11855 SW TALLWOOD DRIVE ADDRESS:
i:\records\microflm\targets\buildiiig.doc
CERTIFICATE
CITY OF T I GARD PERMIT OCCUPANCv
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/iB/95
13125 SW Hall Blvd.Tigard,Oregon 972234199 (503)639-4171 PARCE"L:
JTE ADDRESS. . . : 11855 (,3W TALLWOOD DR
,UBDIVISION. . . . : PEBBLECREEK 11 ZONING:P-;='5
tiL.011214. . . . . . . . . . ." LOT. . . . . . . . . . . . . 136
LAGS OF WORK. ii NE-0
FYPE OF USE I
" �:
ICCUDANCY GC
2P.
LOAD I
1,06TA.-PPICIFIC HOMES
141SO SW t-)SPREY DR 00"15;
)4EAVERTON OR 97007
!,ontractor:
OSTA-PACIFIC HOMUS
�4 I
iipr) f�'W CASCADE AVE. ESTE . 606
MEAVERTON OR 17005
11hune
O. . c 65157
this C'ertificate grants oc.c.ttpeqncy of the -%bove t-eferenepd buildi.nq or portio"
1-liereof and confirms that the building has been inspected -, or- c--ompliance with
�
!,he 5tate of OregonG;)Pc: iA1tY Codes for- the group, a -IAVI a_.V ^nc, Ll usp ender
4hich the referspriced was issued.
0000II
BUILDING urFICIAL.
l',M';T IN CONSPICLICIL.K, PLACE
CITY OF TIGA.RD BUILDING INSPECTION NOTICE
Inspection Line (R9c-O-Phone): 639-4175 Busines-, Phone: 639-4171
Inspection:
Footing Sosp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, U,iderslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:/
Post/Beam Mach, San. Serve* Gas Line Id ,
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insula! �n A
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: I( '?,I!' –.r Time: AM PM
Address:_ rQ,�� �_�[2 -_ i~1 .0 l
Builder G' Permit #: Y,S D.3 _ u
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector, Date:
APPROVED —DISAPPROVED —APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Nec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Found ition Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underf(r. Insul. Shear Wall Gyp. Bd.
Date Requested:" T!me:--AM ! nPM
Address: I I L s.5-
-�2��.L
Builde%4���1-- (c� 7 - �,s 5 Permit 4C3? S 03
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i2<2)_,_ f! alit ej cl e
/per
00,
Inspector. e7X 15=• lil,� -
APFROVED DISAPPROVED V.��gROVED SUBJECT TO ABOVE
_Call For Reinsp.
5 ��T c4j 4�) - al -
Community Development Q RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 J PERMIT#X895 D/79
Phone(503)639-4171 Q\ / 95'
FAX (503)684-7297 PATE ISSUED�1 _�o = ----------
TDD No. (503)684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE AU SECTIONS
1. LOCA i ION OF INSTALLATION 4. TYPE Of WORK
115 5S �_11�A 1_u_%_ 9
Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 5.40.00
(FOk Alt SYSTEMS)
CityState Zip Check 1Ivneo� Involved;
n L.rv,
PERM T5 ARE.NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK [[�Audio and Stereo Systems'
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. Burglar Alarm
(� Garage Door Opener*
2. CONTRACTOR APPLICATION Heating,Ventilation and Air Conditioning System*
Contractor Type__ _. (� Vacuum Systems'
... �Clthef
Address 901
Date CX ro/��19s COMMERCIAL—Fee for each system . . . . . . . . . 64910111
�- (SEE OAR 918-260-260)
Property Owner _____ ;heck type of Work Involved:
Contracmr's Board Reg. No. ❑ Audio i 'Stereo Systems'
( y ❑ Boiler Controls
Phone# � �_. Uvl __ __ __ �__ ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICA PION
❑ Fire Alarm Installation
_
El HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address
El Intercom and Paging S)-stems
❑ I andscape Irrigation Control*
City State lip ❑ Medical
This permit Is lssued ander OAR 918.320.170.This applicant agrees to make only 0 Nurse Calls
restricted energy Installations(100 volt amp%or less)tinder this permit and to fit)the ❑ Outdoor Landscape Lighting`
following:
1. Only use electrical Crensed persons to do installations where required.(Certain El Protective Signaling
residentlet and other transactions 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 503.619.4175. ❑ 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 d-one,and
5. Assume responsibility for calling for it final inspection when all of the cfit rections 5. FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ 0 UCI—
authorized to hind the applicant.
h. 5% Surcharge(.05 x total above) $ 00_
Signature Trust .aulagC 0,1TOTAL � ��
Authority if other than applicant
ENERGAP.CHP
Community Development ELECTRICAL PERMIT APPLICAT-ON
13125 SW Nall Blvd.
Tigard, OR 97223 Planck/Rec. # 99- 17o,,ya
Permit # 1-:,.4 ?,?Phone (503)(503) 639-4171 Date issued _4 ao 9c'
CITY OF TIGARD FAX (503) 684-7297 Issued by -Ali
TDD No. (503) 684-2772 _
Inspection (503) 639-4175
1. Job Address: nn I low:
4. Complete Fee Schedule B,.
Name of Development . Number of Inspections per permit allowed —
Address 1 JeS`�_�w ��{ L(Wo oCl k ServlcH Included Items Cost(ea) Sum
--
City/State/Zip_ I Q- � 4a. Residential- per unit .� -- 4
1000 sq it or less _ $11�no
Name (or name of business) LLQ M POC�(L race additional 500 scl It or
Portion thereof _ $2600
Commercial❑ Residentialo umflW Energy _ $2600
Each Manurd Home or Modular —
Dwelling Service or Feeder SW oo
2a. Contractor installation only': - -
p 4b. Services or Feeders
EI@CtrICal�OfltraCtOr�-�2�:;LL: C slallalton,allorahan or relocation - p
Address 1-U (] 7 ' C r 200.Amps or leas :e0 00 2
p� � —�Q� ,��-L 201 amoe 10 400 amps $8000 2
LI'r _ State 401 amt I to 800 amps
zip- $120 00 2
Phone No. (Som) ?fj- 13 °> 801 amps l0 1000 amps $18000 a
�G Over 1000 amps or volts $34000 2
Contractor's License No. ay- ►0 C� Reconnect only $60 DO
Contractor's Board Reg. Ao. -
-- - 4c. Temporary Services or Feeders
I;A181lation alleralion nr relocation 2
Signature of Supr. Elec'n �► 20c amps or lase sw fw 2
License No. D-1 3yLo.�'i`d ' 1355 tot amps to 400 nn,ps _ $ 600
401 amps to Boo ompe $10000
Over 60f,AMP6 to 1000 volts
2b. For owner installations: sce'b"above
Print Owner's Name 4d. Drench Circuits
New,allerabon or ertoneton per panel
Addressa)the fee for brancl,ormils rvlth
City State Zip — purchase or seryks or Isadlsr hs,
Phone No. Each branch circuit $6 oo
The installation is being made on property I own which is b)pusheThe fee s ol.encrrko weir diems..
not intended for sale, lease or rent. Feel branch arcuit $3500
Each add111orml branch circuit $500
Owner's Signature _ 4e. Miscellaneous
(Service or feeder not included)
3. Plan ,Review section (if required): Each Pump or irrigation circle $4000 r
Each sign or r affirm IpM+ng $400o
Please chock appropriate item end enter fee in section 58. Signal omutt(s)or a limited energy
4 or more residential units in one structure Panel. oor arlerroi0n -_ $4000
Morar labeolsle((I 0)) $+00 00 -
___Service and feeder 225 amps or more --
___System over 600 volts nominal 41,Each additional inspection over
__-_—Classified area or stricture containing special occupancy the allowable in al•v of the above
as ck scribed In N E C Chapter 5 Per inepecfio`, _ $36 00
Per hour $5600
Submit 2 sate of plans with application where any of the above In Plant $6500 --
apply, Not required for temporary construction sa►vices. 5. Fees: 4 `
NOTICE 5a. Enter total of above fees s ( Q 00
5%Surcharge(05 X total fees)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal
AUTW)RIZED IS h'OT COMMENCED WITHIN 180 DAYS,OR IF 5b, Enter 25%of fine A If r
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if raquir,td(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal a -`
COMMENCED. ❑ Trust Account N
g
Balance Due
rewrnnrMJ MK-pm q0
Page No. 1 CASE HISTORY FOR CASE NO.: MST95-0290
COSTA-PACIFIC HOMES
11855 SW TALLWOOD DR
08/21/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update up'l
Code Bent Done Done Date fly
MSTA007 Application received / l / / 0//iej45 PASS BON 12/15/95 PI
MSTA010 Plan check deposit paid / / / / 07/27/95 PASS BON 08/01/95 BLT
MSTA020 Plan check by 08/01/95 / / 08/01/95 PASS RT 08/.:1/95 BLT
MSTA030 Check for prcl. restrict, / / 08/01/95 08/01/95 PASS RT 08/01/99 BLT
MSTA080 (F) Ready to issue / / / / 08/03/95 JSD 08/n:,/95 CTR
MSTA092 (F) Issue combination permit / / / / 08/28/95 BUN 08/28/95 B
MSTA097 Issue plumbing signature form / / / / 08/28/95 BON 08/28/95 B
MSTA705 Footing Insp / / / 08/29/95 pending- seismic restraint PASS RB 08/30/95 RB
MSTA706 Foue,dation Insp / / / ;30/95 PASS RS 08/30/95 RB
MSTA710 Post/Beam Structural / / i / 09/07/95 #-1- provide 1/2 inch air space at ends A/N KS 09/08/95 KBS
of structural beams
0-2- felt missing under support post
MSTA711 Post/Beam Mechanical / / / / 09/07/95 APP KS 09/08/95 KBS
MSTA713 Crawl Drain / / / / 10/09/95 APP GS 10/09/95 GES
MSTA717 PLM/Underfloor / / / / 09/06/95 PASS MS 09/06/95 MRS
MSTA720 Mechanical Insp / / / / 10/19/95 CONNECT FAN VENTS APP US 10/18/95 GES
MSTA720 Mechanical Inap / / / / 10/24/95 #-1 extend rigid heat supply above DIS KS 10/24/93 KBS
garage ceiling
flex duct not allowed to peneterate
garage wall
MSTA722 Plumb Top Out / / / / 10/09/95 APP OS 10/09/95 GES
MSTA723 Electrical Service / / / / 10/17/95 APP OS 10/17/95 OES
MSTA724 Electrical Rough In / / / / 10/17/11, APP GS 10/17/95 -ES
MSTA725 Framing Insp / / / / 10/19/95 APF GS 10/18/95 CES
MSTA7.15 Gas Line Insp / / / / 10/05/95 PASS RB 10/05/95 RB
MSTA740 Insulation Insp / / / / 10/24/95 #-1- insulate fireplace alcove anA ccver DiS KS 10/24/95 KBS
exposed insulation with
flame spread paper
MSTA140 Insulation Insp / / / / 10/25/95 #-1 extend rigid heat duct above A!N KS 10/25/95 KBS
ceiling line of garage
will recheck at final Inspection
MSTA745 Gyp Board Ins;. / / / / 10/12/95 N/R 08 10/30/95 KIS
MSTA745 Cyp Board Insp / / / / 10/30/95 0.1- this inspection does not incl.ade A/N KS 10/20/95 KBS
backer board for installation of
ceramic the or other proof material
at stall shower
# 2 gypsum adjacent tc heat duct supply
needs to be tight fitting
Page No. 2. CASE HISTORY FOR CASE NO.: MST95-0290
C09TA-PACIFIC HOMES
11855 SW TALLWOOD DR
08/21/90
Action Descrlption Rt.q/ Schd/ End/ Ac.ion notes Dian By Update Upd
Code Sent Done Done rata By
MSTA745 Gyp Board Inap / / / / lu/27/95 N.1. shear wall blocking and nailing at PAxT KS 10/30/95 KBS
garage
approved
MSTA755 Rain drain Insp / / / / 08/31/95 PASS MS 09/05/95 MRS
MSTA760 Water. Line Insp / / / / 08/31/95 PASS MS 09/05/95 MRS
MSTA760 Water Line Insp / / / / 10/02/95 APP GS 10/02/95 GES
MSTA76U Warr Line Inap / / / / 10/09/95 APP GS 10/09/95 GES
MSTA761 Water Service Insp / / / / 12/14/95 APP GS 12/15/95 GES
MSTA765 Appr/Sdwlk Insp 01/19/96 / / 01/03/96 PASS PI 01/18/96 C•H
MSTA770 Misc. Inspection / / j / 10/18/95 SHEAR PANEL AT REAR OF HOUSE, GARAGE PART OS 10/18/95 GES
CEILING NOT DONE
MSTA770 Mirc. Inspection / / / / 10/24/95 0 1 shear application at garage reiling APP KS 10/24/95 KBS
( plywood)
MSTA790 Electrical Final 12/18/95 / / 12/15/95 the elec permit label was loot on a APP GS 12/18/95 GES
damaged panel cover
MSTA795 Mechanical Final / / / / 12/14/95 APP GS 1.2/15/95 GES
MSTA797 Plumy Final / / / / 12/15/95 APP GS 12/15/95 GCS
MSTA799 Buildlnq Final / / / / 12/15/95 appr/edwk not in; trap to fat-ly lav not DIS 08 12/15/95 GES
in; can't get crawl access open
MSTA799 Building Final 12/18/95 / / 12/18/95 APP OS 07/26/96 BT2
MSTA960 (F) Issue Cert. of Occupancy / / / / 12/18/95 JF 03/05/96 IF
MSTA970 Case Finaled / / / / 12/18/95 APP GS 12/18/9° GES
TER
CITY OF TIGARD PERMI TTS#. . . . .. . .PERMIT
COMMUNITY DEVELOPMENT 6F_ftF!W9NT DATE ISSUED: 08/28/95
13125 SW Hell Blvd.Tigard,Oropon 97223.8199 (503)639-4171
PARCEL : 1S133CD-PE1I36
S I' '- ADDRESS. . . 11895 SW TALI.-WOOD DR
SUBDIVISION. . . . : PEBBLECREEK II ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :36
----------------------- ------------- BUILDING ------ -
REISSUk:MST94•-•9118 DWELLING UNITS: 1 BASEMENT. . . . . . . . 20 sf
CLASS OF WORK. :NEW BEDRMS:2 BATHS:2 GARAGE. . . . . . . . . . :509 sf
TYPE OF USE. . . :5F FLOOR AREAS---- _.._..__._...- REQUIRED SETBACKS-.__.__ ______
TY'-"E OF CONST. :5N FIRST. . . . : 1449 sf L-E_FT. . :7 ft RIGHT. :`5 ft
OCCUPANC`! GRF'. :R3 SECOND. . . :0 sf FRONT. :1:'0 ft REAR. . : 15 "t
STORIES. . . . . . . . I FINBSMENT:O sf REQUIRED- ------ ------- ----
HE I GHT. . . . . . . . ..C'1 ft TOTpI_- -- - - : 1441) sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 4 : 101133 PARKING SPACES. . : 1
Remarks: PATH I
_.------------------------------------- PLUMBING
II"EI(S. . . . . . . . . . e 1 FLOOR DRATNS. . . . :0 BAC.I!( LOW PREVNTRS. . : 1
I-AVATORIES. , . . . WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
TUB/SHOWERS. ., . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSET15. . :2 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DIST'. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
____._------------ MECHANICAL ---_-_-___._____._-_-•---.______.__-_- r"EES ._..___._.--
FUEL TYPES----•-•-------- UNIT HTRS. . :0 type amOlffit by , ate recpt
/GAS/ i / 1""NTS . . . . . :0 TIF $ 1590. 00 S 08/28/95 95-269836
MAX INPUT: 100000 BTU VENT FANS. . :3 SWM $ 180. 00 B 08/28/95 95+-229836
FURN ( 100K . . : I HOODS. . . . . . : 1 SWM It 100. 00 E! 08/28/95 f15-269836
TURN ) =IOOK . . :0 WOODSTOVF_S. :O BPRT It 438. 00 B 08/28/95 95•-269836
FLOOR FURN. . . . :0 CLO DhYERS. : 0 BFILC $ 50. 00 BOB 07/27/95 95-268582
BOIL/CMP ( 3111':0 OTHER UNITS:2 B9JPC s 2'1. 90 B 08/28/95 95-269836
GAS OUTL.E TC.-i: 1 BP[._C f 50. 00 F{ 08/28/9`; 95--269836
Owner: --_..___-----____.__----•-•---_.______-----ppRN, 1 500. 00 B 02'/2.8/95 95_2r 98:3(,
COSTA---Pf1CIFIC HOMES MPRT $ 40. 50 B 08/28/95 95-269836
14780 SW OSPREY DR *21175 MPLC $ 10. 13 B 011/ '.8/95 95-269836
M5PC $ 2. 03 B 08/28/95 95-269836
BEAVERTON OR 9 70e.i 28TH $ 193. 00 B 08/28/95 95-263836
Phone #s P5PC f 9. 7`; B 08/28/95 95-269836
C c.n 1;r a c t o r F_ROS f 64. 00 S 08/28/05 95-,2698,:36
COSTA-PACIFIC HOMEEI ERPC $ 20. 80 B 08/28/95 95-2:69836
8625 SW CASCADE AVE STE. 606 ERPC 6 20. 80 8 08/28/95 95-2698..7•6
BEAVE RTON OR 97005
E'h o n e #: 503-•646-8888
Reg #. . s 65157 _._._-----------------------.---.---.-_-- _-_.-
f 3292:. 91 TOTAL
This peewit is issued subject to the regulations contair:ed in the -----• REQUIRED INSPECTIONS --- ---
Tigard Municipal Code, Mate of Ore. Specialty Codes and all other Fuoting Insp Plumb Top Out
applicable laws. All work "ill be done in accordance with approved Foundation Insp Fres m i n g Ins F
plans. This per3it will expire if work is not started within 181 Post /Beam Struct Fireplace InKp
'Jays of issuance, or if work is suspended for mors than 186 days. Posit /Beam Meehan Gins Line Insp
V� ) Crawl Drain Insi,' -%kt i on Insp
Permittee Si nature:_,� �--'. ` Plm/�_rndslab Insp Cyp Bnarcl Tnsp
PLM/Underfloor Rain drain Insp
Issueu Py : �1��W'J �� Mer_hanic-al Insp Water Line Insp
Call for inspection - 639-4175
SEWER CONNL-CTION
CITY OF TIGARD PERMIT c
PERMIT #. . . . . . . : SWR9
COMMUNITY DEVELOPMENT DEFl4l:irIMENT DATE ISSUED: 08/28/'95'j
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)339-4171
SITE nDDRESS. . . : 11I3JJriW TALL4;OOD DR PARCEL : 1513,?,CD-r'R:I36
SUBDIVISION. . . . : P'EBBLEC;REEK 11 ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :36
TENANT NAME. . . . .
USA NO. . . . . . . . . . . FIXTURE UNITS. , . ,
CLASS OF WORK. . . :NEW DWELLING UN I Tia. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL. TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
Remar•ks : PATH I
Owner-: --._____--_----__._________ ._.__._______.-- -__...___ FEES - --- -.___-•____--
COSTA—PACIFIC HOMES type amol_int by date recpt
14780 SW OSP'RF_.Y DR #275 P'RMT t 2L200. 00 B 08/28/9'5 95-2,69836
BEAVERTON OR 17007IN SP $ 00 B 08/28/95 95--1269836
Phone #:
Cuntr•ac"tor. - ----_.-.--•--._.__ _.______.____.___
CONTRACTOR NOT ON FILE.
Phone #: $ 2235. 00 TOTAL
Reg #. . :
--- --- REQUIRED i NSPECT I ONS — .__.._._...
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. Tho total amount paid will be forfeited if the
permit expires. The Agency doe, not guarantee the accuracy of the
side sewer laterals. If the fewer is not located at the meacureoent
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit agd the Agency will install 1a lateral.
r'^rmittee Siunatrlre : ���7���C�'
1 s!_red b y .
Call for, inspection 639-•4175
v
Residential Building Permit ATi lication
City of Tigard
13125 SW Hall Blvd. ;
Tigard, OR 97223 c`i�
(503) 639-4171 050
Jobsite Address: 1'11.$55 SW TA 1 1 wnnrl nri _
Subdivision: n Fhh I P r-raVk 2 Lot # AE,
Office Use Only
Planck/Rec
Valuation:
Permit # 51��) ,6) ,� Y U
Corner Lot? Y N
Flag Lot? Y N Reissue of �r -J1L
Map & TL# L5 Z.13 t;R; E13 � ..
Owner: Costa Pacific Homes Approvals Re uired
Address: 8625 SW Cascade Blvd . #606 Planning
Beaverton , OR 97008 Engineering �-
Phone: -( 503) 646-8888 - _ Other
Contrnotor: Same
Items Required
Address: _ -- Subcontractors
-- Truss Details
Phone: _
_ .— Other
Contractor's License # 65157
�e
(attach copy of current Oregon license)
Contact Name & Phone: Marci Weber
Subcontractors: Architect/Engineer: Iverson Assoc ' ;j t.p s _
f J
U Plumbing: J & R Plumbir,,, - — Address: 151 Ka1mus drive C. 140 _
"✓
Mechanical: Arco Installations _ _C_Qs_LA CAMesa, C916 . 6
(attach copy of current OR Contractors License)
Phone: X714 ) 549-3479
JOB DESCRIPTION. Resubmit of MST 94-9118
lrle"f
Applicant Signature & Phone number
Received by: Date Received: _—
1
Permit ax Account Description Amount Amt. Pd. Bal. Due ..
V
Bldg. Permit BUILD _. _ ✓
Ph,mb. Permit (PLUMB)
Vlech. Permit (MECH)
State Tax (TAX) 3 3 f�
Bldg:
Plumb: y 7�/ 1v
Mech: 0 3 v
Plan Check (PLANCK) Ile). -J Sy. (u•i 3
Bldg: so '+"Sv P4 1' '
Plumb:
Mech: U' 3
Sewer Connection (SWUSA) 1 Z,� 1 u✓
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) 1470
�.� (�
Mass Transit TIF (TIF-MT) �U_ i 1.0
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-( ) _ _ _
Water Quality (WQUAL) yL _ _ —Lfry
�
Water Quandt~; (WQIJANT) ��''' � u
Fire Life Safety (FLS) _
E=rosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) �0_ __ ��
v
Erosion Planck]COT (EROSN)
TOTALS:
T
r �
AA
.. r �. .
P-11 .._. : . 7, •, .: ,
,... -
o -
' - XII: ,. � a<< '1^r'�1:• � ''3µ 0 i., 1' �!"�.,4_ ...�,.- .Y.'�.M�',, .� ,. g51>',�' }'r.�f�
SC/" ALE DRAWING�
I-_ I' T .36 PEBBLECREEK
218
218
1
I
I
EL. 2 9.0SILT BARRIER S 88'2229" E '
I 9206'
EL. 215.2 WATER LATERA
3
ATERAL
+s.o' J;AtIITAR r L I
l\ I RAIN AIN
`n I
Q �\ � ♦ I � J II
-- — - _ I0
Ldz
t- i m ice,
Q
`\ LTJ I [1- I W 1
I I Z
4 d + u: a0' �...� O
M) j 4 -
cl
�,, N
Z a
� I (� a A � -, I Q NOTES:
—HORIZONTAL CONTa I ~
WASHINGTON COUNTY�OL SURVEYY RECORDS. PEBBLGCREEK,
4caa + - VERTICAL CONTROL FROM INFORMATION PROVIDED BY OTAK
d
ON DISKETTE. CON-RACTOR SHALL VERIFY EXISTING CONDITIONS,
a ( � ?,
(�i
GRADES, AND ELEVATIONS.
d
� ---� --- ��_..- ----SIX FOOT PUBLIC UTILITY EASEMENT ALONG �
\' THE FULL LENGTH OF
V EACH LOT OR TRACT FRONTAGE ALONG ANY PUBLIC STREET,
k S 88.2229 E --EROSION CONTROL
\ 94'00 PRIOR TO THE 'LACEMENT OF ANY FILL OR COMMENCEMENT OF
\ EL, 218,1 GRADING WORK, ALL REQUIRED EROSION CONTROL MEASURES
SHALL BE IN PLACE, INCLUDING:
_ I SANITARY LATERA; -INSTALLATION OF A GRAVEL DRI JEWAY, CLEANED AND
REPLACED AS NEEDED TO KEEP CLEAR OF DIRT;
I
-INSTALLATION OF SILT BARR!ERS, WHICH SHALL REMAIN
218 I IN PLACE UNTIL THE GRADED AREA HAS BEEN PROVIDED
WITH A PERMANENT GROUND COVER (I.E. BARK DUST,
GRASS, OR OTHER LANDSCAPING); THE SILT BARRIER
MUST BE COUNTERSUNK INTO THE GROUND.
4if tl.
REMSTEM
PROFESSIONAL
LAND SURVEYOR SCALE D R A WI N I;, LOT 36 PEBBLECREEK
S.W 1/4 SEC.33 T.I S. p,1 W. W.1vl.
--'�--- CITY OF TIGARDI
1 of 15 SW Tallwood Drive ,���O� WASI-ONGTON COUNTY, OREGON
WADE G. DONOVAN III JULY 25 1995 Centerline Cc3ncepts fns.
2276
RENEWAL ON r�ECEMBER 31, 199` DRAWN 8Y: SBP CHECKED BY: WGD111 64C 82nd Drive Gladeitone, Oregon y
�
.SCALE 1'4-10'10' ACCOUNT # `87 `BUJ 650 nlee fax 503 650 -0189
__
IF THi5 DOCUMENT IS LESS 111111 III III III lil I IIIII III III I III III Irt 1IT til III III I lil 111 III III III III III I IIII III I 1111 TI1 1�1 1 1 1IT 111 111 111 III III 11+11! !11 III ! III !
Lrr",GTBLF THAN THIS NOTATION, 6 III 41 _ I I I I I
1T IS DUE TO THE QUALITY OF
THF, Oh1GIIIP.1, DOCUMENT. —_ __
- No.se
B BL711,191,11-111911fgii
SIG8G TaliOL Fat 8TLt 9t 91111111
1bT S1Lt TT 8 L 9Iif, 1�11- ilIIIIIIII1111111111111Ill�llI 9m,11111 11 1 I111111111111111111 111111111111111�11111111111�11111 I IIIIIIIII 11111 I I IIIII1111111111IIIIIII III 1 III II►II I,III,�II Illllllll I►11lll�llll,llllll
,III I 111►IIIII ,►IIIWJ, 4