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Permit �e 4 � tiTY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00164 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/18/2008 PARCEL: 1 S 126CA -00900 SITE ADDRESS: 09009 SW HALL BLVD 200 ZONING: C - G SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT: JURISDICTION: TIG PROJECT: MACY'S FURNITURE GALLERY Project Description: TI. Capping and replacing existing fixtures. Other fixtures: (1) drinking fountain and (10) capped fixtures. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: • TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: 1 GREASE TRAPS: LAVATORIES: 6 OTHER FIXTURES: 11 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 5 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES MACY'S NORTHWEST 7 W SEVENTH ST. Description Date Amount 0/0 TOM HOWARD [PLUMB] Permit Fee 4/18/2008 $415.00 CINCINNATI, OH 45202 [TAX] 12% State Surch 4/18/2008 $49.80 Phone : (206)506 -7738 Total $464.80 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 #: LIC 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 by calling 503.246.6699 or 1.800.332.2344. Issued By:, `� �� �� 'ermittee Signature: _,�e? >/ "� / I if 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. Frc:: 04/17/2008 16:07 #361 P.001 /003 C Permit Applicati� ®� �1 , J �lU0 Building Fixtures 01 L t dad FOR OFFICE LSE ONLY • . City of Tigard '* _ nEr Pe rmitNo-. a. • is ` / 6y IIII = w 13125 SW Hall Blvd., Tigard, OR 97223 NIS Pian Review ' / Phone: 503.639.4171 Fax D 503.598.1 Other Permit __ vt No.: , • j1 T I G A R D' Inspection Line: 503.639.4175 Date Ready/By: rums: 63 See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE' SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description 1 Qty. 1 Ea. I Total ® Addition/alteration/replacement ❑ Other New I- 2- family dwellings (includes 100 R for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) 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 (___ sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 9009 SW Hall Blvd Catch basin or area drain 16.60 City /State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. no.: I Project name: Macy's Furniture Footing drain (no. linear >i; ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear R: ) Page 2 Storm sewer (no. linear ft: ) Page 2 Subdivision: I Lot no.: Water service (no. linear R: _ ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Plumbing for tenant improvement - Vt,(; i,Nid.t.:; -e it, 1,-t$ Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER I ❑ TENANT Drinking fountain !`(� Ejectors/sump 16.60 Name: Expansion tank 16.60 Address: Fixture/sewer cap i tJ 16.60 /i / OIJ City/ State/ZIP: Floor drain/floor sink/hub 16.60 3 1. 7 Phone: ( ) Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT CI 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) f 16.60 Sink/basin/lavatory {/ 17 16.60 cl q, 00 Phone: ( ) Fax:: ( ) Tub/shower /shower pan 16.60 E -mail: Urinal / 1 16.60 16, (yt C) CONTRACTOR Water closet �/ 4 j S3 16.60 t Business mime: PMSI LLC Water heater 1! 16.60 " Address: 21195 NW Evergreen Pkwy Suite 204 Other. City/ State/ZIP: Hillsboro, OR 97124 Subtotal Minimum permit fee: $72.50 ii 1 S 61) Phone: (503) 466 -2222 Fax: (503) 466 -2211 Residential backflow minimum permit fee: $36.25 71 J CCB Lie.: 158286 Plumbing Lie` - no.: 34-034PB Plan review (25% of permit fee) .....„...<1 . / /! State surcharge (12% of permit fee) t4 4. `� Authorized signature: / (ALL, ( * Z 4- '�' j / TOTAL PERMIT FEE ! {tJt( 0 J Print name: Lanell Robinson Date: 4/16/08 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. `Fee methodology set by Tri- County Building Industry Service Board h\ BiWding \Petmits\PLMF- PesnitApp.doc t2 127/06 440- 4616T(l0 /02 /COM/WEB) "� ` �'', CITY OF TIGARD - - r , .;, BUILDING DIVISION PERMIT # : t' PL.M2008 -00164 ;13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2008 Phone: (503) 639-4171 lostypiglblllit\ .-, • Inspection Requests (24 Hrs.): (503) 639 -4175 IL p' - ;, 3 -. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: s 8/15x/2008 7:00AM 10 • SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK: SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: MACY'S FURNITURE GALLERY . DESCRIPTION: TI. Capping and replacing existing fixtures. Other fixture: (1) drinking fountain and (10) capped fixtures. • OWNER: MACY`S NORTHWEST, PHONE # : (2(10)506-7738 PM. CONTRACTOR: S I LLC PHONE # W3- 466.2:221 r Inspection Request Scheduled For: Date: 8/1 &2 008 Pour Time: Code # Inspection Description Confirm # Contact # Message 3 Plumbing final 074238 -.01 208-949-4152 Y Corrections /Comments/ Instructions: C ., . ( .- t PASS PARTIAL APPROVAL _ CANCEL fl NO ACCESS f l FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1 1■_N k. Date: Ti i S-1 3Z Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2009-00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2008 Phone: (503) 639-4171 A*0 * Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: en 3 TIME: 7:00AM PAGE: 3 SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK: SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: MACY'S FURNITURE GALLERY DESCRIPTION: TI. 1 i Capping and replacing existing fixtures. Other fixtures: (1) drinking fountain and (10) capped fixtures. OWNER: MACY'S NORTHWEST, PHONE #: (206)506-7738 CONTRACTOR: HAS( LLC • PHONE #: 503-466-2222 Inspection Request Scheduled For: Date: 8/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 074143-01 503-519-3204 Y Corrections/Comments/Instructions: 7-. .cds --- -A - .7t 1 1 ScA L putk. eGt,,,,„i--O. cl,.. e 4 0-r r,,ipt , A.L....L,\,.. ,a---„,,,A-„k.t.c4--h...--c-7 ,4,„,,,,,, . . . 0 PASS PARTIAL APPROVAL 0 CANCEL fl NO ACCESS n FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: .5 Date: 7 1116T) Phone #: (503) 718- - ,.- , •• . , ,„., .,. ,,,, . CITY OF TIGARD ,. , • 2-- . • ..• .1 .. , • BUILDING DIVISION ' A PERMIT #: PU112008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:. 4/190009 Phone: (503) 639-4171 , ._i,(4- Inspection Requests (24 Hrs.): (503) 639-4175 .... „W U. INSPECTION WORKSHEET FOR.• . DATE: TIME: .., PAGE: W12/2009 7:00AM . ' .', • 34 SITE ADDRESS: CLASS OF WORK: 09009 SW HALL BLVD 200 SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: , MACY.S FURNITURE GALLERY DESCRIPTION: - 1"I. Capping and replacing existing fixtures. Other fixtures: (1) drinking fountain and (10) capped fixtures. OWNER: MACY'S NORTHWEST PHONE #: (206)506-7739 CONTRACTOR: I , - .NISI LLC PHONE #: 503-466-2222 Inspection Request Scheduled For: Date: 8/12/3008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 ' Plumbing final 074041-01 503-519-3204 N Corrections/Comments/Instructions: S W-lp PLAA".10 ms-r3./(4.Arte.A. e Lv.(k), . 1114/ r 7- f .. n " uk.p-tv to t--) Cr -,-..) ,-. L., l \ - 11.eviA.,!4e-- 'TO 'E-k-4-e,.h,/ O F S-41/4 c-kw b t/ TT) ap p vet J 04V 1/4) P rav IA c 1,,(7 (.?„0-e; et 44- a.,„,.....n s7 1-7)? 2-_LILI 0 I PASS X PARTIAL APPROVAL 0 CANCEL Li NO ACCESS FAIL 0 CALL FOR INSPECTION l] ADDITIONAL FEES ASSESSED Inspector: (56'‘I-A-..) \ i YII Date: 7101 07 Phone #: (503) 718- , . .._ ,_ „ ,. •.. _ CITY OF ��nm m n�'n TIGARD BUILDING DIVISION PERMIT #: PLh42008-00104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4U1812008 Phone: (503) 639-4171 Airb, Inspection Requests (24 Hrs.): (503) 639-4175 ,��m�� « 111, INSPECTION WORKSHEET FOR DATE: 6/24/2O88 TIME: 7:03Ah4 PAGE: 37 SITE ADDRESS: 09009 SVV HALL BLVD 2U8 CLASS OF WORK: • SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: . PROJECT NAME: MACY'S FURNITURE GALLERY DESCRIPTION: T|. Capping and replacing cisting fixtures. Other fixtures: (1) drinking fountain and (10) capped fixtures. OWNER: k4ACY'S NORTHWEST, PHONE #: ( CONTRACTOR: PkHS| PHONE #: 5O3 Inspection Request Scheduled For: ' Date: 6/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 071774'01 6O3-209-4246 Y ��\ V ctions: a.A E� fl S( AxL \ c �� ^�q PASS PARTIAL ��CANCEL NO ACCESS u u I I FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSE8SE' / V2...\-\\ � Inspector: C)& �'\J`~~=- Date: �o Y� ~' Phone #: (503) 718- . .. . . .... . .,..... , . CITY OF TIGARD A BUILDING DIVISION PERMIT #: PLM2008-00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2008 Phone: (503) 639-4171 izritilit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR ' DATE: C/23/20013 TIME: 7:01AM PAGE: 47 SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK: SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: MAGY'S FURNITURE GALLERY DESCRIPTION: Tl. .Capping and replacing existing fixtures. Other fixtures: (1) drinking fountain and (10) capped fixtures. OWNER: tviACY.'S NORTHWEST, , PHONE #: (206)506.7738 CONTRACTOR: PMSI LLC PHONE #: 503-466-2222 Inspection Request Scheduled For: Date: 6/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 071713-01 503-2094246 Y Corrections/Comments/Instructions: Q c - 9ok.A4i)■ Ca,-.\ Z 4 A ■../ U 4_,42., Llt.../ i Ac_., g 1 ,„_4 ,c1 fl . . El PASS 5K PARTIAL APPROVAL fl CANCEL ri NO ACCESS 0 FAIL fl CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED Inspector: 67)\-,....A...A\------- Date: Co `?__<3 ) Phone #: (503) 718- • _ .. . .. . CITY OF TIGARD BUILDING DIVISION PERMIT #: RA42008-00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2000 Phone: (503) 639-4171 - A :roll Ii?\ Inspection Requests (24 Hrs.): (503) 639-4175 , INSPECTION WORKSHEET FOR DATE: 6/17/2008 TIME: 7:00AM • PAGE: 30 SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK: SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: MACY'S FURNITURE GALLERY DESCRIPTION: 11. Capping and replacing existing fixtures. Other fixtures: (1) drinking fountain and (10) capped fixtures. OWNER: IvIACY'S NORTHWEST, PHONE #: (206)606-7738 CONTRACTOR: PMSI LLC PHONE #: 503-466-2222 Inspection Request Scheduled For: Date: 6/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 071471-01 503.209-4246 Y Corrections/Comments/Instructions: Gj e; j . \A C u m iz.A.j . . G jb ,,,,,,,, iO4 1 ..J ro 1,..-yl 4.; L A, " U 02---- TLAfthAll ed6 r- - 4_, ccA, i I PASS IK PARTIAL APPROVAL fl CANCEL I NO ACCESS 0 FAIL 0 CALL FOR INSPECTION • El ADDITIONAL FEES ASSESSED Inspector: Crb 44--A---/ \ I 1%—"4- Date: C t 1 --) 1,0i% Phone #: (503) 718- CITY OF TIGARD • -= BUILDING DIVISION PERMIT #: PLM2008 -00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2008 Phone: (503) 639 -4171 rhyIV • Inspection .Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7 :00AM PAGE: 24 SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK: SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: MACY S FURNITURE GALLERY DESCRIPTION: TI. Capping and replacing existing fixtures. Other fixture:: (1) drinking fountain and (10) upped fixtures. OWNER: MACY'S NORTHWEST, PHONE #: ' . (206)606 -7738 CONTRACTOR: PMSI LLC PHONE #: 503 - 466 - 2222 Inspection Request Scheduled For: Date: 6/160008 Pour Time: Code # Inspection Description Confirm # Contact # Message c. 320 Plumbing rough -in 07141401 503. 209 -4246 Y Corrections/Comments/Instructions: ,S-4—,,,L L.sz-,k (A Ce.4_.ovo w + o' S i v (:. , ti I ) 1?-e._ s� — L < 11k, r ✓b �. _,, N\c.,a ' 41141i I 1.44fiat ..A4.4r.ALP• ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS ►� FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: wrA—A Date: 6 I I L I D Phone #: (503) 718- TIGARD CITY OF ■ IGARD BUILDING DIVISION PERMIT #: PLM20013- 00164 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/20013 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/28/2008 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK: SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: MAC`S' a FURNITURE GALLERY DESCRIPTION: TI. Capping and replacing existing fixtures. Other fixtures: (1) drinking fountain and (10) capped fixtures. OWNER: MACY'S NORTHWEST, PHONE #: (206)5061 -7738 CONTRACTOR: PMSI LLC PHONE #: 503 - 466 -2222 Inspection Request Scheduled For: Date: 6/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 070419-01 503.209 -4246 Y Corrections /Comments/ Instructions: . r \o„vi (1 Akp 10■AVrc-D U•-.) w\ \ CO J . ./"Gj■/c a r . � s/' r CH v Avec i ■rl 1 \.36 ✓. I I PASS FYPARTIAL APPROVAL ❑ CANCEL fI NO ACCESS fl FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: (5 \ \N ---__ Date: ;S 2.: TA D% Phone #: (503) 718 -