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CITYOF TIGARD CERTIFICATE OF OCCUPANCY
PERMIT#: MST1999-00235
DEVELOPMENT SERVICES DATE ISSUED: 07/14/1999
13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 PARCEL: 2S111DA-09600
ZONING: R-7
.,t;RISDICTION: TIG
SITE ADDRESS: 09020 SW CORTLAND LN FILE �
SUBDIVISION: APPLEWOOD PARK NO. 3
BLOCK: LOT:089
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I: New single family dwelling w/attached garage.
Final Building Inspection and Certificate of Occupancy Approved
11/3/99 by Ken Schriendl, Building Inspector
Owner:
MATRIX DEVELOPMEUT
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 and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use nder which the referenced permit was
issued.
BUILDIN I�CTOR
BUIL-DI46 OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST 01c1-b"0.�-�5
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BIIP
Date
��Requested q,� —AM ; , PM BLD — -
Location co a0 t,[�r- ,� t� �(.1 31 i Suite _ MEC
Contact Person Ph PLM
Contractor _ Ph _ SWR
UILDING Tenant/Owner ELC
Retainin;',Nall ELR
Fco!'Ing Access:
F;,undation FPS
Fig Drain l SGN
Crawl Drain Inspection Notes: j
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing r '1tG'N C&UfV4e_
Insulation �
Drywall Nailing (+ � �ur'�c ,C; M� �7ucTS C�i G2/3c�.+c_
Firewall
F=ire Sprinkler
Fire Alarm
Alarm
Susp'd Ceiling — -- —
Roof
Misc:
SS ART FAIL --- —- —
NG _
Post'• Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PAS5--_41 FAIIV- -
C HANICAL
Post& Beam --
Rough In
Gas Line -- - - — - -- --
Smoke Dampers
S ART FAIL
LECTRICAL _ —Service
Rough
- -- --- — -
Rough In
UG/Slab __--
Low Voltage
Fire Alarm I —
Final
PASS PART FAIL -
SITE
Backfill/Grading ——— -
Sanitary Sewer
Storm Drain [ j Reinspection fee of$— required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply line [ j Please call for reinspection RE', — ( �Unable to inspect-no access
ADA
Approach/Sidewalk Date Ins actor Ext
Other _ __—�_ -__ __ ---- p --
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD MAS'fERPERMIT
PERMIT#: MST1999-00235
DEVELOPMENT SERVICES DATE ISSUED: 7/14/99
13125 SW Hall Blvd.,Tigard, OR 97223 (5q'3� 1
SITE ADDRESS: 09020 SW CORTLAND LN (�f �� PARCEL: 25111 DA-09600
SUBDIVISION: APPLEWOOD PARK NO, 3 IVA L ZONING: R-7
BLOCK: LOT: 089 JURISDICTION: TIG
REMARKS: PATH I: New single family dwelling w/attached garage.
BUILDING
REISSUE. STORIES: FLOOR AREAS REQUIRED SETBACKS _ REQUIRED
CLASS OF WORK: NEW HEIGHT: :4 FIRST: 927 61' BASEMENT. of LEFT: 3 SMOKE DETECTORS: Y
TYPE OF USE: Sf FLOOR LOAD: 40 SECOND: I,.,,t of GARAGE: 419 of FRONT: 27 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 9f RIGHT: I2
VALUE: S 158,794.21
OCCUPANCYGRP R3 BORM: 3 BATH: 3 TOTAL. of REAR: 17
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDPV 1RAYS' I RAIN DRAIN: 100 TRAPS:
LAVATORIES. DISHWASHERS. I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: GARBAGE DISP: I WATER HEATERS: I WATER LINES: ILC BCKFI-W PREVNTR: i GREASE TRAPS:
OTHER FIXTURES,
MECHANICAL
FUEL TYPES FURN<100K: BOILICMP<OHP: VENT FANS: 4 CLOTHES DRYER I
t',!„ FURN>-100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: I
MAX INP. btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEECERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 200 anipWISVC OR FDR: 1 PUMPARRIGATION: PER INSPECTION:
EA ADD'L 5005F: 4 201 400 amp: 201 400 ar nr. let W/O SVC/FDR: 00 SIGNIOUT LIN Ll. PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 600 amu: EA ADDL BR CIR: SIGNAL/PANEL: IN PLAN C
MANU HMISVC/FDR: 601 - 1000 amp: 601+amps-1000v: MINOR LABEL
1000.amplvolt
PLAN REVIEW SECTION
Reconnect only: --- - — --
-4 RES UNITS: SVCIFDR-225 A.: 600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICT ED ENERGY
A.SF RESIDENTIAL - B.COMMERCIAL
AUDIO R STEREO VACUUM SYS FEM. AUDIO B STEREO. FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT.
BURGLAR ALARM, OTTH BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR.
HVAC: DATA7TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS
Owner: Contractor: TOTAL FEES: $ 5,472.12
ND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained In the
LEGE
6900 ND HAINES STREET 6900 ND HAINES ST Tigard Municipal Code, State of OR Specially Codes and
PLAZA 2, SUITE 200 PLAZA 2, SUITE 200 all other applicable laws All work will be done it
TIGARD OR 97223 TIGARD.OR 97223 ac �rdance with approved plans. This pertnil'.vil expire If
work is not started within 180 days of issuance,or 1f 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
RogA: LIC oom(ls,,1 forth in OAR 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
Erosion 844-8444 Underfloor insulation Plumb Top Out Low Voltage Water Line Insp Final inspection
Fooling Insp Crawl Drain/Backwater Electrical Service Fireplace Insp Appr/Sdwlk Insp Building Final
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Electrical Final
Posl/Beam Structural PLM/Underfloor Framing Insp Insulation Insp Mechanica!Final
PGst/Bearji-WaChMical Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final
Issued y : A, L.� ( �tit") Permittee Signature
•T�r.
Call (503) 639-4175 by 7:00 p.m. for an inspection needed t /nes /bus no*day%
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR1999-00143
13125 SW Hall Bled., Tigard, OR 97223 j503iDATE ISSUED: 7/14/99
SITE ADDRESS; 09U2C SW CORI LAND LN
r&/iv PARCEL: 2S 111 DA-09600
SUBDIVISION: APPLEWOOD PARK 1'40. 3 � ZONING: R-7
BLOCK: LOT: 089 J4ISDICTION:_TIG
TENANT NAME: LEGEND HOMES
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: sewer connection for a new single family dwelling.
Owner: _ FEES
LEGEND HOMES Type By Date Amount Receipt
6900 SW HAINES STREET – --- —
PLAZA 2, SUITE 200 PRMT DEB 7/14/99 $2,300.00 99-316871
TIGARD, OR 97223 INSP DEB 7/14/99 $35.00 99-316871
Phone: 620-x0810 Total $2,335.00
Contractor:
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Phone: 667-9891
Reg#: LIC 00023847
PLM 26-208PB
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sew,. _ 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 rneasurement 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 Agency will install a lateral ATTENTION Ore-i 1 law requires you to follow rules adopted
by the Oregon Utility Notification Center 1 hose rules are set forth in OAR 9.,2-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued b �, j �� y _ Permittee Signature:
Call (503) 639-4.175 by 7:00 P.M. for an inspection needed the next business day
Plar ec�CITY OF TIGARD Residential Building Pe►'mit Application Rec'dBy
13125
-r- �
13125 SW HALL BLVD. Additions or Alterations eye_
TICAARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd_
Date to P.E.
V 503-639-4171 Date to DST 30 -�'l /Z/
F 503-684-7297 Permit#.�h?lrl -o �:3•S
Print or Type Called—
Incomplete or illegible applications will not be accepted
:54Ji?lfr,?y-tea/U3
Name of Project Name
,lob � U��L ��'�:r�� %��� _L �� J
Address Site AQdress Architect Maiiing Add ess
( / Zip Phone
Nam
Owner Mailing ress Name
Engineer Mailing Address
City,( ale Z Phone 9
Genera) Na City/rsta�tg 1' 1 Zip i I Pt
Contractor` _[- ' rf• Describe work ti's-New Addbron o Alteration 0
••
r. Ma)11 r.aa >A be coria ,'k'i^�
Prior to permit' f. •: ° c 4 `' Additional!Description of Work:
Issuance,a copy /b� Ip Phone •ixf ,"l jx.`�:',f F '�' S r�7r? -,ht �� ay 'i n "
of all licenses ! > ! t ;
ars required If Oregon nat Cont. Board Exp.Dalo PROJECT;;!-, K
expired In cor Lk.A `a_5_�J VALUATION
database - �' �•4', ,.'•
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Sq. Ft.House: - I Sq. Ft.Garage'
Contractor Mailing Addrss
Prior to permit 11� Indicate the restricted energy installation by the el&cMcal,'
Issuance,a copy C 'State Zip Phone subcontractor in the f_ollewing areas
of all licenses - _ Restricted Audio/Stereo
are required if Oregon Const Cont.Board Exp.Date Energy System Alarms
' Installations Vacuum Irri abon
expired in COT Uc.N I g
database �-- 5 —�—(1- System — — -mem
Plumbing Name (check all that Other.
Sub- � ) a ply) — — -
Contractor Mailing Address Comer Lot YES NO Flag Lot YES N
-Scheck one (check one)
Has the Subdivision Plat recorded? N/A T NO
Prior to permit C !State Zip Phone
issuance,a copy -4, )t }ky,n1 _f ?-/ — -of all licenses are Oregon Const.Cont. Board p Date
required if Lic.#
expired in COT (') )C)UL 3 - l -tz) I hearby acknowledge that I have read this application,that the
database Plumbing Llc.# Exp. Date information given is corre(l,that I am the owner or author�.7ed ao!nt
/ 2 of the owner, and that plans submitted are in compiiatice with
2�l% f �'3/ C Oregon State laws.
Name r SignAure of Owner gent V ate/� `
Electrical , v '' ; I - )
r,�l� �i�
Sub-
Contractor Mailing Address Contact erson are ✓ phone
Contractor --
City/State Zip Phone/
Prior to permit
issuance,a copy 1L%1 FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp.Date —
required 6 Lica 1 ) Plat#: .,, MapJi�L LL-
expired in COT / � //Sr�J _ -�e�-�.G T—_ _ 5
database Electrical Lic.#, Exp. Date Set acks. zm-le: S018rJ
f Eledricgl Supervisor Lic # Exp. nate Eng i Bering Approval: Planning App vel: TIF:
�i y 1:ldsts\forms\sfaddiR.doc 1 t/2tl/9A
PLOT FLAN
LOT #013, AFFL E WOOD PARK
R-1 251 11 DA
TAX LOT OeaOO
5020 SW CORTLAND LANE
S.E. 1/4 OF SECTION 11, T.2, RJW, W.M.
CITE' OF TIGARD
W,45N INGTON COUNT r, OREGON
LEGENn HOMES
0900 S.W. 6AUM JfREET 77GARD, OREGON
PLZA 2, SlJrM 200 97229-2614
OFFICE (609) 020-9080 FAX (809) 699-0909
5W CORTLAND LANE
N ----- t---Ss-------------T-------�a____
1" 20'-0" I E E ' CURB
_—
N,- 49'5 1251,�W 910EWAL0
U WATER METER (�� I
W------- UTILIT
WATER LINE Y
—— EASEMEi
SS— — SANITARY" SEWER (Y
SD— - - — STORM DRAIN Q/ I +�•1�� ,,�G�'" - \
I& OF STREET
• MANHOLE t I I I267 \
® 4065'
CATCH BASIN �- i i E .r Al \207
PROPOSED z
STREET TREES
�7I STREET LIGHT ' I LOT e9
FIRE HYDRANTI I 4,547 SO. FT. j / n
HARCOURT IIA
I I FIN. FLR. ■ 208.2' / Q
GARAGE FLR- • 2068'
Z' 3 j''
PROVIDE EROSION Lor 9k
CONTROL FENCE
I r
PER COMMUNITY
EROSION PLAN I I
I I i S 89'54'25" LL
tP I i 62.00, L.OT 81
T � I t
i i I LOT Be