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11535 SW BAMBI LANE --
CITY CF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.41)1
CERTIFICATE OF
OCCUP'ANC'Y
PERMIT #. . . . . . . t MST96-0503
DATE ISSI-IEDs 04/23/97
P'FMCEL_ : c2'S 1 ic►36U-•HG041
4 TE: ADDRE'SS. . . s 11535 SW DAMS I LN
UBn1UIC-3ION. . . . : HUNTER' S GLEN 7.ONING: R-4. 5 ECt
+L.00K. . . . . . . . . . s LUT. . . . . . . . . . . . . s0a1 JURISDICTIONt
:LASS CIF WURI-'.. :NEW
T YPIE: (IF USE. . s c5F
1YPE OF CON5TR:5N
'
OCCUPANCY CRF'. :R3
OCCUDANCY LOAD s2
t�emarks s Path I
._EGE:ND DOMES
•_,900 yW HfaIINE1 5T
T IGARD OR 9721::3
'hone #t 620-80130
I.LLaEND HOMES C:ORF''ORATION
7160 SW HAZELFERN RD.
>U I TE 1410
T I GARD OR 97a24
Phone #i &F-0. 6080
Reg #. . a 60563
This Certificarte grants occupancy of the above r-pferprwed bUilding at, portion
thereof and confirms that the braiding has been inspected for compliance with
the f+tate of O,•egon Specialty Codes for the gruup, occupaa.ncy, and use under
which the referen,.ed permit was issued.
�"y.�t /rte„"'. '• CJI�J�
Evil-DING INSPECTOR BLJ'T Nf3 OFFICIA+_
POST IN i:i NEP I CUOUS PLACE
Page No. 1 CASE HISTONI FOR CASE. NO.: MST96-0503
LEGEND HOMES
11535 SW BAMBI LN
07/22/97
Action Description Req/ Srhd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- - ------—- - ------ -------- -------- -
MSTA005 Applicetion received / / / / 10/22/96 RECD JD 12/16/96 RB
MSTA008 Perr,. : Created / / / / 10/24/96 PEND B 10/24/96 BON
MSTA010 Check for prr,l. restrict. / / / / 10/22/96 10/24/96 BON
MSTA012. Plans ro:,ted to Plans Examiner / / / / 10/24/96 PEND B 10/2.4/96 BON
MSTA026 Plan, approved by Plans Exmr / / / / 10/29/96 PASS RT 10/29/96 BT2
MST,A030 Rev'swed plans routed to DSTS / / / / 10/29/96 PASS RT 10/2.9/96 BT2
MSTA080 (F) Ready to issue / / / / 11/04/96 PASS B 11/04/96 BON
MStA092 (F) Issue combination permit / / / / 11/27/96 PASS DRA 11/27/96 DST
MSTA095 Issue plumbing signature form / / / / 04/29/97 FECD JT 05/12/97 JT
MST4097 Issue plumbing signature form / / / / 11/27/96 PASS DRA 11/27/96 DST
MSTA098 Issue electric signature form / / / / 17/16/96 OK DRA 12/16/96 RB
MSTA705 Footing Insp / / / / 12/04/96 APP KS 12/04/96 KBS
MSTA706 Foundation Insp / / / / 12i06/9b APP KS 12/06/96 KBS
MSTA710 Post/Beam Structural / / / / 12/17/96 APP KS 12%18/96 K.RS
MSTA711 Post/Beam Mechanical / / / / 12/17/96 APF KS 12/10/96 KGS
MSTA717 PLM/Underfloor / / / / 12./16/96 PP.SS Ms 12,17/96 MRS
MSTA720 Mechanical Insp / / / / 02/06/97 APP GS 02/06/97 GES
� MSTA722 Plumb Trp Out / / / /
01/28/97 PASS MS 01/28/97 MRS
MSIA723 Electrical Service / / / / 02/04/97 PASS TLP 02/05/97 TLP
MSTA724 Electrical Rough In / / / / 02/04/97 PASS TLP 02/05/97 TLP
MSTA725 Framing Insp ! / / / 02/06/97 scab joist at beam end in garage; add AFP GS 02/06/97 GES
stud by beam end (ext wall]; blk joists
spaces along gar soffet (insul ok]
MSTA726 Shear Wall Insp / / / / 02/03/97 #-1- not reedy incomplete N/R Ks 02/04/97 KBS
MSTA726 Shear Wall Insp / / / / 02/06/97 APC GS 04/18/97 KBS
MSTA735 Gas L;ne Insp / / / 01/31/97 #133987 PASS RB 02/03/97 RB
MSTA740 Insulation Insp / / 1 / 02/10/97 0-1- see inspection notesd A/N KS 02/10/97 KBS
MSTA745 Gyp Board Insp / / / / 02/18/97 #-1- need clearance et B vent garage DIS KS 02/19/97 KBS
0-2- seal joint behind furnace / ceiling
#-3- sheer wall nailing main fl not done
MSTA745 Gyp Board Insp / / / / 02/20/97 #-1- seal joint behind furnace A/N KS 02/20/97 KBS
reiling/floor line
MSTA755 Rain drain Insp / / / / 12/10/96 PASS MS 12/11/96 MRS
MSTA760 Water line Insp / / / / 12/10/96 PASS MS 12/11/96 MRS
MSTA765 Appr/Sdwlk Insp / / / / 03/05/97 OK. PASS PI 03/10/97 RB
MSTA790 Electrical Final / / / / 04/10/97 1 FLOOR BATH CIRCUIT NOT WORKING FACE FAIL TLP 04/11/97 TLP
PLATE MISSING INSPECTION
TERMINATED.........................
MSTA790 Electrical Final / / / 04/11/97 PASS TLP 04/11/97 TLP
Pare No. 2 :ASE HISTORY FOR CASE NO.: MST96-0503
LEGEND HOMES
11535 SW BAMBI LN
Action Description Req/ Schd/ End/ Action Notes Disp By Update Uri'
Code Sent Done Done Date By
MSTA795 Mechanical Final / / / / 04/14/97 LOCK KS 04/15/97 KBS
MSTA795 Mechanical Final / / / i 04/17/97 0-1- ;ee inspections notes this date S/N KS 04/18/97 KBS
MSTA795 Mechanical Final / / / / 04/7.3/97 APP KS 04/24/97 KBS
MSTA797 Plumb Final / / / / 04/10/97 PASS MS 04/10/97 MRS
MSTA799 Building Final / / / / 04/14/97 #-1 locked LOCK KS 04/15/97 KBS
MSTA799 Building Final / / / / 04/17/97 #-1- smokes detectors not working DIS KS 04/18/97 KBS
0-2- insulation cert doe, r: . indicate R
value at ceiling
#-3- insulate exposed section of h�.3t
ducts at crawl
#-4- records show no shear wall approval
MSTA799 Building Final 1 / / / 94/18/97 tl-1- smoke detector at middle bedroom DIS KS 04/21/97 KOS
not working
#-2 seal around door jamb upper storage
access door
0-3- insulate exposed water piping at
crawl
N-4- electrical cable on ground crawl
MSTA7% Building Final / / / / (./23/97 AVP KS 0L/24/97 KBS
MSTA960 (F) Issue Cert. of Occupancy ! / / / 04/23/97 mailed 7-22-97 07/22/97 S•W
/ / / / APP KS 14424/97 KBS
MSTA970 Case Fina'ed 04/23/97
CITY OF TIGARD
DEVELOPMENT SERVICES MAS-rE-R PERMIT
13125 SW Nall Blvd., Tigard, 4R 97223 (503)639.4171 F,ERM I T #. . . . . . . :
DA-FE ISSUED: 1 1/`7/96
PARCEL.: 2,510 3BD--HGO1+1
'1TE AUllRESI,,o. - : 115315 SW BAMBI LN
SULAD I V T S 101\1. . . . : LHLINTER' 9 GLEN ZONING: R---4. 5 1=11)
F3L.00K. . . .. . . . . . . . 1-01 . . . . . . . . . . . . .
Remarks: Path 1
---------------------------------------•------------------------- BL'I!_DING ---------------------------------------------------------------
REISSUE:MST96050i_ STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
:LASS OF WORY.;N6W HEIGHT........: 20 FIRST....: 1620 sf GARAGE.....: 527 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1280 sf FRONT.........: 27 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5
OCr,UPANCY GRP.:R3 BDRM: 2 BATH: 3 TOTAL-----: 2300 sf VALUE..f: 163187 REAR..........: 32
--------------------- .—--------------- PLUMBING ----------------------------------•--------------------------
':INKS.........: I WATER CLOSETS.: 3 k4SH1NG MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: a
LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGF DISP..: 1 WPTE' HEATERS.: 1 WATER LINE ft: 100 BCKFLW P•REVNTR: 1 GREASt TRAPS..: 0
OTHER c1)<TURES: @
-------•----------------•---------------------------•------------ MECHANICAL - --------- ------------ _ - ---- - -
FUEL TYPES--------- FURN l 100K ..: 0 BOILP.MP ( 3HP: 0 VENT FANS..... : 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K ..: 1 UNIT HEATERS..; @ HOODS.......... 1 OTHER UNITS...: 1
"TAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETF ..: 1
-•-----------------------•------------------ - -- -------- ELECTRICAL ------------------------------------------------------------- -
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TE�> SRVC/FEEDERS— ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-
1000 SF OR LESS: 1 @ - 200 amp.. : 0 B - 20@ amp..: 0 W/SI'C OR FDR..: 0 PUMP/IRRIGATION: 0 PER CNSPECTION: 0
EA ADD'L 50@SF.: 4 201 - 400 amp..: 0 201 - 400 amp..: 0 Is', W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HDIR......: 0
IMITED ENERGv.: 0 401 - 600 amp,.: @ 401 - 600 amp.. : 0 r'f ADR BR CIR: 0 SIGNAL IPANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-100@ v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 —-----------------—____------- PLAN REfIEW SECTION --------------------------------
Reconnert only.: @ )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC O'.C:
----------------------------------------------------- ELECTRICAL - RESTRICTEC ENERGY ---------------------- ------ -------------
1. SF RESIDENTIAL-------------------------- B. COMMERCIAL-------------------------------------------------------------------------------
AUDIO d STEREO.: VACUUM SYSTEM..: AUDIO d STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCADE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER,..: CLOCK..........: INSTRUMENTPT'ON: MEDICAL........: OTHR:
HVAC............ DATA/TELT COMM.: NURSE CAL.LS....: TOTAL # SYSTEMS: 0
Owner: ------ -- _------------Contractor: ------------- ---------------- TOTAL FEES:1 2925.50
LEGEND HUMES LEGEND FOMES CORPORATION
6900 SW HAINES ST 7160 SW HAZELFERN RD,
SUITE 100
TIGARD OR 97223 TIGARD OP 97224
Phone A: 620-808@ Phan? N: 62@-8080
Reg N..: 6056
'his permit is issued subject tc the regulations contains; in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws, Al: work will be done in accordance with approved plans, This permit will exp-e if work is not started within 180
days of issuance, or if work is suspended for more than 18@ days.
------------------ ------------ REQUIRED INSPECTIONS --------- ---------------------------------------------
Pooting Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Well Insp lns,ilatior Insp Appr/Sdwlk Insp Erosion Control
Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Tnsp Electrical Final
Post/Beam Mechan Electrical Servi Fireplace Insp Rain drain Insp cal Final
Crawl Drain Electrical Rough , Gas Line Insp Water Line Insp Plumb Fi 1 _
P e m i t t e e S i g n a t I-A t—e
=a.11 for irrspec:tian 639--4175
' CITY OF TIGARD rEWE R CONNECTION
DEVELOPMENT SERVICES f",ERMIT
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : SWR96--05&:
DATE ISSUED: 11/27/96
fPARCEL: 2S i 03BDFiG041
I TE ADDRESS. . . : 1 '.535 SW BAMB T LN
AJBDIVISION. . . . : HUNTER' S GLEN ZONING, R-4. 55 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :041
TE'IUF1N'1' NAME. . . . . :I__EGFND HOME?5
1. SA NO. . . . . . . . . . « FIXTURE UNITS. . . : 0
(,I-ASS OF WORK.. . . :NEW DWELL T NG I..1N I TS. . : 1
f'YPE OF' USE. . . . . :SF NO. OF BUILDINGS: 1
f NSTALI__ TYPE=... . . . :BUS)WR I MPERQ SURFACaF: N s f
�Finar•1(s : Path 1
,)wner, _.________._____.________.__________.___....___—.---_..__.__-.____-. FEES
'_"E(3E:ND HOMES type amorant by date recpt
SW HAINES ST ('-,RMT $ c"200. 00 DRA 11/27/96 96-28707/i
INSP $ 35. 00 GRA 11 /27/96 96--1!2.8707.4
IIGARD OR 97223,
F-,hone #: 620-8080
:ONTRACTOR NOT ON FILE
i 1-r o n e #« R 2235. 00 TOTAL
Dreg #. ,
REQUIRED INSPECTIONS
-
This Applicant agrees to roaply with all the rules and regulations Hewer Inspection
of the Unified Sewage Agency. The pet-sit expires 1W days froe _
the date issued. The total aaount paid will be for,:ited if the _
perait expires. The Agency does not guarantee the accuracy of the
ide sewer laterals, if the sewer is not located at the oeesoresent
given, the installer shall prospect 3 feet in all directions froe
',e distance given. if not so located, the installer shall purchase
"Tap and Side Sewer" Pewit and the Agency wili install a laterals
I e r m i.t t e t.g Tl _r t•E
t
Tss ..ted
Call for inspection 639--4175
V
Plan Check it
(CITY OF TIGARD Residential Building Permit Application Rec'dBy
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd
TIGARD, OR 97223 Single Family Det:-:,hed or Attached Date to P E. u aH —
(503) 6:19-4171 Date to DST �r-
Print or Type Permi!#'� �p-
Incomplete or illegible applications will not be accepted celled =_
Name of Subdivision Lot#—V Name
LEGEND HOMES
Job HUNTER ' S GLEN I Architect Mailing Address
Address Site Address yy� t _r11V� 6900 5W Haines St .
" 3 5 �`! _ City/State Zip I Phone
Name— Tigard , OR 97223 620-8080
1 E G E N O HOMES - ------ - Name
Owner Mailing Address E R O E L T C H
6900 SW Haines St . ___. Engineer Mailing Address _
City/State Zi pphone g 6969 S W FI a rn p t o n St .
Tigard , OR 9223 x'20-8080
City/State Zi Pho.ie
( — Name Tig rd , OR 9723 624- 7(105
LEGEND HOMES
General _ Describe work neyH2O' addition O alteration O repair O
Contracbr Mailing Address to be done.6900 S W B a i n e s St . Y_- Additional Description of Work-
City/State Zip Phone
it and OR 97223 620-80130
Oregon Const. Cont. Board Lic.# Exp. Date - --
Attach Copy of 060563 6/19/91 Project \
Current COT Busines Tax or MJelro 11 Exp.�D�ate _Valuation
Licenses--L C' �� 6y7 NF_W CONSTRUCTION ONLY:
i Name /� 3/ > - —
Mechanical SUNG1 O1v INC . Sq_Ft.. House: ` Sq.Ft.Garage:
c
Sub- Mailing Address ---
Contractor 2428 S E 105th Corner Lot Yes No Flag Lot Yes No
City/State Zip Phone (check one) (check one)
I P o r L l a n d_, O R 97218 253-7789 Restricted i4)c(/t Audio/Stereo ,y Burglar
Oregon Const. CQrit. Board Lic.# Exp. ale / Energy +� System Alarm
Attach Copy of , 4 B 131 5 /
I1276--C(-,,T'71 Door
r _ ' Garage Uoor I _ -
I(V
AC
Ex e lstellatiI//y
Current COT 3usiness Tax or Metro# '� Opener Systems s
Licenses VJ
Name
(check all that Other:
Plumbing WOLCOTT PLUMBING apu,/)
ailing Address Will the electrical subcontractor wire for all Yes No
Sub- F'U [lox x 2 0 0 7 restricted energy installations?
Contractor ---- Has the Subdivision Plat recorded? No
City/state Zip Phone
Gresham , OR 97030 667-9891
Oregon Const.Cont.bard Lic.# Exp Date Reissue of MST# Solar Compliance
Attach Copy or 10/19/97 �¢,;(- / o (calculation Attached) _
Current Plu bing Lic. # _ Exo. Date I hetcby acknowledge that I have read this application, that the
Licenses 2 6-"2 0 8 P B 8/31/9-7 information given is correct, that 13m the owner or authonzed agent of
COT Business Tax or Metro# Exp.Date the owner. and that plans submitted are in compliance with Oregon
96-4281 .2/96 State laws
Name signature of pwni !Agent Date ��^
Electrical GARNER ELECTRIC
Contact Person Name Ph nstle
Sub- Mailing Address
Contractor 21785 SW TV Highway F64—OFFICE USE ONLY:
City/State Zip Phone Flat
Aloha , OR 97006 591-1320
Oregon Cons. Cont Board L c# E;p.Da ILS t- r 1
Attach Copy of / i Setbacks Zone: TTI
Current Electrical Lic.# Ex Date ;__\ ,�
Licenses 34-305C / i I` M --
COT-Business Tax or Metro# Exp Dat Engineering Approval: Planning Approval
astmmstapp doc t1
L b
L
Pyr iL# ccount Descripti4[I Amount Amt, rte, Bal. Due
MST. Permit (BUILD) S z. --`--- j
Plumb. Permit (PLUMB) ;2;1 �.2ZJ' Y v
Mech. Permit (MECH) A-1;, •�i"
ELC/ELR Permit (ELPRMT) w 2yv
State Tax (TAX)
Bldg:
Plumb:
Mech: L
ELC/ELR: /z $AI
- 100,oto
Plan Check
MST: (BUS PLNP
) "—
Plumb: (PLMPLN)
Mech: (MECPI.N)
CDC Review (LANDUS) y 61 y U
�oAewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge �I n/�, (PKSDC) G yU 05P
Residential TIFA�
Mass Transit TIF
Water Quality (WQUAL)
Water Quantity (WQUANT)
Erosion Control Permit (ERPRMT) ��_ _
Erosion Planck/USA (ERPLAN) -11 Iry
Erosion Planck/COT (EROSN) •�L l-l� v�j �"v
Fire Life Safety (FLS)
TOTALS: -Ia ,U ;!, �;Ji)0•5 a
i WstsUnstapp doc
Rev. 7,96 r
��/o. Sa
11/27,196 11:47 V503 891 7297 CITY OF TIGARD 002/0'04
MY OF 11CAVKD
OREGON
No-vernber 27, 199E
Mr.Larry York
Matrix Development Corp.
6900 S W I[gine-, Street, Suite 200
Tigard,OR 97223-2514
RE. HUN-FERS GLEN TIF CREDITS
Dear harry:
Enclosed is your Credit Voucher for the T1F credit in the amount of# 19,296.08_ A copy of this
each time the me in to obtain a building pernit.
voucher mist be}mesenRed by your bulldars y co
We will keep the truster copy on file in our office(at front counter.)to keep track of the .;rtxlitS
used. This vouches will go into effect as of today.
If you have questions,please call_
Sincerely,
Brian D. Rager,PE
Development Review Engineer
C. Jill Aldrich,Development Services
I-TNGI8RUWR\1127NUN7 71F
13125 SW Hall BKml- TIOnrd OR 97223 (6W) 639-4171 TDD (503) 6a4-2772 -
11/27 '98 1t: is V503 884 7297 CITY OF TIGARD 00J'00.1
CMY OF TIfGARD Credit No.:
Date Issued_ 11/27/9.x.
Engineering
Authorization
Date:
TRAFFIC IMPACT FEE
CREDrF VOUCHER Land Use
C:asefile No.:
In accordance with Ordinance 379 . matrix Dent C rvoration _
is entitled to$_;}x_2j6..in Traf e. Impact Fee Credits that can he applied to TIF charges
for development on Io>t(s) of then Developrneni. To use this credit,
present this form at.the tima of"uanct of the building permit.
-.
Date Parnit Numbers, Lot Numbers A Credit UsedBalance'_ }
Beginning Balance
Balance; carred forward to TIP Credit No.
• Ordinance 319 provides for an expiration 7 years from autthod niton.
Use Additional pages if necessary.
4,giM,�e,.xlna-,
LEGEND HOMES GARNER ELECTRIC
6900 SW HAINES ST 21785 SW TV HWY
# L
TIGARD OR 97223 ALOHA OR 97006
Phone # : 620-8080 Phone # :
Reg # .' 1167
i
x
- --- - ---
Si re of vising Electrician
Please return this completed form to the address abode.
ATTN: Building Dept.
If you have any questions, please call 639-417 1 , ext. #310
I
CITY OF TIGARD
13125 B.W. HALL BLVD.
TIGARD,, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
P O BOX 2007
GRESHAM OR 97030
Plumbing Signature Farm
Permit #. . . . : MST96-0503
Date Issued. : 04/24/97
Parcel . . . . . . : 28103BD-HGO41
Site Address: 11535 SW BAMBI LN
Subdivision. : HUNTER'S GLEN
Block. . . . . . . . Lot: 041
Zoning. . . . . . . R-4.!+ PD
Remarks:
Path 1
Your company has been indicated as the plumbing contractor for the permit indica
for the plumbing permit to be valid, please have the appropriate individual from
below and return this Plumbing Signature Form prior to the start of work. No pl
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
LEGEND HOMES WOLCOTT PLUMBING CONT. INC
6900 SW RAINES ST P O BOX 2007
TIGARD OR 97223 GRESHAM OR 97030
Phone #: 620-8080 shone #:
Reg #• . : 000238 ,4 -)
;1 1,
X
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Deet.
If you have any questions, please call 639-4171, ext . #310