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'"' 9010 SW Bellflower St —
CITYOF TIGARD CERTIFICATE OF OCCUPANCY
FERMIT#: MST1999-00252
DEVELOPMENT SERVICES DATE ISSUED: 08/10/1999
13125 SW Hall Bb.d., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S111DA-11400
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 09010 SW BELLFLOWER ST
SUBDIVISION: APPLEWOOD PARK NO. 3
ILE
COPY
BLOCK: LOT: 107
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: P
TENANT NAME:
REMARKS: Single Family PATH I
Final Building ,ispection and Certificate of Occupancy
Approved 12/8/99 by Ken Schriendl, Building Inspector
Owner:
MATRIX DEVELOPMENT
12600 SW 72NJ AVE #100
TIGARD, OR 97223
Phone:
Contractor:
LEGEND HOMES CORP
Ar-00 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 tinder which the referenced permit was
issued. /� c
BUILDING INSPECTOR BUILDING FICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION � MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
C,
Date Requested /'4 �� / AM PM - 1 BLIP
BLD
Location lDIU 5f.() fx,�,l- o ✓ �.Q�-� _ Suite MEC
Contact PersonI e V(Zj St.c ((i j j6.-vim lb o CG--A- Ph � ��f'��7� � PLM _
Contractor _ Ph -,W9- 3 3-?V SWR -
UILDIN Tenant/Owner ELC
etairong Wall ELR
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear "
Framing 1Cy� 41CC-iAt644, "i.�r A c. /Z l-��� �/ "►s✓.t�' Y. L 2 - d Co - n'
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mism _ -._—_—
Fina
ASS ART FAIL
PLUMBING
Post& Beam
Under Slab
Top Out -
Water Service
Sanitary Sewer --
Rain Drains
Final
PASS PART—FAIL
MECHANICA �--- — - — --
Post&Hearn
Rough In
Gas Line
Smoke Dampers
Final - —
PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm _
Finql
f'ASS PART FAIL
IN
Backfill/Grading -- --—
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE:_-_ _ [ J Unable to inspect-no access
ADA
OtherApproach/Sidewalk
Other Date �' _Inspector /01�AExt
_
Final
PASS PART ___FAIL DO NOT REMOVE this inspection record from the job site.
CITYOF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES / / PERMIT#: MST1999-00252
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-417%1 DATE ISSUED: 8/10/99
SITE ADDRESS: 09010 SW BELLFLOWER ST
V44
SUBDIVISIOV: APP PARCEL: 2S1 1 1DA-1 1400
LEWOOD PARK NO. 3 ZONING: R-7
BLOCK:
REMARKS: S/F P -TH I LOT: 107 JURISDICTION: TIG
BUILDING
REISSUE: STORIES: 2 rLOOR AREAS --
REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,004 of BASEMENT: of
LEFT: 5 SMOKE DETECTORS: v
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 841 if GARAOE: 465 of FRONT: 20
TYPE OF CONST: 5N DWELLING UNITS: t FINSSMENT: PARKING SPACES
of RIGHT: 19
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: VALUE: $139,825.65
of REAR: 19
PLUMBING
SINKS: t WATER CLOSETS: 3 WASHING MACH: t LAUNDRY TRAYS:
RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100
SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 3 GARBA;E DISP: 1 WATER HEATERS: WATER LINES: 100 BCKFLW PREVNTR: 1
GREASE TRAPS:
MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN c 1OI
00K: BUCMP<3HP.
VENT FANS: 4 CLOTHES DRYER: 1
(,AS FURN>-100K: 1 UNIT HEATERS:
HOODS: 1 OTHER UNITS: t
MAX INP: btu FLOOR FURNANCES: VENTS:
WOODSTOVE9: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT - SERVICE FEEDER -TEMP SRVC/FEEDERS BRANCH CIRCUITS
1000 9F OR LE99: 1 MISCELLANEOUS ADO'L INSPECTIONS
0 200 amp: 0 200 amp:
W/SVC OR FDR: 1 PUMP/IRRICATION: PER INSPECTION:
EA ADD'L SOOSF: 3 201 400 amp: 201 400 amp:
lot WIO SVC/FDR: UO SIGN/OUT LIN LT. PER HOUR:
LIMITED ENERGY: 401 800 amp 401 S00 amp:
EA ADDI OR CIR: 91GNAUPANEL: IN PLANT:
MANU HM/SVC/FDR: $01 • 1000 amp: S0l•ampo•1000v:
MINOR LABEL:
1000*amplvolt
Reconnect only: PLAN REVIEW SECTION
>•4 RES UNITS: SVCIFDR>=225 A,: >600 V NOMINAL:
CLS AREA/SPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL
B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO a STEREO:
FIRE ALARM INTERCOM/PAGING: OUTDOOR LNOSC LT:
BURGLAR ALARM: DTH: BOILER:
HVAC: LANDSCAPEBRRIG: PROTECTIVE 913NL:
GARAGE OPENER: CLOCK: INSTRUMENTATION:
HVAC: MEDICAL: OTHR:
DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,472.80
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
6900 SW HAINES ST 6900 SW HAINES ST Tigard Municipal Code, State of OR. Specialty Codes and
TIGARD,OR 97223 PLAZA 2,SUITE 200 all other applicable laws. All work will be done in
TIGARD,OR 97223 accordance with approved plans This permit will expire if
work is not started within 180 days of issuance,or if the
Phone: Phone 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
Ratio: LIC 0006ose'� forth in OAR 952-001-0010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
REQUIRED INSPECTIONS OUNC by calling(503)246-1987.
Erosion,ns -8444 Underfloor insulation Plumb Top Out Low Voltage
Footing Insp Crawl Drain/Backwater Electrical Service g Water Line Insp Final Inspection
Foundation Ins Gas Line Insp Appr/Sdwlk Insp Building Final
P Footing/Foundation Dr; Electrical Rough In Gas Fireplace Electrical Final
PosUBeam Structural PLM/Underfloor Frar,3ing Insp insulation Ins
Post/ a Icat P Mechanical Final I
Mechanical Insp Shear Wall Insp R.iln drain Insp Plumb Final
Issue By : nel
t` Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed tWe next busirie§s dtly
i
CITYSOF TIGAR __ SEWER CONNECTION PERMIT
DEVEL%PMENT SERVICES ° 0 f�/4�4PERMIT#: SWR1999-OU152
13125 SW Hall Blvd., Tif d, OR 97223 (503) 639-�R71 DATE ISSUED: 8/10/99
SITE ADDRESS; 09010 SW BELLFLOWER ST 4 PARCEL: 2S111 DA-11400
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 107 -- _ 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:
Owner: ---- - ---- — -
-- -- __ _ F E F_S
G990000SW HAINES
LEGEND HOMES Type By Date Amount Receipt
S
TIGARD, OR 97223 PRMT DEB 8/10/99 $2,300.00 99-317538
INSP DEB 8/10/99 $35.00 99-317538
Phone: Total $2,335.00
Contractor:
Phone:
Rag#:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
160 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 952-001.40010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by cslling (503) 246-1987. �-
Issue4y: � � �-0144 Permittee Signature: wry✓!� •• � L moi'
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next buss ess day
CITY OF TIGARD Residential Building Permit Application Plan Check,r
13125 SW HALL BLVD. Additions or Alterations Recd By
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd i6 -rS
V 503-639-4171 Date to P.E. T
F 503-6>34-7297 Date to DST l
PermitaI ,//ysy 11zjL
Print or Type Called s
hicomplete or illegible applications, will not be accepted
Name of Project Name
Job A ij(L 6ml, --- L -
Address Site Address Architect Mailing Address
Nam City/Stare Zip Phone
Nam
&-m ! _ /5
Owner ME2 gess Z — Name T--
cZj
ity e Z Phone Engineer Mailinji Address ,
oe
r General NarTJe city/ i.n zip
L ,
\ 1. �J , ♦ -,1,� .
Contractor aa?� .r �j; rj; Des«tbd work w trees Additbn o Aneration o , ,
E. MBJA reSe t l T ,�l•. t0 be dOnO'. ' .`�I. '� ,.; r 4:,-
Prior to permR Addkiondl Description c f Wgr1c .''�t• ir, t t�-g��'�Y
Issuance,a copy
of all licen /101
tate P Phone ��E' :�'�j` '�
ses _
are required K Oregrnr gonst.Cont.Board Cate PROJECT `i�i • / ,L� -fix
expired in COT UC-.0 _VA_L.UATION /• `
database t!'S ' ,.',♦w._,.
Mechanical Name NEW CONS_,RUCTIOrN ONLY: 'a':�
Sub- Sq.Sq. Ft_ House: - -q ft.Garage' '
Contractor Mailing Address � ,
Prior to permit S �, ��`$-Alf- �� Indicate the res c rid energy installation by the elebWcal
Issuance,a copy C' /State Zip Phone subcontractor in th,t follo_win areas
of all licenses ,r* _ Restricted Audio/Stereo
are required H Oregon Const.Cont.Board Exp.Date Energy System Alarms
expired in COT Lir:N ` _ ,-� Installations Vacuum Irrigation
database - . _ System S stem
Plumbing Name n (check all that Other
Sub • /11) apply)
Contractor Mailing Address Comer Lot YES N Flag Lot YES Nq
'� check one (check one) X
0 U Has the Subdivision Plat recorded? N/A 1�F�S NO
Prior to permit CN/state Zip Phone J�
Issuance,a capy �' --
of all licenser,are Oregon Const.Cont.Board txp. Date
,^9quirCd if LicA
expired in COT ) -!l I hearby acknowledge that I have read this application,that the
database Plumbing Lk:.N Exp.Date information given is correct,that I am the owner or authorized agent
'22 of the owner and that plans submitted are in compliance with
L �J / l e-31 - Oregon State laws. _
Name Sign ure of nes gent Y Date
Electrical
Sub- Mailing Address Contact` er n art}c Phone Ik
Contractor h' — 4�` —
City/State Zip Phon
Prior to permit
issuance,s copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont.Board Exp.Date
required if Llc.e Plat : ) Map1TL#:
expired in COT ��_5 — —����1�� �>' tdo0(? i�G"�( 051-110P
C)
database Ekdrical Lic.N- Exp.Date Setbacks: Zone: Solar:
K 7- �'D
Electriedl Supervisor Lic.S Exp.us;e Engineering Approval: Planning Approval: TIF: 1
..t C /0 - 1 - 0
I:tdsts\forms%sfaddalt.doc 11W38
FL OT FLAN
LOT #101 , A1='FLEWOOD FARK
fRI25111IDA
TAX LOT '011400
9010 5W E3ELLFLOWER STREET
5.E. 1/4 OF 6ECTION 11, T2, R.IW, W.M.
CITY OF TIGARD
W,45NINGTON COUNT`i', OREGON
Ca WATER METER
W---- ---- ,LATER LINE LEGEND HOMES
5v———— SANITARY SEWER 11 130 sw BARBUR BLVD. PORTLAND, OREGON
SD-- — — — STORM DRAIN 97219
OFFICE (609) 244-8169 RAY (603) 244-0261
---�-- (t OF STREET ---
• MANHOLE
CATCH BASIN
PROPOSED
�1x STREET LIGHT TREET TREES 5W BELLFLOWER 5 T BEET
® S
FIRE HYDRANT
(P
ucuRB
— N�5415 ,2-51" E SIDEWALK
8' UTILITY
R:1100 Z 63' EASEMENT
s 00,
2m5 " �e
26'
� 6
/i w
LOT I
4, 962 SO. FT. - ,p
U f RONU)OOC"
FIN. FLR. ■ 205B' (J
_Jcid
z GARAGE FLR. a 2Mir
sa6.9'
PROVIDE EROSION
CONTROL FENCE f-
PER COMMUNITY 201.9' F
EROSION PLAN U 0 n
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F N89'54'25"E
2081' 18-13'
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-' LOT 115 or 114