Permit k.
CITY TIGARD PLUMBING PERMIT
4 DEVELOPMENT SERVICES PERMIT #: 10 /2 /2 5 -00600
..- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/25/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Interior plumbing. Other fixtures: (1) primer & (1) condensation drain.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS: 0 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 10/24/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surchan 10/24/200f $5.80
Phone : 503 639 - 8865 Total $78.30
Contractor:
D & F PLUMBING
4636 N ALBINA AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97217
Phone : 503 282 - 0993
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
952-0001-0610 th ugh OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 50:- 246 -669• or - 800 - 332 -2344.
Issued B / jt Permittee Signatur /
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.
Oct•. -24 -05 12:49P
T 'P�iumbing Permit Application FOR OFFICE Received ONLY
Received Plumbing
RECEIVE Date/By: I Vi /05 S 0 Permit No.::(�1 -1904C12 L1t of Tigard ® Planning Ap royal sewer 5.42e42:6,
y Date/By: Permit No,: - 7o3M
13125 SW Hall Blvd. 20 0tj Plan Review Other
Tigard, Oregon 97223, o 1 Date/By Permit Nu.: - Au
Phone: 503 -639 -4171 Fax: 503 - 598 -1960 Post- Review land Use '
TI GARD '' aptb i �t -i ' Date/Br CaseNo.:
Internet: www.ci.tigard.or.us CITY OF u 1' I
1 II SI Contact Juris.: see Page 2 for `�
24 -hour Inspection Request: 61m�91WP -f3 ' ' NamcMethod• -_ I Supplemental information- v
.._
. IZ1_.et0 -- c903O0
• • ' •l+• ••.•...: ••TYPE'OF:WORK, '0'! .' • •'•'f .i: FEE•'S CHEDULE( forspecial !liiToriina'on:use
❑ New construction ❑ Demolition Description J Qty. i Fcc(ea.) 1 Total
Z). Addition/alteration/rcplacement ❑ Other: "' . '',lC 1- & 2. amity; dw rags;,. ; .
CATECO12Y'OPCON �RUCTliUlli . {I ltdes a00Yt fvr•cachiutility conneitloti) , .
SPR (I) bath 249.20 •�
❑ I & 2-Familyclwelling , . Commercial/Industrial SFR (2) bath 350.00
❑Accessory Building ❑ Multi- Family SFR (3) bath 399.00 \'
L] Master Builder ❑ Other: Each additional bath/kitchen 45.00
• • ':T SITE CIF R ATI<ON and LOCATION ' ' Fire sprinkler - sq. ft.. Pagc 2
Job site , 9:50Z- W s' - rA 4Ic ?iced . ; ; •.r: 1,. �, • �•r.;i: Site'UtiUtles. '..F: '; . . •
Suite #: bldg. /.#: Catch basin/area drain , 16.60
Project Name; F boo 2.._e4 Drywell/leach line/trench dram 16.60
Cross strcet/Direeti job site: /14... 444 % t. ( Manufactured
home tilities 1 1 0 .00
I Ia4siti/&riJt Segyotre. n1.41) Lowe( Le vc1 Sc. Manholes 16.60
Inasr /'lp! 7 )47er)t fit'!. , le) Pk-74 isog Rain drain connector 16.60
' PlAxs 1 ' , sue` E f t/hh ,A 74e VeAS Sanitar sewer no. linear ft. Pa:c 2
Subdivision: I Lot #: Storm sewer (no. linear ft.) Page 2 g
Tax ma / arecl Watcr service (,no. linear ft.) Page 2
�y� a1 i tel
r _ #• -, ,.3�: ; • ,:,i A:• �{ 1 ' itaiiiiiil]:'. t�•' t,iJ-' �' i • • ,rat, i .1+• • .
DESORIPT1OMOFWORK'• '' " "! ,! ►1 � .
- Absorption valve 16.60
h . - , Otte I1CW i r.4 Backflowpreventer Page 2
c'� / f ec r T I �f t/, l sic - Serv, fm Backwater valve . 16.60
Gt Cam/ e/15F1Ta re-Cempree 1::::./ 1 . N l/ Clothes washer 16.60
',APT- n t r Dishwasher 16.60
Drinking fountain 16.60
® P R O ' y! • . 14 ,' G WilSittJ;.s k,r,.n: • 0 TENANT.. :J5 !•,• '; 1... ,..,
Ejectors/sump 16.60
Name: - . Expansion tank - 16.60
Address: Fixture/sewer ca. 16.60
City /State /Zip: Floor dram/floor sink/hub �1r� 16.60 �.1
- Garbage disposal 16.60
Phone: F ax: bust bib 16,60
It ,`APlaLIOANT CO . TaACT.EERSON . :N.: lee maker 16.60
Name: Interceptor /grease trap 16.60
Address: - Medical gas - value: $ - -- Page 2
Primer ) 16.60 /4
City/State/Zip: ,.d
- Roof drain (commercial) 16.60
Phone: I Fax: _ Sink/basin/lavatory 16.60
E-mail: Tub /shower /shower pan 16.60
'' l'''' ' CONTR'AI(iiT'O 16.60
Urinal -
Business Na water closet 16.60
�� - Water heater 16.60
Address: Li l Other , .11 • •i/ ' 7 �Nom� �`
City/S tate/Zip: r e. 9 7(7 - other:
Phone: 44•P al"? eXi9.3 Fax :$q� c9$8 4 / • • • ;t. °Pluinbingdei•irdt•Rees *: • '' . . . ,
CCB I,ic- #: Plumb. .ic -ij: a 4a3rtte subtotal $
Authorized Minimum Permit Fee $72 50 $ 7a ..SO
'��� `�� ��' F Residential Backflow Minimum Fee $36.25
Signature / ✓.d � / _ Date. /U -ay�.S o of Pe
/ CC rC ,, Plan Rcvicwi25 /o re it Fcc) $ State Surcharge (8% of Permit Fcc) $ R �
V c` Ac G • t l Z)
( \e V care pnnt name) TOTAL PERMIT FEE S
Notice: This permit application esplre• If • permit Is not obtained within All new commercial buildings require 2 sets of plans with isometric or
180 days after it has been accepted as complete. riser diagram for plan reviCw-
•Fec methodology act by Tri- County Building Industry Service Board.
i.■Dsts\Penntt Forrr>s\PlmPermitApp.doc 01/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00600 .`
13125 SW Hall Blvd., Tigard, OR 97223 ='° DATE ISSUED: 10/25/2005
Phone: (503) 639- 4171
• Inspection Requests (24 Hrs.): (503) 639 -4175 _: _"__..
INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 62 1
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FRAGRANZA
DESCRIPTION: Interior plumbing. Other fixtures: (1) primer & (1) condensation drain.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8865
CONTRACTOR: D & F PLUMBING PHONE #: 503 - 282 - 0993
Inspection Request Scheduled For: Date: 10/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320. Plumbing rough -in 019381 -01 503 - 282 -0993 Y
Corrections /Comments /Instructions:
//
1`1 " //l
^,2 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: it v f "0 Phone #: (503) 718-
,
®
CITY OF TIGARD
, BUILDING DIVISION ,. a� PERMIT #: PLM200 &00600
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 10/25/2005
Phone: (503) 639 - 4171'" ut
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/21/2005 TIME: 7:13AM PAGE: 69
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION:. WASHING • - SQUARE LOT #: TYPE OF USE:
PROJECT NAME: RAGRAI
DESCRIPTION: Interior plumbing. Other fixtures: (1) primer & (1) condensation drain.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503.639 -8865
CONTRACTOR. D & F PLUMBING • PHONE #: 503 -292 -0993
Inspection Request Scheduled For: Date: 11/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final • 022007 -02 503 -282 -0993 N
Corrections /Comments/ Instructions:
•
•
•
`54..eAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector. Date: ( M/ Phone #:, 503
p ' 1 ( ) 718-