Permit C ITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: P 17/200 -00082
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� ° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/17/2006
PARCEL: 2S110DC -01000
SITE ADDRESS: 11135 SW MEADOWBROOK DR 1 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 1, install washer.
CLASS OF WORK: NEW 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
% HSC REAL ESTATE
1500 SW 1ST SUITE 1020 [PLUMB] Permit Fee 2/17/2006 $24.25
PORTLAND, OR 97201 [TAX] 8% State Surcharl 2/17/2006 $1.94
Phone : 503 - 546 - 5712 Total $26.19
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
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„;..99 or 1-800- 332 -234
Issued By: ow — _ „AO _• _ Permittee Signature: 077 /IA ca-
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.
•_. i2/ 1b/ lbbb 15::15 'l ibbb4r1b;110 • SKYWARD GUNS I HUU 11UN HA*. 1:12/U2
02/10/2000 3.1 :50 FAX 5035981960 CITY OF TIGARD rit 004
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•
j°111Mbillg rerrnit Application rt:r i,1: i. n.I. 0\I
City of. Tigard
A ffgrjffh _► ?emit Nat L . y Az . , , ., A , - . 9-
t3luSW /fall B1vd. OR 97223 VienReview Otheehmat
Phone: 503.630.4/ 71 Pus: 503998.1960 - fir
2A- Hour Inspection Line: 503.639.4175 • e;/4!� ( ` '/ 1;. > + j, l_ S. t ? 1
I nteract; www.eigeted e
-orgov -
- rgypg WORK .' `. ... 6TH{- :SC,ttld,D
. ale ehecidiat
❑ New consernrrioa
2Z1tien �;�tptlon [� Qy 1 4 1 e 4 I Total
•
❑ Additionlaitxtstioaheplat:emcat _ • Nrw.1- 241sou'ly dwellings (Includes 100 R for each uI Jicy common)
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• CAlliGORY Ok' CONFRLICY10N, .. , ,' , ;.: . t, ■ 'Li. 9PR {1) bath 24920
Q 2- family dwrlliog ❑ ' whistle! SFAS) WI 350.00 .__. •
ul ti- family MO) 't '99.00 .
D Y ►>,dtalas But onai b►> ieasma 4s.60 ;
❑ M a R e a r hm'ldor ❑ Other. Fin spunkier ( a4 I Page 2
• • 300 Oft tlasQ 724 1ON'.tft's.ocAitoty • S1totil •
rob site address: 1 I 1 • it • tO rJ ° • i ' en:es halo or area drain 16.60
-f 1h'wtll,letoaline,ortcaoChdrain 16.60
Ci 15estel7� + � tJ� / � �
{ �
Voting drmn (no. now tti �) Page 2 •
SlliteNd6JtpL no • ad Project _ h.►:!.L �►' --"'� '
34en4ihclumd home stll in 116110
Cross tmaeVdflcadena to jab site a �, .; Psa'' Mnnbetea 16.60 _ •
GPI Re; dtbi0 connector 1 6
&missy sewer (no. how R: .._1 Pare 2
Stern smear (n . 1ines* ft ) I PM 2
StabdivESiot 1: Lot na: �'� savloe (m_ liveac il: ,, _ J �� Z
-- Fbtvo or loam
Tax maw titm Absorption value 16,60 •
. •.IJREC81PTLON OF WORK. • ,., r: • 8+:t:tlow=venter Patel •
....R.,.., 1.4. e, --. F O W:tjla?- - ' DOOLvtter NM 16.60
GAMS Macular Il . 16.60 -
Din•svuher 111 16.60
Dmddngfocmttin 16.60
.OaNs
' • I • • CI *ATtt • • --'-' vasmmo r 16.00 •
'
N '� a _ ' r ;�• G ty . z. .- Ersansiont�k 16.60
�., c i* Pb:baelaewerc o 16.60 •
CIty/9<Atc/Z:1Y ..,. .R •, ( Flea dfainMooralektlt►l 16.60
•
i 6 --- 'ta Fax ' :.l - ' -- e ' - -,s.. ' Nan b ib 16.60 i
Hess bib " 16.60 MEI
[b'OPI. CM T , . ; ( CONxACr• 'rellEjson la maker 16.60
tininess name: f u- y pLp Cj - e.1e" j - t✓a . ip sJ lnteree ml/5am 172e 1660 -.
•
contact %tom: C-4-1 'VW- iiii.34-4 Idlet''al ipe (whit: S____ 3 �NITs i
•
Add= j • 0 N>r Cj G E nis MI 16.60
•
eityist 1dxlr: 0. •,,_ ag._ LAI . c., = Reefdmin(emumerNd) r 16.60
Siuilbasinilavarory IIIII 1 &w
nom (tea) - • - - - Fmc : Gam • '•k_ -14,- ' tVx d+owatkOmiefp _ t6.60 •
&mall: clno e......'S , - r'wn .• ( - c•+w UAW , 1660
.coed ∎croR ... '. • W.peroloeat 16.60 '
1311545e "The: ? r ? t I A Dv, n / --r heater
Ottrr. 111 16.60 -
•
Amore: o
City/Srarel : CiA,CII Pr 4.1,r : K Lin 9 eO C C Min rNam pvnnitbac S'
Fax• ( -36O) 5 2 1 ldondal baaxaow Wilburn ncrn tier: $36.25
x(36 �p moo - 9 �G t- Ras
r
CCM Lie.: 33 1 Phvnbin L1c ntl: 3 7 .! /' P e
smog nureherge (896 of penult the) e�,
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A horized *mane: � ..- 7 TOTAL PRRILer s'RR F . . 11
Pti° na mr~ Sv c
DM rho permit app lfaa e>�Irm If u permit h pot olwlned wlee:n
>1t10 do I1c gRer $1up 66672 oaepttrQ ea aamplols.
r =te methodology set by TA-County Building Indnsty Service Hoard
s waadl4Nana:.+w+.r.PennliApurr+ 1140/45 440.43101TIoraa00wals)
T' 17{796 268 096 2utgwnTd sRed d82:E0 90 0T clad
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: PI Ivi: 006- (��;032
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/200/3
Phone: (503) 639 -4171 �,;,' � '�
Inspection Requests (24 Hrs.): (503) 639 -4175 , °1 I I..
INSPECTION WORKSHEET FOR DATE: 7 ./27/2006 TIME: 7:0.IAM PAGE: 82
SITE ADDRESS: 11135 SIN MEADOWBROOK DR 1 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUM)VIERFIELD APARTMENTS
DESCRIPTION: Unit. 1, install washer.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #: 60'3. 546.5712
CONTRACTOR: RAYS PLUMBING PHONE #: 360-892-0700
Inspection Request Scheduled For: Date: 2/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 027592 -04 50 3- 310.7187 N
f Correction /Comments /Instructions: ( 7 „..
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e t-to_5 -- •
(1
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0 ,,,, 1 7
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ Date: 2 6 Phone #: (503) 718- *-1-742' I