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15410 SW EMPIRE TERRACE
OF OCCPA
CITY OF TIGARD cPETRMIIT#EMST119 9`03N7Y
DEVELOPMENT SERVICES DATE ISSUED: 11/23/1999
13125 SW ball Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-14700
zor' R-7
JURISDICTION: TIG
SITE ADDRESS: 15410 SW EMPIRE TERR FILE Copy
SUBCIVISION: APPLEWOOD PARK NO. 3
P-LOCK: LOT: 140
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TE'IANT NAME:
REMARKS: PATH I: New single tarnily dwelling w/attached garage& covered porch. - Final Building
Inspection and Certificate of Occupancy Approved 3/29/00 by Ken Schriendl, Building Inspector
Owner:
MATRIX DEVELOPMENT
12755 SW 69 i y AVE #100
TIGARD, OR 97223
Phone: 620-8080
Contractor:
LEGEND HOMES CORP
12755 SW 69TH AVE#100
TIGARD, OR 97223
Phone: 620-8080
Reg#: LIC 00060563
This Certificate grants occupancy of the above referenced building or portiot, thereof and
confirms that the building has been inspected for compliance with the State of C 44jon
Specialty Codes for the grow, occupancy, and use under which the referenced permit was
issued.
BUILDING INSPECTOR BUILDIN FFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION �MS
24-Hour Inspection Line: 639-4175 Business ine: 6.39-4171
BLIP
_Date Requested AM�� PM BLD
Location ) 1 •.te,10Suite MEC _
Contact Person _ TP.VYI/ Ph _ 21(23 --3 3 7L2 PLM —
Contractor Ph SWR
ILOI ._� Tenant/Owner ELC
Re irrt g all ELIR
Footing Access:
Foundation FPS
Fig Drain
Crawl Drain inspection Notes: :GN ------ ----__..____ -_
Slab -- —- - — ----- - SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing iALAL- 0SAd L�i1�7-rZoL Ci4p =l --- - --- -
Insulation
Drywall Nailing - - --- - _ -- -
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
ASSART FAIL -
BING
Post&Beam
Under Slab
Top Out - -- -- -- - -
Water Servic,
Sanitary Sewer - — ----- --
Rain Drains
Final-/PA ART' FAIL
ECHANI
Rough In
Ga Line - -- _--_— -- -- -—- --- --
S k Dampers
PA PART FAIL
ELECTRICAL - -� — - --------
Service
Rough In ---• •-- •---� --
UG/Slab
Low Voltage
Fire Alarm
Final-
PASS PART FAIL -
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ I Reinspection fen of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire h a Line [ I Please call for reinspection RE:— ( I Unable to inspect-no access
ADA
Approach/Sidewalk✓
Other Date _ 2nc 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: 639-4175 Business Line: 639-4171
BUP
Date Requested 3 AM !C PM _ BLD
Location LA I r,"leSuite MEC
Contact Person _ i�}ti� Ph 370 PLM
Contractor Ph SWR
BUILDING 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 --�
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: — -- --
Final
PASS PART FAIL --------------
PLUMBING
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
Service
Rough In
UG/Slab
Low Voltage
Fi
ASS 1 P RT FAIL
Backfill/Grading �'-- —— ---- -
Sanitary Sewer
Storm Drain I Reinspection fee of$ —required before n pection P City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line i 1 Hiease call for reinspection RE: i Unable to Inspect-no access
ADA i
Approach/Sidewalk
Other Date _�. —� _ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD SUIMING INSPECTION DIVISION ,
24-,-lour Inspection Line: 639-4175 Business Line: 63'9-4171 MST /q� ���.; 7�
—�
Date
//Requested_ AM PM BUP, 2 2� �� BLD _
Location S I l.� C-,► r I it Y� ) �,/�Y Suite -�1 AVEC
Contact Person ^I� 1� Ph C'��" /� PLM
Contractor Ph SWR
BUILDING Tenant/OwnerELC
Retaining`Nall -- _ - ELR
Footing -�--- -- -------
Foundation I Access: PPS
Fig Drain SGN
Crawl Drain Inspection Notes' - -- ----- - --
Slab SIT
Post&Beam _
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation
Drywall Nailing �
Firewall Zl _
Fire Sprinkler ?t'�t.�"�•� 7 �/L y
Fire Alarm
Susp'd Ceiling
Roof r
Misc: ----_. --.—_
Final
PASS PART FAIL -- _—_
ftt G
Post&Beam
Under Slah
Top Out
Water Service
Sanitary Sewer
Rai Drains
PART FAIL
Post& Beam
Rough In
Gas Line
Smoke Dampers
Final - ------- ----- ------�----
PASS PART FAIL
ELECTRICAL --
Service
Rough In --------- ---- - -----------_
UG/Slab
Low Vcltage
Fire Alarm _
Final — —�
PASS PART FAIL
SITE
Packfill/Grading - - — - -
Ganitary Sewer
Storm Drain [ J Reinspection fee of$— —reqL,red before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RF:
Fire Supply Line ( p --•__ _ ( J Unable to inspect-no access
ADA
Approach/Sidewalk Date Other Da
- Ire*Vector_� — Ext
Final
PASS PART FAIL CO NOT REMOVE this inspection record from the job site.
CITY OF T I G A,R® MASTER PERMIT
PERMIT#: MST1959-00377
DEVELOPMENT SERVIC (50.Y6 R DATE ISSUED: 11/23;99
13125 SW Hall Blvd„Tigard, OR 97223 (50 6 1
SITE ADDRESS: 15410 SW EMPIRE TERR PARCEL: 2S111DA-14700
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 140 JURISDICTION: TIG
REMARKS: PATH I: New single family dwelling w/attached garage &covered porch.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIQHT: 24 FIRST. 1,034 of BASEMENT: of LEFT: 4 SMOKE DETECTORS: 'Y
TYPE OF USE: 5F FLOOR LOAD. 40 SECOND: 1,286 of GARAGE: 495 of FRONT: 20 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT. of VALUE: $174,616 60 RIGHT: 4
OCCUPANCY GRP: R3 BORM: 3 BATH: 3 TOTAL: of REAR: 19
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRv TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWEF LIN_S: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TIJBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<1n0K: BnILiC10.0<3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN>=100K: 1 UNIT HEATERS: HOODS 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL _
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 7 200 amp: 0 - 200 amp: W/SVC OR FDR: 1 PUMPIIRRIGATION: PER IN£PECTION:
EA ADD'L 500SF: 4 201 -400 amp: 201 400 amp: tai W/O SVC/FDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amu: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HM/SVC/FDR: 601 1000 amp: 601+ampo•1000v: MINOR LABEL:
t00n-amp/volt
PLAN REVIEW SECTION
Roconnect only: >-4 RIES UNITS: 9VCIFOR>+225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 2 STERFO: VACUUM SYSTEM: AUDIO It STEREO: FIRE ALARM: INTERCOMI°AGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: OATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,783.16
This permit is subject to the regulations contained in the
LEGEND HOMES LEGEND HOMES CORE Tlgard Municipal Code,State of OR Specialty Codes and
6900 SW HAINES 6900 SW HAINES ST all other applicable laws. All work will be done In
TIGARD,OR 97223 PLAZA 2,SUITr- 200 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 adopted by the
Oregon Utility Notification Center Those rules are set
Reg N: LIC 0006056, forth in CAM 952-001-0010 through 952.001-0080. You
may obtain copies of these rules or direct questions to
OUNC by Cali nn 1503)246-1987,
REQUIRED INSPECTIONS
Erosion 844-8444 Underfloor Insulation Plumb Top 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/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
P t/Beam Mechanica Mechanical Ing Shear Wall insp Water Line Insp Final Inspection
IssuIto
Z�l
B / A Permittee Signature
Y
Call(503)639=4175 by 7:00 p.m.for an inspection needed a next bus Hess day
CITY OF T I G A R.I) O R I `'' I ` � � LPERMIT#N SWR 999 00 38
DEVELOPMENT SERVICES DATE ISSUED: 11/23/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS; 15410 SW EMPIRE TERR PARCEL: 2S111DA-14700
SUBDIVISION: APPLEWOOD PARI-, NO, 3 ZONIINr: R-7
BLOCK: LOT: 14C JURISDICTION: TIG
TENANT NAME: LEGEND HOMES
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF U`:)E: SF NO. OF BUILDINGS: 1
INSTALL TYPE: L.TPSWR IMPERV SURFACE:
Remarks: Sewer permit for a new single family dwelling.
Owner: FEES _
LEGEND HOP ES Type By Date Amount Receipt
6900 S.V HAINES -
IGARD, OR 97223 PRMT DEB 11/23/99 $2,300.00 99-319973
INSP DEB 11/23/99 $35.00 99-319973
Phone: 620-8080 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to compl} with all the ruleG and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amornt paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer late;als. 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 'hose rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may ain copies of these rules or direct questions to OUNC by calling(503) 246-1987.
Issued b 1. Permittee Signature:
Call (503) 63914 7! by 7:00 P.M. for an inspection needed the next business ay
UlTY Vt- IIUAKU Keslaentlal dijilding Permit Application PlanChgcl_a -
131'25 SW HALL BLVD, Additions or Alterations Rec'd B„
TIGARD, OR 97223 Single Fan%y Detached or Attached (Duplex) Date RecdI- 1 -9
1 V 543-639-4171 Date to P E..&-/g.9
Date to DST/ ' ' `/` _
F 543-6$4-7297 Permit# F i5,-rgg9�/�3�7
Print or Type Called G ;
Incomplete or illegible a plications will not be accepted
Name of Project Name ,'
o o 23 1Z
.lob A &-' l �� l�i4� L �a
Architect A>taiiin Ad ess
Address; Site Address � � r%) /
Nam I City/Stafe Ztp Phone
O-r,.•ner Mailing Aodreis tJartt�,
cftylfflate Z Phone Engineer Mailing Addres�
- General Na .. City/ tat Zip •a
Contrar"0i'-u _
�„t „� ,r f i Describe worts Now Additbn V Atteratlorslu`Of �''t 0'.V, ,
�A Jw'TN -.�Z ..
t �+a))n rasa r, � r, f r� ; � .�. to r,�+d�r,e
Prior f6permit ;fi '` # , `�I Addiltional Description of Wq GrA.
issuance,a copy / tate r P Phone . irt'�.i11r�,>3 '4,Y 9r �w:x.�i �. w 1`k '•
of all licenses C S-� ,i
/ `j Sf/�v JG 1
are required If Oreyon net Cont.3oard Exp Date i PROJECT, l �i�i � -, Kul:''
e liareat aseoT uc .# 5 VALl11r A�ION I `
tiT .a
Mechanical Name
NEW,CONSTRUCTION ONLY: 'e+ * r�5 a4 `)
Sub- - n Lx'r✓L1 Sq.Ft Flouse: Sq. Ft Garage.
Contractor Mailing Addre" _ _ �,_ ;• �//��
Prior to permit �� S �, �oS' ,�y IndlcatE the restricted energy installation by the electoral
issuance,a copy C /State Zip Phone subcontractor In the following areas _
of all licenses % Restricted Audio/Stereo
are required if Oregon Const.Coit.Board Exr.Date Energy _ System Alarms
expired in COT Uc.# I in um Installations VacuIrrigation
e
database -� yy System System
Plumbing Name (check all that Other.
Sub- apply)_—
Ma1� 8 I
Contractor ling Address Comer Lot YES 14�) F1'--g L'jt YES NO
iU Q i O 0 check one t check one)J�
Has the Subdivision Plat recorded? N/A f(FS NC
Prior to pe:,nN. CM
Zlp Phone J`
Issuance,a copy q
arz
of all licenses are Oregon Const.Cont. Board ^ Exp.Date
required If Uc.#
expired in COT6602 3 - 1 hearty 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
of the owner,and that plans submitted are in compliance with
, Oregon State laws.
Name Sign ure of nor gent Date
Electrical ` G>t .O -
Sub- Mailing Address Cont a on ar�y / Phone
Contractor �
City/State --�Zip r'�onq/
Prior to permit
Issuance,a copy '
j._ i'
of all licenses are O FOR OFFICE USE ONLY:
rayon Conat.Cont Board Exp.Date ---
required If Lk:.aPlat# y Map/TL#: /
expired In COT / :P, 5� —lq 1 /d / I 'An I
database Electrical Qc•/. Exp.Date Setbacks: Zone: Solar.
Electri`t Supervisor Lic.# P.nate Engi enri p royal: Planning Approval: TIF:
►l-lis-y5
I:WstsVor ms%faddalLdoc I M20M
FLOT FLAN
LOT 11140, AFFLEWOOD FARE
;R l 1116 1 11 D A
TAX LOT #14100
15410 5W EMPIRE r'ERRR4CE
S.E. 1/4 OF SECTION 11, T.2, RAU, W.M.
CITY OF T IGARD
WASHINGTON COUNTY, OREGON
LEGENDHOMES
11130 3A RARBUR BLVD. PORTLAND, ORGGON
O.TICR (603) 244-8169 97219
PAZ (603) 244-8261 C(71/ 60363
f--
7-
LOT
LOT 1,41
I I I � � 889'54'25"W
200.5 H,.I,
I I t' 200.2' t- -- -
I h_ _
225_
II ��
WATER 11ETER. I 1
I
I � flN• �
lJJ- - - - WATER LINE
SS—- - - SANITARY SEWER I I I r
SD- - - - STORM DRAIN - t � / � � � OC / :�C4
t OF STREET -- - u.I
MANHOLE + I v `- 0 v LL j
CAYCH BASINPRO
STREET TPDEES
STREET LIGHT I I ul --
+ IIF— 125' / 4 --m5'---
FIRE HYDRANT + i
7777k A 58 W
� b
LOT 139
+ I I PROVIDE EROSION
CON(�
PER TCOMMl1N TY
Sap-13-99 11 :21A Wolcott Plumbing 503 067 9891 P . 01
Woz,COTT Stfeet Addmas MaiNnAdurws
2050 N.W.3umsido(6003)3)6667-i 781 P.O,Box 2007
PLUMBING O Orogen Gresham,OR 97030
6Fax(503)887-ggpq
CONTRACTORS, INC. CC8 e238A7
Avi ust 23, 1999
Bldg. Dept.
City of Tigard
13125 SW Hall Blvd. Q�t,�pdeJ
Tigard, OR 977.23
Wolcott Plumbing Contractors,inc. do hereby uutliorize Peg 1\ vJ()rty of Legend llomcs
to represent this finn when applying for plumbing permits inside the jurisdictiwt of'The
City of Tigard. Walcott Plumbing Contractors, Inc. realize that should the agreent4nt
with Lcgend i lomcs terminate, we have the right to withdraw our consent.
G'Vl Wo cow IL _
Name Title
WJE B- Z.3-91
SIgMturc Date
2ci-20RP13 � - R
State Plumbing Business No. City License No.