Case File N
O
C
'n
T
D
O
n
7
11270 5W BUFFALO PLACE
i-,� _ CERTIFICATE OF OCCUPANCY
CITY
OF T I GA +,
� PERMIT#: MST98-00489
DEVELOPMENT SERVI'„ES DATE ISSUED: 04/16/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134DA-07900
ZONING: R-12
JURISDICTION: TIG
SITE ADDRESS: 11270 SW BUFFALO PL
SUBDIVISION: DAKOTA MEADOWS FILE COPY
BLOCK: LOT:012
CLASS OF WORK: NEW
TYPE OF USE: SFA
TYPE OF CONS i R: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: NEW SFA
Final Building Inspection and Certificate of Occupancy
Approved 11/18/99 by Rick Bolen, Building Inspector
Owner:
BEACON HOMES INC
9500 SW 125TH AVE
BEAVERTON, OR 97008
Phone: 524-1999
Contractor:
BEACON HOMES, INC
9500 SW 125TH AVE
BEAVERTON, OR 97008
Phone: 5:14-1999
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 Codes for the group, occupancy, and use under which the referenced permit was
issued.
BUILDING INSPECTOR BUILDINGOFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-417 '
BLIP �
Date Requested ? AM_ PM +
— BLl) t
Location—l / 7 �� � ��' Suite
MEC
Contact Person CL_L (�v G7 Ct��t< <_) Ph f L' 7'OS PI.M
Contractor _ Ph SIM1)9�`M=l
ILDINQ. - Tenant/Owner C t
Retaining Wall ELR
Footing
Foundation Access: I
FPS
Ftg Drain - �►.
Crawl Drain Inspe ti nn
_ Np QSGN
Slab DAJL ^_
SIT
Posk R Beam --
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
—
Drywall Nailing
Firewall - -- -_
Fire Sprinkler
Fire Alarm -----..--
Susp'd Ceiling - -_ — ------- ..-� — - -- -
Roof - - -
_--
PART FAIL
IIMBIN
Post& beam - ----- --- --- - -------- _—_.. — --
Under Slab
Top Out - -- - ------ -----
Water Service
Sanitary Sewer
Rain Drains
mal ---------- _— _
PA FAIL
Post& Beam -- -
Rough In
Gas Line ----
S Dampers - - -
in
PART FAIL ----.-----_. _
ELECTRICAL - -- -
Service
Rough In - -
UG/Slab
Low Voltage - - - - ---
Fire Alarm
Final
P SS PART FAIL
I _.
Backfill/Grading -- —- - ------- - -- _ _- . -- _- _
Sanitary Sewer To.
Storm Drain ,�I [ J Reinspection fee of$__- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin C [ J Please call for reinspection RE'
Fire Supply Line _- ( ]Unable to inspect-no access
ADA
Appro h/Sid walk
Ot r Date � ( ]V �1 Inspector z. Ext
— -- ----
Fin
AS PART FAIL DO NOT REMOVE this inspection record from the job site.
l
/^ CITY OF TICARD _ MASTER PERMIT
PERMIT#: MST98-00489
" DEVELOPMENT SERVICES DATE ISSUED: 4/16/99
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 11270 SW BUFFALO PL PARCEL: 1S134DA-07900
SUBDIVISION: DAKOTA MEADOWS ZONING: R-12
BLOCK: LOT:012 JURISDICTION: TIG
REMARKS: NEW SFA
BUILDING
REISSUE: T� STORIES: 3 FLOOR AREAS _ 'EOUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 V FIRST: 743 6f BASEMENT. 0 00 of _ LEFT: -- SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 742 d GARAGE: 560 of FRONT: 8 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 of RIGHT U
VALUE. b 250,000 00
OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL.: 1,485 00 of REAR: 0
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACI4 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 101) TRAPS: 0
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: 0 SEWER LINES: 100 SF RAIN DRAINS 2 CATCH BASINS: 0
TUBISHOWERS 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR t GREASE TRAPS: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN c 100K: 1 BOILICMP c 3HP: 0 VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN>s100K: U UNIT HEATERS: 0 HOODS: 0 OTHER UNITS: 1
MAX INP: 0 btu FLOOR FURNAVCES: 0 VENTS: 0 WOOCSTOVES: 0 GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SERVICE.FEEDER TEMP SRVC/FEEDERS_ BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 0 200 amp: 0 WISVC OR FDR: 2 PUMPIIRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF 2 201 400 amp: 0 201 - 400 amp: 0 tat W/O SVCIFDR: 00 SIGNIOUT LIN LT: 0 PER HOUR: U
LIMITED ENERGY: U 401 600 amp: 0 401 600 amp: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL: 0 IN PLANT: 0
MANU HM/SVC/FDR: 0 601 • 1000 amp: 0 6014ampe•1000v: 0 MINOR LABEL: 0
1000+amolvoll: 0
PLAN REVIEW SECTION
Reconnect only: U
>.4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH BOILER: I4VAC: LANDSCAPEARRIG: PROTECTIVE SIONL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL. OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS: 0
Owner: Contractor: TOTAL FEES: $ 5,109.50
BEACON HOMES INC BEACON HOMES,INC This permit is subject to the regulations contained in the
9500 SW 125TH AVE 9500 SW HOMES,
AVE Tigard Municipal Code,State of OR Specialty Codes and
BEAVERTON,OR 97008 BEAVERTON,OR 97008 all other applicable laws. All work will be done it
accordance�wn11 approved plans. This permit will expire If
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
Reg 6: 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 INSF ECTIONS
Erosion Control Insp 8, Electrical Rough-in Gas Fireplace Water Service Insp Mechanical F;nal
Footing Insp Mechanical Insp Insulation Insp Appr/Sdwlk Insp Building Final
Slab Insp Plumbing Top Out Shear Wall Insp Smoke Detector
Plm/undslb Insp Framing Insp Rain Drain Insp Electrical Final
Electrics —— Gas Line Insp Water Line Insp Plumb Final — s— —
Issu By : Permittee Signature
`____Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business d ;
CI I'Y OF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR98-00338
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/16/99
SITE ADDRESS; 11270 SW BUFFALO PL PARCEL: 1S134DA-07900
SUBDIVISION: DAKOTA MEADOWS ZONING: R-12
BLOCK: LOT: 012 JURISDICTION: TIG
TENANT NAME. BEACON HOMES INC
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE: 0
Remarks: Dakota Meadows lot 12
Owner: FEES
-_IAcb� l�µ�� INc Type Ery Date Amount Receipt
g5tc �� (a5� �' PRMT URA 4/16/99 $2,300.00 99-314584
�� :AatRT�,N q�ppy INSP DRA 4/16/99 $35.00 99-314584
Phone: 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 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 OAR 952-001-0080.
You may o pies of these rules or direct questions to OUNC by calling (503) 246I-1987
Issue by: �� �/�. ( �".� �� Permitte-a Signature:
-- Call (5n3) 639-4175 by 7:00 P,M. for an Inspection needed the next busines de
Cdr-_ F TIGARD Residential Building Permit Application Plan cneck -,12
13125 SW HALL BLVD. Nevv Construction Additions or Alterations Date ReRecd By
cd /
TiGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. / 98n =�
V 503-639-4171 Date to DST A �� ei R(
F 503-684-7297 g- 0"S Permit# MS%551
Print or Type ,l Called_112k_7_&2
4) Incomplete Incomplete or illegible applications will not be accepted
Name of Project — Name
Job DAKOTA MEADOWS ll I� PETER MAGARO ARCHITECHTUR
"`�--- Architect Mailing Address
Address Site Address 10570 SW Citation Dr.
�
0 City/State Zip I Phone
Name Beaverton 97008 579-2.42.1
_BEACON HOMES, INC. N -
Owner ly�`dedr ,W_ 125th Avenue Nam DOVE ENGINEERING_
(State z Phone Engineer Mailing Address
Weaverton 9008 524-1999 4914 Oakridge Rd .
City/State Zi Phone
General Name La Ke Oswego 9783 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.# 70782 12/17/9B VALUATION �
database ---
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- MUEHE QUALITY HEATING Sq.Ft. House: ( /i I I v Sq.Ft.Garage
Contractor Meiling Address `1 1
Prior to permit FO 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 97068 598-0966 Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp.Date Energy System Alarmb
expired in COT Llc.# 50096 3/5/99 Installations Vacuum Irrigation
database S stem S stem
Plumbing Name (check all that Other:
Sub- J & R I _UMBING appl
Contractor Mailing Address --�-- Comer Lot YES NO Flag Lot YES NO
3430B SW 209th Avenue (check one) I X check one X
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit Cky/State Zi Phone X
issuance,a copy Aloha, 9700 642 -7776 Solar Compliance
of all licenses are Oregon Const.Cont.Board Exp.Date (Calculation Attached) _
required If Lic.9 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
34 214PB 4/30/9g of the owner,and that plans submitted are In compliance with
_
Oregon State laws. _
Name Signatu f,O,w elr/A a Date
Electrical BEAR ELECTRIC, INC.
Sub- Mailing Address C�tact Pers n N� e Pho e!/
Contractor PO BOX 389 1
_ FOR OFFICE USE NLY: _
City/State Zip Phone Plat#: Map/TL#
Prior to permit Donald, OR 9702 678-1355 11F- S 1 &Z
issuance,a copy Setbacks: Zone: 1 Solar:
of all licenses arc Oregon Const.Cont.Board Exp.Date �. /�
required If Lic.# 20919 2/20/00
expired In COTEngkfeering Approvef. Planning Approval: TIF:
database Electrical Li 7 C Fxb Yale
--- _
I:SFREM2.DOC(DSII 8/11198