12987 SW FALCON RISE DRIVE ADDRESS:
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i.�record s\rnicroflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phon a): 639-4175 Business Pho_,e. 639-4171
Inspection:
Footing Susp. Ceilings Spri . Rough- A
per/Sdwlk
Foundation
Plbg. Undemlab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Oft
Elec. Rough-in FINL
Post/Beam Mach. San. Sewer
Gas Line -Bldg.
Plbg. Underfloor Rain Drain
Framing -Plumb.
Alarm Water Line
Insulation -Mech.
Underflr. Insul. Shear Wall
� Gyp. Bd. -Elect.
Time: AM PM
Date R.3quested:
Address: C� ,� � 7
Builder: r
Permit ar:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:
�]� I
� .,�_— Date:
<— tOVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
MASTER F,ERMIT DERMIT #. . . . . . . . 'M�S
T96-00113)C1TY OF TIGARD DATEISSUED: 02/
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hag Blvd.Tigard,Oregon 97223.8%99 (.n3)639-4171 C'ARC[_L : i'�1 3,3DD-1 160 017,
SITE ADDRL;SC. . . : IL-:'.937 SW --ALCON RISE: DR
SUBDIVISION— . - VILLAGE= AT SLIMMER LAKE: F'ARK 5 ZONING. F< -A.
PLOC:K. . . . . . . . . LOT. . . . . . . . . . . : 1,96
Remarks: BUILDING A 7FTE APPROX 40 FEF'
--- ----_---___ -__�_-- ----._------------------------------ BUILDING -------------------------------------------- ---- - -
RE155UE: -�VSTORIES......... 0 FLOOR AREAS---------- BASEMENT—: 0 5f REQUIRED SETBACKS---- PE-DUIRED--
CLASS OF WORK.:"p HEIGHT........: 7 FIRST.,.,: 0 if GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECT RS:
TYPE OF USE...:SF FLOOR LOAD....: 8 SECOND.... 3 if FDONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINB;J'+ENT: 0 sf RIGHT.........: 8
OCCUPANCY GRP.:R3 BDRM: 2 CATH: 0 ICTAL -----: 0 sf 4LUE,.1: SW REAR..........: 0
--------------•----•-----•------- ---•----•--------------------- PLUMBING ------------------------------------—-—------------------
SINKS.........:
---------------------------- --------
SINKS.........: 0 WATER CLOSETS.: 0 WPiHING MACH..: 0 LAUNDRY TRAYS,: 0 RAIN DRAIN ft: 0 TRAPS.......... o,
LAVH"RIES....1 0 DISHWASKLf.:
PLAN CHECK FEES L.3T
PLAN CHECK# J-2,f 2 PERMIT# DATE
ADDRESS 12 �,•7 sk) Ft Cr, )CA J-p fJY- TAX/MAP TLoT 7513"UO
SUBDIVISION U/RC.
J' ,.�. L� o+K SLOT #LAND USE
VALUALATION SETBACK FRONT REAR_, LEFT RIGHT
WORK CLASS Al,,, HEIGHT_ _ TOTAL AREA_
USE TYPE FLOOR LOAD 1st FLOOR
CONST TYPE HEAT TYPE 2nd FLOOR _
OCCUP GROUP DWPLL/UNITS _3rd FLOOR
OCCUP LOAD r BED ROOM BASEMENT
STORIES BATHS GARAGE
PERMIT # DESCRIPTION AMOUNT AMOUNT PD BAL DUE
BUILING PERMIT FEES .5.-0 z f
PLUMB PERMIT FEES
MECH PERMIT FEES
ELC PERMIT FEES
ELR PERMIT FEES
r i
STATES BUILD TAX
BUILDING . L.)`
PLUMBINC
MECHIANICAL
ELC
ELR
PLAN CHECK FEES 1 Z �� /(v.Z
BUILDING
PLUMBING_ _
MECHIANCAL
SEWER CONNECTION FEF
SE1:'F'R I'VECTTON FEE
PARKS
RESIDENTIAL TIF _
MASS TRANSIT
WATER QUALITY _
WATER QUANTITY
EROSION CNTRL PERMIT
EROSION PLAN CK USA
EROSION PLAN CK COT
TOTALS : Z. OW
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SUBJECT - - - - - - - - - - -- - - - - - - - - - -
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PLOT PLAN
Nm cASTLII HOMES,INC- 110 BOX 23291 7'1GARD,Olt 97281
I'll:639-3608 FAX:611,1-0671.
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Sc;de: 1/8"- 1" Notes:Dowushcots and rrawlspace drsd i to storm
soweWI C.Sldcwalks and d:lvewuy upproad to city code.
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SHEET NO. - -- - - •- - - - - - - OF - - - - - - -
PROJECT NO- ---- - ---- ---- --
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Permit#:
Address:� —
's
Issued by: Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Nete: Oregon Law, ORS 701.055(4), requires residential constru^tion permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement,before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from reeistration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B:
u 1. I own,reside in,or will reside in the completed structure.
2. 1 understand that I must register as a construc!ion contractor if the structure is sold or offered for sale
before or upon completion.
F] 3A. My general contractor is
L=t (Name) Contractor regis. #
I will instruct my general cont, it that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
F] 3B. I will be my own general contractor.
If i hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permil of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do under,iand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this forma,
(Signature of permit applicant) (Date)
(WhIre copy to is ruing agency permit.fiie,
pink copy to applicant)
Information Notice to Pribperty Owners
About Construction F,esponsibilities
Note: This Information Notice to Property Owners about Construction Responsibihtic
was developed by the Construction Contractors Board in accordance with ORS 701.055(4
If you are acting your own contractor to construct a new home or make a substantial improvement to an existing structure.,
you can prevent many pmblcros by being aware of the tollowing responsibilities and areas of concern.
EMPLOYER RESPONSIBILITIES:
11 you hire persons not registered with the Construction Contractors Board to do labor in constructing or .assisting in the
con strut!ion or improvement of a.residential stnicture, ,you will, in most instances,be piled to he an employer and the people
v(,,t hire will he employees. As the employer.you must comply with the following:
Oregon's withholding tax law: Asan employer,you must w;';ohold income taxes from employee wages at the time employees
are paid. Yon will he liable for the tax payments even if yr t don't actually withhold the tax from your employees. For more
information,call the Oregon Dept.of Revenue at 945-80^i
1.1nemployment insurance tax: As an employer,you are required to pay a tax for unemployment insurance purposes on the
wages of i.11 employees. For more information,call the Oregon Employment Division at the Department of Human Resources
at 378-3524.
Workers'compensation insurance: As an employer, you are subject to the Oregon Workers'Compensation Law,and must
obtain wirkers'compensation insurance fot your employees. if you fail to obtain workers'compe: cation insurance,you may
he subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information,
call the Workers'Compensation Division at the Department of Consumer and Business Services at 945-7888.
U.S.Internal kevenue Service: As an employer,you must withhold federal income tax from employees'wages. You will be
liable for the tax payment even if you didn't actually withhold the tax. For more information,call the Internal Revenue Service
at 1.800-829-1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: As the permii Bolder for this project,you are responsible for resolving any failure to meet c(Ae requirements
that may be brought to year attention through inspections.
Liability and property damage insurance: Contact your insurance agent to see if you have adequate insuranL, Overage for
,accidents and omissions such as falling tools,print overspray,water damage from pipe punctures,fire,or work hat must be
re-done.
'rime to supervise employees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the expertise to act as your own general contractor,to coordinate the work ofrotigh-in Hund finish
trades, and to notify hnilding officii1s at the appropriate times so they can perform the required inspections.
If you have additional questions,write or call the Construction Contractors Board(PO Box 14140,Salem,OR 97309-5052,
-503/378.4621). The Hoard is locattd at 700 Summer St. NE Suite 100, in Salem.
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City of Tigard
Regid__ ential Ruildiing_permit Application
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Subdivision: ,� ,n,,,,t � _ Lot#—lam 4A7ce Use on:v
Valuation: �j"Z� —� Contact Date i ! _.,initials
-- - Result _
Now Construction Only: !Square Footapti) Planck/Rec #
House: -A//A — Garage: Of Permit#
Reissue of
Corner Lot? Y N } Flag Lot? Y Map 8 TL# f5/ 331�A- Gari
�..,� � Zone
Owner:
Owner:
Plot
Address: ; >�e a S,J . /«,� jam;s� 600ER is Reug Ired
Planning Setbacks Solar
01""6----�-- Engineering
Phone: j�� —� -79' - ,5195.13 Other_—
Contractor: S� /t' j�e_1n_ a Requires
Address: ham, Subcontrar;tors
Truss Details
Other
Phone: Notes _
Contractor's License # -- -------_____
(attach copy of cup,ent Oregon license)
Contact Name: /V/ ------
Contact Phone:
Subcontractorn. Archltect/Enginser:
Plumbinct Address:
Mechanical: _ �_
(attach copy of current OR Contractor's License)
Phone. j� }
K
JOB DPSCRIPTION:
Applicant Signatu , Applicant Phone number
i
Received by:
((_a Date Received:
H Uft Wft%4 M.MD
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Permit 0 Account Description Amount pmt. Pd. Bal. due` •''
Bldg. Permit (
(BUILD)
Plumb. Permit (PLUMB)
r . .
Mech. Permit (MECH)
>!
State Tax (TAX) � 7
Bldg:
4
Plumb:
t
Mech:
Plan Check 6 "�� .- _•
(PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Vev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (Wr-UAL)
Water Quantity (WQUANT)
Fire Life Sare±y (FLS)
Erosion Cntrl Pennit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: i )(�
+
CITY OF IIUARV RE-'(,* JV7CIV PHYMI-141 RU CVA P I NLI, v96—P74909
1AILGIA IMAM I
NAME s D. MURES tWil i AMOUNT 111.
F(DI)WEIRS a IP1907 SW --ALCON Rll,-,l I)NfVtl.-, PAYMLNI Di4ift u qIl 12/96
5-(1141)1 V Iti WN
TIBARD, (JI, 97221i—
P1 IRPOt0: I III PAYMENT 14MOLIN'1 PAI 1) PURP(lbil- OF (-,f4VMl,-%N1 t4mfjuN,l PM D
f.3(IJl ,l)JNH 11 ON lb. Pb b(IJI.DINH V11-1(Iv
Bult-DiNt.-i Pir Wit PLAN I;Vill.l..K UNLY ((]VEMPWD) FUR
UVERIAEANHI 14NIA Al Alk(Ml-
10TAL MIJUNT PRID
IIISPECTIf►N NOT�C� �,� \`��
City or Tigard Building Department j
1.3125 M Hall sled. Tigard, Oregon 97229
Inspection Line (Rec-O-Phones 639-417'. Business Phone+: 639-4171
Inspection:_ _^
Footing Plbg. Undorslab Mach. Rough-in App.r/Sdwlk
Found. Plhg. Top Out Can Line FINAL:,
Post/Beam Struct. Man. Sewer Fraaing -Oldq.
Post/Seam Mach. Main Drain Insulation -Plumb.
Plbg. Underfloor Nater (Line Gyp, Sd.
Data Requested: , !3 `� C� Timet 11N PM
Q � (
Address: ,-l:1 �-,`.C +-� C^ _ Permit
Builder:__ _
MR FOLLOWING CORRECTIONS ARE REQUIRED:
r
it
i
I
E
Inspector:/__ Data: / <�
"PROM DISAPPROVED "PROVND SUBJECT TO ABOVE
Call For Roinsp.
CITY
OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CE:RT i F I CAT'E OF
13125 SW NO Ovd.TkWd,Oaepm SM8*6116 (03)00 41Y1 OCCUPANCY
XXxx F'ERM1I' di. . . . . . , a MST94-0217'3
639-4171 CATE ISSUEDt 11/18/94
SITE ADDRESS. . . a 12907 SES FALCON RISEDR PiaRCtl_a tS133DP- 16,000
SUIMDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK :5 ZONINGaR--4. `"i
OLf.)C'K. . . . . . . . . . x E_UT.. . . . . . . . . . . . . : 196
GLASS OF WORK. :NF W __...
TYPE OF USE. . . t:,F
OCCUPANCY GRP. s R3F.
OCC"L dANCY LORD 122 7
TENANT NAME, :
Remaarks a 'ATH I `
Owners —,______..,,.�.___
r
NEWCASTLE VIC) C
p ca IICIX 2329
TIGARD OR 972al
phnne #3 639--3606
1-01
Contraactora
JAY MILLER
FSG BOX 23291
T YARD OR 97281 -
Ohone #a 684-754
f?eta
0c .apaancy of the above referenc*d building a� hereby �a �r�+n�'' d c t^tifi.t
the campli.aaicw with the -3t&te Of Oregon Specialty Codes for the grump,
rcr.. Ep�nry, mnd use+ uncler which the referenced pareait -e iar��.aa+ti.
r.8U D N8 IN ECTOR
B1 L h�
POST IN CONSPICUOUS PLACE-
W?zQTION NOTICE
City of Tigard Building Department /
13125 ON Hall Blvd. Tigard, Oregon 97123
Inspection Line (Rec--O-Phones 639-4173 Business Phones 639-4181
Inspections
Pcoting Plbq. Underslab Mach. Rough-in Appr/Sdwlk
Pcwnd. Plbq. Top Out Gan Line TINALr
Poet/beam Struct. San. Sewer Traw:nq -Bldg /
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Rlbg. Underfloor Nater Line Gyp. Bd. �- h
Date Request�e7d s 1 ` �1 Time s ny AM PM
Address: C._I L"1 It, Permit #s • r 4 -73
Builders _
TBE TOLLOWINO OORRECTION8 ARE REQUIRED: �.
f ---
. _ I
f .
i
Inspector: Date: / /— I V q4
PROVED DISAPPROVED APPPOVE^ SUBJECT TO ABOVE
TTT--- Call For Reinsp.
I�IOH 110TICE
City of Tigard 9ui14LM Department
1312S aM Hall Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)e 639-4175 Business Phone: 639-4171
P
Inspection:
rooting Plbg. Underslab Mach. Rough-in
APer/Sdwlk
Found. Plbg. T!*p O.it Gas Line 114IM
Post/Bees Strvct. San. sewer Framing ld
s
Post/Beam Nech• Rain Drain Insulation
-Plumb.
Plbg, Underfloor Mater Line / Gyp, Rd.
Date Requestede rrat,
AM
���---------PM
Addrese:.1�L1� 1:_ `0
guilders__
T� POLLOMINO CORRTcTIOMS ARE REQUIRED:
Inspectors_ - �---
Date:
! _!AA PP'ROVED DI81►PPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INpECTION IIOTICB
City of Tigard Buildiaq Department
13125 BN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone)e 639-4175 Business Phone: 639-4171
Inspection:
Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line IMMAL
Poet/Seam Struct. San. Bower Framing
Post/Beam Mach. Raln Drain Insulation -.ply.
Plbg. Underfloor Mater L e Opp. Rd. h
Date Requestedt _ 1'f Timet —AK
Address: Permit9
builders q
FOLLOWING CORRECTIONS ARE RWUIRaDt
N --
Inspector:
nae-t
APPROVED DIS)PpROyE► APPROVED SUWRCT TO ABOVE
1 Call For Rainsp.
INSPECTION NOTICE
City or Tigard Buildieg Department
13125 = Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 6.39-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Iloch. Rough-in AAppry/Sdwlk
Pound. Plbg. Top Out gas Line < Iiir Nl1I,t
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Poch. Rain Drain Insalation 01umb.
Plbg. Dndorfloor Nater/Line gyp. Bd. -Koch. Ox
Date Requosteds- p /7�r�Timet _ _iAN PM
Address t c�` JJJ 7 ��ZZ �c L4' t �enlit 0: 73
Buildert
TBE FOLLOWING ODRRECTIONS ARE RRVIREDt
i
inepectort" 1
Dates_ `
T
APPROVED DISAPPROVED APPROVED SOBJE TO ABOVIS
__Call for Reinnp.
INSPECTION NOTICE
City or Tigard Building Depertaent
13125 SW Ball Blvd. Tigard, Oregon 97223 i
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Flbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Undortlo— Nater Line -Koch.
Date Requested /D/! k 1 Time: � AK PN
i
Address:_( c,� (/ ly7 Pjrrmit ( U.3 73
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
��iJk'i�4i c'i ����./i,Qi�TIi'•(/ l✓/�L 4� '11�;/�T' �"�j,�',n-/�_
OF-
�fo
Inspector•
____APPRMD DISAPPROVED APPROVED SUBJECT TO ABM
—Call Por Rei-nap.
INSPECTION NOTICE W
Cit? of Tigard Building Department
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections_ _
looting Plbg. Underelab Koch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Can Li..e FINALS
4;ost/Be Struct� San. Bower Framing -Bldg.
Poet/Beam Nech. Rain Drain Insulation r -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Meeh.
/i� ��y
Date Requested: X11)�,. �/ Time: AN PM
Addrsee:� J rcQQ_ )'1 Permit f:_ -6d � -3
Builders
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector:,/ ate:
APPROVED —_ DISAPPROVED APPROVED SUBJECT TO ABOVE
——Call
For Aeinep.
C11Y OF TIGARD RI-CEIVIT OF PAYMEN1 W.:.c,F.1PI NO. 04-2157669
CHFCK AMOUNT a t5. 00
NOME t MILLER. ANDY CASH AMOUNT s 0. 00
ADDRESS a PAYMENT DATE: n 10/11/94
SUBDIVISION
PURPOSE OF PAYMFNT HMIJUNI PAID PURPOSE OF I-,0YM1-.NF AMOUNT PA I D
11P987 SW PALCON RISE DRIVE
MSW94-0273
101141. AMWANI PAlD 11). 00
INSPECTION NOTICE \�' "
City of Tigard Building DepactIMM
1312S BW gall Blvd. Tigard, Oregon 97223
Inspection Line (ROC-o-yhone): 639-4175 Business Phone: 639-4171
Inspection:
Tooting plbg. Underslab Mach. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
-- �,
San. Sewer framing -Bldg.
post/Beam "`ch. Rain Drain 'Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Mach.
Date Reg0Iested: �,-----Time: ---AH - `, PM
�C
7 6
Address cT�� ' Permit
Builder S 7
THE ING OORIAZCTIONS ARE REQUIRED:
1 Q
l,v'� e`' `-•E`'�` '� ' - --—
U
Inspectors
—_ Date:-_) J�
APPROVED DISAPPROVED __ APPROVED SUBJECT TO ABOVE
�._�'Ca11 For ReS_nap.
INSPECTION NOTICE \�l
City of Tigard Building oeparf menf;
13125 dw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Business Phonet 639-4171
Inspectiont
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Rower Framing -Bldq.
Post/Beam Mach. Rain DrainInsu—tion ,/___ -Ply.
Plbg. Underfloor Water
Line Gyp. Bd. -Koch.
Date Requesteds \ v —� Times AN
kddress s 6 �t- �� L _ ? Permit s Ga_�L
Buhler:
THE FOLLOWING OOppRRECTIONS 1JW RRQUIREDs
1
Ins ctort l� J natel Ci-
__APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
For Reingip.
cam►- -
INSPECTION NOTICE
City of Tigard Building Department
11125 Hw Hall Blvd. Tigard, Orego4 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
round. Plb4. Top out Gas Line FINAL:
Rdisv—aea�; St uc�ct—u San. sewer Framing
-Bldg.
Poet/Bear Hoch. Rain Drain ulation J/ -Plumb
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
Data Roqueated: � 1 Time: __AH PH
Addreon:
.tuildar:__
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ai ;
Te1i,1
�Aj AA
Inspector:
— Date:
DISAPPRrVRD i— APPROVED SUBJECT TO ABOVE
'~� Call For ReInap.
a■s
ZHspzcTl,h+ W)TICs �v
city or Tigard Building Department
131.25 B# Nell Blvd, Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)e 639-4175 eusin phone: 679-4171
11111POCtiont "/
Footing Plbq. Underelab h. R� o �
,�_i''J�ppr/Sdwlk
Pound. P}bq. Top Out Can Line FINAL:
Post/Beam Struct.F(ys San. Sewer rem ng_—) / -Bldg.
Poet/Beam Xech. Rain Drain Insulation -plumb.
Plbg. Underfloor Natur Line Gyp. Bd.
-�/--[�FHY,ocAhM.
Date Roquwatod: J /
7_3P
M
Addreu:12 429 -/ Permit fe G ;2
Builders_ 1 1 F --
THE FOLLOMING CORRECTIONS ARE REQUIRED:
SSS v`e
ej
LAA- Z N A ��k L✓15�, -
Inspector:___ Datws.1� =
_ __APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
I L `__Cal l For Reinep.
INePs uN Narks �D�
Citi of Tigard Building Dapartasent \�
13125 IM Ball Bled. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phnne)s 639-4175 Business Phones 639-4171
Inspections _
footin Plbg. UnMrelab ough n A-ppristdw1k
9
found.
Plbg. Top Outas L fINALe
Poet/Beam Struct. Ban. Sower
Framing -Bldg.
Post/Beam Meth, Rain Drain
Insulation -Plumb.
Plbg. Underfloor Nater Line oyp. Bd. -Mach.
Dots Requesteds - Times PM
Addreess / L/ n` / �
Builders
THE FOLLOWINGJCORRECTIONS ARE REQUIRED:
t
lo
Lt
Inspectors '� -r'~ Date: 1
APPROVED t DISAPPROVED APPROVED SUBJECT TO ABOVE
�� `� Call For Reiner.
INSPECTION NOTICE `'T)
Citr of Tigard Bedding Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roe-0-Phone)t 639-4175 Business Phonst 639-4171
Inapectiont
Footing Plbg. Underslab Hoch. Rough-in ApP r/Sdwlk
FOU''d• Plbg. Top out Gas Line
lINALe
Post/Baan Struct. Ban. sewer lrasinq -Bldg.
Post/Beam Nsch. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line Grp. Rd. -Mach.
Date Requested: Timet
AN PM
Address: Permit
Builder:
THE FOLLOMING CORRECTIONS ARE REQUIRED:
OLAJ
P r
Inspectors—
nate:
APPROVED 'DISAPPROVED APPROVED SUBJECT To ABOVE
�� C� _/'Call For Rsinsp.
1NS cm-cN NOTICE
City of Tigard Building "OPertetmt
13125 811 Hall Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections_
Footing Plbg. Underelab Hoch. Rough-in Appr/3dwlk
Found. q. Tap O Gas Line FINRL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Inaslatiun -Plumb.
Plbg. Underfloor J,Water
Line Gyp. Rd. -Rech.
/1G, AM
Date Requeetads Time: PH--„--� 1�_
Address-
Permit t:
Builder:
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
01, of
Vp
v --
Inspector: Dates
DISRPPROYO APPROVED SUBJECT TO ABOVE
_Ca11 For Reinep.
INSPU47PION NOTICE
City of Tigard Building Departs uset.
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Ph/o�ne): 639-4175 Business Phone: 639-4171
Inspections ✓Q�L(/��x C
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. SewerFramin -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb_
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: yam(/_/ Tinas X_AAH PM
Address: 1 � 7 � �_ lermit
1 Builders-
THE FOLLOWING OORRECTIONS ARE REQUIRED:
----- OL
Inspector: _ Date:-_�—'— —
__.__-APPROVED DISAPPROVED --_ APPROVED SURJECT TO ABOVE
--V/Call For Reinsp.
C l l'Y 1",f 'f']Gf4RCl - RV(;F'I PT (.lh PA YWz.N 1 RUl- l t-'1 NO.
CHECK CK HIMI: UNT
NAME t Nk WCAal't_f= I lI..1 hE:�, INC.. CAS14 AMUCINT' 7 va. bo
API) 2F:SS P Po Roy :230,91 PAYMIIN1 DOT1 09/.14/94
£31.1H1)I V 151 ON t
T WARD, tl1Ir,-GON 9 7223--
V t.11lPClSl-' OF PAYMENT AMUNJN'1 PA I i) Pl1RPC1t;F.: nF• PAYMF N1 141111.1 IN i PA l 1)
M1sC;F.t_I_faNE(Ii..fs
Ru. l CIN V U:.
t F.I.WA 7 SW FAIJ 11N R I SF DR
I i I f G21_. AMOUNT PA 1 J1
L
INSPECTION NOTICS
City of Tigard Building Department
13125 gw Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Pho.is)t 639-4175 Business Phones 639-4171
Inspection%— - -----
looting Plbg. Underslnb Hoch. Rough-in Appr/Sdwlk
round. Plbg. TOP Out Gas Line FINALt
-----------_1
P •`/_E*am Struct. K San. Sewer Framing -Bldg.
Post7eeam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor NaterL GYP• ad. -Hoch.
C
Date Reslssestedr Times AN
PM i
Address: ; �6 ' - P tm t t 25Z
i
Builders
TNS FOILOWING CORRECTIONS ARS REQUIRED:
Inspector: Datet�
_APPROVED V DISAAPPROVED _ APPROVED SUBJECT TO ABOVE
` + Call For Reinsp.
CITY OF 71CARD RFCP—IPT OF- PAYMENT NO. s94-256410
L;HP;.L,K AMOI JN'T 3 15. NO
NAMC--1 r NEWCASTLE HOMES INC. CASH s4MOUNT i W. 00
ADDRESS r PC) BOX 23291 HWMVNI DATE 1 9"-'/06 9,4
"JUBDI V 11610N
TIBARD, OREGON 972P3--
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMi-'-.NJ AMOUN I PA I D
MJSCVl— ANEOUS 15. 00
RLINSPECTION FEE
li?'487 SW FPLC(lN RISE DR
11.l Fal- AMOUNT PAID t"5. ON
INSPBCTION NarxcB
CIA
*� I
City of Tigard Building Deparent e
13122 811 Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Ree-O-Phone)t 639-4175 Business Phones 639-4171
Inspections_
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found.-- Plbq. Top Out Gas Lino FINALs
(PBZ t/Beam Strutt. San. Bawer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor (Mater Line nyp. Bd. -Neth.
Date Requestedt b 1 Timet AN PH
Addresst 211 (� l�_�CCti� 1����( DV Permit 1t ( 1 �z I
Builder: ',�-t C OO( kM ( —) %q"I`7 --y
THE FOLLOWING CORRECTIONS AAE REQUIREDt
Inspect Date-
�_APPROVED DISAPPPRO"4D APPROVED SUBJECT TO ABOVE
_ ✓ Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 BE Hall Blvd. Tigard, Oregon 97223
Inspection Lina (Roc-O-Phons): 639-4175 Buniness Phondt 639-4171
Inspection:
Footing Plbg. Undersl.ab Koch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
eam Struct) Ss,s. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Neter Line Gyp. Rd. -Meeh.
Data Requestods_ '�I1-,I/?- C 1 Time: AK 1 pM
L DrL Permit #:��'
Builders__
THZ FOLLOWING CORRECTIONS ARE REQUIRED:
r
. -
Inspecto _ _ Dates
APPROV[D DIJAPPROVRD APPRMYRD SUBJECT TO ABOVE
V—Call For Reinep.
INSPECTION NOTICE
city of Tigard Building Depart000t
11125 m Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phones 639-4171
Inspections _
Footing Plbg. Underslab Hoch. Rough.-in Appr/8dwlk
Found. Plbg. Top Out Gas Line FINAL.
Post/Bram Struct. Framing --Bldg.
Post/Beam Hoch. r fi`—D"--In Insulation -Plumb.
Plbg. Underfloor `
fit Dine Gyp. Bd. -Hoch.
Date Requesteds �� J C Times __A7 AN ^—PH
Address: R "% / !��� 1 (, Permit 9 s 7LJ- d7__3p
T
Builders -2) -3-�
TEM FOLLOWING CORRECTIONS ARE REQUIRED:
Inapecto :.- L _ _ Dates
X APPRAVSD DISAPPROVED APPROVED StlRJECT TO ABOVE
Cell For Rei.nap.
SIN pSCTIon NOTA
City of Tigard Building Depan—nt -�
13125 SW Nall Bled. Tigard. Oregon 97223
inspection Line (Roc-o-Phone)s 639-4175 Business Phones 639-4171
Inspections ---
looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. ,F1bg. Top Out Gas Line FINALS
st/Scam Stru .�/ epd. Sewer Framing -Bldg.
. vV
am Rain Drain Insulation -Plumb.
Plbg. Underfloor Nate Line Gyp. ed. -Mach.
Date Requesteds (►s T1mes Q�AM 7 PM
Address s ) �9j �-7�r '�'r . i��Dp&it f c— ! U
Builders—
THE FOLLONING CORRECTIONS ARE REQUIRSDs
14
inn
s
�� -A-A - -
Inspectors Dente: z'
ar
APPROVED DISAPPROVED APPROVED SUBJECT TO I,BOVE
4a11 For Reinsp.
C,1
INSPECTION NOTICE
Cit? of Tigard Bnildiag Department
13175 aw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-Phone)s 639-4175 Business Phones 639-4171
Inspections
•ootinq Plbg. Dnderalab Mach. Rough-in Appr/edwlk
Found. Plbg. Top Out Cas Lina FINALS
Poet/Sam Struct. San. Sewer Framing -Bldg.
at/Beam Mec Rain Drain Insulation -Plumb,
P,k*. Ond rt w Nater Line Gyp. Ed. -Hoch.
Data Requested:_- I 41 T ay= AM
Addreaas ��
Builders jz z_�l / _11L7
THR FOLLOWING CORRECTIONS ARE RBQDIRBDs
I
1
Inspector: _ Data: __7
APPROVED DTSAPPRoVBD APPROVED .DBJRCT TO ABOVE
,__C411 for Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 91W Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:- _ -_
footing Plbg. Underslab Mer_h. Rough-in Appr/Sdwl.k
nd. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam lNech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Naterine Gyp. Bd• -Mach.
Date Requested: F , q Time: - _PM
Address: q -y��'�� T Pordit 1 a 9 4Y O'er 7-3
Builder:
THE FOLLOWING OORRECTIONS ARE REQUIRED:
Inepecto� --------�-.—� Date:-�-j---- —
v
APPROVED DISAPPROVED APPROVED SUBJ1trT TO ARO'VE
ralI For Reinep.
INBPIEt TION NOTI^..6 2�
City Of Tigard Bulldipg DMP&rtwMt
13125 011 Ball Blvd. Tigard, Oregon
97223
Inspection Lino (Rec-o-Phone)s 639-4175 Business Phone: 539-4171
Inspection: -
/doting Plbg. Under ub Koch. Rough-in Appr/Sdwlk
plbg• Top Out Gas Lino FINAL:
Post/Beam Strvct. San. Bawer
Framing -Bldg.
Post/Beam Meth, Rain Drain
Insulation -plumb.
-mach.
Plbq. Underfloor Nater Lina Gyp. B
Time: i xx__
i
C•L � PM
Data Requested:___ i
l
Addreset
Builders
TEM lOLLONING CORRECTIONS ARE REQDIRSDS
C,
��
OIL
Datec c±
Inspector
APPROVED DISAPPROVED APPROVED 508.7ECT TO ABOVP
Call For Reinsp.
WON„_____-. __--
INSPECI'IOIN Il'E
city or Tigard Buildioq Departsrsnt
1312S BW Sall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phono): 639-4175 Business Phor:o: 639•.4171
Inspections
ooting) Plbq. Underslab Hoch. Rough-in APP r/Sdwlk
-- Plbg. To Out
P dew Line OINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation
-Plumb.
Plbg. Undorrlocr Nater Lino -��
-«—j-f----_ . Bd. -Hoch.
Date Requested e �
TLme: PM
Address: Lc J�� `�I
Bullders-�' j=�p�_�Q y
e it
TRE FOLL011INa OORRRCI'lons AAE AEQOIREn: _
� G
S
Inspector:
__^ APPROVED -_J!f7 SAPPROVED APPROVED SUBJECT TO ABOVE
2 ' 1 For Reinsp.
r
TNSPISCTION NOTICE J
City of Tigard Building Department
131125 X11 Ball Bled. Tigard, Oregon 97223
inspection Line (Rec-4-Phone)t 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Oas Line
rINAL:
Post/Beam Struct. Ban. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line Gyp. Bd
-Meeh.
Data Requested:
Address: 1 /1�•'(.
------ Permit �:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: 110
Date:
APPROVED DISAPPROVRD APPROVED SURjltcT TO ABOVE
For Relnsp.
INSPL►GTION NOTICE I ��
Citi of Tigard Building Department \."..
131.25 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (PAC-B-Phona)e 639-4175 Businoms Pho::es 639. 1171
Inspection:
_ti l Plbg. Underslab Koch. Rough-in Appr/sdwlkQgZ --
d/J Plbg. Top Out Can Lino
lTKAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Koch. Rain Drain Insulation -Plumy.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch. / v
Date Reque
sted: - Z j Tins: `AK PK
Address:_ ( � k �i n �, i9'1 C-- �a
.�. Ponolt
Builder:
TRE FOLLOWING ODRRECTIONS ARE REQUIRED: `-
Inspector: _ `
Date-
__
ate--APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
I
l � _�Call For Reinep.
PLUMPING PERMIT
ITY OF TIGARD
PERMIT #. . . . , . . MST94-02:73
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07i25/94
13115 BW Hall Blvd.Tigard,Oregon 97223.8199 (503)8394171 PARCEL: 1 S 1?3DD--16000
SITE ADDRESS. . . : 12987 SW FALCON RISE UR
SUBDIVISION. . . . : V 1 LL_AGE AT SUMMER LAKE PARK 5 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 196
CLASS OF WORK. . :NF_W GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . .2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . 10
FIXTLIRES----- --- - --- - LAUNDRY 'TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER C:LOSFTS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
Remarks: PATH I
OWNER: --- _-_---_------
-__�____._-•___.-•------------------ ----- FEES•------•-----•
NEWCASTLE HOMES TIF f 1550. 00 JG 07/25/94 -
P 0 BOX 23291 BPRT f 530. 50 JG 07/25/94 -
BPLC f 50. 00 JF 07/13/94 94--254422
TIGARD OR 97281 85F'C $ 26. 53 JG 07/25/94 -
Phone #: 639-3608 SSDC $ 280. 00 JG 07/25/94 -
PARK $ 500. 00 JG 07/2:5/94 -
Plumbing Contr^actor:---- --------- -- MPRT $ 43. 50 JG 07/25/94 -
MPLC $ 10. 88 JG 07/225/94 -
Name: _._T 1C M5PC $ 2. 18 JG 07/25/94 -
�
Address : _ 3BTH $ 225. 00 JG 07/25/94 -
City : _State : P5PC $ 11. 25 JG 07/25/94 -
Zip: Phone#: EROS $ 64. 00 JG 07/25/94 -
Reg #:_ _ Additional fees not shown here. . . . . . . .
- -- ---- REQUIRED INSPECTIONS -------
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Coder State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp
other, applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/o_indslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor- Plumb Final
within 180 days of issuance, or if work is M-chanical Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Post/Beam Mechan
Fireplace Insp Crawl Drain
Gas Line Insp _
Insulation Insp
x_ _ Gyp Board Insp
Auth rized Plumbing Contractor Signature
Call for inspection - 639-417:_
Contractor Notes:
..y
'CITY OF T I GARD PERMIT MAST
PERMIT. .. . . MST94--0 '73
COMMUNITY DEVELOPMENT DQP;iARMIRNT DATE ISSUED: 07/25/94
13146 8W Hall Blvd.Tigard,Oregon 97223.6199 (603)630.4171
PAPC.r_� : 1S133DD-16000
SITE ADDRESS. . . : 12987 SW FALCON RISE DR
SUBDIVISION. . . : VILLAGE AT SUMMER LAKE PARK 5 ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 196.
---------- BUILDING -_-----.----------------_______-.__---_._
REISSUEslIST93-9558 DWELLING UN1TS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . .440 sf
TYPE OF USE. . . :SF FLOOR AREAS----•------- REQUIRED SETBACKS----------
TYPE
---------
TYPE OF CONST. :5N FIRST. . . . .. 1056 s f LEFT. . s 7 ft RI GHT. s 1 1 ft
OCCUPANCY GRP. :R3 SECOND. . . -980 sf FRONT. :20 ft REAR. . z40 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf
HEIGHT.. . . . . . . . .27 ft TOTAL------:2036 sf SMOKE DETECTORS. cY
FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 138807 PARKING SPACES. . - 1
Remarkss PATH I
------_-___---------___ ----------- PLUMBING -------------------•-----•--------------
7INKS. . . . . . . . . . .. 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1
LAVATORIES. . . . . :4 WATER HEATERS. . . sl TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . sl CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft) . s@ GREASE TRAPS. . . . . . . 30
DISHWASHERS. . . . : I WATER LINE (ft) . : 10@ OTHER FIXTURES. . . . . 30
GARBAGE DISP. . . si RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . sl
MECHANICAL ------ _________----.__.____._____-- FEES
FUEL TYfiEfi- - --- ---- UNIT HTRS. . :0 type amotant by da' a recpt
/GAS/ / / VENTS . . . . . ..0 TIF $ 1550. 00 JG 071,9/94
MAX INPUT:@ BTU VENT FANS. . :4 BPRT $ 530. 50 JG 07/25/94 -
F URN ( 100K. . . : 1 HOOPS. . . . . . : 1 BPLC t 50. 00 JF 07/13/94 94-254422
F URN ) =10@K . . :@ WOODSTOVES. :0 85PC f 26. 53 JG 07/25/94
FLOOR TURN. . . . e@ CLO DRYERS. : i SSDC f 280. 00 JG 07/25/94 --
BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK f 500. 00 JG 07/25/94 -
GAS OUTLETS: 1 MPRT f 43. 50 JG 07/25/94 -
Owner: --________.__.________________________HPLC f 10. 88 JG 07/25/94
NEWCASTLE HOMES M5PC 4 2. 18 JG 07/25/94 -
P 0 BOX 23291 3BTH $ 225. 00 JG 07/25/94
P5PC $ 11. 25 JG: 07/25/94 -
TIGARD OR 97281 EROS $ 64. 00 JG 07/25/94 -
Phon4 #: 639- 3608 ERPC E 20. 80 JG 07/2:5/94 -
Cont,-ec_tors -_-_____-----____._________.___--___ERF='C $ 20. 80 JG 07/25/94 -
JAY MILLER
PO BOX 2-212.91
fIGARD OR 97281
Phone #: 684-7543
Reg #. . : 30109 ---------------------------------------------
$ 3335. 44 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS --------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Font/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Strkict Gas Line Insp
plans. This permit will expire if work is not started within 188 Post/Beam Mectian Inlulation Insp
days of issuance, or if work is sus nded for sore than 180 days. film/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
r'ermi.ti.c;N Sic}n8t1sr•F? c Mechanical Insp Water Line Insp
P l ij m b Top Out R p p r/S d w l k Insp
Tsslied Pv : -.__-._.____ I r•aminq Insp Mechanical F incl
Call for inspection - 639--4175
rx
•r
SEWER CONNEC'1ION
.C1W OF 'rIGARD PERMIT #. . . . . . . : SWR94--0257
COMMUNITY DEVELOPMENT DTMFENT DATE ISSUED: 07/25/94
13126 8W Ham Blvd.Tigard,Oregon 97283.8199 (503)839-4171
PARCEL: 1S133DD-16000
SITE ADDRESS. . . : 12987 SW FALCON RISE DR
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 5 ZONING: R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 196
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : l
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf
Remarks: PATH I
Owner. ---------------------------------------------- FEES --__—_--__--__
NEWCASTLE HOMES type amount by date recpt
P 0 BOY. 23291 PRMT $ 2200. 00 .JG 07/25/9,14 —
INSP $ 35. 00 JG 07/25/94 —
i IGARD OR 97281
Phone #: 639-3604
Contractor:CONTRACTOR 140T ON FILE
Phone #: $ 2235. 00 TOTAL
Reg 1k. .
------- REUUIRED INSPECTIONS --------
This Applicant agrees to comply with all the rules and regulations . ewer- Inspection
of the Unified Sewage Agency. The permit expires 188 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 prnspect 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.
I e r m i t t e e S i r+n a t l_t r e:
J s S 1.1 p d By —
Call for inspection — 639-4175
Residential Building Permit Application
City of Tigard
13125 SW Hell Blvd.
71'•gard, OR 97223
(5173) 639-4171
r T-
Jobsite Address:
C1 M00 Use On!j
Subdivision: 1� Lot#
PiancWRec# l �>
Valuation;
zv
Pernik#?'
Owner: e of
TLI
'
Address: WE
Phone: ,�ri�rovafe Aegulred
contractor: rgtrleering—
Address: Itc1 mgr
•
Phone:
29
Contractor's License #_ yfi.
(attach copy of currant Oregcn license)
I3
Contact name & phone:
Subcontractors: y
Plumbing:
/Mechanical:
(attach copy of cu OR Contractor's license)
Architect/Engineer:
Address:
Phone:
JOB DESCRIPTION:
75�3
Applicant Signature & Phone number
Received by: Date ReceNW:
Permit # Account Description Amount Amt. Pd. Bal. Due .�
V-0 ?3 Bldg. Permit (BUILD) 3 .5T, ✓ ,5 3& 5A)
Plumb. Permit (PLUMB) .22;,w ✓ 2
L .
Meth. Permit (ME�:iij
I `�✓ o
State Tax (TAX)
Bldg: .2(1• S-5
Plumb: !/
Mach: ✓
Com•�� ,_.
Plan Check (PLANCK) tri)
Bldg: So V
Plumb:
IC) ✓
Mach: f �
SG.R -0 2s7 Sewer Connection (SWUSA) 2 Zw �� a 2,,v
Sewer Inspection (SWINSP) 3 % ✓
Parks Dev Change (PKSDC) Svt/ ✓ w
Storm Drainage Chg (SDSDC) 2 yu 7
Residential TIF (TIF-R) y
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WOUAL)
Water Quantity (WOUAN n
Fire District (FIRE) _
Erosion Cntrf Permit (ERF'RMT)
Erosion Planck/USA (EFIPLAN) 2-614r/ J -20.i+i
Erosion PlancklCOT (EROSN) 2t. -S'y ✓ 2-0 -Sy
557U. Ll _\
TOTALS: ( 5.�-Y y
Solar Balance point Standard
Box A. Nort::-South dimension for your lot Box B. Shade point height from ,your structure
feet feet
Box C. Distance to the saade r>ductlon line
'7
fFeet
Distance to
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
lot line in feet
70 4.0 40 40 41 42 43 44
65 18 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
55 3,4 34 34 35 36 37 38 39 40 41
50 3 32 32 33 34 35 36 37 38 39 40 41 42
45 3 30 30 31 32 33 34 35 36 37 38 39 40
40 _ 2 28 28 29 30 31 32 33 34 35 36 37 38
35 J�2 266 27 28 29 30 31 32 33 34 35 36
30 2 24 24 25 26 27 28 29 30 31 32 33 34
25 2 . 22 22 23 24 2526 27 28 29 30 31 32
20 2 20 20 21 22 23 24 25 26 27 28 29 30
15 13 18 18 19 20 21 22 23 24 25 26 27 28
10 15 16 16 17 18 19 20 21 22 23 24 25 26
5 11 14 14 15 16 17 18 19 20 7.1 2.2 23 24
Box °D" Maximum allowed shade point height ��� feet
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PLOT PLAN
NEW CAME HOMES,INC. PO BOX 23291 TIGARD,Olt 97281
I'll:639-3608 FAX:684-0671
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Scale: 1/8" - 1" Notes:Downspouts and crawlspace draM to storm
suwpr ti e.Sidewalks and drlvewuy approach to city code.
60�
17,
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CITY OF TILARD RECEIP'l OF: PAYMENT RECEIPI NO. s94-i?54057
GHECK nMf JUN I s 55e(8. 81
NOME NEW CASTLE HOMES CASH AMOUN f 1 0. Oki
ADDRE139' 1 Pu Box 23291 PAYMENI DAZE r 01/25/94
TIGARD, OREGON SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PA I D PURPOIr-A- OF V114YM[--Nl Amotirlf D
SUIL.DING PERM MST94-OP7 530. 50 PLUMBING PERM 00
MECHANICAL PR 43. 50 ST. BUILD PER 9b
PLAN CHECK FE 11. 0:�15 SEWER USA 5WR94--OP57 ppoo. 00
flFWU'.R INSPECT 135. 00 PARKS SDC 500. 00
STORM DRAIN SDC 280. 00 TRAFFIC FEES 1430. 01A
MAS13 TRANSIT TIF FEES 120. 00 FRURION CONTROL PERMITFEE 64. 00
EposinN CONTROL PLAN CK P.O. Be F.-.RDqIUN LONIRUL 2.0. 80
129#47 SW FALCON RISE DR
VILI..AGF AT cSL.JMMFRL0KF PARK FIVE/LOT 196
1 OT AL AMOUN T PA I D 5520. 81
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPI NO. :94--P544P3
CHECK AMOUN I t 50. 00
NAMF x NEW CASTLE HOMES CASH AMUUNT a 0. 00
ADDRESS a PO BOX 23291 PAYMEN I DAI F- s Vl 1 i 13/94
TIUARD, ORFOON SUBDIVISION
1 97?23—
PURPOSE' OF' PAYMENT AMUUN'l PAID PURE-USF OF PAYMKNI (4110(IN I Pf4 J 1)
PI 4)N CHLUK FE 7-3PR 850, 01A
12967 SW FC.LCON RISE DR/VII LA(JE AT- SUMMER PARK #b
LOT' 196/RE--ISStIF.
TOTAL. AMCIUN'T PAID 50. 00