Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2014-00125
T(GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2014
Parcel: 2S110DD00109
Jurisdiction: Tigard
Site address: 11065 SW SUMMERFIELD DR 10
Project: Summerfield Condominiums Subdivision: WILLOW-BROOK-FARM Lot: 15
Project Description: Installation of 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 direct ques o OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued y: • Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection 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 4:43PM Modern Plumbing No, 4189 P. 2
03/24/2014 03;35 50359 9e CITY OF TIGARD PACE 02/03 El u r ri
Plumbing Permit Applica n kJ
Building Fixtures APR 17 2014 t ' I \1.\
City of Tigard :� r„ v `� �7 / ' -v_) Perra4NO.; ,u'' 'Gl0/a5'
ill.M 13125 SW MI 91vd.,Tiggrd,OR 1172131 TIGAR Pty,pDriav
Phone: 503.7'182439 Fax; s m snl)'IRi1 At D>tle/t3y: olhcrPertnitNa:
l'I t i!,! t) Inspection Line: 503.639.4175 Hart Reed/9y MOPE ®Sec Page a for
Intcmot: www,tlgerd-or•guar{ y� ,� Nolificdfmclhod; `� Sir lernendl Information
' _ - - --FT1 VP,w PK :r,'.••■;'..‘• ..._ -IFEt.i .041 ,,. ••, q::• ..•
C New cvrswctioa El Demolition yr,pct/Lorm:dto use checklist
Deaeription kx. 1 1?a, 1 Toad
a AdditloNniter�tion/replacement 0 Other: New 1.2-famiiydwelllnpt9(includca 100 R.for each utility conneatlon)
. � rl,�r: �•/r7idklGrZa(�N!>�'kr1G11'fOAf`.'. SfR(1)b 312.70
- `:" SFR(2)both 437.79
❑1•and 2•fornily dwelling jCommcrcial/industrial SFR(3)bath 500.32
. 0 Accessory building , 7 ❑Muld•fornily
Each additional bPtll/ktlrhen 25.02
Master builder L+i1 U Other Fire sprinkler(_____aq.(L) P,,c2 _
- _ ?_r-,x.,40: &:I Fo• t-II Ii1W-:ct oNf ' • 8110,11111111441
Job site address: / d• AM M Catch(min or slue drain ,
-- -n ' Drywell,leach line,or trcnth drain 18.76_
L Pooling drain(no.linear R.:,) Page 2
SultclbldgJept no.; ProJcntno • e• a Manufactured hontc _ 50.03
Cross street/dircdlons to joh alto: Of ti.?x•t-(t 13 1 Le 47 Manholes 18.76
�y� . ' ,, • - Rain drain eooncetor 18.7E
`` Sanitary starer(no.linear Il.:_1 Page 2
Storm sewer(no,linear ft.; ) Page 2
Water service(no,linear ft.; •) - Page 2 Il
Subdivision: Lot no.: Fixturenrlicml _ -
Tax mop/penal no„ - 13aekflow preventer 31.27
' _ •mot .'-• .•..:�.,.;• ,r A& 1'OF WOK1�'. •. ; •.
Backwater valve 12,51
W 0 LA � 'kb. Clothes wailer 2502
25.02
prinking fountain 25.02
Ejectors/sump 25.02
17.: • •1 Y'c1SINi;Ii,. • . • •I'•_ D-x7gIVAtV°T Prpans;on tank 12,51
Fixture/sewer cap 25.02
Name:
Floor drain/floor sink/hub 25.02
Addle 3: tjarba a diAposal 25.02 �_
City/Stale/ZIP: Hose bib 25.02
Phone:( ) Ice maker. 12,51
- - Q kP'P,(cA$T. '._. - • "_'Q'cbNrei cr..gPRs[ : . :. lntcrccptor/8rcl�5o trap 25.02
Business name; Medical gas(valuo:9 ) Page 2
- Primer 1 12.51
Contact name: Roof drain(commercial) I 12.51
Address: - - $inklhasin/lavatory 25.02
City/State/ZIPr Solar units(polublewaler) _ 62.54
Phone:( ) Fax::( ) Tub/shower/shower an 12.51
17•mai1: Urinal 75,02
,.---.... • ...._......._.....__.. Water closet 25.02
CONTACTOR .. , , , _
water heater
. 37.5
Bu$incsy Ham !I � 1�LL � !MINIUM-
-- - 2.
Water plping/OW V 56.29
ll '. .1
1. I Other: 25.02
i I , subtotal 10.0)1.
Phone: 'AI )Ilif ti�� �� � Minimum permit fee: 572.50
CC8 L,ie•: 101111 Plumbing Lit:,t34 re II a -- _
plan review (2S%olpcn,rit fee)
State surcharge(12%of permit fee) 70
a.Authorized signature: • TOTAL PERMIT F5
a w R / f 7111 'Ilrh permit Itpplketlon errpirc+ira permit is net ablamed ■ 8
y it AV DPI U� � Date: aller It h■.3 bon nr-ccntpl no complclo•
*F c0 niolhodololor act by Tri-County Building induarry Scrvico Beard.
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
11065 SW SUMMERFIELD DR 10, TIGARD, OR,
97224
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00125
George Heimos
Violation Summary:
Inspector Contractor