Permit ,, : ft CITY OF TIGARD PLUMBING PERMIT
' ` COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00107
,, , DATE ISSUED: 3/26/2007
T,IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
=F, o 3s, :v1,;R,nq.. PARCEL: 1S12600
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: DICK'S SPORTING GOODS
Project Description: Roof drains.10 roof drains &1 trench drain.
CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M 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
WASHINGTON SQUARE LLC
BY THE MAC ERIC H COMPANY Description Date Amount
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 3/26/2007 $182.60
TIGARD, OR 97223 [PLMPLN] Plan Review 3/26/2007 $45.65
Phone : [TAX] 8% State Surcharl 3/26/2007 $14.61
Total $242.86
Contractor:
PMSI LLC
21195 NW EVERGREEN PKWY #204
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 466 -2222
FAX 503- 466 -2211
Reg #: L1C 158286
PLM 34 -434PB
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 b cal ing 503.246.6699 or 1.800.332.2344. ,
Issu d By: : ; , = ��/ Permittee Sig _ % ,.i..11 ■ _
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.
//i1'
Plui_oing Permit Application '. .:; .;i, B4 FOR OFFICE USE ONLY
City of and Ti
IIII
a 13125 SW Hall Blvd, Tigard, OR 97223 a "? (n
Date/By: ) 4 0 I� Permit No RA/2o07 _0 U/ ✓
Phone: 503.639.4171 Fa : 503.598.1960 . ^ '' ' 1 - � y U ! Plan Revie � ^
Inspection Line: 503.639.4175 i.; / . -
Date/By: i e
i . / Other Permit No.:
Ready
/By i 1 ■✓: • : , 'tN*'���'_t ") Date Read /B Y 1 la See Page 2 for
Internet: www.tigard- or.gov 1 . ,_,�. ;t �fi� Ned/M hod:' /g4/) Supplemental Information
TYPE OF WORK ��3r1'C.).� E* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist.
Description 1 Qty. 1 Ea. 1 Total
® Addition /alteration/replacement ❑ Other. New 1- 2 -family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 249.20
❑ 1- and 2- family dwelling ® Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other.
Fire sprinkler L_ sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
site s:�9SW Washington Square R Catch basin or area drain 16.60
City/State/ZIP: Tigard, F OR 97223 Drywell, leach line, or trench drain 1 16.60 16.60
Suite/bldg. /apt. no.: Project name: Dick's Sporting Goods Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: old Mervyn's space
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft: ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
1 Plumbing for building shell Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City/State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City/State /ZIP: Roof drain (commercial) 10 16.60 166.00
Phone: ( ) Fax:: ( ) Sink/basin/lavatory 16.60
Tub/shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: PMSI, LLC Water heater 16.60
Address: 21195 NW Evergreen Pkwy Suite 204 Other:
City/State/ZIP: Hillsboro, OR 97123 Subtotal 182.60
Minimum permit fee: $72.50
Phone: (503) 466 - 2222 Fax: (503) 466 - 2211 Residential backflow minimum permit fee: $36.25
CCB Lic.: 158286 i Plumbing Lic. no.: 34 - 434PB Plan review (25% of permit fee) i(�5 (e:
1
Authorized signature: State surcharge (8% of permit feel i,� `6,
/��(/ � �� r . °l
�/ � � t �-
1 TOTAL PERMIT FE i �..�. .??6
Print name: Lanell Robinson Date: 3/12 /07 This permit application expires if a permit is not obtained ar._ 10? 180 days after it has been accepted as complete. t fr t' '
*Fee methodology set by Tri- County A Building Industry Service Board.
1:\ Building \Pemuts\PLM- PemutApp.doc 06 /26/06 440- 4616T(10 /02/COM/WEB) n )1,p
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007.00107
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/26J2007
Phone: (503) 639 -4171 +�
Inspection Requests (24 Hrs.): (503) 639 - 4175'' I�
INSPECTION WORKSHEET FOR DATE: 9/26/2007 TIME: 7 :Q1AM PAGE: 64
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICKS SPORTING GOODS
DESCRIPTION: Roof drains.10 roof drains &1 trench drain.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 603 466
Inspection Request Scheduled For: Date: 9/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 056355 01 503 - 209- 9083 '1
Corrections /Comments/ Instructions:
2 " is , ^
11 2✓ ���I �/��J�J tt „t -To i0Qf Vr O'V SCcip . '
�
fit) --, (e k,a
PASS \PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: CI Date: 'T 12(J 6 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: PLM2007- 00107
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2&2007
Phone: (503) 639- 4171•
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/11/2007 TIME: 7:01AMVf PAGE: 91
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Roof drain s.10 roof drains &1 trench drain.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503 -4Gfi -2222
Inspection Request Scheduled For: Date: 5/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 048116-01 503-209-1943 Y
Corrections /Comments /Instructions:
AraM
%,"
•
ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
1 / L
Inspector: /�L Date: ( " / 1 Phone #: (503) 718 - 7 �'
CITY OFTIGARD : ..
BUILDING DIVISION PERMIT #: P1 M2007 -00107
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/'2(J7
Phone: (503) 639 -4171 I � I � e.
Inspection Requests (24 Hrs.): (503) 639 -4175 . 8: _:.
INSPECTION WORKSHEET FOR DATE: 1(1 TIME: 7 :O1AM PAGE: j8
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Roof dr;ains.10 roof drains &1 trench drain.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PMSl LLC PHONE #: • 603.166 -2222
Inspection Request Scheduled For: Date: 10/292007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 0E18287 -01 503. 203.3003 N
Corrections /Comments/ Instructions:
Carr_ Pkicaltot 91".).
X PASS n PARTIAL APPROVAL CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Crh‘linA. +`‘ -- Date: 10/941-D Phone #: (503) 718-
CITY OF TIGAR®
BUILDING DIVISION PERMIT #: 15f 1y;_'pp7.prf I07
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7€i/2()07
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1W1612007 TIME: 7 PAGE: 80
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LACK'S SPORTING GOODS
DESCRIPTION: Roof drains.10 roof drain: &1 trench drain.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503.466. 2222
Inspection Request Scheduled For: Date: 10/1EJ2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3C9 Numbing final 057641-01 503 - 466 -2222 Y
Corrections /Comments / Instructions:
Pe/ S S JJbl, i1 2 OPS6 Pro,li ale, ScuPp.,rr a✓ Ou-e ✓F
D,r0..l.ter, 41 1 f: �� (� r�S ✓ Lo c �,- - '�,
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P JC ✓ 1a L k k 2 - 2 0-S PSC Sul+ Se Ctrl ��Ii - G. h-; b I Cam{ ✓� � � i�
1 - 1 -14-i---- 1 3 �� 1 r / RI - LE 0 x., i4 v Aot AN L/ e w•c, �. ,
PASS n PARTIAL APPROVAL ❑ CANCEL U NO ACCESS
FAIL ( CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: (7-6 b.-,..IL -;) \ Date: JO/ %'41 T Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00tc)l
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/ ?6/2()07
Phone: (503) 639 -4171 "����, +1�' �*
Inspection Requests (24 Hrs.): (503) 639 -4175 "__..
INSPECTION WORKSHEET FOR DATE: /19/2007 TIME: 7 :OOAM PAGE: 30
SITE ADDRESS: 09102 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Roof drains. roof drains 8,1 trench drain.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503- 466 -2222
Inspection Request Scheduled For: Date: 10/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 057209 -01 503209 -9083 Y
Corrections /Comments /Instructions:
2 c vv..o e n o;,- ...r (0,,,, 4-. 17j -- -"k"s -rrt. No, ri+ ..S yr c , C SdVu<Awc
X PASS J PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL 1 1 CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: (5/\11..A.-1‘‘ '- Date: 10)1/ Phone #: (503) 718-
CITY OF TIGARD -_`=_ BUILDING DIVISION _., ., PERMIT #: PLM1007 00'i07
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2692007
Phone: (503) 639- 4171�''���� i�
Inspection Requests (24 Hrs.): (503) 639 -4175 �.._ '''i_ _
INSPECTION WORKSHEET FOR DATE: 10/2/2007 TIME: 7 PAGE: 77
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DIC'K'S SPORTING GOODS
DESCRIPTION: Roof drains.10 roof drains &1 trench drain.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503 - 466 -2222
Inspection Request Scheduled For: Date: 10/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 056742 -01 503 -20E3 -9083 Y
Corrections /Comments /Instructions:
ii
Pro vc, c St,.w 6 v...1,-. A-1 4 of T 4 -t-fv� l ` I4� i a 6 ± i
Car 6�4 e ou F.4-- 0 V ev. E la+..i Arvi yr C Le ,CC tip, , 10 tc,,,_,
' t 0 D F-- O,l N + 4 i d Q vCJ ' C C ) i , O J i - t :- 114r S i.Lt, O/_) l . T-. r ,
tizAtea [A, PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
1 FAIL 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ( Ulv�✓' 1 IA Date: al 1 CS 12P Phone #: (503) 718-
CITY OF TIGARD :_.,-
BUILDING DIVISION PERMIT #: PI M2007 -00107
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 306/2007
Phone: (503) 639 - 4171 �� ���"� ��� i'r "���+�
Inspection Requests (24 Hrs.): (503) 639 -4175 ... ' ! �i."_ _.1
INSPECTION WORKSHEET FOR DATE: 10/1/2007 TIME: 7 PAGE: 23
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: R drains.10 roof drains &1 trench drain.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PMSI LLC PHONE #: 503 -46E; -2222
Inspection Request Scheduled For: Date: 10/1/1007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 056642-01 503.209 -9093 N
Corrections /Comments/ Instructions:
V FooE D� 3 NO 411 S1eAC L EAS`, k, >c , liJck .
PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: \A( i`V -- Date: 1 ) 1 , - 0 - 7 Phone #: (503) 718-
Case Activity Listing 10/1/2007
8:54:18AM
CCEL Case #: PLM2007 -00107
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes
PLMI010 Application received 3/15/2007 None RECD FAX 3/15/2007
BB
PLM 1020 Permit created 3/15/2007 None DONE BB 3/15/2007
BB
PLM 1030 Check for parcel tags 3/15/2007 None DONE BB 3/15/2007
BB
PLM1060 Building plans routed 3/15/2007 None DONE BB 3/15/2007
to PE BB
PLM 1060 Building plans routed 3/22/2007 None REDY MRS 3/22/2007
to PE MRS .
PLM 1 100 Building plans 3/22/2007 None APRV MRS 3/26/2007
approved by PE DEB
PLM 1110 Approved plans 3/22/2007 None DONE MRS 3/26/2007
routed to PT DEB
PLM 1240 Post- review 3/26/2007 None DONE DEB 3/26/2007
completed DEB
PLM 1260 PLM signature on 3/26/2007 None DONE DEB 3/26/2007
application DEB
PLM 1270 Ready to issue permit 3/26/2007 None REDY DEB 3/26/2007
DEB
PLM 1280 Issue permit 3/26/2007 None DONE DEB 3/26/2007
DEB
Page 1 of 2 Ouev: CaseActivity..rpt
Case Activity Listing 10/1/2007
CCEL1
Case #: PLM2007 -00107 8:54: I 9AM
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes
PLM2335 Rain drain 5/10/2007 5/11/2007 5/11/2007 None PASS MRS 5/11/2007 048116 -01 - 503- 209 -1943 — VM -
STI Y
PLM2335 Rain drain 9/25/2007 9/26/2007 9/26/2007 None PART JW 9/26/2007 056355 -01 — 503- 209 -9083 — VM -
STI Y — 180
PLM2335 Rain drain 9/28/2007 10/1/2007 None STI 9/28/2007 056642 -01 — 503- 209 -9083 — VM -
STI N
PLM1290 Reprint permit 10/1/2007 None DONE JMT 10/1/2007
JMT
Page 2 of 2 CaseActivity..rpt