13105 SW FALCON RISE DRIVE 1
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13105 SW FALCON RISE DRIVE,
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Lire: 639-4175 Business Phone: 639-4171
Dat'!Requested: t/ _ A.M. Y.M. _ MST:
c v LI�L�T7�
Location:
5
_ BLP:
i
Tenant: _ Suite: Bld;: MFC:
Contractor: Phone: PLM;
Owner: Phone: ELC:
_ ELR:
CIT:
BUILDING BLDG(con't) ECHANICAT� ELECTRICAL SITE
Site Post/Beam Post/Beam Pos 13eaam- Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Frarning Top Out Gas Line Rough-In DIG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
lismt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Sheru'Sheath Fire Spklr/Alm Crawl/Found Dr lleatl*p Low Volt
Approved ov - Approved Approved
Appr/Sdwlk Not Approved ved Not proved Not Approved Not Approved
FINAL FINAL FINAL
0 Cali for reinspection O Reinspection fee of S_ required bell next inspection► O Unable to inspect
Inspector: Page,L of_
C_
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: ( ( �I _ A.M. P.M. MST:
Location: _/j` 2�_.-. -- o,o �_� BI IP:
'I'cnant:_- Suite: Bldg: WX:
Contractor: Phone: PLM: 2—L=-�-u-E-
(hvncr `�- __ Phone: Q- ELC:
-- - _ ELR: i
_ SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm
Fw)ting Roof UndFI/Slab Rough-in Ceiling Watt. Line
Slab, Framing 'fop Out ) ('ins Line Rough-In UG Sprinkler
'.'oundation Insulation Sewer lioWfDuct Reconnect Vault
Mint Damp Drywall Storm Furnace Temp Service MSC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Ileat Ptunp Low Volt
Approved A Approved Approved Approves!
Appr/Sdwlk Not Approved _ of Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
C3 Call for tion D Re' an fee of S required before next inspection O Unable to inspect
Inspector: 7 7Page of
CITE( OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
�n!2mwjm 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171
PERMIT #. . . . . . . : PLM97-018!.DATE ISSUED: 05/19/97
PARCEL: IS133DC-01100
SITE ADDRESS. . . : 13105 SW FALCON RISE DR
SUBDIVISION. . . . : MORNING HILL NO. 1 ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :39 JURISDICTION: TIG
---------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WPSHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . 0 TRAPS.. . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0
F I XTI.JRES-.--. LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 1JR I NAL.S. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . ; 0
UB/SHOWERS. . . : 0 :SEWER LINE (ft ) . . . 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . 0
DIS;41,4ASHERS. . . . : 0 RAIN DRA'_N (ft ) . . . 0
Remar,l-(s : GAS WATER HEATER REPLACEMENT
U�vnev- i FFES --------------
MARY DOEDE type amoi.int by datp recpt
1.3105 SW FALCON RISE DR PRMT $ C'.55. 00 JMH 05/1.1/97 97-294579
TIGARD OR 97223 5PCT $ .1 . 1--5 JMH 05/1X/97 97-294.979
Phone #:
Contt-actot--------------------------------
GEORGE MORL.AN PLUMBING
5529 SE FOSTER RD
PORTI.-AND OR 97206
Phone #: 771-1149 $ 26. 25 TOTAL
Reg #_ : 000027
------- REQUIRED INSPECTIONS
This pervit is issued subject to the regulations contained in the Top—out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gas Line
applicable laws All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if wcrA is suspended for sure
than 180 days.
Pet-mittee Signature :
T s s u e dto 01m(�
By- ...........
Cal .) fm, inspect ion 639-4175
7 �
CITY OF TiGAI Plumbing Application ��1' Recd e
13125 SW HALL BLVD. Commercial and Residential Da1e`secl
TIGARD, OR 97223 Date to P E.
(503) 639-4171 �� I��a, t J oa(*to DST
Permit• --!�..L)�/7--(: I
Print or Type ketated SWR e /1/jo.\
Incomplete or illegible applications Will not be accepted called _,
Name of DevelopmenUProjec! FIXTURES yOr!jividwl)1Z�-7- f art +. 4 i Q. E. MAT
Job Sir* t _ 9.00�
Address Street Ndress _ �;r lite Lavatory 9.00
i 1310,ti,*4 pwt--j W Tub or TublShower Comb. 9.00
Bldg s Gry/Stale ZIP Shower Ony 0.00
Nems Water Closet 9.00
ow washer 9.00
Owner Msfty Vdfes# State Garflape 04posal 9.00
13106 SQA) Ffiz corJ w4ir W.a►w,q Maaw,e 9.00
CUylState Zip Phoneftooronrt --
Name 3 9.00
5A'Y►'1•a 14. 9.00
Occupant Ma&v Address Suds Water Heater 9.00
Laundry Room Tray 9.00
OyrState Zip Phone Udnal 9.00
Odw Fbdures(Speak') 9.00
9.00
Contractor Mailing Address Suite 9.00
Prior to isst+vnne City/State Zip Phone 9.00
applkant r,,q• "�IC1A O.D g 727.3 �IL�';'3 1 __
9.00
pmvde,rU Oregon Const.Cont.Board Lice Exp.Date 9.00
contactors ,2 7 3- to I I Cl i 9"7 9.00
tkense Ptum.!�a Ur-s Exp.Date Sewer-ist i00" 30.00
infomution 2.1e• (.�P$ V 130!9 7 - _
for COT COT Business Tar or Metro s Exp.Oats -
Sawa-each addi orial 100'
database). N1 li ( _ 1, 1 y 7 water servhce-1 a 100' 33 00
Name Water SON"-each addMonal 200' 25.)o
Architect Storm b Ran Drain-iat iW 30.00
or Ma"Address Sults Storm&Rain Oran-each aMftk n,4 100' 23.00
y Mobde Home Spans 25.00
Engineer OryrState Zip Phone rn
Comeraal Back Flow Preven;,on revhCe a Anti 25.00
_ Pokodon Oevlce
rscribe wont New O Addit>di O Alteratwn O Repair i Residential Bsckilow Preventfor Ikw•=a- 15.00
o )@ done: Res,dentb!O Non residential O Any Trap or Waste Not Corrected to a Fixture 9,00
Citional deumpoon of work Catch Bash -
9.00
eapl.. C`1`0 IO H C/,� Insp.of Existing Plumbing 40.00
a,inq, of SPesaily Requested Inspections 40.00
;wading or prcjw,y 396.) U mac. ! -- - pefft J
Rain Dram,sirgk hmity dweding 30.00
-noosed use of ;nsase Trays 9.DO
)adding or property-
"_
QUANTITY TOTAL '
it
Are you capping, moving or replaang any ftxtures? Yes No lsonrs iz a mss diagram b remw d I Ouany Total u v 9
(Ii��see beck of form) 'SUBTOTAL t _.
i hereby aernowkdge that I have read Uas appiiration,that the,nformation
ven is axrect,that I am the owner or authorized agent of the owner.and 5%SURCHARGE
hat olans suDmrtteo are in corn0ance with Oregon State t-aws.
3lgmatur�rf ant - Date PLAN REVIEW 25%OF SUBTOTAL
TOTAL
Contact Peron Name --- Phone ��- _ i1
I 'Minimum permit fee 3$25• 5`ti surcharge.excei: Resrdetoal Bat*flow
Pmwntlon Device.which is S15•5%surcharge
L\plmapp.doc 1196 (dsi)
'LEASE COMPLETE AS ARERQPRIIATE TO PROJECT:
Fixtures to be capped, moved or replaced Qty
Sink
Lavatory
Tub or Tub/;shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
�nMMEN'TS REGARDING ABOVE:
1:1plmapp.doc 12.,96 (dst)