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CITYOF TIGARD CERTIFICATE OF OCCUPANCY PERMIT#: 9/010 9 00292 DEVELOPMENT SERVICES MATE ISSUED: 09/0111999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4,71 PARCEL: 25111 DA-12600 ZONING: R-7 JURISDICTION: TIG SITE ADDRESS: 15455 SW HARCOURT TERR FILE SUBDIVISION: APPLEWOOD PARK NO. 3 BLOCK: LOT: 119 CLASS OF WORK: NEW Y TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH I: New single family dwelling w/attached garage& covered porch. Final Building Inspection and Certificate of Occupancy Approved 12/17/99 by Ken Schriendl, Building Inspector Owner: MATRIX DEVELOPMENT 6900 SW HAINES STREET PLAZA 2, SUITE 200 TIGARD, OR 97223 Phone: 620-80810 Contractor: LEGEND HOMES CORP 12600 SW 72ND AVE TIGARD, OR 97223 Phone: 620-8080 Reg #: LIC 00060563 This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes f the:group, occupancy, and use u der which the referenced permit was issued. I, BUILDING INSPECTOR BUILbIN0 OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST' 24-Hour Inspection Inspection Line: 639-4175 business Line: 639-4171 BLIP Date Requested` A2/(-7 AM PM BLDLocation Suite MSC _— –.--- --- Contact Person '—T-Lw c A' Ph _ 4�=Q9.3-3 PLM Contractor Ph 3 3 20 SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Fooling Access: _�_�.�....��..� - ---------.__---- Foundation FPS Flg Drain SGN Crawl Drain Inspection Notes: ------ -- ------ Slab ------�-.-.. _ ___-- SIT Pot'a Beam --.___-- Ext Sneath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing - - -- ------ _.-...------ - ---- -- ------ - Firewall - - -- Fire Sprinkler - Fire Alarm --- Susp'd Ceiling -. - ------_._--------.- ._ Roof Misc: --_-.._. ---- - --- - — inal`�^ I�c� OASS PART FAIL - -. -- ---- ---- - - - ----- ------ PLUMBING Post&Beam - --- .... ---- -----.... -- -- - Under Slab TopOut ----- -.,.__ —._ ------- ------- Water Service _ Sanitary Sewer Rain Drains Final PAS PART FAIL MECHANICAL - Po9t&Bean, Rough In Gas Line - --- - --. - - -- Smoke Dampers Final - - - - - - ,jgW PART FAIL ELECTRICAL -- - - Service Rough In Uta/Slab Low Voltage - Fire Alarm Final PASS PART FAIL — SITE Backfill/Grading Sanitary Sewer Sloan Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ j Please call for reinsr Nction RE: 17 Unable to inspect-no access ADA Approach/Sidewalk ` LS� _ p Other Date 1 Z^- 7- Inspector _ _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. \ CITY O F TIGARD MASTER PERMIT VV V PERMIT#: MST1999-00292 DEVELOPMENT SERVICES DATE ISSUED: 9/1/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4.171 SITE ADDRESS: 15455 SW HARCOLIRT TERR PARCEL: 2S111DA-12600 SUBDIVISION: APPLEWOOD PARK NO 3 ZONING: R-7 BL OCK: LOT: 119 JURISDICTION: TIG REMARKS: PATH I New sidle tmii ly dwelling w/attached garage&covered porch. BUILDING REISSUE: STORIES: i ^_ FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 16 FIRST: 1,527 at BASEMENT: of LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: of GARAGE: 430 of FRONT: 20 PARKING SPACES. 2 TYPE OF CONST: SN DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 OCCUPANCY GRP: R? BDRM: 3 BATH: 2 TOTAL: of VALUE: S 117,570.95 REAR: 10 PLUMBING SINKS: t WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN too TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: lou SF RAIN DRAINS: I CATCH BASINS. TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: _ MECHANICAL OTHER Flx'NJRES: FUEL TYPES FURN<WOK: 1 BOILICMP<3HP: VENT FANS: 3 CLOTHES DRYER: t GAS FURN +100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: I MAX INP btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 •200 amp: 0 •200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 400 amp: X01 400 amp: 19t WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601+amps•1000v: MINOR LABEL: 1000+amp/volt: Reconnect only: PL.'N REVIEW SECTION -4 RES UNITS: SVCIFDR-225 A.: a 600 V NOMINAL: CLS AREA/Src Occ: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArTELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,289.87 MATRIX DEVELOPMENT LEGEND HOMES CORP This permit is subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and PLAZA 2, SUITE ITE 200 PLAZA 2,SUITE ITE 200 6900�W HSTREET 6900 SW HST all other applicable laws All work will be done in accordance with approved plans. This permit will expire if TIGARD,OR 97223 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: Orragon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set IN A L Reg N: LIC 00060563 forth in OAR 952-001-0010 through 952-001-0080. You 7 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion 844-8444 Post/Beam Mechanical Mechanical Insp Shear Wall Insp Water line Insp Final Inspection Grading Inspection 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 Fooling/Foundation Dr; Electrical Rough In Insulation Insp Mechanical Final Post/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Plumb Final Issued By : - � Permittee Signature Call (503) 639-4175 by 7:00 p.m.for an inspection needed tht'next bu ss day CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#- SWR1999-00181 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/1/99 SITE ADDRESS; 15455 SW HARCOURT TERR PARCEL: 2S111DA-12600 SUBDIVISION: APPLFWO0D PARK NO. 3 ZONING: R-7 BLOCK: LOT: 119 _ JURISDICTION: 1 iG TENANT NAME: LEGEND I-IOMFS USA NO- FIXTURE UNITS: 0 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: I TPSWR IMPERV SURFACE: Remarks: Sewer connection for a new single family dwelling. Owner: – _� FEES MATRIX DEVELOPMENT — — 6900 SW HAINES STREET Type By Date Amount Receipt PLAZA 2, SUITE 200 PRMT BON 9/1/99 $2,300 00 99-918051 TIGARD, OR 97223 INSP BON 9/1/99 $35.00 99-918051 Phone: 620-80810 Total $2,335.00 Contractor: Phone: Reg #: — —Required Inspections Sewer Inspection ORIGINAL 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 pemiit 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, Mie 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. Issued by: 6&,( Permittee Signature Call (503) 639-4175 by 7:00 P.M. for an inspection needed t 14 n lite ay CITY OF TIGARD Resident) Building Permit Application Plan chQ / 13125 SW HALL BLVD. Additions or Alterations Recd By r-.� TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd V 503-639-4171 Date to P.E.7 -� Date to DST� � • F 503-684-7297 rermit a9TiQg9-d�,xJa Print or Type cdiied , l , Incomplete or illegible applications will not be accepted TN _ -Tamee�of Project Name Job I /_'► f�C� Z� J�� R,4� L: � Address Site Address Architect Maifin9 Ad es _�i� Nam OilyIsla a ZipMPhone� Name /S Owner Mailing cess / CityEngineer Mailing Address ,( �e Z' Phone ° N " ` City/, tat - ZIP , . PIk General ContractorL Describe work on Q meratlon, � MaJll resa r to be r Prior to pennk (. t rExptt, Addition>all Descriptionof Wtissuance,a copy ! tate Ip of all licenses one required It Uregon nK Cont.Board . ;" PROJECT S� y fi► .: expired In COT Lic4 / VALidATION �, c/i/' -,7 4 database i lO ypry�W Mechanical Name NEW CONSTRUCTION ONLY: Sub- ��n (� Sq. Ft.House: -^ Sq,FL Garage' Contractor Mailing _ _ ��_L1__� 9_, Prior to permit /� S ��� j/� Indicate the restricted energy installation by the eledrica issuance,a copy Cit}/State Zip Phone subcontractor in the following areas__ �— of all licenses Restricted Audio/Stereo are required if Oregon Const.Cont.Board Exp. Date Energy System Alarms expired in COT L.ic.M L Xr� / 3 y� Installations Vacuum Inigation database V-.��-—�v 5 _ -System S stem Plumbing Name (L:heck all that Other. Sub- > : -L. Contractor Mailing Address Comer Lot YES No JFlag Lot YES NO check one — - (check one) Has the Subdivision Plat recorded? N/F, Y NO Prior to permit 9y/State Zip Phone issuance,a copy of all licenses are Oregon Const.Cont. Board Exp. Date required if Lic.# expire•i in COT - l ." I hearby acknowledge that I have read this application,that the database Plumbing Lic.# Exp. Date information given is correct,that I ani the owner or authorized agent 1 2 I of the owner, and that plans submitted are in compliance with Oregon State laws _ Name Sign ore of ner gent _ Date r 7 Electrical J L7lr•J �J d _ J $UIJ_ Mailing Address Contact Prson rr) ae Phone Contracior -L`) ------- 'ly - lS City/State Zip Phone/ Prior to permit issu;,nce,a copy 5 -6 FOR OFFICE USE ONLY: of al licenses are tf Oregon Const.Cont. Hoard Exp Date plat#: — Map/T Ltd: required Lic e expired in COT // `� _ -1l� Ll�� �.J�l� database Electrical Lic.N. Exp, Date Se acks• Zone. Solar Ebdricdl Supervisor Lic.N Face nate Engin Bring Approval- Planning Approval TI I )C 7 5 IU -- U e ��N� / , - �`" I:tdscsVomislsfaddatt.doc 11/2W SLOT PLAN LOT *111 10:�, APPLE WOOD FAR< Rl 251 11 ISA TAX LOT 012600 15455 AW I-IARCOURT TERRACE S.E. 1/4 OF SECTION 11, T.2, RAU, W,M. CITY OF TIGARD WA51-IINGTON COUNTY, OREGON L WATER METER W------- WATER LINE:. SS'——--•-- SANITARY SEWER STORM DRAIN LEGEND PHOMES - ItOF 11I30 Fif BARBUR BLVD. ORTLAND, OREGON N ® CATCH BASIN 97219 PROPOSED oep (Fos) zu-eleo rAx (eu3)a) 2 rrl •4-82e1 STREET TREES STREET LIGHT FIRE HYDRANT f I" 20'-0" I LOT fie 420-1W N 89'54'25" E ? l8s11LI 2fb9b' I 201.3' Ti 1 / LOT Ile /4,603 6Q. FT. 2tr71.4' DURNAM C U I FIN. FLR = 210-3 ;/ t W j l 1 //GARAGE FLR ■ 2080' \�u i n - in --0 24-0. - Un I i AJ 89'54',.5" E 1 1-1 --TW--i i 210.0' % 2013-3192.45' � 1 - I LOT 120 ©� io w l l O PROVIDE EROSION CONTROL FENCE PER CO''TMUN1T7 EROSION PLAN