10970 SW MEADOWBROOK DRIVE 10970 SW MEADC.WBROOK DRIVE
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UILDING DEPARTMENT, TIGARD
1011H E. FEI�tN,4�Di PEUE�iBING, IAC B PLUMBING PERMIT NO. � I
P. 0. Ux lig _
KIM RG, GF Ull 97131 hol6er of a valid plumbing contractors license is hereby
auttlo�iz=d to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tig.-A. Such installations require inspection by the City Inspector who shall be notified n^t less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractomic,b *6
/2490
° L to 10-k
Own era7ta,-' AddressrG` '' S
14UMHER
OF TOTAL. PERMIT NO,'S
rrPE OF PERMIT ITEMS F'cE ON EACH AMOUNT (Office Use Onlyl
,ja LDI-N T 1 A!. —
Sin le Femily-1 beth-o®ch 25_00,
Duplex-Each 1 h,.th unit _ _ 25,00 _
Add'lt,nnel bathrooms-aech P_ 10.00
(vlobllo 02mo Speece-each _15.00
F
DIVIDU-L FIXTURE FEES
1 to 6C_Fixtures In 1 building-aech 3.00 _1J
61 to Lou Fixtures in 1 buildina--each 2.60
101 to 200 Fixtures In 1 bulldinp-aech �- 2.00 �..�-
t_ 201 or mors Flxturos in 1 bulldim-each 1,60
h1ISCEILL ANEOUS
Oullding Sav_rar—lst..50 It, 10.00
Sower-aech eddltlonal 100 ft, 10.00
_
Water 5arvin to bulkllnjL� 6.00
Prlvato Water Systems-each 100 ft, 10.00
_21tar (Spaclfy);
----� / /
PEFlMiT__
For ..^iumbiny lnanoction Phone 6354191
Y� State" ° Plumbing Contractor IV t I[
TOTAL 9 RFCEIPT NO. Issue-' ev
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BUILDING PERMIT APPLICATION TIGARD DATE._.__— "� �_-_�,�s`-'�� 3202
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUII.DER PHONE _63993101
OR AS SHOIVN AND APPROVED IN THE A i o9MP� O NO.
YING PLANS AND SPECIFICATIONS. OOINER P ONE s�"�
OWNER IgglAt,lfl Lvv, Uu,J2BADDREsa1. 4-`,w_r_ ,fW E"eadotdbrouk Drive
ARCHITECT
ENGINEER
BUILDER SL�R1k� ADDRESS InGO SIJ 116th DESIGNER
STRUCTURF LA NEW _❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
URESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE Cl SLABG FENCE.
OCCUPANCY O 1 LAND USE ZONE _ ►t-7 BLDG,TYPE b! FIREZONE 3 PPLANCHECKBY_ EIL?_HEPT
---_ Lunstruct�two story condominium - 4"E4"units all_Jaer plane and code..--
of
oda. —
of 10990 SCJ Mealdowbrouk Drive) __- 8 bodroums m 4 88tha,
SEWER PERMITN4P— .-! �'Mij.(]fJ
--- - --- _
OCC.LOAD FLOOR LOAD 40 HEIGHT 2G NO.STORIFS ? AFIEA 3660 NO.BEDROOM%,, ',, , VALUk X4.3 0i(D
BUILDING DEPARTMENT^�SET phCKS FRONT OL : _REAP LEFT SIDE RIGHT SIDE
Permit X323.OO THIS ?ERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
XnOO REGULATIONS AND Al.1. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE <N ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
.133.00 WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PECMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 41 12.92 SDC- $91J0.00
Total a' 9 PDCMj $240.00 APPLICANT OR A .) L4GFNT� -� ----
- - _
By P1 _
-�;Hk'
E TW ADDRESS
Approved „� � f �„ �, PHONE /
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Permit N-.,2f 73 9j..3d 7-.Z-,?o
7—
Rough-in
le
Fixture
Final
HEATING
Contractor
A
Permit No.
Gas or Oil
y
Rough-in
.........
Gas
or
-ugh-in
F i.na MI
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Firtil
Approach
BLDG, DEPT.FINAL TEMPORARY CERTIFICATE 0CCUPA,"fY Final
CERTIFICATE OCCUPANC
Landscaping
Zoning Final
__1_ I _�__—�_.—
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ILDING PERMIT APPLICATION `I F�, TIGARD DATE— ��:19_ �. N°
HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PIiUN,Ig:' lQ_L,_
UR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE40 _
/0r 70 LOT NO
JOd A13DRL -niW Mi.'WOE1u nRIoOM DDRES$ - -
-T ARCHITECT
ENGINEER
;SER �^��v. ADDRESS ` OD JW I��T� _____DESIGNER
UCTURE NEW _D RE MODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
SpFNCE _DCnMM ❑EpUCAT10NAL DGOV'T DRELIGIOUSDPATIO ❑CARPORT []GARAGE DSTORAGEDSLAB ❑FENCE
I:]PONO-:� ❑MOVING DCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
_CUFANCY_.. A^.D L'SE ZONE.-- BLDG.TYPE FIRE ZONE ] PLAN CHECK BY__ / HEATZiC,;,r�
nj VT-
:G i QAD F�DS2fl1S�AQ—' H. IG. _Z4�j__!N4ARE9all'o- 4 9EDR0QMS 5 V& 4
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BUILDING DEPARTMENT SET BACKS FRONT ""l(���---_— ,LEFT SIDE RIGHT SIDE
erfTflt � -_
- --- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Ian Check J L1 0v 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 3 &V ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
---- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Late Taft �7.. LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
y APPL iCAN'T OR AGENT
koproved Receipt No. ' !CFp �,.w• t� .1
-- ADDRESS PHONE
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