11701 SW TALLWOOD DRIVE ADDRESS:
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CITY OF TIGARD PERMIT #. .. . . A. a YMST95 -0144
COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED: 08/17/95
13126 SW Hall Blvd.Tigard,Oregon 97223.6199 (603)030.4171
PARCEL: i S 137 3CC:--01400
SITL AUDRE.Sb. . . : 11701 '.�W T"LL.W(JUD DO
SUBDIVISION. . . . : PEPBLECREEK IONINGiR--25
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :0121 i
CLASS OF WORK. :NEW
TYPr_ UF USE. . . ii SF
OCCUPANCY GRP. r Rs
OCCUPANCY LOAD:2 6 �►
TEN(-)N T NAME:. . . a
kemerks : PATH I
Owner: _....... ._.__ .__..__ .._ _................__...... .. .
COSTA PACIFIC; HOMES
86a5 SW CASCADE SL.V1) #606
D AVr�n r01� OR 9 700
Phone #: 646--8888
Contrac:•tor: ___....___�..._...___.___.... .._. -----.----... ....M_.. ....
COSTA-PACIFIC HOMF*5
0625 SW CASCADE AVE. STE.. 606
BE:AVERTON OR 9701115
Phor►F #: 503--646- 6886
This C'ertific-ate certific±e that the above r-eft *,•nced btlilding or Portion
thrrr,eauf has ljwen inspected for c-omplianc:e with thle Tigard Building Cone
for tiro group and division of or.cupfAncy and Use for which the above
referenced parmit was issued, and occupancy is hereby yranted.
01
ILI
i.i(JIL )ING IW!PE:C;TOR BUILDING OfY I SNL
COST' IN CONWICUOUS PI-ACL;
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/Sdw[k
Foundation Plbg. Underslab Mach, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line j
Plbg. Underfloor Rain Drain Framing \ )
Alarm Water Line Insulation C?t]iSVf� J
Uoderfh. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time:_ SAM PM
Address:
Builder: Permit #:
THE//FOLLOWING CORRECTIONS ARE REQUIRED:
�� fl�J�< Lti! �-C�/l�4 �Zvi .�� C�•� -3.-! a�
Inspector: p� Date � 5
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
DEPARTMENT OF LAND USE b TRANSPORTAI IOW
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
G'OUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
OREGON XXXXXxxxx- b40-3470
Page 1 of 1
Date : 06/23/9b
'Time 13 : 24
Permit 'Type Residential Electrical Permii Permit # UbO69006
Permit Status APPROVED Applied 06/19/95
Situs Address : 11'/U1 SW '1'ALLWUOD Olt 'PI issued s 06/19/9b
kor;nit 'Title Sh'R - ALL ENCOMPASSING L.V. Completed
Permit Uescr, '1'o Expire 12/17/95
Project 'Title 5k'R - ELEC/NEW HOUSE project # PU049972
Project Uescr. * EROSION
Parcel Number 2S11'1 - Land Use District
Valuation U
Legal Uescr.
Owner 1N5PEC'1'IUN '1'IGARD construction O'1'H
Arplicant Name GARY ' :; VACUr'LU Classification 900
Applicant Addr . : 9U1b SE r'LAVEL Occupancy R3
POR'1'LANU, OR 9'/266 Validated by LG
Applicant Phone : '/ /b-2042 Inspector Ai-ea 1)
h'ee description Units Fee/Unit Ext tae Data
-------------------------------------------------------------------------------
Limited Energy/Alter,/Extension 1 40 , 00 40 . 00
Subtotal Electrical Fees : 40 . 00
State Surcharge of b% 2 . 0u
'Total Electrical Nees : 4 z . 0 U
*** Nees Heguired *** *** Fees Collected & Credits ***
---------------------------- ---------------------------------------•-- ---
Method Check # Receipt No . Date Payment
'DEP' Ub/19/95 42 . 00
Fees : 42 . UU
Adjustments : OU 'Total Credits : UU
'Total Fees : 42 . UU 'Total Payments : 42 . 00
balance Due: uu
NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 diys. Once construction has started,
the permit becomes null and vold if construction Is Interrupted for a period of 180 days I certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the best of our knowledge I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building
inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Budding Department Is solely at the rte,::of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit Is Issued
specifying that the use or cn;cupancy of the building or stnu,:ture is provisional and revocable until the satisfaction of all inspection requirements
APPLICANT'S SIGNATURE
WASHINGTON COUNTY R ETR I CTE�?
Department of Land Use &Transportation
Electrical Inspection Section ELECTRICAL ENERGY
155 North First Avenue, /#350-12
Hillsboro, Oregon 97124 APPLICATION
Information: (550:3) 640-3470 Fax: (503)693412
JP
��EASE PRINT
P194se,corrolett all.sections, I through 5. Pormit No.
1. Location of installation Cate
Address 1 /70 L=fi LA) 1 ;1 .�CXn C;
City--li(ifa"rl"� _ Zip Code '~' 4. Type of work:
J
Map No, Tax Lot _ RESIDL NTIAL Restricted Energy Fee $40.00
(for all systems)
Thomas Map Book: Page _____ Section
Check type'/off work Involved:
Directions _ _ ..-_. a f t_A1C.L-Yn 4C kiT
Audio and stereo Systems
Commercial Residential Burglar Alarm
Telephone Svqtems"
Tenant Name Garage Doar Opener'
(If Commercial) Fire Alarm
Heating. Ventilation and Air Conditioning System'
2. Contractor application: Vacuum Systems"
Other
GARY ' S VACU1 1.0. J`NC, 775-2042 COMMERCIAL Fee for each s stem $40.00
q015 SE Fl.AV I I'll 1), (lit 13726( - (see OAR 918-260-2661
OWN i•I, Jr. �i�1 � I �� - Check type of worts volved:
("11 2(; - + , •11 , IRF . li: 69047
Contractor's Board Reg. No. Boiler Controls
Phone NO. Clock Systems
— Data Telecommunications Installations
Fire Alarm Installation
3. Owner, application: HVAC
Instrumentation
Print Owner's Name Intercom and Paging System
Landscape Irrigation Control'
Address Medic d
Nune Calls
City State Zip Outdoor Landscape Ughting"
This permit Is Issued under OAR 91a-920-370. The sP1 llcan!sgrees Protective Signaling
to make only restricted energy installations(IOn volt soaps or less) Other
under this permit and to do the following:
1. Only use elect-Icsi licensed persons to do installations where
required. (Certain residential and other transactions are exempt Number of Systems
from licensing. These have asterisks(q. All others need licens-
ing.)
2. Call for an Inspection when all the installations under this permit "No licenses are required Licenses aro required for all other installations
are ready for Inspection.
3. Purchase separate permits for sit installations that ere not ready 5. Fees
for Inapection when the inspector Is out to Inspect under this
permit. Enter fees $
4. Assume responsibility for assuming that all correctlonF required
by theresp tnr ars done,and a
5. Assume responsibility for calling for a linen Inspection Surcharge .05 X total above) $on when all al (
the corrections are completed. ��yy�r ']
the person signing this permit must be the applicant or s person Trust Account $ l GC CXl! �e".
auth^rized to bind the applicant.
tJ
Signature Total $ v
Authority if other than applicant This permit becomes null and void It the work authorized by the
permit is not commenced within iSO days from date of issuance
For inspections call of such permit or It the work authorized Is suspended or abandoned
at a time erwork is commenced for n period efs days.
540-3561 or 693-4415
Electrical PermimI ts are non-refundable and non-transferetile.
24.hour recorder, one working day in advance of need 8(24-114
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
lop COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
v ;;.JU6900(5 Project, V P0049972 ;3tat uAPPPO")L-
'AI.p] 06/19/95 Issued 06/19/95 Expires 12/16/95 06/2,?/95 05 : 01
RESELEC
P,avmit Title SFR _ ALL ENt_'O"PASSING L tr OTH
,fires ription Bequn . '",x/'15/95
;,1.•L• A:�dnass 11701 SW TALC.!t0c}Lr h]t TI
Uwrter Name INSPECTION - TIGARD
iApp1 i ant Name t AR'Y'S VACUFLO
'Phone numb;ar 779-2042 Va.luat Lnn 1) Apprc•ve,A_�_.
Approval# . A,PP1:
Arkapector Conunent.s Rejected _-__._....
,.. Ivit-TtES1ILT.
r... .. ..._.. ..._�.._......_._ ..._�_. .. _._ ._ _ REq(1Ff3T ERR T.
P I Limb I ra
1 ..,, x.r i - a s
St.rut-t rtaal
�ort-r8]
I n .pact ed 1::.Y _.. .._._ . �_.. ._ �►e ; _. r-" Nl/ C��
1 �:��,n.rt.icri 1tY�.l�t�•ct ,d . ,.
1
+ I„.w V,.,1.ta-,je f!f.••r..r• !14 t!? E
06/2p/95 T3I RT IV12 26-7280 �'
DEPARTMENT OF LAND USE & TRANISPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #1350-12
155 NORTH FIRST, HILLSBORO, OR 97124
W. 067'70S
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (:24 hours): 503/640-3561 or 693-4415
Projact # P0049972 SL.atus AF1'Rt7VE: Page 1 of 1
Applied : 05✓15/9j Issued 05/15/45 Expires 11/11i'95 06/12/95 05 - 02
12ESELEC
P*rnkxt Title c3PR Ci '/NEW l4?_liJ;,i / t7"['l{
�scr.Lpt:i��n ' Requn: OWIF/9F)
Sat: Address 11701 :iW TAL1,W00rr BR TI
.owner Namva 1Nt3.PE(,'T 1(..,N - T IGARD Roq I on r+
Applicant Name+! SFA&
Thant= nuhiber .;-rn - . 'r' V"A 1 1-1-A f i-
,:;
6V� OCAOL-5 Fzraw — rr 'w spemsA#Ak1t— Mad
lnmp,vr.tor Comments
'0� '7�4 T V:-R E.O.(11,T e
C
r
Inspection keqt,iort. e:r
c,•.►f.r' & .Ser & 0 4 0 1 1? A!+
16/1 Z/1.S k 14'1 ]Vv 24- 107"L'.". C ti
06/t17/-45 R1 1tt I Vv 24- 107C F
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
�F07705
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3x61 or 693-4415
Permit # : # P0049972 Stattis Pag4 i of i
Appliea,.5. 05/15/9!; IY..^ued ue/15/95 Expire 06/07/95 Us Dk
RESELEC
P4rmit Title SFR ELEC/NEW HOUSE OTH
b4scr ipt ion 8A.4'an: 0x/15/95
.r,�b A3d!:(.%ss 11'701 SW TALLWOOD D14, TI
C wnfar Name tH;"iPECTION - TIGIARD Ro-gion U
Applicant Nam4 BEAR ELEC'TRI,.'
P hi-ne numb<?r 678- i 355 Valuation : 0 Appr*v*33__,___�_
I118poctor Comments . kazfRrtad_�,_,
I Vii-RESIIL,T ?t
_. .._.. ._._._._...r... _..._... _ _. _...._.. _ ._M.__ .._ __._......__.. . ....... _.__ .. ._ _ _ REOULST ERROR
I
PIumbinq
Me har'i Cal
I'1r trica1
't.ructrual
61vnera .
Inspecte d by �_ ...�,__. .._ _ _ Pate
Inspection
Re�!C�leai3'.^?d
k Cover & ;ie3rvlr.F! 0403 E AP UN IVI2
05/07/95 RI RI Itrn 24-1070 C' >~
i
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REOUESTS: 503/540.3581/693.4415
OREGON XXXXXXXXX--> 640-34'70
P,-ag e 1 of 1
Date 0b/15/95
Time 09 : 40
ve rmit :.ype : kesi,delitial Electrical Permii Perrnit # 0506770.`.,
k'eLMI t L,t atLIZ; s APPROVED App Iied 0,•i/15/9b
!�itaz Acldi:ess, 11'/01 LW 'l'ALLWOUL) UP Ti issued s 0`i/1b/y5
N(;<rinit 'Vttle be't-t - ELEC/NEW Hc-)USE Completed
k`e-rmi.t Uescr . To Expire 11/11/95
klrc> aecct Titif :,E'tt !;l.,t°;I_'✓1JJ W li:.11Ja1 Project. # P004997L
Project ower . s EHOS1CIN
P ii. c:el Nut b(J tr" ZS1'1'l Lane Use District
Va luatiola U
Uet: cr ..
(;IW 101s lN:,)1-1Ecl.'lON '1'1UARL) c.:r.srlstructiori U'I'H
App1.1cant Narne tb&K ELECTRIC Classic ication s 900
Applicant Ad(tt 1110 BUX JH9 0C.'C".t.lpancy 1-13 i.
DONALD, Ult 97020 Validated ray s KKP
Applicant 1`tT.>r'lta : 618-13bb Inspector Area
vee dezc r iptr.ion Un:t Vee/Unit Ext fee Data
byuare rc)utacjG [Enter L�]. Ft� , a 1!a[;(J 1H`., . pC)
L�.tl�ttat,�al E:lrxct:r ical E'Co�•� : 1H`, . pU
Mate ur har+fie c,1 b't; `.a . 24.r
otal Liecctt ic:cal. Fees : 1`134 . 25
* *
t-,ees Required * A reg F'ee's collected & Credits
__..._.__ _..___..____.___ __ __ __.____..• __. _.._._.. _._- _-.__ __ ____.__. ---_---.__--
Method C:her.k # 1-?eceipt: No . Date Payment
118 /t{ 1'.,/9b 194 . .1;
'1'U'I'!1L 1'ti.l S UA!'L k r * * *** * 194 , 2b
Fees s 194 . 2'.)
i1'I .Juutnlertts t tJli 1'ot:al Credit: : . 00
Total Fees , 1':14 . "I Totta1. Payments ; 1911 . 2`,
balaaf.e Due. t . U0
NOTICE: This permit becomes null and void If the work or constnirtlon for which It Is Issued Is not commenced within 180 days. Once constnect;;.n has started,
the penult becomes null and void If construction Is Interrupted for a period of 180 days. 1 certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the best of our knowledge. I szknowledge that the Building Department's rellance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the constriction and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes Use or oc--upanry of the building or structure permitted prior to app*oval by the
Building Department Is solely at the risk of the applicant and such use o•occupancy Is revocable until all inspection requirements are satisfied and
approval Is given by the Building ORiclal. I further acknowledge that a Ilan may he placed on the title of the property upon which the permit Is Issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements.
APPLICANT'S SIGNATURE
WASHINGTON COUNTY ELECTRICAL P E R M IT
Department of Laird Use & Transportation
Electrical Inspection Section
155 NortFirstHillsbo eh Oregon e97124 nue350-12 APPLICATION
Information: (503) 640-3470 Fax: (503) 693-4412
Permit
PLEASE - Number Date
Oc;)IA
Please com�lete all ' 4. Complete Fee Schedule below
1. Location of installation Number of Inspections per permit allowed
Address--// 70/ SW /ALLWoo �2Service included: Items Cost(ea.) Sum
r Building A. Residential-per unit
City L/Csif�{.rl_ _ Suite o. _
Tenant Name 1000 sq.it,or lass / $t 10.00 /l0 . Ot' q
Each additional 500 sq.It
(if commercial) �_ 7S• v o
- ------ or portion thereof $25.00 _
Map NO._ ___.___�Tax Lot _ Limited Energy $25.00 1
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00
: _
Thomas Map Book: Page: �oSN Section __ J~
Directions_. _ — - B. Services or Feeders
PEBBgas- S!0A) Installation,a4eraticns or relocation
200 amps or less $50,00 2
Commercial [] Residential 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 _____ 2
2a. Contractor installation alit 601 amps to 1000 amps $18000 2
y Over 1000 an ps or volts $340.00 _ 2
Electrical Contr ctor FE,t2 F( 1!;2 (Alf(Alf Reconnect only — $5G.00 —__ - 2
Address Fe• w_ 30
City vitt p State &L _ ZIP-120W C. Temporary Services or Feeders
Date�� Job Number ` _ Installation,alteration or relocation
Property Owner c 0flf /ierG / if l"91_ 200 amps or less $50.00 _ 2
Contractor's License No. Zy—/0 7. 2C1 amps to 400 amps $75.00 _� 2
—`�— - 401 amps Ic 600 amps _ $100.00 2
Contractor's Board Reg. No. _•. �D 4/ 9over 600 Amps to 1000 volts sea•8•above
Signature of Supr. Elec'n)(46 D. Branch Circuits
License No._j`__2_.S Phone No. Co 71 11��_- New,iteration or extension per panel
a) The fee for branch circuits with
2b. For owner installations: purchase of sarvice or feeder fee.
Each branch circuli _ $5.00
----- - b) The fee for branch circuits without
Print wnor Ts Nt+me 15F,one-Ao — purchase o1 service or feeder 1'ee.
Address --- Fi•st branch circuit $35.00
Each add'nf branch circuit—. $5.00
ny `Meted E. Miscellaneous (Service or Feeder not included
Each pump or irrigation circle $40.00
The l'nstallation is being made on property I own Each sign or outline lighting $40.00
which is not intended for sale, lease or rent. Signal circult(s)or a limited
energy panel,alteration
Owner's Signature __ or extension $4000 _ __ 2
F. Each additional Ins nection over the allowable
--- -- in any of the above
3. Plan Review section (if required) Per inspection $35.00 -
Per hour $55 DO
Please cheek appropriate item and enter fee In section 58. In Plant —_ $55.00
_4 or more residential units In one structure S. Fees
z Service and feeder, 800 amps or more
System over 600 volts nominal A. Enter total of above fees $ B • �1t'
Classified area or structure containing special 5% Surcharge (05 X total fees) $
occupancy as described In N.E.C. Chapter 5 Subtotal $ jQy
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the PI, Review It required (Section 3) $ --x
above apply. Not required for temporary construction Subtotal $ 1.
services. I I Trust Account $
• Balance Due $
For Inspections Gall this permit becomes null slid void ff the work sulhodZed by the permit Is not commenced
640-3561 or 693-4415 within 190 Jays hom date of Issuance or such permit at it the work sufhorired Is
suspended lir Abandoned deny flint eller work is commenced for s parfoo o7 190 days,
24,haur recorder, one working day in advance of need F lectricslcermits are nnmrelundablii and non handersbls.
9/94
Page No. 1 CASE HISTORY FOR CASE NO.: MST950144
COSTA PACIFIC HOMES
11701 SW TALLWOOD DR
08/21/98
Action, Description Req/ Schd/ End/ Action Notes Disp By Upd-te Upd
Code Sent Done Done Date By
MSTA007 Application received / / / / 03/22/95 PASS JF 04/03/95 BLT
MSTA010 Plan check deposit paid / / / / 03/22/95 PASS JF 04/03/95 BLT
MSTA020 Plan check by 04/03/95 / / 04/03/95 PASS RT 04/03/95 BL,r
MSTA030 Check for prcl. restrict. / / 04/03/95 03/22/95 PASS JD 04/03/95 BLT
MSTA092 (F) Issue combination permit / / / / 04/14/95 BUN 04/14/95 B
MSTA097 Issue plumbing signature form / / / / 04/14/95 BON 04/14/95 B
MSTA705 Footing Inap / / / / 04/17/95 N-1- USA approved A/N KS 04/17/95 KBS
M-2- check set backs for compliance
#-3- provide continuous ftg at garage
openina with two # 4 bare
#-4- maintain three inches clearance
under rebar
M-5 provide positive keyway
N-6- this inspection does not include
isolated piers
N-7- install low point drain
MSTA706 Foundation Inep / / / / 04/26/95 #-1- strap across plates at pony walls A/N KS 04/27/95 KBS
META710 POOL/Beam Structural / / / / 04/26/95 ?77? MS 04/27/95 KBS
MSTA711 Post/Beam Mechanical / / / / 04/26/95 PASS MS 04/27/95 MRS
MSTA713 Crawl Drain / / / / 04/21/95 APP GS 04/21/95 GES
MSTA717 PLM/Underfloor / / i / 04/26/95 PASS MS 04/27/95 MRS
MSTA720 Mechanical Inap / / / / 06/14/95 corrections completed; will check on PASS RB 06/14/95 RS
flex duct for exhaust venti%,
MSTA720 Mechanical Inap / / / / 06/13/95 N-1- see inspectionnotes DIS KS 06/21/95 KBS
MSTA722 Plumb Top Out / / / / 06/06/95 PASS MS 06/17/95 MRS
MSTA725 Framing Inap / / / / 06/13/95 #-1- see inspection notes for UIS KS 06/21/95 KBS
corrections
MSTA726 Framing <REINSP> / / / / 06/14/95 corrections completed; ck mech issue. PASS RB 06/14/95 RB
plumbing top out must be approved before
cover.
MSTA735 Gas Line Inep / / / / 06/02/95 NO GAS TO FIREPLACE YET APP GS 06/02/95 GES
MSTA740 Insulatlnn Insp / / / / 06/16/95 incompler-ed FAIL RB 06/19/95 RB
MSTA740 Insulation Insp / / / / 06/19/95 pending- insu:ate ductwork in garage; PASS RB 06/19/95 RB
firestop thru penetrations within plenum
and at plates.
MSTA745 Gyp Board Insp / / / / 06/26/95 pending clearance for b vent PASS RB 06/26/95 kP
MSTA755 Rain drain Insp / / / / 04/21/95 APP GE 04/21;-5 GES
Page No, 2 CASE HISTORY FOR. CASE NO- MST95-0144
COSTA PACIFIC HOMES
11701 SW TALLWOOD DR
08/21/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date Hy
MSTA760 Water Line Inap / / / / 08/14/95 APP GS O11/14j95 GES
MSTA761 Water Service Insp / / ( / 04/21/95 APP OS 04/21/95 GES
MSTA765 Appr/Sdwlk Insp / / / / 07/7.4/95 1) Remove extra mud from sidewalk for PEND LT 07/27/95 NL
full 4° depth.
2) Place felt at each end where there is
eristing sidewalk.
3) Be prepared to protect finish.
msTA770 MISC. Inspection / / / / 05/22/95 N-1- shear wall Ill[ not ready DIS KS 05/22/95 KBS
MSTA770 Misc. Inspection / / / / 05/23/95 M-1 shear wall not completed at this DIG HS 05/24/95 KBS
time
MSTA770 Misc. Inspection / / / / 05/25/95 N-1 provide full bearing under HDSA'S A/H KS 05/25/95 KBS
at garage wing
wall's
MSTA770 Misc. Inspection / / / / 07/14/95 PASS MS 01/14/95 MRS
MSTA770 Misc Inspection / / / / 08/16/95 EFA MJR 08/16/95 MJR
MSTA795 Mechanical Final / / / / 08/14/95 SEE FINAL 8 14 DIS GS 08/14/95 GES
MSTA795 Mechanical Final / / / / 08/17/95 APP KS 08/21/95 KBS
MSTA797 Plumb Final / / / / 08/34/95 SEE FINAL 814 DIS GS 08/14/95 GES
MSTA797 Plumb Final / / / / 08/17/95 PASS MS 08/17/95 MRS
MSTA799 Building Final / / / / 08/14/95 SEAL GAR CELL AT FUR;. ENCLOSURE., SEAL DIS GS 08/14/95 GES
GAS PIPE IN FP W/ REFACTORY CEM, SUPPLY
LISTING FOR TEMPCO FP (OAS LAG
LIGHTERS), RAINDRAIN AT FP CHASE,
DOWNSPOUT AT FP CHASE, COMPLETE WATER
SERVICE, INSTALL HANDRAILS, FINAL ELEC
MSTA799 Building Final / / / / 08/17/95 AFP KS 08/21/95 KBS
MSTA960 (F) Issue Cert. of Occupancy / / / / 08/17/95 PRINTED 9/21/95 JF 09/21/95 JF
MST8708 Erogion Control / / / / 08/03/95 APP W/C OB/21/95 KBS
CITY OF TIGARD MASTER PERMITl%
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . M=j5- 014 ,
13125 SW Hall Blvd.Tigerd,Oregon 97223*8199 (503)639.4171 DATE I .r-'SUED: 04/14/95
PriRCEL: 13133CC01400
ITE ADDPEGS. . . : 117011 SW TALLWOOD Dr.
;UDDIVISION. . . . : PEDBLECREEK ZONING: R-25
LOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . ..008
ruiLDING
DWELLING UNIT1.3: 1 PASEMENT. . . . . . . . :0 s
_ASS OF WORK. :NEW BEDRMS:3 BATT 3:3 GARAGE. . . . . . . . . . :5c'20 5
YPE "IF USE. Sr' FLOOR AREAS— REQUIRED SETBACKS-------
,/"E OF CONST. SN F I RcjT. . . . :949 cf LEFT. . :5 ft RIGHT. -.8 ft
CCUPANCY GRP,. :R' 13ECOND. . . :1383 sf FRONT. .20 ft rEAR. . :22,0 ft
;TORIES. . . . . .2 FINBSIv1UNT :0 sf
'E I C;j I I T. . . . . . . . :2-6 f 4C TOTAL . 1332 sF SMOKE DETECTORS. :Y
;..UOR LOAD. . . . :40 psf VALUE. . . . . $ : 1.26917 PARKING SPACES. . OI
�maH4s PATH I
PLUMBING
T NKS. . . . . . . . . . . I I- IJIOR DRAINS. . . . 0 BACKrLOW PREVNTPS. . . I
11 V A T 0 P I E c,',. . . . . .5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :43
UB/-JHOWr.P3. . . . :3 LAUNDRY mys. . . :o CATCH UPSINS. . . . . . . ;VI
ITER CLOSE.7S. . :3 SEWEF, LINE (ft ) . :0 GREASE TRAPS. . . . . . . ;0
i:SHWASHERS. . . . . 1 WATER LINE (-Ft ) . : 10v) 9THER FI XTURES. . . . . ..0
1IRLAAGL DISP. . . : 1 RAIN DRAIN (ft) . xO
"ISIAING MACH. 1. sr* RAIN DRAINE. . I
MC,:i iANI CAL FEES ---- --
IEL TYr--'r-.S,----- 1JIqTT 14TR5. 0 type a m(.),..(Ti t by data resp.,
34S/ Vr._N T E :0 SWM $ 180. 00 S 04/14/95
1X INPUT:0 P T IJ VENT r-A19,53. . : 4 SwIll f 100. 011A Lk 04/14/'?1
IRN 100K . . . I HOODS. . . . . . .. I PPRT f, 500. SO B 04/E4/95
.IRlq 1.001-', .0 WC"ODSTOVEG. "o BE=LT t S 04/14/9`5
...COR F-URN. -.0 CLO DRYERS. 25. 03 B 04/14/9S
311p:0 OTI ICn UNITS: 1 P'()RK 1 1.500. 00 r 04/14/07
GAF; OUTLETS, I MPRT $ 43. 50 S 04/14/95
.-MPIX 1 10. 88 S 04/14/95
)STA PACIF-Ir HOM 177S M5PC $ 2. 18 B 04/14/95
SW CAO(IrIDE 81-VD #61216 3DTH $ 00 P 04/14/975
P5 PC', $ 11. 215 S Q14/14/93
JIVERTON OR 0701'Z715 EROS $ E,4. 00 D 04/14/715
one #a 646---S883 ERPC $ 20. 80 B 04/14/95
'nti-ac:t0l. - I . . -I— ..--. ..'11 --11,- ... - .. -r7 RPC $ ;'0. 130 S_ 04/14/95
!Cj7n--PACIFIC HOMES TIF $ 1550. 00, S 04/1,'>/9c
,760 SW OSPREY P11
275
AVERTON OR 97007
oris # 03 C,46 (108,11
t 37579. 227 TOTAL
p it is issued subject to the regulations contained in the
ere; REOUIRED INSPECTION
..trd Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Plumb Top OLIt
!:plicablv laws, All work will be Come in accordance with apprcvtd FOUndation ITISP Fr-aming Insp
plans. This permit will expire if work is not started within 181 Post/Beam Struct Fit-eplac.,e Insp
days c! issuance, or if work is uspen'dpd foi more than 'l da Post/Beam Mec+ian Gas Line Jn,.,p
Crawl Di^ain I I A t j C D Int
lab Insp Gyp SoAl.-d Illsp
F-ILM/Undet-f 1 oov- Paa
Patin dt, in Insp
VO AA( Mechanical I11sp Watpi- Line Tn5r)
EH I I for^ inspect i o n 6t,9- x,175
L
SEWER CONNECTION
ar( OF TIGARD PEFZMIT #PERMIr. . . . . . . . SWR95-121136
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/14/9S'
43125 SW Hall Blvd.Tigard,Oregon 17223*8199 (503)539-4171
PARCEL: IS133CC-01400
SITE ADDRESS. . . : 11701 SW TALL14000 DR
SUBDIVISION. . . . : PEBBLECREEK ZONING: R-25
BI-OCI1. . . . . . . . . . .I LO-r'. . . . . . . . . . . . . :008
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . .
CLAGO OF WORK,— :NEW DW:Ll-I NG UN I TS. . . I
TYPE OF USE. . . . . :SF' NO. OF BUILDINGS: 1
I NG)TALL TYPE— . . . .SUSWR TMPERV SUPrPcE. . : f
Remarks : PATH I
Owr�vi-: FEES
COSTA PACIFIC 110MLS type am(,unt t3y date vec�)t
662!:1 SW CASCADE BLVD #606 PRMT $ '2200. 00 B 04/14/9 -
1143P $ 35. 00 B 04/14/171
BrAVEPTON OR '371210'5
r1hutle #: 646--8888
Conti-actciv':
CONTRAI,'TOR NOT ON FILE
Phone #: t '235. 00 70TAL
Req #. . .
REUUIRED INSPECTIONS
This Applicant agrees co ccilply with alt the rules and regulations Sewey- lnspec�tiail
of the 1)nified Sewage Agency. The permit expires IN days from
the date issued. The total aeoint pa4d will be forfeited if the ------ .......
permit expires. The Agency does not guarantee the accuracy of the
side scw?r laterals, If the sewer it not located at the leasurelett
given, the installer shall prospect 3 feet in al, u- '7tiors from
the distance given. IF riot so located, the initallp shall purchase
a "Tap and Side Sewer' rersit and the Agency will irsta'l a lateral,
15;U LJ L'y rte: ..............
C-,Al ! for- inspection 639-4175
a'
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd. , CO-
Tigard,
,Tigard, OR 97223
(503) 639-4171
Jobsite Address: 11701 SW Ta 11urnpri Dr VP
Office Use Only
Subdivision: l ebble Creek Lot # —8 _
G�
Valuation: Planck/Rec
��G/ T �`
Permit #
Corner Lot? Y
Flag Lot? Y N Reissue of
Map & TL #
els f
Ovmer: Costa Par,i f i r Hr,mpq - --- Approvals Reguired
Address. 8629 SW CA rade nt a A606 - Planning
eavertoci, Or 0-7110 5 _ Engineering
Phone: _ 501 ) 616-13888 Other
/ iuj,;ra.ctor: Same. _e Items Required
Address: _ Subcontractors
—_ Truss Details
Phone Other _
Contractor's License # �— 65157 7 1& MMO�M A -'Y
(attach copy of curr nt Oregon license) j�a.
Contact Name & Phone' _a r c p22r
Subcontractors: ArchitecUEnglneer: Iyer_aLLjj_Associ a 2-9 _
Plumbing. _ Wolcott Plumbing _ Address: _ 151 Kal.mus Drives C. 1_40
Mechanical __Arco. Installations Costa Mesa , CA 926 6 -
(attach copy of currert OR Contractor's License)
Phone.
`(OB DESCRIPTION-
41
ESCRIPTION
Applicant Signature & Phon, number
Received by: _ _� ut __ Date Received.
i
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) 2 —
Mech. Permit (MECH) *3 .
State Tax (TAX)
Bldg: �S✓v
Plumb: L�� ✓
Mech: /
Plan Check (PLANCK) .36��- i7�Z=� •l
Bldg:
Plumb:
Mech:
✓ .22uZ' ZZ�d ✓
Sc,�24s � Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
3.r
Parks Dev Charge (PKSDC) _oa 5,") v
Residential TIF (TIF-R)
X30
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
o dustrial TIF (TIF-1) _
Institutional TIF (TIF-IS) —
Office TIF (TIF-0)
VVater Quality (WQUAL) �� __ — ��✓
Water Quantity (WOUANT) aJ _ _
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck]USA (ERPLAN) o ✓
Erosion Planck/COT (EROSN)
TOTALS: 53&q !7
b .
Y f•
k•
F'
e '
a -. .._.. .4, S ,Y.. .. :' ,. ,.•. . ,H�•G _._ F14.:.X r.� ,_,Ps $t ? .. , _ r , .^. . . � L ., i:.. S..r. ,. .:.�..'/ ti r},¢p f ! _ .�L. •-,q`i;.{'• .. �i tt, �� � ., 1.., ..
6
y�Ir,
+If 1
SCALE DRAWING
210 •►� 210
1. 210 20e COs 'EBBLE��'
x
;I .._. ,.,...,., _..._ ....� L O T 8 F "REEK
y'y` .YT,'•. —.000 ✓Normdemam
_fir
mommom
Y J
�.,,`,�.�-r' "`.•.. F`E•V 210.3 0
e
��a .. � •',f : frs .,ar�p rl , h Yt r�. .,dila ��,, .+ •r'.'
kt-.. `"` �_ '• ., t.. *�µ�, r y• .:� Vit. „�5t:'1'.1'4!r•Ccy`,�f .Yn!�::e.,,a,w+ ��'.:
_;:•�.:,:
a 208
idmumammom
SAN!
20.0• rARY LATERAL
PLAP(j 183A— CR—t-
212 g3A-- C _212
ui
J
:1 Ml r-------- __
o J z SCALE 1'°-10'
o
=^ J Z
'wool y q ! NOTES.
-HORIZONTAL CONTROL FROM PLAT OF PEDOLECREEK.
WASHINGTON COUNTY SURVEY RECORDS.
—VERTICAL CCN;'*tOL FROM
+ RINFORMATION PROVIDED 8Y OTAK
ON DISKETTE. CON i?�ACTOR SHALL vE.RIFY• EXISTING CONDITIONS
SETBACK ,
t ( j GRADES. AND ELEVATIONS
�
._.� 32.83'
--SII( FOOT PUrsL!C UTILITY FASEUENT ALONG THE FULL LF_N(;TH OF
4Y
RAIN C' AIN EACH LOT Oft •i'RACT FRONTAGE ALONG ANY PUBLIC STREET.
a S --ERG9ON CONTROL
.Y35 I WATER LATER., . ; PRIOR TD THE PLACEMENT OF ANY7
OF
!FV. 20
ORADINQ WORK, ALL REQUIRED EROSIION CONTROLL OR L MEASURES
3 , \ SHALL BE: IN PLACE, INCLUDING:
—INSTALLATION OF A GRAVEL DR!VCWA)', CLEANED AND
I REPLACED AS NEEDED TO KEEP CLEAR OF DIRT;
`INSTALLATION OF SILT BARRIERS, WHICH SHALL REMAIN
WI'(H AIN CPERMANEE UNTIL N E gtOUN) COVER I(i.E. 6ARK D S .
f , GRADED AREA EN ViM
' GRASS. OR 07HM LANDSCAPING); THE SILT BARRIER �� e
MUST K COUNTERSUNK INTO THE AROUND.
214 I I
214
212 a
F4 NN
IV }I }]
YI. .rt )�'"� -�r� 1•k M it�pr,�, '� i4.-�'• �+ �li:9M� I t
A
M,
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• ,_ ... .. � .. f�t�a� NYt^� }�}�i .ya.r�f5 Y� +l' t �^�,•��+��'��Y r'.r.
r SIGNFO ON:
'
PROFESSIONAL
;CALL DRAWING L.oz s p I
11701 SW Tallwood Drive •t ��8
�f, � � � .w 1 -ECREEIC
4 S T�.1 t2 1 -- ....,_...._
-ClTY H
NASHINO )NA ORE
WADE C. UONOYAN III 1 � Cen Merl ir,
7 Cance to Tri
��...(.�i+ , �Ft hY,yi: ',t" ° j, .,1 � -,' 1. • " �
j•. ,.,r Z ! F .d. r'li , ' R '1 i'a.'^' � • .A SPI ,tY y� - ,N .^
RENEWAL
(N dECEMACR 31 14s'i
,, & p�jy ,:. », a• ., . Y •40 82nd Drive QldAten n 7
cQ Qr
�.. 7 �'+o,. y} :° ti'' s .rrr f1.KiF1 014Q !�1 n►J —
� t= �yt ++�M
",j�j,, x V y r
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027
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