8948 SW GRAVENSTEIN LANE 00
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8948 SW GRAVENSTEIN LN.
_ CEkTIFICATcOFOCCUPANCY
CITE OF TIGARD
PERMIT#: MST1999-00312
DEVELOPMENT SERVICES DATE ISSUED: 09/28/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-09000
ZONING: R-7
JI/RISDICTION: TIG
SITE ADDRESS: 08948 SW GPAVENSTEIN LN
SUBD'VISION: APPL EWOOD PARK IJO. 3FILE
BLnCK: LOT:U83 COPY
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: New SF - Path 1 - Final Building Inspection and Certificate of Occupancy
Approved 1/28/00 by Tom Plescher, Building Inspector
Owner:
MATRIX DEVELOPMENT
12755 SW 69TH AVE #100
TIGARD, OR 97223
Phone:
Contractor:
LEGEND HOMES CORP'
12755 SW 69TH AVE #100
TIGARD, OR 97223 1
Phone: 620-8080
Reg #: LIC 00060563
This Certificate grants occupancy of the above referenced buildird or portion thereof and
confirms that the building has been inspected for com.rliance with the State of Oregon
Specialty 0!%dds for the gro cupancy, and use un( er which the referenced permit was
issued
BUILDING INSPECTOR BUILUIW( OFFICIAL
POS1 � rt'NSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION �MST � _oc2�
24-Hour Inspection Line: P39-4175 Business Line: 639-4171
BUP
Requested G 00 AM _ _PM BLD
C —---
Location �'),5 �1/L Suite _ MEC
Contact Person d�)'1/� Ph 2 �' � _ PLM —
Contracto, Ph _ SWR _
UILDI' G Tenant/Owner _ ELC _ -
Retainin j WF-II ELR
Footing Access: - - ------_._..-._--
Foundation FI3S
Ftg Drain --
Crawl Drain Inspection Notes. 6GN
Slab -- --- --- --- SIT
Post e. Beam ------
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing
Firewall —
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
MIs : —
�. PART FA!'_
rPr,.�t& Beam
tJ,ider Slab
Tc.a Out ____.----- --------------------
Water Service
Sanitary Sewer
Rain Drains ✓
Final -- ---
PASS PART FAIL
HANK -- -- -
Post&Beam
Rough In
Gas Line -- - -
Smoke Dampers
PART FAIL
RICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ 1 Please call for reinspection RE: [ ]Unable to Inspect-no access
ADA
AppOtheroachlSidewalk Inspector Ext
— Cate
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MSS
24-Hour Inspection Line: 639-4115 Business Lint?: 639-071 J
BUP
Date Requested i AM---," -PN1 BLD _
Location Suite MEC
Contact Person , �E� 1'yL� Ph 2? ,3PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain J SGN
Crawl Drain Inspection Notes: --- --- ---
Slab - - - — -- SIT
Post&Beam ----------- -_____
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation -- -- ----- --- -
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
3usp'd Ceiling -
Roof
Misc. — -
Final
P _,2AAJ FAIL ----*UJQMBINq��
Post& Beam
Under
--_-- ---
Under Slab
Top Out - - ----
Water Service _
Sanitary Sewer
Rain Drains
inai > - -_- - -
S PART FAIL
T#LnANiCAL
Post R Beam --- ._ - --. - --- --- -- - --
Rough In
Gas Line _.. ..-- -- -- - --- .------------ - ----
----- -- -
Smoke Dampers
Final - - - - -- - ---- ... -- -------- -----
PASS PART FAIL
ELECTRICAL ---
Service
Rough In
UG/Slab
l_ow Voltage ------ --- ------- -----
Fire Alarm
Final
PASS PART FAIL
SITE
L ickfil4Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$ required before next inspection. Pay it City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE ( ]Unable to inspect-no access
Fire Supply Line
ADA r1
Approach/Sidewalk
Date I l '.tspecto Ext
_!/ ' _
Other -}--�-- --- --- -
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST <<�y
24-Hour Inspection Line: 639-4175 Business Line. 639-4171 - -
13UP _
�_— Date Requested_ 1 '. ;�f AM_ PM BLD
Location ,?c/�� �' 1,�- S�?uittee% /� _ MEC
Contact Person -- Ph - �� -�'S s PL.M ----- ----
Contractor Ph SWR _
BUILDING Tenant/Owner _ ELC
Retaining VVall ELR
Footing Access. - -- —
FOUndaL m FPS
Fig Drain ---- ---- - -
Crawl Drain Inspection Notes: SGN
Slab
- ---- —...---.----- SIT
post S Bean;
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation - -. --- -
Drywall Nailing
Firewall _-
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mise-- ------ — I
Final
PASS PART FAIL --
PLUMBING
Post&L'eam
Under Slat,
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final - --
PASS PART FAII.
MECHANICAL
Post& beani
Rough In
Gas Line
Smoke Dampers
Final -
PASS PART FAIL
I-EcTMCAVI -
Service
Rough In
UG/Slab
Low Voltage
Fit arm
PA PART FAIL
Backfill/Grading - -__-.- — ---- — ----------
Sanitary Sewer
Storm Drair ( ) Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( [Please call for reinspection RI —W [ ) Unable to inspect-no access
ADA
Approach/Sidewalk r
�
Other -- Date _ L U�� IIiF Ipector _ _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record frorn the job site.
CITY OF TIGARD MASTER PERMIT
PERDEVELOPMENT SERVICES DATE ISSUED: 09/28/19990312
13125 SW Half Plvd.. Tigard, OR 97223 (503) 6308I GINAL
SITE ADDRESS: 08948 SW GRAVENSTEIN LN V PARCEL: 2S111DA-09000
SUBDIVISION- APPLEWOOD PARK NO. 3 ZONING: R-7
PLOCK: LOT:083 JURISDICTION: TIG
REMARKS: New SF- Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED _
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1.034 of BASEMENT: of LEFT: 4 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND. 1.285 of GARAGE: 495 of FRONT: 21 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINRSMENT: of RIGHT: 4
OCCUPANCY GRP: R3 90RM: 3 BATH; 3 TOTAL: of VALUE: 5 173,897 00 REAR: 25
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIFS ., DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUSISHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN g 10OK: BOIUCNIP�3HP VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN>=100K: 1 UNIT FIVATERS: 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 0 - 200 amp: 0 200 amp; WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 4 201 - 400 amp: 201 4U0 amp: 1st WIO SVCIFDR. 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 800 amp: 401 800 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HMISVCIFDR: 901 - 1000 amp: 901+8mps-1000v: MINOR LABEL:
1003+amplvolt:
Reconnect Only:
PLAN REVIEW SECTION
-4 RES UNITS: SVC/FDR>=220 A.: >900 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: S*EREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOIL_R: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,761.41
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 972.23 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 il
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 0: LIC 00050583 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 Water Line Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Appr/Sdwfk Insp Final Inspection
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Fireplace Urb St Tree Certif Ltr F Building Final
Post/Beam Structural PLM/Underfloor Framing Insp Insulation Insp Electrical Final
Post/Beam Mechanical Mechanical Insp Shear Wall Insp Rain drain Insp M9chanical Final
Issued By _ Permittee Signatureso
Call (503) 6'39-4175 by 7:00 p.m. for an Inspection needed the nex"'6 si d
CITY OF TIGARD _
SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR1999-On193
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-1171
DATE ISSUED: 09/28/1999
SITE ADDRESS; 08948 SW GRAVENSTEIN Lei U R I r I N�QNING: R-711DA-09000
SUBDIVISION: APPLEWOOD PAR" NO. 3
BLOCK: LOT: 083 JUPISDICTION: TIG
TENANT NAME: LEGEND HOMES
U,:1\ NO: FIXTURE UNITS:
CL4SS OF WOK;` NEW DWELLING UNITS:
TYPE OF USE: b 7 NO OF BUILDINGS: 1
INSTALL TYPO: LTPSWR IMPERV SURFACE:
Remarks: New SF - Path 1
Owner: !_ _FEES
LEGEND HOMES
6900 SW HAINES 5T Type By Date Amount Receipt
TIGARD, OR 97223 PRMT DST 09/28/1995 $2,300.00 99-318686
INSP DST 09/28/1995 $35.00 99-318686
Phone: 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 r,ot 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 riles adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 932-001-0080.
You may obtain copies of rules oro
yect questions to OUNC by calling (50324_6-1987.
Issued by: Permittee Signature _
Call (503) 639-"4175 by 7:00 P.M. for an inspection needed t e ne Hess day
Ul TY vi- I to-;Arcu residential tiulicfing Perr ut Application Pan Ch
13125 SW HALL BLVD. Additions or .Aiterations aec'd B
TIGARD JR 97223 Single Family Detached or Attached (Duplex) Date Recd - _51
V 513-639-6171 Date to P.E. 1?-
F 503-684-7297 Date to DST -17- —
Permit# 7777
PriO or Type Called � L q - rq�t -
Incomplete or illegible applications will not be accepted 3
Nameof Project ,1( Name /
Job A QJ•L�/,f aT��/j C �es�r7
Andress SNs AMailing Architect Ad d )
Nam r yam` City/Sta a ZIPMPhone
Owner Mailing A dres-s Name ,
city(3l-5e Z LLILCC Pnone Engineer MaW,11 Address
General Narrle City/ tat •Zip
Contractor'-� "L - "t"4, Describe work +�
~_ iJ }� ditlon O .AReratbn O r Yr
Man rosy ,: r to be dorie.
Prbr to permit , , ° '.r 4 `'� Additional Desidpdon'of Wgrk:: `''
issuance,a copy ®regon
pPhone " rxYiTlr� .. ,YFh , Altof all liceare required ff \ nat Con!Board Exp. Date PRb.�BCT
expired in Il�y .�5�� VALUA_T_
database "� � ION �,,• '
Mechanical Name NEW CONSTRUCTION ONLY: !07"
Sub- �TSq.FL.C _ d
Contractor Mailing�ns
Prior to permit A',-5 ' Indicate the restricted energy installation by the electrical
issuance,a copy C /State _ zip Phone subcontractor in the follow in areas
or all licenses _ Restricted— Audio/Stereo
are required if Oregon Const.Cont. Board Exp. Date Energy _ S stem Alarms
expired in COT Lic# Installations Vacuum Imgation
_ database —� �— S Stem System
Plumbing - -�---- —
Name n (c;re ac all that Other.
Sub-
Contractor Mailing Address Comer Lot YES NO Flag Lot YES NO _
A') dieck one) _ check one)
Has the Subdivision Plat recorded? N/A1(E,S NO
Prior to perm,t C41State Zip Phone J'�
issuance, a copy �c' — --__
of all licenses are Oregon onst.Cont.Board Exp. rDate
required it Llc.#
expired in CO' 3 r- ,/ -M I hf,arby acknowledge that I have read this application,that the
database Plumbing Lie.# Exp Cate information given is correr,'t,that I am the owner or authorized agent
of the owner,and that plans submitted are in compliance with
—.— - 3 L'3 Oregon State laws. /
Name Sign re�OneqAgent ate
Electrical � --
�21 « t arrtc /
Sub.. Mailing Address Cont- er on Phone
Contractor I S i - -C +,1c�y- S
. — ---- --
City/State Zip Phon
Prior to permit Y
issuance,a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont. Board Exp.Date -----
required if Lic* Plat#. Map(fL#: p
expired in COT .�'� 5~l/ 1146,16! C-)-U / U.—)e3
database Electrical tic.#, Exp.Date 1 Setbacks: Zone: Solar:
Eledricll Supervisor Lic.Ar Exp.nate Engineering Aporovsl:
/7 Planning Approval: TIFiL2L
l!� - � I
L-Z.-_�----._ 1 1 I �,
i:ldstsVormslsfaddalLdoC 11120M
F�pnt By: MATRIX DEVEL & LEGEND HOMES; 5035988900; Sep-14-99 9:34AM; Page 1
Legend fomes
Math De*elopment
11130 6W Betur Blvd
Portland,oB 97219
Pbane:244.8159
Fax: 2444261
F" COVER SHEET
Date: 6
Fam
From: �P
Namber oipo.Cat
including cover sheet-
Mmsgc:_ ZJ1,�mel)
By: MATRIX DEVEL & LEGEND HOMES; 5015988900; S?p-14-99 9:34AM; Page 4/4
SG,p-13-99 11 !21A Wolcott Plumbing 503 667 9691 p,02
WOLCOTT St(eelAddrius MsAngAddrg6v
Pg� 2060 NAV.aumeido P,0.WX 24a7
LUMBING LI.1 MING °r"Nam.orasw G—hum.on 97090
(Sam 667-1781 Fax(503)867-&W I
CONTR'CTOR.! , INC. CC 073447
C�
August 23, 1999
1�
I
Bldg. Dept.
City of Tigard
13125 SW !full Blvd.
Tigard, OR 07223
Wolcott Ptutnbing Contractwn, L cby uuthmice Peg 1vWa.10nY of Legend 11ouics
to represettt this fir•u when apply* tmbing pcmiits inside the juri.sdicnun of'rhe
City of Tigard. Wolcott Plumbi +g Contractors, 111c, realize that shoved the Agreement
with Legend Domes te,mfntrtc, we have, the right to withdraw our consent,
Nru11e, Title
C 14• ttJrC � _....-.-. �._._--..
�tc
State Plumbing Business No. City f 1ccme No.
I
PLOT PLAN
LOT 4183, APPL E WOOD FARC
RI25111DA
TAX LOT *'3000 �_ Q� end C�v►,e�
8948 5W GRAVEN5TEIN LANE
S.E. 1/4 OF 5ECTION 11, T.2, RJW, W.M.
O I Tyr" OF T IGAF0
W,45NINGTON COUNTY, OREGON
N
I
I
P 20:-0"
SW GRAVENSTE IN LANE
C, WATER METER
W------- WATER LINE ----
SS———— SANITARY SEWER � I
STORM DRAIN �
i
__.- -- (tOF STREET eu E U
MANHOLE CURB -
® CATCH BASIN SIDEWALK , II
STREET TREES ROPOSED
' UT;LITY I $ &
EASEMENT -T-- - - 20 .4 204.0'-
STREET LIGHT --- __ _ ____i
FIRE HYDRANT �1 I 4.0'
2040 204.1' /
4Z'
PROVIDE: EROSION � 9 4 16 SO. Ft. /
CONTROL FENCE 7` � C TIT 1113
9
I'EP COMMUNITY tu / FIN.FL R ■ 206.1" / �D
ERC PLAT! GARAGE FLK 225.0'/ z
/ 4 OT 8.,
k �
LOT 62 2255' 25.0'
- 2055'
206 3'
JIlk
S 89'54'25" W
&2.00,
LOT 72 LOT 73 LOT 74