14569 SW 130TH AVENUE ....w..�.W....,..._....w•...,:I,.,.:..::�a+r+�i+� -"w1dw.NrAwa.�..wra.�..,...�.,.....,.�auvuw��,�s faKi
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_. 145t)9 —,W 130TH AVENUE --
CITYOFTIOARD cn RD CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT ORIGM OCCUPANCY
13125 Sw HWI JWd P.O.EWx 23W.TOW,OW-Of (503)604*76 PERMIT i#. . . . . . . t IIST91-0258
DATE ISSUED: 06/`(,/92
SITE ADDRESS. . . . 14569 SW 1-7,''TH PARCEL: 25I09AD—WDF25
;UBDIVISION. . . . : WOnDFORD ESTATE'S ZON!NGs R7
C!_43S OF WORK. tNEW
T YPr. OF USF. . . -SF
OCCUPHNCY r2PP. :R3
OCCUPANCY LOAL-o2,2`2' 4
TENAAT NAVE. . .
Pemaiksi
Owner:
J. T. ROTH CONSTRUCTION INC
12300 SW 69TH AVE
TIOAPD OR 97223
Phone #: 639--2637
f.'r I.ontractort
J. T. ROTH CONSTRUCTION INC
,12300 SW 69TH AVE
I-IGARD OR 97P23
94r%. #% S?90iW.:3 '1
flect.ipprtcy of the abovE- r-�ferejcad bi--.j1ding is hereby given, and certifies
the compliance with the State Of Oregon Specialty Codes fot- the grljl.sPj
OrC.-LIPM)cy, And use,e under which the referenced Permit was issued.
IAM T"I INC�; 1iNSP.,CT0P'
FIRE DEPARrMENT
I C C"
BUILDING 0I kL
POST IN CONSPTCUCUS PLACE
ALIF
INSPICyIO NOTICE
City of Tigard Nei.lding Department
13125 S1/ Nall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 630 4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Lech. Rough-in Appr/Sdwlk
Four. Plbg. Top Ovt Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing dg.
Poet/Beam Mech. Rain Drain Insulation -P
Plbg. Underfloor Water Line Gyp. Bd. -`••jch.
Date Requested:_f—ld �(� -sem 1- Time:
Address:-- > l� = Permit :
Builder:
THr FOLLOW CORRECTIONS ARI RIQUIREDf
I
Inspoeters_ '/ - -- Datet_
APPROVED DISAPPROVID ` APrw-WED SUBJECT 7b ABOVE
,___call Ft+_ Neinnp
f
IMECPIO�i-LiOTICE
City of Tigard Building DepaxtAmnt
13125 SO Bell Blvd. Tigard, Oregon 97223
I U I pection Line (Rec-O-Phone 639-4175 Business Phone: 639-4171
i
I nspect i.on t
Footing Plbg. Un relab Hoch. Rough-in Aplr/Sdwlk
Found. Plbg. op Out Gas Line FINAL:
-Bld
Pcet/Beam Struct. San• Sewer Framing g
post/Ream Mech. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Deter Requested:
,-? ( Z Time: �+ PH
7.
Address: / Permit �:,4!
Builders-_
THIS FOLLOWING (JO CTIONB ARE REQUIRED:
Ins •• _1G__��G�"" _ Dat:e:.��_y_� �L—,
APPROVED DISAP APPROv6D SUB,IBf.'^.' TO ABOVE,
Call For Reinsp.
NSPEC'f�ON NOTICE
City of Tigard Building Department
131.25 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phcane: 639-4171
Inmpa.ction
Foot.+ng Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. fop Out Cas Line FINALt
Post/Beam Struct. San. Sewer Framing (Bldg. l
Post/Beam Mech. Rain Drain Insulation —Puafl b.
Plbg. Underfloor Water Line Gyp. Ed. -Mach.
Date Requested: //7 ��� C1� _ Time: AN PM
Address•_`- / Permit f:`1�"��5 �"—
Builder:--_L
THE FOLLOWING CTIONS ARE REQUIRED:
Z'
4-A A! �
J �
Inspectors ��.7 DatOt O ' Fj / y
APPROVED 1/DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
3 '
IMEMTION VOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: -
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line
�IxALr
Poet/Beam Steuct. San. Bower -��
Framing -Bldg.
Poet/Beam Mecr,, Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line
r Gyp. Bd. -Hoch.
Date Regvestedr_ 1/)- I -7-'12-
L ��{.� T las r q _AM {� pK
Addraee: J(J
L4J ' ' Permit #r I( C C)
Builders_'•J . 1 t
I �
TRE FOLLOWINO CONU UMS Axe MWIRU,
Inspector:� /
_APPROVED DISAPPROVED v APPROVED SUBJECT TO ABOVE
Call. For Reinep.
�PECTIor NCYPICS I�
Cit- of Tigard Building Department
13125 'a Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roo--o-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underalab Mech. Rnugh-in Ap Sdwlk 1
Found. Plbg. Top Out Gas Lino FINALS
Poet/Beam Struct. San. Sewer lraminq -Bldg.
Post/Beam Mech. Rain Drain Insulation
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
_ 7
Date Requested: Time: `PK
Addrus•:_ �- ' ` Permit 1:� L/ ✓�
Builders _
'M FOLLOW CORRECTIONS AAE REQUIRED:
O k
Q ,,I 1 10 Ll 2t
Impactor:_Cd�� w� �4� Data:
APPROVED DISAP OVED APPROVED BUBJECf TO ABOVE
_,Call For Reinsp.
jN PECTION NOTICE
City of Tigard Building Department -�
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Lire (Rec-O-Phone): 639-4175 Business Phono: 639-4171
Inspections
lootingPlbg. Underslab Mecfl_ Rougl:-in �Apprj'Sdwlk /
Found. Plbg. Top Out Gas Line FINAL:
Pout/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mach.
Date Requeetads ! — —7 1, Time: _�AM PM
Address:—
PermitY—
Builders
THS FOLLOW OORRECTIONS ARE REQUIRED:
1�� �'a- v lf`h G��.✓u
r
tile 7L e
Inspector:— Date:
APPNOV=D DISAPPROVRD A^'ROVED SUBJECT TO ABOVE
Call For Rainsp.
j
PECTION NOTICE
Cite Of Tigard Building Depart _,:
13125 &W Ball Bled. Tigard, Oregon 97223
Inepcct.ion Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Flbg. Top out Gas Linei
lINALt
Poet/Beam Struet. San. Sewer Frdming -Bldg.
Post/Beam Hoch. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Waver Line \ayp. Bd
� -Mach.
Date Requested:_ I� Z
T lme t Am _ pN
Addressr I C 1(� �O� tf� Permit #: 1q'
Builders
TBE FOLLOWING CORRECTION: ARE REQUIRED:
I
I
Inspectors 4 y�
Dates � J
APPROVED DISAPPROVED !
--— �._..� APPROVED SUBJECT TO ABOVE
Cr11 For Reinsp.
MAMUM
INSPI:l'ZON NOTICE
City of Tigard Building Depart
13125 an Ball Blvd. riga-rd, 'k'"900 97273
Inspection Line (Rec-o-phone): 639-4175 Business Phone, 639-4171
I'1epect ion:
Footing Plbg. Underslab Meeh. Rough-in g Appr/Sdwlk
Found.
Plbg. Top Out Gas Line
FINALt
Past/Beam Struct. San. Sewer
Framing -Bldg.
Poet/Beam Mech. Rain Drain -
f--l-n-sulatlon� _ply.
Pl")g. Underfloor water Line Gyp- Rd.
-Mach.
Date Requested, 'l -
Time: AM PM
Addrens:_ �� �� f/- r.
Permit #S '
Builder:
THE roLL31t C4RRgCTI0t,8 ARs RKQUIRaD,
—
Inspector:
APP1A)M DiS"PRovRn
AiIt':'OVEb 3UBJECf 7'O ABM
-Call For Reinap.
INSP6CPION 119 ic6 1
City of Tigard Building Department
13125 BW Hall Pled. Tigard., Oregon 97223
Inspection Line (Rec-0-Phone)s 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab ech. Rout Appr/Sdwlk
Pound. Plbg. Top Out ;so LiniFINAL.-
Post/Beam Struct. San. 3ewer raming -Bldg.
Post/Beam Merh. Rain DrAin Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: � '�:p ---'Y Times —AM PM
Address:__' ALJ
Builders -C=.F'C✓
THE FOLLOWING CORRECTIONS ARE RWIRED:
AlzLe.'k Z.,�L
i�
InspectorsDates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Gall For Relnsp.
INSPECTION NOTICE
City of Tigard Building Depart=ent
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection:_
Tooting Plbg. Underelab Mach. Rough-in AppriSdwlk
Pound. < Plbg. Top Ou� Can Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor WaterLine
/ gyp. Sd. -Meeh.
Date Requested: Com' -% -- Time: AN �-PN
Address: L—Z`"� to �/� Permit 1
Builders !19 (iZ__
/( !L;7—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspectors �/ Dates
"7`-_APPROVED DISAPPROVED +_ APPROVED SUSJEt'T TO ABOVE
_Call For Bsinep.
INSPNCTION NOTICE
Citi or Tigard Building Deparbssut
13125 OW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
C
bg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requeetedt _ �� ��1 _T =-� PM
Addreas: l � Permit
i
Builder:
THE FOLLOWING CORRECTIONS ARE F.EQUIRED:
Inspector Date:
APPROVED DISAPPROVED APPROVED SUnjgCT TO ABOVE
-Call for Reinsp.
E
a�I
INSPECTION NOTICE
City of Tigard Building Department
13115 SA Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phona)s 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL.
E.t
am S
truat. '' San. Sewer Framing -Bldg.
eam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
��y
Date Requested: c��- 5- Time: AM _ PM
Addrese: S f U � Permit
Builder: _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
(Z)
if
(a:�)�—few•T'
Inspectort�Je! — Date:
APPROM DISAPPROVED A-IAPPROVED SUBJEr'P TO ABOVE
Call Fnr Reinsp.
INSPECTION NoT'xz
City of Tigard Naildiw Department
13175 B11 Ball Nlvd. Tigard, Oregon 97523
Inopec+lon Line (ROC-O-Phone)s 639-4175 Busines■ Phone: 639-4171
Inspection:
Footing Plbq. Underslab Yeah. Rough-in Aprr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poo,'/Beam Struct. tan. Sewer Framing -Bldg.
Post/'Beam Nech. in Orsi Insulation -Plumb.
111bg. Underfloor ine Gyp. Bd. -Nech.
Date Aequoatedt
Water Times_ AN Q
Permit #s��
Addr►ss:
Builder:
TBE FOL,0WING CORRECTIONS ARE REQUIRED:
Inspectors Dates
r APPROVRD DISAPPROVRI3 _ APPPMRD SUBJECT TO ABOVE
—__Call For Reinep.
CITYOFTIOArRD
COMMUNITY DEVELOPMENT DEPARTMENT � �
13126 BW wll ewd.P.O.Bert 2,f3p7, p�pN MASTER PERMIT
TOW, 07223(803)63"176 PERK •T #. . . . . . . . MST91-0256
-
51TE AGDRErs. . . : 14569 SW 1301-H AVE
SUBDIVISION. . . . : WOODFORD ESTATES PARCEL-
BLOCK
ARCEL: 17WDBLOCK. . . . ZONING: R-•7
REISSUE: LJ . BUIL.DING~:5CWE.LLING UNIT5: iCLASS OF WORK. :NEW BEDRM5:3 BASEMENT. . . . . . . . :0TYPE Or' USE. . . BATHS:3 GARAGE. . . . . . .`�1' FLOOR AREA --�-_-.�-______.._ . . . :48'�7'YF'E. OF CCINS"f. :5N RCOUIRED
FI RST . . . : 1697 sf' LEFT. . :8 ft RIGHT. sC
TYPE
GRP. .-R3 c ft
STORIES. . . . . . . .r JECOND. . . :4;�3 f FRONT. :;�0 Ft REAR. .
:30 THIRD. . . . :0 yf :30 f-t
HEIGHT. . . . . . . . . ra REC7UIRE:D-
.�� ft TOTAL-------:2130 ,f
FLUOR LOA.D. . . . :00 psf SMOKE DETECTORS. :Y
Rt:mar^ks : VRLUE. . . . . tr 106620 PARKING SPACEE. . :0
___._-------.____-- PLUMBING
: 1 FLUOR DRAINS. . . . : - _...
LAVATORIES. . . . • :4 WATER HEATERS. . . , ! BACKFLOW 1='REV!\I1"RS. . : r
TUE/Sr1OWE:R'G. . . . :3 LAUNDRY TRAY,". . . TRAF�a. . . . . . . . .
l ''`�
W►� �' W C'LUSE 7 S. . :3 SEWER LINE (ft ) • so CATCH BASINS. . . . . • . :0
DI HWASHERS. . . . : 1 GREASE TRAP'S. . . . . . . :0
WATL':�2 LINE (ft ) . so OTHER FIXTURES. . . . . .0
GARBAGE DISC. . . : 1 RAIN .RAIN (ft ) . :0
WASHING MACH. . . : i
5F----- F RAIN DRAINS. . : 1
__--_______ MECHANICAL -- --_- _
FUEL_ TYPES—-_ ____ UNI T HTRS. . s 0 ____ FEE'S
/GAS/ / / VENTS . , ype amount by data `►^arf�t
MAX INPUT:�t . • . . s 0 TIF R 1380. 00 JLH 02/13/92 -
BTU VENT FANS. . :4 BPRT i
I-URN ( 100K . . :0 HOODS. . . . . . : +J0• �'� JLH 0, /13/92 -
1=URN ) =100F' 1 IxGLC 292- 83 JL-H 12/23/91 eic'I I01.,
FLOOR FURN. . . , 1 WUODSTOVEr. :O BSPC 4 -
0 CLO DRYERS. 1 53 JLH 02 1:,/92 .-
SOIL./CMF' ( ;;HP:O OTHER LJNITG:kl SSDC t 280. 00 JLH 0 _/13/92 -
GAS OUTLET5s 1 PARK 500. 00 JLH 02/13/92 -
Owne►^: -.-._._.__ _ __ -___.__ MP'R7 f 40. 50 JLH Nci 1,x/92 -
J. "r. ROTH CONSTRUCTION-INC -- ----- IhF'I_C f 10. 1:3 JLH 02/1,.x/92 -
12300 5W 69TH AVE: M5PC 2. 03 JLH 02/13/92 -
PPRT 155. 00 JLH 02/1;3/92 -
"IGARD OR 97223 P'5PC ! 7. 75 JLH 02/1:3/922: -
Phone #: 639-2637
1. T. ROTH CUNSTRUC7'ION INC
'00 SW 697H AVE
11bf4RD OR 972:23
Phone #: 639--r'637
Reg #. . : 31700
This perait i• issued subjact to the regulations contained to tho _ 3141. 27 TOTAL
Tigard Municipal Code. State of Ore. Specialty Codes and all other _ REQUIRED INSPECTIONS ---
appi1cabie laws. All work will be done in accordance with a roved Foot/found Insp F'i►^eplace InspY- _
plans. This pet•ait will expire if work is not started within Is@ F-ost/Beam Strt.Ict Gas Line Insp
days of issuance} or if work is jwlers a or Porehon days. Post/Beaten I
Meehan
Insulation Insp
F'er mittee Siyn..It ttC PLM/Underfloor n Gyp Boar^d Insp
Mechanical Iny Rain drain Insp
Plumb To p Watet•" Line Insp
Iss'1ed BY : c, p Out APPr/Sdwik Insp
Framing Tngp Mei-hanicnl Final
Call for ine r�ect ion - 639-4175
r
CITY OF 'r ,,(.;ARD REC'EIP'T OF P'AYME'NT RFC;E I f''f NO. 2i-32 f,i?
CHECK AMOUNT 4826. 27
NAME:. : .YT ROTH CONSTRUCTION CASH AMOUNT 0. 00
ADORE: SS PAYMENT DATE a 02/13/92
SUBOTVISION e
PURPOSE OF PAYMENT NMOUNT PAID PURPOSE.- OF PFIYME:N'i (4MOUNT PAID
FiL,1 i CuI NC3�P i2M 4"50. 50 PLUMBING PERM 155. 00
MELHo h!i CAL PE 40. 50 ST. c 1J I LD PIER 32. 31
PLAN CHECK F' 0152. 96 �i&-14ER USA 1,)ogj. o0
SEWER INSPECT 35. 00 RE'-;IDEN"f IAL. TRAFFIC; F'EELi 12,80. 00
PARKS SDC '500. IXA STORM DRAIN SDC 260. 00
MARS TRANSIT TIF FEES 100. 00
1
+I
I L.OT P-5 wnot om) LISTA?'es
14`.'*9 5W 130TH AVE
i TO1.Al_ AMOL_1N T PA I D 4826. ic�7
rxaptCTIOM NOTICB
City of Tigard Bnildia9 D.
13125 ell Ball Blvd. Tigard. arvagon 97223
Inspection Lin. (Rec-O-Phon.)s 639-4175 Business Phone: 639-4171
inspection=
Doting Plbg. Dnderalab Mach. Rouqh-1n Appr/Sdwlk
Plbg. Top Out Gas Line FINAL=
Post/Beam Struct. San. Bower Framing -Bldg.
post/Beam Mach. Rain Drain Insulation -Plumb. I
plbq. Underfloor Water
Line; Oyp. Bd. -Koch.
41 PH
Date Requested= Cl] �ca�� Timee _
Aedr..a=
1 Permit
wilder= %' �`_1-71t -
TBE FOISANINC/CORRECTIONS ARE REQUIRED=
i
_ /
inspector:_ ____ Dates 2 �
APPROVED DISAPPROVED APPROVED SURJECT To ABOVE
Call For Reinap.
i
1
i'.
I ,
I
I
CITY OF T I CARD RECEIPT OF PAYMENT RECEIPT NO. t 91—tit 1 1 iC1c
f CWECK. AMOUN7 a 30. 00
NAME. J. T. ROTH CONSTRUCTION CASH AMOUNT a 0. 00
ODDRESS x 18300 S. W, 69TH AVENUE: PAYMENT AE1'CE
SUBDIVISION a
TIGARD, OR 97&. ,3..
PURPOSE. OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENi1 AMOUNT t'A I D
IJAN CHECK FE 12--6fiR 0. 0 2A
I
I
14569 SW 132ND AVENUE
T 0iW AMOt1NT P
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