Permit ■
CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PE
DEVELOPMENT PLM2006 -00091
•II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/17/2006
PARCEL: 2S110DD -00109
SITE ADDRESS: 11053 SW SUMMERFIELD DR 2 ZONING: R -25
SUBDIVISION: SUMMERFIELD APARTMENTS LOT: 013 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 Surcharl 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 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: d7i7 � •�.d�TL�s -:
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.
A
171 /112 /2 Ub '15 :J5 , rdblI54b1b1Stl SKYWAki) WNSIKUUI1.UN I-74(31. 122 /1:3•I
02/10/2000 ti: SO FAX 5035981960 CITY OF TI GOD a 004
•
Plumbing ermitApplication Pt)R to I Icr: 1 1.1.1
.City of Tigard , i 1'tmitNa: r , r,ti# '
13175 SW Nall Blvd., Tigard. OR 9'223 Outer - nit No:
Phone: 503.639A row, 603,s91,1960 ,, tl i � ..,.
24- Hour Inspection Line: 503.6 .e;h 39. ' , , ® See rage z for
bonnet vew.tigard-or.gav LC- B *nplereeetetlanomalies
' TYPE OF 1WQRX•' . 1 .1: ti ''S,CJ BDU>:.F. , . , . , ' •
Fer . we checklist. ❑New consmacaoa ! • ;taiption •;.t Total •
❑ Additiontaaltecatiouheplacemtazt • 111 . Nrml- 2- family i* O+ga (Includes 100 A for each ul0itp connection)
I : . 'Ci t GURY Ok' CONS'fl iCTION• .? :'I• I 't! $PA {1) bath ME 249.20 1111111 .
•alfuldastrlal Mg) bath _ 330.00
ul li�[aenR y SP tt3) bath MI 399-00 ,
to _ , ...,
Part additional b*thneltehaa
❑ Mitear Wider ❑ Other: Fin speeder L_ se_ !L) j as.0o
Page 2
• ' JO lNF 7IQWV' ' • • , ,,;tit, • Job site address: 1105 L.) f a , ,k 5.1,/C b - 7)4. 6,10 1261110 or wren drain 16.60
CltylSmed T 1)'zwett, set® }lac, arttveeb drain . _ 16.60 •
Stt0elbld6/apt 11,02: 17031M Isom i il•C L e _ -_ ._ l a,'c et� drteu (no, linear ft! p'ge Z .
ManuEaetured tome ndlhies 110.00
Crow atroatldhections to job site r •.o (A.l af4 • .. 'f Manb6lto 16.60 .
(:- ...-' Ram drain 40111100t Or 16.60
5attitmy se,rcr (no. lineaat R; r--) Pere 2
Sum sewer (no. linear ft.:, ) Pogo 2
Sunbdivlsio,0; Lot tfo : I ter service (no_ linear lt.'. ,. I Page 2
Fitters or :tent
Tax taapiparcel no^ A meptionvalve 16.60
• - . ' •. DESCRIPTION OP :WORK • ,., ' B,:l:flowvreveater Pam 2
.. a Beewnte 1oe r.4 16.60 MIN
2222. -- w ln 1660 •
I • CI -- wordier •
Did.wa<aher III 1,60
. . • 1)mrlting fo otaia 16.60
n. • • • ERx'19.OWNER : a "I8.!UN'h� y ;: j p,rclot.Nsntrnp 16,60 III
• o , a..- G - .. h.- &Tnulon tank 16.60
Address: - ., = ....4, 1 • r - Pir ardsevrer cap 16.60 •
Cloy/$t>gte/ M : 4 . •, e.. e- . i Floor draiNfloorrknldlutl 16.60 •
16,60 • - ',' y Ft - ) . •'e --- - . ' HCS ge 16.60
1211 - PL.1CAPPI' . , , • ai•CONTACT 'moor la nvlws 16.60
81.1siness frame: 53 �,' t■ e y r" r► v rJ lntereepterizectua 279 16.60 •
Contact name: I iiii.op eat ■ _ -- • Medial gas (old= S _ )
Address: i r c[ o 1.4a. t G L Aq €1 Pita'cr II. I 16.60 - •
-2-... Re aF�mist (emnmorelal) _ 16.E
City/Statd'LIP .. cam_ ( � SitiWbasin/Iavatory MI 16.60 111111111 .
Phone: (tea) F • - Fay :Cif%) _ 1 �. Zvs'alto,uertahewer pen 16.60
t.matl: .. ...:.�:C . .. -•; • • ,o . . ...: Usual 16.60
OClt4'YiEACL00i NAM 019001 16.60 .
Wir beater 16.60
Adelman: 0 f Other. =- •
6 SOMA
ellYiSLCitea '. P r, ' J . n r I 6 V . Mininwm parm:t (ow; $72. j0 __II r1
Plot= () 6 e) ) f P - 2 r7 D F - G 4) 5 - _A if Residential bnck9ow minimum aerm3tfa:e: $36.25 , `T. A 5 .
C C ? Lie.: 3 Z I'7 Plumbing Lie. no.: 3 7 . , / y ' P f Plan review Miter permit site)
•
Stec 4o-charge i13'Nt of permit She) Authorized sianawtt: � � TOTAL PFRMtT F2e 42.1. • 1 -I
Rot mum Am / CA 4 f , c , - , D - This permit application mires Iii penult b not ohmtued *Ohs
C� 190 day* after it has been accepted as templok,
w methodology set byTrl.Coumy Building industry Service Board.
rwentasrwraleve.modmItworr. farms 44040i0 tO 10Ura72Ss
1 • d trt' 268 09E Zu. qwn i d sgeei dB2 : ED 90 O T qed
L /
CITY OF TIGARD vt(
BUILDING DIVISION PERMIT #: Z O 6 -��G'9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Vit
Inspection Requests (24 Hrs.): (503) 639 -4175 " _-
INSPECTION WORKSHEET FOR DATE: TI PAGE:
r Z
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: i/ (" s OT #: TYPE OF USE:
PROJECT NAME: / 3
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 -ice - a 4e Pour Time:
Code # Inspectio Description Confirm # Contact # Message
3 2_ 0 P 5 3/o - 7/ $7
Corrections /Comments /Instructions:
Ni p_L-i-e .■&r,_ Z ,. .
•c1 — 1 - (- 1 - „,e.,,D —
( \,
9
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/J�
Inspector: �/ (mil Z� Date: 3/' (d 6 Phone #: (503) 718- VOA(