Permit A � irAl
a CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00044
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/9/2007
PARCEL: 2S 110 DC -01000
SITE ADDRESS: 11025 SW MEADOWBROOK DR 4 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 4. 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
BY SUMMET REAL ESTATE MANAGEME Description Date Amount
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: � m Permittee Signature: ?Pk ety '
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 1 7/ 31
Feb 07 07 02 :5 Ras Plumbing 960 892 9644 p - 2
02/07/2007 14;41 1364;E O - E ! FA RD CONSTRUCTION PAGE 02/16
Plumbing Permit Apv1lcatioJ 3 0 8 2007 r (ill t,rr1 <'r ,,i,. 11,1,,
City ntTlSerd r r , Received Perak No.: .2/01 r 0 61,510
13125 sar NAU Edvd., TI o
o Plan R '
f Phone 503.639.4171 i �0I.S5;81Yo . i 1 t �
'�T 117j �; , Mar Pwmir No.: •
I'r ;, I fl 11ecd
1spon Line: 503.639.4115 1 f f ' p4,/By, hree I I See I've a far
intCrnet W Ww•ligard -et irm Nott6o69.Ectbml: Re • pinmadA lnfrtrraatten
0 New c o flSifactlpA ❑ .. P :"•:.1 Den101ti100 • ace special Wagnerian foie elfeeirfia.
Dederhaloa I Q. J En. I To1a1
❑ Acldirio*JAltnlallcoirq laoanent ❑ Other: leer l- 2- family dwdligga cnteludes 10011 for web utility connection)
F, 7: , ,- .. y,. - - - . y y ': 77.6.. ' y (1) yob 24920
is }i:......, . -
❑ 1- and 2•tarn ly dwelling ❑ Commercial /iaduatrlal SFR (2) limn, 350.00 _
❑ /cceasory Building ❑ Multi- family SFR (3) ball _ . 399.110 -
_ gait additional bath/kitchen 4 5,00
['Master builder ❑ Other.
Fffe �1rlakler t_ sQ. R.} Page 2
MMMIIIIMIIIIMMMIIMMII 9110 7 e0Rtiat
lob cite 2ddre5t1: 11025 SW MmldnWbrOOit Dr. _
_Cobh bntin or MN drain 16.60
City'Shte/Z1P: Tigard, OR 97224 Drywall. tench line,ortreechdfnls 16.60
Suiic.'hldg./ L no.: 04 j Trojeot name: 5afonter�eld r►pts Fading drain (no. linear R.:........) Pnge 2
MMaeda:luted home utilities 110.00 ,
Craps street/directions to job site: ..
Manhgtta 16.60
Rrdn drain ammeter 16.60
Sanitary newer (no. linear 14,: Page 2 •
Storm &ewer (no. limit il: _ J Page 2
snLtditision: Lot W a t e r scrviac (no, linear ft: ___J Page 2 -
Fixture or Ifni
'ta-.1 mnpipurcel no.: _ Absorption valve 16.£0
S :',1:::,,';','... , ..., •,- P 2
,;;R � ', � ' . .. . - : . . gaekfla�>}rc,xntcr Nit
Supply/netnll 'WV & - Backwater valve 16.60
Clodicg Wisher t 10 -011 16,00
-
Dlshwrobet 16.61)
Drirldngfoumtain _ I 16.1,0
..'`';.?: N 1' 11 .. rt. .,.0 i Ejectors/sump 16.60
Kama: MSC R Entote, Yee Expansion ennk 16.60
Address: 1500 SW First Aacoae, Salt! 1020 _ Plxturthowcsvap i6.60
' City/Stare/ZIP: Portland, OR 97201 ?leer drain/000r 1)b 16.00 .
Mann: (S03)546.5712 Fcur_(503)546 -5301 Carlene {spend 16.60
1 6410
Cti „ :i -, . .r' :F. irxmaker _ 16.E
Business norm: Skyward Construction, Inn - Interecp o /grease trap 1640
Contact name: C1t1d Walker Medicalgni(valmr$ - ,) Page
Address: 159081 10 AVenUt Primer 16.60
. Ciry/Stttc2TP: Rldgelfoltl,TVA 98641 [;aofllrai0(oommetrial) 16,60
Phoalt; (34D) 546- 1625 ICw.: (360)5.46 -1630 Sink/baelflrlaretory L6.60
_ Tobtshuvcr/Ntowcf pan 16.00
E -mail cbadas1>ywnrdconst?Oetltm.COrn tried 16.60
16.60
Eeainerm name: Ray's PTmnMng wader heater • 16.60
Address: 15200l' E Caple5, Suite Other.
9ubtaeenl
eiry/Smrci fa: Brune Prairie. WA 986011 Warman permit flee 572.50
Phone, (360) 892.8700 Fax (360) 892 -9644 Residential haclrfl w n1lnitnumyermit fee: 53625 -
I GCB Lie : 33217 /
• Phi nbing Lie. n0,: Sq. -r aj P Plan review (2...4% nfpermit tcc)
stieohOrj a (U% orvermit tea)
l,uthvrro�' 4., State TOTAL M ?AITFEE 7i .5l
[ nave ° La.t.tc e..., Pate" Iiii01„ Th:s penult application expires if n permit is non&mined w{tbin
180 drys after ie bas been 'tempted as complete.
+Foe me iodelepy rat by Tri- County Building haunt ttyy Service doanL
t;[ 'ylkiml(,Permitt1P.3amen9'Nipda om &T 4r!uiln?tiD TOM/wFA)
r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00044
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 319/2007 TIME: 7 :01AM PAGE: 73
SITE ADDRESS: 11025 SW MEADOWBROOK DR 4 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APTS
DESCRIPTION: Unit 4. Clothes washer.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #:
CONTRACTOR: RAY'S PLUMBING PHONE #: 360-892-8700
Inspection Request Scheduled For: Date: 3/912007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 20 Plumbing rough -in 044544 -01 503-310-7187 Y
Corrections /Comments /Instructions:
,
' ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: )'11 Ill Pi Date:5 Phone #: (503) 718-
(1
CITY OF TIGARD ' - .,
BUILDING DIVISION PERMIT #: PLM2007 -00044
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/9/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I �—
INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 66
SITE ADDRESS: 11025 SW MEADOWBROOK DR 4 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APTS
DESCRIPTION: Unit 4. 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 -27 503-310-7187 N
Corrections/Comments/Instructions:
CA/1- rrv4.1-->t , 94.
XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Q3 $Y Date: t� 1 et j-c 1 Phone #: (503) 718-