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CITY OF TIGER® * Jr.
COMMUNI'r Y DEVELOPMENT DEPARTMENT
13125 4W Hall blvd.TIQud,Oregon 07223.8189 (503)539-4171
16-7 1 OW ,JCV! 0(11`I W'r"
I.Jk3gJVT.`.a1ClhJ. . . » BE::t)i.'ORE, lLF.N a`ONINU '
+1..l:)C_; • . . , . . . e ! OT. . . . . . . . . . • . . »'3ie
11ASS Or WOO '-;. -W'.14
i'YPE (IF' USE. « . :FT
CI,UPONLY G, )F JJ c ). 1 fi
EENT NOME. . . c
a
P0 BOX 1.36A
;AEAVEPION OR q7075
�)wn a r�a .. ._... ..._..._.._..._.._...�_........�_ . .. _....... . ._..._.
a
1J B(.AX 1368
,tfi:AW VIDN OR 97075
!'hatw fF c 05iR4- .1' 99
!cc,1ApAniay caf the af)ovc ref*mere&& bwi .ldin41 is hereby r;fivom, and c:`el'tifie
� hn compliance with the St Ate Of oreurin i;pe(.A.Alty C;aciew for the Ul-w.(p,
c.cc,�p racy,
and use Linder which the referenced permit wat
r I PV, 0[ 1 ; J, ; :,n ! i KYRAYING APING IhISPELTOR
1:1i..fILDIN i cirr tr v
R;
INSPECTION NOTICE
City of. Tigard Build'.ng Departaent C
13125 SW Ball Blvd. TigArd, Oregon 9.7223
Inspection Line (Rec-O-Phone): 639-4175 Buninese Phone: 639-4171
Inspection:._
r � I
Footing Plbg. Underslab Mech. HOLgh-in Appr/Sdwlk
q Found. Plbg. Top Out Gas Line
Pout/Beam Struct_ San. Sewer Framing r8—
Poet/Beam Mech. Rain Drain Insulation -P� 1�
�-
Ylbg. u.:derf.loor Water Lines Gyp. Bd.
ate Requeeteds 1:1) _l 3 Time: — AM PM
75/
Addresat -Z / Permit
Buildorz
THE FOLLOWING CORRECTIONS ARE REQUIRED:
42
f
t _
i ' 7
Inspector: _ Date:v
3 )
PROVED DISAPPROVED ^_ APPROVED SUBJECT To 1BOVE
_Call For Reinep. f
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a INSPECTION NOTI,JF I ''
City of Tigard Building Department
13125 SA Hall Blvd. -:.pard, Oregon 97223
{{ Inspection Line (Rec-O-Pl�Qne): 639-4175 Busineaa Phone: 639-4171
Inspection: - L - xJ•
:r Sdwlk 1I
exciting Plt)6. Underelab Mech. Rough-in AQI /
Found. kbg. Top Out Gag line FINALS
t
1 Poet/Beam 5truct. San. Sewer Framing -Bldg.
r
t
Post/Beam Mech. Rain Drain Insulation -Piurab. _
Plbg. underfloor Nater Line Gyp. Bd. -Mach.
Date Requestode_/.-•f ` Time: AM PM
Address:_ ermit.
BLilders - ?� '�— t- ■
TFIE FOLLOWING CORRECTIONS ARE REQUIRED:
g.
--------.-..------
+
t<'
- . _ --- - -----
l
Inspectors-
APPROVED DISAPPROVED _ APPROVED bURJECT To ABOVE
i
Call For Reinap.
,t
1
1
X
",iiiiiiII1116161�.
INSPECTION NOTICE ,
city of Tigard Building Department
13125 SW hall Blvd- Tigard, Oregon 97223
-417- ,s
Inspection Line (Rec-O-Phone): 639-4175 Business Phono: g
Inspect.ions
Footing Plbg. 7ndersl.eb Mach. APPr/Sdwlkr.
Found. Plbg. Top Out
�Jine UINALs
Poet/BeamStrurt. San. Sewer Framing
-Bldg.
Insulation -plumb.
,
Port/Boam Mech. Rain Drain
s Plbg. Underfloor Water Line Oyp.:Bd. -Mach.
AN PM
Date Roque aced:
-- Time: - --^
rl11�� permit
Address: �}'�
U ,
Builders—
THE
uilders_TRE FOLLOWING OORRE(-.-3NS ARE REQUIRED:
i
rOjai,o
1 -
Insper_tors _ Dates _
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
d
C
INSPECTION__L_OTICE
" City of Tigard Buil&ng Depa.rtnent �5��
13125 Sp Ball Blvd. Tigard, Oregon 97223
Inepecti.n Line (Rec-O•-Phone): 539-4.175 Business Phone: 639-4171
Inspection:_____
Footiny Plbg. Undersl,ib !,ech. Rough-in Appr/Sdv,lk
Found Plbg. Top Out - Ga FINAL=
Poet/beam Struct. San. Sewer Framing— -Bldg.
Peet/Beam Mach. Rain Drain �� Insulation -Plumb.
Plbg. Undar, '_oor, '4ater Line Gyp. Bd. -Mech.
Date Requested:_ (/ ^:'imes PM - _PM .
Q
Address: "'t" : _ — _Permit
Builder:
■
THE POLLOWING CORRECTIONS APE RnyUIRED:
t
Inspectt _ Date:—
r
g PPROVED DISAPPROVED I.PPROVED SUBJECT TO ABOVE
Call For Reinsp. A
I
IHSPF.71ON NOTICE
City of. Tigard Building Department
k
13125 SW Ball Blvd. Tigard. Oregon 97223
i Inspection L_ne (Ree-0-Phone): 639-4175 Business Phone: 6.j.-41.71
Iaepection: - —
Pcr.&i.ng plbry. 'Inderulab Mech. Rough-in Appr/Sdwlk
.3r--
Found. ( elby. Toi Out Gan Line FINALS s j
Port/ream St:ruct. San. Sewer Framing
peat/ream Mech. Ra).n Drain Insulation
plbg. Underfloor Water Line Gyp. Bd. -Mech.
[G `7 _Times -Z-- -Am -
PN
Date 9equeeted:
rmit #:�
Address:_
Builders —
THE FOLLOWING CORRECTION:! ARE REQUIRED:
f.
f,
3,
+ l,
1 r C'x
r
r°erv+
Inspector:_1�7�% J" - Date-_/
APPROVED DISAPPROVED APPROVED SUBJECT TO AM.VE
/ Call For Reinsp.
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7
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INSPECTION NOTICE
City of Tiqard Building Depar':
13125 SW Ball Blvd. Tigard, art-jo -�^
Inspection Line (Rec-O-Phone)s 639-417° caa inee,_ i� 63 -
Inspections !_ ` CIA
_ '
Footing Plbbj. Underelab Hoch. Rough-in Appr/Sdwlk
� 1
Found. Flbg. Top Out ._Gas Lin;e ) FINAL*
Poet/Beam Struct. San. ,ewer Framing -Bldg.
Poet/Beam Mech. Rain Drain 7noulation -Plunb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Re eeted: I I 7 - �Z __ Times AM PN .
(C , G'f/qu L Gl Permit /s -0( l30
AddreaatyC1�fl,"LA& ��-�
63
Builder.•_„_��i
d ■
THE FOLLOWIVG CORRECTIONS ARE REQUIRED*
77
Inepsctor.s __— Dates
_APPROVED DISAPP OVF.D ^_ APPROVED SUBJECT TO ABOVE
Call For Rei-nap.
�4j
06.
i.
i
�.�
1
uqr` . UUU
INSPECTION NOTICE
City of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-1111
Inspections___ -_ - ---- -- ,:
FootJ_ng Plbg. Underslab Mech. Rough-in Appr/Sdwlk 1
Found. Plbg. Top Out Gas Line FINAL: i
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Merh. Rain Drain Insulation -Plumb.
lbg. Underfloor water Lina Gyo. Bd. -Mech. S
Date Requestedt _—Time* —_._AM —�yPK
�.YF��`^9 + "j ' �� CLQ-�r�
N't Address: _'PQ is G� U
lrs
` Build r:
THE FLITL40WING CORRECTIONS %RE RIQUIREDt -
,
m
Al
�,r4l�71� � t
{{jjvr!i ",',
�4
t��
1�
t 4:
yY J If 1p� 1
t SCi
t M1^n�i�' Y 1 FF �A�7 Ota
Inspec Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
1
MA
LSPECTION-NOTICE /{ I
j City of Tigard Building Department
13125 Bit Ball Blvd. Tigard, Orogon 97223
Inspectlon Line (Rec-O-Phone): 639-4175 Business Phoma: 639-4171
Inspections-_—__ -- — ---
• r Sdwlk '
Footing Plbg. Underslah Mech. Rough-in App / k
Pound. Plbg. Top Out Gaa Line FINAL:
et/Beam Strutt. San. Sewer Framing -Ble.g.
a•-/Beam Mech. Rain Drain Insulation -P1u S3•
tl.bg. Underfloor Water Line Gyp. Ed. -Hoch.
Date Attquesteds .+}� —Time: — AM
Address:- r _,..1tLL ..permit
Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
.1�4i
i
C?
M
C� V
Inspector: �- -_— —_ —_.--_ Dates
r �1 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
1
A-SSPECTION NOTICE Z~
I
City of Tigard BuSldang Department '
13125 SR Scall Blvd. Tigard, Oregon 97223
Inspection ';ine (Rec-O-Phone): 639-4175 Business Phone: 639-4171
t �
y Inspection. --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlh
11
Found. Plbq. Top Out Gas Line FINAL:
Poet/Beata Struct. an. Bawer Framing -Bldg. I�
Post/Beam Mech. a n ran Insulation
r
F lbg. Underfloor mater Line-) Gyp. Bd. )(ech. �U
8
Date Requoated:_ - � Timet _AM , _ri'M
� .
Build.,:
fir' ■
THE FOLLOWING CORRECTIONS ARE REQUIRED: v
)
0.
�__�_._. — _—_—_—__�—. .•iii
1
1 '
1 l a itt
' 7
s�l,�ltb'r"at � i
1-�
Inspector:
iW' h
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap. i �f"W'
tx(fit'
.,-... `rxhY194RIrCJnK5T6,a i1.T�•rr,a h:-„ _ ,., ,,' fer~t)}4 ,�Y)�,
5
,r
INSPECTION NOTICE • Y
City of Tigard Building Department j
13125 SN Ball Blvd. Tigard, Oregon 9722'
�C_
Inspection Line (Rec-O-Phone): 639--4175 Business Phone: 639-4171
P
;nspection:
Footing Plbg. Underalab Mech. k h-ia Appr/Sdwlk
Pound. Plbg. 'fop Out Gas Line FINAL-
Post/Beam
INAL-Poet;Benm Strutt. San. Sewer F_aming -Bldg,
{
st/Boam Mech. Rain Drain Insulation -Pl,imb. AT
Plbg. Underfloor Nater Line Gyp. Rd. --Koch. i 1v
7 r
Date Requested: Timet AM
Addre►e Permit #s
THR FOLL041ING CORRhCTIONS ARE REQUIRED:
f
Inspectors_
- Date:
PPROVED
D i SAP PRO'JSD
,t APPROVED SUBJECT TO A60VR
f d
i __Cal; For Reinsp. 4 *d!
,
0
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-
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v
C17YOFTIGARD �CZ� MASTER P,ERIYIIT
CIIYOFTI6/1!D � � . » . . . . . hIS T•92-•¢1.180
P,ERI I I t #.
e:OMMUN" DEVELOPMENT DLOARTMENT 01116 N
13126 SW FWI Blvd.P.O.Baur 23:197,Tlp�d,Omoon 97 6391176 DATE ISSUED: 0 9/Q18/9 2
KOS-( 1 1F'ARCF L : 'S 1 1 E AD-PFD5
S.T'f"l_: ADDRESS. . . : —,7Hr ,. 'SW JORDAN W'r'
;UBD I V I S T(:INI. . . . : 1-::Ia:C1 RD GLEN
ZONING: 4
:58
__..__._.__....._.__....__.._.__._........._.____..._...........__..._.- BUILDING -___..__..__......_.._._....._.._______..._.....__._.._...._.___._. ..____..___ _
REI SSUE:14ST92--0062 DWELL..I NU UN I T5. 1 BASEMENT. . . . . , . » :r_ti s F
CLASS OF WORK. :1'4EW BEDRNS BA`rIAS:2 GARAGE. . . . . . . . . . :573 s
TYPE OF USE. . . :SF FLOOR F1REfas- __......_____._._ REQUI RFU SETBACKS------------'-'-'
-rYr:'L-: OF CONST. :5N F'I RST. . . . : 19 13 s f LEFT. . :5 ft RIGHT. :5 F+
OCCUPANCY GRF'. :R3 SECOND. . . :0 s•F FRONT. -.20 ft REAR. . :20 ft ■
STOR I ES. . . . . . . : 1 TH I RD. . . . :0 s f REDO I
HEIGHT. . . . . . . . .. 18 ft T'C)TAL.- - - -- : 1913 s f SMOKE DE:TECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 98312 PlARKING 51-` ACES. . : 1
Remarks: PATH I
rlLUlYlBING
SINKS. . . . . . . . . . : 1 FLO-)R DRAINS. . . . :0 BACKFLOW C'REVNTRS. . :0
LAVATORIES. . . . . :3 WATER Hr_A` ERS. . . : .1 T'Krlpc;. . . . . . . » . . . . . . :11'
TUN/SHOWERS. . . . :3 LOUNLIFY TRAYS. . . : CATCIJ fiia:rllI1S. . » . . . . :0
WATER CLOSE' S. - .2 ;EWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERG. . . . : 1 WAl".::R LINE ( ft ) . : 1.00 0111ER F I XTURE-3. . . . :0
GARBAGL. D1SF'. : 1 Ri-.iN DRAIN (ft ) . :QI
WASH I NG MACH. . . : 1. SF RAIN DRAINS. - * I
____.__.___--•___-_ MECHANICALL�
FUEL TYPES- _---- __.___ UNI r HTRS. . :0 type amor.rnt by date r e pt
iGIlS/ / / VENTS . . . . . :0 BPRT $ 4:31 . 00 F'LL 09/08/94:. -
MAX INF'CJT:0 B IU V IEN r FA1\1S. . : 3 Br'LC $ 40. 00 JL_Ii 08/1,3/9,2
FURN ( iOOK . . : J. MOODS. . . . . . : 1 B5PC $ E:1. 50 F-'LL 09/08/91"::
FURN ) -100K . . :Q1 WOODST•OVE5. :17) 11FIRT $ 36. 00 PLL Or.)/08/92 -
FLGUFi FURN. . . . :0 CLO DRYERS. : I 11F'LC $ 9. 00 F'L.l_ 09/08/92 -
BOIL/CA ' ( .,HC':1 17"I-1JER UN.TT`5-O 1�15F'C $ 1. 80 F'I_.L 0`x/08/92
GAL; OU'r-LETS: I F'PRT $ l ..i1-'. 50 F'LL 09/08/92 -
Owner.: ___ -__..___.___._______..__._.__._._.___.__-_____._ F:'` PC $ b. 6 3 PLL 09/08/92
BEACON HOMES BELL $ 15. 00 FILL- 09/08/9:'
Flo BOX 1::68 1115c: $ 35. 00 PLL 01"3/08/91": -
BEAVERTON OR 9'70';b
F11-ione #: :=524-191ii9
Cont Tactor
raE:faC OP,1 HOMES
F'O BOX 1368
BEAVERTON OR 9'7075
Phone #: 51"14-•1999
Rey #. . : 70782 _._____._.....--•----.___._.__.._.___.___________._.____
727. 43 T-31 AL
This permit is issued st.biect to the regulations contained in tht -- - - - REDUIRED iIVSP'E:C'TIONS - - -- -
Tigard Municipal Code, State of Ore. Specialty Cades and all nther Foot/for.rnd Insp F .:rpplace Insp
applicable laws. All work will he done in accordance with approved Post/Beam Str•ur..t Gas Line Insp i
plans. This permit will expire if work is not started within 188 Post/Beam ''1echan Irnsl.Ilation Insp jl
days of issuance, or if work is suspended for more than �P@ days. P I m/Und s I ab 11'1 s p Gyp leo ar^d Insp
i Pot-M/Underfloor• Rai.r! drain Insp
Permittee 43ignatr_1r'e : MechalTical Insp Water, Line Insp� n F=' lr_Irnb Top Or.It Anpr^/5dw11< Insp
rssrled By : �C Fr aming Insp 1+1ec.hanic:al Filial
Cal ' for• inspmetion 639-4175)
V 711
C ,A' T e Bras SW HsU Diva. PLNCK/RECT
jpL. .E Of-4, TIG RD PO Baa 21.397 - U
OOMMUNnyDEVCLOI'M(uT1TDEl'ARrMENZ' '�1Wdo�.� 997W PERMIT T +M 12 5 tS� l f�
/I -L (swls3ra�7� DATE ISSUED
JOB ADDRESS: .ZL32-- _ SW aQLd Way T;X MAP/LOT
SUB: Bedford Glen LOT: S8 LAND USE.
VALUATION: 93751, 3/2-
SPECIAL NOTES w
NAME: Beacon .damps, Inc. REISSUE OF: 1nsfYZ
ADDRESS: P, U. Box 1368 _ LAST REISSUE;
Beaverton, Or-. 97075 _ FLOOD PLAIN/
PHONE: 524-1999 Far. 524-1998 SENSITiVE LAN, :
CONTRACTOR APPROVALS REOUIRL2
NAME: _,,,j�eaconj Ince _ PLANNING:
ADDRESS: _ P. 0. Box 1368 ENGINEERING:
Beavertc.1., Oregon 97075 FIRE 4EPT:
PHONE: 529-9 _ OTHER: j
CONTR. BOARD M: 70782 EXP DATE: 1? �
ITLMS REQUIRED
SUBCONTRACTURS: PLUMB; y ue Plumbing
..._,� LIST/SUBCONTRACTORS:
MECns n,pb,- Quality Heating BUS TAX:
CALCULATIONS:
6iAME: /Ar TRUSS DETAILS: i
ADCRESS: 16325SW Boones Ferry Ptd., Suite 201 OTHER:
- T-.vo r_ Vp' L4;euQii-7035
PHONE: 636-0755
i
PROPOSED BLDG. US": RaG{aP.rilia3 l Pa-
'' _1
COMMENTS:
APPLICANT SIG TURF
Received By: i, _ Date Received:
r.
IMF
IL
00
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BALL.,DUE
h12f1t��,o 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees 1YZ,5v
10-431 01 Mechanical Permit Fees 3(11 CIO
10-230 01 State Building Tax (5%)
Building -ZL
Plumbing ��
Mechanical
10-433 00 Plans Check Fee �`- --
i Building
Plumbing
Mechanical
10-230 06 Fire _ —
30-202 00 Sewer Connection _
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 Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees _
52-449 00 Parks System Dev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) _
4;
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of)
1
TOTAL
nm/3587P.WPF
i
I
I -
s•s: ,
..7 .... ...rrW- .wr 'RAs_l�`i Ii�1wM•1-,.
utzs s��:tiau uwa. PLNCK/RECT #
CITY OF TIGARD �����y397 PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT Tiganl Oreg-on 97
4171 J
(503)639 DATE ISSUED
JOB ADDRESS: TAX MAP/LUT
SUB: LOT: _ LAND USE:
VALUATION:
�R SPECIAL NOTES �
NAME: REISSUE OF: —
ADDRESS: LAST REISSUE:
0
FLOOD PLAIN/
PHONE: _ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: _ PLANNING: _
ADDRESS: _ ENGINEERING:
FIRE DEPT: —
PHONE: OTHER:
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
1,UBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS:
MECH: BUS TAX: --
ARCH ENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS: —
APPLICANT SIGNATURE
• Received By: Date Received:
I
, a
1
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i
iso
CITY OF T I GARD — RECEIPT OF PAYMENT RE'CF:'I PT P4C1. 992—P,31404
' CHECK AMOUNT a 68 7. 4;3
NAME: e REACnN HOMES, INC CASH AMOUNT a 0. 00 j
ADDRESS a 19(k.5 NW 169TI-I PLACE PAYMENT DATE a 09/08/99?
BEAVERTON, OR SUBDIVISION
9-7006—
PURPOSE
7006—PURPO E OF POYME=NT AMOUNT PAID '"'URPOSE OF PnYMUNT r•;IYIG'JhIT POID
BU I LD)NO PERM ~M$T98--0180 430. Oie PLUMBING PERM 132. 50
ME'CHANICAU PE 36. 00 5T. BUILD PER 29. 93
,A-AN CHECK FE 'c'4. 00 SEWER INSPECT :.35. oel
1 0TAL AMOUNT PAID _ , 687. 43
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c - OFTWORD ID
F4..!.JMf+INC3 PERMITt�MMNITY DEVELOPMENT DEPARTMENT F E:1M I r #. , . . . . . : IYI �9�s_.0
4
13`1X&VHd§aa,P.0.6oa=W,T1pnd,0WMVW(503)s4175 i�HTFti ISF,t.ir 1)a �r�7/r�
SITE ADDRESS. . . a f SW JORDAN WY PARCEL.: 21311EF1U NEI)5F�
t' SUBDIV1S1(-')N. . ., .. a BEDFORD GLEN Z0N1Nl:.;a
' BLOCK. . . . . . . . . . a LOT. . . . Y . . . . . . . . a 513
CLASS, OF' WORK. . 414-W GARBAQE DISPOSALS. . ti
TYPE OF USE. . . . ISF WASHING MACH. . . . . . . it BACKFLOW PREVNTRS. . :0
OCCUPANCY GRP. . aR3 F=LOOR DRAINS. . . . . . . s0 TRAPS. . . . . . . . . . . . . . .0
STORIES. . . . . . . . a 1 WATER HLATERS. . . . . . % I CATCH BASINS. . . . . _ so a
LAUNDRY TRAYS. . . . . . v@ SF 14A I N DRAINS. . . . . it
b 1IVK5• . . . « Y . . Y . a l GREASE T RAPS. . . Y . . . ;0
1_AVAT'ORIFS. . . . . a3 OTHER F'IXTURE3. . . . . 10
TUD/SHUWE_RbW . . . . a SEWER L.INL (ft) . Y . . a0 e
WA'1ER C;LUI ET'S. . a WATt R ,LINE (ft) . . . . a IIbO ,
r
DISHW146HL, . . . . 91 RAIN 1)14A1lV (ft) . .0 '
Remarksa PATH I
:
OWNLR a
DEACON HOMES 3PIR 430. 00 RLL 09/08y'92
'All I F�'LJ BUX 1368 BPLL t 40. 00 JL..H 08/.3/92
85PC * i?1. 50 F'l_L 09/08,192 -
BEAVERTON OR 9.7075 MP RT • 36. 1710 FILL 09/08/92 -
Phone #a 524- 999 MPL_C $ 9. 00 PLL. 09/08/9c
Ma_)Pc ! 1 . 80 PL.L 09/08/92 -
j
Plumbing C:ontrarctara_•._...____.._.._.__...._._.._---- PPRT $ 13,. . 50 RLL V19/08/92 �,..
P5Pc f 6. 63 FILL. 09/08/92 is
IVame :_ 1 •l i1_ _ __._ . _.___ SPLC $ 1 5. 00 F=ILL. 09/08/92
Nddreks :. MISC f ,3;5. 00 FILL_ 09/08/9r', ..
Cit y I ht atea
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Zips _71L�$ _ r�Phone#a
Reg
. - REQUIRED INSPECTIONS
Thi.a permit is issued subject to the req--
aalaa•t :ions r.ontcained in the Tiga d MurriCipr-Al F=oot/found Insp Rain drain 1rlsp
Code, litarte of Ure. Sppcialty .r drs anO all t'ost/beam Struct Water Line ..Ln=.p
Other opplicaible lar•rs. All work will bc� done i='nst!Neam t♦let~heln Aper/Sciwlk Insp
In accordance with approved plans. This Rlm/undslab Insp Hecharnical Final.
permit will expire if work is not started FILM/L.lnderfI nor^ Plumb final
4within 180 days of Issuance, or if imork is Mechc%nr.carl Insp Building Fined
smspended for more than 180 dAys. PIURIL.I IOP Out Erosion C:ontrel.
Framing Insp Crawl Drain
Fireplrac:e Insp _ t
< f3a% Line Insp .
I
I n s i.r l a t i o n Insp _,.,... .._ _._... �..
�......__ GYp Board Insp
rr icirnI ized Plumbing Contractor Signature
Call for inspection 639-•41'75
� L:ontr•act or Nat e q a __ _ _ •.,
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P' " ';•i N�Wy ,.F•'ww..�sr. y c ,di+.Aib; i +l r'
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w1M�lam
unified SANT IARY• mpg
sewerage ) I
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(�agency N.First Hvc.,Suite 270,Hillsboro,Or,97124 SURFACE WATER
503 648.8F.21
j CONNECTION PERMIT
ti
ISSUE DATE 07089: EXPIRATION DAFE 060793 PERMIT 103168
STRUCTURE ADDRESS 12433
IPROJEC.T 15'08
STRUCTURE STREET SW JORDAN WAY
LOT 50 BLOCK ...
r TYPE CONNECTIUN - NEW
OF BEDFORD GLEN N0. 1
{ TYPE INSTALLATION- ( 19) BLD SWR/ERO CON/SDC
TYPE OCCUPANCY- ( 1 ) SiNGLE FAMILY PARCP•:L 251 15 AD 29200
CTR SEC 4716 MH 18027
OWNLR BEACON HUMILSr INC
ADDRESS 1905 NW 169TH PLACE TREATMENT PLANT DURHAM
BEAVERTON OR 97006
PHONE 5Ge4-1999 _ J!"RISD
i
FIXTURE EGUIVALENT IIWELLIP�G RESIDENTIAL
UNITS SERVICE 'UNITS O .0 UNIFS 1 SERVICE UNITS 1
i CONNEC1ION FEES SUR AUE WATER DEVELOPMENT FEL-'S
WATER DUALITY 180.00 !
LESS CR'-:'IT 180.00>
WATER OUA1111 'TY 100.00
LESS CREDIT < 0.00>
CRUS1UN CONTROL
INS'-`ECT I ON 40.00
PLAN CHECK 26.00, '
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$08'1 �1L 0.00 SUBTOTAL 1660i�1y
TOTAL
TER KUYSK HONE �( _-/ �-7-��
't�•, �% •{' j! µ .7r.1�. t{i rt,tr.w 'r�!�a `1h. 1 ''1't+�i ,., . i '� "7,• y Y 7^'.
,,,,,,ffffff L+ 1 Y�'�.16r LYS � '_ h , ,:', of " silt.I a� � i n, 1�• ' r�
I`, � 'i>♦ ���yy+� k ttiL ',. r' r!;�r �p-il ,.k7 a F:-. ffy"_. t'• � �{� tt. r,.1 .. ,� ;
908-,BEDFORD4LEN4
: U E 8I1� ��,CbN Rb f�SF" CTIbNS REQ IREL)' ai
:F a N,� T ,
;+ F�pif� nd .'16ns yThe applicant agrees to %amply With,811 rule's and regulations of the Unified Sewerage Agency.r , e e i
`7f r0a 116t 116A., .please refer to the`•Permlt Number. The Perwit expires one hundred eighty (180) 44•ys froma detlt0 a F i "
illsltlnce.!!�%tTh�,total amount paid (pei-Ait fee, connection cnarge, •,line tap fee and/or other charge) will be forfeited if.the
permit 4xpihet:t'k r+ s
h!' ll�ency�l y"{not guarantee the accuracy of the 'tocaOun`of'slde sewer laterals. If the lever is not lout t� t�ia ► �,i
l:.S+''ement ,,��l4dn;�the installer shell prospect three feet to all directions from the distance given If not 3o�lacated.°the a
+� 59 installer a 61l,purthise a'Tap and Side Sewer' Pemit et the current charge and the Agercy will Install a lateral
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6/40 WHITE — USA, BLUE — Accounting, GEEEN —inspection, ..:'.LOW - customer .
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