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15370 SW EMPIRE TERR
_ CERTIFICATE OF OCCUPANCY
CITY OF TIC�ARD
PERMIT#: MST1999-00364
DEVELOPMENT SERVICES DATE ISSUED: 11/02/1999
13125 SW Vial! Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 25111 DA-14800
ZONING: R-7
JURISDICTION: TSG
SITE ADDRESS: 15370 SW EMPIRE TERRappy
SUBDIVISION: APPLEWOOD PARK NO. 3 f ILL
BLOCK: LOT: 141
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I: New single family dwelling w/attached garage.
Final Building Inspection and Certificate of Occupancy Approved
3/2/00 by"rom Plescher, Building Inspector
Owner:
MATRIX DEVELOPMENT
12755 SW 69TH AVE #100
TI(--ARD, OR 97223
Ph ane: 620-8080
Contractor:
LEGEND HOMES CORP
12755 5W 69TH AVE #100
TIGARD, OR 97223
Phone: 620-8080
Reg#: LIC 00060563
This Certificate grants occupancy of the ab-ve referenced building or portion thereof and
confirms that the building has been inspe ;It, 1 for compliance with the State of Oregon
Specialty Codes for the WUp, occupancy, and use un er which t e referenced permit %,vas
issuecj" /
PVakto
BUILnING INSPECTOR BUILDI OFFICIAI.
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-41,'5 Business Line: 639-4171 MST
_ Date Requested 51s�t7C� _AM X PM suP BUP �–
IBLD
Location f C )) T Suite MEC
Contact Person y Ph a)q-33'70 _ PLM
Contractor Ph SWR
t1ILDING Tenant/towner FLC
Retaining Wall ELR
Footing Access:
Foundation FPS _
Ftg Drain _ -
Crdwl Drain Inspection Notes: SIGN _-
Slab _ -�._--_- - SIT
Post& Beam -------------.._._
Ext Sheath/Shear
Int Sheath/Shear ------- - -
Framing
Insulation - -- --- - --- .._------_
Drywall Nailing
Firewall
Fire Sprinkler - -- - - --- - - - - --
Fire Alarm
Susp'd Ceiling
Roo'
kLM
— - - -----PART TAILeamnerab
Top Out —– — -
Water Service
Sanitary Sewrrr e -
Rain Drains
rna
S DART FAIL
Post&Beam --- -- — ------ --
Rough In
Gas Line --- -- — —
Smoke Dampers
Final -------
o RT IL
Ser.i
Rough In
UG/Slab - `- _•
Low Voltage
Fire Alarm
Final
efTft PART FAIL
Backfill/Grading - -
Sanitary Sewer
Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( )please call for reinspection RE._ _ — ( )Unable to inspect-no access
Fire Supply Line
ADA
ApprOther Date
Date 3 Z Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4'175 Business Line: 639-4171
BJP
Date Requested 2- AM NPM BLD
Locations � �_j I ��,y1� Suite MEC
Contact Parson Ph 26!1 'S2 7e PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall Et.R
Footing Access:
Foundation FPS
Fig Drain SGN - ---------_._._.
Crawl Drair, Inspection Notes: ----- -----
Slab SIT'
Post& Beam - --- —
Ext Sheath/Shea:
Int Sheatt./Shear —
Framing _-
Insulation �n
Drywall Nailing �!���_ O-U lell
(�61�'
Firewall
Fire Sprinkler
Fire Alarm � �y /+ � //
Susp'd Ceiling _ ��� I�LtlL_—
Roof -+
Misc: —
Final
PASS PART FAIL -- __-
PLUMBING
Post&Beam -
Under Slab
Top Out —
Water Service
Sanitary Sewer — -
Rain Drains
Final
PASS PART F 111-
MECHANICAL
Post& Beam --- -----
Rough In
Gas Line -------.___..--
E'moke Dampers
Final -- - - ----- - -
PASS PART FAIL
Service
Rough In
UG/Slab _--
I.ow Voltage
Fir larm
iiia - -- --
SS PART FAILSITE
Backfill/Grading —�— -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ __-regjired before next Inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE:—�_-� [ )Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date Inspector Ext
Final
L PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY
I�� �� TIGARD
I���� MASTER PERMIT
PERMIT#: MST1999-00364
DEVELOPMENT SERVICES DATE !SSUED: 11/02/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 15370 SW EMPIRE=TtERR ORIGRU PARCEL: 2S111DA-14800
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 141 SDICTION: 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: 25 FIRST: 977 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,268 at GARAGE: 479 of FRONT: 11 PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 4
VALUE: $168,271 37
OCCUPANCY GRP: R3 BDRM: 0 BATH: 3 TOTAL: of REAR, 22
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TFAPS:
LAVAL,,RIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOW ERS: 3 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES, 100 BCNiFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOIL/CMP<AHP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN—100K• 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOOUarOVES: GAS OUTLETS: 1
ELECTRICAL
_RESIDENTIAL UNIT SERVICE FFEDER _TEP 'SRVCIFEEDERS BRANCH CIRCUITS_ MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 200 amp: WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 4 201 •400 amp: 201 400 amp: tot WIO SVCIFDR: 00 SICNIOUI LIN!.T: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 601 • 1000 grip: 601+ampo•1000v: MINOR LABEL:
10001,amplvoll
PLAN REVIEW SECTION
Reconnect only: >=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 S STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OrHR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,744.24
LEGEND HOMES LEGEND HOMES CORP This permit Is subject to the regulations contained in the
690E ND H MES 6900 ND HOMES ST Tigard Municipal Code,State of OR Specialty Codes and
TIGARD,OR 97223 PLAZA 2,SUITE 200 all ether ce with
a laws. All work will be done it
accordance with approved plans. This permit will expired
TIGARD,OR 97223 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 adoptee by the
Oregon Utility Notification Center Those rules are set
Rego: LIC 00060567 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 rop Out Gas Line Insp Appr/Sdwlk Insp Building Final
Footing Insp Crawl Drain/Backwater Electrical Service Gas Fireplace Electrical Final
Foundation Insp Footing/Foundation Dr: Electrical Rough In Insulation Insp Mechanical Final
Post/Bean}.StraMurat---_pLM/Underfloor Framing Insp Rain drain Insp Plumb Final
PO am NAechanica M apical 11Isp Shear Wall Insp Water Line Insp Final inspection
195L d By Permittee Signature
i
--- Call (503)639-4175 by 7:00 p.m.for an Inspection needed the ext business day
CITYOF TI G AR D SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR1999-00231
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/02/1999
SITE< ADDRESS; 15370 SW EMPIRE TERR
PARCEL: 2S11'1 DA-14800
SUBDIVISION APPLEWOOD PARK NO. 3 0ZONING:RIGIN41 R-7 —
BLOCK: LOT: 141 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: Sewer connection for a new single family dwelling.
Owner: _ FE —Y
-- FEES _
LEGEND HOMES Type By Date Amount Receipt
6900 SW HAINES
TIG,ARD, OR 97223 PRMT DEB 11/02/199f $2,? 10.00 99-319,'j3
INSP DEB 11/02/199 $35.00 99-319493
Phone: 620-8080 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 follow rules adopted
by toe-Oregon Utility-Notification Center. Those rules are set forth in OAR 952-001-0010 through GAR 952-001-0080.
Y46 may obtain copiet of these rules or direct questions to OUNC by calling (503) 246-1987.
4ped by: ._� l Permittee Signature:
Call (503) 633-4175 by 7:00 P.M. for an inspection needed the xt fsusi day
Ul FY Ut- t IUAKL.t Kesiaential bullcling Permit Application PlanChe t_c;gj'
3125 SW HALL BLVD, Additions or Alterations Recd By
TIGARD, OR 97223 Single Family Detached or Attached (Dt' .lex) Date Recd -Z
V 503-639-4171 Date to P.E. - $
F 503-684-7297 Date tc DSTil `�,_ -
Penr;c
Print or Type Called
Incomplete ov illegible applications will not be acc.;;;ted dE,"r (7;1 AP74W, -
Name of Project ,/ Name
.lob (firC 'l`�� ��� 4r
Address site Address Architect Mailing oss
�)
Nam City/Sts a Zip Phone
Owner Mailing ress Nam-3
C' st e zPh —1) Engineer Mailing Address
c
General Na f +" ' Cdy/"tat ,• Zlp � J
CASIt► �� t Describe work New r;:Addition O Alteration O :r
(, :F. Ma Q resp , r ., T "s to be d fs �.: 11 , ,�., �,� .. Y ,..
afle n .t'Y i .' r '�' .. .....
Pdfor topelmR �: AddMoPAI Descriptlon of Wpt1t. qty
Issuance.a copy /estate .Tlp -Phone w ' ,Ya(?r+�y'��:vytr �.. :►k. ax!^.
o$all licenses
_
aro required M Oregon nat Cont.Board . _ F�cp.Date
Llc.rk : r PROJECT.'—
expired In COT " < �`
data bas++`- rJ_5^-(03 VALUATI;
Mechanical Name NEW CONSTRUCTION ONLY
Sub- t } Sq. Ft Nouse: S
�� Lr�'[�1 r� � �-�• q,FL Garage~ �''G
Contractor r,Aaiiing Addrep,s _ * . ,/7
Prior to permit '7o-S l v �, ,f¢f/ Indicate the restricted energy installation by the elecMcal
issuance,a copy C' /State Zip Phono subcontractor In the follow' g areas
of all licenses AY Restricted Audio/Stereo
are reqs lred if Oregon Const.Cont.Board Exp.Date Energy System Alarms
expired in COT Uc.M Installations Vacuum Irrigation
database -3_ S sty em _ s stem
00
Plumbing Narne I
(check all that __ tither.
Sub- 9 022111
Contractor Milling Addieva Comer Lot YES N� Flag Lot YES NQ
GO U check one _ check one
Has the Subdivision Plat recorded? WA 1�E,.S No
Prior to permit C /bwrp Zip Phone
issuance,a copy )of all licenses are Oregon Cohst.Cont.Board xp.Date
required if Uc.N
expired In COT _-j-2 t- -ze I hearby acknowledge that I have read this applicat'on, t)at the
database Plumbing Lk.# Exp.Date Information given is correct,that I am the owner or authorized anent
__- 6y J of the owner,and that plans submitted are in compliance with
C P� Y-3! _Oregon State laws. _
Name _ Sign ure of ner gent -�_ Date
Electrical •r4 _ �'
Sub- Mailing Address Cont er pn am �i one /5 `
Contractor L ,r, l/
Citylstate Zip Phon
Prior to permit
Issuance,a copyAA 5- FOR OFFICE USE ONLY: _
of all licenses are Oregon Const.Cont.Board Exp.Date —
required if Llc.aPlat#: Ma rrL#:
Expired In COT 1 9 //,5 -�y-Ur� / -3- " ///L)/)_//1/1R00
database Electrical Lt.III. Exp,Date Setbacks: Zone � Solar
JA I
Ebddcdl Supervisor LIc.0 P.le Engi Bring A proval: Planning Approval: TIF:
s U Ill _ - V Nc7r _
OdstsvormsWaddall doc 111120M
PL Off' FLAN
LOT *1141, APPS.E WO F-.1, PARK
RI 2 51 11 DA
TAX LOT 1114800
15370 5W EMPIRE TERRACE
5.E. 1/4 OF SECT ION 11, T.2, R.]W, W.M.
CITY OF T IGARD 17 WATER METER
W,45H INGTON COUNTY, OFEGON W------- WATER LINE
SS———— SANITARY SEWER
SD—- - — STORM DRAIN
— -- - - ------ ----- a OF STREET
L F r E N D 177 HOMES N • MANHOLE
® CATCH BASIN
11190 9A BARBUR BLVD. V PORTLAND, OREGON
omcs (809) 8 -8189 97219 PROPOSED
44
STREET TREES
PAX (609) 2 -8261 ccB/ 60869 '
44
-- ---� I ® STREET LIGHT
1" 201-0" � FIRE HYDRANT
PROVIDE EROSION
CONTROL FENCE
PER COP MILINITY
EROSION PLAN
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