Permit 14 - � CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2011 -00013
Date Issued: 02/11/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S133CA15700
Jurisdiction: TIGARD
Site address: 11018 SW MALLOW TER
Project: Village at Summer Creek, Lot 80 Subdivision: VILLAGE AT SUMMER CREEK Lot: 80
Project Description: Fire protection system, 1186 square feet.
Contractor: CRAFTWORK PLUMBING INC Owner: CENTEX HOMES
7737 SW CIRRUS DR 16520 SW UPPER BOONES FERRY RD
BEAVERTON, OR 97008 STE 200
PORTLAND, OR 97224
PHONE: 503 - 644 -8698 PHONE: 503-608-3060
FAX:
FEES
Quantity Description Date Amount
1186 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 $136.53
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
. 1.9
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
RECEIVED
Plumbing Permit Application ED PL i1hb - bb!
Building Fixtures NO 9 2010 `
� � �,
EOR��'OFFiCE USE ONLY,
g „, < City of Tigard
Received � �� J'
e!n of TIG Date fl / �/� �%� I Permit No. , G N�oll ' rS
t �� 1 3125 5O Hall Blvd., Tigard, OR ���lNG � 1
97$ � Pla R e : d : .. t Qiher Permit No / q,�� (� i
Phone. 503 639.4171 Fax: 503.593.1 V1Sl Date By: � � � � l��/��
TIG Inspection Line: 503.639.4175
; AR D Date Ready/By: H See Page 2 for
fi _ _.;, Internet: tvww.tigard- or.gov Notified/Method: � , (, -I lens, V J! Supplemental hnformation
tit ^ = i ' ; .” aE i n* , a d,r ;,T ., r 1 ,,p^b ,r E: ,_ bl .esk ., :asx ;*+ .k 3 ^a,' C '
g ri �t'� , lie p51 , . " 1 , : , 5-*' a .� PYI'EIOF WO,,RK _ .. �'" ` p -§ . , e. /v'Y�lr g ' F E , 11 liDU1 k ' f
ASUk,, r,- .. �, 3 «s >- x`b'�<�.,. °s �»,c -4 a"c's'�s.. -: au _,:Des` D,. ,aa..Sh t;i 's4 ffi ` :o�..01 . -1 ,t t 3.,it f,,Q .ak., r? , el:R rr . _ i i _ x - ,.
® New construction ❑ Demolition For special information use checklist.
Description I Qty. Ea. ( Total
❑ Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 fl. for each utility connection)
r , y� - t :t0P; ,O1 OT Ct SSTRUCTION� (' t
s - �v �° r z '�� t t t .. SFR (I) hat"
11 '1- and 2- family dwelling ❑ Commercial /industrial
SFR (2) bath 437.78
SFR (3) bath 500.32
❑ Accessory building ❑ Multi - family
Each additional bath /kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler t 106. 3. 0.) I Page 2
144 "° ` JOB �S[fi �� \s A.ND igik C'ION� '. Site utilities:
s -_. .,r ..t. m: `:` ,s.. a «�ku's�. 's, - ... r,.nt. ,tt n � s;. �q. . , -,, ae "x .t,,,0: , A ,_ ' , '
Job site address: O1 A _ �� ' C tch basin,or area drain 18.76
Dry ell. leach. line, or trench drain 13.76
City /State /ZIP:TIGARD OR, 97223 -
Foptin drain (no. linear ft.: 100) I Page 2
Suite /bldg, /apt. no.: Project name: VILLAGE AT SUMMER CREEK Manufac home utilities 50.03
Cross street/directions to job site: CORNER OF SW BARROWS RD, Manholes 18.76 .
SW 135 AVE, AND SW SCI LOLLS FERRY`RD Rain drain cot rector I 68.7
Sanitary sewer (t e. lineal-It: 100) I Pa 2
Storm sewer (no. Ii -ar IL 100) I P" ne.
Water service.(no. 'lin or fl.: 100) t 'age 2,
Subdivision: VILLAGE AT SUMMER CREEK Lot no.: a l Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
9S y t 9" € ri a ra a a e i Art; ;. �i r :< Backwater valve 12.51
c . -, tt''�t 1 :J) { . ;i•.. DFSCRC PT(OI , 0 , , : C W 1 _ - p - A gf . , '.., ' A.-, .
.
� " "f` Clothes washer 1 25.02
NEW SER TOWNHOUSES Dishwasher 1 25.02
UNIT C 1186 SQ. FT. Drinking fountain 25 02 •
Ejectors /sump 25.02
ka +' + . 4�i P O�� li l k 1
' , " sJ It k .-. ' 7 .' ENA iYTr et a I ,xpan sio n ta
',�s�r9 „lei . ,. :_.mE$, .:<<r �$° y $ y 12.1
;
Name: CENTEX HOMES Fixture /seweecap 25.02
Floor drain /floor si'hk/hub 25.02
Address: 16520.SW UPPER BOON ES FERRY RD, STE 200
Garbage disposal 1 25.02
City /State /'LIP: PORTLAND OR, 97224 Hose bib
/
2 25.02
Ice maker 1 12.51
1 4. " 1 ❑ ALI
PPOA 1 � ff l ' A rdaki c`T ' > t2SON °. Interceptor /grease trap 25.02
Business name: CENTEX ILX HOMES Medical gas (value: $ ) Pi e „2
Primer 12. I
Contact name: GA,RY'CULP
Roof drain (commercial) 12.'
Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Sinklbasiri /lavatory / 5 25.02
City /State /ZIP: PORTLAND OR, 97224 Solar units '(potable water) / 62.54
Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12 51
E -mail: gary.eulp(t)pultegroup.com 1Jrintt[ 25.02
z a�tdtk t: :. Water closet 3 25.02
t . ..'�� .i,3> CO `1'RAC . t)) o.� . a� 1 j a fi -
. ?
i.. ..w-.zlxirs t� ',4',..A: ',. _:. aril 1.: > -_< ;:, .. Y , - -' - -- * Water heater 1 37.52
Business name: CRAFTWORK PLUMBING INC. Water piping /DW 56.29
Address: 7737 SW CIRRUS DR Other: 25.02
City/State /ZIP: I31sAV'F.12'hON OR 97008 Subtotal (k(_ „
Minimum permit fee: 872 50
Plan review (25% of permit fee)
CCB Lie.: 79666 Plumbing Lic. no.: 20 -148PB
A Plumbing State surch %of permit fee) 11
Authorized signature:
/ " r f0`(Al.l'FRMI�f FEE 1 3 6. 53 --
This permit application expires if a permit is not obtained wr iin 186 days
Print name: PETER POLLARD Date: °' t?../0 after it has been accepted as complete.
*Fec methodology set by'I"ri- County Building Industry Senkcc Board
I;ABvilding ;Permit \Pt.A1ti- PcrmitApp.doe 10 /111 /(0 440 46161')I 0 /02 /COM!Wlitl)