Case File 1
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11201 SW BUFFALO PLACE
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CERTIFICATE OF OCCUPANCY
CITY
OF T'GARD
PERMIT#: MST98-00280
DEVELOPMENT SERVICES DATE ISSUED: 10/1/98
13125 SW Rall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134DA-07100
ZONING: R-12
ILI JURISDICTION: TIG
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SITE ADDRESS: 11201 SW BUFFALO PL Id U i y
SUBDII.,ISION: DAKOTA. MEADOWS
BLOCK: LOT:004
CLASS OF WORK: NEW
TYPE OF USE: SFA
TYPE OF CONSTR: .5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I: New attached single family dwelling w/attached garage
Final Inspection Approved 7/28!99 by Rick Bolen, Building Inspector
Owner:
BEACON HOMES INC
9500 SW 125TH AVE
BEAVERTGN, OR 97008
Phone: 524-1999
Contractor:
BEACON HOMES
9500 SW 125TH
BEAVERTON, OR 97008
Phone: 524-1999
Reg#:
This Certificate grants occupancy %,f the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, a.ed use un er which the reterenced permit was
issued.
BUILDING INSPECTOR BUILDING OtFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 4-
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested ZAM PM BLD
Location—I :=!-'t &LA Suite MEG
Contact Person Ph PLM
PLM
Contractor Ph SWR
ISO 100-9; Tenant/Owner ELC
Retaining Wall — ELR
Footing Access
Foundation FPS —
Ftg Drain SGN
Crawl Drain Inspection Notes: --
Slab
Post&Beam 51T
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall M.
Fire Sprinkler 1-��`7 � e'T�70.h� A►� bol:xflK"--tz CS__
Fire Alarm
Susp'd Ceiling IFOEQ. --
Roof
Misc: —
.FAS PART FAIL
PLUMBING _
Post&Beam -
ilnder Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL _✓
CH/:N
os eam — - ------— ------
Rough In
Gas Line -- - — ---
SmQ,ke Dampers
PAS PART FAIL
ECTRICAL --� -�—
Service
Rough In -- - ----- _
UG/Slab
Low Voltage
Fire Alarrr,
Final
PASS PART FA.It_
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 I ]Please call for reinspection RE: _ [ ]Unable to inspect- no access
ADA
Approach/Sidewalk �IJ
Other Date Inspector C/ Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspecti n record from the job site.
Main Office Branch Office
PO Box 23814 4060 Hudson Ave.
C Testing,
1
Tigard, OR 97281 Salem, OR 97301
a r l s o n f es ti n g, Ine. Phone(503)684-3460 Phone(503)589-1252
Fax#(503)684-0954 Fax#(503)589-1309
�v
August 19, 1998
#97-G1353
Beacon Homes
9500 SW 125th Ave.
Beaverton, OR 97005
FINAL SOILS LETTER
DAKOTA MEADOWS - BUILDING PADS 1-4 and 18-25
CITY OF TIGARD, OREGON
'This letter confirms that as of August 11 th, 1998, density testing on the granular engineered fill was
adequ itely cnrnpleted. Based on our observations and testing, the fill location was properly prepared
and tine fill achieved at least 90 percent of the modified Proctor maximum dry density. The above
listed pads are suitable for foundation and slab support.
Information contained herein is not to be reproduced, except in full, without prior authorization from
this office. If there are any further questions regarding this matter, pleac,:., do not hesitate to contact
this office.
Respectfully submitted,
CARLSON TESTING, INC.
C1111 �y'D
z �NGINEfA singrz d
.� 14743 rr - G�V/ .-M 133
ORt GON
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James D. Irnbrie, P.E.
Geotechnical Engineer
cc: City of Tigard
CITY OF TMASTER GERMIT
DEVELOPMENT iERVICES PERMIT #. . . . . . . : MST'3A LA
PIL 13125 SW Hall Blvd, Tigard,JN 97223(503)639.4171 DATE ISSUED: 10/01/98
PARCEL: 1S134DA--07100
S I TF" ADDRESS. . . : ! 1201. SW HUFF=AL.O GI....
SURD I V T.S I ON. . . . :DAKO`,-A MEADOWS ZONING: R- 12 F'D
HI....00N.. . . . . . . .. . . L.0 I.. . . . . . . . . . . . . :004 JURISDICTION: TIG
Remarks: PATH 1: New attached single family dwelling w/attached garage
--------------------------------•--------------------------------- BUILDING ------------------
REISSUE: STORIES.......: 3 FLOOR AREAS---- ----- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------
CLASS OF WORK.:NEW HEIGHT........: 18 FIRST....: 920 sf GARAGE.....: 800 sf LEFT..........: 0 SMOKE DETECTRS: Y
TYPE OF :SFA FLOOR LOAD....: 40 SECOND...: 913 �f FRONT.........: 8 PARKING SPACES:
TYPE OF CONST. :SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 2 BATH: 3 TOTAL------: 1833 sf VALUE..$: 146%6 REAR..........: 0
--------------------------------------------------- -------------- PLUMBING ------------- -
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....: 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 2 CATCH BASINS.. : 0
TUB/SHOWERS...: 2 GARBAGE DIS' ..: I WATER HEATERS, - 1 WATER LINE ft: 10A BCKFLW PREVNTR: 1 GREASE TRAPS..: r
OTHER FIXTURES: 0
--------------------------------------------------------------- MECHANICAL ---------------------------------
Fl1EL TYPES----------- FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 1 VENT FANS.....: 3 CLOTHES DRYERS: 1
GAS FURN )=100K ..: 1 UNIT MATERS..: 0 HOODS.........: 0 OT13ER UNITS...: 1
MAX INP.: 250000 BTU FLOUR FURNACES: 0 VENTS.........: 2 W009STOVES,...: 0 GAS OUTLETS...: 1
--------------------------------------------- ----------------------- ELECTRICAL- -- - --- - ------_---_-------------------------------- -
--RESIDENTIAL UNIT--- --.-SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- --- MI SCELLF'r1E0115---- --ADD'L INSPECTION`.--
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR.. : 0 PUMP/TRRIbATION: 0 PER INSPECTION: P
EA ADD'L '"AW.: 4 201 - 400 amp.. : 0 201 400 asap..: 0 1st W/O SVC/17DR: 0 SIGN/OUT LIN LT: 0 PER HOU"......: 0
LIMITED ENERGY.: 0 401 600 amp..: 0 401 - 600 amp..: 0 EA ADDL DR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT....... 0
MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ------------------------------- PLAN RFVIEW SECTION --------------•-------------------
Reconnect only. 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
---------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------ --
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL--------------------------------------------------------------------------..
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FiRC ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BUIRGI_AR At OTH:X :: BOILER.........: HVAC...........: LAND9CAPE/1RRIG: PROTECTIVE SIX:
GARAGE: OPENER..: CLOCK..........: INSTRUMENTA110N; MEDICAL.........: OTHR:
HVAC......,....: DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: 0
Owner : ------------------------- ------Contractor: ------------------------------ TOTAL FEES:$ 4384.57
BEACON HOMES INC BEACON HOMES This permit is subject to the regulations contained in the
9500 SW 125TH AVE 95M SW 125TH Tigard Municipal Code, State of Ore. Specialty Codes and all
BEAVERTON OR 97008 BEAVERTON OR 9700A other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone A: 524-1999 Phone A: 524-1999 not started within 180 days of issuance, or if the work is
Reg C. : 000707 suspended for more than 180 days. 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 DUNG by calling (503)246-1987.
REQUIRED INSKCT10NS ---------------------------------------
Erosion Control Slab Insp Low Voltage Insulation Insp Water Service In Mechanical Final
Grading Inspecti Ple/undslb Insp Plumbing Top Out Shear Wall Insp Appr/Sdwlk Insp Building Final
Footing Insp Electrical Servi Framing Insp Firewa'1 Insp Smoke Detector
Foundation Insp Electrical Rough Gas Line Insp Rain Crain Insp Electrical Fig. '
Pis/Underfloor Mechanical Insp-- i Gas Fireplace Water line Insp Plumb Fin
/ �_
I s s r_r e d F�y : C. - �--` G e r m i t t e e S i g n a t l_u^e :
+•t+++•++++++++++++++•++ ++++++++++++++•+++•+++++++++++++++++..4 ++++++�" ++++++++� +
Call 639-4175 by 7:00 p. m. for- an inspection needed the next �Sr_rsi ess day
CITY OF TIGARD
DEVELOPMENT' SERVICES SEWER CONNECTION
I-,E RM I T
13125 SW Hdll Blvd., Tigard OR 97223(503)639-4171 PERMIT #. . . . . . . : SW R98-01613
DATE TSSUED: 1.0/01/98
PARCEL: 1S134DA-07100
SITE ADDRESS. . . : 11201 SW BUFFALO PL
SUBDIVISION. . . . :DAKOTA MEADOWS ZONING: R-12 PD
FLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTION: TTG
----------------------
TENANT NAME. . . . . :BEACON HOMES INC
LISA NO. . . . . . . . . . . FIXTURE UNTTS. . . . 0
CLASS OF WORV. . . :NEW DWELLING UNITS. . : 0
TYPE OF USE. . . . . :SFA NO. OF BUILDINGS: 0
INSTALL. TYPE. . . . :LTF'SWR IMPERV SURFACE: 0 sf
Remarks : S( wer connection for a new attached single family dwelling.
Owner: ____________________ ____.._...._._._________..____._._ -__.__._._...._...._ FEES
BEACON HOMES INC type amount by date recpt
9500 SW 125TH AVE PRMT $ 2.300. 00 JSD 10/01 /98 98-309656
BEAVERTON OR 97008 INSP $ 35. 00 JSD 10/01 /98 98--309656
Phone #:
Contractor: -..________._..____----.-----______-__....
BEACON HOMES
9500 SW 125TH
BEAVEPTON OR 97008
Phone #: 524-1999 f 2335. 00 TOTAL_
Reg #. . : 0007M*7
-------- REGU I RED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations
of the lJnified Sewage Agency. The permit expires 18@ days from
the data+ 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 the
Oregon Utility Notification Center. Those rules are set forth in OAR
952-101-0810 through OAR 952-@@@1-0080. You may obtain conies of —
these rules at, direct questions to OUNC by ca ling (503)246-1987.
I ss1_red by : _ � - ` f Permittee Si gnature:
+++++•*+++++++++++++•*++++++++++i-++++++++++++++++++++•F+;++++++++++++++++++++++++++
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
*++++++++-F++++++++++*+++++++++f•++++++++++++++++++++++++a-+++++++++.1-++•*+.++++++•1•-r++
Plan Che # 10 0
rl- Jr 11GARD Residential Building Permit Application Recd By I
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd 2� 1-
TIGARD, OP 97223 Single Family Detached or Attached (Duplex) Date to P.E.
ti 503-639-4171
F 503-684-7297 Dere to DST C
Permit#�J��Q� — ��
Print or Type Called„
POILDING 5 - Lot 4 Incomplete or illegible applications will not be accepter!
Name of Project _ �� Name
.Job DAKOTA MEADOWS-- PETER MAGARO ARCHITECTURE
Address Site Address tiArchitect Mailing Address
11201. SW Thunder Terrace 10570 SW Citation Dr.
Name City/State Zip Phone
Eeaverton 97008 579-2421
Owner Mailing Address
�EACOj� HOMES. .SNC. --- Name
JEFF DOVE ENGINEERING
9500 SW 125th Avenue Engineer Mailing Address
City/State Zii, Phone 4 914 Oakridge R d.
Beaverton 91008 524-1999
Name City/State Zip Phone
General _ Lake Oswego 97035 697-5926
Contractor DEACON HOMES, INC. Describe work New Addition 0 Alteration O Repair O
Mailing Address to be done
Prior to permit 9500 SW 125th Avenue Additional DescnptionofWork:
issuance,a copy City/State Zip Phone attached single-family dwellings .
of all licenses Beaverton 97008 524-1999
are required if Oregon Const. Cont. Board Exp.Date PROJECT
expired in COT Lic.# 70782 1 2/17/98VALUATIONL
al N146 ,966 . 00
database ___
Mechanical - -- NEW CONSTRUCTION ONLY:
Sub- MUEHE QUALITY HEATING Sq. Ft. House Sq. Ft. Garage
Contractor Mailing Address - -� 1833 800
Prior to penrnt PO Box 9 Corner Lot YES NO FlaYES NO
issuance,a copy - —FlagLot City/State Zip Phone (check one) X_ (.heck one) X
of all licenses West Linn 97068 598-0966 Restricted Audio/Stereo Burglar
are required if Oregon Const.Cont.Board Exp.Date Energy _System Alarm
expired in COT Lic.# 50096 3/5/99
_ database Installat on Garage Door HVAC
Plumbing Name - - Opener yes Systems X
Sub- CUSHMAN FAMILY PI.,UMBING ((;heck all that Other:
Contractor Mai%ngAddress apply)
4535 S E 35th Place Will the electrical subcontractor wire for all YES NO
restricted energy installations?
Poor to pa mit copy Portland 97202 775-4472 stale Zip Phone
ssuance, coHas the Subdivision Plat recorded? N/A YES NO
if all licenses are Oregon Const.Cont. Board Exp.Date _ X
required if uc# 104942 6/7/99 SolarGoml�liance
expired in COT (Calculation Attached)
database Plumbing Lic # Exp. Date I hearby acknowledge that I have read this appiication, that the
2 6-5 6 4 P B 6/30/98 information given is correct,that I am the owner or authorized
Name - agent of the owner, and that plans submitted are in compliance
BEAR ELECTRIC, INC. with Ore on State laws. _
Electrical _ Sign a (Own r/Age '— �
Sub- Mailing Address Q 1 ,. �� / a `�
Contractor PO Box 389 "Contt erson NJam Phone#
City/State Zip Phone — ___Peter K u s y k 524-1q99
Prior to perMit Dona 1 d,OR 97020 678-1355 FOR OFFICE USE ONLY:
issuance, a copy Plat#: — Map/TL#:
of all licenses are Oregon Const.Cont.Board Exp.Date
required if Lic# 20919 - —
expired in COT 2/20/00 Setbacks: Zone: ETIFa
database Electrical Lic.# Exp.Date M — _
24-107C Engineering Approval: Planning Approval:
10/1 /98
I SFREM.DOC (EST) 4197