11347 SW SUMMER LAKE DRIVE 11347 5W SLImmer Lake Crive
y 'T Y i� �!": G" __ PLUMBING PERMIT
PERMIT #: PLM2002-00420
DEVELOPMENT SERVICES DATE ISSUED: 10/30/02
�- 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-417'1
PARCEL: 1 S133AU-1231)0
SITE ADDFESS: 11347 SW SUMMER LAKE OR
ZONING:
SUBDIVISION:
JURISDICTION:
CLOCK: LOT: PION: _
CLASS OF WORK: AL1' GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING M4CH: BACKFLOW PREVNTRS:
OCCUPANC" SRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
_
FIXTURES __ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS URINALS GREASE TRAPS:
LAVATORIES: OTHER t-iXTURES:
TUB/SHOWERS: SEWER LINE: it
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of 1 water heater. —-- — —
_ FEES
Owner: Descri;.-tion Date Amount
COLLIGAN, MICHAEL S + KRISTIN K 1111 ('Mill Pcrmit Fcc 10/30/02 $72.50
11347 SW SUMMERLAKE DRIVE I1 (IMI31 Permit Fcc 10/30/02 $0.00
TIGARD, OR 97223 i I ANN 8%Statc Tax 10/30/02 $5.80
1.\X] 8'%)State Tux 10/30/02 $0,00
Phone 1: Total $78.30
Contractor:
F&F PLUMBING
'810 SE 45TH
PORTLAND,OR 97206 REQUIREII INSPECI IOP:b
Final Inspection
Phone 1: ;0-260-0077
Reg #: I W 101473
III M 26-5261113
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable iaws. 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) 246-6699.
Permittee Signature: ' \_
Issued By:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
OC-:t q 503 ( r. 3
Plumbing PerwkAppffcation
Permit no.:
City of Vigard Sewer pennh no.: Builkling pernut no-:
Addrm: 13125 SW Hall Blvd,Tigard,OR. 97223
1 111")f rly"rd 11horie: (503) 64 A"l Is. IM
Fax: (5(n) 599-1960 Dar i"led: BY:
Land use approval: (Ase file M Payment I-YM
I &2 family dwelling or acces-,vay L)CommerciMhndusti ial Umulti-family CiTenant.mprovement
LA New consIrm-hon LI Additioyiialtention/rq)lsrA:ffketit U Food wire Ll Other:
=
Jobdddmm Qt]. Fee(M) Total
814 no.: Suitt no.: New I-azid 2-brodly doreflimpmir.
«t40 M for rw*eMy counecilm)
Tax maphax lot/account no.: 3FR(1)twAb
Lot: 7--iSubdiviffiore —SFRbath----
(2)
SFR(3)bath
--S!YYIcoUtnL-I-I LICACY1 P- 97,1-;3 Each additional haWkttchm
Descriptiu.-and 10 tion of work on premises: J)mIjKli ct c11 SMENOMOM
-h tinlarea drain
-we w1cueblirActichdrain
EsLilateafema', tctiontinst6Aun:
Footing drain(no.lin-ft)
Maitufncntted borne uffifties
Businewrow PI+ Maidwies
Address: (6110 SCE 4,5*6 Rain drain cotmeckw
-91ty* for-41'p ,.A q�j�(WA 6 SanLtag w!!!er(no.HW
_EhDnC:q&-JL0-vV Slam sewer(no.fin-ft)
CCB um: jo 11-y-13 i]Plumb.bus.mg.no:.26-5dLp8 Water service(no.Ila.ft.)
City/metro fic.no.: Fbrhvr or krur
Absorption valve
Conuvwex representative signature:,LA�-De Back
now pmwenwr
Print name: fhc,rK De- ILVa'q1(4- Badwater valve
HEIN I.8!!!.�/laV"
Name: thzt—k CICIUM WML-.r
Dishwasher _--
Address: #vC [kinking fatuitain Fs)
CiT, 19t4-4fn,,A CVZIP A -- —
Phone- Stat & .--- 9 i�—c�--z�!T --—---,-. —-—
_;D3-Ae-0 a 771 Fax 261-4y/yl E-mall: Expansion tank
alure/iiewer
Nam(print).- /K(P Co I Fkwr drahWfl.00r sinks/hub
Mailingaddress- /13i-r7 Garbagodisposal
now bibb
S
C* State.
- .--ity-'j t (�csrA -)g_17JR_47,a-2 j Ice rnM=
Phone: f7915-11 )`mail:
111W
Owner inialintitin/residential naintm-wx only: The actual installation -f
will be riuuk by we or the mainicirimice and repair made by my regular Roofdrain(corninct al)
cinjiloyre tin die poverty I own as per ORS(liapter 447. Si s a -
!M 3),laves-
k)wwt*s Signature: Date: -Sump
Tubs/showerfahowcrpan f
Name- urine
Addrr--L% -TV literdttact - -
Water heaw
city: S180D: ZIP: dihli-r
Phone: Fax —Fi --T0-IFdF—
tj Notice: 'Mis permit aptilkadm Mininumi fee............... -2 So—
*vb. 13MRIMICwt! rx;iJim if a pemwit is not obtalm' Plan review(at
_J:!� wi1jjr. Igo der Jkft,,it I State surcharge(9%) 510
F'°' '
bees
iccepled as camplo-te. TOTAL.....__...._.......
A
16(6AVLOM)
CITY OF TI G ARD MECHANICAL PERMIT
PERMIT#: MEC2002-00486
DEVELOPMENT SERVICES
DATEISSUED: 10/30/02
- '.3125 SW Halt Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S133AD-12300
SITE ADDRESS: 11347 SW SUMMER LAKE DR ZONING: R-7
SUBDIVISION: SUMMER LAKE
BLOCK: LOT: UUd JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPLE VENT SYSTEMS:
S TORIES: BOILERSICOMPRESSORS HOODS:
FUEL TYPES 0 3 HP: J DOMES. INCIN:
----._— 3 - 15 HP. COMML. INCIN:
LPG
MAX INPUT: BTU 15 -30 HP REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: -c= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Install furnace and water heater.
Owner: ._ FEES
—
COLLIGAN, MICHAEL S + KRISTIN K Description _ Date Amount
11347 SW SUMMERLAKE DRIVE INTI IIJ I'ernut fee 10/30/02 $72.50
TIGARD, OR 97223 (�;; c'll( Pernut Fee 10/30/02 $0.00
Stalel'as 10/30/02 $5.80
Phone: ('I;� h" ,,i 10/30/02 $0.00
Total $78.30
Contractor:
NEAT RELIEF CO
1704 NE HIGHLAND
PORTLAND,OR 97211 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 503-260-0077 Misc. Inspection
Reg #: 0122424
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plar►s. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699. ,
Issued By:
Permittee Signature: L / t
L- ---_
Call (503) 639-4175 by 7.00 P.M. for inspections needed the next business day
I - - =_
flet•, 29 02 O3: 17p nnnp 503-260-0077 p. 1
M(vhnilcai Perm t Application
DMW enceived: r r Perm;t W.
4^t_�Av I1 Ee.�ax ry
City of Tigard PM)Cct Cpl.rut.: - Fxpire date.
(7rpr+�4Tpurd A(kress: 13125 SW Hall Blvd,Tigard OR 97223 ---"--"-
P:rone: (503) 6394171
Dili:issued: ----- Its. S fi Receipt no.:
I-ax- (503) .599-1961) Case file no.: - Pay—t type-----
Land
yles_ --Land use approval: _ __ Building permit no.:
I &2 t'awly dwelling or accessory D Cornu etrial/indtestriai D Mulli-family O Temat i nt
U New construction ❑Add itiordaltetatiemireplacerncut U Otho ___.•_-___ ___, —
Job addtass -� ! - '�>W L.,k:,- larlicate equipmratt quantirim in boxes twi nv.IDdicate the dol lar
Bldg.no.: TrrSuite no_: value of all mecbaniral materials,apuiptnomt,labor,ovetbead,
Tax nmpftx lot/accotmt no.: Profit.V.•thte$-..--- -
W: I Block: Subditiiaion: - •Stt chocklist for important appli-,dion infamurrion arid
Project name: jurisdic acs fee wbo dine fix tesAcutial panus tee.
Ci /cotmty: ' 1' CI r+.r L i ZIP: q7;U
Description and locWtion of work on pmmia= I n ,•frAI AL 9c, Ck s
S.r... (nJ�Ny�c:.� j�( y (r►•Z _ Fee(tta.) Total
Est cta_te of ltxion/in -ction:--7�1�- -- DerQtptloa )te&o* � �y
Tcrm'lt improvement or change of Itsk.: Air
CFM
to existing space heated or conditioned?U Yea U No haadl-.-as P
/lir coadd' s tie lar
Is existing space insulated?U Yes U No ore ex aq A rellahem
-
itrikr%rnrt�pressorz '- --
-BlesineYs name: State boiler permit no.:
U'$ --- ns NP -TaBTM
-
L,-_ r qtr•oite�tic -mpenie!„e:t moo
City:- PLN--41-,^A ZIP: 9-7 sew as rej,rrei
PhD= ' �o-t?t)?7 Fax: _ l )imail: f"r 1°ef
---- - IuehdinS ductwoWwent liner QUYesO No I n.40
MR no.: 4a.z%z y nentrr'Zncc�TreT en-`smjer>JetT.
City/metro lic.no.: $r,1q(, ---- _- wall,or flow mmmted
Name(please t): Vert fort _-other stern fatume
Ahsci prion units- BTU/H
Name_thet k -be P kf%CXS( O ('.hiller —,_--- HP
Address: 1311a. L+- -- cO�'"a"'"" HP
city: Cat-� ct..d Stater ZIP: Q7ZLQ _ wppliance� ���
Phone:S IS JUD-CVI Fax:,, - &y 1 E-trail: -etcTaua
toads,Type I/wits `- —
1 hood lire suppre*slon system
snfans)
None: �I Ke f9��1 Ci C,n _ &la"bn with sin�la,dud_(bath farts
Mailia adtlt�s Y s t 6nst or AC
$ 1131/"/ S Iv; rno rot_ a� ��110!<
r _ sate:UR_ ZIP: 7,i,tj Fac M�Za '�s�("p°'a )
_p�_. Type:___ ll.O NG Uil
Phone: E-mail• Tw-I Heti ai► iana�avw�on�eis
power"XV4( )
Nrme Numbtt of or°lecs
Address! aptdl.W"ow a ab
_ _----.-•----- Drvoradva raeQlacc - - -
City State. ZIP: lmut-type. -
--Phone: -- Fax &tttail: -- 00 0 e �-
(lfber— -- — ---
Applicanes signature Date: /e 2q/ -- -- —
Name(print): rlNckrg. Pe Frs.nc.(U a ---- - _ -
Not all IurleMcdo w owelo en.Alt end%plaur dl JurbNettoo for mwo tnreoadea Permit fee.........
1(Vin n MtserCtM I Notice: 1?us parnit application Minimum fee.----S
ctevllt ad a mbm SQ ,ra.1C ►f7�►r�_/ / Mires if a permit is not of nine! Plan review(at %) S
tlapler! Within leu/.:sy9 ager it hds been State.tetrrha 18% S .,___'S pU
._..
- IVen.eefer r,sotdwe�mee tad accepted as rnmptete. TOTeU..........__......__.S _..• 7 .
---.
CardhdMa ellmum AmeWH MDJal7tdtta'cOM)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
M';T
INSPECTION DIVISION Business Line: (503)639-4',71
Bi1P
Received Date Req ested _ 11 _. AM--_- �M BUP -
-ov
Location _ -�_� 3�_.� :_J&_—L+.� __- MEC -:Z
Contact Person ____— '_- Ph PLM �� v2
Contractor----- ---- - - --- • ---��- -� --_) SVIR
BUILDING Tenant/Owner _ -_- --j ___ F_LC _
Footing
Foundation ` ELC _-
Ftg Drain Access. --4- Y) UV ELR
Crawl Drain. _
Slab Inspection Notes: �t /� ,�' - SIT
Post&Beam de*1,.-�'
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -- - - - -------- --
Insulation I /y
Drywall Nailing
Firewall
Fire Sprinkler -- ------- -
Fire Alarm
Susp'd Ceiling --
Roof
Other:
Final -
PASS PART FAIL -
PftlIK65-m
Under Slab
Rough-In -
Water Service - -- -
Sanitary Sewer
Rain Drains -- -
Catch Basin/Manhole
Storm Drain -
Shower Pan If.
Other: -
Final Y- ---------- i
PASS.._YABL. FAIL -
NICAL -_ —
Post eam
Rough-in - . - --- -----
Gas Line
Smoke Dampers
F
PAS PART FAIL W4 ItMTRICAL
Service -- -- - ----- -- -------
Rough-In - - - ------- --- --
UU/Slab
Low Voltage
Fire Alarm --- - -------- ---- -_-- ---• —
IFinal L] Reinspection foe of$_-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ( Please call for reinspection RE: - _ [] Unable to inspect-no access
Fire Supply LineADA
/ I
Approach/Sidewalk Date l Insnncttgr L v Fvf
If U
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL