14076 SW SPRINGBROOK LANE �',, � ; ' J , is 1. �- .. � •."
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CITY OF TIGARDUF
COMMUNITY DEVELOPMENT DEPARTMENT GIRT I I CAT'S
11125 SW Stell Blvd.Tigard,Orrgon 97223.6199 (603)6704171 OCCUPANCY
1cxKx PERvrIT M. . . . . . . . MST94•-91113
639--4171 'DATE I5SUGDs 09/28/94
PAR(-ELs lS 33CC--00900
P SITE= ADOREr3S— s 1.4076 5W SPR I NGBROOK LN
SUBDIVI ION. . . . # PEBBLECREEK ZON1NGkR-25 ;
BLOCK. . . . . . . . . . 3 LOT. . . . . . . . . . . . . s 03 {
1 CLASS OF WORK, sNEW I
TYPE OF U5E. . . 3SF'
OCCUPANCY GRP. sR3
OCCUPANCY LOADtl2t 4
TEIVAN i' NAME_. . . s
Remarks :
Owner. - ._ __�. . . .... .._ ...... ..._
COSTA-PACIFIC HOMES
14780 SW OSPREY DR #275 �
BE:AVL.RTON OR 97OV.17
Phalle N3
{ Contractors
1 CUSTA-PAs;IF I C: HOMES
14780 SW 0SPREY DR
M e75
BEAVERTON OR 970.107 y
t'he.tnc M3 503-646 88E18
Reg 11. . 1 65157
Or:c1_lpancy of the above referenc lod building is hereby given, tinct r..ertifie ,.
the compliance= with the :,taste Of Ut•eyon Specialty Codes foo the group,
occupancy, and use under which the rtafer•enced roe-.-mit was istuead.
B L IT I IECTOR.
1,
LDIN O F IAI.
PONT IN COPGP I CUOU6 PLACE
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I spectiont
rooting _ Plbg. Underslab Mach. Rough-in Appc/Sdwlk
- round. Plbg. Tor Out. Cas Line
Post/Ream Struct. San. Sewer draming
Post/r--- Mach. Rain Drain Insulation -Plumb.
S Plbq. Underfloor wttter Line Gyp. Rd. -Meeh �
Date Requested: .�7� Time: �AM PM
Address:Z VtA/4 J 1 L c :�� Permit tt
Builder:
THE FOLLOWING CORRECTIONS AAA REQUIRED:
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Inspector:__ Dates J � L�'
__,APPROVED DISAPPROVED Z/1PPROVRD SURJFCT TO A90VE
Call For Reinap.
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,.''r, �ua7.fr�lw�"a,� �RSPECTION NOTICE
FWK ��
City of Tigard DuildiJoq Department {
Orego9722313125 Sw Ball. Blvd. Tigard.
,' <<1r ` inspection Line ec-O-Phones 639-4175 Business Phone: 539-4'.71
J I
Inspection: -- --
in App.r/Sdwlk
Tooting Plbg. Onderelab Mech. Rough-
Plbg.1 Found. Top Out Cas Line __N>�
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iPost/Beam St•uct. San. Bever Framing -Bldg.
^��
Post/beam Mach. Rate Drain Insulation fA ,1rmb.�
Plbg. Underfloor Mater Line Gyp. Bd. -Koch.
Y CC Q
1 n 5.1 J
l 0` (Time: ✓ PN
Date Requestede_ -
rMBuilder: _ --
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TRIC FOLLOWING CORRECTIONS ARA REQUIRED:
0 ON
Inspector: i DatesE—' —
APPROVED DISAPPROVRn APPROVRD SDBJSCT To ABOVE
_Call For Reinep.
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CI F TIGARD
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COMMUNI.1'Y DEVELOPMENT DEPARTMEN17
13125 SW Y li Blvd.Tigard,Oregon 97223.8199 (503)639.4171
PL UMB I NG PE:RM I T
PERM T #. . . . . . . . PLM94- Q 11;)
639-4171. DATE ISSUED: 09/27/9/
1
PARLEL: l i 133CC•-00900
SITE Al )RESS. . . : 14076 SW SPR I NGBROOK LN
SUBDIVISION_ . : PEEBLECREEK. ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003
CLASS OF WORK. . :1VE=.W GARBAGE. DISPOSALS-1 MOBILE HOME SPACES. :
"TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNI'RS. . : 1
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . : d{,
STURIES. . . . . . . . .. i WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURF-S------•-----__---- LAUNDRY TRAY.;. . . . . . . SF HAIN DRAINS. . . . . :
SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . s
LAVATORIES. . . . . ;; OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SE=WER LIN'c (ft ) . . . . :
WATER CLOSETS. . : WATER LINE (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Komar^ks : DACIiFL_OW DEVICE
Uwner• ----___.___..__.._.______________-----._.______.___.---____.-- FEES
C:;OSTA-PACIF=IC HOMES type amol_1r1t by date r^ecpt
14780 SW OSPREY DR #275 PRMT $ 15. 00 JF 09/27/94 -
5PCT $ 0. 75 .IF 09/2:7/94 - I
BF_WVERTON OR 9717107
Vhone #:
Contractor:
ANCTIL- PLUMBING
16900 SW MERLO RD
BEAVERTON OR 97006 -•---------------------------_---____-___
Rhone #: 642--7323 $ 15. 75 TOTAL
Rey #. . s 24184
----- - REQUIRED INSPECTIONS -------•-
This psreit is issued subject to the regulations contained in the RP/Backflow Py-ev ��_�•._,—
?igard Municipal Code, State of Ore. Specialty Codes and all other Final I n s p e r..t i o n
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 1811 days of issuance, or if work is suspended for more
than 1811 days. —
Per^m i t t e n
Issl_led B _—
Call for inspection - 639-•4175
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Cary of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Nall Blvd. Per-- - #
Tigard, OR 97223
(503) 639-4171 �{C
MINIMUM $25.UA PERMIT FEE + ST. SURCHARGE
""'«0w1+"M New Single Family Residences Onto
—• / ❑ 1 13ATH HOUSE$140.09 ❑ 2 BATH HOUSE S19s.00
Job �6 7 ww S W i, L/I 17 3 BATH HOUSE$225.00
Addn'tss anwr frat Fee inckrdas all plumbing fixtures in the dwelBrxj and the Arlt loo filet
of water service, sanitary sower and storm sewer. See Mea below.
"'""�•"�Nei"'� FIXTURES QTY PRICE
Sink 9.00
L2vatory 9.00
Owner Tub or Tub/Shower Soft. 900
M"`' "► Shower Only 9.00
Water Closet _ 9.00
N" ('"^•6i 1 Dishwasher 9.00
Occupant Garbage Disposal 9.00
WaihMq Machine _ 9.00
Floor Drain 9.00
Water Heater 9.00
Laundry Roam Tray 9.00
Urinal 9.UO
N� �Z' Other Fbduree (SIGN) 9,00
Contractor M464 a.." Ph— 9.00
10ed
9.0o
l LU14� /� 9.00
�I / 0A/. �7�dO t� Sewer 1st 100' 30.00
VAN Re "em Na Car am Irv". Sewer-@a. Addit. 100' 23.00 1
v` `7 p y Water Service 1st 100' 30.00
1 hereby ockrxmiedge that I have read this application, that the Water Servim ea. AddiL 200' 23.00
Information given ir correct, that I am the oamx or authorized agent of
the owner, that plana submitted are in compliance with State laws, that Storm &Rain Drain let 100' 30.00
I am negiste the Construction Cantrac+71:: Board, that the Storm 14 Rain Drain Addit 100' --
25.00
number give is cornxi. (If exempt Mate rogistratlon, please
give reaso helow.) Mobile Home Space 25.00
c� Back Flow Prevention
Dovics or Ad-Pollution Device
_L9.00 y
fywv�(MM I MIh Ow Any Trap or Waste Not
_ Connected to a Fixture 9,00
Describe work new 0 addition -Iteration 0 repair Catch Basin 9,00
to be done rasidentlal Q non-residential Q _ Insp. of EAIsL Plumbing 40,00thr
Existing use of Specialty Requested 1nspecions 40.00/hr
building or property Rain Drain, single famit; dw,ding 30,00
Residential backflow prevention
devices 15.00
Proposed xr_e of -- -----
building or property
*(Except reWdendai becldfow
prevvndon devfcea)
NOTICE e11111nimum Fee $25.00 SUBTOTAL
PERMrTS BECOME''r' D IF WOrZK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, CR IF 3%SURCHARGE
CuNSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL � >
Special Conditions c_ — TOTAL
Date issued _ _ `_by
INSPECTION NOTICE
City of Tigard Building Department
13125 SK Ball Blvd. Tigard. Oregon 97223 '
Inspection Line (Rec-O-Phone): 639-4175 Bua{nesn Phone: 639-4171
i
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwll
Found. Plbg. Top Out Gas Line lINALt
Post/"am Struct. San. Sewer Framing -Bldg. _
1
Post/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Kath.
Date Requentedc (J/p/111 l [ q imat AN PM
Address: o !-7 ' 1 riol�f s5! 7L/ �
Builder:, �Q/ Z[� �-C Q- :_
THE FOLLOWING CORRECTIONS ARE REQUIRED=
vv .rb
Inspector: I d Date-
_
,_—APPROVED DISAPPROVED PROVED SUBJECT To ABO d
_` Call For Reinep.
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I PLUMBING PERMIT
Cirt OF TIPARD DATEIISSUED: + 04/21/94 '.-9116
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd,Tigard,O.egon 97223.9199 (503)e3a-4171 PARCEL: I S 1:33CC-C'(-ITd13
ff SITN AL)DkEb:a . . . . 140/f• -,W S1='kll\1( Nk(Jl.k LN
SURDIVI;;1ON. . . . : PEDBLECREEK ZONING: R-25
BLOCK. , . . . , . . . . . LOT. . . . . . . . . . . . . :003
CLASS OF WrRK, . :NEW 5ARBAGE DISPOSALS. . : 1 A
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . ..0
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . .0
FIXTURES----- ------------ LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
'1 SINKS. . , . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
..
LAVA•fOF IES. . . . . :3 OTI-iE"R 1=I X TURES. , . , . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSERS. . :L WATER LINE: (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
5 Remarks :
OWNER: ---------------------------------
--------- ---------- -------FEES----------------
COSTA-PACIFIC HOMES TIF $ 1320. 00 JG, 04/06/94 -
14780 SW OSPREY DR #275 BPRT t 361- 00 JG 04/06/94 -
HPLC $ 234. 6`) .TG 04/0F,/94 -
BE:AVE RTON OR 97007 B5PC $ 18. 05 JG 04/06/94
Phc►le #: SSDC $ 280. 00 JG 04/06/94 -
PARK $ 500. 00 ,JG 04/06/94
Plumbing Contractor .-_____.._._____--_--_.- 1hPRT $ 40. 50 !G 04/06/94 -
/� �• �-- �� MPLC a 10. 13 JV 04/06/94 -
Name :_ _5LI ce-I1- 9 14 ��_.ILZ!.1? __ M5PU $ 2. 03 JG 04/06/94 -
Addresas � _ PPRT A 125. 00 _rr' 04/06/94 - i
C4.ty: State : _ P51PC $ 6. .'.5 :iG `?14/716/94 -
Z i o: —Ph o n e#
Reg
REUU I RED I N SPPCT I ONS --This permit is issued subject to the reg.-
ulatiolls cr.,ntained in the Tigaod Municipal Foot/found Insp Gyp Board Insp
Code, State of Ore. Specialty Codes and all Foot/found Insp Rain drain Insp
other applicable laws. All work will be done Post/Beam Struct Water Line Insp
if, accor:ianr-e with approved plans. This f'nst/Beam Meehan Appr/Sdwlk Insp
permit will expire if work is not started Pln /Unds,ab Insp Mechanical Final
within lA0 days of issuance, or- if work is PL.M/Underfloor Plumb Final
suspended for more than 180 days. Mechanical Insp Building Final
Plumb Top Clut
Framing Insp
F i r e p l a c e Insp
Gas Line Insp
X �(J�' '/ 1 Insulat i on Insp
,Iut6orized Pll.lmbin Contractor i _.._._;
g S .gnat _Ir e
Call. for inspecticn - C- 39-4175
Contractor Notes :
F
INSPECTION NOTICE
Ci-y of Tigard BuS.lding Department
13125 841 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roe-0-Phone): 639-4175 Business Phone: 639-4171
Inspection: —_
Footing Plbg. Underslab Nech. Rouah-in Appr/Sdwlk
Found. Plbg. Top Out can Line FINII.:
Post/Beam St.ruct. CSan. Sswe: Fram..ng -Bldg. _
Post/Beam Hoch. ain Drain / Insulation -Plumb.
�-G
Plbg. Underfloor [� ✓ y Gyp. Rd. \1y1-Mach.
Date Requaated: 7 U ` Time: ??�_AM PM
A -
Address: / ` r"jJrc
Builder: � -
i
THE FOLLOWING CORRECTIONS ARM REQUIRED:
J
Inspecto � t _ �,--- ------ Date:
APPROVED DISAPPRC'VSD APPROVED SUBJECT TO ABOVE
Call For P.alnep.
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...........
.,
PE
C I rf'f OF TIGARD PERMIT # . . . . RMI TMST94-91 18 ,
COMMUNITY DEVELOPMENT DERARTMMT DATE ISSUED: 04/06/94
13126 8W Hall Blvd.Tigard,Orogon 97223.8199 (603)639.4171
PARCEL: 1S133CC-PCO03
SITE ADDRESS. . . : 14076 SW SPRINGBROOK LN
SUBDIVISION. . . . : PEBBLECRFEK ZONING: R-2`
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003
------------------------------------- BUILDING ----------------.________.----____.._____ �►
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:2 BATHS::: GARAGE. . . . . . . . . . :509 Sf
TYPE OF USE. . . :SF F"LOUR AREAS-- - _-- - - REUUIRED SETBACKS-- ------
TYPE OF CONST. :bN FIRST. . . . : 1449 sf LEFT. . :5 ft RIG14r. .5 ft
OCCUPANCY GRP. :R3 SECONT-. . . -0 sf FRONT. '22 ft REAR. . -42 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 sf REQUIRED------- — ---------__._
HEIGHT. . . . . . . . :`1 ft TOTAL--_ - .- _- : 14411 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . .-40 psf VALUE. . . . $ : 75816 PARKING SPACES. . s 0
Remarks :
F'L.UMBING
SINKS. . . . . . . . . . s l FLUOR DRAINS. . . . :0 PACKF L'")W PREVNTRS. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
TUBiSHOWERS. . . . :2 LAUNDRY TRAYS. . . -0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . s2 SEWER LINE: (ft ) . -0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . ill WATER LTNE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . sl RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF- RAIN URA I N5. . : 1
MECHANICAL — --_.__________.________._._...._..__. _.__-- FEES
FUEL TYPES------ -- -- UNIT HTRS. . :0 type amol_int by date recpw
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JG 04/06/94 —
MAX INPUT: 100000 BTU VENT FANS. . :3 BPRT $ 361.. 00 J13 04/06/94 --
I-URN ( 100K . . : 1 HOODS. . . . . . : 1 BPLC $ 234. 65 JG 04/06/94 -
F URN > =1001 . . :0 WOODSTOVES. :0 B5F'C $ 18. 05 JG 04/06/94 — @ �
FLOOR FURN. . . . :0 CLU DRYERS. : 0 SSDC: $ 280. 00 JG 04/06/94 —
BOIL/CMF' ( 3HP:0 OTHER UNITS:2 PARK $ x0111. 00 JG 04/06/94 —
GAS OUTLETS: 1 MPRT $ 40. 50 JG 04/06/94 —
Owner: ____._-.---_._._-.___..._-.__._.---------•------•---MF'Li $ 1.0. 13 JG 04/06/94
COSTA—PACIFIC HOMES M5PC $ 2. 03 JG 04/06/94 —
14780 SW OSPREY DR #2i5 PPRT $ 125. 00 JG 04/06/94 —
P5PC $ 6. 25 JG 04/06/94 —
BEAVF_RTON OR 97007
Phone #: �01 2
Contractor: ------------------------------- cj--�,J
COSTA—PACIFIC HOMES
14780 S" C""PREY DR
# 275
BEAVERTON GR ':17007
Phone #: 503--646--8888
Reg #. . : 65157 -----------_-------------------------------
t 3097. 61 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.ind Insp Fireplace Insp
applirable laws, All work w 6e� ne in accordance with approved Post/Seam Stri_tct Gas Line Insp
pl-ins. This permit will expire i or not started within 188 Pfist/Beam Mechan Insulation Insp
deka of issuance, or if work is cusp drsr, are than 1811 dot., Plm/Lindslab Insp Gyp Board Insp
PL.M/Underfloor Pain drain Insp
Permittee Signatl.tre : � � � Mechanical Insp Water Line Insp
,�/ Pl1.tmb Top Oi-it Appr/Sdwll• Insp
Issi-ted Sv :CB= Framing In<ap Mechanir_al Final
Call for inspection - 639--4.175
t
Y - -- PLUMBING FERMI T
CITY OF TIGARD PERMIT #. . . . . . . : MST94-911f1
DATE ISSSUED: 04/06/94
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PARCEL: 1 S 1.:�;3CC-17'C003
SITE ADDRESS— : 14076 SW SPRINGBROOK LN
SUBDIVISION. . . . : PE DBLEC'RE:EK ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003
CLASS OF WORK. . :NE=W GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O
OCCUPANCY GRP. . -R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . . I CATCH PASINS. . . . . . . :0
F'1XTURES-------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . 11 GREASE TRAPS. . . . :o
LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . :0
IUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :L WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RA 1.: DRAIN (ft ) . . . . :0
Remarks :
OWNER: ______.____._--. ----_._-----___-,• ---_--_._--------_r
COSTA-PACIFIC HOMES TIF $ 1520. 00 JG 04/06/94 -
14780 SW OSPREY DR #275 BPRT $ 361. 00 JG 04/06/94 -
BPl_C $ C`34. 65 JG 04/06/94 -
BEAVERTON OR 97007 B5PC $ 18. 05 .JU 04/06/94 -
Whone #: SSDC $ 280. 00 JG 04/06/9'> -
PARK $ 500. 00 JG 04/06/94
I 'l,lmbing Cori Tactor: ---____.__._.___...__.___.___ MPRT $ 40. 50 JG 04/06/94
MPLC $ 10. 13, JCi 04/06/94
Name : � M5PC $ P. Q3 JG 04/06/94 -
Addr slot / _� s_�! _� i�_uj PPRT $ 12-5. 00 JG 04/06/94 -
C i t y _—State : CJiP5PC; $ 6. `5 JG 04/06/94 -
Z i p:_'700 7., Phone#: �-�76 J-
Reg
---- -- REQUIRED INSPECTIONS -•------
This permit is isso-led subier_t to the reg-
ulations contained in the Tigard MUnicipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/peam Struct Water Line Insp
other, applicable laws. All v,ork will be done Post/Beam Meci,an Napr/Sdw:lk Insp
n accordance with approved plans. lhts 1-11m/undslab InEp Plechanical Fin:A.l.
permit will expire if work is not started FILM/Underfloor Plumb Final
within 180 days of issuance, or if work is 11echanical Insp Building Final
suspended for more than 180 days. Plumb Top Out
Framing Insp
Fireplace Insp
Gas Line Insp
Insulation Insp
Gyp Bard lns
Authorised F'.l�_Imbing Contractor Signature
Call for inspection - 639--4175
Contractor Notes:
••RTT .. t
SEWER CUNNEC-TION
CITY OF TIGARD PERMIT#. . . . . . . : SWR94-0123
C('MMUNITY DEVELOPMENT• OEPARTWNT DATE, ISSUED: 04/06/94
13125 SW Hall Blvd.Tigard,Oregon 87223-8199 (503)630 1,171
PARC,71 : 1 S 133CC—PC003
alIE (ADDRESS. . . . 1407b L+l, 5PRINGBROOK LN
c3UBI'iVISION. . . . : PEBBLECREEK ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003
--- -------------------- ------ --------
TENANT
-- -------------------• ------ _--------TENANT NAME. . . . . :
USA NU. . . . . . . . . . . FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BU I LD I NGS: 1 •
I NSTALL TYPE. . . . :BIISWR I MPERV SURFACE. . :
Remark,
UWner: ----------- --_______—_- _ _-------._.__ ----___.-__.__..______-• FEES
COSTA—PACIFIC HOMES type amol.Ant by date I erpt.
14780 SW USPREY DR #275 PRMT 4L_200. 00 JG 04/06/94 -
INSP $ 33. 00 JG 04/06/94 -
BEAVERTON C1R 97007
Phone #:
Contractor:CONTRACTOR NOT NOT ON FILE
Pn o n e #- $ 2235. 00 TOTAL
Reg #. .
------- REDUIRED INSPECTIONS
This Applicant agrees to comply h all the rules and regulations Sewer Inspection 1
of the Unified Sewage Agency. The permit expires 168 days from
the date i.sued. The total amount paid will be forfeited if the _
permit expires. The Agenrl does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer sh4l prospect-.3jeet in all directions from
the distance given. If not sated, installer shall purchase
a "Tap and Side Sewer' Permit and �AAgency 1 lin
a lateral.
e toittee Si q n a t o.tre • . _ 7�
IssLled By:
Call for inspection — 639-4175
.•+.W IM R1J'M'A@d'Algtl.ypM1lNlR4!M^
k
13lb SW 11all Rlv& PLNCK/REC7
CITY O -1 l�n IGARD rpr4Ortgx,9nZ3 PERMIT a a7��"
COMMUNITY DCVELOPMUNI'DEPARTMENT
(507)63""' DATE ISSUED
(-t"
dla-,
JOBADDRESSu . ro.) K- TAX MAP/LOT: ----_�--SUB: �h�11'L LOT: -- LAND USE: _ �L 4 .) 3 •
*wr-
VALUATION:
OWNER SPECIAL NOTES
NAME: I/� = -17( _ REISSUE OF:
ADDRESS: 'c r�f7r� �J LAST REISSUE:
FLOOD PLAIN/
PHONE: ,cT� � ----- SENSITIVE LANG: -
CONTRACTOR APPROVALS REQUIRED
PLANNING:
NAME: - -
��,``�� 4�7`' ENGINEERING:
ADDRESS: -
O 7 FIRE DEPT:
PHONE: letA:5 41�,_= ���� - --- OTHER: _ 1
CONTR. BOARD t . _�J�S.2._._ _ EXP DAI L: 1 1
7`f ` ITEMSS REQUIRED
SUBCONTRACTORS: PLUMB: f(1,04-V/1 C - LIST/SUBCONTRACTORS: -
-- I
MEC
H: BUS TAX: --
ARCH ENGINEER CALCULATIONS:
NAME: �V�`�n � � /1rL TRUSS DETAILS:
ADDRESS: LS OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
i
APPLICANT SIGNATURE �7
Received By: J�' Date Received: G Ie
®6
PERMIT # ACCT N (DESCRIPTION AMOUNT AMOUNT Pd. BAL. DUE `
10-432 00 Building Permit Fees J -0 1 — I ,j Uu
10-431 00 Plumbing Permit Fees /�S•o
10-431 01 Mechanical Permit Fees Yo.5 a 'v
10-230 01 State Building Tax (5%) •�G,3.3 31 w
Building �',o S
Plumbing 25 rlr
Mechanical O
10-433 00 Plans Chock Fee
Building ,2.3
Plumbing
Mechanical
10-230 OG Fire
30-202 00 Sewer Connection u
30-444 00 Sewer Inspection
25-44C-02 Ccmmercial TIF fees ►
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees _
448-03 Of ice TIF Fees
25-448-01 Residential Traffic Fees
I
25--448 .6 s Transit TIF Fees ///)
52-449 0, t;s S-stem Dev Charge (PnC) au �� d
31-450 'c,nrm Drainage Syst Dev Chrg
rC)
.,r Quality 'Fee in licj of)
r Quantity (fee in lieu of) _
TOTAL '
nm/3587P.WPF
Page No, S CASE HISTORY FOR CASE NO.: MST94-9118
COSTA-PACIFIC HOMES
14076 SW SPRINGBROOK LN
05/01/98
Action Description Req/ Schd! End/ Action Notes Diap my l)pdet• upd
Code Sent Done Dore Date By
------- --------------------- -------- -- ------ -------- --
MSTA010 Plan check deposit pail / / / / 04/05/94 04/05/94 SW
NSTA092 (F) Issue combination permit / / / / 04/06/94 PASS SKW 04/06/94 JG
MSTA097 lase plumbing signature form / / / / 04/06/94 PASS SKW 04/06/94 JG
MSTA097 Issue plumbing signature form / / 1 I 04/21/94 PASS JLG 04/21/04 JG
MSTA105 foot/farad Insp f / / / 04/12/94 REPAIR DAMAGED FOOTING FORM AND REBAR PASS RB 04/13/94 RB
REPLACEMENT. GROUNDING ROD SHALL BE
PLACED BETWEEN 6' AND 8' FROM CORNER OF
GARAGE SIDE WAIL WITH EXTENSION OF
VERTICAL OF 12" FROM TOP OF MUD SILL (13
1/2" FROM TOP Of FOUNUATION WALL.) AND
20' OF 04 BAR REOID FOR RUN. FOOTING
DRAIN REQ10 AT LOW POINT.
MSTA705 Foot/found Insp J / / 04/14;94 PENDING- ENGINEERING PASS Rr 04/19/94 R!
MSTA710 Post/Beam Structural / ! / f 04/29/94 ANCHOR BOLTS INADEQUATE- SHEAR WALL FAIL RB 05/04/94 RB
DETAIL-24" DC-
NSTA710 Post/Beam Structural / / / / 05/04/94 Pending: replace powder actuated anchors PASS WEW 05/04/94 RB
with expensive bolts of same size 85
cnchor bolts. (recommended that Larry
consult with engineer to determine if
additional measures requ red for
substitution of alternate anchor,)
MSTA711 Pest/Beam Mechanics( / / / / 04/29/94 UNDER-FLOOR PLUMBING REO'D; FLEX DUCT FAIL RB 05/04/94 RB
SHALL BE KEPT 4" FROM EARTH;
NSTA711 Po 'Beam Mechanical / / / / 05/04/94 Duct rerouted to provide 411 clearance. PASS WEW 05/04/94 RB
NSTA717 PLY/Underfloor / / / / 04/27/94 PASS MS 04/28/94 MRS
NSTA722 Pita* Top Out / / / / 06/09/94 PASS MS 06/10/94 MRS
NSTA725 Framing Insp / / / / 06/15/94 FASS WEW 10/05/94 DS
MSTA730 fireplace Insp / / / / 06/15/94 Electrical Cover 6-7-94 PUSS WEW 06/20/94 RB
Provide lateral bracing at garage door
header, and any header longer than 61.
Provide backing at shower pan and shower
stall.
MSTA735 Gas Line Insp / / / / 06/15/94 Gas line test 300 at 1:55 pm and at PASS WEW 06/20/94 RB
12:40 6-16.94 Tag 0116380
MS7A740 invulation ±nsp / / / / 06/20/94 not ready FAIL WEW 06/20/94 RB
i
S
1
,•V_'iWln ++YI .1�!Y+V� i f b i 1'�l �I•i ��� Y, 1
F
Page No. 2 CASE HISTORY FOR CASE NO.: :AST94-9118
COSTA-PACIFIC HOMES
14076 SW SPRINGBROOK LN
05/01/98
Action Description Rer/ Schd/ End/ Action Notes Disp 6y Update Upd
Code 4ent Done Done Date By
------- ------------------------------ -------- ---- -------- --------------•------------------------ ---- --- -------- --- -
MSTA740 Insulation Insp / { / / 06/21/94 Provide 12" strap where plates do not FAIL WEW 06/21/94 RB
overlap at nook (marked in green)
Interior well and vault insulation is
approved. Please call back when exterior
insulation is complete.
NSTA740 Insulation Insp / / ! 06/22/04 Pending installation of exterior PASS WEW 06/23/94 RB
insulation at back of st nv:ture.
MSTA745 Gyp Board Insp / / / / 06/24/94 Not ready at 12:15 pm. Notified tapers FAIL WEW 06/24/94 RB
on site that no more taping to be done
until gyp bd has been completely
installed and approved.
MSTA745 Gyp Board Insp / / / / 06/24/94 Pending: provide adequate attachment as PASS MEW 06/28/94 RB
shown to Larry Baker and nai'er. Taping
may begin in all areas.
NSTA755 Rain drain [nap / / / / 04/20/94 PASS MS 04/21;94 MRS
MSTA765 Appr/Sdwlk Insp / / / / 08/19/94 I) Install drain T+pe to curb weep hole PEND LT 09/14/94 AA
on wast side of approach.
2) Be prepared to protect finish.
MSTA795 Mechanical Final / / / / D9/28/94 APP GS 09/28/94 GES
MSTA797 Pluiro Final / / / / 09/01/94 hb not exceptable FAIL MS 09/02/94 MRS
MSTA799 Building Final / / / / 09/28/94 APP GS 09/28/94 GFS
KSTA960 (F) Issue Cert. of Occupancy / / / / 09/28/94 JF 0909/94 JF
NSTA970 Case Fingled / / / / 09/28/94 APP GS 09/?8/94 GES
;j r