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i CERTIFICATE
RT 1 F l CATE
OF'
OCCUPANCYCITY OF TIGARD
PERMIT' 44• M5
T9
3"_a4
COMMUNITY DEVELOPMENT D f?1� T miTE ISSUC04/1' 94
13125 SW Hall Blvd.Tigard,Oregon 97223.61$103)d9.4171
` I PARCEL: c51 !,AD -lILEJc:c:
�{, I .�1 'f L-. r-EE)pRE::�f�. . . : 1��r�3r3 �W ,7Clr2E)►;,! �t v �
SUBDIVISION. . . . : BEDFORD GLEN Z ON I NG A
' C:L.ASS OF WORK. :NEW
TYPE OF USE. . . GF
OCCUPANCY GRP. :RL �
Iy
i 17`CUPPNCY LOAD: 118 4
TENANT NAME. . . :
Remarks: P6:iTW I
Owners
BEACON HOMES
1500 r,.-^W t2-37H AVE
I BEAVErRTON OR 9-7005
r-hone #s 524-1999
P-E.AC ON E•IOMES
1'500 Sw 1245141
l
OE OVE=RTON OR 9 71110 5
Ph.:►ne #: 524-1999
Reg W. 707SE
Oc:c opaiicy of the above refer-enced building i �: hereby given, And certif. ,
the compliance with the State Of O egon Spay .-ta.lty -odes for tho rlromp,
occl.tpaticy, and ,asp ::rimer a,ohich the r^eferetfset7'"'W?mit was say .d.
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FIR DE.F'ARTMk.NT SU 1 L.D h SpE( rI
POST IN CONSPICUOUS PLACE`
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TN,SPECTIONNOTIC° 1
city of rigard Building Deaartjw_-nt
13125 ON lai?. 31vl. Tigard, Orsgon 97223
Inspection Line (Rec-O-P'-.w-e): b39-4175 Nuai-nese Phone: 6J9-4171
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Ir.apection:_.�,
FcK,ting Plbg. Underzl.ab Mech. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas LineiIN11L�
Post/Beam Struct. San. Sewer Framing -81d
r Y.
Post/Beam Mech. Rain Drain Insulation -Plumb
Plbg. Underfloor
"ate//r Line
4/�74/ Gyp. Bd. -Koch
Date Requested:- �I lL' 1 1
- _Time: AM PM
Address: I�-y dJ Permit
+... Builder:
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TRE FOLLOWING CORRECTIONS ARE REQUIRED: i
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Inspector: _ Dates 1
PROVin DISAPPROVED APPROVRD BUWNCT TO ABOVE
_Call For Reinsp, q
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,INPPECPION,NOTI-C$ V9-4171
C1t7 of Tigard BuUdinq Department
IL 125 BW Hall Blvd. Tigard, Oregou 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phones
Inspection:_
looting Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
Poet/Bvam Struct-.. Ban. Bower Framing
Post/Beam Hoch. Rain Drain Insulation kO}umb,,
Plbg. Underfloor Nater Line
/f Gyp. Ed. Hoch
_1G� L�_
Date Requested: / ! Time: _ AM - PN .
j -. CANCI 1 I
.ddresa: �D SbrGla 4 l� C� 1 _ Permit 5: 3 � l 7-5
T u 7 ■
Builder:b«C eoy-\
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TBZ FOLLOWING CORmcTImis ARE REQUIRED:
InepecY.orw ,�
Date
+act
D
DTSKPPR0Y9D APPROVED SURJI'M TO ABOVE
� Cal.l For. Reinap.
INSPECTION NRTICE
City of Tigard Building Departaeut
13125 Be Ball '!lvd. Tigard, Oreryon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-410(ki t
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Inspection:
Footing Plbg. Underslab Meeh. Rough-in Appr, dwlk
Found. Plbg. Top Out Cas Line FINAL: Q
y� Puetfneam Struct. San. Sewer Framing -Bldg.
u Post/Beam Mach. Rain --nin Insulation -Plumb.
Plbg. Underllorjr Water Line �jrp, Ed. -Mach.
Date Aer7,tast At G I I 11 ftmel AM PM
(� a�`6 ��r a� ll� ` 3-
Addreast i Permit tt
Builder:
I+ THEFOLLOWING CORRECTIOMB ARE REQUIREDi
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Inspector:_ --__--- — — - Date:__/ y_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinnp.
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INSPECTION NJTICE
City of Tigard Building Department
13125 ST !tall Blvd. Tiq%rd, Oregon 97223
Inspection Line (Ree-n-.'hone): 639-4175 Business Phones 639-41/1
Inspection:_
Footing Plbg. Unde,.slab Nem h. Rough-in AFpr/Sd,41k CiOtt ` yd 1ti
l`14 fid ;?v.
Pound. Plbq. Top ,wt Oma Lina P.NALs + i�
a f
Port/Beam Struct. Ban. Bower Framing -Bldg.
16
Post/Beam Hoch. Rain Dra'_n Insulation •Plumb,
Plbg. Underfloor Nater Line Gyp. Rd. .-Hoch.
Jets RequesteJs Time:
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4+ii l �t;
Addreas:—��(_V t b l�'�.t
Permitigs
Builder:
--
THE FOLLOWING CORRECTIONS ARE REQUIRED:
M�G�+ MSF!. ��'�4�4i�ylt�r rlC(fir
Y. ,""�� g
LL
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� 1 Inspectors-... VZ� � Date: [, �
APPROVED DrSAPPROVRD �OVEn BUBJRCT TO ABOVE
Call For Rei.nap.
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INSPECTION NOT�CC",
city of Tigard Building Departiment /
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phonefa 639-4175 Business Phorea 639-4171 r
Inapectiovr
Footing 'Dlbg. Undarslab Mech. Rough-ift) Appr/Sdwlk 4
Found. �oUt nes Lino PIMAL:
� 1!
Poet/Beal: Struct,. San. Sewer �Fram n��,) -Bldg.
lost/Beam Mach. Rain Drain Insulation -Plumb. ?.
i
Plbg. Underfloor Mater Line Gyp. Bd. -Mach. '
Data Roquestsda— �i �1 Tinos 1►M pM ',
Mdressa / l� Permit Is 6� 1!,Ift+ „ 4 3
OL
�. 8It uildsrr QtC �'� ����� ,�'j � 175
THE FOLLOWING OORRECT.TOKS ARE REQUIREDt
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.nepsctora Date: '
^APPROVED DISAPPROVED APPFAVED SUBJECT To ABOVE 6
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_Call For Reinsp.
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uyr City of Tigard Building Daps
r/ 13125 BR Ball Blvd. Tigard, Oregon 97223
Inspect-ion Lina ;?ec-O-Phones 639-4175 Business Pho 63 -417i
Inspections_ ---—
Footing Plbg. Unda,slab sch. Rough-in r/Sdwlk
' S
Found. C Plbg. Top Out Oas Linw F:NALs
Post/Beam Struct. Ban. Bower < Frsming_.,] -Eldg
Post/Beam Hoch. Rain Drai:. Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. r•1. -Mech.
Date Requwutsd:
1 - O l� —Timet
Addreoi�•�y� t�f� -1(t �L,uc � Prormit ie L'� g
/
Builder�_
THE FOLLOWING CORRECTIONS ARE REQUIRED=
Inspector s --- Date:
T�PI�VED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinsp.
OW j
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6 /
INSPECTION NOTICE
City of Tigard Building Departrat
13125 SII Ball Blvd. Tigard, Ore7in 97223
�,. Znepection Line (Rec-O-Phone): 639-4175 Bus-ness Mono: 639-4171
Inwpoctione_
Footing Plbg. Underslab Hoch. Rough-in rpprlr:talk '
round. Plbg. Top Out Gas LJoe FINAL:
Poet/Beam Struct. San. Sew! rraminy -11ldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb. '
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh. i 4
Date Requested: I Jj —Time: _AM _ PH •
Address: LSV -JcN1_4i (\ Permit #i
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
P r,
Inspector: -- i _ Dater �/ J
r
PROVED _ _ DISAPPROVED APPROVED SURJECT TO ABOVE o
_—,Call For Reinsp.
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INSPECTION NOTICF_
City of Tigard Bull'1Lng ilapartM ��% E
L3125 801 Hall 81-rd. Tigard, Oregon 97223
Inspection Line (Rac-O-Phone)s 639-4175 Business Phones 430-4171
, r
Inspections
Footing Plbg. Undersiab Meeh. Rough-in Appr/Sdwlk " }?'
Found. Plbg. Top Out Cas Lina FINAL: ,sr At
Post/Beam Srruct. r _ San. Sewall Framing -Bldg.
Pont/Beam Mach. < Rain Drain-_. Insulation -PI•xmb.
Plbq. Underfloor Water bins Gyp. Rd. -Mech.
Date Requastedt 1 7-` (� -175 _Times _ ° 11M
Addresse i t_vLpU 0 � CG�0-1n V�Kl-�� Permit #t' / 1 / .
Zuild n.s
THE FOLLOWING COR"CTIONL ARE RNWIRM
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Inspectors Date:_ { Z
/ 1(PP'ROVZD CTSAPPROVBI APPROVED SUBJECT TO ABOVIS r
v— ---Call For Rainsp.
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Nj St�ECTjON NOTICP.
City of Tigard 9uilding Department
:13125 BE Hall Blvd. Tigard, Oregon 97223 16Inspection
I' -%e (Rec-O-Phone)s 639-4175 Business Phones 4171 '`
Inspeations — - -- --
�t
1oOtifq Plbg. Underslab much. Rough-iu Appr/Sdwlk
Fauna• Plbq. Top Out (Sae Line PINALe
Post/Beam Struat. San. Sewer Framing -Bldg. tc � a1r
Post/Beam Mach. Rain Drain insulation -Plumb.
Plbg. Underfloor Nater Liryne Gyp. Bd. -Mean.
4�"X �
Date Re queststd t_ 7 Times _/1!1 L`�_PMr
{`
Address s �,�' v ���(C 1/�. �)Q J - Permit i s S `13
Builder:
b , {
THE FOLLOWING MPRECTIONS ARE REQUIRED:
4t �
„ rw ry;
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fe,.
!
Inspectors r1 �
,at,,
_—APPROVED — DISAPPROVED APPROVED SUBJECT TO ABOVE
Cal. For Reinep.
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da re.
Lo
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CITY MASTER FE:RMIT
' 11 TIGARD F'ERM I T #. . . . . . . : MSTF)3_Q+473
,COPAMUNITY DEVELOPMENT DEP7AffrM13NT DATE ISSUED: 11/2:4/93
13126 SW Hall divu.T{yard,Oregon 97223.8199 (503)639-4171
F'ARCEI_: c'S 1 16AD--BED-22
I SITE ADDRLSS. . . : 16688 SW JORDAN WY
SUBDIVISION. . . . : BEDFORD GLEN ZONING:
' low
BLOCK. . . . . . . . . . . L_01.. . . . . . . . . . . . . :22
--------------___-.-----...____._...------- BU i LL I NG
REISSUE:
DWELL_ I NG 'Ji!I TS�, 1 BASEMENT. . . . . . . . :0 s f ?'t
CLASS OF WORK. :NEW Br-DRMS:2 BATHS:E GARAGE. . . . . . . . . : 440 sf
't-YF'E OF USE. . . :SF FLOOR AR,-AS- _____.___.- (REQUIRED
TYPE OF CONST. :5N F I RST. . . . : 1615 s f LEFT. . :5 ft R I(:HT. : 10 ft
OCCUPANCY GRP'. :R:3 SECOND. . . :0+ S FRONT. :.-10 ft REAR. . : 13 ft
CTO R I ES. .. . . . . . : 1 TH I PD. . . . :0 s f REQUIRED------------------ -- ■
HEIGHT. . . . . . . . : 111 ft TOTAL -- - -- - : 1615 s f 5MO1'\E DETECTORS. :Y
FLOOR LOPD. . . . -.40 p VALUE. . . . . $ : 81--1210 F'ARK ING SPACES. . : 1
P !inar^I<s : F'ATII I
___.--_.-------------------._---- PLUMBING
SINKS. . . .. . . . . . . : 1 FLOOR DRAINS. . . . -0 BACKFLOW PREVNTRG. . :O
LAVATORIES. . . . . :2 WATER HEATERS. . . ; i TRAPS. . . . . . . . . . . . . . .Q.'
TUB/SAOW;':N5. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINE=. . . . . . . :0
WATEr CLOSETS. . :2 SEWER LINE (t.. ) . :0 GREASE TRAPS. . . . . . . :0
DISHL%ASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : ]. SF RPIN DRAINS. . : 1
MECHANICAL __..----..____.___.___._.._..._.._._._._._..__ _____-_ FEES
FIJF'I_. TYF�E=r _.__.._.__._._..___...._. UNIT HTRS. . .0 type amou,�t t;Y date rer_pt
/GAS/ / / VENVE. . . . . . :0 BPRT $ 38,'.. 00 .Tri 11 /24/93 -
MAX INF•'UT:O FaT'1_' VENT FANS. . :3 BF'LC $ 2L 8. 20 JLI.1 09 /01/93 93-2:43739
FURN < 100K . . .- I HOODS. . . . . . : 1 B5PC $ 9. 10 JH 11/24/93 --
FURN ) =100K . . :0 WOODSTOVE•S. :0 IhF'RT $ 40. 50 J1 1 1/i_:4/93 -
FLOOR FURN. . . . :0 CLO DRYERS. : 1 Mi:LC $ 10. 13 J►; 11/24/93
BOIL/CMP < 3HF1:0 OTHER UNITrI: 1 N5F'C b 2. 03 JH 11/24/9:3 -
GAS OUTLETS: 1 'rH'RT $ 132. 50 JH 1j./24/93
-
Owner-.- --_________.__-•----. ._.____.._._._._._.._..___ ..___._._F'5F'C f 6. 63 JH 11/24/93 -
BEACON HOMES MISC $ ,x. 00 JH 11/24/93
9,900 SW les 1 AVE
BEAVERTON OR 97005
F'I-rone #: 524- 1999
Contra :tor:
BEACON HOMES
9500 :•W 1215TH
9EAVECTON OR 97005
Phone #: 52:4-1999
i-a g #. . : 70 784
876. 19 TOTAL
This permit is issued subject to the regulations contained in the - ------ REQUIRED TN..,F'ECT.T.ONS -- --- - -
Tigard Municipal Code, State of Ore. 'Specialty Codes and all other 1700t/found Insp Gas Line Insp
applicable laws. All work will oe done in accordance with approved Post/Beam Strut Insl.tlation Insp
plans This permit will expire if wl;rk is- t started within,180 F'ost/Ream MechAn Gyp Boar) Insp
days of issuance, or if work is ispended more than 188,days, P1m/1-tndslah Insp Rain drain Insp
PILM/Uri derfIuz; Water 1-ine Crisp
F'er^mittee i yriatt'.r^e: ~ - Mechanical Insp Appr/Sdwll( Insp
Plumb Top Out Me'chanic..,al Final
Issi-ted By : Fv,;.tmi.ng Tnsp P1+-tmb Final
Call for inspection - 639-4175
- -
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PLNCK/RECT #
CY 1 O1', TIVARD PERMIT # /42A
COMMU�'!TY DGVELOPMFNT DEPARTMENT Tig503)63 or71 �
c�3)�'9'"" DATE ISSUED �
JOB ADDRESS: TP�X MAP/LOT
- >�"- -----
SUB: LOT: _- 2'2� LI..ID USE:
VALUATION:
OWNER SPECIAL NOTES
N -_ � ti• ' � - REISSUE OF:
AME: _- -
ADDRESS: `I�+ � `�" I2 �`' LAST REISSUE: -_----
q�op --_ FLOOD PLAIN/
PHONE. SENSITIVE LAND: -
CONTRACTOR APPROVAL53 I Q A UP
NAME: ✓ :�1__ Iklay�b-3 _ _ PLANNING: -
ADDRESS: _ �7F'"^'� __--.__ — ENGINEERING:
FIRE DEPT:
PWAIE: t'J7�, "�°��°��__ — _--_---- OTHER: _
CONTR. BOARD #: EXP DATE: 12-"PI'S •
ITEMS REQUIRED
LIST/S'.1BCONTRACTORS:
SUBCONTRACTORS: PLUMB: �l --
MECII: - y ► u%E' '- ►` BUS TAX: r
CAL%ULATIONS:Witt
ltMff
NAMr: Pf�me ._, TRUSS DETAILS:
QDRESS: —It:)mo low- OTHER:
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PHONE:
I
PROPOSED BWG. USE: 511- LE-, - ^-,Wl _--_--
i —
COMMENTS: --- -- --.�_ _ -- - ----- ---
I
APPLICANT SI NATUREReceived By:By: Date Received:
F
mr.,....,..,.....,,r+INMM.Kinkni+rvnwsv+u«»M...,.mwaNnr.4n/�anru..,.,w.,.. .......-_. ...,. ,x......,.:, .. .:....,.,..�.nrr�«m.a•,«-•..... -.,.
I PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. DAL. DUE
Y 3 uq7 ' 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical .'ermi t Fees
10-230 Ol State Building fax (5%) .27•
Building /?-/,O--
Plumbing
? iOPlumbing
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing —
Mechanical /443
10-230 06 Fire _
30-2.02 00 Sewer Connection
30--444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees _
25-448-06 Instil utional TIF Fees
25-448-03 Office TTF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (FDC)
, 7)
31-450 00 Storm Drainage Syst Dev Chrg / l
(SSDC)
( 2.4-445-01 Water Quality (Fee in lieu of) _ I
24- 45-02 Water Quantity (Fee in lieu of)
TOTAL.
m 3587 `
n / P.WPF
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^-•-+.�s-Win+..... ._.: _. ._-_. .. --..�.-..r-..- - .. ..- -- -- ..
M
L ), I Y l.If• 1r3flfil:) f{F C;f'14 I of PA01I...N 1 i I IF.E: 1:F'1 1\0 • -.13 -f,, 46.t
iM OMULIN I s �
INMN >t SE CUN ADMF.:O I i r MI:.N f DA l F
i[.)I,)RESS r + i,•ii[VUi1[1N
1i)�1)f1posF: r.)�' PAYMENT FIIyIIll..)NT PAID F'IJf��'C)�?rF� r)F' f'gYME::N 1 f Ml JUN 1 PA 1 U
•..._....._........
I)I.I1L_I�11Vff PERM ,._ » ,W-.'. 0y PL.L.IMTa1NU P RM �:��'• ��
L}�]j„ !�j
ljl ,,l . }3ll.11_1) 1'f..FI P7. �E�
t IFA:MAN I CAL- V+'.
I-'L..iaN rfff_.r,K 1--F: 1.4. 41 `3f-.'WFM IWO-4-4,1'
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9 6688 SW JORDAN W1
Ffl.. (IfM[.)UNI L 11.E f) — ) F•r'f�. t`!
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DEC-21—'93 TUE 12:04 ID:CITY OF KING CITY FAX NO:503 539-3r^1 13199 P06 �
KING CITY
16300 S.W. 116th Avenue,King City,Oregon 91224 Phune:639.4082
COMMUNITY DEVELOPMENT `! ��
APPLICATION FOR BUILDING PERMIT
(Instructions an reverse) '
DA /k
1. NAME OF APPLI rn Phone No. .512 /9 9
i ADDRESS'
ADL'RESS OF PROPOSED I14WOVEM NP
2. TYPE OF CHANGE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS RH2UEST'170. �
DESCRIBE BRIEFLY TWO�PIES OF PLANS OR DRAWINGS OF r
1 PROPOSED PROJECT'- _1._!~,L _
3 NAME AND ADDRESS OF CTOR s
r _ PHONE NO. LICENSE NO._1�
4. NEICHBORS WHO KAY BE AFFECTED BY THIS PROJECT WILL BE !NOTIFIED BY THE CITY.
5. APPLI OR HER HIS TIVE ST BE ENT AT THE P ING ISSION
MEE'1•I NE7r:' D Oil P
EN7�1•i'I PH NO.
The Ring Ci planning mmission rill ns{der only t sL applications r eived at le five (5) days
prior to ■eeting.)
CGNATURE
A CATION RECEIVED BY TE CABLE FEE RECEIv® $ TOTALINQ CX4IIS8ION DECISI�T: Approved DesliewdTIONS - o'Apprav plica ' na re valid for sir months onlygnatorDate4.4
NOTE. EWA azebuild s Lar requires Hit all persons who contract for pork oo their reaideaCI be
registered pit the Builders Board which means the confractor is bonded and insured on the job site.
For your grot,ctien, be certain 10 ccotractor is :egistered by calling City Ball Ph: 639-4082,
NOTE: A permit rmLst also be obtained f an the City of Tigard Departrn@nt of
Ca comity Development Yes _ No
CIT: OF TIGARD INSPECTION_ SPORT
The above listed project has bees inspect-d mui Approved_penied
Date _ Comments
Signature
(ftudbv Pd&t0't, pted4e 4etwm one (1) espy U King C4-4)
CD 2-87
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00 1wV"
(unifierSANITARY D o 1
sewerage
agardcy SURFACE WATER
155 N, First Ave.,Suits
27 =882sboro,Or.,97'1.4
.�
C 01414V.0 I J01.1 r'I"P1•i.1 1,
! 1.73C";<1 .CL'tA r rr; IIATC. ()1:10?4
,.,III': rio yr 1*'.O F'F2C)J!:Cl 1 r%
:,l F:!Ir'Tl.ir F' n11I'IitE.;�`
16688
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Pernit Cordlllons: The applicant agrees to comply wRh all rites and regulations of the Unified Sewerage A{fency. When calling for an Inspection, please t
refer to the Peart Number. The Permit expires one hundred eighty (180) days from the data of Issuance. The Agency does not guarantee the accuracy I
of the location of side saver laterals.
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