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Permit MASTER PERMIT li n • ciTY OF TIGARD g PERMIT #: MST2007 -00164 ° COMMUNITY DEVELOPMENT DATE ISSUED: 10/17/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112CC - GF008 SITE ADDRESS: 15706 SW 81ST AVE ZONING: R - SUBDIVISION: GAGE FOREST LOT: 008 JURISDICTION: TIG PROJECT: GAGE FOREST Project Description: New SF. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 974 at BASEMENT: et LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,402 ct GARAGE: 431 st FRONT: 15 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: EN RIGHT: 5 VALUE: 0.00 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,376 sl REAR: 20 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES 1 00 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 NAT FURN >=100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: 1 VENTS: WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 • 200 amp: 0 - NO amp: WAVC OR FOR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 - 400 amp 201 • 400 Pe Ft 1st WO SVC SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 • 600 ae p EA ADDL BR CR SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601+amps- 1000v: MINOR LABEL: 1000n amp /volt : PLAN REVIEW BECTON Reconnect only: > =4 RES UNITS: SVC /FDR> =226 A.: n 600 V NOMINAL: CLS AREA/SPC OCC: • ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8. STEREO: X VACUUM SYSTEM: X AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: X DATA/TELE COMM: NURSE CALLS: TOTAL 4 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable JT ROTH CONSTRUCTION, INC. JT ROTH CONSTRUCTION INC laws. All Work will be done in accordance with approved plans. This 12600 SW 72ND AVE 12600 SW 72ND AVE STE 200 permit will expire if work is not started within 180 days of issuance, or SUITE 200 TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION: PORTLAND, OR 97223 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952- 001 -0080. You rrey obtain copies of these rules or direct Phone: 503 639 - 2639 Contact #: PRI 503 639 - 2639 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 - 624 -0239 Reg #: LIC 31700 TOTAL FEES: $ 12,012.05 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 A I Iss .-d By : w _ rt f ,4 Permittee , ignature : _fir/ / o e / / Call 503.639.4175 by 7:00 a.m. for an inspection that bu :Hess gay. This permit card shall be kept in a conspicuous place on the job site . ntil completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application FOR of ficE USE c�Ni.1 City of Tigard R ECEIV E /IF =Wed MEM emit Date/ . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review � � � �o ✓ 1 /r ✓ �■�%1�1L'J Phone: 503.639.4171 Fax: 503.598.1960 AUG 2 8 2007 Dates 4 ` �:'„ P m1t kilt ZOO?. _ - i G ` i2 Inspection Line: 503.639.4175 N, ■ Q r Date Ready . y: 61 See Attached Cheeldist for Internet: www.tigard- or.gov Notified/Method: 0 8 tl 51. FM- Supplemental Information BtNtfl1111Q ',f Mr�,�'SelJlti-' TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1 - and 2- family dwelling ❑ Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 2 y . JOB SITE INFORMATION AND LOCATION Total number of floors: 2.. Job site address: P New dwelling area: 2 37t„ square feet City/State/ZIP: Tigard, Oregon Garage/carport area: ti 3 I square feet Suite/bldg. /apt. no.: Project name: GAGE FOREST - Covered porch area: square feet Cross street/directions to job site: Hall Blvd and SW Langtree Street Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: GAGE FOREST Lot no.: Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials. labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. NEW SINGLE FAMILY DETACHED Valuation: S Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: J.T. ROTH CONSTRUCTION, INC. Type of construction: Address: 12600 SW 72 AVENUE, SUITE 200 Occupancy groups: �7' 1� s: P City/State/ZIP: PORTLAND, OR 97223 Existing: Phone: (503)639 -2639 Fax: (503 )624 -0239 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: J.T. ROTH CONSTRUCTION, INC. All contractors and subcontractors are required to be Contact name: DAVID JENSEN licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12600 SW 72 AVENUE, SUITE 200 jurisdiction in which work is being performed If the City / State/ZIP: PORTLAND, OR 97223 applicant is exempt from licensing, the following reasons apply: Phone: (503) 639 -2639 Fax: : (503) 624 -0239 E -mail: DAVIDJ@JTROTHINC.COM CONTRACTOR Business name: J.T. ROTH CONSTRUCTION, INC. BUILDING PERMIT FEES* Address: 12600 SW 72 AVENUE, SUITE 200 Meuse refer Mice schedule) City/State/ZIP: PORTLAND, OR 97223 Structural plan review fee (or deposit): Phone: (503) 639 -2639 • Fax: (503) 624 -0236 FLS plan review fee (if applicable): CCB lic.: 31700 Total fees due upon application: Amount received: Authorized signatur This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ; �� — J ��; t Date: 8 f ., �f * Fee methodology set by Tri- County Building Industry �' / Service Board. I:\ BuildinglPemim \BUP- PetmitApp.doc 606 440- 4613T(11 /02/COM/WEB) F r i . Mechanical Permit Appl 7;(2.!,', EFfEE) r, , F. ,- i ;,' i) City of Tigard Remised Penni xe... li 0 Ip , 13125 SW hall Ph Blvsi. Tigard, o OR 2 g 200 Plea Review Name: 503.639.e171 Fay: 503.598 Dakar O1her T _ Iguantiaa Ii= 507.639.4175 CITV rr Date 1 ,�: ,oh: O See PaceI kr • Wand: and: wvnv.tigard•or.g v ®uI Nee4edhtetlte4: SuppbeeaaW Infaratadoe TYPE OF WORK COMDURCIAL. FEE • SCHEDULE - USE CHECKLIST ® New consatatian ❑ Additian/aheration/replacemeat Mechanical permit to arc based an the value of the work performed. Ludlam these hie (roandei to (be nearest dollar) of all ❑ Demolition ❑ Other meeltanioal materials, o t_xmtL labor. overhead, and profit. CATEGORY OF Cl>'NSIRUCTION value S ® 1 • and 2- family dwelling 0 Commercial/industrial 0 Accessory building RESIDENTIAL e�QV NT r FEES* ❑ Molt -family ❑ Mager builder 0 Other: ' . Fla* sp rdaf Information rrebli Description 1 Qty. J Ea. I Total JOB SITE INFORMATION AND LOCATION Heatl.Doa.9ak Job site address: Air conditioning or bat pump 5 / D� ,��/ /at� (A4euee site Dian Armies eisoeme.t , 14. . City /StatcJZ1F: TIGARD, OREGON Fianna 300.000 BTU (doeelresu) + I 14.00 SmtelbldgJapt. no.: ( Project name: GAGE FOREST -' Nome 100.000+131U (dnev/+ame) 17.90 Gas bent pump _ 14.00 Crass strect/ditections to job site: Hall Blvd & SW Langtree Street Duct wank 14.00 bustle bat water system 1 Residential bailer (radiator or hydroid 14.00 Unit heaters (titel evpe, not electric), in -wall_ induct, suspended. etc. 10.00 Subdivision: GAGE FOREST I Lot act: V Flue/van for Roy of above 10.00 Other: _, 10.00 I Tax mapiptueel no Other Seel 'mamma DESCRU'IION OF WORK Wata beater / 10.00 Gas NEW SINGLE FAMILY DETACHED Fate not e / _ 10.00 Floe vent faor water heater or gas fireplace _ 10.00 • . --- Log Either (nos) 10.00 , Woad&pelld move 10.00 Woad Lteplacelauezt _ 10.00 la PROPERTY OWN 1 ❑ TENANT Cunaa ylbncmudvent 10,00 Other: _ a 10.00 _ Nana: J.T. ROTH CONSTRUCTIOR, INC. e]rvirene atlW alums and •erNlladon Address: 126110 SW TJ " AVENUE, SU1TE.200 Range hood/ether kitchen i asp iscran 10.00 City/StaedZlP: PORTLAND, OR 97227 Clothes draw exhaust ( _ 10.00 single-duct eabeim (betleonme. Phone: (910)639.1639 Fax (503)674.0239 toilet cm nstresatta utility rooms) , 6.50 ® APPLICMrT ❑ CONTACT P)r wet Attidaawlspaee tone 10.00 Other. , 10.00 Business mane: J.T. ROTE CONSTRUCTION. INC. , F1g1�htfoir Contact name: DAVID JENSEN I 35.40 fir Sae fora; $1.00 &weal h additional Fame. etc. : Address: 12600 SW 72 AVENUE, SUITE 200 Om heat pwnp . _ , Cityr5tneJ7.IP: PORTLAND, OR 97223 WiaWsuspended/mtit hexer s Phone: (503) 639.2639 I Fax :: (503) 624 -0239 Web= b®mr _ Fnvplace , G- ebril: DAVIDKOTROTIONC.COM Ranee CONTRACTOR Barbecue Clothes rimer (Fos) : Braises tests: TRERMAL FLO, INC. �� Address: 7276 SW DURHAM ROAD 4100 MECHANICAL PERMIT FEES• Ci[y/SESid Scannaf Z1P: TIGABD, OR 97224 Minimum permit fee (372.50) Phone: (50i) 6'10 - 8343 I Fact: (503) 670.9864 Plan review (25%ripen:it fee) CCB lie: 151547 State surcharge (S%oft fee) . TOTAL ITT FEB ! . This Authorized sagaat re: J woo dens seer R has been oc� q d es onplete Made PO I Print name: : gse' l J . 1 Dam: 0 - — 7 1 • A " ° OaY'm 7fi- Coasyy Male !dash Striae Beard leaemete4tehesiteheCfennewenmin •.roans • uonsrrcr ltntoeffttion 08/17/2007 12:42 5036445989 CRAFTWORK PLUMBING PAGE 04/04 Mud 1 r w ' 1 1 1 P ,11 Roth Construction, Inc (503) 6240239 p.4 Phial bbi Permit ADD 'cat On RECEIVE it t 11 , I, f :, i) , City of T i g a r d L IG 2 8 2007 Rmised 13 Fl+on1 50313 44 17 1 .5 2 96(GITY OF r mss'•, ""'"��'° : as, S- 0 , 0 -Co ,, tosporr'� Lone: 503,639.4175 BUILDING D eB . Orbe�.t.h 40.: D �e•.egad-or.gor BU��wtIVQ 1 - �,;, Moir B BboPegs 2far TYPE yr Wo>2!( E - . banteadoe r k,. FEE' SCRIMS coeesteuesso0 O Demolition • ❑ A�+b�alt�tioa/eepleesmeat D Omer nn tx�, �, Ts,:: CATEGORY OF CONFi'RUC37t1N New I.1•tt duslaga Garo4 100 ft. ler t uo2i SFR (1) troth 7 oormeotien) ' ® 1- sod 2-fion0y dwell* ❑ Coaane reialfmdastriel SFR (2) bah 3 - d Ac°�Qy building ❑ Mniti- Idmily SFR (3) barb �� 39590 0 ❑ Master he add _ 399.00 Cadres bash addition& batb/kitehen 45.00 JOB SITE INFORMATION ANO LOCATION Fite '� (- sq. &) Page 2 spdalr City/Sta TIGARD, OREGON Gtr beam as re. drain 16.60 Drywed, leads line. or teensy drain 16,60 Sulte/bidgi ps. no Projcctamme: CAGE FOREST Footingdraa. (no. linens it: P$ 2 Class Stren/diteetions m job site: RaIl Blvd & SW LLnu tree Street: , Mans redlmmeteli 110.00 ' G Mitoholea 16.60 Rata doss eaor 16.60 9enilaryseva (ink linear ,it:____) Page Seam eeae r (no. linear ft: _ j P 2 3evision: GAGE Wattrrmvice(po.limastl: _) + p� . >� Tax may/psrod no.: Platens orbs= DESCREPI'ION OF W J r�� valve 1G,60 NEW SINGLE FAMELY BETAC$E$ deV p P 2 • Badnvater valve 16. 16.60 Clothes wads= 16.60 D>strvas er 16.60 ® PROPERTY R d TBNANi Dial* ate 16.60 Name" J.T. ROTH CONSTRUCTION, INC. 16.60 Address: 12600 SW T2" AVENUE, SUITE 300 8spnadaee teak 1660 Flsoasla:arrs cap 16.60 ' City/State/ZIP: PORTLAND, OR 97221 Floor dtsiafHooraiakRsotr 16.60 Plow Fax: (503)624 .0229 . Garbage disposal 16.60 bib i® AP'DLICANt ❑ COit'1'ACT ry oars Haw 16.60 Business name: LT. ROTH CONSTRUCTION, INC. roc ma _ 1660 Cont: otaexpm DAVID XEPISEN r " ° ° x t660 Addne 12600 SW 71� AVENUE. SUITE 20P Medical gas ('gym`: S ) Page 3 Primer 16.60 GYry /StgtdAP. PORTLAND, OR FM 23 Rootdmin (ceammmeoal) I6.60 Phone: (303) 6.19.2639 Part : 621.1239 S e y _ 16.60 Esnnil: DA ?� its 16.60 Urinal 18.60 CONTRACTOR Water closet Basinassmem CRAF'TWORZPLUMHQM, IM[. 16.60 Water brats 16.60 Address: 77375W CIRRUS DRIVE Other: CiUNSliterAp BEAVERI'ON, OR 97018 Sabtoeel PhggteA ( )6460.13698 F ) 6+ Woke= permit fee: 57L50 B e• id mda11 1eev madmen pmyt foe $36.25 CCs Lis.: 79666 .. Lic no.: 20 -140PB Plan review (25% apeman li;,) I Authorised sib / is�i. /fe/ re eALa fee) TOTAL PERMIT FEE e,2 Et . 7- TIde permit appuodea expires if4 pares& .n teat obtained within Mb dm after been sewed as a eeplsa `Fos me~beddal , w o9Y b9 tsmty Building b luet :, Service Board. 08/20/2007 06:39 5036489723 JERMOE ELECTRIC INC PAGE 02 Aug 17 07 10'07a JT Roth Construction, Inc (503) 624 -0239 p.3 Electrical Permit Applie t/EWED I ill: rI 1.;, 1: I I .1 SI City of Tigard Received 13125 SW Ha1181vd., Tigard, OR 2 8 2007 Permit Na: d ��! �!. 'C0 „ air Phone: 503.639.4171 Fax: 503.5911160 , - . Paw F+mhrric Itttpettien Liar.. 503.639.4175 "_ _ ha, MAW DemReedyfay; buried: wws,.tigatd -m.gur R, NotifudT d ft m p ..,,uau TY.WR OF WORK PLAN ,gyp El New cospuctiam ❑ AdditionlaltaatioNiLplaermeat Please vtd, it Vat apply (pobadl3 sets olplma seem dunked betreo C Service at Rader 400 cope or mar 0 Building aver three alma. Demolition ❑ 0 Other: eine the sver'Wbte fall ammo O Merissa a,d boatyards. CATEGORY OP CONSTRUCTION mama 10.000om(na15o volts or I:McMinn bw70ings. btu loonemd.orereeelsl'000 OCcaaavleL»esgriculelad ® l- and 2 -11nity dwelling ❑ Commercial/industrial ❑ Accessory building wipe for ell arbor iart lhate e. tau ❑ bdulti+Rmily ❑ Master Mulder ❑ Other: 0 � p rm. 0 lostaDation and derived o r yedrt JOB ME I 1MATION AND LOCATION /� OAdd►6meaev.morar]4adar 0 - A. - E - 1- 2•, - 13", Job no.: i'i I Job tie address: f 510& Uv $' A l� s;s a1/,. rttoliPar aa,rssey. .r . core g el uatt. 0 Reaesdetal vehicle perks. idly /State ZIP. TTgbr d, Oregon 0 Hank -eon &calm 0 Sapvb rasa retinae Item ❑Hiaurdom 600vdeenaedsol. Stsite/bldg.Japt. no.: I Project name: GAGE FOREST O Satiloo or irons NO rams err sore. FEE SCHEDULE Cross stree /directions to job silo H,RII Blvd $ SW Langf:ee Street - breertaato ; on. 1 le. I row t - New,e.Idrtatiol *Oa or e>,ubl- AauOir dwelling unit Induder attntlet prop. Subdivision; GAG@ SOREST I Lot no.: .15 1,000 a4 ft, *Hera / 145.15 4 Tax lmsp/pateal no.: E. edd'1 sq. A or portion 3 33.40 1 i I Limited motor• residential / 75.00 2 DESCRIPTION OF WORN(. Nth above se,, e.) Lambed energy. rnalt►tetaly NEW SINGLE FAMILY DETACHED reedezdel (alt abeam 9.) 75.00 2 Serums er feeders bu elbelon. alteeataen, stadia telacatlon 200 mope or lea 8030 2 ® PROPARTY OWNER I 0 TENANT 201 amps to 400 turps 106.85 2 Name: J.T. RO'PH CONSTRUCTION, INC. 401 amp to 6000 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 12600 SW. 72'' SUITE 200 Over 1.000 anon or volts I I 45469 2 J City /StatrrZVP: PORTLAND OR 97223 Temporary services or Calderra testator" alatinthm, audlor selocalon Pbonc: (503)639 LFax (503)6244239 200 arts or lee 66.85 ` 1 Owner Wa ttlnti=as This installation is being made on properly that I own which to not 101 amps to 400 annt% 100.30 r 2 intended for sale, lease, rot, or exchange, according to 025 447, 449, 670, and 701. 401 amps to 599 amps - 133.75 r 2 Baine ra sreaf&- new, aleetnulagorenfmabn - 1 Owner Deb: A Fee lhr bitch circuits We ® 6,PPLICANf j ❑ CONTACT PIE SON above savior or feeder a circuit , 6.65 2 Business a c: J.T. ROTH CONSIRUtr PION, INC R Fee far brand, amain Contact name: DAVID JENSEN without service or fewer flee 46.85 2 rest teaaoh circuit Addrosm 12600 SW 72' AVENUE, SATE 200 Boob eddl bmnab circuit f 6.69 2 1YIlsaothotaoha (smite 4e feria ant ladanlert) • CitylState/ZIP: PORTLAND, OR 97223 Boob mtutufeeaaed orlttodule Rom (503)639-2639 I Fact:: (5+0.7) 624-0239 dwell*. service cad/or feed a 90.5+0 2 Reconnect only 6685 2 13 - email: DAVIDJS3TROTHINC.COM _ Pump or Miseries) circle 33.40 2 CONTRACTOR Stir or outTaro lighting .53.40 2 Business name: JIROME EL EC1 RIC INC 9I$t aeau;t(e) or tai energy pant alteration. of Address: PO BOX 751 reeensiou Describe: page 2 2 City/StatclZLP: HILISBORO, OR 97123 Each additional imipewlew car Mews bf0 b of the elbow Perinsecetion - 62.50 Phalle (500) 6684141 I Fax (503) 648„...:1W Ai loremi tin per bow lt hr airs) 62.50 CCB Lic.: 158119 /gnl ( Electrical Lit.: 28775 3/1ro1I 9ulxv. Lie.: 34.1190 lads iel plan per hour 73.75 Suprv. Electrician signature , coqulred /" "/ % ELI RICAL mum FEES Subtotal: Print name: DAVID A JEROME, ITmtt~ �. p.► pi Plan review (25 % adpetmit rho): Rata sure nap (8% apeman (be): Authorized signet= / TOTAL PERMIT FEE: Print tfarRO: ` I 7om 7h 1a person appliesS etplw Ira pestle 1s aneartalted within 1e0 dace atterrr 1145 beer acee+peea aseworkae. • Number enter:crest snowed per Mina T;18 ildiad4+ablatiM aiutpp,dos Cfa.k06 Me+rstsAlcxutyrrOpous tl • • ,�1s; City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 2'-?- °C)1°9 II II July 2, 2008 • T I GARD J T Roth Construction, Inc. 12600 SW 72n Ave., #200 Tigard, OR 97223 Re: Permit No. See "Notes" Below Dear Sir /Ms.: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: See "Notes" Below Project Name: Gage Forest Job No.: N/A Refund: ® Check #58047 in the amount of $1,200.00. ❑ Credit card "return" receipt in the amount of $ . ❑ Trust account "deposit" receipt in the amount of $ . Notes: Refund for overpayment of TIF -R fees due to calculation error at $240.00 for each of the following permits: MST2007-00163, 15731 SW 81 Ave., Gage Forest, Lot 29 MST2007- 00166, 15680 SW 81St Ave., Gage Forest, Lot 9 MST2007- 00165, 15767 SW 81" Ave., Gage Forest, Lot 31 MST2007- 00164, 15706 SW 81St Ave., Gage Forest, Lot 8 MST2007- 00162, 15672 SW 81 Ave., Gage Forest, Lot 10 If you have any questions please contact me at 503.718.2430. Sincerely, "(65,4"/C Dianna Howse Building Division Services Coordinator Enc. I: \Building\ Refunds\ Administration \LtrRefund- Overpay.doc 01 /16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard or.gov • TTY Relay: 503.684.2772 IF : .. I City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: J T Roth Construction INC DATE: 6/12/08 12600 SW 72n Ave #200 Tigard, OR 97223 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: Various — See Attached Case #: Various — See Attached Date: Various — See Receipts Attached Address /Parcel: Various Pay Method: Check Project Name: Gage Forest EXPLANATION: Refund overpayment of TIF -R fees REFUND INFORMATION: • ' Fee Description From Receipt. Revenue Account No. Refund `- Example: [BUILD] Permit Fee - Example: 245 - 0000-432000 $ Amount [TIF - TIF Resident 210 - 0000 - 448001 $240.00 [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 TOTAL REFUND: $1,200.00 APPROVALS: If under $500 Professional Staff j �,, If under $7,500 Division Manager � ��- (� �' If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY t,./ Case Refund Processed: I Date: 472...5/4 e I By: I . _ I:\ Building \Refunds \RefundRequest.doc 05/23/07 STREET TREE CERTIFICATION fi I, �/ G dozcf,/ ,Owner /A for ri / 0T // i r w�.7° 'J (PLEASE. PRINT) ' (PERMIT HOLDER) - r Do hereby! certify that the following location meets City of Tigard , and , WaSliington s ounty land use and development :standard fdr street tree installation. T r(f \ ; L r); ADDRESS: T r A(S ? 1- col /5 St./ �/ �� SUBDIVISION: /q /79,7_,Esr LOT: g SIGNATURE: AP, . - DATE: 1 7//2_ /� R/AGENT) RECEIVED BY: - DATE: (CITY OF TIGARD) I:\ Building \ Forms \Streetl'reeCcrtificate 01/19/07 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/17%2007 Phone: (503) 639 -4171 A* :iii1 Inspection Requests (24 Hrs.): (503) 639 -4175 '_L , INSPECTION WORKSHEET FOR DATE: 4/15/2008 • TIME: 7:02AM PAGE: 9 SITE ADDRESS: 16706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503 - 639.2639 CONTRACTOR: Jr ROTH CON STRUCTION INC PHONE #: 503 639.2639 Inspection Request Scheduled For: Date: 4/1512008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 06840:303 503-806-0602 N Corrections /Comments/ Instructions: 4/L./L.- /1.4-s Fr, ../.44-L- (1C PD 4 S -' R , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /94 Inspector: Date: 4 - /S - -- 08 Phone #: (503) 718- Z4 -4-5— CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007- 00164 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/17000/ 00/ Phone: (503) 639 -4171 141 LV it Inspection Requests (24 Hrs.): (503) 639-4175 '__.. INSPECTION WORKSHEET FOR DATE: 4/15/2008 TIME: 7:02AM PAGE: 10 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr RUTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: ,.If ROTH CONSTRUCTION INC PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 4/15/2008 Pour Time: Code # Inspection Description Confirm .# Contact # Message 399 Plumbing final 068403 -02 503-806.0602 N Corrections/Comments/Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v v \A1� Date: 4 I /K7 0 ) Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST } -00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1/12007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/2/2008 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jf ROTH CONSTRUCTION, INC., PHONE #: 503. 638-2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 4/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 067748 -01 503.806 -0602 N Corrections/Comments/Instructions: 06 -61 L./ f- . p ,rv41 rkt. t,. 14_ OAA- K..)0 r O�l C t e M.4 T `e k- P' vA A ._ C9 v j H/ r“- - c — r CL.e.�uC lltilv�. t\..) t) l w ale✓ l\A u -4.1w , 4A , T r,. -1-u.� IPer�. Ste, �c� 12.E ° y c 1 C LA) �LO�✓ 1 La./ r A-T co K c'C i,.w l T� l.-� k. l 4- CokA ?.r 'e) p SP A- 01.3 1._ A-1 r- Co c'\ W i'Ct. W l \'. wz/ U kvt Cove / Co U �. l v� t4Egar4451 I - � - ak A l e 9-e In".O J-L o re � ✓‘e. �-r/� 5 T va •1 -1-•e 1, l 4 c.l♦G F L0 w e i I ,.t5 q 0 ..ra9,t (, - l rr M SL . "1 c r s ) - - 1- , g ` � SLAT 004* - P l v p ,,, ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (7 v\, ,z....- Date: L( 0 Q' Phone #: (503) 718- CITY OF TIGARD ._ BUILDING DIVISION PERMIT #: MST2007 -0f) 164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10117/200/ Phone: (503) 639 -4171 , a1iiiI Inspection Requests (24 Hrs.): (503) 639 -4175 _,�i INSPECTION WORKSHEET FOR DATE: 12/7/2007 TIME: 7 :00AM PAGE: 43 SITE ADDRESS: 15706 SWIM] AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 003 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503-639 -2639 CONTRACTOR: J(' ROTH CONSTRUCTION INC PHONE #: 503 - 639.2639 Inspection Request Scheduled For: Date: 12/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 061050-01 5034306-0602 N Corrections /Comments /Instructions: INC 4r \ \ b Va w.) S c c u ,rc, R R i 5 LT \C(` 0 S LI o w v (,l—rr 1 S T 1C I off../, K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: l_ 1 � VVh� -� V � Date: Z, 7 � 1 /i:i_ Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/170007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 :00AM PAGE: 39 1• AVE SITE ADDRESS: 16706 SW 81ST ! � CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 603..639' -7639 CONTRACTOR: ,fT ROTH CONSTRUCTION INC PHONE #: 503.639`2539 Inspection Request Scheduled For: Date: 10/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Postll,aarn plumbing 058733 -01 603 - 806-0602 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \/1 it.b( (47 Inspector: Date: Phone #: (503) 718- • CITY OF TIGARD , . , BUILDING DIVISION PERMIT #: INST;t007 -00i&4 ' 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10111/7001 Phone: (503) 639 -4171 • AA Inspection Requests (24 Hrs.): (503) 639 -4175 .� &. L ��i INSPECTION WORKSHEET FOR DATE: 10/29/2007 TIME: 7:01AM PAGE: 9 SITE ADDRESS: 15700 SW 01ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503 - 639 -2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503 - 639.2639 Inspection Request Scheduled For: Date: 10/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water servico 058543-01 503 - 806 -0602 N Corrections /Comments /Instructions: I X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (T k k ••■---' Date: )0 12-1 1'O) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00 1 64 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 V.I ' It, 1 Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7 :00AM PAGE: 20 SITE ADDRESS: 15706 SW 8131 AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: .ff ROTH CONSTRUCTION INC PHONE #: 503 -639 -2639 Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 058447 -06 503 806-0602 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 Inspector: gl '"` -- Date: 101261 0 Phone #: (503) 718- CITY OF TIGARD , , BUILDING DIVISION PERMIT #: ,1ST 007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/17/20;17 Phone: (503) 639 -4171 j'll' Inspection Requests (24 Hrs.): (503) 639 -4175 py n -_.. INSPECTION WORKSHEET FOR DATE: 10/25/2007 TIME: 7 PAGE: 2.1 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 000 TYPE OF USE: PROJECT NAME: GAGE (FOREST DESCRIPTION: New SF. OWNER: ,.IT ROTH CONSTRUCTION, INC., PHONE #: 503639.2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503.639.2639 Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 058447 -05 503 806.0602 N Corrections /Comments /Instructions: K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CP 14 ■ C V' — Date: 10 I D c p? Phone #: (503) 718- 1 CITY OF TIGARD ` - A _ . . BUILDING DIVISION PERMIT #: MST2007-00 164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 Arnr Inspection Requests (24 Hrs.): (503) 639 -4175 AW' f 'I� � 1 INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7 :00At,A PAGE: 22 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: COB TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503639.2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 10/2612007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 058447 -04 603 806- 0602 N Corrections /Comments /Instructions: I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: UZ I i { t \'-"' Date: II fl Z / ? Phone #: (503) 718 - 1 CITY OF TIGARD • BUILDING DIVISION PERMIT #: MS12007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/170007 Phone: (503) 639- 4171mm ub� �� Inspection Requests (24 Hrs.): (503) 639 -4175 ' 1 ``__.. INSPECTION WORKSHEET FOR DATE: 4/2/2008 ' • 7:00AM PAGE: 9 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: .1 ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 5036332639 Inspection Request Scheduled For: Date: 4/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 293 Final inspection 0677413 -03 503-8060602 N Corrections /Comments/ Instructions: ?Luww 1 w, X01;■ La LF/2-fil (-j KJ k t- S V ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [' FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED k -- / hone Inspector: Dat e: #: (503) 718- 1 CITY OF C O TIGARD BUILDING DIVISION PERMIT #: MST2007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/17/2007 Phone: (503) 639- 4171N Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 412/2008 TIM : : OAM PAGE: 10 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: JT ROTH CONSTRUCTION, INC., PHONE #: 503 -639 -2639 CONTRACTOR: JF ROTH CONSTRUCTION INC PHONE #: 503 - 639.2639 Inspection Request Scheduled For: Date: 4/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 067748-02 603 f306 0602 N Corrections/Comments/Instructions: I O ' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: — ' Date: / '� Phone #: (503) 718 Y CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 ..�11 u i Inspection Requests (24 Hrs.): (503) 639 -4175 . '!+� ' L. INSPECTION WORKSHEET FOR DATE: 3/20/2008 TIME: 7:02AM PAGE: 9 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jf ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503.639.7639 • Inspection Request Scheduled For: Date: 3/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 067050 -01 503-806-0602 N Corrections/Comments/Instructions: • SS ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑, ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- . r ,r . . 1 CITY OF TIGARD - • - 1 A BUILDING DIVISION PERMIT #: MST 2007-00164 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: IW17/20t)7 Phone: (503) 639-4171 _•44M1111\ Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 12/18/2007 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 000 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503.639 -2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 12/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Elertiical rough -in 061763 -01 503 - 806 -0602 N Corrections /Comments /Instructions: I 1 K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL El FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: 1 Phone #: (503) 718- CITY OF TIGARD . - . BUILDING DIVISION PERMIT #: MST2007.00164 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/17/2007 Phone: (503) 639 - 4171"'" "" 1 Inspection Requests (24 Hrs.): (503) 639 -4175 "IL. INSPECTION WORKSHEET FOR DATE: 12/i7/2007 TIME: 7 :Q1 AM PAGE: 8 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 00B TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503. 639-2639 CONTRACTOR: sr ROTH CONSTRUCTION INC PHONE #: 503 - 639.2639 Inspection Request Scheduled For: Date: 12117/2007 Pour Time: 1 Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 061660 03 503-806-0602 N Corrections/Comments/Instructions: e �n v1 di divok 0 de 0 u @ rf ey slaw 1 1 L C14 1 2 (4 a_c c o U pa 1 II PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ■ IF ',AIL ly, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •I Ins ector: .1ir Date: 4101 IV Phone #: (503) 718- CITY OF TIGARD . . • BUILDING DIVISION PERMIT #: MST2007 001 64 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/ 11/2001 Phone: (503) 639 -4171 � ' Inspection Requests (24 Hrs.): (503) 639 -4175 ' W `''I L INSPECTION WORKSHEET FOR DATE: 17/17/200 TIME: 7:01AM PAGE: 9 SITE ADDRESS: . 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 000 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503. 639.7639 Inspection Request Scheduled For: Date: 12/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 061660 -02 503.806-0602 N Corrections/Comments/Instructions: I I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ C ' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 41 P Date: 1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 18(I 111007 Phone: (503) 639-4171 1 4101 Inspection Requests (24 Hrs.): (503) 639 -4175 `.. INSPECTION WORKSHEET FOR DATE: 12/17/2007 TIME: 7 :01AM PAGE: 7 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: Q08 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: JE ROTH CONSTRUCTION, INC., PHONE #: 503-639 -2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 12/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 061660.04 503. 806 -0602 N Corrections /Comments/ Instructions: • �►�� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ AIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \1.� Date: 11 Phone #: (503) 718- • CITY OF TIGARD - BUILDING DIVISION PERMIT #: 1110/151-1772°070-100164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 4u. 1 ,,, i Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' 1_— INSPECTION WORKSHEET FOR DATE: 1/24/2008 E: 7:07AM PAGE: 7 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 000 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: JF ROTH CONSTRUCTION, INC., PHONE #: 603-639 -2639 CONTRACTOR: .DT ROTfi CONSTRUCTION INC. PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 1/24/2008 Pour Time: Code # Inspector) npccr'.tion Confirm # Contact # Message 242 Interior shear walls 063872 -01 503806-0602 N Correctio /Comme • • s: iv I►_/ PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ . FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED L Inspector: Date: ) — I /(-) Phone #: (503) 718- v' CITY OF TIGARD ' e - I BUILDING DIVISION PERMIT #: MST2007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10fi7/i0;i7 Phone: (503) 639 -4171 1 rl Inspection Requests (24 Hrs.): (503) 639 -4175 _..' `'IL. INSPECTION WORKSHEET FOR DATE: 1/22/2008 TIME: 7 :01Am PAGE: 38 SITE ADDRESS: 1.5706 SW 81L,7 AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST ` #: 008 TYPE OF USE: PROJECT NAME: GAGE: FOREST DESCRIPTION: New SF. OWNER: Jf ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 1/22/2008 Pour Time: Code # Ir9ection Description Confirm # Contact # Message 776 Framing 063617 -02 503 806-0602 N Correctio s /Comments /Instructions: p -. ‘ cl.i • \-/ %1 CA") 1 1 1 1 1 ❑ PASS VS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \trbl- � z (6 Date: Phone #: (503) 718 - CITY OF TIGARD ' i . BUILDING DIVISION PERMIT #: MST2007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i0/ 1 7/7007 - Phone: (503) 639 -4171 7.1s1 p�t� ili Ins Requests (24 Hrs.): (503) 639 -4175 .�'.- r__.. INSPECTION WORKSHEET FOR DATE: 1/22/2008 TI : 7:01AM PAGE: 39 SITE ADDRESS: 15706 SW 81ST AVE_ CLASS OF WORK: SUBDIVISION: GAGE FORE - LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CON STRUCTION, INC., PHONE #: 503-639 -2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503- 639 -7639 Inspection Request Scheduled For: Date: 12008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 063617 -01 503 - 806-0602 N Corrections/Comments/Instructions: ij -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4; Date: Pho #: (503) 718 - �f p � � 1 CITY OF TIGARD ` i BUILDING DIVISION PERMIT #: MST 2007 -00164 AIR 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �'' �� INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 00(3 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 603- 639 -3639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 603 - 639 -2639 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 063446 -01 503.806-0602 N Corrections /C m e is /Instructions: _ 1.1 i . „ re ,,„ ( - /6 , te .,, r - o , v — yv\,_,_,„ _Qe_„1-- ire c,,,,,,,A,A,i An (.. iv ; _. ,,,, _-_ fp,,, . 4--e . _....- A - 1.A - 1 ( , — I- 1 e \ V K-A I) 6 ----1,,--A—s [N PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (1 `' Date: Phone #: (503) 718-7—S-121 CITY OF TIGARD • . BUILDING DIVISION PERMIT #: IviST7.007 -00164 AR 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 4, Inspection Requests (24 Hrs.): (503) 639- 4175'I /.. INSPECTION WORKSHEET FOR DATE: 1/17/2008 7 :00AM PAGE: 8 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 000 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: ,IT ROTH CONSTRUCTION, INC., PHONE #: 603. 639.2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC. PHONE #: 603 - 639.2639 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 063445 -02 603. 806-0602 N Corrections/Comments/Instructions: r , • � • � W � � � .`t � � ' . - i �� 4-1 ICW ---kiL 5 r ri L, . . . t _ . K ilet i o , , JQ , ‘ _ 6 _ _ _ v, j" c _ , 4 _ j ? . • -.1-r-- ck.it__6 1, i ii , e: _ 1 1 a' A. l^.. 4 . ,- ►, i j ( 6S c3 ( r r c - -- -�) -4..j v ./ a- S t • ( r —,J-N i - : -.� ► ko-e: V,,-1..,--,_ tict-i-e.: ,:, 741, v vt4. (n - 3 -1-.‘s 1 C- ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v D ate: V 1 o � Ph one #: (503) 718- �y 4 CITY OF TIGARD ' i • , BUILDING DIVISION PERMIT #: AR MST7007 -00 i 64 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 4 6 � I � Inspection Requests (24 Hrs.): (503) 639 -4175 ...' `__- INSPECTION WORKSHEET FOR DATE: 1/15/2008 TIME: 7:02AM PAGE: 5 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503 - 639 -2639 CONTRACTOR: ,Jr ROTH CONSTRUCTION INC PHONE #: 503 - 639 -2639 Inspection Request Scheduled For: Date: 1/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 063259.01 603 806 -0602 Y o rections /Comments /Instructions: T L . ii i /i14i' tC4 i — u-4 /.J NQ T Cis< 1 r� . -) r i ■ d• G-�ki # f. �/t --r _,< s A. - LLI ix. ti� ,' - J/ves (/ . Q -5-0 1 e,,ewz t- ai, .. =��L1 - / . .� i ` 4f I /Zfft1/'L - �!'LL - S C r `` All L it A• Z.... 5 -4/11- «1 i h,, S `- 4/ S. f ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ —AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /-4 Q Phone #: (503) 718- CITY OF TIGARD ' BUILDING DIVISION PERMIT #: IvtST2007 -0016 4 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1 UJ } 7/'10N Phone: (503) 639 -4171 I..w11q' Inspection Requests (24 Hrs.): (503) 639 -4175 ..- ' IL. INSPECTION WORKSHEET FOR DATE: 1/14/2008 TIME: 7:04AM PAGE: 5 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: sr ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503 - 639 -2639 Inspection Request Scheduled For: Date: 1/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 063170 -03 503-806-0602 N Corrections /Comments/ Instructions: CtiTh/..)44-A-0 iT l"„ ❑ PASS ❑ PARTIAL APPROVAL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /A . Inspector: Date: I — J 4.. GS" Ph one #: (503) 718 - z CITY OF TIGARD ` . BUILDING DIVISION PERMIT #: MST2007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10117/2.0)7 Phone: (503) 639 -4171 � nnae Ni r Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/14/2008 TIME: 7 :04AM PAGE: 6 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 603- M-2639 CONTRACTOR: ,Jr ROTFI CONSTRUCTION INC PHONE #: 503 -539 -2639 Inspection Request Scheduled For: Date: 1/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 063170 -02 603.80&•0602 Y Corrections /Comments/ Instructions: ap 0/?...4400..c- -- ,LL...-- ---- 4 1 4 y i v J s'. s° ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / — 1¢ — a P. Phone #: (503) 718- ?4- � CITY OF TIGARD • " 4 BUILDING DIVISION PERMIT #: MST2007- 00164 13125 SW Hall Blvd., Tigard, OR 97223 1, • , TE ISSUED: 10/1712007 Phone: (503) 639- 4171 A / ... Inspection Requests (24 Hrs.): (503) 639 -4175 .o fit I.. INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7:01AM PAGE: 4 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: • SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: „IT ROTH CONSTRUCTION, INC., PHONE #: 503 - 639 - 2639 CONTRACTOR: .rr ROTH CONSTRUCTION INC PHONE #: 603 - 639.2639' Inspection Request Scheduled For: Date: 1/11/2008 Pour Time Code # Jection Description Confirm # Contact # Mes - ge 235 Shear wall::/anchors 063090 -02 503.806 -0602 Y Corrections /Comments /Instructions: A -fAr3 0' C l) ,I -=---- r e F.- ( Po.,--c---,.....k A-Ni- a___,,t) , ,A, C�,�.,✓\ - 5�, der, - t z_____ y-2._ % 6-r4(- ( .- ,, I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES A SESSED it7.- Date: \ ! l 1 .. Phone #: 503 718 - Inspector: vV` ( ) . CITY OF TIGARD • BUILDING DIVISION PERMIT #: MS T2007-00164 164 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 II Inspection Requests (24 Hrs.): (503) 639 -4175 °__ INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7 :p1AM PAGE: 3 SITE ADDRESS: 16706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: C108 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503 -G39 -2639 CONTRACTOR: Si ROTH CONSTRUCTION INC PHONE #: 503. 639`2639 Inspection Request Scheduled For: Date: 1/11/2008 Pour Time: Code #pection Descriptio Confirm # Contact # Message 240 Exterior sheathing / 063090 -03 603-806-0602 N Corrections /C ments/ struction • ? , c,b OP ) 1 - /1 AP \ Pp - L .0 _ - CLt --cam - ? c, - ' . . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES AS ESSED / ` 2if Inspector: Date: �"? \A A Phone #: (503) 718 VI CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 i A u'll Inspection Requests (24 Hrs.): (503) 639 -4175 .... INSPECTION WORKSHEET FOR DATE: 1/2/2008 TIME: 7 :01AM PAGE: 10 SITE ADDRESS: .15706 SW 81ST AVF CLASS OF WORK: SUBDIVISION: GAGE_ FOREST j LOT #: 008 TYPE OF USE: ' PROJECT NAME: GAGE FOREST l DESCRIPTION: Nevi, SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 1/2/2008 Pour Time: Code # Inspection Description Confirm ## Contact # Message 1. 615 Mechanical rough -in ! 062423-02 503.8106.0602 N Corrections /Comments/ Instructions: ' - (� p r' c, , 1 ❑ PASS I ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , ; Date: Phone #: (503) 718 - Lc2 y_ i g 1 1 CITY OF TIGARD . BUILDING DIVISION #: MST3007 00'164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10117/2007 Phone: (503) 639 -4171 /�,u� 11 Inspection Requests (24 Hrs.): (503) 639-4175 ° _-. INSPECTION WORKSHEET FOR DATE: 1/2/2008 TIME: 7 :01AM PAGE: 11 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: sr ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503 -639 -2639 Inspection Request Scheduled For: { Date: //2121108 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 062423 -01 5503 - 806 -0602 N Corrections /Comments /Instructions: • 000::; PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ' CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: O Phone #: (503) 718- ZCW- CITY OF TIGARD - f BUILDING DIVISION j PERMIT #: MST2007 -00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639- 4171��I n. Inspection Requests (24 Hrs.): (503) 639 -4175 _..� INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7 :00AM PAGE: 10 SITE ADDRESS: 15706 SW 131ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: JT ROTH CONSTRUCTION, INC., PHONE #: 503 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503-638-2630 • Inspection Request Scheduled For: Date: 11/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Messa e AA 240 Exterior sheathing 060019-02 503 -806 -0602 V Corrections /Comments / Instructions: Nicir—r_0\;)1 ❑ PASS ❑ ° ' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ►! FAIL // LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - — - ■••■ Date: U Z Z Phone #: (503) 718- r CITY.OFTIGARD • BUILDING DIVISION PERMIT #: hfiext2007- 0016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1011712007 Phone: (503) 639- 4171W'i�l Inspection Requests (24 Hrs.): (503) 639 -4175 �': _, INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 15706 SW 81ST AVE CLASS'OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503 -639 -2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC: r PHONE #: 503 -639 -2639 • Inspection Request Scheduled For: Date: 11/20/2007 Pour Time: Code # e Inspection Description Confirm # Contact # Message P P 9 235 Shear walls/anchors 060019 -01 503 -806 -0602 Y Corrections /Comments /Instructions: No-t--- ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS if; CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED L r Inspector: Date: I) Z- v17 Phone #: (503) 718- 2- • CITY OF TIGARD ' -. BUILDING DIVISION PERMIT #: MST2007-00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639-4171 4ilt°11111 , ,, i _i_. Inspection Requests (24 Hrs.): (503) 639-4175 ,,Lumfr __ ' (/f INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: gga TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTRUCTION, INC.. PHONE #: 503..639.2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503.639.2639 Inspection Request Scheduled For: Date: 10/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 058733-03 503-806-0602 N Correction omments/Instructions: vc 5 RA: 3z-?4 O' Vi)Le6 e A-44_ 6,yrykic,\A_ 1,),.11,4c ) PASS 0 PARTIAL APPROVAL 0 CANCEL. El NO ACCESS ,F7 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: ., Date: 1 - 6 ? 3 V 67 Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2007-00164 13125 SW Hall Blvd., Tigard, OR 97223. DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 �p� 11 Inspection Requests (24 Hrs.): (503) 639 -4175 , _.. ^ _.. INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7:00AM PAGE: 38 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE: FORES1 LOT #: 000 TYPE OF USE: PROJECT NAME: GAGE FOREJT DESCRIPTION: New SF OWNER: Jr ROTH CONSTRUCTION, INC., PHONE #: 503.639 -2639 • CONTRACTOR: SIT ROTH CONSTRUCTION INC PHONE #: 503 - 639.2639 Inspection Request Scheduled For: Date: 10/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 606 Post/beam mechanical 058733 -02 503 - 806-0602 N Corrections /Comments /Instructions: 6 - ASS - ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED '‘ 6/ 3 /6'? Inspector: Date: Phone #: (503) 718- 111 CITY OF TIGARD ' - 1 BUILDING DIVISION PERMIT #: MST2007- 00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1 mow Phone: (503) 639 -4171 1 jt Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/19/2007 TIME: 7 :01AM PAGE: 3 SITE ADDRESS: 16706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 008 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: Jr ROTH CONSTIRUCTION, INC., PHONE #: 5Q3- 639-2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503 -G39 -2639 Inspection Request Scheduled For: Date: •10119/2007 Pour Time: 2 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 057973.04 503.1306 -0602 N Corrections /Comments /Instructions: I ii 7h4y A- Aeol -,47,- Ar.;TS <i74.4 7J� - 5P/1G ` �a tA 514.j 1,_) ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 D —1 4 — 6 > Phone #: (503) 718- '�4- ------ L CITY OF TIGARD - . BUILDING DIVISION PERMIT #: MST2007 0O if i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1]/2007 Phone: (503) 639 -4171 �',, 11t a ` 111 Inspection Requests (24 Hrs.): (503) 639 -4175 = .�i :_.. INSPECTION WORKSHEET FOR DATE: 10/19/2007 TIME: 7:01AM PAGE: 4 SITE ADDRESS: 15706 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 000 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: JT ROTH CONSTRUCTION, INC., PHONE #: 603- 639 -2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503 -639 -2639 Inspection Request. Scheduled For: Date: 10/19/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 057973-03 503- 806 -0602 N Corrections /Comments /Instructions: p PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4/0 Date: /0 %9 --e:> Phone #: (503) 718- _'74