Permit I
CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00475
--- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/20/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09315 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI, other fixtures are: (1) expansion tank, (1) primer & (1) ice maker.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS: 4 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 3 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 3
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 10/20/200E $199.20
TIGARD, OR 97223 [PLMPLN] Plan Review 10/20/200E $49.80
Phone : 503-639-8865 [TAX] 8% State Surchart 10/20/200E $15.94
Total $264.94
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 -66•9 or 1- 800 - 332 -2344
Issued By: Ali 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.
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Plumbing°! Perm '
PPU� ° 1 2005
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TYPE sW WORK v ' sCII
F - I.i
Q Work th.th atugro O Demotiteth f?'ars acre edtrt lr6tt
Addfdo0/dterednMti�)a 0 other •,, . F
Not I- 2-Family dwelling (includes 100It. for oath onra, aMnectian) "
CATEGORY OF fIrItIcatICDOPI 6pA (I) bath 709111 Q\
CI 1. cad Niue* dwarfing leaen doUlnd,trtriatl SFA f x) bah , . 300.00 U
El Avery building ❑ ldupi•lbenlip APR (.3) lath - . 399.00 \
A Mane lluildtr — Q Odaa:r: 1314 addili.nal halh/k11paso 45.66
Piro sprinkler I sq. B.) . •'1ra3
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JOB Writ INFORMATION Arid LOCATION SIra IRMAa _
lob GIs address CO IS
� .�.J. N0,4_,4 N! _ ,. : Curll bruin or wet oda 16,60 N \
CilertirmdriTh p t3 -�� 3 rn uoll. leach llaa, ut Womb dr.in. 1660
flluarhk15/01 t. 00.: irrea Ao)ea "gm: TC IUNA hating 4raln (no. linter R: _.:...) Per 2 -X
(ti0:te StiDA/d1realm1I to job aft Mmautb klnra Wild= 11000 .
- - Y Mi1lwley M I6.66
. Rath drde =mom 16,60
Saltier/ Nomae par. lino 1 1 , — page 2
Slam away (no. flow ( ) Paso ?
, 7 m en.: Wa rwswabs(on. I ii Wee (1.. _ ) Pagc2
Tex tneµ+ aalen.: /5/ a4Of�o oo_A
Honor Item
pllMRI?17ON OP Wnllk � BmiIdI 1au1 Yalvo 16.60
l -- - &airflowantankr Rr�]
) abi gAIgt'dii AA AAl , Isaalrmarorvalvo 16.60
6yat14"04 !. �.K,� • r ,.,. CIa�Aa wane 16.60
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�._.. lllellwarber 16.60 4.5] o PROPERTY OWNER T TrlT1 . —, o.+ k1a► 16,60
IJcaola/euij 15.60
Nam' 7 V_a+4+e' 7J1 Fxortaim 0171[[ • `^ 16.60 . (P 0
Marta: alai j R . TI 444 tle
Pittwors cap 16.00
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Clryl tdl,IP: k rlA 3D3�,1 Floor drvrt/floorllnk b .,...
,... «-'f 1[X60 , , • (
I' ) yc f x,,1 Fax: ( ) _.. (�arilage disposal 1660
_ ,�ArrucANT p CONTACT PERKIN
Hag bib • 16.10
4.. tCllllalf� '! I /r.� , r174.��
II Dolma room
hNueepWr/fltGCr►1r 1 6 - 60
c! L arr10: /� N , 1 Mmal l(maw S 1 P1igo ]
- Addy_ : m� 2 rieLf - Orin man /le . -o
L ` �,P kftm 1(�/!Q� fdrag[I. nrnaciil) 16.60
Mane ( l� r ) 7 ,71 - ' I I to ' (le l) 1,7.456 d b inAavero.y w ^ t 660 + ,�/ .��.
raarall; �0.�,0..a�.1. iSmai6./.e -R.. ewer /.hews.iwar 1 &6U
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CONTRACTOR ¥7, '3 . f) / '� Was a Meet 16.60
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Business aura: F piA,m„,: „,J�'„ wa�n�a ( 1660 111 A
Address: 96 36 . _ALA , /.) f}
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City /St P. P - ,3 -- o•2. 9 7.2-L7 . �.. _ BrWa W , /V? _ r
Minimum Fermis tae: s91.50
A1° ( ' ) 1 ( ) _ Acridenti.l b.ddtea miniasue raij l : 0623 I
Cep Lk.'
4 (O - - Plarr►bil kao. 04.: �3 6 ,. _ Pl i renew (�S7(.afyr7p111 fo) r � . SO
, +ud+.atwd ■igayagae: amrr,,mi a Pm armory Ito) . / S. 5
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I rria>s name: l ai tr r,...c.. ,...t -- .,. hat e ' 6)r J2�rlas) ml permit 0p 1 o�Prry h pest a Aoa o Ioael ”
180 day■ 0110 u bad brae aoaapted M eoripletF
aloe methodology tot by TN.Caueiy Building lneu s& rimmed Relu4.
PARITICYDAT1101101111 :07,1100 10411117 1'61 11V1fIVONIIB; rCSIO;+ NIANMprunlss Olga ,
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00475
13125 SW Hall Blvd., Tigard, OR 97223 DATE 'ISSUED: 10/20/2005
Phone: (503) 639- 4171I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 ^_
11! 005 TIME: 7:02AM PAGE: WORKSHEET FOR DATE: 2212 TIME. PA : 82 E
SITE ADDRESS: 09315 SW WASHINGTON SQUARE RD CLASS OF WORK:
• SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CT.)
DESCRIPTION: TI, other fixtures are: (1) expansion tank, (1) primer & (1) ice maker.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503639 -8865
CONTRACTOR: D & F PLUMBING PHONE #: 503.282 - 0993
Inspection Request Scheduled For: Date: 11/22/2005 , Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 0222340/ 503- 282 -0993 N
Corrections /Comments /Instructions:
Aik //s
017 . 077 ,
•
/ J l
,. SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / 2 Phone #: (503) 718 - _41).
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00476
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 31
SITE ADDRESS: 09315 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TEAVANA
DESCRIPTION: TI, other fixtures are: (1) expansion tank, (1) primer 8 (1) ice maker.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 603- 639 -8865
CONTRACTOR: D & F PLUMBING PHONE #: 503 -282 -0993
Inspection Request Scheduled For: Date: 10/28/2005 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
320 Plumbin rough -in 019669 -01 503 282 -0993 Y
Corrections /Comments /Instructions:
? id ( O'L\
•
•
•
•
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
' FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/Tin
Inspector: Date: // /(/ Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00475
13125 SW Hall Blvd., Tigard, OR 97223 • .,` DATE ISSUED: 10120/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I
INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 43
SITE ADDRESS: 09315 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FEAVANA
DESCRIPTION: TI, other fixtures are: (1) expansion tank, (1) primer & (1) ice maker.
OWNER: WASHINGTON SQUARE LL.C, 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
• 305 Plumbing underslab 019387 -01 503 -282 -0993 Y
Corrections /Comments /Instructions:
p4 .
•
'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / Phone #: (503) 718-