16739 SW JORDAN WAY r p i.... i .eW,v!' ^•M.nuMwewDP7MdWlbllrMwIWWMM�+♦w M�MMM�
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MECHANICAL
FERMI T'
CITYOFTIGARD cn FZLRM17 #. . MEC92-0 :43
COMMUNITY DEVELOPMENT DEPARTMENt olnooN
131268WrlllBlvd. P.O.Boz23307,TOW,Or.yan9740 143"iF DATZ ISSUED: 09/23/92
SITE ADDRESS. . - SW JORDAN WY PARCEL: E51 16AD—BED55
SU601VISION. . . . : BEDFORD GLEN ZONINU: 1
BLOCK. . . . . . . . . . . LO I.. . . . . . . . . . . . . .15.5
CLASS OF WOf,K. , :ALT FLUOR F URN. . . . : E/AP COOLERS:
TYPE OF' USE. . . . :SF UNIT HL;YlERS. . e VENT FANS. . . :
UCCUPHNLY FoRP. , : R3 VLNTS W/O �iPPL: VENT SYSTEMS:
STORIES. . . . . . , . : 1 I�CIII_ER�/( 'jhlF'F1E:SSORS HOODS. . . . . . . :
FULL "I YF�LS---____._.____ 0— Hr'. , , . : DOMES. 1Nu1N:
:
/GAS/ / / -15 Hf-'. , , . : i✓UI+IIYIL. ?l�C I IV:
MAX 1 Ni'U I : B I U 1 J— ,N HF , . . , HE1441 H UNITS:
FIHC VH1*Il='r HS '. . . 1W. , . . . WUOUSTOVE"S. . .
GNS PHL.)SUIqL. . . : 50+ H('. . . , LLU DHYLWz. . :
NO. OF UNITS--------•— HIR HHNOL_I Nu UNI I S U I HEIR UIV u:1. : 1
F'URN < 100K BTU: (= 10000 r_f m : CCAS OUTLETS. : 1
FUHN ) =1.00K U I U: > 1000V'_l r_f m:
Remar-k!, : bi4b LUb
SH14RCA WILLIAMS tyf)e —Vamol-rit by date— - - re=pt
12512 SW JORDAN WAY PRMT $ L5. 00 JIT V19/23/92 —
" rf='C F 4 1. �`.� JH 09/23/92 —
KING CITY OR 97224
Phone #: b2e-3707
Luntr^act or a
HOT SPOT FIREPLACE & PATIO
119 :9 SW CANYON RD
BEAVERTON OR 97005
Phone #.- a6. e5 TOTAL
Reg #. . : 71782
REDUIRE1J INSPF'CI TON
This permit is issued subject to the regulations contained in the F iria I Insf:rer_tiori
Tigard Municipal Code, State of Ore. Specialty fades and all other
applicable !ams. All mark will be done in accordance with
approved plans. This permit will expire if work is not started _ �___ _� _•__�
within 180 days of issuance, or if work is suspended for more ___•__ __ _
than 180 days.
F e r m i t t e e S 1y r1 a t �.i r N : �,,�.►a_�,� _� _ __�_�-- ��_._..
Call for inspet:tion — 6,39.-417 ,
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O-Wt OF T I GARD — RECEIPT CSF PAYMENT RCCE"' Y NO.
CHEC 1nUNT a 26. 25
NAME. c 1101, SPOT FIREPLACE CASH 1,JUNT s O. C
F�UIIF1ECi.? a
PAYMENT DATE 09✓'23/92
SUBDIVISION a
PuRRn',E OF PAYMENT AMOUNT PAID PURPOSE: (IF PAYMENT AMOUNT PAI I I)
ME04ANICAL PE 25. 00 ";r'. BUILD PIER ..__..__—i. 2 J
SHARON W I LL i AMS
SW JORDAN WAY
TOTAL AMOUNT PA I S - y 1''t:,. �:r
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.J CITYOFTIFARD OC:CIJPAINC;'1!
CfiYOFY1 X10 r�F Rm l T ##. . . . . . . t MST92-'00.10
COMMUNITY DEVELOPMENT D4PA�!',1094T ORRO t #
13128 8W I-WI Blvd.P.O.Bac 233 7,Tigard,Oregon 97 (W)6304176 DATE I ra SU E D I
i,fl" At1Dr2E':aS. . . . , '.. GW ,.TpRf�AhJ 1•IY PARCELI rr".'SI l6AD-bf-F)5'�
c r3
SUkll>i V I S I ON. . . . c C.zE DFOR17 6LE'N ZONING: �
BLOCK. . . LOI.. . . . . . . . . . . . . s 55
CLASS OF WORK. :NEW
TYPE OF USE'. . . :SF
OCCUPANCY r PP. :R3
OCCUPANCY L.f1A',3 c i 1`", 4
TENANT NAME. . . t
r;elnarr<s t F-'ATN i CONSTRUCTION
BE-r1t'.,ON HOMES
p n BrX 1368
FIEAVURTON OR 97075
Phone ii: 524-1999
BEACON HOMES
PO DCix
i
BCZAVE-riTON OR 97075
Phone #Ft 1524-•1999
Fi e g #. ., 1 70702
OcvupAnGY of the atbove refarenr:ed build>,ng is het-phy given, and certifies
the compliance with the State Of Oregon SpeCialty Codkrh Far the gr-o,ap,
0CV'.ipJ?rcy, *rle, use undar which the referenced permit n+da5 issued.
F"I RE DEPARTMENT � .�k INC N$PECT1�
BUILDING gl r ICIAL
POIT IN CON 5P I CUOUS PLACE
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INencTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-:175 business Phone: 639-4171
mInspection:
Footing Plbg. Urderelab Mech. Rough-in P.ppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beak Struct. San. Sewer Framing Bldg. N.
Post/ream Mech. Rain Drain Insulation
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested:__ PM
Address: L �-G� �
Permit 1:
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Builder: &C so
THE FOLLOWING CORRECTIONS ARE REQUIRED: !
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Inspector: —�___' Dates
---APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—_—Call For Reinsp.
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INSPECTION NOTICE
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City of Tigard Building Department
• 1.3125 SW Ka-21 B1•+., Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones63 •-4171
Inspection:_____
Footing Plbg. Underelat, Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out. Gas Line FINAL:
Poet/Beam Struc'_. San. Fewer Framing Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line ` Gy•_ Bd. �`'- -Nsch., .
Date Requested& 7�r- Time:�- AM- PM Y
Address: /� Permit #t
Builder:_
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THE FOLJ,OWING CORRECTIONS Ar, REQUIRED:
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Inspector•
APPROVED pI9APPR0VRD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECKl��N NOTICF.
City of Tigard Building Department tr
13125 SW Ball Blvd. Tigard, Oregon 97223 .,
Inspection Line (Rec-O-Phone): 639-4175 Business Phona: 639-4171 a; ,
Inspection:
Footing Plbg. Underolab Mech. Rough-in Appr/Sdwlk
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FouaA. r1hq. Top .ut Gas Line FINAL:
Post/Beam Struct. San. Sew r Framing -Bldg. ;
Por"-/Beam Mech. Rain Drain insulation
t �
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date RequeoteO:��.�1� _ Time: AM —PM
Add..-eseeL Permit
B,tilder:----�� �
THE FOLLOWING UORRI,:CTIONS ARE REQL iRED:
ACV-
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;`. Inspectort-- _ Datet_
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f APPROVED DISAPPROVED APPROVED SUBJECT TO ABO, E
T Y �fV;�hL�v 4•,;;',pl;�
Call For Reinsp.
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NI SPECTION NOTICE
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueineae Phone: 639-4171
Inspection: f
Foc,ting Plbg. Undersl.ab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out r Gas Line FINAL:
Poet./Beam Struct. San. Sewer Framing -bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
`
�G`� _PM 11" iii r' 4 i
Date Re eat : �•L Time.
Address; �-- Permit 1:1 �y
1 Bull.der: t �
TIB3 FOLLOW'NG CORRECTIONS ARB REQUIRED:
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nl Innpector: Date:��
I' APPROVED DISAPPROVED APPROVED SUBJECT TO *Rniw
Call For Reinnp.
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INSPECTION NOTICE �Mtl
City of Tigard Building Departxent
"3125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
a
Inspections —
Footing Plbg. Underolab Mech. Rough-in Appr/Sdwlk f
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldy.
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Poet/Beam Mach. Rain Drain Insulation --Plumb.
Plbg. Underfloor Na�@r Line Cyp. Bd.) -•Mecl
DA-ce pe_quosted: Z- Time: AM *, PM
Permit f:�Z —x5U�
auiider:
THE FOLLOWING CORFECTIONS ARE RZQUIREDs
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tnepector:_—G Date:
APPROVlb DISAPPROVED -� APPROVED SUBJECT To ADUVE
Call For Reinep.
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INSPECTION NOT:CE {' ,
City of Tigard Building ►lepartmeut
13125 Sit Ball Blvd. Tigard, vregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:____ --
Tooting Plbg. Underslab Mech. Rough-in Appr/3dwlk I
Found. Plbg. Top Out Gas Line FINAL: ,
r Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain DrainI, nsulation I -Plumb.
Plbg. Underfloor Nater Line Gyp.. Bd. -Mech.
Date Req:ested:,�`c� 7 %, Time: PM
Aa rte
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Addreaax -� rmit �: lJ ✓�'
guilder:
THE FOLLOWING CORRECTIONS ARS REQr1RBD: �
(/� , �-��� ate' �.�-y�-�..•�-�-�-�-.., m� ��-�-�--
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inspector:__-_v --- r Date: �' ?7 �-7--
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— APPROVED _ DISAPPROVED APPROVED SUBJE(_-r TO AEJVe
Call For Reinsp.
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Y INSPECTION NOTICE
City of Tigard Building Depar'Ament
13125 OW Ball Blvd. Tigard, Oregon 97523
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: ti39-4171
Inspection:_ -------- ,
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Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FIYAL:
Post/Beam St-uct San. SewerFra�gi.ng -B"IS
Poet/Beam Hoch. Rain Drain Insulation -ply.
Plbg. Underfloor Water Line Gyp. Bd. --Hoch.
Date Requested:_ ,� L -`'-a- —•_Time: AH PN "
Address s ) �� Permit #t q�
Builder:_ �
fit/-/ct Jam ,
THE P7LLOWiNG CORRECTIONS ARE REQUIRED:(21
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Insl+ector.—�'�'� _ -- Date:
APPROVED ° DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Roinnp.
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INSPI?CTION NOTICE
City of Tigara Buili I Depart—t 1
# 13125 SO 1 B1,vd. Tigard, Oregon 97223
Inspection Line (Rec hone): 639-4175 Business Phone: 639-4171
' 1.:epecti:)n: `-'
Footing P4. Underelab Mech. Rough-in Appr!Sdwlk
Found. Plbq. Top Out Can Line FINAL:
Pst/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Koch. Rain Drain Insulation -Plumb. };
Plbg. Underfloor Water Line Gyp. Bd. -Mech. 4
Date Requested: i>✓ (� J �c.� Times —AM PM
Address C�G �gst 1: � —eye) I
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Builder: �G�t
THE FOLLOWING 00,WCTIONS ARE REQUIRED:
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Inspectors i:�-Cl _ _ Date:
APPROVRD DISAPPROVED APPRCIVED SUBJECT TO ABOVE.
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_Call. For Reinsp.
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INSPECTION NOTICE �- �� •_:�
Gty of Tigard Building Departyent
13125 SW FAII Blvd. Tigard, Oreqon 97223
Inspection Line (Reu--O-P':one): 6-j9-4175 Buuineee Phone: 639-4171
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Inspect ion
Footing Plbg. Ur.derelab /Hach Rough-in Appr/Sdwlk 1
Pound. To Out Ga�� FINALS
Pound. Plbg• E' � '
Post/dear, Struct. San. Sewer < Framia -Bldg'
Poet/Beam Mech. Rain Drain Insulation -Plumb' 9
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Oi �_ PM ■
Date Requoated: _ caL/
Address/:r ........L 1
Builders � )V�_ �z , `�j �` li ■
THE FOLLOWING CORRECTIONP ARE REQUIRED: Y� ye
sl:•. rr',
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inspector:___ � �_—_._ _ Dato:�
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APPNOVED DISAPPROVED ,_ APTROVED SUBJECT TO AROVE
Call For Reinap. � `,�
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INSPECTION NOTICE
City of Tigard Building Department. y
13125 SW Ball„Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-P e)s 639-4175 Business Phone: 639-4171
Inapection: _ SCJ
Footing Pniarnlab Mech. Rough-in Appr/Sdwlk
Found. PZ Top Out Gan Line FINAL:
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Poet/Beam S'c.uct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drein Insulation -Plumb. f% 'E
Pibg. Underfloor Water Line Gyp. Bd. -Mech.
Date t�e e�teei:- � - •Ames -_M PM
lrtPermit M:�
Addresso
77 I•
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THE FOLLOWING CORRECTIONS ARE REQUIREDs
41 01
Inspector: ice_ ”! _ nate:
APPROVED r DIS'PPROVRD APPROVED SUBJRCT TO ABOVE
Call For Reinap.
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• INSPECTION.NOTICE �
City of Tigard Building Departaent ,
13125 SW Bell Blvd. Tigard, Oregon 97223
Inspection Line (ROC-O-Phons)s 639-4175 Business Phone: 639-4171 ,,
Inspections _
a r
Tooting Plbg. Underslab Mach. Rough-in Appr/ '=wlk
Found.
Plb
g. Top Out Gas Line FINALS ;}
Post/Beam Struct. San. sewer F-aming -Bldg. ,.
f to r
Poet/Beam Mach. Rain Drain Insulation -Plumbs
bg. Undsrf�) Water Li .s Gyp. Bid. -Meth.
i Data ReQLssteds� .Z Times AM
PM
} Address Permit #: �� - ezyz)
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Builders_ � // GL�j � 3:�� ■
THE 1►OLLOWINO OORRECTIONS ARE REQUIRED:
� y , may
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Inspectors -- — Dates
YI APPROVED DISAPPROVED APPROVED SUP,JECT TO ABOVE
---
_—Call For Reinap.
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SNSPLCTION NOTICE -�
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rer-O-Phone)s 639-4175 Business Phones 639-4171 �
Inspections —
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
I
Found. Plbg. Top Out . -Ls Line FINAL$ y"
et/Beams 8truct San. Sewer Framing •-Bldg. 6
Post/Beam Mech Rain Drain Insulation -P1Lmb•
Plbg. Underfloor Water Line Gyp. Bd. -Mach. ".
Data R sated$ -/� �-- Time: AM
Address: , - L �T Permit t l
Builder$ S 1,�
THE FOLLOWING OORRECTIONS ARE REQUIRED: l-
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Inspectors iK "f Detes �'�6 C 4--
APPROVED DISAjPPROVED APPROVED SUEJECT TO ABOVE
_Call Por Reinap.
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INSPECTION NOTICE
City of Tigard Building Dspartaunt
13115 BM Ball Blvd. Ti asd, oregon
q 97123
Inspection Line (ROC-0-Phone): 639-4175 Business Phones 639-4171
> kk" Inspections
F ting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
F Plbg. Top Out Gas Line FINAL. arty* yp.
t Post/Beam Struct. San. Sewer Framing -Bldg.
a
$ 'wr64y 1' Post/Beam Mach. Rain Drain Insulation -plumb. rr� Irl 4 i',
Plbg. Underflour, Water Lina Gyp. Bd. -Mech.
%'" �U C �✓
Time: Aa AM PM
Data Aequosted: /
,gCC! Ia/'dPermit
S/ _ f: CC 1C�'r� r a RtI�y�llZ
Address:
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Builder:_
1/a?,3�J
THE POLLOWINO CORRECTIONS ARE REQUIRE
IN J 9 'i t fJ4�' ik
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pe Ine ctors _ �v'� � _ Date: '
G APPROVED DISAPPROVED APPROVED SUBJSr'P TO ABOVE ?'
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Call For R0nap.
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CITYOF TIFA RDCITYOFT04R) MAE3TE R PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT olmNow I 'i-F'I'11: T #. . . . . . . » Ma - IG_IQ�i ■
13126$V1l Hmll Blvd R.O.8=23307,Tlpmld,Orpon ul (603)6304176 w
�m13`l
SITE ADDRESS. SW JORDAN WY 14e;tiJ Ci � •/ PHS r:EL: �?S116AD-�E�E:'DJJ
5UPDIVISION. . . . : BEDFORD GLEN � ZONING: a+'
BLOCK. . . . . . . . . . „ L.01.. . . . . . . . . . . . . . . 1.
___.._..__._.__._._._.__..___._. _._____._____.__...-•_ BUILDING
REISSUE- DWELL..I NG UN I TS: I. BASEMENT. . . . . . :0 s F I..
CLASS OF WORK, :NEW BEDRMS:3 SATHS:c' GARAGE. • . caF�. . . . 5CE'rySf.....
TY'RC OF USE. . . »`-31= FLOOR ARf-_AS_.._._...__-__....._._ __ REQUIRED .
TYPE- OF' CONST. :5N F I RST. . . . : 188 s f LEFT. •` ft RIG�iT'. :G fit
OCCUPANCY GRP. :R:3 F_:C CND. . . :0 ; F FRONT . :20 f t REAR. . : tfi ft
STORIES. . . . . . . : i THIRD. , . . :0 sf REOUIRE^U___.__._____..._.________._
HEIGHT. . . . . . . . : 15 Ft fOTGaI_-- - - : 11307 sf SMOVE DETECTORS. :Y E
FLOOR LOAD. . . . :40 osf VALUE.. . . . . is 9r26013 PAR!;114G SPACErS. . :0 ■
Remarks : PATIA 1. CONbTRUCTION I
PLUMBING
SINKS. . . . .. . . . . . .. 1 FLOOR DRAINS. . . . »0 BACKFLOW PREVNTRS. . -0 i
�_.AVA'fURIES. . . . . .3 WATER HEATERS. . . - 1 TRAPS. . . . . . . . . . . . . . ..0 ;
rUB/SHOWE.Rr. . . . :3 LAUNDRY TPAY5. . . :0 CATC14 BA5IN3. . . . . . . :0
WATER CLOSE:TS. . :2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . ..0
DISHWASHERS. . . . : 1. WATER LINE (ft ) . : 100 OTHER FIX 1 URES. . . . . »V_I
GARBAGE DISP- . . » 1 RAIN DRAIN (ft ) . :0
WAST I I PJG MACI i. . . » 1. 51= RA I N DRA I NS. . » .I. I
ME.CHANTCAL ._____.__.____.__.__ _ ___.__ .._____.____....-. FEES
FUEL TyPES--------- - UNIT HTRS. . :0 type omw_rnt by date r-ec-pt
/6"B/ / / VENTS . . . . . :0 BPRT $ 412. 00 JLH 0l/1 O/9E' -
MAX INPUT-0 BTU VENT FANS. . . 3 BF11_C $ 267. 80 JLH 11./10/^1
FURN ( 1 ONE: - ' I HOODS. . . . . . : 1 BSPC $ C-10. 60 JL.H 01/10/92 - w
FURN ) =100K . :0 WOODSTOVES. :0 MPRT t W1. k. � JLH 01./10/9-2
-
FL..00R FURN. . . . »0 CLO DRYERS. : 1 MPLC $ `. . 00 JL.H 01/'.0/92 -
BOIL/CMP ( 3liF':0 OTFIER UIVITS:O MSPC °e 1.. 60 .11_.1-1 01./ 10/92 -
GAS CUTLETS: 1 PPRT t 132. 50 JL.H 01/10/92 -
Owner: _.__________»__.______._ ...._.._._. _.._.._._..____._.__. P5PC. a 6 63 JL -1 01/10/92 _
BEACON HOMES
P 0 BOX 168
BE:i-1VErRTON OR 97075
I.3EACON HOMES
PO BOA: 1368
1
BEAVERTON OR 9'7075
PErone #: 5i-7'4-1999
Rey_ #E. . : "7O782"
$ 886. 33 TOTAL
This permit is issued subject to the regulations contained in the ------ - REOLIIRE D INSPFCTION5 -
Tigard Municipal Code, State of Ore, Specialty Codes and all other Foot/fol-Ind Insp Fireplac.e Insp
applicable laws. All work will be done in accordance with approved post/Beam Strl.rct Gas Line Insp
I plans. This permit will expire if work is not started within IN Post/Ream Meehan Insulation Insp
1 days of issuance, or if worn is suspended for more ;han 1 days, Pim/I_rnclslab Insp Gyp Board Insp
1=L.M/llncder-f loan^ Rain drain Insp
Permittee Sigyi_ t1_il w L �� ,• Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwik Insp
Iss,_rpd Hy: I raminrl Insp tlecFranical Final
Call for inspection -- 639•-4175
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'CY OF T I(3Calil? (11' C E J. "T Or PAYMENT RECE:I I T NO. 192 : 17EIU
CHECK AMOUNT e 636. 33
1'dAME s ElE:AC 0N-11CiWi-SC A�H AMOUNT x th. ON
ADDRESS a PrJYMt NT DATE: a Oi/10/9c
SURD IVISIC.IN s
PUHP0SF OF PAYMENT' AMOUNT PA 11) F+�JF��'C�>� AI= F+f�fMf:hlr AMOUNT PAID
E�UIL.DINC3 PEkM 418. 00 C-.1LUMBING PERM so
ME17:10NICAL PE: :36. 00 ST. SUILD PFR r^..9. 03
CLAN CHECK F'E. 26. C30
I
" G,W JORDAN WAY
l CI rAL AMOUNT I'+A l IS - - - ) 636. 33
I
i
I
E
it`
y '� ??"", 4rA+' :.av• .M 91n� N.xtp�l0
.Y,+yL:F
..
� F'L.LIMNING V'EFRM.I.(
folTf OF TIFARD ��11 PERMIT i#. . . . . . . . M�T92 �IU!I
CifYCF'116�IE�
COMMUNITY DEVELOPMENT DEPARTMENT ■■ M
131259wHAPAP.0.6a2=i.Ti"d.OrWngrm(60)53041 DATC ic�OUE- +�.1. +0/92.
SITE ADDRESS. . . . 4a..rile- SW JIJR?Df�N W'r PARCEl : 2'S1. l6AD--BE'f.95
SUSD I V I S I ON. . . : BEDFORD GLEN Z ON I SIC:
BLOCK. „ . . . . . . . . LOI . . . . . . . . . . . . . :55
CLASS OF WORK. . -NEW GARBAGE DISPOSALS- 11
TYr-`E: OF USE. . . . :GF WASHING MACH. . . . . . . : 1 BACKFLOW PRf:orms. . 3121
OCCI;PANC'Y (SRC?. . :R3 FLOOR. DRAINS. . . . . . . 10 113APS. . . . . . . . . . . . . . ..0
r,T?)RIES. . . . . . . . 91 WATER HEATERS. . . . . . 11 CATCH BASINS. . . . . . . :0
R 'XTURES -- ------ - - LAUNDRY TRAYS. . . . . . :la SF RAIN
SINKS. — . . . . . . a 1 GREASE TRAPS. . . . . . . 90
LAVATOFTRS3. . . . . ::3 OTHER FIXTURES. . . . , :0 '
TUN/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WPTER CI_.O'XT' . :,7' WATER LINE (ft ) . . . . : 100 � ■
D'I 5HWASHERCS. . . „ : 1 RAIN DRAIN (ft) . . . . :0
Remarks : G'fJTH 1 CONSTRUCTION
OWNE=R:
BEACON HOMES S R P RT $ 41.P. 00 JI.J 1 01/10/92
1-' 0 PDX 1:36A SE'L.0 $ 267. 80 J'1_1I 'JC"l 10/91
05PC $ 0.1 0. CIO JiAi 01/10/92 - �.
BE:.AVERTON OR )70175 MPRT $ :.36. 00 JI-H 01/10/9,2 ;
Phone MPLC: $ 9. 00 JL,H 01/10/9.:'
MFJPC: $ 1. 80 J1..11 01 /10/9E ;;W
1='PP1 $ 132. 501 JLH 01/10/92
$ 6. E,3 JI-H 01 110!9.='
tya t e
Z i ._ ..F7h011N41: llraG 2-w�/1_- •....r._.
I I
REQUIRED INSPECTIONS
i Thiii_.per:li.t is i.ssu. -d subject to the reg- �
ulmtiona contained in the Tigard MLin ic,ipaI Fort/fo�.ind Insp Rain drain Insp
Code, State of Or-@. Sper.ialty (-; )des and all Frost/Beam Struct Water Line Insp
other, applicahle laws. All work will be done- Post Beam Mer*han Appr^/Sdwlk Insp �
in ac.cordance wi .h approved plans. This Plm/undsl.;ab Insp Mechanical Firlal {
permit will expir--e if work is riot started PLM/UndprfIoor Plumb Final
wit-hon 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for- mare! than 160 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp _._. ...�_._.., _._.-. .._
Uae s Line 141-ISP
'
Insulation Insp
Gyp Board Insp
Au$horized Plumbing Contractor Signature
Call for inspection - 639--•4175
Coittrac:tor Notes .
....r ...... MN..,.y.Wviiy......y'iuMK.uity{}4 • r
V
V
++r ��� , MIMNI Iwt►1� i.a'1r�M �� �"'Iw�4M! ,
♦' t
.. o.«oyI�IW'W{ulia.+rawvT..+..—...., ......•WYYI.M1M
!
—_ DATE:— 9� PLANS CHECK NO.:
� � a�
�( KING CITY PROJECT TITLE:
�s 153m SN:116th Avenue,Kir?City,Oregon 9714
COUNTYWIDE
TRAFFIC IMPACT FEE APPLICANT: t
WORKSHEET
MAIL'NG ADDRESS: '
(FOR NON-SINGLE FAMILY USES) p 0 c, ) 3 (o S
Ill'/ZIP PHONE:
RATE PER V`t U LAND USE CATEGORY D
4.�
TRIP TAX MAP NO.:
RESIDENTIAL $138.00 A S I
5INESS AND `A35.00 SITUS NO.ADDRE§S: `5
OFFICE $126-00 ,l JJ o rda W o�
IN STRIAE sia3.00 �-/,3
�
INSTITUTIONAL _� $57.00
PAYMENT METHOD:
X
CASH/ HECK
CREDIT INSTITUTIONAL ONLY:
BANCROFT PROMISSORY NOTE LAND USE CATEGORY DESCRIPTION OF USE ]WEEKDAYAVO. TRIP RAT WEEKEND AVE TRIP RAT
DEFER T OCCUPANCY /CI 1C
BASIS: wk d" F
TV-
CALCULATIONS:
X 1 � 13g, 00 = 1 � �•� • �G
PROJECT TRIP GENERATION:
FEZ: 13 8 0 • oo
ADDITIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY:
Transit
TIF
s •s,
/ SPD•a0
A i PRE BY:
a F.
CC: WASHINGTON COUNTY
TIF NOTEBOOK
♦'OffTl tlllo
f•
4
r
unified SANITARY• D o
sewerage
agencySURFACE UVATER
155 N. First Ave.,Suite 270, Hillsboro, Or,97124
' 503 648-8621
t:11rir4t '.: ; iuN PE, MIT
1bSUL LIAIL 010991 L?lF'II Hill'f� 1)H ! L. .�7V:iy F'ERmll 1()1963
i ' TRUI: TURE APDRESS F'kUJEI l lYUB
'YRUC1 UKE S1 RLE (
JORDAN will i'
LUI 55 IaLULK
TYPE IUNNEC ( 11rN- NEW UF' vLbFOxD GLEN NO. 1
i YPE INSTALLATION- ( 19) NLL) SWF;; EKU LUNi t,11C I�
TYPE OCCUPANCY- t1 l SINuLE FAMILY NARLEL 2131 16 AU 3740
UfR SEC 4/16 MH IdUA!6
WNER BEACUN .140MES
IDDRESS P 0 BOX. 1C)38 FREA TMEN i PLAN1 DURHAM
BEAVERTON Uk 97075 SURCRG LLST i
'HONE 626-9029 JURIbil
IATURE EQUf'IALENF ()WELLING REb111LNT1AL
q N.lT8 blzR. )1GE UNI 1 .3 V . V IIrlI IS 1 6L ;VIC.L UNITS I
CONNECTION FEES- SURF ALE WA I ER ULVLLIjF 'aN ; F LLS
l�
1 SEWER (.UNNECIION 1'S UV . ':t'.' WA1Lk UUAL1T1 180.00
LESS C-REL)I T 60. UU:-
WA i LR 11UAN1 11 1 100 .00
LES4, CkEVIT 0. U0
ENrib1UN L.UNTk01_
I
INSPIELTION 40 . U0
F'LPN CHECK, 26 .0V
SUBI'OTAL iwU4. Ut) SUBTOTAL `(ia.ilU
(OTAL
PF'I_ NAME F•ET Eek KUb T k PHONE .1 - -Z/2 -_
FFILLIA110N OWNER
REMARKS
*24 HOUR' NOTICE FOR EROS IC.' CONiROL INSPECIIUNS RL14U1REU
91CNATUR /
Permit Conditions:, The appl.cant agrees to comply with all rules and regulations of the Unified Sewerage Agency. When callIngi' I
for an inspection, please refer to the Permit Number. the Permit expir s one hundred eighty (180) days from the date.. of j
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 '.he location of side sewer laterals. if the sewer is not located nt 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 Sir', Sewer' Pcrmit at the n,rrent charge and the Agency will install a lateral.
3
6/90 WHITE — USA, BLUE — Accounting, GREEN —Inspection, YELLOW — Customer
••y