11295 SW MEADOWBROOK DRIVE STE 3 �f
I �"9
If TIO
I
1
e
i
i
I
I I A937 NOW O ROOK STE 3
I
• t ,
CITY OF �TIGARD RLUMB�NGPERMIT.7
DEVELOPMENT SERVICES PERMIT#: PLM2006-00040
13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 DATE ISSUED: 1/31/2006
PARCEL: 2S'I I ODC-61000
SITE ADDRESS: 11295 SW MEADOWBROOK DR 3 ZONING: R-::5
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Uescription: Units 3 and 4, install washers
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 2 BAf.KFLOM'PR=VNTRS:
OCCUPANCY GRP: R1 Ft OUR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_ FIXTURES LAUNDRY TRAYS: SF PAIN DRAINS:
SINKS, URINALS: GREASE TRAPS:
LAVATORIES: OTHER 1-�XTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: h
Owner: -- ---
_ FEES _
SUMMERFIELD ASbOCIATES, LLC Description Date ~ Amount
% HSC RFAL ESTATE
1500 SW 1ST SUITE 1020 JHRPLMj Hourly Plumt 1/21/2006 $14.38
PORTLAND, OR 97201 JIiRTAXj Hourly 8%Sts 1/31/2006 $1.25
Phone: 503-546-5712 Total $15.633
Contractor:
RAY'S PLUMBING ,
15200 NE.CAPLES SUITE C REQUIRED ITEMS AND REPORTS
BRUSH PRAIRIE,WA 98606
Contact# : PRI 360-892-8700
FAX 360-892-4644
Reg#: LIC 3321 7
PLM 37-1491313
a
oc
ti
This permit is issued subject to the requlations contained in the Tigard Muniaial Code, State of OR. Sr ecialty Codes
m and all other applicable laws. All work will be done in accordance with approved plans. This permit v ill 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 eg,i_dres you to follow rules adopted by the Oregon Utility Notification Center. Those rules :-yq sj-s forth in OAR
95 -000"i-0010 through OAR 952-0001-0100. You may obtain copies of these rules or dire-i questions to OUNC by
rallinq :503-246-069 or 1-800-332-2zA4.
i
Issued By: _ _ Permittee Signature:_A— ^
Call 503.635-4175 by 7:00 a.m.for an inscpecf!on that business day.
This permit card shall be kept in a conspicuous place on the job site unti,completion of the project.
Approved plans are required on the job site at the time of each Inspection.
01/23/2006 14:52 5CJ36243691 TIGARD BUILDING DEPT PAGE 02/03
1
Building Fixture-,F "GEWFU
Plumbing PeLMit
City of Tigard 2.6 vee t tN-M N-
1312.'i SW Hall Ulvd.,Tipvrd,OR 97223
Phone: 503.639.4171 Fax- 50).598.1 Mar Pwnvvft No.:
74-11oujImpectionLinr: 501,639.417M. Downy
Intunw, wwvy.c0;ped.nr.us JUT OF Iri , Deft Remlyfor 0%2"PW3 br
AI Try I F I r Tics,I x "how"kbmwm
Qu f U1,I
New constriction i1or ipwwd&m an Checulk
7 Qly- eta. @7-
rj Additiontakerationfteploomem Omar;41 rHt Now I-2-holly d"eOur(inclisdat 100 A.IbF emcN.utlifty connection)
41,M_ M. 0 m"K.EW-Ti,� , . . I bath 249.20
131-and 2•troilydwelling SFR(1)bath 350.00
0 AccemsorFy building 399.00
❑ Each wld;tioftl baMlichen 5.00
Muter builder Otbcr, Fire spinkler ft.) 2
M*Wish""
lob o)k address:( Catch Wn of Im drat 16.60
95
C1,Y/Statezip: Drywall,leech lint of vwxb drain 16.60
Suite/bldg./apt,rn.; _Lc!tnj,dnOn(no.tinea ft: Pale
Crmq itmVdiredl is to Jib site. Mmuscalmd ho"m udiffles 110.00
,2&pEJL&_ Manholes 16.60
Pain*dn connector 16.60
_i;FMI/scow(fie.11"Cor It: Par 2
_Sfaym#evw(no.'Instr ft-___j pjkle 2
Subdivislon., WHO virvice(no.llnew ft;=aaaaaI Par 2
Tex mp4mmi no. Fbmv or Item___
Abtorpion Volve 16.60
Pose 2
Beav"Iter valve 16.60
CWeA washer 16.60
-Vishmshcr 16.601 -
Drinking IbunWn 16.60
Name. Ej_tMw_"T_ 16.60
Explants on tank 16,60
Addmr +VLlrv(I- FIXN-scwcr 16.60
City/Statetup: 4N v c? Floor 4min/floor jdak/hub 16.60
Phone:(5'6'�) Owtagn dmq"l 111,60
How b1b
16.60
Buselest mune Ice maker 16.60
51�4W6" CO All _6,60
Contact nafne!I Map
Addremi: _L±ONQ L.>&!� Medial 2"(VdOC;3 PmF2
Primaa.
16.60
City/Slate17,IP; 4�- OWd4n(=RmeFdsl) 16.60
Phone 16.60
7_0 14p
-5 TuhWiwer'shower Pon 16.60
a Cps" 16.60
WOW Chet 16.60
Dwiftess name: _ZF)14 nta 16.60
Water h
Address: Odw:
Lu 113 2C)L, Nfa L. S,,` k7e C, lhT_H9u_JLJ6,p, WAM CPA
_j
Clty/Smte/ZIP: 3T
Phrme:(3&,)kq2_- &7OC- ___j mininverm Penni.fee: $72.50
-tan-a mi"imm p
LCCH Lie,: .2,L amit $3613
_7_ Plumbing Lle.no.: -7- 14' Mon re,?cw C23%Owmlt fft)
Authoriud sign .qbft qu!Ow(1%of pe""it flat)
.4 TZLJFERMIT FEE
Print _11-4, 03
f-1. Wx permit Appileptim F7pfm F I permit h not ob"lVel"mein
I"dwm after it hits been nreepw as Complete.
*Fftmdh odolopy w b, Tri-rmmty Buildin j industry service 1301%rd,
43
s. PMH ITS f4ew
CITY OF 16ARD _,MECHANICAL PERMIT —
DEVELOPMENT SERVICES PERMIT#: MEC2006-00056
13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 DATE ISSUED. 1/31/2006
PARCEL: 2S 110DC-01000
SITE ADDRESS: 11295 SW MEADOWBROOK DR 3 ZONING: R-25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Descriptioi: Units 3 and 4, install dryer vents
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 111 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:
FIRE DAMPERS?: 30 -50 HP: REPAIR ODS UNITS:
GAS PRESSURE: 50+ HP: COD DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS O H DR N T,- 2
FURN >=100K BTU: <= 10000 cfm: OTHER UNIT
GAS OUTLE-S:
> 10000 cfm:
— —t
Owner: _ FEES --
SUMMERFIELD ASSOCIATES, LLC Description Data Amount
% HSC REAL ESTATE 111RMEC]Hourly Mecira 1/31/200f $14.38
1500 SW IST SUITE 1020
PORTLAND, OR 97201 111R]AX]Hourly 8%Sts 1/31/200E $1.25
_
Phone: 503-546-5712 L Total $15.63
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
CL
o'c
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
.� all other applicable laws. All work will be done in accordance�,ith approved plans. This permit will expire if work is not
m started within 180 days of iss:tance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notificetion Center. Those rules aye set forth in OAR 952-001-00 t0
uJ
.-a through OAK 952-001-0100. Yo t may obtain copies of these rules or direct questions to OUNC by calling 503-246-6699
or 1-800-332-2344.
Issued By: Permittee Signature:
Call 503-639-4175 by 7:00 a.m.for Inspections 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.
r
Me-hanit:tl Permit Adks"j. .4 -
City of Tigard Dot re/Dy l A!j ,04, T �^^it"� O�AoSIo
13125 SW Hall Blvd.,Tigard,OR 97223 Plus Review -
Phone: 503.639.4171 Fax: 503.598.1960 , l)d'-jBy. Other Pemat
Inspection Line: 503.639.4175 JAN 26 , Dole Ready/By � lv--j 0 ISae Page 2?111
Internet: www.ci.tigard.or.us Nnxified/Method �. 9vpplese.tslInformation
CITY'I P 11
-- COMMERCLU, FEE" SCHEDULE - USI&CHECKL.IST�
El New construction ❑Addition/alteration/repleceme Mechanical permit fees*are based or the value of the work
performed.Indicate the value(rounded to the nearest doll sr)ofall
❑Demolition -_— - L�Other:1.,JlAislvev-/i�� ,�_. �L,,,_a� mechanical materials,c t iRTent labor,overh�Asan�o6t.
CATEGORY OF CONSTRUCTION ! — Value:S
RESIDF,NTIAL EQUIPMEN- /SYSTEMS FEES"
❑ 1-and 2-family dwelling ❑Commercial/industrial Ej Accessory building - ---- -----
❑Multi-fdmily []Master builder Other-. _ For special tryjormotlon use checklist.
— _❑ Description qtx. I Ea. -1 Thal
JOB SITE INFORMATION AND LOCATIONn Hentle coolie
9 __ M E fi' lJ� K_ Air conditioning or heat pump i
Job site address: 6Z _ uircs a!e an ahowtng placement) I 14.00
Cify/Stete/ZIIL yL y Fumatx 100,000 BTU(ductslvelds) 14.00
Suite/bldg./apt.no.: Project name. u Furnace 100 000+BTU(dods1vents 17.90
rJUi1d1ERFr n ,Q Gas heat pump '4.00
Cross street/directions to job site: wtim --t- 7r 1 c_- Duct work 14.00
Ildronic hot water system_ 14.00
Residential boiler(radiator or —
hydronic) _ 14.00
Unit heatas(fbel-type,not electric),
in-Hall,in-duct,suspended,etc. 10.00
--
Flue/vent for anyof above 10.00
Subdivision: — Lot no.: -
- -- 011ier: _ 10.00
Tax map/parcel no.: _ _ Other het appliances _
DESCRH'TION OF WORK- Water heats - 10.00
- Gas fireplace 10.00
nr= _- -_-- Flue •ent for water heater or gas
fireplace _ 10.00
--- - -—
Log lighter(gas) 10.00
Wood/ ellet stove _ 10.00
----- --- �-�--- Wood fireplace/insert — 10.00 +�
--- Chimney liner/(lue/vent 10.00
ROPERTY OWNER ❑ TENANT _ tea. _ 10.00Name:c�V 0"Cw�t rj �L - Erviroameatal#!aharrt and ventilatke
t Range hood/other kitchen
Address: .SCSV 1j. fk I- Atip t �j I'T-F (O?A::> equipment 10.00_
City/State/%IP.r p- 2- 97 2p 1 Clothes exhaust 10.00
Y Single-duct exhaust(bathrooms,
Phone: I Fax: )'j�(� r J l� toilet cornWments,utility rooms 6.80
APPLICANT ❑ CONTACT PERSON Anic/crawlspace fans 10.00
Business name: -
-- � f -- (►'T Other: 10.00
L Fuel piping -
Contact name: �_�� � 55.40 for Drat four;$1.00 for_each addittoral_
d Furnace etc. �-
Address: t d � 10-M -Ave mom
_ --
p Gas heat
N City,�State/zIP: I t 7 B61 - Wall/suspended/unit heats
47i U _Water heater ---
J J --- Firslace — -
m Email: ��lC/ -c. �"' r (JS�^7 Ran a ---
r✓ ao•'t
_ CONTRACTOR Barbecue
Clothes dr
-j Business name: ��
Q 00/7y "'c�
' L Othcr. L �
Address: 15" o /t 16� yQc _ _ MECHANICAL PERMIT FEES*
City/State/zIP: �` ��, 7 106¢7 _ Subtotal
Phone: ?) �4fy ��ZC Fax: ') 574-&--/6-170 - -- ----- M mum permit fee(SQ-5% e
--��--_ _. Plan review(25%of hermit fee)
CCB lic._ 1 '56 _ _ -- _� - State surcharge(1196 of permit fee) v
TOTAL PERMIT FEF.
Authorized signature: r�i` ,`� Th;a permit■ppllcalion ecidres it a Permit Is nM abte.ln d within 184-
days
8days after It has been acetpied es complete.
Print name: 11 Date: Fee methodology sct by i nt B ildin Ind s a®oard
k D_ r =-- "l��t a 11A µQ.5 VC IVU ?F 4r=i01i`�f E
i 1luildin TennitsNEC-PemnitA dot 12107 II_ o 6176 Il O
a DD �.S H>^Jt (QJ I/ i� '7j
tI 7 sr . 1 0L0M l ] �. 15^�� frACA
. CITY OF TIGARD ELECTRICAL PERMIT
PERMIT#: ELC2006-00062
DEVELOPMENT SERVICES DATE ISSUED: 1/31/2006
13125 SW Hall Blvd.,Tigard, OR 97223 503-639-4171 PARCEL: 2S110Dr,-01000
SITE ADDRESS: 11295 SW MEADOWBROOK DR 3 ZONING: R-25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: knits 3 acid 4,services for washers and dryers.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS _
1000 SF OR LESS: 0 . 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 291 - 400 atnp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 431 - 600 amp: SIGNAIJPANEL:
MANF NMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS AOD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 • 600 amp: EA ADD'L.BRNCH CIRC: 3 iN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION _
IWO+amp/volt: � >v4 RES UNIT;: �~ .>600 VOLT NOMINAL:
Reconnect onl rL: SVC/FDR>=225 AMPS: _ _ CLASS AREA/SPEC OCC:
Owner: Contractor:.
SUMMFRFIEI.D ASSOCIATES,LLC JET ELECTRIC INC.
%HSC REAL ESTATE PO BOX 20765
1500 SW 1ST SUITE 1020 PORTLAND, OR 97294
PORTLAND, OR 97201
Pnonv: "J3-5-16-5712 Contact#: PRI 503-258-1715
FAX 503-258-1716
_ FEES
Description Date Amount Reg#' ELE 26-10680.
[IIRELCI Hourly Electrical 1/31/2006 $14,38 LIC 141920
(HR FAXI Hourly 9%State 1/31/2006 $1.25 Slip 15175
Total $15.63 T REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Godes 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 M 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 GA 952-001-0010 through OAR 952-001-0100. You may abtain copies of these rules or direct questions to OUNC at
503-246-6699 or 1-8 4.
D. Issued By: Permittee Signature:
� _ OWNER INSTALLATION ONLY �'_""�'� _
N The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: �.� _ DATE:-
i� CONTRACTOR INSTALLATION ONLY
SIGNAT�IRE OF SUPR. ELEC'N: DATE:—
LICENSE
ATE:LICENSE NO:
Call 503-639-4175 by 7:00 a.tn.for an inspection that business clay.
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.
JET ELECTRIC INC 5032SC71716 p. 3
81/23/29tlti 1d:52 ^'3 1 , rloeftn BUTT Dlm DEPT MWE 91/03
City of T*mrd i 11eot1�ee r �' ihreiell► fL
tllnswwnel:+d.Tipee.0ll rw , 6 i1)�� nw oerl4ni
tl*"!50,930.41171 y"! "IMIL1el(►
1npenti. nine 50�Al rS if of T
Irlwner. wwR.d.e .er.es '44.1 j Y!
lVe�+oanero:9en rkw e1s1r•
❑ Of.e;w.•.21s.rr�.enwr9 []11eeYiea:eleeaielr
DemoH►ba CyOtelaere►320apse-petfpe Don e:rt"W10.0!0rt¢ -
K=,_�;x;,,!r w'.�, v i r; t•:{• d 1-M/2.0111111y��lin� 4 or lel+•am twrelWd
C-0ertlereMUlndwvlel Aoaeseorlr belhfra�" !7efw'owes alta eeadr* soft M ape M:eeseu
3-t�eily d�lillkae asoft eae own elerlae Ck W�M mw a mm
fylulyy.kref ly El~bulmw Odrer (]p ,r I.d sow M MSM Q www""
av,Si;i .;�t '• c,•r i �'_ (] {i�eiypiso r�1,l,Y�rylt
bl►no: lob floe riAoi p Z,L �rei)h ,s%crow*fa my e►Ow rYwa
Cet7f9teverZ*:
` pS� � '1• I'0" ?1e Mev n IIOI I�Mb 1!tUg11y R►�
SeefeeblAe/airtaa: ►eoleete'.__� 1� IL��� y� w. n. +.+
Gas lsrene/r�rettims to Jab site: � E A.. i
OR eeM 1s*est•
lsehese nac _ _ ..
PtM R-0 "�'L lbD�t►b2f K MW V ,,_ 1�n00 ter�Nw T-14.7.1: a
9nbdlvldan: Lee aa: d. 1Jia A a 31.40 1
Tut tesplperasl 0&1 UeMsel vaell nM/wN1f 73.00 x
�`7_L�1�-��.���__._R�! , � 1.1..x=5 _�•`- •M�+sle
10 i
!eau
Addewt. �•�._�t L- �eW� --'r" �`+-_� sf 454.01 2
Cly mrT� ND ( -7 Tn*rRsor••r.U.s«tewswlMMlAw.eNerwtlp:.
(X;O 50, _s•-4c 0 lee ws
mmdw ee:Thk kuhnso f k biles rude an Ow l dwn !swat Z1 ate 4J0 ems_ t 0gJ0 3
inlnedod tiav sole leex rant ar oreobnbe.a eeeedlrl�b 01J3 eel,419.M0.�d 701. 401 t e00
�,�,�� Oa1erpe eseMelea.
efll
1 nnla w hww Am eeel
II VON I N'gal
rueeee
Cantsi � WnwwvicxGlavfthLmbmbdfiwb
a0.e9
Adr3nees = F Btse1 eM i 1111eL11 a l5 ___ 2
Citll9yyrJZi!': ¢r f. k�>A( �$ 4�i fpr w l6:lr sel Osel
11160 ) e- 1, ..7 e 4 � l ? t•'C+ s3 Ao 2
lawt • -
r,."„f'M�t 7 �•� .,y i ..i.. ::k'�4�•`•�2�7:,'�."' '• .1+; _ .�e�rl�w, e►
S.
ecter,lae:ttsrlbe: flees 2
dd4rtr� eenrea•set4MY of sMw
IL oz Ci 7,.�1 Y :es;i x +o►
rttesc O� 2S 1 ► Fe1c( ) $-(71 _ teesseid Mer f3
t•- _+�_
rn cca l.le►: i (31.e11+ee11�:a _ a—` sey.o.t 1t: 9Atslst
sM►9n'.Etoraiden si�llaera ec«lirot Plso a..fe« ofpratlr
„J Srees+erler0rt051or0ee.MAy .
ED r+irt"•'"° tc� 4 V►') Dile l— 3=o G rntns reeaftrr i�1e
Aufbaiar alp►' �`_ Fw-
P.==.
%Z=,nesMOMr
J Ptiatetme Drr� •�Np'MwIK R�1/e11d, OMwfOrdrMd
ri9.w.fuonh:lac•►.wrAwlu a tl4relrr(IMel:01pe1A
A Nwtb
A.S 94. z 4�a's`'
CITY OF TIGARD
BUILL NG DIVISION PEPIMI7#: ELCM. 0(g)(s)
13125 SW Hall Blvd., Tigard, OR 97223 DALE ISSUED: 1/31/20'X7
Phone: (503) 639-4171
Inspection Reauests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: W 14120M TIME: ) 17I'M PAGE:
SITE ADDRESS: 11296 SW ML-AI)OW JR00K UP 3 CLASS OF WORK:
SUBDIVISIr 'MLLOW 13ROOK FARM LOT#: U14 TYPE OF USE:
PROJECT Nf SUMMERFIFID APA14fMUNTS
DESCRIPTIt-,.. Units 3 and�, services fox washers and dryers
1
OWNER: fiUMMERFICI ASSOCIATES,LL(., PHONE #: 60.V!A&&112
CONTRACTOR: M f EL.Ff;fRIG NC PHONE #: 5f1.�71715
Inspection Request Scheduled For: Date: 2/14/2f1Ut=, Pour]ime:
Code # Inspection Description Confirm # Contact # Message
1 )0 I It'r_lii( :+l fou"'h m 0)68)13 o!) 613310.71f71 14
14%q R'40)wL— .
Corrections/Comments/Instructions:
--- -- - %>ticI - - --- --- --- ---- ------
v IV
ac
�o
w
[PASS ❑ PARTIAL APPFlOVAI_ ❑ CANCEL ❑ NO ACCESS
/❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ____ V N (AS L!6' T __T Date: �' �_—��t __. Phone #: (503) 718-'I*k
CITY OF TIGAIRD
BUILDING DIVISION � PERMIT#: 1-), i:1bi)f,00(A0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/j 11 D(h)(;
Phone: (503) 639-4171
Inspection Requests (24 Hrs): (50:) 639-4175
114SPECTION WORKSHEET FOR DATE: ?11412(X)G TIME: 7A>M PAGE: 71t
SITE ADDRESS: 11112%. SW MI<ADOWBROOK W 3 CLASS OF WORK:
SUBDIVISION: WLI OW FQ00K FARM LOT #: 1)19 TYPE OF USE:
PROJECT NAME: ;tet IMMERFI I:LD APAR I MENTS
DESCRIPTION: Wills 3 and 4, instzil washers
OWNER: LyUMMERI 1LLD ASSOCIATES,LLC, PHONE
CONTRACTOR: RAY'S Pt-UM61NG PHONE #: tWli O 11100
Inspection Request Scheduled For: Date: 2j 141).W, Pour Time:
Code # Inspectior Description Confirm # Contact # Message
a.�(, {>tuinbrnc) nnx)ti in 0!f,8P)05 1.0 10 1113/ I�
Corrections/Comments/Instructions:
ac
J_
m
W
J
PASS j] PARTIAL APPROVAL. ❑ CANCEL ❑ NO ACCESS
FAIL [—] CALL. FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v✓`___ _ __,— Date: PhonR it: (503) 718- �
CITY OF TIGA RD
BUILDING DIVISION PERMIT M:
13125 SW Hall Blvd., Tigard, OR 97223 `- DATE ISSUED: 1/31/20(X,Phone: (5031639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2114/2(") TIME: 7 )?I'm PAGE: 69
SITE ADDRESS: CLASS OF WORK:
i17!ii.i 'W Mf_AL)OWIif�(�CyK DR
SUBDIVISION. 1MLI.OW UI2OQK FARM LOT#: U 14 TYPE OF USE:
PROJECT NAME: SUMMFRFI�:I_D AF'A(tiME'NT:>
DESCRIPTION: Und::. 3 and 4, install dryer vertu _
OWNER: SUMMERFIFI-D A;1.,'OCIATES. LLL, PHONE N: 601-646-67UCONTRACTOR: !;KYWAF2D�:C)NSl RurTI��N PHONE #: -3w fAcv 1G:J
Inspection Request Scheduled For: Date: 21.1,1121w, Pour Time:
Code # Inspection Description Confirm # Contact # Message
( ir, Mob;-n + al wijoh m 0)1.877 U!, 603310.7187 IJ
Corrections/Comments/Instructions:
A k.- 1114ft-1
---------- A Al Me
a
r'
r�
c�
W
..1 - -- -- -- - .. -_.. - ----- --- - -
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �,�./ Date: / si`� Y Phone #. 503 718-�J�
i