Permit CITY OF TIGARD MASTER PERMIT
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COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # • MST95 -0139
13125 SW Hall Blvd. Tigard, Oregon 9722348099(503)15g914171 DATE ISSUED: 03/31/95
PARCEL: 1S133CC -01500
SITE ADDRESS...: 14065 SW SPRINGBROOK LN
SUBDIVISION • PEBBLECREEK ZONING: R -25
BLOCK • LOT •009
- - BUILDING
REISSUE:MST94- 0360 DWELLING UNITS:1 BASEMENT ...... ..:0 sf
CLASS OF WORK.:NEW BEDRMS:2 BATHS:2 GARAGE 516 sf
TYPE OF USE...: SF FLOOR AREAS - REQUIRED SETBACKS----•--- - - -• --
TYPE OF CONST. : 5N FIRST -1511 sf LEFT..:5 ft RIGHT. ft
OCCUPANCY GRP.: R3 SECOND...:0 sf FRONT.:20 ft REAR..:54 ft
STORIES •1 FINBSMENT:0 sf REQUIRED
HEIGHT •20 ft TOTAL - - - - -- -:1511 sf SMOKE DETECTORS.:Y
FLOOR LOAD....:40 psf VALUE $• 106096 PARKING SPACES..:1
Remarks: PATH I
PLUMBING - - -- --
SINKS.... ...... :1 FLOOR DRAINS :0 BACKFLOW PREVNTRS..:1
LAVATORIES •3 WATER HEATERS... :1 TRAPS •0
TUB /SHOWERS •3 LAUNDRY TRAYS... :0 CATCH BASINS :0
WATER CLOSETS..:2 SEWER LINE (ft).:0 GREASE TRAPS -0
DISHWASHERS •1 WATER LINE (ft) .100 OTHER FIXTURES •121
GARBAGE DISP...:1 RAIN DRAIN (ft).:0
WASHING MACH...:1 SF RAIN DRAINS..:1
MECHANICAL -- FEES - - --
FUEL TYPES -- UNIT HTRS..:0 type amount by date recpt
/GAS/ / / VENTS :0 TIF $ 1550.00 JDA 03/31/95 --
MAX INPUT:0 BTU VENT FANS :3 BPRT $ 450.50 .JDA 03/31/95 -•-
FURN < 100K ..:1 HOODS -1 BPLC $ 50.00 JF 03/22/95 95-263184
FURN >=100K ..:0 WOODSTOVES.: 0 BSPC $ 22.53 JDA 03/31/95 --
FLOOR FURN •0 CLO DRYERS.: 1 PARK $ 500.00 JDA 03/31/95 --
BOIL /CMP < .3HP:0 OTHER UNITS:1 MPRT $ 40.50 JDA 03/31/95 - --
GAS OUTLETS :1 MPLC $ 10.13 JDA 03/31/95 --
Owner: - - -- --- - -MSPC $ 5.03 JDA 03/31/95 --
COSTA PACIFIC HOMES 2BTH $ 195.00 JDA 03/31/95 --
8625 SW CASCADE BLVD P5PC $ 9.75 JDA 03/31/95 --
EROS $ 64.00 JDA 03/31/95 --
BEAVERTON OR 97005 ERPC $ 20.80 JDA 03/31/95 --
Phone #: 503- 646 -8888 ERPC $ 20.80 JDA 03/31/95 --
Contractor: -- - -_ -- - - - - - -- -SWM $ 180.00 JDA 03/31/95 --
COSTA- PACIFIC HOMES SWM $ 10121.00 JDA 03/31/95 --
14780 SW OSPREY DR
# 275
BEAVERTON OR 97007
1-'hone #: 503 -646 -8888
Reg #.. : 65157
$ 3216.04 TOTAL
This persit is issued subject to the regulations contained in the --- -• -- -- REQU I RED I NSPECT IONS -- - - - -•-
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Plumb Top Out
applicable laws. All work will be done in accordance with approved Foundation Insp Framing Insp
plans. This persit will expire if work is not started within 180 „ Post /Beam Struct Fireplace Insp
days of issuance, or if work . 14. ....suspended for I.' 'an 80 days. Post /Beam Mechan Gas Line Insp .
41 , Crawl Drain Insulation Insp
Permittee Si t�_lref ,/ € - tundslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Issued By: Mechanical Insp Water Line Insp
Call for inspection - 639 -4175
PLUMBING PERMIT
CITY OF TIGARD DATE I ISSUED: 03/31 955- 121 :9
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 19133CC -01500
SITE ADDRESS...: 14065 SW SPRINGBROOK LN
SUBDIVISION : PEBBLECREEK ZONING: R -25
BLOCK LOT °009
CLASS OF WORK..: NEW GARBAGE D I SI='OSALS..: 1
TYPE OF USE :SF WASHING MACH •1 BACKFLOW PREVNTRS..:1
OCCUPANCY GRP..:R3 FLOOR DRAINS •0 TRAPS •0
STORIES •1 WATER HEATERS :1 CATCH BASINS •0
FIXTURES LAUNDRY TRAYS •0 SF RAIN DRAINS •1
SINKS •1 GREASE TRAPS •0
LAVATORIES °3 OTHER FIXTURES °0
TUB /SHOWERS • SEWER LINE (ft) •0
WATER CLOSETS..:2 WATER LINE (ft) •100
DISHWASHERS •1 RAIN DRAIN (ft) °0
Remarks: PATH I
DWNER : -- - COSTA PACIFIC PACIFIC HOMES TIF $ 1550.00 JDA 03/31/95 --
8625 SW CASCADE BLVD BPRT $ 450.50 JDA 03/31/95 --
BPLC $ 50.00 JF 03/22/95 95- 263184
BEAVERTON OR 97005 BSPC $ 22.53 JDA 03/31/95 --
Phone #: 503 -646 -8888 PARK $ 500.00 JDA 03/31/95 --
MPRT $ 40.50 JDA 03/31/95 --
Plumbing Contractor: MPLC $ 10. 13 JDA 03/31/95 --
M5PC $ 2.03 JDA 03/31/95 --
Name: / 1 �r► rL _ _ ,L/ /1 d . 4►n/• 2BTH $ 195.00 JDA 03/31/95 - --
Address: P5PC $ 9.75 JDA 03/31 /95 --
City: State: EROS $ 64.00 JDA 03/31/95 --
Zip: Phone #: ERPC $ 20.80 JDA 03/31/95 - --
Reg #: Additional fees not shown here
REQUIRED INSPECTIONS
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Footing Insp Insulation Insp
Code, State of Ore. Specialty Codes and all Foundation Insp Gyp Board Insp
other applicable laws. All work will be done Post /Beam Struct Rain drain Insp
in accordance with approved plans. This Post /Beam Mechan Water Line Insp
permit will expire if work is not started Crawl Drain Water Service In
within 180 days of issuance, or if work is Plm /undslab Insp Appr /Sdwlk Insp
suspended for more than 180 days. PLM /Underfloor Mechanical Final
Mechanical Insp Plumb Final
Plumb Top Out Building Final
Framing Insp Erosion Control
Fireplace Insp
x�GL Gas Line Insp
Authorized Plumbing Contractor Signature
Call for inspection - 639-4175
Contractor Notes:
. rr
/ A—
. Residential Building Permit Application t ,1,
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
ca, - 25 c P
Jobsite Address: , .. s , • 'sibs . -
/Subdivision: PPhh1 P rreAk Lot # -----g Office. Use Only
Planck/Rec # 3 -4-(
Valuation: /06 I 0 9 1
Permit# /115 Kr— 0 l3 7
Corner Lot? Y
0
Flag Lot? Y Reissue of hl 5 /
Map:& TL # 151 cc- - 1500
Ply (1D - 12-
Owner: Costa Pacific Homes Approvals Required
Address: 8625 SW Cascade Blvd. #606 Planning 10 .Side 6 ac;n1 Ace/
5 .
' s oC
Beaverton, OR 97005 Engineering 2v' ga/c,c<.c
Phone: (503) 646 -8888
Other
Contractor: Same . Items Required
Address:
Subcontractors
Truss Details
Phone: Other j t..(( / 0-.1 -' ? .: I'
,) t
Contractor's License # 65157 ---- t? 'W L( r' 1 '
(attach copy of current Oregon license) Loks I- 2. , 2-5 O \ r
Contact Name & Phone: Marci Weber 6 4F RRR$ �1 Pe.f v` r °i > � ° 4 � 5 3 `�� (9y
-
Subcontractors: Architect/Engineer: Iverson Assaeites
Plumbing: Wolcott Plumbing Address:
151 Kalmus Drive C. 140
MOP i Costa Mesa, CA 92626
Mechanical:Arco Installations
(attach copy of current OR Contractor's License)
Phone: (714) 549 -3479
JOB DESCRIPTION: Re -i ss17P of MST 91 -0360
pp scant Signature & hone number /
Received by: p .4.41. Date Received: 3 / 2 z ( 95
U
Permit # Account Description Amount Amt. Pd. Bal. Due
5 K, o /3 9 Bldg. Permit (BUILD) 1 /50, c/So• 50' w . •
Plumb. Permit (PLUMB) /9;.
✓
Mech. Permit (MECH) /0' )1 0.4 ✓
State Tax (TAX) 3 41. 3l 3 I , 31
Bldg: a 2, S-3 "
Plumb: 9.7 C
Mech: c2• 3 ✓
Plan Check (PLANCK) ( pG. / 3 Jd./ 3 ✓
Bldg: S O V
Plumb:
Mech: - / 0 , / 3
ic.vl z s -U13o Sewer Connection (SWUSA) U 220) 1/
Sewer Inspection (SWINSP) 3 3 . ✓
Parks Dev Charge (PKSDC) s a v sod
Residential TIF (TIF -R) / 4.5° / Li 3 v
Mass Transit TIF (TIF -MT) ! ) zo ✓
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL) lr° /5-0
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) G 4 ( (/y. '41 IV
Erosion Planck/USA (ERPLAN) 9-p .2-G
Erosion Planck/COT (EROSN) 91.r �1i47) ✓
_ pr-
•
TOTALS:
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
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
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 7//. - 3 /9 Time: AM PM
Address: G ���/ , -414
Builder: ' • mit #: 9 — � 1 3 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
• / GC `/ •A11 ' X111
Inspector: /7 /,. Date: - 7/
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
all For Reinsp.
\p CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
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 dpi
Alarm Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. - Elect. ✓.„..-----"
Date Requested: .7 4 i 15- Time: AM 2,._.gDy.sei.
Address: D .. , _.■./1_.-.iL, :.L alt.IC - " I
Builder: Permit Or 9s- O /3?
THE FOLLOWING CORRECTIONS ARE REQUIRED:
- c --- 7
I
Inspector: Date: ".2 72 Oc .----
(14 PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
... ----__:.:_.t. _Call For Reinsp.
/1457 1 ?
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
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. Insul. Shear Wall Gyp. Bd.
Date Requested: 7 /6 &S Time: AM PM
Address: 0(e i �__ - /' i�%1.. , iI/
Builder: t 78 -13S5 f 'Permit #:0 1/45 (o 7 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/ -?Cf 7 . t CG2 / l c
� _� .
4 IMP' i 4 7 kj._4_
In e ctor: e 7 •.!' 0 Date:
PROVED _DISAPPROVED APPROVED SUBJE ABOVE
_Call For Reinsp.
3/9/00 Activities for Case #: MST95 -00139
1:06:36 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA007 Application received 3/22/95 JF PASS BLT 3/29/95
MSTA010 Plan check deposit paid 3/22/95 JF PASS BLT 3/29/95
MSTA020 Plan check by 3/29/95 3/29/95 RT PASS BLT 3/29/95
MSTA030 Check for prcl. restrict. 3/29/95 3/22/95 SW PASS BLT 3/29/95
MSTA705 Footing Insp 4/3/95 RB PASS RB 4/3/95 SEE FOUNDATION
INSPECTION THIS DATE
MSTA706 Foundation lnsp • 4/3/95 RB PASS RB 4/3/95 17 VENTS REQ'D; LOW
POINT DRAIN REQ'D;
MAINTAIN ANCHOR BOLTS
AT 24" CTRS; MAINTAIN
SEISMIC RESTRAINT- .
• VERTICAUHORIZONTAL
REBAR, ETC.
MSTA710 Post/Beam Structural 4/13/95 GS APP GES 4/13/95
MSTA711 Post/Beam Mechanical 4/13/95 GS APP GES 4/13/95
MSTA713 Crawl Drain 4/13/95 GS APP GES 4/13/95
MSTA717 PLM /Underfloor 4/13/95 GS APP GES 4/13/95 -
MSTA720 Mechanical Insp 5/9/95 GS DIS GES 5/4/95
MSTA722 Plumb Top Out 5/4/95 MS FAIL MRS 5/4/95 wast ok need to test water
150Ibs
MSTA725 Framing Insp 5/9/95 GS DIS GES 5/4/95
MSTA735 Gas Line Insp 5/9/95 GS DIS GES 5/4/95
MSTA745 Gyp Board Insp 5/17/95 KS DIS KBS 5/18/95 #-1- shear nailing not done
MSTA755 Rain drain Insp 4/6/95 MS PASS GES 4/7/95
MSTA760 Water Line Insp 4/6/95 MS PASS GES 4/7/95
MSTA795 Mechanical Final 7/21/95 RB PASS RB 7/24/95
MSTA797 Plumb Final 7/13/95 MS • FAIL MRS 7/13/95 water heater nees to be 18 "off
floor
MSTA799 Building Final 7/21/95 RB PASS RB 7/24/95
-
MSTB708 Erosion Control 7/21/95 USA PASS RB 8/2/95
MSTA097 Issue plumbing signature form 3/31/95 JDA PASS JDA 3/31/95
MSTA092 (F) Issue combination permit 3/31/95 JDA PASS JDA 3/31/95
MSTB750 Shear Wall lnsp 4/27/95 RB PASS RB 4/27/95 pending- garage ceiling
shear /gyp shear at back garage
wall
MSTA722 Plumb Top Out 5/4/95 GS DIS GES 5/4/95 NO GUAGE TEST TO 150#
MSTA722 Plumb Top Out 5/5/95 GS DIS GES 5/5/95 WATER NOT TESTED
Page 1 of 2 .
3/9/00 Activities for Case #: MST95 -00139
- 1:06:36 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
•MSTA720 Mechanical Insp 5/5/95 GS APP GES 5/5/95
MSTA726 Framing <REINSP> 5/5/95 GS APP GES 5/5/95
MSTA735 Gas Line Insp 5/5/95 GS APP GES 5/5/95 •
MSTA726 Framing < REINSP> 5/12/95 KS APP KBS 5/15/95 •
MSTA740 Insulation lnsp 5/12/95 KS APP KBS 5/15/95
MSTA745 Gyp Board Insp _ 5/18/95 KS APP • KBS 5/18/95
MSTA765 APPr /Sdwlk lnsp 6/1/95 LT PEND JS 6/20/95 1) Expansion joints (1/2" felt)
required at 40' and at cold
• joints. 2) Be prepared to protect
• finish.
MSTA797 Plumb Final 7/21/95 MS PASS RB 7/24/95
MSTA960 (F) Issue Cert. of Occupancy 7/21/95 • JF JF 7/26/95
MSTA770 Misc. Inspection 8/1/95 MJR - EFA MJR 8/1/95
MSTA722 Plumb Top Out 5/9/95 MS PASS MRS 8/22/95
•
Page 2 of 2