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10395 SW MEADOW STREET-1 1S MOUV31N MS 96£06 �. i N coy 0 C ! N cn Lo J_ O wJ 10395 SW MEADOW ST IT I TY OF TIGARD PERM I TU#. . . .G. . . a PLM96--0086 COMMUNITY DEVELOPMENT DEPARTMENT DATE TSSUEDs 04/25/96 19125 SW Hall Blvd.Tigard,Oregon 972.294194 (503)&W417? PARCEL s 151 35CC-11+1 100 ' SITE ADDRESS. . . : 10395 SW MEArQW ST SUBDIVISION. . . . : THE MEADOW ZONINGS R-4. 5 FLOCK. . . . . . . . . . r LOT. . . . . . . . . . . . . : 14 -------------------------------_.-------- CLASS OF WORK. . s REP GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. s 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . s 0 BACKFLOW PREVNTRS. . r 0 OCCUPANCY GRP. . sR3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . s 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . s 0 SINKS. . . . . . . . . . r 0 URINALS. . . . . . . . . . . : 0 GREASE 1 R,!PS. . . . . . . r 0 LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . : 0 WATER CLOSETS. . r 0 WATER LINE (ft ) . . . : 1 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . s 0 Remarks: Replacing water service UNners --------------------------------------------------- FEES -----------.---- 3TEVE0 BRAUN type amount by date rlrcpt 10395 EW MEADOW RD PRMT 1Z 30. 00 B 04/25/96 96-278598 TIGARn OR 97223 SPCT /1 1. 50 B 04/25/96 96-278598 Phone #s Contractor: ----•---------------------------- ONCTIL PLUMBING INC 16900 SW MERLO RD BEAVERTON OR 97008 -_-_--__.-----------------------------_- Phone #: 503-642-7323 ! 31. 50 TOTAL 24284 -- ----- REQUIRED INSPECTIONS ----_-- This perait is issued subjort to the regulations ontained in the Water Line Insp Tigard Municipal Code, State of Qre. Specialty Codes and ali other Final I n s►pcct i on applicable laws. All work rill be done in accordance with approved plans. Thi; perait will expire if work is not started within 189 days of issuance, or if work is suspended for sore than 188 days. p� Permittee Si atUre. t:cqor inspection fiection - 639-4175 m p C9 W Cit Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13✓1L W Hall Blvd. Permit # 1 ;� Tigard, OR 97223 (503) 639•4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE Nov Slnole Fsmily Res(dencee Ontt 0 1 BATH HOUSE$140.63 0 2'BATH HOUSE$195.00 Job Q ? S• O 3 BATH HOUSE$225.00 Address arwo Fee incJudes all plumbing fbturea in the dwelling and the first '.00 feet of water service. sanitary sewer and storm sewer. Sae tees below. FIXTURES QTY PRICE AMT e Sink 9.00 d*- '""• Lavatory _ � 9.00 Owner o __ Tub or Tub;Shower Comb. 9.00 Shower Only 9.00 Water Clow 9.00 "••r.�•• r + �" Dishwasher 9.00 Occupant Garb,�ge Disposal 9.00 wo"^'sem ^r" Washing Machine 9.00 Fim Drson 9.00 Waxer Heater 9.00 Laundry Room Tray 9.00 Urinal 9.00 t (p Other Fixtures (Specify) 9.00 Ma"A"" ""'_ 0.00 Contractor � ._. A, ©O s L-)r l 9.00 t9 �' 9 sjo •l� � Sewer 1st 100' 30.0000 ~"Flo "' t°a r."' Sewer at.ee. Addle. 100' 25.00 I,?, /��( p0 6)Z Water Service Ist 100' I herebt acknowledge that I have read this application, that the Water Service es. Addle 200' 25.00 info.nation given is correct, that I am the owner or authorized agent of the owner, that plans submitted are In compliance with State laws, that Storm S Rain Orale; tat 100' 30.00 1 am registered with the Construction Contractor% Board, that the Storm ✓R Rain Drain Xldlt 100' 25.00 number given is correct (If exempt from State registration, please give reason below.) Mobile Home Space 2500 Be(*Flow Prevention .7 Device or Anti-Pol utlon Devk a 9.00 srwr....w.on, o-, Any Trap or Waste Not Connected to a Fixture 9.00 Describe wort* nsw Q addition alteration repair Catch Basin 9.00 to be done residential Q non-residential O Insp. of Exist. Plumbing 40.001hr Specialty Requested Inspections 40.00/hr Existing use of C' building or proper.y _ Rain Drain, singlefamilydwelling 30,00 Resid,nlial bsddlow prevention devices 15.00 Proposed old of - building or props rt,r J *(Except rssJderrtYal bacMfow ED preverwon devkes) C? J NOTICE *Wnfmum Fee$25.00 SUBTOTAL 10 PERMITS BECOME VOID 1,WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR .F "*SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 26% OF SUBTOTAL TOTAL , Special Conditions �_ Date i39UCd _ �� by , CITY OF TIGARD BUILDING INSPECTION NO110E Inspection Line: F'a-4175 Business; Phone: 639-4171 Footing Rain Drain Cover/Service FINAL.: Fns .cation ater L'n Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. OthF,r Date: 5 A.N�,�_.P.M. _ Entry: ._— Address: _ �- Tenant: Ste:_____.. MST: BLIP: Con/Own:_ MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELS: Inspector: Dat APPROVED _DISAPPROVED/CALI-FOR REINSP. CF CO C7 NU