Permit CITY O FTIGARD PLUMBING PERMIT
i4, DEVELOPMENT SERVICES PERMIT#: P PERMIT 083
Ail 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/17/2006
PARCEL: 2S 110DC -01000
SITE ADDRESS: 11145 SW MEADOWBROOK DR 6 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 6, install washer.
CLASS OF WORK: NEW 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
% HSC REAL ESTATE
1500 SW 1ST SUITE 1020 [PLUMB] Permit Fee 2/17/2006 $24.25
PORTLAND, OR 97201 [TAX] 8% State Surchari 2/17/2006 $1.94
Phone : 503 - 546 - 5712 Total $26.19
Contractor:
RAY'S PLUMBING
15200 NE CAPLES SUITE C REQUIRED ITEMS AND REPORTS
BRUSH PRAIRIE, WA 98606
Contact # : PRI 360 892 - 8700
FAX 360 892 - 9644
Reg #: LIC 33217
PLM 37 - 149PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503 -246 -6 9 or 1-800- 332 -2344. L _
Issued By: 41,Getap, Permittee Signature:
Call 503-639-4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
U2/111/211ib lb:35 13b11b4blb315 SKYWARD WNSIRU(IlUN HAbb. 112/152
02/10/2006 LI : FAX 503598i96O' CITY OF TIGARD RI 004
p1umbi napreniit Application
.._City of Tigard A ` ea )Rea i4 041 Pe nnit Llipakett%5
13115 SW Hall Blvd., Tigard. OR 97223
Phone: 503,639.4171 1 L , 503.598.1960 � i' • .� {- D
24- Hour Inspection Live: 503,639.4175 „ .$ J . ' 1 JN Oita � ' ,1 J al See sage x for
lntaoet wnw.tigad•or.gov Nottf dMat ed; t(Ji asp plamentellaruneulbe
_ �
' •'tYPE WQta'ar • . _ .' . : -. :: I,. , "I , , . FECT CB,D1E4,. :. ,, •
• =Mon Far ale checklist. ❑ New e°ro°^aea D t ear . ��... + l. Toto
•
o AMditiontaltelal ilrrih'1tp1acemtazl Now. I- 24a:ttily 4WC001ga (IneIw c3 100 ft. for each utility connection)
I ' 'CA GORY O CONSt'RVV ' t ','L. SSW) kith _ 24920
❑ 1- sttd 2-family dweltiag ❑ uldostrial snj°(2) boat, 350.00
D A aOry _ uth� - - tlily e r ) b �9s.ao -
Bort additional hatlifkitotien _ 1 45.00 -j •
❑ Manba[ bedew ❑ Other: • F�1 ...IAtlrr I al IL) I Page 2
• ' 309 Oil, INFORMATION • Alf LOCATION $Il:•yiillito
fob site address- _ a . 0,0 ' i e ` psef basin or area drain 16.60
t - � p rowan, 'Mob Boo, oryoeb drain
Ctly/s
5
1� 11 � R-- � � 2 - � ' s �� Cw� dr (n ' �nCec 1ti _.) I P Z .
1itulbldgJapt nallat �D � °O � �° 'K ' MawEaeauod home al:11Mo 110.00
Cross straetidlreotiors tie sift ri- / ll•Z i= 1-4 P,P-r''‘'' Ms�betea 16.60 -
0 ,� /+ Ram deiyin coonoctcr 16.60
Sutia+rysewer(no FinewrR.:,,�� _
Pan
Stern sewer (no. linear ft: , ) I Page 1 •
Subdivision: L o t n o . : : 'War service (no_ linear 11.: ,_ _, ,) . - Page ? - -
nitro or Bum
lax Tap/parcel no,; Absoeptionvalee 16.60
- . • - •.DESCBfPTLOI' OF: WORK. • ,: • H;r :lflowtaeveater Paget
74 Baal water%sive 16.60
- .a _ 4 ` -1 '17
O hies weer / 16.60
I Dithinaher 16.60
1?rnrldngfo iatain 16.60
• • P' ' r' BR'X'10.ORINFiB' O'*AIVi F. , 16,G0
N elor0lltl y II
-
_ ca. r+ y _ V Fx?.uuiontank 16.60 •
•� a PMbaelaewer eao 16,60
•
C1ty/9ra1 . rJ2A' w Flocrdrain/AoorsinklhuA 16.60 ;
�7 � i 16,60 r I
1 +� (L 2-- Fs�J)�G ' .. ' Hese bib • 16.60 Ili
Olapt.1Cn1' , ' .. ', • l7'�NTA�C'T FlL ^ QN la nuke' 16.60
13u-,iness name: - u y,' i■ a ( - • -r- - _ rJ lateieepmdIaabae In 460
•
I Cnrltr,et name: W medial iaa Val= S _ i ��T
•
Addrass; I - 0 Na cj tL 1 E Pr1mer 16.60 1111 ;
City/Stetd'4P �. Reof thin (eoramorelal) 16.60
2, c3 ( 16,60
SudlbasinAneamry
Rime: ( 0) F-41-4,2 ' i,‘p ? ( FEE : `) ,�{' ,kj ' i 6; Tut'ld�o� pet 16.60
•
r0u1kil: c i� L.- S k ■. do p,! rvY{'co n C:y.tiw VIM , t6.60 .-
00N'Y�ACLOB War 01060 16.60 '
Btmi nrme: -F«,at r ?k.A m k:ft Other: beater 16,60
Addrae '�
a: a P.4 ' � Subtotal •
City/Stater210: P r. j , A ' , 6 d , Min rge. pv,mle 611.1i $ MOM
PIN= t16 Q) t? 2 x70 D Fau: (3 60 t51._ A 4 1 Raaldandal tetanow minimum 0ermittle: $36.25 1111CALIMMI •
CC13 Lie.: 33 I Fhtmbing Lie. no.: 3 7 f ' P 13 Plan eaview (1.516 of permit ha) MEI
Stan. eutvharge (0% of permit the) •
Authorized s1¢aaArls: j TOTAL PER1atT F2E FAIEll •
Print names An / CR U kkl v, Daaew rte permit application a lm Wu permit b not obtained rrteatn
•
loo dnra Ate ;a bon teen ateepted as complete.
''see methodology set byTri- Cnunty Building lndumy Service Hoard
tnocadItoosm4ors.auoorratiochsht4 svaasila 44o4atemroebc0 i
T'd 114796 268 096 2 utgwnid sRea d82 :EO 90 OT clad
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PI MJt�ti�; 0v�:33
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2(111,_:
Phone: (503) 639 -4171 ap,0 l �l1
Inspection Requests (24 Hrs.): (503) 639 -4175 ":_..
INSPECTION WORKSHEET FOR DATE: 2127/2006 TIME: 7:01AM PAGE: 86
SITE ADDRESS: 11146 SW MEADOWI3ROOK DR 6 CLASS OF WORK:
SUBDIVISION: WILLOW f• }ROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERrIEI_D APARTMENTS
DESCRIPTION: tlnit 6, install washer.
OWNER: SUMMFRFIELD ASSOCIATES, LLC, PHONE #: Goa 644- €71:1
CONTRACTOR: RAY'S PLUMBING PHONE #: 360 - 89:2 -f3700
Inspection Request Scheduled For: Date: 2/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 027632 -01 503.310-7187 Y
Corrections /Comments/ Instructions:
1 9
c/2____ .. 4 . r
,i .
y, 7
..
..
I
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: `l ( Y\ 6 Phone # : 503 718- �� vi
p 1