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Case File 00 V W • O c m r r m r O m m 8730 SW BELLFLOWER11N S?- / _CERTIFICATc OF OCCUPANCY CITY OF TIGA�.D / PERMIT#: MST1999-00174 DEVELOPMENT SERVICES DATE ISSUED: 05/12/1999 13125 SW Hall Blvd , Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-06600 ZONING: R-7 JURISDICTION: TIG SITE ADDRESS: 08730 SW BELLFLOWER.04 S FILE COPY t, 'BDIVISION: APPLEWOOD PARK NO. 2 BLOCK: LOT:061 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH I: New single family - elling w/attached garage Final Building Inspection ana Certificate of Occupancy Approved 9/1/99 by Ken Schriendl, Building Inspector Owner: MATRIX DEVELOPMENT COf1P 6900 SW HAINES ST STE 200 TIGARD. OR 97224 Phone: Contractor: LEGEND HOMES CORP 6900 SW HAII,-IES ST PLAZA 2, SUITE 200 TIGARD, OR 97223 Phone: 620-8080 Reg #: LIC 00060563 This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the buil0ing has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under hich,the referenced permit was issued. BUILDING INSPECTOR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE l CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 { BUP _ Date Requested `(' A.MPM --� BLU Location �L1(`�LCJSuite MEC _---- -- Contact Person Ph PLM _ i_-- Contractor Ph SWR B 1 C-IN- ---- — Tenant/Owner —_ _ __ _- ELC etaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN — Crawl Drain Inspection Notre: -- -- - ---- Slab ------ SIT Past&Beam EAt Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall -- — - - ---- ------- Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof ASS PART FAIL 'PttMBING fast& Beam --- --- Under Slab Top Out -- -. --- -------- ------ Water Service Sanitary Sewer Rain Drains Final ---- ---- —_ — PASS PART FAIL MECHANICAL — Post& Beam -- - — Rough In Gas Line — ---- — Smo:.e Dampers Final -- PASS PART FAIL 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 at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE. _ [ ]Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date Inspector_ — Ext Final PASS PART FAIL J 00 NOT REMOTE this inspection record Vom the job site. . �.:�. I T Y OF T I G A,R® MASTER PERMITPERMIT#: MST1999-00174 �A DEVELOPMENT SERVICES DATE ISSUED: 5/12/99 13125 SW Hall Blvd., Tigard, OR 972235503) 639-41171 SITE .,DDRESS: 08730 SW BELLFLOWER_L-N �rl PARCEL: 2S11'ILPA-06600 SUBDIVISION: APPLEWOOD PARK NO, 2 ZONING: R-7 BLOCK: LOT: 061 JURISDICTION: TIG REMARKS: PATH I: New sing{e family dwelling w/attached garage BUILDING REISSUE: STORIES: FLOOR AREAS v REQUIRED SETBACKS _REQUIRED CLASS OF WORK: NEW HEIGHT FIRST: _ 1 sl BASEMENT sf LEFT: c SMOKE DETECTORS. v TYPE OF USE: SF FLOOR LOAD. 4ii SECOND: 1,,68 sf GARAGE. 411! at FRONT. PARKING SPACES .- TYPE OF CONST: 5N DWELLING UNITS t FINBSMENT: sl RIGHT 13 VALUE. S 16,131 4r, OCCUPANCI GRP: R3 BDRM ) BATH. 3 TOTAL: at REAR 17 PLUMBING _ SINKS. t WATER CLOSETS 3 WASHING MACH 1 LAUNDRY TRAYS RAIN DRAIN 100 TRAM i LAVATORIES 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS I CATCH B.SINS: TUBISHOWERS: 3 GARBAGE DISP. 1 WATER HEATERS. WATER LINES: 100 BCKrLW PRFVNTR: 1 GREASE TRAPS' OTHER FIX rURES. MECHANICAL FUEL TYPES FURN<IOOK. BOIUCMP c 3HP: VENT FANS: 4 CLOTHES DRYER: I GAS FURN100K 1 UNIT HEATERS: HOODS: t OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL _ RESIDENTIAL UNIT_ SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION. EA ADD'L 500SF: 4 201 400 amp: 201 400 snip: let WIO SVCIFDR: 00 SIGN/our LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp' EA ADDL BR CIR: SIGNAUPANEL: IN PLANT MANU HMISVCIFDR: 601 - 1000 amp: 601-amps-1000V: MINOR LABEL: 1000♦amplvolt "LAN REVIEW SECTION Reconnect only: >-4 RES UNITS. SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERt;V A.9F RESIDENTIAL 0.COMMERCIAL ' AUDIO 6 STEREO. VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM INT_RCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 7TH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: MVAC: DATArTELE COMM: NURSE CALLS: TOTAL.6 SYSTEMS: Owner: Contractor: TOTAL FEES: S 4,907.45 MATRIX DEVELOPMENT CORP LEGEND HOMES CORP This permit is subjectto the regulations contained in the 6900 SW HAINES ST STE 200 6900 SW HAINES ST Tigard Municipal Code, State of OR Specialty Codes and TIGARD OR 97224 PLAZA 2 SUITE 200 all other applicable laws All work will be done in TIGARQ OR 9%223 accordance with approved plans This permit will expired work is not started within 180 days of issuance,or if the work 1s 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 thro igh 952-001-0080 You r.Tay obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion 844-8444 Undertloor Insulation Plumb Top Out Insulation Insp Mechanical Final 1 Footing Insp Crawl Drain/Backwater Electric;,)Service Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr; Electrical Rough In Water Line Insp Final Inspection ORIGINAL PosGBeam Structural PLM/Underfloor Framing Isp ApprfSdwlk Insp Building Final Post/Beam Mechanica Mechanical Insp Gas Line Insp Electrical Final i Issued By : _ �Ut- i-� Permittee Signature Call (503) 6394175 by 7:00 p.m. for an inspection needed the n4m businesk day CITYOF TIGARD _SEWER CONNECTION PERMIT DEVELOPMENT SERVICE 3 PERMIT#: SWR1999-0009 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/12/99 ' SITE ADDRESS; 08730 SW BELLFLOWER LN PARCEL: 2S111 DA-06600 SUBDIVISION: APPLEWOOD PARK NO. 2. ZONING: R-7 BLOCK: LOT: 061 JURISDICTION: TIG TENANT NAME: LEGEND HOMES USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Sewer connection for a new single family dwelling. Owner: — — --- FEES_ MATRIX DEVELOPMENT CORP Type By Date Amount Receipt 6900 SW HAINES ST STE 200 TIGARD, OR 97224 PRMT BON 5/12/99 $2,300.00 99-315322 INSP BON 5/12/99 $35.00 99-315322 Phone: Total $2,33° 00 Contractor: WOLCOTT PLUMBING CONT INC PO BOX 2007 GRESHAM, OR 97030 Phone: 667-9891 Reg #: LIC 00023847 PLM 26-208PB Required Inspections Sewer Inspection --ORIGINAL --- 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: Oregun 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 obtain. copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issrled by: " l,, l-� i- �L'y �"� Permittee Signature:.-e Call (503) 639-41 T5 by 7:00 P.M.for an inspection needed the next busin6ss da CITY OF TIGARD Residential Building Permit Application Plan Check# 13125 SW HALL BLVD. Additions or Alterationr- Recd By TIGARD, OR 91223 Single Family Detached or Attached (Duplex) Date Recd -� V 503-639-4171 Date to P.E T-r �- �/ F 503-684-7297 Date to DST Permit Print or Type Called�- 12 a Incomp;ete or illegible applications will not be accepted Name of Project Narne Job _A L ,,1.,k,D 7-_�4 Address, Sita Address Architect Mailing Ad ess (o ` Nam City/State Zip Phone � Name Owner Mailing Aodress , / J ` Engineer Mailing Address l City,( aje Z' Phone 8 j/ G➢7 / General NarTje i- Crty/'tat zip Contractor- `L ` LY+srxibe work New ,�g;� Addkbn O Alteratbg O _P l q •Y�', �` Map �► r*ensbedOne.is -'t .1: L �nLKi�'.r41 �y�.`:. Prior to t?ertnM Addftlongll DesMptiurtMofuWork issuance,a copy folate p Phone . �, ? Y:'YJ,�b r.:,r ;. .h �yvltt'kj', of all licenses ��2'd_ �--- ! �y are required H Oregon qonsi cont.t3oaraExp.Date PROJECT ." l 19 • // /ice - {r' expired in COT ' Lic.# + _ _database ��" 0-5 lo_j VALUATION Mechanical Name — NEW CONSTRUCTION ONLY: Sub � Sq. Horse:se: --T-Sq. Ft. Garage Contractor Mailing Addrea _JI _ Prior to permit / .` `, /n� / Indicate the 'L stricted energy installatlun by the electrical he following areas Issuance,a copy C' /Stsubcontractor in tflli ate Zip Phone of all licenses - ; Restricted Audio/Stereo are required rf Oregon Const. Cont. Board Exp. Date Energy _ System__ Alarms expired in COT Lic# i- I 77 Installations Vacuum Irrigation database - -3' system S stem Plumbing Name n (check all that Other �— Sub- ' ,� • �' !! ,t apply) Contractor Mailing Address Comer Lot_ YES NO Flag Lot YES NO �u C) check one (check onP) Has the Subdivision Plat recorded? N/A Y NO Prior to permit C4/State Zip Phone issuance,a copy c' of all licenses are Oregon Const.Cont.Board Exp.Date required if Lk.# expired in COT ! 3 - l -IV 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 aLdhorized agent Q, of the owner, and that plans submitted are in compliance with �'3� -<< Oregon State laws. Name Signq�ure ofcaner gent ' Date Electrical , ��z{- Sub- Mailing Address Cont er on ame Phone lk Contr.ctor 5` / Til City/State Zip Phon Prior to permit issuances, a cOpy I.AcAa `)^ of all licenses are Oregon Const.Cont.Board Exp.Date FOR OFFICE USE ONLY: regcnred if Lic r _ Plat#: MaplTL#: /^ expired in COT database Electrical Lt.#. Exp.Date Se)tacks: — Zine �, -y jpp dricrll Solar I EleSupervisor Lic.# P.uste F�gi ring Approval Planning Approval TIF to _ _ AY Iv Yo z,4 7 � G 1:ldstsVorrns4ladd2IL 11120M FL OTL AN LOQ' *lro1 , AFFLEWOOD FARK I R125111DA TAX LOT #ro(--;,Om 8-130 &W BELLFLOWER LANE S.E. 1/4 OF SECTION 11, T.2, R.IW, W.M. CITY OF TIGARD W,45H INGTON COUNTY, OREGON LEGENDHOMES 6900 9.A. AAINR9 9TRRF.T 17GAR1`, OREGON PLAZA 2, 9IIITR 20' 97229-2514 OFFICE (509) 020-5000 FAX (509) 590-0900 I 5W BELLFLOWER STREET n CURB SIDEWALK N S9'5475" E I IL 12ID0' � S' UTILITYt WATER METER EASEMENY----- _ 1915' - 197.4' cl LU -- WATER LINE 196.9' — — — — SANIT4-rV- SEWER I r,433 six STORM DRAIN1a OF STREET ulOrMANHOLE SQ. FT.CATCH BASIN I 'n S REE TREES /, NRGCURT ��+3 FIN. FLR ■ 2002' ® STREET LIGHT J I FIN. FLR 1913' FIRE 07 DR:NY IVY 0 -t"]K EXIST. TREES 16 N 89'F74'25" E I" 1913 � PROVIDE EROSION 122+©' - CONTROL FENCE PER CC"UNIT`r EROS!C' PLAN nom ' �