11550 SW TALLWOOD DRIVE d
ADDRESS:
� ,k ss p 12�w- a-\ vp--
i:\records\microflm\targets\huildir�g.doc
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT #. . . . . . . . MST96 rl
DATE ISSUED: 1 .-'/:0!96
SITE ADDRESS. . . . 11550 CSW TALLWCIOD DR
;SUBDIVISION. . . . : Fit DDL.ECRE E:K #:3 ZON I NG o R-.25
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . 152
CLASS OF WORK. a NEW
TYPE O1= USE. . . :SF
TYPE: OF CONSTR:51\1
OCCUPANCY GRP. a R 3
OCCUPANCY LOAD-2
Remar ks a PATH T.
Oi,jner a �___..____._�.....__.........._ _ ... . .. ..., _._. ... .....
COSTA PACIFIC I101Y1ES
8625SW CASCADE BLVD
SUITE #606
BEAVERTON OR 97008
Phone #: 646-881-18
Contreactore _..._____.___.. _..__........_. _..F .. .__....._ .
C;I:Iam-PAf:IF IC viomE.S
8625 SI.1 CASCADE AVE. 5T1 . 606
NFAVFR'TOiu OR 137005
I,hone #: 503-646-6888
Reg #. . o 65157
This r:.ertificate grants occt.rpanc.y of the ahUve referenced building or por+ ion
i;heveof and confirms that; the building has been i.n%perted for compl ianre w th
the State of Llrepon Specialty Gorier fat, theZNI'
oc.,r..orprrnc,y, and 1.tse �.mder
ighi.ch the refpren -pd peg mi` wAs i + Fr Aed.
11-DING INSPF.C:,'TOR BF0I AL
POST IN CONSPICUOUS PI-ACE
L� —
CITY OF TIGARD BUILDING INSPECTION NOTI(;E I_14 `F
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Raid Drain Cover/Service FINAL
Foundation Water Line Ceiling Plumb.
Post/Beam Mach. Shear/Sheath Framing -Meeh,
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct, Mach. Rough-in Gyp. Bd Idg.
San. Sewer Gas Line Appr/Scl ik Reins.
Other: --- - -- — -
Date- 3� —+-�`_ A.M. P.M.__._ Entry:-_
Address:
Tenant: Ste: MST
BUP:
Con/Oven --- -- - - ---- MEC:
PLM: —
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR:
\ 7
Inspector . Date 1
�_APPROVELI __DISAPPROVED/CALL FOR REINSP. CF CO
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 -Meeh.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation EIB t. 3
Post/Beam Struct. Mech. Rough-in Gyp. Bd -Bldq.
San. Sewer Gas Line Appr/Sdwlk Relna. I
Other: —_ _ ---- l
Date: _-1� O o 1�0 A,M. —P.M Entry: J
5 - �S
Address: C�
to - ' MST:
Tenant — BUP: _.
Con/Own MEC;
--- --------
PLM:
ELC:THE FOLLOWING CORRECTIOP;S ARE REQUIRED ELR:
Ins actor:
APPROVED _DISAPPROV D/CALL.FOR REINSP. CF CO
r _
Page No. 1, CASE HISTORY FOR CASE NO.: MST96 0308
COSTA PACIFIC HOMES
11550 SW TALLWOOD DR
08/21/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done L,te By
MSTA005 Application received / / / / 06/07/96 PASS OR 06/14/96 BT2
MSTA008 Permit Created / / / / 06/14/96 PASS RT 06/14/96 BT2
MSTA010 Check for prcl. restrict. / / / / 06/14/96 PASS BON 06/14/96 BT2
MSTA012 Plans routed to Plans Examiner / / / / 06/14/96 PASS BON 06/14/96 BT2
MSTA026 Plans approved by Plans Exmr / / / / 06/14/96 PASS RT 06/14/96 BT2
MSTA030 Reviewed plans routed to DSTS / / / / 06/14/96 PASS RT 06/14/96 BT2
MSTA080 (F) Ready to issue / / / / 06/18/96 PASS CJS 06/18/96 CJS
MSTA092 (F) Issue combination permit / / / / 07/09/96 PASS JSD 07/09/96 JD
MSTA097 Issue plumbing signature form / / / / 07/09/96 PASS JSD 07/09/96 JD
MSTA098 Issue electric signature form / / / / 07/09/96 PASS JSD 07/09/96 JD
MSTA705 Footing Insp / / / / 07/23/96 APP KS 07/24/96 KBS
MSTA706 Foundation Inap / / / / 07/26/96 P..3S RB 07/29/96 BT2
MSTA710 Poet/Beam Structural / / / / 08/08/96 see notes FAIL RB 08/08/96 RB
META"10 Post/Beam Structural 08/08/96 / / 08/08/96 2nd insp, sa issues + post missed at PEND k6 08/08/96 RB
main entry- ok for cover
MSTA711 Poet/Beam Mechanical / / / / 08/08/96 support flex duct off ground FAIT, RB 09/08/96 RB
MSTA711 Poet/Beam Mechanical 08/08/96 / / 08/08/96 support meth duct off ground PEND RB 08/08/96 RB
MSTA717 PLM/Underfloor / / / / 08/02/96 PASS MS 08/05/96 Mks
MSTA720 Mechanical Inep / / / / 10/01/96 see framing this date FAIL RB 10/03/96 PB
MSTA720 Mechanical Inep / / / / 10/09/96 PASS RB 10/10/96 KAS
MSTA722 Plumb Top Out / / / / 09/23/96 PASS MS 09/24/96 MRS
MSTA723 Electrical Service / / / / 10/01/96 Apprcved for cover and service. PASS HRW 10/03/96 OF
MSTA724 Electrical Rough :n / / / / 10/01/96 PASS HRW 12/17/96 RB
MSTA729 Framing Insp / / / / 10/01/95 shear inromplete; soffit ductwork in FAIL RB 10/03/96 RB
garage; SW den-support bored floor
joists; wiring not rated for plenum;
exhaust venting disconnected; block
unusable spaces; fireplace vent needs to
be airtight; H-clips missed; strap
plates; stair treads; add vent holes for
vaulted rafters.
MSTA725 Framing Inep 10/08/S6 / / 10/OP/96 Reinspection fee $15.00 paid, 10/08/96. $15 JT 10/08/96 KAS
MSTA725 Framing Inap / / / / 10/09,196 pending stair treads at final PASS RB 10/10/96 KAS
MSTA726 Shear Wall Inap / / / / 09/19/36 2A's missed at garage; replace broken FAIL RB 09/19/96 RB
atud at rt wing; nail splices and
plates; tighten HD's.
Page No. 2 CASE HI^,TORY FOR CASE NO.; MST96-0308
COSTA PACIFIC HOMES
11550 SW TALLWOOD DR
08/21/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Cade_ Sent Done Done Date By
MSTA726 Shear Wall Insp / / / / 10/01/96 still incomplete FAIL RB 10/03/96 RB
MSTA726 Shear Wall Inep / / / / 10/09/96 pending- nail splice at wall PASS RS 10/10/96 HAS
MSTA735 Gas Line Inep / / / / 10/01/96 #1.73979 PASS RB 10/03/96 RB
MSTA740 Insulation Insp / / / / 10/17/95 APP KS 10/21/96 KBS
MSTA745 Gyp Board Insp / / / 10/13/96 #-1- provide framing member,at vertical AIN KS 10/23/96 KBS
joint for attachment for
waterproof gypsum at soaking tub all
so for wonder board
MSTA755 Rain drain Insp / / / / 07/31/9G PASS MS 08/01/96 MRS
MSTA760 Water Line Insp / / / / 07/31/96 OPAS MS 08/01/96 MRS
MSTA765 Appr/Sdwlk Insp / / / / 11/13/96 1. INSTALL PIPE IN DRIVE. PASS PI 11/22/96 RB
MSTA'765 ApprlSdwlk Inep 12/18/96 / / 12/10/96 FINAL BIDE AND APPROACH. R'SS PI 12/18/96 RB
MSTA790 Electrical Final / / / / 12/19/96 Final. PASS HW 12/23/96 RB
MSTA795 Mechanical Final / / / / 12/17/96 seal refrig lines at exterior/iisterior; FFAIL RB 12/17/96 RB
seal soffit above furnace
MSTA795 Mechanical Final / / / / 12/23/96 PASS RB 12/23/96 RB
MSTA797 Plumb Final / / / / 12/19/96 need to cap off rain drains FAIL. MS 01/02/9.1 MRS
sewer c.o7
MSTA797 Plumb Final / / / / 12/30/96 PASS MS 01/02/97 MRS
MSTA799 Building Final / / / / 12/23/96 disconnected down-spout at main entry; FAIL RB 12/23/96 RB
seal holes at exterior sid(ng at rear
patio light fixture; protect un painted
facia and etc.; plumbing final failed
usa erosion.
META-,99 Building Final / / / / 12/30/95 cap rain drain at fireplace; paint PEND RD 12/30/S6 RS
fascia
MSTA799 Building Final / / / / 01/13/97 PASS RB 01/13/97 RB
MSTA960 (F) Issue Cert. of Occupancy / / / / 12/30/96 01/14/97 JT
MSTA970 Case Finaled / / / / 01/13/97 PASS RB 01/13/97 RB
MST0708 Erosion Control / / / / 12/30/96 PASS USA 12/30/96 RB
■
-- -- -- __
MASTERPERMIT
CITY OF TIGARD I.ERMIT M#. . . . . . . . MST96--0"30b
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/09/96
13125 SW Hall Blvd.Tigard,Oregon 97123.8149 (503)839-4171
FIARCEL: 1 S 133CC—P'8 352
Ji i L. sIDDRE:SS. . . - 11551,11 ..:)W T(-A_LW(.j6IU LI<
SUBDIVISION. . . . : V,EBBLE:CREEK #3 ZONING: R--25
I_L.00K. . . . . . . . . . . L.O T. . . . . . . . . . . . .
Remarks: PATH I
---------------------------------------------------------------- BUILDING ----------------------- ---------------------------------------
REISSUE:MST96-0253 STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REWIRED SETBACKS---- --
CLASS GF WORR.:NEW HEIGHT........: 23 FIRST....; 1228 sf GARAGE.....; 546 sf LEFT..........: 5 SMOKE DF.TECTRS; Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 8.53 sf FRONT........., 15 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT........., 25
OCCUPANCY GRF.:R3 BDRM: 4 BATH: 3 TOTAL------: 2081 sf VALUE..$: 143894 REAR..........: 15
----------------•-------------------------------------------•---- PLUMBING ----—----------------------------------------------------------
S1NKS.........: I WATER CLOSETS,, 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........; 0
LAVATORIES...., 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/"..RS...; 2 GARBAGE DISP..: I 'MATER HEATER6.: 1 WPTER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS... 0
OTHER FIXTURES, 0
--------------------------------------------------------- ---- MF:CHANICAL -------------------------------------r
FUEL TYPES----------- FUFN ( 10W .., 0 BOIL/CMP ( 3HP: 0 VENT FANS....., 4 CLOTHES DRYERS: 1
/GAS/ / / FURf,' )=IM ..; 1 UNIT HEATERS..: 0 14000S.........; 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....s 0 GAS OUTLETS.... 1
--------------------------------------------------------------- ELECTRICAL -----------------------------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 001 amp..: 0 9 - 200 alp.. : 0 W/SVC OR FOR..: 0 PUMP/IRRIGA110N: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 4 201 - 400 amp..: 0 ?01 - 400 amp.. : 0 1st W/O SVC/FDR; 0 SIGN/DUT LIN L1: 8 PER HOUR...... : 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 asp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 1N PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.; 0 6014amps-1000 +: 0 MINOR LABEL -10: 0
10004 amp/volt.: 0 ------------------------------------- PLAN REVIEW VECTION ---------------------------------.
Reconnect only.: 0 )=4 RLS UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC CICO:
---------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ----------------------------------------------------
0. 9: RESIDENTIAL--------------------------- B. COMMERCIAL---------------------------------------------------------------------------------
ALTIO d STEREO.: VACUUM SYSTEM..: AUDIO d S7_7REO.: FIRE ALARM....., INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTFi: :, X BOILER.........: HVAC..........., I.ANDSCAPE/IRRIG: PROTECTIVE SIGN-.-
GARAGE
IGN-:GARAGE OPENER..: CL.00K..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC..........., DATA/TELE COMM., NURSE CALLS....: TOTAL 0 SYSIEMS: 0
Owner: ----------------------.._---------•-Lontractor. ----------------------------- TOTAL FEES:$ 4203.00
COSTA PACIFIC HOMES COSTA-PACIFIC HOMES
8625SW CASCADE BLVD 8625 Sr; CASCADE AVE STE.606
SUITE N60b
BEAVERTON OR 97008 BEAVERTON OR 97005
Phone N: 646-8888 Phone li: 503446•-8888
Reg N.. : 65117
This per ret is issued subject to the regulations contained in the Tigard Municipal Cade, State of Ore. Specialty Codes and ail other
applicab.e :aws. All work will are 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 sore than 180 days.
------------------------------------------------------- REGUIRED INSPECTIONS ---------------------------------------------------------
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control
Post/Beal Struvt Plumb lop Out Low Voltage Gyp Board Insp Electrical Final _
Post/Beam Mechan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Fina; _
Crawl Drain Electrical Ro h Gas
Line Insp/2 Nat r Line Insp Pldmb Final
P,a r-m i t t e e lb i _ n��t r,.i r e : 'G'N��' I <s s�_r e d I_i '-
9
Call for iriapection -- 639-4175
SEWER CUNNEC 1ION
P,E Rlyl I T
CITY/ OF TIGARD PERMIT ##. . . . . . . : SWR96-0293
COMMUNITY DEv,LOPMENT DEPARTMENT DATE ISSUED: 07/09/96
13123 SW Hall Blvd.Tigard,Oregon 9722398100 (503)839-4171 PARCEL: IS12,3C;C—PB352
;,ITE ADDRESS. SW TALLWOOD DR
SUBDIVISION. . . . : PEBBLECREEK #3 ZONING: R-25
BLOCK. . . . . . . . . . .. L01.. . . . . . . . . . . . . :52
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . 0
CLASS OF' WORK. . . :NEW DWELLING UNITS- 1 I
TYPE OF USE:. . . . . :S6 NO. OF BUILDINGS: I
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 Sf
Remarks: PATH I
Owner: FEES
COS-i.q PACIFIC HOME:-.. type amoljnt by date recpt
862560 CASCADE: BLVD f-''SMT $ 2200. 00 JSD 07/09/96 96-281412
SUITE #606 P, $ 45. 00 JSD 107/1119/96 96-28141,:
BEAVL-RTON OR 97008
Phone 44 .- 646----886(3
Contractor:
CONT RAI'I'TUR NOT ON FILE
Phone 2i--'-135. 00 'TOTAL
Req #.
REUJUIRED INSPEC11ONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires M days fias
the date issued. The total amount paid wili be forfeited if the
persit expires. The Agency Joes not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect j feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and t Agency will insV) lateral.
k,e I,M i t t e e S,I q T1 a t I
f s s i-i P d B y
Call for inspection 639-4175
Ole City of Tigard Residential Building Permit Application
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
.Jobsite Address: _1550 SW Tallwood Drive
:iui: iivision: Pebble Creek 3 Lot # 52 Office Use Only
Valuation: _���/ "�/ f Contact Date
Result Initials
7 -
New Construction Only: (Sauare Footage) Planck/Rec #k- 31
/
House _ 2061 s f Garage: 546 s f Permit #Reissue of ,0 "
I.
- 216 1
Corner Lot? Y N Flag Lot? Y N Map & TL# S 7,
Lone
Owner: Costa Pacific Homes Plat # 7 ? q 't
Address 8625 SW Cascade-Ave. , Ste . 606 "provals Require,,��dll 1 {
Beaverton, CA 97005 Planning Setbacks( r1 Soia4letj
Engineering' 1 _ � (, Iq-1(0 (*' N J
��.i_��PIL�n• n �e�t'
Phone ( 50� 646-8888 Other_______
Contractor: SAMP. Items Required
Address: Subcontractors
-- Truss Details
Other
Phone: I_ 1 Notes
Contractor's License # 65157
Erol
(attach cc�y of current Oregon license)
Contact Name: _ Barbara L. Biron ---
Contact Phone: L 503) 646-8888
Subcontractors: Architect/Engineer: Iverson Associates, Inc.
Plumbing: Wolcott Plumbing Address: 151 Kalmus Drive, Suite C-140
Mechanical: Arco Installations , LTU
Costa Mesa, CA 92626
(attach copy of current OR Contractor's License)
Electrical : Bear Electric Phone: ( 714 549-3479
JGB DI SSC TION
Applica t ianature Applicant Phone number
Received by. �- 4 Date Received: �f_
RUM
Permit Account Description Amount Amt. Pd.
BsI, Duo
Bldg. Permit (BUILD)
_ Plumb. Permit (PLUMB) 2 Z Z
Mech. Permit (MECH)
Bldg:
Plumb: 2.
Mech: o; Z
Plan Check (PLANCK) —ru
Bidg: c
Plumb:
Mech: ;'-��
Sewer Connection (SWUSA) �U ��
Surer Inspection (5WINSP)
Parks Dev Charge (PKSDC) u G
Residential TIF MF-R) U _
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional T'F (TIF-IS)
Office TIF (TIF-0)
YJater Quality (WQUAL) •
!� r /may
—/-�_
Water Quantity (WCUANT) J eld
Fire Life Safety (FLS)
rosion Cntri Permit (ERPRMT) —=-•,< _
k
rosion Pla.ick/USA (FRPLAN)
rosion Planr_kICOT (EROSN)
TOTALS:
JUN••04-1996 18:27 CES
Q 46'14'38"
R 18.0U'
,y6 _, _ SANITARY MAIN _ _ L = 14.53'
� TQRhj MAI '.N 14.14'
CB N 6`x'14'49" W
WATER MAIN _ 4
oc .°� --7-- 6 ; 25'37'39"
SW TALLWOOD DRIVE R = 35.50'
WATER << v CURB
M —� J v 1�` L = i 5.88'
METER
S 88'�2_'Ot3 EI 48.86' Ct1 15.75'
C8 N 54'56'19"
15' FRONT
°
PARD SETBACK \ 1g7 6
r
SEUUIIMENT
GFF 198.5 ° DRIVLWA'r' ` f
u7 INIi:
GRAVEL C)
CONSTRUCTION I (j'� Q
YARD � , ENTRANCE
r) SIDE r,j a
--T �
,,..
SETBACK -� �� 10' SIDE Y w
YARD
SETBACK? I uV) 40
LOT 52
r PIAN 2079 I I cv C.] j -�
FF - 199.0 I I Q
1
'fe"P15' REAR
6' PUF
._.YARD_SETBACK -�-�
75.00' 1
TAX MAP 1 S1 33CD
TAX LOT 16200
NOTA: CONTOURS ANU UT1UlY INFORIA-"ON
TAKEN FROM CONSTRUCTION PIANS PREPAK-O
SCALE: 1" 20' BY THE SUBDIVISION ENGINEER. VERIFY INFORM:.BION
�10WN gUORE 9E(pNNING CONSRUCTION. CORNER
AND
EIFVATIONS
OALSO ILD VER FIC C014TUUR/GR.ADING PIAN
zn 10 n zu
DATE
CONSULTING ENGINEERING SE<15' INC] L=0. 3
13256 N W c;aEENB�iER Ft RK WAY
PEBBLEFIGURF6EAVEIITON. OR 97006 (503) 690-6800 T1GARLOT5zowa
227