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11330 SW BUFFALO PLACE
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11330 SW BUFFALO PLACE
CERTIFICATE OF OCCUPANCY
CITY
OF
T I G A R D
PERMIT#: MST98-00500
DEVELOPMENT SERVICES DATE ISSUED: 94/16/1999
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 1 S134DA-08400
ZONING: R-
JURISDICTION: TIG
SITE ADDRESS: 11330 SW BUFFALO PL FILE
SUBDIVISION: DAKOTA MEADOWS COPY
BLOCK: LOT:017
CLASS OF WORK: NEW
TYPE OF USE: SFA
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: New SFA
Owner:
BEACON HOMES INC
9500 SW 125TH AVE
BEAVE RTON. OR 97008
Phone: 524.1999
Contractor:
BEACON HOMES, INC
9500 SW 125TH AVE
BEAVERTON, OR 97008
Phone: 524-1999
Reg #:
This Certificate issued 115/110/2111111 grants occupancy of the above referenced or
portion thereof and confirms that the building has been inspected for compliance with the
State of Oregon Specialty Codes for the group, occupancy, and use under which the
referenced permit was issued.
BUILDING INSPECTOR BUILDIN6601CIAL
POST IN CONSPICUOUS PLACE
CITY OF i IGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171'
BUP _
Date Requested_ aS `� —AM PM BLD
Location— (� �� �" - �E r� 1'�C ' Suite MEC _
Contact Person Ph �1 C��—OS b O PLM —
Contractor Ph SWR
LDIN �� Tenant/owner — r ELC
e aining Wall EI_R
Footing Access.
Foundation FPS _.
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab __. -- ._---- SIT
Post& Beam —
Ext Sheath/Shear
Int Sheath/Shear �J
Framing _l� C�Ll(_ �-
Insulation
Drywall Nailing —. —_--
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling __ _
Roof / --_ C •L� �^
— -'�----
�in ._
ASV PART FAIL --- -----—-- — - --
GING
,Post 8 P,eam -----
Under Slab
Water Service _-----------___—__ _—�- --- -- -- _—_-_
Sanitary Sewer
Rain Drains ,- - -_ -- --- —, - _.--
F inaV
PASS PAIN FAIL
MECHANICAL
Post& Beam --- -- —_.—� —
Rough In
Gas Line
Smoke Dampers
FinalV" —
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm _-----_..---
Flnal
PASS PART FAIL __-_--
SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain [ )Reinspection fee of$_-- required before next inspection. Pay at City Hall. 13 25 SW Hall Blvd
Catch Basin
Fire Supply line [ Please call for reinspection RF _- — _- [ Unable to inspect-no access
ADA �- Z l
Approach/Sidewalk r Ext i/laml
ether Date Inspector
Final —
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING !MSPECTION DIVISION
24-Hour Inspection Line: 67,54175 Business Line: 639-4171 (�MST-
BUP _
Date Requested_ AM _ PM BLD _
Location ` U � Suite MEC
Contact Person _ Ph .��) S PLM
Contractor Ph SJR
BUILDING Tenant/Owner ELC
Retaining Wail ELR
Footing Access:
Foundation FPS _
Ftg Drain SGN
Crawl Drain Inspection Notes: — - -- --
Slab ---- --- - SIT
Post&Beam —
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation - —T_---- -- - -
Drywall Nailing -----
Firewall __Firewall
Fire Sprinkler _--
Fire Alarm
Susp'd Ceiling
Roof -
Misc: _ ----
Final
PASS PART FAIL
Post&Beam - - - `- - - - -
Under Slab
Top Out -- —
Water Service _
Sanitary Sewer - +
Rain Drains
PAS FAIL
RANI --
Post e - --- - -- - -
Rough In
Gas Line - -- --- - - -- --
Sm a Dampers
PART FAIL
ELECTRICAL ---- -� -_---�
Service
RoughIn --------------------- — ---_--__--- _ .._
UG/Slab
Low Voltage —_-- — -- - -- �-
Fire Alarm
Final
PASS PART FAIL —�—
SITE
Backfill/Grading -- -- -- - -- --�—`" —
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ r required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE: Y _ [ ]Unable to inspect-no access
Fire Supply LineADA
Approach/Sidewalk Date J V V Inspector v` EXt
Other - p —
Final
PASS PART FAH DO NOT REMOVE this Inspection ret-.ord from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION ( MST
24-Hour Inspection Line: 639-4175 Business Line: 638-4171
BLIPDate Requested AM !PM _— BLD
Location Suite MEG
Contact Person Ph (�l-t�4�c� PLAN
Contractor Ph SWR
BUILDING Tenant/Owner ELG -
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 RT FAIL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
PASS P RT FAIL __ - -----
Backfill/Grading -- --
Sanitary Sewer
Storm Drain [ Reinspection fee of$_ required before inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE' —_ [ Unable to inspect no access
ADA /
Approach/Sidewalk
Other DBteO< ^! —Inspector_ �'k ,G Ext
Final
L PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
U4/L`J/l121 "LO Ui :4J rhA OU-3 U/U 21141 I.AKLJUIV 1tJ111'Wb I'di002
Mal yl.v Branch Office
•� PO 3814 40c0 Hudson Ave.
Tigard,OR 97281 Salern OR 97301
Phonc(503)684-3960 Phone(5G3)589-1252
Carlson 1 esting, Inc. Fax#(503)684-0954 Fax#(503)589-1309
August 19, 1998
X97-G1353
Beacon Homes
9500 S1\/ 125th Ave.
Beaverton, OR 97005
FINAL SOILS LETTER
DAKOTA MEADOWS - BUILOING FADS 1-4 and 18-25
C11 Y OF i IGARD, OREGON
This letter confirms that as of August 1 1 th, 1998, density testing on the granular engineered fill was
adequately completed. Based on our observations and testing, the fill location was properly prepared
and the 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, please do not hesitate to contact
this office.
Respectfully submitted,
CARLSON TESTING, INC,
E0PROF- L/
NrvfA
G� E Esso t _ l i X31_-_.._6u ...-------- _F►�
11221 1 l�Al�2d
'-7 14743
OREGON
na Lt ✓
d
321_ 6wf4 La fi n`�d
James D. Irrlbrie, P.E. 2,1
Geotechnical Engineer
cc: City of Tigard
d-- a.t v
3$0- ___ Lk-Co _
CITY OF T I G A R D MASTER PERMIT
PERMIT#: MST98-00500
DEVELOPMENT SERVICES DATE ISSUED: 4/16/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 11330 SW BUFFALO PL PARCEL: 1S134DA-08400
SUBDIVISION: DAKOTA MEADOWS ZONING: R-12
BLOCK: LOT: 017 JURISDICTION: TIG
REMARKS: New SFA
BUILDINr:
REISSUE STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQ::IRED
CLASS OF WORK. NEW HEIGHT: 26 FIRST: 743 of BASEMENT: 0.00 of LEFT: 0 SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 742 a' GARAGE: 560 of FRONT: 8 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 of RIGHT: 0
VALUE. S 250,00000
OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL: 1,485.00 of REAR. 0
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 0 RAIN DRAIN: 100 TRAPS: 0
LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: 0 SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS: 0
TUB/SHOWERS. i GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN<100K: I BOIL/CMP<3HP: 0 VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN>•100K: 0 UNIT HEATERS: 0 HOODS: 0 OTHER UNITS: 1
MAX INP: 0 blu FLOOR FURNANCES: 0 VENTS: 0 WOODSTOVES: 0 GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: I 0 700 amp: 0 0 200 amp: 0 W/SVC OR FDR: 2 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5005F: 2 201 •400 amp: 0 201 •400 amp: 0 tot W/O SVC/FDR: 00 SIGN/OUT LIN LT: 0 PER HOUR: 0
LIMITED ENERGY: 0 401 600 amp: 0 401 600 amp: 0 EA ADDL BR CIR: o SIGNAL/PANEL: 0 IN PLANT: 0
MANU HMISVCIFDR: 0 601 • 1000 amp: 0 601+ampa•1000y: 0 MINOR LAArL: 0
1000+amplvolt: 0
PLAN REVIEW SECTION
Reconnect only: 0
>=4 RES UNITS: SVC/FDR--225 A.: >800 V NOMINAL. CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAG'NG: OUTDOOR LNDSC LT:
BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEARR1G: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATArTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: 0
Owner: Contractor: TOTAL FEES: $ 5,109.50
HOMES INC BEACON HOMES.INC This permit IS subject to the regulations contained in the
BEACON
9500 125TH AVE 9500 ON HOMES.
AVE Tigard Municipal Code.State of OR. Specialty Codes and
BEAVERTON,OR 97008 BEAVERTON,OR 97008 all other applicable laws All work will be done it
accordance with approved plans. This permit will expired
work is not started within 180 days of issuance,or it 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 a forth in OAR 952 001-0010 through 952-001-0080. You
may obtain copies cf these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Eloslon Control Insp 8- Electrical Rough-in Gas Fireplace Water Service Insp Mechanical Final
Footing Insp Mechanical Insp Insulation Insp Appr/Sdwlk Insp Building Final
Slab Insp Plumbing Top Out Shear Wall Insp Smoke Detector
Plm/undslb Insp Framing Insp Rain Drain Insp Electrical Final
ElectriW� _-# •� Gas Line Insp Water Line Insp Plumb Final
Issued By Permittee Signature
Call (503) 6394175 by 7:00 p.m, for an inspection needed the next busini Bss day
CITYOF TIGARD — SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR98-00351
13125 SW Hall Blvd., Tigard, OR 97223 (503) CAQ-44- 1 DATE 'SSUED: 4/16/99
SITE ADDRESS; 11330 SW BUFF^,LO PL PARCEL: 1S134DA•J8400
SUBDIVISION: DAKOTA MEADOWS ZONING: R-12
BLOCK: _-- LOT: 017 JURISDICTION: TIG
TENANT NAME: BEACON HOMES INC
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILD!NGS: 1
INSTALL TYPE: LTPSV/R IMPERV SURFACE: 0
Remarks: New SFA
Owner: -- -- -
-tf 0z ti Ia4 S I tJ C — _FEES ---- _
Type By Date f mount Receipt
PRMT DRA 4/16/99 $2,300.00 99-314608
7INSP DRA 4/16/99 $35.00 99-314608
Phone: sgil_199 - ---
9 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 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 952-001-0010 through OAR 952-001-0080.
You may btain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issue by: Permittee Signature:_
�JLAAM(�J&
Cell (503) 639-4175 by 7:00 P.M. for an inspection needed the next business d y
G!T.v-CF TIGARD Residential Building Permit Application Plan Check#
13125 SW HALL BLVD. New Construction Additions or Alterations Recd By
TIGARD OR 97223 Single Family Detached or Attached (Duplex) Date Rec'd_ ,(,�.-i/-��!
+ g amy p Date to P.E.
V 503-6394171Date to DST
F 503-6£34-7297 �,I(��' pas I Permit#
-7 Print or l ype / Caned f' 7 i91.0- WOW-
' ' Incomplete or illegible applications will riot be accepted
NameolProject --_ /; --- -- ---- ---- Narne --- f—
Job DAKOTA MEADOWS / I nJ- PETER MAGARO ARCHITE_CHTUR
Site Address �W11 Architect Mailing Address
Address II d 10570 SW Citation Dr. _
_— 1 1% '/w C) - City/State Zip I Phone
Name Beaverton 97008 579-2421
BEACON HOMES, INC, - -- ---- ---
Owner "W61 s 125th Avenue NJ FF DOVE ENGINEERING
Engineer Marling Address
�/stP
ate Z Prione 4 914 Oakridge R d.
eaverton 008 529_19gg / tate T_i Phone
General Name i,'Vea Oswego 9783_ 697-5926
Contractor BEACON HOMES, INC. Describe work New Addition O_ Alteration O Repair O
Mailing Ad+!;ess to be done:
Prior to permit 91111-G SW 125th A_V e n u e Additinnal Description of Work:
issuance,a copy City/State Zi !� Phone - attached_single family dwellings
of all licenses Beaverton 0008 524-1999
are required if Oregon Const.Cont.Board Exp.Date PROJECT
expired In COT l_ic.# 70782 12/17/98 VALUATION $ ��
database i
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- MUEHE QUALITY HEATING Sq. Fl. House: I Sq.Ft.Garage,5�
Contractor Mailing Address
I'nor to permit PO BOX 9 Indicate the restricted energy installation by the electrical
subcontractor if,the following areas
issuance,a copy City/State Zip Phone Restricted Audio/Stereo
of all licenses West Linn 97068 598-0966
are required if Oregon Const.Cont.Board Exp.Date Energy System Alarms
expired in COT Lic.# 50096 3/5/99 Installations Vacuum Irrigation
database _ System System
Plumbing Name (check all that Other:
Sub- J & R PLUMBING apply)
Contractor Mailing Address --�- " Comer Lot YES NO Flag Lot YES NO
3430B SW 209th Avenue check one XI ch one X
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone X
issuance, a copy Aloha , 97007_ 642-7776 Solar Compliance
of all licenses are Oregon Const.Cont.Board Exp.Date (Calculation Attached
required if Lic.# 72680 3/28/99 - —
expired in COT I hearby acknowledge that I have read this application,that the
database Plumbing Lir,.# Exp, pate information given is correct,that I am the owner or authorized agent
34214PB 4/30/99 of the owner,and that plans submitted are in compliance with
Ore on State laws. _
Name Sin of Ow er/Ae t Date
Electrical BEAR ELECTRIC, INC. �
Sub- Mailing Address — CeRtj3ct Person Na e L Phone#
Contractor PO BOX 389 FOR OFFICE USE PNLY:
Cltylstate Zip Phone Plat M
Prior to permit Donald, OR 97020 68-1355le
issuance, a copy // -'/3 /' /S ,J _''V7-/4 – t✓;
of all licenses are Oregon Const.Cont.Board Exp.Dale Setbacks: Zone: Solar:
required If Lic.# 20919 2/20/00 ' ��I —
expired in COT _ Engineering Apprgval: Planning Approval: TIF:
database Electrical Lic # Ex .Qate
24-107C 111/98
I:SFREM2.DOC(DST)9/11/99