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Permit 7 t .., CITY OF TIGARD MASTER PERMIT PERMIT #: MST2007 -00163 COMMUNITY DEVELOPMENT DATE ISSUED: 10/31/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 112 C C -222 00 SITE ADDRESS: 15731 SW 81ST AVE ZONING: R - 12 SUBDIVISION: GAGE FOREST LOT: 029 JURISDICTION: TIG PROJECT: GAGE FOREST Project Description: New SF. BUILDING REISSUE: MS STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 925 of BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,450 sf GARAGE: 414 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: VALUE: 2,375 sf 242,100.35 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: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP c BHP: VENT FANS: 3 CLOTHES DRYER: 1 NAT FURN 5=100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS 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: 5=4 RES UNITS: SVC/FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & 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 S 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: $ 12,090.82 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Issued By 4 2.4.xer=itir....e.._ Perm ittee Signature : A �" 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 completio of the project. Approved plans are required on the job site at the time of each inspection. 1 Building Permit ADPlicatioIREE D FOR OFFICE USE O\l.1 City of Tigard 2 8 8 Received q ill MIIIIV • 13125 SW Hall Blvd, Tigard, OR 97223 AUG 2 ZOO I- 7 D U MO- I, 1,0 II Phone: 503.639.4171 Fax: 503.598.19 Review, O • u� ` .r-r7 v ( � D Other Permit (j 609. /4 � TY OF Y Date/By: I G ,1 I D Inspection Line: 503.639.4175 Dat Read ® See Attached Checklist for Internet: www.tigard or.gov Buonor Notified/Method: IOA9/ r3P Su plemental Information i • • r.(1 TYPE OF WORK REQUIRED DATA 1- 2- FAMILY LLING ® 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 work indicated on this application. ® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 2 r /2.. JOB SITE INFORMATION AND L CAT Total number of floors: Z Job site address: /5 73/ 4� ,,�i / / i New dwelling ar 7,2 2 7 8' square feet City/State/ZIP: Tigard, Oregon Garage/carport area: j.7.n O 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: s— square feet Other structure area: - square feet . REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: GAGE FOREST Lot no.: 91. 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: S 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 (Hesse refer to fee ached* 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 lac.: 31700 Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained ~' ? �_■.. within 180 days after it has been accepted as complete. Print name: j( ^ " j J Date: f �,2 * Fee methodology set by Tri-County Building Industry �! . Service Board. . 1 l:∎Bui ding \Permits1BUP- PamitApp.doc' /06 440•4613T(l l /02/COM/WEB) I` Mechanical Permit Applic t ( . p. ()1 i. (( r i -;I: I t 1 . City Ot Tigard ED Rlseiwmd 15125 SW Hall Blvd, Tigard, OR IF Mom: S03.639.4171 Fes: S03.550. lAti9 G 2 8 ./[jut DDew Caber PeA°ie r r _ ipapeeeioe Zinc 503.639.4175 Due Re ttAy: mit R rim Pans 2 for Intend: www.bgardor.gov f+l l � Nau4cdRiethed: Sopplewaata7Lderawdea TYPE OF WORK COMMERCIAL FEE* SCHEDULE •- USE CHECKLIST ® New construction ❑ Addition /attetrat onfrepiaetneat Mechanical permit tees a based on the value of the work • perforated. Indicate the value (rounded to the tteateetdaUoe) of all 0 Demolition ❑ Other , mednmtioal materials labor. overhead, and profit. CATEGORY OF CONSTRUCTION values S ® 1 • and 2- family dwelling ❑ Commercial/industrial Q Accessory building RESIDENTIAL EQt1>FaE 1 SYSTEMS FEES' Q MuIR- Tabling ❑ Me9ter builder CI Odic:: h +P rnjonnaalaa sir ehe E DDescription 1 try. 1 Ea. I Total JOB SITE INFORMATION A ' L O OCATION Ileatlyyoaolt ak lob site atldnss: i5 731 i/; J/ get Air eondilioning or beat pump (reasacs cite date showing, aleeatantl 14.00 City/State/ZIP: TIGARD, OREGON Furnace 100.000 STU (dnewvee e) ' ' J 14.00 Suite/bldg./apt. ! Furnace 100.000+ BTU (daetrMatta) 17.90 dg. apt. net: . Projec uam GAGE FOREST Gas hmr pump )a.(q Cross store tidirmctions to job sift: Hall Blvd & SW Langttee Street Duet work 14.00 • *rime bot water system , 14..00 Residential bowler (radiate or • hydrauic) 14.00 , Unit heaters (tite1•tvpe, aot electric), itt -wall, induct. suspended. eta. , 10.00 . Subdivision: GAGE FOREST I Lot eta: �9 1 Floe/vat t for any of ahem 10.00 : t> to.00 I Tax map/plreel no.: Other god 5aellaaces DEStIION OF WORK Water loofa 1 10.00 Floe [ _, 10.00 NEW SINGLE FAMILY DETACHED • F7se von for wirer hate or gas fireplace I.. 10.00 Lot *Ater (pea) 10.00 _ Wood/pellet stave 10.00 Wood l replace! en _ 10.00 IS PROPERTY OW1031 ' 1 ❑ TENANT Chir aDdli tex/fhdvtst 10,00 Other: 10.00 _ Nana: .LT. ROTH CONSTRUCTION, INC. Environmental edstoe and venl9etton Address: 1Z6110SW r"" AVSNUB.SUITE 300 Range hoo /abet kitchen I / I 10.00 . CityfSt raiZIP: PORTLAND, OR 97223 Clothes dryer exhaust / 10.00 Singteduet etbaac (betivoara, 3 Phone: (503)43942639 Fax: (503)624-0239 toilet corvine eenrs uti)iry moms) , 6.110 ® APPLICANT ❑ CONTACT PERSON Atlidctawispaee 10.00 Other. 10.00 , Business came: J.T. ROTH CONSTRUCTION, INC. . FLelJ1plw� Contact name: DAVID JENSEN I 35.40 far beat fear; 5100 for each additional Furnace. eta. Address: 12600 SW 72 AVENUE. SUITE 201 t]sa twat pump City/State/MP: PORTLAND, OR 972=3 11iaWsuspendeeVunit he ater ( _ . Phan: (503) 639.2639 1 Fax : (503) 624-0239 Water hearer Fireplace E-mail: DA COM , Range CONTRACTOR Barbecue — Clothes dryer (Ras) :.Btaiaess name: TIRMAL FLO. INC. �� ' Addams: 7736 SW DURHAM ROAD #100 MECHANICAL PERMIT TEESc - City/Stare/ZIP: TIGARD, 0897224 . Subtotal . . • . Minimum permit fee (572.5(0 Phone: (503) 670 -8343 I Fax: (503) 670 -9864 - Plan review (25% ofptrtait fob:) CCB Iic.:151847 Sate surebatge (116 of permit fee) , . TOTAL PERMIT FEE ; Tun remit ap�4taltow =pinned a peramrb rev ebsred walla 110 Ant mgnatlae:I J • -1 days M=art, has be is sagged as aaplete Print name '' �,� Date: Jr? - Far arwba/daly set by i1i- Coonly Rai O, Medway Sa Tae Beard t: �9eaahorenrWac.ramm o ,eo: aroBae • 41e407rrr warble) • 08/17/2007 . 12:42 5036445989 • CRAFTWORK PLUMBING PAGE 04!04 " a ' uf l c . i i p , Jr: Roth. Construction, Inc (503) 624-0239 p.4 • Pl umbic Perna A .- icati E1VED kiss,GfTi AUG 2'8 4007 : �; :, , 13118 SOv Holt Blvd, Tigard, gabs 97] ' DrroB k- Phone 303.639 4171 Faye 503 59 >/ , I Pl n Review �•/ �!' /ri �O , n ` IRepo� *onLiae: 503.639.4775 ®�� 000'13 . otber.Peneirttw: Inter oats DetellradyV6�; tted9sdlMatbed: iaePsae2fat T3TE or q►pRx >tloa ®' New ceastructica 0 Donation pm' • ❑ Adertiankkanbonirepiaccoent ❑ abet : . +4" I..2. •u Ba Teal CATEGORY OH CONSTRUCTION �a� •butai ts des 100 B. Fbr sods oat) enoestianl SFR (1) bath 29.10 ®1- and 2 -f®ulq dwelling anQ+e 0 conialfimaosaie] SIR (2) lath lath 3550.00 Mill . 0 Accessary balding ❑ Mn1C-dimay ' SFR (3) bath . 399,00 ❑ Mager builder Other additional bath/kitchen 43,00 . JOB wiz INFORMATION ANIQ LOCATION Fites p rin kler(_�aq. 8) � �� Iob sue address: l " DM MIAs • � S / �` a Catch basin at toss chain 16.60 CnY/511rr1�; TIGAItD, OREGON Dry leach lm4 wrench dtsia • 1660 SuitrAildg/apl. no.: Peniegtnorm GAGE FOREST Footing chain (no. smear it: —J Pogo 2 Cross 4treeUditeetiony q� job sits: Hall R 8W I.fnBlree $! Manufactu ed booms whoa 110.00 Maaitola 16.60 Rain drain for 16.60 Sanitary saaar fact !swot .A: _) Page 2 Scant sewer (an. linear R: _„__) Prim 2 Snbdtvisiaui: GAGE FORM �- Lamas.: ? Waterservice(po.lineara:,_) •Pass2 • That map/enrol no.: non aria= . DDE6CRIPTION OF wow valve 16 60 NEW SINGLE FAMILY DETACHED - � P 16. 0 2 Sadgvater eaN 16,6 • Clouse9 eaa am 16.60 . Dishwasher 16.60 0 PR ..), • , . • ... . . - ❑ TENANT 7htalkaB foaafaca 16.60 Name: J T. ROTH CONSTRUCTION, INC. B 00U a v • 16.60 Addrams• 12600 SW 72'33 AVENUE, SfJTrE► 200 Madan tank 1660 • • Flours/ ems cap 16.60 City/Stine/ZIP: PORTLAND, OR 97272 Floor drain /Hoar *MIA** Phanc ( 9 -. Ease (06244739 16.60 Garbage 16.60 ® APPLICANT ❑ COIr1'ACT Pl.B80 s • Have bib 1660 ' • Business slam IT. ROTE CONSTRUCTION. INC lap tanker 16.60 . . ' Cottrah=mame: DAVID JE11 N1 1n s p� 0 u 1660 ' - Address: 1 M00 SW 77`' AVENUE. SUITE 200 ' tdediaal �+ (+�• s ) Pawl ., 1660: . CiryJStatsdAP: PORTLAND, OR 97723 • ' Roof drain (contaaeavial) 16.60 ' Phone: (903) 6394439 Faaa : ) 6144299 S a6 a"mer7 . 16.60 Limit DA T` bbiarw enthowet pas 16.60 i 16.60 . CONTRACTOR V ,. V Won closet - Businesssaaw CRAF TWORKPLUMBING, 1NC. 15.60 • War beta 15.60 AddreeL.7737 SW CIRROS DRIVE _ Oder. Sablatal CityfStsI IP: REAVERTON, OR97 US : . . - Mom YS4� 644 -8698 Fax: (9)3) 64449119 _~ Be.;daoual trd�ew permit fec SILS0 ®aintoaipeenit foe: $3623 MB sac.: 99666 - / • � • . • Lic m0.: i43M3 . ' ' Plan review (23% of permit tbe) • Aud digitalis*" r O r • State eutolierlle.(!<!bofpcmit 1 e) "'" Li/ <i TOTAL PERMIT FEE r r 1)aIC ' ; . 7 ,, rd. Perna 91•1haMor aapitw Ga Polak bon ablrired wade Ifii days • *Pee otaa ibod ololO s alter If he ie tvemalrtsd it ma niere. ,,a avaaoa - et by Tact - County BWdit,g Industry Stoics Board. wes*sRtaezcoleraet - . • 08/20/2607 06:39 5036489723 JERMOE ELECTRIC INC PAGE 05 Aug 17 07 10:06a JT Roth Construction. Inc (503) 624-0239 p.2 - _L.• Iectrieal Permit A►ppt• �ca _ I,) , 1 CE VED _ � r; r: , � r l 1(1' : r 1 r„ 1 ., City of Tigard • Received • 7 1 131?SSW Hall Blvd., Tigard, OR "iartJ G 2 8 ?lb/ D °' P`tak N ' : N T2oD� cf24 Review Phone. 503.639.4171 Pete 503.598.1960 pniell.; Other Permit TI c r r: n 103pectioa .Line 503.639.4175 GM OF 'NAND rlak See Pew e 2 fee (Mwn t www.bigatd -otgov iJl r� Ne0Sedrld : 7vrn: I B _ anvevrv"� 1 SepWer.rnWLrb+reatlen TYPE OF WORK PLAN REVtEw HI New coustructtotl • Addition/a herationhapIacemest Wane check ill tea14PPly (sibade a sets alpines t, tnar chided bdow� ID Demolition C3 Other; 0 Service or feeder 400 amps omon DBuldtng war utree relics. warns faultearnmt D Moines and boetrale. • CATEGORY OP CONSTRUCTION saa>lede mow amp a (SO welts or 0 Floating buldinge, lees ragamut. or exceeds 14,000 D Commeceial.aso.sriwlrtrel li.: 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building eine for ell other Wan Moot bw74nt)s. ❑ Multi-faimily 0 Master builder ❑ Otbcr: One pomp. O laema. tine of 75 kVA or JOB SITE INFORMATION AND LOCATION 0&110's�Y hatrar.ep,Yety derived q . ea / )1/1 0AddiSco Die monleed at ❑ -A" -E" -J.2 -. "1 -3 ", rob car 54 ( 1 Job situ address: 15/ 1 " 11 241 ao tttPa< gore. oecuposs r. E / ❑ Sir or mom aoidentiar ado. l7 Armour wr vehkb p Wm City/State/ZIP: Tigard, Oregon ❑Noelth•owststades. CI Supply vologe for MOIL this ❑ Nermdaan Novices 600 eons noosed. Suite/bldg./apt no.: f Project nemm: GAGE FOREST a Serw fader it der ago news or stare. . Cross street/directions tojobsits Ball B D weApasa roc. . Blvd & SW Lengtree Street • 10 SCHEDULE i 1 rm. 1 teas 17 New residenrod Angle- or erukMaetsily dwdtirj unit. Luckudts attaebr regc. Subdivision: GAGE FOREST I Lot m.: ] ,0 00 e4 it or Ins 1 / 145,15 4 ° "'' r �1 En. addl 500 sq. R orpostion J 33.40 1 Tar map/pweeJ no.: Lamt raeideatint DESCRIPTION OP WORK Ovid dare 4,q. 8.) / 75.00 2 Limited energy, multi- fs<atily — NEW SINGLE FAMILY DETACHED • residential (with above sq. tt). 75.00 2 Services or feeders >rntallatiost andler relocation 200 amps or Lem ' 80.3 2 j 0 TENANT 201 serge to 400 amps 106.85 _ PROPERTY OWNER 2 Name: J.T. ROTA CO.STRUCTION, INC 401 amps to 600 amps 160.60 2 601 amps to 1,000 Address: 12600 5W. 72' AVENUE, SUITE 200 Over 1.000 mrtps or r volt volts 454.65 ! 2 454,65 I 2 • City /SLateILIP• POR7IAND, OR 97223 Temporary servtees or feedettr, titsadlrttan, niteratbon, and/or relocation Phone (503)639.2639 Fax (503)624 -0239 200 emptier Icon 66.85 1 Owner isatallgtiem This installation is being made on property that Iowa which is n4, ' 203 amp., to 400 'mg* 100.30 2 intended rot sate, loose, root; or exchange, wording to ORS 447,449, 670, end 701. 401 corps to 599 caps 133.75 •2 Drench circuits —stew, drove Son, or vaetedon, per panel Owner sigtmure: Date: A. Fee for broach circuits .our, ® Alei►LI4:Anr T El CONTACT PERSON above boo fee, 6.65 2 Business Ise e: J.T. ROTH CONSTRUCTION, INC. B. fee for branch circuit; without service or feeder fee, Courted name: DAVID JENSEN Gran branch circuit 46.85 z Address: 12600 SW 72 AVENUE, SUITE 200 Each add? brooch circuit 6.6 J 2 M s nEenteur (.mile sr feeder 4,M included) City /Staic/Z P: PORTLAND. OR 97223 Each nsecufaesured cedar 90.90 l 2 dwelling. service and/or feeder Phone: (503) 639 -2639 f Fax : (503) 62442239 Reconnect mkt _ 66.65 2 - E-mail: DAVEDJ*JTROTBINC-COM _ Pump a irrigation circle 53.40 2 CONTRACTOR Sign or outline tighring 53.40 2 Business name: 1EROMB ELECT RIC INC signal eQCtai s) a br tiled- energy panel. altors6n t, cr Address: PO BOX 751 t0eeaeiott Deearibe: Paget 2 City/Stare/ZIP: HILLSBORO, OR 97123 Each addltroeal tneedlea over alloavable in any of the above , Per inspection 62.50 Phone: (503) 648.5144 I Fax: (503) 6689773 In teengstim per hour (t hr mit) 62.50 COB Lie.: 158119 Electrical Lie.: 28775 Supay. Lic.: 14 -1190 1nduroial plant per lour 73.75 _ _ . ELECTRICAL PERMIT FEES Suprv. Electrician signature; required: Sublolal of p Print name: DAVID A. JEROME Dim ■ uu review f2596 t unit leek 07 P1t State euscharge (S9 of permit fee)c Authorized signature: ..... .e .. 1 . „?* r2—' TOTA,1. P8112411T TEE: Tile permit application =rift ire peon11 I4, rat aed Maio 160 Print [lane: mss Our a ire beam *ample) as ewPMtw • Number ofiespaatiena allowed per permit vns+dldra erailrrl ke danppdee 05/1906 srow6tmnr�tarwa3 e CITY OF TIGARD BUILDING DIVISION k PERMIT #: MST2007- 00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/0007 Phone: (503) 639 -4171 / �naey,,,�� yy '. • Inspection Requests (24 Hrs.): (503) 639 -4175 '! �L INSPECTION WORKSHEET FOR DATE: 4/23/ ' 4 r3 TIME: 7:02AM PAGE: 23 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 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: 4/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Filial inspection 068759 -02 503 - 806.0602 N Corrections /Comments /Instructions: t a►- L./#4 —�r - Sc -'/ "C..E __ T , v G i 2 • .y. . L —fir - 42:1I; gi PAS VA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL .41. CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: VZ Phone #: (503) 718 -e'5" i CITY OF TIGARD - BUILDING DIVISION • PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 4;4I Inspection Requests (24 Hrs.): (503) 639 -4175 `:_.. INSPECTION WORKSHEET FOR DATE: 4/23/2008 TIME: 7 :02AM PAGE: 24 SITE ADDRESS: 15731 SW 131ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONS INC., PHONE #: 503 - 639.2639 CONTRACTOR: ,!F ROTH CONSTRUCTION INC PHONE #: 503-639 I Inspection Request Scheduled For: Date: 4/73/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 603 Mechanical final 068759 -01 503 006-0602 N Corrections /Comments /Instructions: 1 • 4l -'it ❑ PARTIAL APPROVAL 111 CANCEL 111 NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / Vg Phone #: (503) 718 - ry I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/22/2008 TIME: 7:00AM PAGE: 45 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 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: 412212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 068696 -03 503 -806 -0602 N Corrections /Comments /Instructions: S � 2 -t:� 7S-14-- H-a■S T� -`�`'f ( ! >> IMAI ❑ -ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 0710:g Phone #: (503) 718 - { CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/20=07 Phone: (503) 639 -4171 4p01 Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR. DATE 12/17/20 TIME: 7:01AM PAGE: i0 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503. 639 - 2630 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503-639 Inspection Request Scheduled For: Date: 12/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message • 320 Plumbing rough -in 061660-01 503-806-0602 N • • Corrections /Comments / Instructions: • .rte r2 ,, �C i 2 i z � ,,-, P T ( \o .) . O� c� c.Z C a, � ,/ fix 3G t c( to 1 L J TTiN 6D 3 .) 1 g • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1) \ Date: 1 2 I t") .n 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2017 Phone: (503) 639 -4171 d cl • - , Inspection Requests (24 Hrs.): (503) 639 -4175 �_� "'I I.. or INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 :00AM PAGE: 5 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: Now SF. OWNER: J T ROTH CONS{ INC., PHONE #: 503-639-2639 CONTRACTOR: ..IT ROTH CONSTRUCTION INC PHONE #: 503. 639.2639 Inspection Request Scheduled For: Date: 12/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 061394 01 503-806 N Corrections /Comme /IInstructions: w P LI 0 lA ) )' O. t , (3 1. 1 . . -J,-p-S 0_, 3' \k__&,A3--Alz-- 6 9 it - ,, - .+- Q C . 3.) - 1---e,,Q or- ULA_-i1/4--ek-x v o- tiV k)b.-. Z_ „ 0 -- V --- oA/L- . ..."....fl A 0 ❑ PASS t / PARTIAL APPROVAL ❑ CANCEL El ACCESS fi FAIL Pi ALL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED i• / Inspector: `" Date: 127 \7 l 7 Phone #: (503) 718- 24 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: •i11912007 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: U29 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503 - 639.2639 CONTRACTOR: Sr ROTH CONSTRUCTION INC PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 11/9/2007 Pour Time: Code # • Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 059410 -01 503.1006.0602 N Corrections /Comments /Instructions:: \ nt / / ) A 0 , I:Jr A, eV�Te c.-j'��1.! 1 I b.� ' I,.1 a ., ip 1 o ; „ to c. ..4„ l • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS f] FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 67) --' Date: I I J °) j 07 Phone #: (503) 718 - • • CITY OF TIGARD BUILDING DIVISION PERMIT #: M 5T2007 -00,63 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/7007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 . _-_.. F:- INSPECTION WORKSHEET FOR DATE: 11/9/2007 TIME: 7 :00AM PAGE: 6 SITE ADDRESS: 16731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGF FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503 - 639-2639 CONTRACTOR: Sf ROTH CONSTRUCTION INC PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 11/9/2007 Pour Time: Code # Inspection Description Confirm # .Contact # Message 330 Water service 059410-02 503- 806.0602 N Corrections/Comments/Instructions: �a► /�'� e. \ l..) " J e ✓ '` ",e NO MG ar ❑ PASS g PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C:r6\14.1.J i\ Date: F1 ) )0 Phone #: (503) 718- CITY OFTIGARD BUILDING DIVISION PERMIT #: MST2007- 00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 - 4171 °dy Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/6/200 TIME: 7 :00AM PAGE: 16 SITE ADDRESS: 16731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 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: 11/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 059095 -01 503-1306-0602 N Corrections /Comments / Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 01 14 ��SZ lam- Date: 11/ � 07 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007- 00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 4*"` I Inspection Requests (24 Hrs.): (503) 639 -4175 p' I I.. INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7 :00AM PAGE: 15 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New S`F. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503- 639 -2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503 - 639-2639 Inspection Request Scheduled For: Date: 11/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 059096.02 503-806-0602 N Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4i Zvi -" 0 ` Date: /// 1. / 07 Phone #: (503) 718- . CITY OF TIGARD BUILDING DIVISION PERMIT #: Iv93T2007- 00163 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 z - ndiv jai Inspection Requests (24 Hrs.): (503) 639 -4175 R,__. INSPECTION WORKSHEET FOR DATE: 11/612007 TIME: 7 :00AI I PAGE: 14 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: Q29 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503- 639 -2639 CONTRACTOR: J1 ROTH CONSTRUCTION INC PHONE #: 503 - 639 -2639 Inspection Request Scheduled For: Date: 11/6/2007 Pour Time: • Code # Inspection Description Confirm # Contact # Message a05 Sanitary sewer 059095.03 503806-0602 N Corrections/Comments/Instructions: [s PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C1t4 4.Ji5 - Date: j 4x.. -- Phone #: (503) 718- CITY OF TIGARD - DIVISION PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 Pd Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/20/2008 TIME: 7 :02AM PAGE: 7 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 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 #: 503639.2639 Inspection Request Scheduled For: Date: 312012008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 067050-04 503-806-0602 N Corrections /Comments /Instructions: • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /P414L4 Date: 3 " Zip e Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 ' 1' Inspection Requests (24 Hrs.): (503) 639 -4175 ''' L INSPECTION WORKSHEET FOR DATE: 1/2/2008 TIME: 7:01/0/1 PAGE: 6 SITE ADDRESS: 16731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503639.2639 CONTRACTOR: Si ROTH CONSTRUCTION INC PHONE #: 503639.2638 Inspection Request Scheduled For: Date: 1/272008 Pour Time: Code # Inspection Description o firm # Contact # Message 120 Electrical rough -in 062.42306 603.8(16 -0602 N Corrections /Comments/ Instructions: tlii1 6 • • • iCZ.CNIVt QCC 6* 6 To 3 16®x PeQzsov IC)Teke0 lAo P' ca cr`M WtYi . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` 1 O6 L Date: Phone #: (503) 718- 211-02 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/212008 TIME: 7 :01AM PAGE: 7 SITE ADDRESS: 15731 SW 81ST AVE • CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T RO TH CONSTRUCTION, INC., PHONE #: 503- 639.2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 013639-2639 Inspection Request Scheduled For: Date: 1/2/2000 Pour Time: Code # Inspection Description ! Confirm # Contact # Message 115 Electrical s-eivice ( 062423-05 , 50380 &-0602 N Corrections /Comments /Instructions: \ — PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 < Date: I ' Phone #: (503) 718- 211% CITY OF TIGARD BUILDING DIVISION • PERMIT #: MST2007- 00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 A r �� Inspection Requests (24 Hrs.): (503) 639 -4175 __!. INSPECTION WORKSHEET FOR DATE: ii28/7003 TIME: 7 :00AM PAGE: 2 SITE ADDRESS: 16731 SW 81g1 AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: ()29 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF OWNER: JT ROTH CONSTRUCTION, INC., PHONE #: 503-639.2639 CONTRACTOR: ff ROTH CONSTRUCTION INC PHONE #: 503.639.2639 Inspection Request Scheduled For: . "Date: 1/28/2008 Pour Time: Code it Inspection Description Confirm # Contact # Message 242. Interior shear walls � W 064066.01 603 806-0602 N Corrections /Comments/ Instructions: 6i l7 iA l ti...,. ...J __ -0 y PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED * 1 ' 7 Inspector: Date: 2 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: IviSTr007 00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101310001 Phone: (503) 639 -4171 layeg i‘ Inspection Requests (24 Hrs.): (503) 639 -4175 1_.. INSPECTION WORKSHEET FOR DATE: 1/25/2008 TIME: 7:00AM PAGE: 1 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. . OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 50 CONTRACTOR: Jr ROTH CONSTRUCTION INC- PHONE #: 503- 639 -2639 Inspection Request Scheduled For: Date: 1/2512008 Pour Time: Code # Inspection Description `' 'o _ Confirm # Contact # Message 242 Interior shear walls DPw 063981-01 503-806-0602 Y I R , J Corrections /Comments /Instructions: tS G Ub S ILIA — 6 -& ;,€. c�iw,VZ, AvavAi ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /A Date: / 23 el 6 Phone #: (503) 718- '2- -- CITY OF TIGARD BUILDING DIVISION • PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 Z DATE ISSUED: 10/3112007 Phone: (503) 639 -4171 T dNp uj�l+� I 1 Inspection Requests (24 Hrs.): (503) 639 -4175 1 INSPECTION WORKSHEET FOR DATE: 1/7412008 TIME , 2AI PAGE: 6 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503.639 -263B CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 1/24/2001 Pour Time: Code # Inspection Description Confirm # Contact # Message 242 Interior shear walls - 063872 -02 503.006 -0602 N W a-c_A Corrections /C• -- -- • ens: ❑ - p \ 0 L SZc 4-_ p ( — c, - ( / /)-)A ka_Le , AJ 64->t 1 Z2-e ° 5 s ,.-- - 0 ❑ ❑ PA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 'FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Vb - ( ✓ Dater . Phone #: 503 718 Inspector: ( ) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 a' Inspection Requests (24 Hrs.): (503) 639 -4175 .. . ` ' J / INSPECTION WORKSHEET FOR DATE: 1/2112008 TIME: 7:01AM PAGE: 5 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST f • TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 603-639 -2639 CONTRACTOR: SF ROTH CONSTRUCTION INC PHONE #: 603-639-2639 Inspection Request Scheduled For: Date: 1122/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 063648 -02 5503 - 1308 -0602 N Corrections /Comments/ Instructions: • T PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: LI v L V Date: Phone #: (503) 718 . , _. _ . . CITY OF TIGARD BUILDING DIVISION #: MST2007 00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 tl. Inspection Requests (24 Hrs.): (503) 639 -4175 ...' F. _.. INSPECTION WORKSHEET FOR DATE: 1/2212008 , I 7 :01AM PAGE: 6 SITE ADDRESS: 16731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: ,J T ROTH CONSTRUCTION, INC., PHONE #: 503- 639 -2639 CONTRACTOR: ,1T ROTH CONSTRUCTION INC PHONE #: 503 - 63932639 Inspection Request Scheduled For: Date: 1/2212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 0636413 -01 503-806-0602 N Correcti s /Comments /Instructions• 1. r t -. f1Q-,(1/rni ir-- ---- ‘ A C f -ct- PASS 4 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED C1( I V ti tL,, , Inspector: Date: 1 ( Phone #: (503) 718 -U 24 CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 AO* Ip:gj ' Inspection Requests (24 Hrs.): (503) 639 -4175 ' �� INSPECTION WORKSHEET FOR DATE: 1/18/2000 TIME: 7 :02AM PAGE: 3 SITE ADDRESS: 15731 SW 8151 AVE ` CLASS OF WORK: SUBDIVISION: GAGE FOREST L. ;w TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 603. 639-2633 CONTRACTOR: JF ROTH CONSTRUCTION INC; b95.. PHONE #: 503 - 639-2633 Inspection Request Scheduled For: Date: 1/18/2008 - Pour Time: Code # Inspection Description Confirm # Contact ; Mes : • - . 275 Framing 063543.01 603 - 806-06 Corrections /Comments /Instructions: I wrirs,t‘A--4_,i 60)64 . ,.....,,,e_. v 6..A. osst g 14-2.-c vv4 - 5s , c4 e ! C eze.104e_ust, S - - r J. 4 -.•_ W � Or 0 ❑ PASS 1• � PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED '/1 , 4 Ins P ector: v' V Date: V �� Phone #: (503) 71 8- `) l t4 ( 1 I 1 CITY OF TIGARD - BUILDING DIVISION ' PERMIT #: i ST2007 00153 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10131/2007 InInspection O Requests (24 Hrs.): (503) 639 -4175 ' E I / INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7 :00AM PAGE: 6 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: t,AGF FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: A 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: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 06344 -03 503- 806.0602 N Corrections /Com ents /Instructions: i--- -- - C i 1 I 1 0 -ups. 1� ice-( r , 1 , \')CAM ‘i A)-'242-- , 1 1 \ ---- e --2_ A'‘ cam-, . — A.i Jj o .5_,,\. 1 _ Lam' r� c _4 - (. -d ree- / PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspector: Date: ` � k r' o Phone #: (503) 718- 4 Z CITY OF TIGARD 1 II BUILDING DIVISION f PERMIT #: MST2007 -00iG3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 0/310007 Phone: (503) 639 -4171 1��G��A. Inspection Requests (24 Hrs.): (503) 639 -4175 _. INSPECTION WORKSHEET FOR DATE: 1/112008 TIME: 7:02AM PAGE: 4 SITE ADDRESS: 15731 SW 61ST AVF CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503 - 639.2639 CONTRACTOR: JI ROTH CONSTRUCTION INC PHONE #: 603.639.2639 f Inspection Request Scheduled For: Date: 1/1512008 Pour Time: Code # Inspection Description Confirm # Contact # Message AO Exterior sheathing 06325t3 -02 503-806-0602 N orr:ctions /Comments /Instructions: A„.e/ls A/./)-/L, 1 e epee; .: w „u - u A - u - 5 — i — - - ivy • v � _ 444 - r” - A/4- - c.-,... -i .ter" !r 1C ai LZ6 s'515 • PASS El PARTIAL APPROVAL III CANCEL ❑ NO ACCESS IL ❑ CALL FOR. INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date :t -t ---ci 8- Phone #: (503) 718- 244z CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ial I. INSPECTION WORKSHEET FOR DATE: 1/16/2008 TIME: 7:02AM PAGE: 3 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: N SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503 - 639.2639 Inspection Request Scheduled For: Date: 1/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear wallskanchors 063259 -03 503- 806-0602 Y Corrections /Comments /Instructions: /� ,.1. t . , r . '' S' /: 1- 7 - ,- -PDGU ._� GFO �v - ...t _ rr ❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: 7 `S =—G S'� Phone #: (503) 718 - CITY OF TIGARD ` BUILDING DIVISION PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/31/20x7 Phone: (503) 639 -4171 . vigil Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7:01AM PAGE: 6 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503.639-2630 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 603-639-2639 Inspection Request Scheduled For: Date: 1/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 062600.06 503-806-0602 N Corrections /Comments /Instructions: I 1 ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: l 1 0 Phone #: (503) 718- . 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 A �� Inspection Requests (24 Hrs.): (503) 639 -4175 � J 1 INSPECTION WORKSHEET FOR DATE: 1/4!2008 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503. 633.2639 CONTRACTOR: Jr ROTH CONSTRUCTION INC PHONE #: 503-638 -2639 Inspection Request Scheduled For: Date: 1/4/2008 Pour Time: 1 Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 062600 -05 503-8060602 N Corrections /Comments /Instructions: I ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR I SPECTION ADDITIONAL FEES ASSESSED I Inspector: / Date: 1 / 1 1/4 Phone #: (503) 718- , CITY OF TIGARD BUILDING DIVISION h PERMIT #: MST' :007 -00 i63 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/31/20(17 Phone: (503) 639 -4171 ,� . :�ll� Inspection Requests (24 Hrs.): (503) 639 -4175 ". .. INSPECTION WORKSHEET FOR DATE: 1/4/20013 TIME: 7:01AM PAGE: 8 SITE ADDRESS: 16731 SW 61ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: ()AGE FOREST DESCRIPTION: New SF. OWNER: ,,I T ROTH CONSTRUCTION, INC., PHONE #: 503 - 639.2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503 -639 -2639 Inspection Request Scheduled For: Date: 1/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 062608 04 503-1306-0602 N Corrections /Comments /Instructions: ❑ PASS ❑ PARTIAL APPROVAL A CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED (Ai W Inspector: r 1 ,/ Date: I Phone #: (503) 718- CITY OF TIGARD _, BUILDING DIVISION PERMIT #: MST2007- 00163 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639- 4171 ��j�� Inspection Requests (24 Hrs.): (503) 639- 4175 INSPECTION WORKSHEET FOR DATE: 1/2/2008 TIME: 7 :01AM PAGE: 5 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF, OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503. 638-2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503-639-2639 Inspection Request Scheduled For: Date: 1/2/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 062423 -07 503-806-0602 N Corrections /Comments /Instructions: .� 1 S r't i - 0i,1 - _ - V PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � Inspector: �� Date:, t J� Phone #: (503) 718- L 4110 i r , CITY OF TIGARD BUILDING DIVISION PERMIT #: IIr1ST2007 -00163 \ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 ti�I Inspection Requests (24 Hrs.): (503) 639 -4175 F_� INSPECTION WORKSHEET FOR DATE: 117J200 TIME: 7 :01AM PAGE: 4 • SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: 3AGF FOREST LOT #: 029 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 #: 603-639-2639 Inspection Request Scheduled For: Date: 1p.120oa Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 062423 -08 503 -806-0602 N Corrections/Comments/Instructions: 14�� c2 j/ D( t - - S t ND 2 'q e __-- F,P. C / . C'_ v- ce 1 IN 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL / CALL FOR INSPECTION ❑ AD AL FEES ASSESSED Inspector: p ` Date: Ins " (3 C/ Phone #: (503) 503) 718- 2.-, \ • CITY OF Ti A�® � tea 1-6c-A_ . p- ti, O G BUILDING DIVISION A - PERMIT #: MST2007 -00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 p f '` ' Inspection Requests (24 Hrs.): (503) 639 -4175 . "•_t_.. INSPECTION WORKSHEET FOR DATE: 12/21/2007 ' : 7:03AM PAGE: 17 SITE ADDRESS: 15731 SW Q1ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 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: 12/21/2007 Pour Time: Code # Inspection. Description Confirm # Contact # Message 240 Exteri sheathing 062040.02 503 - 806 -0602 N i Corrections /Co ments /Instructions: `� tc,0,.1.---srl---cts. , Az c - W - ,, -- 4, - cQ NAAA)ss:_e_ cr.r ,,,,,_. A.,2_,_ 6 .., ---e._ \,xA 5, L-e,. �,.� t Pry-- 4V - 5 .A. z.L -.r-- s — a� f 1.14%_■ ‘ "3 \k_,C.4 \,Ls__SLQ__.—e 4 5 - 9 ,. TT . \,.,,,, :...) ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ch—/ Inspector: Date: /07 Phone #: (503) 718- . C � • CITY F TIGAR® �� '� � C.e BUILDING DIVISION . - PERMIT #: MST2007 -0(163 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 10/31/2007 Phone: (503) 639 - 4171 .��i iI / Inspection Requests (24 Hrs.): (503) 639 -4175 • "�I.. INSPECTION WORKSHEET FOR DATE: 12/21/2007 TIME: 7:03Am PAGE: 18 SITE ADDRESS: 15731 SW 81ST AVE. CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 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: 12/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear wall:/ anchors 062040 -01 603- 806-0602 N Corrections /Comment /Instructions: " (L3161 °, 5 V\ 5 lr\A- co—S 2,—a pi ,f . 4__ Ose \Ai\ *r-tii- 1 ''' . 4. Q 5 ` C91 , AA-A CA/7) l 4- r--•--1 L - 3 i i ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS `, FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 71; Date: '11/‹.- D ?Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: Ma07 -00163 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: '1013112007 Phone: (503) 639- 4171 ° � �i G �'iii?, r 0 Inspection Requests (24 Hrs.): (503) 639 -4175 ! "' IL . INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7 :01Alv1 PAGE: 72 I SITE ADDRESS: 16731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. I OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503- 639 -2633 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503 - 639-2639 Inspection Request Scheduled For: Date: 11/1312007 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beam mechanical 059493 -02 503-806-0602 N Corrections /Comments /Instructions: _ • K . , ig treariMI WW , 7 ...In..-- W O ❑[ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT NAL EES ASSESSED i , rI , , Inspector: . V I II , 1 Date: 1 ` 1 3 0 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: M5T2007- 00163 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '1()/31/2007 Phone: (503) 639 -4171 � . i' Inspection Requests (24 Hrs.): (503) 639 -4175 1 I L. INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: 73 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. '- OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 503-639 -2639 CONTRACTOR: ,.IT ROTH CONSTRUCTION INC PHONE #: 503-539-2639 Inspection Request Scheduled For: Date: 11113/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 059493 -01 503.806 -0602 N Corrections /Comments / Instructions: ■ c ) . Allrelli■ , " AfiV 'ma m..-c:..410 — — W/ W I irpir■- - d p wow • ❑ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI AL EES ASSESSED Inspector: � i Date: Phone #: (503) 718 %4‘- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -00i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10131/2007 Phone: (503) 639 -4171 . 0 1 1,12 ,1 Inspection Requests (24 Hrs.): (503) 639 -4175 ,_...„.W. 1 L INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7:02AM PAGE: 2 SITE ADDRESS: 15731 SW 01ST AVE CLASS OF WORK: SUBDIVISION: GAGE FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCTION, INC., PHONE #: 603 - 639 -2639 CONTRACTOR: sr ROTH CONSTRUCTION INC PHONE #: 503.639 -2639 Inspection Request Scheduled For: Date: 11/1/2007 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 058830 -01 603 - 806.0602 ,y Corrections /Comments/ Instructions: U// 'rte l SS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: /./—/— "] Phone #: (503) 718- , CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007 -01) i63 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2001 Phone: (503) 639 -4171 ,,u11 11 Inspection Requests (24 Hrs.): (503) 639 -4175 .J... ' IL. INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7:02AM PAGE: 1 SITE ADDRESS: 15731 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GAGF FOREST LOT #: 029 TYPE OF USE: PROJECT NAME: GAGE FOREST DESCRIPTION: New SF. OWNER: J T ROTH CONSTRUCT10N, INC., PHONE #: 503 - 639 -2639 CONTRACTOR: JT ROTH CONSTRUCTION INC PHONE #: 503-639.2639 Inspection Request Scheduled For: Date: 11/1/2007 Pour Time: 11 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 058830-02 5038806 -0602 N Corrections /Comments /Instructions: 4‹ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: AA Date: / / / —c7 Phone #: (503) 718- g q STREET TREE CERTIFICATION I D JWJ9F. -�� ✓S f , Owner/Agent for D TL /?0 004/s.: (PLEASE PRINT) (PERMIT HOLDER) n .l 1 [ � �`" ` � r • Do hereby certify that the following location meets City of Tigard 'and; Was - igton (County G land use and development t ndards .fdr street tree installation. TT / /i\ n? i ADDRESS: /573/ SUBDIVISION: / r,�? yLES LOT: 2-, SIGNATURE: X 410 - ; , - DATE: 7/2-Ar R/A'GENT) RECEIVED BY: ------ DATE: 07 /o OF TIGARD) - I:\ Building \Forms \StreetTreeCertificate 01/19/07