Permit ,, CITY OF TIGARD PLUMBING PERMIT
' - � . - COMMUNITY DEVELOPMENT Permit #: PLM2011 -00016
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11GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/11/2011
Parcel: 1 S 133CA 16000
Jurisdiction: TIGARD
Site address: 10998 SW MALLOW TER
Project: Village at Summer Creek, Lot 83 Subdivision: VILLAGE AT SUMMER CREEK Lot: 83
Project Description: Fire protection system, 1460 square feet.
Contractor: CRAFTWORK PLUMBING INC Owner: CENTEX HOMES
7737 SW CIRRUS DR 16520 SW UPPER BOONES FERRY RD
BEAVERTON, OR 97008 STE 200
PORTLAND, OR 97224
PHONE: 503 - 644 -8698 PHONE: 503 - 608 -3060
FAX:
FEES
Quantity Description Date Amount
1460 sf Fire Sprinkler 02/11/2011 $121.90
Specifics: 1 12% State Surcharge - 02/11/2011 $14.63
Plumbing
Type of Use: SF
Class of Work: FPS
Type of Const: VB
Occupancy Grp: R -3
Stories: 3
Total $136.53
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: /A I ' / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
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Plumbing Permit Applicati,LI - t r- ,?ai/ -6n016
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Building Fixtures ,VE ;iiiiiii.,, ';'.;:f it
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::::t' City of Tigard N v 9 2010 Received
Date/By: if 9// / Permit Nr,
$.:, '6' '41 13125 SW Hall Blvd., Tigard , OR 97 .5 of-CI(/ - 6001 •■•
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,,,..., ;;;7,4i.., Phone: 503.639.41.71 . Fax: 503.59b1Q40
111 OF TIGARD Plan Review ;p 4 .,
R Other Permit No .t11.69-0/0 -O/'O Inspection Line: 503.639A175 Date/By: 410JA '
Internet: www.tigard-or.gov BUILDING DIVISION Date Ready/By. See Page 2 for
Notified/Method: 1 iq /1 ) Supplemental Information
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For spechitinformation use checklist.
0 Addition/alteration/replacement 0 Other: Description 1 Qty. 1 Ea. Total
g ,, - r, 4 ,,,,p,, , re , m;,i,, , r, A'40 , EIFM5`;.. zW..,;.....10Kr.N. .%,.t. . , .
4 1 1 C A T E G P W 4 , O F " , CONSTRUGT ION ;-,-- , a ,,,,,,-.:, Neti I - 2-family dwellings (includes 100 ft. t o r e ach utility connection) )
SFR (1) bath 312.70
[X] 1- and 2-family dwelling 0 Commercial/industrial
SER (2) bath 437.78
0 Accessory building El Multi-family
SFR (3) bath 500.32 .,
0 Master builder 0 Other: Each additional bath/kitchen 25,02
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i'iiiilltlenle09AMT AT"9&I,VAIl"i''''''''''''*‘'"'"I''' Fire SPrin kl er ( Aosq. It) / Page 2 , 1
Job site address: /0 ..c 406/ZS re/W/65-- Site utilities: i
, tch basin or area drain 18:76
City/State/ZIP: TIGARD OR, 97223 -
Dry., line, or trench drain 18.76
Suite/bldg./apt. no.: Project name: VILLAGE AT SUMMER CREEK Footim:,drain (no, linear ft '100) 1
Page 2 /
Cross street/directions to job site: CORNER OF SW BARROWS RD, Manufac -. ted'home utiliti 50.03 /
SW l35 AND SW SCHOLLS FERRY RD , Manhole's 18.76 /
' Rain drain con ' ectOr 1 1,8:76/
Sanitary sewer (n • . linear ft.: 100) 1 Page
• Storm sewer (no:lin ‘ ar ft.: 100) 1 Pa •
Subdivision: VILLAGE AT SUMMER CREEK Lot no.: F. Water service (no. line' ft.: 100) 1 P/ge.:2
Tax map/parcel no.: Fixture or item: /
qWfafr;PP?01;:-itraWfr'Vijfk Baeldlow Preventer / 31.27
NEWSFR TOWNHOUSES
t,t3tto:da",,z;-, ',:'': Backwater valve / 12.51
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Clothes washer - I 25.02
UNIT A 1460 SQ. FT. Dishwasher 25.02
Drinking,fountain 25.02
f •Wi liaritifiNff Fject°rsisumP 25.02
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Name: CENTEX HOMES'
Expansion tank 12.51
Fixture/sewer cap ' 25.02
Address: 16520 SW UPPER BOONES FERRY RI), STE 200 ,
Floor drain/floor sink/hub 25.02
City/State/ZIP: PORTLAND OR, 97224 Garbage disposal 1 25.02
Ehise bib 2 25.02
' 7141 ,..iiNaciArrpi,kr ,.,,,1";21t Ic maker i 12.5i
thAtittiVA k
tw,:;,,-gg'itot;-:isitve,,..pg-'c9 PE -ce -----
Interceptor/grease trap 25.02
Business name: CENTEX HOMES
Medical gas (value: $ ) . 1 ge 2
._1
Contact name: GARY CULP
Primer I 51
Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Roof'drain (commerci .. ) 1
City/State/ZIP: PORTLAND OR, 97224 Sink/basin/lavatory 6 25.02
Fax.:'. (503) 608-3061 Solar units (potab water) 62.54
Tub/shower/sho 'Cr pan 2 12.51
E-mail: gary.eulp@,pultegroup.com
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Urinal 2.02
,- ,.
t4 Iikyt iiii
- :E--, P '.;: w ater des; 3 25.02
Business name: CRAFTWORK PLUMBING INC. Water hea r 1 37.52
Address: 7737 SW CIRRUS DR Water piping/DWV 56.29
City/State/ZIP: BEAVERTON OR, 97008 Other: 25 02
Subtotal
Minimum permit lee: $72.50 fk
CCB Lie.: 79666 Plumbin Lie. no.: 20-148PB
.,,,,
4 ... : Plan review (25'4 of permit fee
Authorized signature: )
State surcharge (12% a perm it fee) signature: ' i ' ' '
J.. IFAII/r/M
:M 174•747
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ToTAI PER.Ivl IT FEE /3 f,..g3
Print name: PETER POLLARD Date: .i..70
1.Building \ Permits' I Of01 /09 490-4616T( loguiconinvEn) ■ •