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14002 SW BLUESTEM LANE I � r � � N r � I i r `t I� i �U Po 14002 9W BLUESTEM LANE CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE BEAR ELECTRIC PO BOX 389 28085 BUTTEVILLE RD NE DONALD OR 97020 Electrical Signature Form Permit '1 . . . . : MST96-0107 Date Issued. : 04/02/96 Parcel . . . . . . : 1S133CD-PB231 Site Address : 14002 SW BLUESTEM LN Subdivision. : PEBBLECREER II Block . . . . . . . . Lot : 031 Zoning. . . . . . . R-25 Remarks : PATH I Your company has been indicated as the electrical contractor for the permit indicated abovF. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: ELECTRICAL CONTRACTOR.: COSTA PACIFIC HOMES BEAR ELECTRIC 8625 SW CASCADE BLVD PO BOX 389 SUITE #606 28085 BUTTEVILLE RD NE BEAVERTON OR 97008 DONALD OR 97020 Phone # : 646-8888 Phone # : FAX-687-1108 Reg # . . . 09 X Sig ure o up vrsing �ec rician Please return this completed form to the address above. � 7 3 y S ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 IPEPMIT CITYOF TIGARD COMMUN11'Y DEVELOPMENT DEPARTMENT 13125 SW Hall alvd.Tigard,Oregon 97223*8199 (503)039-4171 T C C'.... T' T n L:a m CITY OF TIGARD ELECTRICAL PERMIT — COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENERGY PERMIT #: ELR96-0296 13125 SW Hell Blvd.Tigard,Oregon 97223.8180 (503)839-4171 DATE ISSUED: 09/25/96 PARCEL: 1S133CD—PB231 SITE ADDRESS. . . : 14002 SW BLUESTEM LN SUBDIVISION. . . . : PEBBLECREEK II ZONINC:R-25 01._O(_'X. . . . . . . . . . ... LOT. . . . . . . . . . . . . :4131 Protect Description: A. _RESIDENTIAL-------__—__ B. COMMERCIAL-------------------------------._----.--_.---._ AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & RAGING. . : BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGEOPENER. . . . : CLOCK. . . . . . . . . . . : MEDICAL . . . . . . . . . . . . . f1 ., , . . . . . . . . . . . . DATA/'FELE COMM. . : NURSE CALLS. . . . . . . . : •)OLUUM SYSTEM. . . . FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : : 1. TOTAL # OF SYSTEMS: 0 Owner : _____.________.__..____...._._.____. _.___.__._ ___.__..__________ FEES LINDA SAWYER type amount by date recpt li.irl4h `;W BI_.1.11' ITEM LN PRMT $ 40. 00 CJS 09/25/96 96-284359 SPCT f 2. 00 CJS 09/21/96 96-284359 'TIGARD OR 97223 Phone #: BRINKS HOME SECURITY $ 4: . 00 TOTAL 8059 SW CIRRUS DR -------- REQUIRED INSPECTIONS BF_AVERTON OR 97008 Wall Cover F lect' 1 Final ID[ione #: 503-641-0574 Elect' 1 Service Reg #. . : 44421 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other P e r m i t e e Signature applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if work is not started %ith:r 138 days of issuance, or if work is suspended for more than 180 days. Issued By INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE- --------------------------CONTRACTOR IGNATURE:----•----CONTRACTOR INSTALLATION SIGNATURE OF SUPR. ELEC' N: r; "I'lecf DATE: q6 LICENSE NO: _ --- -- - -- Call for inspection - 639-4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT# aR C(6-CQC16 Phone(503) 639-4171 DATE ISSUED Q- aS- c(6 FAX(503)684-7297 -- TDD No. (503)684-2772 I CITY OF TIOARD Inspection (503)639-4175 ISSUED BY C hCG r^les $c.h m r�C& PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK _Aw, Addres �- RESIDENTIAL—Restricted Energy Fee . . . . . . . . . ssooni �• (FOR ALL SYSTEMS) City State Zip SteckTXoe of Work Involved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR leo DAYS. Burglar Alarm El Garage Door Opener* CONTRACTOR APPLI TION VA4e - EJHeating,Ventilation and Air Conditioning System' ntra _ yp _ ❑ Vacuum Systems* -- OffAddress ... ' ----- dliy-_--__._ ❑ Other Date__ COMMERCIAL—Fee for each system . . . . . . . . . $40.00 --J - (SEE OAR 918-260-260) Property Owner _ Check Type of Work Inv Ivied•. Contractor's Board Reg.No. C3 Audio and Stereo Systems (� y ❑ Boiler Controls Phone# l__i/ _© .` -__ - ____ ❑ Clock Systems ❑ Data Telecommunication installations 3. OWNER APPLICATION ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation ❑ Intercom and Paging oystems Address ❑ Landscape Irrigation Control' City State Zip ❑ Medical This Permit Is issued under OAR 918.320-370.This applicant agrees to make only ❑ Nurse Calls restricted energy installations(too volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting' folirnving. ❑ Protective Signaling 1. Only use electrical licensed persons to do Installations where required.(Certain residential and other transactions are exempt from licensing.These have ❑ Other _ asterisksl').All others nerd licensing). 2 (all for an inspection when all of the Installations under this permit are ready for inspection at 503-639.4175. ❑ —Number of Systems 1 Purrhaw separate permits for all installations that are not ready for Inspection when the inspector is out to inspect under this permit. •No licenses are required Licenses are required for all other Installations. 4. Assume responsibility for assuring that all corrections required by the inspector are done,and 5. Assum-responsibility for calling for a final inspection when all 3f the S. FEES cnrrections are completed. The person signing for this permit must be the applicant or a person a Enter Fees $ � authorized to hind the applicant b. 5%Surcharge(.OS x total above) $ Signature TOTAL $ Authority I an applicant ENERGAP.CHP � .CIT ( ®F TIGARD FEr1 !, #• . .. . COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd,Tigard,Oregon 97223*8199 (503)639-4171 (''F+"i',•..'EL. 1^t '.:SCD 1•'1:`+~:..�. ,J'..i Lt aJa . d...�n*, a , 1'`CC1??L_E r.[tiG.�.:`! w ' GL7NI�'•�1..! �! ".0 t ~it.:SEW WCIGF........... 23 "TR;T....: :SCg sf SAM....... 541 sf .......... 'YGE or `u— ,sr F-MR LOAC..... 4 'E"St1C... . 471 -f 'Y^E CF CONST.:5* MLLINfi UNITS: 1 rT!lRXv. 2 sf RIGHT......... . "V. X MINT u BATH; 4 TOTAL--- __ . :478 si VALIX..1: 13C442 REAR........... " A1126I4� .'. " ---. _. .......... lhTV. .LLn7 uA"Nl^": 7X1 . ..._........ L:.<7��t- t�,... 11 , 0OR v,,p .. .. � ::�t1+�R � tic ::: ;,tti 6H:,:R i-;EATEi�'.. I -- -: '_'RES: "UEL ^JRN ( 1M', .. IC^E:' "L'PN ;-1001! .,. JNIT 11EATERS.. *'1 1 r' ter. A ury ............ Ah^*'•_r A _ .. __ „�.. 2 R,., f�cOR J�IACc�. .r �,c,t,.� v�.,t,_.. .. ELCr.r.-- 51D1=tii.'Al UNIT...... SER;'TC'`IrIEDER - ' ZZ? anp..: 0 M :A ADW :W.: C 2,11 - 400 alp..: 0 2211 48¢ -1X= INEXY.. 2 4@1 W1 aap,.: 0 40i 680 alp.1 00 MIt:7 ' 12`W0't t)?Ni'vT4.: V .. -fn 1!•+ rrr-' -' .. .rftM 11INAt „�, : C1S AREA'SrC uCL: �M•f• i 1-14.-._. ___ •, ', .,... . IR�TRL7`Et;'R,T2�3� t:.��Ac. ...,,. ._ . C 5EWCR CONNEC'' 'ON CITY CF TIGARD rEPMIT # F-RMIT COMMUNITY DEVELOPMENT DEPARTMENT DnT"" I'�SIJCIJ t?ItF/ f"fir` 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 INARCEl_. 1._'moi 133cl)-�,D-T':'1 fi'Zr 0;, ^W y 7 /r 4 N,:'. ' -'.A• L , rW1YAlYl: • � '�J + n,r FIXTURE UNITS„ . . 0 ^6JC:!L.Irdr UtJIT'?. • 1 � No. or BUILDINGS; 1 I 11 r Ir. ;(�t r-'�- ,. K111 ,- J ti ./P C vi n t:,.i 1 fi t i.b'y' ,d tr e ^....`.i ^;W [-' 1Zcr= BLVD >•'RMT t 21-00. 00 CJS 04 /`3C ITr )i`.;:j-. ,.•,�' „'�•�){14 T('^ IIALI'T ON r ICC "t:h It., RE r nr' C��.JIi�,4 D T'rii C;;;.,cant agrees tc caapli with 311 t're r,4Es and rejulatit, (.I eL1, J.r1� of the ur i f le:; ser<age Ap c.y. The per%it a-,pir e� lee 3a7:. rr'rr ...,,• •lay a_., 1 : <<. T`.e ttti{1 dR.a.�. geld �hl�� to �wife�te.i .f pfrait eipir i:, The Age%:y does not guarantee the ac%raey cf t`.E iirlf e�;I.. ls:e+a'sr .f t'"e sio.er iy nGt, l!-sated at the 'rtX,'& t 2 feet in 11. di-ec ivs yr G1 ''.ft„ inot i� iOCatfdy the installer shall E, the Agency vri; Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (� (503) 639-4171 j LIC) jZ 3- 1 *7 1�- . Jobsite Address:Aai� L17 tU'Yl -i Subdivision: Pehh1 p r'rppk 2 Lot#_ 31 Office Use Only Valuation: Result Contact Date / / Initials New Construction Only: (Square Footage) Planck/Rec # House' _ 1998 _ Garage: 541 Permit # q1'5 of Coiner Lot? Y N Fla Lot? Y N Map & TL# ? / 3 Flag Zone < < Owner: Costa Pacific Homes Plat # Address: 8625 SW Cascade Blvd . #606 Approvals Required Planning Setbacks Solar" l Beaverton, OR 97008 Engineering Phone: ( 503 ) 646•-8888 Other Items Required Contractor: SAME Address: Subcontractors Truss Details Other Notes r Phone: ( ) Contractor's License # 65157 (attach copy of current Oregon license) Contact Name: Marci Weber 1. Contact Phone: ( 503 ) 646-8888 Subcontractors: �1� �� ; Arch ltecUEnglneer: Iverson Associates.,_ (A"t , � Plumbing: Wolcott Plumbing _ Address: 151 SW Kalmus Dr. 0. 140 Mechanical: Arco Installations Costa Mesa , CA 92626 (attach copy of current OR Contractor's License) Phone: ( 714 ) 549-3479 JOB DESCRIPTION: -4 /�C.�/of���/ (f//fzi sup 7'.yz,_wQPb) Apolicant Signatu a Applicant Phone number Received by j Date Received: •uQnanvwae Permit 0 Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) X130. 3 15 3d, )-P Plumb. Permit (PLUMB) Z dech. Permit (MECH) �late Tax (TAX) � Bldg: 3 Plumb: , L Mach: Plan Check (PLANCK) n' Bldg: C� Plumb: Mach: •�4 G.Of u L Sewer Convection (SWUSA) CCy Sewer Inspection (SWINSP) YJ Parks Dev Charge (PKSDC) .50 _ cJ Residential TIF MF-R) VV \ v Mass Transit TIF (TIF-MT) f Commercial TIF (TIF-C) r Industrial TIF (TIF-1) Institutional Tit: (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) Water Quantity (WQUANT) 4", Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) , Erosion Planck/USA (ERPLAN) ,to - Erosion Planck/COT (EROSN) j ry b-y TOTALS: Smim 4Y.. 7 Y S. W. BLUESTEM LANE N 8870'51" W z D c'V WATE: S 882 511 F-E--_ > METE. 1 18. 0' Lft9.32, GURB,• R-1 .►7'' 8.0 , ep 1•SO'F ORONT O x'300 YARD SETBACK �25•ZT. F 8' PUBLIC UTILTIY I �� 11 EASEMENT ' • • � . •bRIVEWAY, RAINCRAIN 3 1 i awl � oI , C:) rn N a I as "' V) I � o \ cn I LOT 31 5.00' SIDE PLAN 420 YARD SETBACK I 5.00' SIDE TAX MAP 1S1 33CD MIN FF = 223.4 YARD SETBACK I TAX LOT 14000 ?� 15.00' REAR !� YARO SETHAC J �< S 8824'39" E 52.00' NOTE CONTOURS AND UTILITY INFORMATION TAKEN FROM CONSTRUCTNJN PLANS PREPARED SY THE SUBDINSION ENGINEER. VERIFY INFORMATI SHOWN BEFORE BEGINNING CONro'• ouN. CORNEF SCALE 1' 20' ELEVATIONS OBTAINED FROM WN TOUR/GRADING Pt AND SHOULD ALSO BE VERIFED. 20 10 0 20 CONSUL.i1NG ENGINEERING SERVICES, INC.1 LOT 31 15258 N.W. GREENBRIER PARKWAY PFJ38LE CREEK NO. 2 BEAVER". OR 97006 (50j) 690--f;8001 TIGARD, OREGON CITY OF TIGARD pERMITL#OCCUPAN=YhISTyh-0107 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07i2�5i96 13125 SW Hall Blvd.Tigard,Oregon 97223_8199 (503)639-4171 PARCEL: 1 S 133CD-PBt e31 SITE:. ADDRLMG. . . t 14002 SW BLUESTEM LN SUBDIVISION. . . . a PEBBLEC REEK 11 ZONING:R•-25 BLOCK : LOT. . . . . . . . . . . . . 1031 CLASS OF WORK. :NEW TYPE, OFF USE. . . s SF OCCUPANCY GRP. :5N OCCUPANCY LGAL)e c Rem,Al kis . PATH 1 Owner: COSTA PACIFIC HOMES 8625 SW CASCADE BLVD SUITE #606 BEAVE:R'TON OR 97006 Phone t1: 646.-0666 LontrActore -._._.-._.._�..__.._._.__..._...____.._ _... .._.. ..._._._ COSTA--PAC I F I C HOMES 86ab SW C:ASLADE AVE STE. 606 BEAVE.RTON Oft 97005 Phone Me 51213­646­8888 Reg #. . a 65157 (hies Certificate grants oc:c'.rpanc_V of the above referenced building or portion thereof and confirms than the building hes been i peted for- compliance with tale 5:;taste of Oregon Speei.Klty Lodes for the grow , occupae y, and use under which the refer;nr_ed permit; was issued. E�UILDING IN3FE CTOR BUIL G OFFICIAL POSY IN CONGP I CUCIUS PLACE 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/Bearn Mech. Shear/Sheath Framing Plbg.Und/Flr/Slab Plhg. Top Out Insulation -Elect. PosUBeam Struct. Mct;h. Rough-in Gyp. Bd. San. Sewer Gas Line Appr/Sdwlk Other: .—. — Date: a`-� A.M P.M. Entry: Address: Tenant: _�__�._ _._.__ Ste: --- MST: BLIP: Con/Own: __ MEC: PLM: — ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspec _.__ __ ----_--_ Date: Zee v PPRUVED __DISAPPROVED/CALL FOR REINSP. CF CO