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8574 SW L ODI LANE
CITY OF TlGARD
DEVELOPMENT SERVICES
k 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171
CERTIFICATE 0,
OCCUPANCY
PERMIT 0. . . . . . . i MST98022.71;
DATC ISSI. EDs tO/167,198
131TE IAUDP�_*SS. . . 2 037474 SW LOO 1_1\1
`AJBD I V I I ON. P"PLEWOOD P6RV'. NO. 2 Z ON ING: R7 P
BUOCK. L01.. . . , . . . . . . . . . .OVJUQ 1131)1 C I ION.TTG
0-ASS3 OF WORK. :NEW
T'Y'r-I F-.' DF USE.. . . s 3 F
'I-YPE. OF CONS1R:5N
OCCUPANCY GRP. tR3
OCCUPANCY LOAD.i?
Remav-k% PATH T- New 5FD
Ownel-I ......
MATRIX I)LUELOPMENT CORPOPATION
6900 SM OVIINES ST #200
TMARD OR 972,23
1.11-ionF,
I ,EGEND MMEG CORr
EW t1AINF'j EjT Fri-,Or
JIGARD OR
A #. . -
�ifi Cet-tificatp pt-ants occupancy of the abovp t-eferpriced builditog or- poj- tjr-rr
ieiqof and c.•anfir,me thAt the building hAs boon inspected for-, complianc-e with
',e State of Oi,eqon SpeciAlty Codes For, the gt,oklp, 0orl.kpallf-y, anri ust, under,
''rich the 1-efpv�encefj pet-reit was jsq1.A(-d-
4a4
'Itt r$TN(; INOPECTOR
PUTF IN CONSPILAJOUcS PLACE
L
CITY OF T'IGARD BUILDING INSPECTION DIVISION rrlsr �
24-1-tour Inspection Line: 639-4175 Business Line: 639-4171
KK � \f F3UP
7 Date Requested lr; ��_AM -_ PQ� — /�` BLD
Location 5-7Suite — MEC
Contart Person Ph PLM
Contractor —_ x.111✓� Ph -' r% SWR --
BUIL DING ELr--- Tenant/Owner -- -
Retaining Wail ELR
Footing Access: ---���-
Foundation FPS
Ftg Drain � -
SGN
Crawl Drain Inspection Notes: — -- --
Slab _ _ SIT
Post& Beam
Ext Sheath/Shear tiL -dim,
Int Sheath/Shear -
Frgming_
_�jsselation-
Drywe(f'N iling (� n) i�G'TD![,, ,1_ ? �-3
Firewall
Fire Sprinkler - tic/54�L�A e)A i -
Fire Alarm
Susp'd Ceiling --
Roof
Fin ?
PART FAIL --- - --
PLUMBING 10-11
Post& Beam -
Under Slab
Top Out
Water Se vice _
Sanitary Sewer -
Rain Drair,s _
Final
FAS$--.4 AKX FAIL
Post& Beam
Rough In
Gas Line --- - - -
Smoke Dampers
S PART FAIL
ELECTRICAL - - -- _ .. -- --- - - --- - --
Service
Rough In
UG/SlabLow Voltage
Voltage
Fire Alarm
Final
PASS PART FAIL
SITE _
Backfill/Griding -- - - -- ----- - -- - --- - _..-_,_
Sanitary Sewer
Storm Drain ( [ Reinspection fee of$ -reguir-id before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( 1 Please call for reinsnectinn RE: __- _- [ J Unable to inspect no access
ADA
Approach/Sidewalk - 7 j' Inspector i Ext
Other Pate 1 _— --- — p ------
Final
---Final ----
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
,u.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST;
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
_ BUP _
L Date Requ sted ;AM 1 k PM HLD
Location—. `, �. _ Suite ��r MEC
Contact Person — Ph -�), -/ , 3 PLM
Contractor Ph SWR _
BUILDING Tenant/OwnerELC
Retaining Wall - ELR
Footing Access:
Foundation FPS _
Ftg Drain SIGN —
Crawl Drain Inspection Notes. ------
Slab _ �7 SIT
Post& Beam
Ext Sheath/Shear SLS �"� -C �- � �� L + rr I�) f�/�t 1 -- -----------
Ii it Sheath/Shear —
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ---- ------- - ---- -- ---- -
Roof
Misc -- -- - _�
Final ---- -------__...
PA $_. P RT FAIL - ------ -- --- --------- _--._,_�
PLUMBING
Post 8 Berm -----
Under Slab
Top Out
Water Service _
--------------------------------------------
Sanitary Sewer — - -- �-
Rain Drains
PART FAIL
MEZRANICAL —
Post& Beam ---- _....-
Rough In
,3as Line - - ---- - - ------
Smoke Dampers
Iinal - --- ---- --- --- --------- - - -
PASS PART FAIL
ELECTRICAL.
Service
Rough In
UG/Slab
Low Voltage --- ---- -_-__._.
Fire Alarm
Final ------------ ---- --
PASS PART FAIT- --_-
SITE
Backfill'Grading ---- - -------- --- -----
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line l ]Please call for reinspection RE: �. [ ]Unable to inspect-no access
ADA
Approach/Sidewalk Date / /I
Other _�.1 '' _--.In3peCtrr --f '� - -------Ext --
Final
PASS PART FAIL j 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Haur Inspection Line: 639-4175 (Business Line: 639-4171
BLIP _
10 f 4',1' 6Date Requested_1 o -7- q? -('M r. --_PM --- —__
BLD
t ocatian `}J ���1, �1. ` Suite L� MEC
Crnia,:J Person Ph PLM
Contractor _ -- Ph SWR ------ ---
BUILDING Tenant/Owner ELC _----- __ —
Retaining Wall - ELR
Footing Access: -- -- -- ----�-
Foundation FPS
rtg Drain
Crawl Drain Inspection Note: SGN
Slab --- ------ — - -_..----- ---- SIT
Post& Beam
Ext Sheath/Shear _
Int Sheath/Shear -�
Framing
Insulation
Drywall Nailing A e.Cie 10 --
Firewall I / -
Fire Sprinkler Cor- [�"�-1/1L, _-_� TQ � n
Fire Alarm
Susp'd Ceiling
Roof t /
Misc:- ------- ��-- --V----L — - 1.. _6?C 1� ..__ � �_t- eJ
Final
PASS PART FAIL _-- -Q- �� -�P ---- -----._A--- ---- -----
PLUMBING ,,,)L
Post 8 Beam --.-----_-- -- ------�__-.._._-. _-- _
JL
Under Slab lut
Top Outt _�- - -- - -
i Water Service 0
Sanitary Sewer -
Rain Drains r _
l s
Final
PASS PART FAIL
MECHANICAL
Post& Hearn �� - ------ --
Rough In
Gas Line --- - --- --_ --_- -- - ------ . -------
Smoke Dampers
Final - ---- --
PASS PART FAIT_
ELECTRICAL �- --- - -- -_ ---- -----_ _.�
7e 711 _
Rough In
UG/Slab
Low Voltage -- _—_-. ----- ---. ..------------
Fire Alarm
--.--
ASS PART FAP. ---^----------_-_-_
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 [ ]Please call for reinspection RE _ -^--__ - ]Unable to inspect- no access
':SDA
Approach/S `
Other __— nate l _����7 Inspector�/ —_� Ext —�
Final
PASS _ PART___FAIL DO NOT REMOVE this inspection record from the job site,
CITY GIF TIGARD MAP' -_R PCF01 TT
DEVELOPMENT SERVICES rp,",F MTT #. . . . . . .
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DA *E 1,qcE;L1ED.- O6/17/,)r4
r,AR(-F.I. : PIP31 1 t Dn(1,2,400
ZON11t4j; R 7
1, nT, I JlJP T.r30 T 177 T Otq- T I ri
c' , I- New SFD
------------ --------------------------------- KILDING -—-------—-----------------------------------------------------
REISSUE, STORIES.......: 2 FLOOR AREAS---------- BASFMENT...- 0 sf REXTRED "4CKS---- REDUTRFD----------
XASS OF WON.iNEW HEIGHT........: 15 FIRST....: 927 sf CARAGF.....: 479 s' LEFT..........: 4 SMOKE DETECTRS:
`YPF OF USE—,SF FLOOR LOAD....: 40 SECOND...: 1227 sf FRONT.........: 13 PARKING SPACES: 2
TYPE OF CONST.-SN DWELLING UN!"S: I F I N85MENT: @ sf RIGHT......... : t4
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL -- 2154 sf VAL UE..1: 15309P REAR..........: 20
------------------------------------____ PLUMBING ---------—--------------—--_..______._____—_r_
-----------
1 WATER CLOSETS.: WASHING MACH..: I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: IN TRAPS.........:
Z
3INKS......... 1 3
_AVqTORIE:,.... 4 DISHWASHERS...: ! FLOOR "I.RA14S.. 0 SEWER LINE ft.- IN SF RAIN DRAINS: 2 CATCH BASING—: 0
%VS40WERS... 3 GARBAGE DISP.,-. I WATER HEATERS.: I WATER LINE ft: 100 BCKFLW OKUNTRt I GREASE TRAPS.., ?
OTHER r]YTURES: tl
----------------------------------------------------------------- MECHANICAL
FUEL TYPES- 'URN ( IM 0 BOIL/CMP ( 31P 1 VENrr FANS..... : 3 CLONES DRYERS: 1
;AS FURN )rIM I UNIT HEATERS..: P HOODS.........: OTHER UNITS—: I
1AX INP.: 300@0 BTU FLOOR FURNACCS: 0 VENTS......... : I WOODSTOVES.... 0 121"01 OLILETS...; I
ELECTRICAl- -----------
- RESIDENTIAL XT--- ---SERVICE/FEEDER----- -79P SRVC/FEEDERS-- ----BRANCH CIRCUITS---- -----MISCELLA%OUS__ ---ADD'L INSPECCITION-
IM SF OR LESS., 1 0 - W alp..: 0 0 - 200 amp,.- 0 WISVC OR FDR..., 6 PUMP/IRRIGATION: 0 PER INSPECTION:
1.a ADDIL INSF.: 4 201 - 400 alp..- 0 pot - 400 alp,.: 0 1st W/O SVC/FDR: 0 SIGN/DU'' IAN LT: 0 KA ROUh...... 0
_11417-1) ENEPU'Y.-. 0 401 60P app..: 0 4011 600 8AP,.: P FA ADDL Pq CIR: 0 Slow/DANEI....: @ IN PI k#T......
4W HM/SVC/FDR: 0 601 IM alp., 0 601#aops-I000 V: q MINOR LABEL -10: q
I0004. amp/volt.: 0 PLAN REVIEW SECTION
Reconnect only.: 0 )%4 RES UNITS..: SVC'7DR)=225 P.: 6* V NOMINAL, LLS PREP/SK OCL:
__-_..-------•..-----------------_..-----•-------.___ ELEC'R(Ck RESTRICTED rNrQUY
1. 37 RESIDENTIAL--------------------------- S. COMWRCIAL——---—-------------------------------------------------------------------------
4UDIO I STEREO.: VPrUUM SYSTEM..., AUDIO I STEREO,, FIRE ALARM...... TN1,'FRC0M/0AGING; 0')TDOOR LNDS7 !T:
IURULAR ALARM,.- OTH:Y KILER......... HVAC...........: ,ANDSCAK/IRRIG: PMTECTIVF JIGNL;
!ARAGE OPENER— C"Oty........... MS I RIMENT;T I ON! MEDICAL......... OTi:Q- ..
4VAC... DA"A/TELE COMM. NJRSE CALLS—,-, TOTAL 4 SYSTEMS: 4'
Nner: -- -_.._.____._ _-------_..________--Cintractor: TOTAL FEESO 40E7,86
_EGEND HOMES LELtND HOMES CCW. This permit is subject to the regulations contain,!d i-. : :-
;900 SW WPINES ST 6900 qW 14AINES ST #2* Ti;ard Mlijricipa) Code, State of Ore. Specialty 'odes and all
11nnRD OR q7223 TIGARD OR 97223 other applicable laws. All work will be done �.n acc.i�'di
with approved plans. chis permit will expire .f otcr, it
e 4: ;N-81180 Phone 4: 620-e080 not started within 180 days of issuance, or if the tic-1
Reg 685633 suspended for more than 190 days. ATTENTION: Oregon law
requires you to follow riles adopted by tho Ortgvi LPiFll-
Votificatior Center. Those rt2les are sit forth is OAR 9552-00I-011 through OAR 952-NI-PIP0. You may obtain copies of theLe Mules
� i*-ert qupstions to OINC by calling !003)246-1967,
—---------- RH21.11RED INqPECTIONS- -------------------------------------------------
Erosinrt (4L-8444 Crawl Draiti1a,-'- Rough Gas Fireplace Plomb Final
acting Insp PLM�Undtrfloor Framing insp Insulation Insp Building Final
Foundati6r Insp 4rchanical Insp Shear Wall Insp Water Sell-VIC0 IT;
7t/Bear Struct ,T�
Low Voltage Electrical Final
:/Beat MerhArt Gas 1.1r; Insp Mvhanira) Fina?
Plan Cneck 0 � /;z �-
"ITY OF TIGARD Residential Building Permit Application Recd By .
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd 0 -X-
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E.
V 503-639-4171 Date to DST / *s-
F 503-684-7297 Permit#,M 7 r 7 b -
Print or Type Called�r
Incomplete or illegible applications will not be accepted
5101),CgB'-0lP7�
���ob N e of Project,,^,J lame �,9 ��,
�� ,_ - -
Address Site•Address Architect Maai Address
Na e, City/$late Zip Phone "
s f _ C+ 20 .`l36 ri�
Owner Maill Address Na y
g Pho,t SCateEn Engineer Mailing Address
r,
7_,p
:rtes *1-L
City/
Nam State Zip
General Phone,
� � :
Contractor � ��
?
Descrbs work ew Addiu n •• ''
J Alteration O Rus air O .,
Mallin Ad,Jress to be dome: p �•,g„l 1
Prior to permit •i Additional Description of Work: y
issuance,a copy City/State Zip Phone
I of all licenses l 6 zo:t fo,466 "— S
are required if Or Const.Cont.Hoard Exp,DatePROJECT '
expired in COT Lic.# O � VALUATION
database _
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- 7)Q�\ �, ,•� �� _ �,q. 1=t. House: Sq. Ft. Garage —
Contractor Meiling Addcp.� �, +
Prior to permit Z!� 2 5 (�5 h Corner Lot YE NO Flag Lot YES
issuance,a copy City/State Zip — Phone (check one) _ (check one) " .
of all licenses �Ot11!111 �, __C117-11k, 2.5 -- Restricted Audio/Stereo Burglar • : : x
are required if Oregon Cons Cont.Board Exp.Date Ener
expired in COT Lic.# 9Y S 1 tem
4 Alarm
database _ 4 $r 3 I __ 3� 'q$ Installation n,,,,��r�.�, Garage Dcor HVAC
Plurnbing Name �n Opener Systems
Sub- -w C,( I t t\ (check all that � Other.
Contractor Mailing Address _.._ _
Will the electrical subcontractor wire for all YES N70
restricted energy installations'?
Prior to permit City/State Zip Phone Has th:S!,bdivision Plat recorded'%
issuance,a copy (�5� �` � CL /'f �-SL 3a11 _ N/A S NO
of all licenses are =Oregon Const. Cont.Board I:xp. Date _
required if Lic.# ReissL,le of NIST# Solar Comulmrice
expired in COT �3 � /_� _ /O (q -9 $ _ ___ __( (Caiculatian Attached)_ _
database Plumbing Lic.# Exp. Date I hearby acknowledge that I have read this application,that the
_? ���/ m�� .� -3�� -q$ infonnalron given is correct,that I am file uwne or authorized
-"--_--
Name-- ---- ---- agent of the owner, ani that plans submitted are in compliance
with Oregon State laws.
Electrical ( � pec Signptureof' rner/Age_nt — Date
Sub_ Mailing Address d•1 F�,�, j_Ga7
Contractor 5W IV (t�t h t W cont .t e s Na Phone
City/State Zip - Pti�Ae-- ����` t' �� D
Prior to permit FOR OFFI E USE O Y: _
issuance,a copy �� 'ho. (331Z_ CQ,)0(v 59 1 J('320 Plat#: � Mapf;I.•#: �
of all licenses are Oregon Coif-it.Cont. Beard Exp. Date I , i - � 4 l )
required a L!c.# -
expired in COT
r Setbacks: T Zone: �. molar:
dataoase Electricali.,c.# Exp. Date `
/ Engine g Afprov il: Planning Approval: "IF:
IC)
I:SFREM.DOC (DS'T)x/97
� �°, �A
F 1._O T FLAN
LOT #1l�, AFFLEWOOD FARE
Rl25111DA
85-14 SW LCD I LANE
S.E. 1/4 OF SECTION 11, T.2, RJW, W.M.
CITY OF TIGAfRD
UJA5HlN(.�TON COUNT-T-, OREGON
LEGEND 7HOMES
8000 S.R. !MINES STREET TIGARD, OREGON
PLAZA 2, SME 200 97223-2514
OFFICE (503) 820-8080 PAX (503) 598-8900
�0
i4
PRG'�IL'E ERIO1J /9a -
N'R 'L FENCE I 1
FER C-Ct- "IUNITY
EROSION PLAN - -- -- ---�..t_.i �L� _g°—_ -- - --- .----- - -SS— �
S � II y
--- --�--- -_- ! ---- LCIDI LANE
(P
E
ee N 89 54' 25 --- ---��\ ---
Ilk
I`18�— al 00
U_-------_�y.•2985' I '
l-
I - 20'-C" . _ 4�,,� __ – – – – - - �198. --• w—�--, �.
I �
L•7 WATER r-IETER /5O SaFT.
W----- — WATER LINE up �+
NARCOuf2r 1!�1
SAN:7ARY SEWER t' FIN FLR. = 199.0' -�
STORM DRAIN \40-
t
40 GARAGE FLR 1985'
¢-------- SOF STREET NC
1982' I t�
MANHOLE �� 198 " � 1 EI
CATC I-1 BASIN
PROPOSED LOT 20 � p 119BB'
STREET TREES IWO' I
STREET LIGHT
FIRE WYDRANT
Lor 17
1 I 115
CITY OF TIGARD SrWEP CONNECTION
DEVELOPMENT SERVICES PEP111TT
13125 SW Kill Blvd.,Tigard,OR 97223 (503)639-4171 PFRMTT #,,. . . . . . . c,--,14R98-0 I PPI
DATE, f!3s CD. O(I-1/ 17' 1J8
I TF AL)11)RESS. . . 03574 13W LOD I I_N
;I..)
-1)T V I S I C)N. . . . APPLFWOOV PAR14 NO 7nNTNG: R-7 PD
31..-0cm. . . . . . . . . . LOT. . . . . . . . . . . . . :O19 TI-IRISDICTTON: TICS
TE.NANT NAME:. . . . . :LEGEND H 3MCS
!.Gri NO. . . . . . . . . . : F1x,r(JRF 1.)NTT5. . . 0
CLASS r_ir WnRK. . . NF-W DWFLI..T NO 1.P\1 T T13. . I
T'VPF_ OF (.11iF. . . . . .SF NO. OF ALJ TL.r7Nr9,c3z 1
T N T)T 0 L.I T'YT)f7. i_.Tfj,.7;wfR TMPP.='PV St. PFACF. sf
Rpm,--.AH-s : Nnw qF71)
'X-1-END HOW'S L. yRc Alriuwlt by rl a t c
,,900 c',W HAINF7. ST PRMT $ 21iV0. 00 GEO 06/17/9A 98-,"3065'
—IRD r
P 7.2^.J'3 rKISP t. .3 75, 0 0 f�,Ffl OF,/1 7/9A 11-3
'2,"'35. 00 TOTOL.
RE:ULJTRF-.D I NISPECT I LINS
This Applicant agrees to cooply with all the rules and regulations =t?wL-t- Tnsr1L-c.ti.r1r1
of the Unified Sewage Agency. The permit expires 180 days from
4it date issued. The total amount paid will be forfeited if the
per sit expires, The Agency dDFS not guarantee the accuracy of the
iidp ;Pwer laterals. If the sewer is not lerated it the seasurpopnt
given, the installer shell prospect 3 feet in all directions from
'!IF distance given. If not qo lorAted, the installer shall purchase —---------
a "Tap and Side Sewer" Pervit and the Agency will install a lateral, ......
MENTION: Oregon low requires YUIJ to follow rules adopted by the
Iregon Utility Notification renter, 'hosp ri.,Ips are set forth in OAR
152-001-801e through OAR 75CE-000;-080, You may obtain copies of
!,hese rules or direct r by calling (503)246-1987.
T 7,s.i.i e d b Perm i t t,e e G i.g ii La t i.i
+++++ -r..+ :.+.4 +++-+++..+.-44 ++ -4-4 ++4.+f 4 4,+.+4. + 4 4-4 4-4 4-4, 1-4++-4-+4 1-4 + i
C.,I I G39• 417 7-0 Qh 1). ;P Fur c.,n i T I S rj P_r t 4 r.,yl ri e i�(J F,IJ t1-1e 110.x t t)1,15 j n ra. s;7, ci,
++-1 4++4-++++4 4 4-4 4+++4-4++++++4-.+..+.+++++++-IF+.4+++++++++++++++++4-+4-+++4++4