Permit CITY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00054
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/9/2007
PARCEL: 2S 110DC -01000
SITE ADDRESS: 11235 SW MEADOWBROOK DR 1 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 1. Clothes washer.
CLASS OF WORK: ALT 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
BY SUMMET REAL ESTATE MANAGEME
5320 SW MACADAM AVE [PLUMB] Permit Fee 2/9/2007 $72.50
PORTLAND, OR 97201 [TAX] 8% State Surcha 2/9/2007 $5.80
Phone : Total $78.30
Contractor:
RAY'S PLUMBING
15200 NE CAPLES SUITE C
BRUSH PRAIRIE, WA 98606 REQUIRED ITEMS AND REPORTS
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: /Z#t/L44,... t Permittee Signature: l " ` e...0 t.,;711
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.
02/08/2007 09:07 3605461630 SKYWARD PAGE 24/31
Feb 07 07 03:01p Rays Plumbing 360 892 9644 p.9
02!e7f2007 14:41 Fek 0 1 3.0- '" - / SKYW+4RD CONSTRUCTION PAGE 09/16 11 tali
1 1ti---
, lumbin Pe1'11Q1t 1 1 1 pialt S i n 0 8 2001 t't Ix trr.l. '. t ;r (
City of Tigralyd. 2001
. 1 � — JD M 1 I_ t1 ' BOO 1 ,
• 13129 Sw Hall Blvd, ? Q ;23 i � '
t P1m Rev MAN Outer Permit No.;
' T 9. 75 ' Roan: S03.639 VV1961)°.:a� D. : ,
tnmoetion Line: sn3. Y` ry prl1� Dm psnA�dHr, E!
1 ''' '.' Internet: www,ti - TI .Te roir G 1,), :/Medwdt rIl
❑ Now destruction ❑ Demolition For3graief in onnet+on was epseklitl.
lwcrl• - ion + Ea. Total
❑ Addttioa/eiterrai00/raplacism tit ❑ Other: Nut 1- 2- family dwdttiits'inelvdrs 100 ft for each volley comtatlm)
OM 249.20
Q 1- and 2 - 13tnlly dwelling ❑ Camm ceii1Ai du*Mal 5FR (2) bath I aso,00
SFR (3) batb 399,00
r AcccSSOn' ❑ Multi-S n;1y Each eddiTlnnalhedt/lolchea J 45.00
C] Mists: builder. (21 other Are !Milder C sq. It) Raga 2
J ob site address: 111235 SW MaItduwbrooI Dr. each basin or sr.® drain 16.60 —
CityiS;,'do/ZIi': 73pltrd, OR 97214 Orywetl, leach line, or tcona•1 drain 16.60
8uitebl ! Footing drain (no. hem tt:� Page 2
dg apt, nod 01 1 Pealed l lama: Sn mmet'ftcid Apts
Manufactured hmne utilities 110.00
Cross street/directions to Job site:
Manhplm 16.60 i
•
Fain drain connector 16.60
Sanitary sewer (no. lineal ft., ,^_) ['age 1
Storm sow (tio. linear it: P*Ac 2
ylindi'.•ician:
j Lat 1e..: water ,cruse (no_ linear ft: _,_ ,) MI Page 2
Them or Item
Tzz map /pared no.:
... Abaalptlon vdl ve 1060 •
- {vt' ;: .; j ` ... . -. " " ?'' F; : :. ..'.i. BackhQw roar Page
Supply /Mann DWV d: water pipiDing for clothes dryer 1 . Backwater valve 16.60
' Clothes wither her I 1 16.60 16,R)
Dishwasher. 16.60
stns
Ih ialdrg Yaua 1040
. ....:'.,:,,:.; .r.:..' "......... 16.60
1t tmc Ii 5C Real Estate. Inc . F.ftpansion tank 16.01
Address: 1300 SW First Avetaue, Satre 1020 Pianeelocue -cap 16.60
Cits•1State/7aP: Por imla, OR 97201 Floor drainliloor slnitRlub 1664 .
Phone: (503)6464712 Pen: (503)5465341 Garbage disposal 16.60
' 16.60
I, - -u lee maker 16,60
113unincsa MIMIC: Skyward ConstrveNeta, Tne Iahxeptorrgtearte trop 16,60 •
Contact name: Chad Walker , Medical fns (vdltte: b) Fea8C 2
r Address: 159081£ 10 Avetsre Primer 16.60
• Clry/Stera'Z1P: Ridgefield, WA 98642 Roof dmid (commercial) • 16.00
I Pltcnc: (360)546-1 Mort :; (360) 54C►.16a11 3inldbaslnAavatery 16,64 Mil
Tub Rheum/showet pee I0.64
I .-mail: cbsd oelslprwnrdeomsttrvetiom.eom urina t 16,60
14!i..;y: <. .2'r v..; MTh e:.r. „n,.. . ,.16 ,, WMCT Clash 1660
Business name: sissy's P1omb;mg Water heater 10.60
Addles: 15200 NE Caples, Salts C Other -
Subtntil
City /SLile/ZIP: Brush Prairie. WA 98606 _
- Minimum poi i 1 Eke: 572S0
E Phone: (360) 0924700 Fax: (360) 892 -9644 Residential backtlow rninInnumpcinit tbe: 536.29
CCB Lie.: 33217 a Plunlbin6 l,ic. no.: V - i PiT II Mai review (25% of permit foe)
signature: ,..„,Authorized _ l State snrchartte (WA of permit ax)
TOTAL PIiRMTT F1313
Prink some: `i, Le. vane-- 1 Date:,. o-- The permit nppne nuoa aspires If apermit to not neyatnae wtttlie
180 days slier it hen been =mired as complete.
s Fm mctlmdolnpy se. by Tci -Caunty Building ratluetcy Service 13orrd.
tmlunt r ern straf orreNATosloe Ofileffid 4413.4atnTCyrtrrt ONAMR) 2
CITY OF TIGARD
I BUILDING DIVISION PERMIT #: PLM2007 -000M
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/2007
Phone: (503) 639- 4171 , o 1 W�t1 l � l �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 68
SITE ADDRESS: 11235 SW MEADOWBROOK DR 1 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APTS
DESCRIPTION: Unit 1. Clothes washer.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #:
CONTRACTOR: RAY'S PLUMBING PHONE #: 360 - 892 -8700
Inspection Request Scheduled For: Date: 4/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 046134 -25 503-310-7187 N
Corrections/Comments/Instructions:
CQ n - v" 91,-1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C7 rn / U`^ -i- Date: (--/ I I'a 7 Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION 4 PERMIT #: PLM2007 -000FA
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/3/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 2126/2Q07 TIME: 7 :00AM PAGE: 67
SITE ADDRESS: 11235 SW MEADOWBROOK DR 1 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APTS
DESCRIPTION: Unit 1. Clothes washer.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #:
CONTRACTOR: RAY'S PLUMBING PHONE #: 360 - 892 - 13700
Inspection Request Scheduled For: Date: 2!26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 043847 -06 503-310 -7187 N
Corrections /Comments /Instructions:
1r ' ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /
p � , ��{./ Date: � G G n Phone #: (503) 718-