10960 SW MEADOWBROOK DRIVE-1 10960 SW MRADOWBROOK DRIUE�
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iONN E. REIf;H�R01 Pll!N81hG, INC BUILDING DEPARTMENT, TIGARD N0. I
P. 0. 13ox 129 PLUMBING PERMIT
�^ PUBEfiS, Oi1EGOil 91131 f ` `� ✓j holder of a valid plumbing contractors license is hereby
Authorized to cause plumbing work as herein noted to b,, installed in accordance with the plumbing code of
'i'igarcL Such installations require inspection by the City Inspector who shall be notified not less than four '
(4) ho,jrs pr,or to thr3 time the installations dra ready for inspection. City of Tigard Business License required
for all iontraoom and st.l.,-.ontractcj � �3
J.dd. -1.�El.f%,,�> . t/` o .� Addresses 1'_j;��,u� 'll�i [ydte G
Ownar
.._ NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEC ON EACH AMOUNT (Office Use Only)
__Sirxllo Fe�.i L+th—ewch �. 25.00
Ou lox—Each 1 W.4 unit 25.00
Additlonnl bathrooms—each_ 10.00 _
_Mobilo Homo Space-each 16,00
INDIVIDUAL F0fTURE FEES
1 to 60 Fixtures In 1 building—eech y 3.00 -
51 to+100 Flxtules In_i building—each 2.50
101 to 2M F'-'ures In 1 building—each 2.00
_ 201 or 1rinre Fixtures in 1 bulldinn—each 1.60
17.11SCrLLANE011S _
n0din4 Sew er—tst_60 ft. 10.00
Seam—each eiditional 100 ft. _ 10,00 i 1'
—Water Service to building — _ ` �r 6.00
YPrlvoto Water Stems—encll 100 ft. _ 10.00 _
PEWIT '_- For Plumbing lnslxsction Phone 0*394191
5¢n4ey°�a ��,a�� Plumbing Cantrec¢or By LZ
�.
TOTAL. q RECEIPT NO. Issued fay
d
1
Bldg. F-`i
3203
�BUIL.u�PJGF' RM17AF'F'LICAION TIGARD DATE_._._ ». -'�
THE UNDERSIGNED HEREE)Y APPLIES FOR A PERMIT FON THE_WORK HEREIN INDICATED GUILDER PHONE -� — l�'�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA'riONS. OWNER PHONE ___
ICg60 LOT NO.
O
WNER i U6,1+.itin 0ey. CO.JOSADDRES9 :AJ MeadoL biuok Drive c7
_�-- ._. ARCHITECT -
ENGINEER
DER SDITIO ADDRESS 15300 5W 116th DESIGNER
STRUCTURE [N NEW ❑ REMODEL ❑ ADDITION L] REPAIR _ ❑ RENEWAL ❑ FIRE DAMAGE L7 DEMOLITION
EX MESIDENCE ❑ COMM C] EDUCATIONAL ❑ L3OV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT O GARAGE ❑ STORAGE ❑ SLAB U FENCE
OCCUPANCY —LAND USE ZONE __BLDG.TYPE _FIRE ZONE _PLAN CHECK BY 7�_
►• t:.w,ptruct 2 story cundominium .- 4 "E3" uniW:zt all per plans and code.
_ 6 bedrunms - 4 Baths. _
-.:stje of 10990 SIJ Beedawbzack Drive)
,,LWERPEFMITM'j%?.3 — 2.7
OCC.LOAD FLOOR LOAD_40 _HEIG_HT 2O NO STORIES.---2 AREA `";W1 NO.BEDROOMS VALU$12410_`1C1
BUILDING DEPARTMENT^ gET BACKS FRONT 1 tt FIEAR t EFT SIDE RIGHT SIDE
Permit ' 32 .00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TIIE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check_ 10.00 WORK WILL BE DONE IN ACCORDANCE WITH 1 HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
—� WITH .ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
�
Sub-total RESTR,cTIVE COVENANTS. CONTRACT('A AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIN'SS
LICEh!SE.SEPARATE:PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax / 11.
2'92 soc— 5�5D.OD 4
Total :;14;,.92
�— PDCN I $240.QWPPUCANTORAQENT
By pl
Approved_ E VJ ADRAA `,� PHONE
=Emma
DATE INSP, TYPE INSPECTION RLMARKS PLUMBING DATE
Contractor
Permit No.
lRou2h-in
,�- �.t1 �Ca j,�
Co
Fixture
Final
-A
"Alt 4.4r-
A, HEATING
Contractor
Permit No"
lot
Gas
01C
1-1611— Als, Rough-in
Final
SEWEW—
rfL
Final
DRIVEWAY
Final
Storm Drainage,
(Rain Drain)Final
Sidievvelk
Curb&Street Final
Approach
BLDG.DEPT.FINALTEMPORARY CERTIFICATE OCCUPAOI-*V' Final
_"T,FICATE OCCUPANCY
Landscaping
Zoning Final
1
Ii s
5UILDING PERMIT APPLICATION 11T TIGARD DATE_ _ �: 19.�t`Gz. N2OF
"Hc" UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDEF7PHONE��_��_
UP AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICAI IONS. OWNER PHONE
--
p-,I /CU9 KVOK YJ LOT NOZI C)Cr
JOB ADn �RESS Si �E��Ow HOME ADDRESS m �T
��" �'TT�,• ARCHITECT
_ �-�-1 • ENGINEER
UCT URE �-i.E W U E MODE L
ADDRESS AD�IO��Q�,U�r-"_�"(_ffZ�� DESIGNER
❑HEPAIR QR NEWAL ❑FIRE DAMAGE ❑DEMOLITION
FNCE ❑COMM ❑EDUCATIONAL ❑GOV-T OFIELIGIOUSOPATIO ]CARPORT OUARAGE OSTORAGEOSLAS ❑FENCE
-
IJPOND OMOVING ❑CONDITIONAL USE QDESIGN REVIEW I71COLINCIL APPROVED ❑SIGNS
s-
CUFANCY�__ _ AND USE ZONE BLDG.TYPE FIRE LONE. PLAN CHECK BY HE
iQ4.Q__.__._E109fl I.52A�_� H IQyT, _N��_J�jQFRII _�1REA�!)$U N0.BEDROOMS U �'>7 �p
VALE
BUILDING DEPARTMENT SET BACKS FRONT -�4 F3 �rGbR LEFT SIDF RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 20NING
Ian Check �r� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORVANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ub 10181 3 3 3 0-a ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
—L—� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Isle Tax LICENSE, SEPARATE PE RMITS NEDUIRED FOR SEWER, PLUMBING AND HEATING. `\
—_ APPL iCANI OR AGENT
,pp?oved Receipt No.
I I
�JJp.r__4l 4Z �C CG
asp u