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11240 SW BUFFALO PLACE
CITYOF TIGARD CERTIFICATE OF OCCUPANCY
PERMIT#: MST98-00497
DEVELOPMENT SERVICES DATE ISSUED: 03/16/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134DA-07600
ZONING: R-12
JURISDICTION: TIG
SITE ADDRESS: 11240 SW BUFFALO PL FILE
�SUBDIVISION: DAKOTA MEADOWS
BLOCK: LOT:009
CLASS OF WORK: NEW
TYPE OF USE: SFA
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: New single family attached, Path 1.
Final Building Inspection and Certificate of Occupancy Approved
10/12/99 by Rick Bolen, Building Inspector
Owner:
BEACON HOMES INC
Phone:
Contractor:
BEACON HOMES INC
9500 SW 125TH AVE
BEAVERTON, OR 97008
Phone: 524-1999
Reg #:
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 Codesiforthe group, occupancy, and use under which the referenced permit was
issued. 1,
BUILDING INSPECTOR BUILDING FFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION q9�
�- MST
24-Hour ;nspecfion Line: 639-4175 Business Line: 639-4171 i l —
�i BUP
Date Req/uested J�'11 � AM-- PM <' BLD
Location ( � 'L_I GL'L � Suite MEC
Contact Person ,1,�! Ph S Z--'L'7- -g•S 4 ] PLN' A
Contractor Ph SWR
> Tenant/Owner _ ELC _ -
Retaining Wall ELR
Footing Access: --
Foundation FPS
Ftg Drain --- SGN
Slab Crawl Drain Inspection Notes [ ^ „ _ /� -- ---- --
Past 8 Beam SIT ----- -----__
Ext Sheath/Shear
Int Sheath/Shear ------------____-___ __._
Framing
Insulation
Drywall Nailing
Firewall -
Fire Sprinkler
Fira Alarm
Susp'd Ceiling ------.---__._ --
Roof -
Misc: - - --
S PART FAIL - -
GING
Post&Beam
Under Slab
Top Out - _- -- --- - -
Water Service
Sanitary Sewer - - - -
Rain Drains
Final
PASS PART FAIL
CHANI
F'osI& 136.ni --- -- - —
Rough In
Gas Line —_ — _-�----- ---- ------ --
SmokP Dampers
PART FAIL
eLECTIRICAI - - -- - ---- -
Service
Rough In - ----- ---_-
UG/Slab
Low Voltage
Fire Alarm _-
Final
� SS PART FAIL
S!jt
Backfill/Grading - -----
San,tary Sewer�1�}�
Storm Drain v (I_ [ ]Reinspection fee of$ required before next Inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Besin v
Fire Supply Line [ j Please call for reinspection RE: [ ]Unable to Inspect-no access
ADA
Appr ch/Sidewalk
O
hQ f nate _ Inspector Ext
kA PART FAE. DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD MASTER F,ERMIT
DEVELOPMENT SERVICES p'ERMIT t#. . . . . MST9I3 rd497
DATE ISSUED: 03/16,'99
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171
PARCEL : 1S134DA-07600
1:3I TF" ADDRESS. . . : 1. 1 110 SW BUFF f L..O 1-.:'L-
SUBDIVISION. . . . ..
='L-
SUBDIVISION. . . . :DAKOTA MEADOWS ZONING: R-12 I"lI)
BLOCK. . . . . . . . . . 1_01.. . . . . . . . . . . . . :009 JU.IRISDICTION: TIG
Remarks: Vew single family attached, Fath 1.
-------------------------------•-------------------------------- BUILDING -W-..------------------------------
REIS,SUE: STORIES.......: 3 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REOUIRED---------------
CLAES OF WORK.:NEW HEIGHT........: 26 FIRST....: 742 0 GARAGE.....: W ;' LEFT..........: 0 SMOKE DETECTRS: Y
TYPE OF USE...:SFA FLOOR LOAD....: 40 SECOND...: 743 sf FRONT.........: 8 PARKING SPACES: 2
TYPE OF CONST.:511 DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 2 BATH: 3 TOTAL------: 1485 sf VALUE..$: 250000 REAR..........: 0
------•------------------------------------------------------- PLUMBING ----------------------------------—.-----------------------
SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES...,: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS,..: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
-------------------------------------------------------------- MECHANICAL --------------------------------------------
FUEL TYPES----------•- FURN ( I00K ..: I BOIL/CMP ( 3HP: 0 VENT FANS..... : ? CLOTHES DRYERS: 1
GAS FURN )=10N, ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS..,......: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
------------------------------------------------ ELECTRICAL --------------
RESIDENTIRI_ UNIT--- ---SERVICE/FEEDER---- ---TEMP SPVC/FEEDERS-- ---BFW1 H CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP!IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5005F. : 2 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: A EA ADDI_ BR CIR: 0 SIGNAL!PANEL...: 0 IN PLANT......: 0
MANE HM/SVC/FDA: 0 601 1000 amp.: 0 601+a1ps-1000 v: 0 MINOR LABEL -10: 0
1000r a`p/volt.: 0 - ------ -- ------------- --- - PLAN REVIEW SECTION ------ ---- __ ___---------.-_-._-.
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
------------------------------------------------- - ELECTRICAL - RESTRICTED ENERGY ---------
-------------------------------------------
A. SF RESIDENTIAL---------------------------- B. COMMERCIAL----------------------------------------------------------------------------
AUDIO S STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL;
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: ::
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 0 SYSTEMS: 0
Owner: ------- -- -- --- - ------- - --fontractor; - --- ---------- __ _.___.-. TOTAL FEES:$ 5109.50
BEACON HOMES INC BEACON HOMFF, INC This permit is subject to the regulations contained in the
9500 % 125TH AVE '3500 SW 125TH AVE Tigard Municipal Code, State of Ore. Specialty Codes and all
BEAVERTON OR 97008 BEAVErRTON OR 97008 other applicable laws. All work will be done in accordanre
with apprr.d plans. This permit will expire if work is
Phone N: 524-1999 Phone 4- 5241999 not started with'.n 180 days of issuance, or if the work is
Reg A..: ON707 suspended for more thar 180 days. ATTENTION: Oregon law
---------------------------------------------------- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-PPI-0010 through DAR 952-001-0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987.
--------------------------------•--------------------------- REQUIRED 1N9PECTIONS ----------------------------------------------------._...
Erosion Control Electrical Rough Gas Fireplace Water Line Insp Plumb Final
Footing Insp Mechanical Insp Insulation Insp Water Service In Mechanical Final _
Slab Insp Plumbing Top Out Shear Wall Insp Appr/Sdwlk Insp Building Final __-
Plm/undslb Insp Framing Insp Firewall Insp Smoke Detector
Electrical Servi Gas Line In p Rain Drain Insp Electrical Final _
Issued By : 14 F,ermittee Signature :��� Q'� _._.
+++++++-i-++-+-++++ ++ +++++++ 4 +++++++++++++ + ++++-+++++++++++++ - + +++•+4+4-+4++4++++4 r
Call 639--4175 by 7:00 p. m. for an inspection needed the next yusiness day
CITY O F TIG A R D SEWER CONNECTION
DEVELOPMENT SERVICES FERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . ; SWR98--0347
DATE ISSUED: 0-3/ 16/99
PARCEL: IS134DA--07600
SITE ADDRESS. . . : 11240 SW BUFFALO PL
SUET)I V I S I ON. . . . :DAKOTA MEADOWS ZONING: R-12:, PD
BLOC[;. . . . . . . . . . LOT. . . . . . . . . . . . . :009 JURISDICTION: TTG
TENANT NAME:. . . . . :DAKOTA MEADOWS I-OT 9 FIXTURE UNITS. . . 0
LISA NCI. . . . . . . . . . :
CL-nSS OF WORK. . . :NEW DWELLING UNITS. . : I
TY171E OF USE. . . . . :SFA NO. OF BUILDINGS: 0
INSTALL TYPE. . . . :LTPSWR TMPERV SURFACE: 0 s
Remarks : New single family attached, Plath 1.
FEES
BEACON HOMES INC type a"10I.Int by date recpt
'�500 SW 125TH AVE PIRMT $ 2300. 00 B 03/16/99 99-313750
BEAVERTON OR 97008 INSP $ 35. 00 B 03/16/99 99--313750
Phone #:
OWNER
Flhofie #: $ 2335. 00 TOTAL
P r,q 0. . : REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations !3ewF-r- 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 inst4ler shall prusppct 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.
ATTL)ITION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952401-0010 through OAF 952-080I-0080. You may obtain copies of
these rules or direct questions to OM by calling (503)246-1987.
Issued by Permittee Signatures
........ ........................t-+++++-f.+++4.......4........4-+4•......................
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
...................................++++++++++++.�.....q................4-++++J......
C rV-OF TIGARD Residential Building Permit Application Plan Che",–Z,;
13125 SW HALL BLVD. New Construction Additions or Alterations Recd sy_/
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd
Date to
V 503-639-417.1 Date to DST 4
F 503-684-7297 Permit#
I Print or Type called 0/./ <<<�-
r, A Incomplete or illegible applications will not be accepted 9y 7
Name of Project-- — ----- Name
J(.!) DAKOTA MEADOWS PETER MAGARO ARCHITEC14UR
Site Ad ress Architect Mailing Address
Address I'bl� U �� 1057Q SW C4
Address
-- City/State Zip I Phone
Name Beaverton 97.008 579-'1421
BEACON HOMES, _INC. ---- --- -Nam
Owner IV,86d� s 125th Avenue—� JAFF DOVE ENGINEERING
/State Phone Engineer Mailing Address
leaverton 6 008 5Lq_1999 4914 Oakridge Rd .
dv/ tate Zip Phone
General Name Ce Oswego 9703 697-5926
Contractor BEACON HOMES, INC. Describe work New Addition O Alteration O Repair O
Mailing Address to be done:
Prior to permit 9500 SW 125th AVenue Additional Description of Work:
issuance,a copy City/State Zi Phone - attached single family dwellings
of all licenses Beaverton 91008 524-1999
are required if Oregon Const.Cont.Board Exp. Date PROJECT
expired in COT Lic.#
p 707112 12/17/98 VALUATION- —
Mechanical Name — NEW CONSTRUCTION ONLY:
Sub- MUEHE QUALITY HEA'T'ING Sq.Ft. House: I ,I � Sq. Ft.Garage o�
Contractor Mailing Address y (�
PO BOX 9 Indicate the restricted energy installation by the electrical
Prior to permit -- subcontractor in the following areas_
issuance,a copy City/State Zip Phone -
of all licenses West Linn 97068 •598-0966 Restricted Audio/Stereo
are required if Oregon Const.Cont Board Exp. Dale Energy -�- System - _ Alarms --
expired in COT L.ic.# 50096 3/5/99 Installations Vacuum Irrigation
database ��- System Stem
Plumbing Name (check all that Other:
Sub- J & R PLUMBING aPp!y__
Contractor Mailing Address Comer Lot YES NOFlag Lot YES NO
3430B SW 209th Avenue — checkone)_1 _ X—y (check one) 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 -- -- -- --
--
of all licenses are Oregon const.Cont.Board Exp.Date Solar Compliance
(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.# Fxp. Date information given is correct,that I am the owner or authorized agent
3 4 2 14 P B 4/30/99 of the owner,and that plans submitted are in mmpliance with
Oregon State laws.
Name Signof Gmneri g t Date
Electrical BEAR ELECTRIC, INC. �
Sub- Mailing Address CGqtapt Person VAme Ph e#
PO BOX 389 ' _1 1 L-
Contractor — FOR OFFICE USE LY:
City/Stale Zip Phone Plat#: Ma 1TL#:
Prior to Permit Donald , OR 97020 678-1355
��
issuance,a copy _ –
of all licenses are Oregon Const Cvnl.Beard Exp. Date Setbacks Zor1�t n Solar:
required if Lic.# 20919 2/20/00 /�- --
expired in COT _ Engineering Approval: Planning Approval: TIF:
database Electrical Lic # Ex gate
24-107C 1/ 1/98 - -
I SFREM2 DOG DST)8/11190