11833 SW TALLWOOD DRIVE rM U17,LI U
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L ERTIFICATE t.f
OCUPANC
CIIY OF TIGARD PERMIT #. . .'C. . . . : MST95-0201
COMMUNITN DEVELOPMENT DEPARTMENT DATE ISGUCDi 01/01)/96
13125 SW Hall Blvd.Tlgard,Oregon 97223*8199 (603)639.4171
V,A R CE L S,I 33CD-PY4 1137
I (iDmEss. 11833 SW TALL.WJOD DR
SUBDIVISION. . . . ; P,EBBLECRF.'.ElA II ZONINGsR--25
BLOCK. . . . . . . . . . t LOT. . . . . . . . . .. . . %37
CLAGG OF WORK. :;.CW
TYPE OF USE. , . -.GF
OCCUPANCY GFP. A 5N
OCCUPANCY LOAD s2
Remark,, : PATH T
COSTA PACIFIC t.jLIMES
862b ;3W CASCADE i1LVD #606
SEAVE.RTON OR 9701-15
Phnne #s 646-88eO
Contrac-toy-:
COSTA,-PACIFIC 113MES
86e5 SW CASCADE AUE STE. 606
BEAVERTON OR 97005
Phom- #1 503-646-8888
Reg #. . 4 631157
This Lertificate grAnts occupaticy of the above v-efev,9nL..,d building ov- pcvtioul
thereof and ronfiv,ms that the building has been inspected fat" compliance With
the State of Oregon Specialty Codec for the gr-oup, OC:!C'kl t"Ary, and i.iqe undev-
whic-,h the v,efer-enc .d permit was isquod.
FJIT.,V-16-NG INSPEG OR j.A
POST IN CONSPICUOUS. VILA(1.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-1175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Pibg. Top Out Elec. Rough-in CTINAL:
Post/Bearn Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing --Plumb.
Alarm Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. -Flec!.
Date Requested: _ rime:_ _AM 0M
Address:/
Builder: Permit
THE FOLLOWING CORRE ;TIONS ARE REQUIRED:
Inspecior:_ Date:
AIZ*
APPROVEP `DISAPPROVED APPROVED S JBJECT TO ABOVE
�� `1 _Call For Reinsp.
CITY OF TIGARD BU'LDING INSPE^.TION NOTICE
Inspection Line (Rec-O-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 Etec Rough-in FINAL:
Po st/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfioor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mgch.
Underflr. Insul. Shear Wall Gyp. Bd. -E�t ��)
Date Reouested:—_ �(� Time: AM Ptit
Address
Buiider:4�_ _? C-C 'L (p �j,�;�� Permit #:�i�L
THE FOLLOWING CORRECTIONS ARE RE=QUIRED
Inspector Date:1
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
____Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lino (Rec-O-Plione): 639.4175 Business Phone: 639-4171
Inspection.
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rongh-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec Rough-in FINAL:
Post/9eam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor gain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Ele�:' j
Date Requested:__,-' /5 / Time: AM PM
Address:_ �� _> �� r CA_c c < < '79 >* r? !J• '1
Builder: r.l.-C _`1_. ���� Q- l �` Permit #f: <<—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-ter p X,
Inspector: - � ,c<� Date:L-�_ �
_APPROVED DISAPPROVED _Af'PkOVED SUBJECT TO ABOVE
_Call For Reinsp. /
r�
��. Community Development RESTRICTED ENERGY ELECTRICAL APPUI ATION
13125 SW Hall Blvd.
Tigard,OR 97223 PI RNLI I # t`✓L - a / �C�
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
-IU 33s1 ('t) 'Ll���II�-__--------
Arlrlress RESIDENTIAL—Restricted Energy Fee. . . . . . . . . X40.00
�- elf (FOR ALL SYSTEMS)
City State Zip t
�� t�io/Y1l�jbS�+►f
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio an Stereo System" I
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS, LJ1 Burglar Alarm
tJ� Garage Door Opener*
2. CONTRAC
FOR APPLICATION Ventilation and Air Conditioning System*
Contractor. 6 [ti[...Ll[L,0-Type __ acuum Systems*
LJ Other - -------__.----- __-�
Address ���_��-.��L{ 1 _
Dale 1 =� COMMERCIAL—Fee for each system . . . E40.00
---- - (SEE r)AR 918-260-260)
Property Owner _ _�__ !L Lh Tarpe of -6 Involved;
Contrs,c4or's Board Reg. No. (049 6 C1 ❑ Audio and Stereo Systems*
-� ❑ Boiler Controls
Phone# /r� ._ ❑ Clock Systems
❑ Data Telecom mtin icalion Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ MVAC
Print Owner's Name Phone No ❑ Instrumentation
Address - - ❑ Intercom and Paging Systems
❑ 1 andscape Irrigation Control*
City State Zip ❑ Medical
This permit Is Issued under OAR 918.320.370.This appli.ant agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)under this 1wroit and to do the ❑ Outdoor Landscape Lighting*
following:
1, Only use electrical licenser)persons to do installations where required.(Certain El Protective Signaling
residential and other I tnsactions are exempt from licensing.These have ❑ Other
asterisks(•).All others need licensing).
2. Call for an inspection when all of the Installations under this permit are ready
for inspection at 503-639-4175. Number of Systems
3. Purchase separate permits for all Installations that are not ready for Inspection
when the inspector is out to inspect under this permit. •No licenses are required. licenses are required for all other installations
4 Assume responsibility for assuring that all corrections required by the Inspector
are dune,and
5. Assume responsibility fnr calling for a final Inspection when all of the corrections S. FEES
are completed.
,//, OU
The person signing for this permit must he the applicant ora person a. Enter Fees $ /- v
authorized to hind the applir,mi
h. .5% Surcharge(.05 x total above) $ 01 cx-)
Signature
TOTAL
Author,ty if other than applicant �—
ENERGAP.CHP
v
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigaid, OR 97223 PIan ck/Rec. # U,r- .,I 3
Permit # /_/c a.�-- oaE,
Phone (503) 639-4171 Bate Issued y-3i _ 9s-
CITY OF TIGARD FAX (503) 684-7297 Issued b ,,
TDD No. (503) 684-2772 Y al
- ham /� S�
Inspection (503) 639-4175
1. Job address: 4. Complete Fee Schedule Below:
Name of Development F66OC-E 69CCK �,Ul?-)/Val& Number of Inspections per permit allowed —
Address 11933 ,-tj r21.,L tVov p f]fL. Service included Items Cost(ea) Sum
City/State/Zip %/G� p�11 -__J'717 y' ds. Residential• per unit po 4
1000 scl if or lase $11000
Name (e;•name of business) Ce2 r'�flf- Each addrtirrwi 1,00 scl 11 or —q—
portion thereof Z. $2500 Ord 1
CotT mercial ElResidential Limited Energy W.00
Each Manul d Home or Module, t
Dwrillinp Service or Feeder $88 00
2a. Contractor Installation only
4b.Services or Feeders
Installation.alteration or roloration 2
Electrical Contractor e;ll erLe�fG�, 200 amps or lase $6000 2
Address_ 0� o< 9,? � 31 amps to 400 amps $8000 2
Ci /10 State C2 Zip 401 amps to 800"nil's $12000 2
ry_ _�r��_ 1�.— p�1 _
801 amps l0 1000 amps $18000 2
Phone No. (a 7 B— 13 Sir-- _ Over 1000 amps or volln $34000 2
Contractor's License No. 2,'j_ /p7 Reconnect/p ( i Reconnect only $1,000 _
Contractor's Board Reg. No., 2�9t� _— 4e. Temporary Services or Feeders
InstallationaharMon or ,,location 2
Signature of Supr. Elec'n) LY " ` $' may,4, 200 amps or lose $50002
License No. :3/6 2-5 Phone No. L711— Z- 201 amps to 400 amps $75 no — 2
�� 401 amps to 800 amps $10000
Over 800 amps to ton0 volts
2b. For owner Installations: see W above
4d. Branch Circuits
Print OWner's Name New allegation or extenmon per pnnol
Address _ n)The toe for branch circuits with
City State_ Zip purchsee or service or heder fee. 2
Foch branch circuit $500
Phorle N0. _ b)The lee for branch arcurts without
The installation is being made on property I own which is purhost;or service or feeder he. 2
not intended for sale, lease or rent. rims branch circuit $3500 2
Each additional bi nnch circuit $500
Owner's Signature _ —_ 4a. Miscellaneous
(Service or feeder not incLided) 2
3. Plan Review section (if required): f ach pump or irrigation circle _ S4000 2
Each sign or ouf6ne fighting __ $4n no
Signal cimurl(s)or a limned energy 2 1
Please check appropriate firm and enter iso in section 5B. panel anerahon or e,eension _ $40 00 ,
4 or more residential units in one structure Minor tabate(10) $10000
Service and feeder 225 amps or more —`
System ovtii G02 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 "'"Kf"'1On $35 nn !_
P ns no... $5S 00 r
Ir,vl^ 1 $5,no
Submit 2 sets of plans with application where any of the above -----
apply. Not required for temporary construction services. 5. Fees:
NOTICE So. Enter total of above fees $ �(pG•00
51%Surcharge(05 X total fees) $ Ute,
PERMITS BECOME VOID IF WORK CR CONSTRUCTION Subtotal 00
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 25%of fine A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ X
A PERI 'D OF 180 DAYS AT ANY TIME AFTER WORK IS Suhfotal s Su^
COMMENCED. LJ Trust Accou it M $
Balance Due $ AG f,Ov
rarltarnd�✓uMc pm tp
Page No. 1 CASE: HISTORY FOR CASE NO.: MST95 0202.
COSTA PACIFIC HOMES
11833 SW TALLWOOD DR
08/21/98
Actiou Description Req/ Schd, End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA007 Application received / / / / 05/15/95 LASS JD 05/16;95 BLT
MSTA010 Plan chec'c deposit. paid / / / / 05/15/95 PASS JL 05/16/95 BLT
MSTA020 Plan check by 05/17/95 / / 05/17/95 PASS RT 05/16/95 BLT
MSTA030 Check for prcl. restrict / / 05/16/1° 05/15/95 PASS JD 05/16/95 BLT
MSTI'w5? (F) Issue combination permit / / / / 07/12/95 JSD 07/12/99 •1D
MSTA097 Issue plumbing signature form / / / / 07/12/95 JSD 07;12/95 JD
MSTA705 rooting Insp / / / / 07/17/95 LOT SIGNAGES- MARKERS DO NOT JIVE; NO FAIL RB 07/17/9!; RB
PLANS ON SITE. RF "VED PHONE CALL FROM
BRIAV IN RE; Tt 1LED INSPECTION AS
NOTED AND ASKED RETURN TO ALLOW
THEM TO BE r.SLE TO POUR. I STATED THAT
THE ONLY ISSUE WAS THE GROUND ROD NEEDED
AN EXTRA TIE, BUT I WOULD NEED TO SEE
THE PLANS. THE SET BACKS WERE NOT
CHECKED.
I ALLOWED THEM TO POUR WITH THE
UNDERSTANDING THAT IF OTHER ISSUES
EXISTED UPON RETURN, IT WOULD BE THEIR
RESPONSIrILITY. I WAS NOT ABLE TO GET
BACK TO SITE BEFORE THE SCHEDULED POUR.
MSTA705 Footing Insp / / / / 0"/18/95 SEE PREVIOUS SAME DAY INSPECTION Rr.PORT. SSS RB 07/18/95 RP
MSTA706 roundation Insp / / / / 07/18/95 PENDING- SEE REPORT PASS RB 07/18/95 RS
MSTA710 Poet/Beam Structural / / / / 01/27/95 APP KS 07/28/95 KBS
MSPA711 Poet/n,am Mechanical / / / / 07/27/95 APP KS 07/28/95 KBE
MSTA717 PLM/Underfloor / / / / 07/27/95 PASS MS 07/3'/95 MRS
MSTA720 Mechanical Insp / / / / 10/16/95 see inspection card FAIL R0 10/16/95 RB
MSTA720 Mechanical Insp / / / / 10/19/95 SLEEVE B-VENT IN ATTIC; ENCLOSE LID OF FAIL RB 16/20/95 RB
RFT1"(N AIR CHASE
MSTA720 Mechanical Insp / / / / 10/20/95 PASS RP 10;20/95 PB
MSTA722 Plumb Top Out / / / / 19/15/95 no test wayter or waste FAIL MS 09/18/95 MRS
MSTA722 Plumb Top Out / / / / 10/06/95 STOP AND WASTE REQ AT AT KIT HB OR APP OR 10/06/95 GES
FROS^.PROOF HB
MSTA723 Electrical Service / / / / 10/12/95 PASS MIR 10/17/95 MJR
MSTA724 Electrical Rough In / / / / 10/12/95 PASS MJR 10/1'7/95 MJR
MSTA729 Framing Insp / / / / 10/16/95 see inspection card FAIL RB 10/16/95 RR
MSTA726 Framing cREINSP> / / / / 10/19/95 MECH. ISSUES NOT RESOLVED FAIL RB 10/20/95 RS
MSTA726 Framing cREINSP> / / / / 10/20/9° PASS P.B 10/20/95 RS
MST1727 Low Voltage / / / / 10/17/95 APP GS 10/17/95 GEE.
Page No. 2 CASE HISTORY FOR CASE NO.: MST95-0201
COSTA PACIFIC HOMES
11833 SW TALLWOOD DR
08/21/98
Action Description Req/ Schd/ End/ Action Notes Disp by Update Upd
C-de Sent Gone Done Date by
MSTA735 Gas Line Inb,' / / / / 10/05/95 PASS RB 10/05/95 RD
MSTA740 Insulation Inep / / / / 10/19/95 U-VALUE .40 - GREATER THAN; INSULATE FAIL RB 10,'20/95 RB
WINDOW/DOOR CASINGS; REMOVE VAPOR
BARRIER AT SHOWER; FIRESTOP THP,U
PENETRATIONS
MSTA'740 Insulation Inep / / / / 10/20/95 PENDING- CHINK DOOR TO GARAGE/DWELLING; PASS Rl 10/20/95 RB
GLAZING UNITS .40 REQ'MTS
MSTA745 Gyp Board Insp / / / / / / drywall nailing at back wall of garage NOTE 09/22/95 RB
4' c c. near door to dwelling
MSTA745 Gyp Board Inep / / / / 10/27/95 M-1- elear wall nailing at garage A/N KS 10/30/9[- YRS
comple ed
p-2- ;ver all exposed wood members
ad4.cent to furnace
will check. at final inspection
MSTA?',5 Rain drain Inep / / / / 07/21/95 PAgf' MS 07/24/95 MRS
MSTA760 Water tine Insp / / / / 07/21/95 PASS MS 07/24/95 MRS
MSTA765 Appr/Sdwik Insp 11/20/95 / / 11/06/95 FAIL LT 11/20/95 C-H
1. Core drill curb by drain pipe e
extend pipe to hole.
2. Compact rock.
3. Complete rocking sidewalk.
MSTA765 Appr./Sdwik Inep 12/05/95 / / 12/05/95 PASS 01/08/96 Rb
MSTA765 Appr/Sdwlk Insp O1/1n/96 / / 01/03/96 PASS PI 01/18/96 C•H
MSTA770 Misc. Inspection 11/09/95 / / 11/09/95 shwr pan PASS MS 07/26/96 BT2
MSTA790 Electrical Final 12/05/35 / / 12/05/95 kit. counter plug FAIL MJR 12/05/95 MJR
cover for dining rm tight box
MSTA790 Electrical Final 12/06/95 / / 12/06/95 PASS MJR 12/06/95 MJR
MSTA795 Mechanical Fin-1 / / / / 01/03/96 see building final tilis date FAIL RB 01/03/96 RB
MSTA795 Mechanical Final 01/04/96 / / 01/04/90i mor"ar gas line in firebox; re-install FAIL RB 01/08/96 RB
insulation under kitchen cabinet area;
fire9top thru penetrarions at furnace;
seal tubing at A/C-ext.; finish grade ok
for spring
MSTA795 Mechanical Final 01/09/96 / / 01/09/96 PASS RB L1/09/96 P11
MSTA797 Plumb Final / / ! / 11/29/95 main shut off valve? FART MS 11/30/95 MP'
Page No. 3 CASE Y.ISTORY FOR CASE No.: MET95-0201
COSTA PACIFIC HOMES
11833 SW TALLWOOD DR
06/21/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA797 Plumb Final O1/04/9( / / 01/03/96 PASS MS 01/04/96 MRS
MSTA799 Building Final / / / / 01/03/96 mortar firebox (gas line); re install FAIL RB 01/03/96 RB
insulation under/fl; protect under/fl
vents vent wells may be needed;
firestop thru penetrations at furnace;
Real thru penetrations at A/C; finish
grade; plumbing final approval.
MSTA799 Building Final 01/04/96 / / 01/04/96 Ree mech ficial this date FAIL RB 01/08/96 RB
MSTA799 Building Final 01/09/96 / / 01/09/96 PASS RB 01/09/96 RB
MSTA960 (F) Issue Cert. of Occupancy / / / / 01/09/96 JF 01/11/96 JF
MSTA970 Case Finaled / / / / 01/09/96 PASS RB 01/09/96 RB
MSTB708 Erosion Control ! / / / 12/05/95 PASS USA 01/03/96 RB
MS:B150 Shear Wall Insp / / / / 09/22/95 pending- lateral bracing garage header PASS RB 09/22/95 RR
drywall nailing back wall of garage
4" o.c.
CITY OF TIGARD M#;�;4. . FSE. .lT
.
COMMUNITY DEVELOPMENT DEPARTMENT DATE I0 SUED: 07/12/95
13125 BW Hall Blvd.Tigard,Oregon 97223.5199 (503)039-4171
PARCEL: 1 a 1,33CD-•#''B J
-3 I TE ADDRErSS. . . : 1183 3 SW 'TALi_WOOD DF?
SUBDIVISION. . . . : PEBBLE=C REEK 11 ZONING: R-2S
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :37
BUILDING _..____...__._____________._._________._._ _.__.__..•
REISGUE:MST95-0144 DWELLING LINITS: 1 BASEMENT. . . . . . . . :0 of
CLASS OF WORK. :NEW BFDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :520 sf
TYPE_ OF USE::. . . :5F FLOOR AREAS _.__._. _..-.._.. REOUI RED SETBACKS---__--..._.
TYPE OF CONST. :5N FIRST. . . . :949 s f LEFT. . :5 ft RIGHT. : 13 ft
OCCUPANCY CARP. :R:.) SECOND. . . :883 s,F F'RONT. :2-0 -i't REAR. . :26 fl
5TORTGS. . . . . . . .2 I-INBSMENT:O sf
HEIGHT. . . . . . . . :,:6 f t TOTAL - - . -•• • : 183.E s f SMOKE DET[ CTORS. :Y
FLOOR LOAD. . . . :40 ps f VA1.UE. . . . . s : 1.2C, a 17 PARKING SP'ACES. . : 1
flemarks : PATH I
PLUM1.1ING
`INKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACI(f LOW PREVNTRS. . : 1
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
T'UB/SHOWERS. . . . :3 LAUNDRY TRPYS. . . :0 C CITCH BASINS. . . . . . . .0
WATER CLOSETS. . :..:, SEWER LINE (ft ) . :0 GREASE; TRAPS. . . . . . . :0
DISHWASHERS. . . . . 1 WATER 1- IIVG: (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE: DISP. . . . 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 aF' RAIN DRAINS. . c 1
_..__.._...____.___....._. ... MECHANICAL —_.__.__...._._.__._.__._.___....__._._____..___.___._.._ FEES,
UEL TYPE~S_._..._.........___.._... UNIT HTRS. , -0 tyle amount I:3y date recl"�t
(-,AS/ / / VEYNTS . . . . :0 SWM R 180. 00 JD 07/12/95 95-2671396
(.IX INPUT:0 LATU VLNT FANS. 4 Swill A 100. 00 .JD 07/12/95 '3!5---26789(-.
JRN ( 10016 . . : I HOOIX5. . , . . . : 1 BPRT f 500. 50 JD 07/12/95 95-:2E7E196
JRN ) =1OOK . . :0 WOODc1TOVE.S. :0 DP'I_C; $ 50. 00 .JD 05/15/95 95-265d110
t.-DOR FURN. . . . :0 CLO DRYERS. : 1 BSP'(: $ 25. JD 07/12/195 95-26789E.
7.'.L/CMP ( 3HP:0 OTHER UNITS: 1 p0rli< $ SOO.. 00 JD 07/12/95 1'L -267139C
GAS OUTLETS: 1 MDPT $ 43. 50 JD 07/12/95 95-267696
wne _.... .__ ... __ . .__. _... _........____-....__.___ ..___ i1PL.0 $ 10. 68 JD 07/1 x/95 95_267896
]S'TA PAC I F T C HOMES M5PC: $ 2. 18 JD 07/12/95 95---267896
X2'5 SW CASCADE BLVD #606 38TH $ 2;_`J. 0e6 JD 07/1.-i:/95 ')5 216 709 C:
P'SP'l: $ 11. 25 JD 07/I-x/95 95--E67896
AVEP"l'ON OR 97005 EROS $ 64. 00 JD 07/12/D5 95 -26'78'3E
Bone #: f~46--88138 E'RPC f c'@. 80 JD 07/12/95 95-267616
entr^attar•: _._... . -.__ -_ _.-......_.__ .._ . ._ ...-- _.__._--- .-ER(='C i. ::'0. 30 JD 07/t /'35 ')'.`1--i!C-71316
)STA- PACIFIC HOMES TIF $ 1550. 00 JD 07/12/95 95--267896
1780 S'W OSPREY DR BP'L.C, 1 50- 00 JD 07/1,2/95 9S 26 , 3'')6
t1 a75
BE.AVE RTON OR 97,007
I"'h a ri e #: 5(iti;:i• 646 .81188
Rey #. . : 65157
$ 3353. 94 TOTAL
This pereit is issued subject to the regulations contained :n the - REOUIRED INSPEC.C'rioNS -_.--
Tigard Municipal Code, State of Ore, Specialty Codes and all other Footing Insp Piumtj "fop Out
applicable laws. All work will be done in accordance with approved Foundation Insp Fr-aming Insp
plans, This l;nrnit will expire if work is not started within 180 Post/De am Cit ruut V i.t- p l a re+ Insp
s at issuance, or if :< : p. .rad °cr eece 'han 1,. dal s, Post/'Beam Meectian Gas Line Insp
Crawl Di-ain Insulation Inse-
t e:rmittee /und'sl•at) Insp Gyp (-bard ln-q
Issued F'LM/Under^floor Ra n drain ns#,
techani-al Insp Wa ov Line n s p
Call f :::e i1, Ction 6:39-•4175
SEWER CONNECTION
CITY OF TIGARD PERMIT
�''FR1+11r #. , . . . . . : c lR95--019c'
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/12/95
13126 SW Hell Blvd.Tigard,Oregon 97223.0199 (503)039.4171
PARCEL: 1 a1 33CD—PES I I,37
SITE ADDRESS. . . : 118,33 SW TALLWOOD DR
SUBDIVISION. . . . : P EBBLEC REEK 11 ZONING- R-2'5
BLOCK. . . . . . . . . . . i_01.. . . . . . . . . . . . . . 37
TENANT NAME. . . . .
USA NO. . . . . . . . . . . FIXTURE= UNITS. . . :
CLASS OF WORK. . . :NEW DWCL.L.I NG UN 1'`S. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :LAUSWR IMPERV SURFACE. . : : sf
Remar-ks : PATH I
Owner ___.____.__.._._____._._._._.___________._.__.__._____.______.�.._._. —___.._ FEE=S _—__-________
COSTA PACIFIC HOMEC Hype nmol-trit by date recpt
8625 SW CgSCADE BLVD #E,06 P'RMT .=200. 00 .JD 07/12/95 95-26789L�
IIJr.;C= 4 ?.5. 00 JJ) 07/1.2/95 95--a6'7896
DEAVE PTON Of? 'D'7005
Phone it. E46-8886
Cor.tr-actor:
GQl';TRf CTOP NOT ON FILE:.
P--35. 00 '-OTAL
Req #t. . .
— -- -- REQUIRED I NGPF:CT 1 ONr:
This Applicant agrees to comoly with all the rules and regulations Sewer Iris pec.u i on
of the Unified Sewage Agency. The permit expires 160 days from
the date issved. The total amount paid will be forfeited if the
permit enpiree. The Agency does tint guarantee the accuracy of the
side sewer laterals. If the sewer 1s not located at the measurement
given, the inste'ler shall praspert 3 fret in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Perm and the Agency will Install Late, 1.
F e r•m i L t e e,
.a.t yn _ • ��
15Sued E
Cal i for, inspect i on — 639---4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4-171
Jobsite Address: 11833 SW Tallwogd Or- ivg
«
Subdivision: Pebble Creek -t ` Lot# 37 Office Use On-y
Contact Date / / Initials _
Valuation: _�� `l�D --- Result
Planck/Rec #
New Construction Only: (Square Footage) Permit #
House: 183;- Garage: 5 2 o Reissue of
Map & TL # _
Zone
Pfat #
Corner Lot? Y N Flag Lot? Y N
Approvers Required
Owner: Costa Pa if is Homes _
Planning Setbacks Solar_
Address: 8625 SW Cascade Blvd . #606 Engineering
Other
Beaverton , OR 97008
Phone: ( 503_1_646-8888 _ Items Required
Subcontractors _
Contractor: Same _ —_ Truss Details
Other _
Address: _
Notes
Phone: L ) ---
Contractor's License # 65157 _
(attach copy of current Oregon license)
Contact Name Marci. Weber �J(,A"r t**rv-r �,� r /7EcnfrbEi� X51
�r-
Contact Phone: ( 503 ) 646--8888
Subcontractors: �°' '�',-y��- '"�1l�rchl(ect/Enalneer: Iver3on Associates
Plumbing: iZ Z j [rt _ Address: _151 Ka lmus Drive C . 140
Mechanical: _Arco Installations Costa Mesa , qA 92626
(attach copy of current OR Contractor's License)
Phone: ( 714 ) 549-3479 _
JOB DESCRIPTION. Resubmit of Pormi t #MST95-0144 _
-J1� --�-
Applicant Signature Applicant Phone number
Received by: Date Received: —
H'MgnAelVn"po
fin+
i
Permit # Account Description Amount Amt, Pd. Bal. Dui!
�i-0�6 j Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) �� '�' 3 '���/,✓
State Tax (TAX) ' q6
Bldg: 3 ✓
Plumb: �,�•L ) ✓
Mech: .�
Pian Check (PLANCi /ZC 1jr 570
L
Bldg:
Plumb:
Mech:
. L Sewer Connection (SWUSA) �U 0 � ���U
u
Sewer Inspection (SWINSP) 3
Parks Dev Charge (PKSDC) S G U s"�
Residential TIF (TIF-R) /q3 u
i 7-V
Mass Transit TIF (TIF MT)
Commercial TIF %i IF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) ev _ r a `
Water Quantity (WQUANT) �_ �6''''
Fire Life Safety (FLS) G c�
Erosion Cntrl Permit (ERPRMT) q
Erosion Planck/USA (ERPLAN) H ✓
Erosion Planck/COT (ERO',N) �v f
TOTALS: .S S Y' S, o s s 3 y
�v
s
SCALE DRAWING
LIST 37 PEBBLECREEK
r �
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: I N N �
t
S,-'.NI TAR Y
uNE �1
1
S I` STORM LINE 1 i
S.W. CRANE
CURB
218 G i
ELEV. 216.0 $ 8870'51
70.01' ELEV. 214.0Jill
Rza 1s \ l 1
6' FOOT PUBLIC UTILITY EASEMENT
O
'r:r •::tea,, T. r ---` - --- TBACK LINE R
-� ,�
• - -__ 15.0' __ _- -J A ._.._ _..__
\ 11Nr I ISCALE 1"=10'
20.3' u1
AL NOTES:
t:EJTROI FP,OIrt PLAT Of PEEiBI.ECREEK,
WASHINGTOt' COUNTY SURVEY RECCRDS.
--VEIL TICAL CONTROL FROM INFORMATION PRO ODE:D BY OTAX
L \ ` ON VISKETTE. CONTRACTOR SHALL VERIFY EASTING CONDITIONS,
GRADES, AND ELEVATIONS.
,C4� ---Y --- -j { i �I --SIX F001 PUBLIC UTIUTY EASEMENT ALONG THE FULL LENGTH OF
` I 810, _1 � EACH LOT OR TRACT FROr;TAGE ALONG ANY PUBLIC STREET,
r^
hN r-- -----�'---^"--"_-- --EROSION CONTROL�_-_�___._ _ PRIOR TO 'iNf PLACEMENT OF ANY ilLL OR COMMENCEMENT OF
GRADING WORK, ALL REQUIRED EROSION CONTROL MEASURES
•�t'Zf -i- _ .____ -� 40 C I SMALL BE: IN PLACE, INCLUDING:
i \ -INSTALLATION OF A GRAVEL DRIVEWAY, CLEANED AND
0 l J i �°` • t O \ REPI..ACED AS NEEDED TO KEEP HEAR OF SNRT;
2
214 -ONSTALLAYION OF SILT BARRIERS, WMKCi SHALL REMAIN
t t3 IN PLACE UNTIL THE GRADED AREA HAS BEEN PROVIDED
`ATH A PERMANENT AROUND COVED (I.E. BARK DUST,
i i t �• ` 1 GRAAOR O N ER LANDSCAPING 7HE SILT BARRIER
0bD
COU TERSUNK INTO T1#. (MOUND.
i
ELEV. 219,0 - WATER TER ELEV.
S 88'22'29w--E-792.06 --- ---- --
a ELEV. 215.2
A
� --�
so, IT Y 214
a; 1
N
N 1
SIGNED ON:
Ir ROFMONAL
SCALE DRAWING LOT 37 PEBBLECREEK
1/4 §&C*
C. 3 T,1 .1W,W.M.,
CITY OF T12ARD
ASHINGT 1' UNY,_11833 SW Tallwoo�i Drive WADE G. DONOVAN T11 C:®n t e r{i n® C c>n c Q t 1 n r_"
1 of 1 ,276 DR MAY 11 li ' $ •Dill 840 82nd Drive G1aa.t �, Oregon a;c�z�
RENEWAL C?iJ E)ECE;MBfR xi, 1»`� SCALE 10-10' ACCQUNT , 87 503 650-01188 fax 150-3 650-0184
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•rxF ORIGINAL DOCUMRN'r, _ __
No 98
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