Permit CITY OF TIGARD PLUMBING PERMIT
' • COMMUNITY DEVELOPMENT Permit#: PLM2014-00124
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2014
Parcel: 2S 110DD00109
Jurisdiction: Tigard
Site address: 11061 SW SUMMERFIELD DR 1
Project: Summerfield Condominiums Subdivision: WILLOW-BROOK-FARM Lot: 15
Project Description: Installation of new clothes washer.
Contractor: MODERN PLUMBING Owner: SUMMERFIELD ASSOCIATES, LLC
11120 SW INDUSTRIAL WAY BY HSC REAL ESTATE
TUALATIN, OR 97062 1500 SW FIRST AVE STE 1020
PORTLAND, OR 97201
PHONE: 503-691-6166 PHONE:
FAX: 503-691-6771
FEES
Quantity Description Date Amount
1 ea Clothes Washer 04/22/2014 $25.02
Specifics: 1 12%State Surcharge- 04/22/2014 $8.70
Plumbing
Type of Use: MF 47 ea Minimum Fee Adjustment- 04/22/2014 $47.48
Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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 i questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: . 1111,01 Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available ins.• ion 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.
Apr, 17. 2014 4:42PM Modern Plumbing No. 4189 P. 1
il03/24/2014 03:35 5035981960 CITY OF TIGARD r 131/03
Plum Pmit A liCAti EI �.D a�
Building rixtureer s
City of Tigard A DP 17 2 014 Revolved P2 /z/ ,, _..)b Pa„rIt Ho.: �i N�ot�Gbl�5�
at 13125 5W nail blvd.,Tigard,OR 97223 p v Ravin,
w. Phone: 503.7182439 Fax Ya ��GARU OthcrPormitNo.:
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t.t r,r •t) hwpeatlan Line: 503.639.417 Data R y. s5 E Sec Page 2 for
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For special infonnatlon resd checklist.
❑Nary construction ❑Demolition Dueription j 0t . 1 Ea. I Total
.Addition/altar-Mon/replacement ❑0thcr: New 1.2.r mtly dwellIn • locludca 100 IL for each utility connection
a-, :,:x,�::•- - -:f d0. .:311 .1;idiiiTitF)d]EON?, SI'R(I)bath 312.70
■• '. �,, -;' c.. SFR(2)bath 137.78
El 1-and 2-ffrnily dwelling ■Comrrrcrciel/industt'Iol
SFR(3)bath 500.32
• ❑Accessory building Q Multi-family Each additional bath/kitchen 25.02
❑Master builder l ti�¢` ❑ether: Flee sprinkler( sq.0.) _ Pgc 2
';'- dui:2274if .§ iNPOf iiCktfA -LOCATION` ' •. . , site iilliea:
Job site address`s NA _T Catch bnsln or ance drain 15.76
Drywell,leach line,Or Vcndt drain 18.76
City/Slate7iPrA vM ei O '1,y tipoling drain(no.linear IL:___) t gc 2
51%4c/bldg./apt.PEW, Projeotnamo .
' MNturocured home utilities 50.03
Cr(153 shed/directions to job site: nc ►1r o 1f t 1•3 1 I.:i •',r Menhotca 18.76
Of DU t k AL
_
Rein drain connector 18.76
Sanitary sewer(no.linear fl.:_) Page 2
- Mann sower(no,linear R.: ) Page 2
Water service(no.linear ft.;,___ J Pegs 2
Subdivision: 11,nt no.: fixture nr item:
Tout map/parcel no,; DOrkflow preventer 31_27
_ 1
-r-- Rackwattir valve 12.51
- Clothes washer 25.02. -- __-_IF if 4 ♦ _ ! , I nishwsther 25.02
Drinking-fountain 25.02
Ejectors//sump 25.02
., . -. Expansion tank 12,51
... ..... Flxture/scwcr cap 25.02
Name:
-- ?;loot drain/floor slrk hub 25.02
Address: y____ Garbage disposal 25.02
City/Shate/T_1P: !lose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
25.0E
' •'•Q"`Ail?ttclf•rr... ',..-; -'. . :Q c lard. 'C..k'l Ste': .•:. lntcrccptor/grease trap
Rusin ess name: Modltnl gas(value;$ ) Page 2
-- - Primer 12.91
Contact nomo:
- Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: So1iu units(potable water) 62.54
Phone:( ) I Fctx::( ) Tub/shower/After pmt 12.51
Frmail; Utlnal 25.02 _
.__.._.. ........_ _..._.._....._ _.. ,..... . Miter closet 25.02
- • • CON�L iACTOR . . . . . '.
r
• • - - Water heater 37.52
8usinct'9 rwm 0 )L u • 1 I Waterpiping/0VVv 56.29
Address i i / ti MIR= Other'• 25.02
City/Stale/T[ _ r -
Subtotal 412
Phone: 1" _ r� Minimum permit ft: S72.50 11
Plan review (25%of permit fcc)
•r Plumbing Lie.no.. 1 a • �i [�
Stato surchar:e(12%orpermit fee) a 1
Authori2cd sign - -,, `J a ' L� TOTAL PERMIT FEE „
Print e' 4 Dal• Thte permit application expires if n permit i.,not obtained w' eel :•d I.le
`S • Drier it h■►been noccplc'l ow cemplcio.
-Ao *Pce ntod,ddolo¢v a et byTri-Counry Building industry ScrvIc■ Hoard.
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11061 SW SUMMERFIELD DR 1, TIGARD, OR,
97224
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00124
George Heimos
Violation Summary:
Inspector Contractor