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08932 SW BELLFL OWER-04 71-
CITY OF TIGARD MASTkRPER%11T
PERMIT #: MST1999-00192
DEVELOPMENT SERVICES DATE ISSUED: 5/20/99
-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 09932 SW j3ELLFLO,VER 44� P.',RCEL: 2S111DA-07500
SUBDIVISION: APPLEWOOD PARK NO. 2. ZONING: R-7
BLOCK: LOT: 070 JURISDICTION: TIG
REMARKS: Nev. SF - Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS— REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST. 1,034 $1 BASEMENT: of LEFT: 4 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,286 of GARAGE: 49C of FRONT: 22 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNI–S: 1 FINBSMENT: of RIGHT: 4
VALUE: E 171,44805
OCCUPANCY GRP R3 BDRM: 3 BATH: 3 TOTAL: of REAR: 18
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINER: 100 OF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 0 GARBAGE D1SP: 1 WATER HEATERS: 1 WATER LINES: +00 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN�10' BOILICMP c AHP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN>000K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: bin FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
_ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH riNCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 - 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 4 201 400 amp: 201 400 amp. tot W/O SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVC/FDR: 601 - 1000 amp: 6014ampa•1000v: MINOR LABEL:
10004 amptvolt
PLAN REVIEW SECTION
Reconnect only:
+•4 RES UNITS: SVCIFDR>••225 A.: >800 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO S STEREO: VACUUM SYSTEM AUDIO 6 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT:
BURGLAR ALAPM: x OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVe SIGNL:
GARAGE OPENER: r� CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: � � � � I �� � DATA/TELE COMM: NURSE CALLS: TOTAL a SYSTEMS:
Owner. _Contractor. TOTAL FEES: $ 4,959.20
LEGEND HOMES LEGEND HOMES CORP Tigard
permit is subject to the regulations contained in the
6900 SW HAINES 6900 SW HAINES S' Tigard Municipal Code,State of OR Specialty Codes and
6900 S ,OR 97223 PLAZA 2,SUITE 200 all other applicable laws All work will be done in
TLAZA 2 OR 97223 accordance with approved plans. This pennit will expired
work is not started within 180 days of issuance,or if the
work is suspended fcr more than 180 days ATTENTION.
Phone: Phone: Oregon law requires you to followrules adopted by the
Oregon Utility Notification Center. Those rules are set
Rep 0: LIC 00060563 forth in OAR 952-001-0010 through 952-001-0080 You
may obtain copies of these rules or direct questk)ns to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion 844-8444 Underfloor insulation Plumb•fop Out Low Voltage Electrical Final
Footing Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Mechanical Final
Foundatlon Insp Footing/Foundation Dr; Electrical Rough In Insulation Insp Plumb Final
Post/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Final Inspection
Post/Beam Mechanical Mechanical Insp Shear Wall Insp Water Line Insp Bulld;ig Final
Issued BY I IVPermittee Signature
.—
Call (503) 6:39-4175 by 7:00 p.m. for an inspection needed the ext business day
CITYOF TIGARD SEWER CONNECTION PERMIT__
DEVELOPMENT SERVICES PERMIT#: SWR1999-0011
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/20/99
SITE ADDRESS; 08932 SW BELLFLOWER LN PARCEL: 2S111DA-07500
SUBDIVISION: APPLEWOOD PARK NO. 2 ZONING: R-7
BLOCK: LOT: 070 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: LTPSWR IMPERV SURFACE:
Remarks: New SF - Path 1
Owner: FEES ---
LEGEND HOMES
6900 SW HAINES Type By Date Amount Receipt
TIGARD, OR 97223 PRMT BON 5/20/99 $2,300.00 99-315556
INSP BON 5/20/99 $35.00 99-315556
Phone: Total $2,335.00
Contractor:
Phone:
Reg M
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: 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 or direct questions to OUNC by calling (503) 46-1987.
Issued by: �� lt'�' �-- Permittee Signature: 4,
---
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next bd iness day
CITY OF TIGARD Residential Buil ding Per-mit Application Plan Che( S- 2
13125 SW HALL BLVD. New Construction Recd B
Date Recd
TIGARD, OR 97223 Single Family Attached Date to P
V 503-639-4171 Date to DST,,
F 503-664-7297 Permit N CK �7,) 111
Print or Type called�_� `1
Incomplete or illegible applications will not be accepted 4., l i
Name of Projec Name
Job
- —� Architect Mailing Address
i2A3
sire�Qdr -� L � 0C)
City/State Zip Phone
Nam
_ -4rName
Owner MlingAddress
_ t
-nom - Engineer Ma)in9 A dress
City Stite Zi 1 Phone-
r Ci /State Zip Phone
General Na(he �� 77u 2 3 �r - J
Contractor C P� J7 Descnbe work Ne%G,Q/ Addition O Alteration O Repair O
Mailing Adbress to be done.
Prior to permit Additional Description of Work
issuance,a copy City/State Zip Phone
of all licenses __
are required if Oregon Const.Cont. `Board Exp.Date PROJECT ,/ (�
expired in COT Lac a / // - VALUATION
$ 171 4 q Q
database 0 � 3 Cr'`�
Mechanical Name _ — NEW CONSTRUCTION ONLY: to
Sub- o Sq. Ft. House 3 �/ ,/
Sq. Ft. Ga�rage
Contractor Maili A dre L _ �1
S C ��/5 Indicate the restricted energy installation by the electrical
Prior to permit
issuance,a copy q"'State Zip Phone subcontractor in the following areas
of all licenses �i� - Restricted Audio/Stereo
are required if re(gon,Condt.Cont Board Exp.Date Energy _ System Alarms
expired in COT Lic p Installations Vacuum Irrigation
database_ 1 3 / `JJ�- System System
Plumbing Name (check all that Other.
Sub- r u ,y1 a PI ) _
Contractor Mail' g Address Number of Units in Building Unit Number Designation
✓ �6 e:))<, 1,-kr 7 Has the Subdivision Plat recorded? N/A I XS NO
Prior to permit pty/Sta azin 0 P hon ` ,!//
issuance, a copy � j _ ,! 1" ------
of all licenses are Oregon Const.Cont.Board Exp. Date
required if Lick
— -
expired in COT 3 1 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
of the owner,and that plans submitted are in compliance with
Oregon State laws.
Name Sig lure of Own r/Agen Date
Electrical �0/ ��_ ~7s" ✓
Sub- Mailing Address Cqn; ct Pers a hon
Contractor 7 S Tl/ _—�
Prior to permit --
.� I
C(dty/State Zip Phone
/v�G�
issuance, a copy 7oO� FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont Board Exp Date -
required if Lic,0q y1 Plat 0:IL Map/TUI: ' Il
expired in COT / j-/ O
database Ebctnca Lic r� Ex Date Setbarcks: r �� Zone: i -IU
1 L O 1 g -, - < 11,
Ebdncal Supervisor Lic.M Exp Dale
Epgi erin Approval Planry Approval TIF:
__f:
i\dsts\forms\sfa-new doc 11IM8
FLOT PLAN
LOT w10, AFFLEWOOD PARK
R7 251 11 DA
TAX LOT r'00
8932 5W 5ELLFLOWER STREET
S.E. 1/4 OF SECTION 11, T.2, R]W, W.M.
CIT`r' OF TIGARD
W,45NINGTON COUNTY, OREGON
LEGENDHOMES
8900 S.W. HAINEP. Sm9T T!rA!'.�,, OREGON
PLAZA 2, SIM200 97229-2814
OMCE (809) 820-8080 FAX (809) 898-8900
5W BELJ (LOWER 5TREET
- 205
CURB ' E
SIDEWALK ; N 862.00511E ? 'a
I
I" 20'-0" 8' UTILITY � i 2@dB'' � � I 4B
EASEMENT 20S„3:
_--
�—-------- WATER METER
d.@'
UJ WATER LINE
55———— SANITARY SEWER � LOT 10
5D— — — — STORM DRAIN 4,139 SQ FT. w
-- — -- (L OF `'STREET REGENT 1103
MANHOLE Iv FIN. FLR. ■ 2065' rn 61 ^
CATCH BASIN
{— �n GARAGE FLR. 201*1
® Ip
0 4 @' _ / i / 40 F
PROPOSED
STREET TREES
DA STREET LIGHT
FIRE HYDRANT 201
206
201 —
206 — — - - — __FI Se�•r?�1�"_ -- -- 205
LOT lie 62M1
PROVIDE EROSION 205 L07112
CONTROL- FENCE L O Y 111
PER COMMUNITT
EROSION PLAN
CITY OF TIGARD BUILDING INSPECTION DIVISION MST X19 7_0002-
24-.Hour Inspection Line: 639-4175 Business Line: 639-4171
G� C� BLIP
Date Requested J I 'Z�' ±AM k PM BLID
Location _ b '/��dk'y_zL Suite MEC
Contact Person _ ' if ��� Ph PLM
Contractor Ph SWR -- —
ff—U1 Nm Tenant/Owner ELC --
Retairing Wall ELR
Footing Access: FPS
Foundation _ — _ —
Ftg Drain StyfJ
Crawl Drain Inspection Notes: - -- ---- -
Slab --- - - -- SIT
Post&Beam
Ext Sheath/Shear —_
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing —
Firewall —
Fire Sprinklar
Fire Alarm
Susp'd Ceiling -- -- -- -
Roof
Misc: - -
PASS PART FAIL - - -- --
P'LUMBING
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
ELECTRICAL --.—_.—.- ---- - -------- -- -----
Service - - _ - -- -- —-
Rough It,
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 Easin ( J Please call for reinspection RE _- [ J Unable to inspect-no accese
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other - -- —
Cinal
L PASS PART FAILJ DO NOT REMOVE this Inspection record from the job site.
'
CITY O F TIGARD __CERTIFICATE OF nCCUPANCY i
PERMIT#: MST1999-00192
DEVELOPMENT SERVICES DATE ISSUED: 05/20/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-07500
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 08932 SW BELLFLOWER LA SUBDIVISION: APPLEWOOD PARK NO 2 EILf COPY
BLOCK: LOT:070
CLASS Ut .YORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: New SF - Path 1
Final Building Inspection and Certificate of Occupancy Approved
9/21/99 by Ken Schriendl, Building Inspector
Owner:
MATRIX DEVELOPMENT
6900 SW HAINES#200
TIGARD, OR 97223
Phone:
Contractor:
LEGEND HOMES CORP
6900 SW HAINES 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 building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use u er which the referenced permit was
issued. Z �llL��1•`ls
BUILDING INSPECTOR 8UILD NN FFICIAL
POST IN CONSPICUOUS PLACE
1