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15473 SW HARCOURT TERR.
_ CERTIFICATE OF OCCUPANCY
CITY OF TIGARD
PERMIT#: M9T20-00006
DEVELOPMENT SERVICES DATE ISSUED: 01/12/22 000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-12700
ZONING: R-7
.JURISDICTION: TIG
SITE ADDRESS: 15473 SW HARCOURT TERR FILE COPY
SUBDIVISIGN: APPLEINOOD PARK NO. 3
BLOCK: LOT:120
CLASS OF WORK: NEW Y
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I: New single family dwelling w/attached garage&covered porch. - Final Building
Inspection and Certificate of Occupancy Approved 4/24/00 by Tom Pic—wher, Building Inspector
Owner:
MATRIX DEVELOPMENT
12755 SW 69TH AVE#100
TIGARD, OR 97223
Phone: 620-8080
Contractor:
LEGEND HOMES CORP
12755 SW 69TH AVE#100
TIGARD, OR 97223
Phone: 620-8080
Reg #: LIC 00060663
This Certificate grants occupancy of the above referenced building or portion th"reof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty COdeS for the.. u , occupancy, and use under wl ich the referenced permit was
issued! /
BUILDING INSPECTOR 13UILIJNG OFFICIAL
POST IN CONSPICUO!JS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639•4175 Business Line: 639-4171
BUP _
----------_---Date F:equested_ 1-2 cl) --_AM ___PM __. BLD
Location__ L�? s C.� ��'r� C�C�[, _ Suite _-- MEC
Contact Person ,., Ph _ _- PLM
Contractor -�.--- - -_-__-- Ph ------------- - SWR ^_ _--
UIL Tenant/OwnerESC --
Retaining Wall ELR
Footinu Access: FPS
Foundation -
Ftg Drain SGN
Crawl Drain Inspection Notes. ------ ---- --
Slab ---- - - ----- —- --- - SIT
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear
Framing --
Insulation � � � ,may► C,, � � � 1- �'/ •;
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _--- —
Roof
q
_---�.
gJ-4aAP,
WSal
T FAIL ---- ---- ----- — - - -
PLUMBI
Post$Beam ------- - ------ ---- - --- -----
Under Slab
Top Out - -- -
Water Service
Sanitary Sewer - -- --- _— _ ---
R ' rains
T FAIL
NIC
Rough In
Gas Line
Smoke Dampers
na %MkTj FAIL
LECTRICAL --_._-----
Rough In
UG/Slab
._._----- ---------------
Low Voltage
Fir larm ---------- ---- - - --- — — -
PART FAIL _-_-_-- -- ---
SITE
Backfill/Grading - ----- --- -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$^_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE: �— [ ]Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk
Other Date f�U 0 -__ Inspector_ 1 --------Ext
Final
PAST= PART FAIL J 00 NOT REMOVE this inspection record from the job site.
.sr••
CI Y OF T I G A R D ^ ____ MASTER PERMIT
PERMIT#: MST2000-00006
DEVELOPMENT SERVICES DATE ISSUED: 01/12/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 15473 SW HARCOURT TERR PARCEL: 2S111DA-12700
SUBDIVISION: APPLEWOOD PARK NO, 3 ZONING: R-7
BLOCK: LOT: 120 JURISDICTION: TIG
REMARKS: PATH I: New single family dwelling w/attached garage & covered porch.
BUILDING
REISSUE: STORIES: I FLOOR AREAS REOUIHED SETBACKS REQUIRED
CLASS OF WORK: NEL'I HEIGHT: 16 FIRST: 1,606 Sf BASEMENT: of LEFT: 5 SMOKr -°TECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: Sf GARAGE: 435 of FRONT: 20 PARKING ACES.
TYPE OF CONS',: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGH`: 5
OCCUPANCY CiRP: R3 BDRM: 3 BATH: 2 TOTAL: of VALUE: E 123,433.40 REAR: zo
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 1 TRAPS:
LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 7 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BrKFLW PREVNTR: 1 GREASE TRAPS:
MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN<100K: 1 BOILICMP�3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN>•100K: UNIT HEATERS: HOODS: 1 OTHER-'NITS! t
MAX INP btu FLOOR FUR.ANCES: VENTS: WOOOSTOVES: GAS.OUTLETS: t
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 an.p. 0 •200 amp; WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADDT 300SF: 3 201 400 snip: 201 400 amp: 1st W1O SVCIFDR: 1 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMi3VCIFDR: 601 • 1000 amp: 001+amps•1000v: MINOR LABEL:
1000+amp/volt:
Reconnect only; PLAN REVIEW SF^TION
>•4 RES UNITS: SVC/FDR>•22b A.: >600 V NOMINAL: CLS AREA/SPC OCC'.
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT,
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG. PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL.: OTHR
HVAC: DATArTELE COMM; NURSE CAI.LS TOTAL N SYSTEMS
Owner: Contractor: TOTAL. FEES: $ 5,358.81
This permit is subject to the regulations contained in the
LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code,State of OR Specialty Codes and
TIGARD,OR 9/223 TIGARD,OR 97223
12600 72ND AVE 12600 72ND AVE all other applicable 13Ws. All work will be done in
accordance with approved plans. This permit will expired
work is nut started within 180 days of issuance,or if 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
IN A L Rep N; LIC 00060563 forth in OAR 952-001-0010 through 952-001-0080 You
OR11 Imay obtain copies of Y +se rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion 844-8444 Underfloor insulation Plumb Top Out Low Voltage Water Line Insp Final Inspection
Footing Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Appr/Sdwlk Insp Building Final
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Fireplace Electrical Final
Post/Beam Structural PLM/Underfloor Framing Insp Insulation Insp Mechanical Final
Post/Beam Mechanica Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final
���Issued By : ��, Permittee Signatut'b
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD _EWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR?000-00006
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 01/12/2000
SITE ADDRESS; 15473 SW HARCOURT TERR PARCEL-: 2S111DA-12700
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 120 JURISDICTION: TIG _
TENANT NAME: LEGEND HOMES
USA NO: FIXTURE UNITS: 1
CLASS OF WORK: NEW DWELLING UNITS: 1
TvPE. OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE.
Remarks: Sewer connection for new single family dwelling.
Owner: _ _ FEES
I-EGEND HOMES Type By Date Amount Receipt
12600 SW 72ND AVE —
TIGARD, OR 97223 PRMT BON 01/12/200( $2,300.00 00-321098
INSP BON 01/12/200C $35.00 00-321098
Phone: 620-8080 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
ORIGINAL
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 riot
guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the rnstallor
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-OG1-0010 through OAR 952-001-0080
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued by: \, 1 1 (. t �. l( Permittee Signature:
Call (.503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
r Plan Check
l:l TY ur I dUAKu ►-cestr�entia! tsuiiq,n5 Permit Application
13125 SW HALL BLVD. Additions or Alterations P,ec'd By ---
Date Recd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) y-----r
Date to P.EG/ 04-Oct
V 503-639-4171 bate to DST [- 2;7-00
F 503-684-7297 Permit#lNsraoow--;�oo6A
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Project Name
Job UYL J:e,) A MailingAddess /f
Address Architect
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City/State Zip� Phone
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of all licenses ;.
aro required If Oregon nst Cont.Board . Exp.Date PROJECT
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database ;j s^�3 VALUATION i ".�
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Mechanical Name NEW CONSTRUCTION ONLY:
Sub- ��LU' Sq.F�HQuee- ' Sq. FL Garage'
Contractor MailfngAddre�a _
to pcto S -r Indicate the restricted energy installation by-
Priorthe electrical
issuance,a copy C' (State Zip Phone subcontractor in the follow in areas
of all licenses /_s - )0/ Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp.Date Energy S sten', —_� Alarms
expired in COT I_ic.# Installations Vacuum Irrigation
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database _ ystem —__ System
Plumbing Name (check all that Other.
Sub_ ��� `n ii a I _ _
Contractor Mailing Addresso Comer Lot YES t�10 Flay Lot YES NO
deck on _ 7check one) �'C
_ Has the Subdivision Plat recorded? WA 1(FS NO
Prior to permit 9Y/State Zip Phone x
issuance,a copy q -,-/, ---------
of all licenses are Oregon Const. Cont. Board 7txp. 'Gate
required if Lic.# _
expired in COT )ooL 3 - l' I hearby acknowledge that I have read this application,that the
database Plumbing LIC.# Exp.Date information given is correct,that t am the owner or authorized agent
of the owner, and that p;arls submitted are in compliance with
'=; - Orman State laws.
Na rne Sign ore of ner gent Date
Electrical v
Sub_ Mailing Address Cunt aCt er on an E Phone
r:ontractor 5`
City/State Zip Phony
Prior to permit I
Issuance,a copy 110
j FOR OFFICE USE ONLY:
of all licenses are Oregon Cons Cont.Boa,d Exp.Dale plat#: _ _ Ma /TL#:
required if 1,is a _ p /� A O
expired in COT _ � o// 5 (� _ -3- -6161 6161 / A3 _30 ,l//r��`
database Electrical I,ic.#, / EXP.Date �1 S asks: Zone• Soler:
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FL Off" FLAN
LOT X12 0, AFFL E WOOD FARK
R., 251 11 DA
TA:: LOT 012100
15413 5W NARCOURT TERRACE
S.E. 1/4 OF SECTION 11, T.2, R.IUJ; UM,
CITY OF TIGARD
WASkNISTON COUNT`r', OREGON
IO WATER METER
------ - lU- — -- WATER LINE
SS-— —— SANITARY SEWER
LEGEND HnMES SD— - - - STORM DRAIN
12766 se 69th AYRN'E Surra 100 -- — --- -t OF STREET
OFFICE (603) 020-6080 TT'ARO. OR. 97229 • MAN14OLE
FAX (609) 690-6900 CCB# 60689
CATCH BASIN
PROPOSED
STREET TREES
STREET LIGHT
FIRE HYDRANT
N
I
PROVIDE EROSION
CONTROL FENCE
PER GOI1MUNITY
+-- EROSION PLAN
I" = 20'-•0'•
QUI I � w
> LC�T119 I ; °
x-11
0.1.9' 1 iD LL
d)I b N 89'54'25" E
20
1 92.45
12095' 200814'
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Lot 120 i
4fo41 5Q FT.
/ pURNAM A
! FIN FLR. - 2103
GARAGE FLK 208V 1 I I \!
_22-0! f _
210_0' 2fd9b'i_ �' N 89'54'25" E - — 22'83' (j]
93-21'
' LOT 121
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