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InitiallyGood 00 -4 A (n W m r r r- 0 O m lA R� R� r s 3774 SW BELLFLOWER LANE CITY OF TIGARD BUILDING INSPECTION DIVISION 74-1-lour Inspection Line: 639• MSl-4175 Business Line: 639-4171 -- C.� —___— Date Requested ` s C�C.� AM PM —_ gip Locaton_ � 7 7 �; ' F'��' Suite _ MEC Contact Peron Ph — --_ (PLI�f Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR _ Footing Access Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: - -- — Slab -- -- C'�I 0- - SIT Post& Beam --- - - Ext Sheath/Shear -G _ Int Sheath/Shear Framing Insulation Drywall Nai!ing Firewall — -- -- — -- Fire Sprinkler — — Fire Alarm Susp'd R �- i_- � sem- - - -- -- -------- trail, PASS P FAI r"rrRearn rider Slab (� Water Service — Sanitary Sewer - Rain Drains ` PAS PART FAIL PNICAL Post& Beam - - . .. ------- Rough In Gas Line -- -- _ - ---- ---_ Smoke Dampers Final --- -- -- — - PASS PART FAIL ELECT RICAL -- - - ---- -- ---- Serv,ce Rough In �------- --- UG/Slab Low Voltage --------` — Fire Alarm .Final PASS PART FAIL _ SITE Backfill/Grading -- — -- — _---- — Sanitary Sewer Storm Drain J 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 L Other Date �____L �` rte_ Inspector �__�_ �— —�Ext Final PASS PART.– FAIL. _ DO NOT REMOVE this inspection record from the ,gob site. CITY OF T I G A R D —___ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P 11/99 00256 DATE ISSUED: 8/11199 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 111 DA-06800 SITE ADCRESS: 08714 SW BELLFLOWER Ifl SUBDIVISION: APPLEWOOD PARK NO. 2 ZONING: R-7 _BLOCK: LOT: 063 JURISDICTION: TIG-------- CLASS IG__—____CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLCSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN ft Remarks: Residential backflow prevention device FEES Owner: — Type— By Date Amount Receipt BRET PETERSON PRMT BON 8/11/99 $25.00 99-317571 9774 SW BELLFLOWER LN 5PCT BON 8/11/99 $1.75 99-317571 TIGARD, OR 97223 Total $26.75 Phone 1: 503-620-8197 Contractor: _ OWNER REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: Final Inspection Reg #: ORIGINAL This permit is iss ref !h Fct to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and )ther applicable laws. All work will be done in accordance with approved plans. This permit will expire Ii rvo!k is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTF_NTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may p obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. � Issued By: -1 11 �Zl✓� 1<��('r Permittee Signature:�. � •� Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application 13125 SW HALL. BLVD. Plan Chec Commercial and Residential Recd By TIGARD, OR 9722? (503) 639-417-1DateRec'd Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit# KF�L,5 Related SWI' r Called--_--- Nam Devhlopr>, 01/Prolect FIXTUR.'S (individual) Job �' � QTY PRICE AMT Sink _ 11.50 Address �ee�Address // Suite Lavatory //� S/ ' / 11.50 Bldg Cly/State/ L Tub or Tub/Shower Comb. 11.50 Shower Only _ 11.50 Na - -- =- 1`L Water CloseUUrinal (SpeclfY) 11.50 Dishwasher 11,50 Owner Maili dress Sulk" Garbage Dloposal 'e _ _ _ 1,.50 City/Slate Zip Phone Washing Ma.hine/L,3uniry Tray (Specify) 11.50 Floor Drain/Floor SIrk 2" 11-. .----- _ .50 Name 3" 11.50 4"_ 11.50 Occupant Mailing Address - - Suite Water Heater O conver:I, O Ilke kind Gas piping requires a separate mechanical pemilt. 11.50 �dY/Stele Zip Phony MFG Home New Water Ser rice 28.00 Name MFG Home New San/Storm Sewer 28.00 Hose Bibs 11.50 Contractor Mailing Address Suite Rain Drains _ 11.50 _ Drinking Fountain 11.50 Prior to permit Clty/State ZIP Phone issuance,a copy Other Fixtures(Specify) 15.00 of all licenses are Oregon Const.Cont.Board Uc.ar Exp.Date required If '- expired in COT Plumbing Lic.# Exp.Dale database Name _- - Sewer-1st 100' Architect38.00 Sewer-each additional 100' 32.00 Or Mailing Address Suite Water Service-1st 100' 38.00 Engineer City/StateZlp Phone Water Service-each additional 200' 32.00 Storm&Raln Drain-1st 100' 38.00 Describe work be done: Storm 8 Raln Drain-each additional 100' New O Repair r O Replace with like kind: Yes O No O 32.00 Residential 0' Commercial O Commercial Back Flow Prevention Device 32.00 Additional description of work' - - -- Residential Backflow Prevention Device- 19.00 Catch Basin 11.50 Are you capping, moving or replacing any fixtures? Insp.M Existing Plumbing 50.00 M11 Yes NoO Specially Requested Inspections 50.00 If yes, see back of form to indicate work performed by _ er/hr fixture. FAILURE TO ACCURATELY REPORT FIXTURE Rain Drain,single family dwelling 45.00 WORK COULD RESULT IN_INCREASED SEWER FEES. Grease Traps 11.50 1 hereby acknowledge that I have read this application,that the Information given is correct,that I am the owner or authorized agent of the owner,and QUANTITY TOTAL that plans submitted are In compliance with Oregon State Laws. Isometric or riser diagram Is required if Quantity Total Is >9 Sign re ofown nt Date "SUBTOTAL Con t Person Na Phone 7% SURCHARGE "PLAN REVIEW 250%OF SUBTOTAL A2,USE$178.00 R uired 2 BATH HOUSE$250.00 onl K fixture t total is>9 i'3 BATH HOUSE$285.OU TOTAL (This fee Includes all plumbing fixtures In the dwelling and the first 100 foot of sanitary sewer sterni sewer end water service) 'Minimum permit roe Is S50+7%surcharge.except Residential Backflow Prevenhor Devine,which is$25+7%surcharge All New Commercial Buildings require plans with Isometric or user diagram and plan review I ldstsllormslPlumaVP dor:N/Sl9'+ PLEASE COMPLETE: Fixture Typo — _Quantity by Work Perform_ ed _ New Moved Replaced Removed/Capped Sink --- — Lavatory--- ----- ---- -- —_—_-_ --- --------- —_ - Tub or Tub/Shower Combination _ -- -- -- Shower Only — Water Closet — Dishwasher� — — - Garbage Disposal — ------ — Washing Machine — — -- Floor_Drain/Floor Sink 2" -- 4" — Laundry-Room Tray ---- Urinal �---- — - — ------ - --- Other Fixtures (Specify) — ---�--- COMMENTS REL ARIJING ABOVE: _ CERTIFICATE OF OCCUPANCY CITY OF TIGARD PERMIT#: MST99-00014 DEVELOPMENT SERVICES DATE ISSUED: 1/20/99 13125 SW Hall Blvd , Tigard, OR 97223 (503) 639-4171 PARCEL: 2S'111DA-06800 ZONING,: R-7 JURISDICTION: TIG SITE ADDRESS: 08774 SW BELLFLOWEPA SUBDIVISION: APPLEWCCD PARK NO. 2 BLOCK: LOT:063 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5P' OCCUPANCY GRP: R3 TENAN t NAME: REMARKS: PATH 1: New single family dwelling wiattacheJ garage &covered porch. Approved Final Inspection 5/25/99 by Ken Schriendl, Building Inspector Owner: — MATRIX DEVELOPMENT CORP 6900 SW HAINES PLAZA 2, SUITE 200 TIGARD, OR 97223 Phone: 620-8080 Contractor: LEGEND HOMES CORP 6900 SW HAINES ST#200 TIGARD, OR 97223 Phone: 620-8080 Reg #: This Certifcate 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 Spezialty Codes for the group, occupancy, and use u der which the referenced permit was issued. BUILDING INSPECTOR BUILDIN&bFFICIAL POST IN CONSPICUOUS PLACE v � I CITY OF TIGARD BUILDING INSPECTION C?IVISION 24-Ho-ir Inspection Line: 639-4175 Business Line: 639-4171 MST _ Date RequestedBUP 5 �Z_ �' PM Location—�1-1-± ('�� Suite BLD MEC Contact Person Ph L'--- "] PLM Contractor _ Ph — SWR r Tenant/Owner ELC ------- �_- Retaining Wall ----- — Footing F..LR Foundation Access ------- ------ Ftg Drain FPS - Crawl Drain Inspection Notes: SGN Slab --- --- Post R Beam - ---- ---`----- ---- SIT Ext Sheath/Shear - Int Sheath/Shear Framing .. Insulation Drywall Nailing Firewall -----— ----------- Fire Sprinkler Fire Alarm - - - ---- --- -__ -------- -- Susp'd Ceiling Roof -- ------- - - ---- - ----- Misc: PAS PART FAIL MBING --- ---- -- -- Post& Beam _ Under Slab ---- Top Out - - - -- Water Service - --- Sanitary Sewer Rain Drains —' Final - - PASS PART FAIL Pos am Roug GasJ ine S ke Da e F ar _ PASS PART FAIL ELECTRICAL _ Service i Rough In - - UG/Slab _ Low Voltage - Fire Alarm Final PASS PART FA:L 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 ( ]Please call for reinspection RE:.__ _ [ ]Unable to inspe-1-no access ADA - Approach/Sidewalk -� Other Date _ ,' I.,shector Final -- -,-- Ext PASS PART_ FAIL 110 NOT REM17VE this inspection record from the job site. CITY OF TIGARD MnSTFR PERMIT DEVELOPMENT SERVICES r-'CPMIT #. . . . . . . : M)T9'3 -C',Z;L 13125 SW Hall 611ld., Tigard, OR 97223(503)639-4171 DATE ISSLIFI7: 01/20/99 �'fAi•2CF1.. : �wS 1 1. i Df� 06800^ITC ADDRCS a. 08774 SW AE'1 L.F•1.OWC'R JCI'''. SLJBD 7 V T9)I ON. . . . :AF'pl.-.E"WOOI:) PA RK NO, 2 ZONING: R--7 PT) T1t_OCK. . . . , , . I_(?T. .. . .. . . . . . . . . . :0h,-7, Jl.JRTSDICTTON: TIG Remarks: PRTH l: New single family dwelling w/attached garage d covered porch. BUILDING �EISSIIE: STORIES.,.....: 2 FLOOR AREAS----------- BASEMENT...; 0 sf REQUIRED SETBACKS---- REQUIRED----------- CLASS OF WCRK,:NRI HEIGHT........: 27 FIRST...,: 1034 sf '1ARAflE.....: 495 sf LEFT...,......: 6 SMOKE DETECTRS: TYPE OF USE,..:SF FLOOR LOAD....: 40 SECOND...; 1286 sf FRONT,........: 13 PARKING SPACES: 2 TYPE OF CONST,:5N DUELLING UNITS: ' FINBSMENT; 0 sf RIGHT.........: 14 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2320 sf VALUE.,f; 170648 REAR..,,,,..,,; 13 ----------------------------------------------------------------- PLUMBING ---------- ---------------------------- ----------------- OINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..' 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS,,......,= 0 LAVATORIES....; 4 DISHWASHERS...: 1 FLOOR DRAINS.. : 0 SEWER LINE ft: 100 SF RAIN DRAINS: 2 CATCH BASINS..: 0 'LID/SHOWERS.•.: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: l GREASE TRAPS..: 0 P --------------------------------------------------------------- OTHER FIXTURES; MECHANICAL -- - _----- ------ ---- - - --- - -- rUEL TYPES----------- FURN O INK ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 3 CLOTHES DRYERS: 1 1AS FURN )=100K ,.; 1 UNIT HEATERS..: P HOODS.........: 0 OTHER OMITS... : 1 'n4X INF,; 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OAl1LETS...: 1 - —---------------------------------------- - --------- -- - ELECTRICAL -RESIDENTIAL UNIT--- ---SERVICE/rEEDER---- --TEW SRVC!FEEDERS-- ---BRANCFI CIRCUITS--- ----MISCELLANEOUS----- --ADD'L INSPECT '000 SF OR LESS: 1 0 M. amp..: 0 0 - 2N amp..: 0 W/SVC OR FDR,.: P THUMP/IRRIGATION: 0 PER INSPECTION: "A ADD'1. W- ff.: 4 201 - AN, amp,,; a 201 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 IMITED ENERGY.; 0 401 - 600 am1..: P 401 - 6Q0 amp..: P EA ADDL BR CIR: 0 SIW/PANEL...: P IN PLANT,,.,,,; O" unr�r "''SVC/FOR; 0 601 1000 am,:,: 0 60;4�amp% ON Y: 0 MINOR LABEL. -18: 0 1000+ amp/vola.: P - ------------------------------------ PLAN REVIEW SECTION --------------------—-------- Reconnect ----------- .----------------Reconnect only, : 0 )=4 RES UNITS..: SVC/FDR)=225 A. ) 600 V NOMINAL: CLS AREA/SPC OC'. --- --------.___.._.-----__._ ....--.- -- ELECTRICAL - RESTRICTED FNERGY --------- SFAFSIVNTIAI--..------------------------- B. rgwprlq.--------------------------------------------------------------------------- U11, a STEREO. : VACtILIM SYSTEM.,; AUDIO I STEREO.: FIRE ALARM.....: W-RCOM cAGTNG; (?)TDOOR I NDSC LT: BURGLAR ALARM..: 0TH; :: BOILER.......... HVAC...,....,..; LANDSCAPE/IRRIG: PROTECTIVE SIM.: ,ARAGr Cic"NER.,. CLOCK........... INSTRl1MENTATIGn: MED ICAI......... OTHR: "t'AC........... DATA,,TELE COMM,; NURSE CALLS....: TOTAL N SYSTEMS: P 7wner: _._____. __.._------.---.- Contractor; - -- -- _-- - TOTAL FEE5:1 5185.22 TOND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in th;, 19" SW HAINES 6900 SW HAINES ST 420P Tigard Municipal Code, State of Ore. Specialty Codes ane ^LAZA 2, SUITE 200 TIGARD OR 97223 other applicable lal:s. All work will be done in accordance rIGARD OR 97223 with approved plans. This permit will empire if work is "'hone N: 620-8P80 Phone N; 620-8080 not started within 180 days of issuance, or if the work is Reg N..: 800605 suspended for more than 180 days. ATTEN7TT4: Oregon law --------------------------------------------------- requires you to follow rules adopted by the Oregon Utility "otification Center. Those rules are set forth in OAR 952-001 -RIO through OAR 952.001-0P80. You may obtain copies of these rule-. or ':rest questions to DUNG by calling (503)246-1987. -------------------•------------------------------------- RF.OUIRED INSPECTIONS ------------------------------------------------- --------.. '..asion 844-8444 Crawl Drair/Back Electrical Rough insulation Insp Mechanical Final 'eating Insp PLMIUnderfloor Framing Insp Rrin drain Insp Plumb Final oundation Insp Mechanical ' Sh.ar Wall Tnsp Water Service In Building Final _ '�st!Beae Struct Plumb Tod ^ ' Gas Line Insp Appr!Sdwlk Insp est/Beam Meehan F:e Gas Fireplace Electrical Final 1 r•-i D y � i E%�� __ F' r nl i t t t?F S i 1�n a t r_r r c - — flitrl + � I Id : rlll ? Prll ! tFr � rrlrltl 114141 ! r,11 h._:,9- 41 ,��r,.t O , rn, f01 all insRertinn rrNeder! i ' nertt. 1,1t,:irlesr day Plan Cherk p / ✓'�� I r'( OF TIGARD Residential Building Permit Application Recd By �-�-�_ 3125 SW HALL BLVD. New Construction Additions or Alterations Date Rec'd7 �9 IGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E 503-639-4171 Date to DST 503-684-7297 I Permit q 21vP 99-o�' Print or Type Called I-/�lEti �E�r UM +>�� Incomplete or illegible applications will not be accepted sc,0lei9- —�7;;z roject T Name Job •iJC,,;W r�• L Architect Madi Address Address Site Address •� fp- -- ----- City/$tate Zip Phone *"K Na e p ��I_ -- Owner Maill Address Nam En ineer Mallin Address I State Zip PhoneQ — g � city/state n Zip Phone General Na/m -nctt�l e�C �Z ,� Contractor L�C�k�� Describe work ew Addition O Alteration O Repair 0 , Mallin Address to be done- Prior onePrior to permit r a � ,� ' - s Additional Description of Work: ssuance, a copy city/stateZip Phone of all licenses tC r 62-,D. bso are required if OregoA Const.Cont.Board Exp. 9ste'b:ra:.. PROJECT O 6 _�Gf VALUATION expired in COT Lic.N �' Jl database CSO 5 G� _—_ _ i _ A _ } Mechanical Name NEW CONSTRUCTION ONLY: Sub- U n t 11Z�� Sq. Ft. House: 7 Sq. FL Garage Contractor Mailing Adda�srs t _ -3 �[e) Prior to permit 211 j C O 5 h Corner Lot YES N . Flag Lot YES ssuance,a copy City/State Zip Phone (check one) ! (check one' of all licenses F'Or��ckr) q17_I& G.5 Restricted Aut io/Stereo Burglar are required if Oregon Cons[Cont. Board Exp. Date Energy ' stem Alalm �; expired in COT Lic# r__ _ database_ g 1 4�` 3� '�i$ Installation r,( � Garage Door HVAC Plumbing Name '!/" Opener — Systems Sub- __ I - - I ` t (check all that Other. Mailing Address apply) Contractor g Will the electrical subcontractor wire for all YES NO PU �Ok restricted energy installations? Prior to permit city/state zip Phone Has the Subdivision Plat recorded? N/A YES NO ssuance, a copy L -Thfi of all licenses are Oregon Const Cont. Board Exp. date required if Lica Reissue of MST# Solar Compliance exoired n COT _-2, ��/ /0 - (q -9 6 _ (Calculation Attached) database Plumbing Lic. # Exp Date I hearby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized Name agent of the owner, and that plans submitted are in compliance i' with Oregon State I ws. Electrical C urr,ir _ L,w� rl Signatilire OT4r/A ent Date. Sub- Mailing Address i Contractor L 5 r,,,•> T_-V t fit On h cbnte r b"aA hong City/State Zip P e Pnor to permit F OFFICE USE ONLY: t / ssuance, a coPY �� ha CSK-q_�(c �q ( ��Z� Plot �y Map/TLft: �— of all licenses are Oregon Coast. Cont Board Exp Date V ^ required if Lies G exp, Setbacks Zone: Solar: expiredn COT •' G � �� -q datalvse Electrical Lic.N Exp Date — En neenn Approval Planning Approval: TIF. • 305 c- I� " —� s __ r-�5'•99 �� I FRE.M DCC (DS-T)i/9 FL OT FLAN LOT 0631 Al", '�..E ®OD RIG fR-1 251 11 DA TAX LOT 00000 81-14 SW BELLFLOWER LANE 5,E, 1/4 OF' SECTION 11, T.2, R.1W, W.M. CIT-T" OF TIGARD W,450INGTON COUNTY, OREGON LEGEND HOMES 8900 S.M- FIAINE9 .STREET T'IGARD, OREGON PIAZA 2. SUITE. 200 97223-2514 OFTICE (503) 820-8080 FAX (503) 598-8900 &W 5ELLFLOWER STREET ,Cie 55 I ---------- CURB - - SIDEWALK-- N 89'54'25" E 8UTILITY 99 X98.4' Q WATER METER EASEMENT-1�_9 ....... 1399'--_ r--- w 1985 W-------- WATER LINE gS- --- 5ANITAR-T SEWER gp- - - - 5TORM DRAIN - 4-- - 4 OF STREET • MANWOLE I LOT 63 , / ® CATCN BA51N 14,56-I SQ. FT. PROPOSED RECsENT IIA STREET TREES �~ n I FIN. FLR- . 2002'* I ui 4p� STREET LIGI-IT Q m 1 95 GARAGE FLR ■ 1989' A FIRE HYDRANT 114 __ - -- / - -- - - V 198.1'EXIST. TREES _ T 2m' A PROVIDE EROSION CONTROL FF-NCE LOT 117 PER COMMUNITI' EROSION PLAN i I