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CITY CSF T I GARD
c.ERrzF ICATr OF' e
COMMUNITY DEVELOPMENT DEPAnTMENT OCCUPANCY
PERMIT #. . . . . . . t M"7T94 rD�:i�.
13125 OW Hall Blvd.Tigard,Oregon 97223.8)99 (504)939;4171 ,OAT(= I SSUE=D t 00*/11[1/95
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� PARCEL: �: 1�14cD Wt��ell��1 ;.
:,ITE ADDRESS— : 1.;3364 SW ItiL..L.;5HlRE DR
SUBUIUISION. . . . : HII.LSHIRE E:SYATES
7.ONINC:R--i' PD
SLOCV. . , . . . r LOT. t ►3111
CLASS OF WORK. t NEW k
TYPE (:11=' USE. . . :SF
SF
I OCCUPANCY G(i-1, c R3
OCCUPANCY LOAD t. 00 4
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TENANT NAME:. . . : ■
RemAl-ks: POTH I
(:Jwrte?-z
J ROI-1-1
12"560 SW 68
T I GIARD OR 97r,23
Phone #R: 639-2639
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J. r. ROTH CONSTRUCTION INC
12540 SW 66TH PARkWAY r
T16ARD OR 97283
Phone #i: 639--2,639
Reg #. . : 3170LA
OcCUPAncy Of the above r-eferencerl building is hereby yi.ven, and cEw t . fILA s
H-le complianc&, with the ;Fate Of Oregon Specialty (,odes for, the group,
OCCIAPancy, and use Uiir(er^ Which the refer•-enc•:+cl Kier^mit was iss�_ied„
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BUILDING INSPCTOR _ ' . 'ILMI , OFF'.[ :IAL
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POST IN CGNSP I CIJOW3 PLACE
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GFRT .IFICATE O r
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CITY of TIGARD PERMIT #.. . . l.. .a MST94-•01,'='16 ,
COMMUNITY DEVELOPMENT DEPWrIAPENT MATE I SSUED e 02/10/95 �
1317.5 SW Hall Blvd.Tigard,Oregon 87223.9100 (503)030-4171
PARCEL,.,s 2 S104CD--0.3000 '
i;ITE' 6`DORE.G5. . . : 1 564 SW Hi1_LSI-iIEL, Dfit
°;UBIUIV.1'SIC)N., . . . : HILLSHI,RE ESTATES Zl7NINGsF2 -'7 PD
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . :030
CLASS OF WORK. :NEW
'I Yr-"E.. OF USE. . . ..So
OCCUPANCY (3RP. s R3 �
UCC UPANC Y LCIAD:c.30 4
TCNiAN'f NAIt1E. . . c
Remark,,-i: PATH I
ROTH
12560 SW 68
'1IGARIJ OR 9?.'23
1-hone #: 6;,9--:'639
I. "E. (°^i.: CONSTRUCTION INC:
125410 5W 68TH VARKWAY I
TIGARD OR 97223
Phone 11: 639-2639
t
Rog #. . 1 :31700
�! Occupancy of the above referenced bu.i ldiriq is hereby giver, incl certifies
tho compliance with the State OF Oregon Specialty COde% for the group,
t.:rcupasnc:y, and •_l=w_ under which the referenced prr it Was i :aaLled.
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BUILDING INSPECTOR �U1C.DIN� C11FE. DIAL
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POST 114 CONSPIf:UOU13 PLACE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I Inspection:___ —V
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Much. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in rr AT,,
Post/Beam Mech, San. Sewer Gas Line 6ld -2 —
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Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation ec
Underflr. Insul. Shear Wall Gyp. Bd. -2-lect.
Date Requested: 1 Time:XAM PM
Address: _2 ``
Builder: j — c� w Permit
THE FOLLOWING CORRECTIONS ARE REQUIRE
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Ins ect,r:
p _ Date.
'efK'P'F,IOVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417 1
Inspection:_
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j Footing Susp. Ceiling Sprink. Rough in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer i Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
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Alarm Water Line Insulation -Mech. I
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested: _ Time: AM _ PM
Address:—. —
Builder: Permit #: U 2–
THE
THE FOLLOWING CORRFCTIONS ARE REQUIRED:
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Inspector:
~J `-�'V �✓„ 1"'`— Date: a -?
_APPROVED _DISAPPROVEDPPROVED SUBJECT TO ABOVE
`Call For Reinsp.
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CITY QF T7r3A,9nUILDING INSPECTION NOTICE
Inspection Line (Re.c-O-Phoney 639-4175 Business Phone: 639 4171
Inspection:
Focting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in
Post/Beam Mech. San. Sewpr Gas Li:.e C-7dy,�
Plbg. Underfloor Rain Drain Framing
Water Line Insulation
Alarm a L I
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: --Z 6 - _Time:
TAM PM
Address:
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Builder _5 GL' ) �i.�( Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: I/'-
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Inspector:_ ��/`� _ Date:
_APPROVED 41SAPPPOVED _APPROVED SUBJECT TO ABOVE
v Call For Reinsp.
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CITY GAF?U,dUILDING INSPECTION NOTICE
Irzpection Line(Rcc-O-Phone): 639-4175 Business Phone: 639-4171
F Inspecticn:
Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Eiec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
°Ibg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: _
Builder: _Permit #:
THE FOLLOWING CORRECTIONS ARE RcQUIRED: �-
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Inspector: L� �- Date: 1 7
—APPROVED -�AISAPPROVED _APPROVED SUBJECT TO ABOVE
✓Call For Reinsp
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CITY OF T4GAR5,BUILDING INSPECTION NOTICE
t - Inl§pection Line (Rec-J-Phone): 539-4175 Business Phone: 639 4171
InsHgction:
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q Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post!Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insui. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ Tine: AM PM
Address: _ T�� /
Builder: _ Permit #: c) "llb 7 l (�
THE FOLLOWING CORRECTIONS ARE REQUIRED: Qe-7 3
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Inspector:_
)ate:
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,APPROVED _/DISAPPROVED _—APPROVED SUBJECT TO ABOVE
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all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
inspection Line (Rec-O-Phone; 639-4175 Business Phone: 639-4171
Inspection: r
Footing Susp. Ceiling Sprink. Hough-in Appr/S,111k
Foundation Plbq. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Our Elec, Hough-in FINAL:
Post/Beam Mc-h. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain rraming CPI b
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ^ Time:---AM PM
Address: Z.51 -s6 ell
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Builder. c. ---°ermit #: i l
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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In ector Date:
............ )�4p PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
l Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Undersiab Mech. Rough-in Fireplace
PostiBeam Struct. Plbg. Top Out Elec. Rough-in
Post/Beam Mech. San. Sewer Gas Line -Bldg. j
Plbg. Underfloor Rain Drain Framing lumb
Alarm Water Line Insulation -Much. ■
Underflr. I,nsul. Shear Wall Gyp. Bd. -Elect.
Dato Requested:— I I ( � Ct Time: AM PM
Address: DA
Builder: .S`7 - �{ 7 �Il) Permit
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspect("/._ _ Date: '
_APPROVED DISAPPROVED _ PPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departs:ant
13125 Sw Ball Blvd. Tigard, Oregon 97223 4�
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 F
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Inspection: `
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdw1k
Pound. Plbg. Top Out GLine- FINALS
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Post/Beam Strvct, San. Sewer Framing -Bldg. .
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line / Gyp. Bd. -Hoch.(
Date Requested: �! / _Times AM PH G
Addrdse:� 3��_� IVY- e2/�1� � Permit #s 1
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED- f'
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1 LIES ^Sr�I'f'o� s /'1/ ' r l j it
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APPROVED DISAPPROVED --xROVED SUBJECT TO ABOVE
Pte^ Reinep.
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INSPECTION NOTICE `
City of Tigard Building Deportment
1.3125 3N' Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busi.nese Phone: 639-4171
Inspection• —
Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
Post/Berm Struct. San. Sewer Framing -Bldg. f
IPost/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line ..Neck,
Date Requested: l G r 3 G� I Time: AN PN r' S
Address: Permi' 4.
Builder: h{Y
THE FOLLOWINU CORRECTIONS ARE REQUIRED:
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----- i+ST f ,fid i✓ of !r;►�'/,��..�, TGA
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Inspector: _
— / Date-
_—APPROVED DISAPPRO11RD APPROVED SUBJECT TO ABOVE
_ Call For Reinsp.
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,INSPECTION NOTICE
City of Tigard Building Departsrint
13125 811 Hall Blvd.
Tigard. oregon 97223 4
ec-O-Phore): 639-4175 Business
Inspection Line (RPhone: 639-41 f
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Inspect ion —
Footing Plbg.
Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg.
Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer
Framing -aldg.
Ineulation-) -Plumb.
Post/Beam Mech•
Rain Drain _
-Mach.
Plbg. Onderfloor Water Line / Gyp. Bd.
(C) ` j• `i Times r L'�ti --PM
Date Requested:
Addresas J�, _i ( I I Permitrp
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Builder: _ i�
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THE FOLr,OWING COPRSCTIONS ARE REQUIRED:
Date:
Inspector:_ —r— -------
APPROVED �— DISAPPROVED APPROVED SUMIECT TO ABOVE
call For Relnep.
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INSPECTION NOTICE.
Ci :y of. Tigard Building Departnent
13125 SO Ball Blvd. Tigard, Oregon 97223'
Inspection Line (Rec-O-Phone): 639-41:5 Business Phone: 539-417
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Inspection: _ (5
Footing Plbg, Ondersl.ab Mech. Fough-in Apl.c/Sdwlk f
Found. Plbg. Top out Gas Line FINAL:
Poet/Berm Struct. San. Sewer amino _ -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb. �
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Da.to Requested: TTime: AM
Address:1 �j� "f �r� J�G1Jl/�.Q Permit 1:__ CZ I - Li
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: "
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Inspector:_ _ r Dat-e:{4 _•>_. _1 Y �1
APPROVED �V DISAPPROVED Z___l1PPROVED SUBJECT TO ABOVE
Call For Reinap.
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IMBPFCTIOM NOTICE
City of Tigard Building Departaent C
• 13125 Bw Hall Blvd. Oregon,Ti ardOc 97223 \
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Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. U:derelab ech. Rough-in Appr/Sdwik
Found. Plbg. Top Out Gas Line FINAL-
t/Beam Strutt San. Sewer nl ing )� _Bldg.
1 �
st/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Lina Gyp. Rd. -Hoch '
AData Requested: Time: _ AM pH
Address: Permit
Builders
TRE FOLLOWING CORRECTIONS Am REQUIRED:
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Inspector:.,
Date:
APPROVED DISAPPROVED --- APPROVED BUBJECT TO ABOVE
{ / ` —•!L`all For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 aw Ball Blvd. Tigard, Oregon 91223
Inspection Lina (ROC-0-Phone): 639-4175 Business Phone: 639-4171
pj Inepeatione
Footing Plbq- Underslab Hoch. hough-in A
ppr/Sdwlk
r
Found. Plbg. Top out Gas Line FINAL:
` Post/Beam Struct. San. Sewer Frnming -bldg.
Post/Beam Mach. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Mater Line Gyp, Bd. -Hoch. •
Date Requested:j I-Time: AM PN
Address:
— Permit ,:�4 —O 2—
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspeci.ors_ /l
-J— Dates ✓
AP4ROVED DIS1►pPRnVE,)
APPROVED SUBJECT TO ABOVE
\ C Lt gall For Reinsp.
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° INSPECTION NOTICE
City of Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Business Phone: 639-4171
inspections
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Footing Plbg. Underalab Meah. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requesteds _ Times AM PM
Address: Permit ft ``1 V D
Builder:
THE FOLII.3WING CORRECTIONS ARE REQUIRED: pe) �' Y
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Inspector: Date:
APPROVED J 0I3APPROVED APPROVED SUBJECT T3 ABOVE
1r/ _ Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Dupartoent
13125 811 Ball Blvd. Tigard, Oregon 97223 i
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171 r
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Inspection: _.. �_--
rooting Plbg. Undermlab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
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Post/Beam Struct. San. Sewerramin9 ) -Bldg.
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Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mach.
Date Requested:_ 1 Time, AM PM
Address:_ Permit
Builder:__ }
THE FOLLOWING CORRECTIONS ARE REQUIRED: j
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Inspector'---.
_^APPROVED —_ DI
SKOVED APPROVED SUBJECT TO AnovE /
For Reinsp.
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IN9PSCPION NOTICE •,1
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
y Footing Plbg. Underelab Mach. Rough-in r/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
i
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: Time: AM PM
/ .0 --//
Address: !� i 5^�' L� � iL�' Permit is / ' -
Builder:-_S
THE FOLLOWING cORRECPIONs ARE REQUIRED:
Inepector:_� / {�/..es.f,ri► L! � �_`--------._—�0---/_�w
APPROVED v
DISAPPROVED APPROVED S7BJR, TO A
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INSPECTION NOTICE =f_...�-
City of Tigard Building Department
131-OS dA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phoret 639-4171
In►pections
Footing Plbg. Onderelab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
{" Post/Beam Struct. San. Sewer Framing -Bldg.
G Post/Beam Koch. Rain Drain Insulation -Plumb. ,
� rte I
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Plbg. Underfloor wet r L + Gyp. Bd. -Koch.
�C/ A � Timet . d,-.7�K
Date Requeetode
Address: Permit #
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Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector._ 0-
Date: ,
APPROVBD DISAPPROVBD APPROVED SUBJECT ABOVE
Call For. Reinap.
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INSPECTION NOTICE
Citt of Tigard Building Department
13125 BW Hall Blued. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-44175.C/Business Phones 639-4171 7!
Inspection: yV y}'I i "X C-
Footing Plbg. Underelab Koch. Rough-in �AP`P rr/`SSd—wlk= �+
Found._ ` Top Out Gas Line FINAL:
E
Poet/Bea� etrnot. San. Sewer
Framing -Bldg.
Post/Beam Nech, Rain Drain Insulation -plumb,
Plbq. Underfloor linter Line GYP Nech. ad. - � I
'/ .
Date Reqs ested:_ �� /' G y —
Time: f
Address: / ' L�--{ `'t` ,� ► L 1 -w1 `�
Permit c', �� I
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Builder: � y7`I,
THE FOLLOWING CORRECTIONS ARE REQUIREDs —
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Inspector:
f Date:
APPROVED DISAPPROVED
APPROVED SUBJECT To ABOVE
—_Call Foc Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 M Hall Blvd. Tigard, Oret+o•. 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
j Inspections
Footing Plbg. Underelab Mec Rough-in Appr/Sdwlk
found. Plbg. Top Out Gas
✓�Line FINAL:
Poet/Beam Struct. San. Sewer -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water 'Line Gyp, ed. -Hach.
Date Raquseted:_/ I/ f�. &?1 `�( Timer AM PN
Addreas: / zS� 7 l �ll�41L.� N�', Permit
:
Builders
{ THE FOLLOWING CORRECTIONS ARE REQUIRED=
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Inspector:_ Dates O— � i
APPROVED ."�'DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
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� INSPZgTION NOTICE
City of Tigard Building Depwrtaient
13125 aw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone 639-43.71
Inspection: -
0 !outing Islbq. Underelab Mech. Rough-in Appr/Sdw
Found. Plbg. Top Out Can Line FINALS
Post/Beam Struct. San. Sower -ming -bldg. ,
] Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested: /j ! Times AM /_PM
8 Addrenss
Builder: —
2.
THE FGLLOWINO CORRECTIONS ARE REQUIRED:
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Inspector: �'� L� _ Dates
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APPROVED rDISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
City or Tigard Building Department �.
13125 AN Rall Blvd. Tigard, Oregon 97223
j Inspection Line (Rec-O-•Phone): 639-4175 Business Phone: 639-4171
Inspection:
looting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line
� FINAL.
P-Jet/Beam Struct. San. Sewer
� Framing -Bldg.
Post/Beam Hoch. Rain Drein
Insulntlon _plumb,
Plbg. Underfloor Nater Line Gip. Bd. -Hech. �� I
Date Reques':ed: , Li �! Time:
—)— � AM _FM
Addrese: E 5 (p LI t } 1 Pe1I�rmi��t (w
Builder:_,)
THE FOLLOWING OORRECTIONS ARE REQUIRED-
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EQUIRED:Glam%
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Inspectors
4--/DISAPPROVEDDate:
APPROVED _-- �� APPROVED SUBJECT TO ABOVE
'
Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building Departeent
13125 Bp Ball Blvd. Tigard, 0regoo 97223
Inspection Line tRec-O-Phoneys 639-417 Business P e: 639-4171
Inspection:
Footing
I g Plbg. Underel Hoch. Rough-In Appr/Sdwlk
{ Pound. Plbg. Top pas Lina PINAL:
i
Post/Beam Struct. Framing -Bldg.
t
Post/Beam Hoch. In Drain) Insulation '
-_ -Plumb.
Plbg. Underfloor Water Line Gyp- Bd.
-Hoch.
Date Requested:_ Times —AMt
PH
AddreseL PeYmit S� g
Builder: 6.j
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pi TBE ROLLOWIN CORRECTIONS ARE REQUIRED:
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APPROVED D BAPPROVBD
r APPROVED SUBJECT TO ABOVE
Call For Re:nap.
INSpMCTION NOTICE �
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
± Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
I
Inspections
C 09-
, SSL Plbq. Underslab Mech. Rough-in Appr/Sdwlk
�ound.; Plbg. Top Out Can Line FINAL:
Post/Beam Struct. sen. Sewer Framing -Bldg.
.. i.
Poet/Beam Mech. Rain Drain Insulation -Ply.
Pibg. Underfloor Water Lino a Gyp. Bd.
Date Requested: / - — �/�� l 1T�ivm,�,es n AM PM
Addreee:_I c 1, Pbrmit ♦t 1 L/ Q� 4
Builder: � �'� IC 22
THE FOLLOWING CORRECTIONS ARM REQUIRED: J
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Insper_tor
_ `APPROVED DISAPPROVED _� APPROVED SUBJECT TO ABOVE
Call For Reinep.
I
IN$PE ION NOTICE J7� y
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223 `
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
1 Inspections
\oo_� ting Plbg. Onderelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line ''INAL:
Post/Beam Struct, San. Sewer Framing -Bldg. p
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech. I
J Date Requested: / f Times AM PM
Address: / !L� I//, Pe LliSf:
Builders sJ 7 RU rA
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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"PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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IMMEME
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PLUM
TIGARD PERMITN#. PERMIT . IrIST9, -•0216
CITY OF DATE ISSUED: 06/27/94
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639.4171
PARCEL: ,`S 104GD -03000
SITE ADDRESS. . . : 13564 SW HILLSHIRE DR
SUBDIVISION. . . . : HILLSHIRE ESTATESZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . .. . . . . .
:030
CLASS OF WORK. . :NEW GARBAGE D I SPOSAL_S. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :F.3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 ■
FIXTURES----------•---_.-- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1 I
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . :IZ,
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 10CI
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remark.: : PATH I
OWNER: --- -------_ _-____- ---- -______ -------------------FEES---------------
J ROTH TIF $ 1520. 00 JG 06/27/94 -
12580 SW 68 BPRT $ 595. 50 JG 06/27/94 -
Br''I-C $ 387. 08 SW 05/31/94 94-252896
TIGARD OR 97223 BSPC $ 29. 78 JG 06/27/94 -
Phone #: 639-2639 SSDC $ 280. 00 JG 06/27/94 -
PARK $ 500. 00 JG 06/27/94 -- 1
Plumbing Uontractor:-------------------- MPRT $ 45. 00 JG 06/27/94 -
MPLC $ 11. 25 Ju 06/2:7/94 -
Name : _ ,�,1L _. M5PC $ 2. 25 JG 06/27/94 -
Address : 1a_lA9D SL- ) 6711- 14ve PPRT $ 170. 00 JG 06/27/94 -
C i t y: -A- State :� n1 F15PC $ 8. 50 JG 06/27/94 - I
Zip:q-2 02 Phone#:_��
Reg #:
.�_� /
------ - REQUIRED INSPECTIONS - ------
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp
in accordance with approved plans. 'This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical. Insp Building Final
suspended for more than : 80 days. Plumb Top Out Erosion Control
Framing Insp
Fireplace Insp
Gas Line Insp _
;- Insulation Insp
Gyp Board Insp
lt ri.zed PlLIm ng Contractor- Signature
Call for inspection - 639-4175
Contractor Notes :
i
L_ `
Ar. yy�, rx. �h $'Plt�!' �, if ,.+{... ,7.y.. ;qc K •:� .,z!qr '�, +rr r�++rhe u><.+n�paJhP,f .sr q .. .,,�,r,•r ..ia�.
Y
71
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT D P R E T PERMIT #. . . . • . . : MST94-0216
13128 SW Hall Blvd.Tigard,Oregon 97223.91 `' O3)OGS 71 DATE ISSUED: 06/27/94
PARCEL- 2S104CD.-03000
SITE ADDRESS. . . : 13564 SW HIL-LSHIRE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 FID
BLnCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :030
_-------------------•--------------- BUILDING ---__------------•----------------------
R�_ISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :940 sf
CLASS OF WORK. .-NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :660 sf
T`eDE OF USE. . . :SF FLOOR AREAS------------ REQUIRED SETBACKS------------
TYPE OF CONST. :5N FIRST. . . . : 1187 sf LEFT. . :8 ft RIGHT. :9 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1194 sf FRONT-20 ft REAR. . :89 ft
STORIES. . . . . . . :2 THIRD. . . . :0 s f REQUIRED--------------------
HE
EQUIRED-----•--------------
HEIGHT. . . . . . . . ..30 ft TOTAL---------:2381 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . f : 164646 PARKING SPACES. . : 1
Remarks : PATH I
------------------------------------- PLUMBING ----------------------------------------
SINKS. . . . . . . . . . .. I
----------_-------------_---- .-------
SINKS. . . . . . . . . . : 1 FLOUR DRAINS. . . . :0 BACKFLOW PREVNTRS• . : 1
LAVATORIES. . . . . :5 WATER HEATERS. . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES• . . . , :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : i SF RAIN DRAINS. . : 1
--------------- MECHANICAL ---------------------------------- FEES ---------------•
FUEL TYPES--------.---- UNIT HTRS. . :0 type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JG 06/27/94 -
MAX INPUT:O ETU VENT FANS. . :4 BPRT $ 595. 50 JG 06/27/94 -
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC f 387. 08 SW 05/31/94 94-•252896
FURN ) =100K . . : 1 WOODSTOVES. :0 BSPC $ 29. 78 JG 06/27/94 --
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JG 06/27/94 -
BOIL/CMP ( 3HP:0 OTHEO UNITS: 1 PARK $ 500. 00 JG 06/27/94 -
GAS OUTLETS: l MPRT $ 45. 00 JG 06/27/94 -
Owner: ----------------____-__.._______..._.___MPEG $ 11. 25 JG 06/27/94 -
J ROTH MSPC $ 2. 25 JG 06/27/94 -
1.2580 SW 68 PPRT $ 170. 00 JG 06/27/94 -
P5PC t 8. 50 JG 06/27/94 -
TIGAP,D OR 97223
Phone #: 639-2639
Contractor: ---------- -- -__----------- --
J. T. ROTH CONSTRUCTION INC
12540 SW 68TH PARKWAY, SUITE B
I T I GARD OR 9722.3
1 Phone #: 639-2639
Reg #. . : 31700 _.__.___._________.__.------•---•---__-.-- -______.._..__-__
,•;'.l f 3549. 36 TOTAL
I This permit is issued subject to the regulations contained in the ---------
REQUIRED INSPECTIONS -
", Tigard Municipal Code, ;;tate of Ore. Specialty Codes and all other Foot/found Insp Firepl;.,ce Insp
applicable laws. All work will be done in accordance with approved Post/Beam Stri_Ict Gas Line Insp
plans. This permit will expire if work is not started within In Post/Beam Meehan InSLIlation Insp
days of issuance, or if work is suspefoirur thaw 188 days. Plm/undslab Insp Gyp Board Insp
- PLM/Underfloor Rain drain Insp
Permittee 5ignatiare: _ Mechanical Insp Water Line Insp
Pli.lmb Top Oi_It Appr,/Sdwlk Insp
Issi_ied By : Framing Tnsp Mechanical Final
Call for inspection - 639-4175
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CITY OF TIGARD SEWER CONNECTION
PERMIT
COMMUNITY DEVELOPMENT D 3 .R T PERMIT #. . . . . . . : SWR94-0217
V
13125 SW Hall Blvd.Tigard,Oregon 07223"81 503) 9. 71 DATE ISSUED: 06/27/94 ^!
y PARCEL: 2S104CD-03000
SITE ADDRESS. . . : 13564 jW HII_LSHIRE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :030
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 1'
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BU I LD I NGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
Remarks : PATH I
Owner: --------------------------------------------------------- FEES ----•------•----
J ROTH type amount by date r-ecpt
12580 SW 68 PRMT t 2200. 00 JG 06/27/94 -
INSP $ 35. 00 JG 06/27/94 - j
TIGARD OR 97223
Phone #: 639-2639
Contractor: - ---------- _ _____------------
CONTRACTOR NOT ON FILE
Phone #: f 2_35. 00 TOTAL
Reg #. . . !
------ REQUIRED INSPECTIONS -------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires IN days from
the date issued. The total amocnt paid will be forfeited if the _
permit expires. The Agency does not guarantee the accuracy of the
side smwer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
,he distance given. If not so located, the installer shall purchase -
a "Tap and Side Sower' Permit and the—Aaqcy wi11._instjll a lateral.
Oermittee Signature -�-
Issued By :
Call for inspection - 639-4175
r�
Residential Building Permit Application
City of Tigard C
13125 SW Hall Blvd.
Tigard, OR 97223 i
(603) 639-4171
Jobsite Address:
i7f ls� Lot # V Office Use Only '
Subdivision:
_ 7
C l PlanckJRec#
Valuation: /
Permit #
Owner: Reissue of
Address:_ Z2 Map& TL
PhonApprovals Required
e: —�.�7~���,L�
Planning
Contractor: Engineering
Address: Other _
i
l Items Requlred
Phone: % y
1 Contractor's License # 3 ��� Subcontractors
(attach copy of current Oregon
lilicense) Truss Details_
Contact nary '& phone: .�� Jxif/�3,� Otn2r _
Subcontractors:
Plumping:
MecMcal: C
(attach copy of current OR Contractor's License)
ArchitecdEngineer•
Address: F :Y//
�
I
Phone: 2
i
JOB DESCRIPTION: /l/'r' ��, ��• r/� �lC� �j
Applicard Sign re & Phone number
Received by: Date Received: ( � 1 7
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Permit # Account Description Amount Amt. Pd. Bal. Due
177,5 04 A/ Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) SFJ: _(4i
State Tax (TAX) Ur
Bldg: 7Y
Plumb: �' f
Mech:
i zL� �'•33
Plan Check (PLANCK) 3�l�' 3� 51-D
Bldg: �3�7• �,b'
Plumb:
Mech:
, 'Wk�l-
102 Sewer Connection (SWUSA) -°c' _ 1 a
Sewer Inspection (SWINSP) .3) 3 5
Parks Dev Charge (PKSDC) `S cu 15-6 u
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) Ho
Commercial TIF (TIF-C)
f°
Industrial TIF (TIF-1) i
Institutional TIF (TIF-IS) _
Office TIF (TIF-O)
i
Water Quality (WQUAL)
i
Water Quantity (WQUANT)
}
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT) f
Erosion Plandc/USA (ERPLAN) Iffff
j Erosion Planck/COT (EROSN)
TOTALS-
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CITY OF TIGARD
BUILDING DIVISION
RESIDENTIAL PLANS SUBMITTAL
N
1
APPLICANT NAME: l 0��,� � �j PLAN CHECK # _
ADDRESS: PHONE #
DATE RECEIVED: RECEIVED BY:
CHECKLIST (All items must be in packet before plan will be reviewed)
YES O N/A
r
1• [ [ ] [ ] FULL SETS OF BUILDING PLANS (No red line revisions
or tape-ons).
2• [ ] [ ] [ 5 SITE PLANS (including tax lot and tax map number,easements, r
erosion control provisions, floor elevation of garage and main
floor, set backs, drive-way location, north arrow, scale, location
and termination of rain drains, corner elevations, and contours
1 if over 15% grade).
3• [" 1 BUILDING� [ ] [ l G PLANS SHALL REFLECT TOPOGRAPHY OF LOT
(if house is designed for a flat lot and the lot is not flat, revised
drawings are required. No red lines accepted).
4• ['�) [ l [ l REVISION TO PLANS MUST BE FOLLOWED THROUGH
FROM ROOF TO FOUNDATION (detailed sections may be
different from the originals as a result of your changes. These
portions of the structure that are affected by the change need to
be reflected on the plans. No red lines will be accepted).
i
5• [ [ ] I ] FLOOR PLAN(S)
r
6• [ ] [ l ,RLOOR FRAMING
7• �[ ] ( TRUSS JOISTS (engineering, details and layouts)
8• ] [ l [ ] ROOF FRAMING PLAN (all hips and valley supports indicated
and detailed).
IN '•' P ."gip'. 4-f.:a,�1 ,'(�d4+b MiS.a ::,µj7 .� .rll
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9. [ ] [ ] [ ] ROOF TRUSSES (engineering, details and layouts)
10. [ ] [ ] [ ] COMPLETE CROSS SECTION(S)
11. ] ( ] [ ] ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR
ADDITIONS AND REMODELS
12. [ ] [ ] [ ] BASEMENT WALL, FOUNDATION AND RETAINING WALL
SECTIONS (will need engineering if walls are 8 f;. high or
higher)
13. ] [ ] [ ] WALL BRACING (structure must meet tahle R-402.10, revised
alternate method 93-7, or a lateral design shall be provided)
14. [ ] [ ] [ ] ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE
INCORPORATED INTO THE PLANS. (Attachments must be
clearly legible and fully referenced in the plans).
a
15. ] [ ] [ ] BEAM CALCULATIONS (all beams over 10 ft. in length cr any
/ beam that supports a point load).
16. VI [ ] f ] ENERGY CODE PATH IDENTIFIED
DO NOT MAKE CORRECTION IN RED
RED WILL ONLY CAUSE DELAYS
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Construction Inspection & Related Tests
Carlson Testing, Inc. Geoteelurical Cor,sult.ing
P.O, Box 23814
x
Tigard, Oregon 97281
Phone(503)684-3460
' May 19, 1994 FAX 8 684.0954
#94-1597
J.T. Roth
12540 S.W. 68th
Tigard, OR 97223
Attention: Dave Jensen
GEOTECHNICAL EXPLORATIONS
LOTS 25 THROUGH 30 — HILLSHIRE
CITY OF TIGARD, OREGON
Gentlemen:
As requested, CTI engineer, Jim Imbrie visited the site on this
day at 9:00 am to explore the subsurface conditions and evaluate
existing fill suitability at the subject lots. From the surface,
-; the subject lots appear to be filled generally to the level of the
street for the first 20+ feet and slope downward to trees (natural
ground) at the back of the lots . Brian Clopton Excavating
supplied a trackhoe to excavate the test Faits .
Five test pits were excavated along the lot lines. The test pits
generally revealed a maximum of 6 to 9 feet of fill at the top of
the slope (grade break) . Stripping observed beneath the fill was
generally considered inadequate; topsoil, roots, and logs were
encountered in most of the test pits. The fill thickness and
stiffness improved toward Lot 25 and decreased toward Lot 30. The y
native subsoils beneath the fill consisted of stiff to very stiff
silt.
It ire our opinion that the existing fill is generally unsuitable
for support of house foundations due to the poor stripping of
organics and topsoil; with the possible exception of the fill. at
the front of Lot 25, subject to review during house excavation.
Foundation excavations should be carried to the native subsoils.
The proposed single-family residences will likely be designsd with
shallow spread footings. We recommend that spread footing
construction and slope setback requirements conform to Chapter 3
and Section 7.907 of. the CABO One and Two Family Dwelling Code
(CABO) and the Uniform Building Code (UBC) , respectively. As a
minimum, we recommend that continuous footings constructed on
slopes maintain at .least a 6 foot horizontal setback from footing
to original ground slope face.
}
.ro
#94-1597
Page 2 of 2
Our . reports pertain to the material tested/inspected only.
IL►formation contained herein is not to be reproduced, except in
full, without prior authorization from this office.
if there are any further questions regarding this matter, please
do not hesitate to contact this office. �
Sincerely,
CARLSON TESTING, INC.
i
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8y .
James D. Imbrie, P.E.
Geotechnical Engineer
4
1
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31
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C:11'Y OF T'I f:+ARD RhiXE I PT OF PAYMENT Rt.(+I P I NO. a 94-25.: 94.4
C;HLC K WMUUNT s 5'7.34. :36
NAME e JT ROTH CONSTRUCTION INC, GAGH I414C1UN'T s W. W0 f
14DDRES9 C 12580 SW 68TH PAYMENT DH1k- s 0t-/27/94
TIGARD, OP 801401VIbION
9 7£'K'.:3-
PURPOSE OF PAYMENT AMOUNT' PAID PURPI)SE OF' F't=IYM(:N T AIMI:ItJNT PA I Cd
BUILDING PERM�MST94-•0r 16 '595._`50 I''I...UMAJNt; Pr--HM � �- 1"-7171. 00
ME=CHANICAL PC: 45. 00 ST. BUILD PER 40. 5:3
F'IJIN CHECK FU 348. 33 SEWER USP iWR44•-0217 00
EWER INSPFC'T 135. 00 PARKS 90C 500. 00
00 �
Sl-GRM DRAIN SDC: 280. 00 RESIDENTIAL .i.r,W F I C FEES i 41 O. 00
y MAf3l3 'TRANSIT T'IF FEES i t0. 00
13`564 SW HILLSH.T,RE DR
1-I I LLSHI RE ESTATES LOT 30
TOTAL AMOUNT PAID - - -> .`57.';4. ,ib d
V 1 '
! API (It E-4AYMENI Ntl. p4A4 ,
o0 �}
R01H f;F�,>(( i•IMi,:.ttd i i..1. >raln '
100Rf-,99 z P(l1 ML-Ml 141•41( r WZY/ it ?94
SUb 1)1 V l!".4(()N
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. itir-N �l( tIR673EUT J { TJ FCfFfH7Yh .I(I 11111_dl.tN l' !•'011. {'
ill-AN C.HECK FUI `5•-74 ti `1A. 17.1171 IAC AN If:Ht-.r;K VV ;'_`i•-75Ft `.34`t, �71ftf
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13578 1111-1.1,tm4r,
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