Permit : CITY O F T I G a R PLUMBING PERMIT
' ,. COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00005
` T IG A RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/9/2007
• PARCEL: 2S110DC -00500
SITE ADDRESS: 11445 SW SUMMERFIELD DR ZONING: C -G
SUBDIVISION: WILLOW BROOK FARM LOT: 017 JURISDICTION: TIG
Project Description: Bacflow preventer commercial irrigation.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PRESTIGE PROPERTIES Description Date Amount
11445 SW SUMMERFIELD DR
TIGARD, OR 97223 [PLUMB] Permit Fee 1/5/2007 $72.50
[TAX] 8% State Surcha 1/5/2007 $5.80
Phone : Total $78.30
Contractor:
MARTIN SANDERS GROUNDS MAINTEN
PO BOX 307
NORTH PLAINS, OR 97133 REQUIRED ITEMS AND REPORTS g,,_
. : � : r
Contact # : PRI 503- 647 -5567 :' ;
FAX 503- 647 -9151 o
Reg #: LIC 5742 EPRE 11
A VI VO r 05* 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 6-` Permittee Signature: U
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
l `
•
a CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00005
TiGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/9/2007
PARCEL: 2S 110 DC -00500
SITE ADDRESS: 11445 SW SUMMERFIELD DR ZONING: C -G
SUBDIVISION: WILLOW BROOK FARM LOT: 017 JURISDICTION: TIG
Project Description: Bacflow preventer commercial irrigation.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PRESTIGE PROPERTIES Description Date Amount
11445 SW SUMMERFIELD DR
TIGARD, OR 97223 [PLUMB] Permit Fee 1/5/2007 $72.50
[TAX] 8% State Surcha 1/5/2007 $5.80
Phone : Total $78.30
Contractor:
MARTIN SANDERS GROUNDS MAINTEN
PO BOX 307
NORTH PLAINS, OR 97133 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 647 -5567
FAX 503- 647 -9151
Reg #: LIC 5742
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 6 Permittee Signature: er17 fie?. a "'
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
jjri Lt 07 11:06a Martin Sander 503- 647 -9151 p.l
1.
Plumbing Permit A t � � f , ,� .: ,,Y7...1. c)1 1 Ic l 1 ,,..1.:,;(,)1,.,v,---, swfgt .
City r of Tigard a t e /B : d �� Pcnnit Nn.: ,J
aOD7 �Ot j
g � /��
13125 SW Halt Blvd., Tigard, OR 97223 J
2001 atc/8y
� h l D Plan Rev: w p .,,.
Phone: 503.639.4171 Fax: 503.598.1960 �,g 1 � Date/By other Permit No.:
24- Hour inspection Line: 503.639.4175 r �} g, i 1 .;n'�' ..� "� Due Ready/By: 0 See Page 2 for
Internet: www.ci.tigard.or.us cw. Notified/Method! Supplemental toforrnat,00
kT '� FEE* SCHEDULE
For special information use checklist
❑.New construction Q Demolition
Description 1 Qty. 1 Ea. 1 Total
' Addition/altcration/teplaoement r ❑ Other. New 1 - 2 - family dwellings (includes 10D (1. for each utility connection
CATEGORY OF CONSTRUCTION SFR (1) bath 24920
❑ 1- and 2- family dwelling C ommercial/industrial SFR (2) bath 350.00
❑ Accessory building 0 Multi - family SFR (3) bash 399.00
Each additional bath/kitchen 45.00
❑ Master builder 0 Other:
_ Fire sprinkler ( sq. 11.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: ' I.�� I; - ,(1, ) i SU,77f?c'rf ;� Al U 01 `l�z' Catch basin or area drain 16.60
City/State/ZIP: ( f ,- j OR q ` -, "3 Drywcll, leach line. or trench drain 16.60
Suite/bldg./apt. no: Project name: p6 '�,p p-110-.) Footing drain (no. linear (1.: Page 2
Suite/bldg
I �� C 1 a.��' "[ Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
3 W
' e � (>‘.)(4(\ 1
a i'r'1 R S
- ):-.1 v y( , t ' h ` e L r . Rain drain connector 16.60
\ Sanitary sewer (no. linear ft.: ) Pace 2
( u.yt tl.� at) ea. ( _, r •. i-� Storm scwcr (no. linear fl.: ) Page 2
Subdivision ` L_ Lo t no.: Water service (no. linear R.: 1 Pagc 2
l ) um �i17 �'►1 G Fixture or item
Tax map /parcel no.:
. Absorption valve 16.60
DESCRIPTION OF WORK -
Backflow prvvcntcr (f Pagc 2 f ,( -1 C/hm x-
e p ` 14 ivy. l e ba f e_i-l.o ../ d C A„1 5C Backwater valve 16.60 e r
•, Clothes washer 16.60 • , t.
Dishwasher 16.60 .» •
,`mil PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 j . . 1
j Ejectors/sump 16.60 l
Name: P ' + i/r p r ( „ r p r -- S '� ' "` ��
- Expansion tank 16.60 � W
Address: 1 It-{L15 SW c ;t am n, -c
j --C4t (e, ■et U tz Fixture/sewer cap 16.60
City/State/ZIP: 1 i( a. ra OP") GO h2 j Floor drain/floor sink/hub 16.60
Phone: ( - 3) :;. s'i ,- ,2_6,. ?> Fax: ( ) Garbage disposal 16.60
) PPLICANT ❑ CONTACT PERSON Hosc bib 16.60
Ice maker 16.60
Business name: ika (• , i /
Z l S � � t '� C + .) i )ni-; + Lt et 1l ijk/ < f Me. lntcrccptor /grease trap 1 6.60
Contact name: ,( ( y f SU . rGir� l Medical gas (value: 5 ) Pagc 2
Address: I Primer 16.60 -
City/State./ZIP: /StatcJZIP: 1) 2 - ' Roof drain (commercial) 16.60
,� Sink/basin/lavatory 16.60
Phone: ( c - :>) 3 " Cf - „e, 6. _;> Fax :: 60 : i) ..? _ Lf - G & r. -
Tub/showcr /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: 1) /l , •- f7 1? 6i::7r(`r" i S C e- / - / l.-% W.S 4 /6 /lrf.5C.
Watcnccatcr /6.60
Address: P 7 ) . /.3 2c-7 Other: .--)
City /Statc/Z(P: i u. : i- 1 ✓'lei?:1 (I � ' e---:, Subtotal
,,• / %' y 7t.3
j r. -t /
/ • \ � � , - y Minimum permii fa: 572.50 r) SL
Phone: (. j ) 3;29,- 8 3 Fax: (ES 3) - L 7 � e ,) Residential backflow minimum permit fee: 536 25 7A'
CCB Lic.: • •-.7 %-2 4
mbing Lic. no.: Plan review (25%ofpermit fee) •
Authorized signature: State surcharge (8% ofpcnnit fcc)
G✓ � TOTAL PERMIT FEE -7,
Print name: ireyez, . 2, _ lLi r c . v 3 _ Date: / - : S - ;,7 7 I This permit application expires if a permit is not obtained within
1R0 days after it has been accepted as complete.
*Fee methodolory set by Tri-Countv Buildine Industry Service Boanl
•
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: PLM2007 -00005 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date By ✓ Code I Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Roof 250 na iling f na iling ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing MEC - Mechanical Permit
810 MFG Structure set-up 605 Post/beam mechanical
280 Insulation 610 Gas line
285 Drywall nailing 615 Mechanical rough -in
287 Suspended ceiling 620 Hydronic piping
295 Misc. inspection: 625 Duct work
899 MFG - Structure final 630 Fire damper
498 Grading final 635 Smoke detector shutdown
299 Final inspection 640 Exhaust hood
695 Misc. inspection:
699 Mechanical fmal
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler fmal 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
X 399 Plumbing final
205 Footing
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
1: \Building \Inspection Cards \Forms \AOP- InspCard- Blank.doc 12/09/2005
\ ' -14 1.111411.1 1 1.1
CITY OF TIGARD 1A% \-f-sk v - .
BU ILDIN G DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ,llIlhe�il
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ....
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: LA S A4A...-4.--e sse 5 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
— QWN.ER PHONE #:
NTRACTOR) . 5 A,, j S �� y , t s PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
344 ct_c - ci ova - zv - , t-- �..a..(
Corrections /Comments/ Instructions:
1 'S 10 1 y' 1/44 / ■ L P Za0 ao3ci 0)
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t 66,s O 4 C poi -_,40 00 %
-ti 51 z..if t.--"/► -- T s T'-e. _.- -
I k ( 44 41,..ine, vev..A-r g-c U C P 01 - 2-4) 0 ) - 6 Oa 0
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S 64.AA, -- - re--s1" -- 4..A , -
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,01...4-6 64...A...A. 4A-- (..../....1" ....._ 112s J r - e- -
'1b c5 2 r, 4 l L PL.M vn - (3d 4
A a*L — "T" s 4 -
I. 4 G 4 a Li.) Pig - 2,0 - 0 6 C7 6)
.yHS \ 4A Ls/t/, s 1",Q—S T'le.
.I 1140 IVr,L 64-. ( PLl ?,ry (a - 06S3W)
❑ PASS TIAL OVAL 7-0_5 ❑ CANCEL NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-