-IANICPL ___..._..._ ..._._.,_._.._..___..._._. ._..__.. ._ . . _. F1IFS _. ._
;.1F:L. T'VI,Lt; UNI'C b..,l'RS. . :0 ty)Pt:A aIn0t..tmt try I.Jata r^c.c.F'
GAS/ / / VE=.NTS . . . . . Qh BPRT S 427. 00 JH 09/,3LA 93 ;
~tear( INPUT-,0 BTU UEN'f FANS. . 3 BPL_C: 1 40. 00 JS.._11 05/24/') 3 '
URN ( 1 LMAK . . : 1 HGOD-5. . . . 1 ;~1'`PC $ 1.. 35 JI-1 09/210/93
URPI W0C)1?:3)'Tr )[,.S. :11+ mPR'r 1; 441. ':x0. J11 01;1/:x01!/';
'LOOK FURN. . . . .IZI CLO DRYERS. : I MPLC; 10. 13 JH 09/30/93
. . ::r11;,�,'C;MF' ( �?,I-Ir-':fit rJri:'"r� Urai'r� : 1 1~1;:,F'r� 3 ,�', ti�,s Jf�, �►9f;3�i��'�,3 — �.
Gf-'a OUTLi:TS: 1 PPRT $ 1 -3 `,'v1 JH 09/30/93
)wTie e _._._. _._. . .__. ._.._..._...__. _ ....__. . ...._.._. S'S1,'C '5 114 09/ 310,'93 -
I
E-P, C)N HOMES 111Si: 35. 00 JH 09/30/9:3
-AVER70N OR 97075
,-)EACON HOME
':500 SW 125TH
1�EfaVl F7'TCJPJ UP 970111
."hone #v 5241991:1
70782
Ns perp#t is issued su 7ert to the regulatir^: rontai�yt Ic the _ - F7EG!i_r?RFI) 1NSF'F:C:T I jNS
f 'igard Municipa-k Code, State of Dre. Sper.ialty Codes and all attrer Foat ;'f .inJ In517 Fireplace Indy;:
gplic.able laws. F11 work rill be done :^ accordanre wit" approved Poat/FJeam Str,uct Cas Li)? In p
1lehs, This pereit will expire if worS is startec wlthin 18@ Pos;,/He,ar,i Mechrnn 1rrr.;ulat :10 v InG;F'
'Sys of iSSUPnre, or 1` wo? IS 5i3Spe'" 1180 days. F'1 r„E_%q. d':1 a b l n s ra f3y p L30 C�krcf I T)S P
PL.M,'Ultri': . .-flnnr• W.,., rr: °.1t ain L n%p
' V,ITT i.} t;!ea `.3it1via t0 _ filt.,chanic:a1 In �;faI Ni, L.ine Insl
-'
P'I1.!mb Toga Ckit (Ippr^/GclwIk Inst-,
a s t3 L, , a m r ,} .) f r, Iyle c.l:an i c a 1 1= a Ila
I
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Y
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CITYr 1 13115 Sw I Ian uad. PLNCI;/RCC1
C. I
I Y OF T IGARD PO[low PERMIT H
1` COMMUNITY DEVELOPMENT DEPARTMENT TigarkOregnn9721_t —
(501)R19.+171 DALE ISSUED
4
" JOB ADDRESS: 16676 SW _a Jordan Way _ TAX MAP/I.OT ltSt a s�_�lo.�� :_�•d 2 5
SUIT: 13edford Glen LOT: - 25 _ LAND USE: ---_-_ --VALUATION: _ �/ 7 13 Z . —
k
PYASPEC111L NOTES
NAME: Beacon Hctrtes. Inc. _ REISSUE OF: M5f-92
ADDRESS: _9500 SW 125th Ave. —� LAST REISSUE:
Beaverton, OR 97005 _ FLOOD PLAIN/
PIIONE: 524-1999 _ SENSITIV: LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: Beacon Homes, Inc. PLANNING:
ADDRESS: 9500 SW 125th Ave. ENGINEERING:
Beaverton, OR 97005 _ FIRE DEPT:
+,II PHONE: 524--1999 _ OTHER:
1 CONTR. BOARD 9: 70782 EXP DATE: 12/93
I1fMS REQUIRED
SUBCONTRACTORS: PLUMB: _ Canby Plumbing LIST/SUBCONTRACTORS:
MECH: _ Muehe Oual i.ty Heatl.ng BUS TAX: �._--
ARCIVENGINEER CALCULATIONS:
NAME: Argo Architect/AIA TRUSS DETAILS:
i ADDRESS: _ 16325 SW Boones Ferry Rd. 201 OTHER:
Lake Oswego.OR 97035
PHONE: 636-0755
PROPOSED BLDG. USE: Residential
COMMENTS:
'411
i
APTTICANT SIG RE
Received By: _ —;�� - 0r1l.e Received:
ri
h
iii It`rt.�1 a�• S 4r;A ry� 1. '.
PERMIT F 'ACL-T # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
msF43--029y10-432 00 Building Permit Fees 127• 121
10-431 00 ?lambing Permit Fees �, /32,
10-431 7Mechanical Permit Fees
A�}
„+ 10-230 01 State Building Tax (5x) 0• 01 3 0,C, ,
frc
Building
Plumbing .
Mechanical p 0,3
10-433 00 Plans Check Fee Sa,/3 a r�U•i3
Building 0
Plumbing '
Mechanical �u • i3
r
10-230 06 Fire _
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
-i
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 Fees
52-449 00 Parks System Dev Charge (PDC) _
� a
31-4!'1 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)
i
TOTAL
i nm/3587P.WPF - `
1
H!
v�
"t
1.
H
,
C I l Y OF 'T I GARD t'2E C E I PT 0[7 F'AYMF Nl• RE CE I P.r NO, :93-244690
CHECK AMOUNT 675. 14
CASH AMOUNT 0. 00 K
NAME : BEACON pAYME:NT DATE : 09/30/93
ADDRESS : G)UPD 1 V!,1 ON
1--,IJRPOSE OF PAYMENT AM(3UN•f PAID PURPOSE OF PAYMENT P,MOUNIE'fa"C)
E�IJIL_.DINt3 Pl RM +;:7• t10 PLA)MRtNt_i PERM
;32. a0
40. 5Q� +'�. BUILD PER .?0. 01
MF'L"HIAN 1 CAI P'F. 10. 13 � F=Wf R INSPECT
Cl 3`,. 00
PLAN CI-4ErV, FE
i
{
LOl ; 'S RFDFORD (31._i"".N
161,'16 FW JORDAN WA
TOTAL. AMOUNT PAID - - - -> 675-5. 14
{
,tE
A
1
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r
s we age $ �;�i
��5� Y• D 0
u agencySURFACE - l
155 N.First Ave.,Suite 270 Hllloborc,Gu,97124 WATER
303.848-)3U1._.....__._._..._
CONNECT 1 . N F'F:F;MIT
iiAn
0'')''.',"73 ( XPIRr4T�11N GAIL: 0312194 f`I.:RMIT' 10194:.'.
T pi,xTURF. APTIRE`;l:S 6671+ PR[I,II CT 1^`'9
s.TrtillCTllR:V.. :J* ' I:I 'I' gild .JORDAN WAY t
L0'1 '.? Et L.ftl:'K
Yf'.:: 1:t:1NNl rr'rnN PlL:W 11 F' 1+1"DI 11 ft ft f11..EN PHASr 2
i •
r'YF'C INSTAILATI0N• ( 19) 11L ll1)P/F.R(1 COIN/?TI1C
FAMILY f'nFtl'I:L, '.>1. 1.f) A0 5900
LITE: SFC 1716
M1_1 aft(>�;:I
0 01FR TIVOGON HOMES
F^ tPR,F SS) 9500 r:,W 17511-1' �l -41. �r.,;' TR1.:ATMF:N1 PI.ANT DUNHnM
BEAVF:li'I,nN aR 111D7 65 U.1
P A ONE ".:;24 19 9 9 ' �I4 r .1 : , Jll:'IrD I:ING „1TY _._...
............ JI
......................,...,. .._.... .............,.,,. .,..,.......
F I X'IURE EQUIVALENT II Id G:I.1..1N0 RE!';:lpFNTIAL.
ll 1. 1'`.� �if::itt)1:(;f` IIMT.'I`i p +0 UMTTS 1 r-,RVXCf: UNITS 1.
CUNNI".f."I'1C)Id 1-1:1'.11Sllftf'nGG I AII'.R4 DFVL1.111''1-%NT T' I'ES
SF:41C'f< l;l.)NPl1":l';1'.C1'IN 2200 ,00 WA I'r Ial.1A1.t: l'Y 1 0 +00
L E.;;!i ("I a la U + O 0')
w fi:,R QUAN'l, Y. I Y 1.00100
0 , 00:':,
E:RI):.';11)M CON' R,0L
1:PI(Eo F'E CT 1014 40 , 00
PLAN r1I-11::l;K 26.00
:il.11t
0)T6L ::'..'.00,00 `,i 11 f:1T'1)TA L 1.66 . 00
1'UfA1. 236G + 00 I'
I:Tl`R K11YlIK f'Iir)Nf: ...'A
i V ILA It,"TON VP
F MARK, PRQJ 419;.'19•4,i::DI"OLI[► GL.FN 2-A 0T 4 25
21 111111 it NCIl'.[l':C.': 1" lit L"R0q, :0N C0NTR01.. 1N9 PFCf T.0N!i RrLIU:rRE1)
,
cv n 14 A Y I I V. IIG I1 11y TI It 114 r•Q 11 hi I A
Permit Corxiltions: The applicant agrees to oorrpy with all riles&id regulations of;;;d I'rffled Sewerage Agency. When calling for an Inspection, please
refer to the Pemit Number. The Permit expires one hundred eighty (180)days from the date of issuance. The Agency does not guarantee the accuracy
of the location of side sewer laterals.
,
7/93 WHITE - USA, BLUE - Accounting, GREEN -Inspection, YELLOW - customer
e
E
INBPZCTION NOTICE '•
Citi Of Tigard suildipy Deparbsent
13125 W Hall Blvd- Tigard, Oregon 97223
' Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. IInderslab Koch. Rough-in Appr/ddwlk
found• Plbq. TopOut Can Line FINALe
Post/seas etruct. San. Set~ Framing -Bldg.
w
Post/Beam Noche Rain Drain Insulation -Plumb.
a
Plbge Underfloor Nater Line wp. Bd. -Neth.
�1
Date Requestede J TLyes k Am PN ;
Addreses permit is_f! '� 0 ■
Builders ��M� ���r''IN�l� > L-�Q 1<�`� ?7r>to(
TM FOLLOMING OORRZCTIOOS ARZ RZQIIIRLDs
AI
t
i
Inspect 3 _ r Datei41Z
APPROVED DIBAPPROVZD APPROVED 8UBJE7CT 1b ABOVE
__Call For Reinsp.
i
7" INSPECTION NOTICE /
City of Tigard Bu!ldinq Department
13125 ®N Ball Blvd. Tigard, Oregon 97221
Inspection Line (Rena-O-phons)z 639-4175 Business Pho 639-4171
pea
Ins tion:
Footing Plbg. 7nderslab Meeh. Rough-in Appr/8dwlk
Found. Plbg. Tep Out Gas Line FINALt
Post/Ream Struct. Ban. Sewer Framing -Bidn.
w,
Post/Beam Mach. Raf.n Drain Insulation -Plumb.
Plbg. Underfloor "otter Line Gyp. b -Meeh. t
iDate Requested t to �V - .r 5 Tim.I PM
Address, I Permit
/ _ r
f S �
Buildere �i' 1.TpS
TBE 1nLLO1R/;0 ODRRfCTION6 ARs REQDIREDt
� � L
i
I r
I
Inspectors-
4
nspectors Date:
APPROVED DISAPPROVED -- APPROVtD SUBJECT To ABOV!
Call For Reinsp.
- �
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a.:
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