16731 SW JORDAN WAY Qrxr�wTMat ,{y�p� ,, yiy, IV^M�MY'•MIMMm�+!kwr°wewrn�'. �./ i •c
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TIFA PLUMBING PERMIT
CITY O' R®
Cr V'0FT16�71RD PEF.MIT M. . . . . . . c Mt;T92� 0009
COMMUNFTY DEVELOPMENT DEPARTMENT 77"/ ! ' 4
13126BWHeilBlvJ. P.o.goa�23347,Tigald.Oregon gW3(5W)6394176 �� I)G.t t F' I SSUED s o9/15/9r7.
S I TE ADDRESS. JURDAN WY !" PARCE:L.s 2S l 16AD--BEI)5 ' �
SUBDIVIbION. . . . e bEUFCJRD OLGN XONINrs
ISS OF WURK. . :NEW GARBAGE D I SP'ISALS. . . 1
OF' LIL;E::. . . . sSF WASHINGS MtIi:H. . . . . : 1 BACKFLOW PREVNT'RS. . 10
f1CCUPANC:Y URVI. . c R3 FLOOR DRAINS. . . . .. . . 10 TRAPE). . . . . . . . . . . . . . 30
STurukt . . . . . . . . s 1 WATER HE;:ATERS. . • . . . a .1 CATCH BASINS. . . . . . . :0 �
FX'tUR!::b__.... ...___ .._._ _.____. LAUNDRY TRAYS. . . . . . 30 SF RAIN DRAINS. . . . . 11
SINKS. . . . . . . . . . 11 GRE=ASE: TRAi'ca. . . . .'. . :0
LAVI-470RI•ES. .. . . . ::3 OTHER FIXTUNC:3. . . . . a0
1 TUb/SHUWLRS. . . . s SEWER LINE (ft) . . . . :0 , ■
WATER CLUGLT S. . a 2 WAT E•:R LINE: (f t ) . . . . : 100.
1 01SHWAtiHE.RS. . . . 91 RAIN DRAIN (ft ) . . . . 00
kpmarksc Path 1 insulation
---------
DE ACf N HUMES BPRT 1 30. 00 DR Wa/14/92 .
Flo BOX 1368 BPLC $ ii'79. 50 ,JL.H 12/10/91 .
B5pc * 21. 50 BR 02/14/9P. .
BLAVERTON OR 970755 MPRT• $ 39. 00 BFB 02/14/92 .
1-'hong : :iii'w -1 +99 MF'L_L b 9. 75 1:1R 02/14/9.2
M;iPC $ 1. t!i BR 02/14/9F
Plumping Contractor PF RI $ 111, 511 BR 02/14/94
P5PL $ 5. 88 DR 02/14/92
Wa m p }._.. .1f(_ c_ 21S1LYLa__ . _...___...__......
(�l cel r!r•e s s c_..��_..�.s2lL ? ...,._.---•--• I� ,
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RE:CJ.0 t RE:11 IN�-,F='F C'1"IOF!S
Thcs permit it; iast.iecl subject to the reg—
iu'l itions contained in the Tigard Municipal Foot/found Insp F ireplarit Insp
Code, !.itratt3 of ()rne. `.ipac:ialty Codes and all Post/beam btruct Gala Line Insp
tither applir.Able laws. All work will Lu dune F''ost/EeliAm 9truct Insulaat ) n InjFp
irm,11ccordance with approved plans. This Prast/IAea ", Meehan GYP Board Insp �
permit will expire' if work is t•lgt started PL.M/Underfloor Rain drain Insp
within 180 clays of rss»ca�nr.e, cr if viork is Mechanical Insp Water Line Insp
suspended fore more than 1140 c.! eys. Mechanical Insp Mech#%nicatl Final �
Mechanical Insp Plumb Final
PIttmb 'Tap Out Building Final
F'raring Insp Building Fina
Framing (REz I NSP)
x Fr•aminq (REINSP)
Acct orized F'lc.tmbintl 11"ontracc,tor Signature
Call for insper_ti'on 639-- t175
Lontrac_tar Note!r, s
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c.��Trr=�tcNTE uf-
"ITY OF TIFA OC.".UPANCY y �'y�(�
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CCROFIMMRD PERMIT #. . . . . . . a MST9 COMMUNITY DEVELOPMENT DERAATMBNf ■10"N
13125 VVHriBWP.O.Bm23W,TjpM,Or"mWW(5W)SM4175 GATE ISSUEVv 08/x'7/92
SITE: laY:rUR( SW JORlitiN 144 PARC E.Ls . 9116AD" PF.;17.3
BE I)FnRVL8� i�l. . . . . . . , . . . 15,L z IIN I NLS e
lXPS5 OF WORK. o NEW
fYPF" OF USE. . . a BF
OCCUPANCY CRP. o RAS
OCCUPONCY l..OAD 1 1 1 5 4
TENI4NT 64AME. . . S 1�
Rowar•kgo Fath 1 inruIatIon
■
BE:.AC 014 HOMES
gg GSC) BOX 1368
1 BEAVC RTON OR 97075
Phone Mo .524--1999
Contracture
BEACON HOMES
PC BOX 1 8
BEAVER'TON !alt 970'75
Phone iio 524•--1999
Rey #. . 1 70782
Uccklpcancy of the mbove ref ererlr_--,pul bui I�i tnli 3 r, Pierel)y Wi verj, ak+n(J r.,or•t i fa
the ClJmpl tans o with the rt�ate Of Oreg an fa}f*-.!J a�.lt y r��cf+�as for the ru�_tri,
OCC.-UPAric^y, encs LMe under which the referonced por^mit wa& ies:i.leei.
FSRi'
DEPARTMENT y )Il_T?l.NL:
13LI1 I..P I m Clr'r'I C",-1A L'.
POST IN C ONl• P I i;l OUs r')L_AC.'E.
4'
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,NSPECT:CO NOTICE
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City of Tigard Building Department
13125 861 Ball Blvd. Tigard, Oregon 97223
ri Inspectlon Line (Rec-O-Phone): C30 -4175 Busi.nass Phone: 639-4171
1
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Inspect Lon:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Fo-nd. Plbg. Top Out nas Line FINALE
Poet/Beam Struct. San. SeweL Framing -Bldg.
Post/Benm Hach. Rain Crain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. -Kech. �
Date Requested: � .� 7-1.2- _ Timet AM Ph
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Address:,/--- .� 2� Permit 1.
Builder: � -h
r" FOLLOWING CORRE�.IONS ARE REQUIREDt
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Ip r��.1.f7x 71) M1 w
---- fff TT" r
Inspector: —.� �_-- — Date z
APPROVED `_ DISAPPROVED APPROVRU SUBJECT TO ABO'JE
Call For Reinsp.
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INSPECTION NOTICE
City of Ti.gagd Betiding Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business rhone: 639-4171
Inspections
jFooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
y
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1 Pound. Ylbg. Top Out Can bine FINAL.
3
Poet/Beam Ss_ruct. San. Sewer Framing 31dg.
Post/Beam Mach. Rain Drain Insulation ` -Plumb.
Plbg. Underflo.vr Water Line Gyp. Bd. L7gsph.
Date Roguestaslt J J �— Timat ]1M PM
h
Address tPermit
Builders
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THE FOLIAIWINn CORRBCT,,-..S ARS REQUIRED:
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Inspectors_
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__APPROVED _ nISAPPROVED �— APPROVED SUBJECT TO ABOVE
__Call For. Reinap.
'..nsV4M1iM�YWJIG'i1FvMMp�-
INSPECTION NOTICE
City of Tigard Dui].O.i ng Department
13125 M Ball EIAI•. Tiq&-d, Oregon 97223
inspection Line (Rec--O-Phone): 639-4175 Bunineas Phone: 639-4171
g Inspections _- _ ---- -----
Footing Plbg. Underslib Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -a1dg.
~
# Post/Beam Mech. Rain Drain Insulation -Plumb•
j Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested:_ ���-�-- /-/ —�j-_PPM
Address: � LtY.6f-2. Lf1-LP81-mit
7 �
Builder:-� (,`jL� — - -- ■
THE FOI.LOWING CORRECTIONS ARE REQUIRED:
s
Inspector: --�—_ Date.. x
APPROVED DISAPPROVED APPROVED SUBJR_–T TO ABO',E
Call For Reinsp.
,;� worwu:rsc.wnwa.,m....,...,.,ti.,.,..,.».w..+,�•.- -
INSPECTION NOTICE nY
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-0-Phone): 639-4175 Business Phone: 639-4171
Inspect i.on:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gap Line FINAL:
Poet/Beam Struct. San. Sewer F aming -Bldg.
Post/Beam Mech. Rain Drain Insulation plumb. I
Plbg. U-.derfloor W-ter Line Gyp. Bd. -Mech V
i
D to Requestad:� � _�.. Times AH __PM
Ad(gresn: �`— ( ���" Permit t � % •
Builders
TBE FOLLOWINu CORRECTIONS ARE REQUIRED: ■
0 of
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Inspector! �__ � ----•��---��-- Dated�_��
f T
APPROVED DISAPPROVED V _ APPROVED SUBJECT TO ABOVE
Call For. Rei.nsp.
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INSPECTION NOTICE
City of Tigard Building Department
133.25 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-•4171
Inspection• - -
Footing Plbg. Underslab Mech. Rough--in Appr/Sdwlk
Found. Plbj. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain / Insulation -Plumb.
Plbg. Underfloor Water Line C�Gyp. Bd. 1 -Hoch.
Date Requested: `- -�.� __AM PM
� Time: �
Addie% Permit
Addre
ss:
Builder:---,F - --4a ---
TFII FOLLOFiING CORRECTTI' .S PRE REQUIRED:
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Inspectors Date:
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-ZAPPFJMD DISAPPROVED APPROVED SUB:ECT TO ABOVE
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Call For Reinnp. }' r
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INSPECTION NOTICE
t,
City of Tigard 3uilding Department
13125 Sit Hall Hlvd. Tigard, Oregon 97223 ,��w „ f MM�rGatlr:trtr. 1
f Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footina Plba. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas L+.ra FINAL:
Poet/Beam Struct. San. Sewer FL'&Ming -Bld
g.
Poet/Beam Mech.
Rain Crain Insulation `� -Plumb.
Plbg. Underfl.,mr water Line Gyp. Bd. -Mach.
9ate Requested: Tim3: X'—AM PM
0�x3/ _ - - -
Address: Permit is — /
Builder:
THE FOLLOWING CORRECTIONS ARE RPOUII'ED:
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1i°i4 Y yttl iP` �l
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yt�.In o
Inspector:
_. Dates
APPROVED DISAPPROVED
APPROVED SUBJECT TO ABOVE
�y
--Call For Reinsp. � +� :N` r 4� r'
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INSPECTION NOTICE
City of Tigard Building Department
13325 8% Hall Bled. Tigard, Oregon 97223 C
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_— _ ---- �' I
looting Plbg. Underelab C Mech. Rough-in; Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer ramingj� -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plum. -
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
ate Requested...........
ested:� _Time: _ AM PM
Add eses - � - I Permit 1�
Builder:
i
THE FOLLOWING CORRECTIONS ARE REQUIRED: i
1 I.._JI\ ��Y3.-7�1/,�/� ���.v(�.'r�-V/f Ci'�.'[h_�.�•.+ /. /�Yf e�. �y -I'✓[/'} .
1OLne
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nspectors— _ Date:
ii
APPROVED DISAPPROVED �� APPROVED SUBJECT TO J.BOVE
Call For Reinsp.
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INSPECTION NOTICE �' E
City of Tigard Building bepartaent c�
1.3125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineus Ph Z63 -417'.
Inspection:__
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
W_1
Found. �op Out Gee Line FINAL:
Poet/Beam Struct. SLn. Sewer Framing -Bldg.
1:st:/Beam Mech. Rain Drain Insulation -Plumb.
P.bg. Underfloor Water Line Gyp. Bd. ; ch. •, )
i.`keRequented: c� 1 Time: —Am em
Address-
Permit
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3uilder:
'MS °nnLLOWING CORRECTIONS ARE REQUIRED:
S 47 �6C'
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Inapector: _
Dats:
_APPROVED DISAPPROVED APPROVED SUBJECT M ABOVE
Call For Reinep.
1
INSPECTION NOTI(—
Q City of Tigard Building i.ipart went
13125 SK hall Blvd. Tigard, Oregon 97223 F
Inspectioa Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Footing Plbg. Underelab //Meeh. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line;—� FINAL:
Poet/Beam Struct. San, Sewer -11�r� amino -Bldg.
uetl?eam Mech. Rain Drain neulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date R quested:- _ O'� / L�_ Time: AM PM
Address1 ermit f
T J
VBuilder:
THE FOLLOWING oORROCTIONS ARE REQUIRED:
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�i1.l�t%'fit it Z
A$[
100,
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1
Inspector.
— --- Date:
APPROVED DISAPPROVED
—_ APPROVED SCBJECT TO AiOVE '
___Cr'1 For Reinsp. I,
5
I
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INSPECTION NOTICE
City of Tigerd Building Departmert
13125 SW 8.11 Blvd. Tigard, oregor. 97223 e
Inspection Llna1
(ROC-O-Phune)t 639-4175 Buaineee Phone: 6'19-4'.71
Inspection•
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Poet/Beam Struct. San. Sewer. Framing .-Bldg.
Poet/Bem.1 MPcit. Rain Drain Ineulati:)n -Plumb. .
Plbg. Underfloor Water Line Gyp. Bd. -Mech. �
i D//at77e Reequeatedt- 3 - 20 - '1 Z Timet _411M PM °
htddreiie• 'J-`'�fl.`Qcec � Permit �t
Builder: —` -
■
THE FOLLOWING CORRECTIONS ARE REQUIRED:
6,
k
Inepectort._�.1 - _ Date:
APPROVED �-
DISAPPROVED �- APPROVED SUBJECT TO ABOVE
Call For Reinnp.
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INuPECTTON NOTICE
City of Tigard Building Department
13125 SR L-11 Blued. Tigard, Oregon 97fia:
;.
Inspection bine (Rec-O-Phcne): 639-4175 BusineeOe -4171Inspection: - Y1
f �
Footing ol'�g. Underslab Hech. Rough-in Appr/Sdwlk
Found. --z Plbg. Top Out Can Line FINALt
Post/Beam Structs San. Sewer Framing -Bldg.
oet/Beam NecF . Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. -Hoch.
Date Requested:_ �_7'�c Time:!li''2'f PH F
Address Permi*. #:_�
Builder:
THE FOILOWING CORRECTIONS ARE REQUIRED: r
k
1
C
In: lctor: Date:_`
___ PRO!tED DISAPPROVRD APPROVED SUBJE(-'r TO ABOVE
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Call Vo- Reir.sp.
40
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INSPECTION NOTICE
City of Tigard Bulld1W Departeent
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections ' 1- VI-at
Footinq Plbg. Underslab Necks. Rough-in Appr/Sdwlk
Found. Plbg. To LiFINAL:
P Out OaD Line '
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Oyp. Bd. -Nech.
-Z - Z Time: AN
vi
�D//aIIt//e,,���yyA//equesteds �[ ( /,,� 1 PM
A(Idr.ss:� � v .JL�U l� LI_10a Permit f:
Builder: G� ■
THE FOLLOWING CORRECTIONS ARE REQUIRED:
' 1
-�r.e-)
000
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N GSL c 2 T d
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(I � _
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I�9pectorf _ Date: �"�.1_
APPROVED v DISAPPROVED— 4PPROVED SUBJECT TO ADOVE
I
call For Reinep.
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ON
INSPECTIO-4-99T-ICE
City of Tigard Building llepa tment
13125 BM Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rea-O-Phone)t 639-4175 Sueineea Phone: 639-4171 ,
Inspection: , - --
FwtisAq Mech. Rough-in Appr/Sdwlk
Found. Plbg• Top Out Gas Line FINAL t
Poet/Beam Struct. San. Sewer Framing _816g.
Insulation -plumb.
Post/Beam Mech. Rain Drain
-------------
C`41 q�. Underi oOY Water Line�7 Gyp. Bd. > Y�4 -Mach. F
Date Request
Permit
PM
c / .•a- i /
'Permit #:C' C%,11L_L
ddrsies s
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED1
R
4 inspector:/ Dates 4 J l —
E t -APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
XdIThW'Nr.MAk`•rwM.wsw ... .-,....., .. - - •, - -...
i
INSPECTION NOT. . . .
ICE
City of Tigard Building Department
13125 SK Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections _
Vooting Plbg. Underelab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. Framing -Bldg,
Post/Beam Hoch. n Drain Insulation -Plumb. t
Plbg. Underfloor Na Line Gyp. Bd. -Mach.
Date Requestod s �y �S ,. Time s AH PN
i
Addres6 Permit t:
1
9 Builder: B
THE FOLLOWING CORRECTIONS ARE REQUIRED:
f
Inspector• Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVr
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tiga a Oregon 97223 ,
Inspection Line (Roc-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
r
Footing Plbg. Underslab Hach. Rough-in Appr/Sewlk 1
ound Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
l'
Post/Beam Hoch. Rain Drain Insulation -Plush
e
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
7dd(r
e Requested: �� � Time: / __AH PH 4
ei a Permit
Builder: C' .
THE !'OLLOWING CORRECTIONS ARE REQUIRED: 1
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rc
f�`� - p _
Inspector':/_,J�-'� Date: .�—_Z•r'"/ �'''�
y APPROVED __ DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinap.
u
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CITYOFTIFAM)
'COMMUNITY DEVELOPMENT DEPARTMENT �4oa RD MASTER F=EFZMIT'
, 13128 8YV FYI Blvd P.O.Ban 23147,TOM,Onpon 47223(603)0.iQ1176
PERMIT #. . . . .. . . . MST9;2-v�4.�ii
62" -4171 DATE ISSUED: 02/14/91:.'
�IT'E ADDRCS�I. . . : J SW JORDAN WY /h� �� F'ARCEI._ : 2SI I6AD-SF•F)57
SUBDIVI5ION. . . . BEDFORD GLEN ZONING:
BLOCK. . . . . ,, . _ . .. . LOT. . . . . . . . . . . . . : �� c
BUILDING
RE I SSUE: DW17--LL.I NG UN I T13: :I. BASEMENT -F
CLASS OF' WORK. -.NEW LAE::DRMS:3 BATHS:2 GARAGE:. . . . . . . . . . :573 s f
FYP'E OF USF. . . :SF FLOOR REQUIRED
I YF-'E: OF CONST. :5N F I RST. . . . : 19 1" s f I_.E,FT. . :5 ft RI F,'H'F. :5 ft
OCCUPANCY CRF'. :R:3 SECOND. . . :0 s f FRONT. ;`O ft REAR. . .- 15 ft
STORIES. . . . . . . . 1 THIRD. . . . :0 s;f RE:QU I
i
HEIGHT. . . . . . . . .. 15 f=t TO7AI_.-.------: 111:3 ,f Stvf0F<1= DE TI=CTORS. :Y
FLOOR LCAI'i. . . . :40 psf VALUE:. . . . . 9831j' PARKING SPIACES. . :0 �
Remarks : (=lath 1. insulation
PILUMSINC
SINKS. . . . . . . . . . : 1 FLOOR DRAIN`i. . . . :0 BACKF=LOW P'REVNTRS. . :o
LAVA-FOR 1FS. . . .. . :3 WATER HEATERS. . . : I TRAP'S. . . . . . . . . . . . . . :0 �
TUB/SHOWERS. . . . LAUNDRY TRAYS. . . :0 CATCH LAA51NS3. . . . . . . ..0
WATER CLOSETS. . .2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . a0
DIF,3HWASi-iF_F1S,. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :ill
GARBAGE DIST'. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. .„ : l 5F RAIN DRAINS. . . 1
ME:.CHn iN.ICAL FEES
FUEL TYPES-___._.__..____ __...- UNIT HTRf3. . .0 type amount fav date rec,pt �
/GAS/ / / VE:N fS . . . . . :0 BF'RT $ 430. 00 BR' 02/14/92
MAX PTCI VENT F=ANS. . :4 11PL.0 $ 2'79. 50 ,TLhI 12/.10/91
TURN < 100K . . : I HOODS. . . . . . : 1 B5F"1C $ 21. 50 AR 02/ 14/92 a
FURNi ) x-1001K _ ;!0 WOODS TOVFS. :0 MORT 8 39. 00 PR 0r=-'/ 1.4/92
FLOOR FURN. . . . :0 CLO DRYERS. : 1 MPLC $ 9. 75 BR 02/14/92
BOIL/CMF' ! iF11-':4't OT'H[:J? UNITS:O M5GIG $ 1. 95 L2AR 02/14/92
GAS 0 U T L E TS: 1 P.,P,RT $ t17- 50 BR 0:x/14/92
Owner: ____.._..____. ._.__...___.._.._.._....._ - .____..__.._ P15FIC $ 5. 88 BR 02/ 14/92
BEACON HOMES
PO BOX 1368
BEAVERTON OR 97075
Phone #: 524-1999
C:ontr,ac:t or•a
DEACON HOMES
PO BOX 1368
HEAVw RTON OR 97075
Phone #: 524-•1999
Reg #. . : 70782 _._..__._______________.._.--------------------
9165.
---_--._--_-_---_-.`16a. 08 TOTAL
This perait is issued subject to the regulations contained in the - - — - REQUIRED INSF'ECTIONB --- - - - i,
Tigard Municipal Code, State of Ore. Specialty Codes and all ether Foot/fol_ind Insp Fit-epl.ace Insp
applicable laws. All work will be done in accordance with approved Post /Beam St•^i_ict Gas Line Insp
Plans. This perait will expire if wore is not started within 180 Most/Beam Mer_•han ins 1.11 at ion Insp
days of issuance. or if work is suspended for wore 80 days. r.lm/c.indslab Insp Gyp Boar-cl Insp
13 ��?� C ._ .._. GMechanical 1lnsc� Walter, Line sp ,+
F�'ermit;tee 5i nat�.�r pa Z Insp ct•
/7 Plumb Top Out Appr/Sdwlk Insp
Issued By: �_._. Fr•amind Insp Mechanical Filial II
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_ Call for, inspection — 639--4175
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C I 1 Y OF T I C:)F RJ) — RE CE I PT or REC;E I P i NO. c 92—;P.23
� CHECK AMOUNT s 14c)5. 51
NAME u BEACON HOki r, CASH AMOUNT u 0. 00
ADDRESS SS c PAYMENT DATE c 02 14l9ii.
SUBDIVISION t
PURPOSE Or PAYMENT (AMOUNT PAID PURPOSE— OF PAYMENT AMOUNT PAID
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BU T LD I NG PERM ..... _��_.._Ys05. 00 PLUMBING PERM
._..... _.-_.....132. 50
M!_CHAN I CAI. PE 6. 00 qT. PU I ILD PER 27. 68
Pl-.AN CHECK F FE 'x. 25 BUILDING PERM 430. 00 ✓
f PLUMPING PERM 117, ovi Mf~CHAN I GAL. PE 1-19. 00
91", BUILD PLL'.P. �_''3» x:r PLAN CHEM( FF 139. c'1
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PLAN CHECK IF1,50. 00
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PLANCR LOT 152
PE RMI'1 S' _ 1_:QTG 53 AND 54
TOTAL AMOUNT PAID > 1. 95. 5 a
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15:3,NRMIIGthAve nugKi119CiIY,r)r,ion:,TL!I
Building Permit No.
COUNTYWIDE
TRAFFIC; IMPACT FEE Planning File No.
P,A,YM E,N i OPTION FORM
Tax Map & Lot No.
Date
Pro;ect Nome
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i I realize that I must make a decision on payn lent of the Traffic Impact Fee (TIF) at this time. "i he ra I
`k request the following (Choose whichever option or options are applicable):
Cash or Check
L__ 1 Crcdit Voucher
L� •,,ncroft or Installment Payments
and/or
l The Ordinance allows for deferral of payment of tho TIF until issuance of the occupancy permiY if►ho
' iF is groater than X5,000.00. lithe TiF meets this requirement, I also requo.3t This option. I u i,.icr
stand the TIF ,-nust be paid prior to issuance of an occupancy permit. i also understand that .hu 71f
-Jvili be recalculated based on the prevailing rates at time of payment. Please be advised that TIF'rates
s; ot
may incroase up to six percent each Jul/ Is,. This rate increase is nsubject to appeal.
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CVNER-APPLIC0 .
ANT
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CC: Building Porn it File
Payniont Option Notobook form tif02
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sewerage SAN iTARY• D o
MW ateenc
Sir 155 N. First Ave.,Suite270,Hillsboro,Or.,97124 SURFACE WATER
503 648.8621
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CONNEC i i u PEi,m 1 f !
i55UE_ irAIE 0 !1.4`f21LXPIKAT1UN IIAIE t EkM11 10 2,0y7
1 RUC PURE n111►f�EtiS - /(c,731 PROJEu 1 IY08 h
'TRUE1URE SIREE1 IoW JOkLAN 'Wali
LUI i NL0CK
f YF'h LUVNEC 1 1014— NEW OF BEUF•O►:>_I uLEN NO .. 1 4
YPE INSTALLATION— 118) EROS CUN/ [IL
TYPE OCCUPANk Y- $1NGLE FAM1L1 F''HkLLL 201 16 All 3800 �
tI l i; SLC- 4i 16 MH 1bV.'a
)WNER EIE:ACOo HUMES INt
)DDRESS 1905 NW 16y fH I RL-A FMLN i FLAN f' DURHAM
BEAVERTON UP 47006 :.Ut•;CH G Ill b I
HONE: 5. 4-1999 J 1h;I"ll
fXIURE EOUIVALENI II WE'LLI'NG F:E51IILNI IAL
JNI"iS SLKV1uE UN11b G , t IINIIs I -LRYiUE UNI is )
UONNEC 1 10N FE L S SURI"'ACE WA I LK vE1-1L--U1'MLN l FF ES
Wr,'f LP QUAL 111 180.00
LES: CREDIT 60 0�;
WATER (QUANT11 f 100.00
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LESS CREDI ) 0.00>
E 10r uuNIROL �.
IWI-1PEC 11'0N 64.04
PLAN CHECK 41 ,60
`aUB I OT AL Q.00 SUBTU'l AL 325.60
TOTAL 325 .60
aPPL NAME: PETER KUST1,
4FFILLI'ATION OWNER
E M A R K S C,2c-Vi rJCIJ,Q. Cy0N1\1. f .4 -1 .�) ��/';V_', MJF r, C_v,v,�v
24 HOUR NOTICE: FUR EROS"N CONiROL 1NbPEulCUPIS REuUIRLD
IGNATUN ��_ --- `
Permit Conditions:' The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. When calling
for an inspection. please refer to thn Permit Number. The Permit expires 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 side sewer laterals. if the sewer is not located at the
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 Side Sewer" Permit at the current charge and the Agency will install a lateral.
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