11574 SW TALLWOOD DRIVE a
ADDRESS:
i:\records\microflm\targets\building.doc
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171
CERTIFICATE OF
OCCUPANCY
PERMIT M. . . . . . . r M5T96--0270
DATE_ ISSUFDI 11/05/96
PARCyEL s 15133CC--PB353
ADDRk faa-. . . s 11574 SW TALLWOOD ISR
9013D I V I G I ON. . . . a PEDBL.Er:'REEK #3 ZON I NO s R--^5
BL.00K. . . . . . . . . . a LOT. . . . . . . . . . . . . 15.3
CLASS OF WORK. aNEW
TYPE OF USE. . . 1 SF
'TYPE OF CONSTR a R5N
OCCUPANCY GRP. s R3
OCCUPANCY LOAD1 ..
;,.emairknu PATH I
Owner: _...__.___...._.._______.___....._.._._..---.._.___...._.__.
r.0S TA PACIFIC HOMES
9625 GW CASCADE BL.VI1
E.;U I TE: 606
RE V OERTON OR 97000,
0hone #s 646-801.3. 0
OSTA—FRAC I r I C HOMES
ib:-l!i SW CASCADE AVE STF. 601,
�3EAVE"R O'.')N OR 9'10Q'5
'h u n e #t 503-646-8888
Peg #. . 1 63157
thi ,4 Certificate grants ocr•upanc•y of the above referenr.ed building or portxi_r
+-her •of and confirms that the bui Idinp hays been irispeyc.tod for compliance with
' lie State? (if Oregor Specialt v Cudes fcw the gi sup, ocrwrancy, @00 c.ts9e under
-.ahic_h thq r-eferatir.ed perm A wa% ivsued. �..
A HARING ,FEEL" nF2 BUILDING OF=f-ILIAL
POST IN CONGP I CUOUS PLACE.
r ,
— 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 Mech. Shear/Sheath Framing -Meeh
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam StrUCt, Mech. Rough-in Gyp. Bd Bldq.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _ ^_
Date: /ZU --�9� A.M.—P.M._._— Entry:/ _
Address � L / Gc�s^�ty s3 0
Tenant Ste:_-- MST:
Ld ( 4.�– S7JS/yet _
Concon/Own: mECBLIP��MEC:_.
Z-D ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector:
__APPROVED DISAPPROVED/CALL FOR REINSP CF CO
•
i
i
Page No. 1 CASE HISTORY FOR CASE NO.: MST96-0270
COSTA PACIFIC HOMLS
11574 SW TALLWOOD DR
08/7.1/98
Action Description Req/ Schd/ End/ ;,pion Notes Disp By update Upd
Code Sent. Done Done Date By
MSTA005 Application received / / / / 05/21/96 PASS JH 01,/29/96 BT2
MSTA008 Permit Created / / / / 05/29/96 PASS RT 05/29/96 BT2
MSTA010 Check for prel. restrict. / / / / 05/24/96 PASS BUN 05/29/96 BT2
MSTA012 Plans routed to Plans Examiner / / / / 05/24/96 PASS BON 05/29/96 BT2
MSTA026 Plans approved by Plans Exmr / / / / 05/29/96 PASS RT 05/29/96 BT2
MSTA030 Reviewed plane routed to DSTS / / / / 05/19/96 PASS RT 05/29/96 BT2
MSTA080 (F) Ready to issue / / / / 05/.1C/96 PASS CJS 05/30/96 CJS
MSTAU92 (F) Issue combination permit / / / / 07/11/96 PPAS CJS 07/11/96 CJS
MSTA097 Issue plumbing signature form / / / / 07/11/96 PASS CJS 07/11/96 CJS
MSTA098 Issue electric signature form / / / / 07/.1/96 PASS CJS 07/11/96 CJS
MSTA705 Footing Insp / / / / 07/10/96 PASS RB 07/23/96 BT2
MSTA106 Foundation Insp / / / / 07/2!/96 APP KS 07/24/96 KBS
MSTA710 Post/Seam Structural / / / / 08/02/96 APP KS 08/03/96 KBS
MSTA711 Post/Seam Mechanical / / / / 08/02/96 #-1 connect main trunk to furnace A/N KS 08/03/96 KBS
plenum
M9TA717 PLM/Und-rfloor / / / / 07/31/96 NR M8 08/01/96 MRS
MSTA717 PLM/Underfloor 08/01/96 / / 00/01/96 PASS M8 08/01/96 MRS
MSTA720 Mechanical Insp / / / / 09/26/96 see framing notes this date; FAIL RS 10/03/96 RB
MSTA720 Mechanical Insp / / / / 10/03/96 seal holes In exhaust vent FAIL RS 10/03/96 RB
MSTA720 Mechanical Insp / / / / 10/04/96 un resolved issues- drywaller's $ 15 RS 11/18/96 RB
installing at this time stopped work
see insulation this date
MSTA720 Mechanical Insp / / / / 10/09/96 PASS RB 11/18/96 RB
MSTA722 Plumb Top Out / / / / 09/13/96 PASS MS 09/17/96 MRS
MSTA723 Electrical Service / / / / 09/24/96 PASS MJR 09/7.4/96 MJR
MSTA724 Electrical Rough In / / / / 09/24/96 PASS MJR 09/24/96 MJR
MSTA725 Framing Insp / / / / 09/25/96 l cloosr tie r.eeded; lateral brace FAIL RB 10/03/96 RB
garage header; ,protect elect. conduit;
exhaust venting disconnect; block
balloon framing; strap plates; insulate
6 flame spread fireplaces.
r;STA725 Framing Insp / / / / 10/03/96 meth issue -AIL RB 10/03/96 RB
!iSTA725 Framing Insp / / / / 10/04/96 un resolved issues drywaller's FAIL RB 10/04/96 RB
installing stopped cork
see insulation this date
MSTA725 Framing Insp / / / / 10/09/96 PASS RB 10/10/96 KAS
MSTA726 Shear Wall Insp / / / / 09/19/96 nail splices at rear shear wall 6 wings; FAIL R9 09/19/96 RS
secure HD's at wings.
Page No. 2 CASE HISTORY FOR CASE NO.: MST96-0210
COSTA PACIFIC 140MES
11574 SW TALLWOOD DR
08/21/98
Action Description Req/ Schd/ End/ Action Notes Diep By Update Upd
Code Sent Done Done Date By
MSTA726 Shear Wall Insp / / / / 10/04/96 see insulation this date FAIL RB 10/04/96 RB
MSTA726 Shear Wall Insp / / / / 10/09/96 PASS RB 11/18/96 RB
MSTA735 Gas Line Insp / / / / 09/25/96 0173974 PASS RB 10/03/96 RB
MSTA'740 Insulation Insp / / / / 10/03/96 firestop thru penetrations as marked FAIL RB 10/03/96 RB
msTA740 Insulation Inap / / / / 10/08/96 un resolved issues stopped drywaller's $ 15 RB 10/08/96 KAS
Reinspection fee $15.00 paid 10/08/96.
MSTA740 Insulation Insp / / / / 10/09/96 pending- plug holes at rear shower PASS RB 10/10/96 KAS
cavity
MST'A745 Gyp Board Insp / / / / 10/11/96 not. readyl FAIL RB 11/04/96 RB
MSTA7,5 Oyp Board Insp / / / / 10/14/96 APP t,3 11/18/96 RB
MSTA755 Rain drain Insp / / / / 07/26/96 PASS MS 07/29/96 MRS
MSTA760 Water Line Insp / / / / 07/26/96 PASS 11/18/96 RB
MSTA765 Appr/Sdwlk Insp / / / / / / PRIVATE STREET N/A PI 11/21/96 JT
MSTA790 Rlectrical Final / / / / 11/13/96 PASS MJR 11/15/96 MJR
MSTA795 Mechanical Final / / / / 11/15/96 AFP OS 11/15/96 OFF
MSTA797 Plumb Final / / / / 11/18/96 PASS MS 11/18/96 MRS
MSTA799 Building Final / / / / 11!18/96 appr/sdwk; usa final FAIL RB 11/18/96 RB
MSTA799 Building Final / / / / 11/19/96 APPR PEND SIDEWALK AND APPR PEND OS 11/19/96 OES
MSTA799 Building Final / / / / 11/20/96 APP OS 11/20/96 GES
MSTA960 (F) Issue Cert. of Occupancy / / / / 11/05/96 11/21/96 JT
MSTA970 Case Finaled / / / / 11/20/96 APP OS 11/20/96 GES
C1TY OF T I GARD MASTER PERMIT
PERMIT #.. . .
. . . . . . . .
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/11/96
13125 SW Hell Blvd.Tigard,Oregon 97223*6199 (503)639.4171 PARCEL.: I S I 33CC—PB353
I l L. . . . �,vv ; L!i� f_--] 4
�UBD I V I S I ON. . . . : P,i L_ECREEK 03 ) ZONING: FR-25
LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :53-
PATH I
-----------------------------------—-—--------------------— BUILDING -----------------------------------------—-—---------—------
RF ISSUE: STORIES......... 2 FLOOR AREAS---------- BASEMENT... 0 sf REDUIRED SET80CKS---- REQUIRED---------------
CLASS OF WORX.;NEW 4EIGHT........1 22 FIRST....., 1216 sf GARAGE.....: 498 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:7 FLOOR LOAD....: 40 SECOND...: 292 sf FRONT.........1 20 PARKING SPACES: I
TYPE OF CONST.i5N DWELLING UNITS, I F I NBSMENT: @ sf RIGHT........... 5
OCCUPAKY SRP.:R3 BDRM: 3 BATH: 3 TOTAL- 1508 sf VALUE.A: 106023 REAR..,......... 15
-------------------------------------------•------------------- PLL14B I NG ----------—-----------------------—-----—-------------------
SIWS.........: I WATER CLOSETS.1 3 WASHING MACH..: I LAUNDRY TRAYS.- 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 3 DISHWASHERb...i I FLOOR DRAINS.... 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS..- 0
TJB/SHOWERS...: 3 GARBAGE DISP..: I WATER HEATERS.: i WATER LINE ft: 100 BCKFLW PREVNTRi I GREASE TRAPS.., @
OTHER FIXTURES: 0
--------------------------------------------------------------- MSCH4NICAL ------------—----—-----——-—-----------—------—---------
FUEL TYPES--------- FURN ( IM I BOIL/CMP ( 3HP; 0 VENT FANS,....: 4 CLOTHES DRYERS: I
/GAS/ / / FURN )=1009 @ AIT HEATERS.. 0 HOODS.......... 1 gTiCR UNITS...: i
MAX INP., 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 W0005TOVES....1 0 GAS OUTLETS...% I
-------------------------------------------------------------- ELECTRICAL -------------------------------------------------------------
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVCIFEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ACD'L INSPECTIONS--
I000
NSPECTIONS—IM SF OR LESS: I @ - M arp,.: 0 0 - 260 alp..: 0 W/SVC OR FDR..; @ PUMP/IRRIGATION: @ PER INSPECTION: 0
EA ADD'L 5008F.: 3 2*1 48@ @ 201 - 400 alp.., @ Ist W10 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HWR......
LIMITED LNERGY. : 0 401 6e0 alp..: 0 401 -- 600 alp..: 0 EA ADDL FR CIR: 0 SIGNAL/PANEL...; .1 IN PLANT......:
MANF 4M/SVC/FDR.- P 601 IN@ alp.I , fiel+amps-loft V: 0 MINOR LABEL -10: 0
I0004. amp/volt.: e -------------------------------------- PLAN REVIEW SECTION -.---------------------------..
Reconnect only.: 0 )=4 RES UNITS..: SK/F002225 A.; 1688 V NOMINAL, CLS AREA/SPC OCC:
------------------------------------------------------ ELECTRICAL - RESTRICTED ENERGY -----------------------------------------------------
A. SF RESIDENTIAL-----------—-------------- B. COMMERCIAL---------------------------------------------------------------I-----------------
AUDIO I GTEREO.-, VACUlir; SYSTFN.. AUDIO & STEKO.: FIRE ALAPM_...-, INTERCOM/PAGING; OUTDOOR LNDSC LI:
BURGLAR ALARM..- OTHi 11 X BOILER.........: HVAC............. LANDSCAPE/IRRIG: PROTECT!V." SISK:
GARAGE OPENER..: CLOCK........... INSTRUMENTATION: MEDICAL........: OTHR: 1:
HVAC...........: DATA/TELE CONN.- NUnE CALLS...., TOTAL 0 S',STEMS: 0
Owner: -------------- -----------------------Contractor: ----------------------------- TOTAI. FEES-$ 4320.52
COSTA PACIFIC 40111ES COSTA-PACIFIC HONES
8625 SW CASCADE BLVD 8625 SW CASCADE AVE STEAK
SUITE 606
BEAVERTON OR 97888 BEAVERTON OR 970N5
Phone 0: 64-8886 Phone 0: 503-646-8888
Req C.: 65137
This permit is issued subject to the regulatilii)s contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all ether
applicable laws, All work will be done in accordance w0-h approved plans. This permit will expire if work is not started within 1144'
days of issuance, or if work is suspended for more than 180 days.
---------------------------- REWIRED INSPECTIONS ----------------------_- -----_----..----..- ---
Footing
-----------------
Footing Insp PLM/Underfloor Shear Wall Insp Insulation Insp Appr/Sd4lk Irsp Erosion Control
Foundation Insp isIchanlcal Insr Loot Voltage Gyp Board In5c Electrical Final
Post/Beam St*-ict Plumb Top Out fireplace Insp Rain drain Insp Mechanftal Final
Postdeja Me-han Electrical Semi Gas Lite in5p Water Lite Insp Plumb Final
L-awl Drain Framing Inspice In Building Final
v,ir i t t o e 1�;i q n i t 1_1 y e : A/A PA P d NY '
L, cit- i ri s p e c:t;i o n 6,39-41 7:_
SEWER FONNECTION
CITY OF TIGARD
P-'IRM. F
T.PERMIT #. . . . . . . : 5WR96-0253
COMMUNITY DEVELOPMENT DEPARTMENT DATE 15)Sl,X-D; 107/ 11/1)b
13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL: IS133CC-PIS353
PE:L .,'-ECREEK #3 ZONING. R-25
L-ALOCK. . . . . . . . . . i-ur. . . . . . . . . . . . . :53
TENANT NAME:. . . , . :
USA NCI. . . . . . . . . . : F1 XI-LIRE UNITS, . . . 0
CLASS OF WORK. . . :NEW DWELLING UNIT:3. . : I
TYPE OF USE, . . . . :SF NU. OF BUILDINGS: 1
INSTALL TYPE. . . . :SUSWR IMPERV SURFACE 0 f
Remat-kb : PATH I
(Jweer: FEES
COS'TA PACIFIC HOMES
ypo amolint by date recpt
8625 SW CASCADE BLVD P R m"r* s 2200. Q10 CJS 07/11/96 96-281415
GUITE 606 1 NSP $ 35. 00 CJS 07/ 11/96 96-2814 !
BEAVERTON ON 97008
V-'Ihone #.- 64L-88313
Cantv,actov,.
CONTRACTOR NOT ON FILE
$ x'-23,5. QryI'OTAL
Seg #. . .-
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer- Inspec.,tion
of the Lfrified Sewage Agency, The permit expires 189 days from
the date issued. The total amount paid will be forfeitei if the
permit expires, The Agency does not guarantee the accuracy of the
side sewer iater, s. If the sewer is not located at the measurement
giver, the installer shall prospect 17 feet in all directions from
the distance given'. If not so located, the installer shall purchase
a 'Tao and Side Sewir" Permit and the A will in-tell a ter
40
Call for- inspection 639-41'75
Residential Quildin Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: ____ 1 15.74 SW To I lwood Drive I(C�
Subdivision: _Pebble Creek #3Lot # �3
Office Use Only
Valuation: _ �[ •A' / t (p U Contact Date C /�� Initials '
_l__�--- Result 7
New Construction Only: (Square Footage) PlancWRec #
Permit # /rj r _p
House '__, ---__' ` Garage: / t�_-- - -
Reissue of
ComMap & L#11
Comer Lot? Y N Flag Lot? Y N Zone l _
flat #
Ov,ner: Costa Ppcifi_c Homes
Address: 8625 SW Cascade Blvd . #606
Approvals Required '
Beaverton, OR 9/008 Planning Setbacks , Solar 1
— Engineering%r1 br, (%w9 (c I I _►(�
Phone j 503 6 646_8888 _ Other —
Items Re uired
Contract r: S1aMF
Subcontractors _
4ddr .ss Truss Details
Other
Phone: L � Notes --
Contractor's License # 6_5_L5 7
(attach copy of current Oregon license)
Contact Naine Marci Weber
---- t f,Ctc� F, >'
Contact Phone 1503 ) 646-8888
50contractors: Architect/Engineer: Iverson Associates
Plumbing: Wolcott Plumbic�dAddress 151 Kalmus Drive C. 140
Mechanical: Arco Installations _ rasta_M2ail, CA 92626
(attach copy of current OR contractors license)
Bear Electric Phone: (__714 i 54 3479
JOB D'.7SCRIPTION:
sit
A plc a Sign3tL]Il Applicant Phaieber
Received by. - 1: Daae Received: r CI
w ue�wnvwye —
��nc�J
trIREIR v
Permit Account Description Amount AmL Pd. BaL Due
Bldg. Permit (BUILD)
Plumb. Permit (PV'-WB) -z 2
Mech. Permit (MECN) ILL
j qv
i _..
Stats Tax (TAX)
Plumb; lrl'L i
Mech:
Plan CheckP( LANCK)
Plumb:
Mech:
v,;� Sewer Connection (SWU 1A) U von
:3ewer Inspection (SWINSP) j 3 J"
Parks Dev Charge (PKSOC) 5'U (.> SL'
Residential TIF MF-R) q 2v
70ass Transit TIF (TIFAIT)
Commercial TIF MF-C)
Industrial TIF MF-I)
Institutional iF (71F4S)
Office TIF (TIF-C) _
Water Quality (WQUAL)
Water Quantity (WQUANT7
Fire Life Safety (FLS)
E.-osion Cntrl Permit (ERPR%1) (` i
Erosion PlanckJUSA ;'RPLAN) ,fit) i�r , •�Y�
E:•ortion Planck.ICOT (EROSN)
Ql<.
TOTALS: l.:� `:a,�, .LL ��.. ;01; Z.-
1
MAY-21-1996 14:06 P.02
WATER MAIN
Q y -
H Q
z2
CUA � a
S 88'22'08 E 52.00' ' METER
r
9' PUE I'
RI20 GARAGE T
DRIVEW}1Y SETBACK
1grp •=• _.. _L..
GRAVEL J SEDIMENT FENCE
CONSTRUCTION N
ENTRANCE 0 u7
o
�j GF' = 197.5 �
• --I 5' SIDE YARD SETBACK
5' SIDE YARD I
SETBACK
1 LOT 53 I,
PLAN 220 3
� I
•"' FF 198.0,
0L
O
J
200
L 15' REAR YARD
SETBACK
<:77—
NN 2�1
0�
r l c o 5 h5 9 p0
N 88'22'08" W
35.00'
TAX MAP
TAX LOT
NOTE: CONTOURS AND UTILITY INFORMATION
TAKEN FROM CONSTRUCTION PLANS PREPARED
BY THE SUBDIVISION ENGINEER. VERIFY INFORMATION
SHOWN BEFORE BEGINNING CONSRUCTION. CORNER
SCALE: 1' 2(' ELEVATIONS OBTAINED FROM CONTOUR/CRADING PLAN
AND SHOULD ALSO BE VERIFED.
20 10 0 2:
CO\SULTNG FNGmE'DIN LOT 53 r,A TE
_ G SERv�CES, �A s/z+roo
"_2S6 �+.w GrtFFhdl!.� PAFK�ra„ PEBBLE CREEK NO. 3 E1GiJRE
BEAVE'�C'+. i)Q a'CC6 ;°C!? S9U i�C TIGARD, OREGON
l0T'S3.awC
42`
TCTGL F.e2
i