Permit /f • CITY OF TIGARD PLUMBING PERMIT
ari DEVELOPMENT SERVICES PERMIT #: PLM2006 -00087
..� �I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/17/2006
PARCEL: 2S 110DC -01000
SITE ADDRESS: 11240 SW MEADOWBROOK DR 2 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 2, 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.
Issued By:� Permittee Signature: � h '
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.
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o 12 /117 /Ybib '151:35 ljbbb4b1b SKYWARD GUNS I RUG I1uN 1-W6*. I:12 /11
02/10/2000 U1:50 PAZ 5035981900 CITY OF TIGARD 0004
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City of Tigard t•Aemwca 1 emit No.: ' •
13175 5W Hall Blvd., Tigard. OR 97223 Plea Review OtbxPatnit Na
Phone 503,639.a a
171 Py; 503.9&1980 ,I,+, tx BZ ,
7A- Hour Inspection Line: 503.639.4175 •,, j ' i . Data Rr dyr>�. /1j El see sage z far
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Inflat; nnw.tigerd•or.gov - No.fioMOArod; /�f� l 9apploocerel1erunealMe
LYPE OP WORK .. 1;. •cl cgtii 13B ut- :. •q. .
O ❑ 12. o)kton Far speetiplJxfort;rAliBn we rhecldi�
New coruotdctioa, /�, �r� •
' D�;Ct tleR 7yi4 , 1. ) To141 • •
❑ Add1UOnlaketationkepl2t;emlatt - Noll- 2•fon a1 (Inched= 100 f for each ulv7'ity =nation)
.rte
' 'CA GORYO . F'C ONSXItUCf7A1Y; .,, ";' ' : .',! �!. 9PR(1) 249.20
p I gild Z•falaily tlwcUigg CI • ,ndnstrlat sFl bath 334 _._._..
ulli�rarily •
_ M O) both 399..0
❑ A a+ ecdttilnJl Earl addltbnal bet1,/kitebaa 45.00 j •
Q Mutated= ❑ tea: Fd c eprinkler L_ ti - ft) } Pt e 2
• ' 3 0 0 gin Q MAT14N' Afi D'LOCATION .. s1M•atr,lAex
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lob the address- (._ • ' '00 W e „. - 1,)/C... fi:ch bash or are: drain 16.60 11
Cily)5t r — ` (`j(2_„ 7 2- 2- At;.'wefl,1ete line, or tteoeb drain 16.60
�P Project ,e 1 ra, �5 dime (no. t ncor 1L _, P.ge Z •
$1lttclb)dgJnpt ttan ;Li. li 7 ManWlhCWrOd home adlities 110.00
cooae orrmave>?cadnvcs to job airrr S).? r tom►// /44 { ;,,..; Ers ,c` Manbaea - 16.60 .
v Ram dram ceanee ' 1640 •
Sanma a rwer (no }nremr ft; „__) Pane 3 •
Sturn aewar (no. l'mear fL: ) � Page t
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Lot na: LW ter x�oe (ne-111 car fl: ,. , I Page ?
nun or Nam
Tax no.; .. 16.60
• - - • . DESCRIPTION OF :WORK • ' • � ; • • ' Ea:T.flo a - > � Pane 2 •
Ilaalwmarvalve 16.60 •
R_
CUM weer 16,60
' Di l hv aalter 16■60
llrn,ldng 16.60
" r. ^, • •; £R'X'1p •OWNER • ' : O'>svArrrt' rcrotdlaunp 16.60
�_ S ��. �' — V .E ansiontaak 16,60
l — + PlrtmelacrraeaD ..- 1 6 , 6 0 •
City/Seat/2V; ' .., co: c. ( F1eCt dlaidtleor cln)t�htt>! lddb
•
i .- i' 6 ►�f _ .w... t edi 16.60 i
RLICAT`O' , .. , CbNz&cT i oN , • la�maker 16.60
8uaint sc flame: 4 y ' it_ ► (zsPSs' r► s intereepterlrietcae Irm9 16.60
t',mima name: , . ■ ✓ 11411 Ciei! ass (n+am 9 w ..) Il Pogo 1
•
Address; I - 0 Na- C$ L . e. Priam 1640 •
City/Stet/2M • • t. Re aF &tie(eornmotcIal) 16.60 •
Pbott ( - )) F'' • - - R®G : � e.P) .• ' _ " 1 �. 1L '�' � pa 16.60 '
&mltil: 6. wm, • - :2JI. • ' co _'.tiv MAO .
i G - 66
ppl�'YifACIfffi W,mT01Cao1 16.60 '
C=Ol . . / Wirbeater 16.60
Addrem: a • x Oth' Sabrotstl
cltyrsma►z»P: P r-• ' Il 6 d , Minimum p &lc $ra,so
Ph 01 ■ . - 2 D 0 Fax: ( 8" Z ' ''1 Residential txtekfiow raldltpam perndr S35.25 •
ME Lie.: 33 I numbing Lit co.: 37., / ' P
Store Wavle (Bit of penult far) . 9 y •
Authorized siP�a 4' TOTAL P1 RWfl' Fps . ,
Ptiat imam APPMEIMMIll Date TOis permit application cqdres Inc permit Is dot obr.l • wtmtn •
2110 dafa after It 1aa bean moved as eempiate,
r' methodotopr set by Trl- County Building Mclean? Service Hoard
inoebelcaetwe:•r7n4MmdiAWdrt 1r0M5 ao4aiarroaaeokuwsai
T' 171796 288 09E 2utgwnjd sReei d82:E0 90 01 gad
I
CITY OF.TIGARD Pt-in
BUILDING DIVISION v PERMIT #:2006 - b00 ?7 13125 SW Hall Blvd., Tigard, OR 97223 All 14 DATE ISSUED:
Phone: (503) 639 -4171 Vi r�
Inspection Requests (24 Hrs.): (503) 639 -4175 °`'!J.
INSPECTION WORKSHEET FOR DATE: IME: PAGE: (2)
SITE ADDRESS: / / 6 inzaj2, CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: , Ic
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 — (e 0 Pour Time:
Code # Inspec i n Description Confirm # Contact # Message
3 P ? "`- 310 - ' 7( 87
Corrections /Comments /Instru tions:
r - i
_• / �Jt' �5 r • / _ e
- ma c(
c . .
( ;_ i .-
91 7
0 6ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 40 v 4 Phone #: (503) 718- 2-54.'2-5°