16680 SW JORDAN WAY 1 '
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1 CITY OF TARD
cE-n 1 Y F I LA rl» OF
t COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd.Tigard,Orogo.h 97223.8199 (503)8A94,171 PEPA I T 4k. „ . . . . . c MrT93 f
1:)39- NF1. .' DATE IGS1;EDa 01/28/94
PARCEwL o 2S 1 1 GAD -9EDc4
SITE ADDRESS. 1-56i30 SW 3ORliWN WY
GUBD I V I S I;1111, . , t 1.3E DF•;)RD GL._FN ZC31.1:NG a
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 924
CLASS Or WC14K. eNEW
TYPES` OF USE. . . t;iF
OCCUPANCY GRP. a R3 � ■
OCLUPANCY L0AD r 1v2'0 4
TENANT NAME:. . . r
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Remavk�; o PATH I
BEALON HOMES
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9500 SW 125TH AVE
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BEAVF.rTTC1N OR 97005
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Phone #s 524--1999
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SLACUN HOMES 4
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NEAVL:*::F?'TON OR 97005 l
E=thane Eia 5;!4-1.999 �
Reg f#. . r 70'702
Occrstpanc,y of the ,above r�efererlced buildinE.1 is het—'iy riven, andrerhtifies
t1If' cnmpliance, ibh the atato Of! Ov-egon Specialty rodes for- the ,roup,
ocr,t_ipanr.y, and -Ise under^ which the r,efimv-enced permit w;:,s leauer,.
4f'IR: DEPARTMEN'T k�.JL [I CT[JEZ
POST IN CONSPICUOUS PLACE
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jb'5P$CTION NOTICE •
City of Ti'lsird Building Departosent
1
13125 811 Ball Bled. Tigard, Oregon 97 4 "
Inspection Line (Recce-O-P:10 639-4175 Businos 9-4171
Inspections
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Frnsnd. Plbg. Top Out Gau Line lItillLt
Post/Beam Struct. San. Sewer Framing
Post/'. Am Mech. Rain Drain Insulation Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch. p
Date Requestsd�s/_+
hddresss /t7�0 Q�J �I NN` 1 Permit s �/,,ry 3
p_A " ?
Builder t�l �(�`C�V� J z,.rl r K� N
THR FOLLOWING CORM--RIOTS ARE REQUInwis
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Inspectors Dates/- �� a
APPROVED DISAPPROVED -� APPROVED SDBJSC'1' To ABOVB
Call For Reinsp.
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MR-19 1'ION NOTICE
City of Tigard Building Depertafmt J
13125 MW Ball Blyd. Tigard, Oregon
Inspection Line (Roc---Phone)x 639-4175 Business Phone: 639-4171
Inspectionx
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulatxcn -Plumb.
Plbg. Underfloor Natee Line Gyp. Rd. -Hoch. .
Date Request/Wt_ r 1I).. I
Addreest I LCL! -) rII _1d"21 1I'a-A- PBtolit
BuLlder.j 4j. ("Y\
TBE FOLLOWING CORUCTIONA ARE REQIIIREDx
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Call For Reinsp.
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INSPECT?ON NOTICE 1
Citi of Tigard Building Department '�,•�/
13125 Bw Ball Blvd- Tigard,ig . Oregon 9722,.'
Inspection Line (Rec-O-Phone)s 639-4175 Sueinean Phone 39-4171
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Inspection:_
Footing Plbg. Undersl.ab Hoch. Roug -in Appr/Sdwlk
round. Plbg. Top OutOu Lin_i
FINAL:
Post/Beam St-uct. San. Sewer Framing -Bldg.
Past/Beam Neck Rain Drain
Inpru.gtlon -P?Amb.
Plbg. Underli. ,r Water Line gyp. Bd. -Mach.
Date Requeate/Id--ss__ 12- 6- `r J Time: AN PK
Address: Y UU l '. 1 _ 1
i aJL`�!�a (� 1� As t Permit #31", `'1 iP
1 Builder /, ) -
=a FOLLOWING CORREC.`TIONS MIR REQUIRED:
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------ Dates fJ
PPROV1tD DISAPPROVED — APPROVED SUBJECT TO ABOVE '
—Call For Reinap.
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INSPECTION t+QTICR
Ciit of Tigard Building Department
13125 Bw Hall Bled. Tigard, Oragon 97223
Inspect'.i.on Line (Rtvc-O-Phone)s 639-•4175 Business Phones 6
Inspection:_.
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Footing Plbg. Underalal• Koch. Rough/n h��A Sdc+lk
Lound. Plbg. Top Out Gas bin i V� FINALe
Post/Beam Struct. San. Sewer Fraing / -Bldg.
m
Post/Beam Moch. Rain Drain Insulation -Plumb. .
Plbg. Underfloor Natur Line ayp. W. -Koch.
l 7
Date Requesteds / 1 1 7 �] Times AM _Silt
Addresst Permit #: �
Builders tiles (�Y� 1^1C I 1 lj��l ( r) 1 tr
THE l0'LtiiiINO CORAECI'IQNS ARE REQUIRED: a '
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Inspectors _ Data s
APPROVED 1S PR D APPROVED SUBJECT To ABo"
1 vor neinep.
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INSPECTION ggli_ &
City of Tigard H.'lding Depart zeent
13125 BR Hall Blvd. Tigard, Oregon 97223
Inspectkon Line (Rec-O-Phones 639-4175 Business Phon : 9-4171
Inspections_
rooting Plbg. UnderelabmB ' Appr/5dwl.k
'found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer `,,JCaming -Bldg.
Post/Beam Mach. Rain Drain Insulation -Pluteu.
Plbg. Underfloor Water Line Gyp. Ed. -Hoch. �
Date Requested: �_� GT11Nt /_Am
/ PH
Addre9 e s- Permit
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Builders i_a ,!.F _ ` c`��T -j/.�i ■
THE FOLLOWING CORRECTIONS ARE REQUT.REDt 1 1
^
Inspectors — --� Detes��1_� —
APPROVED -- DISAPPROVED APPROVED b0BJRCT TO ABOVE
^--Call For Reinep.
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INSPECTION NOTICE
Citi of Tigard Building Depart-ant
13124 Bw Ball Blvd. Tigard, Oregon 97223 1
Snepecticn Line (Aar-O-Phone): 639-4175 Busi.eae Phc 9-4:71 1
Inspecti...:
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
ru
Found. Plbg. Top Out Gas Line -— FINAL:
Post/Beam 8tru^t. San. Sewer (SramLug -Bldg.
Poet/Beam Mech.
Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp, Sd.
-Koch.
Date Requestede J "/�3 •
TimerAM PM Y t ti C
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Address:/t �(��d��Y 1(` i l/LV ):A.l
_ `
Permit
ermit�ts.
Buildey� 1P1�
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TBE FOLLOWING CORRECTIONS ARE REQUIRED:
001,
S!Ocr_ dp r Z4"//Y/JC —
ui R
! Inspector: i
Date:_��
r ` APPROVED DISAPPROVED
1 APPROVED SUBJECT TO ABOVE
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` INSPECTION NOYICS
■ City of Tigard Building Depart tnt
13125 SR Ball Blvd. Tigard, Oregon 97221
Inspection Line (Rec-O-Phone): 639-4175 Businees Phone: --A39-4171 �
Inspection:
Footing Plbg. Underelab Mech. Rough--'„ ApFr/Sdwlk
Found. Plbg. fop Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulattun -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Reques
ted: 1z v ��-� _—Time: �t �`� PM
Address Cv Z J -`— Permit #I
Builder: /t�1111_c_ri j
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TBR FOLLOWING LORRECTIOIIS ARB RBQUIRBD:
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Inspector: Date
C. APPROVED ` DISAPPROVED APPROVED SUBJECT TO ABOVE
p _ Call For Reinep.
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DEC-21•-193 TUE 12:03 ID:CITY OF KING CITY FAX NO:503 639-3771 '--'---1i'199 P0S
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17 KING CITY -
I � i 16300SW 116th Avenue,Ding City,Oregon 9722J Phone:6:39.40152
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COMMI,LAITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructigos an reverse) )
DIM- J
1. NAME OF APPLI -a C ov., rLwe _ Phoiie No.
ADDRP.4S Com+ UY !.�n,� ,)r l
ADDRESS OF PROPOSP� IMPRO�iEt�IDVT_� `-r CTW-1
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2. TYPE OF CHANGE, IMPROVEMENT OR CONSTRUCTION1RR WHICH PERMIT IS REQUESTED.
DESCRIBE BRIEFLY — ATTACH TWO PIES OF PLANS OR DRAWINGS OF
PROPOSED PROJECT: 11 Q
3.-NAME AND ADDRESS OF OCINTRACTGR,j��('C`.�.A S
< D .Y1 P 11 her),� � PHONE NO._ LICENSE NSE NO.�Z:i
4. NEIGHBORS WHO MAY BE AFFECIM BY THIS PROJFX_T WILL BE NOTIFFIED BY THE CITY.
5. APPL I OF. HER/ S RE�RESjr'1�'Iy1TII E ST BE PRE AT TFC PLANNING C[�II+II SS I ON
MEETIN NEXT ON �/
s a. ATI i _ iljf;')NE NO.. —
e Ring Ci Planning Commission wilVconsider gall those applications received at least five (5) days
i 'prior :o a meeting,)
Iu�iVATURFi (
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— —--- '1' .. Ag _J�
APPLIMTION Rls"CN:TttID BX_ _ ��. _ � G " �_ 3
PXPLICABI,E FEE RECEIV:.M $ � TOTAI_�► _.
PLANNING OObDdIiSSION DECISION: Approv Denied
COMITICNS
/r)542CC Rion !}lSr C _6;r��, -4o /Jr�,
Approved jpplicat s are valid for sit months 0011
�ignatur _. _ Date
10M-4fidrjon lome6ildpes Law requires that all persons who contract for wo:k on their residence he
registered cit the Builders BoW. which means the contractor is ban"ed and insured on the job site.
For your protection, be certain your contractor is registered by calling City Hall Ph; 539-4082. �
NOTE: A permit mmt also be obtained ar the City of Tigard DepartnePr_t of
Cam n-Lity Development Yes No
:,ITY OF TIGARDWgklp1- ON REFORT
The above listed project has been inspected and Approve:d_!_,_J>enied
Ccmrents
Signature _
(9u).&-na !fLAPor—tru ;Oor_-sc 4rhum on¢. (1) copy -to 1Ging a .+. )
CD 2-87
jNt3PECTIo.IM NOTICE
city or Tigard Building Department 1
13125 M Ball B1rG. Tigard, Oregon 97223
S ,. Inspection Line (Roc-.r-•Phone): 639--4175 Business Phones 39-4171`
Inspection:
Footing Plbg. Dnderslab Rech. Rough-in Appr/Sdwlk
Foun". Plbg. Top Out. Gas Line FINALs
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goat/Bees •trugt� / Ban. Sewer Framing -Blcsy +
Pout/Beam Mesh. :,;an Drain Insulation
�lbg. IInderil Nater Lane oyp. Bd. -Mach.
22
late Requentodt ...:.,., —Time. FM
Adt'ress: ' VD \4 Y(��L; P.,,ail: #s
Builders jt G` C-e y
TBE FOLLOMIMG OOUNCTIONS ARE REQUIREDr
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Inspector
ZTriY,c
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE n
— `Call For. Reinsp.
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IN$PBCTION NOTICE
City of Tigard Bui7.dingdinq Department
13125 89 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone); 639-4175 Business Phone;639-4171
Inspection: §
Footing Plbg. Underslab Mesh ough-in Appr/Sdwlk
round. Plbg. To-;) out Bas Line FINAL;
7. goat/_DBaAt Structs. San. Sewer Framing
post/Beam Mach. Rain Drain Insulation -Plump.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Data Requested. i�� - 2_1
^ A ^^ Thies AM P11 q
Addz�ra: Permi!
Builder
THE FOLLMING COMMMOON An ASQUIRED;
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Inspector: Gates! L/�IL_
—APPROVRD - DISAPPROVED APPROVED SUBJECT T'j AHOVR
_—Call Pcr Reinsp.
PRO 11111111
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INSPECTION NOTICE
City of Tigard Winding Department
13125 SIN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 6
Inspection:
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out vias Line IPINALs
Poet/Beam Struct. San` Sewframing -Bldg.
Post/Beam Hoch Insulation -Plumb.
Plbg. Underfloor at rr �1ae� Gyp. Bd. -Hoch. �J
Date Request/ods //(,1 / Time: _AM K PH
Builders
■
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors — — _ Date:-� �L"�—
PROVED DIGAPPROVED APFROVED SUBJECT TO ABOVE
Call For Rainap.
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j INSPECTION NICE
I City of Tigard Building Departaent
1.3125 Bw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Businesr, Phones 639-4171
Inspections
i
Footing Plbg. Undersiab Mach. Rough-in Appr/Sdwlk
jlaund. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
rf
Poet/Beam Hoch. Raln Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -iiet,h.
Dots Requwetedt Tim.>t __111 PN
AddresssI�f ii I c J(A(G�(1 ti J CJS s
Permit
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Builder:
TBE FOLLOWING oGRRECTIUMS ARE REQUIRXDt
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lk;apector t
Dato t /10
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` ,J&l ROVED DISAPPROVED `— APPROVED SU 7djjmcT To ASOVt "
Call For Reinsp.
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CITY OF TIGARD . . . . ,• , «: 'r
COMMUNITY DEVELOPMENT DEPARTMENT
;.yia;'1:: ISat.Jc:I?. t.itY/11 iy:� e
13126 SW Hall Blvd.Tigard,Oregon 9722398199 (603)639.4171r RUE!
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BUILDING
"'L 113SU;;.: JWEC_L..1 NG IJN I 1 t3: I Bill!'L EN r. . . . . . . . .
'LAI C31� WCJFit,. ;t'�k W BEU(•iMS s 3 DA"rPis:E, GARAGE. . . . . . . r 4:a;,
NE
YPL U- U:31.. .;:F L.OUR frs1LN'to
t YPE l'1F LXNC, f . ,,,N F'I RST. . . . : I'753 S t 1 L::F-•T. 5 f t R I CJI41
1)iNL. . . r 4 , FRONT. s clfb f t REJ-1H. . L �
t(J'1:f=: . , . . . „ . . 1 7111k1). . . . . 5f' REOUIF�;._L-_._w._...__
tE iii iT. . . . . . • . :.: 4_,� I.U1 fel_ _. :
17 5 f SMOKE DE?LLI
- PhOOR L000. , , -.40 p VAL.UE. . . . . $ : 888;28 PARKING 5' -E-S, .
:lamer^l�„ f''rl'1` . 1 ;, ■
PLUMBING
INKE. . . . . . , , . I �I,llJl.`.l;,e,�«1N"i. . . . k tll __...... Fel cif"L 1 W fE:V'I','ML. . .1
--AVf-iTfJF<'1 'i. . , ;w 14AI[:R FILA Y'EPS- „ . : 1 1 r'tf��'t,. . . . . . . . . . . . . . :i� t
I faUNC'F7Y rFifiY:a. . tJrl'1 L 4i
401_E:R CLOSLT6. . . ' SEWER LINE ( ft ) . :0 GREf�SE: TRAPS. . . . . . . eta r
tI HWAOHrT� . . . . wf�J li E. �vr... (ft ) . . 103 .r� rlxTLaRc . . . . . :��
:1F)�L�Al3E Dl.ir"'. . . . 1 RAIN DRAIN (f" ) . :0
crISF 1I NG MACH. . . : 1 3F M71 I N 1 RPI I NS. . : 1 �
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MECHANICAL
F1•:.L
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1JE1.. IJFd l 7 I.11 f�.;. . :�+ t y F.�
VEINIS . . . . .N �'F2"f ! 400. 00 JH 10/it/93
if} '; IN::'L1'? :0K'TLl VI .Pd F (=tivLi• u a !aF'L..:: ° 200. 1110 JL H1 CC!, /93 9 3
1"'URN ( 1 s Ole - : 1 I IC)UI�E;. . . . . . . 1 Il:�PU '1 2171. QI JH i0/11/t)3
u111'I 1000 . :0 W1)at7CYTOVE-5. -.0 mr'PT 40, ':j Q11 J1.1 10/I I
f'L,.LIOR F'UFIN„ . . . ell+ GLCJ 1:)RYERS. : 1 Mi'L.Lr t6 1'LA. 13 JI-•1 1Ql/11 /` z
: t.. "t._... ' r +:: 1713 J14 i,'iq/ 1
_!ti)II_:t.:h�"' ;rt ;1'e� C)T, IC'_t UI`vx ] �.�- , Ih5 9i ��.
Gra5 fJCJ`iLC:T"a: 132. 50 J 1 10/11/'�:'�
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13EAC CJN HOMLb M I[J[. i 35. Oka JH 111/.i 1/()3
BEAVERTON ON 9 7005
yhznne #: 524
1500 3W 1 J•j 1 l•I
iALF`1V1:'.RT0.V OR '37005
'hone fir 524- 1999
Th s aervil is issued sl;uject to the -ontAinto in the _ .._......_ .. F3LU' IRE:ll
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'i�a'c! I'unit ipal Code, State of a' F t]t/found ITISP Ca la] F,t; isn I -1S
aN¢li�atrle i:o+s, Ai: rZcwk --� ;'1m/;.Intlslab Insp C:iyp 1: UAI-d 115n
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" fUndevfloor Pain dt-arir IT'
Ja)s ofit uar.re, . .f ,'sett i>. ,�spe . �t anic•al Insp Wage•., Line Ir i
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CITY OF TIG D P013)x23397 PERMIT N S
COMMUNFT DEVELOPMENT DEPARTMENT Tigard.Oregon 97713 —
(503)6394171 DATE ISSUED _.
w 0" TAX MAP/LOT t
JOB ADDRESS: '"-�- -
SUB: 6,LA -fj LOT: _ `L`�` _ LAND USE:
VALUATION: f
OWNER SPECIAL NOTES
NAME: _ Rbm ep-> _ REISSUE OF:
ADDRESS: qTr 00 elv' l-Ztft Al-'JE LAST REISSUE: _ ■
' g-;l!r=. a,yo S FLOOD PLAIN/
PHONE: meq - Kt`til SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING:
ADDRESS: °lea gw IZ'S- ENGINEERING: _ _—
05,v- 0,0)r- FIRE DEPT:
PHONE: �'?4 I�l�l'l OTHER:
i CONTR. BOARD #: -10-16-2- EXP DATE:
ITEMC REQUIRED
SUBCONTRACTORS: PLUMB: t LIST/.SUBCONTRACTORS:
_ MECH: ia(kaBUS TAX: .�
CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: I V'r37c) e-AAl• Gt71Fl�o+j OTHER.:
PHONE: 5 I I -
PROPOSED BLDG. USE: C,,jkj& CIE- +=�-*nIV A
COMMENTS: 1
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APPLICA SIGNAT RE
Received By: _ _ _ Date Received:
• e i(.1 ''i�... ._ in lnygMl6r.r.o.ywy�.. ,,. _.,
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Per�_.t fees
V/ Ud
10-431 00 Plumbing or rmit Fees — � Z' )U
10-431 01 Mechanical Permit Fees 'a V
10-230 01 State Building Tax (5%)
Building --;2 0
Plumbing o7.v";
1',} '�w4�t�',S�;�F '�`:;.�`kd.'1r4r?,�;9R `� �tlY9"•.f'�` "�1`;W"�td.�iP",w',�5�1�p'a�K*'I�'± :Y' sx�!t' .�.RPY�91aN!Y!.k"!�ue ...: '
"47,TI.,
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c l CHECK AMUUNf a 69(.,. 79
NAME s EiF.'fl(,0N HUMES CASH AMUUNT a V). 00
I'ADDRES'S a PHYMLN 1 UATE: a 10/1 1 f 9:ti
�iUNC)IV 113.'0N
?y PURPOSE OF PAYME'N'T AMi)UNT PAID PURI=,OSE t.aF PAYMt=.NT AMOUNT F'F4 l D
SU I F_D I NG PERM 400. 00 PLUMB I NO PERM 132. 50 �
ME=.C:HAN I CAL VIE 40. 50 ST. BUILD PER 2a• 66
FLAN CHECK FEr'V1. 1:3 SEWER I NSPE~C T 35. U10
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I—OT 24 BEDFORD GLEN
166E4VA CSW JORDAN WAY
IOT'AL AM0lJN.f V441.0
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C IT ( UF" T I GARD — RECEIPT OF PAYMENT RECEIPT NO. :9 3--242"530
CHECK AMOUNT : 250. 00
NAME:. a BF Y CON HOMES, INf. CASH AMOUNT 0. lao
ADDRESS a PAYMENT DATE s 07/22/93
1105 NW 169TIA FSI_ SUBDIVISION
SEAVERTON OR 97006
►URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT Atfo'OUNT PA I D r
250.
00 _...._..__........._.__.__..._..__.___...__. ...._......__�._..�_� r
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PLAN CHECK #7-60R — BEDFORD GLEN LOT 24
12861 SW JORDAN WAY
'TOTAL AMOUNT PAID — _ - -> 250. 00
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unitled SAh ITARY• �rnlsewerage �agency `: �- lr. 97124 S R FACE WATER l!J D N. Firs* Ave.,4ulte 270,Hillsboro,Or.,
503 648.8621
cc�!•lwr:cT'TrIN rr.r,r11 'r
10t1.93 r;(1`:Gttn , TC1N I)fll'r o40'I9i r'ER14IT 10J00
STRUCTURE: ADEIRF.SS :161190 Pi 01F.:C•1 1 9'.* i
'aT'IiI1r:;T'IIKt' �i'I ftl l:: r 50 JORDAN IP-y
L 0 T 11 E+1.17CK
TY'r'li: C0NNi7I*J 1MlN Nf::W Of I"J.17M PHASE 2
TYPE' TWITALL.ATTOW ( J) PL.D FI(JR/FRf.I
Of,("1J1'n#\lfi'( ( 1 ) i1N01.r. 1"A M T I..Y C111)RC,I.;A. "',t US AD 25000
0111: SEC 4716 MFI 11)()�,`r r
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(1WW'.R 8 trACTIN I10MCS,, O'Ir7 ;
ADDRESS 1905 Nbl ] c+,yTF1,y L;! t i ,1 TRE:Al Ml'-'14T F'1 ANT 11lII;F;r',rt
BEAVERTON a'„1,a� 0t 9.7;904,,
PHONE. 524-1999 y ;<�rl ,� ,ut .JUR1C;D KING CITY
FIY,'lURE EQIIJIVAL.ENT DWE1.L..INS RE!;IPEW Irl._
UN ( 1'S 'GERVICE UNITS 0 ,0 UNITS 1 LiI-:RVIC,E UN 1: P1 ..1
! CC)NNE`CT'ION FFE:S 151INF AC K WATER XW.W. I..01''MF N'T 1"F I
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SEWER C0NN1'Crlf]N 121201) ,00 WAT['R 11LJI)L.T, T'Y 100 .00
(:'Ekr.Itl”r 1.H0 . 0U:'
WAIT-:P QUAN l' 1: T'Y 1.00100
1_1`5,r: CRE:: IT T 0. 00
E FiCI'i.Tt1N (;TIN 001L
INliPECTT(IN 40 , 00 <�,
C-''l_AN CIII::CK 26 ,00
SU 13 1A)T!1L ;?20t>,00 ':iUHl'Ll l AL. 1.65 , 00
T01 of 2366400
AFFTI..L.IATT(IN VP
M—MARKS Pr20,J4:11,,39 .E;Fhr 0Nr.I (:.-II.FN I_ 01
Fill' 1::1" 1 10N CONTR!"Ji. 'CNS'Pr'CT'IUN''i R 11UTRF-P I
Permit Conditions; The applicant agrees to comply with all rules and regulations of the Unified Sewage Agency. When calling for an Inspedlon, please
refer to the Permit Number. The Permit expires one hundred eighty(180)days from the date of Issuance. The Agency does not guarantee the accuracy
of the location o'side sewer laterals.
7/93 WHITE - USA, FLUE - Accounting, GREEN -Inspection, YELLOW - CustfhfMet
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411-1
INDFECTION NOTICE
City of Tigard Building Department
13125 OR Ball Blvd- TJVard, Oregon 27223
Inspection Line (Ree-O-Phones 639-4175 Business Phones 639-4171
Inspections
footing Plbg. Under-lab Rech. Rough-in Appr/Sdwlk
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Pound. Plbg. Top Out Gas Line FINALS
Post/Beam struet. Ban. sewer Framing Bldg. `.
Post/Beam Necks. Rain Drain Insulation -Plumb.
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Plbg. Underfloor Mater Line Gyp, Bd. -Mach,
Data Requeatede L5 _/L) AN PN
Addroses
Builders N ✓ %� l`-C_ '� 3
TER FOLLOWING OORRECTIONS ARE fRQUIRED�
170
b ,
Inspectors Dates_ IF—
APPROVED DIBAPPROVAD APPROVED SUBJECT TO ABOVE
._Call For Reinnp.
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I?'SPEC'ION IMA
City of Tigard Building Department
13125 WE Ball Blvd. Tigard,, Oregon 97223
Inspection Line ( -O-Phone)t 639-4176 business/ Phone: 639-4171 I
inspection$ r
i° Cfy 'Z` I rooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
+kc round. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Sar+. Sewer Frami.ag -Bldg.
Post/Beam Mech. Rain Drain Icsu.lation -Plumb.
Plbg. Underfloor Nater Line cyo. Rd. � ,-Meeh.
Date Requested$ A/ Time: AN PN r
Address$
Builders !7 `� ,$ �2 ,� C- i �, ■
TM FOLLOWING 0ORREMION6 ARE REQUIRED:
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Insp►ctolr�:/ Dater--1"9 f - S�
APPROVED _ _ DISAPPROVED APPROVED SUBJIMT TO ABOVE
Call Cor Reinsp.
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