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16714 SW JORDAN WAY O(A1ffn%Mh WWArAIN WoofthMM11�?Allo`ew�MMMM�''MrN"^dNMII�AIMf�11�1) M.�4 • °`�"1 i a t .a M i i i' i' ,r M f q t��iJ INSPECTION NOTICE City of Tigard Bull.dioq DeFartment. 131.25 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O ane): 639-4175 Business Phone: 639-41)] Inspection:-----_-- ___-- Footing Plb;t. Underslab flech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line INAI.c j Post/Beam Struct. San. Sewer. Framing --Bldg. Poet/Beam 'tech. Rain Drain Insulation dumb.-) Plbg. Underfloor water Line -f Gyp. '.,d. -Mech. Date Requested:_ I/ /I7 7 Timet AM PM r Address:. ? Permit r:�9Y/l y UO'12. Builder THE FOLLOWING CORRECTIONS P.RE REQUIRED: r r s 4. Inspector:_JL/% -----_-- Date:-G� - rx APPROVED - DISAPPROVED APPROVED SUBJECT TO ABOVE � - -- _ Call For Reinnp. CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13.125 SW Hall Blvd.Tlgard,Oregon 97223.8169 (503)939-4171 PLUM1_{i NU PE'R i �: I . 1 ITC (101YRV ;i'`s. , . 16��7 14 +.4 .5r.)REPAIw WV l.lF3X1IVIt:�IUN. . , . z:+LDI I.aRI) (:;Lt`.N 1JlV!^i(3t OF C•al?D GPR8P.i'3ew' Y" E ur' '.JS3:-... . . M !'St". Wr4SHING MACH. . . . . . . . BAC:KF•'_UW F-'RL-.VNTRS. . : 1 XuP+^<NUT' DROIN.s. . . . . . .. . 'UR I ES. . . . . . . HrwCV E:RS. . . . . . : U(IT H 8fAS I NS. . . . . . . G 'X"i URL. . ._.._ .. ralJl�l; h'r" "f2F1'Yi3. . . . . ,. ►,� I+14a. . , ,� _ �,r• a i 1)F���i ra NK+S. . . . . . . . . . . URINPL.5. . . . . . . . . . . . s !jF��i�rJr: .1 2f•tPS. . . . . . . . 0111EJR !"I x 1 1jRE.ii. . . . . :: '_1k1 SHC)WfJ RS. . ,: . SEWER LINE (ft ) . . . . . "TER WOTE R LINE ('Ft ) . . . . M151-ildAaHE.RCi. . , . : RPIN DNAIN (f t ) . . . . nmt3r^ks rTESTry� t` t G' imount t)', CIia,1 e I' EAtL ..714 oW .3CJRLKIN WAY t=' dM'i t. 25. 00 „1H 04/x:9/93 iNG Gl iY UP mt, i,car; _...: _ ..,....... .. __...__._ ....... .. ...__..._... ....._..... i5SE JOHNSON' REEK SLVD ,�R'r'l».I'?Pd13 tad ''�7��D6••••9.:�,_,'.) _..._w,... __ ,__....,... _.._._,.__. .__ ....... . __..___..... TO TPL. q -#. . 50043 ,is pertir, is issued subject to the :'egu',aticn, cantairet in the f�F'✓F;a�kflc,w r='rev Bard Municipal Code, State of Ore. Specialty Codes and all other Fi.rial Inspecit i oin :;pl.cable laws. All work will be CGne ii,, acro-dance With _._._....._._.... _ ..._..___.�._.__ _.__.__ .._......_ ._..._..___ _._ ,;Proved Llors. This Peru t Will ehcire if work is not startec, ,thin IN days of iisuarce, or if wn4 is susperded for aore ',an 180 days. t-r'm 3,'t't e,5 � � .L / __...... _.. . .._.. _ ._.._.... ____ .... ... ...... Gall. 1 Fu- znspec,i: :,arr 62;1?. 4175 1010 1111 1 1 100 y � _ • r��m+.r,e,MWM'd41K$i"+'�lR�it3`o.t;:,ro�.;ry r:,,.«.,..f � .. CITY OF TIGARD PLU1V�[3[NCj PERMIT 1.3.125 SW HALL BLVD. P. O. BOX 23397 Applicants must hold Oregon Registration to conduct i plumbing T I GARD, OR 97223 business or must be property owner/op-rator not hiring outside Iwlp. (503)639-4175 Marne d Devefolxnent Plumbing Permit No. - ' _j �� �')f / Doskxiptikxr --�— - 1 ` - l// �-� OF1S614.21-610 GUMI. PRICE MAT. Job Tax Lot Map.No. / -- -'--, Address _ FIXTURE.; Lot ©lock Subdivislon Sink - -- -- 7.50 Name or naive suss — - Lavatory 7.50 _ --- Tub or Tub/Showef Comb. 7.50- 1 esJ Shower Only 7.50 i� C WalOrCbsel 7.50 Owner �- ------ Dishwasher _- -_ - 7.50 Phare Garbage(Nsposal .� Washing Machine -- -- 7.50 Name Floor Drain 7.50 l rig rocs — Phone - Water Heater -- -- _. 7.50 ant (k cu -- -`--- - I Laundry Room Tray - - 7.50 P City/State zip 750 f Urinal -- i 0"Wf'atun6s(Spdcily) _ 7.50 _ 4 nggl lot 7.50' 7355 S.E. JOHNSON CRCEK VARD 7.S0 " Contractor Gty/State POWMD' I - - 7.500 FAISCELIANEOUS __ { ,City Bus.Tax No, Sever 1st 100" -30.00 " to eW�Board late" L34is. o. Sewor ea.Addit.f 00' 15.1)0 (nesdontial) Walef Service Isl 100' 20.00 I hereby ackrx wredge that l have reed"s Opplicatton,Oak de Inkxnsation Water �ervioe ea /kfdil.[ r- - 15.00 - given is correct.that 1 am regWwedUth the Stale RuWWS Hoard.and also Su)rm hi Ficin Drain 1 st.100' 30.00 - t have a State Pkxnt*V lkoense Tal the numbers given are oortect,that all pluV work will be dare in accordance with applicable p�via+cxu d Oleo- Storm 6 Pr9n Orcin Add'A.100' 15.00 � gon Revised Statutes Chapters 447 and 693 and opplkabi s codes Ord that Mobile Home Space_ 25.00 q no help wtU be employed unless licensed under(n;693.(n exemFA horn - - - - i State registration,p4aste give reason below). Back Flow Prevention 140MEOW HERS-I h woby oertity that 1 am the ow~d the property de- Device or M64NdkAion Oevice / 7.50 scribed abo m.-t wt>ch location I propose to make a plumbing twga orlon for Any Trap or Waste Not MY --- my use end U As property Is not bear icon ler sale.Feasa or rent Conrecied to a Fxtt" 7.50 ����--- Cahcl Basin U h Insp.of ExW.Piunbing 40.oO Pur Hr. Specis y P,equested Inspedbns — 40.00 P_er Hr. Rain Drain, ' Single Pam. Dung. 15.00 - Detlux work crown addition❑ alloration[] repalr❑ fedora residential(-1!_ tion-residential j ExuRklpuse of HTATMUM PERMIT FEE - 25.00 - btAldrlprxproporty. -_._ __- SUB-TOTAL buopoeed u"p1 -- --- ----- - - - -__.� ------ 5$ SURCHARGE _ 25% P LAN REVIEW q' T1*Fran*beoornos MAI"voted k wcxk or oonstructlon authwirod r X01 oon►- TOTAL mimed%Matin 100 dryeAr K ooneftucom ley work a elw,pwvW •atendoned lot a Period M 190 deye at any dnw stow-work Is oornr wv ad. W4 CULL 00#41(Tl0"fl.-----...---,--_- -- ----..___------- - - - 00110 lasumf ------ b� -------- low ---.. �.. . .ti i is Y N 1 I ' I t. l' Y CITY OF T I CARD RECEIPT OF PAYr IFNT RECO I A'r NO. 0-3-244646 CHECK AMOUNT a 26. 25 NAME. a DENNIS' SEVEN DEE a CASH AMOUNT a 0. 00 ADURFS8 a 7355 SE JOHNr'L)N CREEK BLVD PAYMENT DATE o 09/29/93 , SUBDIVISION a I PORTLAND, OR 9-72-06— PURPOSE OF PAYMENT AN01 INT r,,4I 1) PURPOr•iE OF PAYMENT AMOUNT PAID PLUMBING PERM _._......_._..__...��_.__.... �_ �. 00 ST. BUILD PER 1. 25 1{tFi yii�4{k is a 'ftp. 16714 SW JORDAN WAY =�Y k: TOTAL AMOUNT PAID — — -- —> 216. E5 ~rpt q ,r. 4 la ;" t� 9 h 'f i t pt � w .. Sar n c Ih I1Qy^� SEP-29—'�3 WED 12:17 ID:CITY OF KING CITY FAX NO:503 639-3771 4049 P01 I SEP-23-193 THU 11:47 I D:C I TY OF K 1 3 C I— TY Post-It'"brand tax transmittal memo 7671 a of payee► To4wKING CITY Co. C;` 3i��, o. ,rtic C 1 �OP�•`�. rtolte M /_3 — r• L7 Fess I6300 SN: t 16th Avenue.Klnt Clty,Oregon 9:24 Phene:G Fe.µ '� l0 Fax N COMMU111TY DE APPLICATION FOR BUILDING PERMIT (Iestr�.ctians as reverse) DATE C7��- 3 I. 1. NAME OF APPLI N3nRE,973: I -- Phone No. ADDRESS OF PROPOSM IF11,J VVE NEN T i.7 2. TYPE OF C.MIGE, IMPROVE 4EW oIc C30NuTRUCTION TFM WHIG PERMIT IS RF)QMTED. DESCRIBE HRiMYMILE TW C i]IS.OF._PZ�ts[..o D1�Ry1ilVl�ti OF PROPOSED PRoJE T;_ 3. NW AND ADDRESS OF CaMA-=p 7355 S.E.JOHNM-4 CREEK BOULEVARD Amn DREMU72nfi.9324 —:MW- I _ PHONY NO. rCIIVISE NO. 4. NEIGHBORS AO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CI17. APPLICANT M/ S TI VE 5T B£ i' THE ING 011 SICAf ME�TINC>i ptV _ R� TIVES No. {tle Ing Citi aseiag G 'r 1� ides eel /►.hese app .cttiooa cec ed a! least f' (!) days F artosn _ — — � 9I�►TtyRL � __ �I *rt#**�+t# cit#**�****7t*7t�*t1R #t�#,t##*i�il*+1��Y*ft*�IRir*ft�k���*****�*•k*��****it***ic*�*�!*** A1PPLICATIM DIVED 13Y x() — APPLIC RBLE FM RECEIMdD PLANNING C1ltISSION DECISIGN: Approves,______ CMITIONS ��- llpprosed a0pliestioes irie Y&T-4 for tit soothe ell Signature _ _ Date AOfE: Oregon Aorehuildott Ger regaires that all persons sho onetraat for sack on !late tllideGee be regtstsred with the luilders Board rlieh sells the coatrtetor is landed asd hsered an the job aRe. for your protoetioc, be eertaia lout ooetractar is reglstsrsd b,I eslliag Citl I411 Ph: 639-1007, 4" NOTE: A permit. mut *130 be obtained _fzcm the City of Tigard Departn*nt of Ccrrmmity Dev*Ioplm t . Yes No rI�C QF TIGAM iN.SF&M-JCy—wVFTi The above listed project has been inspected and Approvec.L_,-_Dien Date Ccmnents -•- Signature (19wLl�ln9 .trt,bpQ.et�rt pC4,rtbt �t�ttwt Direr ( 1 ) enpy '.n K1n6 a4) ar wh „� r t ALO NO- .� ��� F77a7Y0FT11FARD , - CRYOP..w 4101 OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT 01►wrals �'F i�h11 f 11. . . . , , 1 ms,p) k?-0165 13126 BW Holl Blvd P.O.Bax 23;!4'7.nprrd,Orpon 1`6 Sw ,JOR' I4N WY' 1=11k1::1,;L a ;'',1 if,fit) � Ulitl:F u It)I lihl, . . . s RE'D"om) w.u.n 7 ON 1 N(i 1 t TALUCK 1 L..17T. 115 CLASS OF WO14K. :NEW T YFrE OF USE:. . « !sir' C)CCUPONC;Y GRV. :FT3 t 7f"( I.1F�faNCY 1-,OALr r E?r-,'7 4 a l ki.Nf 1 .f NAM: . . a Remarks PATH I CITY WILL DO LyE.WFN KLVAN D. I. F.E 1'708N SW HALL. I)t_VU T Iritim) OR 472.(-'4 Phone 0: 684•-1)/11 Cant;par.^t ar,o _.._........_..__...__.._.........__.._.,•..._.........�...__.._.......__..... � K. D. LEE 111J I L_L)E RS 10915 SW HALL BLVD T•10ARD ON 97p-;?3 G''hanc- #s 639...k.723 Roy 4 . a 13471 C)r.c:upwic v of the above r•efe!r-anr-.ed bui Idi.ng is her'ehy given, anti c vv L r the compliance with the State Of ilr•eyun ::3pwc'ialty Codes foo, the gr-,oup, oc-v,k.tpanc•y, grid I.Me urlder whie:h tale r,e•fore?nc-ed permit: was Issued. rT I E7F DF**f='faEt71i1F=,IT HIJ I LU[NO OR POST IN c;l)NLA)[(::1.101)G 1 i r r G .V 1• ,r J INSPECTION N4TICF E h city of Tigard Building Department ! 13115 SW Hall. Blvd. Tigard. oregon 97223 Inspection Line (Rec--O-Phone): 679-4175 Euninese Phone: 639-4171 4 laspections p Footing Plbg. Underslab Mech. Rough-Lo Appr/Sdwlk v $ Found. Plbg. Top Out Gas Line FINAL: -Bldg. a post/Beam Struct. Ban. sewer Framing 4 Poet/Beam Mech. Rain Drain InaulatLon -Plumber% Plbg. Underfloor f Water Line Gyp. Bd. -Mech. Time: AM PM 0 Date Requested: A Address:— % Permit Builder.• r -- — ■ y THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 y — y _�iSyc:ir �'/�— Al 14 f- Inspector: _ ---- Dater APPROVED DISAPPROVED -�— APPROVED SUBJECT TO ABOVE y _Call For Reinsp. i F ' k f Ad,: J f�`•:. •{(:.''' t� ft� '{t I[, � I �44� t { '4�/ � Vb lw y�r3(,r�j �. �` ; i z' ' �q�T �° .,�� {}v�!p�,r*� Xg INSPECTION NOTICG City of Tigard Building Department t 13125 SM Ball Blvd. Tigard, Oregon 97223 jInspection Line (Rec-O-Phone): 639-4175 Businees Phone: 639-4171 rt. • Inspection: Footing Plbg. Underalab Mech. Rough-in Appr./Sdwlk Found. Plbg. Tap Out Gas Line FINAL: +i Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Moch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Oyp_ -Mech. hate Requeateds L Timet AM PM r , 3. i, Addy-ess: —�L >PICmit t Builder-- THE FOLLOWING CORRECTIONS ARF. REQUIREDI _ q i til arm, 1 i Inspector t• APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. E,. ... '61 u s INSPF 71ON NOTICE a City of Tigard Building Department � 13125 SW Ball Blvd. Tigard, Oregon 97223 ', Inspection Line (Rec-O-Phone): 639-4175 Busi.neas Phone: 6 1 Inspection: Footing Plbg. Undersiab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Ga`_s Line Poet/Beam Struct. San. Sewer Framing -Bldg. u"i { Poat/Beam Hoch. Rain Drain 71 ., Ineulatlon -Plumb. Plbg• Underfloor Water Line / Gyp. Bd. -Mech. tii�''y,• / 44 Date Re ested: ! / Time: AH PM / is Address: � y �� P rmit } 4 Umilder: THE FOLLOWING CORRECTIONS ARE REQUIRED: �I Own IN i ) i w •' �f, �rk, i ' Inspectors . - - Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE --Call For Reinsp. r a r , INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball. Blvd. Tigard, Oregon 97223 41 Inspect Lon Line (Rec-O-Phone): 639-4175 Busi.reso Phone: 639-4171 " Inspection• -- ? Ji Footing Plbg. Underelab Mech. Rough-in i Appr/Sdwlk _ +I Found Plbg. To" Out FINAL: t r1� kis+ " Post/Beam Struct. San. Sewer Framing- -Bldn. F1r+ f Poet/Beam Hach. Rain Drain Ineul.ation -Plumb. r Plbg. Underfloor Water Line Gyp. Bd. r Nech. ' r /) Date Requ ted:�V �� 7 Z' Ti�� _ --PH Add to�e _ Permit Builder: t� > s THE "OLLOWING CORRECTIONS ARE REQUIRED: r. 42 ;r Inepector:� Dake: ��✓ ' Z�� 7 tl x APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE r, _--Call For Reinsp. t R� 1 INSPECTION NOTICE City of Tigard Building DepartmenC_-s i �4 13125 SW Ball Blvd. Tic,:rd, Oregon 972 Inspection Line (Rec-O-Phone): 639I-4175 8usineoe lone: 639-4171 Inspect+ons_ Footing Plbg. Und.rslab Mech. Rough-iv. Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Post/Beam Struct. San. SewerFraming J -Bldg. Past/Boom Mech. Rain Drain Iceulr.tion -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. , Date Reg7�noted: I L� 4 Tiu.o: _ AM PM Addrnen: tZ � _J� ( i Permit t: nuilder: Il 1,. L �� �(`�_� _�b5 - �` �f lel j THE FOLLOWING CORIECTIONS ARE REQUIRED: r S • 7A rs 4 — o -�rTsT -- —• --- i Z, I.:epector:__ / :/ _ -- Dater— �-- 1! —APPR—OVLF.D DISAPPROVED -APPROVED SUBJECT M ABOVE i Call For Reinsp. 7 E O ! ; INSP CTI N NOTICE City of Tigard Building neparta:ent 13"25 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-phone): 639-4175 Busineas Phone: 639-4171 Inspection: Footing Plbj. Unde:,slab Mech. Rough-in Appr/Sdwlk 1 Found. Plbg. Top Out Cas Line FINAL: Por`_;deam Struct. San. Sewer Framing -Bldg. 5 Post/Seam Mech. Rain Drain Ineuletion -?lumb. Plbg, Underfloor Water Line Gyp. Bd. -Nech. Date Requested: C :�_ ' _ Time: AM PM Addreee: �•� �J / C Permit 1: G ` - / �? • / !v iBuilder: THIS FgLLOWING OOM09TIONS ARF, REQUIRED: 0 i c k Inspector:— _APPROVED _A nISAPPROVED APPROVED SUBJECT TO ABOVE y' Call For Reinsp. l J' A;4 •µti - •• .• .,. t I INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd- Tigard, Oregon 97223 Inspection Line (Rec hone): 639-41,5 Business Phone: 639-4171 Inspection Footing P1 . Underslab Mech. Rough-in Appr/Sdwlk f Found. Plbg. Top Out Gds Linr FINAL: II 1IPost/Beam Struct. San. Sewer Framing -bldg. i Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. y' uate Requested: �L�—�`7 Ttme: �AM PM Address: _ 1 .7 7 /vj00&X Permit J Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: r ���c.� Inspectors o Ui.te:_� — G' APPROVED �_— DISA^PROVED _—, APPROVED SUBJECT TO ABOVE Call Fox Reinsp. i r , n r „rsH v 777 r � INSPF.CI ON NOTICE t City of. Tigard Building Department- 1312S epartment13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: G39-4171 Inspection: a, looting Plbg. Undeselab Mech. Rough-in Appr/Sdwlk Found. ��--��1 /Y1Cq. TOP Out �,, Gas Line FINAL: Post/Beam Struct. San. Bawer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Ylbg. Underfloor Mater L • Gyp. Bd. .-Mech. g; 1 Date Re ested: C ,42 -_:Time _/�,_AN PM Addresat _�_ l�'.�, / � Permit #t C, Builders i/ � THE FOLLOWING OORRRCTIONS ARE REQUIRED: l �l Inspector : nate: V /� iAPPRO'/BD DISAPPROVED APPROVED SLT' !ECT TO ABOVE f' —_—Call For Reinsp. 1. � 7 t. t r r n Lv r F7 INSPECTION NOTIC£ C'ty of Tigard Building Department 13125 "M Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Busineen Dhones 639-4171 Inapection: Footing Plby. Underelab Mech. Rough-in Appr/Sdwlk , 3 Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. iPost/Beam Mech. r"1tain Dra Insulation -plumb. ' Plbg. Underfloor 'meter LieJJ Gyp. ad. -Hoch. l _Times ___AMPM Dto Requesteds / 7721.// �j� "` /" �L Permit. Aedre0es_ v+r � Builder: TRE FOLLOWING CORRECTIONS ARE REQUIREDs i 1 j4 i Inspectors _1� _ Date: vAPPROVL'D DISAPPROVED APPROVED SUBJECT TO ABOVE Cell For Aeinep. r- f l'( b• :..nj � ! YYj�:fiMi4"�IMrIM1fA'�4M"•t.i.".nMyp..::«.r.r .., - ' INSp6CTION NOTICE 1, city of Tigard Building Us °t 13125 SW Hall Blvd- Tigard, Oregon 97223 hone): 639-4175 Bueineee Phone: 639- Inspection Line (Rea-O-P 4171 Inspection:_ w, play, Underslab -ch. Rough-'_ Appr/Sdwlk Footing Gas Line FINALc Found. plbg. Top Out g Framing -Bldg. Post/Beam Struct. San. sewer U -Plumb' Post/Beam Nech- Rain Drain Insulation Water Line Gyp. Bd. -Meth. `r ` lbq. Underfloor Y_pM _ Am /_„__-- � Date Re�`'ested: L? - r�Il/`f _ c Permit !:_�_--- Addre s c Builder: THE FOLLOWING CORRECTIONS ARE REQUI------------ = YPI zr3 ; �1 ' ,; x p i Inspector: ✓ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. i t, y t r .IhMMY_.Kr.r....ro..r +,:: ... .. r .. n .. ...,.. .... >. .._.r.......,wrr,w. rreM4+�Wwry!�^q' 7.• �y q.,.1 .� ' 10 n, 4 INSPECTION NOTICE City of Tigard Building Department 13125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171 IInspection: ting Plbg. Underelab Mach. Rough-in Appr/Sdwlk I i ound. Plbg. Top Out Gas Line FINAL: l � € Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Flbg. Underfloor Water Line / Gyp. Bd. -Mach. Date//// Requested: �� L�-7� Time: >1_1 AM PM Address"'/ Permit Builder: M THE FOLLOWING CORRECTIONS ARE REQUIRED: J l y iAll, � a t111e S��7 i t : '�� i Inspector:� � Dates y APPI:OVF.D DISAPPROVED _ _ APPROVED SUBJECT TO ABOVE _`_Call For Reinsp. 'i ��:�[J>;�ti•'itlr Vr:>.::r..r. .. ,:..'tL11H=4:2ia�L'WS I:NGNir.i -«,r...,„ ..., ,... r ' y , CITY OF TIFARD �OF�I COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT ., 13126 SW Har BNd P.O.Baa 23377,Tlprtid,Gnpon 671M(603)630.4176 'L R IYi I T #. . . , . . 4171 DOTE ISSUED: 08/i•_'0/92 AR , SITE ADDRESS. . . : �7 SW JORDAN WY PARCEL* 2S11EAD••-}'3ED1`:1 SUBDIVISION. . . . : NE DFOR0 GLt:N ZONING: BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . : IF) ___.___ ._-_ _____.__._.__.........-_......._......_.,._....___..... BUILDING RE:1'SSUL i DWELL I N(3 Llhl I TS: 1 BASEMENT. . . . . » . . 10 S f CLASS OF WORK. ::NEW i•LDRMS:.3 Nf1T'HS-3 GARAGI.. » . » , . . . . , e 4l►O S f TYNE OF USE. . . :SF FLOOR AREA"3-_._.___.___­ REUUIRE.D SETBACKS-•-•-_-.___-_. ■ TYPE OF CONST, 5N t I RST'. . . . : 1 1 5�? S f LEFT . . 15 ft H I GH T . u b ft OCCUPANCY GRP. R3 SFCOND. 5f FRONT. v26 ft REAR. . : 18 ft S i OR I ES. » » . » . . T�t I RU. . . . :0 F' RF'OU I HED- -•_ _._.._._._ .__._._.__ _.__.- HEIGHT. . . . . . . . :R7 ft TOTAL.----•---: 1975 Sf SMOKE DETECTORS. 1Y • FLOOR I._.ClfiT.), . . . :40 ps!fi VOL-.UE- . , . . 9s : 98- 770 PARKINU SPAL;ES. . : 1 I Remarkri : PATH I CITY WILL DO SEWER INSPECTION j f `.�INKS. . . . . . . . . . . I FLOOR DRAINS. . 10 BACKFLOW PREVNTRS. . :0 ! I.AVATORI E:S. . . . . : 4 WATE P HF:ATEttca. . . : 1 TRAP a. . . . . . . . . . . . . . :0 I-UB /SHOWERS. . . . 93 t._AUNDRY TRAYS. . . ;0 CATCH BASINS. . . . . . . 90 k WATER 0-OISFT'S. . :3 SEWER LINE (ft ) . :sir GREASE T RAPES. . . . . . , :16 M DISHWASHERS. . . . : 1 WATER LINE: (ft ) . 1100 OTHER FIXTURES. . . . . ..0 I I:ipfik?AGE: D I SP. . . 11 RAIN DRi+I N (ft ) . 00 I WASH I NU MACH. » » : l SF RA 1 N DRA I NS. » : 1 4 NE(-,HANIrAL __., -,..__...__..____._.__ _.____._._._........ .....__.__,_ _ FRES _...___...... ..........,.... _ .. `i FUEL TYPES-•--________.__ UNIT HTRS. . ski type atmok.►nt by date r-pe: prt /GAS/ i VENTS . .. . . . .0 BPRT 'g ir•:30. JLH 08/20/9 ' MAX :hIF''liT':0 BT'Li VENT FANS. . :4 BPL.0 4, J'79. 50 JLH Q18/05/92 230=:11 , URN ( 100{ . . .' t HOODS— — . : 1 PSPC $ 11:::1. 50 06/20/92 I V URN )-100K . . :0 WOODSTOVES. :0 INSP $ 35. 00 {, i-LOUR F1ARN. . . . :0 (:•t_U DRYLRS. : 1 MPR`I' + 43» aVF taC: IL/UMP t 3HP:0 Lamp UNITS: .L Mp'i..l s+ 10. 88 i VACS OUTLE.TS. .L M5t'!.; 'i• 11.3 l C)wner: PIPH1 147. 50 1<'.EV I N D. 1._EE ki`.;►-,1.. 1. a38 i 1.7080 SW HALL BLVD f TIGARD OR 970,24 1�t7or7e #: 6134--97I. 1 K. D. I.._E;.t BUILDERS 10915 5W HALL BL.VD 11GARD OR 9 72'3 1-'hone fi: 6391---2723 Req #» . : i,3471 k .1 17. 44 11:)f AL This permit is issued subject to the regulations contained in the - - - RV:U(.J1 RF.-D INSPECTIONS � - -- Tigan; Muni:ipal Code, State of Ore. :specialty Coder and all other Foot;/f okind Inap FJt"etJlaLe Insp applicable laws. All wore will be done in accordance with appro,red Post/Beaten LAS Line I.nsp plans. This permit hill expire if work it not started M► hin 180 Post/H yam Meehan 111S.11at ir.1rn Iona days of issuance, or if work is suov-P that i h r v Plm/t.rncislab lnsp Uyp Boar-d Ins►p PLM/Under f tont-- tia:►n cirai ►r tiissp f'P.rm:i.+ lwe Sir..l►►;•�tr.rr l,.'CCc �(. ///�. .- IHPc:hanical Insp 14Ater L.i.r Ir1ap P3.1_►mh Top O.►t Arrpv�/S iwJk Insp Cssr.t0-d FiYa _ _.. _ Ft , rni ?-Iri Irtr,rr )+let:t►anir_a.I F'i.iial e • DD� 131 2SSwHallalve. PLNCK/RECT # _ ,.CI'Y OF TIGARD roBox 23397 PERMIT # COMMUNITY DEVELOPMENT DrPARTMENT Tipprd,Orcgon97223 (503)63"171 DATE ISSUED -- /2 E S"7 .�;�., _. �yTAX MAP/LOT s! I JOB ADDRESS: — 1 LAND USE: SUB: — �. ,�2�' �L��ti' LOT: l� - ---VALUATION: OWNER SPECIAL NOTES NAME: —L�G'� .v /�' Lc'c LAG,/� ISL L<<• f� ���� EISSUE OF: d/r. ADDRESS: Z21 LAST REISSUE: _ FLOJO PLtIN/ SENSITIVE LAND: PHONE: CONTRACTOR APPROVALS REQUIRED NAME: ZC .. PLANNING: ADDRESS: ' �'�' !� `1�S =r � � ENGINEERING: ---- �� _7 FIRE DEPT: _ PHONE: .222 OIHER: _ -- CONTR. BOARD #: / Y 7/ EXP DATE: IT MS RE UIRED SUBCONTRACTORS: PLUMB: _� f �r'/r,�,1' �rL`'A LIST/SUBCONTRACTORS: MECH: BUS TAX. `1,�' p ,_ `J`i_ ARCH ENGINEER CALCULATIONS: NAME: 1�ti J�?�{a�w2� TRUSS DETAILS: ADDRESS: l s S �l- 6v .?1 i'u' /ac . — OTHER: J' PHONE: PROPOSED BLDG. USE: – COMMENTS: — APPLICANT SIGNATURE Received By: Date Received: `� .... ... ..,wa-w•...w.n+.w,a Yll.wlx,w.. ......vWNtM'h•. I. PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL: DUE . � r2�(oS 10-432 00 Building Permit les —' 1.0-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees q 3l U 1.0-230 01 State Building Tax (5%) Building o21.S0 Plumbing L Mechanical a1 ` 3 a' 10-4,3 00 Pens Check Fee Buil .ling � Plumbing Mechanical /0,Lf 10-230 06 Fire —' 30-202 00 Sewer Connection 3� — 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees -- 25-448-03 Office TIF Fces — — 25-448-01 Residential Traffic Fees _ f i 25-448-05 Mass Transit TIF Fees - 52-449 00 Parks S.-stem Dev Charge (PDC) _ 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) -- f 24-445-01. Water Quality (Fee in lieu of) — 24-445-02 Water Quantity (Fee in lieu of) _ TOTAL nm/3587P.WPF -.• 1Mp'.mIM9W10.7'JN�'MB'.�Mw9tlr,Ali W 'd4M4(�A'Wr, .. �'M^�'_ "/�'.M41!CM}SY(Y'�^ �i..fir^N•':`%1 f 5 4 r,.. :le. CITY OF' T I GARD — RECEIPT OF' PAYMENT' RECEIPT NO. :92-230724 CHECK K AMOUNT 7;"-7. 44 NAME V.. D. 1-17E BUILDERS CASH AMOUNT 0. 00 • ADDRESS i708O OW HALL. BLVD PAYME h1T MITE 08/20/92 SUBDIVISIONT'I CARD OR 97224— c i ' URPOSE= OF PAYMENT AMOUNT PAID PURP,'jSE OF PAYMENT AMOUNT PA I D BUILDING PERM 4- Ooh PL UMN I NG ['ERM 147. 50 s, MECHANICAL PE 43. 50 ST. BUJL_D PER 31. 616 ' w PLAN CHECK F r 40. 36 SEWER INSPECT 38„ 00 12657 SW JORDAN WAY, BFDFORD GLEN LOT 15 TOTAL AMOUNT PAID — — — ; 727. 44 ._,r1,�q,/r,..•r..y�+wwr.w�.•�_.�•.�•r.tl•+..�..�.+�/.r+YSA,1•.r IVF.ilA.AYr.•s<-."''�C_,.A.11.Wr•.NP'.'!J'Sr:...r.'.".:.^M�^-1.M.Y.••'.Rw ... C;11'Y OF 1'1 C3ARD RE'C V I r!7' OF PnYMF:N1" RE(:,E:I r.,,r NO. CHECK AMOUNT a r";�;0. NO NAME= a KI) L.Ft.: BUILDERS CASH AMOUNT a 0. 00 VIDDRE SS a PAYMENT DATES a 08/o /9,:: SUAD I V 191 ON e I IIURPOSE. OF PAYMEN'r AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID C�L,AN t-HE:CK E E rw��Q1. 00 f 1_',:11 15 RE;JFORD GLF'N 1--.'657 SW JC)Rl)ol( WAY, KING 1 OTAL AMOUNT PAID - _? �0, 00 i WIN r .a 'Irl., I K tITYOFTIFARDPLUMBING PERMIT raly4oFunPERM11 #. . . . . . . a MST92-0165 COMMUNITY DEVELOPMENT DEPARTMENT a 12125 SW HSI&A P.O.Go 2W7,T4wd,OmW 0722a(SM)e*w176 &7, ^ DATE Ir-.i,�al_1�:17: Yd/PO2 SITE_ ADDRFaS. . . a tt�f*, tiW JORDAN WY PARCEL � Fi.t1EyA1)-BED15 SUBD I V I S I ON. . . . s E.%EDFOF(d''GL tN ZON I Nr a Bt.CK. . . . . . . , . . a LOT. . . . . . . . . . . . . a 15 C.LAS4, OF WOR1-. . :NE-W 13)Al?BADE 171 aF='CI9- ALS. . t 1 TYVIE OF USE. . . . ISF WASHING MACH. . . . . . . t 1 BACVFLOW PRl:VNTRS. . aO i I ICCUPf4NCY GRP. . :Fi:?, FLOOR DRAINS. . . . . . . a 0 rRAPS. . . . . . . . . . . . . . t 0 ST,-*'RIF!;. . . . . . . . a WATER HEArERS. . . . . . . I CA'T'CH 14ASINS. . . . . . . :0 � F IX TURFS- ___-. -- LAUNDRY TRAYS. . . . , . arr SE' RAIN DRAINS. SINKS. . . . . . . . . . 11 GREASE TF'Apc;. . . . . . . go I-AVATORIE.S. . . . . :4 OTHER FIXTURES. . . . . 10 j' TIJkJ/S1iCJWE:Rf. . . . . : SEWER I.. INE (ft) . . . . s4 e WATER CLOSETS. . t3 WATER LINE (ft ) . . . . : :t00 DISHWASHERS. . .• ,• : t R141N DRAJ14 (ft) . . . . PO Remarkor : PflTH I CITY WILL DO SEWER INSPEMON OWNER: ---.__..___.___ ._ ___ _F•EF•S_ I, KF"VIN D. LEE BPRT $ 430. 00 JLH 08/20/92 i 17080 f;W HALL BLVD BPLC $ 279 50 JL.H 08/05/92 2302Il B'SF'C t t:?i. 50 08/24/92 I T.1:,ttRV OP 972''4 INSP $ 35. 00 PFrr.rr,E Ot 684-9711 MVIRT f 43. 50 MPL.0 $ 10. 88 Ph..imbing [-.antrac:tar : _..___._..._._...____.._._- M5F'G $ 2. 18 G� Y.[l _ P5147. 50. Name. F,oPc FC; '$« 7. 38 C i t y &_.-__. .—S t e a /i p a Reg #:__ REOUIRED INSPECTION:? ;I'his permit is i swr_rP..d sl.tb,ject to the reg.- Ontionts contained in the lioard IVIUniciclal Foot/found Insp Rain drain Insp Code, State of Ore. Specialty Codes anti all Posit/Beam �.?truct Water Line Insp other applicable .lows, All work will be done First/Benin Mecham f-1ppr/gdwlk Insp in ar-c::or^dance with approved plana. Thi.a Plm/uncial:ab Insp hler_hani<<a.l Final permit will expire if' work is not started Pi..M/Underfloor Plumb Final ovOWYEhin 180 nays of isaUance, or^ if work is Mechanical. Insp Building Final sU9Pend0(1 forrenr'e th,111 iNllr Cletys. Plumb Top Out Erosion Control Pi•aami.ng Insp Crawl Drain Firpplac.-e Insp Gas Line Inge Tnrulation Insp Gyp Ba^.rcl Insp taut' orixed Plumbing (:.*Xntr-actor Sign&tUre Call for insper_tion - 839--4175 Cant;arc t ar Not*s t • r :rear., -1 t Seweago SANITARY D a agency UfP1irst Ave.,Suite 270,Hillsboro,Or.,97124 SURFACE.WATER TH 1 11, 503 648-8621 -- a CONNECTION PERMIT I SUE-,DATE 082092 -EXPIRAT&JN,rVATE 021b93­• PERMIT 103096 . tRJCTURE -ADDRESS -12b57 471 P.RUJECI . 1",00, { TRUCTIIR# :..STREE1. k$W •'JORDAN WAY ]BLOCK 'TYPE Cgi�NCCYUN;�MW� •.... . + � RDFOI�D GLtN N0. 1 TYPE INSTALLATIO`h p•' ( 19) EILD SWR/ER0 C0"Wi$VC,; ." TYPE OCCUPANCY- ( 1' ) SINGLE FAMILY 251 281 16 AD 24900 ), ` (� t;'sEC 47.16 MH 18024 ell t,� i I ); f OWNER KD LEE BUILDERS ADDRESS 17080 W 131ST AVE TREATMENT PLANT ItUR1IAM TIGARD UR 97223 PHONE 684-9711 JURISEI FIXTURE EQUIVALENT DWELLINU RESIIILNTIAL UNITS ; SERVILE UNITS 0.0 UNITS 1 SERVICE UNITS 1 CONNECTION FEES SURFACE WATER DLVL'LOPMENT FEES SEWER CONNECTIUN 2100.00 WATER QUALITY 180 .00 LESS CREDIT 180.00: WATLR [QUANTITY 100 .00 LESS CREDIT <:' 0.00: fR08IUN CONTROL. INSPECTION 64 .00 FLAN CHECK 41 .60 i t SUBTOTAL 2100 .00 SUBTOTAL 205. .60 TOTAL 2305 .60 ADPL NAME PATRICIA LEE PHONE ------------ AFFILLIATION OWNER REMARKS PROJ# 1908-BEDFORD GLEN-LUT # 15 *24 FOUR NOTIC . FOR EROSIUN1,CONTR L INSPECTIONS REQUIRED SIGNATU /L.. ISSUED BY THOMPSUNJA Per Co ti s: .The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. When calling �. for an inspection, please refer to the Permit Number. The Permit exp*es 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 be forfeited if the permit expires. The Agency does not guarantee the accuracy of the location of slde sewer laterals. If the sewer is not located at the w measurement given, the installer shall prospect three feet in all directions from the distance given. If not so located, the Installer shall purchase a 'Tap and S ie Sewer" Permit at the current charge and the Agency will install a lateral i I I .> i 6/90 WHITE - USA, BLUE - Accounting, GREEN -Inspection, YELLOW - Customer A9i'Iht�N M 'r. I II aw A KIN.__ CITY a r� IM SW.116th Avenue,)(Ing City,Oregon 97224 / I I Building Permit No. COUNTYWIDE TRAFFIC IMPACT FEE Planning File No. PAYMENT OPTION FORM I Tax Map& Lot No. Date j Project game y { I realize that I must make a decision on payment of the Traffic Impact Fee I at this time. Therefore I P Y p (TIF) ��. request the following (Choose wh?chever option or options are applicable). � IA I Cash or Check Credit Voucher Bancroft or Installment Payments a and/or The Ordinance allows for deferral of payment of the TIF until issuance of the occupancy permit if the � TIF is greater than$5,000.00. If the TIF meets this requirement, I also request this option. I under stand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF will be recalculated based on the prevailing rates at time o'payment. Please be advised that TIF rates may increase up to six percent each July 1 st. This rate increase is not ccubject to appeal. , Pct OWNER-APPLICANT OWNE9/APPLICAN I, I I CC: Building Permit Fite Payment Option Notebook form iit02 r ti S+i i I�;