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Case File co cv N O N W m r r- m r rn rl r 8920 SW BELLFLOWER VORE �✓�' CITE( OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: WR99-00063 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/7/99 SITE ADDRESS; 08920 SW BELLFLOWER A PARCEL: 25111 DA-07400 SUBDIVISION: APPLEWOOD PARK NO. 2 ZONING: R-7 BLOCK: LOT: 069 JURISDICTION: TIG TENANT NAME: LEGEND HOMES USA NO: FIXTURE UNITS: 0 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: 'c NO. OF BUILDINGS: 1 INS-CALL TYPE: LTPSWR IMPERV SURFACE: 0 Remarks: Sewer connection fr r a new single family dwelling. Owner: _ _ FEES LEGEND HOMES Type By Date Amount Receipt 6900 SW HAINES STREET PRMT GEO 4/7/99 $2,300.00 99-314314 PLAZA 2, SUITE 200 INSP GEO 4/7/99 $35.00 99-314314 TIGARD, OR 97223 — _ Total $2,335.00 Phone:224-61 E9 Contr-ictor: Gc�^� Nan Pe u 1'1t1,1N4- Phone: Reg #: Required Inspections Sewer Inspection I I 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 tota! 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 iaw 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. , Issued by: 4f �L Permittee Signature. Call (50339-4175 by 7:00 P.M. fo- an inspection needed the ntxt business`s dey CITYOF TIGARD __ MASTER PERMIT T ` PERMIT #: MST99-00122 DEVELOPMENT SERVICES DATE ISSUED: 4/7/99 13125 5W Hall Blvd., Tigard, OR 97223 (503) 639-4171 c:TE ADDRESS: 08920 SW BELLFLOWER �k PARCEL: 2S111DA-07400 SUBDIVISION: APPLEWOOD PARK NO, 2 ZONING: R-7 BLOCK: LOT: 069 JURISDICTION: TIG REMARKS: PATH I New single family dwelling w/attached garage. BUILDING REISSUE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEN' HEIGHT: 24 FIRST: 921 at BASEMENT: 0.00 at LEFT: 4 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,227 of GARAGE: 479 of FRONT: 22 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 0 of RIGHT: 4 VALUE. 3 158,795 00 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2.154.00 at REAR: 21 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 100 TRAPS: 0 LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: 0 SEWRR LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: 0 TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: 0 OTHER FIXTURES: 0 MECHANICAL FUEL TYPES FURN<1001<: C SOILICMP<3HP: 0 VENT FANS: a CLOTHES DRYER: 1 GAS FURN>-100K: I UNIT HEATERS: 0 HOODS: I OTHER UNITS: I MAX INP: Obtu FLOOR FURNANCES: 0 VENTS: 0 WOODSTOVES: 0 GAS OU,LETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS AOD'L INSPECTION_ 1000 SF OR LESS. 1 0 200 amp: 0 0 200 amp: 0 WISVC OR FDR: I PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF: a 201 400 amp: 0 201 400 amp: 0 tat WIO SVCIFnR: 00 SIGNIOUT LIN LT: 0 PER HOUR: 0 LIMITED ENERGY: n 401 800 amp: 0 e,1 - 000 amp: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL: 0 IN PLANT: 0 801 - tOGO amp: 0 8014amp9•1000y: MINOR LABEL: 0 100•amplvolt: 0 PLAN REVIEW SECTION Reconnect only: 0 >•4 RES UNITS: SVC/FDR>=275 A.: >800 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL S.COMMERCIAL AUDIO d STEREO: VACUUM SYSTEM: AUDIO&STEREO FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNCIzC LT: BURGLAR ALARM: OTH: BOILER: HVAC: I...VDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: --K: INSTRUMENTATION: MEDICAL: OTHR: HVAC: OATAITELE :QMM: NURSE CALLS•. TOTAL 0 SYSTEMS: 0 Owner: Contractor: TOTAL FEES: $ 4,877.71 NU HOMES LEGEND HOMES This permit Is subject to the regulations contained In the LEGE 6900 ND HAINES 690E SW HAINES Sr CORPRP Tigard Municipal Code,State of OR Specialty Codes and PLAZA 2, SUITE 200 all other applicable laws. All work will be done in TIGARD,OR,OR 97223 TIGARD.OR 97223 accordance 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. Oregon law requires you to follow rules adopted by the Phone: 2aa-p15s Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080 You Rep a may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion 844-8444 Crawl Drain/Backv Electrical Rough Ir Insulation Insp Mechanical Final Footing Insp PLM/Underfloor Framing Insp Rain drain Insp Plumb Final Foundation Insp Mechanical Insp Shear Wall Insp Water Service Insl Building Final Post/Beam Structs. Plumb Top Out Low Voltage Appr/Sdwlk Insp Post/Beam Mecha Electrical Service Gas Line Insp Electrical Final �'vc< �Sz9�l�3 1•Nl 7� /f YF&rr 00, iru slFer r rw ,�/ys s►d t,�• IrAe ME Y 7 A0.is01.vF5-s ��'; CITY OF TIGARD Residential Building Pern lit Application Plan Ch - 13125 SW HALL BLVD,. Additions or Alterations Recd a .-a j TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd - V 503-639-4171 Date to P,E, F 503-6$4-7 -�- Date to DST �503-684-7'WPermit# Print or Type ` Called - �a Incomplete or illegible applications will not be accepted Gr-sr V10 /10N- ---- - X69 Scd�gq—a�:3 ( Name of Pr_,ect Name Job � �'l'L�/''J��J %�� L�G • , Address sits Address Architect Mailing Ad ess Nam City/Sta a Zip Phone yy� Y Owner Mailing less ffNameCity le Z Phone Engineer . ddress � /-tQ�/ General Na�° ', G - / City/ tat` Zip Contractor 4L /i=�;t s Dss«we work ''y � > � �" � .,*� � j',l � a,ti r Addition O � Arieratbn O,t •q .., rods rti" r ;�: tC bs dOf1d:;� R Prior to permit Addldongl Description of Wgrk: Issuance,atopy / tate P Phoneof 8:11 J fi- are required K Oregon nst.Cont.Board Exp.Date PROJECT:` !t expired In COT ' Lk:: < rr / 3 �V•A,LUATION database' C i eJ J- �•�►.. ..s'�F4y. Mechanical Name NEW CONSTRUCTION ONLY: Sub- ��i11 Sq.F Hquse ,r Sq. F Garage Contractor Mailing Adi reks _L ��,''� Prior to permit S 5- f� Indicate the restricted energy installation by-the electrical Issuance,a copy G /State Zip Phone subcontractor in the foilowing areas _ of all licenses _ Restricted Audio/Stereo are required if Oregon Const.Cont. Board Exp, Date Energy System Alarms expired in COT Inc.# Installations Vacuum Irrigation _database 5 -3 System_ System Plumbing Name (check all that Other Sub- apply) Contractor Mailing Address Comer Lot YES NO Flag Lot YES -NO-(check one ch ick one) C / Has the Subdivision Plat recorded) �NVA-- 1(X NO Prior to permit C /State Zip Phone Issuance,a copy ,L- 'l _ - of all licenses are Oregon Const.Cont. Board Exp. Date required if Lic.# expired in COT �)Or� 3 - l -� I hearby acknowledge_ that I ha_ve Wi_d this application,that the database Plumbing Lic.# Exp. Date information given is correct,that I an the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. Name Sign ur of caner gent Date Electrical _ �.z� Sub- Mailing Address Contact Or on ame Phone Contractor City/State Zip Phon Prior to permit _ 2LAissuance,a copy 5 � FOR OFFICE USE ONLY: of all licenses are Oregon Cbnst.Cont. Board Exp.Date required if Lic r Plat�:, p a /TL#: expired in COT .� //5 1-�C�-L��) _ �ly" r�7 6 Flyot) database Electrical Lic.#, Exp. Date tbacks: Zone: Solar. Eli driI Supervisor Lic.M Exp.nate Engiriftning pproval: Planning Approval: TIF: I\dstsVorrnslsfaddalt.doc 11x10/98 RL O T FLAN LOT r4 AFFL EWOOD FARK FR-1 251 11 DA TAX LOT 01900 5Wn ql ooh/ 8921 SW E5ELLFLO,UER LANE 5-E. 1/4 OF SECTION 11, T.2, R.IW, W.M. CITY OF T IGARD W,45 4INGTON OOU� ITY, OREGON LEGEND HOMES 01900 S.W. RAINES STRERT TIG.ARD, OREGON PLAZA 2, SUITE 200 97229-2614 N OFRICB (509) 620-6080 FAX (509) 598-8900 .LOT 9c_,; L CIT 9a L0776 \� N 89.54'25" E 62.00' 2 04.4' --- ` LOT 7LOT 75 3 �' O WATER METER 205.0' 2042' 4©a W------- WATER LINE 4.0' 4jVv SS——— — SANITARY SEWER 5D— - - — STORM DRAINL0774 , w — — - Q OF STREET p5 / 4216 SO. FT. / • MANHOLE -/ REGENT 1114 ® CATCH BASIN / FIN FLP. ■ 205.6' i PROPOSED 4.0' GARAGE F/ // 2041'� N STREET TREES /Z. . — ® STREET LIGPT - -- -- 204.5' FIRE HYDRANT 2045` N 4.01 N ---- X43'- ---------1 N ------------- 8' UTILITY2035 EASEMENT SIDEWALK N 89154'25" E 62.00E ----- 1 _1--T PR.OvIL,E EROSION CURB — � n I � - 0014TROL FENCE PER COMMUNITY ----`r----- - -- SS - - - -- - -1. - - -I— - SS - - - EROSION PLAN 5W 5ELLFLOWER STREET CITY O F TIGARD ELECTRICAL PERMIT PERMIT#: ELC 1999-00500 DEVELOPMENT SERVICES DATE ISSUED: 8/13/99 13125 SVI/ Hall Blvd., Ticiard, OR 97223 (5031, 639-4171 PARCEL: 2S111DA-07400 SITE ADDRESS: 08920 Sb'J BELLFI.O'vVER A SUBDIVISION. APPLEWOOn PARK NO 2 ZONING: R-7 BLOCK: LOT : QG9 JURISDICTION: TIC Proiect Description: First branch circuit RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS_ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 6014-amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1 st W/O SRVC OR FVR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp. _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR >=225 AMPS: CLASS AREA/SPEC UCC: Owner: Contractor: WAYNE CONLEE SPEi,:AL i'Y HEATING + FABRICTN 8920 SW BELLFLOWER 9520 SW TIGARD ST TIGARD, OR 97224 TIGARD, OR 97223 Phone: Phone: 620 5643 Reg#: SUP 34-341CRE LIC 00066578 ELE 34341CRE FEES Required Inspections Type By Date Amount Receipt Elecl'I Service PRMT BON 8/13/99 $37.50 99-317634 Ele(;t'I Final 5PCT BON 8/13/99 $2.63 953 317634 Total $40.13 CRIGINAI- This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be Bone in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. 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 obtain copies of these rules ordirect questions to OUNC at(503) 246-1987. Permit Signature: lssr-ed By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. C-LFC'N: DATE: LICENSE NO- Cali 639-4175 by 7:00pm for an inspection the next bunmess day CITY OF TIGARD Electrical Permit Application Plan crack# 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd_ � Phone(503)639-4171, x304 Date to P.E. Inspection (503)639-4175 Date to DST Print of Type Permit#L I ( I Ct4'�i Fax(503) 598-1960 Incomplete or illegible will not be acwepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business) �` Service included: Items Cost Sum Address 0 .S GJ---- � J 4a. Residential-per unit —� 1WO sq.ft.or less $ 117.75 4 City/State/Zip7i Clot _d C d- ��fff Each additional 500 sq ft.or portion thereof $ 26.25 _ 1 Commercial❑ Residential Limited Energy $ 60.00 Each Manurd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). / /- Installation,alteration,or relocation Electrical Contractor s ��/G �I/L�GLy 4*C- 200 amps or less --�" � amps _ $ 64.25 2 Address 1 .L 201 to 400 amps $ 85.50 2 City_ z2 'C 1'i(f State 6 le Zip q 401 amps to 600 amps $ 128.50 2 601 amps to 1000 amps $ 192.50 2 Phone No. d -'.SG <L-3 Over 1000 amps or volts $ 363.75 2 Job No. a. a-.O Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 3 V'_--N1 &Exp.Date !a 4c.Temporary Services or Feeders OR State CCB Reg. No. le&5 7 -Exp.Date O Installation,alteration,or relocation COT Business Tax or Metro No. / Y�/ Exp.DatP�o 100 amps or less _ $ 53.50 2 201 amps to 400 amps $ 80.25 _ 2 Signature of Supr. Elec'n / (/�._ / r' _ 401 amps to 600 amps y $ 107 00 — 2 Over 600 amps to 1000 volts. License No. ale (eL M S Exp.Date Lr� see"b"above. Phone No ("��c ;S(i 4d.Branch Circuits New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name _ Each branch circuit $ 5.35 2 Address b)The fee for branch circi:its - without purchase ni service City State Zip or feeder fee. Phone No. First branch circuli _ $ 3750 %77 Each additional branch circuit $ 535 The installation is being made on property 1 own which is not 4e.Miscellaneous intended for sale, lease or fent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature_ i_ Each sign or ou0ne lighting $ 42,75 Signal circuit(s)or a limited energy 3. Plan Review section (if required):' Panel,alteration or extension $ 80.00 Minor Labels(10) $ 10700 Please check appropriate Item and enter fee in section SB. 4f.Each additional Inspection over 4 or more residential units in cne structure the allowable In any of the above Service and feeder 225 amps or more Per inspection $ 50.00 _System over 600 volts nominal Per hour $ 50 OU In Plant $ 5900 Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: J 5a.Enter total of above fees $ * Submit 2 sets of plans with application where any of the above apply. ')1 5 surcharge 1 05 X total tees) $ Not required for temporary constriction services. Subtotal $ 5b.Enter 25%of line 5a for NOTICE Plan Review if required(Sec,3) $ PERMIT S BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ ' 1 i dAs lnrm<cicoric doc i \ CITY OF TIGARD _ MECHANICAL PERMIT PERMIT#: MEC1999 00341 DEVELOPMENT SERVICES DATE ISSUED: 8/13(99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 25111 DA-07400 SITE ADDRESS: 08920 SW BELLFLOWER 0 SUBDIVISION: APPLEWOOD PARK NO. 2 ZONING: R 7 BLOCK: LOT: 069 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: — BOILERS/COMPRESSORSHOODS: FUEL TYPES 0 3 HP: 1 DOMES. INCIN: LPG 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 504- HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 5 > 10000 cfm: Remarks: Exterior A/C unit. Unit must not encroach into 5' side or rear yard setbacks. Owner: _ FEES WAYNE CONLEE 'Type By Date Amount Receipt 8920 SW BELLFLOWER PRMT BON 8/13(99 $50.00 99-317634 TIGARD, OR 97224 5PCT BON 8/13/99 $3.50 99-317634 Total $53.50 Phone: 503-620-5643 Contractor: -- SPECIALTY HEATING + FABRICATIO 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS _ Gas Line Insp Phone:620-5643 Misc. Inspection Reg #:SUP 2570RET Final Inspection ORIGINAL LIC 006657 ELE 34-341CR This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other applicable laws. .All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obt f Icopies f these rules or direct questions to OU NC by calling (503 246-9189. Issue By: c. V� L 1-- _ Permittee Signature: t� / �C `i✓ Call (503) 639-4175 by 7:00 P.M. for Inspections needed the next business day CITY OF TIGARD Mechanical Permit Application Plan CheckF#_ Recd By ! 1312'5 SW HALL BLVD. Commercial and Residential Date Recd % � — TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit#_Ivy-" MIr hr�)� Incomplete or illegible applications will not be accepted Called _ Name of Development/Project Description Table to Mechanical Code Qty Price Amt Job street Address r Sunea, — A) Permit Fee 16.00 Address a,� S(�r) Be��r rou d 1) Furnace to 100,000 BTU including ducts&vents see footnote 1,2 9.65 stdp# CRY/State zip 2) Furnace 100,000 BTU+ a l 1 •}/ 04 `772.2 y including ducts&vents see footnote 1,2 1200 Name(or name of business) 3) Floor Furnace Owner L�/Id.I in e yj /e. e, includinrn vent see footnote 1,2 9.65 Mann rat 4) Suspended heater,wal!heater Z 5 50 1 /+ r� a- C�,� or floor mounted heater see footnote 1,2 9.65 r Vt w I (�f�(,( v 5 Vent not included in ap liance ermit 4.75 Chylstste Zip Phone Check all that apply. *Boiler Heat Air i __,60 q-W_,y-ro,� ,( 4,d�-L��' For Items 6-10,see or Pump Cond Oty Price Amt Name(or name of business) footnotes 1,2 Com 6)<31113;absorb unit to I 100K BTU 9.65 Occupant Melling Address 7)3-15 HP;absorb unit 100k to 500k BTU 17.65 CnyiState Zip Phone 8) 15-30 HP;absorb unit.5-1 mil STU_ _ _ 24.15 Contractor No — 9)30-50 HP,absorb unit 1-1.75 mil BTU 36.00 4 10)>50HP,absorb unit Prior to permit MaIIInQAddres SW"' >1.75 mil BTU _ 60,15 issuance,a copy 5 S / GG'L 11 Air handling unit to 10,000 CFM of all licenses CKyls�e Cie q) Zip_ Phone ivl � 7.00 are required if ��- �'� 12)Air handling unit 10,000 CFM+ expired in COT on Const.Cont.hoard Lie.# Exp,Otte 11,75 datahase S 78 13)Non-portable evaporate cooler AL.!11f.@Ct Name 7.00 14)Vent fan connected to a single duct or Mailing Address 4 75 15)Ventilation system not included in appliance ermit _� _7.00 Engineer C+tyrStale - zip Phone 161 Hood served by mechanical exhaust 7.00 Describe work to be done 17)Domestic incinerators _ 12.00 New O Repair O Replace with tike kind: Yes O No O 18)Commerc'al or industrial type incinerator _ Residenti#W Commercial 48.25 _ 19)Repair units Additional Information or description of work: 8.40 / )leu/ q �C 20)Wood stove/gas FP/other units/clothe dryer/etc. l 7.00 NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to four outlets structural gas calm. _ See footnote 1 _ I _3.75 _ Type of fuel. oil O natural gas O LPG O electri 22)More than 4-per outlet(each)_ _ Minimum Permit Fee$60.00 _ SUBTOTAL l I hereby acknowledge that I have read this application,that the information _ !7%SURCHARGE S given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon State laws. Required_ for ALL commercial permits only _ TOTAL Signature of Owner/Agent5'- llq cJ Other Inspections and Fees Contact Person Name Phone1. Inspections outside of normal business hours(mininum charge-two hours) $50.00 per hour n � � ,_� / �-� 2. Inspections for which no foe Is specifically indicated (minimum _ Jri charge-half hour) $50.00 per hour Faonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to 1 Provide full schematic of existing and proposed gas line and pressure plans(ninfmum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical units. _ "State Contractor Boiler Certification required -Residential A/C requires site plan showing placement of unit 1 lmechperm.doc rev 02/4/99 L� I � 3 l w J I Irl 3 i CITYOF TIGARD _ CERTIFICATE OF OCCUPANCY v PERMIT#: MST99-00122 DEVELOPMENT SERVICES DATE ISSUED: 4/7/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-07400 ZONING: R-7 JURISDICTION: TIG SITE ADDRESS: 08920 SW BELLFLOWER i N SUBDIVISION: APPLEWOOD PARK NO. 2 FILECVY BLOCK: LOT:069 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH I: New single family dwelling w/attached garage. Final Building InspAction and Certificate of Occupancy Approved 8/11/99 by Ken Schriendl, Building Inspector Owner: MATRIX DEVELOPMENT 6900 SW HAINES PLAZA 2, SUITE 200 TIGARD, OR, OR 97223 Phone: 244-8159 Contractor. LEGEND HOMES CORP 6900 SW HAINES ST#200 TIGARD, OR 97223 Phone: 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 Cedes for the group, occupancy, and use under which the referenced permit was issued. 1 � q BUILDING INSPECTOR BUIL, G OFFICIAL POST IN CONSPICUOUS PLACE i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1'Gl ' 'ZG 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested 'W__1„1,1_AM _PM BLD _ Location �,�� rJC-1 t L�j, k — Suite MEC MEC Contact Person T_PA214 Ph ZO ' – PLM Contractor _ _ _ Ph SWR BUILDING' Tenant/Owner ELC a 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 !% <'4c�P i c�nJ n1"►4�10 C ��,� _ Insulation Drywall Nailing -- Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling -- - Roof Mi — - -- r ASS PART FAIL -PLUMBING Post& Beam Under Slab TopOut -- - ---._-__--------..-----— Water Service Sanitary Sewer ,Rain Drains Final PASS PART FAIL - - c MECHANIC Post&Beam — ~--- Rough In Gas Line Smoke Dampers _Fina AS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm - Final PASS PART FAIL -- LITE BackfilllGrading Sanitary Sewer Storm Drain [ J Reinspecrinn fee of$ required before next in ction. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE: , [ J Unable to inspect no access ADA Approach/Sidewalk Other Date v _ 7 / Inspector / Ext - - - Final PASS PART FAILS DO NOT REMOVE this inspection record from the job site.