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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF
13125 SW Mall Olvd,Tigard,Orupon 07223.9199 (503)630-4171 OCCUPANCY
xxxx PERMIT 0. . . . . . . : MSTS
u.s -4171 DATE' IfiSUEDt 05, 17/95
PARCEL.:i 18133CC-001100 , •
SITE Ai,)RE5S. . . t 14l"4 SW SPR I NGBROOK LN 4
SUBDIVISION. . . . : PEB87LE'CREE K ZONINGak-25
BLOCK z LOT. . . .._._. 1001
CLASS OF WORK. t NEW
TYPE:'. OF USE". . . s 5F'
OCCUPANCY GRP. :173
ULI:UPANCY LOAD t 121 4 I
TENANT NAME. . . t
Remark%: PATH I
Owner i
COSTA PACIFIC HOMES
147+90 SW OSPREY DR
SUITE #b 275
BE AVE:RTON OR 9 70217
Phone #r: 646-6168
C011t.ract or.t
COSTA-PACIFIC PACIFIC HOMED
14'700 SW OSPREY DR
N ;-275
1
I,F:.AVCPTON OR 97007
alone ##: 03 -646 -AAAS
Rey #. . t 65157
Occ.upiAncy of the above refer enc-ted ht.lilding i. s Hereby given, and certifies
the complinvice with this State Of Aragon Specialty Codes for the group,
occupancy, and LISP In:ier which the r•pforenced permit was issl_led.
1i ILDING INr-)PFCfE)R BUILD NG OF'FI I I_
POST 114 C]NSP I C'UOUS PLACE17
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
I COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
+ Permit # 06063936 Proj^r_t # . P0044296 Status APPROVED Nar40 I cf 2
11 T )plied 02/10/95 : rsueR 02/10/95 Expire`. 08/09/95 04/11/9K 05A1
RESELEC
Permit Title SFR - NEW UTIs
un : 10/04/94�!
Be
Description
.lob Addr*ms 14124 SW SPRINGBROOK LN TI
Ownrr Name TNSfiETz EUN" Region U
1+ Applicant Nsrrne BEAR ELECTRIC
Phone number 245-2799 Vr,luatic,n 0 Approved___
Inspector Comments Rye ject.ed__
IVCs-RE ULTS
REQUEST ERROR
P 1 umb i w
Mechanical :
Electrical :
structrual .
General
inspected by .__ - 3e�1(�(�.4 nate
Inspection R4quest.ad i
1.
* Final Elec-frical 0499 E AP DN IVR
04/11 /95 P1 RIIVR 24- 1070 C E
04/05/95 RI RIIVR 24-1070 E
04/05/95 DN RG DNIVR LUT49 I BS
__'alb
A it
DEP<IRTMENT OF LAND & TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION #350-12
WASHINGTON 155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE- 503/640-3470
OUEGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Isar-Ani 5063936 Prajer.t i; : P0044296 Statua APPROV%L t'age 1 Qt
L
Applied 02/10/95 lssuc-d 02/10/95 Expires 08/09/95 04/05/9S OS 01
,.
ELEC
F)ermi.t Title SFR BOTH
TH
Uesc4'iption Begun 10/04/94 F
Job Address 14124 SW SPR1N�Q_K Tr. wi
Region or, U
Owner blame T99PEC ON - T 1(]ARU
{
Applicant. Name BEAR El UPTR 1 C
t Phone numb,e.. 245-2799 Valuation 0 Approved___
tr,sp&c1•:,r Comments Re3e-,ted-
"� 'PNL!_u�,L._'���o� 4•�._��'1 111 l-���.._.�,."11��
IVP-RESULT
7 - REQUEST ERROR'
ZAP- rlr _
Plumbing
M e c h a n i c a l
Electrical
Structrual
General
Inspe, .,ed by � T,cyl��f�` __.____ Date :
In action Re vested.
+ Final E?ect.r 3i'b� 0499 E AP DN IVIS.
R I 1 V R 24-107r F �4
"`+OGwaasw.o ,.n.,,1A •Ai:,' .,.p.s:i f+rkfu : .iw�kT:w!• ,Owv;.,.c.ys
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CITY OF TL)ARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.llgard,Orogon 97223.8199 (503)839-4171 MASTER PERMIT
r�
PERMIT #. . . . .. . . : MST'94-04:39
X39-4171. DATE ISSUED: 12/0&'/94
PARCEL: 1 S 133CC-•-00700
JFE ADDRESS. . . : 14124 5W SPRINGBROOK LN
SUBDIVISION. . . . : PEBBLECREEK ZONING: R-25
BLOCK. . . . . . . . . . . L.O F. . . . . . . . . . . . . :001 k
BUILDING
RELSSUE.MSi'94-0413 DWELLING 1JNI TS: 1 BASEMCNI'. 0 Sf �
CLASS OF WORK. :NEW BE:DRMS:2 BATHS s 2 GARAGE. . . . . . . . . . :509 s f
TYPE OF USE.. . . :SF FLOOR P.FCE AS-----___._._ _ tE U I RED SETBACKS-
TYPE
ETBACKS--_.__ ._..-.._...
TYPE OF CONST. -5N FIRST. . . . .. 1449 sf LEFT. . :5 ft RIGHT. :5 ft
i)CCUPANCY GRP. :R3 SECOND. . . :0 ,f FRONT. :20 ft REAR. . : 15 ft
.JURIES. . . . . . . : 1 FINBSME:N'F:o sf
HEIGHT. . . . . . . . :, l ft TOTAL---•----: .449 13 SMOKE DETECTORS. :Y
FLUOR LOA!). . . . :40 ps f VALUE. . . . . 101973 Pi-IRKING SPACES. . : 1
Remarks : 'r•ATH I
PLUMPING -__..---_..__.----•---__.--------______________
[IVI(ra. . . . . . . . . . . 1 FLOOR DRAINS. . . . .0 BACKFLOW PREVNTRS. . : I
LAVATORIES. . . . . :3 WATER HEATERS— : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :2 LAUNDRY I RAYS. . . :0 CATCH BASINS). . . . . . . .0
WATER CLOSETS. . 12 SEWER. LINE (ft ) . :0 GREASE: TRAPS. . . . . . . :0
UISHWF1al-lERS. . . . : 1 WATE=R LINL (ft ) . : I (Ale) OTHER F= IXTURE5. . . . . .0
HKBAUE 1)IFrp. . . : 1 RAIN DRAIN (ft) . :t2,
wASHING MAC!4. , . : 1 Sr-- RAIN DRAINS. . :
MECHAHICAL - ----__......---._.__._-----------------__.__ FEES -------
FUEL TYPES-- _-- UNIT HTRS. . :O type amo"ant by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1550. 00 JF IL/02/94
MAX INPUI :N LTU VENT FANS. . :3 SWM E 100. 00 JF1� /02/94
F-URN ( 100K _ : I HOODS. . . . . . : 1 SWM f 180. 00 JF 12/02/94 -
URN ) =10OK . . .0 WOODSTOVE7S. :0 BPPT t 436. 00 JF 1:::/02/94
_.UOR FFURN. . . . :0 CLU DRYERS. : 1 BPLC t 50. 00 JF 12/02/94
t)OIL/CM0'= ( 3HP:O OTHER UNIT73: 1 B51:-,r $ 21. `30 JF 1,2/02/94
GAS OUTLETS: 1 PARK $ 500. 00 JF* 12:/02/94 -
Owner: ____..._._._..__._ ..__.._._.. __...- .---_ .....--_--.-__._.__..._.-_--MrRT 9• 40. 50 JF 12/02/1)4 -
COSTA PACIFIC HOMES MPLC S 10. 13 JF 12/02/94 -
14780 SW OSPREY DR M5PL: b 2. 03 JF 12/02/94 -
SUITE: # 275 213TH 195. 00 JF 12/02/94 -
BEAVERTOPi 9P 970f17 P5P(' F 9. 73 JF 1�,/0c:/94 -
"hone #: 646-8888 EROC; 64. 00 JF 12/02/94 -
untractov,: -- - _.__..._.__.____. -....__ ERPC 20. 8 0 JF 14/01*=1/94
L06TA-PACIFIC HOMES, E RPC t 20. 80 JF 12/02/94 -
14780 SW OSPREY DR
# 275
BEAVER TON OR 9'- 307
Phone #: 303--646--8821:;
Reg #. . bl_�157 ___.._.__....-.____._. _____.__._____.___ ._.-__-__
TOTAL
This pertit is issued subJtct to the regulations contained in the --_---- REOUIRE'D INSPECTIONS, -- ----
Tigard Municipal Code, r.:ate of Ore. Specialty Codes and all other Foot/f•oLmd Insp Fireplace Insp
applicable laws. All work will to done in kcLrdance kith approved Host/beam ;'3tr�-lc.,t Gas Line Insp
plans. This permit will erpire if work is not started within 190 Post/Beam Mech.an Insp.dation Tnsp
days of issuance, ur if work is suspended or tore than 180 days. Plm/1.md7,lab Insp Gyp Board Insp
PLM/Underfloor Rain dr-,ain Inap
Plav,mittee Signati_tre :� _ _ hlechanir-al Insp Water-, Line Insp
P11-lmb Top Ot-tt Appr/Sdw11< Tnsp
Iss�.led By : F--raming Insp Mpchanic:al. F'ina1
a
or, inGpe'c on (751-17 5
l
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION
13125 5W Hall Blvd.Tigard,Oregon '97223-8199 (503)839-4171 PERM I T
P'E'RMIT #. . . . . . . : SWR94--0391
Ll.t,9-41 /1 DATE ISSUED: 12/0J'/94
PARCEL: IS133CC-00700 �
':ll TE ADDRESS. . . : 14,124 SW aPRINGBRO01-1, LN
r�UBU I V I S I ON. . . . : PEBBLECREEK ZONING: R—��
OLOCK. . . . . . . . . . . LO. . . . . . . . . . . . . :001
1ENANT NAME. . . . . .
t_ISA NO. . . . . . . . . . . ' IXTURE UNITS. . . .
t:LASS OF WORD., . . :NLW DWELL I Nr UN I Thi. . : i
IYPE OF USE. . . . . :SF NO, OF BUILDINGS: 1
iNSTALL TYPE. . . . :BUSWR IMQERV SURFACE. . :sf
�,,emarks s PATH I
vner. ___________________________.___._.__----_—------_--_—_ FEES ____.___—___-
1,05TA 1CIFIC: HOMES type amol-Int by date recpt
14780 SW OSPREY DR P'RMT $ c'c0171. 00 Jf= 12/02/94 —
JUITE # 275 INSP $ 5. 17.10 JF 11_/1Z12/94 —
13E.AVERTUN OR 97007
l Phone #: 646 -8808
s
I
CONTRACTOR NOT ON FILE
v
'harle #. $ EL 35. 016 I"UTAL
REQUIRED INE .ACTIONS ------
hit Ap,,licant agrees to eomply with all the rules and regulations Se Ner Inspection
of the Unified Sewage Agency. The pernit expi-es 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accura:y of the
side sewer laterals. If the sewer 15 not located at the measurement
given, the installer shall prospect 3 in all directions from
the distance given. If not so located, 1heiinstaller shall ourchase
a "Tap and Side Sewer" Pe^mit and the AP cy will install lateral.
.:
t Permittee 5iyncaL�_ire : A4
Call for inspection — 639-4175
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
`
Jobsite Address:
� `
���� � OtYice tJse Ohm
Subdivision: y�,� Lot# ,>
Pla,-,ck/Rec
Valuation: _ _ �_._�_._
cy, Permit#Corner Lot? N
Reissue of
Flag Lot? Y rN
Map & TL#
i
Owner: Approvals IReguired
Address: � -� (�� - Planning
J2 A.�P.d� Engineering
Phone: . Other
Contractor: _ - Items Required 1
Address: Subcortractors _
Truss Details
Phone: ___f —_.�.— Other _
Contractor's License #
(attach copy of current Oregon license)
Contact Name & F)one:
Subcontractors: Architect/Engineer'
Plumbing: 1 Address:
)T
I V Mechanical: _1-t�"�. L° c
attach co of cun�snt CR Contractor's Lic nse) RPh
( PY
Phone: � �."[ " L • ��"i� 1
\ai(al—
JOB DESCRIPTION: 0L l
Applicant Signature & Phone number
?eceived by: — Cate Received:
WORDWOW"RESAPP
•
Permit# Account Description Amount Amt, Pd. Bal. Due ,v
-0 J Bldg. Permit (BUILD) ?,r <i V
Plumb. Permit (PLUMB) /. at)
Mech. Permit (MECH) Zv
State Tax (TAX) 3 ✓ .�-�7 G
Bldg: �z /0—
Plumb: 0—
Plumb: �,�✓/
Mech. ? 3 V
Plan Chock (PLANCK)
Bldg:
Plumb:
Mech:
'sem L011 Sewer Conor-.;tion (SWUSA)
Sewer Inspection (SlIVINSP)
Parks Dev Charge � I
9 (PKSDC) SGd
Storm Drainage Chg (SDSnq
Residential TIF (TIF-R) v
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL) �
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT) �.
Erosion Planck/USA (ERPLAN)
j Erosion Planck/COT (EROSN) ?-o•�y
# l —> _a
TOTALS:
k
Belga No. 1 cum CMA
POA CAM go.i ►r'pl4-017!
CMA PACIFIC NOIQ/
14124 SW SPRINO6AOO1[ 171
05/27/98
Dirp By Update Upd
Action Description
Req/ Bcbd,' land/ Actiale Notes
Date By
code Bent Done Done ---
- - ---- -------- -------------
---
E
•
PA-3s JF 11/30/94 BUT
MSTA007 Application recr.vud / / / / 11/15/94 PASS JF 11/30/94 HLT
MSTA010 Plan check deposit paid / / / / 11/15/94
PA99 RT It/+^!x4 HIST
MSTA020 Plan check by 11/30/94 % / 11/30/94
MSTA030 check for prcl. restrict. / ( 11/30/94 11/30/94
FABS JL/4 11.70/04 HL2'
MSTAD 92. lFl Lsue ccyebinatian permit / / / /
12/02!94 JF• I)/'' '•s JF
12/02/94 JF I1'.�.
MST\095 (F) Reprint Pexmit / / ! / -
MSTA095 (F) Reprint Permit / / / 12/02/94 JF a' ,P
JF .2.'^ '9• 'F
MSTA097 Issue plumbing nignature form / / / / 12/02/94
FAIL RB 12/v:
M9TA705 Foot/found Inap / / / / 12/06/94 NCT READY , 94 RA
i
MSTA705 Foot/f oumd hep
12/00/94 PENDING- CRAWL DRAIN; GROUND ROD CR PADS RB 12/00/94 RB
MSTA710 post/Beam Structural / ( / 12/23/94 PENDING- SUPPORT GIRDER AT FIREPLICR- PASS RB 1?/23/94 RB
HANGER SUPPORT OFF FOOTING; POST MARKED
PROVIDE ADEQUr.'TR P.RARING 6 POST
PROTECTION- POST DANGLING; CENTER POST
PROTECTION AT SEVERAL LOCATIONS.
PASS RH 12/23/94 RB
MSTA711 Poet/Beam Meclanical / / / 1.2/23/94
MSTA711 PLM/Underfloor / / / / 12/22/94 PASS k1, 12/23/94 MRS
MST1,720 Mechanical Inep / / / / 02/17/95 PASS MS 02/21./95 MRS
M_9TA722 Plumb Top Out / / / / 01/26/95 PASS MS 01/26/95 MRS
MSTA725 Framing Insp / / / / 02/23/95 #-1- see inspection notes DIS RS 02/24/91, RBS
META 725 Framing Inep / / / / 02/23/95 x-1- list of corrections not completed DIS RS 02/27/95 RBS
at thle time
! ok :o insulate walls ( only)
l
MSTA726 FrAminq %RRINSP> / / / / 02/28/95 APP RS 03/07/95 RBS
+ MSTA735 gas Line Insp / / / / 02/17/95 PASS MS 02/21/95 MRS
MSTA740 Insulatica; Insp / / / / 02128/95 APP RS 03/02/35 RBS
M.9TA745 gyp Hoard Inep / / / / 03/06/95 M-1-see inapecticm —t•s DTS RS 03/07/95 RBS
4
MSTA745 gyp Board Inep / / / / 03/07/95 N-1- ok to mod and trope interior gypsum PART R9 03/.6/95 RHS
only.
k-2- gypsum adjacent to furnace plenum
needs to be tight fitting area to
1 large ill to tape not acceptable for
a
I separation
i
MSTA755 Rain drain Inep / / / / 12/16/94 PASS ME 12/16/94 MRS
MSTA760 Mater ane Insp / / / / 12/16/9e PIAS MS 12/16/94 MRS
I
payfd
.. ..
1 •
1� CASF, HIST(jIiy FON '_ASE NO. : MST94-0439
COSTA PACIFIC- HOMRS
14124 SW SPPJNIJBROOK LN
09/27/98
Accicn Descr,rl n Req/ Schd/ Rnd/ Action Not-en 177sp 8y update Dpd
Code gent Done Done Date BY
�I
I
erA',...,, r�,r„ ..,,�i�„i�. i��„�. / 04/16/95 1) compaut rock in sidewalk. PhWD L1' 05/01/95 JB `
2) Place felt at cold joints at both I
ends.
3) Regrade approach for 6” depth and
I
compact.
4) Be prepared to protect finish.
MSTA795 Mechanical Final ! / / ! 05/15/95 M-1- see inepuction 110tes DIS RS 05/16/95 RBS
M;'PA795 Mechanical Final / / / ! 05/17/95 APP KS OS/1.8/9'1 KBS
` MSTA797 Plumb Final / / / / 04/18/95 house locked NR M.9 04/18/95 MRS
MSTA797 Plum)') Final / / / 04/24/95 dishwasher hose not under counter FAIT, MS 04/2.3/95 MRS
properly
main shut off valva not acceseabie
I
M19TA 97 Plumb Final / / / / 05/01/95 PRsv IOus CORP OK APP GS 05/01/95 OSS
i
MSTA799 Building Find / / / / 05/15/95 k-1- see inepectlon notes DI9 K9 05/16/95 R139 �
MSTA799 Building Final / / / / 05/17/D5 APP RS 05/18/95 r13S
MSTA960 (F) Issue Cert. of Occupancy / / / / 05/17/95 JF 05/10/95 JF
MSTA960 (F) Yasuo Cert. of Occupancy / / / 05/17/95 JF 05/18195 JF
MSTH?13 Crawl Drain j j / 05/01/95 APP 0•S 05/01/95 GES
A e.