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11611 SW TALLWOOD DRIVE lYa m WIN Kw ADDRESS: i:\records\microflm\targets\build?ng.doc CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF 13126 8W Hall Blvd.Tigard,Oregon 97223.8199 (603 0 .4171 OCCUPANCY � 99 (N x Tyr RM 1 T #. . . . . . . c MST9 4 17115"> 6:19--4171 DATE: I3SULDc 10/17/94 PARCEL:; 151 33CC•-0�10eD I TE: ADDRESS. . . : 1 16 1 1 '3W TALLWOOD D13 ` USD!V I S I CIN. . . . a PE:NFIL.E:CREEK IONI NV:R-•25 . . . . . . . . . . LOT. . . . . . . . . . . . . !.:LASS OF WORI'.. a NEW 1'YPE OF USE. . . c SF OCCUPANCY GRP. a R3 11CCUPANCY LOAD c 1 21 41 I'ENANT NAME. . . a .1Wrrer a 'Or T fi -Pf4C I F I C HOME 13 t4780 SU 1:3SPRE:Y D►2 #27,`.5 AEAVERT'ON OR 97007 'horw #1a oni:rac_t Ur e OS T'A-PF,C 1 F 1 C HOMES ! 4780 SW OSPREY DR li x"'75 rEAVF R MN OR 9717107 503-646-8888 65157 Icc.l..1pAncy of the above referenced buildinq is hereby given, and certifies he compliance With the, Statex Of Oregon Sper_ ialty Codes for than group, lccf.lpancy, acid use Linder Which the referwrrc:ecl permit Was issued. t i NSjPE,Tt1 POST IN CONSP 1 Cl.1OUS PLACE JNSPECTION NOTICE City of Tigard Building Department. 13125 Sw Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busineas Phone: 639-4171 Inspect ion s-----___-- .---.__-- Pooting Pibg. Underelab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Cas Line INALs Poet/Beam Struct. San. Sewer Psaming dq C Foet/eaatn Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. ech. / Date Requesteds \ 0- \-i---1`s _— Tim : /� AM PM Address: W ' —_ �A.)Gam} �` Permit 9:-t Builders U"' , ( 7- 0 THE POLLAStING CORRECTIONS ARE REQUIREDs 17 Inspector: -- -- Date! Q` t 7-- IPPROVED DISAPPROVED iPPROVEn SURJRCP TO A8011E For Reinep. r+ NI 5pEGTION N '•,�s. �V � City of Tigard Buildia_ �partmmt -� 13125 SM Hall Blvd_ Ti.gar.l. Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cao Line iI` l�j,► s` Pont/Beam Struct. San. Sewer Framing Post/Beam Mew-,b._ Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. <e2Nmeh. )QOO MDate Requesb4di_ ,'4 Times ��11M✓ pM Andreae: 1(� / �( � � Permit � Builder: �f Q --'' V 71'7 nix FOLLOWING CORRECfION3 ARE REQUIREDS th ��"� Inspector:_ �""-� — Dater ?-`7 4 DISAPPROVED _ V ApPROVtD SUBJECT TO ABOVE Call For Reinap. M'd -1H I(i I 10 v VI I I In ami 0 fYi i (rj I J � t (• . � I � I 17 .. xfit i Q ( � � I•' ` i M �� co m s 1 i .4m � t • j _ I � i I ? A�� 1 N � I Ill W Yi O I' V Q x ! I I _._ I -! M Y ,r `R t, i N LIJ �J z LL (!) ?J i !o! ilia U A i W0-4 f o I L1J of Y z �C pp a I I H 1O ►-� rt Ul u T_- �: I"4 ? i 07 1:, QI1 � U w (n I ri a. :� N a of 4 t) ( i�) -A}"!} - - .in k!! .p _..: 11 4 ~ J N I s `� U ► ' ' mi n N Lr1 J W M) C7 J LL aJ a '1 rW �C1) mak% oQ I t Lxo ,r, j Im 4) CIL -0 4�-N�-t a o Q . c'tl'd 0h8L9b9b 0L PJUE1 1W WONJ W49:E 0 0661—PI—©t Page No. 1 CASE HISTORY FOR CASE NO.: MST94 0159 COSTA-PACIFIC HOMES 11611 SW TALLWOOD OR 08/2:/9!3 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date [+y MSTA007 Application received / / / / 04/18/94 PASS SW 04/28/94 BI,T MSTA010 Plan check deposit paid / / / / 04/18/94 PASS SW 04/28/94 BLT MSTA020 Plan check by 04/28/94 / / 04/28/94 PASS RT 04/28/94 BLT MSTA030 Check for prcl. restrict. ! / 04/28/94 04/28/94 PASS JLH 04/28/94 BLT MSTA080 (F) Ready to issue / / / / 05/02/94 05/02/94 JG MST'A092 (F) Issue combination permit / / / / 05/04/94 PASS SKW 05/04/94 SW MSTA097 Issue plumbing signature form / / / / 05/04/94 PASS SXW 05/04/94 SW MSTA705 Foot/found Insp / / / / 05/06/94 pending post address signage; ground PATS RB 05/06/94 RB rod; maintain seismic rentraint. MST'A705 Foot/found Insp / / / / 05/1.3/94 Fcundation inspection PASS WEW 05/13/94 RB Pending: Letter from engineer explaining that verticals are not requires; MSTA71O Post/Beam Structural / / / / 05/27/94 Center shingles under posts. Letter from PASS WEW 05/27/94 RB engineer stating that rebar at footings is unnecessary may be covered by removal of that detail from the plans by t:ne engineer. Larry asked if it would be permiusable to change from 2x4 .raming to 2x6 framing. I stated that I cou.d see no reason to disallow the change, but would speak to plans examiner. MSTA711 Post/Beam Mechanical / / / / 05/27/94 PASS WEW 1.0/17/94 PH MSTA717 PLM/Underfloor / / / / 05/24/94 PASS MS 05/25/94 MRS MSTA720 Mechanical Insp / / / / 07/28/94 SEF.' FRAMING THIS DATE FAIL RB 07/28/94 PB MSTA720 Mechanical Insp / / / / 08/02/94 PASS RB 08/03/94 PH MSTA'722 Plumb Top Out / / / / 07/08/94 water ok PART MS 07/20/94 '1'LI need to re test. waste MSTA722 Plumb Top Out / / / / 07/19/94 PASS TLP 07/20/94 113 MSTA725 Framing Insp / / / / 07/28/94 POST/BEAM MECH. INCOMPLETE; 1" CLEARANCE FATL RB 07/28/94 1113 FOR B VENT IN GARAGE; LATERAL BRACE 1 GARAGE HEADER; METAL PLATE PROTECTION OF SERVICE; POSITIVE CONNECTIONS; VENT BAFFI..ES; SHEAR BLOCKING X; SUPPORT VAULTED NOT042D RAFTERS; .SUPPORT HEADER AT MASTER BATH. MSTA72A Framing cREINSP+ / / / / 08/02/94 PENDIIIG POST/BFAM MECH, INSPECTION PASS RB 09/03/94 PB APPROVAL MSTA735 Gas Line Insp / / / / 07/28/94 #133932 PASS PB 07/28/94 RB MS'TA740 Insulation Insp / / / / 08/02/94 PASS RB 08/03/94 RD Page No. 2 CASE HISTORY FOR CASE NO.: MST94.0159 COSTA-PACIFIC HOMES 11611 SW TALLWOOD DR 08/21/98 Action Description Req/ Schd/ End/ Action Notes Diep By Update Upd Code Sent Done Done Date By ms'rA745 Gyp Board Insp / / / / 08/04/94 pend'ng- 1" b-vent clearance; missed PASS RD 08/05/94 RD nailing at several locations. MSTA759 rain drain In p / / / 05/17/94 PASS MS 05/19/94 MRS MSTA760 Water Line Insp / / / / 05/17/94 PASS MS 05/18/94 MRS ms,w)65 Appr/Sdw1k Insp / / / / 09/06/94 1) Connect drain pipe to curb weep hale PEND LT 09/14/94 AA pipe. 2) Compact rock. 3) Be prepared to protect finish. MSTV70 Misc. Inspection i/20195 TEMP MJR 09/20/95 MJR MSTA795 Mechanical Final / / / / 09/28/94 WEATHERSTRIP EXT DOORS DIS US 09/28/94 GES STEPS HOUSE/GARAGE FINAL ELEC & EROSION CONTROL SEAL (MANGE HOOD DUCT ACID INSTALL DAMPER LANDING OUTSIDE PATIO SLIDER WINDOWS BY PATIO SLIDER MUST BE TEMPERED WHERE IS CRAWL ACCESS? MSTA795 Mechanical Fine' / / / / 10/17/94 PENDING TEMPERED GLAZING- SIGNED NOTICE PASS RB 10/17/94 RB MSTA797 Plumb Final / / / / 09/28/94 PASS MS 09/29/94 MRS MSTA'199 Building Final / / / / 09/28/94 DIB GS 10/17/94 RB MSTA799 et;ilding Final / / / / 10/17/94 PENDING SEE MECH. FINAL THIS DATE. PASS RB 10/17/94 RB MSTA960 (F) issue Cert. of Occupancy / / / / 10/17/94 JF 10/18/94 JP MS'rA970 Case Finaled / / / / 10/17/94 PASS FS 10/17/94 PS CITYT MASTER PERMIT OF IGARD IDERMIT #. . . . - . . - MST94--0159 COMMUNITY DEVELOPMENT DEW, ,T.WNT DATE ISSUED: 05/04194 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 PARCEL: IS133CC-PCO15 Li I I L 0L)DRESS. I iu'l 1 1 :3W TALI-WU(-)D UR SUBDIVISION. . . . : PEBBLECREEK ZONING: R-25 BLOCK. . . . . . . . . . LLJ1.. . . . . . . . . . . . . 9015 ------------------------------------ BUILDING _--_---_-----.--_ REISSUE:MST94-9118 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:P PATHS s2 GARAGE. . . . . . . . . . P509 s TYPE OF USE. . . :SF FLOUR RE1QU1RED SETBACKS-------------- T*YPE OF CONST. :5N FIRST. . . . : 1449 s LEFT. . :5 ft RIGHT. .-5 ft OCCUPANCY GRP. :R3 SECOND. . . .-O s FRONT. -.20 ft REAR. . .-27 ft STORIES. . . . . . . : 1 THIRD. . . . :0 Sf REQUIRED-­­­­­­­- HEIGHT. . . . . . . . ..21. ft TOTAL..---- - -- --: 1449 S f SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 75816 PARKING SPACES. . : 1 Remarks : PATH I PLUMBING SINKS. . . . . . . . . . . 1. Fl. ")OR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATOR. ES. _ . : 3 WITER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . : LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :2 SEWER LINE (ft ) . nO GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATF-R I .INE ( ft ) . : 100 OTHER FIXTURES. . . . . 90 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL ------------------------------------ FEES VUEL TYPES-------------- UNIT HTRS. . :0 type amount by date recpt /GAS/ VENTS . . :0 TIF $ 1520. 00 JG 04/28/94 MAX INPUT: 100000 BTU VENT FANS. . :3 BPRT $ 361. 00 JG 04/28/94 FURN ( 100K . . .- I HOODS. . . . . . : 1 BPLC $ 50. 00 JLH 04/18/94 94-251353 1`URN > ­100K . . :0 WUODSTOVES. :O BSPC $ 18. 05 JG 04/28/94 -- 4 LOUR VLOUR FURN. . . . :0 CLO DRYERS. : 0 SSDC $ 280. 00 JG 04/26/94 - BOIL/CMP ( 3HP:0 OTHER IINITS:2 PARK $ 500. 00 JG 04/28/94 - GAS OUTLETS: 1 MPR7 $ 40. 50 JG 04/28/94 Owner: $ 10. 13 JG 04/28/94 COSTA-PACIFIC HOMES M5PC $ 2. 03 JG 04/28/94 14*780 SW OSPREY DR #275 PPRT $ 125. 00 JG 04/28/94 P5PC $ 6. 25 JG 04/28/94 BEAVERTON OR 97007 Phone #i (,'ontractor; ----_-___-------_----_--.______ COSTA-PACIFIC HOMES 14780 9W OSPREY DR # 2`75 BEAVERTON OR 97007 Phone #: 503-646-8886 Reg Mi. 65137 -__-____-._.-_______________________._-_.-- f -----------------------------------------$ 2912. 96 TOTAL This persit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty lid?s and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Pearn Struct Gns Line Insp plans. This permit will :spire if work is not started within 189 Post/Beam Machan Inso-ilat i on Insp days of issuancef or if is suspended for more then 1810 dAys. , PlIm/undslab Insp Gyp Board T-fsp �PILM/Underf 1 cor Rain drain Insp ; ,car-mittpe Signati.tre : Mechanical Insp Water Line Insp PlUmb Top O1-It Appr/Sdwlk Insp T Framing nip By .. I Mechanical Finest Call for inspection 639-4175 SEWER CONNECTION CITY OF TIGARD PE R P1 I T PERMIT #. . . . . . . : SWR94-0162 COMMUNITY DEVELOPMENT DFLPWWNT DATE ISSUED: 05,, ,4/94 13125 SW Hall Blvd.Tigard,Oregon 97223o8199 (503)639-4171 PARCEL: 1SI33CC-PCO 15 SITE ADDRESS— : 11611 13W TALLWOOD DR SUBDIVISION. . . . : PEBBLECREEK ZONING: R-25 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 015 TLNANT' NAME. . . . . USA P-10. . . . . . . . . . .I I FIXTURE UNITS— . : CLASS OF WORK. . . :NEW DWELL I NG UN I I S. - : I TYPE OF USE:. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE- - :BU'SW R IMPERV SURFACE. . : S f Remarks : PATH 1. Owner: FEES C,OSTA.-PACIFIC HOMES) type amol-knt by date v,ecpt 14780 SW OSPREY DR #275 PRMT $ 2200. 00 JG 04/28/94 - INSP $ 35. 00 JG 04/28/94 BEAVERTON OR 97007 Phone #: Contt-actor- : CONTRACTOR NOT ON FILE --------------------------------------- Phone $ 22325. 00 TOTAL Req REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and -figuletions oPWf-V' 111SPIRCtiOT) of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit empires. The Agency does not quarantee the accuracy of the side sewer laterals. If the sewdr is not iCLAted at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the -,staller shall purL-hase a "Tap and Side Sewer" Permit and the Agency will install latfrAl. Pet-mittee Signati.tv,e - s 1..t e d B y - zw) Call for, inspection 639--4175 001 l �� ' Residential Building_Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: Office Use Only Subdivislon: I)-7T.bj_f- CjtEV7L Lot# -7 s PlanckJRec # Valuation: Pergtit Owner: L(J� Y�titFtt [T ^FSLf ;� Reissue of /yt _ Address: 1 t..)' Map & TL # + T3 h�1 nit- '°l`7 U0 "7 Phone: h 4 Sc _ tf,�'�'- Approvals Required Planning Contractor: VA AEngineering Address: Other Items F1equiic� Phone: -7 /� -Cf' Subcontractors _ Contractor's License # l[� `1 (attach copy of current Oregon license) Truss Details Subcontractors: Other �j 0I 1'' -rj ') 44 � ! it Plumbing: /? r Mechanical: (attach nopy of current OR Contractor's License) ArchitecUEnglneer: Address: Phone: COMMENTS: z-- Applicant Signature & Phone number Received by: Date Received: Permit # Account Description Amount Amt. Pd. Bal, Due y�►5 �f. O �s 9 Bldg. Permit (BUILD) Plumb. Permit (PLUMB) ) `V oti Mech. Permit (MECH) State Tax (TAX) 3� Bldg: 4 Plumb: (•Z } `/ Mech: e2-,o 3 Plan Check (PLANCK) 60,1) Bldg: _—`' r�—_. Plumb: Mech: Sewer Connection (SWUSA) 0 _ Sewer Inspection (SWINSP) 3) Parks Dev Charge (PKSDC) '501" Storm Drainage Chg (SDSDC) J-v Residential TIF (TIF-R) Y Mass Transit TIF (TIF-MT) Commercial TIF (T'IF C) IndustriaLTIF (TIF-1) Institutional TIF (TIF-IS) Office TIF ("TIF-0) Water Ouality (WOUAL) — Water Quantity (WQUANT) Fire District (FIRE; TOTALS: Community Development ELECTRICAL PERMIT APt,LICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # yr- A P<1�� Permit # r 1 as--03/rr -- `'� Phone (503) 639-4171 Date Issued 4.j 2--- FAX .j2- FAX (503) 684-7297 Issued by _1��h� rites �5 CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 J. Job Address: 4. Complete Fee Schedule Below: I Number of Inspections per permit allowed -- Name of Development-�. C- C�k-- - — `r1r,n P2 Service inciuded Items Cost(ea) Sum Address 4s. Residential- per unit City/State/Zip — ty�. /n� ,000 a!1 n or less Ca ST1 tri t I (� 1 rich additional 500 eU It or 1 Name (or name of business) portion thereof $25 00 _ Limited Energy 22500 Commercial❑ Residential Fach Manuld Home or Modular Dwelling Service or Feeder $6800 2a. Contractor installation only: 4b,services or Feeders 2 Installation,alteration,or relmnlion 2 C 1 1�1�. L� 200 amps or less $6000 2 Electrical ntrac r 201 amps to 400 amps $8000 Address X_ _ 401 amps to 600 amps $120 00 2 State Zip��-� f,eo 00 2 City Bol amps to 1000 amps 2 r C1 _ l� ' fear 1000 amps or volts $34000 Phone No. v Reronnectonly f5000 Contractor's License �. __ Contractor's Board Reg No. t 4c,Temporary Servicos,or Feeders 'Ritallalion,alteration or relocation O O //�—+ 200 amps or less $50 Oo �O Signature of Supr. Elec' '' ' ' 201 amps to 400 amps �— $1500 License No.i17 3 H Phone 401 amps to 800 smile $100no Over Boo amps to tom volts 2b. For owner i,,rstallations: sea'h'sbcrra 4d. Branch Circuits Print Owner's Name New,alteration or*,mansion per panel a)The lee for branch CIrru11e wlrh Address_ __ -- purchase of seri w rwwder res. City .Stat@ Zip--...-- Loch branch chrcurt -- - f5 00 Phone No. b)The lee for branch chrcwtn wrfhour The installation is being made on property I own which is purchase,of ssrvke or Nader res.First branch arcuil E35 0G not intended for sale, lease or rent. Each add4ional branch circuit $500 �. Owner's Signature _ __ em. Miscellaneous (Service or feeder not included) 2 Each pump or irrigation cords $4000 9. Plan Review section (it required): Each sign or outline lighting $4000 2 Signal circuli(s)or a limited energy Plans@ check appropriate 11611111 and enter fee in section 58. panel,alteration or exionsion &10 Oo - 4 or more residential units in one structure Minor Labels(10) - $10000 _ Service and feeder 225 amps or more 41. Each additional inspection over System over 600 volts nominal the allowable in any of the above Classified area or structure containing special occupancy t,F! r>Fperl,nn $3500 as described in N E.C.Chapter 5 1 how $5500 girt„! $55 00 Submit? sets of plans with application where any of the above apply. Not required for temporary construction services. 5• Fees: 5s. Enter total of above fees $ NOTICE 5%Surcharge(05 X total fees) $ a_ Subtotel $ 5 `'3 PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS.OR IF Plan Review if required(Sec 3) $ _ _ — CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ - A PEIIOD OF 180 DAYS AT ANY TIME AFTER WORK IS ❑ Trust Account tM $ COMMENCED -''- -- Balance Due $ wveowww4bc0^!aro