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CITY OF T°IGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
CERTIFICATE OF
OCCUPANCY
r)ERMIT #. . . . . . . . MST9601� ,'-
DATE: ISSUED: 01/09/97
PIARC'ELs 15133CD- 16500
;ITE' ADDRESS. . . : 13873 SW ASHBURY L.N
,ULAD I V I F3 I ON. . . . : PEBBLECRFEK 03 ZONING R-25
ItLOCI... . . . . . . . . . : LOT. . . . . . . . . . . . . 525
,'.LASS OF WORK. :NEW
IYPE OF USE. . . :SF
IYPE OF CONST R:5N
ICCUPANCY GRP. i R3
)CCUPANCY LOAD P I
remarks PATIA I
1-OS1A PACIFIC HOMES
:4625 SW CASCADE SLVD
iUITE #606
0EAVERTON OR 97008
'hone #z 646--8888
':OST A- F-AC I F I C HOME'S
36,25 SW CASCADE AVE STET. 606
AEAVEl",,TLIN OR 97005
11hanp #: 503-646-8888
t e g ii. . -. 6 .5)1'5 7
i hi a Cev,t if ir_,�Ate grant % occupancy of the above referenced building or port- ifori
thereof and cunfirms that the building has been inspected for compliance with
fh* citate of Oregon Specialty Codes for, the grou occuparicy, And use un,-I;
"hich the
refer enc_ed permit was is%ued.
litilLCA i-NG INSPECTOR iid t'. ING -OFF I CI A-'.
POST IN CONr-'PHUOUS PLACE
I
rD
CITY
OF TIGA
RD MAS
ERty1I_`T #.. .. I T
COMMUNITY DEVELOPMENT CEPAI?,TMENT DA-T'E ISSUE:D: 06/05/96
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (50)839-4171
1='ARCE:I_.: 1!S].3;3C:'f2-F'R:,55
`:3ITE ADDRESS. . . : 13873 SW AGHEiLJRY I--N
GURU I V I 5I ON. . . . : P.1LBBL.l_CREEK #3 ZONING: Rt 2`;
13LOCK. . . . . . . . . . . L-O'I'. . . . . . . . . . .. . ..
Remarks: PATH I
BUILDING --------------------------------------------------------------
FIEISSUE: STORIES.......: : FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT........: it FIR3T....: 1520 sf GARAGE.....: 337 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF 'USE...:Sf FLOOR LOAD....: 40 SEC1'ND...: 0 sf FRONT.........: 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBStCNT: 0 sf RIGHT......... : 5
LCCUPAACY GRP.:R3 BDRM: 2 BATH: 3 TOTAL------: 1520 sf VALUE..t: 107466 REAR..........: 15
----------------------.. --------------------------------------- PLUMBING ------------ ------•--
SINKS.........: 1 WATER CLOSETS.: 3 WA")HING MACH..: I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 3 DISHWASHERS...: 1 FLOOR BRAINS..: 0 SEWER LINE ft: 9 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB,SWMERS...: 2 GARBAGE DISP..: I WATER HEATERS.: I NATIER LINE ft: )d0 BCKFLW PREVNTR: 1 GREASE TRAP..: 0
OTHER FIXTURES: 0
--------------------------------------------------- - -- MECHANICAL --------------------------------------------------------. -
FUEL TYPES----------- FIIRN ( 100K ..: 1 BOIL/CMG 11HP: A VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / 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
----------------------------------------------------------------- ELECTRICAL ------------------—--- -
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDCRS-- ---BRANCH CIRCUITS--- ----MISCELLAMEUU3---- --ADD'L INSPECTION[
1000 SF OR LESS: 1 0 200 asp..: 0 0 200 asp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF. : 3 201 - 400 asp.. : 0 201 - 40? asp..: 0 1st W/O SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITLD ENERGY.: 0 401 - 600 asp.. : 0 401 - 600 asp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MAW HM/SVC/FDR; 0 601 - 1000 alp. : 0 601+a1p5-1000 v: 0 MINOR LABEL -10: 0
1000+ as volt. 0 ---------- ------ PLAN REVIEW SECTION ---------------------- ----------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAU CLS AREA/SFC OCC:
-------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------»---—------------------------
A. 5F RESIDE'ITIAL------------------------- B. COMMERCIAL----------------------------------------------------------------------------
AU�10 6 STEREO.: VACUUM SYSTEM..: AUDIO d STEREO.: FIRE ALARM.....: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: ✓; BOILER..,......: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........ : OTHR:
HVAC...........: DATA/TELE COMM(.: NURSE CALLS....: TOTAL # 5r5TEMS: 0
Owner: ------------------------------------Contractor: ----------------------------- TOTAL FEES:$ 2"134.76
COSTA PACIFIC HOMES COSTA-PACIFIC HOMES
8625 SW CASCADE BLVD 6625 SW CASCADE AVE STE.606
SUITE #606
BEAVERTON OR 97008 BEAVERTON OR 97005
Phone #: 646-8888 Phone #: 503-646-8888
Reg #..: 65157
This permit is issued subject to the regulations conta:not in the Tigard Municipal Code, State of Ore, Specialty Codes and r,. u e
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is net started withi,• IA"
days of issuance, or if work is suspended for more than 180 days.
----- REQUIRED INSPECTIONS --------------------------------------------------- --
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace '.nater Service In Building Final
�oundat:on Insp Mechanical Insp Shear Wali Insp Insulation Insp Appr/Sdwlk Irsp Erosion Cont- l
Post/Beam Struct Plumb for Out Low Voltage Gyp Board Insp Electrical Final
Cost/Beat Meehan Electrical Sere: Fireplace Insp Rain drain Insp Mechanical Final
rawl Drain Electrical Reug ine In Water Line Insp Pi u Final
ev'rnittee L,iynAt1-ii es _.__. _ �` .ped Icy :
La1. l for inspection -- 639-4175
�. J
|
/
of the Unified ciewage Agency. The permit expires 180 days from
�
ResidentialQuildin-g_ Permit Ap-plication
City of Tigard
13125 SW Hall Blvd.
Tigarcl; OR 97223
(503) 639-4171 ,•
Jobsite Address: 13873 --2W Ashbury Vane
Subdivision: _ Pebble Creek #3 Lot # 55 Office Use Only
Contact Date _ Initials C,.
Valuation: C
� � ��
r -- --- ---- Result C, C� C
New Construction Only: (Square Footage) Planck/Rec #
Nouse: 1510 Garage: 5�7 Permit #Reissue of�t��-��,
Corner Lot? Y N Flag Lot? Y N Map & TL#
Zone _(
Owner: Costa Pacific Homes Plat # ; U, �' (f
Address 8625 SW Cascade Blvd. #606 APerovals RecLuired ,
- f Pl►1 �h �l
Beaverton , OR 97008 Planning Setbacks DK Solar 'Neff
-- - Engineering %_,,, F fkv. I(,-, (rL rj 1t
Phone �_ `�03 L_ 695_8988 Other-
Contractor: SAME Items Required
Surf ontractors
Address: Trus Details
Other_
Notes �n�_ {
Phone: �_ ) 1' ale
Contractor's License # 65157
(attach copy of current Oregon license)
Contact Name. Marci Weber - - --
Contact Phone: j_ 5u3 ) 646-8888
Subcontractors: Architect/Engineer: =yarQ„n Assnc-iatps
Plumbing: ,T & R ptumbi g _ Address -151 Kalmus Drive C.-140
Mechanical: _Arcs Tnctall ations Costa Mesa , CA 92626
(attach copy of current OR Contractor's License)
Bear Electric Phone. ( 71q 5y9 X479
I JOB D SCRIPTION: ,r4 —
lc ature
p I Applicant Phone number
Received by: Date Received. 65 Z1 1
N'Jiy�lptVNNp -
Permit # A nt De*-QLWJign ArTioun Amid— 5-aL of
MST. Permit (BUILD) 415-3 , �-
Plumb. Permit (PLUMB) O . 5 res
Mech. Permit (MECH) Z/3 �4 _ 413• S�
ELC/ELR Permit (ELPRMT) a ,"O c or,
State Tax (TAX) 7. .= y7, 3
Bldg: a d 6 S
Plumb.
Mech: I
ELC/ELR:
Plan Check '
p�'
MST (BUPPLN) �_; t/ � IS9, 7` 4-
—���I
Plumb. (PLMPLN) -------
Mech: (MECPLN) /O
CDC Review (LANDUS)
Sewer Connection (SWUSA)
�'-e,ver Inspection (SWINSP) 3 5 "' 3S-
Farks Dev Charge (PKSDC) /1"
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Water Duality (WQUAL)
Water Quantity (WQUANT) /0n.
Erosion Control Permit (Er,'.PRMT)
Erosion Planck/USA (ERPL.AN)
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS) _
TOTALS: 7(2 4,j y
c\g spm dPP doc D�
Rev 7/96
J
MAY-15-1996 08:42 CES P.LAG
' ELEV 200.3 �� ,,,ELEV
ELEV IQ7.0
NOV31'S 0'
U );
7.05'
5' SIDE YARD
SFTAACK L TTI
`GE ED
PLAN 320 DF.SIGN
/—CONTOURS
m FF - 198.5
C Q.
n
y C)
0
r �
z
vT
5' SIOE Y/RD
SEDIMENT �\
�-- I (AFF a SETBACK
FN . 1
E CE
198.0 GRAVEL CONS1MiUC110N
RAINORAIN , ENTERANCE
8' P.U.E.
F g8
E L.E'v 195.1-\ ELEV 195.9
WA IER klEiER- f'
S01'37 52 W
WA fER LATERAL----f—SANiTARY
_—_,ANITARY LATERAL
SIORIA f�91N�
MAIN
WATER MAIN
S.W. ASMBURY LANE
TAX MAP til 33CD
T.4X LOT
NOTE: CONTOURS AND UTILITY INFORMATION
TAKF..N FROM CONSTRUCTION PLANS PREPARED
BY THE S1,113DIVISION ENCINEFR. `/ERIFY INFORMATION
SHOWN BEFORE BFGINNING CONSRUCTION. CORNER
SCALE I' . 20' ELEVATIONS OB 1 AINED FROM CONTOUR/GRADING PLAN
AND SHOULD AL50 BE VERIF'EU.
2U 10 0 ZU
CONSULTING ENGINEERING SERVICES, wC.1 LOT 55 DATE
15255 N.w. GREL�1g ��
RiER DaRKw4� L�EjL E GF�EEIt NQ.
�
4AVEOTMI. 00 97006 IM3) 690-6600 TIGARD, OREGON FIGURE
lv r�S.D wC
927
TUTNL F.172
CITY OF TIGARD BUILDING INSPECTION NOTICE —
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service
. FINAL
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mech.
PIbg.IJnd/Fir/Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Elect.
San. Sewer dg'
Gas Line Appr/Sdwik
Reins.
Other:
Date: A.M. _P.M._ --
Address: — l — Entry:
Tenant: _
Ste:---- MST: 072-'91
Con/Own:. _��— ( C � L BUP:
MEC:
PLM: _
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR:
-- _—.—.
i
?APPROVEDDISAPPROvF
ector: _ i 1
Date:_
-__ D/CALL FOR REINSP
�_ CF CO
F