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C11Y OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CER11FICATS OF
13125 SW Hall Blvd.Tigard,Oregon 97223o6199 (503)639.4171 O(J-,LJPANC.'Y
PERMIT #. . . . . . . : M16:1*95-471.341
DATE ISSUED: 02/29/96
PfARCL*L : 1E;1-33C[)--PBIIiR6
,-.>ITE ()r)f)PF-IrG. . . 1 11840 SW TALLWOOD DR
:VUBT.1' f V 151 UN. . . . PEBBLECREEK 11 2 ON I NG R- C-15
OLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . 126
C-LqS6 (IF WORK. vNF-W
OF USE. . . t SF*
1ICC'1PANCY GRP, rwpkl.'l
OCCUPANCY LOAD c .(
Qemavkti PATH I
Owners
(',OSTA PACIFIC HOMES
Aif--25 z:)W CASCiiJE BLVD
BEAVEPTON OR 97005
Phone Ot f-')03 646-14886
COS-TA-PACIFIC: HONL.G
6625 "W CASCADE AVE STL. 606
6+-(4VLRTON OR 97005
Phone #c 51113-646 b8fAS
Reg #. . 1 65157
'This Certificate qrpnts occupancy c)f ti-le above r-eferenced building Ov" POV-tion
thereof and confirms that the building has been inspected for COMPliance WI-th
ot, the gr,(),-sp, r,ccupancy--%and use undev-
the State of OYeg9l) CoPec- i&ItV COcius f
which the re'iq'Ye ce,j pet-mit was isqlied.
Buu..oiwS orFICIAL V ./ A
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lire: 639-4175 Business Phone:639-4171
Footing Rair. Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Si,,earibi;eath Framingecht,
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwi'' ens'
Other-
Date: ��--
Cl� A.M P.M. Entry-
Address: r �
Address: �,�
Tenant
--- Ste:._---- MST: .z,
Con/Own: BLIP:
--- - — - — MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
- 7 `
Inspector: \...0`� —� TC
7 /
ate: C _
A �JCEe DISAPPROVED/CAL'-FOR REINSP, F CO
d.
< C,7=:,
ELECTRICAL PERMIT
CITY OF TIGARD RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT FSE RM i T v-: EL.R9 0225
13126 SW Hall Blvd.Tigard,Oregon 97223.9199 (.5031839-4171 DATE_ ISSUED: .1 1/2")/95
PARCEL: 1 S 1:,3CD--P21 126
SITE ADDRE S. . . : 11840 SW TALL..WOOD Dr
SUDD I V I S 1 ON. . . . : PE=BBL.ECREEK II ZON I NG: R-25
BLOC:I',. . . . . . . . . . . LOT. . . . . . . . . . :26
Fir-o.jec-t Description : All encompassing
A. RES IDENT
IAL--___.____-_
AUDIO) & STEREO. . . t X AUDIO 9. STEREO. . i INTERCOM & PAGING— :
BURGLAR ALARM. . . . : X BOI LER. . . . . . . . . . . LANDSCAPE/IRR 1 GAT. . :
GARAGE. OPENER. . . . : X CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : X DATA/TELE COMM. . . NURSE GALLS. . . . . . . . .
VACUUM 5Y STEM. . . . :X f'I RF' ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : X HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . .
i NSTRUMENTAT ION. : OT1-1ER. . s . .
TOTAL. # OF SYSTEMS: 0
Applicant : __.__.._.__________.____. _.__......._.____._—...._._._.___....__..__._.___—_._ FEET,
(3APY' 1; VACUFLO tyn)e amot.rnt by date r^ecpt
9015 SE FLAVE:L i.-,RMT $ 40. 00 CJ133 1 1/29/95 95-273323
5PCT L 2. 00 CJS 11/29/95 95-273323
PORTLAND OR 97'.2166
Phone #. 503-775-2042
Cont,-,Actor:
CONTRACTOR NOT ON FILE $ 4 . 00 TOTAL
-------- REOUIRED INSPECTIONS - -___.-
Ceiling Cover Eler-t' 1 Service
F'hcne #: Wall Cover Elect' l f=inal
Flew #. . .
This Der@tt is issued subject to the regulations contained in the
Tigard Municipal Code. State of Ore. Specialty Codes and all other atLtre
applicablr laws. All work will be done in accordance with
auproved plans. This per@it will exrire if work is not started
within 188 days of issuance, or :f work is suspended for @are
than 188 days. Issr_red By
INSTALLATION
The installation is being made on proper-tv 1 own which is not intendind for-
sale,
orsale, lease,, or rent.
OWNER' S SIGNATURL— _...__..__ .......... DATE:
_.. __ DATE: _._.._.__..._..._._._.__..__.......-..__ __._..._.
INSTAl_I_ATION
•iGNATURE OF SUPR. ELEC' N: / u{_� 2 _---- DATE:
ICEN':SF_ NO:
Call for- inspect i on -- 639-4175
I�
L— —
. ,.u.wryay..waL.MJiry+�rniailvYir.e. ',...,:wWwu�Y..: -..�_ .,.+•..:r•,.•.•.:. :.�yy�een..or
YY...;_-•-- .,..._-:-_:•,.. ..-..........:. ..,.,:el..wv. _.-..,,,.r.e..,�/lWbIWNWpiw.wlt. ........ ._. .. .. `wn,..,,
NOU-29-1995 11:55 raARY S I!at UFLOr INC. -5 �3.' > P.
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
1312- SW Nall Blvd,
Tigard, OR 97223 PERMIT
Phone_ (503) 639-4171
FAX (503)684-7297 DATE ISSUCD %/ '�7e� 9 S- _
TDD No. (503)684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEAS[. CO.MPI ETI ALL SECTIONS
1. LOLATION OF INSTALLATIONQ -l��-t 4, TYPE OF WORK
Address / Q RESIDENTIAL—Restricted Energy I ee . . . . . . . .
,,/ DAR !FOR ALL SYSTEMSi
City T- ���+++ State 7_Ip Check Tvor of Work Involved:
PERMITS kRE NON-TRANSFERAMLE ANI)NONREFUNDABLE AND EXPIRE IF WORK ff l udio and Stcrco Systems• A I( Pm t
IS N01 STARTED WITHIN 190 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
190 DAYS lar Alarm
2, CONTRACTOR APPLICATION `'o�rage Door Opener'
LAS Heating,Ventilation and Air Conditioning System'
Contractor —Type--__ _ ( r. urn Systems'
rL'1 C�fher
Address
GARY ' S VACU VD-D. 1 NC. Y7 ; -204 2 -- COMMERCIAL - I ee fnr each system ,QQ
9015 SE h'I_.AVEL.q. PTLD. OR y7268 ME OAR(118-26u-260)
DATE /tea //.s 1r3$# QMO�I�F,�sl1_Work Involved:
� ❑ Audi- and Stereo Systcnls•
CLE 16728 , JI. E 985 . Cf'H: 69047 - --
- l] Boiler Controls
Phone# _ ❑ Cluck Systems
3. OWNER APPLICATION ❑ Data ToleWmmunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name J — '—~ Phone No
❑ Instrumenlahun
Adtlres5' ^J ❑ Intercom and Paging Systems
❑ Lrinds(App Irrigation Cunlrul'
City State Lip — L] Medical
This permit is iswe l ocular OAR 918-320.37n This applicant agrees to mike only ❑ Nurse-Calls
restricted energy ineallauons Roel.lift amps or less+undei th.s permit and to do the ❑ c utrJnnr Landscape Lighting*
followinR!
1 citify use eledrirAl licensed persons L,du ulttdllntirm>where reryuieetl.(Certain LJ F'rntective Signaling
n.sisi.ntial and other transrctlnns are exempt from Ihernstng I hos-•him- ❑ Other _
asterisks(•),All others need licensing) --
2 Call for an inspection wl•en all of the imudlatiom under chis hermit are read%
for inspcetiun at'U3-639.4175
❑ _ ___ __ NUmI>E,+r of Systems
3, Purchme separate perrmits for all insidlidhuns 1h.1t nM not ready for inspection —
when the inspector is out to Inspect under th1%I.ernut Nn In erre-ire retPumd I n e-nv+%aw n•quircA for all other rnstaliauons
4 Awirne responvbthty for assuring that all corn-(10115 reyuued h1 the
Are done,Anti
Assume responsibility for�alfing fora heal inspecdan when all of the corrections 5. FEES
are r-nmpleted
I he person signing for this permit must be the applicant or a pFr,,un a. Entct FeesOCA
authorized to bind the applicant 2(,-7-2,p $
b 5°%, Surcharge (05 x total above) s 42-02—
signature - 00
1'UTAI S..
Mithoriry if other than appli-ani
ENLRC;AP CHP
TrIT!tl 0 ri-,
ELECTRICAL PERMIT
CITY OF TIGAPE #:RD DATEISS!;ED:.C9i /13/95
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard,Onpon 97223s6199 (503)030-4171 PARCEL: 1 S 13,_,CD--PB I I E:6
31TE: ADDRESS. . . : 11840 SW TALLWOOD. DR
SUBDIVISION— . - PUBSLECREEK II ZONINS:R-25
BLOCil. . . . . . . . . . . I_-Ol.. . . . . . . . . . . . . :26
I-1roject Descr-i pt ion : Residential c', 000 sq. ft.
- RE Ci I DENT I AL UNIT-.-.-- ------TEMP SRVC/FEEDERS._.--•- -----MISCELLANEOUS- - -
.1.0012.1 SF OR LESS. . . . 1 0 6:�Vrr71 amp. . . . . . . : N PUMP/1 RRIGAT IOIV. . . . : 0
EACH ADD' l_ 3005F. . . : 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINC LTG. . : 0
I._IMTT•ED ENERGY. . . ,. . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . rT
MANF. HM/ SVC/FDR. . : 0 6014amly3-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
_._...-... GERVICE/FEEDER - _ ___.-BRANCH CIRCUITS ._--_._._ -----ADD' L INSPECTIONS—
1r x'00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . . 0
=01 - 400 amn. . . . . . : 0 1st W/O SRVC OR FDR. : 0 f'i�I2 I17lJR. . . . . . . . . . , : 0
401 - 600 amp. . . . . . : 0 EA AL'D' L. RRNCH CIRC: 0 IN PLANT. . . . . . . . . . . .. 0
l - 100Qr Mp. . . . . .. 0 _......___----._ __.___.____.._F'I_.AN REVIEW SECTION___.__.__--_-_-_._.-...
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. , :
Jlernnnect on l y. . . . . e 0 SVC/FDR ) _ 223 AMP,,. . CLASS AREA/SPEC OCC. :
Owner,: _.__._.---._..__.._._-__________.___. _..__._._____..____ FEES
IK'AR IFL.ECTRIC: type amot.lnt by date r-ecpt
PO BOX 3199 PRMT 160. 00 CJS 11/13/95 95-272761
5F'f'T
8. 00 CJS 11 /13/95 95-272761
DONALD OR '370,R0
Phone #:
Contractor.
CONTPACTOR NOT ON FILE: 1613. 00 TOTAL.
- ----_ REOUMED INSPECTIONS
Ceiling Cover^ clecty-ical Servi
1Jlone #; Wall Cover Electrial Final
Req #. . .
This permit is issued subject to the regulations contained in the
Tivard Municipal Code, State of Ore. Specialty Codes and all other Permittee Sign_Rt�.rre
applicable Jaws. All work will be done in accordance with
approved plans, This r)erni, will expire if work is not started
within J00 days of issuance, or if work is suspended for more
than 180 days. T s 5ue:i
___.____.__._______.__.___._-_._OC•JIJFR INSTALLATION
[tie installation is being made on property I own which is not intended�fot-
.,ale, lease, or rent.
OWNER' S S J GNATURF-: DATE
INSTAL_L_ATION
S I GNATURF OF SUPR. E•LEC' N s (J�� DATE:
L T CENSE NO:
Call for inspection - 639-4173
L_
Community Development ELECTRICAL PERMI'r APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # L? - a2 ,;),;) 761
Permit #
Phone (503) 639-4171 Date Issued //- /3 -
9t-FAX (503) 684.7297 Issued b
CITY OF TIGARD TDD No. (503) 684-2772 Y 1�� ✓car
Inspection (503) 639-4175
1. Job Address: nor ovy4 r4. Complete Fee Schedule Below:
Name of Development� 64&K St4Bpi✓is-inti' Number of Inspections per permit allowed
Address BSO Si✓#Ll-woop O/7 Service included Items Cost(ea) Sum
City/State/Zip Ott ,,A) 4s. Residential- per unit
1000 sq 11 or less / $11000 //d. O!/
Name (or name of business)- CU$T,r f-If LfP`/G Each addrional WO sq It or
portion thereof $2600 SO,Ot7 1
Commercial ❑ Residential Limited Enorgy $2600
Each Manuld Home or Modu.ar
Dwelling Service or Feeder sm 00
2a. Contractor Installation only: 4b.Services or Feeders
_ Ins4illalion,alteration.or relocation 2
Electrical Contractor E/12 eLce-rte L /P- 200 amps or lass $0000
Address P.0. BUJc389 201 amps to 400 amps $8000 2
401 amps to 600 amps $12000 2
City jkin/AL-D _ State of?- zip—L— o, sol amps to 1000 amps $18000 - 2
Phone No. &2!F-/3 sj, Over 1000 amps or volts $34000 _ 2
Contractor's License No. lJ—/es7G zi
Raconnect only $5000
Contractor's Board Reg. No. 4c. Temporary Servicne or Feeders
Installation alle-ation or et-alion 2
Signature of Supr. Elec'n 200 amps or less $6000 2
License No. 2-7 y Phone No. B- 201 amps.to 400 amps _i $7500 2
401 amps to 800 amps $10000
Over 500 amps to 1000 volts
2b. For owner Installations: see-b-above
4d. Branch Circuits
Print Owner's Name New alteration m aktwnsion per panel
Address - a)The lea for branch arcu4e wl:h
purchase or servkdeAre
a or lear W.
2
City — ,--- State_,_ Zip- Fach b,arw h circuit $5 0o -
Phone No h)The lee for branch caau s without
The installation is being made on property I own which is purchssa or service or ilseder rtes. 2
Fnsl hrannc onrill $3500
not intended for sale, lease or rent. Fa-h additional branch circuit $500
Owners SlgnaturP 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or mgahon nide $4000 _ 2
Each sign or otlihnl hp vmg $4000
3ignel cacuita)or a hmded energy 2
Please check approprime item and enter fee in section 5B. panel afterahon or edansior $4n 00 _
4 or more residential units in one structure Minor Labels(10) $10000 _
-Service and feeder 22.5 amps or more
4f. Each additional inspection over
System over 6110 volts nominal
(-assified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Per hoPer hour $5pecton $5500
5 00
hr Plant $5500 _
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. i$. Fees:
5a. Enter total of above forts
NOTICE 5%Surcharge(05 X total fees) $ i Oo
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ / !L
"—
AUTHORIZED IS NC)r COMMENCED WITHIN ISO DAYS, OR IF 5b. Enter 25%of line A for
CONSTRUCTION JR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ X _
A PERIOD OF ISO DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED L j Trust Account ft $
Balance Due $ /GB-00
werrrmra.o.r.rpm sp
KAREN
Page No. 1 CASE HISTORY FOR CASE NO. : MST95-0341
COSTA PACIFIC HOMES
11840 SW TALLWOOD DR
08/21/98
Action Description Rey, Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MJTA007 Application received / / / / 09/11/95 PASS BON 09/13/95 HLT
MSTA010 Plan check deposit paid / / / / 09/11/95 PASS DON 09/13/95 BLT
MSTA020 Plan che:k by 09/13/95 / f 09/13/95 PASS RT 09/13/95 BLT
MSTA030 Check for prcl. restrict. / / 09/13/95 09/13/95 PASS RT 09/13/95 BLT
MSTA^b0 (F) Ready to issue / / / / 09/14/95 Mechanical contractor expired 9/9/95. PASS BON 09/34/95 B
MSTA092 .F) Issue combination permit / / f / 10/04/7! BON 10/04/95 B
MSTA0 7 Issue plumbing signature form / / / / 10/04/9 PASS SON 10/04/95 D
MSTA705 Footing Inep / / / / 10/05/9, g- footing depth thru stepping; PASS RB 10/05/95 RD
rebar embedment-311; last pier row
perpendicular to girdern- cut edge-
maintain posting req'mts; angled forms
(footing) at back garage wall.
MSTA706 Foundation Insp / / / / 10/12/95 N1-1- see inspection notes AIN KS 10/13/95 KBS
MSTA710 Pos:./Beam Structural / / / / 10/26/95 APP GS 11/01/93 GES
MSTA711 Post/Ream Mechanical / / / / 13/26/95 APP 08 11/01/95 GES
MSTA113 Crawl Drain / / / / 10/19/9,- APP GS 10/19/95 GES
MSTA717 '?LM/Underfloor / / / / 10/26/95 APP G3 11/01/95 GES
MSTA720 Mechanical Insp / / / 11/30/95 exhaust vent disconnecteA FAIL RD 11/30/95 RB
msTA720 Mechanical Inep 12/05/95 / / 12/05/95 PENDING- EXHAUST VENT CONNECTION PASS RR 12/05/95 RB
MSTA720 Mechanical Insp 12/06/95 / / 12/06/95 PASS RD 17/06/95 RB
MSTA'122 Plumb Top Out / / / / 11/21/95 PASS MS 11/21/93 MRS
MSTA725 Framing Insp 1 / / / 11/30/95 meth issue; h clips missinq; shear FAIL RB 11/30/95 RB
req'mts
MSTA116 Framing <REINSP> 12/05/95 / / 12/05/95 PENDING- REPLACE MISSING STUD IN FAMILY PASS RB 17/05/95 RB
BATHRM
MSTA726 Framing <REINSP> 12'0b/95 / / 12/06/95 PASS RD 12/06/55 RB
MSTA73°. Gas Line Insp / / / / 11/7.7/95 APP GS 11/21/95 GES
MSTA740 Insulation Inep / / / / 12/05/95 PENDING- CHINKING WINDOWS/DOORS PASS RP 12/05/95 RB
MSTA740 Insulation Insp 12/06/95 / / 12/06/95 pending- cl.!nk window top edge rt of PASS RB 12/06/95 RD
fireplace; insulate wall cavities if/rt
of fireplace; vapor barrier req'd
approx. 2' up from sill plates at
vaulted ceiling
MSTA745 Gyp Board Inep / / / / 12/07/95 PENDING- 1" CLEARANCE FOR ✓E1NT; M19SED PASS RB 12/08/95 RR
NAILING; SHEAR WALL NAILING AT 4" CTRS
MSTA755 Rain drain Insp / / / / 10/19/95 APP GS 10/19/95 GES
MSTA760 Water Line Insp / / / / 01/31/95 APP GS 01/31/96 GES
Page No. 2 CASE HISTORY FOR CASE, NO.: MST95-0341
COSTA PACIFIC HOMES
11840 SW TALLWOOD OR
08/21/98
Action Description Reg/ Schd/ End/ Aetiun Notes Disp By Update U,d
Code Sent Done Done Date By
MSTA761 Water Service Insp / / / 10/19/95 APP US 10/19/95 GES
MSPA765 Appr/Sdwlk Insp / / / / 01/31/96 Install drpin pipe to weep hole, Board PEND PI 02/01/96 ,IF
across back of. approach, Regrade
approach to 6" depth, Request: Do not
pour until weather improves, Fe prepared
to protect finish.
MSTA765 Appr/Sdwlk Insp 03/n4/96 / / 02/27/96 PASS PI 03/04/96 C•H
MSTA795 MechanicPl Final / / / / 01/11./96 PP GS 01131/96 GES
MSTA795 Mechanical Final 02/27/96 / / 02/27/96 see building final this date FAIL RB Oe/27/96 RB
MSTA795 Mechanical Final 02/29/96 / 02/29/96 PASS U 02/29/96 RB
MSTA797 Plumb Final / / / / 01/19/96 PASS MS 01/22/96 MRS
MSTA799 Building Final / / / / 01/31/96 temp appr til 2-15-96 due to weather, ac TEMP GS 02/27/96 RB
unit requires 25 amp max circuit breaker
(30 amp is installed); cont not poured
due to weather; connect dwnspt by
fireplace chase; deck to be built by
owner, door is barricaded oJf
MSTA799 Building Final 02/27/96 / / 02/27/96 A/C circuit- to be 25amps; down spout FAIL RB 02/27/96 RB
connection w/rain drain; seal hole at
A/C
MSTA799 Building Final 02/29/96 / / 01/29/96 PLASS RB 02/29/96 RB
MSTA960 (F) Issue Cert. of Occupancy / / / / 02/29/96 JF 03/05/96 Ji
MSTA970 Case Finaled / / / / 02/:9/96 PASS RB 02/29/96 RB
MSTB708 Erosion Control / / / / 09/13/95 PASS USA 02/27/96 RS
M8TB750 Shear Wall Insp 11/ 0/95 / / 11/30/95 rear wall met-48" eLrapa missing at FAIL RB 11/30/95 RB
plate splices; garage shear not
installed; o-ywall shear riot installed;
nail hpand-22 straps w/14 16d nails
staggard
MST9750 br,ear Wall Insp 12/05/95 / / 12/05/95 PENDI!:�j TIGHTEN HD-S AT GARlGE WING PASS RB 12/05/95 RB
Wki,LS; NAIL SHEATHING ON CEILING OF
GARAGE BLOCK WHERE NEEDED;
MSTB750 Shear Wall Insp 12/01/95 / / 12/06/95 PAPS RB 12/06/95 RB
TER
CITY OF TIGARD 11ST95- 03,4
COMMUNITY DEVELOPMENT DWAfWTM9NT DATE ISSUED: 117i/0dr/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)630.4171
PARCEL: 1S133CD-FIBII26
SITE ADDRESS. . . : 11840 SW TALLWOOD DR
SUBDIVISION. . . . : PEBBLECREEK II ZONING: R-25
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :26
: BUILDING - - -- ---
RE I SSUE:MST94•-0360 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 5f
CLASS OF WORK. :NEW BEDRMS:2 BATHS:2 GARAGE. . . . . . . . . . :516 sf
TYPE OF USE. . . :SF FLOOR AREA5-_____._.-._.._._. REQUIRED SETBACKS-
TYPE OF CONST. :5N FIRST. . . . : 1511 5f LEFT. . :8 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . :0 sf FRONT. :20 ft REAR. . : 19 ft
STORIES. . . . . . . : 1 FINBSMENT:O sf REQUIRED-------------____..-..
HEIGHT. . . . . . . . :20 ft TOTAL------- : 1.`.: 11 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . ..40 psf VALUE. . . . . 6 : 106096 PARKING SPACES. . : 1
Remarks: PATH I
------------------------------------ PLUMBING ---------------------------------------
SINKS. . . . . . . . . . : 1
-______________________________------SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . 10
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . .-2 SEWER I-INE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
--•---------------- MECHANICAL __.____._..__._____.•__ _______...____-•_-- FEET
FUEL- TYPES------_-_.__- UNIT HTRSS. . :0 type amoI.lnt by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1590. 00 B 10/03/95 95-271807
MAX INPUT:O BTU VENT FANS. . : 3 BPRT f 450. 50 N 10/03/95 95-271207
FURN ( 10121K . . : I HOODS. . . . . . : 1 BPLC f 50. 00 SON 09/11/95 95-270381
FURN ) =100K . . :0 WOOD5TOVES. :0 B15PC $ 22. 5.3 B 10/03/95 95-271207
FLOOR FURN. . . . :0 CLO DRYERS. : 1 PARK t 500. 00 B 10/03/95 95-271207
BOIL/CMP ( 3HP:O OTHER UNITS: 1 MPRT f 40. 50 S 10/03/95 95-271207
GAS OUTLETS: 1 MPLC f 10. 13 B 10/03/95 95•-271207
Owner: --------____._.__.________________._____MSPC $ 2. 03 B 10/03/95 95-271207
COSTA PACIFIC HOMES 2STH $ 195. 00 B 10/03/95 95-2:71207
8625 SW CASCADE BLVD P5PC f 9. 75 S 10/03/95 95--271207
EROS t 64. 00 S 10/03/95 95-271207
BEAVERTON OR 97005 ERPC E 20. 80 S 10/03/95 95-271207
P!ione #: 503-646-8888 ERPC 20. 80 B 10/03/95 95-271207
Contractor: -._____._.______.____-__.._-________SWM 180. 00 B 10/03/95 95-271207
COSTA-PACIFIC HOMES SWM f 100. 00 B 10/03/95 95-271207
8625 SW CASCADE AVE STE. 606 BPLC E 50. 00 B 10/03/95 95-271207
BEAVERTON OR 97005
Phone #: 503--646-6828
RPra #, . ". 65157 _______._________.._.__.___________.-_.-____._
S 3306. 04 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS - ----
Tigard Municipal Code, State of Ore. Specialty Cedes and all other Footing Insp Pl�imb Top Out
applicable laws. All work will be done in a^cordsnce with approved Foundation Insp Fr-aming Insp
plans. This permit will expire if wark is not started within 180 post/Seam Str!.tct Fir place Insp
days of issuance, or if wo-k isuspended for more than 180 days. Post/Beam Meehan Gas Line Insp
�..,J j Crawl Drain Insi.tlation Insp
1=ler^milttee �::,i.r�1 ti.rre :`'i �-_�-E''lm/ . ld- lab Insp Gyp Boar-d Insp
PLM/llrlder^fIoor Re in dr-ain Ine.p
15 5�.l e d 11 y Ih e 1.,h G�n i r_a l Insp bJ a t e r Line Insp
Call for- inspection -- 639--4175
iiiiiiiiiiiiiiiiill
i
SEWER CONNECTION
GIN OF T I GARD PF_
PERMIT #. . .. .. .. .. . SWR95-039 '
COMMUNITY DEVELOPMENT Ck-V� 9NT DATE_ ISSUED: 10/04/',)'-j
13126 SW lull Hivd.Tigard,Oregon 07223.8190 (503)030-4171
PARCEL: 1 S 1:53cD—•R8 7 I 26
SITE: ADDRESS. . . : 11840 SW TALL_WOOD DR
SUEDIVISION. . . . : PEBBLECREEK II ZONINU- R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :26
----------------------------------
TENANT 'NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURES UNITS. . . .
CLASS OF WORK. . . .NE:W DWELLING UNITS--1
TYPE OF USE. . . . . :SF NO. OF' BU I LD I NGS: 1
INSTALL TYPE. . . . :BU5WR IMPERV SURF=ACE. . : : sf
Remat-ks : PATH I
Owner,: _._.__________._________.__. ___ .,____—.---•_---____.__._____—• FEES
COSTA PACIFIC HOMES type �kmo11nt by dat - r-ecpt
8625 SW CASCADE BLVD PRMT $ 2:'00. Q-0 S 10/03/95 95-271207
INSP `b .:1G. 00 D 10/03/95 95_ -71207
BEAVERTON OR 97005
Phone #: 503-646--8888
Contractor:
CONTRACTOR NOT ON FILE
Phonp t1: $ 2235. 00 T01-AL
Reg #. .
__....__.__... REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer- InspectiUri
of the Unified Sewage Agency. The permit expires 180 days fi,am
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency duos not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measuremeA
given, the installer shall prospect 3 feet in all directions fromthe distance given, If not so located, the installer shall purchase
a "Tap and Side Sewer" permit an the Agency will install a lateral. _.....
I"'e r m n i t t e p a i g a t,_r r,e : ::,rC•-``---�---- -- —.
Call for insper:tion — 639--4175
Residential Building Perm it Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
JobsiteAddress: 11890 SW Tallwood Drive �+
Subdivision: Pebble Creek #2 Lot 25
Office Use Only
.;;�, � r PlancklRec# (r Y? �
Valuation: c, � G'�" / -
Permit # .��/���l-s-D
Corner Lot? Y N
Flag Lot? Y N Reissue of M5/ 4- 0 N,o
Map & TL*.-/S i j Ig-12- PLj . (�
�' 7 '-
Owner Costa Pacific Homes A royals Required
Address: 8625 SW Cascade Blvd . #606 Planning
Beaverton , OR 9"/008 4 n
Engineering
Phone: 696-8888
Other
Contraf%::r: Same _ Items Required
Address: _ -_ Subcontractors
Truss Details
Phone: Other
Contractor's license # 65157 _
(attach copy of current Oregon license)
Contact Name & Phone: Marc. Weber 696-8888
Subcontractors: Architect./Engineer Iverson Associates
Plumbing: J & R Plumbing Addre. ; 1. 51 Kalmus Drive
------
Mechanical: Arco Installations Costa Mesa , CA 92626
(attach copy of current OR Contractor's License)
Phone: ( 719 ) 599-3979
108 DESCRIPTION: Resubmit of Permit # MST95-0139
-- 1
ppli ant Siqnature o e number
Received by: ( 0) t'l -- Date Received:
Permit # Account Description Amount Amt. Pd. Sal. Due
7=0 Bldg. Permit (BUILD) �l� `/a v -
Piumb. Permit (PLUMB) �� ld.�-/
Mech. Permit (MECH)
State Tax (TAX) 3 y
Bldg: - -d
Plumb: -h/
Mech: d ;/
Plan Check (PLANCK) .11Jd_12 60 —
Bldg:
0rBldg: 5 A^t
Plumb:
Mech: v
j Sewer Connection (SWUSA) 2
Sewer Inspection (SWINSP) -3 3
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _----
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQU4NT)
Fire Life Safety (FLS) _--�--,—
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) ,S Z
Erosion PlancklCOT (EROSN)
51�1� ),0q �r
TOTALS*
SCALE DRAWING
101 26 PEBBLECREEK
00
0
N
I06.0
O O.
N ` \` (Js
I �
\ 100.81'
N I
Z
EASEMENT �-- I
� pRAINAGE - - -
21 4,1 ,T ORM 15.0'
1 SETBACK LINE -
C5
20.0' -�" I I SCALE 1"=10'
I I NOTES:
ING� TAL N COUNTY SURVEYY RECORDSL FROM PLAT .
PEBBLECREEK,
WASH
--VERTICAL CONTROL FROM INFORMATION PR0\IDED BY OTAK
I ON DISKETTE. CONTRACTOR SHALL VERIFY EXISTING CONDITIONS,
A l` ` GRADES, AND ELEVATIONS.
(� 20.0
L)
LO EACH LOT OR TRACT FRONTAGE ALONG ANY PUBLIC STREET.
19.9' — SILT - -EROSION CONTROL
d I -- HARRIER PRIOR TO THE PLACEMENT OF ANY FILL OR COMMENCEMENT OF
I GRADING WORK, ALL REQUIRED EROSION CONTROL MEASURES
I i SHALL BE IN PLACE, INCLUDING:
I -INSTALLATION OF A GRAVEL DRIVEWAY, CLEANED AND
REPLACED AS NEEDED TO KEEP CLEAR OF DIRT;
° \ -INSTALLATION OF SILT BARRIERS, WHICH SHALL REMAIN
I IN PLACE UNTIL THE GRADED AREA HAS BEEN PROVIDED
\ �r �8 �� 'MTH A PERMANENT GROUND COVER (I.E. BARK DUST,
-�- \ GRASS, OR OTHER LANDSCAPING); THE SILT BARRIER
WATF�_ - N B3•43'12" E ` MUST BE COUNTERSUNK INTO THE GROUND.
- AiEF�P�-
_ � WA
LA RAL
1 i
al
c
C N
i
SIGNED ON:
PROFEAL
LAND SURVEYOR SCALE DRAWING LOT 26 PEBLECREEK
S.W 1/'4 SEC.33 T.I S, R.1 W. W,M,
U
CITY OF TICARD
gut
11840 SW Tallwood Drive COUNTY, OREGON
of 1 �, 19N'
A SEPTEMBER 5 1995 Centerline Concepts Inc;
r' DRAWN BY: SBP CHECKED BY: WGDIII
�....�.�.. 640 82nd Drive Gladstone, Oregon 9702?
RENfWAi- Oil DECFMHfP .jl, '99' SCALE 1 =10' ACCOUNT 587 503 650-018e fox 50.1 650-0189
IF '1'hIF DOCUMENT 1`; LESS IrT ll( TIIIIII III III IIl I I III ILI I�I I IEll ' ilT111111IIT111 I 1111II1 111IIIIIIIIIIIII I III III III I 1 IIl 111 111 i 1 T1T 111 111 1 1 IIIIIIIIIIIII IIIIIIIII 1 ILEGIBLE THAN TIIlB NOTATION,
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THE ORIGINAL DOCUMENT. _ _— __. —_-- - _-- -- — - no.�e ����"" 7 1
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