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11310 SW BUFFALO PLACE
CITYQ F T I GA R D CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES DATE SSIED: 04/16/8199992
'J
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134DA-08200
ZONING: R-12
JURISDICTION: TIG
SITE ADDRESS: 11310 C','V BUFFALO PL FIL
E
Cop
SUBDIVISION: DAKOTA MEADOWS y
BLOCK: LOT:015
CLASS OF WORK: NEW
TYPE OF USE: SFA
TYPE OF CONSTR: 5N
nCCI.1PANCY GRP: R3
TENANT NAME:
REMARKS: New SFA - Final Building Inspection and Certificate of Occupancy
Approved 2/1 i'/On by Rick Bolen, Building Inspector
Owner:
KURTH/KUSYK
7125 SW HAMPTON
TIGARD, OR 97223
Phone:
Contractor:
BEACON HOMES, INC
9500 SW 125TH AVE
BEAVERTON, OR 57008
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 Codrs for the group, occupancy, and use under wh'ch the referenced permit was
issued.
BUILDING INSPECTOR BUILDI OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION (ST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BLIP _
Date Requested AM PM BLD
Location � L Suite MEC
Contact Person A:In c Ph PLM
Contractor Ph SWR —
UILDIN Tenant/Owner ELIC
Retaining Wall ELR
Footing Access.
Foundation FPS
Ftg Drain SIGN
Crawl Drain Inspection Notes: -- ------ - ----
Slab SIT
Pnst A Raam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _
- - ------------------------------
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -_ --- --- - -- --- - —
Roof
MIS -- ---
in
AQ PART FAIL — - —
Post&Beam — —
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
PART FAIL
CHANIC
Post&Beam -- -- —- ----
Rough In
Gas Line
Smoke Dampers
i�.,
PART FAIL
ELECTRICAL
Service _ ---------
Rough In
UG/Slab --
Low Voltage
Fire Alarm
Final
PASS PARI FAIL
I
Backfill/Grading
Sanitary Sewer *,�1
Stone Drain Reinspection fee of$—, required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE: _ ( ]Unable to inspect no access
ADA
thA roach/Sidewalk 17/U(� �� __
e., Date Inspector _ExZa
Final
PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF T!GARD BUILDING INSPECTION DIVISION MST ?QC'—
24-Hour Inspection Line: 639-4175 Business Line: 6394.171
q BUP
Date Requested r� / AM PM
BLD
Location / / J/"'
Contact Person I�U/ / rX�c" Suite MEC _
�'-4t-( ��lll%x- l cc,� �'C'_ Ph & %k 135Y PLM
Con;racior _- Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: /. l��C �p- lv bvv e h, 1 trf(,�e_
Foundation / F S
Fig Drain P%,l� /�:J�C� - O�-{4-40 � Cc -.5 4e,' J c
Crawl Drain Inspection Notes: $GN
Slab _
Post R Beam - SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing _ -- -- --- _-�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm —
Susp'd Ceiling
Roof /
Final
PASS PART FAIL ---
PLUMBING
Post&Beam - — -
Under Slab
Top Out
Water Service
Sanitary Sewer -
Rain Drains
Final ------- -------
PASS PART FAIL
MECHANICAL - --
Post&Beam - .. .. --
Rough In
Gas Line - - -- ----
Smoke Dampers
Final
PASS PART FAIL
LECTRICAL - - -- - - - -- ---- - ----_
Service
Rough In _---
UG/Slab
Low Voltage
F!rg Alarm
)PART FAIL _ -- - - — ---SITE _
Backfill/Grading - - ----- - -- --- -
Sanitary Sewer
Storm Drain [ j Reinspection fee of$-- required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:
Fire Supply Line ( ] P _._. A ( ]Unable to inspect-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 TIGARD MASTER PERMIT
PERMIT #: MST98-00492
DEVELOPMENT SERVICES DATE ISSUED: 4/16/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS. 11310 SW BUFFALO PI_ PARCEL: 1S134DA-08200
SUBDIVISION: DAKOTA MEADOWS ZONING: R-12
BLOCK: LOT: 015 JURISDICTION: TIG
REMARKS: New SFA
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED _
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 743 of BASEMENT: 0.00 at LEFT: 0 SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 742 at GARAGE: 580 of FRONT: 8 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 0 of RIGHT: 0
VALUE: S 250,000.00
OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL: 1,485 00 of REAR: 0
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH, 1 LAUNDRY TRAYS: 0 RAIN DRAIN. 100 TRAPS: U
LAVATORIES: 4 DISHWAS14ERS: 1 FLOOR DRAINS: 0 SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS: U
TUBISHOWERS: Z GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE SAPS: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES _ FURN�10OK: t BOILICMP<7HP: 0 VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN-100K: 0 UNIT HEATERS: 0 HOODS: 0 OTHER UNITS: 1
MAX INP 0 btu FLOOR FURNANCES: 0 VENTS: 0 WOODSTOVES: 0 GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 0 200 amp: 0 WISVC OR FOR: 2 PUMPIIRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF: 2 201 400 amp: 0 201 400 amp: 0 1st WIO SVC/?OR: 00 SIGNIOUT LIN LT: 0 PER HOUR: 0
LIMITED ENERGY: 0 40'1 800 amp: 0 401 • 600 amp: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL: 0 IN PLANT: 0
MANU HMISVCIFDR. 0 801 • 1000 amp: 0 801.amps•1000v: 0 MINOR LABEL: 0
1000+amplvolt: 0
PLAN REVIEW SECTION
Raconnoct only: 0
>-4 RES UNITS: SVCIFDR>■225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO VACUUM SYSTEM: AUDIO d STEREO: RE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: 0
Owner: Contractor: TOTAL FEES: $ 5,109.50
HOMES INC BEACON HOMES,INC This permit is subject to the regulations contained in the
BEACON
9500 SW HOMES
AVE 9500 SW HOMES,
AVE Tigard Municipal Code,State of OR. Specialty Codes and
BEAVERTON,OR 97008 BEAVERTON,OR 9700A all other applicable laws. All work will be done
accordance with approved plans. This permit wilit
l 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 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/Sdwik Insp Building Final
Slab Insp Plumbing Top Out Shear Wali Insp Smoke Detector
Pim/undsib Insp Framing Insp Rain Drain Insp Electrical Final
Electrical a ._ Gas Line Insp Watt:! Line Insp Plumb Final
Issue By : =�A! ` i Permittee Signature �x-
�. I
Call (503) 639=4175 by 7:00 p.m for an inspection needed the next business d y
CITYOF TIGARD _SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR98-00342
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/16/99
SITE ADDRESS; 11310 SW BUFFALO PL PARCEL: 1S134DA-08200
SUBDIVISION: DAKOTA MEADOWS ZONING: R-12
BLOCK__ LOT: 015 _ 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: L fPSWR IMPERV SURFACE: 0
Remarks: New SFA
Owner:
FEES_ �— - –
�De� c`31v tole` A�� -Type By Date Amount Receipt
PRMT DRA 4/16/99 $2,300.00 99-314603
�p�JtRTO+J �R �i7cYj� INSP DRA 4/16/99 $35.00 99-314603
Phone: .a� • 1 4 `�
Total E2,335.00
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 ma pies of these rules or direct questions to OUNC by calling (503) 46-1987. _
Issued by: LIN
Permittee Signature:
Call (503) 6 94175 by 7:00 P.M. for an inspection needed the next busines day
G:� F TIGARD Residential Building Permit Application Plan Recd By
13125 SW HALL BLVD. New Construction Additions or Aitcrations Recd By
TIGARD, OR 97223 Single Family Detached Or Attached (Duplex) Date Recd
Date to P.E.
V 503-639-4171
F 503-684-7297 (� �.3, Date to DST / /? ���IS% 1
�7
�D '1 Permit A S
�.� Print or Type 7"" Called
`'l►�a �� tN Incomplete or illegible applications will not be accepted
- Name of Project - - - --_ -— - -- - Name ---�
Job DAKOTA MEADOWS l(� PETER MAGARO ARCHITECHTUR .
Address Site Address ;�, Architect Mailing Address
(�l0 cul) fi3tt_f i"1l 10570 SW Citation Dr_
- City/State Zip Phone
BEACON HOMES, INC.
Name _ Beaverton 97008 579-2421
Owner ljj�,86d�, s 125th Avenue NJAFF DOVE ENGINEERING
/ j
State Phone Engineer Mailing Address
eaverton i 524-1999 4914 Oakridge Rd .
-- Cd / tate Zi Phone
General Name Tke Oswego 97�3 697-5926
Contractor 3EACON 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,acopy City/state Zi Phone attached si:igle family dwellings
of all licenses Beaverton 977008 524-1999
are required if Oregon Const.Cont.Board Exp. Date PROJF'.
expired in COT Lic.# 70782—__ 12/17/98 VALIjA''ION $ Cid (f�1)
database
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- MUEHE QUALITY HEATING Sq. Ft. House: Ft. Garage
Contractor Mailing Address —,I ( 0 'JI
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 97068 598-0_966 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_ _` _ System System
bin
Plumg Name (check all that Other:
Sub- J & R PLUMBING apply)
Contractor Mailing Address !— — Comer Lot YES NO Flag Lot YES NO
3430E SW 209th Avenue (check one) X (check one) X
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/Stale Zip Phone X
issuance,acopy 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 hearty 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
3421 4PB 4/30/99 of the owner,and that plans submitted are in compliance with
_ Ore on (ate laws.
Name Signatur Owne/Ag n( Date
Electrical BEAR ELECTRIC, INC.
Sub- Mailing Address art Perspam4 Phone#
Contractor PO BOX 389
—_ FOR OFFICE W ONLY:
City/State Zip Phone Plat#: MapfTL#:
Prior to permit Donald , OR 9702 678-1355
issuance,a copy
of all licenses are Oregon Const.Cont.Board Exp. Dale Setbacks: Zone: � Solar:
required if Lic.# 20919 2/20/00 -21'( �'��""'��' ' IC - 7 c
expired in COT _ _ Engin erin� g Approyat=' Planning Approval: TIF:
database Flectrical Lic # 101/98
e
24-107C ---- — —
SFREM2.DOC(DST)8/11/98