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MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223°8199 (503) 639-4171 PERMIT #.. . . . . . : MST94-0195
� 639-4171 DATE ISSUED: 12/27/94
PARCEL: 1S133CC-01800
SITE ADDRESS : 11667 SW TALLWOOD LN
SUBDIVISION....: PEBBLECREEK ZONING: R-25
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :6)12
----- BUILDING ----- —
REISSUE: DWELLING UNITS:1 BASEMENT........:0 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS: 3 GARAGE. . . . . . . . . . :490 sf
TYPE OF USE...:SF FLOOR AREAS--- -- REQUIRED SETBACKS
TYPE OF CONST.:5N FIRST....:1419 sf LEFT..:5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND... :442 sf FRONT. :20 ft REAR. . :30 ft
STORIES.......:2 FINBSMENT:0 sf REQUIRED ------
HEIGHT........:17 ft TOTAL :1861 sf SMOKE DETECTORS.:Y
FLOOR LOAD....:40 psf VALUE.....$: 94426 PARKING SPACES..:1
Remarks: PATH I
— — PLUMBING -----
SINKS. . . . . . . . . . :1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :1
LAVATORIES.....:4 WATER HEATERS...:1 TRAPS.... ........ ..:0
TUB/SHOWERS ^2 LAUNDRY TRAYS...:0 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).:0
WASHING MACH...:1 SF RAIN DRAINS.':1
--~-- ------ MECHANICAL -------- — — FEES --------
FUEL TYPES ---- UNIT HTR8..:0 type amount by date recpt
/GAS/ / / VENTS .....:0 TIF $ 1520.00 KS 12/27/94 —
MAX INPUT:0 BTU VENT FANS..:4 BPRT $ 418.00 KS 12/27/94 —
FURN < 100K ..:1 HOODS ^1 BPLC $ 271.70 SW 05/17/94 94-252425
FURN >=100K ..:0 WOODSTOVES. :0 B5PC $ 20.90 KS 12/27/94 —
FLOOR FURN. . . . :0 CLO DRYERS.: 1 SSDC $ 280.00 KS 12/27/94 —
BOIL/CMP < 3HP:0 OTHER UNITS:1 PARK $ 500.00 KS 12/27/94 —
GAS OUTLETS:1 MPRT $ 43.50 KS 12/27/94 —
Owner: ----- — --MPLC $ 10.88 KS 12/27/94 —
COSTA PACIFIC HOMES M5PC $ 2.18 KS 12/27/94 —
14780 SWO SPREY DR PPRT $ 147.50 KS 12/27/94 —
# 275 P5PC $ 7.38 KS 12/27/94 —
• BEAVERTON OR 97007
Phone #: 646-8888
Contractor: — -------
COSTA—PACIFIC HOMES
14780 SW OSPREY DR
# 275
BEAVERTON OR 97007
Phone #: 503-646-8888
Reg #..: 65157 ---- --- — —
$ 3222.04 TOTAL
This perait is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS
Heard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This peroit will expire if work is not started within 180 Post/Beam Meehan Insulat ion Insp
days of issuance, or if work ig susoen d for oo e than 180 days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Permittee Signature: Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued By: __ __. Framing Insp Mechanical Final
Call for inspection — 639-4175
'
N15T�I � 9S
Residential Building Permit Applic
City of Tigard -.5==.1-,-... , !. t .. � ' ,� : � . : � f 1 I ri'Ft: r
13125 SW Hall Blvd.
Tigard, OR 97223 4
(503) 639 -4171 1r 3 - • �: -
r
Jobstte Address: //e lo��GV��r 7�D �f/n ? x �``k _�� _ < >T7 y ti = K }
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Valuation / / a / 1 { _ f =t - k f' Y -;� £ \m y A
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Address: / ?n� 5-r. ) c (7 ►�C.! .E/ %�r2.$- �7_� �. s�7 #;k' s ' ' ° ° ^� �f . ; /I �;.
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,. } < .. = 44�� p, y ` e } . .., { . , ¢
{ a} { , $ Y s 4 a> A:t 5 V . `.C.{. yfi yh .4.t , '' ;- 4 y,y, w.'
Contractor. �- ' • �M • / } x /; �t 4 x ie .
, . ; w > . i ` y - _ j
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Address: . l'''.651,=. { f ' ,..,:--t',.:: ` �,� } -K :
Phone: ; } $s t rar :IP' r3 •
` _
' ' >. [I to �
Contractors License # � w r',' f A s
(attach co p y of current Oregon license) ,y� } x{ t
Subcontractors: : ._ p , x ,-
�_
VPlumbing: l.(� 6C nt - � . .. _
:Y =,..;: �.
✓Mechanical: A /�e l � - A /jriv
(attach copy o current O Con or's. lice
•
Architect/Engineer:
Address:
Phone: -
Q 4 -pa t• a/ �.,tr�.
COMMENTS: =
- - L` /
•
Applicant Signature & Phone number
Received by: Date Received:
.
_ .6 ili‘ 6169114°1
Permit # Account Description Amount Amt. Pd. Bal. Du
P., V -U /J Bldg. Permit (BUILD) ` . - /-1/:r-,-0-k"
7. /Y- -0
Plumb. Permit (PLUMB) /4 S U , 5d,
Mech. Permit (MECH) q3, 5 - 9 - - ... • 7 73 3 ',
•
y
State Tax - : (TAX) ,jl,. 46, 30 -4t, .
Bldg: 90 /✓
Plumb: 7.3b' ✓ -
Mech: 02 (y sf
Plan Check (PLANCK) c
55' mss- . 3 . 2 . -, V
Bldg: c2 7l. 2 ' _
Plumb:
Mech: /°"g/''
. Q yc/- 0 /9-3 Sewer Connection (SWUSA)2-o J - ,,2 ii c
Sewer Inspection ( SWINSP) 3-' 3 r 1
Parks Dev Charge (PKSOC) " ` J o V
- Storm Drainage Chg (SDSDC) C
Residential TIF (TIF -R) /0 0 / (/ ' 0 d
Mass Transit TIF (TIF -MT) I I U // U V
Commercial TIF (TIF -C)
Industrial TIF (TIF -I) • -
Institutional TIF (TIF -IS) - _
Office TIF (TIF -0)
Water Quality (WQUAL) -.- -_ - / v -- _- J S
- -. l
Water Quantity - (WQUANT)
• Fire District (FIRE) " __ •
:. '.S4 ,3 G t
TOTALS 5 U7 - roc- )
Page No. 1 CASE HISTORY FOR CASE NO.. MST94 -0195
COSTA PACIFIC HOMES
11667 SW TALLWOOD DR
12/14/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA007 Application received / / / / 05/17/94 PASS SW 05/18/94 BLT
MSTA007 Application received / / / / 03/17/95 PASS MS 03/17/95 MRS
MSTA010 Plan check deposit paid / / / / 05/17/94 PASS SW 05/18/94 BLT
MSTA020 Plan check by 05/18/94 / / 05/18/94 PASS RT 05/18/94 BLT
MSTA030 Check for prcl. restrict. / / 05/18/94 05/18/94 PASS JLG 05/18/94 BLT
MSTA092 (F) Issue combination permit / / / / 12/27/94 PASS KAS 12/27/94 KS
MSTA097 Issue plumbing signature form / / / / 12/27/94 PASS KAS 12/27/94 KS
MSTA705 Foot /found Insp / / / / 01/06/95 NOT READY FAIL RB 01/06/95 RB
MSTA705 Footing Insp / / / / 01/11/95 9 -1- not ready for inspection DIS KS 01/12/95 KBS
MSTA705 Footing Insp / / / / 01/12/95 PASS RB 01/13/95 RB
MSTA706 Foundation Insp / / / / 01/12/95 PASS RB 01/13/95 RB
MSTA710 Post /Beam Structural / / / / 01/26/95 PENDING- FUTURE INSTALLATIONS W/ 3" PASS RB 01/26/95 RB
BEARING WOOD -TO- CONCRETE & NO BEARING
OFF OF FOOTING'S EDGE
REMOVE WOOD DEBRIS.
MSTA711 Post /Beam Mechanical / / / / 01/26/95 PASS RB 01/26/95 RB
MSTA717 PLM /Underfloor / / / / 01/26/95 PASS MS 01/26/95 MRS
MSTA720 Mechanical Insp / / / / 03/15/95 APP GS 03/15/95 GES
MSTA722 Plumb Top Out / / / / 03/06/95 NR MS 03/06/95 MRS
MSTA722 Plumb Top Out / / / / 03/08/95 need to test water FAIL MS 03/08/95 MRS
MSTA722 Plumb Top Out / / / / 03/15/95 APP GS 03/15/95 GES
MSTA722 Plumb Top Out / / / / 03/17/95' PASS MS 03/17/95 MRS
MSTA725 Framing Insp / / / / 03/15/95 APP GS 03/15/95 GES
MSTA726 Framing <REINSP> / / / / 03/16/95 APP GS 03/16/95 GES
MSTA735 Gas Line Insp / / / / 03/22/95 9 -1- 14 psi for 15 minutes APP KS 03/23/95 KBS
MSTA740 Insulation Insp / / / / 03/21/95 # -1- fireblock mechanical chase at DIS KS 03/23/95 KBS
ceiling line ( garage)
# -2- support B vent at attic
4-3- extend eave baffles eighteen inches
above of truss chord
# -4- complete nailing of shear ( plywood
at garage ceiling)
9 -5- install nail plates as indicated
MSTA740 Insulation Insp / / / / 03/23/95 APP KS 03/23/95 KBS
Page No. 2 CASE HISTORY FOR CASE NO.: MST94 -0195
COSTA PACIFIC HOMES
11667 SW TALLWOOD DR
12/14/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA745 Gyp Board Insp / / / / 03/24/95 # -1- ok to mud / tape interior only PART KS 03/27/95 KBS
# -2 this inspection does not include
backer board for installaion of
ceramic tile
# -3- provide clearance at B vent
penetrating garage ceiling also nailers
behind water heater to support gypsum
8 -4- flex ducts not allowed to penetrate
separation wall ( need to have
framing members for attachment of
gypsum
8-5- call for reinspection items
indicated above •
MSTA745 Gyp Board Insp / / / / 03/28/95 # -1- add nailers at framing members A/N KS 03/29/95 KBS
adjacent to furnace
supporting gypsum
MSTA755 Rain drain Insp / / / / 01/17/95 PASS MS 01/18/95 MRS
MSTA760 Water Line Insp / / / / 01/17/95 PASS MS 01/18/95 MRS
MSTA765 Appr /Sdwlk Insp / / / / 04/26/95 1) Be prepared to protect finish. PEND LT 05/01/95 JS
MSTA770 Misc. Inspection / / / / 03/08/95 8-1- need additional nailing at exterior DIS KS 03/09/95 KBS
sheathing due
severe fracturing of outter layer os
shtg
8-2- HD2A missing at master bedroom
8 -3- provide full bearing under hold
. down at garage wall
# -4- renail shear wall panels as shown
MSTA770 Misc. Inspection / / / / 03/13/95 # -1- this inspection is for partial A/N KS 05/10/95 KBS
shear wall; this does not
include shearthing for garage ceiling
will inspect
at framing
MSTA795 Mechanical Final / / / / 05/09/95 8 -1- see inspection notes DIS KS 05/10/95 KBS
MSTA795 Mechanical Final / / / / 05/12/95 APP KS 05/15/95 KBS
MSTA797 Plumb Final / / / / 05/04/95 PASS MS 05/04/95 MRS
MSTA799 Building Final / / / / 05/09/95 8-1- see inspection notes DIS KS 05/10/95 KBS
Page No. 3 CASE HISTORY FOR CASE NO.: MST94 -0195
COSTA PACIFIC HOMES
11667 SW TALLWOOD DR
12/14/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA799 Building Final / / / / 05/12/95 APP KS 05/15/95 KBS
MSTA960 (F) Issue Cert. of Occupancy / / / / 05/12/95 JF 05/18/95 JF
S --'. CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: f
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 c dg. CJ
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation CCP
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: /�� Time: AM .. X4f)
Address: I / 6 (P 7
Builder: Permit #: 9Y 6 / ��
•
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: ;/ 2-- -5.,,
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.