10885 10895 SW MEADOWBROOK DRIVE 10885 & 10895 SW MEADOW119C-OK DRIVE
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. M jin St.
Tigard, Oregon, 97223
Phone 639-4171
Address _._� Permit #•—
Type of Inspection
The following Building Code deficiencies are required to 6a corrected:
Presented to Inspector
Date
CALL FOR RVAGPECTION
❑ VES ❑ NO
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_............
_........
IONR E. REIIiNhRDI PlKf,1DIKG,IKC BUILDING DEPARTMENT, TIGARD NO.
PLUMBINC PER !
P. Q. boil I29 MIT
NE>>tiSEfi�, GRfG71 91132 , holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the CitY Inspector who shall be notified not less than four
(4) hours prior to the tirne the installations are ready for inspection. City of Tigard Business License required
for nil contractors and sub-contractors. 4 /'� G- fS ,?-f
c,rttY ¢ i,, ,dam Addressda'_ —
Owner; — — -
-
NUMBER OF TOTAL PERMIT NO:S
TYPE OF PEWIT ITEMS FEE ON EACH FMOUNT (Ofllce Us*Only)
SlnAlo Faml t both-each_ ___ _ 25.00 _ —
Du lex-Each 1 beth unit 25.00 _
Addltlons! bethronms-oaSl _ _ 10,00 _
Mubilo Home Spew--each— _ ___ 10.00-- --
INDIVIC`UAL FIXTURE FEES
1 to 60 Fixtures In 1 bulldlnp-eerh 3.00 _ -
_61 to 10U Fixtures in 1 bulldin -tech _ _ 2.60 --- --
_101to 200 Fixtures in 1 bullding-each 2.00 ---f-
201 or more Flxtures In 1 bulldlnj-each _ 1.50
M 15 C C 1.1.A N E 0 U S yY �• -----.---
auhdlnA SewEr-1150 ft. 10.00 _
�Samr—each additional 100 ft, _ 10.00______
I tih ter Sorvia to buildlr'2 _ , ~, �/ 5.00
Prlvste weter Sypsms—each_100 ft. 10.00
Cher ispe EYE
I MMIT ` Frr n. rnq rlispection Phone 6.79.4191
",'. Stato �G'lll Plumbing Contractor ?v
TOTAL._. _. 1 iTFCE1PT NO. Issued By
i
A
4.
ti-2 / 80 3209
BLIILDIN"? PFRMirAPPLICATION TIGARD DATE----
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR (HE WORK HEREIN INDICATED BUILDER PHONE .639-3101
OR AS SHOWN AND APPROVED IN 1 HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
/0885 t 9S LOT NO. ---
OWNER Tuiil. i)uy* 00- JOB ADDRESS Mai Meed_ uwbrook Drive _
ARCHITECT
ENGINEER
BUILDER Same _ ADDREss 1.5300 5U116th _ DESIGNER
STRUCTURE �KXNEW ❑ REMODEL ❑ ADDITION_ F] REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMGLI11011
Lg RESIDENCE C 1 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE.. ❑ SLAB❑ PENS
OCCUPANCY Fj"' __ LAND USE ZONE —f-7 .BLDG,TYPE bfd _ _FIREZONE_ 3 PLAN CHECK BY ETW HEAT �SG C•
Construct 2 Istory8=plax (8 "A" unites) all per plans and code.
6 Bedrooms — 8 Batt-Is,
SEWERPERMITM 119Z3 — 5�475a�1�} ��___--------------(,s•F,-.
OCC.LOAD FLOOR LOAD 40 HEIGHT 20 NO.STORIES l AREA ANO.BEDROOMS V.ALIJ Ub r �
BUILDING DEPARTMENT SET BACKS FRONT F PL,ANREAR LEFT SIDE RIGHT SIDE
Permit �,4.�C�• THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 225* 18 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 675, 53 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
st�teTax�+; _ IQ.gl Sn(; - "109i" *UU i �k '' ,,� ,, *
, ) - �
Total $693, 54 ...
- PDCN 460.WPI(CANT OR AdENT
By - -- Recelpt orNo. .
A oved E TIJ �? `i1 ADbRESB I - PHONE
W Wm
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
+ — Contractor
~• r - ---?- Permit No. a, I qC?-�---- "..
Fixture
o Qa L —_ ��A1 `�---- -- -- Final
p
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in — –
-.�-------- -- ___. Final `
SEWER
-- -- — _.a----'---- Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain(Final
Sidewalk
Curb&dtreat i anal
Approach
BLDG. DEPT.FINAL — TEMPORARY CERTIFICATE_OC"0'Y Final
CERTIFICATE OCCUP (VjY^ANCY / - \J _ T_
Landlceping
Zoning Final
SUILf..JfNG PERMIT APPLICAI-10N `ITY TIGARD DATE_
.HE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE'&
LIR AS SHAWN AND APPROVED IN THE ACCO MP NYING PLANS AND SPFCIF(CATIONS. OWNERPHONE
Joeyo e �l IO S LOT NO
(",. Al JOB ADDRESS SlA/, E ADD
ARCHITECT
ENGINEER
OER �21W,E- ADDRESS :5S" 11 "J'1- 752VDESIGNER
:ICT UE NW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL (
3
FIREDAMAGE ❑DEMOLITION
X'2' !-NCE ❑COMM DEDUCAIICNAL ❑GOV'T CJRELIGIOUSOPATIO ❑CARPORT OGARAGE ❑S70RAGEC]SLAS ❑FENCE
IJPOND (3M'OVING ❑CONDIT,ONAL USE GDESIGN REVIEW ❑COUNCIL APPROVED 13SIGNS
',CLIPANCY- ..j-LAND USE ZONE- _BLDG.TYPE FIRE ZONE— —PLAN CHECK BY HEAT-ItUPC—
- !--- +t�+`-
H I T_ '7 NQ._ RIES AREA j -NQ 1, ROOMS VALUL:?Q_e'y0C)
_ -BUILDING DEPARTMENT SET BACKS FRO Nt -T¢.� LEFT SIDE_ RIGHT SIDE -
e THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Ian Check Z S� �t5 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
ub•lotal — ` �S�,S3 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
ta1P Tax �47t LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND
`HEATING
Qoral
iv
._. ._! APP(SCANT OR AGENT ---__�
kpploved Receipt No. �� jCp �,�.J • _1(b (,. �?! ..._
-'� ADDRESS PHONE