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Permit 7 4 + CITY OF TIGARD MASTER PERMIT PERMIT #: MST2007 -00162 COMMUNITY DEVELOPMENT DATE ISSUED: 10/17/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112CC -GF010 SITE ADDRESS: 15672 SW 81ST AVE ZONING: R -12 SUBDIVISION: GAGE FOREST LOT: 010 JURISDICTION: TIG PROJECT: GAGE FOREST Project Description: New SF. BUILDING REISSUE: MS3B -GL STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 973 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,387 sf GARAGE: 408 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,360 sf 239,235.68 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 100K: BOIUCMP c 3HP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : . PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL U SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable J T ROTH CONSTRUCTION, INC. JT ROTH CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This 12600 SW 72ND AVE. 12600 SW 72ND AVE STE 200 permit will expire if work is not started within 180 days of issuance, or SUITE 200 TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION: PORTLAND, OR 97223 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503 639 - 2639 Contact #: PRI 503 639 - 2639 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 624 -0239 Reg #: LIC 31700 TOTAL FEES: $ 12,080.21 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issu d By : 1„ /1 4I,/, ; /_% Permittee Signature : — AMP - '.. Call 503.639.4175 by 7:00 a.m. for an inspection that business day. , This permit card shall be kept in a conspicuous place on the job site until corn ple. t. of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application RECEIVEP OFFICE OSl 0M.1 City of Tigard Received • 13125 SW Hall Blvd., Tigard, OR 97223 �✓ I.I a AUG 2 8 2007 Plan R eview � I,' Phone: 503.639.4171 Fax: 503.598.1960 Date/B :A Other P t (./ta. !d --as ., T r Inspection Line: 503.639.4175 C�T� ( rIGARD Date R=:. y /By: Jun,: H See Attached Checklist for Internet. www.tigard-or.gov BUILOINQ DIVISION Notified /Method: Supplemental Information TYPE OF WORK 4 V 1 � REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION wok indicated on this application. ® 1- and 2- family dwelling ❑ Commercial/industrial Valnation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: 4/4 ❑ Master builder ❑ Other: Number of bathrooms: 2. t 1z. JOB SITE INFORMATION AND LOCATION Total number of floors: —. Job site address: /5622_, 4Z "7, 1� New dwelling area: 2 ‘ square feet City/State/ZIP: Tigard, Oregon Garage/carport area: (/d �" square feet Suite/bldg. /apt. no.: Project name: GAGE FOREST Covered porch area: square feet Cross street/directions to job site: Hall Blvd and SW Langtree Street Deck area: .------ square feet Other structure area: -----r square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: GAGE FOREST Lot no.: /0 Permit fees; are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.. equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. NEW SINGLE FAMILY DETACHED Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: J.T. ROTH CONSTRUCTION, INC. Type of construction: Address: 12600 SW 72 AVENUE, SUITE 200 Occupancy groups: City/ State/ZIP: PORTLAND, OR 97223 Existing: Phone: (503)639 -2639 Fax: (503)624 -0239 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: J.T. ROTH CONSTRUCTION, INC. All contractors and subcontractors are required to be Contact name: DAVID JENSEN licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12600 SW 72 AVENUE, SUITE 200 jurisdiction in which work is being performed. If the City / State/ZIP: PORTLAND, OR 97223 applicant is exempt from licensing, the following reasons apply: Phone: (503) 639 -2639 Fax: : (503) 624 -0239 E -mail: DAVIDJ@JTROTHINC.COM CONTRACTOR Business name: J.T. ROTH CONSTRUCTION, INC. BUILDING PERMIT FEES* Address: 12600 SW 72 AVENUE, SUITE 200 (Please refer to fee schedule) City/State /ZIP: PORTLAND, OR 97223 Structural plan review fee (or deposit): Phone: (503) 639 -2639 Fax: (503) 624 -0236 FLS plan review fee (if applicable): CCB tic.: 31700 Total fees due upon application: Amount received: Authorized signatur This permit application expires if a permit is not obtained rn —` within 180 days after it has been accepted as complete. / Print name: ///,59/../;29 ice,„„�� Date: 6' i y .? • Fee methodology set by Tri- County Building Industry Service Board. / hlBuilding \PamivABUP- PermilApp.doc 106 440.4613T(1I /02/COM/WEB) 08/17/2807 12:42 5036445989 CRAFTWORK PLUMBING PAGE 04/04 nuu t r uf ,[:lip JT Roth Construction, Inc (503) 6240239 • p.4 Piumbna Per11 A ticat ECEIIIED ; III City of Tigard ,., ,.,-„,r 13123 SW Hall Blvd, ryR 77223 a, o AUG 2 8 007 oiam�B . t V S 6 ,2„ 1, Phan 503.639.4171 Pam 503.59E1960 Ran Review 'd — , ,; „ lsapot:uon Lice: 503.639.4175 CIVI U- i IGARD °weft OdwrAwralrl+a: Dee internee ararw. tigard�rgov - L - DIUISIO t/edfr "air 9 haPete2tar TYPE OF WOIQC 1Jcw SCEDIERTLIC ❑ Demolition . Per wad bspornihers ass drecifie 0 Ae D other New i-2- Tool CATEGORY OF CONSIRUCTIOTI r�77 bath dwellings f�daada 100 ft. mr ash utility canmeationl SFR (•) bath 249.20 ., ' ® 1- and 2 -f®aly dwelling ❑ Cionmemialfieduntial I SFR (2) both p Amager, bending 399.00 O Mu1d- 111tntly SFR (l) bete / 399,00 ❑ >vtasser odder © Other Each addition& bsthdritehen 45.00 • sprinkler JOE SITE INFORMATION AND LOCATION Fite (____ s q . g ) pye 2 Ste sdllines i�, Catch hake a edea dmin 16.60 Cay/StaotelZW TXCARD, OREGON teach hot or wends dais &the/bldg/apt. no.: 16.60 �it:ccamme: DACE FOXIEST Fuotingdraia (rn, bear ft: � Pegg ge 2 2 Cross straeUditeetit>a s to job site: Ball Blvd & SW Langan Street ?Anne featured bore utilities 110.00 .r -- Zylnahola 16,60 Rein *as ecoacetor 16.60 9mlilary sewer (an lnatxr,tt: ___) P age 2 Seim sewer (am. liner ft: _,_) A rse 2 Sddn►ision: GAGE FORRE T Lae no.; Water novice (no. linear a: ,_) • Page 2 T e x atap/psrad no.: Mane online — DESCRIPTION OF WORN ve1 age 2 FAM : NEW SINGLE Q-Y DETACHED O ` r Page 2 Beatunner valve _ 16.60 _Cathee washer 16.6 • 16.60 Ca PROPERTY OWNER 1 [i TTl!rwrr , Ding &amain — 16.60 Name: J.T. ROTH CONSTRUCTION, DX. E ' Ossa° "P 13.60 Addling: 1.26M 5W 72 to AVENUE, SUITE 200 BrOe aaioee wok 1630 F'treaadee t>ver cep 16.60 PORTLAND, OR 97223 Floor drsia/fiarr aveklAub 16.60 ' Ph u= (S03)6394629 Fax 003)62442M Ontage d>aposa1 16.60 ® APvucA rr 1 C3 CONTACT ?ZXt o Hex Me 16.60 Business tune: IT. ROTH CONSTRUCTION, INC. Toe maker 16.60 C0ein tnmae: DAVID JENSEN 1n1Oee K Q 1660 Address: 12600 SW 72' A Pri 2 VENUE. SUITE 200 P gas ( s ) pie "1er 16.60 City /State/22P: PORTLA NlD, OR 9M23 Roof drain (eommarnal) 16.60 Phone: (303) 6 2659 I Fero= : ) 621.0239 Sinkiheig evntay 16.60 E.amit: DAVE&& TITI;OTIHNC.COM ?" � P� 16.60 CONTRACTOR Ware ! 6.60 Water closet 16.60 Business snow CRAFTWORKTLIIP4OING, INC. water heater 1E60 Address: 7737 SW QR$05 DRIVE OOter, City/StelxJZIP: BEAVERTON, OR 979111 -- flolitotal Phasta (50.1)6M-16911 g� 644. Mo in em panait fen 572.50 Residential beddlowzoinismaspennit foe: 536.73 CC9 Lie.: 79666 P1 Lit: no.: 20-143P$ Plea anew (25% of permit fee) Authorised aigta0 , /`�/ r Stew atrnherge ors atpcmit De) Prim name: Mtn PERMIT FEE r i <i Mtn • 7 // Ti teem* appUojeta mires tf a permit is not •AgMaed within 11 dm Obeli bun heal axmpeesd es a mpleee. one methodology sae a'�oa set by Te -Caa►ty Melding haduaav Unice Board. I 08/20/2007 06:39 5036489723 JERMOE ELECTRIC INC PAGE 03 Aug 17 07 10073 JT Roth Construction, Inc (503) 624-0239 p.4 Electrical Permit AanlicatiJ ECEtVECG !lir I l l I l i; l' r p City of Tigard -AU G 2 8 2007 t?�mrnaNe.: u so i i ,2 13123 9R1 Hall Blvd., Tigard, OR 9 s - ' Phone 503.639.4171 Farr 503.596. , j y ( - [I GARD oaM /* aim i .. t 503 639 75 BUILDING DIVISION i Dote fi.4l red: - labommloe TYPE OF was"( PLAN BLVIEW Isi New eorlstrutxioe 0 AdditiadalborstioWrcplacsmeat "-' Name dank all bat apply (aebmit j sensor plane *bents cheeped helmet ❑ Demolition Other ❑5evloee feeder eder400 amps Of WPM CI Be7Aies over three modes. where dm mild* bah corm O MMus sod hoapnrda. CATEGORY OF CONSTRUCTION es:ecedo 10.000 amp a 150 wilier CI Homing baidiags [W I° pwa& or animade 14000 0 Cse werealoae agdoalmol ® 1- and 2-fanily dwelling ❑ Conanercia/fu>,dustfial 0 Acoemary building amps focal other intalleriena tw7diags. 0 Multi- family 0 Master Wilda 0 OthCt: i7 Ho pump. 0 baltnnle„ dig gm, v JOB SITE UWORMATION AND LOCATION 0 ° ls �"� am2 " , " 1-r. system Emergency lf i 17 -7 1 O MORToeman . oeoasaac7 eeaarosor of D"A :�'. a', °1�-. Job no.: Job sine address: g tooH4 er m DM" ar mom residential units. CIOnereaemsl millets web. City/SosteI P: Tigard, Often 13 Hasllhea a facilities ❑ Segply voltage far more than O Hamdomr Iocalinm. 600 vaJb cymbal. Su$dbldg./upt.no.: Ptojeet mew GAGE FOREST 0 Service a fads, BOO amps amom . Cross soroet/directimis to job cite: Hall Blvd & SW Langtree Street FEE 13c � I.1z sr o I ce sr t Now reddeatbl steak- or sd6-S►mly dwelling unit Includes aged germs Subdivision: GAGE FOREST , Lary.: 10 1,000 sq. R or l® i 145.15 1 4 ax map/patod no.: B■. add? 500 sq. ft or portion 3140 1 Limited energy. eaidendal / 75_00 I 2 : DEBCRIFI'IONi OF WORK (wilt above sq. f) Limited energy, multi-Emily 7500 2 NEW SINCLE FAMILY DETACHED =inertial (wish o n5_ a oq R.) . i Services or beam befallad atlteratban,md/errelocation 2�ase s or less _ 8030 2 _ ® PROPERTY OWNER I E1 =WIT 201 amps to 40D a 10615 2 Name: J.T. ROTH CONSTRUCTION. INC 401 empe as 600 a9rs 160.60 2 Address: 5 2601 9 SW. 72'" AVENUE, SUITE 200 6 amps to l p 00 maps 45365 2 Over 1,000 amps a vein 454,65 2 City/State/70: PORTLAND, OR 97223 Tempotmy murders or lades IaatsMMHee, adstralioo, andlar Phone (503)639-2639 I Fax: (503)6?4 -0239 200 amps or tare 66.85 1 Owner installation: This installation is bang made on property that I own whirl is not 201 amps 10 440 aerpt 100.30 2 intended for sale, lease, rant, or exchange, accaedbig to ORS 447, 449, 670, and 701. 401 amp in 599 _ 133.75 1 2 Braude udraaih - new. adleradoo, or eseaadon per pled Owner signature: Date: A. Fee fee Mame oieomts • otet el APPLICANT 1 0 CONTACT PERSON above ■avice as Seeder fee, . 6.65 2 each. brands circuit Business name J.T. ROTH CONSTRUCTION, INC B. Fee for branch circular wirimen service or feeder fee. Contact name: DAVID JENSEN circuit 46.85 2 Address: 12600 SW 72 AVENUE, SUITE Z00 tend, add'1 branch circuit 6.65 1 1 2 - Knodtanoans (aaarvloeor haw not fddoded) City /State/ZIP: PORTLAND, OR 97223 limb mmnd+aurea or modular 90.90 2 , dwoEoi . service aadfor feeds Mono: (503) 639 -2639 1 Far:: (503) 624.02319 12ao®aed cat, 66.85 2 Email: DAVIDJ ®7'IROTIDNC.COM Pump or irrigation aiacle 5140 2 CONTRACTOR . Sign or outline laglraosg 53.40 2 Brininess name: JEROME ELECTRIC INC. Signal cieemt(a)or limited- energy panel, all anon, or Address: PO BOX 751 adension• Desen'be: Pope 2 — City/5taic/ZIl' HILLSBORO, OR 97123 Rub a06IIkt l impeelku ism eiloweNe to ddte above Petition 1 62.50 _ Plume: (803) 64115144 l Fax: (503) 648 -9723 Iummirption per floor (1 In mild I 62.30 CO Lie.: 158119 + Elocttis61 Lis.: 28775 [ Suprv. Lae.: 34 -119C Industrial Paint par boor I 73.79 E(ECTRICAL. PERMIT FXES Sslprv. Electrician signature, requited: J Subtotal: Printumnc: DAVID A JEROME pate• �'ra,0-0-1 . Flan etvicw (25% ofvosmrit fro): Stab aardsoge (8% of permit fro): Autharilmd eignatare: <� 4;; TOTAL. PPRId1TFIE: Print name: TWA Demo at rieloda• min s Ia pgaml bud oibbal wmdn tan I d a y s arms ft has Seel a t I m p t w l m e cos **. • Namur? odiaspmotim m arluwod Few permit P. rnalbnal•SELC•Pre•Mym.ae 0Y131• am.tatvrttsrospabaowns Mechanical Jar g it Annlicat \JEf Radted la ae'8r• ()I t 4 III c� of Tigard panty ZOO - 60 6 , 13125 SW Halt Blvd. Tigard, OR 91233 flea ew e Phone: 503.639.4171 Fa!: 503.5913.1960A 2 8 2 007 Daum r MyrPeROir: T , s _. laspectieeLima 503.639.4175 DoteRraWday: aver R See Pop 2kr breach: wesw.tgardor.gov CITY `'= i IGARD NetiGed+MetAed: Syphoned Inderan6se RULDIPP Mine! Oh wits OF WORK COMMERCIAL COMMERCIAL FEE" SCHEDULE — USE CREc1ajsr El New =sanction ❑ Addit9odeltesationheplacoment Mmhamol permit tees' are based on the value of the work performed. 1 dime the value (rosaded to the neatest dollar) of ea 0 Demolition ❑ Other mechanical materials, a tt�i mutt. labor, overhead, and profit. CATEGORY OF CQI4STRUCIION1 valwx f ® 1- and 2- family dwelling ❑ Commeso Accessory ❑ Ac ory building NsES>i AL EQUIPMENT r SYSTEMS FEES >aer spedal rnjbr,,,anoa ne chertQrt ❑ Multi- family ❑ Master builder ❑ Other: • Description I Qiy. j Eu. I Total JOB am TW'ORMMATION AND LOCATION IletrehnotenOnk Job site addicts: /51,22 /, of (leaa sue oho skewing ata o 14,00 , City /Sone/ZIP: TIGARD, OREGON f Furnace 100.000 BTU (avowals) s) , 1 14.00 , - Saito/bldg./apt. no.: Project name: GAGE FOREST Fes 100.000+B1ii (eaashvmesl 1'1.90 Cara het hmt pump 14.00 Cross stroa/di etiorts to job bite: Hall Blvd & SW Lamgtree Street Dom work 14.00 liyderrtic bet wines system , 14.00 Residential boiler (radiator or trydrrc) 14.00 Unit heaters (dieI. ype, DOt electric), in -wall. in-duct suspended. etc. 10.00 Subdivision: GAGE FOREST I Id no.: /U Flue' it for say of above 10.00 Other. 10.OD I Tax map/parcel no.: Other lion{ mamma __ _ DzscurrsoN OF WORK Water beater j 10.00 NEW SINGLE FAMILY DETACHED Gas fireplace 10.00 Floe not for water hewer of gas 6repisee _ _ 10,00 . Log ligbetrspaa) 10.00 _ Weed/pellet atavc 10.00 Wood fireplace/insert , 1000 3 PROPERTY OWhEll j in TENANT (?tin rry/bmalAudvrat 10.00 Other 10.00 Name: J.T. ROTH CONSTRUCTION'. INC. Environmental emblem, mod vent9alan Address: L 6(10 SW 7J"" AVENUE. SUITE200 Range hood /ether kitchen 1 ' 10.00 City1StatdZIP: PORTLAND, OR 97223 Clothes dryer exhaust _ / 10.00 Single-duet =bates( (bathrooms. 3 Phone: (5 03)6394639 Fax (503)624.0239 9 whet eoo�mars� ee utility rooms) ) , 6.110 ® APrt.ICANT ❑ CONTACT PERSON Attadaawtspace fads 10.00 Other L 10.00 Rosiness name: J.T. ROTE CONSTRUCTION. INC. , FLd to e Contact name: DAVID JENSEN I 55.40 for Hirer fen; $1.00 for ands additives) Fame. etc. Address: 12600 SW 72 A.VENIUE, SUITE 200 Ora heat pump CapStasr/ZZIP: PORTLAND, OR 9722:3 Walllatspendedlunit heater i Phew. 3) 639.39 I Fax:: (503) 624-0M Warm heater ne. 36 , _tireviler . E -marl: DAVEDJ@TTROTIONCCOM Range Barb CONTRACTOR 01vc , Beset= creme: THERMAL PLO, INC. _ Clothes der (eras) _ Otlres Addtess: 7216 SW DURBAN ROAD 11100 MECHANICAL PERMIT TEES° City/StanyZIP: TIGARD, OR 97224 subtotal Minimum permit fee ($72.5(1) Phone: (503) 670 -8343 I Fax: ( 503) 670-9864 Plop n view (25% ofpesmit fee) . CCS tic.: 151147 State surcharge (096 await fee) TOTAL PERMIT FEE Mee t eeth etrerieeese esprygira *vetirle nor ebrered weMen tab Authorized signature: . WI" days afarii et hoe be modee m modem I Print nname: Zft?A J Dam: 5'10-07 1 • he m°s°dology met by h"Ce.ay Oaflalnl Whaley Serowe Bead tom da : ero6 • usrlrt trvaucowm) , 5 —j ' - 00/ 6 • City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 July 2, 2008 T I GARD J T Roth Construction, Inc. 12600 SW 72n Ave., #200 Tigard, OR 97223 Re: Permit No. See "Notes" Below Dear Sir /Ms.: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: See "Notes" Below Project Name: Gage Forest Job No.: N/A Refund: ® Check #58047 in the amount of $1,200.00. ❑ Credit card "return" receipt in the amount of $ ❑ Trust account "deposit" receipt in the amount of $ . Notes: Refund for overpayment of TIF -R fees due to calculation error at $240.00 for each of the following permits: MST2007-00163, 15731 SW 81" Ave., Gage Forest, Lot 29 MST2007- 00166, 15680 SW 81" Ave., Gage Forest, Lot 9 MST2007- 00165, 15767 SW 81" Ave., Gage Forest, Lot 31 MST2007- 00164, 15706 SW 81" Ave., Gage Forest, Lot 8 MST2007- 00162, 15672 SW 81`t Ave., Gage Forest, Lot 10 If you have any questions please contact me at 503.718.2430. Sincerely, , C6Wele 77- e-- Dianna Howse Building Division Services Coordinator Enc. 1:\ Building\ Refunds \ Administration \LtrRefund- Overpay.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 . . - 11 q City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: J T Roth Construction INC DATE: 6/12/08 12600 SW 72n Ave #200 Tigard, OR 97223 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt #: Various — See Attached Case #: Various — See Attached Date: Various — See Receipts Attached Address /Parcel: Various Pay Method: Check Project Name: Gage Forest EXPLANATION: Refund overpayment of TIF -R fees REFUND INFORMATION: Fee Description From Receip Revenue Account No. r Refund. Example:; [BUILD] Peimit Fee Example: 245-0060'432000 $ Amount [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 fTIF -R] TIF Resident 210- 0000 - 448001 $240.00 [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 [TIF -R] TIF Resident 210 - 0000 - 448001 $240.00 TOTAL REFUND: $1,200.00 APPROVALS: If under $500 Professional Staff /4) If under $7,500 Division Manager / ^ " 0` If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board / ' ' FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY . Case Refund Processed: I Date: I 6729 e I By: I r I:\ Building \Refunds \RefundRequest.doc 05/23/07 STREET TREE CERTIFICATION • l a/y5/ l�V1l�I JM/(/50/J , Owner /A ent for J. Owner/Agent /61)// (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard and Washington County land use and development standards for street tree installation. ADDRESS: M v�- sr� col ;— SUBDIVISION: /90 LOT: /0 SIGNATURE: DATE:( Y�NER /AGENT) RECEIVED BY: DATE: (CITY OF TIGARD) L \Building\ Forms \Street recCcrtificatc 01 /19/07 CITY OF TIGARD BUILDING DIVISION PERMIT #: MS'T2007 -00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101170.0 :l7 Phone: (503) 639- 4171+�� Inspection Requests (24 Hrs.): (503) 639 -4175 "II� INSPECTION WORKSHEET FOR DATE: 4116/2008 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 15+72 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503- 639 -2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 603639 -2639 Inspection Request Scheduled For: Date: 4 /16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final incpertion 068475-04 503806-0602 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4 —/lo o S Phone #: (503) 718 - 254-4-s— CITY OFTIGARD BUILDING DIVISION PERMIT #: M: T2007- 011162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -41714 I� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 16672 SW 81ST AVE_ CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503-639.2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503 - 639.2639 Inspection Request Scheduled For: Date: 4/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 06847Fr03 603.806 -0602 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: A Date: 4-- -I <v —4A5 Phone #: (503) 718- 24 4 CITY OF TIGARD = ' I BUILDING DIVISION "" ' ' PERMIT #: MST2007 -00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17 /2007 Phone: (503) 639 -4171 A -i., Inspection Requests (24 Hrs.): (503) 639 -4175 'I! I INSPECTION WORKSHEET FOR DATE: 4/15/2008 TIME: 7:02AM PAGE: 6 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: ,IF ROTH CONSTRUCTION INC PHONE #: 503 - 639 -2638 Inspection Request Scheduled For: Date: 4/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 068403-06 503 -806 -0602 N 6 /d44,- GliA.. e Az. FK✓a - % orrections /Co mments/ Instructi . 1.,/ A. -L.Lt . % sAz41L C / 7 i4:- ? 4 - —o b, C+iic, '0 .. nI6WP I I PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , � Date: 4- 0 8 Phone #: (503) 718- M- 43j CITY OF TIGARD ' 4 . BUILDING DIVISION PERMIT #: MST2007-00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17000 / Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/2/2008 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503 - 639.2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503 - 639 -2639 Inspection Request Scheduled For: Date: 4/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message r 03.80 299 06774 2 503-806-0602 N , Final inspection 0 Corrections/Comments/Instructions: Vi---‘- 09 1 ,A. 4 _J , --( 0 vv\--c,L. ,-,..,,:i7.J -- Lu 24 m lac ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS W FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 7 6 1 Wv Date: 4"2J " Phone #: (503) 718- 2Y z- -- • CITY OF TIGARD - "' BUILDING DIVISION PERMIT #: tv1ST2307- 00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 / t�rd1, 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ...'! � I � INSPECTION WORKSHEET FOR DATE: 4/2/2008 TIME: '1:00AM PAGE: 5 SITE ADDRESS: 15672 SW B1ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503 - 639 -2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503 639 -2.639 Inspection Request Scheduled For: Date: 4/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 6% Mechanical final 067743 -01 503 - 806-0602 N C rections /Comments /Instructions: (1,6--ira Ni,()4_,_,k-- 5t,-(- ir L:i.--1 L -AAA---i - ryLkk- y , -,11/ z 4- - _ w - , 4 -:z '= = z - ( Vv\ ■ •-af ) \ 6 i Nal,. A7� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �, v Dat Z/ Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00162 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 10/17/2007 Phone: (503) 639- 4171u� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION _WORKSHEET FOR DATE: 3/20/2008 TIME: 7:02AM PAGE: 8 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE. FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503 - 639 -2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503-639 -2639 Inspection Request Scheduled For: Date: 3/20/2008 . Pour Time: Code # Inspection Description Confirm # Contact # Message 139 Electrical final 067050 -03 503-806 -0602 N Corrections /Comments / Instructions: • • • • SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Dater ¶ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS-12007-00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10,117/2007 Phone: (503) 639 -4171 AA 4� µ-t,i 1 ARV Requests (24 Hrs.): (503) 639 -4175 `"!J. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 9 7 �1 1 ?}10 /�0 7.0 AM SITE ADDRESS: 15E72 SW 81ST AVE_ CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503 - 639 -2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503. 639.1639 Inspection Request Scheduled For: Date: 12/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message I 115 Electrical service 061191 -01 503.806 -0602 N Corrections /Comments /Instructions: i I 1 K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ C ' L FOR INSPECTION • • ❑ AD DITIONAL FEES ASSESSED 1• Ins ector: O Date: 1 I Phone #: (503) 718 - P CITY OF TIGARD BUILDING DIVISION PERMIT #: Mf�T2007 -00162 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/17/20(17 Phone: (503) 639 -4171 �. l' Inspection Requests (24 Hrs.): (503) 639 -4175 . `'I'— INSPECTION WORKSHEET FOR DATE: 12/10/2007 TIME: 7:01AM PAGE: 8 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: . SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503- 639 -2639 CONTRACTOR: Jf ROTH CONSTRUCTION INC PHONE #: 50: - 639 - 2639 Inspection Request Scheduled For: Date: 12/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 061191 -02 503 8060602 N Corrections /Comments/ Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED i / li Inspector: Date: t " Phone #: (503) 718- CITY OF TIGARD - . BUILDING DIVISION PERMIT #: MST2007 -00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 4,,* Inspection Requests (24 Hrs.): (503) 639 -4175 .. „- — INSPECTION WORKSHEET FOR DATE: 12110/2007 TIME: 7 :01AM PAGE: 7 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FORE-ST LOT #: 0121 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: ,f 1 ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: ,JT ROTH CONSTRUCTION INC PHONE #: 503 - 639.2639 Inspection Request Scheduled For: Date: 12/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 061191 -03 503-806-0602 N Corrections /Comments/ Instructions: V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • El FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I /0 0 Phone #: (503) 718 - I CITY OF TIGA.RD - BUILDING DIVISION PERMIT #: MST200T -OOf62 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10f1 �/�QI }7 Phone: (503) 639 -4171 a ,4i °'i iii Inspection Requests (24 Hrs.): (503) 639 -4175 �' `:_.. INSPECTION WORKSHEET FOR DATE: 1/9/20Q3 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 5503- 639-2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503 -633 -2639 Inspection Request Scheduled For: Date: 1/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls 062858 -01 503 806 -0602 N Corrections /Comments /Instruction : _) ...*.....A.. ft9 A-__Qx4,%,,,_4)-c, 1....i.-it c--e P E] PARTIAL APPROVAL '�: CANCEL El ACCESS ❑ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: ✓� Date: Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: fyIST`Z007 0162 13125 SW Hall Blvd., Tigard, OR 97223 � ISSUED: 10/17/20 Phone: (503) 639 -4171 Av pu lt _.- Af AliF 411 qf OF Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/8/2008 TIME: 7 :01AM PAGE: 7 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: W3 -639 -2639 CONTRACTOR: JT ROTH CONSTRUCTION INC. PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 1/8/2008 Pour Time: Code # I pection Description Confirm # Contact # Message 242 Interior shear walls 062780-01 503806-0602 N Corrections /Comment lnstr tions: • k - 7 arr V14) . I - • Ce 5.'1- ".\'' 'e-"=4-4-) Le - )'' oc fe,,gA-Li---) 0-1A„ e- L ii, 4_ tA,\ ' 5 4 ‘ ❑ PASS WA 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t or , Autt.0.7 I U Phone #: 503 718 - Inspector: Date: ( ) CITY OF TIGARD ' - . - BUILDING DIVISION PERMIT #: MST2007 -00162 13125 SW Hall Blvd., Tigard, OR 97223 HATE ISSUED: v117/2007 Phone: (503) 639 -4171 / 7 ��, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7:00AM PAGE: 19 SITE ADDRESS: 15672 SW 81ST AVE_ CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503639.2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 5503639.2639 Inspection Request Scheduled For: Date: 117/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message */ 242 Interior shear walls 062689-04 503.806-0602 N Corrections /Comments /Instructions: Q ot '7- t) Y4 4 i G k 6....( ., Ve2....tkivz-t.A." --(--' le\z s s r iliu-euc 1-e—L___ \-e--9:-Ir--1,--- a6 k . r....■ 1 , -- - 1 O , - ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS - -- ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VA Date: 1 / 7 O r Phon #: (503) 718- I p � ) 718 - CITY OF TIGARD - ` BUILDING DIVISION PERMIT #: MS T2007-00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2007 Phone: (503) 639- 4171..u11 : 'l ill\ Inspection Requests (24 Hrs.): (503) 639 -4175 .�'!+� I INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7 : 00AM PAGE: 10 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503.639-2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 50 639 630 Inspection Request Scheduled For: Date: 1/3l7008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 062504 -02 503 806-0602 N Corrections /Comments/ Instructions: Cill,:: M P- RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL /,ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I Fj dg Phone #: (503) 718- 6 CITY OF TIGARD ' • BUILDING DIVISION PERMIT #: M5T2007 -00162 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/17/7007 Phone: (503) 639 -4171 Ak, I Inspection Requests (24 Hrs.): (503) 639 -4175 "IL. INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503. 639-2630 CONTRACTOR: sr ROTH CONSTRUCTION INC PHONE #: 503 - 639.2639 Inspection Request Scheduled For: Date: 1/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 27!i Framing 062504 -01 503-006-0602 N Corrections /Comments/ Instructions: — — o Gm - --tea /\ - C ° e 7M.P(j'T A SS M 'ARTIAL APPROVAL El [1] NO ACCESS AIL FA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED _ o _ Inspector: Date: 3 Phone #: (503) 718 � 7 illb CITY OF TIGA•RD BUILDING DIVISION PERMIT #: MST2Q07 -Q0162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 J l i . . INSPECTION WORKSHEET FOR DATE: 12/28/2007 TIME: 7 :00AM PAGE: 6 SITE ADDRESS: 15677 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 5Q3-639.7639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 6Q3 -G39 -2639 Inspection Request Scheduled For: Date: 12/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 062298 -01 503-806-0602 N Corrections/Comments/Instructions: • / / l' 661/ 1/144 ibi1 A • ,�( - - ,_ •4 1 2/dff Ai , , a , _ _ , i „ , . .05 ,A..,,,e_ A ,, , 0 /< •1 ed,A. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL KCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date: /O7hone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00362 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/17/7007 Phone: (503) 639 -4171 ili Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/28/2007 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 0 TYPE OF USE: PROJECT NAME: GAGE= FOREST DESCRIPTION: New F. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503 - 638 -2639 Inspection Request Scheduled For: Date: 12128/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear wallslanrhors 062298 -02 503 - 806-0602 N Corrections /Comments/ Instructions: (J,;44,42,4,o '45 1 ,,,',,, 6, ` PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , I Date: (4. / V1phone #: (503) 718 - CITY OF TIGARD Nto ti-r... C- . BUILDING DIVISION PERMIT #: MST4007 -00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 '',I1ll Inspection Requests (24 Hrs.): (503) 639 -4175 �°ta i1':- INSPECTION WORKSHEET FOR DATE: 1:121/2007 IME: 7:03AM PAGE: 15 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 0.10 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: N SF OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: ,n ROTH CONSTRUCTION INC PHONE #: 503639 -2639 Inspection Request Scheduled For: Date: 12/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 062041 -02 503.806 -0602 N Correc ions / mment /I ns uct s .ti \r6N Nt31(e O a-A.1 ..,. 1 1 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED J Inspector: Date: Phone #: (503) 718- .-2i4 2;1 CITY F TI ARD i..)0 �� �� C � O G BUILDING DIVISION PERMIT #: lt1ST2(107 -00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/ 1 712007 Phone: (503) 639-4171 ' Inspection Requests (24 Hrs.): (503) 639 -4175 "'IL. INSPECTION WORKSHEET FOR DATE: 12/21/2007 TIME: 7:03AM PAGE: 16 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 603 - 639-2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503. 639 -239 Inspection Request Scheduled For: Date: 12/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 062041 -01 503.806 -0602 N Corrections/Comments/Inst I lit �JJ \J s {* nts /Inst uction /V /D f A ✓ �2g at PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED C Inspector: VI, t Date: IVG Phone #: (503) 718 -�� 2if CITY OF TIGARD • . l BUILDING DIVISION PERMIT #: - MST2007 -00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/ Phone: (503) 639 -4171 4. Inspection Requests (24 Hrs.): (503) 639 -4175 ��!� '�� .. INSPECTION WORKSHEET FOR DATE: 12/5/200 TIME: 7 :01AM PAGE: 6 SITE ADDRESS: 15672 SW R1 ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: J ROTH CONSTRUCTION INC PHONE #: 503.639-2639 Inspection Request Scheduled For: Date: 1215!2007 Pour Time: Code # Inspection Description Confirm # Contact # Message :MO Cxteiia: sheathing 060865.01 503-806-0602 .N Corrections /Comments /Instructions: 1 ,1il 1L . IA I / . - r i/� _ A _ %/ ' . A /,i / l :or / / (KZ4/14it- 6 4 / ; s) I 1 141M47 ALA, kid( ,, 11 461)--Q-111_ 0 rtti(pLa.-1-€K__ ❑ PASS rAl PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL Ii ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: Date: l 5 - D Phone #: (503) 718 • CITY OF TIGARD ' . BUILDING DIVISION PERMIT #: MST2007- 00.62 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/i7/20D7 Phone: (503) 639 - 4171 l2 • Inspection Requests (24 Hrs.): (503) 639 -4175 ' - t I .. INSPECTION WORKSHEET FOR DATE: 12/3/2007 TIME: 7 :00AM PAGE: 57 SITE ADDRESS: 15672 SW 131ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503- 639 -2635 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503•G39 -2639 Inspection Request Scheduled For: Date: 12/3/20QT • Pour Time: Code # Inspection Description Confirm/ Contact # Message I 231 Sh t ar walls/anchors 060610.02 • 503-006-0602 N Correc •ons /Co e . s /Instructions: L' I i - t i : , , ..�, / i / , ' , L 46 (°' 1 bibx AAA i ; rAIWIFSFEINNW , Ir (Ps. d Mit ,'.f ' 10 / 1 �=> , / 4 _' L 1 r ' (., • / • ,' 9 -, ,, 4 •,,,,4 6.4,44/ e vt, , 6t-sity i ipte,...kv, (A): A , 1 Sg 1.4.4 /,./: it . ese&At2; A- u) 4 . 4 4 °. le: I ' ) 46- 614.1141) Wittillf rid - a 1 a 6 P ' g Y ke gw- -1 4'I( Per.k;2 If Willi to , . 'f ' fit he 2 r s 0 ? b ifG ° l Li J 1 /, 4 - X. . ' 1,i d° C7VP) I .M A YMPAPEal ii2/ A9 4/44 • lrb / nu 4 i ' 1 e ‘t . 5b-Aev - (--r P) ' A-6P -5 / / ' -VP) , ' it-e- AA; lej - ofoAd/Lov‘,2014-="A q) Ce-i-jt)i (9 f p 2- Zx) ( - ?- flM•10 /./Ii46r/6) ❑ PASS ' ❑ PAR IAL APPROVAL ❑ CANCEL ❑ NO ACCESS V FAIL cCAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: f 4 1. -te: k S ilk 7 Phone #: (503) 718 -WW(7 1 CITY OF TIGARD ' BUILDING DIVISION lk , PERMIT #: MST 007 00'I62 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 A 4,101i+l l Inspection Requests (24 Hrs.): (503) 639 -4175 M1 INSPECTION WORKSHEET FOR DATE: 12/3/2007 TIME: 7 :00AM PAGE: 58 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: CAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503 - 639.2539 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503 Inspection Request Scheduled For: Date: 121312007 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 060610.01 503. 80&0602 N Corrections /Comments /Instructions: • . r I .► / • , 06 l Gtt/V ' r V VIE s 2 ' �� r f ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 145 1 b ILA Inspector: Date: & Phone #: (503) 7 18- CITY OF TIGARD ' . BUILDING DIVISION PERMIT #: MST2.007- 00162 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1WI7/3007 • Phone: (503) 639 -4171 .I �� Inspection Requests (24 Hrs.): (503) 639 -4175 ..' INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 PAGE: 32 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: . PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. I OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 603- 639 -2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: J03.539 -2639 Inspection Request Scheduled For: Date: 10/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 2 �5 Post/beam structural 068733 -06 503.806.0602 N Corrections /C9mments/ Instructions: I — ' 114 4 -f' 4 t4 \, CLej---e el2.(2.,i l- A.,.t/_ V2-0 C i i6 o A v. - - • _ ___...._ ° 4 ,:v ac (...Q._ nt.5_,0___L-fi• '1 /4 t� rte, w ` - c Z ,' t_2; 1 ..:-w t 211 .9 -e�� 6 .,,,,L --- _ ,,v , L Al 4 ( 4%-pv-c, , !P, -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - ( V Date: i/ 13 � /6") Phone #: (503 p � (503) 718 - V7} CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00 162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 AN, PERMIT Inspection Requests (24 Hrs.): (503) 639 -4175 � _ .. INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 :00AM PAGE: 31 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503 - 639.2639 CONTRACTOR: Jf ROTH CONSTRUCTION INC PHONE #: 503.639.7639 Inspection Request Scheduled For: Date: 10/3112007 Pour Time: Code # Inspection Description Confirm # Contact # Message G15 Mechanical rough -in 058733 -09 50380G-0602 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: b ( t_ v Date: / 7Phone #: (503) 8 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST2007 -00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 t Inspection Requests (24 Hrs.): (503) 639 -4175 . ' F '! I.. INSPECTION WORKSHEET FOR DATE: 10/19/2007 TIME: 7:01AM PAGE: 5 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: _ PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503 - 639 -2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503. 639 -2639 Inspection Request Scheduled For: Date: 10/19/2007 Pour Time: 2 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 057973-02 503.806.0602 N Corrections /Comments /Instructions: ( 11 S7 A /2:72,_= CA, - Sze ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: e 14 Date: / d`'- /9 —07 Phone #: (503) 718- Z-- CITY OF.TIGARD _ BUILDING DIVISION PERMIT #: MST2007- 00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1712007 Phone: (503) 639 -4171 t Inspection Requests (24 Hrs.): (503) 639 -4175 ... - -- INSPECTION WORKSHEET FOR DATE: 10/19/2007 TIME: 7:01AM PAGE: 6 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. . - OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 603-639-2639 CONTRACTOR: jr ROTH CONSTRUCTION INC PHONE #: 5 -639 -2639 Inspection Request Scheduled For: Date: 10/19/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 057973 -01 503.806-0602 N Corrections /Comments /Instructions: e 0F�2. - r7.n - n rmA,g, • ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i ii Inspector: Date: / ! -9•- -0 > Phone #: (503) 718- - ?,4..-4,__,s- ---7 ?,¢ -'S CITY OF TIGARD BUILDING DIVISION PERMIT #: MS12007 -00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10117/2007 Phone: (503) 639 -4171 i �� li`j . Inspection Requests (24 Hrs.): (503) 639 -4175 ...' I . INSPECTION WORKSHEET FOR DATE: 4/15/2008 TIME: 7:02AM PAGE: 7 SITE ADDRESS: 15677 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 603 - 638-2630 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503 - 633 -7639 Inspection Request Scheduled For: Date: 4/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 068403 -05 503 - 806 - 0602 N Corrections /Comments/ Instructions: \ PASS 111 PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 01 Lv ZZ --- Date: q I (0, Phone #: (503) 718- CITY OF TIGARD - . BUILDING DIVISION PERMIT #: MST2007- 00462 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 A ( A Inspection Requests (24 Hrs.): (503) 639 -4175 ...'. ,II INSPECTION WORKSHEET FOR DATE: 4/2/2008 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 15672 SW 81ST AVE_ CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: &036332639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503 - 6332633 Inspection Request Scheduled For: Date: 4/212008 Pour Time: Code # Inspection Description • Confirm # Contact # Message 398 Piumbing final 067748 -06 5034306.0602 N Corrections/Comments/Instructions: /� 0 4tJ ` tvvi to J revv,1T 00.4,It C Lcc, . 0 eau L -,oN S n e----1-e4..... M c,c)v-vl O E Pe v - w.: rf' .1 ai--- O Jf C e., a-- le.ruv C t o, -- 1 - 744✓i 1 A u 0 to Sf f CCU 1,. ✓ LN-4- p-�,A -45._d O0,-, LL, C k U :-e. e .,„ , ,,,„ , ,_ [-A - t -, e,--- - = - Th v'R-tk A r- L-0LA.1_,f3 -- rve.. j r 0- V 6 et RAC C 0%ivyk.tr =Ge /d'tok.l�`C_ �T f-A--✓ Y - C-CF- 1'4.. ' A) L...." p_�--,-„ ,,` ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V1.J A-%�-- Date: 412%0 Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2007 -00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 1 *Ji 4 . 11 ?" 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ''I — INSPECTION WORKSHEET FOR DATE: 121712007 TIME: 7 :00AM PAGE: 41 SITE ADDRESS: 15677 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: p10 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: ,17 ROTH CONSTRUCTION, INC., PHONE #: 503- 639 -2639 CONTRACTOR: sr ROTH CONSTRUCTION INC PHONE #: 503 - 639 -2639 Inspection Request Scheduled For: Date: 12/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 061050-03 503.006.0602 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector 1,,) a ` ` h.w-z_ Date: 1 21 - 2 /0 Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION - ,1 lik P ERMIT #: / MST2007 -00 i62 13125 SW Hall Blvd., Tigard, OR 97223 f DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 +� Inspection Requests (24 Hrs.): (503) 639 -4175 .. ':� "'-- INSPECTION WORKSHEET FOR DATE: 10/31 /2007 TI E: 7 :00AM PAGE: 33 SITE ADDRESS: 16 672 SW OTT AVE CLASS OF WORK: SUBDIVISION: - LOT #: ' TYPE OF USE: cAr�_ FOREST 010 PROJECT NAME: GAGE FOREST DESCRIPTION: New SF, OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 603- 639.2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503 - 6392639 Inspection Request Scheduled For: Date: 10131/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 3'15 Post/hoarn plumbing 058733 -07 503- 806 -0602 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED III , Inspector: Date: ) ( i q Phone #: (503) 718- CITY OF TIGARD - . x • BUILDING DIVISION PERMIT #: MST 2007 -00 162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/ 17/2007 Phone: (503) 639 -4171 11140 l Inspection Requests (24 Hrs.): (503) 639 -4175 "__.. INSPECTION WORKSHEET FOR DATE: 1U129/2007 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FORF_ST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503.639-2639 CONTRACTOR: Jf ROTH CONSTRUCTION INC PHONE #: 503.639 -2639 Inspection Request Scheduled For: Date: 10/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 058543 -03 503-806-0602 N Corrections /Comments/ Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C 'v_ \\- — Date: 10 I2 -► Ian Phone #: (503) 718- CITY OF TIGARD ' , : , - - BUILDING DIVISION / PERMIT #: h1ST2007- 0E1162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 4° X 1 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ' L .. INSPECTION WORKSHEET FOR DATE: 10/24/2007 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J 1 ROTH CONSTRUCTION, INC., PHONE #: 603.639_263g CONTRACTOR: ..IT ROTH CONSTRUCTION INC PHONE #: 503 - 639-2633 Inspection Request Scheduled For: Date: 10/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 058261 -02 503.806- 0602 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t■.-A 1 `\ ^^. Date: I 0 jog/ / n7 Phone #: (503) 718- CITY OF TIGARD ` . - BUILDING DIVISION PERMIT #: h1ST2007- 0(3162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 ,_� Inspection Requests (24 Hrs.): (503) 639 -4175 � �' ` I L . INSPECTION WORKSHEET FOR DATE: •1 0/24/2007 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503-639-2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503 - 639 -2639 Inspection Request Scheduled For: Date: 10/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 058261 -03 503806 0602 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (1 vv0V - \ v 1%-v...2., Date: 10/Li / Phone #: (503) 718- CITY OF TIGARD • . • , BUILDING DIVISION PERMIT #: MST2007 -00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 �ea Phone: (503) 639 -4171 - �gp ly % l Inspection Requests (24 Hrs.): (503) 639 -4175 F__.. INSPECTION WORKSHEET FOR DATE: 10/24/2007 TIME: 7 PAGE: 23 SITE ADDRESS: 15672 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 010 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 603- 639.2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503 -639 -2639 Inspection Request Scheduled For: Date: 10/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 058261 -01 503. 506 -0602 N Corrections /Comments/ Instructions: M PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ;) i k I^^ Date: JA) 12,c(61 Phone #: (503) 718-