Permit III . CITY OF TIGARD PLUMBING PERMIT
° . COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00045
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/9/2007
PARCEL: 2 S 110 D C -01000
SITE ADDRESS: 11240 SW MEADOWBROOK DR 3 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 3. Clother 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: 4,y,,,„ 4 ,./-A., Permittee Signature: cp.' 4p . ,
L
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. /f
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 18/31
Feb 07 07 O2:55p Ra Plumbing 360 $92 9644 p.3
. ,
02/07/2007 14: 41 136 05r..fit SKYWARD CONSTRUCTION PAGE 03/16
i _.. ( 1 ti 1.4 )
Plumbing Permit ADD1'tya 'a I i 114 4 11 1 1' 1 ": . ( .,
City IliTilurf� F 0 F 2007 Received - Pr-Ifful
1317. sw Hall BIWI.. Tigard: 0 9• 3 Pun n t
.: Pa 007 oo0y�
e P htm , S03.639.4171 Fa 51 19 Or • t il i ... Odic PeNo.:
Inspection Line: 503.639 .1 ! ' R
an .adyr$y' Jrrr: See Page 1 for
Interns w�v.Sgsd-or•1 TT ' PINTO TT ] dimedret „y.
- .,, aetbd Infaroattera
,;
Ej Kew oenatfJotinn 0 Demo ea Fnunedai i atirm cruse aheckflat
Dual , dog •l, , Ea. Total
❑ Actelltioniaborationfreplacement ❑ Other. Now 1-2.4tienlly 4anainuy (nrrlvdes 10044, for mall utility cto neetion)
0 I - and Lramlly da ellins 1 D Commeeeisllindustnnl SFR ( bath 350.00
SFR (31 bath 39920
❑ Aereatary building ❑ MWti•fltmt7y
End ;tdditiooal het/kitchen ■ 45.00
❑ Miter bvlldcr 0 Deter 14m nk R Page 3
-- - - -- -- I --•I !_ . , "'.. , >:a Site otllitial
.lob ` site &1r 58. 11240 SW Meatlimbronl, Dr. Cnto11 bowie unarm drain 16,60
C i t y / 6 t a ' t e / 7 , I P : Tigard, OR 97224 Drywall, leech line, err fm oh dtoin 16.60
Suitt/bldg./np1. nu.: 03 Project name: Sammcrlteld Apts Ming ti is (n0•1I.nar fl,: _) Page 1
Manalketured home utiNtles 111 110.00
Cmas .ekeet/t6rectiotl5 to job Rite: Manholes 16.60
Ram drain connector INN 16.60
Sanitary ;ewer (no. linear P.: NM
Storm sewer (no• linear f1.: ___J Page 2
Subdi%rtRIon 1 Juno.: Water service (no, linear R: ) I Pegs 2
- Fixture or Item
Tree ma creel no,: _
F ' Absorption va
`-r: - -- •- - - -:�. - -- --- - - ---. .... ; "r:' 1lackrhtt+rllrcvcnttx 1=11 Paget
Supply/Inrtnn DWti & water plimibtn>• for atothm dryer Backwater valve 16,60
Clothes weal= I 16.60 16.60
thehwmaba 16.60
1JtiaMeg ftrtmtn i5 60
::r• . 'i' r . ` '':: Ejuetort+ 14,66
, III
None_ H. SC Real EItbrta. Inc Ex fi iee balk 1,6.60
AddreEc: 1500 SW Firrt Avenue, Searle 1020 Filctnetitewor cap 16.66
City/GnteR_TP: Portland, OR 97201 Floor drain /floor sinkThub 16.60 .
eJwtow diepan] 16,60 MN
Phone: (S03)546.5712 - Fsut: (}rtd6�i301 - jJoseblb
.t ...,,4.. 54 .r : - .7 • . , A • . • - •••'‘ , .. .,a , l 1OAtnA 16.60
•
Business dame: Skyward Coust vetion, Tree Interoelllottortase trap 16•6D
Contact name: Chad Walker Medical tin (v410o: $ ) 111111 Page 2
Addres, 16908 NE t0 h Avenue Perna 16.60
• WA 90641 Raefdtttn(cotllmerdat) 16.150
Cily/Saaw"�1P: Ridgefield, WA 16.60
Phone: f3601 1635 Flea: : t a) 546-1 i o Tdb /ilvecrei /1Itowea' Fin 16.50
Ismail: chtt4@ekywArdeanseretctlon,eom urinal 16,611
.'
c,- - = T; -- _- r.:,- -- - ft : 16.60 Water C1oset _
Bueir a rime: P. y'a Plumbing Wee - hewer 16.60
Address: 1S200 NE Caplet+, Salta C Other. '
Subtotal
City/9tate Brarsb Pralrla, WA 98606 Minimum permit the: $12.50
Phone: (360)972-R700 Fax (MO) 842 -9644 Residential hlokllnw mintnum • amit foe: 0625
31 ' ( �i3 Plan review (7S% /Pennitfee)
(X 8 Lie.: 33217 / Plumbing Lie. fro.: St.'ro¢ eurcl a (8% ofnprntt feel
Autttari=x1 uigneterr; 'i - TOTAL PERMIT Wit? '
Prix; parse: P e „ ti tc: N �. /� 7It permit AppI1cuIbl expires I( permit is got obtained Albin
H 100 daya after it ban hcce actotprrd as complete.
'Foe menhodotogy set by Tri• Cmntry Building Industry SeMoe Board.
ream atrallo mremetnvoaac 0 -d2 88 d411.14ICRIMYCOMWVaa) 0 7O• �S 6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00045
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 219/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 72
SITE ADDRESS: 11240 SW MEADOWBROOK DR 3 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APTS
DESCRIPTION: Unit 3. Clother washer.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #:
CONTRACTOR: RAYS PLUMBING PHONE #: 360-892 -0700
Inspection Request Scheduled For: Date: 4/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 046134 -21 503-310 -7187 N
Corrections /Comments /Instructions:
Ca.-(_.- CI L•� l
IXPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �'b�' � ��^"�- Date: y 1 q 16 7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200 /- 000.15
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 219 /2007
Phone: (503) 639 - 4171- E;,I��1
,
Inspection Requests (24 Hrs.): (503) 639 -4175 � °`__..
INSPECTION WORKSHEET FOR DATE: 3/23/2007 TIME: 7:03AM PAGE: 43
SITE ADDRESS: 11240 SW MEADOWBROOK DR 3 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APTS
DESCRIPTION: Unit 3. Clother washer.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #:
CONTRACTOR: RAY'S PLUMBING PHONE #: 360-892-8700
•
Inspection Request Scheduled For: Date: 3/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 045293 -06 503 - 310 -7187 Y
Corrections /Comments /Instructions:
•
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /- ) Inspector: I ( ez Date)/ 0 Phone #: (503) 718-