Permit INI v CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00051
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/9/2007
PARCEL: 2S 110 DC -01000
SITE ADDRESS: 11250 SW MEADOWBROOK DR 7 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 7 Clothers 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 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: i/� Permittee Signature: (! ..
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 27/31
F 07'07 03 :03p Ra Plumbing 360 892 9644 p.12
.1 fij / /lbb/ 14:41 11611 ?.3d, 1= k `� b7W1 H.1J CUNStNUC:IJUN fA(ib 12/'1b
P1urnlbingJennit Apnlicatio Vi---3 0 2007
Y 'd U iy'.it r1 1' b ' i . I/. / 1 0005. � 312
15 SW Noll DM., Tigard; OR �
' ' 1: Pboae: 503.639.4171 F'ou[.. lgtip -T , ,Te? t`•1 (7 ' fb� our t�01Vd,
mpoe
Idon Moe 503.619. ' ∎ 1 Deo Reed 2 tar
r„„1,:,) Reedy/By: a 0 8 re Pope
UMW= IVOM.ligatd+0140V tx,dAednadeo4 a.•,• ten ehdrnfdrm.Htro •
O cOn6ttvr iu, ❑ Demolition �...�w t. rns ieurr,ation au- checklist
DeseT(pelaa i Oty. I &o. I rbrai
o AddittonkitCtatlon/replacement Q fir: New 1. blhmily dwnIIhtge (includes 100 (L Par emel uli Sty connection)
...�_ °.... .. ... _ .. ,... ._.. .. :;,� . ... ... - . ,...... ,. SPtt(t)bath
249.20
0 1- and 2- family dwelling 0 ClosnmereialfnlduMrinl UR (1) bath 350.04
0 .Aceencavbuilding 0 Mull- family SFR (5) bath 394.00
WI acditiwnd bath/khaki 45,00
0 Master builder ❑ ethos Fine spdaklar (_ pg. 0.) Page 2
Sob site addrvas :11250 SW Nieodowbrools Dr, Catch Hams or arcs drale I 1 16,60 1
City/State/VP: Tigard, OR 97224 Drywell.leecb lire or tteeeS deeie 16.6D
5urcelbidg, /aptr no,: 07 Project name: Summerfield Apt sooting drain (no. Ilntnr R.: _� Page 2
Maau®durod hone utilities , 110.00
Goss 7:met/directions to job alit: M� u 160
Ram dtatn oonneceor 10.60
Sanitary sewer (90. lloeur ft.: _J Pap 2
Storm sewer (no. linear R.: _.) Pap 2
Subdivi oord l of no.:
vvatm service (no, Smear I,: 'I Paget
Mature or item
Tax map/parcelma.: {thaStpRion w1 16.60
mamemissmismismit gackoow Prevetlter Page 2
Supply/Instail DWV & water plionNing for clothes dryer oaekwaltrvalve 1640
Clothes washer I tamp 10.x10
t lekwasbcr 76,60
r- ---- - -- 7 -
,- -- --=-- ' - -.-
-1 7 Df rlkillg tbuolnin , 16.60
!!:i :',t, : r
',=� -+ . . ,''
i •,�.`: ' . :d ',: :'`' ".,', , xr ..: -11 .. Rjectetaisomp 16,60
Name: HSC Real Esiate. Xnc Expansion tank 16.60
Address: 1500 SW First Avenue. Suite 1020 Fixrt re'soset step 16.60
City/State/ZIP: Portland. OR 97703 Float drelsillooraialehuh 16.60 ,
Phone: (503)54657/2 Fax: (503)5516-5301 . --.. - 7 (;ai4aet(edispxl 1646
16.60
3 . lamtJcc 16.60
8izlross name: Skyward Collsrrecrlet4 Inc - Tettaeeptm/grease trap 10.50
Contact name: Chad Walker Medial got (value: S-) Pose 2
Address: iS908 NE to Avenue Primer 16.60
City/Salle/23N )tid>;afiald, WA 98642 Roof drain (sommerdal) • 16,60 •
Film: (360) 5461625 Fax:: (361) 546 -1630 5inkhsesinllavetgry - i 660 J
ntbishoaet /ahower'pem 16.60
.E-mail: efiad®w
slnrdconstraequn.tam tn( 16.6 ,
Water clew 16,60
Daain:9s tyemc: Ray's Plumbing Wet beater r 10.60
Ac1,1Tc x:15206 NE Caplet, Sane C • Others
' ' Subtotal
City-=Sta. J 1P Brush 1 WA 98606 ,
�. Minimum permit foe: S7290
Phnom (160)8924700 Fax: (360) 892-9644 Residential beckfow minimum permit foe: 536.25
CCA 1ac. :33217 Plumbing Lib no.: 31't' 4/j / >13 Mrs rtes/ (25 of permit fee)
Authorised einnatune: ,,0 / 95444 �ni+eree t1x%nf permit fen) r %�j_ ,,, TOTAL PERM TTPSB
Print name: ° •{ ( Date: a � 1v 9 Tills permit appli s:lea caplets if a permit is oat obtained within G � Ar• � 1$0 (lays a*irr it hex been accuntatl 8r tOmtebte.
" I: c methodology set byT' i. Cmmey Building Industry S �Srleesoar!.
TAleR: ildi amtA Car- PcmtllArridor ar1NML A , �( 7g,31)
CITY OF TIGARD _
•
BUILDING DIVISION PERMIT #: PLM2007 -00051
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/2007
Phone: (503) 639 -4171 . it
Inspection Requests (24 Hrs.): (503) 639 -4175 !+� ,
INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 73
SITE ADDRESS: 11250 SW MEADOWBROOK DR 7 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APTS
DESCRIPTION: Unit 7 Clothers washer.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #:
CONTRACTOR: RAY'S PLUMBING PHONE #: 360-692 -8700
Inspection Request Scheduled For: Date: 4/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 04613420 503 -310 -7167 N
Corrections /Comments /Instructions:
Ch(-c, ct LJ 9/1.)
KPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4rI'v 1 Date: L. tl1;o/ Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION . _. PERMIT #: PLM2007 -00051
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: 3/23/2007 TIME: 7:03AM PAGE: 42
SITE ADDRESS: 11250 SW MEADOWBROOK DR 7 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APTS
DESCRIPTION: Unit 7 Clothers 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 045293-07 503-310-7187 N
Corrections /Comments/ Instructions:
��PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1\ �� Date: 3/-13 .J Phone #: (503) 718 -