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CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: P31/200 -00039
13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 DATE ISSUED: 16
PARCEL: 2S 11 S11G 0GDC-G 1000
SITE ADDRESS: 11285 SW MEADOWBROOK DR 7 ZONING: R-25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 7, install washer
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 1 BACKFLrW PPEVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FVXTURES _ 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 IHRPLM]Hourly Plumb 1/31/9On6 $14.38
PORTLAND, OR 47201 LHRTAXj Hourly 8".4.St: 1/31/200b $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
I'I.M 37-149PB
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other Gpplicable lawa. All work will be done in accordance with approved pians This perm.will expire if work is
m not started within 180 days of issuarca,or if work is suspended for more than 180 clays. A.TTENYION: Oregon law
1UU requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules art, set forth in OAR
—J 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or 6' Pct questions to OUNC by
c2!!irg 503-246-6 or -800-332-2344.
Issued By: Permittee Signature: L-21 ._
Call 503-639-4175 by 7:00 a.m.for an inspac tion that business day.
This permit card shall be kept In a conspicuous plectl on the job site urrtil completion of the project.
Approved plans are required on the job site at the time of each Inspection.
bi/23/2006 14:52 5036243681 TIGARD BUILDING DEPT PAGE 02/03
Building Fixtures 11�GFIVFD
Eluinking rermit Aip
City GfTigard 6 a &
I 1/,, 2 RMTX ';3 01! -7- 7p, V
13125 SNV Hell Blvd.,Tilpird,OR 97223 Plan Review Olber Permit No.;
Phone: 303.639,4171 Fox 503.599.1W DOWTY
r*9 Rgs"T.
14-Hour I-"peWtmLke: 503.639,417CITY OFTI
1111011149. 1-111 VVY T C,
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0 New carist,vcfiN
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Desetdoe
I FA_ L TAI
_ffAddition/filt-Mlion/re011eMent New I-Itomily dweml!p(includes!00 A fiveach utility connection)
SFR�(1.1 beth 249.20
511
[31-and 2-15=fll dwelling 0 co"Imeminvimiustall SPR(2)bath 35000
❑ _r 3 L11 151111h 399.00
Accasory building Fkr.ftT;-ily
Muter bunder ❑001CF: additiamil 4510
❑ Fkt sq�R.)
lob site Rddras:;, ijr-
.,4 CRO basin of WN drain 16.60
5 Ame, &-fty1�
city/stalevv --ric,
r! &'_ Drywell.Inch Ilse of trench drain 16.60
SuitAldgferpt. lo.; Project 22±mdrain(no,linear It: Fop 2
MaimIlictured home utilities 110.00
CIT04 wftwguelions to job site.* 16.60
Manholes
Raw drain cMnWW 1560
Switiry mc*LT(nes liner ik
Sturm tqw(no.linear ft.: Page 2
Vista service(no,Ilywer ft;
Subdivision: T Lot—fto. Fk"n or ffm
Tim map/p..*1 no. Absorinoti vdvt 16.60
tp
Paget
_V-Lv� ju BwkwhW valve 16.60
Clothes T#Iqher 16.60
VishwKshor 16.60
Drinking lbufftln 16.60
oz"
KUPH F F"'W',
Name: expandmiank 16.60
Addmi,
Fixtewwwer mip 16.60
Chy/St8tM/ZrP-TbW_:r-L'4(1J 2- DIE, 13 7XV 1 Fkw&OVIlm FrinkrMb 16-60
Phmm;56,
16.60
Ica maker 16.60
Bu3fncm flame: 4,, P-O Cc-,w-Limp— I M C- I.Woort'Wrownp 6,60
Contactnenle'(j4-f ]q/ Medictl go(vake:11 PW2
IL Addrw: ffqoe,& Prime16.60
Cfty/31mIe/7,w`p; r.L(O&FPt Roof dmin(oommercial) MOD
Sink/bettintlavatoTy 16.50
U) P11MV; NO) Few- 2. �) '5A 16-3c,
TuMbawtrishower pm 16.60
ihW 160
Water 6164d 16.60
Buginegs name:
W
Wow h saw 16.60
Addrew L5 20 C, P15- _CAffl %j cl F_W C_
c1ty/Statealp: AN
— 152_kj� W.Pr Sibiotm
MIn1msmp&rr4tfbv-. 172.50
phanw:(36,dl 2-- 8 70 0 1 Fou 636o)2P 2-CIC, Raiddentlei ba*Aovu miftinnirn permit fie: $3613
CCB Lie.: pr5:2.1 Pluiribing Lie.na,�-714 Plan ft-Wew 125%Operml
4P
surcherse(11%ofliffmi 60) Pr
Authorized s Z)t
T17FZPERMIT FEE 14.&3j
Print name; , Vy 2; TMs permit Tip—Iles n"pi'll Na permit 1'a not Onolled"Uhl.
10&M after ft bse been steepled as complete.
*FeernvtbndalMsz by Tri-Ccvnty Snilding Induslry Service board,
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CK OF TIGARD ^^ ELECTRICAL PERMIT
�( PERMIT#: EL.C2006-00061
DEVELOPMENT SERVICES DATE ISSUED: 1/31/2006
13125 SW Hall Blvd.,Tigard,OR 97223 503-6?J 4171 PARCEL: 2S110DC-01000
SITE ADDRESS: 112.85 SW MEADOWBROOK DR 7 ZONING: R-25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 7, install service for washer and dryer
RESIDENTIAL UNIT TEM_P SRVC/FEEDERS _ h MISCELLANEOUS
1000 SF OR LESS 0 - 200 amp: PUMP/IRRIGATION:
EACII ADD'L 500SF: 201 - 400 amp: SIGN/OU T LINE.LTG:
LIAIITEC'ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MAN1 HMI SVC/FDR: 609+amps-1000-olts MINOR LABEL (10)•
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 9 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amn: PLAN rEVIEW SECTION
1000+amp/volt: >=4 RES UNITS; >600 VOLT NOMINAL:
Reconnect only: _ SVC/FDR>=225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor:
SUMMERRELD ASSOCIATES,LLC JET ELECTRIC INC.
%HSC REAL ESTATE PO BOX 20765
1500 SW 1ST SUITE i020 PORTLAND, OR 97294
PORTLAND, OR 97201
Phone: 503-546-5712 Contact#: PRI 503-258-1715
FAX 503-258-1716
FEES
Description Date Amount Reg#: ELE 26-10690
[HRELC]Hourly Electrical 1/31/2006 $14438 SIC 141
920
[HRT'AXI Hourly 9%%State 1/31/2006 51.25 SUP 45177S5
Total $15.63 � REQUIRED ITEMS AND REPORTS
This Permit is issued subject to'he regulations contained in the Tigard Municipal Cade,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 startad within 180 days of issuance, or if work is
suspended for more than 130 day:. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are st forth in OAR 952-001-0010 through OAR 952-001-0100 You may ob!ain copies of these rules or direct questions to CUNC at
503-248-6699 or 1-8 3 2344.
IL Issued By: Permittee Signature: 0%�q (�-B'w
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U)) _ OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
J
m OWNER'S SIGNATURE: DATE:_
t7
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:--
LICENSE
ATE: —LICENSE NO:
Call 503-639-4175 by 7:00 a.m.for an Inspection that business day.
This permit carts shall be kept In a rnonspicuous place on the job site Cantil completion of the project.
Approved plans are required on the job site it the time sof each Inspection.
JET ELECTRIC INC 5032501716 p. 3
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CITY OF T I G A R I MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2006-00055
13125 SW Hail Blvd., Tigard, OR 97223 503-6394171 DATE ISSUED: 1/31/2006
PARCEL: 2S1 1ODC-01000
SITE ADDRESS: 11285 ;W MEACOWBROOK DR 7 ZONING: 11-25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: I Init 7, install(Iryci vett
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
FUEL TYPES _ 0 - 3 HP: - DOMES, INCIN:
3 - 15 HP: COMML_ INCIN:
MAX INPUT: BTU 15-30 HP:
FIRE DAMPERS7: 30 -50 HP: REPAIR UNITS:
GAS PRESSURE: 50+ HP: OD
CLO DRYERS-, 1
S-,
FURN < 100K BTU: AIR HANDLING UNITS C
FURN >=100K BTU: <- 10000 cfm: — OTHER UNITS:
> GAS OUTLETS:
10000 cfm:
Owner: _ FEES
SUMMFRFIELD ASSOCIATES, LLC Descriptiony - Date Amount
% HSC REAL ESTATE IIIRMECj Hourly Mecha 1/31/200( $14.38
1500 SW 1ST SUITE 102.0 [IIRTAXj Hourly 8%Sta 1/31/200( $1.25
PORTLAND, OR 97201 _^
Phone: 503-546-5712 —- Total $15.63---
Contractor:
SKYWARD CONSTRUCTION
15908 NE 10TH AVE REQUIRED ITEMS AND REPORTS
RIDGEFIELD, WA 98642 - --
Contact#: FAX 360-546-1630
PRI 360-546-1629
Reg#: LIC 156289
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of One. Specialty Codes and
'J all other applicable laws. All work will be done in accordance with approved plans. This permit wil!expire if work is not
m
started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires
UJ you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010
through OAR 952-001-0100. You may obtain copies of these rulPc or direct questions to OUNC by calling 503-246-6699
or 1-bOO-332-2344.
Issued By: n�7.td��' Permittee Signature: `t(el--I"
Call 503-6394176 by 7:00 a.m.for Inspections 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 949 at the time of each Inspection.
Mechanical Permit AWNEVNI.-
Iff
City of Tigard :�4 0� P�rmia No
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 Ptah Review Other Permit.
DaadBy
Inspection Line: 503.639 4175 JAN N 2 6 7 Date Ready/By, lu ra s«page 2 for
Internet: www.ci.tigard.or.us NaiSrNMethoQ (�. Snpplemeotal Information
CITY(A I'll ciA
— COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
El New construction ❑Addition/alteratian/r'epllaace►7met - Mechanical permit fees*are based on the value of the work
�y,� performed.Intlicatc the value(rounded to the nearest dollar)of all
El Demolition G-7r0ther.i,cl06t�-� � mechanical materials egaipmen labor,overhead,and profit.
_ CATEGORY OF CONSTRUCTION Value:1 -�
Ll I-and 2-family dwelling ❑Commercial/industrial RESIDENTIAL EQUIPMRNT/SYSTEMS FEE--*
Accessory building
[j Multi-family Master builder ❑Other:❑ ForspeclallRJ6rntvllon use 4hecklUl.
--_-- Description oty. F.a. Total
JOB SITE, INFORMATION AND LOCATION Utetiall/toollal
Job.ite address; a Jl ) tl� - Air conditioning or heat pump
--- (requires ata an showing plaxment). _ 14.00
Cil,iState/ZIp Furnace 100,000 BTU(dduaa/vents) 14.00
"t"�C.,AW 6� v Furnace I00.000+BTU duos/vena 17.90
Suite/bldg./apt,no.: Project name -
Gas heat jxamP 14_00
Cross street/dirertions to job site: text t-Il< Duct work )q.00 -
----.--AHI.. _. -- - —
H dronic hot water system _ 14.00
—__ Residential boiler(radiator or
h dronic) 14.00
-- — - Unit heaters(fuel-type,not electric),
in-wall,in dud su netc. 10.00
Subdivision: Lot no.:
Flue/vent for anyof above 10.00
— — Other: 10.00
Tax map/pares-!no.: — Other reel appllaaen_
DESCRIPTION OF WORK Water hater 10.00
Gas fireplace 10.00
�y�N6 bF _ Flue vent for water hater or gas
Ateploce 10.00
----- —
Loit li hter(gas) _ 10.00
wood/ let stove _ 10.00
Wood fir(, lace/insert 10.00
PROPERTY OWNER ❑ TENANT Chimn /liner/fluelvent 10.00
Name:nUU tFl CW— xx tg �l.C Other: — 10.00
d-./o Environmental exhanot and ventiladon
Address: ' Range hoodlother kitchen
.S c7 V'` J q09 I6n,Lr6 10?c —_ i meat 10.00
City/State/ZIP'Tyqtq-CjP-Top+ Z '17 2r-j 1 Clothes tarltsus► _ 10.00
Single-duct exhaust(bathrooms
Phone — ) (y Fax:t'rj9j )'j�(o ]?� toilet compartments,utility rooms 6.80
OV&PLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business namOther: 10.00e: � r�((�_ Foci piplat
Contact name: � � S5.40 for first four:S1.C9 for tach additional
IL Fumace,etc.
Address:i. ci �-_ me i on Ave Gas hat pump _
NCity/State/T_IP: I ,i 7B&I Z- Wall/suspended/unit heater
Phone:( ) 6J�� ����� Fax::0bco 4, U Water hats --
_ E-mail: J Fir lace _—
t /x!l/ •-) ��^7 Ran e
m CONTRACTOR Barbecue
— 17
W usiness name: Clothes dryet(gas)
d �
B . o�T!V[=Tt Other: _ L a
Address: �� ', - _ MECHANICAL PERMfT FEES"
Cit}-/State/7.P:;4V 6- j / g$E¢Z subtotal
Phone: ) 4� I`,�� Fax: t ) t(-� jtrj --_ aAir� permit fee(Wa.5 s
Plan review(25%of permit fee)
CCB lic.: J _ State surcharge(8%of permit fee) a
^ _ TOTAL PERMIT EEE
Authorized signature: t ^— This permit application expires H a permit b not obtain d within t a
_ days after It has been accepted as complete.
Print name: • Fee methodolo set b T i n y B ildin Irl S ce Bond
-Date: �, 4R6 a-'i�J '�r�or�-moi +E
i 18oildingtPermitsUHPC-PermitApp doc 12MI '•15, Imt3 Ch /1 /A 'a 1110-efi 17l(,I 01(COM1f/y(F9L n 04 0 f`l 1� � � ��•L� f_Ar.µ
CITY OF TIGARP I* -
BUILDING DIVISION PERMIT«. �,�� ,l)iJ04,1
13125 SW Hail Blvd., Tigard, OR 97223 DATE ISSUED: 1/3I�:1{)()f;
Phone- (503) 639-4171
nspection equests (24 Hrs.): (503) 639-4175
INSPECTION RKSHEET FOR DATE: W I10, 0i TIME: 221'M PAGE: F;1
SITE ADDRESS: 1�H!a SW MEAWWMO(.-)K DR 1 CLASS OF WORK:
SUBDIVIS�� 1.1>1N E#20UK f-Af2M LOT N: Ij 11 TYPE OF USE.
PROJECT NI St MF.R*IFl.D At'AR I'M FNTI,
DESCRIP I(�rv: Unit install servire for wa0ier and dryer
owhER: SUMMk IF.LD ASSUCIATE5, LLC, PHONE #: tI
CONTRACTOR: .IC.r EL.E IC INr.;. PHONE #: q 250 1111,
Inspection Request Scheduled For. Date: 2/14/)006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
I?(I F l attic.l too!)h in 02.1.-171104 !,03.310.1191 I�
1tiCA t-►rJ�l
Corrections/Comments/Instructions:
oc
J -
m
w
7N PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCES3S
❑ FAIL Ej CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
^1
Inspector: Date: _ _2-4 Phone #: (503) 718- _
` M
ci-rY OFTiGARa
BUILDING DIVISIONPERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 1/3lrltlUf�
Phone: (503) 639.4171
Inspection Requests (24 Hrs.): (50) 639-4175
INSPECTION WORKSHEET AOR DATE: 7114/111t)f, TIME* a .�)I,I�t PAGE:
SITE ADDRESS: 11 Mi SW MI=ADO M kO )K.DN, l CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT#: 0 1,4 TYPE OF USE.
PROJECT NAME: St1MMEI2F11-1_13 APAI41VIUN'I
DESCRIPTION: ()nit 7, install washcw
OWNER: SUMMFRI'lF:L1) A13SOCIATES, LLC, PHONE #: , .AG.tyl l!
CONTRACTOR: RAYT1 PI-I1ME3l1lG PHONE #: 1Gt?qq R7t1t)
Inspection Request Scheduled For: Date: 7�1�I/�QflfPour Time-
Code # Inspectiun Description Confirm # Contact # Message
:t)fl Plumbing tough in 0)682!4(A `?i03310 7101 N
Corrections Comments Instructions:
t
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL L( CALL FOR INSPECTION [] ADDITIONAL FEES ASSESSED
d
Inspector: \ — Date: ! Phone #: 0 718-
CITY OF TIGARD I*
BUILDING DIVISION PERMIT#: w2w&00056
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2006
Phone: (503) 639-4171 j k
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/14/2006 TIME: ? 71I w PAGE: 70
SITE. ADDRESS. I'00f)(-,W MLAIx)N3k0(.)K DR 7 CLASS OF WORK:
SUBDIVISION: WILLOW 100OK FARM LOT#: 014 TYPE OF USE:
PROJECT NAME: LIMMIERFIFI,D APAJ2I"MF-NI'S
DESCRIPTION: I lnit 7, install drye►void
Ow"FR: SUMMERFIELD ASSOUATES, U-C, PRONE #: 503-546E-712
CONTRACTOR: "XYWARD CONSTRUCTION PHONE #: 36(ytA&1C7f.1
Inspection Request Scheduled For: Date: 2/14/7006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
MM.hanic.al rough-in 076821-04 503.31117187 N
Corrections/Comments/Instructions:
•
Mk AP
L -
C
N
D
U
`�❑ PARTIAL APPROVAL ] CANCEL ❑ NO ACCESS
❑ FAIL (] CALL FOR INSPECTION ❑ .ADDITIONAL FEES ASSESSED
Inspector: -�'"_ Date: -1�we_.� Phone #: (503) 718-
-
I