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11683 SW TALLWOOD DRIVE i 2 67 ADDRESS: II i:\records\microfIm\targets\buiiumy.doc i CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT CERT I F I CATS OF 13126 SW Hall Blvd.Tigard,Oregon 97223.6199 (603)639-4171 OCCUPANr:Y xxxx IDERMIT #. . . . . . . : MST94­0196 639--4171 DATE I`•SUE:Ds i '/2.::/94 PARCEL_: 1 S 1:33CC-01. 00 ITE ADDRh GG. . . r 11683 SW TAI_LWOOD LN AUBDIVISION. . . . . PEBBLEGRE.EK ZONINO:R ({DOCKLOT . . . . . . .. . . . . . . . ._01l I.'L.A!35 OF WORK. :NEW T'YPL OF USE. . . :SF OCCUPANCY GRP. :I?,3 OCCUPANCY L.OAD s 1 19 4 TENANT NAME. . . : Peimarks : PATH I Owners _.___.__._.._.__...._.___.___.......__. ...w___ _..._.__ .__...._ .. .. COSTA PACIFIC HOMES 14780) SW OGPRFY DR 427`5 BEAVE:R'rm on 97007 Phone #s 646 .436118 COSTA-PACIFIC HOMES 14760 34 11SGRrY DR # 275 BE 14VE RfON OR r)701?1 Phone #v '..,03 -64E _8888 Pey #. . : 65157 Occupancy of the above vefew-enced building is hereby givHn, and re•rtifip . I.he compliance with tha 173tate Of Oregon Specialty Godea. fov that gr-o1.jp9 c.ckipanvy, and use under- which the referenced I rmit waav� issu"ed. �LUDING I SPE:CTOR %` UIt_DI lrFICIAI_. POST IN CONSPICUOUS PL.AC r' �SPECTION NtYfICE city of TigarA Building Departmwmt 3-3125 BN Ball Blvd. Tk9ax-d, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I n spect ion s__�. — Footing Plbg. Undecal-,b Mech. Rough-in Pound. Plbg. Top Out Gas Line IM Poat/Ream Struct, San. Sewer Framing 1 Poat/Ream ria.-h. Rain Drain Insulation -plumb. Plbg. Underfloor Nater Line gyp. Bd. ..Mach. Times Dmtn Requesteds _ Addreae /I 1 Z) Z111-A Permit /07 y- 91/JI(y Builders_ TEE FOLLOWING CORRECTIONS ARE rawl"01 10 Dates ZZ- Inspector __ �.--_----- APPROVED DISAPPROVED ---- APPROVED SUBJEC 1 TO AROV6 call For Reinap. P•.ge No. 1 CASE HISTORY FOR CASE NO.: MEC96-0211 FONG MINERVA 11583 SW TALLWOOD DR 09/14/98 Action Daacr.iption Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MECA007 Application received / / / ! 07/01/96 2ECD CJS 07/01/96 CJS MECA060 (F) Issue permit / / / / 07/01/96 PASS CJS 07/01/96 CJS MECA705 Gas Line Insp 07/01/96 / / / / 07/01/96 CJS MECA715 Mechanical Insp / / / / 07/10/96 N-1 no one available / reschedule DIS KS 07/11/96 KBS MECA799 Final Inspection / / / / 07/15/96 M-1 no one available / second UIS KS 08/03/96 KBS inspection requested MECA799 Final Inspection 09/11/98 / / 09/12/98 Mr Fong, 590 4530 left me a voice mail NOTE JMT 09/11/98 JT that A.C. was approved on 7/18/98 and he has the inspertirn slip. I left a phoate message for him "provide us with a copy". Jeanne T. MECA799 Final Inspection 09/14/98 / / 07/18/98 received faxed copy of inspection from PASS KS 09/14/98 JT Mr. Fong MECA800 Case Finaled / / / / 09/14/98 09/14/98 JT MECHANICAL C1 TY OF TIGARD PERM IT COMMUNITY '1- COMMUNITY DEVELOPMENT' DEPARTMENT PERMIT #. . . . . . . : MEC96-021 1 13125 SW Lyall Blvd.Tigard,Oregun 97223.9149 (503)639-4171 DATE ISSUED: 07/01/96 PARCEL: 1 S 133CC---01700 SITE ADDRESS. . . : 11683 SW TALLWOOD DR SUBDIVISION. . . . : PEBBLECRE'EK ZONING: R--25 I BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . s011 CLASS OF WORN.. . t ALT FLOOR FURN. . . . : 0 ,:_VAP COOLERS: 0 -------- TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 V`NT FANS. . . : 0 OCCUPANCY GRA. . sR3 VENTS W/O APPLt 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 ,`UEL TYPES------------- -- 0 HP. . . . t 0 DOMES. INCIN: 0 :/GAS/ 3--15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTLJ 15-30 HFA, . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . t 0 CTAS PRESSURE. . . : 0+ HP. . . . : 0 CLU DRYERS— : 0 NO. OF UNITS-------------------- AIR HANDLING UNITS OTHER UNITS. : i F URN ( 100K BTLJ: N (w 10,600 cfm; 0 GAS OUTLETS. e 0 F.-URN ) =100K BTU, 0 ) 10000 Cfm: 0 Remar-ks: Owner: -__.._._.______.____..._._._____.___._..._._._._____.___ _____...__..______- FEES F= WE City of Tinard MECHANICAL PERMIT Planck/Rec. # J6 , IR ItZia 13125 sw Hall Blvd. APPLICATION Permit # m6c -Gail Tigard, OR 97223 (593) 639-4171 -or - escnpoon Table 3A Mechanical Code CITY PRICE AMT SOD 1) Permit Fee 0- -0- 10.00 Address _ _ '- 2) Supplemental Permit 3.00 r--- - �..aM a.) -Furnace �., = ! l r Qy 1) incl ducts 6 vents 6.00 ---Furnace 100,000 STU « Owner2) incl. ducts 8 vents 7.50 DP or-Furnancn� 3) incl. vent 6.00 Suspended heater,we eater _. _4'r ��l 4) or floor mounted heater 6.00 -earVxas en not-incl. in Occupant 5) appliance permit 3.00 Repair of h@abng're ng:-- 6) cooling,absorption unit 6.00 `-- Boiler or comp, eaF p'um`p,air-ccr�—" !- l bali / 7) to 3 HP absorp unit to 100K BTU 6.00 r- MWqr d Boiler or comp, a pump,air c� o--n-cl- ��y/.JC) 8) 3-15 HP absorp unit to 500K BTU 11.00 CtlntraCtOr - V/�/ i or or comp,hcat pump,air cond. n j 9) 15.30 HP absorp unit.5-1 mil BTU 15.00 Boiler or romp, best pump,av cone. 10) 30.50 HP absorp unit 1-1.75 mil BTU 22.50 TTiereby aCKnowl9age triat rnave read this application,that the Boiler or c6mV`h@--aJ pump, air cond. information given is correct,that I am the owner or authorized agent 11) ,50 HP absorp unit 1.75 mil BTI, 3750 of the owner,that plans submitted are in compliance with StateAir hanElling imr to laws, that I am registered with the ronstruction Contractor's Board, 12) 10,000 CFM 4.50 that the number given is correct. (11 exempt from State registration, "`Air handing in-T-- please n please give reason below.) 13) 10,000 CTM. 7.50 on poi e 14) evaporate cooler 4.50 Vent an ccomw T" _ 15) to a single duct 3.00 ventilation sys em not— 16) included In appliance permit 4.50 floodserved y 17) mechanical exhaust 4.50 Describe work new U addition a eraaon repair ontmercra or maustnaF to be e-)ne residential Q non-residential Q 18) type incinerator 30.00 -xis Iffiny use o C VOffi—r - eire.,w000dslove,w-" -`---' ` building or property Jr 19) heater, solar, clothes dryers,etc 4,50 sr Proposed use of20) Gas piping one to four outlets 2.00 building or property,_, J I) i Type of fuel •oil Q natural gas LPC Q electric Q 21) More than 4-per outletNOTICE ----- ' ---- __ _ Inimum Fee$25.00 SUBTOTAL 5 UO PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED !S NOT COMMENCED WITHIN 180 DAYS,OP 6%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR - ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. TOTAL Special Conditions Date issued 7 ! ' by C jS k%M[CN%r .o,Ao«M.r Page No. 1 CASE HISTORY FOR CASE NO.: MST94 0196 COSTA PACIFIC HOMES 11683 SW TALLWOOD DR 0'!/14/98 Action Description Req/ Schd/ End/ Action Notes Disp By Upda,_o Upd Code Sent Done Done Date By MSTA007 Application received / / / / 05/17/94 PASS SW 05/19/94 BLT MST.4030 Pian check deposit paid / / / / 05/17/94 PASS SW 05/19/94 BLT MSTA0:.0 Flan check by 05/19/94 / / 05/19/94 PASS RT 05/19/94 BLT MSTA030 Check for prcl. restrict. / / C3/19/94 05/01./94 PASS JIG 05/19/94 BLT MSTA092 (F) Issue combination permit / / / / 06/29/94 PASS SKW 06/29/94 914 MSTA097 Issue plumbing signature form / / / / 06/29/94 PASS SKW 06/29/94 SW MSTA705 Foot/found Insp / / / / 07/05/94 Pending- replacement of wph-22 with PASS RB 07/05/94 RB HPAHD-.:2; MAINTAIN SEIPMIC RCSTRAINT AND RRSAR PLACEMENT THERETO, MSTA710 Post/Beam Structural / / / / 07/19/94 PENDING- SUPPORT DRYER VENT; SUPPORT PASS RB 07/19/94 RB SLACK IN GIRDER POCKET (MARKED); SUPPORT GIRDER NOTCHED; RE-SUPPORT FLEX DUCT- 2 LOCATIONS MARKED; MSTA711 Post./Beam Mechanical / / / 07/19/94 SEE STRUCTURAL THIS DATE PASS RB 07/19/94 RB MSTA717 PLM/Underfloor / / / / 07/14/94 PASS MS 07/18/94 MRS MSTA720 Mechanical Insp / / / / 11/02/94 SEE FRAMING THIS DATE FAIL. RD 11/02/94 RD MSTA720 Mechanical Insp / / / / 11/03/94 MSTA223 PASS RB 11/03/94 RB Plumb Top Out / / / / 10/21/94 no test FAIL MS 10/21/94 MRS MSTA725 Framing Insp / / / / 11/02/94 TRIMMER STUD MISSING AT BACK DOOR TO FAIL RB 11/02/94 RB GARAGE; POST RIDGE AT MAIN ENTRY; POST RIDGE AT PWD LIVING ROOM; POSITIVE CONNR�711 ONS;DRYER VENT PLATE PROTECTION; SUPPORT DROP CEILING JOISTS; H 3 CLIPS MISSING AFT FAMILY ROOM; POSSIBLE METAL PLATE PROTECTION AT PLUMBING ABOVE SLIDER WEST; ENCLOSE LID OF UNUSABLE SPACE DOORWAY TO KITCHEN; EXHAUST VENTING INCOMPLETE; POINT LOAD OF MANUF, TRUSS MISSED BEARING SUPPORT- MIDDLE EAST BEDROOM. MSTA726 Framing <REINSP> / / / / 11/03/94 PASS RB 11/03/94 RB MSTA735 Gas Line Insp / / / / 11/02/94 PASS RD 02/03/95 RB MSTA740 Insulation Insp / / / / 11/04/94 0-1 provide protective collar a',. R vent A/N KS 12/04/94 KSS penetrating attic area at garage and secure to framing member; maintain one inch clearance at vent Page No. 2 CASE HISTORY FOk CASE NO.: MST94-0196 COSTA PACIFIC HOMES 11683 SW TALLWOOD DR 09/14/98 Action Description ken/ Schd/ End/ Action Notes Disp By Update Upd Code Sent lone Done Date By MSTA745 Gyp Board Inep / / / / 11/07;94 8-1- provide one inch eclearance at B A/N NS 11/07/94 KBS vent penetrating garage ceiling 0-2- this inspection does not include backing at stall shower, apply water proof gypsum or equal as backer for 1nita""tion of ceramic the or other ap iaterial. MSTA755 Rain drain Inep / / / / 07/08/94 PASS MS 01/11/94 MRS MSTA760 Water Line Insp ! / / / 07/08/94 PASS MS 07/11/94 MRS MS'rA765 Appr/Sdwlk Insp / / / / 12/13/94 1. Be prepared to protect finish. PEND LT 12/16/94 SW MSTA795 Mechanical Final / / / ! 12/21/94 APP GS 12/21/94 GES MSTA797 Plumb Final / / / / 1x;20/94 WATER HEATER NEEDS STRAPPING FAIL. MS 12/21/94 MRS MSTA799 Building Final / / / / 12/21/94 POST HOUSE NUMBERS DIS GS 12/21/94 GES CAULK EDGES OF TUB REMOVE WOOD FROM PIER PAD UNDER FLOOR STRAP 1 UNDERFLOOR DUCT 1 PIECE OF UNDERFL INSUL IS DOWN INSUL CRAWL ACCESS COVER MSTA799 Building Final / / / / 12/22/94 APP GS 12/22/94 GES MSTA960 (F) Issue Cert, of Occupancy / / / / 12/22/94 JF 01/09/95 JF MSTA9'70 Case Finaled / / / / 12/22/94 APP GS 12/22/94 GES I L CITY OF TIOARD MASTER pERM` -r F,ERMIT #. . , . . . . . MST94­01 9C COMMUNITY DEVELOPMENT DF;PARTMENT DATE ISSUED: 06/;:_:,9/'94 13125 SW Hall Blvd,Tigard,Oregon 97223.8196 (503)639-4171 PIARCEL: IS133CC--PIC011 SITE ADDRESS. . . : 11683 SW TRLLWOOD LINI SUBDIVISION. . . . : P'EBBLECREEK ZONING: R-25 BLOCK. . . . . . . . . . .I I LOT.. . . . . . . . . . . . . :011. BUILDING --- ------------------------- -- REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 Sf CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . 1447 sf ryr,i::* or USE— sr- FLOOR AREAS-­­­­­­ REQUIRED SETBACKS3­­­­­ -r"Y'PE OF CONST. :5N FIRST. . . . . 1702 sf LEFT. . :5 ft RIGHT. -5 ft OCCUPANCY GRP'. - R3 SECOND. . . :0 sf FRONT. :25 ft RE7AR. . :54 ft ,_;T*ORIES. . . . . . . .. i THIRD. . . . :0 sf REDU I ED------ HEIGH1 . . . . . . . . : 19 ft TOTAL.­---- - - : 17021 sf SMOKE DETECTORS. :Y FLOOR '_OAD. . . . :40 psf VALUE. . . . . $ -. 86338 PARKING SPACES. . : 1 Remarks : PATH I P,LUMBING 5 1 NKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACK�FLOW P.'REVNTRS. . : 1 LAVATORIES. . . . . .3 WATER HEATERS. . . : 1 TRAFIS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :2 LAUNDRY T PAYS. . . :0 CATCH BASINS. . . . . . . :JZI WATER CLOSET'S. . :2 SEWER LINE (ft ) . :O GREASE TRAP'S. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIX1URES. . . . . :0 5ARBAGE DISF,. . . : l RAtN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF--* RAIN DRAINE'. . : 1 MECHANICAL FEES FUEL TYPES-------- -------- UNIT HTRS. . -0 type a In a Un t by date recpt /GAS/ VENTS TIF $ 1520. 00 SW 06/29/94 MAX INPUT:O BTU VENT FANS. . :3 BPRT $ SW 06/29/94 TURN ( 10121K 1, HOODS. . . . . . : I BPLLC $ 256. 10 SW 05/ 17/94 94 252:42`, F",URN ­100K . . :0 WOODGTOVES. :0 135VIC t 19. 70 GW 06/29/94 - FLOOR P'URN. . . . :0 CLO DRYERS. : I SSDC $ :.`80. 00 SW 06/29/94 lA(]IL/CMF' ( 3liP':0 OTHER UNITS. I P'AM< $ 500. 00 SW 06/29/94 GAS OUTLETS: •1 MPIRT $ 40. 50 SW 06/`9/94 Owner,: -- - $ 10. 13 SW 06/29/94 - ( OSTA PACIFIC HOMES M5P`C $ 2. 03 SW 06.'2 11/94 - 1 4780 SW OSPREY DR PF.'PT $ 132. 50 SW 06/29/94 #275 P-15PC $ 6. 63 SW 06/29/94 DEAVERTON OR 97007 Phone #: 646--8888 C,ontt,actor,: ----------- COSTA­P'lPICIFIC HOMES t4780 SW OSPREY DR it 273 BEAVERTON OR 97007 Phone it: 503-646 8888 Reg #. . .- 65.157 ___._..__._____.__.___._..__.----..—__—_----_.--__—._--- f --------------------- $ 3161. 59 rOTAl- Th,; lersit is issued subject to the regulations contained in the ———— REQUIRED INSPECTIONS ligard municipal Code, State of Ore. Specialty Codes and all other Focit/found, Insp Fireplace Insp applicable laws. 1111 work will be done in accordance with ai.oroved Post/Beane Str-uct Gas Line Insp plans. This perjit will empire ifwork is not started within 180 Post/Beam Machan Insulation Insp days of issuance, or if work is su Inded Jqr soar than IN'tar'— Plm/undslAb Insp Gyp Board Insp ­... I f-,LM/Undet-floov, Rain dr-Ain Jnsp Permittee Signature: '- - 44-1�( Mechanical Insp WetWaterLine Insp Plumb Top nut Appv-/Sdwlk Insp 15,s u e d By : ` Framing Insp Mechanical Final Call for inspection 639-4175 CITY CSF TIGARD s�wEF� ERMITCrtaN PERMIT' PERMIT #. . . . . . . : SWR94,- 0194 COMMUNITY DEVELOPMENT D�p�T' DATE ISSUED: 06/29/94 13125 SW Hall Blvd,Tigard,O,apon 97223.8199 (5031639-4171 PARCEL: 15133CC—PC011 SITE ADDRESS. . . : 1, 1683 SW TALLWOOD LN SUBDIVISION. . . . : PEBBLECREEK 7.ON I i:G: R­25 BLOCK. . . . . . . " . " " LOT. . . . . . . . . . . . . :011 TENANT NAME. . . . . : USA NO. . . . . . . . . . : F'IXT'URE UNITS. . . . CLASS OF WORK. . . :NF_W DWELLING UIV I TS. . : 1 TYPE: OF USE" . . " . :SF NO. OF BU I LD I NGS: 1. INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : I Remarks : PATH I Owner: - -.-______.___._______.________ . .._________..----_________._. FEES COSTA PACIFIC HOMES type amol_tnt by date recpt 14780 SW OSPREY DR PRMT $ 2200. 00 SW 08/29/94 — #275 INGP $ 35. 00 SW 06/C-'91'34 — BEAVERTON OR 97007 Phone # : 846—•8B88 Contractor: -.__._--.__--__—____—-----_—_-----_ EONTRACTOR NOT ON FILE Phone #: E 2235. 00 TOTAL _._.._.___.._._ pEnIi;RED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspect (oil of the Unified Sewage Agency. The permit expires 180 days from — the date ;'ssuen. The total amount paid will be forfeited if the perms expires. The Agency does not guarantee the accuracy of the tide sewer laterals. If the 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 "rap and Side Sewer" permit and t>e Agency w ll install a 14er#Y_ �! ;lermittee Si gnat1_rre: I e d By Call for inspection 839-•-4175 <L\0P Residential Buildin Permit Application City of Tigard ��:•,.. _ .. 13125 SW Half Blvd. Tigard, OR 972.23 (503) 639-4171 ;r. Jobsite Address:1l.-$3 u //«JpdIVZ Subdivision:,l Lot it w Valuation: xw .ermh'if Owner: `✓ - Address.,�JC laves ' AMap87L _ f _�___ _ 'a3gpproval•S faeyVired Phone: -: Contractor: Address: Other Items Required ` Phone: Contractor's License #_ -(attach copy of current Oregon license) Tris,"Details Subcontractors: Plumbing: L .�.,...�..�.�...�.. Mechanical: (attach copy of current OR Contractori' t. Architect/Engineer: Address: Phone: COMMENTS: ��I [.'J L t- i�>t✓11a - zzjL—Z-Z Applin-ant Signature & Phone number RecPiv,-d by:�_� __ Date Received: ■ Permit # Account Description Amount Amt. Pd. Bal. Due `7lS/1I�'Ul l` Bldg. Permit (BUILD) C Plumb. Permit (PLUMB) Mech. Permit (MECH) 7-V State Tax (TAX) Bldg: U Plumb: _ �•G3 Mech: 1 .6 Pian Check (PLANCK) Bldg: 2 ,. /0 Plumb: Mech: u Sewer Connection (SWUSA) J��I UPJ P Sewer Inspection (SWINS ) • - S� Parks- Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (T-IF-MT) r/U / Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire District (FIRE) TOTALS: ' 153` S _�z r' 5 05-18-1994 03:13PM FPOM Costa-Pacific TO 6847297 P.02 roc—wr-1»M V.7.Jrml rMil'i t-usma—raclTic I atx4re7r r.Ol. w 1442, b �, ��