10840 SW MEADOWBROOK DRIVE-1 :Rnr'da MODES OM-4w Ml� M01
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10'1-40 5W MEADOWBROOK OR
N CITY OF T.,�aARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd.,Tigard np 97213 (503)639-4171 PERMIT #. . . . . . . : PLM97--0012
DATE ISSUED: 01/21/97
PARCEL:, 2611ODD-90561
Sl' TE ADDRESS. . . : 10840 SW ME ADOWPRUCiK DR 459
u,URDIVISTON. . . . a SUMME RF'IELU HROOKSIDE CONi)c] - ZONING: R-7
P_,LOCK. . . . . . . . . . . Ln,c. . . . . . . . . . . . . :56
-----------------------------------------------------------------------------------
CLASS OFF WORK. . -ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE, OF USE. . . . :SF WASHING MACH. . . . . . .- 0 5ACKFLOW PREVNTPS. . : 0
OCCUPANCY GRP. . .-R3 FLOOR GRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 1.
STORIES. . . ., . . . . : 0 WATER HEATERS. . . . . : i CATCH Bf1SINS. . . . . . . : 0
FIXTURES------------ -- I-AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINES. . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0
l_(-)VATORIES. . . . . : I OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER '_INE (ft ) . . . : 0
WATER CLOSETS. . : 0 WATER L.INE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : IN KIND WATER ' "IATE.R REPLACEMENT
Owner: ---------__.___._______________________._----_--___-.- FEES
CHARLES SAWYER tI,pe amount by date recpt
.111.184O SW hIEAUOWBROOK #59 PRMT $ 25. 00 JSD 01 /21/97 97-c.99154
SPCT $ 1. 25 jSD 01/21/97 97-209154
f:GARD OR 97224
Phone #: 639-0825
Contractor:
GEORGE MORLAN PLUMBING
5529 SE FOSTER RD
PORTLAND OR 97206 _---- -------_-___---.-----------------
Phone #: 771-11.45 Y 26. 25 TOTAL
Peg #. . : 02734
REQUIRED INSPECTIONS -------
This permit is .s-ied subject to the regulitioas contained in the wr;;m Mi sc. I nspect i on —
Tigard Municipal Code, State of Ore. Specialty Codes and all Final Inspection
applicable laws. All %ork will be done in arcordenre with
4. approved plans. This permit will expire if worm is ret started
Hwithin IAA days of issuance, or if work is suspended for more
t har. 1S", days. _
CD
C7 f-ermittee Si
W
( Call for inspection - 639-4175
CITY OF TIGARD Plumbing Application Recd By �
13125 SW HALL BLVD. Commercial and Residential Cate Recd72
TIGARD, OR 97213 Cate to P E.
1503) 6394171 gate to CST
Permit•
Print or Type Reiaied SWR Ay
Incomplete or dleg,ble applications will not be accepted Caited _
Name of DevelopmenuPro F►ATURES (Individual ,
I sect ➢ _ _ OTY PR CE AMT
yy'- W�� JJ (J S'
' „103 � V..� 1 h�� W��✓ rlE� 1� r mu � 9.7ip
Lavatory
Address SIM@^Address Suite — 9.00
t) Tub or :'ub;Showe,Camb 9
Bldg• CifyrStale Zip
a Shower Only _ 9.00
Name / Z&--Y
r O-� 04 H ` Water Closet -- - 9.00
Crshwasnw
I Own*r M Address Suite Garbage Dspossi 9.00
(✓: yid S'C.✓llgeW30"Mechrne 9.00
CRYfete Zlp Phons Fktwr Oram 2'-Tr 9.00
4.,�1
�°- 3' 9.00
a. 9.00
��AddssOccupant Sudter s WOW Heater 9.00
Laundry Roan. Tray 9.00
CityfSpHe Zip Phone tlrnu�
F29!000—
.—-� Noma Other Fixtures(S"clty)(Vv. � �' t14n
Contractor M"n9 Address Suite -- 900
!Z �S Scv Alii r J`i! k — 9.00
r �rlStats Zip Phone
-7 � 9.00
Abse!C4"a1
Oregon Const,Cont.Boaro Lir-$ Exp.Cate 9.00
) -1 G
L _ G ,�� 9.00
Ctunstnt Pkxnb"Uc,s Exp f?ae Sewer-1st 100- 30.170
akr U ✓I G 3q14"-
Saver-each additional 100' 25.00
COT Business Tax or Metro a Exp.Cate
WSW Service- 1at 100' 30.00
( Name Water Service-earn additional 200' 23.90
IJ ArGhKect Storm&Ram Crain-1st 100• X0.00
Mail Address Storm 4 Ram Drain-each additional 100' i
or ins St.* 23.00
W)bde Home Space _~ — 23.00
Englneer C:tyrStat i ZipPhone Commerctal Back Flow Prevenban Dewux a Ann 25.40
Poihriion Cevtca
CesamDe work Naw O Addition O Alteraroon O Repair O Residential Backflow Prevention Cevir_s• — 13.00
d _b be dons: Qesidential O Von-residential O Any Trap or Waste Not Connected to a Fixlurs 900
Additional destnpimn of work Cutch Bann
m9.00
— Insp.of Existing Plubing ,x0,00
Perth,
Willi use of Spetaaay Requested Inspetzions 40.00
Aq or pro perrhr
m gym— Ram Crain,Single far,liy dwelling -- 30.00
loosed use of Crease Traps r 9.00
Li! wilding or properly
-� — _
_ QUANTITY TOTAL -
Are yogi Capping. moving or replacing any fi rtures'T Yes p No p isornetrtu 01 tw silk m a reeurea if Ousney T isi is >9
(if yes see back of form) 'SUBTOTAL.
t hereby acknowledge that I have read this application.that the infori-atinn _
;rven,s Correct.;net i am the owner or authorized agent of the owner.and S%SURCHARGE w
net clans submitted are in combNance with Oregcn SLie Laws.
;;gnature of OwneriAgont Cat PLAN REVIEW 2S%OF SUBTOTAL
Required it%U*91.colt is
ontact Person Name Phone TOTAL ZG.ZS
'Minimum permit fee is323.5%summa swterfb
ttill Backw
ven !
Prevention Cevic .which is 315•s%sura arge�e.a Re
i:ldstslptmapo doc SM
PLEASE COMPLETE AS APPROP$IAIE T PROJECT:
Fixtures to be capped, moved or replaced q1ty
Sink_
Lavatory
Tub or Tub/Shower Combination
Shower Only
Nater Closet
Dishwasher
Garbage Disposal
Washing Machine _
Floor Drain 2"
_ 3"
4"
Water Heater
Laundry Room Tray
Urinal _
Other Fixtures (Specify)
COMMENTS REGAR G ABOVE:
IL
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-CITY OF TIGARD BUILDING INSPECTION NOTICE —`
Inspection Line: 639-4175 Business Phone:09 4171
Footing Rain Drain CoverfService <NDAL:Foundation Water Line Ceili"Ijrnb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.UndIRr/Slab Plhg. Top Out Insulation -Elect.
Post/Beam Struct, Mech. Rough-in Gyp. Rd. ��
San. Sewer Cas ne Appr/Sdwik Reins.
Other:
Date: _. — A.M. P.M._— Entry:
Address:
Tenant: Ste:-.__--. MST
UP:
Con/Own: _ �_--__ MEC:
PLM:
ELC.
J THE FOLLOWING CORRECTIONS ARE RE D: ELR: _
F ��e� /�F deo
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Inspector: --- � -- Date:
ROVED _DISAPPROVED/CALL FOR REINSP. CF CO
C7
SUILDINC PERMIT
CITY OF TIGARD
PERMIT #. . . . « . . s RUP96-0180
COMAUN1TY DEVELOPMENT DEPARTMENT DATE '?SSUED s 05/01/96
13125 BIN Ham 01vd.Tigard,Oregon 07223.8199 (503)839-+171 PARCEL: 251 10DD-98561
SITE ,ADDRESS. . . : 1OB40 SW MFADOWBROOK DR #56
SUBDIVISION. . . . : SUMMERFIELD BROOKSIDE CONDO ZONINGsR-7
LOT. .
------------------------•--------•----------------
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :ALT FIRST. . . . : 0 sf N', Ss Es W1
IYPE OF USE. . . :SF SECOND. . . s 0 sf PROTECT OPENINGS?--------.__—
T YF'E: OF CONST, s 5N . « . : 0 s f � s S: E i W:
OCCUPANCY GRP. :R3 TOTAL-------: 0 S" ROOF CONST:AF I RE RET? ;
OCCUPANCY LOADS 0 BASEMENT. s 0 at' AREA SEP. RATEDt
STOR. . 0 HT: 0 ft GARAGE. . . : 0 s f OCCU SEP. RATED:
BSMT?: ME Z Z?s REOD SETBACKS---------- - REQUIRED--------------------
FLOOR
EQUIRED------------------_--
FLOOR LOAD. . . . : 0 p s f LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . e
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
3EDRMS: 0 BATHS. 0 IMP SURFACE: 0 PRO CORR: PARKINGs 0
VALUE. $: 1000
Remarkss Re—Roof: Malarkey shingles
Owner: --------------------------------------------------- FEES ------------_..-
STERLING PROPERTY SERVICES type amount by date recpt
9320 SW BARBUR BLVD. PRMT $ 25. 00 JMH 05/01/96 96-278818
#165 PLCK $ 16. 25 03/20/96 96-277274
PORTLAND OR 97219 5PCT t 1. 25 JMH 05/01/96 96-278818
Phone #1 (503)246--8806
Contractor: -----------------------.--____.-_
GRIFFITH ROOFING
6815 SW 1111-H AVE
BEAVERTON OR 97005 -----------1— --------------------.--
Phone #: 643-1596 $ 42. 50 TOTAL
Reg #. . : 000925
------- REC?UIi2ED INSPECTIONS --------
This permit is issued subject to the regulations contained in the Final Inspection v
Tigard Municipal Code, State of Ore. Specialty Codes and all other
d applicable laws. All work will ba done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more _
than 180 days.
J
L1! Permittee Signature :
Issued By ! q- 7-Call for-for inspection - 639-4175
Re 'dential Building Permit Application
City of Tigard
13125 SW Hall Blvd. �\
Tl hard, OR 97723
(503) 1639-4171
Jobsite Address:
Subdivision: Lot#^ 1 Office Use Only
/
_ Contact Date�1 f /,I& Initials
Valuation: �DM, W
Result _
New Construction Only: (Square Footaqe) R Or7t I S Planck/Rec# -7-
Permit #
Ho ise: Garage: _ Reissue of
Map & TL#iZ�j_kjCt *K 1 9a 7 Z q9 '7'Z
Corner Lot? Y N Flag Lot? Y N Zone _
C.4
Owner: _S-tunes Plat
Addrass: 93aQ #los Approv_els Required n
Q17r� 1r, �r-� (�= —� Planning Setbacks--NA Solaro _
'�- -r Engineering
j�0 � )1 ���(n (� Other
Phone:
G
Contractor: r i Ir�, Q _ Items Required
Subcontractors
Address'. Truss Details
CA I ME Other
NotesDc
Phone:
Contractor's License #
(aftac� �p pyof current Oregon license)
Contact Name:
Contact Phone: j J - (n
Subcontractors: A►chltertlEnglneer:
a
Plumbing: _ J A Address.
C Mechanical:
(attach copy cP curren' OR Contractors License)
m Phone:
JOEL ESCR!pTION: �',�.L� ke �j �
AAp k- cT _
Applicant Signature Applicant Phone number
-Z
Received by: Date Received:
i
Permit s Account Description Anwunt AmL Pd. BaL Due
Bldg. Permit (BUILD) aS,oG .2A
Plumb. Permit (PLUMB)
Mech. Permit (MECti)
State Tax (TAS ( _
Bldg:
Pluntb.
M*ch:
Plan Check � ANCK)
Bldg:
Plumb:
Mach:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF MF-R)
Klass Transit TIF (TIF-MT)
Commercial TIF MF-C
Industrial TIF 4)
Ir+stitutional TIF (TIF4S)
Office TIF (TIF-0) .
WaterQty ity (WQUAL)
r -------
Wa,�&(Quantlty (WQUANT)
irs Life Safety (FLS)
Erosion Cntri Permit (ERPRI"
Erosion Planck/USA (ERPLAN)
Erosion Planck/CO T (EROSN)
TOTALS: