Permit C ITY OF TIGARD PLUMBING PERMIT
P ERMIT #: PLM2006 -00041
DEVELOPMENT H BMEN9 Tigard, R9 2CES -639 -4171 DATE ISSUED: 1/31/2006
PARCEL: 2S110DD -00109
SITE ADDRESS: 11023 SW SUMMERFIELD DR 4 ZONING: R -25
SUBDIVISION: SUMMERFIELD APARTMENTS LOT: 013 JURISDICTION: TIG
Project Description: Units 4 and 5, install washers
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 2 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 [HRPLM] Hourly Plumb 1/31/2006 $14.38
PORTLAND, OR 97201 [HRTAX] Hourly 8% Sti 1/31/2006 $1.25
Phone : 503 - 546 - 5712 Total $15.63
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 -669 or 1- 800 - 332 -2344. ,, D
Issued By: Permittee Signature:
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.
i
) A/2006 14:52 5036243681
- TIGARD BUILDING DEPT PAGE 02/03
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Building Fixtures ;W Fc Ely ED
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City of Tigard
EIMMET
1 ,JAN WI r i r bk 04
13125 Sw Ball Blvd., Tigard, OR 97223 '''' - nen Review
Phone: 503.639.4171 Fax: 503.598.19R_. ,.. ,_, . - ;.., Other No.:
,
24- HWY impaction Linen 503 ,639.417 ur y• or i 1..r,,A1 - A I Date Ready/ST VA, ED see Pane 2 far
Internet vrww.ci.dgard.or.us , Notified/Metbock A ir , Supplemental In formation
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For yecial irrformatfon are checklat
0 New construction 1:1 Demolition
Description I °DIY. 1. Ea. I Total
0 Addition/sIteration/replaccmcnt 17 811111 en VIASSiiat... 4 New I- 2-famlly dwellings (includm 100 R. for each utility connection)
,,,. ,.,•n• • - • • • • 44. ..V.• ' -
SFR RI bath 24920
0 1- and 2-family dwelling 0 Commercial/industrial SFR (2) bath 350.00
SFR (3:I bath 399.00
CI Accessory building 1341U-family
Each additional bath/kItchen 45.00
0 Master bunder 0 Other -
Fire sptinkler L_ sq. ft.) Page 2
iOfk .' '::22rN.'•:•..: sit plum
Job site address l //c3 A 6,,, 64 , F -, ci... 7)0...., Catch basin or area drain 16.60
City/StaterLIP: Aiz „.„ , 0 , A ... .0 , a 5 " Driweil. leach line, or trench drain 16.60
..,
Page 2
Suite/bldg,/apt. no.: Project name Footing drain (no. linear ft.: _I ci pp Lth44-AV
Manutictured home utilities 110.00
Cross streeUdirections to job site:1),ai.AAualetho Da... Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.; ____) Page 2
Storm [levier (no. linear I: _.) Page 2
Subdivision: I Lot no,: • Water service (no. linear ft.; ) Page 2
Fixture or item
Tax map/parcel no.:
.. Absorption valve 16.60
,: :,.. ; ....,:;....;,.:: s.T•t;;:tkckfolftgiptSitife t' •yT:::;.",;....7 ; B a ck flwprcvter
Page 2
0 CAT- V-17 KI-Dpil-‘4 • Backwater valve 16.60
Clothes washer A 16.60
Dishuaslicr 16.60
•• .!• ‘'., ,.... ::
• - ,.. • V-- ..1. Drinking fountain 16.60
16.60
I 31)1.-aa.:3C. i * ' !w/o " - ' te- ix--- Expansion tank 16.60
Address: (2 il- 2.,„,e a 65Q-, - - 9 7 ---d ' S i l- c,--2,0 Fixturoscwer cap 16.60
City/State/ZIP:Poi 0 c e____ q 7 2 „ 1 Floor diain/floor sink/hub 16.60
i
7g 2. Fax: ) 442
603 ' -- g - Ae" i Garbage disposal 16.60
..-..; •••:;••• is .:•, . ... .4 • . ,;,-.7.: .. . ..t .. ,..r e to kitier it Hose bib • 16.60
16.60
Busisicss name: Sy_y Ago c gb2- 1.7.1 c.- Intcrocatortgrease trap 16.60
Contact name: c tiv:-aiLd Medical gas (value: $ ) Page 2
Address: i 5 kJ' " so -- r k A Primer 16.60
City/State/ZIP; p.. es1„.0 , ( p/A- cie64-2- Roof dmin (conunercial) t 6.60
Phone: NO 546 -*2„ sinkibtamaystory
( %o) 54‘ - 16 - , , - 16.60
Tub/shower/shower pan 16.60
E-Tnail C.41Ctet (4 . 1 .(5fr - .46u4 rcig3n6 .. COM
Urinal 16.60
. . ,•7' 7 ;'1 . :".. • .'!t A • 7:', "..• l': ',■ ..' .. -.-----7
.. . . • . • • 1 • .. .. -•••••■-• Water close 16.60
Business name: ..P i 1 s p e ., , 7 ,5 c Water h.nuer 16.60
Address: i5 20 0 pa- cia i.„-- 2 5U LTS C-- clier: ORLY //J /?den-
City/State/ZIP: i ' ' P .f 2 Ptl i , -
. . , .,.. •
_ Subtotal
Minimum permit fec; $72.50 4 36
Phone; (36e) Ce3,Ci 2_ - e;70 C.) Fax: , - c.)) 2, 2Q - 9G+4, Residential hallow minimum permit fee: /
CCB Lie.: - 53 3 i -i Plumbing Lie. no.: -B7._ 1 • tkc pv,________ Plan review ( anent* fee)
Authorized signa
State surcharge (8% of permit fee) /* A
/ 4 ____
TOT-A14ERMIT FEE
Print name; C ; r / IIMIA I Date: / 2., Jr Thls permit application expires if a permit Is not obtained within
180 days after It has been accepted as complete.
*Pm methodology set by Tr-County Building Industry Service Board,
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CITY OF TIGARD t
4 ‘
BUILDING DIVISION - PERMIT #: Ij[.M2006.0001i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 113/_)0�
1 7t f.
Phone: (503) 639 -4171 ; '`' 'A t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7J14/7006 TIME: 7:22PM PAGE: 77
SITE ADDRESS: 11023 SW SUMMERFIELD DR 4 CLASS OF WORK:
SUBDIVISION: SUMMERHELD APARTMENTS NTS LOT #: 013 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APARTMENTS
DESCRIPTION: Units 4 and 5, install washers
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #: 503 - 646 -6712
CONTRACTOR: RAY'S PLUMBING PHONE #: 360_892.13700
Inspection Request Scheduled For: Date 2/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 026825 -06 503- 31U7187 N
Corrections/Comments/Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ Date: 7.0 r Phone #: (503) 718- 2�2—(r