Permit f ' ; 1
CITY TIGARD PLUMBING PERMIT
' DEVELOPMENT SERVICES PERMIT #: PLM2005 -00426
'" 6 II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/6/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: (1) 2" drain, (1) lay, (1) water closet.
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: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
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 9/2/2005 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcharl 9/2/2005 $5.80
Phone : Total $78.30
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 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 - 800 - 332 -2344.
Issued By: � ,(� Permittee Signature: /r/ /.. /. I / .- „
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.
, 09/01/2005 11:01 5036916771 MODERN PLUMBING PAGE '01
_ _ 41 Ot1242004 L5:34 FAX 5033081064
TY OF TIGARD 003
S� � 3 y (.eta ,3\., SQ .
numbing An»lfical on 10R. OFFICE USE ONLY
City of Tigard I 01 2005 , , , „ Permit Nod 7 /4 , , - ,o __ % '
13125 SW Hall Blvd.,11gred, OR 97223 De
Phenar q 011,6394171 9 �t 7 t tas soa. OF 71GAR o .;:, .. ',.. a Ot6or Penn"11 J �_ ' - / - 3!
24- . 11our6neptlCtinT,lBO
o: so3.639.417 DIVISI' =' - -•- Y 1/i &°Pep afor
Inicomt WWW.Ci.tigard.tI009 bpd - � gig •l oosenedWformWon
tr. . .,, •I�yiL�'ft },, M d' ';' % 11` 9. � 5 , • ,Sp •�ti 5:v:
' .' X!.... ".l a J , ,,,, . it .. • •
❑ hew contraction 0 Demolldan Per „ al . . ,. ott ne Meddiet
E T A d e b l a o l a l e a a t ; o n h > p l o o a m e r u ❑ O t h e r , New 1.7rRamtry dwelling; (includes 100 S. kir cidh utfuty c doo)
f I n 4g , :5;1 !. m •n . r:: t. NN:" l a dt' 11 ''1 iY..; SFR(1)brlh 24920
. ❑ 1- easel 2.fee e- y dwellin tELcom t /indulTeial SPR (2) bash , • 350,00 •
[] Accessory btdlding Q Aln1$d�7y SFIt ) b 399.00
Stet In b ?ceder additiatsl ihlldlchcn a5.00
cc77 ❑ eDfbrs: Pa 2
'' � °'-' y i. , nt. 1 J I:Ifte�i7,,jr nr !',.,`iI yfl o "i' Cilroit �:��'" Py I h" ( eel, ft.) �— --
g c� EatI;k�r aflr3,w;i a r, sIZ@ti1tI ge,
r o b s i t e a d d r e s s : q • — r u) (.1) L . . . Rib Web basin or mra asin 1640
OY Sortea'Z P: ' , o ( D1 o g, 9 Z• 5 Drywef, leach tine, or bench drain • 14.60
snitelbldg /apt no.: \.),) - y Proka name: .C2 a - , I ? , — Footing daaln Om linear A: _) Page 2
Manutict* it d borne uuiiitiee 1 10.00
Qoss abeet/dfreecdoci to jab bite: — - 16,60
Rain drain cottneotor 16.60
Palmy sewer (to. linear it: Page 2
Storm sewer (no. lieu R: �J Page 2
Subdivisions Lot no.: Wan eerviw (be. linear fl.: Pose 22
Tex map✓perool col �4tfdrr* or ]tam — -
., , Absorption valve 16,60
.f,. • ttrart9 •, .: t • -A s;'l;r,' `! . '.i I toi,I *s S'I'll ` . 1 , ly . ..1.4)V..
i ° .. 1,'. r .F: i 13ac1etlow pt I trotttra Page 2
Q %fit I m • L► r._ .-e.^fi' Berdeweptr valve 16.60
Clodpe eroebor 16.60
Dishwasher 16
r r� �,: { al ,, � g 4:4 t , :I Drinking ibuntain 16.60
u cID t• , .! I t!'•.,!i.. tb•. „.:I(J ':4 °"�' 16 60
Nam
Oxpoauias+ tank 16.60
Add[ : Fixture/sty/ET clap 16.60
MY/State/ZIP: Moor train/Door sink/hub j 1460 i Cam_ to C
Phnom ( ) ha: ( ) Catholic 6•1/05111 16.60
"P p 'N ' s : r "` ; e I .. 11 sN Bose bib 16.60
il- l; .• 1 ' .1 ','i ,J:'t , ', fflIrurir ® o rt)� +IC + i: r �`
Lo ' ialelet m:laIN . r . of �.' .�> tea ex as k •• toe maker 16.60
Business names .{ tntmzeotor/arsoac nap 16.60 _
Cosaact nom Medical gas (value: S ) pep 2
Aa dies: Primer 16.60
Roof Vela (ootttlnertal) _ 16.60
Sfnklbe J 16.60 1(e7 f
FbaSmc ( ) Fax:: ( ) Tobilheder /shover pan _ 16.60
P-n
�: Urinal 16.60
111'.31'''.1"'''''',4'41:11] I, ► A241:14 aaar, p 'II I q j . I'•t , '' ikI rl,IP,q •
,,, � ; ,"�, , I r�:1:k . _ r • • a . 1• ",, ... y I w . : I , ;! a won,- gloom 16.60 � (O �40
#j , t 6.bo Water beat=
Address: Other. , Sable& ity SU
C1i '$Inter: r 1, .jci j•I . ' . w. • a a r Minimum permit lee: S725
Phone; ) 2 - , Fax: '210 , ' .4 i i, go idendal Widow minimum permit fee: 53635 Z Z �
ISME: la • , Li .: -�5� Plan review (29 6 ofperradtfee)
Sate aurahm$o (11% of pemrf t feel W
Authorized signature , Or 1InTA1. P1i7tArtfl FS ? 0
Print aaesa • a C C -r- - C-1=EalrEgill Thu nerntit se1011eotIon =lees it' a permit it sotobOiAed vatitte
18o days after it bite bean seeeptod ZS o01•Piete"
*Fee methodology set by'hi•County Building lode try Service Board.
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00426
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6/2005
Phone: (503) 639 - 4171 " ∎" ll A
Inspection Requests (24 Hrs.): (503) 639 -4175 ''�...
INSPECTION WORKSHEET FOR DATE: 10 /27/2005 TIME: 7:16AM PAGE: 69
SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SHARPER IMAGE
DESCRIPTION: (1) 2" drain, (1) lay, (1) water closet.
OWNER: WASHINGTON SQUARE LLC, PHONE #: •
CONTRACTOR: MODERN PLUMBING ' PHONE #: 503 -691 -6166
Inspection Request Scheduled For: Date: 10/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 019517 -01 503.572 -2179 Y
Corrections /Comments / Instructions: •
•
`!4 P'SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1� 6 S Date: /ALA Phone #: (503) 718-
CITY OF TIGARD ' .
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: PLM200 00426
Phone: (503) 639 -4171 h', ,,, R _'� I
9/6/2005
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/29/2005 TIME: 7:08AM PAGE: 75
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09348 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
SHARPER IMAGE
DESCRIPTION: (1) 2" drain, (1) lav, (1) water closet. •
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503 -691 -6166
Inspection Request Scheduled For: Date: 9/2912005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 016979 -01 503 -691 -6166 Y
Corrections /Comments /Instructions:
912 r 1 1 / ()JAcvyti7f„
. . (P 1 i''
,'A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
PLM2005 -00426
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 916!2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639
39. -4175
INSPECTION WORKSHEET FOR DATE: 9/27/2005 TIME 7:05AM PAGE: 71
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09348 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: SHARPER IMAGE
. (1) 2 drain, (1) lay, (1) water closet.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503 -691 -6166
Inspection Request Scheduled For: Date: 9/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # ' Message
305 Plumbin undersl - ; 016698 -01 503-572 -4411
Corrections /Comments /Instructions: , , Ca (_ 6 / 6 C
Lk) L \
•
•
i(r
•
•
•
I
/ ASS ❑ PARTIAL APPROVAL ' ❑ CANCEL El NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: no Date: / Phone #: (503) 718-