11748 SW TALLWOOD DRIVE r
i
ADDRESS:
i:\records\microfilm\targets\building.dcc
f
CTI:RTIFIC;ATE. i.
CITY OF TIGARD PERMIT #. . ..'. . . M8T95- 0099
COMMUNITY DEVELOPMENT DEPARTMENT DA-TE I fSSUED a 012/17/96
13126 SW Hall Blvd.Tigard,Oregon 07223.8189 (503)630-4171
PARC:E'L.: I S 133CD--12600
ITE. ADDRESS. . . : 11-148 OW TAI_L.WUOD UN
,(JBDIVISION. . . . : PE:BBl_ECRE:EK 7ONING:R-..2'5
Lk,-OCK. . . . . . . . . . a I.,OT. . . . . . . . . . . . . :019
Or WORK. :NEW
TYPE OF USE. . . :E3F
OCCUPONCY GPP. a,:,N
'ICC;UPANC:Y L.OAI):c'
temar-ks : PATH 1
Ureter•: _.._._.._._.�_...__.._._..__..._.__._._,__..___..._..._...._ ... ....___M
COSTA PACI1=IC HOMES
0625 :;W CASCADE PL.VD
SUI 7'L # 606
FEAVUPTON OR 97005
Vfi o n e #: 503-646-8888
i.0S T A -PAC I r=I C HOMES
Itis: JW CAr'�f:ADE AVE: STF.:. E:%Of
ITEAVE I47ON OR 97005
t'hnne #: 503-•-646•-8888
Iieg #. . : 651',-1
Ihi % -:'r.r't i fiCaat e grant r, OCClApaancy of tho above r r•-fet-enr.ed building ;r^ port ion
h%rr+jt and confirms that the bl..tilding has been inspected fov, compliance with
the State of OreLIOn Specialty Codes for the group, Or:cupan :y, and use undri-
which the -efrenr.ed permit was is"Su d. �
I l I 1_ Nr, I rJ�PEGTCIR ISL)I I'D l NG OFF I C I AL. �
POf.;T IN r ONSP I CUOl_I'; PL_nCE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 6394175 Business Phone: 639-4171
Inspection:
%0
Footing Susp. Ceiling Sprink. Rough-in AppNSdwik
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Pibg. Top Out Elec. Rough-in FINAL(/,-V-)
Post/Beam Mach, San. Sewer Gas Line ,
Pibg. Underfloor Rain Drain Framing `sly;
Alarm Water Line Insulation Mec
Underflr. Insul. Shear Wa I Gyp. Bd. -Elect.
Date Requested:_/ Time:--AM (PM
�
Address: / ( –7 4e -��C/Z�'t�'z%�
Builder_ C� 8�Z� Permit kCA cl S UCS f7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
SN z
6
Inspector:—_ L Date:
PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
/'� . _Call For Reinsp.
mus-llm
v
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTONLAND DEVELOPMENT SERVICES DIVISION 0350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY., PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit. # 067701 Pre:.jec t. 4 P0049970 Et atus A.?a"ar 1
r11 lie�1 Ua/15/9':1 lF uk�l
05/15/9 ' Expir. l I /11 /ia5 U6/09/9S (IS 02
RESELEC
Permit Title SFR - RLEC/NEW HOU iE OT'11
r)escript i can Bequn : q5/ 1 5/95
i...�, Addr-esr 11748 :W T'ALLWOOD T'It TI
Owner Name INSPECTION - T I GA.itt>
Appl i csX►t. Name BEAR ELECTRIC
Phon(A numLor 678-1355 valuat.1oil a �►pprte}web_�.._
I» pact;yr t'onunants : t44 d__....
1\112-ItFinULT.,
UEQUEST ERROR '
P I umb a ng
Me r� ] c a
El r txi ^a1
ca^a Tl n r a
InrpectEd! v-1
lY16•�>rc•t.•:.c,n Tteclu�et
o .`�>•; �r � Sery i ,..�, ;<, , 1. P.t- .,
'�N a ((Mhrjr.
DEPARTMENT OF LAND USE 3 TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
OREGON
Page 1 .Z)t 1
Late : 05 1`7/9
Tim, 0 9: 3'1
11ex-mit Type : ltesideritiai Electrical hermit Permi # 0 )06*/'/U t
Pormit: Status : AtivktUVEL) Applied U!-)/1b/95
Situ. Address 11'1,18 SW TALLWOOD OR T1. issued U5/1':a/yb
k'txn;i t. Titie F'tt - �L�I:rN�.w Ht.)Iwl yE Completed
Pexmlt Ues.cr . To Expire 111/4`.a
1'L'0�jeat't 1''itle bi,'K -- ELLt:/NLW HOUSE Project # !';x()499./11
Pl,r.,jec:t Oec cr . * EROSION �
NL.mLes Lal"J.'1 Lan(; IJse? Uistrict
VaiU'lt ic,n . U
11Y::.;:.'I✓1:°1'i0N '1':1 GAI-U 1 on.,'3 t'ruc:tion OTH
Appl.lc_ant Name 8LAN ELf::i:'1'RIC t,:lassiticatiort 40U
111�E_"li.c:ar:A. 1-111r , k'C? 8(.)A 384 Occupancy Rj
1)L.)NAL0, C,)tl 9'/02l.l Validated by KK1-1
61ppi.lt:'anL 0 /8-1 ,ib!) ln5pector Area
k'ee description unit z Fee/Un it Ext fee Data
;w ataar`e
Footage 1't. . J L`JUU 113 . ()0 {
1k7t:.cat .ii h'it:aC't:'x1.1 al k'treo : 18b . (P) )
c,t:a ti Lk Y's't 1,3 C"t G:+ Cr 1' kr y . 2 y '
•� .:.�t.,:il F:1•c��:-tx: lr_•�l.l !•'�:=�fa.; : ly4 . z'�
I-ees Re nixed A * r F'r.�f9 Collected !k C:redit.o, ,r
Method I'heck ft Ro eipt N(.7 . Dat4-:� ljaymrrnt
1113'/'/ U5/1`,a/9!> 144 . 2')
TUTAL '1'H 1.13 DATE A ** 9 4 . `r
194 . 2`)
sr.lrle i:it.:.1 : . U Total Credits - . 00
1'c>t:ai Fees 194 , 2'. Tota1, Vayrnents : 194 , x9
k1 .iance Due: 00
NO110E: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 160 days. Ona tonstruction hes started.
the permit becomes null and void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and
his agent or agents In support of this p rmlt Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction end use
of this building or structure will be complied with whether or not specified on the plane or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupoincy of
the structure or building per fitted depends upon my calling for Inspections at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of the building ur structure permitted prior to approval by the
Bulloing Department is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. I further acknowledge that a Ilen may be placed on the title of the property upon which the permit Is Issued
specifying tiwt the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requlrementt
APPLICANT'S SIGNATURE
WASHINGTON Department
COUNTY ELECTRICAL PERmrr
Department of Land Use & Transportation
Electrical Inspection Section APPLICATION
155 North First Avenue, #350-12
Hillsboro, Oregon 97124
Information: (503) 640-3470 Fax: (503) 693-4412
Permit
PRINT Number DatePLEASE
Please complete all serdtions, I through 5. 4. Complete Fee Schedule below
f. Location of installation _ Number of Inspections per permit allowed
Address-� � -56v'
T/h-~4/0po .2/1 • Service included: Items Cost(ea.) Sum
Buildinr A. Residential -per unit
City /(j,�/L p Suite � Y _
1000 sq,It.or less $110.00 //0• O° 4
Tenant Name Each additional 500 sq.f1I
(if commercial) ^_ or portion thereof _ $25.00 _�0
Limited Energy $2.5.00 1
Map No.—_ Tax Lot — Each Manuf'd Home or Modular
r Dwelling Se vice or Feeder _— W..00 2
Thomas Map Book: Page: &5V_ Section:- _
Direcftit ns___—__ __ -- — B. Services or Feeders
_�EB�L �Tu 1 Vr•>_�O�y Installation,alterations or relocation
200 amps or less $6000 2
Commercial Residential, 201 amps to 400 amps $60.00 2
401 amps to 600 amps $120,00 _--- 2
2a. Contractor installation vn►a; : 601 amps to 1000 amps $ -- 2
Over 1000 amps or volts $34340.00 0.00 — —_ 2
Electrical Contractor geflz Reconnect only $50.00 -- 2
Address ��o �v x��
City`Danr State 611 ZIP 27'a C. Temporary Services or Feeders
Date > y- 21 Job Number _ Installation,alteration or relocation
Property Owner.- r'ALl arc_ /110mrS 200 amps or less $50.00 -�_ 2
Contractor's License No. 2 y --/®7c- 201 amps to 400 amps _ $75.00 2
Contractor's Board Reg. No, �T_0 91 - 401 amps to 600 amps $100.00 ___--___ 2
—� Over 600 amps to 1000 volts see'B'above
Signature of Supr. Elec'n, 4 -�'ru D. Branch Circuits
License No. 3/(01 SPhone No. (eV-1.U0 New,alteration or extension per panel
a) The fee for branch circuits with
2b. For owner installations: purchase or service or feeder fee.
Each branch circuit $5.00 2
not Z5 net s ,one-No.- b) The fee for branch circuits without
purchase of service or feeder fee.
AST-re-i s - ----- ------------ First branch circuit $35.00 2
Each add'nl branch circuit $5.00 2
city — lata -- ,p E. Misce llaneous (Service or Feeder not included)
Each pump or irrigation circle $40.00 ?
The installation is being made on property I own Each sign or outline lighting $40.00
which is lot intended for sale, lease or rent. signal circult(s)or a limited
energy panel,alteration
Owner's Signature _. ____ _ or extension $40.00 2
F. Each additional inspection over the allowable
�-- in an•y of the above
13. Plan Review section (if required) Per inspection _ $35 00
i Per four _._-- $5500 _ --
Please check appropriate item arid enter fee In section 58. In Plant _____ $5500
4 or more residential units In one structure
_Service and feeder, 800 amps or more 5. Fees
System over 600 volts nominal A. Enter total of above fees $
Classified area or structure containing special 5% Surcharge (.05 X total fees) $
occupancy as described in N.E.C. Chapter 5 Subtotal $ _
7TT TT—
B. Enter 25% of line A for X
Submit 2 sets of pians with application where any of the Plan Review it required (Set-ion 3) $ —
above apply. Not required for temporary construction Subtotal $ y- 1S_
services. U Trust ACCOI 1t $
--------, Balance Due $ %gv.z<-
For inspections call
p This permit Lsc omee null and void N the work aWh-rl[sA by the permM Is not rnmmenced
640-3561 or 693-4415 within 160 days from dale of Issuance such par trill or If the work eWhorlted Is
suspended c�t shandoned at any time eno work Is commenced for a perlod of Iso daye,
24-hour recorder, one working day in advance of need EleclrlulPermitsare nomrefundsbleandnon-transfer able.
6/94
Page No. 1 CASE HISTORY FOR CASE NO.: MST95-0099
COSTA PACIFIC HOMES
11748 SW TALLWOOD DK
08/21/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA007 Application received / / / / 02/24/95 PASS SW 03/08/95 BLT
MSTA010 Plan check deposit paid / / / / 02/24/95 PASS SW 03/08/95 BLT
MSTA020 Plan check by 03/08/95 / / 03/06/95 PASS RT 03/08/95 BLT
MSTA030 Cneck for prcl. restrict. / / 03/08/95 03/08/95 PASS SW 03/08/95 BLT
MSTA092 (F) Issue combination permit / / / / 03/14/95 PEND BON 03/14/95 B
MSTA1197 Issue plumbing signature form / / / / 03/14/95 BON 03/14/95 B
MSTA705 Footing Inep / / / / 03/17/95 A/N KS 03/20/95 KBS
N-1- monolithic ftg/fdn
9.2- install anchor bolts size and
acing as shown
install shear wll tie downs as
shown
N 4 isolated piers at front of structur
f not included this inspection ; will
pour with Flab on grade 11111 garele
MSTA706 Foundation Inep / / / / 03/17/95 A/N K8 01/17/96 RB
MSTA710 Poet/Beam Structural / / / / 04/07/95 APP OS 04/11/95 GES
MSTA711 Yost/Beam Mechanical / / / / 04/07/95 APP GS 04/11/95 GES
MSTA113 Crawl Drain / / / / 04/07/95 APP OS 04/11/95 GES
MSTA717 PLM/Underfloor / / / / 04/05/95 waste only PASS MS 04/07/95 GES
MSTA720 Mechanical Inep / / / / 06/07/95 SEE FRAME DIS GS 06/07/95 GES
MSTA720 Mechanical Inep / / / / 06/15/95 PRIOR FAILURE corrections completed PASS RBS 07/07/95 RB
MSTA720 Mechanical Insp / / / / 06/13/95 N-1- see inspe,tion notes DIS KS 06/21/95 KBS
MSTA722 Plumb Top Out / / / / 05/31/95 need to test thru roof FAIL. MS 05/31/95 MRS
need to test shower @tell
MSTA722 Plumb Top Out / / / / 06/02/95 PASS MS 06/05/95 MRS
MSTA725 Framing Inep / / / / 06/07/95 ELEC COVER, STRAP PLTS TO BEAM IN GAR DIS OS 06/07/95 GES
ALSO FT ENTRANCE WALL TO GAR WALL, COMPL
FIRE BLACK AT DROPPED CEIL LOWER BTH AND
HALL, CONN FAN VENTS, STRAP PLTS DEN/FAM
RM AT MECH DUCTS, REINF BOTTOM OF STAIR
JACKS, BLK EDGES 0!INTER SHEAR WALL AND
NAIL, SUPPORT BOTTOM OF RAFTERS ABOVE
STAIR LAND?NGAND IN FT BDRM, STRAP PLTS
FT BDRM AT 4ALL ABOVE FT DOOR AND ABOVE
DOOR TO FT BDRM
MSTA'd5 Framing Inep / / / / 06/13/95 N 1- see inspection notes for DIS KS 06/21/95 KBS
correct.ons
Page No. 2 CASE HISTORY FOR CASE NO.: MST95 0099
COSTA PACIFIC HOMES
11746 SW TALLWOOD Dk
08/23/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update 11pd
Code Sent Done Done Date By
MSTA726 Framing .REINSP> / / / / 06/09/95 #.1- corrections not done DIS KS 06/05/95 KBS
MS'"^=26 Framing cREINSP> / / / / 06/15/95 PRIOR FAILURE- corrections completed PASS RB 07/07/95 RA
MSTA735 Gas Line Insp / / / / 06/05/95 APP GS 06/05/95 GES
MSTA740 Insulati..,i Snap / / / / 06/15/95 see report FAIL RB 06/15/95 RB
MSTA740 Insulation t:+sp / / / / 06/16/95 pending +I mination blocking for PASS RB 06/19/95 RB
plenum in '
MSTA745 Gyp Board Insp / / / / 06/22/95 R-1- see inspection notes DIS KF 06/22/95 KBS
MSTA745 Gyp Board Insp / / / / 06/23/95 H 1- mechanical contractor will lower B A/N KS 06/26/95 KBS
vent to accept
water heater vent at soffit area.
maintain clearance
to combustible material
MSTA755 Rain drain Insp / / / / 03/21/95 PASS MS 03/22/95 MRS
MSTA760 Water Line Insp / / / / 03/21/95 PASS MS 03/22/95 MRS
MSTA765 Appr/Sdwlk lisp / / / / 08/03/95 1) Place one (1) drain line to curb PEND LT 08/09/95 NL
outlet (311) .
2) Expansion required at cold joint.
3) Be prepared to protect finish.
MSTA765 Appr/Sdwlk Insp / / / / 10/24/95 PASS LT 11/01/95 C•H
MSTA770 Misc. Inspection / / / / 05/23/95 N 1 shear wall incomplete at this time DIS KS 05/24/95 KBS
MSTA770 Misc. Inspection / / / / 05/25/95 Vi- shear wall ext additional nailing DIS KS 05/25/95 KBS
at dormer also
backing for hpand 22 north garage
wall
MSTA770 Misc. In3pection / / / / 05/26/95 N-1- +xterior shear wall tie downs and PART KS 05/26/95 KnS
panel nailing app
call remainder of shear (interior)
MSTA770 Misc. Inspection / / / / 08/02/95 # 1 interior shear panel ApP KS 08/02/95 KBS
MSTA790 Electrical Final / / / / 10/13/95 APP G9 10/13/95 GES
MSTA795 Mechanical Final / / / / 10/24/95 no gas to wh; remove debris from crawl; DIS GS 10/24/95 GES
insul crawl access lid; no temp glass
sump on relate by ft door
MSTA795 Mechanical Final 01/17/96 / / 01/.7/96 PASS RB 01/17/96 RB
CASE HISTORY FOR CASE WO.: MST95 0099
COSTA PACIFIC HOMES
11748 SW TA.LLWOOD UP
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA797 Plumb Final / / / / 10/24/95 sea meth final DIS GSS 10/24/95 OES
MSTA797 Plumb Final 01/17/96 / / 01/17/96 PASS RC 01/17/96 RB
MSTA799 Building Final / / / / 10/24/95 see mech final this date PIF GS 10/24/95 GES
MSTA799 Building Final 01/17/96 / / 03/17/96 PASS RB 01/17/96 RB
MSTA560 (F) Issue Cert. Of Occupancy / / / / 01/17/96 +1F 01/19/96 ,1F
MOTA970 Case Finaled / / / / 01/17/96 PASS RB 01/1'7/96 RD
MSTH706 Erosion Control / / / / '10/25/95 PASS USA 01/17/96 RB
CITY OF TIGARDMASTER PERMiT
F••-'EFRM I T #. . . . . . . : MGT9-j--OID9
.COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/14/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8109 (503)039-4111
PARCEL. 1:31 3;3CD-12600
ITE ADDRI::-,._..:. . . 1114L1 bW lPl_LWU(JD DFS
,JBUIVISION. . . . : PEBBLE=CREEK ZONING: R-2
_QG1'%. . . . . . . . . . .. L01.. . . . . . . . . . . . :019
------------ BUILDING,
i I LiSUE:: DWELL I N6 UN I P:3. i BASEMENT. . . . . . . . :0 �f
GLASS OF WORK. :NEW BE•DRM.S i;5 BATHS i 3 GARAGE. . . . . . . . . . :517 s f
i-YPE: OF USE:. . . :SF FLOOR AREAS----__..--.__._- REOUI RED .3ETBACKG-•-----.-- -----__-_.
YPE OF CONST. :5N FIRST. . . . .- 1387 5f LEFT. . .5 ft RIGHT. :'7 ft
1,'CUP'ANLY bRP. :R.i . LCUND. . . . 1. 167 �,f FRONT. :.28 ft REAR. . : 16 ft
1 URIE.S. . . . . . . :2 F 1NbSMLNT :O sf RE(AUIRE.D-----•------_-___-___--
::.161Al.. . . . . . . . . t t 1'U7 HL----......11 :c,:x,54 s f SMOKL DE J"E CTURS. :Y
_OOH LOAD. . . . :40 ps f VALUE. . . . . $ : 17:35: 4 F DARK I NG F:PACES. . : 1
omaarks . PATH I
.-------- _. ____.__.____ .__. PLUMBING
1 NKS. . . . . . . . . . : : F LOOR DRAIN::. . , . :0 13ACKFLOW PRE,VNI"RS. . - I
faVNlUR1E5. . . . . :5 WATER HEATE:RS. . . : 1 7RAP'S. . . . . . . . . . . . . . :0
JB/15HOWERS. . . . .3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . ..0
i i Est( L:;LUSL T'S. . : SEWI:R LING (ft ) . :0 URC_ASL TRAPS. . . . . . . :0
ISHWASHERS. . . . : 1 WATLR LINE: (ft ) . : 100 OTHER FIXTURES. . . . . .0
,ARBAGE D1SP. . . : 1 RAIN DRAIN (ft) . -.0
ISHING MACH. 1 SF RAIN DRAIN'. . - 1
----------- MECHANICAL .___._._..._ FEES
JEL TYPES.__...__.-._.._.._ -_..._ UNI 1 HI RS" . :0 1;ypp ,a1mo1.lnt by date rpc'pt
VENTS . . . , . :o F IF f 1550. 00 N 12113/14/95 -
-IX I NPU I C 0 U T U VENT F AN5. . :A aW1yl 180. 00 LA 03/14P)'3
1RN ( 1001•. . . -.0 HODUG. . . . . . : 1 5WM f 100. 00 B 03/14/95 -
1RN ) =11110K . . : 1 WOODS)UVES. :lr EAPRI 4 6113. 00 D 03/14/') )
._UUH TURN. . . . :0 CLO DRYERS. : 1 BPLC 4, 401. 70 SW 02/24/95 95--262206
11L-i L.hu < iii►-':0
OTHER UN11'S. I NSF,G 1, 30. 90 1.3 03/ 14;95; --
GAS OU*fLE'rS: i PO<K f 500. 00 8 03/14/95
-
Nner: _.._. ......_ ._._.._..__.. .._..__._...__ _.....-.._._._.____._...__.___.._._.._.MC'R'l f 45. 00 B 03/14/95
,Ab I H PHL:1 F� I L HOME::6 MPLC: f I I s i El 03/14/9b
COL-LOOL- E:;LVU M'Sp'[•; f c,'. r b LA 10,. / 14/'),:j
lI7E # 606 3A7H f c'c.'.`i, 00 B 03/14/95 -
-AVE_RTON OR 97005 P5r,t f 1 1 , .�5 B 1113/ 14/95 -
ione #: 503-646-8888 EROS fE> r, L40 N 0.x/14/9!5 -
ontractor, : f 20. 60 P 03/1.4/95
JS 1 c'-1-PAL:1 T 1(.. HOMES ERPC f c10. 80 B 03/14/95 -
•f )E30 5W 051-RL 0 lip.
t /.J
AVE R I UN BJH 97007
'curse #: Zo.i 644 -688I.i
9 0. . : 651:`,7
f 37(�171. 95 TOTAL
1s permit is issued subject to the regulations contained in the - -- - - HE UUIREA) IN'SPLU !IONS - - --
gard Municipal Lode, State of Ore, Specialty Codes and all other F r-)ot i.nr Insp PILImb lop 011lt
,Aicatle laws. Ali work wiil be done in accordance with approved F-oundation Insp Framing Insp
:ns. this perart will exp = if work Is not started within IN F'ost/beam StmIct Fireplace Insp
is of issuance, it if work i *uspended for more than IN days. Post/Seam Mechan Gas Line Insp
= / uravrl Drain 1nsa.117,tion l.nap
,rmittee �GL -� ..-1. =1r/land sIau Insp C3yp board Insp
Underfloor Ain d, ain Insp
"'ralJ LAY - ' � KA11 t\4`1V1__ __ . .__..._._.....__ Mvchanical Insp Water Line Insp
t all fo! i _t!,f.)er:tion - 639--4175
CITY OF T jLWL I' l..Ui'i1T l U"
PERM I 1`
PERMIT tl. . . . . . . : SWR95--009'-j
COMMUNITY DEVELOPMENT DEPARTMENT LATE ISSUED: 03/14/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8100 (503)539-4171
p'ARCEI-.- 1S1a3CD-12600
i i k HIjLkk.;at3. . . : 1 1 /46 aW !�"_I...WLillli UR
,U8DIVISION. . . . : PEBBL.E:CREEK ZONING: R--25
BLOCK. . . . . . . . . . ., L01 . . . . . . . . . . . . . :019
1ENANT' NAME:. . . . . :USA NO NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW UWE.LL I N6 UNITS—:1
I YPE:: OF USE.. . , . . s 5F NO. OF 14UILDIN65: 1
INSTALL TYPE. . . . CBUSWR IMP>E.RV SURFACE. . : : sf
Remarks: PAI'H I
Owner: FEES
GO-STA PACIFIC: HOMES type amt),.mt by date rec:pt
86r_'--j 5141 l.,W► Lk.i.1t: bi-Vb PRMT $ 2r00. tI0 B 03/14/95 -
SUITL M 606 INSP $ 35. 00 IA 03/14/95
LHVER-1UN OR 97005
L.ont ract or: __...._.__...-_._._._.--
LUN1hALTOR NOT ON FILE-
Phone ftp ... _1'._._.2`3'J. 1110"TOTAL
___._—_____...____
--- REGL11RED INSPECTIONS'
This Applicant agrees to cooply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The peroit expires 180 days frog
the date issued. Thr total aaount paid will be forfeited if the
perait expires. The Agency does not guarantee the accuracy of the
side sewer laterals. if the sewer li not located at the seasureaent
given, the installer iihall prospect ? feet :n all directions froo
the distance given, If not so kcatthe installer shall purchase
a "Tap and Side Serer'" Pernt d the
Agee_lv will iarrtall a )ateral.
rmitt. ee ;alcAnat1.1rc!�
r
si.at?d F.lv
La1 .1 for inspection — 639-4 CkeCk
3 � � c� 5
("0..l.. c.k,CLI rN
Sf�WLf1 ERMIFE f1UN
CITY OF TIGARD C
p'CRM '
V ERMI 7 #. . . . . . . . SWR95-00' 9
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/14/95
13125 SW Hall Blvd.Tigard,Oregon 07223.8100 (503)630-4171
F'ARC,EL: 1 S 1:33CD-12600
ITE ADDRESS— ; 11748 SW TALLWOOD DR
,ul31l i V IS 1 UN. . . . : P'EHBLECREEK ZONING: R-25
i_f]CI'I. . . . . . . . . . . LOT. . . . . . . . . . . . . :019
-------------------------
L'NAN'T NAME. . . . . :
.SSA NO. . . . . " . . . . . FIXTURE UNITS. . .
.LASS OF WORK. . . :NEW DWELL 1 NG UN I TG. . : 1
I YPE•:: OF USE. . . . . :F3F NO. OF BU I LD I NUS: 1
INSTALL. TYPE. . . . :L'USWR Ip'1F-ERV SURFACE. . : 5f
Reroar-ks : FDATH I
iwner,. _---__--_-------_--___--.---------------__–__.__–_–,–_--.-- FEES
OSTA PACIFIC HOMES type `A fao1_1nt by date recpt
dbe',r iaW C.AaCiNDE BLVD F'RMT $ 22440. 00 B (43/14/95 -
SU1T`L. # b06 IN15P' $ 00 La 0 /14/1)t5 _
HL.HVF k I UN OR 97005
k1hone #: 503--646-•8868
intraa,tor:
0 1 HRCT OR NOT ON f- I Ll-
------------------------
none #: $ Z`33. 00 TO!-AL
------- RLL.UIRED INSPECTIONS
-as Applicant agrees to comply with all the rules and regulations Sewer lnspectior. _w
the Lnifieo Sewage Agency, The permit expires ;80 days from
:�-e date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of he
sale sewor laterals. If the sewer is not located at the measurement
given, the installer shall prospect .1 feet :n all directions from
the distance given. If not eo Iorated, the installer shall purchase
a "Tap and Side Sewer" Permit bkd the Agency will install a lateral.
41 i t t e(I S i g it a t 1.t r a
Call for inspection – 639--4175
LN
Residential Building Permit Application
City of Tigard \>>
13125 SW Hall Blvd. \� 1
Tigard, OR 97223
(503) 639-4171 f
Jobsite Address: _ 11798 SW Ta 1 imsia ari][e _�._
Office Use Only
'Subdivision: Pebble Creek _ Lot # 19
Valuation:
Planck/Rec #
..) s�� _
Corner Lot? Y N� Permit #.PL)t j
' d' 9
� Reissue of
Flag Lot? Y II N _-'-
Map & Tl. # '+ `A_.�C_�)
Owner: Costa Pacit is Home,: Approvals Required
Address: 8625 SW Cascade Blvd #606 _ Planning
Beaverton, OR 9700'_i _ Engineering
Phone --( 503) 646-8888 _._ Other
Contractor: Same Items Required
Address Subcontractors
---- --- Truss Details
Phone: Other y7� (Wk O�� ti's
i
Contractor's License # 65157
(attach copy of current Oregon license)
Guntact Name & Phone: Marci Weber 646-8888
Subcontractors: Architect/Engineer: _ Iverson Associates
.Plumbing: Wolcott Plumbing Address: 151 Kal.mus Drive C. 140
t/,Mechanical: Arco Installations Costa Mesa , CA 92626
(attach copy of current OR Contractor's License)
Phone: _ ( 714 ) 549-3479
JOB DESCRIPTION:
Applicant Signature & Phone number
Received by ., 1,1 �,�__�'�'.f F �i:�, De,, eceived: C_ Z C
N MORMCOMMARFSAPP
Permit# Account Description Amount Amt. Pd. Bal. Due :
Bldg. Permit (BUILD) —
Plumb. Permit (PLUMB) 2
Mech. Permit (MECH)
State Tax —'
Bldg: - '0 U
Plumb:
Mech: ' L'
i
Plan Check (I-LANCK)
Bldg.
Plumb
Mech:
-r
Sewer Connection (SW'•JSA) `
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit T (TIF MT) 2A-)
Commercial TIF (TIF.•C)
Industrial TIF (TIF-1) — - —
Institutional TIF (TIF-IS)
Office TIF (TIF-0) --
Water Quality (WQUAL)
Wat(,( Quantity (WQUANT) J— d
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) = -
TOTALS:
ch
208 206 204 N 0 c
I 202
> b
I
207.6 S 89'34'46 E 94. 7EL 200.8
I ;
_SANI TAR Y
G _ b
WATER LATE AL
_._ i 17.7'
zT
26.0'
� 1
I
!.
w
I
25 PLA 250A- CR- L
38.0 A
y , tv
56.00 0
Z
• C1 Z
—J
� � a 0)fin
___---- N oma►
O 3 � � PORCH
I
J C - ��
D
Q
�
208
DRIVEWAY
-- - P
6.0
i
Et. 200.E 196
a EASEMENT 91.91
{^..�"•� r„ N 84-01#53'* E
r
STORM LINE EL .7 NCk G l S
CL
r > .
•� ��,� 200
{, S 202 198
y
204
ur •
206
208 208
1748 SW Tallwood Drive
1 of 1
IF THIS DOCUMENT IS LESS
711111 11111II fIiII I III 11111 � I I I IIc III IjT 1TT II1 IIT lll � i f T'T I � 111 III III I , I I I III III III I� 1 X11 1`� 11 11 T�TT�l IIl IIl l l l i l f l I I l l
I i I 1 I T'T' I I I I t ISI I I II
LEGIBLE THAN THIS NOTATION , a I �
IT IS DUE � 0 THE QUALITY O — – - /Q
THE ORIGINAL DOCUMENT .
No.36 ."�'r''.""'" 7
r
E 16Z 8Z
IIII I1I111lII IIII IIII ILII IIII IIII II9II ZIIII IIII ZIIII II�II ZIIII IIEII ZIIII IIII IIII IIII IIII IIII Illi III 11111 IIII IIII I I II IIII II9II t(IIIIIII9II i(IIIIIIiIIntIIII�IISI► iIIIIII iIZII TI it III IIITI Tii11111
iIII6 II II .I( L
IILZ Z LT IIII IIII 9IIIIIIII 9(IIIIII
IIII (IIIIIIII SIII Z I
II II I ( i II III II II II
l 111111�1J11