Permit CITY TIGARD PLUMBING PERMIT
I k DEVELOPMENT SERVICES PERMIT #: PLM2005 -00297
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 6394171 DATE ISSUED: 9/12/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Building Fixtures. Other fixture: 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: 1
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 9/12/2005 $83.00
TIGARD, OR 97223 [PLMPLN] Plan Review 9/12/2005 $20.75
Phone : [TAX] 8% State Surcharl 9/12/2005 $6.64
Total $110.39
Contractor:
MODERN PLUMBING
11120 SW INDUSTRIAL WAY REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Phone : 503- 691 -6166
Reg #: LIC 87906
PLM 34 -250PB
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 ou to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 0101 -0010 'ugh OAR 952 - 0001 -0100. You may obtain copies of the les or direct questi•ns to OUNC by
railing 503-246-669° • r -71 -332 -2344. j
•
Issued By: ` ,/ p jV I Permittee Sign; ure:
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.
9/12/2005 12:16 5036916771 MODERN PLUMBING PAGE 02
08/] 4/2005 10:44 FAX 5035961880 aY �!� ■ �. EDGARD f� 001
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SEP 12 200 .0o .51:b _ Sy-R.100500
CA ' FOri oun c e' 1. ;tiL . ON�-.4' 1
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City of Blvd, Tigard, � ISI �' �� ' CITY • IGARI r 7 l ,r 1 Nod
Phone: 5o3.GAo f SOO 59&1960 - 11�'; r + �� ,C� UIL , J i Decel ��1 ( OCf' • , PenmitNa. :, ,•./ .� / '3
2A- Flour Inspection List; 503.639r4,1n- 1 1 � ■ .O. f. �- . , r J • l Date P.a•d 1By nP Zl 111 m ' •' ROO / l
Yl . w w.cLtigard.0tUS .. " 1,L .14 taltdTMGthDd; i�
0 F0� o1b 017'IafiDM fad chec .
. 17 Nee► c Demolition - . , 1.0. - • Toast
®Ad8'itiodaaltaio e P ti e e m e � ❑ Omer. Nest 1. a4ffimST d w e l l i n g s (includes 100 f for each un ' + eonetadan)
#7 sPR(1)b�l] 249.18
D 1. and 7,family dwelling _ 13 eenledfiindurtlisl SFit ( 350.00 • 1
sFR (3) bail 399. , ■
' ❑ Ara my build ❑ Multi- family ... 45.00
Each additional tabaitchen ■
D Ma5bwider ❑ Otina; Fire sprinlder L. so. al page 2 •
- -
- _ - ,
,; � ,�� � ; _ °' r' i` _J. .. 6thotilit<'m
lob site address: 9339 SW WAtMONGTON SQUARE t arch basin or area Alain ' 16.68
Cif�9/8lrrtelZll (MRD, OR 97223 Drywall. le ash » or math maim 16.60
Jap - no.: T11 Pr elect talon: )Footing drain pro linear R:
Suiterbldg
. Mamdychged home Wilda 110.00
Cross s t r u t / d i r e c t i o n s to Job site: Manholes 16.60
Rata drain na mcater 16.60 '
. • sanimry s (DD. Ungar it:: Paw 2 111MIN I
Storm sewer (no. linear 11.: ____) Page 2
Lot Do.: Water service (NOD. linear It: _ )
Pago I .k6 Stubdivieion_ Mare or item • -
- Tax no.: - Absdrorr valve
•
h MMCi; .:»a;:k li-( - ei Y 1 :4 - 1'•riti :[M;l iq'�L
., �:� Backwatcrvalve 16.60
1$ um "aA1 vgi.E” Clothes eater 16.60
Dishwasber 111 -
16.60 1660
• .
Drmldu6 �� 0
ff ei : :, - -- .
Name: U NEV ll _ - - _ : 16.60 Expa;on teak . 16.60 •
Address. 500 HOWARD STREET Pcaluelsewrr op 16.60
ciy /Stair LIP: SAN FRANCISCO, CA 94105 Floo dr>ti oar ai klbnb . ti 16.60 �/ >r�
Garbage nisP44
Phone: (41078- Fax: ( 1)278 -7550 - - 16.60
- _ - - -
- - Ii esr bib
1= 16.60
Business MOW .ANEVILTA 16.60 -
Contact name: SARAH NEGYEN Medical gas (vale: $ ) r» 2 .
Address: U.20 EAST 110 ST T.svrrE 211 Prime 16.60 j ,�»
• Roof (commercial) 16.60 -
Cltp/9tatelLo: BLOOMINGTON, MN 55420 SiDk/basiallsvemcY 16.60 (p.. s f
Phone: (800) 5420821 Fear:: (952) 84•909 '1'uhlshowax/sho verpin 1111. 16.60 '
gassed: a troh@eld obis" Urinal 16.60
' 16.60 I
r - � wrier closet I
Business name: Tan. Lr • n • Co. Water hearer 16.60 /
Other. � �
Addrosa: 1, 1 , 2 0 V.) l • u } ;cc. 4., Subtotal
C.S'ty(SrxturA tti \,5 - ~ :. 9 7J 1r2. "mains= permit fee: S7L50
Phone: (SO3) (09 ( Cv l (0 1'ax (5x33) - I 71 1 Remcn bndmow > t feet S96.as . b0
.te.: o Bu robing Lie, no.; 34,.25o P L » mow Cas(25% of vm><ut ) '
one 1.
�, ° 1 O weal +age ( afpeemit mama
Aaehodzedsignamue: ' / I/ Tom PEWIT FEE riakal
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'Phis Pe APpliesefmn Mir" Oa pesmft is not bin tided , '
• 1`rurt:aasoe: D e L F tc
, .1. Dates °1 l L 0._ arts It bee beau aeAe1+ta m er� plefe . 3.80 *Pee ] e hodologY Bet try Trite' 13ufli i� Iddustry 5dsvice d
Emm- p�Npp.dea CNcs aaa.46l�(]a107rGOD6AVea)
CITY OF TIGARD l io L m
BUILDING DIVISION PERMIT #:
13,125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:0(00S-- d 6
Phone: (503) 639 -4171 ,,11dbugui�l
Inspection Requests (24 Hrs.): (503) 639 -4175 ,'!�r-
' INSPECTION WORKSHEET FOR DATE: ' TIME: PAGE:
SITE ADDRESS: q 3 3 / &04, SO, RD, CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: .
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: /(—/ 7 -- cS Pour Time:
Code # Inspection Description Confirm # Contact # Message
3q b S7 X 91 -
Corrections /Comments /Instructions:
/
■Allr
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ 'FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
Inspector: 1 " Le Date: y \ V Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00297
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 34
SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JANEVILLE
DESCRIPTION: Building Fixtures. Other fixture: primer.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503691 -6166
Inspection Request Scheduled For: Date: 11/2/2005 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
399 • Plumbing final 020130 -01 503 -572 -4411 Y
Corrections /Comments /Instructions:
19 [AA
C1 -PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: d r r) // Date: t i Phone #: (503) 718-
J
CITY .OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2005 -00297
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005
Phone: (503) 639 -4171 ,, 11
Inspection Requests (24 Hrs.): (503) 639 -4175 - _. ° 'I —.
INSPECTION WORKSHEET FOR DATE: 10/3/2005 TIME: 7:07AM PAGE: 37
SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JANEVILLE
DESCRIPTION: Building Fixtures. Other fixture: primer.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503 - 691 -6166
Inspection Request Scheduled For: Date: 10/3/2005 Pour Time:
Code # Inspection Description Confirm # t # Message
• 320 Plumbing rough -in 017223 -01 503 - 572 -2179 Y
Corrections /Comments/ Instructions:
. i g t i\ •
/ -
•
A %.,, _
�� -, . --- L t/ , . �u _ _4P �� 7
/ /
' /i
. -----
_/,-,
PASS P' - TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL IN CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 Date: r 3 -' Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION -. PERMIT #: PLM2005.00297
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2005
Phone: (503) 639 -4171 ! 4..
Inspection Requests (24 Hrs.): (503) 639 -4175 1
INSPECTION WORKSHEET FOR DATE: 9/20 /2005 TIME: 7 :07AM PAGE: 47
SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JANEVILLE
DESCRIPTION: Building Fixtures. Other fixture: primer.
' OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503 -691 -6166
Inspection Request Scheduled For: Date: 9!20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 016145 -01 503-572 -0020 Y
Corrections /Comments /Instructions:
•
•
•
!1 P. SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 -
CITY OF'TIGAR®
•
BUILDING DIVISION PERMIT #: PLM2005-00297
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/7005
Phone: (503) 639 - 4171 . 1
444
Inspection Requests (24 Hrs.): (503) 639 -4175 I I..
INSPECTION WORKSHEET FOR DATE: 9/19/2005 TIME: 7 :06AM PAGE: 43 •
SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: ,
PROJECT NAME: JANEVILLE
DESCRIPTION: Building Fixtures. Other fixture: primer.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ' MODERN PLUMBING PHONE #: 503.691 -6166
Inspection Request Scheduled For: Date: 9/19/2005 Pour Time:
Code # Inspection Description, Confirm # Contact # Message
305 Plumbing underslab 016019 -01 '603 -691 -6166 N
Corrections /Comments /Instructions:
LlS‘s/
•
•
•
•
•
•
❑ PASS ,E PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ►!1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-