14661 SW 130TH AVENUE ADDRESS:
1146o� l SW AX
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CITY OF TIGARD (;E ROCCUPANC
COMMUNITY 0XVELOPMENT WNWARTMENT uL r�u��raNCY
19125•W Hall Blvd.Tlyaro,ONW 97=1911 IN 5!C0 171 PERMIT #. . . . . . . .. M8T9 is--02=c a.
G,_, ) -rFt '1 rlaTE ISF QED: 06/30/93
PARCEL: . 2S 109AD•-•021300
S I'CC' ADDRESS.' — : 14661 SW 130TH AVE
SUBDIVISION. . . . a WOODF'ORD LON I NG G R--7
BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . 120
CLASS OF WORFt. :NEW
TYPE OF 1J3L. . . -SF"
OCG�;PnNI,Y GRP. :R3
OCCUPANCY l_OHI)t x'23 4
TENANT NAME.. . .
Remarks : PATH I
R & W PARTNERS
12300 SW 69TH AVE
TI GARD OR 97223
Phone #: 239•--•2639
Contractor:
R R W PARTNC-_'RS
13;300 SW 691'H AVE
1 IGARD OR ".) 7223
Phone #a 639•---2639
Pb g #. . a 1309.70
OC--CQpancy of the above refe),enred building is hereby give 1, and certifies
the compliance with the State OF Oregon Specialty Codes for the group,
occupancy, and use under which the referenced permit ways issued.
_.E F E DEPARTMENT `
AE. I L I NG'
POST 11,; CONSP I CUOLIS PLOCE
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A L A N APR 2 31993
COMMUNITY DEVELOPMENT i
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DESIGN ASSOCIATES, INC. I
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Steven E. Barnes, Architect
1515 N.W. 23rd Avenue
Portland, OR 97210
(503) 225-9161
January 20, 1993
TO: Marty Russell
Kidd Collt,rete Co.
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RE: Mascord Plan No.2258 t
Dear Marty,
I have reviewed your corrective method for the above RE: project as being constructed
J.T. Roth in the City of Tigard, specifically regarding the masonry fu-eplace footing . .1-at
addition of footing as you described is quite adequate to support the loads that will be im-
posed. The lapping of concrete over top of the existing footing will not be detrimental.
I hope this information will expedite your construction.
Best Wishes,
Steveu E. Barnes, Architect
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1315 NW 23rd Avenue
Porlllnd,Orlgor1972!1-9575
503/225.9161 FAX Mr,/2254)M
PLU111BJNG PERMIT
t11YOFTIOARD MYOTWARD PE RMI F #. . . . . . . :
COMMUNITY DEVELOPMENT DEPARTMENT ORBFOON
13125 SW rI BW. P.O.Box 23397,TigmM,Orwgw 97223(503)SN 4i 7E.
SITE ADDRESS. . . : 14661 SW 130TH AVE PARCEL— 21.3109AD-Wl'ol-i2w)
SUBDIVISION. . . . ; WUODF---'OKD ESTPTES ' ZONING: R-7
DI-OCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . 3 PRO
CLASS OF: WORK. . :NEW GARBAGE 1)1 SPIOGALS I
TYPE OF' USE. . . . :51"' WAGHJNF-i MACH. . . . . . . :1 EMCKF1. OW PRFVNI RS. . :0
OCCUPnNCY GRP.. . :R3 FLOOR DRAIN6. . . . . . . zO TRAPS. . . . . . . . . . . . . . :0
STORIES. WATER HP'nTERS. . . . . . il CATCH BAS T NE. . . . . . . :0
F I x LI)UNDRY 'TRAY 7. . . . . . :0 SF RAIN TRAINS. . . . . : I
5INKS. . . . . . . GREASE TWIPS. . . . . . . ..Q;
-4 OTHER F I X*T'JRE9. . . . . .171
TUD/S14014F-RE3. : SEWER LINE (ft ) . . . . :0
WITF7,R CLOSETS. . :3 WATF.IR LINE (ft ) . 100
D I SHWISHL-7RS. 11 RA.I.N DRAIN ft ) 0
Ppmarl,(s : PATH 1
c)w Iq I---fi f7 r-1. r
,7 - %. .1----.-------- .------ -- ---
R & W PARTNERS TTF $ 1460. @l0 .11-1 10/02/921 -
IR30t',) SW 69TH AVE SPR-r $ 409., 00 JH 10/02/92 -
DPI.-C $ 265. 8!`) JI-.H 09/22/92 2ZI896
TlGkRD OR 97223 11! Pc It 20. 4`5 JH
Phorse #- 639-2639 S13D1, $ E-80. 0(b ill 00/w/92
PI(IRR 19 500. 010 JH 1.0/02/92
FlIumbing 11PRT /-*T. 50 iH 10/02/92
mr,LC t 10. ab JH 10/02/9i'
Name, 1,15PIC, 'I 16 i1i 10/02/94:1
Ad dJ_J-S .7 PPRT $ 147. 50 J14 10/02/92
p5Pc $ 7. 38 .111 10/02/92
z-p I_TL0.2-57 P 11 o 11 e*1
Reg
RLUL)I RED I NSPECT I
-kllil permit i % issued st.ib,joct. to the req-
ula"t -ions contained in the TJqArd Murvic(pal Foot/found Int-,p Rxiin c.-Irain iii :i-
Cude, State of Ore. Specialty Cnde-, am-1 all Punt/Beim Strutt Water Line Insp
ott'ier aprilitrehle lawt. ' All work' ieill' he done Pu'st/t4a'6 HerflAn (apj1r!93Hv4.1k Insp
In acrardance with appi-aved plans. This Plnt/unrislab Insp Mpchifflir-,al Fin.-.41
wPeyllit Will Pmpire if worlt is iot stArf-ed PI-14/Under('laor Plumb rfned
--wij!hif 180 clays of i%1.;tAanC!e, or if woi,k is Mt-c.-hanical Iiisp 1411ildinrLl Fin Al
CL st..tspendod for mare than 180 clays. plUfflh 71)p OIL.It 1-rosion Uon+vol
cl: r-'raming Insp Crawl D-ain
Firoplar-a- Insr..)
Has Line In-ap
Iris�.tlmtion Insp
-j A.-L. BY13 Board Inst ISP
A10 rived P] Lt�n
contrartor signature
Call for Insirer-tion 639--41705
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UontrActnr Not res
jNSy'ECTION NOTICE
i' city or Tigard ftilding Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 B-ainesa Phone: 639-4171
Inspections r L. � �
Footing P_bg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Lina FINAL¢
Post/Beam Struct. San. Sewer Frazing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Rater Line Gyp. Bd. -Mach.
1
Date Requasteds_, I 0 ��y TLme: AM PM
Address: Permit 1s /2'®2-2-
Builders
THE MLLOMING CDRRECTIONS ARE RRWIREDs
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Inspectors Dates Ca J
1117D _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depae Went
13125 Sit Ball Blvd. Tigard, Ore Ton 97223
Inspection Line (Pec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Foot'.no Plbg. Underslab Hoch. Rough-in Lld.��lk
Found. Plbq. Tc" Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: —Time: AN PN
Address: 4Cf� �i JLC/ /• /�7 Permit 1:�15� `l•Z- C��r�-�.
Builder: —
THIi FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors [,>-- 14 Date 3
APPROVED APPROVED ... APPROVED SUBJECT TO ABOVE
-_145all For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 972:13
Inspect-on Line (Rec-O-Phc>nel: 639-4175 Business phone: 639-4171
Inspection:___
Footing P11q. Underelab Mech. Rough-inAppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Stzuct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:�,— L•� Time: AN _ _PM
Addre ?e: � L 3�/ v� _ Permit #s
Builder:
TBE FOLLOWI CORRECTIONS ARE REQUIRED:
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Inapector:_L�'
APPROVBU DISAPPROVBD - APPROVED SUBJECT TO AROVF
Call For Reinsp.
JNSPECTZON NOTICE
City of Tigard Building DepartsrmtL
13125 BW Hall Blvd. Tigard, Oregon 47223
Inspection Line (Rec-O-Phone)t 634-4175 Buninees Phone: 634-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-tn Aper/Bdwlk
Found. Plbg. Top Out Cas Line pINAL:
Post/Beam Struct. San. 3,Y%er framing -Bldg.
Post/P.eam Mach. rain Drain Insulation plt�p,
Plbg. Underfloor Mater Line Gyp. Bd. -Koch.
Date Requusted/t �- � Timet AK _ph
Address: L l z`'�Q Permit ft. �QL
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27/
Builders
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THE FOLLOWING CORyRECTIONS A" REQUIRED:
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Inspector!
APPSOV30 DIRAPPROVED APPROVED SUBJECT ID ABOVE
Call For Relnsp.
INsucuoN NoncH
City or Tigard Building Departarsnt
13125 OW Hall Blvd. Tigard, Orogon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phones 639-4171
Inspect ion s_„__
rooting Plbg. Underslah Mach. Rough-in Appr/8"Lk
Found. Plbg. Top Out. Gas Lind
Poet/BRam struct. San. sower Framing 81dy.
Post/Beam Mach. Rain Drain Insulation -PLUAb.
Plbg. Underfloor Water Line Gyp. Bd. 4100h.
Date Requested: _ J Timet AN pX
Permit
Addreaa: 1� {� ,1
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Builder:
THE FOLLOWING CORD-RCTIONB ARE REQUIREDs
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Inspectors ./ _1 _ Date: �� - O / 13
APPROVED L DISAPPROVRD APPRcrIRD SUBJECT TU ABOVE
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.—Call For Rainsp.
INSPECTIONNarICE
City of Tigard Building Departmnt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Insper_tion:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor /W_ 1 zater Line Gyp. Bd. -Mach.
Date Requeffs/tod/: C1/ ` J
Time: Am p_M
Address: I `I lQ� I ( .�/ pBroit to 702-2-
Builder:
THE FOLLOWING CORRECTIONS ARS REQUIRED:
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Inspectors ` /lyr^11_�jq S _ Dates G CSU -L`i
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_ Call For Rainep.
INSPECTION NOTICE
City of Tigard Building Department
1.3125 SM Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busi:.esa Phone: 639-4171
Inspection:
Doting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Ono Line FINAL:
Poet/Beam Struct. San. Sewer Fi-aming -Bldg.
Poet/Beans 4ech. Rain Drain Inuulation -Plumb.
Plbg. Underfloor Wate. Line Gyp. Bd. -Mech.
Date Requented{ /'� -�� Timet /•(-) AM ,____ PN
Address: i / Q Permit #t
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDt
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k-11APPROM DISAPVR':VFD APPROVED 9UBJNCT TO AA0VF.
Call' Fnr Retnnp.
INSPECTION NOTICE
City of Tigard Building Department
• 13125 SW Hall 1'vd, Tigard, Oregon 97223
Inspection Line (Rec-O-Phorn )• 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, %AAn. Swett Framing -Bldg.
Post/Beam Hoch. 1Jls [t Innulation -Plumb.
Plbg. Underfloor ester L // Gyp. Bd. -Hach.
Date Requested: ,� Iq Z• .Z— _-_Time: F ,AH P!1
1 G 3U Permit 1: '71 2 — O 2 -2_1
Address: Z/
Builder: (77 31� z
TNF FOLLOWING CORRECTIONS ARE REQUIRED:
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tnspPrtor• - _ , Dates
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inepecti..n I..ine (Rec-O-Phone): 639-4175 Busineee Phone: 619-4171
InapecLion::
Footing Plbg. Undorelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Poet/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd.� -vech.
Date Requeste/ds_ff 12 - Z Z1- Z �- Timor )) AM _PH
Addreee:�l+L 1L_t6( _ Permit ft 'IL-UZL'
Builder: /
_l Mr K( -d I" (L4l11J(
THF. FOLLOWING CORRECTIONS ARE REQUIRM
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RPPROM DISAPPROVED APPROVED SUBJECT TO ABOVE
'�Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Departarznt
3-3125 SN Hall Blvd. Tigard, Oregon 97223
IR81)eCtion Line (Rec-O-Phone): 639-4175 lluoineps Phone: 639-4171
Inspection:_ -- —
Footing
Plbg. Underal.ab Rough-in Appr/Sdwlk
Found. P."3g• Top Out Gas Line "INAL:
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beim Hoch. Rain Drain
Insulation -Plumb.
-Mech.
Bd.
Plbq. Underfloor Water Lina Gyp.
Date Rerp•ested:� ell"f Time: AM<_�
Permit is C Z 2
Builder:_
THE FOLLO4 v_1 03RP.CTIONS ARE REQUIRED:
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APPUMD DISAPPROVED yAPPROVXD SUBJdCT Tin ABOVE
Call For Reinap.
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INSr ECT—IO-N�_IJOTI(7E
City of Tigad Bruildi-.' epart.nnt
13125 SW Ball R1vd.*Tigard, Oregon 97223
In3pection Line ec-O-Phone): 639'=517)8uaineae Phone: 639-4171
Inevection: L
Faiting 111bg. Underelab Hezh. Rough-in Appr/.dwlk
Found. plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
t Pont/Ream Hoch. Rato Drain Inaulation -Plumb.
Plbq. Underfloor Water [,,sins Gyp. Rd.
Date Requested:. -0 7 _ ! 2- Time: _AM PH
Address:__ 1L l ( � Permit #: _
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: __ Dnte:_ / "9
"PRMD ,leDISSAAPPROVFD _ APPROVED SUBJECT TO AnOVF.
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Ir
Date Requested —. Time/L A.M. P.PA.
Address _l3C _ Permit
Owner_ Lot #__ _
Builder -- —_
The following Building Code deficiencies ar,i required to be corrected:
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Presented to __ ❑ Approved
Inspector _� ❑ Disapproved
Date
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Departakent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buninees Phone: 639-4171
Inspections ��'_ 7
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Qraning -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
P)bg. Underfloor Water Line Gyp. Ed. -Mech.
Date Requested: I Times _AM PM
Address: l �LO lr L 'I � J Permit #t
Builders ,J (- Ko*
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspectors nater
APPROVED DISAPPROVED / APPROVED SUBJECT To ABOVE
Call for Reinap.
INSPECTION NOTICE
City of Tigard Building Departaert
13125 SK Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-41"; Businece Phone: 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struci:. San. Sewer raming -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underf.coor Water Line 1 Gyp. Bd. -Mach.
Date Requenteds—Lt .C. _ LLp� _Tlmo: )_AH PM
Address: IW/ ��� r1� Permit 1:
Bu I.der: ---
THE FOLLOWINd�C;ORRECTIONS ARE REQUIRED:
—___ may►-��.•t�,y9 iy�' L�(��.dl� ..,� ��/'Y�K./
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Inspectors_ Dates
APPROVED DISAPPROVED / APPROVED SUBJECT TO MbM
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Lir . (Rec-O-Phone: 639-4175 business Phone: 6.39-4171
Inspection:
Footing Plbg. Vnderalab Hech. Rough-in Appr/sdwlk
Found. Plbg. Top Out 1 Gas Line FINAL:
Post/Beam Struct. $a Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hech.
Date Requestedt [ �' _-Time- _AM _____PM
Addrooa: ZY( 26'1 Z 1 - Permit f:
Builder:- �._
THE FOLLOWING CORRECTION'S ARE REQUIRED:
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APPROVED �- DISAPPROVED APPROVED SUBJECT TD ABOVE
—_-Call For Reinsp.
N�"'^'= INSPECTI iiGiICE
City of Tigard ".1ding pepartment
13125 SW Ball Blvd. tigkrd, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
lnepectionz �\
Footing Plbg. Underele6 �-h'RR..gh-in pr/Sdwlk
Found. Plbg. Top Out ---:Gas Line-
FINAL:FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Cost/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Neth.
Date Requested: Timet ____AM _,—PH
Address /�/ l / S�� Permit #8-2
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors ../`iJ Date:
APPROViO DISAPPROVED APPROVED SUBJECT TO ABOVE
' Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd.'Tigard„ Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Busineso Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
oSSP _t._/-"a-m_8truct. San. Sewer Framing -Bldg.
'Post "a, Meoh. Rain Drain Insulation -Plumb.
Plbg. Underfloor // �Water Line Gyp. Bd. -Mech.
Date Requested: �1 ,' / / Time: --AM/1__-_PH
Address: (L�(C// Z, !1' 1 Permit
Buildor:_ I-t
THE FOLLOWII� RRECT IONS ARE REQUIRED:
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Inspector:_
APPROVED DIS�P ROVED APPROVED SUPJECT TO ABOVE
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Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departssant vvv
13125 BN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phoneys 639-4175 Business Phones 639-4171
Inspections —
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Ton Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poetize"--Meeh Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date R q eiCidI �jZ Times AM PH
Address s 7 '� Permit #s
Builders
TRE FOLLONIN CORRECTIONS ARE REQUIREDs
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Inspectors hater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call for Reinsp.
. . . .
CITYOFTIFARD CfTYO-FTWARD
COMMUNITY DEVELOPMENT DEPARTMENT one" MASTER PERMIT
M 126 SW Hell Blvd. P.O.Bax23397.Tigim.,Oregon 972M (60)6394175 PERMIT #. . .
639-4171 DATE ISSUED: 10/02/92
SITE ADDRESS. . . : 14661 SW 130TH AVE PARCEL: 25109AD—WDF'20
SUBDIVISION. . . . : WOODFORD ESTATES ZONING- R-7
PLUCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2O
---------------- BUILDING
REISSUE: DWELLING LJNITS: 1 BASEMENT. . . . . . . . :0 5-F
CLASS OF WORK. :NEW LIEDRMS:3 BATHS:,3 GARAGE. . . . . . . . . . :520 S f
TYPE OF USE. . . :SF FLOOR REQUIRED SETBACKS-----------
TYPE OF CONST. .51\1 FIRST. . . . :869 S f LEFT'. . :5 ft RIGHT'. :5 Ft
OCCUPANCY GRP. : R3 SECOND. :920 sf FRONT. :20 ft REAR. . :40 ft
STORIES. . . . . . . : THI RD. :0 s REQUIRED--__.__.___________.__.
HEIGHT. . . . . . . . :23 ft TOTFiL-------: 1789 Sf SMOKE DETECTORS. . Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 91654 PARKING 5PACES. . : 1
Remarks : PATH I
PLUMBING -------------------------------------------
SINKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PREVN'TRS. :QA
LAVATORIES. . . . . :4 WATER HEATERS. . . I TRAFIS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :33 LAUNDRY TRAYS. . . :0 CATCH BASIN�3. . . . . . . :@
WATER CLOSETS. . :3 SEWER LINE (ft ) . ;0 GREASE -TRAVIS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISC.,. . . : 1 RAIN DRAIN (ft) . .0
WASHING MACH. . . : 1 S17' RAIN DRAINS. . : 1
--------------- MECHANICAL ------------------ FEES
FUEL TYPES UNIT H'TRS. . :0 type amol-int by date r,eept
/GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JH 10/02/92
MAX INPUT.-O BTU VENT FANS. . :4 BART $ 409. 00 JH 10/02/92
FURN ( 1001,\' . . .- I HOODS. . . . . . : 1 BPLC $ 265. 85 JLH 09/22/92 23IS96
P'URN ) =1001" . . :0 WOODSTOVLS. zO LA5PC $ 20. 45 JH 10102192 —
FLOOR FUR14. . . . :0 CLO DPYERS. : 1 SSDC $ 280. 00 JH 101021CJ2 —
BOIL/CMP ( 3HP-0 OTHER UNITS: I PARK $ 500. 00 JH 10102192 —
GAS OUTLLTS: 1 MFIRT $ 43. 50 JF-J 10102192 —
Owner,: IYIPLC $ 10. 88 JH 1.0/021/92
R & W P("RTNERS M5PC 1, 2. 18 JH 10/021,92
12300 SW 69TH AVE PPRT $ 147. 50 JH 10102192
P5PC $ 7. 28 JH 10/02/92
TIGARD OR 97223
F-+icine #: 639-2639
Loritt'artor-: -------------------------------
R&W PARTNERS
12300 SW 69TH AVE
TIGARD OR 97223
Phone 0: 639-2639
Rey #. . : 80970 --------- -------------------------
$ 3146. 74 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 Fir-eplmc-e Insp
applicable laws. All work still be done in accordance with approved POSt/BeaM Stt-LICt Gas Line Insp
plans. This pernit still expire if work is not starte"ithin 18@ Past/spam Meehan InSLIlatiOn Insp
days of issuance, or if work is suspended t eore Udy PlM/Undslab Insp Gyp Boar-d Insp
PLIII/Undet,f loot- Rain dr-ain Insp
Permittee Signator e : Mechanical Insp Water- Line Insp
Plumb Top Oi_(t Appr/Sdwik Insp
Is-st_ied By : -i-aming Insp - inal
F e c f i a n i c:a I
Call for- inspection 639-4175
'TY
OF T'GA
MOFTWID SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT MOM PERMIT
13125 SW Holl Blvd. P.O.Box 23397,Towd,Oregon 97 (50 3)639-4175 PERMIT #. . . . . . . : SWR92--0306
639-4171 DATE ISSHED: 10/02/92
SITE ADDRESS. . . : 14661 SW 1307H AVE PARCEL.- 2S109A11)—WDF20
SUBDIVISION. . . . : WOODFORD ESTATES ZONINU: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :20
TENANT 14AIYIE. . . . .
USA NO. . . . . . . . . . . FIXTURE UNITS. . . :
CLASS OF WORK. . . .NEW DWELL I NG UN I T5. . : I
TYPE: OF USE. . . . . :5 F NO. OF BUT LI)INGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : -.f
Rema -ks : PATH I
Owne�: ------------------------------------ ------------------ FEES
IR & J PARTNERS type amount by date reept
12300 SW 69TH AVE PRINT $ 2100. 00 JH 10/02/92
INSP $ 35. 00 JH 10/02/92
I'IGARD OR 97223
Phone #: 639-2639
Contractor:
UONTRACTOR NOT 01\1 FILE
---------------------------------------
Phoyle $ 2'1.35. 00 TOTAL
Rey
RED.UIRED INSPECTIONS
This Applicant agrees to comply with all the rules and rpgulations 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 drcuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospert 3 feet in all directions from
the distance given, If not so located, the installer shall purchase
a "Tap and Side Sewer" 4rmit and the Agei wil a tvra/
Perm iti,ep �.�i gnat ure
Issued By :
CL Call for inspection 631-4175
cc
V1
lsL
1 -7
CITY OF TIGARD -- RECEIPT OF PAYMENT RECEIPT 1-10. :92-232317
CHECK AMOUNT s 5031. 74
NPtll':' j. i'. Ro"n-A CASH AMOUNT ti Ill. 00
ADDRESS s PAYME=NT DATE t 10/1AP/92
SL.lBr)I V I S I ON
PURPOSE OF PAYMENT (IMOUNT PP 11) PURPOSE OF POYMP-.'1\1'1' AMOUNT PAID
ill.11LDING PERM 409. 00 PL.U14FAING PERM 147. 50
0.
IF,CHAN I COL. PE 43. 50 s'r. BUILD PER 30. 01
PLAN CHECK FE 26. 7:3 SEWER USA 2100. LAO
�3EWFR INS-P
ECT 35. 00 PARKS SDC 500. 00
17"ORM L)R()'fN SDC 280. 00 RESIDENTIAL. TRAFFIC' FEES 131,55121. 00
MOSS IRAN SIT TIF FFFS 110. 00
LOT r.0 WOODF ORD ESTATES
1.4661 SW 1301TH
TOIAL AMOUNT 1,01D 5031. 74
r /
4 fi
r13125 SWIfalllWd. PLNCK/RECT #CITY OF T'IGARD
COMMUNITY DENE'LOPWNTDE?PAR,rMENT Tprd,0egon97V3 PERMIT # �15�:. � 0,:2t
(503)639-4171 DATE ISSUED
JOB ADDRESS: I Lrd0/ 's-ty /-�o TAX MAP/LOT
SUB: LOT: aQ LAND USE:
VALUATION:
OWNER / SPECIAL NOTES
NAME: -_ 'Aw-r- Xs &ZIlxa0/ le, --- REISSUE OF:
ADDRESS: LAST REISSUE: _
FLOOD PLAIN/
PHONE: _^ SENSITIVE LAND: _
CONTRACTOR APPROVALS REQUIRED
NAME: oi2f{'��/�L/ _ PLANNING:
ADDRESS: _ 2300 SW 6 � � ENGINEERING:
972Z FIRE DEPT:
PHONE: a - ��� OTHER: �nC`
CONTR. BOARD #: 7 EXP DATE: �4
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: G�i LIST/SUBCONTRACTORS:
«
MEC": BUS TAX:
ARCH/ENGINErERCALCULATIONS:
NAME: �l�/l Wet3ccild TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
CL:
V"
PROPOSED BLDG. USE: _
COMMENTS.
W
J
APPLICANTS NATURE l
Received By: O
�t f a to Received. Z�
�----f` f
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
yn,14z-v�zl 10-432 00 Building Permit Fees Y�`>
10-431 00 Plumbing Permit Fees ly 5% ; 7• �v
V
10-431 01 Mechanical Permit Fees �(3 s`'" of 3, •�
10-230 01 State Building Tax (5%) 3�' � � - ?�` �1
Building 4 -J,
Plumbing
Mechanical
10-433 00 Plans Check Fee ='�G -,1.3 73
Building -Z C'S', Y
Plumbing
Mechanical �U•3
10-230 06 Fire
:. �t•l:y�' �_>v(p 30-2.02 00 Sewer Connection u6'
30-444 00 Sewer Inspection =3-)'
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 l
25-448-05 Mass Transit TIF Fees //0•e)D i/u
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
24-445-Oi Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of)
L TOTAL
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