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8866 SW BELLFLOWi=R
CERTIFICATE OF OCCUPANCY
CITY OF T!G A R D
PERMIT#: MST99-00(168
DEVELOPMENT SERVICES DATE ISSUED: 3/5/99
13125 SW hall Blvd.,Tigard, OR P7223 (503) 639-4171 PARCEL: 2S111DA-07200
ZONING: R-7
JURISDICTION: TiG
SITE ADDRESS: 08866 SW BELLFLOWER14
f 6
SUr3DIVISION: APPLEWOOD PARK NO. 2
BLOCK: LOT:067
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CO�'STR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: New SF - Path 1
Final Inspection Approved 7/7/99 by Ken Schriendl, Building Inspector
Owner:
MATRIX DEVELOPMENT CORP
6900 SW HAINES ST
#200
- IGARD, OR 97223
Phone: 620-8080
Contractor:
LEGEND HOMES CORP
6900 SW HAINES ST#200
TIGARD, OR 97223
Phone: 620-808C
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 BUILDIN OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 Hour Inspection Line: 639-417557 1 Business Line: 639-4171
BUP
Date Requested ( �( / AM PM BLD _
Location �J�� ��_�I. L�7��� Suite MEC
Contact Person Ph ����'3370 PI-M
Contractor Ph SWR
WCPINW Tenant/Owner ELC _Y
Retaining Wall ELR _
Footing Access:
Foundat'on FPS
Fig Drain SGN
Crawl Drain Inspection IJotes:
Slab _ _..--- a_.-- ---- SIT
Post&Beam ------- --- -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: _
ASS ART FAIL
UMBING
Pos!&Beam
Under Slab
Tcd Out —
Water Service
Sanitary Sewer --- —
Rain Drains
Final — -
PASS PART FAIL _
<IECHANM
Post&Beam --- -- -
Rough In
Gas ——
Smokb udmpers
f_Ina --
PART FAIL
ELECTWAL — --� -- _
Service
Rough In
UG/Slab _
Low Voltage
Fire Alarm _
Final
PASS PART FAIL
SITE
Backfill/Grading -—
Sanitary Sewer
Storm Drain [ J Reinspection fee of$_ —_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin i
Please call for reinspection RE:
Fire Supply Line [ p _ _ [ J Unable to inspect no access
ADA
Approach/Sidewalk Date - '�
Other _f= - --_—Inspector 10 _ Ext
Final
PASS PART FAIL j DO NOT REMOVE this Inspection record from the job site.
CiTY O TIGARD
MASTER PERMIT
PERMIT #. . . . . . . : MST99-0058
DEVELOPMENT SERVICES DATE ISSUED: 03/05/99
13125 SW Hall Blvd.. Tigard,0°97223(503)639-4171
F",ARCEL: 2S111DA-07200
SITE ADDPE'SS. . . :08866 SW BELLFLOWER L19
SUED I V I S I ON. . . . :Ar-,F,LEWOOD P,A RK NO. 2 ZONING: R-7 F,D
Al._OCV,,. . . . . . . . . . LOT. . . . . . . . . . . . . :067 JURISDICTION: T I G
Remarks: New SF - Path 1
------------------------------------------------------— BUILDING
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT.,..,...: 24 FIRST ...: 1034 sf GARAGE..... : 495 sf LEFT..........: 4 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1286 sf FRONT.........: 20 PARKINC SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 4
OCCUPANCY CAP.A3 BDRM: 3 BATH: 3 TOTAL------: 2320 sf VALUE—$: 170648 REAR............ 19
---------------------— ------------------ --------------- PLUMBING --------------------- ------ -------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES.... , 4 MUMPS—:: 1 FLOOR DRAINS..: 0 SEWER LINE ft. 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHMRS.. 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 160 BCVFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
-------------------------------------------------------------- MECHANICAL --------------
FUEL TYPES----------- ['URN ( ION ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
GAS FURN )=IIW ..: 1 UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS... : 1
MAX INA'.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
--------—---------------—---------—------------------------- ELECTRsrAL
--Rr^,iDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 e - 200 amp.,: 0 C - 200 amp..: 0 W/SVC OR FDR : 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5MT.: 4 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 imp..: 0 401 - 600 asp..: 0 EA ADDL BR C1R: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+asps-1000 v: 0 MINOR (ABEL -10: 0
1000+ amp/volt.: 0 __---------------------------------- PLAN REVIEW SECTION ----------------------------------
Reconnect only.: 0 )=4 RES UNITS.,: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
---------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ---------------------------------------------------
A. SF Rf-SIDENTIAL---------------------------- B. COMMERCIAL--------------------------- ---------------— -------- -- --- ----
AUDIO I STEREO. : VACUUM SYSTEM..: AUDIO 8 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR A1-ARM..: 0TH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNLo
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC............. DATA/TELE COMM.: NURSE CALLS...... TOTAL # SYSTEMS: 0
Owner: ------------ ------------------------Contractor: --------- ---------------- TOTAL FEES:$ 4984.%
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
6900 SW HAINES ST 6900 SW HAINES ST #200 Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 TIGARD OR 97223 other applicable laws. All work will he done in accordance
with approved plans. This permit will expire if work is
Phone #: 620-8080 Phone #: 620-8080 not started within 180 days of issuance, or if the work is
Req L.: !00605 suspended for sore than 180 days. ATTENTION: Oregon law
-------------------------------------------------------- requires you to fallow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in UAP 952-01-0010 through DAR 952-001-0080. You may obtain copies of these rules or
direct questions to OIK by calling (503)246-1987.
REQUIRED INSPECTIONS ---------------------------------------
Erosion 844-8444 Crawl Drain/Back Electrical Rough Insulation Insp Mechanical Final
Footing Insp PLN/Underfloor Framing Insp Rain drain Insp Plumb Final
Foundation Insp Mechanical Insp Shear Wall Insp Water Service In Building Final
Pest/Beam Struct Plumb Top Out Low Voltage Appr/Sdwlk Insp
Post/Beal Mechan ectr 1 ervi Gas Line Insp Electrical Final
Issi-:ed B Permittee Signature: 4 �
++++++•++ +++ ++++f+i ++ +++++++++++++++++++++++ ++++ .4f ++ #- +-+4 +1 �
Call 639--4175 by 7:00 p. m. for an inspectic n needed the ne bLssiness day
CITY OF TIGARD SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
DATE ISSUED: 0"7/05/99
PARCEL: 2SI11DA-07200
SITE ADDRESS. . . :08866 SW BELLFLOWER LN
SUBDIVISION. . . . :APPLEWOOD PARK Nn. 2 ZONING: R-7 PD
CLASS OF WORK. . . :NEW DWELLING UNITS. . : t
Remarks : New SF -- Plath I
Owner: FEES
LEGEND HOMES type anlClUnt by date recpt
'TIGARD OR 97223 INSP $ 35. 00 CEO 03/05/99 99-313464
Cootractor: ----------------------------- �
OWNER �
�
Phone #: $ 2335. 00 TOTAL
Rt.-g #. . :
------- REQUIRED INSPECTIONS -------
This Applicant agrees to comply with all the rules and reqo>ations Sewer Inspection
of the Unified Smmyo 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 sonpr laterals. If the sewer is not located at the measurement
o�ven` the installer shall prospect J feet in all dirvchooS fron
the dist3nco given. If not so located, the installer shall purchase --- -----------'------'
^ "Tap md Side Sewer" Permit and the Agency will install a lateral. --- ---' ----------'-------�
ATlENTlOW' Oregon law requires you to follow rules adopted by the -----'------------' ---- '
| 0rvUop Uti;ity Ootificotion Center. Those rules are set forth in DAR --'--------------- — —
' 952—@@1'0010 through OAR 958—N0Nl-0080You woy obtain copies f ------------------ -- --'
CITY OF TIGARD Residential Building Permit Application Plan Che ' - z
_
13125 SW HALL BLVD. New Construction Recd ByDate Recd �~
TIG-ARD, OR 97223 Single Family Attached Dale to P.E.
V 503 .6394171 Dale to OST_-2r
F 503-684-7297 �e� Permit a/h� �nd
Print or Type V l `1 Called • ash~ 1�
Incomplete or illegible applications will not be accepted 5AP"rf p6
i „ 5 ale 04` 02
Name of Project �� Name
f--- Jobc.
Address Sit dress Architect Mailing A cress
No City/State Zip Phone
Name
Owner M lingkc1dress
Engineer MaipnA ass
CtySlue Zip Phone t�jh ,-
_ 7 � - '
General
Na(he City/State _ Zip Phone
_ 7 c t_ �!� 3 &,ii r C�J�
Contractor Pr 12 ADescribe work New 9/ Addition O Alteration O Repair O
Mailing A ress to be done:
Prior to permit Additional Description of Work:
issuance, a copy City/State Zi'; Phone
of all licenses _
are required if Oregon Consi.Cont. P,owd Exp.Date PROJECT
expired in COT uc.M VALUATIO_N $ � L
r'
_ database
Mechanical Name . NEW CONSTRUCTION ONLY:
Sub- \ Sq. Ft. House Sq. Ft. Garage
Contractor Main A d;- — _ .5/()
Prior to permit L ,� S 5 Indicate the restricted energy installation by the electrical
issuance,a m subcontractor in the followingareas
copy va
State Zip Phone
of all licenses � q -7 Restricted Audio/Stereo
are required if i n�t�Cont. Board Exp Date Energy System I Alarms
expired in COT Lic p / Installations Vacuum Irrigation
databaseF , /� ,� '� _ System System
Plumbing Name (check all that Other:
Sub- r ! ��,� a I )
Contractor atl�g A ess Number of Units in Building Unit Number Designation
r ~
��e) _ Has the Subdivision Plat recorded? N/A Y S NO
Prior to permit (;Ity/Sta a 1� Phon C�,k
issuance, a copy /I' � v &/'i' //
of all licenses are bregon Const.Cont. Board Exp.Date
required if Lic.M
expired in COT x 3 c- 7 G -�� I hearby acknowledge that I have read this application,that the
database Plumbing Lid M Exp Date information given is correct, that I am the owner or authorized agent
� l of the owner, and that plans submitted are in compliance with
(L' �� -jD // Ore on State laws.
Name _ Sig lure o Own r/Agen Dale
Electrical ;��/jy1 _�� I` / -. 1-
Sub- Mailing Address - C ctPers �e hon p
/° v� _ ,
Contractor S 4-&JjU '!Ae --
City/Slate Zip Phone
Prior to permit i
ssuance a copy l[�rJG/ 760J V.� FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont. Board Exp.Date --------- -
required d Lic.N C� q Plat p MapITLN: _
expired in COT A j-/ -�/ -- 7
database Electrics!L'ic J�_��1 Ex Date S asks Zone:
J `�
Electrical Supervisor Lic S Exp Date En 91 ering Approval Planning Approval TIF:
\dsts\forms\sfa-naw doc I1R0/tiE
FL OT FLAN
LOT *11, AFFLEWOOD PARK
R-1 281 11 DA
TAX LOT 01600
ae4& 5W BELLFLOWER LANE
5T-7-.. 1/4 OF SECTION 11, T.2, R.IW, W.M.
C I T Y OF T IGARD El WATER METER
WASHINGTON COUNTY, OREGON W------- WATER LINE
SS-——— SANITARY SE111ER
STORM DRAIN
----- (L OF STREET
IT JE "GEN HOMES MANHOLE
6900 SW. HAINES STREBT TIGARD, OREGON ® CATCH BASIN
PLAZA 2, SUITE 200 97223-2514 PROPOSED
OFFICE (503) 62n-6OA0 FAR (503) 599-6900 STREET TREES
® STREET LIGHT
FIRE HYDRANT
&W E3ELLFLOWER STREET
---W-------------Yrt ---- - — W— --
0 T ?
CURB 1
SIDEWALK N 1-19'1,4'25" E f \
e 2 Wim' II
S' UTILIT` ?m5.5' 01 31
EA4EMC-NT ---- - -- ---- --- --------�-- ��--- --- =
N 1m58' 1
I % .,
kn S�
/ 4,139 SQ. FT. / 0
COURTL 4NO B
FIN. FLR = 206.5' /7///
_ GARAGE FLR ■ 20'1b'
5?�r !-
PROVIDE EROSION
CONTROL FENCE
PER COMMUNITY \
EROSION PLAN \ — _
N ;725 - - _ _ - - -
-" E
LOT 110
`, mor log Lor »r