14054 SW SPRINGBROOK LANE �I
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ADDRESS:
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CITE' OF TIGARD ,
DEVELOPMENT SER`,/ICES
13125 SIN Hell Blvd., Tlgerd,OR 97223 (503)639.4171
'M
C ERTIFICATE OF
OCCUPANCY
{
PERMIT #. . . . . . . s PIST94--9103
DATE I5 UEDt 04/ . t/97 1
PARCEL: 1 is 133C:C--•01000
SITE ADDRESfi. . . s 1,4034 OW S":PR I NGBPOOK LN
SUBDIVISION. . . . PESSLECREEK IUNINCy: R- ,::5 " s
BLUCK. . . . . . . . . . s LOT. _ . . , . . . , . . . . s004 .TUR I SD I CT I ON t T-I G3
CLAGG OF WORK. :NE:.W
TYPE OF UGE. . , :rF
TYPE OF CONSTRSN
OCCUPANCY ORP. :R3
OCCUPANCY I_0AD:2
R p m as r u t5t PATH I
Owner.
COSTA PACIFIC HOMES
14780 SW 06PREY DR
^,I1 I TE # r"75
:�I_AVE.RTON OR 97007
Phone #: 646.-68613
1
COSTA -PACIFIC I•IOMES
(DBA R A K DEVELOPMENT
8625 SW C:ASC'ADE_ AVE GTE: 606
BE.AVERTON OR 97005
Phone #s 503-646-11688
Reil #. . : 000651
Th. _ertificcth yratrits occupancy of t;-ie aklove r•trferFnced building car portior�
then-oof and cont irrrs that .-he building h,ros been in,3pec:ted for" compliance with
the State of Ur-•e„on Spec:i.0ty Codes for the gr-oup, occupan . and tee tinder-
which the referenced permit was issr.iad.
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t�l.1ILllING INSCrE'CTOR BUILDING OFFICIAL
POST TN CONSPICUOUS PLACE
!IiAlYri _ lm5WA0A .Nr+Mrsy"�.r.wwawa'T+ '.:T7ca, rAy4.
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVE:;ES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
0 •"OUVTY, PHONE: 503'640-3470
OREGON INSPECTIDN REQUESTS (24 hou.a): 503/640-3561 or 693-4415
App I k-1
Pen
Deft^r. ,
Job A� r
Ownex• Najw.a
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DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION X150-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640.3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-356' or 693-4415
Page . 1 of 1 �
Dato 09/•'48/94
Tirne 08 : 44
Permit Type Residential Permit # st50587513
Permit 5tatu.. APPROVED Applied 09/20/94 �
Situs Addrewc; s 14054 :�W 5PL41NU13P01JK LN 't'1 Issue-1 : 09/28/94
Permit Title SF'k - LANDSCAPE: (:UNTROL C'c)mp.1 E,ted t
Permlt Ue:.,c:t. . PL88LE c.:KE:LY, To Expire 0:;/27/9`.
Project Title 5F'K - E;LEa:/ALL L,V Elrojerc;t #1 : ?0 c,41943
Project Descr .. i'LBBLE: CREEK
Parcel Number s 2°:.;1'1'1 L-e:u:i U:sk? Lri ,tri-c t
Valuation o
Legal Dei".r:'r :
Owr►Ftr 1N:.iPEC1'10N I'l.uANL� 1-on5truction U.'li
Applicant Name SAVA(;L 611RINKLE.R 'oLHVJ ( F cial�c,ification 9utc
Ap-,lic ant Ac. dr. s 1141j0 NE; f,IWLEY 140 OCCUpanc•y 1tJ
NLWL'1_Rra, UP 'j / 3,' Va i ic'lated by t PH
AI_Iplicant Phone: 537 01.0.3:. 11 c*or Area s
C'UN'TRACl'uR . SAVAG E SPHINI-;LL1; LHVtCE;, NC . :, , .. . f" I l6:; a 537--051.1 2
F'c:.e rk-sc-1 il.)tiori „c: !sJsti t Ext fec. Data
c
L.Lmi teed Er►cryy/Altf�r ./Ext c r::, i,�;t ; ^, e: , U1.
10 . 00 `
Subtotal. E Lectrical Pees : 10 . 00
State Sul c:haj qo of 5,% 2 . 00
Total Electrical Fee:; - 42 . U0
*** Fel-' 1tequized kh .t 4 ,c * Feq-:, C'olle cte,, be (:r'0,
Mcatho i Chc. 1, tl 1tr,ce ipt. N,� . t>.::t P"iyment
CK 2521., W.4/2 8i'::4 /i 2 .
THIS UA 11: * A k r * r. .k e * 4 ,1
42 . 1 Y
A,I iusttnc,trts . u0 Tot..1 Cr.e t' . 00
Total tel•_, : 42 . Total Paynie:cts 92 . :1(1
hZi Lat'tc-0 Dt.l_- : . 00
010
•i . ,_ . .
11',. HINGTON COUNTY RESTRICTEDepartme
_
Diof Land Use & Transportation
155Electrical Inspection Section
155 ELECTRICAL ENERGY
o'th First Avenue,8350-12
Hillsboro, Oregon 97124
Information: (503)6d0,471i Fax: (503)693-4412
APPLICATION
PLEASE PRINT
4D L Please • . • Project No. � � � 3— Permit No.
1. Location of Installation Labal No. — __ Date •��' �,
Addressr L -5 2.n�>t ri.t�t i ,14�.x e. Issued By_ Office _ -.--
City Jr a21A-A_, zlp code `�'y� :� _-- 4. Type of work: ~
Tax Map Map No. I S 13�i C C i'GOC
RESIDENTIAL Nestrlcted Energy Fee $40.00
Thomas Map Book: Page Section (for all systems)
Directions Check type of work involved:
Audio and Stereo Systems*
Commercial [ ] Residential Burglar Alarm
Tenant Nam® Telephone Systems'
(if commercial) -- ----- Oarega Door Opener*
This permit becomes null and void If the work authorized by tho Fire Alarm
permit Is not commenced within 180 days from dale of Issuenre Heating,ventilation and Air Conditioning Systems*
of such permit or If the work authorized is suspended or abandoned
at any time after work is commenced for a Period of 180 days. Vacuum Sy ems
Electrical Permits ars non-refundable and.ion-Iransferable. Other
2. Contractor application:
Electrical Contractor, h..,i�_ j,,,, COMMERCIAL Fee for each system $40.00
(see OAR 918-280-280)
Address 1145f
Date '- !.a 7Y Job NumbaV Check type of work Involved:
PropeOw
rtiner_tom! ,. Cl�«!{� Y '�.-1.-C.ar _ 1
Contractor's License No, - 1/L—9 2 Boiler Sya:oms
Controls
Contractor's Board Reg. No. , i,.jG, 1 / clock ele
Phone No. 1 ;3.. V - &s� 2 Data Alarm
Telecommunications InstallationsInstallation
3. Owner application: HVAC
InsirumonleUon
Print Owner's Name y Nn – Intercom and Paging System
Landscape irrigation Control*
Address Medical
Nurse Calls
Outdoor Landscape Lighting*
This permlt In Issued urdav DAR 918-32"70. The applicant sprees Protective Signaling
to make only restricted energy installstions(100 volt amps or loss) Other
under this permit and to do the following: -
1. Only use electrical licensed parsons to do Insfa/lotions when
required. (Certain residential and other transections are exempt —f _ Number of Systems
from llcensing. 7heas have asterisks(6). All others need lkens-
Ing
2. Call for on Inspection when all the insNlladons under this permit "Ao licenses are required. Licenses are required for ell other installations.
arensdy for Inspection.
3. Purchase separate permits for sli installations that are not ready 5, Fees
for Inspection when the inspector Is out to Inspect under this
permit. Enter fess $
4. Assume responsibility for assuming that all corrections required
by the Inspector are done,and F11; Surcharge (.0 5 X total above) $ Q G'
S. Assume responsibility for calling for a final inspection when all of
the corrections are completed.
The person signing this permN must be ahs applksnt or s person
Total $ Va. c c
authorized to bind the spplkint.
Signature c.1- Space below reserved for validation.
Authority;;other than.eppiir,ant .j"e.ter --
I
For Inspections dall
640-3561 or 693-4415
24-hour recorder,one working day Ir,advance of need 1 ti92
® A
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oupon 97223.8199 (503)634-41''1
PLUMBING PERMIT PP.
PERMIT (#. . . . . . . : PI-M94-0220
639-4171 DATE ISSUED: 09/27/94
PARCEL: 1 S 1:33CC--01000
SITE ODDRF SFS. . . : 14054 SW SPR I NGBROOK L_N
SUBDIVISION. . . . : PEBBLE CREEK ZONINGS R-25 d
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004
----------------------------
CLASS OF WORK. . :NEW GARBAGE D I SPOSAL.S. . MOBILE HOME SPACES. :
TYPE OF' USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . .-R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . s2 WATER HEATERS. . . . . . . CATCH HASINS. . . . . . . .
FIXTURES------•-------- LAUNDRY TRAYS. . . . . . : SF RAIN GRAINS. . . . . :
[;INKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAF'5. . . . . . . .
L_.AVATORIES. . . . . OTHER FIXTURES. . . . . :
rUb/SHOWERS. . . . . SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER I-_1NE (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks: BACKFLOW D.-VICE
Owner-: --------------_____.________._____.___----- -----•---_-__-- FEE'S
COSTA PACIFIC HOMES type amoi.lnt by date r,ecpt
14700 SW OSPREY DR PRMT $ 15. 00 JF 09/27/94 -
SUITE # 275 5PU1 $ 0. 75 JF 09/27/94 •-
i)' AVERTON OR 97007 1
l-'f-,ot,e #: 646--B88FT
(;ont Tact or-: -----------_____._______--•—_--
ANCTIL PLUMBING
..6900 SW MERLO RD
BEAVERTON OR 97006
r>hc rte #: 64#2-7323 $ 15. 75 TOTAL
;='4184
----- REPUIRED INSPECTIONS ------__ o
This permit is issued subject to the regulations :ontained in the RP/Backflow Prev �—
ligard Municipal Code, State of Ore. Specialty Codes and all other Final Inspa�tiori
applicable laws. Al: work will be do a in aCLordance with
approved plans. This permit will expire if work is not started
within 180 deys of issuance, or if work is suspended for more
than 180 days.
Permittee Signature :lall
T ss•_Ied By
[:all for- inspection - 639-4175
A .'.
1�
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Perm;t # /11 ' `/-
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE+ ST. SURCHARGE
"...ao.....� New Smola Famihr Reoldsnces Only
,r..W ❑ 1 BATH HOUSE$140.00 C32 BATH HOUSE$195.00
Job �/OSy SG�I.S�r��-'��YGG� ❑ 3 BATH HOUSE$225.00
Addtriss arwa. rw Fee ;ncludes all pkarlbkq fortunes in dw dwelt#tg and the flat 100 fiat Y
of water service, sanitary sewer and storm sewer. Sae faces below.
rr/..�....+.r..rn FIXTURES QTY PRICE_ AMT
Sink 9.6".7
16+ A.... Ph- Lavatory 9.00
Owner Tub or TubfShowe Comb. 9.00 j
Cape.. n. Shower Only 9.00
Water Closet 9.00
9.00
Garbage Disposal 9.00
Occupant ,r ,� a�... Washing .UschY7e 9.00
Floor Dr,%in 9.00
are+ a Water Hester 9.00
Laundry Room Tray 2.G0
Urinal 9.00
a(l' PPSiw/rL- �UIY)G'iR! other Fixtures (Speciy) 9.00 I
C Me"arra 9.00
corw.txor oee Sw w6-rGe ea lv Y,7 e3
9.00
ovum 9.00
of Sewer let 100' 30.00 I 1
ca,movVe".ti. a►a.To rw. Sewer-ea. Adrffi. 100' 25.00
6//ft/ ,_G-led? lie Water service let 100' 30.00 "
I herety acknowledge that I hove read this application, that the Water Service ea. Addle 2W 23.00
infonnaeon given is correct, that I am tho owner or authorized agent of
the owner, that plans submitted are in cxpliance with State laws, th;t Storrs &Rain Drain let 100' 30.00
,m
I sm register -with the Construction Cantrador s Board, that the Storm d.Rain Orcin Addit 100 Y 25.00
number g!v b correct (!f exempt State regiatratbn, pk+ese --------
give res below.) Mobile Home Space ?.5.00
Back Flow Preventioa l)
Device or AMI-Pollution Devic" 00
s..r.goom."wo °a" Any Trap or Waste Not
Ca^iected to a Fodure 9.00
Describe work new addition 0 axeratlon O repair f atch Basin 9.00
to be done residential O non-residential O Insp. of Exl►t Plumbing 40.001hr
Specially Requested Inspections 40.00mr
Existing use of Rain Drain, single family dwelling 30.00 I
building or property _ Resklentlel backflow prevention
devkxs 15.00
Proposed use of
building or property
"(Except resident/at backflow
prevwWon devfcas) j r
NOTICE •Minimum Foe $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE S
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL S 75 j
Special Conditions _
_ _ Date ba ued _ by _�
i
/� EPARTMENT OF LAND USE&TRANSPORTATION
WASSERVICES DIVISION. _.TIC�TON 155 NORTH FIRST,
H LLSBORO,OR 971224
COUNW, INSPECTION nEOUESTS: 503/640-3561/693-4415
PHONE: 503/648-8761
OREGON Page 1 of 1
Date 07/11/S4
Time 16 : 22
Permit 'Type Residential Electrical Permit Permit # 05055507
Permit Status APPROVED Applied 07/07/94
Situs Address 14054 SW SPRINGBROUK LN '1'I Issued 07/11/94
Permit 'Title 5FR - ELEC/ALL ENCOMPASSING LV Completed
Permit Ues:r . PEBBLE CREEK To Expire 01/07/95
Project Title SFR - ELEC:/ALL ENCOMPASSING LV Project # P0041943
Project; Uescr. i E13BLE CREEK * EROSION
Parcel Number 2S1TI - Land Use Distri�;t
valuation 0
Legal Uescr.
Owner INSPECTION - TIGARD Construction QTH
Applicant Name GARY 'S VACUFLO Classification 900
Applicant Addr. : 9015 SE FLAVEL RU Occupancy R3
PORTLAND, OR 97266 Validated by KF
Applicant Phone: 7'75-2042 Inspector Area :
CONTRACTOR : GARY 'S VACUFLO Li.c . C 26-728C 775-2042
Fee description Units Fee/Unit Ext fee Data
------------------------------------------------------------------------------
Limited Energy/Aiter . ;Extension 1 40 . 01' 40 . 00
Subtotal Electrical Fees : 40 , 00
State Surcharge of !)% 2 . 010
TotE,i Electrical Fees : 42 . 00
**,r Fees Required *** *** Fees Collected & Credits ***
Method Check # Receipt No. Date Payment
CK 10032 07/11/94 42 . 00
TOTAL THIS DA'Z'E **,a****** 42 . 00
Fees : 42 . 00
Adjustments : . 00 'total Credits : , 00
Total Fees : 42 . 00 'Total Payments : 42 . 00
Balance Due : , 00
- l
NOTICE: This permit becomes nu 1 and void It the work or constructloo for which It Is Issued'a.not oemmencsd within 180 days. Once_onstruction hes started,
the permit becomes.mull and void If construction In IntsrrulAed for a period o1 180 days. I c►,rtlty that the Information pre"Wed by the nppficant and
Wit agent or agents In support of this permit Is true and correct to the bast of our knowledt'ie. I acknowledge that the dtdldin4 Popartr•ent's reliance
upon false and misleading Information may invalidate this permit. All provlslons of applicebie laws and ordinances governing u:c P!7,natruction and use
of this building or Structure will be complied wit' whether or not specified on the plena or noted on the plans correction shoots. I acknowledge that
the granting of a permit does not grant authority to access prNale property or to use osiow- grits. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon.ny calling for inspections at various times eur'.ng the process of construction and the building
Inspection stall verifying compliance with the various codes. Lae or occupancy of the building»structu-s permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocab a until all Inspection regdlrsments are satisfied and
approval Is g;ven by the Bulldlnp Official. I further acknowledge That a Ilan may be placed on the title of;he property upon which the permit Is Issued
specifying that the use or occupancy of the building or stricture Is provisional and revocable until the Aflelsellon of all Inspdctlon renulrements.
APPLICANT'S SIGNATURE
t' 'a
�. a
C •
WASHINGTON COUNTY RESTRICTED
Department of Land Use dr Transprrtatian
Electrical Inspection Section
155 North First Avenue, #35x12 ELECTRICAL ENERGY
Hillsboro, Oregon 97124
APPLICATION
Information: (503 34
)64070 Fur: (503)6934412
PLEASE PRINT
_ v so S-5'5-0 7t �
' ' - ' ProjecNo. Permit No.
1. LOcatlon of/ S#Al tion Label No. Date __ 7 7-�_
Address / e�eS _ Issued By -- Office
•
City _ Zip Code _
. 4. Type of work:
Tax Map � Map No.
RESIDENTIAL Restricted Energy Fee $40.00
Thomas Map Book: Page /Section (for all systema)
Directions �� �i��sG Check type of work involved:
e-- Xudb and Stereo%,441/
Commercial C,i Residential FJ' � „rglar Alarm
Tenant Name slephone Systeme*
(if commercial) —.- erage Door Opener*
This permit becom*e null and void N the work authorized by the -re Alarm
permit Is not commenced within 180 days from date of Issuance
of such permit or If the work outhorizerr Is suspended or abandoned ting,Ventilation and Air Conditioning Systeme"
at any time atter work Is commenced for a period of 180 days. cuum System&"
i
Electrical Permits are non-refundable and non•irensferable. fier
f 2. Contractor application:
COMMERCIAL Fee for each system S40.00
GARY 'S VACUFLO, INC. 775--2042 -- (too OAR 918-760-260)
9015 SE FLAVEL. pp,D, ON 97266 — Check type of work involved: �
DACE: / 7 19?- ;tOBst
OWNER: �- —
C 1.E 2 6 7 2 fi , ,J 1,F; Boller Controls
_ _ Clock Systems
Phone No._ Data Telecommunications Installations
Fire Alarm InstLllatlon
3. Owner application: HVAC
Instrumentation f
Print Owner's Nam9 Phone Nr y Intercom and Paging System
Landscape Irrigation Control*
Medical
Nurse Cells
---��'aha ---V1p
----- Outdoor Landscape Lighting'
This pp-mills Issued under OAR 918-32'_'-37C. The orplicont aproos Protective Signaling
to m rke only restricted energy Inoblistbna(100 volt amos or Isss) Other
rondo r this permit and to do the following; — — --
1. (►nfy use siectrlcel licensed persons to cto lnshrlisdons where
required. (Certain roo lenrlal and other Wonaw.-tions ore exempt Number of Systems
from ikena/ng. These have asterlsks x). All other, reed!kons-
Ing.)
2. Call for an fnspecdon when all the Installsdons under tl Ja porml! *No Ikenses are required. Lkenres Are required for all ofher Installations,
ere rowdy for Inspection.
3. Purchase sspsrate psrmlte for off lnsta!-flons that are not ready 5. Fees
for Inspectkxt when the kispecior Is out to Inspect ur+sr this
pormlr. Enter fees $
I. Assume responsibility foressuming that ell cormc06ns required _
by the Inspector are done,and
S. Assume responslbllfty for ceiling for a final wspectfon when ae of 5% Surcharge (.05 X total above) $ c� _
the ccrrecdons are wrripleted.
The person s p must be the wpplloant ur s parson Total $ j
arrfhorlred d s I t
Signa;urs _ Space below reserved for validation.
Authority M other than appllcait _
For inspectloos call
640-3561 or 693-4415
24-hour recorder,one working day In advance of need
11192
.t
TER
RMI
CITY MJF TIGARD PERMIT #. . . . ... . : TMST94-9103
COMMUNIT( DEVELOPMENT DEPARTMENT LATE ISSUED: 04/06/94
13125 SW H.::dlvd.Tigard,Orogon 97223.8199 (503)839.4171
PARCEL : 1 S 1,33CC-F'C004
5,1 TEE ADDRESS. . . : 14054 SW SPIR I NGBROI.II� LN
SUBDIVISION. . . . : V-'EBBLE CREEK ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004
________________ ------- ------- BUILDING ------------------------.---------___--- r• �
REISSUE: DWELLING UNI'TS: i BASEMENT. . . . . . . . :0 S
(2LASS OF WORK. :NL-.W BEDRMS%3 PA I'HS:3 GARAGE. . . . . . . . . . :520 s f
TYPE: OF USE. . . :SF FLOOR AREAS--.---. -- REQUIRED SETBACKS-
TYPE
ETBACKS--•-•-----._ -. -TYPE OF CONST. :5N FIRST. . . . :949 sf LEFT. . :5 ft RIGHT. ! ) ft g
OCCUPANCY GRP. :R3 SECOND. . . :883 f FRONT. :22 ft REAR. . :35 ft
STORIES. . . . . . . c2 THIRD. . . . :0 S REQUIRED-
____.__.--_---_-_-•-•-
i(EIGHT. . . . . . . . .26 f t TOTAL-------: 183L s f (SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 143632 PARKING SPACES. . : 1
Remarl4s: PATH I
----- PLUMB PLUMBING _.----._-_____--_------------------------
5INKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW r'REVNTRS. . :0
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0
TUB/SHOWERS. . . . ::3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS— :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER l.INE ( ft ) . : 100 OTHER FIXTURES. . . . . :0
13ARBAGE DISP. . . : 1 RAIN DRA1N (ft ) . :O
WASHING MACH. . . : 1 SF RPIN DRPiNS. . 1
MECHANICAL. -__----.----.__.--- __....------._._..__ .__-...__..- FEES -.___.-•---•----_-__.-.
FUEL TYPES-------------- UNIT HTRS. . :0 type ;3.1noitnt by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JG 04/06/94 -
MAX INPUT:O PTT VENT FANS. . :9 BPRT $ 415. 00 JG 04/06/94 -
F-URN ( 100K . . : I HOODS. . . . . . : 1 BF'LC $ 269. 75 75 JLH 03/02/94 94-24915-13
FURN ) =100K . . :0 WOODSTOVES. :O B5PC $ 20. 75 JG 04/06/94 - 1
r-'LUOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JG 04/06/94 -
BOIL./CMF' ( 3HP:0 OTHER UNITS: l PARK $ 51?`. 00 JG 04/06/94 -
GAS OUTLETS: 1 MPRT $ E. . 50 .JG 04/06/94 -
Owner: ------- --- •___-_______________._.Mf'LC o 14. 6,3 .JG 04/06/94
COSTA PACIFIC HCMES M5PC $ 2. 93 JG 04/06/94 -
14780 SW OSPREY DR PPRT $ 155. 00 JG 04/06/94 -
�3UITE # 275 P5PC $ 7. 75 JG 04/06/94 -
BEAVERT'ON OR 97007
(-'hone #: 646-8888
Contractor: -..-_.__.__.________-_._._._.__.__.....--_._-__
I:OS"-A•-PAC I F 1 C HOMES
14780 SW O^,PP':Y DR
# 275
BEAVERTON OR 97007
Phone #: 503-646-9888
RAg #t. . : 65157 -_._--_---_-_-------____-.--__---_---_--_--_-
$ 3244. 31 TOTAL
This permit is issued subject to the regulations contained in the ---_- - REQUIRED INSPECTIONS - --_-
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol.lnd Insp Fireplace Insp
applicable laws. R11 �wk will be a in accordance with approved Post/Beam Stri-tct Gas Line Insp
plans. This permit will eMp if work of started within 18@ Post /Beam Mechan Insr_rlation Insp
days or issuance, or if work is s ended fe re than 188 days. Plm/t.tndslab Insp Gyp Board Insp
- / PLM/Underfloor Rain drain Insp
L
�'ermittpe Ci3an o.tre . -` �� Me0-anical. Insp Water Line Insp
Plr-1mb Top O�;t Appr/Sdw1k Insp
ISSI_ted By : 4:�)_ _ �_ Framing Insp Mechanical Final
Call for inspection - 639--417fi
o
PLUMB t NG P'E RM I T
PERMIT ##. . . . . . . : M"1'94-9 1 0.
!
CITY OF TIGARD DATE ISSUED: 04/21/94
COMMUNITY DEVELOPMENT DEPARTMENT
13126 BW Hall Blvd.Tigard,Oregon 97223.8190 (503)839-4171 PARCEL: 1 ra 1 33CC-Pt004
SITE ADDRESS. . . : 114054 SW SPRINGBROOK LN
SUBDIVISION. . . . : PEBBL.E CREEK ZONING: R-25
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :004
---------------------------- ---------------------------------------------------.._
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0
OCCUPANCY GRP. . :R3 FLnQR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . .0
STORIES. . . . . . . . 32 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : t
SINKS. . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . :0
1Ub/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOGETS. . :3 WATER LINE ( ft > . . . . • 100
DISHWASHERS. . , . .- 1 RAIN GRAIN (ft ) . . . . :0
Pemarks: PATH I
UWNER: ------ -_-.__________._____-__-•__-.._ -------------------FEES---------------
COF)TA PACIFIC HOMES TIF $ 1520. 00 JG 04/06/94 -
14760 SW OSPREY DR BPRT $ 415. 00 JG 04✓06/94 -
SUI'TE # 275 BPLC 4 269. 75 JLH 03/02/94 94--24957'3
BEAVERTON OR 97007 B5PC $ 20. 75 JG 04/06/94 -
Phone #: 646-8888 SSDL $ 2£i0. 00 JIB 04/06/94 -
PARK $ `:;00. 00 JG 04/06/94 -
Plu,mbing Contractor: --_.._.__._._._. __._._.__-_. MPRT $ 58. 50 JG 04/06/94 -
MPLC $ 14. 63 JIG 04/06/94 -
Name: f�`�-•�� M5PC $ 93 JG 04/06/94 -
Addres :_ _ —�� PPRT $ 155. 00 JG 04iOS/94 - 1
I�ity: State : PSPC $ 7. 75 JG 04/06/94 -
L i p:` Phone#:
---- --- REQUIRED INSPECTIONS
-- -----
This permit is issued subject to the req--
,.tlations contained in the Tigard Municipal Foot/found Insp Gyn Board Insp
Code, State of Ore. Specialty Codes and all Foot/forand Insp Rain drain lnsp
i
other applicable laws. All work will be done Post/Ream Str�_1ct Water Line Insp
in accordance with approved plans. This Post/Beam Mechan Appr/Sdwlk Insp
permit will expire if work is not started Plm/undslab Insp Mechanical Final
within 180 days of issuance, or if worlr ib PLM/Underfloor Plumb Final I
so_lspended for more than LBO days. Mechanical Insp Building Final
Plumb Top 0i..tt Erosion Control
Framing Insp Crawl Drain
Fireplace Insp _
/n ' ,e1 Gas Line Insp _
__
Insulation Insp
Authorized Plumbing Contractor Signature
Call for inspection - 639-4175
�.o n t rRa c t o r Notes:
L
V;.
t
SEWER L:ONNEC T I ON
PERCITY 00" I' T I GA R D i-LRMIT #. . . . n SWR94-0106
COMMUNITY DEVELOPMENT D15P.ARTWIET DATE 'ISSUED: 04/06/94
13125 SW Hall Blvd.Tigard,On gon 97i.23•8109 (503)939.41'x'
PARCEL- 1 S 133CC--PC004
SITE ArIDRESS. . . : 14054 SW SPRINCBROOK 1-N
SUBDIVISION. . . . : PEBBLE: CREEK ZOA I NG: R-•c5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :004
TENANT NAME. . . . . s
USA NO. . . . . . . . . . : FIXTURE UNIT'S. . .
CLASS OF WORE. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF' BUILDINGS: 1 �►
INSTALL 'f YF-c. . . . :BUSWR IMPERV SURFACE. . : : s
Remarks . ^ATH I
Owner.. --._.---------------------------------------------------- FEES -_-----_.------ -
COSTA PACIFIC HOME; type amol.tnt by date recpt
14780 SW OSPREY DR PRMT t 2200. 00 JG 04/06/94 -
SUITE # 275 INSF, t 35. 00 JG 04/06/94 -
BEAVERTON OR 97007
Phone #: 646-8888
Contractor: ------------------ --------------
('ONTRACTOR NOT ON FILE
--------------------------------------
rl,o n e #: f 2235. 00 TOTAL
--- -- -- REOU I RED I NSPECT I OMS - -
This Applicant agrees to comply Witt it the rules ant; 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 _
side sewer laterals. If the sewer is not located at the measurement _
given, the installer shAll presatct 3 feet in all directions from _
the distance given. If not oca the installer shall purchase
a "Tap and Side Sewer" Permit and Age will ins all a lateral. _
Permittee rignatl.tre :
T „I_i e d B y : j
Call for inspection - 639--4175
P ,
Al
aiow
R
a.•.F7"N1Cii!IWAWA u.s nw..*.........,......u..u.............rx..�w.....s-uxa.wne ak;sv.. I •
�jjOF
TT(� A j� 13125 SW Hall Btv. PLNCK/RECT YCITL 1 1 i t�t1RD rte.Om-gon 9nD PERMIT a9
C,UMMUNM Df VELOPMENT DEPARTMENT
" I`6 �',��- � (S°>)63"t71 DATE ISSUED _
3 C r< a✓
JOB ADDRESS: /14 0,5�'1�' J S r'^ � ;� L•• TAX MAP/LOT _5 3 y
SUB: ez�/lG L-r°G�C LOT: __ i_nNo USE:
(7911 1¢Z• VALUATION: .S(i fJ�1�`�C�01'� � •
OWNER �,,�1 SPECIAL NOTES
NAME: l/�J/ U /nom REISSUE OF:
ADDRESS: �/ O� rt"f h _ ZS LUST REISSUE:
FLOOD PLAIN/
PHONE: D tp � SENSITIVE LAND: _
CONTRACTOR, mac / APPROVALS REQUIRED i
PLANNING: _
IkLl'1RESS: /�80 � ENGINEERING:
6,C�V/1 FIRE DEPT:
PRONE: �' OTHER:
CONTR. BOARD - EXP DATE:
Awl
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: / A_ I�C�.ly lbiiA ';r' LIST/SUBCONTRACTORS:
MECH: - 2 BUS TAX:
NRCH/ENGINEER d CALCULATIONS:
NAME: --rL✓�-/ �� �` ��'� TRUSS DETAILS: _
ACDRF S: /Mf 5 C1 /� d%_ OTHER:
PHONE:
PROPOSED BLDG. USE: ��
COMMENTS:
APPLICPMT SIGNATURE
Received By: _ Date Received: 1—t
I
i
PERMIT # ACCT # DESCRI?TION AMOUNT AMOUNT PP. BAL. DUE
�t 103 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees ✓ l�� °G' /S5,
10-431 01 Mechanical Permit Fees
10-230 01 State Building lax (5%) 31,E
Building LO 73'
Plumbing 7. 73
Mechanical 5
10-433 00 Plans Chick Fee
Building ;2,(r�f, ?.�� ✓
Plumbing
Mechanical
10-230 06 Fire _
--:5LA4 OW 30-202 00 Sewer Connection 0 n0
30-444 00 Sewer Inspection
25-443-02 Commercial TIV gees _
25-448-0?. Industri3l TIF Fees
25-448-06 Institutional TIF Fees
_5-448-03 0. ,ice TIF i-res _
2.5-448- 'll Residential Traffic Fees
25-448- :s Transit TIF Fees
52-449 u, arks `'ys+em Dev Charge (POC) TUU
I
31--4r-," +o+-m Drainage Syst Dev Ctirg
ter Quality (Fee in li _,u of) _
er Quantity (Fee in lieu of) _
S 7 3 I
TOTAL
nm/3587F,.WPF
t,
r
f,
Page No. 1 CASE HISTORY FOR CASE N').: MST94-91(13
COCrA PAC:FTL HOMES
14054 SW SPRINGBNOOK LN
Action Description Req/ Schd/ ':nd/ Action Notes Disp Ey Update Upd
Code Sent Done 0" Date dy
....... .............................. ........ ........ ------ ------------------------ ---- --- -------- ---
d r,
NSTA007 Applic.tion received / / ! / 03/02/94 PhSS JLH 03/08/94 BLT
p MSTA010 Plan check deposit paid / / ! ! 02!94 PASS JLH 03/08,'94 BLT
MSTA020 Plan check by 03/08/94 / / 03/08/94 PASS RT 03/08/94 BLT I,
NSTA030 Check for prcl restrict. / / 03/08/94 03/08194 PASS VG 03/08/94 BLT !
MSTA092 (F) Issue combination permit / / / / 0:/06/94 PASS SKW 04/06/94 JG
MSTA097 Issue plumbing signature form / / / / 04,06/94 PASS SKW 04/06/94 JG
MSTA097 Issue plTmhing signature form / / / / 04/21/94 PASS JAG 04/2110+ JG
4STA127 PERMIT EXTENSION REQUEST / / 06/07/95 01/01/97 last inspection was performed 9/26/94. APPR JDA 06/08/95 JDA
Extension granted for until 1/197 per
David Scott as this home is bring used
as a MODEL HOME for all of Pebblecreek,
including phase 111. David Hubbs was
informed of rnlr request for a letter to
this effect for the physical file.
MSTA705 Foot/found Insp / / / / 04/12/94 PROVIDE FOOTING DRAINS AT LOW POINT; PASS RB 04/13/94 RB
INCLUDING INTERIOR FOOTING. PROVIDE
GROUNDING ROD AT 6' TO 8' FROM CORNER OF
i
SIDEWALL OF GARAGE. A 20' RUN W/
VERTICAL EXTeNSION OF 121E ABUVE WHERE
MUDSILL Will BE PLACED. UNABLE TO
IDENTIFY PROPERTY LINES- SETBACKS MUST
BE CORRECT.
NSTA705 Foot/found Insp / / / / 04/14/94 PENDING- ENGINEERING PASS RB 04/15/94 kB
MSTA710 most/Beam Structural / / / / 05/05/94 Pending: align vapor barrier to cover PASS WEW 05/05/94 RS
ground. Anchor bolts to be 301E o.c, at
shear wall.
NSTA711 post/Beam Mechanical / / / / 04/11/97 re-support flex duct at kitchen FAIL RB 04/14/97 RB
MSTA711 Post/Beam Mechanical / / / / 04/11/97 PASS RB 04/18/97 RB
MSTA717 ITLM/Utderfloor / i / / 05/02/94 no water PART MS 05/03/94 MRS
NSTA717 ITLM/Underfloor / / / / 05/03/94 nothing dinnged FAIL MS 05/04/04 MRS
i
25 dollar re-inspection fee accessed
NSTA717 ITLM/Underfloor / ! / / 05/09/94 PASS MS 05/09/94 MRS
MSTA720 I(echanical Insp / / / 07/12/94 SEE FRAMING THIS DATE 7AIL RB 07/14/94 RB
MSTA720 Ilechanical Insp / / ! 17/13/94 PASS RT 04/18/97 RB
ASTAT22 Plumb Top Out / / / / 06/22/94 PASS MS 06/23/94 MRS
n:
PNw,... n - .,. :...., .... x •,._ ... N,a,,,'..,y.:..r...., .. . ..a ir.J':NT\.f..ri:•,'.v LSM stTr1 -e/,CiiWV 1
h a `yilYddrl.
r, Eq f.• f ^.. '. i F1F.4r ariY� ':
,7,,. .. .... �.... •.Ta ,.� .,. - ... -. .. .. ,.,p, .,� ver
•
MST94-0103
NO
CASE HISTORY FOR CA .:
Page No. 2
COSTA PACIFIC HOMES
14054 SW SPRINGBROOK LN
07/22/97
Action Description Req/ Schd/ End/ Action Notes lisp By Update Upd
Code Sent Done Done Date By
....... ------------------------------ -------- -- ....................................... ---- --- -------- --
MSTA725 Framing Insp / / / / 07/12/94 POST & BEAM MECH. 777; LATERAL BRACE FAiL RB 07/14/94 RB
GARAGE HEADER; POSITIVE CONNEC'IONS; ;
SUPPORT CEILING JOIST IN GARAGE; SUPPORT
SOrFIT IN GARAGE; FIX- FLOOR JOTS]
NOTCHED; FiX- CEILING dO1ST
NOTCHED-GARAGF.; INSTALL ADDITIONAL STUD
NEXT TO FURNACE; UNUSABLE :"ACE- ENCLOSE
LIC; 4X RAFTER SUPPORT; 2X 'rAULtFD
RAFTER SUPPORT; MANUF. TRUSSES- 0-3
CLIPS; ENCLOSE SIDES OF
F I REPLACE;ENCLOSE D-VENT CHASF; ROOF
LINE BLOCKING; SHOWER BLOCKING; B-VENT
ATTiC SLEEVE; ENCLOSE 'IREP�ACF
CHASE-FLOOR CAVITY-
4STA726 Framing <RE1NSP> / / / / OT/13/94 PASS RT (17/13/94 BLT
MSTA735 Gas Line Insp / / / / 07/12/94 PASS RB 07/17/95 RD
NSTA740 insulation Insp 1 / / / 07/19/94 Provide firestopping at water line FAIL WEW 07/19/94 RB
penetration to top plate in bathroom !
tlst floor), drain and water line 1 s
penetrations ;u bottom plate at sink in
master bathroom and vent at shower top
and bottom, and vents at guest bathroorn.
NSTA740 Insulation Insp / / / / 07/20/94 Pending: Installation of firestopping it PASS WEW 07/20/94 RB
locations in bathroom.
I
MSTA740 Insulation lr:,p / / / / 07/27/94 Pending: Nails installed at corners over PASS WEW 07/27/94 RB
entry to mestor bedroom.
MSTA745 Gyp Board Inst ! / / / 07/25/94 Not ready at 12:45 pm or at 3:30 pm. FAIL WFW 07/25/94 BLT
MSTA745 Gyp Ron-' i„sp / / / / 07/26/94 Not ready at 10:55 am, mostly complete FAIT. WEW 04/18/S7 RB
at 3:00 pm. Provide 1” clearance at "D"
vent. Finish installation at shower in
master bathroom. Provide adequate
attachment as marked at stairwell, at
guest bedrooms, in kitchen and kitchen
closet, over sliding door and over nook
in family room. $15.00 reinspection fee
to he paid before next inspectiLn made.
I
MSTA745 Gyp Roard Insp / / / / 04/14/97 PASS RB 04/18/97 RB
MSTA755 Rain drain inap / / / 07/26/94 PASS MS 09/28/94 MRS I
MSTA760 Water Line Insp / / / / 04/20/94 PASS Ms 07;17/95 RD i
.+a. ., �,..•_.w ....:,..:.,« «, ro.rs wrneaa. ., >+v,,.n• wrtawarwxxsmKYwaAreea�ren rua .•«:.rr. w. —
�y n
_M. ��. r. .w x fy.�,M?r M� -•�IU�M^YY'. yn w✓. ..�`y�" � K� � .r''I�Y. ���� .r
J+'
• Page No. 3 CASE. HISTORY FOR CASE NO.: MST94-9103
COSTA PACIFIC HOMES
14054 SW SPRING6ROOK LN
07/22/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Dore Done Date By
MSTA765 Appr/Sdwlt Insp ! ! 05/191c'4 1) Install drain line to existing curb PEND LT 09/14/94 AA
weephole in curb west of approach.
2) Be prepared to protect finish.
NSTA765 ��ppr/Sdwlk Insp / / / / 09/02/94 PEND Li 09/14/94 AA
MSTA770 'iiac. Inspection / / / / 07/07/94 GARAGE MADE INTO HABITABLE ROOMS; PEND RB 07/17/9`, RB
ELECTRICAL INSPECTION NEEDED PRIOR TO
FRAMING INSPECTION.
ELECTRICAL INSP. - OK
MSTA771 ocREINSPECTION>> / / I 04/03/97 fee paid $15.00 04/14/97 R$
NSTA795 Mechanical Final / / / / 09/28/94 WATER HEATER TO BE 18" MIN OFF rLOOk DIS GS 09/28/94 018
i PROVIDE COMBUSTION AIR FOR WH AND FURN
MSTA795 Mechanical Final / / / / 07/1 !^; N-1- garage converted to sale's office, DIS KS 08/04/95 KBS
provide combustion air supply
to water heater/ furnace
' MSTA795 Mechanical Final / / / / 07/18/95 see building final this date PEND R8 03/13/97 RB
MSTA795 Mechanical Final / ! / / 04/11/97 see bulking final this date FAIL RB 04/14/97 RB
MSTA795 Mechanical Final / / / / 04/14/97 PASS RB 04/18/97 RB
MSTA797 Plumb Final / / / / 09/02/94 NR MS 09/02/94 MRS
NSTA797 Plumb Final / / / / 09/29/94 water heater rweds to be 151, off floor FAIL MS 07/17/95 RB
MSTA797 Plumb Final / / / / 07/18/95 PASS RB 07/18/95 RB
MSTAIV9 Building Final / / / / 09/26/94 MECH CORRECTIONS DIS GS 09/28/94 GES
1AATHERSTRIP EXT DOORS
SEAL AROUND B VENT AT GAR CEIL.4G
NSTA799 Building Final ; ! / / 07/14/95 N-1- garage converted to sale's office, DIS KS 08/04/95 KBS
covered perking her been deleted from
community develorment code. will re; off
st perking as per
community developm!nt code
NSTA799 Building Final / 1 / / 07/18/95 ok to occupy for model- needs to be PEND R8 03/13/97 RS
...horked at conversion back to
residential
gyp board- failed w/ $15.00 rp-inspect
fee
no post/beam mechanical done.
i.
�1
f
y
AQ
1 8:
4.
r^ y
Paps No. 4 CASE HISTORY FOR CASE NO.: MST94-9103
COSTA PACIFIC HOMES
14054 SW SPRINGBROOK LN
07/22/97
Action Description Req/ Schd/ End/ Action Notes Disp Dy Update Upd
Code Sent Done Jono -- Date By
- --------------------- -------- -------- ----- ---------------------------- ----------- ---- - -------- --- f♦
MSTA799 Building Final / / / / 04/11/97 seal ext. sidin,; insulate crawl access "IL RB 04/14/97 R9 ~
hatch; re-support flex duct in crawl
MSTA799 Building Final / / / 1 04/14/97 RB 04/14/47 RB
MSTA960 (F) Issue Cert. of Occupancy / / / / 04/11/97 mailed 7-22-97 07/22!97 S"W
NSTA970 Case Finaled / / / i 04/14/97 PASS RB 04/14/97 RB
NSTA970 Case Finaled / ! 1 / 05/20197 05/20/97 JT
MtTB7D6 Erosion Control / / / / / / PASS USA 04/11/97 RB
5
{
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i
.".,r,�., ,.�f C+ �"+ • './"'�."'"W^v'..p:.p.y�i^'"-W y�hy.ryD+ 'v.. v� v. .... r.-.,�, x bb ry'� `e ..J�eq•.yr•...,w .�.�rar.:� .
OF TIGARD {
DEVELOPMENT SERVICES ,; 41
13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 (•(
MASTER F11_RMIT
P,ERMI1 #. . . . . . . : MST94-9103
DATE ISSUED: �£'e-yl -
PARCEL: 1 S 133CC-01000 ! F'/U �
SITE ADDRESS. . . : 14054 SW SPRINGBROOK LN
Si 8DI'1I51C)N. . . . :F'EBPLECREEK ZONING: R-25
BL.00K. . . . . . . . . . LOT. . . . . . . . . . . . . :00' JURISDICTION. TI(S
Resarks: PATH 1
--------------_- ------ BUILDING --------------------------------------------------------------•---
REISSUE: STORIES.......: 2 FLOUR AREAS---------- BASEMENT... 0 sf REDUIRED S+:TBACKS---- REQUIRED----- -------
CLASS OF WORK-:NEW 0;1GHT......... 26 FIRST....: 1500 sf GARAGE...,.: 720 sf LEFT..........: 5 SMOR.E DETECTRS: Y
TYPE OF U%, ...:SF FLOOR LOAD....: 40 SECOND...: 1500 s4 FRONT.........: 22 PARKING SPACES: I
TYPE OF CONST.:5N XLLIN6 UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 DDRM: 4 BATH: 4 TOTAL-------: 3000 sf VALUE—$: 0 REAR..........: 35
- ---- PLUMBING ----------------------------------------------------------------
SINKS.........: ? WATER CLOSETS.: 4 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES..... 6 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE It: IN SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUR/'"+�RS...: 4 GAR9AGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: A
------------------------------------------------------------- MECHANICAL ----------------------------------------------------------------
FUEL TYPES----------- FURN ( 100K ..: I BOIL/CMG ( 3HP: 0 VENT FANS.....: 9 CLOTHES DRYERS: 1
TGA FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
--------------------------------_•--------------------------------- ELEC';.ICAL -------------------------------------••------------------------ t.
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ---MISCELLANEOUS-- — --ADD'L INSPECTIONS--
ION SF OR LESS: 0 0 - 200 amp..: P 0 - 200 amp..: 0 W/SVC OR FDA..: 0 PUMP/IRRIGATION: 0 PER ;NSPECTION: 0
EA ADD'L 59".: 0 201 400 amp..: 0 201 - 400 amp..: 0 Ist W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PE: HOUR......: 0
LIMITED ENERGY.: 0 401 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BP CIR: b SIGNAL/PANEL...: 0 IN PLANT......: 0
WO HM/SVC/FDR: 0 601 - I N@ amp.: 0 601+asps-1000 v: 0 MINOR LABEL -•18: 0
10004 amp/volt.: 0 --------------------- ----_.------ PLAN REVIEW SECTION ------------------------'-----------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 6MR V NOMINAL: CLS AREA/SPC OCC:
----' --'-------------------------- - - - ----- EVC iRICAL - RESTRICTED ENERGY ------------------------------------ --
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL---------------------------------------------------------------•----------------
AUDIO 8 SIEPEO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: DTH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK—........: INSTRUMENTATION: WDICAL........: OTHR: '
HVAC...........: DATA/TELE COMM.: NUISE CALLS....: TOTAL # SYSTEMS: 0
Owner: ------------------------------------Cortractov--- ----------------------------- (OTAL FEES:$ 3244.31
COSTA PPrIFIC HOMES COSTA-PACIFIC HOMES
14780 SW OSPREY DR (DBA R A K DEVELOPMENT)
SUITE 1 275 8625 SW CASCADE AVE STE 606
,-AVENTON 09 97007 BEAVERTON OR 97005 C
Phone a: 60-88,88 Phone #: 503-646-8888
IReg S..: 000651
��af�E��l�tl�sis9at7 �ap�e�iill°bBn�o�i�g�Ra��Q�f�d�RF�ad°E� ��p�g6e�i�ll�sMun�Fl9a�e�'O��'M��lt�ms�r�'!F �BRb'l�tKo�°�E`6r1�@� ���n!'�nf�e
days of issuance, or if Mork is suspended for more than 180 days.
REOUIF40 INSPECTIONS ------------------------------------------
Foot/found Insp PLM/Underfloor Plueb Top P'At Insulation Insp Rain drain Insp ((REINSPECTION))
Foot/found Insp PLM/Underfloor Frasang Insp Insulation Insp Nater Line Insp Mechanical Final
Post/Beam Struct PLM/Underfloor Frasing (REINSP) Gyp Board Insp Appr/Sdwlk Insp Mechanical Final
Post/Beas Mechan "zc!nanical Insp Gas Line Insp Gyp Board Insp Appr/Sdwlli I-p Mechanical Final
Post/Beas Mechan Mechan :al Insp Insulation Insp Gyp Board Insp Misc. Inspection Additional......
T'er,mit ee Signature: Issi.ted By:
Call for in, -.et ion Ee 9 4175
u .
CITY OF TIGARD '
DEVELOPMENT SERVICES
Al k 13125 SW Hall Blvd.,Tigard,OR 91223 (503)639.4111
PLUMBING PERMIT
PERMIT #. . . . . . . . PLM94—O2c0
DHTE ISSUED: G
PARCEL: 1 G:)133CC-0 OOV, x
SITE ADDRESS. . . : 14054 CW SPRINGBROOK LN
SUBDIVISION. . . . : PEBBLF_CRE:EK ZONING: R-25
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . :004 JURISDICTION: TTG
------___----------------------—_—_---_.--------------._—__---------•--•---------••-------
CLASS OF WORK. . :NEW GARBAGE: DISPOSALS. : 0 MORILF HOME SPACES. : 0 +
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 2 WPTER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SFRAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . . 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 F
Remat-ks: BACKFLOW DEVICE
Owner --_.______ -___._________._.___.____._.__.__.____ FEES
COSTA PACIFIC HOMES type amoI_tnt by date r-ecpt
14780 SW OSPREY DR PRMT $ 15. 00 JF 09/7/94 —
SUITE # 275 51='CT $ O. 75 J1= 09/127/ ,4 -
BEAVERTON OR 97007
Phone #:
I
-----------------
p hone #: f 15. 75 TOTAL
Req #. . x_4184
REQUIRED INSPECTIONS -------
This pewit is issued subject to the regulations contained in the RFI/Backflow F'rev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final .Inspection
applicable lapis. All Mork wil) be done in accordance with
approved plans. This perait will ex-Are if work is not started
within 190 days of issuance, or if work is suspended for yore
than 190 days.
Permi:Eee Signati_rre: _
Issi.red By:
r Call for, inspection — 6.i9-4175
r.
I
yy�
CITY CF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tlgard,OR 9722' (503)0;39.4171
SEWER CONNECTION
PERM1 T'
PERMIT #. . . . . . . : SWR94-0108
DATE ISSUED: '� � l
l
PARCEL: 1 S 133CC— 1000 �� S
SITE ADDRLSS. . . : 140;4 SW SPRINGBROOK LN i
SUBDIVISION. . . . :PEBBLECREEK ZONING: R- 25
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . _004JURISDICTION: MTIG_—
TENANT NAME. . . . . :
U5A NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORN.. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :SUSWR I MFIE RV SURFACE: 0 s f'
Remarks : PATH 1
Owner: --------_ __-----______------ --- ------- - --- _ ____- FEES
COSTA PACIFIC HOMES type amount by date recpt
14780 SW OSPREY DR PRMT f 2200. 00 JG 04/06/94 -
SUITE # 275 1NSP $ 35. 00 JG 04/06/94 --
BtFAVERTON OR 97007
Phone #:
Contractor,:
OWNER {
i�
----------------------------------------
'1
f'ii ane tt: f 2235. 00 TOTAL
Req #. .
REQUIRED INSPECTIONS -------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit eKpires 180 days from Case F inaled
the date issued. The total amount paid will be forfeited if the Case Fina 1 e d
permit expires. The Agency does not guara;itee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and SOP Sewer" Permit and the Agency will install a lateral. _
1'ermi.Y,t;ee �.ilyrlc7tllT'e : _� —_ �.__
:all for- inspection - 639-4175
i