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11320 SW BUFFALO PLACE
__CERTIFICATE OF OCCUPANCY
CITY OF T I GA R D
PER(11T#: MS F98-00493
DEVELOPMENT SERVICES DATE ISSUED: 04/16/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 'IS134DA-08300
ZONING: R-12
JURISDICTION: TIG
SITE ADDRESS: 11320 SW BUFFALO PL
ILE
SUB^;dISION: DAKOTA MEADOWS FCOPY
BLOCK: LOT:016
CLASS OF WORK: NEW
YPE 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:
KURTH/KUSYK
7125 SW HAMPTON
TIGARD, OR 97223
Phone: 52.4-1999
Contractor: _
BEACON HOMES, INC
9500 SW 125TH AVE
BEAVERTON, OR 97008
Phone: 52.4-1999
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 whi h the referenced permit was
issued. `" J
BUILDING INSPECTOR BUILDIN OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
��yy BUP
Date Requested ��-'� (-C AM_ PM BLD
Location_ _ i_1 ��?(� /'�� -rz—��- > _ Suite MEC _
Contact Person { l 1 Ph //c, 7 PI-M
Contractor_ Ph SWR
UILDI r Tenant/Owner ELC _
Retaining Wail
ELR
Footing Access:
Foundation FPS
Ftg Drain --
Crawl Drain Inspection Notes: SGN
Slab
Post& Beam ---- ---- --- - SIT —
Ext Sheath/Shear
Int Sheath/Shear ---- --" --
Framing �—
Insulation — - — --"
Drywall Nailing
Firewall -------.----------- ---_-- -
Fire Sprinkler
Fire Alarm ----- ------ ------- -----
Susp'd Ceiling __—
Roof —
Misc
it
ASS FART FAIL - -- - ----— ------ -- -- — --.
PLUMBING
Post& Beam--� - __ ---- -
Under Slab
Top Out - - -- --
Water Service
Sanitary Sewer - - - --- --"—
Rain D sins
PASS PART FAIL.
MECHANICAL
'Post& Beam
Rough In
Gas Line
Smoke Dampers —� ------------_-- ---Final,/ — -- -- - --- —_--- - --- -— -
PASS PART FAIL
ELECTRICAL -
Se"rvice.
Rough In -------
UG/Slab
Low Voltage -t-ire Alarm
Final,/ _ _-- --— ----- — - ---- ------
PASS PART FAIL _...
Backfill/Grading Ili --- --- —.. - — — - ----------- — --�—
Sanitary Sewer `�
Storm Drain %\ICj ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Y
F ire Supply Line ( ] Please call for reinspection RE _— — [ J Unable to inspect-no access
ADA
Approach/Sidewblk
otne� Date cel?/17/0 a Inspector V J Ext 1
115'AS1 PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION - -ST-�,�on
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MJ
BUP
_—_ Date Requested_— SAM PIVi __—— BLD
Location ' / Suite MEC
Contact Person 4nC . Ph PLM
PLM —
Contractor Ph SWR
BUILDING Tenant/OwnerELC - _--
Retaining Wall — — — EL R
Footing Access:
Foundation FPS
Fig Drain --------� .
SGN
Crawl Drain Inspection Notas —_ --
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 ---- — —---- - -- - - -------
MBI �)
Post& Beam
Under Slab
Top Out ------ --- - -
Water Service
Sanitary Sewer -
Rain Drains
A PART FAIL
ANI
[lost 8 ia-m ---- -- -- -- --- - --- -__--- ---------- -------
Rough In
Gas Line _ . .. . ......... .__ ___.. _...-
SrjjQke Dampers
47 it _--
PA.RT FAIL
ELECTRICAL
efVlCe
RoughIn __-. - ---------_..�...--------.. -..____----
UG/Slab _
Low Voltage -
Fire Alarm
Final - - --------- - - -
PASS PART FAIL
SITE
Backf'I/Grading ---- — — ------ ------- __' —
Sanitary Sewer
Storm Drain [ ) Reinspeclion fee of$ _ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I 1 Please call for reinsl ection RE: _ — [ ) Unable 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
BUP
Date Requested_ �!6 AM _PM _ BLD
Locations �� ( ' O �� Suite _
MEC
Contact Person �GY Ali�L C,/ lC., Ph In 7k/�, � PLM
Contractor Ph _ SWR
BUILDING Tenant/Owner _ ELC
Retaining Wall ELR A —
Footing Access:tv ( ,�c 4112- U � „fin_ '4 ---
Foundation �,i ,� , _O LL 0�,� �ru,C.. FPS
Ftg Drain -
Crawl Drain inspection Notes: SGN `-
Slab
Post&Bee - -- - SIT _-- -�---
Ext Sheath/Shear
Int Sheath/Shear -------- v-- -
Framing
Insulation
- ----
Drywall Nailing --
Firewall _-- ------
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- -- --- ��- -- --- -- - -
Roof
Final
PASS PART FAIL -- ------ __- ___-- -- - - -
PLUMBING
Post& Beam — ---- -- -- ------ -- ---
Under Slab
TopOut -------- —_ --�--- ---------- - ---
Water Service
Sanitary Sewer -- --- - - -- -- --
Rain Drains
Final -_-__----_--
PASS PART FAIL
MECHANICAL - ---
Post& Beam
Rough In -- -------- --
Gas Line -- - --- --
Smoke Dampers —
Final - - - - ---- - - -- ---- ---- 1 (�
PASS PART FAIL �1
�. ELECTRICAL - ------- -------- -- -- --- -- -----
etvtce
Rough In -
UG/Slab
Low Voltage _--- -- --- - ---
Fire Alarm
�PASPART FAIT_ -
Backfill/Grading ----- - --- - ----- ----- --- -- --
SanitarySewer
Storm Drain I Reinspection fee of$ _ required before next inspection Pay at City Holl, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ' Please call for reinspection RE. -- i I Unable 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 ®F T I G/'1 R® — MASTER PERMIT
PERMIT#: MST98-0W93
DEVELOPMENT SERVICES DATE ISSUED: 4/16/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 61:-4171
SITE ADDRESS: 11320 SW BUFFALO PL PARCEL: 1S134DA-08300
SUBDIVISION. DAK01A MEADOWS ZONING: R-12
BLOCK: LOT: 016 JURISDICTION: TIG
REMARKS: New SFA
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 2r, FIRST: 743 of BASEMENT: 0 00 6f LEFT: 0 SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 142 of GARAGE: 560 of FRONT: 0 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT- 0 al RIGHT: 0
VALUE: E 250,000.00
OCCUPANCY GRP: R3 BORM 2 BATH: 3 TOTAL: 1,405.00 of REAR: 0
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 100 TRAPS: 0
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS. 0 SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS 0
TUSISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN<100K: 1 BOIL/CMP<3HP: 0 VENT FANS: 3 CLOTHES DRYER 1
CTAS FURN>a11001(: 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 FDR: 2 PUMPIIRRIGATION: U PER INSPECTION: 0
EA AOD'L 500SF: 2 201 400 amp: 0 201 - 400 amp: 0 tat W/O SVCIFDR: 00 SIGNIOUT LIN Lr: 0 PER HOUR: 0
LIMITED ENERGY: 0 401 600 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 6014ampa•1000v: 0 MINOR LABEL: 0
1000•ampN011: 0
PLAN REVIEW SECTION i
Reconnect oniv: 0
>-4 RES UNITS: SVClFDRr=225 A.: >BUO V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO EL STEREO: VACUUM SYSTEM: AUDIO i STEREO: FIRE ALARM: INTERCOWPAGING OUTDOOR LNDSC 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
Owrier: Contractor: TOTAL FEES: $ 5,109.50
HOMES INC BEACON!TOMES,INC This permit is subject to the regulations contained in the
BEACON
9500 1257H 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
accordance with approved plans. This permit will expire H
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 0 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 Mecharical Final
Footing Insp Mechanical Insp Insulation Insp Appr/Sdwlk Insp Buildir,g Final
Slab Insp Plumbing Top 0'1t Shear Wall Insp Smoke Detector
Plm/undslb Insp Framing Insp Rain Drain Insp Electrical Final
rlecMcal Sery — as Line lisp Water Line Insp Plumb Final
_Y—_—
Issued y : Permittee Signature &0)-4 LA&,
�- Call (503) 639-4175 by 7:00 p.m.for an inspection needed the next business y
CITYOF TIGARD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR98-00343
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/16/99
SITE ADDRESS; 11320 SW BUFFALO PL PARCEL: 1S1341)A-08300
SUBDIVISION: DAKOTA MEADOWS ZONING: R-12
_ BLOCK: LOT: 016 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
gson �as4Le/ Type By Date Amount Receipt
PRMT DRA 4/16/99 $2,300.00 99-314606
�D—•� C� 47vaA INSP DRA 4/16/99 $35.00 99-314606
Phone: 5-D4— /991� ---
'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 952-001-00 10 through OAR 952-001-0080.
You ma obtain copies of these
/rules
� or direct questions to OUNC by calling (503) 246-19Q87.
Issue Y. �--(tuQ_ , _�, 1�� Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business By
C,!Tv.0F TIGARD Residential 3uilding Permit Application Plan Check
13125 SW HALL BLVD. New Construction Additions (-.r Alterations Rec'd By
1 _
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Rec'dDate toP.E.� y
V 503-639-4171
F 503-684-7297t737p `�� Date to DST
� � �0'— Permit#PffT �-
Print or Type Called 64,9/99 .(
Incomplete or illegible applications will not be accepted
Name of Project �J Name
Job DAKOTA MEADOWS j� PETER MAGARO ARCHITECHTUR
Address She Address i '-Y- Architect Mailing Address
1 10570 SW Citation Dr.
Name City/State Zi Phone
BEACON HOMES INC. --
Beaverton 9700 579-2421
Owner I� 'yOdSWs 125th Avenue NJAFF DOVE ENGINEERING
W' ate Phone Engineer Mailing Address
verton -1999 4914 Oakridge Rd .
Name i / tate Zi Phone
General a Oswego 9783� 697-5926
Contracto r 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,acopy 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.N 70782 12/17/98 VALUATION
database _
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- MUEHE QUALITY HEATING Sq.Ft.House: I O Sq. Ft.Garage 'L
Contractor Mailing Address
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 598-0966 Restdded 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 S stem
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
Prior to permit City/State Zip Phone
Has the Subdivision Plat recorded? — N/A YES NO
X
Issuance,a copy Aloha, 97007 642-7776 Solar Compliance
of all licenses are Oregon Const.Cont.Board Exp Dale Calculation Attached
required If Lk.M 7 2r,8 0 3. 28/99
expired in COT I hearby acknowledge that I have read this application,that the
database Plumbing Lic.N Exp.Date information given is correct,that I am the owner or authorized agent
34 214PB 4/30/99 of the owner,and that plans submitted are in compliance with
Oregon State laws.
Name Signat f Owner/Age 1 Date
Electrical BEAR ELECTRIC, INC.
Sub- MailingAddress to Person Na Pho e#
Contractor PO BOX 389L -
FOR OFFICE U ONLY: _
City/State Zip Phone Plat#: Map/TL#:
Prior to permit Donald, OR 9702 678-1355 //,P-/3 /y' /-5- f j 1��A -
&??
issuance,a copy
of all licenses are Oregon Const.Coil.Board Exp. Date Setbacks: Zone: n Solar:
required if Lica 20919 2./20/00
expired in COT Eng neering Ap val: Planning Approval• TIF:
database Electrical Lic k Ex . gate
24•-107C 1/1/98 - -
I SFREM2.DOC(DST)8/11/98