Permit • A '. CITY OF TIGARD PLUMBING PERMIT
i ' DEVELOPMENT SERVICES PERMIT #: P-00156
�I DATE ISSUED: 4/28/20028/2%% 5
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S126CA 01000
SITE ADDRESS: 09009 SW HALL BLVD 142 ZONING: C -G
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT: JURISDICTION: TIG
Project Description: TI Plumbing: Other Fixtures =1 expansion tank, 1 ice maker, 4 primers.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 3
OCCUPANCY GRP: A2 FLOOR DRAINS; 12 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 5 URINALS: GREASE TRAPS: 2
LAVATORIES: 2 OTHER FIXTURES: 6
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
WASHINGTON SQUARE PLAZA Description Date Amount
BY THE CAFARO COMPANY
P 0 BOX 422 [PLUMB] Permit Fee 4/27/2005 $637.20
FLORHAM PARK, NJ 07932 [PLMPLN] Plan Review 4/27/2005 $159.30
Phone : [TAX] 8% State Surcharl 4/27/2005 $50.98
Total $847.48
Contractor:
NORTHWEST WATER WORKS
40110 SE MEADOWSONG RD REQUIRED ITEMS AND REPORTS
SANDY, OR 97055
Phone : 668 - 0375
Reg #: LIC 113197
PLM 3 -333PB
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 1-800-332- 344.
Issued By: e ,� �� ti �. =11 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.
04/22/2005 07:29 FAX- 5036680375 NORTHWEST WATER WORKS e1001
01/14/2004 12:59 FAX 5035981980 CITY OF TIGARD Lg)UUL
ECEiVE®
Plumbing Permit ApI catiOQ roll i trPic. L 1;:I- t) \ i 1
City of Tigard APR [ b actve6 _ - , , r
g OR 97173 A R 2 2 200 Daae� • / Permit 4, �� ��
1312.5 SW Ha11 Blvd, Nord,
Yawl 503.639 -4171 FAX 503,598.1 • D Man Review oth.r � ! -.e2 U�
24-
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Bo yyepyaien Line: 50.639'4175 .. f?y� - -ill
ld=tet: v.ww'.ei.tigarteres BUILDING DI` I _ - • i Nato r l Art. to Leg
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V Ndxitic2dLod>'oC: ? 9uppiemennJ information
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1 ❑ Nevi calliti101ian 0 Ctrnulitiori Far gpeeial , rbia1la+t rse GrIr!CRllk'2.
e.. • on - 8a, I To •1
❑ AdditicashataationfrepiaCeread 0 alba: ' New L.2.10imily dwellings (includes 1a0 lt For cslat u y cone tion)
'' V i .{, •. 1i .'i,'�i '''�," "e'1'a' a tr 1� I lt:t.. i ! i;. .!l.a:'ge 1 e.�:,.9'u: ;;'s;,1:1.,.1 h, :k {nil1 ,... .. ..:.`�_� .. i :._ ...... .,�, ":: ,,.,c• �, .; ,., .�•:, 5FR (1) bat 1 49.26 1
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❑ i- and Z fttasily dwelling $D•Wr;lincrvipllindLUt,'ia1 3FR (2) bath 350.67
. Q Accrssor'y btrl7,dict,r ❑ Malti:.family SFR (3) bads 399,00 ,
D Mast bttt7cter ❑ ate; Each additionalhWt4t3tohen 11.5.C4) ' •
� Fire 5priaiatt• i „ se_ Ft_) Psgr.
.t ;r , •il;: :ioi °.: J � L ..1 :n • . .' i•l "
`L•.,�, ,;, l.n.i.li ■`.� :.L.��X: �1F!iRilt,'!'"'�1� � ,' .. ... ,. ,. J_.�:�,.. :'u. site at11i[Gas
,� d< :.6.. II
Job site address: 0 �/ /r Br Catch basso or 4roa drain 16.60: 1
City/StatealP: '7 et.i / 0 / Drywall, lamb film, or.melt drain � 16.60 _ { q
Suite/bldg. /apt. no.: ` , Project Timm - T FoQ nga:ain (f,o.7lneartL: ) 1
,` \lanafy:.tured hone utilitirs 119.6
Cross street/dieted= to jab site: . -
Mattbolos 16,611
Rii• drain connector 1 1640
i Salivary sewer ( linear ft.; f Page 2
-
-
Slam sewer Eno, hoar ft.: __) '• I Nast 2
St+bd#titriaa: Lot no- Water serve a Op. Ha= IL: __.... E P2
Tax map/pa:cel cn.,
Fixture or lists •
1 a . - q .e Absecption valve • I ' 1 6.00
..: I,yl,..!,i .. r '. L:i i:.;aa � 4 . � ,, [ , .. ,:. t: 'i7:, q.f .i i: a . - 1 - . ,:c;. BackOWprGYC I �11 rG/ ■ ": t' �4 i - . 1 I'' -, I�!j: iC .:',: d .1"' fl11 R TiP
i Becirwit_e'r vulva 16`60
_�, Ciothcs welhor 15.60 '
- - I/shwasner a 1660
:{,, ... t : ', �•. ' ., � � r. [:Raw n
r v I • . y' 7 • - • •, :1: - ,,..... :..... I Oinking fountain 16.60
-� -5 .. i 'inirar,:��.7gr,�la - ': +' ''i{`�`�'°'ur' i�f`[:`t.�. EjC¢Drn7v8umC 111111 .,. 16.60 j
'Name Fxpamsion tu:R MIIIIIIIIr. 16.6[1 NOM
M arisa: F ixeite/sewer cap 16.60 ,
city/State/2: Floor drain/Boor sink/ohms , , 16.60 /, _ 0
phone: ( ) 5311542e 413pnSa1 16.60
I � ^ Bose bib 16.60
•+!' " I :.iiili1 c ' tP a� � aata ar : d�P'1j ..8 " :.,1
i ' Bus rase 7ztege: �y / G 1 / '1 ICs r mleer / 1 16.60 i , 40 1
V :..l ,/tom / . i / 1 lrrtert:svrcr.'giralu: trap -- 16.60 1 , eV /
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/ sc90 , - ■�� �.. M►
Ctty/SralcalF: • f , #,„ , 4 " 1 9,1 .0 Roof d ra i n(sommatial) . i6. ��
V Phone: { i --- 0'&6,0 ; C _ .. F r TkAl: veto !I ! . l ?trx: i r
" Tuh/ehawcrrshowerpaii I 16.60 I
w Urinal 16.60
`1'- , A on ;' i ' : r � "E•1° �
'. : -•r :�R •: d l r.c r - ; I:;f:�:: w�t1Er closet r :0.50
h / L /. J d WW1:r hea & l0.60 ,.
Addrt+a: I ♦ _ J . - f / / / // /1=1.1 • Other.
C21Y /S0eVZIM / / subtotal J'1 ,10
Minimum permit fee: 572.50 I
/ Nix 60 ,r .. i �7 / / l t2etidantia book-new Trriarmur rrnit the: 83623
i .
c Lie,: Fl Lie. no -: ' Plan review 1,25,6 aFpeirnit fa) 1 /S C g'U r
� j / �/9� I > 3 ��
/ State surcharge (a% of permit foe) 3 9,
Alithotized csgnattnr:
/," . ice . L_ .
4 .g a- 4. ToTAI,. PERMIT TEE InaillEn
1 Dale. / !i (v r Meals permit apolSCatio¢ exploit Ha permit as not obtained vital o
• 180 days alter it has Deep =cored as complete,
*Fad matbodologygat oyTri .Calmly Sul:dtn; Industy ServiCrt @card_
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CITY OF TIGARD
BUILDING DIVISION
Ai PERMIT #: PLM2005-00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/28/2005
Phone: (503) 639-4171 ileitivil If
Inspection Requests (24 Hrs.): (503) 639-4175 .,31r- ..,_
INSPECTION WORKSHEET FOR DATE: 6/13/2005 TIME: 7:08AM PAGE: 33
SITE ADDRESS: 09009 SW HALL BLVD 142 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: BAJIO
DESCRIPTION: TI Plumbing: Other Fixtures=1 expansion tank, 1 ice maker, 4 primers.
OWNER: WASHINGTON SQUARE PLAZA, 0 PHONE #:
CONTRACTOR: NORTHWEST WATER WORKS ' PHONE #: 668-0375
Inspection Request Scheduled For: Date: 6/13/2005 Pour Time:
Code # Inspection Description Confirm # Conta t # Message
399 Plumbing final 009084-01 . 503-314-1471 V
'
Corrections/Comments/Instructions:
i
_ , L MIAIWitiriMair r ■ eAdg
' _ •`e- O' - , • ' -
O 1/01
/
/ r --- e
, . ■
r /
/ .
I -
4 1 .. L i DASS El PARTIAL APPROVAL Ei CANCEL fl NO ACCESS
El FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
,
Inspector: 07) Date: 1 I Phone #: (503) 718-
,v
i
CITY OF TIGARD
BUILDING DIVISION v PERMIT #: PLM2005 -00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/28/2006
Phone: (503) 639 -4171 ' : rn4Nrypi,Gl'�I�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7:08AM PAGE: 20
SITE ADDRESS: 09009 SW HALL BLVD 142 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: BAJIO
DESCRIPTION: TI Plumbing: Other Fixtures =l expansion tank, 1 ice maker, 4 primers.
OWNER: WASHINGTON SQUARE PLAZA, PHONE #:
CONTRACTOR: NORTHWEST WATER WORKS PHONE #: 666 - 0375
Inspection Request Scheduled For: Date: 5/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 006710 -01 603 -201 -1056 N •
Corrections/Comments/Instructions:
4 -PASS (l PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / ��� Date: 1 >� Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM005 00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2812005
Phone: (503) 639 - 4171,,' ",,N��n "ypiill @l�i�lI
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/2/2005 TIME: 7: 10AM PAGE: 6
SITE ADDRESS: 09009 SW HALL BLVD 142 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: SAJIO
DESCRIPTION: TI Plumbing: Other Fixtures -A expansion tank, 1 ice maker, 4 primers.
OWNER: WASHINGTON SQUARE PLAZA, PHONE #:
CONTRACTOR: NORTHWEST WATER WORKS PHONE #: 668-0376
Inspection Request Scheduled For: Date: 5/212005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 005819 -01 . 503.201 -1856 N
.
Corrections/Comments/Instructions:
i
: 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: )
IIM Da te: , o t Phone #: (503) 718-
CITY OF TIGARD = t•
BUILDING DIVISION PERMIT #: PLM2005- 00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/28/2005
Phone: (503) 639 - 4171 "' "ry °il1411igl1�l!�
Inspection Requests (24 Hrs.): (503) 639 -4175 °T__..
INSPECTION WORKSHEET FOR DATE: 4/29/2005 TIME: 7 :11AM PAGE: 1
SITE ADDRESS: 09009 SW HALL BLVD 142 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: BAJIO
DESCRIPTION: TI Plumbing: Other Fixtures-1 expansion tank, 1 ice maker, 4 primers.
OWNER: WASHINGTON SQUARE PLAZA, PHONE #:
CONTRACTOR: NORTHWEST WATER WORKS PHONE #: 668 -0375
Inspection Request Scheduled For: Date: 4/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 005704 -01 503-201-1856 Y
Corrections /Comments/ Instructions:
f e
ce/
9 t i l
J
_S 1
I'
it _ _
or mt ' - ___ __
- -
i'..4010.."' 40, ,----
_ _
0 ;:,\''
❑ PASS XPARTIAL APPROVAL /`s ANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION • ADDITIONAL FEES ASSESSED
Inspector: /I , ��2�
� v Date: _# Phone #: (503) 718-
1 �