Permit i
a CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT#: PLM2007 -00047
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/9/2007
PARCEL: 2S110DC -01000
SITE ADDRESS: 11160 SW MEADOWBROOK DR 7 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 7. Clothes washer.
CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 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 Description Date Amount
BY SUMMET REAL ESTATE MANAGEME
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 $78.30
Contractor:
RAY'S PLUMBING
15200 NE CAPLES SUITE C
BRUSH PRAIRIE, WA 98606 REQUIRED ITEMS AND REPORTS
Contact # : PRI 360- 892 -8700
FAX 360 - 892 -9644
Reg #: . LIC 33217
PLM 37 -149PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 4 aiat Permiftee Signature: ja
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. I`
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
02/08/2007 09:07 3605461630 SKYWARD PAGE 20/31
Fi.b 0 02:57p Ra Plumbing 360 892 9E44 p.5
Lr2i'i f / 2bd f 14: 1:;b19D4i1,ib3bia L. 4. YWAR1J GUNS I HMI 1UN NAGE b 1 b
F 0 8 2007
Plumbing Permit Application I , +n 1'It l.. l fit•: {,\I.
City of Tigard �' �i ' i _3,0r i E Rceervca r - 7 • CJoo 1
13125 SW Hall Blvd., Tigi pitr97ti97 21:1'4 TT Tr pe:c�v % v. • J
' ' r . ?)'t1` j� * ' J ; �^ : . ' 04= Permit Ne.:
PhD= 503.679.x1.71 Fate S ,9$.1960 ` e , ADn , -
-jr I;:; i , h pcotian UTc 543.639.41 iS Dm Rooiy/8y: hula BF Sea Page 3 for
• llttemat www.tigatd- or.80V WetiSed!Meshed: Smile, rilal1 ..
kT77
_- - _ -_--- _-- - , - _ - 7.7' ' _ - r r:: ..
..:---. ..gyp.. '''!.•".. • r':'" C.
❑ Ncw coltstrUCti*r, ❑ Demolition ■r Veda: Alf lmatarfon we e8rek
Dente I Qty. i En. I Total
❑ Act itinrdaltaat100/1epleet ment ❑ Other: ?ice/ 1 -1- family dtvallinge (includes 10011. lb: each utility connection
❑ l - and 2-etmity dwelling 0 Cpmmercial/Indvatriel SFR (2) bath 2 60.1111
SFR (3) bah 399.00
[I Accessory imilding 0 11.41116- family
'v^- Bach additional lasthithat 43.0D
❑ Plaster builder ❑ Other. Vim FrisIklm ( - 14. El) • Palm
'I�11 •1:• ... . _ _ ... . .. r. .''y.` ..... .... .. : ,, .HW YUIIHQA
Jab aim ad hes.. :11160 SW MMadowbr•bDR Dr. • Catch bade ar area drain IIIIIII 1614 ■
City/St:trdZC'; TIRurc, OR 97224 Dryxcll, leach line, nr trench drain 16.60
P roject name: Surname Ante
Footing dram (no linear 11,:.......) Page z
Sulte:bldgIap
ManuTh ttual lame utilities 110.00
Cress street/directions M job site: manholes 16.60
Rntn drain in connector 16,60
Sanitary newer (no. linear R: __.J Pane 2 -
Rom sewer (no. lunar R,; _) OM
Stdr,litisi4 l Ot n0.: i Water sconce (no. linen ft,: ..,...j Page 2
Fixture or Item
Tn.; To:m.1 nlnd no,: Abanrptten valve 16.60
1111 r - - - - - i. `: • ;:� '''' - i 8adcDtnvpmrcrlta Pagc2
Supply/lnntall DWI/ & water plpoatbing for clothe, dryer Bnekrratervn)ve 16.00
Ciothea Washer 16.60 16.60
Dishwasher 1460
;iz , T ., : - _-- -._. - - - -- • - -- - - _ " . • - ", Dtinldngfomttain 16.60 • :.. . i -, .. ^� . ... i _....•.�•„ . ' : Memots/sluttp 16.60 •
Name: HSC Rcal Mute, Inc Expansion tank 16.60
Address: 1500 SW Pint Avenue. Suite 1420 Flatnteiscwor cap 11.111 16.6D
City /Smtc1Z1P: Portland, Olt 97201. Floor etraitt/flcor slek7wb 16,650 •
Plxme• (903)546-971,2 Fay 3)S46 -5301 ap sa
bags di o I 1660 -
- ., * - -- - -- •
16.60
„•: �: p: • .: i': . ✓ _'. `� ,•.... :.i!,... .. •: - " - keytaker 1111 0
Business name: Skyward Construction, Inc lnteroePi11r1 • ••■ 16.60
Contact mime: Cltad Walker Med:ealges (value: S _) Page 2
Addnasa: 15908 NE 10 Avenue 16.60 milli
C•itv/Slnte/ZIP: Rldge1'rald, W.4, 98642 16.60
(360) l S I Fate:: (350 546.1 jlj Sinkfdaninfirimery 16.60
Moms; 360 f F2, ) l'ubls}gwcrJ par 16.60
12-mot l: ehad@skyreardeneatrueden.cam Urinal 16,6n
�- - - -
;f . - _ -7 , -.
"f :; ;d .d.: + +' :7 = v : l; , 'Y ^s- , :i. :''. : :::1
!;':" WO= C1L1 t 1640
_
Buslncss name: Ray's Plumbing Wnrer heat' • 16.60
Adarecs
: 101E Cnplim, Saito C Other. IMMO
{:ity;stat6zIP: Brunt Prairie., WA 98606 minimum permit 5= $72,50
Phone: (3160) 8924700 Fax: (360) 092 -9644 RotideTW% baete0ow minimum permit foe: 336.
CC3 Lie.: 53217 ' Plumbingl no.: 3'f - j45 pa
review (23% ofpe11th We) linill
$'are sal �a (894 or peTn it rat)
Antaoti dsignature: / � TOTAL PERMIT TEE faTdale
i
f pfin, name; . r kevcrne - DH a?.. Tnia perltttl appleatlan expires Ire permll is not obrnl • • v thin
180 drys after it Ins been emitted ns cemolatr.
*Fee methodology sot by Th-Cam1 y %outing industry Scrutae Bnar .
::•frvlthn ,ni,wp mN2t,ot+ nee tetiorualarmurwnal
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00047
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/2007
Phone: (503) 639 -4171 ..�11°ijl�l
i Inspection Requests (24 Hrs.): (503) 639 -4175 J . M ` :_..
INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 64
SITE ADDRESS: 11160 SW MEADOWBROOK DR 7 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUNNERFIELD APTS
DESCRIPTION: Unit 7. 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 04613.4-29 503- 310 -7187 N
Corrections/Comments/Instructions:
C et.,, , c.- 'Pi ■--.,
4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: crr L•-e.. L.) D t -___— Date: 4 i ct, ( 0 - 7 Phone #: (503) 718-
CITY OF TIGARD . -
BUILDING DIVISION PERMIT #: PLM2007- 00077
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/20137
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 I ..
INSPECTION WORKSHEET FOR DATE: 3/9/2007 TIME: 7.01AM PAGE: 71
SITE ADDRESS: 11160 SW MEADOWBROOK DR 7 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUNNERFIELD APTS
DESCRIPTION: Unit 7. Clothes washer.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #:
CONTRACTOR: RAY'S PLUMBING PHONE #: 360 -892 -8700
Inspection Request Scheduled For: Date: 3/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 044544 -03 503 - 310 -7187 N
Corrections/Comments/Instructions:
•
E PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
f l it 11; V (142 '` c Inspector: ` D ate: - Phone #: (503) 718-