16760 SW JORDAN WAY ��ra*�+M �.«n.a � �rw +.ww.+�y,+NwM'�M!�'N`�..,..a.w+a«,wr •wri�MMNM1*N..AM�.�RM�."�'r n wt�w�e r =,.»,
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CITY OF ThFARD
COMMUNKY DEVELOPMENT DEPARTMENT �+oa+ CERTIFICATE'
''+'
OF
BW HWJ Blvd P.0,Bar 2MV,TWmd,Oragm 07223(603)838.4176 C1l:C UN
639...41'11
DATE I SSUE D S 1 c i 14/9E'
/ �
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S I TF AUDRf"32'- . . a '1('P SW JORDAN WY PARCELaFF�1)—E3E.I:1M
SUBDIVISION. . . . a bED1=ORI: 6L EN ZONING e
BLOCKa LOO.. . . . . . . . . . . . . 44 s.
CLASS OF WORK. a NE.W
TYPE OF USE.. . . a S
'0CLUPNNCY URP. a R.3 d
UCC.UPANCY L UAD 0 1 113 4 �
TEwNANT NAME. a �
Rstae�rl«,n I-F•17l i l
AF..E1GON EIOMEWS
P) F30X 1368
ME WIERTUN OR 97075
Phone iha 524--1994
Contractor. .._....,... ._. ...._..........._.__., _..._......_ _...._.._..,....__ ....
BEACON HUMES
PU Aux 1368
EaLi-WE'RTON OR 97075
phone #a 524,-.J999
Req 0. . a 70'7F.1r:
Ur:c.l,tpanvy of the (Akroyd referenced building is her^stay givers, and cer'Vifiv%
t;le riampliasnce wi.tit the Stale Of ffi—aynn Spouialty Codes for the Wro'tp,
ocr.s_IPAriCy, and usy t.tnder, which t1to referenced pormit was ift sued.
P-I IDEM is► r�IWEt'Ch1E(Jl" Y. . .I.i!: I ll , I::,1 OR
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POST 1N (ONS'PICLIOUS E'L.AC;E'
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INSPECTION NOTICE
City of Tiyard BuildingngDD
epartment �
13125 SW Ball Blvd. Tigard, Oregon 97227
j. Inspection Line (Rec.-O-Phone): 639-43.75 Bus' as :hone: 639-4171
k.
Inspection: _
Footing Plbg. Underslab Hach. Rough-in Appr/adwlk
Found. Plbg. Top Out Gas Line $INALt .
Poat/Hoam Struct. San. Sewer Framing -Bldg.
i Pc-at/Beam n,ah. Rain Drain Insulation -Plumb. ,
Plhg. Underfloor Water Line Gyp. Bd. mCh
II C� i
Datn Pnquestedz�tl ( Z- Times _PN
Addreses ? Permit ft 7
7
Builderz�l.l 1 2./JLC(_
THE FOLLOWING--CO-RR-ECTION9 'ARE�RE"QUIRED:
7
Tnanectori --- _- Da
tes
APPROVED DISAPPROVED APPROVED SUBJECT TO P.BOVE
_---Call For Reinsp.
0
. INSPECfION_NOT TCE ?
City of Tigard W*11ding Department ✓✓✓��`
13125 SH Hall Blvd. Tigard, Oregon 97223 z '
Inepection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
9.
L apection:_------ --- --- i'
Fotrtinq Plbg. Underslab Mech. h)ugh-in Appr/Sdwlk f' _
Found. Plbg. Top Out Oar Line --) FINAL:
Post/Ream Strur_t. San. Sewer Framing -Bldg.
Poet/Dean Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: Time: Am PH
} l� ,� .
l►dd e !L>, Permit :
1� ,
v Builder:— —
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y TRIS FOLLOWING CORRECTIONS ARE REQUIRED:
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;napector: _ � Dat":
APPROVED - - JIISAP2ROVED -- APPROVED SUUJECT TO ABOVE
Call For Reinap.
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INSPECTION NOTICE
_
City of Tigard Building Department �
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ,
Inspection: —.—
a
Footing Plbg. Underslah Mech. Rough-in P,,ppr/Sd:.lk
Found. Pibg. Top Out Gas Line FINALt
�f
Poet/Bean Struct. San. Sewer Framing .-Bldg.
M �+
Poet/Bear Her h. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Cyp. 8d. -Hoch. !
Date Requested, -/ -1:5 �--' Times PH
Address, 1 � d
� l -��..%:_�� ✓ rmit 1 e�� "�� �--2-. �
A
Builder•_ L_,�V h..r+d � ■
THk FOLLOWING CORRECTIONS ARE REQUIRED: p�
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01
�h.li'��P�St�}j'rid�'�, ..rV/✓f rl., __—_____ _. _
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'inspectors_ � Dat.":
Lam.
APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
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Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Buildin7 Departasent
13125 SW Ball Blvd. Tigarf, Oregon 97223 �
Isepection Line (Rec-O-Ph:)ne)c 639-4155 Bunineeagb�= 631.4171
Inspection:,
Footing Plbg. Underalab Meeh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beall Struct. San. Sewer Framing -Brig•
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Poet/Beam �' -n. Ra..n Drain `insuil tion, -Plumb.
Pl_sg. Underfloor Water Line oyp. Hd.Y -Hoch.
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at Requested: -� '7 -1^)� Tin►es
kddreee• -•� C ermit fs
Builder: ,G�= �h-� _ - l l ■
THE FOLLOWING CORRECTIONS ARE REQUIRED.-
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Inspector -- -- Date:
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
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INS?ECTION NOTICE /- /), /
City of Tigard Building Department //1/1 IO
%sI25 SW Hall Blvd. Tigard, Oregon 97223 /t-C '
Inspection Line (Rec-O-Phone): 639-4175 Bucineas Phune: 639-4171 }}
p1
Inspr:cti,,n:_.
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
1
Found. Plbg. Top !h:t Gee Line FINAL+
Peat/;eam Struct. tsar. Sewereming -Bldg.
Poet/Beam Mach. Rain DraLn IneuZeflon -Plumb.
Pli". Underfloor Water Line Gyp. Bd. -Mach.
Fr
c. Date Requested: ,� '_ _ Time: AM PN
t Address: Lal-3 = 24: Permit 1:
Bu.ilder:_�_,�1���_T
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TIM FOLLOWING CORRECTIONS .ARE REQUIRED:
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Inspector: -- ---- /�
Date s
/APPROVED DTSAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building Der"_rmmant
13125 SM Ball Blvd. Tigar", Oregun 97223
Inspection Line (Rec-O-Phhone): 639-x'175 Businens Phone: 639-4171
Inspection:_ __ -- --
7 Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbq fop Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -plumb.
I /Plb&. Underfloor Water Line Gyp. Bd. -Mach.
lL Timei" `
( — (/ Am —PH
Date Requested: I
%(c7�C 6 l L Permit #:�
Address:_ J? '
Builder:---�L�y �' — 3.�
THE FOLLOWING CORRECTIONS ARE REQUIRED: _
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Inspectors
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE f• �la�.
Call
For Rei.nsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: (33-4171 i
Inspection:—
Q,
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Fou:.i. Plbg. Top Out �� Gas Line FINAL:
08 /Beam Stcuct. San. Sewer Framing -Bldg.
{ },
Poo /Beam Moc'1. Rain Drain Insulation -Plumb..
Plbg. Underflour Water Line Gyp Bd. -Mech.
Data Requested:_ _�•� „Time: AM PM .
dlddrees ?d �� Permit f c
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THE FOIZOWING CORRECTIONS A-7.. REQUIRED:
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InspectoC'`-/�—��I�
APPROVED 2 DISAPPROVED A� APPROVED SUBJECT TO ABOVE
-Call For. Reinpp.
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INSPECTION NOTICE
City of Tigard Building Departm`nt
13125 BN Ball Blvd. Tigard, Oregon 97223
Inepectir,n Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ; I)
Inspection:__
Footing P1bg: Underslab Nech. Rough-in Appc'/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream Struct. San. Sewer Framing 1 -Bldg. s
Poe!/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Watpr Line Gyp. Bd. -Mech.
Date Roquested: 2_ Tlme: AN PN .
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Address: ��f / �- Permit #:_Z_
Builder:
THE MLLOWING CORRECTIONS ARE REQUIRED:
L24XJ SY
17
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a Coxy 5%
Inspector: Date:_ 6
-A—APPROVED DISAPP?k0v$0-"_ APPROVED SUBJECT TO ABOVE
_Cell +or Reinsp.
INSPECTION NOT ICE_ �.rf
City of Tigard Building Depart'
13125
13125 SK Ball Blvd. Tigard, Oregon
Irk3pection Line (Rec-O-Phone): 639-4175 Business Phone: 639-47.7)
Inspection:_--- - --
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Pouting ?lbg. Underelab Mech. Rough-in App /Sdwlk
Found. Plbg. Top Out Gas Line FINAL: }'
---
5 jst
/Beam San. Sewer Framing Bldg.
Beam Mach ' Rain Drain
Insulation -Pl"mb-
P.Lbg. Underfloor �Water�Liine�� _ Gyp. Bd. -Hech. e
— - �= PM
L L—
Gita Requested: Time AM '
ddreae:� L Permit
Builder:
i
THE FOLLOWING CORRECTIONS ARE REQUIRED: ■
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inspector: _— _ Dater f—
APP
F.:VED DISAIPROVED - Y APPROVR.D SUBJECT TO ABOVE
Call For Reinep.
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INSPECTION NOTICE ,moi
City of Tigard Building Department
13125 M Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Beninese Phone: 639-4171
d
r Inspection:
Footing Plbg. Underel.ab Mech. Rr, -in Appr/Sdwlk
Found. Plbg. Top Out Gz.s Line FINAL: i I
1
/Beb.n Struct. San. Sewer Framing -Bldg.
Peet/eea:a Mech. Rain Drain Insulation -Plumb.
Und.:fl�r Water Line Gyp. Bd. -Mech.
/(D to Requested:_. Time: AM PH
,� lAddress: er:alt 1: _
Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:—/ i" i/` Date:__
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call. For Reinsp.
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INSPECTION NOTICE
City of Tigaxx' Building Department '
13125 BW Bal' Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businesn Phone: 6.39-4171
Inspections _.
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
s �
vnun'. Plbq. Top Out Gas Line FINALS
Post/Beam Struct. n. Sewer \ Framing -Bldg.
Poet/Beam Moc'j. iTa Ti -&.jn Tnsislation -Plumb.
J
Plbg. Underfloor Wates. Line` Cyp. Dd. -Meeh.
P �v '-
to Requested: Time: /� rAM JPH
Addraee: l- __ Permit 1: L-
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Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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In"cturs-��� / -- -- — Date:
/ APPROVED _— DISAPPROVED �- APPROVED SUBJECT TO ABOVE j
rr!Jl For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4171 1
a,
Inspect'.on:—_ _J
Footing Plbg. Undersleb Mech. .tough-in Apn'/Sdwlk
1 ,
ound. Plbg. Top Out Gas Line MIAL:
Poet/Beam Struct. San. Sewer praming -Bldg. j^r
Post/Beam Mech. Rain Drain I%aulation -Plumb.
Plbg. Underfloor Water Line .Yp. ed. -Hach.
Date Requested:— _ Time: /y ) —AM __— K
Address:_ l rmit #• - �2![t• �,. t
Builder: Ttt.� — — ----- — •
THE FOLLOWING CORRECTIONS ARE REQUIRM -- --
d:
Date:
APPROVED DISAPPROVF' APPROVED SUBJECT TO ABOVE
— _Call For Reinsp.
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CITY O TIFARD
� � MASTER F
COMMUNITY DEVELOPMENT DEPARTMENT o:nooN IDERMIT
13126 BW FWI Blvd.P.O.Bax 23347,TOW,Orpon 97223(603)Q3o 4176 -
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:.;1Tr I�DDRL'sFa. . . : SW JORDAN wv rrar�c,F_I_: �116AD-k?E'n•:► ai
�UBD I V-S I ON. . . . : BEDFORD GLEN Z ON I NG
BLOCK. . . . . . . . . . : LOT. . . . . . . . .
---------------------------- BUIt.JING ------------------------------------------
REISSUE: -- BUI►.JING ___________________._._.__.________---__.-._
+ REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . 10 sf
i .
CLASS OF' WORK.. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . ..573 sf
TYPE OF USE. . . : ar FLOOR AREAS--__.___.___ REQUIRED SETBACKS- _..._._
TYPE OF CONST. :5N FIRST. . . . : 1913 sf I EFT. . :5 ft RI'3HT. -5 ft
OCCUPANCY GRP. :R3 SE.COND. . . :0 sf I PONT. :20 ft REAR. 18-0 f t
I STORIES. . . . . . . : 1 THIRD. . . . :0 sf F'FOU I
4
HEIGHT. . . . . . . . : 1 B Ft TOTAL- _-- _-: 191.5 s f SMOKE DETECTORS. :Y
r, nOR LOAD. . . . :40 psf VALUE. . . . . '>; » 9631; PARKING SPACES. . :0 �
Remarks : PATH I
PLUMBING --_—__.______ ___.__________.____ _ __.._.._._. �4
S3INKS. . . . . . . .• . . : 1 F=LOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 `
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . 30
TUB/:SHIIWERS. . . . :3 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . !0
iJATE_R CLOSE fs. . :2 SEWER LINE (ft ) . : GREASE TRPPS. . . . . . . :0 f
DISHL.)PSHERS. . . . : 1 WATER LINE (ft ) - : 100 OTHER FIXTURES. . . . . :0
HARBAGE DISP. . . : 1 RAIN DRAIN (ft ) - :0
WASHING MACH. . . : 1 SF RAIN DRAINS— : 1 I'
_______________. MECHANICAL �_..____._.___.._ _ _. _._._ ___..__ ._-_ FEES
FUEL TYPES-------_----.- UNIT HTRS. . :O type .amat_cnt by date rec^pi-
/GAS/ / / VENTS . . . . . :0 BPRT f 430. 00 JLH 05/15/92 —
MAX INPUT:O STU VENT FANS. . :3 BPL.0 $ 2.7-9. 50 JLH 04/07/92
F•�URN ( 100K . . : 1 HOODS. . . . . . . I B5PC $ 21. 50 JLH 05/19/92 —
1=URN ) =100K . . :0 WOODSTOVES. :0 MPRT $ 36. 00 ,JLH 05/15/92
FLUOR FURN. . . . :0 CLU DRYERS. : 1 MPLC 9. 00 JLH 05/15/92 - I
1 BOIL/CMR ( :,I ;��a OTHER UNITS:O i15PC `b 1. 80 JLH 05/15/92 --�
GAS OUTLETS: 1 PPRT $ 132. 50 JLH ¢5/15/92 —
L. -
0wner� __ -_- -___ -_-._..._._. P,,P, f+. E+,3 .TI._H OG,�15/92:
i
BEACON H,,MES MISC $ 35. 00 JLH 05/15/92 —
PO BOX 1360
BEAVE:RTON OR 97075
Contractor:
I BEACON HOMES
( PO BOX 1366
BEAVERTON OR 97075
Phone #: 524-1999
Reg #. . : 70762
$ 951. 93 TOTAL
This perait is issued subiect to the regulations contained in the -------- REQUIRED INSPECTIONS
Tigard Municipal Code, S+ate of Ore. Specialty Codes and ali ^tier Font/fnUnd Insp Fir-eplace Insp
applicahle laws. Al; work will be done in accordance with app oved Post/Beam Struct Gas Line Insp
plans. This nerait will expire if work is not started wit in 180 Post/Seam Mechan Insktlation Insp
dAys of issuance, or if work is suspended for aor•e than days. P l m/k.cnd s 1 ab Insp Gyp Board
Insp
PLM/Underfloor^ Rain drain Insp
t"ermittee Si�(1 0kt- At4Mer.hanic Gtl Insp Water Line Insp
WI(.cmb Top Oct Appr/Sdwlk Inip
1 �s�.cwcJ Fav: 1-raminq Insp Mechanical F in,: �
Call for inspec ti :)n — 639-4175
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PLUMBING PERMIT ! ��
COMMUNITY DEVELOPMENT DFPARTMEh? ��� 1-'r-_.RMZT #, . . . . . . : MST9c-0062
19126&V Map Mud.P.O.B2Ar,,TOM.Oregon ir7229(609)t.-JR-4176 j ar l)A*fG-_ 75';.AJED: 05/15/92
BITE ADDRESS. . . Jae#�3 MW JORDAN Wr v I-F+RC FL.: x'01 16AA-•V I74
SUBDIVJ510N. . . . . RE'DFOPL'r GLEN 2C)idING :
SLOCK. . . . , . . . . . a LOT. . . . .. . . . . . . . .
CLASS OF WOIK. . :NEW GARBAGE DISPOSALS» . a 1 t
TYPE OF' USE. . . . ;SF WASHING MACH. . . . . . . : 1 SACKFL.OW PREVNTRS. . !0 )
'(;('UPANCY GRP. . : R3 FI-OOR DRATNS. . . . . . . 90T MAPS. . . . . . . . . . . . . . .0 1
SrORIEL=,. . . . . . . . . 1 WATER HEATERS. . . . . . g1 LATCH BASINS
LAUNDRY TRAYS. . . . . . 10 SF RAIN DRAINS. . . . .. : 1 �
E41NKS. . . . . . . . . . 11 GREASE )'RAPS. . . . . . . 10
LAVATORIEa. . . . . 13 OTHER FIXTURES. . . . , 10
TUB/SHOWERS. . . . : £3E:WER LINE (ft ) . . . . 10
W(ITN.R CLOSET G. 2 WATER L I NE:. (ft) . . . . a 100 �
PISHWASFi-R9. . . . : i ` RAIN DRAIN (oft) . . . ,
!. v
Remarks : MATH I ?>
OWNER.
B ACON HOMFLS APP7 4 430. 00 JLH Q'/1 /9r?
PO PDX 1 368 SPLC $ ;?7-). 50 .JLH 04/07/92
85PC: $ E:1. 50 JI-.H 05/1!:j/92
BEAVERTON OR 97075 MPRT $ 36. 4 0 .JLH 05/ 15 9 2
r'hone M e 524-19")3 Mr''�_C $ 9. 00 JLH 05/15/9P
MbPc $ 1. 80 J..H 05/15/92
P11..1mbi.ngCant r,a,,tat-a----------------- PPIRT $ I3 ::. 51 JLH 051/15/9i� -
� PSPC. tr 6. 63 JLH 05/15/92
Name M 1 C">t. $ 35. 00 J01 05/ 1 /9 r' _
1 i-)d ci
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---____.— REQUIRED INS CTIONi _. . _._.. ....
This permit is issued subject to the req._.. �.._
Ula.tions CantRil,ed in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State ,of, Ore. �jpgcialty Codes sand„ all Post/Be(tm f3tri.(ct Water, Laine Insp
of-her Applicable lawn. All work will be done' Po%t/SeMm Meehan A0pi-/'Sdwllc Insp
in ac curdance with ,approved plans. This Plm/und1lab Insp Mpchanical Final
Permit will expire if work is not started IILM/Underfloor Plumb Final I ;
within 180 days of issuanr..er or if work i.4s Mer_h:antcal Tnsp Building Final
%mtgt:iended fore mmp than 180 days. rel .tmb Top Out Erasion Control
F-raming Insp Crawl Drain
F .ireplace Insp
(las Line Insp
-^ InsulAti.on Insp
G v p Board Insp
Authorized Plumf6ing Comtroctor ra'ignmtttr,e
Call for inspection - 639-•4175
Contractor Note,
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�.' C TY OF' T l GgRla - RECEIPT Of- VlAYMENT RE:CE:(PT NO. 2 c:7.3Vi`�
CHECK AMOUNT : 701. 93
I NAME`. a DEACON HOME'S CASH AMOUN"r r 0% 00
i NDDNESS PAYMENT DATE r 05/15/92
SUBDIVISION n
IPURPOSE OF POYME".N'f AMOUNT PA I D PURPOSE- OF PAYMENT AMOUNT PA I D
.. _,._r _...__.._.,.._ ._.._� .._.�.,. ...........w...._......... .....
DUXLL�xNCf F'E:RM 430. 00 PLUMOING3 PERM 1;3i'. 50
MECHAN I CAL PF: 36. 00 ST. BUILD FIEv R 9. '3
iPLAN cHEc:r':K rf" .:58. 50 SEWE=R IN83PECT 315". 00
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LOT #4 BEDFORD GLEN
J +4.L449 SW JORDAN WAY
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1'0'1(--IL AMOUNT PAID _ _ -) TLA1. ",
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unified SANITARY'* 0 0
seweragIc I
V agencyE WATER �J
155 N. First Ave.,Suite 270,Hillsboro,Or.,97124 SUR�AC
503 648-8621
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c i'F.ULYUR ADDF;ES--j —1:-�i< A0766
F. fRUCI Li ;t S f RCEI aW JURDHN Wi
LOT 4 BL_Ui.h
i YF t" CuN►JkC i 1GtJ— nL'd uF' NLDFO;tIl uUM NO , !
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Permit tondlttons: The appltt(7 agrees to comply with all rules end re-elations of the Unified Sewerage Agency. When calling
for an inspection, please r fer to the Permit Number. The gPermit expirres one hundred eighty 91BOMlllays from
dif ate
tof I
issuance. The total amount paid (permit fee, connection charge. line to fee and/or other char e)
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 shalt prospect three feet in all directions from the distance given. if not so located, the
Installer shell purchase a 'Tap and Side Sewer" Permit at lne current charge and the Agency will install a lateral. I
6/90 ::HITE - USA, BLUS - Accounting, GREEN -Inspection, YLr•,LOW - Customer �
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