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Permit CITY TIGARD PLUMBING PERMIT � ;� DEVELOPMENT SERVICES PERMIT #: PLM2005 -00329 ''`� 13125 SW Hall Blvd., Tigard, O R 97223 503 - 639 -4171 DATE ISSUED: 9/2/2005 PARCEL: 1S12600-00300 SITE ADDRESS: 09312 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: T.I.other fixtures- 1 expansion tank & 1 trap primer. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 2 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 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 8/31/2005 $116.20 TIGARD, OR 97223 [PLMPLN] Plan Review 8/31/2005 $29.05 Phone : 503 [TAX] 8% State Surcharl 8/31/2005 $9.30 Total $154.55 Contractor: D & F PLUMBING 4636 N ALBINA AVE REQUIRED ITEMS AND REPORTS PORTLAND, OR 97217 Phone : 503 282 - 0993 Reg #: LIC 465 PLM 26 - 23PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 -246 4,8 00- 332 -2344. 1 , Issued By: ( e ) Permittee Signature: dr) C{ 3421l(2? • Call 503-639-4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Aug -30 -05 09: 56A 9 3 / . u- c ) s � , , S(\ • 1` UL P-01 ..( K., (` 3 ■t 0 .e-W '-e- \•e, .5 Plumbing Permit App AP3i' FOR OFFICE USE ONLY i teet. wea City of Tigard Permit NO Tigard, OR 97223 x.911, ' Leak /rsy. 3� (l I �1Mo ?0 3.19 13125 S W Hall Lilvd., ;:rt.. (1 2005 . Plan Review Phone: 503.63Y 4171 Fax 503.598.1960 / �t. ; ;r. ? 1„ Oth ?unlit / c, No lI ���,�� nate/Ry• Q J/ o ,2 GU � Od 24 - Hour Inspection Line 503 639.4175 D ate head /d _ f )0 � l� Sre Pu e 2 for CITY OF TIGA' r ' _�� Ready /13y. • A - � Internet, www.ci.tigard.or.ug ► mental luWnnaliun Nutt (j " Su pp le , 6; i1i ° 'ii `'' `T1 [ IVIS.IOi11 FEE' SCH.FDIJI o ❑ Pico construction ❑ Demolition _ - tor special information use checklist. li Description I CRY I Ea. I TOtal 1'r' ddltion /altettttiort/rep lac ement ❑ Other; New 1- 2- family dwellings (includes 100 f. for each utility connection) �• 1 `:`' !.,$,i7i�}y. rI'..ti l i l; ;y� go N5'�11 i e F :, SFR (1) hash 249 20 ' e. 7 Ri' 'l i.'� Yr .. _ 'a!I'�j. Q., uvII•�'i,� � - _- - ❑ 1 - and 2- family dwelling ,Et-C'ommcrcial /industrial - SFR (2) bath 350.00 _ i ❑ Accessory building El Multi-family SFR (3) bath 399.00 - - - Each additional bath/kitchen 45 00 ❑ Master builder ❑ 011icr: — - - — tri�u• vr.•l+ , r, r u,• r An a t d ,r i ,� , ,, m ° ic,,u,�,:. Ftrc sprinkler( sq. ft.) Page 2 ':!';: "FIff iL ',fl �� I�B!!�` �ih' N i �1, G� TI ON, , , ; :''•Gi 41.! ' . Iii :, : Site utilities _ Job site address. 93/2 Sw WASN/NFr'oN .filimge R D C ^ant li basin or area drain 1 16.60 Ci ly /Stam/ZlP: i i `� t f � �� -• -- fyrywcll, leach line, or trench dram _ 1 fi. f,0 Footing drain (no linear ft ) Page 2 'fb Suite/bldg. /apt, no.' Project name. 1<Qy Qc1.4, - /c.r5 - -. _ -- -- Ctoss street/directions to job site: , ` ea •• re Mlu ured home utilities 1 10 _00 -.• • -- Manllnle inle5 16.61) ,J . •f4 c 4Cid Ji y- 1Oil e ..._ rhC C � 7 - . C Rain drain connector - - - 16.6() - - • - E + l ,71c1 f r f r Ti\ ��T G of l t4I4 I r(Dn Sarular sewer (tto linear ft . ) Page 2 - - �- O a Fr .ant -4/, Storm sewer (no linear ft.: ) Pagt' 2 Sub divsi l ( rl C Trm 1 Water service (to linear tt ) Page 2 Sub I.nt nn. 66 � — - Fixture or Item T ax map /parcel no.. -- j t, p i , „ nr.., , r . i y il''I'' , ,. r . Absorption valve _- 1660 _ h -, .„ . I 1. H;, I. tll�Iti i) I, �: 'fl�,:§4iPl.Oit4l.:461i''.WORK. ,'''• ' I i ic; •.i -. ;I'h .,•' " Page 2 , „ L'ack(luw preventer Pvteik 1'A pmf. J u/ ' X pAe LctV .Si Backwater valve 16 60 ri _ J e t.,L cr G�GtSe_7 O /-Z 4,44, ,/1i a/te_ Clothes washer 16.611 el J Dishwasher 16.60 1i I r i �A :,177M • . �, „ 1 , I,'n "1 ,. , ,,i � � , , I : ,. ',. Drinking fountain 16.60 • '' n� i 1'' 6 ° *m1 i ItH : rod „ e ;II, ' . i 0 ' '. Ib. l" '' :. ., . �'(ll,• II t � • f ,� ; : ' ;,IrI..;. _.. ......- - -- ( 6 r , • , i 0.== Ejectors/surnp 16 60 Name: y - _ Expansion lank / 1660 / d C `'' Address: Fixture/sewer cap 16.60 t-. City/State/ZiP: _ - Fluor drain /flour sink/hub 3 r' / l 16 60 i' Phone: ( ) Fax ( ) Oarbagc disposal I (LW ' "", " mil ,41 -, it : : i , i I , ' •'' , ' L� tP, - .5 , r, , _ Hose bib 16.6U _ _— i'II: 'II':i° , :iil'r ",.6. la " ' :'F'•.rdid . , s 0 0nl:=:.' l ee ma 1660 -. . Business name: . ty - b �' f` U4,J t: - _� / 1ii.1! Interceptor /pease trap - 16,60 Contact name: Vr/�4 •• _ qJ V eC Medical gas (value $ ) Page 2 / j M • Address, �b� �DC �' 1 t ► ^ = e Primer r 16.60 / C try /State'ZIP: `P rf ., - /,f '7a,17 Roof drain (commercial) 16.60 r / p �� 1t, MI 33 ((So 't aS D&'� Sink/basin/lavatory . .lavatory s Phone: (�j) age Q _3 _. Fax; , Tub/shower/shower pan 1 16.60 E -mail: hone( 16 60 ,. ^.. a k'• ' .11t., „ 1 1 2. 1 V'., :' ,'. „ (. . Water closet / 1060 /' If • Business mute: L)± F , . i bar► + fc < Ce'll LA Water heater I / 1660 g Ef— Acidrcss: £1b3>S ,e• i a other- t Subtotal f /( . id ' City /State/ZhP. • bpi t-/ 4 ©r r 976( • . -- lvlm l xmtit tee $72 50 Phone (61&3) c )- ', . O 1,J _ Fax: (` ) r / Residential backfluw minimum permit the $36 25 Plan review (25% of permit fee) x9 O s CCB Lie,: /..1 P1 um�,• g Lic. no : aG ,a,.3 1 - . • - - — •• ••• State surcharge (8% of perm fcc) Y30 I Authorized signature � — • — lOI ALT'FRV1iTF1;E� ,SS f Print name: VJF yy� e• tLl J r� _ 1 f t L Date. 8,-. 4s1 This permil application expires if a permit ii tint obtained within � IND days after it has heen accepted as complete. "ee methodology set by •1'n- County Building Industry Service Boaid I ■Building\PenTuts\PLM Perm:1AeP,due 12/03 440.4610T(l0/02JcoM, vEa) CITY OF TIGARD . BUILDING DIVISION PERMIT #: PLM2005-00329 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2/2005 . Phone: (503) 639 -4171a , ( Inspection Requests (24 Hrs.): (503) 639 -4175 t 'IL INSPECTION WORKSHEET FOR DATE: 9/612005 TIME: 7:06AM PAGE: 51 . SITE ADDRESS: 09312 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: KAY JEWELERS DESCRIPTION: T.I.ot.her fixtures- lexpansion tank & 1 trap primer.. OWNER: ' WASHINGTON SQUARE LLC, PHONE #: 503-6398865 CONTRACTOR: D & F PLUMBING PHONE #: 503 - 282 -0993 Inspection Request Scheduled For: Date: 9/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 014948-01 503-282 -0993 N Corrections /Comments /Instructions: 7ev l - - q oq -. . , . . . • . , . , . . , . . . . . , . . . . , . . VIPASS . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: l Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005`00329 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2/2005 Phone: (503) 639 -4171w Inspection Requests (24 Hrs.): (503) 639 -4175 'll.. INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7:09AM PAGE: 21 SITE ADDRESS: 09312 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: • PROJECT NAME: KAY JEWELERS DESCRIPTION: T.I.othei fixtures- lexpansion tank & 1 trap primer. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503.639 -8865 CONTRACTOR: D & F PLUMBING PHONE #: 503 -282 -0993 Inspection Request Scheduled For: Date: 11/902005 Pour Time: Code # ' Inspection Description Confirm # Contact # Message 399 Plumbing final 020839 -11 360.907 -0718 ' Y Corrections /Comments / Instructions: • • N `RASS PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( Date: ' IP Phone #: (503) 718-