Permit CITY OF TIGARD
PLUMBING PERMIT
I� DEVELOPMENT SERVICES PERMIT #: PLM2005 -00465
. .� ! 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/30/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Plumbing TI, other fixtures are (1) hose bib & (1) 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: 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 9/30/2005 $99.60
TIGARD, OR 97223 [PLMPLN] Plan Review 9/30/2005 $24.90
Phone : 503-639-8865 [TAX] 8% State Surchari 9/30/2005 $7.97
Total $132.47
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 -6699 or 1- 800 - 332 -2344. � —�-
Issued By: � 40
J Permittee Signature: "27 .1 ,�
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 Permit A a ! I il
Tigard v � , :
City of T f/
ligi1 9 i6 al -y a- l l ,°: �rVb7co ofd
13125 SW MU Blvd., Tigard. OR 97223 SEP 1
6 2'
e: 503.094171 Far Sea 5911.1 J . !
Home: DDratBT G I Z Jo Iw OtterPsonitran44 6e? Lint: 50
Irlexne� Inspection w j�d or.ue 3.639.4l75 CITY o � TI , �L 'LL Note R o ho 9 !ri O S ,wk Ill � lain atins
•
TVPI: OI+ 'r" DMSION �.�. FEE•• SCHEDULE _ _, .._
❑ ew construction ❑ Danulition 0777 eeakes L
- D cenipuion Qty. Cam. Tool
Addidoo/alteratiadnplacement ❑ Other: New 1- 3 dweillags (lududes 100 0. lb( cauh utility oonaccelon)
CA1Yr,ORV OF I!; I ION S1+R (i) hart 24v20
❑ 1- and 2- family dwelling '.. ~. CommercislAndudtrial SFR ( bath . 350.00
❑ Amatory building ❑ Mold-family si:R (3) gain 399.00
Eat additional Aylekiidian 45.00
❑ 1a{auar builder ❑ Other: i sprinkler ( - sq. 8) • lisp .,,k
JOB SIMI INFORMATION AND LOCATION S e a- as .
( Job nine! uddi 4 ?2 0 1_*Sv � 1 -- ..-�..- 1;10 ._. . . .- ) , C atc6 basin or area drain • - -- • - 16 641 -
City/SlateR.IP: ' 4C1 f 1 I� /i gr leach liras" a lyardt drsin �. 16,60
at
)) ' ;RR. Footing arms (no. linear R. ) Page 2 blalnrJbldg./�t ao.. �i rojoot Warne:
Meny(aquepl home utilities 110.00
Cross street/directions to job site: 1 6,60
Rain Mein etamoc4rr 16.60 ..
Sanitary sewer (no. linear II.: -) i Page 2
Storm sower (no. Venom ft.: ._._;__1 Parse 2
Subdivision: a d . I 1.01 no.: . . WAN service (nu. linear 11.: ,__) _ I Pep 2
Tax map/pared no.: t'S/ co BOO 300 Absorption valve 16.60
DISC RWI1ON OF WORK oyy prevents en3c 2 L
rGYII I n! 1�� Tot _ packwrervelve 16.60
�. iL�. �.u�u wads • 16.60
Distnwastw 16.60
Urinling fountain _ 16.60
❑ PROPERTY OWNER arT1044N1• 16.60
T -w�,•� HJatas /stomp
Nantes 1 `, �11� lJ 111 d \ Expression rank 16.60
/Address: 1 gal ) 0:4 ,V ! 1 • _ .. Fixture smoor cep . 16.60
City /Stato V LIY: 1 L ltk I all I Mror th nalo r ainlobub r'[ y 1 16.60 ,(p • 4.6 -
1 '
Phone: (310 ) // • , `l !
n 4 . ICS Fax: (
( 2 D) • -1 Garbage *posit 16.60
Ilea bib _ I 16.60 Ae . �O
i APPL K ANT T CON1ACf PERSON la ;ace" . - -- 16.60
Business name: T I . , 1.. 0 �, i t i 1 • Ntertxptor /gream Imp 16.60 .
Cachet umj ' et name: r Medical gas (value: 3 2
Address: - r, j?'_.:� P I _.. 16.61 74.E
Ci1r/Sihkrr:IP: rirfir arn Gle; / Ronrdnaiar ( ) 16.60
Phone: ( ) jr) i- . r , (k3 Fax:: (jQ) 0340 simcroswJlastorr 1660 /�0' bo
Tnb/sboaerMhMwer 1
I: mai: kis ,1 1 1 . A.. P. a?. 1 gi 1 ..!._ . I Urinal - 16.60
owrRACrOit wow s 16.60 ih . boo
C6'°1 VidEfifl 1:. Weer Mao _ 1 16.6o / e • be)
Other _
(-A s ` -- � Rabbi
61)41IsW7.rP i --- -- Minimum pewit fee: 3/2.50 99. !Po
C .: 563 -.9.37.2.. 0411 Era.: ( 0 - Residearial back/low WARM oWARM sant Abe: $3621
CCB' 1.ie_ .� f - Plumb - -Li -- time review (25% orpelnri'. Abe) , 4'a 90
sate mammy (I% of wail nee) ?' 7
Authorized an .. : � 4k 41,r 6a TOTAL PERMIT FEE �
�`•"• . t Thy t application ei U e permit I. not obesl w1dths
Crr'"t°mt"` �Ll ��' A Date: I I�ai pPl' t cr
180 days alter It ha bees scraped so complete.
'Fee methodology set by'i'ri.(irunty Building Industry Service Board.
L d 9LL l 5 £ £ l 8 9 'ON /Z£ : £ l '1S /b£ : £ l 5OOZ 9 L d3S OHl) WOdd
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00465
13125 SW Hall Blvd., Tigard, OR 97223 "" DATE ISSUED: 9/30/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175 ^'I �..
INSPECTION WORKSHEET FOR DATE: 11/18/2005 TIME: 7:17AM PAGE: 36
SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD • CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BEBE
DESCRIPTION: Plumbing TI, other fixtures are (1) hose bib & (1) primer.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 5(3.639 -8865
CONTRACTOR: D & F PLUMBING PHONE #: 503 -282 -0993
Inspection Request Scheduled For: Date: 11/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing 021873 -01 503 -282 -0993 N
Corrections /Comments/ Instructions: .
/ .
/
•
•
•
g; ' ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: r / i) Phone #: (503) 718 -
CITY OF TIGARD
• BUILDING DIVISION PERMIT #: PLM2005 -00466
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 9/30/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 90
SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE • LOT #: TYPE OF USE:
PROJECT NAME: BEBE
DESCRIPTION: Plumbing TI, other fixtures are (1) hose bib & (1) primer.
OWNER: WASHINGTON SQUARE LLC. PHONE #: 503 - 639.8865
CONTRACTOR: D & F PLUMBING PHONE #: 503 - 282 - 0993
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code #. Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 018361 -01 503 -282 -0993 N
Corrections /Comments /Instructions:
•
`�� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / / Phone #: (503) 718- r .