15780 SW OAK MEADOW LANE-1 NI MOCIV3W NVO M'S 0015
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15760 SW OAK MEADOW LN
Cir OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.1'7gard,Oregon 97223.8199 (503)639-4171 PLUMBING PERMIT
PERMIT #. . . . . . . : PLM95--0148
�39 41 1 DATE ISSUED: 06/26/9
PARCEL: 25111DC - 11100
SITE ADDRI-53. . . : 15780 SW OAI( MEADOW LN
SUBDIVISION. . . . : SUMMERFIELD NO. 11 ZONINGS R-7
FLOC K%. . . . . . . . . . . LOT. . . . . . . . . . . . . 3 607
--------------------------- _-- _.----.--
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : MOBILE HOME SPACES.
TYPE OF USE. . . . :9F WArSHING MACH. . . . . . . s BACKFLOW PREVNTRS. . : i
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . : TRAPS. . . . , . . . . . . . . . ,.
ST'ORIES. . . . . . . . : WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . s
r'1XTURES-------------- LAUNDRY TRAYS. . . . , . . SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . : URINALS. . . . . . . . . . . : GREASE TRAPS. . . . . . . :
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :
WATER CLOSETS. . : WATER LINE (ft ) . . . . :
TITSHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
14-mar-ks : Addition of a resiaenlial backflow device
Owner-,: _.__._.____.__________..__...___.___.._.__.__.._____..._._.. ___ _. -_---- FEES
MILT WALL 4yp2 amolant by date recpt
15780 SW OAK MEADOWS LN PRMT $ 15. 00 JDA 06/26/95 ---
5PCT $ 0. 75 JDA 06/26/95 -
TIGARD OR 47224
Phone #: 503-639-1276
Cont; actor-: _______ .___.____
T & J LANDSCAPE
JODI CT
14E=WBURG OR 97132 --------------------------------
Phone
-_.__-_----------------------.Phone #: 503- 538-OD 4E, f 15. 75 TOTAL
Reg #. . : 006112
— ----- REOUIRED INSPECTIONS --------
This permit is issued subiect to the regulation, contained in the Water Line lnsp _
Tigard Municipal Code, State of Ore. Specialty Codei and all other Fs inal Inspection
Applicable laws. All wcrk will be done in accordance with
approved plans. This permit will expire if work is not ster!ed
within 182 days of issuance, or if work is suspended for ■ore
IL than 188 days. -`
U) _ - --
I-er•ms.ttee �i.ynature :
W ; s �_l e d B y .
Call fur inspection - 639- 4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _
43125 SW Hall Blvd. Permit #
Tigard, OR 97223
(503) 638-4171
MINIMUM $25.00 PERMIT FEE+ST. SURCHARGE
YowInds Family Rasta Ontk
71
tirM .S� ��AX.?ki ��� 0 1 BATH HOUSE$140.90 0 2 13ATH HOUSE 5195.00
JAG
/ 7 Pp "� 0 3 BATH HOUSE 5116.00
Addreos away no Fee Inckrdaa all pkxnbirq, fixtures in the dwellnig and the first 100 hat
-� of weMr service, sankanf sewer and storm sewer. See feet below.
mom ra aria«aM"I FIXTURES QTY PRICE AMT
Inv&- (�1 i4'Ll- G 3Y�'' Sink 9.00
"'w""" ph" Love" �- 9.00
Owner It: '0'7" ( Tub or Tub/Showw Comb. 9.00
Shower Only 9.00
Wsbr Clow; 9.00
"'"'�•"'"'«'"""'� Disfrv+aahar _ 9.00
Occupait Garbage 0fsposal 9.00
0868 Aft" ph° Washing Machine 9.00
FWxw Drain 9.00
°1wa"• a Water H~ 9.00
laundry Room Tray 9.00
Urinal 9.00
Other FbAures (Specify) 9.00
contractor 9 .1 1 A N D (;APE 9.00 ---
t9.00�p4 �F •,, ;. : 0946 9.00
(WcV Sewer 1 at 100' 30.00
(U I 0 q0 '"""°a""""""" p'T Ma.Ta to. Sewer-on. Addtl I W 25.00
/+0 1 Water Sarviw let 100' 30.00
I hereby adrnowid0je that i have read this cep on that ft Wow Ssrviw sa, Addlt. 207 25.00
Information given is correct, that I am the ownw or 4uthortxed agent of
the owner, that dans subr,*W are in compliance with State laws, that Storm S Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm R Rain Drain Addlt. 100' 2500
number given Is correct. (If exempt from State registration, phase
give'reasp below.) Mobile Nome Space 211.00
[%W#, Back Flow Prevention
t 1 �f fs De vice or Anti-Pollution Device 9 W
twom a r °r' Any Trap or Waste Not
Connected to a Fixture 9.00
F-Describe work newdifion aReratk n repair Catch Basin 9.00
to be done reside,nial non-residential 0 Inap. of Exist. Pkxnbing 40.00/hr
Specialty Requested Inspertbns 40.00/hr
d Existing use of Rain Drain, single family dwo*q 30.00
building or property
Residential beckftw prwiention t,�
N devices 16.00
Proposed use of
buiidi.ig or property
_ •(Ew*f
LZ prewntfon doWeaq
W NOTICE 'Minimum Fee$25.00 SUBTOTAL
J
PERMITS BECOME VOID IF WORK OR CONS rRUC:TION r
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 8%SURCHARGE ?c
CON:;TRUC'710N OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOr"OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCE-D PLAN REVIEW 28%OF SUBTOTAL
TOTAL
Special Conditions
099 Issued �� by ,
WASHINGTON COUNTY RESTRICTED
Department of land tJss dr Transportation Il R 1
Electrical Inspection Section
155 North Firsonv nue, 350-12 ELECTRICAL ENERGY
Information: (603)640-3470 Fax: (503)693-4412
F. APPLICATION
PLEASE PRiNT
throughPlease,complete all'set.tions.' I Permit No. (.9-95 _ 005'1
1. Location of Installation Date
Address /.i 7 �O SU) O�¢�1(-
city Zip Coda 4. Type of work:
Map No.,.�5I 1 I M Tax Lc __I It CL RESIDENTIAL. RestricMd Energy Fr+ $40.00
Thomas Map Book: Page Section (for all systems)
Directions r Check type of work Involved:
.l � 5�� _�.,�� —
Audio and Stereo Systems*
Commercial ❑ Residential Burglar Alarm
Telephone Systems*
Tenant Name k Garage Door Opener'
(If commercial) Fire Alarm
Heating,Ventilation.and Air Conditioning Systeme
2. Contractor application: Vacuum
r Sy me rr't" l•� a��
Electrical Contractor .7 ���%C
Addres ?--. TD i
COMMERCIAL Fee for each system $40,00
City_ lZeerStateDR-Zip7/_3Z--- (Ae OAR 91 8-2W2e0)
Datf I Job Number -- Check type of work Involved:
Propdo OAer G�9�
Contractor's License No.
Contractor's Boardeg. No, y I Boiler Controls
Clock Systems
Phone No. _5 a Data Telecommunications Installations
Fire Alarm Installation
3. 0 r application: HVAC
1 '71 Lr-444 �y-1..2 1�j Instrumentation
Print �ter's Name Phone Intercom and Paging System
U .S Li 044,_, mlons Landscape Irrigation Control'
Addrafts4 l (9r( 1f-7 Z Medical
( �/) �_ Nurse Calls
City State Zip Outdoor Landsew- Lighting*
This permit Is Issued under OAR 918-320.770. The applicant agrees Protective Sigm Ing
to make only restricted energy Installations(100 volt amps or less) Other
under this permit and to do the following: ----- ----
1. Only use electrical licensed persons to do Inst4llatinns where
required. (Certain►esldential s*id other transactions are erompt Number of Systems
d fro,„licensing. These have asterisks("). All others need licens-
N 2. Cil for an Inspection when all the Ins►%,rations under this permlf *No licenses are required. Cranes are required for all oter Installations.
N are ready fc.-inspection.
3. Purchase separate permits for al:installations that are not ready 5- ,Fees
for Inspection when the Inspector Is out to Inspect under this
.� permit. Enter feet $ L
ro 4 Assume responsibility for assuming that all corrections required
by the inspector are done,and C9
113 s. Assume responsibility for calling for a final Inspection when ail of 5% Surche'ge (.05 X total 1* Ove) $
J the corrections are completed.
Tho person sig" this permit m at be the applicant or a person Trust Accotiot $ —`
authorized to bind the ap ca
r '
Signature 1---�- _ Tonal
Atrthority.iVother than4eplicant __ This permit becomes null r nd void If the work aulhorizeZttsytll1
permit Is not commenced i Attain ISO days froe,date of Issuance
For Inspections call of such permit or H the wor;r authorized Is suspended or abandoned
640-3561 or 693-4415 at any time after work Is commenced for a period of Iso days.
Electrical Permit*are non-refundable and non-transforable.
24 hnur recorder, one working day In advance of need BL24-114
CITY OF TIGARD BUILD6NG INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4176 + 2�, Business Line: 6394171 —
BUP
Date Requested >�` �# AM_PM _ — BLID
Location �� i� C_ �d�l Suite MEPC
Contact Person Ph PLM
Contractor Ph 3VllR
BUILDING �- Tenant/Owner €LC
Retaining Wall ELR „7
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain inspection Notes: -- --
Slab — SIT
Post&Beam '—
Ext Sheath/Shear
Int Sheath/Shear _—
Framing
insulation
Csywall Mailing ��.-----______ � _.__ _--•-__--
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Root
Final - —_
PASS PART FAIL -- -- -- -- — —
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer —
Rain Drains
Final
PASS PART FAIL
MECHAN"I..
Post&Beal, —
Rough In
Gas Line — —- -- ——
Smoke Dampers
Final -- — —
P PART FAIL
LECTRI2 _-
11 SenT ce
Rough In
UG/Slab
Low Voltage
Fire ALerm
J
m 3 PART FAIL -
ta
W
-�
Backfill/Grading
Sanitary Sewer
Storm Drain [ )Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line i ]Please cell for reinspection RE:—_ [ )Unable to inQpect no access
ADA
ch/Siriewalk
Other Date " ,Inspector Ext
Other -----
Final
PASS PART FAIL j DO NOT REMOVE this Inspection record from the job siiw.