InitiallyGood co
ca
w
cn
U)
W
I m
r
r
T
r
O
m
m
F
\NN
i
8935 SW BELLFLOWER LIE
CERT�r=ICA�E OF OCCUPANCY
CITY O F TIGARD
PERMIT#: MST99-00117
DEVELOPMENT SERVICES DATE ISSUE'): 3/30/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: eS 111 DA-07800
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 08935 SW BELLFLOWER L-N�
SUBDIVISION: APPLEWOOD PARK NO, 2
BLOCK: LOT:073
CLASS OF WORK. NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRF: R3
TENANT NAME:
REMARKS: PATH I: New single f- , ly dwelling w/attached garacle.
Final Inspection Approved 7/22/99 by George Steel(, Building Inspector
Owner:
MATRIX DEVELOPMENT
6900 SW HAINES
PLAZA 2, SUITE 200
TIGARD, OR 97223
Phone:
Contractor:
LEGEND HOMES CORP
6900 SW HAINES ST#200
TIGARD, OR 97223
Phone: 620-8080
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
Specia;`, Codes for the group; occupancy, and use under which the referenced permit was
issued.
BUILDING INSP_' ~ OR BUILDING (FICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST �
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — --
p c� BUP
Date Requested _AM !& _� BLD
Location– Suite MEC _
Contact Person �6MI Ph 'M� _5?"76 PLM
C. -ttractor _ Ph SWR
LDI_ J"s�— Tenant/Owner ELC
Retaining Wall ELR —
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing .dot-{/ '7- 2-1- s
Firewall
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling � -
RoofPH&
.PART FAIL -�—
PLUMBING
Post&Beam - — — — —
Under Slab
lop Out — -- ---- — —
Water Service
Sanitary Sewer —
Rain Drains
(�_PASS>ART FAIL ---
Post& Beam ---- ---- - ---- -— - - --_-_--._
Rough In
GasLine -- --- _..__. - -..--- ------ ------- ---
Smoke Dampers
S PART FAIL
ELECTRICAL --- -------------- --- ----- ---- --
Service
Rough In
UG/Slab
ow Voltage
Firc Alarm ---
Final
PASS PART FAIL -- —SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ --required hefore next inspection. 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 Date 7Inspector Ext
Other _ —
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST99-0117
DATE ISSUED: 03/30/99
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171
PARCEL: 2S 1 l i DA---07800
SITE ADDRESS. . . :0893�5 SW BELLFLOWER 1,tN
4 SUBDIVISION. . . . :APPLEWOOD PARK NO. 2 ZONING: R-7 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :073, JURISDICTION: TIG
Remarks: PATH I: New single family dwelling w/attached garage.
-----------------------. BUILDING --- --- ----------------------------------------------------
RFISSl1E: S ORIES.......: 2 rLQ]R AREAS---------- BASEMENT...: 0 sf RE�71lIRED SETBACKS----- REQUIRED-----__----
CLASS OF WORK.:NEW HEIGHT..,.....: 24 FIRST....; 977 sf GARAGE.....: 475 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1268 sf FRONT...... ..: 22 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 4
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2245 sf VALUE..$: 165132 REAR,,........: 23
------------------------- ------- PLUMBING
----------------------
SINKS......... . 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0
LA9ATORIES....: 4 D1544ASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS_: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
-----•-------------------------------------------------------- MECHANICAL --------------------------------------------------------------
FUEL TYPES--------- FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
GAS FURN )=I00K ..: 1 UNIT HEATERS..; P HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS........,: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
------------------------------------------- ------------------ ELECTRICAL_ ----------------
--RESIDENTIAL UNIT-- ---SERVICE/FEEDER---- --TEMP SRVC;FEEDERS-- ---BRANCH CIRCUITS--- -----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: I 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5N6T. : 4 201 - 400 asp.. : 0 201 - 400 asp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 alp..; 0 401 600 asp..: 0 EA ADDL BR CIR: 0 SIGNAL/PA:VEI....: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 a w: 0 601+asps-16x0 v: 0 MINOR LABEL -10: 0
1008+ alp/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 RESIDENTIAL--------------•------------- B. COMMERCIAL-------------------- -----------------____-----__—_--
AUDIO b STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: BOILER......... . HVAC...........: LANDSCAff/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK........... INSTRUMENTATION: MEDICAL.......: 01HR:
HVAC...........: DATA/TELE COMM,: NURSE CALLS..... TOTAL_ # SYSTEMS: 0
Owner: -._---------------------------------Contractor: ---------•-------------------- TOTAL FEES:$ 4907.45
LEGFNFi HOMES LEGEND HOIIIrS CORP This permit :s subject to the regulations contained in the
6900 SW DINES 6900 SW HAINES ST #200 Tigard Municipal Code, State of Ore. Specialty Codes and all
PLAZA 2, SUITE 200 TIGARD OR 97223 other applicable laws. All work will be done in accordance
TIGARD OR 97223 with approved plans. This permit will expire if work is
Phone #: 244-8159 Phone t: 6204M not started within 180 days of issuance, or :f the work is
Reg L.: 000605 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 DAR 952-001-0080. You may nh+ain copies of these rules or
direct questions to O101C by calling (503)246-1987.
-----------—---------------------- -------------- REQUIRED INSPECTIONS -----------------------------------------------------------
Erosion 844-8444 Crawl Drain/Back Electrical Rough Insulation Insp Mechanical Final —
Footing Insp PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
Foundation Insp Mechanical Insp Shear Wall Insp Water Service In Building Final
Post/Beam Struct Plumb Top Out Low Voltage Appr/Sdwlk Insp
Post/Beal Meehan ectr' 1 vi As Line Insp Electrical Final
Issl.4ed By : _� Permittee Signat u
+++++++++ ++++4-++++++++ +;Y 4 1.4 4 ++.++ 4-4+•i ++. +++++++++++++ 4 +
Call 639-4t75 by 7:00 . m. for- an inspTetion needed tle ne business day
CITY OF TIGARD Residential Building Permit Application Plan Che #� -�n�
13125 SW HALL BLVD. Additions or Alterations Recd By
Date Recd
TIGARD, OR 97223 Single Family Detac ied or Attached (Duplex) Date to P.F. 3-07
V 503-639-4171 -
Date to DST
F 503-684-7297
Permit#
Print or Type Ca lied C6-_
Incomplete or illegible applications will not be accepted/-eFr 0o
Name of Project Name p-
Job /A, (�,�' �� Architect illn9l Ad
MaL,��c
ess
Address site.Ad ess - b � Y, L
Nam City/Ste Zip Phone
JL
Owner Mailing Apdress Name
_61W y /
CEngineer Mailing Address
ity( aje Phone g ,,
^G@Il@ral Na F' city tet ` Zip ;
Contractor' -�P b Describe work ,v New Addition O Iteration 0 Reptlr O'
Ma ling ress r f to be done"_, ;..i f � �y Y �i "d�
j �1 —��
Prior to permit (,�� d�k y, Addltiortr?al Description of Work . Y
issuenc e'a copy / tate Ip Phone
of all licenses .. s�.Qs-- 1 -�-/ `• i .'� �it� ` r _•., a ,Yt
are required If Oregon Zonst.Cont.Board Exp,Date PROJECT `'
expired In GOT 5
database _ -� VALUATION
Mechanical Name NEW CONSTRUCTION ONLY: ;!,' -,
Sub- Sq. Ft.House: :r Sq. Ft. G�Irage
'! i
Contractor Mailing Addrey�s
Prior to permit S !, Indicate the restricted energy installation by the el ri�ci cal
Muance,a copy Cit /State Zip Phone subcontractor in the following areas
or all licenses s: Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp.Date Energy _ _System Alarms
expired in COT Lic.# l Installations Vacuum Irrigation
database _ -J- System System
Plumbing Na'"e /1 (check all that Other:
Sub- • I apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES tZ
-`] check one check one
/ Has the Subdivision Plat recorded? N/A `(F,S NO
Prior to permit CP/State Zip Phone Jr�
issuance,a copy 7 , --. C' ----
of all licenses are Oregon Const.Cont.BoW p.Date
required if Lic.# —
expired In COT ) 3 r- -40 1 hearby acknowledge that I have read this application,that the
database Plumbing Lk:.# Exp.Date information given is correct,that I am the owner or authorized agent
h/- D'/� of the owner, and that plans submitted are in compliance with
"�1 e-31 -t Oregon State laws.
Name SignAure of QwnerAgent Date
Electrical
Sub- Mailing Address T Contact er on ams Phone L
Contractor
City/State Zip Phon
Prior to permit -C
issuance,a copy 5 '� FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont. Board Exp.Date Plat#: Ma /TL>R:
required it Lica J D :
expired In COT _ 07,q
database Electrical 4ic:.#, Date I Kbacks: Zone: Solan:
Elerlrll Supervisor Lle.A N
�+uAte ngin�gring Ap ovate Planning Approval: TIF:
.J P v VA/fj_ "//
i\dstsvom,slafaddak.doc 11/20/98
fi LOT FLAN
LOT X13, Afi- PL E WOOD i=ARK
R-i 251 11 DA
TAX LUT w1900
8935 SW 5ELLFLOU)ER LANE
S.E. 1/4 OF SECTION 11, T.2, R.IW, V-1.
CITY OF T IGARD
WASHINGTON COUNTY, OREGON
LEGENDHOMES
6900 S.W. HAWKS STR9rr MARD. OREGON
PIAZA 2, SUM 2O0 97223-2514 1�T
OmCE (503) 020-8060 /AI (509) 598-6900 -
_ I
lit
I �
LOT loo LOT 99 2m� LOT 98
N 813.54'25" I-
62P00' -
2069' i
N �
LOT 72 �' U LOT 74
� WA TER METER � �
205b'_
W-------- WATER LINE 5$' 4bii 2(p5
SS———— SANITARY a'
SD— -- — STORM DRAINER �� � - LOT 73l �
:— ----- 4 OF STREET 1 /4216 Sc2. FT
•
MAN"-XE P q NARCOURT IIB'
® CATCH BASIN PIN. FLR = 20rc.4'
PROPOSED j GARAGE FLP, 204.9'
5TRT--'ET TREES4b1'
STREET LIGHT 2034' �/ 1 --204b'
FIRE HYDRANT
2045'
i
8' UTILITY 2053' U 7------------
EASEMENT
i N8 4'25"E
SIDEWALK 62.00' 2043'
PROVIDE ERO010N CURB
CONTROL PENCE
PER COMMUNITY ——— —
EROSION FLAN 204
— - ------ —- —t— -,_.—gp_.
----W--1-1-- ------------- —w - --- --=-----------W-
5UJ BELLFLOWER STREET
CITY OF TIGARD
SEWER
DEVELOPMENT SERVICES PERMIT
CTION
13125 SW Hall Blvd.,Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : SWR99—OObO
DATE ISSUED: 03/30/99
SITE ADDRESS. . . :08935 SW BELLFLOWERICfV PARCEL-: 2S1 1 1 DA-07800
SUBDIVISION. . . . :APPLEWOOD PARE; NO. 2 ZONING: R-7 PD
BLOC:K. . . . . . . . . . LOT. . . . . . . . . . . . . :O73 JURISDICTION: TIG
TENANT NAME. . . . . :LEGEND HOMES -----------------------_
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :sr NO. OF BUILDINGS: 1
INSTALL- TYPE. . . . :L. i�- SWR 1 MPERV SURFACE: 0 s f
Remarks : Sewer connection for a new single family dwelling.
Owner: ____.__..__-__._....._._.____—_._—____._________..__---____.._.._._____._-_.__ FEES --------------_
LEGEND HOMES type amount by date recpt
69O0 Std HAINES PRMT f 2300. 00 GEO 03/30/99 99-314083
PLAZA 2, SUITE 200 INSP $ 35. 00 GEO 03/30/99 99-314083
TIGARD OR 97223
Phone #:
Contractor:
OWNER
---------------------------------- -_-- -----
Phone #: $ 2335. 00 TOTAL
Reg #. .
-- ----- REQUIRED INSPECTIONS ---- --
This Applicant agrees to comply with all the rules and regulations Gewer Inspection
of the Unified Sewage Agency. The permit expires 188 days fret
the date issued. The total amount paid will be forfeited if the _
permit expires. The Agency does not guarantee the accuracq 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 Notificatirn Center. Those rules are set forth in OAR
W401-0818 through OAR 9R-WI-M@. You say obtain copies of
these rules or direct qu�tian to WK by calling 15031246-1987.
Issued bye ( L __ _� Permittee Signature -
jK
+++++++++++++++++++++++++++*+++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p. m, for an inspection needed the next business day
++++++++++++++++++++++++.4.......tt++tt+t++t++tt+t+............++.+++......+++t++
J