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9011 SW BELLFLOWER ST
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C;ERTIFICAI E OF OCCUPANCY
CITY TIGARD PERMIT#. MST1999-00237
DEVELOPMENT SERVICES DATE ISSUED: 07/14/1999
13125 SW Mall Blvd., Tigard, OR 97223 (503) 639-417'1 PARCEL: 2SI11DA-08700
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 090'11 SW BELLFLOWER ST FILE
COPY
SUBDIVISION: APPLEWOOD PARK NO. 3
BLOCK: LOT:080
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: F23
TENANT NAME:
REMARKS: Single family, detache 'lath 1.
Final Building Inspection and Certificate of Occupancy
Approved 11/15/99 by Ken Schriendl, Building Inspector
Owner:
MATRIX DEVELOPMEN''
6900 SW HAINES STREET
PLAZA 2, SUITE 200
TIGARD, OR 97223
Phone: 620-80810
Contractor:
LEGEND w(DMES 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
confines that the bl.jilding has betn inf-,pected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use under which,the referenced permit was
issued.
i I qt I 1
BUILDING INSPECTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
BLIP
_ _Date Requested / 15 _ AM PM BLU
Location— Suite MEC
Contact Person Ph 9C� PLM
Contractor Ph SWR _
BUILDING Tenant/Owner — ELC
Retaining Wall ELR
Footino Access
Foundation FPS
Ftg[)rain —•-• SGN �-
Crawl Drain Inspection Notes: --- --
Slab — — —--------- -- --- SIT
Post&Beam -"- ---
Ext Sheath/Shear
Int Sheath/Shear
Framing Insulation
Drywall
Drywall Nailing
Firewall - - ---- ------ ---
Fire Sprinkler - ----------- - -- -- ------ -- - --
Fire Alarm
Susp'd Ceiling
Roof
Mise: Ill — - - -- - ----
ASS PART FAIL --- - - - - -- ----- ------
PL G
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
S PAST FAIL —
ICAL - - —
Service _
Rough In
UG/Slab _
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading —
Sanitary Sewer
Storm Grain [ j Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( j please call for reinspection RE. _- [ j Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk
Other Date 1L Inspector Ext
Final
PASS PART FAIL J DO NOT REMOVE this inspection record from the job site.
CITYOF TIGARD -- MASTER PERMIT
PERMIT#: MST1999-00237
DEVELOPMENT SERVICES DATE ISSUED: 7/14/99
13125 SW Hal! Blvd., Tigard, OR 97223 (5)0319-417 i + r
SITE ADDRESS: 09011 SW BELLFLOWER ST UU '` PARCEL: 2S111DA-08700
c,I.IHDIVISiQN: APPLEWOOD PARK NO. 3 f AL ZONING: R-7
BLOCK: LOT:080 JURISDICTION: TIG
REMARKS: Single family, uetached, Path 1.
BUILDING
REISSUE: STORIES: 2 - FLOOR AREAS REQUIRED SETBACKS__ REQUIRED _
CLASS OF WORK: NEW HEIGHT. 24 FIRST: 1,037 of BASEMENT. of LEFT: i; SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,273 at GARAGE. 479 sf FRONT .. PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 81 RIGHT: 4
OCCUPANCY GRP: R3 BORM: 3 BATH- 3 TOTAL VALUE: $'G9.658 05 si REAR: 14
PLUMBING
SINKS I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: I 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 TRAPS:
MECHANICAL
OTHER FIXTURES:
FUEL TYPES FURN<100K: BOIUCMP<3HP: VENT FAN3: 4 CLOTHES DRYER: I
GAS FURN>•100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu Fl OOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLFTS: 1
_ ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADD'L IN3PECTIO.4S
1000 SF OR LESS- 1 0 200 amp: 0 700 amp: W/SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTIIN:
EA ADD'L 500SF: 4 201 400 amp: 201 400 amp: 1st WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC/FDR: 901 • 1000 amp: 601+8mp9•1000V. MINOR LABEL:
1000+amplvolt:
Reconnect only: PLAN REVIEW SECTION
>-4 RES UNITS: SVC/FDR>=225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
A;DID&STEREO: VACUUM SYSTEM AUDIO 6 STEREO: FIRE ALARM- INTERCOWPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS TOTAL 6 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,532.82
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 6901;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 M: LIC 000W563 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 Plumb Top Out Low Voltage Appr/Sdwik Insp Building Final
Footing Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Electrical Final
Foundation Insp Footing/Foundation Dr; Electrical Rough In Insulation Insp Mechanical Fina'
Posl/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
Post/Beam Mechanica Mechanical Insp Shear Wall Insp Water'-ine Insp Final Inspection
r,
Issued B Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITE' OF 1 11
TIGA RD 0,9 SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES 1t /�/ PERMIT#: SWR1999 00144
13125 SW Hall Blvd ; Tigard, OR 97223 (503) 639-417 ATE ISSUED: 7/14/99
2
SITE ADDRESS; 09011 SW l3ELLFLOVbER S'' � PARCEL: S DA-08700
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
_ BLOCK: LOT: 080 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: Single family detached residence.
Owner: --- - --
FEES
LEGEND HOMES
6900 SW HAINES STREET Type By Date Amount Receipt
PLAZA 2, SUITE 200 INSP DEB 7/14/99 $35.00 99-316872
TIGARD, OR 97223 PRMT DEB 7/14/99 $2,300.00 99-316872
Phone: 620-80810 Total 52535.00
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 Jate 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) 246.1987.
( r
/
�—
Issued by` .� /� -!�rLY Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application Plan Che�,.,,_(. ,1,�:
13125 G'.'. riALL BLVD. Additons or Alterations Recd By�c
TIGARD, OP 97223 Single Family Detached or Attached (Duplexi Date Recd
V 503-639-4171
Date to P.E.
Crate to DST, -y
F 503 684-7297 Pem,it# /n:;?1yy. o�S'
Print or hype Called
Incomp:ete or illegible applications will not be accepted
Name of Project Name
Job 'A Y"q/ ��� /7:?,4�<
AddressArchitect Mailing Ad ess
Sf Address � ( �
�� Y.
oa, ` — City/state Zip Phone
Nam — — , �_.
Owner Mailing ress Name
Al 9
City�e Z Phone
Engineer Mailing Address
General rc
ayIlle tat zip
Contractor ° Na ,,��y+ rJ;
Describe ti"!I"'".�'' Additbn O i ARe-atk+n O
t: Ma 0 real t t:r der , to be ��
Prior to permit (� �' i/,,' ` ` ''� VK Additional Description of. ' YWork -1,4
{ : `
I � T`�� ' NIssuance,a copy SC � ,
� �
of all licenses l
are required If Oregon Qbnst Cont Board Exp, Datc PROJECT . i `��-
expired In COT ' UC t V�ILUATION �.'�, �6� Dom'8'
database d ✓�_ /.
Mechantc.al Name NEW CONSTRUCTION ONLY: `�' , 't.1`3r''' '�'
', _ _ , ��
Sub- L�`�ifl -+ Sq.Ft. House:) � Sq. Ft.Garage
Contractor Mailing Addregs _ _rL1.1 �t L l
Prior to permit S �L 5AE
Indicate the restricted energy Installation by the electrical "
Issuance,a copy c /State rZip Phone subcontractor in the following areas —
of all licenses 3 Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp.Date Energy System Alarms
expired in COT Lic.0Installations Vacuum Irrigation
database --� S _ System
Plumbing Name r (cheek all that stern Other: —
Sub- L,)l / ' .n a-PP1'L--
Mallin Address Comer Lot Y NO Flag Lot YES NO
Contractor g check one check one
Has the Subcivision Plat recorded? WA NO
Prioi to permitla}y/State Zip Phone Jr�
issuance.a copy /,` -1 f-� - ----
of all licenses are Oregon Const Cont. Board p. Date
required if uc.iM
expired in COT _ ) 3 - I hearby acknowledge that I have read this application,that the
database Plumbing Lic.0 Exp. Date information given is correct,that I am the owner or authorv.ed agent
J j of the owner,and that plans submitted are in compliance with
/03 J j ii Oregon State laws.
Name Sign ure of ne, gent Late
Electrical lOr'Yrn <'z�
Sub- Mailing Address ~� 2 Contact 'er n 9 Phone k
2'
Contractor /
_ /S
City/State Zip Phone/
Prior to permit
issuance, a copy 7 FOR OFFICE USE ONLY: _
of all licenses are I Oregon Const.Cont.Board Exp.Date —
required if Lica Plat#: Maprro:
expired in COT / 5 _ -L1�i — :Z5///C*— L?-00
database �E�Iecrical tic.S.• Exp.Date Setbacks: Zone Pry LTIF
Electrical Supervisor Lica p.unto Englneefing Approval: Planning Approval:
1ldsts'Jomms�faddaM.dor 112q/48
PLOff' PLAN �
LOT #SO, APPLE WOOD FARK
R-I 2S1 11 DA �� c�'0
TAX LOT 08-100
9011 SW BELLFLOWER LANE
S.E. 1/4 OF SECTION it T.2 R.IW W.1"1.
CITY OF T IGARD
WASHINGTON :OUNTY, OREGON
LEGENDHOMES
e900 S.W. eAnrse srxssr rraAan, osruort
PLAU 8. SUIT! ?00 97889-861•►
omcm (509) 880-8060 FAX (509) 596-6900
N
I
PROVIDE EROSION
CONTROL FENCE
PER
OSIN
CG�I"I LAY i �f�,—�' LOT 81
E i' NB9'S4'?5"E L 81
❑------ WATER METER
UJ — WATER LINE
SS———— SANITARY SEWER -
SD— – – —
STORM DRAIN
4 OF STREET �/ I I I / 40'
MANHOLE
®
CATCH BASIN / 4, SQ FT.
4
S' tREEIROPOBEES Z I I, * I COURTL,4ND 114 r-
STREET LIGHT I i I / FIN.FLR - 20,3'
FIRE HYDRANT i E \ ( GARAGE FLR - 2068'. (�
40
f—w 2@�
'S' UTILIT
EASEMEI
------_-- 649ID0' i SIDEWALK
CURES