10945 10955 SW MEADOWBROOK DRIVE m
10945 & 10955 SW MEADOWBROC,: DRIVE
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JOHN E. R INHARG1 FIL11'1BING, INC,BUILDING DEMH rNIEN'r, TIGARD
°.
0. 'lox 1'29 PLUf,iQIPaG PERMIT �D' �
NEWBEfiG 0RUN 91131 „ holder of a valid plumbing contractors license is hereby
authorixeci to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard: Such installs tions require inspection by the City Inspector who small be notified not less than four
(4) hnurs prior to the time the installatipns arojjeady for inspet tion. C;ty of Tigard Business License required
for ,3II c:-,,nvnmors end sub•ccntractors.�� 5'!f0 to �
OwneryL ` /u � '� j u) ���ke►c�a c
# AddrespL,991 _ Date
NUMBER OF r ry! TOTAL PERMIT NO.'S
1'YFE OF PERMIT ITEMS F:1.�. ON EACH AMOUNT (Office Uw Only)
h Single Famlly-1 beth—ee:h _ 25.00
Du lox—Ears, 1 bath unit 25.00
Additlonal batl,rooms—aech _ 10 00
M01`110 Spicr_9sch 16.00
INDIVIDUAL I'INTURE FOES _
�t to 60 Flxturas In 1 bulldi aech _ 3.00 V.L7r_
51 to 100 Fixtures in 1 bulld_IN—aech 2.60 _
— 101 to 200 Flxturat in 1 bulldlna—aech 2.00
201 or mon Fixtures in 1 bulld 2---oath 1.60 Y
r.11SCELLANE0US:
\ Bulldinq-SaWor--1st 60 It. � 10.M rM�
Ssw•ar—arch additional 10.0 Pt. 1000 _ r
J Water Servlso to bulldlnp
6.00
Prlvoto Water Syttima—each 100!t. 10. -
thet
_PI FIMIT )� ('or Plumbing lnpxdon Phone 6394191
Plumbli,T Cor!ractor By
TOTAL --,� -1 IIECEIPT NO. Issued By
BUILDING PERMIT APPLICATION
TIGARD 3204
VI if- UNDIR:-'>!GNFI)HERE RYAPPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 639-3101
Oli AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS A,<-SPECIFICATIONS. OWN'!R PHONE
1O955 + AIS LOTNO_P1dQ
OWNER .13t_jr4 Dau. CO.JOBADDRESS10840 Stil Meadowbrook Drive
ARCHITECT
ENGINEER
Bl ILDER somiri ADDRESS - )311() 5161 116th DESIGNER
STRUCTURE CA NEW 11 REMODEL 0 ADDITION 0 REPAIR Ll RENEWAL E-1 FIRE DAMAGE 'D DEMOLITION
.-t-
11RESIDENCE n COMM 11 EDUCATIONAL 1:1 GOV'T El RELIGIOUS 1-1 PATIO Ll CARPORT El GARAGE 0 STORAGE [I SLAB0 FENCE
—73
QCCUPANOY LAND USE ZONE BLDG.TYPE -FIRE ZONE---PLAN CHECK BY T HEAT
all per plans -vid cods. 10 Hedlooms - 10 680130
SEWER PERMIT# 219,14
OCC.LOAD FLOOR LOAD HEIGHT 2-0 NO.STORIES AREAs ilk; -NO BEDROOMS 10 VALUE "4 it 101
BUILDING
_ . BUILDING DEPARTMENT SETBACKS FRONT',rr PL,_ 1`16-All LEFT SIDE RIGHT SIDE
Permit �bo(j.no '___ I . :
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILl3fNG CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE r)ONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES Noll WAIVE
Sub-total 7:jl[).00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 20.00 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
770.00 51J(;— i U0.Li I
Total
APPLICANT OR AGENT
By P.1 PDC# t 540.00
Receipt No-lbt .'
LApprovad I-TW ADDRESS J PPONE
rw
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
41 Contractor
itjPeimitNo. �/7/
I
Rough-in
Fixture
Final
-vk._e U
HEATING
2R-" Contractor
Permit
N
G. 11
_7,.,
.........
F15ii6h.fn
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
Main Drain)Final
Sidet"llk
Curb.1k Street Final
Approach
mLDG. DEPT. TEMPORARY CERTIFICATE OC
CERTIFICATE OCCUPANCY Final
Landscaping
j
`UILDING PERMIT APPLICATION `ITY TIGARD
OF
HE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INfAC.AJED BUILDE:RPHONE4,'�CJ! I !
UR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIE ICAl IONS. OWNER PHONE _ _____,
JOq q-j LOT NO l3Lz& g
_R�Y k—tZ2 JOB ADDRE --Sf l� MI�eDOW/'3 � ,E �D ESS
ARCHITECT
/11 1 ENGINEER
cw
ADDRESS b �{ � DESIGNER
.ICTURE NEW ORE MODEL_y- OADDITION ❑REPAIR ❑RENEWAL_ ❑FIRE DAMAGE ❑DEMOLItION
FNCE OCOMM ❑EDUCATIONAL OGOV'T ❑RELIGIOUSOPATIO CCARPORT ❑GARAGE OSTORAGEOSLAB ❑FENCE
'POND 0MOVING OCONOITIONAL USE ODLSIGN REVIEW ❑COUNCIL APPRCIV ❑SIGNS
•CUP_ CY.. d LAND USE ZONE2- -7 BLDG._TYPE..�L�.-_FIRE ZONE� PLAN CHECK 81 HEAT _L-r_!C _
- - L14) <t,6k -
[L L_Q4D ___ FLQOR LOAD �� HH! ,HT..� .__CLQ,SSTORIEJ---s'"".-BR�A_ S2�B�125iiQ_m LUE ?q 9M
_ BUILDING DEPARTMENT
SETBACKS KS FRONT `~ /� LEFT SIDE --- RIGHTSIDE
THIS PERMIT 15 ISSUED SUBJECT TO THE RFGULAT'ONS CONTAINED IN THE NUILDING CODE, ZONING
Ian Check � GO REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
—' - WORK WILL BE DONE IN ACCOPDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Ub•t01a1 �— 'J �"�i�j A,L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRACIORS TO HAVE CURRENT CITY BUSINESS
tate Tax `/1 4 LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMB 'JG AND HEATING.
_�_ APPLICANT OR AGENT
,pploved Receipt No. � — -0, 0J.
_ Qa
A DRESS PHONE
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