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11 SW BUFFALO PLACE
_cEFtTIFICATE OF OCCUPANCY
CITY OF T I�G A R D ,
PERMIT #: MST98-00488
DEVELOPMENT SERVICES DATE ISSUED: 03/16/1999
1-125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134DA-07200
ZONING: R-12
JURISDICTION: TIG
SITE ADDRESS: 11200 SW BUFFALO PL
SUBDIVISION: DAKOTA MEADOWS FILE COPY
BLOCK: LOT:005
`CLASS OF WORK: NLW
TYPE OF USE: SFA
TY'-)E OF CON'3TR: 5N
OCCUPANCY CRP: R3
TENANT NAME•
PEMARKS: New SFA- Path 1
Final Building Inspect;on and Certificate t,f Occupancy Approved
11/18/99 by Rick Bolen;. Building I ispector
Owner:
BEACON HOMES INC
Phone.
Cc n'ractor:
BEACON HOMES, INC
9500 SW 125TH AVE
BEAVERTON, OR 97008
Phone: 524-1999
Reg#:
This Certificate grants occupancy of the above referenced building cr portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Code for the group, occupancy, and use under which the referenced permit was
issued. „
rWA
BUILDING INSPECTOR a 4 BL 1FFICIAI
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 a
/ BIfP
Date Requested 0� _AM PM BLD
Location 4?_r?) Suite MEC
Contact Person CL�.f �'� ��� '�61L S Ph _`- � "US PLM _
Contractor _ Ph SW <—
tSU1LDING � Tenant/Owner ELC \
Retaining Wall ELR
Footing Access
Foundation FPS
Fig Drain �T
SGN
Crawl Drain Inspection Notes' Q' �r'�,,, _
Slab 1.� , '��� 'VPC- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing " I V dJ _—•—l-r —. V Z y �_ ! -
Insulation U
Drywall Nailing
Firewall
Fire Sprinkler
Firr Alarm
Susp'd Ceiling
Roof
MISC - -- - — ----_. - -
SPART FAIL - -- —-._.. -- ------- - ------------- ------ -------- -.._.. --- - -
IM
Post& Beam — ---. ..- - __ ---- --- —__...---------- ---.-_---------_ ..... -- --
Under Slab
Top Out --- -
Water Service
Sanitary Sewer -- - ---- — -- -
in Drains
A PART FAIL -
Post& Beam --- — - - -
Rough In
Gas Line - - -- - -
Smoke Dampers
SAS PART FAIL
CTkICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm —
Final
q S PART FAIL _
IT
Backfill/GradingA
Sanitary Sewer StormDrain `A\4�(� ( (Reinspaction fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Q
Fire Supply Lino �/ ( J Please call for reinspection RE _ ( ]Unable to inspect-no access
ADA
A9'
roach/ idewa
to e � 4�_ Inspector �5..�51L_..�— Ext �t _
in ^
ASS PART FAIL DO NOT REMOVE this inspection record from tale job sine.
CITY OF TIGARD MASTER PERMIT
PERMIT #. . . . . . . : MST98---0488
DEVELOPMENT SERVICES DATE ISSUED: 03/16/99
20 13125 SW Hall Bli d., Tigard,OR 97223(503)6594171
PARCEL: I.S134DA-0-1200
S TE ADDRESS. - - - 1 1 E,00 SW BUFFAL F) 1-1L
SUBDIVISION. . . . :DAKOTA MEADOWS ZONING: R-12 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :0 055 JURISDICTION: TIG
Remarks: New SFA - Path I
----------------------------------------------------------------- BUILDING ------------------------------------------------------------ -
REISSLIE:
---------------------------------------------------------
REISSUE: STORIES.......: 3 FLOOR AREAS----------- BASEMENT...: 0 sf REQUIRED SETBACKS—- REGUIRED---------------
CLASS OF WORK.-NEW HEIGHT........: 26 FIRST..... 743 sf GARAGE.....: 560 sf LEFT...... ... 0 SMOKE DETECTRS: Y
TYPE OF USE...:SFA FLOOR LOAD....: 40 SECOND...: 742 sf FRONT.........: 8 PARKING SPACES: 2
TYPE OF CMSI.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 2 BATH: 3 TOTAL------: 1485 sf VALUE..I: 250000 REAR..........: 0
---—------------------—--------------------------------------- PLUMBING - --------------------- -----------------------------------
SINKS.........:
---------------------------
SINKS......... I WATER CLOSETS.: 3 WASHING MACH_: I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPE......... 0
LAVATORIES....: 4 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 2 CATCH BASINS.. 0
TUB/SHOWERS...: 2 GARBAGE DISP..- I WATER HEATERS.: I WATER LINE ft: 100 BCKFLW PRF.VNIR: I GREASE TRAPS.. 0
OTHER FIXTURES: 0
----------------------------------------------—---------------- MECHANICAL ----------------------------- -------------------------
TYPES------------ FURN ( I@W� I BOIL/CMP ! 3HP: 0 VENT FANS..... 3 CLOTHES DRYERS: I
GAS FURN )=100K 0 UNIT HEATERS..- 0 HOODS......... 0 OTHER UNITS... I
(FUEL
MAX INP.: 0 BTI) FLOOR FURNACES: 0 VENTS.......... 0 WOODSTOVES.... 0 GAS CUTLETS..,: I
-------------•---------------------------------------_--_----- --- ELECTRICAL ---------------------------------------------------------------------
--RFSIDENTIPL UNIT-- ---SERVICE/FEEDER--- --TEMP SkVC/FEEDERS-- ----BRAKH CIRCUITS--- ----MISCELLANEOUS----- --ADD'L INSPECTIONS--
IM 5F OR LESS: 1 0 2200 amp..: 0 0 - 200 amp.., 0 W/SVC OR FDR..., 0 PUMP/IRRIGATION: 0 PER INSPECTION: @
EA ADD'IL 5005F. : 2 201 400 amp.,: @ 201 - 400 amp.. : 0 Ist W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 QI 600 alp... 0 401 - 600 alp..: 0 EA ADDL BR CIR: @ SIGNAL/PANEL...: 0 IN PLANT......: 0
MAW HM/SVC/FDR- 1 661 ION amp.: 0 601+82ps-I080 yz 0 MINOR LPBEi_ -10: 0
I@N+ amp/volt. : 0 ---------------- ----------------- PLAN REVIEW SECTION ----------------------------------
Reconnect only.. 0 )=4 RES UNITS.. : SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS ARTA/SPC OCC:
-------------------------------------------------------- ELECTRICAL RESTRICTED ENERGY ----------------------------------------------------
A. SF RESIDENTIAL-------------- ------ B. CLMMERCIAL-----------------------------------------—------------------------------------
AUDIO & STEREO.: YAM SYSTEM..: AUDIO I STEREO.- FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGI-AR ALARM.. 0TH: BOILER.........: HVAC...........: I-ANDSCAPE/IRRIG: PROTECTIVE SIW
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL.........: OTHR-
HVAC........... DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0
Owner: ---------------------------------------Contractor: ------------------------------ TOTAL FEESA 5109.50
BEACON WKS INC BEACON HOMES, INC This permit is subject to the regulations contained in the
9900 SW 125TH AVE 9500 SW 125TH AVE Tigard Municipal Code, State of Ore. Specialty Codes and all
BEAVERTON OR 9*7808 BEAVERTON OR 97009 other applicable laws. All work will be done in accordance
with approved p).ans. This permit will expire if work is
Phone #: 524-1999 Phone #: 524-1999 not started within 180 days of issuance, or if the work is
Reg #..-. 000707 suspended for more than 180 days. ATTENTION: 'gon law
----------------------I------ -------------------------------- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-00I0 thriugh DAR You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987.
------------------------------------------------------------- REQUIRED INSPECTIONS -----------------------------------------------------------
Erosion Control Electrical Rough Gas Fireplace Water Line Insp Plumb Final
Footing Insp Mech.9iral Insp Insulation Insp Water Service In Mechanical Final
Slab Insp Plumbing Top Out Shear Wall Insp Appr/SdmIk Insp Building Final,
Pis/undsib Insp Framing Insp Firewall Insp Smoke Detector
Electrical Servi Gas Line L Rain Drain Insp Electrical Final 1
I s s i.ied By flQ_ . Per,mittee Signati-ire, ��-) IJ
4-4-+-.+-..................4++++-f +++++4 +++++++++++•1 ++++44......44.......V.++++++++++t+
Call 639-4175 by 7:00 p. m. for- an inspection needed the next__b� siness day
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : SWR98-0.:337
DATE ISSUED: 03/16/99
PARCEL: 1 S 134DA--07 00
SITE ADDRESS. . . : 11 SW BUFFALO PL
SUBD I V I S I ON. . . . :DAKOTA MEADOWS ZONING: R-12 PI)
BL.00K. . . . . . . . . . LOT. . . . . . . . . . . . . :005 JURISDIC- ION: TIG
TENANT NAME. . . . . :DAKOTA MEADOWS LOT 5
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF' WORK. . . :NEW DWELLING UNITS. . : 1
TYRE OF USE. . . . . :SFA NO. OF BUILDINGS: 0
1 NST'ALL. TYPE. . . . :LTPSWR I MPERV SURFACE: 0 s f
Remarks : New SFA - Path 1
Owner: -- ----_____..___.-----.___________.____._..______...__.---____-- FEES
BEACON HOMES INC type :vmol_rnt by date reept
9500 SW 125TH AVE F'RMT $ 2300. 00 B 03/16/99 99--313475
BEAVE:RTON OR 97008 INSP $ 35. 00 B 03/16/99 99-313475
Phone #:
Contractor-:
OWNER
Phone #: :3:x5. 00 TOTAL..
17eq #. . :
---_—- REQUIRED INSPECTIONS
--This Applicant agrees to comply with all the rules and regulations Sewer Inspection
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 Agency will install a lateral.
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules ,re set forth in OAR
952-001-0010 through OAR 952-0081-@080. You may obtain copies of
these rales or direct questions to OUNC by calling (503)246-1987.
T <as'_red bY: ` _ k.._ � Permittee 9ignat1_rre :._'_v�'�
+++++•++++++++++++++•+++.++++++•+++++++++++++++++.+++++++++++++-+i•+++++++++++++++ 4•++ +
Call 639-4175 by 7:00 p. m. for an inspection needed the next bUSi.nesy day
+++++++++.-F+++++++++++++++++t++++++++++-f+++++++-h+++++t++++++++++++t++++++++++++•t
G',TY OP TIGARD Residential Building Permit Application Plan Che
13125 SW HALL BLVD. New Construction Additions or Alterations Recd B
DateRec'd1� -//
TICARD, OR 97223 Single Family Detached or AttachE,1 (Duplex) Date to P.E.
V 503.639-4171
F 503-684-7297 Permit#
I I I Print or Type cooed O'
Incomplete or illegible applications will not be accepted
Name of Project — - -- Name
Job DAKOTA MEADOWS PETER MAGARO ARCHITECHTUR
Architect Mailing Address
Address Site Address 10570 SW Citation Dr.
111P,0 � cti o PQ ---
CitylState Zip I Phone
Name Beaverton 97008 579-2421
BEACON HOMES, INC. -----
Owner 1'�rdsdW 125th Avenue N TAFF DOVE ENGINEERING
Engineer Mailing Ac.dress
/State Phone g 4 914 Oakridge R d .
Weaverton 008 524-1999 — --
Gity/State Zip Phone
General Name Take Oswego 9703 697-5926
Contractor BEACON HOMES, INC. Describe work New Addition O Alteration O Revair O
Mailing Address to be done
Prior to permit 9500 SW 125th A v e n u e Additional Description of Work:
issuance,a copy City/State Zl Phone — attached' single family dwellings
of all licenses Beaverton 0008 524-1999
are required if Oregon Const.Cont.Board Exp.Date PROJECT ^�D
expired in COT Lic.# 70782 12/17/98 VALUATION $ G //
_ database ---— --
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- MUEHE QUALITY HEATING - Sq. Ft. House: I Sq. Ft.Garage 1 f gO
Contractor Mailing Address y
Prior to permit PO BOX 9 Indicate the restricted energy installation by the electrical
issuance,a copy City/State Zip Phone subcontractor in the following areas
of all licenses West Linn 97066 598-0966 Restricted Audio/Stereo
are required if Oregon Const Cont. Board Exp. Date Energy System Alarms
expired in COT I.ic# 50096 3/5/99 Installations Vacuum Irrigation
_database _ System System
Plumbing Name (check all that Other:
Stib- J � R PLUMBING apply _
Contractor Mailing Address Corner Lot YESJ NO Flag Lot YES NO
3430B SW 209th Avenue check one X check on X
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State ZIp Phone X
Issuance, a copy Aloha, 97007 642-7776 Solar Compliance
of all licenses are Oregon Const.Cont Board Exp.Date (Calculation Attached)
required if Lic.# 72680 3/28/99
expired in COT I hearby 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
3 4 214 P B 4/30/99 of the owner,and that plans submitted are in compliance with
Ure on State laws.
Name Signaltiellgf caw erlAgAnI Date
Electrical BEAR ELECTRIC, INC. VV
Sub- Mailing Address Co ct Person Na I Phone#
G_
Contractor PO BOX 389 FOR OFFI- 20LCE USE MLY-
_
City/State Zip Phone Plat#: Map/TL#:
Prior to permit Donald , OR 9702 678-1355
issuance,a copy
of all licenses are Oregon Const.Cont.Board Exp.Date Setbacks: ZoPe: Sulam:
Dat-
required If Lic.# 20919 2/20/00
expired in COT qq Engineering Approval: Planning Approval: TIF:
c +base Electrical 107C 101/98
I:SFREM2.DOC(DST)8/111x8