13245 SW FALCON RISE DRIVE-1 I I I
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13245 SW FALCON RISE DRIVE
!AISPECTIO;� NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone 639-4175
i
Type of Inspection ,
Pj�y
^ ,,� �i,t< cs a�-------—
Date Requested._ Lit/► ' Time _n- C�p q _P.M.
Address a2__ �r
Permit # _ _
Owner-.-,---.. -_--- Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to —
— _ ff�pprowd
Inspector
• _ U Dlapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
its ft.
CITY OF TlG r.� MECHANICAL PERMIT Receipt
Permit#
Description
_16ble 3A Mechanical Cede QTY PRICE AMT
City of-Tigard � — —
13125 S.W. Niall Blvd. 1) Permit Fee 0 0 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU 600
_ incl.ducts&vents _
2) Furnacp 100,000 BTU + 7.50
incl.ducts&, ants_
Name of Development 3) Floor Furnace 600
incl.vent _
Job Address 4 Suspended heater,wall heater 6.00
Address or floor mounted heater
Tax Lot Map No. 5) Vent not incl.in appliance permit 3.00 i
Lot Block Subdivision
Name(or name o(business) 6) Repair of heating,refr Ig., 6.00
cooling,absorption unit
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
owner - 4 absorp.unit to 100,000 BTU —
Boiler or cora to 3 9P-15 HP
City'State Zip 8) 11.00
l u absorp.unit to 500,000 BTU _ _
Name 9) Boiler or Comp 15-30 HP 15.00
absorp.unit',';?-1 million _ _ __-
Mailing Address Phone i 0) Boiler or comp to 30-50 HP 22.50
_absorp.unit 1 -1.75 million _
Contractor Boiler or comp.o 50 HP
City,state Zip 11) absorp.unit 1,7_50,000_BTU 31.50
State Registration No. City Bus.Tax No. 12) Air handl ng unit to —� 4.50
10,000 CI"M
Air handling unit
hereby acknowledge that I have read this application that the imorn ation given is 1 10,000 CFM + 7.50
correct that I am the owner or authorized agent of the owns,,that plans r,ubmitted are in ---— -- --— -- —_ --_
compliance with State laws,that I am registe,ed with the State Builders Board,that the 14) Non portable 4.50
number given is correct(If exempt from State registration pleasn give reason below) evaporate cooler
15) Vent fan connected_-- 3.00
to a single duct
16 Ventilation system not 4.50
Included in appliance permit
17) Hood served by 4.50
mechanical exhaust.-
Signet.ore
xhaustSignature(owner or agent) Date 18) Domestic type 7,50
Describe work Fl %ddkion alteration ❑ repair ❑ incinerator_
to be done — residential non-residential ❑ 19) Commercial or indus!rial 311
Existing use of type incinerator 00_
building or properly �____ ___ ___ 20) Other i.e.,w000thes,water r4.501theater,solar,cllothes dryers,etc.
Proposed use of _
building or property 21) Gas piping one to four outlets 2.00
Type of fuel . oil Cl natural_gas LPG_lV elec'ric ! I
22) More than 4-per outlet
_..—_..SUB-TOTAL ---- -
( ;
THIS PERMIT BECOMES NUILL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _40,+a3III i;HAROE _—
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD Or 180 DA)'A/\T ANY TIME AFTER
WORK IS COMMENCED TOL+.I__L _
Special Conditions-_ --- )_
Date issued r. ,� by •.�'WNW {LkG Ll_
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IMPECTION NOTICE
" ty oS Tigard Building Department
12420 S.W.Main St.
Tigard,Oragon 97223
Phone: 639-4171
'type of inspection _—_--- -- F"' cz- 10
Date Requested_—� _ - -� c Time A.M.—,P.M.
Address 1 - 'rl t' Permit
Owner--_--�-- _ Lot #
Builder --- -- --- -- --- ---The following Building Code deficiencies are required to be corrected:
--------- - ----- --- -- - -— ...-..-----
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G/
Presented to _ -- _-----------_---- --- ] Approved
Inspector _�— "' ��, y ' Disapproved
Date
CALL, FOR REINSPECTION
V0 YES ❑ NO
i
f INSPECTION NOTICE
City of Tigard Building Dopartment
12.420 S.W. Main St.
Tigard,Oregon 97223
Phone: 63,99.41171
T• a of Inspection
III Date Requested �'�'' _ =�' Tit.. A.M. P.M.
Address --. '.% � " r% I� .... :Permit # 5�>
( Owner Lot #
Builder _ �d+j'%!il —' _ Melly
The following Building Code deficiencies are required to be corrected:
at
Presented to -
_-- -- Appy wed
Ir spector ��.GL-
-----��. k�_I Disapproved
Date
CALL F LNSPLCTION
DEED RESTRICTION
Be it known by these presents that I (we) hereby acknowledge and
agree to the following conditions w.-.th respect to construction
on property located at
c�C4-4 t Df2L0&E__�i 07 qt
1 . The Tempotary Certificate of Occupancy permits use c:f only
those portions of the structure which comply with all
requirements of the City of Tigard Uniform Building Code .
2 . Use of the unfinished portions as stipulated below is not
permitted . CCcx1 c')— �tk:00 2 eQ%:g A �+ iS 4 4
i
3 . This instrument is to be executed, notarized and delivered
to the City. The Owner shall pay all applicable fees ,
and the Building Officialshall cause this .instrument
to be recorded in the deed records of Washington County,
Oregon .
4 . Occupancy of the unfinished portions is conditional upon:
a . Application for a Building Permit.
b. Satisfactory completion of construction pursuant
to the Buildin Code within _ months from
the date hereoi'Cq C�pZ4(...� /3"." sf�e,t.eta�
c. Final inspection Ly certified Buldiny Department
personnel and issuance of a Final Certificate
of Occupancy.
5 . When al). conditions for completion of the unfinished
portions have been satisfied, the Final Certificate
of Occupancy shall be issued and this Deed Restriction
released.
Signed :
Owner (s) t-fQ��� -_s��� /a,�dc.Da to—
r
�- -- Date
But 14154! !��_�7Date�11 �----
Notary_______------- --_---Da to `_.
BUILDING PERMIT APPLICATION TIGARD DATG- July s'— 19 �3 4509
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT I DR i itE WORK HEREIN INDICATED BUILDER PHONE 7.92-3563
OR AS SHOVVN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE __._._. K
LOT NO. 46 1-brninI I fill
OWNER !,!edgewood Homes JOBADDRESS 13245 SVT Falcon &Ise drive
ARCHITECT
ENGINEER
BUILDER SftTre ADDRESS 9055 SW Dvt.1 it DESIGNER Wedgewood
STRUCTURE 5bNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
P RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO LJ CARPORT ❑ GARAGE ❑ STORAGE LJ SLAB❑ FENCE
OCCUPANCY _.R-3__LAND USE ZONE _$Z—BLDG.TYPE --U —FIRE ZONE_—PLAN CHECK BY paZT HEAT__--Gas
Covm:ruct single family dwiling. Garages not attached.
— -- — ----- -------
(See permit #2723 isAUe,l 5/17/79--voided--not built. 3 hedroons
. 2 baths
SEWER PERMIT# 25171
"'
OCC.LOAD FLOOR LOADth 4u HEIGHT 29 NO.STORIES 2_ AREA 2150 NO.BEDROOMS 3 VALUE 79,L0011
BUILDING DEPARTMENT SETBACKS FRONT 21 REAR ^ry LEFT SIDE .i° RIGHT SIDE
Permit 222.tJU tHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEPEBY AGREED THAT THE
Plan Check 240.50 u LWORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA110NS AND IN COMPLIANCE
—'' WITH ALL APPLICABLE CODES AND ORD.NAN' ES. THE ISSUI".'CE OF THIS PERMIT DOES NOT WAIVE
Subtotal 462.50 :t RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY DUSINESS
Q, LICENSE.SEPARA rE PERMITS REQUIRED FOR SEWER,PLUMBING ANO HEATING.
State Tax 4; 14.8')
SDC-- PI)
Total 477.3u =: Ply 7/1 /7:
_ -- PDC# 1 Pd 7/19/19 APPLI ANTORAGENT ----
By � .
Receipt No. --------
Approved F• ADDRESS PHONE
DATE (INSP. TYPE INSPECTION REMARKS PLUMBING DATE
'� �3' ��� 3 _ -_— _ - --- ---- Contractor A
7-� �3 ✓ /� / -- ...-- - Permit No. 3yS.3 z2 JO - �-s'�
Roughen
Fixture
e� Final
—�(IT- r HEATING
` Contractor4��
C� _v Permit No. �y 7
Gas or Oil
Rough-in -
I f Final
SEWER T
--- - -- ---_' - -- Final ,o
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
_ Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. f'IN AL—�T TEMPORARY CERTIFICATE OCCUPANCY Final
ICERTIFICATE OCCUPAN(:Y
Landscaping
Zoning Final
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BUILDING PERMIT APPLICATION 11T TIBC ARD DATE i 19--
OF w
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONCr�...�.�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHpJ1aka
4edgw"d dowse.c. 11%0 V liolrni a;-, dill -IV Ho s,Q. 9
W14ER JOB ADDRESS ME ADDRESS
ARCHITECT
UILDER 13010 _ADOF2E55 9035 9%l Beem tou Ilwyo ENSIfiNER GINEER W*dt ) _
TRUCTURE rr--®11 NEW'— ❑REMODEL ❑ADDITION-- ❑REPAIR []RENEWAL ❑FIV-DAMAGE ODEk10LITION
RESIDENCE LJCOMM DEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE C1 SLAB []FENCE
❑BOND C1 MOVING UCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
Q�CUPANCY_- LAND USE ZONE BLOG.TYPE_._ —FIRE ZONE PLAN CHECK BY HEAT—
Cmetruct Single fetAly dMIling With OttAcbod JINX" _
_v—sue corrot 1cm $twat Ott+tt7 le l e _Y 3 badvvr,a ----
40 16 1 106b _ 3 1t3,`w
r�
QAD FLQ H LOAD HEI —_ A NSi�,Sl-Qfl1�;z— NO,QEDROOM&--ll
_BUILDING DEPARTMENT SET BACKS FRONT 20'
REAR 15T._.�.�._ LEFTS-DE (34W RIGHT SIDE ,
Permit 154,00 — —� - --- --�.
—'— — — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL DING CODE, ZONING
Flan Check 77900 REGULATIONS AND ALL APPLICABLE. CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
,I1•r , WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total l+• ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
� 1�-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATIN'3.
Total 237.16 SIX; 5 40U•
QIX;V 1C�p„ 91
By
-----_— --- -- APPLICANT OP AGF'41
Approved Rpceipt No
AODRF55 —�NUN�!
CITY OF TIGARD—12420 S.W.MAIN—TIGARD,OREGON 97223
RECEIPT
Q DATE: 7�� AMOUNT,S !�q 2 .
----
61A
NAME: .,. t (-j 'I'of rG,CLASH:
ADDRESS:
9 -7 _-x M.O.:
e OF
FOR,. ACCL • PERMITS SURCHARGE AMOUNT _
SEWER BILLINGS 40-364
I Y BUSINESS LICENSE 05331
'PLUMBING PERMIT 05332 —
MECHANICAL.PERMIT 05-332 —
�/� BUILDING PERMIT
SEWER CONNECTION 40-36 i
SEWER INSPE-gT10N 40-365 __..�__._ Z��S�,•- U V
SYSTEM DEV.CHARGE 25366
E 01 30-
All
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b 1.
TOTAL`
c VEP
ERMIT NUMSERS
�luirib� WumMr Amou!j Numb*r Amount
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May 17, 1979
Received from Wedgwood Homes of Portland, Inc. ,
a check in the imount of $150.00 payable to
Leron Heights for sewer surcharge on Building
Permit #2723 for 13245 SW Falcon Rise Drive.
� Tigard. Sewer hermit 18B25-
Penny - Tiga d City Hall 1
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�.� SEINER PERMIT N0 18825
Uf . ..,Unfied Sewerage Agency t i r�:: ;.;a
of Washington County CITY OF DATE
OWNER : _ PHONE :
OWNER 'S ADDRESS:
TV."E OF INSTALLATION:
BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF GCCUPANCY:
❑ NEW ❑ SINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. !PRIOR 1.0 7-1--70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
ADDRESS OF STRUCTURE : •o !-a lve
PERMIT CONDITIONSe THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMfT NUMBER. THIS APPLICATION EXPIRES
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FOP,
(ITED S OUL.D
EXPIRATION OCCUR.
FEES:
PERMIT FEE
CONNECTION CHARGE
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL_ $
/APPLICANT DATE
SEINER PERMIT M 18825
ADUR E SS OF StUCT E _
\\
tAX MAP _ � TAX LOT SYSTEM i'?�'?_G kw
LOT BLOCK OF
APPROVED BY DATE ISSUED BY DATI
D. U. 'S REMARKS I' tilhlrti C�errtll4`. # �?'�
/.,to, o d
F
C17y OF TIGARD—12420 S.W.MAIM TIGARD,OREGON 97223
RECEIPT
C2 --7
D AMOUN
DOLLAW
NA CASH:
ADDRESS: SA)
M.O.:
'p OF
FOR. ACCT. # PERMITS SURCHARGE AMOUNT
SEWER BILLINGS aO-364
BUSINESS LICENSE 05-331
PLI IMBING PERMIT 05-332
MECHANICAL PERMIT 05-332
BUILDING PERMIT 05-333
SEWER CONNECTION 40-363
SEWER INSPECTION 40-365
SYSTEM DEV.CHARGE 25-366
PARK DEV CHARGE #1 30-367
PARK DEV CHARGE #2 30-368
ZONING ADJUSTMENTS 05-362
TOTALS
RECEIVED BY:
PERMIT"Umealls IONID:
Number Amount Number Amount I Number Amount
;z;L7
RECEIPT 2920
19
raw
BUILDING PERMIT APPLICATION CIOF
TY TIGARFDATE . 19-
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER�Iy.L��-".�`JFi.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND . PECIFICATIONS. OWNERP
U r tl 13 LOT NO. U 11
OWNER 1 i "I•,t: r 'S6-ADDRESS132A`) rtLj I ral can Pipg HOME ADDRESS _
ARCHITECT
ENGINEER
sltn�a �1q �.� 5t.i 8vtn F{t�Isy. DESIGN jlj.t'3�:
BUILDER /�-y� ADDRESS rr_��„
STRUCTURE ONEW _GRFM_nOEL ❑ADDITION ❑REPAIR, EIRENEWA __-❑FIR DAMAGE ❑DEMOLITION
0 RESIDENCE [:]COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT RAGE CJSTORAGECISLAB QFENCE
❑BOND [:]MOVING ❑CONDITIONAL USE DESIGN REVIEW COU IL PR ED _ ❑SIGNS
OCC(!PANCY--._LAND USE i ONE � r _BLDG.TYPE _FIRE Z ^ PLAN ECK BY _ 1,) HEAT___
Ijrist.rucv �singis family rwsltioncIrf. t 1.QC,h �} bL,�. 141d 10,4I'riL - :' 00 L;
3EL CORPECTInN SHEET ATT1 "MIC ;, .
5atittr Permit.
F.1_DS?.814f1SL_�(�� BACKS FRONT
FHONtMENT SEI" 0 REAR LEFT SIDE C` RIGHT SIDE
BUILDING DEPARTMENT
.U
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REG LATIONS CONTAINED IN THE dUFLbING CODE. ZONING
Plan Check (40 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total t 41! • ' ALL APPLICABLE CODES AND ORDINANCES. THE ISSUAFICE OF THIS PERMIT DOES NOT WAIVE
L13EPJ'RICTIVE COVEN NTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax "rte' )WqM1ME, SiPARAI EMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total _ d I t,
,
By
APPIICANI OR
ApprovedW Receipt No l/