12921 SW FALCON RISE DRIVE ADDRESS:
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i.'reccrds\micrcflm!targets\buildir,g.doc
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IKSP MON NOTICE
City of Tigard Building Departaeot
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639••4175 Bueineas Phones 639-4171,
7 i
Inspection:__
Footing Plhq. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plhg. Top out Gas Line TN .
Poet/Beam St-:u.-t. San. sewer Framing -Bldg.
Post/Beam MeV17. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater. Line Gyp. Nd.
Date Requewc.ed:__��� C�// Times ��—.AN _PM
Address:-� a I 3g:::f<sw 6Q, C11? Permit
Builder:_ %i/i,-1 ) e_— g r>
THR FOLLOWING OORUCTIONS ARE RRQUIRRD:
//�!�'J'7J L✓.A T-7 u/L/ . / Vii.' 7 •� O�ii�i�M�_
j-_ ���OL t 1 lt.•i7SAI I ti 7Z1w!
Ltepactors_,
APPROVED DISAPPROV99 "-RFPROVEn SU&MrT TO ABOVE
Call For Reinnp.
. C17Y CSF TIGARD �
MECHANICAL
(COMMUNITY DEVELOPMENT DEPARTMENT P E.F<M i r
13125 BW Hell Blvd.Tigard,Oregon 97223.8199 (5)3)639-4171 PERMIT #. . . . . . . : MEC9 4-•0274
6-9 41 ,'1. DA-E ISSUED: 10/04/94
PARCEL: 1 S 133DD-15700
SITE ' DDRESS. . . : 1 921 SW FALCON R 1.`aE DR
SUBDIVISION. . . . : V r Ll_AGE AT SUMMER LAKE F'A,•tK 5 ZONING: R-4. 5
13LOCK. . . . . . . . . . . LOT. 193
(LASS -:F WORK. . :ALT FLOOR TURN. . . . : EVAN COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . - VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES. . . . . . . . .. 1 BO"LFRS/COMPRESSORS HOODS. . . . . . . :
FUEL T YPEf3-- - ----- - - - 0-3 HP. . . . - 1 DOMES. I NC I N:
: /ELE/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTL1 1.5-30 HP. . . . : REPAIR UN I TC:
FIRE DAMPERS% . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE . . : 50+ HF. . . . : CLO DRYERS. . :
NO. OF UN 1 TS_------ -_ - AIR HANDLING UNITS OTHER UN i TS. :
FURN < 100K BTU: <- 10000 efm : 1 GAG OUTLETS. :
FURN )-100K BTU: ! 10000 cfm :
Remarks : AIR CONDITIONER
Owner: __---_______.___-_.___________.___________.___.__-----._-__-• FEES
MARSHALL PRYOR type amount by date recpt
12921 FALCON RISE DR PR11T $ 25. 00 JF 10/04/94
5PC T $ 1. 25 JF 10/04/94
TIGARD OR
Phone #:
O-ACCURATE OIL CO
673=' NE 47TH
PORTLAND OR 97218
PI-rnne #: 281-6212' E 26. 25 TOTAL
Reg #. . : 53391
--- - REQUIRED INSPEC:TIONS
This perait is issued subject to the regulations contained in the Mechanical Insp
T)ga-d Municipal Code, State of Or':. Specialty Codes and all other Final Inspection —
applicable laws. Ali work will be done in accordance with
approved plans. This pereit will expire if work is not started -
within 188 days of issuance, or if work is suspended for sorethan 18@ 182 days.
I e i,m i t t e c
Ts-1-ted By :
- Call�for inspection 639-4175
t ,lly of Tigard Iv",- " 1ICAL PERMIT
125 sw Hall Blvd. UCATION
`7 Box 13397
.)fig
i lgard, OR 9722.3
503 639-4171
Table 3A Mechanical Code QTY PR E AMT
Job ••• 1) Pernut Fee -0- -0- 10.00
Address —
(rt. 2) Supplemental Permit 3.00
Furnace to 100,000 BTU
1 Y I c Lam_ �Fr Y C) Fn 1) incl.ducts a vents 6.00
••• •^• Furnace IU0,000 NTU +
Owner �� 2) incl.ducts a vents 7.50
»• Floor Furnance
3) incl.vent 6.00
spa ater,w este`
4) or floor mounted heater 6.00
v Vent not incl.in
Occupant 5) appliance permit 3.00
WRepair o eating,re n—f g —
6) cooling,absorption unit 600
-- Boilor or comp tom
7) absorp. un.t to 100,000 bTU 6.00
•o +»• � r er or comp to 3 l-IP 115717--
-9111), 6)
5717--
-1 IJP y � .� 6) absorp.unit to 500,000 BTU 11.00
Contractor . — r er 0r comp to� -
h , ��'� 9) absorp.unit.5- 1 million BT U 15.00
•.R.,;••• — `1, •,"^ Boiler or comp to 30- 50 HP
r- -_7Z,17 _5 , 10) absorp.unit 1 - 1.75 million BTU 22.50
hereby by ack ow g at I have road this application ffial ,w4 r or or comp io-0777
information given is cfxred,that I am the owner or authorized e(aNnt 11) absorp.unit 1,750,000 BTU 31.50
of the owner,that plans submitted are in compliance with State rr han iN umt to
laws,that I am registered with the Sate Builders' Board,that the 2) 10,000 CFM ) 4.50 _5
number given is correct. (If exempt from State registration, please Air handling unit
give.aaacin below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaperate cooler 4.50
—`- Vent an connect
15) to a single dud 3.00
anti a or system not
1e) included in appliance penriit 4.50
s
17) me:hanical exhaust 4.50
srn'Fe w�or new a iter - aitoraeon ,D repair mestic type
to be done residential C, non-residential Q 18) incinerator 7.50
Existing use o n /J }- Commerrial or industrial
building or property__ / �4l- , LC�4-gyp 19) type incinerator 30.00
Cher t.e,woo-stove,water
Proposed use of 20) heater,War, clothes dryer,,etc. 4.50
building or property_ —�-
21) Gas r.iping one to four outlets 2.00
Typ( of fuel-oA Q natural gas O LPG O electric O —'-
22) More than 4-peter outle
t
_
NOTICE
Minimum Fee algw9 - �� UBTOTAL
PERMITS BECOME ,DULL AND VOID IF WORK OR
CONSTRUCTION 'tUTNORIZED IS NOT COMMENCED 5%SURCHARGE
WITHIN 190 ri.,'Y ,OR IF CONSTRUCTION OR WORK,IS
SUSPENDED Or ABANDONED FOR A PERIOD OF 180 PLAN REVIEW 25%OF SUBTOTAL
DAYS AT ANY i ME AFTER WORK IS COMMENrFl)
TOTAL 1�
Special Conditions
Creta issued by
..tee..
LI7V L:i'- 7tCA41411 HI CV LIF 1-11AYMt-..N-I 1,11 ., .IPI Ni 1.- 7461
('141 ."K W01 It'd 1 i':6. 'r,`'.5
NOW.". e A-Nc;t'.TJtt{1t'f OIL f.") 0. AAW
f-1I1.I)RESS : C,73i:-' NE 471H talrt�il_NI 1;�1It t f4hi�4;��
F+ClR'tl_AND, 014 I IFt1J 1 V J.,:;''W1 n
97 P16
P1010,1 1H UF' PAYW-N1 NMIA,11,4 1 14410 PURP(lt F• i 11 1'F,r Mt N 1 014(011,11 PHI D
hiF:(;NNN I I::WT..
PV MF..C_.A-17le'7# ;`?613. 17.14'► fat. @UIL.V 0 1<'
i.29P-1 BW FALCON RISE f)RIVF , 7'113f4kp, ON
r1ARRHA1...1. PRYOR
l I i I rat.. AMCIUN1 lj(411) _ __ ... ,_•t.,, ,
INSPECTION NOTICE
City of Tigard Building pepartient
13125 81W Sall Blvd. Tigard, Oregon 9722: JJ
lnsppction Lye (Rec-O-P a 639-4175 7usineas Pho 539-4173
Innpectione_ 10
Footing Plbg. Underslah Mech. Rough-in A�ppr/Sdwlk
Found. Plbg. Top Out Gas Line /�FINALs\
Post/Beam Struct. San. Sewer Framing l -Bldg.
Post/Berm Mach. Rain Drain Insulation � -Pliamb.
Plhq. Underfloor Water Line Oyp. Bd. -M ch.
T
Date Reyuested:. _77.
GPM
t y1�--AM
Addreae:L
'� - e4Y i�l/ -
T1DI FOLLOWING CORRECTIONS ARF REQUIREDI
I
Inspectors_ —___���_ Datet
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Reinap.
CITY OF TIGARD f,
COMMUNITY DEVELOPMENT DEPARTMENT t"('M I T
43126 SW Hall Blvd.Tigard,Oregon 97223a6199 (503)639-4I71
6--)- 4i 1 I UP r I Sw 16 LJ L 1) 1214
L LL kDDRLI.;rj. St
r-PLUILA4 HISE LA
j 61)3, V I I VIL-L"LiE AT SJMM1r;F4 LAKE POW', Z�
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L
HOML LA P'
LCW VW "Rb.
. . . . . . . . sAt"K, j PRE
TRAP . . . . . . . . .. ..
. . . . . . . SW� M3. . . . . . .
. . . . . . . . R'J CPTCH
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UR I NAt- 3.
)EWER L I j"4� i L
f LL06L. WO I L N L I NE t fi,
.iW AtHL-Fib R.PIN ORWkN Ft
mkr ki I SPRINKLLi4 Or LK
typo aM U k-Irl t Ll Y I,Itit4
2921 S'W FALCE)IN] 00 JH 04/c_6/93
CARO OR
.144LIIJUL._LL I i L
045 SW X41)
iL P64OUD ON 9-1140
c�'r,r 11), M TOT*Ai
REGIL)I RED .[N51*'ECi1f)'NL1
is Pei-sit Is I%kV@d subp.'_T tu tne cg, ativylv contained in the L,ut L n s p
'I C -R,, - iuii
4&ft -Ode, State Of Ot *rialty CGE111, flfid aii L0?'
ia*s, i�il wr.,k wiil be done in accordance wAn
.-proved pians. -tiis pervit will expire if wort! is not st&rtm ..........
:hin 16e days of issuance, or if work is suspended for sort
'&A lip days.
'Si fpr
inspectA u n
CITY OF 'TICARD - RFCEIPT OF F,AYMFNT E? r.EYPT NCI. tc)3-;?39,?;9I
CHFC K AMOUNT - I r,. '!r:
FJAMF t OULLUE-TTE, BYEPALD CASH AMOUNT 0. 00
ADDRESS 1 POYME=NT PAl V. : ihr+ C,/9,-!;
GOOD I V I SI ON
PURPOSE OF PAYMEN-T AMOUNT PAIL) PURPOSE OF PAYMENT AMOUNT PAID
Fl_I.1hIH I Mr PERM 15. 00 ST. BUILD PER
12-921 93W FALCON RTSE= UR
TOTAL. AMOUNT PAII) - - -) 15. 75
INSPSCT70N NOTICE
City of Tigard Building Department
13125 fill Ball Blvd. Tigard, Ocbgon 97223
Inspection Line (Rec-O-Phone): 639 4:75 business Phone: 639-4171
Inspection: -- --
PootIng Plbg. Underalab Mach. Rough-,in Appr/Sdwlk
Found. Plbg. Top Out Gas Line rINAL:
Post,'Beam 9truct. San. Sewer Framing -811q.
Poet/Beam M,+ch. Rain Drain Insulation -?numb.
Plbq. underfloor Water Line Gyp. Bd. -MNOh.
Date Requeetedt_„_
Address: / +Cr} /!/� ;7'7 irsit #t
_
11
Builders /L��
THE FOLLOWING CARRECTIONS ARP REQUIRED:
Igo'nspector: `---Y- w, Dat, r c; ^ � 9 Y!-
APPROVED DTSAPPROVED APPROVED SUBJECT TO ABOVE
�� Call For Relnsp.