Permit C ITY OF TIGARD PLUMBING PERMIT
Jr' I � DEVELOPMENT SERVICES PERMIT #: P 17/200 -00086
A 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
DATE 2/17/2006
PARCEL: 2S 110DC -01000
SITE ADDRESS: 11075 SW MEADOWBROOK DR 1 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Units 1 & 2, install washers.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 2 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 Surcharp 2/17/2006 $1.94
Phone : 503 - 546 - 5712 Total $26.19
Contractor:
RAY'S PLUMBING
15200 NE CAPLES SUITE C REQUIRED ITEMS AND REPORTS
BRUSH PRAIRIE, WA 98606
Contact # : PRI 360 - 892 -8700
FAX 360 - 892 -9644
Reg #: LIC 33217
PLM 37 -149PB
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 0001 -0010 through OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503 -246 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: a
•
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
`,-- I f, 112/ib/21dbb lb:35 l3bUb4blbdb SKYWARD (,UNSIUUGIlUN t-' (±. b'1 /b'6
02/10/2000 11:50 FAX 5095981960 '', CITY OF TIGARD 2 004
U b L R @ )r>mm�t LL C d t i 0 1 1 rt n e Hi i I t 1 . e' r r.l: t )' 1 1
City of'9gard FEW 1i 04 flpjfi="11_ �„, , „mot A,
13175 SW Nail Blvd.,Tigttd.OR 97223 Plot Raviay Other - tNo:
Phone: 503,6394/ 71 lax; 503.99$.1964 ` ; ;�+ .. ,.: .
24- Hour Ns portion Line: 503639.4175 . l' � Rrad NI 69 Sire 2 ter
Internet wwwXigoed- or.ger M xNottfetVbdoQ10& 9.pplaneetetlerunealbe
•LYPE:OP WORK' . � • ', .... ,; r . FE r'SC Dt11.1 • • , , ,
For ... . . , , , a se ehecldiet
❑ New con4nacaem ❑ D . • aim — •.al11111:3:)1E ,
• 0 Addition/aher40nkoplavemtmt >7 e - Now- l- 2- ,unity &maga ( Includos100A for each Way connection) •
'
•ca,tesoxx 00 coivsrnuc71011; . • , , . I. I i ; 9PR {i) both a 2,49 MEN ' .
❑ 1- End 2 -family dwcuia8 ❑ - •• ... • • industrial SE7L(2) bath _ 330.00 MIN •
mIt+ SP Mbath . .111 '•99.00
❑ Raoo*Y buds Bart additional bathlkitoboa 45.00
❑ Haines %Odor ❑ Oda Pagc 2 •
• ' 300 Silt 1LVP0MATION' .et2 .. _ • •yi,,Meio
lob site address" 1 • , _ _ 1j010 ' / • • I ' poet, beam of area drain 16.60
rr • ■ At}'well, team litte ore:votb drain 111111 16.60 —
City/Smeel�. a.
itr)
9uitrlbld6Japt At! •• pa,.,+ag drain (no. litntw! i!: __J P•ge z — ;
�`' txt lsamt �i;t C (yew MEnu�cturod home mats Es 1, 0.0
CMS oboes hoadbra to job sil Mefr ;IMAM Manholes MM 16.60
(j "' In drain mantlomscr' ME 1660
Unholy sewer (co. tinter t Paste 2 ,
( .� ME
Skin Beaver na linter iL•
Lot tn: LLVIdlr service 00 linear9.: _) . •
Phan or kiln
Absorption valve 16.60 •
+: I' r • • BecItflow,revadar Pate 2
Baal:WoeYalva 111111 16.60
au t11(4 ter gal 16.60
Ditinvolter MI 16,60 r
1)rtniting fountain 16.60
- 0407 E - R'(1D •• 1 *wit " ; .: i c elan/Mgt En 16,60 IIIIIIIIII
N ` , j , •m p t o •})jC ��ir 0 as1� � , Fxxu+slon teak MN 16,60 .
Mims: .- - F , 4 J1 - tn., r G „ jilt 16,60 •
i act drain/Am shektub 16.60 '.
- Gringo disposal 16,00 I
,�Y.I 1 6 — • Z Fi c ' :..■ 1 . - ...e " - ...... ' Sts; his • 16.60
P'Ldc!�PPI' . C1�'CIONTACr 'rlf+lQSON - Ice stoker 16.60
• BEE • 1ntaceptottancoo Irma 1660 ,
Comma rime: 1 1 .L 7.iL -IEV'' Mecitil szs Ohm S _ )
Mdre.4S; i 5 C LC,)?. Ntr. (Witt. /�J': . � a'cr I 16.60
•
City/5teoz aP: a3 _ - LAI s : •L of dmia (eemmorclal) 16.E ok, �• SiuFlballinlavalary 16.00
Rant: (3,a) ,. - ,.- -- FM: ; W%) - • „ 140 - . . 1va '� p an — 16.60 .
.
-- - V.42111 1 . s • i �■. • - as a - _ - .'.n sham 16.60 • •
: D •00'N AC W eery oleaot 16.60 '
�o3ees tome: -Fa r ? 6 m IA 1 I oft,: healer 16,60
Addreea. 0 ■ ,1 • ,
Clry/Smter�7pt P r r n ', 6 d Mi �m p,..,at f w s72.50
Prone 06 0 ) t 7 7 5'70 D Fax: (3 f a) 8f Z. 9(, 4 1 Residential t>ackilow mbriumm De►mltfir: $36.25 .
eCB Lte.: 332j? Pluming Lie. na.: 3 7, r Y 9 P e
/ Star. aursivese (1196 or permit air) -
Authorized signs a rs
�: � / __ TOTAL PEIttarr;22 `+ V j
t
PtiLamm t y� w /44 4 v < - e l Da Tao The permit apprieadat csplrm U s permit Is not *Woad w teln
� 200 dnya Ace IE haP been atAeptaQ ere aomplok,
. "re mothodologyr art by Id-County Building Industry Serv(cm Board.
t walvil,n{+hrrg.tetmwDontutpu.la Iigop! 440401e1rIOAWOUNTa1
I ' bt, 96 288 09E ;) uTgaunjd sFeei d82:E0 90 OT gad
CITY OF TIGARD
A i PL /VI BUILDING DIVISION PERMIT #:ZO�o — 00 D c o
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 4 4 'I I..
INSPECTION WORKSHEET FOR DATE: TIM : i' PAGE:
SITE ADDRESS: Jv CLASS OF WORK:
SUBDIVISION: / LOT #: l S TYPE OF USE:
PROJECT NAME: / ( 6 7 C .-- I '1
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3--C, - 0' Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 16 ,i-c-i -� A ;6-, 3 / 0- - 7 18' - J
Corrections /Com ents /Ins uctio s:
t i a A ./ /
..g 4-e:
f '
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (/(A - Date: 3 / ke / ,Dhone #: (503) 718 - 1-424