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Permit n CITY OF TI RD PLUMBING PERMIT :° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00178 GA 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/28/2008 TI PARCEL: 1512600 -00300 SITE ADDRESS: 09646 SW WASHINGTON SQUARE RD G14 ZONING: C - SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: SWAROVSKI Project Description: Replacing existing fixtures. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 0 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 1 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES WASHINGTON SQUARE LLC BY THE MACERICH COMPANY Description Date Amount 9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 4/28/2008 $72.50 TIGARD, OR 97223 [TAX] 12% State Surch 4/28/2008 $8.70 Phone : Total $81.20 Contractor: D & F PLUMBING 4636 N ALBINA AVE PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 282 -0993 FAX 503- 288 -0604 Reg #: LIC 465 PLM 26 -23PB This permit is issued subject to the regulations contained in the Tigard Municipal 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 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 or 1.800.332.2344. f- Issued By ,` Permittee Signature: � Call 503.639.4175 by 7:00 a.m. for an inspection 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. Apr ° -25 -08 12 : 45P P _ 01 Plumbing Permit Application Site Utilities FOR OFF IC 11St ()NI .Y City of Tigard S Permit No.: PG/ ' f .��.A7 Ipil 1 3125 tiW 1[011 Rlvd., "1'i'urtJ, OR 91223 oateB : i b , , ,,, p 1'len Review p ■ Phone: 503.639.4171 Fax; 503.598.1960 ther Permit No.: at.4 "yr y Nr Inspection Line: 503.639.4175 , Date Ke:ttly /By: June: 111 Sec Page 2 far yv i'it;ARD LlICrnct: www.tigard•or. ; Notified/Method: Soppkmental Information FIT« sCHEniil.£ El New Coustntt tins ❑ Demolition Fur veal' Inform :ion use checklitr. - Description 1 Qty. I Ea. 1 -J otal Addi lief! /altcration/teplacemcnt ❑ Other: New I - 2- family dwellings (includes 100 IL for each utility connection) CATEGORY: OF CONS --- _ . . :CONSTRUCTION SFR (1) bath 249.20 2 ^. ❑ I and 2-family dwdwelling Conuu SIR R O bath 350.00 erctallindustria] - .. ._ SFR (3) hash 399.00 ❑ Accessory building 0 Multifamily _ _ .,.... - - - - -"- Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. n.) Page 2 . J 011 SATE, IN 'Ci�l4CATIONY ANR LQCATIPI4 ` ...' Site utllltles Job site address; t'�" f Catch bASin or area drain 1!,.611 ress ) " � nt lTGt?1 S o ar - � Q t ityiSlate /Z1P' 7 ( Drywell, leach line, or trench drain - 16.60 - Si ✓dgd(L -; L/ - i�(� ruining drain (nn. linear n.: _ ) Page 2 Suite/bldg . /apt, no.: Pfoje name: -- - -- Manufactured home utilities 1111.00 Cross street /directions to job site: Manholes 16.60 _ 1. / 2fti ,,c&,',r ( 0f411 „^ Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no, linear IL: ) Page 2 . Water service (no. linear n.: �„) Page 2 Subdivision: Lot no.: , w. Fixture or item Tax map /parcel no.: - Absorption valve 16.60 DESCRIPTION OF: WQ J Racktlow preventer Page 2 A/6 ill F/A Tiliff _5 G '41 L - Z U f -I 1 tJ Y Backwater valve ....._.- • 16.60 / 'V A O f� 6' 0 6 1/ `d! Pj , j '' / j d"-- D� Y ) Clothes washer 16,60 `, /"f L Dishwasher 16.60 - Drinking untam t PROPERTY i 0'Vli! 12 .;' :,:!'Ht: © Jfs11U NT — rs su _ 16.60 Dr' king tb ' c . F..jcctn / mp Name; Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/Statl:/ZIP: Floor drain/ floor sink/hub 16.60 Phone: ( ) Pax: ( ) Garbage disposal 16.60 ❑ ., Hosc hib 1 16.6U APPLI.L:ANT ' ; I:CUNTACT PERSON ICI maker 16,60 Business name: - _ _. Interceptor /grease trap 10,60 Contact name: Medical gas (value: S �) Page 2 Address: Printer 16.60 Ciry /State /7.1P: Roof drain (contluercial) -- 16.60 - Sink/basi�/lavator e" 16.60 PatOnc: ( ) Fox:: ( ) ._ ` TLh /Shower /shower pan 1 6,60 E -mail: Urinal 16.60 ; 4.rC V. 'i, Water closet i 16.60 Business name: p s F "L"� �� �� - . Water heater j 16.60 Address: i( � Other: G? (P it, y� tt r/Ag Subtotal City/State /ZIP: tr'f9A 72, *Y4) air f'7 Minimum permit fcc: 172.50 .....- Phone: (a)) Z�� y 4 — 3 Fax: (.0Z, ) 26f — 6‘ , 41 Residential hackfluw minimum permit fee: $36.25 1z "�� i Plan review (25% of permit Ice) ..- ----- T ` CCEI Lie.: , Plumbing 1.ic. no.: ) 4-2 3 ee, o °- J, State surch (12% of permit fee) ■ ' t7 Authorized signature: ` y ,� TOTAL PERMIT FEE; 1 / [ Print name: p " p / f 4- Date: y-2_,5 79 This permit application expires if a permit in nut obtained within I _ f 1110 days utter It has been accepted as complete. *Pee methodology set by Iri- COUnly Building Industry Service Board. 1•■HUildingd `errni01.1'LMU- rermitApp.duc 12/27,06 410-4616' f(l(mlii:OMNVOD) CITY OF TIGARD - BUILDING DIVISION PERMIT #: PI_M2QOQ0'i78 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2t.3/2008 Phone: (503) 639 -4171 At �.��i� t Inspection Requests (24 Hrs.): (503) 639 -4175 ,' 1. . INSPECTION WORKSHEET FOR DATE: 5/28/2p08 TIME: 7:QOAM PAGE: 27 SITE ADDRESS: 09&16 SW WASHINGTON SQUARE RD G "14 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: ,:WAROV' I <I DESCRIPTION: Replacing existing fixtures. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: U & F PLUMBING PHONE #: 503 -2.82 -0993 Inspection Request Scheduled , For: Date: 5/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 070436-01 503 -282 -0993 N Corrections /Comments/ Instructions: K PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Q7 \ 11V-.. Date: ,S1 7_71.07 Phone #: (503) 718-