10425 SW MEADOW STREET-1 1 l
ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
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Footing Rain Drain Cover/Service FINAL• „m3 i
Foundation at Ceiling -Plumb.
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Post/Beam Mech, Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Po4UBeam Struct. Mech. Rough-in Gyp, Bd. -Bldg.
{ San, Sewer Gas Line Appr/Sdwlk Reins.
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Other, �r s
Z�� AMPMEntry:
Date: . . . . ,
Address: l c�-_� L�Lx.•C.(:..C9 <..i e' ,•`� "
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Tenant: Ste: _ MS1`. _ x'``+�
BLIP: �,I' r �,.
MEC: �
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR i`' 1 Fgiapa
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�yf Inspectof �� '� Dater z
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iPPROVED DISAP PROVE D/CALL FOR REINSP. CF CO
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CITY OF TIGARD
DEVELOPMENT SERVICESF��ERMIT #. . . . . . . : PI_M3E�•-0:�7G PLUMBING PERMIT
13125 SW Nall Blvd., Tigard,OR 97223 (503)639,4171 DATE ISSUED: 12/17/96,
PARCEL..: 1 S 135OC-01000
SI 1'E ADDRESS. . . : 10425 SW MEADOW ST
SUBDIVISION. . . . : THE MEADOW ZONING: R-4. 5
BLOCK. . . . . . . . . . .. L.01.. . . . . . . . . . . . . : 15
CLASS OF WORK. . :REG GARBAGE D I SpOSAI_S. : V1 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :5F WASHING MACH. . . . . . 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP,. . :R3 FLOOR DRAINS. . - •, , . ., 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HE:ATERS. . . . . ih CATCH BASINS. . . . . . . : 0
F I X TURES_______.._.___..._____ LAUNDRY 'TRAY,;. . . . ., : 0 SF' PO I N DRAINS. . . ,. . : 0
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . 0
I_f1VATORIEG. . . . . : 0 OTHER F.T.X TURES. . 0
TUB/.SHOWERS. . . . : 0 SEWER I._INE (ft ) . . .. 0
WATER CLOSETS. . : 0 WATER I__INF (ft ) . _ 1.00
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Hook•-•l.rp to water- meter-.
Owner: __._____________.__..____•__-______________.__.__. FEES
DICK JI-1ARDT type- IMo(.ant Y by Batt, - -_-r^acpt -
16310 JOODRUSH CIRCLE: PIR MT $ 6:'x;. 00 DRA 12/17/96 96-287848
SPCT 'b 1.. 25 DRA 1 '/].'7/9E, 98 2ET"l(34E1
LAKE OSWEGO OR 970:35
1='hone #: 620-3E.17
FULI_..MAN COMPANY
5805 SW HOOD
PORTLAND OR 97201
IIh o n e #: 2r.. 25 TOTAL
Reg N. . : 00445
------ RE PUIRFD INSP 9
This permit is Issued subject to the regulations contained In the Final Inspect ion
Tigard Municipal Code, State of Ore, Specialty Codes and all other
applicable laws. All work will be done In accordance with
3 approved plans. This permit will expire If work is not started
within 180 days of issuance, or If work is suspended for more
than 188 days.
Per^m i
e e Si .] tare :
I s 5 It ra E3 y :
Call for inspection - 639•--4175
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' I" I�MP "WOlIIE.Ntremrw.,�.»>..>„-....,
CITY CF TIGARD Plumbing Application Recd By
13125G4*11ALL BLVD. Commercial and Residential Date Recd �-
:to P
TIGACRD, OR 97223 Dal tc UST
(50:3) 639-4171 Permit# �LN�(�-U3 (
Print or Type Related SWR#_
Incomplete or illegible applications will not be accepted called
Name of Devlopment/project
Job
Address Street Address Suite t .rt 140 ,�s❑ 2 BRT SE S18tf.00
0qdSw f1V")ot, x.. rod' usIES223tx► �� ;M."' y..
tee sap "?,tngi tlxturse tn`lhe'dwetlrnj7 aria iiia Hrad too neat ofi��,, I i
Bldg# 1 Cit I ate 11��yy�` Zip water seMr� sanitary sewer and atorrn sower. See fees bekna f 1,,r,ii; I
�J 1 �Jr� _ •.i.v".�rciY4>'�A>',,..v .>+e„ ,.„ .. `_ ..rs. - ..�..an2{wl�an:,'.aw _..:rlliyl��la�;.. i w
Nan / / FIXTURES(Individual) QTY PRICE AMT I
_ ,c- C� t P� Sink _ 9.00
Owner Mailing Pddress Suite Lavatory 9.00
3St n)uo� r (�r l Tub or Tub/Shower Comb.
/Z/Cityj/State Lip Phone 9.00
r o �� 70)5 v -361 ) Shower Only � 9.00
Name Water Closet 9.00 i
UC� Dishwater _ 9.00
Occupant Mailing Address Suit: Garbage Disposal 9 -
00
Washing Machine
900
City/State Zip Phone Floor Drain2” 9 —
.00
Nam: — 9.00
JC'rV1d-er 4" 9.00
_ 1
Contractor Mailing ailingt _ �
Address Suile Water Heater 9.00
ls Laundry Room y 9.00
ISt t Zip -�^ Phone Urinal Tra—
)1' � I 9.00
Oregon Corist.�nt.Board Lic.# Exp.Dale Other Fixtures(Specif
9.00
A ach Copy of 0_9
9.00 i
Current Plurp'�)�n tick0 r n/( Ex .Date _ _ 9.00
License d- - I I_� -3/`9 7
Sewer-1st 1C0"
j COT Business ax 9 00
r Metr. Ex .Date _
1 ( � Sewer-each additional 100' 30.00 ,
Name Water Service-tst?00' 25
Water Service-each additional 200' 30.00
Architect Mailing Addicts suite Storm R Rain Drain-1st t00' 25.00
or Storm&Rain Drain-each additional 100' 30.00
Engineer CltylState Zip Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25,00
Descnbe work New O Addition O Alteration—o Repair Pollution Device
to be done: Residential Non-residential O Residential Backflow Prevention Device' 15.00
Additional description of work r -- Any Trap or Waste Not Connectedto-a Fixture 9.00
Catch Basin 9.00
6 T ,iL J� Insp.of Ecisling Plumbing 40.00
Existing use ofper hr
building or property
Specially Requested Inspections 40.00
_ per hr
Proposed use of Rain Drain,single family dwelling 30.00
building or property_____ _ Grecse Traps -- 9.00
Are you ca pin an flxtures7Yes�]_No QUANTITY TOTAL
I hereby acknowledge that;have read this appli ion,that the information Isometric or user diagram is required d 4uandy Tbtal is >9
given is correct,that I am the owner or authorized agent of the owner,and 'SLIBTOTAL
that plans s bmihed are in compliance with Oregon State Laws.
Signet. of liar/Als Data 6% SURCHARGE -;r, v
PLAN REVIEW 25%OF SUB'rOTAL s
Conta r roan Name ��/�- Phone .-Required only d fixture qty totai,s;9_�
'Mlnlmum permit foe is$25+5%surcharge.except Residential Backflow
\dstslplmapp.doc Prevention Device,which is$15 •5%surcharge
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