Permit a
C ITY OF TIGARD PLUMBING PERMIT
°' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00053
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: -- 2/9/2007 -
PARCEL: 2S 110DC -01000
SITE ADDRESS: 11225 SW MEADOWBROOK DR 6 ZONING: R - 25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 6 Clothers washer.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF 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 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:
REQUIRED ITEMS AND REPORTS
Contact # :
Reg #: LIC 158289
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: 45��ti404.A. Permittee Signature: Al 2 L (7t1
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 29/31
• Feb D7 ta3,.:06p Ra Plumbing 360 892 9644 p.14
112/ 0712007 1,4:41 36 46i.10 __ SKYWARD CONSTRUCTION PAGE 14/16 i.
t . 'Ek.hi..- - 4
Pillmbine Permit Applica , cur: , )1.1.1i 1v. 1 t:r\1.,
Li p ; 2001 . eons
City of Tigard I ` ve° �, d /�1 �•
■ , 3125 SAN troll Mint, Tigard,pit 977.23 pi. R e dr. ,
~ panne: $0;i,(.19,4 17r F�E7tt 15T 6 6
`i �y!� - rummy: other 9e1*IdtNe
Inspection Tanta 503.629.b.1'!g r a dy! y mix ® 3 pip 4 far
•, i i 11 n I iheroet: g '° ' °,t d. : ; , . ; j( 1T� TO . NndfietVMetliaR ..y.: aniantil Inkernaden
k •
Q New construction Q Dar101#t1611 De1 ••• . .11M1111 Ea. Tom
[] Addition/alteration/replacement 0 Odter, New 1- 241vnily dwellings Cembides 100 It for cacti un1 hy =weal an)
e r' SFR (1)1m111 249.20
0 I. and 24antily dwelling 0 Cis me:mkt/industrial, SFR (?)tva}r r 150.00 MIN
Multi-timely y _ SPR (3) bath 399:4 acCr:�ll0ry bvildih[! Each additional henddle +ea 49.00
El Master builder 0 Other:
Intl sirs atlth 11225 SW Meadonbrnnk Dr. Catch basin or arm drain 1640
Ciy StareLZTP! Tigard, OR 97224 7,eywee, leach tine, or trench drain 16.60
' StlitrlatdgJant no. 06 Project names Semttici lio18 apse
— pooling drain (no. linear R; Pose 2
' Manufacturedhomo0141ES 110.00
Crnss sdtc /dircc1wiis to job site: Manholes 16,60
Ram drain connector 16.60
- Sanitary sewer (no. Tame IL: __,) Falte 2
- - Storm sewer (era. linear (k: .,,, - ,, Page 'I
Warnaerviec(no.linear(1.: ) Page
Subdivision; (� Ot nature er item
Tex nsrp/parccl no.: Ahapr�titm valve 16.60
SMINIEMBEIdWMIMMIUM Back_ prevarltC Page
Supply/lestall DWV & water plFptbing for clOtbea dryer Badcwircr valve 1€60
C1eOte1 wetdhm I _ 16.60 16,60
nlaltanshea' 16.60 _
_ -r __.. — r - -
Drinking f"1"1n 1660
: .' — •--
16,60
Ejecmrslstmtp
Nance: H$C Real Eamte, lac serprreeine tank 16.60_
Address; 1500 SW Pint Ave arse, Suite 10211 P'exturdeewerepp 16.60
. City /Stan. ]P: Portland, OR 97201 - Pltror drainMearairrlerhrrb 16.60 _ .
P1mnc: (503)5463'712 Fax (503)546 - 5301 darhege disposal 16.60
16.60
, :N`;?, . 1 ,i e...... !_ .n` ]ce„der 16.60
Business name: $tgrrsrrtl Coaetradfon. Tae Interceptor/green. dap 16.60
Contact name: Chad WnTicer Medical gas (value: S.-,,,_', Paga 2
i ftddrana: 1590S NE 10 Avenue r?itnec 16.60
Gt.rSrate2TP:liidgal]c18, WA 99642
Roof drain (commercial) 16,60
Sinklbasinflawe0ry . 16.60
` Phone: (3611) 546 -1625 I Fax:: (360) 5464634 Tub sllnmer /ehrn,sr par, 16.50
E -mail: ebldaskywardennstruction -nom Urinal 16,60
. p� , :: zip• f','? Water closet 16.60
' ear item names Rare Plumbing Water heater 16,60
• I— Other '
L Norm: 15200 NE Captos, sales c ;
Subtotal
Cit3:rICitdZ1P: $rt1a4 Pratt*, WA 98606 Minimum permit fee 572.60
Phone: (360) 89741700 i Fax: (360) 892 -9644 Residential becalm mtrlmum permit fee; 536.25
CC5 Lie... 33217 l Pklmbing Lic, re.: 37 -r PC Flan review (25%e ofpernit flag)
1 _ scare surcharge (Be/. ofpern': fee)
Avrh iri7Ad signature: � � I TUTAL PRRMCC FEET ' Le v I PfintfM11 .......r- + Dee re: 2 /910Z._1 f - nag permit apptication morel lfaisermltIs not ntrdrirrMwithin
, 80 day] after it has been oceepred as complete.
•rec methodology at by Tri.Counte'Beading rodustry Series Board.
I:[g,iimifierin,,+iti.ns riarlawi .doe creme's arutermaatietrtowsal
d ik sgej D
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: PLM2007- 0005:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 74
SITE ADDRESS: 11225 SW MEADOWBROOK DR 6 CLASS OF WORK:
SUBDIVISION: WIU_OW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APTS
DESCRIPTION: Unit 6 Clothers washer.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #:
CONTRACTOR: PHONE #:
. Inspection Request Scheduled For: Date: 4/9/2007 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 046134 -19 503-310-7187 N
Corrections /Comments/ Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 113 • Date: Li ' \'V) Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: PLM2007 -00063
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/2007
Phone: (503) 639 -4171 41°1°4111'
nspection Requests (24 Hrs.): (503) 639 -4175 :.
INSPECTION WORKSHEET FOR DATE: 3/23/2007 TIME: 7:03AM PAGE: 41
SITE ADDRESS: 11225 SW MEADOWBROOK DR 6 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APTS
DESCRIPTION: Unit 6 Clothers washer.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
32 Plumbing rough -in 045293 -08 503-310 -7187 N
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-