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11260 SW BUFFALO PLACE
„A/y
CITY OF TIGARD
13125 S.W HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
BEAR ELECTRIC
PO BOX 389
28085 BUTTEVILLE RD NE
DONALD OR 97020
Electrical Signature Form
Permit # • • . : MST98-0499
Date Issued. : 03/16/99
Parcel . . . . . . : 1S134DA-07800
Site Address : 11260 SW BUFFALO PL
Subdivision. : DAKOTA MEADOWS
Block . . . . . . . . 1'(:'t . 011
Jurisdiction: TIG
Zoning . . . . . . : R-12 PD
Remarks :
New single family attached, Path 1 .
Your company has been indicated as the electrical contractor for the permit indicated abovo. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual froin your company sign below and return this Electrical
Signature Form prier to the start of work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : ELECTRICAL CONTRACTOR:
BEACON HOMES INC BEAR ELECTRIC
9500 SW 125TH AVE PO BOX 389
BEAVERTON OR 97008 28085 BUTTEVILLE RD NE
DONALD OR 97020
Phone ff Phone # : F-678-1108
Req # . . : 000209
SI'gnatir�ope4ei—V�6-6—trjci-a—n —
If
you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
MT TABOR PLUMBING
13324 NW GLENRIDGE DR
PORTLAND OR 97229
Plumbing Signature Form
Permit # . . . . : MST98-0499
Date Issued. : 03/24/99
Parcel . . . . . . : 1S134DA-07800
Site Address : 11260 SW BUFFALO PL
Subdivision. : DAKOTA MEADOWS
Block . . . . . . . . L,r,t . 011
Zoning. . . . . . . R-12 PD
Remarks :
New single family attached, Path 1 .
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work.
No plumbing inspect'vns will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
BEACON HOMES INC MT TABOR PLUMBING
9500 SW 125TH AVE 13324 NW GLENRIDGE DR
BEAVERTON OR 97008 PORTLAND OR 97229
Phone it : 524-1999 Phorie # :
Reg # . . : 000110
x_ 2
Signature of Authorized PiuA�er
Please return this completed form to the address r.,bove.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9S�'Dy9'9
24-Hour Inspection Line: 639-4115 Business tine: 639-4171
v BUP
Date Requested �' ' 7 AM PM BLD
Location I l z>Qo I'71� �L�U — Suite MEC
Contact Person V► �� _ Ph `a 'gSq / PLM
iV
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 T----- --�
Ext Sheath/Shear
Int Sheath/Shear ---------- _---_e__.--�_
Framing -_ _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm -^T—_— -- -
Susp'd Ceiling -_.._------------___--
Roof
Misc: - - ----
Final
PASS PART FAIL -- _ ---- ------------- ----
PLUMBING
Post&Beam - —- --- _ -
Under Slab /
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final - - -
PASS PART FAIL _ !_-
MECHANICAL
Post&Beam - —
Rough In
Gas Line
Smoke Dampers
Final -----------._. _-.-- --
P PART FAIL
ELECTRICAL --
Rough In - - -
UG/Slab
Low Voltage -
Fire Alarm
WSS---->ART FAIL
Backfill/Grading --
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at Clay Hall, 13125 VW Hall Blvd
Catch Basin
Fire Supply Line ( )Please call for reinspection RE _. _,___ - [ ]Ur able 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 MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- —�—
pC7 BLIP
Date Requested______d—" •- C (—AM--,.-PM _—_ BLD --^-
Location L(Q t'J Q Suite MEG
Contact Person Cpl>1/? _ Ph S27 _8 S6/7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELG
Retaining Wall ELR
Footing Access: ----`---�-
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
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
(PLUMBING
Post& Beam —
Under Slab
Top Out —` ---- —--
Water Service _
Sanitary Sewer
Rain Drains
SS PART FAIL
[lost& Dear
Rough In
Gas Line
Smoke Dampers
Final —
PASS PART FAIL
ELECTRICAL `—
Service
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
Fire Supply Line I 1 Please call for reinspe tion RE: ( j Unable to Inspect-no access
ADA
Approach/Sidewalk Date C ExtOthe
Inspectot
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST gg .OY� �
24-Hour inspection Line: G39-4175 Business Line: 639-4171
BUP
Date Requested c! -2 2-0 4 AM PM _ BLD
Location II P-)L( Suite � MEC
Contact Person _ C �1�� Ph 280 o 2,? Y PLM _ r
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:CQ „I
Slab -- GSIT
Post&Beam Gj Cj --
Ext Sheath/Shear 1 Z /
Int Sheath/Shear
Framing
Insulation f
Drywall Nailing
Firewall
Fire Sprinkler _
Fire Alarm /
Susp'd Ceiling
Roof
Misc'
Final
PASS PART FAIL — - -ME1007
Post& Beam - - - -- _
Under Slab
Top Out —
Water Service
Sanitary Sewer
Rain Drains
IyAss PART FAIL
MECHANICAL' —
Post&Beam — —
Rough In
Gas Line —
Smoke Dampers
Final — --
PASS PART FAIL
ELECTRICAL.
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 ( J Please call for reinspection RE: [ J Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk // f r
Datta! �1�"I
Other , inspector � ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from title job site.
I
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
rr'' a BUP _
Date Requested �� L 'T' / fiJ AM PM BLD
Location 1,f L(!U Suite MEC
Contact Person y ►�d/ � Ph 2� �"1 _ PLM
Contractor Ph SWR
BUILDING> Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation FPS
Ftg Drain SIGN
Crawl Drain Inspection Notes --- ��-
Slab -- - - SIT
Post 8 Beam
Ext Sheath/Shear I
Int Sheath/Shear
Framing 40 TPjM 4,oyQ rXYw 1,Ar,-Dr.JAf;-r
Insulation
Drywall Nailing
Firewall
Fire Sprinkler Cu+,Ort7 �idy6iw6`' �
Fire Alarm
Susp'd Ceiling
M i
Roof
c _ _ - �� .�i�•r J.�. .�, .rt i.:,r T
finat
PASS PART FAIL .�`t� 1 � r "' �,i_a�i A i iiAns!_
PLUMBING
Post&Beam
Under Slab
Top Out - - -
Water Service
Sanitary Sewer
Rain Drains
Final
PASS , PART FAIL
ECHANICA� '
Rough In
Gas Line _- . - - - -- -- - --- -- -
Smoke Dampers
Final I ------- - --
PASS PART FAIT_
ELECTRICAL -- -
Service.
Rough In
UG/Slab - - ------------- ---- - -
Low Voltage
Fire Alarm
Final
PASS PART FAILSITE
Backfill/Grading -
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ ,required before next inspection. Pay aF City Hell, 13125 SW Hall Blvd
Catch Basin ` Unable to Inspect-no access
Fire Supply Line I )Please call for reinspection RE -- ( ) P
ADA ,
Approach/Sidewalk Date � �?._�� y —_Inspector Ext
Other
Final
LASS PART FAIL DO NOT REMOVE this inspection record from the job site.
r
CITY OF TIGARD MAS1-ER F.ERMIT
DEVELOPMENT SERVICES FIERMIT #• . . . . . . . MST98--0499
DATE ISSUED: 03/16/99
1312.5 SW Hall Blvd., Tigard,OR 97223(503)639.4171
PARCEL. : 1 S 134DA--07800
S T Ti: nDDRE SS. . . : 11260 SW BUFFALO P,1.
SUBD I V I S I OI I. . . . :DAKOTA MEADOWS ZONI I NG. R -JJ' FID
BL.00K. . . . . . . . . . LOT. . . . . . . . . . . . . :011 JURISDICTION: TIG
Remarks: New single family attached, Path 1.
BUILDING ---------------------------------------------------------
REISSUF: STORIES.......: 3 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------
CLASS OF WORK.:NEW HEIGHT....,...: 26 FIRST....: 743 sf GARAGE.,... : 560 sf LEFT.,.,......: 0 SMOKE DETECTRS: Y
TYPE OF USE...:SFA FLUOR LOAD....: 40 SECOND...: 742 sf FRONT.........: 8 PARKING SPACES: 2
TYPE OF CONST.:SN DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 2 BATH: 3 TOTAL.-----: 1485 sf VALUE—$: 250000 REAR..........: 0
----------------------------.--------------------------------- PLUMBING -----------------------------------------------------------------
SINKS.........; I WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....: 4 DISHWASHERS... : I FLOOR DRAINS.. : 0 SEWER LINE ft: 100 SF RAIN DRAINS: c' CATCH BASINS..: 0
TUB/SHOWERS...: 2 GARBAGE DISP..: 1 WATER MATERS. : I WATER LINE ft: 100 BCKFLW PREYNTR: I GREASE TRAPS..: 0
OTHER FIXTURES: 0
--- MECHANICAL -------•---------------—----------------------------------------
FUEL TYPES---------- FURN ( INK ..: 1 BOIL/CMP ( 3HP: 0 VENT FANS.....: 3 CLOTHES DRYERS: 1
GAS FURN )-IW, ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
_------------------------------------------------------------- ELECTRICAL ----------------------------------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCFLLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 RUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 509F.- 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..: 0 EA ADOL OR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SV;/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL 10: 0
1000+ amp/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 8 STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/RAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: J1H: :: BOILER.........: HVAC...........: LANDSCAPF/IRRIG: PROTECTIVE S1GNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC.......,...; DATA/TELE COMM ; NURSE CALLS....: TOTAL A SYSTEMS: 0
Owner: - - -----------------------Contractor: -- ----------------- - __-- TOTAL FEES:1 5109.50
BEACON HOMES INC BEACON HOMES, INC This permit is subject to the regulations contained in the
9500 SW 125TH AVE 95M SW 125TH AVE Tigard Municipal Code, State of Ore. Specialty Codes and all
BEAVERTON OR 97008 BEAVERTON OR 97008 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone N: 524-1999 Phone 11: 524-1999 not started within 1.80 days of issuance, or if the work is
Reg C.: 000707 suspended for more than 180 days. ATTENTION: Oregon law
--------------------------------------------------•---------------- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010 throuqh OAR 952-001-0080. You may obtain copies of these rules or
direct questions to OX by calling (503)246-1987.
--------------------------------------------------------- REQUIRED INSPECTIONS •--------------------------------------------------------
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 Wal; 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
�y \�
Tssi.leci By : ���yV► �--- Permittee Signat i.:r^e :
++-+4.++++++++++++++i+44++44-++++++.1......4+++.+++4-4.++++4-++++4++++++++ +++f-+++-+++i-
Cal l 539-4170 by 7:00 p. m. for- an inspection needed the next hu iness day
�_J
CITY OF TSEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd„ Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . : SW R38-0349
DATE ISSUED: 03/16/99
PARCEL: 15134DA-07800
SITE ADDRESS). . . : 11,-'60 ESI BUFFALO PL_
SUBDIVI5ION. . . . :DAKOTA MEADOWS ZONING: R-12' PD
BL.00K. . . . . . . . . . LOT. . . . . . . . . . :01. 1 JURISDICTION: TIG
TENANT NAME. . . . . :DAKOTA MEADOWS LOT 1 � --
LISA NCI. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : i
TYPE OF USE:. . . . . :SFA NO. OF BUILDINGS: 0
INSTALL L TYPE. . . . :LTF'SWR 'I MPERV SURFACE: 0 s f
Remarks : New single family attached, Fath 1.
Owner: _________________.____.__._._._.____---____.___.___.__..__._......_._.__ FEES _._.......__.._..._........_
BEACON HOMES INC type amoi.tnt by date recpt
9500 SW .t 'OTH AVE PRMT $ 2300. 00 R O3/16/99 99-313753
BE.AVERTON OR 97008 INSP $ 35. 00 B 0.3/16/99 99--313753
Phone #:
OWNER
0'?,,:15. 00 TOTAL
f?eg #. . .
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer- Inspection
of the Unified Sewage Age^cy. The permit expires 180 days from _ —_---_
the date issued. The total amount paid will be forfeited if the _,Y
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 are set forth in OAR
952-001-0010 through DAR 952-0001 0080. You may obtain copies of _
these rules or direct questions to OUNC by calling (503)246-1987.
Issi_ted by : .� IiL �� L-- _ Permittee SignatLtre :_
+•f-+++++++++-++++-++++++ ++•+++++++•F++++++++++++1-+++•h+++++++++++++++++-+++++++++
Call 639-4175 by 7:00 p. m. for an inspection needed the next bl_tsines= day
+++++++A-+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
C!TY-OF TIGARD Residential Building Permit Application Planchec�,x
13125 SW HALL BLVD. NewConstruction Additions or Alterations Recd By ;
TIGARD, OR 97223 "late Recd ;' /
`ingle Fall lily Detached or Attached 'uup!ex; ��
V 503-639-4171 Date to P.EDate to DST—i !I 7�(�ffv
F 503-6£;4-7297 Permit# ,��, _ ,,/In -
II Lj Print or Type Called o/�yf e7i-01-
Incomplete or illegible applications will not be accepted 3t�.0 9'�-� 4`
Name of Pruject _ Name
Job DAKOTA MEADOWII _PETER_M_AGARO ARCHITECHTUR
_ Architect Mailing Address
Address S eAddress 10570 SW Citation Dr.
City/State Zip Phone
Name Beaverton 97000 579-2421
BEACON HOMES, INC . ------ - -
Owner 1��r8Ud ,W 125th Avenue I ';TAFF DOVE ENGINEERING
/St9
ate Z Phone Engineerr Mailing Address
averton 008 524-1999 4914 Oakridge Rd .
We _—_
,ya Ce
I /"tale Zi Phone
General Name � 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 12 5th A V e n u e Additional Description of Work:
issuance,a copy City/State Zi Phone attached single family dwellings
of all licenses Beaverton 91008 524-1999 T — `--
are required if Oregon Const.Cont Board Exp. Date PROJECT
exanCOT Lic# 70782 _A 12/17/98
database Q VALUATION �$
datab
Mechanical Name UA
NEW CONSTRUCTION ONLY:
MUEHE QUALITY HEATING Sq. Ft.
Sub- _ House: , , t�� �Sq. Ft. Garage � �i
Contractor Mailing Address � b
f'rior to permit PO BOX 9 Indicate the restricted energy installation by the electrir,al
issuance,a copy City/State 7_ip Phone --- subcontractor in the following areas _
of all licenses West Linn 97068_ 598-0966 Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp. Date Energy System Alarms
expired in COT Lic.# 50096 3/5/99 Installations Vacuum Irrigation
_ database _ _ S stem System
Plumbing Name (check all that Other:
Sub- J & R PLUMBING apPIY) _ ___
Contractor Mailing Address -- — Corner Lot YES NO Flag Lot YES NO
3430B SW 209th Avenue (check one) X I (check one) _ X
Has the Subdivision Plat recorded? N1A YES NO
Prior to permit City/State Zip Phone X
issuance,a copy Aloha , 97007 __j_642-7776 Solar Compliance
of all licenses are Oregon Const.Cont.Board Exp.Date (Calculation Attached _
required If Lic.# 72680 3/28/99 - 1—
expired In COT I hearty acknowledge that I have read this application,that the
database Plumbing Lic.# Exp. Date information given is correct,that I am lire owner or authorized agent
3 4 214 PB 4/30/99 of the owner,and that plans submitted are in compliance with
Oregon State laws.
Name Signaturgent Date
Electrical BEAR ELECTRIC, INC.
Sub- Mailing Address —--�— Contact Person Na i Phone#
Contractor PO BOX 389e� _ _ -I
FOR OFFICE US NLY: _
City/Stale Zip Phone Plat#: Maplri-M
Prior to permit Donald, OR 97020 678-1355 /5134/-DA -6 f/
issuance,a copy _
of all licenses are Oregon Const-Cont Board Exp.Dale Setbacks: Zone: Solar:� iO
required if Lic.# 20919 2/20/00
expired In COT Engineering Approval: Planning Approval: TIF:
database Electrical Lic.# Ex gates L_
24-1070
I SFREM2 DOC(DST)8/11198