Permit ': r ` . CITY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00056
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/9/2007
PARCEL: 2S110DC -01000
SITE ADDRESS: 11235 SW MEADOWBROOK DR 4 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 4. Clothes washer.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 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
SUMMERFIELD ASSOCIATES, LLC
BY SUMMET REAL ESTATE MANAGEME Description Date Amount
5320 SW MACADAM AVE [PLUMB] Permit Fee 2/9/2007 $72.50
PORTLAND, OR 97201 [TAX] 8% State Surcha 2/9/2007 $5.80
Phone : Total $78.30
Contractor:
RAY'S PLUMBING
15200 NE CAPLES SUITE C
BRUSH PRAIRIE, WA 98606 REQUIRED ITEMS AND REPORTS
Contact # : PRI 360- 892 -8700
FAX 360 - 892 -9644
Reg #: LIC 33217
PLM 37 -149PB
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: Permittee Signature: 4 /k`
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.
02/08/2007 09:07 3605461630 SKYWARD PAGE 25/31
, , Feg 07 07 03:02p Ra Plumbing 360 892 9844 p.10
02/07/2007 14:41 13605461630 SKYWARD CONSTRUCTICi4 PAGE 1.1/16
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Flumbin g,Perrnxt .a . ":" ‘ clai El V 1 ) i H.,: iii I I ( r 1 t).\-i ''t
City of Tigard
r ' ' � D 7 r 1 m Pele 1I L .j J / Mr . i
U 13125 9w Nail 81vd,. Ti nrd.AR 92223
. 4: Plttala 503439.4171 $0398� • J + S 7 oo7 Odr rYcre'k Tto..
Teepectitm Lifir. 503.639.4175 r 1 0 V L. M49; 1R se. Pm* 2 for
' ' ' ' ., ''' 1,, bornset anew.tteprd-or.giw S .. - learoaml lnferntadnn
D Ve w am> Iruditm
y i For a fTtonaatFoe w e oltecklT o� ObsT� T _ i _ di i Qhr i T+ . Tail
❑ Addltion/altowtionitcptaecmrf ` 1 � ❑ Ot New 1.2- fa*an ntu R •
ydwegs (tnclodos 100 1 etch utility collection)
?,- : - -•-._ - -- .- ,',,:.; _ 7 - - .; spk (1, 249.20
Q I . and 2- ftetily dwell If2 ❑ Comrne11cialnutduAtrblt SPR () bads 350.00
D A Q Mill tifismd1y SFR bath 349,00
Each adlhticoal batb/klahcn 45.01
0 Masoar Milkier ❑ Others
Pim sprinkler (_- sq. ft) Page 3
1 G. : .:',1` . ..... ...... • - • , -. - , ,. ";.'- -_'. Me utilities _
Job site eddreas:11235 9W Mexdowbrook DT. Catch b+ dp or saes dr in 16.60
City/State/7;2: TIRerd, OR 973M - Drywall. leach lice. a tread dais 16.66
u Footing drain (no, Page drain
Suitsbldg./ant.no.:04 I Project mom 9mnmcrfitlaAple -- -- - ( _
3,40auibrawed home utilities 110.00
Cross save idlreetiobb to Job site: -- Me1heii. 16.00
Rain drain conceive 16.60
Spahr ry sewer (no, Linear ft: •) Pose 2
Storm sewer (no. i5uear R: _) Page 2
Subdivision ��:
- view service (no. linear ft.: ...) - - Page .
Pi Stare or Item
Tae mar /parcel no.;
_ Absorption vulva 16.60
r,F
8aalcftow pre vtrlter - Pegs 2 _ ..-
Supply/Install DWV & water plpnbinu for clothes dryer Backwater valve 16,60
Clothes crasher 1 16.60 16.60
`
Dishwasher 16.60
Thin Idr>Et ttlpltmi 16.60
Ejectarn/sump 16_60
'time: USC Real Es tate. Toe Winston male 16.60
Address: !SOO SW First Avenne, Suite 1020 Mat,udanwercap 16,69
City /Seut/ZIP :Portland, OR 97201 Floor desitt/flooralnkrlluh 16.60 t
Plxme: (503). 5712 Fax; (503)546,5361 Garbage di o;.al 1640f .
16.60 .
;'w r ", c ' kemoker 16.60
Businan farm" $1eyward Construction, Int i Tmateepiongnetie trap 16.110
Contact name: Chad Walker Medical gay (value: 3 ) Page 2
4ddrtas! 15906 NE 10 Avntlue Primer 16.60
• Cliy/Siste/ZiP: Ridgefield, WA 96612 Roof drain(twmtnecclal) 16.60
Phone, (360) 516 -1625 Faa: :: (3610) Ed6 -1630 Si�`�°°in/ vatcr'
16,60
Tub/sh0wcdehowcrpam 16.60
L -marl: chad®nkyvrarde0wAtrnctiva40112 L7irAl I6.60
V.T. ` Wales closet
i'r. ' °�!`' r ' ; .. l 16.60
i
Builineas slams: Ray's Plumbing Warn Mater • 16.611
Addrecc :15300 NE Caplet, Suite C .
Cny /StaariZJP: Detest, Prairk• WA 90606 - Subtotal "".--
Minimlmm aeemit ke: 072.50
Phrase: 6360) 392 -07110 i Pa= (360) 092.9644 Rlaidendal back law minimum permit fee: 616.25
CCB Lie.: 33237 Pl»bing Lie. eta: 31- j 1.( 3 Plan revinw (2544 of permit Fee)
/ � State surcharge (Me of peemle AO
Audio dud signature: �Y f TOTA PPINT,'Par •
Prim rlatrne pry ! e a. .tic^ Date; 2/ 91o? This permit npptreatlon expires Ir r< permit b not obtained wtquin
180 days after it htta been aaoopteri as complete.
`Lee methodology eat by •tsiCoamry Building lndvatry Semite Aoard,
I :,rlraNeetremllyrt,MIrmrrbApp.c 01r:6121 on.K r Ltl1M121rAM'V O
115.7'
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2007 -00056
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9 /2007
Phone: (503) 639 -4171 0uil '
Inspection Requests (24 Hrs.): (503) 639 -4175 I � ..
INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 69
7
SITE ADDRESS: 11236 SW MEADOWBROOK DR 4 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APTS
DESCRIPTION: Unit 4. Clothes washer.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #:
CONTRACTOR: RAY'S PLUMBING PHONE #: 360-892-8700
Inspection Request Scheduled For: Date: 4/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 04613424 503. 310 -7187 N
Corrections /Comments /Instructions:
•
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 -1 '►' Date: LA l ovvo Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00056
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/2007
Phone: (503) 639 -4171 - Aau wi i
Inspection Requests (24 Hrs.): (503) 639 -4175 - I..
INSPECTION WORKSHEET FOR DATE: 2/26/2007 TIME: 7 :00AM PAGE: 68
SITE ADDRESS: 11235 SW MEADOWBROOK DR 4 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APTS
DESCRIPTION: Unit 4. Clothes washer.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #:
CONTRACTOR: RAY'S PLUMBING PHONE #: 364892 - 8700
Inspection Request Scheduled For: Date: 2/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 043847 -05 503.310.7187 Y
Corrections /Comments /Instructions: 1 S
) 1)/( i i/eVirle/t
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 Date: 1# � I ') Phone #: (503) 718- L�)