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12294 SW LANSDOWNE LANE 12294 `3W L.:nsdowne Ln. I I C J I Q1 O rt; V) N N 4 I CEPTIFICATE Or CirlOFTIOARD Cff YA�O-F�TMND OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT anew PERMIT #. . , . . . . : MGT90­0PG9 151258W HWI Mid RC Box 23397,TOW,Orft-9? ISMW"75 c4r r'3sl TU..' ADDRESS. rW L.ANSDOWNE LN 2Slm3cB__0760@ ZONINGo SLJBD I V 15 1()N. . . . a FYRFSTONE BLOCK. . . . . . . . . . a LUT. . . . . CLASS r)F WORIA. sNEW TYPE OF JJ8F. . . :SF OCCUPANCY GIRD. TR3 OCCL)PnNCY L.OADsE20 4 TV-.NANT NAME. . . J. T. ROTH CON9TRUCTI-3N INC P300 bW 69'rH nVE IGARD OR 972cS _l, T. ROTH CON GTRUCTION INC I p300 514 69TH AVE TIGARD Ol 9724..3 Phone #1 620 2(,=7 Reg #. . c 31700 sand uprtifies oc-cupancy of thm above ref v­ ncpd bla0di.ng iq hereby give',, 'che complianct., with tl­­ z3tAtO Of Oregon Sp.cialty Codes rat-, tho group, 0c.c-.up;jtjc,,yl and ut-r-, und;r which the Perm-it way i�sueci. SUIL'. I me I I FIRE DEPARTMENT p R/L D I NG At. POST IN CONSPICUOUS PLACE ais mw A I!lFP T.E4►J 49 �> City of Tigard Bu clding Departa nt 13125 BW Rall Blvd_ T-gard, Ore.yon 972:23 Inspection Line (Rec--o-Phone)t 639-4175 Busl.ness Phone; 639-417? Inspection:_ --- Tooting Plbg. Uneoralab Mech. Rough-in Appr/Sewlk Fnund. Plbc+. Tor Out One Line !PINALt B. -m Strutt. San. Sewer. Framing dq., Point/Bea-+ Mach. Rain Drain Insu!.ation t G/ -Plumb. Plbg. Underfloor Water Line Gyp. Rd. -loch. Date 9equeeteds �V -� Times 11N /,—PN Addresss�/�, ?y -Permit #t c� Builders_ THE FOLLOWING OORR=CfIONS ARF REQUIRED: D i Inspectors ra.te: -'- y APPROVED DISAPPROVED APPROVED SUBJECT TO TROVE ■ 11 For Reinsp. et ew Bis waw ew a! City of Ti p:d Building Department -F .ter 13125 SIR Be'A Blvd. Tigard, Crognn 97223 Inspection Line (Rec-O Phone): 639--4178 Buslness Phone: 639-4.71 Inspection:. __,__ ---- --------.--_ looting Plbg. Undc+rslab Mach. R, •:gh-in Appr/Sdwlk lowd. Plbg. Top Out Gas Line FINAL: Post/beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation Plbg. Underfloor water L Gyp. Bd. -Koch. Date Requested: r .-Timet AM __PM Address:_ .4:2L J�" .��[_ S :�Ldd.� pirmit builders--�` �.L�+�-`` -- -- — THE M; 143WING ()DRRRCYIUNS ARE RSQUIRY_D: G7 i .ii��k e _ 01 inspector: .�..! _- Date:- —_! /- PROVED -- `.ISAPPROVRD APPR�IVRD EL'2 TECT To ABOVE /yam- Call For Roinsp. A• s! ! asa nM *6^ mkmil .SOI INSPECTION NOTICE City of Tigard Building Department 13175 SH Ball Blvd. Ti, rd, Oregon 97223 Inspection Line (Rec-O--Phon : 634-4175 Business Phone: 639-4171 Inspection-, Footing plbg. 1 4drsla) Merh. Rough-in Apps/sdwik Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Fuming -Bldg. Post/Bs = Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line-7 Gyp. Bd. -Mek•h. Date Requr iteds �/' / -�/ _Times -__ AM __,PM Address- l L` -� �t� Permit Builders THE FOLLOWING CORRECTIONS ARE RNQ11JUDs Inspect s_�� LL -..�'� ----- -- -- nates-Z� APPRUVED D]SAPPROVF.D APPROVED St1JRCT TO ABOVE - __Call For Reinap. �r or ea an aw w ear eR a7- � � INS'&4`fION ,NC/1'ICE ��/�/ �.•� City sof Tigard Building Department 13125 TN Hall Blvd. Tigard, Oregon 972x3 Inspection Line (Ree-O-Phone): 639-4175 Business Phones 639-4171 Inspection: -- ---_ ----__ ---- Footing Plbg. Undarelab Hoch. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Seam strum -Bld. San. Sewer Framing 9• - umb Pout/Beam Hech Rain Drain IneulFAtion � P Plbg. Underfloor `rWater,Line / Gyp. Bd. -Mach. IJ/ l _ Time: AN Date Requested: —PM Address:% %_ / �a�7ts:��"/l-L� Permit t:,_� Builder: ,A— — - THE FOLLOWING CORRECTIONS ARE RRQUIREDs t Tin pprt nr' _._. Date: nt I'rtrivF.r r.t:nrr'Nr)V?f APPROVED SUR.TECT TO AAOVE ff .� Rnr Aninni�. �K�BCI•ION I70TICF v��c-�� City of Tigard Built ng DMartwOnt 1317.5 S11 Hall Blvd. Tigard, Oregon 9722.3 Insper-tion Lina (Rec-0-Phone): 639-4175 Businne: Phone: 639-417.1 Inspection— .-- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Pl..by. Top Out Gas Line FINALt -tcuct. San. E.ewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor Line ��' Gyp. Bd. -Koch. Date Requested: - Timet AKn ---PH 01 Address:��� Dui-lder.THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:- i --- -- Dates-f--- APNtIY ED DISAPPROVED APPROVED SUBJECT '►J ABOVE Call ftL' Reinep. I I4. TI �I �i IMSPECTION`IOTICE City or Tigard Building Department 13125 BN Ball BlvO. Tigard, Oregon 97223 Inspection Lire (Rec•••O=Phone): 639=4175 Bunlness Phone: 639-4171 i 1 Inspbctinn: 8 Footing Plby. Underslab Hach. Rough-in Appr/Cdwlk Found. Plbq. Top out Gas Line FINAL: Poet/Beam Struct. n. Sewer Framinq -Bldg. Post/Beam Hach. Rain Drain Insulation -Plumb. Plbg. lJrderfloor Fater Lina Gyp. Bd. -Herm. Date Roque oft d: V �/ Time: PM Addreeq:_ � r n permit 1t C Builder: THE FOLLOWING OoRRErtIONS ARE REQUIRF,D: Inspector: Datet `J�� �^1 _APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Rainap. NEW NEW se e:s es�ew w ser City of Tigard Bui ding Depaitnont 1 13125 811 Hall Blvd. Tigard, Oregon 97223 f Inspection Line (Rec-O-Phone): 639-4175 Huninene Phone: 639-41714 i./ Inspection: --- Footing Plbg. Onderslab ech. Rouen Aper./8dwlk Found. Plby. Top Out Bas Line PIMA..: Pont/'Beam Sty °wt. Ban. sewer Framing -Bldg. Poet/Ream Mewl° Rain Drain Insulation -Plumh, Plbq. underfloor Water Line ITyp. Bd. y--Hoch. Date aequestedt Z 7 / _ ---Times r "--AN PH Address:_ .y ' / �; Z�i Permit 1 s � Builder- THE FOLLOWING CORRECTIONS ARE REQUIRED: SU�t�OTzT" �L�1c DU!7S Inspector:- _ Date:-1 jz j i APPROVED _— DISAPFRO'VSD -XPvwoVRD BURJECT To ABOVE __Call For fteinsp. r Iw w w w w w w ■s : city of Tigard Building i"Pftrt-ae'v,t 13125 SW Ball Blvd. figaLd, Oreqon 97223 Inapartion Lina (Pec-O-Phone)' 639--4175 nusii".;s Phone: 639-4171. Inspection:_----,- --- Footinq P113g. Underalab �Mech. liocgh-i0� Appr/Sdwlk Found. Plb . Top Out Gaa Lina FINALE Post/Beam Stcuct. San. Sawer Fr-.:ng -Bldg. 1 Post/Beam Mech. Rair Drain Innulation -Plumb. Plbg. Underfloor WAter Lina Gyp. Ud. -Hoch. Date Requested r--z_. It- Time' Address'-Lem --/ l�L�� Permit #: Buil-der' '.ME FOLT-AIMINR MPRECTIONS ARE REQUIRED' inspector! _---- Date' r� APPROVED DISAPPR D J APPROVED SUBJECT TO ABOVE / ��1 tf �1`�� Call For Reinep. WE I�•SPECTIQN N7PICR City of T/lard Buildl:tq Department 13125 BW !Tal Blvd. Tigarnl, Oregon 97223 ✓. Inspection Line (Rec-O-P,one): 639-4175 Business Phone: 6397.4�11 ±' '' Inspection:__ __ -- Tooting PLog. Underslab Mech. Rough-in Apr-/Sdwlk Vouni. Pl.bg. Top Out Cas Line FINAL: Por.,t/Beam Struct. San. Sewer Framing -Bldg. Pcmt/3eam Me,,h Rain Drain Insulation -Plumb. Plbg. Underfloor Water LineGyp. Bd. i -Koch. DZ••, Requested! Timer _,Z-;_AM PN � D� C . /ias�tt 1 Address: G?t ,� `��,(�� ... Builder: _ s THE FOLLOWING CORRECTIONS ARE MQUIRED: #/ �� . l,) !LLIZ-- 7� �7C; ?Z / Ly CE 14 I�epector-� 1 _ Date �1 C APPROVED DISAPPROVED SUBJECT TO ABOVE Call For Rei.nsp. i I I 1 xner.�gIot,.�crr_1..� city of Tigard suildieg Department o 13125 SW IV:I1 Slvd. Tigard, Oregon 97213 }� Inspection Gine ,Rec-O-Phone): 639-4175 Business Phoney 629-41-fi; / Inspection:­ ---^--_—� ---�-�___—__-- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plby. Top Out Gas Line FINAL: ?oat/Beam Struct. San. Sfrier `� Framl.ny -Bldg. P. it/Ream Mech. Rain Disin Insulation > -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: � _Times __— hM Address:_. _� �C-9?.��'L.�Jd?3�.Bacmit V. THE lOL1.OWING CORRECTIONS ARE REQUIRED: I tnapzctor:_ ----- Date: - -- APPROVED I1ISAFPROVRD APPP.OVED SUBJECT TO A(WVE call Fo, 1,,einsp. 1N$��C�O�(�1OTICE City of Tigard Building oeparts mt 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec--O one): 639-4175 Business Phone: 639-4I7I _ �f InRpeeti�n:--- — - `1 1 �� ----- Footing PG L'nderslab Mech. Rough-in Appr/Sdwlk Fov.nd. P1`+q. Top Out Gas Line FI,IAL: Post/Beam SLruct. San. Sewer ( Framing 1 -.Bldg. 1� Poet/Beam Mech., Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. .Mech. Date Requeete:l. —!T �a1M _—PM Address:_ (/��L-L__ tr?Lc L.•SCLr�d12i.S it iSuildeU: T,H�S/FOLLOWIIiO -ORkRCTIONS ARM REQUIRIP: .��1= r���� �.(J�f(1�1� _��1�'��L Com.•1 Date: / — i _APPROVED ��- DISAPPROVED <-____&p2AovzD sUB.IRCf TO ABOVE Call For Reinsp. INSPE(Mlgg BICE City of Tiyard Building Depart-Awnt 13125 BN Hall Blvd. Tigard, Oregon: 97123 Inspection Lina (Ree-O-Phone)s 639-4175 Bualneos Phones 639-4171 Inspections Footing Plbg. Underelab Mach. Rough-in Nppr/Sdwlk Found. Plbq. Top Out Gas Line FINALS Pont/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plwob. Plbg. Underfloor Water Line Gyp. Be. -Mach. Date Requeateds Times :"�_AM _ PM Address:_ C� ,?Amit f , 6 / Buiiders _ — THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors._ _ __----- Date: s •..�- APPROVRD D23APPRovED APPROVED SUBJECT TO ABOVP, !� / Call For Ruinap. w IMPNCPIGM NOTICE City of Tigard Bsild"q DelsartMIsot 13125 Bw Fall Blvd. Tigard. Oregon 97223 Inspection Lfr^_ (Ree-O-Ptgr-' . j9-4175 Business Phones 639-4171 Inspections_ _ Footing Plbq. Underelab Nech. Rough-in Appr/sdwlk Found. Plbg. Top Out Cas Line rINALs Post!Neam Etrurt. � > rrnming -Bldg. Post/Beam Hoch. ain Drain Insulation -Plumb. Pl.bq. Underfloor �IrJs� l Ovp. Bd. -Hoch. Date Requneted: _Tina: Address: ts_ Builder:�y THE FOLLOWING s ')RRECTIONS ARE REQUIRED: p Inspectors _ Date: AFPROVEn DISAPPROVED APPROVED SUBJECT TO ABOVN Call ror Rainsp. _C rIT Am$�TLW CITYOFTIGGARD PLUMPING PERMIT 0111111 COMMUNITY DEVELOPMENT DEPARTMENT 90N R D PERMIT a. . . . « . . : 111131*90 0269 13125 BIN 1141 Blvd. P.O.Box 23397,T;wud,Orr W 97223(6091934.4176 D(-)T'fi: ISSULAL 10/24/90, SITE ADDRESS_ : 1.'(2294 SW L014SDOWNI: I N FIARCEL: 2S1133CD-07(,00 SUBDIVISION. . . . : 1=YF:F..'ST3NL:. ZONIW?,! BLOCK. . . . . . . . . . It L0 T'., CLASS OF* WORK. . :NEW GARBAGE MOPIA E HOME SPACES. TYPE OF USE. . . . :SF WASHING MACH. . . . . . . :4 BACKFLOW PREVNTRS. . - 0 OCCUPANCY GRP. . %5N F'1.,OOR DRAINS. -.3 rRAr,s. . . . . . .. STORIES. . . . . . . . : R WATER HEATERS. . . . . . : 12 CATCH BASINS. :45 I At.JNDRY 'rRAYS. . . . . . ..80 SF* RAIN DR01'1,1S. _ ,_ ::00 91 N I(S. . . . . . . . . . 13 URINALS. . . . . . . . . . . . . :1 C k A 9 E. "T R P F."G) 1.-PVATORTES. . . . . 1 2 OTHF.R FIX'T'URES.. . 5 T11B/SHOWL'RS., e3 SEWER LINE: (ft) . :6 WATER CLOSETS. . A 4 WATER L.TNL (ft) . -. 0 V. DTSHWAc')HERS. eS RAIN DRAIN (ft) . .. . . :536 Oul 0 Remarks: OWNERII F'E E S------------ ROTH CONSTRUCTION TNC F,0 11 $ 1.00.00 JLH 08/02/90 203322 :1.8.300 SW 69TH AVE PPR F t 470. 50 DPI...C $ 30 5. 83 T 1:CARD 0 R `3 7': B51-IC 23.53 r-.1hone #0 369--06.39 STDG ri 600.00 ,.)SDC 375.00 PARK $ 5P 0.0 P1 • . MPFJ $ 37. 50 ........... .... ........ MPL C 9. 38 add res M5PC 1. 68 ............ ..... i t ..................._State: PPRT $ 155.00 1.p: -.—Phone f4 P5PC $ 7. 75 PAYM $ -11.:36. 37 JLH 09/2.2/90 R;CPI IIRED INSPECTIONS fl, .J ,., Permit is issued Subject the req .. ! ot.ions contained in the, Tiqvivrd Municipal F'aot., found Insp Plumb 'Top Out ( ode. State (-.)f Or(-. Specialty Codes And all FOAt/fOLInd Insp Franjil'14 In4jp ,:)tlser applicab".e laws. All work will be done FOC)t/fOL(nd Insp Fireplace Insp in accordance w-,.th approved plant. This F_00t/fOUnd Insp Gas 1-il-le '111sp permit will expire if work. is not started Wtr Proofing Eism Insulation Insp withiv, 180 days of isst.tAnce, or if work is PO%t/Peani Struct Gyp Board Insp suspended for more k=han 180 days. Feast/Beam Meehan Rain drain Insp Crawl Drain Water Line Insp Plm/undslab Insp A p P T/S d W I k Insp r,LM/Uriderf loar Mechanical F i n a J. 1"tn.4 Droin Bsmlt Plumb FA.nAl ----------- --- Mechanical 1,13p Ad d i t i onvA.).. Plumbing Contractor Signature oe cau. for il- spection 639-41.75 Ccm1.(',.ict(.-)r Notes: ................ ......... INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection , Date Requested Time z P.M. P.M. Address JA&4'),C Permit Ownew Lot Builder The following Building Code deficiencies are required to be corrected: '7-- t1j L) eA C Presented toFl- -i,-p,ved !nspector. Disapproved Date CALL FOR REINSPFCTION F1 YES F—j NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 2.3397 Tigard, Oregon 97223 Phone: 639-4175 ZType of inspection i C Date Requested �' IQ Tirn'e—6lez L.M. P.M. °Address _i � l Q��j�iy � _ _ Permit 4'1— Owner Lot fk Builder The following Building Code deficiencies are required to be correctec: d /1C /AA—i ew Presented to _ `:} Approved Inspector U Disapproved Date CALL FOR REINSPECTION ❑ YES ( J NO INSPECTION NOTICE V1'i City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time A.M. Address — /�v`P �� �yZ!✓' ti — u=2dL2 � Permit Owner _ — Lot # Builder The following Building Code deficiencies are required to be corrected: i i I Presented to _ _ ---_ Approved Inspector g�–-- - �. Disapproved Det9 --- CALL FOR REINSPECTION L 1 Yin ❑ No CITYOFTIGARD �' MAS'TE:R F�E:FiMI'T C YOFTIA4RD PERMIT N. . . . . . . : MST90--0269 COMMUNITY DEVELOPMENT DEPARTMENT owaaaa PRIM. PERMIT N. : MS790••-O269 13125 SW HWI Blvd. P.O.Bac 23397,TOW,O►pa,9 DATE 1SSlJk::D: 09/24/90 �._.� SIVE ADDRESS. . . : 12294 SW LANNOWNE: LN PARCEL: 2S1A:3C'B--O760L,'1 SUBDIVISI:ON. . . . .. FYRESTON'T' ZONING: 14LOCK. . . . . . . . . . I LOT*. . . . . . . . . . . . . : 1.0 -------------------------------- BUILDING —•_._.__._.....__.._ _. ._....._._._.._...._..._.—._...._.._ REISSUE: DWELLING UNITS:1 BASEME:NT. . » . ,. » .. .. :H s♦f C:LAS.3 OF WORN.. :NEW DEDRM:"c i BATHS:J UARAGE. . » » . . . . . . :4:' 0 !sf TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS----------- TYPE OF CONST . :5N F'IFiFF. » . . : 1280 s f LE:Fr. . u l2 ft; RIGHT. : 12 fl-, OCCUPANCY GRP'. :R;3 SEC CND. . . : 1 r'56 s f FRONT. :21 ft REAFN . :80 f t: STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRE1, ------------------ HEIGHT .._._.._.._.........._...._..._._._............... . HE:IGHT'. . . . . . . :20 ft TOT AL•.•--•--•-:2530, s f SMOKE DETE CTORca. :Y FLOOR LOAD. . . :40 p sf VALUE. . . . . 114612 PARKING SPACES. . :0 Remarks a ----------------- ---------------- PLUMBINt3 SINKS. . . . . . . .. . . n1 FLOOR DRAINS. . . . :0 BAC,KF•LOW PlRE-VN'TRS. . :0 LAVATORIES. . . . . :4 WATER HEATERS. . . :I TRAPS. . . . . . . . . . . . . . :0 rUB/,HOWFRS. . . . ::3 LAUNDRY '`RAYS. . . : ]. CATCH WATER CLOSET•5. . :3 SEWER LINE (ft) . :O 6REiASE Trh►I�. .. .. . . . . no DI:SHWASHERS. . . . it WATER LINE (ft) . : 1O0 OTHER F1X rUREE:S. .. . . . 0) GARBAGE DISI'. . . : 1 RAJN DRAIN (ft) . :0 WASHING MACH— 0.: I. SF RAIN DRAI:NS. . : 1 --------------- MECHANICAL -------------- _......._.._ --.._._ ..__ ..... - FC::E1:i FUEL TYPES----------- UNIT HTRS. . :0 type <amar.rnt lav nate re p•L /GAS/ / / VENTS . . . . . :0 PAYM t :1 OO. 00 JL..H 08/02/90 203 322 MAX I NPUT c H PTU VE N T' FANS. . :3 BPR 7' 1; 470. 3 FLIEN ( 100K . . :0 HOODS. . . . . . : 1 BPLC 1+ 305. 83 F URN )=!90K . . : I WOODSTOVE.S. :O B''15P'C 1; (.-?,3. ,"j3 J / FLOOR F•URN. . . . :0 CLU DF;YERS. a 1 STDC $ 600. 00 rcOTL../C:MP ( 3HP:0 OTHER UNITSvO SSDC $ ,37'x;»00 / GAS OUTLETS a 1 PARK $ 250. 00 Owner: _ ----.-____._._. _._..._w__....__...__........_.____._-•- Mf-"RT $ 11 7. 50 / ! J . Y . RUTH CONSTRUCTION INC MPLC $ '4. 38 :I.P,300 SW 69TH AVE: 115F'C 1 1. 88 PPRT 15".00 T 1:14ARD OR 97223 I-'SFIC 1; 7. '15 Phone N: 369--2639 PAYM 2136.. 37 JLH 09i22/9O I . T.Uontractors ROTH CONSTRUCTION INC I P.300 SW 69TH AVE T :L(iORD OR 97223 Phone N: :369-•2639 Reg N. . v 31700 $ 22..46. ;3.7 TOTAL_ This permit is issued subject to the regu6 ons embi;,ed in Pm --••------ REQUIRED INSPFCTIONo -- - Tigard Municipal Code, State of Ore. Spfc ilty Codes and all ocher Foot/found Insp Mechanical Insp applicable laws. All work will hr. done in accoreance with ap�roved Wtr P•roofing Bsm Plumb Trap Out plans. This permit will expire if wcrk is not starter within 188 Post/Beam Struct Feaminq Insp days of issuance, or if work is suspect for more th 13B days. Post/Beam Mechan Fi•replace Insp , /l Crawl Drain Ga Line Insp Permittee Signaturet�{�'s�...� / .'" ....._._ .._.._.._.._......_ F'l.m/undslah In, Insulation Im 1 PLM/Underfloor Gyp Board Insp issued BY: _.... . _. ._._. F t n g Drain P m' t: R a in d r a i.n l n r:.c. L U Uall for inspection -- 639-4175 CITY OF T'��RDS;EWER CONNECTION r-,C R 11 I'T 10 P-ERMI T SWR90--0320 CCMMU41TY DEVELOPMENT DEPARTMENT 1'.)RIM. F,ER111T it. : 1,151'90 0269 13126 SIN HWI Blvd. P.O.'Amar 23397,T%pard,Orwm IFTM, ?b I)AI*L.*,. ISSUED: 09/24/90 AD' �ESS. FIARCEL: 25103D(.-- FS) 1 ' , f:i(jF,qI)IV., ZONINGs 11!'NANT NAME. IJSP, NO. . . . . . . . . . 4-2 388 FIX",'URE (JNI'TS. . . 9 1:1-0613 GF WORK. . . -.NEW DWELLING LJNITS- 91 Tyr:,E.- (IF USE. . . . . S I:-- NO. OF BUILDINGS21 T N S I'A L.L T,Y 11'.. . 14(j5WR IMI:'ERY SIJRFACE., :Sf e III a F,k 1r, FEES J . T . ROI'H CONS I*RUI'T I('.IN T.NC, type anint.ti-it by date -v e pt: 2,300 W 69'T H AVE P,R VI'T 1500. 00 114SG�l 35.00 HGARD (IR 97223 F-10YM J.535. 00 JL.H 09 22/`30 169 P.639 R0114 CONS I*RUCT I ON INC 1.2300 SW 691*H AVE T-D.10RD OR 97223 369-2639 1.` 35. 00 'I'MAL 31700 REQUIRED TNSF,ECrIIONS This Wiplirant agrees to comply with all the rule; and regulations Sewe-r of the Unified Sewage Agency. The permit expires iig days from the dale issued. The total amount oaid will be forfeJed if the permit expires. The Agenoy does not guarantee the accuracy of the side sev,,r laterals. if the sewer is not located at the measurement ___._.,.__,••-•,__ ------- given, the insti.Aer shall prospect 3 feet in ali directions from _.,,•„__,__._,____.._.....,___,,,,. the distance PaYen. If not so located, the installer shall Purchase .................. a "Tap and Side Sewer” Permit and tire Agency will install a lateral. I-',o-r-ni i t t e e S i. ............... 1x;st.wd Pyx Call fo-r 1.1v- t i c)vi 639--41.75 I "ITY OF TIGAF1 D RECC:TPT OC" PAYMENT RECEIPT NO. :90w•205(.197 CHECK AMOUNT : 3671.317 NAML, r J.T. ROTH CON 3TRucTICIN t AGA AMOUNT : C1.00 + ,�.VDPECO : :12300 SW c•9'CF F'A`iME=NT VATS n C19/v4/17—0 3UPDIVI?:ION x I TIGARD, OR 9'7'2:•: 121194 183W LANSDOWNE )E OF PAYMENT APIOUMT PAID PURPOSE OF PAYMENT AMOUNT PAID Dllll_DIN5 PERM MST'90-026"'i - 470,;C1 F'l-UMHING PERM _..155.00 MECHANICAL PE :X"7'.50 ;:i T. BUILD PER 33.16 !'LAN CHECK FE 215.21 SEWER U; A 1500.00 3E::WE R INSPECT 35.00 STREET SVC 600.00 i PARv's !3DG 5cl.►70 STORM DRAIN SDC .3^15i.0t► I. I I I } 'FO TAL AM(.)UNT PAID - -' 3671.37 f I i I CITY OF TIGARD RECEIPT' OP F'AYMENT RECEIPT NO. !9Q -20 c HUI< AMOUNT NWE ! ', . T. ROTH CONSTRUCTION CASH AMOUNT ! Ct.C►r,, At DPES', a 1 270() SW 69 TI-1 PrAYN1ENT DATE SUED I V IS I ON ! T I C?PF,D, OR 972 .-- 1.2294 SW AN'S DOWW: PI.1P,POSE or PAYMENT AMOUNT PAI'" PUFF'OSE• OF" PAYMENT AMOLjNT Pry I Ci ( I I I� f AMOI.INT PAIp i PLAN GkrX APPId ON �ITY OF' T167AIRD � ��'�s 7 PLAN � ��,� - rM 639417/ PERKpr , OMMUNITY DEVELOPMENT DEPARTMENT DAZE ISSUED _ J�lv� /�D.I�S�Q✓ Gi✓ — I= MAP/Jor -2 1 - 0 L -- .1013 A[.IDRESS. ..�(.L1_l 1 IAMLb'E: -- IDT: VAI VMCN: 5„�a S 7►rFS RETS.SQE OF: L -y IAST I*XS=: FLOW PUUN/ SEHSrITVE IAM: ITtfME: .���- 2!3'I APPRdV11IS 1RACPIXt PLANHIM: - N11t4E: T r /W)vrf 3. 1,2 Z, ENMHEERM: AICI FSS: FM Wr gym: ir�trxtE• �,�-���: � rr�cs �y� t3[JIIDFFS BOARD if: 3i 7�v OATJ~: ��'1.`lam L �Tf Bos TM: t at t fj'3'S�G��LCAICH-MCHS: — NAME: i7.+�ijly S�wTRUSS DEI'lMS: J11 17 17 Z-1-i - . PUM-- ilrs moi: 2 SUBOWIRACTaLSPEF41rr / NXT # 1 ' k4bL JT PD. BAL. DUE 10�-432 00 Buri. i ,v Permit Fees � O, 5 _ 170 ,s o ._ . 170 -so � 1' f 10- 131 00 YluNbi.ng Permit Fees ✓, 7. ( --�--- 10-431 01 Medtianical Permit Fres - 10-230 01 state Wilding Tax (5%) Building Plumbing 7 S Fiech ► i � . 10-433 00 Plans Check Fee Building Plumbing _ Medi _ 'i . L ,y R- v-v do 30-202 00 sewer Ooru>fecti.on n v -�-G U 30-444 00 Sewer Ir'st a tion ---sus 51-448 00 Street a'1►S Dev Chaim (SDC) 52-449 00 Parks Syst cm Dev CtW-'gc' (PDC) 31-450 00 Amm rJrainage- Syst Dev Cirq (.SaC) 7 '- 10-230 06 Fere rum 2W1 37 /0 ,3�e11I At'FI,IU�AIr SIGH t RE nsceived fly: Date naoeived: of/3587P.WPF GRADING/EROSION h�1TROL INIAiRMATION GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.: PERMIT NO.: i J"'!' •a u7— ),I L; APPLICANT NAME.AND ADDRESS: EXCAVATION CONTRACTOR NAME&ADDRESS: OWNER NAME AND ADDRESS: TELEPHONE NUMBER$: APPLICANT ,: r (J J ' PROPERTY DESCRIPTION: OWNER- STREET ADDRESS AND CROSS ST REETJ OCAT'ED GENERAL CONTRACTOR: EXCAVATION CONTRACTOR: — — SIT 4jGB: J�'-i 6`� LEGAL DESCkIPTiON: 24 HR/AFTER HOURS EMERGENCY TAX LOT NO:,_ _ CON'J'ACT PER�SQN,TTT'i --,TELEPHONE: 1/4 SECTION_ _ y,.;,�' SITE SIZE,ACRES: DISTI T,.ilED/WOR.K AREA.ACRES: LOCATION&ADDRESS WHERE SPCU S LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAWS TO.(CIRCL•Fi9Nt:� (NOTE:PERMITS MAY HE REQUIRED) CATCH-BASIN DT, H PIPE tVfEK ., — (CIRCLE ONE) PRIVATE PROPERTY PUBLIC R1'Gt"F VVky EROSION/SEDIMENTITI ` ICoNTROL (ESQ MEASUR, MINIMUM ESC.REQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC PERIMETER RUNOFF CONTROL FACILITIES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCr. OTHER OTHER_ _ -- PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH'TECHMCAL.GUIDANCE HANDBOOK-. EROSION C`7NTROL PLAN DRAWING.AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDING EMERGENCY PHONE NUMBER, SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES.AND APPLIC4BLE STANDARD NOTES. I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE. ER SIGNATURE APPLICANT SIGNATURE • • • • • • • • • • • f • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • J • • • • OFFICIAL IISE ONLY. RECEIPT DATE ACCEPTED FEE NUMBER — RECEIVED_ BY