Permit CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00043
r 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/31/2006
PARCEL: 2S110DD -00109
SITE ADDRESS: 11043 SW SUMMERFIELD DR 2 ZONING: R -25
SUBDIVISION: SUMMERFIELD APARTMENTS LOT: 013 JURISDICTION: TIG
Project Description: Unit 2, install washer
CLASS OF WORK: OTR 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 [HRPLM] Hourly Plumb 1/31/2006 $14.38
PORTLAND, OR 97201 [HRTAX] Hourly 8% St 1/31/2006 $1.25
Phone : 503 - 546 - 5712 Total $15.63
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,,19 or 1- 800 - 332 -2344.
Issued By: i 1.6./L, 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.
0 •31006 14:52 5036243681 TIGARD BUILDING DEPT PAGE 02/03
Building Fixtures [1* 1 V E D :
Plumbing Permit App ices on I I (II. MI I( 1: 1 til: ()NI.)
City of Tigard I ^? 6 "20
13125 SW FiJU Blvd., Tigard, OR 97223 Plea Review
Phone: 503.639.4171 Fax: 503.598.19614. _ / • Other No,:
24 How Inspection
Line: 5 03.639.417 q 1 ! M IB S te P a 2 for
P" �sA A 71 Of Y 1 � -�;t,, _ 1 11� Date Reeds/Br. �/ Re
Intend www•ci,tigard.or.us _ ' ' ' - N�ifiedlMe hod ria Su ppkrotntal oreiatlen
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'`�` . ?',^,r• ' -:yi''.,. ����! � d a eT 1 'S�j.� , �'!b. �l iY= �.lu:v %: h= w:i� � ,:.T:.:• "� : ?:Jli�.•.. . ,
❑ New construction . ❑ Demolition r "' wie c1,e `
Description f Qty. I Ea. L Total
[] Addition /alteration/replacement Other. Wiisfrat. f+3 New I- 2-family dwellings (include 100 ft. for each utility connection)
,,: • `",_ x ` i3 ,} ` ' " s , :,::`•:'; } ` SFR ( I'I bath 24910
��� - „ ,�l Hd:n: K••s.� rr..�t�.K�.•�. rw.••rc -r. � �...
❑ 1- and 2-family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
ba
❑ Accessory building ulti-family SFR (3)th 399.00
❑ Master builder Each additional bath/kitchen 45.00
L ` : 0 Fire spunkier (_ sq. ft.) Page 2
:' ?�',4" .:i. s :%; 4.40;_1 R`, ' i i4fl i X 1!10440 AI�I+�llt l: _ :.:. ;. .. :.;1..., sir -bliss _
Job site address 110c &) 4f tl y /Lfc/ £L� De_ . Catch basin or area drain 16.60
City/State/ZIP:-16" ) rip.. Drywell• leach line, or trench drain 16.60
Suite/bldg. /apt, no.: Project nameSti E � �tk / L Pooling; drain (no, linear ft.: Page 2
Crass street/directions to job site:' Y1 / Manufltctured home utilities 110.00
Cr /Jidx- 7 u= , Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft; ) Page 2
Storm sewer (no. linear ft: _ Page 2
Subdivision: I Lot no.: • Water 9erviee (no, lines ft.; ) Page 2
Fixture or item
Tax map/parcel no.: -
'� ' . v:.: ,. ,, :.;••,. .:.: ; : • . Absorpnon valve 16.60
.. i- . ^'F" . .. %.:'.. �• Backflr, prcvcntcr Page 2
i Nc5 t 1 O C- V AS+iteo.- 14D 0,k/_,, 3 • _ Backwater valve 16.60
Clothes washer ' 16.60 '
Dishwasher 16.60
,A leyi w .: .:.;. # a.s.-,• ::.' j ri :',_;, Drinking fountain 16.60
Ejoctar;Jsump 16.60
Name: 5u tC - Lp - j .1> er6 - Li.c- Expansion tank 16.60
Address: AL 5r51-74-1-6 t5w 1 L. Fixturc'sewrr cap 16.60
City/State/ZIP: ,�--- v f oz_... q 7 1 Floor chain/floor aink/hnb 16.60
Phone: (5d-- 5 - 5 7 i Z Fax: ,)"3•) 5442 �5 I Garbage disposal 16.60
;.i .:;.- .::.. tt a� . Hoscbib 16.60
Business name: ,S y_gc, rl CO 1.1b C t0 ; te C r I Ni xl Interceptor/grease trap 9660
Contact name:(,t rV c„... ift '� Medical gas (value: $ ) Page 2
Addre ss: o: qo `ee,, &J 6' is 14 1T vE Primer 16.60
City/State /ZIP: . o & : fit A- qg 4-' Roof drain (commercial) 16.60
Phone: (j60) .,�' j - ((4 F ax:: ((0) 54(rp - 6:0 Sink/ba:tin/lavatory - 16.60
E -mail: C -4111 f c, err d C0�,1 -�.v F� Urinal
Tub/shower/shower pan 16.60
Cits!1 . CO Urinal 16.60
, ,: ; . : ;.. Water eaasct
.. � ;.. _ . . :.1•, -• 16.60
Business name: PP) y I. R.,,,ti,c p21 f5 c Water heater 16.60
Add ress: 20 .N� .. • L.,-e...-s., 5 +TE_ t other: i9RLV iiM R. -�*. CAA 2Y 4-.
City/StatelZiP: a I �5 t�' � •� � � � / r� • sabtabl
l p
`' _ -i � J !� A I �lG�.s�c, Minimum permit fcc: $72,50
Phan; ( Ge.") wiz.- e,7 O Fax: (, ,0) 2 %44 - - Residential hadcflow minimum permit fee: $36/5 � • �
CCB Lic.: 53 2, i Plumbing Lic. no.: �-'� Plan review (25% of permit fee)
Authorized sign i • Ad �.. � ��� State surcharge (8% of permit fee) /aK5
_ 0 TOTALpERMIT FEE / ! (,3
I � r �� Date: / a7§42 This permit application expires if a permit is not obtained within
180 days after It has been accepted as complete.
l _ w-r � \ *Fee methodology set by Tri- County Building Industry Service Board, uikrm ,'A 0; a I70� ,n or /46rt c✓r Do r " 1- �aketsr(naave onrnvasl
4. i o c t , ®4 tA, = Co a 16 .� ; i o pt.AM tTS - 41 l l;ictr-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: auM2006.0(304 S
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11311'1i1tt
Phone: (503) 639 -4171 -
Inspection Requests (24 Hrs.): (503) 639 -4175 71
F'I �..
INSPECTION WORKSHEET FOR DATE: ?114/2006 TIME: 2 :22PM PAGE: 75
SITE ADDRESS: 11043 SW SUMMERFIELD DR 2 CLASS OF WORK:
SUBDIVISION: , SUMMEl FlELi) APAR I MUNT» LOT #: 013 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APARTMENTS
DESCRIPTION: Unit 2, int:1111 washer
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #: 60:3,546,,b7 12
CONTRACTOR: RAY'S PLUMBING PHONE #: 360 - 837 -F3700
Inspection Request Scheduled For: Date: 2114/2006 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 0261326 -08 503.31011W N
Corrections /Comments /Instructions:
}
•
i r - PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: Date: Phone #: 503
P ( ) 718-