11629 SW TALLWOOD DRIVE ADDRESS:
i:\records\microflm\targats\hullding.doc
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C,1, ir I CATE
0(-,CUPC;N(
PERMI1 #. . . . . . . t IIST94-12119�i
CITY OF TIGARD DATE ISSUED: 02/21/95
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orogon 97223*B100 (503)639-4171 PARCEL: 1S133CC--0i:.'000
�rrL A4 il-fl-A.O(Aju
jUBDIVISION. PEBBLECREEK Z ON I NG R 25
1,LOCR. . . . . . . . . . .. LOT. . . . . . . . IA 14
'LASE OF WORK. ;NEW
YPE OF USE. . . -SF
!)CCUPANCY GRP. cR3
OCCUPANCY LLAD s225 4
i ENANT NAME. . . -
f4mmv-k% g PATH I
Awnert
t,'06 T'A PAC I F I C HOMES
14700 cjW OSPREY DR
4 *':27 5
F3EAVERTON OR 97007
Phone #s 646 -88138
COMA-PACIFIC HOMES
i4780 SW OSPREY DR
14 275
pE.AV[7FMN OR 97007
'8668
6 5 15 7
uc cut. mcy of the above t-efet- enced building is heveby given, and certifies
[--he rompliancol with the ;tate Of Ch-egan Specialty Codes fo- the group,
c)c'ci-ipanc:y, and use under which the referenced permit wm?
BUILDING INSPECTOR (AT 1.D t4WAc I At..
POST IN CONSPICUOUS PLACE.
CITY OF TIGARD BUILDING INSPECTION NOTIO':E
Inspection Line (Rec-O-Phone): 639,4175 Business Phone: 639-41,
Inspec,tion:_,��
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in 9 Fireplace
Post/Bearn Struct. Plbg. Top Out Elec. Rough-in (�NA_L;
Post/Beam Mech. San. Sewer Gas Line
Plb Underfloor --c"
9 Rain Drain Framing -Plumb.
Alarm Water Line Insula, an
r 1 ec_iD
Underllr. Insul. Shear Wall
/ Gyp. Bd. -Elect.
Date Requested: --� /—�/ r%`., Time: AM _ PM
Address: C
Builder: 511--' SY1.1 C� Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
Inspector:
Date
_APPROVED
_DISAPPROVED 4*Pf'ROVED SUDJE:,T TO ABOVE
Call For Rainsp.
Page No. 1 CASH: HISTORY FOR CASE NO.: MST94-01S4
COSTA PACIFIC HOMES
11629 SW TALLWOOD DR
08/21/98
Action Description Rey/ Schd/ End/ Pction Notes Disp By Update Upd
Code Sent: Done Dont Date By
MSTA007 Application received / / / / 05/17/94 PASS SW 05/18/94 BLT
MSTA010 Plan check deposit paid / / / / 05/17/94 PASS SW 05/18/94 BLT
MSTA020 Plan check by 05/18/94 / / 05/16/94 PASS RT 05/18/94 BLT
MSTA030 Check for prel. restrict. / / 05/18/94 05/18/94 PASS JLG 05/18/94 BLT
MSTA092 (F) Issue combination permit / / / / 05/31/94 JF 05/31/94 JF
MSTA097 Issue plumbing signature fo-'m / / / / 05/31/94 JF 05/31/94 JF
MSTA705 Foot/found Inap / / / / 06!07/94 not ready FAIL RB 06/07/94 RB
MSTg705 FooL/found Insp / / / / 06,'08/94 Pending: Install remainder of seismic PASS WEW 06/09/94 RS
restraints per approved plan, Install
remaining vents. install footing drain.
Please verify that lateral analysis and
foundation plan are compatible.
MSTA710 Post/Beam Structural / / / / 06/24/94 APP GS 06/24/94 GES
MSTA711 Post/Beam Mechanical / / / / 06/24/94 APP GS 06/24/94 GES
MSTA717 PLM/Underfloor / / / / 06/23/94 PASS MS 06/23/94 MRS
MSTA720 Mechanical Insp / / / / 10/07/94 SEF: FRAMING THIS DATE FAIL RB 10/11/94 RS
MSTA72^ Mechaoical Insp / / / / 10/10/94 OVER SPANNED HEAD2R IN GARAGE; EX14AUST FAIL RB 10/11/94 RB
VENTING INCOMPLETE; B-VENT CLEARANCE;
ENCLOSE LID AT FAMILY ROOM; ADDITIONAL
2' NEDDED BETWEEN UPSTAIRS WALLS.
MSTA720 "^chanical Insp / / / / 10/11/94 SEE FRAMING THIS DATE FAIL RB 10/13/94 RB
MSTA720 M,°Chanical Insp / / / / 10/12/94 PASS GS 10/26/94 RB
MSTA722 Plumb Top Out / / / / 09/19/94 WASTE OK LIS GS 09/19/94 GES
TEST WATER TO 500 MIN
MSTA722 Plumb Top Out / / / / 09/21/94 PASS MS 09/21/94 MRS
MSTA725 Framing Insp / / / / 10/07/94 H-3 CLIPS AT MMIUF. TRUSSES; GARAGE FAIL, RB 10/11/94 RB
ACCESS; OVER-SPA'7NRD HEADER AT GARAGE
WINDOW- ENG. FIX; P(SITIVE CONNECTIONS;
EXHAUST VENTING IN-70MPLETE; 1" CLEARANCE
FOR S-VENT MASTER BATH; BEAM SUPPORT AT
MASTER CLOSET; ENCLOSE UNUSABLE SPACE
FAMILY ROOM/MAIN FNTRY; ENCLOSE WALL
SPACE AT FIREPLACE; ADDITIONAL 2' NEEDED
FOR PROTECTION OF FALLEN BLOWN IN
INSUL.A'rION INTO SPACE BETWEEN 2 WALLS
UPSTAIRS; SUPPORT CEILING JOISTS . NW
BEDRM; SUPPORT RAFTER SAME; ROOF LINE
BLOCKING; SUPPORT CEILING JOIST NE
BEDRM;
i
Page .,To. 2 CASE HISTORY FOR CASE NO. : MST94.0194
COSTA PACIFI7 HOMES
11629 SW TALLWOOD OR
O8/21/9P
Action Description Req/ Schd/ End/ Accion Notes Disp By Update Upd
Code Sent Done D"ne Date By
MSTA726 Framing <REINSPn / / / / 10/10/94 SCE MECHANICAL THIS DATE. FAII, RA 10/11/94 RB
MSTA726 Framing <REINSP> / / / / 10/11/9+ EXHAUST VENTIN(li B VENT CLEARANCE; FAIL RB 10/11/94 RB
ENCLOSE ENDS FAMILY ROOM; 2' EXTENSION
TO BE DONE BY INSULATORS.
MSIA726 Framing <RFINSP, / / / / 10/12/94 B-VENT CIRARANCE OX PASS OS 01/25/95 RB
ENDS OF HORIZ CHASE OVER FAMILYRM ARCH
OK
2' EXTENSION NOT DONE
MSTA735 Gas Line Insp / / / / 10/12/94 APP OS 10/12/94 GES
MSTA740 Insulation Insp / / / / 10/12/94 NIR OS 10/12./94 CES
MSTA740 Insulation Insp / / / / 10/13/!4 APP GS 10/13/94 GES
MSTA745 Gyp Board Insp / / / / 10/18/5,4 # 1 provide gypsum under storage spare FAIL KS 10/18/94 KBS
stairs
0-2 flex duct not allowed to penetate
separation w,
M 3 seal around B vent penetrating
separartion wall between garage and
dwelling
MSTA145 Gyp Board Insp / / / / 10/19/94 p i-Seal around B vent maintain A/N KS 02/01/95 1'._a"
clearance to combustibles
0 2 This dues not include wonder board
for installation of
ceramic the
MSTA755 Rain drain Insp / / / / 06/13/94 PASS MS 06/13/94 MRS
MSTA760 Water Line rnsp / / / / 06/13/94 PASS MS 06/13/94 MRS
MSTA765 Al,pr/Sdwlk Insp / / / / 12/13/94 1. Be prepared to protect finish. PEND LT 12/16/94 SW
MSTA795 Mechanical Final / / / / 01/25/95 4 1 gypsum adjacent to return air DIS KS 01/25/95 KBS
supply penetrating garage ceiling
needs to be tight fitting
# 2 seal unused exhaust duct at kitchen
hood
0 3 support heat ducts at crawl space
# 4 support gas piping adjacent to
water heater ( at vertical 1
MSTA795 MechanicAl Firal / / / / 12/2 /95 APP KS 02/21/95 KBS
MSTA797 Plumb Final / / / / 12/20/94 PADS MS 12/21/94 MRS
Page No. 3 CASE HISTORY FOR CASE NO.: MST44-0194
COSTA PACIF;.0 HOMES
11629 SW TALLWOOD DR
08/21/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA799 Building Final / / / / 01/25/95 ELECTRICAL APPROVED 12.27-94 1111 DIS KS 01/25/95 KBS
PLUMBING APPROVED 12-2U 94
#-1- need erosion control approved
M-2-under floor insulation needs
supported also cwal space access door
need9 insulated
#-3- remove all loose wood and debris
from crawl space
N-4- need to locate low point drain
MSTA199 Building Final / / / / 02/03/95 q-1- under fl insulation needs secured 019 KS 02/06/95 KBS
# 2 remove all loose wood and debris
from crawl
MSTA799 Building Final / / / / 02/21/95 q-I support under floor Insulation as AIN KA
needed
MSTA960 (F) Issue Cert. of Occupancy / / / / 02/21/95 JF 03/09/95 JF
MSTS706 Erosion Control 1 / / / 02/03/95 APP TI, 02/06/95 KBS
M11STER PERMIT SF TIGARD FERMII #. . . . . . . .
M3T94
COMMUNITY DEVELOPMENT DEPARTMENT DATE. ISSUED: 05/31/94
13125 SW Hall Blvd.Tigard.Oregon 97223*8199 (503)039.4171
PARCEL: 113133CC--P'CLA14
Il`E ADDRESS. : 1162' r3W 1'ALLWUUI) 1.)F7
;-:)UBD L V I D I ON. . . . : PlE.8131_LCREE:K ZONING: R-2
I 'ICK. . . . . . . . . . : LOT. . . . . . . . . . . . :014
BUILDING
-�E I SSUE: DWELLING UN I T5: 1 BASE:Mc.NI.. . . . . . . . .0 s f
,-'LASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . ..490 s
H'YP'E OF USE. . . ::;I- FLUOR WFtkAS-- -__.__.-__.._ REUUIRED SE=.TBACKS---------•- .
i YPE OF CONST. :5N F I RST. , . . : 1419 5 f LLFT. . :b ft RIGHT. :5 f t
ICCUl--,PNCY GRP'. :R3 :iE(_(.:ND. . . :44.:_ s f FRON T. : 15 ft RF_faR. . :21b ft:
:TORIES. . . . . . . :,; THIRD. . . . :0 s f RE QU I RED ___.._-•-----___._____._..
'El GIAT. . . . . . . . :25 ft TO'I"AL-_. .- -- --: 1861 S1, '3110KE: DETECTORS. Y
•"LUOR "OAD. . . . :40 psf VA:._UE=. . . . . 94426 PARKING SPACES. . : 1
Remarl s : PATH I
F'L.UMNINO --_-_------_____...____.__.-____---_-___--__
INKS. . . . . . . . . . : 1 FL.UUP DRAINS. . . . :N BACKFLOW P'REVNTRS. . : 1
:_aVATURiES. . . . . 4 WF41F-H HEATERS. . . : 1 TRAPS. . . . . . . . . . . . ,. . :0
1 UA/SHOWE=RS„ . . . :,: LOUNDRY TRAYS. . . :0 CATCH BAf_'IN5. . . . . . . :12,
WATER CLOSET•S. . :3 SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0
DISHWASHERS. . . . : 1. WATER I INC (ft ) . : 100 OTHER ' I XTURES. . . . . .Iii
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : ].
MECI•INNICAL -__.__._._____. .. ___.___._______.__._. .__. FEES
FUEL 7YPE5--- - - - UN11 HIRS. . :LA type amOI..int by nate recpt
/UA`3/ / / VENTS . . . . . :0 TIF" $ 1520. 00 JF 05/31/94 -
MAX INPUT:111 B7U VENT' FANS. . : 4 BPR.T t 418. 00 JF 05/31/94
,-URN ( 1017.1K . . : I HOODS. , . . . .. : J. 13PLC $ 271. '70 SW 05/17/94 94- C.524c`_•
URN ) =10011, . . :0 WOOD STOVE. . :0 MPT" `x 2111- ')0 .;F V-5/?,1/94 ---
FLOOR FURN. . . . s0 CLO DRYERS. - 1 SSDC $ 280. 00 JF 05/31 /94
BUIL/GMP ( 3HP':k+ OTHER UNITS, I PARK $ `00. 1210 Jr- 05/31/94
VAS OUTLETS: 1 MP'RT $ 43. 50 JF 05/31/94 -
Owners _.___..._ ..._.. _._....__._._.___. __._ ___.__.___._...... ._._.._ ._.M1-'LC $ !0. 138 JF 15/:31./94 -
LUS IA P'AIF.IC HOMES M5P'C $ 2. 18 JF 05/31 /94
147B0 SW 0.91=113kY DR PP'RT $ t47. 50 Jr: 03/31/94
# 275 P5P'C $ 7. 38 JF 05/31/94 -
BEAVERTON C.IR 97007
T'hone #: 646-•8868
I_'ontr-actor:
1 .0'3 T'A-PA(:1 F IC HOMES
14/80 SW OSPREY DR
4# 275
BEOVER I UN UR 970k17
Phone #: 503-641,--8888
Reg 41. , . 651`:,/
$ 322E. 04 TOTAL
This perrit is issued subiert to the reculation$ cnntained in the ---- --- REQUIRED INSPECTIONS - ---
Tigard Municipal Code, State of O"t. Soecialty Codes and all other Fort/found Insp Fireplace Insp
applicable laws. All work will be dune ►r• accor-me with approved Post/Eleam Stri.lct C3a5 Line Insp
clans. This cs..,( will expire if r;erk is not started within 198 P'os.t/Beam Mechan Insillation Insp
days of issuance, or if work is <uspended for ror'--V .6a-
1$8 dI ill ays. P'lm/i-1nd51ab Insp Gyp, Board Insp
P'LM/Underf1aor R�air. drain Insp
Permiti ee Sign�.ti.1rp : .' _. MC-01anical Insp Water Line Insp
PIlAmb 'Top Cii_1t Oppr/Sdwlk Insp
Issi.led By : F-raminrl Insp MecV)anxcal Final
Call i ) inspect i on - 639--417
—� SE WF H (.UNNEC: 1 1 UN
CITE OF TIGARDPERM I I
VERMIT #. . .... .. . . SWR94_ 019,z.:
COMMUNITY DEVELOPMENT DEPARTMENT DATE_ ISSUED: 05/31 /94
/94
13125 SW Hall Blvd.Tigard,Oro;o 07223.8100 (503)838-4171
PARCEL: 1 S 13:3CC–Pff014
SITE ADDRESS. . . : 116c i.3 SW TALL.WO01) DR
SUBDIVISION. . . . : PEBBLEC REEK ZONING: R-2
L'i_UCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :014
-----------------------------------------------
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORN.. . . :NEW DWELT_I NG UNIT , : I
TYPE_ GF USE. . . . . :SF NO. OF BU I LD I NGS: 1
INSTALL TYF,,F . . . . :BUSWR IMPERV SURFAC'F. . : : sf
Remarks : PATH 1
Ulrinera –_..._._________,_.__._._.__.___.....____...___,________---_____.____.. FEE5
C:Ut:TA PACIFIC HOMES type amoi.Int by date recpt
14/6'6 S*W USPRE:Y 11H PRMT f L200. 00 JF 06/06/94 –
# 2-/5 ^15F' f 35. 1d0 JF LAC�/06/`j4 –
BEF;VERTON OR 97007
["hone #: 646-8888
Contractor:
WOLCOTT I-ALUMB I NG CONTRS INC'
P 0 BOX _'0117
GRESHAM OR 97030 ___..._______----__.–______-_____________._
Thane #: 667-1781 f c?c35. 00 101AL
17ey #. . a c:3Fs4'7
--- ----
REQUIRED INS PEJ:T I ONS -------
This Applicant agrees to curply with all the rules and regulations Sewer- Inspection
of the Unified Sewage Acency. The permit oxpires Jae days from
the date issued. The t,+':al amount paid will be forfeited if the
peveit expires, The Agt icy does not guarantee the accuracy of the
side sewer laterals. if tht sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. if not so located, the installer shall purchase
o "Tap and Side Snwer" Permit and the Agency will install a lateral.
Prmi.tt,ise Si.gnatbrei'z
5 s l.i e d S%/ : ----_.�__ ____..____.___.... __._V— ___ __.._. __ __ _ �_ . ._ _._. ......
Call for inspection – 639--4175
1 D i
IVU a- N
Residential Building Permit Application a
City of Tigard
13125 SW !-fall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 7-1-
/ / Ofttce Use O�
' Subdlvlslon: ��_t1L��e.�'�e�C__ Lot # %y _
off? z Planck/Rec # _„f
Valuation:
.'Permit# � G /
Owner: � rIr—$ Reissue of - --
Address: �/JlM �Gt? -S...Y l�/ri �Z
f r Map & TL # 11�2%/
y� 8 Approvals Required
Phone: --�-_
Planning z
Contractor: Engineering
Address: __. Other
Items Requ!red
Phone:
Fubcontractors
Contractor's License # '-
(attach copy of current Oregon license) Truss Details
Subcontrartors: Other
Plumbing: � � / 1
Mechanicali_li /
(attach copy of current OR Cont ctor's License)
Architect/Engineer:
Address:
Phone:
COMMEN-rS:
Applicant Signature & Phone number
Received by:_ _!y Date Received: _____
Permit # Account Description
Amount Amt. Pd. Bal. Due
rn5�l Bldg. Permit (BUILD) '.
Plumb. Permit (PLUMB) / U
Mech. Permit (MECH) G
State Tax (TAX)
-------
Bldg: 1_--
Plumb:
4 i
Mech-
Plan
echPlan Check (PLANCK)
Bldg: l0
Plumb: ___
10
Mech: _ (_ ✓
Sewer Connection (SWUSA) .
Sewer Inspection (SWINSP) --
Parks Lev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) /
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) -
Institutional TIF (TIF-IS)
Office I IF (TIF-0)
Water Quality (WOUAL)
Water quantity (WOUAN11
Fire District (FIRE)
TOTALS: