11882 SW TALLWOOD DRIVE Kill MIN
ADDRESS:
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li:\records\microfilm\targets\building.doc
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CITE( CEROF TIGARD OTIFicwrE CCUPANC 'JF
Y
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #• • • • . • . I MST95-0347
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 DATE ISSUED: 03/07/-96
PARCEL: 1S133C[)-PBI128
-.;ITE ADDRESS— : 118OZ 9W TALLWOOD DFR
':3URID I V I S I ON. . . . : PEBBLECREEK 11 Z ON I NG t R-r-5
13LOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . 120
'-*LASS OF WORK, iNEW
I'YPE OF U'.-_... . . 15F
OCCUPANCY GRP. f5k (4..S
(JCCUPANCY LOAD: I
PATH I
CO,'1A.-PACIFJC HOMES
14780 SW OSPREY OR #275
BEPOrERTON OR 97007
Phone #:
Contractor:
COSTA-PACIFIC HOMES
d625 SW CASCADE AVE 67'E. 606
BEAVF_'RTON OR 97005
Ph vie #t 503--646--6886
Rey #. . : 61157
jj)iS Ce)-tifiCatp qv-ants occupancy of the AkhoVe F-efey'enc'ed building or portion
thereof and confirms that the building has been inspected for compliance with
the state of Oregon Sr)ecisltY Codes for the group, occupancy, Id L.r.e under-
which the referqnced permit was issi-ted.
Ic
BUILDING UFF_ CAI.
BU L-DiNG Ir-CTOR
POr:;T IN CONSPICUOUES' PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line639-4175 Business Phone: 639-4171
Foo?ing Rai^ gain Cover/Service FINAL.
Foundatio, Water Line Ceiling
Post/Beam McLh. Shear/Sheath Framing :
PIbg.Und/Flr/Slab Plbg. Tor Out Insuiation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd,
San Sewer Gas Line ;,Dpr/Sdwlk � .
tither
----- ---------- --------
Date: �/? - _ —
(eA.M. P.M.___ Entry:
Address:
Tenant --__-_---- Ste: MST:
Con/Own ------- MEC:
PLM: _
ELC ..—_--
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
----------
Inspe��ctor: Datp
��
�-ilp-PROVED �_DISAPPROVED/CALL FOR PEtNSP. C FCO
ENERY
TED
CITY OF TIGARD PERMI Cr #: ELR96?0015 l
COMMUNITY DEVELOPMENT DEPARTMENT D(-ITE. ISSUED: 01 /0'-)/96
13125 SW Hall Blvd.Tigard,Orspon 97223*8199 (503)039-4171
PARCEL: 1 S 133CD—PES I T 2,R
SITE ADDPESS. . . : 1 1 B82 SW TALLWOOD DR
wUBDJ VISION. . . . : PE.BNLE:C:RE:EK Il ZONING: R--25
BLOCK.. . . . . . . . . . . LOT. . . . . . . .
I-'r^o.)ec^t Description :
A. RES IDrNTIA1_. - - ___.- _-- B. —,nMMrRCIAL___.__.______.._.__.______..____..__.___..__.._..____.._
AUDIO & STEREO. . . : X AUDIO & STEREO. . c INTERCOM & PAGING. . :
DURGLAR ALARM, . . :X BO T I_.ER. . . . . . . . , . : I.-ANDSC:APE/I RR IGAT. .
GARAGEOPENER. . . . : X CLOCK. . . . . . . . . . . : MEDICAL.. . . . . . . . . . . . s
HVAC. . . . . . . . . . . . :X DATA/TELE C nMM. . : NURSE CAL.I_S. . . . . . . . .
VACUUM SYSTEM. . . . :X FIRE ALARM. . . . . . : OUTDOOR I-ANDSC LITE:
(1THER: : : X HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
T NfiTRI 1MFNTAT I nN. ; OTHER. . : : :
TOTAL_ # OF SYSTEMS: 0
Anp1i(.7,ant : -.___....___________. _,-_ -__.__.___.__._.__.___._._.__.___....__.__________._ . FEES
,ARY' S VACUFLO tvpe amot_int by date recpt
')015 SE FI_AVEI_ PRMT s 4.0. 00 CJS 01/09/96 96-274737
5PCT 6 2. 00 CJS 01/09/96 96--274737
1=,ClRTLAND OR 97266
Phone #: 503--775-2042
Ccntractar^:
CONTRACTOR NOT ON F 11-E 4 4c. 00 TOTAL
--- REDU I RE:D INSPECTIONS
- - -- —
Ceiling Cover EIer_t;' 1 Service
Fllior,e #: Wall Cover, E'lar-t" l 1=incl
Req #. . :
This persit is issued subiect to the regulations contained in the
Tioard Municipal Code, State of Ore. Specialty Codes and all other Permit i circt it f,
appli -Able laws. All work will be done in acccroance with
aupruved plans. This oersit wil? expire f work is not started
within 180 days of issuance, or if work is suspended for sore
than 18@ days. 1 '
_.-_........___.-_...._._W_ ___.__-_.._.___. ---.__.C)WNE-R TNSTAI_LATION fJNI_.Y— _______._.__._____-•----_____._.._._.__..._
The installatinn is; being made on property I own which is not intended for-
5'a l e,
orgale, lease. or rent.
UWNE_R' S S I GN01 URE s DATE
COI;TRACTOR I N STAI.1_AT i CIN ONl
SIGNP) URE OF SUER. E:LEC' Ns t1 .1.1 -._._ DATE:
L.I CE 1 113E NO s ..........
Call for inspection - 639-4175
JAN-09-1996 14 19 GPiRY'S UACUFLO, INC. P.02
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd, PERMIT N y D/S_
Tigard, OR 97223
Phone(5113) 639-4171
FAX (503)684-7297 DATE ISSUED
TDD No. (503)684.1772
CITY OF TIGARD Inspection (503)639-4175 155UED BY C*i r/e-
PLEASE COMPLETt ALL SECTIONS
1. LOCATION OF INSTALLATION 1. TYPE OF WORK
Address � RESILIEN TIAL--Restricted Enemy F-; . . . . . . . . . S4�,QQ
(FOR ALL SYS LEMS)
Q!
City Stator ( Zip Lbeck T)pe of Work Involved:
f•rrtntlTS ARE NON-1 AN5FERABLE AND NON-REFUNDABLE AND EXPIRY Ir WORK U Audio and Stereo System,,*
IS NOT STARTED Wit HIN 180 DAYS OF ISSUANCf OR IF WORK IS SUSPENUfl:1 FOR
IAO DAYS 15 Burglar Alarm
Garage Drw+r Opener'
2. CONTRACTOR APPLICATION [ Hp0ng, Ventilation and Air Conditioning System•
Contractor _Type _ LI/Vact:um Systems'
Address -----
GAHY ' S VACUVI.,O , INC. 775-2042 COMMERCIAL -Fee
eac
OAR 1h118-260-2150;t1; . . . . �esj
9)715 SE 1- 1 AVEL , PTLD. OR !47266
DATE: __L/ JOEiit� — Check 1YDe of Mork Invulved:
C1W iu F k' ❑ Ai,rlln and Srereo Systern5•
CLE 26728 . .iLE 985 . CCB: 64047 --
- _._ ❑ Boiler Contruls
Phone;K _ __- ❑ Clock Syslem�
❑ Data Telecommuniration Installatinns
3, OWNER APPLICATION ❑ Fire Alarm Installation
_ ❑ HVAC
Print Owners Name Phone No ❑ In,trumcnration
__ , -- - ElIntercom and Paging Systems
Adore"55
[] L anrlwapr Irrigation Control'
r'ry State Zip 0 Medical
FA Nurse Calls
This prrmit is ss,ed urger CAR t 916.3:IU-370.This spriiml.egress to make only
trs rictr:d"vergy insullat,nns(text will amps or Ins)under thiy Irr•rmii.urd to do the ❑ OULduuf I.andsrapr Lighting*
following
❑ Projective.Signaling
1 only use eleorind licensed persons to do installations whert rcquln:d.((retAin
residential and other trawacnons are exempt from lironsing.These have ❑ Other
astcrisksl') All otho-ncxd licensing).
2 Call for an insoer Iron when all of the InsrallArloM under this permit arcs ne.idy
for inspection dt 503 639-4175r ❑ Number of Systems
3 Purchase sepArAte Permits for all installations that are nut redly fete inspsKtlun _
when the inr,pi•cior is out to inspect under this permit- •No licenses are required l ieensc•s arc r-Imn•d file rdl other im"Atiukins
d assume respnnsihltity for assuring that all rorwirimis required by the lmpr.tn ------ - - —
are done, Ind
Assume rery nnsibilfty for calling for A final inspection when all til the rorrectiont 5. FEES
are c�mpk9,d
Ga
The person signing for this permit must be the applicant or a per-11 a. Enter Fees :+ Q
authorized to bind the appliranl.
U
h. ")o/n Surcharge( 0.5 x total above) $
Signature ---•� a UCS
TOTAI S L4
Aur.horily if other than ap icant —_ -
ENERCAP CHP
TIITAI P.A,-,
TIGARD ELECTRICAL PERMIT
CITY OF
r-�E"RhI:T #: r_Lrac,--I�IIr��2
DATE ISSUED: 01/02/96
COMMUNITY DEVELOPMENT DEPXRTMENT
131258W Hall Blvd.Tigard,Oregon 97223*8199 (503)830-4171 PARCEL: 1 a 133CP--RB I I r:'A
SITE 1)DDI i : .I , SW TALL_WOCID DR
SUBD I V I S T.ON. . . . : PEBBLEC REEK II 7.ON I NG:R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :28
Pr-c,ject Description: Residential 2, 000 sq ft.
---RESIDENTIAL UNIT---- _---TEMP 3RVC/FEEDERS----
10 10 GF OR LESS. . . . 6 1 0 2:011) amp. . . . . . . 1 0 PUMP/IRRIGATiOl- . . . . : V�
EACH ADD' L .5005F. . . : 2 201 4210 amp. . . . . . . . CA SIGN/OUT LINT I.TG. . : G'•
LIMITE=D ENERGY. . . . . s 0 401 - 600 amp. . . . . . . : 0 1;1GYNAI.../PANEL.. . . . . . . : Il
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . , . : u,
_
-----,ERV ICL:./FI,EDER----- - -- 1�RAhIC.:lt CI RCLJI TS_ - --- - ADn' t_ INSPECTIONS—
0 -- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 FIE:R INSPECTION. . . . . : 0
x:.01 400 .amp. . . . . . : 0 1st W/O SRVC OR FDR. : Ih PER HOUR. . . . . . . . . . . : UI
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PL.ANT. . . . . . . . . . . a 0
(,iAI 10V)0. amp. . . . (*� REVIEW SECTION_..----_--__..._.__-__.
1000+ amp/volt. . . . . : k'i ) -4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . 0 SVC/FDR > = 2,2,5 .-IMP'S. . : CLASS AREAX13PEC OCC.
Owner: __.________,-.__.. _________.___._.___________.______._...____--- FEES
DEAR EL..ECTRIC tvpe amot.lnt by date rer_pt
PIG BOX 389 PIRMT t 160. 00 CJS 01/02/96 96-274478
5P(71' $ ts. OV C_1`7) 01/02/96 96--2744 76
DC.)No [..D OR 970120
Phone #:
C,ontract Or,
BEAR ELECTRIC 168. 00 TOTAL.
PO BOX :389
REQUIRED INSPECTIONS
-
DONALD OR 97020 Ceiling Cover El.ect' 1 Servi . >
Phone #: Wall Craver Flect' 1 Final
Re.tq #. . .
This permit is issued subiect to the regltlations contained in the
Tigard Municipal Code, State of Ore. Soecialtv Codes and all other PfIV-mittee ''SigrlatIJI V
applicable laws. fll work will be done in accordance with
approved plans. This permit will expire if work is not started /
within 180 days of issuance, or if work is suspended for more �^r�Cl_._���hrh•�(�
than 190 days. 1 -.s i.led By
INSTALLATION ONLY ---_
The installation is being made on propel-tv I own which is not intended for,
gale, lease. or rent.
OWNER' S SIGNATURE: _. _ . __- _ DATE:
INSTALI_ATIQN ONI-Y---------- --_ -- -__- ~--____...
SIUNATURE OF SUPR. ELEC' N: fnG , 1Lc1 DATE 1 / - 46
I CE.NF)L NO:
Call for inspection - 639-4175
i
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # - 7yyart
Permit #
Poone (503) 639-4171 Data Issued 1 9C
FAX (503) 684-7297 Issued b i5�-/,>� S Lm,�✓�
CITY OF TIGARD TDD No. (503) 684-2772 y �
Inspection (503) 639-4175
1. Job Address: t 21914. Complete Fee schedule Below:
`o #
Name of Development-_ LE�i(. _ SuB-Di�7S7oN Number of Inspections per lermit allowed
Address l l 8 N 1 SV-) 7/ LL GUaor D2. Service included Items Cost(ea) Sum
City/State/Zip L fiAr�O� O/t Y7 2'7-J 4a. Residentiai•par unit r
1000 aq 11 or leaf _L $11000
Name (or name of business)_GaSf,/ 0r i,- ,c Each additional 500 aq II orportion thereof 2 $2500
Commet^lal ❑ Residential Limited Energy _ $2500
Each Manufd Home or Modular 2
Dwelling Service or Feeder $6800 _
2a. Crntractor Installation only:
4b.Services or Feeders
Irwtallalion,alteration or relocation 2
F;ectrical Con200 ampr or lees $80 00 2
gimps 4d(lress /�o, [Sox 36 ? 201 amps to 400ps $80 00 2401 amps to son amps $190 a; 2
amity n�r4fZp State ZIN�I L_ 601 amps l0 1000 amps $18000 2
I�i rut lir No. � - ( S_ _ Over 1000 amps or volfs __ $14000 2
Contractor's License No. `2q—/u7c- Reconnect unly $50 U0
Gontractot's Board Reg. No. q 4c. Temporary Sr rvicere or Feeders
Installation alteration or relocation 2
Signature of Supr. Ele ' _� 200 amps or less $5000 2
License No. 7 J PhoP6 No G,1!!-- /35S _ 201 amps to 400 amps $75 00 2
401 amps to 600 amps $10000
Cesar 800 amps to 1000 volts
2b. For owner Installations: see•b•a'xove
4d. Branch Circuits
Print Owner's Name Nf alteration or extension per panel
Address __ _ M Thefee for branch smuts wffh
City. State.___-- Zip purchase of e Am.or Ar. r M. 2
Each hrerx:h arr.ur.u4 $500 _
Phone Nob)the lee for hramh orcyrd• wlrhouf�
The installation is being made on property I own which is purchase or eervke at boom Me. 2
not intender) for sale, lease Of rent. First brFinrh arcus $3600 2rach addilimvrl branch circuit $500
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or rn—ation ardis $4000 2
Each sign or outline lighting $4000
Signal amud(s)or a limded energy 2
Please check appropriate item and enter fee in section 5B. panel,arls-ation or extension $4000
4 or more residential units in one structure Minor Labels 110) $10000 _
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special orcupancq the allowable in any of the above
as described in N E C Chapter 5 per inspection $1500
Per hour _ $F5 00
In Plant $550-1)
Submit 2 sets of plane with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE
So. Enter total of above tees $
T-
5%Surcharge(05 X total fees) $ oe
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ /
AUTHORIZED I NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ X
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 161,°d
COMMENCED ❑ frust Account N
$ x
Balance Due $ /,11, 0"
rwdbandrNWtgm�
Page No. 1 CASE HISTORY FOR CASE, d0.: MST95-0342.
COSTA-PACIFIC HOMES
11882 SW TALLWOOd DR
08/21/98
Action Descriptiat Req/ Schd/ End/ Action Notes Disp By Update Upd
Codo Sent Lone Done Date By
MSTA007 Application received / / / / 09/11/95 PASS BON 09/13/95 BLT
MSTA010 Plan check deposit paid / / / / 09/11/95 PASS BON 09/13/95 BIT
MSTA012 Plans routed to Plana Examiner 09/14/95 / / 09/11/95 PASS BON 09/14/95 BLT
MSTA020 Plan check by 09/13/95 / / 09/13/95 PASS RT 09/13/95 BLT
:48TA026 Plans approved by Plans Exmr 09/14/95 / / 09/13/95 PASS RT 09/14/95 BLT
MS11k030 Check for prcl. restrict. / / 09/13/95 09/13/95 PASS RT 09/13/95 BLT
MSTF.j30 Reviewed plane routed to DSTS 09/14/95 / / 09"Al PASS RT 09/14/95 BLT
MFPA080 (F) Ready to issue / / / / 09/ chanical contractor expired 9/9/95. PASS BON 09/14/95 B
MSTA092 (F) Issue combination permit / / / / 10/20/95 PASS JSD 10/20/95 JD
MSTA097 Issue plumbing signatLre torm / / / / 10/20/95 PASS JSD 10/20/95 JD
MSTA705 Footing Insp / / / / 10/23/95 3-ties ground rod; stepping full depth PEND RB 10/23/95 RB
611;usa inspection; anchor bolts at 24"
Ctrs; seismic restraint.
MSTA706 Foundation Innp / / / 10/26/95 N-1- total rf 14 fin vents AIN KS 01/19/96 K13S
N-2- remove all soft soil at: isloated
piers prior to placement of
ccncrete
0-3- install anchor bn"te size ind
spacing as shown
MSTA710 Post/Beim Structural / / / / 11/15/95 gusset splices; nail rim; sheath lens PASS RB 11/16/95 RD
than 14" cripple studs; clear pannage
for back rater valve; remove wood debris
MSTA711 Post/Beam Mechanical / / / / 11/15/95 PASS RB 11/16/95 RB
MSTA712 Underfloor insulation 03/07/96 / / 03/07/96 APP GS 03/07/96 GES
MSTA713 Crawl Drain / / / / 03/07/96 APP GS 03/07/96 GES
MSTA717 PLM/Underfloor / / / i 11/14/95 PASS MS 11/14/95 MRS
MSTA720 Mechanical Insp / / / 01/12/96 PASS RB 01/12/96 kd
MSTA722 Plumb Top Out / / j / 01/05/96 not ready NR MS 01/08j96 MRS
MSTA722 Plumb Top Out 01/17/96 / / 01/17/96 MS PASS MS 01/17/96 MRS
PASS
MSTA725 Framing Insp / / / / 01/12/96 pending plumbing top-out; nail shear PASS RB 01/12/96 RB
panel at garage ceiling; shower/tub
blocking; collar tie main ridge; strap
plate at f4en
MSTA735 Gas Line Insp / / ! / 01/12/96 PASS RB 01/12/96 RB
MSTA735 Gas Line Insp 03/23/96 / / 01/23/96 N-1- apply gypsum behind furnace at AIN KS 07/25/96 AT2
ceiling line, as
indicated at prior inspect: will check
at final
Page No. 2 CASE HISTORY FOR CASE NO- MS1'95 0342
COSTA PACIFIC HOMES
11882 SW TALLWOOD DR
08/21/9B
Action Description Req/ Schd/ End/ Action Notes Disp By Update Jpd
Code Sent Done Done Date By
MSTA740 Insulation Insp / / / / 01/19/96 PASS TLP O1/16/96 TLP
MSTA745 Gyp Board Insp / / / / 01/19/96 VI not -eady DIS KS 01/19/96 KBS
MSTA745 Cvp Board Insp 01/03/96 / / 01/03/96 note plans for drywall shear NOTE 01/03/96 RB
MSTA745 Gyp Board lnop 01/22/96 / / 01/22/96 0 1- ok to mud/ tape interior gypsum PART KS 07/26/96 BT2
joints only.
9 2- need clearance at B vent garage,
gypsum missing behind furnace
# 3 nail gypsurti at garage separation
wall 4o/c as shown
MSTA755 Rain drain Insp / / / / 10/31/95 PASS MS 11/01/95 MRS
MSTA760 Water Line Insp / / / / 10/31/95 PASS MS 11/01/95 MRS
MSTA761 Water Service Insp / / / / 03/06/96 AFP GS 03/06/96 GES
MSTA765 Appr/gdwlk Insp 03/04/96 / / 03/01/96 1. Install pipe to existing weep hole. PEND PI 03/04/96 C*H
MSTA795 Mechanical Fina' / / / / 03/06/96 SEE BLD FNL DIS OS 03/06/9€ GES
MSTA795 Mechanical Final 03/07/96 / / 03/07/)6 APP GS 03/07/96 GES
MSTA797 Plumb Final / / / / 03/06/96 DIS GS 03/07/96 GES
MSTA797 Plumb Final 03/07/96 / / 03/n7/96 APP (39 03/07/96 GES
MS'I'A799 Building Final / / / / 03/06/96 CAN'T GET CRAWL ACCESS OPEN FOR INSP DIS GS 03/06/96 OES
MSTA'199 Building Final 03/07/96 / / 03/07/96 APP (36 03/07/96 GES
MSTA960 (F) Issue Cert. of Occupancy / / / / 03/07/96 JF 04/16/96 JF
MSTA970 Cate Finaled / / / / 03/07/96 APP GS 03/07/96 GES
MSTS750 Sht-ar Wall Insp 01/03/96 / / 01/03/96 garage ceiling; nail splices at ft FAIL RB 01/03/96 RE
shear panels; drywall shear
CITY OF TIGARD MA57FR PEPMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 4. . . . . . . . Ir15T95. 0;;4.1
13125 SW Hall Blvd.Tigard,Oregon 97223-840i t50$ PATE I SILUED. 10/2'0/95
Pf1RCrL: i S 133C1a--PB I T.28
5ITL: ADDRESS. . . : 11882 SW TALLWOOD DR
SUBDIVISION. . . . : FEBBi_ECREEK II ZONING: R-25
131.00K. . . . . . . . . . .. LOT. . . . . . . . . . . . . :.28
______________-.-__._____--._--_.._.__.._ BUIL.DING _-_-___-________,___------_-_-_._M-_--_
REISSUE:MST94--91 18 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 5f
CLASS OF WORR�. :NEW BEDRMS32 BATHSt2 GARAGE. . . . . . . . . . ..509 sf
TYPE OF USE. . . :SF FLOOR AREAS------------- REQUIRED SETBACKS______-...___....
TYRE OF CONST. :SN FIRST. . . . : 1449 sf LEFT. . -5 ft R I GMT. :5 ft
OCCUPANCY GRP„ :R3 SECOND. . . :0 sf FRONT. : _0 ft R-.AR. . : 15 ft
STORIES. . . . . . . : 1 F I NBSMENT:0 sf FEQU I RED----__
14EIGHT. . . . . . . . :21 ft TOTAL-------: 1449 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 177789 PARKING SPACES. . : 1
Remarks : PATH I
PLUMBING
SINI-/.S. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : l
LAVATORIES. . . . . . 3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :O
1lJB/5I4OWERS. . . . :1, LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :0
WATER CLOSETS. . -2 SEWER L INE (ft) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER I_1NC (ft ) . : 100 OTIAER FT.XTURE.S. . . . . ..0
GARBAGE DISK. . . : 1 PAIN DRAIN (ft ) . :0
WADI i*I IVC; MACH. . . : 1. SF RAIN DRAINS. . : i
--- MECHANICAL - __________----_-_.__ FEES
FUEL TYRES- ------ --- - UNIT HTRS. . :0 type amolant by date r-ecpt
/GA5/ / / VENTS . . . . . :0 TIF $ 1590. 00 JSD 10/c'0/95 95-271942
MAX INPUT: 100000 RTIJ VENT FANS. . :3 BPRT $ 361 . 00 JSD 10/0'0/95 95-271940
FURN ( 100K . . : I HOODS. . . . . . : 1 BPLC 1; 50. 00 PON 09/11/95 95-270381
TURN > =100K . . :0 WOODSTOVES. :0 05PC $ 1S. 07 .JSD 10/: 0/95 95-27194E
FLOOR FURN. . . . :0 CLO DRYERS. : 0 PARK 11 500. 00 JSD 10/20/95 95--271942
BOIL/CMP l .:3HP:k1 OTHER UNITS:2 MPRT 4 40. 50 JSD 10/0.'0/95 95--271942
GAS OUTLETSsl MRLC $ 10. 13 JSD 10/20/95 95-271942
Owner: ___.__.__.._____._____._.__..______._._____.___M5PC 4• ;x'. 03 ,JSD 10/20/95 95-271942
COSTA-PACIFIC HOMES RPRT $ 195. 00 .TSD 10/20/95 95-271942
14780 SW OSPREY DR #275 P5P(_ 1. 1. 75 JSD 10/20/95 95-271942
SWP1 180. 00 JSD 10/20/95 95-271942
BEAVERTON OR 97007 SWM 100. 00 JSD 10/20;95 95-271942
Phone *: BPLC 6 50. 01' JSD 10/20/95 95-271942
r ontract or e - ---_-- _._.__.__-_.__-._._._-_____r._EROS f 64. 00 JSD 10/20/95 95-271942
COSTA-PACIFIC HOMES ERPC $ 20. 80 JSD 10/20/95 95--271942
8625 SW CASCADE AVE STE. 06 ERPC $ 2,0. 80 .JSD 10/20/95 95--271942
BEAVERTON OR 97005
F'ho,i(? #: 5OL;. C,46---88811
Reg #. . .- 65157
f 30:12. 06 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS -----
Tigard Municipal Code, State of pre. Specialty Codes and all other Footing Insp P11.Imb Tap OUt
applicable laws. All work will be done in accordance with approved Fo Undat i on Insp F ram i n g Insp
plans. This permit willexpir if work is not starteei within IN Rost/Beam Stt-mct Fireplace Insp
days of issuance, or if work i�suspended for more than 11M days. F"'c st/Beam Mechan Gas Line Insp
_Crawl Drain Insulation Inst,
Pet-mittee Sian t1.1re: � ._. P1m/1_tndslab Insp Gyp Board Insp
.,� N Pl_M/UnderfIoat- Rain dt-ain Insp
Issi.led Ei - �� �� �-e Mechanical Insp Water Line InsiG
Call for inspection - 639-4175
SEWER CONNECTION
CITY OF TIGARfD PERMIT
COMMUNITY DEVELOPMENT D PERMIT #. . . . . , . : ISWR95-0392;
sp
IT
so �
qTj_I I SUED: 10/20/9'
13125 SW Hall Blvd.Tigard,Oregon 972239 DATE IS,
PARCEL: 1Sl33CD—PBII2C--
5 ITE ADDRC739. 11E382 SW TALLWOOD OR
SUBDIVISION- -- PERBLECREEK II ZONING: R--25
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . :28
,TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : I
TYPE OF USE.. . . . . :SF NO. OF BUILDINGS: l
INSTALL. TYPE. . . . -BUSWIR IMPERV SURFACE. . ^ yf
Remarks : PATH I
Owner: FEES
(.,Y3TA--PA('TFIC 14('Mf--.S type amot-int by (Ja t P r.ecpt
14780 SW OSPREY OR #275 PRMT t 22,00. 00 JSD 10/LO/95 95---271942
INSP $ 00 JSD 95-271942.
LEAVER TON OR 9717,07
Phone #:
Contractor:
CONTRACTOR NOT ON FILE
oim TOTAL.
Pet4 4-
REQUIRED INSPECTIONS
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. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
__,_-
aide sewer laterals. If the seer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distznce, given. If not so located, the installer shall purchase
a "Tap and Side Sewer" permit and the Agency will install a lateral.
Permittee S i n alt lar C.
Call for inspection 6319-4175
Residential Building Permit Applic, tion
City of Tigard
13125 SW Hall Blvd.
Tigard, OR F1223
(503) 639-4111
JobsiteAddress: 11882 SW Tallwood Drive
.. . Office Use Only
Subdivision: Pebble Creek #2 Lot# 28 7
Valuation: /., 7 Li _ ,
Permit # M sr K,, 3
Corner Lot? Y N
Reissue of
Flag Lot? Y N � p
.Nap & TL# I
Owner: Costa Pacific Homes gpprova!sRegulred
Address: 8625 SW Cascade Blvd . #606 Planning
Beaverton ,OR 97008 Engineering
646-8888
Phone: Other _
Contractor: Same. -- Items Required
Address: Subcontractors
_ — Truss Details
Phone: ---- — ----- Other
Contractor's License # 6-51,57
(attach copy of current Oregon license)
Contact Name & Phone: Ma r c i Weber
Sutcontractors: Architect/Englneer: . Iverson Associates
Plumbing: J & R Plumbing Address: 151 Kalmus Drive C. 140 _
Mechanical: -Arco __91
Costa Mesa , CA 9267.6
( cop attach co of current OR qontractorzLic
Phone: ( 714 ) 549-3479
JOB DESCRIPTION: Resubmit MST 94-91. 18 --
Applicant Signature & Phone number
Received by: ! r_ _ Date Received: __
SCALE DRAWING
L�11 28 PEBBLECREEK.
a N o
N N N N
I¢
ELEV. 215.8 S 88'20'51" E 97.6.,'
c ELEV. ?08.2
I -
SANITARY LATER
-•-- 1 I
wr-- T_
I LAJ
6 '
I w �I \ 0 1
o ��
c� II
2o.a' -------I i3
PLAN 142A ' CR--R ( u�
z
8J 0- SCALE
o I l- ,ti.�,. Q
'o i z F-- _.— -------- _ _ -- ' 10
Q O m I I v N z NOTF_S:
Q Q I I ev n d /` I HORIZONTAL CONTROL FROM PLAT OF PEBBLECREEK.
a
i o / WASHINGTON COUNTY SURVEY kECORDS.
56.50'
--VERTI^AL CONTROL FROM INFORMATION PROVIDED BY OTAK
` , ON DISK17TTE. CONTRAC rOR SHALL VERIFY EXISTING CONDiT10NS,
—SI T GRADES, AND EU-VATIONS.
N i B RIER
co SIX FJOT PUBLIC UTILITY EASEMENT ALONG THE FULL LENGTH OF
EACH LOT OR TRACT FRONTAGE ALONG ANY PUOLIC STREET.
d I i \ �\\ --EROS,ON CONTROL
d i / �pp PRIOR TO PE PLACEMENT OF ANY FILL OR COMMENCEMENT OF
�
GRADING WORK, ALL REQUIRED EROSION CONTROL MEASURES
(. LL BE IN PLACE, INCLUDING:
RAIN DRAIN SHiINSTAII/�TION OF A GRAVEL DRIVEWAY, CLEANED AND
REPLACED AS
20.0' ---- J \ �`� NEEDED TO KEEP ^LEAK OF DIRT;
LATE AL ; ELEV. 21 .7 N \ I ( -INSTALLATION OF SILT BARRIERS, WHICH SHALL REMAIN
882 51 W IN PLACE UNTIL. THE GRADED AREA HAS BEEN PROVIDED
86.85 / WITH A PERMANENT GROUND COVER IE BARK DUST,
L- E
`.iA ITARY LATERAL � E V. 209.,
0 o GRASS, OR OTHER LANDSCAPING); THE SILT BARRIER
ori vi MUST BE COUNTERSUNK INTO THE GROUND.
1
1
216 214 212 \
210
208 �
SIGNI'D ON:
aSUM
PROFESSIONAL
LAND !AJRVEYOR SCALE_ D R A WI N k 7 LOT 28 PEBBLECREEK
S.W 1/4 SEC.33 T.1 S. R.1 W, W.M.
�� CITY OF TIGARD
ill
,�ui_r 16, 1987 WASHING TON COUNTY, OREGON
11882 SW Tallwood Drive WADE G. DONOVAN III SEPTEMBER 11, 1995 Centerline Cc.ncepts Inc.
1 0°1 2276 DRAWN BY; SBP CHECKED BY: WGDIII
640 82nd Drive Gladstone, Oregon 9/0;
if
RENEWAL ON DECEMBER 31, 199r SCALE 1 —10' ACCOUNr # 587 503 650--0188 fax 503 650-0189
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LFGIBLF THAN THIS NOTATION, — �„ �_�—� —�— 1— _ G nQ
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