11582 SW TALLWOOD DRIVE L-=Ll-U L.1 L4 U L-1,4t- U jo cr ov, �•
r.
V•
t_
!ti
1
i
1
f
�s
0
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223(503)639-4171
CERTIFICATE OF
OCCUPANCY
PLRMIT #. . . . . . . i MST96-0309
DATE ISSUED: 12/18/96
PARCEL: IS133CD-16400
SITE ADDRESS. . . : 11582 SW TALLWOOD DR
SUBDIVISION. . . . . PEBBLECREEK NO. 3 ZONING:R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :054 JURISDICTION:TIG
CLASS OF WORK. :NE14
TYPE OF USE. . . iSF
TYPE OF CONSTR.-5N
OCCUPANCY GRP. .-R3
OCCUPANCY LOAD:2
Remav-ks : PATH I
Gwn&rL -----------------_._--_—__._ ._--_.___—
COSTA PACIFIC HOMES
8625 SW CASCADE BLVD
SUITE #6067
BEAVEPTON OR 97008
Phone #- 646-81388
Contract ri
COSTA—PACIFIC HOMES
(DBA R A K DEVELOPMENT)
8625 SW CASCADE AVE STI- 606
BEAVERTON OR 97005
Phone #: 503-646-8888
Req #. . - 000651
Ihis Certificate grants occi.tpancy of the above referenced building or portion
thereof and confirms that the butiding has been inspected for compliance with
the State of -egon Specialty Codes for the group, OCCUpancy, and Ure under
ed
which the re e -enced permit was 15SUed.
?
L_ UPEkV S
.7LTO
CNS -ECTOR 01 1 4C*LAL-/ LN
BUILDING I L3PL(--TID"GI
POST IN CONSPICUOUS PLACE
?age No. 1 CASE 4ISTORY FOR CASE NO.: MST96.0309
COSTA PACIFIC HOMES
11582 EW TALLWOOD DR
08/1.9/98
Action Description Req/ Schd/ End/ Action Nores Diep By Update Upd
Code Sent Done Done Date By
MSTA005 Application received / / / / 06/07/96 PASS J14 06/17/96 B172
MSTA008 Permit Created / / / / 06/17/96 PASS RT 06/17/96 ST2
MSTA010 Check for prc). restrict. / / / / 06/14/96 PASS BON 06/11/96 BT2
MSTA012 Plans routes to Plane Examiner / / / / 06/14/96 PASS BON 06/17/96 BT2
MSTA026 Plans arproved by Plans Exmr / / / / 06/17/96 PA,S RT 06/1'1/96 BT2
MS":A030 Reviewe.i plane routed to DSTS / / / / 06/17/96 PASS RT 06/17/96 BT2
MSTA080 (F) Ready to issue / / / / 06/18/96 PASS CJS 06/18/96 CJS
MSTA092 (F) lSalte- combination permit / / / / 07/09/96 PASS JSD 07/09/96 JD
MSTA097 Iseue plumbing signature form / / / / 07/09/96 PASS JSD 07/09/96 JO
MSTA098 Issue electric signature form / / / / 07/09/96 PASS JSD 07/09/96 JD
MSTA705 Footing Insp / / / / 08/05/96 not ready! FAIL RP 08/05/96 RB
MSTA'705 Footing Insp 08/12/96 / / 08/12/96 ties 7/12 PASS R8 08/12/96 R8
MSTA706 Foundation Insp / / / / 00/15/96 pending- shelf footing at missed fonting PASS RB 08/15/96 RB
locat,ion- spread out
MSTA710 Post/Beam Structural / / / / 08/26/96 APP OS 08/26/96 GES
MSTA71'. Post/Beam Mechanical / / / / 08/26/96 APP GS 08/26/96 GES
MSTA713 Crawl Drain / / / / 08/26/96 APP GS 08/26/96 GES
MSTA715 Plm/undslab Insp / / / / 08/26/96 APP GS 08/26/96 0P.,
MSTA731 PLM/Underfloor / / / / 08/23/96 bld drain not out to co APF GG 08/23/96 GES
M,STA72.0 Mechanical Insp / / / / 10/24/96 N-1- firestop chimney chase and secure DIS KS 10/25/96 KBS
protective barrier
8-2- replace damaged exhaust duc- at
utility rm
M-3- connect exhaust fans and vent to
exterior
�STA720 Mechanical Insp / / / / it/05/96 APP KS 11/08/96 RB
MSTA722 Plumb Top Out / / / / 10/11/96 PASS MS 10/14/96 MRS
MSTA723 Electrical Service / / ; / 10/28/96 PASS TLP 10/31/96 TLP
MSTA724 Electrical Rough In / / / / 10/28/56 PASS TLP 10/31/96 TLP
Page No. 2 CASE. HISTORY FOR CASE NO.: MST96-0309
COSTA PACIFIC HOMES
11582 SW TALLWOOD Dh
08/19/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent. Done DonE Date By
MSTA725 Framing Insp / / / / 10/30/96 #-l-positive connection trimmers to DIS KS 10/31/96 KOS
garage header
# 2 add stud at splice rear of garage
also at electrical panel
q-3- tempered glazing adjacent to patio
door
0-4- full bearing under beam al. kitchen
0-5- strap plate a to beam at liv/rm
#-b- support under out lookers at
notched top truss chord
0-7- subsiding joints need to end on
framing memeber
M-B- wall around exhaust duct at storage
area upper level
8-9- truss clips missing at front porch
beam
10- replace damaged section of chimney
MSTA725 Framing Inrp / / / / 10/31/96 N-1- framing corrections not completed DIS KS 11/01/96 KBS
MSTA725 Framing Insp / / / / 11/05/96 #-l-glazing adjacent to patio door needs A/N KS 11/05/96 KBS
to tempered
contractor has markd ID. and will be
changed prior
to final inspection
MSTA726 Shtor Wall Insp / / / / 11/05/96 APP KS 11/05/96 KBS
MSTA126 Shear Wall Insp / / / / 10/24/96 # I nail shear panels at garage DIS KS 11/05/96 KBS
MSTA735 Gas Line Insp / / / / 10/24/96 #-1- 21 PSI for 15 minutw,e APP KS 10/25/96 K.99
MSTA740 Insulation Insp / / / / 11/05/96 VIP KS 11/05/96 KBS
MSTA745 Gyp Board Insp / / / / 11/08/96 PASS RB 11/08/96 RB
MSTA755 Rain drain Insp / / / / 08/19/96 PASS MS 08/19/96 MRS
MSTA760 Water Line Insp / / / / 08/19/96 PASS MS 08/19/96 MRS
NFTA165 Appr/ddwlk Insp / / / / 12/09/96 complete forms, regrade/compact, protect FAIL PI 12/17/96 JT
opening on catch basin, protect finish
MSTA765 Appr/Sdwlk Insp 12/24/96 / / 12/16/96 PASS PI 12/24/96 JT
MSTA790 Electrical Final / / / / 12/17/96 PASS TLP 12/26/96 BT2
MST:790 Electrical Final / / / / 12/16/96 PASS TLP 01/15/97 TLP
N.6TA795 Mechanical Final / / / / 12/16/96 not ready) FATL RB 12/17/96 RB
MSTA795 Mechanical Final / / / / 12/17/96 PASS RB 12/17/96 RB
MSTA797 Plumb Final / / / / 12/16/96 house NR M6 12/17/96 MPS
locked
Page No. 3 CASE HISTORY FOR CASE NO.: MST96-0309
COSTA PACIFIC HOMES
11582 SW TALLWOOD DR
08/19/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent. Done Done Date By
MSCA797 Plumb Final / / / / 12/17/96 PASS MS 12/18/96 MRS
MSTA799 Building Final / / / / 12/17/96 electrical final; plumbing final; usa FAIL RH 12/17/96 RB
final
MSTA799 Building Final / / / / 12/18/96 elect./plumbing approved 12-17 PASS RB 12/19/96 RB
MSTA970 Cane Fi.naled / / / / 12/18/96 PASS RB 12/19/96 RB
4STB708 Erosion Control. / / / / 12/17/96 PASS USA 12/19/96 RB
�.� MASTER PERMIT
T
Y OF T I GARD
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/09X96
13126 SW Hall Blvd.Tigard,Oregon 07223.0100 (603)630.4171 PARCEL: ISI.33CC-F-IS354
SIi•F_ ADDRESS. . . . 11582 SW TAL-LWOrC1 DR
SUBDIVISION. . . . : PEBBL-ECREEK #3 ZONING: R--25
BLOCK. . . . . . . . . . . LO.. . . . . . . . . . . . .
Remarks: PATH I
------------------------------------•-------------------------- BUILDING ----------------------------------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED----------- -
CLASS OF WORK.:NEW HEIGHT........: 25 FIRST....: 1520 sf GARAGE.....: 541 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...; 476 sf FRONT.........: 20 PARKING SPACES: I
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 15
OCCUPANCY GRP.:R3 BDRM: ? BATH: 4 TOTAL------: 19'18 sf VALUE ,$: 138442 RF' '. .......: 15
----------------------------- ----------------------- PLLMIDING ------------------- ------------------------------------------
SINRS......... I WATER CLOSETS.: 4 WASHING MACH,.: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 4 UISHWASNEn3...- 1 FLOOR DRAINS.. : 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUD/SHOWERS...: s GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
UTHER FIXTURES: 0
-------------------------------------------------------------.-- MECHANICAL --------------------------•------------------------------ -
FUEL TYPES----------- FURN i 10x1( ..: 1 BOIL/CMF' ( 3HP: 0 VENT FANS.....: 5 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K. ..: 0 UNIT HEATERS..: 0 HOODS.........: i OTHER, UNITS...: I
MAa INP.: 0 BTU FLOOR FURNACES: 0 VENT"-.........: 0 WOODSTOVSS....: 0 GAS OUTLETS...: 1
------------------------------------------------- - - -------- - ELECTRICAL -----------------------------------------•---------------------.
---RESIDENTIAL UNIT--- •---SERVICE/FEEDEk---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- -•---MISCELLANEOUS---- -••ADD'L INSF'ECTIONa--
1000 SF OR LESS: I 0 - 200 alp..: Z 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP'/IRRIGATION: 0 PER INSPECTION: 0
E9 ADD'L 500SF.: 4 201 - 400 asp..: 0 201 400 amp..: 0 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 60b amp,.: N 401 - 600 amp..: 0 EA ADDL BR CIH: 0 SIGNAL/PANEL...: 0 IN PLANT........ 0
MAW HM/SVC/FDR: 0 001 - 1000 asp.: 0 41+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION ---------------------------------
Reconnect only.: 0 )=4 RES G'NITS..: SVC/FDR)=225 A.: ) 600 NOMINALs CLS AREA/SRC OCCi
---------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------------------------—..------------
A. SF RESIDENTIAL---------------------------- B. COMERCIAL------------------------------------------------•----------------••------------
AUDIO 6 STEREO.: VACILPI SYSTEM .s NUDIO 6 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURCkAR ALARM..: 0TH: s: a JOILEE.........: HVAC...........a LANDSCAPE/IRRIGs PROTECTIVE SIGNL;
GARAGE OPENER..: CLOCK..........: INSTRUMENTATIONi MEDICAL.......-: OTHR:
HVAC...........: DATA/TELE CW.: NURSE CALLS....: TOTAL N SYSTEMS: 0
Owner: ----------------•--------------------Contractor: ---------- TOTAL FEES:$ 4486.61
COS'A PACIFIC HXG COSTA-PACIFIC HOIES
8625 SW CASCADE BLVD 8625 SW CASCADE AVE STE.686
SUITE 116067
BEAVERTON OR 97008 BEAVERTON OR 97005
Phone N: 646--8886 Phone A: 503-646-8886
Reg e., : 65157
This permit is issues subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be dcne in accordance with approved plans. This permit will expire if work is not started within 160 1
days of issuance, or if work :s suspenaed for more than 180 days.
------------------------------------•--------------------••- REQUIRED INSPECTIONS - --------------------------------------------------------
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall In,Ii insulation Insp Appr/Sdwlk Insp Erosion Contro,
Post/Beas Struct Plumb Top Out low voltage Gyp Board Insp Electrical Final _
Post/Deam Mechan Electrical Servs li�eplace Ir;sq Rain drain Insp Mechanical Final
Crawl Dain Electrics) Rau has ine Insp / er Lyne I sp Plumb Final
s/ � GIC..J 0 --`_'
I-'ei-mittef-' Signatf-rr : �.1ed
C.a1 .1 fc,r inspect 1 :3n - 6;39--41 I:i /
SEWER CONNECTION
CITY OF TIGARD PERMIT #PERMIT. . . . . . . : SWR96-029+,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/09/-)6
13125 SW Hall Blvd.Tigard,Oregon 97223#8199 (503)539.071 PARCEL: 161:33CC–F'B354
SITE ADDRESS. . . : 11582 SW TALLWOOD DR
SUBDIVISION. . . . : PEE BLECREEK #3 ZONING: R--L5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :54
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . s CA
CLASS OF WORK. . . :NEW DWELLING UNITS— : I
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: I
INSTALL TYPE. . . -BUSWR IMPERV SURFACE: 0 S
Remarks: PATH I
Owner: FEES
COSTA PACIFIC HOMES type amoi-int by date recpt
86r-_'5 SW CASCADE BLVD 'RMT $ 2200. 00 JSD 07/09/9E, 96–.281410
SUITE #6067 1 N5P, $ Y.5. 00 JSD 01/09/96 96-281410
BEAVERTUN OR 970OLI
Phone #. 646-8836
Contractor-:
CONTRACTOR NOT ON FILE
Phone #: $ C-235. 00 TOTAL
Rey #. . : R60UIRED INSPECTIONS
This Applicant agrees to cosply with ali the rules and regulations Sewer Inspect ion
of the Unified Sewage Agency. The persit expires 180 days frog
the date issued. The total adount paid will be forfeited if the
pervit expires. The 'jency does not guarantee the acruracy of the
side sewer laterals. If the sewer is not located at the epasurepent
given, the installer shall prospect 3 feet in all directions froo
the distance given. If not so located, Me installer shall purchase
a "Tap and Side Sewer" Permit and the CY wl).l 11stall a lateral
f'e r m i t t e eF G I Ll I-If It"k1
I s s 1..t e d
Ca 11 for inspection 639-4175
KEW
0 Residential Buildina Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsi;e Address: 11582 `W Tallwood_D_Rive
Subdivision: Pebble Creek #:3 _meq � Office Use Only
Contact Date / / 1(7,r Initials
Valuation: c _L . _ Result I)V"( r
New Construction Only: (Square Footage) Planck/Rec # _U) I Lit'
Permit # 1I > O 30 Q
Nouse __-19913! - Garage: 591 Reissue of
Corner Lot? Y N Flag Lot? Y N Map & L# �`X 3?,e C 3 7�
Z(me - 1`,
Owner: Costa Paef is HOmes Flat #
:
"prov_als Required
Address: 8625 SW Cascade Blvd . #6007 04J
Beaverton,OR 97008 Planning Setbacks Ok% Solar(11-*-' `5N'' �O
-- Engineering N*-
Phone )503 6 4 6-8 8 6 8 Otner ____
1!__ .—.._.-----------
Items Required
Contractor; SAME
Address: Subcontractors
-- ----- -- ---- Truss Details
Other
i
Phone: Notes � , : U
Contractor's License # 65157 9 - 1- r
(attach copy of current Oregon license)
Contact Name. Marci Weber -------- -
Contact Phone: ( 503 ) 646-8888
Subcontractors: Arch itectlErig ineer: Iverson AssQcidtes
Plumbing: Wolcott. Plumbing Address: 151 Kalmus _Drive
Mechanical: ARco Installations Costa Mesa, CA 92526
(attach copy of current OR Contractors License
Bear Electric Phone: 1_7141 549-3479
JOB DESCRIPTION:
Applic;nt Signature Applicant Phone number
l
Received by: , _ Date Received ��
Permit s Account Description Amount Amt, Pd. Bal, Due
i
Bldg. Permit (BUILiL) v 3a b
Plumb. Permit (PLUMB) 1i Z j� o? -S
Mech. Permit (MECH) ;--v
`?
Bldg: s2 Ca •S: S 1 -86
Plumb: / •t
Mech:
Plan Check (PLANCK)
Bldg: i
Plumb:
Mech:
/J Sewer Connec.don (SWUSA) ozxv 0 G U
Sewer Inspection (SWiNSP) 3� 3
Parks Uev Charge (PKSOC) /'D S ✓ /
Residential TIF (TIF-R) /(/ 70 ./_.Z1�__..
%lass Transit TIF (TIF-MT) �r / o
Commerc;al TIF (TIF-C)
Industria. Z IF (TIF-4)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality, (',MQUAL) k-V 11,1
Water Quantitti, (ViQUANT) r �� p U
Fire Life Safety (FLS
crosion Cntrl Permit (E-PRMT) V y c�
Erosior. PlancklUSA (ERPLAN)
Erosion Planck/COT (ER0SN)
C2>
TOTALS: h)� 7 ���
JUN-04-1996 18:29 CES P.t, ,
S. W. TALLWOOD CT.
f�
R 10.00' I `-� - ---- —FLEV 195.8
L - 28.7.7.
Cls 25.48' I HP, ItA. w
03 S 46'3T52' W i U) afV 194481 . 44.Q0' .a —- .. ....
/ \ F'UE
•' GRAVEL
CONSTRUCTION
1 20' GARAGE DRIVEWA"'y ENTRANCE:
SECIIMINT I If SETBACK • 44 '
INCE s• I _/ j � � , '_-- _ a _5' SIDE YARD
SETBACK
cu'
SA NII R �ERA,L I Z
V1
I . D
F71 --� -
��` z PLAN 420
IDE '►AR I e
D t0 fF 196,8
E kCK
! 1
RAIN C44-1
I
WATFR MEIER 15' REAR YARD
Ac
LA TER AL SETBACK El is V 191 p
62.00'
i 5 8822' Oa' E
I17
ELEV 19.5.0 rAX MAP 1 S1 3 3 C D
TAX LOT 16400
NOTE: CONTOURS ANU UTILITY INrOnMAIION
TAKEN MOV CONSTRUCTION PLANS PRFPAREU
BY THE SUBDIVISION MAKER. VERIFY INF ORMAT10N
SCALE: 1' 20' SHOWN BE1'ORE BEGINNING CONSRUCTION. CORNER
ELEVATIONS OBTAINED FROM CONTOUR/GRADING PLAN
AND SHOULD ALSO BE VERIFFD.
2.0 110 (1 7.0
LOT 54 E
IS
CONSULTING ENGINEERING SERVICES. INC,15256 NW. CR!!'ENBRIER PAFiKWA ,' PI`BBIE CREEK N0. 3URESEAVERrON, OA 91'004 (503) 090-5500 TIGARD, OREGON 7�.0'MI:
027
10/31/96 THU 00:33 FAX 503 697 8292 DOROTHY TESTER SLS INC 0001
PRODUCTS
1Mn,lh..4 PRONX13 r,r C'AUronN61.Mr.. 1 6 L�'j,�
F
I' Dox 1Id0 • 1199 3 O (J
I CA ,IFIJ"VF,I11ir _ l T� !� /!�'
1'F HMI: 17AI IKi;f 927T0
If.1.0^I10NC ht�l 57.7911 ° rAx 1.1.11 nn-+•lu.,r �
TCLri.rJof,tTMTX I,n
A q'101101ANY cm; IMl,llf!!INDu�rnir-,INC.
,7anuary 25, 1991 �L
CO
>�CIVa
Dnr, r= 'rEsr?z SALES --1_
Post office Box 1296 ! y
Taul.at in, Oregon 97062
Mtn: mrs. Dorothy Tester
Re: Snell Dents
Dear Dorothy:
TEj,U=. Pp(7D jcTs is aware that small bents occur in the outer wraps of our
fireplaces and flue pipe.
In our opinion these small dents Flo not interfere with the operation of the
fireplace and present no safety hazard.
Si.nceIrely yours,
T,t4rE}C PPOP7,,,�C• _
/Jay/HyattMaerials Manager
JH/ps
90-12 I