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Permit 4 C ITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: P 17/200 -00085 � � J I � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/17/2006 PARCEL: 2S110DC -01000 SITE ADDRESS: 11160 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 0 1- 800 - 332 -2344. Issued By: iZGt/U 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 am required on the job site at the time of each inspection. i2 /10/210Ub lb: 35 iSb1d54b112;ib SKYWARD LUNSIKUUIlUN HAUE. U2/161 02/10/2000 11:50 FAX 5035981960 CITY OF TIGARD 2 004 . 1umbing permit Application rt 1r, t II i C. I. l : '.1 \I -City of Tigard f ac6 m o / onnozpor ,::,- - coo'; 13115 SW WI Blvd., Tigerd. OR 97223 ;lee liaotow Other Na: Phone 503.639.417 Fat; 503.598.1960 , , ll pude�r 211 Hour Irupectian Line: 503.639.4175 , 11.1.. Data Ready/BT Fr 0 Sts Pap Mr !mere= www.tig6ti3r.b'OV Volfied _ l iefW � � 59.A P lenmeleI. eruneithe WiE :0P WORM; _ .' :•: :: I ,. ,•1: .. 5Ut' 61 . 1 1. . . 1 , aft ehf kh ❑New co 0 . • olltiotl �, - : lln .�� mi Total 0 Adtlitianlaloetati0n trepiaoemlui np=IIIIIIIIIIIIIIII nrw• I- m o r a y d w c 1bll;s ( 1 1 1 0 . 4 1 0 100 ft f o r e a c h W a y connection) I ' ' C A 1 1 E G 0 R r ' 0..V C 0 1 4 3 1 - 1 1.0 C T 1 O r r t . .. , . ` 0.: ''; 9F1t<1)beth 24920 ❑ 1 - and 2 - family dwrUitg ❑ • •• • • • 'nUmdnstrlal SF11(2) Imdl 350.00 • i IMO) birth 399.00 D A Y bu( Bat additwnal WI/16mb= 45.00 , - j • © Master bsaldor ❑ fta: F a y sptinitler ( _9 - ft) page 2 . • ' J0e flt% !NSQRALVITON' A'1tD • SIB atilititar lob she address: 1 ,o w _ 1-te ' - W ' ( • • *- 12)2 • each bealti Of area drain 16.60 Ciy/5tant r r7 C'R— • i ] L y • .. D von, load line, unwell drain 16.60 _ ( � a i1 1 Fa g drmn (n lL __1 1 2 • StliteMb)dg�lc no.: 1-r , PrJJectoaln tx. J.. t - _ Matluthclurod twine edthins i 10D0 Crew ohaetidlreodnPe to job siEC . / 4t; E{k "i c P i - o . Manhole )6.60 , /MIMI j J Be drain c* fleets 1640 • $toitcry sewer (no.Forest ft! ,- 1 • Paa�2 Stern eewer(no. linear ft: ) I Page 2 Subdivision: Lot nn: I irter aerobe (no_ linear }L: ,_,,,,) . I Page ?_ Mtn or Nam Tax map /parcel no,; Ak^ aloe 16,60 . - • ' . •. nitsou T[Oiti OF :WORK• • • ;:. .. ' E�, w ` _ Pace 2 • 8aelwater wolve 16.60 tit _. ' 16 Q,tgM 1640 .�— Di tFvaher 16,60 : . Urnsldn 16.60 • • , (�)1RIN.OWNEB 1Atvc':: Cerorumuap 16.60 :... °— ? il l ° 0Nt✓ Emotion tank 16.60 • Addre s. I : .it • t tr . Py 1 daerrerea0 _ __ 1 1660 • City/8tat *, .g ' ma _.mil, .. . I Pita drain/floor sink/hub 16.60 Gstbage dispos 16,60 . ;, ;, ', y . Faz . ) - ' -6 — - • - • . Hcs: bib 16.60 [a Pr.ic!�rIe . . '. • p�NxaCll' prawn , lee maker 16.60 13titsiness 42me: y ` t e [ L+tse r► sJ lntefeepto:dlxa se tr tA 16,60 • Cmxmtx xettte: et. r 4As^te81 (t+shte $ __..) Pogo 1 • en Address; I - ea ' Na C, •L 1 E. New 16.60 • • City/5ttrt r • `v Reee drain (entnmorelal) 16.60 • � _ SinFlbasinAaosto y 1640 Phone: (3Ca) F • — ` - Fax ; G ) -'' ^ 1 . _____— + . :..mail: c.c( C''i .,;,. - ( NEISIEPRIPMFILIU 1lnog 16.60 ' .. ' •cow ;crox ... watt erieleot 16.60 ' B : re. f ? 1l,t 4� i of Water beater 16.60 • Addreao: 0 %dNC -In.is °"y" svbtonl • ciey/sr4lerzlx: • P r ' n ' , 6.1 , Mininmm t E rn,so Pbonm ()III ) r? 7 S`7O O F(d) 5--?_ I II Retldeedal becxeow mlaimum Permit fie: $36.25 e 11{ AC CC13 Lie.: 31 2 Plumbing Llc. nog 3 7 ., / , P A p Plop review MX areas i he) q �/ Slate wrahurge csr of permit ilte) / . / 7 Authorized signature: TOTAL PERMIT F . Ptiat ztamC /^ 1 e!.a 4 Date: _ 'rb6 expires application elers itn permit 11 not &ruined++1tble • 380 dada rafter :t hen been teCepted m Complete. •ere methodology eel byTri -County Building industry Service Hoor& moadl„a,(emleme.,,mmwlyoree I1.00115 44040i0Trltue waanj 1 • d trb9 268 096 2utgwnjd sReei d92:E0 90 OI gad r ' CITY OF TIGARD - BUILDING DIVISION #: PLMa006 Oi)t�)3 y 13125 SW Hall Blvd., Tigard, OR 97223 7 DATE ISSUED: 211 fr2O06 Phone: (503) 639 -4171 ,.�ui,1 l'� Inspection Requests (24 Hrs.): (503) 639 -4175 /� Y- 11. INSPECTION WORKSHEET FOR DATE: 2/27/2006 TIME: 7-01AM PAGE: 03 SITE ADDRESS: 11160 SW MEADOWBROOK DR 6 CLASS OF WORK: SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE: PROJECT NAME: SUMMERFIELD APARTMENTS DESCRIPTION: Unit 6, install washer. OWNER: SUMMERF'IELD ASSOCIATES, LLC, PHONE #: f m6 um CONTRACTOR: RAY'S PLUMBING PHONE #: 360 - 892 -0 /00 Inspection Request Scheduled For: Date 2/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 027592 -03 503.310.7107 N Corrections /Comments/ Instructions: 1 P�• r k.1 (I itiii., ( i q .... .r. e S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .\4/1 (o, Z� Inspector: Date: Phone #: (503) 718�0