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16677 SW JORDAN WAY � �wi���'W'.' h4:, ;i"' .s� ,� a °f�'C. .{ T::{�y yi,�',i�..�.� - �s� ��� "� '� � �� � ,��� ��.�' ,1 8w,w•!1 A , r r t {f 'r I 1' ri f Fy Y' T _ 1 � e� 't I 1, F. rte- INSPECTIONMO-Mg. City of Tigard Building DenartuddIt M 1 ' 13125 SA Ball Blvd. Tigard, Oregon 972 g Inspection Line (Rec-O-Phone;: 639-4175 Busirses P4h... 39- Inspections o; Fo-.ting Plbg. 0:Aerslab Hoch. Rough-in Appr/Sdw)k Found. Plbg. Tap Out Gas Lice Post/Beam Struct. San. Sower 1prcming Post/Beam !tach. Rain Drain insulation Plbg. Underfloor slater Line Gyp. Bd. -Mach. J `� Data Requested: .1 // l/ J Time: AM _P!: Address: s L)� Permit Builders eo �G� -- - -- — ' ■ THE FOLLOWING CORRECTIONS ARE REQUIRED: — 4 t' 4 I t i i Inepector:_ —_ nate:. -� Y \J--+�-(- LAS"O D DISAPPROVED — A!'PROVRn SUBJECT TO ABOVE Call For Rein,,:). i` itTj . CITY OF TIGARD CERTIFICATE OF COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY 13125 SW Hall Blvd.l lgard,Oregon 9722,198199 (503�,e,";71 PERMIT' #. . . . . . . I MST'93 -0 31 1 o39-4J 71. DATE ISSUED$ 12/29/93 � i✓ARCEI_a c'.S1 16f�UrDL`•;liS�D a l T E ADDRE'SS. . . a 16677 9W JORDAN WY SUBDIVISION. . . . a BEDFORD GLEN ;ZONINf31 l,t(] ,. . . . . . a 50 lr l�I✓H• Y Y • • Y Y • Y . I L.I�✓1 Y Y • Y Y • . .» �s ...w.......—.....r.....r.r............,.w.r_.rrw w...rw... 1 '-...».._.—r.....,.......»...err.r..............»._.—......»..........�............_..... ...............»... ._...r....._.....»....... ..».. CLASS OF WORT•(. a NE:W i YPE OF U6c. . . a Sf IaCCUDANC;Y BIRD. I R3 ■ l OCCUPANCY LOAD a 1 1 7 4 TENANT I;nME^Y . • a I ■ Rematr^)cry a PgTH I Owner a BEACON P OMCS 1I 95120 SW 1257+4 4VE ' i BEAVER'TON OR 97005 {yhn a pa 5214-1999 C;ontraCtor a BEACON HOMES I ' 4500 SW 125TH BEOVE:R,rON OR 97005 phone #1 1,5214--.1999 r�eg 70780 gcc#Apancy of the above referenced bui ;ding is hereby yiven, and cer•,tifies the compliance with the State Of Oregal, Specialty Codes for the Ur-oup, 1 occupancy, and use under which the re ferencod permit was islued. � -_ - IRE rD G�F�RTMEPIT S ) NG I S BUIL f.) VICIAL C POST IN CONSPICUOUS PLACE i Ii P l 1 INHPECTION NOTICE Cit? of Tigard Building Department � L,., I3125 8A Hall Blvd. Tigard, Oregna 97223 } j Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 • Inspection: — 1 Pootl.ng Plbg. Underelab Y. ch. Rough-in Appr/5awlk Pound. Plbg. Sop Out Gas Line FINAL: Post/Deam Struct. San. Hewer Framing -Bldg. Post/Beam Koch. Rain Drain Insulation -Plumb. + Plbg. Underfloor Nater Lino oyp. Ed., -Hoch. Date R�m :est.ods `> 1lmet _AN PH ' jrL !_ (l. V1 uAL1.4 _ Permit 11 [ 2 .02 11crl .,' Builder: A-Crv\ Plti�S S Z.. 1' - 1`1 THF FOLLOWING CORPECTIONS ARE REQUIRED: Inspector: - Dad, L/ "7 \VAKP P R.0 VVEII DISAPPROVED APPROVED SUBJECT TO ABOVE ---Call For Reinep. t 1 i 7� i ImaEC IOK NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O.•Phone)c 639-4175 Business Phones 639-4171 Inapectionc_ _ Tootingr 1 Plbg. Ondorslab Mach. Rough-in Appr;Sdwlk rt' Found. Plbg. Top out-) Ons Line FINALc i Foat/Beam Struct. Ban. Sewer Framing -Bldg. F •ac/beam Mach. Rain Drain Insulation -Plumb. Plby. Underfloor Water Lime Gyp. Bd. -Mach. Date Requr stsdc )-Co > • T1Mt AM PN Addresss., 1 I.�(��� .,_�('�"/�/..1�V1 ('kl' Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: Inepecto __ Datee..e/,� 11PPROVED DIBAPPROVRn k APPROVED SU&TE:T vo Asm is Call For Reinsp. 1MVICl'I2N NOTWCE cit? or Tigard Lvilding Depa:taent r 13125 811 Nall Blvd. Tigard. oreuaton 97223 �= Inspection Lina (Pec-O-Phone): 631-4175 Dusi.ness Phone: 639-4171 1^ipection: Foott"'I Plbg. Underslab Mach. Rouga-in Appr/Sdwlk Fou:.d. Plbg. Top out Gas Line FrAAL& Post/seem btruct. Ban. Bawer Framing -Blds, Post/seam Hoch. Rain Drain rnsulation ) -Plvab. Plbg. Underfloor Nater Line Gyp. !d. -Mach. Date Requested: 2 Time: PM i Address: Permit tr_J 3 suildar: =��_ 4z� ,k �i•` TAE FOLLOWING CORRECTIONS ARE REQUIRED: f i. lnmpector: �_ - --- _ Date: APPROVED DISAPPROVED �— APPROVED SUBJECT TO ABOVE --.—Call For Reinsp. r���!�IM�IMMIIM'WbRO➢�e..,.,riwww.mi..w..ww,,,.avw,unRr..,+..rax,raw,..mu«naw,..r*.,.,..... '..•,. r •.��� �� "err, i 6 n d' - , �.u4 at R E� A 0 7 •-r s INEPECTION NOTICE T City of Tigard Building Depart 13245 M Ball Blvd. Tigard, Oregon 9 , Inspection Line (Rec-O-Phone)t 639-4175 Bueinso a• 39-4171 ° Inspections Footing Plbg. Underslab Mech. Rough-in ` Appr/Sdwlk ; Found. Oar Line FINAL: ` 6ALr ' Poet/Beam Struct. San. Sewer rrnq Ole-g.. atal Poet/Beam Mach. Rain Drain Insulation _Plumb. t: Plbg. Underfloor Nater Line oyp. Bd. -Meeh. Data Requels/tedt l ,�� { .i _ Time: _AM Adudir:or -3DZ '2Permit t s • O GT(h f Y� ✓' Qf THE TOLLC441NG ODRRZCTIONS ARE REQUIRED: `t � f �•, w , 5. j f4r 1f i.rr,,'Y dy1,F 1 Lyt i M + Inspec*_`rs — -- ---- Dates 4% ( e ro �YY APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. F �l N +t a4: t w INS Pg SUN NOTICR Citi o! Tigard Building Department 1.3125 60 Hall Blvd. Tigwrd, Oregon 97 2 Inspection Line (Rec-D-rhone,1 639-4175 Business 39-4171 >. ,1 Inspections _ r � Footing / Plbg. Underelab Mech. Rough-in Appr/Sdwlk + Found. Plbg. Top Out Gas Line FINALS Post/Beam StruCt. Ban. Sewer Framing -Bldg. Post/Beam Meoh. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line Gyp. Bd. -Mach. m Date Retltsestede_ -93 Times AM P!t 1 (�D / ,X11 G� L i Perms t Address s � c_ {r. �CJ�(. 17 Builder: — 2 'F- J-2J TBE FOLLOWING CORRECTIONS ARE REQUIRM i Inspector �_. Dates,/__APPRO"ED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. KING- CITE 15100 S.W. 116th Avenue,King City,Oregon,97224 Phone:639.4082 � COMMUNITY DEVELOPMENT I i APPLTCATION FOR BUILDING PERMIT (Instructions an reverse) DATE 1. NAME OF APPLICANT; rr �__ _�„�rLPhone No. `� `� 99 ADDRESS: el �' �2t ADDRESS OF PF.OPOSED IMPROVEt�[EVT /L-4 4 7 7 �U - 2. TY'?E OF CHANGE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED. DE3CRIAE BRIEFLY - ATTACH TWO COPIES OF PLANS OR DRAWINGS OF PROPOSED PROJECT: ter _ -kO L�1c_ 3. NAME AND ADDRLSS OF CONTRACTOR — _ PHONE NO. ,J Q -) `19�l L I CENSE NO. 4. NEIGHBORS WHO MAY BE AFFEC= BY THIS PROJECT WILL BE NOTIFIED BY THE CITY. 5. APPLICANT OR %T-M/HTS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING CCHMISSION I ME1:TING NEXT H .D ()N__ REIjRESENTATIVES NAME _ PHONE NO.. (The King City Planning Commission sill ca id only th se applications received at least five (5) days Prior to a me gI) SIGNATURE _ APPLICATION RECEIVED BY___ ��J'G� DATE ' APPLICABLE FEE RECEIVED $. �� TOTAL _-7-' - M PLANNING COMMISSION DECISION: Approved _ Denied ; - )CIL.T10 gqNS -Af1 raved appllc ions are valid a&aJDate far sit months only Signaturt� '�d _ 2_3 r NOTE, Ore Bocebuilders Saw requires 1hat all persons who contract fo work on hir residence be registered with the Builders Board which means the contractor is bonded end ilsured on the job site, I.r your protection, be certain your contractor is registered by calling City wall Ph; 639-4082. NOTE: A permit must also be obtained ran the City of Tigard Department of: Cainazdty Develop'ffent Yes No CITY OF TIGARD INSPECTION REPORT The above listed project has been inspected and Approved_ Denied Date,_ Ccxrments_ _ Signature _— (/3u,i.Qrling -i"pe-rAa)L pfleaAe_ ARAunn one- ( 1) copy to Kung City) CD 2-81 u i , �, INSPECTION NOTICE city of Tigard Buildiag Departaaat 13125 811 Hall Blvd. Tigard, Ocogon 97223 Inspection Line (Roc-O-Phons)s 639-4171 business Pho s 634-4171 Inspection:_ 1-F tAA FootingUndor�■ll ,) Hoch. Rough-in Appr/Sdalk Found. �lbo. Top Out Gas Line FINAL: Post/Beam Strucc. San. Sevmr Framing -Bldg. i Post/Beam Mach. Rain Drain Insulation -Ply. Plbg. Underfloor Nater Line Gyp. Rd. -Hoch. Date Requesteds / 1 V) Times AH PM r Address: 1iPV c.L�L Permit ft iE • Builders — ---- THE FOLLOWING CORRECTIONS ARE REQUIILRD3 s Inapsrct�' -- .__ -v � Dates.--Y ROVED DISAPPROVED APPROVED SUB.T6CP TO VE Call For Reins.). 1� 1 �s� �+ 7­ 7 INSPECTION NOTICE City of Tigard Building Depart etant 13125 SA Hall Blvd. Tigard, Oregon 97223 Inspecticn Gine (Rec-O-Phone): 639-4175 Busineas Phone: 639-4171 Inspectiont_ _— Footing Plbg. Underelab Hoch. Rough-in Ap.pr/rlwlk 1 Found. Plbg. Top Out Gas Lina FINAL: Post/Beam Strum. C5-'_,n. ,ewer J� Framing -Bldg. Post/Beam Meeh. e Rair. Drai1 ) Insulation -Plumb. Plbg. Underfloor Niter L c' Gyp. Bd. )-Hoch. Dataqu ^ Reested:. L —�� « 1 3 Tiar 1`_AN PM • 1 Builder:__ M THE FOLLOWING CORRECTIONS ARE REQUIRED: ;I ( r tt t r f I Inspector t /Z1(- Date t f� 2 - Y2 APPROVFD DISAPPROVED APPROVED SUBJECT To ABOVE 9, --- -- --- r V� Q ! � Call For Rel-nt.p. � r �... - ,w9..+°w�............ .•...,.,arxn+rwrn.r.d...0 a:: :.., ..;;_. ��}i.•,{�' >p ' �r �y 6't rfl 9 r � `i 4 •+>, 4 ,. r r ,Y,is 1, �1 y i , „kr.irr,I PE ON NOTICE I City of Tigard Building Department b L3125 BR Ball Blvd. Tigard, Oregon 97223 Inapection Line (1Rec-O-Phone)t 639,E-4115 Business (Phone: 639-4171 Md Ins; n: U !oo'tinq �yU° Plbg. underslab Meeh. Rough-in L.opr/idwlk lound.�) Plbg. Top Out Gas Lino fI1f11Ls Post/Beam Struct. San. Sewer Framing -Bldg. Post/Bean, Meeh. RLLn Drain Insulation -Plumb. M P1Ag. Un6erfl wr Natur Line Gyp. Bd. -Hoch. Date R�.quemtec!: � L� /// T /1M _PN �t1 Addressi.,, Permit itl / Hui?de::_ — i TRI FOLLOWING CORRECTIONS ARE REQUIRED: `r -------------- sQk_. "%J.-(> `'v\_% ( - rC'S C' � S 0 �� C� `J c 0(j, 21 t J b y fM$al ` / C Inspectors Date:— APPROVZD DISAPPROVED y APPROVED SUBJECT TO ABOVE i Call. For Reinsp. I CITV0F TIGARD ✓ COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvo. ngard,Oregon 97223.8199 (503)539-4171 f , 1 , I r' I .1'I r i {F k 4 r fky •+I t+l�.^lPI tJ w �4WH ik9t;. yp13i i 100K ShO I t l 1 I' i f i I . r { L I avwMjmaa�' �ii7sswwuuwd PLNCK/RECT # _. CITY OF TIG RD T,,,.0..r972D PERMIT # Mf`71 COMM UN I1 Y D trL:-O PM ENT DEPARTMENT (503)639-ern DATE ISSUED JOB ADDRESS: _ _ So�D�J Ley TAX MAP/LOT SUB: '¢PDi�U Com L0;: _ Sl7 ---- LAND USE:VALUATION: tIWNER PE SfIAL NOTES r NAME: "p�rccv�. V1tT^AE"� _— __ REISSUE OF: ADDRESS: -15ye ` 125 LAST REISSUE: e ';�-,�-, FLOOD PLAIN/ PHONE: SENSITIVE LAND: CONT_RAC'T"R APPROVALS REQUIRED NAME: _ � ^� �" PLANNING: — _ — ADDRESS _. "gSt'v guy-'. 12'� _ ENGINEFRiNG: FIRE DEPT: _ I PHONE: —�Z4 - 1°1I ____�"7b©�' -- OTHER: CONTR. BOARD #: EXP DATE: lz--`i — I / NEMS REQUIRED i r SUBCONTRACTORS: PLUMB: "�-� �— v v- `�`� LIS;-/SUBCONTRACT�OnS: MECH: , A _ _ BUS IAX: ---- ---- --- ARC{(ENGINEER CALCULATIONS: _ _ - NAME: —. ��; '_--- �'� TRUSS DETAILS: -- ADDRESS: 11532 _ S ,w . ���VZ � --- OTHER: —_ -- ---- i PHONE'. _.— u PROPOSED BLDG. USC: `�1►�-�� - �v � �r (41, — COMMENTS: APPLICANT SIGNP, RE Received By: Dale Received: Wrl 1 b __j H 1 .-'. r ant• .. .«,raa ••,•,... ..-,-r. -...:.__«.+.�w.vr.e.w+n.,rMIRMeMot9An'.MC'YAG'rY�N1t96.;MavA+Mu>.�r:WtWh ' PERMIT # ACCT # DESCRIPTION AMOUNT / AMOUNT P0. SAL. DUE i 10-432 00 Building Permit; Fees 10-431 00 Plumbing Permit Fees LC 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building ,�ff• � j Plumbing L• Z� / Mechanical • a3 / 10-433 00 Plans Check Fee c��-- ■ Building Ld��(v Plumbing Mechanical U•� / t 1 + 10-230 06 Fire I 30-202 00 Setter Connection -- 30-444 00 Sewer Inspection — — 25-448-02 Commercial TIF Fees - i 25-448-04 Industrial TIF Fees --- 25-448-06 Institutional TIF Fees � 25-448-03 Office TIF Fees 25-ti48-01 Residential Traffic Fees _ — 25-448-05 Mzss Transit TIF Fees — 52-449 00 Parks System Dev Charge (POC) 31-450 00 Storm Drainage Syst Oev Chrg , (SSDC) 24-445-01 Water Quality (Fee in lieu of) -- 24-445-02 Water Quantity (Fee in lieu of) _ — — i TOTAL -sr,Al nm/3587P.WPF .ah. r ,w i Canby Plumbing & Heating Co. 805 NE 4th Ave. CANBY, OREGON 97013 l 12-18-92 JAI, City of Tigard / This is to authorise Peter Kusyk or Ray Brock to sign plumbing permits for Canby Plumbing INC. . BB #33572 State License # 3-7PB Ben Sandsness 1462 JP pc 9 'r 1 i d 7 {7�:a r fts� i�l� `�i � .�"i' I�1�:��k�;^` fi''X417 °RM!M;'4Y"p!M'',�?.,rMr„�pµ .? �:`r. _ •�. CITY OF T I(BARD -' RECEIPT L)F PAYMENT RECEIPT NO. CHECK AMOUNT NAME BEACON HOMES CASH AMOUNT ADDREEDS F'AYMEWNT DATE: 0.3/09/93 SURD I V 113 I ON i. -JURPOSE OF PAYMEN-1- AMOUNT PAID PURPOSE OF PAYMENT AMOUNT F,oir) BUILDING PERM 376. 00 PLUMBING PERM 125. 00 r MECHANICAL PE 4QA. 5 e ST. BUILD V,F R 47. 08 40(_AN CHECK FE 4. 513, SF..WI::R INSP C'f 35. 0@ i Y 17T' 555 BEDFORD OI._EN 16677 SW JORDAN WAY TOTAL. AMOUNT P(IT 1) - - > 608. 11 .i r CITY OF T I C3C1RCi RECEIPT OF PAYMENT Rfr CE:t P7 NO. a 9;3-P39195 CHECK AMOUNT s 591171. 00 I•jP,MI a BEACON HOMES INC; CASH AM(lUNT 11,1. U0 oul)RE 3S s 19 "•`S NW 169TH PL LCF PAYMENT DATE Qf4/:='0/9M� SCAVE"RTON, OR SUBDIVISION s PURPOSE�(IF"- PAYME NI NM(WhiT POID V-,L!R► X*E TIFF' 1:,(4YMENT AMOUNT PA 10 VIL AN CHECK Fri. 4.-•481q ?ci . 017, PLAN CHECK FF 4--49R lbe I 1(;'7P-3 JORDAN WAY 6677 JORDON WAY TOTAL 1 •"—UNIT Pfl T 1) 500. 00 ..: . ;rr-z.•r,.-..tir�u*.-.ww.+-+w--,......::,:u.,,:.«a.:...::i..MIP.r, �. ,R94'a-°J1Aisf M...r,�:.�.,Ua, ,.. ,.. ar,: ., -•;z^ -Fay-, , i` 11• 0 unified SANITARY* D o sewerage i U155 N. First Ave.,S�ult�ee" y rn,9r,97124 SURFACE WATER _ 503 648.8621 ClltlldE:C'i'1'('114 104`,1:)1 31'RUCTURE ADDR'CISS 1667f'FifIJr:C•'1' 1, ;: � � I -I,p ij I,r,l.lf'�1: '31,f�v: : I- •:ill ,lIR1)AN WAY D BLOCK i:Iailhll':I:TI11iI r!C':w OF Till:T!I�0RI) r:1,FN r'HAGE • r f'rF'E IN�TAI l ft1 :11114 ( :i '.) 111..1► f4tjk,,k.R0 CON/'(11T L TYl'i" 11C;l til"'A`1C;'r ( 'I. ) CiIH(il r:. F,AMTL.Y 1"ORCEL 51. 1.6 AD 28400 QTk ,F"C' 4716 MH 'I.L;01:y l lwHCR I?F.'6r )N 111JMES CIIIRF SS 9500 SW 1 :.'15,1 N 1 R,E.hT141-.IJT Pl ANIT RAI CU ('ItI I I BF::oVf:PTO N OR !"700.51 Ii 'HONE 524-4999 J1.112)<roll ,IXTURE E011IVol..ENT Lil� I*—1 1. T1.46 FBF`<,iTTIF"NTThI. + IN'I:T'S I)F RV:ECE IINIT;') o , 0 1.11`111'5 1 tiERV IC;F. UNT CONN17TT:1014 FEES S01"l rt('L WATFR TIFVEI 01141,141' r-'EI''J �E:bIL:Ii i;11PlPII::I';1'�[1Pl 12200 00 b1:)Tr...R C.)l jAI..1: 1'Y 1.1:10. 00 S CRFT'IT 1 00 wA1 FR 1.111AN 1-( i 00 ERI"-MIN CONTROL. , IN SPECT TIN 10, 00 26 00 SU0T11'I'r)L 2 00 00 iI1T!TC1I'tll.. :L 66 ,00 r / 1,01 M 2366 < 00 P1101-Ir i REMoRK 'i PRO ) 1.Y39 LOT 50 !''1 124 HOUR 1401Ir..I I:r1I'" 4 "CINIF101. :I141'11'I':1 1 ) 0141:1 F;I'01.11I41`11 '.: TI .A2 T/....... .,. ......... .... ............,.. . .. .,... IT31.41'. E1Y 1)LRD S i Permit Conditions: The epp11 ant agrees to comply with all rules and regulations of the Unified Sewerage Agency. When cal ing far an inspection. please refer to the Permit Number. The Permit expires one hundred eighty (180) days from the dote of Issuanr_e. The total amount paid (permit fee, connection charge, line tap fee end/or other charge) will be forfeited if the Permit expires. The Agency does not guarantee the accuracy of the location of side sewer laterals. if the sewer is not located at the measurement given, the installer shell prospect three feet in all directions from the distance elven. if not so llcated, Lhe installer shell purchase a "Tap aid Side Sewer" Permit at the current charge and the Agency will in.tall a lateral. ib 6/90 WHITE — USA, BLUE — Accounting, GREEN —Inspection, YELLOW — Customer q.� 1 F 1y! f4A'°f , A.1111