14649 SW 130TH AVENUE ADDRESS:
14 (o4 7 SVJ 1307;q.4v&iupw
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CITY' OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 GL R'rT1-J( ATE Or.
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SI L, ADI)RC-'99. 14649 SW 130TIA AVE A:
SUBDIVISION. . . . 11-10M)FT'01t) ESTATES
SLOCK. . . . . . . . . . ... . . . . . . . . . . . . C21
(-'L A 5-3 Ur W F)I-e K., .NEW
TYPL Of' USL'. . . r SF
OCC.UPANC1' ORP. R3
("ICCUr-44NIC� [_0AI) 4
TrINAINIT
Rf-Amarksc path i
Owners
R & W PARTINIL.RSP
12,300 SW k"'.'141 AVE
TJOAR0 (.')I?
Phone
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12300 SW 6�)*m
TMIRD OR
.-Iflone
Pal.)
(JVC*Upanc.%! LAF the abiove rof Pronced b'Ai (di"(1 18 hev Luby given, and cet,t! if ie!!:
hf- cump IiAw.-ty wit:i-I h e '
,Aatp OF Oregon 5pecialty Codec, for the group,
-LC't.tp�, nCy, anti use '..mder' whicAi the rrpferenr:vd permit Wat isrLlorl.
)UPORTMENT INF)PT.CTl'JP
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IN CONGPIC1141-11*1 PLACE*
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■■ APR 2 3 '1993
ON COMMUNITY DEVELOPMENT
DESIGN ASSOCIATES, INC.
Steven E. Barnes, Architect
1515 N.W. 23rd Avenue
Portland, OR 97210
(503) 225-9161
January 20, 1993
TO: Marty Russell
Kidd Concrete Co.
RE: Mascord Plan No.2258
Dear Marty,
I have;reviewed your corrective method for the above RE: project as being co- -,,d for
J.T. Roth in the City of Tigard, specifically regarding the masonry fireplace fo The
addition of footing as you described is quite adequate to support the loads that will be im-
posed. Ile lapping of concrete over top of the existing footing will not be detrimental.
I hope this information will expedite your construction.
Best Wishes, "=z
Steven E. Barnes, Architect
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ISIS NW 23rd Avenue
Portland,Oregon 712104M
SOV22S916+ PAX SM/2250433
1NSPECTION NOTICE /
City of Tigard Building Dsriartmen i/
13125 SW Hall alvd. Tigard, Oregon 97D2
Inspection Liu& (Rec-a-Phone)• 639-411F Business Phone. 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Ban. Sewer Framing -Bldg.
P,)st/Beam Mach. Rain Drain Insulati�n/7J_- -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -KeOh. -
nate Requestedt�� ''� Tim I �_ AM PM
Address: .._<�z) Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQDIREDt
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APPROVRD `_ D[dAPPROVRD APPROVRn 3UBJ1lCT To ABOVE
Call For Reinep.
VN5PECTION NOTICE
City of Tigard Building Department
13125 SW hall Blvd. Tigard, cvregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:_//yr s_
Footing Plbg./Underelab Meoh. Rough-in Appr/8dwlk�
Found. Plbg: Top out Can Line lINAL:
Poet/Beim Struct. San. Sewer Framing -Bldg.
Post/Beano Mech. Pain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Mach.
Date Requestads / __Time: AM pM
Addreses Z`��y y 1 Permit ►t``2
Builders
TTIE FOLLOWING CORREf-MONS ARE REQUIRED:
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inspectors Tr 'P1 ( Date:
___APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
:_all Tor Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 972.23
Inspection Line (Rec-O-Phone)t 639-4175 Suninsaa Phone: 639-4171
Inspection-
Foot Ing
nspection:Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation �1iPlutnb.
Plbg. Underfloor Water Line Gyp. ad. -Mach.
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Date Requestedt '" / ' / -9 Times
Address: �7��y�n / S n Permit f t
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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inspectors _` Date 2
/_N_APPROVED DISAPPROVB� APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Deparl-aee2
131-:15 Of Hall Blvd. Tigard, Oregon 97273
Inspe:tion Line (Pea-O-Phone): 639-4175 Burinees P,:one: 639-4171
Inspection:
Footing Plog. Underslab Mech. Rcugh-in Appr/8ftAk
Found. Plbg. Top Out Cas Lina
Post/Beam Struct. San. Sewer Framing \` -81dy.
Post/Ream Mach. Rain Drain Insulation, -Plumb.
Ilbg. Underfloor Water Line Gyp. Bd.
Dmto Requgated: �� --( ��� Timet AM PH
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Addr
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Builders "
THE FOLI.Oif 'XM2CTIONS ARE REQUIRED:
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTA
C.tt7 of Tigard Building Depari>ent
13125 80 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Businuas Phone: 639-4171
Inspection:__ �,-
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing *-111dPost/Beam Mech. Rain Drain InsulationPlbg. Underfltx•� Nater Line Gyp. Bd.Date Requestedt .*!1
7►dcireasa Permit fI L/ Q Z
Builders
THR FOLLOWING CORRECTIONS (ARA RNQUIREDs D
VJ�tel.- d Ab-��.....�'{ � La.•.�./�-f�1.. �.it�� w�. __
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�vAPPROVtO _` bISAi'PROV=D `_ APPROVRD SUPJRCT To ABOVt
Call for Reinsp.
INSPECTION NOTICE
Cita of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspect+.on Line (Rec-O-Phone): 639 -4175 Business Phone: 639-4 71
Inspection:
Footing P1bg. Underslah Mech. Rough-inAppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL&
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requeeteds T1 AM _PM
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Address:_ / Permit 1: �u
Builders
THE FOLLOWING CORREMIONS ARE REQUIRED:
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AP?ROVlD DINAPPRUVtD APPROVED SUBJECT TO ABOVE
i—Call For Reinsp.
INSPECTION NOTICE ?.f
C?ty OZ Tigard Building? Department13125 SN Hall. Blvd. Tigard, Oregon 9T2
Inspection Line (Rec-O-Phone): 639-•4175 Business : 539-4171
Inspection•
Footing Plbg. Undersiab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Ton Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plur,b.
Plbg. Underfloor Water Line ` yp. Bd. � -Mech.
Date Requested: 2- rime:Time: AM _ PM
Address: (p�i `( / —_� Permit
Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
ell Por Reinap.
INSPECTION NOTICE;
City of Tigard Building Department a '
13125 SW Hall blvd. Tigard, Oregon 972213 l ,�
Inspection Line (Rec-O-Phone): 539-4175 Business PhonA:�i3$?41
Inspection:
Footing P1bg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lino FINAL:
Poet/Beam Struct.. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: _Time: _AM PM
Address: Permit #: J62_
Duilder: `
THE FOLLOWING CORREi:TIONS ARE REQUIRED:
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11PPRnVED DISAPPROVED APPROVED SUBJECT TO ABOV2
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Hall. Blvd. Tigard, Oregon 97223
Inspection Line (Rec I)-P' one): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Eieam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requ oted:// _._ Timet ���AM 7�PH
Permit #e!J2—
Builder:__
THE FOLLOWING CORRECTIONS AAE REQUIRED:
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Inspectors_ Dates
11PPROVlD D2811P D _4 APPROVED SUBJECT To ABOVE
Call For Reins.p.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Int,yection Line (Rec-O-Phone): 639--4175 Bueineaa Phone: 639-4171
Inspection• _ _ - —�
Footing Plba. Underslab Mach. Rough-in Appr/Sdwlk
Found. hlbg.Top Out Gas Ione FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Unlerfloor Water Line Gyp. Bd. -Hoch.
Date Requested: �~s -! —Time: `_AM ____PM
Address:
^-yL �z " "' —� Permit 1: e2 2-
Builder:Builder:
THE FOl LOWING CORRR-.'TIONS ARE REQUIRED:
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l APPUMD DLSAPPROVRD ^_ APPROVED SUBJECT TO ABOVE
�TTT Call For .<elnep.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard. Oregon 97223
..:ipecti.on Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspec-ion:- _—
Footing Plbg. Underelab Mech. tiwgh-in Al?pr/Sdwlk
Found. Plbg, fop out�1 G Line FINAIr
Poor_/B,>am Struct. San. Sewer Framing -Bldg.
Past/Beam Mich. train Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. - ech 2—
D ate Rraqueel:cd: 52? -c:;2 �`� _Time: AM PM
tdreey: Permit f: �—^21x�
Builder:
Ti1E FOISOWING CORI SCTIONS ARE REQUIRED:
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inspectors / /_ __- — Date:
APPROVED L DISAPPROVED APPROVED aUBJECT To ABOVE
__Y_1 Ccll For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sq Bell Blvd. Tigard, Oregon 972
Inspection Line (Rec-O-Phone): 639-4175 Business e: 639-4171
Inspect:ion:
Footing Plbg. Uneerslab Mech. Rough-in Appr/Sdw*x
_-ound. _lbg. Top Out Cas Lina FINAL:
Poet/Beam Struct. San. Sewer ram ng -Bldg.
Post/Beam Mech. Rain Drain Ineu ni an -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mecl..
Date Requested:_ /C� - - / _ Time: AM _IPM
Address: /u�Ltlr Permit
Builder:
THE FOLLOWING 49RECTIONS ARE RZQUIRED:
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APPFAMD DISAPPROVED APPROVED SUl3.'ECT TO ABOVE
Call For Reinsp.
INSPEOTTON 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. Undorelab Mech. Rouqh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam 8truct. San. Sewer Framing -Bldg.
Post/Ream Mech. Rain Drain Insulation -Plumb.
I-Plbg. Underflmr Water Line Gyp. Bd. -Mech.
D&te Requested: I/ Time: _AM PM
Address: (!� % � _.�-�." _ Permit
Builder: ; _
THE FOLLOWING Cq�&`CTIONS ARE Rti 1IRED:
CL — -- —_�
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V "PROVED DISAPPROVED � APPROVED 8UBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 77223
Inspection Line (Ree-O-Phone): 539-43.75 Bi:siness Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. j San. Sewer Framing -Bldg.
Post/Beam Kech. y ain Drain Insulation -Plumb.
Plbq. Underfloor &ter Line Gyp. Bd. -Mach.
Date Requested.-_ l Times AM
Address: (++. L' Perm{.t f: 2 Z d
Builder:-
THE
uilder:-THE FOLLOWING CORRECTIONS ARE REQUIRED:
CL
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Inspector: Date: _` Z
^/ APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Bui=di.ng Departasent
13125 Sit Ball Blvd. Tigard, Oregon 97213
Inspection Line (Rec-o-Phone): 639-4175 Business Pho : 639-4171
Inepectiont
ooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
found, Plbg. Top Out Gas Line FINALS
Past/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: 111(/_/ �+ Time ,^ AM PM
Address: �Zy2�Q r� Permit #s
Builder: DY
THE FOLLOWING RRSCTIONS ARE REQUIRED:
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APPROVED DISAPPROVED APPROVED SUBJECT TD ABOVE
Call For Relnep.
INSPECTION NOTICE
City of Tigard Building Department
1312.51 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: ---
Footing Plbg. Underalab Mech. Rough-in Appr/sdwlk
Found.� Plbg. Top Out Cas Line FINAL:
(Poet/Beam Struct. San. Sewer Framing Bldg.
\Post/Beam Mech. Rain Drain In9u1a io �-Plumb.
P1bg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested: �Z'— _Time: AM PM
Addreas: �T �t~ Permit
Buiider: t
THE FOLLOWING =IONS ARE REQUIRED:
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Inspector:_ D a t a I , Z�
G' APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinop.
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. Underalab Mech. Rough-in Appr/Sdw'_k
Found. Plbg. Top Out Gan Line FINAL:
at/Beam Struct.) San. Sewer Framing -Bldg.
oat/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Linef---fff Gyp. Hd. -Mech.
Date Requented: / //_ / �J, J Time: _ AM \ PM
Add res a:_Ly(��L/f �C/ 'v Permit 1: z) ��?�
Builders
TH-_ FOLLOW CORRECTIONS ARE REQUIREf
GY1. G` �'S O 'Z J�•Q iG!/1
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Inspectors---- -- / — ----- - Date:_
APPROVEDy DISAPPROVF,D APPROVED SURJRrT TO ABOVR
� Call For Reinep.
CITYOF TAi�-
CI'IYOF1WRD t-t_UIhI�I IUf� {-F kt 1 I T
COMMUNR'Y DEVELOPMENT DEPARTMENT Moon PERMIT #. . . . . , . :
13126 SW Htll Bhrd. P.O.Booc 23347,TipW,Onpon 97223(5W)639-1175
SITE ADDRESS. . . o 14649 SW 130TH AVE' PARCEL a 2S 109AD-WDF2.t
SUBDIVISION. . . . . WOODFORD 17 STATES ZON I NC o R--7
BLOCK. . . . . . . . . . o LOT. . . . . . . . . . . . . 421
_ _ -___---_.
CLASS OF WORK. . a NEW GARBAGE DISPOSALS. . o 1
TYPE OF USE. . . . I SF WA%1 I NG MACH. . . . . . . a 1 BACKFLOW PRE:VNT RS. . :('j
OCCUPANCY ORP. . aR3 FLOOR D'IAINS. . . . . . . sO TRAPS- . . . . . . . . . . . . ..0
STORIES. . . . . . . . a8 WATER HEATERS. . . . . . .. 1 CATCH BASING. . . . . . . :0
FIXTURES----------- LAUNDRY TRAYS. . . . . . z1
SF RAIN DRAINS. . . , . : 1
SINKS. . . . . . . . . . 31 GRrASE TRAPS. . . . . . . :0
LAVATORIE+S. . . . . s4 OTHER FIXTURES. . . . . :0
TU}3/SHOWERS. . . . : SEWER LINE ( `t) . . . . :0
WATER CLOGET S. . :3 WATER. ,L 161F (ft )r a . . 0 100 ,
DISHWASHtRfa.'.`, -. : 1 ; 'RA'IN DRAIN (f't;)'. . .'. 00
r Remarks : ,path i
DWNR ------------------PEES----_-.--------
R & W PnRTNERS ! 'r I F t 1460. 00 JH 10/16/92 -
12300 SW 69TH AVE ft 13PRT t 455. 50 JH 10/16/92 -
BPLC; $ 296. 08 JLH 09/22/92 231896
TIGARD OR 972i?3 BSPC f 22. 78 JH 10/16/9? -
Phone #: 639•-26.39 SSDC f 280. 00 JH JO/J6/92- -
PARK t 500. 00 JH 10/1.6/92 -
P) umbing Contr,sctor•a•- -_- -- ---- ---- MPRT $ 45. 00 JH 10/16/92 -
MPLL $ J. 1 . 25 JH 10/16:92
Nam— M5PC $ 2. 25 JH 10/16/92 -.
Addr•esR I _ V�-- PPRT 155- 00 JH 10/.16/92 -
C.ity : _.. aJState: P5PC 7. 75 JH 10/16/92 -
z i P;_.Yl a r,h o„e#: Gf 7 0_
"" ----_ -- REQUIRED INSPECTIONS
-- ---
Thi% permit is issued subject to the reg-
1.1lations contained in the Tigard Municipal Foot/found„ InspR�ir( dt:riio Insp
Code, 'State' of Ore. Specialty Codes and all ' Pont/team Stt-uct Water Line Insp
other applicable laws. All work will be done most/Beam MechAn Appr/Sdwlk Insp
�_.-1rr" accar•danc{s with approved I:)lans. This Plmiuridslab Insp Mechanical Final
• permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Butlrling Final
'At -wended for more than 180 days. Plumb Top Out Erosion Control
Frawiiiq Insp Crawl Drain
Fireplace Insp
i— Gas Line Insp _
lnsUlation In%p
x AP'11�1-� Gyp Board Insp
At nri r.ed P1k.imbi .1 Contractor Signature
Call for inspection - 639-4175
Lontractor Notess
C!7YOFT167ARD
CffYOFTWARD
COMMUNrrf DEVELOPMENT DEPARTMENT 01114"M
A3125 SW HWI Blvd. P.O.Box 23397,Tlpd,Onogon 97223(503)636-4175 cf7 MASTER PERMIT
PERMIT #. , 1 S r I; ? =q
639-4171 DATE ISSUED. 10/ 16/()2
SITE ADDRESS. . . : 14649 SW 130TH AVE PARCEL: 25I09AD--WDF21
SUBDIVISION. . . . : WOODFORD ESTATES ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :21
--------------------- ------------- BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . zO sf
CLASS OF WORK. :NEW DEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :490 sf
TYPE OF USE. . . :SF FLOOR AREAS----------- FREOUIRED SETBACKS------------
'YPE OF CONST. :5N FIRST. . . . . 1128 sf LEFT. . :5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . 11092 Sf FRONT. :20 ft REAR. . :50 ft
STORIES. . . . . . . :2 THIRD. . . . .-O sf REQUIRED-------------------
HEIGHT. . . . . . . . .2b ft TOTAL—.-----:2170 sf SMOKE DETECTORS. sY
FLOOR LOAD. . . . :40 psf VALUE. . . . . $v 108640 PARKING SPACES. . : 1
Remarks: path i
---------------------------------- PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . iO
LAVATORIES. . . . . ..4 WATER HEATERS. . . sl TRAPS. . . . . . . . . . . . . . to
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : l CATCH BASINS. . . . . . . :0
WATER CLOSETS. . s3 'SEWER LINE. (ft) . t GREASE TRAPS. . . . . . . j0
DISHWASHERS. . . . il WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . zl FAIN DRAIN (ft) . zO
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
---------------- MECHANICAL -------------- --------- -------- FEES ---------------
FUEL TYPES-------------- UNIT HTRS. . sO type amount by date recpt
/GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JH 10/16/92
MAX INPUTsO BTU VENT FANS. . :4 BPRT t 455. 50 JH 10/16/92
FURN ( 100K . . :0 HOODS. . . . . . : 1 B(jLC $ 296. 08 JLH 09/22/92 231BLic,
FURN ) =100K . . : I WOODSTOVES. sO B5PC $ 22. 78 JH 10/16/92
FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 J11 10/16/92
BOIL/CMP / 3HP.-0 OTHER UNITSil PARK $ 500. 00 JH 10/16/92
GAS OUTLETSsl MPRT $ 45. 00 JH 10/16/92
Owner: MPLC $ 11. 25 JH 10/16/92
r? 9 W PARTNERS M5PC $ 2. 25 JH 10/16/92
12300 SW 69TH AVE PPRT $ 155. 00 JH 10/16/92
P5PC $ 7. 75 JH 10/16/92
TICARD OR 97223
Phone #c 639-2639
Contractor:
R&14 PARTNERS
12300 SW 69TH AVE
T113ARD OR 9*7223
Phone #s 639-2639
Reg #. . : 80970 _._._---_—__._---___._------------------
$ 3235. 61 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be dint in accordance with approved Post/Seam Struct Gas Line Insp
plans. This permit will expire if work is nqf started jithLjo Post/Beam Mechan Insulation Insp
days of issuance, or it work is suspended more than ys. m/undslab Insp Gyp Board Insp
'LM/Underfloor Rain drain Insp
Pt-r,mittee echanical Insp Water Line Insp
than
Top Out Appr/Sdwlk Insp
Issued By : Framing Insp Mechanical Final
tv— Call for inspectio*, — 639-4175
CITYOFTIOrARD -;777D
COMMUNITY DEVELOPMENT DEPARTMENT WYOFTM SEWER CONNECTION
13126 SW Heit Blvd. P.O.Box 23397,TOW Oregon 97223(6Q316394176 PERM 1 1*
#. . . . . .
63`9-4171 DATE ISSUED: 10/ 16/92
SITE ADDRESS. . . : 14649 SW 130TH AVE PARCEL: 2SI09AD--WDF21
!:')UBDIVISION. . . . : WOODFORD ES'TATEL- ZONING,., R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . .
-1 ENANT NAME. . . . .
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELL I NG Ulq I TS. . : I
I YPE OF USE. . . . . :SF NO. Of:-- BUILDII\IGS: 1
INSTALL TYPE. . . . :BU5WR IIYIPERV SURFACE. .
Remarks : path i
Owner: FEES
R & W IDARTNERS type amClUnt by date reept
IL300 SW 69TH AVE FIRMT $ 2100. 00 J[-j 10/16/92 -
INSP $ 35. Q-0 JH 10/16/92 -
TIGARD OR 97223
Phone #: C-39-2639
i-ontTact or:
CONTRACTOR NOT 01\1 FILE
-------------------------
Ifione 21:x5. 00 TOTAL
Peg
-------- REUUIREI) INSPECTIONS
--
This Applicant ayrpes to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires IN dayl 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 to all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the 42�;,cy I install a
I-,ei mittee �.':')iynatl.tre :
I/ - -
Call for inspection 639-4175
7c,
1
CITY 0v TIGARD - RECEIPT OF PAYMENT RECEIPT N0. :92-232792
CHECK AMOIJNT : 5x20.61
NAME : J.T. ROTH CASH AMOUNT : 0.00
ADDRESS : R01 1'1ARI NERS PAYMENT DA TE 10/16/92
S!1BDIVISION
PURPOSE OF PAYMENT AMOU14T PAID PURPOSE OF PAYMENT AMOUNT PAID
fti1ILTIING PERM �- � 455.50 PLUMBING PERM 155.00
CL MECHANICk.. PF 45.00 ST. BUILD PER 32. 7A
!'i-AN CHECK FE 57.3:3 SEWER USA 2100.00
v~i XWE F1 INSPECT 35.00 PARKS SDC 500.k1Ql
:3TORM DRAIN SDC t_'A'd.00 RESIDENTIAL TRAFFIC FEES 1350,00
~ 'MASE 'TRANSIT' 'TIF {'E E 5
110.00
J
s
co
W
J
1_11'7 Pi WOODFORD E TATFS
14640 SW 130TH
TOTAL AMOUNT PAID - -> 5120.61
CITY OF TIGARD 13125sw1lauuwa. PLNCK/RECT #
►X)Box 2-1397 PERM IT # i7Ts
COMMUNITY DEVELOPMENT DEPARTMENT I Parc!Oregoo97223
(503)639,4171 ,DATE ISSUED
.JOB ADDRESS: _� SGcJ 430 � TAX MAP/LOT �$
SUB: LOT: LAND USE:
VALUATION: -
OWNER �� SPECIAL NOTES
""HE: sr -Q �S C.,6 7 .� REISSUE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR I n APPROVALUI
S RE RED
NAME: �t,�0,jI'1-1'l��.1 _ PLANNING: LVV--2 '
ADDRESS: �f �D9 ENGINEERING:
FIRE DEPT:
PRONE: Z6 _ OTHER: 12G-
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: C / LIST/SUBCONTRACTORS:
MECH: <� F,►�/�- BUS TAX: _
ARCH ENGINEER // CALC!!l_ATIONS:
NAME: la�'1 l�'��'SC t TRUSS DETAILS: _
ADDRESS: OTHER:
PHONE:
rt
I—
F PROPOSED BLDG. USE:
—' COMMENTS:
J
APPLICANT SIGNATURE
Received By:
kDate Received: ` /? Z. Z_.
PERMIT- # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
n15Z��Z"Z10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees 55•�,u ' — �s '
_ 10-431 01 Mechanical Permit Fees �L
10-230 01 State Building Tax (5°0) _3 Z -Y / 32• 7,y
Building 2Z fib'
Plumbing 7• ��
Mechanical Z• L
10-433 00 Plans Check Fee 307 33
Building
Plumbing
Mechanical _—
10-230 06 Fire
30-202 00 Sewer Connectionc -
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees —
25-448-n4 Ind-serial TIF Fees —
25--448-06 ?nstitutional TIF Fees
25-448-03 Office TIF Fees — —
3S� �
25-448-01 Residential Traffic Fpes 13 5-D.0-Dy — L----
W; 0 C
25-448-05 Mass Transit TIF Fees to .o
52-449 00 Parks System Dev Charge (PDC,) .Suv _ - 'S°0
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) - -- —
24-445-01 Water Quality (Fee in lieu of)
ck
24- 445-02 Water Quantity (Fee in lieu of) _
j TOTAL ► / . A0.
LO
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W
nm/3587P.WPF