13600 SW LAUREN LANE Ow +ae.yipy. me-*I N 16—
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CERT IF of.*
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CITY OF T I GARP PERMI 'F #. . . . . . . :OCCUPANCY MST94-9074
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/04/95
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)039-4171 PARCEL:
0 riITE. AW)RE5G. L.A01<1114 LN
SUBDIVISION. . . HILL AIME ZDNINGW-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :03E
CLASS OF WORl-1,. iNEW
rYPE OF' USE. . . :BF
OCCUPANCY GRP.
0CM ANCY LOAD:
Remarksi PATH I
(Jwner:
.3 ROTH
12480 SW 63TH AVE
TIGARD OR 97224
Phone #i, 639-2639
(,untrace uro
J. 1". ROTH CONSTRUCTION INC
1.2540 SW 68TH PARKWAY
1'11GARD OR 972- 23
Phoiie (-�39-2639
31700
This Certi-Ficstv grants occupancy of the above. t-efev-priced building u-, put ti(jr)
Choreof and confirmi: thakt the building has teen inspected, for compliii;)ce with
the litAte of Orequn qpec,:Lalty Codes for the groUv')I :,cupan knd use undet-
4hich the t-eFer-,enced pot�pijt was issued.
01JILDING
SPECTOR BUILDING Or:'F*TCIAL
P09 IN CONSPICUOUS PLACE
I
INSPE CC O NOTICE
City of Tigard Building Depart:aent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o--Phone)c 639-4:75 Business Phone: 63°-4171
Inspection: — _
Foot'
Plbg. Underslab Mech. Rough-in Appr/SAwlk
Found. Plbg. Top Out Gas Line CINSLr�
Post/Beam Struct. 4an. hewer Framing � �
Post/Ream Much. pain main
Insulation -Plumb.
Plbg. Underfloor Water Line GYp• ad.
Date Requested:
Permit f:
�
Addreno: J �'�'�
.�
Builder:—
yy� TRE FOLLOWING OORRECTIONS ARE REQUIRED:
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Inspector: _ Date: —
APPA:IVED SUBJECT TO ABOVE
Y hPPROVED DISAPPROVED
---Call For Reinsp.
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-�, PlumbinD R.C.I. Mechanical Nsotfnp
19300 SW 69th Ave.
Tigard, OR 97993
%tP,1,
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1/3/95
a
J T Rosh Construction
12540 SW 68th Parkway
Suite B
Tigard, OR 97223
RE: 'i'op Out inspection on Lot 32 Hillshire, 13600 SW Lauren Lu.
Dear Sir,
It has come to our attention that Lot 32 Hillshire did not have a top out plumbing
inspection. I all,writing this letter to inform you that ACI Mechanical will accept fiill
responsibility for the installation of the plumbing system. The plumbing System was
installed per code and will function as it was designed to. Should any problems develop,
related to the installation of this system, ACi Mechanical will make d:e proper corrections
at no charge to the builder or the homeowner. This guarantee applies only to the original
installation and does not apply to any damage caused alley the installatio', was completed.
,
Sincerely,
d
1 Mone o
g
ACI Mechanical
598-4796 COMMEACIAL 0 RESIDENTIAL 0 MULTIPAMILY 0 INDUSTRIAL FRX 639-0498
INSPECTION NOTICE
city of. Tigard Building Departaent
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)t 639-4175 Ousineus Phone: 639-4171 \
Inspection: —--
Footing Plbg. Underalab Hoch. Rough-.in /Ap/pr/Sdwlk a
Pound. Plbg. Top Out Gas Line
I�q`•r
Post/seam Strvct. Ban. Sewer Framing
post/Beam Hoch. Rain Drain Insulation -plumb.
Plbg. Underfloor Water` Line Gyp. Bd. `s •
LIDate Requestedt Tlme: AMPM �
Address: I I� C L' � � Permit 1
Builder: Li 22 �-
THE FOLLOWING coRREc'TIONS ARE REQUIRED:
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Date: I —
Inspector: --
APPROVED --v DISAPPpOVED T APPROVED SUBJECT TO ABOVE
• Call For Reinop.
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INSPECTION NOTICE
city of Tigard Building Departeent
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-U-Phone)s 639-v175 Business Phone! -
G39 4171
Iaupection:_
rooting Pl . Underslab
�J Mech. Rough-in A(.pc/Sdwlk
Found.
Plb ;---
g. Top Out Gas Line �FYNAL:
Poet/Beam Strutt. San. Sewer Framing -Bldg. r
Poet/Beam Mech. Rain Drain Insulation _Plutob
{
Plbg. Underfloor Water Line
Gyp. Bd. -Hoch.
Date Requested: CLr_ Times
___PM n T?
�►
Address s Permit #1
Ruilder: C"7
THE FOIJ-OWIN3 CORRECTIONS ARE REQUIREDs
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Inspector: -
--.. _ Date: 7
__-^APPROVED DISAPPROVED _
-.---- _- APPROVED SUBJECT TO ROVE
_Call For Reinsp.
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DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT Sc P,VICES DIVISION 9350-12 I
155 NORTH FIRST, HILL. BORO, OR 97124
COUNTY, PHONE: 503!640-347:
OREGON INSPECTION REQUESTS (24 hours): 503/630-3561 or 693-4415
i
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Permit #: 05053363 Project # : P0040515 Status APPRuVED Page i of 2
Applied 05/16/94 Issued : 05/16/94 Expires 11/23/94 12/29/94 07: 28
k RESELEC
Permit Title SFR - ELEC/NEW HOUSE OTH
i
Description Bequri; 05/16/94
Job Address 13600 SW LAUREN LN TI � ■
Owner -Name J T ROTH CONSTRUCTION INC Region D
s " Applicant Name : EDISON CONNECTION
X Phone numrer 257-9800 Valuation: 0 Approved_____
In eor Comments : Rejected_
VR-RESULTS I
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17
^ urrsr. ERROR! ,
C � G
417
Plumbing
Ir Mechanical
Electrical
Structrual _ _
ti General.
.Inspected by :. _ Date :
Inspection Request
* Final Electrical 0499 E AP DN IVR
'n 12/29/94 RI JF
12/22/94 DN KP DOOR LOCKED/NO IBX #
12/22/9.4 RI PH �
12/21/94 RI ,JF
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DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON 155
DEVELOPMENTS .RVICES DIVISION #350-12
155 NORTH FIRST, HIL.'.SBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
i .
■
Permit #: 05053363 Project #: p00�l0515 StatU�e : APPROVED Page 1 of' 2
Applied! : 05/16/94 Issued : 05/16/94 Expi'ces 11/23/94 12/22/94 06 : 19 1
RISELEC I •
Permit Title SFR - ELEC/NEW HOUSE �' OTH
Descriotion Begun: 05/16/94
Job AdJress 13600 SW LAUREN LN TI
Owner Name J T ROTH CONSTRUCTION INC Region D
Applicant Name EDISON CONNECTION
Phone number 257-9800 Valuation: 0 Approved, _ I
Inspector moments : ejscted�� ,
IVR-RESULTS
REQUEST ERROR!
Plumbing
Mechanical
Electrical :
i
Struct.rual. :__—___
Inspected by :
Date :
Inspection Requested:
Di* Final Electrical 0499 E AP D1� TVP
12/22/94 RI PH
7.2/21/94 RI JF. 4 �'
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INNSPZCTION NOT CE
City of Tigard Building Department I
13125 B11 Hall Blvd, Tigard, Orem-n 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections—
Footing
nspection:!Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk ,
Found. Plbq. Top Out Gas Line \ FaR+evs,
Pont/Beam Struct.
San. Sewer Framing --Bldg.
Post/Beam Meath. Rain Drain Insulation �FTudrl5r
Pl.bg. Underfloor Water Line Gyp. Rd. -Hoch. ba
Date Roqueeteds_//�� l_� / Time: S AM PM ■
Addreses V V Y — Permit t:
Builder:
THE FOLLOWINII CORRRCTIONS ARE REQUIRED:
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Inspectors � Date: ---1111---�/
APPRMD DISAPPROVED APPROVED SUBJECT TO ABOVE
''�Cell For Reinsp.
- -�-..-.,.,.,.u.•ardswwu,alraN:.'Hlrtart:nxTa�s3:xri3na+Mf',+S:;Gr,�w�r���N�:d..��=,•.• - -
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S CTION NOTICE I
INSPECTION
City of. Tigard Building Department
13125 SB Hall Blvd. Tigard, Orogon 97223
Inspe�_ion Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection:_ _ —
Footing Plbg. Understab Mach. Rough-in (j�pr/S1— dd-lk.?
„j±' Found. Plbq. Top Out Gas Line FINAL=
i4�
" t( Post/Ream Struct. San. Sewer Framing -Bldg.
�
r, I 2l ?;
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. underfloor Water Line Gyp. Bd. -Hoch.
L !
Date Requesteds�(� � _ _Time= AM P!M
Address:-I3�O UG e&u"%/7 .^_ Permit
Builder=.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r hkAST W1416
�. 70 7�P
t/,-9'( IN%�(J�- lJGE
of
�0, ' Y V Y"
,C4 / p/o
5" s� i tY:Jti 7 " o-i�Sy u�7`i�5N.
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Inspectors , Datec
APPROVED DISAPPROVED OVED RUBJECT
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INSPECTION NOTICEI
City of Tigard Building Department
13125 SW Ball Blvd.. Tigard, 07-egon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line NAL.
Post/Beam Struct. San. Sewer Framing ldg
Post/Beam Mach. Rain Drain Insulatiun -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. l -tel
Date Requesteds ,�-t---_ _—Time: _--_AM PM
i
Address: 7J 7 (��V _i '7 Cf= _ Permit f:
Builders_��
THE FOLLOWING CORRB::TIOIIS ARE
Rr.%JUIRED:
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Inspector: �_" 1�/V� Date: G•-'A -
`APPROVED _y�/EI:iAPPROVBD APPROVED SUBJECT TO ABOVE
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� }NPECTION NOTICE I
�-
City of Tigard Building Departannt r•..- _.,,
13125 SW Ball Blyd., Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Pusinesa Phone: 639.-4171
Inapectiort�
Footing Plbg. Underslab Merh. Rough-in (Appr/BdWlk ,
Found. Plbg. Top Out cies Line FINALt
Post/Beam Struct, Sen. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation --Plwrh.
Plbq. Underfloor Water Line Gyp. Ed. -Meeh.
Date Requestedt /� T/vil�me: AM PM
Addresst �L/ -�.{ LC_,1 L,t Permiit f:_ 1/'_�
Builders_
TBR FOLLOWING CORRECTIONS ARE REQUIRED:
el
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Inspeccr3r:—_� Ff-C� / l^ /% --...---- Dates_f
APPROVED DTSAPPROVED APPROVED SUB.TECT TO ABOVE
___Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Depact3went
L3125 SQ Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0--Phone): 639-4175 Business Phone: 6J9-4171
Inspection: _ --.-- ------- ---- ------
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line ?INA1.:
Port/Beam Struct. Sen. Sewer Framing -Bldg. .
Post/Beam Mech. Rain Drain Insulation -Plumb.
_ if
Plbg. Underfloor Water Line C Gyp. Bd. -Mach.
Date Requested: l c— I LI 1`7 Times AN _ PM 3b
Address: --�j(_p �� I� C�i N Pdrmit��s 1 4l0 /
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: Q_ •1
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A1L'"
Datesp y
APPROVED DISAPPROVED V1 APPROVED SUBJECT TO ABOVE
_call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Olvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businene Phone: 639-4171
Inspection•_, —__--`_—
Footing Plbg. Underelab Mech. Rough.-in Appr/Sdwlk
Pound. Plbg. Top Out. Gas Line FINAL:
Poet/Beam Struct. Jan. Sewer Framit.g -Bldg.
Post/Beam Mecl:. Rain Drain Ineulation -Plumb.
Plbg. Underfloor Water Line ( Gyp. Bd. -Mech. I b,a� Y"y ' 7`•
Date Requented:// Tlivm�et AMp PM i .
Address: 'fJ `G///��s'l 61 639-
Pet'mma
Buildert. go/h V/ /1SCd
�r, 3 /- QC 39 ?4
,� /
THE FOLLOWING CORRECTIONS ARE REQUIRED:
tA W14, At
Inspector: _ Date:
--APPROVED OISAPPROVETU APPROVED SUBJP.CT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
city or Tigard Building Depaf'teent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec.-a.-Phone)- 639-4175 Business Phone: 639-4171
Inspection:_— ---
Footing
—Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk '
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer ( Framing `�ZP -Bldg.
,tr
'
Poet/Beam Hoch. Rain Drain rInsulation /p�'� -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested:_ _ CO 7` (� C� Time: AM —PM
Address: r
Pit 1:�"Qo 7�
Builder:-l1(J[� 1) l G' � )S�Y� LD J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
is —_. �-------------�� .--------
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Inspector: ----- - - Date:__ta
t
APPROVED _V DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp. t
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INSPECTION NOTICE v
.:ity of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223 1
Inspection Line (Rec-O-Phones 639-4175 Lneineea Phones 639-4171
Inspect ion s --
rooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line \ FINAL:
Post/Beam Struct San. Sewer Framing J -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested: 3� rr v / Timesf AM JPM
Address: y �i1 l Ce e 1_I I l C. /1 . Per�l�£ 1 s t
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Builders_ _ L
THE FOLLOWING Q1RREt'TIrNS ARE REQUIRED:
o"id-at
Inspectors Date:
APPROVED y DISAPPROVED APPROVED SU&IEr^ TO ABOVE
�/ Call For Reinsp.
1�
imsPEcrION NOTICE `�/ x
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections FFF
Footing Plbg. Underslab( !Meeh. Rough-i Appr/Sdwlk
Pound. Plbg. Top Out Gan Line FINAL:
Post/Beam Struct. San. Sewer Praming l -Bldg.
Poet/Beam Hoch. Rain Drain l -Plumb.
Plbg. Underfloor Waster Line Gyp. Bd. -Hoch.
Data Requeste
7d:/ !�� )lL ` 7 / Timet /AM PH
Address: /�J (O C/_(/
Builde C� C-.. �v - CO. _ -/0- I
r L�Z_ _fr ��9 _j� 7�
THE FOLIAMING CORRECTIONS ARE REQtIAEDi
_A4dE @
3- - -Itel-11-
ale --- -- ---
Inspector
--APPROVED — DISAPPROVED —A APPROVED SUBJEr-T TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
y Citi of Tigard Building Departeent
L ' 13125 SU Ball Blvd. Tigard, Oregon 97223
ti Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_y_ _
Footing Plbg. Underslab Mach. Tough-inAppr/Sdwlk
ound. V.��. Plbg. Top Out r Oas Line J FINALt
Post/Beam 8truct.) /\ San. Sewer Framing ~� /� -Blrig.
--//
Post/Beam Mech. Rain Drain Insulation -Plumb. ■
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested: Timer _ AM fPM
1)1 jT_ i L ■
Address: /� ' (!�� ( [L<-�.- 1 C �'� Permit f:�r�., /
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDs
I 1
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TA_k_ 4+�1)S.
c %AJ civ c1_ �•;��, � .;
, ,
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IrtepBdtO!! ��- Date: 7 1-9
APPAOVEO DISAPPROVED APPROVED SUBJECT TO ABJVE
_-Call For Relnsp.
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INSPECTION NOTICE
City or Tigard Building Departaent
13125 911 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-C�-Phone)s 639-4175 Business Phcne: 639-4171
Inspection: �r
Footing Plbg. Undorelab Mech. Rough-in Appr/Sdwlk
r.,
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
a Post/Beam Mach. Rair Drain Ineulatlon -Plumb.
i Plbg. Underfloor Water Line Gyp. Bd. -Mech.
$' Date Requested:
_Time: AM -y
r(, Address:
------- _ Permit fs
Builder:_
TBE FOLLOWING CORRECTIONS ARE IXQOIAEDt
vac
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I nepector t _�' t L.'" L•l. �_ 'Z — "1 L�
Date: 1
APPROVED 01SAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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INSPECfION NOTICE
City of Tigard Building Departaent
cr ,
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:— --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Strutt. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Meeh.
Date Requested: Times __AM Ph - 4
■
Address: Permit 1:
Builders
THE FOLLOWING OORRECTIONS ARE REQUIRED:
1p coo t'ILL vrcl
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�?-A� 1�U S� V Z..,•l,/t c�ti� LS„� , � 'L.,��-. �-1. �,� �.0 r�--,
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Inspector: �- Dalai S 2 -7' (4l�
APPROVED `DISAPPROVED APPROVED SUBJECT To ABOVE
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`=call For Reinsp.
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INSPECTION NOTICE
City of Tigard Bu'ldinq Department
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Pl.b9. Underelab Mach. Rough-in App '
r/Sdwlk
Found. Plbg. To out
P Cas Line FINAL:
Dost/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation ,
Plbq. Underfloor Water Line Gyp- Bd. -Hoch.
Date Requested:
Timet AM PN
Addresst A i
— -- Permit /t (I'"
SuIIder t {
TBE FOLLOWING CORRECTIONS ARE RPQUIRED: os 44
C�
7 L&S -e_
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Dater
APPROVED �IBAPPROVSD
APPROVED SU"rT TO AROVE
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—Call Por P,elnsp,
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INSPECTION NOTf,� ��.
City of Tigard Building Deparba t 1
131" all Hall `flyd- Tigard, Oregon 9-1223
Inspection Line
(ROC-O-Phone)t 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Onderslab
Hach. RoaQh-in APpr/Sdwlk
Found. Plbg. To Out
P Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bld
9•
Poet/Beam Hoch. Rain Drain
Insuletlon _pig.
Plbg. Underfloor > Nater Line
-- � QYP• Bd. -Mech.
Data Requesteds_ —� L
Timet -Am _pN d
Permit
Builders��
TRs FULLOl1IN0 ODRRECTIONS ARE REQUIRED,
Inspector:
Date:
--APPROVED _ DISAPPROVED
APPROVED SUBJECT 1'O ABOVE
yy''++pp Call For Reinsp.
I �
,
7T TMJ RM 9 CM--v"14
INSPECTION NOTICE
city of Tigard Building Daparbm-t \�
13121% SM Ball Blvd. Tigard, Oregon 97423
Inspection Line (Rec-O-Phons)s 639-4175 Business Phones 639-4171
Inspections —
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwl.k
Pound./ Plbg. Top Out Gas Line lINALs
(1 st/Beam 8truct iJ San. Sewer framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor WaterLineGyp. Rd. -Mach.
Date Requesteds �� O Times r _AM PH
Address s Pei R s1 1
Builders
THE FOLLOWING CTIOUS ARE REQUIRED:
J
�. 1� - 7 1
Inspectors__ , � _ Dates
'
_ /APPROVED s/ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rsinsp.
I y
1
INSPzCTION NOTA \A
City of Tigard Building Department
13125 an Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-a-Phone)e 639-4175 Business Phone: 639•4171
Inspections _
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdw1k
Found. Plbg. Top Out gas Line FINAL:
Post/Beam Structorl" San. Sewer Freeing -Bldg.
105t/Beam Mech. 'Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line gyp. Ed. -Meeh. A
Date Requested: I fir, Timet _--AM '107 rn
i
Addtesss ( 1.�1+L►C� Gi LN'C.'(/ l<i v�.t' Permit #,
Builder: .. I F
THE FOLLOWING CORRECTIONS ARE REQUIRED:
p
n
Inspectors__ �' �L� :♦ Dates r C)
AP'RQYBD DISAPPROVED APPROVED SUBJECT TO ABOVE
T Call For Reinep.
i
INBPSCTIOlINOTIC6 �L
City of Tigard euildiog Department
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639T_X,
175 Business Phone: 639-4171
1 inspect ion: I Vt.,�1, _�'(' _ 4..` _
�kr°I looting Plbg. Underelalb Meeh. Rough-in Appr/Sdwlk ,
F�
i, found. Plbq. Top Out Ou Line FIKALs
Post/Beam Struct. San. Bower lraminq -.Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line gyp. Sd. -Koch.
Date Requelsts)d: J <C1 Time: AM PM
Address If��lC�'L( L1lc1ly t.tr �C�a`� Permit OsM4)k -IN-eloy 7
Builder:
TBE FOLLOWING CORRECTIONS ARE REQUIREDs
I
II
1
i
Inspector: Dates_ 7 T -
PROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
INSPECTION NOTICE__
City of Tigard Building Dwpeztaent t,
13125 W Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
round. Plbg. Top Out gas Line FINAL:
Post/Seam Struct. Ban. Bower Framing -Bldg.
s
Post/Beam Mach. Cain Drain_ Insulation -Plumb.
Plbg. Underfloor ate► L"--) Gyp. Dd. -Mech.
Data Requested: 7 1 2 I Time: 11M �_PM ■
Address: 77 1 LA E' n (A Permit _
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDt
i
I
Inapectort40e� Date 7/
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rwinsp.
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1.. 4332 \
OREGON
BAR 'P' 1�
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-- - Fy 40,000 pal
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E'-I f3_ r4 3 r4 t2 °1"i 11 ION" E34R
4' ,21.0' $' •d'e 1h' O.G. NONE l4J-04's CONT.
b' 4'-00 9' — --- :4b Lyth' O.C. NONE 141-04's CONT.
3'-m' �I'-4' 04b • 12' O.C. 04's * 11' O.C. W-04's CONT.
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FOUNDATION WALL.
SCALE r I/2' I'-m" SWALLSCH
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INSPECTION N4TIQe I \�/
�. Cit? of Tigard Building ;. .. ;,
17125 M Ball Blvd. Tigard. Oregon 97223
Inspection Line (Recce Phona)s 639-4175 Business Phones 639-4171
Inspections —
Footi.nq
Plbg. Underslali Hoch. Rough-in Appr/Sdwlk
ound.- �i' Plbg. Top Out Gas Linu FINALS
Framing -Bldg.
Post/Beam Struct. San. Sewer
Poet/Beam Mech. Rain Drain
Insulation -plumb.
Plbq. Underfloor Nater Lino�1 q Gyp. Bd.
-Hoch.
--z)- \ l - "``� Times AM PM g
Date Roquoatods_
'"� ' �.`! Q�✓�� Permit fs
Address:
Builders
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
T77-
L
�' r Zsv r •� 1 --
f
Inspectors— _ Dates
Ci
APPROVED DIBAPPROVED __k:!-1PPR0VED SUBJECT TO ABOVE
` Call For Reinap.
•+.sen,w�intrna�Fktr+�M/wtuwRl,��,:i�"�
, 4y�,.
'"'�a�p "wv ?da�� lYp �" �° nn�u:ll,� ..tvaRYe•�rw ;a, r ,�Ca�x,
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INSP_ ECT124 NOTICE
city of Tigard Building Departseent
13125 BM Hall Blvd. Tigard, Oregon 97223
Inspection Line (R c-o-Phone)e 639-4175 Business Phones 639-4171
Inspection:
��Footin �/ Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
�(' Plbg. Top out Cas Line CINAL:
'—_
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -ply.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested: �I� ��1,
J ,., rr _Times AM ��- 1 �j PM
Address: 7 C Li f L Gl l( Permit
Builders CU
THE FOLLOWING conicTIONS ARE REQUIRED:
UN/ \ 'f J
31 C-t-\
J
Inspector:
--- Date: _5
__.APPROVED V DIS�AP�PROVED APPROVED SUBJECT TO ABOVE
For Reinep.
PLUMBING PERMIT
CITY OF TIGARD PERMIT . . : MST94-'UVJ i �
DATE ISSUED:
03/15/94
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 25104CA--03200
13125 3W Hall Blvd.Tigard,Oregon 97223.8199 (503)039.4171
SITE ADDRESS. . . : 1:600 SW LAURLIV LN
SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 FID
BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . .032
CLASS'OF^WORK. . :NEWGARBAGE-UISPOSALS. . : i. ■
'TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O
OCCUPANCY GRP. R3 FLOOR DF.nINS. . . . . . . ..0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
LAUNDRY TRAYS. . . . . . : 1 5F RAIN DRAINS. . . . . : 1 ■
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :5 O-CI-1 R FIXTURES. . . . . :0
TUN/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3, WATER L.I NF (ft ) . . . . : 100 �
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
ripmarl<s : C,(ITH I
OWNER:
J ROTH TIF $ 1520. 00 ..1G 03/15/94 -
c^ BPRT $ 47,:x. 00 JG 4-3/15/94 - 1
1 2:480 aW 68TH AVE C
BPLC $ 307. 45 JLH 01/16/94 94-248997
TIGARD OR 97224 B5PC t• 23. 65 .JG 0:,/15/ 94 -
Phone #: 639--2639 SSDC $ 280. 00 JG 03/15/94 -
PARK $ 500. 00 JG 03/15/94 -
Plumbing Contractor: -_..._.____.._.__.__-.__.-._._-_ MPRT f 45. 00 JG 0:3/15/94 �
MV,L.0 $ 11. 25 JG 03/15/94 t
�f-_ /� �.__... M5P(.' t, 2. 25 JG 03/15/94 - 1
I Address ^ l 3G) f _ PPRT $ 162. 50 JG e-3/15/94 JG 03/ 1$ 8. 1 -
Cit State : F'SF=IC13 ;/94 -
y. � __Q1E�___
�.�...�_P h o n e#:
r
R e® # �3�..J?y_3P8
-------- REQUIRED INSPECTIONS
This permit is issued sr..Ibject to the req --
ilations contained in the Tigard Municipal Foot/found Insp Rain dr^ain Insp
(=ode, State of Ore. Specialty Caodes sand all Past/Beam Strr_�ct Water-, Line Insp
other applicable laws. All work will be done Post/beam Mechan Appr/Sdw:lk Insp
in accordance with approved plans. This Plm/r_indslab Insp Mechanical. Final
per^mit will expir-e if work is not started FILM/Under-floor Plumb Final
J within 180 days of" issuance, or-' if work is Mechanical Insp Building Final
i iuspendeJ for mare than 180 days. Plumb Top Out Erosion Control
I Framing Insp Crawl Drain A
j Fireplace Insp
lasLine Insp _
Insulation Insp
Gyp Board Insp
oath sized F'� Imbing Cont:rar_tcrrS nature
L Call for inspection 639--4175
Contractor
+ I
aduir
CITY OF TIGARD M{#. . F�. . . : ✓
PERMIT #. . . . . . . MST94-9014
COMMUNITY DEVELOPMENT DMWMAT DATE ISSUED: 03/15/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8180 (503)830-4171
PARCEL: 2S i 04CA-17132•'@0
STTF ADDRESS. . . : 13600 SW LAUREN LN
SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PD
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :032
BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT.. . . . . . . . ..0 sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :760 sf
TYPE OF USE. . . :SF FLOOR AREAS-_.__..____.__..__ REQUIRED SETBACKS-----------.__
TYPE OF CONST. :5N FIRST. . . . r, 1111 sf LEFT. . :20 ft RIGHT. : 10.1 ft
OCCUPANCY GRP. :R3 SE=COND. . . : 1092 sf FRONT. :20 ft REAR. . .-30 ft
STORIES. . . . . . . :c THIRD. . . . :0 sf
HE I GHT. . . . . . . . :30 ft DOTAL.--_ ...___....; 203 s f SMOKE DE.TEC TORS. :Y
F.LOUR LOAD. . . . .-40 ps f VALUE. . . . . $ : 115018 PARKING SPACES— : !
Remarks : PATH I
------______._.________.____...____..___.____-• PLUMBING - -_.___.. _._____.. _-_-__-----.--_------___-.-_ t
S1NKS. . . . . . . . . . . I FLOOR DRAINS. . . . -0 BACJ/1FL_OW PRE=VI4TRS. . :0
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS;. . . : 1. CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (f t ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : t00 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MOC:H. . . : 1 SF' RAIN URAINS. . : 1
MECHANICAL CAL _.__.__.___.__- __________._.___.____.___..... FEES __.--•--__._---_-_._.
FUEL TYPES - -- ----- - UNIT H'TRS. . -0 type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JG 03/15/94 -
MAX 1"•'L,UT:0 DTU VENT FANS. . :4 BPRT $ 473. 00 JG 03/15/94 -
F'UR;V 1 rl''rt< .. . .0 H00DES. . . . . . : 1 BPLC $ 307. 45 JLH 02/16/94 94-;_48997
l- URN ) -:rl'0N . . : 1 WOODSTOVES. :0 B5F'='C $ 23. 65 JG 03/15/94 -
FLOOR FUVN. , . :0 CLO DRYERS. : 1 Sc--)DC $ 2BO. 00 JG 03/ 15/94 -
SO I L/CMF> ( .:.;&l ':0 OTHER UNITS. l PARK $ X00. 00 JG 03/15/911 -
GAS OUTLETS.- 1 MPRT $ 45. 00 JG 03/15/94 -
Owner: ___._.__ ___.__.__ _.______.__.__............._..___._.____MF=L1: $ 11. 25 JG 03/15/94
J ROTH M5PC $ 2. ;?5 JG 03/15/94 -
11:'_480 SW 6BTH AVE FIPRT $ 162. 50 JG 03/15/94
P5PC $ 8. i3 JG 03/15/94 -
1 I GARD OR 9722*
Phone #: 639-2639
Contractor :
-._.__.__.__________---..-_-.-•---__.__.____.-..._._._
J. T. ROTH CONSTRUCTION INC
12` 40 SW 68TH PARKWAY, SUITE B t
4
TIGARD OR 97;='23
Phine #: 639 -2639
Rc�y R. . : 31700
$ 3333. 23 TOTAL
This permit is issued subject to the regulations contained in the --- --- REQUIRED INSPECTIONS -- -----
Tigard Municipal Code, State of Ore, Specialty Codes and all other Foot/for_rnd Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This permit will expire if work is not started within 180 Post/Beam Mer-lien Insulation Insp
days of issuance, or if work is suspended fcr m e than 180 days. Plm/�_rndslab Insp Gyp Board Insp r
�'
FILM/UnderfIaor Rain drain Insp
Permittee Siynatur -_ Iher_hanictal Insp Wate-, Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued By : � � Framing Insp Mechanical Final.
Call. for inspection 639 4.17`;
4
.
i
SEWER CONNECTION
' CITY OF TIGARD PERMIT #PERM I.T. : !3WR94-0081
COMMUNITY DEVELOPMENT DLP LFIT DA1 L• ISSUED: 03/ 15/94
13126 BW Hall Blvd.T19ard,O►npon 97223.8199 (603)639.4171
PARCEL : 2S 104CA-03 :00
SITE ADDRESS. . . : 13600 SW LAUREN LIV
SUBDIVISION. . . . : HILLSHIRE ZONING: R--7 PD '
TENANT NAME. . . . . : I
USA NO. . . . . . . . . . : FIXTURE UNITS. . . .-
CLASS
NITS. . . :CLASS OF WORE;. . . :NEW DWELL I IVG UN I T5. . : 1
TYRE OF USE. . . . . :SF NO. OF BUILDINGSe1
INSTALL TYPE. . . . :BUSWR T IhF'F_RV GIARFACE. . : ; s f
Remarks: PATH T
Owner: ---- ______-__---- - _ ____ _-- --- ------- - -- ---- FEES ---
J ROTH type amount by date recpt
12480 SW 68TH AVE FIRMT $ 2c�00. 00 JG 03/15/94 -
1NS1=' $ 35. 00 JG 03/15/94 -
TIGAR.D OR 97K':=F24
Phone #: 639-2634
Contractor,
CONTRACTOR NOT ON FILE
i
Phone #: $ 22 a5. 00 TCTAL
Fteg #. . .
-------- REDUIRED INSPECTION5
This Applicant agrees tc comply with all the rules and regulations Sewer Inspection
_ a
of the Unified Sewage Agency. The permit expires 180 days from _
the date issued. The total amount paid will be forfeited if the
permit expires. The Agenc not guarantee the accuracy of the _- --
side sewer laterals. If tht ib not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not =o located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install # lateral.
F'er•mittee 5i.ynat�_rr-e��_. �.____..._�
Issued By :
L. J Call for inspection - 6:39-4175
i
7
''Id
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,
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
T-VI . s
Jobsite Address: /I�1�17 �✓ �9Clr� i 1ii'�
1
Subdivision: Z'�C SI//rb Lot Office Use Only e
Valuation: , l/S 0/f PlancWRec#
Permit #
Owner: Reissue of '
Address: f 2 Map & TL # aS l 3Z
Phone: /�J
���; - -� C..% Approvals Requ' 'gid
��-� �
Planning
Contractor: �. /� / '� (�i��r Engineering
Address: Other
Phone:
Items Required
Contract is License # �/i (/ Subcontractors _
V (attach copy of current Oregon license) Truss Details
Subcontractors:
Other
Plumbi6g:
(attach copy of current OR Contractor's License)
Architect/Engineer
Address:
77 ,�
Phone:
COMMENTS:
I
Applicant Signature & Phone number
Received by: Date Received:-=.144
�! I
i
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1
Permit ate Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) �j ��' •'
Plumb. Permit (PLUMB) f 1 6
� r r
Mech. Permit (MECH) J
State Tax (TAX)
Bldg: -2 3
■
Plumb:
Mech: . Z 1�
70
(PLANCK) ��• t! / Lt /
Plan Check �_ ” .,,
Bldg: 3 u i, (3
Plumb:
Mech: /1• Z)_
Sewer Connection (SWUSA) Z11 v
Sewer Inspection (SWINSP) 3>) 3�
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) :2 J-V
Residential TIF (TIF-R) / —0 /
Mass Transit TIF (TIF-MT) u / lJ
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality (WOUAL)
i Water Ouantity (WOUANT)
Fire District (FIRE) 1-7
_
-�
TOTALS: .S
N
I-I y CIF 1 I( ARD RCf: I PT OF PAYMENT R�' 'K 014
N"').
0UN T* .5,3 1
ROTH, ,T. T. CASH 141,10UNT n 0.00
PAYME'N'l DATF n 031 J 5/94
WDRESS n yjHj)jV(SMN
AMOUNT PAU) PURP-10SK. CJF POYMENT AMOUNI, I'JAID
*URPUSE
..............I--..................
473..RM PLUMUTNO PERM 16P.
MILDINC) PERM 1- 34. 03
ECHANKAL PF 4 1.;. 00 $31 . HLY(Lp PFR 21POW.00
+I AN CHECK FE 68. Yo 114F.;VEIR USA 11500.
F.WF.:R JNSP1-':C,*I* 3115.00 PORKS) SIDC
TORM DRAIN SDC, 1080.00 RU.91 DEN 11 f4t. TRAFFIC FEES 141.0. 00
TT F Ff." I A PI. 00
ASIS TRANCU'i
13C,00 43W L.AUREN L.N
101, AMOUNT PAlD 1531-8. P3
CT 1Y OF 'I 111-1 IRI) PIVA. 1- 11"I (.4. I'1c.Vety1f.1qI 94• x'413997
1JIV.i-K AW1 JN I 01A
00
ONIST RUG T I ON
MAME JT HOTH C OM01.1114 I
j 4 P0YMf-.NV 1`44IF 0;;J 1.6
SLI 14 0 1 v I ST.ON
MJRPORF. OF P,PYMENT OM01 INT 1:41 T) PURWASE CIF PAYMEM F114(p)(JI11 P011)
2I.-IIA. pie
...11..AN CHECK FE PLAN (-,HF.*.L;K FV.
fl-ANCHECKS (...p 15 33 A 3�:'
TAI- (AM1.1111\11 PAID t'.100. 00
.......... .........