12164 SW LANSDOWNE LANE PJ
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CITYOFTIOTARD ( A� CEFTIFICATE OF
CrWOFIFORD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARIMENT PERMIT41.. . . . . . . a MST91 -0147
131A-SW HWI BW. P.O.Box 23397,TiqaM,Oregon OW16PIM175
71
7n IT-Tv 01771'.
S)ITE ADDREISS. . . c 12164 SW LANSD04NE LN PARCEL.i aS 103SC -06500
SUBDIVISION. . . . s F'YRFSTON(.'.' ZCININGi R-4. 5
OLOLK. . . . . .. . . . . t LOT. . . . . . . . . . . . ..
CLASS OF WORK. tNEW
T'YV'S OF U6E. . . :SF
Gt-"ZL1PANCY GRP. sR3
OCC UP'INCY LOAD iZ26 4
TENANT NAME— :
Re miwk s i
Owner:
J. 1'. ROTH CONSTRUCTION L'Jr,'
1E.300 SW 69Ti-1 AVE
TIGARD OR 97223
Phone #r t 9-2-637
Contractor i - --- --
J. T ROTH CONSTRUCTION I NC
183Z,l SW 69TH AOE
TIG .,,n OR 97221,.
Phm P 0: -39-26X;
Reg #. . : 31,717121
Occupanav of the abovf, rpferenced bUilei` ng is hereby given, and c'ertifit s
the ctjmplimr"a w1th the State Of Oregon Specialty Codes for the ur"up,
nVCLIpancy, and USe Ltn(JPV- which the referpTic-ed permit 4A% iSFUE.d.
FIRE DEPARTMENT
_70R
BUTLUAf4S
POS'l IN CONSPICUOUS Pi ALE
City .[ Tigard Building DOPart—t
13125 99 Hall Blvd. Tigard. Oregon 97223
rnopection Line pec-O-Phoneys 639-4175 8unineen Phone: 639-4171
inpect ion:_`_ —.. ----------
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out one i.ine FINAL°
�- lea _
Pont/Beam Struct. San. Serer Framing hV g
Font/Ream Neth. Rein Drain
S-sulation /- -Plumb.
Plbg. underfloor water Lino Gyp. Bpi. -Hoch.
`f Timet ___PH F?ernie.etedt_ --- i
Addreae:—1 /_}� 1iL,n. ." Permit
Builder -------
THE CORRECTIONS ARE R1tQUIREDt
ineppctore Datet._
"PROVED 07SAPPROVBD _ APPROVED SU&7ECT TO ABOVE
Calk For ;teinep.
INSPECTION NOTICE �
City of Ti9i rd Buildinq Department
13125 SW Ball Blvd. T:gard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdalk
Round. Plbg. Top out Gas Line FINAL:
Post/Beam Struct. San. Sower Framing
Post/Beam Mach. Rain Drain Insulation -Plumb.
!lbg. u:.derkloor Water LiinnJen Gyp. Rd. -Bach.
Date Requeateda fid /Q^ v_Times —AM PM
Addre:et� ��lEt���mit
i
Builder:
I
THE FOLLOWING CORRECTIONS ARE REQUIRED: j
--T��{//� ...�_) �([.��//,.♦tea � �''/�3� LL_—._
i
0
if
Deter
APPkOVEb DISAPPROVED —� APPROVED SUBJECT To ABOVE
G Call For Reiiw i.
IN/PRCTION NOTICg
City of Tigard Building n partment
1312:5 NM Ball tvd. Tigard, OzaWn 97223
Inspection Line (Roc-O-Phon')t 639-4175 Business Phone: 639-4171
7
Inspection:_` —.�.----
Footing Plbgrslab Mach. Rough-in ` Appr/Sdwlk
Found, Plbg. Top Out Gan Line FINALS
Pout/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mach. Rain Drain Insulation -Plumb.
Plbcr. Underfloor Nater Line Gyp. Rd. -Mach.
Date Requested:_ C Z Timm AN PN
A2 (�l Q,r�rl0it 0111"
Addrean: _.
1
Builder: ?��.��_ •_
TRS FOLLOWING CORRECTIONS ARE REQUIRSDt
Inspectors
"PROM DISAPP�RU APPROVED SUBJECT TO ARnVE
Call For Rsinsp.
WA
�
I_N::P^CTION_NOTICE
City of T1giNcd Buildinq Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:._-- -- _— ------ ----�� -�.
Footing plbg. Undernlab Mech. Rough-in Appr./Sdwlk
Found. Plbg. Top Out Gas Line F:NALs
Poet/Beam Struct. San. Sewer Frrming /-Bldg.
Poet/aeam Hoch. Rain Drain Insulation / -Plumb•
P1bg. Underfloor Water Lina Gyp. Sd• ` -Usch•
Date Paquested: / /' �,y�• Timet /_PH
Addreee: ,/� i �u 7� Permit
Builders,__„
THE FOLLOWING CO CTIONS ARE AnOIRED.
-
Inapector
7 APPROVED DISAPPROVED i APPROVED SUBJECT TO ABr%
Call For Reinsp.
w
City of Tigard Building W-Part-Ent -'
1312'S SIP Ba3.1 Blvd. Tigard. Oregon 97223
Inepectior I.i.ne (Rec-O-Phone): 639-4175 Business Phones 09-4171
Inspections__ _,
Footing Plbg. Underalab Mech. Rough-ia APPr/Sdalk
Pound. Plbg. Top Out Gas Line FIMA •s
Pnet/neem Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date nequeatels ___ _—_�TialeP !!1 PM
Addrenns�_
Bulldars�/
T'RE Fu-L7wIxo CORRECTIONS ARS REQUIRED:
j�'� r
lwx (c
ln•n.r'.cr _ i i(�- t - L//�r. J Drtes _
-� APPROVED DISAPPOM APPROVED SPIBJt1CT To ABOVE
__Call For Reinal,
�¢�'�CTION OT:CE
City of Tigard Building Departal-ntt
13125 BM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 nuoineas Phone: 639-4171
Inspertton:--_-- ----- —— — ---"--- —
Footing Plhg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top p,:t Can Line FINAL:
Post/Beam Struct. San. Sewer. Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Liney�- 94
. -Hoch.
Date RequPotad: _.� _—Times AM / PH
Address:__� t fr /�/
flu 1.l dei
THE FOLTOWINO CORRECTIONS ARE REQUIRM
Inspector:_ —, Dates_
JAPPROVED - DISAPPROVaD A APUROVED SUBJECT :^O ABOVE
Call For Reinsp.
INSPI�[I N�7CICB
City of Tigaixl Bu ll.ding Depart+sent
13125 9W Ball Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phonp: 639-4171
Inspection: — -
Footing plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out `, 'Cas Lins ? FINAL:
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain �nsul'ation/ -Plumb.
Plbg. Underfloor Water Line GYP• ii
-Rech.
Date Requested:__,-- - -,�;) —Time: — AM —/---PM
Add•.'ess: L�� le.L
--id�Huilders L...L------ ----
THE FOLLOWING CORRE('TIONS ARE REQUIRED:
Dates
inepect or:_— - ------ ---
APPROVED DISAPPROVED APPROVED SUIJRCT TO AROVP.
call For Reinep.
lNSPB4a1ON_.NOTL E
City of Tigard Noildiag 'lepartsvnt
1312S SII Hall filed_ Tigard, Oregon 97223
Inspection Line (Re c-O-P ne): 639-4lIS %unineau Phone: 639-4171
Inspection.
F'Joting Plbg A(oderelab Mach. Rough-in Ap?riSdwik
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Stru-t. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -1lumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: //— 7 _ef ----Times __X___AM�� � PH
Address:__
Builds.rs___
THE FOLLOWING CORRSCTIONS ARB REQUIRED:
Inspector:
!` APP;utVPD DISAPPROVED __ APPROVED SUBJECT TO AtlOVE
Call For Reinsp.
lNs MCT o_ Noxzci ���
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregost 97222
Inspection Line (Rec-O-Phone): 63S-4175 Bus inean Phone: 639-4171.
Inspection:_ __
Footing Pik Underalab Nech. Rough-in Appr;sdwl.k
Found. Plhq Top out Gas Line FINAL:
._.
Pont/Beam Struct. San. Sewer Framing Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Pl.lxl. Underfloor Nater Line Gyp. ad. -Mech.
Date Requested:_ /�-� -c�5 _TLoe: _2!�= AN ._� PM
Addrese:-1 � cL4/71ACePermit 1:
Builder: f � _L..L.-._/_l��
TNM FOILL*f CORRECTIONS ARE REQUIREDs
Inspectors Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call for R,.Insp.
tas w w WIN ea oar w
INSMg—TI,ON NJ' ,-0.
city of Tigard Buildinc '_,. -Lannt
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: �r,L
Foc.ting Plbg/ Underslsb Mech. Rough-in App
r ,dwlk
g• P
Found.
Plb To Out Gas Line FINAL:
-Bldg.
Post/Ream Strutt. Sen. Sewer. Framing -Bq'
Post/Beam Mech. Arvin Drain
Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
/C1_ Timet __---AM
oats Requsc*ads— `
Address, , L
THE FOLLOW10 CORRECTIONS ARE R:.211IREDs
Inspectar �_ Dates
APPROVED —� DISAPPROVED APPPOVED SUAJRrT TO ABOVE
Call For Reinap.
a,
L"n;gr_jQN NOTT1CB
City of Tigard Building 0spertINIent
1325 SN Bell Blvd. Tigard, or-Ion 97223
Inspection Line (Rec.-o-Phone)s 639-4175 Business Phone: 639-4171 �
Footing Plbg. Underoldb Mech. Rough-in Appr/Sdwlk
i
'.pound. Plbg. Trip Out Gas Line FINALs
'post/se= gt1[yCt. Ban. Sewer Framing -Bldg.
Poet/Beam Mech:� Rain Drs n Insulation -plumb.
P1bg. Underfloor �j Nater Line} Gyp. Bd. -Koch.
PH
Date Regsueoteos— ! —�Q -7I Times
/ 1 /
Addrees:_
Builders
THE roLI.OF1f OORRXCTIONS ARE REQUIRlDs
SiJppa[ti
/�+��'o�s�n��. r 4�4�y��Z nr.< i,�lT i3Ei4u•f� C�Lc.1�t..:,L.�—.
JU v i.;' .5�GL.
'r O
CE
Dates
l _
APPROVED DISAPPRrYMD —_, APPROVED SUBJECT TO ABOVE
Call For Reinsp.
}NS CT o b 'W-E
City of Tigard Building Dep*rt'eent
13125 SN Hall Blvd. Tigas-d. orogon 97223
Tnepection Lina (Rec-ll-Phone): 639-4175 Bueineee Phor-- 639-4171
Inspection:_ - - - ---- ---- --- ---
Tooting Plbg. Underslat, Mech. Rcugh-in Appr/Sdwlk
Found.
Plbg. Top Out Gas Line FINAL:
Post/beam Struct.. Sen. Sewer 1'reming -Bldg. I
-P1umL.
Post/Beam Mech. Rain Drain InsulationI
Underll.oi Neter Lines Gyp. Bd. -Mech.
PN
- Timet AM
Date Ret;ueatedt_ i 7[i ---
Permit 1t
Address
Builder:
THE FOLLOW i LVMC'TIONS ARE REQUIRED: --_-._—+
-
l
-
Inepertors
4—APPROVED - DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
City of Tigard Building Department
.3125 BN Ball Blvd. Tigard, oregon 97223
Inspection Line (Roc-O-Phone: 639-4175 Business Phore: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Hough-in Appr/Sdwlk
Round. Plbq. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
�PI6qUnderfloor Nater Line Gyp. Bd. -Mach.
Date Requesteds__� 2 --Time: AM PM
Adidresai � � L9/ _ rmit s!
Buildtors—._,,lr --�-�'�"�" `~/---
THR FOLLONI"RRRCTIONS ARE RRQUIRED:
1�1
i
Date 1RC?_ ---_5
14' APPROVhD _- nISAPPROVED T APPROWM SURJRCT M ABOVE
—Call For Reinap.
1
city of Tigard Bnl.lding Department
13125 6v Ball Blvd. Tigard, or"on 97223
Inspection Line (Rrc--O-Phone)¢ 639-4175 Business Phones 639-4171
Inspection¢ --•.•
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Founts. Plbg. Top Out Can Line FINAL¢
Pcst/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. _sin Drain) Insulation -Plumb.
P?-bg. Underfloor ��Line y/,Gyp. Pd. -Mach.
Date Requested¢ C� S � Time¢ �±'2" r AN -PM
/ 7 L J //It✓Permit 1¢.
Address¢ /y° l(�23C��i�.�- Z//Z- 7Q/y
Builders
TBE FOLLOWING CO CTIONS ARS REQUIRED:
Inspector:
lx1_APPROVED DISAPPROVSD _^ APPROVED B(IItIECT TO ABOVE
Call For ReinsD.
Me. �.
rnrr[fM BOTICE / / ��
pepasrt�t
city of =i9� Bnil��9 pinyon 97223
33125 BB Ball Blued. '1i9�g
Inspection Line (Rec-�O-Phone): 639-6175 Business P�tones 639-4171
inspect ions -
Appr/Sdwlk �
plbg• Underelab Mech. Rough-i:.
Foo c ing FINALS
Plbg• TOP Out raw Line
Found. _bldg.
f"` 1 Prami_ng
Poet/Beam 9truct• n' 9ewer� -Plumb.
Insulation
Poet/Beim Mech. i -Mech.
OC D� _ l
yp• Bd. AM -
Plbg. Underf:oor
Times Data Pequ
ested:
_
Address:_ — /�� -
Builder: G COR (�-
RECTIONS ARE R84UIP5Ds
THE Fol' �_..__—-----_-------
OFloo
Date s._,��-s..- -
Inapector:���!!%�! - —t---
/ DISAPPROVED ECT APPROVED 9"BJTO ABOV2
APPROVED -_—_-
Y -Call For Roinsp-
�1
INSPECTION NOTIci
city of Tigard Building Department
13125 611 Ball Blvd. Tigard, Oregon 97223
Inspection Lino (RAC-O-Phono)t 639-4175 Business Phones 639-4171
inspect ion s — --4-
l I Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Boom Struct. San. tower Rraming -Bldg.
Post/Beam Nech. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. nd. /-�csech.
Date Regaesteds��/_lI >L- zo .J i _--Timet `w` Am � PM
Addresss 32 U.P`t AA'- &_t- t, LQ4A,2- _ Permit #:v45T_q 1. �
.`�.�_ f
i` Q
Builders-•j ,, ,.(� (s' l `2 L
TRE FOLLONINO CORREC'T'IONS ARE Rti'1UIREO1 )
/S�L.�7 �r�_�_ ALi.�.1 r�- L/d7 _f.0•t/T-
Inspectors_ "' --- Da.e:_
--APPROVED DISAPPROVED - — APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITYOF T'64RD ` EWER CONNTION
C 4001D PERMIECT'
COMMUNITY DEVELOPMENT DEPARTMENT one" PERMIT #. . . . . . . SWR91--0170
13125 BW HIM Blvd P.O.Box 23W,T4W.Or"on 97223(5W)030,4175
,A
;77 04,116Y'91.
E`31 TE ADDRESS. . . : lc-"164 uW LANISDOWNE LN PARCEL. 2SI03BC—.06500
SLJBDIVI51ON. . . . : FYRESTONE ZONING: R-4. ',
BLOCK. . . . . . . . . . . LOT*. . . . . . . . . . . . . :4
TENANT NAME. . . . . :
LISA NO. . . . . . . . . . : FIXTURE UNI'FS. . .
CLASS OF WORK. . . :NE.W DWELL-ING UNITS. . : l
TYPE OF USE'. . . . . :SF NO. OF BUILDINGS.- I
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. s f
Remarks :
(..jwrier,: -._______1.__._____.__ FEES
1. 1 . ROTH CONSTRUCTION INC type amol-tnt by date t,ea-pt
1-300 SW 69TFI AVE PRMI $ J.900. 00 JlJq 09/18/91 —
INSP $ 35. 00 JLH 09/18/91 —
TIGARD OR 97223
FflonL- #: 639--2637
Contractor;
CONTRACT'OR NOT ON V'ILE
-----------------------------
1- hone $ 1935. 00 TOTAL
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and egulations Sewer- Inspection
of the Unified Sewage Agency. The permit expires 29 days from
the date issued. The total amou,.t paid will be forfeited if the
permit expires. The Agency does not quarantee the accuracy of the
side sewer laterals. If the sewer is not lct,!tPd at the ledStIrMilt
given, the installer shall prospect 3 feet in all directions fro@
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and k5p*v-wlll in I1 Oateral,
e v-M i t L e e 13 i g n a t 1-t V,a
Issi-leci 13Y .
Call for- inspection 639-4173
Cl-TYOFTIFARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT oeaoou 1=,ERM I T #. . . . . . . : MGT91-014 i
19126 SW HWI BW. P.O.Banc 23:107,Tlg M,O►mpon176
W- 71 DATE ISSUED: 09/18/91
ITE ADDRESS. . . : 12164 SW LANSDOWNE LN PARCEL: 2S10313C-06500
SUBDIVISION. . . . : FYRESTONE ZONING. R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4
_..._.---------------------._._____._...___._ BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENI.. . . . . . . . :0 sf
CLASS OF WL1(K. aNEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . .660 sf
TYPE OF USE. . . :SF FLOOR AREAS-_______-_._ REQUI13ED SETBACKS-
TYPE
ETBACKS-. _..._.__.._...____TYPE OF CDAST. a SN FIRST. . . . .- 1163 s f LEFT. . . 10 ft RIGHT. :: ft
OCCUPANCY GRP. :R3 SECOND. . . :823 sf FRONT. :26 ft REAR. . : 15 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf REPUIRED-----------------•---
HE 16HT. . . . . . . . :26 ft TOTAL--_-....._.._: 1986 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 ps f VA'_UE. . . . . $ : 1 k 3 2.36 PARK 1 NG SPACES. . e 0
Remarks : MUST BE SET ON LOT AS PER PLAT PLAN
------------------------------------ PLUMBING ------------------..-_--_-_.__...__----._..__._
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRG. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . - 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CL05ETS. . :.3 SEWER LINE: (ft ) . 1 , GREASE TRAPG. . . . . . . .0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : I 3F RAIN r^AINS. . : 1
MECHANICAL --._.__ __.______.______-__-. FEES
FUEL TYPES----------------TYPES------•--•----- UNIT HTRS. . :0 type amount by date recpt
/GAS/ / / VENTS . . . :0 TIF $ 1380. 00 JLH 49/18/91 -
MAX INPUT:O FTU VENT FANS. . :5 BPRT $ 443. 00 JLH 09/18/91 -
FURN ( 100K . . : 1 HOODS. . . . . . : 1 BPLC $ 287. 95 JLH 07/24/91 215710
FURN ) =100K . . :0 WOODSTOVES. :O DSPC $ 22. 15 JLH 09/18/91 -
F'L.00R FURN. . . . :0 C1...0 DRYERS. : 1 SSDC $ 375. 00 JLH 09/18/91 -
BOIL/CMP ( 31-P.0 OTHER UNITS: 1 PAR t 500. 00 JLH 09/18/91 -
GAS OUTLETS: 1 MPRT $ 46. 54 JLH 09/18/91
Owner: -_.._.__....__._.____._____________.__..__..._.__._. MI='I_C $ 11. 63 JLH 09/ 18/91
J. T. ROTH CONSTRUCTION INC MJPC $ 2. 33 JLH 09/18/91 -
IP300 SW 69TH AVE PPRT $ 155. 00 JLH 09/18/91 -
P5PC $ 7. 75 JLH 09/18/91 -
T I GARD OR 97223
Phone #: 639-2637
Contractor:
J. T. ROTH CONSTRUCTION INC
12::300 SW 69TH AVE
TIGARD OR 97223
Phnne 639-2637
Rey_ #. . : 31700 -------------------------------
$ 3231. 31 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 done in accordance with approved Post/Beam Struct Gas Line Insp
pians. This oermit will expire if work is not started within 188 Post/Beam Mechan Insulation Insp
daps of issuance, or if wore s suspended fore tha l days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
.1 e� mittee Sign�+t�..r* p : _ _._.— Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued By: __...._ - Framing Insp Mechanical Final
Call for inspection -- E.39-4175
CITY OF T'IGARD RECEIPT OF PAYMENT RECEIPT NO. :91-21.7571
CHECK AMOUNT 4916.31 �
NAME J. T. ROTH CONSTRUCTION CASH AMOUNT 0.00
ADDRESS : PAYMENT DATE 04/18191,
SUC3UIUISION
PURPO8E OF' PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BIJILDING PERM ~ 443.00 PLUMBING PERM_. 155.00 f�
MECHANICAL PF 46. 50 9T. BUILD PER 32.23
PLAIN CHECK FE 49.56 SEWER USA 1900.00
SEWER INSPECT 35.00 RESIDENTIAL TPAfFIC FEF-13 1280.00
PARKS SDr 500.00 STORM DRAIN STC 375.00 �.
MASS TRANSIT TIF FEES 10+0.00
lc-'164 SW L ANSDOWNE
TOTnI. AMOUNT PAID - - - -> 4911n.31
CITY OF TIMARD rivmr.,r OF PIA'(Mr-.N'*r RECEIPT NO. a'31-215 7to
CHECK AMOUNT s 250. 00
NOME a .J. T. ROTH CONSTRUCfION CASH AMOUNT a (a. 00
0DI)PESS a PAYMENT DATE c. 07/24/91
SUADIVISION
PURPOSE OF PAYMENT AMOUNT PAI D PURPOSE OF PAYMENT AMOUNT PAiD
I "A'Ni'- C-—HE-C,-"-K, !'5,0. 00
LANSDOWNE
TUT AL AMO )NT PAID 2"30. 00