Permit , CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2011 -00015
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/11/2011
Parcel: 1 S133CA15900
Jurisdiction: TIGARD
Site address: 11008 SW MALLOW TER
Project: Village at Summer Creek, Lot 82 Subdivision: VILLAGE AT SUMMER CREEK Lot: 82
Project Description: Fire protection system, 1186 square feet.
Contractor: CRAFTWORK PLUMBING INC Owner: CENTREX 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
1186 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 $136.53
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: ( i /ce
elc)(7/ Call 503.639.4175 by 7:00 a.m. for the next available inspection .date. •
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
* Plumbing Permit ApplicatiolRE( I PCKogo j l -OG6/5"
Building Fixtures s t " FOR ,, igt .USE ON[t,Xg
r � "'3'{` im a r..,,..�.
NOV City of Tigard • 9 2010 Received 4+ IQ
Pei nut No.,g irea l! _ /6 1
11 111 q 13125 SW Hall Blvd., Tigard, OR 9722�' � t Date?t3y, r r Ian Review
Phone: 503 639.4171 fax 503.598.I6dTY OF TIGARD �`irj Oilier Permit No.: dlr SOD r
Inspection Line: 503.6394175 BUILDING DIVISION a „r, g nt
T CARD' G DI Date Read}If3y.
a Internet: ww S uSee t Pa e _ f t or form w'.tigard- or.gov Notified /Method: I (� Sppernctl n nn � ,:: > :,.- , ,at >.e,. ;. ;,`,; r..,„�:.. :- �m����t:a5- �. ,, > . :r<_..sa. 1 `/ '� l j`` a��':. � '1•: Y.g ^� ';..0 � �s$A.t A ... ... tit- ` :i '. :?; # 'tt, ,, `"� '..:.: ...�. y. "- .. . �. ; n.� % a "> k? ' �e � ak • °,� „ ; §',:'- ,.,'<, "� � ..
t l r t- � :1 , ;T ' ' � i. '°, t,_ t n� ', .:. ' -1141 = ; 6A " ;�. FF L _ S C' IILI)i31 r " tilt
t YP o� � , ,i ui ; � ,. , . =gig R �if .r ;&64,
:''e tax�r:2�a,�$����a rte ^.. - .,e. a _ _. �� °z�� ,� ...�sck�re ;?� >vi� �i. ;, � "����� - 4,�x _ 4�3u` ,.>;. r � ;J.a. spar s,- :_s 66,64. � , i E�, .. ,..
® New construction ❑ Demolition For special information use checklist.
Description I Qty. ( Ea. I Total
❑ Addition /alteration /replacement ❑ Other: • New 1- 2-family dwellings (includes 100 ft. for each utility connection)
l ' , "it r x ;5 )CATE GORY / OF CONSTRLiC saes s '.k ,tr ° i ) SFR (1) bath 312.70
® I- ane2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78
SFR (3) bath 500.32
❑ Accessory= building ❑ Multi family __
Each additional bath/kitchen 25.02 I
❑ Master builder ❑ Other: c /lot 1. ft.) / Page 2
Fire sprinkler ( oCp st
- .,�+'.t.� { r �,'. JYGmn" s:' �:>" f' �:: t'.°' � �..: k Y: �'°. �,,;!, 8 0€ ��9.:% 3: ?: rF' r�: S° �.;.,.:<: p...i.�,'t:t.i! »,,':.., .i'� ;�:
G u ,.$ i t l ljb8 4StrE a f3\€",R1b1r1TI0 t I Al L()GA'IxI < , � t, " Site utiliti
Cat basin or area drain 18.76
Job site address: /HOF Me /a) '�e - -1
Dtywe . leach line or trench drain 18.76
City /State /LIP: TIGA OR, 97223
Footing am (no, linear ft".: 100) I Page 2
Suite /bldg. /apt. no.: 1 Prdject name: VILLAGE AT SUMMER CREEK Manufactur.d home.utilities . 50.03
Cross street/directions to job site: CORNER OF SW BARROWS RD, Manhoi6s 18 76
R ain drain connet_>r I, 18.76 .
SW 135 AVf:, AND SW SCI FERRY RD �
Sanitary sewer (no. 1 carat:: 100) 1 Page
Storm•sewer (no. liinear 1,: 100) I Palo 2
` Water service (no. linear : 100) I yage 2,
Subdivision: VILLAGE AT SUMMER CREEK Lot no.:gy__ Fixture or item:. /
Tax map /parcel no.: Backflow preventer 1 31
-
q s $` 4 `r r y % > {• tea, c�* raga * pl 4 3' d ' f r c. E =,, Backwater valve 12.51
l I)`l ? ' f` ikl P t_l I ) s { ..r. 17 E�, SG ,R . < �,p <.N t� , ietit
Clothes washer I 25.02
NEW SFR TOWNHOUSES ,
Dishwasher 25.02
UNIT C 1186 SQ. FT. Drinking fountain 25.02 1
Ejectors /sump 25.02 i
- „ ... 3 s ; ,, ; ns,,..,,,:,A.tta,,,,,. , .- , r > ,.. .4,4$a)`"%„` * . ' "i ,,,,, °: .0 MOW f ..:,.. b:H - ,'�,,,,,g I ? i§ .,.,`, Ex ansion tank 12.51
l l l b )'il�lxlrROPERTY o \y d ;i Iw.. ) t h T ,Et r s t p '
Name: CENTEX HOMES Fixture/sewer ear) 25.02
Floor drain /floor sink/hub 25.02
Address: 16520 SW UPPER BOONES FERRY RI), STE 200
Garbage disposal I 25.02
City /State/ZIP: PORTLAND OR,,97224 Hose:bib 2 25.02
Ice maker I 12.51
�y,.rx ; .� iC s.,�t ;e.�. a ;.a: a?;= .:r -a.; .':;�'` "ash ^': ; ;, >. , .g;, a 2. 5'.02
Itt,: D APPLICANT'S "% i t t 1 t0 lnterceptorl trap
� � ��.�_�_ ._ �..- ,:.��z�������� ��rt1 � �����.�.��! - CONT �I�us�o'v��'������r p
Business _nam_e: CENTEX HOME S
Medical gas (value: $ ) P u'c 2
- Primer 12. I
Contact name: GARY Ct.LP
Roof drain (com mero-41) 12.5
Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Sink/basin /lavatory 5 25.02
City /State /ZIP: PORTLAND OR, 97224 Solar units (potab water) 62.54
Fax: : (503) 608 -3061 Tub /shower /sho 'Cr pan 2 12.51
E - mail: gary.cuip pultegroup.com Urinal 2 >.02
{a -
)ag r t a wilt r.ar,lt t ac Water close' 3 25.02
4.'4 o t r t,.''01% ,1..K k. ;,.,ziiC „l�TR,,i I ,„1, ,`.'z,1 _'16101111 , . a , W ater I 37.52
ll atcr he er
Business name: CRAFTWORK PLUMBING INC. Water piping/DWV 56.29
Address: 7737 SW CIRRUS DR Other: 25.02
City /State /ZIP: BEAVERTON OR, 97008 Subtotal
Minimum permit fee: $72.50 l j j, 40
Plan review (25`/0 of permit fee)
CCB Lie.: 79666 Plumbing Lie. no.: 20 - 148PB
State surcharge (12 °% of permit fee) 3
Authorised signahu c: TOTAL PERMIT MET., 5
This permit appiicaliom expires if a permit is not obtained W hin t8it days
Print [lame: PETER POLLARD Date: °' I f0 after it has been accepted as complete.
/// 'Fee methodology set by TO- County Building Industry Service Hoard
I: i3ui lding \PermitsiPLN11'- PermitApp doe 10 /01!04 440-4616F) iOr02 /comiwi ti)