Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2011 -00014
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/11 /2011
Parcel: 1S133CA15800
Jurisdiction: TIGARD
Site address: 11016 SW MALLOW TER
Project: Village at Summer Creek, Lot 81 Subdivision: VILLAGE AT SUMMER CREEK Lot: 81
Project Description: Fire protection system, 1332 square feet.
Contractor: CRAFTWORK PLUMBING INC Owner: CENTEX HOMES
7737 SW CIRRUS DR 16520 SW UPPER BOONES FERRY RD SE
BEAVERTON, OR 97008 200
PORTLAND, OR 97224
PHONE: 503 - 608 -3060
HONE: 503 - 644 -8698
FAX:
FEES
Quantity Description Date Amount
1332 sf Fire Sprinkler 02/11/2011 $121.90
Specifics: 1 12% State Surcharge - 02/11/2011 $14.63
Plumbing
Type of Use: SF
Class of Work: FPS
Type of Const: VB
Occupancy Grp: R -3
Stories: 3
Total $136.53
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: 1 M
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
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`- •Pluthbing Permit Application p y P1-ii 904.060/
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n 13125 SW Hall Blvd.. Tigard, OR 97223 NOV 9 2010 Review J -7
Plan Rre c 4� l 0 ( fb /�j - (
Phone: 503.639.4171 Fax: )03.598.196 Plan R v ' / Other Permit No.
Inspection Line: 503.639.4175 CITY OF TIGARD TI ari, D Date Ready/By: luris. 0 See Page 2 for I
_ �x Internet. www.tigard- or.;ov
BI 11��1 /± D {/�� Notified,Method: 1, ! (I it f 76, Supplemental I
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® New construction ❑ Demolition For special information use checklist.
Description Qty. 1 Ea. Total
• ❑ Addition /alteration/replacement ['Other: New I -2,- family dwellings (includes, 100 ft. for each utility connection)
? tI �'rc • i * ' A1FCORY � 4i14 - t) )i' ,T 1 f t : f i ! ° t l SFR ("1)bath 312.70
® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) -bath 437 78
❑ Accessory building ❑ Multi - family SFR (3) bath I 500.32 500.32
Each additional bath /kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler (allsq, ft.) Page 2
3 .,., .g a xM IUB ST 'F Ft?R4I T'ION,iiND'L. S� ` jj yt i :i i i ,) ') Site utilities: •
iob site address: HO& /n4 ..) Catch basin l drain 18.76
Dryw 11, leach ch line.or trench drain 18.76
City /State/ZIP: TIGARD OR, 97223
.Footing ain (no. linear 1t.: 100) I Page 2
Suite /bldg./apt. no.: I Project name: VILLAGE AT SUMMER CREEK Manufactu d home utilities 50.03 /
Cross street/directions to,_job site: CORNER OF SW BARROWS - RD, Manholes 18.76
SW 135 AVE. AND SW SCHOLLS FERRY RI) Rain drain Conn 'tor 1 18.76
. Sanitary sewer (no. linear ft.: '100) I Page
Storm sewer (no. lint, r R.: 100) 1 i Page.23
Water service (no. linca 'ft,: 100) t - Page/2.
Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 8 I Fixture or item: / .
Tax map /parcel no.: 13ackflow preventer 31.27
d . r 1 x a _ �� valve
t -
�' „t �� _ .4 F ` x. ` 4 r CRI I4N (?l< hV Rif .' ,3 , r :ri
a 7 ri � ' ' I Backwatq ? / 12.51
Clothes washer 1. / 25.02
NEW SFR TOWNHOUSES Dishwasher 1 25.02
UNIT B 1332 SQ. FT. Drinking - fountain \ / 25.02
l jectors /su'mp 25.02 1
Re ,V } 4 3' 4"K i i 'k s tat'
ja Pitr,: OPT✓R irM �E . , ` t ''; D TE NAIRT �k - wz Ex pansion tank X 12.51
Name: CENTEX HOMES Fixture /sewer cap / 25.02
Floor drain /floor sink /hub 25.02
Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Garbage disposal 1 25.02
City.'/State/ZIP: PORTLAND OR, 97224 Hose bib 2 25.02
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Ice maker • t ._ I
1 k 12 � 'It 3 aM Y ' l i Aii iiie N'T 1 / ` r f, $ & c PER OS ` I nt erceptor /grease trap 9
� i t
Business name: CENTEX HOMES Medical gas (value: $_ ) Pa c 2
Primer / 12:. 1
Contact name: GARY CULP
Roof drain (commercia 12.5
Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Sink/basin /lavatorY 6 25,02
City /State /ZIP: PORTLAND OR, 97224 Solar units (potable , ater) 62.54
Fax: : ( 503) 608 -3061 Tub /shower/showe pan 2 12.51
E- mail: gary.culpupultcgroup.com Urinal 25.02
..' a 4 , ., .t'x 9 T a,(k 7 yc z�- w ,r; W ater closet 3 25.02
i x ` IV),COTRACTOR ;- i I gU - i - , I t t . ` Water heat I 37.52
,t,,.,_. ., >, b n s�.is & L.�..e s ,, , eta, ., s ,`.s. ,, , , . n,10,. .t .. -,.�.v
Business name: CRAFTWORK PLUMBING INC. Waterpiping/DWV 56,29
Address: 7737 SW CIRRUS DR. Other: 1 25.02
City/State /ZIP: BEAVERTON OR, 97008 Subtotal
Minimum permit tee: $72.50 / /. c'J I
Plan review (25% of permit. fee)
CCI3 Lic.: 79666 Plumbing Lic. no.: 20 -148PB - .
A. State surcharge 112% of permit fee) /1 3
Authorized signature: 1 �f "�,.�/'� - "DOTAL PERM[T FE 134„, 53 ! L./ 'this permit application expires if a permit is not obtained within 180 days
Print name: PETER POLLARD Date: after it has been accepted as complete.
*Fee methodology set by Tri -Coumy Building Industry Service Board.
I. tit ild nu\Per!nits 1PI.MLI- PermBApp.doe 1 0/01/09 440- 4616T(10 /02 /COMAVEA) -