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CITY
ELECTRICAL.PERMIT
CITY' OF TIGARD
PERMITS: ELC20C"-00055
DEVELOPMENT SERVICES DATE ISSUED: 1/31/2008
13',25 SW Hall Blvd., Tigard, OR 97223 503-639-4171 PARCEL: 25110DC-01000
SITE ADDRESS: 11015 SW MEADOWBROOK DR 7 TONING: R-25
SUBDIVISION: WILLOW BROOK r ARM LOT : 014 JURISDICTION: TIG
Project Description: Unit 7, install service for washer&dryer.
_RESIDENTIAL UNIT — TEMP SRVCIFEFDR=RS v � MISCEL",%"0US _
1000 SF OR LESS: (' 200 amp: PUMPIIRRI#,ATION:
EACH AWL 500SF: 201 - 400 amp: SIGWOUT LINE LTG:
LIMITEn ENERGY: 401 - 600 r p: SiGHALWANEI_:
MANF HMI SVC/FOR: 601+amps-1000 .olts: MINOR I-ABEL (10):
SERVICEIFEEDER BRANCH C;RCUITS AWL INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER.: PER INSPECTION.
201 - 400 amp: st W/O SRVC OR FDR: 1 PER HOUR: 0
401 - 600 amp: EA ADD'!_BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: _ _ _PLAN REVIEW SECTION
1000+ amp/volt: `>=4 RES UNITS: — >300 VOLT NOMINAL:
Reconnect only: SVC/FDR>=225 AMPS:w CLASS AREAISPEC OCC: �—
Owner: Contractor:
SUMMERFIELD ASSOCIATES, LLC JET ELECTRIC INC.
%NSC REAL ESTA rE PO 90X 20765
1500 SYv 1ST SUITE 102.0 PORTLAND, OR 97294
PURTLAND, OR 97201
Phone: 503-546-5712 Contact#: NRI 503-258-1715
FAX 503-258-1716
FEES
Description Date Amount Reg#: ELE 26-1068C
[HRELC]Hourly Electrical 1/31/2006 $14.38 LIC 14)920
[HRTAXI Hourly 8%State 1/31/2006 @1,25 SUP 4517S
Total $15.63 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations containr�d in(hg Tigard MuWcipal 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 thbn 180 days ATTENTION: Oregon law requires you to f)llow rules adopted by t'jE Oregon Utility Not cation Center. Those
rules arp set forth in OAR 952-001-0010 through OAR Q52-001-G100. You may!.ibtain copies of these rules or direct questions tto�O.UUNC at
503 6699 or 1-8 �cz�
p, Issuedued By: Permittee Signature_
OC
N _ OWNER INSTALLATION-ONLY
The installation is beir.q made on property I own wt ich is not intended for s ale, lease, or rent.
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OWNER'S SIGNATURE: _ ,. _ DATE:
_m
W CONTRACTOR IRIS-70.i_ATION ONLY
SIGNATURE OF SUPR. ELEC'N: _ DATE:
LICENSE NO:
Call 503-639-4175 by 7:00 a.m.for ars Inspection that business day.
This permit carts 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.
JET ELECTRIC INC 5032581716 p• 3
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CITY OF TIGARD PLUMBING PE`.ZMIT _
DEVELOPMENT SERVICES PERMIT#: PLM2006-00035
13125 SW Hall Blvd., Tigard,OR 97223 503-639-4171 DATE ISSUED: 1/31/2006
PARCEL: 2S 110DC-01000
SITE ADDRESS: 11015 SW MEADOWBROOK DR 7 ZONING: R-25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION- TIG
Project Description: Unit 7, install washer
CLASS OF WORK: NEW UARBAGE 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 [[IRPLMj Hourly Plumb 1!31/2006 $14.38
PORTLAND, OR 97201 [HRTAX; Hourly 8%St: 1/31/2.006 $1.25
Phone: 503-546-5712 1 Total $15.63
Contractor:
RAY'S PLUMBING
15200 NE CAPLES SUITE C REQUIRED ITEMS AND REPORT$
BRUSH PRAIRIE,WA 98606 -- --
Contact# : PRI 360-892-8700
FAX 360-892-9644
Reg#: LIC 33217
PLM 37-149PB
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9 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cortes
m and a;l other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
Wnot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
-J requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 '-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503-246-6 9 or 1-800-332-2344.
Issued By. Permittee Signature:
Call 503-639-4175 by 7:00 a.m.for an Insractlon 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.
0123/2005 14:52 50352436P1. TIWD BUILDING DEPT PAGE 02/03
Buildin; Fixtures t�rm" "EI ED
PluMbiing ,PgLMit AllEP
City oiTigard 'JAN 2 6 20 _ �^^
13125
SW Hall Blvd„Tigard,OR 97223 r w
Phone: 303.639.4171 Fwc 303.391.1960 Olbw Pamdt w;
74-Near Inspa 'on Line: 503.639.4170 y OF T1 DO"may:___ 2 b.
Into mi, w".zi.dpard,or.m TIM r%IXTrIt
Neiitl*i/a4alaa1l / NlYnaaRaa
E3 New construction ❑Dcntplllim Fw svr ei}acA1M
-- Dmartteloe L47.
[]Additionhkemon/replaeemael GrOthw{I _ A1ew I.2-haNr dW@ (indrda 100 R An each udlity ow"Moon)
SFR(17 bath _ 249.20
p 1-and 2-family dwelling ❑Cntt modal/hulusdfal SFR(2'1 bath 330.00
E3 Accessory building u4fY
kmily Edi(3l beth 399.00
C3 Master bu0derOtho:_ -- Each widitional bmmbdsan 4300
❑ PIN sprinkle(_sq.A.) Pt1as T
SW"an_wn
Job site addraq /4j A�--co—HmDow `Tye 4i ,r coo Gain a ar"fndn 16.60
City/StafeJUp: Q.� Lryweil.Inch Ifn-or ftm:h dein t6.60
5uitc/blda,/apt,no.: Ytojeci nam PMW! drwin(no.Hmw R,_� PW 2
Manuacand holm udlt tt 110.00_
Crrnq streKmirections to Job s1k. 16.60
Rain drak Connecta 16.60
Sollwo Wows(no.Naar It:�� _ par 2 -
slam low(no.It"a ft: 1 Page 2
Subdivision: Lot no,: 'tow""We(no.11"IF Q: Pye T
�• Tax map/pond no.: Mon or Hm —
�., s' AMsrFrton calve 16.60
hat
0 �1 47r.1 01= �M�1SHE1L_ P BtdrnuMrvolve 16.60
Closet wasser _16.60
tNsMwasha 1660 ^
Drinkfng ItArMn 16.60
{�• ` 'J.� , `�''_�' +� EjoatnrJ�rnr 16.60
['� Name: . . t• ?mss S L �— -
r;, ',g,' (c.�.__ E,glruldon4nk 16,60
�lJ Address: � 1. �+ S 1 Ffxtrrc scwe _ _ 1 S 60
ChylStatalZTP �� Q 7XO _ now baftt/tloor afahllmb _ _16.60 -
Phonb:(510,11 - ly Z Fp;6wo ) r - ' tlarberae dlrtpv�al 16.60
a r T"wow' Hn+cbt6_ T X6.60
Ice make 16.60
Rusincss name: w A" CV w -T VL, (IJ �-
IrreorocQtor/aretas tnp f,60
Caltad nwm - --
Mtdlalpa(vakc:f� ) 2
f1 Addtmut: I_ffc1uc�J 1014A VIF Pffft � — 0
City/8tate7,TP: Rt c) Ef t!'�UA9 '4-x- Roo *Wn(anmmsrial) 1640
Phone. )5 Fa.: (op) 6 16-30 9kW�b44kWavatvry _ 16.60
To
d � b/shpwer/ihowwpa
cAy4lh'kMl
�:•.; prates clnset 16.60
8uainet„none: 1
Ik IJ Cr Wabr b Mae _ 16.60
W Address: 200 Sy-ti, - OUler: (L _ r
Phone;(3(,e? Z_ g 700 FpR: ) •�1�Y2 Mlnlmtm plmtit fbe: f12.S0
Z- RsW&mr lel bndcfluw TinMmm pemit f ft 53623 14,
CCB Lit: Mumbillg Lk.no.: Plen review 125%o(p.stmft fba)
Authorized riots rn• _ Afsla surclar�e(fll6 of pemit M)
Tar,�I,PGRMIT FEB
Prfnt Warne: 1� Date:( / � "b pemit applka"m"It"K o permit M Iwt ubtslned""IN
'�- 11-lilay}alter k sb bets scerpW n-ant fe.
*Foe mr&o ojy,et by Tjq-County Building In&my Aerviee board,
c2•�� M�kR� of j�b��� �►►-�.E,, M0.1616T►rs'Cl/COMrvr�)
CITY OF TIGARD __ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2006-00048
13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 DATE ISSUED: 1/31/2006
PARCEL: 2S1 I ODC-01000
SITE ADDRESS: 11015 SW MEADOWBROOK DR 7 ZONING: R-25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: I hnt 7, install dryer vent.
CLASS OF WORK: OTR FLOOR FURN EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES _ 0 - 3 HP. DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS-
FIRE DAMPERS?: 30 -50 HP: WOOUSTOVES:
GAS PRESSURE: 50+ HP. CLO DRYER::
FURN < 106K 13TU: AIR HANDLING UNITS_ OTHER UNITS:
FURN >=1OOK BTU: — 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
SUMMERFIELD ASSOCIATES, LLC DAscription Date Amount
% HS(-; PEAL ESTATE 11-IRMEt `Hourly Mecha 1/31/200E Y $14.38
1500 SW 1ST SUITE 1020 [HRTAX1 Hourly R Sta 1/31/200( $1.25
PORTLAND, OR 97201 ------- _
Total $15.63
Phone: X46-5712 —-
Contractor:
SKYWARD CONSTRUCTION
15908 NE 10TH AVE REQUIRED ITEMS AND REPORTS
RIDGEFIELD, WA 98642
Contact#: FAX 360-546-1630
PRI 360-546-1629
Reg#: LIC 158289
CC
F-
07
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
J all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
m started within 180 days of issuance, or if work is suspended for-.lore than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center Those rule,:are set forth in OAR 952-001-0010
LU
through OAR 952-001-0100. You may obtain copios of these rules ci-direct questions to OUNG by calling 503-246-6699
of 1-800-332-2344.
Issued By: Permittee Signature: ,
Call 503-639-1175 by 7:00 a.m.for Insp.ctions that business day.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection,
Mech Fermi* A
City Of Tisa d UB V DM.Dene/"" t'enm'N
n� ��,,,,//�.�
13125 SW Ifall Blvd.,Tigard,OR 97223 Ma Re (! �� —_.w(.�d1 =
Phone: 503.639.4171 Fax: 503.59$ 1960 Da fly other Permit
Inspection Line: 503.634.4173 JAN 2 6 , Do,.RE1dymy 0 See Fabe 1 for
Inl«neC www.ci.tigard.or.us Naifie&WIethod. Ser tallafermaden
CITY &
e Mechanical pe ,it fees•are hascd on the value of the wort:
El New axlstruditxl ❑Addititxt/al►crntie>tt/rcplalxm
/ perfitrmed.Indicate the value(rounded to the nearest dollar)of all
❑fkmolititxt �( Im—ec.h�anical materials,°Wi men�Inb— ov_h—a .and
Poft.
CATEGORY OF CONSTRULMM Value..f
❑ ❑Commercial/industrial 8110131 GNY'IAL WIPAIV11l'
I-and 2-family dwelling l SYliliMS 111G1CSa
❑Accessory building
ElMulti-family ❑Master builds Pw apecta/6�ornrnrton rue checklist.
❑other. Desai for
_ JOB SITE INFORMATION AND LOCATION � HeatIM /coolla
Job site address: s
I r� Air conditioningseplan
ho hat pump
Y fires site an showin aamem 14.00
City/State/T.1 Furnace 100.000 BTU duoulvents 14.00 _
-- �l!-�AiZf7 Fumaal00000+BTU duw/venu 17.90
Suite/bldg,/apt.no.: Pmjec(name-5yu {:
Gas heat PUMP 14.00
Cross street/directions to job aite: Wzjl m t Dud work 14.00
Hydronic hot water system 14.00
Lesidentist boiler(radiator a
h dronic 14,00 _
---- Unit haters(fuel-type,not electric),
in-wall in-duct suspendeA etc. _ 10.00
Lot Flue/vent for a�of above 10.00
Subdivision: '— no.: —_ —
Other:_ 10.00
Tax map/parcel no.: Other feel aoolfanca
DESCRIPTION OF WORK Water hater 10.00
10.00 -
nrz �¢�Ff _ Flue vent for water hater or gas
or lace_ 10.00
-- -— Logighter(gas) -- 10.00
Wood/peltct stove ^ _ 10.00
Wood fireplace/insert__ 10.00
dFF;0—r=TV OWNER O TENANT Chimn /liner/fludvent 10.00
Name: 7U Fi Q i7—�JC X:a �tr C
Other: 10.00
C_!v a 1� _n E.viroamentelexhalra.rdve.BJatlo■ _
Address: - Rangc Is"other kitchen
S V w 'At'S� �d� equipment — 10.00 i
city/State/71P: SZ N L 97 Zp` Clothes drier exhaust 10.00
Single-duct exhaust(bathrooms,
Phone ) �- r' Fax.
1 Z ) `S �, ( _Wild oom _at unlit rooms _ ti.b6
APPLICANT _ CONTACT PERSON Attidcnwlspace fans 10.00
-
Business came: Other: 10.00
SNt )AlL7 nit �_ iU I►JL_ Fuel p1plal
Contact name: C�4AD SSAP for lint four;
$1.06 for cerci atldlUoaal
CL a ,( Furnace de. _
Address:t lU s n(s I p-T f� !r Gas hat pump _
H CitylState/711": I t P{ 9gb�z Wall/suspended/unilhater
Phone:( ) �j`►�O f�kjL Fax::(360)J46 -��3U Water heater
Fireplace
J F-mail: �ryl� C0/7
Ruse
m CONTRACTOR _ Barbecue _
WEusiness name: �Q �cel L'L,�c o Clothes (gas
�^ Gth«: L F.
+
L
1J O (1� /6�! 74 i __ MI CRANWAL PRRMIT I t
/ZIP GES' 9S{`��- ------____. - iablotele:t Fax: �) t • '-=' it fee(pa.3A)Plan review(23 6 ofpermit fee)
tic.: t3q y AilO State surchuge(9%of it fix)
_ TOTAL PERMIT FEE ,
Authorized signature 11111111�� )4w��, — Thh permit application espirn Ifis permit M net ebtah within It
days after it has been accepted sa complete.
Print name: j,(�,�f� /_I - )�!�(�i�(�j [�tte:/ j� i Fce me4hodnlo�set by Tji�o�agy ldie 1 oc Bond
-�; a ,a ui2s er�J� 7long i I�.
i\nuilAinplPermirx\PfE('-vemwlpp e« 12101 PfAm i 7 J = �.`,.�i
Mechanical Permit ARn iKation - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: PervAR Foesfee
51.00 to$2,000.00 Minimum 57_2.5_
0 �
$2.001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30
for each additimal$100.00 or fraction
_ thereof,to and including$S OO! qq.
$5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and
$1.80 for each additional$100.00 or
fraction thereof,to and including
$10,001.00 to$50,000.00 $231.50 for the first$10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof,to and including
$50,000.00.
$50,001.00 to$100,000.00 5771.50 for the first 550,000.00 and
$1.25 for each additional$100.00 or
fraction thereon to and including
_ S 100,000.00.__
S 100,000.01 and up $1,396.50 krr the first S 100,000.00 and
S 1.10 for each additional S 100.00 or
fraction thereof.
Note: All new commercial buildings acquire 2 sets of plana.
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i:\Building\Pcrmits\MFC-PermitApp.doc 12/03 2
CITY OF TIGARD
BUILDING DIVISION PERMIT 0: E LC2M OW.,6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11311M)
Phone: (503) 639-4171
Inspection Requests (24 His.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7l1�117(xlt TIME: e:�l'Ivf PAGE: fA
SITE ADDRESS: 11016 SW MCAUf ROOK OR 7 CLASS OF WORK:
SUBDIVISION: WILLOW E1f200K ( M LOT#: ()I,I TYPE OF USE:
PROJECT NAME: Sl►MMEF2FIELh APA TMk N f�+
DESCRIPTION: unit 7, install service f Asher f{, dryer
OWNER: SUMMERFIELD ASSOCI F,a, I_l C, PHONE #: 5():��id6!i7 I;t
CONTRACTOR: Jff E(;TRIC INC PHONE C 5)32581715
Inspection Request Scheduled For: ate: i��11f)t Pour Time:
Code # Inspection Description C firm # Contact # Message
1?Q I les1in.:?l fouoh iu 0)(; I; 01 !'0 t�1'10 110/ 14
01
Corrections/Comments Instructions:
IL - - -- --- -- __�
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PASS ❑ PARTIAL APPROVAL [] CANCEL ❑ NO ACCESS
FAIL [] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -�— _ 9�1 ___ _ Date:V' _� Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISfON PERMIT#: MEi;1ppE;t f1Q413
1315 SW Hall Blvd.,Tigard. OR 97223 DATE ISSUED: 1/3 I/: X)G
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/I4/2006 TIME: .) )Ii�M PAGE:
SITE ADDRESS: 11016`',W MLADOW iROOK DR '1 CLASS OF WORK:
SUBDIVISION: WILL OW HROOK FARM LOT#: 014 TYPE OF' USE:
PROJECT NAME: SUMMERFIF.LD APARTMFNT�1
DESCRIPTION: Unit 7, install dryer vent..
OWNER: SUMMERFIFLD ASSOUATES, LU', PHONE #: 'A11,;.646-6/11
CONTRACTOR: `;KYWARD CONS i-RUC;TION PHONE #: 3fq ry4C* 167.ti
Inspection Request Scheduled For: Date: _r/tq/7(►ilt, Four Time:
Code # Inspection Description Confirm # Contact # Message
Mechanicat c>uyh in t "0 vk 10 ;tri/ N
Corrections/Comments/Instructions:
5L;wo
f ,
PASS [] PARTIAL APPROVAL CANCEL [] NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ,ASSESSED
Inspector: _ V rel _ _ Date:_ �� Phone #: (509) 718-el Y2—
CITY OF TIGARD ® - •
BUILDING DIVISIONPER'JITM7OO(;Cl{�g6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3 10006
Phone: (503) 639-4171
Inspection R3quests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7114/200Ei TIME: 2:72 PAGE: (12
SITE ADDRESS: '11016 SIN MLADOW13ROOK DR 7 CLASS OF WORK:
SUBDIVISION: WILLOW DROOK 1-ARM LOT k: (11,1 TYPE OF USE:
PROJECT NAME: 0MMENFIFI-D AFAR I'MFNTS
DESCRIPTION: t Jnit 7, intAAI wnshet
OWNER: SOMMFRFIELD ASSOCIATE',-1, l,l_t,, PHONE W So'�.fAra f 112
CONTRACTOR: PAY'S PI t)MBING PHONE #: :3%()92•t3100
Inspection Request Scheduled For: Date: 7/14/7006 Pour Time:
Code # Inspection Description Confirm # Contact# Message
Plunihiml lough m 0768741 603.310-7187 N
Corrections/Comments/Instructions:
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0�4ss [❑ PARTIAL APPROVAL ❑ CANCEL [] NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: �� Date: � � "' Phone #: (503) 718- __ ���