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8949 SW BELLFLOWER LMfE
CITYO F TIGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES DATE ES UIED: 5/4 g99
99
01148
13125 SW Hall Blvd., Tigard, OR 97223 (503) 63'9-4171 PARCEL: 2S111DA-17700
ZONING: R-7
JURISDICTION: TIG
S11 E Ai,DRESS: 08949 SW BELLFLOWER
SUBUBLOCK: APPLFWOOD PARK NO.
LOT:072 FILE 0' 3PY
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME.
REMARKS: PATH 1: New single family dwelling w/attached garage.
Final Building Inspection and Certifi- o of Occupancy Approved
8/30/99 by Ken Schriendl, Building Inspector
Owner:
MATRIX DEVELOPMENT
6900 SW HAINES STREET
PLAZA 2, SUITE 2000
TIGARD, OR 97223
Phone: 62.0-80810
Contractor:
LEGEND HOMES CORP
b900 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
cvvfirms 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 BUILDINa OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BLIP
Date
Date Requested 13 3�� AM PM — 8',.0
Location l' �� Suite _ MEC —
Contact Person Ph _ PLM
Contractor_ Ph 2,61 SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access-
Foundation FPS
Ftg Drain --� --
Crawl Drain Inspection Notes: SGN
Slab
Post& Beam SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing - ------- —�
Insulation
Drywall N', Wing — - - ---------- —-- ---
Firewai{ - -- -
Fire Sprwkler
Fire Alarm -
Susp'd Ceiling — --
Roof —-
Mise _ —r— ---.
PAS PART FAIL -- - -_
MBING
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 In
UG/Slab
Low Voltage
Fire Alarm
Final -- ------ -. __
PASS PART FAIL
SITE
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:
Fire Supply Line [ ]Unable to Inspect-no access
ADA
Approach/Sidewalk
Other Date F- - Inspector Ext
Final
PASS PART FAIL J DO NOT REMOVE this Inspec0on record from the job site.
CITYOF TIGARD MASTER PERMIT
PERMIT#: MST1999-00148
DEVELOPMENT SERVICES 9104 r��
DATE ISSUED: 5/4/99
13125 SW Hall Blvd., Tigard, OR 97223. (503) 639-4171
SITE ADDRESS: 08949 SW BELLFLOWER 4
PARCEL: 2S111DA-07700
SUBDIVISION: APPLEWOOD PARK NO. ZONING: R-7
BLOCK: LOT:072 JURISDIr;TION: TIG
REMARKS: PATH I: New single family dwelling w/attached garage.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS _ REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 927 at BASEMENT: of LEFT. a SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,227 of GARAGE: 479 at FRONT: PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5
OCCUPANCY GRP: H3 BDRM: 3 BATH: 3 TOTAL: of VALUE: S 158.794.21 REAR: 13
PLUMBING
SINKS: WATER CLOSETS: 3 WA314ING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TR,',,r'S:
MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN c 100K: BOILICMP c 3HP: VENT FANS: 4 CLOTHES DRYER: t
GAS FI1RN>•1001(: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: t
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 •200 amp: WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 4 201 400 amp: 201 400 amp: 1sl WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HC'JR:
LIMITED ENERGY: 401 000 amp: 401 000 amp: EA ADDL OR CIA: SIGNAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 801 - 1000 amp: 601+amps•1000V: MINOR LABEL:
1000+amp/volt:
Reconuecl only: PLAN REVIEW SECTION
>-4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL S.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM. 0TH: BOILER: MVAC: LANDSCAPEARRIG PROTECTIVE SIONL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATA/TELE COMM: NURSE CALLS TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 4,877.71
This permit is subject to the regulations contained in the
LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code,State of OR Specialty Codes and
6900 SW HAINES STREET 6900 SW HAINES ST
PLAZA 2, SUITE 200 PLAZA 2,SUITE 200 all other applicable laws. All work will be done in
TIGARD,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:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Reg N: LIC 00060563 forth in OAR 952-001-0010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion 844.8444 Underfloor insulation Electrical Service Gas Line Insp Electrical Final
Footing Insp Crawl Draln/Backwater Electrical Rough In Insulation Insp Mechanical Final
Foundation Insp PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
Post/Beam Structural Mechanical Insp Shear Wall Insp Water Service Insp Final Inspection
Post/8eam Mechanics Plumb Top Out Low Voltage Appro Sdwlk Insp Building Final
IaSU@ By : d -1 Permittee SlgneturP � —
Call (503) 639-4175 by 7:00 p.m.for an inspection needed the next 4i y
CITY OF TIGARD Residential Building Permit Application Plan A,
13125 SW HALL BLVD. Additions or Alterations Ret d y
n:6
TIGARD, OR 97223 Single Family Detached or Atte ched (Duplex) Date Recd —
V 503-639-4171 Data to P.E. `/S _
Date to DST ,l Ce` r
F 503-6$4-7297 Permit tt r�57r_ ? -
Print t r Type Called
Incomplete or illegible apphoations will not be accepted 6,6,c-r-'Wo
SuJQ/kyr .-
Namu of Project Name
Job /'i 1('�'L ��f✓'�'� l���%� � � Architect Mailing Ad esa Y
Address Site.Address ��
` ' /' � '� J.�) ,-a 1_
NaCity/stat
rJ Zip Phone
m �
Owner Mailing A41dress CIA Name
I Engineer Maiting AddressCity,( aQe Z' Phone
`y'' qj.e
General Nanle city/.$tatq Zip t
Contractor",: "L: ,';�� Das«itr�Fwork ,4< Addition U �.AReratU O o
�.
Ma rags i, T ,,to be done �M.,�; , '� >.����
Prbr to perrntt Additlondl Description of work
Issuance,a copy !_ Ip Phoneof all licenses QA1/
Up. PROJECT
aro required H � Oregon nat Cont.Board Ex Date _ , �
axpiredInCOT lk.# �* t-� VALUATION', '~ 7
database EO d J " 3 ,
Mechanical Name NEW CONSTRUCTION ONLY: ':J'" `•r:" `:,�;',,a
Sub- Sq. Ft.House: Sq.Ft. Garage'
Contractor Mailing Address
Prior to permit J� �� S 7_. /�� J� Indicate the resacted energy Installation by Lhc electrical
Issuance,a copy Cit /State Zip Phone subcontractor in the following areas _
of all lk*nses 14 Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp.Date Energy System _ Alarms
expired in COT tic.# Installations Vacuum Irrigation
_database - vkl5--3- System System
Plumbing Name - (check all that Other.
Sub- • n n apply)
Contractor Marling Address Comer Lot YES Np Flag Lot YES NO
Lrcheck one �- check one
Has the Subdivision Plat recorded? N/A1(E,S NO
Prior to permit coy/state ZIP Phone J�
issuance,a copy C ,, ------- — --
of all licenses are Oregon Const.Cont.Board cp.Date
required I Lic.# _
expired in COT .3 - r- l -Q) 1 hearty acknowledge that I have read this application,that the
database Plumbing Lic.# _4 Exp.Date information given is correct,that I am the owner or authorized agent
p' _ of the owner, and that plans submitted are in compliance with
�C / �'3� Oregon State laws. _
Name Signature of ne�gentDate
Electrical _
Sub- Mailing Address — Contact er In ante Phone
Contractor
City/State Zip Phones/
Prior to permit � `.
issuance,z copy - FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont.Board Exp.Data plat#: !TL# r
required if Lic a /` p (�
expired in COT / //j�C� - -/q-vd �/✓ �� Ma 7 11 -6 -
database Electrical Lt.S. E�tp.Date acks: Z e: Solar:
-30_ s U _�_
Ebdrici l Supervisor Lic.# p.uste Enginee ' g Appr vat: Plantiog Approval: TIF:
q` imstsvonns%foddalldoc 11/20/98
FLOT FLAN
LOT $12 , AFFLEFLOOD FARK
R-1 251 it DA =
TAX LOT 01100
8949 aW BELLFLOWER LANE
S.E. 1i4 OF SECTION 11, T,2, fR,IW, W.1" ,
C I TY OF T IGARD
WASHINGTON COUNTY, OREGON
LEC END HOMES
6900 9.11. HAINR9 `1CRRRT 11GARO, ORRGON
- PUM 2. SUM 200 97223-2514
- OMCR (503) 620-5090 PAZ (603) 695-5900
I
I" 20'-0"
Lor loo Lor loo Lor 99
N 89'54'25" E
62.00'
2062 2065'
U, /700
0 WATER METER 206.5 -- -
UJ-- ---- WATER LINE 4'-6° 21LOT 72
55- - - - SAN11 ARfi SELLER W j
`C�-- STORM DRA;N s ,LOT 72 � w
4,216 SGS FT.
MANHOLE
¢ of ;3T �p / WARCOURT
. �" �0
® CATCH BA51N j FIN. FLR - 207.1' 1
PROPOSED LOT GARAGE F�. 6 g, 1
STREET TREES T' 10.0
STREET LIGPT 20641
FIRE HYDRANT
\\2 -- -� - ----- ---- _ 2053' 8'TUtILITY
EASEMENT
N89'5475"E
SIDEWALK
PROVIDE F I CURB
CONTROL FENCE
\ �_ I E
PER.
ERCSION PL AN ,
i �
` SW BELLFLOWER STREET �m�
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES / PERMIT#: SWR1999-0007
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-417 J1 DATE ISSUED: 5/4/99
SITE ADDRESS; 08949 SW BELLFLOWER �N PARCEL: 2S111DA-07700
SUBDIVISION: APPLEWOOD PARK NO 2 P44 ZONING: R-7
_ BLOCK: LOT: 072 JURISDICTION:
----- - — � T I G
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 IMPFRV SURFACE:
Remarks: Sewer connection , -r a new single family dwelling
Owner:
LEGEND HOMES — --
6900 SW HAINES STREET Type By Date FEES
Amount Receipt
PLAZA 2, SUITE 200 PRMT DRA 5/4/99 $29300.00 99-315057
TIGARD, OR 97223 INSP DRA 5/4/99 $35.00 99-315057
Phone: 620-80810 --
Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
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'-flow 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: s ,1 f ��1 L� 2 Permittee Signatur
Call (503) 6394175 by 7:00 P.M. for an inspection needed the ex, u I s da