Permit I lk
CITY OF T PLUMBING PERMIT
DEVELOPMENT SERVICES PE DEVELOPMENT PLM2006 -00044
--- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/31/2006
PARCEL: 2S110DD -00109
SITE ADDRESS: 11065 SW SUMMERFIELD DR 9 ZONING: R -25
SUBDIVISION: SUMMERFIELD APARTMENTS LOT: 013 JURISDICTION: TIG
Project Description: Unit 9, 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 -6699 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: �—yl
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. •
V
011,23/2006 14:52 5036243681 TIGARD BUILDING DEPT PAGE 02/03
_
Building Fixtures _ ..,_
F‘IED
Plumbine Permit App iia on I 1•( .1( (41 v. I. I SI. ()NI )
City of Tigard
LIAN 26 900 ,r gliff. , MIIMIZELFA(IMM ° 111
13125 SW Hall Blvd.. Tigard, OR 97223 ' Tian Remiew
-
Phone: 503.639.4171 Fax 503.598.19_40_ . _ _ / - ;-.,
Other . it No.:
24 Hoar Inspection Line: 503.639.4.17tAr y• oF i'l P Date Readv/Br. Wall 13 See Page for
interne: www.ci.ligard.or.us . a 1, , , & a , T Noti6ed/Methoch Wirral Supplemental Information
- ^.- ,- 4 . ..;:, - . .:
7.-F ....c I i r .- 4 1, 41 , nr - 1. ' ? .5 .' . qi; a■/.4(-42i.Vii:P*44 , :4301aStits
For special Worrnation ave checklist
El New construction . 0 Demolition
- ,..., Description I Qty. I Ea. I Total
0 Addition/alteration/replacement kiOther WAStia.. f+Pot.A..P New I- 2-11tmily dwellings (includes 100 ft. for each utility connection)
. 1' : Itzit.. P71 ,1 4 . 0 04 ; ' • i f . 1 7 ` . 5 7 . i / t z , ' ' n ...: 4 ' . ±''!. : ': '' '.. . ' j "; z. .' . ' 1 ' . 2 ...' ...,.-2., .-..: .... SFR ( I . bath 249.20
0 1- and 2-family dwelling 0 Commercial/industrial SFR (2•1bath
. 350.00
SFR (3)
0 Accessory building Eg‘Iti-family bath 399.00
Each additional bath/kitchen 45.00
0 Master builder 0 Other. - ---
, Fire stninkler 1 sq. ft) Page 2
. 7V;k ' 41 -.. ;ii:9;0.0.'ikieit******Liit*****.00/(tRI ::i '".; . .:.. , .. - '...4 . 6.1 . 7 , :i , , site nodes
Job site address:7;i7 Catch basin or area drain
--/E3---0 16.60
City/State/ZIP: -fl, 4 ; op_, , Drywall, leach line, or trench drain 16.60
Potting:drain (no. linear tt.: _1 Page 2
Suite/bldg./apt. no.: Project ottroe 8ilikttEPT-115)D WkiiVIV ---
Manutctured honte utilities 110.00
Cross stredidircctions to job siteZ4.2..A.u/p ,D
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 tio.: • Water service (no, lin= It ; ) Page 2
Fixture or item
Tax map/parcel no.:
Absorptirm valve 16.60
,..' .' '; • . ....! . ..:7 ,, Y: . 1 - ; I ..,- • .:::. - -
.• .: • ••• •
•,•• •:• •,:' • •': .. , , V, •, :IT- . .. '! ic. ; ' 4 ),!!'!!!'"^.! ! Back firm pm/enter Page 2
., L
1 .1-1 4.5 1S . itail.- t-I-DCLIce-4-; p BackwaLter valve 16.60
Clothes washer 1 16.60 .
Dishwasher 16.60
Drinking fountain 16.60
Ejectors/sump 16.60
Name: 3i) tel.') -A6cr;e-er-e-7 ut-c- Expansion tank 16.60
Address! ° iiSC-- 'P•asert., giajACE. L5CY F ) 5....44 5 t 4.°-2L-C) Fiztureiscwer cap 16.60
City/State/ZIP:Pcaq-A.1 0 1 oe, q 72,0 1 Floor dsain/floor sinic/hnb 16.60
PhiDnci: (5C) .1 - 5 7i 2 -- Fax: 6 3) 5 1 Garbagi: disposal 16.60
. al ...:"., : -. '=`;VEtitkotArr 141631b 1,3w bib 16.60
Ice maker
16.60
Business name: Sy_ 4:420 C 1 4- b. - D2 _,..„ ( i .x i c
Intaceptortgrease trap 46.60
Contact name:C.411Np ( 7% -t* : _ac i.. .,
Medical gas (value: $ ) Page 2
Address: i 5 qo de 11.6 /01 A- VE Primer 16.60
City/State/ZIP: tap , ROof drain (commercial)
16.60
P lic 3 nc; (360)54-6-*2,5 I Fax: ; 0 Cic 5 4 ‘, - 16` , • Sink/basin/lavatory 16.60
- --
Tub/shower/shower pan 16.60
E-mail: C.414d e;.(5te-awaPdg)rvsfirk>ctrbo ..
Urinal ' 16.60
tibitie httiverts .... -_ ....;...••• :.! .;:. • .• • .
..: ' . • • . ...;tic .'• . ' ." • • '''.. : •■•:',,-,. •.• • •:, • . ''' . '' ' • t ''' .•:-• • ". • .• . ••• l' .: :'• '''''';''''''-` Water eosct 16.60
Business name: PAC) si 1 1, e., , 7 C Water hLmtet 16.60
Address: i5 20 0 t c. or ,9L/ /141? kiwi,- PtA. cola) I...
City/State/ZIP: 6 L . • P-Ptt i e , A ■
A • c • So htnb1
Minimum permit fee: S72.50 Ii i 36
Phone; ( 1 3q 2 ._ e,-70 Fax: 3C,0) 2
: 9G4.1, Rcsiden6a1 back minimum permit fee: $36/5 /
CCB Lie.: 33 7 i '7 Plumbing Lic. no.: "a7.- I 44 f:) review (25% of permit fee)
Authorized
State surcharge (8% of permit fee) 1
sign.A; 4, 4
i TOTAL...PERMIT FEE / 6, /
Print name: DI /0 .. fr6ify Date: i igyrrim Thls permit application expires if a permit is not obtained within
...,_
180 days utter it has been accepted as complete.
*Fee methodology set by Tri Building Industry Service Board.
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A Rettil6 OP me)re-770/ ' '
e2.5 H 0 4 ipa ,ist ,. 16 io )1A1 cr$ - il / 5 .43 illatr
CITY OF TIGARD . _.
BUILDING DIVISION PERMIT #: PLM2O(W;•(WM
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /31i2ilU
Phone: (503) 639 -4171 l m4.' tt,
Inspection Requests (24 Hrs.): (503) 639 -4175 N 'LL
INSPECTION WORKSHEET FOR DATE: 2/14/2006 TIME: 2 22pM PAGE: 74
SITE ADDRESS: 11065 SW SUMMERFIELD OR 9 CLASS OF WORK:
SUBDIVISION: SUMMERFIELD APARTMENTS LOT #: 013 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APAR I'MFNTS
DESCRIPTION: Unit 9, instoll washer
OWNER: SUMMERFIELD AS; OCIATES, LLC, PHONE #: 503-646 fi712
CONTRACTOR: RAY'S PLUMBING PHONE #: ,,i60_882_1,3/.?0
Inspection Request Scheduled For: Date: 2/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing lough-in 026825-09 503-310.7187 N
Corrections/Comments/Instructions:
. ci
r
/ � PASS ❑ PARTIAL APPROVAL 111 CANCEL 111 NO ACCESS
IN FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / W ° Y Phone #: (503) 718-