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14378 SW 130TH AVENUE ADDRESS: N378 r J iskeonrdslmicm((mltarge(slbui(dirig.doc CITE( OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT `13125 SIN HAII Blvd.Tigard,Oregon 97223.8199 (603)639-4171 f.A.Tlivi .ATE OF OCCAPONCY :t>04 PEIR14 T T . . . . . . . . W5 1 2 6 39­4 til 1,411 f L .11_-'- ILD Q 4/*I tj,/ "I Tr' AD1)fRU-U,.-i. . . : 14._ 78 "M 130TI-I AVE. PORCU'L. P.;"W)Af,4 .01600 AR%D I V'I ST ON. . . . t WOODr"O ) ESTATES ZONING: R--**/ LOT. . . . . . . . . . . . . .4 'MJRK. sNEW OCCUPANC,Y (Mr. 1 P3 OCCUPMCy' (_OADiii229 4 T r'NANT NAM- . . C? & W pop,rNCRS IP:iW !:1W 69TH AVE. 1*1611MI) OR 07223 phwof #.. 369­263rll cont ract far" ; R & W P(liRTNERS 1230111 SM 69TH OVE TIGAR11 OP phone #I 6X,)-,.2c34 Req *. . : 80970 Occi'mmwy of the Above roff�Vf'tl( ed .. lAildinrl is hevetty qivpn, arid t-he romplianre with thly GtTite Of Oro'clon �'i)aeuillty C(j(jev; for the group, orcupeklicy, A­�J ust ."Iticter Which the refpf- eficer-, permit wagi iv-sued. I"I PCDLPARTMUN T 11,1)1 N .'. I PECTI.jR Cm u IN CONSPILIJ100"; pLHU,.*.* iY 7 CITYOFTKARD CnYOFTIMRD COMMUNITY DEVELOPMENT DEPARTMENT MOM MASTER PERMIT 13125 BIN HWI Blvd. P.O.Box 23397,J*M.OnWr V=(603)6394176 ;7-7 PERMIT MET92-02E,7' DATt--.' ISSUED: 03/17/93 SITE ADDRESS., . . : 14378 SW 130TH AVE SUBDIVISION. . . . : WOODFORD ESTATr'c, ZONING. R-7 TAjjjCj-'. . . . . . . . . . . L07. . . . . . . . . . .. . . :4 BUILDING FRE:-I GSUE: DWE.I-LING UNITS- 1 BASEME NT. . . . . . . . : 1;333 f CLASS OF WORK. -.NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . .440 s f TYPE OF USE. — :SP rLOOR REQ.UIRED SETBACKS---- --- TYIJE OF CONST. :5N FIRST. . . . - .1333 sf LEFT. . .5 ft R I GHT. Fj �-t )CCUPANCY GRP.:R3 SE:ECOND. .843 s f F'RUNT. :;20 f t R 35 -F t STORIES. . . . . . . .2 THIRD. . . . :0 s f REQUIRED-__.-__-..__._.._._.,_._.___._....__..... HEIGHT. EQUIRED---,----- HEIGHT. . . .. . . . , t29 ft TO T i')L -:217 6 S f SMOKE-. DETt.'XTORS. FLOUR LOAD. . . . :40 psf VALUE. . . . . $ - 169334 PARKING SPACES. . :0 Reinat-ks - PATH T PLUMDING LINKS. . . . . . . . . . : :1. FLOOR DRAINS. . 0 BACKNFLOW PREVNTRS. . L71 LAVOTORIES. . . . . ..4 WATER HEATERS. I TRAPS. . . . . . . . . . . . . . .0 TUB/SHOWERS. . . . LAUNDRY TRAY13. . . I CATCH BASINS. . . . . . . :0 WHTER CLOSE-f S. . .3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . .0 D I SHW0S!4PR3. . . . gl WATER LINE (ft ) . . 100 OrHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . .0 WA,S)HING MACH. . . : 1 SF RAIN DROING. . : 1 MECIAANICAL FEES FUEL T'YP['.S----- UNIT HTIRS, -0 type ainoLtnt Ly date v,er-pt I /L-3(4S/ VENTS . . — :0 Tlf: $ 1460. 00 JH 10/22/92 MAX INPUT-vo STU VENT FANS. :Li PPRT $ C,013. 00 JH 10/2-7119 E! FURN ( tOOV 0 HOODS. . . . . . .. I BVILC $ 395. 20 JLH 09 /92 2,31896 .1 0. 4(21 JH 10/R-2 FURN . . .- I WOOIV=TOVEG. :0 B3[ C 3v FLOOR FURK. . . . :0 CLO DRYERR. . I SSDC 280. 1710 JH 10/E1-?/92 - BOTI-/CIYIP 3HF'.,0 arliup uN vrs: i P A R I I's 50111. 00 JH 10/22/92 - GAS OUTLE. ['S- 1 MPRT $ 45. 00,, JIi i0/22/92 - 0 w n e t^; - --- - - - - - ------------ --- - - - ----------- --- ----M V)L C 1, 11. 25 JH 10/22/92 R & W PARTNER;, M15PIC $ 2. 25 JH 10/2;2/c)2 lL"300 "Jw 6971,1 PVF PPRT * I Sl!'.. 00 ill 7. 75 JH 10/22/92 TIG(IRD OR 97L;22 P1101le #: 369----2639 11 & W PARTNER5 1,:`.'300 SW 69TH AVE TIGo-)RD OR 97212.3 Rhone #: 639--2639 Ln Reg #. . !- 00970 .1j'+94. 135 TOTAL This permit is issued subject to the vegulations contained in the REUUTRED 'NSPECTIONS Tigard Municipal Code, State of Ore. Specialty Coles and all other Font/found Insp Framing Insp L" applicable laws. All work Nil: be done in accordance with approvel Fciot/foi.irid Insp Pt,amirig (REINSP) plans. This permit will expire if work is not started within 180 Past -Beam `;trust Fiv,epiace Insp days of issuance, or if work is suspended for more than 0 days. Pim ',.i-idslat, Insp Gas Line Insp PL.rtl/Uri(J e r-f 1(1(.)t- Irisi. 'atiori Insp P e i,-M i t t.E7 F, S i U T1 r,t .I e Mec,hp.oical Insp Gyp Buar,d Insp Meir.,-Anir.,al Insp Rain drain Insp Issued By : ------ PPI,.imh Top Ot.tt Water Line Insp I Call f"O' ipapm�tL" C. ZI I- INSPECTION NOTICE City of Tigard Building Department V 13125 SW Ball Blvd, Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63-4171 Inspection: Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plhg. Top Out Gaa Line FINAL: Poet/Beam Strutt. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Innulati.on -Plumb. Plbg. Underfloor Hater Line> Gyp. Bd. -Hoch. Date Requested:____ -� / Time: AM PH Address: 7 Z_3 `�--�` Permit Builder: M. FOLLOWING CORRECTIONS ARE REQUIRED: 'cte,11S fZ,0 k7A w lsyoftl," O. �-r cc — F- V) F-- J t` r� W Inspectors 1 / /�J�fy�S _ Dates ' APPROVED DISAPPROVRD _J_,-"PROVED SUBJECT TO ABOVR Call For Reinsp. INSPECTION NOTICE City of Tigard Building De_--ctment 13125 Sit Sall Blvd. Tigard, Oregon 9722_ Inspection Lino (Rec-O-Phone): 639-4175 Business Phone 39-41.11 Inspection: - —_—_-,— --� Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Yost/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line �yp. Bd. -Mech. Date Ruqueeted:" z;;P,� Tirtw: AM _-PM Address: Permit f:__L^� Builder:_.- -- THE FOLLOWING CO CTIONS ARE REQUIRED: ti J r� w J Inspector: Datet _ APPROVED -_ DISAPPWIRD APPROVED 9UWNCf TO A Call For Reinep. INSPEC.'TION NOTICE City of Tigard Building Department 13125 SK Hall Blvd.. Tigard, Oregon 97223 Inspection Line (Ree-O--Phone): 639-4175 Business Phone: 639-4171 Inspection: -�,_.-----_- Footing Plbg. Underclab Much. Rough-in Appr/Sdwllc Found. Plbg. Top Out Gas Line FINAL: Post/Beam Stru^t. San. Sewer Framing -BIr1q. Post/Beam Mach. Rain Drain Jnsulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested- J z_ _Times AM �1 PM AddreNa:_ �L/ ,� / � �3 o Ohl— Permit Permit 3: % Builder:__ THE FOLLOWING RRECTIONB A_RZ REQUIRRD: L .Qi AAALA 1 42 irh cc4p= V) 0 14�. W 2nepector: Date: APPROVto ots"PROMRo k APPROVED BUBJ$CT TO ABOVIC Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 M Ball Blvd. Tigard, Oregon 97223 Inepection Line (Rec--O-Phone): 639-4175 Business P n a 171 . Inspection• —_^ Footing Plbg. UnderalaL Mech.—Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line NAL Poet/Beam Struct. San. Sewer Framing -Bld Poet/Beam Mech. Rain Drain Insulation 1 Plbg. Underfloor Water Lina` / Gyp. Bd. -Hoch Date Requestedt�—T//J / _Timet AN PH Address: y �TTTC, � Permit �� — 1 Z7�7 Builder: TFM FOLLOWING CORRECTIONS AAE REQUIREDt ct re�C; a 1JdC/ - MT C W J Ins —` Dat APPROVEDDISAPPRO APPROVRD SURJF.CP TO ABOVE Call For Reinap. INSPECTION NOTICE C' �y of Tigard Building Department 1312C- -Phone)z vc7. T g Ocego4 97223 Inspection Line ( 639-4175 B }nese hone: 639-4171 Inspection:_Footing Pllab cn. Rough-in p�/S wd lk Found. Plbg. Top (jut Cas Line FINAL: Post/Beam S' ruct. San. Sewer. .,-amirg -Bldg. Post/Beam Rech. Rain Orrin Insulation -Plumb. Plbg. Underfloor Wat r Line Gyp. Bd. -hech. Date Requested:� � ` 3 Time: _ AN PN Addreea:L ,/ IV-4L Permit t: %'1_ —Uz Z� Builder:v t7` Z 3c! THE FOLLOWING CORRECTIONS ARE REQUIRED: -T r�irF �Fi� L.t fir a - F- - J L r-0 W J Inspectors_V /HR r£1L APPROVED - DISAPPROVED -�� APPROVED SUBJECT TO ABOVE "Call For Rainsp. LNSPECTION NCTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plhq. Top Out Gas Lipp_ FINALt Post/Beam Struct. San. Sewer _ Framing ) -Bldg. Poet/Beam Mech. Rain Drain Insula`.ion -Plumb. Plbg. Underfloor Water Lina Gyp. Bd. -Mech. Date Requentedt_ z/ y Times AM PM 7 Addres0:_ r3 7e ,� -�L' �= Permit #s Builder: THE POLI MIN RRECTIONS ARE RSQUIREV. Z cr cru--- , CL f- 1- J sti - C7 W J Inapectors ,� -/`� `.-----_-- Dates3-- RPPROVtD DISAPPROVRD APPROVED SUBJECT TO ABOVF R_ Call For Reinnp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inopection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underslab Mech. Rough-in Appr;Sdwl.k Found. Plbg. Top out Gas Line NAL., Poet/Beam Struct. San. Sewer Framingdldq� Poet/Beam Mech. Rain Drain Lnsulat-ion ' -Plumb. Pl:x1. Underfloor Water �t' e Gyp. Bd /1� Date Re.7uested: ' l! t / .� �TiaM! AN PM Address: C 1 [ �i I I Permit f1 Builders TUE FOLLOMIN(i CORRECTION} ARE REQUIREUI 1-2 -rh/ Inspectors �_ _ DatF• APPROVED DISAPPROVED APPROVED SUBJECT TO AOM __Call Per Poinap. INSPECTION NOTICE City of. Tigard Building Department 13125 SW Hall Blvd. Tigard, Orogon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 539-4:71 Inspection: tooting Plbn Underslab Mech. Rough-in Appr/Sdw:,: Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Nech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: Ti .��' .AM __ PM Address: Ly-3 Permit t: Builders THE FOLLOWI CORA MONS ARE REQUIRED: __j s Inspector:__ Bate: l� APPROVED DISAPPROVED %PPROVED SIIBJErT '1'O ABOVE Call For Re)nep. wwaw TNSP_E'.TION NO'^ICE City of T.....:d Buildin._ Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rea-0-Phone): 639-4175 Business Phone: 639-4171 Inspection: -_ Forting Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: P t/Beam Struct. ) San. Sewer Framing -Bldg. Rain Drain Insulation -Plumb. Plbg. -UnWater Line Gyp. ed. -Nech. Date Requested: �7l!/ � / Time: AAM PN Address: /`7 / a J Permit 1:1G l 2 2:3 Builder: THE FOLLOWIN CORRECTIONS ARE REQDIREDI i F^ In T J W J 1nn1x.�-tr,rc _ hate! AlYRnvFD n 1 SAPP119VED _ APPWNSD BUWZCT TO ABM . .. - - -- ,-- Cal l For Rsinap. INSPECTION NOTICE City of Tigard Building Department 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bustness Phone: 639-4171 Inspection: Footin Plbg. Underslab Mvc':. Rough-in Appr/Sdwlk r Plbg. Top Out Fas L!ne FINAL- Post/Beam Struct. San. Sewer it-mLnq -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meth. Date Requested: Q _Time: �sPM Address: � Q Permit #42 Builder: THE FOLLOWING CTIONS ARE REQUI-ED: n. N I-- C.7 W J — Inspectors_ APPROVED DISAPPROVBI) APPROM) SUBJECT TO ABOVE _ Cell For Rein.p. Am INSPFCTION NOTICE City of Tigard Building Department 7'125 SW Ball Blvd. Tigard, Oregon 97223 Inspeaction Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: -- Footing Plt•y. Underelab Mech. Roogh--in Appr/Sdwlk Found. Plog. Top Out Can Line FINAL: Post/Beam Struct. San.j wer Framing -Bldg. Poet/Bean. Mech. Rain Inoulation -Plumb. i �� Pl.bg. Underfloor �' Water Lina/ Gyp. Bd. -Mech. Date Ragveuteds /, �� ___ Timet M Address: /y-333,� ___ Permit is C Builder: i.% THE FOLLOWING CORRECTIONS ARE PEQUIREDt inspector/s_ Date- APPROVED IIiSAPPROVED -_ - APPROVED SUBJRCT TO ADOVE 7C Call For ReLnep. INSPECTION NOTICE City of Tigard Building Department "I.13 6W Hall Blvd. Tigard, Oregon 97223 Inspection Linc- ;:.ac-D-Phcne): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underclaa Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out> Can Line FINAL: Poet/Beam struct. San. Sewer Framing -Bldg. Post/Beam Mach. Pain Drain Insulation -Plumb. Plbg. Underfloor Watir Line Gyp. Bd. -Mech. Date Sec,,estud: I L LI ' L. ---,—Time: ---AM ---PM 7 / -d _ 2- Z 2- Addresas �ZJ !� ?71�•� Permit I:_ Bu.'.ders • �� - -- — ILMF, FOLLOWING CORRECTIONS ARE REQUIRED: a F-• H- J C - U J Inspector: _ Dates APPROVED JISA.PROVED APPROVED SUBJECT TO ABOVR mall For Rei:nv. INSPECTION NOTICE City of Tigard Building Department 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171 Inapection• Footing Plbg. Underalab ech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam .St_uct. San. Sewer —iFr-iminq 1 -Bldg. Post/Beam Mech. Rain Drain Insu afi3ff- v -Plumb. Plbg. stnderfloor Water. Line Gyp. Bd. -Mech. Date Requested:-- -/- c/� yf,_ _Tit .+s __AM PM Address: Lt_1cL� l J�~ Permit #s 2—z U i Builder: THE FOU OW�RRECTIONS ARE REQUIRED: ���1� `ten..-�/i-✓ ([j� eA-y✓-- u..v CL CC Al— -- ►- � r J r,y J Inepector s ---- Date..- 9 z-- "PROM ✓DISAPPROVED APPROVED SUBJFCT TO ABOVE r Call For Rainap. PLUMBING PERMIT PERMIT M. . . . . . . : MST92-0223 DATE ISSUED: 10/22/92 SITE ADDRESS. . . : 11378 SW 130TH AVE PARCEL: 2S109AA-01600 SUBDIVISION. . . . : WOODFORD ESTATES ZONING: R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4 ------------------------------------------------------------------------------- CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . :) TYPE OF USE. . . . :SF WASHING MACH. . . . . . :1 BACKFLOW PREVNTRS. . :O OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . .. . . . . :2 WATER HEATERS. . . . . . :1 CATCH BASINS. . . . . . . :0 FIXTURES-------------- LAUNDRY TRAYS. . . . . . :1 SF RAIN DRAINS. . . . . :1 SINKS. . . . . . . .. . . :1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0 WATER CL0SETS. . :3 WATER LINE (ft) .. . . :100 DISHWASHERS. . . . :1 RAIN DRAIN (ft) . . . . :0 Remark®: PATH I OWNER: ----------------------------- -----------------FEE.--------•------- R 4 W PARTNERS TIF $ 1460.00 JH 10/22/92 - 1.2300 SW 69TH AVE BPRT $ 455.50 JH 10/22/92 - BPLC $ 296.08 JLH 09/22/92 231896 TIGARD OR 97223 25PC $ 22.78 JH 10/22/92 - Phone #: 369-2639 SSDC $ 280.00 JH 10/22/92 - PhRK $ 500.00 JH 10/22/92 - Plumbing Contractor:---- ------------ MPRT $ 45.00 JH 10/22/92 - MPLC $ 11.25 JH 10/22/92 - Name:_ � MSPC $ 2.25 JH 10/22/92 - Address: 12gjs s,, ,,,5 '-i= PPRT $ 155.00 JH 10/22/92 - City: )',L State: PSPC $ 7.75 JH 10/22/92 - Zip: 7 -IC3.y Phone#: Reg #: G: S > 3 '�• Lc. } `�3 I'L3 ------- REQUIRED INSPECTIONS ------- Thio permit is issued subject to the reg- ulations contained in the Tigard Municipal Foot/found Inep Gyp Board Insp Code, State of Ore. Specialty Codes and all Foot/found Inep Rain drain Inep other applicable laws. All work will be done Post/Brum Struct Water Line Insp in accordance with approved plane. Thin Post/Beam Mechan Appr/Sdwlk Inep permit will expire if �.ork Is not started Plm/undslab Insp Mechanical Final 0- within 180 days of isauance, or if work is PLM/Underfloor Plumb Final Cz suspended for more than 180 days. Mechanical Inap Building Final N Plumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp _ c0I x �. Imo ,( Insulation Insp Uj Authorized Plumbing Contractor Signature Call for inspection - 639-4175 Contractor Notes: MASTER PERMIT C17Y F T'firARD CITYO-FTMID PERMIT #. . . . . . . . COMMUNITY DEVELOPMENT DEPAMMEW « sosi DATE ISSUED. 10/22/92 13126 SW Hall Blvd. P.O.BOX 23397,Tig&W,Oregon 97223(603)6394176 �14R666. . . a 14441 W4 1-i"A'444 nt�L_ SUBDIVISION. . . . : WOODFORD ESTATES ZONING: R-7 BLOCK. . . . . . . . . . . LO-1.. . . . . . . . . . . . . :4 BUILDING REISSUE: DWELLING UN1TS: 1 BASEMENT. . . . . . . . :0 Sf CLASS OF WORK. :NEW BEDRIYIS:3 BATHS:3 GARAGE. . . . . . . . . . :440 Sf TYPE OF USE. . . :SF FLOOR REQUIRED SETBACKS------------ TYPE OF CONST. :5N FIRST. . . . : 1333 s LEFT. . -.Z ft RIGHT. :5 ft OCCUPANCY GRP. .-R3 SECOND. . . c843 sf. FRONT. :20 ft REAR. . :35 ft STORIES. . . . . . . :2 THIRD. . . . :0 s HEIGHT.. . . . . . . . ..2-1 ft TOTAL-------.2176 sf SMOKE DETECTORS. .- FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 108016 PARKING SPACES. . .*O Remarks: PATH I ----------------------------------- PLUMBING ----------------------------------------- SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . :4 WATER HEATERS. . . . I TRAPS. . . . . . . . . . . .. . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . — :0 wi-ITER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . il WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 bARBAGE D I SP. . . : I RAIN DRAIN (ft) . :0 WASHING MACH. . . : 1 SF RAIN DRAINS— [ ---------------- MECHANICAL -------------- ----------------- FEES -------------_. FUEL TYPES------------- UNIT HTRS. . -.0 type amount by date recpt /GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JH 10/22/92 — MAX INPUTtO BTU VENT FANS. . :4 BPRT $ 455. 50 JH 10/22/92 — FURN < 100K . . :0 HOODS. . . . . . . 1 BPLC $ 296. 08 JLH 09/22/92 231896 FURN )=100K . . : I WOODSTOVES. :O B5PC $ 22. 78 JH 10/22/92 — FLOOR FURN. . . . :0 CLO DRYERS. s 1 SSDC $ 280. 00 JH 10/22/92 — BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 JH 10/22/92 — GAS OUTLETSsl MPRT $ 45. 00 JH 10/22/92 — Owner: ------------------------------------- MPLC $ 11. 25 JH 10/22/92 R & W PARTNERS M5PC $ 2. 25 JH 10/22/92 12300 SW 69TH AVE PPRT $ 155. 00 JH 10/22/92 P5PC $ 7. 75 JH 10/22/92 TIGARD OR 97223 Phone #s 369-2639 Contractors R&W PARTNERS 12300 SW 69TH AVE TIGARD OR 97223 Phone #: 639-2639 Reg #. . e 80970 3235. 61 TOTAL This pernit is issued subject to tho regulations contained in the ------- REQUIRED INSPECTIONS Tigard Municipal Code, State of Dre. Specialty Codes and all other Foot/fOL(nd Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam StrUct Gas Line Insp plans. This perait will expire if work is not started within 180 Post/Beam Mechan InSUlation Insp days of issuance, or if work is suspe d fo/_jeore an , 0 days, Plm/Lindslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insp Permittee Signature Mechanical Insp Water Line Insp PlLimb ToT Ok.1t Appr/Sdwlk Insp ISSLied Framing nap Mechanical Final Call for inspection 639-4175 C'TY QF TIGrA RD SEWER CONNECTION CITYOFTWORD PERM I T* oom COMMUNITY DEVELOPMENT DEPARTMENT 1�, OM 77 PERMIJ #. . . . . . . : S W R 92-Q.13 0 8 13126 SW Hall Blvd P.O.Box 23397,T19ad,Or"m 97223(603)639-4176 639--4171 D(4TE ISSUED: 10/22/92 Sl"CE ADDRESS;. . . r 14378 SW 130TH AVE. F,ARCEL; 2S109AD­WDF4 c 3UBD I V I S I UN. . . . : WOODFORD ESTATES ZONING: R-7 13LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :4 USA NO. . . . . . . . FIXTURE UNITS. . . CLASS OF' WORK:. . . :NEW DWELL ING UN ITS. . . 1 T'(PE OF USF. . . . . .SF NO. OF ESU ILDINGS.- I INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : Remar,ks : PATH I Owner: FEES ---­- R & W PARTNERS type arnol-tnt by date v,ecpt 1-2300 SW 69TH AVE FIRMT $ X100. 00 JH 10/22/92 - INSP $ 35. 00 JH 10/22/92 - T I GARD TIGARD OR 97223 Phone #: 369-.:-'f,.39 Contractot-_4r_ ---------- (_'(JNTRACTOR 1\101" ON F -L. 1 ,hone 2135. 00 TOTAL REUUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer-, Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If no. so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a teral. a rr,, -mittee SiL I nia t i-t r,e I s s 1.ted By LA11 for inspection 639-4175 CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO. :92-2,33023 CHECK AMOUNT : 5120.61 NAME J. 1'. ROTH CASH AMOUNT 0.00 ADDRESS PAYMENT DATE 10/2c:/9i? SUBDIVISION PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT nMOUNT PAID n1aILDINGyPERM -~ 455.50 PLUMHIId13 PERM 155.00 n MECHANTC:AL. PE 45.00 ST. BUII.D PER 32. 78 cl: PLAN CHECK FE 57.33 SEWER USA 2100.00 vi SEWS:R INSPECT 35.00 PARKS SDC 700.00 STORM DRAIN 50C 280.00 RESIOFNTIAI_ TRAFFIC FFES 1350.00 J MASS TRANSIT TIF FEES 110. 00 r W J LUT 4 WOODFORD ESTATES 14378 SW 130TH TUTAL AMOI.INT PAID -► 5120.61 r' CITE' OF r1 1tJ C11t1J 1317)sw lieu nwa_ PLNCK/RECT # �1 1 1 1 roBox 23397 PERMIT # M502-0) 2-3 COMMUNITY DEVELOPMENT DEPARTMENT Tipc4Oregon 97W (503)639-4171 DATE ISSUED JOB ADDRESS: TAX MAP/LOT .251olM SUB: ' oc r S S LOT: / _ LAND USE: VALUATION: / r(<• OWNER SPECIAL NOTES NAME: �� E_ ,� S CJ REISSUE OF: ADDRESS: LAST REISSUE: FLOOD PLAIN/ PHONE: SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: GL� LjG'(.0PLANNING: ADDRESS: SW 61 ENGINEERING: 9Zzo3 FIRE DEPT: PHONE: _ 3�l z6 _ OTHER: f CONTR. BOARD #: Z�Q�/7C� EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: ! -��—— LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH/ENGINEE/R CALCULATIONS: _ NAME: tt TRUSS DETAILS:` ADDRESS: OTHER: PHONE: h PROPOSED BLDG. USE: COMMENTS: i APPOff-ANT SIGNATURE Received By: r � Date Received: " Z z I --1 z. PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. Bl1L. DUE rr-s�Z-043 10-432 00 Bu'lding Permit Fees . S �� 10-431 00 P'.umbing Permit Fees �S •�� - �S�" 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) •3 -Z '-)y Building ���,� Plumbing _713 _ Mechanical 2- 10-433 00 Plans Check Fee 30 57• .3} Building K,0 0 Plumbing Mechanical 1, Z >� 10-230 06 Fire �5cvf'yZ-o3oY 30-202 00 Sewer Connection ,:2-1 1) 30-444 00 Sewer Inspection j ) 31 _ 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 iD. a f / /3Se) 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 5-z") >�y 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-01 Water Quality (Fee in lieu of) a - 24 5-02 Water Quantity (Fee in lieu of) .� TOTAL S3-26,, 6 1 Z nm/3587P.WPF