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11280 SW BUFFALO PLACE
CITYOF TIGARD CERTIFICATE OF OCCUPANCY
PERMIT#: MST98-00490
DEVELOPMENT SERVICES DATE ISSUED: 64/16/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PAROL--: 1S 134DA-08000
Z JNING: R-12
JURISDICTION: TIG
SITE ADDRESS: -11280 SW BUFFALO PL FILE
COPY
SUBDIVISION: DAKOTA MEADOWS
BLOCK: LOT:013
CLASS OF VVC)RK: NEW
TYPE OF USE: SFA
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: New SFA - Final Building Inspection and Certificate of Occupancy
Approved 2/17/00 by Rick Bolen, Building Inspector
Owner:
KLIRTH/KUSYK
7125 SW HAMPTON
TIGARD, OR 97223
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 CodesThe the group, occupancy, and use under which t a referenced permit was
issued.
BUILDING INSPECTOR BUILDING OO�FICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9
24-Hour Inspection Line: 639-4175 Business "Lina: 639-4171
SUPDate Requested AM PM _-._ _ BLp
Location_ r' 1 /"2 by 1 ��_� Suite o MEC 1
Contact Person _ �,_� Ph `��' i'0� b PLM
Contractor Ph SWR _
BUILDIN&:) Tenant/Owner ELC
Retaining Wall ELR _
Footing Access- FPS
Foundation
Ftg Drain -- SGN
Crawl Drain Inspection Notes: -- --
Slab ----- SIT
Post&Beam -- - -----
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywal;Nailing
-----------------—
Firewall
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling
Roof
Misc: - - - -- - - - --------
PARI FAIL - -- - -- - - - -- -- - --
MBING
Post&Beam -----� - --i-v --
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final,/
PASS PART FAIL
MECHANICAL
Post&Beam —
Rough In
Gas Line -
Smoke Dampers
Final) --
PASS PART FAIL
ELECTRICAL
ServirP _
Rough In
UG'Stab
Low voltage
Fire Alarm -
Final,/
PAS5 PART FAIL _
IT -
Backfill/Grading (�
Sanitary Sewer
Storm Drain `1I1 o� ( ]Reinspection fee of _ required before next inspection. Pay at City Hall, 1312:,SW Hall Blvd
Catch Basin
Fire Supply Line l J Please call for reinspection RE: __- _ ___-- ( J Unable to inspect-no access
ADA
Approach/Sidewalk -71Uate ��� Inspector__v[� �[ EX
her'"aa.1� /� E- V l ��-- ----- _ --
PASS PART FAIL DO NOT :cEMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION Ms r1r -LIC I-f SIC
24-Hour Inspection line: 639-4175 Business Line: 639-4171 �
BUP
_— Date Requested C AM PM BLD
Location_ f L �(jl!� I�~%J t`t r✓ Suite MEC
Contact Person Ph �""�>S O PLM —_
Contractor Ph SWR —
BUILDING - Tenant/Owner ELC _
Retaining Wall ELIR _
Footing Access: FPS +—
Foundation
Ftg Drain SGN
Crawl Drain Inspection Noles -----------
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
PAJ5 PART FAIL.
- - - -
Post&Beam --
Under Slab
Top Out ---- -- -
Water Service
Sanitary Sewer - - -- -- -- -
Rain Drains
�?PA9 PART FAIL
r,HANICAL
fust E Beam
Rough In
GasLine ----.__..-------_ --_ ____ .__.__-.---------_---- -.�.-
Ske Dampers
PAS PART FAIL
IMMRICAL
Service
Rough In
UG/Slab -- -- - ------ -----------... -._..__----..__-._ ----
Low Voltage
FireAlarm _-_--____.___.___.----------------------- -_---f_-- --� -_—
Final
PASS PART FAIL -----------
SITE
Backfill/Grading -- -- --- --_— - __ —
Sanitary Sewer
Storm Drain [ J Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Unable to ins
Fire Supply Line [ I Please call for reinspection RE'. _— �___- [ J peel no access
ADA
Approach/Sidewalk
Other Date Inspector__—� —Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIOARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BLIP
_— Date Requested S Ul —AM PM BLD
Location Suite
MEC _
Contact Person Ph /�'��Gjs g� PLM
Contractor_ Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR — ^Y
Footing Access: ---�— --
Foundation FPS
Ftg Drain __ --- --- -
Crawl Drain Inspection Notes: �v SGN
Slab _ ------
Post 8 Beam SIT _
Ext Sheath/Shear
Int Sheath/Shear ---- --- -- -----
Framing
Insulation -- -
Drywall Nailing
Firewall - - - —_
Fire Sprinkler _
- -
Fire Alarm -
Susp'd Ceiling _
Roof - -
Misc:
Final
PASS PART FAIL
PLUMBING
Post&Beam -- - -
Under Slab
Top Out ---- --- -
Water Service
Sanitary Sewer - —
Rain Drains
Final —
PASS PART FAIL
- -- -- --
MECHANICAL ---
Post& Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service
Rough In ---
UG/Slab
Low Voltage - - - — --- - -
Fir ----
e lam,
PASS ART FAIL
VTF—
Backfin/Grading -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ i equired befnm n t inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ]Please call I.;r reinspection RE _ _ [ ]Unable to inspect-no access
ADA
Approach/Sidewalk Dat
Other _ Inspector _ �_ Ext
Final
PASS PART FAIL hO NOT REMOVE this inspection record from the job site.
1
CITYO IF T I O A R D __ MASTER PERMIT
/ PERMIT#: MST98-00490
DEVELOPMENT SERVICES DATE ISSUED: 4/16/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
SITE ADDRESS: 11280 SW BUFFALO PL PARCEL: 1S134DA-08000
SUBDIVISION: DAKOTA MEADOWS ZONING: R-12
BLOCK: LOT: 013 JURISDICTION: TIG
REMARKS: New SFA
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 FIRST: 743 sf BASEMENT: 0.00 sf LEFT n SMOKE.DETECTORS. t
TYPE OF USE: 5FA FLOOR LOAD: 40 SECOND: 742 of GARAGE: 560 of FRONT. H PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 of RIGHT: 0
OCCUPANCY GRP; R3 BDRM: . BATH: 3 TOTAL: 1,165.00 st VALUE: $250,000.00 REAR 0
PLUMBING
SINKS. 1 WATER CLOSETS: 3 WASHING MACH; I LAUNDRY TRAYS: 0 RAIN DRAIN: IOn TRAPS: 0
LAVATORIES: .1 DISHWASHERS: 1 FLOOR DRAINS: It SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS: 0
TUB/SHOWERS GARBAGE DISP: 1 WATER HEATERS. I WATER LINES: 100 BCKFLW PREVNTR: i GREASE TRAPS: 0
OTHER Fix'rURES: 0
MECHANICAL
FUEL TYPES FURN<10OK: 1 BOILICMP<3HP: 0 VENT FANS: 3 CLOTHES DRYER: I
i AAs FURN>•100K: 0 UNIT HEATERS- 0 HOODS: 0 OTHER UNITS: 1
MAX INP. blu FLOOR FURNANCES VENTS 0 WOODSTOVES: - GAS OUTLETS-
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS_ AOD'L INSPECTIONS
1000 SF OR LESS: ' 0 200 amp: 0 0 200 amp: 0 WISVC OR FDR: PUMP/IRRIGATION: 0 PER INSPECTION: n
EA ADD'L 500SF. 2 201 400 amp: 0 201 - 400 amp: 0 1%1 WIO SVCIFDR: 00 SIGNIOIIT LIN LT: 0 PER HOUR: (�
LIMITED ENERGY: 0 401 600 amp: 0 401 600 amp: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL: 0 IN PLANT: 0
MANU HMlSVCIFDR: 601 • 1000 amp: 0 601-amps-1000V: 0 MINOR LABFL: 0
1000+unptvoll: 0
PLAN REVIEW SECTION
Reconnect only: 0
>=4 RES UNITS: SVC/FDR»225 A. >600 V NOMINAL: CLS AREA/SPC OCC'
ELECTRICAL•RES"rRICTED ENERGY _
A.SF RESIDENTIAL B.COMMERCIAL.
AUDIO&STEREO: VACUUM SYSTEM AUDIO 6 STEREO: FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNOSC LT:
BURGLAR ALARM. OTH BOILER: HVAC. LANDSCAPEIIRRIG'. PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DAI A/TELE COMMNURSE CALLS. TOTAL a SYSTEMS �
Owner: Contractor: TOTAL FEES: $ 5,109.50
HOMES INC BEACON HOMES, INC This permit is subject to the regulations contained in the
BEACON
9500 125TH AVE 9500 ON HOMES,
AVE Tigard Municipal Code, State of OR Specialty Codes and
BEAVERTON,OR 97008 BEAVERTON,OR 97008 all o applicable laws All work will be done i
accordance
nce with 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 rhone. Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rulea are set
Reg a 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 Control Insp 8, Electrical Rough-in Gas Fireplace Water Service Insp Mechanical Final
Footing Insp Mechanical Insp Insulation Insp Appr/Sdwlk Insp Building Final
Slab Insp Plumbing Top Out Shoar Wall Insp Smoke Detector
Plm/undslb Insp Framing Insp Rain Drain Insp Electrical Final
Electrical Service Gas Line Insp Water Line Insp Plumb Final
Issued�y . ! � Vk _ Permittee Signature : �
Call (503) 639-4175 by 7:00 p.rn. for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR98-00340
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/16/99
SITE ADDRESS; 1 1280 SW BUFFALO PL PARCEL: 1S134DA-08000
SUBDIVISION: DAKOTA MEADOWS ZONING: R-12
BLOCK: LOT: 013 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: New SFA
Owner: ---- -- — FEES
Type By - Date Amount Receipt
tbt,�JtRTU� 02 970p8 PRMT DRA 4/16/99 $2,300.00 99-314598
INSP DRA 4/16/99 $35.00 99-314598
Phone: �',.��I_��9g Total $2,335.00
Contractor*
PrIG11@:
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. rhe 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 vMMM copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issuedby: — Permittee Signature:
I
Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business d y
G!T,V-.GF TIGARD Residential Building Permit Application Plan Cneck ,!;L ,32
13125 SW HALL BLVD. New Construction Additions or Alterations Recd By n _
Date Recd /O,- /-
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Dale to P.E. -.7/ '
V 503-639-4171 / � _ Date to DST / /
F 503-684-7297 `T^"' 3 Permit# 101 5'
Print or Type Called/ETax .'Z/ 'dw
"'VvI Incomplete or illegible applications will not be accepted
Name of Project Name —
Job DAKOTA MEADOWS - I PETER MAGARO ARCHITECHTUR"
Site Address Architect Mailing Address
Address I �q � 10570 SW Citation Dr .
1 1 2an �/`� �a�Q City/State Zip Phone
Name Beaverton 97008 579-2421
BEACON HOMES , INC. --��-
Owner " '�"��ds 125th Avenue N JFF DOVE ENGINEERING
Engineer Mailing Address
y/state ZZ Phone g 4 914 Oakridge Rd .
�eaverton 69008 524-1999 C� --
Name LAY ate Oswego 97183 Phone7-5926
General _
Contrac for BEACON HOMES, INC. Describe work New Addition U Alteration O Repair O
Mailing Address to be done.
Prior to permit 9500 S_W_ 125th 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 9P7008 524-1999
are required if Oregon Const.Cont. Board Exp.Date PROJECT $
expired in COT Lic.# 70782 12/17/98 VALUATION
_ database_ —
Mechanical Name ---� NEW CONSTRUCTION ONLY:
MUFHE QUALITY HEATING Sq. Ft. Nouse: Sq. Ft.Garage y
Sub- `t L f�
Contractor Mailing Address I -
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 -
ofalllicenses West Linn 9706.8 598-0966 Restricted Audio/Stereo
are required i Oregon Const,Cont.Board Exp.Date Energy System Alarms
expired in COI Lic.# 50096 3/5,/99 Installations Vacuum Irrigation
database _ System 13—tern
Plumbing Name (check all that Other:
Sub- J & R PLUMBING apply)
Contractor mailing Address — Comer Lot YES NO Flag Lot YES NO
3430B SW 209th Avenue (check one) X (check one) X
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/state Zip Phone }C
issuance,a copy Aloha, 97007 642-7776 Solar Compliance
of all licenses are Oregon Const.Cont.Board Exp. Date 'Calculation Attached)
required K Llc.# 72680 3/28/99
expired in COT I hearby acknowledge that I have read this application,that the
database Plumbing Lic.# Exp.Dale information given is correct,that I am the owner or authotized agent
34214PB 4/30/99 of the owner,and that plans submitted are in compliance with
Oregon Slate laws.
Name Signatu pf Ovm r/Ag nt Date
Electrical BEAR ELECTRIC, INC. )Q_
-- Cont Pers n fJa Phone#
Sub_ Mailing Address 1 ,vI I
Contractor PO BOX 389 _ FOR OFFICE USE:ONLY: _
CitylState Zip Phone Plat#: Map/TL.#:
['nor to permit Donald, OR 9702 678-1355 /,,-,o-/- " /'/, GS L �7
Issuance,a copy —
of all licenses are Oregon Const Cont Board Exp. Date Setbacks: Zone//? ) Solar:
required If Uc.# 20919 2/20/0p
expired in COT En i erin APProvai: Planning Approval: TIF:
database Electrical LI # Exp. ate
24-167C 10 1/98
I SFREM2.00C(DST)8/11198