11645 SW TALLWOOD DRIVE iyy.++w
ADDRESS:
I
i:\records\microfl m\targetstuilding.doc
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CERTIFICATECUP
CITY OF TIGARD PERMIT #CI.. . AN1t MUT94-01'i.'.,
COMMUNITY DEVELOPMENT DEPARTMENT MATE ISSUEDi 09/08/95
13125 8W Hall Blvd.Tigard,Orpon 07223*8109 (603)e31-4171
PARCEL: 1 U 13 3CC:-41900
a I TE:. ADDW-j'). . . : 1 1645 SW 'T AL-1_W000 DR
SUBDIIIISIUN. . . . : PEBBLE CR EK ZLINING:Eve-- 5
BLOCK. . . . . . . . . . 3 t...OT. . . . . . . . . . . . . 101:3
I_A Sa OF WORK. tNE.W
I vpL OF USE. . . 39F
OCCUPANCY C3F2P. :P3
faCUPANC.Y L0AD s 1 17 4
TENAN T NgMC. . . :
Remarkst PATH I
Owner: ___ ._.._. ...._._... ....._,. ....__.__. _..,.._. .___ . _..._... ....
COSTA PACIFIC HOME13
14780 SW OSPREY DA
V 275
BE=AVEPTON OR 97007
r,i,one #t 646-43. 888
Gontractor^t _._...__.__._. ...._..__ _.._._.._.___...._. .__ . ... .. _....
t;US T A-PACIFIC V40ME S
8625 5W CASCADE AVE I3TL. E,0t
BE:AVL-'[ETON OR 97005
Phane Ids: 503-646-43888
Berg #— : 65157
This f'ertificate r:rrtifies that the rabove referenced bo.rilding pr^ portioi
thereof has been inspected for compliance with the ', .gard r?l.ri Iding Code
for the group and division of OC-C"Rrp+al7Cy 811d US& for which the above
r-eferenctd per-mit was isamed, and occupancy is 7 0 b y gr A ter.i.
....._...».._._.. ......�... .........._.....__........ _.._ .... .._.,......_..........._.__.. _.._.._.._........_....aC_Sri-..._.._._.._.—......_.............._.._.................._.�_. .....«..._.,_...,....._..._»._..
HUILDINr INSPECTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
I
CITY OF TIGARD BUILDING INSPECTION NOTICE t
Inspection Line (Rec-U-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 L'tfa=)
c
rT
Plbg. Underfloor Rain Drain Framing -Plumb, %
Alarm Water Line Insulation eC
Underflr. Insul. Shear Wall Gyp. Rd. Floct.
'zzDate Requested:
Time: �Am PM
Address:
BUilder. Permit #: `' U 72,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_ f:�.ln L ar./ljtv�✓' ,ij.✓rf�� /af/- C1-/-S�� _
Inspector: _ _ Date:__4Zs
Z—*P ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
Page No. 1 CASE HISTORY FOR CASE NO.: MST94-0193
COSTA PACIFIC HOMES
11645 SW TALLWOOD DR
08/21/98
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
MdTA010 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
MS'TA030 Check for prcl. restrict. / / 05/18/94 05/18/94 PASS JLO 05/18/94 BLT
MSTA092 (F) Issue combination permit / / / / 02/21/95 02/21/95 JF
MSTA097 Issue plumbing signature form / / / / 02/21/95 JF 02/21/95 JF
MSTA705 Foot/found Inep / / / / 02/7.2/95 N-1- monolithic ftg/ fdn APP KS 02/23/95 KBS
N-2- prnvide shear tie down's an shown
N-3- install anchor bolts size and
spacing as siown
MSTA710 Post/Beam Structural / / / / 09/08/95 APP KS 09/08/95 KBS
MSTA711 Poet/Beam Mechanical / / / / 09/08/95 APP KS 09/08/95 KBS
MSTA717 PLM/Underfloor / / / 03/02/95 PASS MS 03/06/95 MRS
MSTA720 Mechanical Insp / / / / 04/18/95 N-1 cancelled by request DIS KS 04/19/95 HAS
MSTA720 Mechanical Insp / / / / 04/28/95 APP KS 05/01/95 KBS
MSTA722 Plumb Top Out / / / / 04/13/95 NR MS 04/3.4/95 MRS
MSTA722 Plumb Top Out / / / / 04/18/95 PASS, MS 04/18/95 MRS
M8'-'A725 Framing Insp / / / / 04/18/95 N-1 cancelled by request DIS KS 04/19/95 KBS
MSTA725 Framing Inep / / / / 04/21/95 N-1- see correction list DIS KS 04/21/95 KBS
MSTA726 Framing cRE1NSP> / / / i 04/24/95 N-1 verify glazing is tempered adjacent DIS KS 04/25/95 KBS
to front entry
N-2- away bracing truss not complete
N-3- ok to insulate; call for reinspect
MSTA726 Framing <REINSP> / / ! / 04/26/95 N1- not ready for inspection DIS KS 04/27/95 KBS
MSTA726 Framing <REINSP> / / / i 04/27/96 N 1- sway bracing not complete at trues DIS KS 34/28/95 KBS
IIII roof
MSTA726 Framing <REINSP> / / / / 04/28/95 N I contractor needs to verify III A/N KS 09/08/95 KBS
glazing adiacent to
front entry door is tempered
MS'.A735 Gas Line Insp / / / / 04/11/95 PASS MS 04/12/95 MRS
MSTA740 Insulation Inep / / / / 04/26/95 N-1- not ready DIS KS 04/27/95 KBS
MSTA740 Insulation Inep / / / / 04/28/95 APP KS 05/01/95 KBS
Page No. 2 CASE HISTORY FOR CASE NO.: MST94-0193
COSTA PACIFIC HOMES
11645 SW TALLWOOD DR
08/21/98
Action Description Rea/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA745 Gyp Board Insp / / / / 0'/03/95 M 1- provide clearance at B vent ( A/N KS 05/04/95 KBS
garage ceiling)
#-2 this inspection does not include
backer board for installation of
ceramic tile or other water proof
material
MSTA755 Rain drain Tnep / / / / 03/02/95 PASS MS 03/06/95 MRS
MSTA760 Watei Line ]nap / / / 03/06/95 2ASS MS 03/06/95 MRS
MSTA765 Appr/Sdwlk Insp / / / / 04/25/95 1) Compact rock in sidewalk. PEND LT 05/01/95 JS
2) Be prepared to protect finish.
MSTA765 Appr/Edwlk Insp / / ! / 06/06/95 :` 'ty,.ade sidewalk at tire tracks. PEND LT 06/20/95 OS
2) Expansion felt required at each end
of sidewalk connection (1/2" felt) .
3) Be prepared to protect finish.
MSTA765 Appr/Sdwik Insp / / / / 06/01/95 FAIL LT 06/20/95 JS
MSTA770 Misc. Inspection / / / / 04/12/95 #-1- PARTIAL SHEAR WALL INSPECTION ( PART KS 09/07/95 KBS
EXTPIOR ONLY)
k 2- tail for interior shear wall
inspection after interior sheathing
is completed
MSTA770 Misc. Inepection / / / / 08/22/95 MJA 08/22/95 MJR
MSTA795 Mechanical Final / / / / 09/06/95 q-1- see inspection notes CIS KS 09/07/95 KBS
MSTA795 Mechanical Final / / / / 09/J8/95 APF KS 09/08/95 KBS
MSTA797 Plumb Final / / / / 08'24/95 PASS MS 08/29/95 MRS
MSTA799 Building Final / / / / Oo 06/95 #-1- see inspection notes DIE Ka 09/07/95 KBS
MSTA799 Building Final / / / / L3/08/95 APP KS 09/08/95 KBS
MSTA960 (F) Inoue Cert. of Occupancy / / / / 09/08/95 PRINTED 9/21/d5 jr 09;21/95 JF
MSTA970 Case Finaled / / ! / 09/08/95 09/11/95 JF
C
ITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT PE RM IMASIET R PERNI,r
MST04- 01 '4'
13125 SIN Hall Blvd.Tigard,Oregor. 97223*81-,,;y
''
99 (503)839.4171
-4 [7 J DATE ISSUED. 1212/21/95
PARCEL: IS133CC-0t900
I TE. AI)DRL'-.SS. . . : 11645 SW TALLWOOD DH
:,UBDIVISION. . . . : PEBBLECREEK ZONING: R-25
ALOCK. . . . . . . . . . : LO . . . . . . . . . . . . . ..013
BUILDING
'EISSIJE: DWELLING UNITS: 1 BAS[*.'M E N1.. . . . . . . . :0 st
,LABS OF' WORK. t NEW BEDRMS:3 BATHS:2' GARAGE=. . . . . . . . . . :447 s
1 yl-q- OF' USE. . . :iiF FLOOR AREAS------ REUUIRLD SETBACKS-------____ -
YPE OF GUNST. :5N FIRST. . . . .- 1691 Sf LEFT. . :5 ft RILHT. :5 ft
AA.'UPANGY GRP. :R3 SEGOND. . . -V) S f FRONT . :20 ft REAR. . t27 ft
11.1K 1F-S. . . . . . . .. I FINSSMENT :0 S f REUU I
4EIGH1.. . . . . . . . : 17 t t TOTAL- - ------ - - 1691 S f SMOKE VETECTORS. :Y
LOOR LOAD. . . . :40 psf VALUE. . . . . $ : 85832 PARK ING SPACES. . - I
:temat-ks . PA1+1' I
PLUMBING
1 - 1
SINKS. . . . . . . . . . : 1: 1 FLOOR DRAINS. . . . :0 BACK17LOW PIREVNTRS. .
LAVP f ORIES. - - WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0
VUB/SHOWE-Rts. . . . t Lf-,iUNDRY :0 LATLIA BASINb. . . . . . .
WA-T ER CLOSET S, . :0. SEWER LINE (ft ) . :0 GREASE 'I RAPS. . . . . . .
DIr:)1--lWASHF-*-'R5- WATER LINE (ft ) . 00 OTHER F'TX-IURES. . . . . ..0
,ARSAGE D I SP. RAIN DRAIN (ft ) . .0
MASHING MWCH. . . : 1 SF RAIN DRAINS— ' I
MLLHANICAL FEES
ULL UNIT HTR`;. : '121 t yfle amot-int by date T,ecpt
U H VENTS . . . . . 10 TI F 1520. 00 JF 121ic/12 1/9 5
-IAX INPUT :Q1 BTIJ VL-,-.Nl FANS. . : ;:s SPRT F 391. 00 JF 02/,2 1/ )'-j
URN 1 100K " I HOODS. . . . . . : 1 SPLL 25 4. i 5 SW 05/17/44 94-25E,425
FURN - - :0 WOODSTOVE.13. -.0 B5PC- 1 19. 55 .IF ate'/c'1/9 5 -
-LUOR F'URN. . . . 10 CLO DRYERS;. : I E)SDL 4 280. 00 11- 02/21/95 -
UIHLI~ UNIT`:i: l PARK 1 500. 00 ju- 02/21/95 -
uAs ou,rl-ElSil MPR 1 fi 40. 50 JF 021,E:1/95 -
10. 13 JF 02/21/95 -
PACIFIC HOMES M5PL a'. 03 Jr 02/21/95 -
i471?"! SW OSUFREf DR 'GRT 132. 50 JF 02/21/95
275 P5PC 6. 62, JF 02/21/95
.A.PiVEnTON OR 9100i
-'h OT-le #1 61+6-8888
I'., HOMLS
,4 , i0 UW OSPREY DR
it r-,Ib
:ii:,PVLR1UN OR 9-70121-1
j1ione
Sel:i #. . : 65157 x,156. 49 TOTAL
This parlit is issued sub)ert to the regulations contained 'n *,Me REQUIRED INSPECTIONS
.igard Municipal Code, State of Ore, Specialty Codes and all other, Foot /foo-tind Insp Fit-eplace Insp
1plivabit laws. 011 work wil., done in accordance with approved Post/Beam Stv--Ict Gas Line Insp
plans. This permit will expiry work is not starkeO vthin IN Post/EletRm Mechan lns,-elation Insp
.lays of issuance, Or it work for more VFT?).W days. FlIm/i-indslab Insp Gyp Boar-d Insp
1�7 PLM/Undev,f iaov- Fa n drain ln%p
I-'ey-olittee 1:3iq �a t. c a I Insp a ev' Line Insp
P 1 1-1 m b-T'6 P U 1.i t Appr-/Sdwlk Insp
vert Fay : I r;lmillq Triq) tylec-flanical I i
-f,7 C)--4 1 7!,
CITY 01"INGARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PERIA 11
13125 SW Hall Blvd.Tigard,Orogon 97223*8199 (503)639-4171 PERMIT #. . . . . . . .. SWR94-.0191
-41 DATE ISSUED: 02/21/95
PARCEL: 1SI33CC-01900
SITE ADDRESS_ : 11645 SW TALLWOOD DR
ii.BDIVISION. . . . : PEBBLEC REEK ZONING: R, 25
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . ..013
I k..NAN T NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . .I\11�W DWELLING UNITS. . : l
TYPE OF USE. . . . . :SF NO. OF BL1ILD1NGS: 1
I L. TYPE. . . :BUS- WR IMF,ERV SURFACE. - sf
Re in a t-k s : PATH I
Owner-: FEES
COSTA PACIFIC HOMES type am o'-I-It by date ecpt
14780 SW OSPREY DR PRMT $ C-200. 00 JF 02/21/95
# 275 1 NSP $ 35. 00 JIF' 02/21'/95
BEAVER (ON OR 9700-/
#: ',,46--86138
Loi-ttractor,:
LONIRACTOR 1101 ON FILI-
F17nne #: S 2235. 00 rFjTAl_
Req REQUIRED INSPECTIONS
rhis Ppplicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The pet-tit expires 180 days from
the date issued. The total amount paA will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all dirict ions from
the distance niven. If not so located, the installer shall purchase
a Tap and Side Setter' Permit anthe iAency w 1 insta,
t
Ely
Call for inspection 639-4:175
_Residential Buildinq P_ ermit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address: ��
�h�p Lot # Office Use On!y
Subdivision' . Iij) l��
Z, PlancidRec #_ 1
Valuation:_ ry
,'Permit#
Owner: Reissue of
Address: _'�� �/r� e- � Map & TL #
// A� _s Re ulred
Phone:
Plannin
Contractor; =) �1 )1 Engineering
Address: Other
Items Re_gulred
Phone:
Subcontractors
Contractor's License #
(attach cony of current Oregu 1 license) Truss Details
Subcontractors:
Plumbing:./��.��C� 1T
Mechanical:
(at+ac:h copy of current OR Con(raclorVLi4nse)
Archltect/Englneer:
Address:
Phone:
COMMENTS:
C-
A licant Signature 8 hone number
Re-:eived by: ___ �_ _ Date Received: _
Permit # Account Description Amount Amt. Pd. Bal. Due
r�5 Bldg. Permit (BUILD) c c� _ d ✓
Plumb. Permit (PLUMB)
_ Mech. Permit (MECH) ��, u. '� ✓
State Tax (TAX) Z S'. J' z
Y�
Bldg:
Plumb: '
Mech: .� rJ 3 ✓
Plan Check
Bldg: fS
Plumb:
Mech.-
Sewer
ech:Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) 5&U
---- —X31—�—
Storm Drainage Chg (SDSDC) ,�_ �—
Residential TIF (T:F-R) /,I/e f
r
Mass Tiansit TIF (T(F-MT) //0 �--
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) -
Office TIF (TIF-0) _
I Yater Quafty (WOUAL) �
Water Quantity (WOUAfM
Fire District (FIRE)
TOTALS: `� �� 5 /- 14 y
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v,
SCALE DRAWING
LCAT 13 PEBBLECREEK
QQ
r$o,
/ CO2 / \ 90
y ti
U /
• 204
ry jos
202
i i
169CR--B-RT 203
\"200
SCALE lo-10'
(V \
ti �-� \ �•` � �• � ~�'_'�-- � / NOTES:
--HORIZONTAL CONTROL FROM PLAT OF PEBBLECREEK,
WASHINGTON COUN' Y SURVEY RECORDS.
VERTI�.A: CONTROL. FROM INFORMATION PRO'JIDEC BY OTAK
ON DISKETTE. CONTRACTOR SHALL VERIFY EXISTING CONDITIONS,
�p0 0, \ ` �� 4.47h GRADES, AND ELEVATGONS.
Aj ---SIX FOOT PU9UC UT1LIrY EAS''MENT ALONG THE FULL LENGTH OF
EACH LOT OR TRACT FRONTAGE ALONG ANY PUBLIC STREET.
----EROSION CCXl1TROL
�At PRIOR TO 1HE PLACEMENT OF ANY FILL OTR COMMENCEMENT OF
GRADING WCRK, ALL REQUIRED EROSION CONTROL MEASURES
SHALL BE IN PLACE, INCLUDING:
—INSTALLATION OF A GRAVEL DRIVEWAY, CLEANED AND
REPLACED AS NEEDED TO KEEP CLEAR OF DIRT;
—INSTALLATION OF SIL BARRIERS, WNICM SHALL REMAIN
1 \ \' / gyp• IPLACE
PERMANENTEGRO�GROUND COVER D AREA I
S BEEN PRO�IDED
MTHA (I.E. BARK DUST,! \ ,s8`f GRASS, OR OTHER LANDSCAPING), THE SILT BARRIER
Ato" � •0 � MUST BE COUNTERSUNK INTO THE GROUND.
Ao' �•
ti
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?o? �A
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SIGNED W _
Rms
LAND SURVEYOR SCALE DRAWING LOT 13 PEBBLECREEK
S.W 1Z4 SEC.33.T.1 S.,R.1 W..W,M.
CITY OF T156RD
11645 SW 7aPwood Drive �.APLY +tl. 1987.. WASHINGTON COUN�Y OREGON
1of1 WADE G. DONOVAN III MAY 16, 1 JL4 _ Centerline Concepts Inc.
2276ummumm DR60 BY: O �\ ► 9- I
640 62nd Drive Gladstone Or 97027
L.... RENEWAL ON DECEMBER 31, 1995 SC 1 -10 AGC N 7 503 690-01138 lox 503 6x'0182
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1F THIS DOCUM NTIS LESS ' III � �LEGIBLE; THAN THIS NOTATION, I _ —__� . _ _ ul � • 1 I ��sl
IT iF DUE TO THF QUALITY OF —
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