Permit CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00092
'' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/17/2006
PARCEL: 2S 110DD -00109
SITE ADDRESS: 11055 SW SUMMERFIELD DR 6 ZONING: R -25
SUBDIVISION: SUMMERFIELD APARTMENTS LOT: 013 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 Surcharl 2/17/2006 $1.94
Phone : 503 - 546 - 5712 Total $26.19
Contractor:
RAY'S PLUMBING
15200 NE CAPLES SUITE C REQUIRED ITEMS AND REPORTS
BRUSH PRAIRIE, WA 98606
Contact # : PRI 360 - 892 - 8700
FAX 360 892 - 9644
Reg #: LIC 33217
PLM 37 - 149PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503 - 246-66 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: d")/ 'ice Z
•
Call 503-639-4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
/10/11d 11b 15: 5 15b 1b4bib:Sb SKYWARD GUNSIIIUUI lUN NAVE tit /b1
• �. 02/10/2006 11:50 FAZ 5035981960 CITY OF TIGARD 2004
. .
Pl11 bill per on st n► t It. r: t OM
—City olTigard F,' ..® O t t OM PamttNo. IP „ '10 '
131155W Hall Blvd., Tigard. OR 97223 PlanRaviow Otlsexl4smltNo:
Phone: 503,639 . Tax; 503.598.1960 eti +' 1 •.. : .
24- Hoar Impaction Liao: 503.39.4175 Q 4" . ' J.I. Oats Reedynbe EMI Id See Pogo Z ter
into toe www.tigatd-0r.gov ttoafiexUMedtod: 6.pplen.entellefunsullun
• TYPE :OP *prex.' : .' , 9W '.SCk1B Vi. k-,. • , '
❑ New cone:m.61m 0 0 ..• Alen For .. • • , we cheat in.
.a; • On ., t�.l�i
❑ Additianlaltetatien /replacemlmt >7 a NNtrev.l- 24406ly tlrvcU$gs (laeh+dos 100 R for each utility connection)
I ' 'CAT7:GORY Of CONSXR11CTL014: :'.. I I e!. SSW) Taath 24920
❑ 1- and 2-family dwelling ❑ - •• •• - ' mdtutilal 3Fittz) bath 330.00 •
(1 SF't j3) both 399.00
D Pw omy ►>
aoudldlag Bart additional bnth/kttobcn 45.00 .
D NW= baa'ldcr • ❑ Other: Fln sptlnlc t—_ s4 fl.) pa 2
• ' 309 M1 % 3NSORMATi Aft'tOCATEOrI • st a1ilitiQa • rob site address. a _ ` s.
e I. e • s..:0 'DR-. Cr et bash or area drain 16.60
City/Stan/ZIP: ----- f , i8 I) ' ( r lggEIMIIIMIIIII _Dt,•'wen, lcsati bee, or trogla drain 160
t a.n+ng dime (no. linear ft! —1 Page 2 •
SItitdbldg 00.: - a , Prtectnam :K s4-4! - MalwEaeturod home etitfiir3 110.00
Cross oeaetld$rrodOQss 6o jab &c jt 1 at ► ' ?• rv'1 Me nbeles 16.60 em dra .
•
L) .r
Elm conitet tee 1 •
Sanitary sewer (no. Fnrea r R; r .,__) Phi e 2
Steen sewer (no.l'trtearft.: ) Paget •
Subdivision; Lot no.: ��r service (no_ linear IL: „) � Page ?
Pillars or Rent
Tax mapJpuzel a0,; Absorption valve 16.60
• �. DESCRIPTION OP. WORK .: Barkfla a � Pane 2 •
• • tw..� '1" 7_ X • 6. - wt Baal:moor 1660
Q$t s wagher I 16,60
Ditlwuher 16.60
Milling 16.60
OP EMI.ORQ6.B 1 ' • : D : V1 AFN :' :. • Li;elor. --- _ 1 6
•
— Q =_ _ Fxzu+sism took • 16.60 ,
t W Pletracheyerx ca0 16.60 •
aty/SMeel7,l4! • • lik C . 1 Ma dain/flocs slnklhub 36.60 deli Grimge t5sposal 16.60
6 — '► Z F>u ,.r 1 — - -. ... ' — " Nese bib • 16.60
UlanLICANT . ', • aliCZ l'#'AC7< F. ifAtx.or4 la maker 16.60
' buoreelxattero to woo 16,60
Cont W attle: : (�r Mecigl gat Value 9 _) pogo 1
Address: 0 • Na. Cj�•l 1 z Prima 16.60 • •
City/StateraP: •• • e. . •'" , r . 1..... Re Be drain (eatnnorclal) 16.60
�_ Sihi4blteinllavatory 16.60
p4tone (fie) 4544? ' 4g Roc : )) " j (v Tlx plat 16.60
is mn (_'' .... - . '.a. c0 ' - .�.tiw 11tirni 16.60 •
• p0N'1I�tAC7CQlt Wow elm% 16.60 '
)3nsittees woe: - Fa 1 r , J ( to ,,„1 n / 16.60
Addrem: Cl ,
c Subtotal (�
crey�s�wz� • : P r-: ` n ',60, �`
minim.. pa.mtt Am $12,x0 l .2 .4
Peon, Q6 0) , ' 7 ' D O Fax: () G ti) $'' Z ' y ` Restdondal bedtime mfoimum Oerrtdtfte: S3d•25 •
CcB Lit.: 3.3 'Z l ? Plumbing Lit. no. 3?. pi y P a Plan kwfaw (Mt of permit file)
Stew eorehorge (896 of permit the)
Authorized sipaaturc: �� �� �
�� TOTAL PERMIT FI?5
Print rams~ _ f7 CR �/ /t /C SO^ I)a� The permit application centres tin pcsmis Wi
ptxm►t is not ohm ued thin
^ 3110 dnya after it Ito been accepted m complete, •
"'''.re methodology set byTrl.Coumy Building Industry Service Board
t:wul>dlatNan• :ar+,rr.NntiMIhm w IMAIS 440441 rfl0'emOOWa'>ia1
1 • d •�►9B 269 09E 2 u c qwn 1 d sRed d82 : E0 90 0 1 qad
F TIGARD Pc i�
CITY OF A BUILDING DIVISION P ERMIT #: 2 0d c, _ coo I'Z.
13125 SW Hall Blvd., Tigard, OR 97223 1 DATE ISSUED:
Phone: (503) 639 -4171 �..►111I1
Inspection Requests (24 Hrs.): (503) 639 -4175 . '!!� P:_..
INSPECTION WORKSHEET FOR DATE: TI (PAGE:
SITE ADDRESS: Q J 4 � - i % , �s �
/ l SS OF WORK:
SUBDIVISION: LOT #: 0)TYPE OF USE:
PROJECT NAME: '
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 — lo — 0 4° Pour Time:
Code # Inspection Description Confirm # Contact # Message
32-0
C /Comments nstryctions:
1
1
y
i
PASS •❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
J L v
Inspector: 1 4 ) Z— Date / L Q Phone #: (503) 718- W