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CERT 1F ICA1'E ClF`
7clTf
OF TIFA
RD OCCUPANCY
CflY 19�IRD� GE RMTT li. . . . . . . s MST'34 V10P1:'
Xx COMMUNITY DEVELOPMENT 0W3.'AAlW6rT OR1*ON
131266W i W BW P.O.Bay 233W,7%-d-O Mpon 07223(603)63"'76 �._� I)A TE 158l.lE!)a 07/31/9Z _
SITE ADDRESS. . . a � . W JOPDAN WY PARCEL.E r�'S i, 1.6AiJ—E�( C►'4�f:
SUBDI !I T,ION. . . . c BEDFORD GLEN 7ORITNGE
BLOCK. . . . . . . . . .
.C.._..._...,....m.�..»LOT
_.. . . . . . . . . . . . .
.. ,.._.._a 56
__ .....___.. - .._ _._._._..._. ....__ __ .___.._....
CLASS CF WORK. :NEW
TYPE OF USE. SF
OCCUPANCY C,RP. :R3
OCCUPANCY LOAD E 1 IS 4
■
TENANT NAME. . . E
Rei ark!►E PATH 1 CONSTRUCTION
Ownere w—.___._•.__.__�.__._______•. _ ___.__�._. _ .._._.. .
BEACON HOMES
P O DOX 13(*A
SE14VERTON OR 97075
Prione #E 524M19g9
COTItrACtart
BLAGON HOMES
PC) F►by 1368
BE<AVERTON OR 97075
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Phone #v 524-•-1999
Req- #. . n 70702
y Occupancy of the above "F�fer'ptncari builclinp is hereby Riven, Wid Cer'tifles
the camtalia�nra with the Slate Of QreRon Spec.iatlty C$)ties fi'or the pr"o'.ap,
(jc-c-uparic:y, and u ie .i dev which the ref'Frenced permit wci s i asuF!d.
FIRE DEPARTMENT BUILDING lN.$;GqTOR
SUILU in OFF"I C I AL
POST IN CONSP I CUnUS PLACE �
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INSPECTION NOTICE
City of Tigard Building Department_
13125 SW Ball Plvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business shone: 639-4171 J '
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l Inspection: — —__-
footing - -- Appr/Sdwlk
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Plb
Underolab Mech. Rough-in
} Found. Plbg, Top Out Cas Line FINAL:
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Poet./Beam Stct. San. Sewer Framinq -Bldg. ,.
� ruy,Y s. •�ti.
Poet/Beam Hoch. Rain Drain Insulation
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Plbg. Underfloor Water Line Gyp. Bd. h•
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Date Requested: -�.�.�__— —Tr`n�r ' '� PM
—
Addreens 1 i?l �V J.� Permit is
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Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call ?or Reinep.
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INSPECTION NOTICE I
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City of Tigard Building Department w
P.O. Box 23397
Tigdrd, Oregon 37223
Phone: 639-4175
Type of Inspection
Date Requested_` _ Time A.M.. F.M.
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Address 7?-¢gt' ,.,6e ��^� ' Permit
Owner Lot #
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Builder
The following Building Code deficiencies are required to he corrected: �--
Presm,ted to _-- H Approved
Insp•,ctor �� {" { Disapproved
Date ----7_
CALL FOR. ATINSPWTION
❑ YES U NO
`,�'�,iflfi (YWNMAWNiS1YlWri�Ywvuwa+urmena.anr+rnw:w,„, .. :..,.,.G.s, u4 as tavdtvGht�aWs'":;:airf+�....:,+u<;�u+:,:..:,ow;,, y� .
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INSPECTION NOTICE
City of Tigard Building Department '
13125 SA Ball Blvd. Tigard, Oregon 977.23 d
Inupection Line (Rec-o-Phun9): 639-4175 Buninens Phone: 639-4171 hFr
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Inspection:_ -- -
Footing Plbg. Underslab Mech. Rough-in Appr/sdwlk ;u
Found. Plbg. Top Out Gas Line FLNAL: F
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post/Beam Struct. San. Sewer Framing -Bldg. „
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ti,.• mt
Poet/Bram Mech. Rain Drain Insulation ` -Plumb. vrrxl
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Plhq. Underfloor Water Line Gyp. Bd. -Mach. �TPH
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,�� �l�� Time:
Date Requests( .
/ ddr _ r _lIf'ltlfif-rt W(�. Permit #I !..:���'°'2�
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Builder: � t�
THE '".LOWING CORPECTIONS ARE REQUIRED:
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Inspector: /�- - -- -- — ----------� .
,APPROVED `^ DISAPPROVED -� APPROVED SUB.JRCI' TO ABI
--Call For Reinsp.
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INSPECTION NOTICE /.r"
City of ."igacd Building Departmnt
13125 SW "I Blvd. Tigard, Oregon 97223
Inspection Line (Rec ionone): 639-4175 Business Phone: 639-4171
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I fnfpect ion:
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Footing 1Sa. Une,e slab Mech.
Rough-in Appr/Sdwlk
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Found. P1
7o Out Gas Line FINALt
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Poet/Beam Struct. San. Sewer. Framing -Bldg.
+ Print/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Uneirt.l.00r Water Line Gyp. ad. -Mech.
D to Requestedf —Time: AM PN
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AddrlAs— - L Permit
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THE FOLLOWING CORF4r" '_)NS ARE REQUIRED:
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Inspectorf .�---- --- ----_�-._. Date
APPROVED DISAPPROVEDAPPROVED SUBJECT TO ABOVE
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� Call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Depaer'nt
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13125 Be Ball Blvd_ Tigard, rregon 97223
I.sspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4171
Inspection:
L•
Footing Plb ,. Underelab Mech. Rough-ie. Appr/Sdwlk
Found. P Dg. Top Out Geo Line FINAL:
Poet/Beam Struct. San. Sewer Framing -.Bldg.
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Poet/Beam Me_h. Rain Drain Insulation -Plumb.
Plbg. UnderV.00r Water Line Gyp. Bd. -Mech.
Date R,, ,:Steil: [7 —/<��"L� Timet —AM —ZPM
Address_ JC'- (J� / ermlt /s��
J Builder:! /�7T� L �j�7 ■
I THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED APPROVED SUBJECT '.O I%BuvE
Call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SM Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
-
napecticn• —
Focting Plbq. Underslab MdGh. Rough-in Appr/Sdwlk :
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Found. Pibg. Top Out FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain naulatl- nil -plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Poch.
Dnte Requestedc _ �() .�-� Time: _,J1}1 PM ■
Addre■/i Permit
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Builder.
THE FirLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:�e ��--�--- Date: > - S
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_J111�lVllf DISAPPROVED APPROVED SUBJECT TO kBOVE
Call For Reinap.
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MSPECPI(LN Nd Ong CE`
City of Tigard Buil Denarf--e.,t
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bi,sinees Phone: 639-4177
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Inspection:
Footing Plbg. Underslab �Mh. ough-in) Appr/Sdwlk
Found. Plbg. TopOut
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t Lne It ,.,.,.•.1,
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Ben-n Mech. Rain Dram Insulation -plumb,
Plbg. Underflo.r WeLorr Lins Gyp. Bd. -Mech.
Date Requested: �2 "7 C-� Time: AH PM
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Builder:----rl��t�
THE FOLLOWING CORRECTICNB ARE REQUIRED=
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Inepector:___ q )�
_ Date= S=' J- / _ f {ZY7�l •:a'
APPROVED
DISAPPROVED APPROVED SUBJECT To AAOVE
Call For Reinnp. G
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INSPECTION NOTICE
City of Tigard DuildioJ Departsent
13125 SW Hall Blvd. Tigard, Oregon 97223
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Inspection LLne (Roc-u-Phone): 63F-4175 P,ueineee Phone: 639-4171
4x1 r PeC
Inapectlon:_
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i, looting P1'ag. Underalab Hoch. Rough-in APP /
Found. Plbg. Top Out Gas Line PINAL:
Poet/Beam Struct. San. Sewer �Framim., -Bldg. 1
Poet/Beam !tech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Dd. -Hoch. i
i l(1 G_ Time: AH -._PN
Date R queeted: --�--
/ddree�� �l 'Ne, 1/� U.J L _ Permit !:
Buildur:
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TRE FOLLOWING CORRECTIONS ARE 'EQUItiED:
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iC Inspector:--- Dats+: _1 �L'- li: �; tart'•
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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Call For Reinsp. ``,7,•y�` �c K
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INSPECTION NOTICE
City of Tigard Building Departw3nt
13125 SW Ball Blvd. Tirard, Oregon 97223
Inspection Lane (Rec-O-Phone): 639-4175 Businese Phone: 639-4171
Inspection: _
—1 '
Footing Plbq. Underalab /Mach. Ro.sgh-in APPr/Sdwlk
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Pound. Plbq. Top Out Gas LiM FINALS
Peet/Beam Struct. San. Sewer �ffty— ng -Bldg. !`.
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Post/Beam Mech. Rain Drain Ir :tion -Plumb.
Plbg. Underfloor Water Lfne� Gyr. %d. -Mech. q
Date Regssesteds�/ T'me= _Ath FM ,
l�•
Adddrer:-ss.: Pit #1
� Permit
_
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector=s— Date: S 'v
{ APPROVED �� DISAPPROVED _! APPROVED SUBJECT TO ABO'!E
Call For Reinsp.
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LYSPECTION NOTICE
4. City of Tl.gard Building Departo
13125 Sit d 11 Blvd. Tigard, Oregon 7223
Inspection Line (Rec-f)-Phone): 639-4175 Husineab Phone: 639-4171
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Inspection:
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Footing Plbg. Underalab Hech. Rough-in Appr/Sdwlk
IFound. Plbg. Top Out Gas Line FINAL: y
Poet/Beam Struct. an. Sewer-�, Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water 'Line Gyp. W. -Meeh. '
Date Requested:_ v� / Time: AM PM it
,I�hdd --,��s ` ZSR-LSC �-PPermit i.
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THE FOLLOWING CORRECTIONS ARE RF,�UIRED:
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I n a pe c t o r
-APPROVED bISAPPROVED APPROVED SUBJECT TO ABOVE.
Call For Reinap.
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INSPECTION NOTICE ?�j^✓�. ,
City of 'aigard Building Departmnt '
131:5 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Iine (Rec-,O-.Phone): 639-4175 Business Phone: 639-4171 I
Inspection:
Footing Plbg. Un erel_ab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIN]
Post/Ream Struct. San. Sewer Framing -Bldg.
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Poet/Beam Heuh. Rain Drain Iunulation --Plumb.
Plby. Underfloor Water Lino Gyp. Bd. -Hoch.
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Date Requested:
Time: /A
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Permit
ME, ✓ l Builder:
M FOLLOWING CORPL!C`TIONS ARF. REQUIRED:
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Insper:ctoc-
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For aoinsp.
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INSPECTION NOTICE
Cit; of Tiqard Huilc7irg Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plby. Underslab Mech. Rough-in Appr/Sdwlk
Found. P1bq. Top On.:, Gas Line FINAL: -
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Ina:lation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date 7ueeted• �� � �� - Titaet AM _PM
� PArmit �:
Builders. G1 �—
THE FOLLOWING CORK MONS ARE REQUIRED:
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Inspector:--J/%�✓ L _ Dates �t Gj l
/ APPROVED — DISAPPROVED APPROVED SUBJECT TO ABOVE
Cali For Reinep. �Fvt,b t
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INSPECTION NOTICE
I , ' Citi of Tigard Building Departs►ent
13125 ON Hall Blvd. Tigard. Oregon 97223 \
'
j Inspections
Ing ion Line (Aec-O-Phones 639-4175 Business Phone 6 9-4171
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1 Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet%Beam Mach. Rain Drain Insulaticn -Plumb.
Plbg. G-derlloor Water Line' / Gyp. Bd. -Nech.
Date Requested: L/ Imo// Times AM PN •
1cZ� Permit isAd r se '7 U /y'�1 ■
6/
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Builder: .r) ��� ■
THE FOLLOWING CORRECTIONS P-1Z REQUIRED:
Inspector: D&tes
__APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
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INSPECTION NOTICE c ,�
City of Tigard Building Depart won t J
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-J-Phone): 63a-4175 Business Phone: 639-4171
Inspection: —
Footing Plbg. Underslab .,.-*ch. Rough-in Appr/Sdwlk
Found. Plbg. Top out Can Line FINALt
(�et/abeam Strad. Sun. Sewer Framing -B1d,j.
+
at/Beam 14—h. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lind Gyp. Bd. -Mach.
ate Requested: ry Timet AM PM
AddreeA: _ / .t it f —
BuildP••:
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I THE FOLLOWING OORRECT��AREjj�� >� IIIED� of
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Inepactor:_ oLi Date:
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D. APPROVED DI3APF70VED APPROVED SUBJECT TO ABOVE
Call For Retnep.
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INSPECTION NOTICE /
City of Tigard Buildings Department :5714
13125 SM Ball Blvd. Tigard, Oregon 97223 ,
Inspection Line (Rec-O-Phone): 639-4175 Business Mone: 639-4171
Insper_tion: bTjl/1!C•�YY:.�/ IIJ�/ 11 ^_
Footing Plbg. Underelab Mech. Rough-in '.k)pr/Sdwlk "
Found. Plbg. Top Out Gas Line FINAL:
Poet/seam etruct. ( San. Sewerr Framing -Bldg.
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Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underlloo 1Water Li a Gyp. Bd. -Nech.
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1V 7eeted: �CL 7 �� Qime: — AN PN �.
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Addrer6: - �rmit i:1� =J/� P•
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Builder: If-
THS FOLLOWING CORRECTIONS ARE REQUIRED:
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�i Inspector: �i
Date: G` 2
APPROVED DISAPPROVEtl !^ APPROVED SUB.Tn-CT TO ABOVE
{ Call For Reinep. t
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INSPECTION NOTICE
City of Tigard Building Department o
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Lise (Rer,-O-Phons)s 639-4175 Business Phones 639-4177
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk j
Plbg. Top Out Gas Line FINALS
Post/Bears Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Rater Line Gy Bd. -Mech.
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/1. _—AM PN
Date aquseteds �s lr� Times _
!c� / y� -
g Addr iss CD `Permit #,L
1 Builders _ -y /1
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THE FOLLOWIRG CORRECTIONS ARE REQUIRED:
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+: Inspector:_� ~i �� Date$_L �! Z_
APPROVED _ DISAPPROVED APPROVED 13UBJECT TO AHOVE
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Call ?or Reinep.
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INSPECTION NOTICE
city of Tigard Building DePartwOnt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phones 639--4171 a
Inspection:
Footing Plbg. Underslab Mech. Rough-.n Appr/`dwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. St.n. Sewer Framing -Bldg.
Post/Beam Mach. rain Drain Insulation -Plumb-
Plbg. Underfloor water Line Gyp. Bd. -eech.
- y q Z- Times AM
11 Date Requested:
ass: f��_"�a-i• �
-Permit 1s
Builder: —
( THE FOLLOWING CORRECTIONS ARE F".QUIRED:
S #, 117, .
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Date: lL/ -eiL
Inspe•:tur• / -- Y
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-Call For Reinsp.
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CITYOFTIFARD
LMASTER pE'RM I T
r" � PERMIT #. . . . . . . „ MST92-�1�70�2
COMMUNITY DEVELOPMENT D' ?ARTMENT o:neft
»+aaswv►wleMa P.o.e«23397. �.cd
n ,o► °' °' DATE ISSUED: 01/10/92 •
5I TE ADDRESS. . . : --1r._/+�8 ZW JORDAN WY ��� � �� PARCEL: 2S116AD-L3ED56
SUBDIVISION. . . . ; BEDFORD GLEN / `' ZONING:
BLOCI... . . . . . . . . . . LOT. . . . . . . . . . . . . ::�C
BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT., . . . . . . . :0 sf
LILASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARAGE :556 sf
TYPE OF USE. . . ::SF FLOORAREAS -"-- -- - - REQU I RED
TYRE OF CONST. :5N FIRST. . . . . 1894 s f LEFT. . :5 ft RIGHT. :`, ft
OCCURAN-Y GRP. :R3 SECOND. . . :0 5 f FRONT-20 ft REAR. . : 18 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 s f REQU I RED---._._____...___-_-___.
HE:IGHT. . . . . . . . : 15 1`t; TOTAL---------: 1894 Sf SMOKE DETECTORS. :Y
FLUOR LOAD. . . . :40 psf• VALUE. . . . . f : 971:32 PARKING SPACES. . :@
Remarks : PATH i CONSTRUCTION
PLUMPING
GINKS. . . . . . . . . . .. 1 FLOOR DRAINS. . . . :@ BACKFLOW RREVNTRS. . :O
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
TUB/GHOWERS. . . . :3 LAUNDRY" 'TRAYS. . . :0 CATCH BASINS. . . . . . . :10
WA'(LR CLOSETS. . :2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
UARBOGE DISP. . . : I RP TN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL --_.____.________ _.________.___._....__ FEES -_.___...._..____.__....
TYPES--•__.___--__....-___. UNIT HTRS. . :0 tape amount by date recpt
%173AS/ / / VENTS . . . . . :0 BPR'' f 427. 00 JLH 01/10/92 -
MAX INRUT:O BTU VENT FANS. . :3 BPLC $ 27.7. 55 JLH 12/10/91
F URN ( 100K . . : I HOODS'). . . . . . : 1 BSPC $ 21. 35 JLH 01/10/92 -
FURN ) =100K . . :0 WOODSTOVEG. :0 MRRT $ 36. 00 JLH 01/10/92 -
FLOOR F URN. . . . :0 CLO DRYERS. : 1 MRL.0 f 9 00 JL-H 01/10/92 -
L;LIIL./CMP ( 31-iP:O OTHER UNITS:O M5PC $ x. 80 JLH i"s,l/1@/92 -
GAS OUTLETS: 1 PPRT $ 132. 50 JLH ?)1/10/92
Owner: -.______.._._.____.___..________.____._____..__,. R51=.0 $ 6. 63 JLH 01/10/92
BEACON HOMES
P 0 BOX 1368
BEAVERTON OR 9707`-:,
Phone #: 524-1.999
Contractor:
DEACON HOMES
PO BOX 1366
BE-:AVERTON OR 9707
4-hone Os 524-1999
Reg #. . : 7076c'
9; 911. 83 1"O TAL
This permit is issued subject to the regulations contained in the --- --- REQUIRED IwSRECTIONS - - -- -
Tigard Municipal CAP. State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved post/Beam Struct Gas Line Insp
plans. This permit will expire if work is not started within 180 Rost/Beam Meehan Insulation Insp
days of issuance, r• if work is su,pended for re than 1 days, P1m/r-indslAb Insp Gyp Board Insp
PLM/Underfloor Rein drain Inst?
Permittee Sigrrat'.ir•e . s � Meclianical In�7p Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued 11y: F•'raminci Insp NechAnical Final
Call for inspection - 639--4175
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CITY Of'. T I CARD - RECEIPT :1r- Pi iYME114T RECEIPT NE,), s 9E- r..'E:1781
CHECK AMOLINT s 661. 83
NAME. a BEACON HOMES CASH AMOUNT s �.
.. PAYMENT DATE. s 01/10/92
ADDRESS a
}} Su8DIV191014 a
A-.5
PuRPCISE OF 1--'AYME N f 0MCIUNT PURPOSE OF PAYMPINT Ill+loUN T PA 11)
't EIUII...DING PERM 42'7. 00 F'LUMSING PERM 13ie. 50
i MECHAN I CAI.. PR 36 M 00 S*r. BUILD PER 78
PLAN C:HF'C K f-E ?6. 55
9
LOT i6' NF17F'ORD GLEN
-*Lo*!IE+ GW loRvAN WAY
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'�„ TOTAL AMOUNT 1-IAID 661. 83
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�-CITYOFT'FA R PLUMBING ��i RMIT
.; F-,ERMIT
COMMUNITY DEVELOPMENT DEPARTMENT " nAT.F I>c,tJE D-
j31469W 1d16Ad. P.O.Ba 23347,TWW.,ur.y�-orm(03)X4176
SITE ADDRESS. . . : 1:2486 SW JORDAN WY �(p'7[�� F!fiRCf l._: j''G1 16AD - .+L"!6
SUBv I V I S l ON. . . „ : BEDFORD GLE14 ;'ON I NG t
CLASS OF WORK. . !:NEW GARBAGE D I SPOGALS. . : 1
VYPE: OF USES. . . . :5F WASHING MACH. . . . . . . Al BACKFLOW PRE•VNTRS. . s0
J
OCCUPANCY SPP. . :R3 FLOOR DRAINS Nr. • • . . • • s � TRAPS. . . . . . . . . . . . . . 1 0
STORIES. . . . . . . . c 1 WATER HEATE=RS. . . . . . : t CATCH BASINS. . . . . . . e C
�j FIXTURE:=:S____..,....____..__.___ LAUNDRY r :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . . I GREASE TRAPS. . . . . . . ..0 I �
L.r4vA'r0RIE 0,. . . . .. : 3 OTHEP FI.XTURF_S. , . . . :Ili
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSET'S. . :2 WATER LINE (ft ) . . . . c100
( DISHWAS:iHERS. . . . : 1 RAIN DRAIN ! f`c1 . . ,. . ;0
E+-?mark s s MATH i -CONSTRUCTION
OWNEFRs
DEACON HOMES SPRT 1 427. 00 JLH 01/10/92 -
P r7 BOX 1368 PpLC $ 277. 55 JLH 12/10/91
} B5PC $ .�1. 3s JLH 01/10/92
BE AVE RTON OR 75 MPRT $ 36. 00 JLH 01/10/92 --
Phone #: -,J'4. 1999 MPL.0 $ 9. 00 JL.H 01/10/92
MSr,C $ 1. 80 JLH 01/10/92 -
j1= l).imt�i .q ( >). tr :._.�ar^o.__.. __. ..__ _._ .._ .._•_ PVRT $ 1:32. 50 JLH 4x1/10/92 -
r'"Pc $ 0, 63 JLH 01/10/92
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Zip ��`!�(..�._.•__ G I•r o n e#�..��-.��..w���_ _..~....
Req.*s
-- --- Rt RFD INSPECTIONS
Thi-f& permit is issued subject to the reg-
)_ilation.s c:untAined in the Tigard Municipal Foot/found Insp Rain drain Insp
Cade, 'Mate of hre. Specialty Cedes and all Post./Laeam Struct Water Line T.nsp
otFier applicable laws. All work will be done Post/Beam Mecham App•r/Sdwlk Insp
in accordance with approved plans. This Film/und!slab Insp Mechanical Fina)
permrt will expire if work is not started PL.M/UndprfIoor Plumb Fined
within 180 dayr, of i.ss).i,snce, or if H)or^H. is Mechanical Insp building Final
i suspended fn,, more than 1430 days. Fll)rmb ''op Out Erosion Control
I l Framing Insp Crawl Drain
i *0 Fireplace InsFr
Gas Line lnap -
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Insulation I n s N
[T y p Board Insp
Authorized Plumbi g Contractor ,ignature
!1 rrCall for insrec:tion 639-41.75
Contractor Not es s__.._..._..._,
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DATE: PLANS CHEC:KN .:
;�. 9-- 9 �
MNG CITY -
�� 15300&W..116th Avenue,King City,Oregon 97=41 PROJECT TITLE:
COUNTYWIDE
TRAFFIC IMPACT FEL APPLICANT: -^—�
WORKSHEET
(FOR NON-SINGLE FAMILY USES) MAILING A RES
P 6 !)3 0
CITY/21P ONE: I
RATE PER ' L F l.�
LAND USE CATEGORY TRIP TAX MAP NO.: �
RESIDENTIAL $138.00 ( ■
BUSINESS AND COMMS 35.00 SITUS NO.ADD SSS- — v S
INDUSTRIAL __ 133 AO /�p7
INSTITUTIONAL $57,00 ,
PAYMENT METHOD:
,X CASH/CHECK
CREDIT INSTITUTIONAL.ONLY:
BANCROFT PROMISSORY NOTEI LAND USE CATEGORY DESCRIPTION OF USE rEEKDAY AVI; TRIP RATI WEEKEND AVE TRIP RAT
DEFER TO OCCUPANCY
BASIS: ft?kdat a I _
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CALCULATIONS:
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PROJECT TRIP GENERATION:
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FEE:
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ADDITIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY:
Transit
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V ED BY:
CC: WASHINGTON COUNTY
TIF NOTEBOOK
form tit 10
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se;;e� a SAN ITARY• D
agencyg
155 N. First Ave.,Suite270, Hillsboro,Or,97124 SURFACE WATER MTN
503 648-8621
LONNEL- i 111 PEkrll I
ISSUE I1A l t ul oq'� LXF'1kA i IUN LiA l E. 070792 PERMIT 101964
rF:UL 10R'E: ti11f,REIS" 1-2-t&0 7 3 PRUJEL f 1 vS
I R(JL'f UkE ST RLE i JORDAN WAY
L01 5o BLOCK
I Yr•'L- CUNNELT .ILiN- NEW OF 14L~IIFOkU GLEN NO. 1
TYPE INSTALLAf ON- k1Y., BLit SWRiERU LUNiSLIC
TYPE OCCUPANL,1 - t 1 ) bINULE FAMILY PARLL-L 251 ' 16 All 37OU
IT I•R :)F-C 4/16 MH 18826 •
WNER BEACON HOnE'S
111DRESS P U B0, 1638 rRF:A rMENT FLANI' LIUItHAm
BEAVER1ON Uk 9?075 5UkC1,116 11151
HONE 621b-9029 JURiSU
IXfUk. . LOU IYALENf DWEi_L1NU RESIIILNI IAL
Irl Ta SL1%, 1 L E U N 1 0 U UNI I S UNI ib 1
y I.;tJNNEG � ICIPi FEL:;.i SURFACE WAIEk DL, r L':I'MLNi FLLI,,
I
SLWLR L.UNNE01uH IyVO .OV WATLR UUALITI 180 do
LESS CREDIT 60 VV
F WAItR WUAN1I"i1 100.00
I..Es6 CF;CDI r
FkCf'oILlN t_0N+ kOL
I.NS1`LLtIUr4 40. U0 1
PLAN LHELk 26.00
SIIB101AL 1900.00 'aUBTUTAL 286.00
rU rAL 2186.00
nF'F'L NAME F'F T1:k KUSYK Q'IL
1F'FILLIATILIN CWNEk
REMANkS
*24 HOUR NOTICE FOR ERUAION CONTROL 1NSF'EL'I IUNS RLLIUIRLII
SIt3NATURJie!`� ISSUtI1 BY
Permit Conditions: The applica t agrees to comply with all' rules and regulations of the Unified Sewerage Agency. when calling
for an Inspection, (lease refer to the Permit Number. The Permit expires one hundred eighty (180) days from the date of
issuance. The total amount paid (permit fee, connection charge. Ine tan Ae and/or other charge) will be forfeited if the
)1 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.
6/90 WHITE - USA, BLUE — Accountiig, GREEN —Inspection, YELLOW — Customer
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