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16757 SW JORDAN WAY Mw*w.i Zell u�♦:*IrlNq�nb�tealroMN'�•.�•rww' ..a ., ,�.t.�. ,':�''•'A !t r, r�1` ',�`°r��2� r�'w` .'�'t',�t. -:+:�� " ��.`!' �t'�P�,:: ��: �`�'�.r 4`�,Y. ,.i � '.y��,,�qr �.�I�;r�,;'. >r ', ^,; 1 �t M f Y ,r r,. y II'1 /T Yip 1 1 ;I l I k� 1 I I� r n ,�, r r,. JUN-12-95 MGN 13:37 MARINER HOMES, INC. FAY NO. 5241998 P. 01 ]7]Y5 Sii Qali Alad. Tigard, uvegoa 97223 Inepoction Li..te (R.J:-G-Phone)r 639--4178 eun)neae Phone, 639-4171 I ° � Footing P1bg. Un'lerslah Mach. Rough-in 1!.ppr/5dwlk i Fix-And. Plln- Top '>ut Gas Lina FINAL: f Pont/Beam Struct. San. Soo: Framing -ElAg. Port/ream Hech. PAL ^.ain Innulaeion -P1uazD� Plbg. unrler;Tloor hater Line Gyp. ad. -March. Gate Rogvoat.edj___r 1 —(—Lc —__ Tirtuar AN +�� Pl•. Actin., jcm, , 'J hd re¢e:_ _.� .. .._;._.J_ y.� Permit !: ?uildwri_ jr THS For-wwlmG CORRECTIONS REQUIRED: ■ (,-I) +7q f 4 4AP1 '�VFD DI9APPROVEO APpnovED SUBJECT TU ADfJV$ ___Ca1L For Reinop. • `1 r �i Sr i rF TIGARD iJune1, 1995 OREGON\ r l RE: BUILDING PERMIT # Inspection(s) have been conducted on this project. Howe we have no record of any subsequent or final inspecticns wit:- _:. the past 1.80 days. Please note that permits become void if there has not been an inspection performed for over 180 days. In that case, the Building Division may require a :iew application and fees to continue work. v. A notice of non-compliance against the property may also be recorded by the City. Please advise the Building Division, IN WRITING, within 15 days of this letter, the status of this project . You may request additional time to complete the project . Respond IN WRITING to: Building Divis'4.on, 13125 SW Hail Blvd. , Tigard OR 97223 . Be sure to include the following information: 1. Building Permit #. I 2 . Address of property. 3 . Your name. 4 . Your phane number 8 : 00 a.m. -• 4 :00 p.m. If you are ready to schedule your next inspection, please call ov,r 24-hour Inspection R-corder at 639-4175 . login\sdd_inspeceions i 13125 SW Hall BNL;., Tigard, OR 97223 (503) 639-4171 TDD fl:X03) 684-2772 awl A.�4T'N July 18, 1994 Beacon Homes 9500 SW 125th Beaverton, OR 97005 � 16�1757 SW JORDAN WAY, BUILDING PERMIT #MST92-0176 t The last inspection conducted on this project was a failed building final on f 12/4/92. We have no record of any subsequent or final inspections for this i project. { Please advise the Building Division as to the status of this project within 15 days from the date of this letter. At that time, you may schedule the next required inspection. 1 Please note that permits become void if there has not been an inspection { performed for over 180 days. In that case, the Building Division may require a new application and fees to continue the work. Also, a notice of non- compliznce against the property may be recorded by the City. If you need additional time to complete the project, please contact the Building Division so that an extension can be discussed. i I -.... I' 6 Notice.a 1 i j 1 Tom. WINE 1 t INSPECTION NOTICE City of Tigard Building pepart�ent 13125 Sq Ball Blvd. Tigard, Oregon 77.23 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections-- —� —_-- --_ -----_ Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk i Found. Plbg. Tor Out Gas Line` FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mcch. Rain Drain Insulation -Plumb. Plbq. Underfloor hater Line Gyp. Bd. -Mech. Date Re esteAis �_/LI—�L _Times __ All PN • Addrdr as ■ a / (/L./� -Permit i s Builder: i THE MLLOWING CORRECTIONS ARE REQUIRED: Vo 21, Jr p.�p 5U tir'� "lJ 1 p Inspector: Ortvt --hPPROVF.D DISAPPROVED --- APPROVED SUBJECT TO ABOVE _V Call For Reinsp. F.• i t i Nz spECTION NOTICE City of Tigard Building 3epartment 13125 Sit Ball alvd. Tigard, Oregon 97223 l✓ q i, Inelection '..ine (Rec-O-Phone): 6?9-417r Business Phones 63!-4171 Inspection: Footing Plbg. Undereleb Mech. Rough-in Appr/S Found. Plby. Top Out Gas Line FINAL: J ■ } Poet/Beam Struct San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line ` Gyp. Bd. -Hoch. / �zev;'J Date Reested:`Y�J�,F�����/3 '2,4— Time: % )AH I /PH Add e si `'7 C/ .Permit #t Builder: — THE FOLLOWING CORRECTIONS ARE REQUIRED: Y j� y J � ,r r, Inspectors �'1 Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE { —_Call For Reinsp. ti r, a 2 INSPECTION NOTICE City of Tigard Building DPPartment ^ c 13125 SW gall Blvd- Tigard, Oregon 97223 Ins.,;ction Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 1 InePertions __. - Cr Sdwlk Footing Plbg. Underelab Mech.,Rough-in APF / Found. , �gp Gas Line FINALS 1b . To Framing -Bldg. Poet./Bear. Struct. San. Sewer Poet/Lisam Rech- Rain Drain insulation -Plumb. Plbg. Underfloor Water OYP. Bd. -Hoch. LaJ Times —PM Date Requested:,_ _ Permit /i Addroea s Builder: --•--- THE FOLLOWING CORRECTIONS ARE REQUIRED: f tr+l ;i �i'J ...._ Date:_ -- Inspector: `-"- �- _ --._ -------------- / APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE - call For Reinsp. �. ■le�� INSPECTION NOTICE j rl City of Tigard Buildir, .par;sent 13125 SW IW I Blvd. Tic ird, Dragon 9722.3 inspection Line (R017-0-Phone): 639.4175 Business689-(71i 11 inspection:-- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk v + �` Found. Plbg. Top Out Gas Line FINALS rhe + r , poet/Ream Struct. San. Sewer. Framing -Bldg. �t ,:•t : Post Beam Mach. Rain Drain Insulation -plumb. Flbg. Underfloor water Line GYP• Bd. -Meth. fj Date Requested: _ - Time: -- �A^M7 Permit #:/7%5 AddreaesQ_'S(aJ 41 Builder: - — p e ■ t ` TRE FOLLOWING OORRI.CTIONS ARE REQUIRED: iJ r C? t2✓Ct '': too ✓:. ��1 r , A 1 . 'i Inepecto ^— _ Date�Q `v APPROVED D[SAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. r ,,- INSPECTION NOTICE City of Tigard Building Departsent 131.25 SB Hall Blvd. Tigard, Oregon 97223 �r In3pection Line (Rec-O-Phoue): 63f+-4175 Biriness Phone: 639-4171 F" i, Inopection:_ -- 1 Footing Plbg. onderslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer - raming ., -Bldg. n C- - Pont/Beam Mech. Rain Drain Insulat-on -plumb. Pl.bq. Underfloor Water Line �7 Gyp. Bd. -mach. . Date Paquented:___ ) lG /C/[ Time: AN Addree! LJ.. Lt _ Permit Builder: .Lti / '172 THE FOLLOWING CORRECTIONS ARE REQUIRED: A-_�� � �✓�J- /fes c � s� T�S�. ,;� c� ii '' �'�t``�`�y�' �' •,. � /' // q i + i- i � � Irl xii�i�`� r. AAK71 0 i Ti Inspectors_ _ V Date:- _ APPROVED DISAPP D APPROVED SUBJECT TO ABOVE yyh .all For Reinsp. , dw ' ' �pjyri:+rwi aa.rdu,rwtw„' a,=�w,i�n.r. ,.,,,a,:,wsi+rF►u+w�.taMtscrmawwra... c Ali .• ;........ .. ,. . .. ,.... ,. .. 4 N� SPECTION NOTICE City of Tigard Building Departawnt LLL 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Bunineee Phone: 639-4171 Inspection: 1 Footing Plbg. Underslab Mech. Rough-in hppr/Sdwlk 3' 1 6, Found. bq Gas Line FINAL: u Pogt/Beam Struct. San. Sewer Framing -Bldg. YI Poet/Beam Noah. Rain Drain Irsulation -Plumb. i {� Vedertlooe Wate:: Line Gyp. Bd. -Mech. PM r,c D to Requested.— _---TimesAM Addrere: L , it is Z Builder:_ r%/�iiJf THE FOLLOWI`7G CORRECTIONS ARE REQUIRED: pl- F t Inspectc,r: / - Date:_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. . yYW WR�anWw.'iruwhn«rvw rw:M..... .. 17 INSPECTION NOTICE city of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97124..� ,✓•'�" Inspection Line (Rec-O-Phone): 639-4175 Business Phone.: 639-4171 I 4J Rinspection: !F. Ieaotl.ng Plbg. Underslab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line T iA1:, Jst/Beam Struct. San. Sewer Framiny Bldg. �ft/Beam Mech. Rain Drain Insulation -Plr,nb. }. -Mech. Plbg. Underfloor Water Line Gyp. Bd. PH Date Requested: G % a Times Address: Permit Builders THE FOLLOWING CORRECTIONS ANE REQUIRED= fl III �s I I I !ti )? Date— ' Inspectcr --- — a_ PROVED DISAPPROVED T APPROVED SUBJECT TO ABOVE -Call For Reinep. 1' INSPECTION NOTICE Citv of Tigard Building Department 13125 SN Balt Blvll. Tigard, Oregon 97223 Inspection Line (nec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection' _ -- - �- Footing Plbg. Undersla'� Mech. Roua� Ln Appr/Sdwlk Gas Line FINAL: Found. Plbg. Top Out V Fuming -Bldg. Po 3eam P`ruct. Sewer u -Plumb• post/Beam Mech. in Drain Insulation G Dd. -Hoch. ' Plbg. Underfloor meter Li-n! Gyp. bate Requested: / L- .�4e. A, permit Address: Builder: THE FOLLOWING CORRECTIONS AAE REQUIRM ■ Inspector:/ t - Dater APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE Catl Fnr Reinsp. 1 2.4 41 y � u i i NICE ICE MIO „ 6 P I O i City of Tigard Sift Hal .wildi.ng De Or�ega� t7223 639-4171 n 9 13125 l alvd. Tigard, Inspection Liue (Pec-O-Phone): 639-4175 Busincse Phone: Inspections `--J orelab mech. Rough-in Appr/Sdwlk Footing plbg. Und t Gas Line FINAL: ��Found. Plbg. Top Out � `` -Bldg. P Framing ost/Beam Struct. San. SewerI Rain Drain Ins4iation -plumb. Post/Beam Me_n. r7p. Bd. o -Nech. 1. plbq. Underfl.oc Water Line _ — _ -----pM �4/�-C/7� _ Time: D ite Reequested a_ __ �J 'U/ 74 Perm Address• _ — Builder= c THE FOLLOWING CORRECTIONS ARE %SQUIRED: n X rate �4_ -1—:- 7 d? ,. Inspector: M/'APPROVED _ __ DISAPPROVED --_ APPROVED SUBJECT TO ABOVE q� i i' Call For Reiusp. {' u Maki r S a CITY OF TIGA RD CI'IYOF RD PERMIT COMMUNITY DEVELOPMENT DEPARTMENT o�o MF1STt_K . t.ISM1T ,r-:f�M1T'C . . , . tyt'',T9i:, -1�7.L'76 13126 Ater.•. orvd. P.O.Elam 23397,TigeM,Oregon 07723(603-1639-4175 _lI'TE ADDRE.S S. . . `=W JORDAN Gib' PARCEL. PS11f:AU-1r1E.ly`� ! iIJL rJ T r-i I CAN. . . . I BEUF URD GLEN Z(.)I�i I N(i: ill_,ULK. . . . . . . . . . s i...C:i .. . . . . . . . . . . . . ..59 --- BUILDING REISSUE LMSTo?--d,.'1F,:. DWELL 1\15) LINI TS— 1 PA.;EMEN'T. . . . . . . . .0 S 1-,1. ASS or WOKK. :NEW BE DRMS::3 BOTHS:2 riARF•1fJF:. . . . . . .. . . . ..5,'�7 S'f TYPE OF USE'. . . :SF , L.r►CR RF JUI RED SETBACKS—­­­­­ I YPE OF C11(.)hll3''. :"!5N F I R`T. . . , : 18 ?4 n:f I.E.f T. . C5 f L H I GHT. -5 f`t • UC:LOPHNCY URI-. :F43 StCOND. . . s0 Ff FRONT. :20 ft RLAR. . z20 ft :STORIES. . . . . . . . i T'HTR)L , , :0 , t (tEGiUIRELI HE;IBHT. . . . . . . . s 1.7 ft TGTAL_-.___,_,_.: 1&:.4 �f77 -51YIL►KE DE•fL::CT[jRS. rY i-1_039 t..r.?f1I). . , . : "io P5 f VAL UE. . . . . . : 9 J::3 C's '1 f='t=int'ING �.,FaGEE. . : 1 � Re mar-k s: PATH I I:'L_1A1•llNta ........ I R(IINS. . . . :0 la(-lt'KF'L_(:)W PREVNTPG. » :0.1 I_HVt)lURI ES. . . . . = WA"fER HEWERS. 1 TRAPi". . . . . . . . . . . . . . : 7U8/t',HOWGR S, . _ , :::s I_f-1L.INURY I PPYS. . . ;1I.1 Cf)I CI! I,IaS71NS. . . . . . , ."0 k 14AJE:R C:LOSE.TS. . :sn' SEWER LINE (ft ) . -.0 GREASE. TRAPS. . . . . . . ..til f)I SHWASHERS. , . . . 1 wnT*Ef2 LINE ( t t ) . . 100 ('J I H[• .,H F- [Y l URES. . . . . .0 (3faRl►F;L3F' 1�IrtF', „ . : 1 RAIN )TRAIN (ft ) . :0 WAS11 I1MIA. . . : 1 SF Rf1IN DROINS. . : 1 ME'CHHIVIC,AL __. �_._.__._ .._,__.__._. _._._..___ _..._---_.�._r____. FFFE; FUEL. T'Yr'ES- __.__. ..._._...___...,.... (11\1 IT H'I RS. V, type Vol vt.tnt by date r eC:r-,1 /GAS/ ,' ! VENTS . . . . . aft BPL_C $ 1.5. 00 JH 08/20/W' - 1AX INPU f :t11 ITU VEN V f fah;:3. . hi11 (; w35. 171111 JH 013/8019 f':J r=URN ( :100K . . : 1 HOODS). . , . , . : 1 lvlr'RT $ :36. X0 J4 08/20/9c: - I IJRN ) 1 tZ1171K . . a 111 W(Il DGTOVE S. -0 11 V-1 1110 .J 1-1 06 o:7,:0/9, I:L_UOR FURN. . . . :0 CL-(J I)R111-:F%C. : 1 h'If.",1:, � 1. 30 JH 013/:_(1/92 - 13OIL_/(.'Wo 3HP-0 ( THrR UNIT13:0 r,L',ZT- F 1..s;::. 50 .JH tl,H .'111/"i c' 6AS OUTi._ETSs 1 f's:'C: r 6 JH 08/e0/92 p �-J rJ cc.1 1 a S BPL_L S 40. 0111 J1_H 08/14 fir-: b5pt, $ ,'111 /lb ..I1.1 0r.I1i'1I1/5,.:: BEACON HOME'-' 1:10 AUX 1361,1 r (''hone #:r 52R4-1999 Ren 70782- /1i , E,a rl)Tr•L_. This pereit is issued subject to the r'epulations contained in the -- -_--- REWIRED lhi�ir.�(::C T lUP1 -- ri.gatu municipal Code. State of U+e. 5perialty Codes and all other F oot/f or.trd Irisp Fir-er:ilac?e Inrp applicable laws, All work will be doNe in accordance with approved most/l c'a m city Ltc:t GAF. i_i n e! Ins p plans, This pereit will expire if wor+, it nat sta:^ted wi n The Post/Beam Mecha-i Insr_tlatior) In,,i days of iseuance, or if warts ✓ '"'► rore t1.,­ '!ays. Plm/unrislab Inrp Gyri Bnekr-d lns.p i!I...MiLlrlclrar f` lno►^ Ram rJr In It's%! Wat.l?v, 1_ inca Ins F='ir_tmt7 Ir.1r:r 1.11..it T'Sl. amiml Ln,-!a hlerFi-.<.rrrr.r:al r' i !: .^,9-4,175 1__7. i { y a a: 1 , 1 Y C I'I Y OF T I.G ARD r4ECF I PT OF PAYMENT RECEIPT NO. c 92—.2 30'744 CHECK AMOUNT" 671. 68 NAME r BEACON HOMES CASH A140UNI V1. 00 ADDRESS a PAYMENT DATE= r 081 01'Sr SUBDIVISION a PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMF_NT AMOUNT Pf-i I D � E;U I E_D I Wq Ph ftM _,.._.._fit 15. 0171 PUUMB I NO PERM 1,3 5 � MECHANICAL PE 36. 017, ST. BUILD PER 29. 18 PL.nN CHECK FE 2,1+, 00 SEWER 'LNSf-'E[:'i' '351, 00 ' i r Y LUT .79 i 12405 SW JORDAN WAY TOTAI_ AMOUNT PAID - --> 671. 68 1 v q sewe a e SANITARY• D a U agencyg 155 N. First Ave.,Suite 270,Hillsboro,Or,97124 SURFACE WATER 503 648-8621 i CONNECTION PERMIT' y Yt:'i iT1 ; ; sr,, ISSUE DATE 082092 EXPIRATILIN -DATE 021693 PCRMIT 19306 , STRUCTURE ADDRESS -31215b3-,L 's /b 7ff-7 PRO�IF�G,�� 0�"" STRUCTURE- STREET . .SW , JORDR "NWAY , .,I y LOT' 11 BLOqKJn 4�) TYPE CONNECTION- NEr1 OF BEDFORD GLEN NO. 1 W tiv TYPE INSTALLATION4 ( 19) BLD SWA/ERO CON/SVC TYPE OCCUPANCY-- ( 1 �) SINGLE FAMILY s AR SE 241 ld AD 24500 QTR SEL 4716 , MH 1639 6WNER BEACON HOMES ADDRESS 1905 NW 169TH PL TREATMENT PLANT DURHAM BEAVER'fON OR 97006 JURISD KINb CITY PHONEr�� a-1999..___.._..,:.___._.._______-•----__.__.._...___......__ _____....---.---•------____ FIXTURE EQUIVALENT DWLLLING RESIDLNTIAL UNITS SEhVIGE UNITS 0.0 UNITS 1 'iERVICE UNITS 1 CONNECTION FEES SURFACE WAT E:Ft IlL•VLLOF•'MENT FEES WATER OUALIT`l 180.00 1 LESS CREDIT 190.00> WAT'LR QUAN I'I T'Y 100.00 LESS CREDI.r 0.00: 1 ERUSlI!td CUN'fFtiOL i . 1 INSPECTION 40.00 + PLAN CHECK 26 .00 SUBTOTAL 0.00 SUEiT'G1 WL 166.00 /TOTAL 166.00 APPL NAME RAY L(ROCK r'H0Nc AFFILLIATION AGENT , i REMARKS SANI Tom- ' X24 HOU OTICE FOk EROSIO ONTROL INUPECTIONS F;LOUIkED 1 I11BEjr;j - Pereit ConThe applicant ogre^s to comply with ell rules and regulations of the Unified Sewerage Agency. When telling for en ins please refer to the Permit Number. The Permit expires one hundrel eighty (180) days from the date of issuance. The total amount paid (permit fee, connection charge, line tap fee end/or r.ther charge) will be forfeited if the permit expires. ,v 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 shell prospect three feet in all directions from tle distance given. If not so locatedthe rf ,..-.installer shall purchase a "Tap and Side Sewer' Permit at the current cnarge and the Agency will install a lateral. it 6/90 WHITE - USA, BLUE - Accounting GREEN -Inspection, YELLOW - customer t NIMMONS f W 08/19/92 14:27 W09 884 7297 CITY OF IGARD_ _ — _ _ X1001/001 Sof+ CITY OF1 IGARD '��zssw Hall U397Blvd. PLNCK/REC7 `/ y� ��`�� COMMUNEIYOEVCLOPMEZYTOEPA.ItTMENT Tlpa�+wn9 PERMIT # r— Z-,01Zo DATE ISSUED JOB ADDRESS: SW Jordan Way TAX MAP/LOT �S_L/�c� 'fad SL ,. UB: Bedford Glen LOT: LAND USE: VALUATION: SGIV. QBE$ SPECIAL_ NOTES e NAME: Beavon Hanes' Inc. _ REISSUE OF: 1.5t•'�Z -� '� ,:% ADDRESS: P. o. Box 1368 _ LAST REISSUE: Beaverton, Ore. 97075 FLOOD PLAIN/ PHONE; 524-1999 Fax 524-1998 SENSITIVE LAND: �s CONTRACTOR APPROVAL$ REQUIRED NAME: icon Homes, Inc. PLANNING: ADDRESS: �� Box.1368 ENGINEERING: Beaverton, oregon 97075 FIRE DEPT: 1 PHONE: 524-1999 OTHER: CONTR. BOARD 70782, EXP DATE: 12_92` ITEMS RE(UTjE0 CUCONTRACT R5: 'PLUMB: value Plumbing LIST/SUBCON'rRACTORS: MECH: n+n� ,hp- aian,ty Heating BUS TAX: _ ARCH/ENGINEER CALCULATIONS: _ NAME: Argo/Architect/AIA TRUSS DETAILS: ADDRESS: 16325 SW Boones Ferry Rd., Suite 201 OTHER: I-ke f myr-' nre9oi1 27035 PHONE: 636-0755 PRUPOSED BLDG. USE: Raair3antial COMMENTS: f iZ e S �jT 1s APPL ANT SIGNATURE J Rcceived By; �` Date Received: II` ` 1.. i , N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE PERMIT a ACCT 10-432 00 Building Permit Fees _ 10-431 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees (� 10-230 01 State Building Tax k5% � Building Plumbing G-3 �! Mechanical 10-433 00 Plans Check Fee =L_ L U --� Building Plumbing Mechanical V4' 10-230 06 Fire _ 30-202 00 Sewer Connection _ 30-444 00 Sewer Inspections 3 '� 25-448-02 Commercial TIF Fees _ 25-40-04 Industrial TIF Fees _ 25-448-06 Institutional TIF Fees 25-418 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) _ 24-445-01 Water Quality (Fee it lieu of) 24-445-02 Water Quantity (Fee in lieu of) _ TOTAL jl , U Y ll!�)= 67 . GY no/3581P.MPF - ,.m. ,..o,.m.,-,..wrora*,:n�M;nf:�esertw+uw:JnNMId71Mw. . �`R7wr«.... _.. ... OF 13125u usw ii. n�f. PLNf,K/RECT #CITY TI(BARD "0°°`"797 PERMIT N COMMUNITY DEVELOPMENT DEPARTMENT T'prd4Orc6oi97223 (503)639-4171 DATE ISSUED • '1 JOB ADDRESS: — TAX MAP/LOT _ SUB: — LOT: _ LAND USE: — — VALUATION: -- OWNER sPECIAL NOTES NAME: REISSUE OF: ADDRESS: LAST REISSUE: FLOOD PLAIN/ PHONE: __ SENSITIVE LAND: i CONTRACTORP1PPPROVALS REQUIRED NAME: _ _ PLANNING: ADDRESS: _ ENGINEERING: _ FIRE DEPT: - PHONE: _ OTHER: CONTR. BOARD #: _ EXP DATE: _ ITEMS RE UQ ICED SUBCONTRACTORS: PLUMB: _ _ LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: — _ TRUSS DETAILS: ADDRESS: _ _ OTHER: I PHONE: PROPOSED uLDG. USE: — _— COMMENTS: APPLICANT SIGNATURE _ Received By: _ — Date Received: . � I