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15320 SW EMPIRE TERRACE
CERTIFICATE OF OCCUPANCY
CITY OF TI GAR D
PERMIT#: MST99-000; 7
DEVELOPMENT SERVICES DATE ISSUED: 2/4/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-06900
ZONING: R-7
JURIS .,t-TION: TIG
SITE ADDRESS: 15320 SW EMPIRE TERR
SUBDIVISION: APPLEWOOD PARK NO. 2
BLOCK: LOT:064
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: Single family detached, path 1.
Final Inspection Approvers 6/8/99 oy Lief Nelson, Building Inspector
Owner:
Phone:
Contractor:
MATRIX DEVELOPMENT CORP
6900 SW HAINES ST#200
TIGARD, OR 97223
Phone: 620-8080
Reg#:
This Certificate grants occupancy of the above referenced building or pGrtion thereof and
confirms that the building has been inspected for compliance with the Statc cif Oregon
Specialty Codes for the group, occupancy, and use under which the referenced permit was
issued.
BUILDING I PECT EUILDI OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPEC-I ION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
a C
BUP
Date Requested CP _ O" 1 AM� PM BLD
Location_ �J 5� 4Eir`l .�i ��.� Suite MEC
Contact Person �� Ph 2,CY�` 7C� PLM
Contractor Ph SWR
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 a _
Framing
InsulationI 'C I
Drywall Nailing l _
Firewall /1 � � lle �`Fire Sprinkler i/ _ i�7s.1 JULA
Fire Alarm
Susp'd Ceiling
Roof
Mises —
MISPART =AIL
INl3 — �?
Post&Beam --
Under Slab
Tn Out - -+--
VJater Service
Sanitary Sewer
Rain Drains / �` Q C( •�
Final
PAS PART FAIL
CH N
Post&Beam -
Rough In
Gas Line - -- --
Srnoke Dampers
ASS PART FAIL
VIXieTRICAL -
Service
Rough In —
UG/Slab
Low Voltage
Fire Alarm _
Final
PASS PART FAIL
SME
Backfill/Grading
Sanitary Sewer
Storm Drain ( 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 Q'
Approerh/Sidewalk
Other Date Cc - \ In8p a Or �*t
_ _
Final
PASS PART F kIL DO NOT REMOVE this Ins tion recto from the job site.
CITY OE TIGARD
- DEVELOPMENT SERVICES !-'r?MT
13125 SW Hall Blvd.,Tigard,OR 97223(503)639.4171
r,0:,\r1-1. .
r, , :, -, 7! , ,-. -.
,0 F.4 1t112T5DT'TI01R1: TT6
Argarkr Single family detarhed, Pat` 1.
BUILDING
FLOOR AREAS-----•.___.. BASEMFN7,., : 0 sf RMIRED SETBACKS_..-- RE^, �.
CLASS Or WORK.:NEW HEIGHT......... ?? FIRST..... 80^ sf GARt E...... 454 sf LE'T. .......... 14
Tyr1E Or !'F!r.,. :SF FLOOR LOAD.... . 40 SECOND.... 840 sf FRONT......... . 20 PPR!'TN�
TYPE O" CAST,:5N DWELLING UMTS: 1 FINBSMENT: 0 of RIGHT..,,.....: 5
OCCUPANCY GRP,:R3 BDRM; ? RAT": TOTAL.- 1642 sf VAI 1.!E..t: !?0680 REAR......... 18
----------------------------------------- ______.__ PLUMBING
SINKS......... , 1 WATER Ct Dom' WAST?ING MACH,. , 1 LAVNIIDR' T?C'',S. , 0 RAIN DRAIN 11t; IN '4AG^,
LAVAT.ORIEOI.... :
1,SHWA^oHERS... : 1 FLOOR DRAINS..: 2 SEWER L.INF ft: 100 SF RAIN D414TN5: 1 CATCH BASINS..: 0
T1!P/.HOWrRS.. ? RRBAGF DI, . : 1 WATER I{EATER5.: WATER t!uE ft 100 BCKFIW PREVNTR: 1 CRE�r,C 'RAc'c
OTHER FIXtURES:
----- _... _........ - ---- ---._. MECRANICAL. - .
Fl1E11 TYPES---- -- FURN : 100t' ..: 0 BOIL/CMP ( 31HP: R VENT FANS.....: 4 CLOTHES DRYERS: 1
GASr!jRN 11 ON .,; 1. IAOIT IICATEPS..: 0 HOODS......,, .: I OTHER UNITS...: 1
MAX INP. : A BTU rI.00A FURNACES: P, VENTS.......... 0 WOODSTOVEO.... . 2 GAS OUTLETS... . 1
------ __ -_ ---- ELECTRICAL. - --
--RESTDCNTTAI !'N" _SERVICF''rEC'R---- --TEM' SRVC/r'EEDERS-- ---BRANCH CIRCUITS -- ----MISCELLANEOUS-- -.ADD': INSPErl IONS--
100P IF OR L"IS: 1 0 ^00 rlT..: 0 0 M. amp..: 0 W/SVC, rip FDA.. : 0 PUMP/IRRIGATION: P PEI) I"SPECT'ON:
EA ADD" `007 35 71! 400 amp..: 0 `2'01 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/f UT LIN LT: 0 PER '+GL'R.....
LIMITED ENERGY.- P 40' - SOO amp.. : P 401 60? amp.. : 0 EP ADDL 3R F,'n: 0 SISNAl.IPANEt...: 0 !F4 I"OJT,. „
MANE HM'OVC!F^R: P 6F1 1000 amp.: 0 601+ws-'000 V: 2 MINOR LABEL --10: 0
1000+ amp.'eol+.: 0 _. _ .. . - .....- 011::N REVIEW SECTION
RecvnlF-t onl i. : 2 ?=4 RES LIN IT5..: SVC/FDR`=225 P. l 600 V NOMINAL: r!_' AREa:'gPC CCC:
ELFCTRICAI - RESTRICTED ENFf"SY
{. 5F RFSiDENT141, __.___._ _. -- B. COMMERCIAL-------- ------ -- ----- ---------. ._ -.--
.,If 10 d STEREO. : VPCIR:'M ^YrTF.M . : A070 d STEREO. : F'RC r-'_�gll.....: INTERCtM'1/PAGING: RUTD ^q "lt^" L*:
6'URGLAA AIARN, OT1I; BOILER.......... HVAC........ ... LtNDSCAPE/IRPIG: PROTEC'iVC SIW .
riP?41iE "!^FNFQ.. - CLOrY............ INSMIWNTATTON: MEDICAL.........:
HVAC.. DPTP'Tr_C NURSE CALLS..... TO'Al. t SYSTEMS: 0
TOTAL FEES:$ 4754.70
'.7GENr11 r>MF5 LISEND H(11f5 CORP ''his permit is subject to the regi lations contained in t'�P
c"P? 6900 SW !1AINES ST !ice Tigard Municipal Code, State of Ore. Spfrfal! Caries -e I
TiGARD OR othe, applicable laws. All work will be done in arcorc'ancp
'101PP 'R ?7,' wi+�, approved plans. This permit will Papipe it work is
n►n�F e; E'E, Net Nene M: 620-8080 ret started within t80 days of issuance, or if the Kota is
Reg 0..: 000605 sisrellded for more than 182 cat's. ATTENTM: CTegon law
requires you to follow rules adopted by the Oregon Utility
' !fl '.n" rFr+P" �`n5e IlPS are F.ft forth I" DQR12-Q10'! 1 '.P through (AR '>�? OQii 0080. YDa may obtain Cnp1P5 Of +`ecc ' ',lPt n
-t vi3O:yrs ti Off by rail:-; 150.31246-1987.
REDUIRED INMCTIONS
Electrical Rough Insela+:Dr, Insp Mechanical Final —
"raging ?nsr Rain drair Insp plumb Final
Shear Wall Insp Water Scr:ice In Building Final
-
Voltage Appr;SdNi !flip —-- ----
f Insp Elert i ' r'1
/ 1 r,eI-MittF+� --
CITE' OF TIGARQ �33FWFR CONNFC'TT nP4
DEVELOPMENT SERVICES PE RM I T
13125 SW Hall Blvd, Tigard,OR 97223(503)6,79-4171 P 17 P1 I T #. . . . . . . .
I-
PfIRCEI. - 261 1 1 nn-069i,;,
,.SITE' ADD Rr-T,13. V577,0 '7M FNIP'r rU7
in I rwcln!") rnr�, mr znrj1Nrj: R-7 PP
,usnT V I G I ON. . nr-lr-�`
0T. . Tj!F?Tr)l)TCT.Tnj,,i. T T r,
TENANT NOME. . . Ar,r,! I r,r,T)
Ur-'P NCI. . . . . . . . . . : r-TV r!IRE I IN I T�33. . .
CLAD^ Or WIIRII,. . . .Mr-1.) IU.-I I TH11', 1.1NIT!2. .
TYPE.- OF W3E. . . . . .F;F' Nn, nF PUTL n NGrS'
JNO)Tt-4.1-1- TYPE. 1**r-,'tJ
Rema�,�(s-- qin.qlp
OW7.1 ey. r-E E E3
I-.E.r3r7N1D HOME C typo mrr I(I t, by d at e
r,900 �33W HATNF-:'r X37' PRM7 -7,o o. om rr. n 02/04/99
f7t.11TE 200 0,10 rjrf, 0.-1 q9 3,1 .711 -.10
TIGARD OP 97227F,
"llont, #:
Cnrity,ar.-tor:
OWNER
ilii. Applicant agrees to cDoply mit`, ell tfe rules and r, T i)S p fm,t i (.In
of W, ItlifiH Sewage Agenci. "lie perlit expire; 1-W dap fl Do
the date issued, The total amourf p4:d will !'p frfrited if
persit expires. The Agency does -,M, guarantee the accuracy of the
gide sewer 'laterals. If the sewer is not lori%tFd at the vP;5urPsr-tJ
given, the installer shall prc;pe,!t 3 fept in ;11
. . frog
'tie distance given. If not so located, the installer shall piircfiasp
j "Tap and Side Sewer" Pprxit ant' the Agvici will ;nOal) a Were),
ITTENTICN: Oregon law requires you .0 follow !,:jjps 6dv-pfrd by the
Iregon tft-1lity Notification rentr-. These -,iOns z,F W i-� OAP
1T.-mi-mit through OAR 9SP-ep01-0690, Yrnkj say -npies of
these rules or direct questip, , b
,tire 1 y
1 7 7 1
CITY OF TIGARD Residential Building Permit Application Plan Cher
13125 SW HALL BLVD. New Construction Recd By—),
Date Recd '
TIGARD, OR 97223 Single Family Attached Date to P.E_ �� -
V 503-639-4171 Date to DST'-�r=`-Lrj'�-""
F 503-634-7297 Permit N H" , r�777`
Print or Type called.�L:
Incomplete or Illegible applications will not be accepted
G e. r ✓wt° S—
Name of Pro)ed Name
Job 1 L //" ' C7km, -
Architect Mailing A ress
Address Site- d �> 40 jz,-/
Na City/State Zip Phone
'
Owner M 'lin ddress Name
C c� Engineer Mai)in A dr st
C�fy!I to Zip Phone �,
� Cit /State Zip Phone
General Nam/ — 1 q r . �� - 3 vet •
Contractor C e� � U�11��� Describe work Newe_91 Addition O Alteration O Repair O
Mailing A ress to be done:
Prior to permit Additional Description of Work:
Is5uance,a copy City/State Zip Phone _
If all licenses
are required if Oregon Const.Cont. Board Exp.Date PROJECT
expired in COT Lica / - VALUATION $
&-105-6 f ri�
database d 3 (�
Mechanical Name NEW CONSTRUCTIOI�JONLY:
Sub- \ < Sq. Ft. House Sq. Fl.?arage
Contractor Maili A dre
Prier to permit ,,� 2 S �(^/5 Indicate the restri.ted energy installation by a electrical
+ssuanc ,a copy G;~ S4ate Zip Phone subcontractor in the followingareas
of all licenses .� c Restricted Audio/Stereo
are required if 41egorfC669f�.yyCont. Board Exp. Date Energy System Alarms
expired in COT Lic A qyl / �. Installations Vacuum Irrigatitm
database rJ " - System System
Plumbing Name (check all that Other
Sub- �Y► apply) - --
Contractor all'gg Address Number of Units in Building Unit Number Designation
✓/� � Has the Subdivision Plat recorded? NIA Y S NO
Prior r peroit ity/Stere Zip „� P ion _
Issuanre, a copy + � -J%/� U�
of all licenses are Oregon Const. Cont Board Exp.Date
required if Lic N
expired in COT -?, 3 ,-�V I hearby acknowledge that I have read this application,that the
` '7
database Plumbing Lic k Exp Date information given is correct, that I am the owner or authorized agent
jn of the owner, and that plans submitted are in compliance with
Oregon State laws.
Name �,�--- Sig ture of Own r/Agen Date
Electrical
Sub- Mailing Address k �- ;
C F c`Persoh� a hon
Contractor 917 -5' '
City/State Zip Phone
Prior to permit / / p
issuance,a copy 044 700 -5, //-1- FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont.Board Exp.Date
required it Lic.tM Plat N MaprTLM:
expired in COT ;i rrJ t�'-�9
database EbdricAt Ezp.Date Setback Zime:
f , f —
io
Electrical Supervisor lie.N p.Date Engineering Approval: Planning Approval: TIF:
i ldstsiformlWa-new floc 11fZ0ltie
'LOT FLAN
LOT #6 -4, AFFL E WOOD FARK
R-1 251 it DA
TAX LOT Oro900
15320 %r-.0,W EMPIRE TERRACE
S.E. 1/4 OF SECTION 11, T.2, R.]W, W.M.
CITY OF T IGARD
UJA6H INGTON COUNTY, OREGON
LEGEND HOMES
8900 S.R. HAINES STREET TIGARD, OREGON
PIAZA t, SUITE 200 97223-2514
ORPICI (503) 620-8080 FAX (503) 598-8900
5W BELLFLOWER STREET
I" 20'-PJ" "_ .♦- -- SS -.---- - --------- -T-- 98
OWATER METER I --- -- ---- - --- - -J- P� - - ---
W------- WATER LINE _ � �••----_- - � U
SS- -- - SANITARY SEWERI--r-" --r---W---- ------------------r--- -- --W----
SD— - - - STOW DRAIN CURE
--- - Q OF STREET I I / N 15S'54'25" F SIDEWALK
MANHOLE I i 51.mm` I -
CATGH BASIN ' •
1
PROPOSE[) I - I EASEMENT
"
STREET TREES I �5p R,15.00' ------------ --- - ---
STREET LIGNt - r I ( \ L•29$5' 199.4' 198.9'
" 1893'
FIRE WYDRANt I I w I W
4,245 SQ. FT. /
;ExETER Q� �-
1l w l d FIN. FLR. • 20mS' , o
GARAGE FLR M& rIi —J
-
I
PROVIDE EROSION ( �� - 210
CONTROL FENCE I U lu ( I
PER C'OMMIMITY '0 '
EROSION PLAN `� I / I tP N89'54'25' to
I I LOT 117
i