14583 SW 130TH AVENUE i
14593 SW 130TH AVENUE
C17YOF71FARDCERT® IFICATE OF
COMMUN TY DEVELOPMENT DEPA4E�T G1YOrF1N�lm OCCUPANCY
13125 SW FWI BW r A.Bart 2M,TOW,onB•m a � aarmola PE RM I T #. . . . . . . , IM�iT" 1-T2s 1,
VWVF
SITE AnC�RE55. . . I 1413.._. ��W 1:�iZITh1 AVE
51JF)DIJI5ION. . . . : WOOnFCiRD ESTATES
PARCEL: 2F'l@ ,AD•-WDF24
l A-LOCK.... . . . . . . . . a L.f]T. . . . . . , ZOPIING.' R--7
----• ______.___.___..._ . ^ • • . . 124
CLASS OF WORE(, :NF_'W.__._...___
s
Tv,,k: or LIGE. . , :SF /
OCCLJrk.NCY ORP. :R3
OC;C LIPANC / L JAD a 22'5 '4
TENPNT NAK--.
Remarks I
J. T. ROTH CONSTRUCTIOld IIVC `� �_•w�__.._._
10'300 SW 69TVI AVE:
T 1GAPO OR 9 p-23
Phone #a 639--2637
Cant r•a�%•tor: _....____________________ .._
J. T. ROT14 CONSTROCTION INC
12-300 SW 69Tr i ►•1VE
I
TIGARD OR 9722
Phone Ma b39-2r~ 37
Reg M. . I 317eO
Occupancy of th« Abave r-F,ferenced buildingand certifies
is hereby given,
the c a,apl ia�nc�. with the Stage Of Oregon Specialty (:odes for the group,
occ:Lippncy, ono Lire under which the refer^errr.ed P"mit wars irstted.
r t RF DEPARTMENT _. ._.._._ ,t•�.[r�2.�_ _ _. _.
T PµJILDING INSPE�7R _
Hll l L 7 I NQ✓OFF I C,I AL
POa'C IN CONSPICUOUS pLA;:E
LARA—m-ULPSM
-7
PLUMBING PERMIT
�'TYOFTIFARD PIERMIT #. . . . . . . .
IV
7
COMMUNITY DEVELOPMENT DEPARTMENT WYOF DATE TSISLIED: 06/10/92
13126 BW Hmil Bled.P.O.Bac 23307,T1WM,Orqw 9=(SM)6304175
(jT11Z QL)F)QlZrQ - - lio.'U-3 Qjj 1 -;.IZTLJ Qq�.'
SUSS I V I S.ON. . . . ; WOODRORD ESTA'(E S - , .. ... ... . . V z 6 N I NG R_----_7
BLOCK. . . . . . . . . .. Lar. . . . . . . . . . . . . .i?4
CLASS OF' WORK—NEW GARBAGE DISPOSALS. . . I
TYPE OF USE.. . . . :SF WASHING MACH. . . . . : 1 Pr?r."11,FL(1W PREVNTRS. . .0
OCCUP,i`NCY URP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . .. . . . . . . . . . . . ..0
STORIES. . . . . . . . ..2 WATC.R HEATEPS. . . . . . . I CATCH BASINS. . . . . . . :0
F I X L.AUNDRY TRAY 5. . . . , . . 1 SF RAIN DRAINS. . . . . : 1
STNESS. . . . . . . . . . le GREASE TRAPs. . . . . . . i e,
LAVATORIES. . . . . ;4 OTHER FIXTUREr
TUS/SHOWERi,. . . . - SEWER LINE (ft ) . . . . 90
WATER CLOGETS. . :3 14ATER LINE (ft) . . . . : 100
DISHWASHERS. . . . : I RAIN DRAIN (ft ) . . . . :0
Remarks:
ti
OWNER- F'EES-----------
j. T. ROTH CONSTRUCTION INC T I1= $ 1380„ 00 JLH
1�?300 S'J 69TH AVE BPPT $ 498. 00 JLH 02,'07/92
BPLC $ .323. '70 JL.H 2e1099
TTGqRD OR 97223 85pc 24. 90 JLH OP/07/92
"hont, #a 639-262,7 S-55DC 5 'A0. 00 JLH 02/07/92
'r
PARK 500. 01b JLH 0 7/9t'"-'
Plumbing MPRT f 4Q). 50 JLH +t1:;'/17/92
fie. MPLC 10- 13 J1_1q 02/07/92
Name:
-�C t 02
2. 03 T;_.I . 7/92
Ad d r e a
162. 50 JLH 02/07/92
City: ka Ke_plv. ,�a P5PC 8. 13 JLH 02/N7!9;?
7 1
Ret
#
L;4 iy
RFOUIRED INSPECTIONS
This permit is issuL-i1 sut-,_'i e(::t to the Ceg
,uki&tions cnnt,,Rjned in the Tidard Municiprl Faot,lfound Insp Rein drain Insi.,
COLI@, State Of Ore. Specialty Codes and all Post/Piioam Struct Water- Line Insp
Other- applicable laws-. All word. will be done Poot/Beom Mechon Appr/Sdwlk Insp
0i - accordance :viith approyed plans. This PLMIUAderf loor Appv,/Sdwlk Insp
permit Will e4pire of wor;i is not started Merhanical filer-, Misc. Inspection
within 180 d.#ys of issuance, or if work is P1 .1mb 1'op Out Mechanical Final
%,LL*peoded for- more than 160 days. Ft-ami-og Insp Mechani!:�al Final
Framing (REINSP) Plumb Final
Fir-eplace 17isp PILIMt, Final
Gas Line Tosp Plumb rinal
Insulation 11isp Bl.i i I d i ng Final
Gyp 1�oard Insp Add t i i ,lii I
Fau r-izid Pll.Im_binq Contractor Signature
Call for inspection A39--4175
Con 'L,-actor, Not es -
INSPECTION NOTICE
City of Tigard Building Department
37125 SW Ba11 Blvd. Tigard, oregon 97.123
Inspection Line (Rec-O-Phone)s 639-4175 Businers Phones 639-4171
Inspectiont -
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gee Line FINAL:
Post/Beam Struct. Ran. Sewer Framing
Poet/Beam Mech. Rain Drain Insulation --Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Nechf/
Date Requestedt_ Timet — __A
Address e C.4 /J 0 Permit #1 I
Builder:
TRE FOLLOWING CORRECTIONS ARE REQUIPXD:
1
Inspectorss_ -- - Dates_,
y APPROVED DISAPPROVkD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTIOILI;_0TLQ /4-�
City of Tigard Building Departe:ent
13125 SW Rall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-i:: Appr/Sdwlk
Vend. Plbg. Top Out Gab Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam !Lech. Rain Drain Insulation /— -Plumb.
Plbg. Underfloor /Water Line Gyp. Bd. -mech.
Date Requested: l.� �1, _u�. Time1° —Ah PH
Addrese: _ / T' _ Permit #: .�
Builder:__'-
THE FOLLOWING WRRECTIONS ARE REQUIRED:
Inspeotor: �2�_� Date:
t
APiIIYJVED DISAPPROVED APPROVED SURJEC" TO kBOVE
Call For Rainsp.
MIMMAMMM
INSP CT ON NOTICE
t
City of Tigard Building ��7223
13125 BR Ball Blvd- Tigard,
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Plbg. Underelab mach. Rough-in
AppriSdwlk
Footing
Pound. P1bg. Top Out
Cas Line FINAL:
Poet/Beam gtruct. Sen. Sewer
Framing �ldg.
Post/Beam Nec14. Rein Dein
Insulation �� -plumb.
plbq. Underfloor
Water Line Gyp. Bd.
-1�/ A►t P.+1
Date Requested/:. yL -- /)
Address:
/y.5 /..Zv — Permit
�, L�
Builder:
THE FOLLOWING RRS("PIONS ARE REQUIRED:
------------
Inspector:— -'
APPROVED v DISAPPROVED APPRoVRD SUBJECT To ABOVE
L Call For Reinsp.
aP C�}'ION NOTZCE
City of Tigard Building Department
13125 ap Ball Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phono)t 63y-4175 M—i ness Phones 639-4171
Inspection,
Footing Plby. Underslab
Mach, Rough-in Appr/Sdwlk
Found. ---
Plbq. Tis, out Can Line
Posi./Beam Struct. San. Sewer
Framing d
Post/Beam Mach. Rain Drain
insulation --Plumb.
Plbg. Underfloor Nater Lina
77 nYP• Bd. -Mach.
Date Requested, CD -S�2—
0,I' _Titaet AN PN
Address: b 3 (�T�^
__ — Permit �,�i
Builder:_ . , fzfj{1
TBE FOLLOWING OORRECTIONS ARE REQUIRBD, —
w�
I
IA-A—
.vt � tet. ��� �'KP ✓-
Inepeotorr_
APPROVlDy DIBAPPROVEO APPROVED SU&1ECT Tp ABUVE
--Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department `aMUMM
1.3125 fM Hall Blvd. Tigard. Cregoc vT22
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections
rooting Plbg. Underslab Mech. Rough-in AFrpr/Sdwlk
round. Plbg. Top Out Cas Line lINALs
Post/Beam Struct. San. Sewer framing -Bldg.
Post/Beam Mach. Rain Drain Insulation Z��_
P;bg. Underfloor ,tater Line ;yp. Bd. -Mac
Date Requested, �� � _ Time: // _M PM
Addreeos_ L_L�.Z � `�''�— Permit
Builders r —THE r0 C CORRECTIONS ARE RT(2UIREDs
Infoecto � �-'--r.����_�+^-• Date: ,�"`�'
_APPROVED _ DI8 PRO /_ APPROVED SUBJECT 1V ASM_ Cr Rainsp.
.-.,.._...:._.,.,.�_<......_..............r...«..•,.-..,...._.,._...._._.:,.......-..w........_..,u...,ou.,o.,.n...wr.w,.�owms�Y 7oY..:WW,ui�iMW:.n..Mrur..u.r,..wM.rr:.«.+w...,.....—..........,rw....�w�ww..r.ww...wawo,w...M..............__.
1
INSPECTION NOTICE
City of Tigard Building Dek••hment
13125 811 Hall Bled. Tigard, Orrgon 97223
1�0nspection Line (Ree-O-Phonr)s 639-4175 Business: Phones 639-4171
Inspections__ \
Footing Plbg. Underelab Mech. Rough-in �Appr/�Sd-lk l
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor / water Line Gyp. 3d. -Nec.b.
Date Requested:__ _Z c,2/- Times /} AM _ kM
Address: Al`n _3 ��� Permit I s�z
Builders
THR FOL I�lO CORRECTIONS ARE REQUIRED:
l•
Inspector: Dates
APPROVED CI ` �-PPROVED SURJ3CT TO ABOVE
Call For Reinsp.
INSPBCTjONNOTICE
City of TigarA Building Department
13125 Sid Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: --
Footing Plbg. Underalah Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Be%m Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain DrainInsulation -plumb.
Plbg. Underfloor Wgter Line/ Gyp. Ed. -Mach.
Date Requested:_ "7 ._–TLme° --PH
Address:_ �[L/.�k _ Permit #:
Builder:—
/�
THE FOLLOWING CTIONB ARE REQUYRED:
Inspector
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Neinsp.
TNSPBC!'ION NOTxcE
City Of Tigard Building Departsrr:t
13125 SR gill 81"u. Tigard, Ortyon 97223
Inupection Line (Rec-C-Phone): 639-•4175 Business Phone: 639-4171
Inspection:
Footing
Plbg. Underslab Hoch. Rcugh-in A
pp'�/8dwlk
Found. Plbg. Top Out Can Line
FINAL:
Post/Beam Struct, San. Saner
Framing -Bldg.
Poet/Beam Hoch. Rain Drain
Ineulatlon _ply
Plbg. Underfloor Nater Line
Gyp. Bd. -Rech.
Date Requested:__ r�
Times —PH Address:—I/L�,�
Farmit is
Builder:
THE FO t: CORRECTIONS ARE RSQUIRED:
-------------
--------------
T
r
Inspector:
--- Date: / r-� 2,
p4PROVED DISAPPROVED
APPROVED SUBJECT To ABOVE
Call For Rein
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SM Hall. Blvd. Tigard, oregon 97223
Inspection Line (Rec-•O- no). 639-4175 Business Phone: 639-4171
Inspection:
Footing P1 Undere ab Mech. Rough-in Appr/Sdwlk
Found. P: Top Out Gas Lfne FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Much. Rain Drain Insulation --Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested - Time: `AMS PH
Addresst /�.�' J f -• ` ---1 Permit is !/;
Builder:
TBE FOLLOWING CORRECTIONS ARE REQUIREDt
i
Inwp,ectort_J Date
_APPROVED _-_ DI9APPROVF' APPROVED SUBJECT TO ABOVE
CaLL for Reinep.
INSpgCT�OIi NOTICE
City of Tigard Building Departaent
13125 Bw Bail Blvd. Tigard. Oregon 97223
Inspection Line (Roc-o-Phone): 639-4175 Business Phone: 639-4171
inspection:
Footing �,
P1bg. Urdu;slab ✓'Rech• ROugh-i Appr/Sdwlk
Found.
Plbn. Top Out as Line ) FINAL:
Framin
Poet/Seam Struct. San. Sewer g -Bldg.
Poet/seam Mech. Rain Drain
Insulation -plumb.
Plbq. Underfloor ' /Water Lino Gyp. Bd.
-Koch.
Date Requesteds__ _� ��-
Time: _AN PH
Address:
Builder,.. '
Permit
Builder;. '.
THE FOLLoRjA OORRECTIONS ARE REQUIRED: /
w
(� Jai L �uc•�cn �'��;.�,e.i.4
sa •i r� 4i[ .ate-ue w .� R��� � •'✓Le J/
i
r�
Inspector:
Date:�Y-C - ��-�
ApppoV 0 k'IDISAP/PROVED APPROVED SUBJECT TO ABOVE
{'r by ✓
call For Reinsp.
I
INSPECTION NOTICE
City of Tigard Building Department
1.4125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons): 639-4175 Business Phone: 639-4171
7
Inspection:
Footing Plbg,'/;nderel Mach. Rough-in Appr/Sd: _k
Found. Plbg. Top Out Gas Line FINAL=
Poet/Beam Struct. San. Sewer Framing -Oldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lens Oyp. Bd. -Hoch.
Date Requested:_ "<< i/ Time: AH PM
Address: I�S 1- Permit N:
Builder:
THE FOLLOWIN7 CTIONB ARL REPUIRED:
I
I
i
Inspector:_ __ Date:
APPROVED DISAPPROVED APPROVED SUBJECT rO ABOVE
Call For Roinsp.
1
Y
i
I
Gitt of Tigard Building Department
X125 BpBall Blvd. Tigard, Cr'e900 97223
Inspection L,.ne (Roc-O-Phone), 639-4175 Business Phone, 639-4171
Inspection,
Footirq Plbg.^Qnderslab Moch. Rough-in
Appr/Bdwlk
Pound. Plbg. Top Gut
Gas Lin. FINAL,
Post/Beam Str,ot. Ban. Bower
Framing -Bldg.
Port/Beam Mech. Rain Drain
I.uulation _ply.
Plbq. Underfloor Nater Lino
Gyp• Bd. -Hoch.
Date Roqusbt.d, -5 -
Time,
Address, L 3 PM
permit r
buildor:��
TGZ roLLOMIMa OGRRECTIOMB ARF REQUIRED:
----------------
r___ i
Inspector=_
/j ---- Datet 7
APPROVED DISAPPROVED
APPROVED SUBJECT TO ABOVE
_ Call For Reinsp.
IySPECTIQN BOTICE �
City of Tigard HaiLdioq Departsteat
13125 SM Ball ]Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phons)t 639-4175 Business Phones 639-4171
Inspection:__
Footing Plhg. Dnderslab Mach. Rough-in Appr/Sdwlk
►pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Stiruct. . Saar Framing -Bldg.
Prst%Beam Koch. in Drain Insulation -Plumb.
Plbg. Underfloor ater Line Gyp. Rd. -Mech.
Date Requestede �� Timor __M'-
Address,
J1lt Address: •7 c3 Z e�6 Permit
--a FOLLOWING CORRECTIONS ARE REQUIPEDt
C
i 1 V
V �
1
Inapectorir� " Date: -27
z�I-APPROVED DISAPPROVED APPROVED SUBJECT TO AHOVE
—Call For Reinsp.
.wwiwrwu.W..tsu.......�,.uw..W....r,�nwaw�teww .vaa;w.. +i,..,w.+✓w.M� ssJrr�Wmkawww+waw.,A.M�+..w.....,....._...__............__... _..._....._..._,.,..,,.......aw�wer....wn...v......,..,.. .
INSPi4TION NOTICE
City of Tigard Building tips---t
13115 aw Hall Blvd. Tigard. area---- 47213
Inspection Line (Roo--O-Phones 639-•4175 &:sines Phones 639-4171
Inspections
Fs.oting Plbg. underwlab Mach. Rouyh-in Appr/Sdwlk
lound.E �h mak` Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. 8ewer Framing -Bldg.
Pcwt/Beam Koch. Rain Drain Iriulation -Plumb.
4
Plbq. Underfloor Mater Line Gyp. Rd. -Mach.
Date Requestod:__,/� Timos ?J FM
Address_[`7�~ _� �(J Permit 1s
Builders ^L d 12 �e/
TB= FOLLOMINO CORRECTIONS ARS REQUIREDs
Inspectors J Dates
APFROVED DISAPPROVC7 APPROVED SIJBJECf TO ABOVE
__Call For Reinap.
t>
CITYOFTIFARD My RD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT onoae 1'r F<M I T #. . . . . . . :
13125 BW Hall BNd.P.O.Bat 23307,Ttpnd,Oregon 07223(603)830.4176
3ITE ADDRESS. . . : 1458:8 SW 130TH AVE PARCEL_: 2S109AD-WDF24
3UBli N I S I ON. . . . : WOODFORD ESTATES ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..24
_ _____ ---___- ----._.__-•- BUILDING
FE I SSUE. DWELLING UNITS, 1 BASEMENT. . . . . . . . :0 s f
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :690 sf
FYPE OF USE— :SF FLOOR AREAS --- _------ REQUIRED SETBACKS----------
YPE OF CONGT. :5N FIRST. . . . : 1. 96 sf LEFT. . :7 ft RIGHT. :? ft
13CCUPANCY GRP. : R3 F;ECOND. . . : 1 1.65 S FRONT. :20 ft REAR. . :30 ft
ST QR I ES. . . . . . . :2 THIRD. . . . :0 s f Rc QU I
HEIGHT. . . . . . . . :25 ft TO-!"AL-•-- 2-464 f SMOKE DEfECTORS. :Y
=LOFJR LOAD. . . . :40 ps f VALUE. . . . . $ : 125764 NARKING SPACES. . :0
Remark-, :
___.._______.._----.__----__.____.___-.-• PLUMBING -_---_-_.______._----.-----__._____.___.__
3INIiS. . . . . . . . . . :2 F*-OI)R DRAINS. . . . :0 BACKFLOW PREVNTR,S. . :0
L.AVATORIES. . . . . 34 WATER HEATERS. . . . 1 TRAPS. . . . . . . . . . . . . . :0
T"UB/SHOWERS. . . . :3 t_AUNDRY TRAYS. . . : I CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) - :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER L.TNE (ft ) . : 11h0 OTHER FIXTURES. . . . . :0
GARBAGE D I 5P. . . : 1 RAIN DRAIN (ft ) - :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
-------- MECHANICAL -..___..__._._.__.__. _._. __._.________.___-_-_ FEES -.--
FUEL TYPES------------ UNIT HTRS. . :0 type amus-tnt by date rec_pt:
/( AS/ / / VENTS . . . . . :0 TIF $ 1380. 00 JLH 02/07/92 -
MAX INPI_IT:O EA'U VENT FANS. . :4 BPFiT $ 4')B. 00 JLH Ox'/07/92 -
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 323. 70 JLH 12/23/91 221099
FURN ) =100V, . . . I WOOD STOVES. :0 05PC $ 24. 90 JLH 02/07/92 -
r=LC)OR FURN. . . . :0 CLU DRYERS. : 1 SSDC $ 260. 00 JLH 0e/07/9 _
SOTI_/CMP ( 3HP.0 OTHER UNITS:0 PARK $ 500. 00 JLH 02/07/92 -
GAS OUTLETS: 1 MPRT $ 40. 50 JLH 02/07/92 -
ijwner,: _.____._.___----.__....__._._._._._._.___..._._...__.._. _._ _-. IhF'LC $ 10. 13 JLH 02/07/92 -
J. T. ROTH CONSTRUCTION INC M5P(- $ 2. 03 JLH 02/07/92 -
12300 SW 6911-4 AVE PPR1 $ 162. 50 JL11 Oe/01/%2 -
P5PC $ 6. 13 JLH 02/07/9E -
TIGARD OR 972c'3
Ghone #: 639-2637
Contractor.
J. T. DOTH CONSTRUCTION INC
11-'_300 SW 69TH AVE
TIGARD OR 97223
Phone #: 639•-2637
Reg 1k. . : 31700
$ 3229. 69 TOTAL.
This ptrait is issued subject to the regulations conttined in the --- ---- REQUIRED INSPf`C1•IONS ------
Tigard Municipal Ludt, Stitt of Ore. Specialty Codes a�.J all other Foot/fot.tnd Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Fast/Beam Strutt Gas Line Insp
plans. This persit will expire if work is not started within ,180 Post/Beans Meehan Inst.tlation Inst
days of issuance, or if work is smt art t n ays. j%lm/untisIab Insp Gyp Board Insp
PLM/Under* loor Ra'in drain Inst
r,F't•mittee Siyrra►ture 1i Me ch anit:al Insp Water Line Insp
Pl t.imb Top 01_tt Appr/Sdwl k Insp
l eti By : / Framiliq Irish Mer_h,it i �1 Final
C-i I I for inspection - 639-4175
I
CITYOFTIFARD SEWER ERMITC IUB
F°E RM I'T
CITY �D PERMIT #. . . . . . . .. SWR92-000"'4.
CQMMUNrn' DEVELOPMENT DEPARTMENT 01HOM
191NOWHmNBMdP.O.6aK 07,Tlpnd,Orpon 4Bp%, 4176 DATE ISSUED: 02/07/9:
SITE ADDRESS. . . : 1458 ti SW 130TH AVE PARCEL: 2S109AD—WDF24
GUBD I V I S I ON. . . . : WOOD1=ORD ESTATES ZONING- R--7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :24
--------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORE;. . . :NEW DWELLING UNITS. . : 1
TYPE. OF USE. . . . . :SF NO. OF RU I LD I NGS: 1
INSTALL_ TYPE. . . . :HUSWR IMPERV SURFACE=. . : : s
Remarks: 7 1/2 foot utilty easement on all sides except Front
Owner. .---_------ ------ FEES
J. J. ROTH CONSTRUCTION INC type amount by date recpt
12300 SW 69TH AVE PRMT $ 1.900. 00 JI_H 0='/07/9,.' -•-
INSP t 35. 00 JLH 02/07/92 —
T I GjARD OR 97223
Phone #: 639—_'637
contractor:
CONTRACTOR NOT ON FILE
V,h un e #: $ 1935. 00 TOTAL
Reg #. .
------- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit empires 184 days from
the date issued. The total amount paid will be forfeited if the
permit empires. 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 not so located, the installer shall Purchase
a "Tap and Side Sewer" Permit and the Aoenc it irstalJ, a later;i.414r-
1'e r m i t t e e
Call for inspection 639-4175
ELM-REARM
CITY OF' TIBARD RECEIPT OF' PAYMENT RrCEIPT NO. t92-223013
NAME m JT ROTH CONSTRUCTION CHECK AMOUNT a 4914. 89
ADDRESS a 122500 S)W 69TH CASH AMOUNT a 0. 00
PAYMENT DATE a 02/07/92
OF? 972P.3— SUBDIVISION
PURPOSE OF' PAYMENT AMOUNT PAID PURPOSE OF PAYME-NT AMOUNT PAID
INGI PERM 498. 00 PL UMIA I NFSE G
M162. 50
ECHANICAL PE 41A. 50 ST. BUILD PER 35. 06-
PLAN CHECK FE 43. 811 SEWER LISA
UEWER INSPECT j5. 00 RESfDENTIAL TRAFFIC FEES 1900. 00
PARK's sr)r, I L?A 121. 0 0
30w. op, STORM DRAIN SDC00
MASS TRANSIT' I-IF FEES
141,583 SW jjwTH
!0*1AL AfvIUUNT PPII) 9 t 4. 89
l �
I CITY OF T I GARD - RECEIPT OF PAYMENT RECEIPT NO. s 91-2i'1099
CHECK AMOUNT z 251A. 00
• �
a � e�
WIME t J. T. BOTH CONSTRUCTION GASH AMOUNT PAYMENT DATE t 1 'i'2
o
ADDRESS a l r:30iD 5W 13:'NIr AVENUE SUBD M S I ON r
'T IGARO, OR 97223-
PURPOSE
'7223
P r , AMOUN T PA I D PURPOSE O PAYMENT AMOUNT PA I D
a UFZPC1�iE. OF PAYMENT
� Pt.AN�C:NEC;Ft FE 12.-63R _. 250. 00 �'•__�......_...--._.___...,...._._._. ._--»--
I
I
14,.563 SW 1:32NO AVt.-.Nt)l..
1 fal. AMOUNT PA I r'
i
i - -