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CERTIFICATE OF OCCUPANCY
CITY 4F TIGARD _
PERMIT M MST1999-00220
DEVELOPMENT SERVICES DATE ISSUED: 06/23/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA 09900
ZONING: R 7
JURISDICTION: TIG
SITE ADDRESS: 08910 SW CORTL.AND LN
�"
SUBDIVISION: APPLEWOOD PARK NO. 3 ILL V
BLOCK: LOT:092
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: Construction of single family detached home, Path !.
Final Building Inspection and Certificate of Occupancy
Approved 10/20/99 by Tom Plescher, Building Inspector
Owner: —.
MATRIX DEVELOPMENT
6900 SW HAINES STREET
PLAZA 2, SUITE 200
TIGARD, OR 97223
Phone: 620-80810
Contractor: __—
LEGEND HOMES CORP
6900 SW HAINES ST
PLAZA 2, SUITE 200
TIGARD, OR 97223
Phone: 620-8080
Reg #: LIC 00060563
This Certificate grants occupancy of the above referenced building or portion thereof alid
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes forte group, occupancy, and use under which the referenced permit was
isgudc�
4TLDING INSPECTOR Bl11LDG F FICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION ` ,�
24-Hour Inspection Line: 639-4175 Business Line: 9-4171 MST 66 Z `- �'
` BUP _ '—
Date Requested G AM_ PM BLD
Location__— /L Suite MEC _
Contact Person — Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC — —
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN -
Crawl Drain Inspection Notes: --- —
Slab - - --- -_ _--- ---- SIT
Post& Beam — --
Ext Sheath/Shear
Int Sheath/Shear -- ---
Framing
Insulation - -� --`--
Drywall Nailing
Firewall
Fire Sprinkler _-.. _ `--rri IAC f�.nve�,� C�C7j�'t �rr L7 -- �✓Z _ --- -
Fire Alarm '7
Susp'd Ceiling
-- --------..___..----
Roof ,)
Misc: --��=-�- ---- ----
RT FAIL. --._ -- - -- —- ------
Under Slab
Top Out _.._-
Water Service
Sanitary Sewer - ---
Rain Drains
Final ------------- -_r
PASS PART FAIL
Fast& Beam - -
Rough In .—
Gas Line - -- -
1 rmoke Dampers
ASS PART FAIL
RIrArL -- -
Sen,ice
Rough In
UG/Slab _
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE ---- - - - � -
Backfill/Grading ------- -- ----__-_..�-----__-_- --
Sanitary Sewer
Stnrm Drain [ ]Reinspection f;-e of E- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin RE reinspection ll f
Please call reins
Fire Supply Line [ ] p [ ]Unable to inspect-no access
ADA
Approach/SidewalkQ
Other Date Q/a7O/5 ! _ Inspectr,r C��I _ Ext
Final
PASS PART FAI1L_J DO NOT REMOVE this inspection record from the job site.
CITY OF TIGAF� � ���� MASTER PERMIT
DEVELOPMENT SERVICES L DATE RMIIED: MST1999-00220
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 08910 SW CORTLAND LN PARCEL: 2S111DA-09900
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT:092 JURISDICTION: TIG
REMARKS: Construction of single family detactied home, Path I.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,J34 of BASEMENT; at LEFT: 4 _ SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,266 if GARAGE: 455 of FRONT: 22 PARKING SPACES: 2
TYPE OF CONST: 5N nwF1 I INn I INITS• 1 FINBSMENT: of RIGHT. 4
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: of VALUE: S 170,646 05 REAR: 21
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS;
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
MECHANICAL
OTHER FIXTURES:
FUEL TYPES FURN c t00K: BOIL/CMP c 3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN>000K: 2 UNIT HEATERS: HOODS: 1 OTHER UNITS. 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
—RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 20D amp: WISVC OR FOR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 4 201 400 amp: 201 •400 amp: tat W/O SVC/FDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 500 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNALJPANEL: IN PLANT:
MANU HMISVCIFDR•. 501 • 1000 amp: 601+ampo•1000v: MINOR LABEL:
1000+amp/volt:
Reconnect only:
PLAN REVIEW SECTION
>e4 RES UNITS: SVCIFDR>•225 A.: >$00 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 3 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
DLIRGLAR ALARM: 0TH: BOILER: HVAC: L.ANDSCAPE/IRRIG: PROTECTIVE GIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATAITELE COMM: NURSE CALLS. TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,551.54
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
6900 SW HAINES STREET 6900 SW HAINES ST Tigard Municipal Code,State of OR. Specialty Cortes and
PLAZA 2,SUITE 200 PLAZA 2,SUITE 200 all other applicable laws. All work will be done i'I
TIGARD,OR 97223 TIGARD,OR 97223 accordance wkh approved plans. This permit-Hill expired
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rag#: LIC 00060563 forth in QA.R 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Eroslon 844.8444 Underfloor insulation Plumb Top Out Low Voltage Water Line Insp Final inspection
Footing Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Appr/Sdwlk Insp Building Final
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Fireplace Electrical Final
Post/Beam Structural PLM/Underfloor Framing Insp Insulation Insp Mechanical Final
Post/Beam MUchaOicca Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final
Issud B
Y Permittee Signature
Call(503)6394175 by 7:00 p.m.for an inspection needed th ' ex u ne ay �'
CITYOF TIQ SEWER CONNECTION PERMIT
DEVELOPMENTS%tWN ` L PERMIT#: SWR1999-00132
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/23/99
SITE ADDRESS; 08910 SW CORTLAND LN
PARCEL: 25111 DA-09900
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 092 JURISDICTION: TIG
TENANT NAME: LEGEND HOMES INC
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: Single family detached.
Owner: — —
Own ____ FEES _
LEGEND HOMES Type By Date Amount Receipt
6900 SW HAINES STREET
PLAZA,2, SUITE 200 PRMT DEB 6/23/99 $2,300.00 99-316357
TIGARD. OR 97223 INSP DEB 6/23/99 $35.00 99-316357
Phone: 620-80810 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with alp _.es dnd regulations of the Unified Sewage Agency The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not
guarantee the accuracy of the side 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 a"Tap and
Side Sewer' Permit and the Aa-^.cy will install a lateral ATTENTION Oregon law requires you to follow rules adopted
by the Oregon Utility Notificatio.i 'enter Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987
Iss,usd by: Permittee Signature:
Call (503) 630-4175 by 7:00 P.M. for an inspection needed that 6ext bust $81, y
� v c
CITY OF TIGARD Residential Building Permit Application Plan Check# O
13125 SW HALL BLVD. Additions or Alterations Recd ey
TIGARD, OR 97223 Single Family Detached or Attached (Duplex Date Recd I1`,
V ,503-639-4171 Date to P.E.
F 503-684-7297 Date to DST,/;
Permit#
Print or Type Called M L
Incomplete or illegible applications will not be accepted vv 13 e-..
Name of Project Name
Job /� o'r� ���� i?,4
Address S Address Architect Mailing Add ess
a `-'�-t City/Sts a Zip Phone
G l i /SZ
Owner Mailing ress Name
City( 4e Z� Phone Engineer Mailing Address
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Prbr tri rmlt'F Ma q rirosa t. ski. ; ? �: to be dome:. ; , I�. ' e.y', r, , '' t Srt 0 4b4;•
Issuance + 5 `e AddMonal Nsaiption of WOrk
cePY tate p Phone '
of all licenses^
are required if Oregon nat Cont Board . Exp.Date PROJECT.
expired in COT ' Llc.t t �* /.�li"
database - �`_ tJ S—(�� VALUATION .' I C,t �; y I L
Mechanical Name NEW CONSTRUCTION G ALY: 'f••c,.s�;�4�. t
Sub- / �7
L e_Z Sq. Ft. Hous 1 - -TSy. Fl. ge.
Contractor Mailing Addreks _�
Prior to permit �� S �, �L�S /� Indicate the restricted energy installation by t al
Issuance,a copy C' /State Zip Phone subcontractor in the follow areas
of all licenses
Restricted Audio/Stereo
are required if Oregon Const.Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# ' Installations Vacuum Irrigation
database �___ -�"��� S s!em System
Plumbing Name _
n (check all that Other
Sub- ; . - / ' n/, apply)
Contractor Mailing Address Comer Lot YES NO Flag Lot YES NO
— J ���, check ones- `� (check one)
Prior to permit C' /State Zi `l Phone Has the Subdivision Plat recorded? NIA NO
P
issuance, a copy -
of all licenses are Oregon ,onst.Cont Board xp. Date
required H Lic#
expired in COT -� __ _ l I hearty acknowledge that I have read this application,that the
database Plumbing Lic.# Exp. Date information given is correct,that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Oregon State laws.
Name Sign%ure of ne. gent T - D to
Electricaly�� 1*,,
Sub Ma ling Address Cont ers'onNarrtie �u Ph
Contractor
hoon
Prior to permit City/State Zip P
issuance,a copy / ��,,//���
of all licenses are Onion Const.Cont. BoardExp te_ FOR OFFICE USE ONLY:
required if Lica 1 j Plat 0, _ - MaprrL#:
expired in COT / _ w > 'i
database Electrical Lic.#
Erg. Date Setbacks: Zone: Solar,
Electri l Supervisor LIC.# f=lop, uate Engineering Approval: Planning Approval: TIF:
I:klsts\fonmsWaddaM.doc 111-201W
FL Off" PLAN
LOT *110K / APPLE WOOD 'ARK
fRI 2 51 11 DA
TAX LOT 013900
8910 SW CORTLAND LANE
5-E. 1/4 OF SECTION 11, T.2, R.IW, W.M.
CITY OF TIGARD
W45PINGTON COUNTY, OREGON
LEGENDHOMES
6900 S.W. HAUMS STRIMT TIGARD, ORICGON
TT
PLAZA 2. SUITZ 200'7 97223-2514
0MCF (505) 620--8080 FAX (503) 595-8906
N
SW CORTLAND LANE
SE)
V 20--01'
GUR5 F�
SIDEWALK'i
8' UTILIT
EASEMENT 204.2'.,
204.81
WATER METER ---------------- -- ------- -- -------
W------- WATER LINE 204.4'
SANITARY SEWER 2050, 204,5'-
STORM DRAIN 4.0'
t OF -STREET
• MANHOLE !f2
4;16 SQ FT.
CATCH BASIN
RECaEN7
OPOSED
STREET TREES FIN. FLP— - 2063 10
STREET LIGHT RAGE FLR. a 204A
42 140
FIRE. HYDRANT
LOT OT
2063'
F'RovIDIR EROSION N
CONTROL FENCE
PER C-CtlMLJNITY LOT 5 89'54'28" W
EPOSION PLAN
LOT L07 77