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9025 SW CORTLAND LN _
CERTIFICATE OF OCCUPANCY
CITY OF TIGARD
PERMIT#: MST1999-00375
DEVELOPMENT SERVICES DATE ISSUED: 11/16/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-10300
70NING: R-7
JURISDICTION: TIG
SITE ADDRESS: 09025 SW CORTLAND LN
SUBDIVISION: APPLEWOOD PARK NO. 3 FILE Cu" PY
BLOCK: LOT:096
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 3/29/00 by Ken Schriendl, Building Inspector
Owner:
MATRIX DEVELOPMENT
12.755 SW 69TH AVE #100
TIGARD, OR 97223
Phone. 620-8080
Contractor:
LEGEND HOMES CORP
12755 SW 69TH AVE #100
TIGARD, OR 9'223
Phone: 62.0-8080
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 ur der which the referenced permit was
issued.
BUILDING INSPECTOR BUILDNb OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION P. ;ISION
24-Hour inspection Line: 639-4175 Business Line 639-4171 `..^MST ? j �-s
X. BUP _
Date Requested 3 /� � AM _PM BLC _
Location % �� ( C�1_J_L� � Suit6 — MEC _ _ --
Contact PersonI '� — Ph ]L' PLM
Contractor Ph _ SWR
UILDI G,) -- Tenant/Owner _ ELC _
Petaining Wall _ ELR
Footing Access: _--
Foundation FPS
Ftg Drain --"
Crawl Drain Inspection SGN
Slab
Post& Bearn SIT _—
Ext Sheath'Shear [ �� C (,�� ,� -r ,� r
Int Sheath/Shear vi --- -
Framing ,
Insulation -
Drywall Nailing
Firewall re 0- Sle e
Fire Sprinkler
Fire Alarm L `A /f
Susp'd Ceiling < I��A LyAt ^'et off, X
Roof ��,��,
Fin a- -
ASS.1 PART FAIL ����✓��_ �"" �✓!� `' �G/Z. T
PLUMBING
Post& Beam - -
Under Slab
Top Out - - - -- -
Water Service
Sanitary Sewer -- ---
Rain Drains
Final- ---
PASS PART FAIL
ME AHG NICAL ---
Post&Beanr
Rough In
Gas Line --- ----- -
Smoke Dampers
Final,' -- -- -- -- -
PASS PART FAIL
ELEC"f RICAL --- --
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
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 [ ]Please call for reinspection RE: J [ J Unable to inspect-no access
ADA
Approach/Sidewalk Date _ ! - �� Inspector _ _ Ext
Other _ _-_
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
i
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 BusinL-ss Line: 639-4171 MST
BUP
Date Requested S ^ —AM X PM
-- r
Location �l D� Cin a-n/- _ Suite MEC _
Contact Person /� Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC —
Retaining Wall ELR
Fooling 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
Fire Alarm
Susp'd Ceiling
Roof -- ___.----- -
Misc: - --_._-_.-
Final - -
PASS PART FAIL -- -- -_ - - -- ---- - -- --- -- - -
,IMBIN
Post& Beam �- ----- -- - - - --- - -
Under Slab
Top Out -- ---
Water Service
Sanitary Sewer
Rain Drains
PART FAIL
_ HANICAL _ -- —__-
�_._
Post& Bearn -- -
Rough In
Gas Line - ---- -
Smoke Dampers --
Final
PASS PART FAIL
ELECTRICAL --------
Sen,ice —
Rough In ---- -- ----- -- - -- -
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL _-_—__ -
SITE
Backfill/Grading - -- --
Sanitary Sewer
Storm Drain ( Reinspection fee of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE: _ _ _, ( ]Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewal, ) �/J�
Other —_ Date r� n Inspector��`� Ext,"?11
Final
PASS PART FAIL O NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST f t`
24-Hour Inspection Line: 639-4175 Business Line: 639-4171--�-�
/ BUP _
Date Requested �� �� /C6 AM � PM BLD
LocationSprite MEC
Contact Person
Ph -I ' �G PLM _
Contractor `J Ph SWR
BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN -�
Crawl Drain Inspection Notes. ---- ------
Slab —_--.---- --- — ---- .— SIT
Post& Beam ---
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation _
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm `
Susp'dCeiling 1 - ------------ ---- - - ---
Roof
Misc' ------ - - -_-- ---- -
Final
PASS PART FAIL -- -- --- ---- --- _ --- ------ - -
PLUMBING
Post& Beam - _ ----- - ---- ------- -----._...._.--_
Under Slab
TopOut .----- ---- - --------- --- --------- --------- --------- - --
Water Service
Sanitary Sewer --- -
Rain Drains
Final
PASS PART FAIL _
MECHANICAL
Post& Beam - --- -
Rough In
Gas Line
Smoke Damper:,
Final -- ---- - --- ---- ---
PASS PART FAIL
Service
Rough In - ----- - _-- - -
UG/Slab _
Low Voltage
Fire Alarm
PASS-)PART FAIL
Backfill/Grading - ---_- -
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ -required before next inspecti•- Pay at City Hall, 13125 SW Hall Blvd
Catch Basin i
l f
Please calor rens ection RE:
Fire Supply Line [ J p - / [ J Unable to inspect no access
ADA
Approach/Sidewalk
Other Date _ Inspector / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
3 25
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST �d
1 BUP _
Date Requested % I AM PM
C 1 BLD
Location Suite MEC
Contact Person _ Ph .� (..) PLM —
Contractor Ph SWR
LDINx) Tenant/Owner __— - ELC --_ —
Retaining Wall ELR
Footing Access: —
Foundation FPS
Ftg Drain -
Crawl Drain Inspection PJotes: SGN —
Slab _ -- SIT
Post& Beam
Ext Sheath/Shear A,1 t xco <
Int Sheath/Shear i --- -"' -
Framing 14y14L E�DS10itJ
Insulation —
Drywall Nailing _127 iww y4� 4-IL te)
Firewall —
Fire Sprinkler ,4e-- Ni1sG S -
Fire Alarm
Susp'd Ceiling ��� —
Roof
Misc srY2✓ctL.2= �� -7����/C_T.4 '/� — __—_.
a
SS PAR' FAI ----
PL_UMBING_ ---_J_
I'ost& Beam - -- -- --- -
Under Slab
Top Out --_--
Water Service
Sanitary Sewer — -- --
Rain Drains
.,ii ial/ — _� �-- --- --- ----- --- -
PASS PART FAIL
Pos eam _ _ ------------- - --- —
Rough In
Gas Line - ---- ---- -- - --- --
Smoke Dampers
S � PART FAIL ---- ---ELECTRICAL
Service Service
Rough In -
UG/Slab
Low Voltage — -
F=ire Alarm
Final,-/ — - -
PASS PART FAIL —
SITE ---- -- ---
Backfill/Grading ---- - ------ --
Sanitary Sewer
Storm Drain ) )Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( )Please call for reinspection RF --_ ( ]Unable to Inspect-no access
ADA i
Approach/Sidewalk
Other Date '� 7- (i'"� - Inspector _ - _Ext
Find — -�
PASS FART FAIL _ DO NOT REMOVE this inspection record from the Job site.
C I T`, OF T I G A R D MASTER PERMIT
PERMIT#: MST1999-00375
DEVELOPMENT SERVICES �` DATE ISSUED: 11/16/99
13125 SW Hall Blvd.,Tigard, OR 97223 � � 1t L
SITE ADDRESS: 09025 SW CORTLAND LN vv PARCEL: 25111 DA-10300
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT:096 JURISDICTION: TIG
REMARKS: PATH I: New single family dwelling w/attached garage.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRE D
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 641 of BASEMENT: of LEFT: 16 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,004 at GARAGE: 465 of FRONT: 22 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: at RIGHT: 6
VALUE: $133,625 65
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: at REAR: 17
Pt.UMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES F11RN<10OK: 1 BOIUCMP a 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN>•100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS- 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 3 201 -400 amp: 201 400 amp: lot w10 svcIrDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVCIFDR: 001 • 1000 amp: 601+amps•1000v: MINOR LABEL:
1000♦amplvolt:
PLAN REVIEW SECTION
Reconnect only: ---- -
>N RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL _
AUDIO 6 STEREO VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTE.ICOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL.
GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,466.30
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
Tigard Municipal Code,State of OR Specialty Codes and
6900 SW HAINES 6900 SW HAINES ST all other applicable laws. All work will be done in
TIGAf2D,OR 97223 PLAZA 2,SUITE 200 accordance with approved plans This permit will eypire if
TIGARD,OR 97223 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
Rego: LIC 00060563 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 Post/Beam Mechanica Mechanical Insp Shear Wall Insp Water Line Insp Final Inspection
Grading Inspection Underfloor insulation Plumb Top Out Gas Line Insp Appr/Sdwlk Insp Building Final
Footing In p- Crawl Drain/Backwater Electrical Service Gas Fireplace Electrical Final
Fo dation Insp Fooling/Foundation Dr; Electrical Rough In Insulation Insp Mechanical Final
P st/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
Iss d By : Permittee Signature :*t
Call (503)639-411/)by 7:00 p.m.for an inspection needed the next businefis daa
CITYOF TIGARD ---SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR1999-00235
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/16/99
SITE ADDRESS; 09025 SW CORTLAND LN PARCEL: 2S 111 DA-10300
SUBDIVISION: APPLEWOOD PARK NO. 3 I ZONING: R-7
BLOCK_ _— LOT: .09f) JURISDICTION: TIG
TENANT NAME: LEGEND HOMES
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: N,_W DWELLING UNITS: 1
TYPE OF USE: '.F NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR iMPERV SURFACE:
Remarks: SewFr connection for a new single family dwelling.
Owner: --- -- --- -
- _
LEGEND HOMES - — — FEES
6900 SW HAINES Type—By Date Amount Receipt
TIGARD, OR 97223 PRMT DEB 11/16/99 $2,300.00 99-319805
INSP DEB 11/16/99 $35.00 99-319805
Phone: 6208080 --- —
_ Total $2,335.00
Contractor: —
Phone:
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and 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 expire- 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 Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You may obtain copies of these yesdw t questigns to OUNC by calling (503) 246-1987.
Issued by: �y` � Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspectiun needed the next 6usiness Wy
UITYur- IIUAKU Keslaentlal tWilcling Permit Application Plan Check —!
13125 SW BALL BLVD. Additions or Alterations Recd By
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd
V 503-635-4171 Date to P.E�Z- ^
Oate to DST
F 503-684-7297 Permitkry9P•/zi��'
Print or Type Called
Incomplete or illeg;11- applications will not be accepted 10fr 0NAW
Name of Project
/� Name
.lob /'► ��� �1��'� %�� �� C Pc
Address Si Address 1 , Architect Mailing Ad ass
NamCity/Sts a Zip Phone
Owner Mailing rens / Name
City Z L Phone Engineer Mailing Address
� , rt
a Ci
General Nty tat ZIP r
Contractor'v ' '7f ;; Ilt Addition O {,
Desaibd tib VA
"yy�Y, AlterationOi.c `
M retia ;_,. ,p �.•v?. -r ' t0 bs don0 M w I�I,+:!'` eir.'•?.". 1' -5 4�'KawS"d' '`
Prior to permk �% r Addlt dMl Description of WQrk:
Issuance a copy ' - tate r- P
or all licenses
_
aro inquired If Oregon rat Cent Board Date :
�• PRbJECT,'
expired In COT UC./
VALUATION
database VALUATION
Mechanical Name - NEW,CONSTRUCTION ONLY.
Sub- ' Cali!/ Sq. Ft House: "�rt'� / I Sq.Ft.Gera�rs -
Contractor Mailing Addreks ( _ AI'
Prior to permit1� S �, S Indicate the restricted energy Installation by the electri.^al
Issuance,a copy C' /State Zip Phone subcontractor in the follow ng areas
of all licenses JIM Restricted Audio/Stereo
are required if Oregon Const.Cont Board Exp,Date Energy System Alarms
expired in COT Llc.kInstallations Vacuum Irrigation
database11 1
__ 5- 3-00
PlumbingS stem S stem
Name (check all that Other
Sub- I(°O J Zz lr,� `n0
Contractor Mailing Address Comer Lot YES N Flag Lot YES NO_.
check oneL check one _
Has the Subdivision Plat recorded? WA 1(E,S N7
Prior to permit C /State Zip Phone J'\
Issuance,a copy A?t�Oont
,� � __of all licenses are Oregon . Board p. Date
required if Lick
expired in COT _(� P 3, r - l I hearty acknowledge that I have read this application,that the
database Plumbing Lic.k 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 Sigr,aiure of Owner gent Date
Electrical
Sub- Mailing Address Cont act` er or.?Jar7/ Phone
Contractor
City/State Zip Phon
Prior to permit .l
Issuance,a mpy -1 FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont. Board Exp.Date --
required if Lic a Plat#:� Ma /TL#:
expired in CCiT pkv 7
database Electrical Lic.k• ExDate Se cks: Zone: Sol :/�_
__ �• 7 � _�
ElecAI Supervisor Lic.k Exp.data Engin ng Approval: Planning Approval: TIF':
��y+�
//' �� OdstsVormsWaddaR.doc 11/70M
PLOT FLAN
LOT 096 , APPLEWO^D PARK
R-1 2 51 11 D 4,
TAX LOT 010200
9025 SW CORTLAND LANE
S.E. 1/4 OF 5ECTION 11, T.2, R.IW, WM-
CITY OF TIGARD
WASHINGTON COUNTY, OREGON
LEGEa� HOMES
11130 311 BARBUR BLVD. PORTLAND. ORXGON
OMC6 (603) 244-6169 97210
FAX (603) 244-6261 CCB/ 60663
5W 5ATTLER 5TREET
CURB
_. —— -- —— — --- Q WATER METER
SIDEWALK
-- ---- .� --- --- — ---- --- — (1J--------- WATER LINE
r
N &"3'74'25" E SS---—— SANITARY SEWER
7600' SD-- — — -- STORM DRAIN
-- 2105 5' WALL ESMT _ ._� —_.__,._ _ Q OF STREET
-2097' • MANHOLE
r-- 2080, ® CATCH BASIN
PROPOSED
STREET TREES
LOT SFJ _ -- ® STREET LIGHT
4,'126 SQ. FT. 1�� FIRE HYDRANT
IRONWOOD a /
FIN. FLR. = 210.4'
2083' GARAGE FLR. v 2013
PROVIDE ERCSION
6m' J CONTROL FENGE
PER COMMUNITY"
EROSION PLAN
13
11
2015' � N
8' UTILITY" I
— - e EASEMENT -- —
I 1 1
SIDEWALK I
1 1 ,
I I CURB 1.. 20'-0"
- - - ��- ---- -- ---------= ----1- -- -----
I j..
' SW CORTL AND LANE