12280 SW LANSDOWNE LANE 12280 SW Lansdowne In. _
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C'W OF TIGA RD CERTIFICATE OV
OCCUPANCY
COMMUNITY DEVELOPMENT DEPA ' crWly TMRD . . . . . . . t MST9 -
00048
13126 SW HWI BOvd. P.O.Sm 23M.Tlowd,Omw 7S
SITL ADDRESI,'). — ; 12280 SW LANSDOWNE N PARCELt 2S103bL -0i'A0
SUSDIVIqIDN. . . . : FYRESTONF 70NING1 R--4. 5
BLOCK. . . . . . . . . . : I-OT. . . . . . . . . . . . . t14
CLASS WORK. iNLW
TYPE JF" USE. . . :SF
OC',(.'UF'ANC'Y GRP. :R3
OL -,,JP(4'4CY LOAD j220 4
TENANT NWE. . .
Remarks :
1. 1. ROl'H CCNS� PLIC" ION IN(,-.
lt?3@Ql SW 69TH AVE
T113ARO OR 97223
Phone #: 369-2639
Contractorr --
J. T. ROTH CONST;,,,jrTTOK: INC
la300 SW 69TH AVE
iMARI) :R 97223
Phone #3 b,39-263'7
Reg #. - 31700
Ocumpavey of the Above referenced bUilding is hereby r
.4) v v r i j n d certifies
the coii.pliance with the 1,;ttAtp Of Oregor, Specialty Codes For the groupt
occup&nvy, and ur6o under which tho referenced permit wets it%(Aed.
FIRP DEPAPTMFNT OR
1.3 u1'.1),kds-77 1 A-'-I.-
P09T 114 C.ONSPICUOUS PLACL
i Pf iF ats .J[ W .A
j-�'S�¢C�10t1 N„1�-ICE
city or Tigard Buil-Ring Departar.nt
13125 SII Ball Blvd. T.pard, orlon 972':3
Inspection Line (Rec-o-Phone)s 639-4175 Busina4sv Phones 639-4171
i
Insoe:tIon t
Foot InS Plbg. Undarslab Mech. Rough-in Appr/Sdwlk
o'
Found. Plbg. Top Out Gas Lira ,7 �INALs
Post./Beam Struct. San. Sewer Framing "�-Bldg.
Post/Beam Mech. Rein Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mecn�
Date Requested:^ / �_� r _Tim .: AM pM
Address: Cites* l7 mac- _- -' �it�t
Builder:
,ME FOLLOWING COPRECTIONS ARF RFQUiREDt
I
----—..----�sitlit Sat.
Inspectors ��y --- - Date:
E�PROV>RD DISAPPROVrD -—_ APPROVED SI,AJRCT TO ABOVF.
gall For Reinap.
�p�PE4Tr(!^t_lIsTICE
City of Tigard Building Department
13125 8W Bell. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone) 639-4175 Business Phone: 639-41. 1
Inspections____ _,� —�_—.
Footing Plbg. Underelab Nech. "sough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FIMS
Post/Beam Struat. 8 n. Sewer Framing -B1�>
Post%B,-.am Mach. Rain Drain Insulation -Plumb.
vlbg. Underfloor Water Line Gyp. Bd.
Yf
ato Raqueeted:___ _Times _ KAN _� / (�PM
1)7
Address:
Builder;
TSR FOLLOWING CORRECTIONS ARE REQ11y"Mt A
Inspectors
_ APPRoiiiafl :::�__DISAPTIOOVRD APPROVED SUBJECT TO ABOVE
Call For Aainep.
�r
jl18PECTION OT1CF.
City of Tigard Building Ds-,mataent
13125 811 Bull Blvd. Tigard, Oregon 97223
Inepection Line (Rac-O-Phoma): 639-4175 business Phones o39-4171
Inspection'-- --- -- --��_ �� �—
Footing Plbg. Underrlab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAI.s
Post/Beam Struct. San. Sewer Framing '
-Bldg
Post/gleam Heel Rain Drain Insulation --Plumb.
Plbg. Unde:floor Water Line Gyp. Rd. _Mach.
Date R tqueieted t ^� •p !fL� Times AK .-2-pM
Address._ t3 �L� ` rmit fit_ C/C/7�
Buil.derr_�1��_
e
THE FOLLOWING CORREC4.'ONS ARE REQUIRED//
5Li An o-'a [�) -, r_!5 IZT" rul g r
"we-,'AA
V L; 4 , C.rC
1Gt12�� 1}, E ��T3—•sC-�.T"1f i•�S i��C o).GAJ(
���u PPo',�•i��,?S�������4 i:� wry-r-E�z (��7s:rZ.
.1►G n
�,,�..��� Ov••Qi�.��L` �/�i--��"L� L fE�',� µau� .�� _
a'r�n
r—
�I _L$
-�_L�e��T •-T-o �1rLA-!St_�.L�Ct-r�� i1 K[?�'.�Se�G�//f e:X�
y Jo s r- _)/I.AS/ts LV EyT
;/ AL- r t i�rr d
Joie.►r �3�...rt.����[ 'F3(tu�i31-oc.lc.� T3>;'Nwr �z�arr.
' r•
r
Inspectors Date t
DIfAPPROVED r,PPROVFD SUBJECT TO ABOVE
Call For Relnsp.
ew rwr es ser et�r � ew as asr
Iqcpp LTI_0"_ILcYfICE � /)
City of Tigard Building Departtr!nt
13125 Sw Ball alttl. Tigard. Oregon 97223
Inspection Line 'Ree-O-Phone): 639•-4175 Auetneee Phonb: 639-4171
Inspections._ _-.------- -- ----- - --
liech. Rough-in Appr/Sdwlk
Tooting
pibg, Undoreleb g
pound. plbg. 'Top Osst
Gas Line FIRALs
Framing _Bldg.
Poet/Ream Stnsr�t., Se^• Sewer
lation 1� p1
Poet,lweam Mech. Rain Drain Insu �f
plbg. under.floor water Line Gyp. Bd. -Meeh.
PM
T itse t
Date Requestedsr�-
/� �rf permit
Addreest
Builders_!_
THE FOLLOwINO CORR,CTIONS ARE REQUIRED: _
inspector-7r%% --- -- Date I
--T/-►—
i
X APPROVED --- DISAPPROVED ------ pF?ROVED SUBJItC7' TO ABOVE
�/ ' Call For Rainap.
IMF, IM
1
r
j!ffjjQ7X,ON NOTICE r
City of Tigard Building Department
13125 an Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-u-Phone): 639-4175 Busineob Phcie: 639-4171
Inspect ion:— - ------- ------------ --
Footing P).bg. Underslab Mech. Rough-1r Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FiNAI.:
Poet/Beau Struct. Si-n. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation .-Plumb.
Plby. Underfloor a_ter—Line ,� Gyp. Bd. -Mrech.
Date Requested: � Time: AN PN
Nddress: �1�� _ Awit 0.
flu i;der:
1'RE P'GLUDWING CORRECTIONS ARM REQUIP*.D:
t - �
Inepectnr: Date:
� _`—— _
_APPROVED DISAPPROVED APPROVED SUBJECT TU ASO"
Call For Reinap.
,w r�r a�. aIr u• s
Lvm jor 914--tOTICE
City of Tigard wilding Department
13125 ON Hall alri. Tigard. Oregon 97223
Inspection Line (Ret-O-Phonn)s 639-4375 Buetness Phones 639-4171
4
Inspections,,,___ _, -- ----
Footing
Plba,. Undes-a'.ab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Tcq Out
a..as Line FINAL%
Poet/Roam Strutt. San. fewer Framing -Bldg.
Poet/Boum Meth. Rain Drain Insulation
-Plumb.
r �
Plbq. Underfloor Nater. Lina Rj.�Oyp. >!d• -Hach.
Date Requesteds�A7` I �`�I ---� -, J Times —AN
____—PN
Permit
TIIE POLS.OWING CORRECTIONS 1RE REQUIRE�D�*��A
_ Dtte:--5�1 �-
Inrpwetorr � --- -T-'
"PP-MBD DISAPPROVE
susam To mms
Call For Relnep.
city of Tigara9 Buildiog DsP �
aJM0nt
13125 SW Ball B1v1.63 Tigard.
Ottiu)on 97223
FusinO■e phorna: 635-417]
Inspection Lino (Rec-o-Phone):
Inspections__— -
Footing plbr,. Underslab Mach. Rough-in Appr/Sdwlk
!Lound. clog. Top Out
Gas Line FINAL=
Pu::`/Beam St rust. San. 6•awer�
?ram.n,I -Bldg.
Insulation -plumb•
Post./Beam Mach. Rain Drain
plbq. inderfloor Water �Line� Gyp. ad. -Koch.
Timet K ,
Datr R queatedt T
Add-eaa:
Builder:,.__.-- - �-
TRE frOLLOWING CORREC'!ONS ARE REQUIRED:
77�
li
Inspect o t_
� __s=G------ Date:
� ----
-- �
PROVED n]SAPPROVED - APPROVRD RURJECT TO ANC+VE
Call For Reinap.
INNP>S_(MC)N NOTICE
City of Tigard BuUding Depertm ent
13125 OW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phune)i 639-4175 Business Phone: 639-4171
Inslection:_ _— _.
Footing Plbq. ltnderelab Mech. Rough-in Appr/edwlk
Found. Plbg. Top Out Gas Lire FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post:/Beam Hoch. Rain Drair. Insulation -PLimb.
Plbg. Underfloor Water Lire/ Gyp. Rd. -Koch.
Date Requested:C�! _Time: _AN `PN
Addrenn r. I �`�U 2��5� r a'"t t f sr v(✓ `
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors j Date:= ��
APPROVEO DIBAPPROV � APPnevFD SUBJECT To ABOVE
Call For Reinnp.
;N6 P$CTLO"gT 12E
C'ty of Tigard Building Department 15�
13125 811 Ba-1 Blvd. Tigard, Oregon 97223
Inspoction Line (Rec--O-Phone): 639-41'75 Business Phone: 639-4173
Inspection:_-- -- -- --��-__.
'Footing Plbg. Underslab Mach. Rough-in Appr/Sdulk
Pound. Plbq. Top Get Gaa Li: FINAL:
Post/Beam Struct. Jan. Bower, F.aming -Bldg.
Post/Beam Mech. Rain Drain Tnsulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mer_h.
Date Requested:--.g 4 ( -- s _v—Tom, AN f'�
Address Permit f: � C}4--18
9uildert__,___ �T ___
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: -1_-1� ---------- Data,—!;
e---WPROVF.D _-- DISAPPROVRD .pPROVRD LUWRCT Tp ABOVE
Call For Polnep.
ew wre: ww sew ser of awe ser e
MV$OON-_lro"c]cE
City of Tigard BuildLrg Delariment
1312S BN Hall Blvd. Tigard, Or•egr,n 97223
Inspectior: Line (Rec-O-Phone): 639-4173 Business Phone: 639-4171
Inspection:
Footing Plbg. Under.elab Hoch. Rough-in Pppr/Sdwlk
Found. C plbg. Top Out' Gee Line FINAL=
Post/Beam Struct. San. Rawer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Und •rfloor Water Line Gyp. Bd. -Mech.
Date Requested: / y � 1__ Timj: -_AM _ f PM
Address:_-_— �y�r] ! gr713_Lrrmit I: �.— L/
Builder
7
THE FOLLOWIN41170RRECTION13 ARE ¢`SQUIRED:
i
i
i
i
Inspector:___.�r5�s Date:
--APPROM �- DISAPPROVED APPROVFD SUBJECT To 71ROVF.
_—Call For Reinsp.
.r ta* we yr yr est est ■.r tter
j.NSP1Lc�oN NO�1L'E
city of Tigard Building Departsent.
13125 SH Ball Blvd. Tigard, Oregon 97273
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspertion: yR.eA_,r
Footing Pibg. Underslab Mech. Rough-in Appr/9dwlk
Found ! �' Plbg. Top Out Gas Line FINAL:
poet/Beam Struct. San. Sewer Framing -Bldg.
at/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Date Reyuentedt f �� 7 D _Time:
Address: �rf3 G L9S.�lL���[ t ;Permit #: Y�
Buil der.. 4_
THE FOLLOWING CORRECTIOFS ARE REQUIRED:
7nnpP(-tnry �.�..c� _.. _ Date t_z_/_.
AfPR�ri'F.f) DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
esr � O ■e/ em :7e 47 IW 1[10
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Orerion 97223
Inspection Iine (Fec-O-Phone): 639-4175 Buniness Phone: 639-4171
Inspection:
Footing Mg. Urderelab Mech. Rou h-ir A
9 ppr%Sdwlk
Pound. Plbg. Top Out GAa Llne FINALS
fcZA/Boam Struct. San. Sewer Framing -Bldg.
L
et/Seam Mech. Rain Drain insulation -Plumb.
Plbg. Underfloor Water Liner/ Gyp. Rd. -Mech,
Date Requested: Tilllet __)�`wM pM
Addresses_ / �1 Q ` /4- JL.G/,/t177O ,skirt #f_Y'O —i: �/�
Builders—
TBE FOLLOWING CORRECTIONS ARE REQUIRQD:
_.___�_ '1 �-t,-7....-Le1. `ti'1�1�(-'�/t•'�^It.�..�s Jf.��G.i
Inspector:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
For Reinap.
INSPECTION NOTICE
City of, Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of !nspection
Date Reque4tted —�;e � Timed?2LdZ—M- P.M.
Address o` "� 'rlti7z Permit *� �
OwnerLot #_
Builder 7f-:- -----
The following Building Code deficiencies are required to be corrected:
Presented to —OL--- - -_` Aooroved --
Inspector — -- [ � Disapp:u-•^d
Date ,/Q
CALL FOR REINSPECTION
0 YES ❑ NO
city of Tigard VALIdL" Deparb—t
13125 M Ball Blvd. Tigard, Oregon 97223
Inspectiun Line (Roc-O-Phone)' 639-4175 Business Phones 639-4171
Inspections — ---
looting Plbg. Underslab Hoch. Rough-in Appr/Rdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
lbg Underfloor Mater Line Gyp. Bd. -Koch.
Date Requeetwds I( ` _�� Timet AN _PH
Address: Permit ft_ —
Builders —
TRE FOLLONINO OURRECTIONS ARE REQUIRED'
—7 �—
—�i
IVD
Inepectors`� -- --- f Dates -
J�_APPROIRD _ DISAPPROVED APPROVED SIIRJECT TO ABM
jj�� call For Reinep.
INSP Ca ION NOTICE
City of Tigard Aulldiog nopartMaat
1312S 611 Hall Blvd. Tigard, oregon 97223
Inspection Line (Roc-O-Phono)s 639-4175 Business Phone: 639-4171
Inspections —-
tooting Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pent/Beam Strur_t. Framing -Bldg.
Post/Beam Mach. italn Drain Insulation -Plumb.
PI:y. Underfloor oyp. Bd. -Koch.
Date Requested: t `ll _ Times AN _E
AddresssT��T�� _11r ,�')..�. _- Peamit f+
Builders_— - _� --- -- —
THE FOLLOIIINo COitpucTIONS ARE REQUIRED:
r
'r
Inspector: _ --^— Date:
APPROVEL DISAPPROVED APPROVED SUBJECT 10 ABOVE
Call. For Reinsp.
wsr W f en
IIIBpRC'PIOM MOTICZ
City of Tigard enilAing Departsant
13125 W pall Blvd. Tigard, Oregon 97223
Inspection Lino (Rec-O-Phone), 639-4175 Business Phone: 639-4171
Inspection,, -
tooting
plbg• Underslab Hoch. Rough-in Appr/Fdwlk
Found. Plbg. Top Out
Das Line LINA-2
Post/Hearn Struct. Ben. Sewer
Framing -Bldg•
Post/tSs!em Mech. Rain Drain
Insulation -plumb.
-Hech.
meq. Underfl Nater Lina Gyp. 88. _�
Time: 1� AH — PH
Date Requested, --=
Permit I t`,`c_?
Address, --y---�
TRg FOLLOWING CORRECTIONS ARL REQUIRED,
Inspe-fir,
APPROVED DISAPPROVED APPROVED SUHJRC"' TO AHOVE
Call for Reinep.
C17YOF TIGAR IDLUMFILNG PERMIT
Cryeft 11*1 ST9 0--0 0 4 8
on
COMMUNITY DEVELOPMENT DEPARTMENT DATE'.'. I,3SUL-'.D,-. :10/24/90
13126 SW Heil S.W. P.C.Box 23397,TIgmal,Oregon 97223(603)8394176 PARIBE-w F9t03FIE! 191'
VI.S ION. . . . F-YRESIONE W ZONINGi
. . . . . . J.4
i::LOSG OF WORK. . .-NEW GARBAGE DISPOSAI-S.. . - I MOBILE HOME SPACES. :
T'YPE OF USE. . . . :SF WASHING MACH. . . . . . . 93 BACKFLOW f-'REVNTRS. . -. 9
OCCUPANCY GRP. . :5N FLOOR DRAINS. . . . . . . .3 TRAPS. . . . . . . . . . . _ -, ., ::
!,:)T,0RIES. . . . . .. . . : R WATER HEATERS. . . . . . .. 17 CATCH BASINS. . . . . . . :67
LAUNDRY TRAYS. . . , . . -.'58 SF RAIN DRAINS. . -- -,-.)0
K S. . . . 3 URINALS. .. . . . . . . . . . . . 1, GRLAcir.. TRAVIS. . . . . . . : 5
I-AVOTOR IF S. . . . . . 2 OT'HER FIXTURES. . . .. . -.08
1 i (1I.VSHOWERS. . . . ."20 SEWER LINE' (ft) . . . . :5
WATER CLOSETS- 2 4 WATER I INE 0 2
I)TSHWASHERS. . . . 90 RAIN DRAIN (ft) . . . . :843
Remarks
OWNER.-
1*. T*. ROTH CONSTRUCTION INC PAYM $ 100. X70 JLH 09/19/90 204925
12 300 SW 69TH AVE:. F(P R T $ 540. 50
FlPLC $ 3-l.. 3:3
TIGARD OR 97223 P5PC $ 27. 01
Vlhone #-. 369-26,39 STDG $ 600. 00
SSDC $ 375. 00
PlumbingC tj n t-(•a c t o r x PARK $ 2'55!l. 00
MPRT $ 40. 50
Ha m e ITIPLC $ 10. 13
115PC $ 2. 03
City: v---_ ........... S t a C F s PPR T $ If."2. 5 0
7.J.pv Ph aine4f i P5PC $ 8. 13
............
PAYM $ 22(-..',7. 1.5 JLH (49/26/90
REOUIRED INSPECTIONS
1:�ermi.t ins
req-
-d sLtb jt to the issuL
ulations contained in the Tigard MUniCipal Foot/found Insp Plumb Top Out
f'odr?. Sta-',,e of Ore. Sperialty Cades And all Foct/found Insp Framing Insp
cv(-,her applicable laws. All work will l', Trine Foot,'founa Insp Fireplace In!-,p
ir, acrordance with approved plans. Thi.. Foot/found Insp G-Is I i 11 e 1:1.1 S p
oc-rmit will. expire if work. is not started Wtr Proofing Bsm Insulatic,-,-i Lnsp
IdJt,hin 1.80 days of issuance. or if worl-,. is Post/Peam Str,,.ct
Gyp lfoz,,rd lnsp
-spended for more than 180 days. Flost/Peavi, Mechavi Rain drain Insp
("ra W 1. Drain Water I ine Insp
PIPI/Lindslab Insp Appr/5dw1k Insp
PI-M/Underfloor Mechanical FinA i
Ftnq Drain Psmvt Plumb Final
--alz Mechanical Insp Odd itional. . . . .
Out cized Plumbing Contractor Signature
Call for inspection 639 41*75
Contractor
.................
.................... .......
ssss .w
INSPECTION NOTICE
City of Tigard Building Department
W P.O. Box 23397
��. Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested.___ .Lr_��� Tml. 'A.M. P.M.
Address __1_ ..:-_-'�1_ �` Permit
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
J Y� .;�s4 L��•w�4 Z. 2y 'X'S i '--f
Presented to
Inspector _ — _ Disapproved
Date
CALL FOA HEINSTT(710N
[3 YES L] NO
1MASTER
AST . :: . I TCITYOFT'FA� _'�R" I'" 14 . . . . ., . :
SST 90 0 ]4 i
COMMUNITY DEVELOPMENT DEPARTMENT om,eoa PRIM. PERMIT i . N MST90- 004b
13125 SW FWI Blvd. P.O.Bo23397,TOM,OrpoEPb604
76 D A T'E ISSUED". 0':)/26/90
t;'i. 1 f:: 0DURL• S5. . . a 12280 SW LANSDOWNE LN PARCEL--. 2S103BC--07500
;1)131)1V'1:SIC:)N. . . . : FYRESTONE'. Z.0111NC:):
r.1..0CK. . . . . . . . . . s LC)1 . . . . . . . . . .
.........._ .___.._._._».... .._mow» »_.......___.»» _........._._.... BUILDINI:, •-•._.____._._._._._._._._..._...__._._._...»_..___._..._____..._...._.....
RE:ISSI 1Ett DWELLING UNIT.Sa: 1 BASE:MENT. . . . . . . . sO 5f
CLASS OF WORD.. :NEW PE1)R NS s.3 BATHS: 3 GARAGE'. . , . . . . :675 S f
TYPE: OF' USE. . . :SF FL_OGR AREAS-..............._..--._ REQUIRED
TYr.'E OF' CONST. x5N F'IRST. . . . . 1758 1s LEFT. . :5 ft RIGHT. :8 •ft
C)C:CUPANCY GRP,. ,-,R3 SECOND. . . : 1085 ref FRUN•T. :20 ft NE4R. . x 30 ft
STORIES. . . .. . . n ° '"' THIRD. . . . c0 s3f RE1)UIRED -__ __.. .._............__._........_....
HEIGHT. . . .. . „ ,. . :c?0 ft TOTRL---•-.._..-•-:2843 sf SMOKE DE:TECIORS. x'.
FLOOR LOAD. . . ,. :40 1:1s f VALDE. . . . . $: 142928 PARKING SPACES. . 10
Remarks o
PLUMEING
�iINKS. . . . . . . . . . .. 1 FL OOR DRAINS. . .. n .0 BAC.;KF'I...OW PRE:VNTRS. . :0
LAVATORIES. . . . . o5 WATER HEATERS. . . - 1. 'TRAPS. . . . . . . . . . . . . . 20
TUB/SHOWF.RS. . . . :3 L0UNDRY TRAYS. . . : 1 CATCH BAS TNS. . . . . . . ..0
WATER CLOSETS. . :3 SEWER LINE: (ft) . :@ GREASE: TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE: (f•t) . : 1.00 OTHER FIXTURES. . . . . :f3
GARBAGE DISE'. . . i 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1.
_......._._._....._.__•__�.. _ MECHANICAL ._._........_._...__......_....._..._. __..._..._....._._._..__....__._......__ FEE:S ._..._.._._._._..__..__ .. .
FUEL TYPES----------- UNIT HTRS. . .-O type amount by date r•e(rpt::
/GAS/ / / VENTS . . . . . :0 PAYM 100. 00 JLH 09/19/90 204925
111OX INPUT:0 BTU VENT FANS. . :4 BPRT 1• '.540. '50
F URN ( tM@K . . :0 HOODS. . . . . . : 1 FPLC: 9, 351. 33
TURN )=100K . . -.,I. W001)STOVES. -H B51='C 1: r 7. 0;3 / 1
FLOOR TURN. . . . ..0 CLU DRYERS. .. 1 STDG 1; 600. 00
COIL/CMF' < 3131':kl OTHER UNITS:0 SSDC 1:• 375. 00
GAS OUTL..ET S: 1 PARK $ 250. 00
Owner." —,-._._.._.._._.__...___n.._.. ,._..__.._...._..____....___..... .._.._._._._.._. MPR'T' 4 40. 50 ! /
J. T. RUTH CONSTRUCTION INC MPLa: $ 10. 1.:3
1.2:.300 SW 69TH AVE: MSPC', $ 2.03
PPR C $ 162. 50
TIGARD OR 97R23 I15PC 1> 8. 1.3
Phone M: 369-•2639 PAYM 1• 2267. 15 JL_H 09/26/90
C::ont•rar_tor: _...._.._..._,..._...._._......_...._..._......_._......._.._.._._._.._.....
J. T. ROTH CONSTRUCTION INC:
1.r:300 SW 691H H AVE.
TIGARD OR 97223
Phci1.le N: 639 1?C,:3'7
Reg it. .. : 31 700
$ 2367. 1 5 TOTAL_
This permit is issued subject to the rpgulations contained 1n the -- - --- REOUIRE'D INSPECTIONS - -- -- -
Ti9ard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Mechanical Insp
applicable Ian. All work will be done in accordance with approved Wtr Proofing Psm P.lumb Top Ou•t,
plans. This permit will expire if work, is not started within 188 Post/Bean1 St'ruet F'ralning Insp
days of issuance, or if work is suspended for more than 188 days. Post/beam Meehan Fireplace Insp
Crawl Drain Gas Line Insp
F"e•r m i t t e e S i.g n a t 1.1•r e: _,,.._._._.............._.__...._._-._..__.___.__.___.-... P l m/Lin d 1;1.a 1:1 Insp I r1.-,l.t l a t i.o n 'I'n s p
FILM/Underfloor Gyp Board Insp
1 s t r t e d By _..._._.___.____._.._.. _ _.__.._.....__.__.._._._........ F t n g D r a i r1 F s m' t Rain drai.n Insp
Call for inspectio•i - 6:39-•41'75
SF:-�WLR CONNECTION
ITS'OFT11FARD SE PERI'llf 0 ,E R rl I T 13MR90-03*70
CM
COMMUNITY DEVELOPMENT DEPARTMENT MST90 0048
13126 SW MMI Blvd.P.O.&M 23307,TIPM,ONWn
. ,
ADDRES�-:;-- ,- -- -- :1.2280 SW LANSDOWNE LN PARCEL -
M.)EIDIVISION. . .. . : ! YRLSTONE. ZONIN6:
131...0('.,K. . . . . . . .. O'T'. . . . . . . . . . . . . . 14
............
'TE'NAN'T NAME
(AGO N(i. . . . . . . . . . .. Ll..;2 39VIMURE JNI'TS. . .
CI ASS OF WORK. . --.NEW DWELLING LJN Il S. I
T'YPE OF' NO. OF IAJILDINGS: 1
111 S T A L L. TYPE:.., IA(-J')W R IMI-.1ERV S(JRFACF. f
e f1l All k S.
("WIle'll. ............ FEES
J T ROTH type A111uU111; by date rec 1:)t
1.2300 SW 69144 AVE PRN'T ds :1.500. 00
1:N S 1::, XJ. 00
'TIGARD OR 97223 PAYM fi 151*35.00 TL 11 09/26/90
('l-ic)rie #-. 639-2639
(,('.1N7*RAC'I*OR NOI ON FILE:
I-Ihc)rie it-, $ 1.535. 00 T'OT01-
---- REIMIRED INSPECT TONS
This Applicant agrees to comply with all the rules and regulations Sewer lvisrieetioii ...........
of the Unified Srt:;,e Agency. The permit expires 120 days from ...............
the date issued. The total amount paid will be forfeited if the
Permit expires. The Agency does not guarantee the accuracy of th? ------ ............. ......
side sewer laterals. If the sewer is not located at the measurement ............. .......
DiVeTi. the installer shall ( ospect 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! Alew.11 . 11 a
.,,rjcy ypszt# lateral.
...........
lop-f-iiii.ttee SiqllatLT
............
,-,ued B y t
Call for j.yjspec�tic)ii 639-4175
um. Wo
I !ITY OF TWIP RECEIF'T � r'AYNENT RECEIPT NCL :90-20519$
CH-a AMDl1N1 : w2j5
NAME s J.T. ROTH CC415TRUCITON CASH ~T
1 ;DF!g5S : l;''!i(1 SW 59Ts1 "AYMENT DATE : 09/26190
SUBDIVISION
I TIGARD.% `l72:'- 12;'3(.+ 1 AN;;DOWNE
PURPJSE OF PAYMENT AMOUNT PAID PUFr'DSE OF PAYMENT AKYLINT PAID
BUI1.01W3 PERM M790-0048 540.50 PLLRI91W PEEN �~162,`A)
(EC3WCAL PE 40.5? ST. BUILD PER '769
IPLAN CHECK FE 261.46 lEWFP. USA 1500.00
ISEWER INSPECT .ZJYD STREL T SDC hU0,0i1
PPV4:s SDC 250.00 STORM DRAIN SDS,
I
I
I
I
I
TOTAL. AMOUNT PAID - - -; 3602.15
CITY OF TIGAUD RECE'.Irl OF PAYMENT RECEIPI r 90-2049"t,
CIAECI.::. AMOUNT : I
J. T. ROTH CONSTRUCTION CASH AMOUNT
J2Y)(1) SW 69TH AVENUE PAYMEN DATE 09!19, 07(",
SUBDWISION
T 1 GARD,OR 9722-'.",--- I'42'.".28C.) GO) LANDSWOWN I..
llf,:POSE OF PAYIIENT
AMCKANT PAID FlPf"CISE' OF PAYME14F OMOUNT PAID
L"."IN CHC CK FE. 9--3-''N I()C). ()c)
� i
i (TI-Ot Al-IOUNI PAID ()0