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L•4318 SW 130TH AVENUE
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CITYOFTIIFARD F'I_.UM>ti I NL:+ PERMIT
�(0'nagn PERMIT !#. . .+. . . . : 015-1191 -i1i 87
COMMUNITY DEVELOPMENT DEPARTMENT osrsooN
,.13f26 sw HdI BW. P.O.Ofm 23397,Tlpvd,Orpon W223(M)&19-4176
SITE 00DRE.38. . . : 14,318 5W 130TH 'AVE t'�ARCCL► 2J 141yr�P -WTaI ] ,
?aLJBL)1 V l b 1 ON., „ . „ s WOODF^ORD 1--.43TATE ZONINGR—/
BLOCK. . . . . . . . . ., LOT. . . . . . . . . . . . . : 1 i.
CLASS EW. WORK. , s NEW GAP%4AGE D I GPOSALS. . : 1
TYPE OF USE. . . . s SF WASHING MACH. . . . . . . : 1 BAC V.F"LOW PRE VNT 0
OCCUPANCY GRP. . :R3 FIXIOR LiRAiN!1. ,. , . . . . :0 TRAPS. . . . . . . . . . . ., . . a(A
S7ORI E IS. . . . . . . . 12 WATER HEATER,-:'. . . . . . : 1 CATLH BASINS. . . . . . - -0
LAUNDRY TRAYS. . . . . . . 1 SF RAIN DRI:11 Nu. . . . . : i
SINKS. . . . . . „ . . . c i. GREASES TRAP'S. . . . . . . :,
LAVATORI:ES. . . . . 94 U rHE_R V I XI URE9. . . .•. :0
I U13/6HOWE�RS. . . . : SE=WER LINE t ft ) . . . . silt
WATER CLOSETS. . s 3WATER LINE ( Ft) .t. . . ; I Oh
RMN bAWM ....(ft.) . . . . :Vi
htemarks :
J. T. R0414 C:UNSI RIJ( TION INC TIF $ l380. 00 ?LH 04/20/92
11?11�046 5W 6911: AVE SPHT * 453. 50 JI.H 04/2@/9f_ „
BPLG $ 'tO. Dili JLH IE/3L/91 E .l 37
T'IGARD OR 971223 B5PC $ rte. 78 JLI.1 04/RO/9L� .
Phone #s 639--263'? ATIS._C 11 1`15. Oel JLI! 04!20/9c: .
SSLC $ e8O. 00 JLH 04/,C0/9E .
I-,it.imbiny rono..,ictors _ .. .. .....__.. ....... _._ .._.W BARK $ `, k)ili„ 00 JLH 04/20/9�":
/ MPRT E 40. 50 JLH 04/20/92
Names.. MPLC 10. 13 JLH 04/E@/'92'
kiddreas : l?'��%s_�5(() _���7�`d _. .__._. _.._ M�,F�C b Vt,3 i!_EJ ►h4/c'0:9�'
i:ity: C SWP l�_._._`itake ' _ _ RfR'T 4 lFob. 4?iQl JI..IJ 'Zt4/1_�D/9c:
Li'pt fi] �, "... _MFS"ne#s.. 0Y77. 7'5 JLH 04/20/92
PFrJU I R%p INS-PE CTION5
Flits pe--mit is i13e+_ted subject to the i-ey--
,.tlAtions contained in thw liya.,d Mun).r.ipal Foot/fo+.+nd Anop Watv4 Line 1n+:E
C;orie, `:haste of Circ, G3per_ialty Codes --ind all Post /Beam Struct Appr/F3dwlk his
uther aj.1plicarla) e laafs. r E111 wrr+ will toe dane Most/BfMam Struct Appr/L;dwIk Insp
in aCr_atAianre with apphoved plans. Thi<i Dost/Beam Mer_h:an Machan icaI Fine
hermit w.i11 c4xpird .if %+ork i !! not started Underflc+or. ins+.0 {dumb Fi.+ial
wil�i.m 1460 days of issuance, or if work is Meclraniral Insp Plumb tinal
s+_lapended for more than 1SO clays. Plumb Torr Out Pualdinh Final
rt,aminw (nsp
bas I ine ?f1sp
Insulation In,N
Ratilr chain In!.h
Pain drain 1nsp
14t.1 I_ r3. ed FeluL .any f�ontr^ac:tor^ : iynet++re Call for• :inspect ion 6313 417b
Lontrar t or Nr. tes
;0-
CERTIFICnTE OF
CITY®FTIGrARD OCCUPANCY
,�WMIWAIID
COMMUNITY DEVELOPMENT DEPAR7MENT PERMIT #. . . . . . . : MUT' 1 -Qf i7.8 7
13125 SW Hall BW. P.O.Fkix 23307,Tigaid,Oregon OW M3)639-41 T5
SITE ADDRESS. . . 9 14-318 OW 130TH AVL. PARC EL 25109AD--WDf* 1
B I
UBD I V I S I 01\1. . . . a WOODFORD ESTATES ZONING) 0-7
"l-OCK. . . . . . . . . . t LOT. . . . . ,. . . . . . . . it
GLASS I ' WORK. v NEW
TYPE OF USL— iSF
OCCUPANCY GRP. :R3
UCC1JPANC'y 1-0041)s 21L0 4
TENANT NAME. . .
Iq 4!,M ar 1(s I
T. T. ROTI-4 CON6 T Ruc r I ON 1.N11
Ir. 300 _c-;W 69 TI-1 AVE
'ITUARD OR 97P23
Phone #t 639---eb3?
GontrActor-P
J. T. ROTH CONSTRUCTION INC
12300 SW 69TH AVE
TIGORD OR 97223
Whorlp #% 639--p-639
[leg #. . - 31700
Ucc~upanry of the atwvp refvrenved tvuilOiny is hereby given, and vert ifJel"
btie camplianre with the State Of nregall 5pectalty Cadets for the qw-oup,
OCC.'Llpancy, and ube under which the referenced permit wasi ,A 0.
FIRE IF 141 BU DING Mf.'.%PE.(.
BU I L P.1 NG OF/I C I w.
POST IN CONSPICUOUS PLACP,':
INSPECTIO11 NOT39i;
City of. Tigard Building Department
13125 SW ball Blvd. Tigard, Oregon 97223.
Insper_tion Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection:___ —
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Inaulition --Plumb.
Plbt Underfloo- Water/L ins Gyp. ed. ::�te�ch__ �
Date Requested: Ll Times /'
Addresss�y� ����� Permit #4/
Builder:
THE FOLLDVfN6 CORRECTIONS ARM RMQUIRMD.
Inspectors _ Data:
APPROVED DISAPPROVED APPROVED SUBJB To ABOVE
Call For Reinsp.
��1S�PECTION N(YfIC�
Cites of Tigard Building Department
13146 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4375 Busineee Phone% 639-4171
Inep-.ction:_ ---�_ -----.— --
Footing Plbg. Underelab Mech. Rough-in Appr/Bdwlk
Founc. Plbg. Top Out Cau Line 11INALe
Poet/Beam Struct. San. Sewer Framing d9•
Pont/B3am He•:h. Rain Drain Insulation -Plumb. }
Plbg. Underfloor Nater/Line Gyp. Bd. -Mesh. {
Date Requested: /�' ` 'r! 3- _-Timoe AMPM
Addrede:__�L Permit f: C/I.��!/
BUJ lder:_ �
THE FOI.I.OMI CORRECTIONS ARE REQUIRED:
-kz�_'/�LZ
-
InsQectore _ ` Date:
,APPRO.ED _41APPROVID APPROVED SUBJECT TO ABOVE
Call For Teinep.
- LSUCTION NOTICE
City of Tigard Building Depart—nt
13125 Sm Ball 81 . Tigard, Oregon 97223
II �
spect Lon Line (Rec-O-Phone 636-4175 susineee Phone: 639-4171
P �
Inspections __1
Footino Plbg. U rslab Mech. Rough-inAppr/8dwlk
Foun<,. Plbg. Top Out Gas Line FINALS
peat/seam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Pl.bg. Underfloor /Water Line Gyp. Bd. -Moth.
Date Requested: / / �,_._� s _____AM P!f
Address: /L/�� (.J Permit •13
Builder% _
THE FOLLOWING CORPE''TIONS ARE REQUIREDt
Inupertorr
� a. f Dates
APPROVED __ DISAPPR U APPROVED SUBJECT TO ABOVE
Call For Reinap.
ZNSP CTION NOTICE
City of Tigard Building Department
13125 SII Brill- Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueineon Phone: 639-4171
inspection;
Footing Plbg. Underslab Meeh. Rough-in Appr/Sdw?k
Found. Plbg. Top Out Cas Line FINALS
Poet/Beam Struct. San. Sewer Prami.ng -Bldg.
Post/Beam Mech. Rain Drain Inoulation Plumb. `
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
Date Requesteds_ jY- % Z- Timet AM PH
Address:-/,4/2,/ ��a -�" Permit 1sd 7
Builders
THE FOLLOWING ODRRECTIONS ARE RF,QUIRF,D:
Inspectors Dates_ i ` - l
_`APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
f
aNsrECTYON NOT;cr
City of Tigard Building Dcparts:ent
13125 SN Hall, Blvd. Tigard, Oregon 97723
Inspection Li pe (Rec-C-Phone)s 639-�-/4175 BueinPae Phonc: 639-4171
Inepectionc�
Footing Plbg. Underelat Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Ed. -Mech.
Date Requeet_eds_ -2 PM
Acidreee s Permit
THE FOLLOWING CORRE 'ONS ARV REQUIRED,
iaspectoi/ Date?_- .� 6
k APPROVED DISAPPROVED �V APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
1N5p6CT�NUTICE
City of Tigard Building Department i
13125 SO Ball Blvd. Tigard, oregon 97223
Tnspecti.on Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ;
Footing Plbg. Underelab ?tech. Rough (--app y/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Rd. -Hoch.
Date Requestedt��-r✓G / �� —Timms Al► �PH
Address: ,_�/�J.3/ d �( �G Ale— Permit
Builder: — —
ME FOLLOW OORRNMIONS ARE REQUIRED2
4i ►
44,1
A'
z
Inopectort �C� 1J� �iJ_ L �IP Dates 7'Sl. �2-
APPROVED DISAPP (U",i�PPROVAD SUBJFCT TO AROVR
Call For Reinsp.
TNSPBCTION-ACT LCF
City of Tigstrd Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 6?4-4175 Business Phone: 639- 71
Inapectionii
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk i
Pound. Plbg. Top Out Can Line FINAL:
PcHt/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam M"ct. Rain Drain Inaulatl� -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. -Nech.
Date Requeateds _1� f1-1=1
� _Timet —AN __PH
Addcess:�_ / Permit ts1
Builder-
THE FOL.LOWIN ARECTIONS ARS RSQUIRFDs
Ineiv-ctor� _ _ Dated
V((((((
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVS
Call For Reinap.
,.r
INSYEL"fION NOTICE �
City of Tigard nuildinq neporlmb--nt
13125 EN Ball Blvd- Tigard, Oregon 917223 i
Inspection Line (Rec-o-PhonP)s 639-4175 Business Phones 659-4171
Inarectiona -
� A r/Sdwl.k
Plbg. Underalab Koch. ) PP
Footing �-'
Wt i Gas Lina PINALs
Found. Plbq. Top
Framing \1 -Bldg.
Poot/Beam Strutt. Gan• Bearer
Yost/Beam Meth. Rain Drain
Insulation -plumb.
Gyp. ad. -!tach.
Plbq. Underfloor Natal Lina rf
Timet AM PM
Date Requested s
Permit #sAddreast-
o -
guilders
THE FOLLOW OORRECTIONB ARE REQUIRE --
�. 11r 70
„f7"G
�,, p J Li•9tJF
�j -
, s
Ar /
ex
Dates_
Inspectors_ —
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainsp.
jRBPtt'TION NOTICE
City of Tigaryl Building Department
f ' 13125 Sp Ball Blvd. Tigard, Oregon 97223
o{J Inepe-Itior, Line (Rec-O-Phono): 639-4175 Bualness Phone: 639-4171
Inspections
footing P1 ralab Mech. Rough-in Appr/Sdwlk
i
Pound. Plbg. Top Out Cas Line PiNAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater yLine �j Gyp. Rd. -Mach.
Date Requested: 1 �c�/`-I� Time: / AM _ PM
Address: [./ Permit 1S1� z
Builderx
THE MOWING COPPAMIOMS REQUIRED:
.IY S
r i�s't�I
Inspector t �/� v�^ Data: c`f
_APPROVED DISAPPROVED APPROVED SUBJNCT TO ABOVE
_-_Call For Reinsp.
jj1_6PECTION NOTI(ZF ��•��Z+�j�
City of Tigard Building Department
13125 Rai Ball Blvd. Tigard, Oregon 4722.3
Inspection Line JR-cc--O-IP'h'one�)t1:: 639-417/57 Basiness Ps.one: 639-41;1
Inspe-tion: J�----^-
Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg.. Top Ont Gas Line FINAL:
Post/Beam StruCt. Sen. Sewer Framing -Bldg.
Port/Beam Hech. Rain Drain Insulation -Plumb.
Plbq. Underfloor f Nater GLine Gyp. Bd. -Mach.
Date Reque11 stedd s t�(!/� `.Z T Lme t AN PM
1►ddr.sat l !( V �C✓� Permit f= 1G�
Builder= 1911-7 - �4 V� —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors //� _ _ Deter
APPROVED DISAPPROVED !T APPROVED SUBJECT To ABOVE
Call For Reinsp.
CITY OF TIGARD
OREGON
May 28, 1992
Mr. Ken Waymire
31835 SW Country View Ln
Wilsonville, OR 97070
Re: Lot 1, Woodford Estates Subdivision.
Dear Mr.. Waymire,
This letter is to serve as a record of our meeting regardLng the
above referenced lot. The subdivision approval required that a
private storm drain be provided to the property. The topography
pians submitted did not accurately show the slope of the lot, and
a .field review found it would be very difficult to serve it with
the private drain. Additionally, if the storm drain line is to be
Installed, it would likely have a negmtive impact the existing
trees.
'Your request that the private storm drain not be required for thi..
lot is acceptable. The rain drains for this house will need to be
connected to a r ivate on-sill drywell, Please nt.-)te, an inspection
of the drywell system will b.t necessary prior to c, erg
T trust you will notify builder th;-,t- the private at... Jr n
will not be extended is lot, and the need for a pr.i-v
system.
If you have any question", please call me at r-4171.
5incesely
Brad Roast
Bu.:lding Of f-is is
13125 SW Hall Blvd.P.O.Fox 23397,T173rd,Orpon 97223 (503)6.39-4171
INSPEOIOI NOTICE
City of Tigard 9ullding Deprrtment
13125 SM Ball Blvd_ Tigard, Oregon 97223
Inspection Lire (Rec-O-Phone): 639-475 Business Phone: 639-4171 ( t
Inspection:_ f?-Ly` �.4Z — ""'"•.
Footing Plbg. Under•;eb Mech. Rough-in 1ppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -� --Bldg.
Post/Beam Mech. Rain Drain Insulation 1/ -Plumb.
Plbg. Underfloor Water Line Gyp_. Bd. -Koch.
Date RequesteP:_ �+ �/ �_^ T1me: AM _X_PM
Address: _f41-31S- L [���ft_• Permit #: �� -d.114-
1LL-
Builder:^- // r" /�
THE rct.LOWINg(tORRECTIoNB ARE REQUIRED:
C
-_--- �•-�.��,-�-.---.,ems- ,� _,.�,�., y� �i-G.c,.��..-- r
1:1spector:
--_APPROVED _ DISAPPROVED _ APPROVED SUBJECT TO ABOVF
Call For Reinsp.
INSUCTIONa NOTICE
City of Tigard Building Departjmnt
13325 SO Hall. Blvd. Tigard, orex3oo 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phono: 639-4171
Inapection:-_--, --- —_ -- _
(looting Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Cas Line FIt%:.L:
�a,st/B*&"m Structs Ban. Sewer Framing -Bldn.
oat/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water`Line Gyp. Bd. -NNeech.
Date Requested:_ f - ai `� Timed-r�- v` PH
Addreae:. A ���i� Permit f: �La-��L
Builders --
i
THE FOLLOWJ* CORRECTIONS ARE REQUIRED:
Inapectar:—_ -� Dates t� —
�—APPROVED DISAPPROVED ^' APPROVED SUBJECT TO ABOVE
--Call For Reinsp.
Ut9wxwjUW UNWO
INDPECTION NOTICE
City of Tigard Building Departaent
13125 SA Ball Blvd. Tigard, Oregon 97223
Inepection Line (Rec--A-Phona)s 639-4175 Business Paone: 639-4171
Inape-:tion:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Poet/Beam Struct, an. Sewr.r Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor n Gyp. Bd. -Mach.
Date Requested:_ � /�// Time: �j
Address-
Permit Y:%/
Builder: 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Of
G ti
I
F `
-- -- -
L
Inspector: — -- - Date?
/ - — — - -�
'=� PROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
✓/� For Reinsp.
9
jNBIO!1 NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phona): 639-4175 Buainees Phones s39-4171
Inspectiont-- - —_
faotiaq j Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Plbg. Top Out Cas Line FINAL-
Post/Ream Struct. Ser.. Sewer. Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulatijn --Plumb.
Plbg. Underfloor Water Line Gyp. ad. -Koch.
Date Requested:_ --Time: AM PM
Address: 4Z 3 / 3 c> Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRTSDt
Tnepectors17 Dates�_�' Z
^APPROVED -_ D1Sj:PPRUVED APPROVED SUB.IECT 1`0 ABOV6
_Call r'or Reinsp.
d
CIIYOFT167ARD OF11FARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT \ PERMIT #. . . . . . . : MST91—0267
1J 125 SW Heil Bhro. P.O.Baa 23377,T4wd,Oregon 97223(503)639.4175
b3,9--4171 -- DATE ISSUED: 04/20/9
TE ADDRESS. . . : 14318 SW 130TH AVE PARCEL: 2S 1 k'19AD--W1;, i.
BDIVISION. . . . : WOODF ORD ESTATES ZONING: R-7
',LOC;K. . . . . . . . . . . LOT. . . . . . . . . . . . . . 1.
BUILDING - __--__-_-------------------------_-_-.-._._.
7.1_I SSIJE:MST)1-0255 DWELLING UN I T5: 1 1aASEMENT. . . . . . . . :0 S f
L ASS OF WORK. :NEW BE:DRMS:3 BATHS:3 GARAGE. . . . . . . . . . :690 sf
C'E. OF USE. . . :SF FLOOR AREAS------------- REQUIRED
e'PE OF CONST. :5N FIRST. . . . - 1186 s f LE-FT. . :5 ft RIGHT. .5 ft
4. CUPANCY GRP:,. :133 SECOND. sf FRONT. :20 f;t REAR. . :40 f t
STORIES. . . . . . . :2 THIRD. . . . :0 Sf REGLIIRED-------------------
1EIGHT. . . . . . . . ..20 ft 1-OTAL-.-----_-:2 081 sf SMOK7- DETECTORS. :Y
'LOOK LOAD. . . . 140 psf VALUE. . . . . t: 108146 PARKING SPACES. . :O
?em.arl<s :
---------------------------------- F:'LUMDING
?INKS. . . . . . . . . . : 1 FLOOR DRATNS. . . . :111 BACKF-LOW PREVNTRS. . :0
NVAIURIES. . . . . :4 WATER HE" , ERS. . . : 1 TRPPS. . . . . . . . . . . . . . ..0
I UB/SHOWERS. . . . :3 I_AUND13Y TRAYS. . . : 1 COTCH BASINS. . . . . . . :0
4A7ER CLOSETS-3 SE.'WFR LINE (ft ) . :0 GREASE' TRAPS. . . . . . . :0
;HWASHEP,S. . . . : 1 WATER LINE (ft ) . : 1021 OTHER FIXTURES:. . . . . :0
tRBAGE DI SP. . . : l RA.N DRAIN (ft) . tfA
4.61-,'ING MACH. . . : 1 SF RAIN DRAINS. . : 1
_._.-------------- ME:CHANICAL --- -__.____.___ ._ ___..__.__________ FEES ___.- -------
UEL TYPES_------ - UNIT HTRG. . :0 typeamount by date recp!.
I."S/ / / VENTS . . . . . :0 TIF $ 1380. 00 JLH 04/20/92
1AX INPUT:@ PTU VENT FANS. . :4 L' PRT $ 455. 50 JLH 04/11/92 ,
URN < 10171K . . :0 HOODS. . . . . . : 1 HPLC $ 40. 00 JLH 12/31/91 221377
URN ) =1001-; . . : 1 WOOD STOVES. :17.1 B5PC t c''e:. 78 JL-H 04/20/92
LOOR FURN. . . . :0 CLO DRYERS. : i BPLC 111 15. 00 JLH 04/2''_0/92
-•OIL./CMP < 3HP:0 OTHER UNIT5-0 S S D C f 2BO. (A0 TI L•1 04/20/92
GAS OUTLETS: l PARK f 500. 00 JLH 04/20/92
MPRT f 40. 50 JLH 04/.CO/92
1. T. ROTH CONSTRUC'CION INCMULL $ 10. 13 JLH 04/20/92
7*300 SW 69TH AVE m1,5PC $ c:. 11.13 JLH 04/20,,92
PPRT E 155. 00 JLH 04/250/92
IGARD OR 9722:3 P5PC $ 7. 75 JLH 04/20/92
hone #: 63;-2637
. 1 . ROTH CnN 1TRUCTION INC
2300 SW 69TH AVE
IGARD OR 9722::3
Phone #: 639-2637
f?ed 31 700 ---.--•_-_-.--_______...________________.__ .
$ 'r7:908. 69 TOTAL_
This norsit is issued s bject to the regulations m1ained in the -- - --- REUUI RED INSPECI IUNS -- -- ---
Tigard Municipal Code. State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable law!. All Mork will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This persit will expire if work is not started within 188 Post/Seam Mechian InSUlatiOn Inst,
days of issuance. 6r if wc4, is susoende6 for yore than 188 days. Plm/undslab Insp Gyp Hoard Insp
PLM/Under-fIaor Rain drain Insp
i-er-mittee Uigna.t1.1rF Mechamit_a.1 Insp Water' Line Insp
/ �� Plumb Top Out Appr^/Sdwlk Insp
tc a�_leti
BY : _CT `="�"c� Fr•ami►1y Insp Mel.hanii'al
Call fug- inspection - 6?9-4175
CITY OF711FARDSEWER CONNECTION
(cnY PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIJ #. . . . . . . : SWR92-0071
13125 SW HWI OW. P O.Box 23397,TigaffJ,Oregon 97223(603)00-4176
--- 639-41 . DATE ISSUED: 04/20/92'
SITE ADDRESS. . . : 14318 SW 130TH AVE PARCEL: 2SI09AD--WDF1
SUBDIVISION. . . . : WOODFORD ESTATES ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
TENANT NAME_. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . .
CLASS OF WORK. . . :RIE W DWELl-,1 NG UN I TS. . : I
J YPE OF USE:. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . 03USWR IMPIERV SURFACE. f
Remarks :
Owner: -------------------------------------- FEES
J. T. POT11 CONSTRUCTION INC type AM01-trit by data e c,r)'
12300 SW 69TH AVE r-,Rm,r s 1900. 00 JLH 04/20/92
INSP $ 35. 00 JLH 04/=''0/92
TIGARD OR 97223
Phone #: 639-2637
UUNURAcTOR NOT ON FILE
PI-ione 1935. 00 TOTAL
Req #. . : REUUIRED INSPEL-11UNS ---------
This Applicant agrees to conviv with all the rules and regulations Sewer, Inspection
of the Unified Sewage Agency, The permit expires 180 days from .......
the date issued. The total amount pais will be forfeited if the
Dervit expires. The Agency does not guarantee the accuracy of the
Ade sever laterals. If the sewsr .-- not located at the meas:revent
given, the installer :hall arosoect 3 feet in all directions from
the diAterce given. If no', so located, the installer shall purchase
"Tav, and Side Sewer" Pvrit and the Age,," will iinstall a lateral,
.-?r inittee Siqvlatlk.'e -.
-a7r�
s s Lied By: ...... I/z 7 ...... .........
Call for inspection 639-4175
CITY OF i*ioim RE:uivr op P,nymEto, RF(,FIPl NO. . 192-x,26}.59
(>JECK AM011NI 4'8*03. 69
NAME t J. T. RUTH, INC. CASIA AMOLIN'r 0. 00
ADDRESS t 12300 SW 69TH AVE PAYMENT DA'!' 04/iP0/90.
TIGARD, OR hoso I V I F,J.ON
972??..
PURPOSE. OF' PAYMENT AMOUNT PAID PURPOSE OF V`AYMENT AMOUNT PAip
1
BUIL.DING PERM _.._453. 511! PLUMBING PERM I 5s. 010
MEC HANICAl- PE 40. 50 ST. BUILD PER 32. 56
OL AN UHF,-.CK FE 11?5. 13 ciEWER LISA 1900. 00
SEWFR INSPECT 35. 00 PARRS Soc 500. 00
S c
TOPM DRAIN SI)C 00 RESIDENTIAL. TRAFFIC FE.C.'S 1.-_80. 00
MAG!*.', TRANSIT TIF FEES 100. 00
TUfAL AMOLINT PAID 4803. 69
CITY OF TIGARD eF-CFIPT OF V'AYMENT Rr:,r,F IPT W. s 9 1 '77
. Ll .
CHECK (1110 .ILII : 40. 00
i%ji ME J. T. DOTH CONSTRUCTION COSH AMOLINI" 1 0. 00
12300 SW C. 'rj4 VIAYWNT DVITE 9 1 ',':31. 191
97223—
PlJRP0SF OF PAYMENT AMOUNT PA IT) PURPOF-JE CIF. PPYMt"lq'T AMOUNT PA I D
...............
P1, 14 Ca1111FCK I P I P 40. 00
WOODFORD ESI*AI'F-.'f:', 11-01 t
Vo (;)L. AMOUNT PAID - 40. 00