14390 SW 130TH AVENUE i
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CITY OF TIG7 PD CITY TWRD
k
COMMUNrrY DEVELOPMENT DEPARTMENT MASP"ER PERMIT
13125 SW HWI Blvd. P.O.%=23397,Tk%W,Oregon 97 (SM)6394176 ;7"" PERMIT
DATE .IGSUED: L43/ 17/93
SIrE ADDRESS- - 14391A SW 130TVI AV(- P(IRCEL-
SUBDIVISION. . . . : WOODF ORD ESTATES" ZONa NG: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..5
BUILDING
ING
-.
REISSUEDWELLINr4 UNITS: 1 BASEMENT. . . . . . . . : 1. 166 sf
CLASS OF WORK. -NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . :53+1 sf
TYPE UF-' USE. . . .Gr FLOOR ANEA5' RIZOUIRED SETBACRor-------------
TYPE OF CONST. -5N F I RST. . . . : 11E6 sf LEFT. 5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. 1k,1') rs r FRONT. ,_V, -Ft REAR. . . 50 ft
STORIES. . . . . . . ..2 THI RD. . 0 sf RE,7JI RED
FIE I GHT. . . . . . . . :25 ft TOTAL -.-._ 2 165 of 1.;M0I`,E DE'VECTORS. Y
P'LOOR LOAD. . . . '40 psi VALUE. . . . . $ : 1.63686 PARKING SPACES).
1�emarks,. PATI1 I
P'L(JM3INi3
rLOOR DRAINS, . 0 BICKFLOW PREVNTRS. . OZI
LAVATORIES. . . . . .4 WATER HEATERS. I TRAP'S. . . . . . . . . . . . . :0
TUB/3110WERS. . . . 1—C)UNDRIV TRAYS. . . : 1 CA-rC[4 LiASjN,.i. . . . . . . .0
WATER CLOSETS. . '. 3 SCWCP. LINE tft ) . :Ili GREASE TRAP'S. . . . . . . :0
DISHWASHERS- - : 1 WATER LINU ( Ft ) .. : 100 OTHER FIXTURES. . . . . .0
GARBAGE VISP. . . il RAIN DRAIN (ft) . :el
AAGI-I 1 NG MA(.,;I 4. - 1 SF RAIN DRAINS. . : 1
....... MUCHANICAI_ FEES
FUEL TYPES UNIT HTRS. . .0 type ami.+,-Int ay date rec.,)t
IGASI VENTS :0 T I F 1460. 00 J'r I I1/04/92
MAX INPUT:0 OTU VENT f"ANS. . :4 RPRT ',=.''-:. 00 jH 11/04/92
TURN ( 100K . . .0 HOODS. . . . . . . I BPLC s 385. 45 JLH 019/22/92 23 1 tj 9 6
. . : I WOODS70VES. :0 B5PC $ 11/0/4192
FLOOR FLIRN. :0 CLO DRYERS. - I SSDC $ 28121. 00 JH 11/04/9c' —
1:011_/CMP '33if-ItO OTHER UNITS: I P4)RI-1, $ 50121. 00 JH 11/04/92 —
GAS OUTLE"TS: I MPIRT $ 45. L40 JH 11 /04/92
-
Owner : _......_ . _._._........ _._....._... ._.._._.._ _.._..._ _.----MPLC 1 1. 1. 25 JH 11/04/'?2
R & W PIARTNLRS M11JI_1C 1. ,''. 25 JH 11/04/92
12300 SW &I)TH ST PPRT 3 155. s'0 JH 11/04/92
7. 75 Jh 11 /1714/92
T I G A R 1) 013 9 7
Phone #., 6392639
Co .tractor;
1) & W V I R TN E R U,
1x'::1121 S W 69TH A V E
LL
R 97223
I I Ion,P # 3'1
I
Rea 4. 80970
3469. 35 TOTAL
This pewit is issued subject to the regulations contained in the REOUTRED INSPECTIONS
Tigard Muni:ipa; Code, State of Ore. Specialty Cod:s and all other F'oot/fol.,nd Insp Mechanir-al Insp
LLJ applicable lays. Pll work will be done in accordince with approved Foot/f r)I
_J vid Insp Plumb Top Out
plant. "is pertit wi',, expire if 4ork is not started within 18@ Post/Be"am Struct Framing Insp
days o7 issuAfte, or if wcrl: is susppSo; v ; n I:�Pe N ays. Pust/DFam Struct Framinq Insp
Plm/undslab Insp; F-,-Ping Insp
Permittee PLM/Underf I oor Fi�-Pplac.le Insp
ME-chanical Insp Gas Line Insp
155ued By : Mechanical Insp Insulation Insp
Lall for, ii,%Iuection 629417;�
CITY OF TIGA,RD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orogon 9722368199 (503)639.4171
CE:P*T1F-'T(JA'TF Of
Oc1c'1jf:"'Fi1\1cy
PL F14 I T 0. . . . . .
C, 4171
VATE MSU17D.- 011/
S1't'[: ADDRE',,,b. » c f 10390 SW 1:30TI-1 rAVI'-. F*1ARCEL f 0"
`UTDIVISION. . . . y WOOLPFORD ESTwru; ZONING:
LAURA,. . . . . . . . . . : 1-07. . . . . . . . . . . .
CLOSS ')r-' WORI-',. :NrW
-r YPE C)t' F
OCCUPANCY 011P.
TFLNOW '40W.
Remarl S °
Owner:
R & W PART141 W:`)
12-3 30tH %)
T11'.44RD OR 97r-'eS
Ph,.-np #.- 6311) -w-'639
Gont t-Act or,
v ;. w PART;jr--w3
t12"300 �Iw 69714 AVE"
TWAN) OR
Phone #t i,1639
Fl iq C . : 1,10970
Ucr.,upancy of th? zibove reforeiwed httildinp iso hprsohy given, and certifies
the uompli ,--mce o4ith the 3tate Of Overjun Specialt, Codon for ,,.he group,
UrVC:1ApQf)Ly, m;knd k1se under which the ref orenred per mill warn, issuc4d.
NULL ).MB- I
CC BUILDING OFFICIAL
INSP_F-'ICN NOTICE
City of Tigaj.%. Building Department
13125 SW Hall Blvd. Tigard, Oregon 9722
Inspect4.on Line (Rec-O-Phone): 639-4175 Business Phoie: 639--4171
Inspections__
Footing ig. Underslab Hoch. Rough-in Appr/:.dwik
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Mraming -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater M ne Gyp. ed. -Hoch.
Date Requesteds y� __„Times // PH
Address: _ �Y n / L/ Permit✓ /: .� — a �
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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InspectorsDat f..
APPROVED DISAPPROVED APPROVED SUUJE(-r TO ABOVE
—Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
X1125 SR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bus inese Ph-ne: 639-4171
Inspection:
Footing Plbg. Pnderslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Bea, Struct. San. Sewer Framing -Bldg.
Past./Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hech.
Date Requenteds_ _ Times SAM PH
Address: ` - Permit Z oo
Builder -,
THEFO NG CORRSCTI0:18 ARE RSQUTAEDs
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411
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Inspectors _ _ Date:_ Z-
APPUMD &_**'DI.DAPPPROiVSD APPROVED SUBJECT TO ABOVE
y Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SK Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phona): 639-4175 Bueineen Phone: 639-4171
Inspection:
Footing Plbg. Gnderelab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out. Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Da_e Re(pteeted: zz-;) Timet /^ AM �PM
Address: I%_3 l &) ��9 Permit ft
Builder:_
THF. FOLLOWING RRBCTIONB ARE REQUIRED:
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9' _
C136 az_7r4�_
7o AA
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Ins pec t o r:—_ _ ----- ---------._. -. Da t e.-_Z 2.----`-43—
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
---Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Dei�artwent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect inn:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwll:
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beau. Struct. San. Sewer Framing -Bldg.
Foot/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. ad. -Meeh.
Date Requesteds� 2 —�7 Time: AM _KPM
Address: Permit f:
Builder:
THE FOLLOWING &AMCTIONS ARE REQUIRED:
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L�Inspector:� - -- Date
XAPPROV2D DISAPPROVED APPROVED SUBJECT '.7 ABOVE
Call For Reinsp.
/ ) INSPECTION NOTICE
Zpection
ity of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
InB,>ection:
Footing Plbg. UnderBlab —Mech. Rough-i Appr/Sdwlk
Found. Plbg. Top Out GAw-bins, FINAL:
Poet/Beam Struct. Stn. Sewer ng -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line / Gyp. Bd. -Mech.
Date Requested: � / ` %_� _Rimes AM/� , 1,PM
Addreast Permit it-7� dclJ
Builders �-
THE FOLLOWING�RRECTIONB ARE REQUIRED:
�`I�d��eLL�/�(f.L l �fw.Lf/'i+��f.•w l�. �`�
--% ae a1
A-4� C .✓�-
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Inspectors �'L— r_ aerate:
APPROVED DISAPPROVED APPROVRD St:BJMrT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
/ - city of Tigard Building Departaent
13125 Sit 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. Plog. Top Out Gas Line FINAI':
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg Underfloor Water Line Gyp. Bd. -Mech.
Daf.e Requested:_ Time: _AH PM
Address: �y��U �.�� ' Permit 1s 'Z' 7-
Builder:
THE FOLLOWING LN)RRECTIONS ARE REQUIRED:
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Znepectore
APPROVED D18APPROVED APPROVED SUBJECT TO ABOVE
_ Call For Reinop.
INSPECTION NOTICE 117-7
City of Tigard building Department
13125 SLI Ball Blvd. Tigard, Oregon 47223
Inspectiun Line (Rec-O-Phone): 639-4175 Busineae Phone: 639-4171
Inspection:.
Footing Plbg. Underalah Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor �Water
�Line� Gyp. Bd. -Hoch.
Date Requested: cox /�J1 7 Times AM 'PM
Address: �`T.� U l //Permit #s
Builder: r13' ((r� 7 K
THE Fc' SING CORRECTIO 8 ARE REQUIRED,
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7zInspectors `,___. Date:_, — -�►�
AAPPMM 0I8APPROV3D APPROVED SUBJECT TO ABOVE
Call Por Reinep.
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: _.
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. an. Sewer Framing -Bldg.
Poat/Beam Mech. sin Drain Insulation -Plumb.
Plbg. Underfloor ater Li_ Gyp. Bd. -M 'h.
Date Requeeted:» LTime:
Address:_ // ~ Permit 1: �� G/�2-
Builders
THE FOLLOWING CORRECT ONS�UIRED:
lot , ell
W
Inspectors _ Dates f
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Relnsp.
INSPECTION NOTICE
City cf Tigard Building Department
13125 SW Ball Blvd_ Tigard. Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Business Ph 673
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Tcp OLt Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
�
Poet/Beam Mech. Rain Drain Insulation PF 1timDJ f�A
Plbg. Underfloor Neter Line Gyp. Bd. -Mach. 1 '
Date Requested: I�p f.� . Timet AM X—PH
/l
Address. L .i .L}� Permit #s
Builder-
THE FOLLOWING CORRa:'TIONS ARB REQUIREDs
R ---- — --- - -----
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Inspect Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE / I
City of Tigard Building Departmesst
13135 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buoi.ness Phone: 639-4171
Inspection: _
Footing Plbg. Underslab Mech. Rough-inpr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloorate Line Gyp. Bd. -Mech.
Date Requested: Times _ AM PM
Addreess ! L L� V Permit f:� Z Z�
Buil.ders
TBE FOLLOWING CORRECTIONS ARE PEQUIREDs
T kT LIJ I l Form A L c N Lam- A F'F'CC A L-H
Con/C.f�'E�7t. rgcAl RAIN
CL
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Inspector: ZY,721A :aLAJAS' Date l I-k—U
——APPROVED DISAPPROVED "PROM SUSism To ham
Call Por lhinsp.
INSPECTION NOT17E `J✓
City of Tigard Building Department
1312S Be Ba11 Blvd. Tigard, Oregon 97223
Inapection Line (Re-PhoM): X175 Businese Phone: 639-4171
Inopection:
Footing Plbg. Undernlab Mech. Rough-in ppr/Sdwlk
Found. Plbg. Top Out Gas Lind FINAL:
Post/Ream Struct. San. Sewer Framing -Bldg.
r
Post/Beam Mech Rain Drain Insulation -Pli.mb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
L
Dake Roqueeted: 7� Timis AH _PM
Address:. Permit t: ' VZ Z�
Builder:
THE FOLLOWING CORRECTIONS ARB REQUIRED:
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A `v (- A r1'i20AC-hlA T ?im nf--
� C c.�fL! n► ��� y F�= 5��'E.�T i
1 _
Inspector���7.'/t�A� _.__. Date. __1
"Proovu DISAPPROVRD APPROVED SURJKrT TO ABOVE
.__Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sw Ball Blvd. Tigard, Oregon 972
Inspection Line (Rec-O-Phone)t 639-4175 DueineeN Phone: 639-4.171
Inspection:__ A
Footing Plbq. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line INAL:
:'ost/Beam Struct. San. Sewer Framing dg
Post/Beam Mach. Rain Drain lnsulition ��T}ti�►._
Plbq. Underfloor Water Lino Gyp. Bd. `-Me-ch.
Date Requested: 35
-t4 \/ --Timet __AM 1'N
Addrese: ��� j �J ` Permit #1 l C
Builder:__--
THE FOLLOWING CORRECTIONS AM REQUIREDt
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Inspector: Dater
APPROVED DISH ROVED APPROVED SUBJECT TO ABOVE
Call Pcr Reinap.
INSPECTION NOTICE
City of Tigard Building Depar+—.-nt
13125 SW Hall Blvd. Tigard- jregon 97223
Inspection Line (Rec-O-PhonE): 639-4175 Businees Phone: 639-41.71
Inspection t
Footing .Ibg. JndP:elab Hoch. Rough-in Appr/SOwlk
end. Plbg. Top Out Gas Line FINM':
Post/Beam Struct. San. Sewer Framirg -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Wa',:er Line \ Gyp. Bd. -Meeh.
Vate Requeetedt —/ C— Ting: _ AM�J// 7 M
AdOress: �� J—L�" ` --- Permit #: ✓c�.x D
Builder:
THE FOLLOWING ECTIONS ARE REQUIRED:
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Inepectort ✓ Date
L APPRuVED DISAPPROVED "PROVED SUBJECT TO ABOVE
c...: For Rainep.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Bix 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ! —
Date Requested —_,— rime A.M. P.M.
Address Permit #_` C� Z Z'o
Owner __ __. Lot #
Builder ---.— —
The following Building Code deficiencies are equ:red to be corrected:
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Presented to _ —__— [ Approved
Inspector _ _—_ L_) Disapproved
Date
CALL FOR RFW5PECTION
❑ YES 0 NO
PLUMBING PERMIT
PERMIT #. . . . . . . : MST92-0220
DATE ISSUED: 11/04/92
SITE ADDP.EBS. . . 1 14390 Ski 130TH AVE PARCEL: 2S109AA-01700
SUBDIVISION. . . . : WOODFORD ESTATES ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :5
--------------------------------------------------------------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . :1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . :1 BACKFLOW PREVNTRS. . :0
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 CLOSETS. . :3 WATER NINE (ft) . . . . :100
DISHWASHERS. . . . :1 RAIN DRAIN (ft) . . . . :0
Remarks: PATH I
OWNER: --------------------•-----••--- ------------•-----FEES---------------
R & W PARTNERS TIF $ 1460.00 JH 11/04/92 -
12300 SW 69TH ST BPRT $ 460.50 JH 11/04/92 -
BPLC $ 299.33 JLH 09/22/92 231896
TIGARD OR 97223 B---PC $ 23.03- JH 13/04,"92 -
Phone #: 639-2639 SSDC $ 280.00 JH 11/04/92 -
PARK $ 500.00 JH 11/04/92 -
Plumbing Contractor:---------------- MPRT $ 45.00 JH 11/04/92 -
MPLC $ 11.2E JH 11/04/92 -
Name: ti �QYI --�, MSPC $ 2.25 JH 1:/04/92 -
Addrese: IiyyS - <: �' ' PPRT $ 155.00 JH 11/04/92 -
City: )"J4, Oswe, State: PSPC $ 7.75 JH 11/04/92 -
Zip: c 2u,3'�- 11 Phone#:
Reg #: (v5,53V rpt,
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, Rate of Ore. Specialty Codes and all Poet/Beam Struct Water Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
cL permit will expire if work is not started PLM/Underfloor Plumb Final
rs within 180 days of issuance, or if work is Mechanical Insp Building Final
Ln euspended for more than 180 days. Plumb Top Out Erosioi: Control
r Framing Insp Crawl Drain
J Fireplace Insp
Gas Line Insp
Insulation Insp
w x_ Gyp Board Insp
-' Auth Yized Plumb# ontractor Signature
Call for inspection - 639-4175
Contractor Notes:
CITY OF TIaRD MASTER PERMIT
CrIYOFTWARD PERMIT #' ' • • • . • : 1YIST92-0220
COMMUNITY DEVELOPMENT DEPARTMENT 011100N
13125 SW HWI Blvd. P.O.Box 23397,TlgmM,Orew 97R:P,.4aq3)4"15 DATE ISSUED: 11/04/92
SITE ADDRESS. . . : 14390 SW 130TH AVE FDARCEL: 2SIZ,9f)D-WDF5
SUBDIVISION. . . . : WOODFORD ESTATES ZONING: R-7
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . :5
---------------------------------- BUILDING ---_--_
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRNS:4 BATHS:3 GARAGE. . . . . . . . . . :530 sf
TYPE OF USE. . . :.3F FLOOR AREAS---------.-- REQUIRED SETBACKS----------
TYPE OF CONST. :5N FIRST. . . . : 1166 sf LEFT. . -5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . -. 1019 sf FRONT. .-20 ft REAR. . .-50 ft
17TO1"?iES. . . . . . . .2 THIRD. . . . :0 sf REQUIRED----------------------
HEIGHT. . . . . . . . .25 ft TOTAL------:2185 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 110050 PARKING SPACES. . : 1
Remarksi PATH I
---------------------------------- PLUMBING -------------------------------------
SINKS. . . . . . . . . . il FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . 14 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . a3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . e3 SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . e0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :O
WASHING MACH. . . : i SF RAIN DRAINS. . : 1
--------------- MECHANICAL -------------- ---------------- FEES ---------------
FUEL TYPES------------- UNIT HTRS. . :O type amount by date recpt
/GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JH 11/04/92 -
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 460. 50 JH 11/04/92 -
FURN ( 100K . . eO HOODS. . . . . . .. I BPLC $ 299. 33 JLH 09/22/92 231896
FURN )=100K . . # I WOODSTOVES. :O B5PC $ 23. 03 JH 11/04/92 -
FLOOR FURN. . . . eO CLO DRYERS. s 1 SSDC 280. 00 JH 11/04/92
BOIL/CMP ( 3HPi0 OTHER UNITS: 1 PARK 500. 00 JH 11/04/92
GAS OUTLETSil MPRT $ 45. 00 JH 11/04/92
Owner: -•______________________-._--_----- _ MPLC $ 11. 25 JH 11/04/92
R & W PARTNERS M5PC s 2. 25 JH 11/04/92
12300 SW 69TH ST PIPRT $ 155. 00 JH 11/04/92
TIGARD OR 97223 P5PC $ 7. 75 JH 11/04/92
Phone #: 639-2639
Contractor: -------------------------------
R&W PARTNERS
IP300 SW 69TH AVE
TIGARD OR 97223
Phone #-. 639-2639
Reg #. . : 80970 ------------------------------------------
Ln $ 3244. 11 TOTAL
This ppreit is issued subject to the regulations contained in the ------- RrQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fOUnd Insp Fireplace Insp
applicable jaws. All work will be done in accordance with approved Fast/Beam StrL(Ct Gas Line Insp
wn plans. This pervit will expire if work is not started within 188 Post/Beam Meehan Insulation Insp
days of is--ince, or if work is suspeVndedI;vore rt days.
1M/Undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Permittee Signature : _7Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued By : At Framing Insp Mechanical Final
_�4f Call for inspection 639-4175
----------
SEWER CONNECTION
CITYOFTIGrARD PERMIT
�CflyTWRD 2
COMMUNITY ()FPERMIT #. . . . . . . : SWR9 —0305
Y DEVELOPMENT DEPARTMENT ONOON
13125 SW HWI BW P.O.Box 23397,TQd,O.Qm 933(& DATE ISSUED: 11/04/92
SITE ADDRESS. . . : 14390 SW 130TH AVE PARCEL: ES109AD—WDF5
SUBD I V I G 1011. . . . . WOODFO RD ESTATES ZONING: R-7
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . r=
-----------------------
JENANI NAME. . . . . :
USA 1\10. . . . . . . . . . : FIXTURE UNITS,, . . :
CLASS OF WORK. . . :NEW DWELL-I NG UNI TS. . : I
TYPE OF USE. . . . . :SF 1\10. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR INPERV SURFACE. . : S f
Reme.r,ks : PATH I
Owner: ----------------- FEES - --------------
k & W PARTNERS type amoi-int by date t-eept
12l'3100 SW 69TH ST FIRMT $ 2100. 00 JH 11/04/92 —
INSP $ 35. 00 JH 11/04/92 —
T I(=;ARD
] IG"ARD OR 97223
0-ione #: 6392639
Lontr,actor-.-
L'ONTRACTOR NOT 01\1 FILE
---------------------------------------
Phone #: 2 13 5. 0 IZI TO'T A L
Reg
REQUIRED INSPECTIONS --------
This Applicant agrees to comply with all the rules and regulations Sewer-, Ir, .oectiuri
of the Unified Sewage Agency. the permit axpires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agenry does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measureeeA
given, the insta;ler %hall prospect 3 feet in all directions from
the distance given. If not so located, the inst3ller shall P! chase
a "Tap and Side Sewer" Permit and the Agency 11 install a er
er
Permittee SignAti.tv-e -
..........
...........
Issi-ted By :
Call for inspection 639-4175
r4
CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT VO. :92-233409
CHECK AMnlJNT 5129. 11
NAME s J.T. ROTH CASH AMOUNT 0.00
ADDRESS a DBA R&W PARTNERS PAYMENT DATE c 11/04/9
SUB019I19N ;
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BU I L D I NCi PERM 460.50 PLUMBING PERM 155.00
MECHANICAL FBF •45.04 ST. BUILD PER 33.03
PLAN CHECK FF 60.58 SEWER USA 0100.00
SEWER INSPECT 35.00 PARKS SDC 500.00
F` STORM DRAIN SDC 280.00 RESIDENTIAL TRAFFIC FEES 1350.041
MA55 TRANSIT TIF FEES 110.00
W
.J
LOT 5 WOODFORD EtJATES
14390 5W 130TH
TOTAL, AMOUNT PAID
1 13175 SWIfaulkvd. PLNCK/RECT #
CITY OF TI GARD PO Box Z3397 1 ----
COMMUNITY DEVELOPMENT DEPARTMENT Tigard,Oregon 972n PERMIT # M i1Z-UZZ(
(503)639-4171 DATE ISSUED
JOB ADDRESS: �S ��� S�_ .�U TAX MAP/LOT
SUB: L&t4�r ,e ����,� � LOT: S^ LAND USE:
VALUATION: &1),OS U, _
OWNER SPECIAL_ NOTES
NAME: JA-VIAe 14S C9l�rl-R>tG�l� REISSUE OF:
ADDRESS: LAST REI:iSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR T �' '� APPROVALS REQUIRED
NAME: IZ F tAJ PLANNING: CW-?�'l
ADOPESS: _ 2,3 cc) sw 6q ENGINEERING:
T 64A Ole 9/ G Z3 FIRE DEPT:
PHONE: (C3q - 2(r 3�l OTHER: 71F- �
CONTR. BOARD #: ��� EXP DATE: _ —
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: fl LIST/SUBCONTRACTORS:
MECH: ~yl (ix BUS TAX:
ARCH ENGINEER 1 CALCULATIONS:
NAME: ►�l� u?/�a SCa TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
�t
V)
PROPOSED BLDG. USE: _
COMMENTS: _
J V
lwewollv
/2A -
AP LICANT AGNATURE _ k
Received By: Dat, Received:
i
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
tY\j -0ZZ0 10-432 00 Building Permit Fees SU
10-431 00 Plumbing Permit Fees S J 00
10-431. 01 Mechanical Permio, Fees
10-230 01 State Building Tax (5%) 33,q.3
Building 430 .3
Plumbing 7�
Mechanical Z•Zs
10-433 00 Plans Check Fee /(J. �c3 J--21 �'0�5—Y
Building Zy>, 33
Plumbing _
Mechanical _
10-230 06 Fire
5w�'yt.c�3�5 30-202 00 Sewer Connection Lo v_ v__
30-444 00 Sewer Inspection 3,
25-4^,8-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PUC) L1
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) ro'`
a �4-445-01 Water Quality (Fee in lieu of)
N 24-445-02 Water Quantity (Fee in lieu of) _
TOTAL X121_ - meq-1
U
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J
nm/3587P.WPF